4608 Penkwe WayCITY OF EAGAN Remarks -
,4ddition dA? G11a?RM6R 4th Lot 4 eik 5 Parcel lO 39803 040 05
Uwner Street-Ab-0$._.+', Pankure Wav State Ea?¢an-- MV 45122
Improvement ' Date Amount Annual Years Payment Receipt Date
S7REET SURF.
STREET RESTOR.
GRADlNG
SAN SEW TRUNK '
*SEUVER LATER+4L
WATERMAIN
,rWATER LATERAL 1981
WATER AREA
STpRM SEW TRK 5
*STORM SEW LAT iggi
CUR9 & GUT1'ER
SIDEWALK
STREET LIGHT
WATER CONN,
BUILDING PER.
SAC
PARK
- fiemarks
Addition JLIFINHY CAKE RSI]GE4th Lot I eik S peroel 10 39803 034 05
Owner Street 4603;5_"- Penklve Way State Eagalt, MI3 55122
Improvement Date Amount Annual Years Payment Reeeipt Date
STREET SUR F.
STREET RESTOR.
GRADING
SAN SEW TRUNK
* SEWER LATEfiAL 1981 2277.43 455 4 $
WATERMAIN
* WATER LATERAI 1981
WATER AREA
STORM SEW TRK 278.28 55.66 rJ 27$.2$ C0055$1 10 15/80
* S70RM SEW LAT 1981
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN,
BUILDING PER.
SAC
PARK
_. . . vr tiAGAN - Remarks
Addition ,'OUR= UK$ RTI)F 4tb, Lot 1 Blk 5 Parcel 10 39803 OlU OS
Owner Street 461011 PenkMe Way gtate_ Eajz8n, MN 55122
Improvement Date Amaunt Annual Years Payment Receipt Data
STREET SURF.
S7REET RESTOR.
GRADiNG
SAN SEW TRUNK '
* SEWER LATERAL 19$1 2277.43 455.4 5 277741
WATERMAIN
* WATER LATERAL 1981
WATER AREA 1981 300.00 60.00 $
STORM SEW TRK 1981 278.28 55.66 5
* STORM SEW LAT 1981
CURB & GUTTER '
SIDEWAIK
STREET UGHT
WATER CONN.
BUILDING PER.
SAC
PARK
CITY OF EAGAN Remarks
Addition a???W Q4A PJDGB q.th Lot 2 Blk -rh Parcel 10 39903 020 nS
Owner Street_451Di-? Penlcwe ALAy-State Eagan, A+AI 55172
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF,
STREET RESTOR.
GRADI.NG
SAN SEW TRUNK
SEWERLRTERAL SAL, 2277,43 4$$.49 $
WATERMAIN
* WATER LATERAL 1981
WATER AftEA 1981 300.00 60.00 5
STORM SEW TRK - 19$1 278.28 55.66 $
,t STORM SEW LAT 1981
CURB & GUTTER '
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
INSPECTION RECORD
CITY flF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS•
• ? ?? I ?i Ft I ?+ i h
?) " 0o< i,I'NKWf WAv
.lUtiNNY f,AKE R106F 41H
PERMIT SUBTYPE:
APPLICANT:
TYPE OF WORK:
Ft11 1 1 1? I Ni
H:'y/.'b
(9A/?'tI°l.
Af 1FRA1iOM
?
- ,.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - --
fE!_MARKSa 5Et'ARATE PERMI Tti Akt; RFU?l THF'b FUR i?{ 811 $r (=1 F C. IF+fl:Al tdii1tM.
Permit NO. Permit Holder Date TNephone #
ELECTRIC •??Ge2DoZ 7 D?
PLUMBING
HVAC
Inspaction Date Inap. Comments
FOOTINGS
FOUND
FRAMING
ROOFINC3
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATINCi
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAI HTG
ORSAT
TEST
BLDG FINAL
BSMT R,I.
BSMT FINAL
DECK FTG
DECK FINAL
CITY OF EAGAN ?1 n
f? r??+ ,
? G v
?
.3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 --
PHONE: 454-8100
BUILDING PERMIT Receipt # -
To be used tor 1 UL•' 4 PLEX Est. value $4a?000 Date SEPT&ti'IBER 16 19? 6
Site Address 4610 1/2 PENK6ilE .+AY Erect 15 Occupancy R3
Lot 2 Block 5 Sec/Sub. JOHNNY CAKE Remodel ? Zoning pn
RIDCiE 4`.CIi
Parcel No Repalr ? Type of Const Ij
. Addition ? No. Stories
"c Name Uo-x)li VALUE HO+?S
Move ?
Demo?ish O 44
Length
Depth 24
3 Address 1460 93RD LN N Int lmpr. ?
sq. Fr
° IiLAIidE 7ii 0-5510
City Phone Install ?
o Name SA `? Approv els Fses
?? Address Assessment Permit $ 174• 00
? Ciry Pnone Water & Sew. Surcharge 24 . 00
Police Plan Review 137.00
?= Name Fire SAC 575.00
? a Address Eng. Water Conn. 500.00
i W City Phone Pianner Water Meter 63.50
Council Road Unit 290.00
I hereby acknowledge that I have read this application and state that the
f
i
i
i Bldg. Off. Tr. PI. 156.00
n
ormat
on
s correct and agree to comply with all applicable State of
Minnesota Statutes and City ofr„EBga,rrOrdinances. :
-;', I . APC
Var
Date Parks
Co
ie
_,
Signature of Permittee . p SO
TOtal , '
A Building Permit is issued to: GOOD VAI,UE Hn! il;S on the express condition that
all work shall be done in aecordance with all applicabl tate of Minnesota Statutes and City ot Eagan Ordinances.
Building Official
- PwmN No. PermN MoldM Date TNephons k
PlumMny " ??o??/? "?-.
M.V.A,C.. ,27i
Electrlc
SOKNIN
Inspecdon Dah Inap. CommeMs
Footlngs I
Foodnysll
Foundatbn
Freminq
Roollng
Rouyh Plbq.
Rough Mw• w
Imul. °7?j 7 U? a'
Firoplece
Finel Flto. S• ?is-r ?•, ?'
Final PIbQ.
Bidy. FMaI S • /j s?' ?, ?
CM. Oce.
Dock Ftp.
Deek Fmq.
VYell
Pr. Disp.
PERMIT #
? . ' PLUMBINCi PERMIT RECEIPT # `
' CITY OF EAGAN
3830 PILOT KNOB ROAD, E11GAN, MN 55121 OATE:
Site Address' • '
Lot ? Block
m Name
m AddrB
c City ?.
_ Name
c Addre
p City.?
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE - $10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD a50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
R
??tlSIGNATURE OF PERMITTEE
BLDG. TYPE WORK DESCRIPTION
Res. v New v
Mult Add-on
Comm. Repair
NQ. FIXTURES TOTAL
? Water Closet - $3.00
T S
Bath Tubs - $3.00
-
-
Lavatory - $3.00
T
_ -
Tshower - $3.00
T
'
Kitchen Sink - $3.00 -
Urinal/Bidet - $3.00
T-Laundry Tray - $3.00
T-
=
Floor Drains - $1.50
-
-
T
Water Heater - $1.50 % `'•
Whirlpool - $3.00
=Gas Piping Outlets - $1.50
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
=Rough Openings - $1.50 5 `
FEE
?
STATE S/C:
GRAND TOTAL• ? -'
FOFt CITY OF EAGAN
CONTRACT PRICE
Site Address '
? Nan
m Add
c City
? Name L? c Address
p City
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping Outiets #
Other
MECHANICAL PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121
PERMIT # 7 '>
RECEIPT # Z ?
DATE: :7
M BTU
M BTU
M BTU
M BTU
CFM
FEE
S/C:
TOTAL:
BLDG. TYPE
Res. -
Mult
Comm.
Other
WORK DESCRIPTION
New 4 -
Add-on
Repair
FEES
RES. FfVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
GAS OUTLETS - 1.50 EA.
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE - 10.00
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
i? ` 410.
I
fgtxttf iratr uf (Orrupanry
titp of (f agan
Rrparintmt o# ludding jttwpritntt
This Certifcate issued pursuant to the requirements ojSection 306 of the Uniform Building
Code cerlifying thar at the time of rssuance this structure was in compliance wrth rhe various
ardirrances of rhe City regulrwng buflding corrstruction or use. For the fallowing.•
U. c.,jr.,jo. ! OF 4P[: mag. rerrn;t nro. 1 2,; 2 4
O-aancr ?Yvx - R ? zon;ng nistria rype
Ty
Oweer of Bwldina . Addrcss l7
Bw7khng Aadress Lucaliry ? - - ; , - ' (i; . : L
I2, 1987
Dft:
Bmlding Officiil
POST IN A CONSPICUOUS PIACE
?? ?"i?' „ _ . PERMIT #
MECHANICAL PERMIT
CITY OF EAGAN
" 3830 PiLOT KNOB ROAD, EAGAN, MN 55122 RECEIPT #
DATE: ???? ?
CONTRACT PRICE: PHONE: 454-8100
Site Addrss %t gLDG. TYPE WORK DESCRIPTION
Lot X
Block SeclSUb k?
, Res. . New
r
.
sv
'
?
'
R A Mult Add-on
!
? ,
?
it
?
.
A.
Narf?e L_
Nrc
m
?e
Address `fF 1 ??
?c?' i9,, S,
Comm.
Repair
.,, _ r.I , . .s . ? Other
? Name _
c Address
O CitY -
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping Outlets #
Other
M BTU
M BTU
M BTU
M BTU
CFM
FEE
S/C: 3 ?
TOTAL• /•7 5 C
A/ L
Phone
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERel11T) - 1.50 EA.
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S1C IF PERMIT PRICE GOES
BEYOND $1,000)
EAGAN
f? CITY OF EAGAN
?'"? -, • ' ?3?Iot Knob Road, P.O. Bax 21-199, Esgan, MN 55121 ??vc?3
5 PHONE 454-8100
??bIg NGpERMIT Receipt # - ve'l
To be used tor 1 a I'Lj!?X Est. value *48+ 000 Date SEPTE111BErt 16 19 86
Site Address 9 610 PENKWE WAY
lot 1 Block 5 Sec/Sub. JOHNNY CARE
Parcel No. l2IDGE 4TH
W Name GOQD VALUE AOMES
3 Address 1460 9 3 ZD LN N
0 CiN BLAINE Phone 780-5510
Z o Name $AME
? Q Address
~ City Phone
t¢
W W
?z
ccz
` W
Name -
Address
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 ot EagarS Ordinances. Signature of Permittee.
Erect ? Occupancy R3
Remodel ? Zoning pn
Repair ? Type of Const. V
Addition ? No. Stories
Move ? Length 44
Demolish ? Depth 2 d
Int Impr. ? Sq. Ft
Install ?
A pprov als Feas
Assessment
Water & Sew.
Police
Fire
Eng.
Planner
Council
BIdg.Off. 9/16 t3b
APC
Var. Date
Permit $ 274.00
Surcharge 24.00
Plan Review 137.00
SAC -375 • 00
Water Conn. 500.00
Water M eter 63.50
Road Unit -790••00
Tr. PI. 156.00
Parks
I COpieS
T,,,,1 $2,019.50
A Building Permit is issued to: "wu vrwuz, nvru.1-3 on the express condition that
all work shall be done in accordance with all applip$ble State of Minnesota Statutes and City of Eagan Ordinances.
Building Ofiicial L ` - -
T
PormR No. Pormit Hdder Dafe TN?phon? k
Pl,mang 77n1a ?- y ,l
H.V.A.C.
Electdc X?7c-
S011MM
Inspactlon Date Inap. Commenb
FooNngsl 9 /
FooGnqs II
Foundatlon
Framiny
Roofiny
Rouph Plby.
Rough Htp.
Insul.
FMeplaee
FInaIHty. •/w-Y7 t. JJ.
FInN Piby.
l
Bldy. Flnal
co,. oa.
Doelc Flp.
Dook Frmy.
Wall
Pr. Dbp.
I
y , .. , . PERMIT #.
.
' .. ' PLUMBiNG PERMR RECEIPT # '
CiT1/ OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
CONTRACT PRICE: PHONE 454-6100
Site Addres5 r ?-'! ':
Lot Block
? Name
?o Addre
c City ?
? Name
3 Addr
O City?
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE - $10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
SIGhIATURE pF PERMtTTEE
FOR: CITY OF EAGAN
BLDG. TYPE WORK OESCRfPT(ON
Res. ? -% New ?
Mult Add-on
Comm. Repair
Other
NQ. FIXTURES T9TAL
? Water Closet - $3.00 $
=Bath Tubs - $3.00
? Lavatory - $3.00
? Shower - $3.00
- ?
7
Kitchen Sink - $3.00
Urinal/Bidet - $3.00
T
Laundry Tray - $3.00
-7-
Floor Drains - $1.50
=Water Heater - $1.50 } J
Whirlpool - $3.00
I Gas Piping Outlets - $1.50
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
?
S ?
-
Rough Openings - $1.50
FEE
STATE SIC:
` -7
GRAND TOTAL: C ? J
PERMIT # 7 k
RECEIPT # ~v7 7-Z
DATE 2
1.
3.
Lo
CITY OF EAGAN
MECHANICAL PERMIT
4sa-a1o0
MINIMUM RESIDENTIAL FEE - $10.00 + $-50
MINIMUM COMMERCIAL FEE - $20.00 + $.50
FEE ' ? • ? L>
S/C
TOTAL
Bldg. Type: Res ?Comm Inst
Total Bid Price 4. Job.
t ? Block ? Sec`L f ?L
6. Contractor :
(Name)
7. Contractor Phone #
RESIDENTIAL HEATING - 01-100,000 BTU's -$24.00. Each additional 50,000 BTU's or fraction -$6.00
RESIDENTIAL COOLING - 01-24,000 BTU's -$12.00. Each additional 6,000 BTU's or fraction -$6.00
MODIFICATIONS/ALTERATIONS -$10.00 minimum fee
` HEATING VENTILATING HOT WATER STEAM AIR COND.
eIR PIPING PROCESSED PIPING AIR HAND. EQUIP. RrFRIG.
RES. GAS PIPING OUTLETS -$1.50 TANKS: LP. UNDERGROUND OTHER
COMM./IND. RATE - 1% OF TOTALPID PRICE PLUS $.50 STATE SURCHARGE FOR EACH $1,000 OF FEE.
f ,•'
Signed: -' for
/C -?; ? ! ' >L,. i " ?•
(Street) (CitY) (zIP)
Approved Inspections: Date Rough Insp. Date Final Insp.
2. New ' Add Alter Repair
(Itr#i#iratie uf (Orruvanry
Citp of eagan
?rpartmrtd af ihdtdiag JWpriinn
This Cenifrcate rssued pursuant to the requirements of Section 306 of the Untjornr Building
Code certifying 11rat at the tinre of usuance thrs structure was in compliance with 1he various
ordinances of the City regulating building construction or tcse. For the folTowing.-
IJse CI?mifintion - PLyX Bdg, prrmit No. 3 ry:
OccupaaYTyPe ' Zooing Diitria .lype Cona.
Owner of &Wding Addmm -:
Bmldina AAdras l.opWity . '
!AY 12. 1987
POST IN A CONSPICUOUS PLACE
1-4 , Hak CITY OF EAGAN R ??
?`'' - 3830 Pibt Knob Road P O Sox 21-199 Ea an MN 55121 '^?'" 12c7c
v.,, `?
PHONE: 454-8100 /
BUILDING PERMIT Receipt # 4'?` `• i%-
To be used tor 1 OF 4 PLE?C Est Value $4$ ,000 pate SEPTErIBER 16 ?g Fs(
SiteAddress 4608 1/2 PE'_VKWE WAY Erect Occupancy R3
Lot_3 Block 5 Sec/Sub. ZQ NNY _AKR Remodel ? Zoning pn
Parcel No. R TW.F. 4 H Repair ? Type oi Const V
Addition ? No. Stories
W Name ?'?4OD VALUE NOML$ Move ? Length 44
3 Address 1460 93RD LN N Demolish ? Depth ??
o Int Impr. ? 5q. Ft
Ciry BLAINE Phone 740-5510 Install ?
, o Name S?"? Approvals Fses
z
? ¢
Address
~ City Phone
m
F W Name
Address
W
< Citv 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 of5egan Otdinances.
Signature of Permittee?
T_
GOOD VALUE HOMES
Water &
Police _
Fire -
Eng. _
Planner
Council
Bldg. Ot
Var. Date
Permit _
Surcharge
Plan Revie
00
00
00
oa
Water Conn. -?u'J • v u
Water Meter 63.50
Road Unit 290.00
Tr. PI. 156.00
Parks
Copieq-
Tn+al / . SO
A Building Permit is issued to: on the express condition that
all work shall be done in accordance with all applic?ble State oi Minnesota Statutes and City of Eagan Ordinances.
Building Official
' PormR No. PNmlt Holder Dste Tsbphone ri
PlumbM9 3 C,?1
H.V.A.r,. 7
El.ctric 51k
5olt.mw
Inspectlon Dste Imp. Commmnb
Fooenqs I
Footlnys II
FoundaHon
FramFng
Rooling
Rouph Plbp. ? y
Rouph Htp. ?
Innul.
Fkeplaco
FInN Mty. f•.??, d ? r. p, .
FinalPlby.
&dy. Final C.
c.n. occ. ?. asx c A.
Deck Ftp.
Deck Frmy.
w.li
Pr. Disp.
,F7). ... ?_ ?. ..
PERMIT # 17'7a ?
* PIUMBIN(3 PERMIT RECEIPT # -
. CITY OF EAGAN ,
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
PRICE: PHONE: 454-8100
Site Address
Lot " Block
BLDG.TYPE
WORK DESCRIPTION
m Name
? Addre
c City
Phone
L Name
; Addre
O City.?.
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE - $10.00
. MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
K-T ;If/l-/,L'??.
OF PERMITTEE
FOR: CITY OF EAGAN
Res. ?-New
M ult Add-on
Comm. Repair
Other ?
NO. FIXTURES TOTAL
?Water Closet - $3.00 t
Bath Tubs - $3.00
-7-
Lavatory - $3.00
-
r
Shower - $3.00 = -
ZKitchen Sink - $3.00 -
Urinal/Bidet - $3.00
f Laundry Tray - $3.00
'
? Floor Drains - $1.50
- •` `
Water Heater - $1.50
T ,? -
Whirlpool - $3.00
=Gas Piping Outlets - $1.50
SoRener - $5.00
Well - $10.00
_...rPrivate Disp. - $10.00
fiough Openings - $1.50
FEE
STATE S/C:
?
GRAND TOTAL• ' ?
PEFfMIT #• •77 CITY OF EAGAN FEE
MECHANICAL PERMIT
7?y
? S/C •'? ?%
RECEIPT #
t 454-8100
MINIMUM RESIDENTIAL FEE - $10.00 + $.50
' TOTAL ??' a 1
DATE
?r '7 MINIMUM COMMERCIAL FEE - $20.00 + $•SO
1. Bldg. Type: Res ? Comm Inst 2. New Add Alter Repafr
3. Total Bid Price 4. Job Address < _C
Lot ? Block -, Sec? "c " 5. Owner
6. Contractor ) rA''ti.?} J c; ;:.5 t i!:-,
(Name) \J ' (Sheet) (City) (Zip)
7. Contractor Phone #
RESIDENTIAL HEATING - 01-100,000 BTU's -$24.00. Each additional 50,000 BTU's or fraction -$6.00
RESIDENTIAL COOLING - 01-24,000 BTU's -$12.00. Each additional 6,000 BTU's or fraction -$6.U0
MODIFICATIONSlALTERATIONS -$10.00 minimum fee
k HEATING VENTILATING HOT WATER STEAM AIR COND.
eIR PIPING PROCESSED PIPING AIR HAND. EQUIP. RtFRIG.
RES. GAS PIPING OUTIETS -$1.50 TANKS: LP. UNDERGROUNO OTHER
COMM./IND. RATE - 1% OF TOTAL BID PRICE PLUS $.50 STATE SURCHARGE FOR EACH =1,000 OF FEE.
Signed: for
Approved Inspections: Date Rough Insp. Date Final Insp.
(Urfi#iratit af Mrru#ttnry
titp of (Eagan
Drparim,etci n# lounhig jwtrtion
Thrs Certifrcate issued pursuant to the requirements of Seetion 306 of tlte Uitiform Building
Code certifying thar at the tinre of issuance lhrs stn+cture was rn compliance with the various
ordinances of the Crty regu/ating building canstrucdon or use. For the foUowing.•
; t1F 4 l'. ( 2625
? ??p? Bldg. Rrmit No.
pa,y"ay 7ype R 3 Zoniog Dietrict Type Cooat
o„w of au )an VAU'?- i ,,ddrm ! 450 93ri:; ?,?• ? . B.Lt1INE
BuM ? ,? ;,?Ql . .. ?, t.,, B5, c:?xE ?:iDc;??• 4'CN
IBUMM8 0frnd -
POST IN A CONSPICUOUS PLACE
CITY OF EAGAN r'0 12616
.- , ,
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 `?
. PHONE: 454-8100 ?
BUILDING PERMIT Rece;pt #
To be used 1or 1 U: 4 PLEX Est Value $48,000 Date SEP`L'Eiy1SER 16 19$(j
SiteAddress 4608 PEIVKWE SIAY Erect ? Occupancy R3
Lot 4 Block 5 Sec/Sub. JOH NNY CAKE Remodel ?• Zoning PD
Parcei No. R ID GE 4TH Repair ? Type of Const v
Addition ? No. Stories
GDOD VALUE HOR1E S Move ? Length 44
Name
= 1460 9 3 RD Li?f hl
; Add Demolish ? Depth 24
ress Int ImPr?
BLAIF1E
° Cit
780-5510
? SQFt
y
phone Install
o Name SA`E Approv ah Fe"
?
Address Assessment Permit $ 274 .00
cc
~ City Phone
Water & Sew.
Surcharge
24.00
? Police Plan Revfew 137.00
? W Name Fire SAC 575.00
= Address
?
Eng.
Water Conn. 500.00
i W City Phone Planner Water Meter 63.50
Council Road Unit ?S? 0 • "-'
I hereby acknowledge that I have read this application and state that the
information is correct and agree to corpply with all applicable State of
Minnesota Statutes and City9f-eapan Ordinances.
Signature ot Permittee--"' ? 1- ? ? ? ?•!'-t=?l
A Building Permit is issued to: GOOD VALi1.?..' HUl4ES
all work shalt be done in accordance with all applicable State of Minneso
Building Official
Bldg. Off. 9 j6 8 Tr. pi. 156. OG
APC Parks
Var. Date Copies
Total $2,019.50
on the express condition that
!a Statutes and City ot Eagan Ordinances.
ParmR No. Permit Holder Date TdophoM k
Plumbley
H.V.A.C. 5 -P'116;
EkcVic. L (,^r Oy7 -c-?Y.t.1.r.i 111,547
SoMarNr
Inspocfbn Date Insp. Commenb
Footlnps I
FooHnys II
Poundatbn
Framinp
Rooflny
Rouph P16p. YA-107 , / J 6?? -C7
Rouph Htp. ?? 87 VA!f
Insul.
Flreplace
Find Mty. S P7 E• // -
Final Plbq.
8idy. Final
CM- oec. S' E. ?/•
Dock Ftq.
Deck Frmq.
WNI
Pr. Dfsp.
f
F ..? • y ..? . . .
(gtxfif iratt uf (Orrupanry
Citp of (eagan
Dp#iSl'Y1riPltY Df NltOtng jwPttiDlt
This Certiftcate issued pursuant to the requiremenu of Section 306 of 1he Uniform Building
Code certifying that at the time of issuarce thrs struclure r?ns in compliance wilh the various
ordinonces of 1he City regulating building cons[ruction or use. For the following.Um CWIsifimtion ? OF 4 PLEX &de.RrmitNo. 12 626
:: 3 PD V
O-wWrTYa 7 T
COOD VALilE r
iQ ?s lvi>U :_'",
L N, BLAZNE
o? or e?mog nae?
L4 JOHNNY
' J' CAKE
Bu7dingAddras tantiry
May 18
1987
- ,
atc
Bwl"s O&W .
POST IN A CONSPICUOUS PLACE
PERMIT #
, . • ; PLUMBING PERMIT RECEIPT # '
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
CONTRACT PRICE PHONE 454-8100
Site Address f BLDG. TYPE WORK DESCRIPTION
Lot? Block -? Sec/S ub
hes. New
? Name / ' r )C! Mult Add-on
(D
?
Address L" ?
Comm. Repair
c City Phone? 3 ' S/ `' Other
NO. FIXTURES TOTAI
NBme 1 Water Closet - $3
00 4
L
c Addregs .
Bath Tubs -$3.OQ
p City Phone'L (L _'L '/c) TLavatory - $3-00
- o
w
Sh
$3A0
T
,
'
o
er-
I Kitchen Sink - $3.00
FEES ' UrinalfBidet - $3.00
-
COMM/IND FEE - 196 OF CONTRACT FEE ,
_ Laundry Tray -$3.00 "?' ?-
MINIMUM - RESIDENTIAL FEE -$10.00
Floor Drains -$1.50 r<? ?
MINIMUM - COMMIIND FEE _ 20,00 --L--Water Heater - $1.50 f
STATE SURCHARGE PER PERMIT - .50
?Nhirlpool -$3.00
(ADD $.50 S/C IF PERMIT PRICE GOES --J-Gas Piping Outleb - $1.50
BEYOND $1,000.00) So(tener - $5.00
Well - $10
00
.
-,-Private Disp. - $10.00
:2_Rough Openings - $1.50
SIGNATURE OF PERMITTEE FEE
!= "' 0?.
STATE S/C: S [,?
GR
ND TOT -7
? S U
FOR: CITY OF EAGAM A
AL
PERMIT # ,627& CITY OF EAGAN
??y'? MECHANICAL PERMIT
RECEIPT # ? 454-8100
MINIMUM RESIDENTIAL FEE - $10.00 + $.50
DATE d 2 MINIMUM COMMERCIAL FEE - $20.00 + $.50
1. Bldg. Type: Res ? Comm Inst 2. New ? Add _
3. Total Bid Price 4_ Job Address
FEE A?,'
S/C , se?'
TOTAL ?400
Alter Repair
Lot Block Jr Se6?? 5. Owner .
6. Contractor
(Name) ?
7. Contractor Phone # -54 ?
lC, 3C .l; ?_.,? i `?r-?;:-'e_
(Street) J (City) ' (zIp)
RESIDENTIAL HEATING - 01-100,000 BTU's -$24.00. Each additional 50,000 BTU's or fraction - a6.00
RESIDENTIAL COOLING - 01-24,000 BTU's -$12.00. Each additional 6,000 BTU's or fraction -$6.U0
MODIFICATIONS/ALTERATIONS -$10.00 minimum fee
" HEATING VENTILATING HOT WATER STEAM AIR COND.
eIR PIPING PROCESSED PIPING AIH HAND. EQUIP. RtFRIG.
RES. GAS PIPING OUTLETS -$1.50 TANKS: LP. UNDERGROUND OTHER
COMM./IND. RATE - 1% OF TOTAL BID PRICE PLUS $.50 STATE SURCHARGE FOR EACH $1,000 OF FEE.
. ? ?
Signed: for
Approved Inspections: Date Rough Insp. Date Final Insp.
CIT'*/ EEAGAN WATER SERVICE PERMIT
3833 Pilot Knob Road
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
?ing; _ No, of Unirs:
Ownsr: .
Addrott
Site Address: -
Plumber- Meter No. 3???? D? ?^ Connectlon Chorgs:
?sposit:
Size: .ve-ft'
,
Reader No.: ? u 1 •51
1 yw- te ao?vh wMf? MN Cir???1A? •
oeriw..o... ???E - ' • I 5 f? . c? ? ;? c?
Tm" ?.- - . . E %. As 6? . 50?]
of I rup.: I rnp.:
S?s-??? - ?
CITY OF EAGAN WATER SERVICE PERMI'L
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.:
Eagan,llR,W 55121 IJATE:
Zoning: _ No, af Units:
Owner:
Rdd?esa:
Slte Addrex:
Plumber
.
Meftr IVo.:
Conr?ection Qmme:
Size: hcaouM Dtposit:
Reoder No.: Pertnit Fee:
1 pme h eoiwpiy vrilG !Iw Cihr of lWOre Su?chorge:
OndMAmom Miac. CMryes:
Totol:
gy pote Paid:
Dote of Irisp.: Irnp.:
CITY OF EAGAN sEWER SERI/I CE PERMn'
3830 Pilot Knob Road 9075
P. O. 8ox 21199 PERMIT NO.:
Eagan, MN 55121 nA1'E: {-
Zoninp:
No. of Unlts: ? ,
Owrwr.
Addross: ?
51te Addrasa•
• ''•51'J I'en',c-„re Gl?av Ll B5 .io.nnv CK ?t3?; 4[?:
PIumI7Er: _ ---
.
- 00i
r
I y?w ts eawplp wllr /b C?? of loae 7 ?
Connectlon CJ?arps: 13 •--.. ??
?1T'?S'c
OrdIMIFCM. ACCOUIIL DEpofIf: i r• '?^.a,?`.1
Permit Fae:
Surchorga: 5 ?•:. '
By Misc. Chorpax
Dote af Insp.: Total:
Dote Void: 1
CITV OF EAGAN WATER SERVICE PERM
3g;3o,.,ot Knob Road pERM1T ND.:
P. 0. Box 21199
-
DATE.
agan, MN 55121
- No, af Units:
oninq.
`u { [:e OTCt
r:
ross;
- , r ?`F.i2S.t.•.? 7n?,rnv r• --it??
` ite Addrcss: n i.
?Plumber. '' ?
J
+7 lJpd
V?
:
N a
j uii ? ? . ?"a
a.
Meter 7
,?tail
? ;
S
' 'ELl
????•
JG?
?
J
';ReOdN (+IO. t
i
;I e?M !4 00111Ph M{1h f`! r?17 $.??
o.aM.,m... n?eT.n,-
?? Total:
Dote Paid:
. Date o4 Ir"p.: Insp.:
CITY OF EAGAN VYATER SERYICE PERJW
3830 Pilot Knob Road - pERMIT NQ.:
P. O. 8ax 21199 DATE: -
Eegan, Mti 55121 No of Vnits:
Zon1'ny: _
Ovvnerc
Addross: , , ,?5. ?_• _.
Sita AddreUt Plurnber. Connection C3+orqe:
?ytieter No.: kcount peposit:
Siu: peRnit Fes: ?
Reader No.: Surchorge- -
1 Nm te am* ? t6. Cie? misc. Choryes: -
ordt"90M' Sotal: - -
Dote Pald:
BY Imp.:
pote of I nsP.:
C1TY OF EAGAN SEWER SERVECE PERMIT
3830 Pilot Knob Road pERµlT hla.: •'-'-; -
P. O. Box 21199
Eagan, MN 55121 DATE'
.? No. of Units: ?
Zcnirq:
r:
Owns
^i
ddIlSS: r r '' t?!- j zU ....'- er W
A
Site Address: ? ?' ??
Plumber: _ •.?t?'}''t? j1?0.';f)p[l
S ????nd
7
1 Mm h eo?if M'I!1' lw de!? ef ?!°n Co^^ectlon Chorps: •
Acaou? Deposif. :
Or!{?.a?. pem* FN: i
Surchar0e:
K "
@y Misc. G+o?0es:
Dote of Insp.: ToRal:
Insp.: Dote Poid:
r OF EAGAN WATER SERVICE _,P ?ERM14
IO Pilot K nob Rosd pERMIT NO.:
P. d. Box 21199 ?TE: JEagan, MN 551?1
_ No. of Units:
Z0?11110: - 7 -_,
'O'; t? 1 t,a tiUmeS
Owner:
C'ri::g-+L1
Addross: 14, -,*, . Aenkwe vlay
Addroas:
uRtber. t) . ?., pd
r No.• 56, ? Qwrpe: _. .?. r.,
.H AOC?S ? ? tj, 77p cj
Za.
eode No.: • P
qrN to oo?n?h? rrlHt Hb Ci?,?.?E ' E' •' l. _? _, tt p TF
pr?iMena?. R e????t? r? . Gpd mete'
By Dote P'aid:
? G
Date of ImP.: inap.:
TY E AN WATER SERVICE PERMI'E
30 Pii, job Road PERMIT NO.:
0. Box `s 699 DATE;
Igar MN 55121 No. of U,,;ts: x+irg: _ , . .
Owner:
1lddress: ,
Site Addross:
Plurtiber. ?nnection Chwrge:
Meter No.: Accaunt peposit:
,Si:e: Permit Fee:
:`Reoder No.: ? ? Ga? Surchnroe- -------------
I Nm te oo?eVb ?' ? Mlsc. Charoes: .
; pir?1M11?M. TO?aI:
pate Pofd:
By
ooce of Insv.:
CITY O 3AN
3830 PilL nob Road
P. O. Box : 199
Eagan, MN 55121
Zoninp:
Ownsr.
AddR55:
Site /lddres: ''bQg'-r Fenkw. s.a_v
+Plumber. - -
- . ,:.. . -,..
.em te «srh? wli Nu Clf?.f l."¦
vQryNwps,
By
;Dote of Insp.:
• 1nsp.:
SEWER SERVlCE PERAIT
PERMIT NO.: ?10 ]r.
nATE: ^-I6-86
_ Na of Units:
,tl'.
?r
1t?0 , 0',!nd
c,on+.dj«, a,arod: !. 75 . 0npf!
AcaOUnt DeDosif: (10nd
Pormlt Fes: Wnc
Surdwrpe:
_ Misc. CJ+orqes:
_ Totai:
_ Doh Pald:
3830 Pilot Knob Road
P. O. BA:: 21199
Eagbn, MN 55121 ?
2onirg: _
Owner:
Address:
Slh 1lddress: -
Plumber.
AAeter No.:
Size:
B 5 .To hnm
,. ?rrl tln,-,rl 404
r NO.: f)--2-T- - !Ik9c. na/% H?C c
pn. Fo aoi.rFi ??MI? tM Cier .? 'L?1? ? ? -i; , 00 nc: TP
4fE
ineM.
- REQt'"ark r Frl nptar
V
DQft P0id:
e of Insp.: Insp.:
CITY OF EAGAN WATBt SERVICE PERMtT
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.:
,-
Eagan, MN 55121 DATE:
Zonirq: : No. of Units:
OWnlr: 'f2t Ue ilQ;
Mdreas: l'Pn?.'we Wxv ?, ?-
iber - ?c:t? ?Iulr:? ? :
?r No.: Connecfian Charys: 5011 .00Rd
11ooDunt DeposiY: i J . lL;
kr Na.: Permit Fee: 10 • 0(}12d
M h aowply wlek IM Gty oi Ee". Surcharye: . SOgd
..oo... Nuac. Chorpes: 155 .00j2d 'iF
Totot: A" Cn,v; aut A..
Dote Paid:
of Ir?sp.: Inap.:
A
CITY OF EAGAN
3830 Pilot Knob Road
P. O. Box 21199
Eagan, MN 55121
Zcxninp:
Owner
rP ressAdd
mber.
1 1 Mm to aawiv w1M !Iw GNf ? gqpm
OriliwanoN.
By
DoRe of Irop.:
?
SEWER SERVlCE PERMR
PERMIT NO.:
:
DATE:
No. of Unih:
Ca+nectlon O+orw-
Aooount DePosif:
Permit F":
Surdwrfle:
Misc. C!a?pes:
Total:
Dcrft Paid:
Thit rZnuest void
//%//_
18npnlhsIrom ?C? / ? /_//?/O ?17.1Y ??
O
E 20643 /..3? a?.??,,,«
Reqwpst Date /?
[
?
y' Fir No. N p-i Insuer,lion
He retl? eady Now Q Will Nntify Inspec-
Io
Wh
H
y/ r
en
eady
?Yes o
icenged Elec[ricdl Conlractor 1 hereby repuast insDaclion of above
Opner elacvical work instelled at:
Sireet Atldress, 6ox or Boute No.
Y(0 o /',t F?rU??,?? CNY
£ 6r1v1)
emmn o. Township Name or No. Range Nn. Coum/y?? /
///T7co TT7
Occupant (PRINT)
l?RNC.. , G'Rvt 5 Prone No.
Poww SuOV??er Address
Elechical Canvac[or (COmpany Namel
(??3c,?a-??a t?('(r/a/c. CnnVar.lor"s License No.
oyaa? I
Maifinp AdJress ICoMracmr or Owner M ing Inslailetionl
Z 0 9 Wrf< AIiNn 'TA?9yi Gr4G?iw. ihw S'J1.?2
Authoriz d S?9 ?ure Cont a?t c Own r Makina ?nstallationl Phone Number
?
MINNWOTq STATE BOARO OF ELECTRICITV THIS INSPECTION REQUEST WILL NOT
Griggs-Midwey Blda• - poom N-197 BE ACGEPTED BY THE STATE BOAPD
1827 Universitv Ava.. St. Paul. MN 55104 UNLESS PNOPEN INSPECTION FEE IS
Phone16121642-0HOO ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ?EB-0/l00/01-06
0 Seo inslructions for comDleting this form on beck ot Vellow copy.
nr ?• O TT ??
E Z 1J.0 43' "X" Below Work Covered by 7his Request
A d Reu. Type of BuilEin9 ADPliancea Wired Enuiument Wlred
Home Range Temporary Service
Duplex Water Heater Li,yhtiny Fiz[ure5
Apt. Building Dryer Bectric Heabn
Cortnnercial Bldy. Furnace Silu Unloader
InAustrial BIAg. Air Conditioner 8ulk Milk Tenk
Farm 0n,' +oe,v thnr ISUr.r,ifyl
thr.r ycoty Othee Oihi?r
omnute lnsoection Fee Be/ow
p Fee ServiceEnveneeSize tr Fea Faxders/5ub(neders IX Fen Circuits
0 to200Ams 0to30Ams 0to30Am
A Above 200 qmps, 31 to 700 qmps 37 to 700 Am s
Swimming Pool Above 100-Am s Above 7?0_Am s
Transiormers Irrigation Booms Partial0ther F e
. Signs Special Inspection 5'? ?yy 70TA E
Nertwrks
?• U w
ftO ,V
/
Nou9h-in
` Date 1, thpe E
Insector, heraby
certi?y thet the ebove
Final
c/ 9?`
(?'• inspection hes been
meea.
mfa reQuesl voW 18 months Irom
7 REQUEST FOR ELECTRICAL INSPECTION jV% EB-G00c001-0p5/
? See ilutructions for tomDletint; this torm on beek of Yellow copy.
Cr'
"X" Below Work Covered by 7his Request
AAd Neo. Tvoe of BuilEing Aooliancee WiraE Equiument Wlrea 1
? 1 commerc12B l Bldg. Furnace Silo unloader _J
IndustriaIAa. Air Conditioner Bulk Milk Tenk
p Fee Servfea Envenee3fze n Fae Feedars/SUbfeedars # Fee Circvite
Oto200Ams 0 to30Ams 0 to30Am
Above 2_qm n 31 to 100 qmps 31 to 100 A
Swinvnin POOI Above 100-Am ' Above 700_Am s
Transformers rrigation Boorcs Partial-'Other Fee
I I I Signs I I ISpeciallnspection ?S
Memarks I y7" TOTAL
This rcpuest voitl
16 months imm
C 6g9 71.??
6 5578
!!lo //Yr?.?L' 0- A'S".7!/U
neeeccc???uesl Date Fire No. ' RbuBh-in Inspection ,{.,???
1 _ ? ? -?ired? ? ORaady Now ?Will Noli(y Insoeo
i -s n Yes No ?V 1or When RaaCy
? licensBd Electrical Contraclar 1 hereby request inspection ot ebova
? Owner elee4ical work inalalled aY.
Sl
re@
t
Addre Boz or Rou No. CI
^
1
1
/
0 p
`lY
?
acuon o. Township ame or No. HanBe No. Co
O upantlPRINT) Phone No.
VCAJ
Power 5_ .PVlier,?+
?,? `il/l Address
EI 'rical ConVactor (COrnpany Name) - icen No.
Contraclpr'
?
Mailinp AdJress (Convact or Own aki nB t eilation)
D U-
eture ICOnvacmr Owner MakinB ??s[allationl Phon Number
= ?l
MINNESOTA STA?E 1OARD.OF ELECiflICITY ? THIS INSPECTION BEQUEST WILL NOT
Griave•Mitlwey Bid9• - Moom N•181 BE ACCEPTED 0Y THE STATE BOAflD
1B21 Univareitv Ava.. SL Paul, MN 66104 UNLESS PqOPER INSPECTION FEE IS
01.....e reIII aeo.mnn ENCLOSED.
q P?I9 / REQUEST FOR ELECTRICAL INSPECTION V
416-202 Ul 1
B
Be
r
3e
I
Universiy A
Rm.
7 Bc
St Paul, MN 55104
B
21
a
Phone (612) 642-0800
Home Dupfex A t. Bldg. Ollior:
I
l New Addn
Commerciol Indushiol Farm r Remod Re Qir
Air Cond. Hig. Equip. Woter Hh. Load mt Other.
Dryer Ronge Elec. Heat Temp. Senice
"X" above ffie work corered by dris requesG Enler remarks in fhis space and on the back of fhe whife copy only.
Calculale Inspecfion Fee - ihis Inspection Reqvest will nof be accepfed wilhouf ihe correcl (ee:
I Other Fee 8 Service Entrance Size Fee # Circuits/Feeders Fee
Mabile Home Park Slall 0 to 200 Amps 0 to 100 Amps
Shcet Ltg./iraffic Sig. Above 20Am s Above 100_Amps
TmnsFormer/Genemlor MSPECTOH'S USE ONLY TOTAL
$ign/Outline llg. Xfmr. O(1T.E't5 wL-ZDC-6 "Aa- 12 O
Alarm/Remote Confrol 4JO7`1C4Z- 16j7/QS-
Swimming Pool I hore6 cerri ?har I ir.t e elec ' I in iarion dexribed herain on the datas sm
Irrigation Baom oare
Ro,l.Li
S ial Ins
eclion ?
p
n
InvestigativeFee Fina Dme
j 6 ,S b
THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 78 MONTHS.
OFFlCE USE ONLV Thu requeNwid 18 months from volidation dofe prinlad in Ihis 6oz.
o
0- 7- r?--
L35
9
I II I? II III? I II II
IIIII IIII IIII I
I
?
? ?
A
II?
?
* O 4 L 6 2 O 2 O? PL ASE ?INT OR TYPE
RM'rey D°k Rough-in inspeclim required? Va ? IJO Inspedion OIMr Thon RwgMn: ? Rmdy Nw Wll Coll
(You must mll ?he inspecror whe ready, Dak Ready:
I, ? licansed conhactor ?owner hereby request inspection of the above eleclrical work a1:
Job Addrass (Srceer, Boz, or Roule No.] Ciry Zip Code
p 1?'G'A,
^ u S iL
Seclion No. Township Name or No. Ronge No. Fire No. Counry
Occupam Phona No.
7'
Pawer $?pplia Address
fG Vg ,64 " -
Elechiml Conhador (Compony Nane) Canbaclw lianae No. MasMr lic No. I%om Elert Only)
'F4o?'
nbM.9 naa. jco.nero, o, o., ra,romin9 imanwo.)
AWhorized SignaNre (Conhatla w Ownar Pedmning Insmllolion) Phone No .
[.
EB00001.4 8/96 STIITE AND COPY - SEE PlSIP11Cf10HS ON BACK OF YELLOW COPY
9 REQUEST FOR ELEC7RICAL INSPECTION e/e-aoooi-os,
1 Sea inabuetiona br eomoletin0 thie torm on beck ot yellow coDY.
t
? q 7(? "X" Below Work Cavered by 7his Request NwAAAdI Reo.l Tvoe oi Builtlina 1Aooliancee Wirod 1 Equipmem Wired ?
I 1 I I Duolex 1 I Water Heater 1 I Liqhtfnu Fixtures I
0
I I I I Industrial 81da. I I Air Conditioner 1 I Bulk Milk Tenk I
w
M Fee Servlce EnvBnceSize tl Fea Feetlers/Subiaeders # Fee Gircuits
0 to200Ams 0 to30Ams Oto 30 Am
Ahove 20 _qmpy 31 to 100 qmps 31 to 100 AnVs
Swimmin Poot Above 700_Am s Above 100_Am •
Transformers Irn tion Booms Partial.'Other Fee-
L .. I I"gns I I . lapeciai inspecuon ?5 /
? 7, TOTAL FEE /"<".
HouBh-in ? ?1e' ?? I, the ElecieicaA? ?n /^'r?0 ??zoeCtor, heraby
?/ cer?i/y Ihet ihe wbove
Finel /f j ?.?/ ?.' ? inapection hea been
Rtla reauest vo1018 monlM irom
This request voitl ??S/P7 [,? / ?7a
18 months (rom ? .
' 6 89 7 0
Request Oete " fie No. Nou h-in InsVection
fl quiretlt
?ReaAy Nuw W?11 No?ity Insoec-
?
?'- ' es ?Na ?ar When fleatly
? Licensed Elec[rical Contractor I herebv requese inaoaction of abova
? Owner eleclrical work instelled et:
Streel Addre55 Box or ute No.
(_, L City
a, \
ecuon o. Towns io Name or No. ange o. County ,??
T1 ln..Il/1I
v
Oc upanl IPqINT V
L Phone No.
Power Supplier
l/?n ??/ ? ? ? Atltlress
Ele cal Contrecmr ICompany Name .(n_--.?
6LI ' Con ac r s Licen No.
?
MailinpAdJress Contractor or 0 n r Ma p InstailecioN
5
Aut izetl Sie?? ?a ICOntrac r/Owner M king Installationl Phone b¢r -?DQ
&
MINNESOTA STATE BOARD OF ELECTNICITY ( THIS INSPECTION REQUEST WILL NOT
Grippe-Mlawev Bldp. - Room N-191 BE ACCEPTED BY THE STATE BOAND
1827 Unfve.aitv Ave.. St. Peul, MN 66104 UNLESS PNOPEP INSPECTION FEE IS
C1.nn. tR191 f,n9-Mno ENCLOSED.
n}rom'd '/is/?7
C 7 2 1-4 R.a ,L. ,_? ?; (Zj?, ,q?-
'?-' ss?- :s'
X??1 f-i
Nequest Dale
l
'
X Fire No;/ ouBh-in Insp6ction
qwred?
Ofleady Nuw
Will Noli(y, InsOec-
es ?NO tor When qeady
U Licensed Elecvical Contracior I hereby request inspection ot above
? Owner elactrical werk instelled ot:
She t AdCress, Bpr Route No.
I Cf
ecuon o. townshio Name or No. flanBe o: C ny
Occupnnt (PRINT) Phone No.
ower SupOlier Atldress
I
E ical Contrac[m JC6mpany Namel
i r Conrrac r's Licans
e o.
3 3 -
Maili g A ress (COnVe r or Ow r Mak'
?_ Instailationl
?
Au o ized ignature IConh ctor Owner king Insullation) Phone Number
MINNESOTA STATL"BOAflD OF ELECTPICITY ? THIS INSPECTION REQVEST WILL NOi
Gripps•Mitlwey Bldg. - Room N-181 BE ACCEPTED BY THE STA7E BOARD
1821 UniwreitV Ava.. St. Peul, MN 66100 UNLESS PXOPEB INSPECTION FEE IS
Phene 16121 662.0900 ENGLOSED.
7 REQUEST FOR ELECTRICAL INSPECTION ee-C00001 oa
II, See insiruclions lor comoletinq thia form on baek ol Yellow eopYG'
[.? CZM 0 '7 7 "X" 8elow Work Covered by This Request NwdAddi peo.l Tvoe ol Builtlina 1 Amliancenltire4 1 Equiyment WireA I
xtures
A i r Cond
Unloader
p Fee Service EnvenceSixe 11 Fee Feedars/SuEfeadera # Fee Circuits
0 to 200 qm s 0 to 30 Am s 0 tn 30 Ane s
Ahove 20 _qm ps 37 to 100 Amps ? 31 to 100 Amp,
Swinunin Pool Above 100_Am s Above 100_Am s
Transformers rri ation Booms Pertial•'Other Fee
u_ I Signs ? I ISpecial Inspection ?S
Nerrerks ' - ?? TOTAL
1, the E1404.4c?l
Insoectaq heraby
certify that the above
inapeetion hes baen
mede.
tMareQUmt
This request void ?/? S/?7 [p ?l y?.?
18 momhs irom
C. 68973
ReqoeS[ Data ' F,i[e No.
? 9oupA-in Insuection
qu rad?
?Ready Nuw?Will Nn1ify.lnsPec-
?
_?
- 13
1 Ya= ?No ? lor When fle
ady
? Licensetl Elecirical Contractor 1 hereby .equest inspeetion of abova
? Owner elecbicel work instellad aY
Stre t Atldress, Box or Rout No. Cil
v
ectron o. ownshi0 Name or No.
I .nge No. Coun
ry
?
O u0ant IPPI TI
(Dryrl V Phone No.
Poa?r uPplier
nn 1
?\ J1???4 Address
El:Sal Conhactor ? olnDany mel
Ilf _ Contractor's Lice e No.
Mailin0 Atldress (Conirec[or oner
0 D- aking Instaila[ioN
A= (Con actor/Owner MakinB lnstallationl Phone Number
a?
U
MINNESOTA STATE4OARD OF ELECTRICITY ? THIS INSPECTION NEQUEST WILI NOT
Grippa-Midwey Bldq. - Roam N•791 gE ACCEPTED BV THE STATE BOAND
UNLESS PROPEN INSPECTION FEE IS
1821 UnivereitV Ave.. 36 Vaul, MN 66704
Phone (612) 642-0600 ENCLOSED.
5/g? REQUEST FOR ELECTRICAL INSPECTION ? y y0?05
? , Sae imtructions lor eomoletinq this torm on beCk of yeliow coov. JP
?? ?
?'-', ?R-q -] *? "X" Below Work Covered by 7his Request
AAtl XaD• 7YDe ol Building Apoliancea Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt. Building Dryer Electric HeaUn
Commerciai Bldg. Fumace Silo Unloader
Indusirial Bldg. Air Conditioner Bulk Miik Tank
Farm otnNr peci v ?ner Isner,ilyl
7t ar SuecilV Ot er Othur
Comnute Insoec[ion fee Below
N iee SarviceEntmnca5ize p Fee fae0ers/Subfeeders # Fee Circuits
U to 200 Am s 0 to 30 Am s 0 tn 30 Am s
Above 200 qmps 31 to 100 Amps 31 to 100 Am
Swinvnin Pool Above 100_Am s Above 100_Am 5
Transformers Irri ation Booms Partial•bther Fee
Signs Special Inspection zJ"-/!T
$ TOTA
E
ema.ks
? w?.l
T L
E /
R011Bh-III t¢ I. ?IIB 8?
? ? ?/??o?? Inspector, hereby
.e certily thet the nbova
I Finel Dxe?n ins0action has baen
mede.
rhls reoueat wltl 18 monlhe Irom
L 1-4, B 5 CITY OF EAGAN c
3830 Pilot Kno,b Roal' P.O. Box 21-199, Eagan, MN 55121 1?1 ' Yp 12v24
?/? J---
BUILDING PERMIT PHONE: 454-8100 Receiptp ts?-
7o6eusedtor 1 OF 4 PLEX Est.Value $48,000 Date SEPTEMBER 16 1y86
sitenddress 4610 1/2 PENKWE WAY Erect [N Occupancy R3
Lot Z eiock 5 secisub. JOHNNY CAKE Remodel ? Zoning pn
ParcelNO. RIDGE 4TH Repair ? TypeofConst. V
W nlame GOOD VALUE HOMES
3 nddress 1460 93RD LN N
° city BLAINE pnone 780-5510
o Name SAME
0 Q Address
? Ciry Phone
a
F W Name
u c Address
< z
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 Ciry qf?}g?rdina ?s.
Siqnature of Permittee? ?f
A euilding Permit is issued to: GOOD VALUE HOMES
all work shall be done in accordance with all applicabl tate of Minneso
Building Official ? A
Addrtion ? No. Stones
Move ? Length 44
Demolish ? Depth 24
Int. Impr. ? Sq. Ft
Install ?
Fees
Assessment Permit $ 274.00
water & Sew. Surcharge 24 . 00
Police Plan Review 137 . 00
Fire SAC 575.00
Eng. WaterCOnn. 500.00
Planner Water Meter 63 . 50
Council Road Unit 290.00
BIdg.Off. 9/16/86 Tr. PI. 156.00
APC Parks
Var. Date Copies
Totel $2 .019.50
on
" the express condition that
9tgtutes and City oi Eagan Ordinances.
FOR SALE TOWNH3 30 Pllot Knob Ro dl P.O. Box 2G-A1 9, Eagan, MN 55121N2 12v23
L 1-4, B 5 PHONE:454-$100
BUILDING PERMIT 1 Receiptn ,-,
7o6eusedtor 1 OF 4 PLEX Est.Value $48,a00 Date SEPTEMBER 16 19 86
4610 PENKWE WAY
Site Address Erect Occupancy R3
Lot 1 Block 5 secisub. JOHNNY CAKE Remodel ? 2oning pn
Parcel No. RIDGE 4TH Repair ? Type ot Const. p
-- Additi ? N St '
W nlame GOOD VALUE HOMES
3 Address 1460 93RD LN N
° city BLAINE phone 780-5510
= o Name SAME
? ? Address
~ Ciry Phone
F W Name
? n Atldress
a W Ciry Phone
I hereby acknowledge that I have read this application and state thatthe
information is correct and agree to comply with all appiica6le State of
Building Official ? ?? t? on o. ones
Minnesota Statutes and Ciry a h Ordin rfces.
Signature of Permitte?e<
A euildin9 Permit is issued to: GOOD VALU • HOMES
all work shall be done in accordance with all appli le State of Mi ne
Move ? LengN 44
Demolish ? Depth 24
Int. Impr. ? Sq. Ft.
Instell ?
Approrals Feea
Assessment
water & Sew.
Police
Fire
Eng.
Planner
Council
sa9, on. 9/16/86
APC
Var. Date
Permit S 274.00
Surcharge 24.00
Plan Review 137.00
SAC 575.00
Water Conn. 500.00
Water Meter 63 . 50
RoadUnit 290.00
Tr. PI. 156.00
Parks
Copies
Total $2. 019.50
on the express condidon that
and City of Eagan Ordinances.
L 1-4, B 5 CITYOFEAGAN Np 12625
• . 3830 Pilot Knob Road, P.O. Box 21-799, Eagan, MN 55121
PJiONE: 454•8100
BUILDING PERMIT Receiptp
7obeusedfor 1 OF 4 PLEX Est.Value $48,000 Date SEPTEMBER 16 1986
SiteAddress 4608 1/2 PENKWE WAY Erect 3Cl Occupancy R3
Lot3_ Block _5_Sec/Sub. JOHNNY CARF. Remodel ? Zoning pn
Parcel No. R TT1C,F. 4TH Repair ? Type oi Consl V
Addition ? No. Stories
$ Name GOOD VALUE HOMES Move ? Length d 4
1460 93RD LN N Demolish ? Depth_4
o Address Int. Impr. ? Sq. Ft
Ciry BLAINE Phone 780-5510 Install ?
o Name SAME
_
$ < Address
a
?
Ciry Phone
F W Name
ux o
: Address
i w Ciry Phone
I hereby acknowledge that I heve read this application and state that the
iMOrmation is correct and agree to comply with all applicable State of
Minnesota Statutes and C(ry rdinan?s?
Signature of Permine? ?, C?r ?
A Building Permit is issued to: GOOD VALUE HOMES
all work shall be done in accordance with all aaNicffile State of Nirne
Assessment _
Water & Sew.
Police
Fire
Planner
Council
BIdg.OH.9./l fi/gE
Var. Date
Fees
Permit $ 274.00
Surcharge 24.00
Plan Review 137.00
SAC 575.00
Water Conn. 5 0 0. 0 0
Water Meter 63.50
Road Unit 290.00
rr. PI. 156 . 00
Parks
Copies
7otal $2 .019.50
on the express condition that
and Ciry of Eagan Ordinances.
Building Official
1-4 , B 5 CITY OF EAGAN A' p c c
1Y - 12626
'
° 3830 Pilof Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-810 0
BUILDING PERMIT Receipt#
To be used for 1 OF 4 PLEX Est Value $48, 000 Date SEPTEMBER 16 .1986
SiteAddress 4608 PENKWE WAY Erect LN Occupancy R3
Lot 4 Block 5 Sec/Sub. JOHNNY CAKE Ramodel ? Zoning pn
RIDGE 4TH
Parcel No Repair ? 7ype ot Const 3LZ
. Addition ? No. Stories
? Name GOOD VALUE HOMES Move ? Length 44
z 1460 93RD LN N oemolish ? oepth-2¢
Bi: o Address InL Impr. ? Sq. Ft
Ciry BLAINE phone 780-5510 Install ?
o Name SAME APPmaIe Fees
0
u? Address
Assessment
Permit $ 274.0(
? Ciry Phone Water&Sew. Surcharge 24.0C
?Q Police PlanReview 137.0(
F W Name Fire SAC 575 . 0(
?a Address Eng. WaterConn. 500.0(
d W ciry phone Planner Water Meter 63.5(
Council Road Unit 290.0C
Iherebyacknowledgethatlhavereadthisapplicationandsiatethatthe B?dg
9/16/86
off 156.OC
Tr
PI
Information is correct and a to co ly with all appiicable State of .
. .
.
Minnesota Statutes and C' ? rdinan . APC Parks
Var. Date Copies
SignaWre of Permitte y Total $2,019.5(
A Building Permit is issued to! GOOD VALUE HOMES on the express condition that
all work shall be done in accordance with all applicable State
A t Minnesot ta and Ciry of Eagen Ordinances.
y
Building Otficial ?1 /-?< <1 -2e?
?
,
?
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Date: /I? 1160 SiteAddress:
Teaarrt:
??? ?Jky
?-----------------
i
? Pertnit #.
? Permit Fee: aa (• "" j
? Date Received:
? steff: ;
I
RESIDENT(OWNER Name:
)f&V I h11S?1A.WM cSe,V"LL+- Phone:
-
I
? an
Address / City f Zip: L. t U 1 lUmWI 1/
1 V l
Applicant is: , Owner 1- Contractor
TYPE OF WORK Descriptionafwork I`e--p'UI1
Construction CosC-q 1 ?&w Multi-Family 8uilding: (Yes _/ No ?
CONTI2ACTOR NameUks? 5??,VAWY License#: L-Bt.?ISH
Address: ??ak'?- awni' Aw,? mnucJ
City:l`U\ymipWF State:M ?\j Zip: F530D-1
Phone: 10'" "'I tl1, 0' ? Irj I Contact Person: ????" I V I
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 Worksheel
Category Submitted submitted
(4 submission type) • Energy Envefope CaYculatlons Submitted
In the last 12 months, has the City of Eagan issued a permit 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 Contractor: Phone:
nsrdered to be'ublic fnfQrmation:-' Po(tions of'
NOTE: Plaps'and suppor.tmg documenf'sthat yo?lfi?ub{n?? ar.e?co
?
{easons f6at would permit;the Crtyto
-the lnforinafion map be class7fieal as`nbn pub(rr#?f y?u pr?Vf?s?eeific
?
oncludeih?l
txhe „aire:trasfeseczefs _i?0 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 1 understand this is not a permit, but only an appliration for a permit, and work is not to staR without a permit; thal the work will 6e in
accordance with the approved plan in the case of work which requires a review and approvaf of pfans.
X ILy??.3'?--?,J M?LrA?f-, xY A fiA VAa??w?--
Applican s Printed Name Applican 's Sfgnaure
Page 1 of 3
y I?
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
- J/o7 ?/
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
'??70. °C.D
New Construdion Reauiremenis RemodeVReoair Reouiremems QMice Use Onlr
3 registered site surveys showing sq. ft of lot, sq. fi. of house; and all roofed areas ?/1 copies nt plan Ced of Survey Real _ Y_ N
(20% mexunum lot wveraga allowed) 1 set of Energy Calcula6ons (or heated eddNOns Tree Pres Plan Read _Y _ N,
2 copies of plen showing beam & window sizes; poured fiund design, etc. 1/ 1 site survey for adddions 8 decks Tree Pres Requirad _ Y_ N
Sepdc System Y _N
1 set ot Energy CalculaUOns Add'Non - ind'xafe donsde sepUC system D/n-s?te /C7/?/
3 copies of Tree Preservation Plan d lot platted atter 711193 ??????' J`-"-U'
RimJois(DetailOptbnsseledionsheet (buildingswilh3orlessunils)
Date I0 ConstructiooCost 1 ? ?0 C)
iq
Site Address
Unit/Ste #
Description of Work ?. 1G. Y Z }S t p?1
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0_ 1 _ 2
'?
?( l
P
O
'
7 ?????
l
h
#
T
114 -?
?
(
I
roperty
wner
J-F ?
77_
? 1 e
ep
ane
((0 5
o
,
)5
p
(56 0?
Contractor
Address City
State Zip Telephone #(?
j `. l
i r[ 'J:.I v _ 41Ju5 jU
CGMPLETE THIS AREA ONLY IF CONSTRUCTING A
Energy Code Category - Minnesota Rules 7670 Cateeorv 1
• Residential Ventilation Category t Worfcsheet
(Jsubmissiontype) Submitted
• Energy Envelope Calculations Submitted
Minnesota Rules 7672
. New Energy Code Worksheet
Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans. n e-)
R tZ-r-,z2 J -
ApplicanYs Printed Name ApplicanYs i ture
?
OFFICE IISE ONLY
Sub Types
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.)
? 04 02-plex ? 10 08-plex # 18 Deck ? 23 Porch (screen/gazebo)
? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Yor_ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior
? 32 Addition ? 36 Move 8uilding ? 42 Demolish Foundation
? 33 Alteration ? 37 Demolish Building` ? 43 Reroof
? 34 Replacem ent •Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation >i flC?o 0 a Occupancy R-? MCES System
Plan Revfew 100°/a or 25%
Census Code y3`f Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Consf Width
Footings (new bldg)
? Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Aoof Ice & Water Final
_ Framing
_ Fireplace _ R.I. _ Air Test _ Final
_ Insulation .
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Piant
License Search
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 EM. Alt - SF
? 38 Multi Misc.
? 44 Siding
? 45 Fire Repair
? 46 WindowslDoors
REQUIRED INSPECTIONS
FinaUC.O.
Final/No C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests Final
_ Siding _ Stucco _ Stone _ Brick
_ Windows
_ Retaining Wall
Building Inspector
_ `
9`K//'
Copies
Other
Total
r.,' ., .
CEH77FICA TE DF SURVEY
For: GOOD VALUE HOMES
D D41'?: - `D ?!D
1319LD1NG GR9S"
C. A. WINDEN 6 ASSOCIATES,'`?'
Land Planning, Surveys & Site':De?$
1381 Eustis St., St. Paul. MN 55108
Tel. 645-3648
'•?„ . k...
t-
.
1
? L.f? -- . . . .
ir
I xC449) C949•5)
..--
P p d ?r;?ofa Dri?e? Cq?+q'?'?
,o
.•- C00 r
57.00 •.nre X .
5700 51,1) s 44• ,° c;, w .
, O
N
0 44.0 _?'C
44•0 57.00
1
1 a . S? oo ?
(950,?)
? ?c195o) 'rf .
..r--d ?vr??a?? Pf;VC 1- (451.1)
? pr?? .ti ?CvS?•5
z
w
Lots 1 throUgh 4, inclusive, Block 5, SOHNNY CAKE
RIDGE FOURTH ADDITION, Dakota County, Minnesota.
Lf6£ND
X%X.1( Denotes Exiatinq ElevatSOn
(f%i(.X) Denotee Propoaed Elevation
o Denotes Iron Monument
0 Denotes WoadBn S:ake
..w- Denotes surlace orelnage
Prapusetl Nuuse £Isvatians
Top of Pnundation -
Garage F]oor 951. ?
Baeement Floor -
scale 1" - 60 B.M.
.L?ff?e. rnN e't lqnk ',
R,.la..e) fle Dr.vc-E = 9• e.
Dntum JL/'&.V.R /9L9A/?..-'.---•:'.i
I HEREBY CERTIFY THA- THIS SURVEY, PLAN, OR REPORT WAS PREPARED BY ME ON UNOER MV
DIFECT SUPERVISIQN AND THAT I AM A OULY REGZS?ERED LAND SURVEYOR IINDER THE LAWS OF
THE STATE OF MINNESOTA.
Dated thls 9" day of 2 Nn7)e.- , 19 06, C.R. WINDEN & ASSOCIASES, INC.,,.,.,.
b
Y
?r .:?,•?:f',,
Boak_ Page_ Minnesota Pegiatratiort No.
COMMERCIAL
2002 BUILDING PERMIT APPLICATION
CITY OF EAGAN
. 651-681-4675
//3 '.s__
Foundation Onl New Construction Interior Im rovement
• SWdural Plans (2) sets • Architectural Plans (2) sets • Nchitectural Plans (2) sets
• CivilPlans (2) . StructuralPlans (2) • CodeAnalysis (1)"
• Certifipte of Survey (1) • Civil Plans (2) • Project Specs (1)
• Code Malysis (1) " • Landscaping Plans (2) • Key Plan (1)
• ProjectSpecs (t) . CodeAnalysis (1)" • Master Exit Plan (1)
• Spec. Insp. 8 Testing Schedule • Certifcate of Survey (1) • Energy Calculations (1) not always"
• Soils Report (1) . Spec. Insp. & Testing Schedule (1) " • Elec. Power & Lighting Form (1) not always"
• Meter size must be esta6lished • Meter siza must be esTablished • Meter size must b -' a licable
. ProjectSpecs (1)
" (?
D l?
?? ? ? ?
1 • EnergyCalculations (1) J
1
•
Electric Power & Lighting Form
(1) " D
1 • Master Exit Plan (1) QY 1 Q ZQ?Z
1 • FireProtectionPlan (t)" d
1 • Soils Report (1) 1
•
MC/ES SAC determination letter
•
MC/ES SAC determination letter
•
MCIES 5AC del ination letter ?
can 651-602-1000 cau 651-602-1000 cau 651-602-100 y-
" Contact Building Inspections for sample
Food & beverage or lodging facilities - submit plan to MN Department of Health. Call 651-215-0700 for details.
DATE: O°l WORK TYPE: NEW REMODEL CONSTRUCTION COST:
SITEADDRESS: 4wl) ' wOIO1I? -4d' LW/•C 4-I ll N1JC. (tX91D
TENANT
FORMER TENANT NAME, iPAPPLICABLE:
DESCRIPTION OF WORK
[cl) ' . SUITE #:
y18 s, SGYI-
#: (_ &+-) &3 ' 0229 l r.. .,.
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
N? A J
City: State: aio Zip:
Company:7
Stteet Address: (
City:
Company:
Name:
Sfreet Address:
City:
Zip: (M 11
Zip:
Licensed plumber installing new sewerlwater service: Phone #
I hereby acknowledge that I have read this application, 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:
?pames Veisen, are Updated 1/02
Phone #: (6fj ) Q&- qU1T?
State: llvl/ v
Phone
Registration #:
State:
OFFICE USE ONLY
SUBTYPE
? 01 Foundation
? 14 Apartments
? 15 Lodging
? 25 Miscellaneous
WORK TYPE
? 31 New
? 32 Addirion
? 33 Alterations
? 34 Replacement
? 26 Public Facility ? 30 Accessory Bldg.
? 27 CommerciaUlndustrial 0 32 Ext Alt - Apts.
? 28 Greenhouse ? 34 Ext Alt - Comm.
? 29 Antennae ? 35 Ext Alt - PF
? 37 Nail Salon
? 35 Tenant Impr ? 42 Demolish (Foundation) ? 46 Windows/Doors
? 36 Move Bldg ? 43 Reroof ? 47 Repair
? 37 Demolish (Bldg) ? 44 Siding ? 48 Authorization
? 38 Demolish (Int) ? 45 Fire Repair
GENERAL INFORMATION
Census Code Zaning sq. ft.
SAC Code # of Stories sq. fr.
No. of Units Length sq. ft.
No. ofBldgs. Width sq. ft.
Const. (Actual) Basement sq. ft. MC/ES System
(Allowable) • , { 'First Flopr, sq. ft., ' ;,- . • • , . o , .,City VVater, - •. •
UBC Occupancy . -sq,,ft! Fire Sprinklered '
. , ;, • . -;. r? ? ? ° • - '.? r.'
MISCELLANEOUS INSPECTIONS
? Gas Service Test ? Heating ? Insulation E.] Plumbing ?
APPROVALS
Planriing k Building
. ,- ? .. + . ,
p, ,
' .
i . ? •• ' .
Stucco/Stone
t • ' •Engineering ? t a , fVarid * hee'
? , , . .. . . . ,.,
Permit Fee .
; i
Surcharge • -
Plan Review
MC/ESSAC :•'•.. .•' •.'
City SAC Water Supply & $torate
S/W Permit S/W Surcharge
Treatment Plant
Park Dedication
Trails Dedication
Water Quality
Other
Copies
. , , } , • ,'.
' 1.. t,?.• i• . ? J.
VALUATION
• , ' ? .
% SAC
SAC Units
. , •? Meter Size
. ? ' .?? .
? ? •MI . ?1?.• ?.
? .__ . ,,. • . ..
.. -? ..f .
? .
,. ,
. ?. . •
Total
C?'r9TIFICA TE OF SUf7VEY
FOr? GOOD VALUE HOMES
C.R. WINDEN & ASSOCIATES
Land Planning, Surveys 6 SiteDe'sigp
3381 Eustis St., 9t. Paul, MN 55508
Tel. 645-3848
?,..
?.,.?:.
r
?
? ?q491 C9495)
?r-
Plo? d p?rvfe- D?'?va? C9k9'S?
??q49, T ?4-a
?
?
?
Z
`-?
I
57. Ov •; ?? w
a ?15700 51.1) -
Sti ? 4 4 p,
?d n `` /,-Plex ? n,
n?, Oio os`-J o 0p
17 ? " ti ?'tV
44.0
57.00•.n
,
° N 44•0
C95o,t.)
or;ve ? C95hi)
P ip/vPo ?
l?•`Cy§a S
Lots 1 through 4, inclusive, Block 5, JOHNNY CAKE
RIDGE FOURTH ADflITION, Dakota County, Minnesota.
LE6EM0 !i^opasad hbuss £Jsvatjans Scale i' ? 60 . %%7f.X Denotes Exletinp ElevatSOn B N
UfRk.XI Denotes Propoaetl Elevatlon Top of FnunOatSOn '
o Denotes Iron Monument 6arape Floor, 95).? R,;Ja,.r1?Fie Dr,ve.-Efz9 B•3`
O Denotes Naoden S;ake deeement Floor '
DatUm A/. L-.V!. D, l9 L9n9?/.«............:!:, ..
.-?- Denotes SuMace Ureinape . I HEREBY CERTIFY THA7 THIS SURVEV. PLAN, OR REPORT WAS PREPARED BY ME OR UNDER MY
OIRECT SUPERVISION AND THAT I AM A DULY FEGIS?ERED LAND SURVEYOR UNDER THE LANS. OF
THE STATE OF MINNESOTA.
c.'.
Dated thSs 91'"? day of e Pm e? , 18 e, C.R. WINDEN & ASSOCIATES, INC.,
Bnok_ Page_
py 1?..?1a /3'`&"-""?.?M",V?.kr"''
Minnesata Regiatratian No. 7z :'•.;,?;
?a
1986 BQ?LDING'PERHIT APPLICATION - CZTY OF EAGAB
AOTE: ALL CONTRACPORS MOST BE LICfiNSED WITH THE CITY OF EAG9N
SINGLE F6FlILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
MOLTIPLE DTiiELLINGS - RFSIDENTIAL
INCLUDE 2 SETS OF PLANS, CER
1 SET OE SNERGY CALCULATIONS
COMIIlERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATZONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE HOND
To Be Used For: Zr? Valuation:
Site Address
Lot 41 Hlock 5-
Pareel/Sub
Owner (; o o , 0 " 2, )zZ? 21 , ?
Address //
City/Zip Code
Phone 75?69
Contraetor
Address
City/Zip Code
Phone
Arch./Engr. _
Address
City/Zip Code
Phone IF
RENTAL DBITS FOE SALE ONITS
OF SIIRVEY - CHECB fiITH BLDG. DEPT.,
Erect
Eemodel
Repair
Addition
Move
Demolish
Int.Impr.
Install
Date: 9 'g-
Occupaney
Zoning
Type of Const
# of Stories
Length
Depth
Sq Ft
APPROOALS FEFS
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
TOTAL
NOTE: ADDRESSES FOR CORNER LOTS - CONTR6CTOR/HOHEOiiNEH MIIST DESIGNATE HHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOFiED ONCE BIIILDING PERMIT IS ISSIIED.
1986 BIIILDING PERlITf APPLICATION - CITY OF E6GAN
HOT6: ALL CONTBACTOFS MtTST BS LICENS6D WITH THE CITY OF EAGAN
SIIiGLE F9NIILY DiiEI.LINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OE SURVEY, 1 SET OF ENERGY CALCULATIONS
M[JLTIPLE DWE[.LINGS - HESIDENTIAL RENT9L i1NITS FOE SALE ONITS
ZNCLUDE 2 SETS OF PLANS, CEHTIFICATE OF SORYEY - CHECg flITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE HDND
To Be Used For: Valuat ion: Date:
Site Address OFFZCE QSE ONLY
Lot 3 Block 5 Erect _ Occupancy
Bemodel Zoning
Parcel/Sub Repair _ Type of Const
Addition li of Stories
Owner Move _ Length
Demolish Depth
Address f?/(of -i7i?-c.? Lifi /l/ Int.Impr. _ Sq Ft
Install
/
City/Zip Code
Phone ?22- APPROVAI.S EEES
Contraetor csZ7._? Assessments Permit
Water/Sewer Surcharge
Address Police Plan Review
Fire SAC
City/Zip Code Engr Water Conn
Planner Water Meter
Phone Council Road Unit
Bldg Off Treatment P1
Meh./Engr. APC Parks
Variance Copies
Address TOT9L
City/Zip Code
Phone 0
NOTE: ADDRESSES FOR CORNER LOTS - CONTR9CTOR/HOMEOiiNER MOST DESIGNATE pHICH ADDRESS
IS DESIRED. NO CBANGFS iIILL BE 9LLOiiED ONCE BQILDING PERMIT IS ISSIIED.
.. LU
kL.
1986 BDILDING PEEHI? APPLICATION - CITY OF EAGAN
HOTE: ALL CONTRACTORS MOST BE LICENSED WITH THE CITY OF EAGAN
SINGLE FAlIILY DSiELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
MOLTIPLE DiiEI.L2NGS - RESIDENTIAL RENTAL IIdZTS FOR SALE ODIITS
INCLUDE 2 SETS OF PLANS, CERTZFICATE OF SIIRVEY - CHECg iiITH HLDG. DEPT.,
t SET OF ENERGY CALCULATIONS
COPIlMERCI9L
INCLODE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
7 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE HOND
To Be Used For: Valuation:'7?? --- Date:
Site Address 46G1D i°t.? (e1?
Lot ? Block ?
Parcel/Sub
Owner
Address
City/Zip Code
Phone A;79?19 - S,s/69
Contractor
Address
City/Zip Code
Phone
Arch./Engr. _
Address
City/Zip Code
Phone 1k
Erect ? Occupaney ?
Bemodel Zoning
Repair Type of Const
Addition U of Stories
Move Length ?
-
Demolish Depth ?
Int.Impr. Sq Ft
Install
9PPROVALS FEES
Assessments Permit Z?
Water/Sewer Surcharge 2c/
Police Plan Review /37
Fire SAC S7?
Engr Water Conn
Planner Water Meter , O
Council Road Unit . G?
Bldg O£f Treatment P1
APC Parks
Variance Copies
TOTAL
?
NOTE: ADDEESSES FOR CORNER LOTS - CONTRACYOR/HOMEOfINER MUST DESIGNATE SiHIC$ ADDRESS
IS DESIRED. NO CHANGES iiILL BE 9LLOftED ONCE BDILDING PERMI2 IS ISSIIED.
. , % C7
?
1986 BOILDIPG PEIMY APPLICATI09 - CITY OF EAG9N
NOTE: ALL COATRACTORS MfJST BE LICENSED WITH THE CITY OF EAGAN
SINGLE FAMLY DiiELLIAGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
MOLTIPLE DiiELLINGS - RESIDENTIAL
INCLUDE 2 SETS OF PLANS, CER'
1 SET OF ENEAGY CALCULATIONS
RENT9L i1NITS FOB SALE DNITS
OF SOR9SY - CHECH WITH HLDG. DEPT.,
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 7 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For: Valuation:
.?-
Site Address z"4104 R'-?A%N 6rl?
Lot a Block
Parcel/Sub
Owner we_?
Address J ??O ,93.e_?Ley /1/
City/Zip Code reea-z, S Sy3?
Phone ;?Ve:9
Contractor ??A?sa4
Address
City/21p Code
Phone
Areh./Engr. _
Address
City/Zip Code
Phone ll
Erect _
Eemodel _
Repair _
Addition _
Move _
Demolish _
Int.Impr. _
Install
APPROVALS
Date: 42- q-, g, f-
Occupancy
Zoning
Type of Const
# of Stories
Length
Depth
Sq Ft
E'EESS
Assessments Permit
Water/Sewer Surcharge
Police Plan Review
Fire SAC
Engr Water Conn
Planner Water Meter
Council Road Unit
Bldg Off Treatment P1
APC Parks
Variance Copies
TOT6L
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACiOR/HOMEOiiNER lIIIST DESIGNATfi iTHICH ADDRESS
IS DESIRED. NO CHANGES SiILL BE 9LLOAED ONCE BOILDING PERMI? IS ISSIIED.
^r.-4 SF E0301,
'.'4:." _. . r 9 ? = .1•jT7,lqi. n?? , 64
?
C ?.. r,e.ro3/ `?-? T'';^•,=.; ?'-??„=r,:?
? ;3?'? ", ' .?C"l'. h F,('8 ?r.•?f n ??.ac .,?t? ,'l. `?C
f?
21.51 .460f+. -st:i:i%,: 67`./ •',M
3497 . )P.v.l. 4:60$ '?•. ('.? l::G?-' :Il,f.'"Y
?, 1J1 df).'i ? '?x?•; _ii1Y rbt".M
C
t.: ' , r.'.... . - . -,k:: . '?.+. _ ..
^, r
a!' ty{.:+t? .V „ym - ,.,e :r: U 11 ,Jd•9.v
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMITTYPE: BurLozNc
Permit Number: 0 2 4 7 2 6
Date Issued: 0 4/ 2 3/ 9 7
SITE ADDRESS:
4608 PENKWE WAY
LOT: 9 BLOCK: 5
JOMNNY CAKE RIDGE 4TH
P.I.N.: 10-39803-040-05
DESCRIPTION:
' Oualda,n§:,P„ermit Type
!8uilding W¢T-? Type
,f Census Cade
;.
J
` ??
Sk
f?
0
BASEMENT FINSSH
ALTERATION
434 AIT. RESIDENTIAL
Pa?7 7
r ! ?
REMARKS:
SEPARAT[ pERMTTS ARE REQUIRED FOR PLBG & ELEC7RICAL WORK
FEE SUMMARY:
Base Fee $50.00
5urcharge $.50
Total Fee $50.50
CONTRACTOR: OWNER: - Flpplicant -
THOMPSON BRUCE
4608 PENKWE WAY
? EAGAN hiN 55122
(612)452-4208
I hereby acKncrwledge thet T Have read tNi's
infor;mation is cvrrect and a9ree to comply
? Statutes and City of Eagan Ordi.nance5!.
ALA?PLICANT TE RE
aPPlication and state ChaC the
w9,th all ap;Al3oab3.e StaCe ofi Mn.
Yh1,-
ISS D B: SI ATU E
1997 BUILDING PERMIT APPLIC,ATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
681-4675
New Construdion ReaviremeMs . RemodeUReoair Reauiremants
-tSo. s o
60 a?
Va?
? 3 rcgiatered sKe aurveys ? 2 copiea of plan
? 2 copies of plans (indude beam & window saea; poured fitl. deaign; etc.) ? 2 ske surveys (exterior eddRbna 6 dedcs)
• 1 energy calculations ? 7 eneigy calwladons for heffied addRions
? 3 wpks of tree preservation plan ii bt plat[ed eRer 711/93
requlred: _ Yes _ No
DATE: ? Iaq7 CONSTRUCTION COST: z`? Dn
DESCRIPTION OF WORK: &r2?? FiN75H
STREETADDRESS: o`6 aqyg-wE_('/'eT
LOT ? BLOCK ? SUBD./P.I.D.
PROPERTY
OWNER
Name: 71-lvuiu_ro/U .c44 a eF Phone #: 51-52 - f2 c?fi
?
mR
StreetAddress: S`-60'3 /11-.[/iCG/_F hiAX
City: FAh'AN State:Nl4i _ Zip: s s ? 2.z
coNrw?c7oR Company:
Street Address:
City: State:
Phone #:
License #:
Zip:
ARCHRECT! COmpany:
ENGINEER
Phone #:
Name: Registration #:
Street Address:
City:
Sewer & water licensed plumber (new construction only):
and lot change are requested once pertnft is issued.
Penally applies when address change
I hereby acknowiedge that I have read this application and state that the iMormation is correct and agree to comply with all applicable
Sfate of Minnesota Statutes and Cily of Eagan Ordinances.
OFFICE LJSE ONLY
Certificates af Survey Received
Tree PreservaGon Plan Received
Signature of Applicant:
Yes No
_ Yes _ No
RECEIVED
APR 0 4 1997
_ Not Required BY:--t2L?-
State: Zip:
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 01 Foundation ? 06 Duplex n 11 Apt./Lodging 16
)2( Basement Finish
0 02 SF Dwelling ? 07 4-plex ? 12 .
Multi RepaiNRem. 0 17 Swim Pool
0 03 SF Addition o 08 8-plex ? 13 Garage/Accessory o 20 Public Facility
0 04 SF Porch ? 09 12-plex o 14 Fireplace a 21 Miscellaneous
? 05 SF Misc. 0 10 = plex o 15 Deck
WORK TYPE
a 31 New ? 33 Alterations o 36 Move
a 32 Addition o 34 Repair o 37 Demolition
GENERAL INFORMATI AN
Const. (Actual) Basement sq. ft. MC/WS System X
(Allowable) Main level sq. ft. City Water X
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. 1 3
. Depth Footprint sq. ft. SAC Code
Census Bidg ?
Census Unit
APPROVALS
Planning Building ? Engineering Variance
Pertnit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
% SAC
SAC Units
CITY USE ONLY
t,oT /-? sL .? REcEIPr a: '7 9 9 7'1
SUBD. 0`?-? RECEIPT DATE: g? g I97
1997 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
? (612) 681-4675
Date: ?? //
Complete this section onlv if vou are installinff HVAC in single family, townhome, or condos that are
under construction and are not owner /occupied.
? HVAC: 0-100 M B T U $ 24.00
ADDITIONAL 50 M BN 6.00
• Gas outlets (minimum of one required @$3.00 ea.)
• State Surchazge: .50
• TOTAL:
Complete this section only if vou are remodeline addine to ar repairine eaistine sinele familv
dwellines, townhomes, or condos.
Add-on fumace
Add on air condidoning
_ Add-on air exchanger, i.e. Vanee system, etc. _ Other
Minimum fee applies to all remodel or add-ons of existing residences $ 20.00
State Surcharge 50
Total: 20.50
SITE ADDRESS:
OWNER NAME: _7"hD/Y?)Se7/U PHONE #:
INSTALLER NAME: US?t//e ?/AL 6 PHONE #: d 7 r`rJDD-15r
? f ,
SIREET ADDRESS:
/ CITY: STAfE: ZIP: ,h .'-3% O
`
?? ? I ATURE OF PERMITTEE
CITYUS@ ONLY
L BL
SUBD.
RECEIPT #:
RECEIPT DATE:
1997 MECHANICAL PERMIT (COMMERCIAL)
cirr oF eacaN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for. ? all commerciaUindustrial buildings.
? multi-family buildings when separate pertnits are not required for each dwelling
unit.
DATE: COfST;ACT PRiCE:
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: ?$25.00 minimum fee or 1% of contract price, whichever is greater.
? Processed piping - $25.00
? State surcharge of $.50 per $1,000 of oermit fee due on all permits.
CONTRACT PRICE x 1 %
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME: TELEPHONE #:
TENANT NAME: (innPROVeMENrs oNLv)
INSTALLER
ADDRESS:
ciTV:
PHONE #:
SIGNATURE:
STATE:
ZIP:
SIGNATURE OF PERMITTEE CITY INSPECTOR
-CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
*IOTR: PAYMFTTf OF M AT TIME OF
APPLICAMON DOES NOr CC@?]STITUTE
r,Prxovai, oF PEPrsr.
INSPDCTION OF SESM ADID/OR FIli'LER
INSTarramrONS WIM NOT BE SCHIID-
t]L,ID UUCII, PIItMIT HAS BEQJ
APPRUVID.
P ease Print
1) PROPERTY ADDRESS:
LEGAL DESCRIPTION:
IF EXISTING STRCCiL'RE, DATE OF ORIGZNAL BI]ILDING PERMiT ISSI'ANCE:
PRFSENf ?ANING/PROPOSID L'SE: (Month/Year)
? MMMERCIA/RETAILIOFFICE ? R-1 SINGLE FAMILY
? ZDIDCTSTRIAL ? R-2 DLPLE}C (Zwn Units)
n INSTI'IL'TIONAL/GOVEf2NMENT ? R-3 SU44Ei005E (Three + Units) ( Lnits)
, q R-4 APARTqmPI`/COAIDOMINILfi1 ( Units )
?
2)
NAME:-R/ i Ck e 1. SeW Pd- tt
AMMs: P, 0 6 oX / a sf ciTY, sraxE, ZIP:S SSo 73
PHONE: ;K33-67 7I
3) u i: ?•
- NAME:
ADDRESS:_?? ?I*-?- -
CITY, STATE, ZIP:
PHONE: MASTF?i ISCENSE#
Plum6ers License:
P,ctive
Fxpired
Not recorded
Sta£-Initial
4) ??• ? i?-
NAME:_ G o o d V l?l ?,P ffo r? ?,
_ rwDxFSS: /yGo 4.31-4 Lx*.*v Ni_z'
CITY, STATE, ZIP: L NT nr g
PHONE: 7 FS 0 ^.,;-
?? -
5) n r ??• •?• : o • o! -
k-yo
p' CONNIIX.TION T0 CITY SEWER CONNDCpION TO CITY WATII2 ?( OTFIER '.
6) " ' • '' ?
PLEASE HOLD ApPROVID pIItbIIT FC)R PICK-UP BY ONE OF ABDVE
PLEASE MAIL APpROVID PERMIT TO 1,W 3, 4, AHOVE
_ (Circle one)
FOR CITY USE ONLY
PERMIT # ISSUED
7 F z0
Pd w/Bldg. Permit
0
$
$
FEES:
/O -So
$
$ s
c
:
SEWER PERMIT (INCLODE SPRCHARGE)
WATER PERMIT (INCLUDE SORCHARGE) ..
WATER METER/COPPERHORN/OC'TSIDE READER
WATER TAP (INCLL'DE CORPORATION STOP)
$ $ SEWER TAP
$ ACCOLNT DEPOSIT - SEWER
$ ACCOUNT DEPOSIT - WATER
S WAC
sAc
$ $ TRUNK WATER ASSESSMENT
$ $ TRLNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ $ WATER TREATMENT PLANT SORCHARGE
$ $ OTHER:
TOTAL
RECEIPT RECEIPT
DOES LTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
? YES IF YES, THEN A"PERMIT FOR WORK L4ITHIN PUBLIC
Q ROADWAY" MUST BE ISSUED BY TAE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY;
TITLE:
DATE :
CIT . Y OF EAGAi?
? .. . ,
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
NO'P6: PAYMRNf OF FEE AT TIME pF
APriscAMoN DoES Nom aoN-riUM
APPROVAL OE' PII2NIIT.
-----------------------------------
P ease Printl
1) PROPERTY ADDRESS:
LEGAL DESCRIPTION:
2)
IF E}QSPING 5'IRCCIL?RE, DATE OF ORIGINAL BL'IIDING PERMIT ISSL'ANCE:
PRFSENP ZONING/PROPOSID [!SE: .
(Month/Year)
? COMP7ERCZAL/REI'AIL/OFFICE ? R-1 SINGLE FAMILY .
0 IAIDCSTRIAL Q R-2 DLPLEX (1to L?nits)
? INSTIILTIONAL/GOVII2fAg,TPP ? R-3 1UWNEIOL?SE (Three + Units) ( [lnits)
. ? R-4 APARTMEN'P/COAIDC)MINI[T9 ( Units)
NAME: o nl
ADDFtFSS:?. o• Q o k/ 2 S? ..
CITY. STATE, ZIP:S C T„1d M N -556 7 3
PFIONE: S/,3 .-4 -S/ "J/
3) u i: ?•
- N1aME:
ADDRESS: CZTY, STATE, ZIP: .
PHONE:
MASTER LICIINSE#
4) •?. • i?-
NA`E:__?rb'Ot? UxL e HOh, ?
_ nDoREss: /</G o 9 6-. L* N 'f'I/ =
CITY, STATE, ZIP: J5 Lll,ki -e hn n/ - S c v 3 V - y
PHONE:_],g0-.SS/U '
ActiVe
Expired
Not recorded
Sta 7nitial
-5) affi)(P.-WENTM r: • ?• : o a776114 nb
? CONNEC.TION T0 CITY SEWFZt ? CONNEX.TION rM CITY WATII2 0 pii'HER
6) n ?• .. • i-
El PI,EASE HOLD APPROVID PERMIT EC)R PICK-UP BY ONE OF AHOVE
0?` PLEASE MAIL APPROVID pERMIT TO 1k?0 3, 4, ABOVE
(Ciscle one)
INSrnclzoN oF sF.iER arm/OR FwTM
rniSrarsamrONS wIIS, NOm BE sc}ED-
MID UN17L PIItMIT HAS BEEN
APPR(7VID.
FOR CITY USE ONLY - `.
PERMIT # ISSDED
7rL-/ - ?
Pd w/Bldg. Permit FEES:
$ $ 16)- `>--o SEWER PERMIT ( ZNCLODE SURCHARGE )
$ $ WATER PERMIT (INCLUDE SL'RCHARGE) ..
$ $ WATER METER/COPPERHORN/OCTSIDE READER
$ $ WATER TAP (INCLL'DE CORPORATION STOP)
$ $ SEWER TAP
$ $ D ACCOUNT DEPOSIT - SEWER
$ $ U ACCOONT DEPOSIT - WATER
$ 5B 0 C?-a $ WAC
$ $ SAC
$ $ TRLNK WATER ASSESSMENT
$ $ TRC'NK SEWER ASSESSMENT
$ $ ' LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRC'NK WATER
$ -6 $ WATER TREATMENT PLANT SLRCHARGE
$ $ OTHER:
$ 1.2 $ c5 ? (? o TOTAL
1,64 ?32- !p(od??/
RECEIPT RECEIPT
DOES UTILITY CONNEC TION REQDIRE EXCAVATION IN PC'BLIC RIGHT OF WAY?
Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
Q
NO ROADWAY" MUST BE ISSUED BY THE ENGINEERING
DIVISION
LIST AS
O
DITION
. .
A C
N
SUBJECT TO THE FOLLOWING CbNDITIONS:
APPROVED BY:
TITLE:
DATE : ?11I 4/-lrz
REQUEST FOH ELECTRICAL INSPECTION . ee-oooor-os
/ See inntruetions /or complelieq this f«m on beek oi vellow eopy.
E 2 0 6 4 3 "x" eeloW Work Covered by 7his Request
Now AAtl Rap. Type ol Builtling ApPliancna Wired Equi4menl WireA
Home Range Temporary Service
Duple.x Water Heater Cightiq Fixtures
Apt. Building Dryer Electric Hpatin
, Commercial Bldy. Furnace Silo Unloader
Industrial Bidg. Air Conditioner Bulk Milk Tdnk
Farm Otnwr peu v incr Isuer.ilvl
f . NC[:1(y Ott1pf (?thLf
Lomuute lnsoection tee Below
M Fee ServiceEntreneeSiae II Fee Feeders/Subfeedars b Fea Circuit¢
Uto200qms Oto30qms Otn30Am
Above 200 qmpy. 31 to 100 Amps .31 to 100 qm s
'Swimming Pool Abova 100_Am s Above 100_Amps
Transiormers Irn tion Booms Partial-Other Fee
Sig?s SVecial Inspection S I,^ ?}•?
TOT
emvrks 1 V"?( AL FEE .
Rauph-im Da?e I..the Elechical .
Inspector, be
the rebya
Final. inapeetion,hea bean
. ' . . ?mede. ' .
mb rea?t mia ie montro I,om
r . : . .. . ? .. . .? .. .
. ...:..... . _ _..._ . _.- . . _..-,.. . ? ,: s.. . . ...-..-.. .'.?... _ . .. _ _. , ..».,..
TAis repuesl voiA ? . - ? . : . . . . '/
18 rrunths 6om
? C n.n n e ?/?/?? 1-i r A . /A :1
? G U U'-F d
RequestDate
?
C
Y r 1 Fir No. H p-in Inspection
Re red7
1. ' '
eatly Now Q'Will Notity Inspec-
?
Wh
o ?Yes X.
. o.
e? ??dY.
icensed Elearical Contracror Ihareby request inapaction ot ebova
?
wner elaClriml Nork instolleA eb
$veet Addrass, B z or Houte No.
? ?
Y6 w
% Citv '
?6A?
o
ecuon o. Township Name o? No. iGinge No.. Coun
ty
. . ' , y
}??q
y/TYVJT79 ....
Occupam (Pfi1NT)
fiNC DRv?s Phone No.
YSy-?'9?l
Power Supplier Address .
?-
Elecnital Conuac[or ICompany Namel
(o?yc,Rkc?[
?-i..rneac, /r?C. Conlrar,mr's Licanse No.
o If
MailinB AdJress
i
n
(Convactor or Owner M
p Instailationl
?.
(
?
p
AuNoriz
Cont O n r Makin9 Installationl _
.Ghone Numb¢r.
M
. .. . . ' . j,2 .. '0 C ^ {?/ '. ...
J
MINNESOTA STATE BDAPD OF ELECTRICITY. THIS INSPECTION REQUEST WILL NOT
GripOS-Midwey Bldu. - Room N•191 BE ACCEPTED BY TME STATE BOAXD'
7821 Universitv Ave.. St. Psul, MN 5510C - UNLESS PROPER INSPECTION FEE IS
ow..?e.c, m .nn - . ENClOSED. . .
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
*IOTR: PAYMFTTr OF FF.E AT 7'IME OF
APPscAMoN noFS Nvr ammzcrm
APPROVAL OF PF.RNIIT.
iNseDCriorr oF sDaat nrm/oR MM
INb'PJ1T?amrONS WIIS. NOT BE SCHED-
ULID UNi'II, PERMIT HAS BF.FSI
APPROVID.
• x-xxx,.x,.-Ww;-,._. _ _
P ease Print)
1) PROPERTY ADDRESS:
LEGAL DESCRIPTION:
IF FXQSTING STRL'CITJRE. pATE OF ORIGZNAL HC'ILDING PERhIIT ISS[,`ANM:
(MOnth/Year)
PRFSENP ZONING/PROPOSID LSE:
? CO+tiMERCIAI./RETAIL/OFf'ICE r7 R-1 SINGLE FAMILY
C] ITIDCSTRIAL Q R-2 DL'PLEX (1Wo Units)
? INSTI'IL'TZONAL/GOVERNMENr Q R-3 ZCJWDIIHOUSE (Three + Units )( Lfiits )
. ? R-4 APARTTmC/CObIDOMINZOM ( Units)
2) ? -- -
NAME:_ PL SohL
AnnREss: P o. l3ox / ? £? --
CITY. SrATE, zIP:_ Sc d nt d i' Ik N- S073
PHONE: 5?33 -S? 7/
3) • u m?• NI?ME. For City CTSe ..
Pltsnbers License:
ADDRESS: Active
E?cpired
; CITY, STATE, 2IP: Not recarded
PHONE: MASTER LICEP75E# Staff?inltlal
q) ??• •:.i ?.,?u'T?
rAME: _ Gn o? U?11, e l-fo t?,. --?'•
_ aDDxEss: 1 y,b o g 3 h d 1.,? ? NF
CITY, STATE, 2IP:_(j L XI i?? e /Gi N- S ^ S?3 Si - Y3 5?
PHONE: 7 $ U
•5? :? V• ' i i Y' • 91' C 0 • 7? ' pi
CONNECTZON 10 CITY SEwER (?{ CpNNECi'ION m CZTY WATER 0 pii'AER '.
7.. _
6) ?? ?• • • r ?
C r. q• -
vr•FncE HOLD APPROVED PERMIT FOR PICK-[JP BY ONE OF ABOVE
PLEASE MAIL AppROVID PIItMIT TO 1,4?0 3, 4, AHOVE
(Circle one)
FOR CITY USE ONLY
PERMIT # ISSUED
( ?%z3
Pd w/Bldg. Permit FEES:
$ $ SEWER PERMIT (INCLUDE SIIRCHARGE)
$ $ WATER PERMIT (INCLUDE SL'RCHARGE) ..
$ $ WATER METER/COPPERHORN/OCTSIDE READER
$ $ WATER TAP (INCLODE CORPORATION STOP)
$ $ SEWER TAP
$ L/ O ACCOONT DEPOSIT - SEWER
$ ACCOL'NT DEPOSIT - WATER
S ?6 v, rr a $ wAc
$ S 7 SaZ) $ sAc
$ $ TRLNK WATER ASSESSMENT
$ $ TRUNR SEWER ASSESSMENT
$ $ ' LATERAL BENEFIT/TRCNK SEWER
$ $ LATERAL BENEFIT/TR[!NK WATER
$- /,5-3 "e-z) $ WATER TREATMENT PLANT SORCHARGE
$ $ OTHER:
$ $ /J O TOTAL
3 Z- ?';?--)/
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
? YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
Q ROADWAY" MOST BE ISSLED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SOBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE :
CITY OF EAGAiV
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
^R7iw,: PAYMFTTr OF FEE AT 7?ME OF
APPLICAMON DOES NOr CONSTITUTE
APPROVAL OF PEEftffT.
INseDCt2or1 oF sEWx Arro/mx FV=
IU152A7TATTpN$ yjII,L IJO'p $E $(:Eim-
ULID [)NCII, PIItMIT AAS BFFE[4
APPRUVID.
P ease Print
1) PROPERTY ADDRESS:
LEGAL DESCRIPTION:
IF EXISi'ING STRT:LZL'RE, DATE OF ORIGINAL BL'ILDING PERMIT ISSL'11NCE:
. (Month/Year)
PRESE[JP ZONING/PROPQSID L'SE:
Q M"PECtCIAL/RETAIL/OFFICE n R-1 SZNGLE FAMILY
Q IPIDL'STRIAL Q R-2 DC'PLEX (Ztvo Onits)
? INSTIMTIONAL/GOVERNMENr CD R-3 TOWNiOL?SE (Three + Units) ( Units)
, p R-4 APARTMENT/COAIDOMID]ICT9 ( Units )
2) ? - .
NAME: _?U???cso? P?-?-
ADDREsS: P. O!3 d X I? Fr _'
cixY, srATE, ziP: S c A nr?l, • a? M ss ?7-7
PxorE: S3 3 -S/ 7/
3) • u ?:7• For Ca.ty Use ..
NAME• Plurtbers License:
ADDRFSS: Active
CITY. STATE, ZIP:
PHONE: - "?» -
MASTIIt LICENSE# Eycpired
Not recorded
St?initlal
4) •?. • ? i?+•
NADE: 6r- o o A4 u ? ?O !i.. -C'
_ ADDRFSS: I YG U ?131Yc) Lkl-i??P N?e
CIZ'Y. STATE, zip: 6 L#rw -e 41l( S f'3 S?- 5?3 9G
PHONE: _ 7 $U
•5) ? v .. ? r. • ?• : a • a? - ?.
? CONNECTZON T0 CITSC SEWEEt ? CONDIDC.`PION ZO CITY WATER Q OTfm ' .
6) ??
0
7"'
PLF.ASE HOLD APPROVID PERMIT FOR PI?Cr C?P BY ONE OF ABOVE
PLEASE MAIL APPROVFU pERMIT TO 4, ABOVE
_ (Circle one)
F'OR CITY USE ONLY- : PERMIT # ISSDED
Pd w/Bldg. Permit FEES:
$ $ /O ? Sd SEWER PERMIT (INCLUDE SURCHARGE)
$ $ WATER PERMIT (INCLUDE SC'RCHARGE) ..
$ 3"S--2-) $ WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (INCLLDE CORPORATION STOP)
$ $ SEWER TAP
$ $ /,`j/llrJ ACCOLNT DEPOSIT - SEWER
$ $ `S O-ZJ ACCOUNT DEPOSIT - WATER
$ $ A
W
C
$ $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRL'NK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRLNK WATER
$ $ WATER TREATMENT PLANT SLRCHARGE
$ $ OTHER:
$ I Z.j L` $ V? D-D TOTAL
G_ (o G 3 2-- -5-o2 /
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
Q YES IF YES, THEN A" PERMIT FOR WORK WITHIN PLBLIC
?
NO ROADWAY" MUST BE
DIVISION
LIST ISSUED BY THE ENGINEERING
AS
. A CONDITIO[V.
SUBJECT TO THE FOLLOWING C,ONDITIONS:
APPROVED BY:
TITLE:
DATE : '?'? j1lo /el /p
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' Use BLUE or BLACK ink
r—————————————— —
� � i For Office Use f'�/�{�(��
• � Permit#: / °-���/ � (�W ��j
Clty of �a�a� � 1y�. �� �!✓`� '
� Perrnit Fee:
3830 Pilot Knob Road �
Eagan MN 55122 � Date Received: ' '�_� � ��
Phone:(651)675-5675 I �
Fax: (651)675-5694 F , , I Staff: I
� ... � I
;:� --------------- �
2015 RESIDENTIAL BUILDING PERMIT APPLICATION
. �
Date: Site Address: Unit#:
� � � �� /�
���� �Q'�j V��°'�� Phone:��a�'C7��'�7L0��
, � f.
� Name:
� �
� �'�`�`� � Address/Ci /Zi �(�7 �� ��.f'� �t.�f.J�� ��(./
�� � � p�
' � a� ��
� ' Applicant is: Owner �Contractor
�,r �ch�
� � �-� Description of work: � �f� � �
���"�a���c a�,
�' � � Construction Cost:��C�/� Multi-Family Building: (Yes�/No�
� � �. - y!�� y�., ��,f `
�_ �Company: �/��-�T ���������-S Contact: //o�� /// �C:��'f�!
�' � � � Address: 9���` �AIII������1.�� City: �f!?a 1��la �
����� �`
��.
� . `,: State:�Zip:� ����Phone: 11� Emaik
� }� � ` � /,�
;� License#: ,�L��5`-y � � Lead Certificate#: — '" lG
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 8 Water Contractor: Phone:
Fire Suppression Contractor: Phone:
:: 11�`�T� �ltS�t���1����rg�t�#�CJ1T���,i��rt,y�#�sc���#���►�c��=��?������r�t�. ��'+�r����f ;
t��������rt t���as�s�d��or��'ar#y����'�t ' �e s��'�:��so�s'��t���'�f�t��e�;�t�
� . �'r�,.. .--: , � ,� -:. .. f.,.,;: ,...�_, '-��� �...,,.,,..�f'+�Vfi1;��Y�, �'T�,'A.7„���MY���M. '�£ 3 S�Z'y C �A
.. �,� 1
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protedion against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.goaherstateonecall.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.
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.
x����"�i � ���1� x ��j�������
Appl�cant's Printed Name Applicant's Signature
Page 1 of 3
�� � �� DO NOT WRITE BELOW THIS LINE l���j� -!
�_ ,
SUB TYPES ,
_ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
_ Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration (Multi)
Multi Deck Porch(Screen/Gazebo/Pergola) Miscellaneous
_ 01 of_Plex �Lower Level _ Pool _ Accessory Building
WORK TYPES
_ New _ Interior Improvement _ Siding _ Demolish Building*
)( Addition _ Move Building _ Reroof _ Demolish Interior
�--c
_ Alteration _ Fire Repair _ Windows _ Demolish Foundation
_ Replace _ Repair _ Egress Window _ Water Damage -
_ Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION
Valuation �� � Occupancy ,� ��' MCES System
Plan Review Code Edition i,��, �w,� . �� SAC Units
(25%_100%� Zoning �� City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction � Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
� Footings(Addition) � Final/No CA.Required
Foundation � HVAC Gas Service Test Gas Line Air Test
Roof:_Ice &Water _Final Pool:_Footings _Air/Gas Tests _Final
Framing Drain Tile
Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick
Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
��,x�
Other:
Reviewed By: ; ��° , Building Inspector
RESIDENTIAL FEES
Base Fee �'
r
Surcharge �
�. �� �
Plan Review �
MCES SAC
Ci SAC � r � � �
� �� �� � � ,� ' �`_ �.��'
Utility Connection Charge ; � � -� �r� �
S&W Permit&Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
��1�?TIFIf.i4 T� OF �iIJ/RIlE1� C . R . WINLIEN & ASSOCTAT�S;�''' ��':°;`".t ,
� Land Planning. Surveys i� Site' Q�3'�;-���n�,; ;
�981 E�st is St., St. Paul. MN 55�Q8 � ��` '
� �`°�': GOOD VALUE HOMES � Tel . 645-3f46 ° ��' �'��; I
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Lots 1 through 4 , inclusive, Block 5, JOHNNY CAKE
RIDGE FOURTH ADDITION, Dakota County, Minnesota. •
LEGEA� R^opossd hbuss Elsvations Scale i' � -�
XXX.X Oenotea Exiatiny Elevatlon , g,M, �-o�_{' �K��+ Q,t �?�
(XXit.X) Qenotes Propnsed Elevation Top of Foundation ,G, rs �..f,$.� ,��' yf�kwe.-��'
o Denotee Iron Monument Garape Floor 9��• � R�ao..c/,F{t j,�r,ve-EI= 94 b:�4
D Denotea Wooden Stake Baaernent Floor Datum—T � •`'�-
•�--.- Oenokea Surface Drainapa
I HERE6Y CERTIFY THA; THIS SURVEY, PI.AN, OR REPORT WAS PREPARED BY ME OR UNOEFi MY
�Ifi�CT SUP�FiVISION AND THAT I AM A QULY RE6IS?EFi�O LAND SURYEYQR UNpER THE LAWS OF
.�,:.•.;•, �,
THE STATE OF MINNESO7A.
� " ;
OatBd th18 �t� day of _�e� Pr9�Pr , 19 �� C.R. WINOEN & ASSOGIATES, INC., ,. ;,;.�,.,„.,,,
�
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� BROk PBgs Minnesota Regiatration No. �z:� :;f�? :_�
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