4612 Penkwe WayCITY OF EAGAN Remarks -
AcIdition .?0??Q1'' ('-AKR RrncM. Qrh Loc d elk 4 ParcelJ0 zostnz nen ne
Owner Street _?6?? Penkwe waY state Eagan, MN 55122
Improvement ' Date Amount Annual Years Payment Receipt Dete
STREET SUF F.
STREET RESTOR.
GRADING
[
SAN SEW TRUNK z 61
* SEWEA LATERAL 19$1 2277.43 455.49 S
WATERMAIN
* WATERLATERAI 1981
WATER AREA 1981 300.00 60.00 5
STORM SEW TRK 1981 278.28 55.66 5 278.28
* STORM SEW LAT 1981
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONPI.
BUILDING PER.
SAC
PARK
CITY OF EAGAN . Remarks -
Additfon LUE RIDG d+ Lot z eik -4 Parcel 10 39803 030 04
Owner Streec 461Pe?y State ESg,&Il, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK "
rt SEWER LATERAL 1981 2271.46 455.49 5
WATERMAIN
* WATER LATERAL 1981
WATER AREA 0 60.00 5
STORM SEW TRK 1981 278.28 55.66 S 278.28 $
* STORM SEW LAT 1981
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
9UILDING PEH.
SAC
PAR K
CITY OF EAGAN
Addition JOHM CAy,P RIDGg dth L8t I, Bik_4 Parcel jQ 39803 010 04
ow?,er srreet 461d Penkwe Wsy State_ Eagan. MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK ?
* SEWER LATERAL
WATERMAIN
* WATER LATERAL 1981
WATER aREA j?
STORM SEW TRK 1981 2 2$ 55.66 rJ
* STORM SEW LAT 1981
CURB & GUTTER '
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER,
SAC
PAR K
ca TY OF EAGA(11 Remarks -
Addicion •T?[?xx?r' r.AKE RrncE atl, Lot 2 plk-4 Parcei 10 %9$03 020 04
Owner Street -46.1.?eft PeniCWe W8Y gtatQ EA.g3ri. MIV 55122
Improvement Date Amount Annual Years Payment Receipi Date
STREET SURF,
STFiEET RESTOR.
GRADING
SAN SEW TRUNK
* SEWERLATERAI 1981 2277.43 455,49 5
WATERMA I N
* WATER LATERAL 1981
WATERAREA 1981 300.00 60.00 $ 5GOAQ
STORM SEW TRK 1981 278.28 55.66 5
* STORM SEW LAT 1981 .
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATEA CONN.
aUILD(NG PER.
SAC
PARK
CITY OF EAGAN
.,?_.. 3830 Piiot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-5100
BUILDING PERMIT
Receipt #
To be used for 1 OF 4 PLEX Est vaiue $48,000 Date SEP2'EMHER 16 ?g 86
SiteAddress 4614 1 /2 PENK6YE 6JAY Erect C? Occupancy R3
Lot 2 Bfock Q Sec/Sub. JOHN1dY CAiCE Remodel ? Zoning F'll
Parcel No. l2IDGE 4TE! Repair ? Type of Const v
Addition ? No. Stories
W Name V?ll V ALU.? HOMES Move ? Length 44
=
Address 1460 9 3RD LN N Demolish O oepth ?d
o
ciry BLAINE Phone 780-5510 Int Impr.
I
ll
t ?
0 Sq. Ft.
ns
a
i o Name S ?`? APprovala Feea
00
-c
Address
Assessment _
City Phone Water & Sew.
? Q
I
Name Police
Fir
Z
a
Address e
E
,
? W
<
City Phone ng.
Planner
I hereby acknowledge Ihat I have read this application and state that the
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee '4?
A Buiiding Permit is issued to: GOOD VALUi. HOMES
all work shall be done in accordance with all applicable Sta e of Minnesa
Council
Bldg. Off. 9 16 8 E
N2 126?8
i
Permit $ 274.0t
Surcharge 24.0(
Plan Review 137.0(
sAC 575.0(
Water Gonn. 500 . o(
Water Meter 63.5(
Road Unit 290.0(
Tr. PI. 156.0(
Var. Date Copie ' • ? ?
Total
on the express condition that
City of Eagan Ordinances.
Building
PermN No. PsrmN Hddo? Date TNephone if
Plumbl,nt
H.V.A.C. 51;A ;
Electric
Solfener
ImpacNan Date IMp. Comm?nb
Footlrvs I 1Y Gc,?
Footlnqs It
Foundatlon
Fpminy
Roaliny
Rouph Plbp. Aj? Z 0 - _ e
Rouph Htq. ?7 !s1 0'??? ' • •
Insul.
Fireplacs
Ffnsl Mfy.
Final PIb9.
Bidq. Fhsl
Cert. Oce. •??' 1 C_ _ ??
Deck Fty.
Decic Frmy.
Well
P?. Dhp.
7? y?
PERMIT #
- - PLUMBING PERMR RECEIPT #
" CRY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MH 55121 DATE:
? Name
? Addre
c City ?
L Name
3 Addre
O CitY -4
BLDG. TYPE WORK DESCRIPTION
Res. ' New ?-?
Mult Add-on
Comm. Repair
- ?- Other
FEES
COMM/INO FEE - 146 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
N9. FIXTURES TOTAL
Water Closet - $3.00
` Bath Tubs - $3.00 $
-r-Lavatory - $3.00 -T__ _
snower - $3.00
= -
Kitchen Sink - $3.00
Urinal/Bldet - $3.00
Laundry Tray - $3.00
±
F'oor Drains - $1.54
:W
ater Heater - $1.50
Whirlpool - $3.00
=Gas Piping Outlets - $1.50 '
Softener - $5.00
Weil - $10.00
_TPrivate Disp. - $10.00
Rough Openings - $1.50 -
FEE
STATE S/C:
GRAND TOTAL• ?
PERMIT #
MECHANICAL PERMIT RECEIPT # 76` ?7-2-
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
PRICE:
BLDCi. TYPE WORK DESCRIPTION
._ ` Res. New - -
m ? Name Mult Add-on
? Address Comm. Repair
c City'. k Phone - Other
Name % ? (?
3 Addrass
p City
TYPE OF WORK
Forced Air M BTU
Boiler M BTU
Unit Heater M BTU
Air Cond. M BTU
Vent CFM
Gas Piping Outlets #
Other
FEE
S/C:
TOTAL:
FEES
RES. HVAC 0-100 M BTU -$24.00
AODITIONAL 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.
COMMlIND 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 $1,000.00)
FOFi: CITY OF EAGAN
/ o . j
(IrrftfiratP uf (IDrrupanry
titp of eagan
apparbttptcf of swlding jwPriinn
This Certificate issued pursuant m the tequirenrentr of Seckon 306 of the Unijorm Building
Code certifying that at the time of irsuance this structure was in compliance with the various
ordinances of the City regulating building construction or use. For the following.•
ux a.mfi.m I(P 4 PLF't eklg. re,mu r?o. 12628
oxupaocy rype R3 zoaiim nistrict ? '[ype romt v
owm crB„ading tX(D VAiM EIWw' Add= 14R-) 93fm T1ti N, IffATM
M?M Ad&m 4':34 !/?. FF1Nrd?'' .;f?`i LoWtty I,;:, E4, -XFM: CAiM M.E •`f
Ihx: APRIL 2$. I 98 %
&ulding 06idW
POST IN A CONSPICUOUS PLACE
1-4, B 4 CITY OF EAGAN R1 ? c7
`'d " ?? v ?
?
OR SALE 3830 Pilot Knob Road, P.O. Box 21-1 99, Eagan, MN 55121 .
PHONE: 454-$100 ,
BUILDING PERMIT Receipt # -
To be used tor 1 OF 4 PLEX Est value $48,000 Date SL:PTEPIBEF2 16 19.86
Site Address 4 614 PEN:{WE «AY Erect IN Occupancy x3
Lot Z Block 4 Sec/Sub. JOHNNY CAKE Remodel ? Zoning pn
Parcel No. R IDGF. 4TH Repair ? Type of Conat jj
Addition ? No. Stories
¢ Name GOOD VALUIi HOMES Move - ? Length 44
3 Address 1460 93RD LL! N Demolish ? Depth ?d
0 BI.
Cii AI[JE 7?j0-5$jQ
Pho Int. impr. ?
? Sq. Ft
y ne Install
o S?
E Approv ab Fees
Name '
?°,i Address Assessment Permit Z74.00
~ Ciry Phone Water & Sew . Surcharge 24.00
? a Police Plan Review 137.00
F W Name
Z Fire SAC 575.00
Address
0 a
Eng.
Water Conn. 50000
•
< W City Phone Planner Water Meter 63 . 50
Council Road Unit 290.00
1 hereby acknol nrledgethatl have read this application and state thatthe ??dg. Off. 4 ?1 ??? E Tr
PI 156 .??
iniormation is c orrect and agree to comply with all applicable State of .
.
Minnesota Stat utes and City of Eagan-Ordinances. APC Parks
Signsture of Permittee %, •`-`'- ? rZ { Var. Date Copies
T?+ei $2 ,0],9.5d
A Building Permit is issued to: C'?? VALVE HONIES on the express condltion that
all work shall be done in accordance with all applicable State of Minnesota Statutes and City ot Eagan Ordinances.
Building Official
?
PwmN No. Permit Holdar Dats TNephone N
PlumWn '7 V /
C)q
H.V.A.C. Cj c,
Ekmbic o? 5 4:ae.. ?? 87 '? . C?
san~
Inspecibn Dale Irup. Commenb
Foorinqsl 9
Foodngs II
Foundatbn
Fremiey
Rooffnp
Hough Plby.
Rouyh Htq. ? ?? ? •
Imul. (
Flreplece
Final Hty. A
Flnal Plby.
BIdy.FMal
Csrt. Occ. -. /?-/ ?• ?'f •
Deck Fty.
Deck Frmp.
WNI
Pr. Dhp.
..es --?+•n ?. ; .
'
PERMIT # 7795
• PLUMBING PERMIT RECEIPT #
- ." " CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAH, MN 55121 DATE:
CONTRACT PRtCE - PHONE 4548100
Site Address ' : ""; ` ' • " ' -, ' `! u ` ' BLDG. TYPE WORK DESCRIPTION
Lot Block y Sec/S ub
- Res. New --
? Name Mult Add-on
? Address ? " " Comm. Repair
c
City - `! Phone -
Other
?. N0. FIXTURES TOTAL
Name Water Closet - $3
00 ?
?
c AddrW __
.
-TBath Tubs - $3.00
p
City :'? ;? ' ' • Phone
?Lavatory - $3•00 --
Shower - $3.00
Kitchen Sink - $3.00
FEES
Urinal/Bidet -$3.00
COMM/IND FEE - 1% OF CONTRACT FEE =Laundry Tray - $3.00
MINIMUM - RESIDENTIAL FEE _ $10,00 -Floor Drains -$1.50
-
MINIMUM - GOMM/IND FEE _ 20.00
?
- Water Heater -$1.50
STATE SURCHARGE PER PERMIT _ _? Whiripool -$3.00
(ADD $.50 S/C IF PERMIT PRICE GOES ?Gas Piping Outlets - $1.50
BEYOND $1,000.00) Soitener - $5.00
Well - $10.00
r - Privete D'ISp. - $10.00
,
Rough Openings - $1.50
SIGNATURE OF PERMITTEE
FEE ..
?" 7 '
STATE S/C:
?
?
FOR: CITY OF EAGAN GIRAND TOT AL•
PERMIT #
MECHANICAL PERMIT RECEIPT # 7C ? 7?
.
" CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
CONTRACT PRICE: ? C PHONE: 454-8100
Site Addre?s <<- ?a gLDG, TypE WORK DESCRIPTION
Lot Block SeclSub
R
N
es. -
ew
m Name?
s
Addre
o
' Mult Add-on
C
i
R
omm.
r
epa
c City Phone h
O
er
t
? Name ?, < ` t FEES
c Addr ' RES. HVAC 0-100 M BTU - $24.00
p Ciiy - Phone C, ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
TYPE OF W ORK GAS OUTLETS - 1.50 EA.
Forced Air M BTU COMM/IND FEE - 1% OF CONTRACT FEE
Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00
Unit Heater I M 8TU MINIMUM - COMM/IND FEE - 20.00
Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
Vent CFM BEYOND $1,000.00)
Gas Piping Outlots #
Other
Sv
FEE -
SIGNATURE OF PERMITTEE
S/C.
TOTAL•
FOR: CITY OF EAGAN
?. .. , .. '
(gerti#irafe of (Orrupanry
titp of (Eagan
arpirbnrrc# of lutihing 3wprtimt
77rrs Cera'ficate rssued pursuant to the requiremenrs of Sectlon 306 of tire Uniform Building
Code certijying that at the time of issuance this stnrcture was in compliance with tlre various
ordinances of che City regulating building construction or use. For the foUowing.•
,e claaifiapon ? OF 4 PI,?? X Eldg. ttrroit [Vo. ' r 2 f
v
O-P'Y TYPv R ZoninB D' p f3 Type Codr ? T
?
Owoao[Building Add= ? 460 93rCD T.i:i " ?LAl;Tr'
Buakbng near= .? ?,. ?,- -i`.•. Lomhty T 1, B4, JT",'?
DW: reAY 1 2qi 1587
Bw7ding OiCKaal
POST IN A CONSPtCUOUS PLACE
PLUMBING PERMIT
CIT11 OF EAGAN
3830 PILOT KNOB ROAD, EACAN, MN 55122
Site
Lot.
m Na"n
?o Add
c City
? Name <-
c Address ' '- - -
p Ciry a r?-??•-.'• Phone -
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE 8 CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
SIGNATURE
FOR: CITY OF EAGAN
PERMIT # 14 9 F"
RECEIPT q 7C" 90 F
DATE: Sl, 3 I/E 7
BLDG. TYPE WORK DESCRIPTION
Res. Mew
Mult. Add-on Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
Water Closet - $3.00 t
Bath Tubs - $3.00
Lavatory - $3.00
Shower - $3.00
Ki?chen Sink - $3.00
Urinal/Bidet - $3.00
Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - $1 50
Whirlpool - S3.00
Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIT)
-LSoftener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE
STATE S/C: r
?- .
GRAND TOTAL• '
CONTRAGT PRICE:
Site Address Q LL
Lot Block
? ame sui
Address
c City
? Name ?•,_; .
3 Address
O Cih+
COMMIIND FEE - 1%
APT BLDGS - COMM
TOWNHOUSE & COND
MINIMUM - RESIDENI
MINIMUM - COMM/I6
STATE SURCHARGE PI
(ADD $.50 S/C IF PERN
BEYOND $1,000.00)
FOR: CITY OF EAGAN
_ ., . .. . . - . . . . .. - . . . . . a .ry;a :s ? c .?!.?
PERMIT #
PLUMBING PERMIT RECEIPT # 7
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DA7E:
BLDG. TYPE WORK DESCRIPTION
See,fSub Res. ?- New
r? Mult. Add-on
IONINI;
Comm. Repair
'
'?gg?
gjg Other
,
. .
--a43 RES
PLBG
ONLY - COMPLETE THE FOLLOWING:
.
.
NO. FIXTURES TOTAL
Water Closet - $3.00 $
Bath Tubs - $3.00
t
$3
L
00
Phone ?(U ory -
ava
.
Shower - $3.00
Kitchen Sink - $3.00
FEES Urinal/Bidet - $3.00
F CONTRACT FEE Laundry Tray -$3.00
4TE APPUES Floor Drains - $1.50
- RES. RATE APPLIES Water Heater -$1.50
?L FEE - $12.00 Whlrlpool - $3.00
FEE - $20.00 Gas Piping Outiets - $1.50
i PERMIT - .50
' PRICE GOES (MINIMUM - 1 PER PERMIT) _
-L-Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE:
STATE S/C: --?-'
r ?
GRANQ TOTAL:
A
N O 12v29
'
G
?
3830 PNot Knob Ro d
, P.O. Box
2
-
1 9, Ea9an, M N 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used tor 1 UF 4 PLEX Est value *48, 000 Date SEPTEP4BER 16 19 86
Site Address 4612 1/2 PENKWE WAY Erect )t Occupancy R 3
Lot 3 Block 4 Secisub. JUH2JIQY CAY.F Remodel ? Zoning ?n
Parcei No. R IUGE Tli Repair ? Type of Const v
Addition ? No. Stories .
COOD VALUE HOMFS
W Name Move ?
Demolish ? Length ?
74
Depth
1460 9.fR? LN !V
o Address Int. Impr. ? Sq. Ft
city B?'.AINE Phone 780-5510 Install ?
o Name Approv als Fees
$ i Address Assessment Permit ' ?4
~ •• 00
City Phone Water & Sew.
P
li Surcharge
??00
i
Pl
R
? W o
ce ev
ew
an
Oa
?
Name
_? Address Fire '
SAC
. a0
t
C
< W Cit
Pho Eng. Wa
er
onn.
6 3 • 50
M
y
ne Planner Water
eter
___2T
V •
Iherebyacknowledgethatihavereadthisapplicationandstatethatthe Council
gldg.Off. ??16??? Road Unit
Tr. PI. ?00
information is correct and agree to comply with all applicable Slate oi
Minnesota Statutes and Ci.ty otftgan,Ordinanqes.
" APC Parks
?
r ;
"
6? Var. DBts Copi
42
U19
50
Signature ot Permittee?
?r -
? - ,
.
TOtal
GOOt7 V11LUi: ilU: S CS
A Building Permit is issued to: on the express condition that
alI work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building QHiciat ? ?
r.??,n No. P.rmn Moa.r on• rN.prnoR. x
Plum"p 77 yy /O?OJ
H.V.A.C. •?/0'15//S7
Elselrie ,?-;
Sofloner
InspecNon Date Insp. Commenb
Footlngsl
Footings II
Foundatbn
Framinq ?
RooNng
Rouqh Plbp. G _ ?
Rouyh Nty. ?7
Imul.
Fkoplaee
Finai Hlp. y-i,`-? ? ?- q•
Pinal Plby. - j ?
ew9. FinM y-Af'k7 ?_ . A .
C«,. OCC.
Daek Fty.
Dock Frmp.
WNI
Pr. Disp.
CON
Site I
Lot _
m
?
m
c
m I
c
3
O
?= 4 PERMIT # 7?I7 ?
,
PLUMBING PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE
;T PRICE PHONE 454-8100
Name
Addre
City _
Name
Addre
Ciiy ?
COMM/IND FEE - 1%
MINIMUM - RESIDEh
MINIMUM - COMM/I
STATE SURCHARGE I
(ADD $50 S/C IF PERi
BEYOND $1,000.00)
SIGNATURE OF PERMIT
FEES
OF CONTRACT FEE
TIAL FEE - $10.00
ND FEE - 20.00
'ER PERMIT - .50
NIT PRICE GOES
FOR CITY OF EAGAN
BLDG. TYPE WORK DESCRIPTION
Res. New t
Mult Add-on
Comm. Repair
Other
NO. FIXTURES TOTAL
' Water Closet - $3.00 t
?-Bath TUbs - $3.00
1 Lavatory - $3.00
Shower - $3.00
i Kitchen Sink - $3.00
Urinal/Bidet - $3.00
_?_Laundry Tray - $3.00
Floor Drains - $1.50
• Water Heater - $1.50
_rWhirlpool - $3.00
+ Gas Piping OuUets - $1.50
Sottener - $5.00
Well - $10.00
Private Disp. - $10.00
? Rough Openings - $1.50
FEE
STATE S/C:
GRAND TOTAL•
PEfiMIT # `7
• • . , MECHANICAL PERMIT RECEIPT # 742-97-'-
' CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN. MN 55121 DATE:
CONTRACT PRICE ! ??i PHONE 454-8100
Site Address ? ' '? I-ke (k BLpG. TYPE WORK DESCRIPTION
Lot - Block SeclSub
-17 ,? ?-
R
N
es.
ew
m Name t M
lt Add
u
-on
? Address Comm. Repair
c Ciry! , "t, ! " " Phone pmer
Name ? lk-d'lp `. ";-p FEES
c Addrgss RES. HVAC 0-100 M BTU -$24.00
p City ?k A-k- r/Z Phone f c ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAI. 6 M BTU - 6.00
TYPE OF WORK GAS OUTLETS - 1.50 EA.
Forced Air ? M BTU COMM/IND FEE - 1% OF CONTRACT FEE
Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00
Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00
Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
Vent CFM BEYOND $1,000.00)
Gas Piping Outlets #
Other
J?J- JU
FEE
Q SIGNATURE OF PERMITTEE
S/C•
=? ?• rj C)
TOTAL•
FOR: CITY OF EAGAN
ftertiftratip u# (Orrupanry
Ctp of eagari
frparimrnt af Iixilding JWtrtinn
This Cer[ificate issued pursuanl to the requrrenrenu ojSection 306 of the Unifornr Building
Code cenifying thar at 1he time of issuarrce this structure f?aas in compliance witk the 4arious
ordinances of the City regulaang building rnnstruction or use. For the following.
lhe Clmi6nuan .
-
&da. Pt+mit No.
Occupe-r Trx .? : -.-
-' zomng ndtm '
Ty,a CorAL .
owxr of Bm7d4 T•:
';?• " .r ? ? .
Add"
G. . . ?.3k?1 I.id ^'
DwiliNag Aft= Lantiry B4, .3i7{WY LA}'.E RII3[E illi
wu: 15, !q:
Bw7ding Olfdsl
POST IN A CONSPICUOUS PLACE
PLUMBING PERMIT
, CITY OF EAGAN
` 3890 PILOT KNOB ROAD, EAGAN, MN 55122
CONTRACT PRICE ? PHONE: 454-8100
Site Address ?L;?
Lot Block ,
a?
?
?
c
.a- -
; Address
O Ciry P h o n e FEES
COMM/IND FEE - loio OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYO D $1,000.00)
? 7
SICGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
PERMIT q
RECEIPT fi 7.S D / Z_
DATE: Ll f>9 S ./k_ 2_
BLDG. TYPE WORK DESCRIPTION
Res. New _
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING
NO. FIXTUFIES TOTAL
Water Closet - $3.00 $
Bath Tubs - $3.00
Lavatory - $3.00
Shower - $3.00
Kirchen Sink - $3.00
Urinal/Bidet - $3.00
Laundry Tray - $100
Floor Drains - $1.50
Water Heater - $1.50
Whirlpool - $3.00
Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIn
__LSoftener - $5.00
Well - $1Q.00
Privaie Disp. - $10.00
Rough Openings - $1.50
FEE:
STATE S/C:
GRAND TOTAL•
? I
Site
?
a?
m
y
c
? Name ?
V
c Address
ll?'
O City z f,o:ata
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping Outtets #
Other
PERMIT #
MECHANICAL PERMIT RECEIPT # ' CITY OF EAGAN ;
Zf 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE °' `''•??? j 6 7. vp PHONE: 454-8100
BLDG.TYPE
Res. V?
Mult
,Comm,
Other
WORK DESCRIPTION
New
Add-on Y?
Repair
??? F??it'f
? FEES
e. HVAC 0-100 M BTU
RES -$24
00
. .
:,O '?'i?? h? ADDITIONAL 50 M BTU - 6.00
Phone (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PEHiiAIT) - 1
50 EA
.
.
COMM/IND FEE - 19'o OF CONTRACT FEE
M BTU APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
M BTU
M BTU $ MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
REMODELS
.Cj - ,2.Q
? y M BTU $_% Z•?U MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT
CFM $ (ADD $.50 S/C IF PERMIT PRICE GOES
? BEYOND $1,000)
?
,
FEE:
S/C: • r "
SIG ? O ?
TOTAL•
F . OF EAGAN
CITY OF EAGAN ? ?
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ?- ??? 3 O
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used for 1 OF 4 PLEX Est. Value $4 t3 ,000 Date jj''PTE.?'IFii:R 16 19 236
Site Address 4 612 PENKWF WAY Erect 43 Occupancy R 3
Lot 4 Block 4 Sec/sub. JOHN:IY CAFCE Remodel ? 2oning P?
Parcel No. RIDGE 41H Repair ? Type of Const ?
Addition ?
¢ Name CYOOD VALUE HOA1B8 Move ?
= oemoiish 11
a Address 1460 93RD LN N Int.lmpr. ?
city f3LAZNE phone 780-5510 Instali ?
°C iAMIE APP?on
Z o Name
? ¢ Address Assessment _
? city Phone Water & Sew.
c
Police
= Name Fi
F re
? a Address En
g.
i W Ciry Phone Planner
Permit ? 274 . UO
Surcharge 24.00
Plan RevieZ--UT. 00
SAC s T5--. OQ
Water Conn. 500 . 00
Water Meter 63 . 50
?? Road Unit 290.00
I hereby acknowledge that I have read this application and state that the Bldg. Off. ?/+"/" Tr. PI. 156.00
information is correct and agree to comply with all appiicable State of
Minnesota Statutes and City of Eagasi Ordinances. APC Parks
Signature of Permittee Z- -? Var. Date Copies
Total 4 , oIg •50
A Building Permit is issued to: C'0OD vALT1F, H0P'i1'-:S on the express cOndition that
all work shall be done in accordance with all applicable?St'ate of Minnesota Statutes and City of Eagan Ordinances.
Bullding Official ? ' ? -
No. Stories
Length 44
DePtn ?a
Sq. F+
' PnmH No. PwmM MoWN Dorh TNpphoeK M
PIum6lny "M 3 I-Y, /o/ciikL
M.V.iR.C. 8 6? . ?T J 7
Eleetric ?r ? ?t-?•
4r 41?47
Salbne?
InspscUon Dsb Insp. CommmU
Foodnqs I
FooUnys 11
FoundaNon
Fnminq
Roolinq
[Rough Plbp. -
ROUphHtq•
Imul.
Fhsplsee
F?nal Htg.
Final Plby. • "? ,?
ekrp. Final 6.?- 7 e..%/?
Grt. Oec. 7 (%. X
Deck Fty.
Dack Frmy.
WNI
Pr. Dfsp.
, tr. . . ,. ? ; _ : . . .. . . . . . , .
PERMIT #
PLUMBING PERMIT RECEIPT #
GTY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
NTRACT PRICE: PHONE: 454-8100
Site Address ` , '
Lot y Block
m Name
? Address
c Ciiy
? Name `
c Addr89s
0 City ? ;. • i
FEES
COMM/IND FEE - 196 OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE - $10.Od
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
BLDG. TYPE WORK DESCRIPTION
Res. New I
Mult Add-on
Comm. Repair
Other
NO. FIXTURES TOTAL
' Water Closet - $3.00 $ -
? Batfi Tubs - $3.00
-T-Lavatory - $3.00
-
- .
7
Shower - $3.00
TKitchen Sink - $3.00
T_Urinal/Bidet - $3.00
' Lsundry Tray - $3.00
? Floor Drains - $1.50
_
Water Heater - $1.50
T
Whirlpool - $3.00
I Gas Piping Outlets - $1.50
Softener - $5.00
Well - $10.00
??Pri?ate Disp. - $10.00
" Rougli Openings - $1.50
FEE
STATE S/C
GRAND TOTAL•
PERMIT #
MECHANICAL PERMIT RECEIPT # 7L'_ 2 I-Z
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: -5 2
BLDG. TYPE WORK DESCRIPTION
Res. " New ?----
? TVarine - -fi _ - L Mult Add-on
? Address ?- ? Comm. Repair
c City[ 'M,I??r ? dosr Phone( `` "L V -7 Other
Name j AVlj_Q ? FEES
?
c Address ? -'?+ RES. HVAC 0-100 M BTU -$24.00
p City Phone4` ? ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
TYPE OF WORK GAS OUTLETS - 1.50 EA.
Forced Air -• ? M BTU COMM/IND FEE - 196 OF CONTRACT FEE
Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00
Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00
Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
Vent CFM BEYpND $1,000.00) ?
Gas Piping OuUets #
Other
FEE
S/C: SIGNATURE OF PERMITTEE
TOTAL•
FOR: CITY OF EAGAN
• ? . r
(Ur#xf irate ,af (Orrupattry
titp of (tagan
arpttrtnmt itf lugbiag jwpriion
This Certifrcate tssued pursuant to the requirements of Section 306 of the Uniform 9uilding
Code certifying that at the time of issuartce this structure was in compliance with the various
ordinances of the City regulating building construction or use. For the followireg.•
Use C1e+tifinuon ? r" :'t ^ Bldg. Rmtit No. ?
Occupaocy Type Zonmg Uisuict 'Iype Conat. owna ocaWiaing ' YM VAiiIE Addrew i?t?'J 93"Il i.?: 1j. 'CA32E
r;,r•?,,,., ?y;?. ?;I. 3k, MM CAKE RI?':??' 4-01
suikling naa.m c«mliey
p.u.: .AlW 5, 19$7
Build'mg Offioal
pOST IN A CONSPICUOUS PLACE
m
; $30 Pilot Knab Rosd
;P. O. Box 21199 PERMIT NO.:
''Eagan, MN 551.z1 DATE:
2aninp: No. of Units: -f
Qwnor:
^ddreSS:
;Site /1dd.
Plumber.
1d/rM h eepll via !M Cft of ype Connectlan Q+aroe: 5_Q,ip4?
Orliwnwew. /?coount DePadt:
Permit Fes:
SYrchorge: --
gy Misc. Choro"
Dcte of Irop.: Totol:
Insp,; Dotr Poid:
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Koob Rosd
P. O. Box 21199 PERMIT NO.:
Eagan, MA 55121 DATE:
Zon7np: _ No. of Units:
r
O
,
wre
Address:
Site /lddnsx ' - "
Plwr+kier
.
Mew No.: Ca+nection Cl+arfls:
Size: Acwur+t Deposit:
: Permit Fee:
Reoder No ?
.
1 prr h esMFj wi1b !Iw CMq ef Ew¦ 5urfioroe: ,
Misc. Chorpes:
OrilMeaw
.
TotoL• •, r ' -
gy Dots Paid:
Dote of Insp.: Irap.:
CITY OF EAGAN WATER SERVICE PERM1t
- 3830 Pilot Knob Road
pE??T NO.:
' P. O. Box 2'f 199
EageS, MN 55121 DATE: 4-pl ex
?ing; _ 1- No. of Unitx
':;OLle.fi
Owewr:
Addros:
Penkwa Wav L? L4 Jc?hnr.,v
'
?k Rd ?t i?
Sth Addrosr
- eL son ?'tur..bin^
•
?
????
?S- Q 50U . OOpd
ru?r.? r?.: ?
•??e? Zs . ?n a
si?:
?g R1&?? b
3 ..8e ore
S • lo . nooa
Read?r rb.:
. `
1 N?w 1o aowlhi wMh 1V Ci? ? Su
'
TP
l
?
D?
,
Qpc
1 `
. 6. ?
O''?"o"OM' UIF
REQ Tmol: o3.50pd meter
B
Da • ?.??? _, _.Paid:
y
? ? Insp.: Insp.:
6 Y-I6 -g7
I
CITY OF EA(iAN
3830 Pilot Knob Road
P. O. Box 21199
?. Er,an, MN 55121
m
PERMIT NO.: ?
-a ? „-,;-
D/I7E:
,
Zaninp: No. of Unlts:
- ,a Va' ue gocaes
Owrwr. . ` _
Addroa: _
g
Site /1?ddna ' `? • , : ?-t,; ._ . _ . 'a C}c ;?.?? t F
um
mber. rI. (?f!pd
No
u?k o-0.lti e ore oiggill
1?? rik. ` ? • '?; ??,;'
za: ? ' ' 0 . t:!s?Fe.
PlINE - mt se: St? , op?.
o.:
.,ne h esw?lr wt11? N» Gr??t j1R?+? 15 6.0 o?? -"-7'
e. Nuac. d,oro.::
Total; 63,50 ri,i rnetPr.
Dote PoW:
of Irnp.: Irnp.:
AN
CITY OF EADAN
3830 Pilot Koob Road
P. O. Bor 21189
Eagan, MN 55121
Zoeinp:
Owner: .
Addm's: penkwe 'day
? ?N'?flSS.
plunber.
Mettr No.:
Sine:
Reodsr No.:
1e/m !o ae"r1it wo 1M C*Y el dM"
OrmMwp6
WATER
pER1NIT NO.:
9-15-!'
DATE: w-pI ?'-
_ No. of Units:
Cmrwctiu^ OwNV: ?
Acoourd DePosit:
'
. -
.L'•? ',i ?`?
Parmit Fae:
Surdw?oe: ? 55. 00^c? 7'£
MISC. \.flY?• L, ] . J`'vL T:Je
Totol:
pa,te, Paid:
By
Date of I nsP.:
SEWO SERVM PLVW
CITY OF EAGAN
3830 Pilot Knob Road pERMIT NO.:
P. O. Box ?1199
DATE:
Eagan, MN 55121 (• -rZ P`-
No. of Units:
:
OwM
r.
/'Mm-sS:
F ? . •? t
? '.n., .
SItQ AddfEif:
; Plurr?bar.
yrM le NM11? wilr 11M CM1? of yMe Co^^action ChaMc ,,
P?t.
?
Or?iw?a0e. ?
N
Su?dwnge:
Mlac. CFarom
By Totoi:
? paft of Insp.:
Insp.: pate Poid:
CITY OF EAGAN
3830 Pilot "nob Road
P. O. Box 21199
Eagan, MN 55121
Zoninp:
Owrnr: ' ..
llddross:
Site Addi
Plumber.
I M- - N ee?l? wM !w III:* 1w ypw
OrllMssm
By
Date oF Insp,:
SEWER SERVlCE PERMR
PERMIT NO.:
nATE: ' - j - • ?
No. of Units:
C.anr»ctbn CFwrpe: _
Acoount Depodh .
P'ermtt Fes:
SurcFwrye:
Mkc. CMrgm
Toto1;
Datr Pbld:
' OF EAGAN
Pil
"
t
b R
d WATER SERVICE PERMI'L
.
o
no
oa
Box 21199 PERMIT NO.:
n, MN 55121 . pATE:
g: . No. of unic:: -
i
^darm:
J--
No..
te e.-01r wia 60 Ckq ai Ey..
c«+nKti«i o,o.q.: -7
ACOOUrM Depos(t:
Pertnit Fee:
Surchorpe:
AAlsc. Charpes:
Total:
Doft Poid:
CITY OF EAGAN WATER SERVIC E PERMtT
3830 Pilot Knob Road
P. C: Box 21199 PERMIT NO.: 7925
agan, MN 55121 Q?ATE: '1-1 r_ 4 r-.
Inp: .
No. of Unlh: ,
?+- plex
ross:
Addrest: - G3 '34 Tn'
Y - -
? ?
.. Lf11?C ?_'r
r No.: ? rge: -4•.l0 01 Qpd
z66 IYI???
ti 1 s.oopd
N,.: 1gg1
:
t
io . na?a
Nne to oosapyr nMh &* ' Su . 5() d
?a+er. _ ?. ?sDCC?V18. 15(. C'?nd TP
8y T -°V A&V?Doc. Poid:
Date of Insp.: IMp.:
I.
t/' 7" 77
rnot Knob Rosd
IIn Y Q? ?AGAN
Box 21199
n, MN 55121
p: _
r: ?
' 11Adross:
Sib lldd+ess:
Plumbee
Meftr No... 3 7,
Size: -1611 f(
No.:P7o 6 yb'4p/
M esmpyr wm !M CMy of
WATBt SERVICE PERMIt
PERMIT NO.:
DIETF,; . . No. of Unirs: '+-i- •
L4 B4 Johnnv Cl
? ^`?Total: - ?3 . 5?y?d ?et ei
By Dots Poid:
Date of Insp.:
Insp.:
/ Z ,
;
C?TY OF EAGAN
; 3830 Pilot K
Wp? SERVICE p
nob Road ERNYT
P. o. Box z„?
E?n. MN 5!ii21 ?IT No.: 79a V
-Ioninp: . D/17'6:
No. of Units;
Owner:
? llddrou:
,SIl+? ?• ^
ISddees::
'
plurnbar,
'MNsr No.:
ze:
Corxbctian Cho?ps:
No
: Aaooi?nt Deposit: i7 -? ?;
.
elm h esmpif wiM !M Cihr of Ee Permit Fee: • -' ?,,
"n Surchorpe:
now AA(fC. Chorges;
B Tocol:
y
' Potd`
`
Date of I.np.: .
_
CITY OF EAGAN
3830 Pilot Knob Roed
P. O, Box 21199
Es9an, MN 55121
Zoninp; ?f;
Ow?wr: ,3ad?
Ilddress:
5lte 11dd?ess: _ 4 f, t? p
Plumber. _ Nfckr_2
,_?, r.: .
? M?w h?NI ?L tw cky MseMm
OdiM?,
eY -
DatQ of I1ffp.:
?00.04pd
Ca+r?eet{a, Ciw,ge;
?y -?----_
Account Dq?JP?t:
PfR11ir FN:
SNIChQfge: ?
Mi1G. dqfol;
TOhOl;
DOh ROid:
---------------
This reVUest void
78 months fram
C Q1626
Hepuest Daie
? ? ??
? File No HooPh-i
F?puire .
?Yes ? nsDection
?
No ??
fleatlv Now ill Nofify. Insuec-
or When HeadY
DLicemseG Eleclrical Contractor 1 hereby reQUeat inaDaction of abova
EfOwner elactrical work installad at
Stre LAddresS,?Ox o?ute No.
T Cit
ecLOn o. ownshi0'Nameor o. anBe o. Cou?
upanl (PRINT) Phone No.
Power Sup0lier
? Address
EI rical Contrector TCOmpeny . mel
I Contractor's License
Mailing A dress IContractor or wner Making Instailation) ,('?? ,? l
? I liv
S-??L4
Aut ized Signature tractodOwner aking Illation)
s Phone Number
Sl?C/o -
&vo
MINNESOTA STATE LOARD OF ELECTqICITY ? TMIS INSPEGTION REQUEST WILL NOT
GriB9s-MidweV Bldp• - Room Nd91 BE ACCEPTED BY THE STATE BOAflD
MN 55704 ' UNLESS PROPEX INSPECTION FEE IS
1621 Universifv Ave.. 8I. Poul.
PhOne(612)642-0800 - ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION Es-oowi-os
Seo instructions tor complatieq lhis form on beck of yellow coPY. 7? 3sz'
"X" Below Work Covered by This Request
NswiHAdi peo•I Tvoe ol Buileina 1 Aoolinncea Wired 1 Equipment Wiretl I
JI Fee ServicaEntronee5ixe p Fee Faedera/5ubleetlers H Fee Circuits
0 to 200 qm s 0 ro 30 Am s 0 to 30 Am
Above 200 qmps 37 to 100 Amps 31 to 100 A s
Swimming Pool Above 100_P.m s Above 100_AmUs
Transiormers Irngation Booms Partial.'Other Feg.
I I Signs I I 15pecial Inspection ? ? / 5 OTAL F4.70
*
Ae?rks t .y/
ir
min reou.=t roia
REQUEST FOR ELECTRICAL INSPECTION ers-ooooi-os
-/ ? / See inslructione lor comoletine Ihis form on beek of vel low capy. y / D
ir " 01 G 71? "X" Below Work Covered by 7his Hequesf
11len{Adtll peD.I TvDe ot Builtline I APOlioncea WireA I Equipment Wired )
Bulk Milk
N Fee Service EnVBnceSiza H Fee Feedars/Subieeders N FAe Circults
0 to 200 Am s 0 to 30 qm s 0 to 30 Am s
Above 200 31 to 100 Ainps 31 to 100 q 5
Swimming Pool Ahove 100_Am s Abov 100_Amps
Transiormers Irngation Booms Partial-'Other F
Signs Special Inspection -
Nertwrks Sy'? TOTAL Fj} D?r 1
n N1 !
1. tne el ect?;eel' I
Inspector, ?eraby
eertity thst the Tbove
Insoaction has baen
mede.
This request void 8`'J
18 momhs (mm
C -816 2 5 z/.
?o ?? .J -)-
`0`S/7 0 0
Re
'quest Dete ( ire No. Fo
ghe
? nspection
5 d
q [3Reatly Now Wi11 Notity, tnspec-
I ? - Yes ?No tar When fleadv
? Licensed ElecVical Contractor 1 hereby requeat insoeclion oi above
? Owner electricel work installed at:
Stree Adtlress, Bo r Raute N6, CiI
ection o. Township Name or No. Range o. C
?
O pant (PflIN ) Phone No.
Pow Supplier ACdress
Eleytric'al Cnontra^ctor ICDmpany Nemel
c ?1 1 1 LA?? • Contrer.tor's License No.
? - ?
Mai inBdress ICOnira tor or Owner Making Installafionl
a
m +v
A lhorizetl Signa re IConvaclo Owner MakinB Installat on) Phone Number !-
1.o cc)
MINNESOTp STATE BOABD OF ELECTRICITY TMIS INSPECTION pEQUEST WILI NOT
Grippa-Midwev BIA9. - poom N•181 BE ACCEPTED BY THE STATE BOAND
1821 Universitv Ave.. St Peul, MN 66104 UNLESS PPOVEB INSPECTION FEE IS
Phone (672) 842-0800 ENCLOSEO.
This rvquest void
18 mpn[hs from
81624 .3 q
sz-?% 'g?7ea
Request Dete '
? =a- Firy/No. Ro ph-in Inspection
P?emqwreAl l
rjReady Nuw JI Nntify InsDec-
[
Wh
R
I ?No or
en
eady
? Licensed Electrical Convactor 1 hereby reainest inspaction oi ebove
Q Owner electricel werk installad at:
Sve [ Address, Boz or uta No. CY
? n ^
tAA ?
ecuon o. ownshiD Name or No. Range o. Counly
O capam (PNINT) Phone No.
Power S
u
lie
r
oa Adtlress
/
?
?
'
?
(,./..i ?J
EI trical Contr acl
or
ICOmp(g('?y Name) ConVactor's Liconse No.
L
^
Mailinp dJress IContract r or w
Oner MakinB ?nsteilationl
?
I
SS-I 43
0 - n?
40
orized Signature IContra<tor Owner MakinB Insuiiati nl Phone Number
J -
MINNESOTA ST T BOAXD OF ELECTqICITY ? THIS INSPECTION REQUEST WILL NpT
Gt ip9a•Midwey dg. - Room N•181 BE ACCEPTED BY THE STATE BOARD
1921 Universitv Avs.. St Peul, MN 55104 UNLESS PPOPER INSPECTION fEE IS
Phonel6721642-0800 ENCLOSED.
C 81 F24
"X" Below Work Cavered by lhis Request ?U3
A'Ad fleo. Tvpe ol BuilEine Applinncea Wired Equiumenl Wired
Home Range Temporary Service
Duplex Watar Heater Lightiny Fixtures
Apt. Building Dryer Electric Heatin
Commercial Bldy. Fumace Silo Unloader
InduStrial Bidg. Air Conditioner . Bulk Milk Tank
Farm ONer oeu y Other 15nedfvl
t er ue01 y t er Otm,r
Compute lnspectron Fee Below
p Fee ServieeEntrenceSi:e tl iee Feadars/5ubfeeders # Fee Circuits
0 to200Am s 0 to30qm s Otn 30Am s
Above 200 qmpsj 31 to 100 qinps 31 to 100 Amps
Swimmin Pool Above 100-Am s Above 100_Am
Transfortners Irrigation Booms l,'OthgL-Fee
Signs Special Inspection
TOTA
E
Pemarks I
?/?p ?
floueh-in Date I, the EIe I
(??Q'f7 Insoector, nereby
certify ihet ihe above
Final Onte {nspection hea bean
made.
REQUEST FOR ELECTRICAL INSPECTION ee-aoooi-os
? Sae instruetiens tor completirq thia form on back of Vellow capV.
f01n reuueat witl 1B montln trom
rnis .dauasc Voie '7 Y 7
18 rronths twm
( 8 1623 R?.???a ?!%
-70.Y S.2
'gW7aD
Reauest Oate
:?' !?--?
/ - ? ire No. ouph-in InsDection
puired?
?Yes ?Nu
?Neatly Nuw ill Notity, InsDer
or When qeady
[] Licensetl Electrical Contractor 1 heraby raquest insoacfion oi above
? Owner aleetrical work instBlled at
Slre t A?ress, Boz or Route No.
r C.
?
Q
eclmn o.- Township Name or No. RanBe o. County
tko* CL-
OC ?an? IPqI Tl Phone No.
P r SuD0lier ?
a- Address
Ele r'cal Contractor I ompany m
?
r
( Contrar.tor's License Noy
L9 ?
i
t
Maili A ess ICo ctor r O Mekine Iai atioN / ?y? ?
t)
Aut ize S na[ure 1 mractor Owne MakinB Inslallationl Phone Number
C
?
S
5 _
& <o
o
6
MINNESOTA STATE BOARD OF ELECTqICITY THIS INSPECTION flEQUEST WIIL NOT
QriBea•Midwey 91dp. -'ROam N-197 BE ACCEPTED BY TNE STATE BOAHD
7821 Univsrsitv Ave.. St. Paul, MN 55104 UNLESS PflOPER INSVECTION FEE IS
Phone16121642-080D ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ee-ooooi-oa
? See instructions lor tomoleting this form on 6eck al yellow copy. 70`3 45 '2'
?- ?
"X" 8elnw Wak Covered by lhis Request
14M1Nnai pec.1 TvDe ol Builtline 1 AoPlioncea Wired I Equiumenl Wired I
p Fae Servfce EntranceSiza p Fee Fentlers/Subleadera p Fne Circuits
U to Z00 Am s 0[0 30 Am s ? 0 tn 30 Am s
Above 2_Amps 31 to 100 qmps J
k 31 to 100 A
mps
Swimming Pool Above 100_Am s Above 100_Am s
7ransiormers Irrigation Booms Partial•'Other Fee
Signs ISpeclal Inspection
em9rks ? (?1TOTA .EE
? 7 ?? }
?XOUan-in thececV'
InsDetor, ereby
I
carlily thet the ebove
final + D?q^te/? inspection hea been
i- nreae.
misrBquest
L 1-4, B 4 CITY OF EAGAN
N2 12628
3830 Pilot Knob Roadr P.O. Bax 21-199, Eagan, MN 55121
PHONE:4$4-8100
BUILDING P ERMIT
Receipt u 3
Tobeuaedfor 1 OF 4 PLEX Est.value $48,000 Date SEPTEMBER 16 ?g 86
SiteAddress 4614 1/2 PENKWE WAY Erect L? Occupancy R3
Lot 2 Block 4 Sec/Sub. JOHNNY CAKE Remodel ? Zoning PD
Parcel No RIDGE 4TH Repair ? 7ype of Const. V
. Addition ? No. Stories
GOOD VALUE HOMES Move ? Length 44
W nlame Demolish ? Depih?d
z
o Address 1460 93RD LN N
Int Impr. ? Sq. Ft.
CityBLAINE phone 780-5510 Install ?
o Name SAME Approvals Fees
? i Address ASS8SSf110f1t
h
Ciry Phone
Water & Sew.
w Police
w Name Fire
s
?a Address Eng
.
W
i
Ciry Phone
Planner
Council
Iherebyacknowledgethatlhavereadfhisapplicationandstatethatthe B?dg.Of
information is correct and agree to comply with ail applicable State of
Minnesota Statutes and Ciry of Eaga rdinan . APC-
Signature of Permittee I Var. Dati
A Building Permit is issued to: GOOD VALUE HOMES
all work shall be done in accordance with all appljca le "t te of nesot Sta u s?
Building Oflicial ? ` -'f-?1
Permit $ 274.0(
Surcharge 24.0(
Plan Review 137.0(
SAC 575.0(
Water Conn. 500.0(
WaterMeter 63.5(
RoadUnit 290.0(
Tr. PI. 156.0(
Copies
rotal $2,019.5(
on the express candition that
City of Eagan Ordinances.
L 1-4, B 4 CITY OF EAGAN t?1 p
F'OR SALE 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 'v'
TOWNHOUSE PHOKIE: 454=8700
BUILDING PERMIT Receipt p
To be used tor 1 OF 4 PLEX Est. Value $ 48 ,000 oate SEPTEMBE]
Site Address 4 614 PENKWE WAY
Lot 1 alock 4 Sec/5ub. JOHNNY CAKE
Parce l No RIDGE 4TH
.
? Name GOOD VALUE HOMES
1460 93RD LN N
3 Address
° cih, BLAINE phone 780-5510
o Name SAME
i
? i
Address .
a
?
City
Phone
a
w w Name
Address
a w City Phone
12627
86
Erect N Occupancy R3
Femodel ? Zoning pD
Repair ? Type of Const p
Addition ? No. Stories
Mova ? Length 44
Demolish ? Depth? d
InL Impr. ? Sq. Ft
Insfall ?
Aoorovals Fees
Assessment
Water & Sew.
Police
Fire
Eng.
Planner-
Council-
Permit $ 274 • 00
Surcharge 24.010
Plan Review 137.00
SAC 575.00
Water Conn. 500.010
WaterMeter 63.50
RoadUnit 290.010
Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe Bldg.Off. - - 161 86 Tr.PI. 156.00
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of E Ordinan s. APC Parks
Signature of Permitte Var.Date Copies
- ,` Totyl $ 2,019 . 5 0
A Building Permit is issued to: GOOD VALUE HOMES on the express condition that
all work shall be done in accordance with all appliciablyState of?Minnesota'Staiytes,nd Ciry of Eagan Ordinances
Building Official
L 1-4 B 4 CITY OF EAGAN ?1
• c 3830 Pflot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N0 12629
PHONE: 454-8100
BUILDING PERMIT
, „ rteceipt#
Tobeusedfor 1 OF 4 PLEX Est.
value $48,000 oate SEPTEMBER 1 19 86
SiteAddress 4612 1/2 PENKWE WAY Erect )U Occupancy R3
Lot 3 Block 4 Sec/Sub. JOHNNY CAKE Remodel ? Zoning PD
Parcel No RIDGE 4TH Repair ? 7ype otConst. V
. Addition ? No. Stories
a GOOD
Name VALUE HOMES Move ? length 44
w
a
Address 1460
93RD LN N Demolish ?
I
tl
? Depth
t
S 24
piy BLAINE phone 780-5510 n
mpr.
Insull ? q.F
o Name SAME
=
? ¢ Address
? Ciry Phone
F W Name
z
?
-y? Address
i W City Phone
I hereby acknowledge that I have read this application and state that the
iniormation is correct and agree to comply with all applicable State of
Minnesota Statutes and i ga rdina
ngey
Signafure of Permitte Ce
Assessment_
Water & Sew.
Police _
Fire
Eng.
Planner-
Permit $ 274.00
Surcharge 24.00
Plan Review 137 . 00
SAC 575.00
Water Conn. 5 0 0. 0 0
WaterMeter 63.50
Council RoadUnit 290.00
BIdg.Off. 9/16/86 Tr, pi. 156.00
APC Parks
Var.
Copies
v,..) $2,019.50
A Buitding Permit is issued to: GOOD VALUE HOMES on the express condition that
all work shall be done in accordance with all applicable S^tate of JM,?n/neso?W Statut ry ot Eagan Ordinances.
Building OMicial F ? X?c. ?s? _
S
L 1-4, B 4 CITY OF EAGAN
3830 Pibt Knob Road, P.O. Box 21-199, Eagan, MN 55121N2 12630
PHONE: 454-8100
BUILDING PERMIT Receipt x '
Tobeuaedtor 1 OF 4 PLEX Est.Value' $48`1000 pate SEPTEMBER 6 1956
Site Address 4 612 PENRWE WAY erect )t] Occupancy R3
Lot 4 Block 4 Sec/Sub. JOHNNY CAKE Remadel ? Zoning pn
RIDGE 4TH Aepair ? Type of Const.V
Parcel No.
W I Name GOOD VALUE HOMES
o Address 1460 93RD LN N
Cirv BLAINE phone 780-5510
o Name SAME
$ a Address
:
?
City Phone
a
? W Name
AddreSs
e w Ciry Phone
I hereby acknowledge that I have read this application and state that ihe
information is correct antl agree to cgJnply with all applicable State of
Minnesota StaWtes and Cib-of E'ifi Ordi ces.
?!/
Signature ot Permitt
ee
A Building Permit is issued to: GOOD VALUE H ES
all work shatl be done in accordance with all applic'el e of Minnes_
Addrtion ? No. Stones
Move ? Length 44
Demolish ? Depth 2,4
Int Impr. ? Sq. Ft.
Install ?
Approvals Fees
Assessment _
Water R Sew.
Police
Fire
Eng.
Planner-
Council
BIdg.Off. 9 16 86
APC
Permit $ 274.OC
Surcharge 24.OC
Plan Review 137.0(
SAC 575.OC
Water Conn. 500.0(
Water Meter 63.5(
RoadUnit 290.0C
rr. Pi. 156. OL
Parks
Var. Date I Copies
7otal $Z. 019. SC
on Ihe express condition that
City ot Eagan Ordinances.
Building
Clty of Eapn
3830 Pilot Knob Road
Eagan MN 55122
Phone:(651)6755675
Pax:(651) 675-5694
??? ?)u
___________-
? Fo??Office?Use ?
I ?
? Pertnit#:
?
I Permit Fee: '?-da -
? Date Received: ?
j Staff:
I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: -/ ^7 113 ! o4Jj? Site Address: q(k,12-
TaRa4qt:
Suite #:
RESIDENT I OWNER Name:I )fy?liV l 6n&)WA{'lllM ?CVOLW Phone:
V
2Il? ?
INIVIn L?
I
J
]
l
?(nmi 1/
AddresslCity lZip:
,
Applicant is: _ Owner LContrador
TYPE OF WORK Description ofwork:
Construction Cost: 4 I L161CiC? Multi-Family Building: (Yes No
CONTRACTOR NameU-Q,?,T??,VAW( License#: 91U:??.gcJ`.1
Address: ?22k'?, Clb ? n CIL'\ 1?1 ?y?,k(./
State:uJ Zip: 3?01H
City: R? YM.i nct-1m
t P
C
t
LYNl 1 t
' ?
_.
on
ac
erson: i
Phone:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
Energy COde . Residential Ventilation Calegory 1 Worksheet • New Energy Code Worksheet
CategOry Submitted Suhmitted
(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 8 Water Contractor. Phone:
NOTE:: Plans and supporting;documents3fhat you submif,areAconsidered to 6e publrc informatfon: Portions of
'
the City to
pemiit
reasons that woul'd
ific
le`s
e
blic
f
uf
r
yi
ed
no
!'
s
f
or
a
.
,
,
p
c
,i
yo
p
o
?
as
n pu
y be c
a
sr
?
mation m
the inf
? ? .. co'nclual??fhaYtNe"?o?re`tratfe§ecrets .'..?, .'? I here6y acknowledge that lhis information is complete and accurate; that the work wi116e In conformance with the ordinences and codes of ihe ciry of
Eagan; that I understand this Is not a permil, hut only an applicalion for a permil, and work Is not to start without a permi[; that the work will be in
accordance with the approved plan in lhe case of work which requires a review and approval of plans.
Xky\awMWAn n
Applican s Prlnted Name Applican 's Signa ure Page 1 of 3
13
crrr c;F FAcr-,N
CASI-I:I:f R; J5 1"E:RM.T.Nfal... N0t 687
DPifF_a 08I26/97 "fIMF: 11e5E3:5E3
ITi e
NFlMIce SUNDftNt:E C(>NI5'i'hLIC'(SOr.
32:I.O "f]Ui 46:1.4 :IJi:'. i'I::idICWE L-f:I.GC?
3430 3001 404 1/2 F'i:NKWE 0.75
3430 9001 W4 1/2 F'f.-.:NFCi<IF_ 0,.50
320 9001 463R F;E:Pll;ialf:" kIAY 60.00
:3430 9301 463E I°'ENh.Wlii: k11Y 0.75
205 9001 4634 f'i:.NMNE Mi1Y u.5U
,
?
To4a1 i'tereipl; amour,+,; ii_?.SO
ch i+_55.r,5
USL"-:ii T S)s .?AN
>'d"n:* YF"d%%Y%0,c;C;Y>Y?;t;y;:c;?>?, :::i,:. °+k? ?;;?Y7:c$r;<>:t;r.iak ::%;?YoZ;;t,?
, 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
cirY oF encaN °
3830 PILOT KNOB RD - 55122
651-681-4675 ?y
New Conshuctlon ReaulremeMs Remodel/Reoatr Reaulremens'
Y 3 regkFered sXe suneys showing sq. tt. ot lot, sq. H. of house
and aR roofed areas (20% maximum lot coveraae allowed)
D 2 copien W plans (fhow beam a window shes; poured ind. desipn; etc.)
? 7 sef of energy calculafions
D S copies of hee preaervaHon plan H l01 plaHed a(1er 7/1 /93
DATE: y Zfo -9 `
2 copies of plan
1 sM d energy calculaNons for heated addiHona
1 sBe suney fa exterbr addRiom a tlec W
CONSTRUCTION COST:
1 .5 G)U.UCJ
DESCRIPTION OF WORK: 3-ecx e-K'te"5 i
STREETADDRESS: L4 C--? ILI V2 16 oad.e& 4L1 -yx f v
? ?..i
LOT: ? BLOCK: 4 SUBD./P.I.D. #: L d?M
.I_2n4n1._ nan- nA
Name: -Ru "?
PROPERTY Lao
OWNER i ! / ? JrI
SheetAddress: '???
Q
Phone 11:
city Ecuga- s?a?e:
Zip:
Company: JvV.??V-C?2 CO"?' Phone#: Lo( Z- S37 75-enc4
(area code)
CONTRACTOR ' 'z Z L{ Z?' d' ?v p(? License ? sb ?6
ExP• 3-d ?
Sheet Address:
cry C?ry-:-Ao?- ? state: wi N zip: 5-5-44 Z?
ARCHITECT/
ENGINEER Company: Name:
Telephone #: area code ( )
SheeR Address: Regishalion #:
Cryy State:
Sewer 3 water Ilcensed plumber (reauhed for new conshuctlon onlvl:
PenaNy applies when address ehange and lot ehange Is requeried once perrtdt Is issued.
Zip:
I he?eby acknowledge thaf I have read this applicalion, slaFe thaf the InformaHon Is correct, and agree to comply wHh all appllcabl
StaTe of Minnesofa Statutes and Ctfy of Eagan Ordinances.
Signature of Applieant ,
OFFICE USE ONLY
FUsf
Certificates of Survey Received _ Yes _ No
Tree PreservaUon Plan Received _ Yes _ No _ Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
.
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
O 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex `? 18 Deck ? 23 Porch (screened)
O 04 2-plex ? 09 7-plex ? 14 Apartments ?O 19 Lower Level ? 24 Storm Damage
0 OS 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line On ly 0 43 Sidi ng/Soffits/Fascia
32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Win dows/Doors
? 33 Alteration ? 37 Demolish Bidg.' D 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
• Give PCA hando ut to applicant for demolition permit
GENERAL INFORMATION
Const. (Actuaq Basement sq. ft. Census Code u?N
(Allowable) Main level sq. ft. 5AC Code ?
UBC Occupancy sq. ft. No. of Units
Zoning sq. ft. No. of Bldgs ?.
# of Stories sq. ft. MC/ES System .
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building L( Engi neering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MC/ES SAC >
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/VN Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total: vlz/iZhr
SAC Units
% SAC
RuC 23 88 01i56p C6R Reeouroe Group Ino 6128538922 p.l
v
JoxNrrY CaxiERIDCF.
ToWNxoME AssocYATION
Candominium & Association Resource Grouo, Inc.
7900 Iniemational Drive, Suice T 953
Hlaornington, MN 53425
6 E2/S53-9910
Augnst 19, 1999
Mr. BiJi Wof!'F
Sundanct Construotion, Inc.
G922 4211d Avenue Nottlt
Crysml, MN 55427
Re: Dcck Extenaions
llcar Mr. Wolff:
The Johnny Cake Ridse Townhome Associetion Board of Directon hu appmveci your
bid fur deck wctensions at Jnhnny Cttke Ridge Towiahome Assaiadon. The deck
r.ctcns;um, wtuuh are opt[onat for homeownus to puxchase. must mcet Ea;an City
Codes.
If you har•e any questions, please fecl frce to contae;t me ai 612.853.9910:
Si:n;arcl; ,
Pedcr T_ Flaten, Association Mauager
011 eclmlf uf ihe Johnny Gake RSdge Townhonie Hoazd of Direccors
; .
CFHTIFICA TE IJF SURVE jY
Fo/'? GOOD VALUE HOMES
C.R. WINDEN 6 ASSOCIATES, INC;
Land Planning, Surveys & Site Design
1381 Ecstis St., St. Paul, MN 55108
Tel. 645-3648
<71
1
1
I
1
?
'
1 C9So.4?
1 f, C95°•ol ..r
l p?pPoSe? C45?.5)
plo p5?
, `-
O l L? ?
w 44•0 4,5)
1..il 1
? x
\ Z
?
\
`
? (q5 1) ?..r
d li . (9SI.'7)
P
Lots 1 through 4, inclusive, Block 4, JOHNNY CAKE
RIDGE FOURTH ADDITION, Dakota County, Minnesota.
?.
, ._ , . ?:;:?
C?``fITIFICATE OF SUI7??'Y ?'
Fw'.' GOOL1 VALUE HOMES
? Q I
? ??'
1
I
?
?
1 ,
S
1
`
c?Z.??
( 95t. a)
,; .
Lots 1 through 4, inclusive, Block 4, JOHNNY CAKE
RIDGE FOURTH ADDITION, Dakota County, Minnesota.
Lf6EN0 H??ayvosed hbuse Elevetians Scale f' --?
XX%.X pehotes Exfatlnp Elavatlon B
M.
(X%X.X) Danotes PropoaeC Elevatlon ?op of Faundatlon - . €!
o ?anntea Iron Monument Garage Flaor 953?Q '-c - = 3?
p penotea Mootlen Stake BasemenY Floor
DBtUfI .G.?V.?fJ. /9L9 4 e?-?
_? ??
.?-- Da?OtOe Surface nra?nape ?
I HEREBY CERTIFY THAT THIS SURVEY, PLAN, OR REPORT WAS PFiEPAFEO BY ME OR UNDER MV
DIRECT SUPEFVISION AND THAT I AM A OULY REGIS?EREU LANO SURVEYOR'UNDER THE IAWS OF "'
THE 5TATE OF MTNNESOTA. .
D!t@d thie qt?` day of e?/ , 19 8G C.R. XIN EN 6 ASSOCIAT?,S, SHC. .
?+? • ?.'
Dy ???; ?G?='
@ook _ Page_ Minnesota RegibtratloA No. 7 7L L
C.R. WINDEN & ASSOCIATES, INC."?;
Land Planning, Surveys 6 Site Design ;'?
f38! E?stis 5t., St. Peul, MN 55108 i?a., ;'.
Tel. 645-3848 "i'":'.
RESIDENTIAL BUILDING
? 11 { ? Permit Application
? City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWCtion ReauiremenGs RemodeUReoair Reauirements Office Use Onlv
3 registered si[e survays showing sq. ft. of lot, sq. ft. W house; and all roofed areas 2 copies of plan CeA of Survey Recd
(20% mazimum bt mverage allowed) 1 sel otEnergy Calculafions for heated addNOns 7ree Pres Plan Recd
2 copies of plan showing beam & window sizes; poured found design, etc. 1 sile suney for addiUons & decks Tree Pres Not Reqd
i set of Energy Calculations Addifion -indicate ilon-site septic system _ On-site Septlc System
3 copies of Tree PreservaUon Ptan if lot platted aRer 711193
Rim Joist Detail Options selection sheet (bldgs with 3 or less units
Date 10 / 0? Construction Cost
SiteAddress R O L4 mf'1?tve_ ?A UniUSte #
Description of Work
Multi-Famity Bldg _ Y d N Fireplace(s) _ 0 ? 1 _ 2
P
O ?
L/ T
l
h
#
roperty
wner ? ep
one
( )
e
, FIRSIqF HEARiH & HOME
Contractor 7 8 5 Fl uNwy 13
Address BU:2i1SIIIIE MN 55337 City
State L I C M2 i? .19 0 91 1 Zip Telephone #( )
COMPLETE THIS AREA ONLV IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissionrype) Submitted Submitted
. EnergyEnvelopeCa? f?I f?s ub imitt@d
i?'(? ?"---- ;
U p?? ?
Licensed Plumber In? ? rT,11lephone #? )
u ,
Mechanical Contractor Telephone #? )
Sewer/Water Contractor
-Telephone #(
I hereby apply for a Residential Building Permit and aclrnowledge 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 pemut, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the c of work which requires a review and
approval of plans.
Applicant's Printed ame plicanYs Si ature
0017T
COMMERCIAL
2002 BUILDING PERMIT APPLICATION
CITY OF EAGAN
651-681-4675
Foundation Onl New Construction Interior Im rovement
. Structural Plans (2) sels • Architectural Plans (2) sets • Nchitectu2l Plans (2) sets
. Civil Plans (2) • Structural Plans (2) • Code Analysis (1) "
• Certifipte of Survey (1) • Civil Plans (2) • Projed Specs (1)
• Code Analysis (1) " • Landscaping Plans (2) • Key Plan (7)
. Project5pecs (1) • CodeAnalysis (1) " • MaslerExitPlan (1)
. Spec. Insp. & Testing Schedule " • Certifirate of Survey (1) • Energy Calculations (1) not always"
• Soils Repod (1) • Spec. Insp. & Testing Schedule (1) • Elec. Power & Lighting Form (1) not always"
• Meter size must be established • Meter size must be esteblished • Meter size must
• ProjectSpecs (1) D
1
•
ergyCalculations
En
(1) ?
1 • Electric Power & Lighting Form (1 ) 2002
1 • Master Exit Plan (1) 7
1 • FireProtectionPlan (1)
1 • SoilsRepart (1)
•
MGES SAC detertnination letter
•
MC/ES SAC determination letter letter
MClES SAC det ?
ca11651-602-1000 ca11651-602-1000 ca11651-602-100 " Contact Building inspections for sample
Food & beverage or lodging facilities - su6mit plan to MN Department of Health.
DATE: ? WORKTYPE: NEW REMODEL
. - - ?
SITE ADDRESS: 4k614-*
TENANT NAME. ?
FORMER TENANT NAME,
DESCRIPTION OF WORK
. La.?,J 7 l
Ca11 651-21 5-0700 for details.
CONSTRUCTION COST:
1)3-29-
S?
L Sc.O, y tK
PROPERTY
OWNER
?- -
?(11fLYl?l Cat kM?hlYtA%e,?jlL IL;Y03' Z .R-7
IaSt Fusc
StreetAddress: Oscxju
City: im lw State: - tu Zip: Af?
Company: I li1J 1 I % l,,Zl
CONTRACTOR
Street Address:
City: ?
ARCHITECT/
ENGINEER Company:
Name:
Sheet Address:
City:
Licensed plumber installing new sewer/water
Zip: foy-A V1
Phone #: (
Regisfration #: _
State: Zip:
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. : 1
Signature of Applicant: l/?,s?b ??._ ?
-?JF?nes Geisen, ?'re? Updated 1/02
Phone#: (b5L-) b"_Y) `74L
I
/67? 36)
1986 BDII.HING pERMLT 9PPLICATIOH - CITY OF EAGAN
NOTE: AI.I.
MITST BE LICENSED WITH T9E CITY OF EAGAN
SINGLE FAlILY DiiE[.LINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SIIRVEY, 1 SET OF ENERGY CALCULATIONS
MQLTIPLfi DW6LLIDiGS - RESIDENTIAL RENTAL [fNITS FOH SALE DNITS
INCLUDE 2 SETS OF PLANS, CERTIFIC9TE OF SDIiV6Y - CHECg SiITH BLDG. DfiPT.,
1 SET OF SNERGY CALCULATIONS
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For: ? Valuation:
Site Address _?1?12
Lot ? Block IV_
Pareel/Sub
Owner
Address d /t/
City/Zip Code 4/
Phone w/ ;T(?? -
Contractor
Address
City/Zip Code
Phone
Arch./Engr. _
Address
City/Zip Code
Phone #
Ereet
Aemodel
Repair
Addition
Move
Demolish
Int.Impr.
Install
nate: Q-
ONLY
Oceupancy
Zoning
Type of Const
U of Stories
Length
Depth
Sq F't
APPROVALS FEES
Assessments Permit
Water/Sewer Surcharge
Yolice Plan Review
Fire SAC
Engr Water Conn
Planner Water Meter
Council Road Unit
Bldg OfP Treatment P1
APC Parks
Variance Copies
TOT9L
AOTE: ADDRESSES FOR CORNER LOTS - CONTRAC?OR/HOMEOWNER MQST DESIGN9TE NHICH 9DDRESS
IS DESIRED. NO CH9NGES iTILL HE ALLOHED ONCE BQILDING PERMIi IS ISSOED.
,
1986 BOILDING PERMIT APPLICA?ION - CZTY OF EAG9N
NOTE: ALL CONTRACTORS MOST BE LICENSED i1ITH THE CITY OF EAGAN
SINGLE FAFIILY DHELLINGS
INCLODE 2 SETS OF PLANS, 3 CERTIFICATES OF SIIRVEY, 1 SET OF ENERGY CALCULATIONS
MOLTIPLE DAELLINGS - RESIDENTI9L RENTAL ONITS FOR SALE QNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SOR9SY - CHEC[ iiITH BLDG- DEPT.,
1 SET OF ENERGY CALCULATIONS
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATZONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For:
Site Address
42 v' Valuation:
Lot 0 Block 'I"_
Parcel/Sub
Owner
Address / zj?a 9 ? 4.e?o' L? ,7v
City/Zip Code 6,4?e?- ? -4
Phone ?79e'9
Contraetor
Address
City/Zip Code
Phone
Mch./Engr. _
Address
City/Zip Code
Phone a1
Date: 9- 9- 9?4
Erect _
Remodel _
Repair _
Addition _
Move _
Demolish _
Int.Impr. _
Install _
APPROVALS
Assessments
Water/Sewer
Police _
Fire
Engr
Planner
Council
Bldg Off _
APC
Variance
Oceupaney
Zoning
Type of Const
li of Stories
Length
Depth
Sq Ft
FEES
Permit
Sureharge
Plan Review
SAC
Water Conn
Water Meter
Road Unit
Treatment P1
Parks
Copies
TOT9L
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACYOR/HOMEOiiNER lSOST DESIGNATfi WHICH ADDRESS
IS DESIRED. NO CHANGES NILL BE 9LL06iED ONCE BDILDING PERMI2 IS ISSIIED.
.. . ? ? ?
?
1986 BOII.DING PERMIT APPLICATIOH - CITY OF EAGAN
NOTE: ALL CONTRACTORS MOST SE LICERSED WITH THE CITY OF EAGAN
SINGLE FM41LY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
MOLTIPLE DWELLINGS - RFSIDENTIAL
INCLUDE 2 SETS OF PLANS, CEA
1 SET OF ENERGY CALCULATIONS
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS9
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
06
To Be Used For: ?/,y?2 Valuation: i?? Date: 9 Q?r?
-
Site Address -'/GA!
Lot Bloek '?/_
Parcel/Sub
Owner (:?d o 2l?&az
Address ?L/?i? 9cJ?+iy L? ii/
City/Zip Code
Phone
Contraetor ??Lc?
Address
City/Zip Code
Phone
Arch./Engr. _
Address
City/Zip Code
Phone ll
RENfAL II6ITS FOR SALE ONITS
OF SORQEY - CHECg iiITH BLDG. DEPT.,
Erect Occupancy ?
Aemodel Zoning
Repair _ Type of Const 'g-
Addition # of Stories
Move I.ength ?
Demolish _ Depth ?
Int.Impr. Sq Ft
Install
APPROVALS FEES
Assessments Permit 0 7Y
Water/Sewer Surcharge z C/_
Police Plan Review 447
Fire
SAC _sZ
L?.__
Engr Water Conn
Planner Water Meter ()
Council Road Unit
Bldg Off Treatment P1 (i
APC Parks
Variance Copies
TOTAI,
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACYOR/HOHEOWNER HQST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE 9LLOWED ONCE BOILDING PERMI? IS ISSUED.
1986 BDILDIPG PERlSIT 9PPLICATIOH - CITY OF EAGAN
NOYE: ALL CONTRAC?ORS M(TST BE LICENSED iTITH THE CITY OF EAG9N
SINGLE FAPIILY DWELLINGS
INCLODE 2 SETS OF PLANS, 3 CERTIFICATES OE SURVEY, 1 SET OF ENERGY CALCULATIONS
MOLTIPLfi DWELLINGS - RfiSIDENTIAL REN'PAL QNITS FOE SALS ONITS
INCLUDE 2 SETS OF PLANS, CEEI
1 SET OF ENERGY CALCULATIONS
COMMEHCI9L
OF SOA4fiY - CHECB SiITH BLDG. DEPT.,
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SE'f OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For: , Valuation:
Site Address
Lot a? Block ?
Parcel/Sub
Owner
Address 1 /LCY 9?.4ffLk /C/
City/Zip Code
Phone an?2
Contractor :??
Address
City/Zip Code
Phone
Mch./Engr. _
Address
City/Zip Code
Phone #
Date: 9- 9-3h
Erect
Remodel
Repair
Addition
Move
Demolish
Int.Impr.
Install
APPROVALS
_ Oceupancy
_ Zoning
Type of Const
# of Stories
_ Length
Depth
_ Sq Ft
FEES
Assessments Permit
Water/Sewer Surcharge
Police Plan Review
Fire SAC
Engr Water Conn
Planner Water Meter
Council Road Unit
Bldg Off Treatment P1
APC Parks
Variance Copies
TOT9L
NOTE: ADDRESSES FOR CORNER LOTS - CONTRAC20R/HOMEOHNEH MOST DESIGNATE WHICH 9DDRESS
IS DESIRED. NO CHANGES WILL BE 9LLOflED ONCE BOILDING PERMIY IS ISSIIED.
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
!R)7.'G': PAI1KRNr OF FEE AT TIME OF
APPLICATION m? ? amsTnum
APPROVAL OF PERNIIT.
nvsrncizota oF sDM AND/at %AIER
aa-TAI?MorLS wII.r. Mr Be sCHED-
ULID UPTFIL PEFtMIT AAS BEIN
APPROVID.
P ease Print
1) PROPERTY ADDRESS:
LEGAL DESCRIPTION:
IF EXISTING STRCY-MIRE, DATE OF ORIGINAL BL'ILDING PERMIT ISSL'ANCE: - ~
_ Mon Year
PRFSIIIP ZONING/PROPOSID t'SE:
q corMacIAL/xErAxr,/oFFzcs
Q I6IDPSTRIAL
n INSTIZT]TIONAL/GOVMAENT
? R-1 SINGLE FAMILY
Q R-2 DL'PLEX (1two L?nits)
? R-3 20WPIIi0t-ISE (Three + Units)
Q R-4 APARZMENT/CODIDOMINIONl
( Units)
( Units)
2)
NAIVE:
ADDRESS:_P- o . gox
CITY, STATE, 2IP:s C_ z nld,' a M N- SSo7 3
PHONE: y_33 -si -21
• 3) • u r?• NAME. For City Use .
P1Lmibers License:
ADDRESS: Active
i Ecpired
' --1
i CITY. STATE, ZIP: t
_? ? Not recorded
PHONE: MASTII2 LICENSE# Staff Initr21
4) ??• • • i?•
NAME:_ ?- o o?L ( I J?-L u c lf-o n1 ,e `•
_ AwDREss:
CITY. STATE, ZZP:_C3 L/¢ihi -e MN - S/3 Si- Si3?i(_
PHONE: 7 & p o- S-15-/U '
?5)
CONDIFX..TION T0 CITY SEWII2
1U CITY WATER 0 OTfm ' .
6) PLEASE IIOLD APPROVFD PERMIT FC)R P/ICK-LTP BY ONE OF ABOVE
? PLEASE MAIL APPROVID pERMIT 7U 1,(?C.( 3, 4, ABOVE
? /f p (Circle one)
7)
F'OR CITY USE ONL--Y P _
PERMIT # ISSOED
Pd w/Bldg. Permit FEES:
$ $ /e?- S? SEWER PERMIT (INCLL'DE SURCHARGE)
$ $
WATER PERMIT (INCLUDE SIIRCHARGE) ..
$ ? ?--? $ WATER METER/COPPERHORN/OC'TSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOIINT DEPOSIT - SEWER
$ $ ACCOC'NT DEPOSIT - WATER
$ 0-t7 $ WAC
$ fT ]E- O-7I $ SAC
$ $ TRL'NK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ ` LATERAL BENEFIT/TRL'NK SEWER
$ $ LATERAL BENEFIT/TRONK WATER
$_ ?S Io rC7 D $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ ( 2-Y 61 sb $ TOTAL
RECEIPT RECEIPT
DOES UTILITY CONNEC TION REQLIRE EXCAVATZON IN PUBLIC RIGHT OF WAY?
Q YES IF YES, THEN A" PERMIT FOR WORK L9ITHIN PUBLIC
Q
NO ROADWAY" MOST BE
DIVISION
IS ISSUED BY THE ENGINEERING
. L
T AS A CONDITION.
SUBJECT TO THE FOLLOWING CbNDITIONS:
APPROVED BY;
TITLE:
DATE:
. ..
CITY OF EAGAiV
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
NOTS': PAYMF'nTf OF FF.E AT TIME OF
APPLICATION DOFS N(Yf COPSTZISTIE
APPROVAL OF PFa2bIIT.
INSPDLTION OF SESOM ANID/OR •FIAgZt
Tnivl`ATTATTONS W1Id, NO'P BE S(?HED--
UI,ID i]NrIL PERMIT HAS BFETI
APPROVID.
P ease Print
1) PROPERTY ADDRESS:
LEGAL DESCRIPTION:
IF EXISTIN6 SIRL'CiLRtE, DATE OF ORIGINAL BLILDING PERMIT ISSL'ANCE: '
_ Mon Yearl
PRFSENf 7ANING/PROPOSID L'SE:
? COMM[ERCIAL/RETAII,/OFFICE
Q IAID[.'STRIAL
n INSTI'IL'TIONAL/GOVII2NMENT
? R-1 SINGLE FAMILY
? R-2 DLPLEX (Tt.o C?nits)
? R-3 'IOWNFiOC?SE (Three + Units) ( L?nits)
x-4 aPARzrEnrr/cormorurR[.m units)
z) ? - .
rAME: v 41 i` c k e.L ? o nr P+-Ff
ADDREss: P• o. a o x? a K --
czz^r, srAZE, zrP:G C a_ Nd,' 2 ih ni SSo
PHONE: y33-5/ 7/
• 3) • i. ? __ NAM.
ADDRESS: C
i CITY, STATE, ZIP : = .?
PHONE: MASTII2 LICINSE#
Pliunbers LiCense:
flActive
FScpired
Not recorded
Staff Intlal
4)
taaM:_ r7- o0 l (1 F}? ? e- /fo 1,,• `•
ADDxESS: /=/lo0 9? ? d g A/ ,,-=
CITY, STATE, Z1P:7EL,4/ y,e hn_ n/- SS?3 S?-?3 9?
PHONE: 7 $ U
-5) n r• ? r • ?• : a • a? - ?? - --
CONNEGTION 10 CITY SEWFI2 ? CONMCi'ION M CITY WATER OTHER '
6) '? •' •?' ? PLEASE HOLD APPROVID PEEtNIIT FC)R PICK-OP BY ONE OF ABOVE -.` --- -- -
PLEASE MAIL APPROVID PEitMIT TO 1a2 3. 4. ABOVE . :
T" (Circle one)
7) r?• u•• ?,. . ?1 ?._ ?_ ? :,r_f r?
_i? _c.
_ . ,: .
FOR CITY USE ONL1F PERMIT # ISSL'ED
Pd w/Bldg. Permit FEES:
$
?b- S5
$
SEWER PERMIT (INCLODE SL'RCHARGE)
$ $ WATER PERMIT (INCLUDE SC'RCHARGE) ..
$ ? 3 -S? $ WATER METER/COPPERHORN/OC'TSIDE READER
$ $ WATER TAP (INCLL'DE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOUNT DEPOSIT - SEWER
$ $ ACCOONT DEPOSIT - WATER
$ ,SCS d ?'Z? $ WAC
$ S 7 S, ?-a $ sAc
$ $ TRUNK WATER ASSESSMENT
$ $ TRL'NK SEWER ASSESSMENT
$ S ` LATERAL BENEFIT/TRL'NK SEWER
$ $ LATERAL BENEFIT/TRONK WATER
$_ ?S? `a 7J $ WATER TREATMENT PLANT SORCHARGE
$ $ OTHER:
G -7) TOTAL
RECEIPT RECEIPT
DOES LTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
a YES IF YES, THEN A"PERMIT FOR WORK WITHIN PDBLIC
Q
NO -ROADWAY" MUST BE ISSLED BY THE ENGINEERING
DIVISION
LIS
.
T AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY: iCll_,[?'.) .t'vl?_ 1J
TITLE:
DATE:
. L'sTY OF EAGAiV
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTiON
!aOTw,: PAYMFTTC OF kEE AT TIIM OF
aPPLscATIoiv noFS MT oorSriTum
APPROVAL OF PERNIIT.
P ease Print
1) PROPERTY ADDRESS:
LEGAL DESCRIPTZON:
If' EXISTING STACCiL'RE. DATE OF ORIGINAL EI!ILDING PERMIT ISSL'ANCE: -
. IAbn Year
PRFSENr ZONING/PROPOSID L'SE:
? CO?RMEE2CSAI,/RETAIL/OFFICE ? R-1 SZNGLE FAMILY
Q irroesxRiAr. Q R-2 DCPLEX (Two onits)
? INSTI'IVTIONAL/GOVERZ2W ? R-3 TOWNiOC?5E (Three + Units) ( Lfiits)
? R-4 APARTNENf/CONDOMINIDNl ( Units)
2) "' M??/ p •
NAP'lE: Nkk P_ L.S o r?! S?-? •
ADDRESS: ?• O . (.3 0 )!
CITY. STATE. 2IP: S C c? n/A ?' 2 ?bl JU S-S U7 ?
PHONE:??/ 3 3 -S/ --
3) u i: ?•
NAME:
ADDRFSS:
CITY. 'STATE. ZIP -?7 ? .
PHONE: MASTER LICETISE#
ActiVe
Ekpired
Not recorded
Sta?£ Ini7i3l
q) •.« • • i?•
tvAME:_ (?r004 (114411-e lfo 1.11 r ADDRESS :?y6 e) 93 r d G a/v -e N r
CITY, STATE, ziP: a LA"iv e!sa n/ -SS S? ?/ ?/3 9G
PHONE:_ 7 8 U- SS/ U'.
'S) ? n v' ? a• •?• :? ' a? a?
? CONNECrION 10 CITY SES4II2 C/CONN?]C,TION 1V CZTY WATER a 0'I'IIER ' .
?C,
6) '? • ??' C] PIZASE HOLD APPROVID PERMIT F'OR PICK-C?P BY ONE OF ABOVE
[,? PLF.F?SE MAIL APPROVID PERMIT TO 1? 3, 4, ABOVE
„ (Circle one)
INSPDCl'ION OF SESdIt ADID/C2 F7A'1FR
IPZS'n%LLaTTONS WIIS, IQYP BE SCiIIED-
ULED ONPIL PERbffT HAS BEIN
APPROVID.
7) r n •-
FOR CITY USE ONLY '
PERMIT # ISSOED
Pd w/Bldg. Permit FEES:
$ $ SEWER PERMIT (INCLUDE SURCHARGE)
$ $ WATER PERMIT (INCLLDE SL'RCHARGE) ..
5-6 $ WATER METER/COPPERHORN/OCTSIDE READER
$ $ WATER TAP (INCLC'DE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOUNT DEPOSIT - SEWER
$ $ /,S• ?Z? ACCOL'NT DEPOSIT - WATER
$ SO O • O? $ WAC
$ JrT S- °-Z? $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRONK WATER
$ WATER TREATMENT PLANT SORCHARGE
$ S OTHER:
$ (2-y TOTAL
G?G 33 /?CS'?/
RECEIPT RECEIPT
DOE S UTILITY CONNECTION REQUIRE EXCAVATION IN PC'BLIC RIGHT OF WAY?
a YES IF YES, THEN A"PERMIT FOR WORK SVITHIN PUBLIC
Q
NO ROADWAY" MUST BE ISSUED BY THE ENGINEERING
DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE : ??14 /YI?e
' CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
^R7iw.: PAYMF?TT OF FEE AT TIME OF
ArpLxcmzoN noFS rOr aOrsriTUTE
APPROVAL OF PFdtMLT.
INSPF]CTION OF SESdER A@ID/O2,WAM
nSrpr.ramrpNS WILI, NOT BE 9(g0>-
UL,ID ONTrIL PII2MIT HAS BE&IQ
APPROVID.
':.:xxxx,.xx,.x,.,.xx,.,.,.xxwwxxwxww,.xx,.ww
P ease Print
1) PROPERTY ADDRESS;
LEGAL DESCRIPTION:
IF EXISTING STRCCMRE. Dp,TE OF ORIGINAL BPII,DIIVG PERMIT ZSSC'ANCE:
FRFSENr ZONING/PROPOSED t!SE: {Mpnth/Yearj
? CA?qNERCIAL/f2E,TAII,/OFFICE ? R-1 SINGLE FAMILY
? INIDPSTRIPS, Q R-2 DDPLEY (T?vo L?nits)
f-I ZNSTITUTIONAL/GOVEEtNMENi' ? R-3 7DWNHODSE (Three + Units) ( Onits)
. ? R-4' APARTltiffNf/CpNIDpMINILT7 ( Units )
Z) ?
NF1ME:AIi 'G kp L S On( A-/f
ADDRESS: ?• o Q c) X/:? Y •
CITY, STATE. ZIP: 2/h N- S 5 07-7
PxorE:_ ?33-517/
3) i ?: ?• NAME. For City Use .
Plumbers License:
HDDRESS: Active
CITY, STATE, ZZP: Exp ed
? Not recorded
PHONE: MASTER LIC'IINSE# St??ltlal
4) •??y•:.? ?,.?,iT??
tvAME:_ 6-?o c?. (//?L u r? N-2 w-
_ ADDRESS:_ / S/(o 6 9 3 l-( L..W-/7/ c f1!?
ciTY, srATE, zip:1j LAIrV r/*L N- SSV Si- S?3 94=
PHONE:' pr v^ S S'/!J '
5) I v ll r • ?• : a ?M
? CONNE(,TION 2+0 CITY SEWER CONNflCr20N M CITY WATER ? OTIIER '
6) u . ?
PI.F.ASE HOLD APPROVFD PEE2NIIT F'OR PICK-OP SY ONE OF ABOVE
PLEASE MAIL AppROVID pERMIT TO
3, 4, ABOtIE
e one)
.FOR CITY USE ONLY `.
PERMIT # ISSDED
7?? 7
Pd w/Bldg. Permit FEES:
$ $ SEWER PERMIT (INCLC'DE SURCHARGE)
$ $ SZ1 WATER PERMIT (INCLODE SURCHARGE) ..
$ $ WATER METER/COPPERHORN/OC'TSIDE READER
$ $ WATER TAP (INCLL'DE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOUNT DEPOSIT - SEWER
$ $ ?•S U U ACCOCNT DEPOSIT - WATER
S_ O. a-D $ wAC
$ $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ ' LATERAL BENEFIT/TRCNK SEWER
$ $ LATERAL BENEFIT/TRC'NK WATER
$ $ WATER TREATMENT PLANT SORCHARGE
$ $ OTHER:
TOTAL
RECEIPT RECEIPT
DOES LTILITY CONNECTION REQUIRE EXCAVA TION IN PC'BLIC RIGHT OF WAY?
Q YES IF YES, THEN A"PE RMIT FOR WORK i4ITHIN PLBLIC
Q
NO ROADWAY" MUST BE I
DIVISION
LIST AS SSUED BY THE ENGINEERING
. A CONDITION.
SUBJECT TO THE FOLLOWING CbNDITIONS:
APPROVED BY:
TITLE:
DATE: ???ph5?
2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Iinob Road, Eagan MN 55122
Telephone # 651-675-5675
?l
Please complete £or: single famity dwellings & townhomes/condos when permits are required for each unit
Date ? /
Site Address nit #
Property Owner Telephone # ( J?S
Contractor ,,,,,,,,,. W 'nWVNGCO.
41
E se
?
Street Address ,
?
r
ip.?
? City
812"824-2856
State
Zip Telephone # ( )
Bond #: Eapires:
The Appticant is _ Owner !\ Contractor _ Other
Add-on or alteration to eaisting dwelling unit $ 30.00
' \ furnace _Additional AReplacement
air exchanger
airconditioner _New _Replacement
other
State 5urcharge $ .50
Total $ 30 -S
APR 2 2 2004
I hereby apply for a Residential Mechanical Permit and aclrnowledge that the inforn
be in conformance witL the ordulances and codes of the City of Eagan and with the
pemut, but only an application for a pernvt, and work is not to start without a pe
Applicant's Pnnted Name K complete and arc»*a*P• that tbe work will
approv plan in the ca?s?e o? wo c quues a review? d approval oZAcar
?(-F L?i' mA J?l
aO es, tl?at I un erstand this is not a
that the woxk ordance with the
7?1(e3 / 2006 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsUuclion Reauirements
3 registered site surveys showing sq. fl, of 101, sq. fl. of house; and all roofed areas
(20°h mauimum lot coverage allowed)
2 copies of plan showing beam & window sizes; poured found design, etc.
i set of Energy Calculations
Minnegasco mechanicai ventilation form . RemodellReoair Reauiremenis
3 copies of Tree Preservation Plan if lol platted afler 71153
Rim Joist Detail Oplions selection sheet (buildings with 3 or less units)
2 copies of plan showing footings, 6eams, joists
i set of Energy Calculations for heated additions
1 site survey for additions & decks
Addition - indicate ilon-site sepfic system
OfCree Use DtIIU
Gertv?SuryeY:Recd .'.Y _N.
Treef?resPl2tiR?t? ._:Y ?N-
TreePresfteqilued ._?
Dr?siieSeptic-5ystem „aY ?N-
?ate 3 / )0 / b l, Construction Cost
Site Address
?F ia 14- Pe n LV?r Vv Cc?j
unit/ste #
Description of Work I t Vhb&? TZ G1n- k G k- iv?/? ?d/X v- VGA--
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 2
Pmperty Owner ?Aa 1M . S b H gvvt Vt4?? Telephone #( (g+ ) q bS - 3(o 4,1
Contractor 1 '1,K1'll'flf ? pY\
- R ?
Address ld' 4
UD N- I, V?,,SVA1??? ?V-V? City
Ie I,VI,
State Zip ?C _40lp Telephone#(o?-Z) 44? "1?SIl
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 76']0 Cate¢orv 1 _ ?nesota Rules 7672
Ene?gy Code Category , Residential Ventilatlon Category 7 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
. Energy Envelope Calculations Submitted
In the last 12 months, has the Ciiy 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.
Applicant's Printed Name
, p CCCUML
Applicant's Sig t i MAR 0 Z0?6
DO NOT WRITE BELOW THIS LINE •
Sub Tvqes
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 41 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex M 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
,
? 7rt LAzq ex r7 eck-
Work Tvpes
? 31 New ? 35 Int Impravement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement - 'Demolition (Entire Bldg) -Give PC A handout to applicant
DeSCriqtion: waterDamage_ Yes
Valuation ?i D°fl - 8a Occupancy P4 3 MCES System
Plan Review 100% or 25%
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft: PRV
# of Bldgs Length ? Fire Sprinklered
Type of Const VS Width ZZ ?
_ Footings (new bldg)
Zf- Footings (deck)
_ FooGngs(addition)
Foundation
Drain Tile
Roof Ice & Water Final
_ Frazning
_ Fireplace _ R.I. _ AirTest _ Final
_ Insulation A/ j „
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
5&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
REQUIRED INSPECTIONS
SheeVOCk
? FinaUC.O.
_ FinaUNo C.O.
HVAC
Other
_ Pool Ftgs Air/Gas Tests Final
_ Siding _ Stucco Lath _ Stone Lath _Brick
_ Windows
_ Retaining Wall
Inspector
CrATIFICA TE OF SUAVEY
Fvr: GOOD VALUE HOMES
S
?
1
?
?
l
,
- ?,
C.R. WINDEN 6 ASSOCIATES, INC'.
Land Planning, Surveys & Site Design
1381 Eustis St., St. Paul, MN 55108
Tel. 645-3648 ?
?
r
. ' .t..L'. .
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RIDGE FOURTA ADDITION, Dakota County, Minnesota.
CtRTIFICA TE OF SUHVE`Y
Fw'? GOOD VALUE AOMES
L :. .,
C.R. WINOEN 6 ASSOCIATES, INC'.
Land Planning, 5urveys 6 5ite Design
1381 Ecstis St., St. Paul, MN 55108 ?.;.,
7e1. 645-3848
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RIDGE FOURTH ADDITION, Dakota County, Minnesota.
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA146754
Date Issued:11/13/2017
Permit Category:ePermit
Site Address: 4612 Penkwe Way
Lot:4 Block: 04 Addition: Johnny Cake Ridge 4th
PID:10-39803-04-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Joel J Erickson
4612 Penkwe Way
Eagan MN 55122
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature