4641 Penkwe WayCASH RECEIPT
CITY OF - EAGAN
.
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE
RECfi1VEG
19
AMOUNT Is ?
a ooLLAws
+ee
? CASH ? CHECK
FOR
White-Payera Copy
Yellow-Pottinp Copy
Pink-File Copy
Thank You ?,-?? BY
CITY OF EAGAN Remarks
Additfm, JOHNNY CAKE RIDGE 3Y'd ADQITION Lot 1 wlk 3 Pefml#10 39802 010 03
owner street4641 Penkwe Way StatB Eagan hIN 55122
,
Improvement Date Amount Annual Years Payment Reoeipt Date
STREET SURF. 1981 P •
STREET RESTOR.
GRAOING
SAfY SEW TRUNK 1975 Paid UIld T OTl inal arce
* SEWER LATERAL
WATERMAIN
* WATER LATERAL •
WATERAREA ZZ,. 1980 Pa d d T or' ina c
STORM SEW TRK
* STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER. 6021
sAC 525.00 20340 8/7/80
PARK
dITY OF EAGAN Remarks
Addition JOEIIVNY CAKE RIDGE 37cd ADDITION Lot 2
Owner fouFf+ Ltai`,Dil Street 464111 Fenkwe
3 P8r,,910 39802 020 03
.._ __ Eaaan hIN 55122
Improvement Date Amount Annual Years Peyment Receipt Rate
STREET SURF, S 1981 Paid und r OI'1 inal arce
STREET RESTOR.
GRADING
SAN SEW TRUNK 1975 Paid U?ld r OTl inal arce
,t SEWER LATERAL
WATERMAIN
* WATERLATERAL 1983
WATER AREA 1980 Paid und r OTl inal arce
STORM SEW TRK
* STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
CITY OF EAGAN Remarks
Addition JOEINNY CAKE RIDGE 31'd ADDITION Lat 4 Rik 3 parcef10 39802 040 03
Oyvner r't ?? f ; ; L v,01? r? street 4643 Penkwe Way state Eagan NAi 55122
Improvement Date Amaunt Annual Years Payment Receipt Date
STREETSURF. ss 1981 Paid und r OTl 1ri11 arce
STREET RESTOR.
GRADING
SAN SEW TRUNK 1975 Paid llIld I' OTl inal arce
* SEWER LATERAL 6-
WATERMAIN
* WATER LATERAL
WATER AREA 42,7- 19$0 Paid Ulld T OTl inal arce
STORM SEW TRK
60-06
* STORM 5EW LAT
CURB & GUTTER '
SIDEWALK
STREET LIGHT
WATER CONN,
BUILDING PER. 6074
SAC
PARK
CITY OF EAGAN Remarks
Addition J01-INNY CAKE RIDGE 3rd ADDITION Lot 3 aik 3 Pefcei #10 39802 030 03
Owner Cfc? 1-1101?_ 1I246street_4643h Penkwe Way StaLBEagan M 55122
Improvement Date Amouni Annual Years Payment Receipt Date
STREET SURF, s's' 1981 Paid Wld T OY'1 inal arce
STREET RESTOR.
GRADING
SAN SEW TRUNK 1975 PS1.C1 11I1d T OTl inal arce
* SEWER LATERAL
WATERMAIN
?c WATER LATERAL 1991
WATER AREA 42.2- 9$ Paid und r OY'1 inal arce
STORM 5EW TRK
? STORM SEW LAT iggi
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUIIOING PER.
SAC
PAR IC
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: ,' I N'i
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 ?• ? j Oate fssued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
't? ?! F ?., ! i hll• I II iiAY I ? Fdi
i?f!•F r i r1f t tc l l:?l;t tIitl t?, i.' ? h.i ? /?SE,?t
?
J
PERMIT SUBTYPE: TYPE OF WORK:
, ;,ii i;i ,,f. (,IE '.1Is 1 I? i P 1?(`i t f;l. ('1 Fl{ { il[I h)
Permit No. Permit Holder Date Telephone 1f
ELECTRlC
PLUMBING
NVAC
Inapection Data insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
CaYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAI PL6G
FIMAL HTG
ORSAT
TEST
BLDG FINAI
BSMT R.I.
BSMT FINAL
DECK F7G
? ?r
N
OECK FINAL
1V
V ?
-
t--- --- --
----- -------
V INSPECTION RECORD
CITY OF EAGAN PERIIAIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: ?; i M. Or r APPLICANT:
?? ? ? i:?.• i r N1,iar wAY j.I I
itiiiNNY i Ak.F ki[?liF. :iRp (al? ) t-,.i/ ?bhA
?
tti? ? i n r r?r?
fifi /klsl /??[;
-1
l? J
PERMIT SUBTYPE: TYPE OF WORK:
, . Idl IJ
1. r I .? r f it itl ( F? 1 i'' ! A f. F p'1 F: IV I)
Permit No. Permit Holder Date Telephone N
ELECTRIC
PLUMBING
HVAC
inspectlon Date Insp. Commenta
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUM8ING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
ll!
i
DECK FItJAL -- --
?O ? 1
Receipt
PLUMBING PERMIT
CITY OF EAGAN
FiII in numbered spaces
Type or Prini /egibly
1. Date 2, Installation Cost
3. Job Address ! Lot Blk.
4. Owner
Permit No.
Fee
S/C
Tot.
- Tract
5. Contractor • ? ? 'Phone
6. Address
7. City i State Zip ?
$. Building Type: Residential ?
9. Work Description: New ?
10. Describe
11.
Commercial ? Institutional ?
Add ? Alter ? Repair ?
No. Fixtures
Water Closet No. Fixtures
Cess
ool/Drainfield
Bath tubs p
Septic Tank
Lavatory ft
e
S
Shower n
r
o
Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. t 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
't'-QA/Kut It Li 3F19_1 ; n . . , P EF MIT # ..
eEt ,7 _a-/_& F MECHANIOAiL PERMIT RECEIPT # 9 -:2-
P16 ? CITY 00 FAGAN
3830 PILOT KNOB ROAD
EAGAN
MN 55122 DATE
CONTRACT PRICE ,
,
:
PHONE: 454-8100
Site Address `" t '. ; ' BLDG. TYPE WORK DESCRIPTION
Lot r Block ? Sec/ ub, '
Res. New
-
?
Add-on
Mult
m Name
m Address
J Comm. Repair
c Ciry 1'+;_..I It Vi i I ILc.! Phone Other
Name FEES
RES
HVAC 0-100 M BTU -$24
00
?
? Address .
.
ADDITIONAL 50 M BTU - 6.00
p City Phone S'? ' f ?& KI (RES. HVAC INCLUDES A/C ON NEW
_ CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIn - 1
50 EA
.
.
TYPE OF WORK COMM/IND FEE - 196 OF CONTFiACT FEE
Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLJES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater M BTU REMdDELS - 12.00
Air Cdnd /8 = a ? M BTU MINIMUM COMMERCIAL FEE - 20.00
. STATE SURCHARGE PER PERMIT - .50
Vent. CFM (ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # BEYOND $1,000)
Other
FEE -
S/C: SI T EE
TOTAL•
FOR: CITY OF EAGAN
- • crnr oF EAGAN
3795 Pilof Knob Road Eagon, MH 55124
PHONE: 454-8100
BUILDING PERMIT
Site /1ddi
Lot Pcrcel #
Block ? Sec/Sub. 1'11V•Cak@ Rdg. 3
t _. . -
"i)aUIl nou?s
Name urriu liL
W
3 Address ^M1712 HOp_'= i*13 Crsrd.
ic_ c p
? Name
,o -
Zu Address
VI
I?:... o,_--
Nome _
Address
Receipt #
Erect IL"Y
Alter ?
Repair ?
Enlarge ?
Move p
Demolish ?
Grode ?
Water & Sew.
Pol ice
Fire
Eng.
Planner
Council
Pertnit
$urcharge
Plon check
5AC '
Woter Conn. ?- ' • ???
Water Meter Road Unit
I hereby acknowledge that I have reod this application and state that gldg. Off.
the informotion is oorrect ond ogree to comply with all opplicable
Stote of Minnesoto Statutes ond City of Engan Ordinances. APC Total -?
Siyncture of Permittee '
A Building Permit is issued to: T l'-omSo"' ?"lanes on the expreu condition thot
oll work shall be done in occordonte w(th all opplicable State of Minnesota Statutes ond City of Eagon ardinonces.
Building Official
N° 6023
Occupancy .
Zoning T
Fire Zone - 3
Type of Const.
# Stories
Front ft.
Depth ff.
fees
?emM # pate InMd P«wMlM
Plumbing •
nn!? e icol -7
7-7
INSPECTIONS DATE INSA.
Rough-In
Finol
Footings Date Insp. Dute Insp.
Foundation
Frame ins. Plumbing
Mechonical
Firwl - _ Fy
Remorks: _ s? 14 '2
y ?-
C1TY OF EAGAN
3745 Pilot Knob Rood Eagan, MN 55122
PHOtV E: 4548 i 00
BUILDING PERMIT
Receipt #
N° 6024
To be used for Est. Value Date , 19
Site Address - -, Erett actupancy
Lot Block 5ec/Sub. •?- ''d',• Alter ? Zoning
Repai r ? Fire Zone
parcel #
Enlorge E] Type of Const.
a
c Name Move ? ,# 5tories
W
3 Address 1712 >:Opk=i.^. >;t ST'd. Demolish (3 Front f ft.
? f ':w. ".-i -,nn+nr?7ro II;/l _7Z1'2 Gfade ? Depth '?1 I ft.
p Name _
?? Address
r r:w.
Name _
Address
t hereby ocknowledge thot I have reod this application and stute Yhat
the information is correct and ogree to Comply with oll opplicable
State of Minnesota Statutes and City of Eagan Ordinances.
Woter & Sew.
Police
Fire
Eng.
Planner
Council
Bldg. Off.
APC
Permit - ' '
Surcharge
Plan check '
SAC
Water Conn. ),?
Water Meter
Road Unit
Total
Signature of Permittee I
A Building Permit is issued to: on the express condition that
oll work shall be done in accordonce with all applicoble Stote of Minnesotn Statutes and City of Eagan Ordinances.
88w
Building Officiol
Paemit # DaM Inwd PwnltM
Plumbing Wp.1z,1JA- - -
Mechanical
?5??
INSPECTIONS I DATE INSP. Rough-In Firal
Footings Dote insD• Date Inap.
Foundotion
Frame s Plumbing
Mechanical
'
Final
fd-a/-dr'0 oe_
Remarks:
?.?e..? -y- ?-s?
CITY OF EAGAN
, . ` 3795 Wlot Knob Rood
No. Eagan, Minnewta 55122
Pkowa: 454-8100
PERMIT
Dote:
Slte Address:
Loc
4643 Penkwe Wag
Bixk 3 Sub/Sec. -ThnY•CakQ Rclr--' 3
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FQR ALL INSPECTIONS
?G794
Receipt No.:
Single
Residentiol 1 Of L,
Multi Res., Comm./Ind. I
Nome -.^'iTl ThOmp80A HOR1L3 New/Alter./Repair rF'e
? Address ?712 Hapkin8 Crerd. Cost of Instollotion
City ' iIlri@t,OTl}ZA, ?`!(Il. Phone: rV1 -'71?? Pe?mit Fee
')V@SlZ@1 N.4@Q11AItiCii?. `.?
Nume Suttharge
.
? Address r){? Kennebec Dr.
? • i .' = -, 5
City Phone: Tota I
This Permit is issued on the express condition thot oll work shall be done in accordante with OII oppliCOble 5tate of
Minnesoto Statutes ond City of Eagan Ordinonces.
Buildiny Offlcial
Receipt MECHANICAL PERMIT
CITY OF EAGAN
Fill in numbered spaces
Type or Prini legrbly
1. Date _ 2. Installation Cost
Permit No.
Fee -
S/C
Tat- •
3. JobAddress . ' ,., I_;•?Lot Blk.
4. Owner
Tract - . C1;3
5. Contractor ?1tn7C `i,eatin;' Phone
6. Address ' F'i'' `"• ` c^ s-n I'•. vP _
7. City -,? State Zip
8. Building Type: Residential 1?3 Commercial ? Institutional O
9. Work Description: New Q;• Add ? Alter ? Repair ?
10. Describe Fuel Type
11.
No, Equioment BTU - M. Ea.
Forced Air No. Equipment CFM
dli
Ai
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 I agree to
comply with all ordinances and codes governing this type of work.
Signed: for
s Rough Final
• Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
.Approved CITY QF EAGAN 454-6100
:/
' CITY OF EAGAN
3795 Pitot Kno6 Rood Eogon, MN 55122 N? 6 U L ?
PHONE: 454-8100
BUILDING PERMIT ReceiPt #
Te be wnd for Est. Vafue Date - , 19
Site Address ' Erect ja Octupancy
Lot Block Sec/Sub. _ .? Alter p Zoning
Pnrcel # - Repair C] Fire Zone
Enlarge ? Type of Const.
W Name Move ? # Stories
; Address Demolish ? Front
b Ci '.,or!•:a . phone Grade ? Depth ' R.
Approvats Fees
p Name _ Assessrnent - --'? Permit
?? Address Water & Sew. Surcharge
F
Ci Ph°^e Police Plan check
? W NQme Fire SAC 525•'
i? Address E n g. Water Conn. ?5 • ??`
?W c ph Plcnner Water Meter ??• n?
i orte Council Road Unit lF"' S • ???
( hereby acknowledge that I have reod this opplicotion ond stote thut gldg. Off.
the informotion is corred and ogree to wmply wiih all applicable
Stote of Minnesota Statutes and City of Eagan Ordinantes. APC Toto!
$iQncture of Permittee
A Building Permit is issued to: on the express condition that
oll work shall be done in occordance with oll cppliwbie State of Minnesota Statutes ond City of Eogan Ordinnnces.
Buifdirng Officiol
rorwlf # Dste Irwd IeeditM
Plumbing -
Mecbonicol
;7
INSPECTIONS DATE INSP. Rouph-In finol
Footinqs M-43. Date Insp. Dute Insp.
Foundotion Plumbing
Frome ins Mechaniwl (p -JU
Fincl
ot?
Remarks: /?-;z
Recaipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN
Fee
Fill in numb8red spaces S/C '
Type or oiinr legibly
Tot.
1, Date 2. Installation Cost
3. Job Address ? Lot B lk. Tract
4. Owner
5. Contractor n r Phone
- '
6. Address ; , , ?.1? •1 ?. Y . . . ,
7. City i's State Zip ??z-c!'1
8. Building Type: Residential Commercial ? Institutional ?
9. Work Description: New P Add ? Alter ? Repair ?
10. Describe Fuel Type
11.
No. Eauioment 8TU - M. Ea.
Forced Air No. EquiPment CFM
dli
Ai
H
Mfg, an
ng:
r
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. I hereby certify that tfie 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$100
No. 1912
CITY OF EAGAN
3795 Pilet Knob Reed
Eogae, Minneaora 55122
Pheea: 454-8100
PERMIT
Dote: ?1-8n
Site Address: 464li P@I1kVf8 V!Bj+
Lot Block ? Sub/Sec. S? • C??' R?' • 3
Npme ?'lr2'iII Th0M80I1 HOme3
; Address 1`71? l:OUkiriB CI'82'd.
O
City 'UI1rietOIlk9, M21. PFwne• 54 f:
Name ?C'1:,@l I'IBCti8I1tCH1
r
? Address V 1;10 Ke'Y122@bBC UY' .
" -1 "6
City ? - Phone: ?r52? 5
This Permit is issued on the express condition thot oll work shall be
Minnesota 5tatutes nnd City of Eagon Ordinonces.
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
ze7<-?4
Receipt No.:
Single I
Residential 1 O.i 4 i",:
Multi Res., Comm./Ind. I
New/Alter./Repcir
Cost of Instollation
"
Permit Fee ? Sj?rrFv?rna
Tota i
done in accordance with oll applitable Stote of
Building Officiol
• • cIrr oF EAGAN
3795 Pilet Knob Rood Eagen, MN 55122 N? 6021
PHONE: 454-8100
BUILDING PERMIT Receipt #
To w wsd ior Est. Vclue Dcte . 19
Slte Address Erect ? Occupancy
Lot Block Sec/Sub. • Alter ? Zoning
Repoir p Fire Zone
Parcel # _
E
l f Con
t
T
n
arge ? .
ype o
s
W Nome Move 0 # Stories
? Address Demolish ? Front h.
Ci Phone Grode ? Depth ft.
p Name Approvols Feea
Assessment
u? Address -
~ Cit Phone Water & Sew.
°C Pol ice
Name
Fi
F W m
?? Addreu Eng.
a W Ci Phone Planner
Council
I hereby ocknowledfle that I hwe reod this application and state that Bldg. Off. _
the information is correct and agree to comply with all applicuble
State of Minnesota Stotutes and City of Eogan Ordinances. APC
Permit
Surcharge
Plan check _
SAC '
i,n1
Water Conn.
Water Meter
Road Unit
Totol '
Signature of Permittee _ I
A Building Permit is issued to: ?on the express condition thct
oll worlc shall be done in occordance with oll applicoble Stote of Minnesota Stotutes and City of Eagan Ordinances.
Building Officiol
Perwit # DeM hwd ?ars1MM
Plumbing // Ll
Me onical ? l -/ -
1NSPECTIONS DATE IHSP.
Rouqh-In
Final
Fpptings ? D Dote Insp. Dote Insp.
Foundation Piumbing
Frame/ins. Mechonical ?
Final -?
?
Remorks:
b?. ?
Reoaipt ' MECHANICAL PERMIT Psrmit No.
CITY OF EAGAN
Fee
Fill in numbered spaces S/C
Type or Prini /egib/y ,
T
t
o
.
1. Date -- 2. Installation Cost
3. Job Address LotBlk. "j Tract .T?r,y,??'-•
4. Owner ",c. n3o:,
5. Contractor yr ;": Phone `%25-6"67
6. AddresS 4637 1"Zi
7. City . ? '5 51 State Zip ,
8. Building Type: Residential Commercial ? institutional ?
9. Work Description: New 0 Add ? Alter 0 Repair ?
10. Describe Fuel Type
11
No. Equi2ment HTU - M. Ea.
Forced Air No. EQUiament 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
I Rough Final
• Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
No.
Date:
cin oF E?GAN
3795 Pilof Knob Road
Eogan, Minnesota 55122
P6one: 454-8100
PERMIT
Site ^ddress: 4641 Fen?rre ',;'ay
Lot i Block 5ub/Sec. ,2?nL'. C3ke
Nome ??,in nicmU80A HOL^.@9
.
? Address '-71:' hO-pkiI18 CxBrd.
?
City ir]net,ollka. I'fr1 Phone• 5,,?4-733`,
Nome P_`LPZ ?'jCC$@ILiCal-
p.
L
? Address '1) Kennebec Dr.
3 CitY -, "In- Phone: 4: '-_565
This Permit is issued on the express condition thot oll work shall be
Minnesoto Statutes ond City of Eogan Ordinonces.
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
Receipt No.: ' 'n94
$ingle I
Residential 1 C'r ? T'Trx
Multi Res., Comm./Ind. I
New/Alter./Repair vlei
Cost of Instollution
2;
Permit Fee
Surcharge
Total
done in accordance with oll applicoble Stete of
Building Official
?CITY QF EAGAN 1NATER SERVICE PERMIT
F 7'15 Pilof Knob Rood
agon, MN 55122
o ning;
Owner:
jAddress:
Site Address:
Plumber:
M r N
er o.
, Connection Charge:
Size: Account De
posit:
Reader No.: Perm(t Fee; '
( dgree fo comply with the City of Eogari Surchar9e:
Ordinonces. Misc. Charges:
ToYol:
8y Dote Poid:
Date of Insp.: Insp.:
CITY OF EAGAM SEVI/ER SERVICE PERMIT
3795 Piiot Knob Road
- Fagan, MN 55122 PERMIT Na.:
Zoning; DATE:
Owner: No, of Units:
Address:
S+te Address:
Pl umber:
? agrea b eomply with the Cify of Eagon
O
Bi Connection Charge:
r
nonees. , Account Deposit:
Permit Fee:
B
Y Surcharge:
Misc. Chorges:
Dote of Insp.:
Ins
: Totol:
p. e
•
Dote Poid:
CITY OF EAGAN WATER SERVICE PERMIT
3795 Pitot Knob Road PERMIT NO.:
Eagan, MN 55122 DA7E:
Zoning;
No. of Units:
Owner: .
PERMIT NO.:
DATE:
No. of Units:
Address: -
hpr,
IVo.:
to eomplY with the City of Eogon
Dote of Insp.:
_ Connection Charge:
_ Account Deposit:
- PermiY Fee:
Surcharge:
Misc. Charges:
Total:
Date Paid: -
1 nsp..
¦
CITY OF EAGAN SEWER SERVICE PERMIT
105 Piloe Kno6 Road PERMIT NQ.:
Eagan. MN 55122 ? DATE:
zoning: No. of Units:
Owner: ?
Address:
W Site Address:
I ogroa ta eomply with the City of Eagan
Ordinances.
By
Date of I nsp.:
CJonnection Charge:
Account Deposit: _
Permit Fee:
Surcharge:
Misc. Charges: -
Total:
Date Paid:
WATER SERVICE PERMIT
ITY ^i EAGAN
795 Pilot Knob Road
:S; PERMIT NO.:
yen, MN 55122 DATE: .
.Zoning: No. of Units:
.
-
Owner:
Address: - -
Site Address: ?.
+Plumber: Connection Chorge:
Meter No.: _
Account Deposit:
Size: permit Fee:
Reoder No.:
1 ogree fo eop+plY with the City °f Eagan 5urchorge:
Misc. Chorges:
Oedinoncep. '
Totnl:
Dote Paid:
'8Y
: Date of Insp.: InsP':
. SEINER SERVICE PERMIT
CITY Or EAGAN PERMIT NO.:
3i 95 Pilof Knob Road DATE:
Eogcn, MN 55122 ?•10. of Units:
Zoning:
Owner:
Nddress: ' Site Address:
Plumber: ?-
ree bcomP}Y with the Cfir of Eagan
1 C.onnection Chorge:
ag Acoount Deposit: _
Qrdinanees. permit Fee:
Surcharge:
Misc. Chorges: -
BY Total: _-
Date of Insp.: Date Poid:
Insp.:
ClTlf flF EAGAN
3795 Pilof Knob Rosd
E,9ar., MN 55112
Zoning
p mer:
Acldress:
Site Address:
Piumber:
Meter No.:
Size:
Reader No.:
I a9me to C'mply with the Cify of Eagon
Ordinonoes.
By -
Dote of Insp.:
CITY OF EAGAN
$7q5 Pilof Knob Road
Eoynn. MN 55122
zoning:
pwner:
Address:
Site Address:
Plumber:
WATER SERVICE PERMIT
PERAhIT NO.:
DATE:
_ No, of Units:
Connection Charge:
Account Oeposit:
permit Fee:
Surcharge:
Misc. Char9es:
Total:
Date Paid:
I nsp. :
gEWER SERVICE PERMIT
PERMIT NO.:
DATE:
_ No. of Units:
ree M eomply with the City of Eagan Connection Charge:
ag Account deposit:
rdinanees. Permit Fee:
Surcharge:
1V{isc. CFxirges:
y
8
Total:
Dute of Insp.:
`.I nsp.:
Dote Paid:
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Request Dale
3-? 3 FtYNO. Ro - Inspedion
qe ??
eatly Now C Will Notity Inspector
nR
tl
?
Wh
jYas N.
y
e
ea
I>61censed contractor ? owner hereby request inspection of above electrical work at:
Job Aaaress (SVeeL Box or R ute No 1
?
? Giry
?'
y f Ll c G
Sec1ion No. Township Name or No. Range No. Coun?y
O
OCCUOdnI(PPINT) Phone No.
Po Sup iier L Atltlres '
N
Ele cai Conv tor ?COmOany Nam
CD , Conlractor5 Licanse No.
C OGc? 75
Ma?iin aearess ?COnacmr
n Owner Making ?ns?a afion
?
n?
v
?
Awhoriietl SlgnaWre IComracto ner Ma' ing Installationl
?y P one Number _7
3
MINNESOTA STATE BOARD Oi ELECTRICITY THIS INSPEGTION REOUEST WILL NOT
Grigqe-MlEway eldg. - Room 5470 8E ACCEPTED Bv THE STATE BOARD
1821 Unlvereliy Ave., 5t. Peul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone(812)6a3-0800 ENCLOSED.
3ja'.5/7c3 REQUEST FOR ELECTRICAL INSPECTION t"?'"'-k ? ee.ooom-
d 0792 4 See instmo??ons for co =peting ihls lorm on back of yallow copy, g'
"X" Below Work Covered by This Request
e Ad9 iiep: ° TypeoBUilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplez Water Heater Electric Heating
Apt. Building Dryer Othea{Spa
Comm./Industrial Furnace /
Farm Air Conditioner
Other(syecily) ConVacror§ Remarks.
Compute Inspection Fee Below:
# Olher Fee # ServiceEntranCeSize Fee # Grcults/Feeder5 Fee
Swimming Poal 0 l0 200 Amps o to 100 Amps
Trensiormers Above 200 _ Amps Above 100 _ Amps
Signs Inspeciw5 Use Only: ? TOTAL
'
Irriqation eooms ?j - OCJ s 'S
Q
Special Inspection
AlarmlCvmmunication THIS INSTALLATION MAY BE ORD RED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
if Rou9n-in oate
cert
y that the above inspection has
been made. F;nei oa?
OFFICE USE ONLY
This request voitl 18 momhs trom
?? no
This;eyuest void
18 months from
ISateof is Request 3 11-71 sI Fire No. T 33v57
I, as?'t?Q Licensed Electrical Contractor OOwner, do hereby request inspection of the above electri-
cal N?(ring installed at:
Street Address or Route No. '1w3 PrZNKW6- lL\k"y City aw'
Section Township Range CountyDAMTA
,Which is occupied by
Is a roughin inspection required on this job? No ? YeK Ready Now ? Will CalJXf
Power Supplier Address F*' Ujl4w
Electrical Contractor ??-`'? ?`' Contractor's License Nb'?
(COmpany Nam<)
Mailing Address _ I?1 ( ? • o-.{fj`- "M.
Authorized
tractor or Owner Making This Installatlon)
-74n- ' Phone No.
or Own Meking This Installatlon)
????f ? ????? ?(??? This inspection request will not be accepted 6y the
?J ? State Board unless proper inspectian fee is enclosed.
mmnesoca niace aoaro or oiecvici y
Griggs Midway Bldg. - lioom N191
'3+327 l(piversity Ave., St. Paul, Minn. 55104 - PFwne 297•2711
REQUEST FOR ELECTRICAL INSPECTION
C EGA13ELOW WORK COVERED BY THIS REQUEST
EH-00001_02
?f T 3355'l
7ype oP Building New Add. Rep: -Check Appliances Wired Em Cheek Fquipment W¢ed For
Hotne ?- ? Rangc Temporary Wiring
Duplex ? ? Watet Heater Lighting Pirztures
Apt. Bldg. ? ? ? Dryer ? Electric Heating ?
Commeicial Bldg. 0 ? ? Fumace Silo Unloader ?
Industrial Bldg. 0 ? ? A'u Conditioner Bulk Milk Tank ?
Farm ? ? ? List List
Other ? ? ? Hehers? -
1 Oeh?ers?
H 1
LOMPUTE INSPECTION FEE BELOW
ecvice Entiance Size: # Fce Feedeis& Sub[ceders: # Fee C'vcuits: # Fee
0 to 300 Am . 0 to 30 Am eres 0 to 30 Am ies
101 to 200 Am s. 31 to 100 Ampeces 31 to 100 Am eres q,tJd
A 00 Amps. Above 100 Amps. Above 100 Amps.
T ?? s-'. RemoteContxolCirc. Partialoiotherfee
5 Special lnspection Minimum fee 55.00
Re ks '
TOTAL FE
I, the Electrical Inspectoi, herehy
(Final)
Ttus request void
18 months from
has been
Date
Cy??
)Date s? -
This request void 3
18 montFi&from
Date o this Request Fire No. I 3 3 5 5 6
I,%aLicensed Electrical Contractor OOwner, do hereby request inspection of the above electri-
cal %Yiring installed at:
Street Address or Route No. l/Z City
Section Township Range Countypb"Tk
Which is occupied by
Is a roughin inspec[ion required on this job? No ? Y Ye?t Ready Now ? Will CaUX17
Power Supplier ps,?- Address llpm4aUN
Electrical Contractor UtL- 6-&Tf4? Contractor's I.icense NA-,f7_5V
(COmpany IVame)
Mailing Address _L , -C-.1 f f _??
Authorized
or
xo.
(eiecVlcal ConVacror or Owner maKln9 rnls InstallatlonJ
This inspection request will nat 6e accepted hy the
&iS ?"? State Boerd.unless praper inspeetion fee is enclased.
• Mfnnesota State Board of Electricity .
Griggs Midway Bldg. - Room N791 ? EB-00001-02
7821 U
Paul, Minn. 55104 - Phone 297-2111 a?
BEQUEST niversity Ave., St.
ELEC
THIS EOUEST INSPECTION 13 T 3 3 5 5 6
CHECK BELOW WORKOCO ERED BYRICAL
Type ot Building New Add. Rep. Check Appliancea Wired Foi Check Fquipment Wired For
Home ? ? ? Range ? Temporary Wiring ?
Duplex ? ? Water Heater ? Lighting Fixtuies
APt. BldB• 11 El D Dryer Electric Hea[ing ?
Commemial Bldg. ?? ? Pumace ? Silo Unloader ?
Industrial Bldg. ?? ? Av Conditionei Bulk Milk Tank ?
p? 0 E] 0 Lis[ List
Other ? 0 0 Reh?rs? R?ers#
COMPUTE 1NSPECTION FEE BELOW
Secvice Entzance Size: n Fee Faeders&Subfeedets: # III Fce Cvcuils: n Fce
0 to 100 Am . 0 fo 30 Am eres 0 to 30 Am eres
]Ol to 200 Am s. 31 to 100 Amperes 31 to 100 Am eres
Abov ;f qbove 100 Amps. Above 100 Amps.
Trans Remote Control Circ. Pa[tialorotherfee
Signs ' Special [ns ection Minimum fee 5.
Remazks? ?= TOTAL EE -,? ' eq,010
I, the Electrical Inspector, hereby certif h t the o e iRspection has bee ade.
(Rough-in) Date
(Final) /' _ ? Date
This request void •
18 months from
This renuest void
18 momhs fmm
643821 ?IC1 c"97
`,$`/D °';)
? Lmensetl Electncal ConVacrot 1 M1ereby repuest inspection ol above
Owner elechical work installetl aL
SveetAddress.BOx
L7 ?P ?I orNOUt o.' I
( ? ?W e City , 0
/-_- A-,Lr- 14-
eMron o. Townshio Name or No. RanBe No. Cou.jnt?y
Occuuant (Pp?T)
?
l/ Phone No.
v
Power Supplie, Address
EI Contr ctor ICOmoanv Namel
7 Contrar,lur's License No,
? z?1?v
MailinB AtlJress IConVactm or Owner Makinp Inscailationl
s xs ;4 C?7-
Au ' ed SiBnature nVacto OwnRr Makiny Installationl Phone N
umber
? p
( O ?P-7
MINNESOT TpTE BOAPO OF ELECTNICITY THIS INSPECTION REQUEST WILI NOT
eE ACCEPTED BY THE STATE BOAflD
Grigga-MidwaY BItlB. - poom N-191
1821 Uaiversitv Ava.. St. Pnul. MN 55100 UNLESS VROPER INSPECTION FEE IS
en..?v iarn aaanann ENCLOSEO.
; SQUESTuFOR E LEC?TR?I CA 91this NSP?E m o?Onaok oi vaiiow coov. #Vh
1'J6
E' 4 3 8-2 1 "X" Be1ow Work Covered by 7his Request
New AAd Rep. Tyoe uf Builtling Appllances WireE EquiunieN Wired
Home Range Temporary Service
Duplex Water Heater Liyhtin Fixiwev
Apt. BuilAinq Dryer Electrlc Heabn
Comnercial Bldy. Furnace Silo UOIOAdP.t
Industrial Bldy. Air Conditioner Bulk Milk Tenk
Farm om" -mE„ Snw;fv)
? e.r SUCWfy ther Other
Comnute lnspection fee Below
p Fee ServiceEnVanceSixe k Fee FendArs/SuGleedars 4 Fex Circuits
0 to 200 Am 5 0 to 30 qm s 0 tn 30 Amas
Above 200 qmps, 31 to 700 Amps 31 to 700 qm s
Swimming Pool Above 700_Amps Above 100_AmPs
Transiormers Irngation Booms ,,$?' Partial-Fee
Signs SUecial Inspection
TO AL
FEG
Remarks , ?
flooph-in D:rte 1, the Electricnl
Inspeclor, heroby
rtily thqt the above
Fi^al inspection has been
metle.
Thia request voiC 10 montM trom ?
• °°
This request void 6 Ae? 3
' ] 8 month; from 3 .
Date o this Request Fire No. 133555
I, as1 Licensed Electrical Contractor 0 Owner, do hereby request inspection of the above electri-
cal winng installed at:
Street Address or Route No. City (5?6k(4
Section Township Range County?
Which is occupied by HCJt'q
(Name ot ?Oc.cc,upant)
Is a roughin inspection required on this job? No ? Ready Now ? Will Calys(
n(,, v
Power Supplier Address fWA41I+14
Electrical Contractor atd"c' Contractor's License Nk3%
e (COmpany Name)
Mailing Address E? f1°` V6ue
(EI Ica ontratt r or Owner Makln9 ThIs InStallation) ?,q
Authorized Signature Phone No. 3/V'J 5x
(EI9Ctric con ctor or Owner Makln9 Thls Inztallatlon)
ME 39 /? ?? Fl???? This iMpection requert will not 6e aecepted by the
(r`?`,{ ?? SWte Board unless proper inspection fee is enclosed.
minnesoca brace noara or meccnciry
Griggs Midway 81dg. - Room N791 ? EB-00001-02
'r 182t11niversity Ave., St. Paul, Minn. 55104 - Phone 297-2171
Ck}ECK BELOW WORK CO EREDTBY'THIS EQUEST'ON a 3 y? T 3 3 5 5 5
Type of Building New Add. Rep. Check Appliancea Wired Foi Check Fquipment WiredPm
Home ? ? Range 621 iemporary Wiring ?
Duplex ? ? Water Hexter Lighting Fixtures ?v
Apt. Bldg. ? ? ? Dryer Electric Heating ?
Commercial Bldg. ? ? ? Furnace Sdo Unloade: ?
Industrial Bldg. ? ? ? Air Conditionei ? Bulk Milk Tank ?
Farm ? ? ? List List
Other ,
? ? ? p
Hehels
? p
Reiergj
COMPUTE INSPECTION FEE BELOW
Semice Entrance Size: # Fee Feedecs&Subfceders: # Fee C'vcuits: s Fce
0 to 100 Am s. 0 to 30 Am eres 0 to 30 Am eres <
101 to 200 Amps. 31 to 100 Am res 31 to 100 Am eres 00
Abo . „_Amps. Above 100 Ampa Above 100 Amps.
Tra s r rs: RemoteConGOlCirc. Partialor otherfee
Sign - Spe
cial Ins ection
Minimum fee $5.0
Rem
-
:
TOTAL FE . fp
I, [he Electrical Inspector, hereby certify e a speEtion has been e.
(Rough-in) ?ate ?
(Final) - -Date >- 4lr --Ft
This request void
18 months from
.. . t,
, , , , .... , _. .
? ? ??,??#tf?rtt?r ?uf V9rrU;Pa1tr# ?.
,.. ..
Citp uf (Eagan
P}ttTfritPYlf ? Bltil?ltrii? ..?1t9}1PtfiDYl Tbir CMifrtatc inued Qurtur{nt to tix +equiremtntr of Section 306 of the Urtifo.m BuiWing,
Code trtif)ing tbat at tlx timt of iss rtanrt tbir rtructure wac in compliance with thr variour
ordinanrer o f the City ngulating building connrurtion or uJe. For the f ollawing:
U.Cn 1 of 4 PLEX BIdB. Pemut No. 6OtZm3
??YiYPa fl3 'h•PCm+wctlon V FireZOne 3 Zooi?Dinrict . r? .
.
o _?? Y-1, 1981 ?
,
? .. „ ?IC,;ow?...« '. . _
.
??rr#i#irtttie nf..(Orrixpttnry
:
.. ° Citp nf (Eagan
. , Dr}rartmrni af louildittg lnspertimt
Tbi.r CMifitatt issuud purruant to tlx nqsiremrnu of Section 306 of the Uniform Building
Codt artifying that at tlx timt of iatuantt tbis strHausc wur rn compliance witA tbr variout
ordinaarrr of thr City rrgulrrting building connrurtion or rur. For tlx following:
UmClutlOuGw I Ol 4 P•.••.• BIdg.PemitNo. "0u4
o-war'iYa R3 'hwc?uw V Fl. Z. 3 zminsowma PD
o„..f&,,,d?a Orrin ThOIDpson ,,,,,n,1712 HOD7rins Grerd., Mtln
By 3
amo.i Julx-l:-19$,
,?
.,_.,
J?
.;;, `?rr#iftr?#? nf (?rru?ttnr?
Citp of eagan
Drpttriment nf lgutlbing Insprditm
;Tbir Cnti fitate irtued Psrsuant to tht rrquiremenu of Sertion 306 o f thr Uni farm Building
Code rrrtifying that ru tAe trmt of itanana tbit Jtrurture was in compdiunre with the variour
ordinaruet of the City rrgHlating burlding aonrtnution or utc. For the f ollauing:
u?cwum?.n? 1 of 4 PLHX Bi?Nu,,;,Na 6022
' awwMr'rvw R3 rrwcn,?? v FiRz 3 zom% mw« PD
?dftfl?s Orrin Thompaott ,,,,,g 1712 Hopldns Crard., Mtka.
ASn& ft 3
R.Wfta,,,? Mu, June 30, 1981 Z?z . .M . CdifM1<6W!'.C[
i
i .
omrrup "ari'r? "
titp of Cagan
Drpttrhnrnt uf Btti1D'mg Jnsprrtimt
Thu Ccrtificaty itsued pursttant to the reqeirementt of Section 306 of the Uniform Burlding
t`=Codi urti f ying that at tix timr a j.ittuana thia ihuaun was in rom pliance with tlx variout
? ordirutnrrt af the City ngulating 6uiJding conrt+uaron or ure. For the following:
U. cIII.u,ogum l. OF 4 PLER ema. Ponoit No. 6021
zomv o:,ma
?mar'nv? R3 V
ryroc?n? F? z,o. 3 PD
0.? a.e Orrin Thompaon 1712 Hopk2na Crsrd., Mtlfla.
Add= 461r1 Penkwe LYey ?,,,YLot 1,Block 3,J1m1Y.0k.R1dg
-
16 io P(,By: _ 3.
ewwmgomdwd3{?. .Tl1I1C 30J 1981' .
.• •. ' M} Ix A CpxpncVWf MC[ ' se+ LRN?IN u.5 P. i
CITY OF EAGAN
' 3795 Pilof Kno6 Road Eagian, MN 35122 N2 6021
PMONE: 4548100 ,L ?(J
oF?
BUILDING PERMIT APPLICATION Rewipt # 3
To be usad fo, 1 of Ci p1eX Est.Value 46,490. pwe 8-6 , 7980
Site Addrew 4641 PenkWe W3Y Erect 'Mx Occupancy E0
Lot 1 Block3_ Sec/Sub. JhTXY.C21i2 Rdg.3 Alter ? Zoning PD
Parcel # un ecorded Repair ? Fire Zone 3
Enlarge p Type of Const. V
c Name (lrrin TYLnmignp Hnmec Move ? # Stories
w
3 Address 1712 Hopkins Crsrd. oemu5n ? Fronr 22 n.
° ci Minnetonka, MpMo„e 544-7333 Grade p oePrn 44 n.
? Avvw.ab Feea
p Nome
0
?U Address As:essm F --
Water & Sew.
~ Ci Phone
Police
Name . Fire
?? Addreu Eng.
.
aW G Phone Planner ,
Countil
I hereby ackrwwledge that I have read this opplication ond state thot Bldg. Off.
the informotion is mrrect and agree to comply with oll opplicable
Stote of Minnewta $tatutes and Ciry of Eogon Ordinonces. AP?
Signmure of Pertnittee
A Butlding Permir is issued ro: Orrin Thompson
all work sholl be done iri ocwrdol?te wit¢ oll oppttyable,5tate of
Permit 141.1V
Surcharge 22.00
Plan check 62.75
snc 525.00
Water Conn. 305.00
Water Meter 60. 00
Road Unit 185.00
l'orul 1,285.25
Homes on the express condition thm
MinnesoM Statutes and City of Eagan Ordirwnces.
Building Officiol
0 p f 6a;l
CITY OF E]aGAN
BUIIDING PERMIT APPLICATION
Include 2 sets of plans,
1 site plan w/e]evations 6
1 set of energy calculations.
'Ib Be Used For ??1PLu??_ Valuation-4 4611490.00 Date 'X4LY 30. 196 0
Site Pddress: 4Qjj QEpK4,aC Wq-y OF'FICE USE ONLY
Lot ? 91ock 3 sec./sub. ?""flyEY gl
Parcel
Oaner:
Pddress:
City/Zip Code:
Phone #:
Contractor:
unnuv i nvrvirSUN HOMES
PJ3dless: a Division of U. 5 F'-.-,o
1712 HOPKIM1S CFOS£ROAD
C1ty/ZlP COCI27 flINNFTnNKG reliy'"j
Phone #: syy- `7333
Arch./Eng.:
Pdclress:
City/Zip Code:
Phone #:
Erect -/._ Occupancy
Alter Zoning f?-IJ
Repair Fire Zone
Enlarge _ Type of Const.
Nbve # Stories
Desrolish Front ?a ft.
Grade Depth y/ ft.
APPROVIiIB F'EES
Assessrents ?Pesmit /a?Sd?._
Water/Sewer Surcharge ;::7-zTOE
Polioe Plan CClzzeck 2?f
Fire SAC
mriq, Wates Conn. 13 !h5`
Planner Water Meter
?
60
Council Road Unit
Bldg. Off.
APC
TO'PAL
. C'rY EAGAN
? 3795 Pitot :-06 Rond Eegnn, MN 55122 N-0 6022
PNQNE: 454-8700 Y?d
BUILDING PERMIT APPUCATION I Re<eipt # _
Te be used for 1 0£ 4 plex Est. Vniue 46,490. Date 8-6 1910
Site Address 4641; Penkwe Wa.v Erect }k Occuponcy B,3
Lot-2_ 81ock3_ Sec/Sub.jhny- C:akP RAq,3 Alter ? Zoning PT)
parcel # unrecorded Repoir ? Fire Zone 3
Enlorge ? Type of Const. ??
rc Nome Orrin Thompeon Homes Move ? # Stories
; Address 1712 Hopkins Crsrd. oemoiish ? Front 72 tt.
Ci hone 54+-73 Grode ? Depth lil? ft.
°
??_
? Name Avvrovale Fees
u? Address
Name _
Addreu
I hereby acknowledge that I have read this application and state that
the informotion is c»rrect and agree to comply with oll apPlicable
State of Minnewta Statutes and City of Eagan Ordinances.
Water & $ew.
Police -
Fire
Eng.
Planner -
Council _
Bidg. Off. -
APC
Permit 147. JU
Surchorge 22 • 00
Plon check 62.75
snC 525.00
Water Conn. 305.00
Water Meter 60.00
Road Unit 1$5.00
Totol 1,285.25
Signoture of Permittee - I
A Building Permit is issued ta: OTY'lri ThOIIIpSOn Hom23 on the expresa condition that
oll work shall be done in accor nc? ith all,epplicqble innesota 5totutes ond Ciry of Eagan Ordinances.
Building Officiol ??
.?
same
CJTY ` r? ,
41 1 site plan w/elevations 6
BUIIDING PEfq ION 1 set of energy calculations.
'IU BC' USC'CZ FOr RpLu Gp Valuation-?y6.49o.00 Date 7'uw 30 1980
site Address: 464 1 y,? Q
eN?w e WrW oFFIcE usE oNLY
? ?
t ? Bl? ?dM"?„
3 SCC•?Sil}J• ?OGNEy .3rd
Parcel #:
O.mer:
Address:
City/Zip Cocle:
Phone #:
Contractor:
vnnilv i nviwr?)UN HOMES
P,ddT'2SS: a Division of U. S. F!nne r---- ,;;;ieii.,_
1712 HOpKIKS CFOSSROAD
C1i.j7/Zlp COde: NINNf7flN1
ca FR1M1in? Sr?a3
Phone #: syy-'7333
Arch. /Eng. :
Pddress:
Erect X Occupancy
Alter Zoning
Repair Fire Zone 3
Enlazge _ 'Iype of Const. r/
Nbve # Stories
Dennlish Front ?a ft.
Grade Depth y?ft.
?
APPROVALS PEES
Asses9nents
8516 Pennit ?
Water/Sewer Surcharge aa
Police Plan Check ?
Fire SAC
Enq, Water Conn. ? 0,5--
P1annPS Water Meter 6 =°
Council Road Unit / 6?
Bldg. Off.
APC
City/Zip Caie:
Phone #:
CITY OF EAGAN
3795 Piiee Knob Road Eagan, MN 3571= N9 6024
PHONE: 4 54-8100
BUILDING PERMIT APPLICATION Receipt #
Te be uxd for 1 Of /a. pleX Est. Value 46,490. Date 8-h , 19E0-
Site Address 4643 PnekwP Way, Erect ? Occuponcy R3
Lot 4- Biock3_ Sec/Sub. ShTV•Cake R de.3 Alter ? Zoning PD
Porcel # unrecorded Repair ? Fire Zone 3 _
Enlarge ? Type of Const. v
w Name OTrin ThompSOn Homes Move ? # Stories
3 Address 1712 Hopkins Crsrd, Demolish ? Front 22 ft.
°
Ci
hone 544-7333
Grade ?
Depth 44 fr.
° Name Approwls Fees
0
z?
same
8- $0 125.50
Pertnit
Assessm?F
ou
V? Address -
Woter85ew. Surcharge 22•00
Ci Phone 62
75
Police .
-
Plan check
Fw Nome Fire SAC 525.00
_Z Address _ Eng. Woter Conn. 30 5.00
QuZi Ci phom Planner-
Council _
I hereby acknowiedge thot I have read this aDP?ication and stote that Bldg. Oft. _
the information is correcf and ugree to comply with oll applicable APC
State of Minnesoto Stotutes and City of Eagan Ordinances.
Water Meter 60. 00
Rood Unit 185.00
Total 1,285.25
Signature of Permittee I
A Building Permit is issma m: Orrin Thompson HOIDES _ on the express condition that
ull work sholl be done in a?cc7or__ ?dalrKe wit/hvyJ) ap IicJ p able State of Minnesoto Statutes and City of Eogan Ordirwnces.
Bullding Officlal 40
CITY OF EAGFIN Include 2 sets of plans,
1 site plan w/elevatfons 6
r5 ?' SUILDING PERMIT APPLICATICR4 : 1 set of energy calculations.
7b Be Used For RuLo ???F Valuation ? ybj 490•00 Dete S4L11 30 i 1980
Site Address: 4,643 40rakW& 1A)&%1 OFFI(E USE ONLY
Int 4_ elocc sec./sub.
Parcel R:
O.,mer:
Address:
City/Zip Code:
Phone #:
Erect X_ Occupancy ??- -
Alter Zoning ?
Repair Fire Zone 3
Enlarge _ 'Iype of Const.
Nbve # St,ories
DeJrolish Front ft.
Grade Depth =Yy ft.
APPIbDVALS F'ffS
Contractnr:
M
AddreSS: M ES
a Division of U. S F'^,-,=
Ci 1712 HOPKINS CFOSSROAD
t7'/ZiP Cpde: MINNFTl1niK6eIPJM, S?i3
Phone #: syy-'T333
Arch. /E.lng _ :
Address:
City/Zip Code:
Assessrents Pes.'mit 1,42S ;E:?
Water/Sei.er Surcharge ,?stza
Polioe Plan Check 6 a?-=
Fire SAC
Erig. Wates Conn.
Planner Water Meter
-
-
Council Road Uni.t ]
??
Bldg. off.
APC
Phone #:
> CITY OF EAGAN
? 9795 Pilet Kno6 Road Engon, A{N 55722 N2 6023
- VHONE: 454-8100
BUILDING PERMIT APPLICATION
Site Address 4b432 renxwe VVBY
Laf 3 Blxk _3 Sec/Sub. 'n1I?Z' • Ce.$e Rdg . 3
varcei # unrecorded
? Name Orrin Thomnson Homes
W
Address1712 Hopkins Crsrd.
3
n' Nome _
0
Address
Name _
Addreu
I hereby ocknowledge that I huve read this application and state that
the infortnofion is mrrect and ogree to comply with all upplicable
State Of Minnesota Statutes and City of Eogan Ordinances.
Receipt # Qw?(!
Dote _
Erect g]C Occupancy R?-
Alter ? Zoning PD-
Repair ? Fire Zone 3
Enlarge p Type of Const . 11
Move ? .}
! Stories
,
Demolish ? Front 22 fr.
Grade ? Depth 44 h.
Approvals Feet
Water & Sew.
Police -
Fire
Eng.
Plonner _
Council _
Bldg. Off. -
APC
Permit ?
Surchorge 22-00
Plan check 62 _ 75
SAC 5?5 _ (10
Water Conn. 305 "no
Water Meter hfl . 00
Rood Unit 185 - M
Total l ? 995 _ 95
Signature of Permittee ?
A Building Permit is issued to: ()rri n'f'hm=enn Hnmas on ihe express condition that
all work shall be done in /p/ccor?d/ance wi all applicable Stote of Mlnnesota Statutes and Ciry of Eagan Ordirwnces.
Buildirg Officlal
. CTI'Y QF F.AC',AN
BUILDINC; PERMIT APPLICATION
Include 2 sets of plans,
1 site plan w/elevations 6
1 set of energy calculations.
Zb Be Used For ?r<ie?u?E Valuation-?ybp 490•00 Date TL,Ly 30.1980
site Address: 116 Li3 s Pamv.wE W94 OFFICE USE ONLY
IAt 3 Blocc 3 Sec./Sub. g?QyEY 3rd
Parcel # :
Oaner:
Address:
City/Zip Code:
Phone #:
Contractor:
?+ix??uv i nLiwrJUN HOMES
Address: a Division o/ U.
City/ZiP Code• 1712 HOPKINS CFpS5R0AD
MINNFTl1NKt?e?hin? 5-?q?
Phone #: syy-?333 _
Arch./F.ng.
Address:
City/Zip Code:
Phone #:
Erect C( Occupancy 3
Alter zoning P
Repair Fire Zone 3
Enlarge _ Zype of Const. t/
Nnve # Stories
Dennlish Front W 2 ft.
Grade Depth yy ft.
APPRCVALS FEES
Assessnents Permit
Water/Sewer Surcharge
-- a a ;°
Polioe Plan Check 62
Fire SAC
Enq, WatPS Conn.
Planner Water Meter
Council Road Unit
Bldg. Off.
P.PC
7bTAL
? ?Q s?Q
Q
]? C. R. WiNDEN 8 ASSOCIATES, 4NC.
,
?
tj ????L LAND SURVEYORS i*l. 645-3646
For: V 1381 EUSTIS SL, 5T. PAUL, MINN. 55108
U. S. Home Corpora tion
scale
N
so'
this date Johnny
idge Third Addition
t been recorded.
Lots 1 through 4 inclusive, Block 3,
Johnny Cake Ridge Third Addition,
Dakota County, Minnesota.
WE HEREBY CERTIFY THAT TMIS IS A TRUE AND CORRECT REPRESENTATIQN OF A SURYEY OF T41f
80UNDARiES OF THE IAND ABOYE DFSCRI6ED AND OF THE IOCATION OF ALL 6UILDINGS, If ANY,
TMEREON, AND ALl VISIBLE ENCROACHMENTS. IP ANV, PROM OR ON SAID IAND.
Dotad this23 doy efJ.L.IX_A.D. 19BD C. R. WINDEN S ASSOCIATES, MC.
bY P-s?= -k
Sur.ayo., Minn*solo Rapiurotion No.77Cc.
PERMIT
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT TYPE:
Permit Number:
Date Issued:
'UZO
BUILDING
027775
06/05/96
SITE ADDRESS:
4641 112 PENKWE WAY
LOT: 2 BLOCK: 3
JOWNNY CAKE RIDGE 3ftD
P.I.N.: 10-39602-020-03
DESCRIPTION:
(REPLACE DECK)
ermit Type SF (MISC.)
?6r?k Type REPAIR
434 ALT. RESTDENTIAL
a
X
?? ?:
A
,?"?,t` 3 ? Wt 4i?. ? , .^.?.'t
?^+a.$
ZE xv
REMARKS
FEE SUMMARY:
Base Fee
Surcharge
Total Fee
$45.00
$.50
$45.50
CONTRACTOR: _ qpplicant - Sl". IxC.OWNER:
SUNDANCE CONST INC 15377564 0005670 RUKA DENNIS
6922 42Np AVE N 4641 1/2 PENKWE WAY
CRYSTAL MN 55427 EA6AN MN 55122
(612) 537-7564 (612)683-9609
?
iriformatibn.is e04*e6t aP4 ac
StaCu?e?...?r?€l; G??,?.cn,f .E?gan .EYt
APPLICANTlPERMITEE SIGNATUFE
ISSUED 13YFIGM4TURE
piqg CITY OF EAGAN
t144 3830 PILOT KNOB RD - 55122
1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
6814675
New Construclion Renuirementa RemodeUReoair Reauirements
? 3 regislered site surveys ? 2 copies of plan
? 2 copies oi plans (include beam 8 window sizes; poured Tnd. design; efe.) ? 2 site surveys (exterior addffions 8 decks)
? 1 energy calculalions ? 7 snergy calculations tor healed additions
? 3 eopiea of tree preservation plan if lot plaHed after 711/93
requiretl: _ Yes K- No
DATE: ?- Z9 -9 C_ . CONSTRUCTION COST:? z-9 5-(::' .??
DESCRIPTION OF WORK: to ? Z. L
i
STREET ADDRESS:
LOT BLOCK ? SUBD./P.I.D. #:
u
PROPERTY Name: Phone #:
OWNER
Street Address•
city; State: Zip: 5 5 ?? Z
CON71L4CTOR
Company: 5`?"`
`'?• C `?
Phone #: -7 S6
Street Address: `-!Z'-? Ave PQ License #: 5 G 70
City: C°'ys-?' _ State: f'''` ti Zip: 5-"? -z ?
ARCHITECT! Company: Phone #:
ENGINEER
IVame: Registration #:
Street Address,
City: State: Zip:
Sewer & water licensed plumber:
change are requested once permit is issued.
Penalty applies when address change and lot
I hereby acknowledge that I have read this application and state that the infoRnation is correct and agree to comply with aii
appiicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received
Yes _ No
Tree Preservation Plan Received _ Yes - No
nFCINMED '
MAY 2 5 1996 ;
i
---------------?
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
0 02 SF Dwelling ? 07 4-plex
? 03 5F Addition ? 08 8-plex
0 04 SF Porch o 09 12-plex
0 05 SF Misc. ? 10 _ plex
WORK TYPE
0 31 New ? 33 Alterations
2 Addition ::F"4 Repsif?-
?A?>/9L 2?PL?ru
GENERAL INFORMATION
ConsG (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
? 11 Apt./Lodging ?
? 12 Multi Repair/Rem. ?
? 13 Garage/Accessory ?
? 14 Fireplace ?
?15 Deck
? 36 Move
? 37 Demolition
Basement sq. ft.
Main Ievel sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
Engineering
Variance
c3
D
Permit Fee
Surcharge
Pian Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S!W Permit
SNV Surcharge
Treatment PI.
Road Unit
Park Ded,
Trails Ded.
Other
Copies
Total:
Valuation: $
' ?IN MA .u •'
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
MC/W5 System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bidg
Census Unit
°k SAC
SAC Units
. . PERMIT
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE:
Eagan, Minnesota 55122-1897 Permit Number:
(612) 681-4675 Date Issued:
e2os(v s/ V
BUILDING
027502
05/09/96
SITE ADDRESS:
4643 1/2 PENKWE WAY
LOT: 3 BLOCKa 3
JtlWNNY CAKE RIDGE 3RD
p.I.N.: 10-39802-030-03
DESCRIPTION:
(R,EPLACEMENT)
e r m i t T y p e 96GK S 1'L?,t,a-C.J
9?q rYPe NZ44- ?
434 ALT. RES DENTIAL
;':
?
REMARKS:
FEE SUMMARY:
9ase Fee $45.00
Surcharge $.50
Total Fee $45.50
CONTRACTOR: - Flpplicant - sT. LxC.OWNER:
SUNDANCE CONST INC 15977564 6005670 PRSKETT JIM
6922 42ND AVE N 4643 1/2 PENKWE WAY
CRYSTAL MN 55427 EAGAN MN 55122
(612) 537-7564 (612)452-0299
? A
. 3 h4'rVby, ?ckridw?ik;4gi that,I ?d
.? tlo 6k y?R0;G??rp at
APPLICANT)PEAMITEE SIGNA7UR %.j-
ISSUED BY: SIGNAT
CITY OF EAGAN
11§01 3830 PILOT KNOS RD - 55122 +
?? ?
1996 BUILDING PERMIT APPLICATION (RESIDEN7IAL)
681-4675
New ConsWetion Raquirements
RemodeUReQAfr Reauirements
? 3 reg(stered site surveys ? 2 copies of plan
? 2 copies of plans (indude beam S window sizes; paured tnd, design; ete.) ? 2 site surveys (exterior addRions & decks) '
? 1 energy caiculations ? i energy calculatione tor heated additlons
? 3 copies of Uee preserveHon plan if lot plattad after 711/93
required: _ Yas No
DATE: CONSTRUCTION COST:
DESCRIPTION OF WORK: Li?Ve 10x/odecK ?\C31 Jax'w
STREETADDRESS: q6-73(Z -PenkWe- WO1'Y
LOT BLOCK ? SUBD./P.I.D.#: ?J? `1nW?(ARL?,1IX4L -2x11'
-?)aS KeTc Phone #: 415-Z-0 z'? ?
PROPERTY Name:
owNER • ? a`?
Street Address
City: EE2 at^ State: V?j? Zip: 5Sl ZZ
CONTRACTOR Company: ?Vv?A??C2 ??'?`71?VG`1??0r ?"Phone#:
Street Address: 6 9ZZ LiZ? Avle N License #• S??U
City: 5tate: W?N zip: 55?-4 Z`7
ARCHITECT! Company: Phone #:
ENGINEER
Name: Registration #'
Street Address*
Ci{y_ State: Zip:
Sewer 8 water licensed plumber:
change are requested once permit is issued.
Penalty applies when address change and lot
I hereby acknowledge that i have read this application and state that the infortnation is correct and agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
GU.?. UtJ? ? ai
Signature of Applicant ?
OFFICE USE ONLY ?FrPqVED
?
Certificates of Survey fteceived _ Yes _ No ? ?a3 j9g6
Tree Preservation Plan Received _ Yes _ No
1--- -
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
? 02 SF Dwelling ? 07 4-plex
? 03 SF Addition ? 08 8-plex
? 04 SF Porch a 09 12-plex
? 05 SF Misc. ? 10 = plex
WORK TYPE
? 31 New ,,Ja"33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Permit Fee
Surcharge
Pian Review
License
MCNVS 5AC
Ciry SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment Pi.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
? 11 Apt./Lodging ?
? 12 Multi RepaidRem. o
? 13 Garage/Accessory ?
? 14 Fireplace o
L41 5 Deck
? 36 Move
? 37 Demolition
?i??.• .. . .. ?
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
_ Basement sq. ft. MC/WS System
_ Main level sq. ft. City Water
_ sq, ft, Fire Sprinklered
_ sq. ft. PRV
_ sq. ft. Boaster Pump
_ sq. R. Census Code.
_ Footprint sq. ft. SAC Code
Census Bldg
Census Unit
Building Engineering Variance
Valuation:
$
?-
?._
?
?
% SAC
SAC Units
U L gL I? CITY USE ONLY
?I RECEIPT #: SUBD. / a nn U RI? r(A RECEIPT DATE: 17' *0U
PERMIT# 4NOSJ
2000 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT fINOB RD
EAGAN, MN 55122
651-681-4675
Please complete for: D single family dwellings
? townhomes and condos when permits are required for each unit
D backflow preventer for underground sprinkler system
Alterations to existing dwelling - minimum fee $ 30.00
Describe:
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas piping outlet " minimum -1 3.00 x = $
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x = $
Laundry tray 3.00 x = $
Lavato 3.00 x = $
Septic System newlrefurbished ' requlres MPC Ifc. 75.00 x = $
Septic System abandonment 30.00 x = $
RpZ new installation/repair/rebuild 30.00 x = $
Rough opening 1.50 x $
Shower 3.00 x = $
Undefgr0und Sprinklef if dwelling is under wnstruction 3.00 x = $
Underground sprinkler if existing dwelling 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x =
. ov
$
Water softener if dwelling under constructlon 5.00 x = $
Water softener if existing dwelling 30.00 x = $
Water turnaround 30.00 x $
State Surcharge .50 -> -> -> $ .50
TOtal -> -> -> _-> $
c?v??ioce
Feru #
TOTAL
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
1 that I --------is--------------------------------------------iry - ------------------.
inances-
hereby ecknowledge have read this application, state thet the infortnation corcect, and agree to compty with all applicable C of Eagan ortl
It is the applicanPs responsihiliry to notity the property owner that tha City oF Eagan assumes no liability for any damages caused by the City during its
normal operational and m^inten-nc ^cCVit- m tn facilitie? mn?tructed under this permit within Ciry propertylright-of-wayleasement.
SITE ADDRESS:
OWNER NAME .
INSTALLER'NAM :
STREET ADDRESS:
ANDERSON, THURSTON/I<ATHY
4643 PENKINE WAY
EAGAN, MN 5.?.122 . (sst? 68e dt57
TELEPHONE #:
(AREA CODE)
TELEPHONE #:
. . (AREA CODE)
CITY: 2M GAkFIELO AVE. SOUTH STATE: ZIP- '-
•
SIGNATURE OF PERMITTEE
s
CITY OF EAGAN
EARLY UTILITY CONNECTION PERMIT
4& yl &Aug u1a?'' ?
Address 61 u division/Parcel
I hereby request permission from the City of Eagan to connect to the
sanitary sewer and water lateral line in the public right-of-way. I understand that the City has not yet completed, inspected and/or accepted
the sewer and/or water lateral. I agree not to use, test, or connect these
individual services to any interior plumbing and understand the require-
ment to cap the sewer service to prevent any unauthorized use.
In accepting this permit, it is agreed that I will hold the City and its
agents hacmless from any damage [hat 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 Engfneer.
? I?u? ?^-?' `^?.? (??ioe?Cpp?yE, EAGAN.N91?04Si{?Z
Signed by - Plumber•
?.?
-•?
Owner:
Develaper:
Bui der:
Dated: %/LO
0
. ?
CITY OF EAG.1N
EARLY UTILITY CONNECTION PERMIT
`&Y I44-d?"R?? dil.eiv? ?
Address Subdivision/Par
I herehy request permiasion from the City of Eagan to connect [o 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/or accepted
the sewer and/or water lateral. I agree not [o 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 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 operaeional
by the City Engineer.
wEn+zeL ?? ?? ?
VWF. Signed by - Plumber?./(hp?-!tA?"v' 7665
Owner:
Developer:
Builder:
Da[ed:??0 V
, R
CITY OF EAGdN
EARLY UTILITY CONNECTION YERMIT
yl? y3 ?,??icuF ?2+.?' ??/,???2 3 2 ,
Address Subdivision/Parc
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/or accepted
the sewer and/or water lateral. I agree not to use, test, or connect these
individual services to any interior plumbing and understand the require-
ment to cap the sewer service to prevent any unauthorized use.
In accepting this permit, 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
[o be turned on until the City utility system has been declared operational
by the City Engineer. V6M WE(uZEL MECHANICAI
.JI 12ENNEBEC DAIVE, EA3AN, MINN.5612Z
Signed by - Plumbery? 452•1565
Owner:
Developer
Builder•
Da[ed: "/*V
?
CITY OF EAG.1N
EARLY UTILITY CONNECTION PERMIT
V10 07'
Address LZ4?'-Su-bd ivision/Parcel ?
I hereby request permission from the City of Eagan to connect to the
sanitary sewer and water lateral line in the public right-of-way• I '
understand that the City has not yet completed, inspected and/or accepted
the sewer and/or water la[eral. I agree not to use, test, or connect these
individual services to any interior plumbing and understand the requir'e-
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 tha[ may occur due to this early connection.
It is understood that no Occupancy Permi[ will be issued or watez allowed
to be tumed on until the City utility system has been declared operational
by the City Engineer. 1`f?? WEN2 t?aw. MECNANICAL
?, Mn?e1. 66122
Signed by - Plumber: ?"?" 2'?SBb
Owner:
Developer:
Builder:
Dated:?%? T?v
2006 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KPVOB ROAD, EAGAN A1FN 55123
651-675-5675
Please complete for modifications to existing res"n4l dwellings.
U U FEB 2 1 2007 U
oete 01
1
Site Street Address I Kl`? ? N)/lWe (.l.)A ?j unlt #
Property Owner Vi, Telaphnne #WI) _L05 _-bn
Cuntractor N w? ? lX vJ Telephone #?)?6??
Address Clty ' State? iip500?.
The Applicant is: _ Owner xContractor _Other
Septic System _ New _ Refurbished Submft 2 sets of plans and MRC license Includes County fee
$ 100.00
Per ss-built $ 10.00
Alterations to existing dwetting $ 50.00
_ Add plumbing fixtures. This fee includes installstion of a water saftener and/or water
heater at the same time. !f you are instaflFAg on e`water softener anJ/or wafer
heater, do nat 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 5/8" meter is required)
Other:
_ Water Sottener Water Heater $ 15.00
_ new ? replacement
_ Lawn Irrigation ,RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ 50
ToWI $
I hereby appiy for a Residentiai Plumbmg Permit and acknowiedge 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, ork is not to a without a permit and work wiil be in '
accordance with the a?FoYed plan in the event a plan is required to be revi e an?d pr6vd,
??i??? J
?a?, ,
Applicant's Printed Name Applicant's Signature
Clty Of EaaaIl
3830 Pilot Knob Road
Eagan AAN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
I
? Pertni[ Fae: _
j Date Received,
i
I Stafi:
?-------
?----------
i Esirot?ce.?s? ------ ?
j Permi[
I
I
I
I
I
I
- ?
I
J
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: SRe Address:
Tenant: 4/5u 2n44cg ?-[6Yl YZ, r y 6 4-t 3 ?-fe Y3 / ?C
, suite
RESIDENT/OWNER I Name:JG?NYlny ?? 12 i?75L ??v vn _
,.yr ifc ?Phone:
Address 1 City / Zip:
Applicant is: _ pwner _ Contractor
TYPE OF WORK
COMTRACTOR
Description of work:?Ie14f C'j
Construction Cost• lo?, -7 s20
Multl-Family Building: (Yes ?_ / No ?
Name:/V(J+?(:3?-.?j1? CIj,7-T ?TL?S b?GC License #: ''( 73
Address: py6-9 z•?/?-7: f? ?t _ / ?.?. ? n_
Cdy:l14221L 6L?1 L State: t2id.- zip.55 3//
Phone: Con[act Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING b NEW BUILDING
_ Minnesota Rules 7670 Cateaorv 1 Mjnnesota Rules 7672
Energy Code • Residentlal Ventilation Calegory 7 Woricsheet • New Energy Code Worksheet
Category submmed
(4 SUbmission typ0) • Energy Envelope Calculations Su6mitted Submitted
In the last 12 months, has the Cify of Eagan Issued a pertnit for a similar plan based on a master plan7
._Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contrector: Phane:
Sewer & Water Contractor. - Phone:
NOTE Plans and supporting documents'that you submrt are,consi`de_red to 6e,putillc lnformation:. Partlons'of
ihe lnformatlon may,3ie classlfied as nonpublic if you provide specific reasons ihat would permit fHe Ciry to
` °- ='.qanclude#hat thevare
irade sec,??c_ -
I hereby acknowledge that this InformaGon is wmplete and accurate; that the work will be in confortnance with the ordinances and codes of the City of
E3gan; that I understand this is nol a pertnit, but only an application for a pertnit, and work fs not to start without a permiY, tha[ the work wili be in
accordance with the approved plan in ihe Case of work which requires a review and approval of p)$}is.
190 'r //?ti?" '
ApplicanYS Pnnted Nama b IlcanYS Sfanature?
P3g2 1 Of 3
Clty of Eap
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675 Q? + 0'5 C"?& L
Fax: (651) 675-5694
------------------
, I
j Permk #: ? j
? Permit Fee: ?
? Date Received]MAy0 4 M09 j
I ?
I Staif: I
I
-----------------
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: '" 1 Ivi Site Address: 4 (04 ( 'Pt-A Q KVV4 1A1 Pk .(49AI, !' 1!k
Tenant: 1iFL6C /?rlR> 441:E'ih°jE/4 JGd-rlUGI54 Suite #:
RESIDENT I OWNER Name: i)4A-N1.7 K4PL-W??6HnI5A? Phone: o?i '"452
a,daress i ciry /ziP: ^f&q1a" nL?q,(?y .6"it/i /'N
Applicant is: 4KOwner _ Contrector ?o51 - 4,Z7 8 _ 09&e ?
TYPE OF WORK Description ofwork: gm??Sc ZA6K w „5gI/k2 7z) ??nia
c?
Construction Cost: A?'LZo Multi-Family Building: (Yes 4 ! No ?
CONTRACTOR Name:
? f? Address:
!?
/ ? city: _
Phone:
License #:
State: Zip:
Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUIL
Minnesota Rules 7670 Cateaorv 1 Minn a Rules 7672
Energ?'?.,, . Residential Ventilation Category 1 Worksheet ew Energy Code Worksheet
C8t@90ry Submitted Submitled
(4 Submission type) • En - velope Calculations Submiped
In the last 12 moMhs, has the City of Eagan issued a perm imilar plan based on a master plan?
? ? '4 ?;y .{e. ? '?" fl'? I#a es i Y {;.? •
?F
I hereby acknovAedge that this iMortnaGOn is complete and accurate; that the work will be in coMortnance with lhe ordinances and codes of ihe City oF
Eagan; ihat I understand this is not a permit, but only an application for a permit, and work is not to start withou[ a pertnit; that the vrork will he in
accordance with the approved plan in ihe case ot work which requires a review and approval of plans.
Yes
_ _NO If yes, date and address of mast n
Licensed Plumber: : Phone:
fdechani ca??y Phone:
r
SeY?er & Water Contractor: Phone:
x 11Fia?i )C'HAhrmW x A
ApplicanYs Printed Name Applic Si at e
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation
? Single Family
_ Multi
07 of Plex
_ Accessory Building
_ Fireplace _ Porch (3-Season) _ Stortn Damage
_ Garage Porch (4-Season) Exterior Alteration (Single Family)
_ Deck _ Porch (ScreeNGazebo/Pergola) _ Exterior Alteratlon (Mufti)
Lower Level Pool Miscellaneous
WORK TYPES Z3" L
?Qy? y (o?T?
_ New _ Interior Improvement
Addition Move Building
X,Alteretio _ Fire Repair
_ Replace _ Repair
DESCRIPTION
Valuation
Plan Revfew
(25%_ 100%
Census Code
# of Units
# of Buiidings
Type of Construction
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Footings (New Building)
? Footings (Deck)
_ Footings (Addition)
Foundation
Drain Tile
Roof: Ice & Water Final
_ Framing
Fireplace: _Rough In _Air Test _Final
Insulation
Meter Slze:
Siding _ Demolish Building'
Reroof _ Demolish Interlor
Windows _ Demolish Foundatlon
Egress Window _ Water Damage
'Demolitlon of entire building - give PCA handout to applicant
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Sheetrock
Final / C.O. Required
X Final / No C.O. Required
7 ? HVAC
Other:
Pool: _Footings _AirlGas Tests _Final
_ Sitling: _Stucco Lath _Stone Lath _Brick
_ Windows
Retaining Wall
Erosion Control
Reviewed By: Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
city sac
Utility Connection Charge
S8W Permit 8 Surcharge
Treatment Plant
Copies
TOTAL
S?
l°w
I For Offcme
Permit#
Cite. of Eaaali
Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 1 Date Received: l
Phone: (651) 675-5675 l
Fax: (651) 675-5694 Staff: -
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: - Oct Site Address:y `Tl G, / ,~2 Cfd 3 - el. '2_
Tenant: j4"" Suite
RESIDENT I OWNER Name: , .4 /4~-~~yn 'hone
Address I City / Zip:
Applicant is: Owner Contractor
TYPE OF WORK Description of work:/
Construction Cost: Ia 5490 Multi-Family Building: (Yes / No
CONTRACTOR Name: •J ~gfYyF~a7 C4/~~?'?,ec ~e~rs ~'x- License #k fi471,514-1 7.3
Address:
City: St-a-te: /7~ Zip: S Sall
Phone: Contact Person: ''yam G~
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
Submitted
Category Submitted
('1 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 p ,,5 is information Portions of
the inform anon may be classified as non-public if youprovide specific reasons that would permit the City to
conclude that the are' trade.secret
I hereby acknowledge that this information is complete and accurate; that the work will be in confo the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is n 9 to sOrf without a permit; that the work will bein
accordance with the approved plan in the case of work which requires a review and approval of pla
x (rn "rte x
Applicant's Printed N~ e A ' ants Signature
Page l of 3
,r'
- G f 6 q - W£ tea 9c 7
l ~ ~/Ul C. R. WINDEN & ASSOCIATES, INC.
LAND SURVEYORS Ts1. 645•3646
1381 EUSTIS ST., ST. PAUL, MINN. 5510$
For:
U. S. Home Corporation
C9
N
Sca l '
22 At' D~u
Note: As of this date Johnny
sP Cake Ridge Third Addition
has not been recorded.
Lots 1 through 4 inclusive, Block 3,
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 this ~day orJL C-A.D. )9Bd C. R. WINDEN & ASSOCIATES, INC.
by
Surveyor, Minnesota Registration No: 7
� � � � � � �
�(v!l l , �v� ( � �I7-, �l.a `�3 , ��'�3 ` l�-• , Use BL.#��or$LACK Ink
� FwOfficelfise--------- I
� �i, �n �f � j Permit#_ : '�� ` �I j
����<��L��ILLll � � 5"� �
i Permi�Fee: � �
3830 Pilot Knob Road
Eagan MN 55122 � Date Received. �
Phone:{65tj 6T5-5675 � �
Fax:{659)675-5694 ! Staff: �
I 1
�----- ----------'
2014 RESIDENTIAL BUILDiNG PERMiT APPttCAT10N
Date:�°'��`j� Site Address:���1 "_ yLa � �!/2 ��i��-' � Unit#:
Name: ��/Tl�i��t' ��� I t�tvr��ls�i Cr- � Phone: �
Resident! �
4wner add�ess i city i zip:���t-- ��-�'
�plicant is: Owner � Contractor
Description of work: ���'�` �'�� �� l �� ����
T�Re of work �
Construction Cost: l�,d�0 Multi-Eamiiy Buiiding: (Yes�/No_�
� / a'J� �
Company;�VC'JYZ��°��i �'4c��!%i�i4�C��Ur''S '� Cor►tact 1�t� f���ri'o�%
Contra�tor ,4ddress:g�`�2 Z✓�vJ�f��� Lr,�-�� �' ciry:�J��'� �!�t�L�
.
State:�Zip: ��3'`� Phone:����"�'Emaii:t��m��1Js�'LJ�S`7��.c�Y�"�✓�4��t�Y -
License#:�C ��� �7� '���-C:��r�
i�ad Certificate#:/V�i.r'...1=r>yl1�3 -�
If the project is exempt from lead eerti�catian, please exptain why:(see Page 3 for additiona!inforrr3ation)
COMPLETE THIS AREA ON�Y 1F CONSTRUCT'fNG A NEW BUILDING '
In the last 12 mont , t!�Ctty of Eagan iss�d a pertnit#or a similar plan based orr a master pfan7
Yes No )f yes, date and add f master pian:
ttcensed Ptumber: Phone:
Mechanica!Contractor: -
Sewer�Water Gont r: Phone:
,�"F�: °s an;tl su�pc�cfing dQCUmer��s fha#you sr�bmif are cor�sider+ed tv tze public infctrm��:, Pa�#i�ns of
r�rfe�ra�atior�rnay#�e�la��r#as r►c��tr pubii�if yc�u pror�de sp�i���iearsr�rts th�f wau/d pe�mit"tl��e"��!
' : c�clud+��tta�t�e" �ne�-ad�,seccei�
� GA�L BEFORE YOU D1G. Ca�t � � � , � � ���� �� � � I
Gopher Stat�One Caii at(651�45�F-0002 for proieciion against underground uflin+damage. CaU 48 hours
t�efore you intend to dig to receive locates of undergrourrci utilities. wvvw:oonherstateonecali.ora
i heret�y acknaMecige that this ir�formation is c�mmplete and acq�te;#hat the vuork wili be in tt�nfamarace with the ordinarwes aral codes of#he-Gity of
Eagan;fhat I uncterstand this is not a permit,but anly an appiication for a permit, and work is�t to start withou#a psrtn�t;that the work wili be fi'
a�ance with the approved plan in the case of vNOrtc which requires a review and�pproval of plans.
Eute�ior work authorized by a buildlr�g petmit issued Fn accorc�nce with th�R1Itlnesota Stabe iiding Gate m�t be complebed witMin 180
days csf pQmait issuance.
t r�
�� � ��
XL! ' � G L� . ,
x ,
Appiicanf's Printect Mame anYs Signature
Page 1 of 3
Use BLUE or BLACK Ink.
For Office Use I I J
::::
�'�c�Cityof Eaafl ��: / �6 i ;d
3830 Pilot Knob Road
Eagan MN 55122 Date Received
Phone:(651)675-5675 RECEIVED I
Fax:(651)675-5694 Staff: Awl
MAY 222012
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 05/22/2017 Site Address: 4641 Penkwe Way Unit#:
Name: Helge & Karen Johnson Phone: 651-452-7745
Resident/ 4641 Penkwe Way, Eagan, MN 55122-2727
Owner Address/City/Zip:
Applicant is: X Owner Contractor
Type of Work
Description of work: Replace Deck joists, floor boards, and railings
Construction Cost: $600.04 Multi-Family Building: (Yes X /No )
Company: Contact:
Contractor Address: City:
State: Zip: Phone: Email:
License#: 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:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of
the information maybe classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
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.qopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
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.
Applicant's Printed Name Applic s Sig :ture
Page 1 of 3
L/1
LIJ(4'
*..47&11/ 1G DO OT WRITE BELOW THIS LINE /`7c 7
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 T Siding i Demolish Building*
Addition _ Move Building _ Reroof _ Demolish Interior
_ Alteration — Fire Repair _ Windows _ Demolish Foundation
_IX�j(, Replace — Repair _ Egress Window _ Water Damage
, Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation f„ S 0 Occupancy (,,] MCES System
Plan ReviewCode Edition , 14 of( SAC Units
(25%_100%y ) Zoning City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction Vo Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
—
Footings(Deck) Final I C.O. Required
Footings(Addition) �c 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 30 Minutes 1 Hour Drain Tile
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: '' '17 ,Building Inspector
RESIDENTIAL FEES r Xe57-fiqr-
Base Fee /`"
Surcharge n "., 1/1, A / `
Plan Review �`
v
elm
MCES SACit ,, /°a'` c
City SAC V f 0'
Utility Connection Charge Ks)
S&W Permit&Surcharge
Treatment Plant
Copies . 0 4P c
TOTAL til 1 I:`° I 7
Y Page 2 of 3