4637 Penkwe WayCASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
E'AGAN,MVIINNESOTA 55122
DATE
RECEIV6G
19
AMOUNT $ I
DOLLARs
+oo
? CASH ? CHECK
FOR ? ? ?
?
YVhite-Payen CoDY
Yellow-Postinp Copy
Pink-File CoDY
Thank You ?
?' /? B Y
?- ^ -
CITY OF EAGAN Remarks
Addition JOHNNY CAKE RIDGE 3rd ADDITION Lot 1
Owner 4?2 ? ? . `-' l1: • 1 ? • ?!,yQ ? Street 4637 Penkwe
4 P8fmi #10 39802 010 04
.... EaQan hIN 55122
Improvement Date Amount Annual Years Payment Receipt Dete
STREET SURF. 19$1 Paid UTiCl r 02'1. lil31 arce
STREET RESTOR.
GRADING -
SAN SEW TRUNK 1975 Paid und r OY'1 inal arce
,t SEWER LATERAL
WATERMAIN
yr WATER LATERAL IqRl
WATER AREA qZZ 19$0 Paid und T OTl inal arce
STOfiM SEW TRK 0
* STORM SEUV LAT
CURB & GUTTER
SIDEINALK
STREET LIGHT
WATER CONN.
13UILDING PER. 6025
SAC
PAAK
CITY OF EAGAN
Addition JQHNNY CAKE RIDGE 3Y'd ADDITTON Lot 2 elk 4 Parael 414 39802 020 04
owner?f h-) i',.,• Street 463731 Penkwe Way state Eagan MW 55122
%
improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STRfET RESTOR.
GRADING
SAy SEW TRUNK 3Cd 197 Paid und r OTl inal arce
* SEWER LATERAL
WATERMAIN
* WATER LATERAL lqRl
WATER AREA 198 Paid U71d T OTl inal ar 8
STORM SEW TRK
* STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATEFi CONN.
BUILDING PER. 6016
SAC
PARK
CITY OF EAGAN
additio Lat`4 eik 4 Parcel #10 L34802 040 04
Owner ? s b?7 ?'"%` ,d Street 4639 Penkwe Way _ State Ea.g3li M 55127
i
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. S5 , 1981 Piad Ulld T OI'1 inal arce
STREET RESTOR.
GRADING
SAN SEW TRUNK 1975 Paid und r original arce
* SEWER LATERAL 19F,1 ????.?3 4$S.4g S
WATEAMAIN
WATER LATERAL
WATER AREA I9$0 Piad L1I1C2 Z' OTI inal arce
STORM SEW TRK i530 1981 300.31 60.06 5 300.31 C005581 10 15 80
* STORM SEW LAT 1981
CURB & GUTTER
SIDEWALK
STREET IIGHT
WATER CONM.
BUILOING PER.
SAC
PARK '
CITY OF EAGAN Remarks
AdditlonJOFIIdP7Y CAKE RIDGE 3Td ADDITION Lot 3 aIk 4 pB?,,l #IO 39802 030 04
Owner e?T4''i ' _:?xi?? -•._ street ?g'3g3? 1'enkwe Way state Eagan MN 55122
i
Improvement Date Amount Annual Years Payment Recgipt Date
STREET SURF, s
STREET RESTOR.
GRADING
SAN SEW TRUNK 1975 Piad LlIla r ori inal arce
* SEWER LATERAL
WATERMAIN
,t WATER LATERAL
WATER AREA Z ig$ Paid tU1C1 1' Orl, inal STCe
STORM SEW TRK iggi w,
* STOFM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER. 6027
SA C 20341
PARK
CIT1( OF EAGAN
3745 Pilot Knob Road Eogon, MN 55721
PHONE: 4548100
BUILDING PERMIT
Site Address 1'f' lay
.TV_r,:r
Lot Block Sec/Sub. '
Porcel .#
a Name ,"- - -
w
z
Address r -L•? i::
? 1,_ ;e tiO7*-'?. et--- • 544-7333
?o Name - ??
F
?? AddrBSs
Nome _
Address
I hereby ocknowledge that I hove read this applicution and state that
the information is corred and ogree to comply with all npplicable
Stote of Minnesoto STatutes and City of Eagan Ordinances.
Receipt #
N° 60?7
Erect Q,- Occupancy
After 0 Zoning
Repair ? Fire Zone
Enlarge [] Type of Const.
Move ? # Stories
Demolish ? Front ft.
Gr4de p Depth ft.
Avprovols Fees
Woter & Sew.
Police
Fire
Eng.
Plartner
Countil
Bldg. Off. _
APC
Permit
Surcharge
Plan check
SAC
Water Conn.3'`?? •
Water Meter ??n •
Road Unit
TOYOI
Signature of Permittee ?
•,.-• .
A Building Permit is issued to: on the express condition that
all work shall be done in cccordance with all applicable State of Minnesota Statutes ond City of Eugon Ordinonces.
Building Officiot
ParmM # Dab laued Pemith?
Plumbin9
Mechanical
;• Z!? c - r ?.'E G -? ;' - 7 - /
INSPECTIONS DATE INSP.
Rough-In
Flnal
Footings Date InsD- Dote Insp.
Foundatian Pfumbing ?
Frame/ins. /a2 -g/ Mechonical
Final
Remarks: 16 - a` Fd
No.
Date: .
Site ,,ddress:
46391 Penlnve tiyqy
?
Lot BI«k " Sub/Sec.
JYuW. Cake Rer . 3
Name ,-)30I'1 NoL'c-;
? Address - •'?,'IMris Crsrd.
-:c,.?r:r±, ... 5rr_. •;??.
City Phone:
Name ---,:el ?:ieclianical
.
g /lddress ' ^ • -_`t' ? .
e
? . ? .
CitY ' Phone:
This Permit is issued on the express condition thct all work shall be
Minnesota Statutes and City of Eogon Ordinances.
CITY OF EAGAN
3795 Pilot Knob Read
Eegen, Minnesoro 56122
Phowe: 454-E100
PERAAIT
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
Receipt No.:
Single
Residentiol ?+ i?1E
Multi Res., Comm./Ind. I
New/Alter./Repoir
Cost of Instailation
Permit Fee
Surcharge Total
done in occordonce with atl cpplicable State of
Building Officiol
Reoeipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN
'
Fee
Fill in numbered spaces S/C °
Type or Print legib/y Tot.
1. Date -•- l 2. Installation Cost '
3. Job Address t:ot Blk. Tract
4. Owner ._ .. `: :: . . .. . . .. . . . . . ? ._ _ . ; .
5. Contractor - . . . :'? =i-' Phone
6. Address 4? 37
7. City ? ?•• State i• Zip
8. Building Type: Residential F?= Commercial ? Institutional O
9. Work Description: New Add ? Alter El Repair ?
10. Describe ' Fuel Type
11.
No, F,pujpment STU - M. Ea.
Forced Air No. Equipment CFM
H
Ai
dli
Mfg. r
an
ng:
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg, Other
Air Cond.
Mfg.
" Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : '
for
Rough Final
16spections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464,8100
- .-- -. r
Receipt PLUMBING PERMIT Permit No. •
CITY OF EAGAN
Fee ._ "
FiII in numbered spaces S/C "
Type or Prini legib/y Tot. `
'
1. Date
2. Installation Cost
_ -- ? ?
Job Address Lot -? Blk
Tr
3
ct
.
.
a
4. Owner
5. Contractor -=Aone
6. Address 7. City 5tate Zip
8. Building Type: Residentiai ?
9. Work Description: New 0
Gommercial ? Institutional O
Add O Alter O fiepair ?
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 Orains
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
Rpugh Flnel
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8700
CITY OF EAGAN
'• ?. 3795 Pilof Knob Road Eagan. MN 55122 N° 6025
PHON E: 454-0100
BUILDING PERMIT Receipt # _ -
To be pad for Est. Volue 46,r,1 • Date 19
Site Address Erect Q_ Occuponcy
Lot Block Sec/Sub. - '. Alter Q Zoning
Porcel #
Repalr ? ,
Fire Zone
Enlorge p Type of Const. _
ae Ncme '-'=Il?
W Move
0
# $tories
Z Addrcss
0 Demolish ? Front ft.
Ci Phone Grode ? Depth ft.
?
o Nume Approrala Pees
?? Address Assessment ' Permit
~ Water & Sew. Surchorge
Ci Phone
?w PoUce Plan check,
Nume Fire SAC
FZ
F? Address Eng. Water Conn. !' r
<W G phone Planner Water Meter
Council Rood Unit
I hereby acknowledpe that I have reod this upplication and state that gld9
pff.
the information is corred and agree to comply with all applicoble ,
Stote of Minnesota Statutes and City of Eagon Ordinances. ApC Total
Signoture of Pennittee
A Building Permit is issued to: " ':-aT"'=?t}n ??orte ? on t he express condition that
all work sholl be done in accordonce with all applicoble State of Minnesotc Statutes and City of Eagan Ordinances
Building Offitiol
Pomk # peM IwNd permkfw
Plumbing 70 / ' v
Mechonical ?L 5
71?
INSPECTIONS DATE INSP.
o?h-1n
Finol
Footin s
9
Date ruo. Oate ??sD
Foundotion Plumbing
Frame ins. Mechonical
ina
I
Remorks:
?
,5 -,X - 6 ?
No.
?+;?•
Date:
9-9-g(
cIrr oF UGAN
3795 Pilat Knob Read
Eogon, Minnetota 55122
vtions: 454-8100
PERMiT
sire Address: 4639 PerWe rle;l
•.
Lot Blxk Sub/Sec Jr:T?y. . CFike r'C?; . J
.
, r, , ryi0i:i?;.'.?.:. !tO,?E<•
Nome "
e Addreu ' ,'I2 HOpkj:i,^ !',1•Trd.
SLIt-
City Phone:
Name & ?
¦
? Address . _:•T,1,?, _ ,_,, .
Ciry ' Phone:
This Permit is issued on the express condition thot oll work shall be
Minnesoto Statutes ond City of Eogon Ordinonces.
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
, 2
7701
Receipt No.:
Single ] pf L 7)1P
Residentiol
Multi Res., Comm./Ind.
New//11ter. /Repair
Cost of Installation
Permit Fee
5urchorge
Tota l done in ecwrdonce with ell applicable Stote of
Building Official
Receipt MECNANICAL PERMIT
CITY OF EAGAN
FNl in numbered spaces
Type or Print legibly
Permit No.
Fee
S/C
Tot.
1. Date . °? 2. Installation Cost
3. Job Address,. Lot Bik. Tract
4. Owner
5. Contracior • Phone
6. ,
Address 2r'>'7
ic
t
7. City `p1e . Stete . .i_. Zip
8. Buifding Type: Residential Q Commerciat O trtstitutional C1
9. Work Description: New Add ? Alter ? Repair ?
10. DescribeIl::!;,...i l _-orCe4 , .iz he?_tir1.• Fuel Type e--C.
11.
No.
i Eauioment HTU - M. Ea.
Forced Air ;'k->>?`?? No. Equipment CFM
Ai
dli
H
Mfg. r
an
ng:
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and 1 agree to
comply with all ordinances and codes governing this tYpe of work.
Signed : for
, Rough Finel
Inspections: Date Insp. Date Insp.
This is your permit when numhered and approved.
Approved CITY OF EAGAN 454-8100
Raceipt
{-?r-1>
PLUMBING PERMIT
CITY OF EAGAN
Fil1 in numbered spaces
Type a' Prrnf legib/y
Pe?mit No.
Fee
s/c
Tot.
1. Date 2. Installation Cost
3. Job Address Lot Blk. Tract '
.? -
4. Owner L,c-?- --- - - - - - --
5. Contractor •_ e I ? Phone Y 17:( - iiS 1--
6. Address ??f *"F . % ?- ?..? r
7. City = C, c- State ??•% /?„? 2ip 1- <7 l,'. 1
8. Building Type: Residential ? Commercial 0 Institutional 0
9. Work Description: New ? Add ? Alter 0 Fiepair ?
10. Describe
11.
No,
i Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs $eptic Tank
? Lavatory Softner
Shower We I I
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Dutlets
E
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 454-6100
-1-16 c, • [T't] °L`"„`?
Receipt PLUMBING PERMIT
CITY OF EAGAN
Permit No.
Fee
Fill in numbered spaces S/C "
Type or Print /egib/y T
ot.
1. Date 2. Installation Cost
3. Job Address Lot 2 Blk. Tract? L '
?
4. Owner
5. Contractor ? Y
Pfione
6. Address
7. City State Zip
8. Building Type: Residential ? Commercial O Institutional 0
9. Work Description: New 0 Add ? Alter ? Repair ?
10. Describe
11.
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs 5eptic Tank
Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : / for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
cinr oF EA"N
? 3795 Pilot Knob Road
No. Ea9an, MinnewM 55122
Phewr 454-8100
PERMIT
Dote:
9-9-80
Site /lddreu:
-e
nnr',yp
t'd&y
Lot ^ Block 4 Sub/Sec. J!1ny. CtLke ;Zdg. 3
Nome "1•iri ThOW8021 Hm@8
°c Address 1712 Hopkins Crsrd.
?
City - "i??netonkA , 1.?t. Phone: 5?'?'`7333
Nome ' ,,el Meehanical
.
? Address a??00 xeruie5ec DI'.
? CIYy .... _ _. ? _ Ph0/1E:
This Permit is issued on the express condition thot oll work shall be
Minnesato Stotutes and City of Eagan Ordinances.
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
Receipt No.: "714
5ingle I
Residentiol 1 nf
Multi Res., Comm./Ind. I
.^.pw
New /Alter. / Repoir
Cost ot Insrallorion
. '' . ,
Permit Fee
Surchorqe
Tot01
done in accordance with all opplicable State of
Building afficiol
Raceipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN
Fee
Fill in numbered spaces S/C
Type or Print legib/y ToL
1. Date . -- ' 2. Installation Cost
3. Job Address '/ ;;'Lot Blk. Tract
4. Owner
5. Contractor . r Phone ` ?'-5-6-FC,
6. Address 4637 `'}dC1g0 AvE33. :o.
7. City i.= . State 2ip 55407
8. Building Type: Residential -fl Commercial ? Institutional O
9. Work Description: New 0.'. Add ? Alter ? Repair ?
?
10. Describe n; r !.j? +. ' Fuel Type
11.
No. Eauiument STU - M. Ea.
Forced Air :"(j?G"?? No. Equipment CFM
Ai
H
dli
Mfg. r
an
ng:
Boilers
Mfg, Mech. Exhaust
Unit Heater
Mfg, Other
? Air Cond.
Mfg.
1_ Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and 1 agree to
comply with all ordinances and codes governing this type of work.
Signed : for
, Rough Final
Inspections: Date Insp. Date Insp.
i his is your permit when numbered and approved.
'Approved CITY OF EAGAN 464-8100
CITY OF EAGAN
3799 Pilot Knob Rmd Eagan, MN 55122 N! 6026
PHONE: 454-8100
BUILDING PERMIT Receipt
To bs used for Est. Value Date , 19
Site Address Erect :G Occupanty
Lot Block ? Sec/Sub. Aiter ? Zoning
P
l Repair 0 Flre Zone `
arte
# z
E
l T
f C
t
n
orge p ype o
ons
.
oe Nome
Move p
#? Stories
W
? Address Demollsh ? Front ft.
Ci phone Grode [3 Depth ft.
? Ncme Approrob Fees
,o
?
?'J Address
F- ?:... a.---
Name _
Address
I hereby acknowledge that I hove read this opplication and state thut
Lhe intormation is correct ond ogree to comply with all applicable
Stote of Minnesoto Stotutes and City of Eagan Ordinances.
Assessnient
Water & Sew.
Police
Fire
Eng.
Plcnner
Council
Bldg. Off.
APC
Permit
Surchorge
Pian check
SAC '
Water Conn.
Water Meter
Road Unit
Total
Signcture of Permittee ?
A Building Permit is issued to: on the express condition thct
oll work sholl be done in ocaordance with oll opplicable Stote of Minnesota Statutes and City of Eogan Ordinances.
Building Official
Pamtt # pete I?A NnekFw
Plumbing I 9D ? ",fQ
Mechonicul y A.'
/ J'G-c7S
INSPECTIONS DATE (NSP.
Rouyh-In
Finol
Footings Date Inap. Data Irup.
Foundntion
Frcme/ins. Plumbing
Mechonical
??t---
Finol
I
- ?
/0 2 /
Remarks:
- CITY OF EAGAN
4 ? 3745 Pilot Knob Roud Eagen, MN 55722 N2 6 025
PHONE: 454-8100
BUILDING PERMIT Receipt # -
Te be uaed fer Fef_ Vnlua Dnrn 14
Site Address Erect )a. Occuponq
Lot Block Sec/Sub. Alter p Zoning
parcel # Repoir ? Fire Zone
Enlarge ? Type of Const.
a
C Name Move ? # Stories
W
3 Address Demolish ? Front ft.
i -
0 C Phone Grode ? Depth ff.
? Name Approvals Fees
0
Uu Address -
Assessmen
t
Permit
~ Woter & Sew. Surcharge
Ci Phone
Pollce Plan check
W Nome Fire SAC
P
v? Address Eng. Water Conn.
?W G phone Planner Woter Meter
Council Road Unit
I hereby acknowledge that I have read this applicotion and stote that gldg
pF{
the informotion is correct ond ogree to comply with all opplicable ,
.
APC
-
Totnl
State of Minnesota Stotutes nnd Ciry of Eagan Ordinances.
Signature of Permittee
A Building Permit is issued to: OZ'?•'1n T?^.C?pi on t he express wndition that
oll work sholl be done in accordunce with all appiicable State of Minnesotc Statutes ond City of Eogan Ordinonces.
Buifding Officiol
PonnM # Oeh hwe/ hrwMtN
Plumbin9
Mechonical
3?-C 7
INSPECTIONS I DATE INSP. Rouph-In Firwl
FOOtings DaFe Inap. Date Insp.
F otion Plumbing ?
From ins. /?-$1 Mechaniwf ?
inol
Remarks:
No
Date:
$ite Address:
Lot
CITY OF EAGAN
3795 PileF Knob Read
Eayas, Minnesote 55122
Phone: 454.0100
PERMIT
4637 Penkare we?q
Jhu?y. . Cak-e F.dg .
Block ? Sub/Sec.
'Irr7 tl -!,Of':rSUri i?UJII@3
? INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
Receipt No.:
Single 1 ?f 4;
Residential '
Multi Res., Comm./Ind. I
Nome ? New /Alter./ Repair
? Address
Cost of Installation
neto?", P'fil. --i
City Phone: Permit Fea
';er.^?1 ' r ^ran ? cc' .
` Name Surchorge
y Address 36(',1
City Phone: Total
This Permit is issued on the express condition thot ull work sholl be done in accordance with all opplicable State of
Minnesotc Stotutes and City of Eagon Ordinonces.
Building pfficial
Receipt MECHANICAL PERMIT
CITY OF EAGAN
Frll in numbered spaces
Type or Print /egibly
Permit No.
Fee
S/C
Tot.
1. Date 4-11-1; 1 2. Installation Cost "'•'
3. JobAddress Lot Bik. Tract
._ T..
4. Owner ..?_, ? . .. . . ? .i.,,.
5. Contractor VL Y Phone
6. Address 40 J
7. City .??. State Zip ? ?'-
8. Building Type: Residential Commercial O Institutional ?
9. Work Description: New 11-- Add ? Alier ? Repair ?
10. Describe ?t ' ' '?,??. - ,• ;,? :+-:,:fuel 7ype
-- - -
11
No.
1 E.quioment BTU - M. Ea.
Forced Air ?? tu No. Equipment CFM
:
Ai
Handli
Mfg. r
ng
Boilers
Mfg, Mech. Exhaust
Unit Heater
Mfg• Other
Air Cond.
Mfg.
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: for
' Rough Final
Inspections: Date (nsp. Date Insp.
This is your permit when numbered and appraved.
Approved CITY OF EAGAN 454-8700
OF EAOAN
' 3745 Pilot Knob Roed
E4gan, NIN 55122
Zoning:
Owne r:
Address:
ite Address:
umber:
eter No.:ta '
ad er No.:
groe to eanply with the City of Eagon
dinpnces.
WATER SERVICE PERMIT
PERMIT NO.:
DATE: ?
_ No. of Units:
gy Date Paid:
Date of Insp.: Insp.:
CIT1f OF EAGAN
3795 Pilot Knob Read
Eogan, MN 55122
Zoning:
Owner:
Address:
Site Address:
Plumber:
,Z
I agree to comply with f6e City of Eagan
Ordinanees.
By
Dote of Insp.:
I nsp.:
?
CI7Y 7F EAGAN
a745 Pilat Knob Road
6agart, MN 55722
Zorting:
Owner:
Address:
Site Address:
Plumber:
Meter No.:
Sixe:
Reader No.:
1 qgree to eomply wi+h fhe City of Eagan
s Ordinaeees.
By
OpYe of Insp.:
Connection Charge:
Account Deposit: _
Permit Fee:
Surcharge:
Misc. Charges: -
7otal:
SEVIIER SERVIC6 PERMIT
PERMIT NO.:
DATE:
No, of Units:
Connection Charge:
Account Deposit:
Permit Fee:
Surcharge:
Misc. Cfwrges:
Total:
Date Paid:
WATER SERVICE PERMIT
PERMIT NO.:
DATE:
. No. of Units;
Connection Charge:
Acmunt Deposit: _
Permit Fee:
Surcharge:
Misc. Charges: -
Total:
Dote Paid:
I nsP..
CITr OF EAGAN
8795 Ailot Knob Rood
Eagan, MN 55122
Zoning:
Owner:
Address:
$ite Address:
Plumber:
1 agree to eomply wiFh fhe City of Eagan
Ordinances.
R..
Date of Insp.:
SEVNER SERVICE PERMIT
PERMIT NO.:
DATE:
No. of Units:
OF EAaAN
Ailot Knob Road
, MN 55122
Connection Charge:
Account Deposit: _
Permit Fee:
Surchorge:
Misc. Charges: -
Totnl:
Date Paid:
WATER SERVItE PERMIT
PERMIT NO.:
DATE:
No. of Units:
Address: , T, 1. , °:tt•- . J!' ''; - E'+ T i
_ enze
eader No.:
agree to eomplp with the Citq of Eagan
Y
F are of I nsp.:
Connection Charge:
Account Deposit: _
Permit Fee:
Surchar9e:
Misc. CFwrges: -
Total:
Qote Poid:
I nsp..
SEWER SERVICE PERMIT
CITY OF EAGAN
3745 Pilot Knob Rood pERMIT NO.: .?
Epgae, MN 55123 DATE:
No. of Units:
Zoning:
Qwner.
Address: '
5ite Address:
-
Plu nber. n ,
n Charge:
ti ? .
o
ree to oemplY with the CitY of Ea9aa Connec
1 a
g Account Deposit:
Oedinanees.
Permit Fee:
Surcharge:
Misc. Chorges:
Y Total:
ote of Insp.:
Insp.: Date Paid:
??c •
(t ; snf
I
T7 .^.r EAGAN
ic
3795 Pildt Knob Road
?agon, MN 55122
Zoning:
?wner:
Address:
Site Address:
Plum6er. _
I agree to eomply with the City of Eagon Connection Charge:
Ordinunces. Account DeposiY:
Rermit Fee;
Surcharge:
'gy
i Date of Insp.: Misc. Charges:
Totol:
Insp.: Dnte Poid:
TY CF EAGAN WATER SERVICE PERMIT
L37
95 Pilot Knob Road PERMIT NO.:
gan, MN 55122 DATE:
Zoning: No. of Units: ?
Owner: -
Address:
Site Address:
•
umber.
eter No.: Connection Chorge:
ze: Accouns Deposit:
ader No.: Permit Fee:
agree to eomply wieh the Cil?r of Eagan
1 5urchorge:
dinanoes. Misc. Charges:
Totol:
? Oote Poid:
of I nsp.:
.te I nsp.:
SEWER SERVICE PERMIT
PERMIT NO.:
DATE:
No. of Units:
mmnesuta acate aoara or nec nciry
Griggs Midway Bldg. - Room N191 ?/Q EB-00001-02
_ 1821 •?iversity Ave., St. Paul. Minn. 55104 - phone 297-2171 Q(
CHECK BELOW WO KOCO EREDTBY' THIS REQ EST INSPECTION °? T36077
Tyge of Bullding New Add. Rep. Check Appliances W'ved or Check Fquipment Wired For
Home ? ? Range Temporary Wiring ?
Duplex ? ? WatetHeater LightingFumres
? Apt. Bldg. ? ? ? Dryer Electric Heating ?
Commercia] Bldg. ? ? ? Fumace ? Silo Unloader 0
Industrial Bldg. ? ? ? Air Conditioner Bulk Milk Tank ?
Farm ? ? ? List List
-Other
?
o
? p
Heters( - p
Heiers?
COMPUTE INSPECTION FEE BELOW
Service Entrance Size: n F FcedecsflSub[eedecs: # Fce Cucuits: it Fa
0 to 100 Am s. 1 -1-tlPQ 0[0 30 Am res 0 to 30 Am eres
101 to 200 Amps. 31 to 300 Amperes 31 to 100 Am res i,
Above 200_Amps. Above ]00 Amps. Above 100 Am s.
TransPormers Remote Control Cvc. Partial or other fee °
Signs - ?y- Speciallns tion Minimumfee
Remarks -
- ? ?A/ ? /
TOTAL F Ej.Jo
)W
I, the ElecLncalVspeMI°O}LIWcertify t'kaY-tttx abW4ffi¢e413efiU been_4.?kj
(Roup,h-in)_ if7 ? / r Date ?
(Final)
This request void
18 monffis from
This request void ? 3 3 0
] $,moatha from
Date,of his Request 3 Fire No. ? 'T V6O 17
I, asLicensed Electrical Contractor OOwner, do hereby request inspection of the above electri-
cal winng installed at:
Street Address or Route No. %3 L'/Z' w7 City 6k6#V'J
Section Township Range County b&-,01/a
Which is occupied by
Is x roughin inspection required on this job? No ? Yepk Ready Now O Will CalK
Power Supplier ?• Address
Electrical Contractor Contractor's License NN525?
$ (COmPany?< ?
Maitin Address C . ?
(Ele£t 1 al Qntract or Owner Making Thls Instaliatton) ?u • ?r?
Authorized Signature 1 ?..' Phone No. ?
(ElBttrlcal (°ontra<tor or Owner Making ThIS Installation)
This inspection request will not be accepted by the
??? ?AN ,p ?P ???? ??ply State Board unless proper inspecGon fee is enclosed.
Minnesota State Board of Elechicity
' Griggs Midway Bldg. - Room N191
• 1821,.University Ave., St. Paul, Minn. 55109-phone 297-2117 ,(D
REQUEST FOR ELECTRICAL INSPECTION ?N
CHEtK BELOW WORK COVERED BY THIS REOUEST
EB-00001-02
T 36076
Type of Building Ney' Add: Rep. Check Appliances Wired For Check Equipment Wired For
Home ? ? . Range ? Tempora[y W'ving
Dupiex
?
?
?
Watec Heater
?
Lighting Fixtures ?
.4pt. Bldg. ? ? ? Dryer
? Electric Heating
Commercial $Idg. ? ? ? Fumace Silo Unloader ?
Industrial Bldg. ? ? ? Av Conditioner ? Bulk Milk Tank ?
Fum List List
O[hei ? ? ? p
Heiets?
) Otereers?
H
COMPUTE INSPECTION FEE BELOW
Seivice EntranceSize: 7k Fee Fceders&Su6Peedexs: x Fee Crtcuits: # Fce
0[0 100 Am . 0 0 ta 30 Am eres 0 to 30 Am tes ,(TD
101 to 200 Am s. 31 to ] 00 Amperes 31 to 100 Am eres
Above 200_Amps. Above 100 Amps. Above 100 Amps.
'Iransformers AemoteCont[olCirc. Partial or other fee
Si ns Special lns ction M"vtimum fe
Remack TOTAL EEX,UO
I, the ctri h' y certify
lQ......6 ?..\
(Final)
T}iis request void
18 months from
been .
e 4-
?
e b-???t
P Ya?a 0 02? ao
nths !3!om ? 36076
Date, .of this Request 3? 3 i I? Fire No. T I, a? I'Licensed Electrical Contractor ? Owner, do hereby request inspection of the above electri-
cal dGring installed at:
Street Address or Route No. 439 WA4 Cpity 06W
Section Township Range County YNK-4*
Which is occupied by C)??fj
ls a roughin inspection required on this job? No ? Ye4X,- Ready Now ? Will C01(
Power Supplier Kk Address F i"H-VW G-I-DIJ
Electrical ConVactor Contractor's License Nk?s?
(Company Name)
Mailing Address lgit E, „ CA-ff P.
Authorized
y? ,?,acincait.oniracmr or uwne
? ll G'1A?? F.JOLfLRD Copw
No. 8W-ss,15
This inspection requesi will not be accepted 6y the
State Board unless proper inspection fee is enclased.
mesow atace noara ot tiactncity
Griggs Midway 81dg. - Room N797 p EB-00001-02
yUniversity Ave., St. Paul. Minn. 55104 - Plwne 297-2117
;? - WEQUEST FOR ELECTRICAL INSPECTION ??C T ? ? ? ? ?
CHECK BELOW WOAK COVERED BY THIS REOUEST
Type of Building New Add. Rep. Check Applisnces W'ved For 1 1 Check Equipment Wired Foi '
Home OF$ ? ? Range ? Temporazy W'uing ?
Duplex
Bld
p
? ?
? ?
? Water Hearer ? Lighting Fixtures
?
g.
Pt. Dryer Electric Heating ?
Commercial Bldg. ? ? ?- Fumace ? Silo Unloadei ?
Industrial Bldg. ? ? ? A'v Conditioner ? Bulk Milk Tank El
List List
O hei O ? El Rthersl
ere Others?
Hece
COMPUTE INSPECTION FEE BELOW
SecviceEntranceSize: # rsdSub[eedus: # Fre Ciccuifs: u Fx
0 to 100 Am s. 30 Am res 0 to 30 Am eres y-
101 to 200 Am s. I 100 Am res
t 31 to 100 Am res
Above 200 Amps. e
]00 Amps. Above 100 Amps.
cansformers teC
al Ins ection Minimum fee $5,00-
? s
TOTAL FE J17
2Z.OJ
I; Ihe Wctrib&Qhr, hereby certify t?t ab6joijj? been a?-?
(Rough-in) Date ?? ?7 -Y/
(F;nal) 2??, ?aje •7- .z 3 -?/
1'his request void
18 months from
Thi i iuest void A''?' o-
181 ?from
Date of his Request 31 31 F&? Fire No. ? 36075
I, as Licensed Electrical Contractor ? Owner, do hereby request inspection of the above electri-
cal wiring installed at:
Street Address or Route No. Ci?ty. ,I?,,,,?,?
S?ction Township Range County ?R?
Which is occupied by
(Name of occupant)
Is a roughin inspection required on this job? No ? YesIK, Ready Now ? Will CaV?,
Power Supplier Kk Address WW??
Electrical Contractoc G"??'?`- Contractor's License N05*
(COmpany Name)
Mailing Address lqlI C-11 fr- R.
(Ele ical ntrac r or Owner Making TM1Is Initallatlan)
Authorized Signature Phone No.
(Electric ontractor or Owner Making Thls Installation)
(?°?? II]?? ????? G?Q(?i? This inspection request will not be acceptad by ffie
J ??? l.f State Board unless proper inspection fee is enclosad.
JCl ? 5 j I?QUEST f06 E6" 'CT.RICAI. IN?ECTION ' .{Es.uooot a
? See i?mtr?tims im4?wemplefin9 this to-m m baek at Yellor coov. ((ll /i /8'r
"'X" " Be/ow Work Covered by This Request
B7.7580 °`
Air Conditioner
E9uipwBnl Ylired
IO
• Fee ServiceEntra,rca5ize IX Fee FmAers/Subfeeders ll Fee C4cvita
0 to 200 0 to 30 q 0 to 30 M.
Above 200 Am n 31 to 100 A?s 31 to 100 Amps
Swimming Pooi A6ove 100_Amps Above 100-A"4?
Trarut?rs ' Irtigation Buoms Partial? O
( I I Siqm ?Speciallnspectfon S
Remrks -? / r - 1 ?Q S U TOTQ ?n
u'--?/ C-0
IbupMin a
'
?
-1 he?eM
P
4 if"
nthat L?p above
{ e etim Aas bean
?
V de-
.
Thblepu?t voN 78manlltM1dn
This reQuest void 5? a,5 3
1H n? ,p
B? 1 J U?
Reqves? te Fire No. fb in I?peclio
ui?ed?
OReatly N. ? Wi11 Notify Insnec-
f? ,29 /98S ffiY?s ?N? '°r"?^?^?•
G' Licensed Elecbical Contractor 1 herebY rpues[ inspec[ion ef abore
KOwner eleeViml Yrork imNlled aL
Slreet Add,ess, Box or Route No. City
?/6 ?enk cue Gc1a Ea avi
?on o. Towns?ip Name or No. Ri?e No. Cwnty
pct ka+0.
Occupani (PRINT) Phore No-
Pa ? LcJ. S w a r+-
Power $uPDlier Address MtA
Da ko+a El-ec4r! ?zcrm`n
Elechical Con[ractor (Conwany Name) Convar.mr"s Liceree o.
Mailm0.4ddress lCOn[racmr or Owner Maki
1?1aiW[ionl
m
57 '
, e
aOf CIlF GVCC N IU. S /l?S.
Authwi Sig?aW IConvacm Owner k:ne ?a??ati 1 Phone Nuad¢r
z-
? THIS INSPECTION NlAUEST NILL NOT
WNNFSOTA STpTE Bpppp OF ElEG7RICITY
G,igps-NiAwaY BIdB- -?m N-191 BE ACCEP?E? 9Y THE STA7E eOARD
a UNLESS PROPEp INSIECTION FEE LS
7821 Unirersity Ave., S4 Paul, YN MI ENCLOSED.
, IR191909DHt
mmnasoia atate uoara or neccncrty
Griggs Midway Bldg. - Room N791 p E13-00001-02
-1927 Hniversity Ave., St. Paul, Minn. 55104 - Phone 297-2111 / d!
FtEQUEST FOR ELECTRICAL INSPECTION ?uCHECK BELOW WORK COVERED BY THIS REOUEST f T 3 6 0 7 4
Type o[ BuHding Ne Add. Rep. Check Appliances Wire4 For Check Equipment W'ved For
Home
Duplex
Apt. Bldg.
Commercial Bldg.
?
? ?
?
?
? ?
?
?
? Range
Water Heater
Dryer
Fumace ? Tempocary W'ving
Lighting Fixtuxes
Electric Heating
Silo Unloader
?
?
industrial Bldg.
Farm
Other ?
?
? ?
?
? ?
?
? Au Conditioner
List
Re1ets
) Buik Milk Tank
List
Oe?ers#
H ?
COMPUTE INSPECTION FEE BELOW
Seivice Entcance Size: # Fce Fceders&Subfeeders: # Fee Crccuits: it Fee
0 to 100 Am s. 0 to 30 Am eres 0 to 30 Am tes
701 to 200 Amps. 31 to 100 Amperes 31 to 100 Am eres ?
Above 200 Amps. Above 100 Amps. ? Above 100 Amps.
Transformers R ntrolCi[c. PattialOrotherfee °
Signs , S c ction Minimum fee S
Remarks
TOTAL F -Z.y. J-0
26.60
[, the Electrica! Inspector, hereby certify thaf,?abovpjnsecyon has
(Final)
This request void
18 months from
,L ao
This reque5i void 41,
118 months from
Date this Request 3? Fire No. T 36074
I, as,Licensed Elecirical Contractor OOwner, do hereby request inspection of the above electri-
cal winng installed at:
Street Address or Route No. L46)f `eoi<? ?? City ??
Section Township Range County ?Apor*-
Which is occupied by
Is a roughin inspection required on this jo6? No ? Ye ? Ready Now ? Will CalLIK
Power Supplier I?`F Address 1 F(Lh y4 6-1-0 r
Electdcal Contractor D44-- Contractor's License N??S2S
(COmpany Name)
Mailing Address 11?? ? . fir- RV.
(E c ?ica ontractor or Owner Making Thls Installation) ?q
Authorized Signature Phone No. 0,0
(Elettrlc Contractor or Owner Maklnq Thls Installatlon)
j,? ?p ? ????/'j/ This inspection request will not he accepted by the
D (?r?? j( State Board unless proper inspeetion fee is.enclosed.
CITY OF EAGAN
3795 Pilot Kne6 Rood Eagan, MN 55722 N2 6025
VHOME: 454-8700
BUILDING PERMIT APPLICATION Receipt #
ro be wea fo. 1 of [, p10% Esr. Value 46,490. ome 8-6 , ie 82
Site Address 4637 Penkwe W3Y Erect 3a Occupancy $.3
Lot_1- Block4_ Sec/Sub.Jhny-Cflk2 Rd2. 3 Alter ? Zoning pD
Porcel # unz'ecorded Repoir ? Fire Zone 3 Enlorge ? Type of Const v
w Nome C1rri n Thnms con HomPB Move ? # Stories
3 Address 1712 HOpk1RS CT'eTd. Demolish ? Front 22 h.
° Grade ? Depth 44 fr.
Ci Phone
p Name Anorovah Feea
0
?? Address S87Il2
?' f?f.. Phnnn
Name _
Address
I hereby acknowledge that I hcve reod this appiication and state that
the information is correct and agree to comply with oll applicoble
State of Minnewta Statutes and Ciy of Eogan Ordinances.
Signature of Permittee -
A Building Permit is issued to:
ull work sholl be done in
Building Officiol
AssessmdW 6-5-8U Permit 1L7.7U
Water & Sew. Surcharge 22, 00
police Plon check62.75
Hre SAC 525.00
Eng
0
Water Conn. 305.0
.
Planner
Council WaterMeter 60.00
Road Unit 1$5.00
Off
Bldg
.
.
APC
Total 1 285.25
on Hnmac on the express condition that
State of, MinnesoM Statutes ond City of Eagan Ordinances.
?? OF EAGAN
SUIIDINC; PERMIT APPLICATIdN
Include 2 sets of plans,
1 site plan w/e7evations 6
1 set of energy calcvlations.
'ib Be Used For $t:sesy,F Valuation -4 4 60 49p.00 Date 1'uLy 30 . 1960
Site Pddress: 4Lb37 DENIc-...j6 WRy OF'FICE USE oNLY
Lot 1 sloc]c ______ sec./sub. ?Fy9? Y
Parcel }I: E?
Oaner:
Pddress:
City/Zip Code:
Phone #:
Contracts>r •
? M ES
AddresS: a Division of
1712 HOPKINS CFOSSROAD
Clt}+/Z1jJ COCle: MINNFTl1Nka nyryN ? -
...i4?
Phone #: syy-'7333 .
Arch. /Eng. :
Pddress:
City/Zip Code:
Phone #:
Erect X _ Occupax.y
Alter Zoning
Repair Fire Zone 3
Enlarge _ 'lype of Coast. (/ _
Nbve # Stories
Dmnlish Front • ?a ft.
Grade Depth yy ft.
APPROVAIS f'EES
Assessments PeLmit /,2,5-?
Water/Scwer ` Surcharge o?a °-" _
Police Plan Check y a>.
Fire SAC rS a? ?
Enq, Water Conn. 3 0 657- ?
Planner Water Meter /a0 ?
CounCil Road Unit / r6
Bldg. Off,
APC
CITY OF EAGAN
3795 Pilot Knob Roud Eagan, MN 55124 N2 fiQZs
PHONE: 454-8100
BUILDING PERMIT APPLICATION Receipt
To ba uted for 1 of 4 Alex Est. Value 46, 490. Dore 8-6
Site Address- 4h374 PPnkwP 69ay Erect g Occuponcy R3
l.ot 2 Block 4 Sec/Sub. Jhn`7.Cake Rdg. 3 Alter ? Zoning PD
Percel # unrecorded Repoir ? Fire Zone 3
Enlarge ? Type of Con st. V
? Name Orrin ThomDSOn Homes Move ? # Stories
Z Address
0 1712 Hopkins L'T3Tf1. Demolish ? Front 22 ft.
Ci O Phone 544-7333 Gmde ? Depth 44 ff.
& N AVVrovab Feea
ame
o _ _ _
Address s8II12
? Assessr?t Q__stn
? Water & Sew.
Ci Phone
Police
Nome
1 Fire
Address Eng.
C Phone
<z Plonner
Council
I hereby acknowledge that I hnve read thls application ond state thot Bldg. Off.
the Infortnafian is torrect and agree to tomply with all opplitable
State of Minnesota SMtutes and City of Eagan Ordinances. APC
Permit 1LL? _ 7U
Surcharge 22-00
Plon check 72• 7 ;
SAC 575 _ (1(1
Water Conn. 3Q5..Qn-
VJater Meter _6n...QO_
Road Unit 195 nn
Total 1. 285 . 25_
Signature of Permittee I
A Building Permit is issued to: OTPin ThompsOri Homes on tha express condition that
all work shall be done in occo nce with all pplicable Stote of Minnesota Statutes ond Cfry of Eagan Ordinances.
Building Officlal
? 6 ? / CI''Y OF F.AC',AN
? BUIIDINC; PERT1IT AP-PLICA9'ION
Irrlude 2 sets of plaris,
1 site plan w/elevations 6
1 set of enexyy calculations.
4b Be Used For R sy_F Valuation -4 46? 49p.00 Date 3'uw 30+ 1990
Site Address: t14637 a QEr.tKwe W41
Iot Z Blodc ?_ SeC./Sub. ?9? ycavtd
F
r
Parcel q:
O.mer:
Pddress:
City/Zip Code:
Phone #:
Contractor-
? MES
AdC1teS5: a Division of U.
1712 HOPKIM1S CFOSSROAD
C1ty/Z1P COd2: MINNFTf1NKA tIlpip,
Pnor,e #: syy- 73
Arch./Eng.:
Address:
City/Zip Cocle:
Phone #:
OFf'ICE USE ONL.Y
Erect X_ Occupancy /P-3 -
Alter zoning ?
Repair Fire Zone 3
Enlarge _ 'Iype of Const.
Nbve # Stories
Desrolish Front a a ft.
Grade Depth yy ft.
APPFS7VAIS F'?.'FS
Assessents Permit /
Water/Sewer Surcharge ?a
noiice Pian cr,ecx
Fire SAC
Eng, WdtPS COT17l.
Planner Water.Meter (p -
Council Road Unit / F S
Bldg. Off.
APC
CITY OF EAGAN
3795 Pilot K u Rend Eagan, MN 55724
PHONEt 454-8100
BUILDING PERMIT APPLICATION
N? 6028
Receipt # ?OJT/
To 6e uesd far 1 of 4 plex Est. Volue fi6,1+90,. Date $-6 , 19_8-G-
Site Address 4639 PexikR'e W84 Erect ik Occupency R3 _
Lot -4._ Block 4_ $ec/Sub. J+nv?ti?--.._r+A6, 3 Alter ? Zoning PD
pemel # un.recorded Repair ? Fire Zone 3
. Enlorge ? Type of Const. V
w Name Orrin Thompson Homes Move ? # Scories
? Address 1712 Hopkins Crsrd. Demolish ? Front 22 fr.
o . Minnetonka, IvfP
544-7333 6rade ? Depth 4* fr.
C
hone
? Name ApVrovale _ Fcea
?? Address
c
t- r.... '
Name
I hereby acknowledge thot I have read this opplication ond state that
the information is carrect and agree to comply with all opplicable
Smte of Minnesota Statutes ond City of Eagan Ordinonces.
Water & Sew.
Police _
Fire
Eng.
Planner -
Council _
Bldg. Off. _
APC
Permit 1G%.JV
Surcharge 22 • 00
Plon check 62.75
snc 525.00
Water Conn. ?3 5. 00
Water Meter 60. 00
Road Unit 185.00
Tmai 1,285.25
Signoture of Permittee I
A Building Permit is issued to: nrTlILSk1+7A1I190I1 HDIIIPS on the express wndition that
all xrork shall be done in cordance with 94 aJppl-iwble Stote of Minnesota Stotutes ond City of Eagan Ordimnces.
Buildln9 OHidal ? o&
CITY QF EAGAN
BUIIDINC; PF.RMTT APPLICATION
Irolude 2 sets of plans,
1 site plan w/e]evations 6
1 set of energy calculations.
7b Be Used For Ru?oSti?F Valuation-?y(,) 49o.0* Date SuLy 30+1960
Site Address: ?{639 QE,,,y-We (,ug-y OFFICE USE ONLY
Lot Block Sec./Sub. g?Qy,Ey 3rd
Parcel #:
Oaner:
Address:
City/Zip Code:
Phone #:
Contractor: ORRIN I MES
AddreSS: a Division of U. 5 F'^m> r'.?.--?En
1712 HOPKIhS CFOSSROAD
C1ty/Z1P ('.0d2: MINNFTf1NKG n,R?vni r S"rr-43
Pt,one # : s y `i - 13 31-3
Arch./Eng.:
Address:
City/Zip Code:
Phone #:
Erect Occupancy ?3 -
Alter zoning
Repair Fire Zone i 3
Enlarge Type of Const. d
Move # Stories
Derolish Front
Grade Depth vy ft.
Assessrents Permlt
water/Sewer Surcharge
Police Plan Check (o a "
Fire SAC
Enq. Wates Conn.
Planner Water .Meter GG ¢°-
Council Road Unit / rS
Bldg. Off.
P.PC
CITY OF EAGAN
3795 Pilot Kno6 Road Eegan, MN 55122
ZHONF* 454-8700
BUILDING PERMIT APPLICATION
N° 6027
Receipt #
Te be used fer 1 O£ la p12X Est. Value 46. /+90. Date R -F+- -, 19.SD-
Stte Address 4639z Penkwe Wa9 Erect [ax Occupancy R3
Lot 3 Block 4 JhnY• Cake Rdg.
Sec/s„y 3 Alter ? Zoning PD
.
unreeo d
d Repair ? Fire Zone 3
Parcel # r
P
E
l f C
t
T V
n
arge ? ype o
ons
.
rc Name (lrri n Th n mpsnn Hnmac Move ? # Stories
; Address 1712 Hop klris Crsrd. . ?mors, ? Front 22 fr.
0 ci Nt1T1T1Et,OYllia? Mr?ne .544-7333 Grode ? Depth 44 fr.
?
0 Name AvVrovala Fees
?Q Address
Name _
Address
I hereby acknowledge that I have read this application ond state that
the informntian is torrect and agree to tomply with all opplicabie
$tate of Minnesota Statutes and City of Eagan Ordinances.
Woter & Sew.
Police -
Fire
Eng.
Planner -
Council _
Bldg. Off. _
APC
Permit 1G7.7U
Surchorge 22•00
Plon check 62.75
snc 525.00
Water Conn. 305. 00
Water Meter 60. 00
Road. Unit 185.00
roeal 1,285.25
Signature of Permittee ?? - 1
A Building Permit is issued to: OI'x'].ri ThOfllp30ri HOID25 on the express condition tFwt
all work shall be done in ac dance with aJ,op liwble State of Minnesota Statutes ond City of Eagan Ordinonces.
Building Official
? CI'i'Y OF EACJ?N include 2 sets of plans,
&6 ?) ' • 1 site plan w/e7evatians 6
? BUIIDING PEFtMIT APPLICATION 1 set of energy calNlations.
1b Be Used For $uLcLUC.e ValUation -? G IF 490.00 Date Tutv 30?1980
Site Pddress: 4b39 x QENA-VaE W ,9'I OF'FICE USE ONL,Y
Lot Block Sec./Sub. g?pyEY ?rd
Parcel
Owner:
Pddress:
City/Zip Code:
Phone #:
Erect A_ occupancy
Alter zoning
Repair Fire Zone
Enlazge _ 'ime of Const.
Nbve # St,ories
Dermlish Front -ft.
Grade Depth ft.
Contractor:
vnnnv i nviwrbUN HOMES
Addres5: a Division of U. S h!n.-,= r?.? ..•3•i6n
1712 HOPKINS CFOSSROAD
Clty/ZljJ CO(jE: MINNFTl1NKG?R???in?
Phone #: Syy- '7 3--s-S .
Arch./IIig.:
Address:
City/Zip Code:
Phone #:
Assessrents PPSmit
Water/Sewer Surcharge
Police Plan Check
Fire SAC 4?,? ^-"
Enq, Water Conn. 3os =
Plannes Water.Meter !oo
- ?
Council RDad Unit / 8s ?
Bldg. Off.
P.PC
jr-.09 C. R. WINDEN & A550CIATES, INC.
LAND SURVEYORS Tol 645•3646
For: 1381 EUS71S SL, 5T, PAUI, MINN. 33108
U. S. Home Corporation
N
?
Scale: 1" = 50'
i 1
1
?
1
?
\
Note: As o£ this date Johnny Cake
Ridge Third Addition has
not been recorded.
Lots 1 through 4 inclusive, Block 4,
Johnny Cake Ridge Third Addition,
Dakota County, Minnesota.
WE HEREBY CERTIfV THAT TMIS f5 A TRUE AMD CORRECT REPRESENTATION OF A SURVEY OF THE
60UNDARIES OF THE LAND ABOVE DESCRI6ED AND OF THE LOCATION OF All lUIIDINGS, If ANY,
THEREON, AND AlL VISIBLE ENCROACHMENTS, IF ANY, fROM OR ON SAID lANO.
Dotod ehii /j dor ef J 4L A. D. 198C C. R. WINDEN 8 ASSOCIATES, INC.
tL__
by eJtJ-?" A
Surrayor, Minnesota Rapistmfion No.9926
CITY USE ONLY
LOT BL 7 RECEIPT #: O?P 791
SUBD. 'RECEIPT DATE:
.
3`?d s/s?'
1998 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PIIAT PQ708 RD
EAGAN DIIi 55122
Date: (612) 681-4675
Complete this secrion onlv if you are installing HVAC in single family, townhomes or condos under
construction and not owner /occupied
• HVAC: 0-100 M B T U $ 24.00
ADDITIONAL 50 M BTU 6.00
• Gas outlets ( minimum of one required @$3.00 ea.)
• State Surchazge:f,' .50
• TOTAL:
Complete this section onlv if you aze remodeling, adding to, or repairing existing single family dwellings,
townhomes, or condos. Note: Mechanical pemut is not reauired for alteration/add-on_to._ductwork in
existing residential units; but is required for the following:
_ Install furnace V Install air conditioning
_ Install air exchanger, i.e. Vanee system, etc. _ Other
Minunum fee applies to all remodel or add-ons of existing tesidences $ 20.00
State Surcharge .50
Total: 20:50
srM ADDRESS: 3 9 7"z o Kcv -e r,?.}?.,,,
OWNERNAME: G--)CQ.H-v hR, t ?t LI fi PHONE#:
INSTALLER NAME: Wo h 14 r5 S,u 054.e ff'ff?. ?,Vc 1'Gtc pHONE#: ?6 3r ? 70 9 9
STREETADDRESS: I?/ -e ,if'l oG K 14d-e "
CITY:.??D?.Q STATE:M4, ZIP: '?1' ??a'?/
SIGNATUREOF PERMI7TEE
lS/FORMS BLD/IvfECH PERMIT (RES) -1998
CITY U3E ONLY
L BL
SUBD.
RECEIPT #. _
f2ECE1PT DATE:
1998 MECSANICAL PERMIT (CODIDERCIAL)
CITY OF EAGAN
3830 PILOT RJOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for. ali commerciaVindustriai buildings
multFfamiiy buildings when separete permits are not required for each dwelling unit
DATE: CONTRACT PRICE:
WORK TYPF,: T.TEW CnNS?'R?JCTIOI? II?ITERIOR IP.4PRf)VEIvEP11"
DESCRIPTION OF WORK:
FEES: 1% of contract price OR $25.00 minimum fee, whichever is greater.
Processed piping - $25.00
CONTRACT PRICE x 1 %
PROCESSED PIPING
PERMIT FEE
STATESURCHARGE
TOTAL
(5.50 per $1,000 ofuertnit fce due on all permits.)
SITE ADDRESS:
OWNER NAME:
TENANT NAME (IIvfPROVEMENTS ONL1):
INSTALLER:
ADDRESS:
CITY:
PHONE #:
PHONE #:
SIGNATURE OF PERMITTEE
STATE:
ZIP:
CITY INSPECTOR
CITY USE ONLY L 2J 3
BL ? RECEIPT#: 7 /?J
? RECEIPT DATE: 4/S? ?
SUBD.
1998 PLUMBING PERMIT (RESSDE2dTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EP.C,Ata, hIIQ 55122
(612) 681-6675
Please complete for: ? single famity dwellings
? townhomes and condos when pertnits are required for each unit
? backflow preventer for underground sprinklersystem
FIXTURES
Shower
Water Cioset
Bath Tub
Lavatory
Kitchen Sink
Laundry Tray
Hot Tub/Spa
Water Heater
Floor Drein
Gas Piping Outlet ' minimum - 1
Rough Openings
Water Softener " for dwellings under construdion
Water Softener ' for exis8ng dwelling
U.G.Sprinkier 'fnrdwellingunderconst.
U.G. Sprinkler * for existing dwelling
Alterations ' to existing residence
Water Turn Around
Private Disposal System ' MPC iic.
(new anC refurbished systems)
Private Disposal Systems' Abandonment
f2PZ (new installation only)
EACH # TOTAL
3.00 x =
3.00 x =
3.00 x =
3.00 x =
3.00 x =
3.00 x =
3.00 x
=
3.00 x
3.00 x =
3.00 x =
1.50 x =
5.00 x =
20.00 ' X = .
3.00 =
20.00 '
20.00 =
20.00 =
75.00 =
20.00 =
20.00 =
STATE SJRCHARGE .50
TOTAL Qo•5-0
--------------------
---------------- -------------------- -------
I hereby acknawledge that I have read this application, state thst the infortnation is correct. and agree-to-compiy-with-all appiicable City of Eagan ordinances.
It is the applipnPs respr^°?Oi^..•^-^'':`••`° """"''•."""'°' ??°?`?'° `?`• ^f Eagan assumes no liability for any damages eaused by the City during its
nartnal operational and r, HAIGHT, GARY der lhis pertnit wiMin City propertylright-af-way/easement.
, 4639 PENKWE WAY
SITE ADDRESS: _ EAGnN, nnN 55122
I (612) 905-9203
OWNER NAME: _
INSTALI.ER NAME:
STREETADDRESS:
Q?? ?M ??yng??,G TELEPHONE#:8?7'*J?.3
? Z/OS 50
cirv: m Ikv.1CAi?ou s STATE: ZIP: 65Y0 g
SIGNATURE OF
CD/PERMIT FORMS/RPIBG PERMIT (RES) - 1998
Y
CITY OF EAG,IN
EARLY UTILITY CONNECTION PERMIT
5,&37 ?WLA1,UC O?..?' ?/ ?',L,?d/ ?-C,? 3 ,cw
Address O Subdivision/Par 1
I hereby request permission from the City of Eagan to connect to the
sanitary sewer and water lateral line in the public right-of-way. I
understand that the City has not yet completed, lnspected and/or accepted
the sewer and/or watez lateral. I agree not to use, test, or connect these
individual services to any interior plumbing and understand the require-
ment to cap the sewer seYVice to prevent any unauthorized use.
In accepting this permit, it is agreed that I will hold the City and its
agents harmless from any damage that may occur due to this early connection.
It is understood that no Occupancy Permit will be issued or water allowed
to be turned on until the City utility system has been declared operational
by the City Englneer.
1 ` WEN2EL MECHANICAI.
Signed by - Plumber:c%?,?w w"`?' ' NEBEC DRtVE, EAGAPI,MIN0L68122
4S2•1585
Owner:
Developer
Builder:
Dated: ?'&0 6
,
?
CITY OF EACaN
EARLY UTILITY CONNECTION PERMIT
6!l 37'?? -1-2
Address U Subdivision/Parcel
I hereby request permission from the City of Eagan to connect to the
sanitary sewer and water lateral line in the public right-of-way. I •
understand that the City has not yet completed, inspec[ed and/or accep[ed
the sewer and/or water lateral. I agree not to use, test, or connect these
individual services to any interior plumbing and understand the require-
ment to cap the sewer service to prevent any unauthotized use.
In accepting this permit, it is agreed that I will hold the City and its
agents harmless from any damage that may occur due to this early connection.
It is unuerstood that no Oecupancy Permlt will be issued or water allowed
to be tumed on until the City utllity system has been declared operational
by the City Engineer.
WEN2El MECHANICAI.
Signed by - Plumber??? ?OKENNEBECORIVE, fJiOAN,MUIN.BN=
452•1b88
Owner:
Developer
Builder:
Dated: ??? ?/(JV
y
CITY OF EAGAN
EARLY UTILITY CONNECTION PERMIT
zlO9 PALke r,(1ca.yY ?'?:?6
Address Subdivision/rargffll
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 ye[ completed, inspected and/or accep[ed
the sewer and/or water lateral. I agree not to use, test, or connect these
individual services to any interior plumbing and understand the require-
ment to cap the sewer service to prevent any unauthorized use.
In accepting this permit, it is agreed that I will hold the City and its
agents harmless from any damage that may occur due to this early connection.
It is understood that no Occupancy Permit vill be issued or water allowed
to be turned on until the City utility system has been declared operational
by the City Engineer.
/I, WENZEI MECHANICAL
Signed by - Plumber•?-?./n?"e ?^-?' C ?OME' ??'?'??
482-1685
Owner:
Developer:
Suilder:
Dated•.-V,6V?DD
s
e r:
CITY OF EAGAN
EARLY UTILITY CONNECTION PERMIT
Address Subdivision/Parce
I hereby request permission from the City of Eagan to connect to the
sanitary sever and water lateral line in the public right-of-way. I •
understand [hat the City has not yet completed, inspected and/or accepted
the sewer and/or water lateral. I agree not to use, test, or connect these
individual services to any interior plumbing and understand [he require-
ment to cap the sewer service ta 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
by the City Engineer. WEN2EL MECHANICAI&
Signed
by -
Plumber: IBtT?1/JI.C r 1 I
?D ??. ? e IU NNE6EC DR1VE, EAOAN, MiNN.661?
?e,? 4$2•1565
Owner:
Developer:
Build r:
Dated: y/?'D?'
(,:5 `k':?-- o (?
2004 RESIDENTIAL BUILDING PERNIIT APPLICATION
City Of Eagan
3830 Pilot I{nob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
? ? a?. ??
New Consiruciion Reauiremenb RemodeVReoair Reauirements 0??
3 regislered site surveys showing sq. ft of IaC sq. R of house; and all rooted areas 2 coDies of Plan cea}$o rvby. ?'-Y` 111
(20%mazimumlotcoveregealluxed) lsetofEneryyCalculabons(orhealedadditions 7teePres.PlanReod F_Y `'if
2 copes of plan slwwing beam 8 wiridow s¢es; poured fouM design, etc. 1 sile survey for additions 8 dedcs TreePres Required? »_y ' N
lselofEneyyCalcuWtions Adddion-indMateNon-sifesepticsysfem Ofr55ileSeppcSyste?
3 copies of Tree Preservation Plen if lot platted aMer 7/1193
Rim Jdst Oetail OpGOns seleclion sheet (bldgs wifh 3 w less units
Date 19 Site Address
Description of Work
Multi-Family Bldg X Y ? N
Construction Cost S,11-? r
:' (.1-Yi LA Unit/Ste #
Fireplace(s) _ 0 _ 1 _ 2
I Property Owner n Telephone #(('51) ??.5 251? I
? RMA HOME SERVICES, INC.
Cootractor Home Depot Installed Sales
Address 1 3200 Cobb Galleria Pkwy.Ste. #200
State Atlanta, GA 30339
763-542-8826
BG20268257
_ City,
Telephone # (
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
(4 submisslontype) Submitted Submitted
. Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
I hereby apply for a Residential Building t and aclmowle
that the work will be in conformance with the o i es and
Statutes; I understand this is not a permit, but only an app i ti
permit; that the work will be in accordance with the approved pl
approval of plans.
? Ci( Cy. `L,(-Q.,hS(5'-:?>
Applicant's Printed Name 4Apica
Telephone #(
Telephone # (
#(
i?iat the information is complete and accurate;
?d?es of the City of Eagan and the State of MN
/for a permit, and work is not to start without a
in the case of work which requires a review and
Sub Types
OFFICE USE ONLY
? 01 Foundation ? 07 OSplex ? 13 16-plex ? 20 Pool ? 30 AccessoryBldg
? 02 SF Dwelling ? OB 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 E#. Alt - Multi
? 03 01 of_plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4•sea.) ? 33 Ext.Alt-SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) 0 36 Mulfi Misc.
? OS 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 ? 35 Int Improvement ? 38 Demolish Interiar p 44 Siding
? 32 Addition ?, 36 Move Building ,? 42 Demolish Foundation ? 45 Fire Repair
0 33 Alteration ? 37 Demolish Building• ? 43 Reroof - ? 46 Windows/Doors
? 34 Replacement 'Demolilion (Enlire Bldg) - Give PCA handout to appltcaM
Valuation Occupancy MCES System
Census Code ' Zoning City Water
SAC Units Stories Booster Pump '
# of Units Sq. Ft. PRV
# of Bidgs Length Fire Sprinklered
Type of Canst W idth
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addirion)
Foundation
Drain Tile
Roof Ice & Water Final
_ Framing
_ Fireplace _ R.I. _ A'v Test _ Final
_ Insulation
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
REQUIRED INSPECTIONS
FinaUC.O.
FinaUNo C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ AirlGas Tests Final
_ Siding _ Stucco _ Stone _ Brick
_ Windows
_ Retaining Wall
Building Inspector
Ins#alled
Siding and Windows
LIMITED PQWER OF ATTORNEY :
Cvi3NTY OF COBB
STATE OF GEORGIA
KNOW ALL PEOPLE BY THESE PRESENTS:
THAT I, David N. Katz, a resident of Montgomery County, Pennsylvania
("Principal"), and 'a licensed contractor of RMA Home Services, Inc., DBA Home
Depot InsYalled Sales loca±ed at 660 Mendelssohn Avenue North, Go'de;, Valle}; Mri
55427, having a license number of BC- 20268257, do hereby appoint, name and
constitute Elder-7ones Building Permit Service, Ina ("AgenY') as my true and lawful
attorney-in-fact and do authorize and grant said attorney-in-fact for me and in my
name, place and stead the power to execute, acknowledge, sign and deliver (in such
form as may be required 6y the municipality) a permit application, or any other
instrument(s) which may be necessazy and appropriate, in order to obtain the proper
permit(s) from the City of Eagan, Minnesota for the installation, maintenance and
repair of windows and siding (the "ZVork").
The powers conveyed to the Agent by this Limited Power of Attorney are
limited solely to the expzess powers delineated herein ancl app. ly solely tu the Work.
This Limi*,ed Power of Attonieyshall ehpire and automatically be revoked on the 21st
day of Muy, 2004, which date is one year from the execution hereof. Further, the
powers conveyed by this Limited Power of Attorney may be revoked by Principal at
aizy time by express revocation and shall also be revoked by the Principal's death,
disability, incapacity or incompetence.
IN WITNESS WFEREOF this Limited Power ef Atterr.e-y is eaeci.rted this
21st day of May, 2003
4 , ` f
David . Katz
SWORN TO AND SUBSCRIBED BEFORE ME by David N. Katz on this
21 st day of May, 2003.
Notary P ilic in for the State o eorgia
N7y Commission Expires: January 21, 2006
396816.v3 Proudly sold, furnished and installed by RMA Home Services, Inc., a Home Depot authorized contractor.
3200 Cobb Galleria Parkway, Suite 200 • Atlanta, GA 30339 • Phone (770) 779-1300 • Fax (770) 984-0709 • Toll free (800) 79-DEPOT
i--..-------------?
? Permit #: I
?83?_ iI
I Pertnit Fee: (.Y ?
I ? ?} lY '
? DateRecei d:0-'17 -0v I
, 5taff:
2008 RESIDENTIAL PLUMBING PERMIT.APPLICATION
Date: *14- SiteAddress . ' . ._ ?rlO 62-- O(D-
Natalie Martynenko
Tenant:. 4637 Penkwe Way suite #:
Eagan, MN 55122
RESIDENTIOWNER Name:
6516865374 _Phone:
Address / Ciry / Z.
CONTRACTOR Name: NcyKin/vu License OlL I 521
Add
• 2
qO5 bLU 71
/
t
SD
ress
C?L?
?
. •
•
-
: 55 D
t
OUK St
nolL Zi
p
a
e:
City:
PhoneAYM'?Z7 •?D33 Contact Person: Je J S
TYPE OF WORK _ New _ Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W.
Description of work:
PERMITTYPE SIDENTlAL
RE
Y
WaterHeater WaterSoftener
Lawn Irrigation Add Plumbing Fixtures
?
L_ Main _ Lower Level}
? RPZ !_ PVB) .
Septic System _ Water Turnaround
New
Abandonment
RESIDENTlAL FEES:
$50.50 Minimum Water Heater, Water SofEener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Piumbing Fixtures, Septic System Abandonment, Water Tumaround' (includes $.50 State Surcharge)
*Water Turnaround (add $136.00 if a 5/8" meter is required)
$100.50 Septic System New ($10.00 per as built) (fncludes County fee and $.50 Sfate Surcharge) '.
$90.50 Fire Repair (replace bumed out appliances, duchvork, etc.) (indudes $.50 State Surcharge) C? O
--
SO
, .
TOTAL FEES $
i hereby acknowletlge tnat tnis Intormabon is compiete ana accurate; that tne wonc wm oe m conrortnance wmi we uruinejiua auu cwz? w, uLw .,ay u'
Eagan; that I undershand this is not a permit, but only an applica6on for a permit, and work is not to start wifhout a permit that the work will be in
accordance with the approved plan in }he case of work which requires a review and approval of plansy
L, Morbl ayYL-
ApplicanYs Printed me
Signature
.dNhL
City of Ea?a?
3830 Pilot Knob Raad
Eagan MN 55722
Phone:(651)675-5675
Fax: t651> 675-5694
?-----------------
i ?amw ift- i
? PermR
? I
I
? Pormit Fee: I
I ?
? Date ReceNed: ?
? I
I 5taff: ?
?---- ?
__-----------'
2008 RESIDENTIAL BUILDIFVG PERMIT APPLICATION
Date: Site Address: L/43
wL
Tenant: Y11SJ :srirk?ktS '-yt 3 7 "/2- e-l(.??t /02 sutte
,
RESlDENT/OWNER Name:SG?uy ?:?-}[_ „,?
Address / City / Zip:
Applicant is: _ pv,mer Contractor
TYPE OF WORK Description of work.?l?'?'?' U??
Construction Cost: ? ? ?? Muiti-Family Building: (Yes & / No
CONTRAC7pR Name:/?f/(?f'(.tJ?f?rG?,y,Tx?V'Ury4?G? License#:73
Address
C' : 6?C 9 L
q': ?1?- l'?°?'C srate: tt?-- zp: 5 53I j
Phone: 0 2--T7 51 ? Contact Person: L?j!7/
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NIEW BUlLDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code • Residential Venfiiation Cat o 7 Worksheet
Category Submitted ? ry • New Energy Code Worksheet
0 submi5sion type) • Energy Envelope Galculations Submitted Sub^'itted
In the Iast 12 months, has the City of Eagan issued a permit for a simllar pian besed on a master pian?
_Yes :No If yes, date and address of masier plan:
Licensed Plumber: Phone:
Mechanfcal Contrector: Phone:
Sewer & Water Contracfor: Phone:
NOTE Plans and su'pport/ng doCUinents that you submrt are.consrderad to be publlc :::i6n.-?po?'rtion.?rof asons tlta-City ciutuaie #hatthe vare secrets. ? , • I herE6V ?qan; ac tha( k I nnwl undeaMrsatand rhe, f?,ithis ? ts r 6, not .,.,.,." ` ,.. .
. a. ??'o woje wm De m conrormarice wdh tne orclinanCes and codes ot the City of
a pertnk , pu[ only an application for a permit, and work is not to start wi[hout a permit; that Me xrork will be in
accorclance with the approved plan in [he case of work which requires a review and approvai ot p&s.
?l f
51
ApPhcanYS Pnnted Name ` .,-
Page 1 of 3
"ice Usz +---------7
Cit: of Ea
:ee
:
3830-Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651) 675-5675
Fax: (651)675-5694 Staff:
2009 RESIDENTIAL BUILDING PERMIT APPLICATIONS p~GSAIo~
Date: Site Address: 1Z 37 `/2
Tenant: O' 5f II e of °
RESIDENT / OWNER Name:
Address / City / Zip:
Applicant is: Owner Contractor
TYPE OF WORK Description of work:
Construction Cost: Multi-Family Building: (Yes / No
c 4 J 1 7
CONTRACTOR Name: 4lS 1skC-°7/~c~Qn i?'y¢c_T~s- 2" License #
Address: e_--
City: t{ 1 ~.~f0l.~(_ State: Zip: S l~
Phone: 41 di5r 9> T "7 Contact Person: cJ 1 f:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
Energy Code Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
Category Submitted Submitted
(4 submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE• Plans . and' supporting documents. that you submit are considered to be punt s iriformation. Portions of
the mformatfon maybe classified as non-public if you provide specific reasons that would permit the City to
conclude that the are°trade
I hereby acknowledge that this information is complete and accurate; that the wr iMA be in ormance with the ordinances and codes of the City of
Eagan: that I understand this is not a permit, but only an application for a p rmit, nd work is nojAo stanl without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review z i,> pri ,al of plar
x (m"mil
Applicant's Printed Name ? f ant s Signature
Page 1 of 3
-7 3 7
DO NOT WRITE BELOW THIS LINE g97
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 j~-Ae4- dve-5 : ng WR1t
? New ? Interior Improvement Q 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 A~ Occupancy 3 MCES System
Plan Review Code Edition V!! 2=C)`1 SAC Units
(25%100% -J 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) :Ae7 W o} 1,1 S Final/C.O.
Footings (addition) ~p Final/No C.O.
Foundation HVAC
Drain Tile Other:
Roof: -Ice & Water Final Pool: -Footings Air/Gas Tests -Final
Framing ? Siding: _Stucco Lath -Stone Lath -Brick
Fireplace:_R.I. _AirTest `Final Windows
Insulation Retaining Wall
Reviewed By: Building Inspector
*'~o 1 ao~"m
- - - - -
RESIDENTIAL FEES:
Base Fee
Surcharge 6j~t~l S 1 n 2cu~Qr~)
Plan Review
MCIES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
Total
Page 2of3
3, 7Vz ~ ~i v ` rpE~ E .q g t7-sl
• C. R. WINDEN & ASSOCIATES, INC.
LAND SURVEYORS TsL $45-3646
For: 1381 EUSTIS ST., ST. PAUL, MINN. $5108
U. S. Home Corporation
N
SY.._ I
Scale: l _ 50'
DATE:.
NG
1
Ilk 51
Z
2 ~I co
2233 ~ F °.4 ~
B--
m M P0.av~O 4A N
tq 3' 4
r, 22.33 ~
v a ~'22
2 3 022
Note: As of this date Johnny Cake
Ridge Third Addition has
not been recorded.
Lots 1 through 4 inclusive, Block 4,
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.
Dated thiis ~do, ofjulu A. D. I96c C. R. WINDEN & ASSOCIATES, INC.
4
by
Surveyor, Minnesota Registration No.9,
���31 `�(a��7 � �7- �����j. �(�3� � ��-
' use BLUE or BLACK lnk
� For Office Else -------�
. �Jy , � �37� ,
�1�� O��� �Il 4
� Permit# � ��
1 °-� �p !
� � Permft Fee:, J. i
3830 Piiot Knob Road � t
Eagan AsN 55122 � Date Received: �
Phone:'(651)675-5fi75 � �
Fax:(651)675-5694 t Staff: ! �
1 �
. . . . . . . . .. . . .. ' � ����������l.
2�14 RESiDENTlAL BUfLDING PERNiiT APPLiCATlt�N
qate-�"'�a�`j c� Site Address• �6 3'% _'�l� 3� �lz, ��r Y�.j-� Cv�'`1r unr�#•
.
� Name:�f?�"t?i�� ���� �t.�:�i}�z��i t_..- �Phone:
Residen#t .,�
f�iAttl�� Address t City/Zip: l".���✓�°' /E'�j�
Appticant is: l3wner � Contractor
�ir9y � - �- --
.�
TY�e.of 1lVo�'lc ��tion of work: � �t� � � ���
Gonstruction Gast j�'r��0 � N4utti-Famity Su►lding: (Yes ,y /No
!:� �..)
Company:lV�Y�2���'�9-��"r,�'s �c taa:�.� �`���a�
'C�ntr��tar address:��'!(�r'1 Z�i�.! �� L� � �;t�,:���a'�- .{'���oli�
� p ,�� ����'��l� 1
State: Zi : .�3f t Phone: EmaiLt +r►r��Jt3v't,�'�S`7�Gc��J7����7��v —
License#_�� �.�� �/ 7�j ��c�'��-.
t.�d ce,tifcate#:rV�.�-�..r=>r rlr�3 —I
if`the project is exempt from lead cet#ification, please expiain wrhy_{see Page 3 for additionai inforrr�ation)
COAAPLETE THlS�EA ONLY!F CONSTRUCTING A�EW BUtLDiAtG
In the last 12 mo , the Ci of Ea an issued a ``-r
� tY 9 permit for a similar ptan based on a rnaster plan?
_Yes _No If yes,date and add f master plan:
Ucensed Ptuml�r: Phone:
Mechanicat Cont�actor: .
3ewer&Water Cant r: Phonec
MC?�`L: ;�and,serpp�r�in�'d_o�u�nents th�t ygu sd�rn�t.ar�e�t�rrsider�ed t�be.�u�fiic irrf4nr�t� F+c��s:of .
�. rrfi�rriia��n ma�r�ie c(�ssifiec#as r�c�rl p�blic ff yv`�provicile s�`ecl�s.reas+�ns tha��rou[tff�iermr��i+���ita
� � � ' ��� can�lt�+dte fi►a#fir�' ,�r�e tr�de s�et�e�S. � �� �
CALL B�FORE YOU D16. Call Gopher St�One Cal!at(651)45A-0002 for protection against undergrour�eitlity damage. Call#8 hours
befnre you intend to dig to receive locates of underground utilities: www aonherstateoneca8 ora
t i►ereby acknaMedge that this information is canplete and ar,�urate;that the work witl be in eonfomtance with the ord'merrces and codes of#he Gity of
Eagan; that i understand this is not a pecmit,but cmly an appficat�n far a t�rn+it, and w�k is r�ot#o start watthcnit a pertni#:that the v+rork+roill be+n
w"
aceordance whh ihe approved ptan in the case of+n�rk whict►requires a rsview and approvat of pfar�.
E�cterior woei�suthor�zsd by a building permit issueE!in aceordancs wlth the Minn�ota Stabe Ming Gode m�t be campleted w�thin 180 '
daYs of t�ermlt issuance. '
'�,c ./'
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Appl�canf s Prir�ted Name . ant's Signature
;, Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA146250
Date Issued:10/17/2017
Permit Category:ePermit
Site Address: 4637 Penkwe Way
Lot:1 Block: 04 Addition: Johnny Cake Ridge 3rd
PID:10-39802-04-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Natalie Martynenko
4637 Penkwe Way
Eagan MN 55122
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA152463
Date Issued:10/16/2018
Permit Category:ePermit
Site Address: 4637 Penkwe Way
Lot:1 Block: 04 Addition: Johnny Cake Ridge 3rd
PID:10-39802-04-010
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Natalie Martynenko
4637 Penkwe Way
Eagan MN 55122
(651) 454-2561
Window Concepts MN
291 Eva St
St Paul MN 55107
(651) 905-0105
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA156471
Date Issued:07/01/2019
Permit Category:ePermit
Site Address: 4637 Penkwe Way
Lot:1 Block: 04 Addition: Johnny Cake Ridge 3rd
PID:10-39802-04-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Natalie Martynenko
4637 Penkwe Way
Eagan MN 55122
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature