The URL can be used to link to this page

4644 Penkwe WayCITY OF EAGAN Remarks Addition JOFW CAKE RTDGE 4th Lot 4 e1k 2 Parcet 10 z9803 ndn 09 owner screec 46,0 Penkwe Way State Bagaal+ MN 55122 Improvement Date Amount Annusl Years Payment Receipt Dete STREET SURF. STREET RESTOR, GRADING SAN SEW TRUNK ? 8a. z -&-2- L- _,? ;7 * SEWER LATERAL WATERMAIN * WATER WTERAL lqRl WATEA AREA STORM SEW TRK * STORM SEVY LAT - 198 CURB & GUTTER ' SIDEWALK CITY OF EAGAN Remarks E?dait:on s01P1NY CAKS RTiIQE 4th Lot 3 Rik 2 Parcel^1n z4803 nzn 0,2 owner sneec 4644g Penkwe Nfay _ 5tate EagB.n, M 55122 Improvement Date Amount Annuai Years Peyment Receipt Date STREET SURF. STREET RESTOR. GRAOING 5AN SEW TRUNK * SEYVER LATERAL WATERMAIN • WATER LATERAL 1981 WATER AREA r STORM SEW TRK 19$1 278.28 55.66 * STOAM SEW LAT 1451 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 13UILDING PER. SAC PARK CITY OF EAGAN Additfon aOHNlY (_U? ???40 Lot I Blk a Partei 3c) ?a?^A1e Aa Owner Straet 464 bR@pkt,+p Wav gtate FaganT MN $5122 Improvement Qate Amount Annual Years Payment Receipt Dete STREET SURF. StREET RESTOR. GRADING SAN SEW TRUNK 5 ' • SEWER LATERAL r 22 10 IS 80 WATEAMAIN * WATER LATERAI. 1981 WATER AREA STORM SEW TRK 98 278.28 55.66 278.28 C005581 10 15 80 * STORM 5EW LAT 1981 CURB & GUTTER SIDEWALK STREET IIGHT WATER CONN. BUIIDING PER. SAC PARK CITY OF EAGAN Remarls - Addition ??????4th Lot a Blk 2 Parcel 10 39803 020 02 Owner Street dfi&-', P k?Wa?v. _State F.stgan- MIV 55122 Improvement Data Amount Annual Years Payment Reeeipt Date STREET SURF. STREET RESTOR, GRADING SAN SEW TRUNK SEWER LATERAL 1981 2277-43 4 55 2277. 10/15780 WATERMA I N +t WATER LATERAL WATER AREA Q SYORM SEW TRK 278.28 C005581 10 IS SO * STORM SEW LAT 1981 CURB & GUTTER SIDEWALK STREET LIGHT WATER CaNN, BUILDING PER. SAC PARK L_1-4, B 2 CITY OF EAGAN ?Jp 1Z657 3830 Pilot Knob Road, P.O. Box 21-189, Eagan, MN 55121 - PHONE: 454-8100 BUILDING PERMIT Receipt # $ 48 i 00 0 1 OF 4 QLBX SEPTEMB E I2 22 86 To be used for Est Value Date SiteAddress 4646 1/2 PENKWE WAY Erect C? Oceupancy X3 Lot 2 Block 2 Sec/Sub. JOHNNY CAKE Remodel ? Zoning PD Parcel No. RIOGE 4TH Repair ? Type of Const vn Addition ? No. Stories W Name GOOD VALUE HOMES Move ? Length 44 24 i Demolish ? Depth 3 Address 1460 93RD LN N t S 0 P! p q. F city BLAINEphone 780-5510 Install o SAME Name APPrrnab = 0 ¢ Address Assessment ~ City Phone Water & Sew. ? a Police F = Mame Fire Address Eng. i Ciry Phone Planner Council t hereby acknowledge that I have read this application and state that the gldg. Off. 9228 E intormation is correct and agree to comply with all applicable State of Minnesota Statutes and Cil)j;of Eagan Ordinances. APC Signature of Fees Permit 274.OC Surcharge 24.OC Plan Review 137.0( sAC 575.0( Water Conn. 50+) . OC Water Meter 63.5( Road Unit 290.0( Tr. PI. 156.0( Var. Date Copie I uiv. 5( Total A Building Permit is issued to: VWU vAt,uG t7vtIlb%I> on the express condiGon dhat all work shall be done in accordance with all applicabl State oT Minnpsota S tutes and City of Eagan Ordinances. Building Official Permk No. Permit Holder Dete TNephono M Plum?Hn9 7/ Y Y' ._r-\ H.V.A.C. i 4P? Ebctrle 7= Solbnsr Inspeetbn Dab Imp. Commenb FooNngs I j u Foorinys ll Foundatlon Frominq % ? Rooflny Rouyh Plbq. l -- Rouph Htq. insul. a --;4? ? Fireplaes FInM Hty. 7 L? , FInNPIbp. sie9. Finel - cr7 Cert. OCC. ? 6 • ?7 ? ; ?'• DeClc Fly. Deck Frny. Wsll Pr. Dlsp. . PERMIT # . , y " PLUMBING PERMff RECEIPT # ' CITY OF EAGAN 3830 PILOT KN08 ROAD, EAGAN, MN 55121 DATE: CONTRACT PRICE PNONE: 454-8100 Site Address 71 " BLDG. TYPE WORK DESCRIPTION Lot Block ? Sec/Sub 1 4 ` 1 Res. ? New m r... , Name - ? Mult Add-on Address Comm. Repair ?- T ? City ? Phone ? Other N?. FIXTURES ZOTAL Name . Water Closet - $3 00 ? • T c Addrgs?s Bath Tubs - $3.00 p City, Phone 7 S ' S Lavatory - $3.00 ' Sh - $3 00 ower . Kitchen Sink - $3.00 ' FEES Urinal/Bidet - $3.00 COMM/IND FEE - 146 OF CONTRACT FEE -?undry Tray - $3.00 -- MINIMUM - RESIDENTIAL FEE - $10.d0 j Floor Drains -$1.50 - MINIMUM - COMM/IND FEE _ 20.00 Water Heater -$1.50 ? STATE SURCHARGE PER PERMIT _ .50 Whirlpool - $3.00 (ADD $.50 S/C IF PERMIT PRICE GOES i Gas Piping Outlets -$1.50 BEYOND $1,000.00) Softener - $5.00 Well - $10 00 . Private Disp. - $10.00 Rough Openings - $1.50 SIGNATURE OF PERMfTTEE FEE S ; STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL: ? T' ?` PERMIT # X14°2 CITY OF EAGAN MECHANICAL PERMIT RECEIPT # 454-8100 MINIMUM RESIDENTIAL FEE - $10.00 +;,50 DATE MINIMUM COMMERCIAL FEE - $20.00 + $.50 81dg. Type: Res ? Comm Inst 2. New 1--- Add Lot c-2 Block 0,<? 6. Total Bid Price Z000 . D U 4. FEE s/c . So TOTAL ?6• 00 _ Alter Repair Owner (- '(-1WZ1R 44e /-id r?2lu) YHEATING VENTILATING HOT WATER STEAM AIR COND. _AIR PIPING PROCESSED PIPING AIR HAND. EQUIP. RtFRIG. ? RES. GAS PIPING OUTLETS -$1.50 TANKS: LP. UNDERGROUNO OTHER COMM./INDf RATE -1*OF TOT BID PRICE PLUS $.50 STATE SURCHARGE FOR EACH $1,000 OF FEE. Signed: for ? . Approved Inspections: Date Rough Insp. Date Final Insp. RESIDENTIAL HEATING - 01-100,000 BTU's -$24.00. Each additional 50,000 BTU's or fraction -$6.00 RESIDENTIAL COOLING - 01-24,000 BTU's -$12.00. Each additional 6,000 BTU's or fraction -$6.00 MODIFICATIONS/ALTERATIONS -$10.00 minimum fee (Ctr#i#iratr uf (Orrupanry Citp of eagan ioppwftptlt Df sliohig jmwPtttm T7tis Certificate issue+d pursuant to the requirenlents of Section 306 of the Unifonn Btukftg Code certifying that al the time of rssuance this structure woas in rnmpliance with the various orrtinances of the City regu/ating buildrng rnxstruction or use. For the following.• uwa.mfk.dm I OF 4 : ??: mag. t'amrt No. OC-PMKY TYP? R3 Z+ooieg Diaurict 7ype Caut. QWmf0f BUdd111g.1'.t?i) VAIV8 }I!'?.?, A?fG4 TA' ?'^.. 111 : "JNF BIU1difljAddtisS 1 Lac1Gry -.. ... _ ., ?. .. . .. p.te: ui.?1i 6, 1967 POST IN A CONSPICUOUS PLACE CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: -! tt i'_I f 1011,11- WtlNld . iA?: l kI I1i1F PERMIT SUBTYPE: ;0 r? i!!, 0 INSPECTION RECORD PERMIT TYPE: Permit Number: 414 ?i, Date Issued: I` ' ` ,, ' ' : ! `) i - :; ? ? ()CK APPLICANT: 4JAY 1'i +' FIhIrU AIN l.sil 0 /4.i TYPE OF WORK: Permit No. Permit Holder Date Telephone S SNV PLUMBING ? HVAC ELECTRIC ELECTRIC Inapactlon Date Inap. Comments Footings I Foundation Framing Roofing ?ugh Plbg. 30 93 Rough Fltg. '3110193 Isul. Fireplace FUaI Htg. Orsat Teat Final Pibg. 7? ? IILL Plbg. Inspector - Noti(y Plumber Const. Meter EngrJPlan Bldg. Final Oeck Ftg. Dedc Fnal weli Pr. Disp. L 1-4, =B 2 CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121N2 PHONE: 454-8100 BUILDING PERMIT Receipt # ' 12658 To be used tor 1 OF 4 PLEX Est value $48 oQ00 pate SEPTEMBE.!t 22 1986 Site Address 4646 PF.IdKWE WAY Erect Ox Occupancy R3 Lot 1 Block 2 See/Sub. JOHNt3Y CARE Remodel 11 Zonina PD Parcel No R I DGE 4 TH Repair ? Type of Const un . Addition ? No. Stories Q GOOD YAI,UE H OMES Move ? Length 44 Name 4 ? LN Demolish ? Depth 24 o Addre I t I ? Ft S BA IPIE -5510 n mpr. q. ?ity Phone Install ? Z o Name SAMg Approvi 0 i Address Assessment _ ~ City Phone Water & Sew. Name - Address City - I hereby acknowledge that I have read this application and state that the information is correct and agree to compty with,all applicable State of Minnesota 5tatutes and C ty?pgan Ordinartces. Signature of Permittee`' `"`'-- A Building Permit is issued to: GOOD VALUE HORES all work shall be done in accordance with all applicable State of Mii Police Fire Eng. Planner Council Bldg. Off. 9 f 21 /8 APC Var. Date Permit ? ? I'm • v v Surcharge 24.00 Plan Review 137.00 SAC 575.00 Water Conn. 500 . 00 Water Meter 63.50 Road Unit 290.00 Tr. PI. 156.00 Parks Copies Total $ 2 . 014 . 50 on the express condition that and City of Eagan Ordinances. Building WrmR No. PermB Molder oat's TaFephons M PIuRgilny ? S r7 M.Y.A.C. ENcUic 7' Sof1ow Inspectlon Dab Insp. Commenls Footlnom I Foodnps ll Foundstbn Frsminy o RooNnp r Rouyh Pibp. Rouyh Nfy. Inaul. Finplaee Final Nty. Final Plbp. ? . eldy. Fin.l A, Csei. occ. Deck FIp. Dock Frmy. Wdl Pr. Obp. 0 PERMIT # 7 ? 0 ? ? ' PLUMBIN(i PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: CONTRACT PRICE PHONE: 454-8100 Site Address BLDG. TYPE WORK DESCRIPTION Lot ? BloCk -? SeclS ub ' Res. New m Name ` Mult Add-on S Address ' Comm. Repair . c City •' - Phone~- " '= i Other NO. FlXTURES TOTAL Name t Water Closet - $3 00 $ 3 Address . =Bath Tubs - $3.00 _ p City ' Phone ?' L.avatory - $3.00 Shower - $3.00 _ ?-Kitchen Sink - $3.00 FEES Urinal/Bidet -$3.00 COMM/IND FEE - 1% OF CONTRACT FEE r Laundry Tray - $3.00 MINIMUM - RESIDENTIAL FEE - a10.00 r Floor Drains -$1.50 MINIMUM - COMM/IND FEE -20•00 Water Heater -$1.50 STATE SURCHARGE PER PERMIT - .50 Whirlpool -$3.00 (ADD $.50 S/C IF PERMIT PRICE GOES J_Gas Piping OuUets - $1.50 BEYOND $1,000.00) Softener - $5.00 Well - $10 00 . " . Private Disp. - $10.00 ' ;? Rough Openings - $1-50 SIGNATURE OF PERMITTEE FEE ? STATE S/C: ` FOR CITY OF EAGAN . GRAND TOTAL• ` PERMIT #&l? CITY OF EAGAN FEE ?S • S G MECHANICAL PERMIt S?? , SO RECEIPT # 454-8100 MINIMUM RESIDENTIAL FEE - $10.00 + $.50 TOTAL ? 6. UU DATE ?? MINIMUM COMMERCIAL FEE - $20.00 + $.50 1. Bidg. Type: Res v Comm Inst 2. New V Add Alter Repair 3. Total Bid Prfce 4. Job Address S/ey? Lot Block -2 Se ?e?f?5. Owner I? . ? ` 6. Contractor?'-`.??'???rC1 ??2f1? ?11c?'?,?' /c;'3.? S/Yks.r?J CQ:r,f?,??7cz.•-?-SGr...S (Name) . -' (SUeeO (CiM " (ZiP) 7. Contractor Phone # ? -?=9 -SF, 7 % RESIDENTIAL HEATING - 01-100,000 BTU's -$24.00. Each additional 50,000 BTU's or fraction -$6.00 RESIDENTIAL COOLING - 01-24,000 BTU's -$12.00. Each additional 6,000 BTU's or fraction -$6.00 MODIFICATIONS/ALTERATIONS -$10.00 minimum fee ? HEATING VENTILATING HOT WATER STEAM AIR COND. eIR PIPING PROCESSED PIPING AIR HAND. EQUIP. RtFRIG. RES. GAS PIPING OUTLETS -$1.50 TANKS: L.P. UNDERGROUND OTHER COMM./IND. RATE - 1% OF^TOTAL BI PRICE PLUS $.50 STATE SURCHARGE FOR EACH $1,000 OF FEE Signed: ??J7a4 / ? Approved Inspections: Date Rough Insp. Date Final Insp. (gtr#ifirtttt uf (IDrrupanry Citp of (Eagatt Brprtmmf of liudbing 3wprtimt This Certrficate rssued pursuant to the requirements of Section 306 of ihe Uniform Building Code certifying tlrat at the time ojissuaitce this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following.• u. cwjfiauon l OF 4 I'LVi; Bldg. Fenn;t Ho. 12658 ,,: Occupancy 7ype r? Zoning Districl Type Const. : 21 Owner of BuiWinR Address Date: "iPRM 19. i 9R7 POST IN A CONSPICUOUS PLACE j; FOR - SALE . TOWNHOU5ES CITY OF EAGAN 3830 P R ?y 12656 L i- 4, B ilot Knob oad, P.O. Box 21-199, Eagan, M 2 N 55121 - PHONE: 454-$100 '- BUILDING PERMIT Receipt# ? To be used for 1 OF 4 PLEX Est. val ue $48,000 Date SEPTEMBER 22 y g 86 SiteAddress 4644 1/2 PENKY,TE WAY Erect ?K Occupancy R3 JOEINNY CAKE Remodel ? Lot3 Block 2 Sec/Sub Zoning pD Parcel No . kIDGE 9TH Repair ? Type of Const. vn- . Addition ? No. Stories 6 Name GOOD VALUL HOplES Move ? Demolish ? Length 44 Depth 24 1460 93RD LN TI ? o int. Impr. Sq. Ft Ciry B L•AINF.chone 780-5510 Install ? Z o Name SAME Approv als Fass ? a Address ~ City Phone ?¢ ? W Name = U? Address < ? City Phone I hereby acknowledge that I have read tnis application and state thatthe information is correct and agree to comply with alf applicable State of Minnesota Statutes and City of iw Ordina,wes, Signature of Permittee --?? 4.41, .4 A Building Permit is issued to: GOOD VALUE HOM$S all work shall be done in accordance with all applicable 5tatep1 Minneso Assessment _ Water & Sew. Police Fire Planner Council Permit $ ' U Surcharge 24.00 Plan Review SAC ?00 Water Conn. 50U.00 Water Meter?o Road Unit ' Bldg. Off. 9 22/86 Tr. PI. ?55' OQ APC Parks Var. Date Copies 50 Total 2 , . on the express condition that :a Statutes and Gity of Eagan Ordinances. Building PermN No. Permit HoWx Dsle ToIophont # PlwMbin9 /0/0 H.V.A.C. Electric Softner Inepecdon Date Insp. Commenta Footlnys I f6 ? Footlnqs II Foundsdon Framing RoaiSny Rough Plbg. 0 Raugh Htp. ln.ul. Flroplaee Final Nly. 41-I, 7J ,?F- 4, FMaI plby. 81d9. Final c.d. occ. Deck Ftg. Deck Frmg. well Pr. Disp. 77 8 f? . PERMIT # PLUMBING PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: :ONTRACT PRICE: PHONE: 454-8100 Site Address Lot Block m Name S Addre c City _ ? Name 3 Address O City ' a V-1 VO FEES COMM/IND FEE - 196 OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - $10.00 ' MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) SIGNATURE FOFt CITY OF EAGAN BLDCa. TYPE WORK DESCRIPTION Res. t " New ` Mult Add-on Comm. Repair Other NO. FlXTURES TOTAL ? Water Closet - $3.00 = ? Bath Tubs - $3.00 ' Lavatory - $3.00 Shower - $3.00 iKitchen Sink - $3.00 Urinal/Bidet - $3.00 1 Laundry Tray - $3.00 ? Floor Drains - $1.50 ' Water Heater - $1.50 Whirlpool - $3.00 1 Gas Piping Outlets - $1.50 Softener - $5.00 weli - $i o.ao Private Disp. - $10.00 - Rough Openings - $1.50 FEE STATE S/C: GRAND TOTAL• PERMIT # CITY OF EAGAN MECHANICAL PERMIT RECEIPT # 454-8100 MINIMUM RESIDENTIAL FEE - $10.00 + $•50 DATE MINfMUM COMMERCIAL FEE - $20.00 + $,50 1. Bidg. Type: Res 1-- Comm Inst 2. New L-- Add _._. 3. Total Bid Price IL-00• 00 4. Job FEE ?-S • .5 o S/C . SG TOTAL 9,?Alter Repair Lat J 81oCk c2 Se?J? 5. Owner +?'C'!'x ? ? .f'1?r ? ?--r?-.? • ?,,, V 6. Contractor L lE' Jcd, ?y?2i A/ C ?ll irl?/i??r,? (Name) E? Cy v ? 7 / (Sheet) (C?Y) (ZiP) 7. Contractor Phone # RESIDENTIAL HEATING - 01-104,000 BTU's -$24.00. Each additiona150,000 8'fU's or fraction -$6.00 RESIDENTIAL COOLING - 01-24,000 BTU's -$12.00. Each additional 6,000 BTU's or fraction -$6.00 MODIFICATIONS/ALTERATIONS -$10.00 minimum fee IX HEATING VENTILATING HOT WATER STEAM AIR COMD. aIR PIPING PROCESSED PIPING AIR HAhID, EQUIP. RrFRIG. RES. GAS PIPING OUTLETS -$1.50 TANKS: LP, UNDERGROUND OTHER COMM./IND. PATE - 1% OF TOTAL BID PRICE PLUS $•50 STATE SURCHARGE FOR EACH $1,000 OF FEE Signed: , r • ,? -i'/ Y__?':.U for ? , - Approved Inspections: Date Rough Insp. Date Final Insp. . ? - . (Urfiftrate o# (JOrrupanry titp of (Eagan fippartmmt of vudaing jWrrtimt This Certificate issued pursuant to the requirerrients of Section 306 of the Uniform Building Code cernfying that at the dme ojrssuance this structure was in compliance with the various ordi'nances of the City regulating building construction or use. For the following: ? ?, y , . . ? u« a.?saum eaai. Pennit nb. - 0-P-Y T'P? R3 Zoning D'utricf 'fype Camt vIl Owoer o[ Bwldiug hddm -; ? ?.+ _ : • _ &uilding Addrrm 13y ., ?,apwy . : uJR T Dam: POST IN A CONSPICUOUS PLACE FoR sALE TOwririovsFS CITY OF EAGAN L} 1- 4,: B 2 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N2 PHONE: 454-8100 BUILDING PERMIT Receipt # 12655 Tabeusedtor 1 OF 4 PLEX Est.value $48#000 Date SEPTEMBER 22 19 $6 Site Address 4644 PENKWE nTAY Erect 125 Oceupancy R3 JOHNNY CAKE Lot-4 Block 2 Sec/sub Remodel ? 2oning pi1 . R IDGE 4TH Parcel No Repair ? Type of Const. Vil . Addftion ? No. Stories G?D VALUE HOMES Move ? Length 44 IVame 1460 93RD I,N N oemo??sn ? Depth ?d Address Ci BLAINF Ph 780-5510 i Int.lm ? S Ft pr? Q ? one install cc Name SmYE Approvals Faes Z 00 Address Assessment Permit $ 274.00 ~ city Pnone Water & Sew. Surcharge 24.00 Police Plan Review 137.00 ?? ? W Name Fire SAC 575.00 z-, Address Eng. Water Conn. 500.00 W i City Phone Planner Water Meter 63.50 Council Road Unit 290.00 I hereby acknowledge that I have read this application and state that the Bld Off g 2 6 T PI 156.00 information is,correct and agree io cpmply with oII applicable,$tate oi g. . r. . Minnesota Statutes and City.ef -"n Ordiqrdes. ? APC Parks / / r Var. Date Co ies p 5ignatureofPermittee " ? .50 Total GOOD VALUE HOi?1ES A Buildin Permit is issued to: 9 on the express condition that all work shall be done in accordance with all ap?llfcable State ofi,Minnesot a tatutes and City of Eagan Ordinances. Building ONcial ? Parmk No. Pe?mft Hoidsr Dah Tel*phon* k PIurlVbinq T] `lld'? H.4.A.C. EleeMe 1 ? T Soilsnsr InspecNon Dste Insp. Commenb Footings I ?'p Footings II Foundation Framing ? Roofiny Aouyh Plby. Rouyh Htg. Insul. Flroplsce Flnal Htg. Final Plby. Bldy. Final Cert.Oca Deck Fty. Deck Frmp. Wsll Pr. Dbp. p S ? 7 PERMIT # O PLUMBING PERMIT RECEIPT # ? CITY OF EAGAN 3830 PILdT I(NOB RO AD, EAGAN, MN 55121 DATE CONTRACT PRICE PHONE : 454-8100 Site Address BLDG. TYPE WORK DESCRIPTION Lot Block Sec/Sub ' Res. New ? Name Mult Add-on ? Address Comm. Repair c Ciiy Phone - Other ? NO. FIXTURES 70TAL ? Name Water Closet -$3 00 $ c Address . ' Beth Tubs - $3.00 - -` - p City Phone TLavatory - $3.00 ==hower - $3.00 ? Kitchen Sink - $3.00 FEES Urinal/Bidet - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE ? Laundry Tray -$3.00 MINIMUM - RESIDENTIAL FEE -$10.00 ? Floor Drains -$1.50 : MINIMUM - COMM/IND FEE - 20•00 __? Water Heater - $1.50 STATE SURCHARGE PER PERMIT - •50 Whiripool -$3.Q0 (ADD $.50 S/C IF PERMIT PRICE GOES i Gas Piping Outlets -$1.50 BEYOND $1,000.00) Softener - $5.00 Well - $10.00 ' Private Disp. - $10.00 ' Rough Openings - $1.50 SIGNATURE OF PERMITTEE FEE r STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL• - PERM4T #??? 7 C1Tlf OF EAGAN FEE MECHANICAL PERMIT S/C RECEIPT # 454-8100 MINIMUM RESIDENTIAL FEE -#10.00 + $.50 TOTAL DATE MINIMUM COMMERCIAL FEE - $20.00 + $.50 1. Bidg. Type: Res ' Comm Inst 2. New im r 0 Add Alter Repair 3. Total Bid Price Lot Bloc 6. Contractor (Name) . 7. Contractor Phone # ??`j ? 5. Owner ? ?,;., r, , /•., ?? ? ? /? ? _ . %? (SlreeQ (Ciiy) (Zip) RESIOENTIAL HEATING • 01-100,000 BTU's -$24.QQ. Each additional 50,004 BTU's or fraction -$fi.db RESIDENTIAL COOLING - 01-24,000 BTU's -$12.00. Each additional 6,000 BTU's or fraction -$6.00 MODIFICATIONS/ALTERATIONS -$10.00 minimum fee V HEATING VENTILATING HOT WATER STEAM AIR COND. _-.AIR PIPING PROCESSED PIPING AIR HAND. EQUIP. RtFRIG. RES. GAS PIPING OUTLETS -$1.50 TANKS: LP. UNOERGROUND OTHER COMM./IND. RATE - 1% OF TOTAL BID PRICE PLUS $•50 STATE SURCHARGE FOR EACH $1,000 OF FEE. , Signed: far Approved Inspentions: Date Rough Insp. Date Final Insp. 1 • + { (Itrtif irate of (Orrupanry Citp of (fagan %pal'b1tPttf Of l1iftlltg JWPtftIIlt Tkis Certifcate issued pursrrant to the requirements of Sectton 306 of the Uniform Building Code cenifying thal at the tirne of issuance this structure was in compliance with the various ordinances of the City regulaling building constructron or use. For tJte follawing.• Ihe Classifintion I (R'' 4 Pi E.Y &dg. Rmtit Na. oon,o.ay rya R3 mn* awjict T,K conc Vn oww of eWwing i?L? VAU3E 13 41?FS Aah= ;'. N. i;• r;i) i;y h, Elr nnW, eio7tingAdd.ea 46t=4 _PIIME GiAY L-SI"yT? R2, JIMMY "'F}? R'fib'J'. 4T}i Build;na paw. ;,ARf7-i 9i,,, 19R7 POST IN A CONSPICUOUS PLACE . , BLDG. PERMIT'N0. ? 01-3210 siag. Perinit 01-3422 Plan Check 01-3445 Surch./Adm. 01-3446 SAC/Adm. 01-2I55 Surcharge 17-3860 Road Unit 20-2275 SAC 20-3865 Water Conn. • 20-3868 Water Trmt. 20-3716 Water Meter 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. 11-3855 Park Ded. TOTAL -• /1- / .'. . :, .: i,- - , ? , . , ,.. , :- ? , . , 4: i?? t ??'• ._. CASH RECEIPT CITY •OF `EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 eeceiveo • • ? I AMOUNT $ & OOLLARi 7 oo ? CASH - ? CHECK FOR BY White-Payers Copy Yellow-Posting Copy Pink-File Copy Thank You TER SERVICE PERM ITY OF EAGAN WA 0 Pilvt Knob Road - pERMIT NO.: 21199 . O. Bax Eagan, MN 55121 D/?TE: _p F;3 ;Zoninp:. No. of Units: i?ood Value , ?iozie, P,wrwr, ?1lddrass: tAav ?,? .a 6 4?'' Penkzae ,_ .. ' ite drcas: M 4ictcelson E 1 ?'lumbin; ? . pumber. . Conr+e : Readmr p ? . ? F? Orm ?t? • P ? a . p = -1 qnv te aoeevb wilM a. Gh OtAprda :orm"m?"'. „ I?.LEPKUNE?? A 3 . Sopd aete T? e ? ¦ .-. _ , BY oare of Ir?sp.: ?n?p.: ICE PERMIT CITY OF EAGAN YVATER SERV 3830 Pilot Knob Road P. O. Box 21199 pERMIT NO.: Eagan, MN 55121 " - DATE: ' ? Zoninp: _ Na. of Units: O wne r; , Add?eSS: ' ; : ; 2t• Add a Sft . : • , . 1 rc s e Plumber. Mrter No.: Connectlon OvoNe' ` ` . (10?d ? Siu: rleooe?nt l?eposit: Reader No.: Permit Fee: . I prM !O i0nplr M?IlI1 !IM CRY of bpA SU?CF10fQQ: OrlieoeoM. Misc. Ctaroes: , . ., Totol: B pats Paid: y Date of Insp.: I"sp•: j CITY OF [AGAN SEWER SEIVICE PERM 3830 Pilot Knob Road P. O. Box 21199 PERMiT NO.: Eagan, MN 55121 DATE: ? Zoninp' No. of Units: (',ood Value Ownsr: Addross: Site Addross: Plumber: i ""i "?:':;vt"? f;?7,. ; -•;: nn- I 1 MrM to em* wllU !iw CIly of upm ? Ordi.?wo... By Date of Irup.: - Con.NCrlon Charoa: 47 5 .O0r,., Acoour?t Depodt: 15 o. a P.m* F«: Surclwrgs: Misc. Chorpex Total: Dote Poid: CITY OF EAGAN SEWER SERVECE PERMIr 3830 Pilot Knob Road P. O. Box 21199 oERMIT NO.: Eagan, MN 55121 DATE: Zw-inp: ' No. of Unlts: 111 ?:- Ownwr. '°.,.?.' "a1?!? ;?-•,eF - Ilddrcss: -- Site Address: r-P2H*dE Wa" • -j- li* h Plumber. ==; _ rl,: - 1 a" to -8 py wNw tlw Cylq of Iliewn Cor?rwction Chorpe: "MmOM. AGCOYflt Qlposit: Pemdt Fee: Surcharpa: By AAfsc. G+orom Dote of Insp.: Totd: Inso.: Date Paid: CITY OF EAGAN WATER SERYICE PERMIT 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: .. Eagsn, MN a121 DATE: 2oninp: _ No. of Untts: ,. . Ownar: _ /lddross: Site /kldrcss: - . . ' . Plumber. Meter No.: ConnecHon Charoe: Size: Atcount Deposit: _ Rsader No.. Permit Fee: 1 ym to aaoply wMh 11r Ciryr of Ep"w Surdhorpe: , •1 .? "senar. Misc. Choroes: , ti- Total: By Date Paid: Dute of lasp.: irnp.: CtiTY OF EAGAN WpTO SERYICE PERMIT 383t, °ilot Knoh Rwd 7 F" ,,, gqx 21199 pERMIT NO.: E. jen, MN 55121 DATE: Zoninp: _ R3 No. of Units: '--, : ex awror_ (;ooci Value ?iomes Address: Site Addren: 4646 Penkwe Waq L1 B? .Ioh*inq Ck Mg +r.7i plonber. N icyelson Pltimbin, ,?;?K ? r No.: ?; pe 5. 00p7 r No.:67a7 ?JO Sr Before diggip,? a u lo, oopa .,.« to c..oy wiw ?. c?r.Tf?iiONEsUfGrW?+.? #?, . 5cp;a ? ?6.onFd TP EQVIFZ. C3.50pri *neter Qcte Poid: of Insp.: Irap.: 02 -7j7- Y'7 CITY OF EAGAN 3830 Pilot Knob Road P. O. Box 21199 Eagsn, MN 55121 ZoninE+ Ownsr. Cx?o:' [?al•,:? Addresr. Site 1lddrcss: 46441` FentitPlumber. $ickelson 9-?3-36 ?i SFIIVER SBtVlCE PERMIT PERMIT NO.: DATE: No, of Units: - 31 ey- B2 Johnna ? 117. VV?d CORMGti0/1 QI01u0: -17 5_ 1:n:'u_ ACODUnt DEpOfIf. I 5- r? ti Ttt? PormM FM: Surchwrns; Misc. (horpes; Totcd: Dote Paid: I Nm M 0o111/b wa !he cky af yo, QfdiM11CM. By Dote of Insp.: ? No.. bGem* wft Nw per oi leyan CITY OF EAGAN 3830 Pilot ' : nob Road Connedion CF+arye: AcCOUM Deposit: _ Permit Fee: Surchc?ge: Misc. Choryes: _ Total: Dote Putd: P. 0- Box 21199 PERMIT NO.: 7961 Eagaii, MN 55121 DATE: -` ' Zoninp: _ No. ot Units: ex p?,?r, t;ua3 Value :c,mes Address: Stts llddress: enkwe ir'a r,• a PlW116lf: , LCTCt? 'P 6OL1 ) Mshr No : i ., l . ? . , p Size: ?.,? '?S R ?Ofe --.? r1XiC '15??.,_.. _ 15. _ Cd Reuder No.: a D Yf1Ulvr -- I qwo te oomy wkh !M CtewoR Ordiss1OM Mlsc. Chorpes: ? Totol: 8y Dots Puid: _ Dote of Insp.: ? J ? ?' ?7 Intp.: CITY OF EAGAN 3830 Piiot Knob Road P. O, Box 21199 Eagan, MN 55121 WATER SER PERMIT NO.: VICE PERMR DATE: " - . No. of Units: ey - ? Dote of Insp.: Irqp.: CITY OF EAGAN SEWR MVICE PERMR 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: Eagsn, MN 55121 DATE: a-?r,,._ Zoninp: Y.-% 4 - ol?? A??? No. of Units: _ v?I?1?r ('Ql7u cl, AKJresS: SitQ M f dross: ? 4 7e*`,-?.rc °'? ,;otcxua Cis Rd ? jtn Plumber. ? - 1 pne M aesRlp wkb !M Clyr of iys, OriiMnqa, 100. 0Q;?r: Connsdbn Cilorge: ; 7 i _ (?f)- Acoount Deposit: Permlt Fas: Surcho?pe: By Dete of Insp.: Mirc. Chorpsx Totol; Dote Poid: _ ' CITY OF EbGAN WATER SERVIC E PERMR 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: ?='• tt'? Eagan, MN 55121 DATE: Zoniny: - - No. of Untts: vwnpf: r.Co4 ?ra ?iSe -' Add1'lES: Sit! ^dd1'lSS: `iL` W3V 1. i L ."1 7i1`! µf i: PllJlfiblf, MOtlr N0.: COfli'1ECtiOf1 C10fQ6: ?'•?i? . :?li Vc:_ ? Stze; Ncaount Deposit: Z ? • +?+J??.?' ; Reader No.: Permit Fee: x0 .0 r) Dd 1 qm te eo*y wilh IIw Cihr ef Eggen Surcha?ge: . S[3pd A'diMnOM. MIsC. ChorOes: 1 SFi ,0E3nd TP Total: BY Date Paid: ' Date of Insp.: Insp : . CITY OF EAGAN 3830 Pilot Knob Rosd P. O. Box 21199 Espn, MiN' 55121 Zonity: _ ' -: '_nr Owrwr: Md?ess: Sfh Addross: " Plumber. Meter No.: Siu: WATER SERVICE PERMIT PERMIT NO.: DATE: n _2 4 _ 7 6 . No. of Units: 4p1 500. 15. pm to aoevh? wi14 elN GMw-ii&M"_ Surch 1 S5. UL,P, ?"° as. ? . ? REG1JIR'?l: A3_ SQpd meter gY oare ?w: e of Insp.: Insp.: J ?/ . (?, / ? 7 0/9 7. REQUEST FOR ELECTRICAL INSPECTION es oo001-06 ? , 8N InsiruCtione lor eompletinp thia form en beCk ol Yellow copy. ?a? ? ir ?Q qr, C, "'K'" Below Wak Coveied by 7his Request NawlAddl'psP.l Tyoe of BuIl0lna 1 Aoolionoas WiraC 1 Equiymenl Wired I p Fee BsrvloeEntmnCeBixs tl Fa• FenAen/Subbedare 11 Fea Circuib 0 to 200 Am s 0 to 30 Am s 0 tn 30 Am Above 2_qm )s 31 to 1 0 Amps 31 to 700 A s Swimmin Pool Above 100_Am s Above 100 Am • Transformer5 rn tion Booms Partiab'Othor Fee LSigns ? I ISpecial Inspection L? ? TOTAL emerke ? ?J.f? I, Ihe Elsl!tric6f Ineoector, here6y Cntily thot the ebove ineDeetlon hae been msda. npwet rnis 1e R /5/a7 re t Add ress, 80 or Rout o. St Ci i BCt1011 O. own8 .D 8me Ot o. Bnpe o. C y Oc nni IPPIN71 Phone No. Po u lier AAdrese Elec ' I Contractor ICOmpeSry Namel ? CnMra we's lic e No 3 ? - . Meil'np Addrese ( ontra or Ow?r M kinp Inatellenonl O r d? ? A rizeE6iqnewre IContr tor Owner Mxkinp Insiellationl Phyp9?lumber 69 Sl(? 6 MINNESOTA 87ATE BOIRD OF ELECTRICITY ?- THIS INSVECTION BEQUEST WILI NOT Orlpys-MlOway Bltla. - Noom N•191 BE ACCEPTED BY TME STATE BOAXD 1811 Univaraltv Avs.. 8t. Peul, MN 68100 UNLE58 PROVER INSPECTION FEE IS Phana 18121 842•0800 -AN&C LOSED. ? LiceneBd Elec[rical Contrqctor 1 hereby requeel {nePaction of ebova ? Ownar slsetrioal work Installsd et: __..rFOR ELECTRICAL INSPECTION ? 8ea imtruatione br tomDlelirp this form on beck 0f Ydlow mpy. "X" Below Work Covered by lhis Request ea-oooa1-oe timA Addi Re0• Typs ot BuHtllap ADDlionCes Wlrad EqWUmeN Wirad HOma nge Tamporery Service Ouplex Water Heater Li htin Fixturex Apt. BuilAmg Dryer Electric HeaLn ommercial Bldg. Furnace Silo Unloadar Induatrial Bld . Air CorMitioner Bulk Milk Tbnk Farm + x. ceov i n, isnnr.iryl NOCIy t Or Othur ompute nspection Fee Belaw . M Fee &arvleeEntrence8ize k Fea Feedara/subbetlare M Fee Greuifs Uto20qms 0 to30Ams Oto 30Am Above 2_qm pis 31 to 700 qmps i 31 to 100 Amps Swimmin Pool qbove 100_Am S Abov 100 Am n Trensformer5 rri ation Booms PertiaL'Othor Fe igns Necialinspection 8) ? T em wrka ? ?-? OTAL FE 7 ouph•in Finel ??a G fv{ 'O I,ehe Elaet ' Ineueobr, hereby cotffy thes the e6ove inepeC<ion hae been msde. TIIU Ipuut Wltl 18 moniM IfOm .,a?9 g7 _ ?nt6s i,om C :6 $9 6 /, !. /? , G , Ca Y e !/ Rqqu08t Date ? Fire No. ouBb•In Inepection? eqwred7 Yae ? No [[??. TReedy Nuwy(?Will Notify Inspac- ?? tor When Peady ? Licnnaed Eleciricel Contrnctor 1 hsreby request {neDectlon of ebava ? Owner eleetrloal wark inetallad et: Street ?res , Box or Rqyte N\?? o. ?f ?_a ,AY--ULL "? C' etlwn o, oWne iD eme or 0. 9npe o. C nry 0 PnntIPflINTI Pnone No. Su lie Atltlraea EI9 al Contrector ICOm eny Nam r Contra or's lican No. - M ilinp A9 gs 1 onVet or or ONwqv?? Mekl V \ Instelletionl? orized Ip aiure IContr ct Owner Me ' p Inatellationl Ph e Num6er szo(lo lfM% MINNE60TA STqTE dOARD OF ELECTRICITY ? iH15 IN6PECTION REQUE6T WILL NOT OriOOa•Midwey BIEp. - Room N•191 BE ACCEPTED BY THE STATE 80AR0 1821 Univarsitv Aw.. 8t. Psul. MN 86704 UNLE88 PpOPER IN&iECTION iEE IS Phona (817) 842-0800 ENLLOSED. ? ? /I ? n ??- 0 ?.? /? ?? ? -?nn'nn J JGZ) U?j 3 15c;.2 i "= Repuast Date ire No. u8h+n InN?ion uired? O Reatly Now §j Will Notiy Inspector 3^ o- 93 - Ya= ? Na r When Readyy I.,*licensed contractor ? owner hereby request inspedion of above electrical work at: Jo0 Atltlress IStreeL Box or oute No.) / Ciry ?? Q 'r / w Seqion No. Towns1hip Name or No. Ra nge No. Counry Occupanl(PRINT) tc. ?z ? e er?.s_ Phone ?1 0 74l3 Power Supplier Atldress Eleclnwi nVacto, (COmpany Name) ConhacIork License No. ¢h?/?=?-??e - o ve z S Maien ACtlress (COnnactor oi Owner Making In?a,an? AolOOrize naWre IConVacl / wner Mekin Installatiory PM1One Num r MI E50 A STATE BOAHD OF ELE TPICITY THIS INSPEGTION REQUEST WILL NOT Gtlg9e-Mitlway 61Eg. - Room S173 BE ACCEPTEO BY THE STATE BOAFD 1821 Unlveraity Pve., SL Paul. MN 5510i UNIESS PROPER INSPECTION FEE IS Plrone (612) 66241800 ENGLOSEO. REQUEST FOR ELECTRICAL INSPECTION ? See insttuctions for compleling thi3lorm an back ol yelbw copy. "'X" 8e/ow Work Covered by This Request Q ? T4 EB-00001-08 e Add Rep. Typeof8uilding AppliancesWiretl EquipmentWired Home ange Temporary Service Duplez ater Heater Electric Heating Apt Building l ryer Other (Specify) Comm./Industrial urnace Farm Air Conditioner Otner (syecify) Contratlor5 RemaBS'. Compute Inspection Fee Below: # . Other Fee # ServiceEntranceSize Fee A Circuits/Feeders Fee Swimminq Pool 0 to 200 AmpS 0 to 100 Amps Translormers A6ove 200 _ Amps ?a 10 Amps SignS Inspecwr§ Use Onry: ? TOTAL ,? Irrigation Booms ?O .J? Special InspeCCion AlarmlCommunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF N • Other Fee COMPLETED WITNIN 18 MONTHS. I, the Electrical Inspector, hereby f Rough-in oate ? 7-4, certi y that the above inspection has been made. ? OFFICE USE ONLY I . ? . Tpis request voitl 18 monlhs imm i? i/?//g7 ,C FRqF;,? "1f" 8elow Work Covered by 7his Request AAtl Rap. Type ol Buileinp ApPliantee Nlired Equiumenl Wlrad Home RanBe Temporary Service Duplex Water Heeter Li htin Fixtures pt. Building Dryer Electric Heatin ommercial Bldg. Furnace Silo Unloader IndustrielBld . Air Conditioner Bulk Milk Tenk Farm + xr cecI v Mtn, tsnnci tvl t r paci y 1 or Olhur ompute nspection fee Below M Fas ServlcaEntroncaSize p Fee Featlara/8ublaetlara N Fee Circuite 0 to200Am5 0 to30Ams 0 tn30Am Above 2_Am ps 31 to 100 Amps 31 to 100 Amps Swimmin Pool Above 100-Am s A6ove 100-Am ' Transformers rri ation Booms Partial: Othor F e Signg Spacial Inspectivn ?? TOTAL P e mB?ks ? 7 ? j, ?r Nouph•in ate ? ths Elevice a l r l` Inaoeetor, hereby ?? ? ?/?? cert{fy thet ths ebove Finel ','?N,?1C-57IneVecHOn hae Oesn C./ metla. REQUEST FOR ELECTRICAL INSPECTION ee-oooot-os 0 See instruetions for completirW thia fprm an beek o1 Yellow coOW ?9 V/ fhle ronuut voltl 16 monlM Irom This rnpuest vold 7 18 moniha from I-C 58963 Z'-y 1-? red7 ?Heatly Nuw Will Notify, Inspec• ?ae ?No ?or When Heedy 0 Lfcensed Electricel Contrxctor I hereby request ineoeetion ol ebova ? Owner sleetrlael werk Inetelled et: Stre p.ddress, Boa o_r Pou ?C Y Ci oazn ecuon o. owna i0 eme or o. »noe o, nty Oc upanc IPpINT) ? Phone No. Po uOVlier v` Atldrass EI ical Contraclor ICOmp9hy Neme) Contrector's Licon No. or OwrLr Makino Instellationl MINNESOTA STATE BOIRD OF ELECTNICITY ? THIS INBPECTION PEQUEST WIIL NOT Oripps-MidwaY Bldp. - Room N•191 BE ACCEPTED BY TNE BTATE 80AFD 1821 Unive.eltv Ave., Bt. Paul. MN 56104 UNLESS PROVER IN&PECTION FEE IS Phone (8121 842•0800 ENCL08ED. REQUEST FOfl ELECTRICAL INSPECTION 10 EeG-aopooi-oe ?/F/Z-7 ' Sae irbtruetion8 tar completi'p thie form on 6aek of yellow eopy. 'r 'r, Qcj r, 7 "X" Below Work Covered by This Request RIOqAAdl ReO. I Tyoe ol Builtlinc 1 Aoolinntaa Wired 1 Equipmeni Wired I CE p Fea Servlce EntrBnceSize k Fee Feeders/SU6faetlera o fee Circuit• U to 200 qm 5 0 to 30 qm s Above 2_Am?s 31 to 10 Ainps W 31 to 100 Amps Swimmin Pool Above 100-Am Above 100_Am - Transiormers Irn tion Booms Partial•'Other Fee Signs Special Inspection TOTAL F Rem»rks / . / J i,the Eloctricel InBpeetor, nereey cartity thet tha above {nspection hes been mada. Thla This raCUest vaid 18 monijis irom ': C" 6 8 9 6 2.G Requeat Dete " 0 Fi? No. Ru4gh-in Inspeciion ?/ 1-?- R avrtetl7 ?Reatly Now iII Notify, Inspec- Wh P ? Q es ?NO r en eady ? Licansed Electrical Contractor 1 hereby repueat inaoection of ebore ? Owner. eleelrical work instelled et: S tre ? Addre s, oz or pqute No. Y? ? C' ection o. owns iD eme or No. anpe o. Counly O pant (PBINT) PhOne o. Po up0lier Adtlress EtScal Convecror ICempany Ne 1 c Con r's Licans o. 'li 9 .4ddreas (CoMractor or Owner ?Mg7? mp I ilationl ? A oMture (Contre tor Owner Makine Ins[ellation) Phon NumCer- _ T lPl/`% MINNESOTA STATE 80 RD Of ELECTXICITY THIS INBPECTION REUUEST WILL NOT Oripps-MlAwey Bldp. - Room N•191 BE ACCEPTED BY THE STA'fE BOARD UNLESS PPOPEN INSPECTION FEE IS 1821 Univernity Ava.. Bt. Peui, MN 66706 Phone(612) 642-0800 ENCLOSED. L 1-4, B 2 CITY OF EAGAN - 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 551121INp / 12657 w PHONE:454-8100 ?Pl W? BUILDING PERMIT Receiptn $48.000 1 OF 4 PLEX SEPTEMBER 22 86 Estvalue Tobeueedlor Date 9 SiteAddress 4646 1/2 PENKWE WAY Erect Occupancy R3 Lot 2 Block 2 Sec/Sub. JOHNNY CAKE Remodel ? Zoning I'D RIDGE 4TH ParcelNo Repair ? TypeotConst. Vn . Addition ? No. Stories a Neme GOOD VALUE HOMES W nnove ? Demolish ? Lengtn 44 Depth 24 o Address 1460 93RD LN N Intlmpr. ? Sq.Ft City BLAINEphone 780-5510 Install ? a Approvals Fees o Name SAME i? 274 0( ? a Address Assessment Permit , ? Ciry Phone Water & Sew. Surcharge Z 4. 0( ?? Police PlanReview 137.0( Fw Name Fire SAC 575.0( ?I a qddress Eng. WacerConn. 500.0( iW Ciry ahone Planner WaterMeter 63.5( Council Road Unit 290.01 Iherebyacknowledgethatihavereadthlsapplicationandstatethatthe gldg.Oif. 9/22/8 Tr.PI. 156.01 information is correct and agree to comply with all applicable State of Minnesota Statutes and C of an Or nances. APC ParkS Var. Date Copies Signature oi Permitte ?L ? Totyl $2,019.5( A Building Permit is issued to: GOOD VALUE HOMES on the express condition that all work shall be done in accordance with aIl applicabwState ot Min so a tutes and CiTy o( Eagan Ordinances BuildingOfficial c, ` L 1-4, B 2 CITY OF EAGAN . 3830 Pllot Knob Road, P.O. Box 21-199, Eagan, MN 55121 Np' 12cC v`? 8 BUILDING PERMIT PH¢R!E: 454-8100 Receipt N ??7 g? Tobeusedror 1 OF 4 PLEX Est.value $48,000 pate SEPTEMBER 22 1g 86 SiteAedress 4646 PENKWE WAY Erect QE Occupancy R3 Lot 1 elock Z Sec/Sub. JOHNNY CARE Remodel ? Zoning PD RIDGE 4TH ParcelNo Repeir ? 7ypeafCon st UA . Addition ? No. Stories Name GOOD VALUE HOMES Move ? Length 44 = 1460 93RD LN Demolish ? Depth 94 p Address 7 0-5510 BLAINE ph Ci Int. Impr. ? ? Sq. Ft. ry one Install . o Name SP+I"IE Appravals Fees ?¢ Address Assessment Permit +S 274.00 ? City Phone Water & Sew. Surcharge z 4. 0 0 ?a Police PlanReview 137.00 F W Name Fire SAC 575.00 nddress Eng. WaterConn. 500.00 i W City Phone Planner Water Meter 63 . 50 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 Ci . an Ordin ces. Signature of Permitte -A? A Buildinq Permit is issuetl to: ?vvu vru,va nvi all work shall 6e done in accordance with all ap 'cable State Building Otticial Council Bldg. 01 Road Unit 290.00 Tr. PI. 156.00 Var. Date I Gopies rotal 52.019.50 on the express condition that Statutes and City of Eagan Ordinances. 4 FOR SALE TOWNHOUSES CITY OF EAGAN oJ6 L 1-4, 8 2 3830 Pilot Kna6 Road, P.O,.;Box 21-199, Eagan, MN 55121 0 12cC BUILDING PERMIT PHONE: 454-8100 Receipt p c'7Y3 7abausedtor 1 OF 4 PLEX Est.value $48,000 Date SEPTEMBER 22 19 86 SiteAddress 4644 1/2 PENKWE WAY Erect C? OccuPancY R3 Lot 3 Block 2 Sec/sub. JOHNNY CAKE ParcelNO. RIDGE 4TH g nlame GOOD VALUE HOMES - : ,qa,,,?,_ 1460 93RD LN N ° I City BLAINEphone 780-5510 io Name_ 0, a Addres5 a Phone a Name Address i w City Phone I here6y acknowledge that I have read th is application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and Ci Ordin es. Slgnature of Permittee A Building Permit is issued to: GOOD VALUE HOMES all work shall be done in accordance with all applica6le State,QhMinneso Remodel ? 2oning Pn Hepair ? Type of Const. Vn. Addition ? No. Stories Move ? Length 44 Demolish ? Depth 24 Int. Impr. ? Sq. FL Install ? Assessment _ Water & Sew. Police Fire Eng. Planner_ Council Bldg. off. 9/22/86 Var. Date Permit a ° ' `' • "" Su rcharg? ?D 0 Plan Review 137.00 SnC 575.00 Water Con n. 500.00 Water Meter 63.50 Road Unit 290.00 Tr. PI. 156 . 00 Copies I Total $2,019.50 - on the express condition that of Eagan Ordinances. Building FOR SALE TOWNHOUSES CITY OF EAGAN - 12655 I. •1-4, • B 2 3830 PiIW Knob Rs>ad,.P.Q. Box 21-199, Eagan, MN 55121Np PHONE: 454-8100 7 BUILDING PERMIT Receipt ?i ? 7obeusedfor 1 OF 4 PLEX Estvalue $48,000 oate SEPTEMBER 22 19 86 SiteAddress 4644 PENKWE WAY Erect IN Occupancy R3 Lot 4 Block 2 Sec/Sub. JOHNNY CAKE Remodel ? Zoning pn ParcelNo R1DGE 4TH Repair ? TypeofConst. rf . Addition ? No. Stories W Name G()Or! ;;i riUi+1rS Move ? Length 44 1460 ?ir N 93R? . Demolish ? De th_4 o Address BLA INE 780-5510 Int.lmpr. ? Sq Ft City phone Install O o Name SAME i $ Address ¢ `- Ciry Phone ?Q w W Name ? Addre55 a w City PhOne I hereby acknowledge that I have read this application and state that the information is corred and aqree comply with all applicable State of Minnesota Statutes and City Ordi es. Signature of Permitte A euilding Permit is issued to: GOOD VALUE HOMES all work shall be done in accordance with all ap cable 5tate o`Mi\ n eo Building Official 'C 1 e Feea Assessment Permit $ 274.00 Water&Sew.' Surcharge 24.00 Police Plan Review 137. 00 Fire SAC 575.00 Eng. Water Conn-5-0-0,00 Planner Water Meter ---fi3-,5 0 Council Road Unit 290, 00 eidy. orr. 9/22/86 7r. PI. 156.00 APC Parks Var. Date Copies 019. 50 7otal , on the express condition thet ?tatutes and City of Eagan Ordinances. 3830 Pilot Knob Road Eagan MN 55722 Phone:(651)675-5675 Fax: (651) 675-5694 ???? --------, I Fo? Pe,rmOfificesU?eit #: ? ' 8qg33 ' ? . I ? ? r I I Permit Fee: O? I I t Date Received: ? I ? I C? ? I Staff: I I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: / jI/ 7J G' F) Site Address: T4manr. Suite #: , RESIDENT/OWNER Name:uM?tV l 6 'WAWffl 7?.Vl,4U+ Phone! Address/CitYlZip: LIUl1 3u(11ml,k v r LContraclor O i i wne Appl cant s: _ TYPE OF WORK Description ofwork: Construction Cost: Sl' 1 Multi-Family Buiiding: (Yes _/ No CONTRACTOR Namec_v,1? ??1 Y License#: LU?I`I?? 1 Address: ??crucz Zip: 51?01H R Y'N lnMm State: M U _ City: - Phone: l DS? ""7 ??' U' I t? ` Contact Person: iwl COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet C8t¢gOry Submitted Submitted (4 submission type) • Energy Envelope Calculations Su6mitted In the last 12 months, has the Ciry of Eagan issued a pertnit for a similar plan based on a master plan? _Yes _No If yes, date and address of master pian: Licensed Plumber: Phone: Mechanical Conirector: Phone: Sewer & Water Contrector: Phone: " NOTE: Plans and supportingidocuments fhat you submrt?ar"ortsrdered to b'e pubhc information;: Portions of reasons that woulii peiinit the 'Clty to. '' f oYfde°a ? c e . pec i ?c pr if,you d as'non pu61( the information "may be class?fi secrets .?, ?aKe-tretle , ? 13 I hereby acknowledge ihat this information is complete antl accurate; [hat the work will be In confortnance w¢h the orainances ana coor> ?? the _'tr 0Eagan; that I understand thls is not a permit, 6ut only an application for a permit, and work is not to start withou[ a permit; that the work wili be in accordance with the approved plan in the case of work which requires a revlew and approval of plans. X 14\Ixif l N?L?1t1r1 x ?? ?,?M/?'?' -- Applian?s Printed Name Applican '6 Signa ure page 1 of 3 2005 RESIDENTIAL MECHAIVICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for. single family dwellings & townhomes/condos when permits are required for each unit Date /L Site Address Unit il Property Owner Telephone #((da) 35;?'" 70 &a Contractor ?,v? ?/?6=ro_Il0 Street Address City (1 y -?• State h'1?? Zip Telephone# Bond #: Expires: The Applicant is _ Owner ? Contractor _ Oth er Add-on or alteration to existing dwelling unit $ 30.00 furnace _Additional yLReplacement ' air exchanger ?Z airconditioner _New ? Replacement other State Surcharge $ 50 $ 30 .sO Total I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. . ,? ::? ?c_ ?r,hin Applicant's Printe ame 2005 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: commercial/industrial buildings , multi-family buildings when separate permits aze not required for each dwelling unit Date Site Street Address Unit # Tenant Name (if applicable) Previaus Tenant Name Property Owner Telephone # ( ) Contractor Street Address City State Zip Telephone # ( ) Bond #: Expires: The Applicant is _ Owner _ Contracror _ Other Work Type New Construction _ Underground Tank _ Install _Remove "see below (nterior Improvement _ Install Piping _ Processed _Gas Nature of Work: *'When insfalling/removing underground tank, call for inspecfion by Fire Marsha/ and P/umbing lnspector Permit Fees: $70.50 Underground tank installation/removal $50.50 Minimum (includes State Surcharge) or Contract Value $ x 1% _ $ Permit Fee • [f ep rmi[ fee is $1,000 or less, add $.50 ? $ State Surchazge If ermit fee is over $1,000, add $.50 for every $1,000 ep rmit fee $ Total Fee I hereby apply for a Commercial Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the Ciry of Eagan and with the Mechanical Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name Applicant's Signature Approved By: ,Inspector 2005 RESIDENTIAL MECHAIVICAL PERMIT APPLICATION ? City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings Rc townhomes/condos when peanits are n;quired for each unit Date V / (P / 1)< Si[e Address 1`e 11 K l A Unit # Property Owner Q0. Avz (> " tn Qk c- t J Telephone # ( G S( ) ?t1 lQ • ? 7 j ? Contractor ?-i C y ??l C44A S -rV, StreetAddress S (! )• tt'C U? City State Y kUJ Zip -o? Telephone #( Q Q?-- ) y??• J Z 3 - Bond #: Expires: The AppGcant is _ Owner ,/ t,ontraaor _ Other Add-on or alteration to existing dwelling unit ? fumace _Additional ?! Replacement $ 30.00 air exchanger airconditioner _New _Replacement other State Surcharge $ 50 Total $ I hereby apply for a Residential Mechanical Pernut and acknowledge that the informauon is complete and accurate; tUat the work will be in conformance with the ordinances and codes of the City of Eagan and with Ihe Mcchanical Codes; that I understand this is not a permit, but only an application for a pemu[, and work is not [o s[art without a pe it; that the work will be i ccordance with the apprZan6s lan in the case of work which requires a review and approval of pl ? 3 App Pried Name Applicant's Si a re jl 1'''i I c(lj j; Ul II I JUN 0 9 2nnS 2005 COMMERCIAL MECHANICAL PERNIIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: commerciaUuuiustrial btildings multi-family buildings when separate pecmits are not required for wch dwelling imit Date Site Street Address Unit # Tenant Name ('if appticable) Previous Tenant Name Property Owner Telephone # ( ) Contractor StreM Address City State Zip Telephone # ( ) Bond #: Expires: The AppGcant is _ Owner _ Contractot _ Other Work Type _ New Construction _ Underground Tank _ Install _Remove '*see below _ Interiorlmprovement _ InstallPiping _ Processed _Gas Nature of Work: **When installing/removing undergiound tank, call Ior inspection by Fire Marshal and Plumbing lnspector PermitFees: s70.50 Un3.rgrcuaJtanki.-.stallaiio;A„,,o ;oi $50.50 Mir8tinum (includes State Surcharge) or Contrect Value $ x 1% _ $ Permit Fee • If oemtit fee is $1,000 or less, add $.50 => $ State Surctiarge If cerntit fee is over $1,000, add $.50 for every $1,000 oernut fee $ Total Fee I hereby apply for a Commercial Mechanical Pennit and acknowledge tLat the infornialion is wmplete and accurate; tlia[ the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand Utis is no[ a pernut, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name Applicant's Signatwe Approved By: Inspector 67 ay? 2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please comple[e for: single family dwellings & townhomes/condos when permits are required for each unit ? S° ak4e-r? Date ?n Y ? );?& Kk Wt / SiteAddress Unit# Property Owner ? etg- %A C , 5el? ? 1 7L Telephone #(9S a) 7TJ 7 - <!CJ Contractor py1 6 {- LG x+t P -? Street Address pevJ Vj?C p,7 J"'O O t? ?T^ City (J"{`? D l^ G- ?e /? state zip 5a3 72? Telephone #( 9.5?, 75?7 ?IID Bondq: CO /'SDo? / ? g Expires: The Applicant is _ Owner ? Contractor _ Other Add-on or alteration to existing dwelling unit $ 30.00 furnace _Additional _Replacement air exchanger ? airconditioner _New _Replacement bther State Surcharge $ .50 T [ l $ 36 1 o a I hereby apply for a Residenrial Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with tLe ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a permit, but only an application for a pemvt, and work is not to start without a pernrit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plany.11) A IJeo..,y H r e ;?? (.?! ApplicanYs Printed Name A plicanYs Signahue 2004 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Plcase wmplete for. commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit Date Site Street Address Unit # Tenant Name (it applicable) Previaus Tenant Name Property Owner Telephone # ( ) Contractor Street Address City State Zip Telephone # ( ) Bond Expires: The Applicant is _ Owner _ Contractor _ Other Work Type New Construction _ Underground Tank _ Install _Remove *`see below _ Interior Improvement _ Install Piping _ Processed _Gas Nature of Work: **When installing/removing underground tank, call for inspection by Fire Marshal and Plumbing /nspector PerRti[ Fe¢s: $70.50 Underground tank installation/removal $50.50 Minimum (includes State Surcharge) or ContractValue $ x 1% _ $ PermitFee • If pernut fee is $1,000 or less, add $.50 => $ State Surcharge If pernvt fee is over $1,000, add $.50 for every $1,000 nernut fee $ Total Fee I hereby apply for a Commercial Mechanical Permit and aclatowledge tha[ [tte information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and vnth the Mechanical Codes; that I understand tlus is not a permit, but only an application for a pemut, and work is not to start without a pernut; ffiat the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name Applicant's Signature Approved By: , Inspector Date: COMMERCIAL 2002 BUILDING PERMIT APPLICATION CITY OF EAGAN 651-681-4675 /13 -7=s Foundation Onl New Construction Interior Im rovement • Shvctural Plans (2) sets • Architectural Plans (2) sets • Architectural Plans (2) sets • CivilPlans (2) • SlruduralPlans (2) • CodeAnalysls (1)" . Certifirate of Survey (1) • Civil Plans (2) • Project Specs (1) • Code Analysis (1) " • Landscaping Plans (2) • Key Plan (1) . Project Specs (1) • Code Analysis (1) " • Master Exit Plan (t) • Spec. Insp. & Testing Schedule " • Certifcate of Survey (1) • Energy Calculalions (i) not always" • Soils Report (1) . Spec. Insp. & Testing Schedule (1) " • Elec. Power & Lighting Form (t) not always" • Meter size must be established • Meter size must be established • Meter size must be established - if a pplicable 1 • • ProjectSpecs EnergyCalculations (1) (1) " ? ? 1 • ElectricPower&LightingFOrm (1)" D 1 • MasterExitPlan (1) " yMAY 1 D 0 2002 1 • Fire ProtectionPlan (1) 1 1 • SoilsReport (1) 1 • MC/ES SAC determination letter . MGES SAC determination letter • MC/ES SAC determ a ion letter ? call 651fi02-1000 call 651-602-1000 rall 651-602-1000 " Contact Building Inspections for sample -°-'-°-'- Food 8 beverage or lodging facilities - submit plan to MN Department of Health. Call 651-215-0700 for details. DATE: 61?h WORKTYPE: _ NEW _ REMODEL CONSTRUCTION COST: -^ • SITE ADDRESS: TENANT NAML': FORMER TENANT NAME, IF APPLICABLE: DESCRIPTION OF WORK SUITE #: L.y,Ba, Jc- C 4? /0" 39S'03 PROPERTY OWNER CONTRACTOR ARCHITECT/ ENGINEER I,ast Street Addres r City: State: Zip: Kb Company.?? ?,! u ? ? l ??q Phone #: Street Address: City: a- Company: _ Name: Srteet Address: City: Licensed plumber installing new sewer/water service: Phone #: Zip: 1 State: r Vf/v Phone #: Registration #: State: . Zip: I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and Cily of Eagan Ordinances. 'j ?(?t.,,,,.1„J!. Signature of Applicant: - _ Updated 1/02 OFFICE USE ONLY SUBTYPE ? 01 Foundation ? 26 Public Facility ? 30 Accessory Bldg. ? 14 Aparhnents ? 27 Commercial/Industri al ? 32 Ext Alt - Apts. ? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt - Comm. ? 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt - PF ? 37 Nail Salon WORK TYPE ? 31 New ? 35 Tenant Impr ? 42 Demolish (Foundation) ? 46 Windows/Doors ? 32 Addition ? 36 Move Bldg ? 43 Reroof ? 47 Repair ? 33 Alterations ? 37 Demolish (Bldg) ? 44 Siding ? 48 Authorization 0 34 Replacement ? 38 Demolish (Int) ? 45 Fire Repair GENERAL INFORMATION Census Code SAC Code No. of Units No. of Bldgs. Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Width Basement sq. ft. •Rrst Floorsq •ft ? Sq.A.. . . . ? ^ MIJGtLLA1VtUUJ INSYtG I IUN5 ? Gas Service Test ? Heating APPROVALS Plahning ? ' ' ' .'.,.•.;$uilding+i Permit Fee . . . ?. ., . Surcharge Plan Review MC/ES 5A? •r' : . ? .. . City SAC Water Supply &.Storage• . •: S/W Permit ' - . S/W Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality Other Copies sq. ft. sq. ft. sq. ft. sq. ft. MCBS System ' l . . ? • ty W,atei? , • • i . ? Fird Spriniclered???? Jr• •. .. •? r. .. ` r.s ?. , ? :? r ' t "1'r r J . . . . ? . ? Insulation Plumbing ? Stucco/Stone '= Engineeningr ?' f Variance, . s I_' . . ??. • ? i t. VALUATION _., . , . ? % sa,c sac units • °• Meter Size ,.{ . , ,•?,i ,..:. . , .. ?, . •F Total . CERWICA TE OF SUFI YEY for: GOOD VALUE HOMES C.A. WINDEN & ASSOCIATES, INC. Land Planning, Surveys 6 Site Design 1381 Eustis St., St. Paul. MN 55108 'el. 845-3648 ?!L \ / i? Lots 1 thraugh 4, inclusive, Block 2, SOHNNY CAKE RIDGE FOURTH ADDITION, Dakota County, Minnesota. tEC£nm %X%.X Oenotea ExSatinp Elevation ((%%.%) Denotes Prpposetl ElevatSOn o Denotes Iron Nonument D Denotea Mootlen Stake 4 Denotes Surtace Drainape Top of Fountlation - Garage Flnar 445.3 Basement Floor - Prapased FAOUSe f7BVations s Scale 3' - B.M. _- oatun I HEREBY CERTIFY THAT THIS SUR4EY, PLAN, OR REPORT WAS PREPAFEO BY ME OFi UNDER MV DIRECT SUPEFVISION ANO THAT I AM A DULY REGISTERED LpNO SURVEYOR UNOER THE LAWS OF THE STATE OF MINNESDTA. Deted thi9 9ih day O1 se ebei .!8 06 C.R. WINDEN & ASSOCIATES, INC. Book= Page^ uy Minnesota Fegiatratlon No. 77Z G (943) / / 1986 BIIII.DING PER?IIT APPLIC6TIOA - CITY OE EAGAN NOTE: ALL CONTRACfORS MQST BE LICENSED iiITH THE CITY OF EAGAN SINGLE FAFIILY DflELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SIIRVEY, 7 SET OF ENERGY CALCULATIONS MIJI,TZPLE DTdELLIRGS - RESIDENTIAL RENTAL DNiTS FOR SALE ONITS INCLUDE 2 SETS OF PLANS, CERTIFIC9TE OF SDRVEY - CHEC[ iTiTH BLDG. DEPT., 1 SET OF fiNERGY CALCULATIONS COMlERCI9L INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 7 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: Valuation: ?-r-- Date: 9- 9 - g?v Site Address OFFICE USE ONLY Lot ? Block ? Ereet ? Occupancy 9-3 Remodel Zoning Parcel/Sub - J `/z? Repair _ Type of Const ? Addition 0 of Stories Owner G'po????im ??m-ro Move Length ? i 0 ?3? y Demolish Depth F ? Address /yG , y / / Int.Impr. _ Sq t Install / City/Zip Code Phone APPROVAI.S FEES Contractor Assessments Permit 27Y Water/Sewer Surcharge T{1 Address Police Plan Review Fire SAC ? City/Zip Code Engr Water Conn 7SOD Planner Water Meter (?;'3• 1?10 Phone Council Aoad Unit -?gb - Bldg Off Treatment P1 5je Arch./Engr. APC Parks Variance Copies Address TOTAL City/Zip Code Phone # NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MQST DESIGNATE AHICH ADDRESS IS DESIRED. NO CHANGES iIILL BE ALLOWED ONCE BDILDING PERMIT IS ISSQED. 1C? 1986 BOILDING PERMIT 6PPLIC6TION - CITY OF EAGAN AOTE: ALL CONTRACTORS MUST BB LICENSED WITH THE CITY OF EAGAN SIAGLE F94IILY DiIELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS MOLTIPLE DflELLIlQGS - RESIDENTIAL RENTAL i1NITS EOR SALE QNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SQRPEY - CHECg SiITH BLDG. DEPT.* 1 SET OF SNERGY CALCULATIONS COPAlERCTAI" INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: Valuation: Date: Site Address .1 OFFICE DSE ONLY j Lot 2j Bloek Erect _ Occupancy . Aemodel Zoning Parcel/Sub Repair _ Type of Const Addition ll of Stories Owner Move _ Length Demolish Depth . Address D Int.Impr. _ Sq Ft Install City/Zip Code Phone APPROVALS FEFS Contractor Assessments Permit Water/Sewer Surcharge Address Police Plan Review Fire SAC City/Zip Code Engr Water Conn Planner Water Meter Phone Couneil Road Unit Bldg Off Treatment P1 Arch./Engr. APC Parks Variance Copies Address TOTAL City/Zip Code Phone 41 NOTE: ADDHESSES FOR CORNER LOTS - CONTRAC20R/HOMEOWNER MQST DESIGNATE SiHICH ADDRESS IS DESIRED. NO CHANGFS TTILL BE ALLOiIED ONCE BIIILDING PEAMIT ZS ISSIIED. ? 1986 BDILDING PERKIT APPLIC9TION - CITY OF EAGAN HOTE: ALL CONTRACfO9S MtTST BE LICENSID HITH THE CITY OF EAG9N SIAGLE FAPIILY DfiELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEYt 1 SET OF ENERGY CALCULATIONS MOLTIPLE DiiELLINGS - RESIDENTIAL RENT9L DHITS FOR SALS QNITS INCLUDE 2 SETS OF PLANS, CERTIFIC9TE OF SIIRVEY - CHECB iiITH BLDG. DfiPT., 1 SET OF ENERGY CALCULATIONS INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SE2 OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: Valuation: Date: ?---Site Address OFFICE IISE ONLY Lot Block Ereet _ Oecupancy , Semodel Zoning j Pareel/Sub Repair _ Type of Const Addition 4 of Stories Owner Move _ Length n Demolish Depth Address 1G?GD y,3,r?Gilj/? Int.Impr. _ Sq Ft I Install _ City/Zip Code Phone APPROVALS FEES Contractor Address City/Zip Code Phone Arch./Engr. _ Address City/Zip Code Phone li Assessments Permit Water/Sewer Surcharge Police Plan Review Fire SAC Engr Water Conn Planner Water Meter Council Road Unit Bldg Off Treatment P1 APC Parks Variance Copies TOT6L NOTE: ADDRESSES FOR CORNER LOTS - CONTRACYOR/HOMEOiiNER MQST DESIGNATE RHICH ADDRESS IS DESIRfiD. NO CHANGFS S1ILL SE ALLOiIED ONCE BIIILDING PERMIT IS ISSIIED. 7986 BIIII.DING PERIiIT APPLICATIOH - CITY OF EAGAN NOTE: 9LL CONTRACTOHS M[TST BE LICENSED WITH THE CITY OF EAGAN SINGLE FAMIILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OE SORVEY, 1 SET OF ENERGY CALCULATIONS MOLTIPLfi DWELLI&GS - RESIDENTI9L RENT9L DNITS FOR-SALE QNITS INCLUDE 2 SETS OF PLANS, CE&TIFICATE OF SIIRVEY - CHECH WITH BLDG. DEPT., 1 SET OF SNERGY CALCULATIONS COMIliERCI9L INCLODE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: Valuation: -?-, Site Address Lot 2_ Block R Pareel/Sub Owner G, Address City/Zip Code Phone 75?O Contractor _ Address City/Zip Code Phone Arch./Engr. _ Address City/Zip Code Phone # APPROVAIS Date: 9- 2- 21-6; Occupaney Zoning Type of Const lk of Stories Length Depth Sq Ft FEES Assessments Permit Water/Sewer Surcharge Police Plan Review Fire SAC Engr Water Conn Planner Water Meter Council Road Unit Bldg Off Treatment P1 APC Parks Varianee Copies ?lifit-1-+ Erect Remodel Repair _ Add3tion _ Move _ Demolish _ Int.Impr. _ Install _ NOTE: ADDRESSES FOR CORNER LOTS - CONTRAC?OR/HOHEOWNER lfQST DESZGNATE i1HICH ADDRESS IS DESIRED. NO CHANGFS WILL BE 9LLOiiED ONCE BDILDING PERMIT ZS ISSQED. CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: :I16 ^.?1 1/2 NF..idi" WE '?l`I;?i'?Y [An? 410t:?= PERMIT SUBTYPE: FzF,seH r- ur r zut.; fi INSPECTION RECORD PERMIT TYPE: Permit Number. •'..';Date Issued: ? • ' APPLICANT: LU1 : :? BI.OGIt_ ?.. W(1`l IICYLR`, :t I L;!ACfY TYPE OF WORK: INSPECTION ri?^,;n[N c D, . F I HA i. .• ? ? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT Cewt, PERMIT TYPE: Permit Number: Date Issued: 6 > >; , SITE ADDRESS: Pe7.'r,le r. 10'...3930 3-.tr)30 -- ri-' ?1 ;;; r? q :l i 2 n E i''! Y l,i E I.!!'. Y LUTc ' 81,[7C:K: ' 1t7;;idN Y i:A K'c :;:10 (3`? ^.l,i DESCRIPTION: f3 Li?1 1, {j1Pfil.t'L 7y b' 41 U.S 1t3i nq Wl^rk Typ;- tIBC E3ccupanc;t } , : bASLri cP'I..I" F1N] 1.3t? i'! i-4J rt - :, 1 REMARKS: FEE SUMMARY: t;,•,+;c! reu ^: 3 5 .0 0 S u r' c h z; r? g u _____._..._,.... .1;° 5 Tcatail Fes- $35e50 1 CONTRACTOR: OWNER: ?- np, ]? ?- r'ir_y?ias R1:riAi'l, 464 ,1 z,r? ?eIN .eVe V r,v c a e rM N ? 1 Mc rsby ,achn4w? ed gv t.ha `. S [ta ? +•, i ? e,,- i s.k4; w .1 y-1 }, 1 ? ._, r . .-, ,. 1+ , - . Lf".'fUY:A.JtLof7 15 CQ1"J"cCt s5Yld e.itj^C@ !=R {.tJw p l?/ 6!'.i.?l c?l e'??(.Il.. •?, '.._. _,r. 4'-.?Cit::rs a nd F.,q.in o rc!'1i?snc?,,.,. . J AP A ERM_FFEE 9tGNATJ?y p4 n ???? U m? SSUE? GNA RE ? ? y Y REACTI4ATE _ PERMIT # - 84X CITY OF EAGAN '?Iff ro 1993 BUILDING RERMIT APPLICATION 681-4675 MAR 0 2 RECO SIN6LE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2} address is changed or 3) lot change is requested once permit is issued. Date Yal uati on of work Site Address: `F14 (r2 'p?-:n(Ktv g Gt/ STREET SU1TE M Tenant Name: (commercial only) IAT BLOCK SUBD. .+?n? e? ?' C(,?? Q??r 1? }t Il a 't?ti P.I.D. * Descri tion of work: S e r"Y? C?b`I- v-, i S The applicant is: ? Owner ? Contractor ? Other ioefior;ne> Name m CF'yE izS R- rcaIPhone ?'7 <4- 3 Property LAST FIRST -,"fs . Owner w? ?u?ry.$°J/• ,3300 Xo?/? 5 4AA ?c Address STREET SiE # City State Zip Company Phone Contractor Address License # Exp. City State Zip Company"-' Phone Architect/ Engineer Name Registration M Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this aPplication and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. ? Signature of Applicant: ? OFFICE USE ONLY BUILDING PERM(T TYPE ?.i..- a '? t'• AL '? . ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging lb BasmgW i n i s h 0 02 Sf Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool ? 03 5F Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind. ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc. ? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck 13 20 Public facility ? 21 Miscellaneous WORK TYPE 1? 31 New ? 33 Alteratians ? 35 Tenant finis h O 37 Demolish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. t. MWCC System (Allowable) lst F1. sq. f?t . City Water UBC Occupancy ? 2nd F1. sq. ft . PRY Required Zoning Sq. Ft. total Booster Pump 8 of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code ? Depth On-site sewage SAC Code ? o APPROVALS c.,.... Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS: r 11 5ite ? Footing r+ . Framing ? Insulation ? Wa116oard Ftin,a] rDraintile ? Fireplace ' p. .:. ... . tM , . Permit Fee ,.v.iwr;m: Surcharge Plan Review ? License MWCC SAC City SAC ,.,'.:.. Water Conn. -- ,;?•vu.° . Water Meter ` Acct. Deposit S/W Permit -?- S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % SAC llnits - ? L BL C{TY USE ONLY r? f7, I SUBD. D r'hh G? ? I . / T ? RECEIPT#:0 RECEIPTDATE: PERMIT# 2000 PLtJN1BING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGax, MA7 55122 651-681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES ' EACH !{ TOTAI Alterations to existing dwelling - minimum tee Describe: $ 30:00 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 = $ Lavatory 3.00 x = $ Septic System newtrefurbisned • requires MPC iio. 75.00 x = $ Septic S stem abandonment 30.00 x = $ RPZ new iestallationJrepaidrebuild 30.00 X = $ Rou h openin 1.50 x = $ Shower 3.00 x = $ Underground sprinkler rfdwelling is under consWdion 3.00 x - $ Under round sprinkler if existing dwelling 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x = $ Water softener if dwelling under eonstrueGon 5.00 x = $ Water softener If existing dwelling 30.00 x = $ Water turnaround 30.00 x - - $ State Surcharge .50 -> -> -> $ 50 TOt81 -> _> -> --a $ ?O,SU Remindec Call for inspections of alterations, i.e. water heaters, water softeners, etc. --------....------------------------------------•----------------------...-• • •-----------------------------------.....:.......---------- 1 hereby adcnowledga that I fiave read this application, state that Me infnimatlon is correct, antl agree to compry with all appliwble City of Eagan ordinarrces. It is the appliwM's responsibiliry to notify the property owner that the City of Eagan assumes no IiaDility for eny damages causad by the Ciry during its nortnalnperational an •ar+?-???this permit within City proparty/nght-of-way/easement. SITE ADDRESS: OWNER NAME: INSTALLER NAME: STREET ADDRE55: ciTr: MEYERS,JAN 4644 1/2 PENKWE WAV EAGAN, MN 55122 (651) 681-0743 , .::: 10'3-903-0 30-07- TELEPHONE #: (ARE/i CODE) TELEPHONE #: (AREA CODE) STAT ZIP: SIGN U FPERMITTEE PLEASE COMPLETE FOR SINGLE FAMILY I7WELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIItED FOR EACH UNIT. NO. FIXTLTRES F.ACH TOTAL ? SHOWER 3•00 ?`- - WATER CLOSET 3.00 A - BATH TUB 3.00 L LAVATORY 3.00 i% - _ KTTCHEN SINK 3•00 LAUNDRY TRAY 3.00 HOT TUB/SPA 3•00 WATER HEATER 3.00 FLOOR DRAIN 3•00 GAS PIPING OiTI'LET • minimnm - 1 3.00 ROUGH OPENINGS 1.50 WATER 30FTENER 5.00 PRIVATE DISP. • nawccy. iic. 15.00 U.G. SPRINKLER - eome uneer const. 3•00 ALTERATIONS • to eds[ing 15.00 ?''r , oa _ WATER TURN AROUND 15.00 STATE SURCHARGE .50 TOTAL: SD STTE ADDRESS: -/'C? ??4 X?- - 1'° ? OWNER INST. ADDRESS: •-<e) CIT'Y: STATE: ZIP CODE.•-??'/a3 PHONE #: ( ) c? ? G - ?n0 ? p Re , 3 -lD - !CJ( . ,e . " e" SIGNA RE OF PERMITTEE 1993 PLUMBING PERNIIT (RE5IDEN17AL) CITY OF EAGAN 3830 PILO'I' KNOB RD EAGAN AZN 55122 (612) 681-4675 PLEASE COMPLETE FOR ALL COMMERCIAIJINDUSTRIAL BUILDINGS. ALSO FOR MULTI- FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIItED FOR EACH DWELLING UNTI'. _ NEW CONSTRUCfION ADD ON REPAI,Z WORK DESCRIPITON: CONTRACT PRICE: FEE: 1% OF CONTRACT FEE. STATE SURCHARGE $.50 FOR EACH $1,000 OF PM11[Tf FEE. MINIMUM FEE: $ 25.00 CONTI2ACT PRICE X 1% STATESURCHARGE TOTAL SIT'E ADDRESS: $ $ TENAPI'i' :Y Ali'iE: sm # OWNER NAME: INSTALLER: ADDRESS: CITY: PHONE #: STATE: ZIP CODE: FOR: CITY OF EAGAN APPLICANT 1993 PLUMBING PERMIT (COMIVIERCIAL) C1TY OF EAGAN 3830 PII.OT KNOB RD EAGAN MN 55122 (612) 6814675 :ity of eagan MUNICIPAL CENiER 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122-1897 PHONE: (612) 687-4600 FAX: (612) 681-4612 MAINTENANCE FACILIN 3507 COACHMAN POINT EAGAN, MINNESOTA 55122 PHONE: (672) 681-4300 FAX: (612) 687•4360 THOMASEGAN Mayoi - PATRICIA AWADA PAMELA McCREA TIM PAWLENN THEODORE WACHTER Counc0. Members THOMAS HEDGES Ciry Adminlnsirator EUGENE VAN OVERBEKE City Clerk May 21, 1992 f?. To Whom It May Concern: ju `- ? The property at 4646 1/2 Penkwe Way \(10-39803-020-02)-has a delinquent utility bill certified to 1992 payabl`e taxes in the amount of $98.43. If you have any questions, please ca11 me at 681-4620. Sincerely, ?- Deanna Kivi Special Assessment Clerk THE LONE OAK TREE ... THE SYMBOL OF STREN6TH AND GROWTH IN OUR COMMUNITY Equal Opporfunfty/Affirmative Action Employer - CITY 4F EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION *ATw,: PAYMENC' OF FEE AT TIME pg arriscATzorr noES rUr CONSTITUTE ,APPROVAL OF PERNiIT. xNsnncrioN oF sF.WER Arro/ox cVaM TP1SR'ATSATTOT7$ WIIS, NOT $E $CHED-- LII.ID UNPII.- PEEtMIT HAS HEIN APPKOVFD. P ease Print 1) PROPERTY ADDRESS: LEGAL DESCRIPTION: IF ElQSTING STRCt.`1S)RE, DATE OF ORIGINAL BL'ILDING PERMIT ISSL'ANCE: (Nbn Year PRESENt 7ANING/pROppSID LSE: El COi+SV1ECCtCIAL/RE,TAII,/OFFICE ? R-1 SINGLE FAMILY Q INIDCSTRIAL Q R-2 DUPLEX (7t•ao IInits) n INSTI'IL'T'IONAL/GOVERUMN'P E2,,?R-3 1aWNHO[JSE (Three + Units) ( Units) . M R-4 APARTNENT/COPIDOMINI[,R•I ( Units) 2) ? . : NAME:_ lVt ctt,e4 so,.r PA-E4- • ADDRESS:_P' 6 Q G)C / 2 Sr CZTY, STATE, ZIP:_ S? L1 ?( cl i a ? IV^ S?U ]3 pxorE: 7/ • 3) • ? c?• ?ME. For City Use . P1umUers License: ADDRESS: Active i CITY, STATE, ZIP. Not recorded PHONE: MASTER LIC'EIVSE# gta Inytlal q) ??r • • ia• /' ? DViME S l ?-O CJ ? /? ? u -C 14-O {u, ?e% _ 2wDxFSS:14< (ao 4 T Y d L14.,r CITY, STATE. ZIP:? PHONE: "'7 fS0 5) ? v? i ?: • a• : a - ?- a. -- CONDIEX.TION 10 CITSC SEWFT2 f'CJ? CONDII7CrI0N TO CITY WATER C( O'i'HER ' .. T•? 7a? 6) '? • •?- ? PLF.ASE HOID APPROVED PII2I-'IIT FY)R PICK-L?P BY 0NE OF ABCIVE PLEASE MAIL APPROVID PERMIT '1D 1. 26 3. 4. AHOVE n _ ', /? (Circle one) 7) r. r. u• • ?i ? _ ?f/.? _ ? ? ri :STiuTS q - / s?._ ? ! . fOR CITY USE ONLY PERMIT # ISSL'ED L/?C? ? Pd w/Bldg. Permit FEES: $ $ SEWER PERMIT (INCLUDE SORCHARGE) $ $ 41)• S? WATER PERMIT (INCLCDE S[1RCHARGE) .. $ $ WATER METER/COPPERHORN/OCTSIDE READER $ $ WATER TAP (INCLLDE CORPORATION STOP) $ $ SEWER TAP $ $ !/? ACCOLNT DEPOSIT - SEWER $ $ ?S• ?'?d ACCOL'NT DEPOSIT - WATER $ JOC? O ? $ WAC $ $ sAc $ $ TRL'NK WATER ASSESSMENT $ $ TRLNK SEWER ASSESSMENT $ S ' LATERAL BENEFIT/TRUNK SEWER $ S LATERAL BENEFIT/TRL'NK WATER $ $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $_ IZ I 't ? S ? ? G? TOTAL RECEIPT RECEIPT DOES LTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? Q YES IF YES, THEN A"PERMIT FOR WORK SVITHIN PUBLIC Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO OIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CbNDITIONS: APPROVED BY: TITLE: ??? DATE: 271Z 9, CITY OF EAGAN APPUCATION FOR PERMIT SEWER AND/OR WATER CONNECTION .. _. -' i}i?RR][]ifF]fifFFFFIfi[ ? x x as:a? ri zara a[ n iiafFF /? P ease Print) ?1) PROPERTY ADDRESS: /? ?! 52 Nk w,L &i a, Y "- LEGAL DESCRIPTION: 3 Z Lot Block Subdivi IF E7Q52'ING STRCCZS7RE, DATE OF ORIGINAL BUILDING PERMIT ZSSCANCE: , . (Nbn Year PRESENP 7ANING/PROPOSED OSE: ? CO0MMCIAL/RETAIL/0FF ICE ? R-1 SINGLE FAMILY p irrorsTRIAr. ? R-2 DLPLEX (n„o Lltiirs) INSTITi'TIONAL/GOVII2NMENT ? R-3 7UWNiOL?SE (Three + Units) ( Units) . [? R-4 APAR7TwT/coPIDOMINitT1 ( Units) 2) ? -- NAME= /V ; C_k,e< < o ? P ri- W ADDxESS:?• oRo x/ a Sr .. CITY. STATE, ZIP: S C A Nc1 i a /kiv - 6, 7J PHoNE: 4133_ S/7/ 3) a .?• - NAME: i ADDRFSS: CIZ'1', S'TATE, ZIP: PHONE: MASTER LICIIVSE# Plurtibers License: Active Expired Not recorded St?Initial 4) •?« • ? i?. NANIE: - aoDxESS:_ /<file G ?l 3 y la-N -? -.nJ _ czxY, srAZE, ziP:_(3 1-4?'w-c -1hN scC?,? y?s!.3 9? PHONE: 7 Fs G - ,?" C /U' -5) lFT%)5o3NMF5iw: • ?• : o • a? - ?? ? CONNEC.TION 70 CITY SEWII2 ? CONNF7CfION Tt7 CITY WATER ? OTHER 6) PLEFU^E HOLD APPROVED PII2NIIT FbR PICK-IIP BY ONE OF ABOVE pr'FncE MAIL APPROVID PERMIT ZO 1 2, 3, 4, ABOVE (Ci cle one) 7) r r. p.. t q -,a r- 94 NOTP3: PAYMF.TTP OE kEE AT TIME pF ArrLIcATIorr DOEs rAm oorsrITUTE r,enxovau. oF rERMIT. INsrEMorr oF sEWmt r,rro/oR 'WATE[t Zrasrar.raTrONS WILL NOT BE SCCHED- tA.ID orrrII. PERMIT HAs BEEN APPROVID. _ FOR CITY USE ONLY IL PERMIT # ISSUED 724/ Pd w/Bldg. Permit FEES: $ SEWER PERMIT (INCLIIDE SORCHARGE) $ $ /D- S D WATER PERMIT (INCLUDE SORCHARGE) .. $ $ WATER METER/COPPERHORN/0[?TSIDE READER $ $ WATER TAP (INCLODE CORPORATION STOP) $ $ SEWER TAP $ $ ACCODNT DEPOSIT - SEWER $ $ ACCOUNT DEPOSIT - WATER $ C) • Cl C] $ WAC $ ._L 7 $ SAC $ $ TRLNK WATER ASSESSMENT $ $ TRUNIt SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRL'NK SEWER $ $ LATERAL BENEFIT/TRL'NK WATER $ /SG " U O $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: S ? ? 9 ? ?-? $ SI• CF-I TOTAL l7 RECEIPT RECEIPT DOES LTILITY CONNECTION REQUIRE EXCAVATION IN PUSLIC RIGHT OF WAY? Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PLBLIC Q ROADWAY" MUST BE ISSLED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CbNDITIONS: APPROVED BY: /( J,, A TITLE: DATE: J( ?z-?/,?CP .. CITY OF EAGAiV APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION NOTS: PmmFTTP OF FEE AT TIIME OF AePLicaTTON noFS Nar corsrizM APPROVAL OF PERi?SIT. INsrEMori oF sEWER r,rro/az vAMER TTL4TATS.ATTQjQ$ wjjL Wr $$ $(,HED-- [n.m orrrII. PERMIT xns BM arPxovID. .. ... =x=xxx_;?w,.,.xw_,. .... .. . . .... . . .... . P ease Print) .1) PROPERTY ADDRESS: •- ? LEGAL DESCRIPTION: I 7 "" I£ F.XQ9TING STR[;CIL'RE. DATE OF ORIGZNAL BL'ILDING PERMIT ISSLANCE: PRF:SEDTr ZONING/PROPOSID OSE: . (Nbnth/YearT ? COmmERCIAL/RETAIL/OFFZCE ? R-1 SINGLE FAPffLY . rl INIDCTSTRIAL ? R-2 DC'PLEX (7wv Units) n INSTI2L'TIONAL/GOVIIWENT cR-3 TOWNEiOuSE (Three + Units) ( Units) . ? R-4 APARTT7EN'i'/1CONppMINILfil ( Units ) 2) NAM= N I'C-k e c s ?,s AwoREss:?o , Q o X /;a 2- - CITY, STATE, 2IP: .S c &l+lcl .' a lb?, N ^S'C U'73 PxorE: !Z3 3-. S'/ 7/ 3) •? c?• fbr City Use . NAME' Plimbers License: ADDRFSS:_? Active Expired i CITY. S'fATE. ZIP: " ? Not recorded PHONE: MASTER ISCE[dSE# Staff Initral 4) C=* • • i3• rArE:(l?L v 1-L0 &,-_`-? _ r.onREss:1Y6 cr 93 yet LAl-N -e/? .? . CITY. STATE, ZIP: [ I7- P ti/ ?.3 PHONE: 78'0 •5) i r• ? a• •?• : a • o? • a?? 4/CONNECTZON T0 CITY SEWII2 ?"?]/CONI`rION TO CITY WATIIt ? OTf?t '.- . 70? 63 11? . r ? PLF.ASE HOID ApPROVED PII2MIT FY)R PICK-UP BY pNE OF ABOVE ? PLEASE MAIL APPROVID PIItMIT TO 1,`,?tJ 3. 4. ABOVE „ ti _ ? (Circle one) F4R CITY USE ONLY- 4 ;. PERMIT # ISSDED L? Z- Pd w/Bldg. Permit FEES: $ SEWER PERMIT (INCLUDE SURCHARGE ) $ WRTER PERMIT (INCLLDE SL'RCHARGE) .. $ $ WATER METER/COPPERHORN/OL'TSIDE READER $ $ WATER TAP (INCLL'DE CORPORATION STOP) $ $ SEWER TAP $ ACCOUNT DEPOSIT - SEWER $ $ fGJi O d ACCOUNT DEPOSIT - WATER $ WAC $ ??5- ] ?. U Z) $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRDNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRC'NK SEWER $ $ LATERAL BENEFIT/TRCNK WATER S_ $ WATER TREATMENT PLANT S[?RCHARGE $ $ OTHER: $ / Z ? ?-D $ S ?• !l I TOTAL 7 RECEIPT RECEIPT DOES LTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? F---j YES IF YES, THEN A"PERMIT FOR WORK WITHIN PLBLIC Q ROADWAY" MUST BE ISSOED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CbNDIT20NS: APPROVED BY: TITLE: DATE : *TOT'F': PAYMFRf OF FEE AT TIME OF AePLxcATIoN nors Nom oorsTzTM APPROVAL OF PERNUTT. nvsPFx.'lzorr oF saWM r,rro/OR WATEt TISrAT.7ATTONS WII.I. NOT BS $CHED-- ULID UNl`II, PIIiMIT HAS BEIN APPROVID. APPLICATION FOR PERMIT CITY OF EAGAN SEWER AND/OR WATER CONNECTION P ease Print) ^ 1) PROPERTY ADDRESS: W LEGAL DESCRIPTION: Z Lot Slock Subdivision or Tax Parce ID ) IE' EXISTING S1RC'CIORE, DATE OF ORIGINAL BL?ILDING PII2MiT ISSL'ANCE: - Mon YearJ PRFSENf 7ANING/PROFOSID LTSE: ? COIRMERCIAL/Rt,'TAIL/OFFICE ? R-1 SINGLE FAMILY ' ? IPIDT-'STRIAL ? R-2 DL'PLE}C (TWo 0nits) n INSTI7.SPI'IONAL/GOVEE2NMENp D'R-3 TOWDII-IOUSE (Three + Units) ( Cinits) , Q R-4 APARTMEN'P/CADIDOMIDIII)M ( Units ) 2) ? - CITY, S"rATE, ZIP: rArE: ? C < o ,/ ` -?- F+oDxESS: P- o 6 o u l 2s, --- PHONE: V.9_3 - 3) ' ?: ?• N1aME: PHONE: 4) •*K•:u Zm:m Nr,rE: - AwDxES5:15/ Co0 9 3 r d l. /?.,? .p lV r s ? CITY, STATE, ZIP: (3 L?7-llv ,e M N- S'C' ? r? ^?..3 -r'iG PHONE: 7 Sl G^ SS/ U. a Active h--i Expired ?.--i Not recarded St?a f initial •5) r r• ? «• • ?• : ? • ?? ;ti a? ? CONNECTION 7V CITSC SEWII2 ? CON6II7CfI0N ZO CITY WATER ? OTIIER '. . 6) i- ADDRFSS: CZTY, STATE, ZZP: - - - SI(TlA7S7RE:± El PLF.ASE HOLD APPROVFD PEF2NIIT FY)R PICK-L?P BY ONE OF ABOVE ? PLEASE MAIL APPROVID PERMIT ZO 1, 2, 3, 4, ABOVE (Circle one) MASTER LICIIVSE# 1 4- 1?- g- <- FOR CITY USE ONLY ° PERMIT # ISSUED Pd w/Bldg. Permit FEES: $ $ /C- S? SEWER PERMIT (INCLDDE SURCHARGE) $ $ WATER PERMIT (INCLODE SPRCHARGE) .. $ (O J` S? $ WATER METER/COPPERHORN/OL'TSIDE READER $ $ WATER TAP (INCLL'DE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUNT DEPOSIT - SEWER $ $ ACCOC'NT DEPOSIT - WATER $ .J DO -G d $ WAC $ $ SAC $ $ TRLNK WATER ASSESSMEIVT $ $ TRL'NK SEWER ASSESSMENT $ $ ' LATERAL BENEFIT/TRONK SEWER $ $ LATERAL BEN°FIT/TRUNK WATER $ $ WATER TREATMENT PLANT SDRCHARGE $ $ OTHER: $ 12- y'Y " S--2? $ S? Uz? TOTAL RECE PT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PL'BLIC RIGHT OF WAY? Q YES IF YES, THEN A"PERMIT FOR WORK 4VITHIN PDBLIC ROADWAY" MOST BE ISSUED BY THE ENGINEERING Q NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: (??j??l -uJ7'?o TITLE: DATE : Gity of Eaan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee:W ( �l Date Received: Staff: 2014 RESIDENTIAL PLUMBING PERMIT APPLICATION Date:07- 5- 1 4 Site Address: 1464-14 P E/ K 4 E L./Ay Tenant: 1 Resident/Owner Contractor Permit Type RESIDENTIAL FEES: Name: Mi /5 E, C.AP,Atooy Suite #: Phone: 6/ " 743 -- S? Address / City / Zip: 4 (00.4 1"E rU t< U E EA Is --4/\) 4 (1,N.,, Name: r AP, - AL- Pi ti r tiJ(- License #: (r, 3 / 0fr1 Address: 7 (1 jpw,cT ) Df2tv6 City: At)PLF State: Zip: 5 5 4 Phone: 5a- Fos'- O"7 Contact: OAt-i < J� 1-t^/5.3-./ Email: (\A G -T-3 8 S (-10-t-,141 L coM New X Replacement _ Repair Rebuild Modify Space _ Work in R.O.W. Description of work: (%J'YAr--4._ 1 L„At} I 't VAI'J, 1 5106 L. R(-,P(40C,G I .......... RESIDENTIAL ( k rGpJ Water Heater Water Softener Lawn Irrigation ( RPZ / _ PVB) Septic System New Abandonment Add Plumbing Fixtures ( Main / Lower Level) Water Turnaround $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $200.00 if a 5/8" meter is required) $115.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One CaII at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.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. x I J OAN S, Jo4 v5o_0 Applicant's Printed Name FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough -In Air Test Gas Test final Meter Related Items: Meter Size Radio Read Staff: