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4633 Penkwe WayCASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD €AGAN, MINNESOTA 55122 DATE 19 REC£fYED FRQM AMOUNT $ ` ? ? CASH [] CHECK DOLLARS 0 FOR ? White-Payer: Copy Yellow-Posting Copy Pink-File Copy Thank You .??y- , a v CITY OF EAGAN Addition JQHNW, ?_ AKE _ RI86E -3rd !lBBITIBN-Lot i pik S Perce1*10.-39802 Q?D 05 Ownerlikk' 11dFi-Al I???Strest 463-4 Penkwe Way gt,tgEaLlan M 55122 Improvement Date Amount Annual Years Payment Rece+pt Date STREET SURF. q 1981 Paid Urid Y' OTl. inal arce STREET RESTOR, GRADING SAN SEW TRUNK 197$ Paid Wld T OTl. inal arce * SEWER LATERAL WATERMAIN * WATER LATERAL 1981 WATER AREA ZZ 1980 P1ad l]Ild T OTl inal arce STORM SEW TRK * STORM SEW LAT 1981 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. 60-79 SAC 525.00 20342 8O PARK CITY OF EAGAN Remarks Additton JOHNNY CAKE RIDGE 3Td ADDITION Lot OwnerkGk;P.IEr;, :W? "(i,;,l,;;, lrp street 463A Penkwe 5 Pefc,1#14 39802 020 05 Eaean NA1 55122 Improvement Date Amount Annusl Years Payment Receipt Qate STREET SURF. 5758 1981 Paid USld T OTl inal arce STREET RESTOR. GRADING SAN SEW TRUNK 30 1975 Piad Uild r origninal 8TC 1 * SEWER LATERAL WATERMAIN • WATER LATERAL igRi WATER AREA q 19$0 P81d 1111d T OTl inal arce l STORM SEW TRK 6,30 * STORM SEW LAT 1981 CURB & GUTTER SIDEWALK STREET IIGHT WATER CONN. BUILDING PER. SAC PARK CITY OF EAGAN Remarks Addition JOI-INNY CAKE RIDGE 32'd ADDITION Lot 4 RIk 5 Parcei#10 39802 040 05 Owner4J1 ji,l `: L t? lt i i ? rt:},•T; c t st,eet 4635 Penkwe Way stat. Eagan NIN 55122 improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 1981 Piad UIId r oringinal 1TC 1 STREET RESTQR. GRADING SAN SEW TRUNK 9$ 31 Ul1 r origina arce * SEWER LATERAI 2277-43 5.49 5 277743 WATERMAIN * WATER LATERAL 981 WATER AREA 1980 81 U21 T origina arce STORM 5EW TRK lggl 300.31 60.06 * STORM SEW LAT 1981 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 795 00 20342 8 8 6 SUILOING PER, . / / 0 SAC PARK CITY OF EAGAN Remarks Addition JOHWX CAKE RIDGE 3rd ADDITION Lot 3 Bik 5 owneT_ ti -` -, i+ .??! ;.'?rT st?eet 4635 ; Penkwe Way _Parcel#10 39802 030 OS #10 39802 030 05 Improvement Date Amount Annual Years Payment Receipt Oate STREET SURF. ?s 1981 Paid UIld T OTl inal arce STREET RESTOR. GRqDING 5AN SEW TRUNK p 1975 Paid und r original arce * SEWER LATERAL WATERMAIN * WATER LATERAL WATER AREA qZ 9$0 P1S UIl 2' OT1g1Ti2.1 arce STORM SEW TRK * STORM 5EW LAT 1981 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. 03 SAC - 4- PARK ? 3,f 5 ? 3 a / g 6 -z--?-, ?-t-, MECHANICAL PERMIT CITY OF EAGAN CONTRACT PRICE Site Address Lot.e4,_ BAK4 lock m Name m Addre c City _ _ Name c Addre p Ctty J Forced Air Boiler Unit Heater Air Cond. Vent Gas Piping Outlets # Other 3830 PILOT KNOB ROAD, EAGAN, MN 55121 -?-„ QHONE 454-8100 PERMIT # ?2 ? RECEIPT # DATE: BLDG. TYPE WORK DESCRIPTION R2s. ? ? New Mutt Add-on ? Comm. Repair Other W M FEES , RES. HVAC 0-100 M BTU -$24.00 Phone 'd71 ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 GAS OUTLETS - 1.50 EA. M BTU COMM/IND FEE - 196 OF CONTRACT FEE M BTU MINIMUM - RESIDENTIAL FEE - 10.00 M BTU dv M BTU ? MINIMUM - COMM/IND FEE STATE SURCHARGE PER PERMIT - 20.00 - .50 CFM (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) FEE ' S/C' t?) SIG TURE OF P RMITTEE TOTAL• ?; 'J 1 1 FOR CITY OF EAGAN Raceipt PLUMBING PERMIT Permit Na r CITY OF EAGAN 5- Fee Fill in numbered spaces S/C 1 Type or Print legibly T ot. 1. Date j? 2. Installation Cost 3. Job Address ? J ? 'r ' •' ` ? "7:-- Lot Tract 4. Owner .- ,a, ? 5. Contractor Phone 6. Address 7. City State ?- Zip / 8. Building Type: Residential O Commercial O Institutional ? 9. Work Description: New 0 Add ? Alter ? Repair O 10. Describe 11. No, Fixtures Water Closet No. Fixtures Cess ool/Drainfield Bath tubs p 5eptic Tank Lavatory % Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Orains Drinking Ftn. Slop $ink Gas Piping Outlets 12, I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed for Rough Final ; Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Raceipt ' PLUMBING PERMIT CITY OF EAGAN Fill in numbered spaces Type or Print /egibly Date 2.InstallationCost 3. Job 4, Owr `? r 5. Contractor Phone ? r 6. Address 7. City ??- - State ? Zip 8. Building Type: Residential O Commercial ? Institutional ? 9. Work Description: New ? Add ? Alter O Repair O 10. Describe 11. No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Se tic T nk Lavatory p a Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : . for Rough Final Inspections: Date Insp. Date tnsp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-6100 l Permit No. Fee ?. ? S/C Tot l ?? Receipt PLUMBING P ERMIT Permit No. CITY OF EA GAN . Fee fill in number ed spaces S/C Type or Print legib/y Tot. 1. Date 2. Installation Cost 3. Job Address Lot ? Blk. ? Tract 4. Owner 5. Contractor Phone 6. Address ' ' ? f . • 7. City ' State Zip 8. Building Type: Residential El Commercial ? tnstitutional O 9. Work Description: New 0 Add O Alter ? Repair O 10. Describe 11, No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Ges Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinanoes and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-6100 cirr oF EaGAN 3795 Pilof Knob Road Eagan, MN 55122 Ng 6031 PHONE: 454-8100 BUILDING PERMIT Site Address Lor BI«k 5 Sec/Sub. `n1TY• r8ke '?u" • 3 Parcel # u.?racoraei oc Name )-criA lnounsan riomes W ? Address ? 712 I?OP ?' ir`^^"S T'd . ,.,. . tonka . - __ _ , ':4-7333 °C Nome _ ?F ?? Address rt*., Name _ Address I hereby ocknowledge that I have read this application and state that the informotion is correct and ogree to comply with oll applicable Stote of Minnesoto Stotutes ond City of Eogan Ordinances. Receipt # Dote , 19 Erect Occuponty Alter 0 Zoning ^ Repoir ? Fire Zone Enlurge ? Type of Const. ? Move O # Stories Demolish ? Front " ff. Grade ? Depth ft. Acurovals Pees Water & Sew. Police Fire Eng• Planner Council Bldg. Off. _ APC Permit , Surchorge Plan check SAC c? Water Conn. 30, Water Meter Rood Unit Total 1 , zS -c-, ,r Signcture of Permlttee I A Building Permit is issued to: on the express condition that all work shcll be done in accordance with oll applicoble State of Minnesota Statutes ond City of Eagun Ordinonces. Building Officiol PennIt # paM Naed Pwmi1tM Plumbing f 9p'?.•Z ' - C) Uj.? Mechonicol ?Sao S I$-$r WE C- I R.C Ft? C 7- •? - / - . INSPECTIONS DATE INSP• RoupF-in Final Foptings Date Insp. Date Insp. Foundation Plumbing rome/ins. Mechanicol Final Remorks: . cirir oF EAGAN ? 3795 Pilee Knob Read Na legon, Mtnnesota 55122 Phon.: 454.8100 PERMIT INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Date: Receipt No.: Single Site Address: Residential Lot Blxk ? Sub/Sec. 'quW.GFtke Mr. J Nome . ; Address O City Phone: ?? t. '?? •' `- __. _ . ? .: . ? Name ? Address City - Phone: .. <.. . .. .?,-?: .r-+.. This Permit is issued on the express condition that oll work sholl be Minnesoto Stotutes ond City of Eogon Ordinonces. ?'1791 New/Alter./Repair ?_•-? Cost of Installatlon Permit Fee ..;: - Surchorge Totol ?r. 5rN done in occordance with oll opplicable Stote of Buildirq Offitial Receipt MECHANICAL PERMIT CITY OF EAGAN Fill in numbered spaces Type or Print leglhly 1. Date - 2. Installation Cost 3. Job Address Lot Blk. 4. Owner 0 Permit No. ''r> }n Fee S/C Tot. Tract 5. Contractor -'?'?? _ Phone fi. Address ,?- _ - - - - -- - - - 7. City State Zip ' 8. Building Type: Residential Ll Commercial ? Institutional O 9. Work Description: New Q_ Add ? Alter ? Repair ? 10. Describe _. Fuel Type 11. No. Enuinment 9TU - M. Ea. Forced Air No. Equipment CFM Air Handlin : Mfg. g Boilers Mfg. Mech, Exhaust Unit Heater Mfg. Other ; Air Cond. Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final , Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. ' Approved _ CITY OF EAGAN 464-8100 CITY OF EAGAN . 3795 Pibt Knob Rood Eogan, MN 55122 N°- 6032 PHON E: 454-8100 BUILDING PERMIT Receipt # -- To be used fer Est. Vulue Date , 19 Slte Address - Erect fl Occupancy Lot Block Sec(Sub. `r .'?. • f' . Alter 0 Zoning Parcel # u--,= ` ' . Repoir ? Fire Zone ? Enl r T of Con t a ge ? . ype s oc W Name '12'3,, Move ? # Stories 3 Address Demolish Q FroM ^ ft. o city ?,n=' one Ph . Grnde p Depth ft. ? 0 Nome APProvals Foes i 85 Address Name _ Address I hereby ocknowledfle that I have read this application ond state that the informotion is oorrect and ogree to comply with all opplicable State of Minnesota Statutes ond City of Eagan Ordincnces. Water & Sew. Police Fire Eng. Planner Council Bldg. Off. _ APC Permit 1•'-? . 7i' Surchorge - Plan check SAC Water Conn. L5 - 0(' Water Meter '( ? • ^? Road Unit Torol I. 2,C5.25 $ignature of Permittee I A Buflding Permit is issued to: ' on the express condition thot cll work shall be done in accordonce with all applicoble Stote of Minnesota Statutes and City of Eagon Ordinonces. Buitding Officiol r.rmir # oe+. i....a r«.Me.. Plumbing Mechenicol INSPECTION$ DATE INSP. Rouph-In Final Footings rS ? Q Dote Irtap. Dote Inav. Foundation Plumbing - Framelins. -?6=?? Mechanical ? Final ^-? Remorks: f el // -•z - ` SO . , , No. !-121 cinr oF EAw?N 3795 Pilof Keob Rood Eagaw, Minwesoto 65122 P6ons: 454-8100 PERMIT Dcre: _ Site Addreu: ?LW@ r4lav Lot 1 Block 5 Sub/Sec. Name Ii'I'3n Thompeon Homea ? Address 1712 iiopkins rr,?7':' . ? City ??nnetoxLka, P n. Phone: 544-733?? Nome Wenzel r:ieehanical . ? Address • ' "r11E:bP,C City - - Phone: •?` This Permit is issued on the express condition thot oll work sholl be Minnesota Stotutes and City of Eogan Ordinonces. INSPECTOR NOTIFICATION REQUI RED BY LAW FOR ALL INSPECTIONS 20794 Receipt No.: $ingle y f' 4 1@I Residential O p Multi Res., Comm./Ind. I New/Aiter./Repofr. Cost of Installation Permit Fee Surtharge 5n !\ A,/, Total done in xcordanu with ell opplicable State of Buildirg Receipt MECHANICAL PERMIT CITY OF EAGAN Fill in numbered spaces Type or Print legibly Permit No. Fes S/C ° Tot. 1. Date ?--? =-•'? 2. Installation Cost ^ 3. Job Address . ', Lot Blk. Tract 4. Owner 5. Contractor Phone 6. Address 4 '? ic._-: 7. City _;)1,;,- * State Zip 8. Building Type: Residential ?- Commercial 13 Institutional ? 9. Work Description: New 13: Add ? Alter O Repair ? 10. Describe ' - - - 1 fuel TYpe 11 No. Equinment HTU - M. Ea. Forced Air No. Equiament CFM Ai H dli Mfg. ng: r an Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough F inal . Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8700 i CITY OF EAGAN ` - 3795 Pllot Knob Rood Eogan, MN 55122 PHONE: 454-8100 BUILDING PERMIT Receipt # N4 6029 To M ased ior Est. Value =- Date , 19 51te Address Erect 0 Occupancy Lot Block Sec/Sub. Alter ? Zoning Parcel # Repair Q Fire Zone Enlar e ? e of Const T g . yp oWc Name Move ? # Stories 3 Address Demolish ? Froni ft. ° Ci Phone Grnde ? Depth h. Annrevek Feea ? NOR1E o _ Z? ? Addreu v Name _ Address 1 hereby acknowledge that l have read this opplication and state that the information is corcect and agree to comply with all applicable State of Minnesota Statutes and Ciry of Eagan Ordinances. Woter & Sew. Police Fire Erry. Planner Council BId9. Off. _ APC Permit Surchorge Plan check SAC Water Conn. Woter Meter Rood Unit Total Signature of Permlttee I A Building Permlt ls issued to: on the express condition thot all work shall be done in cccordonce with all applicoble Stcte of Minnesota Statutes ond City of Eapan Ordlnances. Building Offilcioi Pemit # Dato lawd 1OewitNe Plumbing / 91 -W 3 Mechanical p w lf r 3 ?Z - INSPECTIONS ? DATE INSP• Rouph-In Firwl Footings Date Insc. Dote Insp. Foundotion Plumbing rome/ins Mechonical Firtol Remarks: . ? No. cInr oF EAGAN 3795 Pilot Knob Road Eegan, Mlnnesolo 59122 P6one: 454-8100 ^' urzbi':'' PERMIT Dote: -9-8n sire Address: ?'- '>33 Penkwe l:l Lot j Block Sub/Sec. JhrVI• Cqke ' . INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Receipt No.: 5ingle Residential '.r!'7C 1 0f 4 plex Name T}10IIIp80A i' o" e' New/Alter. /Repoir . , r ; . ? llddress ?, ?l`?3 C7'^:'r_ . Cost of Installation City n.'. .:'?r8 } Phone: ? __`? ? • , Permit Fee Nome E'n=%e1 1.i80.':aI-'f.Cxll . ., Surcharge ? /,[dfB55 City ' Phone: Totcl This Permit is issued on the expreu condition thot oll work shall be done in occordance with oll oppliwble 5tote of Minnesota Statutes ond Ciry of Eogun Ordinonces. Buildinq aipt MECNANICAL PERMIT Penriit No. CITY OF EAGAN Fee fill !n numbered spaces S/C Type or Print legib/y Tot, . Date ° - 2. Installation Cost . 3. Job Address •'?"-?'•'?' ••?i? LOt Blk. TreCt 4. Owner 5. Contractor Phone 525-•65E7 6. Address 407 C':'_i.c V. o. 7. City - • State ZiP ' - " 8. Buitding Type: Residential E1 Commercial O Institutional O 9. Work Description: New 0 Add ? Alter ? Repair 0 10. Describe -'1st,+L.7. foz'C9d n..3.s' heZti'.;fuel Type nat 11. No. i Epuioment BTU - M. Ea. Forced Air No. EQUiament CFM Air Handlin : Mfg. g Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. i Gas, Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : Rouyh Inspections: Date Insp. for F(nal Date Insp. This is your permit when numbered and approved. 'Approved __ _ CITY OF EAGAN 454-8100 Reoeipt MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered spaces S/C Type ar Print legib/y Tot 1. Date ' 2. Installation Cost 3. Jvb Address i==? ?•r? Lot Blk, Tract 4. Owner 5. Contractor ' Phone 6. Address 7. Gity -l State Zip $. Building Type: Residential 0 Commercial ? Institutional ? 9. Work Description: New Ej=•= Add O Alter ? Repair ? 10. Describe .c- _ Fuel Type 11. No. Epuipment 8TU - M. Ea. Forced Air No. EQUipment CFM Ai H dli Mfg. ng: r an Boilers Mfg. Unit Heater Mech. Exhaust Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final .. Inspections: Date Insp. Date Insp. ? This is your permit when numbered and approved. Approved CITY OF EAGAN 454-6100 y ? No. CITY OF EAGAN 3793 Pilot Keob Road Eagaw, Minnetota 55122 Phone: 454-8100 ? PERMIT Date: Site Address: e~]i" . Lot Block 5 Sub/Sec. Thntiv•C81'? ;30,9 . 3 INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Receipt No.: ' Single Residentiol , "?r 'Multi Res., Comm./Ind. I NO^? Oi-ri'Z ?oin-DQ? Fome8 New/Alter./Repair. ? Address Cost of Instollotion 5-'i4 -7?; ? City Phone: Permit Fee ` Nome °.1eChSI2ic"'_ Surcharge Address ? 07 -e:1,'?lieb@C Gry Phone: Total ? This Permit is issued on the express condition thct oll work shall be done in occordance with oll oppllcoble Stote of Minnesota Statutes and City of Eogcn Ordinonces. Buildirg Official • - cInr oF EAw?N ' 8795 Pilof Knob Road Eagae, MN 53122 M2 6030 PHONE: 454-8100 BUILDING PERMIT ' Receipt # To re ossd for Est. Value • Date , 19 Site Address Erect [3 Occuponcy Lot Block ' Sec/Sub. ?r'n --tir_e Alter p Zoning Repair ? Firo Zane Parcel # Enlorge ? Type of Const. W Nome Move ? # Stories Z 3 Address Demolish ? Frant ft. 0 Ci Phone Grnde ? Depth -- ---- --- -- ft. ? Name _ ,o ?? Address ?- r:.., Name _ Addreu I hereby ocknowledge thot I have read this application and state that the informotion is oorrect nnd ogree to comply with oli opplicable State of Minnesota Statutes and City of Ecgan Ordinances. Woter & Sew. Police Fire Eng. Plonner Council Bldg. Off. _ APC Fees Permit Surcharge Plan check SAC Water Conn. Water Meter Road Unit Total , ?? 5 • Signoture of Permittee I A Building Permit is issued to: on the express condition that oll work sholl be done in accordonce with cll applicable State of Minnesota Statutes and City of Eugon Ordinonces. Building Official . PMwk # oah IsmNd FawMfr Plumbing ? - O '• Mechanicol INSPECTIONS DATE INSP. Rouyh-In Final Footings Date Inap. Date Foundation Plumbing C?_ -- ram ?.ns. - '-? I Mechanical ? ? Fina ? -s- r - Remcrks: CITY OF EAGAN 3795 Pilof Knob Road Eo?un, MN 55142 Zoning: ner. ?lddress: ite Address: ? lumber: WATER SERVICE PERMIT PERMIT NO_: DATE: No. of Units: er No.: Connection Charge: ? : • Account Deposit: der No.: Permit Fee: roe to eomply wilh the City of Eagon Surcharge: inaeces. I Misc. Charges: - Total: ' Dote Paid: e e of I nsp.: at I nsP.: S CITY OF EAGAN PERMIT NO.: 3795 Pilot Knob Road pqTE: Eaovn. MN 55122 No. of Units: Zoning: Qwner: Address: Site Addreu: Plumber: 1 egree fo oomply w" tM Gryr of E°9°° Connection Charge: . Account Deposit: Ordinanoes. Permit Fee: Surcharge: Miu. Charges: 1%te Total: of Insp.: - o;a, ClT1f OF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 Zoning: Owner: Address: Site Address: Plumber: Meter No.: 5ize: Reader No.: ? ??n 1 agree M wmPh witl? H?e Cit7r Ordinonoss. By ? pote of Insp.: WATER SERVICE PERMIT PERMIT NO.: DATE: _ No. of Units: Connection Charge: Account Deposit: _ Permit Fee: Surcharge: ?- Misc. Ciwr9es: - Total: _? Data Paid: W ITY OF EAGAN - 3795 Pilot Kno6 Road Eagan, MN 55122 Zoning; Owner: Address: Site Address: Plumber: SEWER SERVICE PERMIT PERMIT NO.: DATE: No. of Units: 8 1 agree to comply wlth the City of Eagan Ordinunees. By Dote of Insp.: Surchurge: Misc. Charger. _ Total: Date Pald: cirr oF EACqN WATER SERVICE PERNqT 371'. Pilot Knob Rood PERMIT NO.: Eagan, MN 55122 DATE: Zoning; _ No. of Units: Owner. , Address: Site Address: Plumber: Meter No.: Connection Charge: ' SiZQ' Ac o t D t un eposit: Reoder No.: Permit Fee: I °9ree to eomPly with the City of Edgon Surcharge: Ordlnances. Mist. Charges' By Date of Insp.- Total: Dote Paid: CITY OF EAGAN SEWER SERVICE PERMIT 3703 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Owner: - Address: Site Address: ' Plumber: , r. 1 agree to eomplp with the Citp of Eogon Ordinances. By Date of Insp.: _ Connection Charge AccounY Deposit: . Permit Fee- - Connection Chorge: Account Deposit: Permit Fee: Surcharge: Misc. Charges: Total: Dote Paid: # 3795 Pilot Knob Road PERMIT NO.: Eayan, MN 55122 DATE: Zoning: No. of Units: - Owner: - Address: Site Address: Plumber: Meter No.: Connection Chorge: Size: . Account Deposit: Reader No.: Permit Fee: 1 agroe to wmplr witb the Citry of Eagae Surchorge: Ordinanees. Misc. Charges: By Date of Insp.; CITIf CF EAGAN 9795 Pilof Knob Rond Eagon, MN 55122 Zoning: Owner: - Aadress: Site Address: Plumber; 1 ngres to ewnplr wifh Hhe C1ty of Eagan Connedion Charge: p????ces, Account Deposit: _ Permit Fee: Surcharge: gy Misc. Chorges: - e of Insp.: Total: rnp_; Date Paid: limnaon Total: Date Poid: SEWER SERVICE PERMIT PERMIT NO.: DATE: . No, of Units: mmnesoca awce noara or eiecmciry - Griggs Midway Bldg. - Room N191 EB-00001-02 78i ,.?J7f'Iversity Ave., St. Paul, Minn. 55104 - Phone 297-2111 CHECK BELOW WORKOO EREDTBYITHIS EQ EST'ON T 42801 Type 8uilding New Add. Rep. Check Appliances Wired For Check Equipment Wimd For Home dg- ? ? Range riza Tempoxary Wiring ? Duplex 'LJ ? El Water Heater Lighting Fixmxes o? Apt. dldg. 11 ? ? Dryer Electric Heating °a Commercial Bldg. ? ? ? Fumace ?- 50o Unloader ? Indus[ria181dg. ? ? ? A'v Conditioner ? Bulk Milk Tank ? Farm ? ? ? List List Other ? ? ? Others? Here Otheis? Here COMPUTE INSPECTION FEE BELOW Service Ent=ance Size: # Fee Feeders&Subfeeders: # Fee C'vcuits: # Fee . 0 to 100 Am s. 0 to 30 Am res 0 l0 30 Am etes ?C ,101 to 200 Amps. 31 to 100 Amperes 31 to 100 Am ies ,QO Above 200_Amps. Above 100 Amps. Above 100 Amps. Transfo.mers Remote Contxol Cixc. Parlial or other fee O S' ns S ecinl lns ection Minimum fee ES. Re azke V Ji'. :' f?,.., t Y F TOTALF E?-q ? O ?? I, tU Ele?W4A2aereby certi? • f ?theA?y??f' se?cti?°?has been ma (Rough-in) w/?!?'!r4/Date (Final) r Da[e This request void ° 18 months from This request void L 3 bs a/. C?.3 r 18 months from ?? la (?_ 27 1 &50 Dat of his Request Fire No. T 42801 I, aLicensed Electrical Contractor OOwnec, do hereby request inspection of the above electri- cal ivlrin? installed at: . t? I L. r? i? V"? Street Address or Route No, P'?r'V? l??s Z r"1 ?;ty Section Township Range County DM"VJ Id Which is occupied by Is a roughin inspection required on this job? No ? YeCK, Ready Now ? Will CalpH? PowerSupplier 1`?V Address rkm-mri6-IDW Electrical Contractor RAA-Contractor's License Na 395a ` (COmpany Name) Mailing Address t E• cA-l4f' P-mo (EI ricai ntractar r Owner Making 7Ms Ins[allatlon) Authorized Signature Phone No. 4nJ-5-S`?"? (Electrica on roctor or Owner aking 7his Installation) . S 1? (? ?,a ? IZ oO(,??D (?On? This inspection request will not he accepted 6y the u ? ?,a ?, fr State Baard unless proper inspection fee is enclosad. Minnesota State Board of Electricity Griggs Midway Bldg. - Room N791 I? EB-00001-02 1821 University Ave., St. Paul, Minn. 55104 - Phone 297•2117 REQUEST FOR ELECTRICAL IIVSPECTION T 38200 CHECK BELOW WORK COVERED BY'FHIS REQUEST Type of Building New Add. Rep. Check Apptiances Wired Foi Check Fquipment Wired Foc Home ? 11 Range ? Temporary Wiring ? Duplex ? ? Water Heater ? Lighting Fixtures ? Apt. Bldg. ? ? ? Dryei Electric Heating Commercial Bldg. ? ? ? Fumace Silo UNoader ? Industrial Bldg. ? ? ? Ai[ Conditioner Bulk Milk Tank ? Fazm ? ? ? List List , Other ? ? ? Hehers) ? p Neie15? COMPUTE INSPECTION FEE BELOW Se[vice Ent[ance Size: it Fee 1 1 Feedets&Subfeeders: # Fee C7lcuits: # Fce 0 to 100 Am s. 0 to 30 Am eres 0 to 30 Am eres ]Ol to 200 Am s. 31 to 100 Am res 31 to 100 Am eres Above 200_Amps. Above 100 Amps. Above lOQ_Amps, TransCormers 1 RemoteControlCirc. 1 Pazlialotoiher fee Signs 1 Special lns ection 1 Minimum tee S5.00 Remazks a (? ± ?? T07'AL FEE ,i2 I, the Ele fc ?q r!' y th h abpve inspection has been made. .? (Rough-i ) Date -? (Final) Date This request void 18 months $om 6,s ? c. ? 3 0 This request void i ? Ale 18 months from ' f a?? Y Datp? of this Request 5.'I Fire No. T 38200 I, akYl Licensed Electrical Contractor OOwner, do hereby request inspection of the above electri- cal ;Gnrlhg installed at: Street Address or Route No. ??115 1ENIC-iNa WAy City f%6A0Q Section Township Range County (? '!hr-d!% Which is occupied by U?? 1 %3(-Y50 Is a roughin inspection required on this job? No ? YeV4_ Ready Now ? Will Cal}i Power Supplier 4Id Address f?AO+A.W (DTDf" Electrical Contractor k"'--' ca?c'' Contractot's License NA`? i (COmpany Name) p? MailingAddress__'?lk 4, -C'4ff- lectrl I{COntractor or OWner Makln9 Thls Installatlon) Authorized Signature e ?'r.s Phone No. ???s? (Electr Eal Contractor or Ownar Makln9 7hls Inztallatlon) ???y? DO&RD COM$? This inspection wquest will not be accepted by the Q'? Stste Boerd unless proper inspection fee is enclosed. mmnesoia state noanf oi Electricfry Griggs Midway Bldg. - Room N791 E13-00001-02 pr . 1821 Universiry Ave.. St. Paul, Minn. 55704 - Phone 297-2111 itEQUEST FOR ELECTRICAL INSPECTION - CHECK BELOW WORK COVERED $Y THIS REQUEST ? T 38199 Type of Building Ne Add. Rep. Check Appliances Wired For Check Fquipment Wired For Home ? ? Range ? "Cempoiary Wiring Duplex ? ? Watec Heater ? Lighting Fixtures ? ApL Bldg. ? ? ? Dryer ? Electric Heating Commercial B(dg. ? ? ? Fumace Silo Unloader ? Indus[rial Bldg. ? ? ? A'v Conditioner ? . Bulk Milk Tank ? Farm ? ? ? Lis[ p Lis[ Other ? ? ? Heiers( p Heiers? COMPUTE INSPECTION FEE BELOW Se[vice Entrance Size: Fee Feeders&Subfeedecs: # Fee Circuits: # Fee 0 to 100 Am s. D 0 to 30 Am eres 0 to 30 Am eres 101 to 200 Amps. 31 to 100 Amperes 31 to 100 Am eres Above 200_Amps. Above 100 Amps. Above 100 Amps. Trxnsfotmers 1 RemoteControlCirc. 1 Partial or other fee .G . Signs 1 1 S ecial Ins ection Minimum fee Remazks TOTAL F E r ? I, the n' , h by certi the inspection has been made. (Rou ;, in) ""` Date / 07 (Final _ _ - Date 44. This request void 18 months from This request void 18 months from ? Date A this Request F;re No. T 38199 I, Licensed Electrical Contractor OOwner, do hereby request inspection of the above electri- cal ??rine installed at: Street Address or Route No. q(o33`1L City ??°'f_ Section Township Range (? County L'ar?, Which is occupied by i)Aot,4S -.N Is a roughin inspection required on this job? No ? Yes6k Ready Now ? Will Cal?' Power Supplier I?d Address p?IN Ea1 z'" „\ Electrical Contractor Vb?'t- &aC4-1w? Contractor's License No,X25- MailingAddress H) I Authorized Signature -Phone No. 970-SKC-5 (Electr al Contractar or Owner Making Tnls Insta11at1on) SUAVE BOARD CoPY This irispeetion request will not 6e accepted by the State Board unless propar inspection fee is endosed. HEQUEST FOR ELECTRICAL INSPECTION ee-ootwt.oa , . -,_ 1 See inatructions for completirp this 1wm on Enck ot yellow copy. I CC Gh '3 8 53 3 ' ?"'X" 8elow Work Covered by 7his Request ,,.?? Jo V AAtl NeD. Tyoe oi BuilEing I Aooliancea Wired EQUipmenl Wired N Fee ServicaEntranceSize k Fee feetlers/5ubfaeders il Fee Circuits 0 to 200 Am s 0 to 30 qm s 0 tn 30 Ane s Above 200 qmpy, 31 to 100 Amps 31 to 100 Am s Swimmin Pool Above 100_Amps Above 100_Am s Transiormers Irn ation tlooms Partial."Other Fee Signs Special Inspection 5 emarks TOTAL F in ,;) 1. me Ele tncal Inspecto?, y certHy thet the above inspection hes been Thla request voltl 10 7-1-request void g aa ? ? " /? ^ 5 trom8.533 ,??? 3A(! ? ?s??% 3 Hequest Daie ? Fire No. RouBhi-ireA?n Insuection Requ Inspec- ?f Ready Now Q Will Nolify_ 7-14-86 ?Yes [gNn lor When Reatly ?.%censed Electrical Contr+mtor 1 hereDy request inspection of ebove ? Owner elecfricel work instalied at Street Atldress. Bon or Poute No. City 463310 Penluve ecLOn o. Township Name or No. Ranee o. Cow OccuOant IPRINT) Phone No. Cnwi.g Chambm Power SupOlie, Atldress Elecuicnl ConVacmr IComOany Namel Convar.tor's License No. Eaa-ton ER.ec,t?ci.c Com_panu - Mailing AdJress lCOntractor or Owner av king Installaeionl 6525 E i A rizetl Sipnamre ontract Owner MakinB j ?stallalionl Phone Number ??- -- 447-2490 MINNESOTA STATE e0AN0 OF ELECTPICITY THIS INSPECTION NEQUEST WILL NOT I Gripgs-Mitlwey BItlO. - Aoom N-791 BE ACCEPTED BY THE STATE BOAHD UNLE53 PflOPEN INSPECTIpN FEE IS 7821 UniversitY Ava.. St Pxul, MN 65704 Phone (612) 297.21N ENClOSEO. mlnnasoce acaca uoara or uecniciry ; Griggs Midway Bldg. - Room N791 G EB-00001-02 '- 1821 University Ave., St. Paui, Minn. 55104 - PFqne 297•2111 ?b I D ?.LiEQUEST FOR ELECTRICAL INSPECTION CHECK BELOW WOKK COVERED BY THIS REOUEST T?? H Type of Building Ne Adh. ReP• Check Applisnces W'ved Foi Check Equipment Wired Foi Home Im- ? ? Range ? Temporary Wiring ? Duplex ? ? WaterHeater ? LightingFixtures A Apt. Bidg. ? ? ? Dryec Electric Heating ? Commercial Bldg. ? ? ? F'umace Silo Unloadet ? Industrial Bldg. ? ? ? Au Conditionet Bulk Milk Tank ? Farm ? ? ? List ) List 1 O[her _ ? ? ? p } Hehet5l re O } Hetets) COMPUTE INSPECTION FEE BELOW Seivice Enhance Size: # Fee Feeders&Su6feeders: # Fee C'vcuita: u Fce 0 to 100 Am s. 0 to 30 Am res 0 to 30 Am eces 101 to 200 Am s. 31 to 100 Amperes 31 to 100 Am eres Above 200 Amps. Above 100 Amps. Above 100 Amps. Transformeis RemoteConvolCirc. Paztialorothertee 0 Signs Special lns ection Minimum fee-SS. Remarks I, the ' c (Rou ' ? 11 4- ,?y TOTAL E .d° , ify t ap?ove inspection has been made. Date ' J{' ? Date This request void ' 18 months from 7iis request void 3 ? ?3 ? ] 8 months from ' Date of this Request Fire No. T38198 I, asv.i,icensed Electrical Contractor 0 Owner, do hereby request- inspection of the above electri- cal winng installed at: Street Address or Route No. 46M' Section Township Range County? Which is occupied by Is a roughin inspection required on this job? No ? YqKReady Now ? Will Ca? (?,?? d ? PowerSupplier 1°'6? Address ?W-JAV4`Vl--biJ Electrical Contractor U?L- &""'c- Contractor's License N??S (COmpany Name) MailingAddress L.{ff RQ, ' •ctr I Cont actor or Owner Making Thls Installatlon) Authorized Signature Phone No. ?J•Sl? (Elect cal Contractor or Owner Making This InstallaSlon) . ????? ? ??? ?p 4?'??? Thisimpectionrequertwillnotheaccepted6ythe State Boerd unless proper inspeetion fee is endased. (Err#ifirtt#r vf (Orrupttnry Citp of eagan Bppttrtmrni nf +?uilding Iniiprdimt Tbu CMi fican iJrued purlaant to t6r rrquiremrnu of Sation 306 of tlx Uniform Burlrling Cade rati fyiag that at the ti+ru of ittuuna thit ttrurture wat rn romPlianrr wirh the va+iour "dinunar of thr City regulating building ronn+urtion or un. For the fo/loucng: u.c,?fi.em 1 of 4 PLEx . a,&ft,?, No. 6031 o?wdrrrn R3 rywc?nm V F2z.. 3 z..ft u,";c, PD a,,,,,f 8„a,;,6 Orrin Thomoson ,,111712 Hopkins Crsrd., Mtka. By, Ri dge 3 ? a,,, September 3, 1981 .a.. ,. . ... ?1. u.9 e. Ttrtifirtttr uf (Orruvttnrg Cttp of eagan Dc.pttrlmrnt af Builbing 3nspeciimt Tbit Certitrratt ifrued purtua+u to t8r rrquiremrntt o f Sertion 306 of thr Uni form BsiWing Codc ratifying t5at at the ti+ne of iuuantt tbit ttrutture wut irs to+nplianct with tbe va+iaur o+dinancrt o( the City srguJoting building ronmration or usa For the folloudng: 1 of 4 PLER 6032 -AA 1- o?w?rTra R3 rrwcm,?? v FinZon 3 zoN?.a,?a PD Orrin Thampson ,,,,. 1712 Hopkins Crsrd., Mtka. eUg&a nae.m e?eam? g? ?u September 31 1981 .o.. - . ?..?a.. ...-. 1..Prtifirtttr uf (Orrupttnrg Citp of eagan De.pttrtttienf af Butibing InsPertimi Tbit Certrficate ittuul pwrtratu ta tbe nqruumtatt of Sertion 306 a/ the Unifonn Buikling Codr rntif ying thar at thr tima of rrtuarut tbiJ rtructun wur in rom plianu witb thc vuriour ordinaaru o f the City+tgulating bnilding tantnuttion or ure. For thr folloucng: 1 of 4 PLER &a, h,,,,;l wo. 6029 ur c?r? PD puyP? Ty? R3 TypCm??ucum Firt7on a.? 2 Hopkins Crsrd., Mtka. ?,?`Orrin Thompson 171 . __ . _ .,.+ , ni „?ti 5 _ JohnnV Cake September 3, 1981 .s. ? . ?W?,. ..,?. (gpxtifirttfP nf (Orru,pttnry Citp of eagan Eevttrtment nf guilaing Jnsprriion Tbif CMificau iitued purzrurnt to t!r nquinmanu of Sertion 306 of thr Unr form Building Codt certi fring tbat at the 1i+ne of isu/aue thic 1lrurturt wat rn tom plianrt with the vuriow ordinaruef o f thrCity rtgulating building ronnruUion or ure. For the fo[louang: ? 1 of 4 PLE7C M,, ,,.,No. 6030 O.warrya R3Tvnc?wo V Fm? 3 ?4 oWn« PD o,.. aM,b„ Orrin Thompson ,,,e, 1712 Hopkins Crard., Mtka. ...46331 Penkwe tYav .__,,... I.ot 2. B].ock 5, Johnny Cake By .a. „ . w....??W. ?,a .,, ?,..a,. ?.,.. CITY OF EAGAN 3795 Pilot Knob Rood Eagen, MN 55122 N2 6029 PHON814548100 ? ???-/? BUILDING PERMIT APPLICATION Receipt # To be used for 1 Of 4 p12X. Est. Volue Date 490 J 8-6 19_8Il__ , . , 3 Penk SRe Address 463 we Wa3r Erect [ Occu anc R3 , - ikx p y Lot 1 Block 5 Sec/Sub. JhnZ'• Ck. Rid g2. 3 Alter ? Zanin9 PD unrecorded Refwir ? Fire Zone 3 Porcel # l E T f C t V arge n ? ype o ons . W Nome (lrrin Thm =GOn HnmeG Move ? # Stories z Address 1712 HOp ki.riS Cx'Srd, Demolish ? Front 22 fr. hUnnetOrikB, MTI 544-7333 Grade ? Depth 44 N. Ci Phom ? p Nome s PProvu ?, Address Assessm?t} 8_5_80 Water & Sew. ~ Ci Phone Police Fw Name Fire ?? Address Eng. <W Ci Phone Plonner Council I hereby acknowledge tFwt I hove reod this opplication 6nd state that gldg. Off. the in4ormation is correct ond ogree ro comply with all upplicuble State of Minnesota $tatutes and City of Eagan Ordinonces. l s^^• A AP? Permit 125 _ 5(1 SurcMrge pp-nn Plen check ( 75 SAC _525 ?? Water Conn, 3115 On Woter Meter 60 ? 00 Road Unir 195 ?.oo_nn Toroi 1,285.25 Signoture of Permittee I A Building Permii is issued to: QY'ri n Thmmpann Hnmas on the express condition that cll work shall 6e done in acco`f?,/nce h /alypp pli ble State of Minnesota Statutes and City of Eagan Ordinances. Building Official ? ?o a5 CrIY OF EAGAN HUIIDINC;_ PERMIT AF'PLICATION Include 2 sets of plans, 1 site plan w/e]evatiorLS 6 1 set of energy calculations. 4b Be Used For Ly?F Valuation ? y6i 490•00 Date Tuw 30 11980 Site Address: 1'633 PewWS? OFFICE USE ONLY SoHrrNy v?e.l Lot __j_ Block Sec./Sub. Erect X OccuPancY /P3 Alter Zoning l°lU Parcel q: Repair Fire Zone ,? _ O.,mer: En7-ar9e _ 'IyPe of Const. li N # Stories rne Pddress: Derolish Front aeZ ft. Grade Depth y</ ft. City/Zip Code: _ Phone R: Contractor: _? TI MES Address: a Division of U. S F'-M= 1712 HOPKIil'S CFOSSROAD City/Zip Code: MiNNFTnNUC Phone #: syy - 17 333 y APP%7t7AIS FEFS Assessrents ? Peinut 4=9 Water/Sewer Surcharge Police Plan Check (:?,? ? Fire SAC Eng, WdtPY C07171. pJ ?tl Planner Water Meter ?o Council Road Unit Arch. /Eng. . Address: City/Zip Code: Phone #: Bldg. Off. P.PC • CITY OF EAGAN - 8795 Pilm Knob Rwd Eagan, MN 55122 N2 6030 PHOFiE: 454-8100 ? 6U(LDING PERMIT AVPLICATION Receipt # Te ba ufed for 1 of Q plex Est.Value 46, Li.90. Date $-h , 19-8D- Site Address 4633,1 Penkwe Wa v Erect gg Occuponcy R3 Block " Sec/Sub 2 L t JhTY- C,ake Rd n 3 Alter ? Zoning PD - . o -__ , unrecorded Repair ? Fire Zone 3 parcel # l E t T f C v n arge ? ons . ype o m Name Orrin Thorrmann Hnmae Move ? # Stories Z ? Address 1712 HOpklri5 CTSTd. Demolish ? Front 22 ft. Minnetonka, M? 544-7333 Grade p oepth d?+ R. ?? one Annrovals Fees s f Zu V? f ?w _Z V? zz <w Nome _ Address C'ry - Nnme _ Address Woter & Sew. Police - Fire Eng. Planner _ Council _ Bldg. Off. _ APC _ Perr'nit 1L7.7U Surcharge 22.00 Plon check 62.75 SAC . 525.00 Water Conn. 305.00 WaterMeter 60.00 Road Unit 185.00 I hereby acknowledge that I have read this application and smte that the informmion is correcf and agree to compiy with all applicable State of Minnesota Statutes and City of Eogan Ordinances. Total 1,285.25 Signature ot Permittee I A Building Permit is issued ro: Orri n ThomoSOn HOtriAS on the express mndition that oll work sholl be done in o/yc',q/rdonpce wit/h??/ilJ app icable State of Minnesoto Statutes und City of Eagun Ordinonaea Building Offldal ll J?--?P C,l -e- =J 99 ap- crrY aF EAGAN BUIIDINC; FF' APPLICATION Include 2 sets of plans, 1 site plan w/elevations 6 1 set of energy calculatimts. 'Ib BC' U52d FOY Ru,c ?yGE Valuation -4 4 6p 49o-00 Date T,,,L.y 30 . 1980 Site Address: _L1633 a pEN1wE W1!j OFf'ICE USE ONLY Lot .1 siock s sec./sub. ??9GEY 3r? Erect x occuparncy Parcel #: a.lter zoning Re-ir Fire Zone 3 Oaner: Pddress: City/Zip Code: Phone # Contractor: 1 MES Adc1r2s5: a Division of U. S. 7?-,e r,..?;,? 1712 HOPKIhS CROSSROAD City/Zip Code: u,m;n??TnNwa Phone #: syy-'7333 Arch. /F1ng. : Address: F Enlan3e _ Type of Const. Move # Stories DeJrolish Front ft. Grade Depth yy ft. APPICVALS FEES Assessments . ' S"0 Pesmit Water/Sewer Surcharge q a Police Plan Check ? 2 .2' Fire SAC Enq, Water Conn. 3 o s°' Plannes Water Meter Ga ? Council Road Unit / Y,5-- ? Bldg. Off. APC City/Zip Code: Phone #: CtTY OF EAGAN . 3795 Piloe Knob Road Eagon, MN 55722 N2 6032 RNONE:'4548700 BUILDING PERMIT APPLICATION Receipt {p 0? s`?• 7o be med for 1 of Q plex Est Value 46,490. Dote 8-6 , 19$2 sire aedress 4635 Penkwe Way Erect ik occuPOncy R3= Lot 4 Block 5 Sec/Sub. JYu?y.6ske Rdg. 3 Alter ? Zonin9 PD Porcel # =ecorded Repoir ? Fire Zone 3 Enlorge ? Type of Const. V w N.rn, Orrin Thompson Homes Move ? # Stories I Z Address 1712 Hopkins CrSY'd. Demolish ? Fronf 22 N. 9 ,__ Minnetonka, yin,_ 544-7333 Grode n Deorn /+4 tr. ? Name "?r.?._.. Address ° AssessrfiEYit_ Water & Sew. ? Cit Phone F ?w Nome Police _ Fire Fw Addreu Eng. aW Ci Phvne Plonner _ CounCil _ 1 hereby acknowledge that I have reod this opplication and state that Bidg. Off. - the information is torrect nnd agree to comply with all opplicoble State ot Minnewto Statutes and Ciry of Eagan Ordirwnces. AP? _ Pertnit 12 , .5 50 Surcharge 22 - nn Plan check h7 _ 75 5qC 5?5_00 Water Conn. 305 " 00 Water Meter 6O. n0 Road Unit 185 _ Ofl Total ? ? 285 _ 95 Signoture of Permittee I A Building Permit is issued to: OTTin ThoRTpSOIl HOI[1eS on the express condition that all work shall be done ifn jppg,cc-ord`y_nce w/?tyFypII a pliwble State of Minnesota Statutes ond City of Eagan Ordlnances. Building Official _ 32 ?M OF EAGAN BUIIDINC; PERMIT AP.PLICATION r' Include 2 sets of plan.s, 1 site plan w/elevatlons 6 1 set of energy calculations. 'Ib Be Used For ?,tStpC_,?E valuation ?!{? 490, oo Date 1'uLy 30 + 19 80 Site Pddress: 4635 9ENk-.a6 WIWY OFFICE USE ONLY Lot 4_ Blocc S Sec./Sub. ?? EY 3rd Parcel # : Owmer: Pddress: City/Zip Code: Phone #: Contractor: ? Addres5: a Division of U. S. F'^,o r...,MES ..._.:__ 1712 HOPKIfr'S CROSSROAD City/Zip Code: Min;NFrnn,uern,..i?,?? r-,43 Phane ft: syy-'7333 Arch. /Eng. : Pddress: City/Zip Code: Phone #: Erect X OccuPanc7' Alter zoninq Repair Fire Zone 'S Enlarge _ Type of Const. Nbve # Stories IeTnolish Front ,22 _ft. Grade Depth ' uZ/ ft. APPROVALS F'EES Assessments IXJ/ '780 water/sewer Palice Fire En4 - Planner Council Bldg. Off. P.PC --? Pesmit Surcharge o7a °-" _ Plan Check SAC Water Conn. ? o S Water.Meter ?d Road Unit ?S? °?' cirr oF eaGAN - 3795 PiIM Knob Rmd Eagan, MN $5722 PHONE: 454-8100 BUILDING PERMIT APPLICATION N? 6031 Receipt .j}' ?? ?/'?' To be uied for 1 of /+ pleX Est.Value 46,490. Date $-6 , 19_80 _ Site Address 463 51 Penkwe Wa9 Ered [ig Occupancy R3 Lot3- Black 5 Sec/Sub. JhnY• C21Se Rd?. 3 Alter ? ZoNng PD parcel # un recorded Repoir ? Fire Zone 3 _ E l T f C i v n arge ? ype o ons . w Nome Orrin Thompson Homes Move ? # Scories ; Address 1712 Hopkill,s CI'SPd. Demolish ? Front 72= ft. ° c; Minnetonka, Mnpho„e 5/+4-7333 Gmde ? Devth 44 -_ tr. ? Nome PWOVa s o A AV Address ssessm F Water & Sew. Ci Phone Police _ ww Name Fire Fw z ? Address Eng. . Ci Phone Planner - Cauncil _ I hereby acknowledge that 1 have read this application ond state thot gldg. Off. - the information is correct and agree to wmply with ail appliwble State of Minnesota $tatutes and Ciry of Eagon Ordinonces. A I c°• AP? Permit ?v Surcharge 22.00 Plan check 62.75 snc 525.00 Water Conn. 305.00 Water Meter 60.00 Road Unir 185.00 Toral 1,285.25 SiBnature of Permittee I A Building Permit is issued to: (1T'ryr Thcanpcnn Hnmas on the express conditfon tFwt all work sholl 6e done in/? ?ordance with oll op licable State o1f Minnesota Stotutes and City of Eagan Ordinances. Building Official ?, ?0 3 t CrIY T ? BUIIDINC; PERMIT APPLICATION Include 2 sets of plans, 1 site plan w/eJevatlans 6 1 set of enexyy calculations. Zb Be Used For Ru1°C- tir-C Valuation A 46 i490.00 Date 3'uL.4 30. 1980 Site Pddress: 4L3S ?i ?.NKwE 111A, y OFFICE USE ONLY Lot 3 Block S Sec./Sub. g?Qyfy? Parcel # : O.mer: Pddress: City/2ip Code: Phone # Contractor: nuivirSUN HOMES Pdd.Cess: a Division of U. S. F.'nno r?.?;?; 1712 HOPKIhS CFOSSROAD City/Zip Code: MinNFr( NKr,iiwtv Phone #: sy'j-']333 Arch./Eng.: Address: City/2ip Code: OccVancy Erect ? 14?12 . Alter Zoning Repair Fire Zone 3 Enlarge _ 'Iype of Const. Nbve # Stories Demlish Front ?a ft. Grade Depth ' yy ft. APPF2GVALS Assessrents P"it /-5 ,S- Water/Sewer Surcharge a a ? Police Plan Check G 2?r Fire SAC 5-2 c- Enq, Water Conn. 3 0 5 ? Planner Water Meter Council Rc)ad Unit ? Bldg. Off. P.PC Phone #: 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION City OfEagan ?y 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for. single family dwellings & townhomes/condos when permits aze required for each unit Date o s Site Address lOIF--? Unit # Property Owner ?ffQ4 Np 0A (E Telephone # cS/ Contractor 5r 10 WE3T LAKE STREET Street AddryMN NEAPOLIS City , State 812-824"2658 Zip Telephooe# ( ) Bond #: Expires: The Applicant is _ Owner X Conhactor _ Other Add-on or alteratioo to eaisHng dwelling unit $ 30.00 furnace _Additional _Replacement ' air exchanger ? airconditioner _New ,_Replacement other State Surcharge $ '50 Total $ I hereby apply for a Residential 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 ' in accordance with the approv8d plan in the case of wn) ch requires a review and approval of pla . Applieant's Printed Na e ApplicanYs S' na e °;" 0 JUL 2 2 2005 2005 COMMERCIAL MECHANICAL PERMIT APPLICATION City OfEagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for. commerciallindustrial buildings . multi-family buildings when separate permits are not required for each dwelling unit Date Site Street Address Unit # Tenanf Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) Contractor Street Address City State Zip Telephone # ( ) Bond 11: 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 instal/ing/removing underground tank, ca!l for inspection by Fire Marshal and Plumbing /nspector Permil Fees: $70.50 Underground [ank installation/removal $50.50 Mieimum (includes State Surcharge) or Contract Value $ x 1% _ $ Permit Fee • If ep rmit fee is S1,000 or less, add $.50 =5 $ State Surcharge If pe rmit fee is over $1,000, add $50 for every $1,000 ep rmit fee $ Total Fee I herehy 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. Applicant's Printed Name Applicant's Signature Approved By: , Inspector C. R. WINDEN S ASSOCIATES, INC. ? LAND SURVEYORS Tel 643•3648 For: ? 1381 EUSTIS SL, ST. PAUI, MINN. 55108 U. S. Home Corporation N Scale: 1" = 50' y 4 3 ? Y z w 2 Note: As of this date Johnny Cake Ridge Third Addition has not been recorded. Lots 1 through 4 inclusive, Block 5, Johnny Cake Ridge Third Addition, Dakota County, Minnesota. WE HEREBY CERi1FY THAT THIS IS A TRUE AND CORRECt REPRESENTATION OF A SURVEY OF TME BOUtJDARIES OF iHE IAND ABOVE DESCRlBED AND OF THE LOCATION OF All lUIIDINGS, IF ANY, TMERfON, AND ALL VISIBtE ENCROACHMENTS, IF ANY, FROM OR ON SAID LAND. Dorad thia 23l? day oF j? A.D. 198D C. R. WINDEN d ASSOCIATES, INC. br Survayor, Minnnofa Raqittwlion No.? 72 C i CITY OF EAG1lN EARLY UTILITY CONNECTION PERMIT q (a• 3 3 2?LOGU2 Address Subdivision/Parcel I hereby request permission from the City of Eagan to connect to the sanitary sewer and water lateral line in the public right-of-way. I understand that the City has not yet comple[ed, inspected and/or accepted the sewer and/or water lateral. I agree not to use, test, or connect these individual services to any interlor 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 ics agents harmless from any damage that may occur due to this early connection. It is understood that no Occupancy Permit will be issued or water allowed to be tumed on until the City utility system has been declared operational hy [he City Engineer. Signed by - Ylumber?}.L?11G'?-? ? WENZEL MECHANICA4 JeBGD KBNNEBEC ON1VE, EACAN. NINN. fNW 452•1565 Owner: Developer Builder: Dated:? ?}?f?1 , , . CITY OF EAG,1N EARLY UTILITY CONNECTION PERMIT s' Address ubdivision/Parce 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 unders[and that the City has not yet completed, inspected and/ur accepted the sewer and/or water lateral. I agree not to use, test, or connect [hese individual services to any interior plumbing and understand the require- men[ 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 d'ue to this early connection. It is understood that no Oecupancy Permit will be issued or water allowed [o be [urned on un[il the City utility system has been declared operacional hy the City Engineer. WEN2El MECNANICAt C???i 9N9 KENNEBEC OAIVE, EA6AN, MINN. 55792 Signed by - Plumher• 452-1565 Owner: Developer: Buil er' Dated: 7 ;r CI'fY OF EAC,1N EARLY UTILITY CONNECTION PERMIT 46. ?) >°.? ? ? :?L Q C x" Address Subdivision(Parc I here6y request permission from the City of Eagan to connect to the sanitary sewer and water lateral line in the public right-of-way. I onderstand that the City has not yet completed, inspected and/or accepted the sewer and/or water lateral. I agree not to use, [est, or connect these individual services to any intetior 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. I[ is understood that no Occupancy Permit will be issued or water allowed to be turned on until the City utility system has been declared opera[ional by the City Engineer. 13M WEN2EL MECHAN1CAl KBNNEBEC OR1VE. EAIiAN, bUNDI. 55122 Signed by - Plumber 452•1565 Owner: Developer: Builder: Dated: `7&/0 ? ? CITY OF EAG,IN EARLY l1TILITY CONNECTION PERMIT 41635 '?? ,? 5" pddress ubdivision'r 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 comple[ed, inspected and/ur accepted the sewer and/or water lateral. I agree not to use, test, or connecC these individual services to any interior plumbing and unders[and the require- ment to cap the sewer service to prevent any unauthorized use. In accepting this pezmit, 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 be issued or water allowed to be turned on until the City utility system has been declared operational by the City Engineer. IM wEN2E4 MEGHANICAL Signed by - Plumber: Axam.?ffCDR1YE, Epppp,Yqft"tn 45Z1966 Owner: Developer: Builder: Dated: 0-!?Xj/0 V Cc1 os4e PLUMBING (RESIDENTIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Please wmplete for: Single Family Dwellings Townhomes and Condos when permits are required for each unit ?rs s6 Date-7- /.9? /'-!?e-e3 Site Address Unit # Property Owner Telephone # ??? ?,?-2{Z Contractor Address ? City State - 4kaiga* i&6)- Zip ,D? Telephone # The Applicant is _ Owner X- Conhactor _ Other Septic System New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00 Indudes County fee. Additional consultant fees may apply. Alterations To Existing Dwelling Unit, Including $ 50 00 _ Adding fixtures to lower levels or room additions, excluding water softener and water heater . _ Abandonment of septic system _ Water turnaround (+ 5!8" meter if needed -$121.00) Other: _ RPZ _ new installation _ repair _ rebuild $ 30.00 _ Lawn irrigation system ? \ f e? \\ a?`?`??'?5\1 ? R'ater softener Water heater _ ?l $ 15.00 e, Y L 1 X replacement _ addition;? State Surcharge 61' _ $ .50 Tota, I hereby apply for a Residen6al Plumbing Pemut and ac}mowledge that the information is wmplete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a pemut; that the work will be in accordance with the approved plan in the case of work wluch requires a review and approval of plans. Applicant s Pnnted Name pplicanYs ature ( RESIDENTIAL BUII,DING Permit Application City Of Eagan y3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 ? NewConsWCtionReauiremenb RemodeVReoairReouiremenis OffceUseOnlv 3 registered site surveys showing sq. it. of lot, sq. ft. of house; and all roofed areas 2 wpies of plan Cert oF Survey Racd (200/o maximum lot cover.ge allowed) 1 set of Energy Cakulafions for heated additions Tree Pres Plan Recd 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions 8 decks Tree Pres Not Reqd 1 set of Energy Calculations Addition - indkate Non-site sep6'c system _ Onsite Seplic System 3 copies of Trea Preserva0on Plan il lot platted after 711193 Rim Joist Deiail Options selection sheet (bldgs wBh 3 or less unils Date 1- / ol I_ / d ?> Construction Cost 5-0-0 Site Address ? UniUSte # Description of Work (?/p tiCK, = 1 W(/ll.e? S p(!u [ e7 U_d? Multi-Family Bidg K Y _ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner `,?,1 C?" Yc_ i`1 Telephone #?p?'j I) CO ?Sp - CO [ `1 R Gmt Lakm YVlndow & Siding Contractur prin Address y, ???. M.M.tr.?. ? ? City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . ResidenGal Vantilation Category 1 Worksheet • New Energy Code Worksheet (4 suCmission type) 5ubmitted Submitted • Energy Envelope Calculations Submitted Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone # ( Telephone #( Jtl . .; Z ".,,q I hereby apply for a Residential Building Permit and aclrnowledge that the information?4s?complete and accurate; that the work will be in conformance with the ordinances and codes of the City of E?gan an d the State of MN Statutes; I understand this is not a permit, but only an application for a pernut, and work is not to start withont 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. J1AllE TJLIlL?S /l-- /?>C ApplicanYs Printed Name Appl ant' ignatura ) OFFICE USE ONLX Sub Types 0 01 Foundation ? 07 05-plex '? 13 16-plex ? 20 Pool ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 32 Addition ? 33 Alteration ? 34 Replacement Valuation Census Code SAC Units Nbr. of Units Nbr. of Bldgs Type of Const _ Footings (new bldg) _ Footings(deck) _ Footings(addition) Foundation Drain Tile Roof Ice & Water Final _ Framing _ Fireplace _ R.I. _ Air Test _ Final Insulation Occupancy MC/ES System Zoning City Water Stories Booster Pump Sq. Ft. PRV Length , . Fire SRcinkler??l„ ,, • _.,? Width r:? F,t-•:,'?;,:+:?fiS ?? ?•,: ?4?? .??;s+t;+? ??5?i., REQUIREDINSPECTIONS _ FinaUC.O. _ FinaUNo C.O. _ Pluxnbing HVAC Other _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Siding Stucco Stone _ Windows (new/replacement) _ 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 ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 EM. Alt - SF ? 36 Multi Misc. ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 WindowslDoors *Demolition (Entire Bldg) - Give PCA handout to applicant Building Inspector 0o4(v 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. 15..s o 23 0y D (G' 1 1 ate Site Street Address Unit # PropertyOwner /<<:Ke Vctn0Gt'JA J.s Telephone# (657) 6F6"6S93 Contractor Telephone # ( 17521 -23'? 9-'22 Adtlress 7.Sv AJ, y City 4q °(/) /f State An Zip S`SDy, The Applicant is: _ Owner _ Contractor _Other Alterations to existing dwelling $ 50.00 _Add fixtures to rooms, excluding water softener and water heater _Septic System Abandonment _Water Turnaround (add $121.00 if a 518" meter is required) Other: Water Softener -KWater Heater $ 15.00 k replacement _ additional Lawn Irrigation System RP2_ new _ repair _rebuild $ 30,00 State Surcharge $ .50 JUN 2 4 2004 ?S sa 7otal $ BY I hereby apply for a Residential Plumbing Permit and acknow e tion is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. ?irt C-5 6 tA ApplicanYs Printed Name Applica Ys Signature qy II`l 2006 RESIDENTIAL PLUMBING PERMiT APPLicarioN J CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date U I r);? ' ! ? I P I' IIII/? ' Site Street Address --? W? WULW Unit # Property Owner CTY C????n SdlthI- Telephone #( ) ? {? Contractor :L'7- / ? Telephone # 7?p?? 1 Address 13 Cityl-LW lI t:JVIJI? State lW/Y The Applicant is: _ Owner " tontractor _Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Alterations to existing dwelling $ 50.00 _ Add piumbing fxtures. This fee includes installation of a water softener and/or water heater at the same time. 7f you are installing on! a water softener and/or water heater, do not complete this section; move to the next section and check the appliance(s) you are installing. -' _Septic System Abandonment _ Water Turnaround (add $130.00 if a 518" meter is required) , Other: Water Softener 1 Water Heater $ 15.00 _ new _2'?eplacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ 50 Total $ I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accor nc with the, oved plan i Te. e event a plan is require to f e revie r and approv?d. 7 )lt'Y? 'i'1V1 ? ' L ApplicanYs Printed Name App ica Ys Signature ::-? I t 3 2006 RESIDENTIAL MECHANICAL rEiuvuT arrLicATTOrr City Of Esgan 3830 Pilot Knob Road, Eagan MN 55122 ' Telephone # 651-675-5675 Please complete for, single family dwellings & townhomes/condos whenpe'mits aze.requiredfor each unit , Date 0(0 . .. . A f Q " PC{AWL ) Unit # - Wa Site ddresa TJ / , .l/I ??P ?" ?? ? Tet h ( ) Property Owner YJf ) V l ? one# ep Contractor C-Fenz- R n Street Address City ?= IA,Y I f!) V ? I I?. State IVI 1 V Zip Telephone# 7-7' Il10V Expires: Bood #: `" /()? LF ? & An - . . . The Applicant is_ Owner J,Contrac[or _ Other Add-on or alteraHon to ezistiug dwelliug uuif ' ?_ . $._?O• 00 .. i? furnace _Additional /'Replacement _ New _ air exchanger ? _ air conditioner _ heatpump ? other ?------- State Surcharge $ :50 T t l o a I hereby apply for a Residential Mechanical Permit and acknowledge that the information is comple[e and accurate; that ihe woTk wi0 be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; rhaz I unders"tand this is not a pertnit, but oniy an application for a permit, and work is not to start without. a permit; [hat the work will be in accordance with tfie approved $lan}n the case of w?rk which requires f review and approval of plans. > r---N . ? . *?II? &V1V1 I Y_ Applicant's Printed Name App ican s Signa re ?mca ( 2006 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX 4 651-675-5694 New ConstNCtion Reauirements 3 registered site suneys shawing sq. fl, of l06 sq. ft. of house; and all roofed areas (20% maximum lot wverege allowed) 2 copies of plan showing beam 8 window saes; poured found design, etc. 7 sel of Energy Calculations 3 copies of Tree Preservation Plan if lot platled after 7f1193 Rim Joist DetaA Opiions selec6on sheet (buildings wAh 3 or iess un'AS) Minnegasco mechanical ven[ilaUOn form RemodellReoair Requirements 2 copies of plan showing foolings, 6eams, joists 1 set of Energy Calculations for heated additions 1 site survey for additions & decks Addifron - indroate il on-sde sepfk system Office Use Oniv CeAofSurveyRecd _Y _N Tree. Pr@sPlan Recd _ Y_ N. Tree Pres Required _Y _N OnsiteSepUcSys[em _Y_N Date / d& Construction Cost / 4 4 1 Site Address s Z? Unit/Ste # e__ar L- - 1 a? J n `?' Dz DescripYian of Work S ? / Multi-Family Btdg _ Y Fireplace(s) _ 0 _ 1 _ 2 Praperty Owner Telephone # (('p57) CJSvZ "o?.1S3 . Contractor Address , 3 City ?/y Sffite JOyV Zip 6-57Telephone#(6?? 60? / COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category t Worksheet • New Energy Code Worksheet (dsu6missiontype) Submitted - Submifled • Energy Envelope Calculalions Submilted In the last 12 manths, has the City of Eagan issued a permit for a similar plpn based on a master plan? _ Y _ N If yes, date and address of master plan: Cicensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone # ( Telephone # ( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ardinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a perxnit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ,,, - pplicant's Printed Name ApplicanYs Signature DO NOT WRITE BELOW THIS LINE Sub Tvpes ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dweiling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Exl. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck 0 23 Porch (screenlgazebo) ? 36 Multi Misa ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-p{ex ? 25 Mlscellaneous Work TVpes ? 31 New ? 35 Int Improvement ? 38 Demalish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 fire Repair ? 33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg ) - Give PCA handout to applicant DCSCI'IptlOtl: WaterDamage Yes _ Valuation Occupancy MCES System Plan Review 100% or 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) _ Sheetrock Footings(deck) _ Final/C.O. Footings (addition) _ FinaUNo C.O. Foundatio? HVAC Drain Tile OYher Roof Ice & W ater Final Pool Ftgs AidGas Tests Final Framing _ Siding _ 5tucco Lath _ Stone Lath _Brick Fireplace R.I. _ Ai r Test _ Final _ Windows _ _ Insulation _ Retaining WaII 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 . . S ? . 19334 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagau MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 RemodellReoair Reauirements INfice Use OnN . New Canstmctian Reauiremenis _ '. 3 registered site surveys showin9 sq- ft. of lot, sq. R of hase; and all roofed areas 2 copies of plan showing foo6rgs, 6eems 1dss Gert ot Survey ReCd Y N Y _ N (20%maximumbtcoverageallowed) lsetofEnergyCalcula6msforhealedatldiGOns S? RePM _ . for additlons & decks Tree PCes Plan Reid _ Y _N, t Soils Report if proposed building is to 6e placed on dislurbed soll 1 site survey AddiNon - intlicate d on-sde septic sysfem T?ee P2.s Reqwretl ? _1" _ N 2 ccpies of pWn show+ng hearn & vrindow sizes; poured fawd design, etc. On-?leSepNc Sy;tettr ,,, _Y.,._ N 1 setof Energy Calalations 3 copies oi Tree Preservatlan Poan rf IM platted after 711193 Rim Joist DeWil Op6ons selec6on sheet (huildirigs witli 3 or less units) Mmnegasco mechanical ventllation fam _....., +ti.,.. ??e tra.ip QprrPt and the reason. Plans are considerea unuc inrormauvn unlCao uu o,o•- ••? -• ?--- - ?d?? Date I 1??/ Z?a 7 ConstructionCost L Site Address t? "'i (033''7 ?? k W L w A? Unit/Ste # Description of Work Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 2 Property Owner P? M DZw VL? Telephooe #( ) 0 VT ?n S?p?'?''S Contractor I 4188 'FRwOQ'1 TI2 1AlL City Afm v?1Lll? Address Mvi Zip ? Zy Telephone #(?eS? ) Zis- State COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateaorv 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheef (J submission type) Su6mitled 5ubmiried . Errergy Envelope Calwlallons Submitted In ihe last 12 monihs, has the City of Eagan 'rssued a permii for a similar plan based on a masTer plani _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor T hataha? annlv fnr a Res Telephone #( Telephone #( Telephone #( and aclrnowledge that the information is complete and accurat lTA e; =r• that the work will be in conformance with the ordinances and codes of the c;ity ot hagananu Uio OUa« 61 Statutes; 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 r?quirr?es?a?revrwD d approval of plans. O 15 U ?S V 15 D MI ?ti ? VW'f ? Applicant's Printed Name ApplicanYs Signature ? DO NOT WRITE BELOW THIS LINE Sub Types ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? OS 03-plex ? 06 04-plex Work Tvqes ? 31 New ;;( 32 Addition , ? 33 Alteration ? 34 Replacement ? 93 16-plex ? 16 Fireplace ? 17 Garage ? 18 Deck ? 19 Lower Level ? 20 Pool ? 30 Accessory Bldg ? 21 Porch (3sea.) ? 31 Eut. Alt - Multi ? 22 PorohlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 23 Porch (screen/gaze6o/pergola) ? 36 Multi Misc. ? 24 Storm Damage ? 25 Miscellaneous ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 36 Move Building ? 42 Demolish Foundation ? 45 Fi2 Repair ? 37 Demolish Building• ? 43 Reroof , ? 46 Wndows/DOOrs 'Demolition (Entire Bldg) - Give PCA handout to applicant ' DB5CrIp}lon: WaterDamage`Yes C - ?`?G? y Valuation Occupan M ES System cy Plan Review /e#_100°k or _ 25% Census Code y.3?( Zoning City Water SAC Units - Stones ?- Booster Pump '- # of Units ` Sq. Ft. ? PRV i # of Bldgs ----- Length / 0 Fire Sprinklered ? Type of Const Width REQUIl2ED INSPECTIONS Faotings (new bldg) _ Sheetrock rV Footings (deck) _ FinaUC.O. rx Footings (addition) ? FinaUNo C.O. Foundation HVAC Drain Tile Other Roof _ Ice & Water Final Pool Ftgs Air/Gas Tests Final _ _ Framing _ _ Siding _ Stucco Lath _ S[one La[h _Brick _ Fireplace _ R.I. _ Air Test _ Final Windows _ Insula6on _ 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 ? 07 05-plex ? 08 06-plex ? 09 07-plex ? 10 OS-plex ? 11 10-plex ? 12 12-plex Building Inspector - . _, C. R. WINDEN 6 A550CIATES, INC. tAND SURVEYORS Tel 646•3648 For: a 1381 EUSTtS ST., ST. PAUI, MINN. 55108 U. S. Home Corporation. Scale: r 4 3 ti ? Y Z W C-- Note: As o£ this date Johnny Cake Ridge Third Addition has not been recorded. Lots 1 through 4 inclusive, Block 5, Johnny Cake Ridge Third Addition, Dakota County, Minnesota. N i° = so' WE MEREBY CERTIFY TMAT THIS IS A TRUf AND CORRECT REVRESENTATION Of A SURVEY OF THE lOUNDARIES OF THE IAND ABOVE OESCRI6ED ANO OF TME IOCATION Of AlL 6UILDINGS, IF ANY, THEREON, AND All VISIBLE ENCROACMMENTS, IF ANY, fROM OR ON SAID IAND. Ootod this 23fd day of ?? Ie A.D. 198C C. R. WINOEN 8 ASSOCIATES, INC. br - Sarvoyor, Minnewfo Raqistration Ne.772G V3g? 2007 RESIDENTIAL BUILDING rERMIT arriacnzzoN City Of Eagan 3830 Pilot Knob Road, Eagau MN 55122 Telephone # 651-675-5675 FAX 9 651-675-5694 New ConsWCtian Reauirements . 3 registered site surveys showing sq. ft af lot, sq. ft. of house; and all roo(ed areas (20% maximum bt coversge allowed) 1 Soils Report'rf proposed 6uilding is to be placed on disNrbed soil 2 copies of plan showing beam 8 window sizes; poured found design, efc. 1 set of Energy CalculaliDns 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist DeTail Options selection sheet (buildings with 3 or less unifs) Minnegasco mechanical ventilatlon fortn RemodeUReoair Reouirements 2 cropies of plan showing footlngs, 6eams, joists 1 set of Energy Calculalions for healed addi6ons 1 site wrvey for add'Nons & decks Add'ition -indicate i(onsite septic system /[/ ,6`' office"use oniv Cert ofSurveyReod 1': N SoilsReport ' ._ _Y: _N Tree PreS Pkn Rerd Y N. TreePresRequired 7 Y -?1 On-siteSep6cSpstem _Y _,N Plans are considered ublic information unless ou state the are trade secret and the reason. Date ,7L / 0-7- ? Construction Cost 6425'0 • Site Address '?/a.3? ? o'? {?Fw_l,?i_-,? E 60'4_'/ UnitlSte # Description of Work ,<i,ST.944qps,o Aook' a-a iv NcADE? ( n!o w.a z-c. . Multi-Family Bldg _ Y_ N Fireplace(s) _ 0_ 1 _ 2 Property Owner Pym o c.F Telephone #(GS/ ) un.S - /,3 6 Contractor 0u7-,000 R SF?F?G?s c ?ESi,sn/ y,Bu icD Address /?A,80 ?',eEEPoE-'T T•eFl/L. Clfy APP?E UALLE?? State 1-r1n1 - Zip Telephone#(65/)-? aS-//Oa COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted . . Energy Envelope Calculations Submitted In the last 12 months, has ihe City of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, daTe and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone #( Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in.conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a 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 ap d--- ? A 'cant' Applicant's Signature . DO NOT WRITE BELOW THIS LINE Sub Tvpes ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg ,0'02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-seaJ ? 31 Eut. Alt - Multi ? 03 01 of _ plez ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-piex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebolpergola) ? 36 Multi Misc. ? 05 03-plex ? 11 1 D-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Tvpes ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish 8uilding* ? 43 Reroof 0'46 WindowslDoors ? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant . DeSCI'Iptlon: WaterOamage_ Yes ar? Valuation 3??? ? Occupancy )z .3 MCES System Plan Review 100% or 25% Code Edition Zoo ` - Census Code 43 L/ Zoning City Water SAC Units a Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const V? Width REQUIRED INSPECTIONS _ Footings(new bldg) _ Sheetrock _ Footings (deck) _ FinaUC.O. _ Footings (addition) _ FinaUNo C.O. Foundation HVAC Drain Tile Other Roof Ice & Water Final Pool Ftgs Au/Gas Tests Final _ Framing _ Siding _ Stucco I,ath _ Stone Lath _Brick Air R.I. Fireplace Test _ Final _ Windows _ _ _ Insulation Retaiviug Wall Approved By: Building Inspector Base Fee Surcharge Plan Review MCIES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total 7' Clty Of ?aiaIl 3830 Pilpt Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Address / City / Zp; Applicant is: Description of work: Consfruction Cost: ) Date: SlteAddresr. y? Pn-O ?Tw•? L ? Tenant: 415J 2r? v?cS '=« 3 3' 1,7- ? r-!(o 3'5-, y6 35- `, RESIDENT / OWNER TYPE OF WORK CONTRACTOR Owner _ Contractor `7 ?20 ------------------ I?t`j?'`?TfiCei4lse I j Permitlt: ? I ? I ? Permit Fee: I I ? ? Date Received: ? i ? I Staff: I `----- I ,.-,91VF MuIG-Family Building: (Yes & / No Name:License#:aCi 15-ef z7 73 ?, . . _ Address: ? state: ziP: ?5 3 Phone: Contact Person: L7Z COMPLETE THIS AREA ONLY IF CdNSTRl1CTiNG ,4 NEW Bt!lLDING _ Minnesota Ru1es 7670 Cateaorv t Minnesota Ruies 7672 Eh@rgy COde . qesidential Ventilation Cffi 0 7 Workshaet Category Submitted ? ry • Nex' Energy Cade Vyorkshee[ Submitted (d submission type) • Energy Envelope Calculations Submitted In the last 72 months, has the City of Eagan issued a permit for a similar plan based on a master pWn7 _Yes _No If yes, date and address of master plan: Licensed Plumber: Mechanical Contrector: -------------' 2008 RESIDENTIAL BUILDlNG PERMIT APPLICATION Sewer & Water Contractor. Phone: Phone: . . . . . . _ . . . . . . . . .. . . . ' . . S. <. .: . .. . . .. ,. , . . I hereby acknowledge that Ihis inFOrtnation is complete and accurate- that the xrork will be in conformance with the ordinances and codes of [he City of Eaqan; that I opderstand ihis is not a permit, but only an applicafion lor a permR, and work is not to start without a permlt that the worlc will 6e in accordance with the approved plan in the case of work which requires a review and approval of pJ66. - App6canYS Printed Name - '" r -• - Page 1 of 3 ????? ?u,?. ?? City of EapIl 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 ?? ? n ?? ?I F - ------------ ; rv,Ht I 3 2??9 ?? i ForOlficeUse i j Pertnit #: ?v ?? I ? i PermitFee: I I ? Date Received: ? - ? I ? I Stafi: I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION oate: 's t f( 0 9 Site Address: L1?3 3 1/0 NC n Tenant: suite #: RESIDENT / OWNER TYPE OF WORK Name: ' Ll '" 1 Address / City / Zip: Applicant is: _ Description of work: Pnone: GS'??4oS'- 9 1 a {.J L W v I t- q L33 'ra Pcn Owner 'Contractor '6 Wrnflow 1'0- 010 tary Construction Cost: -7 ;? y 4 THD At-Home Services, Inc. CONTRACTOR Namf 2690 Cumberland Pkwy, Ste 300 nddre Cumberland Office Park Atlanta, GA 30339-3913 Multi-Family Building: (Yes No ? License #: ?SOd? Q? ??L?l C Jo1?A ? City:. Lic# 20268257 Ph. 763/ 542-8826 - State: ?ip: Phone: Contact Person: i5pj 3YS- G 0Y 7 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Calegory 1 Worksheet • New Enerqy Code Worksheet C8t2gOry Su6mitted Submitled (4 5ubmission type) • Enerqy Envelope Calculations Submitted In the 1as112 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: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the irtformation may be c/assified as non-public if you provide specific reasons that would permit the Ciry to conclude that they are trade secrets. I hereby acknowletlqe that this information is complete and accurate; that the work will be in coniormance with the ortlinances ano coaes oi me ury or Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start wiihou a permit; that Ihe work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x Applicant's Printed Name A IicanYs Signature Page 1 of 3 g-S Permit -7 City of EaQall I Permit Fee: SS. r 3830 Pilot Knob Road Eagan MN 55122 Jlprw Date Received: 49 - Phone: (651) 675-5675 r Staff Fax: (651) 675-5694 1 2009 RESIDENTIAL BUILDING PERMIT APPLICATION ZG Date: Site Address: t 3 3~33''"L" 'y" 3~ 35' f ~fis~- r/ ` O y Tenant: t tv 2cv , W 4 - O-'l Suite RESIDENT / OWNER Name: 'T' /i ? C-44 G , , f J fyc,,7 /hone: Address I City / Zip; Applicant is: Owner X Contractor TYPE OF WORK Description of work: rim'" 9 -4 f214"`cv'°4 Construction Cost Is / Multi-Family Building: (Yes / No ) CONTRACTOR Name: , b `7f Gf ? c_T~. s - License 42 7 15''2'f 73 Address: t City:'/'- State: Zip: 53 Phone: - ~5 t T Contact Person: 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 -(-I1 submissipn type) • Energy Envelope Calculations Submitted In the last%^rnonths, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans documents that_ binit'are considered to be public information. Portions of the information maybe c l a s s i f i e d as non pit otrprovide specific reasons that would permit the City to, . concltid he ;are trad refs; I hereby acknowledge that this infgf Lion is complete and accu ate; that the work will be In ponfoman nce with the ordinances and codes of the City of Eagan; that I understand this is nA I permit, but only an application for a permit, and is no start without a permit; that the work will be in accordance with the approved plan to the case of work which requires a review and appro 0la JO" Applicant's Printed NameV A ant 9 Si lire Page t of 3 Z-16 3 3 Z-14 4 Z146 3.5 7 D DO NOT WRITE BELOW THIS LINE aq 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 10 04-Plex ? 12-plex ? Miscellaneous WORK TYPES 1-i Do's t7)d4D7/>~ ? New ? Interior Improvement 19 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 Occupancy MCES System Plan Review Code Edition ~'y?,[ ZoG"7 SAC Units (25%100% _ Zoning City Water Census Code 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: Footings (deck) 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.l. Air Test __Final Windows Insulation Retaining Wall Reviewed By M , Building Inspector - - - - - - - - RESIDENTIAL FEES: Base Fee / 2, b OQ . - 5 o ?/s9if jZC U eta,) Surcharge 32+ev9eLJ Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies • ,5~ Total Page 2 of 3 r c C. R. WINDEN & ASSOCIATES, INt:- y j1ffmw'w LAND SURVEYORS T4645-3946 For: 01 1381 EUSTIS ST., ST. PAUL, MINN. 55108 U. S. Home Corporation N EAGAw REVIEWED Scale: 1" 50' pR;vE PR.IVpTE 22 12 22.33 5-7 22.33 C'j M it rah Q~ a QP.posD AA 39 < 1s,1 4a/L Nov 3 2 22.3 2 22q3 22 2 W 51 !!q pR,,qp,-f E Note: As of this date Johnny Cake Ridge Third Addition has not been recorded. Lots 1 through 4 inclusive, Block 5, 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. Dared this 23rd day of u =x A.D. 198D C. R. WINDEN & ASSOCIATES, INC. bye Surveyor, Minnesoto Registration No ??2G ��9 3�, �(a.�� , �,; ��' , ��v� � �a- Use BLUE or BLACK Ink ------:----____�._ � For Offlca t�se � • j Rermit#: �� C�� of�a a� � ; . �� Permd Fee: �. � 3830 Pilot Knob Road � � ' � Eagan MN 55122 C � � Date Received: � Phone:{651)675-5675 } � Fax;{651)675-5694 1 Staff: I f 1 '---- ----------' � � 2414 RESIDENTIAL� BUIL.C)iN ,t'',� PERMiT APPLIC/�T1t�N oar�:��-I��-�� s;�Add�s:_��3��' �'l� 3�"�J� /°��'� cv.�f unr�#� IVame: �c��i�i'�� '��. /�zx,r/}�7�t...- �p�e; � � � R�:S�C��i1fi1 .� 4W11�!' Address f City/Zip: !"i�`}��" �i�-'� Appiicant is: Owner �Contractor Description of work: ��'�' �� ° t ��' "''�� Type�f 1lVork � Gonstruc#ion Cost: ��<1�� Multi-Family Building: (Yes�/No_� Company:��7YZs� 7°P �`�� _,�� ' [�sr1%�t�s�9•C��t�`'°'S Contact: _tJ ft� //��`�t�o� COt1'tr�Ct01' Address:C��(�� '��,.,l��- L,',►-�� °' city:�i ��'�- ��'�.-. ,r J"'�' d State:�Zip: ��.:�,� �r J Phane:v j2�-��`�j`t'Email:,�►»►�y'1 JY C�,3�5'?�Gc��?�a��v��i r� License#: l.�C ��`� �f 'T� ��c-_c.�,�-• Lead Certificate#:!V�- i"°Y 1°>�i'1 t�,3 �°l� !f the project is exempt from lead certi#ication, please explain why: (see Page 3 for additional information) COMRLETE THIS AREA ONLY iF CONSTRUC7fNG A NEW BUILDING � In the last 12 mon , the City of Eaga�issued a perrnit for a simiiar plan based on a ma�ter plan?/'"^� _,Yes _No If yes, date and addr s.,r�f master ptan: �-. Licensed Piumber: Phane� Mechanical Cantractor: ' Sewer&Water Con# r: Phone: N�3TL; ar�r#au�r�i�r�tlacurnen�s flaa#y�u strbmet�r�e ctarr�iafereaE ta�e pubJi��'a�rrr�tt�. �rfions r�f ert�'�tnr�ta�an may;b+e�lass�d��non-p�b��c if you provieie�p�c'r�'rc r�sons tha�w3i�ld`�err�ari�t��e Ci�y t�- cancf�de t�a�� are tr�rtl�e sec�e�` GALL BEFORE YOU DtG. Catl Gophee S#ats One Call at(B51)454-�02 for protection against underground ut�7�y damage. Call 48 haurs before you infend to dig to receive locates of underground utilities. www ponherstateonecatf orq I hereby acknowledge that this information is complete and accurate;that the work will be in confoRnance with the ordinance,s and codes of#he Gity of � Eagan;tMat! understanct#his is reot a permik, but only an appfication for a pe�rnit, and w�rk is not to start withou#a permi#; that the work will be in accordanc�Hrith fhe approved ptan in the case of�rtc which requires a review and approvat ofpfans. Exterior work authorized by a building permit iss�.�ed in accordance wFt�t the AAiRnesota State 'Iding�ode m�t be cpmpleted within 180 days uf permit issuance. �f X V ' � ,�� . X � ° . ° � Applicant's P�inted Name ' ant's Signature Page 1 of 3 a Use BLUE or BLACK Ink { r For Office Use Ea ,all Cityof EC I ::::e. 76 3830 Pilot Knob Road �76 Ili Eagan MN 55122 AUG�1�bQ1' `/�/� 9 (651) Date Received: buildinginspectionsna cityofeagan.co Phone: 675-5675 m Staff: ,.+�, • 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: Name: DCAli icl /0e Phone: 12_"'7/67 P4-5-167 Resident/ Owner Address/City/Zip: 16 33 Peel,-.tie Lu-Ay ( Applicant is: Owner Contractor py m Type of Work Description of work: ?C/e t 1 d C.,-6.44 -P'k 4-e o_." Construction Cost: ;20 006 Multi-Family Building: (Yes /No ) 1 Company: 6-) ) !'t''I.1� eo4 `5l'e e .3-t Contact: Ai v^ wwS t' le I,- i r Address: 1501 Airier./(k.- ii l/-i L •5 t.1 2- City: )/OO 01 t✓I j 1-611 Contractor I 3 � +� s State:�/✓1 Zip: tj5 y Z.5 Phone: 76 7O^ C�t/nail: KS-4-4-�r Q 6-1-1--)1e1419.1 , Co ✓vl 1 1 1 License#: . .C6 Pq Lead Certificate#: 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: 1 Sewer&Water Contractor: Phone: I Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the rM information maybe classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. �Fa , You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. 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. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the .rdinances 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 witho it a p:rmit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of pla x /1<,r Sif) -Fiek .- x L./ Applicant's Printed Name Appli nt's ignature Page 1 of 3 L-42-S-- PC-nKtt)e Cu, DO NOT WRITE BELOW THIS LINE 1(/5.. 0. . ' ... ,...____,..._ , 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 01 of_Plex Lower Level Pool Accessory Building WORK TYPES New Interior Improvement Siding Demolish Building* Addition Move Building Reroof Demolish Interior Alteration Fire Repair Windows Demolish Foundation Replace _ Repair Egress Window Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation 2040 Occupancy 's MCES System Plan Review Code Edition NI Nip t r SAC Units (25% 100% ) Zoning A- City Water Census Code Stories Booster Pump #of Units Square Feet PRV _ #of Buildings Length Fire Suppression Required Type of Construction l /,fit., Width REQUIRED INSPECTIONS/�J Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) 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 / Framing_4_30 Minutes 1 Hour Drain Tile t° Fireplace:_Rough In _Air Test Final Siding:_Stucco Lath Stone Lath Brick_EFIS Insulation 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: l'rl , Building Inspector RESIDENTIAL FEES Base Fee Surcharge roPIS) Plan Review MCES SAC /� 1"" City SAC V Utility Connection Charge S&W Permit& Surcharge 9"Vi 0 0 D Treatment Plant Copies TOTAL Page 2 of 3 (Ci August 23, 2017 Encompass engineering consultants Gittleman Construction forensic analysis Kirk Stifter 1801 American Boulevard East, Suite 21 Bloomington, MN 55425 RE: 4635 and 4633 Penkwe Way, Eagan, MN Encompass Project#: 17-6606 (EC- /1'� Dear Mr. Stifter: I t"- I At your request, we have conducted a limited evaluation of fire damage at two townhomes in Eagan, MN. 1.0 INTRODUCTION 1.1 A limited review of fire damage at 4635 and 4633 Penkwe Way in Eagan, MN has been conducted. These two units are part of the Johnny Cake Ridge townhome complex. 1.2 The units are part of a 4-unit cluster building in the Johnny Cake Ridge townhome complex, reference photo 1. 1.3 The evaluation outlined in this report is limited to an evaluation of the extent of damaged roof truss structure elements only. 1.4 A fire event reportedly occurred within the 4635 unit on July 13th, 2017, with some fire and smoke spread into the attic area of unit 4633. 1.5 The fire caused extensive structural damage to the roof structure of unit 4635 and resulted in localized damage to the roof structure at 4633. 2.0 OBSERVATIONS /ANALYSIS 2.1 Unit 4635 2.1.1 Fire damage to the roof truss system was extensive. Reference photos 2 and 3. 2.1.2 Partial combustion and pyrolysis of many truss members was present at the east half of the attic space. 2.1.3 The severity of smoke staining, metal plate discoloration, and localized surface pyrolysis are indications that the wood trusses away from the east end were exposed to elevated temperatures and/or combustion within the attic space during the fire event. 14850 Martin Drive Eden Prairie,Minnesota 55344 Phone 952-854-4511 fax 952-854-3126 4633/35 Fire Evaluation 2.2 Unit 4633 2.2.1 The fire that occurred in unit 4635 also spread into a localized portion of the attic at the adjacent unit 4633. 2.2.2 The extent of the damage at this roof structure was far less than that at 4635. Reference photo 4. 2.2.3 Smoke staining and evidence of combustion or pyrolysis due to exposure to elevated temperatures appeared to be limited to the first three trusses plus the gable end truss. 3.0 CONCLUSIONS/RECOMMENDATIONS 3.1 Based on the extent of the damage and potential extent of heat-related damage or loss of structural capacity, it is recommended that all roof trusses within the 4635 unit be replaced. 3.2 It is recommended that the gable end truss and first three adjacent trusses in the 4633 unit be replaced as part of the fire damage remediation. 3.3 New trusses should be engineered by a licensed engineer in the state of Minnesota. 3.4 Please note that full demolition of interior finishes may reveal additional damage and revised structural repair recommendations. The conclusions contained herein represent our professional opinions. These opinions were arrived in accordance with accepted engineering practices at this time and location. No other warranty is implied or intended. This report is prepared based on observations and review of the material available as of this date. Our opinions may be revised based on the availability of additional data. Should you have any questions, please call. Respectfully submitted, ENCOMPASS, INC. Prepared by: I hereby certify that this plan,specification,or report was prepared by me or under my direct supervision and that I am a duly Licensed -Professional Engineer under the Laws of the State of Minnesota. Typed or Printed Name: Curt lsernhagen Curt Isernhagen, P.E. Principal Signature: Date:August 23, 2017 Lic. No.:40423 E 4633/35 Fire ...:aluation,,, ,....._ .., _ ... .it•...,......., . 3 . , .. ...1. • lir • , ,.. . ..._ * ... .• =•.,„ .... , t '" I':iiit; :'1'i;1:111;niiiililt '.1111,1 ''IMI 3. 0 ....".."...., - = .=0" . . .... • t• ..." '• •X......••"' `....it .";' ',;.,,,,.,....7,... .. . t.........,.....— ....... . ' r--< ---n Photo 1—East elevation of 4633 and 4635;4635 is on the left '9 ""4401044 43 ,... , i -- .., .. 4 ., ,.., t , • , . • ,i *,, , '' - -- r,ny.y ' 1. `—, tk . , 1 , .:' _.f., * I I Photo 2—Significant structural fire damage at 4635 4633/35 Fire Evaluation Ilialli 'z t ,�x� ;y Fwd ^,1.z.. �. i � .4 is. ,.,z1k"x>�,,,.,, r ' ' f :-' ,,,, -.-„,,,,A0, ;;:;i.,.*0*,4,_ , itie. +' `m - d *a ' .. ` z.„ xx :C,v r :�w ., •. Photo 3—Fire/smoke/heat damage at 4635 1 -0010,. ‘ 111111 ;. hiiiiii„ Photo 4—Localized fire damage at attic of 4633