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4609 Penkwe WayCASH RECEIPT CITY 4F EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNE50TA 55122 19 RBCEIVED FROM AMOUNT Is y I & ooL.LAR3 ?oo El CASFI ? CHECK FOR ' . . . i , . ?. . ? , . ^r ?- BY White-Payers Copy Yellow-Posting CopY Pink-File CoPY Thank You Ll---- CITY OF EAGAN Remarks Addition JOHNIVY CAKE RIDGE 3Td ADAITION Lot 4 Rlk 11 parcel #10 39802 040 11 owner 5t«et 4611 Penkwe Way sute Eagan NIlV 55122 Impravement Date Amount Annual Years Payment Receipt Date STREET SURF. SS 1981 Paid Wid r ori 1I1S1 arce STREET RESTdR. GRADING SAN SEW TRUNK 197$ Paid lUld r OT inal rcel • SEWER LATERAL WATERMAIN * WATER IATERAL 1981 WATER AREA Z'Z Paid der Orl 1 31 arcel STORM SEW TRK s1D 19 O * STORM SEW LAT 1981 CURB & GUTTER SIOEWALK STREET LIGHT Road Unit 185.00 27335 10-19-81 WATERCONN. 335.00 r? ?t BUILDING PER. 6942 sAC 525.00 PARK . CITY OF EAGAN Remarks AddicionJOI-INNY CAKE RIDGE 3Td ADDITION Lot 3 Rik il Parcel #10 39802 030 11 owner street 461I31 Penkwe Way State EagaII MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. j' 1981 Paid und r OTl inal 3TCe STREET RESTOR. GRADING SAN SEW TRUNK 1975 Paid UIId T O'r I213l rcel * SEWER LATERAL WATERMAIN * WATER LATERAL IOP1 WATER AREA 'ZZ 19$0 Paid LiS1C1 Y' OY'1 inal arce STORM SEW TRK 75 D * STORM SEW LAT lgRl CURB & GUTTER SIDEWALK STREET LIGHT Road Unit 185.00 27335 10-19-81 WATERCONN. 33$.00 " p I BUILDING PER. 6941 sa,c 525.00 '' " PARK CITY OF EAGAN Remarks Addition JOHNNY CAKE RIDGE 3rd ADDITION Lot 1 Rik il Pefcel #10 39802 010 11 owne? 1., 11'1m (J14 stre9t 4609 Penkwe Way stete Eagan M 55122 Improvement Date Amount Annual Years Payment Receipt date STREETSURF. S" $ 19$1 Paid Urid T original arce STREET RESTOR, GRADING SAN 5EW TFiUNK 1975 p31 U71 Y' original arce * SEWER LATERAL WATERMAIN * WATER LATERAL WATER AREA yZ.Z igBD Sl U71 Y' origina arce STORM SEW TRK S * STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT Road Unit 185.00 2335 10-19-81 WATER CONN. 335.00 n ?r 6UILDING PER. 6939 SAC S2S.OO PARK CITY OF EAGAN Addition JQHM Owner?. ; 16 3rd ADDITION Lot 2 elk 11 pef,,, #10 39802 020 11 - street 460911 Penkwe Way state Eagan MIIV 55122 Improvement Oate Amount Annual Years Paymeni Receipt Dete STREETSURF. I981 Paid U71d T OT]. inal arce STREET RESTOR, GRApING SAN SEW TRUNK 1975 Paid und r OTl inal arce * SEWER LATERAL WATERMAIN * WATER LATERAL WATER AREA 27- 19$0 Paid l1Ild T OT1 inal STC@ STORM 5EW TRK * STORM 5EW LAT CURB & GUTTER SIDEWALK STREET LIGHT Road Unit WATER CONN. 335-00 it it BUILDING PER. 6940 SAC 525.00 n n PAR K Receipt PLUMBING PERMIT CITY OF EAGAN Permit No. Fee " Fil1 in numbered spaces S/C Type or Print legib/y Tot " 1. Date 2. Installation Cost ?. . ? .._ - 3. Job Address 'Lot ! Blk. Tract ? 4. Owner ' " !•' '-? 5. Contractor Phone 6. Address 7. CitY ? - State ' Zip 8. Building Type: Residential ? Commercial ? Institutional ? 9. Work Description: New ? Add ? Alter ? Repair ? 10. Describe 11. i' 12. I hereby certify that the above information is true and correct, and I agree to ' comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date __ _ Insp. No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs $e tic T nk Lavatory p a Softner Shower Wel I Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Orains Orinking Ftn. Slop Sink Gas Piping Outlets This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt PLUMBINGPERMIT PermitNo. ? CITY OF EAGAN Fee ' fi/I in numbered spaces S/C TypE or Prini legibly T ot 1. Date 2. Installation Cost 3. Job Address Y Lot?4-_Blk. -r Tract 4. Owner 5. Contractor Phone ' ? 6. Address ' 7. CitY State Zip • . 8. Building Type: Residential ?T7 Commerciel ? Institutional ? 9. Work Description: New ? Add ? Alter ? Repair O 10. Describe 11. No, Fixtures Water Closet No. Fixtures Cess aol/Drainfield Bath tubs p Septic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to oomply with all ordinances and codes governing this type of work. Signed : op for Rouph Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 CITY OF. EAGAN y 3795 ritaf Kneb Read Eayon, MN 55122 ' . PHONEs 454-A100 BUILDfNG PERMIT Receipt # Te 6e rseA fer F.r Vn6. Site Addrcu i'1FiI1 1:5t': Lot Block Sec/Sub. ` Parcel a Name Address _ ;rond Z •?- - 7 Ci Phone 4 4 ?o Name ?? /lddress ?- r,.., o?...... Nume _ Address 6:141 Ered [] Occuponq Alter ? Zoninp Repoir ? Fire Zone Enlorye ? Type of Const. Move ? ik Stories Demolish p Length Grade p Depth Sq. Ft. Approrols Ptas /hssessment _ Water & Sew. Police firo Erp. Plonner ? Council Permit ' Surchorye Plan check 511C Water Conn. ' Woter Meter Rood Unit 1 hereby ocknowledge thot 1 have read this opplicotion ond state that Bidq. Off. the intormution is torrect ond ogree to comply with oll opplicoble ^PC ,r?a? 5tute of Minnesofa 5totutes and City of Eagan Ordinontes. SJgncture of Permittee A Buflding Pertnit Is issued to: on ths express condition tFat oll work sholl be dona in occordance with all opptimble State of Mtnnesota Statutes ond Gry of Eopon Ordinances. Bulldirq Official Parmit No. Permit Holdsr Misc. Permit No. Holder Plumbinq lL O? IN? ?Z.? \ I Z-? g-" 1 H.V.A.C. L wi w.u Watsr Disp. Sovwr Electric Io0 ZO -c Inspection Dats Insp. Other Footings Foundation Freminq Rouyh Plbp. ` W • . Rouyh HVA 1 Inwlation =?ta Final Pibq. . ? W el, t Fiaal HVAC -7i:Md , F Describe Location: , Receipt - MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee Frl1 in numbered spaces S/C Type or Prini k{gib/y Tot. 1. Date 2. Installation Cost ? ?•? 3. Job Address. 'Lot ?-? Blk. Tract 4. Owner 5. Contractor . - - . . ' • Phone - - - _` _ 6. Address ' r'37 7. City ' State Zip -` $. Building Type: Residential 0 Commercial D Institutional ? 9. Work Description: New 13 Add ? Alter U Repair ? 10. Describe ?ozceu Fuel Type ?.- 11. No. EQuioment STU - M. Ea. Forced Air No. Equiqment CFM Ai H dli Mfg. an ng: r 8oilers Mfg. Mech. Exhaust Unit Heater Mfg, Other Air Cond. _ Mfg. ? Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and t agree to wmply with all ordinences and codes governing this type of work. Signed : c for Rough Flnel Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CiTY OF EAGAN 464-8700 Receipt -?' - " PLUMBING PERMIT CITY OF EAGAN Permit No. Fee F Fill rn numbered spaces S/C Type or Print /egibly i ' ' Tot. 1. Date / ? 2. Installation Cost I t , , ? ? + r' 3. Job Address Lot. Blk. ? Tract _ . i 4. Owner ) j ., ) ? 5. Contractor /}10r Phone 6. AddressjI f i' 11 , .J ?-- 7. City c?_c? State '/l-)t_' Zip 8. Building Type: Residential ?. Commercial ? Institutional ? 9. Work Description: New f? Add ? Alter 0 Repair ? 10. Describe 11. No. ? Fixtures Water Closet No. Fixtures Ce l/D i fi ld ? Bath tubs ra n e sspoo Septic Tank ? Lavatory Softner Shower Well _L Kitchen Sink Urinal/Bidet Other Laundry Tray ". ! 7 ? Floor Drains Drinking Ftn. Slop Sink Gas Piping Outleu 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough F inal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 CIT1f OP EAGAN . • 3795 Pilo Keer Rood Ea9on, MN 5512= ' PHONE: 164-8100 BUILDING PERMIT ReceiPr ?qt Te be aMd iee ' - Eae_ vnlt,o -I nnta Slte /lddrcss Lot Block Sec/Sub. Pnrcel # ae Name W ; Address b ci $? ? Nome F ?? Address ~ Ci ? W Nome F ? /l x ddress I hereby ocknowladpe thot ! hove rood fhis opplication and state that tF?e information is corred and agree fo Comply with oll appiicoble State of Minnesoto Stotutes and City of Eagon Ordinonces. E.ect p Alter ? Repoir ? Enlarps O Move 0 Demolish ? Grade f1 Assessrnent _ Water & Sew. Pol ice Firo EnD• Plonner Council Bidp. Off. _ APC Occuponcy Ioninfl Fire Zone Type of Const. # Stories iq. Ft. Fees Permit Surchorye Plan check SNC Woter Conn. ' Water Mefer Rood Unit Total 5lynoturo of Permittee I A Butlding Permlt Is issued to: on tM sxpress coridiNon thrri all worlc sholl be done in atcordonte with oll appliwble State of Minnesota Statutes ond Clty of Eopon Ordinoncea. Bufld+n9 Officfol Crossroad , 5/+4-7', 3' Permit No. Parmit Holder Misc. Permit No. Holder Plumbing 2 (? $( WEA Z E H.V.A.C. Z-l lL?d LU ? ? t? ?Z l-? Wster wall Diap. 5?war Ewetric (.v OrfD F(EC ? S'zo'$Z Irnpection Daft IrnP• Othe? Footinys W Foundation Fnminq ? Rough Plbp. Rouah HV Insulation , FinN Plbg. . ?• ? Final HVAC - C - Final ?s wow Dftxibs Location: MMsll Sawr , ' Pr. Dhp. Receipt MECHANICAL PERMIT Permit No. -- CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Prini legibly Tot. - 1. Date - ° 2. Installation Cost .'.?" , 3. Job Address ,• ?? _?.,: ' Lot ?t' Blk. Tract ; , 4. Owner , . .,? . - 5. Contractor •Phone 6. Address ?.' j7 7. City State Zip 8. Building Type: Residential CR? Commercial ? Institutional ? 9. Work Description: New Ct Add ? Alier ? Repair ? 10. Descri6e furced .ir n,i- ? Fuel Type 11. No, Equipment BTU - M. Ea. Forced Air No. E ui ment CFM Ai H dli Mfg, ng: r an Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. . ? . ;_ _ .. . Mfg. ? Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with atl ordinances and codes governing this type of work. Signed: for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CtTY OF EAGAN 454-8100 Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Print legib/y Tot ? 1. Date 2. Installation Cost . 3. Job Address Lot Blk. ? Tract 4. Owner k 5. Contractor,•_ - i Phone ? s• 6. Address ?-- 7. City - State ?. _ Zip ? ? - - 8. Building Type: Residential Commercial ? Institutional O 9. Work Description: New n Add ? Alter O Repair ? 10. Describe 11, No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner Shower Wel I ? Kitchen Sink Urinal/Bidet Other % Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to vomply with all ordinances and codes governing this type of work. Signed : % for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 ? CI"fY Qf EAGAN ? 3795 fflo! Knob RooB Eagan, MN $5122 • ' PHbNE: 454•8100 BUILDING PERMIT Recelpt Te bs used for : , .. Est. Value o . Date Site Address - ` i'. ; =j.Y ( k'!ltll ti?_" 1 To}?-:-lj- ra;,p 'it ': Lot Block Sec/Sub. Parcel .f? . C NOfl1E w ; Addross p Name - ;tj,r r u? Address r ?;... c?,..... Nome _ Address I hereby ocknowledge thot I hove read this opplitotion ond state that fhe informotion is correct and ogree to comply with oll opplicoble State of Minnrsota Stotutes and City of Eo9on Ordirwnces. IN 4 0 Erect [] Occupancy - Alter ? Zoniny ' Repoir ? Hre Zone Enlorye ? Type of Const. " Move ? # Stories Demolish ? Length Grade ? Depth - L Sq. Ft. ApprOra h Fee• Assessment - Water & Sew. Police Firo Enq. Plonner Cauncil Bldfl. Off. _ APC Permit Surclwfge Plan check SAC Woter Conn. Water Meter Road Unit Total Sipnature of Permittee ? A Building Permit fs issued to: on tha express condition thni oll work shall be done in accordance with all opplicoble State of Minnesota Stotutes and City of Eeflan 4rdinances. Buildiny Officiol Permit iVo. Fermit Fiotder M+sc. Perm+t No. Flofder Ptumbing H.V.A.C. w.n wator Disp. Sewet EleCtric 0 £l ?? lF C? s Za 'g?? Irupection Date Insp. Other Foatinps ? Fouodation Framiny .?? Rouyh Pibg. dope Rough HVA Insulgtion .198 ? C v Final Plbq. .?r 'k) r Final HVAC ? Final "Ol Water Describe Location: V11e11 ° .. Sswar Pr, Diap. ? Receipt - MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee Fill in nurrtbered spaces S/C •;' Type or Print legibly Tot. 1. Date 2. installation Cost ??r ,?'•r ' 3. Job Address -Lot w-?e Blk. Jit Tract • 4. Owner , , • - - 5. Contractor Phone - ` 7 6. Address '0 7. City ls. State • Zip 8. Building Type: Residential Q Commercial ? Institutional ? 9. Work Description: New C1 Add ? 10. Describe 11. Alter ? Repair ? in,fuel Type - ' No. 1 Equinment BTU - M. Ea. Forced Air No. Equipment CFM Air Ha dli : Mfg. n ng Boilers Mfg. Mech. Exhaust Urtit Heater Mfg. Other ' ?. AirCond. ..?.??,_. ?^.c. Mfg. 1 Gas, Piping Qutlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough F Inal Inspections: Date Insp, Date Insp. This is your permit when numbered and approved. Approved _ CITY OF EAGAN 454-8100 Receipt PLUMBING PERMIT Permit No. ? CtTY OF EAGAN Fee =- Fill in numbered spaces S/C Type or Print legibly Tot. 1. Date 2. Installation Coat ? L! ' . _ 3. Job Address Lot r? Blk. Tract - 4. Owner 5. ContracioC-?% r 1 f? c I, Phane ?"L?' ? 6. Address ?,;ri r?? ?( 11L1 t 1 Jf _i? .-1-?t" ??L.,? 7. City State Zip 8. Building Type; Residential Cl Commercial ? Institutional ? 9. Work Description: New O Add ? Alter O Repair O 10, Describe 11. No, ' Fixtures Water Closet No. Fixtures Cess ool/Drainfield Bath tubs p Se tic T k Lavatory p an Softner Shower Well _41 Kitchen Sink Urinal/Bidet Othe Laundry Tray r_? Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinanees ahd codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and appraved. Approved CITY OF EAGAN 454-8100 Ci1'Y DF EAGAN - , 3795 Mlot Kenb Road Eegee, MN 55122 PHOfIL: 4544100 BUILDING PERMIT Reteipt ?t Te La ruA UP n..*s Site Nddrou Lot Porcel # - W Name ? Addross i-:-. ?8 Nome ??r /lddress H row. nl___ Nome _ Address I hereby ocknowled9e thot I have reod this application ond state thot the inlormution is corred ond egree to tomply wifh all upplicable Stote of Minnewto Statutes ond City of Eogon Ordirwnces. Eroct ? Octupanty - Alter ? Zonirq Repoir ? Fire Zone Enlcrye ? Type of Const. Mova ? # Stories Demolleh p Length Grode Q Depth Sq. Ft. Approrols Fees llsseument _ Woter & Sew. Police Firo Enp. Planner Countfl Bldp. Off. _ APC Permit $urcho rpe Plon check SJ1C Woter Conn. Woter Meter Rood Unit Total 5lpnoture of Permittee I A Bullding Permit is issued to: on the express conditbn tlxit oll work sholl be done in occordonce with oll opplioobls Stote of Minnesota Statutes ond Clty of Enpen Ordinances. Buildirp Offkiol Block ?T Cake Hi dp,e Permit No. Permit HoltNr Misc. Permit No. Holdar Plumbinp Kv.ac. Well Watrr Disp. S?w?r electric 4? ogs l B? (( E?c, -20 ?&z Irypaetion Dam Insp. Other Footiny? Foundation Frsminy 7 RouOh Pltq. - Rouph HV Inwiation Finsl Plbp, 20 ? Fina? HVAC a.y ? (? Final Wamr Daafbs Lomtion: - YWII Sowmr ` . Pr. Dbp. _n ' ! ! / Receipt ' MECHANICAL PERMIT Permit No. ? `? CITY OF EAGAN Fee ?u.OG Fill in numbered spaces S/C Type or Prin[ legibly Tot. 1. Date r^F= ?'- - 2. Installation Cost i 3. Job Address:: u LotBlk. .•' ? Tract ?' 4. Owner ? 5. Contractor ' Phone -N??6`7 6. Address - ? = ? • 7. City '- . State Zip 8. Building Type: Residential Q Commercial ? Institutional ? 9. Work Description: New W Add ? Alter ? Repair O 10. Describe Fuel Type ? 11. No. ' Equioment 8TU - M. Ea. Forced Air No. Equipment CFM Ai H dli Mfg. ng: r an Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other 1 AirCond.• Mfg. ? Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work, Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt ` PLUMBING PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Prini /egib/y Tot 1. Date " 2. Installation Cost r . . 3. Job Address %? Lot?Blk. Tract - 7 , . , 4. Owner 5. 6. Address 7. City State i Phone 8. Building 7ype: Residential C7 Commercial ? Institutional O 9. Work Description: New D; Add O Alter O Repair O 10. Describe 11. No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield ' Bath tubs Septic Tank Lavatory Sofiner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454,8700 ! i ? Zip WATER SERVICE PERMtT CITY QF EAGAN , 3795 'ilot Keob Rood PERMIT NO.: - 6ogon, MN 55122 DATE: No. of Units: . Zoning: ? ... r^ ?r . ?r n T Ov,ner: i4ddress: Site Address: Plumber. Connectian Chorge: _ ` - Meter No.: Account Qeposit: Slze: Permit Fee: ? Reader No.: I ogree to eomVhr witb eha City of Ee9nn Surchorge: Misc. Charges: Oedinanee+. Totol: Dote Paid: BY .. __ _1 1___ . F^SP.. CITY OF EAGAN SEVNER SERVICE PERMIT 3796 'Itot Keob Rosd PERIWIT Na.: ? EoAan, MN 55122 DATE: ` L L,11 r -' Zo,'mg: • ' T'6 ? No. of Units: Owner: "r.rin 1i10L. 's,-)n IiJP.'.29 Address: . I I I UET•l,o:e ',da-, L3 _•? i' ?- Site Address: 77 Plumber. 1 ayroe to eomPlY wNh ths Cihr of Eagan Connection Cherqe: ???; fltl ? Ordinonees. Acaount Deposit: Pem+it Fee: ' Surtharge: Misc. Chor9es: Totol: CITY O'F EAGAN WA7ER SERVICE PERMIT 3795 Pilot Knob Road PfiRMIT NO.: . i Eoyon, MN 55122 DATE: = Zonielg: No. of Units: Orrin ' ; O 4= wner: Address: Sit@ /dd!'nco Piumber: AAeter No.: Connection !Charge: 3 5ize, Account Deposit: Reader Nc.: Permit Fee: I rgres M eompF!? wit6 tha Citp af Eagan Surcharge: OrdinaneeL Mist. ChorAes: Total: By Dote Poid: Dote of Insp.: I^sp•: CiTY 3795 Ea; . n Zoning Owne OF EAAAN WATER SERVICE PERINfT Pilot Knob Roed PERMIT NO.: , MN 55122 DATE: No. of Units: r.. ?Trj.II ''. tQ' Address: Site Address: ?'a??? F'enk?e Thlc?V C A1dgQ III Plumber: .LCth an'L c _,I Meter No.: Connection Chctrge: S1Ze' Account Deposit: Reader No.: Permit Fee: I a9? ft cOmPlf wit+ the Cily of Eayun Ordinances. Bv Date of Insp.: - Surchorget ? Misc. Chorges: Total: Date Paid: I PERMIT CITY OF EAGAN SEWER SERV CE 3795 rilat Knob Roed PERMIT NO.: Eogt,n, MN 55122 DATE; 2oning• No. of Units. ?>>r i t C<i', ?, Qwner: Address: Site Address: L`' L'll '(' r.1c' -e III Plumber: . t'' • I agree Fo compir wlt6 t6e City of Eagan Connection Chorge: G"l 5_ n!7 ps? Crdinoness. AccouM Deposit: Permit Fee: Surcharge: `ifl CITY OF EAGAN SEVYER SERVICE PERMIT 870 Pllot Knob Rea PERMIT NQ.: Eagan, MN 55122 DATE: Zon7np: Na. of Units: Owner• Tlt..-Znso.t :1 o.^ 2 s Address: Site Address: ' ??:_t?e 'r.'3tl I.4 311 I C':i4?,:_,• I?T Plumber: -`1?.zc l 77335 l 1 sgres ta wmply wiHh the Citp of Eagan Ordinanexs. Sy Date of Insp.: Connection Charge: ? _' S _ C' O Account Deposit: Permit Fee: 5urcharpe: M?sc. Chorges: Fotah Insp.: Date Paid: CITY OF EAAAF! WATER SERVICE PERMIT 3795 Pilotr Knob Road PERMIT NO.: Eayan, MN 55122 DATE: L-'- • Zoning: No. of Units: Owner: Address: 5ite /\ddress: L1 BlI` J ti kiaZ.e Plumber: Meter No.: Connection Charge: ' Size: /kcount Deposit: Reader No.: Permit Fee: 1 ogref Fo wmplr whh tle Ci1p of Eeyow Surchnrge: Ordinanea Charges: Mtsc . . Total: B Dote Paid: y Dote of Insp : (nsp : . . CIT1f OF EAGAN SEINER SERVICE PERMIT 3793 Pilot Knob Roed PERMIT NO.: Eegoe, MN 35122 DATE: ? Zoning: No, of Unlts: Owner: - - Address: Stte Address: I 1 Plumber: I o9rsa M aomPlr wilh fM City of Eayon Ordieaaeei, By Dote of insp.: Connectton Chorge Account Deposit: . PermR Fee: Surcherge: Mfac. Cfiarpes: Total: Dote Poid: This request voiA l?/Z.b L C. ?`- ---.. 16 nwnifl3lmm U-0861 3°.00 Ren??est Date Fire No. FouBh-in Inspec[ion ?1 RequireA? 0Ready Now?Will Notify Inspeo- ?'Z4L yes ? No ior When Reatly Licensed Elec[riwl ConVactor I hareby request insonction of abo" Owner electricel work installed at: t Address, Box or Rouce No. C,t`/ q10vk Et ?.1 Qb SN ecuon M. Townshiv Name or No. ATnOe No. Cnunry DhwcirA Occ?u?+ ?am[ ?(PR?INT?) Phone No. POW?+ $uppller AddreSS ?m . r-Ili14'r0V Elecvicai Contractor (COmpanv Namei Conttaclor's License No. ??t,?? E.?kc,(?? ?355L5?L MailinB Address (COntracmr or Owner Making Instzilacion) t 6 C'wf` F-L'RO Authorizetl Si atu (COn[ractor Owner Makinq Installation) Phone Number nO ' ?GS TMIS INSPECTION qEQUEST WILL NOT MINNESOTA STATE BOAND OF ELECTflICITV Grigvs-Mitlway BIAg. - Hoom N-187 BE ACCEPTED BV THE STATE BOAHD 1621 University Ave., St. Peul, MN 55104 UNLESS PROPEN INSPECTION FEE IS a I., ENCLOSED. ??ST FOR ELECTRIClii INSPECTION ee-ooooi-oa C61' See ins[rvctions for completing this torm on back af yellow coPy. Covered by This Request • . 30 (?j 3 }eY Add Rep. Tyoe of BoilAing APVlianees W.ired Equipment Wirad Home Range Temporary Service Duplez Apt. Building Commercial Bldg. Water Heater Dryer Furnace Lightin Fixtures Electric Heatin Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm othe. aeci y Other ISpeci(yl Y er $pecify Ot er Other Canmute lnspectlon Fee Below k - Fea ServiceEntranceSize p Fee Feedars/Sahfaetlers k Fee Circui1s 0 to 100 Am s 0 to 30 AmPs ?'.?J? 0 co 30 Am s 101 to 200 Amps 31 to 100 qmps 31 to 100 Anips Above 200 Arn s Above 700_Amps A6ove 100_Am??s Transtormers RemoteControl Circ. `? Partial'Other Fee Signs Speciallnspection ? 0 5Z S TOTA F -- Remarks . ) L ft _-, ( r_ <\ aouen-in 4 ? ? , ma ei«c=?;oai r?j• ? •?? insoactoq hereby certify chet the nbove Finai 151F) Dato ' spoction hes been mada. This reouesi wia Fb hiOMM1S hOm This renues[ void S,ZO 18 nnths from :t 0?62 L 3, ??? -Ir-;.,-- 3?• aC, Rdryuest Da e ? Fire No. Rouph-in Insf,ection Re9 ?red? ?R¢adV Now Will NotifY InSPec- 5 E? SL Y=s ?No I or When Ready p?"'7 ?Licensed Eleclncal Con[ractor 1 hereby request inspac5ion ot above U Owner electrical work installed at N at Atldress, Box or fl o ut e o . CitV ? / p ? ? ? ? 1? %t I {IZ \?J"[,"?'?+ [? /?? 61V?7.Y? ection o. Township Name or No. Fange No. County OccuOant(PRINT) Phone No. ULF-iA `I?d44Pscr+ N??? Power Supplier Address W-A r 1ComDany Namel Eiec[ a i ConV ac to Contractor's License No. ? ; ?/ ? ( ? ?Z r wn er Makine lnsxallation) Mailin s (Convactor o O P.ddre s e p _, ? ^ ' / ? } j -li) G. ??? f"I?? Au? ICOnhacior/Owner Makiny Installa[ioni ?1?- Phone Number i g1iiz, • 5R)?; ' MINNESOTA STATE BOARD OF ELECTqICITY THIS INSPECTION qEQUEST WILI NOT Griggs-Midwey Bldg. - Room N-191 BE ACCEPTED BV THE TATE BOAND 1821 UniversitV Ave., SL Peul, MN 55104 UNLESS PPOPEH INSPECTION FEE IS P?.,...e 18121297-2111 ENCLOSED. ? C? REQUEST FOR ELECTRICAL INSPECTION PPPP7 O ' See instruclioms for completing this torm.nn back af Yellow copy. ?\?IX" Be'1'ow Work Covered by Thrs Request es-ooooi-oa 30t-I E Add Rep. TyOe of 6uilding APpliances Wired Epuipmani Wired Home : Range Temporary Service Duplex Apt. BuiJding Commercial Bldg. Water Heater Dryer Furnace Lightin Fixiures Electric Heatin Silo Unloader Industrial 81dg. Air Conditionet Bulk Miik Tank Fdfm Other peu Y Other (SUr,fy) -171TI-1 Spocify Ne, Othxr Compute lnspectron Fee 8elow k Fee ServiceEntrance5ixe p Fee Feeders/Subfeede,s # Fee Circuits 0 to 100 qm s 0 to 30 qm s 0 ti° 0 to 30 Am s 101 to 200 Amps 31 to 100 Amps 31 to 100 q 5 A62ve 200 qmps Above 100-Amps Above 100_Ami? 7ransformers Remote Control Circ. Partia4iOther Fee Signs Special Inspection TOT Remarks AJiFEE? / ?r?, Rou9h-in . ( u?te I r th Elec cal spectpq heraby ° .:.y thet the ebova Final ?? pection hes been matle. ?._ s requ5st vo months from cQUEST FOR ELECTRICAL INSPECTION ? Q. ' Sea instmctions for completing this torm on hack of Vellaw coVV• "'X", Below Work Covered by Thrs Request . EB-00001-03 301-7 3 Atld Rap. TypB Of 6uilding AppliBnC03 Wirad EquipTant Wired Home Range Temporary Service Duplex Apt. Builtling Commercial Bldg. Water Heater Dryer Pumace Lightin fixtures Electric Heatin Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Fafm Ot e.r pen v OthcrlSUecifyl .[?ar puCily [har - plher Compute Inspection Fee Below N Fee ServicaEntronee5ize '# Fee Feedars/SUbfeeders tl Fee Circuits 0 to 1 UO Ain[Ls 0 to 30 qmps l. - 0 to 30 Am s 107 ta 200 qmps 31 to 700 Ainps 31 to 100 qm s Above 200 qmps Above 700_Amps Above 700_Amps Transformers Remote Control Circ. .jJ Partial-'Other Fee Signs Special Insper,tion S T Reiuurks 3y.? ? OTAL FE ? I, tha ElecVical a ?d' nspectoq hereby artify that the above Final ? Dxie ??spectim hna been f . ? ?;?,_ _ „ s-9/ Y mada. « 18 monihs ffom _ Lzr 9 fl/ S, C,,2. 3- 1-k 30(-7 3 .,V U860 35'.0 0 Reqtest D ate Fire No. Rouyh-in Ir.spection R q ired? DReady Now?Will NntitY InSPec- l2 b't._ Ye, ?NO Y?[or When Feadv [t,Licensed Electrical Contreclor I hereby request insoaction ot above ? Owner electrical work insielleA aL t A`?tla,yd(rAess, BoHt or Pou[e uNo?., - - IWM t" 1 V'I't/??V ? Citv 06o ecbon o. Township Name or No. qang¢ o. County pA A M Occupent (PRINT) ?,0 l? ? 'vK?500i Wu? Phone No. Power SuOUiier Q?A Adtlress 1 ? ?r 64?r EI vical Convecmr ICompany Namel ? Cnntractor's License No. u-- A Mailing Adtlress IConvactor or Owner MakinO Instailatinnl . c;.w-fobv Au thorizadS ura on vactor Owner Makine I??stallationl Phon e N umbe r ?MJ ( ', { ? ? h ?'?7J??J?' MINNESOTq STATE BOARD OF ELECTFICI7Y TMIS INSPECTION HEQUEST WILL NOT Griggg•MidwaV Bldg. - floom N-191 BE ACCEPTED BY TME STATE BOAPD 1821 Univarsity Ave., St. Peul. MN 55109 UNLESS PROPEP INSPECTION FEE IS ph- IG121 297.2111 ENCLOSEO. REQUEST FOR ELECTRICAL INSPECTION {„ EB-00001-03 5 g' Sea instructions for coinpletin his torm on back ol yallow copy. # ?elow Work Covered by This Request i 30( 7 3 Ne Add Rep. Type oi Building Appliences Wired Equipment Wired Home Range Temporary Service , Duplex Apt. Building Commercial Bldg. Water Heater Dryer Fumace Lightin Fixtures Electric Heatin Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm ther oeci v ih¢ir ISpereifyl t er oeci y Othor Other Compute laspection Fee Belaw # Fen SarvlceEntrenceSize C Fae Peeders/SUbteetlers # Poe Cirmiits 0 to 100 Am s 0 to 30 Am s Z.i CD 0to 30 Am s 101 to 200 qmps 31 to 100 qmps 31 to 100 Am s Above 200 qmps qbove 100_Amps A6ove 100_Am)s Transrormers ReinoteControl Circ. Partia4/Other Signs Special Inspection 5 ? S Aemarks 35.'0 TOTAL FE ? flouNh-in Daie ? 1, the Electricel pactor, hereby certity that the above Flnal ? rte A'if? ' isoection has been This reQUest void 18 monihs frnm This reVUes? void 18 months from &*8 5 9 LI SLC if- I z'r'? 30(73 .3S. O 6 flequest Uate Fire No. Rouuh-in Insper,tion Req reA7 ORendy Now ill Notify, InsPec- ? ?es ?No or When Readv Licensetl Elecuical Contracmr I herebY requast inspection ol above Owner elactricnl work installed a[: t Addr es , Baz ar Ro u te No. e Ci [y ? ? f? ? ,w ` ? ?`lN ! CI"??'?i W ? ?r ecLOn -?, 7ownshi0 Na me or No. Fanpe No. Comiry b Ar-'MA Occupan[IPRINTI Phone Ne. Powepr ?Su?pplier ['?ra Address FAlRkAlN EIaN Elechicel ConVactor (Company Neme) Contractur*s License No. eL-L- S-,PSu- L Mailinp AdJress (COntrector or Owner Makinp Ins[allationl i F- Ct-thF kPo Authorized Siqnature (ConNactor Owner Meking Ins[allation) Phone Number ?/ .- u 8!? - ?-cii MINNESOTA STATE BOAHD OF ELECTNICITV THIS INSPECTION qEQUEST WILL NOT Grie9s•Midwny BIdB. - Aoom N-197 BE ACCEPTED BY THE STATE BOARD UNLESS PNOPEH INSPECTION FEE IS 1821 University Ave., 5<. Peul, MN 55104 Vh....e 18121 297.2111 ENGLOSED. CITY OF EAGAN 3795 Pilet Kao6 Resd Eagan, MN 53141 R4510NEa 454-8100 BUILDING PERMIT re 6s mad fer 1 of 4 PLEX 000 N° 6941 Receipf # Site Addreu 40113 renxwe nav t rtan aa ; Lor 3 Block 11 5eci5ub.Johtn,p Cake Ridge po,c,i # 10 39802 030 11 3rd W Nome _ ; Address b M1 Ci _ o Nome _ r ?? Address F r.- Name _ Addren Erect M Occuponcy "-? Alter p Zonir?g PD Repotr ? Fire Zone MA - Enlorga p Type af Const. v Move p # Stories Demolish ? Len6th_44_ Grade p Depth24-Sq. Ft.- Approvals Feea I hereby acknowledge that I hove reod this apDlicotion and stote that the informotion is correct and agree to comply wirh oli applicable Stota of Minnewta Stotutes and City af Eagon Ordinonces. Slynature ot Pertnittea A Bullding Pertnil Is issued to: OI'Pj-1 oll work shnli 6e done in occordanCe wifh all 8uildirp Officiol Asussment Permit 274.00 Woter 8 Sew. Surchorge 24.00 Police Plon check 137.00 Fire 5AC 525_00 Enp. WohrConn. 335_nn Planner WaferMeter An_nn Council Road Unit l R5 - flfl Bidg Off . . APC Torol $1540.00 on the acpress condition tMt of 'n y Stnwtes and Ciry of Eogon Ordinances. CI71' OF_':A!r+N Irxlu.9c 2?:ets of pl:uu, .. ? ? -- -- - ? -- 1 site pl,m w/eluvnl ic,n- 6 [tiJTTDJNC; PFi:MIT .VPI..1C1C1'Im 1 nCt of Crr n;}' r•.tl??.?l.?t i,'??. " y To i3c Uscd For qLS?oEHC..4_ Valuation?^O Datc oc?• 9A q81,_? -- Site Pddress: ?(o II y2 PGUy-we CkAN a$ ? OFFICE USE (7NLY Lot 3 Block ?j SeC-/Sll}J. 3c*NN`J cnVe Ernct OccupancY /P3 Parcel'#: O.mer: Pddress: /O 34?G2.o3o ( ? \DGE Alter zoning ? z ?. City/Zip Code: Phone #: Contractnr: Fuidress • a Division of U. S. Ho?= Cor?ration ............_I ....,D . 7,2 { .... City/ZlP COd2' h?INNETONKh, AM1INN. 55343 Phone €: SY4•9333 Arch. /F7?g. : Pddress: City/Zip Code: Phone # Repair Fire or?e ar Enlarge _ 'Iype of Const. Nbve # Stories Demlish Front yy ft. Grade Dep't-h :l ?7 f t. APPF3DVPSS t'EES Assessments PeLmit 2 Water/Sewer Surcharge °?' Police Plan Check ? Fire SAC 6- a 5- ? Enq, Wates Conn. 3,3 5- Planner Water Meter 6a ? Council Road Unit °?- Bldg. Off. APC _ ZCYTAL ? ( Sq 0 ' 0 O CITY OF EAGAN 3795 PIIM Knob Read Eapen, MN 35122 PHONE: 454-8100 BUILDING PERMIT .. , N° 6939 Receipt 000 Sita Address Lor 1 Parcel # - c Name ' OrI'3n Thompson Homea ? Addres 1712 Hopkins Crossroad 181Ln SF']/ 7 _ ?I I. "')'}R a Name Owner ou Address Name _ Addrem I hereby ocknowledge that 1 have read this apDlication and stote ihat the intormution is Wrrect and agree to wmply with all opplicable Stote af Minnesoto Stotutes and City of Eogan Ordirances. Siynature of Permittee A Building Pertnil is issued to: Or3 oll work sholl be done in acwrdonce with oll Buildirg Official ? ei«k 11 5eC/SibJohnny Cake Ridge 10 39802 O10 11 . 3rd Erect N Occupancy n'-3 Aiter ? Zoning PD . Repotr ? Fire Zone NA Enlor9a p Trce af Const. V Move ? # Stories Demolish ? Length44_ Grode ? Depth --24?- Sq. Ft.- Aoororols Fees Asseument _ Woter & Sew. Police - Flre Eng. Plonner _ Councll _ Bldg. Off. - APC Permit 4 (4,VV Surchorga 24.00 Plon check 137.00 SAC 525.00 Woter Conn. 335.0Q Water Meter 60.00 Rood Unit i85_f1(1 Totol %I 15/M-_ ? 1 riOmeS on the axpress conditian thnl of Minpeqqta StaJtdies and Ciry ol Eopan Ordinontes. o? C1'I'1' Ol' fi•1':'?.N Irxlude 2 sets of q,? ` ---- -- 1 site pJan w/clcv.?t.icm? . RUIIPTTr, 11FI;p11T N'Pi,T_(ATInN 1 !?ot of e:..t ;y c.?}yvl ?t i:n. ?? 4L/fl? o-ca ? c?• 9 ? 48? -- - "-/__Ma i?tion? D??te 0 7b Bc Uscd For p ?; - -? -- ----- Site Address: ti(o09 OtFICE USE dNLY Lot 1 siocx 1\ sec./sub. scAmNHv cAv-e emct occ,pa,cy 3 Parcel'#: 3?-?0Z?/p 'DG? 3rk Alter Zoning •/'? - - Repair Fire zor,e . Na Qaner: Address City/Zip Code: Phone k: Contractnr: Fsdc.?255: a Division of U. S. H-aie Corporation 171 C1iy/ZlP CAde: b71NNETONYJ., MINN. 55343 Phone #: Sy&0333 Arch./Eng.: Pddress: City/Zip Cade: Phone Enlarge _ 'rype of Const. -- Nnve # Stories Demolish Front y ft. Grade Depth _ft. APPFtOUAIS FEES Assesgrients PerrrLi t Water/Se,7er Surcharge Police Plan CCtiieck / 37 ? Fire SAC gny, Wates Conn. plannes Water Meter G6 ? Council Road Unit /SS m' Bldg. Off. P.PC MTAL 15 o?n? arr oF EAG+N 9793 Pilof Nee6 Raad Eo9an,MNj5i124 PHONF: 454-B1C0 BUILDiNG PERMIT T. eo n..a fe. 1 of 4 PLEX 000 N? 6542 ReCelpt # (:,2733s, .,_._ October 20 ,0 81 $ifa Address 4011 reuaee nar ?•?.cua wi Lot 4 Block 11 Sec/5?b. Joluny Ckke R3dgB Pa,ml # 10 39g02 040 11 3rd c Name ? Addreu 1712 Honkins Crosaroad _ u+i.s 45411 _ S).l.-7111 o Name _ i?f Address f r:... Name Address I hereby acknowledge thot I hove read this application ond state that the in(ormation is correct and agree to comply with all applicGble State o( Minnesoto Statutes and Ciry of Eagan Ordirwnces. Sipnaturo of Permittea A Buildirg Pertnlf Is issued to: O2'Pin Thnf(IOa oll work sholl be done in accordance with alt appiicoble Bu7ldiny Offfciol, - - - ? Erect IN Occupancy R'3 Alfer ? Zoning PD Repolr ? Fire Zone MA Enlarge ? Type of Const. V Move ? # Stories Demolish ? Length44_ Grode ? Depth24--Sq. Ft.- Approvols Fees Assessment Wafer 8 Sew. Polica Fire Enp. Planner Council Bldg. Off. APC Permit uA_1n? Surchorge 24_00 Plon check 137.00 snc 525.00 Water Conn. 335-0Q Water Meter 60.00 Rood Unit 1$5.0 n Taol $1540.00_ on the express condiHOn thai y of Eoqon Ordirwnces. cr:nor Fa-:?.v a,ci., , ? ?C - - - 1 site plr,n w/c,-. RUT1DT?K: I1:RMIT N'P1;TCA'I'I(7N 1 set of cr.?ryy c:?l?.?il,>> ?•-??P? - _?•y?,? Tb Be Uscd For ? -- Valiiation-ADate oc:.•9?48]----------- Site Address: l{ (, 11 QVYw PL 88 ? OFFICE USE ONLY ILJt 14_ B10cC I` SeC./Sllb. SOMNNY CHKC EI'2Ct. LX- OCCL1(J]7K-'y Pd20?0 ( ? -nc,c Alter Zoning Parcel'#: Lp 3? a Repair Fire Zore Oaner: Pddress: City/Zip Gode: Phone #: ContractAr: (1RRIN THOMPSON Nf1AAFc Ad(jY255: a Division of U. S. Hcme Corporation Cl.ty/Zip CAd2: MINNETONI(A, MiNN. 55343 Phone #: 541A-1333 Arch./Eng.: Pddress: City/Zip Code: Phone n: Enlarge _ 'IYPe of Const hbve # Stories DeJrolish Front ft. Grade Depth 9F-y ft. APPROVALS FEES Assessrents PermUt Water/Sewer Surcharge - Police Plan Check /I T Fire SAC S 42 gg. Water Conn. 7 35` Planner S4ater Meter lD Council Road Unit / q?6 8$ Bldg. Off. APC 70TAL iT7( 5'01 GO (gtr#ifirtttt nf (9rrupttriry Citp of (eagan Bppttrtmenf o# Bui[Ding lnspediun Tbu Cnti/iratr iJrurd pursnaru to the requirrmenu o/ Satian 306 of the Uniform Buildirog Code arti fyiag that at the tifie o/ ittuarat tbit rtruteun wat in romQliancc witb the va+iaut ordinanat a f the City ngu/ating building wrtrtnutian or ux. For thr following: Vr CIWMtlm 1 of 4 PLEX B146941 PemdtNo . owv?rTYa R3 TYrca..?wo V ew 7"- NA zo? u?a PD o,,,,„d&adj,Orrin Thomoson Home51aa. 1712 Hookins Crsrd., Mtka. by: D? August 3, 1982 .v. ?« . ??a. ...?. (E.ertifiratr of (Orrupttnry Citp of (ieagan aepnrfmrnt nf Buiiaitig Jns{red'um Tbir Certi/rcatc iautd punrant ro tbt seqsitementa oJ Section 306 0/ tlx Uni/orm Building Code usti fying that at the timc of issuaxa tbir ttructurr wat in tomptidrut untb tlx variouJ adinunru of tht City rrgulating bui/die8 ronttttwtion or ute. For t{x follauing: wckmmtlm 1 of 4 PLEX aaS. h,mi,N,. 6942 o-we,rryw R3 iYPC?" V Fwz. . NA zom,yn,. PD o?„ra.ea„n Or rin Thomoson Mm-J.712 Hopkins Crsrd., Mtka. Dw,,.A". 9611 Penkwe Wav I-,;h Lot 4,Block 11,JOhnny Cake ? o Ridge 3rd ^ Y?RJ?U ?: "dd4oflkW au_ Auqust 5, 1982 .o.. 1. . ? ....<. (Etrti#irttte of (IDrrupttnrg Citp of (Eagan 39rpnrtment rrf wuilaing Jns}?ertiim Tbir CMifiratc ittuud partriant ro the nquirema+u of Sation 306 of the Uniforn+ Building Coda artif yrn8 lbat at the timt o/ ittrrana tbiJ tirurturr wat in rom plianrr wrth the varimu mdimnat o f the City rtgslating building ronnrrutian or rse. For the fo!lowing: of 4 PLEX 6940 wa..mtl^^ -PD o?wo..r'tva R3 c?u? V Faz- NA Orrin Thompson ,,d&,, 1712 Hopkins Crsrd., Mtka. o.aeAaai ,,,,Ad? 460" Penkwe Wav L.,un L°t 2 Block 11 JohnnY Ca e Ridqe 3r aAuqUSt 5 1982 .>. ,. . ??. ...<. .a? (gtxtifirtt#r of (Orrupttnry Citp of eagan 19pFltflllPilt IIf BIt11btriJ hi8}1F1'tIltti Tbi.r Crrtihtatt iuutd Purruant to the nquiremtntt o( Sarion 306 of the Uniform Burlding Cods rMifying thac at tlx tima oJ rrryana tbit nrrutan wst in compliance witb the variour ordiparucr of theCity rtgulating bxilding ronnruttion w un. Fort!x fallowing: WCI"dfi,om 1 of 4 PLEX BlyPf1mitNo. 6939 O?'he- R3 ?Y,c?me V Finzm. NA z?roro.?i PD o.,o,?mo,n&Orrin Thompson Add.?712 Honkins Crsrd., Mtka. by= 3rd ? aa August 5, 1982 ??. u.3.n. SEDGWICK HEATING & AIR CONDITIONING CO. HEari"G JOBN0..S- a,6 31 8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(952) 881-9000 TEST RECORD / PenKwe ?,J0.y ADDRESS Yt='Q a ! ' 1, ? /? ` `? ?-- W-CA'j CITY OCCUPAN7 OWNER SOLD BY seCl5felle,4- INSTALLED eV -MAKE ki, hRU'k MODEL 66 o v Ff 2Y,ot o? B SERIAL NO. S S 6 yfE Z Z- /7 a INPU7 6 6 d G O THERMOSTAT C" r S0 4 O VALVE t'oh e-/ Y7 LIMIT^7 ) mc 4O` l LIMIT SETTING !?'j c y ? VENT SIZE NPEOF LINER L- /? H LINER SRE ?? -- FILTERS: SIZE ZBZ' I rb ?F NUMBER FAN SETTING ?c-"C- j WIPING J v&Nf' E /IGbJYh/G TESTTAG ? IGNRION MODEL ke-S Z LIGHTING INST. PILOT7IMING h'T{? PRESSURE -33 ??wlCPEFCENTCOz 7e INPUT CFH f' ` PERCENT Oi & S7ACK7EMP. 3 YS ? PERCENTCO L9 1 FORM 235 (REV. 11/89) DATETESTED COMPANYTESTING SCc'G/dLC? ? NAME OF TESTER ??7- 6 ra.,, LwI'i FORMDISTRIBUTION: WHITECOPY - JOBFIIE VELLOWCAPY- CITY Aug. $. 2008 4 S1?Crest Exteriors)(?-?' ?S City af Pagan 3830 Pilot Knob Road Eagaq MN 55122 Phone: (BSi) 675•5875 Fax: (651) 675-5694 Address / City / Zip: 2008 RESIDENTIAL BUILDING PERAAIT APPI.ICA710N ?^'? + Date: A 31M Siteqddr@ss:_41YV'"t 1"'i,nFJYVi, w/A\1 -Tc'wt: RE5IDENT! OWNER TYPE OP WORK CQNTFtAC70R Applicant-iw - pwner 1- Cootraqor Dascription ofwork: R,C' K k Construetion Cost: _ l2 IM qLjo?-4No. 0706 P. 4 i ----- ---?? ? i , .. , ; Perm,t#:??_ ; , + aeMx Foe: j oate Receivea: -- ? ? I Staff: I ? Phone; SUite #: Mutti•Famiiy Buitding: (Yes `! No Nama: f98t ExterkfS Lieense Address223V CNAmda? venm State: Z;p; Phone: USi A&' (0i6 1 ConWCt Person: , `YyXRA ----.^ ciiy: COMPLETE 7HIS AREA ONLY IF CONSTRUCTING A NEW BUILUING ` Minnesota Rules 7670 Cateaorv i Minnesota 7672 Energy Code • Residentlal Ventilatbn Category 1 Worksheet ~ Cat@goryl Submittad • New Energy Code Wortcsheet N submissiontype) • EnergyEnvabpeCalculaGonsSubmitted Submided in the last 72 months, has the Clty of Eagan isstwW a permit for a similar plan based on a masfer plan? -Yes _No If yes, date and address ot master plan: Licenaed Plumber: Mechanical Contractor: Sawer d. Water Contractor: Phona; Phone: Phone: I hereby acknowledge lhat tnis informalion is Eagan: that I understand lhis is not e pormit,cbutionly an app?ilra(Ion tor a pennitWalnd vrork is npnj to start withpotral permil; tat ihee ? w?ll be nF accordance wfth the approved plan in the case of work which requires a review end approval of plans. A ? L , 4? x pp Ican e Printed Name Appliean's 031 Signature Pege 1 of 3 ? ?J?r? 2004 RESIDENTIAL MECHAIVICAL PERMIT APPLICATION ty ?'tJ Please complete for: single family dwellings & townhomes/condos when pemvts are required for each uni[ - Date l 14 / 6.S Site Address ? {? ? Unit # Propecty Owner ? Telephone # J_?'i d v Contractor BEDGYYICK NEATING 8 AIR CONDITIONING L r 6910 Wentworth Ave. So. Street Address Minneapolis. MN 55420 City (952) 881-9000 State Zip Telephone # ( ) Bond Expires: The Applicant is _ Owner ? Contractor _ Other Add-on or alteration to eaisting dwelling unit $ 30.00 401O d?U ? r? furnace _Additional ? Replacemen ?/? t _ air excha nger ? air conditioner _ New Replacement ? other State Surcharge $ .50 Total $ ?1 oflJ I hereby apply for a Residential Mechanical 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 with the Mechanica] Codes; that I understand tlus is not a permit, but only an applicarion for a peraut, and work is not to start without a permit; that the work ?1 be in accordance witti the approved plan in the case of work which requues a review and approval of plans. City Of Eagan 3830 Pilot Knob Road, Eagan NIN 55122 Telephone # 651-675-5675 Applicant's Printed Name-? Applicanfs Signature ? I I n rn , c ?nnc 2004 COMMERCIAL MECHANICAL PERMIT APPLICATION City OfEagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: commercial/indusvial buildings multi-family buildings when separate penni[s are not required for each dwelling unit Date Site Street Address Unit # Tenant Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) Contractor Street Address City State Zip Teleptione# ( ) Bond #: Expires: The Applicant is _ Owner _ Contractor _ Other Work Type New Construction _ Underground Tank _ Install _Remove "'see below Interior Improvement _ Install Piping _ Processed _Gas Nature of Work: "'*When installing/removing underground tank, call for inspection 6y Fire Marshal and Plumbing lnspector Permlt Fees: $70.50 Underground tank installatioNremoval $50.50 Minimum (includes Sta[e Surcharge) . or Contract Value $ x 1% _ $ Permit Fee • If en rmit fee is $1,000 or less, add $.50 => $ State Surcharge If eo rmit fee is over $1,000, add $.50 for every $1,000 pe rmit fee $ Total Fee I hereby apply for a Commercial Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinaoces and codes of the Ciry of Eagan and with the Mechanical Codes; 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.. Applicant's Printed Name Applicant's Signature Approved By: , Inspector 6111 ? 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date??/ Site Street Address "'T oq Unit # Property Owner \ ????4`S ? ?•? Telephone # 15? Contractor r0 ?l h"1 ) Telephone #?',,,,,1j I Address It? State Zip. t The Applicant is: _ Owner X. Contractor _Other Alterations to existing dwelling $ 50.00 _Add fixtures to rooms, excluding water softener and water heater _Septic System Abandonment _Water Turnaround (add $121.00 if a 5/8" meter is required) Other: Water Softener ?Water Heater $ 15.00 replacement _ additional. Lawn Irrigation System RPZ_ new _ repair _ rebuild $ 30.00 J r1 i) I State Surcharge IT? ? $ .50 Total ? 6, I hereby apply for a Residential Plumbing Permit and acknow ec?ge that-ffFie information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accorcJanch the approved plan in the event a plan is required to be reviewed and approved. r I ?? I I ApplicanYs Prin ed Name ApplicanYs i nature -t 155-° (P;; S,S{,p PLUMBING (RESIDENTIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55:22 Telephune # 651-675-5675 FAX # 651-675-5674 Please complete for: Single Pamily Dticellings Townhomes and Condos when permits are requircd for each ::nit Date t? l ? l l ? BELOEN, CHERYL 4609 1/2 PENKWE WAY Site Address EAGAN, MN 55122 Unit # (651) 688-7440 Property Owner - - Telephone # ( ) Contractor ?????O1?J PLUHllpING VC, (612) 827-4033 Address 290 _ CiTy . State ????IJ? ip Telephone # ( ) The Applicant is _ Owner `!4- Contractor _ Othcr Septic System New _ ReEtubished Submit 2 sets of plans and MPC i11cense $ 100.00 Includes County fee. Additional consultant faes may apply. Alterations To Existing Dwelling Unit, Including $ 50.00 _ Adding fiMures to lower levels or room additions, excluding water so ftener anu water heater _ Abandonment uf septic system _ Water turnaround (+ 5/8" meter if needed -$121.00) Other: _ RPZ _ new installation _ repair _ rebuild ? $ 30.00 _ Lnwn ira•igatiun sysfem ? _ Water softener X R'ater he,ter $ 15.00 x replacement additional - - Fnn F 2 ri 7,?i r? 7, State Surcharge N , 00 3 ? 50 Total 8y I hereby apply for a Residential Plumbing Permi[ and acknowledge that the informaiicn is eomplete a -will be in conformance with the ordinances and codes of the City of Eagan and with [he F2umbing Codes; tt{ t?u e?a? ?'sL not a permit, but only an application for a pernu[, and wrork is not to start without a penti:, that the work wil e in aceordance with-the approved plan in the case of work which requires a review and approval of plans. ? G E C J 3 2003 IJ2-Cr i?at'6c3'vV\ Applicant's Printed Name ??Q ?j ?Q(J?j? C. R. WINDEN 3 A550CIATES, INC. V G7l???4? V IAND SURYEYORS t!l 645-3646 FOL: 1381 EUSTIS ST., ST. PAUti MlNN. 55108 U. S. Home Corporation N i Scale: 1" = 50' L a ?L VF? oV 32 ei.3j 22?.33 ? M r m. ? N N u ?, N 2. M c? 03 0 . > ? a ?. N N 3 ? - - n W N ` 0.67 g 0.6, L m4? Q ?M r ? a ? ' N ? > 2f.3 4 ? PENKwE WAv Lots 1 through 4 inclusive, Block 11, Johnny Cake Ridge Third Addition, Dakota County, Minnesota. WE MEREBY CERTIFY TMAT THIS IS A TRUE AND CORRECT REPRESENTAiION OF A SURVEY OF TNE BOUNDAk1E5 OF TME LAND ABOYE DFSCRI6ED AND OF TNE LOCATION OF All SUIIDINGS, IF ANY, THEREON, AND ALL VISI6LE ENCROACHMENTS, If ANY, FROM OR ON SAID LAND. Darod Ihi.IS'f_day oF Ocf• A,D. 14,?/ C. R. WINOEN 8 A550CIATES, INC. A . ., br Survsyor. Minnoteto Roqisfrotien N0.272r **************************#*#********** CITY OF EAGAN CASHIER: JS TERMINAL NO: 761 DATE: 04/17/00 TIME: 10:52:59 ID: NAME: LOCO CONSTRUCTION LLC 3210 9001 4609 PENWKE WAY 181.25 2155 9001 4609 PENWKE WAY 5.00 Total Receipt Amount: 186.25 CR126421 USER ID: JAN 2000 BUILDING PERMIT APPLICATION tRESIDENTIALl ??,,??? cinr oF eacan? 3830 PILOT KNOB RD - 55122 651-881-4875 New ConshucMOn Reauiremenh RemodeVReoalr ReauiremeMs > 3 reglstereA Mte wrveya ahowlny uq tt, p1 Ict, sq, ry, uf house 2 caples of plan mnd gjl roofed oreaa (20% mmdmum Iot coveraae albwetll 1 aet of energy caiculallons fw haated atlditlons ? 2 caples of plaru (ahow beqm & window aKea; paured fnd. de8ign; e1cJ 1 site awwy for exteAOr pdmHOna R decks > 1 set ol enerpy calculaflons n 3 coplaa of Iree preservatbn plan If bi platted afler 7/1/93 DATE: "-I -/ 7- D D CONSTRUCTION C05T: 10'&D'o ?A DESCRIPTION OF W4RK: /Z-/2-d ?' 4-rt- ` a-, 46C)9 i 4?o 09 STREET ADDRESS: LOT: I BLOCK: / / SUBD./P.I.D. M: a.,?aarQ Signalure o( Applicanh CNy Stafe: ? Zlp: . Company:o/ 01 C___o Phone 111: 7K9 y`'/f'-73?6 171 CONTRACTOR (area /ode) Sheet ess: !?-vF /? llcerxe q Exp. cny _ v ,,--?r-? state:zip: ?S3s7 ARCHITECT/ ENGfNEER Compam: Name: Telephone #: ( ) rneet City Sewer/water licensed plumber I hereby acknowledge Itwf I hqve read this appikalbn, slate fhot ihe of Minnesota Stalutes and City of Eagan Ordinancea Certificates of Survey Received _ Tree Preservation Plan Received _ OFFICE USE ONLY Yes I/ No ' M SSQC_ x?,C.i_?!Y3? Phone is cwecf, and c Yes _ No ? Not Required Regishatbn N: _ State: Zip: Phone #: (_ to Comply wilh a9 appRcable State PROPERT`! as1 Flrst OWNER Sheet Address: yG // ?`? '-" ? k- t ?' '? ? OFFICE USE OMLY BUILDING PERMIT SUBTYPES ? 07 Foundation ? 07 OSplex ? 02 SF Dwelling O 08 06-plex ? 03 01 of _ plex ? 09 07-plex ? 04 02-piex ? 10 OS-plen ? 05 03-plex O 11 10-plex ? 06 04-plex ? 12 12-plex WORK TYPE ? 31 New ? 32 Addition O 33 Alteration ? 34 Repair ? 13 16-plex ? 21 Porch (3-sea.) ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 18 Deck ? 23 Porch (screened) q 19 Lower Level ? 24 Storm Damage Plbg _Y or_ N ? 25 Misceilaneous ? 20 Pool ? 30 Accessory Bldg. ? 36 Move Bidg. ? 43 Reroof ? 37 Demolish (Bldg)* ? 44 Siding ? 38 Demolish (Interior) ? 45 Fire Repair ? 42 Demolish (Foundation) ? 46 WindowslDoors " Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code No, of Units Na, of Buildings Const. (Actual) (Ailowable) UBC Occupancy Zoning # of Stories Length Width Basement sq. ft. Main Ievei sq. ft. sq.ft. sq. ft. MISCELLANEOUS INSPECTIONS ? Stucco/Stone sq. ft. sq.ft. Footprint sq. ft. Census Code MClES System City Water Booster Pump PRV Fire Sprinklered APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MClES 5AC City 5AC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: SAC Units % SAC ? 31 Ext. Alt - Muld ? 33 Ext. Aft - SF ? 36 MuRf RESIDEN"TIAL BUILDING ? • Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephoue # 651-675-5675 FAX # 651-675-5694 sw"j a.0() New Construcfion Reauirements RemodeVReoairReauiremena Otfice Use Onlv 3 ragistered sile surveys showirg sq. ft of lot sq. ft of house; and ail roofed areas 2 copies of plan Cert of Survey Real (20% maximum lot coverdge albwed) 1 sel of Eneqy Calculations for heated additons Tree Pres Plan Recd 2 copies o( plan shoWing beam & window sizes; powed fouM desgn, etc. 1 site survey tor additions & decks Tree Pres Not Reqd isetofEnergyCalculafions Addition-indiceteilon-sdesepticsystem _On-siteSepticSystem 3 copies of Tree Preserva8on Plan it lot platted after 711193 Rim Joist Detall Options selection sheet (bldgs wdh 3 or less units Date __LL / Ud ? Site Address Y6202 '/ bl P26Fv4cw Construction Cost d ? ? W/W T Unit/Ste # Descriptiou of Work &?)?LdpI ?o:"? Multi-Family $Idg _ Y_ N Fireplace(s) _ 0_ 1 _ 2 Property Owner 7?'j?n Telephone # ( Contractor &) 5,- Pt-at? cop-/Tt0--r Dq1lER--- A--r UC'. O Z Address .? fO8 IC ` (baor-rlA}(YX S[ate AA ? 9b City w-'(a -AgKA hfkY-r Zip ? 6-t 0 Telephone k ( (pb ( ) ?{a./ __M[Y( J ? COMPLETE THIS AREA ONLY IF Energy Code Category - Minnesota Rules 7670 Cateeorv 1 Residential Venfilatlon Category 1 Worksheet (4 submission type) Submitted • Energy Envelope Calculations Submitted 1 Licensed Plumber Mechanical Contractor Sewer/Water Contractor A NEW BUILDING Minnesota Rules 7672 . New Energy Code Worksheet 5ubmitted 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. A.Z Applicant's Printed Name pplicant's Sign ture /10 OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool O 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) 13 31 Ext. Alt - Multi ? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? ZZ Porch/Addn. (4-sea.) ? 33 E#. Alt- SF ? 04 02-plex ? 10 08-plex Y-1 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg`Yor_N ? 25 Miscellaneous Work Types ? ? 31 New ? 35 int Improvement ? 38 Demoiish (Interior) ? 44 Siding 32 Additlon ? 36 Move Bldg. ? 42 Demolish (FOUndation) O 45 Fire Repair ?? 33 Aiteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant Valuation V` l9 J Occupancy 12i U' MC/ES System Census Code q3y Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const ? W idth REQUIRED INSPECTIONS Footings(new bldg) FinaUC.O. Footings (deck) FinaUNo C.O. T Footings (addition) , T Ptumbing Foundation HVAC Drain Tile Other Roof _ Ice & Warer _ F inal _ Pool _ Ftgs _ Air/Gas Tests _ Final . _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test Final Windows (new/replacement) _ _ Insulation _ _ Retaining Wall -- -------------- - Approved By ---------- Building Inspector -- - - -------------------------------- Base Fee ----------------------------------- -°----------------------------- - Surcharge Plan Review - ?? MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ? '' ?Q s r C. R. WINDEN & ASSOCIATES, INC. LAND SURVEYORS TA 646-3648 FOT: .. ? 1381 EUSTIS SL, Si. PAUL, MINN. 65100 . U. S. Home Corporation Scale: N 1" = 50' 6XP II' ??G 32 ?,, /4 ? ! [ ( ?/ !? . ? N u' N V` 1n N 2 ?n N ?J . o.a?3 S: 2 o.c? y / ? mQ ? ? 3 fA ?J 23 r ? - > -' 0.67 d I0.6" r' n m 4? Q ? r- yi•• d W ? N N ? ; ? 22.33 22.33 ? . > ?-a ARG ? ?c I 3? 32 2 40.7 PENKWE WAY 0 Lots 1 through 4 inclusive, Block 11, Johnny Cake Ridge Third Addition, Dakota County, Minnesota. WE MERE6Y CERTIFY TMAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE 60UNDARIES Of THE IAND ABOVE DFSCRIlED ANO OF THE LOCATION Of All 6UIl01NG5, If ANT, . THEREON, AND AlL VISIBLE ENCROACMMENTS, IF ANY, FROM OR ON SAiD LAND. . "Dolad this 157'_doy oi Dlf• A.D. 198/ C. R. WINOEN 6 ASSOCIAIES, INC. ' by v l 4? Sur•ayor, Minnewla Rapinrolion No.77 r ...C. :.? ? , ? p ... .? .?., h _ . .. u . . m ? . .. . . . . ' ?.. ? . 4 . r. . •`' , . r ? . . . . .i??.5... 3 . .? ? City of EaiaIl 3830 Pilot Knob Road Eagan MN 55122 Phone:(651)575-5675 Fax: (651) 675-5694 ?----------------? I 6F Usg I /-/- ? j Permit#: ?V? OD l.V ? I ? I ? Permlt Fee: 1 I j Date Received: ? i ? I Staff: ? I ? 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: yd v? 1Jn _? ?fw.L W? ! -- ? Tenant: 7a? JL'Acs 4'6 O`i ?I?. yG ?i? yG? /? J2 suite n: RESIDENT / OWNER Name: JC7?fsqny ?.?L ??,-?r yL , f? ? ? yn ?Phone: Address l Ciry J Zip: Applicant is: _ p?er _ ?ntractor TYPE OF WORK Description ofwork:"fe_'a'.'' UFi2f- 4 ax,= ? Construction Cost: 1,?, -7 .20 Multi-Family Building: (Yes No CONTRACTOR Name:/VUf'C?3e-51? GV,7-Tr?7prs Li2C License #: ?? ?ci,-% 7 3 . Address:6-IG A,- c?ry: ?'l?/? ??vvL state: zfp: 55 3// Phone: (.:??-? J?' y^!/ 5 j? Contact Person: f'?c-'JV'eCOMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 rEnergy Code . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet tegory Submitted Submitted mission type) • Energy Envelope Calculatiwis Submitted in the last 72 months, has the City of Eagan (ssued a pertnlt for a simflar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor. - - Phone: ; lVOTE• P l a n s and s u p p o r t i n g d o C U i n e n t s that you submrt are;considered to tie'public InfoFination: Portions'of 1he mformation may:tie classiffed as nonpuWlc if you provlde specific ieasons3het would permft tlieCiry to- , .< canclude that the , are trade secrets. _ ' . ' , I herebY acknowledge that this infortnafion is canplete and accurate; tliat fhe xrork wi11 be in cronfomiance with the ordinances andcodes of the City of Eaqan; that I understand ihis is not a permR, bu[ only an application for a permit, and work is rrot to Start without a permlY, that the work will 6e in accordance with the approved plan in the ease of work which requires a review and approval of pAs. ^c? f x ? (14-1 AppllcenYs PNnted Nama ? x ???? „_A" canPS Signatu / Page t of 3 CiTY OF EAGAN N? s94 O ' 7795 Pilot Knob Raed Eagun, MN 55132 _ PHONEs 454-8100 . BUILDING PERMIT Receipt # d`73?5 re be wea fe._ _ 1 of 4 PLEX En. vai,x $48, 000 p,te October 20 19 81 Site Addreu 46091 Penkwe W8q (Plan 88) Erect Occupancy R'3 - Lot z Block 11 sec/s„y. Johxmy Cake Ridge qlter ? Zoning ? porcel ,# 10 39802 020 11 3rd Repoir ? Ffre Zone MA E nlarge ? Type of Const. V s Nome ?'rin ThOIDP80I1 HO01@8 w Move ? # StOries ; Addrcss -1712 HoDkiI18 CI'OSBY'08d Demolish ? Length_44_ b ci Mtka. 55343 phone 544-7333 G.ada ? Depth-2A-Sq. Ft.- p Nama Approrals Feas ? Address Assessment -Pertnit 274.00 ? Worer 8 Sew. Surchar9e ?+•? Cit Phone Police Plon check 1 7.00 Gw Noma Fire SAC 525.00 ?? Address Enp. WaterConn.335•00 iW Ci Phone Planner WoterMeter 60•00 Councfl Rood Unit 185.00 I hereby acknowledge thot I hava read this application ond srate that Bldg. Off. the inlormation iz correct and ugree to comply with all opplicoble APC $1540.00 Totol $tate of Minnesofa Statufes and Ciry of Eogan Ordironces. Slpnoture of Permittee A Bullding Permit is issued to: Orrin Th0 SOII HOIDQB pn Nu ezpreas conditbn thnt oll work sholl be done in occordance with cll opplfcnble Sta of M I nrZ o a tes of Eoqon Ordinonces. iry ? ? Buildlrq Offlcfol ' y? ? ? 6/L C17'i' OF F_?'.?LN,?+ ? Iix:lude 2 sets of ??l,vu, -- 1 site plAn w/elcv,itiori': t? RUTtDITJC: PFi;M]T N1PI.3CATI(7N 1 set of Crx•n.ty c.A,vl:it i0n5• --------'1--??? -5--- - , 7b F3e Used For valuation ,-' 0o nate Site Address: q(6Oq ?'z Q1tr?k.w Pi. 8$ ? OPF'ICE USE OrILY Lot 2 slocc ?I sec./sub. 3aoN.ay cnKe Erect ? occuPancY 02I? ? to??" A1teY Zoning •p.2?Parcel '#: Repair Fire Zone O.,mer: P,ddress : City/Zip Code: Phone n: Contractor: Add.r2SS: a Dh•ision of U. S. Hzn= Corporation 11„ Cit}'/Zlp COdE' MINNETONKk, h7INN. 55343 Phone f: Syy1333 Arch _ /En4 • : Pddress: City/Zip Code: Phone r: Enlarge _ Nnve Demolish Grade _ 'Iy[e of Const. TI # Stories Front ft. Depth a y ft. APPFS7lTAI5 rEES Assessrnnts oa Pes!nit ? ), y - Water/Sewer Surcharge 2v ? Polioe Plan Checlc ?3 7 ? Fire SAC gng, Wates Conn. Planner Water.Meter Council Roa3 Unit / FsS ? Bldg. Off. APC - -? f5c(o<o0 City of I Permit S9 Eaaall ` Permit Fee: 7~ 3830 Pilot Knob Road l Eagan MN 55122 s Date Recei Phone: (651) 675-5675 Fax: (651) 675-5694 Staff: 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ' c~`I , ! t 1 / .rf ~CGI~f Z Cr fi- J~/njr..~ Site Address: Tenant: C14-e- 41,7jG ~ ~ i/.y°.~~'L 5~-~ t ' 7 c f/ Suite RESIDENT 1 OWNER Name: 94.g; 14011n / hone: Address / City /Zip: Applicant is: Owner Contractor r TYPE OF WORK Description of work: 4P -'t 4 Re, i, - ~ t e Construction Cost: Multi-Family Building: (Yes / No r_j r CONTRACTOR Name: b!'Cy~°7/~Ca c_T~r s Z License M. -2C713'I' 73 Address:-94/4 1 z t 'Z_ City: State: _ Zip: 5, 5 ..3 fl Phone; f2` .~r?= cr > ? Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Energy Code • Residential Ventilation Category I Worksheet ^ New Energy Code Worksheet Category Submitted Submitted ('4 submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes -No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor, Phone: Sewer & Water Contractor: Phone: NOTE Plains and supporting documents -that, you submit are .considered to be public information. Portions of the information maybe classified as non-pu if ou-pro ific reasons that /d permit the Cityto conclud ar cfets r e I hereby acknowledge that this information and aaccurate; ation Or t h in os on"nce ytit o` perms and codes of the City of Eagan: that I understand this is not a d r~ > it; that the work will be in accordance with the approved plan in the case of work which requires a review of pla x Applicant's Printed Name A ant's Signature Page 1 of 3 ~6(I q611 / 16o q , l DO NOT WRITE BELOW THIS LINE SUB TYPES _ Foundation Fireplace _ Porch (3-Season) - Storm Damage Single Family - Garage Porch (4-Season) _ Exterior Alteration (Single Family) Multi Deck - Porch (Screen!GazebolPergola) Exterior Alteration (Multi) 01 of Plex Lower Level Pool Miscellaneous Accessory Building 'D e.5 V D;A9 c,,) L(5 WORK TYPES - New Interior Improvement 4 Siding Demolish Building* _ Addition Move Building Reroof _ Demolish Interior 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 t2c 3 MCES System Plan Review Code Edition FYl A Z©c'l SAC Units (25%_ 100%_) Zoning 3 City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS mot in Building) Sheetrock ootings (Dec A Final / C.O. Required ootin dition) Final I No C.O. Required Foundation HVAC Drain Tile Other: Roof: -Ice & Water _Final Pool: Footings Air/Gas Tests -Final Framing )d Siding: -Stucco Lath -Stone Lath -Brick Fireplace: _Rough In Air Test -Final Windows Insulation Retaining Wall Meter Size: Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee ) D.i nod -iC) B-o2 o X 41 j2E'V % e.J Surcharge p a (7 1 1 J 1' i 1j; nq W rFt (S o°° , ) rrdl) e .R L° 1 Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies 2 - • TOTAL Page 2 of 3 AhL_ run 0141(;e iuse Permit City of Eap I Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 Date Received: I Phone: (651) 675-5675 Fax: (651) 675-56 4 Staff: I 2009 R' SIDENTIAL BUILDING PERMIT APPLICATION Date: Site A dress: Tenant: Suite RESIDENT I OWNER Name: Phone: Address/ City/ Applicant is: Owner Contractor TYPE OF WORK Description of work: Construction Cost: Multi-Family Building: (Yes / No CONTRACTOR Name: License Address: City: State: Zip: Phone: Contact Person: COMPLETE THIS AREA ONLY IF C NSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category _ Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Works eet • New Energy Code Worksheet Category Submitted Submitted submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit fora similar pl based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: ti Mechanical Contractor: hone: Sewer & Water Contractor: Ph ' e: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons\,that would permit the City to conclude that the are trade secrets. 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. X x Applicant's Printed Name Applicant's Signature Page 1 of 3 t. C i v$ 3 .M i I /W ~aai I I L C. R. WINDEN & ASSOCIATES, INC."- LAND SURVEYORS Tel. 645-3646 For: 1381 EUSTIS ST., ST. PAUL, MINN. 55108 U. S. Home Corporation N EAGAN REVIEWED - - - - - - - - - - - - - - - - V, P; 11 I } /7~ DATE: BUILDING INSPECTIONS DM~4N 4Scale : it = 50' neck ~ 4 a2 VAL OvT 2,3; 22.33 CAN N lr 0.o33 20.67 CU NLS ~3 N w I r - > CIA o cv cli cc CJ Ld IN 0.67 4 0:67 w W N N > 22.3 2~.1, 40.E js` 5 yBtt PENKWE WAY Lots 1 through 4 inclusive, Block 11, Johnny Cake Ridge Third Addition, Dakota County, Minnesota. WE HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF THE LAND ABOVE DESCRIBED AND OF THE LOCATION OF ALL BUILDINGS, IF ANY, THEREON, AND ALL VISIBLE ENCROACHMENTS, IF ANY, FROM OR ON SAID LAND. Doted this Jday of ocf A. D. 195j C. R. WINDEN & ASSOCIATES, INC. ~11 1% 011. Surveyor, Minnesota Registration No.' ��c��, �f G�a� tl�-, �-f c� � i . �� �� '1�--� Use;BLUE or BLAGK trtk �------=----------j � Far Offiae Use • j Perrriit#: � ���r� j C�t� of �a�a� � �� � � ; ��,�t F�: � ; 3830 Pilat Knub Road � Eagan MN 5fi122 � j Date Received: j Pi�ane:(651}675-5675 � i Fax:(651)575-5694 t Staff: I l � ... . . . .. . .. . .. . . . . . a�� . � �.�.����J _ 2414 RESIDENTIAL BUlLDING PERMIT APPLICATIQN �J �ate- �""1�"�`� s�te Adctress• d��1 � 2'/b j l ,�, P�/�LJjC: Cu�� ;un€t#: ° Name: ��f�"I�,�� �'-�`�'�- It��r��1s�r` � Phone: � Resid�nt/ i�� j�7 �3Wt��F Address/City/Zip: �!�LI�'�'�"' ./- �/U � ApRliqnt is: Ow�er � Cont�actor ' Description of work: ���'' ��� �'{ �� '�v�' �'ype�4f WQrl� Const�uctiort Gost:��'���0 � Mu�i-Family Buiiding:(Yes �C I IVo_�j � ��� � < ' Company:,(�JYZrJ�5� ��t;►d!%�r�4-��C�15 Contacx:,,,�f�'t �G�tf�� �Oritt'AGtt)!", Address:�t'l��l �r�1�f �9� L�� /� Grty:����t` V1�C'Y�-- � � �r1 � r ' . - Sta#e:�Zip: �55�3�1 Phone:�j��1"��Ernail:���� Js�'LJ�S7�C„�c9Yl`�i/✓}z,.��v - ; �yJ v-Gr7r�+ ' ucense#_�� I.S�� �I 7 3 �d cert�t�cate#:rV�a.-�r°,...�J��l i�� —1 lf the project is exemptfrom lead certifrcation, please exp[�+n why: (see Pag�3 for additiona4 in�ormation) COMPLETE TtiIS AREA ONLY IF CONSTFtUCTtNG A NEW BUfL.DtNG /� !n the last 92 mo , the City of Eagan issued�pertnit for a similar plart based on a master pian?' _,_,Yes No If yes,date and addr f master plan: t,icensed'Piumber: Phane: Mechanicai Contractor: � Sewer&Water Co r. Phane: �� ��T�:r s an�t sup�ar�fn�dc�trments#ha�you s�ibm,i_t ar�con`sid�'to he public�#�r�fr,��r�r. P�r�r�s€rf ' � t�c�at��r����r b��l�ssifr`ree�il a�non-p�rblic if yau,�roui�e;sp+actfic reas�rns fhat�t��tt�pe�����tc� �cQncl�rat�#hat#�r� are#rade�r+ets. CALL BEF�RE YOU QIG. Ca1E GopherState One Cai{at(651)�54-0002 for prot�ion against t�ndergrour�d utiliry damage. Gau 48 haurs befare you intend to dig to receive locate.s of undergrour�tl ufilifies. www.aaohersjateanecatl.ara i her�by acknowiedge that this ir►formatian is c�mpiete a�aa�r�te;that the work will be in confartnance with the ordinances and cades of the City of Eagan;that 1 understartti this is not a permit, but only an application for a petmit, and w�rk is not to start without a perrnit;#hat the work wi[I t�in acc:ordance with the,approved ptan in the c�se of auoric which req�i�s a review and apRrovai of ptans. Exterior work autltorizad by a buiidir�permit isae�ed fn ac�sardance with the Minnes�a 5tate ilding Code must be completed within 180 daya of permit issuance. x �� - , . �� G x . APpiican�s Print�c!Name T ' . a�g Slgnature Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA170234 Date Issued:06/24/2021 Permit Category:ePermit Site Address: 4609 Penkwe Way Lot:1 Block: 11 Addition: Johnny Cake Ridge 3rd PID:10-39802-11-010 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Thomas J & Tina Quale 4609 Penkwe Way Saint Paul MN 55122--372 (651) 452-2904 Sedgwick Heating & Air Conditioning 1240 Trapp Road, Suite A Eagan MN 55121 (952) 881-9000 Applicant/Permitee: Signature Issued By: Signature