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4625 Penkwe WayCASH RECEIPT CITY OV EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 REC61Y¢O FWOM AMOUNT $ I !k DOLLARS +eo ? CASH ? CHECK P'OR BY White-Payert Copy Yellow-Postinp Copy Pink-File Copy Thank Yo-u CITY OF EAGAN fiemarks Addition• J01-IINIdY CAKE RIDGE 3rd ADDITION Lot 1 Qik T. Percei #10 39802 010 07 owner.?a ro'J p- " 9 hlI I . '-uti Street4625 Penkwe Way 5tatg Eagan PMI 55122 Improvement Date Amount Annual Years Payment Raceipt Date STREETSURF. 1981 Paid und r ori inal arce STREET RESTOH. GRADING SAN SEW TRUNK 197$ Faid Wld T original ST'C@ *SEWER LATERAL WATERMAIN *WATER LATERAL WATER AREA wZZ, 1980 Paid und r OTl. inal arce STORM SEW TRK *STORM SEW LAT 1981 CUR9 & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK CITY OF EAGAN Remarks Addition- JOHNNY CAKE RIDGE 37Cd ADDITIQN ?ot 2 p,k 7 Parcel #10 398o2 020 n? Ownerl}lid1G1if 1'1L -IL, j. L{a Ab' Street 4625h Penkwe WaY 5tateFa.gan MN 5S122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 1981 Paid und r OT1 inal aTCe STREET RESTOR, GRADING SAN SEW TRUNK joq 1975 Piad tIIld T OTl inal arce *SEWER LATERAL WATERMAIN - * WATER LATERAL WATER AREA YZ 19$0 Paid und r OY'1. inal arce STORM SEW TRK S 3 * STORM SEW LAT CURB & GUTTER SIOEWALK STREET LIGiiT WATER CONN, 305 00 70344 811620 BUILDING PER. SAC PARK CITY OF EAGAN Addition'JOHNNY QwneQf41q-,,,j t, Street 7 Paroel #10 39802 040 07 scate Eagan MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF, S 1981 Paid UIId T OTl inal arce STREET RESTOR. GRADING SAN SEW TRUNK 1975 Paid 1117d r original arce *SEWER LATERAL WATEFMAIN *WATER LATERAL WATER AREA 22. I980 Paid U11Ct T OTl inal STC@ STORM SEW TRK 5 *STORM SEW LAT 1981 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. -znS BUILDING PER. 6040 . 5AC PARK CITY OF EAGAN Remarks addition" JOH1dIVY CAKE RIDGE 3rd ADDITION Lot 3 Orvner J• L-?L1 street 4627=1 Penkwe ? PaTcei #10 39802 030 07 Eagan h4V 55122 Improvement Date Amount Annual Yeara Payment Receipt Qan STREET SURF, 1981 Paid 11T1d r ori 1.i1S1 3TC@ STREET RESTOR. GRADING 5AN SEW TRUNK 1975 Padi und r OTl inal arce *SEWER LATERAL WATERMAIN *WATER LATERAL 1021 WATER AREA 1980 Paid und T OTl inal arce STORM SEW TRK S *STORM SEW L4T 1991 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 305 09 20344 BUILDING PER. 6039 . SAC PARK , CITY OF EAGAN ' 3795 Pilot Knob Read EaBan, MW S51 Z2 N° 6037 PHONE: 454-8100 BUILDING PERMIT Te w urea fer ' Slt@ Addf@SS ' ' Cii` ' , Lot Black 7 Sec/Sub. Parcel ae Name LLI ? Address ?-? ? 'Ol?t'lIL4 '.,rsrci . - l-ietonka . Mn 5/_L-7 1 : 31 o Name _ SeA;e _ ?? Address ?- ?:... oL___ Nome _ Addrcss I hereby ocknawledge that I have read this applicotion and state that the lnformotian is corcect and ogree to comply with all applicable State of Minnesota Statutes cnd Ciry of Eagan Ordinonces. Signature of Permittee Receipt # Erect ' Q Alter ? Repair ? Enlorge ? Move p Demolish ? Groda ? Water & Sew. Pol ice Fire Enp. Planner Council Bldg. Off. _ APC Occupanty I4 Zoning PH Fire Zone ' Type of Const. # 5tories FroM ft. Depth ft. Fees Permit Surchorge Plon check ' ` SAC ..;,? Woter Conn. ' Water Meter ' , Road Unit Total A Building Permit is issued to: 1?'r' •, "'?.=n-,r??n ?; on the express condition thot all work shall be done in occordance with all appliwble State of Minnesota Statutes ond City of Eagon Ordinonces. Building Official ?amit Dah isred P?iltw Plumbing LU ",Q? M honicol INSPECTIONS DATE INSP. Rouph-In Finol Footings g?i27-pjj Dote Inap. Date nsp. Foundation Plumbing Frome / ins. Methonita I ? Final Remarks: No. . ?(75 cirY oF E?c,AN 3795 Pilot Knob Reed Eagen, Minnesole 55122 Phon.: 454.8100 ttrnh' . PERMIT Date: ' -9-8C Site /lddress: 4625 ?'e7:':Y:e '.'*'ev Lot Blotk l $ub/Sec. Name ' ':•rin ihompeoz+ Homee ? Address 1712 Hapkins Crsrd. ? City `.1IlI1l..tOIlka, 1?'?1 Phone: 5??-?7331 ' Nome "-•'?el Mec3hanical r g Address 3??00 fenneb9C nP. ? e {? - ?., City Phone. 4 > This Permit is issued on the expreu condition thot oll work shall be Minnesota Statutes and City of Eogon Ordinances. INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS 2n794 Receipt No.: $ingle Residentiol '- oP l, plez Multi Res., Comm./Ind. I r. eqv New/Alter./Repoir Cost of Installation Permit Fee Surtharge Total done in occordarxe with oll applicoble State of Buildinfl Officiol I Receipt MECHANICAI PERMIT Permit No. CITY OF EAGAN Fae Fill in numbered spaces S/C • Type or Print /egib/y Tot. 1. Oate --.?-?? 2. Installation Cost 1,*` ?' •`" 3. Job Address ? ? •'% " " Lot Blk. Tract 4. Owner ? - 5. Contractor • - Phone = "5?br? 6 Address -'1637 C111C n. ?•o vo, . , ? 7. City ,1:;• 8. Building Type: Residential :U 9. Work Description: New 6ra 10. Describe 11 State ? ?• Zip 554D;' Commercial ? Institutional ? Add ? Alter O Repair ? _. 'i_• -t:;.Fuel Type a:. b-:. No, Equipment 8TU - M. Ea. Forced Air No. EQUipment CFM Ai dli H Mfg. r an ng: Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. i 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 Flnal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 CITY Of EAGAN 3795 Pilot Kno? Road Eagon, MN 55122 PHONE: 454-8100 BUILDING PERMIT Te be used fer Site Addreu Lot Porcel # - BIoCk SeC/Sub. -r' -?'` • Cake Rdg ' " .,.lY+l',1 oc Name =-'T•:i^ ''i-n*'.^.)90II HOC71@8 W Add 1712 i:opt:i ns Crsrd. _. _ ?. nnetonk,a, 'r_, /, - 3 ? 9 Nome _ ?? Address ? 1-:-. Name _ Addreu Receipt .# N° 6038 Erect ? Octupanty 7 -3 Alter ? Zoning Repoir ? Fire Zone ¦ Enlarge ? Type of Const. Move ? # Stories _ Demolish ? Front ft. Grude ? Qepth ft. ? Auprorals Fees Water & Sew. Police Fi re Eng. Planner CounCl I Petmit Surchorge Plan check SAC L ?l'n Water Conn. Water Meter Road Unit 1 ?n I hereby acknowledge thut I have read this applicotion ond state that gldg. Off. the information is correct and ogree to comply with all oppliccble APC Total State of Minnesota Stotutes and Ciry of Eagan Ordinances. ' Siflnoture of Permittee A Building Permit is iuued to: T"'i7' on the express condition that oll work sholl be done in accordunce with oll opplicable State of Minnesota Stotutes ond Ciry of Eaflan Ord'+nances Building Officinl PaAM # Dah bwed hnnilfN Plumbing Meshanicoi INSPECTIONS DATE I INSP. Rouph-In Firwl Footings ?^2? Dote Insp. Date lnsp. Foundation Plumbing Frame/ins. Mechanical ? Final Remarks: Receipt 1. Date :r" Permit No. Fee S/C Tot 3. Job Address - Lot Blk. Tract 4. Owner 0ittlai"t 1'W117SON IMf ? `; 5. Contractor ? '=` -?• .. -. . -. " Phone ? - , 6. Address •%tiic . 7. City ' State Zip 8. Building Type: Residential C3 Commercial O Institutional ? 9. Work Description: New O Add O Alter O Repair 11 10. Describe ! '?; ^`'•± i:,-r i:_ -::?.?, Fuel Type ? 11. No. ' Eauioment BTU - M. Ea. Forced Air No. Ectuipment CFM Ai Handli : Mfg. r ng Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to oomply with all ordinances and codes gaverning this type of work. Signed : for Rough Final Incpections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 MECHANICAL PERMIT CITY OF EAGAN Frl1 in numbered spaces TypP or Print legib/y 2. Installation Cost CITY OF EAGAN 3795 Pilof Knob Road No. Ea9en, Minnesote 55122 INSPECTOR NOTIFICATION Phone: 454-e100 REQUIRED BY LAW PERMIT FOR ALL INSPECTIONS Dote: Receipt No.: - ' , Single Site Address: Residential Lot Block Sub/Sec. "h.n.v• P°le Name '- ; Address =3T18 Crsr.'.. O • ?i City Phone: ?•,'?_. Nome ' `??hanic?l . ? Address 'eC Jr. Ciry Phone: This Permit is issued on the express condition thot oll work sholl be Minnesoto Statutes ond City of Ecgon Ordinonces. New/Alter./Repair Cost of Insfollation Pe?mit Fee Surchorge ?, - Totol done in occordonce with all appliwble Sfate of Building Official . ? , CITY OF EAGAN , 3795 Pilot Knob Road Eogon, MN 55122 PHONE: 464-8100 BUILDING PERMIT Receipt # N° 6040 To be rnd for '?"!. `>1EX Est. Value Date , 19 Site Address Erect Q Occupancy Lot Block ? Sec/Sub. "^ • `-'?"?= ? " • Alter ? Zoning Porcel # Repoir ? Fire Zone Enlarge ? Type of Const. w Name - Move ? # Stories W Z Address ?. -' i- • Demolish ? Front ft. ? Ci 5 44- % 33 ? Phone Grode ? Depth ft. °C Nome _ ,o ?' Address I hereby ocknowledge that I hove rend this application and stute that the informotion is correct ond agree to comply with all opplicoble State of Minnesoto Stotutes and City of Eagon Ordinances. Water & Sew. Pof ice Fire Eng. Plnnner Counci I Bldg. Off. _ APC Permit Surcharge Plan check SAC Water Conn. Water Meter Road Unit Totol ? , '- Sigrtoture of Permittee ? A Building Permit is issued to: on the express conditlon thot oll work sholl be done in xoordance with all opplimble State of Minnesoto $tatutes ond City of Eagan Ordinances. Building Official PeeiuM # OeFe IawA hewMMo Plumbing 4707 - %-f'L? ? Mechanicol o? '-/ 7/ _ -rV ,czc-Z& INSPECTIONS DATE INSP. RougM I n Finol Footings Dote Insp. Date Inap. Foundation Piumbing Frome/ ins. Methonito I ? ? Final L _ Remarks: Receipt =i MECHANICAL PERMIT CITY OF EAGAN Fill in numbered spaces Type or Prin[ legib/y Parmit No. Fee S/C Tot. • Date ? ??3 --Cr' 1 3. Job Address , ? 17 ?'e 4. Owner •,IN 5. Contractor 2. Installation Cost ,? Lot Blk. Tract ? N. idEL'TER HT 6. Address `-t'37 Chicago 11% Phone ' ?5?;? 7. CIiY '?.l ?• St04@ •• Zip %%jw 7 ? r. 8. Building Type: Residential M Commercial ? Institutional O 9. Work Description: ^•New V Add ? Alier ? Repair ? 10. Describe - -. . _ ..'._ . _ ' Fuel Type -i " 11. No. ? Equioment BTU - M. Ea. Forced Air No. Equipment CFM Air Handlin : Mfg. g 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 454-6100 No. I arir oF EAGAN 3795 PileF Kweb Roed Eagan, M1nneteM 55122 Phone: 454•5100 ijmhi nT PERMIT Dote: Site Address: Lot Block Sub/Sec. JhnY • Cake Rdg. 3 Na,r,e Orrin Thompaon Hxnee 3 Address 1712 HOpkiI13 CI'8I'd. O City _''i:lneta:-ka, ; h. Phone: 54I+-7333 Nome ^7e1 ?%c?ianicn7. r g Address ?600 Kexmebec Ih'. ? City + `I: l.5''- _ `. Phone: This Permit is issued on the express condition thot oll work sholl be Minnesoto Statutes and City of Eogon Ordinonces, INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS 020 7?1, Receipt No.: Single Residenriol ,' ? e 4 =->l@I Multi Res., Comm./Ind, I New/Alter./Repair new Cost of Installoticn ,ll ? fl?'1 Pe?mit Fee Surthorge ? Totoi %? • 5` done in occo?darxe with ell opplicable State of Buildin9 Officiol . . , arY oF EAGaN 3795 Pilot Knob Road Eagon, MN 55122 PHONE: 454-8100 BUILDING PERMIT Site Address Lot Block ' Sec/Sub. Parcel # iv_ ('.,akp Rr4a ac Name 3 Address ? Ci :- •+-- , S ? - ' rphone ` ? ? ,• p Ncme . F _. ..?. o? Address u F ?^:... oL___ Name _ Address Reteipt # - Erect Q' ? Alter ? Repalr ? ¦ Enlarge 0 Move ? _ Demolish ? Grode ? N° 6039 Octupancy Zoning Fire Zone ' Type of Const. # 5tories Front - ft. Depth ft. Fees Assessrrierrt - ` - "n Woter•& Sew. Police Flre Eng. Ptanner Council Permit Surchorge Plan theck SAC .. ,;-. Woter Conn. -? • • ?? ?.., Water Meter Rood Unit I hereby ucknowledge thot I have reod this applicafion ond state that gldg. Off. the informotion is correct and ogree to comply with all applicoble Stote of Minnesoto Stotutes and City of Eagan Ordinances. APC Totol -•Signature of Permittee A Building Permit is issued ta: on the express condition that all wo?k shall be done in accordance with all applicable State of Minnesota Statutes ond City of Eagon Ordinonces. Building Offlcial PoreM # Dah luued Penelrtr Plumbing ' t(, Mechonical INSPECTIONS DATE INSP. Rouyh-In finol FOOtings 9'sP?6-V'0 Dote Insp. Date Irap.- Foundation Plumbing Frome/ins. Mechonicnl ? Final , I Remarks: t?,l?/ ?? fa? - ffG Receipt MECHANICAL PERMIT CITY OF EAGAN FiN in numbered spaces Type or Print legibly 1. Qate - ? 2. Insta{fation Cost 3. Job Address Lot Blk. 4. Owner Pecmit Nto. Fee S/C Tot. Tract 5. Contractar - •Y N. `+ELTER I,,TI::.: Phone '+25--E' 867 6. Address 4.637 ChiCt:P_o ' o. 7. City l? State ' Zip %? - 8. Building Type: Residential Commercial ? Institutional ? 9, Work Description: New a Add O Alter O Repair ? 10. Describe- F.uetType ';,,t -?` 11. No. Equjp e?nt, 8TU - M. Ea. Forced Air No. Equipment CFM Handli Ai Mfg. ng: r Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other ,1_ Air Cond. Mfg. Gas, Piping Outlets 12. I hereby ce rtify that the above information is true and correct, and I agree to comply wi th all ordinances and codes gaverning 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 464-8100 ? . ? CITY OF EAGAN 3795 Pilof Knob Road No. Ea9an, Minnesota 55132 Phene: 4214-8100 PERMIT Date: Site /tiddreu: 46271 Peakwe Wa: Lot Block Sub/Sec Jhzy. Ca..ke Rdg. 3 Nome { n Tiiompson Home c ? Address "7! ";I'3I'd. City l@tOIth?. , T.?Sl. Phone: Name P.,I1Zv°Z ? `f'C?18TLiCg7. . ? Addreu ' - ? City _. . , . Phone: • . .-.-.? This Permit is issued on the express condition thot oll work sholl be I Minnesoto Statutes ond City of Eogcn Ordinonces. INSPECTOR NOTIFICATION REQUIREO BY LAW FOR ALL INSPECTIONS 794 ' Rece(pt No.: $ingle I 4 Residentiol Multi Res., Comm./Ind. I New/111ter./Repoir ,r . Cost of Installotion Permit Fee Surchorge Tofol done in ccco?donce with all appticable Stote of Building Official Receipt - PLUMBING PERMIT CITY OF EAGAN Permit Na Fee FrN in numbered spaces S/C TYpe or Print /egib/y Tot . 1. Date 2. Installation Cost 3. Job Address tot ? Blk. / Tract - ? 4. Owner 5. Contractor Phone ` " - 6. Address 7. CitY State Zip 8. Building Type: Residential 0 Commercial D Institutional ? 9. Work Description: New 0 Add ? Alter ? Repair ? 10. Describe 11. No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank Lavatory ' Softner Shower Wel I Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Orains Drinking Ftn. Slop Sink Gas Piping Outleu 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this tYpe of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Reoeipt 1. Date PLUMBING PERMIT CITY OF EAGAN Fill in numbered spaces Type or Prinr legibly 2. Installation Cost 3. Job Address Lot_41L 4. Owner Permit No. Fee S/C Tot. 7 Tract- 5. Contractor • • Phone ? 6. Address 7. City State Zip f8. Building Type: Residential El Commercial ? Institutional ? 9. Work Description: New ? 10. Describe 11. Add ? Alter O Repair ? No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs $eptic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets I 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt PLUMBWG PERMIT CITY OF EAGAN Permit No. ? I Fee Fill in numbered spaces S/C Type or Prin[ legibly Tot. ` 1. Date 2. Installation Cost 3. Job Address r ? Lot. Blk. 7 Tract - 4. Owner 5. Contractor - • ' ?' " Phone 6. Address ? 7. City State i Zip 8. Building Type: Residential CI Commercial ? Institutional ? 9. Work Description: New Cl Add ? Alter ? 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, and I agree to comply with all ordinances and codes governing this type of work. Signed : ' for Rough Final Inspections: Date Insp. __ Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 an oF E?"N SEWER SERVICE PERMIT 3746 Pilaf Knob Rood PERMIT NO.: Eagan, MN 55122 DATE: Zonir?p: No. of Units: Owner: Address: Site Address: Plumber: 1 ogroa fo Complp wkh fha City of Eagan Ordinonees. By Date of Insp.: Insp.. _ Connection Charge: Account Deposit: _ Permii Fee: Surcharge: Misc. Charges: - Total: Dote Paid: WATER SERVICE PERMIT aTY aF LAcaH 3795 PtiJot Knob Road PERMIT NO.: Eoyon, MN 55122 DATE: Zoning: No. of Units: ner O : w Address: - Site Address: Plumber: - Meter No.: Connection Chorge: Account Deposit: SiZe: Reader No.: Permit Fee: r t I asroe to coinplr with fhe City of Eagan Surchorge: y ???ncoc Misc. Charges: Total: Date Paid: By Date of Insp.: I^Sp" CITY OF HAGAN 374v Pilot Knob Road Eogon, MN 65122 Zoning: OWner; Address: Site Address: Plumber: I a9rea to eomplp wilh tha Citr of Eagan drdinonees. By Date of Insp.: SEWER SERVICE PERMIT PERMIT NO.: DATE- m No. of Units: _ Connection Charge Accounf Deposit: . Permit Fee: Surcharge: Misc. Chorges: - Totol: Dote Pcld: No.: Fo eomply with the Citr of Eagan WATER SERVICE PERMIT IlC?1?11T ?1/?. Connection Charge: Account Deposit: _ Permit Fee: 5urcharge: Misc. Charges: - Total: Dote Paid: I nsp.. 3795 Piloe Knob Road PERMIT NO.: ' Eo9an, MN 5 5122 DATE: Zoning: Na. of Units: Owner: Address: Site Address: l Plumber: 1 ogree to eomply witb fhe Citr of Eagon Connection Chorge: Ordinanca:. Account Deposit: Permit Fee: Surcharge: By Misc Chnrges: . Dnte of Insp. : Total: Insp.: Date Poid: CITY 4F EAGAN WATER SERVICE PERMIT 3:95 Piiot Knob Road PERMIT NO.: Eagon, MN 55122 DATE: _ Zoning: - No. of Units: Owner: Address: Site Address: " Plumber. Meter No.: Connection Chorge: Size: Account Deposit: Reader No.: Permit Fee: I agroe to comph' wifh t6e Citq of Eagon Surcharge: Ordinanees. Misc. Charges: Total: gy Dote Paid: Date of Insp.: I^SP•: of Ewa,,,N WATER SERVICE PERMIT Pilot Knob Rosd PERMIT Np.: MN 55122 DATE: c No. of Units: No.: to eomplq with the Ciry of Eagan Connedion Charge: ^ Account Deposit: Permit Fee: Surcharge: Misc. Charges Total: Dote Poid: CETY GF EAGAN SEWER SERVICE PERMIT 3)S Pilot Knob Rood PERMIT NU.: Eagan, MN 'i5122 DATE: `nin9' No. of Units: Owner: ?-' -?-, • r, Address: Site Address: ?t¢ _ • ? . J Plumber. ' - I ayroe tn comPh, with the City of Eagan Connection Chcrge: • Ordinaneet. Account Deposit: Permit Fee: B $urcharge: y Misc. Chorges: Dute of Insp.: Total: Insp.: Dafe Poid: 4T ,?;•. . .s?r .:1 ' 1'?• ; ,S. . r :r1 ' 1? f G . . . - ??__ f? -.??r?a• .-.,?r? 3 `T- . - - ••?,I,.??ti . _ ' . -?jyyM/Y? ? ?. q- ?i?, .?'?w ,? ?3„ ?u:• ? . - . - . . . -. . . . . .. -,13?.'!??? u q a This request void 7, ,? ? '5 40,70 I S monols'from ? Date o this Request I Fire No. T36O! O I, asLicensed Electrical Contractor ? Owner, do hereby request inspection of the above electri- cal winng installed at: Street Address or Route No. ?W-s 1N14* 1/"N City ? Sion Township Range County ? Which is occupied by nUMro ` (Name of Occupanq Is a roughin inspection required on this job? No ? Yes? Ready Now ? Will C42?? PowerSupplier_ 1EA Address ?AP-h I NG-,Dtj Electrical Contractor 36L? Contractor's License NAL'F . (COmpany Name) _ /J Mailing Address Authorized Signature ? G9 ?9 (Electrical ontr- CFA actor o? Owne CIHII"l?G? 1:5?0?Wl?L'Tl 1??PIT t1o. 70'575,) 5 This inspection request will not 6e accepted 6y the StMe Board unless proper inspection fee is enclosed. Minnesota 5[ate 9oartl of Electricity i Griggs Midway Bldg. - Room N191 ?? a EB-00001-02 1827 University Ave., St. Paul, Minn. 55104 - Phone 297-2717 ??d6QUEST FOR ELECTRICAL INSPECTION CHf CK BELOW WORK COVERED BY TH1S REQUEST T 36070 Ty BuHding ew Add. Rep. Cheek Appliances Wie For Check Fquipment W ¢ed For Ho ? ? Rxnge Tempocary Wicing Du ? ? Water Heatet Lighting Fixtures 7 ? ? ? Dryer Electric Heating ? ? ? ? Fumace Silo Unloader ? d ? ? ? A"u Condi[ione[ Bulk Milk Tank ? Fat pList List Ot ? [jetets? f Oehers ti ) COMPUTE INSPECTION FEE BELOW Service Entrance Size: x Fce Feeders& Subfeedecs: # Fee C'vcuits: # Fm 0 to 100 Am s. 0 to 30 Am res 0 to 30 Am res 101 to 200 Amps. 31 to 100 Amperes 3l to 100 Am eres - Above 200_Amps. e]00 Amps. Above 100 Amps. TTran sformers ? e`eControlCirc. Partialorotherfee ,S gns Si ' eW Ins ction Minimum fee $5.0 Remarks ti •? ?.?