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4619 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 WATER SERVICE' PERMIT a l'lh EAGAN 3J'9s pltot Knob Rood _. . ..... _ - PERMIT NO.:- 4 ' - pin, MN 55122 DATE: 12! 1 r / -. 1 Zoni!g: RIV No. of Units: S 1 unit tnt1 pwner: E"rrih Th Houma 'A " A d • __ . _ ._.BS ,_ d == III ' Address: ; _ ,g Plivnber: Wert ..1 P u' . Niefdt. No. Connection . e. ` . 335.00 pd Size Account Deposit: Reader No. :, Permit Fee: 10 pd 1 agree to comply with the City of Eagan Surcharge Ordinances. Misc. Charges:: 60. pd meter' Totgl: By Dote Paid: Date of Insp.: 1 =8 ,F--- Insp.: CITY pi EAGAN SEWER SERVICE PERMIT 3795 ' Knob Road ' DCDAAIT 'MO • 5014 Eogee,. `IN 551 DATE /16F3/1 N Zorn g: IV No. of Units: 1 1 unit tnhse Owner: - rani Thompson lion es_._ ' l Address: 6 Site Address. Fenkwe Wa _ °• B9 1 R.�1 III Plumber: Lienze • um. ng `` ` , , . 10/19)31 27333 J ,t� 100.00 pd 1 agree to comply with the City of Eagan Connection Charge: 425.00 pd Ordinances. t Account Deposit: ' Permit Fee: 10.00 pd � �-� 1 Surcharge: .50 pd By FY '. . . Misc. Charges: Date o Total: Insp.: / -,r — r Dote Paid: ~,~ �. � �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 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675-5675 www.ci.eagan.mn.us EAGAN Permit Type: Building Permit Number: EA161310 Date Issued: 05/18/2020 Permit Category: ePermit Site Address: 4619 Penkwe Way 1/2 Lot: 3 Block: 09 Addition: Johnny Cake Ridge 3rd PID: 10-39802-09-030 Use: Description: Sub Type: Windows/Doors Work Type: Replace Description: Replace 5 windows & 1 entry door Census Code: 434 - Residential Additions, Alterations Zoning: Square Feet: 0 Construction Type: Occupancy: 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 fmal inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota Fee Summary: Valuation: 5,000.00 BL - Base Fee $5K $118.00 Surcharge - Based on Valuation $5K $2.50 0801.4085 9001.2195 Total: $120.50 Contractor: Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 - Applicant - Owner: Patricia A Hawkins 4619 1/2 Penkwe Way Eagan MN 55122 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