Loading...
4772 Penkwe CirCITY _OF EAGAN ,-?ilot Knob Road Eagan, Minnesota 55122 (612) 681-4675 SITE ADDRESS: I;..1!:•, f. rit , .; i ili,i PERMIT SUBTYPE: -189 INSY?(;'IIUN KLt?UlKlJ PERMIT TYPE: Permit Number: 7 Date Issued: APPLICANT: TYPE OF WORK: till { i fo 1 IVf, INSPECTION .. a`1 °? 66 . .. IiY ?1tIF: VnF 1 F L Permit Holder Date Telephone # PLUMBING HVAC Inspection Date Inap. Comments FOOTINGS ? . . FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HVOROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL Receipt PLUMBING PERMIT Permit No.• CITY OF EAGAN . Fee Frli in numbered spaces S/C ? Type or Print legib/y Tot. 1. Date 2. Installation Cost ?' I 3. Job Address Lot Bik. Tract_ . ? 4. Owner / '- ,. 5. Contractor - Phone ' 6. Address . ?: 7. City State Zip ' 8. Building Type: Residential El Commercial O Institutional ? 9. Work Description: New ? 10. Describe 11. Add ? Alter O Repair 0 No. Fixtures Water Closet No. Fixtures Cess ool/Drainfield Bath tubs p tic Tank Se Lavatory p Softner Shewer Well Kitchen Sink Urinal/Bidet Other 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 cocjes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454,8100 CITY OF EAGAN Remarks Addition -- jntnr?rv' rM DTT!'?B AlliITTTALT Lot 6 Blk I Parcel 10 39800 060 01 Owner U•`• Street 4777 Pgnkrrn, rirrla Stste EA,9anI MN 55122 lmprovement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK * SEWER IATERAL WATE(iMAIN * WATER LATERAL IgAl WATER AREA STORM SEW TRK j" * STORM SEW LAT igAl CURB & GUTTER SIDEWAIK STREET LIGHT WATER CONN. 420. OO ti is BUILDING PER. 7701 SAC PARK cirr oF E?GAN ' =795 Pilsf Kwob Rood Eoyan, JYIM 55122 ' PHONLs 4 S4-i100 BUILDING PER'MIT Reteipt ?j Te be wW Mr Est. Value Dote _, 19 Site /lddreu Erect ? Occupancy Lot Biock 5ec/Sub. - Alter ? Zoning Porcel ?E - Repair ? Fire Zone Enlarps ? Type of Const. oc Name Mo i S ,,, ve ? tor # es Z ? Addmss ` , Demolish ? Length G '-- phone Grode p Depth Sq. Ft. o Na? Approvols Fees ?? F Address F- r-:.,. Nome Assessment - Water & Sew. Polite Firo Enp. Planner Counti I I hereby acknowledge that I have read this opplicotion and stote that Bldfl. Off. the intormation is correct and agree to comply with all applicable A? - State of Minnesota Statutes ond City of Eagon Ordinonces. Permit Surchorpa Plan check SAC Woter Conn. Woter Meter Road Unit Tofal $iynoturc of Permittee ? /1 Building Permit Is issued to: on the exprcss condltlon thm oll work shall be done in accordonce with all upplicoble State of Minnesoto Statutes ond Clry of Eoflan Ordinances. Buildinp Officiol Psrmit No. Permit Holder Mise. Parmit No. Holde? Plumbing 3W6 Z?, l t "Z,-) -33 H.v.a.c. w.u wner Disp. Sftwr EIeMric Wo(03?Sb ?if.l? ???4 '()-$I4 InspaMion Date Insp. Other Footinps Foundation Framing F RouYh Plbo. Y-1713 c. ) Rouph HVA Inwlation Final Plbp. - g? Finsl HVAC -J ? Finel ? . c eW Water Dlmwibe location: VYell Sawer . ? 1 Pr. D'ap. ' ..? :9r?DR:a .-?!li.i??`'1"?,..r?.??'.K`.."!` . ?;? •'? C?erfiffirtttr uf Orrupttury Citp of eagan lprpttrfinent o# 'Builbing lmwrr#im Tbis Certificaet ia.rucd puriuant to tbc "equillcmcntt of Scaion 306 of thc Uniform Building Code arti f ying that at tlac time of itsuance thi.r .ctrruture wat in com pliancc with t/x variou.r ordinancct o f the City ngudarir,g building ronrrrucrion or urc. For tix f ollowing: v„cuwrwA,m SF DWG/GAR &e4reryWi N0 7761 aww,wr'ryr. R-3 'hr croswcdm v F. zon. NA zon;na wcrici R- 1 My: m,.: 7-6-83 roar In w cawncua» ruu t -- LITNU "1 U. 5 .A. Receipt -? MECHANICAL PERMIT Permit No. ? CITY OF EAGAN Fee Fi!l in numbered spaces S/C Type or Print legib/y Tot . 1. Date -" ?` --- 2. Installation Cost 3. Job Address ?-?%?•? -`?rl?'? ---- tot ? Blk. ? TractT? 4. Owner 5. Contractor Phone 5?67 6. Address • - ? , - - •'?? • 7. City -' State _ Zip 6%Q7 8. Building Type: Residential ? Commercial ? Institutional ? 9. Work Description: New El Add O Alter O Repair ? 10. Describe '-': -- - ; Fuel Type --`? 11 No. ? Eauinment 8TU - M. Ea. Forced Air No. Equipment CFM Air Handlin : Mfg. g Boilers Mfg. Mech. Exhaust Unit Heater Mfg, Other Air Cond. Mfg. + 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 : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8700 ? j • 1 i Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN Fee Flll in numbered spaces S/C Type or Print le+yibly Tot. ?- 1. DatelI18I83 2. Installation Cost 3. Job Address ? i% ? Petl k;?; e C 1 t1mic, r.fl ? Blk. Tract 4. Owner JRRIN Ti-iOi+iPSON ti01-145 5. Contractor ''ENZEL MECH 6. Address I E«,,: ._ Y 1Ve 7. City State ''in Zip ? ? 1? `.' 8. Building Type: Residential Cl Commercial O Institutional ? 9. Work Description: New 0 Add ? Alter O Repair ? 10. Descri be 11. No. ? Fixtures Water Closet No. Fixtures Cess ool/Dr i field i Bath tubs p a n Se tic Tank Lavatory p Softner Shower Well i Kitchen Sink Urinal/Bidet Other - l.aundry 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 : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Phone 452-1565 CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN. MINNESOTA 55122 DATE AEceivec t9 AMOUNT ? I IN DOLLAR4 ioo F]CASH ? CHECK White-Payers Copy Yellow-Posting Copy Pink-Fite Copy Than You ? BY cIn oF EAsAN WATER SERVICE PERMIT 3795 Pilr± Yinob Road Eagan, MN 55122 Zoning: Owner: Address: Site Address: Plumber: Meter No.: Slze: Reader No.: 1 agree to wmvh with eha City of Eagan Ordinanees. By Dcrte of I nsp.: PERMIT NO.: DATE: _ No, of Units: - ? - Connection Charge: - Acoount Deposft: _ Permit Fee: Surcharge: Misc. Ctwrges: 7otal: _ Date Paid: - Insp.. OF EAGAN SEWER SERVICE PERMIT Piloe Knob Raad PERMIT Nd.: MN 55122 DA7E: No. of Units: fe canpFY wIM !he Clty of Eagon Connection Charye: AcCOUnY Deposit: Permit Fee: 5urcharpe: Misc. Chnrgas: Dote Po1d: Dote of Insp.: Totol: Thisrequestvoidi?l? 3y`ITo 18 month5 irom ?J W063450 Fequey st ate Fire No. Rough-in Insoection He uired7 ?Ready NowaWill Koflly. Inspec- ?" ? ? ?yes ?No ror When Reatly 2kLicensed Electrical Contractor 1 hereby reouest inspaction of above' 70wner electricel wark installed aC S[reet A ress, Box or Route N o . A d Ciry ??,? ? ( ` - 1- ? ecUOn o. Township Nama or No. ange o. Co?untv ?p V/V rv iv Or,cupant(PRINT) Phone No. ,. ?4 ?A[.?"_ Powe r S upplier Adtlress ? ? p f?-?v q?4wirlo171J Eiectrical Conhactor ICompany Namel B Contractor"s Licanse No. R39Szs-Z C?-? MailinB AAdress IConvacmr or Owner Makina Instaiiationl y Authorized SiBna[ e l ctodOwner Making Inslallationl Phone Number MINNESOTq STqTE BOARD OF ELECTNICITY THIS INSPECTION NEQUE3T WILL NOT Grigps-Mitlwey Blde. - poom N-191 8E ACCEPTED BY THE STqTE BOARD UNLESS PNOPER INSPECTION FEE IS 1821 UnivarsitY Ave., St. Paul, MN 65104 PA..ne (RV1197.91N ENCLOSED. SEDGWICK HEATING & AIR CONDITIONING CO. 8910 WENTV?ORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(952) 881-9000 ADDRESS '{ -72- 0x1vL1ING Cil 4'Z CITV- OCCUPANT I/ r??,,J CgAIY_ OWNER SOLD BV INSTALLED BY MAKE SERIALNO. HEATING Jpg N0_52 . TEST RECORD MODEL ? CO I tr -p V INPUT "L'? ? ?16? THERMOSTAT 4 `-) ?V VENTSIZE * -2 VALVE PE OF LWEfl ? -v LIMIT ?77'-7--?-? IJ'?NER SIZE 2l ? LIMIT SETTING V?' `?zubo FILTERS: SIZE NUMBER FAN SETTING ? •~'? WIRING SL' ? PILOTTVPE TEST7AG IGNITION MODEL _S -4u VL7y?-?' PILOTTIMING PRESSUFE PERCENT COz ? INPUT CFH PERCENT Oz STACKTEMP. PERCENTCO v ? FORM 235 (REV. 11189) LIGHTING INST. DATETESTED /V-` ( ^V COMPANYTESTING ?NAME OF TESTERz FORMDISTRI9UTI0 : EC E VELLOWCOPY-CITY r ( CITY OF EAGAN BUILDING PERNNLIP APPLI I?1 ER 6aK-- .?; ?d-oo 7b Be Used For -- Valuation L1site Pddress oFFzcE USE OMY Lot (c Blodc 1 Sec./Sub. 3G-IL )-'i Erect ? Occupancy J'?' 3 Parcel #: I b 3Ct ?-D O o to o CJ ? Alter Zoning c Repair Fire Zone ??: Enlarge _ Type of Const. r Nbve # Stories Address: Deimlish Front City/Zip Code: Grade Depth Phone # : APPROt1AL.S F'EFS Contractor: Address: a Division of U.S. Home Corp. I/LZ op ins rossroa C].t17/Zlp COd2: Minnetnnkay Minn_ 55349 Phone #: S" - I3s3 Arch./EEIng.: _ Pddress: City/Zip Code: Phone #: Assessments Water/Sewer Police Fire Eng. Pezmit a / Surcharge 3 O -'W Plan Check 1,5-6 '? SAC S?S ZY Water Conn. rO Planner Water ^1bter -09 Council Road Unit ? Bldg. Off. ,- APC TOTAL Include 2 sets of plans, 1 site plan w/elevations & 1 set of energy calculations. Date \ - \O- 8s CITY OF EAGAN _ 3793,Pibf Knob Raod Ee9an, MN 53141 N9 7761 PHONFs 431•8100 1 - - BUILDING PERMIT re 6s wad fee_ SF DWG/GAR Est. Value $60,OOC Siro Address 4772 Penkwe N Circle l.ot 6 ei«k 1 Sec/Sub.Johnny Cake Ridge Parcel # 10 39800 060 01 lst m IN.,,o Thomnson Lake Division ; Addres' 1712'Hopkins Crossroad b o I Name Owner ? Address r r?.,, w...... Ncme _ Address I hereby ackrqwlodge that I have read this applicatian ond state thot the inlormotion is correct and ogree to wmply wiih oll opplicoble Stote of Minrresoro Stotutes and City of Eagon Ordirances. $f0nature of Pertnittee Receipt # ?17 M.e .Tnnnorv i 7 ,0 83 Erect Alrer ? Occuponcy K-S Zoning PD R-1 Repoit ? Fire Zone NA Enlarge D TrPe of C,onst. V Move 0 # Stories Demoiish ? Length 66 Gmde ? Depth 28 Sq. Ft.- ApOrwola Fees Assessment - Water 8 $ew. Police _ Fire Enp. Pianner _ Council _ Bidg. Off: _ APC Permit 010.VV Surcharge 30.00 Plon check156.50 SqC $25.00 Water Conn420. 00 Water Meter 60. 00 Road Unit 240.00 Tor,i $1744_50 A euudiny vem,+t is issmd to: Thompson Lakes Divis' n of U. S. Homeon tha express condition that oll work sholl be done in occordonce wifh oll opplicap Sto e r?ewtg,$tatutes on ity of Eagen Ordinonceo. Buildirg Official ? 23333 a Reques Date Fire W. Rougb-inlnspection / Requi d? ? Ready N. ill Notily Inspecta n Reetl 7 H'h CT ,2 9Q AVes G No e y I icensed contractor O owner hereby request inspection of above electrical work at: Job AOOress (Street, 9ox or Rou??eng ) 77a r?l wz e;.- Ciry ?i? A cj Sectlon No. Township Name or No. Raige W. County l 10 4. Occupent(PFINT) ! ?-AN/? Phone No. PowerSuppiier Atltlress Elec1mal Conlretlor (Co pany Name) ConVactor's Licanse No. ¢ Rw[nt'.a e IYG+? .?d9f ?`??lob Mailing AOtlres ConVaclor or Owner Making Installation) / i ? , S F 44OU , .a Aulho?ize0 ig re Vado wne king Install o ? Phon'e /Number ? MINNESOTA STATE BOARU OF ICITY THIS INSPECTION REOUEST WILL NOT GrlggoMlOway Bidg. - Room S- 6E ACCEPTED BV THE STATE BOAFD 1821 Unlverslty Ave., St. Paul, MN SStO< UNLESS PROPER INSPEGTION FEE IS Phom (612) 6024800 ENCLOSED. 1 p 9/5 J REQUEST FOR ELECTRICAL INSPECTION Ee-onoo -oe ? See insttuclions tor completi=g this lormon EaCk of yellow copg M23333 X" Below Work Covered by This Request eiv ABd Hep. TypeofBuiltling AppliancesWired EquipmeniWired Home Ranqe Temporary Service Duplex Waler Heater Electric Heafing Apt. Building Dryer Othei (Specify) Comm./Industrial ' Furnace Farm Air Contlitioner Other (speciy) Cantracbr§/qp.y(?arks: ` r?/LVA1 ?J46?'a5° Compute lnspection Fee Belaw: N Other Fee # ServiceEniranceSize Fee N Cirouits/Feeders Fee Swimming Pool 0 ro 200 Amps o to 700 Amps Translormers A6ove 200 _ Amps Above 100 _ Amps Signs inspectors usa Ony: TOTAL Irrigation Booms / ? U' Special Inspection ? ? Aiarm/Communication THIS INSTALLATION MAY BE ORDERE SCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby R°ughin oaie?O ? cenity that the above inspection has been made. ? OFflCE USE ONLY Tnis request mid 18 manths tran REQUEST FOR ELECTRICAL INSPECTION EB-00007-04 ? p ' See instruc[ions for comPletin9 this form on back ol Yellaw coOV. ?+ p r/?Y? ?/- "X?" Be1oWWo? CoUeYed by This Request r l e AAd R.P. TYpa of Builtlin9 Apoliancns Wired Eqaipmant WireA Home Duplex Range 6p5 Water Heater Temporary Service Li,yhtin,y Pixtures Apt Building Dryer Electric Heatin Commercial Bldg. Fumace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm tner Pnci v mi erl5ner.ifyl 1 e uecify Other Other Compute lnspection Fee Below k Pee ServiceEnlrenceSize d Fea Fenders/Subtaeders k Fee Circuits Q 0 to 200 Am s- 0 to 30 Am s 03 0 tn 30 Am us Above Z00 qm s 31 to 100 qmps 31 to 100 qm s Swimming Pool Above 100_Am s Above 100_Amps Transformers Irrigation &ooms ?tC . o Partial.'Other Fee Signs Special Inspection S•? nl `? T Remarks ? 5? .,n 1. -tF7e'-ElecVic?l Inspector, hereby certify tha[ tha ebove inspection hes been rtrede. TNe renueat `--Sb RESIDENTIAL BUILDINC PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651•681-4675 New Construefion Reouiremenb . 3 regislered site surveys showing sq, ft. of lot sq. IL of house; and all roofed a2as (20°k macimum lot coverage allowed) . 2 copies of plan showirg Geam 8 vnndax sizes; poured found desgn, etc.) . 1 sel of Eneryy Calculatlons . 3 copies of Tree Preservation Plan H IW platted after 711193 . Rim Joist Oetad Optlons SelecUOn sheet (61dgs wAh 3 orless uniLs) DATE StTE ADDRESS TYPE OF WO ULTI-FAMILY BLDG Y Ze FIREPLACE(S) L8'_ 1 _ 2 APPLICANT? l L f UL? 00M STREETADDRESS ly(a?o/rla.cA 4v4 imAl'-'s CITY J k STATE.Z&tZIP.4,<YW TELEPHONE # 91 -0ELL PHONE # PAX # PROPERTYOWNERfleRJ1MI NPLU TELEPHONE# 651-1,KI670,926 ........... -............................. -------- ------ -.................... --'-°------°---- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RUI.ES 7670 CATEGORY 1 MINNES07'A RULES 7672 (d submission rype) . Residential Ventifatlon Category 1 Workshee[ Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations SubmiUed Piumbing Contractor: ___ Plumbing system includes: Mechantcal Contracfor: Mechanical system includes Sewer/Water Conhactor: _ Air Condiboning _ Heat Recovery System Phone # Phone # -------------------------------------------------------------------------------------------------- I hereby acknowledge that I have read this application, state that the information is correct with all applicable State of Minnesota Statutes and City of Eagan Ordin.9nces. Signoture of Fee: $70.00 '.1I7 f_ - a ree to comply ? P 2 0 2002 ; OFFICE U5E ONLY Water Softener _ Water Heater _ No. of Baths _ Phone # Larvn Sprinkler No. of R.I. Baths RamodellReoair Reuuiraments . 2 copies of pWn . 1 set M Eneqy Calculations for heated additbns . 1 sde survey fir extenor addiUons & decks . Indicate if hane served 6y septic system for additlons VALUATION ct Fee: $90.00 Certificates of Survey Received _ Tree Preservafion Plan Received _ Not Required _ Updaled 4102 OFFICE USE ONLY ? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS OB-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ' ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi CJ 05 03-pfex ? 11 10-plex ? 19 Lower Levei ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement "Demolition (Entire 81dg only) - Give PCA handout to applicant Valuatioo Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS _ Footings (new bldg) Finat/C.O. _ Footings (deck) FinaUNo C.O. _ Footings(addirion) _ Plumbing Foundarion HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Au/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (newlreplacement) _ Insulation _ Retaining Wall Approved By Base Fee Surcharge R. fi ?1 Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Building Inspector Total p2 $' 7. 7 _,? •i i 9qCJR7Y•*Xt7?7k:k:V.?k?CW:i?K?t7K'KWMCMN:l,o"?K*?1k'? ?xCkC?K?w ?"?'?ks?' CITY OF EPGAN CASHTE'fi: S PA'T'E: 06/26l98 iz . TERMSMAL h!C)a 759 TIMFa 15n'1.'_:24 iipfitE: VFF<N NEINE '.32j0 9001 4772 F'ENKM!E C?R `OoOQ ?..iJS 9CI:]'. 4772 I'F_W142 ('?R 0. 5o ?. TO`al. Receipt Amovnt: 50.50 CR09435Z : U5EFf ?Li: 'MAN!:Y C ITbz.z -- ? RESIDENTIAL 517_40? ? BUILDINC PERMIT APPLICATIO CITY OF EAGAN 3830 PILOT KNOB RD, EACAN MN 55122 --- ??? ?- I 651-681-4675 New Construetion Reauirements • 3 registered site surveys shmving sq. ft. of lot, sq. ft. of house; and all roofed areas (20% maicimum lot coverage allowed) • 2 copies of plan showing beam & window s¢es; poured found design, etc.) • 1 set of Energy Calculations • 3 copies of Trce Preservation Plan if lot platted afler 711193 • Rim Joist DeWB Optbris selection sheet (Wdgs with 3 or less units) DATE C300;9-- SITE ADDRESS MULTI-FAMILYBLDG _Y _N TYPE OF WORK UJtflCkPt-t-) f1R?IQ.P'.PiY1(..e?c?i (6 (d-tal I FIREPLACE(S) _ 0_ 1_ 2 WINDOW LITE Home Improvements ?iQ? 1 APPUCANi Crosstown North Business Ctr. # 4 ) wte 460-8400-89th ve. North cm STATE ziP STREET ADDRESS " _ TELEPHONE 3 CELL PHONE # FAX #C742?i37J - (p 36 6 ?QIYK._ 61 (1 ( _C? PROPERTYOWNER \)0(Y1 d Cd YISfle1 vtE. TELEPHONE?CPJ?' I? cRi?o- 0975 COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESO'1'A RLII.ES 7670 CATEGORY I MINNF.SO'CA RULES 7672 , - (d submission type) • Residen6al Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Suhmitted Plumbing Contractor: ___ Plumbing system includes: Mechanical Contractor: Mechanical system includes: Sewer/Water Contractor: _ Water Softener _ Water Heater , No. of Baths Air Condirioiung Heat Recovery System Phone # I hereby acknowledge that I have read this application, state that the information is with all appiicable State of Minnesota Statutes and City of Eaga9,0Trdk)ances. ? Signature of Applicant ree: $90.00 P'ee: $70.00 and agree to comply OFFICE USE ONLY Phone # RemodellReoair Reouiremenis • 2 copies of plan • 1 set of Energy CalculaNons for heated add'Aions • 1 site survey forexlenoradd'Nons & decks • Indicate if hane sened by septic system for add@ions VALUATION 1? ? . c% Lawn Sprinkler No. of R.I. Baths Phone # Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 6ct. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinallC.O. _ Footiugs (deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundarion HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By Base Fee Surcharge Plan Review MGES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Building Inspector Total FERMIT CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMITTYPE: gffi$?NO Permit Number: Date Issued: 0 6 /2 6/ 9 8 SITE ADDRESS: P.I.N.: 10-39800-060-01 4772 pENKWE CIR LOT: 6 BLOCK: 1 JOHNNY CAKE RIDGE DESCRIPTION: PermiC Type DECK ,?.nc? ?rk 7ype NEW ?errSUS C0 dq34 ALT. RESIDENTIAL f. ? ?p n? M1 " ? bX X .. , x .f ¢ f.'? t? i? ?fl ^t??? ?( t^,. REMI" P:REVZEweo BY ,70E VQELS FEE SUMMARY: Base Fee $60.00 Surcharge $.50 7ata1 Fee $50.50 CONTRACTOR: I OWNER: - Applicant - HEINE VERNON 4772 PENKWE CIR EAGflN MN 55122-2725 (612)686-0915 ? h?he?y°acl??rta?,r,???g? tha? 3 Mave?read thi.s ap}rlieati;an arrs#etate'tbpt t'ha . 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) $-1:5c) C?-)o CITY OF EAGAN ? asao pnar xiNos Rn - 55122 lff?- 681-4675 ? ?m cSS New Constmc[ion Reauirements RemodeVReoair Reauirements ? 3 registered site suneys ? 2 copies of plan ? 2 copies of plans (inGude beam 8 window saes; poured fitl. design; etc.) ? 2 stte surveys (axterior etlditions & decks) ? 1 energy calculMions ? 1 energy calculations for heatededditions ? 3 copies of tree preservatian plan if IM platted after 7l1 J93 required: _ Yes _ No DATE: to- Jf -900 CONSTRUCTION COST; 0 `?,Dov DESCRIPTION OF WORK: Deck STREET ADDRESS: Al S-sfzz BLOCK: I SUBDJP.I.D. #: PROPERTY OWNER CONTRACTOR Name: NESAIE I?erna,? ? chri5 Phone#: 086 oY75- Lsst Fint Street Address: 4 I7 Z oocrr kwc C;t rcle City ?? µn State: /h ? Zip; 55lZZ- Z7zS Campany: Phone #: kw? Street Adc City ARCHITECT/ ENGINEER Company: ' --« License # _ State: Zip: Phone #: Registration #: _ Street Address: City Sewer 8 water licensed plumber (new construction only): and fot change is requested once permit is issued. Zip: Penally applies when address chang I hereby acknowiedge that 1 have read this application and state that the intortnation is correct and agree to comply with all applica6l State of Minnesota Statutes and Ciry of Eagan Ordinances. Signature of Appficant: ?o.Q,t/Vl,trvt OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required Statc: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex O 02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? 08 .8-piex ? 04 SF Porch O 04 12-p)ex ? 05 SF Misc. ? 10 = plex WORK TYPE ?? 31 New ? 33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning A' of Stories Length Depth APPROVALS Planning ? 11 Apt./Lodging 0 ? 12 Multi RepaidRem. ? ? 13 Garage/Accessory ? ? 14 Fireplace ? ,o? 5 Deck ? 36 Move ? 37 Demolition Basement sq. ft. _ Main level sq. ft. _ sq. ft. sq. ft. _ sq. ft. _ sq. ft. Footprint sq. ft. rt. V, 16 Basement Finish 17 5wim Pool 20 Public Facility 21 Miscellaneous MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bltlg Census Unit Buiiding _jVEngineering Variance ? ? Valuat+on: $ Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies 7otal: ? O/ / 0 % 5AC SAC Units ? ? . ? N 79'q?W ' io o" ? . C7 !1. ?1 ??? e s ?; 1 %ll / Zl,S / VT/? ?J?• I . rt? In? Q0 Q ?-' ?l\>?+` . ti Lot 6, Block l, Johnny Cake I / Ridge Addition, Dakota County, g Minnesota ?fol/,_ ,o WE NEREBY CEROY TNAi TMIS IS A TRUE ANO CORRECT REPRESENTA110N Of A SURVEY OF iMf DOUNDARIES OF iME UND AlOVE DFSCRISED AND OF TME LOUiION OF ALL EUIIDINGS, IF ANY, THEREON, AND AlL VISISIE ENCROACHMENTS, IF ANY, fROM OR ON SAID LANO. i Oorad rAis -30L"- day of n.cgm « A p 1962 C. R. WINDEN 3 ASSOCIATES, INC. 4//L , . 0 .. . . ? 91" U. S. HOME CORPORATION C. R. WINDEN d, ASSOCINTES, INC. lANO SURVEYORS TOL 843•3646 1381 EUSTIS ST., Si, PAUI, MINN. 55I08 / ' N79 42'W ?? - ? 223 vo ; b ? \ / A O ? O n / a Scale: 1" = 50' O Denotes Iron? b ? ? ? W n c m \\ £ I/A f?2 52 b? • ?' ?'o p? I / R Lot 6, Block 1, Johnny Cake Ridge Addition, Dakota County, Minnesota ? Ia id , :./O WE MEREBY CERTA TMAT THIS IS A TRUE AND GORRECT REPRESENTATION OF A SURVEY OF TME BOUNDARIES OF THE IAND A60VE Df5CR1EED AND Of THEIOCATION OF All BUItDINGS, IiANY, THEREON, AND Atl VISIBIE ENCROACFiMENTS, IF ANY, FROM OR ON SAID LANO. Daead ehis 30u day oF necwmhsr A.D. 198d C. R. WINDEN 3 ASSOCIATES, INC. -b? je-..? , Svrrvroq Minnewta Roqiftrolion Ne.772G CITY USE ONLY LOT -CA BL / RECEIPT#: SUBD. RECEIPT DATE: 1998 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PIIAT KNOB RD EaGAN NA7 55122 (612) 681-4675 Date: Complete this secrion onlv if you aze installing HVAC in single family, townhomes or condos undei construction and not owner /occupied • HVAC: 0-100 M B T U $ 24.00 ADDITIONAL 50 M BTU 6.00 • Gas outlets (minimum of one required @$3.00 ea.) • State Surchazge: .50 • TOTAL: Complete this section onlv if you aze remodeling, adding to, or repairing existing single family dwellings, townhomes, or condos. Note: Mechanicai pemvt is not reauired for alteration/add-on to ductwork in existing residential units; but is required for the following: _ Install fiunace IX Install air conditioning _ Install air exchanger, i.e. Vanee system, etc. _ Other Minimum fee applies to all remodel or add-ons of existing residences $ 20.00 State Sa*charge .5^v TotaL• $ 20.50 S[TEADDRESS: 4-I-7;? ?rL.N?KIlJ? C??rC?? OWNER NAME: VcG?NC7 o PHONE #: (n R? " C7 (q `7 IS INSTALLERNAME: WNIT?TPc1l_. Nfp"r\IJC-, ? QT71iAXPHONE#: qq,4",g3q5 STREET ADDRESS: aR (n cI a PNSJ4- c,,MC l?3 tJ W c[rY: --T-- -SAn?s srnrE: rn?N 2.1 r: 5,?c?uG SIG ANRE OF P TTEE 15/FORMS BLD/MECH PERMIT (RES) - 1998 ? cirv use oNLv L BL SUBD. RECEIPT # _ RECEIPT DATE: 3ANICAI, PERMIT (COI+MRCIAL) CITY OF EAGAN 3830 PZLOT lINOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: CONTRACT PRICE: yVpgX TYP_F_: NEW COIVSTRTJCTTON INTER[OR IMPR.OVF.MENT DESCRIPTION OF WORK: FEES: 1% of contract price OR $25.00 minimum fee, whichever is greater. Processed piping - $25.00 CONTRACT PRICE x 1% PROCESSED PIPING PERMIT FEE STATESURCHARGE TOTAL SI1'E ADDRESS: OWNER NAME: TENANT NAME (uviPROVEMENTS oNL1): INSTALLER: ($.50 per $1,000 of cermit fee due on all pemiiu.) PHONE #: ADDRESS: PHONE #: CITY: SIGNATURE OF PERMITTEE STATE: ZIP: CITY INSPECTOR ? City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4772 Penkwe Cir Lot: 006 Block: 001 Addition: Johnny Cake Ridge PID:10- 39800 - 060 -01 Use: Description: Sub Type: e - Furnace Work Type: Replacement Description: Furnace Comments: Quesetions regarding electrical permit requirements should be directed to Ma rk Anderson, State Electrical Inspector, 952- 445- 2840Crystal Gemuenden 8910 Wentworth Ave S Bloomington, MN 55420 952- 881 -9000 Crystal.Gemuenden @Se viceExperts.com Fee Summary: Contractor: Sedgwick Heating & Air 8910 Wentworth Ave S Minneapolis MN 55420 (952) 881 -7739 Surcharge -Fixed ME - Permit Fee (Replacements) Total: Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - $0.50 $30.00 $30.50 Owner: Vernon H Heine 4772 Penkwe Cir Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: 9001 0801 Issued By: Signature Mechanical EA075412 10/10/2006 ePermit I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State For Office Use 'it, Fav Permit#: Aii.. � I/ill\ D Permit Fee: EAGAN /S-7, 4., I E C EIVE : Date Received / b 3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 . (c___ (651)675-5675 I TDD:(651)454-8535 I FAX: (651)675-5694 APR 2 7 2020Staff: buildinainspections( citvofeagan.com L 2020 RESIDENTIAL BUILYING-PERMITPPLICATION Date: 4-24-2020 Site Address: 4772 Penkwe Circle, Eagan Unit#: Name: Vernon Heine Phone: Resident/ 4772 Penkwe Circle, Eagan Owner Address/City/Zip: i - Applicant is: Owner V Contractor — , ( ' C— Type of Work Description of work: repair existing deck footings and beam, repair handrail Construction Cost: $3000 Multi-Family Building:(Yes /No ) Company: Masberg Inc Contact: Joe Masberg Contractor Address: 26850 Naylor Ave City: New Prague State: MN Zip: 56071 Phone: 612-382-7256 Email: masberginc@bevcomm.net License#: BC585990 Lead Certificate#: If the project is exempt from lead certification, please explain why: 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: Fire Suppression 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-•ublic if ou •rovide scific reasons that would•=rmit the Ci to conclude that the are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit Issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.00pherstateonecall.orq 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. xJoe Masberg x Applicant's Printed Name Applicant's Signature DO NOT WRITE BELOW THIS LINE ti-7 -7- k}E � 7 iii- . / 7// r 0 SUS TYPES * — Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration (Multi) _ Multi X Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex Lower Level Pool Accessory Building WORK TYPES New Interior Improvement _ Siding Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior Alteration _ Fire Repair _ Windows Demolish Foundation _ XReplace _ Repair _ Egress Window Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation -3,UGc., Occupancy TP—c— I MCES System Plan Review Code Edition 209,0 SAC Units (25%_ 100%_) Zoning R 1 City Water Census Code 2/3q Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction �/3 Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: X Footings (Deck) Final/C.O. Required Footings (Addition) y Final/ No C.O. Required Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood Roof:_Ice &Water Final Pool:_Footings _Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace: _Rough In _Air Test _Final Siding: _Stucco Lath _Stone Lath _Brick_ EFIS Insulation Windows Sheathing Retaining Wall: _ Footings_Backfill_ Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Shower Pan '' // Other: Reviewed By: �;- /V�/Sd^ , Building Inspector RESIDENTIAL FEES )2</.7/..e e_ -;,..5sAe,-.44-.3<�tIe,v1r,., i Base Fee �;ts Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit& Surcharge Treatment Plant Radio Meter Read Copies 3P4166/4 70- b ) TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA161588 Date Issued:06/03/2020 Permit Category:ePermit Site Address: 4772 Penkwe Cir Lot:6 Block: 1 Addition: Johnny Cake Ridge PID:10-39800-01-060 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door 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: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 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 - Wendy C Barnum 16680 Eagleview Pl Lakeville MN 55044 Masberg Inc 26850 Naylor Avenue New Prague MN 56071 (612) 382-7256 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA162915 Date Issued:08/05/2020 Permit Category:ePermit Site Address: 4772 Penkwe Cir Lot:6 Block: 1 Addition: Johnny Cake Ridge PID:10-39800-01-060 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Wendy C Barnum 16680 Eagleview Pl Lakeville MN 55044 (952) 646-8293 Appliance Connections Inc 12850 Chestnut Blvd Shakopee MN 55379 (952) 445-4803 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA178447 Date Issued:08/17/2022 Permit Category:ePermit Site Address: 4772 Penkwe Cir Lot:6 Block: 1 Addition: Johnny Cake Ridge PID:10-39800-01-060 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. When a weather barrier is installed or Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Jeffrey Devich 4772 Penkwe Cir Eagan MN 55122 (952) 649-8293 Shelter Construction LLC 7040 Lakeland Ave N Brooklyn Park MN 55428 (612) 849-8082 Applicant/Permitee: Signature Issued By: Signature