4643 Penkwe Way WATER •`S VICE P f
W
zoning: ?SST + 1 iinit tn':se
Nurser:. „Qrr. iii Thox p son
.'4643 PextUve Way 2:4 B3 C midge /II
Wenzel. •
4 No' . Caw Alta, Charge:
3t 5.00 pci
St*: , Account Deposit:
pd
Reader No pm* fee.
aura ie asisity wilds the M Illoto Sun:forge:
Mtsc. co lare 60. f30 pd mcttc�z.
Total:
1%),.: /...rt' gate Paid:
.ra►
Date of 1 ... tip.:
4 ; T
- SEWER SERVICE
.Filet : ` itei+t l • .. MktoilT NC) t 7 .
SIVE, 4N 14122 t ' twe
ZtM+irg:•
. of Units: s ,,,, it �.
owner: n c: a?r. �
Sit Md h C1 'i a." 1,4 x i„ TIT
n/7/',( 2 034 c, ,
t errs l. ..t,► with Oho City .t bye. Connection ; 2 •
Account Cappelli:
Permit Caw: 1 .
Ste: 50 r�.0
g J ,
Misc. Chimes
PAtes Total:
a Data Paid:
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i Permi�Fee: � �
3830 Pilot Knob Road
Eagan MN 55122 � Date Received. �
Phone:{65tj 6T5-5675 � �
Fax:{659)675-5694 ! Staff: �
I 1
�----- ----------'
2014 RESIDENTIAL BUILDiNG PERMiT APPttCAT10N
Date:�°'��`j� Site Address:���1 "_ yLa � �!/2 ��i��-' � Unit#:
Name: ��/Tl�i��t' ��� I t�tvr��ls�i Cr- � Phone: �
Resident! �
4wner add�ess i city i zip:���t-- ��-�'
�plicant is: Owner � Contractor
Description of work: ���'�` �'�� �� l �� ����
T�Re of work �
Construction Cost: l�,d�0 Multi-Eamiiy Buiiding: (Yes�/No_�
� / a'J� �
Company;�VC'JYZ��°��i �'4c��!%i�i4�C��Ur''S '� Cor►tact 1�t� f���ri'o�%
Contra�tor ,4ddress:g�`�2 Z✓�vJ�f��� Lr,�-�� �' ciry:�J��'� �!�t�L�
.
State:�Zip: ��3'`� Phone:����"�'Emaii:t��m��1Js�'LJ�S`7��.c�Y�"�✓�4��t�Y -
License#:�C ��� �7� '���-C:��r�
i�ad Certificate#:/V�i.r'...1=r>yl1�3 -�
If the project is exempt from lead eerti�catian, please exptain why:(see Page 3 for additiona!inforrr3ation)
COMPLETE THIS AREA ON�Y 1F CONSTRUCT'fNG A NEW BUILDING '
In the last 12 mont , t!�Ctty of Eagan iss�d a pertnit#or a similar plan based orr a master pfan7
Yes No )f yes, date and add f master pian:
ttcensed Ptumber: Phone:
Mechanica!Contractor: -
Sewer�Water Gont r: Phone:
,�"F�: °s an;tl su�pc�cfing dQCUmer��s fha#you sr�bmif are cor�sider+ed tv tze public infctrm��:, Pa�#i�ns of
r�rfe�ra�atior�rnay#�e�la��r#as r►c��tr pubii�if yc�u pror�de sp�i���iearsr�rts th�f wau/d pe�mit"tl��e"��!
' : c�clud+��tta�t�e" �ne�-ad�,seccei�
� GA�L BEFORE YOU D1G. Ca�t � � � , � � ���� �� � � I
Gopher Stat�One Caii at(651�45�F-0002 for proieciion against underground uflin+damage. CaU 48 hours
t�efore you intend to dig to receive locates of undergrourrci utilities. wvvw:oonherstateonecali.ora
i heret�y acknaMecige that this ir�formation is c�mmplete and acq�te;#hat the vuork wili be in tt�nfamarace with the ordinarwes aral codes of#he-Gity of
Eagan;fhat I uncterstand this is not a permit,but anly an appiication for a permit, and work is�t to start withou#a psrtn�t;that the work wili be fi'
a�ance with the approved plan in the case of vNOrtc which requires a review and�pproval of plans.
Eute�ior work authorized by a buildlr�g petmit issued Fn accorc�nce with th�R1Itlnesota Stabe iiding Gate m�t be complebed witMin 180
days csf pQmait issuance.
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Appiicanf's Printect Mame anYs Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA137744
Date Issued:07/20/2016
Permit Category:ePermit
Site Address: 4643 Penkwe Way
Lot:4 Block: 03 Addition: Johnny Cake Ridge 3rd
PID:10-39802-03-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
Diane T Murray
4643 Penkwe Way
Eagan MN 55122
(612) 328-1424
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA144015
Date Issued:07/07/2017
Permit Category:ePermit
Site Address: 4643 Penkwe Way
Lot:4 Block: 03 Addition: Johnny Cake Ridge 3rd
PID:10-39802-03-040
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Diane T Murray
4643 Penkwe Way
Eagan MN 55122
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA144797
Date Issued:08/10/2017
Permit Category:ePermit
Site Address: 4643 Penkwe Way
Lot:4 Block: 03 Addition: Johnny Cake Ridge 3rd
PID:10-39802-03-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Diane T Murray
4643 Penkwe Way
Eagan MN 55122
Freedom Heating & Air Conditioning Inc
724A Harding Street NE
Minneapolis MN 55413
(612) 306-6400
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA152654
Date Issued:10/24/2018
Permit Category:ePermit
Site Address: 4643 Penkwe Way
Lot:4 Block: 03 Addition: Johnny Cake Ridge 3rd
PID:10-39802-03-040
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Diane T Murray
4643 Penkwe Way
Eagan MN 55122
(612) 328-1424
Window Concepts Mn
291 Eva St
St Paul MN 55107
(651) 905-0105
Applicant/Permitee: Signature Issued By: Signature