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4615 1_2 Penkwe Way Use BLUE or BLACK Ink k ----------------i I I of EP('n ermit#: a!1 biLya, Permit Fee: s~' V Q 1 3830 Pilot Knob Road I I Eagan MN 55122 MY I Date Received: 1 . 70 1 p Phone: (651) 675-5675 Fax: (651) 675-5694 1 staff: 2011 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Site Address: 114 f 1Pkuol6- ~aZ~. Tenant: / Suite RESIDENT/OWNER Name: ,Phone: Address/ City /Zip: ! ~iJ1 lX/ (QyL CONTRACTOR Name: A License C2 (,e 3a 3 I 1 Address: (a ~ , a e f--~ City: ~P c 7(J~ a?'/-zS State: Zip:6S a -72 Phone: t .L X11 Contact: L7> eL< Email: TYPE OF WORK New _Replacement _Repair -Rebuild - Modify Space - Work in R.O.W. Description of work: PERMIT TYPE RESIDENTIAL Water Heater -4--Water Softener Lawn Irrigation RPZ PVB) Add Plumbing Fixtures L_ Main Lower Level) Septic System Water Turnaround _ New Abandonment RESIDENTIAL FEES: $55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $35.00 Lawn Irrigation (includes $5.00 State Surcharge) $55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround" (includes $5.00 State Surcharge) *Water Turnaround (add $166.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) $95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) TOTAL FEES $ f/ CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.oro 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. ~ f X x Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections. Under Ground -Rough-In Air Test Gas Test Final 13161 Cit y of Eap j Permit #i , 3830 Pilot Knob Road Permit Fee: j Eagan MN 56122 j Date Received _ Phone: (651) 675-5675 I t Fax: (651) 675-5694 1 Staff: 1 t 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address:G f ~j `16/✓/~- , ``/Gl~ ~5",f2- J9/ts- - ~Yic Tenant: 0114 01 le- Suite RESIDENT / OWNER Name: ~'To 'L r49&vn 1 'hone: Address / 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 7 3 Address: R1 I zl r-,jmoo- City: State: Zip: r ~ Phone: Gl~-~ cy Contact Person: t) 11- ~ 'J- COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Energy Code Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted Submitted (4 submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Fagan 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 grid su ppotting do uments-,bat, you. subinit are 664sidered to.be public +nformation. PortJons of the inforrim on. may b4 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 c0i6mtanc 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 t'►~ ~y vhf x Applicant's Printed Name Signature Pagel of 3 ILL L16 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 u 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 l6j Y3~}t . Occupancy :~PC'3 MCES System Plan Review Code Edition n 2%:oQ`"I SAC Units (25%100% Zoning r 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 ! C.O. Required Footings (Addition) Final / No C.A. Required Foundation HVAC Drain Tile Other: Roof: -Ice & Water Final Pool: uFootings rAir/Gas Tests ^Final Framing __t4 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 to C~ 5 +J~~( 1 LAO iZ Surcharge , Ua 71 ~OcZ 1>cV 11>1-, y, Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL POW F r` - or- O-ff-c e-U-se ~ ~ • j Permit j City of E Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 j Date Received: j Phone: (651) 675-5675 I l Fax: (651) 675-5694 i Staff: ' I 2009 RESID TIAL BUILDING PERMIT APPLICATION ate: Site Address: mant: Suite tESIDENT 1 OWNER Name: Phone: Address I City I Zip: Applicant is: Owner ontractor TYPE OF WORK Description of work: Construction Cost: Multi-Family Building: (Yes ( No ':ONTRACTOR Name: License Address: City: State: Zip: Phone: Contact Pers : COMPLETE THIS AREA ONLY IF CONSTRUCTI G 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 City of Eagan issued a permit for a similar plan based on a master plan? ~d address of master plan: ~ Phone: J ,8~ 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 the are trade secrets. accurate; that the work will be in conformance with the ordinances and codes of the City of iplication 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. 20`~ Qa9~ x Applicant's Signature Page 1 of 3 -.--.~..--}}~...~..~.~..m.8$.[[ i u8.ll l ~a - S • °rl ' t C. R. WINDEN & ASSOCIATES, INC. LAND SURVEYORS Tel. 645-3646 1381 EUSTIS ST., ST. PAUL, MINN. 55108 Far: U. S. Home Corporation N EAGAN REVIEWED DATE: 417 L BUILDING INSPECTIONS DIV1S14N Jt x~d` A"Apec - I r Scale: 1 - 50 2 2 I 1 -3 ~~s 7 C ~ w M~ ° I M CL V I v`' L - 22.33 22 i3 > lu ,1, _ 1a . rr 22 ` 1 to~A I AO-7 F _ , r WM 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 this-day of Ocy, A. D. 148/ C. R. WINDEN 6 ASSOCIATES, INC. A d r by k Surveyor, Minnesota Registration No. PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA087615 Eagan, MN 55122 . Date Issued: 12/01/2008 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 4615 Penkwe Way 1/2 Lot: 3 Block: 10 Addition: Johnny Cake Ridge 3rd PID 10-39802-030-10 Use Description: Sub Type: e-Fireplace Construction Type: Work Type: Gas Line Description: Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: Chimney/flue must be inspected prior to concealing. Smoke detectors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard-wired detectors are required. Battery operated types are acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector. Tim Shimek Fee Summary: BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 Valuation: 3,000.00 Total: $90.00 Contractor: -Applicant - Owner: Glowing Hearth and Home Matthew W Hutchinson 100 Eldorado Dr. 4615 1/2 Penkwe Way Jordan MN 55352 Eagan MN 55122--371 (952) 492-9276 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. Applicant/Permitee: Signature Issued By: Signature crr''AAAN WATER SERVICE PERMIT 37 Knob Road PERMIT ` NO.: 40 umen/KiN 65122 DATE: .12L18181 Zug; RIV No. of Units: 1 unit tuhse Owner: Orrin Thompson Homes Address: Site Address 461511 Penkwe Way, L3 B10 J C Ridge III Plumber: E3~p1 Mnrha i aT Meter No.: Connection Charge: 335.00 pd Size: Account Deposit: ` Reader No.: Permit Fee: 10.00 Rd agree to comply with the City of Eagan Surcharge: _ 50 pd Ordinances. Misc. Charges: - 60.00 pd meter Total: gy Dote Paid: Dat Insp.. ~ - Insp.: -77 cl ~;GAN SEWER SERVICE PERMIT y.. , 5021 37"~F" Knob Road PERMIT NO.: Eogaq~'`" 55122 DATE: TcIV r No. of Units: 1 unit tnhse Owner: Orrin`i vo - Address: Site Address: 4615' enkwe Wa L B 10 3 C RlAdge III Plumber: lRenzel chanicak 10/19/8 27334 00.00 pd 1 Gem to amply with the C*Y' n Con _ 25.00 Pd Ordinances. Account Deposit: Permit Fee: 10.00 pd Surcharge: .50 pd gy - tr ~ Misc. Charges: Dote Total: Ins I - Date Paid: ~~1 ~ a �� 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 1 -13Z2 -S) tlrru City 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RE , ED AUbZbZ016 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: 1,5E lig 7 (e0 0 0 Date Received: a d ( Staff: 2016 MECHANICAL PERMIT APPLICATION 0 Please submit \V two (2) sets of plans with all commercial applications. Date: d I )9 ) / Site Address: ` .e I J l/2 1' (�c Yl �/_VJe? _ V' CU./ Tenant: J Suite #: J Name: Mot* 1ti--(1 i I Y1Sn Phone: 2 -IS " 709 tDy 1 S Address / City / Zip: _. G GVY1 55(21_ New )( Replacement Additional Alteration Demolition Description of work: RESIDENTIAL Furnace X Air Conditioner _ Air Exchanger _ Heat Pump Other New Construction Install Piping Gas COMMERCIAL Interior Improvement Processed Exterior HVAC Unit Under/Above ground Tank ( Install / Remove) RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit, includes State Surcharge $100.00 Residential New, includes State Surcharge TOTAL FEE COMMERCIAL FEES $60.00 Permit Fee Minimum $70.00 Underground tank installation/removal Surcharge = Contract Value x $0.0005 If the project valuation is over $1 million, please call for Surcharge Contract Value $ x .01 _ $ Permit Fee = $ Surcharge = $ TOTAL FEE 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. I?asseu MaKhrd Applicant's Printed Name x yritiy\4,4)444014 Applicant's Sign