4623 1/2 Penkwe Way
for-Oice_Us
Permit
Permit Fee: 3S-7, OCO
3830 Pilot Knob Road
IOU I
Eagan MN 55122 . Date Recei 46 v*h
' = -1-
Phone: (651) 675-5675 start:
Fax: (651) 675-5694 -
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: l
Tenant Suite
RESIDENT / OWNER Name: * /747 ,C 'hone:
Address / City 1 Zip:
Applicant is: Owner X Contractor
TYPE OF WORK Description of work: 49
'
l5
Construction Cost: 50 0 Multi-Family Building: (Yes / No
CONTRACTOR Name: ?t~b~L °7/~GC7r1~?'y¢c Tars Gam- License It. 2<71 5'Q 73
Address: p C~°T^ 3,Z G: mayT 'l1_ A-
City: State: 1141-04-- Zip: 53T "l
Phone: Contact Person: J 7
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
(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 Plaits and supporting documents that you: submi't' `siilered to be public informat,on. Portions of
the information may be;c/ ssifier as non-public if yo p> pacific reasons that would permit the City to
cotrclude tha#: re secrets.
I hereby acknowledge that this information is complete and accurate; that vtwk be in'corifo p anee with the ordinances and codes of the City of
Eagan; that l understand this is not a permit, but only an application foC work is notAo start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a r w I of pla
x x
Applicants Printed Name s Signature
Page 1 of 3
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 .J !1 C eS •7?d A S
WORK TYPES
New _ Interior Improvement 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 / 1 006 • - Occupancy MCES System
Plan Review Code Edition y/4_41 oy"'j SAC Units
(25%_ 100%_) Zoning 9." City Water
Census Code ~j Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Cf Sheetrock
Footings (Deck)-( Final / 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:7_29 , Building Inspector
RESIDENTIAL FEES
Base Fee 12 DO& 1kn -.cvieL..7
Surcharge .d 0 t(f ona - jJt J3 n~ L)!4l(s PI" Qevief?
Plan Review • 1 r
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
For OfficeU_se
L
City of E (f (t n Permit
b
I Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651) 675-5675
Fax: (651) 675-5694 staff:
2009 RESIDENTIAL BUILDING PERMIT APPLIC ION
Date: Site Address:
Tenant: Suite
RESIDENT/ OWNER Name: Phone:
Address / City / Zip:
Applicant is: Owner Contractor
TYPE OF WORK Description of work:
Construction Cost: Multi-Family Building: (Yes / No
CONTRACTOR Name: License
Address:
City: State: Zip:
Phone: Contact Person:
COMPLETE THIS AREA ONLY I CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 ate o 1 _ Minnesota Rules 7672
Energy Code • Residential Ventilation C tegory 1 Worksheet • New Energy Code Worksheet
Submitted
Category Submitted
submission type) • Energy Envelope Calc6lations 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 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
"A47k • (~Q C. R. WINDEN & ASSOCIATES, INC.
t1 LAND SURVEYORS T.L $45-3646
For: 1381 EUSTIS ST., ST. PAUL, MINN. 55109
U. S. Home Corporation
N
EAGAN
REVIEWED
BY:
('/q l fl g wd~~s
DATE:
BUILDING INSPECTIONS DIVISION
Scale: 1" = 50'
A ti
l
't• J F 2 ~y~ 6i p
16 acs ri
-7
O-
'i
0 4 z~3
ryli cs 3ti X01 ! -
d
Lots 1 through 4 inclusive, Block 8,
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 L"C4h doy of Ma rc h A. o. 19,S/ C. R W ASSOCIATES. INC.
by
Surveyor, Mini seta Rogistrotioa Ne. '7?Z6
c n . r tl E . - WOW sehncs ?IRMIT -
3 `-K Reed 'ClT NO.: i
tz. ?.i' i22 : DATE: { d ro &:1
` .ITT No. of Units: 1 unit t 'i s e
Orrin iker,
SINT 4(...3.s Penkwe i;ay L3 Pt j C Pid= e 111
: Connetior, Chv x 335 'Pd
Account Deposit
,.Deader No.: Permit Fee: 10.00 pd
tepee tto eery wilt as aft of kiwi Surttarpe: .50 p d
./ Mies. charges: "60.00 pd meter
Total:
Dote Paid:
bate . ofs .�
inep.:
bet* aefitS122 { tT E: 1 n,
*wrier `� n. Teo . t�10 a�tJnits: 3 unit tribe
Urri son Fore
Penkwe I'av
N urri b oc
4 /zo / °1 ?4z9z loc"1.0) pry
tepee yak fbe `c sees. connection : d
Ad oust Dept
Penn* Foe:
Sy
Misc. Charges
Total:
I tote Paid:
3.. -.
1111
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Use�Bl.UE or BLACK Ink
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� Permit Fee:' �
3830 Pilot Knob Road v
Eagan MN 55122 1 Date Received: j
Phone:{651)675-5675 � �
Fax:(651)675-5694 1 Staff: i
1 �
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2414 RE5IQENTIAL BUILDING PERM13 A�PLiCAT10N
Date: �'..!�'"j e.f Site Address: �O�'1 ` (��i �'3 l��-- ��ii���`'�'�(- 4''� ;Unit#•
Name: C/��""�l;?� Gr!�I�� !e�t:�,�/)�'1��r t..._ �Phone:
Residentf
Owner adaress�ciry tzi�: ,�'���- ��
� Applicant is: Owner � Gontractor
Description of wrork: �'G� r��� � ��" ���'�i
� TYpe o�W+�tk �
Construction Co&t� ��'f��� Mu�i-Famity Building:(Yes .� /No„+,�
� / .�"��' `
Company:/VC�YZrJ�5� t'e'7�'!`t fs�-G��[7i'S Contact r�r� �G,�t�'�y
ad�«ss:��il l Z�v��.����- L„�-,�� � c►ty:�1�'�- �tz r���--
contractor : G �� `
State:��Zip: ��.1�3,�tj Phone:�'�J�l"p''Email:���rw� �3v"t.�l S`T�'�r9yJ�i/��-7e�v
� 'z y1 e� C��_.�-� ��� �� � �
ucense#.�� I.�� � 7� �d cer�ca�a#:N�.-�°��=��r 1 c�3 —I'
if the project is-exempt#rom lead certification,please explain why: (see Pag�3 for additionai information)
COMPLETE THlS AREA ONLY IF CONSTRUCTfiNG A NEW BUiC.DtNG
la the last 12 moM , tl�Gity ot Eagan i�sued a permit far a simFlar pEan based on a master pian?
Yes No if yes,date and addr f master plan:
Licensed Plumber: Phone:
Mechanical Gontractor: .
Sev�r 8�:Water-Corrt r. Phone:
=/�i�T�•« and suppdr�i,�g cts�cttmet�t��ttat�c�t�sub»t�t a�e corr5iderea���a he ptrbli�c ii�'c►r�a�4� l���s;�f.`..
r�rirna��rrt r»a�Lte+���s�i�it.as nQn�tublic i�yro�t pr�rri�e sp�ct�'s�r�so#�s�fiaf�rptr�����e��i to
cc�nc/i�d�th�rf tlr� ar e#ra�de sc�r�ets::
Cl4LL B�fORE YOU DIG. Gali Gopher State Or�e Cati at(654)454-0002 for protection against undetgrcnuid ut�ity damage. Cai!48 hours
before you 1n2enci fo dig ta receive locates af underground utilides. wnvw.aosherstateo�il:ort�
l hereby acknowiedge that this informatian is c�mp(ete and aa:urate;that the woric will be in cronformance With the ordinances and codes of#he C+ty of
Eagan;that i understand th+s+s not a pema't#, buf a�nly an app4icatwrf for a petmit,and worfc is not to start w+thout a perinit; thaf the wt;rk witi �in
accordance with the approv�ed'ptan in the c�se of wortc which fequires a t�view arfd aPProval of ptans.
ExLerior work au�orized by a building pernrft�sued in accordance w�th the Miqnesota Stafis Fiding Gade m�t be compte�bed witt�in 180
days of per�mit i�uance. : ,
"�,r d I
x tf' 1'� �G��t��� x ��_'
Apqtican�'s Prirrted i+iame ' ctt's 5ignature ,
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA149332
Date Issued:05/17/2018
Permit Category:ePermit
Site Address: 4623 Penkwe Way 1/2
Lot:3 Block: 08 Addition: Johnny Cake Ridge 3rd
PID:10-39802-08-030
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
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: 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 -
Anna Krylova
4623 Penkwe Way 1/2
Eagan MN 55122
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature