4613 Penkwe Way. CASH RECEIPT •
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
aecerveo
FRIXr1
AMOUNT $ I
& DOLLARS
?aa
E] CASH ? CHECK
FOR / // _
/ L1 1 ro"?F
FYNO I COOE ' /1MOUNT
?
I1
Thank You ?
? o-BV
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE
19
rteccIvco
FRQM
AMpUNT $ I
& DOLLAR$
+oo
[] CASH ? CHECK
FOR 7y ?_
FUND COOE AMOUNT
a
?.
Thank You --? --
?
L//L, BY
White-Payers Copy
Yeilow-Posting CoPY
Pink-File Copy
CITY OF EAGAN Remarks
Addit:?3n JCHIIINY CAKE RIDGE 3rd ADDI
,, _
Street
10 Percel#10 39802 010 10
stace Eagan lrIIN 55122
lmprovement Date Amount Annual Years Payment Receipt date
STREET SURF, $ 1981 Paid und r OY']. inal arce
STREET RESTOR.
GRADING
SAN 5EW TRUNK 1975 p81 UIl T original arce
16EWER LATERAL 3 19
o?.? . 4
WATERMAIN
MATER LATERAI 1981
WATER AREA ZZ 980 31 11I1 r origina arce
STORM SEW TRK S-?Q 1981 300.31 ?
'ASTORM SEW LAT 1981
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Unit 185.00
WATER CONN. 335.00 11 11
9UILDING PER. 6935
snc 525.00
PARK
CITY OF EAGAN Remarks-
Additan JOHDINY CAKE RIDGE 3rd ADDITION
, . _ I • _ AGY 2
Owner
10 Pefcei#10 39802 020 IO
- _ agan
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 1981 Paid Wld T OT1 inal arce
STREET RESTOR.
GRADING
SAN SEW TRUNK 197$ Paid und r OTl inal arce
EWERLATERAL 5 1981 2277.43 455.49 5
WATERMAIN
'WATER LATERAL 1981
WATER AREA 42-7- 1980 Paid und r OTl. inal arce
STORM SEW TRK 530 1981 300.31 60.06 5
'"STORM SEW LAT 1981
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Unit 185-00 27114
WATER CONN.
335.00
BUILDING PER. 6936
SAC
525.00
PARK
CITY OF EAGAN fiemarks
Addition JOHNNY CAKE RIDGE 3Z'd ADDITIQN Lot
Ouvner i).?? Coy Street 4615 Penkwe
lk 10 Parcel #10 39802 040 10
Eagan mm 55122
Improvement Date Amaunt Annual Years Payment Recaipt Date
STREETSURF. 1981 Paid und r 02'1. inal arce
STREET RESTOR.
GRADING
SAN SEW TRUNK 1975 P3.ld wld r original arce
* SEWER LATERAL
WA7ERMAIN
* WATER LATERAL
WATER AREA 412,2- 1980 Paid Ulld T OTl 1fl,81 arce
STOfiM SEW TRK
* STOpM SEW LAT lQgl
CURB & GUTTER
SIDEWaLK
STREET LIGHT
Road Unit 185.00 27334 10-19W81
WATER CONfV. 335.00 "
8UILDIh1G PER. 69'?j8
SAC ti n
PARK
Receipt PLUMBWG PERMIT Permit No. ?
. CiTY OF EAGAN
Fee _
Fill in numbered spaces S/C
Type or Prinr /eqib/y Tot. A_
1. Date 2. Installation Cost
' , •' ' ; , ????_ ?
3. Job Address iot ? _$Ik. Tract
4. Owner K / N !I t U1 Il .i/-X) j 1--
5. Contractor?Jr(=21Zr'/_ _?? ?JIV1L?- ? Phone -?5_9_15
; 6. Address -"C (A ? '? 't ; J; 1? ?i ? •??? ? ?.' L..-
7. CitY State Zip
8. Building Type: Residential ? Commercial ? Institutional O
i
9. Work Description: New ??• Add ? Alter ? Repair ?
10. Describe
11.
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
Shower Well
_L Kitchen Sink
? Urinal/Bidet
Laundry Tray Other ,
? Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above intormation is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : ' for
Rough Finel
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt: - PWMBING PERMIT Permit No. '-
CITY OF EAGAN Fee °} '• ',
?-_
Fill in numbered spaces S/C ?
Type or Print legib/y Tot. ?J
1. Date 2. Installation Cost
? i/ < r ?, . , _
3. Job Address !l?'/J ?.;:? " Lot ?4 ?? Blk. / 1(Tract
_ 4.
5.
6.
7.
8.
9. Work Description: New & Add O Alter O Repair ?
10. Describe
11.
No.
? Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
? Bath tubs Septic Tank
? Lavatory Softner
Shovuer Well
Kitchen Sink
? Urinal/Bidet
Laundry Tray Other
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Ouilets
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 num6ered and approved.
Approved CITY OF EAGAN 464-8100
Address
City State Zip
r -
Building Type: Residential ',IQ Commercial ? Institutional ?
Receipt MECHANICAL PERMIT
%
CITY OF EAGAN
Fill in numbered spaces
Type or Prinr /egib/y
Permit No.
Fee '0•; ?i
S/C
Tot. ? -
1. Date 1-7?01--83 2. Installation Cost 11,Ax•Ct-
3. Job Address 4` Xot ? Blk. Tract -?
4. Owner - '1: - ., .. .. ?:. .. . _ . ?
5. Contractor - Phone `", -'>'6£b'7
6. Address ' ?-637 Chj.C?t,;c ue. ,?,.
7. CitY ?:1r:ettf.}oi.is State ??• Zip 7?'?rC'1
8. Building Type: Residential 0
9. Work Description: New 12
10. Oescribe ' Fuel Type
Commercial ? Institutional O
Add ? Alter ? Repair ?
11.
No.
1 Equioment BTU - M. Ea.
Forced Air ` G,WG No. EQUiament CFM
Ai
dli
H
Mfg. an
r
ng:
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 1 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
• CITY OF EAGAN ?
' 3795 Mlot Kaob Rood Eeyes, MN 55122
.,. • .
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be wod for Esr_ Value Dofe t 9
Site Addrcss
l.or Block
Parul #
m Nome
W
? llddross
Ci '
? Nome
0
V? /?1ddflfS
Cif
?W 'W Nome
FW
i? /lddreu
. , Eroct Q Occuponcy `--.5
r,
*
ec/Sub. Alter p Zoninp
' Repolr p Fire Zone "
E T
nlarpa p ype of Const.
MOV! ? # StO(16$
Demolish ? Length ,
_ p}o7e -? Grode ? Depth Sq. Ft.
Apoeora Is ;
Foes
1 hereby ocknowledfla that I have reod this application ond store that
the inlormotion is correct and ogree to comply with oll opplicuble
State of Minnesoto Statutes ond City of Eopen Ordinonces.
AS5255fT1Cnt _
Wote? 3 Sew.
Police
Fire
Enp.
Plonner
Council
Bidg. Off, _
APC
Permit '
Surchorpe
Pion check
SAC
Woter Conn.
Water Meter
Road Unit ? n;-
Tocnl
Siynoturc of Permittea ?
A Building Cermit is issued to: on the express condition Ihat
ell work sholl be done in accordonte with oll opplicable Stote of Minnesota Statutes ond City oF EoQan Ordinontes.
Buildinp Offitiol
Pwmit No. Permit Ho1cMr Misc. Permit No. Holder
Plumbing 10 w-q WU-)Ln-ZA Z-W
H.V.a.c.
rwu
.a.
w
Disp.
S?war
EMctrie WO(o 3421 EC< Z ' 1'7-?
trnpaction Dar Insp. Uther
Footings --
Foundatbn
Fnminq
Rou9h Plbp. -IG 8 ?fJ -`Jr- g.3 D?L rd?
Rough HVA ?
Insulatlon
Firul PIb4 ?
Final HVAC
Final
wour Wscribe Loestion:
YYell
Sewtr
Pr. Dhp.
Receipt= '? f MECHANICAL PERM17 Permit No. -? CITY OF EAGAN
, Fee
fill in numbered spaces S/C .?CJ
Type or Print legib/y
Tot.
1. Date 2. Installation Cost 3. Job Address 1(7151 ? Blk. Tract
_ enit?ra '"` ?.ot
4. Owner
;.? J--(?67
5. Contractor ' Phone '
6. Address
7. City State 2ip ?_',407
8. Building Type: Residential L7 Commercial O Institutional ?
9. Work Description: New 0 Add ? Alter ? Repair ?
10. DescribeInst 11 forced : ir hnr,tint Fuel Type :'rat Jao
11.
No.
? Equioment BTU • M. Ea.
Forced Air No. Equipment CFM
dli
Ai
H
Mfg. r
an
ng:
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Qther
Air Cond:
Mfg.
? Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and 1 agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough Flnal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CITY OF EAGAN
3795 Pilot Knob RwA Ea9sn, MN 55112
` PHONE: 154-8100
BUILDING PERMIT Rewtpr #
Te 6e umd isr Fet Vn6m f).,re
Site /lddress °
Lot 81ock Sac/Sub.
Parcel
a Name _ • ,`
W
; Address
?? ?:... a....._ ?l,: _73=;3
0: Nome _
o
Addreas
rit.
Nome _
Address
I hereby ocknowledge that I have reod this opplicotion and stote that
the informotion is correct and ogree to tomply with oll npplicobla
Store of Minnesota Stotutes and City of Eagon Ordinonces.
E?ett E] Occuponq
,
Alter p Zonlny
Repoi? 0 Fire Zone
Enlorpe ? Type of Const.
Move p ?t Stories
Demoliah ? Length
Grode ? Depth Sta. Ft.
Approvob Fees
Assessmenf
1Nater & 5ew.
Pol Ice
Firo
En0•
Planner
Counci I
Bidg. Off.
APC
Permir
5urchorfle
Plon check
5/1C
Woter Conn.
Woter Meter
Road Unit
Total ? 1 ? . ?
Sipnature of Permittea I
A Building Permif is issued to: ? on the express cwndiHon that
oll work shall be done in acoordance wlth all opplioobla Stote of Minnaota Statutes and City of EcQon Ordinances.
Buildinq Officiol
Permit No. Permit Holder Misc. Permit No. Holder
Plumbing (p 75 C.' tA??,?
H.V.A.C. tZ )-V43
Wall
Wster
Disp.
Sawsr
ehict.ic r,9o?o3?'3? l? ?!f-c? -?7-8?3
Inspaction Data Insp. Other
Footinys
Foundetion
Freminp
Rouph Plbq. ? - ?
Rouph HVA
Inwlation
Final Plbp.
Final HVAC
?
Final
Waur Ostcribe Location:
VYell •
Somr ?
Pr. D'ap. ?
CITY OF EAGAN Remarks
Addition JOHNNY CAKE RIDGE 3x'd ADDITION ?ot 3 aIk 10 Pefcei #10 39802 030 10
Owner (-0 ?? Screet 46151g Penkwe Way gtaLeEagan MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 1981 Paid und T OTi inal 3TC@
STREET RESTOR.
GRADING
SAN SEW TRUNK 1975 Paid und r original arce
,t SEWER LA7ERAL
WATERMAIN
* WATER LATERAL IORI
WATER AREA 2,Z 1980 Paid und r original arce
STORM SEW TRK 30
* STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
oa nit 185.00 27334 10-19-81
WATER CONN. 335.00 if
BUILDING PER. 6937
sac 525.00
PARK
Receipt L L5 ??- PLUMBING PERMIT /?,
Permit No. ?`?"
CITY OF EAGAN ?
Fee .';
R
FiII in numbered spaces --
S/C
Type or Print legib/y ;
1.
3.
4.
5.
6. Address
7. CitY 1'- State i? i?_• 2ip
8. Building Type: Residential ? Commercial ? Institutional ?
9. Work Description: New A Add ? Alter ? Repair ?
10. Describe
11
Tot
Date 2. Installation Cost •
?
/ yf ?? ? ,c;; ? • ?. _?, c. : .
Job AddressZ_? Lot I-) Blk. :/.7ract ?
No.
! Fixtures
Water Closet N o. Fixtures
Cesspool/Drainfield
Bath tubs 5eptic Tank
4- 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
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 QF EAGAN 454-8100
Ci71f OF EIIGAN
• 3795 PIlof 3(no? Itaod Eagan, MN 5512=
PNONE: 4S4-8100
BUILDING PERMIT
Te 6e wed fm W. Value
Site /Wdreu g
Lot Block Set/Sub.
Porcel #
oe Name ' , ,•: °
W
z? .. ,?:. ?9r.oa.c?
Address
r:?. • e?.___ 'J?i/+?'7?i_??
A Name -
?? Address
F ri...
Nume _
AddresS
Receipt #
Erect ? Occuponcy
Alter p Zoninp
Repoir C] Fire Zane
Enlarye ? Type of Const.
Move ? #k Stories
Demolish p Length
Grode ? Depth Sq. Ft.
Appro rals Fees
Assessment _
Woter 8 Sew.
Police
Firo
Enq.
Pionner
Councfl
Permit
Surcharya
Plon check
SAC
Woter Conn.
Water Meter
Road Unit
1 hereby acknowledfle thot I hove reod this application ond state thot Bidp. Off.
the inlormotion is torrect ond ogree to comply with oll epplicoble APC Totol
Stute of Minnesota Stotutes ond City of Eogan Ordinonces.
Sipnoture of Permittee
A Bullding Permit Is iuued to: on tM exprcss conditlon tluai
all work shall be done in acoo?donce with oll oppliwble State of Minnesota Stotutes and City of Eaflan Ordinoncas.
Buildinq Officiol
.0
P?rmit No. Psrmit Holder Misc. Permit No. Holdar
?Plumbiny $
?
Ol
H.V.A.C.
R O l L??-? I?I Y'S??J
W?II
Weter
Disp.
S?tnrer
ENctric wo(o 7
Inspoction Date Insp. Other
Footings -2 1
Foundation
Framinp
Rouyh Plb? J?
Rouph HVAC E
Inwlation ' j
Final Plbp.
Final HVAC
Find ?
y?ater Dnaibe Loeation:
YVell
I
Sowsr
,Pr. Gbp.
Receipt
Fid in numbered spaces S/C •`'-
Type or Print /egib/y -:
ToL • ?
MECHANICAL PERMIT Permit No. - ' '
CITY OF EAGAN Fee n•1 Date 2 Installation Cost 7='=J?•r'
3. Job Address _, -- ;r Lot 4 Blk.
4. Owner '47 TIPIIE'60:r' h AL
Tract
5. Contractor Phone =5-686!
6. Address 4637 C:1iCawu _ . .
7. City ?.R?i?<+.•?0.;.'?; State . ZiP 7 j????7
8. Building Type: Residential 0 Commercial ? Institutional ?
9. Work Description: New 0 Add ? Alter ? Repair ?
10. Describe-"t"'" f'orced a;2• i1GE.ti.r,?FuelType
11,
No.
i Equjpment BTU - M. Ea.
Forced Air No. Equiament CFM
Ai
H
li
Mfg. r
and
ng:
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
? Air Cond. '--?'''.. •r''1 -..:C
Mfg. ?> ?.v. J•_•:
Gas, Piping Outtets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governjng this type of work.
Signed : for
Raugh Flnal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
BUILDING PERMIT
cirr oF EAcnN
3795 ?ilet Knob Read Eaqen, MN 55122
PHONEs 454-8100
nf 4 PI;-' Esr. vaiue ', rx0
Site /lddrcss °
Lot Block 5ec/Sub.
Parcel # - "oc Nome
Address j:,C-
Ci
°C Name
,o
uu Addreas
Cf
G W Nome
w._
I hereby acknowledge that I have read this application and stote that
fhe informotion is torrect and ogree to tomply with oll oppliCCble
$tote of Minnesota Statutes and City of Eogon Ordinances.
SI noturc of Permittee
Recei pt #
Erect ? Occupancy
Aiter p Zoniny
Repoir ? Firc Zone
Enlorye p Type of Consf.
Move ? # Stories
DemoHsh p Length
Grade p Oepih Sq. Ft.
Approrak Fea•
Assessment Permit
Water & Sew. SurcFarye
Police Plan check '
Fire SAC
Eny. Water Conn.
Plonner Woter Meter
Council Rood Unit
Bldg. Off.
APC Totol -
G I
A Buflding Pem+it is tssued ro: ('rrj-: on rl,e express cond?tion that
oll work shall be done in acwrderxe with all opplioable Stote of Minnesoto Statutes ond City of Eagan Ordinances.
Bulldirq Official
Psrmlt No. Pe?mit Holder Misc. Permit No. Holder
& S iN?-A ZLl ?Z-It??J
r 1-l R --g3
p
gflIEl EC, Z-1 71?3'
O??'/?
Inapection Dats Insp. Other
inys ?,?
dation
k
inq
Ro.ugh
Plbp. ,S' W t/ ?
?
Rouyh HVA
Inwlation
Final Pibq.
Final HVAC
Final d '
Waftr Dhcribe Lotation: -
YVell
Savwr .
Pr. Dbp.
C?trttf xra#t uf Orrupttttry
Citp of (Eagan
ErpttrtmPnt nf Building 3nspprtirnt
Tbis Cnti f icate issxtd purartattt to the nquiremrnts o f Section 306 oJ the Uniform Burlding
Code ccrti f ying that at tJx time of istuuttu thij strutturc waJ in com plianct witb the variout
ordina?xu o f the City rcgulatrng buildrng conjtsurtiori or usc. For the f ollowing:
Um Clanewatim 1 of 4 PLEX B]d{. Pomrt No 6435
.
O-vWrTYvO R3 lYpscme?,*m V Rrc7au Nt1 zmnsmuioc PD
a.,w,fbWdft Orrin Thompson Add..17I2 Hopkins Crsrd. , Mtk?
M&,A"..4613 Penkwe Wa Aw,,,,YLot 1,Block lO,Johnny Cal?
Ridge 3rd
Br:
omc,, Xn p„e: September 23, 1983
? IN A Cq1VI1CY0UO /LAC.
Receipt ? - MECHANICAL PERM17 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
C??=.I?3 igiDi 41"S03'1 ;IDA'r,e:5
3 ?'d
5. Contractor ' - • .' - -- _._ Phone
6. Address ?ry -=???? ?? ? - '?•
7. City ?-- • State -`• 2ip-" 8. Building Type: Residential 0 Commercial ? Institutional ?
9. Work Description: New 0 Add 11 Alter ? Repair ?
I-10, t,fo:ced '
10. Oescribe ''11-1!4:uel Type
11,
id8t G., ? :;
No.
? Eauioment STU - M. Ea.
Forced Air No. EQUipment CFM
Ai
dli
H
Mfg. r
an
ng:
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
? Air Cond.1'•-??• .-,iEC ::ii
,
Mfg. C oo?? ?i
1
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with alt-ordinances and codes governing this type of work.
Signed : ? -
- for
Rough Final
Inspections: Date Insp. Date Insp.
This is your parmit when numbered and approved.
Approved CITY OF EAGAN 454-8700
7
Receipt PLUMBING PERMIT Permit No.
CITY OF EAGAN
? Fee
Fill in numbered spaces S/C 1C
Type or Prinr legrbly -
? Tot.
1. Date 2. Installation Cost
lI / }
3. Job Address' Lot ! Blk. ' rTract
__-
4. Owner
5. Contractor %- ' Phone
6. Address c;', J f IJ ,1
7. CitY State Zia
8. Building Type: Residential Commercial ? Institutional ?
9. Work Description: New ? Add ? Alter ? Repair ?
10. Descri be
11
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
? Bath tubs Septic Tank
? Lavatory Softner
Shower Wetl
?
-7--- Kitchen Sink
Urinal/Bidet
?` / L t-'
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 alt 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 C{TY OF EAGAN 454-8100
CITY OF Es?OAN
3795 Pilot Knob Roed
Eagan, MN S5122
Zoning:
-
O PERMIT NO.:
DATE:
No. of Units:
. . .i e
wner:
-
Address:
- .''•''"'c? ' ? ?LO C
1'. 8 I
Site Address:
b
er:
Plum
13
,nCj
ad
Meter No.: Connection Chorge: .
Size: Account Deposlt:
Reoder No.: Permit Fee:
i agroe to eomR1Y wlth the Cif7r of Eogan Surcharge: `i
Ordinoneaa. Mlsc. Chnrges:
Total:
q„ Date Paid:
CITY OF EAGAN SEWER SERYICE PERMIT
3795 P11ot Knob Road pERMIT NO.: ;
EageN, Mld 55122 QATE: .
Zoning: No. of Units:
Owner: j,1 c
•
Address: , ., .
? V .,
ti - . ..•?= v ,_.> .
Site Address: , . . _. ??, .
Plumber.
to eanPly wilh the Cihr of Ea9an
of I nsp.:
i,d
Connection ChorQe:
Accourrt Deposit:
Permit Fee: " .
Surchcrge: . ?
Misc. Chor9es:
Totul:
Dote Paid:
CITI' OF EAGAN WATER SERVICE PERMIT
3:'95 Pilat Knob Road PERMIT NO.:
Eogan, MN 55122 DATE:
Zor-rig: ???=? No. of Units: 1U:tj. t= ; t_
Owner. _ _-; n T}lA^:':-C371 iinr.lps ?
Ajdress: -
Site Address: 1 i'r" -tkWcz ?_,r+ T.li,;410 .I C RidaA ZZ2
Plumber. :P1 `•°.Cf1'?n
AAeter No.: Conr?ectian Charqe:
Size: Acoount Deposit:
Reader No.: Permit Fee: - ?
1 ageee to comply with the Cicy of Eagan Surchnrge: • r'?? '
Ordinonces. Misc. Charges:
Total:
8Y Dote Paid:
Uate of Insp.: )nsp,;
. .
OF EAtiAN
Plloe Kneb Roe/ PERMIT NO.: .
, MN 55122 DATE:
No. of Units: ! ?`'' •rri n Thmmnrnn ''n- E ;
Address: <615 Penlaae IJav L'- R10 J:. ::iGr.e I?., -
Ib@C
? , . 100.' .
*0 h aanply with tbe Citi of Eagon Connection Charpe:
Renep. AtcouK Depoait:
Permit Fee:
Surchorpe:
Misc. Charges:
of Insp.: Totol:
CITY OF EAGAN WATER SERVICE PERMR
3795 Pilot Knob Road PERMIT NO.:
9Eogon, MN S5122 DATE:
Zoning:
No. of Units: -?r -
. ` .
OWnOry . . _ . ?0: "c)i..c:-s
Address:
Site Address: ' ' • ? '7
Plumber:
Meter No.: Connection Chcrge: ; ? ' • ''' `
Sixe: Accourrt Deposit:
Reoder No.: Permlt Fee: '
I agrae to eomply wifh fhe City of Eagan Surcharge:
Ordinanas. Misc. Charges:
Total:
eY Dcte Paid:
Dute of Insp.: Insp,;
CITY OF EAGAN
8795 Pilat Knob Reed PERMIT NO.:
Loyen, MN 35122 DATE:
Zonin9: - No. of Units: i Lnit trR&e
Owner. `.'rri:!
/lddress:
Site Address: J C F.idt-e III
Plumber:
1 1 : , . 7 , •
I .yroa ro emPy wbb th. cky of Eeyen
Oedineneu.
By
Dote of Insp.:
130. 00 nci
c«,?,eca«, aa?oe: u)sWQ
Accourrt Deposit:
Pertnit Fee:
Surcharpe:
Misc. Choroes:
Total:
Date Pold:
N'ATER SERVICE PERMIT
cInr oF uaAN
8795 Pilof Keob Roed PERMIT NO.:
Eagnn, MN S5122 DATE:
f Units:
N r -
Zo•*+ng: o. o
O
vmer;
Mddress: _
' tiit d
i I1
Site Address: A tO 7( op
_
Plumber.
Meter No.: Connection Charge:
osit:
t De
A
Size: p
ccoun
Reader No.: Permit Fee:
I egme to eomply wilh !ho City of Eayon Surchcrge:
Ordinaneaa. Misc. CFarges:
Tot
l:
a
g Date Paid:
Y
:
I^S
Date of I nsp.: P•
arr oF u"N SEWER SERVICE PF.RMIT
8795 Pllot Kwob Road PERMIT Na.:
Eagan, MN 55122
DATE: , r
Zani
np:
No. of Units: . ,
Owner• ;rriR
/Wdress:
51te Address: i,,13 F'e:1kiJG Way .,I _ .1 ' iL?. s,c• L:
Plumber.
. . _ . ., .. t ...?.
I }O COIII W?1 ?N eD!'? Ph City of Ea9nn Connectlon Chcrpe:
Oedinaneu. Account Deposit:
Permit Fee: .
Surchorye:
By Misc. Chorpes:
Date of Insp.: Totol:
Insu.: Dote Paid:
REQUEST FOR ELECTRICAL INSPECTION
- ' Sea instructions for completing this lorm on back of Vel low copy.
063430
X" Below Work Covered by This Request
{. EB-00007-04
3 qq '1 v
No; AAA NeO. Type oi Builtling Appliances WifeA Equipmenc'VJire[f
Home Range Temporary Service
Duplex Water Heater Lightiny Fixtwes
Apt. Building Dryer Electric Heatin
Commercial Bid,y. Furnace Silo UIIIOBCIP.f
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm mur oec, fy Oine, 15necifvl
t e:. Suecifv Olher Oinur
Compute lnspection Fee Below
k Fee Service Entrenca5iza p Fee Fe«ders/Subfeetlers N fex Circuite
, 0 0 to 200 qm s 0 to 30 Am s r' 20.00 0 to 30 Am
Above 200 qm>s? 31 to 100 Amps 31 to 100 A s
Swinvnin Poal Above 700_Amps Above 100_Amps
Transformer5 lrrigation Boorris _$D Partial:'Other Fee
Signs Speciallnspection S
TOT
Rem?rks ?q,fj-Q 7A
HouBh-in ? Dnte
I, che Elec rical
- p•y Iosoector. nerenv
Final Dnte certify thel the nbove
inspaction has baen
made.
inie w.?.cef vn1A 1N mnnlFSlfnT
Thisreques[void L3??lb,S, C .R4,???
78 months trom Q
1N063430 30,00
Renues Da e
y Fire No. RnaBh-in Insuer,tion
Re iretll
?Ready Now9WNl Notity InsOec-
L?j ({; Ves ?No 1or When Ready
?LicenseA Eleclrical ConVactor 1 hereby request insOection ol above
Owner . elechicel work installad at
SVeet AtlAress, Box ar Route No. Citv
ectmn o. Townshi0 Nama or No. Range No. County
DI'[71'?,
-A
Occupnnt
q
lN
(P
T) Phone No.
?
?
? _\??py?
?
?
?1p"1"1?" 1 TZ°'r?l.?'?rii ?r`ys
Powe,r, ,$uR plier Address
C?a MWInFG raN
Elect ical Convactor ICompany Namel
E+-? 6? Cortracmr's license No.
3152:s-7-
Mailinq Address (ConUactor or Owner MakinP Ins[allation)
Ni f- . cuI-r- P-0m
Au?ontractor?Owner Makiny Installationi Phone Number
ig a • S3af
MINNESOTA STATE BOARO OF ELECTRICITY THIS INSPECTION pEQUEST WILL NOT
Griggs-MidwaV Bltlg. - floom N•197 BE ACCEPTED BY THE STATE BOAflD
UNLESS VflOPER INSPECTION FEE IS
7821 University Ave.. Sc. Paul, MN 56106
,,,_ _ ,-, - -. ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION r EB-00001-04
' See inetructions tor completing this form on back of yellow copY.
, "'X?Belo? ?o? C'?e?d by This Request
AAA flep. Typa of Builtling Apolinncas Wiretl Equipment Wired
Home Range Temporary Service
Duplex Water Heater Liyhtiny Fixtures
Apt. Buflding Dryer Electric He2tin
Commercial Bidy. Fumace Silo Unloader
Industrial BIAg. Air Conditioner Bulk Milk Tenk
Farm Otner pcr.i v Olher ISner.liyl
t er ueci y Other Othe,
ComAute lnspection Fee Below
p Fee Service EntrenceSiza tt Fee Feaders/5ubfeeders # F.. Circuits
O. 0 to 200 Am s 0 to 30 Am s 6 0 tn 30 Am s
Above 00 Amps 37 to 100 qmps t 31 to 100 A mps
wmmin Pool A6ove 100_Am s Above 100_.4mps
Transformers Irrigation Booms Partial-'Other Fee
Signs Special Inspectiun T
flemerks
Nough-in
inal
(
? Date
e
I,Ihe Electrical
Inspactor, hereby
certify ehat the above
insDection has been
maae.
Tnla reaueal vole 18 montns fw.
This request void f? `CI L?1 p'a? 3. 3yq ? U
:8 months from
vn
?uesi aie nre, rvo. noup(? n-in insoer,uon ?
1 F?red? Re:ndy Nuw Will Notity, Insoec-
Z J ?es ? No tor Whnn Reatly
Licensed EI¢cvicai Contrac[or I hereby requeat inspection oi above
Owner electrical work installetl et:
Streat Address, Box or Hou[e No.
• y/- i !?'- P.....-?--? City
J!AtwA?
ecLon o. Township Name or No. FanBe o. C onty
Occupant(PHINT)
4" \ I1G'N?v? Phone No.
Power SupVlier
? Atldrer?ssp '• -r -r
r??l?l???/v
Electrical Contractor (Company Name)
?-- ??-lc. Co trar,tor's License No.
?35Szs-Z
Mailing
AdJrass (Contrac
ior
or Owner Makinp Instailation)
`
?
?
l?? l t G. / ?/??{ ff Iti"D
Authorized Sien [ure ( antrac[or/Owner MakinO Instellation) Phone Num
ber
? C
O'/ P57-
MINNESOTA STATE BOAflD OF ELECTHICITY THIS INSPECTION REQUEST WILL NOT
GrigBS-MiAway Bldg. - Noom N-191 BE ACCEPTED eY THE STATE BOARD
1821 Universitv p.ve., St Peul, MN 66104 UNLESS PflOPEH INSPECTION fEE IS
e-_ ia", vo-r.v'l• ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION EB o0001-os
p ? See inatructions br comvletirq this /orm on bnek of vellow copy. T
l- -'Q -r CZ 7'Z "X" Below Work Covered by This Request
Mew1AAd1 peo.l Tvoe ofBuilEina 1 Aooliantee Wired 1 EquiVmant Wired I
Water
Electric
M Fee Service EntreneeSize !t Fee Feeders/5ubfeetlara N Fee Circuits
200 Am s 0 to 30 Am s tn 30 Am s
Above 200 qmpy 31 to 100 qmps ? 31 to 100 q
Swimmin Pool Above 700-Am s Above 100_Am s
Transrormers rngation Booms Partial: Other Fee
?Signs ? I ISpecial Inspection iS?lCE4-
TOTA F??p
em?rks
I, the Ele? 1 I
Inapecta?, hereby
certily thet Me abova
jnsDection hes bean
Thierequesivo1078monMalrom
' ?
This rnquest void
' 18 months trom
18 1673 OU 2kz
Requast D?atje •: Fire No. \ Roueh-in Insbectfon
?- ? J`-Q / )? eq Yes' ?NO ?fleady Now cill WhNo?ity.In-
?Tr en NeadY Dec
Licensed Electrical Convactor
? I hareby rg0uest insoection of above
? Owner electrical work instelled et:
Sireet Atldress, Box arute No. ?
S Ci
?
eclion o. Towns ip ame or No. Hanee o. ounly
Oc pantlPfllNTI V Phone No,
Powe liar dtlress
Ele ical Convecmr ICornpany Na Contrac r's Licen's7e No.
1
Mailing AOdJrass ( ontr=MOr or Owner aking 1 talla[ion)
?
A orized Si0 ature (Con[ractor/Owner aking InstallaLOn) Pho Number ^^
?, 4 ?
2
MINNESOTA STATE AOARD OF ELECTRICITY I THIS INSPECYION REDUEST WILL NOT
Gripga-Midwey BIdB• - poom N•797 BE ACCEPTED BV THE STATE BOAND
UNLESS PROVEP INSPECTION FEE IS
1821 UnivaraityAVe.. St. Peul. MN 56700
Vhone16121642-0800 ENClOSED.
REQUEST FON ELECTRICAL INSPECTION
' See inatructions for campleting this form on beck ot yellow copy.
?
'X" 08e/ow ork ove64??7
red by This Request
r EB-00001-09
3Uuq S?
AAd Rap. TYOe af Builtling AoPliances Wired Enuipmenl WireA
hlome Range Temporary Service
Duplex Wa[er Heater Ligh[iny Fixtures
Apt. BuilAing Dryer Electric Heatin
Commercial 81dg. Fumace Silo Unloader
Industrial BIAg. Air Conditioner Bulk Milk Tank
Fafm Othei peci y iher ISneri(yl
1 rtr Spoafy OiM1cr Other
Compute lnspection Fee Below
p Fee ServiceEntraneeSiza p Fee FeeEars/SUbfeeders # Fee Circuits
10,W 0 to 200 qm s 0 to 30 Am s N.00 0 tn 30 Am s
Above 200 qmps 31 to 700 qmps 31 to 100 qin s
Swimming Pool Above 100_Amps Above 700_AmPs
Transiormers Irrigation Boon??s s0 Partial%Other Fee
Signs Speciailnspection ?r
$
3
TO
Bemarks 3
,7 EE
ZR•
flough-in ? '1fe ? I, the Elachical
3 Inspectoq hereby
certify thet the nbove
Final pection has been
( ins
made.
TMic ?vn??nc1 vnlA 1A mnn1lw f-m
This renuest void
18 rtqnth5 from
W063427
o, s.c.V-d?3yy?(
?a, va
flequest Dace
1
Z
I Firc No. Raugh-in Inspeclion
?ReaAy No?Will NotifY. Inspec-
l;
v ?1'0s ?NO [or When fleatly
tyyce.nsed ElecVical Contractor I hereby request iaspection ot abova
? Owner electrical work installetl ab
Svee[ Address, Box or floute No.
yv /3 k. Cilv
1?G?
ecLOn o. Township Name or No. Ra No. County
A
OAL?V ??
??
Occupan[IPRINTI
09-{Z114 ?IHOMR50+rl }?6M?S Phone Nn.
Pawe
r
SupVlier Atldress
?
?
1p? p? ?q
eMUN6 Il)
Elecvical ConVacmr IComVany Namel C ntractor's Licensu No.
?39sz?z
IL-
Mailinq Address (ConVactor orO
wner MakinH lnstailalioN
/
Ll?l . ? Qrvn????/
Authorized SiBn re IC ntrector Owner Making Inswllation) Phone Number
SqJ _ S"Sa 5?
MINNE50 A STATE BOANO OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
GrigOS•Midwey Bldg. - floom N-197 BE ACCEPTED BV THE STATE BOARD
UNLESS PROPER INSPECTION FEE IS
1821 Univarsity Ave., St. Peul. MN 55104 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ,r.,, Ee-ouooi-oa
,.,:
' See inslructions lor comoletine this torm on betk ot Vellow coVY. u''"X Relow Wo"rk'C'bvBered by Thrs Request
Adtl R.P. Type of Building Appliancns Wiretl Equiument Wire]
Home ID? Range Temporary Service
Duplex Water Heater Liyhtiny Fizwres
Apt. Building Dryer Electric Heatin
Commerciai Bldg. Fumar,e Silo UnloaAer
Industrial 81Ag. Air Corxlitioner Bulk Nlilk Tenk
Farm otne, vaci v ther (Sunr.ifv)
ther Snecify t er Olher
Compute lnspectian Fee Belaw
k Fee Service Enhance5ize JI Fee Fneders/5uhieadars N Fee Circuits
0 to 200 Am 5 0ta 30 Am s ZO- 0 to 30 Am s
A62ve 200 qinps 31 to 100 Ainps 31 to 100 Am s
Swimmfng Pool Above 100_Amps Above 100_Am s
Transiormers Irrigation Boorts S ? Partial-'Other Fee
Signs Special Inspection
56
S;?D
T
flemsrks , AL FE
']rl _
Roueh-in ( Da[e
I. the ecfricel
Inspector, heraby
cartily I hat the above
Final -nspaction has been
dea.
ihi. ronimnt mitl 1P mnnlM fram
This reQUest void Z --??
18 momhs imm
W 063428
L21 6I0, -3 c Rt,
3n ,o(D
Requ st Q{ate?
2
?
k Fire No. fleuBhBr.InsVection []Heady NowoWill Notify, Insoec
e
I
-
i
) es ? No
lur Wh
. Reatly
WLicensed ElecVical Con[ractor I hereby request insPacGOn of above •
? Owner elechical work installed at
Sveet AAdress, Box or Route No. C,tV
y6. /a 'i4-- A.-,?/--+- EAGl2r4
ecbon o. Township Name or No. ange No. County
DwTA
OccuVant (PflINT)
mf4 -TFpMPsad Non? Phon. No.
Power SupPlier
P? Adtlress
?1-r+tNG ianl
Electrical Conlraccor IComoany Namel ConVav-tor's Llcense No.
Z
p35 s z
-
-
L,? -
s
- s
-
Mailing AdJress (Contractor
Owner Makine lnstailationl
or
o
e
Yqit c. ?? T ??o
AuNorizatl Sig ture on?cto ner Makiny Ins[allatioN 7hona Number
sqo.5'sos
MINNESO A STATE BOAXD OF ELECTRICITY THIS INSPECTION pEQUEST WILL NOT
Griges•Midwey Bltlg. - Room N-191 BE ACCEPTED BY THE STATE BDAND
UNLESS PPOPEP INSPECTION FEE IS
1821 University Ave., St. Peul, MN 56100
P6,.oo 1612129Z2111 ENCIOSED.
C?ertifirtttr nf Orruvttnrg
Citp of (Eagart
EPpF1TfItlPY[f Df ig1IIIatIl13 3tl$}tPl'filtlt
7bit Certifiratt ictued Partuant to the reguiremenu of Section 306 of the Uniform BNilding
Cada rntif ying tbat at the time of iJluanct thit ttnuture was rn comPliana with tix va+iour
ordinaruer of the City re8uloting bui/ding ronrtrurdors or ure. For the follawing:
1 of 4 PLEX 6937
u.c?fiatlm Wae.Po?tNo.
o.warTya R3 nrc.?mo V Fi. z NA z?,m.t? PD
a,,,,va?ftprrin Thomnson Aaa,ro171 2 Hopkins Crsrd., Mtka.
4615h PenkWe W ay ?;,YLot 3,B1-ock lO,Johnny Cake
8u9NUgAddr. Ridge 3rd
? By September 23, 1983
Buildvyoirnivl i- V?79l _
? Oaw:
C?ertifirttfr uf (Orru,pttnry
Citp uf Cagan
iDrpbrtmrni uf Bui[hing 3nsprrtum
Tbir Certi firatc itrued purruant to tbt rrquinmenu of Section 306 of tGe Uniform Buildrng
Codr rati f ying that at tlx trmr of ittHanct thit tt+ucturt war in rom pliance witb tht variout
ordinanat o f tix City regulotrng buildrng ronnrurtion or utr. Far tbe follou,rng:
1 of 4 PLEX 6938
Uw ClamOn6w ? 61dg. Permit No.
0-? Tva R3 nncm,w.uoo V eiRz,. NA zoN.,wtA« PD
o„M,ofRUoddn Orrin Thompson Ad?1712 Hopkins Crsrd., Mtka.
...e.?_...-4b15 Penkwe Wav . .._T.nr 4_ntnok in r v<
By„ Ridae 3rd
pw: September 23, 1983
(grrtiftrtttt nf Orrupttnry
Citp of (Eagan
Brpttrtmrni n# Builbing J+imprr#imc
Tbit Ccrtifitatc irtued purtmant to the +tquirnncntt of Sertion 306 of thr Uniform BuiGling
Code catifying tGat at the timt af itruantt tbis tlrutturt wat in rompliana with the variaut
ordinanar at thr Cuy regHloting buildrng mttnrsation or usr. For the fallauing:
uKC?r n. 1 of 4 PLEX 01dj.lh,,,;iuo. 6936
pa,,,?ryP- R3 7ypcm,w?aoo?eircZ NA zuN?miu;<t PD
a,ryrofBuffftg Orrin Thompson ?aa,.1712 Hopkins Crsrd., Mtka.
eid?A?46131? Penkwe Way L?J;,YLot 2,Block lO,Johnny Cake
y? ? Ridge 3rd
fi" ?- ??yL
ewams o? S ePtember 23, 1983
? n.?.:
CITY OF EAGAN
9795 Pilef Knob Raed Eogan, MN 55124
PP.ONE: 351-8100
BUILDfNG PERMIT
T. L- ..... S.. 1 of Q PLEX c?. v,.... $46, OQO
Site Addreu "+uiJ rctmwC flay \riail ai/
Lor 1 81xk 10 Sec/Sub. Johnny Cake Ridge
Parcel # 10 39802 010 10 3rd
rc Nome OrTin Thompson ftomes
? Addreu 1712 HoPk3na CrossTOad
•rai__ ceeie i nnn.
o Name _
?
Addl@ES
Nume _
Addresa
1 hereby acknowledge that I have read this upplication and state that
ihe inlormofion is correct und ugree to comply wlth oll aDDlicable
Stnte of Minnesoto Statutes ond City of Eogan Ordirwnces.
Sipnofure of PermiMea
A Bullding Permif fs issued to: DrTj-n
all work sFwll 6e done in acwrdonce with oll
N° 6935
Receipt * 'Z 73-N-
October 20 „ 81
Erect $][ Occuponcy D 3
Alter ? Zoning
Repoir ? Fire Zone NA
Enlarge ? Type of Consf. V
Move p # Stories
Demolish ? Leng[h_44-
6rode ? Depth z Sq. Ft.-
Aporovola Foes
Assessment Permit Z67.UU
Water 8 Sew. Surchorge 23.00
Police Plan check 132.50
Fire SAC 525_00
Enp. WaterConn.33s.no
Plonner Water Meter 60.00
Council Road Unit 185_(1(1
Off
Bldg
.
.
nPC
roroi $1525.50
on i he express Condition thnl
Wta-,imwfes ond City of Eagan Ordinances.
Buildirq Offlciul
C17Y 0:' f:\'riv Lx 1;Oe 2 scts of plxns,
? 1 site plan w/clcvntion^ F
- ti "D `??? FiUIIn19Vi, i'I:fL^1IT N'PI.T(7aTI(7N 1 sr-t of cr"n.4y r•.?l,il.?+i??;.
7b I3c Uscd For aluation-* n:ite oc'?.• 9? ? 4d ?
L-.----
site F,ddress: y(a 13 - P? P? 8Z ? OF'['ICE USE OrII.Y
Int ? Block 10 Sec./Sub. soHNwY cAxe Erect Occupancy
3? ?'OZ G!O (Q ?n c plter zoning ?
Parcel R: 10 Repair Fire Zom
Enlarge _ Type of Const.
O.mer: N,Dve # Stories
Pddress: I7PJCnlish Front yy ft.
Grade Depth ft.
City/Zip Code:
Phone #: APPROVALS
Contractor:
Addr255: a Division of U. S. H^^ e Cor?ration
-!;?12.'- -K,- T?.- --5„y C1ty/Zlp COd2c MINNETONKA, h1iNN.55343
Phone €: 54,0333
Arch./Eng.:
Address:
City/Zip Code:
Phone 0:
Assessrents Pernut 'Pe, < °"
Water/Se+aer Surcharge ? ir
Police Plan Check /?'? -, -0 -?,
Fi re SAC
gg, Water Conn_ 3 3 5
planner Water Meter ?
Council Road Unit
Bldg. Off.
APC
'IC7I7.L -T I Sca S- SC)
BUILDING PERMIT
Te M wed fer 1 Of
cirir oF Ee,wN " N9 - 6936
3795 Pllot Knob Raad Eayan, MN 55122 -
PHONEt 434;8f00
Receipt # d7gg .
$46,000
Sife Address ?•,?•` - ? -° ---- - •
Lot 2 BI«k 10 Sec/s,b.J°Yuu'y Cake R1di'
Pa,ui # 10 39802 020 10 3rd
W IName viiiaa iuv+++yavaa aav.ucv
? Aadreu 1712 Hopkins Crossroad
11+Le FFZIZ _ 5/.L_7411
o Name _
?? Address
1-
Nome
I hereby acknowledge thot I hove read this opplication and stofe thot
the inlormotion is correct und ogree to comply with all opplicoble
State of Minnewta Stotuies and Ciry of Ea9an Ordirwnces.
Sipnoture of PermiMee
A Building Permit Is issued ro: Orrin Th0 son Home
all work shall ba done in accordance with all applimble Sy te?f ir
Building Offlcial
Erect
Aiter O
Repair ?
Enlarge ?
Move ?
oenwush ?
Grode fl
^tODBT LV 19_tll
Occuponcv R-3
Zoning IM PD
Fire Zone NA
Type of Const. v
# Stories
Length44
Depth---4-Sq. Ft.-
Fses
Asussmenf _
Wafer & Sew.
Police -
Fire
Erp.
Planner _
Council _
Bldg. Off. -
APC -
Permit <u?.vv
Surchorge 23•00
Plon check 132.50
snc 525.00
Warcr Conn. 335.00
Water Meter 60.00
Rood Unit 1$5.00
Taal $1525.50
_ on the express condition thnl
Ciry 9f Eoqon Ordinances.
CI7Y OF LIt??N 1;ic]ude 2:.Qts of p],,iLS,
' •? ?N ? ?l'j - , . 1 site plan w/f:Jcvntinns 6
aurrntNc: I'FR.MIT N'PI,TG1'I'InN 1 set of, cn.naY c.ilklll.it
---? --G ?a - -
7b IIc Used For Valuationa 0.,te QA•9, '48L-------
Site Address: %X.w Pl ?7 ) OFFI(E USE ONLY
wt Z
Parcel ' # :
Owner:
Pddress:
BLOCk SeC./Sllb. SOMNNY CPIYCQ EIeCt ? OCCllpd7)C.Y ' il" ?
IU 3q?a ozo (Z? 1P E Aiter zoning -?7 Pb
Fir Zone /1la
City/Zip Code:
Phone #:
Contractor:
PdC1L255: a Division of U. S. H-:ne Corporation
.2 .,F,. ?RG;G;6AS
C1ty/ZlP COd2c MINhETONM,A, MiNN. 55343
Phone #: 544-1333
Arch_/Fng_:
Pddress:
City/Zip Code:
Phone #:
Repair
Enlarge _
Nbve
Dennlish
Grade e
'Iype of Const.
# Stories
Front
Depth
?
ft.
a y ft.
APPROVAIS F'EES
Assessrents
Pernit w
?
Water/Seaer Surcharge 2 3
Police Plan Chedc
?
32
Fire SAC
gng, kTater Conn.
pl?er Water Meter /0 e:O
Council Road Unit / 9-,S` ?
Bldg. Off.
APC
* ?5?50
BUILDING PERMIT.
cirr oF E+G+N
7799 Pibf L:nob Rrfad Eegan, MN 55122
PHONli 431-8100
fe. 1 of 4 PLEX
000
Site Address I+VlI LCSI6WC IYB,`J 1,r1Q11 0I /
Lor 4 Blxk 10 Sec/s„y. Jokuuiy Cake Ridge
Parcel # 10 39802 040 10 3Td
W IN.me OP2'3II ThOIDP&OII HOIDeS
? Address 1712 Hopkins Crossroad
r,.., MtkB. 55343 0t.„__ 544-7333
}p Name Lmner
Address
pt PMne
Gw Name
?W
Addrea
i W CI Phone
1 hereby acknowledge that I have read this opplicotion ard state that
the informotion is correct and ogree to comply with all oppliwb4
Seote of Minnewta Stotutes and Ciry of Eagan Ordirances.
Signoture of Permittee
A Building Permit is issued ro: OI'rl
all xrork shall be done in ocmrdance with oll
Bullding Offlc{ol
N° 6938
Receipt
Erect }?C Occupancy R-3
Alter ? Zoning PD
Repair 0 Fire Zone MA
Enlaroe ? Type of Const. V
Move ? # Stories
Demolish ? Length4/?
Grade ? Depth-4-Sq. Ft.-
AvProrals Fees
Assessment _
Water & Sew.
Police -
Fi.a
Eny.
Plonner _
CounNl -
Bldg. Off. _
APC
Pertnit eo7.w
su.cnorge 23.00
Plan check 132.50
snc 525.00
Wafer Conn 335 • 00
WaterMeter 60:00
Road Unit 1$5 _ 00
Toml $1 525_5(].
on the express cordition thnt
Sfotutes ond City o{ Eognn Ordinonces.
CI'i'1' OF Include 2:-t?; of p1.u,s,
???y ?? ------. -- 1 site p7nn w/clcvnt inn; F.
? [{U[1]7TTJG+PF.r„M tT N?r1.rcATlc7N 1 set of cr..1,1y r.ilklil;if i, ;LS.
- - --- - -- -- - - -- -
t?
7b Bc Used For Valuationi`?'?o,DO ?te dc?.•9?481______.__?
Site lu3dress: 4uS - QISN??_??4?1?a? ) DFFICE llSE d^R.Y
Lot Bloclc c) Sec./Sub. soHNNY cA?ce. Erect V_ Occupancy
a o?0/d DGft Alter _ Zoning
Parcel #: tD ?J QPO Repair Fire Zone
Owner:
Address_
City/Zip Gode:
Phone #:
Contractor: nR$IN TNnAIPSf1N I-1tlMFc
pd3re55: a Division of U. S. Hc:n= Corporation
• t2 i ?^^N,. . ?
C1tV/Z1P C'Ade: MINNETONYJ+, NINNI. 55343
Phone #-`: Syy1333
Arch./Eng_:
7u3dress •
City/Zip Code:
Phone
Enlan3e _ 'Ime of Const.
Nnve # Stories
Denolish Front ?y ft.
Grade Depth ft.
APPROVALS FEF-S ,
Assessments Permit
Water/Sewer Surcharge ? 3 ?
Police Plan Check
Fire 5AC 45-
gg, Water Conn. S-!M
Planner Water *7eter 0
Council Road Unit °-?
Bldg. Off.
APC
ICg,r, t j '5' 2S 1 S (5
cin oF E?cnN
7795 iilof Knob Raod Eeynn, MN 55122
PF10NF: 454-8100
BUILDING PERMIT
T. I. anea fe. 1 0£ k PLEX
$46, 000
Site Address 40172 LC116wC voy X+iw. ., ' I
Lot 3 elock 10 Sec/Sub. JOhRgy Ceke R1dgE
Pamel # 10 39802 030 10 3rd
rc Name Orrin Th0DIp80R HOAlEB
? naareu 1712 Hopkins Croasroad
_ 1111... CS7I1 __ ri/i_7'1'2l
o Nama _
s? Addrea
? r.w,
Name
1 hereby ackrwwledge fhot 1 Fwve read this applicotion ond stote thaf
the inlormation is correct and ogree ro comply with all opplicable
State of Minnewta Statutes and City of Eagan Ordinances.
Sipnature of PertniMea
A Buildirg Permit is iuued to:
oll work shnll be done in aaordonce with oll
Buildinp Officiol
N° 6937
Receipt #
October 20 81
Erecf ?. OccuponcY - ??
Aiter ? Zoning
Repoir ? Flre Zone NA
Enlorge ? Tyce of Consr. V
Move 0 # Stories
Demollsh ? Length44-
6rode ? Depth-2-4- Sq. Ft.-
Approrab Feea
Assessment
Wafer 8 Sew.
Police
Fire
Eng.
Planner
Councll
Bldg. Off.
APC
Homes
Permit 407.vv
Surcharge 23•00
Plan check 132.50
snc 525.00
Water Conn.135. 00
Worer Meter 60.00
Road Unit 185.00
Total $1525.50.
_ on the express wndition Ihnt
City o{ Eoqan Ordirwnces.
C1'T1' Of' Irx:lude 2 uts of plnrtis,
' 1 site plan w/c]cv,itims ?
ti
1tU N'PLiCJ1T1ON
1'iI)INC;_F'F.i;MIT :;is.
1 set of crt•r.ry c•.?1??.?l.i
'Ib Be Used For valkiition?` C 00 0 .00 Data OcJ.•q?8j_-------
Site Address: OFFICE USE OrII.Y
Lot 3
Parcel
d.mer: _
Pddress:
slocx lo sec./sub. sa+uN`I cAKe Erect A occuPar,cy ---
?O ?? 30 l oo?? Alter Zoning
F' 2
City/Zip Code:
Phone #:
Contractor: (1RRIN THOMPS(1N -If1AnFc
Adds255: a Division of U. S. Hcme Corporation
:,-2; G;;;; :S : ^ti? ,&'T
C1iy/ZlP CfJClfl' NINNETONKA, MiNN. 55343
Phone #c 541A-7333
Arch. /Fng. :
Ptldress:
City/Zip Code:
Phone #-
Repair i re one
Enlarge _ 'Iype of Const.
hbve # Stories
Denrolish Front ft.
Grade Aepth
APP}?VAIS ??S
Assessrents Peizrut
Water/Set,er Surcharge :23 °
-
Police Plan Check i?,z
?
Fire S? ?5 ?
gg. S•,atPS Conn.
Planner t4ater .Meter
r
Council Road Unit 42,06 -
Bldg. Off.
P.PC
quiAL 5f 1 5 ZS , Sb
RESIDENTIAL BUILDING
Permit Apptication
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
_R - (Mwk-Z.
NewConsWCtionReauirements RemodeliReoairReouirements OffceUseOnlv
3 registe2d site surveys showing sq. k. M Wt, sq. ft. of twuse; and all roofed areas 2 apies of plan CeR of Survey Recd
(20% maximum btcoverage allowed) 1 set of Energy Calculatlons for heated additions Tree Pres Plan Recd
2 coDies af plan showing beam 8 window sizes; paured fouM design, etc. 7 site survey for addilions 8 decks Tree Pres Not Reqd
15etofEnergyCalcuhaUons Addition-iMicafedon-sifesepficsysfem _OnaiteSepticSystem
3 copies of Tree Preservation Plan if lol platted afler 711/93
Rim Joist Detail Options selection sheet (bkgs wBh 3 or less unib
Date 2UG3
SiteAddress t{(, 1? ptk)KWC ?n/A'y Construcdon Cost ? I 1 Q QV ?c
UniUSte #
DescriplionofWork L°iZ
Multi-FamilyBldg 2'Y _ N Fireplace(s) _ 0 2
Property Owner 'T1Z A C Y Tetephone #(C 5I ) C C 2- ????
Contractor 7" E P b(1` A A1D kciQ CG,
Address qi?CI$ 'P> > S C A-t wE fl v6
State P ll?)
Zip 5? 123 City. LACAO)
Telephone#(C 5.1 )-?-2 2'?°r6`?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672
E?e?gy COde Cetegory , Residential VentilaUon Category 1 Worksheet • New Energy Code Worksheet
(J submission rype) Submitted Submitted
. Energy Envelope Calculations Submitted
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone #(
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information O"m lete `uid.acc U;
that the wark will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
3tatutes; 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.
p ICHHEL eVoo
ApplicanYs Printed Name
? r!% K
ApplicanYs Signature
OFFICE USE ONLY
Suh Types
? 01. Foundation ? 07 05-plex
? 02 SF Dwelling ? OS 06-plex
? 03 01 of_plex ? 09 07-plex
? 04 02-plex ? 10 08-plex
? 05 03-plex ? 11 10-plex
? 06 04-plex ? 12 12-plex
Work Types
V 31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
? 13 16-plex ? 20 Pool
? 16 Fireplace O 21 Porch (3-sea.)
? 17 Garage O 22 Porch/Addn.(4-sea.)
18 Deck ? 23 Porch (screenlgazebo)
? 19 Lower Level ? 24 Storm Damage
Plbg_Y or _ N ? 25 Miscellaneous
rr o7 ,--;) p tg i ; ? fj ?- o z
?
?
?
?
30 Accessory Bldg
31 Ext. Alt- Multi
33 Ext. Alt - SF
36 Multi Misc.
? 35 Int Improvement ? 38 Demolish (Interior) O 44 Siding
? 36 Move Bldg. 0 42 Demolish (Foundation) ? 45 Fire Repair
? 37 Demolish (Bldg)" ? 43 Reroof ? 46 WindowslDoors
*Demolitfon (Entire Bldg) - Give PCA handout to applicant
Valuation
Census Code L'
SAC Units
Nbr. of Units
Nbr. of Bldgs
Type of Const U V?
Occupancy W-3 MC/ES System
Zoning City Water
Stories Booster Pump
Sq. Ft, PRV
Length Fire Sprinklered
W idth
Footings(new bldg)
? Footings(deck)
_ Footings (addifion)
Foundation
Drain Tile
Roof Ice & Watei Final
yo Framing
_ Fireplace _ R.I. _ Air Test _ Final
_ Insulation
REQUIRED INSPECTIONS
FinaUC.O.
? FinallNo C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ Au/Gas Tests _
_ Siding Stucco Stone
_ Windows (new/replacement)
_ 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
D7v.(?, 0 F-16+ f???
kp &9 + +` -q TJ ? O IZ ?3 ). O o. o a
Dakota County Real Estate Inquiry
Dakota County Real Estate Inquiry
Dafa Updated 1/2/03.
!
¦ 1
Legend
Real.Estate Parcels
¦ Parcels
IM Common.Ownership
RWa[er
U ftNO'. Easemem
? Oedica[ed RIW
ndard ?
10-39802-010-10 2001 Taxa6le Value (Pavab
=ss: 4613 PENKWE WAY Pavable 2002 Tax: $94526
EAGAN, MN 55122 Total Acreage: 0.04
Year Built: 1983
i nis appucauon was aeveiopea oy me uaKOla counc
in cooperetion with Assessina Services, 7reasurer - Auditor and Pn
C O Y N T Y
`. ?
Page 1 of 1
Choose a search method, enter
critena, and click Go or hit enter key.
House #: , Go
Address: _ Go
PIN:F- Go
$102,500 ? Details
' Plat
Departments
http://207.171.98.200/scripts/esrimap.dll?Name=webq 1 &Left=496622.241 &Bottom=99791... 1 /8/2003
t; Select option and click map: Zoom In :
Whole County I Refresh Map
b J3 ol
RE5IDENTIAL BUII.DING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
?
/a? a S
New ConsWC4on Reuuirements RemodeN2eoair Reauirements Otfics Use Onlv
3 registered site surveys showirkg sq. tL of lot, sq. ft. of house; and all roofed areas 2 copies at plan CeA of Survey ReW
(20% maximum lol coverage allmved) 1 set of Energy Calculations for heated additlons Tree Pres Plan Reai
2 copies of plan showing beam & window sizes; poured found design, etc. 1 sile survey for additions & decks Tree Pres Not Reqd
lsatofEneqyCakulations Atldifion-indiceteAon-sitesepticsystem _On-siteSepticSystem
3 copies W Tree Preservation Plan'rf bt platted after 711193
Rim Joisf Detail Options selection sheet (hldgs with 3 orless units
Date le? loJ( J J7 /? , Cdnstruction Cost s? 9 95 T
T'
Site Address UniUS[e #!
Description of Work Q • ,
Multi-FamilyBldg _ Y_ N Fireplace(s) _ 0_ 1 _ 2
- •
vj
?
rt
Owq
P le
hone #
T
UJJL ) 7 S-a`s 'L
''
rope
y
er (
e
p
o
?- - --- -- -
Contractor RENEWAL BY ANDERSON - --
- 1920 COUNTY RD. "C" WEST
Address - I ROSEVILLE, MN 55113 City
State 651-264-4777 Telephone # ( )
LIC # 20130983
COMPLETE THIS AREA ONLY 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
(Jsubmissiontype) SubmiHed Submitted
. • Energy Envelope Calculations Submitted
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone #, O I !
,?
I hereby apply for a Residential Building Permit and acknowledge that the inforniation_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 far a perxnit, 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
val of plans.
ap o
Il
7
i
v• •
pplicanYs Printed Name ApplicanYs Signature
flFFICaE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 07 of _ plex ? 09 07-plex ? 17 Gawage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? OB 04-plex ? 12 12-plex pibg_v or _ N ? 25 Miscellaneous
Work Types
? 31 New ?, 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
O 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire BId9) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units
? Stories Booster.Pump
Nhr. of Units Sq. Ft. PRV
Nbr. of Bidgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinallC.O.
_ Footings (deck) _ FinallNo C.O.
_ Footings (addirion) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Franvng _ Sid'mg Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final Windows (new/replacement)
_ Insularion _
_ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
r..e.,e.s..•.i iuv ac.ov cna ?oJ OJ1'4440
KGtYCl1kL Y3k" @NUtSlt?7tSlM
re al
.? .
runa t aoai
City of Begm 3836 Pilot Kaob Road '
Ea8an, MN 5S222
To Whom It May Concern:
IIder 7ones is autharized to pqn buiIding pern;ta far Renevral by Andeism_ Pteasa nlIow
Eidcr Joncs to providc this scrvice for us in Eagan, `lhis eudwrizetian #s vaiid for any
datc bcyvnd 616101: untit at6nawat by Anderacsn mauam
to theCity ?s1Y n4vokes ft in wiiting
-
I rcqttest this auHiozization be accePted-expedidously. ss to not deta the- ?
out bnHdinS Paanixa aay fnzt8cr. E'lcasc ceII mc If d?crc aro Y. m ploaassirig af
contacted at 763-502-47D6. "nY 9R?fona.. I can be
_ 1:
Your imn?Cdiatc aftation to this matta' is
Sinoeialy,
m¢d R Rau
dstaltation Managar
Ranowai bY Ande.rrstn CorPoratzvn
C's.: Ksrrn_FiriE!r 7nnea
OH D 4kMAL
??n?zom
wUU
Received Time Jun. 7. 1:01Pld
?--
RE5IDENTfAL
BUILDINC PERMIT APPLICATION
CITY OF EACAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Canstruction Reauiremanta
• :S reguterea site surveys showmg sq. %. o11oC sq. ft, of house: and alt mofetl areas
(20 -o mmimum lot coverege allowed)
. 2 =ies of plan showing beam S vnndow sizes; poured found desyn, etc.)
. 1 ;et ofEnergy Calcula[qns
. 3 copies of Tree Preservation Plan if lot platted aRer 711193
. Rim Joa[ Oetaii Options selection sheet (bldgs wAh 3 ar less units)
DATE D - 0700 --2,
SITE ADDRESS ?613 a
iYPE OF
7 u?n{wuse.
MULTI-FAMILY BLDG XY
3']O
_ N
FIREPLACE(S) _ 0 _ 1 _ 2
n e_ i.t? d ecK ?
APPLICANT ?ouFrLds i 'Phti1IlS Zufj1C'?
STREET ADDRESS 4LP I 3 I?R - PP_.Y) KUV? t,v B.?d cirr EAG,4N STATEM/7.ZIP,55/-? a'
TELEPHONE # M13 CELL PHONE # bsl-ai&-4 3 43 FAX #
PROPERTYOWNER Vou?`a5 4qAWl1ld zu6/?.1? iELEPHONE# ?S 1"t-S4 -4373
------------------------ ------------------------------- ----------------- ...--------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MI\VESOT:1 RULES 7670 C:A'Cl?GORY I VIIS\tiS0"1'.1 RI'L1:5 7672
(v submission type) • Residential Ventilation Category 7 Worksheet Submitted • New Energy Code Worksheet SubmitteC
• Energy Envelope Calculations Submitted
Plumbing Contractor:
Plumbing system includes:
Mechanical Conhactor.
NIccli?mical systcm includes:
Sewer/Water Confractor:
Phone #
Phone #
rce: $90.00
---------------------------------------------- ---------------------------------------------------------------------------
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with ail applicable State of Minnesota Statutes and City of Eagan Ordinances. ?
Signature of Applicanf??c/??
------------ -------- -'----------- ----___-------------------- ------- ------°--------°-------'------- - --
OFFICE USE OVLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4l02
_ 4Vater Softener
Water Heater
No. of Baths
?-
• 2 co0les of plan yeS
. 1 set of Energy Calculations for heated aaditions
1 site survey for ex[enor adtlitions 8 decks
",Indira[e if home served hy septic system for aEdi
VALUATION
Phone #
Iarem Sprinkler
No. of R.I. Baths
Air Condiuoning
Heac Recoven' System
OFFICE USE ONLY
..-- ,
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Owelling 0 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt • Multi
? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ?K 18 Deck ? 23 Porch(screened) ? 36 Multi
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex p 12 12•plex Plbg_Y or _ N ? 25 Miscellaneous
Q 31 New ? 35 Int Improvement ? 38 Demolish (Interiar) ? 44 Sidirtg
x 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolition (Entire Bldg only) - Give PCA handaut to applicant
Valuation Occupancy MC/ES System
Census Code
?-T Zoning Ciry Water
SAC Units Stories Boos[er Pump
Nbr_ of Units Sq. Ft. PRV
Nbr. of Bldgs ) Length Fire Sprinklered
Type of Const VAI Width
REQUIRED INSPECTIONS
Footings (new 61dg) FinaL'C.O.
? Foohngs(deck) FinaLllo C.O.
_ Footings (addition) Plumbing
Foundation
^ HVAC
Drain Tile Other
RooF _ Ice & Water _ F inal _ Pool _ Ftgs _ Air.-Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (newireplacement)
_ [nsulation _ Retaining Wall
Approved By Building Inspector
------------------------------------------------------------- --_--------__----------------- ---------------°----------------------- ----------
Base Fee
Surcharge
Plan Review
MC/ES SAC
e-,?Q
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
C. R. WINDEN 6 ASSOCIATES, INC.
?? . ?,??%?%? LANp SURVEYORS T*I. 645•3646
For: 1381 EUSTIS SL, ST, PAUL, MINN, 65108
U. S. Home Corporation
N
;
i
Scale: 1" = 50'
Ga
zw>' ' ?
e Z %'
- V
o i? ? Q? 2 a: y 0?
4 ?e m ?1 ?
> P - I I
ld ° o i
i
`? ? ? C o f m ? I
I ? :-IfN2293 i2 ''n ?
1
°3 7 ?
:z I
o_ 1 614
C
? • _
L
Lots 1 through 4 inclusive, Block 10,
Johnny Cake Ridge Third Addition,
Dakota County, Minnesota.
WE MEREBY CERTIFY THAi THIS IS A TRUE AND CONRECT REPRESENTAiION OF A SURVEY OF THE
60UNDARIES OF TI1E IAND ABOVE DESCRI6E0 ANO OF TME IOCAT1pN OF All lUIl01NG5, tF ANY,
TMEREON, ANO All V15161E ENCROACNMENTS. IF ANY, iROM OR ON SAID LAND.
Dowd rhis?dar of Ocf , A p 19s? C. R. WINDEN 6 ASSOCIATES, INC.
bY
SurroYOr. Minnoeea Rapiurafion No. '1' ?2,fLj
-
I Lf 2,?/ f
L I V 1 1 CITY USE ONLY RECEIPT#: ??
? 8L ,
SUBD. niAM
4& ? RECEIPT OATE: 1'9_
PERMIT # ?,.P^I N lY
1999 PLU1VI$INH i'ERMIT (RESIDENTIAL)
CCCY OF £AfiAN
S$SO PILOT KNOB fiD
EAfiAN, MN 55122
(651) 6$1-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
% backflow preventer for underground sprinkler system
FixruRes
EACH # TOTAL
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
G8S i In OUtlet ' minimum -1 3.00 X = $
Hot tubls a 3.00 x = $
Kitchen sink 3.00 x = $
Laund tra 3.00 x = $
Lavator 3.00 x = $
Minimum fee alterations to existin dwellin 30.00 x = $
Private Dis osal S stem new/refurbished * re uires MPC iic. 75.00 x = $
Private Dis osal S stem ahandonment 30.00 x = $
RPZ new installationlre air 30.00 x = $
Rou h o enin 1.50 x = $
Shower 3.00 x = $
Under round s rinkler if dwellin is under construction 3.00 x = $
Under round s rinkler if existin dwellin 30.00 x = $
Water et 3.00 x = $
ater hea 3.00 x = $ o?
, Softener if dwelling under wnstruction 5.00 x = $
Water softener if existin dwellin 30.00 x = $
Water tumaround 30.00 x ---- _ $
State Surchar e .50 --> ----> ----> $ .50
Total --> --> ----> ----> $ 30 . s-D
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
I herehy acknowledge that I have read Nis application, state fhat the Infortnation is cortect, and agree W comply wiih all applicabla City of Eagan ordinances.
tt is the applicanPs responsibility to nOtify the property owner ihat ihe City ot Eagan assumes no lia6ility for any damages caused by the City during its
normal operational and maintenance activiGes to the facilities constructed under this permit within Ciry propertylright-of-wayleasement.
SITE ADDRESS: _ y-/p ?.3 Z j??'•i/,C?e l,?1??
,
OWNER NAME: : !?- cL+?? G/C TELEPHONE #: 4 TV?'?
(AREA CODE)
WSTALLERNAME 1111e'i'/ /i'//e Arl? TELEPHONE#:??? l -? OS?5' STREET ADDRESS: ' ??pd ??,? ,8-c '•? (AREA CODE) {<O
CITY: STATE: ZIP:
SIGNATU OF PERMITTEE
C. R. WINDEN & ASSOCIATES, INC.
LAND SURVEYORS TeI. 645•3646
1381 EUSTIS SL, ST. PAUI? MINN. 55108
For:
U. S. Home Corporation
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Lots 1 through 4 inclusive, Block 10, ?
Johnny Cake Ridge Third Addition,
Dakota County, Minnesota.
WE HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF TME
BOUNDARIES OF THE IAND ABOVE OFSCRIlED AND OF TFFE IOCATION OF All EUIIDINGS, IF ANY,
THEREON, AND ALl VISIBIE ENCROACHMENTS, IF ANY, FROM OR ON SAIO IAND.
Oatad this 1.S'f_doY eF Ocf A p 195 ? C. R. WINOEN 3 ASSOCIATES, INC.
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Survayor, Minnewro Roqistwtion Ne.772C
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2007 RESIDENTIAL BUILDING PERMIT APPLICATLON
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX 9 651-675-5694
New ConsW c6on Reauiremmts RemodeVReoair Reouiremenis Office llse Only
3 registered site surveys showing sq. ft W lot, sq, ft. W house; and atl ed areas 2 copies of plan showing foofings, beams, joists Cert of Survey Recd _Y _ N
(20%maximum lot coverage ailowed) D 1 sel of Energy Caicula6ons for heated additions Shcs Repat . _Y _ N
on disWrbed s ?? c?. s te wrvey for additlons 8 decks Tree Pres Plan Recd _ Y_ N,
7 Soils Report if proposed building is to be placed oil
2 copies of plan showing 6eam 8 wintlow sizes; poured found tle , c. 8rWrcate ilon-site sepfic system Tree Pres Required _ Y_ N
isetofEnergyCalculatlons On-site5eptic5ystem _Y_N
3 copies oi Tree Preservation Plan if lot platled after 711193 qPr?1? ? D
Rim Joisl Defail Options selec6on sheet (buildings vnth 3 or less uniGs) . /? '? Q 2p0,
Minnegasco mechanical ven61a6on tortn T G
7 ?d s?l
Plans are considered public information uniess vou state thev are trade secret and th reason.
Date
Site Address Construction Cost
Unit/Ste #
Description of Work
Multi-Family Bldg x Y_ N Fireplace(s) _ 0 2
PropertyOwner Telephone#651) 1080""' 90*93
Contractor
Address ?3(oo Al"'FDr 7?e-?
State MA/ City
Zip ?25- Telephone # (60') ) :2-7! ^ o
COMPLETE THI5 AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv I Minnesota Rules 7672
Energy Code Category . Residenlial Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submission type) Submitted Submitted
. Energy Envelope Calculations Submittetl In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone # (
Telephone # (
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and woz,k 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
L,S1 -2-7 1 -y-t4 o
DO NOT WRITE BELOW THIS LINE
Sub Tvaes
? Ot Foundation
? 02 SF Dwelling
? 03 01 of_plex
? 04 02-plex
? OS 03-plex
? 06 04-plex
Work Tvpes
? 31 New
? 32 Addition
? 33Alteration
Nl?. 34 Replacement ? 13 16-plex
? 16 Fireplace
? 17 Garage
>?- 18 Deck
? 19 lawer Level
? 20 Pool ? 30 Accessory Bldg
? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi
? 22 Porch/Addn.(4-sea.) ? 33 Ext.Ait-SF
? 23 Porch (screenlgazebolpergola) ? 36 Multi Misc.
? 24 Storm Damage
? 25 Miscellaneous
? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding .
? 36 Move Building ? 42 Demolish Foundation -? 45 Fire Repair
? 37 Demolish Building" ? 43 Reroof . ? 46 Wndows/Doors
`DemollNon (Entire Bidg) • Give PCA handout to appficant DeSCrIpf100: WaterDamage_Yes
Valuation (?20 Occupancy MCES System _
Plan Review 1l 100% or _ 25%
Census Code :7?- Zoning City Water _
SAC Units Stories Booster Pump _
# of Units Sq. Ft. PRV _
# of Bldgs length Fire-Sprinklered
Type of Const Width
REQUIREDINSPECTIONS
Footings (new bldg)
? Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof _ Ice & Water _ Final
_ Framing
_ Fireplace _ R.I. _ Air Test _ Final
_ Insulation
_ Sheetrock
Final/C.O.
?C Final/No C.O.
HVAC
Other
_ Pool Ftgs AidGas Tests Final
_ Siding-_ Stucco Lath _ Stone Lath _Brick
_ Windows
Retaining Wail .
r'
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
Tota l
? 07 OSplex
? 08 06-plex
? 09 07-plex
? 10 08-plex
? 11 10-plex
? 12 12-plex
0r9 d
? C,? ' ? ??Q ?QQ? {? C. R. WINDEN 3 ASSOCIATES, INC.
(J C?,?C1?,? V tAND SURVEVOR?S f?l. 643•3646
1381 EUSTIS ST., ST. PAUL? MINN. 55108
For:
U. S. Home Corporation
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F: ??.?.wE VVAY
Lots 1 through 4 inclusive, Block 10,
Johnny Cake Ridge Third Addition,
Dakota County, Minnesota.
WE MEREBY CERTIFY TMAT TMIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY Of THE
BOUNDARIES OF THE IAND ABOVE OESCRI6E? AND OF Tf+E LOCATION Of ALL„ EUILDINGS, IF ANY,
THEREON, AND All VISIBIE ENCROACHMENTS, IF ANY, FROM OR ON SAID LAND.
Doead ?hi??_dar oi?e?? A.D. 198/ C. R. WINDEN 3 ASSOCIATES, INC.
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Survayor, Minn??oto Raqi?trolion Ne.,?,
Ash?
Clty of EaRaIl
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
2008 REStDENTIAL BUILDlNG PERMIT APpLICATION Date:
Tenent:
RESIDENT/OWNER I Name:JG??fY??y c? Y2?i?5L ?f'rr I?r?41`hone:
Site Adtlress: e-16 13
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j PermitA: ?
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I Permit Fee: I
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j Date Recaived: ?
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I Staff: ?
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Address / City / Zip:
TYPE OF WaRK
Applicant is: _ pwngr _ Contractor
Description of work: I e '3,?
Construction Cost: lj? 7 ? V ??
Multl-Family Building: (Yes &/ No _j
CONTRACTOR
Name:/V'Jf'ts3c?jnT?'j'G'rS 4,2c Wcense#: I 5-q `t 7 3
Address:-( z-JV, 7:l,.i1-4_. /.-J- ? w r
City:?'ZUh?I? State: tL.W-- Zip: 553?i
Phone: Contaci Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Eaergy Code . Residentidl Verrtilation Cat 1 Worksheet -
CatC9oly Submitted?ory - ' NewEnergyCOdeWorksheet
(d submiSSion type) • Energy Envelope Cakulations Submined Submitted
-
In the last 72 months, ha5 ffie Cftgot Eagart issued a permit for a similar plan based on a master pWq?
_Yes _No If yes, date and address of master pian: _ _
Licensed Plumber:
MechaNcal Contrector:
Sewer & Water Contracfor.
Phone:
Phone:
I hereby acknowled9e that this infomiation is complete and accurafe; tfiat the work will be in conformance wrth the ordinances and codes of the City of
Eagan; that I understand this is not a permR, 6ut only an applieatian for a pertn@, and work is mt to start wiihout a pertnit; that the work will be in
accordance Wi[h the approved plan in !he Case of work whtch requires a review and appioval of p$hs.
x
Apphcants Pnnted Name
Page 1 of 3
13161 rOffir°
City o1 EaQall PI
3830 Pilot Knob Road :
Eagan MN 56122 Date Received _
Phone: (651) 675-5675 I t
Fax: (651) 675-5694 1 Staff I
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: (f 3 `IC/ ? +-IGIj (~3r f2- J9 /ts- - ~Yi c
Tenant: 011112 01 le- L S GP i7 " 4- Suite
RESIDENT / OWNER Name: To 'e- r49&.n / ' hone:
Address i City I Zip:
Applicant is: Owner X Contractor+
TYPE OF WORK Description of work:
Construction Cost: 1s-J7 ~ Multi-Family Building: (Yes / No
CONTRACTOR Name: 0,* License ? I > '2 7.3
Address: 9 1 ' ' Zl 1j
City: State: Zip: S 5.3 'l
Phone: 612 5`?-- cy Contact Person: t) r' 2 I''
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
(I 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-' • Plans aridsu
ppot ing documents -,batybu submit are considered tobe public +nformation. Portions of
the informptlon maybe classified as non-public if you provide spec ? sons that would perr+iitthe City to,
c ~olude that iihe pare tiraiese
I hereby acknowledge that this information is complete and accurate; that the work will be in c¢rlformanc a 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 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 pla
s ,~A raj
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Applicant's Printed Name Signature
Page 1 of 3
ILL
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)
~C3 Multi Deck _ Porch (Screen/Gazebo/Pergola) - Exterior Alteration (Multi)
01 of Plex _ Lower Level Pool Miscellaneous
Accessory Building
WORK TYPES
_ New - Interior Improvement Siding Demolish Building*
_ Addition Move Building _ Reroof i 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 C -3 MCES System
Plan Review Code Edition ( ' z ' 1 SAC Units
(25%100% Zoning City Water
Census Code q3Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
wa Footings (Deck) Final I C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC
Drain Tile Other:
Roof: Ice & Water _Final Pool: Footings Air/Gas Tests Final
Framing 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 c~j~ • L' C~
+J M1$ 1 LAO iZ
Surcharge , Ua 71 ~OcZ 'D~u 11>1-, y,
Plan Review & ! 1
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
POW
F F - or- Office -U-se
Permit
City of Eaaall
Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651) 675-5675
Fax: (651) 675-5694 Staff:
2009 RESID TIAL BUILDING PERMIT APPLICATION
ate: Site Address:
manta Suite
tESIDENT I OWNER Name: Phone:
Address / City I Zip:
Applicant is: Owner ontractor
TYPE OF WORK Description of work:
Construction Cost: Multi-Family Building: (Yes I No
':ONTRACTOR Name: License
Address:
City: Stater Zip:
Phone: Contact Pers :
COMPLETE THIS AREA ONLY IF CONSTRUCTI G A NEW BUILDING
Minnesota Rules 7670 Category I Minnesota Rules 7672
• Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Submitted Submitted
• Energy Envelope Calculations Submitted
e City of Eagan issued a permit for a similar plan based on a master plan?
d address of master plan:
Phone:
vo~ Phone:
Phone:
nts that you submit are considered to be public information. Portions of
on-public if you provide specific reasons that would permit the City to
^lude that they are trade secrets.
accurate; that the work will be in conformance with the ordinances and codes of the City of
'placation for a permit, and work is not to start without a permit: that the work will be in
quires a review and approval of plans.
rO
Qa9e x
Applicant's Signature
Page 1 of 3
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C. R. WINDEN & ASSOCIATES, INC.
LAND SURVEYORS Tel. 645-3646
1381 EUSTIS ST., ST. PAUL, MINN. 55108
For:
U. S. Home Corporation
N
EAGAN
REVIEWED
DATE: 417 L
BUILDING INSPECTIONS DIVISION .G'Apec _ I r
Scale: 1" = 50'
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Lots 1 through 4 inclusive, Block 10,
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 thisday of Ocy, A. D. 198 / C. R. WINDEN & ASSOCIATES, INC.
A d r
by
Surveyor, Minnesota Registration No.
�� I�, �l9 l � �l�-, L�l �, �� ��� � J�- , Use BL13E or BLACK ir�k
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i For Office Use �
'} �t j Permit#: ' l I j
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��� � Permit Fee: � �
383U Pitot Knob Road ;
Eagan MN 55122 1 Date Received: j
Phone:t651)6i5-5675 t Staff: 1
Fax.(651)675-5894 � �
- � .. . . . . . . .. .. .. .. . . . . .. . �. ��.���J .
20'1A� RESIDENTiAL BUlLDING PERMIT APPLICATION
oac�: �-�I�`j`� s�naa�s:�6 l 3 1-!� l`5 �1� ��l��v� tv✓� un�t#:
€ Name: Ll!�/�l?i'a� ��1 �- !e�t,v��1,�^�r2� �Phane: �
Resitlertt/ ,
owner aadress�c�Y��p: ,���"� ��-'
ApPlicant is: Owner � Cont�actor �
Description of work: �'Gv�''� ��� � �� '��o'�'�
Type of Wor�€ <
Constnaction Gost:��'i!�� � Mut�-Family Building:(Yes .� I No„_,_�
� /" f( sy/ 4'
Company:11/G�YZt/�.5 7� �,,�,7.f��r�r�t�'�t��5 '� Contad:��r s� �G�t���
C4t1#t�4'�A!' Address:���j� Z�`6?�/ �7� yr�Y� � City:l�l�'�t" t�tZl��'''�.--
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state:�z�p_ `'�.��`� Phone:�f��`"�'Emait:�+m��j.��-r,��:s7"�.c���"�'���"��
ir�R �7 ���_��r.�yl c� }
{_IC@flS@� �� +tA � L@fld�Rf'�I�Ca�#:I�J�L°t""�..�1' j 1 f 6.�.? �!
I�the project is exempt#rom lead ce�tification,please expiain v�►hy: (see Rage 3 for additional inforrnation)
- COMPLETE THIS AREA ONLY IF CONSTRUCTiNG A NEW BUtLDING -
!n the tast 72 miont , the City of Eagan issued a pertnit fcu a similar-planbased on a master ptan? �
,,rYes _No if yes,date and adctr f master plan:
Llcensed Plumber: Phone:
Mechanical Gontractor: , ;
Sewer&Waber Co r. Phone: ``'��„p,
��1t7XE: ° s�r►r#suppc�r�r��s>c�m�rrts��Kaer submrt are�ansi�l�red'#o be publ�c ic�`e�r���r #�ns:�'
� � � �.
,rnfareriatz���ra,��r�class�e�f as r#cc�r�-pubric if you pr�viai�specff�r�asax�s�woul�perm����`ta'
co�cl�de tha�the �re+��i�s�cr��s
GALL B�FORE YOU DIG. CaII GapherState One Calt at(651}454-0002 for protection againsf underground utility d�mage. Caii 48 hours 'i
before you intend to dig to receive locates of underground utili6es. www.gonherstaTeonecali.oro
i hereby acknowledge that this information is c�mp�te and aa�rate;that the work wii4 be in confarmance with ihe ordinanc�s and codes af the City of
E�ar►;#fiat i understar�d this is not a pe�nit,but ortty an applicatian for a permit, and work is not to start wiihout a permlt;that the work-wi[I be in
ac�ordance with the aPProved ptan in ft�case of uaark which requires a=eview ar�d approval of ptans.
Exterior work autMorized by a bulldi�permit isstred in accor�nce wi�the Minnesota State ildir�g Code m�t 6�compieted w�th9rt°!80
days of pernt(t issuance. _
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AAp�iicanf s Printed Name T ` ' arrt's�ignature '
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA142359
Date Issued:04/27/2017
Permit Category:ePermit
Site Address: 4613 Penkwe Way
Lot:1 Block: 10 Addition: Johnny Cake Ridge 3rd
PID:10-39802-10-010
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Insert
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 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 -
Tracy Prow
4613 Penkwe Way
Eagan MN 55122
Practical Systems
4342B Shady Oak Rd
Hopkins MN 55343
(952) 933-1868 X205
Applicant/Permitee: Signature Issued By: Signature