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4617 1_2 Penkwe Way zUseQ City of Permit 1 1 Permit Fee: 7, 1 ° 3830 Pilot Knob Road Eagan MN 55122 i Date Recei Phone: (651) 675-5675 1 leax: (651) 675-5694 1 Staff: L__ 2009 RESIDENTIAL BUILDING PERMIT APPLICATION P a t e : [ Site Address:L/6j7, 1/1, 17 "_2_ -1 'I L(6lml 7enant• O 4 Y i $ 2 4 ~ _ ( c 5'~ d uite RESIDENT I OWNER Name: J 4 Au, rG- 1s i ~`yevr! ! 4 one: Address I City I Zip: Applicant is: Owner -9 Contractor TYPE OF WORK Description of work: __`d` 9 ..-t `e_.;11 .t ' Construction Cost: , 569 Multi-Family Building: (Yes f No CONTRACTOR Name: /t/bfLt"V_'°?F GQt'1 1'r¢c Z 1 - License a<715 q e-1 7.3 Address: Chit. e /f-- City: I~ ? ti s'o`~.~C_ State: Zip: Phone: i 12 S5"?- ~ T Contact Person: 32 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 (1 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 and supporting documents that.yoru. submitate r e> a ii ation. Portions of the information may be classified as non- ublic 1f"Yau'Proof ee>fi 'ias "that o" d ennit`th'e: Ci to P . . -P P' conclude thatfh ' are' se" I hereby ackrr edge that this information is complete and accurate; that the work will be in ce with the ordinances and codes of the City of Eagan; that I u (stand this is not a permit, but only an application for a permit, and work o start without a permit; that the work will be in accordance with e approved plan in the case of work which requires a review and approvaI of Applicant's Printed NameV A a ature Page 1 of 3 W/7 P670,71 0 t g~ 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/Gazebo/Pergola) Exterior Alteration (Multi) _ 01 of Plex _ Lower Level _ Pool Miscellaneous Accessory Building WORK TYPES n GI t?~P : u S ~i Ul) E S New Interior Improvement 10 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 POO - Occupancy MCES System Plan Review Code Edition t/) Z 1 SAC Units (25%_ 100%_) Zoning 13 _3 City Water Census Code 3 ( Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final I C.O. Required Footings (Addition) 10 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 ODO S ~7j;ncr o pl~? tee) e Lv Surcharge g• pt9 i pv~ Plan Review DOI) v04-q 1- MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 For Office UsE n Permit City of Ewalt I Permit Fee: 3830 Pilot Knob Road I Eagan MN 55122 I Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 1 staff: 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Tenant: Suite RESIDENT I OWNER Name: Phone: Address / City / Zip: Applicant is: Owner C ntractor TYPE OF WORK Description of work: Construction Cost: Multi-Family Building: (Yes / No ) CONTRACTOR Name: License Address: City: State: Zip: Phone: ntact Person: COMPLETE THIS AREA ONLY IF CO STRUCTING A NEW BUILDING _ Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Work heet • New Energy Code Worksheet Category Submitted Submitted submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a simil r 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 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.. 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. x x Applicant's Printed Name Applicant's Signature Page 1 of 3 t C. R. WINDEN & ASSOCIATES, INC. LAND SURVEYORS TeL. 645-3646 For • 1381 EUSTIS ST., ST. PAUL, MINN. 55108 U. S. Home Corporation ' Scale: 1" = 50' 2' it U, . ? `t . r 4 N Z 3 IN, - N l ~ ~ C~ N W 41 ` N M C O' u~T ~ V\ Q ~ n v `c `44i r_ 9 Z 7 40.1 EAGAN BY REVIEW. ~I F,Y DATE: BUILDING INSPECTI©Ng DI ION Lots 1 through 4 inclusive, Block 9, 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. Dated this day of ? ar- ' A•D. 19g/ C. R. WINDEN & ASSOCIATES, INC. by A. Surveyor, Minnesota Registration No.-222G CPR' _ WATER SERVICE PERMIT eb Road PERMIT NO • 4°78 :k 55122 DATE. ; 12/16/81 Z RIV . No. of Units: 1 unit ttthse Owned Orin Thompeon Homes Addrass .. .: Site Address: 46171/2 PenIcwe Way L2 B9 ..T C Ridge III Plum Wenzel Plumbing Meter No.: ;s 't'� Connection Charge: 335.00 pd Size: Account Deposit: Regder No.: Permit Fee: 10• 00 pd l agree to comply with the -City of Eagan Surcharge:, • 50 pd Ordinances. Misc. Chorg4t:* s , " 60.00 pd meter Total: BY Date Paid: Date of Insp.: Insp.: C I S � - N SEWER SERVICE PERMIT 315EAllet Knob Road PFaMIT wn 5012 h Jagan'MN 55122 r D 12/16 1 Zoning: RIV No. of Units: 1 d t h - e Owner: Orr Thompson Homes Address: - Site Address: 4617 Penkwe Warr L2 39,1 C • • .e 111 Plumber: Wenzel P1 ., • . i " f0 4 , 1 1. 1; ‘27333 \ ‘ 100.00 pd 1 agree to comply with the licikagan Connection Cha 42 S _00 pd Ordinances. Account Deposit: ‘ Permit Fee: la,. Sltl Fri Surciorge: ,. \ Ill p rl By Misa.i charges:' Dote Total: nsp.: - Date Paid: -- n,.. 1 -3 . >M r f � ' � /a 1 ' , ..,-- / �. � �t��`i . �� �� ' 1�-� l.(��� � ( ��� �� , Use'�L�lE or BLACK tnk � ForOfRceUse---------� ; 1 �-���� ; C�� o��a a� , P�„t�: � � 50 � .�-I� � P�,►���: �� � 3834 Pilat Knob Road Eagan MN 55122 i Date Receiried: j Ph+�ne:(651}675-5675 i , i Pax:(651)6?5-5694 1 Staff: I I � �. . . . . . . .. . . � � `.� - � ��J 2014 RE5IDENTIAL $UlLDING PERMfT APPLICATt�N ��:�--I�y�� s�Ad��:N�� � - � � � '�� P���� � ' u���: Name: UC�1"�/�J�r� Gr�f'l��.- Jt�t.�i?11��rt.._ �Phone: Resic�entl F� �}Wtt�� Address I City f Zip: �7�`✓�°' /� �� APPiicant is: Owner �1. Conttactor T Of 1M01"k Descxiptian of+n�rk: �'��' �l�� � �C�- '--�Q�v��' Yt� �onstruction Cast: ��'r t�� � Mutti-Family Building:(Yes � /No� � �,,.- .- Company:��f.�YZtJ�°�j 7� �M�i/�r.i�V�S '� Corrtact t��'�'� �'f G,��Q�' Ccr�#ractc�r address:�'��l Z.�t��1 �,,a�- L✓+�x /td City:� �!Z��,.�'�--, State� Zi f.1 � Phone: f��'���Emaii:t�rru� t3s�'L�3�`sS'7rGr�Yl'�✓*'���vY �� P�� � "�'r?e.--L�� �icense#.�C 1.S`� � 7 3 Lead certlficate#:N3a.-t-°�-1%j J�1��' —1 Ifi the project is exempt from tead certi�cation, piease e�tain why:(see Page 3 for additiona}information} COMPLETE THIS AREA ONLY IF GONSTRUCTi�iG A NEW BUt�DING '�_.--� In the last 12 mo , the Gity of Eagan kesued a pertnit for a similar pian t�ased on a master ptan? �Yes iNo It yes,date and addr f master plan: Licensed Piuinber. Rho�: Mechanical Cor�tcacMr: , Sewer 8�Water Cor�t r. Phone: N�}'"E:` s�nd,s�ppo�tirt�a�c�c�rt�ents t�i�rf yc�srrbmit ar�e consid�red to be pub/i�r`re�'c�rafro� ,�r��s,of E�Q,r�a�on r�iay Ir�cia�etl sas�o�t-p�tblic it yov prnvr"�fi�spe���'ic t�asaers'that wc�ul�pe�i�����#o . . . � - . � � � _ ., ct��cf�d�:�t fhe ar�e#r�+de s,e�r+et�.�; � � , , CAi�L BEFORE YOU QlG. Galf G�hsrState One Cali at(651)454�002 for protection against undefground�tty darnage. Gat!48 ha�rs befofe you intend to dig to receive locates of underground utili6es. wwvw.aoohersiateonecatl.are� < I t�reby adcnowledgs that this infoRnatian is camptet�arid aaxir�te;that the work wnil be in conformance with the ordinar�e.s and codes of#he City of EagaA;tfiat i undetstand this is not a perrnit,but or�ly an application#or a permit,and work is not to start without a permit; that the work witi �tn acxordance w±tM the approvect ptan irt the case af worlc which requi�a a�eview and approva!of ptans. Eactsrior waricau��izad by a buiidir�perm#t issued in acc�dance with the Minnesota State Iding Code must be compietsd within 180 days of pertnit issuanee. ' X �4 t P� G X �PRiican�s Printed Name T ' ant's Signature < Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA124550 Date Issued:07/07/2014 Permit Category:ePermit Site Address: 4617 Penkwe Way 1/2 Lot:2 Block: 09 Addition: Johnny Cake Ridge 3rd PID:10-39802-09-020 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Tiffany Kline 4000 Winnetka Ave N Suite 100 Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 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 - Carlos A Granada 4617 Penkwe Way 1/2 Eagan MN 55122 (651) 405-3972 Total Comfort Heating & Cooling 4000 Winnetka Ave. N #100 Golden Valley MN 55427 (763) 383-8383 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA153191 Date Issued:11/29/2018 Permit Category:ePermit Site Address: 4617 Penkwe Way 1/2 Lot:2 Block: 09 Addition: Johnny Cake Ridge 3rd PID:10-39802-09-020 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace 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 - Carlos A Granada 4617 Penkwe Way 1/2 Eagan MN 55122 (651) 405-3972 Total Comfort Heating & Cooling 8818 7th Ave N Golden Valley MN 55427 (763) 383-8383 Applicant/Permitee: Signature Issued By: Signature