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4609 1_2 Penkwe Way3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Permit #: Permit Fee: 3G Date Recei l Staff 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address: 4446/ 11- 4'ied S�-�•�✓/y% -7 elf/ Suite #: Date: Tenant: ci ✓1-- J RESIDENT / OWNER Name: jig /14/ c-44 -- A r,ore rowel / hone: Address / City /Zip: Applicant is: Owner X. Contractor r TYPE OF WORK Description of work: 1.a, vf e2 if —( P"�,--c, it 4e -84A- "_--5 ,9LI1 < en EE 4 Construction cost's J Multi -Family Building: (Yes / No ) Q CONTRACTOR Name: /1Vor41,e°2 Cdflrie4C_ir3s^s 0'1c— License #: c2t7 % 3 9q 73 Address: 94-/‘ 1 7-"0'''*7rL_ (---. .?L— City: %/e-- 6:41:91-'(--- Staatt*—e: .4Zip: S 33 f1 Phone; 67.1.--453,--q— g> --r Ir Contact Person: ti '— COMPLETE Energy Code Category (4 submission type) In the last 12 months, has _Yes _No If yes, Licensed Plumber: THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 Minnesota Rules 7672 • Residential Ventilation Category 1 Worksheet ^ •' New Energy Code Worksheet Submitted Submitted • Energy Envelope Calculations Submitted the City of Eagan issued a permit for a similar plan based on a master plan? date and address of master plan: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE PJans and supporting the informatto A J �fbcrirrfents fbat �rou submit ate considered tO beYrrtblic infotination it rtrorrs bf Y 4 Sv'� fid' - �3 � � & Z ? °H '.�✓.�'f f-� � ' be l itassiftea as oi► t p sF cNr sons that � _ id pern x C t i a - - ' � nciud = ,. I hereby acknowledge that this information is complete and accurate; that the Eagan: that I understand this is not a permit, but oqgr�ly an application for a accordance with the approved plan in the case of work which requires a review xm Applicant's Printed NarneOr In:confo is noes and codes of the City of permit: that the work will be in - L 6 Ell I/611�Z-P 4 -LI l DO NOT WRITE BELOW THIS LINE SUB TYPES _Foundation Fireplace Single Family i Garage j° Multi Deck _ 01 of Plex i Lower Level Accessory Building WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Pian Review (25%_ 100% ) Census Code # of Units # of Buildings Type of Construction Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Interior Improvement Move Building Fire Repair Repair /12)00.0-- (131 b) 0Qp ,,... (131 REQUIRED INSPECTIONS eotin • ootings (Dec ootin Building) dition) Siding Reroof Windows Demolish Building* _ Demolish Interior Demolish Foundation Egress Window _ Water Damage *Demolition of entire building - give PCA handout to applicant Occupancy t2C 3 Code Edition Zoning Stories Square Feet Length Width Foundation Drain Tile Roof: _Ice & Water _Final Framing Fireplace: _Rough In Air Test _Final Insulation Meter Size: Reviewed By: �2l'l ,)' A z©c., g-3 Sheetrock MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers _ Final / C.O. Required Final 1 No C.O. Required HVAC Other: Pool: Footings ___ Air/Gas Tests _Final �O Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall Erosion Control , Building Inspector RESIDENTIAL FEES Base Fee Surcharge 2. p a Plan Review Ca?. l l MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies 2- •5 TOTAL 2 zno, /-.) 6-00 /►o firm Rev:e.J W*t(S q,0o0.)m) Ikevie'W Page 2 of 3 1° City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-56.4 For Ofq,Q01 0 Permit #: Permit Fee: Date Received: Staff: ,.- 2009 R SIDENTIAL BUILDING PERMIT APPLICATION Date: Site A dress: Tenant: Suite #: RESIDENT / OWNER Name: Phone: Address / City 1 Applicant is: Owner Contractor TYPE OF WORK Description of work: Construction Cost: Multi -Family Building: (Yes / No ) CONTRACTOR Name: License #: Address: City: State: Zip: Phone: Contact Person: COMPLETE THIS AREA ONLY IF C NSTRUCTING A NEW BUILDING Energy Code Category (� submission type) Minnesota Rules 7670 Category • Residential Ventilation Category 1 Works 'eet Submitted • Energy Envelope Calculations Submitted Minnesota Rules 7672 • New Energy Code Worksheet Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plbased on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: ti Mechanical Contractor: hone: Sewer & Water Contractor: Ph NOTE Plans and supporting` documents that you submit are considered to bepublic information Portions of the information maybe classified asnon-public if you provide specific reason that would permit the City to c• onclude Ilial they are trade.secrets...., I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that 1 understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicants Printed Name Applicants Signature Page 1 of 3 140!alVir tee For: U. S. Home Corporation EAGAN (f REVIEWED ll cit 16Ii I DATE: BUILDING INSPECTIONS DIVISION -lll(-D e C. R. WINDEN & ASSOCIATES, INC. LAND SURVEYORS Tel. 645-3646 1381 EUSTIS ST., ST. PAUL, MINN. 55108 L4 a_ b4 22 IA/AL t.1vT 0' 2 2. 33 m c•-• u� N N 22.33 2. 0.67 23 N cv (.4 0,67 4. 0: Q q�4 N N 6"— N um N Cal 22.3 22.33 3•( 40.7 )Pt YID 1 .let- Scale: 1" = 50' PENKWE WAY Lots 1 through 4 inclusive, Block 11, Johnny Cake Ridge Third Addition, Dakota County, Minnesota. WE HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF THE LAND ABOVE DESCRIBED AND OF THE LOCATION OF ALL BUILDINGS, IF ANY, THEREON, AND Alt VISIBLE ENCROACHMENTS, IF ANY, FROM OR ON SAID LAND. Doted this 157L day of Dcf • A D. 195 C. R. WINDEN & ASSOCIATES, INC. by Surveyor, Minnesota Registration No. 77.2.0 CITY EABAN WATER SERVICE PERMIT g7*` '. Knob Rood PERMIT NQ.: 12/14r.1 Ewa Miff 55.122 DATE.1 unit tnhse Zonf ig RIV No. of Units• Cerro Thompson Homes Owner: Address: Site Address: 46091/2 Penkwe Way L2 B11 J C Ridge III Plumber: Wenzel Mechanical Meter No.: Connection Charge - Size: Account Deposit. 10.00 pd Reader No.: Permit Fee - .50 pd Surcharge.60.00 pd meter Ordinances. Misc. Charges: Total: By / Date Paid: Date of Insp.: � � �Insp.. 1 agree to comply with the City of Eagan 335.00 pd CITY EAGAN. SILRVICE 37ot'Keob Road PERMIT NO: 50 Engel MN" 55122 No. of Units. Owner: Address: Site Address: Plumber: tlenz 12/18/81 1W/i T 1,27335 I agree to comply with the Cof Eagan Ordinances. By Dote % 1! f Insp.• C7 17 100.00 pd Connection Charge. 425_00 pd Account Deposit. Permit Fee. Surcharge: Misc. Charges. Total. Date Paid. 10,00 pd .50 pd 4009 City of Eaaau 4b. 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 g(06113 -fit, 14&1/ 'h Use BLUE or BLACK Ink For Office Use Permit*: 1 712-- Permit 12Permit Fee: (-)-3 5-15 Date Received: 1 i t Staff` 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: " Site Address: Lid oet 4-11, / 1 02. Pti j/ t ' Ctj' y 'Unit# Resident/ Owner Type o cork Contracto 110 4/7 4-( Name: Address/ City / Zip: Applicant is: Owner Contractor Description of work: —re0� Construction Cost: /V, / 0© Multi -Family Building: (Yes X / No ) Company: A/Or2 r% 5 7' C. [;►y! % � �4 2' ' Contact: /It t%© Address:6( 6 9 Z J / b L »t city: 6' 0 L' - State:,2-24"Zip: 55 311 Phone: 612-15.1--u- Email: {) Ar cg Pi4.9s"'44.36,57-c i9 ` 7rOj° "VyJv-Gr7r--+ License #: D i s'1 7 3 Lead Certificate #: /V A.1 -- J J J r/ 0 3–/ if the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 mo + the City of Eagan issued a permit for a similar plan based on a master plan? _ Yes No If yes, date and addr f master plan: LicensedPlumber: — Phone: Mechanical Contractor: Sewer & Water Co r. Phone: niit supporting documents that you submit are considered to be public 1n19 rn may bo classifie l as non-public if you provide specific reasons fhat:wo conclude that the are #rade rets. Prtns o CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility dam before you intend to dig to receive locates of underground utilities. www.aoahersjateonecattoro 1 hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that 1 understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota States tiding Code must be completed within 180 days of permit issuance. age. Call 48 hours xif'14/ G Applicant's Printed Name 4110/`' City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 EKED spy Q92016 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: ©S Date Received: Staff: 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 5/4/2016 site address: 4609 1/2 Penkwe Way Unit #: J Resident! Owner Name: Cheryl & Thomas Belden Phone: 651-688-7440 4609 1/2 Penkwe Way Eagan, MN 55122 Address / City / Zip: Applicant is: Owner 1 Contractor Type of Work Description of ork: Remove and replace 3 windows into same existing rough opening Construction Cost: 3845.00 Multi -Family Building: (Yes / No 1 ) Contractor Company: Budget Exteriors Contact: Lisa Monson Address: 8017 Nicollet Ave S City: Bloomington State: MN Zip: 55420 Phone: 952-887-1613 Email: Imonson.bei@gmail.com License #: BC006564 Lead Certificate #: 22128-2 If the project is exempt from lead certification, please explain why: In the last 12 months, Yes No COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? If yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Fire Suppression Contractor: Phone: Phone: Phone: Phone: NOTE Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call et (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecalLorq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Buildin • ' od st be completed within 180 days of permit issuance. x Lisa Monson Applicant's Printed Name