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4629 Penkwe Way
CITY OF EAGAN WATER SERVICE PERMIT 3795 P::ot Knob Rocd PERMiT N0.: Eagan, MN 55122 DATE: Zoning: No. of Units: Owner: _ Address: -? Slte Address: Plumber: Meter No.: Connection Chorge: Size: Account Deposit: Reoder No.: Permit Fee: I ogree M compty with the City of Ecgnn Surcharge: _ Ordinoaaes. Misc. Charges: By Date of Insp.: Site Address: Plumber: Meter No_: Size: Reader No.: I agree to eomply with the City of Eagan Ordinaneea. By Date of Insp.: OF EAGAN Total: Date Paid: WATER SERVICE PERMIT Pilot Knob Road PERMI7 NO.: , MN 55122 DATE - _ No. of Units: .- Connection Chorge: Account Deposit; Permit Fee: -r Sureharge: -?-? Misc. Charfles: -- Totol: Date Patd: -.--?- CITY OF EAGAN 8795 Fuot Knob Road Eagan, MN 55122 Zoning: Owner: Address: Site Address: Plumber: 1 egree to eomply wilh the City of Eagan Qrdinonces. By Date of I nsp.: Connection Charge: Account Deposit: _ Permit Fee: Surcharge: Misc. Chorges: _ Total: Date Paid: CITY OF EAGAN SEWER SERVICE PERMIT 8795 Pilot Knob Rond PERMIT NO.: Eagan, MN 55122 DATE: Zoning: Na. 04 Units: Owner, Address_ Site Address: •,;;?t, I,? j oi...,,.?..._. . . ?,? I agree to eomply witfi the City of Eogan Ordinantea. ev Date of Insp.: SEWER SERVICE PERMIT PERMIT NO.: DATE; No. of Units: T1 Cannection Chorge: Account Deposit: Permit Fee: Surcharge: Misc. Chargest Total: Date Pnid: GIT'Y OF EAGAN 8795 Pilot Knob Road Eagan, MN 55122 Zoning: Owner. -- Address: Site Address: Plumber: *frn SEWER SERVICE PERMIT PERMIT NO.: DATE: _ No. of Units: Connection Charge: AcCount Deposit: _ Permit Fee: Surcharge:Misc. Charges: - Total: 1 sgree !v eomplp wifh the City of Eagan Oedinances. By - Dote * of SEWER SERVICE PERMIT NO.: DATE: - No. of Units: WATER SERV;CE PE''-AIT c!Ty oIF EaGAN 3795 Pilot Knob Rood PERMIT NO.: Eagan, MN 55112 DATE: Zonirrg: No. of Units: r O -- . wne Add ress: Site Address: b Plum er: Meter No,: Connection Charge: SiZe: Account Deposit: Reader No.: Permit Fee: r ( ageee to eompiy with the City of Eagan Surcharge: Ordinonces. Misc. Charges: By C'T ?" Q" RAGAN 3795 Pilot Knob Rood Eogan, MN 55122 Zoning: Uvner: Address; Total: Date Poid: WATER SERVICE PERMIT PERMIT Np.: DATE: No, of Units: !o compfy wit6 the City of Eagan By Dote of Insp.: Insp.: Connection Charge: Account Deposit; Permit Fee: Surcharge: Misc. Charges: 7otel- Dote Poid: ?S.IDC? Tti_On ? Site Address: Plumber: Meter (yo.: . Connection Chorge: Si2e' Account De Posit: Reoder No.: _ Permit Fee: ? a8ree to tomply with the Cily of Eagan Surcharge: 'tlydinancea, Misc. Chorges: _ Total: BY D Date Paid: ate of Insp.: 1 nsp.;. 0 CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAd EAGAN', MINNE50TA 55122 DATE 19 RECEIYQD FROM AMOUNT ? I & DOLLARS 1 oo ? CASH ? CHECK ROR • ? 1 ? BY - 1 White-Payere Copy Yellow-Postinp Copy Pink-File Copy Thank You ? CITY Of EAGAN 3795 Pllot Knob Road Eo9on, MN 55122 N2 6033 PHONE: 454-8100 BUILDING PERMIT Receipt To 6a aed for Est. Value Date , 19 Site Address Erect [3 Occu anc p y Lot Block Sec/Sub. ' Alter ? Zoning Parcel # Repoir ? Fire Zone Enlarge [] Type of Const. o e Name Move p # Stories W 3 qddress Demolish p Front ft. ° Grode ? Depth ft. Ci Phone s Pp_ov,Q ? NQrne O i a t s?s??? ,• : . JI r ot Address i Permit ? ,? 0 B? ?e+???_ F { ? ?JW e -4 Surchorge ci P? ? ? Pl h k ? cc FOR ?? an c ec Z Nome ?e SAC ?? Address -, Woter Conn. ?W Ci pfqne Plonner Water Meter Council Road Unit I hereby acknowledge that I have reod this oppiication end stote that Bldg. Off. the information is correct and agree to comply with all applicable ^? State of Minnesota Statutes and City of Eagan Ordinonces. Total $ignoture of Pe?mlttee A Building Permit is issued to: on tha express conditlon that all work sholl be done in xcordar?ce with oll opplicable Stote ot Minnesota Statutes ond Gty of Eagan Ordinances. Building Offictal e l P A I?rnM ?! Oah IwN/ ??nsIMM Plumbing Mechonical INSPECTIONS DATE INSP. RougMln Firal Footings ^ 27 Date Irap. Oote Irnp• Foundotion _ Plumbingr.?,• Frame/ins. lNechnnicAl ?'1 i na r? Remorks: No. 6 CITY OF EAGAN 3795 Pilot Knob Roed Eegen, Minnesote 65122 Phaw: 454-8100 PERMIT Date: 1--29--B1 I'^Tl}'.•oG Site /Wdress; 629 Lot Block Sub/Sec. `j'??1•?'r?? "-'-C?.'? Nome --riTl ^I-ctt?-scr. : C:f"1 • g Address .. ? City Phone: ''r4--7?3'?' Nome . ? I Address INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Receipt No.: Singie I Residential Mufti Res., Comm./Ind. I New/Alter./Repoir Cost of Instullotion Permit Fee Surcharge ?ICity Phone: •. =,-. :, This Permit is issued on the express condition thot oll work shall be Minnesota Stotutes ond City of Eagon Ordinances. Total done in occordcnce with all applicable State of Building Officiol 1 . ? No. Zq2t cirr oF EAGAN 3795 Pllof Knob Reed Eagen, Minnesote 55122 P6ene: 454-8100 PERMIT INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Date: Reoeipt No.. Single I Slte Address: f:F' -L'9 !'e.^.icv'P , Residential Lot Block Sub/Sec. Multi Res., Comm./Ind. I Name nrriri Th0mp80I1 New/Alter./Repolr nnw ? Address 1612 :,opkinA (.TSI' i. Cost of instoliation ?!innetonk?i 2fi. ??l,r',--;'??q City ? Phone: Permii Fee Name 'f 1?Z@Z ' ?echanj c^ l Surchorge ' Fn $ - . Address ",.')'J Kennebec T?r. ? ? ?ity t;8g8P., 1.1h. Phone: Total This Permit is issued on the express condition that all work sholl be done in occordonce with all oppliccble State of Minnesota Statutes ond City of Eogon Ordinances. Buitdiny Officiol - CITY OF EAGAN ' 3795 Pilot Knob Road Eagan, MN 55123 N! 6034 PHONE: 454-8100 BUILDING PERMIT To be med fer Est. Value Site Address Lot Block ? Sec/Sub. Purtel # ,•? CUZ' :; ? , oe Nome ti0Ale8 W r"rd 3 Address ? o G PFione /- o Name . _, ? uo? Address \ Ff rw. DL...?? Name _ Address I hereby acknowled9e that I have read this application and state thot the informotion is correct and a9ree to wmply with oll opplicoble Stote of Minnesota Stotutes ond City of Eagan Ordinances. Receipt # Erect p Occupancy !L S Alter ? Zoning ? Repoir ? Fire Zone Enlorye 0 Type of Const. Move ? # Stories Demolish Q Front ft. Grnde ? Depth ft. Approvol@ Fees Water & Sew. Police Fire Eng. Planner Council Bldg. Off. _ APC Permit - ' • Surcharge - ' r- Plan check SAC ' _5.C0 Water Conn. ?T • nQ _ Water Meter Rood Unit ' Total Signoture of Permlttee I A Building Permit is issued to: on the express condition thot all work shall be done in accordonce with oll applicable State of Minnesotn Stotutes and Gy of Eogon Ordinonces. Building Officiol Pffmk g paM bw?d p?ieho Plumbing i9 aL ? %- O !-v Mechanical 2 7,5) - i •' - , i ???z? INSPECTIONS DATE INSP• Rouplrln Finol Footin95 I Date Insp. Date/ InsD. Foundation Plum`?' // j- _ f Frome ins Mechanicol = ^ - r Final Remorks: No. , cirr oF EA"N 3795 Pilef Knob Read Eo9an, Minnesota 55122 Phoee: 464-8100 .:'L'•+-i,' ? PERMIT Date: ' y9--31 Site Address: 462911 Perilcwe Way Lot ` BI«k ? Sub/Sec. ?u?'?'`?'e re?•3 Nome `-' ?'Lt? `r'!'lc7it'j%?CiIl ? •.?Y?''. , 71; ::? ' ' ? , _ ? Address ? -J.?-??? ?_? ?„7`J( jf\C1. City Phone: I T,'E,1'i"s_=I• - Name ' ? ? Address V City Phone: This Permit is issued on the express condition that oll work sholl be Minnesota Sfatutes ond City of Eogon Ordinonces. INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS ? 1r2 j? Receipt No.: Single 1 nf tl Residential I Multi Res., Comm./Ind. I New/Alter./Repoir Cost of Installatlon Permit Fee ? 5urcharge Totol done in occordunce with oll opplicable State af Buildirg Offlcial ? . cirr oF E?GAN ' 3795 Pilor Kwob Reed Eeyan, Minnaota 55122 No. l?'X Phewe: 454•8100 - PERMIT ... ? . Dote: Site Address: Lot Block Sub/Sec. .r-? - Name 9tw4k ^}}}Am.8931 iI°mL^ . 3 Address g:7.1p.-ggpk4gqa-G128;3:1 . O City 4-._g:e4AakaTPhone: ` Name '4f3iwl ?LeBh-an-JA&l ? ? llddress Lcp-: ? City - _? • ??:7 ? ft' ? Phone: This Permit is issued on the expreu condition thot all work sholl be Minnesota Stotutes and City of Eagan Ordinances. INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Receipt No.: Single I Residentiol I Multi Res., Comm./Ind. I New/Alter. / Repair nAw Cost of Instollotion Permit Fee Surcharge _5f Tota I done in occordance with cll applicable $tate of Buildiny Official CITY OF EAGAN 3799 Pilot Knob Raod Eogan, MN 55122 N2 6 036 PHGHE: 454-8100 BUILDING PERMIT Receipt # To be psd for Est. Value Dote , 19 Site Address Erect 17 Occuponcy Lot Block Sec/Sub. - .,.t;ake ? Alter p Zoning T Parcel # Repair ? Fire Zone Enlarge 0 Type of Const. W Nome Move ? # Stories ; Address Demolish ? Front ft. b r:... Grade fl DeDth ft. o Name _ zt o? /Wdress V Nome _ Address Water & Sew. Police Fire Eng. Plonner Council Permit Surchorye Plon check SAC Water Conn. Water Meter Rood Unit I hereby acknowledge that I have read this application and state that gldg. Off. the information is rnrrect nnd agree to camply with oll applicable APC Total State of Minnesota 5tntutes and City of Eogan Ordinonces. Signature of Permittee A Building Permlt is iuued to: - on the express condition thot al) work shall be done in accordance wlth all applirnble Strte of Mfnnesota 5tatutes and City of Eogan Ordlnances Building Officlol # w Pwmit # peM Irned PvmittN Plumbing Mechonicol !L I INSPECTIONS DATE INSP. Rouyh-In ' Final Footings Date Inap. Dote Irqp. Foundation Plumbing 7 ?? -,-2 7-? F me ins. Mechanioal Final i I Remarks: CITY OF EAGAN • 3795 Pilot Kneb Road Eagan, MinMSOM 55122 No. Phone: 45I-8100 1•eatin<' PERMIT Date: 5ite Addreu: -ai 4E31 Penk?ae Way enk. Lot Block Sub/Sec. Name `?n '1%G[T7-nt Y"? ` Address 171_, ?:cx*-ins Crs:-Xi. g - ? City Phone: Nome iC._l?-,'nj r ? g Address 'X' • ? City Phone; ' This Permit is issued on the express condition that aIl work shall be Minnesota Stotutes and City of Ea9an Ordinances. INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Receipt No.: Single _ I Residenticl ? Multi Res., Comm./Ind. I New//11ter./Repoir Cost of Installotion Permit Fee Surcharge Tota I done in uccordonce with ol) applicable State of Building - cirY oF EaG?N ' • 3795 Pilot Knob Reod No. Eegen, Minnesote 55122 Phem: 454-8100 PERMIT Date: 9-9- , Site Nddress: 46:1 Lot Block ' Sub/5ec. Jlu?V . Ca}_e 3d7. 3 Nome 0=1^ 7lOmpS0T1 tiOP'!@B E Address 1712 Hopk3nE; Crosc? . ? -`_nnetonk.a, City Phone: Nome '"PnZ@Z 11:ECh(1T1iCRl . Addreu e 0 City Phone: This Permit is issued on the express condition thot all work sholl be Minnesoto Stotutes and City of Eagan Ordinances. INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS ryn?. Receipt No.: Single Residential Mult! Res., Comm./Ind. I New//11ter. / Repoir Cost of Installation Permit Fee Surtharge l Totol ' done in accordonce with all applicable State of Building Officiol cirY oF EaGAN . 3795 Piiot Knob Road Eagan, MN 55122 PHONE: 454-8100 BUILDING PERMIT Ta bo ?d ier Site Address Lot Block Sec/Sub. - Pcrcel # oc W Zu °u? 1- Receipt # N° 6035 Erect Occuponcy R? _• l Alter p Zonirtg Repair p Fire Zone ? ? Enlarge ? Type of Const. Name ='rrir1 i'ho son iiomes Move ? # Stories Nome _ Address Nome _ Address DemoUsh p Front ft. G?ade ? Depth Approva I: Fess Assessrwlit ?- - - Permit Water & Sew. Surcharge ' Police Plon check ' Fire SAC ' Eng. Water Conn. ' Planner Water Meter Council Road Unit I hereby acknowledge that I have read this opplication and stote that Bldg. Off. tfie information is correct cnd ogree to comply with olI applicable APC Totol Stote of Minnesoto 5tatutes and City of Eagon Ordirmnces. Signature of Permittee A Building Permit is issued to: on the express conditlon that oll work shall be done in cccordonce with oll applicoble State of Minnesota Statutes and City of Eagan Ordinances 8uildirg Officfal Permk # Oeh Mrsd hnaitme Plumbing % - v ,,?., Mechanical 7-1 /- 7," i INSPECTIONS DATE INSP. Rouph-In Find Footings - z 7- Date Insp. Dote Irup. Foundation Plumbing Frome/ins. - Mechonicnl Finol Remarks: Na. Dute: 1 --29••81 Site Address: Lot CITY OF EAGAN 3795 Pilot Knob Roed Eagen, Minwesota 55122 Phone: 454-8100 PERMIT 4631•': Pen}aae Way Biock Sub/Sec. - INSPECTOR NQTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Receipt No.: Single I Residential • ? Mu(ti Res., Comm./Ind. I Nome New/Alter.lRepoir ; Addreu ? Cost of Installation O City Phone: Permit Fee n:? .- ? N°^'e Surchorge ? Address a 0 V - ? City ' Phone: Totcl This Permit is issued on the express condition that oll work shall be done in occordance with all applicoble Stcte of Minnesoto Stotutes ond City of Eogan Ordinonces. .Tl1iTy. C'.ciM RGi+ Building No. I cinr oF EA"N 3795 Pilot Knob Road Eagen, Minnaora 55142 Phene: 454-8100 ? PERMIT DOte: Site /lddress: ',631J ?'ez.i??^Q tilia,y Lot Blxk 6 Sub/Sec. Name Thonmeon :iomes I Address 171CT3T•, a city ' innetonka, h?n. Pna„e: 544-7333 Nome %,eI1Ze1 M@ChE'lZ1iCv1 ? ? Addreu '?P=1-''1@b@C ? City -- ' ' Phone: ''-1 565 This Permit is issued on the express condition thot all work shall be Minnesota Statufes ond City oF Eogan Ordinances. INSPECTQR NOTIFICATION REQUIRED BY LA{N FOR ALL INSPECTIONS Recetpt •No.: ' Single I Residential 4 j'1C .. Multi Res., Comm./Ind. I New/Alter./Repair. ' `v Cost of Instaliction Permif Fee ' $urchGrge ' Totol ' done in xcordance with all opplicable State af Buildirg Officlal Recsipt PLUMBING PERMIT Permit No. CITY OF EAGAN Fee fill in numbered spaces S/C Type or Prinr /egibly T ot 1. Date 2. Installation Cost 3. Job Address Lot ? Bik. TractS` `- ? 4. Owner 5. Contractor Phone ` 6. Address -`/? ? 7. City State Zip 8. Building Type: Residential ? Commercial O Institutional O 9. Work Description: New ? Add ? Alter 11 Repair ? 10. Describe 11. No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Se tic T k Lavatory p an Softner Shower Well Kitchen Sink Urinal/Bidet Othe Laundry Tray r Floor Drains Orinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, end I agree to comply with all ordinances and codes governing this type of work. Slgned : for Rough f inal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Recaipt PLUMBING PERMIT CITY OF EAGAN ?! ? Fill in numbered spaces Type or Print /egib/y ? 1. Date - 2. Installation Cost . / Y 3. Job Address Lot Blk. Permit No. ` Fee S/C Tot. Tract ? 4. Owner ?' - 5. Contractor ..Q Phone 6. Address y ` - ? ? • 7. City State Zip 8. Building Type: Residential Cb Commercial ? Institutional ? 9. Work Description: New ? Add ? Alter ? Repair O 10. Describe 11. No. Fixtures Water Closet No. Fixtures Cess ool/Drainfield Bath tubs p $eptic 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 oomply with all ordinences and codes governing this type of work. Signed : ' for Rouyh Flnal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 CITY OF EAGAN Remarka Additi?n JOI-W'NY CAKE RIDGE 3Y'd ADDITION Lot 1 Ownerl!t"- r'i l 1.. r, ;_u 1 ':1?1 ? Street 4629 Penkwe 6 pefmi#14 39802 010 05 state Eagan Ib+1 55122 Improvement Date Amount Annual Yesrs Payment Receipt Oate STREET SURF. 1981 Paid L1fld r original arce STREET RESTOR, GRADING SAN SEW TRUNK 1975 Paid llrid T OT1 inal arce *SEWERLATERAL . 5' 22]],43 C00$$$1 10 15 80 WATERMAIPI +t WATER LAT£RAL WATER AREA Z 1980 Piad und T OT'1 inal arce STORM SEW TRK 300.31 C005581 10/15C80 * STORM SEW LAT 1981 CURB & GUTTER SIDEWALK STREET LIGH7 185.00 20343 8 6 80 WATER CON . 30$.00 20343 8/6/80 BUILDING PER. SAC 0 PARK CITY OF EAGAN Additign JONAINY CAj,F. RTII(;E 3rd Alli]TTinN Lot 2 BIk fi Parcel#10 39802 020 06 Owner?? Ajuil c,: st,eet 462911 Penkwe Way State Eagan hIIV 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. S 1981 Paid W1d Y' OTl inal i- iarcel STREET RESTOR. GRADING SAN SEW TRUNK 1975 Paid und r original arce *SEWERLATERAL 2 10115180 WATERMAIN * WATER LATERAL 1981 WATER AREA 2.-z- 1980 Paid UIld T OT1 inal arce STORM 5EW TRK S 300.31 C005581 10 js $0 * STdRM SEW LAT CURB & GUTTER 51DEWALK STREET IIGHT Rd UNI WATER CONN. BUILOING PER. Q4A SAC 20343 816180 PAR K CITY OF EAGAN Remarks AdditiQn JOEiIVNY CAKE RIDGE 3Td ADDITION Lot 4 Qlk 6 Percel #10 39802 040 OEi Owner ????Tlu`, x. L1,Cs!!(fit-l& Street 4631 Penkwe WaY stete Eagan I?W 55122 , Improvement Date Amount Annual Years Payment Raceipt Date STREET SURF. 19$1 Paid U1lCl Y' OY'1 inal arce STREET RESTQR. GRADING SAN SEW TRUNK 1975 Paid Urid 1' OY'1 1Tl8.1 arce * SEWER LATERAL WATERMAIPI * WATER LATERAL WATER AREA q22- 19$0 Paid Urid T OTl inal STC@ STORM SEW TRK * STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 706 00 2034 BUILDING PER. 6036 . 3 8/6/80 SAC PARPC CITY OF EAGAN 3 wlk 6 Pe.ael # 1 Owner UUIh- `. hgrP?l br'r, fild ijle- street 4631-?j Penkwe Way St,,Q Eagan NW 55122 Impravement Oate Amount Annual Years Payment Receipt Date STFiEETSURF. 19$1 Paid Wld T OTl inal arce STREET RESTOR. GRADING SAN SEW TRUNK 3.1 UII x origina arce ,tSEWER LA7ERAL WATERMAIN *WATER LATERAL WATER AREA a/ZZ 1990- 81 U71 T origina arce STORM SEW TRK * STORM 5EW LAT CURB & GUTTER SIDEWAIK STREET LIGHT WATER CONN, BUILDING PER. ' SAC PAR K T';.is request void ?/i ?'?? 3 o? 18 months from ? Date o this Request SO Fire No. `T 16704 [, aaZ] Licensed Electrical Contractor OOwner, do hereby request inspection of the above electri- cal????g installed at: Street Address or Route Na. City ? CAMI? Section Township Range County 1-6+1?r Which is occupied by QI'" JfV Is a roughin inspection required on this job? No ? Y? Beady Now ? Will C Power Supplier ?Zek Address f II?IY-1 I /V 6-1 6, Electrical Contractor 5EU' CCC`'70(!' Contractor's License No. R__M526 Mailing Address / '7l` c' (E c ?Ital ontract ar Ownar Makin9 Tnis Installatlon) q Authorized Signature y ?? Phone No. (Electrical Contmctor or Owner Meking This Install8llon) This inspecvon request will nat be accepted by ffie State Board unless proper inspeetion fee is enclosed. mmnusuca amce oaara m necmciry ? Griggs Midway Bldg. - Room N791 ? 1821-1iniversity Ave., St. Paul, Minn. 55104 - Phone 297-2171 n ry REQUEST FOR ELECTRICAL INSPECTION CHECK BELOW WORK COVERED BY THIS REQUEST J? EH-00001-02 T 16704 %/' 'fyj pe of Building New Add. Rep. Checlc Appliances W ixed For Check Fquipment W'ved For Hume ? ? Range Temporary Wiring Duplex ? ? Water Heater Lighting Fixtures ? Ap[. Bldg. ? ? ? Dryex ? Elec[cic Heating Commemial Bldg. ? ? ? Furnace ? Silo Unloader ? Industrial Bldg. ? ? ? Air Condiuoner Bulk Milk Tank ? Farm List ) List Other ? ? ? p } Herets) Rehets? COMPUTEINSPECTION FEE BELOW Service Entrance Size: n Fee Feedexs&Subfeeders: # Eee C¢cuiis: u Fee 0 to 100 Am s. 0 to 30 Am res 0 to 30 Am eres 101 ta 200 Amps. 31 [0 100 Amperes 3] to 100 Am eres ,V V A6ove 200 Amps. Above I00 Amps. Above 100 Amps. Transfoxmers 1 1 Remote Control Circ. Paitialorotherfee o Si ns 1 1 Special Ins ection Minimum fee S5. no. Remazks ?1 ? //-?/1I I ? TOTAL FEE 9? : (Final) This request void 18 months from een maA'? " 4 3 This request void 18 months from Date ths Request Fire No. T, 16705 I, aLicensed Electrical Contractor ?Owner, do heceby request inspection of the above electri- cal ?'?ring installed at: Street Address or Route No. ?`+?L '?-' Citv_CiV64" Section Township Range County 4JFJF"t1Jrt Which is occupied by Is a roughin inspection required on this job? No ? Yejq!?_ Ready Now ? Will CaJrR?_ Power Supplier ?? Address I(QI`i? I ti (S7-t) tj ,?? Electrical Contractor ? Contractor's License No. (COmpany Name) _ Mailing Address M ( e7( ( trica oM2ractor or owner Making rNS Installatlon) p AuthorizedSignature 'JS?+-? PhoneNo. ?!?'?? (Electric Contractor or Ownar Maktng This InStallatlon) (?+S'j ??j ? ????? ?Q??] This inspection request will not be accepted hy the ?j ?j k? ?{ State Baard unless proper inspectian fee is enclosed. mmnesoca scate noara ot eiectncity Griggs Midway Bldg. - Room N791 1 EB•00001•02 1821 University Ave., St. Paul, Minn. 55104 - Phone 297.2111 f/1 REQUEST FOR ELECTRICAL INSPECTION ao?9 C C.LOW WOAK COVERED BY THIS REOUEST T 1 F; 7 n C] i Home ?? ? Range ? Tempocacy Wving Duplex ? ? Water Heatei ? Lighting Pixtures Apt. Bldg. ? ? ? Dcyet 0 Elecuic Heating Comme[cial Bldg. ? ? ? Furnace ? Silo IJnloader Industrial Bldg. ? ? ? A'v Conditioner Bulk Milk Tank Fainn ? ? ? List---I---- - List ? COMPUTEINSPECTION FEE BELOW Service Envance Size: Fce FcedersBSubfeedas: # Fee C'vcuits: # Fee 0 to 100 Am s. ` 0 to 30 Am res 0[0 30 Am eres ,!)71 101 to 200 Amps. 1 1 31 to 100 Am eres 31 ro 100 Am eres Above 200_Amps. Above 100 Amps. Above lOQ__Amps. Tnnsfotmers 1 1 RemoteCon[rolCirc. Pattialoroffierfee L 0 Si s 1 Special lns tion 1 M'vtimum fee $5. Remarks 1 1 1 i ? TOTALFEE /•?? ZZ I,the Electrical (Rough-in)_ (Final) been made. .,. / _ : This request void 18 months from /)// 6 `? This reyuest void ? 18 months from D'ate o this Request Fire No. T 16706 a?Licensed Electrical Contractor OOwner, do hereby request inspection of the above electri- cal 1Ciri? installed at: Street Address or Route No. City pk*J Section Township Range County Which is occupied by Is a roughin inspection required on this job? No ? Yep&, Ready Now ? Will C K ?,,,? Power Supplier Address ?p? 1 NT-1 v+ 6-1-0!""? Electrical Contractor Gi?rGmG Contractor's License No.1L95 (COmpany Name) , Mailing Address / 'i?( 4?5 - Authorized Signature_l??? (E18ctrical e6ntractor or Owner ?Uk?? PhoneNo. S/V'"5s05"' NIn9 inIS InstallaUOn) This inspectian request will not be accepted by the State Board unless proper inspeetion fee is enelased. Minnesota State Board oi Electricity Griggs Midway Bldg. - Room N197 2 E1340001-02 18Q.Univ er5ity Ave., St. Paul, Minn. 55104 - Phone 297-2111 A 1 U-LOW WORK OCOV RED BY I THIS REOUEST '?N 16706V Type ot BuOding New Add. Rep. C6eck Appliancea Wired Foi Check Equipment WiredFOi Home D l ? ? ? ? ? Range Temporary W'uing ? up ex Water Heater Lighling Fixtuces Apt. Bldg. ?? ? Dryex ? Electric Heating ? Commeicial Bldg. ?? ? Fumace 0 Silo UNoadei ? Industrial Bldg. ?? ? A'v Conditionei ? Bulk Milk Tank ? Farm ? ? ? List Lis[ Other ? ? ? p Hehers? p Heieis? COMPUTE INSPECTION FEE BELOW ServiceEnVanceSize: # Fee Feeders&Subfeeders: # Fce C'vcuits: # Fce 0 to 100 Am s. 0 to 30 Am eres 0 to 30 Am eres 101 to 200 Amps. 31 ro 100 Ampeces 31 to 100 Am eies Abave 200_Amps. Above 100 Amps. Above 100 Amps. 7ransformers RemoteControlCiic. Partialorotherfee v Signs S ecial Ins ection Minimum fee Remazks TOTAL F E? 25) ? {p 1, the that ove e?tion has been mae: _?i?Z,-Daq) i-a9- -S-i (Final) This request void 18 months from ? 04628,e?;? G Request D ? F No. I Ro -in Inspection R iretl? ? Ready Now ? Will Noiity Inspecior ? ? Yes ? No When Reatly? I censed contrector ? owner hereby request inspection of above electrical work at Jpp Atltl SI 1, Box fl e No.) ? Ciy ? VI Sec6on o. Township Name o o. Rarye No. Caunry G Oecupant(PRINn SO Gc, S 1 E Phorre No. PawerSuppGer Atltlress Eleclncal Comrector (COmpeny Neme) ' Comractor9 L' nse No. Mail n) 14540 PENNOCK LANE AutMrizqQ $jqpafyr9lCpqlrpc?r?ryg Itsd?de dai 1?? Nly a lvl.lY phorre Num?er MINNESOTA STATE BOAPD OF ELECTRICRY ... THIS INSPECTION REOUEST WILL NOT ariggsMitlwey Bltlg. - Room S113 BE ACCEPrED BY THE 5T.4TE BOARD 16Y1 UnlvarNty Ave., $L Paul, MN 551 W.. UNLESS PROPER INSPEGTION FEE IS PI?oRe1612).6aY-0deoa'` ENIXASEO. P 04628 REQUEST FOR ELECTRICAL INSPECTION ? Sea insvctiorre iMCOmpI¢tlng this iorm on Eack ot yellow copy. "X" Belaw Work Covered by This Request f EB-00001-07 " 9?Pvi& Ntp Rep. Typeofeuilding AppliancesWired EquipmeniWired Home Range Temporary Service . Duplex Weter Hea[er Electric Heating Apt. Building Dryer OMer (Specify) Comm./Industrial Furnace Farm Air Conddioner Other (sperdy) Conheclor? Remarks: Campute lnspection Fee Below: # Other Fee ServiceEnirance Size Fee # Circuits/Feetlers Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transfortners AboVe 200 _ Amps Above 100 _ Amps SlgllS Inspedor5 Use Only: 7p7 ?D Irrigation Booms Special Inspection Alarm/Communication ? ??5U Other Fee I, the Electrical Inspector, hereby certify that the above inspection has been made. Ro,n;n oate Finel ? oate / C Q OFFlCE USE ONLY • This reques[ witl 18 monfhs from This request void L5?/;J 18 months from a. r" i Date o this Request 1 1 2 St. Fire No. Tl 67O7 I, a q,q Licensed Electrical Contractor ? Owner, do heieby request inspection of the a6ove electri- cs;` g installed at: 'Street Address or Route No. 'ty C30 SecUon Township Range County HWIC ?J Which is occupied by " Is a roughhin inspection required on this job? No ? Yes ? Ready Now ? Will Call ? PowerSupplier_ _ Address ontj Electrical Contractor ?ELL ????G Contractor's License No?3I_'?_a5 Mailing Address iq1 ( _ 6. Authorized o, Phone teiOCRlcal Lontroctor or vwne/ maKing rnls Installatlon) (?? /;?l;,??? ?? ?lY,1[4i5?? ?, /???" ?? This inspection request will nat he accepted 6y ffie J State Baard unless proper inspection fee is enclosed. mmnesoca acace eoara or ueccncrty . Griggs Midway Bldg. - Room N191 182 University Ave., St. Paul, Minn. 55104 - Phona 297•2717 ^ 3 EST FOR ELECTRICAL INSPECTION CHEMBELOW WORK COVERED BY THIS REOUEST 1 ? EB-00001_02 T 16707 ? Type of BuOding Ne Add. Rep. Check Appliances.W'ved Foi Check Fquipment W'ved For. Home ? ? Range Tempoiary Wving Q Ifuplex ? ? ? Water Heater Lighting Fixtures ? Apt. Bldg. ? 0 ? Dryer ? Electric Heating Commercial Bldg. ? ? ? Fumace - Silo UNoader 0 Industrial Bldg. ? ? ? Air Conditioner ? Bulk Milk Tanic ? Farm List ) L ist OSheI ? ? ? p } Heie $) p Herheers? COMPUTE INSPECTION FEE BELOW Service Entrance Size: # Fce Feede?skSubfeede?s: a Fee Circuita: # Fee 0 m 100 Am s. 1 0 to 30 Am eres 0 to 30 Am eres 101 ta 200 Am s. 31 to 100 Am res 31 to 100 Am e[es Above 200_Amps. 4 Above 100 Amps. Above 100 Amps. ?ransSo?mers Remote Control C'ua Partial or o[her fee Signs Special Ins ection Minimum fe Remazks ?? ry ? r? TOTAL F E?? &O I,the the above inspectjon has been mae.' (Final) This request void 18 months from CITY OF EA6AN ? 3795 Pilot Knob Read Eagan, MN 55122 . N! 6 0 3 J ? PHONE: 454-8100 BUILDING PERMIT APPLICATION Receipt # Te be ond 4or 1 OF Li. p12X Est. Value 46,490. Dare ?-h 1910_ Site Address --4629 PPnkwP Way Erect Xg3C Occuponq _ 8.3-- LotI- Biock_6_ Sec/Sub. J1iny- C ka d , 3 Alter ? Zoning pn Parcel # unrecorded Repair ? Fire Zone 3-_ l e ? E T e o4 Const tr n arg yp . - rc w Nome (lrri n Thm=Gnn Hnmac Move ? #$tories ; Address 1712 HOpkiT1S CTST'd. Demolish ? Front 22 ft. b ?i Minnetonka, ?one 544-7333 Gmde ? Depth U_. ft. ? AODrovalf Faes o Nome _ ? Address Nome _ Address I hereby ocknowiedge that I have read this appiication and state that the intormation is oorrect and agree to eomply with oll applicoble State of Minnewta Statutes and City of Engan Ordirronces. Signature of Permittee _ A Building Permit is issued to: olI work sholi be dorre in xca AssessmeAf'r-S-5-8c- Water & Sew. Police Fire Eng. Planner Council Bidg. Off. APC Permit t47.7v Surcharge 22•00 Plan check 62.75 snc 525.00 Water Conn . 305. 00 WaterMeter 60.00 Road Unit 185.00 To:ai 1.285.25 Qrrin Thnmpgpp gomps on ihe express condition that with oll,qpplico4le Stote of Minnesota Stafutes and City of Eagan Ordinances. Building Offidal 3 ? CI'I'Y OF £AC'?AtJ Include 2 sets of plans, " b ? ? . ; 1 site plan w/e)evations 6 ? BUIIDINC; PEfI?1I' I' AF'PLICATION 1 set of energy calculations. 1b IIe Used For Valuation A yb, 990.00 Date 31„Ly 30? 1980 Site Pddress: 4 b2q peay-w6 Wky OFFICE USE ONLY Lot ? Block CAY-AL sec./Sub. ?""orEY 3 Erect occupancy Alter Zoning Parcel C d=Z'A " " Re-ir Fire Zone 3 Qaner: Address: City/Zip Code: Phone #: Cnntractor: U11n1114 i nvivirSUN HOMES AddLeSS: a Division oi U. S. F!n'o r-P.;45M_ 1712 HO?KIhS CROSSROAD C'ity/Zip Code: MiNNFrntivc a<1Ny s??4a Phcne Arch. /EYng. : Pciclress: City/Zip Coc1e: Enlarge _ 'Iype of Gonst. y _ Nbve # Stories Dermlish Front ft. Grade Depth yy ft. APPROVALS tIMS Assessments Permit ? Water/Sewer Surcharge Polioe Plan Check 6;2 ? Fire SAC S?s En4 - Water Conn. 3 v s? planner Water Meter /G Council Road Onit /RS t' Bldg. Off. APC Phone # : lO'I'AL CITY OF EAGAN 3795 iilet Knob Raad Eogan, MN 55122 PHONE:. 4S4-P100 BUILDING PERMIT APPLICATION N2 6034 Receipt # To be used fer 1 of L, plex Est. Value 46.4 90. Date Ft-.A , 79--80- Site Address 4629z Penkwe Way Erect ? Occuponcy R3 Lor z Block 6 Sec/Sub. JIMY• Cake Rdg. 3 Alrer ? Zonin9 PD Parcel # iin'ecorded Repair ? Fire Zone - ? E l T f C t V n arge ? ype o ons . w Nome Orri n Th omnson Homas Move ? # Stories Zg Address 1712 HO pk1IlS CT6Y'd. Demolish ? Front 72 ft. b . Minnetonka, 544-7333 Mil Grade ? Depth 44 ft. c hlne ? Name Apvrovals Fees o _ ? ?? Addreu f r:... Name _ Address I hereby acknowledge tFat I have read this application and state thot the informaHon is correct and ngree to comply with alI upplicable State of Minnewta Statutes and Ciry of Eagan Ordinonces. Woter & Sew. Police - Fire Eng. Planner _ Council _ Bldg. Off. _ APC Permit 175 5(1 Surcharge 22,00 Pian check 62.75 S,yC 525.00 0 Woter Conn. 305.0 WaterMeter 60.00 Road Unit 185.00 TotQi 1,285.25 Signature of Permittee ? A Building Permit is issued to: Orrin ThorrcpSon Homes on The express condition that all work sholl be done in a?c ?anpce? with ?fl ap licab'le Stote of Minrresoto Stotutes and Ciry of Eagan Ordinances. Buildi?fg Offidal ??^""'?-?-? ??A°? ¢2L'?-? ?+ - ? bp 3 ? crr?r aF ?,,r,N oBUIIDING PEW-IPI' APPLICIITION Include 2 sets of plans, 1 site plan w/e]evations 6 I set of energy calcvlations. 7b Be Used For R?s,o?y?E Valuatjon -4 %,0490•00 Date 3v,Lti 30 ? ?980 Site Adciress: _ Lot 2- filoclc Parcel #: Owner: y,6;k9 ?'i Pt-,??cwe WaY 6 sec./sub. g?fl?NEy? ? Pddress: City/Zip Code: Phone Contractor: Addre55: ? M ES a Division of U. 5. Fz-,= r......._. Clt}7/ZlP CAd2: 1712 HOPKIhS CROSSROAD MINNF7nNKa WMN 5?'43 Phcrie #: Syy - -7 333 Arch./tIng. Pdciress: City/Zip Code: Phone #: OFFICE USE ONLY Erect 'C Occupancy Alter zoning pn Repair Fire Zone Enlarge 4ype of Const. t/ _ Nbve # Stories Demlish Front aa ft. Grade Depth ft. APPFb7VALS I_ F'EES Assessrmnts Peimit /a2S=r Water/Se4er Surcharge " ?'1 - Polioe Plan (heck Fire SAC S?2s G Enq, WatPS Conn. 3 0 5 Planner water Meter Go Council Road Unit Bldg. Off. APC CITY OF EAGAN 3795 PiIM Knob Rord Epgan, MN 55122 PHONE: 454-9400 BUILDING PERMIT APPLICA710N N? 6036 Receipt # 4;r'';!V)0? Te be uied for 1 of Q plex Est. Value 46i490. DMe 8-6 , 19-8D-- Site Address 4 631 Penkwe WHy Erect jEk Occupancy R3= Lot-4t-_ Block6_ Sec/Sub. •Tnhv_aka 1789. 3 Alter 0 Zoning PD Parcel # iuicnraed RePai. ? Fire Zone 3 Enlur9e ? Type of Const. V s Name Orrin Thompson Homes MOVe p # scories ; Address 1712 Hopldns Crsrd, pemor:n ? Front 22- 4t. ° Grade ? Depth 44 ft. Ci ane 544-7333 ? Name ApPrevale Faes 0 i ob Addres 58R1e DL.. Name _ Addreu I hereby acknowledge that I have read this avPlication and stote that the information is cnrrect and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordirwnces. Signature of Pertnittee A Building Permit Is issui ull work shall be done in Building Official _,A Water & Sew. Police - Fire Eng. Planner - Council _ Bldg. Off. _ APC Permit 14^?Jt.lV $ufG?lO!{?E `6•00 Plan check snc 525.00 Water Conn. 305 .00 WMer Meter 60.00 Road Unit 1$r7.00 Tot,i 1,285.25 9^TiTI 7hn=son Homes on the express condition thm dance pit}i 141 applicable Stote of MinnesoM Statutes ond City of Eagan Ordinonces. r CM OF FAC'?AN BUILDING PERMIT APBLIG{TION ?J Erect A_ Occvpancy Alter zoning Repair Fire Zone Enlarge _ 'Iype of Const. Nbve # Stories DeTrolish Front ft. Grade Depth ' yy ft. Zb He Used For Ru,cCyaF Valuation -146p 49o.00 ?te T4L.ti 30 11980 _ Site Address: 463 QCWKWG Wpr OFFICE USE ONLY iot aloc]c SeC./Sub. 314?E 3ra Parcel Owner: Pddress: City/Zip Code: Phone #: Contractor: ' " M E S Addtess: a Division of U. 5. F!-?= r,-'',? 1712 HOPKIhS CFp55R0AD City/Zip Code: Min;NCrntiK r?yr:w. SE,43 Phone #: syy-'7333 . Arch. /Eng. : Pddress: City/Zip Code: APPImV/aIS FEFS Include 2 sets of plans, 1 sfte plan w/elevations 6 1 set of energy calculations. Peimit Assessrents . 7-1 / c2S'-- water/Sec.er Surcharge - 2 a ? Police Plan Check ', 2? Fire SAC 5 ? s Enq, WatPS Conn. Planner Water Meter ?a Council Road Unit / Bldg. Off. P.PC Phone #: CITY OF EAGAN 9793 Pile! Knob Rood Fagan, MN 55122 PHONE: 454-8100 ` BUILDING PERMIT APPLICATION N? 6035 Receipt # Te be uted For 1 Of 4 pl@X Est. Value LF6,Li.90. Dote 8-6 , 19-8a-- sire nddress 46311 Pexil[we Wa.y er r k ooc occu R3 i ec p v Lot 3 glock 6 Sec/Sub. Jh TlY• C21Se RC?. 3 Alter ? Zoning PD uiirecorded Repair ? Fire Zone 3 Purcel # E l T t C t V n arge ? ype o ons . z Nome (lrri n'f'hm=enn Hnm aa Move ? # Stories - Z O Address 1712 Hopkins Crsrd . oemoush ? Front 22 ft. ci Minnetonka, MV6ne 544-7333 Grode ?' Depth 44 it. ? 0 Name ADProvala Feea u =5_£{(1 AssessrASt Ft ? Address - Ci Phone Water & Sew. Palice r Fw Name Fire 4? Address Eng. <'Z" Ci Phone Plonner Council I hereby acknowledge thot I have read this application and state that gldg. Off. the informotion is corred and agree to wmply with all applicable Stote of Minnesoto Statutes ond City of Eagan Ordinances. APC Permit ? ' "' Surcharge 22•00 Plan check 62.75 snc 525.00 Warer Conn. 305. 00 Water Meter 60.00 Road Unit 185.00 roral 1,285.25 Signmure of Permittee I A Building Permit is issued M: nT'T'lA-T1]n?S9}} 6 on the express wndition tFwt oll work sholl be done in a rdance with II ap li-ca-ble $tare of Minnesota Statutes and City of Eogan Ordinances. Building Official ^" A CI'PY OF F.FaGAN Include 2 sets of plans, ,, • I? ? Cj6 3 5 . . 1 site plan w/e]evat3ons 6 E/ BUIIDING PERTIIT FPPLIGATION 1 set of energy calculations. 'Ib Be Used For __&r<? ryc.F Valuation i-46.y9o.00 Date T4LY 3011960 Site Address: -- y Iqt 3 BLOCk Parcel Oaner: (031 i Oeh+ ? $eC./$ub. k-wE Wftl ?oHr+Ny CA {?pyE?.?.rd. Pddress: City/Zip Code: Phone #: Contractor: AddreSS: ORRIN VI a Division of U. S M ES h',--,o r.....___. __ City/Zip Code: 1712 HOPKINS CR'JSSROAD MihNFrntiwA r. jNr,,t ?q,,a Phone #: syy-?1 33Z Arch _ /En4 • : Pddress: City/Zip Code: Phone #: OFFI(E USE ONLY Erect ? Occuparx.y Alter Zoning Repair Fire Zone 3 Enlarge _ Type of Const. ? Move # Stories Derrplish Front ft. Grade Depth ft. APPROVALS FEFS Assessnents • • ?'?P? Pei7nit /-ct57 -? Water/Sewer Surcharge V2 ? - Police Plan Check Fire sAC IIiq, Water Conn. Planner water Meter (o ? Council Road Unit Bldg. Off. APC 2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagau MN 55122 Telephone # 651-675-5675 Please complete for. single family dwellings & townhomes/condos when permits aze required £or each unit Date D? l1?1c2OO Site Address 1(?2 ! ` ? !a K c,?e Unit # a?-r Property Owner S Telephone #((a Sj ) L1'5 7_ / " Contractor ) ? Street Address 6(?25 ??? ? 57? ? • City Alnsemoon4_ State 1 Y 1?` • Zip -5Telephone# ((C)S1 Bond Expires: The Applicant is _ Owner ?on tractor _ Other Add-on or alteration to existing dwelling unit $ 30.00 c?furnace _Additional _ Replacement air exchanger airconditioner _New _Replacement other State Surcharge $ .50 Total sEP o 12004 ?? I hereby apply for a Residential Mechanical Pemut and acknowledge that be in conformance with the ordinances and codes of the City of Eagan an , ut only an applicarion for a permit, and work is not to start wit approve plan??= ? ?y ? h g?e?eview and approval o. f L? zmaptete axtd-iccurate; that the work will :hanical Codes; that I understand this is not a that the workncill ? be in accordance with the ?n Applicant's Printed Name 2004 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete foc commerciaUindustrial buildings . multi-family buildings when separate permits are got required for each dwelling unit Date / / Site Street Address Unit # Tenant Name (itapplica6le) Previous Tenant Name Property Owoer Telephone # ( ) Contractor Street Address City State Zip Telephone # ( ) Bond #: Expires: The Applicant is _ Owner _ Contractor _ Other Work Type New Construction _ Underground Tank _ Install _Remove "see below Interior Improvement _ Install Piping _ Processed _Gas Nature of Work: "When installing/removing underground tank, ca/l for inspection by Fire Marshal and P/umbing Inspector Perlllit Fees: $70.50 Underground tank installatioNremoval $50.50 Minin+um (includes Sta[e Succhazge) or Contract Value $ x 1% _ $ Permit Fee . If uermit fee is $1,000 or less, add $.50 => $ State Surchazge If en rmit fee is over $1,000, add $.50 for every $1,000 uermit fee $ Total Fee I hereby apply For a Commercial Mechanical 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 with the Mechanical Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ApplicanYs Printed Name ApplicanYs Signature Approved By: , Inspector ?? ? ? ?I r - ? Pennit #: ???s,??-/ ? ? Permit Fee: ? Date Received: ? G I ? staff: I ------------------ 20os RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: L46-1cI 1"LI?N\4e_? INLI ,Senan6: `L'11!'?3 ' "1 (p 9Z` j L' ,,a`7 co) 4 ?L Suite #: RESIDENT I OWNER Name:UlY1f'y 'kyyl ujo? Phone: ! Zip: y j ?? ?fflA, SY' , `+1y-W ?""" 3W v Address / Cit y Applicantis: _Owner 1- Contractor TYPE OF WORK Description of work: IzQ--?'u4 Construction Cost: ? 1 ?-1CLid Multi-Family Building: (Yes No ? License #?101`1 i,1' Q ? b??tIW f CONTRACTOR Y T Name ?? Address ? riv1 ? 176ew hmaz n ncCl61 1 State:Zip: City: Phone: Contacl Person: ???I lJl COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet CdYByOry Submitted Submitted (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 planT _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans anil 'supportirtg tlocumenfsthat yoi? submit consrdered !o be pubbc rnformatron; Portions of'.. as non ?ubl?c Jf you piov?de speci??reasona that would permfYthe Crryto .= ` the informafron may b? ciassrfiea[ ? iadre;seciets?'r ` I hereby acknowledge thal this information is complete and accurate; that the work will be in confortnance with the ortlinances and codes of the City of Eagan; thaf I understand this is not a permit, but only an application for a permit, and work is not to start withoul 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 lwk??-?e,l Appli? Printed Name Applican 's Signa re Page 1 of 3 11J /}0 G. R. WIIVDEN & ASSOCIATES, INC. L'J LANp SURVEYORS Tsl. 645•3648 FOT: 1381 EUSTIS ST., ST. PAULI MINN. 85108 U. S. Home Corporation N Scale: 1" = 50' ? FRrv,arE D ? RivfWAY l 1i4 4 ? 57 2z.33,,, N , . B?um?o n ' a A4 xa 3?. 3,- 22 i ('/21? pLz h S? I 1 Sv jj4 ? I PAiVaTE DP.?vEN'AY Y ? L __------?J ? rj i ` Notet As of this date Johnny Cake Ridge Third Addition has ?. not been recorded. 4 Lots 1 through 4 inclusive, Block 6, Johnny Cake Ridge Third Addition, Dakota County, Minnesota. WE HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF TME BOUNDARIES OF TNE LAND ABOVE DESCRIBED AND OF iHE IOCATION Of ALL BUILDINGS, fF ANY, THEREON, AND ALL VISIBIE ENCROACNMENTS, IF ANV, fROM OR ON SAID lANO. Dctad r6i. 3r doY of?J.Ylje_A.D. 19BD C. R. WINDEN 8 ASSOCIATES, INC. yy fj2-? A(/??'?41' Survryor, Minnewta Rpqislrotien No. 7726 *************#******#************#***** CITY OF EAGAN CASHIER: JS TERMINAL NO: 795 DATE: 04/28/00 TIME: 11:40:35 ID: NAME: LOCO CONSTRUCTION LLC 3210 9001 4676 RIDGE CLIF 111.25 2155 9001 4676 RIDGE CLIF 2.50 3210 9001 4649 PENKWE WAY 181.25 2155 9001 4649 PENKWE WAY 5.00 3210 9001 4629 PENKWE WAY 181.25 2155 9001 4629 PENKWE WAY 5.00 3210 9001 4625 PENKWE WAY 111.25 2155 9001 4625 PENKWE WAY 2.50 3210 9001 4619 PENKWE WAY ,111.25 2155 9001 4619 PENKWE WAY 2.50 CR128484 ** CONTINL7F USER ID: JAN ** CONTINUE ***?***** ****?***?*****?*** ******?***** *****?,r,r***+??*****,t?**,t*?***+* CONTINUE CITY OF EAGAN CASHIER: JS TERMINAL NO: 795 DATE: 04/28/00 TIME: 11:40:37 ID NAME: LOCO CONSTRUCTION LLC 3210 9001 4603 PENKWE WAY 111.25 2155 9001 4603 PENKWE WAY 2•50 3210 9001 4667 RIDGE CLIF 111.25 2155 9001 4667 RIDGE CLIF 2.50 Total Receipt Amount: 941.25 cR J? W61g1 I? 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EACAN 3830 PILOT KNOB RD - 55122 651-881•4875 J regisfered dfe wrveys ahowln9 s4 ft. of lot. sQ. ft. of house and gp raoletl areas @076 maxlmum lot coveroaa altowa? 2 coplas of plana (show beam 8 window sixes; poured Ind. design; efc.) i set o1 enerpy cdculaNOna J copiea of hae preaervaHOn plan H lof plclteO aRer 711 /93 DATE: -Z/, '-1 Q- 'a o DESCRIPTION OF WORK: STREET ADDRESS: LOT: I 1Su, -) 0 2 coples ol plan t set W energy cdculaNons for heoted odtllXona 1 atte survey tor exteAOr oddlBwu ! decks CONS7RUCTION COSf: c? o F l TT'/? ?- o?? /-f- y4 2- 9 BLOCK: SUBD./P.I.D. M: ? Name:?1o 0/?)- Ie_ n7c 0 Phone #: l ? rZ71P3 c7 PROPERTY w?t Flrst OWNER ShAet Address: Ctly State: Zlp: . Company: ,/ C3 ?n PhoneM:l(:;?; 5; (area code) corrrnncroe s r z. ?i« s-?? stroet actdress: e''c-? 71 /1 j ucense # exp. -?/- e' / Cly 40 n- -TTv State: Zip: ?S? 5-7 ARCHITECT/ ENGINEER Company: Name: Telephone #: ( ) Sheet Address: Reglshaflon N: City Sewedwater licensed plumber State: o^ ?CDO I hereby oCknowledge 1hW I have reqd ihls oPPliccftn, date Mal the of Minneaota. Sfah+les and Cily of Eagan Ordinances. , Signature of Applicant OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received Yes No Phone #: Zip: Is cortect, ugd cigree to comply wtlh aH apPacable State - Not Required OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 OS-plex ? 02 SF Dwelling ? 08 06-plex ? 03 01 of _ plex ? 09 07-plex ? 04 02-plex ? 10 08-p16x ? 05 03-plex ? 11 10-plex ? 06 04-plex ? 12 12-plex WORK TYPE ? 31 New ? 32 Addition ? 33 Alteration ? 34 Repair ? 13 16-plex ? 21 Poroh (3-sea.) ? 17 Garage ? 22 Porch/Addn. (4-sea.) O 18 Deck ? 23 Porch (screened) ? 19 Lower Level ? 24 Storm Damage Plbg _Yor_N ? 25 Miscellaneous ? 20 Pool ? 30 Accessory Bldg. Q 36 Move Btdg. ? 43 Reroof ? 37 Demolish (Bldg)' ? 44 Siding 0 38 Demolish (Interior) ? 45 Fire Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors ' Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code No. of Units No. of Buildings Const. (Actual) (Ailowable) UBC Occupancy Zoning # of Stories Length W idth Basement sq. ft. Main level sq. ft. sq. ft. sq.ft. MISCELLAN EOU3 INSPECTIONS ? Stucco/Stone sq.ft. sq.ft. Footprint sq. ft. Census Code MC/ES System Ciry Water Booster Pump PRV Fire Sprinklered APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct, Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: ? 31 Ext. Alt - Mutti ? 33 Ext. Ak - SF ? 36 MuRi SAC Units % SAC CITY USE ONLY gL k RECEIPTa: r??/ ??- nn SV80. l?ihnnv I,QPG ???Afi ?Y? R£CEIPTDATE: ?? PERMIT # 4?? 3 8000 PLUM$INfi PEfiM1T (MID£NTIAL) ctzY og EAsnx S$SO PD.OT KNOB RD £ik6AN.1HN 55188 651-e81-4675 Please complete (or: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES TOTAL EACH # Alterations to existing dwelling - minimum fee Describe: 30.00 Bath tub $ 3.00 x = $ Floor drain 3.00 x = ? Gas i in outlet ' minimum - t 3.00 x = $ Hot tub/s a 3.00 x = $ Kitchen sink 3.00 x = $ Laund tra 3.00 x = $ Lavato 3.00 x = $ Se tic S stem newrrerurbisned • re uires MPC Ita 75.00 x = $ Se tic S Stem ahandonment 30.00 x = $ ? RPZ new installationlrepair/re6uild 30.00 X = $ Rou h o enin 1.50 x = $ Shower 3.00 x = $ UndBf fOUndS finklel' ifdwellin isunderwnsWCtion 3.00 X = $ Under rounds rinkler ifexistingdweilin 30.00 x = $ Watercloset 3.00 x = $ ? Waterheater 3.00 x = $ Water softener if dvrellin under construction 5.00 x = $ Watersoftener Hexiscin dwellin 30.00 x = $ Waterturnaround 30.00 x $ State Surchar e .50 --? ----> ---> $ 50 Totai Reminder: Ca11 for inspections of aiterations, i.e. water heaters, water softeners, etc. - --------••-------------•--•---------•-------------••-------------- ------------•••-----------------------------...-•-- -infortnaUOn is corred, and agree to comply wiU+ all applicatile Ciry ofEagan ordinances. - - this appli-racon,- sfate-Ihat- the - - t-ha[- -I-have-read - I hereby acknowiedge- It is the applicanPs responsibility to notify fhe property owner fhat the Ciry of Eagan assumes no lia6iliry for any damages caused tiy the City dudng its ?nortnal operaGOnal and maintenance acGvlGas to ihe Facilities consWCed under ihis permit within Ciry pro rty/right-oi-way/easement. SITE ADDRESS: qC6_3 I + W 0."'? ?}^?V MIJ ?q f?- OWNER NAME: : TEIEPHONE #: C05 (AREACODE) 1NSTALIER NAME: TELEPHONE #: ? 33?-?Ql r ? (AREA CODEJ STREET ADDRESS: CITY: \ ' ?J rN?'q 0STATE: P: t SIGNATURE RMITTEE w . ? ? e 7 ? 1 Ci'rY oF Eac,ua ' EARLY UTILITY CONNECTION PERMIT y&-Q9 L&.ku.ee>°i ,e,& ,? X0 Address ubd'ivision/Parcel 61 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 in[erior plumbing and understand the require- ment Lo cap the sewer service to prevent any unauthorized 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 connection. It is understood that no Occupancy Permit will he issued or water allowed to be turned on until the City utility system has been declared operacional by the City Engineer. WENZEL MECNAN{CAl Signed by - Plumber0:i? yB00KHHg"CppNE, EAGAt1,NtNM.5617t 452•1685 Ovner: Developer: Builder: Dated:19 k CZTY OF F.AG.1N EARLY UTILITY CONNECTION PERMIT 40 UJa ? ?? Address Su vision/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 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 prevent any unauthorized-use. In accepting this permit, i[ is agreed that I wi11 hold the City and i[s agents harmless from any damage that may occUr due to this early connec[ion. 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. WEN2EL MECHANICAL { )dlw? !N • W KpIN68EC GRNE. EAtiIIMrMqiq. 56122 Signed by - Plumber. 452-1665 Owner: Developer: Builder: Dated: CITY QF EAGAN EARLY UTILITY CONNECTION PERMIT ///,3/ fwwC' ? ? A, Address Subdivision/Par 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 accepted the sewer and/or water lateral. I agree not to use, test, or connect these individual services [o any interior plumbing and understand the require- ment to cap the sewer service to pzevent any unauthorized 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 connection. It is understood that no Occupancy Permi[ will be issued or water allowed to be turned on until [he City utility system has been declared operational by the City Engineer. I/ /9 ? WEkZEI MECHANtCAL Signed by - Plumber??-????? 800KENNE6ECDRIVE. EAOAN.NINN.fi122 l ) 452•1565 Owner: Developer: Bui der• Dated: ? CITY OF EAGaN EARLY UTILITY CONNECTION PERMIT ???? 4bi. &h ? ? ?? Address ision(Par I hereby reques[ permission from Che City of Eagan to connect to the sanitary sewer and water la[eral line in the public right-of-way. I . understand thaC the C1ty has not yet completed, inspected and/or actepted the sewer andlor water lateral. I agree not to use, test, ar connect these individual services [o any interior plumbing and understand the require- ment to cap the sewer service to prevent any unauthorized 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 connection. It is understood that no Occupancy Permit wi11 be issued or water allowed to be turned on until the City utility system has been declared operational hy the City Engineer. ?j???q /Q/I WEiUZEI MECHANiCAL Signed by - Plumber: r/ ??LV ?L'C?? "`? KENNEBEC 45215? N. MpdN.551T2 Owner: Developer Bui der: Dated• k/1 v LQ [ a?Q JJ RESIDENTIAL BUII.DING Permit Application City Of Eagan ? 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWd'an Reauirements 3 registered sile surveys shaving sq. ft. ot lot, sq. il. of house; and all roofed areas (200/o maximum lot coverage allowed) 2 copies of plan slawing beam & window sizes; poured found design, etc. 7 set of Energy Calalatlons 3 copies of Tree PreservaUon Plan if lot plalled after 711193 Rim Joist Defail Options selection sheet (bldgs wilh 3 w less units RemadeVReoair Reauiremenb 2 copies of plan 1 set M Eneyy Calculations far heated addiuons 1 site survey for addllbns & decks AddHion - iiro'icate Harsite septic sysfem Offce Use Onlv Cert ot Survey Recd _Tree Pres Plan Recd Tree Pres Not Reqd _ Onsite Septic System Date 61_ / Q 3 1 Site Address PC ii i{ Construction Cost O V-o Q wq u ? Unit/Ste # Description of Work JTv Multi-Family Bldg ? Y _ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner ?Q 1 aW aarloo OtQ.fo Telephone #((j 51) 45(P"S l Contractor (?fd tQ ((c (( ,LO E hd dSN ? s(ct( h d Co . Address fy? ('?Jend State ! r I N a PLIVP City C Zip 51-9 114 Telephone #(4SZ) 1J40 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules'7670 Cateeorvl Minnesota Rules 7672 Energy COde Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheel (4 submission type) Submitted Submitted . Energy Envefope Calculations Submitted Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( ;;' ITelephorie #( I q I hereby apply far a Residenrial Building Permit and ackno4dge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes oft'47e-City---of Eagan and the State of MN Statutes; I understand this is not a pernut, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. .Sull& bLA rA S A A' ApplicanYs Printed Name Applic s' ature OFFICE USE ONLY Su6 Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alf - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (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 ping_v or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding 0 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolition (Entire 81dg) - 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 Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinallC.O. _ Footings(deck) _ FinallNo C.O. _ Footings (addirion) _ Plumbing Foundation I-IVAC Drain Tile Other Roof _ Ice& Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Fratniug _ Siding Stucco Stone _ F'ueplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ 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 Total Building Inspector 2006 RESIDENTIAL MECHANICAL rERMiT aPrLicnTioN V " City Of Eagan 3830 Pilot Knob Road, Eagan NIN 55122 Telephone # 651-675-5675 Please complete foc single Family dwellings & townhomes/condos wheii pemits are required for each wit Date l l /7 ! 0 7 `l W` 8 I4, ?v Sit Add Un? ? ?120?? e ress PropertyOwner Telephone#( ? ?I ) , ?? I - ?l f gd Contractor O'CONNOR'S ONE HOUR Street Add 1904 VERMILLION ST. City. HASTING, MN 55033 State Telephone # Bond #• Expires: T6e Applicant is _ Owner . , V Contractor _ Other Add-on or aiteration to existing dwelling unit $ 'w00 •? furnace _Additional ?ZReplacement _ New air exchanger air conditioner heat pump other State Surcharge $ .50 Total 1 hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that tfie work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a permit,-but-only an application for-a permit, -andwork is not tostart -without a permit tha[ the work will be in acwrdance with the approved plan in the case of work which requires a review and approval of plans .. ?? Applican 's Printed Name App bant's ignature City of Ealu 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fau: (651) 675-5694 ------------------ ? ?;?OfficeUse I ? j Permit4: n I I I ? I ? Permit Fee: I t I Date Received: ? i ? I StaH: ? l ___ J 2008 RESIDENTIAL BUILDING PERMIT APPLICATION oace: sice aaaress: Tenant: YdISe: ?2 C/? 31 ~f yG 3? ?j2 Sulfe #• rTYPE IDENT / OWNER Name: c.?C7({?? G;?.J{L ? ??,rJSL ???? M?,? Lphone: ? Address / City / Zip: Applicant is: _ pwner _ Contractor OF WORK Description of worklZ•'+'^ UFg- ? Conshuction Cost: ld, Multi-Family 8uilding: (Yes & / No _j CONTRACTOR Name:/VUGtj,7-Tr??lUY?1??lC V?nse??1J?GK7,3 Address: Tl%C -I /U City: ?lL t?v c State: tJ ,,t-- Zip: 553/1 Phone: P7 Contact Person: L"71 i?7-j COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy Code . Resitlential Ventilation Category 7 Wofksheet • New Energy Cotla Worksheet C8te90?y Submitted Submitted (4 suhmisslon type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a pertnit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Piumber: Phone: MechaniCal Contrector: Phone: Sewer & Water Contractor: Phone: NOTE Plans and suppoiting doCUments: ttiat you submii are:cansfdered to be' putiI,,c Informatlon: Portions of the informaUon may,:be classified as nonyoubllc if you provide specifec reasons thaf tivould , permn tlie City to. ' conclude tha't-the . are tiade aecrets. , I hereby acknowledge that this infortnation is complete.and accurete; ihat the xrork wifl be in confortnance wiM the ordinances andcodes of the Ciry of Eaqan; fhat I understand this is not a permk, but only an application for a permit, and work is not to start wllhout a permR; that the work will be in accordance with the approved plan in the case of work whlch requires a review and approval of p 6}is. .!' f r x r? ( ?? 1'17L ?v? /'?? /? ApPitcant s printed Name k - X?rv ??p(f( canYs Signatu - f % Page 1 of 3 Cite o 0 f Eaail ~:J' Ji U~ r 383 0-Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 Fax: (651).675-5694 Staff. I 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address:'/ . L-j1; e7 - '-/G3/ f 16 `G Tenant: 2 - cSN'l t err J'~'~'ia~t 1, s•ls Suite RESIDENT ! OWNER Name: 2 ~ Z r""7 /A 4 one: Address I City I Zip: Applicant is: Owner X Contractor TYPE OF WORK Description of work: Construction Cost `49 Multi-Family Building: (Yes X I No ) CONTRACTOR Name: , ~l Ct ~ GQr1~? r_TXS ~~'k- License it «2Q 15q 4-1 '13 Address: e-- ~4-, City: State: Zip: r/ Phone:,- mil- T Contact Person:2 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 submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? __Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: /DOTE: Plans and supporting do „ is that you. s ibrriit are considered to 011p ublic information Portions'" 0f- the information relay be classifie non-public if you provide specific reasons that iwoul pentiit the City to conclu, a ,that they, axe:. de>serrets I hereby acknowledge that this information is complete and accurate; that the work will be to 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 Po o 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 plap~. 42 X [I 1), x Applicant's Printed Name A s Signature Page 1 of 3 Z-16 q 1 /z1 y631 4 q413/ ffI14X W j DO NOT WRITE BELOW THIS LINE Oq 7 icy SUB TYPES ? Foundation ? 05-plex ? 16-plex ? Accessory Building ? Pool ? Single Family ? 06-plex ? Fireplace ? Porch (3-season) ? Ext. Alt. - Multi ? 01 of _ Plex ? 07-plex ? Garage ? Porch (4-season) ? Ext. Alt. - SF ? 02-Plex ? 08-plex ? Deck ? Porch (screen/gazebo/pergola) ? Multi Misc. ? 03-Plex ? 10-plex ? Lower Level ? Storm Damage W 04-Plex ? 12-plex ? Miscellaneous WORK TYPES /t C1 ' D'5 Did : V "0) W 4#fl .5 ? New ? Interior Improvement Siding ? Demolish Building* ? Addition ? Move Building ? Reroof ? Demolish Interior ? Alteration ? Fire Repair ? Windows ? Demolish Foundation ? Replacement ? Egress Window ? Water Damage Demolition (entire building) - give PCA handout to applicant DESCRIPTION: Valuation /(0 b ID fl • ' Occupancy 2~e ('3 MCES System Plan Review Code Edition ec 7 SAC Units (25% 100% Zoning City Water Census Code g3 (f Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Const. Width REQUIRED INSPECTIONS Footings (new bldg) Sheetrock Meter Size: 4 Footings (deck) Ti ?7 P 1V (Al k t 1 Final/C.O. Footings (addition) Final/No C.O. Foundation HVAC Drain Tile Other: Roof: -Ice & Water _Final Pool: Footings -Air/Gas Tests -Final Framing Siding: _Stucco Lath _Stone Lath -Brick Fireplace:`R.I. _AirTest -Final Windows Insulation Retaining Wall Reviewed By: Building Inspector - - - - - - - - - RESIDENTIAL FEES: 11 U U-, ew Base Fee S i i ng , o Z Surcharge Plan Review ? i ; w fj''\ S '1 v c~ MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies - Total Page 2 of 3 C. R. WINDEN & ASSOCIATES, INC. { LAND SURVEYORS T*L 645-3646 For . 1381 EUSTIS ST., ST. PAUL, MINN. 55106 U. S. Home Corporation N EAGAN REVIE EC DATA g, 1~.,.. BUILDING INSPECTIONS OIVISION Scale: 1" = 50' r 'PRIVATE p l RiVEw'AY ,f 57 ( 3 7 2 a z2.3? m 2 33 22 22 g439 9 4439 ~,3N M 4 3~ c 223~a h '2~ i o2Z o ~9 57 114 RY ' Y ?F,IVATE 1 Notez As of this date Johnny Cake II Ridge Third Addition has not been recorded. Lots 1 through 4 inclusive, Block 6, 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 this3c3"d day of `JT A.D. 198D C. R. WINDEN & ASSOCIATES, INC. by Surveyor, Minnesota Registration No.7 C !t y ofEaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 2009 MECHANICAL PERMIT APPLICATION Date: 0--- -;10 7 Site Address: 4( apt Tenant: 1 RESIDENT OWNER CONTRACTOR TYPE OF WORK PERMIT TYPE Dan Wohlers Southside Htg. A/C 6950 W. 146 St•, #106 Apple Valley, MN 55124 (952) 431-7099 New Description of work: v RESIDENTIAL Furnace Air Conditioner Air Exchanger Heat Pump Other Replacement COMMERCIAL FEES: $70.50 Underground tank installation/removal OR $50.50 Minimum (includes State Surcharge) mounted and ground mount ease .contact t r. tnetion on i If Permit Fee is less than $1,000, surcharge is $.50. If Permit Fee is $1,000, surcharge increases by $.50 for each $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). New Construction Install Piping Gas Applicant's Signature Permit Permit Fee: Date Received: Staff: Suite Name: L- i.1 Phone: (.1(. Address City Zip: I I 1 C 1 C-: ‘‘ID \int j License #:R CT– 05 7 q 8 7 State: Zip: —.„–;t Person: jai i Additional Alteration Demolition lredto eehahIcaIe ec banicaII h screenm COMMERCIAL Interior Improvement Processed Exterior HVAC Unit eat le re er er Under Above ground Tank Install Remove) When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) SO. SO TOTAL FEE Contract Value x 1% Permit Fee State Surcharge TOTAL FEE 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 plan's. e 6.2)0N-er-3 Applicant's Printed Name �/�_ � lU��, ���� �� , `��3 I , ��3 ' , '� t3se�BLVE ar BLAGK tnk ^-----=----------- � For Qffice Use 1 . � , C �3�t � � � � ) � Permit#: ! C��� of �a�a� l6 � Pertnd Fee:' ��.�� � 3838 Pilot Krtt�b Road � � rxx Eagan AAN 55122 j Date Received: j Phone:{651)675-5675 I � Fax:(659)675-5894 t 5taff: i i t . . . . . � . . .. . �� . . . �. . . . . . . .�� � �...���J 2014 RESIDENTIAL BUILDING PERM17 APPLICATtt)N Date:�"��'"j� Site Address: ��� / � �� � � j�'� ;P��((�4J�i ��Unft'�k Name: L/f��f�l,�'a� Cr�¢!�j '� I t�xv.-}�?a��r t� � Phone: Residen�{ ,c� � {�vl(114!' Atldress I Cit�+f Zip: ,�_���}'�' /- i�"'f � ApPlicant is: Owner ./1, Contractor Description of work: ���'''� c��� � �'G` Y'�a�'� ��li�e of WBCIt � eonstruction�os� j�,t�p � Mut�-Family Suilding:(Yes X /No„_� �� Company:��t'Zs/��f G c�y'!���t'i��5 '� Cantac�: t��rvt �L��Jp� Address:���j '�Z Z�'t�I�.f �� L�'Z !�'' City:��'�[" �l�C��,�'� Cc�ntra�ctor � state� zi �..5�3'j Phane:�f��`"�'Email:t�r���I,3�'zt.��s'?"�c���,/�v�'c.�u �� ���� t,.�cer�se#_ �3 C i,S"� �13 �n e.-�=K t.eaa certlflcat8#:/!,/�-�'°,..r l��1.i�� -1 If the projec�t is exempt#rom lead cErti#ication, piease e�tai�why: (see Page 3 for additiona!infior[nation) GOMPLETE THtS AREA ONLY tF CQNStRUCT1NG A NEW BUtLDiN� !n the last 12 mar�t� , tt�e City of Eaga�issued a permit for a simHar plan based on a mast+er ptan? _Yes No If yes,date and addr f master pian: � Licensed Piumber. Pha�: Mechanicai Contractor: � � Sewer�Water-Co+�t r: Phone: l�+d�: s,at�d�v�ot�in�ds��t�rr�#s#�at yvu svbmit are�arr�sfd�r8at to be�aubf3c ttr;�c��me��: .#�o��.of r�f+�rma�a�m��ai+��l�ssif��at as�on��r#tli��€ycru prov�c�sp�it"r�r�scrns�rat.w�+�rfd„�e�r��,���r to .;° canc#�de Et���he ar�e�ra�e:s�r�t�` CALL BEFORE YDU QIG. Caii Gopher Sf�te Or�e Ca{l at(651}454-0402 for proteciion�ai�st�derground utHity damage. Ca114$hours before you intend to dig to rec�ive locates ofanderground utitities. www.gopherstateanecall:aru f hereby adcnowledge that th�iMo�ation is cbmpiete and ac�urate;that the work rreill be in�nformance with the ordinances and r.odes af#he�it}r of Eagan;tha#i understand this is not a permit,hut oMy an appiication for a permit, a�d work is not ta start withaut a permit;thaf#he wark witi be in accordance with ttte appraved ptan in'tt�case of wo�tc which r�equires a reviewand approval of ptans. Exterior work author�ed by a building pernrit issuesi in 8ccordartce w1t#t�e MMt�sota State 'lding Code must be compie6ed within 180 days cf perntii issuance. : � _ x V' 3�'� !/1G,��. � ' �� � � - �� ' Apptican�s Printed Name " aM's Signature Page 1 of 3 CityofEaaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: Staff: L 2015/RESIDENTIAL PLUMBING PERMIT APPLICATION Date: /O -10-16 Site Address: 2? Tenant: Suite #: Name: Phone: �f~s� melt y fi; Address / City / Zip: Name: ,r_.__A_.,,�y,:" _, ..:___i ',,.-1 -#: (4n1A2b..7,71--( 7----1--LL Address: ,�� /I 4cih_ City: 1 � Y Phone: 6-S7 7.s.-. c ' 7 State: Zip: .,,.„..::::)?? Contact:.--74s4.--(Email: 411.4.01 i a L.,-4 New Replacement Repair Rebuild Modify Space Work in R.O.W. L' _ _ Description of work: Yv0./e \ Ct i r-� f RESIDENTIALY14. g § Water Heater Water Softener • Lawn Irrigation ( RPZ / PVB) /\C Add Plumbing Fixtures ( Main / _ Lower Level) _ ^'t x Septic System New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes State Surcharge) Turnaround* (includes State Surcharge) TOTAL FEES $ $60.00 Lawn Irrigation (includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water *Water Turnaround (add $280.00 if a 3/4" meter is required) $115.00 Septic System New (includes County fee and State Surcharge) CALL BEFORE YOU DIG. Call Gopher State One CaII 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.00pherstateonecall.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. Applicant's Printed Name L - / --_ x o-. -�► •-e- Applicant's Signature w Use BLUE or BLACK Ink For Office Use eyt,� Permit#: /1713 / * City of Eaaiiin „:..3 ,01 A Permit Fee: 141it I 3830 Pilot Knob Road ld Eagan MN 55122 RECEIVED Date Received: 6-- i /7 Phone: (651)675-5675 Fax:(651)675-5694 ,Iltc,° Z. 17 Staff: L- 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: (© ""d.or Site Address: 416 9" ?e,t?hue 60Cq FGc� ) 5-51-4.7,Unit#: // _/d/" y` • Name: TCvi'�t"[GC e(- TCt.55e CSC Phone:���/� a - �� Iw ii' Address/City/Zip: 6 t ie.1 1<-4cie (4.) r Ct a,. 4,741 4,741 J-5 f) 2_ F ,: Applicant is: C/ Owner Contractor 4 Description of work: N'?5 .{' ( L*0 I) 0 r Clividt e _;; Construction Cost: X00 "3 3O Multi-Family Building:(Yes /No ) t n 0 05i '.° CA,10)Th Contact: t-cl r•) �6 Address: ��0� '. Q.y •t'1 ` - _- -_ _ r , f ...----_2--„-7, ,, r State:�/(.l Zip:55-0 5-0 7�, Phone: - i'O Email: `S ear- ii*- -,-..-7U T Co. fvt6 ' ` License r- -•- ', - Cl 7 Lead Certificate#: 4{q 5-4/V7 If the project is exempt from lead certification, please explain why: `//^/, ✓ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: N� �► docu# f :fi t**7:;u 1 � t �*�� _ , . s r,.i in g.. . a"` b E .1�+� x1 r...,.'L. CALL BEFORE YOU DIG. Cali 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,ora 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. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x Pa'ft F G, PO,5 5'eY t x Att- - I• �i�.Gki_t, Applicant's Printed Name Applicant's Signature Page 1 of 3 4(pce Kw ' fir/ DO NOT WRITE BELOW THIS UNE f( 3�7 T�`/ SUB TYPES — Foundation — Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) _ Single Family — Garage _ Porch(4-Season) _ Exterior Alteration(Multi) _ Multi _ Deck Porch(Screen/Gazebo/Pergola) _ Miscellaneous X, 01 of 44 Plex _ Lower Level _ Pool _ Accessory Building WORK TYPES — New _ Interior Improvement _ Siding _ Demolish Building* — Addition _ Move Building _ Reroof _ Demolish Interior lG Alteration _ Fire Repair 4 Windows _ Demolish Foundation Replace _ Repair _ Egress Window _ Water Damage — Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation 3,08©. Occupancy .XCzC 3 MCES System Plan Review Code Edition fro✓A 2w lc SAC Units (25%_100% )o) Zoning P.—3 City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction \)3 Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final I C.O. Required Footings(Addition) .2o Final/No C.O.Required Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Roof:_Ice&Water _Final Pool:_Footings Air/Gas Tests _Final )o Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In Air Test Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS Insulation }Q Windows Sheathing Retaining Wall:_Footings—Backfill Final Sheetrock Radon Control — Fire Walls Fire Suppression: Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: MINN- Inv, -1 j A- , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA157221 Date Issued:08/09/2019 Permit Category:ePermit Site Address: 4629 Penkwe Way Lot:1 Block: 06 Addition: Johnny Cake Ridge 3rd PID:10-39802-06-010 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - Patricia Passeri 4629 Penkwe Way Eagan MN 55122 (941) 228-6001 Homeworks Services Co Dba Homeworks Plumbing Htg 1230 Eagan Industrial Rd, Suite 117 Eagan MN 55121 (612) 400-9020 Applicant/Permitee: Signature Issued By: Signature