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4611 Penkwe Way City of I Permit S9 Eaaall ` Permit Fee: 7~ 3830 Pilot Knob Road l Eagan MN 55122 s Date Recei Phone: (651) 675-5675 Fax: (651) 675-5694 Staff: 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ' c~`I , ! t 1 / .rf ~CGI~f Z Cr fi- J~/njr..~ Site Address: Tenant: C14-e- 41,7jG ~ ~ i/.y°.~~'L 5~-~ t ' 7 c f/ Suite RESIDENT 1 OWNER Name: 94.g; 14011n / hone: Address / City /Zip: Applicant is: Owner Contractor r TYPE OF WORK Description of work: 4P -'t 4 Re, i, - ~ t e Construction Cost: Multi-Family Building: (Yes / No r_j r CONTRACTOR Name: b!'Cy~°7/~Ca c_T~r s Z License M. -2C713'I' 73 Address:-94/4 1 z t 'Z_ City: State: _ Zip: 5, 5 ..3 fl Phone; f2` .~r?= cr > ? Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Energy Code • Residential Ventilation Category I Worksheet ^ New Energy Code Worksheet Category Submitted Submitted ('4 submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes -No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor, Phone: Sewer & Water Contractor: Phone: NOTE Plains and supporting documents -that, you submit are .considered to be public information. Portions of the information maybe classified as non-pu if ou-pro ific reasons that /d permit the Cityto conclud ar cfets r e I hereby acknowledge that this information and aaccurate; ation Or t h in os on"nce ytit o` perms and codes of the City of Eagan: that I understand this is not a d r~ > it; that the work will be in accordance with the approved plan in the case of work which requires a review of pla x Applicant's Printed Name A ant's Signature Page 1 of 3 ~6(I q611 / 16o q , l DO NOT WRITE BELOW THIS LINE SUB TYPES _ Foundation Fireplace _ Porch (3-Season) - Storm Damage Single Family - Garage Porch (4-Season) _ Exterior Alteration (Single Family) Multi Deck - Porch (Screen!GazebolPergola) Exterior Alteration (Multi) 01 of Plex Lower Level Pool Miscellaneous Accessory Building 'D e.5 V D;A9 c,,) L(5 WORK TYPES - New Interior Improvement 4 Siding Demolish Building* _ Addition Move Building Reroof _ Demolish Interior Alteration Fire Repair Windows - Demolish Foundation _ Replace Repair _ Egress Window Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation Occupancy t2c 3 MCES System Plan Review Code Edition FYl A Z©c'l SAC Units (25%_ 100%_) Zoning 3 City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS mot in Building) Sheetrock ootings (Dec A Final / C.O. Required ootin dition) Final I No C.O. Required Foundation HVAC Drain Tile Other: Roof: -Ice & Water _Final Pool: Footings Air/Gas Tests -Final Framing )d Siding: -Stucco Lath -Stone Lath -Brick Fireplace: _Rough In Air Test -Final Windows Insulation Retaining Wall Meter Size: Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee ) D.i nod -iC) B-o2 o X 41 j2E'V % e.J Surcharge p a (7 1 1 J 1' i 1j; nq W rFt (S o°° , ) rrdl) e .R L° 1 Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies 2 - • TOTAL Page 2 of 3 C. R. WINDEN & ASSOCIATES, INC."- LAND SURVEYORS Tel. 645-3646 For: 1381 EUSTIS ST., ST. PAUL, MINN. 55108 U. S. Home Corporation N EAGAN REVIEWED - - - - - - - - - - - - - - - - V, P; 11 I } /7~ DATE: BUILDING INSPECTIONS DM~4N 4Scale : it = 50' neck ~ 4 a2 VAL OvT 2,3; 22.33 CAN N lr 0.o33 20.67 CU NLS ~3 N w I r - > CIA o cv cli cc CJ Ld IN 0.67 4 0:67 w W N N > 22.3 2~.1, 40.E js` 5 yBtt 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 ALL VISIBLE ENCROACHMENTS, IF ANY, FROM OR ON SAID LAND. Doted this Jday of ocf A. D. 195j C. R. WINDEN & ASSOCIATES, INC. ~11 1% 011. Surveyor, Minnesota Registration No.' . WATER SERVICE Femur a Rom PERMIT NO.: 41)R E ,, DATE: r �• 12 /1a /`s1 , zoning RIV No. of Units: 1 uni t tnhq. ra Owner: Orrin Thompson *HomeR Address: 4 Site Address: * ' - • , t I . . Cr Plumber: G 41.ze *iuchanien 1 Meter No.- Connection Charge: 11 5 - 00 pd. Size: Account Deposit: Reader No.: Permit Fee: 1 0 _00 pd 1 agree to comply with the City of Eagan Surcharge: _ CO pd Ordinances. Misc. Charges: 60.00 pd motrar Total: By / / Date Paid: Date o nsp.: !-� 1 insp.: `' S SERV PERMIT CITY . EAtiaN 5019 31pihot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: " �' c' t 12/1t161 Zoning: RIV t o. of Units,...__. ‘Al unit tnhse Owner. Orri ompson Homes Address: Site Address: . 1 enkwe Way L4 1311 J Ridge. III Plumber " enze' 10 9 r.11.-0 00.0 pd i agree to comply with the City of Eagan Connection Charge: 425.00 pd Ordinances. Account Deposit: Permit Fee: 40.00 pd Surcharge: . 50 pd By Misc. Charges: Dote of I : , A Total: Insp.: / Z.-77—r/ Date Paid: ��c��, �f G�a� tl�-, �-f c� � i . �� �� '1�--� Use;BLUE or BLAGK trtk �------=----------j � Far Offiae Use • j Perrriit#: � ���r� j C�t� of �a�a� � �� � � ; ��,�t F�: � ; 3830 Pilat Knub Road � Eagan MN 5fi122 � j Date Received: j Pi�ane:(651}675-5675 � i Fax:(651)575-5694 t Staff: I l � ... . . . .. . .. . .. . . . . . a�� . � �.�.����J _ 2414 RESIDENTIAL BUlLDING PERMIT APPLICATIQN �J �ate- �""1�"�`� s�te Adctress• d��1 � 2'/b j l ,�, P�/�LJjC: Cu�� ;un€t#: ° Name: ��f�"I�,�� �'-�`�'�- It��r��1s�r` � Phone: � Resid�nt/ i�� j�7 �3Wt��F Address/City/Zip: �!�LI�'�'�"' ./- �/U � ApRliqnt is: Ow�er � Cont�actor ' Description of work: ���'' ��� �'{ �� '�v�' �'ype�4f WQrl� Const�uctiort Gost:��'���0 � Mu�i-Family Buiiding:(Yes �C I IVo_�j � ��� � < ' Company:,(�JYZrJ�5� ��t;►d!%�r�4-��C�15 Contacx:,,,�f�'t �G�tf�� �Oritt'AGtt)!", Address:�t'l��l �r�1�f �9� L�� /� Grty:����t` V1�C'Y�-- � � �r1 � r ' . - Sta#e:�Zip: �55�3�1 Phone:�j��1"��Ernail:���� Js�'LJ�S7�C„�c9Yl`�i/✓}z,.��v - ; �yJ v-Gr7r�+ ' ucense#_�� I.S�� �I 7 3 �d cert�t�cate#:rV�a.-�r°,...�J��l i�� —1 lf the project is exemptfrom lead certifrcation, please exp[�+n why: (see Pag�3 for additiona4 in�ormation) COMPLETE TtiIS AREA ONLY IF CONSTFtUCTtNG A NEW BUfL.DtNG /� !n the last 92 mo , the City of Eagan issued�pertnit for a similar plart based on a master pian?' _,_,Yes No If yes,date and addr f master plan: t,icensed'Piumber: Phane: Mechanicai Contractor: � Sewer&Water Co r. Phane: �� ��T�:r s an�t sup�ar�fn�dc�trments#ha�you s�ibm,i_t ar�con`sid�'to he public�#�r�fr,��r�r. P�r�r�s€rf ' � t�c�at��r����r b��l�ssifr`ree�il a�non-p�rblic if yau,�roui�e;sp+actfic reas�rns fhat�t��tt�pe�����tc� �cQncl�rat�#hat#�r� are#rade�r+ets. CALL BEF�RE YOU QIG. Ca1E GopherState One Cai{at(651)�54-0002 for prot�ion against t�ndergrour�d utiliry damage. Gau 48 haurs befare you intend to dig to receive locate.s of undergrour�tl ufilifies. www.aaohersjateanecatl.ara i her�by acknowiedge that this ir►formatian is c�mpiete a�aa�r�te;that the work will be in confartnance with the ordinances and cades of the City of Eagan;that 1 understartti this is not a permit, but only an application for a petmit, and w�rk is not to start without a perrnit;#hat the work wi[I t�in acc:ordance with the,approved ptan in the c�se of auoric which req�i�s a review and apRrovai of ptans. Exterior work autltorizad by a buiidir�permit isae�ed fn ac�sardance with the Minnes�a 5tate ilding Code must be completed within 180 daya of permit issuance. x �� - , . �� G x . APpiican�s Print�c!Name T ' . a�g Slgnature Page 1 of 3