4618 Penkwe WayL 1-4, 8 -3, CITY OF EAGAN t??Q 12664
,• .
_ .?,
. . 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 j?-
PHONE: 454-8100
BUILDING PERMIT Receipt #
1 OF 4 PLSX Est value $48,000
SEPTLMBER 23 a 36
SiteAddress 4620 1/2 PFAIKWE WAY Erect C? Occupancy R3
Lot 2 Bloek 3 Sec/Sub. JO Remodel ? Zoning pl)
ParcelNo RIDGE 4TH Repair ? TypeotConst Vn
. Addition ? No. Stories
41
Name
GOOD VALUE HOl4ES
?Nove
? 44
Length
=
1460 93RD LN N Demolish ? Depth
a Address
780-5510
BLAINE
Cit
h Int Impr. ?
11 Sq. Fr
y P
one Install
o Name SAMf% Approvab Fees
$
Address Assessment Permit ? 274 . 00
¢
? City Pnone Water & Sew. Surcharge 24.00
? a Police Plan Review 137.00
lu = Name Fire SAC 575.00
Address Eng. Water Conn. 500.00
i W ciry Phone Planner Water Meter 63 . 50
Council Road Unit 290.00
I hereby acknowledge that I have read this application and state that the gldg. Off. 9/22 /86 Tr. PI. 156. 0 Q
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of.• pan Ordinar?ces. APC Parks
Signature of Permittee
- ?.- t- - . Date
Var. Copi
Total , . 50
A Building Permit is issued to: GOnD VALUE HO. a on the express condition that
all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official / ? -?
? PormR No. Permlt Holde? Date Tdophone N
Plumbiny 77,50
/ O
.
H.V.A.C.
tY7
e? ia??
soRen..
Impectlon Date Intp. CommMnb
FooUnysl 9 (?
Footlnysll
Foundadon
Fnminp ?G y 7 G[),?
Rooflny
Rouyh Plbp. ,.7
Zl-
.
Rouyh Hty. Y C - 7- r 6 -
•
Inwl.
Ffrepisee
Ffnal Htp.
Finat Plbp. LU/G?.
Bldp. FNlal -5017-
Comit oce. ,.,s,°
1 - ?-?-P2
-
Deck Fty.
Dock Frmp.
Wall
Pr. Dhp.
?? ?' ` .::. . . . . . A ... - .. . .... . . . . . .
r
PERMIT # ? ?d
PLUMBING PERMIT RECEIPT #
CIIY OF EAGAN
3830 P ILOT KNOB ROAD, EAGAN, MN 55121 DATE
CONTRACT PRICE PHONE 454-8100
Site Address ' ' ? ? ' ? ' ' % ? '` •'' ` ' ? ?? - BLDG. TYPE WORK DESCRIPTION
Lot ? Block Sec/Su ,
b
Res. New
? Name
, Mult Add-on
d
m Address Comm. Repair
c City ' -'? - Phone?-' - ` Other
. ?
^
NO. FlXTURES
TOTAL
;
Name
' Water Closet - $3
00 $
.
_-T-
3 Address Bath Tubs - $3.00
o City cj" Phone -'-, _
, " - ' Lavatory - $3-00
1 Shower - $3.00
-T-
Kitchen Sink - $3.00
FEES Urinal/Bidet -$3.00
COMM/IND FEE - 196 OF CONTRACT FEE ??undry Tray - $3.00
MINIMUM - RESIDENTIAL FEE _ $10,0p Floor Drains -$1.50
MINIMUM - COMM/IND FEE _ 20.00 ?Water Heater -$1.50
STATE SURCHARGE PER PERMIT _ .?
Whirlpool -$3.00 ,
(ADD $.50 S/C IF PERMIT PRICE GOES =Gas Piping Outlets - $1.50 ?
BEYOND $1,000•00) 5oftener - $5.00
Well - $10
00
• .
Private Disp. - $10.00
Rough Openings - $1.50
SIGNATURE OF PERMITTEE FEE
STATE S/C:
FOR: CITY OF EAGAN GRAND TOTAL: `-
PERMIT # R ?= C e?
, .
• MECHANICALPERMIT
CITY OF EAGAN RECEIPT # ?
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE
CONTRACT PRICE: PHONE: 454-8100
Site Address 71 BLDG. TYPE WORK DESCRIPTION
Lot =1'2 Block _ -3- _ c/Sub ?--
/ Res. New
Mult 0..,r_
Add-on
' Name
°-
? Comm. Repair
?a Address 1 _ Auj
)
c City Phone l aher
FEES
Name RES
HVAC 0
100 M BTU
.
- -$24.00
Address ADDITIONAL 50 M BTU - 6.00
3
O City Phone (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OU7LETS
MINIMUM
PER PERM
'
(
- 1
I
n - 1.50 EA.
TYPE OF WORK COMM/1ND FEE - t% OF CONTRACT FEE
Forced Air M BTU c, APT. BLDGS. - COMM. RATE APPLIES
Boiler
M BTU T0INNHOUSE & CONOaS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
Unit Heater M BTU REMoDEIS - 12,00
Air Cond. M BTU ? MINIMUM COMMERCIAL FEE - 20.00
Vent.
CFM $ STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Oudets # BEYOND $1,000)
Other ?
FEE:
S/C: 'r SIGNATURE OF PERMITTEE
TOTAL•
FOR: CITY OF EAGAN
*--. , ..
fUrfif tratt o# (Orrupanry
titp of (eagan
Erpartntrtti of IiuHbing Jwprtimt
This Certificate issued pursrrant to 1ke requireinenls ojSection 306 ojthe Uniform Building
Code certifyrng that ar the time of issuance this strrrcture was in complrance with the varrous
ordinances of the City regulating bui[ding construction or use. For the jollowing.•
Ux Qa"dfiatioa ,'14 !'` `Ti ,j•; . Bldg. Rrmit No. i 2 " %b2l4
0-14-Y TYPe 13 Zoaing District 1,L) 7ype Caml. %ILl
Owocr d HuOdi? GOOL) vA.JE HDri`.; Add" 1460 93M) LN ZY , NJi;M
Bmldine Address ; r , ?() V2 P-;r,V.)z' Lacslity 12, B3, •i• ??''} ?!,VCri.
pam: 1M lc: '
Bulding OtCkial
POST IN A CONSPICUOUS PUCE
L 1-4 , B 3 CITY OF EAGAN
FU? .AWE TOWNHOU?? ?lot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ?
PHONE: 454-8100
BUILDING PERMIT
Receipt #
12663
?r
To be used ror 1 OF 4 PLEX Est value $48,000 Date SEPTF.MHER 23 86
SiteAddress 4620 PENKWE WAY Erect C? Occupancy K3
Lat 1 Block 3 Sec/Sub. :1OFINNY CAKE Remodel O Zonina PD
Parcel No RIllGE 4 T'H Repair ? Type of Const Vn
. Addition ? No. Stories
W
z
Name
GOOD VALUE HOMES
Move
Demolish
?
0 44
Length
Depth 24
o Address 1460 ? 3RD LN N I
t I ? Fr
S
City BLAINEphone 780-5510 n
mpr.
Install ? q.
SAME _ Approvi
= o Name
oa Address Assessment _
~ City Phone Water & Sew.
F W Name
x a Address
< W City Phone
I hereby acknowledge that I have read this application and state thatthe
information is correct and agree to comply with all applicable State of
Minnesota Statutes and Ciry Eagan Ordinvcss. ,..?
Signature oi Permitte4,4--*`'
A Building Permit is issued to: GOOD VALU£ HOMBS
all work shall be done in accordance with all
Minnesota
Police
Fire
Eng.
Planner
Council
BIdg.Off.9 22 86
APC
Var. Date
Permit Y 6 r -5 . %0 "
Surcharge 24.00
Plan Review 137.00
SAC 575.00
Water Conn. 500.00
Water Meter 63.50
Road Unit 290.00
Tr. PI. 156.00
Parks
Copie
Total ' ? Dii ?
'
- on the express condition that
Eagan Ordinances.
Building Official
PormR No. Psrmit Holder Date TNephon* M
PlumWny '774/ /O
N.V.A.C. /
EkcTM+c -?7'LL.
5oftenw
Inspeetlon Date Insp. Comments
Footings I g? (O ?
Foodnys 11 1 1
Foundatbn
Framinq
Rooflny .
Rouph Plbp.
Rouph Ntp.
Msu1. j M197 ,O
Firsplacs ?
Final Htq. 71A t ? ?' • ?,
Flnal Plbp. -/ -
.
Bldp. Final
Cert. Occ. G . A1
L
DIsp.
PERMIT #
• t, , PLUMBING PERMIT RECEIPT #
* CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
ANTRACT PRICE PHONE: 454-8100
Site Address _
Lot {
m Name
?o Addre
c City -
? Name
3 Addre
O CnY`-
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE - $10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $50 S/C IF PERMIT PRiCE GOES
BEYOND $1,000.00)
SIGNATURE OF
BLDG. TYPE WORK DESCRIPTION
Res. ` New
Mult Add-on
Comm. Repair
Other ?- "
MO. FIXTURES
? TOTAL
-
Water Closet - $3.00
? Bath Tubs - $3.00
?- $
Lavatory - $3.00 T `
Shower - $3.00 -
Kitchen Sink - $3.00
Urinal/Bidet - $3.00
' Laundry Tray - $3.00
'
?-Floor Orains - $1.50
',V1later Heater - $1.50
Whirlpool - $3.00
1 Gas Piping Outiets - $1.50
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
-, Rough Openings - $1.50
FEE
STA7E S/C: `-
GRAND TOTAL ? ` FOR: CITY OF EAGAN
PERMIT #i ?-
MECHANICAL PERMIT RECEIPT #
" CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
?T PRICE PHONE: 454-8100
?Site Address
Lot ? Block c
; 4.
- Name 12t w
-ia Address /d A,
c Ciry Phone
m
C
3
O
Name _
Address
Ciry _
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent.
Gas Piping Outlets #
Other
?f..sal M BTU
M BTU
M BTU
M BTU
CFM
L
FEE:
S/C:
TOTAL:
BLDG.TYPE
Res.
Mult
Comm.
Other
WORK DESCRIPTION
New
Add-on
Repair
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIT} - 1.50 EA.
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM_ RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPUES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
?/ .
OF
FOR: CITY OF EAGAN
• :=?=*?'???
.{ .. . y, R.
. ?
??rtif ir?tP nf (?rru??Mr?
Cf tp of eagari
lorparmmr af vuflbing Jwrrtina
Thrs Certificate issued pursuant to the requiremenrs of Section 306 of the Uniform Buildrng
Code cer[ifying lhat at the time of issuance thls structure was in compliance with the various
ordinunces of the City regulating building construction or use. For the following:
un clasircuion 1 cTF 4 Pi.r.t sift. Perrait no. 12663
Om+vmry'IYoe F3 ZoinE Ditw 7ype camc
o? ?r s,?a? `?";?? NT??I??' ; ?3 ? ,? ?,? 93Rb S.A.INE
?
BuildingAddreas Lonliry 1.i' R3, MTV..?-L.?. nu:i?._ !SL?
.'T.;Ll' M. 1987
??:
wlkng offic;at
POST IN A CONSPICUOUS PLACE
T, s.t CITY C3F EAGAN ?
?----. , 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ??
PHONE: 454-8100
BUILDING PERMIT ReceiPt #
12666
Tobeusedfor ZOP 4??+??1• EstValue ?48?0 o L Date 'jLM;MJJCA jJ 19 }SU
?ib?:? 1' .C ?i.:?•:h.'i+c.:
Site Rddress ,
Erect
EY
OccupanCy
Lot 3 Block j 5ec/5ub. ;:AtCi: Remodel ? Zoning
Parcel No. +i; 4Tfl Repair ? Typeot Const. U2
Addition ? No. Stories
Move ? Length 44
W
_ Mame
? ? .y ? ;?; ? 7 ??. ; Demolish ? Depth - d
3
° Address
Cit
Phone ??0- 551 V InL lmpr.
u ?
? Sq. Ft
y Insta
Name
'
°
i
0¢ Address
~ Ciry Phone
1.- ¢
F W Name
? a Address -
i W City Phone
I hereby acknowfedge that f have read this appiication and state thatthe
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagag Ordinan¢as.
Signature of Permittee ?,-'a`,? ?- ;.? •-r? r""
Assessment
Water & Sew.
Police
Fire
Eng.
Planner
Bldg.
Var.
Permit 1% 27410(
Surcharge 24.0c
Plan Review 1-3 7 • a C
SAC a7S.8t
WaterConn, Soo•(H
Water Meter 63.5(
RoadUnit 29tj•nE
Tr. PI.
Parks
Copie ? 5(
I
A Building Permit is issued to: on the express condition that
all work shall be done in accordance with all applicable State of Minnesota Statutes and City o( Eagan Ordinances.
Building OHicial
PermH No. Psrmlt Hdder Date Tolephone M
Plumbiny T) ? 10/81 /g
,
H.V.A.C.
Elecer+C 'V/lc? ?-' ' ::?'7 • . •J•/,;%?'l/(?' ?-''y/?'C.'L
Soflener
Inspecrion Dab Insp. Commentf
FooNngsl Cs)
FooGngs 11
Foundatlon
Framing
RooHnq
Rouyh Plby.
Rouyh Nty.
Inwl.
Fireplace
Final Htg. ? i n d) ::. ?:.
Final Plbg.
81dy. FMaI rso.
CeR. OCC. ? . fi.
Deek Fty.
Deck Frmg.
Well .
Pr. Disp.
. . PWMBING PERMIT
CITY aF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121
Site Address -
Lot ? Name
? Addr?
c City ?
? Name
3 Addrg
O CitY
PERMIT# 47111 a
RECEIPT #
DATE:
BIOG. TYPE WORK OESCRIPTION
Res. t New
Mult Add-on
_ Camm. Repair
Phone ? Other
FEES
COMM/IND FEE - 196 OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE - $10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(AOD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
SIGNATURE OF
FOR CITY OF EAGAN
N . FIXTURES
Water Closet - $3.00
j Bath Tubs - $3.00
TLavatory - $3.00
1 Shower - $3.00
TKitchen Sink - $3.00
Urinal/Bidet - $3.00
1 Laundry Tray - $3.00
? Floor Drains - $1.50
?water Heacer - $1.50
Whirlpool - $3.00
1 Gas Piping Outlets - $1.50
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
-} Rough Openings - $1.50
FEE
STATE S/C:
GRAND TOTAL
TOTAL
s
-- ??}
4?•' ?aqr?•?+?'?
?
CONTRACT PRICE:
Site Address _LLL_L'
Lot = Bloc
MECHANICAL PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122
PHONE: 454-8100
m NaMe 4 ..rE..4- iui?
-ia Address IU .1 psJ
c City "JAn'v V, ;,l, ? Phone
a?
c
3
0
Name _
Address
City _
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent.
Gas Piping Outlets #
Other
Phone
?S i?u M BTU
M BTU
M BTU
M BTU
CFM
Z?
FEE:
SlC:
TOTAL•
PERMIT # k ? ta -;:2-
RECEIPT # ?????
DATE: `????? /;f 7
BLDG. TYPE WORK DESCRIPTION
Res. New v
Mult ?r• ? Add-on
Comm. Repair
. Other
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMI'n - 1.50 EA.
COMM/IND FEE - 10,5 OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPUES
MINIMUM RESIOENTIAL FEE - ALL ADD-ON 8
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADd $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
.-,
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
. ,
(gertifiratp u# (IOrru?aury
titp of (Eagan
ap#twwtPltf IIf litilbittg jwPi'tktt
This Certificate issued pursuanl to ihe requirenrents of Section 306 of the Uniform Btrilding
Code cerli)ing that at the time of rssuance thi.r structure was in compliance with the various
ordinances af the City reguluting building consmxdon or use. For the followrng.•
ux Qft? i ??' 4 F'IEX mas. Famit rb. 12E66
o-VP-r Ty? R3 zonioa aua? 1 rya coa,r Vtl
owma or amlains = VA1.I,1: Fyj•:F` ,,,dd"
9ml?og Addrea l#418 1f i j.'i$'I?l'. l,ocal?n,
.ik'RM 30}
Ilra:
Bwlding Oflicul
POST IN A CONSPICUOUS PLACE
L 1-d, B 3
,
BUILDING PERMIT
Receipt #
N° 12605
To be used ror 1 OF 4 PLEX Est value $ 4 t3 , 0 0 0 pate SEPTEMBER 23 19 86
Site Address 4618 PENKWE WAY Erect L? Occupancy H3
Lot 4 Block 3 Sec/Sub. JOHNNY Cr1KE Remodel ? Zoning p?
Parcel No. R IDGS 4TH Repair ? Type of Const y}}
Phone
o Name
0 i
a Address
'" City Phone
W W
?_
ur, 'zz
t W
Name-
Address
I hereby acknowledge that I haue read this application and state that the
information is correct and agree to comply with all applicable State of
Minnesota Statutes and Ciry ot gayp Ordinances. ?
5ignature of Permittee- 4- - 4-- 4 c-?.:1- - -?
f;QOD VALUF HOMES
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHOME: 454-8100
Addition ? No. Stories
Move ? Length 44
Demolish ? Depth 24
Int Impr. ? Sq. Ft
Install O
Assessment
Water & Sew.
Police
Fire
Eng.
Planner
Council
Bldg. Off. 9/22/86
APC
Var. Date
Permit ' " • ' ""
Surcharge 00
Plan Revie00
SAC 0 0
Water Conn. 500.00
Water Meter63.50
Road Unit ?00
Tr. PI. -? ? 00
Parks
Copie
Tn.el ! • SO
A Building Permit is issued to: on the express condition that
all work shall be done in accordance with all applicable State ot Minnesota Statutes and City of Eagan Ordinances.
Building Official
I I wmn Na I w.mn Haa« I Dat. I TN.n+wn. K I
0`1,17.
Plbg.
Mty.
Ftp.
+ . . PERMIT# ?77#7
• c PLUMBING PERMIT RECEIPT #
. CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
CT PRICE: PHONE 454-8100
.-
Site Address
Lot
? Name
? Addre:
c City _
? Name
3 Addre
O citYe
BLDG. TYPE WORK DESCRIPTION
' L ' Res. New "
v Mult Add-on
Comm. Repair
Phone"'-~ -?
- Other
FEES
COMMIIND FEE - 196 OF CONTRACT FEE'
MINIMUM - RESIDENTIAL FEE - $10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
. r , ?.
SIGNATURE OF PERMITTEE
FOR CITY OF EAGAN
N . FIXTURES TOTAL
Water Closet - $3.00
i ?
Bath Tubs - $3.00
I Lavatory - $3.00
I Shower - $3.00
i Kitchen Sink - $3.00
Urinal/Bidet - $3.00
J
Laundry Tray - $3.00
TFloor Drains - $1.50
=Water Heater - $1.50
Whiripool - $3.00
? Gas Piping Outlets - $1.50
SoTtener - $5.00
Well - $10.00
Private Disp. - $10.00
? Rough Openings - $1.50
FEE
STATE S/C: `-
GRANO TOTAL• ?' , c
CONTRACT PRICE:
Site Address --. is
Lot Block
PERMIT # k •? ? 1
MECHANICAL PERMIT RECEIPT # 71
CITY OF EAGAN 7
3630 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
PHONE: 454-8100
? Name .j . -j rle-am ,&vL
V Address l? ?? S? • ??' A , ?,
c City OA:uAJI ,r;f. t Phone
Name _
?,
Address
p C'tY -
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping OuUets #
Other
Phone
5 c ucJ M BTU
M BTU
M BTU
M BTU
CFM
"Z?-
FEE:
S/C:
TOTAL:
BLDG. TYPE WORK DESCRIPTION
Res. New ?
Mult Add-on
Comm. Repair
Other
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C ON NEW
CaNSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIn - 1.50 EA.
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
OF PERMITTEE
FOR: CITY OF EAGAN
4c - s •
Ter#ifiratp of (Orruvanry
titp of (Eagan
loPpSI"#LttMtY ttf llttibim 3wPtYtDIt
This Cerlificate issued pursuant to the requirements of Secdon 306 ojthe Unifarm Building
Code cenifying that ut tlse time of issuance lhis structure was rn conepliance with the various
aTdiirances of the City regulating building construction or use. For the following.•
use cludGn,n :V 4 P[.t': BFd?. tlrmiii No. ? 26fi5
OctuP-q 1)'De R3 7AninH Dieuict 7ypw Cmul. Vi1
ownaorenua;a'XLID VAIUE 1V,'-F`, 1,410 93!?', ry :n.A7h7
Building Addres 4618 PFM,+1}: 'w t?, I.ocaliry iA, : *Slfi' /,?!,
POST IN A CONSPICUOUS PU1CE
{
!
CITY OF EAGAN - Remarks Addition TOH3NY' .AtE RI'DC . 4_h Lor 4 eik 3 parcel ?,(???$? 040 0?
.
owner Street 461? Penkwe NTay smte Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET REST4R.
GRADING
SAN SEW TRUNK .4 '
_5EWER LATERAL f-2,- 22
WATERMAIN
* WATER LATERAL
WA7ER AREA
STORM SEW TRK 278.28 C005$81 10 15 80
* STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONIV.
BUILDING PER.
SAC
PAR K
CITY OF EAGAN Femarks
Addition ,-10--M-NN-Y- 6-A-X-R R-.100- 4*--b- _Lat z pik I-Parcell-n?o80.1 030 01;
Owner street _".i$PenkMe Way state Eagan? MN 55122
Improvement DaLe Amount Annual Years Payment Receipt Date
STREET SURF,
STREET RESTOR.
GRADING
5AN SEW TRUNK
*SEWERLATERAL 1981 2277.43 C005581 10 1$ $4
WATERMAIN
*WATER LATERAL
WATER AREA 1981 300.0 60.00 300.00 G005581 14 15 84
STORMSEWTRK y 1981 27$.28 55.66 27$.2$ C005581 10/15/80
*STORM SEW lAT 1981
CURB & GUTTER
SIOEWALK
STREET LIGHT
WATER CONN.
SUILDING PER.
SAC
PARK
CITY OF EAGAN Remarks
Addition 6AJM-Jk=QE 4t#? Loc ? eik 3 Parcel10 39803 010 03
Owner Straet 46?0L.QEl71r{flLPL?y State .-F.ngain- MN 55122
Improvement Date Amount Annual Years Payment Receipt Dete
STREET SURF.
STREET RESTOR.
GRADING
SAN SEUV TRUNK
* 9EWER LATERAL 2277.43 455.4 5
WATERMA I N
• WATER LATERAL 1981
WATER AREA ? 1951 300.00 60.00 S
STORM SEW TRK 19$1 278.28 $$.66 S
* STORM SEW LAT I981
CURB & GUTTER
SIDEWAl1C
STREET LIGHT
WATER CONN,
BUILDING PER,
SAC
PARK
CITY OF EAGAN Remarks
Addition JQHNNY' CAKE-RUM 4tIL Lot 7 BIk -4 Parcetz0 39$4.3 028 e.3 -
Owner Street 4E91M Peltkwe Way State Vaga7[l, MN 55122
Improvement Date Amount Annual Years Payment Receipt Oaie
STREET SUR F.
STREET RESTOR.
GRADING
SAN SEW TRUNK
*SEWERLATERAL 9$1 22]].43 455. 5
WATERMAIN
*WA7ER LATERAL 1981
WATER AREA 19$1 300. QQ 60.00 5 180
STORM SEW TRK 1981 278.28 55.66 5
*STORM SEVU LAT 1981
CURB & GUTTER
51DEWALK
STREET LIGHT
WATER CONN.
8UILOING PER.
SAC
PARK
BLDG. PERMIT N0.
/
01-3210 3 B1di.?Perm3.'t .._, ?
01-3422 Plan Check
01-3445 Surch./Adm. ?
01-3446 SAC/Adm.
01-2155 Surcharge
17-3860 Road Unit
20-2275 SAC
20-3$65 Water Conn. =n?'
20-3868 Water Trtnt.
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn.
11-3855 Park Ded.
TOTAL D ?'
r • CASH RECEIPT
CITY 4F , EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
Recrsivao
FROM
AMQUNT • ` ? I
s oo
Thank You
BY
White-Payers Copy
Yellow-Postinp Copy ?
Pink-File Copy
CASH ? CHECK ?
FOR
• CASH RECEIPT ?
C1TY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
QATE 19
f
RECKrvEO
FROM ?
AMOUNT
Q DOLLAR!
?oo
? CASH ? CHECK
FOR "
?Y
. i ? .
BY
White-Peyers CopY
Yellow-Posting Copy
Pink-Fila Copy
Thank You
? CITY OF EAGAN SEVIIER SERVlCE PERMIT
? 3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.:
Eagan, MN 5$121 DATE: - -
ZoninO: No. of Units:
Ownsr: ?i,c7c? :'al?;?
? /1dclrr.ss: _
Sita Address: +b 18 Peukw2 :.-L
Plunber. ::icke? son
,
i?,.oop.f
i 11Mmmfe«th wk& MM C*y of 1qsw Connectlon Charpe:
???• /lcaount Depodf: ? 5 Pnik:+
Rormit Fee: _l c"r,?';
S1SrChdqp:
BY MFsc. Chnr+pes:
? Dote of IroP-: Totd:
InsP•: Dab Poid:
CITY OF EAGAN WAjER SERVICE PERMIT
3830 Pilot K nob Rbad
P. 0. Box 21199 PERMfT NO.: ?
Esgan, MN 55121 : ... -' ? .. ^ ; .
Di1TE:
ZO?ing' ' No, of Units: ' ' -
Dwnar:
• J?_
No..
to =MVhr whh !IN Cily of Eeyaa
Connettian Charpe:
A«ounr Depnslr: i- 5 ?':?nr
Permit Fee;
' '. f?t1nr.?
Surchor":
Misc. CMryes:
Totol: ', i . Sc) 0 iuGter
Dote Poid:
CITY OF EAGAN WqrER SERVICE
3830 Pilot Knob Road PERMR
P. O. Box 21199 PERMIT NO.: 111)q
Eagan, MN 55121 D/1TE: ?
Zoninp: _ No. of Units: y -pl ex
OWMr: . 1 1 - - ?'.3
/,ddro!3:
Sih /lddrcsa: Jahnnv Cr• C.t'1
Pl+xr+ber: C' i r b in v
3
1
t
r
5 G `
u
S +f
?
-
,
?
R°°°°F W: ? ! ¢#?gl9?eca i4ibes
? qme to oommpy +rilii N? Ciryr • i_..su?d,n.??tc _GLS ?C,
Br I%GV[vq•Dor. Pala
Dote of Inap.: Irup.:
7-/ 5?- y)
CITY OF EAdAN WATER SERVICE PBMt
3830 Pilot Knob Rwd ?y,??T NO.:
P. 0- Box 21199 • - `. ? °
Epan, MN 55127 DATE:
- nex
Zonlny: . No. of Units:
'
;=ooiL. s
+.;i,a:? Value
OwrNr:
/tiddress: , ? Fi3
462;)'_ 1'enriwe :,;a„ L-..
Sih Addresr
,
Pluniber. 'icke].soa PlumUin t7?i.?1(1?,t:
MaNr No.: ?1Or?: 1. S,:1 C; d
Siu: E I i Ut?1+ti 1o.!?0 cl
Reoder No.:(/a-?--?a- ? . . SOpJ
I yw+ te aa"?Ip .Mi !M
0''?t""°M' REQUIRE
O?` 156.00 p?' ?
?'? 5nr? meter
otol:
DGt! POid:
By
Dat! of I11ip.: 'nsp.:
CITY OF EAGAN Sl1NER SERVI(;E PERMIT
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.: ? .
'
Eagan, MN R5121 DATE:
Zor-Arq. , f „; No. of Units: 1ey. -
• ?y.,,a t?a? ?? '?:? :,: ?
rwr
O
w
.
•-
'
?/lddren; 4620i; .?.??':•,,?. Wa;r L3 L•' .;c,`uuly Cb: .
R:i- 4t
'
plumber.
I ym fo eeu?phr wYb tIN Clyr of isN¦ Con?NCNon [haw: .47' !'•0; r'
Aoaourrt Deposite
0r11.neam
PermR FN: r• ? ?„?
Surdarm:
gy Misc. Gla?pex
Dote of Irap.: Total:
1.,.., • _ Dote Pold:
3830 Pilot Knob Rosd
P. O. Box 21199
Eagan, MN 15121
Zonlnq: .
-?
Owntr: c,: ?'x:•.ie :?r -
Address:
5ltr Addras: ` - _
PlIXilblC
Mehr No..
Slze:
Reodsr No.:
I NIM to OOe* Nft 1M Qty of EiP11
?inseem
WATER SERVICE PERMR ?
PERMIT NO.:
DATE:
. No. of Unih: '
Coruwction Charpa: ,'..
Aooourn Qaposit:
Permit Fae:
?Y?I?CF10fQeS:
TotaL• ?, s _ _ ,??., : ?•. ? ??:?
Doft Poid:
By
Date of insp.:
CE PERAAIT
CITY OF EAGAN WATER SERVI
3830 Pilot Knob Road
P. O. Box 21999 p?IT N:l.:
_
Eagen. Mid 55121 DATE: ,
- -rlex
Zaniny:
No. af Units:
Owner.
Add78m
Site Mdrcss: i ? - - - 4Lkl
Plunber. - S;J?).?}Qpd
Met?r No.:
-
- - _..?.._ l ; . t??p•?
Reoddr No.: ac , o v Mr?(?(!T?•. ??,---
1 ef?w fo oowPh w11h NM Citf ?? ?rge:
0"iV"w
63.
Totni:
BY , Dnte Paid:
Date of Insp.: Insp.:
7 ? j ,/- - p 7
?
? CITY OF EAGAN
; 3830 Pila Knob Road
l P. O. Box 21199
4 Eagan, MN 55121
Zoninp:
Ownsr. (100d Valuc.; Fiomes
/Iddrcss:
; Stte AWdr
Plumber:
, - ..,.,
1 peM M eos/1-? witb !M CIey of Loww Car+nactlon Clwrpe: ' ,;. "•
Ordiwewas. Asoount Depoait:
Punlt Fes:
Surcharpe:
By Ml,c. Gwryez
Dote of Insp.: Total:
Insp.: Date Pdd:
ITY OF FAGAN WATER SERVICE PERMR
0 Pila' Knob Road
. o. Box 21199 raRMIr No.:
agan, MN 55121 D/1TE: ?
Zoning: _ Ho. of Units:
*wner• -•"L•?? l'aluP
ress:
'blb Address: ".(?f) n?nicta? d„
'
Plunber:
JlAster No.: Connection Chorpe:
?,,,??y
/?1CCOURt DGyv?.•: 1 r. . .
- , .
dsr No.: Pernit Fee: t ?-• ?. ;
? yrr lv aoolply whb Nw Cihr oi Empw
Surchorge: ?
-
_
war. Misc. CMrpes: , .
Total: .
?y Oote Poid:
e of Insp.: Insp.:
SEWER SHtVlCE PERMR
PEtAAIT IVV.:
D/1TE: ,
? No. of Units: ;-
' CITY OF EAGAM
° 3830 Pilat Knob Road SEWN 5ERVICE p,ERM
P. O. Box 21199 PERMIT NO.:
Eagan, MPi 55121 DATE: ".' fi-" F
ZORif10' - NO. OF URifS: -j71Ci
Owrnr:
" Addrcss:
Stte Addrcss: 4 b 1316 ti eu.kwa -„*ohnnv C'L ^e ?; !{ t? -
Plurr+ber.
??7??? 1Qi?.?:?•.?T
1 Mm N eamply wMb IM Cly ei Emps Connsetlon Chave:
OrmNAcN. ACOOUM D!poWf:
Permlt Fys: _ '•Lyi?
SurcFwrpe:
B1' Miac. Cha?pes:
Date of Insp.: Total:
lnsp?: Dah Poid:
CITY OF EAGAN ,
? SERVICE PE
M
WA
3
3
P R
IT
?
8
0
ilot,Knob f?oad
P. O. Box 21199 PERM1T NO.:
-
Eagan, MN 55121 '
D^TE:
ZO^jhg: -- No. ot Unets:
Owner:
Mdress:
$itt /4ddrobt: •u. -V ,.T'I . , :
?
Plumber.
?
Meter No.: Conneetion Charpe: ' .
Slu: Acrount Drpostt:
Reader No.:
Pertnit Fee: ,
1 pwe to es=py nNw !IN Cihr of Ew9e¦ Su?cho?ge:
OrliMmor. .
Mtu. Choryes:
Total:
BY Dote Paid:
Dote of lnsp.: l,,,Q. i
CITY OF EAQAN WATER SERVI CE PERMR
3830 Pi(Gt Knob Road pERMIT NO.:
P. 9. Box 21199
Eagan, MN 55121 DATE- - n;ex
"'
Zoninp:
No. of Units:
e_ iFue5
Owner.
/lddmsa:
SFta Address• ,,.,,?, 1
Plumber-
: 3 8 ?a 5??f
Mersr No.
io?iG$
'ES ,. P
Size: 'rel RaG?`ri
• ? ' . f P
Recder No.: ?
`
? ??
• - ? P
!
1 arM h Oow1?/ ???QI !
OnJi,aoam Mlac. Choroes:
('. 5 Oncl ne ??- r
Total:
Dote Paid:
BY
Date of InsD.: I?aP.:
I
? REQUEST FOR ELECTRICAL INSPECTION AIW- ee-oo/ooi oe AWV%
1 Ssa Instruetions lor eomoletinp thie torm on beek of yellow copv.
'-?i-CZ Cp "X" 8elow Work Covered by This Request
MwAAAdI peo.l Tvoe ol Buildina 1 Aoolioneee Wired I Equiyment Wired I
H%
ce
I I I I Industrial BIAa. I I Air Conditioner I I Bulk Milk Tunk I
p Fee ServleeEntranceSiza q Fea Feadere/SUbteatlere M Fae Circuiro
o200Am s 0 to30Am s 0 to30Am
Above 200 31 to 100 Amps 31 to 100 Amim
Swimmin Pool Above 100_Am s Above 10Am s
Transformers rrigation Booms Pdrtial•?Othor Fee
L I Signs I I i Special Inspection
S? "
TOTA FEE
ema?ks ? [
Rou9h-in
i/?? Oate
I, the Elec T' cel
UV Inspaetor, he.eby
? • certily Ihet the a6ove
Final Hte InaDection hea bean
'?r 10 mede.
mM rspuaet vold 18 montlro trom
+ TOnth9 ffOT'a
? C- 816564?,9-
equ red7 ?qeady Now Will Nptify Inspec-
?' 11 ?? Yes s ?NO ?or When Raedy
LJ Licensed Elecirical Cantrector I hereby roqueat Ineceefion ol ebove
Q Owner eleelriael work instellad et:
S[reet Adtlress, Boz
r floute
o City
'
\
Y
?
ect? n o. Township Nama or o.
R A?Ba o.
Count
I v !
O pant (PflINT) Phone No.
e? Supplie Address
?
EIa cal Contmctor ICLom^peny mel
? ? ConVactot's License No.
Maili nB ACJ ess (COntractor or
OWer Makine Instailation)
^
9`
Q _ A.
?
A thori;etl Sipnature ( ontrector Owner Making InslallatioN Ph ne Number
c^ Q?
-
MINNESOTA STATE BOARD OF ELECTPICITY TMIS INSPECTION qEQUEST WILI NOT
Grippe-MiOwey Bidp. - Noam N•181 BE AGCEPTEO BY THE STATE BOARD
UNLESS PPOPER INSPECTION FEE IS
7821 Univereitv Ave.. Bt. Peul, MN 66104
Phone167Y)642-0800 ENCLOSEO.
rs roquast void 7/??/?'?
months (rom °J "7
81655/.i a-?
- -- -- ? ---
?? e uired? ?NO Aeatly Nuw III Notify. Insoec-
? ? Yes lor Whan Needy
? Licensad Elecvical Contrxctor 1 hereby ropueet inapection ot ebove
? Owner sleebleel work inatalled et:
$treet Address. Box orrkoute No. Ci ^
ection o. owns ip ame or o. RenBa o. u Lty
J::)0J
L0+-C1Q
O oant( PPINT) Phone No.
er SuoP?? r Address
EI ical Contractar JC)ompany Ne I
1 ? nt Uctor. s Lic e No.
MailinB AdJress (COnirector ar O nar M
O ing Ingteilation)
?
=re IContrector Owner MnkinB Installetion) PhQne NumEe
f?? ?
?L??
MINNESOTA S7ATJ BOARD Of ELECT111CITY ? THIS INSPEGTION XEQUEST WILL NOT
Griqpe-Midway Bbp. - Ibom N•191 BE ACCEPTEO BV THE STqTE eOAPD
1821 Univeraitv Avs.. 8t. Pnul, MN 66104 UNLESS PPOPEN INSPECTION PEE IS
Phone(612)642-OB00 ENCLOSED.
,7113'7 REQUEST FOR ELECTRICAL INSPECTION ea-00001-06
?
, ? See inatructions tor eomplatinp thla lorm on beck o/ vallow copy. ?y' /?6•-?
Qt? cz C, E? "X" 8elow Work Covered by This Request
RIewIAAdI Rep.l Tvoe of Builtlina 1 Aoolionces WiraA 1 Equiumenl Wired I
HX
N Fee SerWceEntrenceSize b Fee Feadera/SUbfeedera 8 Fee Cireuib
0 to200Ams 0 to30Ams 0 tn30Am
Above 200 Am ? 31 to 100 qmps 31 to 100 Am
Swimmin Pool Above 100_Am s Above 100_Am s
Ttanstortner5 rn ation Booms Partiab`Other Fee
Signs I Special Inspection g4 I
- TO
`Rert
Nrke
; ? TAL PEE
f ; (?`.y3/J
( ?l r
flouph-in Date
I, the EI9?bic
• /t 0 Inapecuor, Fareby
eerti/y t?et ?hs nbove
Final o' `1er?
FA?d3 ? InapactlOn hee DeOn
metle.
ThIS rsqueat vold
?' R 1
REQUEST FOR ELECTRICAL INSPECTION OAMY& es-ooo/oi-os
? Sao insfruetions tor complati.q thia fwm on back of vellow capy. bud-I ?C?pS?
yaw
At;fl "1(" Below Work Cavered by This Request
Add flap. " Typa ol BuiltlinB p.V0lianeee Wirad EquiOmani Wired
Home Range Temporary Service
Duplex Water Heater Lightin Fixtures
Apt. Building Dryer Electric Heatin
Commercial Bldg. Furnace Silo Unloader
Industrial BIA . Air Corditioner Bulk Mitk Tenk
Farm t r.r oea y t ar ISnnr.ifyl
t.r ueci Y t or Other
ompute lns ection Fee Below
p Fae SarvieeEntreneaSi:e N Fee Feedero/5u61eedere # Fee Cireuitn
XA.M O to 200 qm s 0 to 30 Am s 0 tn 30 Am
Above 2 0 Am ps 37 to 100 Amps 31 to 100 Amps
Swimming Pool Above 100_Am i Above 100_Am y
Transrormers rn ation Booms Partial•'Other Fee
$igns eci I Inspection S?- TOTALFE
e ?
??
msrks m E
i_ "(/\
?
I, tha EIe2lricfl I
InpPeCtol, heraby
certity thef tha n0ove
inspeciian hss been
meda.
. i? -?-1?7
-?51654 ?._31
Yes ?No
74l0,??-
INiil Nolity, InsOec•I
tor When fleatlV
? Licensetl Eleciricel Conbnctor 1 hereby ra0ueat inaDeetion oi ebove
? Owner electricel work instelled et: .
Street Atldra53. Box or uie No.
?
City
ection o. 75wns ip ame or o. nn9e o. ounly
ck-
?
OccupantlPNINTI Phone No.
Power Supplier
I Address
Electrical Contractor IEamoanv el ?
r ? Contrecmr's Liconse No,
Mailinp AtlJrass (COntractor o Owne Makin0lnstallafionl
O o ? ?. ? ' l
Au rize[?,Si natura ontrecmr Owner Making Instsllation)
.45 Phon ber- ?
MINNESOTA BTATE BOAND OF ELECTRICITY ? TMIS INSPECTION REUUEST WILL NpT
Grippa•Midway eldo• - Noom N•191 BE ACCEPTED BY THE STATE BOAND
7827 UnivereitvAVe..Bt. Veul, MN 66706 UNLE53 PNOPEP INSPECTION FEE IS
Phone 16121 842-0800 ENCLOSED.
.,cuOEST fOR ELECTRICAL INSPECTION ?eye-aoooi-oe
? See inabuetions tor eom0iatiriq this 1wm on beck of vellow eapy.
Y? ?g1 p 5 "X" 8elow Work Covered by 7his Request
ana ReO. TvDe ot BuilA{np nooiionees wi.ae Equipment Wlretl
Home Range Temporary Service
Duplex Water Heater Lightin, FixWres
Apt. Building Dryer Electric HenLn
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air COnditioner Bulk Milk Tenk
Falm the? oec? v ??er ISPUr.ilyl
? 9? yOC? y 1 C, Olhe,
ompute lnspection Fee Below
p Fee ServiceEntrenceSize d fee Feedars/Subleedera M Fea Circuite
0 to 200 Am s 0 to 30 qm s CZ? 0 to 30 Am
Above 2 0 qmps 31 to 100 qmps (DO 37 to 100 qm
Swimming Pool Above 100_Am s Above 700_Am s
Transiormers Irn tion Booms Pertial.'Other Fee
Signs Special Inspection S --_\
emerks ?l
? TOTAL E
1
?
Bouph-in Dnte i, the qle_?Vicr
Inapectar, hereby
P?V W certily thet the above
Final
( ?inaoaction has been
m /?? metle.
is ravumt .aeiemomiuirom ? i - ?
rThis requesl vaid ?j8?
- 18 months Trom
,_C`8165
7Dl?S?.
HepuCSt DatB ' ' FiM NO. Hadph-in InsV¢clion
?? I I-?^ Rgawretl7 ? ??Ready NuwOW-ll Notify InsVec-
! 4?Vas No Ior When PeadY
? Licensed Electrical Convactor I hsreby requesf inapection of e6ove
? Owner electricel work Insfalled et:
5 reet Addre s, Box oute No. Cit
? l
ection o. Townshi0 Name or o. ange o. County
Occ antIPRINTI Phone No.
/
O O
Pis $up0lier Adtlress
?
p
eny N
)
al
Co
nnac
t
or IG
Om
Ele?
+c Contra to
r'
Lica e No.
s
,
?/
?p /l??{-?
?
?
,
\
?
?
^
G
. N.C../ U? l X' , L.CX?( iC,/ -
7
'
Ins[al
MINNE$pTp STATE BOARD OF ELECTNICITY ? 7M15 INSVECTION REQUEST WILL NOT
Grippe•MlOway Bldy. - Room N•191 BE ACCEPTED 8Y THE STATE BOAflD
7821 UniveraltV Ave.. St. Peul, MN 66104 UNLESS PNOPEN INSPECTION FEE IS
Phona1672)642-0800 ENCLOSED.
L 1-4 , B 3 CITY OF EAGAN A'
3830 Pflot Knob Rqad, P.?Box 21-199, Eagan, MN 55121N2. 12664
PHO : 454-8100 ?
BUILDING PERMIT Receipt# 2yG
7obeusedfor 1 OF 4 PLEX Est.Value $48,000 pate SEPTEMBER 23 19 86
SiteAddress 4620 1/2 PENKWE WAY Erect ? Occupancy R3
Lot Z Block 3 Sec/Sub. JOHNNY CAKE Remodel ? Zoning I'D
Parcel No RIDGE 4TH Repair ? Type ot Const 17S3
. Addition ? No. Stories
Name GOOD
VALUE HOMES
Move
?
Length 44
24
i 1460 93RD LN N oemolish ? Depth
o Address
Ci
BLAINE ph
780-5510 Int. Impr. ?
? Sq. Ft.
y one Install
F Name SAMF
i
$ 04 Address
? CiTy Phone
a
w W Name
? ? Address
z
a W Ciry Phone
I hereby acknowledge that I have read this application and state thatihe
information is correct and agree to comply with all applicable State of
Minnesota Statutes and Ci an Ordiny? ces.
Signature of Permittee
A Building Permit is issued to: VVVU vtfl,un nvr111all work shall be done in accordance with all apolicahLOState of
Approvals Fees
Assessment Permit $ 274.00
WaterBSew. Surcharge 24.00
Police Plan Review 137.00
Fire SAC 575.00
Eng. WaterConn. 500.00
Planner Watar Meter 63.50
Council Road Unit 290.00
eldg.Off. 9?22?86 Tr. PI. 156.00
Var. Date I Copies
Total $2.019.50
on the express condition that
City of Ea9an Ordinances.
Building
L 1-4, H 3 CITY OF EAGAN A' p
FOR SALE TOWNHO[l?? Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55127 'v'
PHOIV?: 454-8100
BUILDING PERMIT Receipte
?? 12663
U
Tobeusedfor 1 OF 4 PLEX Est.Value $48,000 Date SEPTEMBER 23 19 86
SiteAddress 4620 PENKWE WAY Erect ff occupancy R3
Lat 1Block 3 Sec/Sub. JOHNNY CAKE Remodel ? Zoning PD
Parcel No RTDGE 4TH Repair ? Type of Const. 77i1
. Additian ? No. Sto,ies
W
Name
GOOD
VALUE HOMES
Move
Demolish
?
?
Len9th
Depth 44
24
o Address 1460 93RD LN N Int Impr. ? Sq. Ft
CiN BLAINEphone 780-5510 Instau ?
3AMF"
? Name
_
$ Addre&5
?
City Phone
F w Name
? r Address
5
i W Ciry Phone
i hereby acknowledge that! have read this applecation and state that the
information is correct and agree to comply with all applicable State of
Minnesota Statutes and Cian Ord' ces.
Signature of Permittes//?/ /
A Buiiding Permit is issued to: GOOD VALUE HOMES
ail work shall be done in accordance with all applicabl t? aof Minnesota
Building OHicial ?
Assessment
Water & Sew.
Police
Fire
Planner
Council
aid9. orc9/22/86
Var. Date
Feea
Permit $ 274.40
Surcharge 24.00
Plan Review 137.00
SAC 575.00
Water Con n. 5 0 0. 0 0
water Meter 63. 50
RoadUnit 290-00
Tr. PI. 156.00
Parks
Copie Z ,O1 . O
Total
- on the express condition that
of Eagan Ordinances.
L 1,-4 , B 3 CITY OF EAGAN
Ng
12666
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
-
PHONE: 454-8100
BUILDING PERMIT „ Receint a
Tobeuaedlor 1 OF 4 PLEX Est.Value $48,000 pete SEPTEMBER 23 19 86
SiteAddress 4618 1/2 PENKWE WAY Erect 11 Occupancy R3
Lat3_ Block 3 Sec/Sub. JOHNNY CAKE Remodel O Zoning PD
RIDGE 4TH
Parcel No Repair ? Type of Const. IT+•
. Addition ? No.5lories
W Name GOOD VALUE HOMES Move ? Length . 44
3 Address 1460 93RD LN N Demolish ?
? Depth-?d
S
Ft
' City BLAINE phone 780-5510 ?
InstallPr. q.
o Approvals , Fees
Name GAMF.
z
?¢ Address
ASSeSSment
Permit $ Z 74. 0(
? Ciry Phone Water&Sew. Surcharge 24.0C
Police Plan Review137• OC
Fi Name Fire SAC 575.??
?n Address Eng. WaterConn. 500.0(
W
a ciry phone
Planner
Water Meter 63- 5(
Council RoadUnit 290.0(
Iherebyacknowledgethatlhavereadthisapplicationandslatethatthe gldg.Off. Tf.PI. 156_0(
information is correct and agree lo omply wit all applicable State of
Minnesota Statutes antl Cit an Ordi ces. ? APC Petks
Signature of Permitte
r Var. Date Copie
s ----- $-2--'-0-19- .5(
Tocal
A Building Permit is issued to: GOOD VALUE HOMES on the express condition that
ail work shall be done in accordance with all ic e Stat
Min
nsot utes and C ity of Eagan Ordinances.
?
?
?
Building Oflicial °
?
L 1-4, B_3 CITYOFEAGAN Ng 1266t
J
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454;8100
BUILDING P ERMIT Receiptp ?
7obeusedtor 1 OF 4 PLEX Est.Value $48,000 pate SEPTEMBER 23 1986
SiteAddress 4618 PENKWE WAY Erect IN Occupancy R3
Lot 4 Block Sec/Sub. JOHNNY CAKE Remodel
3 ? Zoning E.LI
Parcel No _
RIDGE 4TH Repair ? Type of Const yft
. Addition ? No. Stories
w Name GOOD VALUE HOMES Move ? Length 44
2
Address 1460 93RD LN N Demolish ?
0 oepth?
F
o
Int. Impr.
Ciry BLAINE phone 780-5510 Install
? Sq.
I
o [IName SAME
$ Address
City Phone
8a
W Name
?a Address
z
i w Ciry Phone
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City ?9 'Ordina es.
Signature of Permitt eP???'?
A Building Permit is issued to: uvvU VtwUL nv
all work shall be done in accordance with all ap 'ca61e State
Building Official /•?S
7
Fees
Assessment
Water & Sew.
Police
Fire
Eng.
Planner
Council
Bldg. Off. 9/22/86
Permit ? ? ? `? • V V
Surcharge 24.00
Plan Review 137.00
SAC 575.00
Water Conn. 500.00
WaterMeter 63.50
Road Unit 290.00
Tr. PI. 156.00
Var.
Copies
7otal $2,019.50
on the express condition that
Statutes and Ciry of Eagan Ordinances.
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax;(651)675-5694
??? ?Jky
'i-----------
? Permit#:
? ?L, ? I
I PermitFee: ???• r/'? ?
? Date Received:
I ?
? Staff: ? I
I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: SiteAddress: "fuf
suice n:
RESIDENT / OWNER Name: U fiv Phone:
Address 1 Cit I Zi
Y P:
-
-
? n ?Y I
Applicant is: _ Owner ? Contractor ? ?Il??i&Pi ? `iS , p 1?' 'ar-
TYPE UF WORK Description ofwark: RC'Fl) `
'
Construction CostA 12-,?p? Multi-Family Building: (Yes _! No
#
LO NI "ISI
1
lu
y
U?
(
CONTRRCTOR License
:
.
Name
?
Slv
y
Address: 22&?, clY1miAt)AL
5tate: Mt? zip:
4 ?
t?l?Y?/1
jn?
I
City:
.
T1
Phone: ( DSI -q ?U' u I? I Contact Person: ?L"s1 n I
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
Enefgy Code . Residential Ventilation Calegory 1 Worksheet • New Ener@y Code Worksheet
Cdtegory Suhmitted Submitted
(4 submission type) • Energy Envelope Calculations Submitted
In the last 72 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed plumber: Phone:
Mechanical Contractor: Phone:
Sewer 8 Water Contractor: Phone:
consaderetl to be pub6c mformation;':.. Porffons of'
sG?nl
t aie
{",
' NOTE: Plans andsupportrng docurlrents thaf yoi
y
t
u
,?
y?ou ptqwrd??spebi?c,?reasons that would permit the,City'to
? the Informatron may be classrfretl as non public ifA
, .
,
. ..
,
„concfude:thaf_th9 fare'-tradd',searets
I here6y acknowledge that this information is complete and accurate; that the work will be in confortnance with the ordinancas and codes of the City of
Eagan; that I understand lhis is not a permit, but only an application for a permit, and work is not [o start without a permit; that the work will he in
accordance with lhe approved plan in the case of work which requires a review and approval of pians.
X 1?1'\}L??,?1C??.?+1
Appli- can?ts Printed Name Applican's Signa ure Page 1 of 3
16
CEH3"IFICA TE OF SUf7VEY
for: GOOD VALUE HOMES
C.R. WINDEN & ASSOCIATES, INC.
• Land Planning. Surveys & Site Design
1381 Eustis St.. St. Paul, MN 55308
Tel. 645-3848
?
1
`
\
1
?
A 00,11
privafe
Lots 1 through 4, inclusive, Block 3, JOHNNY CAKE
RIDGE FOURTH ADDITION, Dakota County, Minnesota.
L£GEAdD
%%1(.X Denotee Exfsting Elevation
(XXX.)O Oenotea Proposetl Elevatian
o Denotes Iron Monument
O Denotea Mooaen Stake
-4- Danotea Surfece Orainapa
9SL.4)
R^aposod hbuss Elevstlons
Top oi Fountletlan -
Garage Floor 953.0
Basement Floor -
Stal -r1o - se,?ie.ti]?
B.N. ?
/n?Pi?ac .eit of ?n?'uG Wcu?'
g:Jo. ci:ffc a:,.?-El=9Ie.3`
Datum?•D. /4zo AT_
I HEREBY CERTIFY THAT THIS SUHVEY, PLAN, OR REPORT WAS PREPARED BY ME OR UNOER NY
DIRECT SUPERVISION AND THAT I AM A =.Y REGISTERED LAND SURVEYOR UNDER THE LAWS OF
THE STATE OF NSNNESOTA.
Oated thia 9rh day of Se cm6ei , 7886 C.R. WINOEN 6 ASSOCIATES, INC.
ny
LLL-'=
Baok_ Page= Ninnesota Regiatration No. -7 z
PLUMBING (RESIDEN'I'IAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-56
Please complete for: Single Fanuly Dwellings
Townhomes and Condos when permits are required for each unit
,6 sZ)
Date? / ;/, , ?mo3
?,n
Site Address
Unit #
Property Owner 6 Fe; / 71
Tele hone #
P (6.51 ° F?all--7-,R.
Contractor aal c/
Address
c,ty??-?v??L? `
S[ate Zip Telephone #
The Applicant is _ Owner _X Contractor _ Other
Septic System New Refurbished Submit 2 seGs of plans and MPC license
InGudes County fee. Additional consulWnt fees may apply. $ 100.00
Alterations To Existing Dwelling Unit, Including
_ Adding fixtures to lower levels or room additions, excluding water softener and water heater $ 50.00
_ A6andonment of septic system
_ Water turnaround (+ 5/8" meter if needed -$121.00)
_ Other.
_ RPZ _ new installation _ repair rebuild
_ Lawn irrigation system $ 30.00
?
x Water softeuer _ Water heater ? APR J 2 ?99' li
? replacement _ additionai
L I $ 15.00
I AK
State Surcharge $ .50
Total
?7+,
/ s
Jv
,
$ d
I Lerebv aronlv for a Rea;?lP„e;a? nt,,,,,w:,... ne_:. _
-- ---- ----.----e, ."«u• a.... a.,.a.uwieuge u?a[ [ne mtormahon is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand tlus is not a
pemut, but only an application for a permit, and work is not to start without a permit; that the ork will be in accordance with the
approved plan in the case of work which requires a review and approval of plans. ,
Apphcant Pnnted Name ? 71pp icanYs ja e
39802 JOHNNY CAKE RIDGE 3RD 39804 JOHNNY CAKE RIDGE STH
.L 39803 JOHNNY CAKE RIDGE 4TH
PENKWE WAY (PAGE 2 OF 4)
4618/ 10 39803 040 03 (4-plex)
: 4618-1/2 030 03
4620/ 01003
4620-1/2 020 03
4621/ 10 39802 01008 (4-plex)
4621-1/2 020 08
4623/ 040 08
4623-1/2 030 08
4625/ 10 39802 01007 (4-plex)
4625-1/2 020 07
4627/ 04007
4627-1/2 030 07
4629/ 10 39802 01006 (4-plex)
4629-1/2 02006
4631/ 04006
4631-1/2 03006
4630/ 10 39804 04002 (4-plex)
4632/ 03002
4634/ 01002
4636 02002
4633/ 10 39802 01005 (4-plex)
4633-1/2 02005
4635/ 04005
4635-1/2 03005
4637/ 10 39802 01004 (4-plex)
4637-1/2 02004
4639/ 04004
4639-1/2 03004
4641/ 10 39802 01003 (4-plex)
4641-1/2 020 03
4643/ 040 03
4643-1/2 030 03
5
COMMERCTAL
2002 BUILDING PERMIT APPLICATION
CITY OF EAGAN
. 651-681-4675
Foundation Onl New Construction Interior Im rovement
• Struclurel Plans (2) sets • Architeduraf Plans (2) sets • Architecturel Plans (2) sets
• Civil Plans (2) . Structural Plans (2) • Code Analysis (1) "
• CertificateofSurvey (1) • CivilPlans (2) • ProjectSpecs (t)
• CodeAnalysis (i) • LandscapingPlans (2) • KeyPlan (1)
• ProjectSpecs (1) • CodeMalysis (1) • Master Exit Plan (t)
• Spec. lnsp. & Testing Schedule " • CeAifcate of Survey (1) • Energy Calculations (1) not always""
• Soils Report (1) . Spec. Insp. & Testlng Schedule (1) " • Elec. Power & Lighting Form (1) not always"
• Meter size must be esfablished • Meter size must be established • Meter size must be established - if applicable
• ProjedSpecs (1)
L • Energy Calwlations (1)
1
y •
. Electric Power & Lighting Form
Master Ezit Plan (1)
(1)
1
?U
L • Fire Protection Plan (1)'" 1
(1)
OO
. MGES SAC determination letter • MC/ES SAC determination letter • MC/E5 SAC dete atilYM? te? 0 L
L
ca11 6 51-6 02-1 000 call 651-602-1000 call 651-602-100
Contact Building Inspections for sample
Food & beverage or lodging facilities - submit plan to MN Department of Health.
DATE: 51 Oa WORK TYPE: NEW REMODEL
SITE ADDRESS:`RQI2?--LVDI p I1Z' U-ii-r)-4(62)`lk), fZL
TENANT
FORMER TENANT NAME,
DESCRIPTION OF WORK
/?• SUITE #:
L ?-1 ? ? 3. S'G ?2 3?-
Call 651-215-0700 for d ?
?' ?----? S
CONSTRUCTION COST:
// 3 -;?s-
? '???`?--?'
PROPERTY
OWNER
Last
StreetAddress:OQ1:J W11.l.1( (11tJd,? ?jl V lJ
J
City: ?
.__i State:
Company:
CONTRACTOR
StreetAdc
City: 6
ARCHITECT/
ENGINEER Company: _
Name:
Sheet Address:
City:
Licensed plumber installing new sewerlwater service: Phone #:
Zip:
I hereby acknowledge that I have read this application, state that the information is correct, an agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances. ?f
Signature of Applicant:
James Geisen, Pree Updated 1102
Zip: LJC.V ? 1-1
Zip:
Phone#: ( co ) E-Ul0"`I(O`!lJ
State: 1 lll I "
Phone #: ?
Registration
Sta[e:
OFFICE USE ONLY
SUBTYPE
? 01 Foundation ? 26 Public Facility ? 30 Accessory Bldg.
? 14 Apartments ? 27 CommerciaUlnd ustrial ? 32 Ext Alt - Apts.
? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt - Comm.
? 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt - PF
? 37 Nail Salon
WORK TYPE
? 31 New ? 35 Tenant Impr ? 42 Demolish (Foundation) ? 46 Windows/Doors
? 32 Addifioti 0 36 Move Bldg ? 43 Reroof ? 47 Repair
? 33 Alterarions ? 37 Demolish (Bldg) ? 44 Siding Li 48 Authorization
? 34 Replacement 0 38 Demolish (Int) ? 45 Fire Repair
GENERAL INFORMATION
Census Cade Zoning sq. ft.
SAC Code # of Stories sq. ft.
No. of Units Length sq. ft.
No. of Bldgs. Width sq. ft. ,• -.
Const. (Actual) Basement sq. ft. MC/ES System • ,' '
(Allowable) , First.Rloor sq.,ft., City, Water i
'. ?
UBC Occupancy ' . sq,f1.': ? • - . ' ? Fire'Sprinklered . ? . .
' t ` 2.. ? r . i , - r. J ? j ' ? e^ ? e ' ?, r?1 ? , • ? ?_
' ? ?• • ) ? 1: j . ? , ' ? .. . ' i . ??. i ? .`
MISCELLANEOUS INSPECTIONS
? Gas Service Test ? Heating ? Insulation ? Plumbing ? Stucco/Stone
APPROVALS
Plarining; ? ? • ,".-Building•
Permit Fee •, . • . _
Surcharge • ? Plan Review
MC/ES SA6-.: ? • I`,
. I
City SAC
Water Supply & Storage- .
S/W Permit
5/W 5urcharge
Treatment Plant
Park Dedication
Trails Dedication
Water Quality
Other
Copies
???• .. .
.
, " _ '' , ..-ngine?ringt . 0' Varladce "?
,: ? .??. •5 ? .. ?, ._'t . • , ?
.., ,,
VALUATIQ,N
,.
- ,•? .
%SAC
SAC Units
Meter Size
,.. . .
,
. ,
r . , ?
? • . J r. l? ?
.
y? . ..
,, .
Total
?
7986 BDILDING PERlIIT APPLICATIOA - CITY OF EAGAN
NOTE: ALL CONTRACTORS MlJST HE LICENSED WITH THE CITY OF EAGAP
SINGLS FAlIILY DIiELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
MfJLTIPLfi DTdiELLINGS - RESIDENTIAL RENT9L i1NIT5 FOR S9LB ONITS
INCLUDE 2 SETS OF PLANS, CERTIFIC9Tfi OF SURVEY - CHECg WITH HLDG. DEPT.,
1 SET OF ENERGY CALCULATIDNS
COMAERCTer.
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTIIRAL PLANS,
7 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE HOND
To Be Used For: Valuation:
Site Address
Lot Block ?Pareel/Sub ?
Owner
Address 1y?/, /]/
City/Zip Code
Phone
Contraetor
Address
City/Zip Code
Phone
Arch./Engr. _
Address
City/Zip Code
Phone #
Erect
Remodel
Repair
Addition
Mave
Demolish
Int.Impr.
Install
Date: ?- 9 -?5-?
Occupaney
Zoning
Type of Const
# of Stories
Length
Depth
Sq Ft
9PPROVALS FEES
Assessments Permit
Water/Sewer Surcharge
Police Plan Review
Fire SAC
Engr Water Conn
Planner Water Meter
Council Road Unit
Bldg Off Treatment P1
APC Parks
Dariance Copies
TOT9L
? >/Z 3
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOiiNER MIIST DESIGNATE iiHICH ADDRESS
ZS DESIRED. NO CHANGFS iiILL BE ALLOHED ONCE BUILDING PERMIY IS ISSDED.
r
1986 BIIILDING PERMIT APPLICATION - CITY OF fiAG9N
NOTB: ALL CONTRACTORS MQST BE LICENSED STITH THE CITY OF EAG9N
SINGLE FAMffLY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEYo 1 SET OF ENERGY CALCIILATIONS
MOLTIPLE DiIELLINGS - RESIDffiTIAL RENTAL ilNITS FOR SALE ONITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SORVEY - CHECS iiITH BLDG. DEPT.,
1 SET OF ENERGY CALC[ILATZONS
CONAfERCTpi.
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
l SET OE SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For: Valuation:
?--
Site Address
Lot ? Block 3
Parcel/Sub
Owner
Address /zlil?
City/Zip Cade f ?v%A e
Phone z1f29 - 5-5-??C"
Contractor
Address
City/Zip Code
Phone
Arch./Engr.
Address
City/Zip Code
Phone #
Erect
Remodel
Repair
Addition
Move
Demolish
Int.Impr.
Install
Date: Q ??
Oceupaney
Zoning
Type of Const
# of Stories
Length
Depth
Sq Ft
APPROVALS F6ES
Assessments Permit
Water/Sewer Surcharge
Police Plan Review
Fire SAC
Engr Water Conn
Planner Water Meter
Council Road Un1t
Bldg Off Treatment P1
APC Parks
Variance Copies
TOT9I,
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOHEOiiNEH MQST DESIGNATE WHICH 9DDRESS
IS DESIRED. NO CHANGES iTILL BE ALLOETED ONCE BOILDING PERMIi IS ISSIIED.
7986 BOII.DIAG PEEMIIT APPLICATIOP - CIT Y OF EAG9N
NOYS: ALL CONTRACTORS MOST BE LICENSED IiITH THE CITY OF EAG9N
SINGLE FAMIILY DWEI.LI6GS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SIIRVEY, t SET OF ENEAGY CALCULATIONS
MQLTIPLE DSiSLLINGS - RESIDENTIAL EENT9L i)NITS FDA SALS ONITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SQI{YEY - CHECH WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COI9lERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUC TURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ?
ENERGY CALCULATIONS, ?
$2,000 LANDSCAPE BOND
To Be Used For: /'4z:?! Valuation: Date:
Site Address OFFICE IISfi ONLY
Lot L Block Erect p Occupancy ?
Remodel Zoning
Pareel/Sub ` Repair _ Type of Const
Addition # of Stories
Owner ?oa ??s e Move Length ?
Demolish Depth ?
Address Int.Impr. _ Sq Ft
City/Zip Code Install
Phone AppROVAiS FEFS
Contractor Assessments Permit Z7?
-
Water/Sewer Sureharge ?
Address Police Plan Review / 37
Fire SAC s 7r
City/Zip Code Engr Water Conn 5-00
Planner Water Meter y,
Phone Council Road Unit Z ?
Bldg Off Treatment P1
Arch./Engr. APC Parks
Variance Copies
Address TOT9L
City/Zip Code
Phone 0
NOTE: ADDRESSES FOR CORNER LOTS - CONTRAC?OR/HOHEOWNER MUST DESIGN9TE AHICH ADDRESS
IS DESIRED. NO CHANGFS i1ILL BE 9LLOWED ONCE BOILDING PERrIIT IS ISSQED.
1986 BDILDING PSRHIT APPLICATI09 - CITY OF EAGAN
NOTE: ALL CONTR9CTORS MOST BE LICENSSD WITH THE CITY OF EAGAN
SINGLfi FAMELY DiiELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SIIRVEY, 1 SET OF ENERGY CALCULATIONS
M[TLTIPLE DAELLINGS - RESIDENTI6L
INCLUDE 2 SETS OF PLANS, CER
1 SET OF ENERGY CALCULATIONS
COMII4ERCTAI_
RENTAL iRiITS FOR SALS IINITS
OF SUfiVEY - CHECB NITH BLDG. DEPT.,
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For: Valuation:
Site Address
Lot g Bloek 3
Parcel/Sub
Owner 2,l `
Address /yC'd
City/Zip Code
Phone / ?
Contraetor 540-,111?
Address
City/Zip Code
Phone
Arch./Engr. _
Address
City/Zip Code
Phone #
Erect
Bemodel
Repair
Addition
Move
Demolish
Int.Impr.
Install
Date: 9- 9-x-f?
Occupancy
Zoning
Type of Const
S of Stories
Length
Depth
Sq Ft
APPROVALS FEES
Assessments Permit
Water/Sewer Surcharge
Police Plan Review
Fire SAC
Engr Water Conn
Planner Water Meter
Council Road Unit
Bldg Off Treatment P1
APC Parks
Variance Copies
TOT9L
NOTE: ADDRESSES FOR CORNER LOTS - CONTRAC20RIHOHEOWNER MOST DESIGNATE WHICH ADDRESS
IS DESIRSD. NO CHANGES SiILL HE ALLOiifiD ONCE BIIILDING PERMIT IS ISSOED.
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
° CITY OF EAGAN
' 3830 PILOT KNOB RD - 55922 0 -? S
651-681•4675 ol -?- ?c,
(
Ngy, ComirucHon Reaulremenfa Remodel/Reoalr ReauIremeMs
D 3 regblered sBe surveys sAowing sq. M. of b1, aq. R. ot house 2 coples of plan .
and ?II rooted areas (207, maximum lof covewae aliowed) 1set of energy calculattom for heafrd addMlom
D 2 eopfe: of plans (show beam S. window sizes; poured Ind. design; eic.) 1 siFe survey for exferfa addiHOna i decks
D 1 aet W energy calculaHons
D S copks of hee preservaNon plan 8 bt platFed alfer 7/1/93
DAiE: l- CONSTRUCTION COST: ca
DESCRIPTION Of WORK: PXe-C??
STREET ADDRESS:
LOT: 3
PROPERTY
OWNER
BLOCK: .3 SUBD./P.I.D. #:
?i C? 2
Name: e'^- Phone J1-G ?Sf -
Lasf F6st
Street
C"
Ciiy F-0.2lot- StaFe: V"/\,) Zip:
comPany: J V??ce l?C?hs-?YVe..?rfl ?none #: G(Z ?3'- 7S 64
(area code)
CONTRACTOR Street Addreas: v r1
9Z.Z ? 2d /?Q?e ti licenge# 5?476 Exp 3-6-
c»Y ctd'ySka.? state: vL'I? zlp: SJ?lZ?1
ARCHITECT/
ENGINEER
Telephone #: area code ( )
?
; Streel Address:
C(1y
Sewer 3 water Ilcensed plumber (reaulred for new conshuction onlvl:
Name:
Registratlon M: _
StaFe: Zip:
penolty applles when address ehange and lot change is requested once permH iz issued.
1 hereby ccknowledge thaf I hwe read thb applicafion, sfate thaf the Intormation is cortect, and agree fo comply wRh all applitabt
State of Minnesota Statutes and City ot Eagan Ordlnances. ? .
Signafure W Applicant:
?';i)I :-__,-'? . _?
OFFICE USE ONLY E?j
sq 2
Certificates of Survey Received _ Yes _ No .
Tree Preservation Plan Received _ Yes ` No - Not Required _ , _ _ _ -- -'
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex )?' 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
0' 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bidg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg.* ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
* Give PCA handout to applicant for demolitian permit
GENERAL INFORMATION
Const. (Actuai)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Planning
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building 66
Census Code LIv
SAC Code a l
No. of Units I
No. of Bidgs 0
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Engineering Variance
Permit Fee 60 •SG
Surcharge
Plan Review
License
MC/E5 SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies .2S
Total: 60. 7s
Valuation: $ OG
A
?
SAC Units
°k SAC
far: GOOD VALUE HOMES
. SOCIATES, INCo
Land Planning, Surveys & Site Design
1381 Eustfs St., St. Paul, MN 58108
Tel. 645-3848
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Lots 1 through 4, inclusive, Block 3, JOHNNY CAKE
RIDGE FOURTH ADDITION, Dakota County, Minnesota,
LfGEAO FY'opased hbuss FlevetJons ?O •, :
S[ale 1' -
xx%.X Denotsa ExSetinp E]evation B M -r, PC - N&--
(f(%X.%) Oanotes Prapoeed Elevetfon ToD of Faundation - ,,,;r„o?fe.r of Ra k'-e w..?
o Denotee Iron Monument Gara9e Floar 953.0 Ev =4<
a Danotoa Wootlan Stake Baaement Floor - Datu? N.?.V.D. /9?g AJr.
-t- Oenatsa Surfece Drsinspa T
I HEREBY CERTIFY THAT 7HI5 SURVEY, PLAN, OR HEPORT WAS PREPARED BY ME OR UNDER MY
OIRECT SUPERVISIDN AND THAT I AM A OUL.Y RE6ISTEREO LAND SURYEYOR UNDER THE LAWS OF
THE STATE OF NINNESDTA.
Dated thie9t? day Of Se entbtr . 18$6 C.H. WINOEN 6 ASSOCIATES. INC.
Bnok= Pege=
p y
Minnesota Registration No. -7 r
JUHNNY CAKE RIDGE
TOWNH0mE ASSOCIATION
Mariaged by
Condominium & Association Resource Group, Inc.
7900 Intemational Drive, Suite 9 953
Bloomington, hLN 55425
6121853-4910
August 19, 1999
Mr. Bill V6'olff
Sundance Construction, lnc.
6922 42nd Avenue North
Crystal, MN 55427
Re: Deck Extensions
Dear Mr. Wolff:
The Johnny Cake Ridge Townhome Association Board of Directors has approved your
bid for deck extensions at Johnny Cake Ridge Townhome Association. The deck
extensions, which are optional for homeowners to purchase, must meet Eagan City
Codes.
If you have any questions, please Feel free to contact me at 612.853.9910,
Sincerely,
Peder T. Flaten, Association D4anager
On Behalf of the Tohnny Cake Ridge Townhome Board of Directors
?X;cXt%?x'::?;'!•M?R.Y?kmW>X7Y:;?to'<;t?;c, ;;:?c?t?:;;;?: ?o;Xc;i>: ;:5? ?c;,. .:i,
C['iY UI' F..:AG(-11?
CA!3H.i.E.l:e J: i'fr.khi.':NP.I_ ht;v •rri:
DATEi 09/02/99 ":7.Mc: i30205
TD,. ,
NP:ME; 17i.NiiANf:E' f;i?iJST'it.':C'CAO`J
:320 ^nrii. 4624.5 hT)C> ri_TI- Et:l.(:)7
353;:; 9001 4624.5 FDG .r.,I._TF 0.25
205 9001 4624,.5 r;Lc r.i...r.O 0.50
°b.'.lL', 9031 4b18.5 W 6Ct.rl11)
3430 '7Gni. 408.5 Pf.-:NKI4E_ HI 0.E5
205 3071 4618.5 F"cp!4(;I!=: I^', 0.50
;s!"'10 20L'1 4E:24.5 ='Lt'I'.41C W 60.00
_,:_,r., rCO;. 4620.5 P'"= ?t^ ... , ..ME 'rl !].?.°,
20; saooi 4620.5 P,.r,;RV:r: P o:-o
Trrt:a'L Iic=C'iazp' P:nnllPi$. K205
CR:1.1i,4F2
U`:>E::t 0. JAN
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OP EACAN
, 3830 PILOT KNOB RD • 55122
651•681•4675 p„
?-a-91 ?
New Conshuefbn ReaukemeMa Remodel/Reoah Reavirements
D 3 regbtered sMe surveys ehowing sq. H. of Iot, aq. R. of house 2 coplea of plan
and go rooted areas (20% mmcimum bt eoveraae a0owed) 1 sef of enMgy cakulalbns for healed addBlons
D 2 copies of plans (show beam 3 wlndow sizes; poured ind. deaign; etc.) 1 slie suney for eztedor addNions 3 decks
D 1 set of energy calculaNons
D 3 coples of hee preservaHOn plan B l01 plaHed alFer 7/11/93
DATE: Cl -Z,`Ci CONSTRUCTION COST: ? !37ba ' dc)
DESCRIPTION OF WORK:
STREET ADDRESS: 44( O? ( LIA?-
LOT: C?- BLOCK: cs SUBD./P.I.D. #: - ?
PROPERTY
OWNER
Name: kAv?-rj Phone #:
Lart FIn1
(?SI? 4:?'? 3-0 ZLy
StreetAddress: LU :;1Z-0 YZ
?
City LaGC(.&? state: MN zip:
Company:?Uh&Qt1Ce CJC"54- Z^C Phone#: ? JZ- S37V7??
(area code)
CONTRACTOR Street Address: 6QZZ LL Z?d )q Ve N Lltense # 5-(-,7 C) Ezp. ?c)
CNy C%c-Stote: M'v Zip: LJ 5 `* 2- [
ARCHITECT/
ENGINEER Company:
• Telephone #: area code ( )
Name:
StreeY Address: Regishation N:
Ci1y
Sewer S water Ilcensed plumber (reauired for new conshucflon onlv):
State:
Penalfy cppltes when address change and lot change Is requested once permN Is issued.
Zip:
I hereby acknowledge that I have read this applicaHon, state ihat the Informallon is conecf, and agree to comply wHh all applicabl
Siate of Minnesota Statutes and CNy W Eagan Ordinances.
Signafure of Appltcant: Az?
OFFICE USE ONLY
?
Certificates of Survey Received _ Yes _ No ,
Tree Preservation Plan Received _ Yes _ No _ Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
O 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling O 07 5-plex ? 12 12-plex ? 17 Garage O 22 Porch/Addn. (4sea.
0 03 1of_piex ? OB 6-plex ? 1316-plex A!?l 8 Deck ? 23 Porch(screened)
? 04 2-plex ? 09 7-plex ? 14 ApaRments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
Or' 31 New ? 35 Tenant impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
0 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg.* ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
" Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Planning
Permit Fee
5urcharge
Pian 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:
Basement sq. ft.
Main level sq. ft.
? sq.ft.
sq. ft.
sq.ft.
sq.ft.
Footprint sq. ft.
Building
6G. SO
Census Code 413N
SAC Code 0 i
No. of Units ?
No. of Bldgs ?
MC/ES System
CRy Water
Booster Pump
PRV
Fire Sprinklered
13 G Engineering Variance
Valuation: $ (? a0 0
_2r
GG,7s
SAC Units
% SAC
For.• GOOD VALUE HOMES
9SL'4)
?
1
1
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,
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L! dy D, D,, a-
Lots 1 through 4, inclusive, Block 3, JOHNNY CAKE
RIDGE FOURTH ADDITION, Dakota County, Minnesota.
LE6fAdD
%%%.X Danoten Exlating Elevatlon
(%XX.%) Denotes Propoeetl E]avetion
n Denotes Iron Monumant
' ? Denotes WODGsn StlkB
-4-- Denotes Surfact Oralnepe
Proposed Hause ElevatJons
Top of faundation -
Baeement Floor - scale 1^ - '50
Garage Floor 953.0
infr?rac ,Gn of RnkwQ Ws? F
pJ?Ffe 9<e,iL
Oatue N.C•.V,? 14L9 AJl.
I HEREBY CERTIFY THAT THIS SUPVEY. PLAN. OR REPORT WAS PREPARED BY ME OR UNOER MY
DIRECT SUPERVISION AND THAT I AM A OUL.Y REGISTERED LANO SURVEYOR UNDER THE LAWS OF
TFIE STATE OF MINNESOTA.
Oated thie 9rk day of Se e+.iber , 19 L C.R. WINDEN 6 ASSOCIATES. INC.
by
Book= Pa9e? Minnesota Registratlon No. T r
w-m . SOCIATES, INC.
Land Planning, Surveys 6 Site Design
1381 Euatls St.. St. Paul. MN 55108
Tel. 645-3648
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,??Q51.'1? v/iVC
QliVOf? .
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JOHNNY CAKE RI.DGE
TOWNHOME ASSOCIATION
Managed by
Candoarinium & Associarion Resource Group, Inc.
7900 Internationai Drive, Suice k 953
Bloomi.ng[on, MN 55425
612l853-9920
August 19, 1999
Mr. Bill Wolff
Sundance Construction, Ina
6922 42nd Avenue North
Crystal, MN 55427
Re: Deck Extenaions
Dear Mr. Wolff:
The .{ohizny Cake Ridge Townhome Association Board of Directors has approved your
hid for deck extensions at Johnny Cake Ridge Townhome Association. The deck
axtensions, which are optional for homeowners to purchase, must rneet Eagan City
Cades.
If you have airy questions, ptease feel free to contact me at 612.853.9910.
Sincerely,
Peder T. Flaten, Association Manager
On Behalf of the Johnny Cake Ridge Townhome Boazd of Directors
GITY OF EAGAN
APPLICATION FOR PERMIT
*XYt'5': PAYMFTTP' OF FEE AT TIME pF
APPLscaTTON DOEs Nom oONMTM
APPROVAL OF PERMIIT.
nvsPncriort oF SaWM arID/ox MM
r.ra=ONS WII,L NOT BE SC[IED-
[7r,m ttenIL PERMIT . HAs sEEN
APPROVEn.
SEWER AND/OR WATER CONNECTION
- xx,.xx,.xxwxxxx,.,.x._x-x___ __,.____,..?.?
P ease Print
?1) PROPERTY ADDRESS : y(p aU
LEGAL DESCRIPTION: g- I
oC
arce
IF E7QSTING SlRCCIL?RE, DATE OF ORIGINAL B[JILDING pERN1iT ISSL'ANCE: '
(Mon Year
PR£SENP ZONING/PROPOSID LTSE:
0 M"ZJERCIAL/RETAIL/OFFICE
Q ZbIDL'STRiAL
n INSTI2L'TIONAL/GO?'p
? R-1 SINGLE FAMILY
Q R-2 DLPLEX (1WO L?nits)
R-3 TqWNHOOSE (Three + Units)
E] R-4 APARTh?P/CODIDCk1INILM
( L?nits ) .
( Units)
2) ? --
ru?: t'ck ?e t so/?
AonREss _?'• a l3?? / ?sr -
cixY, srATE, ziP: _S coHd i'd Vtnh( -SS6'73
PxorE: V -3 3 -S! 7/
3) u r a-
NANIE:
i
ADDRESS:
CITY, STATE, ZIP:
PHONE:
MASTER LZCETISE#
? Active
Ekpired
Not recorded
Sta Inltial
4)
?.. • • i?- y°
NAME: A ADDRESS:
CITY, STATE, ZIP:
PHONE: 7 8-0 - S,?/?•
5) ? r• ? a• •?• :o a? - a?
? CONNECrION T0 CITY SEWEI2 CONNDCPION TO CITY WATER OTfER '
6) [] PLF.ASE HOLD APPROVFD PERMIT FY)R PICK-OP BY ONE OF ABOVE
PLEASE MAIL APPROVID PERMIT TO 10 3, 4, p,BOVE
? (Circle one) '
» r.u• ?i6+? ?? •? - 9
..? _ ---
FOR CITY USE ONLY
?.
PERMIT # ISSCED
CJ
Pd w/Bldg. Permit FEES:
$ $ /,Zl) 'S a SEWER PERMIT (INCLODE SURCHARGE)
$ $ /D- S Z? WATER PERMIT (INCLUDE SL'RCHARGE)
52) $ WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ $ /,? Grv ACCOUNT DEPOSIT - SEWER
$ ACCOC'NT DEPOSIT - WATER
s $ wAC
$ ti-D $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRCNK SEWER ASSESSMENT
$ $ ` LATERAL BENEFIT/TRL[VK SEWER
$ $ LATERAL BENEFIT/TRONK WATER
$ $ WATER TREATMENT PLANT SORCAARGE
$ $ OTHER:
$ _'
S/
a
$
7J TOTAL
7!0 f?
RE CEZPT RECEIPT
DOES UTILITY CONNEC TION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
a YES IF YES, THEN A"PERMIT FOR WORK 6VITHIN PUBLIC
Q
NO ROADWAY" MUST BE ISSLED BY THE ENGINEERING
DIVISION
LIST
.
AS A CONDZTION.
SUBJECT TO THE FOLL OWING CONDITIONS:
APPROVED BY:
TITLE:
DATE:
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
NOTE: PAYMFTTP' OF FEE AT TIN1E pF
APPLscaTTON ooFS Nom CONSMTM
APPROVAL OF PEEtNIT'P.
INSPFXTION OF SESVFR ADID/OR WMM
TTISRALxATTONS WIId, IVCYP BE SQIID-
pI.ID UNTII. PEE2MIT AAS BEQ9
APPItOVID.
P ease Print
1) PROPERTY ADDRESS:
LEGAL DESCRIPTION:
IF E7QSTING STRL'CiSJRE, Dp,TE OF ORIGZNAL BL'ILDING PERMIT ISSOANCE: '
(Mon ear
PRESENP ZONING/PROPOSID C'SE: [D COi+1MERCIAL/Rh'TAiL/OFFICE ? R-1 SZNGLE FAMILY .
Q IAIDOSTRIAL Q R-2 DDPLEX (7tao Onits)
n INSTI4S;TIONAL/GOVII2NMENT [:?J-R-3 'POWNEiOUSE (Three + Units) ( t?nits)
. Q R-4 APARTMEN'P/CprIDpMINIUNl ( Units )
2)
---
N ckv L s ??r P d- H-
ADDRESS: P• C,, 80Y / ? 5r
CITY, STATE, ZZP _ S C 8 nld ,' -J
PxoNE: V3 3 - c/ '/
3) • u ?: ?• For City use ..
NAME• P1LIInUers License:
ADDRFSS: . Active
i
CITY,
STATE. ZIP: ?-?--
N ExPired
PHONE:
MASTEE2 L2CENSE# Not recorded
St 7nitial
4) ??r • • ??-
NAME: ?+
( YOU l!/ {
¢ l'r. r
_ aonREss: /'/Go 93V a L.te,le &r '
CITY. STATE, ZIP: ? ( ?¢ t? Y -??? - S SS! ?</ - Y 3 5?
PH?Nh.':- ?7
/ SfU "' .Sv V ?
.5) Wfrm v ? i r• • ?• : ? • o? - ??
? CONNECTION TD CITY SEWEft ?CONNEX.TION TO CITY WATII2 ? pTfEft '. .
6)
? PLEASE HOLD APPROVFD pERMIT FY)R PICK-OP BY ONE OF ABOVE
PI.FASE MAIL ApPROVID PERMZT TO 1a2" 3. 4. ABUVE
? ? /] - • _ (Circle one)
FOR CITY USE ONLY ? L
PERMIT # ISSUED
Pd w/Bldg. Permit FEES:
$ $ Iel' 57) SEWER PERMIT (INCLUDE SURCHARGE)
$ $ /D- S-211 WATER PERMIT (INCLLDE SL'RCHARGE) ..
S $ WATER METER/COPPERHORN/OC'TSIDE READER
$ $ WATER TAP (INCLL'DE CORPORATION STOP)
$ $ SEWER TAP
$ $ 1570? ACCOONT DEPOSIT - SEWER
$ $ /5^ ?l-7} ACCOONT DEPOSIT - WATER
$ 5 v?-?> a $ wAc
$ S7 $ SAC
$ $ TRLiNK WATER ASSESSMENT
$ $ TRL'NK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRL'NK SEWER
$ $ LATERAL BENEFIT/TRLNK WATER
$ ?S?•D O $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ Q d TOTAL
?t0 7' ? ?% lp ? ?o ? ?
RECEIPT RECEIPT
DOES LTILITY CONNEC TION REQUIRE EXCAVATION IN PL'BLIC RIGHT OF WAY?
Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN P['BLIC
Q
NO ROADWAY" MUST BE ISSUED BY THE ENGINEERING
DIVISION
LIST AS
CONDITION
. .
A
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY: l
TITLE:
DATE :
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
*74TF: PA)WNr OF FA? AT TIME OF
APPLICUION DOES NOr CONSTITUTE
APPROVAL OF PEd2NIIT.
IrrsrEcriorr oF sF.WM nrD/oR Mnst
IN3LVJ,ATroris waa. Nar BE scHED-
ULSD UNiZL PEPMT HAS BFM
APPROVFD.
P ease Pr1nt
1) PROPERTY ADDRESS: Y
LEGAL DESCRIPTION:
IF EXQSTING STitCCiiR2E, DATE C
PRFSEPTTf 7ANING/PROPOSID C?SE:
? COhIINEE'tCIAL/RETAIL/OFFICE
0 INIDCSTRIAL
? INSTI2L'TIONAL/GOVERAIIdENT
C_?
or •rax earce
F ORIGINAL BL'ILDING PERMIT ISSL'ANCE: '
_ (Mon Year)
? R-1 SINGLE FAMILY
Q R-2 DL'PLEX (4tao Units)
[jr-A-3 TOWNHO[)SE (Three + Units) ( []nits)
n R-4 APARTMEN'P/CODIDOMINI(JM ( Units)
2) ?
?: ? 1' t_ k e L s a n+
ADDRESS: (J? • S3 O Y
t
ciTx, srazE, zIP: S C fl Nd ; a sH Iv -?Sa'7 3
PxorE: y33 - S/ 7 /
3) u c ?•
NAMEs
ADDRFSS: ? ?Z Jr-??? ?
CITY. STATE, ZIP:
PAONE:
MASTIIt LI(ENSE#
Active
ESpis'ed
Not recorded
t?fa f?initlal
4) •?• • • ? i?-
NAME;: G66d
_ a,DDxFSS : 1 ylw d 93 F d [;a.h,
ciZ^t, srATE, ziP: QG??ni-c /n rv - s S? v- y.7 s?
PHorE: 'J Fr o - s'sic) -
'S? :? V' i ? YC •]I' : D ' D? ' 71s
? ODNNECrION T0 CITY SEWER ? CONNECfION 2U CITY WATER ? O'PIIER
???.
6) '? r• ??- E] PLEASE HOLD APPROVED PERAIIT FC)R PICK-C?P BY ONE OF ABOVE -' ---- _
PLEASE MAIL APPROVID PERMIT TO 2, 3, 4. ABOVE . .
T' ( ircle one)
7) n . u • ? 74 'fi,*. !.t-.?&
FOR CITY USE ONLY
PERMIT # ISSUED
Pd w/Bldg. Permit FEES:
$ $ /D- S v SEWER PERMIT (INCLUDE SL'RCHARGE)
$ $ /b- 5 d WATER PERMIT (INCLLDE SL'RCHARGE) ..
$ $ WATER METER/COPPERHORN/OCTSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ $ /57 G? ACCOUNT DEPOSIT - SEWER
$ $ ACCOUNT DEPOSIT - WATER
$ oD OD $ wAC
$ $
SAC
$ $ TRLNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ S " LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRONK WATER
$- U $ WATER TREATMENT PLANT SLRCHARGE
$ $ OTHER:
$_ Iel' 5-2) $ U d TOTAL
RECEIPT R ECEIPT
DOES UTILITY CONNECTION REQUIRE EXCA VATION IN PUBLIC RIGHT OF WAY?
Q YES IF YES, THEN A" PERMIT FOR WORK SVITHIN PLBLIC
Q
NO ROA
DIV DWAY" M[]ST BE
ISION
LIS ISSDED BY THE ENGINEERING
.
T AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE:
t
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
*ATE: PAYWTS OF FEE AT TIME OF
APPLICATION DOFS NAT COD61Z701E
APPROVAL OF PFRFQT.
P ease Print)
1) PROPERTY ADDRESS:
LEGAL DESCRIPTION:
IF FJQSTING S3'RCCi[JRE, DATE OF ORIGZNAL BL'ILDING PEE2MZT ISSCANCE: '
_ (Mon ear
PRFSENP ZpD7ING/PROPOSID C?SE:
? COMMERCIAI./REPAIL/OFFICE ? R-1 SZNGLE FAMILY
Q IDIDL'STRIAL Q R-2 DL'PLEX (7tio Units)
? ZNSTITL'TIONAL/GOVERIZ2IT [D-?R-3 TOWNHOT-ISE (Three + Units) ( Lnits)
. Q R-4 Anr,axrENr2ormorurR[.IM ? onits)
Z) ? ---
NAME:_ IVi C k C L 4o w
AoDxMs: ?.o. Mox 1aR
CZTY, STATE. ZIP:s L` c1 Nd i A ?M K- T". O 7
PxorE: V 3 3 - 71
3) u c?•
- NAME:
ADDRFSS:
CITY. STATE, ZIP:
PHONE:
MASTIIt LICIIVSE#
4, ... . . ??-
NAMR: G
_ AwDREss:_1y6n Q3F LWnie /('E'. -
CZTY. STATE, ZIP:R L /4: Ne IYi nc - ti S° 1/3 41 -
PHONE:_ '? a O- S.S 10
•
Active
FScpired
Not recorded
Starf 7Iliticll
•5) ? v.. ; ? r: • ?• : a • a? - ?? -
? CONNECTION 1U CITY SEWffI2 CONN LLTION TO CITY WATER' [] OTfM '. .
`?.
6)
PLEASE HOLD APPROVID Pf72MIT FC)R PI C'P BY ONE OF ABOVE
? PLEASE MAIL APPROVID PERMiT T0 1, 2, 3, 4, ABDVE
( le one)
nasencl'iotv oF sUx nrID/ox sA31ER
7T1CTAT.TATTQT7$ y,IZ,ja NO'1' $E $CHED--
ULM UN1ZL PII2NffT HAS BFEN
APPROVID.
. FOR CITY USE ONLY -- - ? .
PERMIT # ISSL'ED
Pd w/Bldg. Permit FEES:
$ S--?) SEWER PERMIT (INCLUDE SURCHARGE)
$ $ /O• $? WATER PERMIT (INCLUDE SL'RCHARGE) ..
S (•> 3' Sd $ WATER METER/COPPERHORN/OL'TSIDE READER
$ S WATER TAP (INCLUDE CORPORATION STOP)
$ SEWER TAP
$ ACCOUNT DEPOSIT - SEWER
ACCOUNT DEPOSIT - WATER
$ -??'O? •O ca S wAC
O o $ SAC
$ $ TRLNK WATER ASSESSMENT
$ S TRONK SEWER ASSESSMENT
$ S ' LATERAL BENEFIT/TRL'NK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ $ WATER TREATMENT PLANT SURCAARGE
$ $ ` OTHER:
$ -6 TOTAL
RECEIPT RECEIPT
DOES LTILITY CO[VNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
F--j YES IF YES, THE[V A"PERMIT FOR WORK WITHIN P[!BLIC
Q
ROADWAY" MUST BE ISSUED BY THE ENGIIVEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CbNDITIONS:
APPROVED BY:
TITLE:
DATE: ?jz? ??
7,2-q?
2006 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWCtion Reauirements
3 regislered sRe surveys showirg sq. ft of Wt, sq. (L of house; and all roofed areas
(20°h maximum lot mverage allowed)
2 copies of plan showing beam & window sizes; poured found design, etc.
7 set ot Energy Calculations
3 mpies of Tree Pmservation Plan i( lot platled after 711193
Rim Joist Detail Options selection sheet (buiVdirgs with 3 or less units)
Minnegasm mechaniral venfilafion form
RemodeUReoair Reauirements
2 copies o( plan sMwing footings, 6eams, joists
1 set of Energy Calculations for heated add'Aions
1 site survey for addlUons & decks ?
Addition - indicafe il on-site septic sysfem
?'Z'aled
?70. &0
O(ficeLSe.Onlv
? CeROfSuiveyRecd _Y -=N
Tree Pres Plaa Recd' "_ Y_ N.
Tree Pres Requued .- : V ?N
Oo-site SepGc Syslem ` _Y <_ N
14 1 I.1-
Date 4
Site Address 4 l? [`b Qp v; L Urr ConstrucGon Cost t S406
,VV t ?J. Unit/Ste #
Description of Work ViGt f
p {at C? v-Gt
,
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner JfA hf, [?VbHn.VV\ Telephone #(?s? )'156 5 - 1 S l I
Contractor Y?'riY??G? l?bl??c?n.t ('-?'161?
Address 14'46b ?IV 9,U.-v?t&v
State 1?J l?1e, pV-W?{ City 9L.c,L4 5'VLllC..
Zip ,SS3plo Telephone#(qs7? 44p-'1"1SD
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category , ResidenNal Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submission type) Submitted Su6mitted
• Energy Envelope Calwlations Submitted
In the lasi 12 months, has the City of Eagan issued a permii for a similar plan based on a master planZ
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone #( D ? ? Vt?n? D
Telephone #( ? APR 1 1 Z??6
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 pernut, 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.
??'? ???'i?p ?.t ? .
Applicant's Printed Name
1
Applicant's SignatiA
DO NOT WRITE BELOW THIS LINE
,
Sub Tvpes
? 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 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex 5L 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work 7vaes
gb 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building• ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement `Demolition (Entire Bldg) - Give PCA handout to applicant
DBSCI'iptlOn: WaterDamage_Yes
Valuation ?nw .f)v Occupancy I?_3 MCES System
Plan Review 100% or 25%
Census Code Zoning 12, -3 City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bidgs Length 2 Z1 Fire Sprinklered
Type of Const l? /3 Width ?I
REQUIRED INSPECTIONS
_ Footings (new bldg) _ Sheetrock
? Footings(deck) _ FinaUC.O.
_ Footings (addirion) ? Final!NlO C.O.
Foundation IiVAC
Drain Tile Other
Roof _ Ice & Water Final Pool Ftgs Air/Gas Tests Final
_
_ Framing _
_ Siding _ Stucco Lath _ Stone Lath _Brick
_ Fireplace _ R.I. _ Au Test _ Futal _ Windows
_ Insulation Retaining Wall
Approved By: Building Inspector
Base Fee
Surcharge
Plan Review
MClES SAC
City SAC
Utility Connection Charge
S&W Permit 8 Surcharge
Treatment Plant
License Search
I- lA ?? fee
Copies
Other
Totai
.
nr: GOOD VALUE HOMES
SSOCIATES, INC.
Land Planning. Surveys & 5ite ?esign
1361 Eustis St.. St. Paul, NN 55108
Tel. 645-3946
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?(451.1? r-?/iVG
P!I?a ?
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Lots 1 through 4, inclusive, Block 3, JOHNNY CAKE
RIDGE FOURTH ADDITZON, Dakota County, Minnesota.
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DATLO -
Bliifl.iD7NC's
pNi${Old
LEGfNO Lr OSeO Mouse Elevai Jans Scale i' %X%.R Oenotee ExistfnB ElevotSan f' (%%x.X) Oenotes Prapoaed ElevatSon f Foundatfon e Floor 9 53.U CL.
o Denotee Iron Hanumant ent Floar - Datu?n ??r V D I9z Aq??
Q Deaotea MOOGen Stake
D 13enotea Surfsce OreSnspa
I HEREBY CERTIFV THAT THIS SUAVEY, PLAN, OA REPORT WAS PREPARED BY ME OR UNDER MY
OIRECT SUPERVISION ANO THAT I AM A DUL.V flEGISTERED LAND SURVEYOfl l7NDER THE LAWS OF
THE STATE OF NINNESO7A.
DatEd thie 9" day of Se e..idet
3986 C.F. WINDEN 6 ASSOCIATES, INC.
pY l- ??..rS1.o
Ninnesota Registration No. -77e
r
For Office Use
I
I Permit
City of Evan JAN 28 2010 1 r 2V
Permit Fee: I
3830 Pilot Knob Road I I
Eagan MN 55122 1 Date Received:
Phone: (651) 675-5675
Fax: 675-5694 l Staff:
(651) 1----------------
2/0,08 RESIDENTIIA,^~L PLUMBING PERMIT APPLICATION
Date: Site Address: 1( l0
Tenant: j ~('A DA OTY-,\ Suite
( 5
RESIDENT /OWNER Name:r 1J1~ mm Phone: 1
Address /City/Zip: L l.l?
CONTRACTOR Name
Address:
4l) M16
Y -~L~ Cit : State:L~_ Zip
Phone: A~~ ~3ntact Person: 1 pc~)
TYPE OF WORK - New X- Replacement Repair Rebuild - Modify Space -Work in R.O.W.
Description of work:
PERMIT TYPE RESIDENTIAL
Water Heater Water Softener
Lawn Irrigation Add Plumbing Fixtures
RPZ PVB) Main _ Lower Level)
Septic System Water Turnaround
New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround" (includes $.50 State Surcharge)
"Water Turnaround (add $136.00 if a 5/8" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $ L-~
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 appr ved plan in the case of work which requires a review and approva plant X
Applicant's Printed Name G App cant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In -Air Test Gas Test -Final
PERMIT
City of Eagan Permit Type: Building
Eagan. Permit Number: EA100866
Date Issued: 09/06/2011
OR Permit Category: ePermit
41~ it~ of E3
E
Site Address: 4618 Penkwe Way 1/2
Lot: 3 Block: 03 Addition: Johnnv Cake Ridae 4th
PID: 10-39803-03-030
Use:
Description:
Sub Type: e-Windows iDoors Construction Type:
Work Type: Windows Doors-New ; Replacement
Description: House
Census Code: 434- Occupancy :
Zonin,:
Square Feet: 0
Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes.
Fee Summary: BL - Base Fee S3K $88.50 0801.4085
Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195
Total: $90.00
Contractor: - Applicant - Owner:
Renewal Andersen Lucas A Martin
1920 County Road C West 4618 Penkwe Wad Unit 12
Roseville N1N 55113 Eagan MN 55122
(61)264-4777
I hereby aeknowledae 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 Cite of Eagan Ordinances.
ApplicantiPermitee: Signature Issued Bv: Signature
Date:
Tenant:
City o(EaQan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
8ECEIVE-
MAY 3 0 2020
BY:
VieezX377
Use BLUE or BLACK Ink
For Office Use
Permit#: /725/69
Permit Fee:
Date Received; .''
Staff:
2014
RESIDENTIAL PLUMBING PERMIT APPLICATION
?T
bl-" l // Site Address:/61 /Jai
Suite #:
J
Realdent/QwneC
Name: GV✓�►-%CJ W\ 1,1"\.., Phone: (5577 757/
•
Address /City / Zip: / •_ ' r. . �-.> /AGI ..- ,
Con# ator
Milbert Company Inc dba Cullign Wate WC643176
Name: License #:
180150th Street East
Address:City: Inver Grove Hgts.
State: MN • Zip: 55077 Phone: 651-451-2241
Contact: William R M i l b e rt Email:
.e
Typof'fNor
New iaeplacement Repair Rebuild Modify Space Work in R.O.W.
_ _ _ _
Description of work:
Per
RESIDENTIAL
Water Heater
y Water Softener
Lawn Irrigation (_ RPZ / PVB)
Add Plumbing Fixtures ( Main / Level)
—
Septic System
_Lower
Water Turnaround
Newew
Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater,
$60.00 Lawn Irrigation
$60.00 Add Plumbing
*Water Turnaround
$115.00 Septic System
Water Softener, or Water Heater and Softener
(includes $5.00 State Surcharge)
Turnaround* (includes $5.00 State Surcharge)
and $5.00 State Surcharge) 0
TOTAL FEES $
(includes $5.00 minimum State Surcharge)
Fixtures, Septic System Abandonment Water
(add $200.00 if a 5/8" meter is required)
New ($10.00 per as built) (includes County fee
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www. gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
X W dff`l�i/ K r tJ1
Applicant's Printed Name
Applicant's Sign • ture
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA144209
Date Issued:07/17/2017
Permit Category:ePermit
Site Address: 4618 Penkwe Way
Lot:4 Block: 03 Addition: Johnny Cake Ridge 4th
PID:10-39803-03-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
Robb T Dreblow
4618 Penkwe Way
Eagan MN 55122
(952) 412-3632
Blue Sky Mechanical Llc
41531 237th Ave
Le Center MN 56057
(612) 756-2255
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA149743
Date Issued:06/07/2018
Permit Category:ePermit
Site Address: 4618 Penkwe Way
Lot:4 Block: 03 Addition: Johnny Cake Ridge 4th
PID:10-39803-03-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
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 -
Robb T Dreblow
4618 Penkwe Way
Eagan MN 55122
(952) 412-3632
Clearwater Plumbing & Heating
19260 Mushtown Rd
Prior Lake MN 55372
(952) 440-3779
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA160040
Date Issued:02/07/2020
Permit Category:ePermit
Site Address: 4618 Penkwe Way
Lot:4 Block: 03 Addition: Johnny Cake Ridge 4th
PID:10-39803-03-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
Robb T Dreblow
4618 Penkwe Way
Eagan MN 55122
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA162666
Date Issued:07/23/2020
Permit Category:ePermit
Site Address: 4618 Penkwe Way
Lot:4 Block: 03 Addition: Johnny Cake Ridge 4th
PID:10-39803-03-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
Robb T Dreblow
4618 Penkwe Way
Eagan MN 55122
(612) 578-9987
Bettin, Inc
3208 1st Street South
Waite Park MN 56387
(320) 251-2505
Applicant/Permitee: Signature Issued By: Signature