4602 Penkwe Way- CITY OF EAGAN z ? c
•? '? , 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ° 12v--9O
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used ror 1 OF 4PLi,X Est. value $48,000 Date SEPTEViBER 16 1986
SiteAddress 4604 1/2 PSil,itl•4L --]'AY Erect CK Occupancy R3
Lot 2 siock 6 Sec/Sub. uOHIVNY CP?KE Remodel ? Zoning Pn
Parcel No. R IDGE 4TH Repair LJ Type of Const v
¢ W Name
3 Addre
o ,
Phone
Z o Name SP-ME
? ¢ Address
CiN Phone
fl-
?
? W
Name
-z
Address
i W City Phone
I hereby acknowledgethat I have read this application and statethatthe
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of EMan Ordinances.
- • ?:
Signature of Permittee, A Building Permit is issued to: GOOD VP?LilE HO?IES
all work shall be done in accordance with all applicablgrttate of Minnesc
Adddian ? No. Stories
Move ? Length 44
Demolish ? Depth 24
Int. Impr. ? Sq. Ft
Install ?
Assessment I Permit ?' 4 14* • vV
Water & Sew. Surcharge 24• a0
Police
Fire _
Planner
Council
Bldg. Off. 9 16/+3
Var. Date
Plan Review 137.00
sAC 575.00
Water Conn. 500.00
Water Meter 63.50
RoadUnit 290.00
Tr. PI. 156.00
Parks
Capie
T?a-l _ Q
0019.
on the express condltion that
and City of Eagan Ordinances.
Building
PermR No. PermN Mdder Da1e Telephone #
PI4mbin9
I f7
;7
H.V.A.C:
.El*cbic , ,76
Soltener
InspecNOn Date Inap. Commeob
Footings 1 r 8 ??
FooNnys II -
Foundation
Framing
Roaling
Rough Plbp. 0,?
Rough Htg.
Insul.
Finplace
Final Hip.
Flnal Plbp. -a7
Bldg. Final
Cerl. Occ.
71
Deck Ftq.
Deck Frmg.
Wsll
Pr. Disp.
' . . : •
Site Address -
Lot
m Name
? Addre;
c Ciiy _
c Add
p City
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE - a10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
SIGNATURE OF PERMITTEE
FOR CITY OF EAGAN
PLUMBING PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121
PERMIT # ? /7 d a
RECEIPT #
DATE:
' BLDG. TYPE
/Sub
Res.
Mult
Comm.
Other
WORK DESCRIPTION
New
Add-on
Repair
NO. FIXTURES TOTAI
water closet - $3.00 $
Bath Tubs - $3.00
Lavatory - $3.00
Shower - $3.00
Kitchen Sink - $3.00
Urinal/Bidet - $3.00
?Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - $1.50
Whirlpool - $3.00
Gas Piping Outlets - $1.50
Softener - $5.00
Well - $10.U0
Privffie Disp. - $10.00
Rough Openings - $1.50
FEE
STATE S! C
GRAND TOTAL•
Site Address 4?1-v
LotBlock
(D rvame rti ? ?
-ia Address !,
c Ciry
PERMIT #
MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE -???/ 47
PHONE: 454-8100
BLDG.TYPE
Res.
Muit. ?.. ? d
Comm.
WORK DESCRIPTION
New ?
Add-on
Repair
FEES
Name RES. HVAC 0-100 M BTU -$24.00
c Address ADOITIONAL 50 M BTU - 6.00
p City Phone (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA.
TYPE OF WORK COMM/IND FEE - 1g'a OF CONTRACT FEE
Forced Air M BTU -? APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU $ MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent. CFM $ (ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # Z- G BEYOND $1,000)
Other R
FEE C
S/C: Y SIGNATURE OF PERMITTEE
TOTAL• • ? L?
FOR: CITI' OF EAGAN
(gtrti#irafr uf (Orrupanry
t[tp of (Cagan
arpartnrni vf gvrilaing 3wPrtim
This Cenifrcate issued pursuant m the requirements ojSection 306 of the Uruform Burlding
Code cerrifying that a1 the time of issuance lhis structure was in compliance witJi the various
ordinances of the City regulatirrg building construction or use. For the following.•
ux amrmaon 1 OF 4 PLL' %%. K"m No. two
OccuPaucY Tm R3 2oning D'etrict PD Tyx Corete. V
ownff oe eWw?ng (ICM V_U71 10f: Addrm 1460 9310 I' N, StAIIE
&Wding ,ddrm il':?,1E waY Localiry L2, E6, MMY CAFCF. RIIx? ?;? ? ?k: ? 5, 1987
e?a? o?.i
POST IN A CONSPICUOUS PLACE
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
•'; Mh 4J1 IJli r
i.ilillll'? r51 i??fllt 41 11
PERMIT SUBTYPE:
; I',Ei
4 H i 0 ,: h • , APPLICANT:
TYPE OF WORK:
\
?
041 1 ! 's4
INSPECTION
? .. . .•
rii
PrM nu?
?
AkA t F f•k I?M I 1', ARf. 1411100114t, V1.tH ANY ('1 11M(i 1 N!i fttf t: 1 i- r( k(( A1 WURI
INSPECTION RECORD
PERMIT TYPE:
Permit Number: Date Issued:
?.
-1
? ?
Pe?mit No. Permit Holder Date Telephone N
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Date Insp. Camments
Footings I
Foundation
Framing
'L
Rooflng
Rough Plbg. Z/-/574 /j
R
Rough Htg. It te
isul. /( !r
Firepiace
Fnal Htg.
Orsat Test
Flnal PI6g. dl
.C? Plbg. Inspector - Notify Plumber
COnst. Meter
EngrJPlan
Bidg. Final
Deck Ftg.
Deck Fnal
Well
Pc Disp.
: sAr.s CITY OF EAGAN A1
0
6 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ?v
PHONE: 454-8100
BUILDING PERMIT
Receipt #
12619
To be used tor 1 OF 4 PLEX Est value $48,000 Date SL•'YMNBER 16 , 1966
Site Address 4604 PENYWE 'r:'t"iY Erect 99 Occupancy R3
Lot 1 Block 6 Sec/Sub. JOHNtJY CAKE Remode! ? Zoning p?
Parcel No. RIDGE 4`Pfl Repair ? Type of Const V
Addition ? No. Stories
GO
Name O D VALUL HUAiF.S Move ?
? Length 44
d
1
' Address 14 bU 93RD L?I IZ Demolish
Int
?
? De th 2
p
Ft
S
0 BLAiNE
City 780-SS10
Phone e mpr.
.
In
il
l ? q.
a
s
¢
Z o Name-
? ¢ Address
a
F W Name
uc Address
z
i W
Ciry Phone
I hereby acknowledge that I have read this application and state that the
inlormation is correct and agree to comply with all applicable State of
Minnesota Statutes and City of.Eagan Ordinances.
Signature of Permitteg
A euilding Permit is issued to: GOUiJ VALU,.?.' HOPSES
all work shall be done in accordance with all applica6le State of Minneso
Assessment
Water & Sew.
Police
Fire
Planner
Council
Bldg. Off. 9 16 8 6
APC
Var.
Permit y ?& I y• v v
Surcharge 24.00
Plan Review I3 7. O U
SAC 575.00
Water Conn. 500.00
water Meter 63 . 50
Road Unit 290.00
Tr. Pi. 156.00
Parks
Copi
Tota1 ? • 50
on the express condition thet
and City of Eagan Ordlnances.
Building
Permk Na Pwmdt Hddw Date Telephone k
Pwme4n9
M.VA.C-
ElsclriC ?? ?? ?: . c ?Y ?.L e?'• '? ?G' 7 a;7 L?' a
Soltaew •
InspeeGOn Dals insp. Commenfs
FooUnys I
rboany. n
Fouadition
Framiny 1 G LU L)
Roa4lny
Rouyh Plby -,;27-d7
Rouph Hty 1? GJ CJ
Insul. r-'.
Fireplaa
Flnsl Htp.
Final Plbq. 6 T 7
Bldy. Final 6 J ?? ,Q
Csrl. Occ. ,t ?. //•
Deck Fty.
Deck Frmq.
WsU
Pr. Dhp.
• ^ . 4:
PERMIT # ?
±+ , PLUMBINfi PERMIT RECEIPT # rLL f
CITY OF EAGAN
_ 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
Site Address '' ` " "«-? BLDG. TYPE . WORK DESCRIPTION
Lot? Block ' ? Sec/Sub
New ?-- `
Name Mult Add-on
y Address Comm. Repair
.S
c City Phone "` "' -. '
'--- - Other
NO. FIXTURES TOTAL
Name Water Closet - $3
00
S
?
c AddresS .
? Bath Tubs - $3.00
p City;-.-^ . ? , •° Phone_''?' Lavatory - $3.00
r Shower - $3.00
1 Kitchen Sink - $3.00 '
FEES Urinal/Bidet - $3.00
COMM/IND FEE - 146 OF CONTRACT FEE ??undry Tray -?3.00
MINIMJM - RESIDENTIAL FEE - $10.00 ?_Floor Drains - $1.50
MINIMUM - COMM/IND FEE - 20.00 ?(_yyater Heater -$1.50
STATE SURCHARGE PER PERMIT - .50 Whirlpool _?00
(ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping OuUets -$1.50 '
BEYOND $1,000.00) Softener - $5.00
Well - $10
00
.
Private Disp. - $10.00
Rough Openings - $1.50
SIGNATURE OF PERMITTEE FEE ?
STATE S/C:
-
?
? ?
J
FOR CITY OF EAGAN GRAND TOTAL:
.
.. ;}
PERMIT#
' • • • MECHANICAL PERMIT
RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: "/Y7
CONTRACT PRICE: PHONE: 454-8100
Site Address ` 4 k't 'y tL BLDG. TYPE WORK DESCRIPTION
Lot?
Block 02 Sqc/Sub
_ ,
0 X_. /
.?,•_?A Res. New
Mult ?uk a Add-on
°-' Name o-E -
Comm. Repair
ca Address ?? C C ,,.,
c City Phone
SOther
FEES
? Name RES. HVAC 0-100 M BTU -$24.00
c Address ADDITIONAL 50 M BTU - 6.00
p City Phone (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GA5 OUTLETS
MINIMUM
PER PERM
T
(
- 1
I
) - 1.50 EA.
TYPE OF WORK COMM/IND FEE - t% OF CONTRACT FEE
Forced Air `j5
ckiu M BTU APT. BLDGS. - COMM. RATE APPLIES
Boiler ,
M BTU
$ TOWNHOUSE & CONDOS - RES. RATE APPUES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
Unit Heater M BTU g REMODELS - 12.00
Air Cond. M 8TU MINIMUM COMMERCIAL FEE - 20.00
Vent
CFM
g STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # Z $,?e9 62 BEYOND $1,000)
Other
FEE: 9700
'
S/C: 0 SIGNATU
RE OF PERMITTEE
TOTAL: _ ? • 46)
FOR: CITY OF EAGAN
., , ,
(lertifirafP of (Orrupttnry
titp of eagan
lgPpadmMlY of llUQhV Jt[.6pPt1toI'I
This Certificate issued picrsuant to the requirenrentt of Section 306 of the Uniforin Buildirtg
Code certifying rhat at the time of issuance this struclure wrsr in compliance with the various
ordinartces of 1he City regulating burlding con.struction or use. For rhe following,•
[ke Uaai6wtion I CV !i P[ F3( &dg. Ptr? No. 126 i r.
o-Uwnr TYx R3 Zou* DWtw Pf! TM rc,.L V
Owoer oEBw7ding GOfYil ;,'h?. ]TF IrrMi?' Add,= 1460 93.2'R I ?,i N, ]RA'IT1_F,
_F.
Bwlding Addrm ? _ "_-i?." :5 I.oatitY :l-IflqNy CAK.. R LJ)r
o,u: s?f- 26. 19871
Bulding Officisl
POST IN A CONSPICUOUS PLACE
.?..
y CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121I+
. . ,.
`? 0
PHONE: 454-8100
BUILDING PERMIT ReceiPt #
Ta be used for I 4F 4 PLEX Est Value $48,000 Date 5EpM:BER
1Z6?1
1986
SiteAddress 4602 1/2 °ENKWE WAY Erect IN Occupancy R3
Lot 3 Block 6 Sec/Sub. JOHNNY" CAKE Remodel ? Zoning pD
Parcel No. RIDGE 4TH Repair ? Type ol Const V
Addition ? No. Stories
= GOOD V11I.UE HOt+lES
Name Move
Demolish ?
? Length 44
Depth 24
o Address 1460 93RD LAi N Int Impr. O Sq. Ft
City BT.AINE phone 780-5510 Install O
= o Name SAME
? Q Address
~ City Phone
].City W Name
0 Address
i Phone
I hereby acknowledge that I have read this application and state thatthe
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan flrdinances.
Signature of Permittee
A Building Permit is issued to: GOOD VALT-72. HOl•1CS
all work shall be done in accordance with all applicable State of Minneso
Assessment
Water & Sew.
Police _
Fire -
Eng. _
Planner
Council
Bldg. Of
Var. Date
Permit y "+ • "v
Surcharge • 00
Pian Review O?
SAC '
Water Conn. U . 00
Water Meter63.50
Road Unit --29-0.00
Tr. PI. ---15 • 00
Parks
Copie , S U
Total ?
on the express condition that
and Ciry of Eagan Ordinances.
Building Official
z
PsrmN No. PsrmN Holder DMe Telsphons M
PlumWnq T7
H.V.A.C. .->
.???e, 7
EIocMc
Sollanx
Inspection Date Insp. Commenb
FooUnysl ?
Footinqs II
Foundation
Framiny
Rooling
Rou9h Plby
Rouyh Htp.
Iruul. '-?
FkWaC*
Flnel Hty.
FMaI Plby. '.j 41
Bldy. FMaI
Grt. Oce. 7 ?7
O?ck Fty.
Deck Frmp.
WNI
Pr. Dbp.
PERMIT # .?-
, MECHANICAL PERMIT , RECEIPT #
CITY OF EAGAN ?//' ?g 7
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
r PRICE PHONE: 454-8100
Site Address
Lot '
Name /\ ; •1 ncrf T inJ5
Address t, j S ?- It A,.c
City ; +?tl,a.i, v (,i! S Phone
? Name _
c Address
p C'tY -
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping Outlets #
Other
BLDQ.TYPE
Mult
Comm.
WORK DESCRIPTION
New ?
Add-on
Repair
FEES
RES
HVAC 0
100 M BTU
.
- -$24.00
ADDITIONAL 50 M BTU - 6.00
Phone (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS
MINIMUM
PER PERMIT
(
- 1
) - 1.50 EA.
COMM/IND FEE - 1% OF CONTAACT FEE
Cl1 M BTU
M BTU ?CD APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
M BTU REMODELS - 12.00
M BTU $
CFM $
Z, $
. CO MINIMUM COMMERCIAL FEE
STATE SURCHARGE PER PERMIT
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000) - 20.00
- .50
?
' ?_-•
S/C: S1?GNATURE OF PERMITTEE
FEE: n_x'2
TOTAL: FOR:
CITY OF EAGAN
.
? PERMIT # r ?777
. . . • ' PLUMBING PERMIT RECEtPT # ? - -
CITY OF EAGAN
'
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: ?
CONTRACT PRICE PHONE: 454-8100
Site Address BLDG. TYPE WORK DESCRIPTION
Lot ?- Block - Sec/Sub
,
?
Res. New
m Name Mult Add-on
? Address Comm. RepBir
c City Phone'" Other
ES OTAL
NO. FIXTUR T
Name Water Closet - $3
00 $
?
c Addre5,s .
Bath Tubs - $3.00 -
0 3 Cftyj'' Phone?'' Lavatory - $3.00
Shower - $3.00
' Kitchen Sink - $3.00
FEES UrinaVBidet -$3.00
COMM/IND FEE - 1% OF CONTRACT FEE Laundry Tray -$3.00
MINIMUM - RESIDENTIAL FEE _$10,00 Floor Drains -$1.50
MINIMUM - COMM/IND FEE _ 20.00 Water Heater -$1.5Q
STATE SURCHARGE PER PERMIT _ ,50 1Nhirlpool -$3.00
(ADD $.50 SIC IF PERMIT PRICE GOES Gas Piping Outlets - $1.50
BEYOND $1,000.00) Softener - $5.00
Well - $10.00
_ Private Disp. - $10.00
` •. . Rough Openings - $1.50
'
SIGNATURE OF PERMITTEE FEE:
STATE S/Q
FOR CITY OF EAGAN GRANO TOTAL: -
i
(Itrti#irafe uf Mrrupanry
titp of eagan
ErpartttenY of wuilbtng Jnapprtinn
This Certificate issued pursuant to tke requirements aJSection 306 of the Uniform Building
Cade cenifying thar at the leme of rssuance this structure was in compliance with rhe various
ordinances of the City regulaling building construction or use. For the following:
use chLqsirmtion 1(g+ 4 PLIT B14 Per„it ro. 2621
oocup.xr'hpe R3 zamna nuact f' ' Tya c,oosc L;
Owoer of Building ?' V? F?? p? ;'1(7? :".j?W .'.; N. `?A?(.r.
Bwlding Ad&ess ' i6e-2 1/2 ??4F WAY I.onllry ?, J36, Mll,?' ? 'C' i''T I. 4"1 h
JULX 20, 196:
Date:
Buldi n Ot6aW
POST IN A CONSPICUOUS PL4CE
??.
BUILDING PERMIT
Receipt #
7o be used tor 1 OF 4 PLEX Est value $ 4 8,a 0(} Date SEPTEMBr:R 16 , 19
SiteAddress 4602 PENKia'E V1AY Erect 121 Occupancy R3
Lot 4 Block 6 seasub. JOHNNY CAKE Remodel ? 2oning Pn
RIDGE 4TH
Parcel No AePair ? Type of Const j?
. Addition ? No. Stories
W Name GOUJ VAL?IE HOt?ES Move ? Length Od
= Demolish ? Depth 2 d
o 1460 9 3RD Lll .i
Address Int. Impr. ? Sq. Ft
City DLAINE phone 780-5510 Install 11
Z o Name g?E
oQ Address
~ City Phone
a
W Name
?
n Address
u
< W City Phone
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 oi Eagan Ordinances.
Signature o( Permittee - A Building Permit is issued to: GVVD VALUE H0i1P.`3i
all work shatl be done in accordance with all aaolicable St3te of Minnesc
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
Assessment
Water & Sew.
Police
Fire
Planner
CounCil
Bldg. Of
NQ 12622
Fees
Permit ? 274.00
Surcharge 24.00
Plan Review 13 7• d 0
SAC 575.00
Water Conn. 500. 00
Water Meter 63.50
Road Unit 290.00
Tr.Pi. 156.00
Var. Date I Copies
Total $2, 019.50
on the express condition lhat
Statutes and Ciry of Eagan Ordinancea.
Building
ParmM No. PermR Holder Date TNsphom M
PlumWnq
H.V.A.C.
Elec-tric
saten..
Irupeetlon Dab Insp. Commwnts
Eoodnya l
Footlngs II
FoundaNon
Frsming ?6 ?
Rooling
RouyhPlby. ?? Q- -
Rouph Hty. ?
Ingul.
Flreplaee
F{nal Hty.
Final Pibp. 79 ?7
Bldq. FMd
Grt.Oca
Doek Fiy.
Dack Frmy.
WNI
Pr. Dbp.
• PERMIT #
PLUMBING PERMIT RECEIPT # ' -?
CITY OF EAGAN
3830 PIL OT KNOB ROAD, EAGAN, MN 55121 DATE:
CONTRACT PRICE PHONE: 454-8100
Site Address 7! ' =
? ? BLDG. TYPE WORK DESCRIPTION
Lot
Block Sec/Sub `
, . . Res. New ? ...
m Name Mult Add-on
Address -- Comm. Repair
c City ? ? . Phonef'-' Other
NO. FlXTURES TOTAL
Name ` ?
Water Closet - $3
00 $
? _,
.
--
c AddreSS ?._Bath Tubs - $3.00
r
p City Phons . Lavatory - $3.00
TShower - $3.00
' Kitchen Sink - $3.00
FEES Urinal/Bidet -$3.00
COMM/IND FEE - 196 OF CONTRACT FEE L.sundry Tray - a3.00
MINIMUM - RESIDENTIAL FEE _$10,00 -Floor Drains -$1.50
MINIMUM - COMM/IND FEE _ 20,00 ?-Water Heater -$1.50
STATE SURCHARGE PER PERMIT _ .gp Whirlpool -$3.00
(ADD $.50 S/C IF PERMIT PRICE GOES ; Cas Piping Outlets - $1.50
BEYOND $1,000.00) Softener - $5.00
Well - $10
00
.
_TPrivate Disp. - $10.00
Rough Openings - $1.50 _
SIGNATURE OF PERMITTEE FEE
STATE S/C:
GRAND TOT AL• ???'?
FOR: CITY OF EAGAN
PERMIT # R Ca S ?
. i MECHANICAL PERMIT 7??,S,?br
CITY OF EAGAN RECEIPT #
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE;
CONTHACT PRICE PHONE: 454-8100
Site Address 1.1 BLDG. TYPE WORK DESCRIPTION
Lot 4Z Block ?s SecJSub L
Res New
?
g Mult
Add-on
- Na
e
A? Comm. Repair
?c Address ?
c City Phone - Sc? ] Other
FEES
? Name * RES
HVAC 0
100 M BTU
.
- -$24,00
c Address ADDITIONAL 50 M BTU - 6.00
O City Phone (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS
MINIMUM
1
P
i
(
-
n
PER
ERM - 1.50 EA.
TYPE OF WORK COMM/IND FEE - 19'o OF CONTRACT FEE
Forced Air '??• ?? M BTU APT. BLDGS. - COMM. RATE APPLIES
Boiler TaWNHOUSE 8? CONDOS - RES. RATE APPLIES
M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00
V
nt
F STATE SURCHARGE PER PERMIT - .50
.
e M
C (ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # G' BEYOND $1.000)
Other
FEE:
S/C: 6C SIGNATURE OF PERMITTEE
rorn? ?'7. 5D
FOFi: CITY OF EAGAN
(gertif iratip of (Orrupanry
titp of (ilagan
Drpar#mnd af sidid'mo jwrr#irnc
Tftis Certifcate issued pursuant to the requirements of Section 306 of the Uniform Bmilding
Code certijying lhat at 1he time of issuance this structure was in compliance with 1he vurious
ordinances of lhe City reguJating building construction or use. For the following.•
'- 4 Pi ftnnk rb. 12622
uK cksnrmd(M '
oaapency 7ype -` zonios DisUics ? Type CoMt.
owm oreumag M-1, `;AL?,?:' !-Y° ? . Ad&= 1450 93F?; . t?J?9id1E
Bwldios nedrae •'`('f?2 ?:? ?.,r • Laar;ry .,y, Lr, kI1JC? G?
n.,,
6mms O?cw
POST IN A CONSPICUOUS PU1CE
CITY OF EAGAN - Remarks
Addition JOFiN1QY GAKE RTD6E 4th Lot
Owner
Street
Improvement Date Amount Annual ars Payment Receipt Date
STREET SURF.
S'fREET RESTOR.
GRADING
SAN SEW TRUNK
,~6EWEfi LATERAL
WATERMAIN
*1MATER LATERAL 1981
WATER AREA
STORM SEW TRK 1981 278.28 55.66 S
*6TORM SEW LAT 1981
CURB & GUTTER '
SIDEWALK
STREET LIGHT
WATER CONN.
9UILDING PER.
SAC
PARK
CITY OF EAGAN Remarks
Addicion Jt1Lt= r'?-RID6F-htb- Lot 3 e1k ad;-Parcel 30 znQnz nzn na
Owner Street e Stste Eairsn, MN 55122
Improvement Date Amount Annual Ye s Payment Receipt Date
STREET SURF,
STREET RESTOR.
GRADING
SAN 5EW TRUNK Aa,
*4SEWER LATERAL ?r 19 22 _
WATERMAIN
*1NATER LATERAL 1981
WATER AfiEA -V
STORM SEW TRK 5,' ;3 1981 278.28 55.66
ASTORM SEW LAT 1981
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
5AC
PARK
CITY OF EAGAN Remarks
Addition -IflIRMLCAK.ERfQaE 4th Loc 1 sik E1-Parcal 10 39803 010 Ob
owner street 4604 PeilkvPe pTsi.y gtafQ Esga71, MIlQ 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRAOI NG
SAM1f SEW TRUNK '
*SEWERLATERAL 1981 2277.43 455,4 5
WATERMAIN
*WATER LATERAL 1981
WATER AREA ? 91 OO OO 60.00 S
STORM SEW TRK 1981 278.2$ 55.66 5
*STORM SEW LAT 1981
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
gUILOING PER.
SAC
PARK
CITY OF EAGAN
Addition .TOHMLCAKE R11)f' F 4th Lot 2 Blk 6 Parcel 10 L39$Q'z..-02Q 0(]
ownef streec 4604h Fenkxe Nay Statg Eagaa, MN 55122
Improvement Date Amount Annual Yaars Payment Receipt Date
STFEET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
*,SEWER LATERAL $ 5 . 49 S
WATERMAIN
*INATER LATERAL 1981
WATER AREA 5
STORM SEW TRK 1981 278.28 55 , 66 S
9oSTORM SEW LAT 1981
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
CASH RECEIPT
CITY OF, EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
REC EI V [O !
FROM
AMOUNT $ I
[:) CASH E] CHECK
?
roe ?
BY
White-PaYers CoPY
Yellow-Postin8 CoPY
Pink-File Copy
Thank You
: CITY OF EAGAN SEyR SEMM pLVM
383C Pilot Kiwb Road
P. O. Box 21199
Eagsn, MN 55121
PERMIT NO.:
GATE:
Zonirq: No. of Unih: -
Owrnr:
?
?--
? STQ AddfEfi: 460^ S?st' TOil7lI1V (7" FA st !yL'
? PIINM-b!C •' { C.S•.F: . SOiI ! yiiS.; .
? 1elM h OsN% wft !V Cft oi iMPw COnrNCtion thww• ' c'.? S ilrlp.l
O?diNUeM. Ao00twnt Depolit:
? WfR1Ff FNS
SurcFw?ps:
AAisc. Choroac
Date of Iratp.: Total:
Inse.: Doh Paid:
CITY OF EAGAN WAM SERVlCE PERM1t
383Q Pilot Knob Rosd
P. O. Box 21 i 99 oERMIT NO.:
Esgsn, MN 55121 OATE:
Zoning:._ No. of Un1ts: ? -
-T}:.4_'°_
Owner:
lldd+sss:
$ih Address: '>t?'2 P ItichTB FI L. _.' .Tc]tl?+uy • • : ti.
Plumbsr. "!?-kei sor Flu^Mew No.: Connectlon Cha?qe: •r
Dsp?t.
Size: Reoder No.. Pe't ^t ?:
?q+'M /e eo?pllr wm !IM Cih oi EqNn Surchn?ge:
ordhMbom Misc. CFwrpe:; ? Total: ?_ r o
R1..
Dote Poid:
azN
ITY OF EAGAN
C PiIM Knob Rosd
. O. Ba 21199
agoa, MN 55121
aninQ: _ - ?
r.
?stx
/lddresr. ?
umber.
r No.
ze:
1 pm to ampip wi1h tM pyr
WATER SERVICE PERNIIT
PERMIT NO.:
UI1TE:
. No. of Untts:
4-nlex
CA
Ma?-
of Irup.:
m
?•
? CITY OF EAGAN SEWER SwiV" PERMR
383C Pilot K?ab Rwd
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
Zoninp: R 3 No. of Unlts: •
Owrnr. 00C1: '. ----
Address:
Addroas: =160', 40: ?
? S
:?.
I NfM 1o -OMpil wkb 1hf C*1 Of */0m
A'JIMSOM.
By
Dote of Insp.:
icw.oapd
Wnnadm 4largei Ll7 ; - ?? pd
AOOOuI1t DlpOiifS 1 S ?ing.a
PfR1iif FN: 7,
SU/Ch0rQe:
M1sC. C10PQm
Totd:
Dalr Pald:
CITY OF EAGAN
' 383 WATQt SERVICE PERIMIt
0 Pilot Knob Rwid
P. O. Box 21199 PERMI7 NO.: ';:. L
Eagan, MN 55121 p^TE:
Zanirg: No. of Units: ,.?.
Owner.
Addrw:
Sih Addross: ? 'e??•!g T _ ?,
- - i"
Plumbsr. .C?Si,: t'tu•..
lvlehr No.: Conr+ectlon Charge: ?"?. . ?? Cac
Slu: /looourM p,eposit.
Reoder No.: Permit Fee:
f yrM fe eMwpip wilh dN Cily of loN¦ Surcfiwme: . SL`j2;?
?' ?N?iC. C?IOfDQS: , c a . 00n.i
Totnl:
By
? Dah Poid:
Dote of Irxp.: Insp.:
GITY OF EAGAN WATBt SERVICE PERMfT
383C Pilpt Knob Road . , .
-
P. O. Bos, 21198 PERMIT NO.:
Eapwi; MN 55121 uATE:
Zonir,p: _ No. of Untts:
re=
/lddrcu: ? L l
?xnber
.
r No.•
. /! o?„l
??t; rI].UOAd
. ..
I .gm r..e.Ni? .rft eL. Ckr ofT4mFi&FPFiONEh?
,. IF of Insp.:
-6;---S;--Y7
CITY OF EAGAN WATER SERVKM PERMff ?
3830 Pilot Knob Rosd
P. O. Box 21799 PERMIT NO.:
Esgan, MN 55121 ' OATE:
•
Zoninp; _ ?n o- x
No. of Units:
r:
Ct: L\4k.. 4 tj'1
.
?dflfs: , _ '
l1
?..::)?'?
umber •
.
hAeter No.:
ion Charpe:
??r wilh e1N fpM ?M?_,,??dftFiBrfle:
tFa-E? ???c?t? 63 . 500?? :r,et ?r
DC? ?
aore Pofd:
o4 Inap.: ?-/C? - e? 7 Intp.:
re
ITY OF EAGAN WATER SERVICE PERM
3830 Pilot Knob Rosd P?Ij NO.:
'. O. Box 21 f 99 DATE:
,Eagan, MN 55121
No, crf Units:
iZoninp: _
,QwrNr:
1lddross:
Sits Mdrcss:
: Plumber.
Connection Charye:
. Metsr No.: AccmjM pBposit: _
. Size:
Pem+it Fee:
, Reoder No.:
? I yeM eo omvh wi1h ti& Citi ef lave"
Surchorye:
Miac. CFwroes:
' ?O? Total:
Dote Paid:
BY 1?nD.:
Date of Insp.:
CITY OF EAGAN SEWO SERVICE _ PEmff
3830 Pilot Knob Rwd pERy11T NO.:
P. O. Box 21199 :._ I
Eagan, MN 55121 D ?'?' -
Plo, of Units:
Zoning:
Owtlsr:
/lddreu:
Sita Addron:
Plumber.
?
IyrN ta eMOi! ? lM Gkf ?B!°* ^^?lon CF+arp?.
Atcourrt DePosif:
Ordh/nCM• Penr* FN:
Surchorpe:
N11sc. Choroes:
By Tata(:
pote of Insp.: Date Paid:
Insp.:
CITY OF FAGAN WATER SERVICE PERMR
3840 Pilot Knob Road
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 ? DATE:
Zoninp:. ,:"I
No. of Units:
Owner IiotaeL,
Addrosx
Site llddrew :606' -.- :',',: e Way '_.? P 6 Johnr.t• i.I_ t.. Ln
Plumber. i? ° ' - - . E'^t . inR
Meter No.
_. ffvo r _ .. & _ .. _.?- -- • FReadet No.: ? c ? ?? ? p .
I qrw te eM* wil6 !IM Gry ?v5jWqv --v =- ??(?
..
Orlfw??oM.
?? . ,--
LLr a.
* d ? P
?? ?
-
gy T??•4'(7 Date Poid:
Lalr?
Date of Insp.: Irop.•
CITY OF EAGAN WATER SERVICE PERMI'E
3839 Pilart Ifrob Road . .
P. O. Box 21199
? PERMIT NO.:
` Eagan, MN 55121 Oi?TE:
oninp: No. of Units: r
re?
ft AMrm: . . ? . . :rt:i .Yf. - .
'
. ' ' ' . . _. ..
_ . . ... r?
?.,....
1r._„ ?
umber
.
?iAeter No.: Connectian Charfle:
ze; Account Deposit:
r No.. Permit Fee:
elm to emPly vrifh gM City ef Epaw Surcharye:
O?riMwa?a Misc. Charpes:
Totol:
Dota Poid:
of 1 nsp.: I rbp.:
CITY OF EAGAN SEWER SERYlCE PERMR
383U Pilot Knob Raad
PERMIT NO.: 1'? 3
P. O. Box 21199
Eagan, MN 55121 ?ATE' 4•Pple,x
?i?? Na. of Units:
-,n ,..? , . .
I?
pwnar: ?-
Mdrcss:
' $ItR Addro55:
'?Cl1T"dP ?J?qv T ? piF Tf>:iTl`.l9 r`K ?4 ?ii
f30i; ? 1 i.; ti?? ?itp•
Plurnber.
to ewieL !L. i?? of i?¦ Conn.cHon O,aepe. 47 5. AOr?i
/?c?urst Deposit:
?
Permit Fes: _
J Surdwr0e:
$y Misc. Chorpss:
of Irop.:
;Doft Totai:
Dote Pold:
?.+
. - •. -? . . ?_. __ =.?d.?_?_......__..
CITY OF EAtiAN
330 Pilflt K:,ob Roaa
. Q, Box 21199
agan, Mti 55121
,
Zorano: _ 0c1 V?, „7
ner:
Aiddresr. .
?Sfxe Mdre:s:
:Plurnber• 3
;:µ,ftr Nor d
i5iu:
?Reader No.:
I M? to ea*?Ph ? ehs Citp ?
WATER StRYICE PERMIT
PERMIT NO.:
DATE: nx
_ No. of unirv.
int
LO . t?U
meter
•?" pota Poid:
By IroD.:
aote of I r+sp.:
PVJR .
WATER SERVWX
CITY OF EAGAN .
3830 Pilot Knob R w d PERMIT N O.: ,_ ..
P. O. Box 27199
MN 55121
an
Ea DI17E:
U
its:
,
g NO. Of
n
Zoninsi:
VAfqr• ; 1
?" ?: s
/?1?fESS'
Site /lddress:
Plumber: Cxxu,,ectian Charoe: i? ;}t?pd -
Nleter No.: Account peposit:
lO.OC
Size: Permit Fee:
Reodsr No.:
1e omA Mrlt6 !M Cit7 of isips Surchc?9s:
r
es: 1
Ch
'
1 o
g
:S . c!1 r`
: e t et
Mist.
onoMaOr' Tatu1:
pote Poid:
BY
pote of InsD.:
?
AGAN
?M SUVICE pERM
CITY OF E
? g30 Pilot Kno6 Road
21199 pERMIT NO.:
. O. Box
Eagan, MN 55121 D^?:
t
? No. o{ Un?
s:
Zonino:
`
•
•
'df?G55:
?
^-
i ; ? ,J:. r .:?C ? Y~l
? Peizeti -
•Site Address: ifike2E.,n
? 1C?i) . i?0o?3
. umber.
Pl
'
Connectton Ciaroe-
I .gm to e0100 ? VvMr tiw Cih? ef ?•?? Z 5 C? 0 c'
p
it:
ePos
Account
. OrdiM?• ponwt
•
Surchame'
Misc. Chorow
? BY Tota1:
Dote of Irnp.: _ Deft paid:
This request void ?j.7n/8"J
18 months }rom
C 816 7 6 k.-?2. ?az,
,. _.
qepmred? ?Aeatly Nuw oiJl Notify. Insuec-
a ?y( ?Dfyyy ?No r When fleatly
?AIcensed ElecVical ConVactor 1 hereby rep.est inspection oi abo?e
? Qwn@t eleciricel work irretelled at:
S e t Atld?s, Bov ar Route? ?
? Ci
ection o. Towns ip Name or No. Range No. C !"v
Oc punt (PqINT) Phone Nn.
Power Supplier Atldress
Elect ' I Contractor ICompany Namel
? Convacm s License
Mailin Ad slContracto orOwn Makin sta
Lk-t ilation) AJ
U O *?
A orized Signatvre IConnacmr/Owner Ma ine installation)
?
Phone Number6
?
MINNESOTA gTq BOpRD OF ELECTPIGTY THIS INSPECTION NEQUEST WICC NOT
Grigpa•Midway BId9• - Aoom N•191 BE ACCEPTEO BV THE STATE BOARD
UNLE33 PROPEX INSPECTION FFE IS
1821 Univernitv Ave.. St. Paul. MN 55104
Phone(612) 642-09D0 ENCLOSED.
.`.iuEST POR ELECTRICAL INSPECTION EB-00y00/1-05
11, See instruetions lar comoleling this form on back ot yellow coDV.
:C ?1 76 "X" Below Work Covered by 7hrs Request
Phr4Addj fle0. TvPe o7 Builtlino Aoolianene Wirwd I Eau?oment WireA 1
H%
ce
Mi
M I ioe SefviceEntrenceSize A Fea Faeders/Subfeede,s N Few Cirwits
1o20 0 Am s 0 to I O A m s
0 to 30 Am
Above 200 Am xs 4
31 to 100 qmps
?
31 to 100 A s
Swinuning Pool Above 100_Am s Above 100_Am s
Transtormers Irngation Booms PertiaL'Other Fee
Signs Speclalinspection ?.
Hemerks !92 TOT FEE.
t r 7AGj
?' ? h-?D?? InsGecbq hareby
? certifV [hpt ihp above
Final /Jl" / / ? Dn e
I /? ?-.??? /?l ) lb ? m¢de.Ctibn heS bBBn
?
rnis „ .est voia ?
18 months trom J
C.816 7 5 i /, &&??."4d-'6 ZCA¢ sZ`?
}
c1-9o 7°'
?`sl7 c? o
Reduest Dat Fire No!/ Nouph-in Ingveetion
amred7
?Neady Nuw Will Nolily, Insper
U Ves ?NO or When Reatly
0Licensed Elecbical ConVflctor I hareby repuesf ins0action ot ebove
? Owner electrical work inetalled at:
Sir at Atldress, Boz r Poute No. Ci?
?..J
LA 1
ection o.
I
T
owns 0 ame or No.
I
an9e No.
Co iity
Occ entIPFINT) Phone No.
Pawer Dlier ? Address
Ela rical Conuector ICamvany Na
? Convacmr's License
Maif p Atl ss ICOnVa ar 0 w99k MBk'
1.l? Ins?eila?ioN
nJ
3
Au izetl Sipnamre IConvactor/Owner Maki g Inswllationl P one umber
I
MINNESOTA STA&"APD OF ELECTqICITV ? THIS INSPE&ION REQUEST WIIL NOT
drippa-MidweY B7dp• - Room N-787 BE ACCEPTED BY TNE TATE BOARD
7827 Universitv Ave.. St. Paul. MN 56704 UNLESS PHOPEN INSPECTION FEE IS
Phone161YI842-O800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION e?a/-oopooyi-os
? -/ , See insfructions for completinq this form on beck o1 yellow copy.
?QTr 7r, "X" Below Work Covered by 7his Request
Equipment Wired
lo Unloader
dk Milk Tenk
p Fee ServicaEntrBneeSiae !1 Fee Feeders/SuEleede?s a Fea Gircuits
U to 200 Am s 0 to 30 qm s tn 30 Am s
Above 20 _qm Ps- 31 to 100 Amps 31 to 100 Am s
Swimming Pooi Above 100-Amps Above 100_Aml?
Transiormers Imgation Booms PartiaL'Other Fee
' I I$igns I I ISpecial InSpection { `
Hemvrks 5`'?'? ? OT F E bYl
? ".
°°°u°-,'• ? // ? ..? I.th ElecVi
Inapec ereby
cerlifv that the above
Finel le "^
L i6 '1? ? insoection has been
mede.
mle repuast voltl
12a47
aa?Z-0-
y?? s ?` ?'
,? 1 ?
F vest D e Fire No.
y ough-in Inspetlion
e uireOP
Vas G Nb ?/
? ReaJy Now LWViII Nolity Inspemor
When Reatly?
Ilicensed contractor ? owner hereby request inspection of above electrical work at:
Job Adtlr ss(SlreeL Bor or RoNe o.?
`Q 2, Ciry
Cd4?
4
Sedion No. Townsni0 Name or No. Range No. Cou
?r
OccuOantIPRIN 1^???
? ' P?on¢ No. ? .
-?
Power $vpplier Adtlress
ElecVicai GonVactor (COmpany Name)
f??/7`y IUI CZIC GOnhectaE Litense No.
Mailing Atldress ICOi or Owner Maxing Installahon?
?)(0
Aumorizetl na 1 ac r Making Instali
Ppo7 NumDer
?2 2 `-22-j-*Z)
MIN SOTA $TATE /RD OF ELECTRICITY
Grlggs-MMwey Bldi - Room 5473
1821 Univnaily Are.. SL Peul, MN 55104
PhoM (612) 6412-0800
THIS INSPECTION FEpUEST WILL NOT
BE ACCEPTED BV THE STATE BOARD
UNLESS PROPER INSPECTION FEE IS
ENCLOSED.
? REQUEST FOR ELECTRICAL INSPECTION A .?`iy`'e? ea.o m-os
?
9 9 7 See inswclions lor canpieting Viis lorcn on back o1 yeliow copy. . ?Q . aa???-
K X" Befow Work Covered by This Request
ew Wd Rep. ?- TypeoiBUilding AppliancesWired EquipmeMWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Olher-(Speci(y)
Comm./Industrial Furnace
Farm Air Conditioner
Other (specHy) ConUactor5 RemaMS:
Compute Inspection Fee Selow:
# Olher Fee # ServiceEntranceSize Fee # Cimuits/Feetlers Fee
Swimming Pool D to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
Signs Inspector5 Use Onry: \ TpTAL h'
Irrigation Booms
Special Inspection
Aiarm/Communication THIS INSTALLATION MAY BE ORDERED ID SCONNECTEU IF NOT
Other Fee COMPLETED WRFIIN 18 MONTHS.
1, the Electrical Inspector, hereby Aougn-in oa?ell
?
certif that the above in5 ection has
Y P
been made. Final Daie
OFFICE USE ONLY
This request voi0 18 months irom
L 1-4 ,_B 6 CITY OF EAGAN A'
3830 Pilot Knob Road„ P.O. Box 21-199, Eagan, MN 55121N2 12620
BUILDING PERMIT PHONE: 454-8100
ReceiptM
Toheusedlor 1 OF 4 PLEX Est.Value $48,000 pate SEPTEMBER 16 19 86
SiteAddress 4604 1/2 PENKWE WAY Erect LY. Occupancy R3
Lot 2 elock 6 Sec/Sub. JOHNNY CAKE Remodel ? Zoning PD
RIDGE 4TH
Parcel No Repair ? Type of Const. y
. Addition ? No. Stories
a
Name GOOD VALUE HOMES
Move ?
length dd
W
1460 93RD LN N
3
oemolish ?
Depth2r
Address
° mt.lmpr. ? Sq.Ft.
BLAINE 780-5510
City Phone Insfell ?
o Name S?+ME ApProvals Fees
r°?a Address Assessment Permit $ 274.00
'- ciry anone Water&Sew. Surcharge 24.00
?? Police Plan Review 137. 00
w w Name Fire SAC 575.O0
? Address
u ?
Eng.
Water Conn. $ 0 ?.0 ?
a W City pnone Planner Water Meter 63. 50
Council Road Unit 290.00
Iherebyacknowiedgethatlhavereadthisapplicationandstatethatthe Bldg.Off. 9 /16/8 Tr.PI. 156.00
information is correct and agree to comply with all applicable State of
Minnesota StaWtes and Ciry o ga rdina es. APC Parks
?
? Var. Date Copies
Signature oF Permitte= t
?
? $ z
Total ? Q19 .$Q
A euilding Permit is issued to: GOOD VALUE HOMES an the express condition that
all work shall be done inaccordance with all applica6l Sfate of Minnesota atutes and City of Eagan Ordinances
Building Official
FOR SALE TOWNHOUSE CITY OF EAGAN Np 126?9
L 1_4 , B 6 3830 Pilot Knob Road, P.CfR 8ox 21-199, Eagan, MN 55127
PHONE: 454-8100
BUILDING PERMIT rteceiptp ?
7obeusedtor 1 OF 4 PLEX Est.Value $48,000 pate SEPTEMBER 16 11986
SiteAddress 4604 PENKF7E WAY Erect ?l Occupancy R3
Lot 1 Block 6 SeciSub. JOHNNY CAKE Remodel ? Zoning pn
Parcel No. RIDGE 4TH
w Name GOOD VALUE HOMES
3 Address 1460 93RD LN N
° ciiy BLAINE phone 780-5510
o Name SAMF.
0 ? Address
Ciry Phone
F W Name
? ? Address
City Phone
1 hereby acknowledge that 1 have read this application and state that the
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City,oGEa , Ordi nces. ?
Signature of Permitte
?-
A euilding Permit is issued to: GOOD VALUE HOMES
all work shall be done in accordance with all ap,pyca4lEState of Minnrso
Repair ? Type of Const y
Addition ? No. Stories
Move ? Length 44
Demolish ? Depth2,d
Int. Impr. ? Sq. Ft
Insfall ?
Aoorovals Fees
1tbegssment _
Water & Sew.
Police
Fire
Eng.
Planner_
Council _
Bldg. off. 9 /16 /S 6
APC
Var. Date
Permit +?' L /4. UU
Surcharge 24.00
Plan Review 137. 00
SAC 575.00
Water Conn. 5 0 0. 0 0
Water Meter 63 . 50
RoadUnit 290.00
7r. PI. 156. 00
Copies
Total $2.019.50
on the express condition that
and Ciry of Eagan Ordinances.
Buildinq Official
L 1=4 , B 6 CITY OF EAGAN 12621
3830 Pilot Knob Road, P.O. Box 21-799, Eagan, MN 55121N2 PHONE: 454-6100
BUILDING PERMIT " A Aeceiptx
7obeusedfor 1 OF 4 PLEX Est.Value $48,000 Date SEPTEMSER 16 1g86
5iteAddress 4602 1/2 PENKWE WAY Erect M Occupancy R3
Lot 3 elock 6 5ec/Sub. JOHNNY CAKE Remodel ? Zoning PD
Parcel No RIDGE 4TH Repair ? Type of Const. 1.7_
. Addition ? No. Stories
a GOOD
Name VALUE HOMES Move ? Length 4
i
1460
93RD LN N Demolish ? Depth 24
3
° Address Int.lmpr. ? S Ft
Q
pity BLAINE phone 780-5510 Install ?
= o Name SAME
? ? Address
? City Phone
?a
F W Name
Address
< W City Phone
I hereby acknowledge that I have read this application and state that the
intormation is correct and agree to comply with all applicable State of
Minnesota Statutes and Ciry of S rdi ces.
Signature of Permittee, - -
A Building Permit is issued to: GOOD VALUE HOMES
all work shall be done in accordance with all Sdpli ille State of Minnes
Building OHicial
`n
Assessment
water & Sew.
Police
Fire
Planner
Council
eidg. Off. 9/16 / 8 6
Var. Date
Feee
Permit a L/ 4. U U
Surcharge 24.00
PlanReview 137.00
SAC 575.00
Water Conn. 500 . 00
Water Meter 63 . 50
RoadUnit 290.00
Tr. PI. 156.00
Copie
rotal Z.019.50
on the express condition ttiat
and Ciry of Eagan Ordinances.
L 1--4 , B- 6 CITY OF EAGAN
- 12622
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN sS1Z1Np
P'HONE: 454-8100
BUILDING PERMIT Receiptp 6 /
144; 6
1
Tobeuaedfor 1 OF 4 PLEX Est.Value $48,000 Date SEPTEMBER 16 ?g 86
SiteAddress 4602 PENKWE WAY Erect 13 Occupancy R3
Lot 4 Block 6 Sec/Sub. JOHNNY CAKE Remodel ? Zoning PD
Parcel No RIDGE 4TH Repair ? TypeoiCanst. J7
.
Addition
?
No. Stories
a GOOD
Name VALUE HOMES Move ? Length 44
w Demolish ? Depih2r4
o Address 1460 93RD LN N Int.lmpr. ? Sq.Ft
City BLAINE phone 780-5510 Install ?
Name SAME - - ? Approv:
a
= F
$ 2 Address Assessment _
? city Pnone Water 8 Sew.
? Police _
a
t i Name , Fire
u ? Atldress En9
I W City Phone
I here6y acknowledge that I have read this application and state that the
information is correct and agree to comply with all applic ble 5t
Minnesota Statutes and City o g Or " a Ces. .
Signature of Permittee
A euilding Permit is issued to: GOOD VALUE HOMES
all work shall be done in accordance with all apWicable jui; . of Minnesa
' -
Planner
Council
Bldg. Of
APC-
Var. Dab
Permit $ 274.00
Surcharge 24.00
Plan Review 137.00
SAC 575.00
Water Conn. 500.00
Water Meter 63.50
Road Unit 290.00
rr. PI. 156.00
Parks
Copies
rotal $2 ,019.50
on the express condition that
and City of Eagan Ordinances.
Building Official
3830 Pllot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
---------.
I FgPi9ffice`05e ?
? Permit #: I
I Permil Fee: 2 a-7•
I
I 7 3r
? Date Received: ?
I ?
? Staff: ?
? ?
-----------------
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: s SiteAddress: ?`?t"? W a Y
LvU,z'lZ. su;te #:
RESIDENT / OWNER Name: UMtY Phone:
vJ v
Address / City / Zip:
Conlrador
O
I
wner
Applicant is: _
-
TYPEOFWORK Description of work: fze11U?
Construction Cost:$ 11.1QK5 Multi-Family Building: (Yes No
?ayl oyy License#: ( U"?I.??II
?
Q
c
CONTRACTOR Name
_
T
?
Address:??7?'
t ?
l State: N1 t?l Zip: ?Z-1
?1?Y'?V?
.
City:
Phone: l D5!i""4 UU, W?i Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rutes 7672
Energy Code . Residential Venlilation Category i Worksheet • New Energy Code Worksheet
Category Submitted Submitted
(V submission type) • Energy Envelope Calculations Su6mitted
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: Phane:
arexconsJderetl to be public,lnformatioli.:Portions of
NOTE: Plans and?supportrng documenfs thafyou?submlt
'
?
CityTo
the informat?on may be classified as;non p'ublic?f?you?p?ovide spec??c?reasons thai would,perinit the
.•conciads':ihaf#he .?are'traal?secrefs „?.,"' ..? •??'"
z
??u
;?
.
,
. . ,,
. ?
ct or
113
I hereby acknowledge lhat this information is complete and accutate; that lhe work will be in wnrormance wlth the ordmances and codes of the i y
Eagan; that I understand this is not a permit, but only an application for a pertnit, 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 revlew and approval of plans.
?Lv ??'?h-? I N1c,C_r?__n?'? X
X Applican s Signa ure
qpplican s Printed Name Page 1 of 3
y(01(yYU
PERMIT#
RECEIPT DATE:
2002 i?U1Y7+N1 Il'[L
PE$MIT APPLiCATION
crrY oFEAsM
3830 PaoT xxo$ ltn
eastuu, auv ssi sE
851-681-4675
Please complete for: single family dwellings, townhomes and condos when permits are required for each unit,
ir[inRtlon Svstefil_ q?)
BADENHOFF,KATHLEEN
SITE ADDRESS: ? 4602 1/2 PENKWE WAY ,
_ EqGAN, MN 55122
OWNER NAME: : (ssi) 452-2068 TELEPHONE #:
(AREA CODE)
INSTALLERNAME: ? t
NOrbIbW1 IPIIAW\61?lh
TELEPHONE#:
(pI2'9L(-4f0$3
STREETADDRE.SS: 201d!5 (AREACODE)
CITY: STATE: MM Zip; 55409
_ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00
includes $40.00 County fee
Note: Additional consultant fees may apply
• MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDINGJ
_ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00
_ Abandonment of septic system.
_ Water turnaround - existing dwelling unit (+ 518" meter if needed -$118)
Other:
_ RPZ: new installation/repair/rebuild ?$ 30.00
_ lawn irrigation system
I
ReplacomenUadditional: _ watersoftener X waterheater 15.00
State Surcharge $ .50
Total g 1550
I here6y acknowledge fhat I have read thfs application, state thatthe information is correct, and agree to complywith all applica6le City of Eagan ordinances. It
is the applicant's responsibllity lo notify Ne property owner that the City o( Eagan assumes no Ilability for any damages caused by the City during its normal
aperetional and maintenance activities to the facilities wnsWcled under this pertnit wlthin City pL e lright•of•way/easement.
?
SIGNAfSf OF PERMITTEE 1102
COMMERCIAL
? bI (R I 2002 BUILDING PERMIT APPLICATION
CITY OF EAGAN
651-681-4675
)/3 ?S^
Foundation Onl New Construction Interior Im rovement
• Structural Plans (2) sets • ArChitectural Plans (2) sets • ArchiteCtural Plans (2) sets
• CivilPlans (2) • StructuralPlans (2) • CodeMalysis (1)
• Certificaleof5urvey (1) . CivilPlans (2) • ProjectSpecs (t)
• Code Analysis (1) . Landscaping Plans (2) • Key Plan (1)
• ProjectSpecs (1) • CodeAnalysis (1) • Master Exit Plan (1)
• Spec. Insp. & Testing Schedule " . Certifcate of 5urvey (1) • Energy Calculalions (t) not always"
• Soils Report (1) . Spec. Insp. & Testing Schadule (1) • Elec. Power & Lighting Form (1) not always"
• Meter size must be established • Meter size must be established • Meter size must be established - if applicable
• PrqectSpecs (1)
EnergyCalculations (7) "
" R M
?
?
1 • Eledric Power & Lighting Form (1) CI
I C
D
1
•
Master E?cit Plan
(i) D
1
d . Fire Proteclion Plan (1) `• (??Y 1 o 2002
1 • SoilsRepart
(1)
d
• MC/ES SAC determination letter . MGES SAC determination letter • MGES SAC d ination letter ?
call 651-602-1000 call 651-602-1000 call 651-602-1 0
" Contact Building Inspections for sample
Food & beverage or lodging facilities - submit plan to MN Department of Health.
DATE: ? WORKTYPE: NEW REMODEL
SITE ADDRESS: `CIOCy-1'"
TENANT NAME??
FORMER TENANT NAME, IF
DESCRIPTION OF WORK I
-`/2: 1_0
?I Y _
Call 651-215-0700 for rfails.
CONSTRUCTION COST: `-' - ?
1S',.SUITE #:
G'R-
PROPERTY
O W NER
CONTRACTOR
ARCHITECT/
ENGINEER
Narnc?Oh,t'q Cbk k*ZaJ11w kww #: f2 c3126, A)R7 vjx
Last First
Street Address: 'p( n{ D lk, ya T( Ll Y l l, lC.al. V (A
City: ? ? l l U,11 State:
Company:
Zip: 6M!5?-
Phone #: (&-,H ) l7" In'q1(J`W
Street Address: 1 V b IYlU11 l\IT
City: (& ((W State: IW1_J Zip:
Company:
Name:
Street Address:
City:
Licensed plumber installing new sewerlwater
Phone #: (
Registration #: _
State: Zip:
Phone #:
I hereby acknowledge that I have read this application, siate that the information is correct, and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances. ?1 '?CN
SignatureofApplicant ?F....e --
Jamas GeiJe'i, '?"" Updated 1102
OFFICE USE ONLY
SUBTYPE
? Ol Foundation ? 26 Public Facility ? 30 Accessory Bldg.
? 14 Apartments ? 27 CommerciallInd ustri al ? 32 Ext Alt - Apts.
? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt - Comm.
? 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt - PF
? 37 Nail Salon
WORK TYPE
? 31 New ? 35 Tenant Impr G 42 Demolish (Foundation) ? 46 Windows/Doors
? 32 Addition ' C 36 Move Bldg ? 43 Reroof ? 47 Repair
? 33 Alterations ? 37 Demolish (Bldg) ? 44 Siding ? 48 Authorization
? 34 Replacement ? 38 Demolish (Int) ? 45 Fire Repair
GENERAL INFORMATION
Census Code Zoning sq. ft.
SAC Code # of Stories sq. ft.
No. of Units Length sq. ft.
No. of Bldgs. Width sq. ft.
Const. (Actual) Basement sq. ft. MC/ES System '• •
(Allowahle) , i First-Floor sq.'ft. . ' , , + • CatyWater ' . • UBC Occupancy .. - ? . . . 'sq fY . ; ` . '.• r , Fire Spiinklered • • •'? •T-
. . . . . r • . ? . r • . .. .
t ' '? ' Y `• % • • • ?. ? '1 :
MISCELLANEOUS INSPECTIONS
? Gas Service Test ? Heating ? Insulation q Plumbing C7 Stucco/Stone
:.. • .. r .. -
APPROVALS .
-.? .
.? -
r '
Plahning? f . . ..: '.?Building {EngiYfAeringf ;? • ; • ?40,? V'afirarice +•
• ?p , . . ? •? . . ? ., a • . .
Permit Fee . .
Surcharge .? Plan Review
MC/ES SAC
. ,
City 5AC
Water Supply & Storagp- _
S/W Permit f • ?
S/W Surcharge
Treatment Plant
Park Dedication
Trails Dedication
Water Quality
Other
Copies
. ; ?
, ..
I • ,
,
VALUAI'I,ONr $ ' ' % t ?
%SAC ? '- ' • ' ?,I.: .. .'
. .. , . ,?.
SAC Units , . ? • , •
Meter Size
• , ? r .
? . °.
.
Total
GEfl3'IFICA TE OF S''JRVEY
For. GOOA VALUE HOMES
C.R. WINDEN 6 ASSOCIATES, INC.
Land Planning, Surveys 6 Sits Design
1391 Eustis St.. St. Paul. MN 55508
Tel. 645-3648
\
?
\
?
?
?
?
?
?
(qA8) . CY4'+' (
I Proposed Pr%w}e Dr'ye
x.C9441
C?Aa oi1 j 570o q o 57. DO
o ? 44.0? 444 ry
M n?r p?^o , sed 4-P/"-u "'
44.0 44.0
m?`: 57.00 050 57oa
94?
g
L949? t
pr ?ed Pr%r°fa Drlre?
I _? +C9491 ?
(949,5)
9-5)
\
\
\
Lots 1 throuqh 4, inclusive, Hlock 6, JOHNNY CAxE
aIpGE FOURTH ADDITION, Dakota County, Minnesota.
J
L£s£nCJ
X%%.X Denatee Ezietfng Elevation
(%7(X.%) Denotea Propoaed Elevation
O OenOtee Iron MOnumBnt
? Denotee Mootlen Stake
-y--- Donotea 5urface urainepe
A^opose0 Fbuse Elevativna
7ap of founCatiCn '
Gerage Floor 950.e.3
6seement F]oar -
Scs1e S'
B.M.
Inf'f/serh?.,?p,{ P??k ?
.llt?,Di;gc-EI- 94&i4
Oatun 9 .tdT
I HEREBY CERTIFV THAT 'HIS SURVEY, P,LAN. OR REPORT WAS PREPARED BY ME OR UNOER MY
DIRECT SUPERVISION ANO THAT I AM A DULY FiEGISTERED LAND SURVEYOR UNOER THE LAWS OF
THE STA7E OF MINNESDTA.
Deted lhls 911-11 tlay of e e r, 38_jt?. C.R. WINDEN 6 ASSOCIATES, INC.
. ,
bY
Baok_ Pa9e= Minnesota RegistratSon No. 7
7L ?
?-a-
1986 B[IP[.DING PERMRT APPLICATION
H02S: ALL CONTRACfORS M[JST BE LICENSED SiITH THE CITY OF EAGAN
SINGLE FAHILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SIIRVEY, 1 SET OF ENERGY CALCULATIONS
MOLTIPLS DWELLINGS - HESIDENTIAL RE.'NT9L IIHITS FOH SALS QNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SIIRVEY - CHECB itITH BLDG. DSPT.,
1 SET OF BNERGY CALCULATIONS
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANASCAPE BOND
To Be Used For:
Site Address
C. D
Lot ? Bloek ?
?
Valuation: Date: 9- 5L 9-(??
? k/-,,.
Parcel/Sub L??
Owner
Address f"Q 29
City/Zip Code
?
Phone [, ?'/,-2
Contractor
Address
City/Zip Code
Phone
Arch./Engr. _
Address
City/Zip Code
Phone #
Erect ? Occupancy ?
Remodel Zoning
Repair Type of Const -M
Addition U of Stories
Move _ Length 44
Demolish Depth -z-4_
_
Int.Impr. Sq Ft
Install
APPROQALS FEES
Assessments Permit L7v
Water/Sewer Surcharge Qri/
Police Plan Review
Fire SAC 6-7
Engr Water Conn ?
Planner Water Meter
Council Road Unit 2 e)
Bldg Off Treatment P1
APC Parks
Variance Copies
TOTAL ? O
NOTE: ADDRESSBS FOR CORNER LOTS - CONTRACYOR/HOHEOWNER lSQST DESIGNATE BHICH ADDRESS
IS DESIRED. NO CH9NGES iIILL BE ALLOWED ONCE SDILDING PERMIT IS ISSQED.
N
1986 BOILDING PERlIIT APPLICATION - CITY OF EAG9N
NOTE: ALL COATRACTORS M[TST BE LICENSED WITH THE CZTY OF EAGAt+i
SINGLE FAhIILY DiiELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
MOLTIPLS DiiELLINGS - RESIDENTIAL RENTAL II9ZTS FOR S9LE ONITS
INCLUDE 2 SETS OF PLANS, CERTIFIC9TS OF SORVER - CHECB WITH BLDG. DEPT.,
1 SET OF ENERGY CALCIILATIONS
COPIlMERCIAL
INCLIIDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For: ? Valuation:
?-, a ' ? -
Site Address
Lot _?? Block 4/,
Pareel/Sub
Owner (? p
Address /O y?? .trl/ L.? ?tl"
City/Zip Code ,p Zep,,v?,,
Phone
Contractor
Address
City/Zip Code
Phone
Areh./Engr. _
Address
City/Zip Code
Phone If
Ereet
Aemodel
Repair
Addition
Move
Demolish
Int.Impr.
Install
Date: r- /-
Occupancy
Zoning
Type of Const
# of Stories
Length
Depth
Sq Ft
APPROVALS FEES
Assessments Permit
Water/Sewer Surcharge
Police Plan Review
Fire SAC
Engr Water Conn
Planner Water Meter
Council Road Unit
Bldg Off Treatment P1
APC Parks
Variance Copies
TOT9L
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACYOR/HOMEOWNER MQST DESIGN9TE AHICH ADDRESS
IS DESIRED. NO CHANGES WILL HE ALLOHED ONCE BDILDING PEAMIT IS ISSQED.
1986 BOII,DING PEH?QT APPLICATZ09 - CITY OF E9GAN
NOTE: 9LL COPTRACTORS MQST BE LICENSED BITH THE CITY OF E6G9N
SINGLE FAMffLY DiiELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
HOLTIPLE DWELLINGS - RESIDENTIAL RENTAL DNITS FOR SALE ODIITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SORVEY - CHECg iiITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMRlERCIAL
INCLUDE 2 SETS OF ARCAITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For: Valuation:
Site Address L";('O z 'PAffAy I
Lot Hlock g?,_
Parcel/Sub
owner Gpc - ? //?? ?-- ?.
Address /?/Gd 91 9 4?Gi1/ X/
City/Zip Code
Phone
Contractor
Address
City/Zip Code
Phone
Arch./Engr. _
Address
City/Zip Code
Phone 0
Erect
$emodel
Repair
Addition
Move
Demolish
Int.Impr.
Install
Date: y -
Occupancy
Zoning
Type of Const
8 of Stories
Length
Depth
Sq Ft
APPROVALS FEFS
Assessments Permit
Water/Sewer Sureharge
Police Plan Review
Fire SAC
Engr Water Conn
Planner Water Meter
Council Road Unit
Bldg Off Treatment P1
APC Parks
Variance Copies
TOTAL
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOiINER MQST DESIGNATE AHICH ADDRESS
IS DESIRED. ND CHANGES iJILL BE ALLOWED ONCE BIIILDING PEAMIT IS ISSIIED.
1986 BOILDING PfiBiIT APPLICATION - CITY OF EAG9N
HOTE: ALL CANTRACTOES MtTST BE LICENSED NITH THE CITY OE EAG6N
SINGLE FAlIILY DTiELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SIIRVEY, 1 SET OE ENERGY CALCULATIONS
MUI,TIPLE DWELLINGS - AESIDENTI9L RENTAL IIdITS F08 SALE ONITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SORVEY - CHECB iiITH BLAC. DEPT.,
1 SET OF ENERGY CALCULATIONS
COhAfERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
7 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For: Valuation:
Site Address
Lot a Block (o
Parcel/Sub
Owner
Address 0 9,3 /ll
City/Zip Code
Phone -
Contraetor
Address
City/Zip Code
Phone
Arch./Engr. _
Address
City/Zip Code
Phone #
Ereet
8emodel
Repair
Addition
Move
Demolish
Int.Impr.
Install
Date: 9-
Occupancy
Zoning
Type of Const
S of Stories
Length
Depth
Sq Ft
AYPROVALS FSES
Assessments Permit
Water/Sewer Surcharge
Police Plan Review
Fire SAC
Engr Water Conn
Planner Water Meter
Council Road Unit
Bldg Off Treatment P1
APC Parks
Variance Copies
TOT9L
NOTE: ADDRESSES FOR CORHER LOTS - CONTA9CYOR/HOHEOiiNER lSIIST DESIGNATE W$ICH ADDRE3S
IS DfiSIRED. NO CH9NGES WILL BE 9LGOAEP ONCE BIIILDING PERMIS IS ISSQED.
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS: Lo T :
4602 PENKWE WAY
JOHNNY CAKE RIOGE 4TH
PERMIT SUBTYPE:
BASEMENT FINISH
4 BLOCK: 6 APPLICANT:
SMITH CONST, TOM
(612) 935-9005
TYPE OF WORK:
euzLozNG
@23266
e4/is/9a
ALTERATION
INSPECTION
FRAMZNG ., .
INSULATION „
RQUGH IN PLBG FINAL
REMARKS: SEPARATE PERMIT3 ARE REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK
?
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
?
?
? CIT1( OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
(N au,s-3
auzLoxN
023266
04/11/94
SITE ADDRESS:
4602 PENKWE WAY
LOT: 4 BLOCK: 6
JOHNNY CAKE RIDGE 4TH
P.I.N.: 10-99863-040-06
DESCRIPTION:
'?--._
Buiilding' Permit 7ype
Buildimg Wo,rk Type
l
f i
?
`il ?
t \
1
'? . . .. .:_r
BASEMENT FINISH
ALTERATION
'rp??`'t''i
? \?4Ji?'L'l?'J
REMARKS:
SEPARATE pERMZT3 ARE REQUIRED FOR ANY PLUMBING OR ELEC7RTCAL WORK
FEE SUMMARY:
Base Fee
Surcharge
Lic. Search Fee
Tota1 Fee
$35.00
$.50
$5.00
$40.50
- Applicant - ST. LIC.?TOWNER:
19359005 0007959 HOMPSON pTANE
1802 PENKWE WAY
EAGAN MN 55122
(612)688-6594
CONTRACTOR:
SMITN CONST, TOM
5945 WALNUT DR
EDINA MN
(612) 935-9005
55436
?
I
I hereby acknowledge that I h-ave read this applicatinn and stete t1lat the
information is correct and agree to comply with ell applieable State of Mn:
5tatutes ahd Gity of Eagan Ortlinances.
APPLICAN EE SIGN TUR
! IS3UEEIBYI IGNA RE
13ILL
CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION
681-4675
_40._?0
E
4,00 06 1994 (
?
---------------
SINGLE SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of ehergy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date ?PT_ Valuation of work ?o ?
.
Site Address: ??OZ ?i?,?? h/,C?S?
STREET ? SUITE #
Tenant Name: (commercial only)
LOT ? SLOCK
?jP? 4 ?t !l P.I.D. #
,
Descri tion of work: 'Fj
The applicant is: El Owner kf Contractor 0 Other (Describe)
Name ?-?fah.?.&'-ip.v D'/.27ve- Phone 4:re$.$'L
Property ?AST T FIRST
Owner '4-
qddress z 2
,57 'M-r/
STREET STE #
City State /Z?L Zip ? 211
Company 'la ???e-ti ? ?,???rPu- ?-?.nPhone *iee 5'
Contractor Address ?Q/?S? ,,??/??i? /?? License #a°ZZSq Exp.
City State Zip _;5s?
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
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.
Signature of Applicant: ?C :Z ?--1? -
OFFICE USE ONLY r s, ?? ??•.
BUILDING PERMIT TYPE %1`
? 01 Foundation ? 06 Duplex ? 11 Apt./lodging 13 16 Basement Finish
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition O 08 8-Plex ? 13 Garage/Accessary ? 18 Comm./Ind.
? 04 SF Porch O 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 SF Misc. O 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
? 31 New ZI 33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const, (Actual) Basement sq. ft. MWCC System
(Allowable) lst F1. sq. ft. City Water
UBC Occupancy 2nd fl. sq. ft. PRV Required
Zoning Sq. Ft. total Booster Pump
# of 5tories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code 3 f
Depth On-site sewage SAC Code o/
Census Bldg /
APPROVALS Census unit a,
Planning Building Assessments
Engineering Variance
REG1l3IRED lNSPECTIONS
? s;te
? Wallboard
? Footing
,E7 Final
,8 Framing
? Draintile
,O Insulation
? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
r. no
vstuec;m:
SAC %
SAC Units
***********k*?*?****#******************
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 765
DATE: 08/14/00 TIME: 07:57:52
ID: '
NAME: P. ALFIROW
3210 9001 4604 PENKWE WAY 60.00
2155 9001 4604 PENKWE WAY 0.50
Total Receipt Amount: 60.50
CR135710
USER ID: JAN
2000 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
L4 -?-2-C) `?
41--\
> 3 reglatered alfe wrveyp showiny sq. H. ot bt, sq. B. W houte
and gp rooled areas cais nwximum ioi coveraaa aiiowedi
n 2 eoples of plans (ahow beam & window slzes; poured Ind. deslgn: etcJ
> 1 ser d enerpy calewanons "
> J coplea W hee pre naMOn plon H IW p1aMeC after 7/1/93
?
DATE: T41
Name: L 1/?/h Phone A:
Last Flrsi
DESCRIP110NOFWORK: S"s? K'Ra, ?-wPwi
STREET ADDRESS:
LOT: I BLOCK: ¢_ SUBD./P.I.D. #:
PROPERTY
OWNER
COMRACTOR
ARCHITECT/
ENGINEER
cinr oF eacnN
3830 PILOT KNOB RD - 55122 ?? U ?
851-881-4875 _ n „
0
S--1U-v0
2 coples a plan
13e1-ofsnsrgy caladaHOns lor heated addiflons
tsite-roroerfor exledor admHOnE & decks
CONSTRUCTION COST: II, D=l?'00C)
E wil-
City Sfate: /Lf /-j I Zip:
Sheet
Company. Dl ?
Sheet
CNy
Sfate:
Company: Name:
Telephone #: (
Sfreet Addresa: Regishaflon 1f:
CNy
State:
Sewedwater licensed plumber (if installina sewarlwaterl: Phone #:
Zlp:
LP:
1 hereby acknowledpe that 1 have read this applkafbn, slate fhaf fhe infortnatbn is cortecf, and agree to complY wih a0 applcable State
of Minnesota Stalutes and Cify of Eaflan Ordtnancea ?
Signafureof Applicant ? -
OFFICE USE ONLY
Certificates of Survey Received _
Tree Preservation Plan ReCeived _
Yes No
Yes _ No - Not Required
Phone i: _
(area code)
Llcense # ExP•
=9W
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 21 Porch (3sea.)
? 02 SF Dwelling ? 08 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 03 01 of _ plex ? 09 07-plex O 18 Deck ? 23 Porch (screened)
? 04 02-plex ? 10 08-plex AD 79 Lower Level ? 24 Stortn Damage
? 05 03-plex ? 11 10-plex Plbg _Yor_N O 25 Miscellaneous
? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg.
WORK TYPE
31 New ? 36 Move Bldg. ? 43 Reroof
O 32 Addition ? 37 Demolish (Bldg)" ? 44 Siding
? 33 Alteration [3 38 Demolish (Interior) ? 45 Fire Repair
? 34 Repair 0 42 Demolish (Foundation) ? 46 Windows/Doors
* Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code # of Stories S9• ft•
No. of Units Length sq. ft.
No. of Buildings
7
, Width Footprint sq. ft.
Census Code
Const. (Actual) -r Basement sq. ft.
(Allowable) ? Main level sq. ft. MC/ES System
UBC Occupancy ? va-- e *. ft. City Water
Zoning sq. ft. Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
? Stucco/Ston e
APPROVALS
Planning Building lv? Engineering Variance
? 31 ExL Alt - Mufti
? 33 Ext. Alt - S F
? 36 Mum
?
Permit Fee 0
Valuation: $
Surcharge
6d
Plan Review
License - ? J?
3lS??"x? s- ?i
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
SAC Units
% SAC
.:.
• .
yi1_ ..
f . .
.Y Y . a
T'??Y?TTRTTT?T.RTT?T T??*JAX??RT?TT'?TT?mTTT?TTTT ^ a
; GTTV r,F,k:AC;AN `
.
?A?'sK?kFt .l£j ' ;a 7f._ktlfMAl. NQ:
`
..)?
y?. 76f;.
,
4
;rF
;g
itF+
.
Y A
a
Tpy
5
?3tlMJ?ANCF WL+TfiUCT19hl9 , ;
??? 3001 4687 fciL1G r`LS? 60.?IJ0'
c??. a{x?7b?115cLrF r .?
..
0.51
DCt} ?bU??NKWE WY t', c 50;
wv
.?
, .
,._
. . ? >.
?.
k
?
Td??.,;Fect2?ipt.h4fm-axret
? 123.?'rCf -N
?, r
???ft?4 ? ' :•
9•,ya? . ' ^.?} ?4: ?y?:yt?yJS$:. ' ? ' yp ??? . y
,,.
. ?'
' -" 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
? ?? ? ? CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-6814675
New Conshucfbn Reauiremenh
? S regisfered sRe surveys showing sq. M. W bt, sq. k. ot house
and gll roofed areas (20% maximum lot eoveraae allowed)
D 2 copies of plans (show beam 6 window skzes; pouretl fnd. design; eTc.)
? 7 set of energy cakulaHom
? 9 coples of hee preservaNOn plan tl lot plaNed alfer 7/1/93
DATE: (D - ) J - t 'I
DESCRIPTION OF WORK: ---C
STREEf ADDRESS: b O
LOT: q BLOCK: `
PROPERTY
OWNER
?e
SUBD./P.I.D. N:
Name• 0' ?o nL"^ _D% CkVle Phone #:
Lad ' Ftrsi
f t--
Streef Address: Ll(,
Ci}y LG'inGtr- Stai2:
vYl! V
Zip:
?
Company: Phone #: ? 1 S? ?
(area code)
CONTRACTOR SheetAddress: 6,1 Zz -"1 Z?ck, ?j l3cense# 6170 ExP.
City Cv-?SF°?? state: V'')rj zip: 57" Z-]
ARCHITECT/
ENGINEER Company: Name:
Telephone #: area code (
Stree4 Address: Regisiration #:
Cryy State:
Sewer S water Iicensed plumber [reauired for new conslrveHon onN):
PenaNy apptles when address ehange and loT change Is requested once permH is hsued.
Zip:
1hereby acknowledge thaf I hwe read ihls appllcaNon, sfafe fhat the IMormaNon Is cortecl, and agree to comply w11h all applicabl
State of Minnesota Statufes and Cify of Eagan Ordinances.
' Signalure of ApplicaM:
OFFICE USE ONLY
2 coples W plan
1 set ot ener,qy caleulaHons tor healed addMions
1 sffe wney for extedor addlNons 3 deeW
CONSTRUCTION COST: j ?U (o 'dd
P
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
-.. ,
? 01 Foundation ? 06 4-piex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex )a 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex p 10 8-plex ? 15 Lodging ? 20 Pool O 25 Miscellaneous
WORK TYPE
0 31 New ? 35
? 32 Addition ? 36
? 33 Alteration ? 37
? 34 Repair ? 38
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Planning
Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
Demolish Bldg.' ? 41 Wood Stove ? 45 Fire Repair
Demolish (Interior) ? 42 Reroof
' Give PCA handout to applicant for demolition permit
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq, ft.
Building -Oa4_
Census Code Z3 `
SAC Code
No. of Units ?
No. of Bldgs ?
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Engineering Variance
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
SNV Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation:
,
SAC Units
°k SAC
JOHNNY CAKE RIDGE
TOWNHOME ASSOCIATION
Managed by
Condominium & Association Resource Group, Inc.
7900 Intemational Drive, Suite m 953
Bloomingcon, ivIlV 55425
6121853-9910
August 19, 1999
Mr. Bill Wolff
Sundance Construction, Inc.
6922 42nd Avenue North
Crystal, MN 55427
Re: Deck Extensions
Deaz Mr. Wolff:
The Johnny Cake Ridge Townhome Association Boazd of Directors has approved your
bid for deck extensions at 7ohnny Cake Ridge Townhome Association. The deck
extensions, which aze optional for homeowners to purchase, must meet Eagan City
Codes.
If you have any questions, please feel free to contact me at 612.853.9910.
Sincerely,
Peder T. Flaten, Association Manager
On Behalf of the Johnny Cake Ridge Townhome Board of Directors
1994 PLUMBING PERMIT (RESIDENTLAL)
CITY OF EAGAN
3530 PIIAT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTT.
--------- - ------ - ----- - -
NO. FIXTURES EACH TOTAL
? SHOWER 3.00 3 B'D
WATER CLOSET 3.00 -9.. o O
BATH TUB 3.00
LAVATORY 3.00
KITCHEN SINK 3.00
LAUNDRY TRAY 3.00
HOT TUB/SPA 3.00
WATER HEATER 3.00
FIAOR DRAIN 3.00
GAS PIPING OUTLET •minimum - i 3.00
ROUGH OPENINGS 1.50
WATER SOFTENER 5.00
PRIVATE DISP. • nek.cry. sc 20.00
U.G. SPRINKLER • nome unaa mmt. 3.00
ALTERATIONS • w auatinq 20.00
WATER TURN AROUND 20.00 '
STATE SURCHARGE .50
TOTAL: o? o. .J
SITE ADDRESS: G' ICJ
OWNER NAME:
INSTALLER:
ADDRFS • 7.3 '- L-
CIT'Y: GC? STATE: ZIP CODE: a-
PHONE #:
SIGNATURE OF PERMITI'EE
1YY4 YLUMIf?°Nls Yl',1CNl'l:l. (C(IMMER(;IAL)' `
CITY OT,,EGAN
3830,RII.OT KNOB RD
EAGAN MN 55122
(612) 681=4675
PLEASE COMPLETE FOR ALL COMIIvIERCLAIJINDUSTRIAIJ BUI•LDINGS.? ALSO::FOR M°L)•LTI•
FAMILY BUILDINGS WHEN SEPARATE PERMTTS .ARE NOT REQLTIRED F,Og ,EACH
DWELLING UNIT:,
.. ',
77
CONTRACP PRICE: S °
' FEE: 1% OF CONTRACf FEE: -
STATE 5URCHARGE 4.50 FOR FACH Si,;000 OF ?.EEE.
1?IIN7MUhf FEE: $ 25:00 «.<: «>;?
CONTRACI' PRICE X 196 $
STATESURCHARGE $
BEA 8LOM4UIST
M0.VOR
TMDMASEGAN
JAMES A. SMIiH
JERRYTHOMAS
THEOOORE WACMTER
COONCIL MEMBENS
•. ? !-.
CITY. OF q-EAGAN
41V/ ?
: ?y17nV140t,KN06wRpAD '
4.O,sBpX]T19f
EAGANA-MINNESQTA
?ar? r
4S4??1 O0
?
?? };? ? y)?i^ J{•- w?M"?u? .
ti
l
+k
Y Y
THOMASHEPGES
pTY AOMINISiPAiOP
EUGENEVANOVERBEKE
CIiY CIEFK
MEMCI
NOTICE OF ADDRE5S CHANGE
I,nt 4, Block 6, Johnny Cake Ridqe 4th Addition was addressed as
4615 Ridge Cliffe Drive. Yt will now be 4602 Penkwe Way.
Lot 3, Block 6. Johnny Cake Ridge 4th Addition was addreased as
4617 Ridqe Cliffe Drive. It will now be 4602h Penhwe Way.
Plesee make these changea on the plat map.
Thank you,
eev Rakauskas
THE LONE OAK TREE ... THE SyMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY.
******************.**********?********
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 765
DATE: 08/14/00 TIME: 07:56:43
ID:
NAME: P. ALFIROW
3212 9001 4604'PENKWE WAY 30.01
2155 9001 4604, PENKWE WAY ' 0.51
Total Receipt Amount: 30
CR135709
USER ID: JAN
?
SUBD.
BL ( I
CITY USE ONLY
V" Vl ?n C+uX e 1 ??t 14 ?
RECEIPT #:
RECEIPT DATE:
PERMITtI I-'l-)-1-?1-0 ?
2000 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EA6AN
3830 PILOT KNOB RD
EAGAN, MN 55122
651-681-4675
Please complete for: > single family dwellings
? townhomes and condos when pertnits are required for each unit
? backflow preventer for underground sprinkler system
FIXTlIRES
EACH #
TOTAL
Alterations to existing dwelling - minimum fee
Describe: ?_ WPIi ?UE?_ $ 30.00
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas piping outlet ' minimum - 1 3.00 x = $
Hot tublspa 3.00 x = $
Kitchen sink 3.00 x = $
Laundry tray 3.00 x = $
Lavatory 3.00 x = $
SePtIC S stem naw/refurbished 'requires MPC Iic. 75.00 X = $
Septic System abandonment 30.00 x = $
RPZ new installation/repaidrehuild 30.00 x = $
Rough apening 1.50 x = $ •
Shower 3.00 x = $
UndOf round sprinkler if dwelling is under wnstructlon 3.00 x = $
Undergroundsprinkler if existing dwelling 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener If dwelting under eonsWttion 5.00 x = $
Water softener if existing dwalling 30.00 x = $
Water turnaround 30.00 x $
State Surcharge .50 -> -> -> $ 50
rotal -> -> --> ---> $
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc. Nl-,?
--------------------------------------•------• •-------------------------------------•---------------------------------------------•--------
I hereby adcnowledge Nat I have read this application, state that the infortnation is coRed, and a9ree to comply wRh all applicable Ciry of Eagan ordinances.
It is the applicant's responsibility to notify the property awner that the Ciry of Eagan assumes no liability for any damages caused by the Ciry during its
normal operational and maintenance activities to the facilities constructed under this permit within Ciry property/right-of-way/easement.
SITE ADDRESS: l?D q &N K(.l) E w?? ?i!" K/t ) SS j-2"
OWNER NAME: A ?-I' It) A' f-/ N TELEPHONE #:
(AREA COOE)
INSTALLER NAME: SQ TELEPHONE#:
_ (AREA CODE)
STREET ADDRESS:
crrv: 1 - y"LODU STATE: ZIP:
?
---
SIGNATU E OF PERMITTEE
CITY OF EAGAfV
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
#*********}*******##3*****f******#
NCYP6: PP,YMF'nTS OF FEE AT TIME OF*
ArPr.icAazorr DOES Narr corsTi= *
APPROVAL OF PERNffT. *
INSPECTzorr oF sEWER Arro/oR VMMM
INSTALLATIoNS wnL Nar Bs scHEn-
ULFD [7NrII, PERNffT HAS BENa7
APPROVID.
P ease Print )
1) PROPERTY ADDRESS:
LEGAL DESCRIPTION:
IF EXISTING STRCCIL'RE, DATE OE ORIGINAL BL'ILDING PERMIT ISSL'ANCE:
(Month/Year}
PRFSEN!' 7ANING/PROPC3SED LTSE:
? COA'AIERCIAL/RFTAIL/OFFICE ? R-1 SINGLE FAMffLY .
Q IIID[.'STRIAL a R-2 A[:PLEX (1uv Onits)
C] INSTI2L"f20NAL/GOVERNMENT ? R-3 7OWNHOIISE (Three + Units) ( Units)
. ? R-4 APARTMEN'p/CODIDOMINIUM ( Units)
2) ?= Q?/??c?e1.s?? Pd-ft ?DREss: Po, 0oX /.a S? -
ciTr, srATE, zin: Sc a,vd,'a n1 7 3
PHONE: ?j/3 3 ?
3) u i: ?•
NAM:
ADDRFSS: Active
? Expired
CITY, STATE, ZIP: Not recorded
PHONE: MASTER LI(E[VSE#
Staff ? Initia7.
4) ??• • i?-
NAME: . O'Ocl V Ir}L ?. P_ /'J10 it.._'? t
. ADDxsss:_j 96 a 9.3 L A n? e IV .? •
CITY, STATE, zIP: 8 1 /1- I'N r IJ7 h1 4/3 /rfo
PHONE: 7 S O- 5 S/ O'
5) ? v? a: • ?• : o • a? - ??
? CONNEC.TION T0 CITY SEWER ? COIaID.,rION TO CITY WATER OTfEt .
6) ?? . .. ? ?.
? PLEASE HOLD ApPRpVED PERMIT FCR PICK-L?P BY ONE OF ABOVE
P7.FAaE MAIL APPROVID PERMIT TO 1.({ 3. 4. AHOVE
?-
(Circle one)
1 9 -/--? -'Fb
FOR CITY USE ONLY, - -
PERMIT # ISSLED
Pd w/Bldg. Permit
S
s
$ G .? •s-v
c
FEES:
S /a - s'b
$
s c
SEWER PERMIT (INCLUDE SURCHARGE)
WATER PERMIT (INCLODE SORCHARGE) ..
WATER METER/COPPERHORN/OL'TSIDE READER
WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOUNT DEPOSIT - SEWER
$ $ fS(Y--o ACCOONT DEPOSIT - WATER
$ $ WAC
$ v? S G'-a $ SAC
$ $ TRC'NK WATER ASSESSMENT
$ $ TRLNK SEWER ASSESSMENT
$ $ ` LATERAL BENEFIT/TRLNK SEWER
$ $ LATERAL BENEFIT/TRL'NK WATER
$ l J?'?a $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ J? `7 Y S? $ '?/? C?-? TOTAL
RECEIPT RECEIPT
DOES LTILITY CONNE CTION REQOIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
? YES IF YES, THEN A"PERMIT FOR WORK WITHIN PCBLIC
?
NO ROADWAY" MOST BE ISSLED BY THE ENGINEERING
?IVISION
LIST AS
ITION
O
. .
A C
ND
SUBJECT TO THE FOL LOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE:
i
. CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
*AT?': PAYMF'PTP OF FEE AT TIME OF
APrr.icAriorr DOES Nar wrSrITcrTE
npPxovat oF PEWIT.
INSPF]G'TTODI OF SE.SM A@ID/OR WA7ER
rNSTpr.r.aMOPLS WIIL NCYL BE SCFED--
ULFD UN!'II. PERMLT AAS BEM
APPROVFD.
____.._____.._______... _-----_____---__
. eL d2 L P ease Print
? 1) PROPERTY ADDRE55:
2)
LEGAL DESCRIpTION:
IF EXI9TING STFtOCMRE. DATE OF ORIGINAL BC?ILDING PII2MIT ISSL'ANCE: ,
(bbn Year )
PRFSENT ZONING/pROPOSID CSE:
? C0NME[tCIAI,/REIAII./OFF'ICE
Q IAIDLTSTRIAL,
n INSTI'IL'TIONAL/GOVII2III?,T]T
r7 R-1 SINGLE FAbIILY
? R-2 DOPLEX (1wo L?nits)
? R-3 TOWNFIOOSE (Three + Units)
[] R-4 APARTMETI'P/CODIDOMIIVILT4
NANE= nl<'ck'P1 sow Pd-1-t4
ADoREss -? n • 2 o u / a 8- -
ciTY, sraxE, zzr: S c c?n/J,?a r?'So7?
PxorE:el 3 3 -
?
( Onits)
( Units)
3) • c a• For City Use ._
NAME' Plumbers License:
ADDRFSS: Active
CITY, STATE, ZIP: H Expired
Not recorded
PIiONE: MASTER LICENSE#
Staft Inltial
4) ?a • i i?•
NAME: _?OOC? U1?L v /fo nt t
. aoDxESS:-
CITY. STATE, ZIP:
PH0NE:_7 11)
5) n r• i r •?• : o • a? - ?? --
? CONNECrION 1o CITY SSWER li'- CONNECPION 1o CITY WATII2 dI'HER_.
IA.'
6) "•'??• ? PLEASE HOLD APPROVFD PERNIIT FY)R PICK-UP 8Y ONE OF ABM "--- ---
PLEASE MAIL APPROVM PEE2MZT TO 1X?2 3. 4, AHOVE .
„ _ • (Circle one)
FOR CITY USE ONLY
PERMIT # ISSUED
7,?/ 7
Pd w/Bldg. Permit FEES:
$ $ /G- S--(D SEWER PERMIT (INCLLDE SURCHARGE)
$ $ WATER PERMIT (INCLODE SIIRCHARGE) ..
$ $ ? WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (INCLODE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOUNT DEPOSIT - SEWER
$ $ ?V iOZ) ACCOONT DEPOSIT - WATER
$ $ WAC
$ $ sAc
$ $ TRUNK WATER ASSESSMENT
$ $ TRL'NK SEWER ASSESSMENT
$ $ ' LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRI7NK WATER
$ $ WATER TREATMENT PLANT SLRCHARGE
$ $ OTHER:
$_ TOTAL
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN POBLIC RIGHT OF WAY?
? YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
Q ROADWAY" MOST BE ISSUED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING eONDITIONS:
APPROVED BY:
TITLE:
DATE :
. CI?'Y OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
*OTE: PA)Mrr aF FEE Ax TTM oF
APPLICATION DOES NOr CONMTOM
APPROVAL OF FERMIT.
naspncizoiv oF sEWER Auo/M VMM
TT1Si`ATS.ATTON$ WII.L IVOT SE $CFIfD-
ULFD UNTIL PERNIIT HAS BEQ.V
APPROVID.
. ^1`N?"fRxF'FS9?R9[]t]?t][lfRl?llRl?Ff i[ f.i';xi
P ease Print)
1) PROPERTY ADDRESS:
LEGAL DESCRIPTION:
If' EXISTIM STRLY.'IL?RE, DATE OF ORIGINAL BPII,DING PERMIT ISSL'ANCE:
PRFSED7r 7ANING/pROPOSID L'SE: (Mbnth/Year)
(] CO21ERCIAL/ftE,TAIL/OFFICE ? R-1 SINGLE FAMILY
0 IPIDLISTRIAL Q R-2 DL'PLEX (Tao C?nits)
INSTI7L'TIONAL/GOVERM,g,'NT ? R-3 10WNHOIISE (Three + Units) ( Pnits)
. ? R-4 APARThff2PP/CObIDOMIDIILfi1 ( Units)
2) ? -
NAME= Al 1 c k L s c.,.v P?I-tf
ADDPESS: P . o - r?o?r ia ? -
CITY, STATE. 2IP: s .` 2 N^ ` U73
PHONE: 4/ .33-5-/7/
3) i: ?• For City CTSe ..
NAME. Plumbers License:
ADDRESS: !?:AA? Active
CITY, STATE. ZIP: `
0 bcPired
PH0NE:
MASTER LICETISE# IVot reCOx'ded
Sta fIntlal
4) ••.?u•..??G,.?,'?:75
NAPE: ( /)
7- OO@ V 79-?
'•
-
{f
.
r
o n,.
L
_ p,DDRF-sse? yGn 931-d LJ?-ni? N%
cixY, sxAzE, zaP:_(3
PHONE: 7 $D ^ S {'/ O -
5} u ri a• •?: a •?- a?
P? COAINEC.'TION 70 CITY SEwEE2 ogr CpNNECPZON 10 CITY WATII2 cl pZgIER
6) ?•'?--?= -' ''??''` .. [? PLEASE HOI,D ApPROVfD PEE2NIIT F'nR PICK-QP BY ONE OF AT3'JVE
PLEASE MAIL APPROVID PERMiT TO 1Z./ 3. 4. ABOVE .
T'
(Circle one)
7) :2 -9.4
F4R CITY USE 4NCY'
PERMIT # ISSUED
7ylx
Pd w/Bldg. Permit FEES:
$ $ IO - S? SESdER PERMIT ( INCLDDE SORCHARGE )
$ $ M' S? WATER PERMIT (INCLUDE SURCHARGE ) ..
$ S-D $ WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (INCLCDE CORPORATION STOP)
$ $ ' SEWER TAP
$ $ ACCODNT DEPOSIT - SEWER
$ $ 6'0 ACCOC'NT DEPOSIT - WATER
$ cJ? D• U0 $ WAC
$ D--o $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ " LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BEN°FIT/TRUNK WATER
S AZ "O C) $ WATER TREATMENT PLANT SLRCHARGE
$ $ OTHER:
$ I ?y t/ - S-Z) $ 6 , [Y (? TOTAL
- - (Olf? LC -?) / -4 lG? .? ?2--/
RECEIPT RECEIPT
DOES LTILITY CONNE CTION REQLIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
Q YES IF YES, TAEN A"PERMIT FOR WORK WITHIN PLBLIC
Q
NO ROADWAY" MUST BE ISSUED BY THE ENGINEERING
DIVISION
LIST AS
D
ON
O
. .
A C
N
ITI
SU BJECT TO THE FOLLOWING CbNDIT20NS:
APPROVED BY:
TITLE:
DATE :
?
, C1TY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
*(YTE: PA)MENT OF FEE Am TIM OF
APPLICATION DOES NOr CONSTIMM
r.rrxovar. OF PERrsr.
rNSnncrzorr OF sLWM psro/OR MM
TNSI`AT.T.ATTONS WII+L LVOiP BE SCT'ED-
tLED tlNru. PERMIT HAs ?t
rPPxovm.
P ease Print
1) PROPERTY ADDRESS: QeN4wIff- •-
LEGAL DESCRIPTION:
? C_
vision or
IF EMSTING SiRL''iiIRE, DATE OF ORIGINAL BC'ILDING PERMIT ISSL'ANCE:
PRFSEUP ZONING/PROPOSID USE: (Nbnth/Year)
C? M`ERCL?I'/TMAIL/OFFICE ? R-1 SINGLE FAMILY
Q IbIDPSTRIAL ? R-2 DL'PLEX (Ttwro Units)
Q INSTSTOTIONAL/GOMAIl+g,'NT ED R-3 1DWNIIiOIISE (Three + Units) ( Units)
. M R-4 APARq'MESpP/COBIDC)MINIONl ( Units)
Z) ? -
NAME: Nic_keLsoH P+ t1- .
AnDxESS:_P. o • l???C I ? ? .
cr1^r, srATE, zIP: S' C fl rrd,w /hnr -S o73
PHONE: 7 S 3 -.V 71
3) u . r•
NAME:
PHONE:
MASTER I,ICENSE#
4) •• ?
NAME:_(?--oo?L V AL ?.
?
ADDRESS: S?-N'?ti
CITY. STATE, ZIP:
ADDREss: / y6 v 9 3 i- L9 iv m A.] G
CITY, STATE. ZIP: QZ_ X/k/Vr_ CnN-
PHONE:_ 7 SD - ss/U -
Plumbers License:
Active
H YSxpired
rbt recorded
Sta Initlal
-5) ? u, i ? a• •?• : a • a? ??
CONNECTION T0 CITY SEWEFt ? CONNac.^PION TU CITY WATEEt E( di'HER_
6) " ' • '? ?
?
r n u• -
PLEASE EiOLD APPROVED PII2hffT F'OR PICK-UP BY ONE OF ABDVE
PLEASE MAIL APPROVID PERMIT Tb lrC0 3, 4, ABOVE
„ (Circle one)
FOR CITY USE ONLY'
PERMIT # ISSDED
Pd w/Bldg. Permit FEES:
$ $ SEWER PERMIT (INCLDDE SURCHARGE)
$ $ ?? - j? WATER PERMIT ( INCLODE SL'RCHARGE ) ..
$ $ WATER METER/COPPERHORN/OCTSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ $ / Se d U ACCOONT DEPOSIT - SEWER
$ $ ?S lt-t'> ACCOONT DEPOSIT - WATER
$ ?n - U o $ WAC
$ S- ] s Cr-r? $ SAC
$ $ TRU23R WATER ASSESSMENT
$ $ TRONK SEWER ASSESSMENT
$ $ ` LATERAL BE[VEFIT/TRCNK SEWER
$ $ LATERAL BEN°FIT/TRLNK WATER
$ j,? ^o O $ WATER TREATMENT PLANT SDRCHARGE
$ $ OTHER:
$ ? Z L/' TOTAL
RECEIPT RECE
IPT
DOES UTILITY CONNE CTION REQLIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
F__j YES IF YES, THEN A"PERMIT FOR WORK LVITHIN PUBLIC
ROADWAY" MLST BE ISSUED BY THE ENGINEERING
Q
NO
DIVISION. LIST AS
A CONDITION.
SLBJECT TO THE FOL LOWING CbNDITIONS:
APPROVED BY:
TITLE:
DATE:
BEA BIOMOUlST
MFYOR
•
THOMAS E6AN ?
ClTY
? OF
?
EAGAN
,AMES A. 5M„„
JERRYTHOMAS
THEpDORE WACHTER ,
y
f
? 1?'}JJ nv
3PS,PILOT.KNOB R04D
COONGIL MEMBEPS "?h ' !
P Or 807431199
EAGAN; MINNESnTA
.
4
?
2a _
';?'{?6?' PNONE 454•8100 ?',???.e
• ? i??e? ? ..
MFiMo \
NOTICE OF ADDRESS CHANGE
THOMASHEOGES
CITV ADMINISTPA70P
EUGENEVnNOVERBEKE
CIiY CLENK
Lot 4, Block 6, Johnny Cake Ridge 4th Addition was addressed as
4615 Ridge Cliffe Dzive. It will now be 4602 Penkwe Way.
Lot 3, Slock 6, Johnny Cake Ridge 4th Addition taas addresaed as
4617 Ridge Cliffe Drive. It will now be 460A Penkwe Way.
Please make theae changes o» the plat map.
Thank you,
Bev Rakauskas
THE LONE OAK TREE ... THE SYMBOL OF STRENGTH ANO GROWTH IN OUR COMMUNITY.
Clty of Eapn
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
------------------
? r?qr?a? I
; Pamit #: 3 a ;
i Pertnit Fee: OD
?
? I
? Date Received:
I ?
I StaR: ?
I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date:& •??? 04_5? Site Address: A `t, .? I
?
Tenant:
Suite k:
RESIDENT/OWNER Name:ULbgttp' `AMI-'-.44 Phone:&-51• q57-'11'351
Address / City / Zip:
Applicant is: ? Owner _ Contractor
TYPE OF WORK Description of wor -vE'?-? '? w?r•??ow?S? ? P6C?p ??N?S,
, Construction Cost: aDno• co Multi-Family Building: (Yes No_=.?T
CONTRACTOR Name: License #:
Address:
City: State: Zip:
Phone: Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitled Submitted
(4 submission type) • Energy Envelope Calculations Su6mitted
In the last 12 months, has the City of Eagan issued a pertnit for a similar plan based on a master plan7
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contrector: Phone:
NOTE: Pfans and supporNng documents that you submR are considered to be public InformaNon. PorNons of
the lnformatlon may be classNied as nort-publk H you prov/de speclftc reasons that would permll the Clty to
conclude that the are trade secrets.
I hereby acknowledge that ihis information is complete and accurate; ihat ihe work will be in conformance with the ordinances and codes of the Ciry of
Eagan; that I understand ihis is not a permit, but only an application for a pertnit, and work is not to starl without a permif; that the work will be in
accordance with the approved plan in ihe case of work which requires a review and approval of plans.
Xe5c.6P47A. a,
ApplicanYs Printed Name ApplicanYs Signatur
Page 1 of 3