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4617 Penkwe Way? r HOUSE HEATING TEST RECORD ApDRESS ? r?b L1 C ? C- APT. FLOOR _ (YLCUPANT? 01MNER HEAT LOSS DATE HTG. I ST. SOLD BY ? INSTALLED BY - CITY SUBURB Elsetrieal Work By Gos Line By ' TYPE OF HEAT GA FA- ,)(-HW STEAM SPACE HTR. UNIT HTR. OTHER GAS DESIGN CONVERSION MAKE Leh?'?? MAKE OF BURNER Modol Gr 6 vc3ee' c,Model Seriol S??2 6 2.2 2°2 ?Y Max. BTU Rafing (NPUT MAKE OF FURNACE Model CONTROLS THERMOSTAT Heot Plvy j Vent Size Valve KIND OF LINER4 '4-4- SIZE J' NONE Limit braft Hood / Regulator Limit SeHing- \+\ Filters Sizs ? Number Fan Setting ` Chimnsy Location Insids Outside Pilot TYpe Chimnay ConstrucFion Pifot Maks Pilot Model _ Pilot Timing L.W. Cut Off $moke Bomb Wiring _ Test ToQ Draft Door Pressure Lighting Inst. Presaure Pereant C02 ? Dcte Tsated InputCFH Peresnt O ? 2 Company Testing $tack Tsmp. Percent CO -/` !+s^? Name of Testsr T,l r„?L/E Form 235 .,.. ..,.._.._, .,__._ .?=av 111M EAGAN Remarks Additio JOHNNY CAKE RIDGE 3Y'd ADDITION Lot 1 Alk 9 percel #10 39802 010 09 Owner Street 4617 Penkwe Way State Eagan hAI rs"9 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. SS 1981 Paid und r OT1 inal arce STREET RESTOR. GRADING SAN SEW TRUNK 1975 pAld UI1Cl Y' original arce *SEWER LATERAL WATERMAIN ,tWATER LATERAL WATER AREA 442-2- 1 Sl Ull Y' original arce STORM SEW TRK s *STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT Road U it WATER CONN. OUILDING PER. 6931 SAC 525.00 PARK CITY OF EAGAN Remarks " ,4ddftion _ JOHNNY CAKE RIDGE 3rd ADDTTT(]N Lot 2 Bik ? Parcel owner ? 6vf l,Q?? street 4617 s Penkwe Way scare Pa.aar? !dN S5122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 19$1 Paid und r 02'1 inal aree STREET RESTOR. GRADING SAN SEW TRUNK 1975 Paid UIICl r original arce *„SEWER LATERAL WATERMAIN *iNATER LATERAL WATER AREA ZZ 1980 Paid WICl I' original arce STORM SEW TRK S *STORM SEW LAT 1991 CURB & GUTTER SIDEWALK STREET LIGHT Road Unit 185.04 27333 10-19-81 waTeR eoNrv. 335.00 " " BUILDING PER, 6932 sAC 525.00 PARK CITY OF EAGAN Remarks Addition JOI-WM CAKE RIDGE 3rd ADDITION Lot 4 Owner ??•? ?1?`{ ??'? ? Street 4619 Penkwe 9 Pefc,l # 10 39802 040 09 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 1 r e STREET RESTOR, GRADING SAN SEW TRUNK 1975 Paid und r ori inal arce i,SEWEH IATERAL WATERMAIN -AIfVATER IATERAL WATER AREA L 198 PS1C1 1171d Y' Or]. 11151 arce STORM SEW TRK s *STORM SEW lAT iggi CURB & GUTTER SIDEWALK STREET LIGHT Road Unit WATER CONN. of BUILDING PER. fi 3 SAC 525.00 PAR K CITY OF EAGAN Remarks Additfon Lot 3 eik ? Parcel #10 39802 030 L09 A Owner?, -% j1°:a'. { 1,0 ;T- street 461 PerLkwe WaK seateEagan PflV 55122 Improvement Date Amount Annual Years Payment Receipt Dste STREET SURF. 1981 Paid U71d T OTl inal arce STRE£T RESTOR. GRADING SAN SEW TRUNK 1975 Paid Wld T OTlgli181 arce *SEWEA LATERAL 1MATERMAIN *WATER LA7ERAL WATER AREA kd PSl ilIld x' original arce STORM SEW TRK s 1981 .,FSTORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT Road l7nit 185.00 27333 10-19-81 WATER CONN. 335.00 BUILDING PER. 6933 SAC 25.00 PARK CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE necerveo ? -1 noe?u 19 AMOUNT $ I 6 DOLLARS ,oe 3 ? CASH ? CHECK FOR ?? . . _?. . . . CA Thank You BY White-Payers CopY Yellow-Pocting Copy Pink-File Coav Reoeipt MECHANICAL PERMIT Psrmit No. CITY OF EAGAN Fee Fill rn numbered spaces S/C • Type or Print /egib/y Tot. '.?Ji'.,?':.,? '?7UVJ?i?r? . • 1. Date - 2. Installation Cost ' ! 3. Job Address' ? •` y Lat Blk. Tract 4. Owner 5. Contractor - . ; :• ., ':-? - = r' - y. ? Phone 325-68E7 6. Address 7. City 4637 ' , . , •.:. , i14. -.o J'_.• if?? Mp1-s• State ':. 8. Building Type: Residential 0 2ip Commercial 13 Institutional O 9. Work Description: New 0 Add ? Alter ? Repair ? 10. Describe'--`" - --- -•• FuelType ? . 11. No. 1 Equipment 8TU - M. Ea. Forced Air "?G t OCX) No. EQUipment CFM Ai H dli I Mfg. r an 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 I agree to comply with all ordinances and codes governing this tYPe of work. Signed : for Rough F inal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 ?? ••• cirr oF E?GAN it v9 3795 Pilot Kwob ResA Eegow, MN SS122 PHONE: 454-8100 BUILDING PERMIT Receipt ;qt Te be used iw Est. Value Oate 19 S(te Addrcss : i;:r , Erect [] Octuponq Lnt Block Sec/Sub. ' l},r`'?•t r`? ' !" .'?i n Alter ? Zonlnfl Porcel # ?r; Repoir ? Ffre Zone E l T F C n orpe 0 ype o onst. W No? Move p # Stories Z Addrcss Demolish p Length , ? Ci Phone Grude ? Depth ? i Sq. Ft. ? Nome Approvats Feas Assessment Permit ' v? Address W 8 5 5 h ? Ci phone ater ew. cr9e urc u? N m Polite Plan check . W W o e Firo 5/1C ? Z - Address Enp Water Conn. ? ?, . <W G Phone Plonner Water Meter Council Road Unit I hereby acknowledge thot I have read this applicotion ond stote thot Bldp. Off. the informotion is corred and agree to comply with oll opplicCble ^? Taol Stote of Minnewfo $tofutea and City of Eagan Ordinances. Siynoture of Pem+ittee I A Buildiny Permit Is issued to: a+ the exprets condiHon ttuat oll work sholl be done in atcordonee with all oppliaoble State of Minnesoto Statutes and City of Eoflen Ordinonces. Buildlnp Offlciol Psrmit Na PKmit Holdsr Mise. Permit No. Holder Plumbinp H.???.G 37 UC? (,?? ( r-- to -7 gZ w.u w,rn D'sp. S?vwr ENrt?ie lJ 2tt `15 BE?? ? [-;.C Irapeetion Dots Insp. Other FootinqB Foundetion Freminq Rouyh Plbp. . Rough HVA Inwlatfon ? Final P16q. , ? Finsl HVAC Finsl wsbr DsscriM Locetion: Well ' t 8ftwr . Pr. DisP. ? Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN Fse - Fil1 in numbered spaces S/C Type or Print legibly - , - , Tot ? ? ,1. Date 2. Installation Cost ' 3. Job Address l f4: t' Lot Blk. Tract T 4. Owner 5. Contractor - jk' Phone , 6. Address U 7. City ;'C i (J ??- State Zip • , _I 8. Building Type: Residential q Commercial ? Institutional ? 9. Work Description: New E1 Add ? Alier ? Repair ? 10. Describe 11. No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner Shower Well r 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 ardinances 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 PLUMBING PERMIT Permit No. GTY OF EAGAN Fee Fill in numbered spaces S/C Type or Prinr /egib/y Tot. 1. Date 2. Installation Cost 1 ? -- . 3. Job Address Lot _Blk. ' Tract ? 4. Owner 5. Contractor-i i I c i i,;., Phone 6. Address -) f ?• _ j ) i,- ? ,. ?.- 7. City StBte Zip 8. Building Type: Residential Commercial ? Institutional ? 9. Work Description: New 'fp Add ? Alter ? Repair ? 10. Describe 11. No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield ? Bath tubs Septic Tank Lavatory Softner 1 Shower Well Kitchen Sink Urinal/Bidet Other L Laundry Tray _ I' 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: Uate Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 ?-z Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee Ffll in numbered spaces S/C Type or Print legrb/y ' Tot. 1. Date 2. Installation Cost { • : . 3. Job Address Lot ` Blk. f Tract 4. Owner -? • • ?- ? ? - • 5. Contractor - • Phone 5-(- ` / 6. Address 7. City State 2ip B. Building Type: Residential 0 Commercial ? Institutional ? 9. Work Description: New Q Add O Alter 11 Repair 13 10. Describe ZPNt 1-1 forced r_i:' he Fuel Type ` C, "-73 11. No, - EqJpment 8TU - M. Ea. Forced Air ' : (' ( No. Equiqment CFM Ai H dli , Mfg. an ng: r 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 454,6100 CITY Of EAGAN • ' 3795 Pilet Kwob Road Eegan, MN 55122 PHONEs 454-8100 BUILDING PERMIT Receipt ?t Te ? mmd /er Fe* VnL.& 'l?'Mre Site Addreu '?v l rlflil W" ; Lot BIoCk Sec/Sub.''-)}'Trx CFl},r' :!11r11 P Parcel # ?I' = ,, Name -rrin '!'hc;c,pson Ho::es W i llddrcss ,,'' - ,iop'-in^ C---os3rcn' 9 - ... r. c 7/ 7 w. c, // ` Nome " 0 Address ? ru., oI.,..,. Ncme _ Address edge that I have read this application and state that Is correct and ogree to comply with oll opplicabla otu Stotutes ond City of Eaflen Ordinonces. 20 p ?'21 Ercct [3 Occupancy Alter ? Zoniny Repoir ? Fire Zona Enlorpe C] Type of Const. Move p # Stories Demoliah Q Length , C,rode ? Depth ? Sq, Ft. Approrals Fses Assessment Permif Wofer 8 Sew. Surchorga Police Plon check Firo SAC Enp. Water Conn. Plortner Woter Meter Council Road Unit -- Bldy. Off. 11PC Total Sipnaturc of Permittee ? A Building Permit Is issued to: on the expren condlfion tFxir oll work sholl be done in atcardonce with oll opplioabls State of Minnesoto Stotutes and Ciry of Ecpan Ordinonces. Buildinp Officiol Psrmit No. Permit Holder Mitc. Permit No. Nolder Plumbing -7-7 w y - ( H.V.A.C. 3,-10,5 M '7 WeII wm. Disp. Sower Electric wZll-7 q Inspection Da" Insp. Other Footlnqs 81 Foundation Framinp Rouph Plbp. ?. - Rouph HVAC ? Inwl.eion y Final Plbp. Final HVAC -? F{nal a 9?? Waur Wsaibe Locstion: YVell , Sswer Pr. Ditp. , Reoeipt - PLUMBING PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Prini legib/y Tot. 1. Date 2. Installation Cost ?- 3. Job Address ?"i' Lot ?' ,, Blk. Tract --?- 4. Owner _.'h A 1 I V ! 1 IG 1 ??,}f .:< )?- ? 5. Contractor ; t c, l?( r1 i Phone ? 6. Address 1%r l )f L, .?' 7. City Stpte Zip 8. Building Type: Residential b(. 9. Work Description: New Lf\ 10. Describe 11. Commercial ? Institutional ? Add ? Alter O Repair ? No. ? Fixtures Water Closet No. Fixtures Cess ool/Drainfield ? Bath tubs p Septic Tank ;` Lavatory Softner Shower Wel I ? Kitchen Sink Urinal/Bidet Other ? Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed: for Rougfi F inal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 Q-Z Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee fill in numbered spaces S/C • Type or Prini /egi6ly T t • % : o . • . 1. Date (1'3`'?'= 2. Installation Cost 130O,D., • 3. Job Address"l Blk. ?'r Tract 4. Owner 5. Contractor ?•? N. :L L2--.:. .. : : . Pho ne 6. Address 4637 CtLiCn??r3 . .:? . 7. City State Zip 8. Building Type: Residential 0 9. Work Description: New ED Commercial ? Institutional ? Add 0 Alter O Repair ? 10. Describe '13tall foroed ait flu•n. Fuel Type -,t ?,s 11. No. ? E,quipment 9TU - M. Ea. Forced Airl7'(A) No. Equipment CFM Ai H dli Mfg. an ng: r Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. GaS, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with 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 4648100 CITY OF EAGAN 4-• ? ? , 3795 Pllef Ksor Reed Eegan, MN S5122 ' PHONE: 454-8100 BUILDIN(', PERMIT Receipt # Te be uMd iw Est. Value Dete ?„ t 9 SiM /lddrcss ? r tu-' Erect 0 Occuponty t L .?. --,1 , Bl k 5 S Alt Z i o oc ec/ ub. er p on np Parcel Repair ? Flre Zone _ Enlorye ? Type of Const. W No? Move p ?t StoNes ? Address ?. Y' , . :,I.Otid pemolish ? i _ Length r,?„ • ?' ?' `o?..,..? ?A-73, ' Grode ? „ _ Depth Sa. Ft. t Nome _ ?? Address F r:.,, Nome Address I hereby acknowledge that I heve reod this opplicntion ond state that the inlormotion is correct and agree fo comply with oll applicable Stote of Minnesoto Stotures ond City of Eagan Ordinances. Assessment _ Water 8 Sew. Police Fire Enp. Plonner Council Bidg. Off. - APC Permit Surcharpe ' Plon check SAC ' Woter Conn. Woter Meter Road Unit ? Totol Slflnoture of Pertnittee ? A Building Pertnit ls issued to: on the express toridition thn+ all work shall be done in xrnrdarxe with ell opplicoble State of Minnesota Statutes ond City of Eopen Ordinonces. Buildirg Offtctol Parmit No. Psrmit Holder Misc. Permit No. Holder Plumbing 2-U--r (,0 H.V.A.C. je2Q 1,1? fz?•?. E t- 10'7 w.u w.c.? Disp. ,S?vwr ENctric w z( I(p? B I??E<< /e-I$"?Z Inspection Dete Insp. Other Footinyt ?./D,g Foundation Fnminq Rouqh Plbg. - Z L • • Rouyh HVA i6 Inwlation ? r Final Pibp. Find HVAC . Z ? Final r 'F (4?7 Wster ?ibe Loestion: Well t Sewar , Pr. Dap. o _ ?? ... .. . S? . CITY OF EAGAN ' ? 3795 Pilot 1[nob Road Eagan, MN 55122 ' PHONEs 454-8100 BUILDING PERMIT Receipt # Ts 6e wmd fa F4& VnIir. , M?e "' '1' 2 Site Addross Lot Block Sec/Sub. p Porcel # /lddress '? I'O :' :.i I'Ofl c' ? I Ncnw ?? .,. , o Name ? t/lddreu ?- rifi, 06,,,... Name _ /lddress I hereby acknowledge that I hove reod this opplication ond state thot the inlormotion is correct ond ogree to comply with all npplitoble Stote of Minnesoto Stotutes and City of Eogan Ordinances. Erect ? Octupanq Alter ? Zoninp Repalr ? Flre Zone Enlorpa ? Type of Const. Move ? # Stories Oemoliah ? Length Grode ? Depth ? Sq. Ft. Appro vals Ftes Assessment _ Worrr & Sew. Police Firo Enq. Planner Councf I Bldy. Off. _ APC Pe?mit Surcharge Plon check ' 5/1C Water Conn. Water AAeter Rood Unit Totol Signature of Permittee I /1 Building Pertnit Is issued to: on the express tonditlon tlxat oll work sholl be done in accordonte with cll opplicoble Stote of Minnesota Stotutes and City of Eapan Ordinances. Buildlnp Officiol Permit No. Permit Holder Mise. Permit No. Holder Plumbin9 •? `7 G?n zc ?Z-I b-?I H.v.a.c. w.u Wrtar Disp. Sewer Eiectric W ZlI(o?o BEI E?EC ? l0-(8=$Z lla7 U,?.<?u? InspeMion Dats Insp. Other Footlnqs -?j.?, Foundetion Framing Rouph Piby. O- ?8r Gc? Rouph HVAC Inwiation j/ ? Final Plba ? Final HVAC ?J OVY Final waur Dsscribe Location: VYell . Sowar - Pr. Disp. Receipt PLUMBING PERMIT Parmit No. - - CITY OF EAGAN Fee fill in numbered spaces S/C Type or Prinf /egib/y Tot 1. Date 2. Installation Cost 3. Job Address " 1 !-r i,'Lot / Blk. f Tract ' 4. Owner 5. Contractor ?,. ??; , I i c! •? Phone 6. Address 3 i : c, ! _ )i ` i ,-'C- 7. City _ ; I ? i I fj State i ) l f") Zip .0,!'? ?- 8. Building Type: Residential Commercial O Institutional ? 9. Work Description: New 91 Add ? Alter O Repair O 10. Describe 11. No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield / Bath tubs Septic Tank ? Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray / Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, end I agree to comply witli all ordinances and codes governing this type of work. ? Signed: ? f -,.I ' ?. ' for Rough l F inal Inspections: Date Insp. Date Insp. This is yaur permit when numbered and approved. Approved CITY OF EAGAN 454,8100 Receipt MECHANICAL PERMIT Permit No. • CITY OF EAGAN Fee Fill in numbered sioaces S/C Type or Print legibly Tot. 1. Date ` 2. Installation Cost ?'? •' 3. Job Address '.'Lot Blk. Tract ? 4. Owner 5. Contractor Phone -' 6. Address 7. Gity " - State Zip ' 8. Building Type: Residential El Commercial ? Institutional ? 9. Work Description: New (D Add ? Alter ? Repair ? 10. Describe f'o: cou .i^ "e t Fuel Type 11. No. ' Equioment BTU • M. Ea. Forced Air, ',j. 1), ?- No. EQUipment CFM Ai H l Mfg. r and ing: Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply w(th all'ordinances and codes governing this type of work. Signed : for Rough Flnel Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Aqproved CITY OF EAGAN 4646100 CITY OP EABAM WATER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Eoi-tn, MN 55122 DATE: Zoning: No. of Units: Owner: " ? "`-• - Address: 99 3 C 83d°e 11 Site Address: " Plumber: _;35'It? ' MPter No.: Connectiai Gharge: Size: Account Deposit: Reader No.: Permit Fee: _ 1 ogree to eomplp wifh !he City of Eagan Surchorge: Qrdineneat. Misc. Chorges: Tota1: BY Dote Paid: Dote of Insp.: I nsp" ? CITY OF EAGAN ` 5706 Pilot Knob Rood . r .v)on, MN 55122 , ZOnitTQ: 11 rj.Tl '.:C? •,<,?-.. Qwner. Adoress: Site /4ddress' ' . Plumber: 1. a9res to oomPhr wah &e CIty ol Ea9on Ordinanees. By - Qate ot Inup•: Connection Charge: ?. 5 Account Deposit: Permft Fee: Surcharfle: Misc. CFarges: Totai: Dote Pofd: WATER SERVICE PERMIT CIn pF EAGAN pERMIT NO.: ? f i = ? - 3795 Pilot Knob Road DATE: . - - • ` Ea9at, MN 55122 -, , - No. of Units: 1 Ullit Zoning: -- Owner: - - - Address: . , ; t- .•, *e . ? ??? :;c: ' - ;Site Address: ' . ??. ??0 335 . F'lumber: horge: Connection C Meter No.: Account Deposit: Size: permit Fee: . D ?j nL Reader No.: Ci of Eagan to eomPb witl? the tY Surcharge: s: 1 a9? Migc, Chorge ?. Ordinancos. Totai: ? Date Paid: BY Insp.:-? Date of Insp.: SEWER SERVICE PERMlT PERMIT NO.: DATE: i un r 1: - t-r, :• No_ of Units: J CITY OF BAGAN SEVNER SERVICE PERMIT 3745 PIlot Kno6 Road PERMIT NO.: Eogc: MN 55122 DAl'E: 1, ; 1G ` I Zoninp: , ` No. of Units: 1 sr i t '' . O1Knflf: OTTjP. Address: Site /lddress: 4?1R J C r? *?• - - - Plumber: ' !' I '' 1 ?;. •' - ? ! , 1 % : , .. . j'1?7 , " -,, . I yre* M eomply wuh tbe Cihr of Eagon Connectlon Chor+ge: Ordinanqs. AcoouM DepOSit: Pertnft Fee: _ Surcharpe: BY Misc. Charpea: Date of Insp.: Totol: I nsp.: Date Poid: ?-_- CITY OF LAAAN WATER SERVICE PERMIT 3745 Filot Knob Rood Ea9na, MN 55122 PERMIT NO.: Zory-ng: i' DATE: No. of Units: ?'-jTij t t.^.}tr: ? Owner: GI'rin `;i-,_r , Address: Site Address: L2 E9` ? RJL$ III Plumber: Meter No.: Connection Charye: Slze: Reader No : Account Oeposlt: . Permit Fee: 1 eyMS M wmplr with the Citr of Ea9an ? Surcharge: Ordinoneq, Misc. Chorges: Total: B Y Date of Insp.: Date Paid: ,-- - ? qTY OF EAGAN SEYVER SERVICE PERMIT 1S79S Pllot Knob Rood PERMIT NO.: ' I le9en. MN 55122 -' DATE: ;r 1 { Zoning: . No. of Units: 1 ' ? Owner: rr n ?o!:n?.? ??t; i 7 0 ML J /lddress: $ItC l,ddrlSS: f!t1 e waV I, I ? J , ,.? 7 ' Plumber: n 1oorN to oewpy wN6 fw Ciqr ef Eato¦ Connection Charge: Ordinanees, Account Deposit: Permit Fee: Surchorpe: BY Mist. CFaroes: Date of Insp.: Total: Insp.: Date Paid: CITY OF EAGAN SEWER SERVICE PERMIT 8795 Pilot Knob Rosd PERMIT NO.: Eayon, MN 55122 DATE: Zoniny: No. of Units: %. tinit' tn'. OWn8r: ?' - -?]C 'C? _r Address: Site Address: `-617 TIi Plumber: ` ,'333 1X9 , I pno te omolp with !IM Citp of Eagen Connettion Qwrpe: Ordinences. Account Deposit: Pertnit Fee: ' Surcharps: By Misc. Charqes: Date of Insp.: Totoh Insp.: Dote Poid: WATER SERVICE PERMIT CSTY OF EAGAN 3795 Pilot Keob Rood PERMIT NO.: Mti 122 DATE: •' ' 1-' Ea9an 55 • , . untt. , .. Zon:ng: No. of Units: O Wner: Address: Site Address: ?r '^ '.? c'_ ? rt•:' T B9 .I C Plumber: Meter No.: Connection Chorge: Size: Account Deposit: Reader No.: Permit Fee: 1 egrae M oomplr wkh tM Cih OF lo9Iv" Surcharge: - d : Ordinanas. 1 : s - Misc. Charges: , Totol: g Date Poid: y Dote of Insp.: Insp.: ?. , r J, p •? 4YENIEL EATlM6 A NWAIMCONDMONINO We have moved! Please note that our new address is as follows: 4145 Sibley Memorial Hwy Eagan, MN 55122 Main Phone: 651-894-9898 Main Fax: 651-894-9955 .0 HOUSE HEATING TEST RECORD ADDRESS 7b/7 /?'?V?" qpT.-FLOOR OCCUPANT OWNER HEAT LOSS DATE HTG. INST. 50LD BY INSTALLED BY Elecirical Work By Gas Line By TYPE OF HEAT GA _ FAN? HW -STEAM SPACE HTR. -UNIT HTR. -OTHER GAS DESIGN CONVERSION MAKE E OF BURNER MAK Vo36 c Model C?? 0 41 ;2'! Model Sariol Sgo-7 G 6 Mox, BTII RoTing 2 n INPUT MAKE OF FURNACE Onf' Model CONTROLS THERMOSTAT Heat Plug Vant $ize Yalve KYND OF l1NER{'3 k^+-A_ SIZE? NONE Limif Droft Heod ! Ragulater Limif SeNing Filfars $ize i Number Fan Setting Chimney Location Inside Outside Piloi Type Chimney ConstrucTion Pilot Mnke Pilot Medel ? $moke Bomb Wiring Pilot Timing 0.aft Test Tag L.W. Cut Off Door Pressure Lighting Inat. Prossure ?- s ? Percenf CO ? Daee Tested Inpuf CFH ? Percent 0 ? Company Testii g Stack Temp. 35K 2 Percant CO jy^'a"-41 Name oF Tester I_? 4e Z,' CITY SUBURB ?V Form 235 This re.quest void 10 'iO 18 months trom VV 2 1175 L3 I E, 91 T.c 2, '?> t-a 3aso3 3.,'Z , So flenties[ ate , ? ? Fire No. RouOh-in InsPer.tion Re ire d? ?-,(1?.? ?Ready Nuw'° II NotJV InsPee- o ?Z-- ? ` ?Yes ?NO ? for When Ready &ucensed Elec[rical Contractor 1 hereby reqvast inspection of aFOVe rj' Ownur nlechical work insmllad et 5 eet Address, Box r Route Na. Q IS '?L P?? CitY ecLOn o. Townshlo Name or No. RanBe No. Cowrty Dia"74 OccuOent(PHINT) cRWrI `f-ADP'+l 4ty?+o Phone No. ,POwer $up p liar AOtlress Q ? R+• I ?j{?? ? I??1 ? ?ti lJ? W Elecvical Con« actor (Company Name) Convacror's License No. Bell Electric CoMany Mailing Atldress IConVactor or Owner Making Instailationl 1411 E. Cliff Road Burnsville Mn 55337 Authorizetl SiB?emre ( nh or Owner Making Instailation) Phone Number 890-5505 MINNESOTA STATE BOAPD OF ELECTRICITY . THIS INSPECTION HEQVEST WILL NOT Griggs-Midwav Bltlg. - Ibom N-781 BE ACCEPTED 9Y THE STATE BOAHD 1827 University Ave., St Paul, MN 55706 UNLESS PNOPEN INSPECTION FEE IS o1.....e f6121297-2111 . ENCLOSED. REQUEST FOR ELECTRICAi_ INSPECTION EB-n00oi.oa ?] ' See instructions (o, cumpleling thls form on beck of ynllow copy. 1 5 u. 'X.' Below Wark by This Request ?j Z S O 3 NAtltl Aep. Type ot 9uiltling Appliences Wired Eqvipment Wirad Home Cf- Range 5 Temporary Service Duplex 'Apt. Buildin,y Commercial dy. Bl Water Heater Oryer umace Lightiny Ffxiures Electric Heatin Silo Unloader Industrial Bl dg. Air Conditioner Bulk Milk Tank 7? H FLrOI Other p2ci y Other (SVecify) [her Snecify Ot ar Other Eompute /nspection Fee Below Y Fee ServiceEnxranceSize q Few Feeders/Subfeeders k Fee Circoits 0 to 100. Am s 0 to 30 qm s 0 to 30 Am s t 101 to 200 Amps 31 to 700 Amps 31 to 100 Am s Above 200 Amps Above 100_Am s Above 700_Amps Transiormers Remote Control Circ. - o Partial% r Fee Signs Speciallnspection $ oO (o Remarks ' 3?• I w flough-in _?), ' ? i1? I. EIecV' PO? '? Inspector, hereby Flnal ? p?1e??, cercify thet the above inspection hes been ? A l:meda. This request void 19 .on..r6o h-, This reques[ void??? L ? L.- months from t T 21174 c,?.3r l 3zso3 3o.da Reques[ D ?? te j? Fire No. Rough-in Insuection Re urzed? ill No(ity Inspec- ?Ready Now 01 4 ,es ?NO 1 . . r When Ready . Licensed Elecvical ConVactor I hereby request inspection ot ebove ' ? Owner electncal work installed ar eet Address, eoz or Route No. w City r? ecUOn o. TownshiD Name or No. Banpe Na. Counry . DA"TA Occupant (PHWT) Phane No. ?'f,^?Or r 0" .-?+?Gr` "W5 Power Su pplier Address / Electtical Contrac[or (COmOany Neme) Cnnnacmr's license No. A39525-2 Mailine Address IContractor or Owner aki g Instailationl 1411 E Cliff Rpad Burnsville 55337 ed ignau¢ onr ctodOwner Making Installationl ' Phone Number Au j `? THIS INSPECTION qEQUEST WILL NOT MINNESOTA S ATE BOAflO OF ELECTRICITY Griggs-Midway Bldg. - Room IY•191 gE ACCEPTEO 9Y THE STATE BOARD 1821 UniversitV Ava., St Paul, MN 55100 UNLE55 PROPEX INSPECTION PEE IS ' ENCLOSED. e.___ iato? oas.o'll ' REQUEST FOR ELECTRICAL INSPECTION es-ooom_os ? 1.? q. ' Seo instructions for completing this form on bxck ot yellow capy. uo "X" Below Work Coyered by This Request ?j Z S 03 leyi Add flep. fype of BuilAin9 Apoliences Wiretl Equipmenl Wired ?., Home Range C* Temporary Service Duplez Apt. Building Commercial Bldy. Wa[er Heater Dryer FumaCe Lightin Fixtures Electric Heatin Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Fi rm Other ,peci y Other (Specify) tncer SUer.i y Other , Oth3r Compute Inspecrion Fee Below q Fee ServiceEnhance5ize N Fen Feeders/Subfeedera # Fna Circuits 4 0 to 100 Am S 0 to 30 Am s Zjo 0 tn 30 Am s 101 to 200 qmps 31 to 100 Amps 31 to 100 Am ASove 200 Amps Above 100-Amps Above 100_Am 5 Transtormers Remote Control Circ. Partia4'Other Fee signs Special Inspection $3fl50 TOT L FE Remarks . E 7rn (50 ?..r 'Hough-in D e r 1, the Electrical ' ? Inspeclor, heraby Fina1 ? p ?? certity thet lhe above ? inspection hes been - made. TM1i, ct v irl 18 months from ?I REQUEST FOR ELECTRICAL INSPECTION ? EB-U0001-03 1+n3 2 1 1 6 7 0 See instructions for completing chis form on back oi Vellow copy. ~? "X" Below Work Covered by 7his Request 3 z. s o 3 Atld AeFC " TVpe ol Buildine AODli.nces Wired EqYipmani Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heatin Commercial 81dg. Fumace $iIo Unloader Industriat Bldg. Air Conditioner Buik Milk Tank Farm Other pecAy ther ISpacifyl t er pecify Othor Othur Compute lnspr. ction Fee Below N Fee Sarvice EnbenceSize p Fee Feedars/Sabfeaders # Fee Circuita .00 0-to 100 Am s 0 to 30 qm s 2SU U to 30 Am 101 to 200 qmps 31 to 100 qmps 31 [0 100 Am Above 200 qm s Akwve 100-Amps Above 100_Am s TransPormers Remote Control Cira 5 Partial%Other Fee Signs Special 6ispection S z ? \ Q Remarks 37, ? T FEE J ._r9 / ' / Roueh-in /?J• Date I. rieel spe loheraby ertify thatlhe above Ffnal ? r n 0 l inspection hes been made. Thic reaueCt wl? ' 18 mnnths fiom Thisreques[void ,a monms f,om t1,14 21167 G:? , 9 9? -?=ct F-> , 3(-- CL 3ZSo3 3a .so flequ¢st Oate Fire No. Rough-in Inspectiun Reqmred? ' [313eatly Nopo NJili NolifY. InsPer.- {?-? bZ Ves ? Nn or When Ready Licensed Elecvical Contractor 1 hereb y request inspection ot above Owner elactricel work installed et Street Address, Bp or Route No. ' Citv Z P?N?w.? ?E(at7 ecllon o. Township Name or No. Range No. County DArm OccuI (P NT P?one No. ? ?46? CS Pawer Supplier Atldress ? /?.? .? ?,-vW? 1 V/j Electrical Convactor (Company Name) Con[ractor's License No. Bell Electric MailinB .Qddress IContractor or Owner akiny Instaila[ionl Authorized Sig ture (Conhactor Owner Making Installanon P one Number . ? MINNESOTA STpTE BOAPD OF ELECTPICITV THIS INSPECTION qEQUEST WILL NOT Griees-Midway Bltlg. - Raom N-191 BE ACCEPTEO BY TNE STATE BOAHD 1827'University Ave., St. Peul, MN 55104 . UNI,ESS PPOPEP INSPECTION FEE IS Plwne 18121 297-21111 ENCLOSED. a?„?/g7 REQUEST FOR ELECTRICAL INSPECTION EYB-00001-C0/5 . If See inatructions for comoletin0 thia form an beck ot vellow cooV. 1'r, 7A "R" Below Work Covered by This Request ['1ew1Add1 Asp.l Tvoe of Buildina 1 . AoolianCes Wired 1 Eqaipmenl WirM I ial IeC[ric p Fee ServieeEnlrencaSize tt Fee Feaders/5ubfeeders M Fee Circuits U to 200 Am s 0 to 30 Am s to 30 Am 1 Above 200 qmps 31 to 700 Amps 31 to 100 Am Swimming Pool Above 100_Amps Above 700_Am s Trans4ormers Ivigation Boorc?s PartiaL"Other Fee Si gns SVec ia l I nspec[ion Xemnrks TOTAL F? l ""d••-•" ? ??? [?yp,? I. tAe Ele?yjtal? ne.eby eertify thet the above Final ?"}?tp insoection hes been ,(?) (,/?•• mede. This rnquee.void ?//? 18 rtqnths' om C 8kb 74 Ll.iz.ci - 7Cd'4; 5Z "';Z7 oc , ..__... ... . •/ Repu?red? ? ?AeaEy Nuw M'iil Notify InsPec- ? ? es No lor When fleaAy Lj Licansed Electrical ConVactor I hereby reQUesl inspection ai ebove ? Owner elec4ical work inatalled aC SLe t Addres5, Boz or R No. Cit ection o. T wns i0 Name or No. Ranee No. County Oc »ntIPRINTJ ? Phone No. Pawer poliar Atldress Elect ' I ontracro, ICOmpanYluamel " Con a or's icensekp. Mailin AdJre ConVact`r or O ner Me ine Insta' 'onl ? Aut rize Signamre ICo uacfor ? ? wner Makine Insta ationl III Pho NumCer - ?DD MINNESOTA STAA BOARD OF ELECTRIGITY ? THIS iNSPECTION NEQUEST WILL NOT Origps•MiAweV Bltlg. - Room N-197 BE ACCEPTED 9V THE STqTE BOAND 1811 UnivarsitV Ave.. 6t. Peul, MN 55704 UNLE55 PROPEN INSPECTION FEE IS Phone(612) 662-0800 ENCLOSED. _ REQUEST FOR ELECTRICAL INSPECTION es-ooooi 03 pry' ?+?'?' 21166 ? See instructions tar camoleti»9 <his farm on back of yellow conY. ""R" Below Wak C6' iec+.by This Request NeX4Add j Fe2. - Typ¢ of 6uilAing Appliances WireA Equipment Wired Home Range Temnorary Service - Duplex Apt. Buildinc? Commercial Bldg. Water Heater Dryer Furnace Lightin Fixi es i Hectric Neatin Silo Unloader Industrial 81dg. Air Conditioner Butk Milk Tank Farm Other Spzci v ' Other ;SOecity) 0e7 pedfY Ot er pther Compute Inspection Fee Below q fee Service£ntrancaSiza N Fee FeadorslSubieaders H Fee Circaits (}Q 0 to 100 qm 5 0 to 30 Am s DL? 0 ro 30 Am s 701 to 200 Amps 31 to 100 Amps 31 to 100 A s ' Above 200 qmps Atwve 100_Amps Above 100-Am s Transformers Remote Control Circ. Pdrtia ' ther Fee SignS Special Inspection S O? OTA Re 3rks ?• L FE ..- Fough-in Date , i e Electtical spector, M1ereby certity thet the above Final „ ) J ?¢t??t insuaction has been / ?„aee. This repuest void t A ,.-IM1? £.o- This requesi voitl ??(( O $;m2t11 ? 6 L_ I I gq,. 71F- c? P_ ( 3+`-?1 32-so 3 3a, so Request Date ?1 ? ' Fire No. Rouph-in Insuection Ae rted? ' C:]Ready Nuv,?,Will Nmify InsOec- ? ? yes ?NO . mr When fleady _ p icensetl ElecVical Con[ractor 1 hereby requast inspection of above ? ? Owner electrical work installed e[: et Adtlress, Bax or Route No. Ciry ecLOn o. Township Name or No. Rnnge No. Couniy DA'--on Occupn m IP R INT I Phone No. ? ?? ( ? ' '7?? ??p? Y ??'?? 1'?-lrv +TT"?N ?{lvlVj Power SuOVlier Addres s ? p L f "oWW VTb'Av ElecVical Conttactor (Company Name) CnnUacmr's License No. Bell Electric Company A39525-2 Meilinp Address (Con[ractor or Owner Makinp Instailation) 1411 E Cliff RDad Burnsville MN 55337 Authonizetl Signaw (C nvactor/Owner Makinq 1^stallation) Phone Number 1 890-5505 MINNESOTA STATE BOAND OF ELECTRICITV THIS INSPEGTION REQUEST WILL NOT GriB9s•Midwey Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOAHD 1821 Universitv Ave., St. Peul, MN 65106 UNLESS VROFEB INSPECTION iEE IS e..___ m11, ooa?»l ENCLOSED. w.Pdifirtttr of Orru,pttnry Citp of (Eagatt arpartnunf nf Builditug Jresvrrfiim, Thit Ctrti ficate irtued pxiJUUnt ro the requirrmrnu of Sertion 305 0/ the Uniform Building Cadr urtif)rn8 that at tlx time of iJruarue tbir ttrurtan wuJ rn rom pliana witb the vosiou,r ordinunnt of the City rrgalaring building ronn+urtion ar uie. For the falloudnK: u,ci?rK,dm 1 of 4 PLEX 6933 Bley pemtlt xo. o..war*rro R3 TYa.c?u? V Fj,.z-. NA zqoe? PD o?,rewm,6 Orrin Thom son FomeAd?1712 1l02kins Crsrd. , Mtl:a. eYau9,we,m4h19'-s Penkwe Wa.. _ _ r..« 1 ,,, _ .. .. - • - - 422L? Br:- RidRe 3rd ,Bp w4: December 6 1982 .e., ,. . ?? ?. ,.s.e. C rrtifira#e of (Orrupttnry Citp of (eagan 13rpttrtment of luild'mg 3nsprrtimt This CeKi firatt ittual purrnaru to ibe nqturrmentr of Secnon 306 of the Uni form Bwilding Cadc cnei fying that at the timr of issuancr thit ttrurturr war ir+ ramplianrt witb eht variour wdinanrtt of tix City regulotmg 6uilding ronttrurtion or ure. For tAc fo!lauinK: th. ?m 1 of 4 PLEX Old, P? N. 6934 awwar'hw R3 7),wc?mo V siRz ,. NA z,&m.wn PD om„fwaa„y0rrin Thompson HomeAa.1712 Hopkins Crsrd, Mtka. -b,-L d ,r?,'t er: `otr?au ?_. o.a December 6, 1482 .o., ?. . ?.?a,. .?.F. ao?,.w? - -- - - - - C?trfifirtttr nf (Orrupttnry Citp of (Eagan lgrpttrfmrnt uf f?ixilD'mg 3nsprriitm Tbit Certi firatt iitutd purruant to the nqra+emenu of Section 306 0( rbe Uni form Building Code catifying ehat ar the timr of ittwvut tbit ttruaan war in tomplianre with the varioxc ordittuani o( the City rrgulutrng building rorsnraction or ure. Far the fo!lournK: 1 of 4 PLEX 6932 U. CWtllkaYm BId4 Pe?t N. o--war'nw R3 npcww?? v riRz. NA zmreoi.mcl Pn Orrin Thomtson m?1712 Hopkins Crsrd., Mtka. a„e,oreuudwe e,Ad,6lad?461715 PenYwe k'ay i?,YLot Z Rlock 9.Johnnv Cake Ridye 3rd Y BY )a t 4?? December 8, 1982 ??? 257Z_ p,,,: ?ter#ifirttfr nf (Orrupttnry Citp uf eagan Dc.pttrimmf uf iguilding Jnsprrticm Thir Certi ficatr ittatd purttutnt io the stqxisrmrntr of Seuioa 306 o f the Unr form Building Code tati f png that at the timt a f ittuanca thit thucturr wat in tom pliancr with the varioHr ordinarurlof thtCityrrgalatingbwldingtorsrtrrutionoruut. Fortlxfollounng: 1 of 4 PLEX Bla,.ft?fNo. 6931 o=wLLrTrw R3 hrca.,w?em V Firclm N? z?,rn.tan PD 0.ofBWdft Orrin Thompson ,dd,,,,1712 llopldns Crard., Titka. 8?,d.4617 Penkwe Way L.W;,,Lot 1,Block 9,Johnny Cake ? Ridpe 3rd ? December , 1982 cirr oF Er?aaN . 3795 Pikf Kaeb Road Eagan, MN 55722 PHONfs 450.8100 BUILDING PERMIT 1 of 4 PLX77C $48,000 Site hderess 4617 Penkwe Wa,v (Plan 88) Lot 1 Block 9 See/Sub. JOhiRy CBke R3d1 P,fel # 10 39802 010 09 3rd rc Name ui•i•a ii.v,,.y"...a , z? ?rea 1712 Hopk3ns Crossroad lfll- GG710 . F.//_7QZQ ? NOamer ou Addren 1- r:... M...... Name _ Address I hereby ackiwwledge that 1 have read this aDVlicotion ond state that the information is correct and ogree to comply with ull applicable State of Minnetoto Statutea and City of Engon Ordinances. Siqnature of Permittee A Building Permit Is issued to: ? all work sholl be done in accordance Buildinp Official N° 6931 Receipt # .._._ October YO 10 81 e.ecr XX o«uaoncr R-3 nirer p zoning PD Repoir ? Fire Zone NA Enlorge ? Type o4 Const. v Nbve ? * Stories Demolish ? Length44 Grade ? Depth-931-8"Sq. Ft.- Ane.vels Fee! Assessment _ Woter 8 Sew. Polite _ Fire Enp. Planner - Council _ BIdO. Off. - APC - Permit °•'+•"" Surthorge 24•00 Plan check 137•00 snc 525.00 Water Conn. 335.00. Wote. Meter 60.00 Road Unit 185•00 Taol $1540.00 on tha express wnditlon thm Statutes and Ciry of Eagan Ordinances. `3` gi71' C;F f'r1C'AN Include 2 sets of plans, + ? (Q 1 site plan w/e]evati.ons & BUITDIN(; PF3'MIT APPL7CATIdN 1 set of erezr3Y calCu1.1f'ir%ris. /?9?? ------?y-?? -- - 'Ib Be Used For v tion-A?o Date oeJ:•9419t I Site Pddress: 1{ (c ``? ' Q?.ix.wt Pl.Rrl 88 ) OFFICE USE OrII.Y Lot I Block Sec./Subp. SolAuHy CRKe F-rect occqen.-y Parcel'#: (U ?Q?Z??d? / io4E p,lter Zoning 1421O _ Repair Fire Zone NA Owmer: Pddress: City/Zip Code: Phone #: Contractor: QRRIN THnMRCC1N I-1ONAFC AccZr25S' a Division of U. S. H?;n= Corporation -}7 ^?-?-.n"^r'?K{f;5 c'oSS,?^cis8 C.lty/Zip COd2: MINNETONKA, MiNN. 55343 Phone #: 5yy1333 Arch./Ehg.: Pddress: City/Zip Code: Phone #: Enlarge • Tyne of Const. ? Nbve @ Stories Demolish Front yS/ _ft. Grade Depth ??- 8- f t. APPROVALS Assessments Water/Sewer POZ1C2 Fire ^ EY'i4 • Plaruier Council Bldg. Off. APC PPSmit e? 7?/ I-V - SurchaLge e7y 931-- Plan Check d 2 e°- sr,c %5?a s Water Conn. 3 3s ? Water Meter ? a ?°- Rnad Unit / $5 "lz 'IbTAL 4 ? 5q 6, 0 _C) . arr oF eac,AN No 6932 ` 3795 Hla! Kaob Rnad ?,?gon, MN 54122 . PHONE: 454-8100 BUILDING PERMIT Receipt Slte Address 4bl"/3 YEIIKWQ YYB.V t Yl&R t523 1 Lor 2 eiock 9 5ec/Sub. JohmW Cake Ridge vorcel # 10 39802 020 09 3rd W N,,,x 6rrin Thompson Homes ? Address 1712 HopMns Crossroad 1f11... FF^l/^f _ S//-79'Jl o Nome OWi1eT ? U Addreu Name _ Addrea I hereby ackrwwledge that 1 hova read this applicotion and state thot fhe information is correcf ond agree fo wmply wifh oll opplicoble Stafa of Minnesoto $tatutes and Cify of Eogan Ordirqnces. Sfpnoturc of Permiftee A Building Permif Is issued to: OI'rin Tha all work shall be done in accordance with oll opplicable Buildirg Officfat z Erect }m Occupancy R'-3 Alter ? 2oning PD Repnir ? Flre Zone MA Enlarge ? Type of Const. V Move ? # Stories Derrolish ? Length44_ Grude ? DepthZ2-8" Sq . Ft.- Aco.wols Faes Asseument _ Woter 8 Sew. Police _ Fire Enq. Plonner _ Counc{I - Bldg. Oft. - APC Permit ??`+•w Surchorge 24•00 Plan check 137.00 snc 525.00 Water Conn. 335.00 WaterMeter 60•00 Road Unit 195-00 Total $1540-nn . _ on the exprese Conditlon that and Clry of Eogon Ordinances. Ci'N OF i':lc_-tN Ji?_)ude 2 sc?ts of plmiv, J?q 1 site plan w/c]cw,l.ir,n- & ly RIJir.?ILx:tPF.f?+11T N'PLTC'AT1C1V 1!'.et of crti,nay c•.?l?vl.?t i ?:ns. ? yP--? -- - -------- ? --/-.? w---y ?- - - 1V ? ? 7b I3e Usc-d For valuationa ---?_-- D<,ce oc?.• 9, 14?L----- site naaress: y? 1'1 yz P?wac (P?Rnt 88 ) o?icE usE au.Y Lot z- Slorx $ec./$uv. za+uNv CnKe Erect occupancy Parcel q: l C) 37 `0 2 b 20 0? Alter zoning Repair Fire Zone 4_ Enlarqe _ 'Iype of Const. -- Oaner: Move # Stories Pddress: Derrolish Front 1/c/ ft. City/Zip Code: Grade Depth ft. Phone APP?S FEES - GontsactAr: nRRIN THOA4PSf1N I-If1MFc P[3dZ25S: a Division of U. S. Hom= Corporation C1ty/ZijJ CAdE: MINNETONRh, MiNN. 55343 Phone P.: Syy1333 Arch. /Eng. : Address City/Zip Ca3e: Phone # = Asses9nents rro Per.rut 2 7y? water/Scwer surcharge A y =° Police Plan Check? Flre sr.c 5-a s ag Eng, Water Conn. 3 S Planner Water Meter (00 Council Road Unit ?SS ap- Bldg. Off. P.PC TamL f? 15; VD . O eD CITY OF EAGAN 11jo 6934 3793 Pilef Knob Raod Eegan, MN 651? _ PHONl: 4SI-8100 BUILDING PERMIT Receipt # 33 ro be o.ea fe. 1 of 4 PLE1C Est, y,l,x $48, 000 Date October 20 ?y 81 Site Addreu 4619 Penkwe Wey ( P1SI1 88) Erect XX Occupancy R'-3 Lot 4- Blxk 9_ Sec/Sub!rOh IlnY Cflke lRdid?e Alter ? Zonirp PD Parcel # 10 39802 040 09 32'fl Repair ? Fire Zone MA ? Enlarge ? Type of Const. V W T A hOIDp30II o Nome IRBS AAove ? # Stories ; Addreu 1712 HOpkiIIS CPO8STO8d Demoliah p Length 4 b MtkB. 55343 phone Ci 544-7333 Grode ? DepthZSq. Ft.- ? (lwno? ApDrorals Faes p Name _ ? ?u Addreu ? r.., Name _ Addren I hereby ocknowledge that I have reod this application and state that the inlormotion is correct und ogree to wmply with all applicable State of Minnesoto Statures ord Ciry of Eoyan Ordinances. $Iynature of Permiftes A Building Permit Is issued to: Qrrin Thompson H? ali work sholl be done in aaordance with all opplicoble tpre of Bulidirp Offlciol -??v Z/ Assessment _ Woter 8 Sew. Police - Fire Erp. Planner - Council _ Bldg. Off. _ APC Permit ??w.vv Surcharge 24.00 Plan check 137.00 snc 525.00 Woter Conn. 335. o0 Worer Meter 60 • 00 Rood Unit 185.00 Tot,i $1540_00 _ on tha expreu condiffon thm City of Eapcn Ordirwnces. ,( ?1'i?' UF F1c"Y?N Irklude 2 sc?ts of ??l.?ns, ?( nR ?? 1 ° 1 Site plan w/r]cv,1t:ions 6 i" l U RUII7)T'JC; PF.i;^tl'P N'PIJCATiC7N 1rCt Of crr?njy c.11cvl,itir: ns; ~ ??? To Bc Uscd For Val ua tionA 4444i? te ? -.-- •9 ?4?1 Il ? site Address: ?t6lq Qt,ak.wt (kR),I OFFICE USE CTII.Y IJDt ? B10Ck \ SeC./SlIYJ. SONNNY LNKe ELeCt p?_ OCCUpdiK.Y $OZ o?CJ b 1o4i 6 ' 3 ? plter zoning Parcel t Repair Fire Zone R/A - Enlarge _ 1y[?e of Const. ?_ Qaner: Nbve # Stories Tddress: Derolish _ Fmnt y ft. Grade Depth City/Zip Code: Phone #: APPROVAIS FEFS Contractor: ()RRIN THnRAPSIINt H(1MFC_ Assessrents a-0 Perrnit 1 7y a Division of U. S. H== Corporation Fddress: Water/Sewer Police Surcharge C;? `/ Plan Check Clty/Zip COa2' M19INNETONKA, A1iNN.553G3 F122 SAC S z.S ? gng, WatPS Conn. 7.Z s Phone $: 54y1333 planner Water Meter council Roaa unit 1 8s ?h•?g-? Bldg. Off. Pddress: APC City/Z4p Code: ?L ( s D U? Phone r: ? BUILDING PERMI7 000 Sita Addreu 4017i renxwe rruy krleui oo ) Lot 3 Block 9 Sec/Sub. JOYltttq CAk@ RidgB Pnrcel # 10 39802 030 09 3rd rc Name vc-riu iawwF+avu nv+uco ? naaross 1712 Hopkins Crossroad _ T.I+ba F5'211 _ 'i/./._7111 o I Nome ?r • ?? Addreu ?- ru,. ' ck..... Neme _ Addrea I hereby ackrwwledge that I hava reod this applicotion ond state that tM information is wrrecf and ogree to Comply wfth oll applicnble Stote of Minnewta Stafutes and City of Eagon Ordinonut, Sipnoture of Permittee A Building Permif Is Issued to: 4='T oli work sholl be done in aaordonce with oll Bufldlnp OFficiol CITY OF EAGAN 1795 Pibf Knob Rosd Eogan, MN 55122 PHONEI 454-6100 N° 6333 Receipt # O`733 -3 Erect )a Occuponcy R-3 Alter ? Zaning Repair ? Firc Zone - Enlarge ? Type of Con Move ? # Stories Demolish ? Length_44_ Grode p Depth gZ-8-"Sq. Ft.- Apormab Faes Assessmenf _ Wofer 8 Sew. Police - Flre Enp. Planner _ Council _ Bldg. Off. - APC Permit <14.w SurcFarpe 24•00 Plon check 137.00 y,C 555.00 Wafer Conn. 35 • 00 WaterMeter 60•00 Rood Unit l $5. (M1 Torai g1540.00. on iha ezpreu condltlon ihnl Stote of i esota St9j&ftes ard Ciy of Eagun Ordirwnces. qr? ciln. or ra??.y - i„ciu-3e z?ts of pl:,ns, • '???I, J? 1 , 1 site plan w/c7cvnt_icrns ? RUiII?7TN: 3'f:i:MIT N'PLTCATICJN 1 set of crr•rt3Y c:1lcvl,1' 9?Y?? --- ---- ? ---??- - dz-o ' - I o?._._._.. _ 7b 13c Usc?d For ? Valuation '-? ? rkjte oc?.•9. 4? -- Site l,ddress: Ab 1°0z Pkr?k.w c ?PIA N g8 ) OF'F'1CE USE CXNII,Y I,ot 3 sloclc I sec./sub. -jc>?+uNy cnve Erect vC Occupancv -?-3 -- ?C) 3`? g,() ;Z o 30 ?? ?oc- v- Alter zoning Zl;v _ Pazcel A: Repair Fi re Zorie Owner: Pddress: City/Zip Code: Phone #: Contractor: P13dr255' a Division of U. S. H;me Corporation Clty/ZiP Cade: NINNETONt'J+, h7itrN. 55343 Phone r: Syy1333 Arch. /Elng. : Pddress: City/Zip Cocle: Phone #: Enlarge _ 'Iype of Const. Mbve # Stories Derrnlish Front Grade Depth a 3-$ f t. APPRDVAIS FEES Pssessrrents Permit Water/Sewer Surcharge ?Zy? Police Plan Check 37 Fire sAc sas 'Z?- gg. Water Conn. 3 35 '- Planner Water Meter oB Council Road Unit Bldg_ Off. APC .ro.rAL f S(?O , p d Aug. 8. 2008 9:51AIv?,?'Cresf Exteriors)?.?5 City of Eaiu 3830 Pilof Knob Road Eagan AAN 65122 Phone: (651) 675-5675 Fax:(657) 675-5694 C(c?O'?ANo. 0706 P. 5 `!?o ! ? ----- - I j Vermil I ? ? PErmR F¢e: I I ? i Date Recelved: I Steft: I ? I _-------- l 2v08 RE5IDENTIAL BUILDING pERMIT APpLiCATlON Date:JN1ff__.._SiteAddress:AULlI 'PtYItN/Q, \(vav Suite q: RESIDENT I OWNER I Name: ? C(}r} ??I?-? w ?? phona: Address / City / Zip: )1hh Su MML'y ts^r. N r+ . i1 A 4f .'l,{' ApplicaM is: -Owner A Contractor TYPE OF WORK ' DescripHon of work: ConstrucGOn Cost: Mutl6Family Building: (Yes _/ No CONTRACTOR Name:_ G`r9$tE7(tBrjp1$ ? V]cl _ License il' 1"?.J i Address: 22382 ChippoWale AY?IJC City: ? State: Zip: Phone: 10,1`I-ContactPBfson: ?ryS"re,t . COMPLETE THIS AREq ONLY IF CON3TRUCTING A NEW BUILDING Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy Code • Residentlal Ventil9tion Category 1 WOAahe2t ? Ory Submitled • New Energy Gode Worksheet C8t8gSubmit(ed ( submission type) • EnCrgY Enr¢lope Calcvldtions SUbmlqCd In the Isst 12 months, has the Clty of Eagan fssued a permk for a similar plan based on a master plan9 _,Yes `No If yes, date and address of master pfan: _ Licensed Plumber; Phone: Mechanlcaf Canvactor: Phone: Sevver 8 Water Contractor. Phone: I hEreb acknowl Y edye thal Ihis information is comPlete and aaurate; that the work Will be in cpnPortnanGe wilh the or0inanCeg and codes of tha Ciy of Eagen; that I undersland this is not a peRnit, but only an appllcation for e permlt, and wprk i9 not to Statt wifhout a permit: that the work will be in qcCOld8nC8 Wi(h fhB BpproVed plan In the CdSe of wprk whith requiree a reviEw and 8pproval Of DIanE. X K? Applicent'S Prin X Appucant s Signature g "-/ Page 1 af 3 W ,S6b 2007 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan ia s710 3830 Pilot Knob Road, Eagan MN 55122 od ,9- Telephone # 651-675-5675 M e 55 ?j ?V/ I h OCT 0 9 2007 J Please complete for. single family dwellings & townhomes/condos when permits are required for each unit Date !C / S / 6-7 SiteAddress Ld? _ Unit# PropertyOwner ?ee„? Telephone#(4'7 ) kS ?/- /lo aa Cootractor ,f B ]oo StreetAddress NI3/ ?.?d? s?. 229..+?uy A?. CiTy ? State ?N Zip Telephone # ( (,S/ ) SQS?- ??q? Bond #• Expires: / Contractor _ Other The Applicant is _ Owner ,, Fire repair (replace burned out appliances, ductwork, etc.) $ 90.00 This fee applies when extensive mechanical repairs are made to a building. Add-on or alteration to exisGng dwelling unit $ 50.00 V furnace _Additional _Replacement _ New air exchanger air conditioner heat pump other State Surcharge $ .50 Totai $ -ic ? I hereby apply for a Residential Mechanical Permit and acknowledge that the information is wmplete and accura[e; that the work will be in conformance with the o[dinances and codes of the City of Eagan and wi[h the Mechanical Codes; fhat I understand this is not a permit, bu[ only an application for a permit, and work is not to start wi[hou[ a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval o4Ul-anr\ '??06R. Ti+uEtz.. ? ? ApplicanYs Printed Name Applicant Signature 2007 COMMERCIAL MECHAlVICAL rEUNUT ArrLicaTioN City Of Eagan 3830 Pitot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for. commercial/indusGial buildings mulu-famil 6uildin s when se arate nnits are not re u¢ed for each dwellinunit Date ! / Site Street Address Unit ?i Tenant Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) Contractor Street Address City State Zip Telephone # ( ) Bond #• Expires: The Appticant is _ Owner _ Contractor _ Other Work Type New Construction _Interior Improvement _Install Piping _ Processed _Gas _Exterior HVAC Unit•• **HVAC units must be screened Under/Above ground Tank Install Remove - When installing/removing tank(s), call for inspection by F ire Marshal and Plumbing Inspector Nature of Work: Permit FeeS $70.50 Undergmund tank inswllatiodmmovat $50.50 Mirtimum (includes $cste Surcherge) or ContractValue $ x 1% PermitFee $ State Surchazge . To calculate surcharge If Permit Fee is less than $1,000, surcharge is 50 cents. If Permit Fee is > $1,000, surcharge increases by $.50 for each $1,000 Pennit Fee (i.e. a$1,001-$2,000 Permit Fee requires a $1.00 surcharge). $ To[al Fee I hereby acknowledge that [his iaformation is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ApplicanPs Printed Name - Applicant's Signature Approved By: . Inspector Required Inspections: _ U.G. - R.I. - Air Test - Gas Service Test - Infloor Heat - Fina] 1 2007RESIDENTIAL BUILDING rERmiT nrrLicnTioN City O£ Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWCtion Reouirements 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas "(20°k mawmum lot coverage allowed) 1Soils Repod if proposed building is to be placed on disWrbed soil 2 copies of plan showing beam & vrindow sizes; poured found design, etc. 1 set of Energy Calculations 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joisl Detail Opfions selection sheet (6uildingswith 3 or less uni[s) Minnegasco mechanical venfilafion form P(ans are considered public information unless you state they are trade secret and the reason. H 116 0-7 11 8i t) i C Date / / Constr ost uct on Site Address ?a ??L n Q n UniUSte # Description of Work ? tJC71C9 doof 7 (JLf-C ?ll,?1 I a. Multi-Family Bldg Y _ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner ff_ 0PSY.L0L4 Telephone #( LI'l) Jos- 397a THD At-Home Services, Inc. d/b/a Contractor _ The Home Depot At-Home Services Aaaress _ 3200 Cobb Galleria-Suite 200 eity 3 6de 6J fwt CJo f1C S State _ Atlanta, GA 30339 Telephone #(qS.Z ) 3y 5- (, 0 4'7 Lic# 20268257 Ph. 763/542-8826 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Ca[eeorv 1 Minnesota Rules 7672 Energy Code Category , Residential Ventilation Category 1 Worksheel •New Energy Code Worksheet (q submission type) Submitted Submitted . Energy Envelope Calculations Submitted In ihe 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 addre s t sie p1Q : - - n ? ???l ?? In Licensed Plumber Mechanical Contractor Sewer/Water Contractor RemodeilReoair Reauirements 2 copies of plan showing footings, beams, joisLs 1 set of Energy Calalafions for heated addih'ons 1 site survey for addifbns 8 decks Addition - indicafe Aon-sife septic system Telephone #( 120 , 5° OHicetJse Dnlv ' Cert M Survey Recd IJ Y Soils Repwt N N Tree Pres Plan Recd _Y _N TreePres'Required . _Y _N On-sRe 5ephc Sysiem , _ Y _.N' 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 pernut, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. X !P) 6ch2i) t ApplicanPs Printed Name Telephone # ( APR 1 S 2007 ` Telephone #( Applicant's Signature ??013 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. r ^ Date t "23 / b 5 nI?`y? r Site Street Address ?? Kc ` ?'v Unit # ? Property Owner M(4" W(A «S I `ccA Telephone # (bs)) 'ISZ S<5 YV ? Contractor P1?Q,WU?"l?5 Teiephone# ((,S)) 4 U Address?(D?Z0 DdOCA Iad City StateZip ?Sj.Z3 The Applicant is: _ Owner Contractor _Other Aiterations to existing dwelling Add plumbing fxtures (excludes water softener and/or water heater--complete next section if installing these appliances). Septic System Abandonment _Water Turnaround (add $125.00 if a 518" meter is required) Other: $ 50.00 Water Softener 1 Water Heater _ new ? replacement $ 15.00 Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ 50 Total $ 15 50 I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. ? n 7, 7 ? ? ?, - , 1-,?B 2 ? ?6b? II???II ApplicanYs Printed Name Applicant's Signature ? ??5 <70I C. R. WINDEN 3 ASSOCIATES, INC. UND SURVEYORS T*L 643•3648 For: , 1381 EU5T15 SL, ST. PnUI, MINN. 63106 U. S. Home Corporation N bA 52 ?jTFN "D2 ? Scale: 1" = 50' it.i3m ? h A ? ry n ? f?L 7.Li 06,3em N ' J (.t Y?i N ? C O L'T ?'. V ?f?I1 Q l1 ? 7 K f 0. N OL \ d ?' ?z33 ? ?"' ? C ry2??? ?.?T ?.\ ?, ? µ>, w 3 z r6 3 2 ? A(fq ? Lots 1 through 4 inclusive, Block 9, Johnny Cake Ridge Third Addition, Dakota County, Minnesota. WE HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE 60UNDARIES Of THE IAND ABOVE DESCRI6ED AND Of THE IOCATION Of All SUIIDINGS, If ANY, TMEREON, AND All VISIBIE ENCROACHMENTS, If ANY, FROM OR ON SAID LAND. Darod rhis ff doy oi-PL9GG-A.D. 19$/ C. R. WINDEN 3 ASSOCIATES, INC. ?bY ?!'dF',{.sc...d?'.??f-»,.? . Survayor, Minnuolo Rapistrolion No. ?192? CITY USE ONLY LOT ? BL `/ ' d RECEIPT #: S6? I ? ?J? SUBD. ?? RECEIPT DATE: ?/a 1997 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 Date: (612) 681-4675 Complete this section only if vou are installing HVAC in sinele family, townhome, or condos that are under conatruction and are not owner /occupied. • HVAC: 0-100 M B T U $ 24.00 ADDITIONAL 50 M BTU 6.00 • Gas outlets (minimum of one required @$3.00 ea.) • 5tate Surcharge: .50 • TOTAL: Complete this section only if vou are remodelina, addine to, or repairing existine single family dwellinLys, townhomes, or condos. ? Add-on furnace _ Add on sir conditioning _ Add-on air exchanger, i.e. Vanee system, etc. _ Other Minunum fee applies to all remodel or add-ons of existing residences $ 20.00 State 5urcharge .50 Total: $ 20.50 SI7B ADDRESS: OWNER NAME: S ?? ???,TL (Jr- ? PHONE #: INSTALLER NAME:?- PHONE #: STREET ADDRESS: CITY: STATE.ZIP: ?? PERMITTEE SIGNATURE?O CITY USE ONLY L BL SUBD. RECEIPT #: RECEIPT DATE: 1997 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612)681-4675 Please compiete for: ? all commercial/industriai buildings. ? multi-famity buildings when separate pertnits are not required for each dwelling unit. DAl t: CON'rKi4L`I' F'RICt: WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: ?$25.D0 minimum fee or 1% of contract price, whichever is greater. ? Processed piping - $25.00 ? State surcharge of $.50 per $1,000 of permR fee due on all permits. CONTRACT PRICE x 1% PROCESSED PIPING STATE SURCHARGE TOTAL SITE A.DDRESS: OWNER NAME: TENANT NAME: (InnPROVenneNrs oNLv) INSTALLER: ADDRESS: ciTV: PHONE #: ZIP: SIGNATURE: SIGNATURE OF PERMITTEE CITY INSPECTOR TELEPHONE #: STATE: A *********?*?*********?***************** CITY OF EAGAN CASHIER: JS TERMINAL NO: 795 DATE:, 04/28/00 TIME: 11:40:50 ID: NAME•: LOCO CONSTRUCTION LLC 3210 9001 4676 RIDGE CLIF 111.25 2155 9001 4676 RIDGE CLIF 2.50 3210 9001 4649 PENKWE WAY 181.25 2155 9001 4649 PENKWE WAY 5.00 3210 9001 4629 PENKWE WAY 181.25 2155 9001 4629 PENKWE WAY 5.00 3210 9001 4625 PENKWE WAY 111.25 2155 9001 4625 PENKWE WAY 2.50 3210 9001 4619 PENKWE WAY 111.25 2155 9001 4619 PENKWE WAY 2.50 CR128484 ** CONTINU'. USER ID: JAN ** CONTINU ??****?************?********?*******?** ******************tx**,t+?,t*,t*** CONTINU: CITY OF EAGAN CASHIER: JS TERMINAL NO: 795 DATE: 04/28/00 TIME: 11:40:51 ID: NAME: LOCO CONSTRUCTION LLC 3210 9001 4603 PENKWE WAY 111.25 2155 9001 4603 PENKWE WAY 2.50 3210 9001 4667 RIDGE CLIF 111.25 2155' 9001 4667 RIDGE CLIF 2.50 ? Total Receipt Amount: 941.25 CR128484 USER ID: JAN ******* 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) arY oF eacaN 3830 PILOT KNOB RD - 55122 851-681-4875 ? J reglsteretl Yte wneya thowlnp aq. fL of Iof, sq. R. ol houae 2 coples ol plan antl 41l lOOfedafeos (20% mmdmian bt covemae albwed) 1 set ol energy cdculalions for heatetl addiNOns ? 2 coples of plcm (ahow beqm & window tlxea; p0ured Ind. deslgn; etc.) 1 sife aurvey tor exlaAor admtlons R decks a 1 set ol enerpy calculaMOns D 9 copies W hee preservatlon plan il lol plaHed affer 7/1/93 00 nATE: corisrRucnoN cosr: `/ FtD ° DESCRIPTION OF WORK: L,-N Y---?-,- ?-P '?+ y /9 ?Z STREET ADDRESS: /L-%l U o f- -/ f LOT: -?J- BLOCK: I SUBD./P.I.D.9: `JD ---? ;7 Name: v v ?" , ?'`? ? 4 \ k?- F?? 0 9 r 9 Phone #: o ( a ?` ?3 ?/ PROPERTY laet Flrat OWNER Sheef Addreas: City State: Zip: ? company: /C??\ 0 Phone M: 7?- 3 7j? 6 G COMRACTOR 0/% c. 5 ?5- s?? ??:?Fa G Uce?e? ?. ?i CiN r? o/?--- % 1= Stafe: w 21p: 7 ARCHITECT/. ENGINEER Company: Name: Telephone #: ( ) Sfreet Cliy Sewer/water licensed plumber I hereby acknowledge Mqt I have read this applkafbn, stafe thaF 1he of Minnesqta Statutes and CHy of Eagan Ordinances. Certificates of Survey Received _ Yes Tree Preservation Plan Received Yes Signalure of Applicant: -4? OFFICE USE ONLY _ No ' No ReglsfraHon i: _ State: Zip: Phone #: ( is cortect, and aghge lo comply wHh all appGcable State R Not Required OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 FoundaGon ? 07 05-plex O 02 SF Dwelling O 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 ? 13 16-plex ? 21 Porch (3-sea.) ? 17 Garage ? 22 Poroh/Addn. (4-sea.) ? 18 Deck ? 23 Porch (screened) ? 19 Lower Level ? 24 Starm Damage Plbg _Yor_N ? 25 MisceUaneous O 20 Pooi ? 30 Accessory Bldg. ? 31 Ext. Alt - Multi ? 33 Ext. Aft - SF ? 36 Multi WORK TYPE ? 31 New ? 36 Move Bldg. O 43 Reroof ? 32 Addition ? 37 Demolish (Bldg)' ? 44 Siding ? 33 Alteration O 38 Demolish (Interior) ? 45 Fire Repair ? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors * Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code # of Stories sq. ft. No. of Units Length sq. ft. No. of Buildings Width Footprint sq. ft. Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. MC/ES System UBC Occupency sq. ft. City Water Zoning sq. ft. Booster Pump PRV Fire Sprinkiered MISCELLANEOUS INSPECTIONS O Stucco/Stone APPROVALS Planning Building Engineering Variance Permit Fee Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total Valuation: SAC Units % SAC CITY USE ONLY Q` 7 Dg,;?- L ? BL "n/ RECEIPT#: 00 SUB 9". o -P'A" RECEIPT DATE: 1997 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: . single iamily dwellings . townhomes and condos when permits are required for each unit . backflow preventer for underground sprinkler system FIXTURES Shower Water Closet Bath Tub Lavatory Kitchen Sink Laundry Tray Hot Tub/Spa V+1NatervHeater.' Floor Drain Ga5 Piping OutlEt ` minimum -1 Rough Openings Water Softener ' for dwellings under construdion Water Softener ' for existing dwelling U.G. Sprinkler `fordwellingunderconst. U.G. SprInklGf ' for existing dwelling Alterations * to existing residence Water Turn Around Private Disposal System ` oak Cry nc. (new and refurbished systems) Private Disposal Systems'nbandonmenc EACH tJO, TOTAL 3.00 x = 3.00 x = 3.00 x = 3.00 x = 3.00 x = 3.00 x = 3.00 x = 3.00 x = 3.00 x = 1.50 5.00 20.00 3.00 20.00 20.00 20.00 75.00 20.00 STATE SURCHARGE .50 TOTAL I nerouy acknowzdge that I h-ve read this appfcatlcn, state that the Inhniation b s:reC,, snd agrae to wmply with aIF epp!icable City of Eagan ordinances. tt is the applicanPS responsibiliry to notify the property owner that the Ciry of Eagan assumes no Ilability for any damages pused by the Cily during iLa normal operationel and maiMenance ecNvkies M tbe fadiities construqed under thls pertnd within City property/right-of-way/easement. , SITE ADDRESS: 02 OWNERNAME: P4?g 4?qQE.e[i.cJG INSTALLER NAME: TELEPHONE #: S.?'/? OS.3 =1? STREET ADDRESS: zw- ?G CITY: STATE: ..? Zlp: . A•? 7e' ?oGS- ? 1 SIGNATURE F PERMITTEE City of EaiaIl 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 ?----------- i E??.o?cai?se ----- i 1 PermR#: ? I ? I ? aeRnn Fee: i i j Date Received; ? i ? I Staff: ? I_ I --------------- 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Slte Addresa: Lf 6 l 7 Tenant:4lSJ 2rrr?„??P?s ?-f(o1Z?/ .t e-I619 s . Description of work?r I e'a f RESIDENT / OWNER I Name: Jc_AYl? C'4)q2_ i?SL r/'fY m6Phone: Address / Cfry / Zip: _ Applicant is: _ pwner _ Conhactor TYPE OF WORK CONTRACTOR Construction Cast: 14 -72-0 r? _iPcYJF 5ulte #: Multi-Family Building: (Yes &1 No _) Name:/vlJf'4)'t5? ?jrr-T r?TUr? ?i2C Llcense #: '401 5-ci L"l 7 3 ,,J Address: ??7 G 4q . _ city:?/? c State: J-t?-- z;P: ?5311 Phone: ?)-A 1el ConWct Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Cateann 1 Minnesota Rules 7672 Energy COde . Resldential Ventitation Category 1 Warksheet QBtegOryl Submitted - • New Energy Coda Worksheet (J submtssion type) • Energy Envelope CalculaNOns Submined Submitted In the last 12 months, has the City of Eagan tssued a pertnit for a similar plan based on a masier plan? _Yes _NO If yes, date and address of master plan: Licensed Plumber. MechaNcal Contractor: Sewer & Water Contractor: Phone: Phone: ; =- ---.°- -? ..?.- r?m- !c. vu raviqe spearic;reasons-that would permei ttie City to " conclude thaf the . are fiade §ecrets. - 1 hereby acknowledge that this infortnation is complete and accurata; that the work v,nll be in confortnance wdh the ordinances and codes of the City of Eagan; that I understand [his is not a pertnN, but pnty an application for a pertnit, and work is not to gtart wiihout a permfl; Mat the work will be in accordance wi[h the approved plan in the case of work which requires a review and approval of p a1is. .{ X rJ t?`t App)tcant s Printed Name ?x.- Page 1 of 3 zUseQ City of Permit 1 1 Permit Fee: 7, 1 ° 3830 Pilot Knob Road Eagan MN 55122 i Date Recei Phone: (651) 675-5675 1 leax: (651) 675-5694 1 Staff: L__ 2009 RESIDENTIAL BUILDING PERMIT APPLICATION P a t e : [ Site Address:L/6j7, 1/1, 17 "_2_ -1 'I L(6lml 7enant• O 4 Y i $ 2 4 ~ _ ( c 5'~ d uite RESIDENT I OWNER Name: J 4 Au, rG- 1s i ~`yevr! ! 4 one: Address I City I Zip: Applicant is: Owner -9 Contractor TYPE OF WORK Description of work: __`d` 9 ..-t `e_.;11 .t ' Construction Cost: , 569 Multi-Family Building: (Yes f No CONTRACTOR Name: /t/bfLt"V_'°?F GQt'1 1'r¢c Z 1 - License a<715 q e-1 7.3 Address: Chit. e /f-- City: I~ ? ti s'o`~.~C_ State: Zip: Phone: i 12 S5"?- ~ T Contact Person: 32 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted (1 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 and supporting documents that.yoru. submitate r e> a ii ation. Portions of the information may be classified as non- ublic 1f"Yau'Proof ee>fi 'ias "that o" d ennit`th'e: Ci to P . . -P P' conclude thatfh ' are' se" I hereby ackrr edge that this information is complete and accurate; that the work will be in ce with the ordinances and codes of the City of Eagan; that I u (stand this is not a permit, but only an application for a permit, and work o start without a permit; that the work will be in accordance with e approved plan in the case of work which requires a review and approvaI of Applicant's Printed NameV A a ature Page 1 of 3 W/7 P670,71 0 t g~ DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage Single Family _ Garage Porch (4-Season) Exterior Alteration (Single Family) Multi = Deck _ Porch (Screen/Gazebo/Pergola) Exterior Alteration (Multi) _ 01 of Plex _ Lower Level _ Pool Miscellaneous Accessory Building WORK TYPES n GI t?~P : u S ~i Ul) E S New Interior Improvement 10 Siding _ Demolish Building* _ Addition Move Building Reroof Demolish Interior Alteration Fire Repair _ Windows _ Demolish Foundation Replace Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation POO - Occupancy MCES System Plan Review Code Edition t/) Z 1 SAC Units (25%_ 100%_) Zoning 13 _3 City Water Census Code 3 ( Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final I C.O. Required Footings (Addition) 10 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 ODO S ~7j;ncr o pl~? tee) e Lv Surcharge g• pt9 i pv~ Plan Review DOI) v04-q 1- MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 For Office UsE n Permit City of Ewalt I Permit Fee: 3830 Pilot Knob Road I Eagan MN 55122 I Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 1 staff: 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Tenant: Suite RESIDENT I OWNER Name: Phone: Address / City / Zip: Applicant is: Owner C ntractor TYPE OF WORK Description of work: Construction Cost: Multi-Family Building: (Yes / No ) CONTRACTOR Name: License Address: City: State: Zip: Phone: ntact Person: COMPLETE THIS AREA ONLY IF CO STRUCTING A NEW BUILDING _ Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Work heet • New Energy Code Worksheet Category Submitted Submitted submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a simil r 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 and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets.. I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x x Applicant's Printed Name Applicant's Signature Page 1 of 3 t C. R. WINDEN & ASSOCIATES, INC. LAND SURVEYORS TeL. 645-3646 For • 1381 EUSTIS ST., ST. PAUL, MINN. 55108 U. S. Home Corporation ' Scale: 1" = 50' 2' it U, . ? `t . r 4 N Z 3 IN, - N l ~ ~ C~ N W 41 ` N M C O' u~T ~ V\ Q ~ n v `c `44i r_ 9 Z 7 40.1 EAGAN BY REVIEW. ~I F,Y DATE: BUILDING INSPECTI©Ng DI ION Lots 1 through 4 inclusive, Block 9, 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. Dated this day of ? ar- ' A•D. 19g/ C. R. WINDEN & ASSOCIATES, INC. by A. Surveyor, Minnesota Registration No.-222G �. � �t��`i . �� �� ' 1�-� l.(��� � ( ��� �� , Use'�L�lE or BLACK tnk � ForOfRceUse---------� ; 1 �-���� ; C�� o��a a� , P�„t�: � � 50 � .�-I� � P�,►���: �� � 3834 Pilat Knob Road Eagan MN 55122 i Date Receiried: j Ph+�ne:(651}675-5675 i , i Pax:(651)6?5-5694 1 Staff: I I � �. . . . . . . .. . . � � `.� - � ��J 2014 RE5IDENTIAL $UlLDING PERMfT APPLICATt�N ��:�--I�y�� s�Ad��:N�� � - � � � '�� P���� � ' u���: Name: UC�1"�/�J�r� Gr�f'l��.- Jt�t.�i?11��rt.._ �Phone: Resic�entl F� �}Wtt�� Address I City f Zip: �7�`✓�°' /� �� APPiicant is: Owner �1. Conttactor T Of 1M01"k Descxiptian of+n�rk: �'��' �l�� � �C�- '--�Q�v��' Yt� �onstruction Cast: ��'r t�� � Mutti-Family Building:(Yes � /No� � �,,.- .- Company:��f.�YZtJ�°�j 7� �M�i/�r.i�V�S '� Corrtact t��'�'� �'f G,��Q�' Ccr�#ractc�r address:�'��l Z.�t��1 �,,a�- L✓+�x /td City:� �!Z��,.�'�--, State� Zi f.1 � Phone: f��'���Emaii:t�rru� t3s�'L�3�`sS'7rGr�Yl'�✓*'���vY �� P�� � "�'r?e.--L�� �icense#.�C 1.S`� � 7 3 Lead certlficate#:N3a.-t-°�-1%j J�1��' —1 Ifi the project is exempt from tead certi�cation, piease e�tain why:(see Page 3 for additiona}information} COMPLETE THIS AREA ONLY IF GONSTRUCTi�iG A NEW BUt�DING '�_.--� In the last 12 mo , the Gity of Eagan kesued a pertnit for a similar pian t�ased on a master ptan? �Yes iNo It yes,date and addr f master plan: Licensed Piuinber. Rho�: Mechanical Cor�tcacMr: , Sewer 8�Water Cor�t r. Phone: N�}'"E:` s�nd,s�ppo�tirt�a�c�c�rt�ents t�i�rf yc�srrbmit ar�e consid�red to be pub/i�r`re�'c�rafro� ,�r��s,of E�Q,r�a�on r�iay Ir�cia�etl sas�o�t-p�tblic it yov prnvr"�fi�spe���'ic t�asaers'that wc�ul�pe�i�����#o . . . � - . � � � _ ., ct��cf�d�:�t fhe ar�e#r�+de s,e�r+et�.�; � � , , CAi�L BEFORE YOU QlG. Galf G�hsrState One Cali at(651)454�002 for protection against undefground�tty darnage. Gat!48 ha�rs befofe you intend to dig to receive locates of underground utili6es. wwvw.aoohersiateonecatl.are� < I t�reby adcnowledgs that this infoRnatian is camptet�arid aaxir�te;that the work wnil be in conformance with the ordinar�e.s and codes of#he City of EagaA;tfiat i undetstand this is not a perrnit,but or�ly an application#or a permit,and work is not to start without a permit; that the work witi �tn acxordance w±tM the approvect ptan irt the case af worlc which requi�a a�eview and approva!of ptans. Eactsrior waricau��izad by a buiidir�perm#t issued in acc�dance with the Minnesota State Iding Code must be compietsd within 180 days of pertnit issuanee. ' X �4 t P� G X �PRiican�s Printed Name T ' ant's Signature < Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA153222 Date Issued:12/03/2018 Permit Category:ePermit Site Address: 4617 Penkwe Way Lot:1 Block: 09 Addition: Johnny Cake Ridge 3rd PID:10-39802-09-010 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 - Hope Louis E Sekora 4617 Penkwe Way St Paul MN 55122 (651) 405-3972 Total Comfort Heating & Cooling 8818 7th Ave N Golden Valley MN 55427 (763) 383-8383 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA155528 Date Issued:05/20/2019 Permit Category:ePermit Site Address: 4617 Penkwe Way Lot:1 Block: 09 Addition: Johnny Cake Ridge 3rd PID:10-39802-09-010 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Hope Louis E Sekora 4617 Penkwe Way St Paul MN 55122 (651) 405-3972 Pella Northland 15300 25th Ave N #100 Plymouth MN 55447 (641) 670-7051 Applicant/Permitee: Signature Issued By: Signature