4630 Penkwe WayCITY OF EAGAN
. .
, 3830 Pitot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH ON E: 454-8100
BUILDING PERMIT
To be used for •- - YLFX
Est. Va1ue $ 5? •ClQO
Receipt #
Date AYRli.
28
,19
OFFIC E USE ONLY
On Site Sewage Occupancy
MWCC Syatem Zoning
On Ske Well (Actual) Const
City Water ^ (Allowable)
PRV Requfred * of Sto?iea
Booster Pump Length f"' ?
Depth 22'
S_F. totai "
Footprint S,F.
Site Address 4636 l?R'ri<W. irAY
Lot 1 Block Z Sec/Sub.?0Hr:NY CJ1kE RtCvE
Parcel No.
s Name
W
3 Addre;
O r.itv
.o Name
? ` Address
? City Phone
V¢
y,
W
Name
?
W
=?y
s Address
?
i z W
City Phone
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee
A Building Permit is issued to:_
on the express condition that all work shall be done in accordancewith ail
appiicable State of Minnesofa Slatutes and City of Eagan Ordinances.
Building OffiCia
APPROVALS FEES
Engr./Assess. Permit `160l•00
Planner Surcharge 28 • 40
Council Plan Review lUl
eidg. on. sac, city 100 • c7o
Variance SAC, MWCC 5 50 • LY)
WaterConn. 5U•00
Water Meter 7• ("C
J L . !'r')
Road Unit
Treafinent P1 ?04 •(Jv
Parks
TOTAL
Permit No. Permit Holder Date Telephone ?t
Plum4ing 9
H.V.A.C.
Electric C?
L
Softener
Inapsction oate Inep. Comments
Footings i
Footings II
Foundation
Framing
Roofing
Rough Plbg. . I;`_
Rough Htg. ?
Isul.
Fireplace
Final Htg.
Final Plbg.
Bldg. Final
Cert.Occ. ?
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
. . . ?
Ter#t#iratp uf (IDrrupanry
titp of Cagan
loe,pgrbtttpni ,af Waaing Jn+Vrrthn
4-
This Certificate issued pursuant to the requirements of Section 306 of tlre Unifornt Building
Code cerrifying that at the time of issuance this slructure was in cornplfance with the various
ordinartces of the Ciry i+egulating building construction or use. For ihe follawing.•
Uae clamcxauon 4--PLM &dg. Fermit No. M94
?
Oauaocy.Iype O.I Zoniog Dinrict f? Type - vfl
owm of BU&h" OOCO VAi.iJ!? HQ`T5 Addrm 1460 93RD I Ai, Pd.\IW
8?M Ad&= 4635 PFMN WAY ?hty I2, S2 , JUWY £'liQ'. RMM S1H
n.? J[lLY 28, 1988
&nlding Otfidal . >
POST IN A CONSPIGUOUS PLACE
???.?'?Z'i ' ?y .. 1 . . '' . . .. . . . . . : .. . . . , . . 1 . . . . , t . N .. :
:' • . •
PERMIT # ' f.' l /
PLUM8ING PERMR RECEIPT # - Li
CITY OF EAGAN
3830 PIL OT KN08 ROAD, EAGAN, MN $5121 DATE:
CONTRACT PRICE ? PHONE: 454-8100
Site Address "?- E -? r??''` ?
. ? `,r• ' BLDG. TYPE WORK DESCRIPTION
,
Lot ? Block A Sec/Sub
-
'
r n
,
Res. New
m Name Mult Add-on
? Address Comm. Repair
c City Phone Other
NO. FIXTURES TOTAL
? Name
L Water Closet - $3.00 ? =
3 Address Bath Tubs -$3.00
p City Phone Lavatory - $3•00
Shower - $3.00
Kitchen Sink - $3.00 -
FEES
COMM/IND FEE - 146 OF CONTRACT FEE Urinal/Bidet -$3.00
Laundry Tray -$3.00
MINIMiJM - RESIDENTIAL FEE _$10,00
Floor Drains -$1.50 `
!-
MINIMUM - COMM/IND FEE _ 20.00 Water Heater - $1.50
STATE SURCHARGE PER PERMIT - •50 Whirlpool -$3.00
(ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets - $1.50
BEYOND a1,000•00) Softener - $5.00
Well - $10.00
' y - ? Private Disp. - $10.00
? Rough Openings - $1.50
SIGNATURE OF PERMITTEE FEE r? C? G
STATE S/C: ? U
FOR CITY OF EAGAN GRAND TOTAL• ?`S?->
PERMIT # /" u &-
' MECHANICAL PERMIT n J C?
CITY OF EAGAN RECEIPT #
3830 PILOT KNOB ROAD, EAGAN, MM 55122 DATE:
PRICE:a PHONE: 454-8100
Site Address
Lot Biock
m Name -
y Address
c Ciry . Phone
? Name _
c Address
O CitY ?
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent.
Gas Piping Outlets #
Other
q? i,
M BTU
M BTU
M BTU
M BTU
CFM
BLDG. TYPE WORK DESCRIPTION
Res. New
Mult Add-on
Comm. Repair
Other
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA.
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
FEE:
S/C: $fGNATURE OF PERMITTEE
TOTAL•
? FOR: CITY OF EAGAN
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-198, Eagan, MN 55121
PHON E: 454-8100
BUILOING PERMIT Receipt #
To be used for 4°J'i?,-7Y Est. Value '7+w Date ` 1'?'l?^ °•? ,19
Site Address 4634 "' Y OFFIC E USE ONLY
LOt ? Block f SeC/Sub.'"T""NY CAK'r: R1 CiU£ . 9n Ske Sewage
} Occupancy ' -
MWCCSyatem
• Zoning
Parcel No. y-t}
On Site Well (Actual) Const
a •;U ?IALt'E
Name X;Ji)Y?'? a Ciry Water X (Allowable) V'T
W
=
Address PRV Required * of Stories
o
City • Phone BoosterPump Length
Depth '4?+_,_
1*, ,
p Name S.F. Total
,
? ? Address Footprint S.F.
a City Phone APPROVALS FEES
W Neme Engr./Assess. Permit
?
=
=
Address Planner Surcharge
a?
0
n
c) =
m W City Phone Councfl Plan Review •
-
..
I pp
Bldg. Off. SAC, City
I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC
?
}50
information is correct and agree to comply with all applicable State of WaterConn. '
Minnesota Statutes and City of Eagan Ordinances. 67•00
Water Meter
Signature of Permittee Road Unit I °? S •??
?-?
A Buildin Permit is issued to:
9 - Treaiment P1 '
on the express condition that ali work shall be done in accordance with all parks
applicable State of Minnesota Statutes and City of Eagan Ordinances. };-
Building Official TOTAL
. Permit No. Permit Holder Dats Telsphone *
Plumbing l 6 YZ,-k
KV:aC.
Electric
Softener
Inspectlon Date Insp. Comments
Footings I 5'd
Footings II
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg. n
Isul.
'
Fireplace
Final Htg.
Final Plbg. ?
Bldg. Final
cert occ.
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
Ttrti#ira#t uf (Orruvanry
titp of (tagan
Mrparrmimt of lugdhtg jWprtintc
This Cerliftcate rssued pursuanl ro tlte nequiremenu of Section 306 of the [Iniform Building
Code certijying that a1 the time ojrssuance lhis suucture was rn compliance with the various
ordinances of the Crty regulaung building construction or use. For the fo!lowing.•
ux a.ssirK.aoo ";'RM elas. Rrmh rb. 14893
??
oo??.ay ??ya ? l zoo? ?u;a rya c? Vn
owm or euadm CM VATDE HKWS Addn= 1460 9?'.D I1V, BIAIAC
eoMoS nmrm 14`>34 I'FNIWf: WA: [="ty L 1, ]32, SGt$W CAFM RIlXE' 5IH
D.w Jtn 4 28, 1981
Bwlding O&cial
POST IN A CONSPICUOUS PLACE
. .. . j???. . . .. . . . .. . .
PERMIT #
PLUMBING PERMIT RECEIPT # .
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
CONTRACT PRICE: PHONE: 454-8100
Site Address BLDG. TYPE WORK OESCRIPTION
Lot Block - Sec/Sub
Res. New ?
m Name MUfC Add-on
y AddreBs Comm. Repair
c CltY?Y-G s?Lb t'? Phone'-? ?S ; Other
OT
NQ. FIXTURES T
AL
Neme ? Water Closet - $3
00 ?
? .
?-
? Address Bath Tubs - $3.00 `
p City Phone
?
- ?L8V8t0ry ' $3.00 .;
-
Shower - $3.00
T-
FEES Kitchen Sink - $3.00
:w::Urinal/Bidet -$3.00 -
COMM/IND FEE - 1% OF CONTRACT FEE ??undry Tray - $3.00 -
MINIMUM - RESIDENTIAL FEE _ $1p,pp
Floor Drains -$1.50 ? i
MINIMUM - COMM/IND FEE _ 20.00 Water Heater -$1
50
?
STATE SURCHARGE PER PERMIT _ ,50 .
-
Wh????? -???
-
_
(ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets - $1.50
T
BEYOND $1,000.00) Softener - $5.00
Well - $10
00
.
J,_Private Disp. - $10.00
Rough Openings - $1.50
S`IGNATURE OF PERMITTEE FEE
STATE 3/ C: S U
^
FOR: CITY OF EAGAN GRAND TOTAL: n-7 S
??
,???. . . ? _ . . PtRMIT #i
. MECHANICAL PERMIT REGEIPT #
CITY OF EAGAN
3830 PILOT ICNOB ROAD, EAGAN, MN 55122 DATE: 7/9 E'
PRICE: PHONE:454-8100
Site AddreSS `+/. ` 'r'r, . r ?•`
Lot I Block ?
? Name e •
d
?o Address
«
c City Phone ? G?-
? Name Li-ca Vitbr.
?yn
c Address ,
p City
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent.
Gas Piping Outlets #
Other
M BTU
M BTU
M BTU
M BTU
CFM
FEE:
? 0 L 't. S/C:
TOTAL:
BLDG. TYPE WORK DESCRIPTION
Res. X New ?
M ult Add-on
Comm. Repair
Other
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA.
COMM/IND FEE - 19'o OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - AlL ADD-ON 8
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
OF PERMITTEE
?I
,?%( ?? FOR: CITY OF EAGAN
t... ?,
BUILDING PERMIT
To be used for '
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
Receipt #
Est Value ?K"•Date ,19
SiteAddress ?SAY
Lot Block - Sec/SubAviihl`Y (;Ai
Parcel No.
, Name ';,+Ju vJ
3 Address = 4-,O
° City f3I,AI':r
? <• ?
. o Name li
? ? Address
t- City Phone
?W Name
Address
?ZW Ciry Phone
`
I hereby acknowledge that I have read this application and state that the
in(ormation is correct and agree to comply wilh all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee -
A Building Permit is issued to: '' ?•? v
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
8uilding Officia
OFFICE USE ONLY
On SRe Sewape Occupancy
MWCC System Zoninq
On Site Well (Actual) Const `
Ciry Water (Allowable)
PRV Required * of Stories
Booster Pump Length ' 4 ?
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit
- ' '
Planner Surcharge
Council Plan Review
BId9. Off. SAC, City ?` t' •
Variance SAC, MWCC
Water Conn.
Water Meter '= ? • '
Road Unit
TreatmentPl
Parks
TOTAL
• Permit Ho. Permft Holder Date Tslephons #
Plumbing
H.1/.AC.
,
Electric u-1 +-lti"2OL- Li::C-7• ? ? ?C'f ?i??7
Softener
Inspectfon Date Insp. Comments
Footings I ?,
Footings II
Foundation
Framing j. . ?
Roofing
Rough Plbg.
Rough Htg.
Isul. lw
Fireplace
Final Htg. i ? "• j _ ???
Final Plbg.
Bldg. Final
C@I't. OCC. i )
s.-L
Temp' LP _ - - ' '
Deck Ftg. T.
Deck Final
Well
Pr. Disp.
?n3 ?el I
• . • -.
?
??ertif irat? vf (Orru?aurn
titp of (Eagan
Epparbntrnt of %HdiM lWrrtinn
Thrs Certifrcate issued pursuant to the requiremenis of Section 306 of the Uruform Burlding
Code ceni, fying that at the time ojissuance this structure was in compliance witl? the various
ordinances of the City regulating building construction or use. For the jollowing.•
ux clx3sific"on 4-Pi.PX ek Pe,m;, No. I6895
?„?, T? R3/M 1 Zoning a„uict lt3 .ry,pe COOSL VN
o M VAi? HQ?ES aaar? I? ? IN, ffi1?
.? ot s??ia;? (?0 -
euaaing radrm 4632 PFFNKdE WAY Iom;tyL3, S2, JCRdVY CAKE-RIDGE 5
Dau:
Bwlding,Oli' ' .
POST IN A CONSPICUOUS PLACE
'+NPV,?
. , . ? `. PERMIT # `
? t PLUMBING PERMIT RECEIPT # CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
ITAACT PRICE PHONE 454-9100
4ddress ' ?E.? : ?:' ` " ' ?'•" ? ? BLDG. TYPE WORK DESCRIPTION
Block Sec/Sub Res. `- New
Name I ' Mult Add-on
Addrass ' 47" < Comm. Repair
City? Phone -? `f ` Other
Name
3 AddresS,`?
o. City
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMiJM - RESIDENTIAL FEE - $10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PEFi PERMIT - .50
(ADD $50 5/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
OF PERMITTEE
7 t
FOR: C(TY OF EAGAN
NO. FIXTURES
L W
Cl
$3
00 TOTAL
$
ater
oset -
.
? Bath Tubs - $3.00 -
l Lavatory - $3.00
r Shower - $3.00
= -
'
Kitchen Sink - $3.00
Urinal/Bidet - $3.00
_Laundry Tray - $3.00
Floor Drains - $1.50
1-Water Heater - $1.50
Whirlpool - $3.00
I Gas Piping Outlets - $1.50 -
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
?Rough Openings - $1.50
FEE - ?'
STATE S/C: S `
GRAND TOTAL: '' ? ?
PERMIT #
MECHANICAL PERMIT
. , , RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: LZZ'21fr
CONTRACT PRICE PHONE: 454-8100
Site Address 4 -" -
Lot ? Block ? Sec/Sub BLDG. TYPE WORK DESCRIPTION
Res. ? New Y
. ,
Mult Add-on
Name .
? ,- .
• • . ?
Comm. Repair
?o Address - .? ?
r
c City + Phone 1-ii i ` Other
- Ic s'
FEES
Name RES. HVAC 0-100 M BTU - $24.00
c Address ADOITIONAL 50 M BTU - 6,00
O City Phone (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS
MINIMUM
1 PER PERMIT
(
-
) - 1.50 EA.
TYPE OF WORK COMM/IND FEE - 196 OF CONTRACT FEE
Forced Air -25' M BTU , c APT. BLDGS. - COMM. RATE APPIIES
TOWNHOUSE 8 CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESiDENTIAL FEE - ALL ADD-aN 8
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU MINIMUM COMMEFCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT -
50
Vent. CFM g (ADD $.50 S/C IF PERMIT PRICE GOES .
Gas Piping Outlets # BEYOND $1,000)
Other ?
? / rC FEE:
`'7L 5 ?
S/C: • ?SIGNATURE OF PERMITTEE
TOTAL:
FOFi: CITY OF EAGAN
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS:
, '' 11 „'tilir? , I nr ? , 1
PERMIT SUBTYPE:
"" "4" APPLICANT:
4 al rll ,
. , . ,;
TYPE OF WORK:
Fa.•/. ? 1
? ?
PermR No. Permit Holdor Date Tsbphone #
ELECTRIC
PLUMBING
HVAC
Inepection Date Insp. CommeMs
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATINO
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
t
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FfG
OECK FlNAL
?. . , CITY OF EAGAN
' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
BUILDING PERMIT Receipt #
To be used for Est Value ? Date ,19
Site Address OFFI CE USE ONLY
Lot Block Sec/Sub. JV? ' •?:;U? , On SRe Sewage Occupancy
MWCC System Zoning
Parcel No.
On Site Well (Actuaq Const
a Name Cityr Weter (Allowable)
W
Address PRV Required ?k of Stories
;
0
City Phone
Booster Pump
Length _,.
Depth
¢o Name
. S.F. Total
,
? 4 Address Footprint S.F.
? City Phone APPROVALS FEES
? CC
W Name En r'/Assess.
9 Permit ,
? Z Planner Surcharge
_ - Address
CounCil
Plan Review
?
City PhOnB Bldg. Off. SAC, City
I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC
information is corcect and agree to comply with all applicable State of Water Conn.
Minnesota Statutes and City of Eagan Ordinances. Water Meter
Signature of Permittee - Road Unit
A Building Permit is issued to: -Treatment P1
on the express condition that all work shall be done in accordance with all Parks
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Buildinq Official TOTAL
Permlt No. Permit Holder Date Telsphono it
PWmbing 9111).5
H.VAC.
Electric (40F g v?J
Softener
Inspection Dats Insp. Comments
Footings I
Footings II
Foundation
Framing
Roofing
Rough Plbg. x e ?
Rough Htg. q jp?p
Isui.
Firepface f%/
Final Htg.
Final Plbg.
Bldg. Final yTiL.c . ,;?,LE_ _ ' .• : t?
Cert Occ. ? cx-J
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
• a l ,d
(Ur#tftrate of (Orrupttnry
Citp of (Eagan
loppartmmf of loidlding jwPdimt
This Certificale issued pursuanl to rhe requirements of Section 306 of 1he Unifornt Building
Code certifying thar a1 the time of issrrance this structure was in compliance with the rarious
ordinances of the City regulating building eonstrucrion or use. For 1he following.•
Use ClLui6n"on 4MM Bldg. Rrmit No. 14896
Oocupeocy Type R3/M1 Zooug Distriu R3 Type CoWL VN
owner of suikMg OOCO VAIiJE HQMES ,ddrew 1460 93RD IANE, E[AIlW
awdng nm? 4630 PE?IE WAY I OUItYIk, B2, JMW OW RID(Z 5
MAY 24, 1989
euaaing oefia.i
POST IM A CONSPICUOUS PLACE
? i?:f- ' . ' ? ??.. ... . . . . . .. . .. . .
• - PERMIT #
= PLUMBING PERMIT RECEIPT #
CITY OF EAGAN
3830 P IL4T KNOB ROAD, EAGAN, MN 55121 DATE:
CONTRACT PRICE: PHONE 454-8100
Site Address BLDG. 7YPE WORK DESCRIPTION
Lot Blxk SeclSub
Res. ?- New -
? Name • ?l !? Mult Add-on
? Address Comm. Repair
Phone 7' ` Other
Name NO. FIXTURES
Water Closet - $3
00 TOTAL
$
?
c
AddreSS ',y !
.
Beth Tubs - $3.00
-
p City;-:' - fhiYl Phone Lavatory - $3•00 -
< - ? ?Shower - $3.00
? Kitchen Sink - $3.00 -
FEES Urinal/Bidet - $3.00
COMM/1ND FEE - 1% OF CONTRACT FEE Z Laundry Tray -$3.00 ?
MINIMiJM - RESIDENTIAL FEE - $10.00 / Floor Drains - $1.50
MINIMUM - COMM/IND FEE - 20.00 ,/ Water Heater -$1.50
STATE SURCHARGE PER PERMIT - .50 Whirlpool -$3.00
(ADD $.50 S/C IF PERMIT PRICE GOES / Gas Piping Outlets -$1.50
BEYOND $1,000.00) Softener - $5.00
Well - $10.00
' Private Disp. - $10.00
Rough Openings - $1.50
SIGNATURE OF PERMITTEE FEE
STATE S/C:
FOR: GITY OF EAGAN GRAND TOTAL: - f
, . • • • ' PERMIT # .?-
•
MECHANICAL PERMIT ? f
,
CITY OF EAGAN RECEIPT #
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: ? t' - PHONE: 454-8100
Site Address BLDG. TYPE WORK DESCRIPTIDN
Lot Block 3 Sec/Sub
Res. ?- New ?
}. I
. Mult Add-on
, ?
Name
Comm. Repair
c Address
City " Phone -
Oth
ef
FEES
Name RES. HVAC 0-100 M BTU -$24.00
c Address " -? 7• ? ADDITIQNAL 50 M BTU - 6.00
3
p
Cjty Phone RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS
MINIMUM
1 PER PERMI
-
(
n - 1.50 EA.
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air -7`5 M BTU APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDaS - RES. RATE APPLJES
Boiler M BTU MtNIMUM RESIDENTIAL FEE - ALL ADD-ON 8
Unit Heater 'M BTU REMODELS - 12.00
Air Cond. M BTU $ MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent CFM ? (ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # BEYOND $1,000)
Other $
FEE:
G(,zo 0K $/C; .-0 8fFNATURE OF PERMITTEE
IY?C.LI ? c9v??g TOTAL:
/'LL.12.1 OPLc-`'` FOR: CITY OF EAGAN
r
.
CASH, RECEIPT ? ?.
CITY OF EAGAN
' 3830 PILOT KNOB ROAD
• EAGAN, MINNESOTA 55122
DATE
HECEIVED
FaOAt
AMOUNT
! .1, !
& DOILARS
Ioo
O CASH ? CHECK
? I jfr:? ( ) - 4 f.- 2
FUND OBJECT AMOUNT
7 /3
-.? /YJ
Thank You
BY
White---PaYem CoPY
?g ?cp? Ya,l??v??p,
Pink-File Copy
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454•8100
BUILDING PERMIT Receipt #
To be used for 4-PI.EX Est. Value $57,000 Date APRIL 28 ,1g 98
Site Address
Lot 1 E
4634 PElIKHB iiwY
OFFICE USE ONLY
gn Site Sewage = Occupancy k-3 M-1
MWCC System X Zoning `R-3
On Site Well (Actual) Const Y-N
City Water x (Allowabie) Y?1
PRV Required # of Stories
Booater Pump Length
Depth 221
S.F. Total
Footprlnt S.F.
Parcel No
7 Sec/Sub.JOHKNV CAKE RI099
, Name GOOD VALIi£ HQMES
3 Address 1460 93RD LN
0 City DLAINE phone
¢ Name
.O
oQ Address
¢ City' . Phone
Address
City _
I hereb acknowledge that I have read this application and state that the
intorman is correct and aqree to comply with all applicable State of
Minnesota Sjatutes and City of Eagen Ordinances.
Signature of Pgrmittee
• A Eyilding Permit is issued to: C40D VAuiE BMIS
on the express condition that ail work shall be done in accordance with all
aplPic`able 5tate of Minnesota Statutes and City of Eagan Ordinances.
8uilding Otficial
APPROVALS FEES
Engr./Assess. Permit 402'00
Planner Surcharge 28•30
Council Plan Review 201.00
Bidg. Off. SAC, City 100•00
Variance SAC, MWCC 550•00
WaterConn. 550•00
Water Meter V. GO
Road Unit 32 5o00
Treatment P7 204•00
Parks
2??' ?
TOTAL
CITY OF EAGAN
3$30 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHO N E: 454-8 9 00
BUILDING PERMIT
To be used for 4-PLEZ
Receipt #
Est. value $57,000 Date APaIL 28 ,j
Site Address 4636 PRMM iIAY
Lot 2 Block Z Sec/Sub.30HNNY C/1KE RIDGE
Parce(No
s Name COOD YALtiE HOMES
? Address 1 11bG u';`??3 ],N
° City ?,+-ALTMI' Phone 760-=')10
00 M?me SAW,
? Q Ad'dress
? City Phone
Name
City
Bui)ding OHicial 01 ? 941
I hereby acknowfedge that f have read this applrcation arrd state that the
in,?orma?ion is correct and agree to compiy with all apRlicable State of
Minnesota Slatutes and City of Eagan Ordinances.
Signature oi Pgrmittee
• AQuilding Permit is issued to: GOOD VAId'£ Kt?KE5
on the express condition that all work shall be done in accordance with all
apOliceable State of Minnesota Statutes and City of Eagan Ordinances.
OFFICE USE ONLY
pn Site Sewage Occupancy a"`3 m"1
MWCC System X Zoning '11"'3
On Site Wefl (Actua!) Const V-l'
City Water x (Allowable) V"H
PRV Required # of Stories
BoosterPump Length
Depth 22 '
S.F. Totai
Footprint S.F.
APPROVALS FEE5
Engr./Assess. Permit 402.00
Planner 5urcharge 28.50
Council Plan Review Zdk •00
Bldg. Off. SAC, City 300,600
Variance SAG M WCC 550.00
WaterConn. 550.00
Water Meter 69.00
Road Unit 325•W
TreatmentPl 204.00
Parks
-
427
.50
2
TOTAL o
CITY OF EAGAN
3830 Pilot Knvb Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
BUILDING PERMIT Receipt #
To be used for 4-PLBX Est. Value $57,040 Date APRIL 28 ,1888
Site Address 4632 pENCWE VAY
Lot 3 elock 2 Sec/Sub.JOHliNY CAKE RYDGE
Parcet No.
o? Name GOOB Y?E UMS
3 Address 14(c) 93RU l..
o City .`W Phone 78(7_571U
¢
o g$me _
.
?? Address
? City-
Name _
Address
City_
I hereb1L.acknowledge that I have read this application and state that the
in(ormatlop is correct and agree to comply with all appiicable State of
Minnesota Siatutes and City ot•Eagan Ordinances.
Signature of PeArmittee - (
• A Building Permit is issued to: GOOD Yt.LIE ['iOi+lES
an the express condition that all work shall be done in accordance with all
app1iqable State of Minnesota 5tatutes and City of Eagan Ordinances.
Building Official
OFFICE USE ONLY
On Site Sewage Occupancy 4-3 M-1
MWCC System X Zoning R"3
On Site Well (Actual) Const v-N
City Water X (Allowable)
PRV Required * of Stories
Booster Pump Length
Depth 221
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit 402•00
Planner Surcharge 28 • 50
Council PlanReview 201•00
Bldg. Off. SAC, City 100 •QO
Variance SAC. MWCC 550•00
Water Conn. 550,00
Water Meter bT•?
Road Unit 325e00
2ocoo
Treatment P1
Parks
TOTAL
CITY OF EAGAN -- •-
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE:454-8100 _ .?
BUILDING PERMIT Receipt#
To be used for d?-PLER Est. Value $57,000 Date APRIL 28, 99-AEL_
Site Address 4630 PgRKWE WAY
Lot 4 Block 2 Sac/Sub.JOt{NNY CAKE RIDGE
Parcel No.
s Name 4OOD VALGE tlOMES
? Address 1?+50 '?3Rb LN
° City j31,IA"T, Phone 780-5`:lci
. o N$me W?A?EI
? a Address
P City Phone
?
?'5
W
W Name
_ z
Address
V
Q WZ
City Phone
I hereby,acknowledge that I have read this apptication and state that the
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City Qi Eagan Ordinances.
Signature of Permittee
A Br?ilding Permit is issued to: ''''?D '?A?i'? tl(3i'[!GS
on the express condition that all work shall be done in accordance with all
appiicgible State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
OFFIGE USE ONLY
On Site Sewage Occupancy R„3 4"'1
MWCC Syatem x Zoning R-3
On Site Well (Actual) Const V-N
Ciry Water JC (Allowable) V-N
PRV Requlred # of Stories
Booster Pump Length
Depth 22'
S.F. Total
Footprint S.F.
APPROYALS FEES
Engr.fAssess. Permit 402•00
Planner 5urcharge 18.50
Council Plan Review 20I.00
Bldg. Off. SAG, Ciry 100•00
Variance SAC,MWCC 350•00
Water Conn. _550,00
Water Meter 67.00
Road Unit 325•00
Treatment P1 206.00
Parks
2?--4- .
?
TOTAC
BLDG. PERMIT N0. L?_i/ ,(?a ?T?hnny
_ ??
"
<<??
!
L,,.
I
,
l
01-3210 Bldg. Permi
01-3422 Flan Check
01-3445 Surch./Adm.
01-3446 SAC/Adm.
01-2155 Surcharge
-t7?3860 Road Unit
20-2275 SAC
20-3865 Water Conn.
20-3868 Water Trmt.
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permi
20-3743 Sewer Permi
79-3866 Sewer Conn.
3 1f3855 Park Ded,
TOTAL
. CASH RECEIPT
CITY OF EAGAN 3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE _ 7 1 I_,(, IV - -19 necerveo '
cnou 'i r
AMOUNT $
[.'-LJ
& DOLLARS
ia
? CASH Li -eiECK
`n" ; "ei? 46 --????-
-if 30-
.? .
2, r v wnae-aeye.s cop,
O vell--Posnns Coar
3
Pink-Rle Cppy
Thank You
r
ev ?? f ' t
CITY Of EAGAN Permit No: Date:
3830 Pilot Knob Road g/p Na. - Date: `
P.O. Box 21199
Eagan, MN 55121'
Owner. " Cood Value Tloaep
Site Address: r•,30 nenlnte ia'ay I.4 _. a
Plumber. :;1.ckel.evn Pl.um1,in. g
MWCC: " 30'00pd Zoning-
City Chg: ''- n_10nd No. of Units: -
Acct. Dep: 15-03wi
??, ? I agree to comply with the Cfty of Eagan
! Permit Fee:
?
= "
.''
Ordinances.
Surcharge: p
Misc.: By
SEWER SERVICE PERMIT
CITY 60 EAGAN Permit Na I Date:
,
3830 Pdot Knob Road Meter No: Size:
P.J. Box 21199 , Reader tJo: Date: -
Eagan, MN 55121
CO(??? ^ : ? i P. ?r3*ReS
Owner. ? E2 JahnnY Ck ?2
Site Address:
Conn. Chg: 45 0_i1Rrle Zoning Y?
Acct Dep: L S 009d No. of Units: 1
Permit Fee: 1 0 a013,d
d I agree io comply with ihe City of Eagan
SO
Surcharge: p
Tr. Plant lnov? Ordinances.
Meter.
Misc.: By
WATER SERVICE PERMIT ?
CIT1f OF EAGAN Permit No: Date: ?
0 Size: ??40' CJ?C
3630 Pilot Knob Road Meter No:
P.O. Boz 21199 Reader No: Date: f
Eagan, MN 55121
Site
55(1 r?,? Zonifg .---
Conn. Chg: Inc3I Utlh?leS _
AccL Dep: ' ; _ u ?•.'? - t3e?l????
Permit Fee: ' ' ? ??? ' _ 4?pHONE - ELECSRIC - GAS Etc.
? Eagan
gree to c?iY l. A ?
Surcharge: ??O
Tr. Plant o
Meter. ?K "-
WATER SERVICE PERMIT
'
CITY OF EAuAN Permit No: _ -
Date:
Date: ?-' +
3830 Ppot Knob Road 8/P No:
P.O. Box 21199
Eagan, MN 55121 :
`ood 4altie T' rte , . ?.?
,
Owner. :
'14 G32 Penkwe Wa L3 S"? T0:1-1:•,'
Site Address: ••
?1?C1+L.2 3Qri `` Z.!]TtF` ??'! <;
Plumber: ?, ,
? [ ^ , ?)Or d Zoning
MWCC: "?od No. of Units:
City Chg:
: wiih the City ot Eagan
I agree to comply
Acct Dep pt.
Permit Fee: Ordinances.
. . .714
Surcharge:
BY?-
Misc :
SEWER SERVICE PERMlT
? 5'?? Date:
CITY OF EAGAN Permit No:
3830•Qilot Knob Road Meter No: Size:
P.D. Box 21199 Reader No: Date:
Eagan, MN 55121.
Conn. Chg: 550 OC^- Zoning:
Acct Dep: L5 0012No. of Units: `
Permit Fee: lfl ??`?
I agree to comply with the City ot
Surcharge: • -
Tr. Plant ? ('4 • 'J1j°'1 Ordinances.
Meter.
WATER SERVICE PERMIT
OF EAGAN Permit No: Date: 5-3--88
? - _ „
Palot?fcnob Road Meter I?o: ?? ? 7 53 ?/ Size: U?
Jox 21199 Reader No: 109- '9 2?-? Date: ?,'" g'
n, MN 55121
!'r,: .:_ 'Ja ! ite HOIDEc.
Conn. Chg: 550OOF d '
Accl Dep: 15. 04p d _uv
Permit Fee: ln OOD d LPA
Surcharge: • 5 (? d
Tr. Plant -"-'[} 00s pd 2 F
Meter.
?it?h the city of
WATER SERVICE PERMIT
i
f CITY O
F EAGAN
' Permit hlo:
Date: - ^
? 3830 Rilot Knob Road g/P Mo: pate:
P.6. Box 21199 '
Eagan, MN 55121 "
i
Owner. "co F',i7- ur C;-
?
SiteAddress: f,r .
L
.TQ}eIIT'.V
C";
Plumber. 'r ; -irc± l S.? f-
i MWCC: ? "? '?r'?c'• Zonin
9 ,
a City Chg: l?C,
No. of Units: -
Acct. Dep: --
Permit Fee: ??•?`?" '
--------------- 1 agree to comply with the City of Ea9an ,
Surcharge: • Ordinances.
' Misc.: BY
SEWER SERVICE PERMIT
CITY OF EAGAN
3830 Pilot Knob Road
Permit No: -
Meter N
. -- - ?
?
?at??
P.c)' B°x 21199 o: -- Size:
'
Eagan, MN 55121'
Reader No: ?
Date:
Owner. "=nec4
V,3? ue i
?
Site Address; •,
Plumber. ?,? Mtr S?
_'=-_ +
?
Conn. Chg: SSn n n..,a Zoning: ?'3 t
Acct Dep:- T S ? p?t
No. of Units: j
Permit Fee:
Surcharge:
Tr. Plant ?'14 ?i
(??,?i 1 agree to comply with the Cfty of Eagan
Meter. Ordinances.
Misc.: '
. By
? WATER SERVICE PERMIT
. -, .. .?.
CITY OF EAGAN Permit No:?.;,,.,: ? Date: 3830 Pilot Knob Road Meter Na yDO llq 7(e Size:
P.O. Boz 21199 Reader No: p?87 ?'a Date:
Eagan, MN 55121
Owner. G"od ` - nes
Site Address: '634 T.j R'l
Conn. Chg: 55ij, ?,? vi??"" -zoA ' _ ?t s
Acct Dep: ?I?^oUnits: 1
Permit Fee: ?
Surcharge: 1 agree io comply with the City ol Eagan
Tr. Plant 2 pcl Ordina
Meter.
Misc.: O
WATER SERVICE PERM{T
F EAGAN Permit No: Data
loi Knob Road B/P No: Date: K 21199
MN 56121 ' r•...? 1 R.1..? AMFn ?
/ •'? f7
Address: Pt:nkC7e- riftl r ^. t .TO1TT`i"'
nber: ckelaan
CC: 550. ??pri Zoning• ?
Chg: No. of Units:
:. Dep: 1 a9ree to comply wlih Ihe City of Eagan
nit Fee: ^0rd Ordinances.
.?..,.,... S??ti
SEWER SERVICE PERMIT
0
Conn. Ch9? ? ?? 0 4d 2oning:
AccL Dep: 1 5fv npd No. of Units:
Permit Fee: 3S` `l Opd
Surcharge: 1 agree to comply with the City oi Eagan
'??? • r
Tr. Plant
P - Ordinances.
??
Meter.
Misc.: gY
WATER SERYICE PERMIT
CITY OF EAGAN
ad
b R
K 5-3-88.
Permit No: Date:
??
: ?4 4// 9 7.SJ __ Size: 20 ii oc
N
M
o
3830 Pilot
no
. P:O. Box 21199 eter
o
Retider No: /a ? g 3.5 D Date: 7- 0 ---
Eagan, MN 55121
Owner. (.'ood
`'' 636 Vnlue Ilo^tes
PerikwP td3 L2 B2 Jof;.n!1 S'- ?
Site AddreSS:
Plumber. ;'sckelson F1umbir.
Conn. Chg: 55a.0o}sd " Zon
LnrO r1',?`
4 nn '1 .
Acct Dep: . _
]„
"
Permit Fee: OOP
Surcharge: 11
Plant
Tr
. ,
Meter.
G?,,?y?1?th`ih City of Eagan
1
CITY aF EAGAN Permit No: ` Date:
383aPilot Knob Road Meter No: Size:
P.O. Boz Z1199 Readec No: Date:
Eagan, MN 55121
RESIDENTIAL
BUILDINC PERMIT APPLICATION
CITY OF EAGAN S d 0
3850 PILOT KNOB RD • 55122
651-681•4675
NewConstrucHon Reauiremenls RemodeVReoairReauhements
. 3 regisfered site surveys showiig sq. ft of lot, sq. ft of house; anll roofed areas . 2 mpies of plan
(20% maximum bt oovarage aWwed) . 1 set ol Eneryy Cakuletions ta heated addNOns
. 2 mpiev of plan showing beam & window sizes; poured fouml desgn, etc.J . . 7 stte wivey fw exlerior addi6ons d decks
• 1 set of Energy Cakvlations . Indraffi if home served by septic system tor additions
• 3 copies ot Tree Preserva0on Plan if bl plalted after 711193
. Rim Joist Detail Options selection sheet (hldgs wllh 3 a less units)
DATE _
JOB SITE
'? 1f? VALUXION
IF MULTI•FAMILY BUILDING, HOW MANY UNITS?
PROPERTY <
TYPE OF WC
APPLICANT
ADDRESS
PAGER # _
'LACE(S) _ 0 _V 1 _ 2
PHONE# qSo7-c'?e1)-d2_51Vj
'/!/" ZIP CODE !?Z533 2
NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY
Energy Code Category _ MINNFSOTA RULFS 7670 CATEGORY 1
(check one) - Residential Ventilation Category t Worksheet Subm(tted
- Energy Envelope Caiculatlons Submitted
_ MINNESOTA RULES 7672
New Energy Code Worksheet Submitted
Plumbtng Contractor: Phone #:
Plumbing 5ystem Includes: _ Water Sofrener _ Lawn 5prinkler
_ Water Heater ? No. of R.I. Baths
Fee: $90.00
_ No. of Baths
Mechanical Contractor: d Irc9S / 42? LV/7 er Phone # ?-S? 09D-97.?
Mechanical System Includes: _ Air Conditioning Fee: $70.00
_ Heat Recovery System
Sewer/Water Contrcctor.
Phone # . : - ??; N ?•
All above informaUon must be su6mitted prior to processing of epplication.
?
I hereby acknowledge that I have read this applicqtion, state that the information is conect, and-agree-ta-6omply
with all applicable State of Minnesota Statutes and Ci1y of Eagan Ordin r?s.
/
Signature of Appllcant /f/L//
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
. . '? Updated 7/01
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
0 03 01 of _ plex
? 04 02-plex
[3 05 03-plex
? 06 04-plex
0 07 OSplex ? 73 16-plex
? 08 06-plax O 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 08-plex ? 18 Deck
O 11 10-plex ? 19 LowerLevel
O 12 12-plex Plbg Y or _ N
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn.(4-sea.)
p 23 Porch (screened)
0 24 Storm Damage
? 25 Miscellaneous
.
? 30 Accessory Bldg
? 31 EM. Alt - Multi
? 33 Ex[. Alt - SF
? 36 Multi
O 31 New O 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition 0 38 . Move Bldg. 0 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)" O 43 Reroof 0 46 WindowslDoors
? 34 Replacement 'DemoliUon (Entire Bldg only) - Give PCA handout to appilcant
Valuation
Census Code
SAC Units
Nbr. of Units
Nbr. of Bldgs
Type of Const
Footings (new bldg)
Footings (deck)
Foorings(addirion)
Foundation
Drain Tile
Roof Ice & Water Final
Framing
Fireplace _ RI. _ Air Test _ Final
Insulation
Occupancy
Zoning
Stories
Sq. Ft.
Length
W idth
REQUIRED INSPECTIONS
FinallC.O.
FinaUNo C.O.
_ Plumbing
HVAC
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Other
_ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Siding Stucco Stone
_ Windows (new/replacement)
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
• City SAC
M!ater Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
, e
ihis request voitl
18 months from
Repuest pate ?
??
?_ gR i No. Rou h-in nsper.tion
H qu red?
?y?y ?No
?Feady Nuw Will Notily, Inspec-
or When Reatly
Licensed Electncal Convactor
I hereby repuest inspaction oi ebova
? Owner eleetrical work instelled at:
Stre Q AAress, Box ot B fi No. C
(J il 1
acLOn o. Township Name or No. ange No. Coonry
O pant fPflINTI
v Phone No.
Pnwpr SuODI?er
r Atldress
Ele cal Contracto. IEOmpanv
1 1 I Convac or's Licen? No.
Ma'lio drass (Co ctor ouOw
.id
? °??- Mekine Insta;lation ? ,/
y
Au rized Si nature 1 0 ?Owner Making Installation)
S Ph u er
? ?
-"
MINNESOTA ST? BOARD OF ELECTRICITY ? THIS INSPECTION REQUEST WILL NOT
Grie9s-Midwey Itlg. - Room N•791 BE ACCEPTED BY TME STqTE BOAND
1821 Universitv Ave.. St. Vaul. MN 65104 UNLESS PROPER INSPEGTION FEE IS
cn.,..e ia»i anI_nnnn ENCLOSED.
7"Ok= d
E 12C194
REQUEST FOR ELECTRICAL INSPECTION . ee-ooooi-os
' See instruclions lor compleli?g Mis lorm on Cack of vellow coOY. y ?'?4?(? o5-
"X`' Below Work Covered by This Request
Gy4 Addj fleP. TYOe of Builtling Appliances Wired Equipmenk Wired
.? Home Range Temporary Service
Duplex Water Heater Lightiny Fiahnes
Apt. Buildinq Dryer Electric Heatin
Commercial Bldy. Fumace Si!o Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tnnk
F3rm Othr.r peri v -ihcr ISUnr.ifvl
? . Uen y ther Oine,
ompute lnspection Fee Below
p •F SarviceENranceSiie H Fee Fenders?Subfeede?s Circuits
0 to 200 Am s 0 ro 30 Am s 0 tn 30 Am s
Above 200 Amps 31 to 700 qmps 31 to 100 qm ?
Swimming Pool Above 100__Amps Above 100_Amps
Transinrmers Irngation Booms Purtial-?O[her Fee
Signs Speciallnspection O
T
'F
pemarks L
EE
? ??
flouBh-in r Date (' / I. e EI icxl
/?j Q Insoec or, hereby
carti?y thet the above
Final /r7
/'7? p .?? ?}e inspeclion hes baen
min repuesl ralE 18 montha Irom
?-
? 12093 L? e9
Re uest Dale F-re No. ph-in InsVer.tion
- R uneA? - 0RCady Nuw Will Nolify, Inspeo
es ?Na ?or When Reatlv
? lice.f sed Elecvical Contractor 1 heraEy request insoection oi above '
? Owner elecbical work instellad at
Sneet A ress, Boz or oute ' y
ecuo o. ownship Name or No. ange o. County
Lahn+o,
Occ nt (PqINT) Phone No.
r Suppl'er
' _ Address
EI ical Co trector-ICompany m 1 _ C ?lor's Licon No.
M ilinp A ress IConII w or ne
U aking Instailation! ?
A rvzed Sgnatore IC oJOwner xking InsL+llali nl Ph Number
/ THIS INSPECTION RE?YJEST WILI NOT
MINNESOTA ST?E BOAPD Of ELECTNICITY gE
Gripgs-Alidway Idg. - Noom N-797 ACCEPTED BY THE STATE BOARD
1821 Universitv Ave.. St. Paul. MN 5610A UNLE55 PROPER INSPECTION FEE IS
Pnonwt5121fiaa0AOo ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ea-ooooi-os
' Sae instructions tor completinB fhis torm on back ot Vellow copy.
113-
E 1209 3 "X" Be/ow Work Covered by lhis Request
Add Rep. "TyOe of?8uiltlin9 Apulioncea Wired Equipmani Wired
Home Ranye Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt. Buildinq Dryer Electric Heatni
Commercial Bldg. Fumace Silo Unloader
? Industrial Bldy. Air Contlitioner Bulk Milk Tank
_
Farm tner oeu v 11 15nn11 fvl
Th
t ar SVeci(y Othcr Othnn
FPP RPIOW
p ServiceEnvencaSixe p Fee FexdeFs/5ubieedere 4- 1 Circuits
C?S 0 to 200 qm s 0 to 30 qm s 0 in 30 Am s
Above 200 qMp5 31 to 100 Amps 31 to 100 A s
Swimming Pool Above 100_Am s Above 100_Amps
Transtormers Irngation Boonis PartiaL'Oth r Fee
Signs I I iSVecial Inspection
° Insoector. hemby
thAS 1h8 AVOVB
? inspectian has baen
maae.
fhis reQUest voie 18 montln
This kquest void?/?7/? ???? ?
18 nwnlhs from l d
E 1.2092 L .3 8,Qc'??k,?,u,?,;??????1? ? 23W-7 °'
Hequest Dale
/ _
60 Fiffi No. Roup -in Inspuct ion
Raqulred?
?HeaAy Nuw ill
Noiify Insper
_
\. % • ..O O ?
??'gs No r r When ReadY
LTcensed Elecvical Comracmr ? v
? I hareby request insvaction of ebove
? Owner electrical work installed et:
Slreet ddress, Boz01?9ute Nu. Ci
ect on o. Townshi0 Name or o. Range No. Cou
O a nnt (PRINT) Phune No.
Po r Su plier Address
rical Cnnvac[o,.ICOmpany a 1 ' C a r's Li I? cen No.
? _
il' eA ress ICon ra or or Oyyrrer
/??i{ inu Instailatio 1 ?
Au oriz ignature ( Ir ctor/OwF r Making Installation Pho N nber
MINNESOTq S qql? BOAXD OF ELECTNICITY I THIS INSPECTION REQUEST WILL NOT
Criqga•Midwav?'(de. - poom N-191 BE ACCEPTED BY THE STATE 90AND
1821 Universitv Ava.. St. Peul. MN 55104 UNLESS PqOPEN INSPECTION FEE IS
Phone1612/642-0800 ENCLOSED.
REnUEST FOR ELECTRICAL INSPECTION .-s Ee-ooo/o-i-os
See instructions lor completin0 this form on back of Vellow copy.
II0
E"1`ZM 2 "X" 8elow Work Covered by This lfequest
t4ew hdd Nep` Typftol Building Appliancea Wired Equiumem Wired
Home Runge Temporary Service
Ouplez Water Heaier Liqh[iny Fixtures
ApL BuilAing Dryer Electric Heatin
Commercial Bldy. Fumace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
fBfT Other Spenfy ihFr fSOerdtyl
t er Veci y ther Other
O8'BPCUOO FPP BBIOW
p F rvlceEntrence5ize H Pae Fentlees/5ubteeders Cucuits
Uto200Am s 0 to30Am s Oto30Am s
Above 200 q?n?s 31 to 100 qmps 31 to 100 Am s
Swimming Pool Above 100_Am s Aho?e 100_P.m s
Transiormers Irrigation Boort?s t Fee
Signs I I ISpecial
l
d0 • thn EI cab
+ . In or.? heley
--'•"` •`- •5e above
Final insoeciion nas eeen
? metle.
ThIarepueatwitl
This fequest void /_/G/OG
18 ?rqnths from LF' O O O ?1 ? ? ? ??
E .1 2 n91 / ?R?%«? r ? , u ?
Reruest Date ire No. uph-in Insuer,tion
u
'
ec-
??dY Now ill NotiiY In
?
1J ?
Yes
No Y
lor Wh¢n Rentl
C] Licansetl Elecvical Conuactor I hereby repuast insoection of above
? Owner electrical work installad at
Str at dAress Box o ute No. C.
ection o. Township Name or o. Rnnge No. nly /
V\
Or. oantlPfllN 1 , Phone No.
er SupDlier AAdress
EI 'cal Comractor {Company a 1 _ vacmr's licens o.
?
Maili AdJ?ess IContra?r or Owqer
?v 'n0 instailationl
j
?
vo
Aut izeC Si nature (C tacior/Owne Making Installationl Phone Num er
MINNESOTA SyAiq BOARD OF ELEC7711CITY ? TMIS INSPECTION pEQU[ST WILL NOT
Grigqs-Midway?61A9• - Room N•191 BE ACCEPTED eY THE STATE 80AHD
UN
1821 Universitv Ave., S1. Paul, MN 55106 LESS PPOPEfl INSPECTION FEE IS
o.___???m cna nonn ENCLOSED.
Lo efg8 REQUEST FOR ELECTRICAL INSPECTION ee-oo,o/o/i-os
? See instructions lor completirg this form on back a} yellow copY.
E°1'2J 91. "X' 8elow Woik Covered by This Request
ladtl Hep. Type of Buildine ApPliancns Wired Equiumem WireA
Home Ranye Temporary Service
Duple.x Water Heater l.ightiny Fixtures
Apt. Building Dryer Etectric HeaUn
Commercial Bidg. Fumace Silu Unlonder
Industrial Bldg. Air Conditioner Buik Mllk Tank •
Farm otn«r ueci v 757tr?, (succlfy)
t w, ucci y the, Oth.r
ompute Inspection Fee Below
p ServiceEniranee5ize ft Fee FaxJaFs/Subfeetlers tt Circwts
0 to200Am s 0 ro30Am s 90m30Am s
Above 200 qmps. 31 to 100 Amps 31 to 100 qm
Swimminy Pool Above 100_Amps Above 100_Arn)s
Transiormers Irrigation Booms Partial.Ot e
Signs Specialinspection
TOT F
emarks E??
w 1\
flouBh-in ? D??? I.t Electrical-_
I{? InsPB Y
certily that the above
Final hes baen
-0 ?? mede.
?n:--iu.nm te montns irom
CITY OF EAGAN rJ2 14 8 9 4
, •• 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH O?I E: 454-8 100
BUILDI
NG PERMIT/e-? Receipt# ? -21a 5:?7
To be used for 4-PLE$ Est. Value $57, 000 pate APRIL 28 1 g 88
Site Address 4636 PENKWE WAY OFFICE USE ONIY
JOHNNY CAKE RIDGE
Lot 2 elock z Sec/Sub OnSitaSewaga - Occupancy R-3 M-1
. MWCCSystem X Zoning R-3
ParcelNo. V-N
OnSiteWell _ (ACtuaqConst
a Name GOOD VALUE HOMES Ciry Water X (Allowable) V-N
W
=
Address 1460 93RD LN PRV Required
- # of Stories
3
°
City SLAINE Phone 780-5510 BoosterPump
- Length 44?
Depth 221
0 Name SAME S.F. iotai
.
?Q Addfess FootprintS.F.
: City Phane pPPROVALS FEES
ww Name Engr./ASSess. Permit 402.00
•= Planner Surcharge 2$•50
i- Address
Council
Plan Review
201.00
Q W City PhOne Bldg. Off. SAC, City 100.00
I hereby acknowledge that I have read ihis application and state that the Variance SAC, M WCC .550Q
information is correct and agree-tD corq ly with all applicable State of Water Conn.
.
55Q.00
Minnesote Statutes and City o rdinan n
Water Meter
_fLZ-OO-
Signature otPermittee ROadlJnit 325.00
A Building Permit is issued to: GOOD VALUE HOMES Treatment P7 204.00
on the ezpress condition that all work shall be done in accordance with all
Parks
applica6le State of Minnesota Statutes and City of Eagan Ortlinances. 427
2
$0
p
euilding Official?i?1d I'? l.
? TOTAL •
.
CITY OF EAGAN NO- 14 8 9 3
3830 Pilot Knob Road, P.O. Box 27-199; Eagan, MN 55121
BUILDING PERMIT/ 0IiONE:454•8100 Receipt #-8 3a51
?
To be used for 4-PLEX Est. Value $57,000 pate APRIL 28 ,1988
Site Address 4634 PENKWE WAY OFFICE USE ONLY
Lot 1 Block 2 Sec/Sub.JOHNNY CAKE RIDGE On Site SeJwage _ Occupancy R-3 M-1
MWCCSystem X Zoning R-3
ParcelNo. V
N
OnSiteWell _ (ACNepConst -
a Name GOOD VALDE HOMES Ciry Water X (Allowable) V-N
w
=
Address 1460 93RD LN
PRV Required
- # of Stories
° City BLAINE Phone 780-5510 BoosterGUmp _ Length 441
Depth
¢ o Name SAME S.F.7otal
.
? Q AddresS Footprint S.F.
? City Phone pppROVALS FEES
w Engr./Assess. Permit 402.00
w Name 28
5
?= Planner Surcharge o
.
i- Address
Council
Plan Review
201.00
a W City PhOne Bldg.O%. SAC,City 100.00
I hereby acknowledge that I have read this application and state Ihat lhe Variance SAC, M WCC 5$0.00
information is correct and agree lo mply with pplicable State of
Minnesota Statutes and Ciry?o# n Ordin . Water Conn.
Water Meter 550.00
67.00
Signature of Permittee%
' Road Unit a2 5.00
n Buiiding Permit is issued to: GOOD VALUE HbAES Treatment P1 204.00
on [he express condition that all work shall be done in accordance with al I
Parks
applicable State of Minnesota Sta utes and City of Eagan Ortlinances. 50
427
2
??? TOTAL ,
•
r?
Building OHicial
_?
?
BUILDING PERMIT/?
To be used for 4-PLEX
N_ 14895
Receipt #
Est.Value $57,000 Date APRIL 28 ,1 988
SiteAddress 4632 PENKWE WAY
Lot 3 elock 2 Sec/Sub.JOHNNY CAKE RIDGE
Parcel No.
a Name GOOD VALUE HOMES
; Address 1460 93R? LN
0 City BLAINE phone 780-5510
o Name SAME
,
? a Address
i- City Phone
Name
City
I hereby acknowledge that I have read this application and state that the
information is correct and agree c ply with all plicable Staty$$ of
Minnesota S[atutes andCry ` 0 rdin?n=16'?='^E?
Signature of Permi[tee - ??
A Building Permit is issued to: GOOD VALUE HOMES
on the express condition thal all work shall be done in accortlance with all
applicable State of {M?i,nn?e.sota Statut s and City of Eagan Ortlinances.
Building Official?flllL???f,
,?-- ?
-CiTY OF EAGAN .
3830 Pilot Knob Road, P.O. Box 21r199, Eagan, MN 55121
PH ON E;,454•f9100
OFFICE USE ONLY
OnSiteSewage _ Occupancy R-3 M-1
MWCC System X Zoning R-3
On Site well _ (Actual) Const V-N
Ciry Water X (qllowa6le) V-N
PRV Requlred _ # of Stories
Booster Pump _ Len9th 44 '
Depth 22'
S.F.Total
Footprint S.F.
APPROVALS FEES
Engr./ASSess. Permit 402.00
Planner Surcharge 2$-$0
Council Plan Review 201.00
Bldg.Off. SAC,City 100.00
Variance SAC,MWCC 5$0.00
Water Conn. 550.00
Water Meter _6_7.00
Road Unit 325.00
Treatment P7 204.00
Parks
z
?-2-1•SO
TOTAL ,
CITY OF EAGAN N? ? 14 8 9 6
, 3830 Pilot Knob Road, P.O. Box 21-799, Eagan, MN 55121
' PHONE:454-8700
BUILDING PERMIT?? Receipt n A ? a.`l7
To be used for 4-PLEX Est. Value $57, 000 Date APRIL 28 ,1 g?$_
Site Address 4630 PENKWE WAY OFFICE USE ONLY
JOHNNY CAKE RIDGE
Lot 4 Block 2 Sec/Sub On Site Sewage _ Occupancy R-3 M-1
.
MWCCSystem X
Zoning R-3
Parcel No. V-N
On Site Well _ (Actuap Const
a Name GOOD VALUE HOMES Cirywater X (Allowable) V-N
W
Address 1460 93RD LN PRV Required # of Stories
3
?
City BLIANE phone 780-5510 Booster Pump
- Length 44 ?
Depth ?
22
p Name $AME S.F.Total
,
?a Address FootpriniS.F.
? City Phone APPROVALS FEES
w W Name
Engr./ASSess
Permit
40Z.00
? i ' Plenner Surcharge 28 • 50
_-
u? Address
Council
PlanReview
201.00
aw Ciry Phone
Bldg. OtL
SAQ City
100.0?,
? hereby eCknowledge Ihat I have read this application antl state that Ihe Variance SAC, MWCC ?.?.QQ
information is correct and
comPty ?
bl Water Conn. _?2.2Q?QQ
Minnesota Statutes and Ci an Or nces.
?
?
Water Meler
_f12.._QQ.
Signature of Permittee ?
s/iZY?-? Road Unit 325.00
A Builtling Permit is issuetl to: GOOD VALUE HOMES Treatment P1 _.Z.Q?._0.0.
on the ezpress condition that all woik s?all 6e done in accordance with al I
Parks
applicable State of Minnesota Statutes and City of Eagan Ordinances.
?'11 .. ?I? p
Building ONicial 1 \QA ?? TOTAL z? 427 . SO
COMMERCIAL
? 2002 BUILDING PERMIT APPLICATION
CITY OF EAGAN
651-681-4675
113
Foundation Onl New Construction Interior Im rovement
• Structural Plans (2) sets . Architectural Plans (2) sets • Architectural Plans (2) sels
• Civil Plans (2) • SVucWral Plans (2) • Code Malysis (1) "
• Certificate of Survey (1) • Civil Plans (2) • Project Specs (t)
• Code Malysis (1) " • Landscaping Plans (2) • Key Plan (1)
• ProjectSpecs (7) • CodeAnalysis (1) " • Master Exit Plan (1)
• Spec.Insp.BTestingSchedule" • Certificate of Survey (1) • EnergyCalculations (1)notalways"
• Soils Report (1) • Spec. Insp. & Testing Schedule (1) " • Elec. Power 8 Lighting Form (7) notalways"
. Meter size must be established • Meler size must be established • Mater size must be eshablished - if applicable
• ProjectSpecs (1)
y
y .
• EnergyCalculatlons
Electric Pawer 8 Lighling Form (1) "
(1) ? ? ? ?1f1 r2,
! • Master Exit Plan (1) D
1 • FlreProtectionPlan (1)" IMAY 1 0 2002
1 • SoilsReport (1) 1
• MGES SAC determinatlon letter • MC1E5 SAC determination leder • MClES SAC deter on letter S
call 651-602-1000 call 651-602-1000 ca11 6 51-602-1 000
Contact Building Inspections for sample y
Food & beverage or lodging facilities - submit plan to MN Department of Health. Call 651-215-0700 for de
DATE: 0 C? WORKTYPE: NEW REMODEL CONSTRUCTIONCOST:
SITE ADDRESS:''f'h'1)'
TENANT NAME:
FORMER TENANT NAME, IF APPLICABLE:
DESCRIPTION OF WORK
ITE #:
? b 35fre y
#:LW)abifa5-aaq-7
PROPERTY
OWNER
Company:
CONTRACTOR
Street Ad<
City: iDs
ARCHITECT/
ENGINEER Company:
Name:
Street Address:
CiTy:
Licensed plumber installing new sewer/water
State: M ?_ Zip:
Phone#: (.&jE5j)-Y]"Myo
State: uk-) Zip: 6D 1 1
Phone #: (
Regisnation #: _
State: Zip:
Phone #: (
I hereby acknowledge that I have read this application, state that the information is correct, an agree to comply with all applica6le State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant ?s -
?i?,.,nq (?-?^e?, p.?±e Updated 1102
OFFICE USE ONLY
SUBTYPE
? Ol Foundation
? 14 Apartments
? 15 Lodging
0 25 Miscellaneous
WORK TYPE
? 31 New
? 32 Addition
? 33 Alterations
? 34 Replacement
? 26 Public Facility
? 27 Commercial/Industrial
? 28 Greenhouse
? 29 Antennae
? 30 Accessory Bldg.
? 32 Ext Alt - Apts.
? 34 Ext Alt - Comm.
? 35 Ext Alt - PF
? 37 Nail Salon
? 35 Tenant Impr ? 42 Demolish (Foundarion) ? 46 Windows/Doors
? 36 Move Bldg ? 43 Reroof ? 47 Repair
? 37 Demolish (Bldg) ? 44 Siding ? 48 Authorization
? 38 Demolish (Int) ? 45 Fire Repair
GENERAL INFORMATION
Census Code
SAC Code
No. of Units
No. of Bldgs.
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
Basement sq. ft.
FirstFloor;sq.
sq. ft. •
r 1 ?.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
MC/ES System
• . ? . City WatEr -
?? • • ?• ? `Fire Sprinklered
?-',. . • . . .`'?.
. _' . ` ?r
MISCELLANEOUS INSPECTIONS
? Gas Service Test ? Heating
APPROVALS
?
.` , •
Planning•', ?:,guilding
. . > f• . ?',...
? Insulation ?7, Plumbing
? Stucco/Stone
?''• ' ? 'Engineeririg'?7 j Variance '
• _'' ..i. , ., ?; ?. „ -
VALUATIOPf
Permit Fee
Surcharge Plan Review
MC/ES SAC *,_!= r % SAC ,. _. ? ', - •. ?? . ,
City SAC SAC Units , ' ,.- ? • -
Water Supply & Storage • Meter Size • ' ' ?
i • ' ,•?.,
S/W Permit • • . ' •• ! .. !, "
SNV Surcharge
Treatment Plant
Park Dedication
Trails Dedication
Water Quality
Other
Copies
Total
?- .
For: GOOD VALUE HOMES
r
z
?
i 4s•??
?i
dt,
a
0
Lv.
? c
C. R. WINDEN 3 ASSOCIATES, INC.
IAND SURVEYORS TeE 645•3646
1381 EUSTIS ST., Si. PAUI, MINN. 55100
x ?
qvL.t
,P/AY
-- - f BY1-
EAGFi1V
Scale: 1"=50'
Denotes Proposed
Direction of Surface
Drainage
xxx.x Denotes Existing
" Elevation
(xxx?x) Denotes Proposed
Elevation
o Denotes Iron Monument
o Denotes Gtood Stake
Proposed Garaae Floor
Elevation = i;.yq.Z
Datum: N.G.V.D. 1929
Adj.
? Proposed Elevations Froml
Grading Plan Preaared By
?e:°7ayne C. Olson, P.E
DEPT
Lots 1 through 4, inclusive, Block 2, JOAt3NY CAICE P.IDGE r^I°TH
ADDITION, Dakotat County, Minnesota.
WE MERE6Y CERTIfY THAT THIS I$ A TRUE AND CORRECT REPRESENTATfON OF A SURVEY OF iHE
lOUNDARIES OF TNE tANp AlOVE OESCRI6EG AND OF THE LOCATION OF All 6U1lCINGS, iF ANY,
TMEREON, AND All VISIlLE ENCROACMMENTS, If ANY, FROM OR ON SAID IAND.
Dotod this 2151 dar ei f' A.D. 1989 C. R. WINDEN 8 ASSOCIATES, INC.
br??^
Survayoq Minnewro Rapiavetion No. &7
170-79
PF-NKW E
Cities DiLyital
? Control
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
4
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-- _ -- .: : -_ .. _ _ - -- - -
;
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1988 SIIII.DING PERMIT APPLICATION - CITY 0 `
= F EAGAN ?
_-
' , SINGLE FAMILY DWELLING3 --
- - ---- - ? .
=INCLUDE-2.SETS OF PLANS. 3 CEATIFICATES OR SURVEYP 1. SET OF ENERGY CALCULATIONS ?- -- --
,
_.NOTEs__ADDRESSES FOH COANER LOTS - CONTAACTOR/HOMEOTdNER MUST DESIGN9TE WSICH 6DDRESS
=- >.IS DESIRED, NO CHANGES WII.L HE ALLOWED ONCE BOILDING PEEiMIT IS I3SpED. - - --
_
MULTIPLE DWELLZNGS RENTN, QNITS FOR 3ALE ITNITS 0 OF ONIT3 --- --- -
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SQRVEY - CHECg Si2TH BLDG. DEPT., -"
1 SET OF.ENERGY CALCULATIONS - _. , ".... _ _
' 'COMME
8CIAL
- : - ? -_? -- - - ` _ _
.-
INCLUDE 2 SE'fS OF ARCHITECTIIRAL &__.STRIICTURAL- PI.ANS,
..? ?,
_-:1SET .OF ISPECIFICATIONS -AND 1 SET "OF ENERGY CALCULATIONS =
:
'
To Be Qsed For Valuations "Date .A?ril 26,I 88
- ,? . -
-Site Address -,q???„k,,,a OEFICE USE ONLY
L?arLa ? m a,y* yyDll $j.tie 9@?'18g@ Occupanoy ?r?
r... ? .?.?"? 'M6ICG _ 'system 1G ?Zoning
.Pareel/Sub'?????r ke?u;` ?a ?rh n?' '? On site xell? Actual Const
,'3 •y..Y* fi?S 1 .•3''a13 ?.-Y a„zt ti.l^7 h " ?,. rn r `. Cf1'.3+'W3t.B1" .AI.7.OW$I)Zfl .?'M" !y
'??Ownec =GOOd Yalu HOmes =?' ?-?? pRV •cequi?ed?-: of'stoes
Hooster Pump ` Length - ? J f
Adtlress 1460 93rd Lane,?Blaine;'Mn Depth
S.F Total r `-1+^.y +?"?
?PYIOri@ 774
780-5510 APPAOVALS ? " FEES
°?y
?'>. ,+„,t,":' .., -. '' ?. '.:. 5,-?..h;.. "?'f '. r , .i "? ^in -•. ' s rw':.
-? .Contraetor Godd Value •Homes Engr/Assess ' Pee^mit S'OZ. tro
,. ..
-Planner Surcharge 7g•So .
Address ' same as above Council Plazi Reviea o,oo
.
_, s ..
.Bldg. Off. '?Zg .SAC, :City 1.00.00
ity/21p Code : same as above Variance _ .. ;SAC . ?MWCC
Y - ?, , . ...: . . ... .
- Water Coria SSo . o0
, . Phone _ 780-5510" '-- • . , - __. : ,k - :Water MetW' Gr?,oo
Z5 00
-' 9reh lEaB ?
r' nwar.ne oi ?n 1Y?eatment P1 tl-70
4oo -
-? p • - -
- - arks .
Address --
Copies.
- --TOT9L
City/Zip Code
_- . - .;.
Phone 4 ? } -
„
eVyw
. ?
_ i
- -------------
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-
.
_ _1988
BIIII.DINGPfiRMIT APPLICATION-= CIT7[ OF EAGAN -
---
? - :
SINGLE FAMILY DWELLINGS
INCLWE 2 SETS OF PLAN$, 3 CERTIFICATES OE_SOHVEYO _1-SET OE-ENERGl'-CA[:CUI.BTIONS
.: ,
_,
?
-- v `
_._.,
•--...
-`HOTEs 9DDRESSES FOA CORNER LOT3 - CONTAACTOR/EOMEOWNER MUST DfiSIGNATE WHICH ADDRESS ?
-'-=I3 DESIRED. NO CHANGES WILL BE ALLDWED ONCfi BUILDING PEAMIT IS ISSQED.
. --
- _ ._ _ -
--
MULTIPLE DWELLINGS RENTAL ONITS FOR SALE OIdIT3-. X, 4 OF IINITS
'
_
INCLUDE 2 SET3 OF PLANS, CERTIFICATE OF SOAVEY - CfiE
- CS WITH BLDG. DEPT., ---
-
-
-
1 SET OF ENERGY CALCIILATIONS -
- - - ---- -
.. >-_
? .
: COh41ERCIAL
--
_ ;-
,
...n..?.. .?,.. ?,._ _
INCLUDE 2 SETS:. OF ;ARCHITECTUR$L &._STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1'SET OF ENERGY CALCULATIONS
--• z ,< .,
,
`
To Be Osed For
?Y ?i?u?? Valuation OD: ^ = Date Aoril 26 1988 P =
'Site Address ??,,k,,,A ?y,? *3'OFFICE.USE ONLY
.
?, YSRT„an .. ?r ..? _ - .-?z?c. ,, .rVVV atu??,?a?r• . - s
r"a t ? ? " P'•„?.? ?tia. ? ...+ . p^ "' ,'.a ?x1?.?5.. w '€ : ?ze.? 3 V-
r"A
?r-
?-,?Phone 10 APPROVALS -?
?
'.? -4onLi aotor Codd Yalue A'omes Engr/Assesa - ?Pecmiti
t
Planner Surcharge ?' -•ZS So : -
Address ? same as above ` Council - Plan Revierr '2rrk oe
Bldg. OfP - Y8 SAC Cit `
af k ?
,_City/Zip;Code _Yariance 39C, ;MWCC??
_WaterConn
Water Meter I,..`G?. ao, t
Road' Uriit 1°` 25 xro `
.r - -
AI'Ch./ r.
?8 nvarnP ot gon - - Treatment -P
P l 20 o?
a?f?Wl-^ ?- .
__Address ? . ? ? .?: Copies
CitY/ZiP .'Code_ ?q4 TOTAL
Ptlon@
k.'a ?.3-y??
s?
,?
ti
? .? ? t'. ? .??r ++?,F'?",.??,-kE"T"r?y'+"? r??._'_` '^r$'ir _ •_ ?"*? vt ';? xr???...g{ °? s .??_,,.?-n.. '
?.
a. _
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. . : _.. _ _ .. - ,. . .... ..?. '
. _ .. _ - . ` . _< . ... ...,?.' _ . _ ?
. ... , . . . ,. ?, _., .. _...._?.s.-? ...- . . . ? , .
?.
1988 HIIILDING PERMIT APPLICATION - CITY OF EAGAN mo '
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY9 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL HE ALLOWED ONCE BUILDING PERMIT 25 ISSUED.
MULTIPLE DWELLINGS RENTAL QNITS FOR SALE UNITS X_ U OF UNZTS
INC[.UDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENE[iGY CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
I oF 4
To He Used For: R.C4aeo.1? Valuation: ? I 000 Date: I{gril 26,1988
Site Address 4ti.3YpA.,1cwP waU
Lot ? Block ?
Parcel/Sub ,Th,,,,,,,TA R;ra9o Sth n,9,9 I
Owner Good Value Homes
Address 1460 93rd Lane, Blaine, Mn. I
City/Zip Code
Phone 7E30-5510
Contractor Godd Value Homes
Address same as above
City/2ip Code. same as above '
Phone 780-5510
MCh./Engr. pwat_nP olson
-r-&?sso?r.
Address
City/Zip Code
On site sewage_ Oecupancy R-3 M-
MWCC system Zoning g $
On site well Actual Const V- N
City water L-? Allowable y_N
PRV required _ # of stories
Booster Pump _ Length zfy'
Depth ?
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr/Assess Permit 462,00
Planner Surcharge 28.50
Council Plan Review Zo/, o0
Bldg. Off. 5Zj]yz8 SAC, City /00.00
Variance SAC, MWCC 550.00
Water Conn 65,0.00
Water Meter .Oa
Boad Unit 32.S.
Treatment P1 2ou•c0
Parks
Copies
TOTAL ?
U
Phone If
, . ... ._ _ : ._
:.
-.- ,-- ?, r - - -
_-
? - -
l . ? ::.1988 B[1ILDING? PERHIT APPLICAT20N - CITY OF EAGAN
-
3INGLE FAMILY DWELLING3.
- ?.
.._.? .. ? .?. .v. i.. .\.. . ? . _ ' _ - ' ...--? ...?. . . ?^ .
- ?. , _ _ • - ----
.
INCLODE 2 SETS OF PLANS„ 3 CERTEFICATES=OE_ SUIiVEY, =1-SET OF ENERGY CALCOLATIONS
. , _ _.. . ..
-- _ . ,_._ -- ---- - ---- -
--- NOTEs ADDRE3SES FOR COANER LOTS - CONTRACTOH/HOMEOWNER MITST DFSIGNATE -WHICB ADDAESS
- IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BOILDING PERMIT I3 I33IIED. "- "-_
HULTIPLE DWELLINGS . BENTAL QNITS F08 SALE iJNITS Y,_ # OF iTNITS '
.
_ -INCLQDE 2 SETS OF PLANS, CEATIFICATE OF-SUAVEY - CHECK WITH BLDG. DEPT.t --- -.-:_ _
,. ,
_., t SET OF ENERGY CALCULATIONS
_ ., .. . .,
-- - `
COMAtERCIA_L - -- --_.- " _ _:
,_- - ° , ,- ..-- - -
---- --- --
INCLUDE 2 SETS-- OF -.-ARCHITECTURAL & STRQCTURAL.PLANS, .,.,,.-?
_1 SET OF 3PECIFICATIONS AND 1 SET . OF ENERGY„_CALCULATIONS. °-- • ?
?: A, vJ`"Ri ?"` ??* +?? ?. ,. .-.....u. --.w..'.''?.ac„3.::. =.."?-?' 4 r g '?1 4•-== _- n . -
. _ I'u . . . `.-..., -T7-,.. L ..,°' .;^. ? r ?-.• . .`
=- ..: , z s. .. ' ... , :' ? . .
To He Qsed For ?l?[?itc?i - Valuation QOCS Date Aril 26,1988
z= '--r-- • -?- ?
?4
Sit e Address ? OFFICE USE ONLY-
3
= cra :site sewage ? ypancy°?
MWCC system ` v" Zoning ? "3
tP
arCe/Sub
?„?,. e„n?^^ z rare R,.?,o 5rh=?n? t
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well •"Aetua`1 Const *T.?? nt
On ",site
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? ter r, ?,?
-A13o?rable
2???x+?=Na
City W
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Owner
Valae `HOmes 1=6
PRV.
reguired
bf stories
'
-` ..
.
.
Booster Pump Length
'
.
?
.,,
? s
+ Address L
1460 93rd ane, e-Blai
ne, Mn - ? -•
^? °?."4. T ?
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Depth ,
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Foobprint _
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4
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-?Phone
780-5510 '?y '`!a ?? ? t ? " x' k . : s.:F?@" - ?h' '` _ ;._.? ?,, w-
APPROVAI
? ="?FEES
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7
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..
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?.: <Contractar Godd Value Homes ;€.i
_
. r.;
Engr"YAssess Permib ., •
:.a_.a-
_ ?Planner : Surcharge 2 :So
Address
sanoe as atiove J Council Plan &evieW' Zo l, oo .
>. . _ y -
? Bldg t Off. z87SAC, City oo ?
.
'?City/Zip_=Code same"as above ' *?+ 'a
Uariance ; ' :' 3AC," [41CC 5 :da = -.
- :
.
_
? Water Conn 5
, • -
,
,
. .. .
?
Phone
'780-5510 ?-
waterMeter b ,oa._
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-
d
.?.iJ. Tl .. . . . . .'
Road" Oeit ''-" ZS.aaz '
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t Arah./Engr
.
- Treatment Pl 2ov ,oo
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? '4_. '...... .? .' . .• .'
>.. ._•. .- - - , _ -
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.
Parks -
_ - -
.
.
_Address Copies .. . _ ._ _'1:.
? ^ + : . , . . . . _ TOTAL
.,
?' City/ZiP_Code __: _`.?_.. _. ,. -r.w.; ... ... _ .. _--
. . -- -.. .
