4708 Penkwe CirCITY OF EAGAN Remarks
Addition IDENNY .AKF Rrnr;F AnnTTmN Lot 13 aik 1 Parcel 10 39800 130 01
Ownertli;it.-.;Cf Street Scate Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
* SEWER LATERAL
WATERMAIN
* WATER LATERAL
WATER AREA
STORM SEW TRK Jt-
STOFM 5EW LAT
CURB & GUTTER '
SIOEWALK
STREET LIGHT
20600 S 25 80
1NATER CONN, 305.00 20600 $ 2$ 80
SUILDING PER.
sac g 25 gfl
PARK
Reoeipt
1. Date -f3-
MECHANICAL PERMIT
CITY OF EAGAN
FiU rn numbered spaces
Type or Print /egib/y
2. Installation Cost
Permit No.
Fee
S/C
Tot. -
. ,;
3. Job Address -- Lot ' Blk. ` Tract
4. Owner
5. Contractor ? • • Phone
6. Address - - •
7. City ? . State ". Zip
8. Building Type: Residential El Commercial ? Institutional O
9. Work Description: New CI; Add ? Alter ? Repair ?
10. Describe '•. - ` '? :- ?-`' - ' Fuel Type
11.
N°, Equinment STU - M. Ea.
Forced Air No. Equiament CFM
Ai
H
dli
Mfg. an
r
ng:
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. I hereby certity that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
5igned : for
Rough Final
Inspections: Date Insp. Oate Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
? CITY OF EAGAN
3793 Pibt Knob Rood Eogan, MN 55122
PHONE: 4648100
BUILDING PERMIT ReceiPr #
SF D59!' F?+ v„lilP 75.000
$ItC AddfC55
Lot Block ?i
Sec/Sub. - '??' •
- - -7,
Porcel #
oc Name OrTin 1'hor.:pson Homes
? Address 1712 nopl-i: s, ?'rgrd.
o' Name ^°;'.,z
,
?? Address
F- r:.., oL.,_..
Name _
Address
I here6y ocknowledge that I have read this upplication ond state that
the information is corcect ond agree to wmply with all applicuble
State of Minnesota Stotutes ond City of Ecgon Ordinances.
N°_ 6109
Erect j].- Occuponcy
Alter ? Zoning
Repair ? Fire Zone
Enlarge ? Type of Const. "
Move p # Stories
Demolish ? Front ft.
Grade ? Depth ft.
Approvals Fees
Assessmem Permit
Woter & Sew. Surchorge
Police Plon check
Fire SAC
Eng. Water Conn.
(')
Planner Wuter Meter
Council Road Unit • `??
Bldg
Off.
.
APC Totoi
Signoture of Permittee I
A Building Permit is issued to: on the express condition that
oll work shall be done in xrnrdance with oll opplicable Stote of Minnesoto Statutes and City of Eagan Ordinances. ,
Building Officiol - --
Pemk # Dab hwed ?wMIMN
Plumbing
Mechanical
7L Ei 3,c, z?/ .i ?
? i
INSPECTIONS DATE INSP. I
Rough-1 n
Final
Footings Dafe Insp. Date Imp.
Foundation Plumbing
Frome/ins. _ Mechonicul
Finai
Remarks:
CITY OF EAGAN
3795 Pilat Knob Reod
Ea9aa, 1v4nnesoto 55122 INSPECTOR NOTIFICATION
NO. PRone: 434-6100 REQUf RED 8Y LAW
PERMIT FOR ALL INSPECTIONS
Date: ? l - Receipt No.: ?
1.'?r?:? ra?? _;F, • ?, Single CT,
Site /lddress: Residentiol
Lot ' 81ock ? Sub/Sec. Multi Res., Comm./Ind. I
Na? !I'Z'iri `?lOlCj?sULl CTO'"?=:' New/Alter./Repair. ? Address 1"'12 Hop1L3ri3 CZ`s„ ..
Cost of Installation
City ';._-"'+Oi',kfl? 1:'Ql. Phone: 5 44 -73:3 ? Permit Fee
Name °nzel *T.@Gh@ri1Cq1 Surchar9e
.
? Address
e
0
City Phone: " - Total
This Permit is issued on the express condition that all work sholl be done in ntcordante with cll npplicnble State of
Minnesoto Stotutes ond City of Eagan Ordinances.
Building Officiol
No. -
Date: - :1 -
Site Address: • ? Perikvre
Lor ' ' Block Sub/Sec. °711?. Cake rtidge
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
Receipt No.:
Single
Residential
215C
Nome Orrin ThOIIlp9o¢7 HOEIes
New/Alter./Repoir. ? Address ? .opkine CrsrG. Cost of Installation
? , ,, •
City - ` torika ? Iti• Phone: Permit Fee •
Name SufChOrgQ
.
? Address 4^ 37 ('hi caFO Ave.
City Pfione: ''ul
Totol
This Permit is issued on the express condition thot all work shall be done in eccordance with CII opplicable State of
Minnesata Statufes and City of Eogan Ordinances.
crrr oF EAcAN
3795 Pilot Knob Reed
Eagaw, MinnesoM 35142
Phowr 454-8100
PERMIT
Building Officiol
CITY OF EAGAN
3795 Pifot Knob Raod Eogon, MN 55122 Np 6759
PHONE: 4548100
BUILDING PERMIT Receipt # _.-
Te 6e und fer Est. Value
? dote , 19
--
Site Address Erect ? Occupancy
Lot Block Sec/Sub. r `
Re
pair ? Zone
F re
Porcel #
Enlorge ? Type of Const.
"
Ncme Move ? ,? Stories
W
Z
Address Demolish ? Front ff.
? Ci Phone ? Grode p Depth ff.
? Name
0
?? Addre:
? r?...
Cedar Ave. Sc.
Assessment -
Water & Sew.
Police
Fire
Eng.
Plonner
COuntil
Bldg. Off. _
APC
Permit
Surcfiorge
Plan check
SAC ,
Wuter Conn.
Water Meter
Road Unit
Fees
Narrm
1 hereby acknowledge that I have rend this application ond state that
the information is eorrect and agree to comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances.
Total
Signetare of Permittee I
A Building Permit is issued to: ' on the express condition thet
all work shall be done in accordance with oll applicable 5tate of Minnesota Stotutes ond City of Eagon Qrdinonces.
Building Officiol
Penntf # OaM Isfred PWaMtw
Plumbing
Mechanical
is_c E (L .
INSPECTIONS DATE INSP.
Rou9h-I n
Finol
Footing5 Dote Insp. Date Infp.
Foundation Plumbing
F rame / ins. Mechan ical
Finpl
Remarks:
??2`?? . ? ?
U ?
?a
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE
19
RiC61VRD
FROM
AMOUNT $ I
ac DOLLARE
toe
? CASH ? CHECK
FOR
White-Payen Copy
Yellow-Portina Copy
Pink-File Copy
Thank You
?41-151- , BY ?
CITY OF EAGAN
;cgan, 795 Pilot Knob Roa
MN 55122
+Zoning:
aQwner:
dress:
ite Address:
• - Plumber.
Meter No.:
Size:
Reader No.:
1 agree ro eon+ply wieh
Ordinances.
By
Date of Insp.:
CITY OF EAGAN
3795 Pilot Knob Road
Fagan, MN 55122
Zoning:
Owner.
Address:
Site Address:
Plumber:
d PERM{T NO.: ?
DATE:
No, of Units:
, , .
1? -
Connection Chorge:
+4ccount Deposit:
Permit Fee:
the City of Eogan Surchorge:
Misc. Chnrges: -
Total:
Dnte Paid:
I nsp..
SEWER SERVICE PERMIT
PERMIT NO.:
DATE:
No. of Units:
I a9ree tO eompir with the Citr of Eagon Connection Charge:
Ordinanees. Account De
posit:
Permit Fee: '
Surcharge:
By Misc. Chorges:
Date oP Insp.: Tatal:
Insp.: D
ote Paid:
Th se vsea FoS1114t M r n(r,.
Site Pddress:
Lot Block (
Parcel #: (G? Owner: ?--
Pddress: 6 PC
City/Zip Cocle: L?
Phone #:
Contractor•
Prldress:
Sec./Sub. :?%CIR 1
ct 8"oo I -?n ad? O
r
1 site plan w/el.evations &
IIT APPLICATION 1 set of energy caiculations.
?
-
? qQQ Date
QE . OFFICE USE OII.Y
_ Erect ___4^ occupancy
Alter Zoni.ng PLO
- Rapair Fire Zone 4/,q
Enlarge _ Type of Const.
- Move # Stories
Demolish Front ft.
Grade Depth ft.
Assessments Permit
Water/Sec,er Surcharge ?
Police Plan Check
Fire SAC
Ehg. war.er conn.
plannar Water Meter
Council Rnad Unit
Bldg. Off.
P.PC
CitY/Zip Code: US`tMExkA?
Pnone #: q :32 - I I '3 ?
Arch. /Eng. .
Pddress:
City/Zip Code:
Phorie #:
CITY OF EAGAN Include 2 sets of plans,
TOrAL ex 7,?2
-
CITY OF EAGAN
9795 Pilof„ Kno4 Rood Eagan, MN 55122
PHONE: 454-6100
BUILDING PERMIT APPLICATION
N? 6759
. '
Receipt .fk fs
To 6o med for S9VIluI POOL•/FENGE Est. Value $7800 Date JulV 9 , 19-m_
Slte Address 4708 Penkwe C3sle Erect Q[ occuvancy R3
Lof 13 JOlllii?y
Block 1 Sec/Sub. CSke R.j.?E Alter ? Zoning ?
Porcel # I
0 ?0 1 Vl Repair ? Fire Zone NA
Enlarge ? Type of Cons[.
rc Name ?nediet I{riako Move ? # Stories
; Address 4708 Penkwe Circle Demolish ? Front 32 fr.
b
Ci
Phone 454-3
332 Grode
?
Depth 16 H.
? AQusrius !%PtTmmino POOl Co. Approvala Feea - -
p Name -?
Address 16900 Cedar Ave. SO.
? .-:... Rosemount 55068..,e 432
Name _
Address
I hereby acknowledge that I have reod this apDlication and stote that
the informetion is correct and agree to tomply with all applicable
State of Minnesota Statutes cnd City of Eagan Ordinances.
Signature of Permittee
A Building PermiT fs issued to: Ag
oll work sholl be done iri ncwrdance with
Building Officiol ?
Assessment -
Woter & Sew.
Police -
Fire
Eng.
Plonner _
Council _
Bldg. Off. _
APC
Permit 0o,7U
Surcharge 4.00
Plon check
SAC
Water Conn.
Wmer Meter
Road Unit
rotal $72•50
ti• on the exprew condition tFwt
3 Stotutes and City of Eagan Ordinances.
CITY OF EAGAtd Include 2 sets of plans.
1 site plan w/elevations &
V BUIIDING PERMIT APPLICATION 1 set of energy calculations.
?7s, o00
Rb Be Used For Rl55DENLE Valuation ?n Date 8't s-sO
?
Site Pddress: 47vq VENz; WA?( OFFICE USE ONII.Y
Lot Bloc7c ? Sec./Sub. SoNUNY Cnxe Erect o< Occupancy ?.?
Parcel #: /D VcKoD /-IO O% Alter Zoning
Repair Fire Zone
Daner:
Pddress:
City/Zip Code:
Phone #:
Enlazye _ qype of Const. i/
Nbve # Stories
Demolish Front s-z ft.
Grade Depth ,?Z ft.
Contractor: (1RRIN THOMPSnN Hf1MFc
Addr255: a Division of U. S. Home Corporation
17a2 i iePuNS saessneAe
Gity/Zi.p Cade: MINNETONKA, MINN. 55343
Phone #: SyyI333
Arch-/En4..
Address:
City/Zip Code:
Phone #:
APPROTALS FEES
Assessments Pexmit / ? 7
?
Water/Sewer
Polioe
Fire
EnJ -
Planner
Council
Bldg. Off.
APC
Surcharge 3 7
Plan Checlc 199
?
SAC ?500
Water Conn. 3 oy
water Meter _
Road Unit / fl'5'
nrrau. 13 ) g -
CITY OF EAGAN
3795 Vllot Knob Rood Eagan, MN 55122
PHONB: 454-8100
BUILDING PERMIT APPLICATION
SF DWG en vA.'< 75.000
$iM Address k Na reiuiwe Yvd.Y k 7UUr J
Lot13 Block 1 Sec/Sub. Jhn.Y. C&ke Ridg.
Parcel # 10 39800 130 Ol
c Nome Orrin Thompson Homes
i Address 1712 Hopkins Crsrd.
3
o _ ,.. . . .. _ ?„ ?,.....
p Name _
?
?? Address
r? ?:...
Name _
Address
I hereby ackrrowledge that I hove read this appNcation and state that
the information is correct and agree to comply with all appiiwble
State of Minnewta Statutes ond Qty of Eagan Ordinances.
N° 6109
Receipt # e)
Erect Ek Occuponcy R'-3
Alter ? Zoning PD
Repair ? Fire Zone 3
Enlorge ? Type of Const. V
Move ? .}k Stories
Demolish ? Front 52 ft.
Grade p Depth ? ft.
Aoorovals Faet
Water & Sew.
Palice
Fire
Eng.
Plonner
Countil
Bldg. Off.
APC
Permit lY-/.UU
Surcharge 97.50
Plan check 88.50
SAC 525.00
Water COnn. 305.00
WaterMeter 60.00
Road Unit 185.00
Total 1 ?378-00
Signature of Permittee I
A 8uildin9 Permic ts issued ro: Orrin Thomnson HomeS on tha express mndition that
all work shall be done in oc once with o ppii ble State of Minnewta Statutes and City of Eagan Ordinances.
Building Official
REQUEST FOR ELECTRICAL INSPECTION ee-ooooi-oa
Seo mshuc[ions tor comple[ing this form on back of Vellow copy. ?
??'-8 7 5 ?
X'" Below Wqlk Cot?e?ed by Thrs Request ?
Ne Adtl Rep. Type oi Building Appliances Wiretl Equinmant Wired
Home Range Temporary Service
Duplex Warer Heater Liyhtiny Fixiures
Apt. Building Dryer Electric Heatin
Commercial Bld,y. Furnace Silo Unlnader
IndusVial Bldg.
Farm
?hqr pocify Air Conditioner
otner . pacirv
Ochc? Bulk Milk Tdnk
othor 15 eclryl
Oiher
Compute lnspection Fee Below
if Fee Service Entrance Size A Fee Faeders/SUb(eeders k Fee Circuits
0 to 100 qm s 0 to 30 Am s 0 to 30 Amis
107 m 200 Amps 31 to 100 qmps 31 to 100 Am s
Above.200 .. s Above 700_Amps Above 100-Amps
Transtorme Remote Control Circ. Partiai-O
Si,yns Special Inspection S
o5a
`
Renarks ? 3 TOTAL
s rQquESt vc
nionlhs Irom
i b
I, the Elecbical
Inspector, hereby
certify that Ihe nbove
inspection hes b', '
mede. '
-0 L13i 3c -P--, ? 3o,veU
?' S'6875 q R
Fenues[ Date
?
? s
l fire No.
- Rouph-on Insuection '
Requiretl?
E]Ready Nm•?Plill Notity Inspec-
..?f•?o
Wh
R
il ?yts i, r
en
eadY F ?icensed Elecvical Contmctor . I fiereby roquxst•inspec[ion ol above
Owner elac[ncal work installed at
Street AAdress, Box or Route No. City .
or
. Uccuuant (PRINT) ' Phoue No.
'Y--N k424 S Iw
Power Supplier . Address
N I? -?---
EI ricel Convacmr (COan el . ''' . Conrar,mr's License No, szs
Maifing AdJress (COntrecmr or Owner AAakinp Inscailationl .
I'-l t1 E, Q.L-i l`l- RM . R c,rri5sv J((L SS 3 3?
MINNESOTA STATE BOAND'OF ELECTIIICITV" ' . "TNIS INSPECTION REQUEST WILL NOT
Griggs-MidweY Bldg': -HoomN491 ' ' - 'oE AGCEPTED BY THE STATE BOAflD
7821-UniversitvAve.. SL Paul, MN 55104 UNLE55 PROPEB INSPECTION FEE IS
Phnnw 16121 297-2717 ' ENCLOSED.
Cities Di _gital
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
13,
This request void 6 ?
18 months from Date of this Request? Fire No. S 9931 ?
1, as? Licensed Electrical ontractor U Owner, do hereby request inspection of the above electri-
cal winng installed at:
At Address or Route No. 1IVq ftNr--? CR(,ti, City_04cfj
on Township Range County Kalk
Which is occupied by
Is a roughin inspection required on this job? No ? YekIF-,_ Ready Now ? WID CallK
Power Supplier 1?-k Address fwYV6aj
Electrical Contractor C-LM41' Contractor's License Nd'w
(ComDany Name)
?111 ? _Ci.ll`e- RR
orOwnermakm9inisinstmiaiion7 ?
• Phone No.
will not 6a accepted by tlte
dtiniow-tinn f^' 2
-
Minnesota Stete Board of Electricity -
Griggs Midway Bldg. - Room N791 q EB-00001-02
1821 Univwrsirv, 4vw__ St_ Pxud _ Minn. 65104 - Vhnno T17.9711
./ln
____ _
REQUEST FOR ELECTRICAL INSPECTION
c;n,:.,,. LOW WORK COVERED BY THIS REQUEST ? 99311
Type of Building New Add. Rep. Check Appiiances Wired For Check Equipment Woed Fm
Hortx ? ? Range Temporary Wving
Duplex ? ?
Water Hes[ei ?
LighUng Fixtures
Bldg. ? ? ? Dryer ElecUic Heating ?
mercial Bldg. 11 ??
a Fumace ? SIlo Unloader ?
Industrial Bldg. ?? D A'v Conditioner Bulk Milk 7'ank ?
List List
Other ? ? ? Q
Heiersj Q
Heiels?
COMPUTE INSPECTION FEE BELOW
Service Entranee Size: # Fm Fceders&Subfeeders: u Fm Cucuita: ik Fm
0 to 100 Am s. 0 to 30 Am res 0 to 30 Am res 41
101 to 200 Amps. 31 to 100 Amperes 31 to 100 Am res
Above 200 Amps. Above 100 Amps. Above 100 Amps.
Transfoime Remote Control C'uc. Partial oc other Cee ?
S' ns ecial Ins ection Minimum fee 55.00
Remazks
F. TOTAL FEE Z ?a
(?+
I, the Electricat Inspector; lltietiy"certify that t}?f?6ve irysye ? nrhas been ? ?6
(Rou¢h-in) ?/? U i= ? ,pate;.
(Final)
This request void
18 months from
a7na
C,ol ''? C. R. WINDEN & ASSOCIATES, INC.
(J U?' ?J _. lANO SURVEYORS TOL 846-3646
FOx: 1381 EUSTIS ST., SL PAUL, MINN. SSIOS
U. S. HOME CORPORATION
?
Q?
Tati
Lot 13, Block 1, Johnny Cake Ridge
Addition, Dakota County, Minnesota
14NF
JA
WE NERE6Y CERTIfY TNAT TMIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THf
SOUNDARIES Of THE LAND ABOVE DESCRI6ED AND OF THE IOCATION pF All 6UIlDINGS, IF ANY,
TNEREON, ANO ALl VISIBIE ENCROACHMENTS, If ANY, fROM OR ON SAID LAND. Dotad thit )34h dey oFBSLqILSJ A.D. 19190 C. R. WINOEN 3 ASSOCMTES, INC.
IDr
Surrapr, Minnewta Ropialrotien Na.722C
Scale: 1" = 30'
O Denotes Iron
,
A-Q61ARli1S SWIMFAEhG PaC)L CC3., INC.
16400 Cedar Ave. South
TitJSEMOUNT. MINtvESO7A 55068
x? n
(c P;'?JFE:'J
FL-
9,1.5? -33Vf1o"l.
APPROVED BV DRAWN BV
? A4oAREW sI?? 24
pqAWING NUMBER
R
City of Eapn
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax. (651) 675-5694
- - - - - - - - - - - - - - - - - -
? Pertnit #: ?
I Permit Fee: 13
?
? c
? Dffie Received: ?
I ?
? ShaTf: I
I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: 476R -Te> Ykc,7?-- (LYA-.Q
Tenant: Suite #:
RESIDENT / OWNER Name: C;\Vdi'r Phone:
Address ! City / Zip:
Applicant is: _ Owner I Contractor
F17?? i-
TYPE OF WORK Description ofwork: -il fL.W.V-'?J2 }?o,u.os'?9a.i.o-s.. ??ESfDe - L?4'tSIDe
Construction Cost: 'va u itM I Family Building: (Yes _ 1 No ?
G
CONTRACTOR Name: LO.y-In I?.,,t?c License #: !;toa,366
Address: 1 '?U`Ol f /hn?.rw'fi?..? z2g'?)aloe.s2'`/rf/
City: :., State: r Zip: i3S
Phone: J??A -5S Sb Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
? Minnesota Rules 7670 Cateqorv 7 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
C8t@gOnl , Submi@ed . Su6mifled
(4 submissfon type) • Energy Envelope Celculations Submitted
In the last 12 months, has the City of Eagan issued a pertnit 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:
1 hereby acknowledge that this informatlon is complete and eccurate; that the work will be in confortnance'with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an a{iplication for a parmit, antl work Is not to start without a permd; that the xrork will be in
accordance'th the appro €d lan in the case of work which requires a review and approa?? .Z ?r?q, x t7r?"
?
nt s Printed Name A icanYs Signature
Applica
Page 1 of 3
Use BLU or BLACK Ink
^ r - - - - - - - - - - - - - - -
I For Office Use
I
4T" I
Permit City of ~1 Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 Date Received: 1
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff: 7 1
I I
- - - - - - - - - - - - - - - -
?013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: /O 13 Site Address: q7 / 68 Fe-nKiAl'n (~f t r~-l Unit I :I
Phone: ~o t 2 `f 25 ?
Name: 'Fa
Resident/
Owner i Address /City /Zip: ~~O~'1 KW e Ci'rL l UGC Ctrl
t
Applicant is: Owner Contractor
Type Description of work: ~ c ~`e~ G-`e✓~ ~ ~~~5~
of Work -
Construction Cost: T 3 j 0 0O Multi-Family Building: (Yes / NoAJ
Company: Contact:
Contractor Address: City:
s
i State: Zip: Phone:
License Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
(Lis i 01
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
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 informatio Portions of
the information may be classified as non-public if you provide specific reasons that would per ut,the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. i, Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances an '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 requis a review and approval of plans.
Exterior work authorized by a building permit issued in accordan with the Minnesota State Building Code must be com l~ted within 180
days of permit issuance.
X_ -FA L4 t J o A
x
Applicant's Printed Name Applicant's Signature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES
_ Foundation _ Fireplace _ Porch (3-Season) _ Exterior Alteration (Single Family)
Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Multi)
_ Multi Deck Porch (Screen/Gazebo/Pergola) Miscellaneous
01 of _ Plex V-17Lower Level - Pool Accessory Building
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 14-160 Occupancy MCES System
Plan Review Code Edition ) tZG''1 SAC Units
(25%_ 100%z) Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction _ Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC _ Gas Service Test Gas Line Air Test
Drain Tile Other:
Roof: -Ice & Water -Final Pool: -Footings Air/Gas Tests -Final
_>r' Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace: -Rough In -Air Test -Final Windows
Insulation Retaining Wall: _ Footings _ Backfill _ Final
Sheathing Radon Control
Sheetrock Erosion Control
Reviewed By: /7 , Building Inspector
RESIDENTIAL FEES
Base Fee 5qg
Surcharge
Plan Review
MCES SAC t
City SAC
Utility Connection Charge
S&W Permit.& Surcharge
a
Treatment Plant
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA109986
Date Issued:04/17/2013
Permit Category:ePermit
Site Address: 4708 Penkwe Cir
Lot:13 Block: 1 Addition: Johnny Cake Ridge
PID:10-39800-01-130
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Tony Boerner
2090 County Road 42 W
Burnsville, MN 55337
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
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 -
Tracy L Johns
4708 Penkwe Cir
Eagan MN 55122
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature
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PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA142135
Date Issued:04/17/2017
Permit Category:ePermit
Site Address: 4708 Penkwe Cir
Lot:13 Block: 1 Addition: Johnny Cake Ridge
PID:10-39800-01-130
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
Tracy L Johns
4708 Penkwe Cir
Eagan MN 55122
(612) 619-2198
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA178351
Date Issued:08/11/2022
Permit Category:ePermit
Site Address: 4708 Penkwe Cir
Lot:13 Block: 1 Addition: Johnny Cake Ridge
PID:10-39800-01-130
Use:
Description:
Sub Type:Air Conditioner
Work Type:Replace
Description:
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
210-0754.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Tracy L & Paul F Johns
4708 Penkwe Cir
Saint Paul MN 55122--272
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature