4639 Penkwe Way
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-PANA 3 unit
=I i of t3nits: &
46 It we L4 :4 ic3 a "IZI
W zel `
. , . �,�,�, cam•: ���
sr N: Lit). - a
6000 pd , meter
0011004016 T otal: •
Dat. Paid:
SERVICE-PERMIT
`
i s .Ksa4 t L . LI PERMIT NO.:
11101101. 'MN X8142- • DATE: 19/
" ,;t*: "i -1- Ns. of Units: 1 unit trzhse
Owner t)rt In Thompson Homes
Addifess:
Site Addoossl 4639 penkwe Way L4 B4 J C Ridge 11I
pl , Wenzel
P/7/80. 100.00 pd
Isom itssosaiDlir wink die OW of loges Connection Chow 42 5.00 p 41
o _ _ Account posit:
Permit For 1 fl no h A
Surcharge: 5n r A
gy r 4) : Misc. Charges:
Drtstsi�> . . l Total•
insp.: . -.1 ,.. F Date Paid:
���31 `�(a��7 � �7- �����j. �(�3� � ��-
' use BLUE or BLACK lnk
� For Office Else -------�
. �Jy , � �37� ,
�1�� O��� �Il 4
� Permit# � ��
1 °-� �p !
� � Permft Fee:, J. i
3830 Piiot Knob Road � t
Eagan AsN 55122 � Date Received: �
Phone:'(651)675-5fi75 � �
Fax:(651)675-5694 t Staff: ! �
1 �
. . . . . . . . .. . . .. ' � ����������l.
2�14 RESiDENTlAL BUfLDING PERNiiT APPLiCATlt�N
qate-�"'�a�`j c� Site Address• �6 3'% _'�l� 3� �lz, ��r Y�.j-� Cv�'`1r unr�#•
.
� Name:�f?�"t?i�� ���� �t.�:�i}�z��i t_..- �Phone:
Residen#t .,�
f�iAttl�� Address t City/Zip: l".���✓�°' /E'�j�
Appticant is: l3wner � Contractor
�ir9y � - �- --
.�
TY�e.of 1lVo�'lc ��tion of work: � �t� � � ���
Gonstruction Gast j�'r��0 � N4utti-Famity Su►lding: (Yes ,y /No
!:� �..)
Company:lV�Y�2���'�9-��"r,�'s �c taa:�.� �`���a�
'C�ntr��tar address:��'!(�r'1 Z�i�.! �� L� � �;t�,:���a'�- .{'���oli�
� p ,�� ����'��l� 1
State: Zi : .�3f t Phone: EmaiLt +r►r��Jt3v't,�'�S`7�Gc��J7����7��v —
License#_�� �.�� �/ 7�j ��c�'��-.
t.�d ce,tifcate#:rV�.�-�..r=>r rlr�3 —I
if`the project is exempt from lead cet#ification, please expiain wrhy_{see Page 3 for additionai inforrr�ation)
COAAPLETE THlS�EA ONLY!F CONSTRUCTING A�EW BUtLDiAtG
In the last 12 mo , the Ci of Ea an issued a ``-r
� tY 9 permit for a similar ptan based on a rnaster plan?
_Yes _No If yes,date and add f master plan:
Ucensed Ptuml�r: Phone:
Mechanicat Cont�actor: .
3ewer&Water Cant r: Phonec
MC?�`L: ;�and,serpp�r�in�'d_o�u�nents th�t ygu sd�rn�t.ar�e�t�rrsider�ed t�be.�u�fiic irrf4nr�t� F+c��s:of .
�. rrfi�rriia��n ma�r�ie c(�ssifiec#as r�c�rl p�blic ff yv`�provicile s�`ecl�s.reas+�ns tha��rou[tff�iermr��i+���ita
� � � ' ��� can�lt�+dte fi►a#fir�' ,�r�e tr�de s�et�e�S. � �� �
CALL B�FORE YOU D16. Call Gopher St�One Cal!at(651)45A-0002 for protection against undergrour�eitlity damage. Call#8 hours
befnre you intend to dig to receive locates of underground utilities: www aonherstateoneca8 ora
t i►ereby acknaMedge that this information is canplete and ar,�urate;that the work witl be in eonfomtance with the ord'merrces and codes of#he Gity of
Eagan; that i understand this is not a pecmit,but cmly an appficat�n far a t�rn+it, and w�k is r�ot#o start watthcnit a pertni#:that the v+rork+roill be+n
w"
aceordance whh ihe approved ptan in the case of+n�rk whict►requires a rsview and approvat of pfar�.
E�cterior woei�suthor�zsd by a building permit issueE!in aceordancs wlth the Minn�ota Stabe Ming Gode m�t be campleted w�thin 180 '
daYs of t�ermlt issuance. '
'�,c ./'
x i! '� G ., , ...--
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Appl�canf s Prir�ted Name . ant's Signature
;, Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA141009
Date Issued:02/08/2017
Permit Category:ePermit
Site Address: 4639 Penkwe Way
Lot:4 Block: 04 Addition: Johnny Cake Ridge 3rd
PID:10-39802-04-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Randall E Gilbertson
4639 Penkwe Way
Eagan MN 55122
(651) 587-3334
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature