4615 Penkwe Way
13161 rOffir°
City o1 EaQall PI
3830 Pilot Knob Road :
Eagan MN 56122 Date Received _
Phone: (651) 675-5675 I t
Fax: (651) 675-5694 1 Staff I
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: (f 3 `IC/ ? +-IGIj (~3r f2- J9 /ts- - ~Yi c
Tenant: 011112 01 le- L S GP i7 " 4- Suite
RESIDENT / OWNER Name: To 'e- r49&.n / ' hone:
Address i City I Zip:
Applicant is: Owner X Contractor+
TYPE OF WORK Description of work:
Construction Cost: 1s-J7 ~ Multi-Family Building: (Yes / No
CONTRACTOR Name: 0,* License ? I > '2 7.3
Address: 9 1 ' ' Zl 1j
City: State: Zip: S 5.3 'l
Phone: 612 5`?-- cy Contact Person: t) r' 2 I''
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
(I 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-' • Plans aridsu
ppot ing documents -,batybu submit are considered tobe public +nformation. Portions of
the informptlon maybe classified as non-public if you provide spec ? sons that would perr+iitthe City to,
c ~olude that iihe pare tiraiese
I hereby acknowledge that this information is complete and accurate; that the work will be in c¢rlformanc a 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 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 pla
s ,~A raj
x f l.~yyf x
Applicant's Printed Name Signature
Page 1 of 3
ILL
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)
~C3 Multi Deck _ Porch (Screen/Gazebo/Pergola) - Exterior Alteration (Multi)
01 of Plex _ Lower Level Pool Miscellaneous
Accessory Building
WORK TYPES
_ New - Interior Improvement Siding Demolish Building*
_ Addition Move Building _ Reroof i 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 C -3 MCES System
Plan Review Code Edition ( ' z ' 1 SAC Units
(25%100% Zoning City Water
Census Code q3Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
wa Footings (Deck) Final I C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC
Drain Tile Other:
Roof: Ice & Water _Final Pool: Footings Air/Gas Tests Final
Framing 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 c~j~ • L' C~
+J M1$ 1 LAO iZ
Surcharge , Ua 71 ~OcZ 'D~u 11>1-, y,
Plan Review & ! 1
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
POW
F F - or- Office -U-se
Permit
City of Eaaall
Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651) 675-5675
Fax: (651) 675-5694 Staff:
2009 RESID TIAL BUILDING PERMIT APPLICATION
ate: Site Address:
manta Suite
tESIDENT I OWNER Name: Phone:
Address / City I Zip:
Applicant is: Owner ontractor
TYPE OF WORK Description of work:
Construction Cost: Multi-Family Building: (Yes I No
':ONTRACTOR Name: License
Address:
City: Stater Zip:
Phone: Contact Pers :
COMPLETE THIS AREA ONLY IF CONSTRUCTI G A NEW BUILDING
Minnesota Rules 7670 Category I Minnesota Rules 7672
• Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Submitted Submitted
• Energy Envelope Calculations Submitted
e City of Eagan issued a permit for a similar plan based on a master plan?
d address of master plan:
Phone:
vo~ Phone:
Phone:
nts that you submit are considered to be public information. Portions of
on-public if you provide specific reasons that would permit the City to
^lude that they are trade secrets.
accurate; that the work will be in conformance with the ordinances and codes of the City of
'placation for a permit, and work is not to start without a permit: that the work will be in
quires a review and approval of plans.
rO
Qa9e x
Applicant's Signature
Page 1 of 3
t
-.--m`/y}~w~.~.~~..m.8.[ s"fit}c
J U 8..i
l
~a-
S • °rl
C. R. WINDEN & ASSOCIATES, INC.
LAND SURVEYORS Tel. 645-3646
1381 EUSTIS ST., ST. PAUL, MINN. 55108
For:
U. S. Home Corporation
N
EAGAN
REVIEWED
DATE: 417 L
BUILDING INSPECTIONS DIVISION .G'Apec _ I r
Scale: 1" = 50'
~2 ,i2 I
1 -3
C ~ w M~ ° I
lu 22.33 22 'i3 >
~ V I W ~
,1, _ 1a . rr
22
neap
'VtiM
Lots 1 through 4 inclusive, Block 10,
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 thisday of Ocy, A. D. 198 / C. R. WINDEN & ASSOCIATES, INC.
A d r
by
Surveyor, Minnesota Registration No.
3
Number Discharged
Notes , , ,,
G: :,'724.. , ,- > .. �
�, i 1 _ - /..��; -,: �.� o r •;17 3 . -
7 5,. --r°
y
Total
Correctly
Incorrectly
Unknown
Sump pumps
— n_.�._r-- ._
- - - -_. �a_.
Foundation drains
/
Roof drains
.___
.�..__. _.
M _ -------,
411011— Cif of fain
Residential Sanitary Sewer Service
Compliance Inspection
Date '` (2 4
Name ,-4V,a c2 Disk #
PID Number'
House Number / /6{ Street Name
Compliance
No foundation drain connection
•No roof drain connection
a7' Sump pit not connected to
� A sanitary sewer.
0 Sump pump properly piped
fie`'
5 ` No sump pump
Service Lateral Inspection Findings
Roots
Poor PipeJoints
Mineral Deposits
Sag /Pipe Deflection
4" to 6 " Transition:
White Copy: Property Owner
• (2 e
Time • o pm
!Owner/Occupant Signature
Non - Compliance
0
O
0
O
0
V."/ vc. °� €
0
0
Alternative Mailing Address
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Number of stacks
Damaged Pipe_
Transition
Yellow Copy: City of Eagan
i
Phone ('3 yt'' %�°
Length of Service: r '
Record Number'
0
o •
Time •
o pm
�+...✓ ��.•/ j � . i' �. f� �.': -= � ��"� Lam...
Inspector Signature
For information call 65 1.470.2788
Obstruction
Unable to push past
feet
Entered S.L.at
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout:
Pink Copy: SEH
1,111 crrucw,iimms WATER SERVICE PERMIT
li16t Knob Road
MN S5122 PERMIT NO.: fi ;
Ea!a'i
Zoning: rT DATE: j _ 1 t
Owner: N o. of Un : _ ____j ijn t n h ae
Address:
Site Address:
Plumber: It'enzel Mechanical
Meter No.:
Size: Connection Cha
Reader No.: Account Deposit:
1 agree to comply h the City an of Ea Permit Fee: 10 .00 d
Ordinances. 9 Surcharge: .50 d
Misc. Charges:
By Total: teeter
Date Insp. _ Date Paid:
Insp.:
CITX pF4&AGAN SEWER SERVICE PERMIT
$79 Rat Knob Road PERMIT NO.: 502.0
1444 MN 55122 DATE: 12/18/81
Zoning: RIV No. of Units:8'4t »„ Y unit tnhse
Owner: Orrin Than -- ---- --
-4 a tes
Address: t
Site Address: 4615 Pen k +e Way L4 $10- J -C R3. ge III
Plumber: Wenzel Me4h.anical
10/19/82 27 4 100.00 pd
1 ogres to compiy with the City of Eagan Connection Charge: 425.00 pd
Ordinances. Account Deposit:
Permit Fee: 10.00 pd
Surcharge: .50 pd
By Misc. Charges:
Date 6 .�® Total:
Insp., _ -- - Date Paid:
�� I�, �l9 l � �l�-, L�l �, �� ��� � J�- , Use BL13E or BLACK ir�k
�-----------------
i For Office Use �
'} �t j Permit#: ' l I j
��1�� Q� �i���� ` U3.� �
��� � Permit Fee: � �
383U Pitot Knob Road ;
Eagan MN 55122 1 Date Received: j
Phone:t651)6i5-5675 t Staff: 1
Fax.(651)675-5894 � �
- � .. . . . . . . .. .. .. .. . . . . .. . �. ��.���J .
20'1A� RESIDENTiAL BUlLDING PERMIT APPLICATION
oac�: �-�I�`j`� s�naa�s:�6 l 3 1-!� l`5 �1� ��l��v� tv✓� un�t#:
€ Name: Ll!�/�l?i'a� ��1 �- !e�t,v��1,�^�r2� �Phane: �
Resitlertt/ ,
owner aadress�c�Y��p: ,���"� ��-'
ApPlicant is: Owner � Cont�actor �
Description of work: �'Gv�''� ��� � �� '��o'�'�
Type of Wor�€ <
Constnaction Gost:��'i!�� � Mut�-Family Building:(Yes .� I No„_,_�
� /" f( sy/ 4'
Company:11/G�YZt/�.5 7� �,,�,7.f��r�r�t�'�t��5 '� Contad:��r s� �G�t���
C4t1#t�4'�A!' Address:���j� Z�`6?�/ �7� yr�Y� � City:l�l�'�t" t�tZl��'''�.--
1�
state:�z�p_ `'�.��`� Phone:�f��`"�'Emait:�+m��j.��-r,��:s7"�.c���"�'���"��
ir�R �7 ���_��r.�yl c� }
{_IC@flS@� �� +tA � L@fld�Rf'�I�Ca�#:I�J�L°t""�..�1' j 1 f 6.�.? �!
I�the project is exempt#rom lead ce�tification,please expiain v�►hy: (see Rage 3 for additional inforrnation)
- COMPLETE THIS AREA ONLY IF CONSTRUCTiNG A NEW BUtLDING -
!n the tast 72 miont , the City of Eagan issued a pertnit fcu a similar-planbased on a master ptan? �
,,rYes _No if yes,date and adctr f master plan:
Llcensed Plumber: Phone:
Mechanical Gontractor: , ;
Sewer&Waber Co r. Phone: ``'��„p,
��1t7XE: ° s�r►r#suppc�r�r��s>c�m�rrts��Kaer submrt are�ansi�l�red'#o be publ�c ic�`e�r���r #�ns:�'
� � � �.
,rnfareriatz���ra,��r�class�e�f as r#cc�r�-pubric if you pr�viai�specff�r�asax�s�woul�perm����`ta'
co�cl�de tha�the �re+��i�s�cr��s
GALL B�FORE YOU DIG. CaII GapherState One Calt at(651}454-0002 for protection againsf underground utility d�mage. Caii 48 hours 'i
before you intend to dig to receive locates of underground utili6es. www.gonherstaTeonecali.oro
i hereby acknowledge that this information is c�mp�te and aa�rate;that the work wii4 be in confarmance with ihe ordinanc�s and codes af the City of
E�ar►;#fiat i understar�d this is not a pe�nit,but ortty an applicatian for a permit, and work is not to start wiihout a permlt;that the work-wi[I be in
ac�ordance with the aPProved ptan in ft�case of uaark which requires a=eview ar�d approval of ptans.
Exterior work autMorized by a bulldi�permit isstred in accor�nce wi�the Minnesota State ildir�g Code m�t 6�compieted w�th9rt°!80
days of pernt(t issuance. _
X��R ` }
� .� . . . . . .. x �. . � ���. �. . � � .
AAp�iicanf s Printed Name T ` ' arrt's�ignature '
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA141275
Date Issued:03/02/2017
Permit Category:ePermit
Site Address: 4615 Penkwe Way
Lot:4 Block: 10 Addition: Johnny Cake Ridge 3rd
PID:10-39802-10-040
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 -
Jerome R Flynn
4615 Penkwe Way
Eagan MN 55122
(651) 334-4968
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 355-1300
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA155733
Date Issued:05/31/2019
Permit Category:ePermit
Site Address: 4615 Penkwe Way
Lot:4 Block: 10 Addition: Johnny Cake Ridge 3rd
PID:10-39802-10-040
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 -
Jerome R Flynn
4615 Penkwe Way
Eagan MN 55122
(651) 346-8353
Crew2 Inc
2650 Minnehaha Ave
Suite 100
Minneapolis MN 55406
(612) 276-1680
Applicant/Permitee: Signature Issued By: Signature