4757 Penkwe Cir
06/2312011 01:29 6514637835 EARMINGTON PLUMBING PAGE 01101
Use BLUE or BLACK Ink
~
- - - - - -
I
For Office use
Permit
1n`1+ I ® J~
1
City Vf No i i~:
Permit Fee; )
3830 Pilot Knob Road
Eagan MN 55122 I Date Received;
Phone: (651)`675.5675 I Staff E
Fax: (661) 675-5694 1-..--------------
INFLOW & NFILTRATION PERMIT APPLICATION
Plumbing ! Sewer & wafter
Date: Site Address: r'~ PP f1, ~
Tenant: a 61 V1 . sulte#;
1 {;I- IIlf~llryryl,,~+t1}1+i+i11 lk r $ ! :!1~~ ~f! (!'tl I E1 `
;'!I{t I kll j+l; y';} 1 If~ { Si Ikf''h II
Name: ~k !~,i -t i P. e„1 Phone: L Q'~J 1 ' J~ Q ~ o
Address / City /Zip:
1t } I p t'~lkE;;i h
Pam 05 $~#1~?
Name• License 6'.
i
ltr'f{ t ~a '1;1'' lily ' Address: G~ Q t! City: G1C'
r e,
1 "
State: _d~Y'1 n Zip: Phone:
s~~ ,
f''';~; x '1#!W'~lp G~~,k „I„f f. c{{ll 117{
al it f 1;1: tl. Email: GR'
Contact;
r
( 7 t i' h}I
,a' 1E+!'{;; s y I t+~~,+.1~~}{',yy+{{j i~p~ PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope)
Sump Pump Repair Repair
r r. ( I p
? ;1 fS1' ?lf I` `1}I{; f . ~ f { sl ~S Other: t'` Gl A. Am 'l 0 r - ~ Other:
n yllr;,lt};$iIC ;'''"}i Cf`r:rr 1:I f,
$ t ~ + 1; i Ik ~c~ r Description of work;
rCR nib
FEES Rasp, Call rcd;4 ca
$55,001 Each (includes $5.00 State Surcharge) TOTAL FEE
"Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit 111 repair costs for
reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors
can be found by visiting www,clt Lc feagan.com/1nflow, or City Hall at 3830 Pilot Knob Ind.
C 1,L BEFORE YOU DIG. Call Gopher State One Call at (061) 4644002 for protection against underground utility damage. Gall
48 hours before you intend to dig to receive locates of underground utilities. V .ooohemtateonecall ore
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 nova permit, but only an application for a permit, and'work is not to start without a
permit; that the worts will be in accordance with the approved plan in the case of work which requires a review and approval of plans.
X J Cll. X1.1. -!t ! x_7Ci1/~d 1 Y-l~ u 17.
Applicant's Printed Name Applicant's Signature
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CASH RECEIPT
CITY OF EAGAN
P. O. BOX 21-199
EAGAN, MINNESOTA 55121
i"
DATE 1 19
RGGqIVEO , ?
FROM
AMOUNT $
:
,
& DOLLARS
?oo
? CASH ? CHEGIC
r
;•
,
FLJNO CODE AMOUNT
l
Thank You,
jA, p 1 BY _i
(? h
? +?• c ?
/ White-Payers Copy
?/ Yeilow-Posting Copy
Pink-File CopY
CITY OF EAGAN Remarks '
Addition JOHNN Y CAKL RTDGE ADDTTTON Lot 4 BIk 10 39800 040 01
owner ;rb?«' `)?-i?- street 47S 7 Penkwe Circle State Eagan, hIN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF,
STREET RESTOR.
GRADING
SAN SEW TRUNK
• SEWER LATERAL Jc -
WATERMAIN
,t WATER LATERAL lqRl
WATER AREA
STORM SEW TRK 670.68
* STORM SEW LAT 1981
CURB & GUTTER '
SIDEWALK
STREET LIGHT
3-1-94
WATER CONN, 450.00 it it
BUILDING PER, 8866
SAC n n
PARK
Receipt ? MECHANICAL PERMIT Permit No. K C)
CITY OF EAGAN
- ,' Fee
Fill in numbered spaces S/C •50
Type or Print legibly
rot. ?.50
1. Date 2. Installation Cost 1400.0U
3. JobAddress 4757 'en;:t,re •?'•yLot L? Bik. Tract .
4. Owner ?HRIN TIPJMi".it)N Ii()1ES
5. Contractor - Y i;. '..LT ,;I';..'P1"?; Phone 825-6867
6. Address 407 Chicazo ,.ve. ; o.
7. City "?>le• State Zip 55407
$. Building Type: Residential bd Commercial O In stitutional ?
9. Work Description: New 91 Add ? Alter ? Repair ?
10. Describe A":;t: 1_1 t?:x?ce ?-i?' heAinguelT ype n,,t ET? ?
11.
No.
? Equioment 8TU - M. Ea.
Forced Air 108sU^' No. Equipment CFM
Ai
H
dli
Mfg. r
ng:
an
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
1 Gas, Piping Outleu
12. I hereby certify that ihe above information is true and correct, and I agree to
comply with all jrldinancespnd codes.governing this type of work.
Signed:
fOf
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT
T. 6. wed fer S F I
$ 61,000
N? $866
Receipf # '
? ? ?,, ? ?• • n
f1..fe . . t . ? ? u
SiteAddress Erect M
Lot Y elock I SeclSub,JOHPII'dY CF':;I j?TD'^ Alter ?
Parcel No. 10-3?'?3b0-Q40-Ol Repoir
?
Enlurga ?
cc Name 'r"iOr?PSON LAYES DIV. move ?
Z Address 1712 FIOPKII\TS CP.OSSROr1?7 pe,r,al;sF, 0
? City '' ?`PF:r• Phone 54 9- 77133 Grode p Occupancy
Zoning R
tl t`
Fire 2ona
Type of Const. V
?k Starie
Length ?
Depth 2 6 Sq. Ft.
S T'ME
b Approvob Feas
Name
o? Address
Assessment ? •
Permit
u? City Phone Water & Sew. Surchorge 3 ?. 5 ?
Police Plan check 13R.00
FW Name Firo SAC 525.00
?? Address Eng. Water Conn. 450 . 0 0
? W City Phone Planner Woter Meter 63.00
Council Rood Unit 2E Q• 00
I hereby acknowledge that I have read this application ond stote that Bldg. Off.
the information is correct and Cgree fo comply with all opplieoble
,
1 n 7 2.5 n
' ?"
Stote of Minixsato Stotutes ond City of Eagan Ordinances. APC T?al
Sipnature of Permittee
!"-
A 8uilding Pertnif Is issued ta - on the express conditfon ihnt
oll work shall be done in accordonce wltholl applicable Stote of Minnesota Sfatutes ond City of Eagen Ordinances.
Bufldlnp Offlciol _
Permit No. Permit Holder Misc. Permit No. Holder
P?umbin9 3 y ? -
H.V.A.C. LjQ l,?? -qly)eL
w.n
Watsr
Disp.
Sewer
Electric plqosi 8 p,?
Inspectian Date Insp. Other
Faatings
Foundation
Freming
Rouyh Plbq.
Rouqh HVA
Inwlation ?
Final Pibg.
1
Ffnal HVAC
Finsl •
Water Dawibe Location: -
Well
Sewer
Pr. Disp.
CITY OF EAGAN Remarks -
,4ddition JOHI3NY CAKE RTDGE ADDTTTflN ?ot 4
Owner .L- !N! 'i , .'!_,?- Street4757 PenlcWe CiTCI@
1 Parcel 10 39800 040 01
state Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADIfVG
SAN SEW TRUNK
* SEWER LATERAL . 5-
WATERMAIN
* 1NATER LA7ERAL IqRl
WATER AREA Ed
STORM SEW TRJC j; 670.68 C 2 ZO 1S O
* STORM SEYV LAT
"URB & GUTTER '
SIDEWALK
STREET LIGH7
WATER CdNN. 4SO,00 it it
BUILDING PER. 966
SAC 11 ??
PARK
Receipt PLUMBING PERMIT Permit No. i..??J CITY OF EAGAN pee
--?-?'-'---
Fil1 in numbered spaces S/C
Type or Print legibly `
Tot.
1. Date 3/7/84 2. Installation Cost ?
T
?.???/.i/• • ? Ci?F
3. Job Address 4757 Penkwe Wagot?e,k. / Tract ic'
4. Owner ORRIN THO11SON HOMES
5. Contractor Wenzel Mechanical Phone 452-1565
6. Address 3600 Kennebec Dr
7. City Eaaan State Mn ZiP551 2?
8. Building Type: Residential In Commercial ? Institutianal O
9. Work Description: New C* Add ? Alter ? Repair ?
10. Descri be
11.
No.
? Fixtures •
Water Closet No. Fixtures
Cesspool/Drainfield
? Bath tubs Se
tic Tank
' Lavatory p
Softner
i Shower Well
/ Kitchen Sink
Urinal/Bidet Other Wdt
1" h dt r
I' Laundry Tray _
/ Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed: - c ? for
Rough f inal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CITY OF EAGAN RWER smvm PEmR
3830 Pilot Knob Road
P. O. Pox 21199 PERMIT NO.:
Eagan, MN 5,P121 DATE;
`,
Zoninp: Z
Owrwr, Tho??'so+? La}.eS ?}?v No. of Untb:
Address:
Slis Address: 4757 Penkwe Cir L4 31 3oiinn - ttM Cake Rid-e
Plumber. Wenze 74ec2?
3-1-34 417;i 100.00 1
? pr.. ro eenNlp wiH? 6e CNp of Ea9e¦ Con?»cti«, Chorpe; 425.00 pd
of Insp.:
" Aeoount Depoatt: _ 15.00 p,d_
Pennit Fa: - 1_ 0. 00 nd
Surclwrge;
Misc. Chorpe:;
Totol:
DoM Pald: _
? `~- •
? CITY OF EAGAN
3830 Pilot Knob Rcad WATER SERVICE PERMIT
P. 0' R°x 21199 PERMIT NO.: JN
JL
Eagait, MN 55121 DATE:
zonrny: A 1
No. of Units: 1
Owner: I??am?? on LIII[ P R D i V
Add?eu: -
Sito Add'ess: 4•''7 p kwa Cir
' L4 81 Johrm Ca k@ Rid e
Plumber.
Jen=el Mech
AAater No.:
Slze: Conrmction Qharfle: 4.''i0. OQ pd
Reoder No.: ?Oi^f ?posit: _ 15.00 vd
?
M?
ft ?? ? ?
?' °f
PermEt Fee:
-
10.00 pd
?a
??M? Surcha?e: - . 5Q pd
Misc. Chorpes: 63.00 -,) d meter
BY Total:
Dete of Inap.: Dote Paid:
Insp.:
CITY OF EAQAN
3830 Pilot Knob Road
P.. O. Box 21199
Eagan, MN 55121
zonrn0:
Owner. .
Mdross:
'SFte Add?e4s:. D. ,; . .. ?
Plumber:
No.' ? -' 4 Z
ize:
r
der No.: -6-3-L 374-1,2,
n? to oMQy VA& tke C7ty eE Began
sar.
L . It/ .a,... ? ...-e
e of Insp,;
WATER SERYICE PERMIT
PERMIT NO.: ----L34:
DATE: 3 -1 1
No, of Units: 1
G"QnnecHon Chorge: U-CL-pd-
Acwunr Deposit: __ 15 . ?0 Dd
Permit fee: I 2 rl
Surthcrfle:
Misc. CM.pes;
Toral: k `t °« er
Dote Poid: ,?
3?ZI„Y(/ REQUEST FOfl ELECTRICAL INSPECTION AF% es-ooooi-oa
w:
, Sea instmctiana tor tomodetin9 this torm an beck ot yellaw cooV. , A
A 4,?!, ??? "X" Be/ow Work Covered by This Request
Adtl ReO. TYPe af 8uilding APplianCtle Wiratl EquipmBn[ Wired
-Home Range Temporary qervice
•- Duplex Water Heater Lighting Fixtures .`
Apt. Building Dryer Electric Heabn
Commercial 81dg. Fumace Silo Unloader
Industrial Bldg. Air Conditioner Bidk Milk Tank
FBfm Othar Peci y Other ISper.ilyl
t er SVecify [her Other
Comnute /nspection Fee Belaw
# Fea ServiceEnfrence5iza p Fee Feeders/Subfextlefs N Fee Circuits
,?? 0 to 200 Am 5 0 to 30 qm s f ?0 1? 0 to 30 Am s
Above 200 qrnps' 31 to 100 qinps 31 to 100 Am s
Swimming Pool Above 100-Am S Above 100_P.mps
Transiormers Irrigation Booms C ,? P?rtial- Other Fee
Signs Special Inspec[ion
$
TC
Remarks • 4_FEE
?rs? do
NouBh-in ? batP
.
?am I, the ectrical
Inspactor, hereby
certifv that the nbove
Final D/'?te? ? / insOection has been
? ?Dp'V'T meAe.
ThierequestvoiatBmonlnsirom /
Thisrequestvoid aL,r&Y ? •OY
18An44051 L4. Rl,cvoa?l,kflu Cakt le,'a?c
Reque t Date f re No. Rough- n Inspection
Fer d? ,y?
?ReaAy Now.?yWill NoLify.InsOec-
, Y ?
Yes N. [or Wheii Feady
@g.licensed Eleclrical Contractor 1 hereby request ins0ecfion of above
? Owner elactrical work installed at:
Stree[ Address, Box or Route No. City
'tl J K4q, fAbw
ectmn o. Townshio Name or No. flange?No. County
pat?o?
OccupentlPAINT? ' Phane No.
'ftloMPs opj v
Power S.pplier Addre
ss
/
.
i'•1?1 •N•?j ViV
Elec[ al Contcactor (Company Namel ontructor"5 License No.
C
?i.?. ``?tc W355t5 -L
Maili B Address IConvactor or Own¢r Making Instaila[ioN
?91t E, Cuff-(Lppa
Authorized Signaw (COrqract r/Owner Making Installatinn)
? ° P?ho?ne Number
0-?SbS
p 7
MINNESOTA $TqTE BOAND OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Grig9s-Midwey Bldg. - floom N•197 BE ACCEPTED BY THE STATE BOAND
1821 UniversityAVe., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phunn I612) 297.2111 ENCLOSED.
Plan:
Tp I3e [rsed For .
Site Pddress:
Lot LkBlock ? Sec./Sub.
Parcel 1: 1 U - 3 q18(0 ` o Ub
Oaner:
Pddress:
City/Zip Code:
Phone $: " - -
Contractor: 1'HOMPSON LAKES DIVlSION
Address: ' 1712HOPIEINSCROSSROAD
a
City/Zip Code:
J---=?
P}ione II: -?'-'F?-'r 1333
Arch./Eng.:
Pddress:
City/Zip Code:
Phone 1:
1 site plan w/elevations 6
1 set of energy calculations.
Ezect
Alter 'rxl l -
Repair Af •
Enlarge Const.
Nnve # Stories
TJemolish Front ?v ft.
Grade Depth ?(o ft.
APPFdOVAIS FEES
Assessrents
Permit ?
3/ G
W-iter/Sewer Surcharge 3 0.ma-
Polioe Plan Chec3c
Fire SAC
Enq, Water Conn. v^D
Planner - Water .Meter
Cowicil Road Unit
Bldg_ Off.
P.PC '
T7PAL ?•, ?(?Q ? S O
CITY OF EAGAN pp
3830 Pilot Kno6 Road, P.O. Box 21-199, Eagan, MN 55721 7?T lr ? 006C
V
PHONE: 454-8100
.
BUILDING PERMIT ReuiVt #
To be wad fer SF DWG/GAR Esr.Value $ 61,000 DO1e MARCH 1 19 84
4757 PENKWE CIRCLE
SiteAddress
Ered $?
Occuponcy R3
Lot 4 eiock 1 Sec/Sub. JOHNNY CAKE RIDGFAIter ? Zoning R PD
PBrcei No. 10-39800-040-01 Repair ? Fire Zone N A
Enlorge ? Type of Canst. V
Neme THOMPSON LAKES DIV.
qaaress 1712 HOPKINS CROSSROAD
City MTKA. phone 544-7333
?O Name _
Addreu
? City -
Phone
w l-w Neme _
?
4F Address
City Phone
I hereby ackrwwledge thot I have reod this apDlication and state ihat
Ihe information Is mrrect and agree to comply with oll opplicuble
State of Minneaota Statutes and City of Eagan Ordirwnces.
Slpnature of Pertnittea
A Building Pertnit Is issued to: _
all work sholl he done in accordorxe
Building Officiol
Move ? .# Staries T-
Demolish ? Length 60
Grade ? Depth9 6-Sq. Ft.-
Aoorovals Feas
Assessment _
Water 8 Sew.
Police
Flre
Eng.
Plonner _
Council _
Bldp. Off. _
APC -
Permit $ 316•00
Surcharge 30.50
Plan check 158.00
snc 525.00
Water6onn.-- '450.00
W erMeter 63.00
Road Unit 260.00
Total $1,802 .50
_ on the exDress Corditlon Ihnt
and City of Eaqon Ordirwnces.
TC 26. The plans and specs for Contract 04-07 (Lexington Ridge Court - Street
Improvements) was approved and advertisement for a bid opening to be held at 11:00
a.m. on Thursday, 7une 10, 2004 was authorized.
JDH 27. The Findings of Fact, Conclusions & Resolurion of Denial for a conditional use permit
and setback variance for Cedarvale Business Center for a pylon sign requested by
Realty Designs, Inc. for property located at 3902 - 3938 Cedar Grove Pkwy was
continued to the June 1, 2004 City Council meeting.
7DH 28. The sale of City property at the northwest corner of Hwy 3 and Diffley Rd was
continued to the June 1, 2004 City Council meeting.
CherryUSandy29. Change Order #18, which is a total deduct amount of $1,206 for the Community
Center building was approved.
CherryUSandy30. Final payment for contracts completed for the Community Center and band shell
project was approved.
7DH/Mike 31. Continuation of the City election to defer its individual Community Development
Block Grant entitlement status to Dakota County and participate in the Dakota County
Entitlement CDBG Program and the Dakota County Consortium HOME Program for
federal fiscal yeazs 2005-2007 was authorized.
PUBLIC HEARINGS
.TDH/Mike 32. Variances for Marcella Woods (Wright Homes, Inc.) to exceed the 20% lot coverage
for Lots 3, 4, 6, 7, 8, 12, 13 and 14, Block 1, Mazcella Woods Addition, located on
Grace Drive in the southwest quarter of Section 34 were directed for Findings of Fact
at the June 1, 2004 City Council meeting.
JDH/Mike 33. A variance for Todd & Susan Johnson to exceed 20% lot coverage by 1.26% for an
addition to the principal structure at 4387 Bent Tree Lane was approved.
JDH/Mike 34. A 3 foot variance for Keith & Lori Zierden to the front yard setback to allow an
addition to an existing house located at 4757 Penkwe Circle was approved.
JDH/Mike 35. A variance for Chris Neumann to exceed 20°/o lot coverage by just under 1% for an
addition to the principal structure at 981 Trillium Ct was approved.
OLD BUSINESS
JDH/Mike 36. A rezoning of 5 acres from Agriculture to R-2 (Residential Double District) for
property located at 1055 Wescott Rd (Cedarstone Development) was continued to the
June ], 2004 City Council meeting.
JDH/Mike 37. A conditional use permit to allow payroll check cashing at the check-out registers at
Wal-Mart located at 1360 Town Centre Drive was continued to the June 15, 2004 City
Council meeting.
4757
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C. R. WINDEN 3 ASSOCIATES, INC.
IAND SURVEYORS T*L 845•3646
1381 EUSTIS SL. ST. PAUt, MINN. 33108
For:
U. S. HOME CORPORATION
\ - Lot 4, Block 1, Johnny Cake Ridge
Addition, Dakota County, Minnesota
?
' Scale: 1" = 30'
O Denotes Iron
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a ?A-7 5? w \
2? A O
C,
OID 1
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<<? .64 `, p _-??- 29•?62
4f(y?c ch °` 0 2? c
. C'/,[r7?,?? • N 78° 33 E
VdE HERESY CERTIfY THAT THIS IS A TRUE AND CONRECT REPRFSENTATION OF A SURVEY OF THE
60UNDARIES OF TME LAND A60YE DESCRIlED AND OF/// TNE IOCATION OF ALl lUIIDiNGS, IF ANY,
THEREON, AND ALL VISIDLE ENCROACHMfNTS. IfA , FROM OR ON SAID IAND.
\
Dawd rhis 154?` day of Fe??'vor?A D.?1.0:84 C. R. WINDEN 6 ASSOCIATES, INC,
Nouse Loco?ed Morcf, ?O, /98?-C? ? dt? by
Surwror, Minnegero Rapistmtion Ne. 912ra
?ZO -4
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date j?_ I Z 1 I oy
?1
Site Street Address ?7 ? VL? ?t?c.. C?rfi'
Unit #
Property Owner ?z'Cd (zen Telephone #(Gj/ ) _tE'-V.25
Contracto&o ?''-Sk? ?11a Telephone# e,57 ) 40 2-
Address 's?f 05 City '? .-. State ti- Zip ?oly
The Applicant is: Owner Contractor _Qther
Alterations to existing dwelling $ 50.00
Add fixtures to rooms, excluding water softener and water heater
_Septic System Abandonment
Water Turnard (add $121.00
if
5/8" me#er is required)
a
(
?
?
_Other: 1?-110 Yv- C?l?COJ.,?-V1 d h bM?V Q 0 rVt -E ?? O
VvL
C}?X
Water Softener Water Heater $ 15.00
_ replacement _ additional
Lawn Irrigation System RPZ_ new _ repair _ rebuild $ 30.00
State Surcharge $ 50
s_ -
??"'
Total ? SEP 2 1 2004 $
v
I hereby apply for a Residential Plumbing Permit and ackn ?d e that th ' ation is complete
and accurate; that the work will be in conformance with th "rdinances and codes of the City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and wo will be in accordance with the approved plan in
the event a plan is required to be reviewed and appr ed.
e ?
ApplicanYs Prin ed Name A icant's ignat re
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C. R. wINDEN a ASSOCiATES, INC.
IAND SURVEYORS r.t ssa•asse
1381 EUSTIS SL, ST. ?AUL, MINN. 55106
For:
U. S. HOME CORPORATION
NotQ :,
Proposed garage £loor E1. 981.33
(900.0 ) Denotes?proposed finished ground E1.
--W-- Denotes direction of surface drainage
Vertical Datum - N.G.V.D. 1929
\ Lot 4, Block 1, Johnny Cake Ridge
Addition, Dakota County, Minnesota
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Scale: 1" = 30'
O Denotes Sron
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WE MERElY CERTIFY TMA1 THIS IS A TlUE AND CORQEC REPRESENTATION Of A SURVEY Of TME
IOUNDARIES OF TME LAND A60VE OESCRIlED AND OF TME LOCATION Of AlL WItDINGS, IF ANY,
TMEREON, AND All VISIlLE ENCROA[MMENTS, If ANY, FROM OR ON SAID IAND.
Datpd tAis 15+^ dor oi Ft$ A.D. IVJ?tt C. R. WINDEN 8 ASSOCIATES, INC.
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Survwer. Minnossta lpistrotien Plo. 26
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CITY OF EAGAN
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.
APPLICATION FOR PERMIT
/
' SEWER AND/OR WATER CONNECTIODI
' (PIEASE PHINi)
1) PROPEF711' ADDRE55:
LLGAI. DF.SCRIPTION: .Cg r,? ?
(Lot/Blockubdivision or Tax-P eei Z:D. A}ix6er-)
? ?.?r??,,,,r - -?.;,• - - -
IF -- - :
, - .. _._ . ? _.... IG _ ;??: ST L.. .:...._..
- -- Wbr._Zi='?s=?
PRES= --L.^.`IIPY;/P?,OPQSEJr USE: M R-1 SINGLE FPMILY
? R-2 DUPLE{ ('Iv?o UIQITS)
0 R-3 1OWN30USE (THREE + UNITS)( UNITS)
p R-4 APA.RLT,=/COrIDCSmII92[M ( UNITS)
p CONIIMEE2CIAI,/RE.TAII,/OFFICE
? II' USTRI.AL ?
p INSTIIUTIONAL/GOVEPiIMENN!'
2) ,'qppISCF1NI` , (PLEASE PflINT)
ADDRESS: _CrI Ia, ?y?nw? • Cs-?? .?
CITY, STATE, ZIP:
PxoNE: ? U
3). puMBER NAME. PLEASE PRINT) FOR CITY USE OHLY
ADDRESS: UVENZEL MECFiANICAI PLU' LICENSE:
Active
CITY, STATE, 2IP: 452•1565 ? Expired
PHONE: PLUMBER LICENSE Not of R cord
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a nt ta
(PLEqSE PR)NT) .
ADDRBSS:
CITY, STATE, ZIP:
Pf[ONE: ?
i
5) INDICATE WIiICH PE',RMIT IS BEING RDQUESTED;
? CONA7EX.TION TO CITY SEL9ER
Q CONNE7CPION TO CITY WATER
0 UP[IER (Pi.FASE DESCRIBE)
6) IIVDIQl'1£ ONE:
? PIT.FISE HOID APPROIID PERNLIT E'OR PICK-UP BY ONE OF AB(NE
PL,E\SE NTAIL APPF20VEa PEEtMiT 'N 1, 2,a 4 P.HC7V E
(Circle one)
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7) SIG.?NRE:
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F O R C I T Y U S E O N L Y '
PERMIT # ISSUED
?
FEES: $ /n SG
S
$
$
$ ...? o? J: d-c
S
$
$
$
$ '
• $
?_---- e7
SEWER nERMT_T (I:dCLGDE SUP.C[!ARCfi)
WATER PF.RF1IT (ZNCLUDF S'URCIIARGE)
WATER METER/COPPERHORN/Of7TSZDE READER
WATER TAP (INCLUDE CORPORATION STOP)
SEWER TAP
ACCOUNT DEPOSIT - SEWER
ACCOUNT DEPOSZT - WATFR.
WAC
SAC
TRUNK WATER ASSESSMENT
TRUNK SEWER ASSESSMENT
LATERAL SENEFIT/TRUNK SEWER
LATERAL BENEFIT/TRUNK WATER
OTHER
TOTAL
AMOUNT PAID/RECEIPT # 41// %f
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
? YES IF YES, THEN A"PERMIT FOR WORK WITHIN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
[_] NO ENGINEERING_.DIVZSIQN. LIST-RS--A--CONDd-------
TION.
SUBJECT TO TtIE I'OLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE:
.R sme"s rr=aM
' 2004 RESIDENTIAL BUILDING PERNIIT APPLICATION
City Of Eagan
(Q LA`? 3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX 4 651-675-5694
New Construcdon ReauiremeMS RemodeN2eoalr Reauirements
3 regisYered site surveys showirig sq. R of lot, sq. R of house; and all roofed areas 2 wpies of plan
(20% maximum lol coverege allowed) 1 sel of Enrergy Cakulations tor heated addiiti?ons
2 copes of plan showhg beam & window s¢es; poured found design, etc. 1 site survey for addNOns & decks
7 set of Eneyy CakulaUons Addkion - indicate if onske septic system
3 wpies af Tree Preservation Plan'rf bt platted after 711193
Rim Joisl Detail Options selectian sheet (bldgs wilh 3 ar Iess unils
-ff? ? ,??? (? If
, -
Date -LO / / o Construction Cost la'-o - 6,0
SiteAddress UniUSte #
Y
t
Description of Work YI e-
(?y]nUc
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Multi-Faroily Bldg _ Y X N Fireplace(s) _ 0 _ 1? 2
Property Owner `.L &YZ f1 64°-75 (?nl
Telephone #,'/S?,??-''r
? ,
SI CO l? 4 7 i GcJUVK
Contractor
Address S? 2?2 City T-Ac i`t-
State Zip -JS I>a Telephone #jjo(? )4? 5( ol'5
COMPtETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDlNG
- Iviinnesota Rules 7670 Category 1 Minnesota Rules 7672
Energy COde Category , Rasidential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 su6mission lype) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
a 8 2004
I hereby apply for a Residential $uilding Pemut and acknowledge that the inf ' e e an accurate;
that the work will be in confortnance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
ApplicanYs Printed Name
Appli anY Si a
Telephone # (
N If so. 25% plan review
T
OFFICE USE ONLY
Sub Types
? 01 Foundation O 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwel ling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi
? 03 01 of _ plex 0 09 07-plex ? 17 Garage ?O 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex O 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? lS m =rie)y DeS
? 06 04-plex O 12 12-plex Plbg_Y or_ N? 25 Miscellaneous 6-p IZwq ?
?- o z C) eck
Work TYPes ? e c 1c -rQ {3 c do,,, e,n tu ize
1$ 31 New ? 35 Int Improvement ? 38 Demolish Interior O 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors
? 34 RepleCemBnt 'Demolidon (Entire Bldg) - Gi ve PCA handout to applicant
Valuation 51I 00bt ` Occupancy MCES System
Census Code 93 4 d? 43 S Zoning City Water
SAC Units Stories ? Booster Pump
# of Units Sq. Ft. PRV
# of Bidgs -?7?- Length Fire Sprinklered
Type of Const ?1 ?' Width
REQUII2ED INSPECTIONS
_ Footings (new bldg) Final/C.O.
Footings (deck) ?g FinaVNo C.O.
? Footings (addition) _ Plumbing
? Foundation _ HVAC
Zd Drain Tile Other
Roof 4 Ice & X Final
Water Pool Ftgs Air/Gas Tests Final
?0 Framing _
_ Siding _ Stucco _ Stone _ Brick
Fireplace -2? R.I. ?Air Test VFinal Windows
?
Insulation = Retaining Wall
Approved By: rm , Building Inspector
------ --------------- ----- ---
Base Fee ------- -- -------------
----C> ?`l S °-------------------
&-1? R 69 Q`? --------
??J ? -----°------------------------p--?-°-------
S f?"? X?b 0 c? = f/7b a??
o
D`
R `
Surcharge
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R
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13 4c)L /6X/6 -t 172WeTtovrv? /oXG'
an
ev
ew
P - 3/6 59 i+xfy.oo --::? /706??~
Mc/es sac
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Fg-01)t r?)Da%tt on XS yo o= Z'??10."
CrLA,J13?4cetnFRoriT /3570.
?tri10?PI &s$-7" CSo ."''Y.iF?itrtc?•-6JflD0?'.`
9-4'vcr»ewt 6xzt.xZ-C,60 -
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TC 26. The plans and specs for Contract 04-07 (Lexington Ridge Court - Street
Improvements) was approved and advertisement for a bid opening to be held at 11:00
a.m. on Thursday, June 10, 2004 was authorized.
JDH 27. The Findings of Fact, Conclusions & Resolution of Denial for a conditional use permit
and setback vaziance for Cedarvale Business Center for a pylon sign requested by
Realty Designs, Inc. for property located at 3902 - 3938 Cedar Crrove Pkwy was
continued to the 7une 1, 2004 City Council meeting.
JDH 28. The sale of City property at the northwest corner of Hwy 3 and Diffley Rd was
continued to the 3une i, 2004 City Council meeting.
Cherryl/Sandy29. Change Order # 18, which is a total deduct amount of $1,206 for the Community
Center building was approved.
CherryUSandy30. Final payment for contracts completed for the Community Center and band shell
project was approved.
JDH/Mike 31. Continuation of the City election to defer its individual Community Development
Block Grant entitlement status to Dakota County and participate in the Dakota County
Entitlement CDBG Program and the Dakota County Consortium HOME Prograsn for
federal fiscal years 2005-2007 was authorized.
PUBLIC HEARINGS
JDH/Mike 32. Variances for Marcella Woods (Wright Homes, Inc.) to exceed the 20% lot coverage
for Lots 3, 4, 6, 7, 8, 12, 13 and 14, Block 1, Marcella Woods Addition, located on
Grace Drive in the southwest quarter of Section 34 were directed for Findings of Fact
at the June 1, 2004 City Council meeting.
JDH/Mike 33. A variance for Todd & Susan Johnson to exceed 20% lot coverage by 1.26% for an
addition to the principal structure at 4387 Bent Tree Lane was approved.
JDH/Mike 34. A 3 foot variance for Keith & Lori Zierden to the front yard setback to allow an
addition to an existing house located at 4757 Penkwe Circle was approved.
JDH/Mike 35. A vatiance for Chris Neumann to exceed 20% lot coverage by just under 1% for an
addition to the principal structure at 981 Trillium Ct was approved.
OLD BUSINESS
JDH/Mike 36. A rezoning of 5 acres from Agriculture to R-2 (Residen6al Double District) for
property located at 1055 Wescott Rd (Cedarstone Development) was continued to the
June 1, 2004 City Council meeting.
JDHlMike 37. A conditional use permit to allow payroll check cashing at the check-out registers at
Wal-Mart located at 1360 Town Centre Drive was continued to the June 15, 2004 City
Council meeting.
JUN-98-2004 14:08 DAKOTA COUNTY CDA 651 675 4465 P.02
Z.
r.mwaw?m.
REScheck Package GeneratoF
Compfiance Repart
Locatlon: Dakota, Minnesota
Construcnon rype: Single Family
code: 2000 Minnesota Energy Code
HDD:8q99
sunaer Nama: howlvkJ7 uP-l' oate: 6l8/D4
Bui7der qydress!
Buiming Adtlress: •
SuOmitted ey: ?.(f y i, Phona Number. r.4
Glazing Area
100 X 276.12
Gip=ing Area
R-Value
Description
ceiun-9
wan caviry
Wall ContinupuL
FWpr
Basement
U-Factor
Deacrlption
uwexlow
Door
* 9665 =
Gross Wall Area
14.75%
Proposed Glazing Area
75.0%
Maxtmum C+lazirg Aree
Comments
Blown Celluose
5 1!2" F.G.
Perimeter Rim Jo+st
3 1/2"
Comments
Brand tn be determined
Front door exempt
proposed R-Value
R-4t
R-18
R-o
R-30
R-11
Proposed U-Factor
U-0.30
U-0.35
? Minimum:R-Value
R-44
R-18
R-0
R-30
, R-11
MaxlmuFi U-Factor
U-0,30
U-0.35
Equipment Efficiency
HeaHng FumaCe AFUE/HSPF 30.0
boonng Air Conditioner SEER t0.0
State+++ertf ofCompliaxe: The proposetl building design represented in these tlOameMS Is oonsistgnt wiM the bullding pfdns.
813ecifiC6tions, and other WlCUfalans wbmitted wlth the perrnit appllcation. Th9 propasetl building Ftab been designadlo rceet Me
requlremenrs of the 2000 Minnesota Energy Code. '? ?? - nl Zv•?u?-t
BuYeenDesigrer companyN- bMe
?
TOTRL P.02
' Sketch for Proposed C,R, WINDEN & ASSOCIATES, INC,
/ LAND PLANNING, SURI/EYS & SITE DESlGN
House Addition 2380 Wycliff Strset - Suite 200
ST. Paul, MN 551 I 4 Tel, 651-731-7702
- For; Lori Zierden
0 25 50 100
? J ? Scole; I"=30'
? ?oga 6eoring SysTem assumed.
Y60Sa \ ori AtM
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PROPOSED ADDITION
\ n? H4?57 ?
40 ? h
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R'60.00 0 ? 293625
? D'75° 10' 50.00 R02?
Lot 4, Block l, Johnny Cake Ridge N
7g^33'E D°
Addition, Dakota County, Minnesoto E CyRC?E
pENKW
I HEREBY CERTIFY THAT THIS SURVEY, PLAN OR REPORT WAS PREPARED BY ME OR UNDER MY
DIRECT SUPERVISION AND THAT I AM A DULY REGISTERED LAND SURVEYOR UNDER THE LAWS
OF THE STATE OF MINNESOTA.
Doted this 5th day of April 2004 C. R. WINDEN & ASSOCIATES, INC,
Setbocks based on as-built survey dated 4-20-1984
bY
D-3313 L481 JKRIGE.FC7 Minnesota Registration No,7726
UseBLUE or BLACK Ink
�-----------------,
� For Office Use �
���y Ul ����1! j Permit#: � J�� � '
I �
3830 Pilot Knob Road ���r���E(� � Permi t Fee:�. � �
Eagan MN 55122 I �
Phone: 651 675-5675 Date Received:)�" ��– ��
� > NOV 16 2015 � �
Fax:(651)675-5694 � c1— I
� Staff:�J �
���.�.�������������J
2015 MECHANICAL PERMIT APPLICATION
.; ; ,
❑ Please submit two (2)sets of pians with ail cor�ame ' I applications.
__ ; _
Date: ������f,� Site Address: �7 ✓� � ���-/V 'l.�k,i� �1'�,�5�
Tenant: Suite#:
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" � �����' ���.�a .� Contact. � ��'�Vt.�� EmaiL � �G�� � �����{" E.,' ] /�"� ���
�`��'��`������"��'"�,� ' �`^�
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��
� ����p��f����� � Description ofwork �f�`'1�1�G(� �UYl,�i1r�L1 (.�.)(�� �/�d� `���U �{�� ��
s��"ik ���' �a . ._ . : . : s
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���,a.� ���F: _� f �
���� g � �f � ���-� � � RESIDENTIAL COMMERCIAL
����= � �: � ~��_ .,
�� �i��,��`��` � �� _Fumace _New Construction _Interior Improvement
��� �� � a�' �
�� P'� � ���* � ' _Air Conditioner _Install Piping _Processed
, � #
����a�` ����� � ° _Air Exchanger _Gas Exterior HVAC Unit
x z :� � �� ��c�
a,���� ���"� � � Heat Pump Under/Above ground Tank �Install/_Remove)
�- �� � ��� — —
' Other
�����, �.s�. 3 � � ���.
RESIDENTIAL FEES �
$60.00 Minimum Add or alteration to an existing unit(includes$5.00 Stafe Surcharge) �
$100.00 Residential New(includes$5.00 State Surcharge) _$ � � 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, piease call for Surcharge =� TOTAL FEE
I hereby acknowledge that this information is compiete and accurate; that the work wili 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 t work will be in accordance
with the approved plan in the case of wo which requires a review and approval of plans.
.�
X �� IVe � ? � � J X G" G��� `'� .
ApplicanY Printed Name Appiicant's ignature
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