_ _ / . TOTALFE ? . la I, the Electrical Inspector, hereby certify t}?af/? abiydIp Jpecfion 1 been?a? j (Rough-in) (/?• (Final) ? Date 7, ! - This request void . 18 months from ? This request void L?-70 °ZOZ - 18 mpnths from Date f this Request 3`3i ?t Fire No. T36071 I, 3icensed Electrical Contractor ?Owner, do hereby request inspection of the above electri- cal ring installed at: Street Address or Route No. q?7-6-rh- Psor-? Wpi City ? Section Township Range County m I a Which is occupied by ls a roughin inspection required on this job? No ? Power Supplier KA ? Ready Now ? Will Call?K Electrical Contractor ? ? Contractoi s License NA3'7zY (COmDany NameJ Mailing Address litt C{1 G-1(-F ". Authorized Signature Phone No. (ElectrlLal Contractor or Owner Makin9 Thls Installatlon) This irnpection request will not be accepted by the E? [,-uv) [,? ? ?? Stete Board unlas proper inspection fee is endosed. minnesota aaaie ooara oT u ecnicrty Griggs Midway Bldg. - Room N791 ipis21 University Ave., St. Paul, Minn. 55104 - Phone 297-2711 • REQUEST FOR ELECTRICAL INSPECTION ? CHECK BEL6W WORK COVERED BY THIS REQUEST 16 EB-00001-02 T 36071 Type ot Building New Add. Rep. Check Appliances W'ved For Check Equipmenl Wired Fm Home ? ? Range ? Tempocary Wiring Duplex ? ? WatetHeater ? LightingFixmres ? Ap[. Bldg. ? ? ? Dryer Electric Heating ? Commercial Bldg. ? ? ? Fumace Silo Unloader ? Industrial Bldg. ? ? ? A'u Conditioner 0 Bulk Milk Tank ? Facm ? ? ? List ) L ist ) Other ? ? ? p F Heherg) p } Aeieisl COMPUTE INSPECTION FEE BELOW Smice Entrance Size: it Fee Fcederat5ubfeeders: # Fee Circuits: # Fee 0 to ]00 Am s. , O 1 1 0 l0 30 Am eres 0 to 30 Am eies 101 to 200 Am s. 1 131 to 100 Amperes 31 to 100 Am eres Above 200 Amps. Above 100 Amps. Above lOQ_Amps. Transformers RemoteControlCirc. Pactialorotherfee Signs Special lns ection Minimum fee $5 Remaik? ? CP7rTh3 • ? TOTAL E ? I,the (Final) This request void 18 months from beena e ?t- e ./ co '1 j ? ' . 7 ?'t ? 3 ? ?-C? C °??O ? This reyuest void 4 ? 18'rnl,llI,th,s ?Om _ Date o this Request Fire No. ^T36O 12 I, aLicensed Electricat Contractor ? Owner, do hereby request inspection of the above electri- cal 2ring installed at: Street Address or Route W'W City %6W Section Township Range County oA?110? Which is occupied by U(LfLt? Is a roughin inspection required on this job? No ? YeP9?,_ Ready Now ? Will CalLJA_ PowerSupplier 1`'6_A Address ?w wa4 2 TElectrical Contractor p?? ?? ??" Contractor's License N.?? (COmpany Name) Mailing Address 1`11 1 E• CL4 ff- 040 (Elec r cal ntractor or Owner Making This Installatlon) Authorized Signature Phone No. Sp' S5 lElectrica ontractor or Owne Makina This Installatlon) (????? (? (???:?5 ? ??{'??/ This inspection requert will not 6e accepted by the ? ?? ?,{ State 8oard unless proper inspection fee is enclosed. minnesota 5[ate uoam oT eiectricity Griggs Midway 81dg. - Room N791 782i.University Ave.. St. Paul, Minn. 55704 - Phone 297-2111 ?40 Rf QUEST FOR ELECTRICAL INSPECTION A CHECK BELOW WORK COVERED BY THIS REQUEST -7a EB-00001-02 T 36072 Type oPBuilding Ne Add. Rep. Check Appliances Wired For Check Fquipment Wired For Home ? ? Range Tempotary Wiring ? Duplex ? Ll Watec Heater Lighting Fistures ? Apt. Bldg. ? ? ? Dryer Electric Heating ? Commercial Bldg. ? ? ? Fumace Silo Unloader ? industrial Bldg. ? ? ? Au Conditionei ? Bulk Milk Tank ? Farm ? ? ? Lisl List : Other ? 0 ? gehers? f Oehers? FI ) COMPUTE INSPECTION FEE BELOW Service Entrance Size: # Fee Feeders&Su6feedtts: # Fee C'ucuits: # Fee 0 W 100 Am s. 0 to 30 Am eres 0 to 30 Am eres i 101 to 200 Amps. 31 to 100 Amperes 31 to 100 Am etes ( Above 200_Amps. Transformers S' ns 1 A6ove 100 Amps. 1 RemoteControlCirc. Special Ins ection Above 100 Amps. Pattialorothertee Minimum fee $5.00 cr-o ?_,; ? s i F TOTAL FEE ? J 0 ?,V?+ E trical Inspector, hereby certify that has been (Final) This request void 18 months from ?G ? ? b? Thi- request void A ? ?i '?? ? ? "^7 , ?C "? 4 1 Sm'ft from Dat? of ttus Request_ 3 3l 1? t Fire No. T36O 73 I, censed Electrical Contractor O Owner, do hereby request inspection of the above electri- cal!}- ?fIring installed at: Street Address or Route No. Fo21 /Z OK-wv ? City? Sectlon Township Range County Which is occupied by _L is a roughin inspection required on this job? No ? YefK-- Ready Now ? Will CaIUg?_ PowerSupplier C"Cft Address ?ANNIA'Tb/V Electrical Contractoc D""`- ?Ltci-f4f- Contractor's License Nov (COmpany Name) Mailing Address 1111 Authorized Signature Owner Making Phone No. gel"' "65-`?5' (ElecbicalLOn[r5c[or or Owner Making Thls Instal4tlon) ??? [?[t? ? ????? ???? This inspecUon request will nat be accepted hy the E? State Board unless prnper inspeetion fee is enclosed. Minnesota State Board of Elactricity Griggs Midway Bldg. - Room N191 .?? EB-00001-02 1821 University Ave., St. Paul,_Minn. 55704 - Phone 297-2111 . l? 1 C E K BELOW WORKOCO ERED BY'THIS EQU ST INSPECTION T 36073 Typeof Building Ne Add. Rep. Check Appliances Wired oi Check Equipment Wired Fot Home ? ? Range 'Iemporary Wiring ? Dpplex ? ? Water Heater Lighting Fixtures Apt. Bldg. ? ? ? Dryer Electric Heating ? Commercial Bldg. ? 0 ? Fumace ? Silo Unloader ? lndustrial Bldg. ? ? ? A'u Conditioner Bulk Milk Tank ? Farm ? ? ? Lis[ Lis[ > Otyer ? ? ? H peief3l p Heiers} f CQIv1PUTE INSPECTION FEE BELOW Semice Enhance Size: # Fee Fceders&Subfeeders: # Fa 0 to ]00 Am s. D to 30 Am eres eres i 101 [0 200 Amps. 31 to 100 Amperes T e?es Above 200_Amps. A6ove ]00 Amps. Am s, a Tcansformers Remote Control Ciic, r fee Special lns ection 1 R ?, ` Y ? i ?? x(q.O (Final) Tfus request void 18 months trom (grrfifirtt#r nf Orrupttnry Citp of eagan Uruttrtmeni nf igixilbing AsprMim Thir Cnti ficatt istutd Purrtutnt to the nqurremrnu of Stttion 306 af the Utriform Building Codt «rti f ying rbat ct the tirru af iJnarar tbit structurr wat in rom pliance witb the variour ordinanns o f the City nguJating building tonA+uttion or ute. Fw tbt f ollournb: U. chwificat 1 of 4 PLEX • Wd& hm No 6040 - O-1v1TYi.-Rl lYPC?tlm v Fuelan 3 Zooi^BDbvin PD a.of,dI.a Orrin Thompson ,,,1712 Hopkina Crsrd., Mtka. 2 ? BY Ridge 3 BuUcHneoffixw D,a SePtember 3, 1981 CITY OF EAGAN 3795 Pilqf Knob Road Eaean, MN 55112 ' PH6NE: 454-8100 BUILDING PERMIT APPLICATION N? 6037 Receipt # ?,C- . .. ? To be used for 1 of Q plex Est. Value /aFi, 490. oece 8-6 , 19-8ja- $ite Address 4625 Penkwe Ul9,y Erect g$]{ Occupancy R? Lot 1 Blxk 7 Sec/Sub. Jhns1•Cake Rdg. 3 Alter ? Zoning PD Parcel # unreeorded Repair ? Fire Zone 3 Enl r ? V e of Const T ga a . yp W Nome Orrin Tho7riUSOn AomPS Move ? # Srories Z Address 1712 Hopkins CI'SZ'd. Demolish ? Front .22 ft. ? Minnetonka, ? 544-7333 Gmde ? Depth 44 ff. Ci ne ? 0 Name - Approval' Feea o 8-`-? Assessrdat Perrnit 125.50 " Address Vg _ Water & Sew. SurcFwrge 22 • 00 Ci Phone police Plan check 62.75 r Fw Name Fire SAC 525.00 ?? Address _ Eng. Water Conn. 305.00 aW CI Phone Planner WaterMeter 60.00 Council Road Unit 1$5.00 I hereby atknowledge that I heve read this application ond state that Bldg Off the information is correci and agree to comply with all applicable . . APC Total 1,2$5.25 Stote of MinneSOM SMtutes and City of Eagon Ordinances. Signature of Permittee A Buliding Permit is issued ta: (lT2'lal Thn?It?gF}} ?" ?B6 on t he express condition That oll work shull be done in acSprdance withAlI,gpplica6le Stute qf Minnesota Statutes and Ciry of Eagan Ordirwnces. Building Offi[lal ?31 MY OF EAGAN SUITDINC; PERNLiT APPLICATION Include 2 sets of plaris, 1 site plan w/elevations 6 1 set of energy calculations. 7b Be Used For Valuation -4y(.i y9o•00 Date S4L4 30 .1980 Site Address: Ga,5 &Ny.,,)g JAJAy OFFI(E USE ONI.Y Lot f Bloc]c ? Sec./Sub. gaQ?wys?} Parcel #: O.mer: Pddress: City/Zip Code: Erect Occupancy _ 13 Alter zorting Repair Fire Zone _ Enlarge _ 'Iype of Const. Nbve # Stories Dc3rnlish Front ;Z2 ft. Grade Depth ft. Phone #: Contractor: I M ES P13dreS5: a Divisfon of U. 5 t'.,?= r- -..._.--? 1712 HOPKIRS CnOSEROAD Clty/ZlP COLj2: MINNFTl1NKG rRmg r . . .....,iSz Phone #: syy-'7333 Arch./t1ng.: 7xidress: Assessrents ? Peimit J acS Water/Se,aer Surcharge ;ta ? Police Plan Check Fire SAC Enq, Wates Conn. - Planner Water Meter G6? Council Road Unit Bldg. Off. P.PC City/Zip Code: Phone #: CITY OF EAGAN 3795 Piloe Knob Road Eagae, MN 55122 PHONE: 454-6100 BUILDING PERMIT APPLICATION Site Address`'F" Lot 2 Block Furcel # Penkwe Way ? SeUSub. JhxlY. Cake Rdg. 3 unrecorded w Nome o Add ? 0 v?ame w N Addreu Name _ Address I hereby ocknowledge that I hove reod this opplication ond state that the information is wrrect ord agree to comply with all opplicable SMte of Minnesoro Statutes and Ciry of Eagun Ordirwnces. Signature of Pertnittee - A 8uilding Pertnit Is issued to: all work shall be done /in/p?pc?coBuilding Officicl - SJ1?3 N? 6038 Receipt Erect gkk Occupancy R3 . Alter ? Zoning PD Repair ? Fire Zone 3 Enlarge ? Type of Const. V Move ? # Stories Demolish ? Frort - 22 ft. Grade ? Depth 44 {t, Approvols Fees Assess t b'7-t5U Permit :?25. 4()-_ Water & Sew. Surcharge Police Plan check 62•75= Fire SAC 525.00 Eng. Water Conn. ?3 5.00 Planner WoterMeter 60.00 Council Road Unit 185.00 Off Bldg . . APC Taal 1.285.25 on t he ezpress condition Mot ?sotn Statutes and Gry of Eagan Ordinances. ^ ca crrr oF EACM SUIIDINC; PERMIT APPLICATION V Include 2 sets of plans# 1 site plan w/elevations 6 1 set of energy calculations. 7b Be Used For -.B*<1er-urF Valuationbi49o•o0 Date -Xuw 30?1980 Site Address: 46253 w NKwE wlVy OFFICE USE dNLY Lot 3_ Block 7_ Sec./Sub. g???? Parcel #: Oaner: Pddress: City/Zip Code: Phone #: Contractor: vnnuv i nviwrSUN HOMES AddL'e55: a Division of U. S F'rn-,> I`-.- ?r 1712 HOPKINS CFDSSROAD C1t]'/ZlP C-Ode: MINNF7l1NKt??rni. Phone #: syy- r7 333 Arch. /Eng. : Pddress: City/Zip Co3e: Phone #: Erect J? Occupancy ,Q3 _ Alter zoning Repair Fire Zone 3 Enlarge _ 4ype of CAnst. V Move # Stories Desrolish Front ,?7 a. ft. Grade Depth ' -,e 41 ft. APPFDVWS FEFS Assessrrents. . ?jo Pesmit /?? S v- Water/Sewer Surcharye 2I Police Plan Check ? a Fire SAC Ci ar ? EYiq, water Conn. 3o s? P1annPS Water .Meter (e O ? Council Road Unit Bldg. Off. APC . CITY OF EAGAN ? 3795 Pilot Kno6 Rwd Eagan, MN 55122 N2 6040 PHONE:"i4-89 00 o?U BUILDING PERMIT APPLICATION Receipt # To be uaed for 1 of 4 plex Est. Value 46,490. Date 8-6 , 19-BQ Site P.ddrew 4 27 penkwp. Way Erect }a Occupancy R3 Lot 4 Block 7 Set/Sub., Jhn `T• CaliE Rd?, 3 Alter ? Zoning PD unrecorded Repoir ? Fire Zone 3 Parcel # E l T of Const V . n orge ? ype . w Name f]rrin Thomz'ican HnmP e Move ? # Stories ; Add 1712 Hopkins Crsrd. De,„ors, ? Front 22 N. ress b Minnetonka, ? 544-7333 Grade ? Depth 44 n. ci e ? 0 Name Approvals Faei ? ?Q Addrea z Name _ Address I hereby acknrowledge tMt I have rend ihis application ond state that the information is wrrect ond• agree to wmply with all applicable State of Minnesota $tatutes and Ciry of Eagon Ordirwnces. Woter & Sew. Police - Fire Eng. Plonner - CounCil _ Bldg. Off. _ APC Permit 1G7.7U Surchorge 22 • 00 Plon check 62.75 snc 525.00 Water Conn. 305 . 00 WaterMeter 60.00 Road Unit 185.00 Total 1,285.25 Signoture of Permittee I A Building Permit is issued to: flrri n Tho=30ri HOIIIBS on the expreu condition that all work shoil be done in ac?}/? ?rdance with all applicable State of Minnewta Stotutes and City of Eagan Ordinances. Building Offfcial CI'I'Y OF EAGAN SUIIDINC; PMqIT AISPLICATION ? - Enlarge _ 'IYpe of Const. Nbve # Stories Demlish Front ;?_' ft. Grade Depth ?/ ft. 'Ib Be Used For _&u1v1v,F valuation -? _y6149o.oa Date Tutv 30 11980 Site Pddress: 14 ba7 PeNw.+6 WFFY OFFICE USE ONLY IAt 17 BZOCk 7 SCC./SI]b. :ToHNN fAK6 EY2Ct X OccuPancY /C3 .. Parcel #• ??r Zoning ? ','`?!^ Re-ir Fire Zone 3 O„mer: Pddress: City/Zip Code: Phone #: Contsactor: ? MES Pddre55: a Oivision of U. 1712 HOPKIM1S CFpS5R0AD C1iY/ZlP C.Ode: 1lINNF7ffNH6, Pr,n_yy ry-343 Pt,one #: s `i `I - 13 33 Arch. /Eng. : Pddress: Gity/Zip Code: APP1dDVAIS F'EES Include 2 sets of plans, 1 site plan w/elevations 6 1 set of energy calculations. Assessments 6?j Pesmit Las'?" Water/Se,aer Surcharge " aa C° Polirn Plan checx ?a ?'- Fire SAC Enq, Wates Conn. 3 6':6-1129 Planner Water Meter a 12ma Council Road Unit sldg. Off. APC -- Phone #: Zt7PAL • ' CITY OF EAGAN 3795 Pllot Kno6 Raad Eagan, MN 55722 N2 6039 PHONE: -454-w0 . BUILDING PERMIT APPLICATION Receipt # u To be used for 1 of Q AleX Est. Value li.Ei ,490. Date 8-6 $ite Addreu 6271 Penkwe Way Erect MC Occupancy $3 Lot3- Block.7_ Sec/Sub. J11nY - CakP Rdg, 3 Alter ? Zoning pn Purcel # unrecorded Repair ? Fire Zone ? Eniorge ? Type of Const. V w Name Orrin Thompson Homes Move ? # Scories z Address 1712 Hopkins Crsrd. Oemolish ? Front 22 fr. Ci hone 54? 4-7333 Grade ? Depth 44 fr. w__...__a ee.. w Nama ?? Address 327rie f !'iw P6nne Nome _ Address I hereby acknowledge that I hove read this application and state that the information is correct and agree to comply wiih oll applicable Stote of Minnesota Statutes and City of Eogan Ordinances. Assessrkdt 9-5_80 Water & Sew. Police Fire Eng. Planner Council Bldg. Off. APC Permit 147.7V Surchorge 22 • 00 Plon check 62.75 snc 525.00 Water Conn. 305.00 Water Meter 60. 00 Raad Unit 185.00 Total Ia 285 - 25 Signature of Permittee I A Building Permit is issued to: Orri n Thorrrzison HOIDBS on the exprew condition that all work shall be done in , ordce w71 II rapp?I'wble Stote of Minnesota Statutes and City of Eagon Ordinances. Buflding Officiol CITY QF F.AGAN Include 2 sets of plans, ? Q (L'/037 • . 1 site plan w/elevatlons 6 ( BUIIDING PF.RMtI' APPLICATION 1 set of energy calculations. 7b Be Used For grt,°ruc_F valuation-4_3 .,490.09 Date SuLy 30? I960 Site Address: 462-7?S. PC-nikwF, WA-y OFFICE USE ONLY ?oMniNy CAYL& Lot 3 Block 7_ Sec./Sub. -PADy.E-21s4- Parcel #: .,?,x??_,?.?? O.mer: Address: City/Zip Code• Phone #: Contractnr: ' i MES Address: a Division of U. S. F!n"o r--__-_ 1712 HOPKINS CFOSSROAD Clt]J/ZlP COde: NINNFTl1NKG nR1NN Phone #: syy-'7333 Arch./Eng.: Address: City/Zip Cade: Phone #: Erect X_ OccufancY Alter zoning f?O Repair Fire Zone 3 _ Enlarge 7ype of Const. v _ P'bve # Stories Delrolish Front ft. Grade Depth ft. APPStC7VAL5 k'EFSS Assessnents /:u 78D Permit Water/Sewer Surcharge Police Plan Check (p ? ? Fire sr.c ESnq, Wates Conn. 3 0 ?S' 631 Planner Water Meter o Council Road Unit / Bldg. Off. APC ROTAL ? ' ? ??dd ? ? y A?I?? ???' C. R. WINDEN & ASSOCtATES, fNC. ?? .. ?J'?C?`A?ILL LAND SURVEYORS TeL 645•3848 For: 4 1381 EUSTIS SL, ST. PAUL, MINN. 55108 U. S. Home Corpora tion ? Scale: 1" = SD' V G2 3v=` s9.,? 8?,,, - ?y? ^ v`I 0 ?? 3: %a . PRiV.irF LRNE WA Note: As of this date Johnny Cake Ridge Third Addition has not been recorded. I v ? 9?v 0 P y' 1 ? ? / w / ? x ? < OU ,i Lots 1 through 4 inclusive, Block 7, Johnny Cake Ridge Third Addition, Dakota County, Minnesota. WE MEREBY CERTIFY TMA1 THIS IS A TRUE AND CORRECT REVRESENTATION OF A SURVEY OF THE 60UNDARffS OF tHE LAND A80KE OFSCRiBED ANO OF THF tOCAT10N OF ALl 6UILDINGS, IF ANY, TMEREON, AND All VISIBIE ENCROACHMENTS, IF ANY, FROM OR ON SAID lANO. Dorod thi. 3f day oFLJU)X A.D. 198C C. R. WINDEN 8 ASSOCUTES, INC. ?('jt wcu br Survayor, Minnewea Raqistrotien No.'J726 2007 RESIDENTIAL PLUMBING PeRMiT APPLicariow CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Do nof combine inside and outside olum6ino on the same aonlication senarate annlications and oecmits are reauired. Date 1 Site Street Address Unit# Property Owner Telephone #?/,?) . Contractor s Telephone # (q Address konkrb City StatetW_ Zip The Appficant is: _ Owner & Occupant _ Licensed Plumbing Contractor Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee _ $ 100.00 Per as-built $ 10.00 Fire Repair (replace burned out fxtures, etc.) $ 90.00 This fee a lies when extensive lumbin re airs are made to a buildin . Illterations to existing dwelling $ 50.00 _ Add plumbing fxtures to main level lower level. This fee includes installation of a water softener andlor water heater at the same time. insialling onlv a water softener and/or water heater, do not complete t i s?t?; ? ?? `? ? move to the next section and place a checkmark next to the appliance( ? bu are instauiny. ' DEC I I? 0 2007 ? _Septic System Abandonment _Water Tumaround (add $136.00 if a 5!8" meter is required) By Other: , _ Water Softener Water Heater $ 15.00 new ;[ replacement Lawn Irrigation _RPZ _PVB _new -repair _rebuild $ 30.00 5tate Surcharge $ 50 Total $ i nereoy appiy Tor a rcesiaentiai riumoing renrnt ana aGCnowletlge that the miormation is compfete antl 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 pertnit, 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. 703 RESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot I{nob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 6FC7? -;) s New Construction Reauiremen4s RemodeUReoair Reauiremenls Oifice Use OnN 3 regisfered site surveys showing sq. ft of lok sq. ft of house; and all roofed areas 2 oapies of plan CeR of Survey Reoi (20 % maximum lot caverage allowed) 7 set of Energy Calwlations for healed additions Tree Pres Plan Reod 2 copies o( plan showing beam & window sizes; poured (ound design, etc. 7 site survey for additions & decks Tree Pres Nat Reqd 1 set of Energy Calculations Addition - irMicate ifonsite seph'c system _ Onsite Septic System 3 copies of Tree Preservatlon Plan if lot platted after 711/93 Rim Joist Detail Options selection sheet (bldgs wifh 3 or less units Date c> / 5 /0,?) Construction Cost Site Address 10??Nf UniUSte # Description of Work Cx3? Multi-Family Bldg _ Y- ? N Fireplace(s) ? 0 _ 1 _ 2 Property Owner Telep6one # (?Q?l ) I Oc?,9 -?? ? Contractor RMA Home Depot Installed Sales 3200 Cobb Galleria Parkway Ste. #200 Address Atlanta, GA 30339 _ City State 763-542-8826 License #BC-20268257 ihone # ( ) COMPLETE THIS AREA ONLY IF Energy Code Category - Minnesota Rules 7670 Cateeorv 1 • Residentlal Ventilatlon Category 1 Worksheet (J submission type) Submitted • Energy Envelope Calculations Submitted Licensed Plumber Mechanical Contractor Sewer/Water Contractor A NEW BUILDING Minnesota Rules 7672 . New Energy Code Worksheet Submitted Telephone #( Telephone # ( I hereby apply for a Residential Building Permit and aclaiowledge that the inf ation is clete_ ar4 accurate; that the work will be in conformance with the ordinances and codes of the Ci yof Eag an the State of MN Statutes; I understand ttris 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 app?r9'?alofplans. /?t le ra..CA ,r50 ND '/Applicant's Pnnted Name plicant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_YOr_ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/DOOrs ? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Smcco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (newheplacement) _ Insulation _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other ` Building Inspector Total Installed Siding and Windows LIMITED POWER OF ATTbRNEY. Cui1NTY OF COBB STATE OF GEORGIA KNOW ALL PEOPLE BY THESE PRESENTS: THAT I, David N. Katz, a resident of Montgomery County, Pennsylvania ("Principal"), and a licensed contractor of RMA Home Services, Inc., DBA Home Depot Installed Sales located a# 660 Mendelssohn Avenue North, Golden Valley, MN 55427, having a license number of BG 20268257, do hereby appoint, name and constitute Elder-Jones Building Permit Service, Inc. ("Agent") as my true and lawful attorney-in-fact and do authorize and grant said attomey-in-fact for me and in my name, place and stead the power to execute, acknowledge, sign and deliver (in such form as may be required by the municipality) a permit application, or any other instrument(s) which may be necessary and appropriate, in order to obtain the proper permit(s) from the City of Eagan, Minnesota for the installation, maintenance and repair of windows and siding (the "Work"). The powers conveyed to the Agent by this Limited Power of Attorney are limited solely to the express powers delineated herein and apply solely to the Work. This Limi*ed Power of Attomey shall expire and automatically be revoked on the 21st day of May, 2404, which date is one year from the execution hereo£ Further, the powers conveyed by this Limited Power of Attorney may be revoked by Principal at any time by express revocation and shall also be revoked by the Principal's death, disability, incapacity or incompetence. IN WI"I"NESS WHFREOF this Limited Power of Attorney is e.xecutcd this 21st day of May, 2003 . David . Katz S WORN TO AND SUBSCRIBED BEFORE ME by David N. Katz on this 21st day of May, 2003. Notary Paic in for the State o eorgia , h4y Commission Expires: January 21, 2006 396816.v1 - ' Proudly sold, furnished and installed by RMA Home Services, Inc., a Home Depot authorized contractor. 3200 Cobb Galleria Parkway, Suite 200 • Atlanta, GA 30339 • Phone (770) 779-1300 • Fax (770) 984-0709 • Toll free (800) 79-DEPO.? ? l Cr Y'3 PLUMBING (RESIDENTIAL) Permit AppGcation ; City Of Eagan - 3830 Pilot Knob Road, Eagan Mn 55122 Telephone 9 651-675-5675 FAX # 651-675-5674 Please complete for: Single Family Dwellings Townhomes and Condos when permits are required for each unit Date 6 / I g / (??> SiteAddress Unit# Property Owner ?QV?. Tor born Telephone #(?(15 ?) i{ Jty - C)?J" q S Contractor 12725 Nightir?gale St Nyy G dd . A ress _ ?ti o,,,,,£$ ,b??? Cjty State Zip Telephone # L The Appticant is _ Owner -L Contractor _ Other Septic System New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00 InGudes County fee. Additional consulfant fees may apply. Alterations To Eaisting Dwelting Uni[, Including $ 50 00 _ Adding fiMures to lower levels or room additions, excluding water softener and water heater . _ Abantlonment of septic system _ Water turnaround (+ 5/8" meter if needed -$121.00) Other: _ RPZ _ new installation _ repair _ rebuild $ 30.00 _ Lawn irrigation system _ Water softener ? Water heater _ ri , .? $ 15.00 1 replacement _additional 1 1 S[ate Surcharge 11 ?I I " ?? $ .50 y]- - Total $ [?-,, IS•J ? I hereby apply for a Residential Plumbing Pernilt and acknowledge that the information is complete and accurate; that the work will be in conforniance with the ordinances and codes of the City of Eagan and with the Plumhing Codes; that I understand this is not a permit, Uut only an application for a pernut, and work is not to start without a permit; t the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ?Gtl,c. G?0.VlC' ApplicanYs Printed Name Appli t's Signature 39802 JOHNNY CAKE RIDGE 3RD 39804 dOHNNY CAKE RIDGE 5TH 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 03008 4625/ 10 39802 01007 (4-plex) 4625-1/2 02007 4627/ 04007 4627-1/2 03007 i 4629/ 10 39802 01006 (4-plex) 4629-1/2 02006 4631/ 04006 4631-1/2 030 06 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-I/2 02004 4639/ 04004 4639-1/2 03004 4641/ 10 39802 01003 (4-plex) 4641-1/2 02003 4643/ 04003 4643-1/2 03003 5 RESID NTIAL / BUILDINC PERMIT APPLICATION CITY OF EAGAN • 3830 PILOT KNOB RD, EAGAN MN 55122 651•881-4675 Hew Conatrualon Reauirements • 3 registered site surveys showirg sq, ft. of bt, sq. ft o( house; and sll roofetl areas (20% marimum lol coverege allaxed) • 2 capies of plan showiig beam & winqow s¢es; poured faund design, etc.) • 1 set of Energy Calculations • 3 copies of Tree Presenation Man if lot platted afler 711193 • Rim Jo'st Detlil Options selection sheet (Mdgs wiN 3 or less unils) DATE T•?C'C •?o? SITE ADDRESS MULTI-FAMILY BLDG _Y _N TYPE OF WORK PIREPLACE(S) _ 0_ 1_ 2 Np,,p APPLICANT 1 RMA HOME SERVICES NC. --- Home Depot Installed Sales STREET ADDRESS 3200 Cobb Ga]IeriaPkwy., Ste. #200 'Y STATE_ZIP Atlanta, GA 30339 fA? # TELEPHONE # i 763-542-8826 BC-20268257 PROPERTY OWNER ?CN'01 TELEPHONE # ?S I • 42D • 6 ?ctS COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNFSOTA AUI.ES 7670 CATEGORY 1 MINNESOTA RULES 7672 (J submission type) Plumbing Confractor: __ Plumbing system includes: • Residentlal VentllaUon Catagory 1 Worksheet Submitted • Energy Envelope Calculatlons Submitted Mechanical Confractor: Mechanical system includes: Sewer/Water Contractor: _ Water Softener _ _ Water Heater _ No. of Baths Air Conditioning Heat Recovery System Phone # " ' Phone # Fee: $90.00 Fee: $70.00 1 hereby acknowledge that I have read this application, state ihat th ?formation is rcect, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan O, inances. Signature of Appllcan OFFICE USE ONLY RemodellRaoair ReouiremeMs • 2 copies of plan . i sel of Ener9y Calalatlons for heated addNOnS • 1 site survey for exterior additions 8 detks . Indicate if home served by septlc system for additions a?> VALUATION SiN9? Phone # . New Energy Code Worksheat Suhmitted Lawn 3prinkler No. of R.I. Baths r.-) rr ??? r Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ uaaateaaroz CITY USE ONLY LOT i^ BL -7 PERMIT V I 7o SUBD. ?o?hn Lot, RECEIPT #: ,a5q3I RECEIPT DATE: 3- 3b' c?b 2000 MECHANICAL PERMIT (RESIDENTIAL) Date: -?)I I ? 1 UL--) Complete this section onl if you are installing HVAC in a single family dwelling, townhome or condo under consuuction ac;r; nct owner!occuoied. • HVAC: 0-100 M B T U ADDITIONAL 50 M BTU • Gas outlets (minimum of one required @$3.00 eaJ State Surcharge Total $ 30.00 6.00 'fj. OO .50 Complete this section onlv if you are remodeline, addine to, or re airin an existing single-family dwelling; townhome, or condo. Please indicate if it is a new item, alteration, or repair. _ New 'k Alteration ? Fumace _ Air exchanger Reminder.• Call for inspections SITEADDRESS: "7L/? Ozhz:_? G? _ Repair _ Other X A'v conditioning ? Other NW,?A&I"l/Y Fee $ 30.00 State Surcharge .50 Total $ 30:50. V(ff ? OWNERNAME: PHONE#: INS'CALLER NAME: C?N?I Ul? PHONE #: `?_- .?/a - 0?500 STREET ADDRESS: j??(?D 7 J V V V 1? (MtEA coDe) . CITY: 7'"?YY?C?W f? r STAT'E:?_ ZIP:, CITY OE EAGAN 3830 PILOT KNOB RD EAC-AN IIId 55122 651-681-4675 FQlil ` OFERMSIGNA ITI'EE _ l BL suso. APPROVED BY: CITY USE ONLY INSPECTOR PERMfT #: RECEIPT#: RECEIPT DATE: 2000 MECHANIC.AL PERMIT (COMNIERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, AII1 55122 651-681-4675 Please complete for: all commerciaUindustrial buildings multi-family buildings when separate permits are not required for each dwelling unit DA . £: WORK T'YI'E: New construcrion Install U.G. Tank _ Interior Improvement _ Remuve U.G. Tank _ Processed Piping When installing/removing underground tank, cal! 651-681-4675 for inspection by fue marshal and plurnbing inspector. Description of work: Fees: 1% of contract price OR $30.00 minimum fee, w6ichever is greatec Underground tank removaVinstallarion = minimu[n fee Con7act price: $ x 1%= $ (Base Fee) State surcharge calculate at $.50 for each $1,000 Base Fee TOTAL f SIT'E ADDRESS: OWNER NAME: PHONE #: - . (AREA CODE) TENANT NAME (IMPROVEMENTS ONL1): WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: ADDRESS: CITY: PHONE #: - (AREA CODE) STATE: ZIP: SIGNATURE OF PERMITI'EE Installed Sidiqg and'OURspOWER OF ATTORNEY OF COBB STATE OF GEORGIA KNOW ALL PEOPLE BY THESE PRESENTS: THAT I, David N. Katz, a resident of Montgomery County, Pennsyivania ("Principal"), and a ficensed contractor of RMA Home Services, Inc., DBA Home Depot Installed Sales located at 660 Mendelssohn Avenue North, Golden Valley, MN 55427, having a license.number of BG 20268257, do hereby appoint, name and constitute Elder-7ones Building Permit Service, Inc. ("Agent") as my true and lawful attorney-in-fact and do authorize and grant said attorney-in-fact for me and in my name, place and stead the power to execute, acknowledge, sign and deliver (in such form as may be requirad by the municipality) a pecmit application, or any other instrument(s) which may be necessary and appropriate, in order to obtain the proper permit(s) from the City of Eagan, Minnesota forthe installation, maintenance and repair of windows and siding (the "Work"). The powers comeyed to=t3ie Agent by this Limited Power of Attomey are liinited solely to the express powers delineated herein and apply solely to the Work. This Limited Power of Attomey shall expire and automatically be revoked on the 30th day of May, 2003, which date is one year from the execution hereo£. Further, the powers conveyed by this Limited Power of Attomey may be revoked by Principal at any time by express revocation and shall also be revoked by the Principal's death, disability, incapacity or incompetence. IN WI"I'NESS WHEREOF this Limited Power of Attomey is executed this 3n"' day of M/h`E , 2002. David . z S WORN TO AND SUBSCRIBED BEFORE ME by David N. Kat2 on this 30`h day of May, G?c Notary blic in for the Stat of eorgia My Commission Expires: January 21,.2006 396816.v3 Proudly sold, furnished and installed by RMA Home Services, Inc., a Home Depot authorized contractor. 3200 Cobb Galleria Parkway, Suite 200 • Atlanta, GA 30339 • Phone (770) 779-1300 • Fax (770) 984-0709 9 Toll iree (800) 79-DEPO L ? gL ?/ CITY USE ONLY / RECEIPT#: SUBD. pqTE: ? S 9 1995 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 I/-3 Z? (612) 681-4675 Please complete for. ? single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES ' Ea;C!-I NJ^. T.^,T.?",L Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot T 3.00 x = ater Heater 3.00 x = 3.00 x = Gas Piping Outlet * minimum -1 3.00 x = Rough Openings 1.50 x = Water Softener 5.00 x = P' I' Dakota Cty. license 20.00 = " r ome under const. 3.00 = o existing 20.00 = 10 .-C) ZNRFAround 20.00 STATE SURCHARGE .50 TOTAL ?26--fca DRPKE SRLL4 ' SITE ADDRESS: ! 4630 R I DGE CL I FF DR I UE ' ? EHOHN , 55122 OWNER NAME:--? H 452-0524 w --- ??- INSTALLI STREET cirr: ?PHONE #: ( ) y/? STATE: ZI P: OFFICE USE ONLY L _ BL _ RECEIPT SUBD. DATE: 1995 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: , all commerciaVindustrial buildings. ? multi-family buildings when separate permits are nqS required for each dwelling unit. DATE: WORK TYPE: _ NEW CONSTRUCTION DESCRIPTION OF WORK: CONTRACT PRICE: ADD ON _ REPAIR IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING: WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED7 YES NO. FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE. WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? YES NO. IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT. FEE: $25.00 minimum fee or 1°/a of contract price, whichever is greater. State surcharge of $.50 per $1,000 of permit fee due on all pertnits. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: OUIMER NAME: INSTALLER: _ ADDRE55: _ f1'f ANtANII,I41 MA IAt1AN CITY: RA7 i lATdW a0MY.Ij%t[10fiF*-TR" tt»?-?'p ?M aiia-H PHONE #: M ;? M ?2M APPLICANT OFFICE USE ONLY STE. # ZIP: METER SIZE: " DATE: INSPECTOR: *************************************** CITY OF EAGAN CASHIER: JS TERMINAL NO: 795 DATE: 04/28/00 TIME: 11:40:42 ID: NAME: LOCO CONSTRUCTION LLC 3210 9D01 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 90D1 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 321D 9001 4619 PENKWE WAY 111.25 2155 9001 4619 PENKWE WAY 2.50 CR128484 ** CONTINU] USER ID: JAN ** CONTINU) *:??*******?****?***x*???********?**?** *******??*****t*????*******t*** CONTINU CITY OF EAGAN CASHIER: JS TERMINAL NO: 795 DATE: 04/28/00 TIME: 11:40:44 ID: NAME: LOCO CONSTRUCTION LLC 3210 9001 4603 PENKWE WAY 111.25 2155 9001 4603 PENKWE WAY 2.50 3210 90D1 4667 RIDGE CLIF 111.25 2155 9001 4667 RIDGE CLIF 2.50 Total Receipt Amount: 941.25 CR128484 USER ID: JAN ??********?*??*************?**********? ? 2000 BUILDINC PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 851•681-4875 New CanshuclWn Reauiremenh RemodeVReoair Reauiremenb D 3 reqlatered Yte surveys ahowing aq. fl, 01 bt, aq. fl. of house 2 co{Nes of plan and gp rooletl areas G204'. maxlmum lol covemae ailowedf 1 aef of energy Calculatlons for heated adtflHau n 2 coplea of plana (slww beam & wlntlow aizes: poured Ind. deaign; eTC.) 1 site survey tor exterbr addmona & decka D I set of energy cdculaHons > 3 copies of hee preservaMOn plan It loT plaNed a(ler 7/1 /99 ,/ DA?: `?" ` CONSTRUCTION COST: DESCRIPTION OP WORK: /?Z . , _ ? !J . .. STREET ADDRESS: BLOCK: -?_ SUBD./P.I.D. #: She6f C41Y 5tate: Zip: . Company: CD Phone #: /? 2?r4 / COMRACTOR ?7 'T ? ? / n +? ,j Shee7Aress: v /? S license# Exp. " i C'J/L T? State: `? Zip: 5:5 7 ARCHITECT/ EMGINEER Company: Name: Telephone M: ( ) Sheef Address: ReglshaHon q: CNy Sewerlwater licensed plumber State: I hereby acknowledge Ihat 1 have read this applicaNon, state ttwt Ihe of Minnesota Statutes and Cily of Eagan Ordinances. Zip: Phone #: (? is conecl, a??@e to compy wiTh atl appAcable State f ' \ Signalure of Applicanf: 1 OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Recelved _ Yes _ No _ Not Required i U Name:» -? ke 2 ? n.;> Phone #: /--/ PROPERTY LO&1 Firsr OWNER OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 05-piex ? 02 SF Dwelling ? 08 06-piex ? 03 01 of _ pbx ? 09 07-ptex ? 04 02-plex ? 10 08-piex ? 05 03-plex ? 11 10-plex ? 06 04-plex ? 12 12-pbx WORK TYPE ? 31 New ? 32 Addition ? 33 Alteration ? 34 Repair ? 13 16-plex ? 21 Porch (3-sea.) ? 17 Garage O 22 Porch/Addn. (4-sea.) ? 18 Deck ? 23 PorCh (screened) ? 19 Lower Level p 24 Storm Damage Plbg _Y or_ N ? 25 Miscellaneous ? 20 Pool ? 30 Accessory Bidg. ? 36 Move Bidg. ? 43 Reroof ? 37 Demolish (Bldg)' ? 44 Siding ? 38 Demolish (Interior) ? 45 Fire Repair O 42 Demolish (Foundation) ? 46 WindowslDoors * Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code No. of Units No. of Buildings ConsL (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Width Basement sq. ft. Main level sq. ft. sq.ft. sq.ft. MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS Planning _ Permit Fee Surcharge 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: sq.ft. sq. ft. Footprint sq. ft. Census Code MC/ES System City Water Booster Pump PRV Fire Sprinklered Building Engineering Variance Valuation: $ ? 31 6ct. Alt - Muw ? 33 Ext. Att - SF ? 36 Mutti SAC Units % SAC CITY OF EAGaN EARLY UTILITY CONNECTION PERMIT *25 /DIM4U2-/ jL)d!k ? ?z &,- - ?X Address tl- Subdivision/Parcel I hereby request permission from the City of Eagan to connect to the sanitary sewer and water lateral line in the public right-of-way. I understand that the City has not yet completed, inspected andJur accepted the sewer and/or water latetal. I agree not to use, test, or connect these individual services to any interior plumbing and understand the require- ment to cap the sewer service to prevent any unauthorized use. In accepting this permit, i[ is agreed Chat I will hold the City and its agents harmless from any damage that may occur due to this early connection. It is understood that no Occupancy Permit will be issued or water allowed to be tumed on until the City utility system has been declared operational hy the City Engineer. Signed by - Plumber ??qo',(_70 SMARN Eo Y?E'L IVIECHANICAL Owner: _ *'++.. ?2•1b85?N?MtNN.b51?! Developer• Builder: O Dated: ??7/D , , _ . . CITY OF EACAN EARLY UTILITY CONNECTION PERMIT ytoasia.I?.P/,?.ku,<e Gi`/Ctc,? Yp k-CP. 7 9 ?11 pddress Subdivision/Parcel/? I hereby request permission from the City of Eagan to connect to the sanitary sewer and water lateral line in the public right-of-way. I understand that the City has not yet completed, inspected and/or accep[ed the sewer and/or water lateral. I agree not to use, test, or connect these individual services to any interior plumbing and understand the require- ment to cap the sewer service to prevent any unauChorized use. In accepting this permit, it is agreed that I will hold the City and its agents harmless from any damage that may occur due to this early connec[ion. It is undersCOOd that no Occupancy Permit will be issued or water allowed to be turned on until the City utility system has been declared operational by the City Engineer. WENZEL MECHANiCAt Signed by - Plumber: " ?LL-?- U/, ?? OW KENIiEpECDRIVE, E110AN,NIINH.b6122 nsa•1sss Owner: M Developer: Euilder: Dat ed : . ciz^r oF Far.A.N EARLY UTILITY CONNECTION PERMIT Address Subdivision/Pa el I hereby request permission from the City of Eagan to connect to the sanitary sewer and water lateral line in the puhlic right-of-way. I understand that the City has not yet completed, inspec[ed a'nd/or a?Cepted the sewer and/or water lateral. I agree not to use, test, or conn \t these individual services [o any interior plumbing and unders[and the requ1re- ment to cap the sewer service to prevent any unauthorized use. In accepting this permit, i[ is agreed [hat I will hold the City and itls agents harmless from any damage that may occur due to this early conneotion. It is understood tha[ no Occupancy Permit will be issued or water allq?ed to be turned on until [he City utility system has been declared opera,itional I ? by the City Engineer. Si ned b- Plumber: ?y'?wENZEL MECHqF41CAL g Y / 8800 KENNEBEC ORIVE, EqGpry, MIryN, 55722 Owner: 452-i565 Developer: Builder: Dated:qkvlx" Y y f ? •. CITY OF EAGdN EARLY UTILITY CONNECTION PERMIT ,40 3 Address Suhdivision/Parcel I hereby request permission from the City of Eagan to connect to the sanitary sewer and water lateral line in the public right-of-way. I • understand that the City has not yet completed, inspec[ed and/or accepted the sewer and/or water lateral. I agree not to use, test, or connect these individual services to any interior plumbing and understand the require- ment to cap the sewer service to preven[ any unauthorized use. In accepting this permit, it is agreed that I wi11 hold the City and its agents harmless from any damage that may occur due to this early connection. It is understood that no Occupancy Permit will be issued or water allowed to be turned on until the City utility system has been declared operational by the City Engineer. Signed by - Plumber: VVENZEL MECMARfICAI ? KEHNEBEC CRPIE, EAG/tN, fdINN. 65i9i, a5a•15ss Ovner: Developer: Suilder• Dated• qk7/?D City of Eap 3830 Pllot Knob Road Eagan MN 55122 Phone:(651)675-5675 Fax: (651) 675-5694 - ---------------- i , aerma a: ?- ? %?o i ? Pertnit Fee: j Date Received: i I Staff: ---------------- 2008 RESIDENTIAL BUlLDING PERMIT APPLICATION Date: _?_ Slte Address: _e462f- !?n „? ?'ff.. f?G, + _.. Tenant: 4ISu G/(a ll Lj,6:)7 RESIDENT! OWNER Name: ,. ._._(??Phorre: Address / Ciry / Zip: Applicant is: _ Owner _ Contractor TYPE OF WORK Description of work?? -4,4 UFr- ? - Construction Cost: 1 -7 2.0 Multi-Family Building: (Yes ? / No CONTRACTOR Name:Alol(.J,?*rLicense#:??J'???T 7,3 Address /l,, CitY??l? i? v'v?? State: J2..i..-. Zip: 575-3/i Phbne: Contact Person: COMPLETE THIS AREA ONLY IF CON5TRUCTING A NEW BUILDING _ Minnesota Rules 7670 Cat orv 1 Minreesota Rules 7672 Energy Cnde • Rgsi?J¢ntial Ventilatian Cffi i C8t8gory Sabmitted e9wY 7 Wortcsfieet • New Energy Code Worksheet (dsubmission type) • Energy Enveiope Calculations Submined Su6mitted In the last 72 months, has the City of Eagan issued a pertnii tor a similar plan based on a master plan? _Yes _NO If yes, date and adtlress of master plan: Licensed Plumber: Phone• MechaniCal Contractor: Phorre: Sewer & Water Contrector. Pborte: NOTE;PIana to. 1 hereby acknowledge [hat this Intormation is complete. and accuratej tfiat the work will be in conFormance wNh the ordinances and codes of the City of Eagan; that I undersland this is not a permit, but oNy an application }or a pertnit, and wark is not to start without a permit that the work witl be in accordariee with the approvad plan in the case of work which requires a review and approval of p$hs. AppllcanYS Prmfed Name x ,sAppncant s Smnah,rn-'- Pdge 1 Of 3 MAY Q 5 2009 ------------------ ? ? j Permit #: ? PertnltFee: /?IJ •'?-'v I ? Date Receive I I I Staff: I ----------------- ' . RESIDENTIAL BUILDING PERMIT APPLICATION ?-??- Date: S/ rA/ 01 Site Address: tdb5'Z 7enant: qtll -;? S RESIDENT/ WN Name: JASON KNdPIC.K Phone: 65f"005-3125 Address/City /Zip: 46dS l,?2 PEtsY-w W4"1E1qG4N Applicant is: X Owner _ Contractor TYPEOFWORK Descriptionofwark: NEW IJE[X Construction Cost: Multi-Family Building: (Yes _! No ? CONTRACTOR Name: HoME owNe?e License#: Address: City: State: Zip: Phone: Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Efl@I'gy Code . Residential Venfilation Category 1 Worksheet . New Energy Code Worksheel C8t0gory Submitted Submitted (4 su6mission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan 6ased on a master pian? _Yes _No If yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water ConVactor: Phone: Phone: Phone: I here6y acknowietlge that this infortnatlon is complete and accurate; that the work will be in conformence with the ordinances and codes of the City at Eagan; ihat I untlerstantl this is not a permit, 6ut only an appiication for a permit, and work is not to start without a permR; lhat the work will be in accordance with the approvetl plan in the case of work which requires a review and approval of plans. x .)ASo1S 1<NOPIGV- x C?L 0:"? ApplicanYS Printed Name Appli rs siawre Page 1 of 3 1,1606 ?? ZqKo,--- lb)p?j DO NOT WRITE BELOW THIS LINE ?<9C/ 7q SUB TYPES _ Foundation _ Fireplace _ Porch (3Season) _ Stortn Damage _ Single Family _ Garege _ Porch (4Season) _ Exterior Alteration (Single Pamily) _ Multi . V, Deck ? Porch (Screen/Gazebo/Pergola) ExMrior Alteration (Multi) _ 01 of _ Plex 7 Lower Level _ Poal _ Miscellaneous _ Accessory Building WORK TYPES _ New _ Interior fmprovement _ Siding _ Demolish Building' _ Addition _ Move Building Reroof Demolish Interior Alteration _ Fire Repair Windows Demolish Foundation Replace _ Repair _ Egress Window _ WaterDamage *Demolition of entire duilding - give PCA handout to applicant DESCRIPTION Valuation ? Occupancy ylt y MCES System Plan Review Code Edition p? nz 2va7 SAC Units (25%_ 100°k4 , Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings - Length Fire Sprinklers Type of Construction ? ? y- Width REQUIRED INSPECTIONS Footings (New Building) ? Footings (Deck) _ Footings (Addition) Foundation Drain Tile _ Roof: _Ice & Water _Final _ Framing _ Fireplace: _ROUgh In _Air Test _Final _ Insulation Meter Size: _ Sheetrock Final ! C.O. Required ? Final ! No C.O. Repuired HVAC Other: _ Pool: _FOOtings _Air/Gas Tests ,Final _ Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall Erosion Control Reviewed By: 1:1 / , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S$W Permit 8 Surcharge Treaknent Plant Copies owl, 5t a L7 ? TOTAL _ y _-- 4'4f'-n /? k C. R. WINDEN a ASSOCIATES, INC. ?" ? CA? LANO SURVEYORS Ttl 645-3646 For: 1381 EUSTIS SL, ST. PAUL, MINN. 55108 . U. S. Home Corporation N • Scale: 1" = 50' 109 5> F , r2 3 ? . . ; o ? l? 4? h~:?^ PS3' M1, `2 n c \ 4y ;.7 ?\ l 0 22 x N v Z ( ? . S 3' 0 ? 1? w fw B(•a o /? _\? , ry ?2 4 a \ ? V ? ?$33 N ?°e P y, / "14 y . ? ? 7E Uq???w , ay ? W Z Note: As of this date Johnn y Cake Ridge Third Addition has not been recorded. Lots 1 through 4 inclusive, Block 7, Johnny Cake Ridge Third Addition, Dakota County, Minnesota. WE HEREBY CERTIFY THAT TMIS IS A TRUE AND GORRECT REPRESENTATION OP A SURVEY OP THE EOUNDARIES OF THE IAND ABOVE DFSCRI6ED ANO OF THE IOCATION OF All 6UILDINGS, IF ANY, TNEREON, ANO All VISIBLE ENCROACHMENTS, IF ANV, FROM OR ON SAID LAND. Do1ad thi. 3/ day oF.sJUfg_A.D. 19$p C. R. WINDEN 8 ASSOCIATES, INC. br v ? ??.?CL-"„?•c„'C.- Surrayor, Minneura Roqislrotion No.,9726 City of EapIl 3830 Pilot Knob Road Eagan MN 55722 Phone:(657)675-5675 Fax: (651) 675-5694 - --- ----------- ? Fm.??:u?;? ? ? ?I13? ; j Pertnit#: ? Pertnit Fee: 130. liv ? Dale Received: ? I I I Staff: I I -----------------I 2009 RESIDENTIAL BUILDING PERMIT APPUCATION aa-eQ.aC 511?- Date: Site Address: Tenant: Suite #: RESIDENT! OWNER Name: ?„ ?? ?? Phone: Address / City / Zip: 46X$ Va ('ENKwE w.4Y ?c-Nt>GiN ? 55 1 aa Applicant is: YL Owner _ Contractor _ 4'1 ,I °7 ! TYPE OF WORK Description ofwork: 44lfqvl?k_?4-? ?Y21U 7 Construction Cost: Multi-Family Building: (Yes No ? CONTRACTOR Name: License #: Address: City: State: Zip: Phone: Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Wwksheet . New Energy Code Worksh Category Submitted Su6mitted eet (4 SUbmission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan7 _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTEi Plans end suppoiting documents that you submit are consideied to be public information. Portions' of the infonnation may be classift'ed as non public if you provide specific reasons that would permit the City to couclude thaf the are trdde secrets. I hereby acknovAetlge fhat this information is complete and accurate; ihat ihe work will be in conformance with the ordinances and cotles of the Ciry of Eagan; that I understand this is not a permit, 6ut only an application for a permit, and c is not to stad wilhout a permR; hat the rrork wiil be in accordancewith the approved plan in the case of work which requires a review and appA?411/oe ? w?e,?G 5'? 3esc1, / X X ApplicanYPrinted Name D ? 2? ?? ?? 7iEent's Signature L5 Page 1 of 3 MAY A ;: 2009 DO NOT WRITE BELOW THIS LINE SUB TYPES _ Foundation Single Family _ Multi _ 01 of _ Plex Accessory Building WORK TYPES New Addition Alteration ? Replace Retaining Wall Valuation Plan Review (25%_ 100%? Census Code # of Units _ Fireplace _ Porch (3Season) _ S[orm Damage Garage Porch (4Season) _ Exterior Alteration (Single Family) ? Deck _ Porch (ScreeNGaze6o/Pergola) _ 6cterior Alteretion (Multi) Lower Level Pool Miscellaneous Interior Improvement Siding _ Demolish Building` Move Building Reroof Demolish Interior Fire Repair wndows _ Demolish Foundation Repair EgressWindow _.WaterDamage 'DemolNon ot eatire building -give PCA handout to applicant ? # of Buildings Type of Construction ? Occupancy ? MCES System Code Edition SAC Units Zoning City Water Stories Booster Pump Square Feet PRV Length Fire Sprinklers Width REQUIRED INSPECTIONS Footings (New Building) ? Footings (Deck) _ Footings (Addition) Foundation Drain Tile Roof: _Ice & Water _Final Framing Fireplace: _Rough In _Air Test _Final Insulation Meter Size: _ Sheetrock Final ! C.O. Required ?Final / No C.O. Required HVAC Other: Pool: _Footings Air/Gas Tests _Final Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall Erosion Control Reviewed By: :1? s , Building Inspector RESIDENTIAL FEES 8ase Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 z . w ?? n0?'? ? C. R. WINbEN 3 A550CIATES, INC. l????? IAND SURVEYORS T*L 644-3646 For 1381 EU5115 SL, ST. PAUL, MINN. SSiOB : ) U. S. Home Corporation llv n ? ? \ ? ? Scale: 1" = 50' ? F . ? F? ? C? 57 F i ? ?? n Me2 ?i9 ? . 2o r2 ?q4 i ? n , 4Sf 'm n c) ? 33 ? °' V a <2 f // ? Po: ? o e1.qj ?\ v p rm . 3°``= sr F/ ??1r 46 ? rn V l / . z 22 V9 m `o \ f ? F)Rl'rq7? ? E E'r'?q y ' I w _"?t y ! ? z Note: As of this date Johnny Cake ' Ridge Third Addition has not been recorded. Lots 1 through 4 inclusive, Block 7, Johnny Cake Ridge Third Addition, Dakota County, Minnesota. WE HERE6Y CERTIfY THAT TMIS IS A TRUE AND CORRECT REVRESENTATION OF A SURVEY OF TME 60UNDARIES OF TME (AND ABOVE DESCRIlEO AND OP THE LOCAiION OF ALl EUILDINGS, If ANY, THEREON, AND All VISIB/E ENCROACHMENTS, IF ANY, FROM OR ON SAID IAND. Datod lhis 31' day oiLju))e A.D. 19$p C. R. WINDEN 8 ASSOCIATES, INC. by Survaror, Minnewto Rapisfrotien No.7726 40~ ar:OffrceUse City of Permit Dian I Permit Fee: 5 i 3830 Pilot Knob Road Eagan MN 55122 Date Received: ,Q Phone: (651) 675,5675 t t Fax: (651) 675-5694 t Staff: I -14 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: 1f2 tenant: L PL- i ( G- 191"1114 Suite RESIDENT I OWNER Name: LX4 / 7 T/?q rga,,l ! 'hone: Address / City / Zip: Applicant is: Owner X Contractor TYPE OF WORK Description of work:-TA-4-1- O °4a ass Construction Cost: 19, 50 0 Multi-Family Building: (Yes t No CONTRACTOR Name: b C °?/`'-GOB I j Rt 73 Gx- License Address: City: ~1s/t~Cl~ State: Zip: Phone: G/2- 5 l Contact Person: t N Yi COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Energy Code _ Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted Submitted (4 scission type) • Energy Envelope Calculations Submitted In th lest 12 months, has the City of Eagan issued a permit fora similar plan based on a master plan? _Yes _No If yes, date and address of master plan'. Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor. Phone: NOTE Plans and supporting documer AS faa uubat are",consri~ei d to bepubllc:= ttforrr;at~on. Portions of the information maybe classified'as non-p `licf yo e specific reasons that would permit the City to nciOde that` trade ecrets. I hereby acknowledge th this information Is complete 10 i+ccurate;; that the work will be in:conformance with the ordinances and codes of the City of Eagan, that I understa s is not a permit, but one! ? pplicatior? for a p4lrmit, and work is no yo start without a permit: that the work will be in accordance with the app plan in the case of 1 tt requires a review a n$ approval of pia x { YY{ Applicant's Pri Name ants Signature Page 1 of 3 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 _ New - Interior Improvement 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 /~j DOD. Occupancy RG- MCES System Plan Review Code Edition URA 200-1 SAC Units (25%_ 100%_) Zoning - 3 City Water Census Code 4 3 c( Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock 1Q Footings (seek- PW) D)1 LJgl( Final / C.O. Required Footings (Addition) Final t No C.O. Required Foundation HVAC Drain Tile Other: Roof: -Ice & Water _Final Pool: Footings Air/Gas Tests -Final '4 Framing X 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 5;~;~~ (Z( ~?(~fl . 6 rln' ~ZE'L?i~2o? Surcharge 8 ®t7 Y~ d ®O . ~r~~ p)ql~ ~ 2~ tet~ Plan Review & 7• / 7 i~T~1+ U~ X4-11 f MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies Z d?i .Z S S0 TOTAL Page 2 of 3 --------------I Fdr Office Use Permit City of Eaall Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 III Fax: (651) 675-5694 1 Staff: I - - - - - - - - - - - - - - - - 2009 RESIDENTIAL BUILDING PERMIT APPL ICATI Date: Site Address: Tenant: uite RESIDENT I OWNER Name: P hh ne: Address / City I Zip: Applicant is: Owner Contractor TYPE OF WORK Description of work: Construction Cost: Multi-Family Building: (Yes I No CONTRACTOR Name: License Address: a. " City: State: Zip: Phone: C ntact Person: COMPLETE THIS AREA ONLY IF 96NSTRUCTING A NEW BUILDING Minnesota Rules 7670 Ca o 1 Minnesota Rules 7672 Energy Code • Residential Ventilation Cat ory I Worksheet • New Energy Code Worksheet Category Submitted Submitted (I submission type) • Energy Envelope Calcul ions Submitted In the last 12 months, has the City of Eagan issued 4ermit for a similar plan based on a master plan? _Yes __No If yes, date and address of mastef plan: ~ Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting doc lments that you submit are considered to be public information. Portions of the information may be classifi dlas 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 C. R. WINDEN & ASSOCIATES,, INC. Vd LAND SURVEYORS of 645.3646 1381 EUSTIS ST., ST. PAUL, MINN. 55109 For: U. S. Home Corporation y~ ZS, q 6 2S ~f6Z-7~ NJ EAGAN REVIEWED Scale: 1" = 50' ja..DING INSPECTIONS DIVISION s o 2 ~ ~~FyL ,r 2 1 QV 3 4 ' n 1~ -1 3, ~ 8 a n: v 4 P 2. v ~T 3w PR~VAT E tVE ff, Z C Note: As of this date Johnny Cake Ridge Third Addition has not been recorded. Lots 1 through 4 inclusive, Block 7, Johnny Cake Ridge Third Addition, Dakota County, Minnesota. WE HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF THE LAND ABOVE DESCRIBED AND OF THE LOCATION OF ALL BUILDINGS, IF ANY, THEREON, AND ALL VISIBLE ENCROACHMENTS, IF ANY, FROM OR ON SAID LAND. Doted thisj c3 day ofLjJv -A. D. 19$Q C. R. WINDEN & ASSOCIATES, INC. by Surveyor, Minnesota Registration No.7 0 C\j \ A ~ U 0 z v v m O w w a z O LL O 0 00 0 W zV 4 , $ zy o N \ l v z a: o W 1-4 VVVVJJJ ~ w Cl) a W 0) O ui 65 0 w i O CO LL N C7 C3 W z LL as W N Fn a Z 0 w a w `n w Q w ? w a w U o Imo- 0 m w e z ri CL w cx.7 ¢ O Q ~rn U 0 z m z > F u 3 r o 0 z Z O z O 0- 0n 010 `5° O <w 0 o" Z tJ r r r z z z w w w ~ Q ¢ w w Qw tit z =Q~, O w p r z w z w - o - a Z Z 0 L 2 LL W W CL J 2 w (n (n r Y N r x D o w r r w cn > v~ W° o o Y w 3 Z z° a a City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4625 Penkwe Way Lot: 1 Block: 07 Addition: Johnny Cake Ridge 3rd PID:10- 39802 - 010 -07 Use: Description: Sub Type: e - Furnace Work Type: New Description: Furnace Comments: Fee Summary: Contractor: Sedgwick Heating & Air 8910 Wentworth Ave S Minneapolis MN 55420 (952) 881 -7739 Quesetions regarding elec 952- 445 -2840 Judy Mayer 8910 Wentworth Ave S ME - Permit Fee (Replacements) Surcharge -Fixed Total: Applicant/Permitee: Signature PERMIT City of Eaan cal permit requirements should be directed to Mark Anderson, State Elec - Applicant - Owner: Susan R Niz 4625 Penkwe Way Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: $50.00 0801.4088 $0.50 9001.2195 $50.50 I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Issued By: Signature Mechanical EA089210 05/18/2009 ePermit cal Inspector, �/�� -'I��.� �I�- , ! lP �� `Z c��i� t /a" Use;BLUE or 6LACK lnk UJ -- - - ------ I For Qffice Use � . } ' [23�1 f � �l� 0�� Il f ; P�,�#: � �� ; � � �/ � ( Permit Fee: � � 3834 Pilot Knob Road Eagan AAN 55122 � Date Received: j Phane:(651)675-5675 � � Fax:(651)675-5694 1 Staff: 1 I I � . . . . . . �� . . . . � . I�.�� ' � �.�J . 2014 RE51dENT1AL BUILDING PERM�T APPLICATI4N ��: �--��-�� ,��,��:�� -- �b a � '�z ��. w �n��: f� �� Name:�C�/T!�� r�� t,vr}�?�i� Phone: Residentl j� £}W�'1@t' Address!Cit�+f Zip: �_.�:�''�`�° /_ ��L"� ApPficant is: Owner � Contractor Description of v�ror[c: ��''' r��'� `" � �� ''!'�os�'�� T e of Work , ya Construction Cast ��'�I t�0 � Mutti-Family Buiiding:(Yes�i No,_,,,_,} Company:/�/�YZsJ�5� C,t7,�i��v9�t'i�OfS �Cantad: t/r�t �L�t��7' ' C�ntr��#ar address:6'�-%�2 Z�e��/��►� L.;�-�`� /� city:l°J��'� �ar�t�1/�-- State:�`�Zip: ��.��,'� Phone:�j��'"�'Emait:aJemd?t�l:3s�"L.1��7'�Gc�VI`�✓�v�� ✓� �,� ��?v C�� Licen�e#: 1J� �.�� t_eatt Gertifiicate#:N�a.-t°,.•,��J�1�3 -1 If the project is ex�mpt from lead�et�ification,please expiain why: (see Page 3 far addifional inforgnation) COMPLETE THIS AREA ONLY IF CONSTRUCTiNiG A NEW BUiLDtNG In the las#12 morrt ., the City of Eagan issued a permit for a simHar ptan based on a master ptan? _Yes �No If yes,date and addr f master plan: Licensed Plumber: Phone: ` Mechanical Gontractor: , Sewer 8�Water Go r: ' Phone: "�lt'J��: s�rrd s�rpportin�'�fc�uments t�at you srrbm�t are cons�d�,re�'to be,A�bfic irtfczr�a�i'+��,=f��arn��t� �t�#c��a�t�n�►ajr b±��fa�s�ed�s rt€�n�vblic If�tou pravlaf�sp±��f�t�easc��ts�at.ti�rr�r)�'per�it��it,y t+� ° c�ttclutte ttr�t�ie are traEle s��: CALL B�FORE YOU QIG, Cali Gopher State One Calt at(651)454-0002 far protection against underground t�ity damage. Ga!!�t8 hours 'I befo�e yo�intend fo dig ta receivs locates of underground u#ilities. www.aooherstateaneeatl.ara i hereby acknowiedge that ihis informatian is c�mplete and a�rate;that tt►e work wiil be in c:onforman�with the ordinances and codes of#he City of Eagan;that t understar�d this is not a pe[mit,but c�My an aPplication far a permit. and w�k is not to star[wiihaut a pertnit;that tt�e wo�ls v�tl be in aceordance v+rith the aPRroved ptan irt the case of alork which eeqtirires a r�view and approval of ptans. Exterior Hrork authorized by a buiid3ng permit issued in acccrdance witlt the AAfnnesota State iiding Code m�t be complsted vrithin 180 days af psrntit issuance. � ' x �� ' :/'1'?� x Appiican�s t�stirN�c!Name ' anYs Signature ; : , Page 1 of 3