4711 Penkwe CirCITY OF EAGAN Remerks S/9411
Addition J0HNNY CAKF RTDCE AnDl"rTC1x Lot 1 Blk 1 Parcet 10 39800 010 Ol
Ownerkho51'U ?`slacy.j KhaK zdt i Street State Ea an MN 55122
4711 Penkxe Circle (1.11-1- )
Improvement Date Amount Annual Years Paymeni Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
5AN SEW TRUNK
*SEWER LATERAL .c- -
WATERMAIN
*WATER LATERAL 1981
WATER AREA
STORM 5EW TRK f` ' $ Q
*STORM 5EW U4T 1981
CURB & GUTTER
SIDEWALK
STREET LIGHT
Rd UNIT 185.00 20602 8 25 80
WATER CONN. 305.00 20602 8 2$ 84
gUILDING PER.
SAC
20602
845/8
PARK -
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN. MINNESOTA 55122
DATE
RtCt1YCD
19
AMQUNT $ I
DOLLARS
+ee
[_1 GASH E] CNECK
t-
White-Payers CoDY
Yellow-Posting Copy
Pink-File Copy
Thank You
C,D? .
BY ell
CITY OF EAGAN
3745 Pilofi Knob Road Eogbn, MN 55122
PHONE: 454-8100
BUILDING PERMIT
Te 6o reea ier '
Receipt #
r
DnfP -
Site Address , _'- ! r `'" l ?) I 1
Lot Block 1 Sec/Sub. `'hjj`' rakQ Rdp,
In
Parcel #
w Name
W
; Address 1rIZ2 I1??'•Z; +'1? I`,?•cr;'. .
htks, . e?,,...e '?-7333
p Nome _
z?
Uou Address
Name _
Address
I hereby acknowledge thot I hove rend this upplicotion nnd state that
the informotion is torrect and ogree to comply with all applicable
State of Minnesota Statutes and Ciry of Eogan Ordinances.
N° 6111
Ered Occupancy
Alter ? Zoning '
Repoir ? Fire Zone
Enlarge ? Type of Const.
Move p # Stories
Demolish Q Front ft.
Grode ? Depth ft.
Aparovals Fees
qswunierit . - _'1--` _' Permit
Water & Sew.
Police -
Surcharge
Plon check
Fire SAC
Eng. Water Conn.
Plunner
Council Water Meter ?
Road Unit ?
Bldg. Off.
APC Totol
Signcture of Permittee ?
A Building Permit is issued to: "' on the express condition that
oll work sholl be done in accordance wlth all opplicoble 5tate of Minnesota Statutes ond City of Engnn Ordinances.
Building Offidol
Poenit ? Qeh lanad ?ermlftM
Plumbing
Mechanicol o?C q ? ?G' ?' " U
INSPECTIONS DATE INSP.
RouqMl n
Flnol
Footings I
- -? Dote Irnp. Dafe InsP.
Foundation
? Plumbing
Frome/ins. ' Mechanical
Final a' - Y??- r for
I
Remarks:
No. ?` )5
CITY OF EAGAN
3795 Pilo! Knob Rood
Eagaw, Minnesah 33122
P6ene: 454-8100
PERAAIT
Date:
10-20-SO
4711 Penkwe Cir.
Site Address:
Lot Block I ` Sub/Sec. Thrk"• r'a-k9 • __ ; ' P .
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
...., I 1 .
Receipt No.:
Single - - _ I
Residential j
Multi Res., Comm./Ind. I
Name ,r7liz1 lhomnson Hrnnes New/Alter./Repoir. 3 Addreu ?inF,'`?n ??rs Cost of Instollotion
O
City Phone:
Permit Fee
NuR+e RP4 WAiter ?;eati:i,,- .
? Surcharge
?'?.i;? . `f Jn.
?
Address 37 }_
e
0
,,1.. .. Phone: Total ; ..
V City
This Permit is issued on the express condition that oll work sholl be done in occordance with oll oppliooble State of
Minnesoto 5totutes ond City of Eogan Ordinonces.
Building Official
CITY OF EAGAN
3795 Pilot Knob Road
No. Ee90n. Minnesote 55122 INSPECTOR NOTIFiCATION
Phen.: 454-8100 REQUIRED BY LAW
PERMIT FOR ALL INSPECTIONS
- `' -
.? ;
Dote: 1 Receipt No.:
Single I
? -71'
Site Address: ,@7i1;y9@ WRV Residential
'
Lot ' Block ?- 5ub/Sec.
?fi.ny.CAh? ??O,,r
Nome OI`I'in T!ZOmpson I[omes New/Alter./Repoir
; Address 1712 'iOpkiI13 Ci 3:•d. Cost of Installation
O
' ?Onba. '?. ?.
Ciry . ? Phone: ?`44`7-i? " Permit Fee 1` r?
Name "fenzel 1`.@CriflI1iC91. Surchorge
.
? Address 3600 '{enr!ebec ?M
? City "`'? ? 1 fr'• • Phone: ?'?• ?? ? ' Totol
This Permit is issued on the express condition thot aIl work sholl be done in accordence with all cppliaable Stote of
Minnesoto Stotutes ond City of Eagan Ordinonces.
8uildin9 Officlal _
CONTRACT PRICE
Site Addrqss
Lot ? Block
m IV8?T
? Add
c City
L Name
c Address
p City Phone
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping Outlets #
Other
MEGHANICAL PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122
PHONE: 454-8100
PERMIT #i
RECEIPT #
DATE:
For Office Use Only:
BLDG. TYPE
Res. k
Mult
Comm.
Other
WORK DESCRIPTION
New
Add-on
Repair
FEES
RES. HVAC 0-100 M BTU - $24.00
ADDITIONAL 50 M BTU - 8.00
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTIOH)
GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA.
COMM/IND FEE - 196 OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8 CONDOS - RES. RATE APPLJES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
M BTU
M BTU
M BTU
M BTU
CFM
FEE
S/C: SIGN?y?//* ? F,?,?v11 EE
!?
?-r
TOTAL• FOR: CITY OF EAGAN
?/??/?> ?'? ?-?
cITY oF EAaaN
3795 Pilo! Knob Road PERMIT NO.:
Eagon, MN 55122 DATE:
Zoning: No. of Units:
Owner:
Address:
Site Address: •':"'• "enk?:? _
Plumber: - -
1 ogree fo ooiapFy with the Citr of Eagon Connedion Charge:
Ordinonoes. Account Deposit:
Permit Fee:
5urcharge:
By Misc. Charges:
Date of Insp.:
Insp
: Total:
Date Paid:
.
CITY OF EAGAN
3795 Pilot Knob Road
Eagan, MN 55122
Zonina•
Ownpr•
Address _
Site Address:
Plumber:
Meter No.:
qi7o•
Reuder No.:
1 agree to eomply with fhe City of Eagan
Ordinanees.
Bv -
Dote of I nsp.:
Connection Charge:
Account Deposit:
Permit Fee:
Surcharge:
Misc. Chorges:
Total:
Date Paid:
Insp..
?
11
WATER SERVICE PERMIT
PERMIT NO.:
DATF•
No. of Units: "
f
CIp gp,GAN Include 2 sets of plans,
. 1 site plan w/e]evations &
BUIIDING PERMIT APPLICATIdN 1 set of energy calculations.
Zb Be Used For t?? ?DE„? e valuation ? 0.g}0. 0 o Date R- l B-t? o
Site Address: PE42Y.-Loc, (JU k-? ( 37 )
LOt B10ck ? S2C./S11b. SONNN`i CAKE
1D E
Parcel #: IO -?`?'yllco o/D a/
Qaner:
Address:
City/Zip Code:
Phone #:
Contractor: QRRIN TNnMP4nN H(1MFC
a Division of U. S. Home Corporation
Address: ??.? oP,;,Nssr+essrteAe
Clty/Zlp COdB: MINNETONKA, MINN. 55343
Phone #: Syq-1333
Arch./Fng..
Acidress:
City/Zip Code:
Phone #:
OFf'ICE USE ODII,Y
ErECt. X OCCl1pdTlCy
?
Alt.2r 7AI11RC3
Repair Fire Zone
Enlaxge _ 'IYpe of Const.
Nbve # Stories
Dennlish Front .5'9 ft.
Grade Depth s8 ft.
P,PPROVALS FEES
Assessrents . . i Permit
Water/Sewer
Police
Fire
EnJ •
Planner
Council
Bldg. Off.
P.PC
Surcharge a.?
Plan Check FAs- ?
SAC sa3 ?
Water Conn. 3 o s?
Water Meter ?'* o
Road Unit / 8?5'
TOTAL 8 /M
J
cirir oF eaeaN
3795 Pilot Knob Road 6 Eaon,' MN 55124
PHONE: 454-5100
BUILDING PERMIT APPLICATIOpN,
To be ueed for SF DWWG (,? CC/7 E
Sfte Address "+-f11 rCSUZVY e uup?y ??> f ;
Lot 1 Block 1 sec/s.b. Jhny Cake Rdg
Porcel # 10 39800 010 Ol
w Nume
} Address 1712 Hopkins Crsrd.
? ?:_. Nhitks, Mn. ,.___ 54/+-7333
o Nome _
?? Address
r r:...
Name _
Addreu
I hereby ocknowledge that I have read this applicotion and state that
the information is corred and agree to wmply with all applicable
Stote of Minnesom Statutes and City of Eagan Ordinances.
N°_ 6111
Receipt #
Erect fLk Occupancy - B,?
Alter ? Zoning P11
Repair ? Pfre Zone ?
Enlarge ? Type of Const. jI
Move ? .# Stories
Demolish ? Front 50 ft.
Grade fl Devth 38 ft.
Assessint 8-21 -R(]
Water & Sew.
Police
Fire
Eng.
Planner
Council
Bldg. Off.
APC
Permit 13U.UU
Surcharge 23.00
Plan check 65.00
SAC 525.00
Water Conn. 305. 00
WaterMeter 60.00
Road Unit 185.00
Total
Signoture of Permittee I
A Building Permit Is issued to: OT'Y'lri ThOmP80ri HOSReS on the express cwidition thot
all work shall be done in occor/?/p?nce with /o?1Jj.-?qpp iwble Stote o)f Minnesota Statutes and City of Eagan Ordinances.
Building Offidul ?x/? ?/ > ? ??? ?
mmnesota atate uoara ot tiectricity
Griggs Midway Bldg. - Room N191 q EB•00001-02
` 78?21 Universiry Ave., St. Paul. Minn. 55104 - Phone 297-2111 ?? 1?
REQUEST FOR ELECTRICAL INSPECTION d? ?
CHECICBELOW WOAK COVERED BY THIS REQUEST S 99312
Type of Bullding New Add. Rep. Check Appliances Wired Fm Check Equipment Wired Foc
Home ? ? Range ? 7'emporary W'ving ?
uplex ? ? Water Heater ? I.ighung Fixtures
t. Bldg. ? ? ? Dryer Electric Heating ?
ommeicial Bldg. ? ? ? Fumace ? Silo Unloader 0
Industrial Bldg. 11 ? ? Au Conditioner Bulk Milk Tank ?
Fum ? ? ? List
) List
Other ? ? ? p
}
Herelgl Oehers?
H 1
COMPUTE[NSPECTION FEE BELOW
Setvice Entrance Size: # Fee Fcedets&Subteedeis: # Fee C'vcuits: # Fee
0 to 100 Am s. 0 0 to 30 Am eres 0 to 30 Am eces
101 to 200 Amps. 31 to 100 Am eres 31 to 100 Am eres
Above 200 Amps. bove 100 Amps. Above 100 Amps.
Transforme moteControlCicc. Partialorothetfee L ,.
Signs ial lns ction Minimum fe
Remarks
TOTAL F E J
I, the Electrical Inspector, hereby certify the abov m?cpection has been m
(Rough-in) i /"` ? Date ?
(Final) Date
This request void :,•? •= ?"y ? ? T-
18 months from
? d?oo
Tttis request void '????? IfW_'
] 8 months from
Date o` his Request Fire No. S 99312
I, aicensed Electncal Coniractor ? Owner, do hereby request inspection of the above electri-
cal winng installed at:
et Address or Route No. 4?`? 1 &'N'?- ? viK? City g6m
?Tection Township Range CountyL"_
Which is occupied by
ls a roughin inspection required on this job? No ? Yeeg- Ready Now ? Will CaltV?,
Power Supplier Address \ NF'f`hjal
Electrical ContractorContractor's License N&M}n
Mailing Address 411
s '^ ^(Elec al c tre or owner Making 7nls Installaqon) q? ?.R7-
Authorized Signature? " Phone No. 9/--
yj ?
(Elect I<al Contractor or Owner aking ThIS InStallatlon)
?i{ ?('?I?M This inspection request will not 6e accepted 6y the
? G.1 Ll ??1 \5 I!" U StMa Baard unless propaz inspection fee is enclosed.
15 0 9 0/?i
Reqvest oate ire No. n-in Inspection
uired?
? Reedy Nav ? W II Nofi(y Inspector
, ? Ves ? No When ReeEy?
I censed contractor ? owner hereby request inspection of above electrical work at:
Job A ess (Stre , Roule o.) Ciy?
Secf n No. Town p Neme w No. . Renge No. Counry
OccuO?? (PRIM)
V 7,031 ?/
^ L D
Power Supplier Q Adtlress
1
Eleclncal Conlranw (Compeny Name) Cornrecror License No.
]KENDRICK ELRCTRIC
Meiling Atltlr?4MoVETMeKn,L
'
Aulhoriz n A
r 4illittling! on)
Plrone Number
NINNESOTA STATE BOARO OF ELECTHICRV _ THIS INSPECiION REOUEST WILL NOT
GdggNAidway Bltlg. - Haom 5773 BE ACCEPTED BY THE SL4TE BOARD
t8M llniwrsHy Ave., St Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone(611)6I2-0B00 ENCIOSEO.
J!? 7/b'' c? REQUEST FOH ELECTRICAL INSPECTION
? See inaM1UClions tw mmpletirg Nis brtn on back of yelbw copy.
[P 15 0 9 0' "X" Below Work Covered 6y This Request
EB-00001-07
. 3a ?
ew Atld Rep. Typeof8uilding AppliancesWired EquipmentWired
?4 Home ' Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Olher (Specify)
Comm.Mdustrial Furnace
Farm Air Conditioner
ONer (speafy) Cortlractor§ Remerks:
Campufe Inspection Fee Below: elb
# Other Fee # Serv' EniranceSize Fee # Circuils/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 700 Amps
Transformers Above 200 _ Amps Above 700 _ Amps
SignS Inapector§ Use Onty: 1 TIYIA
Irrigation Booms V ?
Special Inspection ( ?l
AlarmlCommunication
Other Fee
I, the Electrical Inspector, hereby
certify that ihe above inspedion has
been made. R°"qn-m
r
F„ei /
610
1 60AZA oate
le-
-
OFFIGE USE ONLY
This requast vdd 18 rtanMS Irom
4771
C. C. R. WINDEN 6 ASSOCIATES, INC.
v LAND SURVEYORS T!l 845•3646
FOZ': 1381 EUSTIS ST., ST. PAUL, MINN. 55I09
U. S. HOME CORPORAT7nN
Datad rhiik3fh day oFRuGI,<f A.D. 195G C. R. WINDEN 6 ASSOUATES, INC.
r,
bY
Survyoq Minnowro Ropisfrotion No.2200
WE HEREBY CERTIfY THAT TMIS IS A TRUE AND tONRECT REPRESENTATION Of A SURVEY OF THE
60UNDARIES OF TNE IAND ABOVE DESCRIBED AND OF TME LOCATION OF All 6UIlDiNGS, IF ANY,
THEREON, AND All VISIBIE ENCROACHMENlS. IF ANY, FROM OR ON SAID LAND.
Use BLUE or BLACK Ink
---------,
� For Office Use �
I
�l� 0� ' � l��a 5� �
� ��� � Permit#:
I /" �y �
3830 Pilot Knob Road � Permit Fee: lf//�� �
Eagan MN 55122 ��- � 2 I
Phone:(651)675-5675 �'� � � Date Receivedt � J� �
I �
Fax:(651)675-5694 � Staff: �
I
_____.__ �___��__J
2014 MECHANICAL PERMIT APPLICATION
❑ Please submit two(2)sets of plans with all commercial applications.
Date: 10/23/14 SiteAddress: 4711 Penkwe Circle, Eagan, MN 55122
Tenant: Suite#:
��q
z � � � � •� �Vame: Carl Chaput � � Phone: 612-309-5398 �
��iC��ll�/�Viil"1�1'_.�..,' �
���'��� ���' �. Address/City/Zip: � �
� +_� k � r
��p�� =� � ` Name: K&S Heating, Air Conditioning & Plbg LLC�;cense#: MB5216
��� � � �r � _
,��,��������, � address: 4205 Hwy 14 W c�ty: Rochester �
�
���'0� r � �� �� state: MN zip: 55901 Phone: 507-282-4328 �� � � �� � �
p���' �- _� � �� Heidi Brown � hbrown ksheatin com � '
� Contact: Email: @ g•
- �� ��
'� � _ �
� New XX Replacement Additional Alteration Demolition
�� ��' c�� Description of work �
� ,� � �"
� � � y �� „ � _�� , ° ����d �����t1��� �� � � �r��n��' � ..
���`� ., � ,_- ,� ����s+��� +�� �, >���r �,��T ,P��k� �,r=x.� �. �� ..���.�� � ����'
�: ��; _ v,n��_ _
,�� = �` � � RESIDENTIAL � � ��� COMMERCIAL � ����� � �
� _
� i� xx �
�� �� �� _Fumace _New Construction _Interior Improvement �
��, � � i ` � XX Air Conditioner
`P����� _t — _Install Piping _Processed
�„� � � � Air Exchanger Gas � Exterior HVAC Unit
1i " '� �'�-' �� : — _ _
q� ��� ��_ _Heat Pump� _UndeNAbove ground Tank ��Install/_Remove) �
!� �- �� �� �''�_ �..���`. —Other � � � �
RES/DENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit(includes$5.00 State Surcharge)
$100.00 Residential New(includes$5.00 State Surcharge) _$ 60.00 TOTAL FEE
COMMERCIAL FEES Contract Value$ x.01
$55.00 Permit Fee Minimum
$70.00 Underground tank installation/removal =$ Permit Fee
'If contract value is LESS than$10,010, Surcharge=$5.00 =$ Surcharge*
*"If contract value is GREATER than$10,010, Surcharge=Contract Value x$0.0005
***If the project valuation is over$1 million, please call for Surcharge =� TOTAL FEE
I hereby acknowledge that this information is complete and accurate; that the work will be in co�formance 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.
.
� Rick Keehn X I�;►*,�—��"�`
ApplicanYs Printed Name ApplicanYs Sig�ature
____ __ _
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- ; II �� �� .. . �.x� a�,.� �m§ ,��-�-¢r.�R . ���, �_��u. '�������'�-I�"r��`�w��#���v:.re..,.�.. :.`_ � T'�� �