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L'iTY Cil= E6aGAN
(;ASH:f.G:R: JS TF'RMIiJ& NU: bsi'
DP(fE° 08/26/79 ITMF_e 11.57'28
IUc
NAMf_': ;iUNDAN('C: ri]t,5T'RUCT19N
300 9001 404 1/'r? F'L.NKWE 60.00
3430 9001 461.4 i./i' f'EAlI(14E'. O.i.`i
:9430 9001 4614 1/2 '-'Ir'P!4;WE 0.50
320 9001 4632 F'E:iii(I•IE. P!f't' 60.00
3430 `_)!]Oi. 4632 I'i:Nl'NF: WAY 0.75
2155 9001 4632 FE.hlKWli: WAY 0.50
Y
Tol;a:l. itir.Ceipt, (;mGurl+,: 122„50
CF J. i.'=,38:5
l.1sE:h :CTJr J(-ttd
>R ?X Y,c ?? l,", ?A?k>k %: `?t z$ m$<?Y,;Y,:Y,l>X ):::t;Yfi ?X+k'/ m M?F M 16 R.M>i? M* Y,<::>%dY
1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
cirv oF EAcaN
3830 PILOT KNOB RD • 55122 2 3 ? ? ( 651-681-4675
„?
n ction R I Remodel/Reoak Reaulreme
? 3 regbfered sRe survep showing sq. tt. oi lot, sq. fl. of house 2 copies ol plan
and gp raofed meas (207* maximum lot eoveraae olbwed) 1 set of energy caleulaHom for heafed addNions
D 2 coples of plans (ahow beam 3 window shes; poured Md. design; Mc.) 7 sRe suney lor exterbr oddlNons a decW
D 7 seT of energy cWculaNons
D 9 copka o1 hee preservaNon plan ! l01 plaked afler 7/1 /93
DATE: CONSTRUCTION COST: 40 ' oo
DESCRIPTION OF WORK: 1dx-Q A- l
STREEf ADDRESS: ?e,,?\Lwe
LOT: BLOCK: 2- SUBD./P.I.D.
la-;qh? -030-01-
PROPERTY
OWNER
Name: F0.v'v-e (,? V/\R•-% k Yti Phone #:
La? Fart '
(?S(-?b'?• 906?
Sfreet Address: q (-3 z- pQ?V-U? ?
CHy Ca9 q e, Stale:
wiN
Zip:
Ss1 z z
Company: 5v ln.C?.CItiCF ?!?? • Phone Ik: ? I Z- 5-3 -7-7 5`6 y
(area code)
CONTRACTOR ? c? Z Z L1Z1.-? ?]ue /U S6?0 3-ad
Sheet Addreu: Ucense # Exp.
Cryy C'r-`Stale: mZip: J SqZ -7
ARCHITECT/
ENGINEER Company: Name:
Telephone #: area code (
Sheel Address: Registration #:
C(iy State:
Sewer 3 water Ifcensed plumber (reauired for new conslructfon onlv):
Penally applies when address change and lot change is requested onee pertnR Is Isaued.
Zip:
I hereby acknawledge fhaf I have read this applicaHon, sfafe fhal the tnformaNon Is cortecf, and agree to comply wNh 00 applieabl
59ate of Mlnnesota Statutes and Clly of Eagan Ordlnances. `
Signature ot Applicant (/ " ???!'?'??•- `, 1
. ?
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
OFFICE USE ONLY • I ,
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling . ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea.
? 03 1 of _ plex ? 08 6-plex O 13 16-plex b? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Poal ? 25 Miscellaneous
WORK TYPE
?C1 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffts/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert 0 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg ` ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
` Give PCA handout to appli cant for demolition permit
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. Census Code ly 3y
(Allowable) Main Ievel sq. ft. SAC Code O/
UBC Occupancy sq. ft. No. of Units O
-
Zoning sq. ft. No. of Bidgs
TF
# of Stories sq. ft. MC/ES System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC ,
City SAC
Water Conn.
Water Meter
Acct. Deposit
SMI Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Totai:
Building
6(L
i ?
--j60-'Ar
1/Vl/ Engineering
Valuation:
Variance
SAC Units
% SAC
Rut 23 98 01156p G6A Reeouroe Group Ina 6128539922
? .
Joxlvm CA.xIE RIDCF.
TOWNHOME ASSOCTATInN
Managed by
Carcdom,iniurn & Associauan Raaurce Group, Fr.c.
7900 Intematioea! Drive, 5uice g 953
Hlaomingtoa, MN 35425
61 2/853-99I0
Augcsc 19,1999
Mr. Bill Wof;7'
Sundance Consirucuon, Inc.
G922 42mJ Avenue NoN;
Crystai, MN 55427
Re: Deck Extensions
Ucar Mr. Wolff:
1'he Johnny Cake Ridge'fownlwme Associstion Aoard of Directors hr, appmveci your
bid for deck extensiona at lohnny Cake Ridga Tnwnnome Association. The deek
extcnsioiie, wfuuh nre opt[onat for homeowners ta nuzchase, must weet $ag;an Cily
Codes.
]f you har•e atrv questiuns, plense feci free to contac;t me at 612.853.9910.
Si:tcerel; ,
Pedcr T. Flaten, Associadoa Mattager
Dii 8elialf uf che Johtmy Gake Ridge Townhome 13oazd of Dueccors
p.l
'W '' o/ Amv'y
For: GOOD VALUE AOMES
... ;'1 .. r ? ''.
DATE ??Z? -?f? 1
? 32.00
't
o
(94e.z)
?
?
?
)
tvo6l
Z
Scale: 1"=50'
-?- Denotes Prooosed
Direction of Surface
Drainage
xxx.x Denotes Existing
" Elevation
(xxx%x) Denotes Proposed
Elevation
o Denotes Iron Monument
C. R. WINDEN d. ASSOCIIITES, INC.
IAND SURVEYORS iel 643•3646
1381 EUSTIS SL, ST. PAUL, MINN. a5109
x ?
q y?•t
,AIAY
PENKWE_
o Denotes Wood Stake
Proposed Garaae Floor
Elevation = g491.Z
Datum: N.G.V.D. 1929
Adj.
Proposed Elevations F
Grading Plan Prepared
De:9ayne C. Olson, P.E
Lots 1 through 4, inclusive, Block 2,-JOfiNNY CAI:E RIDGE rIFTH
ADDITION, Dakotat County, Minnesota.
.-•,, e^? - -
, -
. ?' . .. . M-? ?
ixe
?y??" .,?• ?
riace ?
WE MERf6Y CERTIFT TMAi TNIS IS A TRUE ANO CORRECT .REPRES NTATION Of A;SURVEY,.OF THE
SOUNDARIES OF iME tAND A60VE DfSCR16E0 ANO Of TME IOCATION 'Of 'All'`6UIlDINGS, -•li ANY,
TNEREON, AND All VI516LE ENCROACMMENTS, If ANT, fROM OR ON SA10 LAND.
Dofed t6i6 215t dar of f ' A.D. 1989 C. R. WINOEN 6 ASSOCIATES, INC.
`T Z.w "-/'u+.c. .
Survyor, Minrwwla Rooistrolien No. f467
9
-79
..a1,
??K??':?R:x?ua?c??k!N????%?K%?*???:?k??:#?%•K#?'?;%?sk?tkza?
CITY Cl"-' GAGAN
,^A°3?-t:f.+v:F;:° S 71F.RMTHO1_ P'(;; 59.
Pfir7Eit EI2124/9* 77TT?ES i"Ss`:+r ^ a7
In e ..
NnMEr nLt_?'ED r-I;_sir.+t rNr; "
`W;i.a 9f7nt 4s79 o:nurMaNxs so„an
2.55 .90C11-; 4',37:' 4:AL;WAN?£i C.),,:it1
3??.:.0 9001 4630 POOicNE aAv MGM
2155
? 9001 4030 PEr+r.wE 4iAY n,5q
7n'r4:!., Pierei.p'; A'nun`. - :^i.00
Gr?:l70255 .
-'uREi1'rr?e
??te?k?k #Y??v,c%C?'Y?*?: t? ?e?k'?', ?,???a•x.k'???i:?t°.rk:ssw;?r.:*%K
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMITTYPE: BuzLozNG
Permit Number: 029520
Date Issued: g 2/2 g/g 7
SITE ADDRESS:
4630 PENKWE WflY
LOT: 4 BLOCK: 2
JOHNNY CAKE RIDGE 5TH
P.I.N.: 10-39804-040-02
DESCRIPTION:
BuiSding-,Fermit Type
1! 3uilding ld?O.r.k Type
$; Census Code ??f
,
? i
,.... _ ; r?, •
FIREPLACE
NEW
434 ALT. RESIDENTIAL
..,`\, ?-... , . ?-
.?
REMARKS:
FEE SUMMARY:
Base Fee $50.00
Surcharge $.50
Total Fee $50.50
CONTRACTOR:
IRESIDE CORNER INC
- Applicant - ST. LIC
16331042 0001068
AVE
55113
700 N FAIRVIEW
,OSEVILLE MN
?(612) 633-1042
OWNER:
WE57ERBROCK ANN
4630 PENKWE WAY
EAGAN MN 55122
(612)681-0782
T hereby ackn:naledge that I have read this
information i:s correet ansi agree tn comply
L Statutes and City nf Eaqan Ordinances.
APPLICANT/PERMITEE SIGNATURE
PERMIT
application and state that the
ot3;th all epplieable StaCe of Mn,
A'rl"eL ?11 ISSUED & SIGNA E
?l CITY OF EAGAN
S?O?/j? 3830 PII.OT KNOB RD - 55122
1997 FIREPLACE PERNIIT APPLICATION
681-4675
DATE: PERMITFEE: $50.50
?G?as
DESCRIPTION OF WORK: ? CONSTRUCT IREPLACE _ ALTERATIONS TO EXISTING
IIVSTALL GAS INSERT ONLY
_ INSTALL GAS LINE ONLY
OTfER:
STREET ADDRESS: 16 3 Q ?? J<' Uj CWAY
LOT ? BIACK .42' SUBD./P.I.D. #: ?
APPLICANT: (circle one only) OWNER ? CONTRACTOR
5 a
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
PROPERTY
OWNER
FIREPLACE
INSTALLER
GAS LINE
INSTALLER
Name: W 6-5Ts€12'S1bUL -f? 1J0 Phone #: ZE? z
Signature:
Street Address: 46 -3 0 - ?? x' W ? A/X y
City: E;1 G 4-01 State: rn N Zip:
A«( c-y--> le7 -s1o?
Company: ?T?in? Phone#:$E??O7? 633 ZYb/
Signature:
Street d"ess: 39.So - u1- /3 License #: l ? 6 `$
City -13u 245 i /! LL.E- State: MAI( ziP:
Company:
Nazne:
Signature:
Sueet A
City:
Phone #:
JL'6LG. Llp.
.,
.. F
.. 'r:.-. ?r.i
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 14 F'veplace
WORK TYPE
? 31 New ? 33 Alterations
? 32 Addition ? 34 Repair
GENERALINFORMATION
Census Code.
SAC Code
REMARKS
Chimney/flue must be inspected before concealing.
APFLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
_
? NCJPE: PAYNII3Nf OF FEE AT TIME OF .'„
; nerLxcaazaa ooFS Nar CON- ;
; stIlcmt: aePacM OF PERMuT. ;
t
; zNSr¢Maa OF sE.Ee nrn/on wnTa k
;.
; xxsr,aLTaTxoris waa. Nar ee scmU[,m ;
? [!Nl'IL PERMIT HAS HEHd APPR(7VID. +*,
f:.exv?wwf*wrtx?+t?»#?sraawWefr?+t++ xt?
OF GC1gt8P1
(PLEASE PRINT
1) PROPERTSt ADDRESS: . . 7`? -?d. . .
LI]GAL DESCRIPTION: .
Lot B ock S vision or Tax Parcel ID
IF EXISTIM STRC'CTORE, DATE OF ORIGINAL Bi]ILLIING PERMZT ISSUANCE:
Mon ear
PRESENT ZONING/PROPOSID USE:
Q CONN9ERCIAL/RETAIL/OFFICE
Q INDDSTRIAL
? INSTITUTZONAL/GOVERNMENT
R-1 SINGLE FAMILY
? R-2 DDPLEX (3WO Units) `
R-3 TOWWOOSE (Three + Dnits) (?Units)
? R-4 APARTMENT/COPIDOMINIUM { Lnits)
2) NAME:
ADDRESS: .?7 5-S{d
cM, STATE, ziP: Z--IiY u ny
PHONE:
3) NAME:
ADDRESS:
CITY, STATE, ZIP: .
PHONE:
MASTIIt LICENSE #
? Active
Expired
Not recorded
St Initia
4 ) 1C?s.R'?5P3_l?u e ,n ?:11
NAME: ?j--o? ? c.? a ? ? -? ?SLo ?,... ? •,
ADDRESS: ? l??e C1 R 2 Y? Ld ..e •.?/ `
CITY. STATE, ZIP: n w- x-? n!
PHONE:
5) s 1 - a ?• • u
CONMSCTION TO CITY SEWEEt CONNEC'PION TO CITY WATER a OTHF?2
6)
-'"2 Q- ?s'
* THE GpLD COPY OF THE PERMIT WILL BE SENr DIRECTLY TO PLBLIC WORKS 1U FACLLITATE METER PICK-IIP.
PLEASE ALIAW TSvU WORKING DAYS E'OR PROCFSSING. SONIDONE EROM TM CITY WILL CONl'ACf YOII IF TSERE
* ARE ANY PROBL,II•LS.
FOR CITY USE 4NLY
PERMIT # ISSUED "
Pd w/Bldg. Permit FEES:
$ SEWER PERMIT (INCLUDE SURCHARGE)
$ $ ?D ^Sa WATER PERMIT (INCLUDE SORCHARGE)
$ WATER METER/COPPERHORN/OC'TSIDE READER
$ S WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ $ L ? ACCOUNT DEPOSIT - SEWER
$ $ ACCODNT DEPOSIT - WATER
$ $
WAC
$ S
SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRCNK SEWER
$ $ LATERAL BENEPIT/TRLNK WATER
? e? $
WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ $
5-1
o d
,
? TOTAL
3
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQDIRE EXCA VATION IN PCTBLIC RIGHT OF WAY?
Q YES IF YES, THEN A" PERMIT FOR WORK WITHIN P[!BLIC
Q
NO ROADWAY" MUST BE
DIVISION ISSOED BY THE ENGINEERING
. LIST AS A CONDITION.
SUBSECT TO THE FOLLOWING CONDITIONS;
APPROVED BY: /l)?, ?,
TITLE:
DATE: ???/??
APFLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
. . „.
.
.
i N:Yi'E: PAYNgI7f OF FFF:E AT TIME OF
; nrrts=«a oors Wr 0DN- ;
; srisvre nerxQrar. CP amMT. ;
,*k INSPFIC3'SON OF SETd+R ADD/OR MTER ;
? ILSlAIJATIONS WILL NOT BE S'FfYRCn
y[!NCfL PP1tFIIT EAS BM APPROVm. .*,
dtV f???xifff,+farxrt?:y?»+eee??x?aff.k+it?++
OF CC1gt8n
(PLEASE PRINT
1) PROPII2TY ADDRFSS: .__!a3?: ? e 7?/F L, 4/ st,.,C'
T,Ff;AT• DESCRIPTIONS.
Lot Block S vision or Tax Parcel ID
IF EXISTING STRT-CTURE, DATE OF ORIGINAL Bi]ILDING PERMIT ISSUANCE:
Mont Year
PRESENT ZONING/PROPOSID USE:
Q COMMEEtC2AL/RE,TAIL/OFFICE
Q INDLSTRIAL
a INSTI'IUTIONAL/GOVERNMENT
U R-1 SINGLE FAMILY
?q R-2 DOPLEX (3tvn C?nits)
?
? R-3 7'OWMOLSE (Three + C'•aits) (-?LLfiits)
Q R-4 APARZT9ENf/CONIDOMINIUM ( C'nits)
2) ?NAM: & I'C4C,F4CCw
ADDRESS: 75 S/(j C%!St e-?
CITY, STATE, 2IP: 4 /' y c'L ,4 A-,e ??i ? S G 7 3
PHONE:
?
3) NAME:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
MASTEE2 LICENSE #
Ij Active
Expired
Not recorded
St Ia£? ni- tia
4) • • ?•
nArE: a rDDREss: /4460 93 ?-4 a
CITY, STATE, ZIP: ,yN ?g" 3Y
PHONE: -2 sra
5? I A 114244 .m. . XOIOI
?CONI?CTION 'PO CITY SEWF?2 ? CON[?CTION TO CITY WATER O 0'I?
6)
?- a s-
*?**??*******?**r?+?*+*?i/***********?*****,r**?********?************,?*,r*******W*?**?*?*?******?*******+y
* THE GOID COPY OF 7?HE PII2MIT WILL SE SENP DIItFX.'PLY TO PiJBI,IC WORKS 1O FACII.ITATE MEIER PICK-UP.
* PLEASE ALiAW TWO WORKING DAYS FY)R PROCESSING. SOMIDONE FROM TM CITY WILL CONPACP YOL! IF TIiERE ?
?
* ARE ANY PROBLII"LS. +
?***??**?r?******?****+??***,r**??**+,r*****?****+?*??*?*,r?*******:*?*****?+?**r*??**??+*?**?*,?***+**;.
FOR -CITY USE ONLY '
PERMIT # ISSUED
? <,3 Z
Pd w/Bldg. Permit FEES:
$ $ OD ' S-70
?
SEWER PERMIT (INCLUDE SURCHARGE)
$ $ WATER PERMIT (INCLUDE SURCHARGE)
$ WATER METER/COPPERHORN/OCTSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ $ 00 ACCOUNT DEPOSIT - SEWER
$ $ ACCOUNT DEPOSIT - WATER
S ?5 D ?0 2) $ wAc
S 6 S?C? O? $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ ??? $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ //
/`t $ ? ?D U TOTAL
?3zs7 A33?2.
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCA VATION IN PUBLIC RIGHT OF WAY?
Fl YES IF YES, THEN A" PERMIT FOR WORK WITHIN PUBLIC
Q
NO ROADWAY" MUST BE
DIVISION. LIST ISSL?ED BY THE ENGZNEERING
AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE:
oF eagcsn
(PLEASE PRINT
1) PROPERTSt ADDRESS: ? 6 :? q Ii` c' ai('?,tl gp 61 a- v
T E:AT, DES(S2IPTION:
Lot B oc S vision or Tax Parce ID
IF EXISTING STRC'CPORE, DATE OF ORIGINAL BUILDING PERMIT ISSDANCE:
A1on ear
PRESENT ZONING/PROPOSED USE:
Q CONAIEF2CIAL/RETAIL/OFFICE R-1 SINGLE FAMILY
Q INDLSTRIAL ? R-2 DUPLEX (3wo Lnits)
Q.INSTITC;TIONAL/GOVERNNENT (?( R-3 TOWNII30DSE (Three .+: Units) (?_Lnits)
-t-?
Q R-4 APARTMENT/CODIDOMINIUM { Units)
2) NAME: &"Ck&-t%ow ADDUESS: '? "?'' /-/ c 'l !a- v -?
czTsc, STATE, zzP: /,` ni o L A? ?? /?? n? S Sa 7 3
PHONE: `J Sr S- .., v ?-S
For City Use
3) NAME: c AI- ?? ,r _ Plwnbers License:
ADDRESS: Active
Expired
CITY. STATE, ZIP: ( Not recorded
PHONE: MASTER LICENSE #_ gt Initia
4)
NAME: r-n [; A ii r1 t ?: f-krl bYi c„3
ADDRESS: Ie-/Crt Sf 3,-.? Li¢?ve N/=
CiTt. STATE, ziP: L3 L? 1, n, p rn Al S' ? 4 3 y- S? 39 Fr
PHONE:
5)
- APFLICATION 1=0R PERMIT
SEWER ANDJOR WATER CONNECTION
. ., . .
,
**N01'E: PA124ETdf OF FEE AT TIME OF
*
APPLICATION OOES NOT CON- :
? S1TIITIE APPR6JAL OF PER6IIT.
y
IIISPFZTSCN OF SESd'R AN7/OR FU11II2 *
?.
IIYSTAfJATIa15 WII.7. N01' HE SCEDIR.fD ?
? [7N3'IL PF726ffT HAS BEQN APPRWID. ?
ffllitfllfflRYYtiFiffi}y#lf??f }fAfltl4Yi#R1r
FKA CONNECTION TO CITY SEWER I?I CONNECPION TO CITY WATEft a 07'HERR
6)
v
'? j ';' - 81 S?`
* 74IE GOID COPY OF TfiE PERNIIT WII.L BE SIISP DIRBC1Z,Y TO PUBLIC WORKS 70 FACn.ITA't'R METER PIQC-UP.
* PLE115E ALIOW 7Sa0 FARKING DAYS FDR PROCFSSING. .?'iONIDONE FROM TM CITY WILL (JONPACP 1OLl IF TFIERE *
* ARE ANY PROBI,IIMS. +
??:?***?****??*****?+e*??**********:,t***?*?r+*??*++**?*?,r**?****,r*******??*t**?****?*???*?**++?****,ty
. F'OR CITY USE ONLY '
PERMIT # ISSUED
Pd w/Bldg. Permit FEES:
$ $ /b S? SEWER PERMIT (INCLUDE SURCHARGE)
$ $ ?CJ S U WATER PERMIT (INCLUDE SURCHARGE)
$ ? 7' G' 0 $ WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (INCLL'DE CORPORATION STOP)
$ $ SEWER TAP
$ ACCOLNT DEPOSIT - SEWER
$ ACCOT-INT DEPOSIT - WATER
$ SSZJ ` U? $
WAC
$ ? 5 0 ' Va $ SAC
$ S TRLNK WATER ASSESSMENT
$ S TRONK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRONK WATER
$ $
WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ l`t 71. C' D $
TOTAL
P 3 -?T ? z
RECEIPT RECEIPT
DOES LTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
Q
NO ROADWAY" MLST BE ISSLED BY THE ENGINEERING
DIVISION
LIST
.
AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
AP PROVED BY: ^
TITLE:
DATE : J?? ???
APFLiCATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
: , xiR;
?NOTE: PAMNP OF FEE AT TIME OF ?
w APPLZCATiON DOFS NOT CONY 3
i 31T1[l1E APPRCNAL OF PER6IIT. i
? IIISPF7CPION OF SENffi2 APD/OR N41TII2
? IW1'ALiATIIX1S WIIL NCr BE SCMID y
? [7[71'IL PERMT HAS BL'FN APPAOVID. :
Rtl4l4f4#tittltfii**kk?i'k!!lfi4/YrRYFMffS
oF czC1gC8i9
(PLEASE PRINT
1) PROPII2TY Al)DRFSS: 4.(? [u a f? 3 ?
T•FY;AT• DESCRIPTION3
Lot7Block/Subdivision or Tax Parcel ID
IF EXISTING STRC?CTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE:
Mon Year
PRESENT ZONING/PROPOSID USE:
Q COhIINECtCIAL/RETAIL/OFFICE j R-1 SINGLE FANIILY
Q INIDDSTRIAL ? R-2 DDPLEX (3#wo Ljnits)
Q INSTITUTIONAL/GOVF.ftZ1ENT ? R-3 TOWNHOOSE (Three + Onits) ( -4/•-Lnits)
?
Q R-4 P,PARTMENT/COAIDOMINIUM ( Onits)
.
2) [vAME c fs,/ r- C.l<e l- t o/?/
ADoxESS: '75-9a z
CITY, STATE, ZIP: ?. /` nco L A /c f' 73
PxoNE: 4 y 5
For City Use
3) NF1ME: Plumbers I.icense:
ADDRESS: Active
Expired
CITY, STATE, ZIP: Not recorded
PHONE: MASTEEt LICENSE # St Initi
4) ? ., o ?•
rArE: fr-b c] A,
r.onxFSS: I 4C Q (9 31- d L n-A..? .ur
CITY, STATE, 2IP: ? L 3T rv A/
PHONE:
5) ? ? ? .l. a. •?zu •an ? ?!?
?CONNECTION TO CITY SEWER CONNECTION TO CITY WATII2 O O=
6)
- 2S-
THE GOID COPY OF THE PERNIIT WILL BE SENf DII2EX.'J'LY 10 PUSLIC WORKS TO FACILITATE MEiER PIQC-IIP.
PLEASE ALLOW RSVO WORKING DAYS EC)R PR(kCESSING. SOhIDONE EROM 'IM CITY WILL CONPALT YOL IF TFIII2E
* ARE ANY PROBLIIMS.
FOR CITY USE ONLY ^ '
PERMIT # ISSUED
Pd w/Bldg. Permit
S c
.
4
SEWER PERMIT (INCLUDE SURCHARGE)
$ $ WATER PERMIT (INCLUDE SORCHARGE)
$ ? /"? ? $ WATER METER/COPPERHORN/OUTSIDE READER
$ $ WATER TAP (INCLC'DE CORPORATION STOP)
$ $ SEWER TAP
$ ACCOONT DEPOSIT - SEWER
$ $
ACCODNT DEPOSIT - WATER
$ S-5-0 O d $
WAC
$ ? 5-v • o d $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRLNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRDNK SEWER
$ $ LATERAL BE[VEFIT/TRUNK WATER
$ $ WATER TREATMENT PLANT SURCAARGE
$ $ OTHER:
$_ I`t ?71' O O $ ct TOTAL
IY3 a.s3' S' 3 3/ Z
RECEIPT RECEIPT
DOES UTILITY CONNEC TION REQLIRE EXCA VATION IN PUBLIC RIGHT OF WAY?
? YES IF YES, THEN A" PERMIT FOR WORK WITHIN POBLIC
Q
NO ROADWAY" MUST BE
DIVISION ISSUED BY THE ENGINEERING
. LIST AS A CONDITION.
SLBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
FEES:
/d - 5--ZD
DATE : T/.? /? ,?
f ??
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA165844
Date Issued:11/23/2020
Permit Category:ePermit
Site Address: 4630 Penkwe Way
Lot:4 Block: 02 Addition: Johnny Cake Ridge 5th
PID:10-39804-02-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Ann K Westerback
4630 Penkwe Way
Saint Paul MN 55122--371
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature