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4645 Penkwe Way PERMIT City of Eagan Permit Type: Mechanical 3830 Pilot Knob Rd Permit Number: EA080618 Eagan, MN 55122 . Date Issued: 10/22/2007 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 4645 Penkwe Way Lot: 1 Block: 02 Addition: Johnny Cake Ridge 3rd PID 10-39802-010-02 Use Description: Sub Type: e - Furnace & Air Conditioner Work Type: Replacement Description: Furnace & Air Conditioner Comments: Questions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, 952-445-2840. Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088 Surcharge-Fixed $0.50 9001.2195 Total: $50.50 Contractor: -Applicant - Owner: Lofgren Heating & Air Diane K Sather 5708 Upper 147th St W 4645 Penkwe Way Suite 102 Eagan MN 55122 Apple Valley MN 55124 952 431-5811 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. Applicant/Permitee: Signature Issued By: Signature CASH RECEIPT G,ITY OF EAGAN 3795 PILO7 KNOB ROAD EAGAN, MINNESOTA 55122 DATE ? g RGC61vED FROM AMOUNT $ ? d DOLLARS? ?oo ? CASH ? CHECK 'Zt .S, IOR I ! :2- White-Payars Copy Yellow-Postinq Copy Pink-File Copy Thank You ?? BY , I CITY Of E13GAN Remarks Addition a.QHNp?CA-K? RIDGF z,.a ennTTIgN tot 3- plk Z Parcel #10 39802 010-02 Owner'"fr?.? scmet 4645 Penkwe Wav staceFagan kIN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. C5' 1981 Paid Uricl r original arce STREE? RESTOR, GRADING SAfV SEW TRUNK 975 32 UIl Y' original arce * SEWERLATERAL ; 1981 2277.43 455.49 5 WATEFMAIN * WATERLATERAL 1981 WATER AREA iAz,Z 980 Sl U71 r original arce STORM SEW TRK S 1981 300.31 60.06 5 STORM SEW LAT 1981 CURB & GUTTER SIDEwaLK STREET LIGHT 20339 s s sa UVATER CONN. 305.00 20339 $ $ 80 BUILDING PER, sAC 525 00 20339 8/8 80 PARK CITY OF EAGAN Remarks Addition JOkINNY CAKE RIDGE 3Td ADDITION Lot- 2 Rik 2 Parcet #10 39$02 020 02 Owner ?? i ?d19 ?-+ ?.`• ???1.li??r: ;??,ts,1 ? i Street 46451z Penkwe Way Staxe Eagan MN 55122 Improvement Date Amount Annuai Years Payment Receipt Data STREET SURF. 1981 Paid und r DTl. inal arce STREET RESTOR. GRADING SAN SEW TRUNK 1975 Paid UT1CI r original arce * SEWER LA7ERAL - WATERMAIM * WATER LATERAL 1991 WATER AREA YZ, 1980 Paid llTld r original arce STORM SEW TRK S * STQRM SEW LAT 1981 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. 6UIS sac 20339 g g gp PAR K CITY OF EAGAN Remarks Addition JOUNNY rAKFr.RtDG F 3xd AItDITIOu Lot-4 Rlk 2 Percel#.1n 39807 0Q0*7 Owner `, (Ai?l"°Fi k rt.- ?f:? st«et 4647 Penkwe Way sc?te Eagan NW 55122 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF, 5'57 8 19$1 Paid UriCl r OT1 inal aZ'C@ STREET RESTOR, GRADING ' SAN SEW TRUNK 1975 Paid Ulld T original arce * SEWER LATERAI 1981 2277.43 455.49 S WATERMAtN * WATER LATERAL jQ$j WATER AREA q22- I980 Paid Wld T OTl inal arce STORM SEW TRK 3-30 1981 300.31 60.06 5 * STORM SEW LAT 1981 CURB & GUTTER SIDEWALK STREET L1GHT WATER CONN. 00 BUILDINfG PER. sAC 525.00 20339 8 8 80 PARK CITY OF EAGAN Remarks Additio, JOHNNY CAKE i2IDGE 3rd ADDITION Lot 3 Owner IJ1)Ir2: f} (P2nAt_ i?hryr Streec 4647? Penkwe #io 39802 030 02 . MN 55122 Improvement Date Amount Annual Yeara Payment Receipt Date STREET5URF, s? 1981 Paid Ulld r ori inal arce STREET RESTOR. GRADING SAN SEW TRUNK 1975 Paid L111C1 r ori 1T181 arce ,t SEWER LATERAL WATER MA I N * WATER LATERAL lqRl WATER AREA 2, 19$0 Paid UTld Y' OTl. inal arce STORM SEW TRK * STOFiM SEW LAT CURB & GUi'TER SIDEWALK STREET LIGHT WATER CONN. 30500 20339 BUILDING PER. sAC Zs oa 20339 8 8 PAR K ? ? - CITY OF EAGAN , 3795 Pilot Knob Rood Ecgon, MN 55122 N2 6 019 PHONE: 454-8100 BUILDING PERMIT Receipt #k To bs wed for Est. Value Date , 19 Site Address Erect ;Q Occuponcy Lot Block Sec/Sub. Alter ? Zoning p ,,. Parcel # Repair ? Fire Zone E l T f Con t n orge ? ype o . s W Name - ? Move ? # Stories ? Address - , . Demolish ? Front ft. Ci Phone Grode p Depth ft. a N Approvels Fees cme _ Address Nome _ Address I hereby acknowledge thnt I hove read this application ond stnte that the infortnotion is correct and agree to comply with oll applicable State of Minnesota 5totutes ond City of Eagan Ordinonces. Water & Sew. Pol ice Fire Eng. Plonner Council Bldg. Off. - APC Permit - ? • -' Surcharge n Plan check SAC •?? ? r? Woter Conn. 2' • n WoterMeter 60 • Rood Unit L"5 . 22 Totol Siynature of Permittee ? A Building Permit is issued to: on the express wndition that oll work shall be done in accordance wiih oll applic.able Stote of Minnesotn Stotutes and City of Eogon Ordinonces. saII1e Building Officiol Pennk # Oefe luwd FomMt" Plumbing Iglil f- y_ ?Q Mechanicol ? -?- ?'- 1.I???1 • ?' -.?/ (NSPECTIONS DATE INSP. Rouph-I n Finol Footings Date Insp. Date Irop. Foundotion Plumbing ;2 rame ins. -p? -? Mechaniwl Final 6 ? Sr t/ Remorks: /0' z No. ..,` Date: ? Site Addreu: Lor Block Sub/Set. INSPECTOR NOTIFICATION REQUI RED BY LAW FOR ALL INSPECTIONS ' -1 Receipt No.: Single 1 nP ? Residential Multi Res., Comm./Ind. I N°^'e N /Alt lR i ew epo r er. . ; - -_ .. ',-•: . . llddress f I li C t t ti os on o ns o c City Phone: P i F etm ee t Name S r h r ` ge u a t Address ? -, .. City Phone: Tota I This Permit is issued on the express condition that oll work shall be done in occordonce with oll appilonble Stote of Minnesoto Statutes ond City of Eagon Ordinances. cIrr oF EAc,AN 3795 Pilot Kno6 Read Eayae, Minwetota 55122 Phone: 454-8100 PERMIT J2uW. Cake Ri Buildiny Official No. cirY oF EA"N 3795 Pilot Knob Road Eogen, Minmsota 55122 PtioM: 454-e100 PERMIT Date: Sfte Address: ? •???+7?4 PeY1?lwe WE`y Lot Block Sub/Sec. fh-n,y. CEtke Name - ? 2iOmpSOri :i07'1f-" . ? Addreu ?' ' _ 11OpiCi'_16 "?'uZ'c' ? City =1P.tOnkA, ';,. Phone: 544-• i 333 Name Address Kennebec Dr. ? Cify - Phone: This Permif is issued on the express condition that oll work Shol1 be Minnesoto Stotutes end City of Eegon Ordinances. INSPECTOR NOTIFICATION REQUIRED BY LA1N FOR ALL INSPECTIONS Receipt No.: Single Residential 20'794 1 af 4 nlea New/Alter. / Repoir new Cost of Installotion Permit Fee ^ Su,ehr?,na Total done in occordance with all applicable Stote of Building Official Receipt PLUM6ING PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered spaces S/C Type ar Prinr legi6/y . Tot. 1, Date 2. Installation Cost 17, 3. Job Address " Lot ? Blk. ? Tract 4. Owner " 5. Contractor l Phone 6. Address - 7. City State Zip 8. Building Type: Residential Commercial ? Institutional ? 9, Work Description: New El Add ? Alter O Repair ? 10. Describe 11. No. Fixtures Water Closet No. Fixtures Ce l/D i fi ld Bath tubs sspoo ra n e Se ti k T Lavatory p c an f S Shower tner o Well Kitchen Sink Urinal/Bidet Othe Laundry Tray r Floor Orains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : ? for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY QF EAGAN 454-8100 _ CITY OF EAGAN t • 3745 Pilot Kno6 Road Fa9an, MN 55121 PHONE: 454-8100 BUILDING PERMIT f2 Site /lddrcss Lot Block Sec/5ub. Parcel # . ae Name W ; . 7 Address b , Cft Nome ?? Address ? Ci ?W Name P_Z In Address Woter 8 5ew. PoHce Fire En9. Planner Council Permit Surcharge Plon check SAC Woter Conn. Water Meter Road Unit I hereby acknowledge thct I have reud this opplication nnd state that gldg. Of{. the infom,ation is conect and ogree to comply with all applicoble APC Totol ? Stata of Minrresota Statutes and City of Eagan Ordinances. Sipnature of Permittee A Building Permit is issued to: on the express conditton that oll work sholl be done in accordonce with all uppliwble Stote of Minnesotc Stotutes ond City of Eogan Ordinonces. Building Officfol JohT?v.Cake Fjd C2'3Td. Receipt # N2 6020 - Erect Octupancy Alter ? Zoning Repoir ? Fire Zone - ? Enlarge ? Type of Const. MOVQ ? # StOIICS _ Demolish ? Front ft. Grnde ? Deptfi ft. Approvah Faes r«mir # o.to i.w.a r«.rn.. Plumbing % 7/ y el- IPr? Mechonical INSPEGTIONS DATE INSP. Rouph-In Final FOOtings Oata in?. Dafe Inap. Foundation Plumbing Frome/ins. 3 -2>-5'/ -? -F? Mechanical Finol ,,,y4 1 Remorks: T6 i . cinr oF EAGAN ? 3795 Pilee Knob Roed No. Eeqen, AA1enewM 55122 Phews: 454-8100 PERMIT Date: 11 3-57 Site Address: Lot _ 1F647 Penlcwe Wav 81xk Sub/Sec Receipt No, INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Single ' I Residential Multi Res., Comm./ind. I Na^'e New/Alter./Repair r , i.,. ; Address Cost of Instollotion O Ciry Phone: Permit Fee ` Nome ' Surcharge /lddress ' ? City Phone: Toto I This Permit is issued on the express condition thot oll work sholl be done in accordance with oll applioo6le Sfete of Minnesora Statutes and City of Eogon Ordinonces. Buildiny Offlciol •, • ? cinr oF EAcaN 3745 Pilot Knob Road Eagaw, Minne:ota 55122 No. P6awe: 454.8100 PERMIT Dote: 9-9-80 sire Addreu: / °}47 Peizkwe Lot Block ' Sub/Set. `T'-'IT{ • C8k@ RCIF . j Name O=Tin ThQmPaan HOa?yee ? Address 1712 Hopk3lzB CTea'd. ? T.^_@t07':S? r.?11. Ciry Phone: a r Nome ":',91 i•:F@Char'jCQl r ? Address %6110 ?:enriebec Ur. € V City n-' .. Phone: ? -! ..; This Permit is issued on` the express condition that oll work shall be I Minnesotu Stntutes ond City of Eagon Ordinonces. INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIDNS Receipt No.: $ingle ResidenYial Multi Res., Comm./Ind. I New/Alter./Repoir Cost of Insrcllation Permit Fee Surehnrnn ? Tota I ' done in accordnnce with oll applicoble Stafe of Building Official . ' - cIrir oF EAGAN • 3795 Pilot Knob Rood Eagan, MN 55122 PHON E: 454-8100 BUILDING PERMIT Ta 6e ssed fee Site Address Lot Block ! Sec/Sub. Parcel # oc Name ..rl 3 Address ? Q . .- 1 c, o Name u? Address I Ci ?W ? Nome Address 00 Receipt # N? 6018 Erect Q Occupancy Alter ? Zoning Repair ? Fire Zone Enlarge p Type of Const. Move p # 5tories Demollsh ? Front ^ ! ft. Grade ? Depth ft. Avnrora Is Fees Woter & Sew. Police Fire Eng. Plonner Counci I Permit - Surchorge Plan check SAC Water Conn. Water Meter Road Unit I hereby acknowfedge that I have read this application and state that Bldg. Off. the information is oorrect and agree to comply with all applicable APC Totol Stote of Minnesotn Statutes ond City of Eogan Ordinances. Signoture of Permittee A Building Permit is issued to: • ? `'=? ?'' on the express conditlon thot all work shall be done in cccordance with all appliwble State of Minnesota Stotutes and City of Eagan Ordinances. Building Officiol Crsrd. Penait # Dah IqueA IamMfM Plumbing Mechonicol . ? INSPECTIONS DATE INSP. Rouph-In Final Footings Date Insp. Date Irop. - Foundation Plumbing ? ? rome ins. 3-???-S? a Mechanicol ? rna _47- 9f-g/ Remarks: I?'" o2I40 No. Dote: CITY OF EAGAN 3795 Pilot Knob Roed Eagan, Minnesoea 55122 Phone: 454-8100 PERMIT Site Address: 46451 Penkae weLi INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Receipt Na.: Single .. Residentiol 1 02' 1+ py@?: -? Lor Block 5ub/Sec. Jhny. C? ?Q '`rr .-' Mulri Nome Orrln :hompsvn Yomes - New/Alter./Repair e Address 1712 I?opkir s ?'.TS?`:i . Cost of Instollaition y @tOT1},fl, .',`1. Phone: Cit Permit Fee ` Name `,enzel ?iEChaT.iCul Surcharge ` Address 'r';00 I:G•'ilHb'.: ? : : .. QC CitY ' -" Phone: " Totol This Permit is issued on the express condition that all work shall be done in acwrdance with oll oppliooble State of Minnesoto Stotutes and City of Eogon Ordinonces. Building Dffici4l cirY oF E?c,AN ? 3795 Pilot Knob Rood No. Eagan, Mlnneaoto 55122 P6one: 454-8100 PERMIT Date: Site Addreu: Lot 3-13-$1 464514 Penk.we Wey Bixk Sub/Sec. _ INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Receipt No.: Single ? I Residentiol Multi Res., Comm./Ind. I Nome New/Alter./Repo{r ? Address Cost of Instullation ori:a City Phone: Permit Fee .? ` Name _ • Surchorge ? /lddress ? City . Phone: Totcl This Permit is issued on the express condition thot oll work shall be done in occordcnce with oli opplicable State of Minnesoto 5totutes ond City of Ecgon Ordinonces. JhT*r. CS..Z:B W,. Buildirp Official . ' CiTY OF EAGAN 3795 Pilot Knob Rocd Eagan, MN 55122 N! 6 017 PtfONE: 454-8100 BUILDING PERMIT Receipt #k To be used for_ Est. Vulue Date , 19 Site Address Erect 0 Occupancy Lot `Block 5ec/Sub. Alter ? Zoning parcel # Repair ? Fire Zone E l of Co T t urge p n ype ns . Ncme Move ? # Stories I; Address Demolish ? Front ft. Cit Phone Grnde Depth ft. - Approvats Fees -4 P Name _ ou Address u? r:«.. Nome _ Address I hereby acknowiedge thot I huve read this applicotion ond state that the information is correct and agree to Comply with oll applicoble State of Minnesota 5tatutes and City of Eagan Ordinances. Water & Sew. Police Fire Eng. Plonner Council Bldg. Off, _ APC Pe rmit Surcharge Plan chetk SAC Water Conn. Water Meter Rood Unii Total Signature of Permittee I A Building Permit is issued to: on the express condition that o!I work shnll be done in occordonce with all applicoble State of Minnesota Statutes nnd City of Eagan Ordinonces. Building Offlcial Penek # DoM laaed PennMtw Plumbing Mechonical P/ I tNSPECTIQNS DATE INSP. Rough-In Finol Footings Dote Insv. Date InsP. F ndntion Plumbing Frame ins. Mechonicol i na ? . ?- Remarks: No. Date: cIrY oF EAG,?N 3795 PIIoF Knob Road Ea9an, Mlnneaota 55122 Phene: 454-8100 PERMIT Site Addreu: 4645 Peninse :la;r Lot 91xk Sub/Sec. INSPECTOR NOTIFICATION REQUI RED BY LAW FOR ALL INSPECTIONS Recelpt No.: Single , I Residential Multi Res., Comm./Ind. I Nome N /Alt /R i ew epo r er. Address f t ti C l t ll ? . os o ns o a on City Phone: P i F erm ee t Name r F r S . ge u c a ?, . Address " ? City Phone: Total This Permit is issued on the express condition thar oll work sholl be done in accordonce with all oppllcable Stote of Minnesota Stotutes ond City of Eagon Ordinonces. Building Officinl CITY OF EAGAN 3745 Pilot Knob Roed No. lagan, Mlnnasota 55I22 Phem: 454-8100 PERMIT INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Date: Receipt No.: 46l,5 Pen,:?,,e Single - - - I Site /hddress: Residential , J-hny. caxQ Rag. ; I Lot " Block 5ub/Sec. Multi Res., Comm./Ind. ;•r:'^ ?, n,-?;-; .G,., Nome New/Alter. / Repoir ? Address 1712 t:O;?:?IlE3 t.r3r?? , Cost of Instollotion City Phone: Permit Fee Name '-e1 I'deChBILiCE1 SurcFarge ? . . nr, rlt?'? Address ?ICity T??l. Phone: '*5"-11. - - - Total This Permit is issued on the express condition thot all work sholl be done in accordance with ell appliaable Stote of Minnesota Stotutes and City of Eogan Ordinonces. Building Official ? -r oF EAaAN ,. 4 Pilot Knob Road gan, MN 55122 Zoning: bwner: Address: Site Address: Plumber: Meter No.: Size: Reader No.: 1 agroe M eomply wkh Fhe City of Eagan Ordinenep, By Dote of Insp.: CITY 4'' EAGAN 3795 P11ot Knob Roed Eagan, MN 55122 Zoning; Owner: Address: Site Address: Plumber: ? 1 agres to oomply witfi Hm City of Fagne Connection Charge OFinaeees. Account Deposit: _ Permit Fee: - $urcharge: BY Misc. Charges: - Dote of Insp.: Total: Insp.: Dote Poid: OF EAGAtd .9S Pilot Knob Rood Eogoe, MN 55122 Zoning: Owner: Address: Slte Address: Plumber: • , Meter No.: Size: Reader No.: I agree M eanply with Fhe Cify of Eogon Ordinancas, By Date of I nsp.: WATER SERVlCE PERMIT PERMIT NO.: DATE: No. of Units: - Connedion Charge: - Accrount Deposlt: _ - Permit Fee: Surcharge: Misc. Charges: - ? Total: _ Date Paid: SEWER SERVICE PERMIT PERMIT NO.: DATE: No. of Units: WATER SERVICE PERMIT PERMIT NO.: DATE: No, of Units: Connection Chorge: Account Deposit: _ Permit Fee: Surcharge: Misc. Charges: _ Total: Date Paid: oF EAGAN 1 79S Pilot Knob Roed gen, MN 55122 ?oning: ner: dress: ite Address: !Plumber: I ayree fo eomply with !he Citr of Eagan Connection Chorge Ordinaeees. Account Deposit: _ Permit Fee: Surcharge: By Mist. CFwrges: - Date of I nsp.: Total: Insp.: Dote Paid: Ik17'Y aF lAGAN WATER SERVICE PERMIT i95 Pilot Knob Road PERMIT NO.: gon, iv1N 55122 DATE: itoning: No. of Units: dress: ite Address: eterVNo.: Connedion Charge: ize: Account Deposit: eader No.: Permit Fee: egroe to eomplr wkh the Citp of Eagan Surchorge: inaneem. Misc. Charges: Total: y Date Paid: te of Insp.: Insp.: W % SEWER SERVICE PERMIT .'TM Of EAGAN ,.195 Pilof Knob Rood PERMIT NO.: 22 DATE: gan, MN 551 anin9: No. of Units: ner: dress: ite Addreu: lumber: ogree ro oomply with the Gty of Eagan Connection Chorge: rdinenoes. Acwunt Deposit: Permit Fee: Surchnrge: $Y Misc. Chorges: tol: T Date of Insp.: o Date Paid: nsp.: . SEWER SERVICE PERMIT PERMIT NO.: DATE: No. of Units: WATER SERVICE PERMIT JTY OF EAGAN 3795 Pilot Knob Road PERMIT NO.: Eaganr MN 55122 DATE: . Zoning: No. of Units: Owner: Address: . , Site Address: Plumber. Meter No.: Connection Charge: Size: Atcount Deposit: Reoder No.: Permit Fee: 1 agres to con+Pfp with N+e Ciry of Eegan Surchorge: Ordinanca. Misc. Chorges: Total: BY Date Paid: Date of Insp.: I ^sp" SEWER SERVICE PERMIT cn r oF eaGAN 3795 Plloe Kno6 Road PERhAIT NO.: Eogan, MN 55122 DATE: Zoning: No. of Units: O wner: Address: _ • - Add ; ;? ress: Site Plumber: 1 agree to eomply with the City af Eagan Connection Chorge: Ordinanees. AccounL Deposit: Permit Fee: Surcharge: By Misc. CFwrges: Date of Insp.: Total: (nsp.: Dote Poid: rn?s le?luesi voia t 8 mo?hs1fr6-73 L.31 Pr?j 'S ? 1'- • ?ara ..29 1?' (o /d1 oG Request Date Fire No. Nuugh-in Inspeclion flequircA? ReaAy Nuw QWil Notify, Inspec- ? 12, ? - k- -L ?yos ?NO [or When ReadY M•LicenseJ Eler.trical Contrector . I hereby request inspection o1 above [P Owner eloctrical work installed al: S[ ee[ Address, eox or floute No. ? ?? k Chy E ? cr? uc ? :j S e tmn o. Township Namo or Nn. R?nge No. Cnnunty OccupnnclPqlN I e -- Phone No. ysz- ;433 P wcr Supplier Address 4 eI- Eit" Elecvical Coniractor IComoany Nyam.e?) Contrar,mr"s Licunse Nn. Mafling AtlJre.ss (Coniractnr or Owner Maklnp Installationl Authorized Signamre ICoMracmr/Owner Makinp Insfallationl Phone Number MINNESOTA STATE BOAflO OF ELECTflICITY - TMIS INSPEGTION HEQUEST WILL NOT Griggs-Midway Bldg. - floom N-791 . BE ACCEPTED BY THE STATE BOAPD UNLESS PflOPEH INSPECTION FEE IS 1821 Univarsity Ave., S[. Paul, MN 56109 o1,,_„ 1R111 Iqz I'll ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION „-« ee-ooom_os 7?.?? ? See instruclions lor comple6ng this form un back a( vellow wpy. ;2 T ,. p(ig ` ? v? Below Work Covered by This Request f ew Apd Hep. Type ot BuilAing ApPliances Wired Equipment Wired Hame Ranye Temporary Service Duplex Water Heater Ligh[iny Fixtures Apt. Buildiny Dryer Electric Heatin Commercial Bldy. Furnace Silo Unloader Industrial BIAg. Air Conditioner Bulk Milk Tank f-al'rn Othar .pealv Uihei ISUecifYl th¢r Spccify Ot er Othcr Cnmpute Inspectioit Fee Below rt ioe Service Entrance5ize k Pae Feetlers/SUbfeeders q Fee Circuits 0 to 100 qm s 0 to 30 Amps /.d0 0 to 3U Am 107 to 200 Ainps 31 to 100 Amps 3to 100 Am Above 200 qmpy Above 100_Amps 100_Am?s iormers Remote Control Circ. tial.'Other Fe Sic?ns Special Inspec[ion /U S Remarks ? ? TOTAL EE ? RouBh-in Dnte . I, the Electrical ? ? e Inspector, hareby tif h Finnl cer y t af the xbove 5 insVection has been e This reUtiest void 18 months fiom ?? ThiS reQUest void mo /! ? L/^ ? 3 y?Cy 18 nths fmm ?/' ? lF? •C 3299 -- ReQUest Da?e ? '" Fire No. Fough-inI nspecti p ReQUrted7 @Roatly Now QWill Nntify InsPec- 6/6/86 ?Ves @ N. lor Whon Ready [id LicenseG Elecbicai Contractor I hereby request inspaction oi ebove ED Owner elecbiwl work inaialled ac Street Atldress, Bax or Rvute No. City 4647k Penkwe Circle Eagan ecuon o. TownshiD Name or No. RTnge o. County OccupaM (PflINT) Phone No. Tenant: Murray 454-7571 ? Power Suppliar Adtlress Dakota County Electric 4300 - 220th St. Farmingtoa ElecVical CanVacto. ICOmpany Namel Cnnnacmr's License No. ,Paul Stafford Electric 410069 Mailing Address IConiractor or Owner Makine lnstailationl 5004 Xerxes Avenue South Mpls. MN 55410 Autho - S.gnawre ICon« actor/Owner MakinO I?+stauationl Phone Number 927-7194 MINNESOTq qTE BOAND OF ELECTflICITY TMIS INSPECTION REQUEST WILL NOT Grigga-Midway Bldg. - Roam N•191 BE ACCEPTED BY THE STATE BOAPD 1827 University Ave., St. Paul. MN 56109 UNLESS PPOGE0. INSPECTION FEE IS Phona 16721297.2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ? See instrvctions tor comoietin9 thie form on beck oi Vellow ?o,?. ' EB-00001-04 & :3 q ?qq "X" Below Work Covered by 7his Request I AIwAAddl fteo.r Tyoe of Buibing I ADVlionees WireA I EquiVment Wired I al Bldo. t I Furnace p Fae ServiceEneranceSize b Fea Feeders/Subieeders N Fee Circaits Uto200Ams 0 1930Ams Om30Ams Above 200 qinps 37 to 100 Amps 31 to 7 UO q 5 Swimmin Pool Above 100-Am s Above 700_Am s Transformers Irri tion Boonis Partial•'Other Fee - Sfgns Speclal Inspection S10.S0 TOTA? ema ks ??? ep?ac?ng underground feed to house I [0- ,/ I, tha ET-MrMcal Insoector, hereby certify ihet tha ebove inspe<tion has been mede. ThlarapueatvolE ? minnesoca aiece noara or oeccricicy -- Griggs Midway 81dg. - Room N791 I ?091 University Ave., St. Paul, Minn. 55104 - Phone 297-2117 ?Ip 0111111,110ft."bUEST FOR ELECTRICAL INSPECTION Ch6CK BEI.GW WORK COVERED BY THIS REQUEST I EB-00001-02 T 26816 Type oP Building New Add. Rep. Check Appliances Wired For Check Fquipment W¢ed For Home ? ? Range ? 'Iemporary Wixing ? . Duplex, ? ? Watex Heater ? Lighting Fixtures I& Apt. Bldg. ? ? ? Dryer ? Elecvic Heating ? Commercial Bidg. ? ? ? Fumace jg? Silo Unloader ? Industrial Bldg. ? ? Cl Av Conditionei ? Bulk Milk Tank ? Farm 0 ? ? List I List > Other ? ? ? p } Heielsl p } HeierSl COMPUTE INSPECTION FEE BELOW Service Ent=ance Size: x Fee, FeedvsdSubfeeders: it Fce Crtcuits: # Fee 0 to 100 Am s. 0 to 30 Am eres 0 to 30 Am eres ,CPJ 101 ta 200 Amps. 31 to 100 Am res 31 to 100 Am eres Above 200_Amps. Above 100 Amps. Above ]00 Ampa Trxnsfocmers RemoteControlCuc. Partial or other fee Signs , .ial Ins ection Minimum fee 55.00 :..,.: Remarks ,.. TOTAL FE ,J d ? I, the Electrical lnspbi'tor,9rbHtly=eerfify has been ? ?4) ?rO? _"p/ (Final) This request void 18 months from This request void 18 months from Date this Request Z Fire No. I, Licensed Electrical Contractor ? Owner, do hereby re( ?al ??rin? installed at: SVeet Address or Route No. 4W7 /z- ?? ?" Section Township Range, Which is occupied by T 26816 luest inspection of the above electri- City-WAA) County ]s a roughin inspection required on this job? No ? YoRk_ Ready Now ? Will Calt< , Power Supplier P° Addtess Electrical Contractor EF`'ECI Contractor's License NoA?IFs (CompanCy Name) Mailing Address I- r F ( ' 0t Contractor or Owner Making This Installatlon)??0 .? Authorized Signature' Phone No. ( ectr ractor or O ne/ Making This Insiallatlon) (!t ???? ,?p t????? ? ?? This inspection request will nat 6e accepted 6y the ?3j State Baard unless proper inspection fee is enclosed.. ? f 81 . ?. ReWesl Date - Fire No. Roug?-in Inspection Haquir¢tl? C? Feady Now ?11 Notity Inspector _ ye5 ?en Ready? I 0 licensed contractor ? owner hereby request inspection of above electrical work at: Job Atltlress (SVeBL Bav or Route NoJ City Saclion No. Township Name or No. Farge No, CouMy Occupanl(PRINT) Phone No. ?s ?so - ?v S Power Supplier Pdtlress Eleclrical ConVaclor (Company Nam e)/ ConVac[or's License No. ? W VT O? Ma0in9 tlress ICOnvactor or Owner Ma ing Installatw AulFrori 0 ig lure V r Making Inst911alion? Phone Number MINN907(STATE BOAqD OF ELECTiiICITY THIS INSPECTION REOUEST WILL NOT Griggs-MlEway BIEg. - Room S173 BE ACCEPTED BV THE STATE BOAFO 1821 Universi[y Ave., SL Paul, MN 55100 UNLESS PROPER INSPECTION FEE IS Phone461P) 602-0800 ENCLOSED. /- REDUEST FOR ELECTRICAL INSPECTION es-ooom-oe Y 7T ?".1a?sl 4 68 _. .__. _,_. _.. __,,. k Covered by This Request 81 IJ V..?(, Below Wor' ew Type of Building AppliancesWiretl . EquipmentWired Home Range Temporary ServiCe Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) CommJlndustrial Fumace Farm Air Condi[ioner Omer?syeoTy) Contracbr5 Remarks: Compute Inspection Fee Below: # . Other Fee # ServiceEnlranceSize Fee k Circuits/Feeders Fae Swimming Pool 0 l0 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Above 7 Amps Signs inspector's use onry: TpTAL Irrigation Booms Special Inspection ? Alarm/COmmunication THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT Olher Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby h it h R°uyn-m oa?e y t at i e above inspection has cert been made. F;,,ei f oai ? v, X OFFlCE USE'JNLY TM1is request voitl 18 monlhs Irom Minnesata State Board of EleCtricity Griggs Midway Bldg. - Room N791 827 Universiry Ave., St. Paul, Minn. 55104 - Phone 297-2111 ? RFQUEST FOR ELECTRICAL INSPECTION BELOW WORK COVERED BY THIS REQUEST T 26815 Type of BuOding New Add. - Rep. Check Appliancea W'ved.Foi Check Fquipment W'ved For Home (?( ? ? Range Temporary Wixing ? Duplex ? ? Water Heater ? Lighting f ixtures C8- Apt Bldg. ? ? ? Dryer ? iii ElecVic Heating ? Commercial Bldg. ? ? ? ??? ,,, Fumace ? Sdo Unloader ? Indus[ria] Bldg. ? ? ? Aa Conditionec Bulk Milk Tank ? Farm ? ? ? Lisl ) L ist Othec ? ? ? Q } Heiers). p Hehetg? COMPUTE INSPECTION FEE BELOW Service Entrance Size: Jt Fee FcedersRSubPeeders: # Fee Citcuits: # Fa 0 to 100 Am s. 0 to 30 Am eres 0 to 30 Am eres 301 to 20 s. 31 to I00 Am res 31 to 100 Am res Above 20 :. 1'" p; "• ibove 100 Amps. Above lOQ_Amps. Transform emote Control C7rc. Partial or other fee YtL ? Sgns S cial Ins ection Minimum fee $5.00 Remarks TOTAL FEE ? I, the Electrical Inspector, hereby certify that aco (Final) This request void 18 months from q This re uest void i ? 18 nths f mo rom f . ?j Date o this Request ? Fire No. T 2" "R15 I, aLicensed Electrical Contractor OOwnec, do hereby request inspection of the above electri- cxl Mrltig installed at: .Street Address or Route No. 1"' q 7 l CJ*i? WA`/ City 69wW4 Section Township Range County ???07?? Which is occupied by Is a roughin inspection required on this job? No ? Yep?,_ Ready Now ? Will Capd- Power Supplier kA Address ?? ?AX, T13 /J ElectricalContractor FeL-& IF-665G7_?elG Contractor'sLicenseNofi?,•Z5 (COmpany Name) Mailing Address / 411 / G • Authorized Signature ,ciettncai convacwr or ownme STATE o?/Y$1RD COPRR W o..r- ?v/wner maNing rnls InsWllatlon) Phone No. 590 aklhg Thls Installatlon) This inspection request will nat 6e aecepted 6y the State Board unless proper inspxtion fee is endosed minnesota state uoam or eiectncity Griggs Midway Bldg. - Room N191 1621 University Ave., St. Paul, Minn. 55104 - Phone 297-2117 QUEST FOR ELECTRICAL INSPECTION CH _Cn OW WOftK COVERED BY THIS REQUEST ^W I EB-00001-02 r ? J T 26814 Type ot Budding Ne Add. Rep. Check Appliances W' For Check Equipment Wired For Home 09 ? ? Range tempoiary W'ving ? Duplex ? ? 0 Water Heater ? Lighting Fixmces ?. Apt. Bldg. ? ? ? Dryex Elec[ric Heating ? Commercial Bldg. ? ? ? Fumace ? Silo UNoader ? Industrial Bldg. ? ? ? A"v Conditioner Hulk Milk Tank 0 Farm ? ? ? List ) Lis[ Othei - ? ? ? p } Hehelsf re p Hemers? COMPUTE [NSPECTION FEE BELOW Secvice Ent.ance Size: it Fee Faders&Su6feeders: # Fce C'vcuits: # Fce o 30 Am eres 0 ta 30 Am eres 31 to 100 Amperes 31 ro 100 Am eres ON Above 100 Amps. Above 100 Amps. RemoteontrolCiic. Partialocotherfee " Inspection Minimum fee 55. Remaiks ? i TOTAL FEE 3? -JY9 Z BL I, the Electrical Inspector, here +y ify that (Final) This request void 18 months from This request void L"2i 6 'z, ] 8 months from Date of,?this Request ?? J;r ( Fire No. 126V 14 I, atWLLicensed Electrical Contractor OOwner, do hereby request inspection of the above electri- cal wiring installed at: Street Address or Route No. Section Township Which is occupied by 0 Range County 11W - iT!A Is a roughin inspection required on this job? No ? Y412?Ready Now ? Will CalldK Power Supplier Address nry ?WU1Vhj Electncal Contractor 6?_Te_lG Contractor's License No'5a5 Mailing Address ffi( E, Authorized ? owner making 7bIsPhOt1¢aNo' ^??'S (eiectrfcal Contractor ar Owner Makinq TniS installatlon) - ????? ???? ?? ?? 7his inspection requesiwilf nat 6e accepted hy the State Board unless proper inspection fee is enclosed. i This request void °2? ] 8 months from 2 ? Dattof his Request Z- L-3 1 i? Fire No. T26V13 1, a censed Electrical Contractor ? Owner, do hereby request inspection of the above electri- cal ' installed at: wm" '?Io " ?Ee?iFw? ?-I ??^,,? ° Street Address or Route No. City 4-Y?l5lD!" Section Township Range County 0T? 1Vhich is occupied by Is a roughin inspection required on this job? No ? YeCPr- Ready Now ? Will Cah"EX' Power Supplier Address _ F/q-M INeJ7L7A/ ,?q?Z Electrical Contractor ????-' G??ti-I G Contractor's License No!L1C Mailing Address )q I l -e. (EI tlc17 ontractor or Owner Making Thls Installatlon) C Authorized Signature``- Qn Phone No. -!5?5-05- (Elxtrica Contractor oer Making This Installatlon) Sr ^??? ???? ???? This inspection request will not be aecepted 6y ffie f? U State Boardunless propar inspection fee is enclosed. mmmesoia aaain waru m om:ancuy ' Griggs Midway 81dg. - Noom N797 ? EB-00001-( ' 1821 Universiry Ave.. St. Paul. Minn. 55104 - Phone 297-2111 ' i;sQUEST FOR ELECTRICAL INSPECTION CHECK $EdOW WORK COVERED BY THIS REQUEST T Z 6813 °Type of Buildirsg Ne?w Add. Rep. Check Appliances W'ved Fm .Check Fquipment W'ved For Home ? ? Range ? Temporary Wixing Duplex ? ? Wa[er Heater ? Lighting Fixtures ? Apt. Bldg. ? ? ? Dryer Electric Heating ? Commeroial Bldg. ? ? ? Fumace Silo Unloader ? Industrial Bldg. El -? 0 Air Conditioner ? Bulk Milk Tank ? Farm ? ? ? List List Other ? ? ? p Herers? p HerersI COMPUTE INSPECTION FEE BELOW Semice En[rance Size: # Fee Feeders&Sub[eeders: # Fee C'ncuits: # Fee 0 ta 100 Am s. 0 to 30 Am eres 0 to 30 Am eres .4 101 to 200 Amps. 31 to 100 Amperes 31 to 100 Am eres Above 20 _ mp _ Above 100 Amps. Above ]00 Amps. Tcansfor e • ". RemoteControlCitc. Partialototherfee ` Signs 4 : 'Special lns ction Minimum fee ES Remazks - TOTAL FE g3.J O I, [he Electrical Inspector, hereby certify that the aJapv? inspe io ha? beew maiC?'? (Rrnunh.in) 1]ate J?-•? ? (Fin2l) This request void 18 months &om A uf (Eagan 3?r}?ttrtmrnt rt# 1Iuiwng Jitspr`rtcmc k c?bis Ccrtifizate irtutd purtwunt to tbt nquiremrnta of Section 306 of tbe Unifonrz Building? : Cacte artifyrrig tbat at tix timc of isruancc this ttructure wat in tompliana with tbe varioHr i ;. ardinancrr o f the City nguloting building mnrt+wtion or ure. For the follawing: , ,s? ,,, -. - - - --- - -' ' --IR3 v Fwbttit. 3 ZcttittgIhttt;.t PD Orrin Thompson neero, 1712 Honkins Croasroad ,?,,o;: 464T PenkFie iPsy ,,?,,;,y Lot 4, Bl: Johny.' Ceke; ; . , ? ,l . . sr. ' eu ?q 280 . 1981 ' ueqoomad , . , . mm - I . . . . . .c o. /roar r cwo??uoui rucp . - ` , .. •a . umoI. us.<. itp of (Eagan . , , ?P}1F[3"tritPltt D? ?liilDttt? .?1tHpPtftDtt This Cerp fitau ittutd purss4nt m the reguiremtxU of Strtion 306 of t!x Uni fnrm Bailding l -< Codi'caa(yixg thai de the time of irsuarut tbir structure war in tompliance with the variour a, ordinunas of the City+egulating building rorsrt+nction or use. Far the follauing: ` ,t ;, ?? ? u,?C?1" of 4 PLEX BIde.Pc?m[No. 6018 = ' ; oR3 V Fi.zo. 3 zoNq outmt !a,?;orama? ? OrTtA' TtlomPeon naaaa 1712 HoAkine Croserosd = ?amogaaa?.,4645} Penkwe 41sY Lot 2, Bl. 20 nmY, Gake 3 umVoma.t > w?. -MBg ?R, lqR'i ' ?. qv,.???? . .5 /r. ,? . ? ioe??x • s c? . -;i . CITY OF EAGAN 3795 Pilo! .iCnob RWod Eagan, MN 55124 N2 6017 PHONH: 450.8100 BUILDING PERMIT APPLICATION RecQiOt # Te ba uwd for 1 of 4 plex Est.Value 46,490.00 Date R-h 19-aa- Site Address _4GLi F Pa71kVJ2 Wa9 - Erect ik Occupancy R3 Lot 1 Block 2 Sec/Sub. RIDV. Cake Rid.3 Alter p Zoning PD Parcel # unrecorded Repair ? Fire Zone 3 l E V t T f C n arge ? . ype o ons w Name Orri n Thnmzncon HomPG Move ? # Stories ; Address 1712 HOpkiriS CTSTd. Demolish ? Front 22 ft. o Minnetonka, Mn 544-7333 Groee ? ?arh 44 sr. ?? ?One Aporova4 Fees Name o U AssessmA? u Address camc _ Water & $ew. or?e Ph r w Name Police ? F F ire ?? Address Eng. a W Ci phone Planner - Council - I hereby acknowledge that I have read this opplication and state that gldg. Off. _ the information is correct ond agree to comply with all nDPlicable State of Minnewta Smtutes and City of Eagan Ordirronces. APC - Permit 142.7U Surchorge 22 • 00 Plon check 62.75 SnC 525.00 Water Conn. 305.00 Water Meter 60.00 Road Unit 7-$5_00 Total 10285_75 Signoture o4 Pertnittee I A Buiiding Permit is issued to: _ OI'T].ri ThOillDBOri HoID@S on the express condition that oll work shall be done in accordpnce with all,egpLS9ble State of Minne'sota Statutes and City of Eagan Ordinances. Building Official CiTY OF EAGAN Include 2 sets of plans, ?i' ??D 17 ,. ` 1 site plan w/e]evations & 0 BUIIDING PF.}+MIT APPLICATION 1 set of enen3Y calculations. Tb Be USed FoI ?.??pLy?F Valuation -14 6.490.00 Date 3't.Lti 3.0,1980 Site Address: _?j645 PENKta6 k*y OFFICE USE OT?IL?Y Z'oNr+N?' CAVZ Lot ?_ Blocc Sec./Siib. g?or.E 3rd Erect OccuPancY x?? - Parcel Alter Zoning ,o Re ir Fire Zone ? Oaner: Pr3dress: City/Zip Code: Phone #: Contractnr: ? MES Address:a Division of U. 5 F!.,, r?.?..._.??, ll12 HOPKINS CROSSROAD City/Zip Code: u,iNNFrnNKa nRlNN ???49 Phone #: syy- '7333 . Arch. /Eng. . Pc]dress: City/Zip Code: Phone #: Pa Enlarge _ 7ype of Const. V Move # Stories Demolish Front gz ft. Grade Depth ' yN ft. APPR'3VAIS PEESS Assessents Perrnit ?d?..J-70 Water/Sewer Surcharge Police Plan Check Fire SAC Sa5 '` Enq. Water Conn. P1annPS Water Meter (o p ?9 Council Road Unit t g S? Bldg. Off. APC . . CITY OF EAGAN 3795 PiIM Knob Raad Eogae, MN 53722 ? PHONH: 410-8100 BUILDING PERMIT APPLICATION Rece+Pt # Site Address 4vµ?? reiinrve uray Lor -Z Biock _2 Sec/Sub. _smSLX- Cake Rdg.3 Porce1 # unrecorded W I Name Orrin Thomoson Homes Z Address 1712 Hopkins Crsrd. t hRi nna+.nnka . Mn SL.L._7'??'2 p Name_ ? Address ? ru.. Nome_ Address I hereby acknowledge that I have read this opplication ond siate that tMe information is corrett and a9ree to comply with oll applicable $tote of Minnesota Statutes and City of Eogan Ordinances. N° 6018 Ered Occupancy R3 - Alter ? Zoning PD Repoir ? Fire Zone 3 Enlorge ? Type of Const. V Move ? # Srories - Demoiish ? Front ft. Grade ? Depth 44 ft. Approvols Feea Water & Sew. Police ? Fire Enfl. Pianner _ council - Bldg. Off. - APC - Permit 11-1 ?.7V Surcharge 22•00 Plan check 62.75 5AC 525.00 Water Conn. 305 .00 Weter Meter 60. 00 Road unir 185.00 Total 1,285.25 Signature ot Permlttee - I A Building Permit is iuued ro: OT'Tlri T110RTpSOR HOIDBS on the exPress condition that oll work shall be done in accprdance_with ol_1qpplicpble Stute of Minnewta Stotutes and City of Eogon Ordinonces. Building Officiat ? CTI'Y QF EAC',AN 66j BUIIDING PF?FtT1iT A3'PLICATION Include 2 sets of plans, 1 site plan w/e]evations 6 'f set of energy calculations. 1b Be Used For R ?ucF Valuation -? y6tJ9o.o0 Date 1"yLy 30 ? 1960 Site Pdriress: _ LjbyS Ji pENw-WE W RY OFFICE USE ONLY 3'oHNNy v?. Lot ? aloc?c Z sec. /sub. ga,2?E?r.,? Aiter ? z?oru?' ?cS' P D Parcel #: ?d?lr.cr??t..?i? rig - RePair Fire Zone ? O.mer: Address: City/Zip Code: Phone #: Contractor: ItIL)IVIt-b MES Pdclr255: a Division of U. S. F!^,,o r...?."?r 1712 HOPKIhS CFOSSROAD Clty/ZlP COdE: M,INNf7?1NknnR?NN. 5??$? Phone #: sy`t'" `7333 Arch_/IIng.: Pddress: City/Zip Code: Phone #: Enlarge _ T]+pe of Const. v Nbve # Stnries Desrolish Front ? ft. Grade Depth ft. APPROVAIS FEFS ,> o Assessnents Pesmit water/Sewer Surchasge b72 ?- Police Plan Check Fire SAC u?"'dS Enq. Water Conn. 30 ti f" Planner Water Meter ? 40 Council Road Unit / kb d` Sldg. Off. APC CITY OF EAGAN 3795 PiloF Keob Rapd Eagan, MN 55122 N2 6020 PHONE: 454-8100 BUILDING PERMIT APPLICATION Receipt # a? To be usad fer 1 of 4 plex Est. Value 46,490: Date 8-6 , 19.$0- $ite Address 4647 Penkwe Way Erect fk Occupancy R3°-- Lot 4 Block 2 5ec/Sub. Johny.Cake Rid. 3 Alter ? Zoning PD Porcel # unrecorded Repoir ? Fire Zone 3° _ E l f C t T V n arge ? ype o ons . rc Name Orrin Thom,lnepn HoIDt?G Move ? # Stories ; Addres: 1712 Hopkins CT'STd. Demolish ? Front 22 ft. b Ci Minnetonka, M?one 544-7333 Grade ? Depth +?+ ft. ? Aoorovab Fees p Nome ?t ? Address f r:... o?.." Name _ Addreu I hereby acknowledge thot I have read this opPlication and state that the information is torrect ond agree to wmply with oli opplicobla State of Minnewta Statutes and Ciry of Eagan Ordinances. Water & Sew. Palice - Fire Eng. Planner - Council - Bldg. Off. _ APC Permit 7V SurcFwrge 22•00 Plan check 62.75 $AC 525.00 Water Conn. 305.00 Woter Meter 60 • 00 Road Unit l $5 _ 00 Total l i 285 _ 25 Signoture of Pertnittea I A Building Permit Is issued ta (lrri n Thn'mi son HoIDes on the express condition ffiat oIl work shall 6a done in acco ance with a?ll??.q?ppli ble State of Minnewto Statutes and Ciry of Eagan Ordinances. Building OfHciol- 'A'6° il?"; ? CI'I'Y OF EACAN BUIIDINf; PETtMPT APPLICATION InclUde 2 sets of plans? 1 site plan w/elevatsons 6 1 set of energy calculations. Zb He Used For ?rt?n?u?F Valuation?qf? lo yqp.DO Date SuLy 30.1980 Site Address: 46N'7 peMx,)e lq,JM OFFICE USE ONLY IAt Li BLOC)C .Z SeC./SU}J. ?oHr+Ny CAk-!. 0.?o E 3cd Parcel Ae,,. Ocaner: Address: City/Zip Code: Phone #: Erect X OccuTanc]' /0 Alter Zoning /-' Repair Fire Zone 3 Enlarge _ 'iype of Const. d P'bve # Stories DeJrolish Front ?a ft. Grade Depth yy ft. APPIZOVAIS f`EES Contractor: N(JIVIPSON A19die5S: a Division of U. S Fin--,o r?...-.? $ 1712 HOPKIhS CFOSSROAD Clt.]7/Z1[J C.Od@: MINNFT(1NKL ARjWnp r-343 Phone #: s y'i -'7 3 33 . Arch./Eng.: Address: Assessments aPezInit /o7S" WaterJSewer Surcharge g ? eM PolioE Plan Check z% Fire SAC EnJ • Water Conn. 3 0 6-- ? Planner Water Meter &o ? Council Road Unit ? ?s- Bldg. Off. APC City/Zip Code: Phone #: • cirr oF eaGaN . 9795 Pib! Km6 Road Eagon, MN 55121 N°. 6019 PHONE• • 454-8100 0? BU ILDING PERMIT APPLICATION °• ? Receipt .# 4 Te be uaed for 1 of 4 plex Est. Value 46,490. Dote $-6 , 19 g0 Site Address L`hLi.'jz P eIlk44e Wav Erect ]($ Occupancy R.3 Lot 3 Block z sec/S.b. Jh-p.Y•Cake Rd. 3 Alter ? Zoning P7] Parcel # unrecorded Repair ? Fire Zone 3 Enlarge ? Type of Const. 11 w Name Orrin T ho=son Homes Move ? # Stories z Address 1712 HO pk7.riS CY'STd. Demolish ? Front 22 _ ft. ° G Minnetonka, NIilhom 544-733 Gmae ? Depth 44 n. ? Name Approvota Feea o o? s?e Assessm?p' g-Q Permit 125.50 ? Addreu 22 00 ? - Water & Sew. - Surchorge c. Phone 75 62 Police . Plon check ,~?„W Nome Fire SAC 525.0f] r mE5 Address Eng. Woter Conn. 305 .-.00_ <W Ci Phone Pionner WaterMeter6Q..00 Council Road Unit 185 nn I hereby acknowledge that I have read this applicotion and state that gldg. Off. - the intormetion is correct and agree to comply witholl applicable AP? SMte of Minnesota Smtutes ond City of Eagan Ordinanus. Totol -1T295 _ 25 Signature of Permittee I A Building Permit Is issued to: OTT'lri ThOIDTJSOri HOIDBS on the express condition that all work shall be done in ar-do?nce? wi/thy?q a I' oble State of Minnesota Statutes and Ciry of Eagan Ordinances. Buiidirg Officiul CI't'Y OF EAC',AN Include 2 sets of plana, 66 1? . 1 site plan w/elevat?ons 6 _? P? SUILDINC; PERMPI' P,PPLICATION 1 set of energy calculations. 'ib Be Used For Valuation ? y 6? 490. 00 Date Suw 30, 1960 Site Address: 464 71 i PeNIcwB WRy OFFICE USE ONLY Lot 3 Block Z Sec./Sub. Erect X Occupancy n 3 PdrC21 Alter 7,oning Repaix Fire Zone Oaner: ErLIar9e _ TyPe of Const. Nbve # Stories Pddress: Deniolish Front • ?a ft. Ci i d Grade Depth ? ft. ty/Z p Co e: Phone #: APPFbDVAIS Contractor: ORRIN VI MES Adcji255: a Division oi U. S F'-?e r;?,- -?_ 1712 HOPKIM1S CRpSSROqD City/Zip Code: MiNNFrnNKt,. rRitaa Phone #: syy- `7333 Arch. /FYn4. : Address: Assessnents ? -V.-D Pesmit ? Water/Sewer Surcharge Poiice Pian checx Ga ? Fire SAC S a Enq, Wates Conn. 30S'rO Pl3RIler Wr3t21' .T`32teL fn d %-n I council Roaa cmit LQS ? Bldg. Off. P.PC City/Zip Code: Phone #: IC7I'AL gss/ i 9z). &0 2006 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWCtion Reouirements 3 registered site surveys showing sq. ft. of lot, sq. R. of house; and all roofed areas (20%maimum lotcoverage allowed) 2 copies of plan showing 6eam 8 window sizes; poured found desiqn, etc. 1 set of Energy Calculations 3 copies of Tree Preservatlon Plan if bt platted after 717l93 Rim Joist Detail Options selection sheet (buildings with 3 or less uniLS) Minnegasco mechanioaL ventilation fortn RemodeUReoair Reouirements 2 copies of plan showing foofings, beams,joists 1 set of Energy Calcula6ons for heated addihons 1 site survey for additlons & decks AddiUon - indicate ii on-sik sepfic sysfem Oifice Use"f?n C„¢nfSnnSe?R???g ? AN,N regP?tgSReqjH?R.? I.N Date " / ;tV / 0$ ConstruMion Cost Site Address 4f L y 7 Fc n K W c. W C( (/ Telephone # ( L. 15*1 ) (4 S ti Description of Work t U db o r r? p(cl cf m) n fi /n ,Q X? -SJ)( ? Mul6-Family Bldg `-Y _ N Fireplace(s) _ 0_ 1 _ 2 Proper[y Owner p R n n r-? THD At-Home Services, Inc. Dba The Home Depot At-Home Services contractor 3200 Cobb Galleria, Suite 200 naaiess Atlanta, GA 30339 . State License #20268257 - 763-542-8826 aL4 L (4 UniUSte # Jedi ta Od,rJom N city Telephone#(q$?) 61V7 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category i Worksheet • New Enerqy Code Worksheet (J submission type) Submitted Submiqed • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a masier plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone #( Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval ofplans. 1204 I'/ fY) S c ht S) ?r /? ApplicanYs PrintedName pplicanYs Signature 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION $N CITY OF EAGAN m 3830 PILOT KNOB ROAD, EAGAN MN 55122 ° 651-675-5675 ? ?? ? ? 15 50 Please complete for modifications to existing residential dwellings. Date I d 1.3 1 05 n Site Street Address q& y S Yet'1 KG?? ?7 Unit # . Property Owner ?, kle- /it'Ytd ,IlioY1E SO,42? Telephone # ((pS'j ) Gontractor MLf S(SYIS Telephone# (W) Address (006 ?(L 9 City State V!N Zip 3VF The Applicant is: _ Owner C/6ontractor _Other Alterations to existing dwelling $ 50.00 _ Add plumbing fixtures. This fee includes putting in a water softener and/or water heater at the same time. If vou are installina onlv a water softener and/or water heater, do not complete this section. Move to the next section and check the appliance(s) you are installing. _Septic System Abandonment _Water Turnaround (add $125.00 if a 5/8" meter is required) Other: _ Water Softener ? ater Heater $ 15.00 t _ new repl men Lawn Irrigation _RPZ _PVB _new _repair _rebuitd $ 30.00 State Surcharge $ .50 Total $ I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and cades of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. ApplicanYs Printed Name Appl can 's Signa ure ?' T'2 7n;, ;' A' C.R. WINDEN d, ASSOCIATES, INC. we'4;rak C/ ??%` LaND SURVEYORS 7el. 845•3646 FOT: 1381 FUSTIS SL, ST. PAUI, MINN. 55109 U. S. Home Corporation N ? Scale: 1" = 50' \ ? \ -SP`, ?? y2 9?2 \ Q?' ? T3 <?r 32 o. ,y 'd> ? Pd ti titi 1??? ?? 2 , 3 w ocp JP 1? ? °o A Note: As of this date Johnny jr Cake Ridge Third Addition has not been recorded. Lots 1 throuqh 4 inclusive, Block 2, Johnny Cake Ridge Third Addition, Dakota County, Minnesota. WE HEREBY CERTIFY iHAT TMIS IS A TRUE ' ANO CORRECT REPRESENTATION OF A SURVEY Of THE 60UNDARIES OF THE IAND ABOVE OFSCRI6ED AND OF THE IOCATION OF ALL lUIl01NG5, IF ANY, THEREON, AND ALL VISIBIE ENCROACMMENTS, IF ANY, FROM OR ON SAID IAND. Datod Ihii 2J?d day of,)" Ig_A.D. 198p C. R. WINOEN d, ASSOClATES, INC. L4) A,!/'61iG.t"-,? br Survoyer, Minn*wfa Ropiseretiett No.72Z6 • 1588/ 2004 RESLDENTIAL BUII.DING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 - 7o.op New ConsWctim Reauirements RemodeVReoair Reouiremenfs 3 registered site surveys showing sq. ft of lok sq. tl, of house; and all roofed areas 2 copies of plan (20% mazimum lot coverage allowed) t set of Energy Calculations for heated additions 2 copies of planshowing beam & wirWow sizes; poured found design, eta 1 sile survey for additions & decks Evil 1 set of Energy Calalalions Addftion - irM'?cafe Honsde septic system 3 copies of Tree Preservation Plan if bt platled after 7/1/93 Rim Joist Delail Options selecfion sheet (61dgs with 3 or less units Date Construction Cost 0 Site Address wpu UniUSte # Description of Work l ??n[ Q 3 (?? ?'F-, L, ,) 1' m -0ix' (3p I nQ Multi-Family Bldg _ Y_ N Fireplace(s) _ r 0 _ 1 _ 2 Property Owner M' ^y1 ???? ?M" Telephone # ((pS 1 ) (0B 1- 1(MA ti01V1E Sr;KV1l:ES, iNC;. Contractor Home Depot Installed Sales Address 3200 Cobb Galleria Pkwy.Ste. #200 c;ty Atlanta, GA 30339 State 763-542-8826 BC-20268257 - Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy CAde Category . Residential Ventllation Category t Worksheet , . New Energy Code Worksheet (4 submissiontype) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan2 _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone # ( Telephone # ( I hereby apply for a Residential Building Pernut and aclrnowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a pemut, but only an application for a permit, and work is not to start without a pemut; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. /?I10..? A ?Sac?'? ApplicanYs Printed Name 4r,bLlLc23.na0 n,? Apphcant's Signature OFFICE USE ONLY Sub Types ? Ot Foundation ? -07 05-plez ?. 13 16-plex ? 20 Pool-- - ? 30 AccessoryBldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 6ct. Alt - Multi ? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ?$3 6ct. Alt- SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 'Demolish Inferior ?' 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors O 34 Replacement • `DemolfGon (Entire Bldg ) - Gfve PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water , SAC Units Stories Booster Pump # of Units Sq. Ft. PRU # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaVC.O. _ Footings (deck) _ Final/No C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & W ater _ F inal Pool _ Ftgs _ Air/Gas Tests Final _ Framing _ _ Siding _ Stucco _ Stone _ Br ick _ Fireplace _ R.I. _ Air Test _ Final _ Windows _ Insulation _ Retaining Wall Approded By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Building.lrispector Installed Siding and Windows LIMITED POWER OF ATTORNEY c:vUNTY OF COBB STATE OF GEORGIA KNOW ALL PEOPLE BY THESE PRESENTS: THAT I, David N. Katz, a resident of Montgomery County, Pennsylvania ("Principal"), and a licensed contractor of RMA Home Serviccs, Inc., DBA Home Depot Installed Sa1es loc3ted at 660 Mendelssehn Avemie North, Gol:!en Valley, MN 55427, having a license number of BG 20268257, do hereby appoint, name and constitute Elder-Jones Building Permit Service, Inc. ("Agent") as my true and lawful attorney-in-fact and do authorize and grant said attorney-in-fact for me and in my name, place and stead the power to execute, acknowledge, sign and deliver (in such form as may be required by the municipality) a permit application, or any other instrument(s) which may be necessary arid appropriate, in order to obtain the proper permit(s) from the City of Eagan, Minnesota for the installation, maintenance and repair of windows and siding (the "yVork"). - The powers conveyed to the Agent by this Limited Power of Attomey are limited solely to the express powers delineated herein ancl apply solely to the Work. This Limi*,ed Power of Attorney shall expire and autoiriatically be revoked on the 21 st day of May, 2004, which date is one year from the execution hereof. Further, the powers conveyed by this Limited Power of Attorney may be revoked by Principal at any time by express revocation and shall also be revoked by the Principal's death, disability, incapacity or incompetence. IN WI'INESS WHEREQF this Limited Power ef Attorney is executcd this 21st day of May, 2003 Davidfil. Katz SWORN TO AND SUBSCRIBED BEFORE ME by David N. Itatz on this 21 st day of May, 2003. c Notary P?l?ic in for the State o eorgia b1y Commission Expires: January 21, 2006 396816.0 Proudly sold, furnished and installed by RMA Home Services, Inc., a Home Depot authorized contractor. 3200 Cobb Galleria Parkway, Suite 200 • Atlanta, GA 30339 • Phone (770) 779-1300 • Fax (770) 984-0709 • Toll free (800) 79-DEPOT ,PERMIT# "iNp 11 ¢I RECEIPT DATE: - USIDENTIAL PLUM$INfl PEfiMiT APPLICATION crrY oF EAsArt saso PaoT xxoe sn PnsRlv, auY 55122 651-681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backFlow preventer for irrigation system SITEADDRESS: 1 lD 4 OWNER NP.ME: : TELEPHUNE #: (46)_ 454^r 2-0? (AREA CODE) INSTALLER NAME: ?'\ S C_V?S,? ll(<_ TELEPHONE #: 6_7 STREETADDRESS: Ci? qo`? S?_ '_?) (AREA cooe) CITY: (Yb.Qt-U STATE: ZIP:.?,(fl(o Place a check mark next to the oermit work tvne New residential dwelling unit under construction and not owner/occupied $ 90.00 ? Add-on, modification or alteration to existina dwelling unit, including: $ 50.00 • abandonment of septic system • new installation/repairlrebuild of RPZ . lawn irrigation system . waterturnaround Nature of work: I Septic System, newlrefurbished - I $ 225.00 I _ • includes County & Consultiny inspector fees • requires MPC license State Surcharge $ .50 Total ?Irl?? I"' 15 ? ?.? Reminder: Be sure to schedule inspections of alterations, i.e. water heaters, water I herebyacknowledge fhat I have read this application, state thatthe information is wrrect, and agree to complywith all is the applicanCs responsibiliry to notiTy the propedy owner that the City of Eagan assumes no liability for any damage operational and maintenance activities to the facilities consVucted under this rmit wi ' i City propertylrightAway/i SIGNATURE OF 's, etc. • cF%ka? by the City / Updated 1101 2000 STORM DAMAGE PERMIT APPLICATION (RESIDENTIAL) 5 CITY OF EAGAN 3830 PIL651-681-4675 ? 55122 I f l 3 1 D0 " O3/? ?/ O l/ Reaulrements ? 2 coples o( plan DATE: U?d CONSTRUCTIONCOST: ZWa.OO DESCRIPTION OF WORK: If mulfl-family bldg., how many unlts? INDICATE THE FOLLOWING EAUIPAAEM TO BE QEPLACED AND BY WHOM: _ Piumbfng _ Homeowner gI Conhactor Name _ Mechanical _ Homeowner g[ ConhacTor Name "Note: If somebody other than the homeowner is performing plumbing or mechanical work, they musf apply forappropriate permit. Only Ilcensed plumbing contractor or homeowner may complete plumbing work. SiREET ADDRESS: 1'e17&C CcJ?z+-1 &7,n, OAI LOT: -jn?Z BLOCK: Z SUBD./P.I.D. #: diMhnv ('a k Name:C? lr2dre 6ef/V Phone#: L5j-6B?O'1073 PROPERTIf tast Flrst OWNER SheetAddress: CHy state: /VO vp; 55-12, z i Company: Phone #: (area code) COMRACTOR SheetAddress: LiCense# _ Clty State: Zip: I hereby acknowledge thaf I have read this applicafion, sfate thaf the intortnation is cortect, and agree to compy wilh allappGCable Stale of Minnesota Stalufes and City of Eagan Ordinances. Signature of Applicant: g?? ! G,/'?m?LP OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 05-plex ? 02 SF Dwelling ? OS 06-plex ? 03 01 of _ plex ? 09 07-plex ? 04 02-plex ? 10 08-plex ? 05 03-plex ? 11 10-plex ? 06 04-plex ? 12 12-plex WORK TYPE ? 31 New ? 32 Addition ? 33 Alteration ? 34 Repair ? 13 16-plex ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 19 Lower Level ? 24 Storm Damage Plbg _V or_ N ? 25 Miscellaneous ? 20 Pool ? 30 Accessory Bldg. ? 36 Move Bldg. ? 43 Reroof ? 37 Demolish (Bldg)* ? 44 Siding ? 38 Demolish (Interior) ? 45 Fire Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors * Demolition permit - Give PCA handout to applicant GENERAL INFORMATION No. of Units No. of Buildings Const. (Actual) (Allowabie) UBC Occupancy Zoning # of Stories Length W idth Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq.ft. sq.ft. Footprint sq. ft. Census Code MC/ES System City Water Booster Pump PRV 4 30,so L 13 BL CITY USE ONLY SUBD. - REceiPru: /d C;ClSS3 RECEIPTDATE: ` d'(Jc? PERMRif 403ql. 2000 PLUIrffiING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT IINOB RD EAGPN, MN 55122 651-681-4675 Please wmplete for: ? single family dwellings ? townhomes and condos when permits ere required for each unit ? backflow preventerfarunderground sprinklersystem FIXTURES ' EACH # TOTAL Alterations to existing dwelling - minimum fee Describe: $ 30.00 Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ Gas piping outlet ' minimum - t 3.00 x = $ Hot tub/spa 3.00 x = $ Kitchen sink 3.00 x = $ Laundry tray 3.00 x = $ Lavatory 3.00 x = $ Septic S stem new/refurbished • requires MPC Iic. 75.00 x = $ Se tIC S StEm abandonment 30.00 X = $ RPZ new installatioNrepairlrebuild 30.00 X = $ Rough openin 1.50 x = $ Shower 3.00 x = $ Undef fOllndSpflnklef ifdwellingisunderconstrudion 3.00 X = $ Underground s rinkler 'rfexisting dwelling 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x = $ Water softener If awelling under construceion 5.00 x = $ Water softener H axistlng dwelling 30.00 X = $ Water tumaround 30.00 x $ State Surcharge :50 -> -> -> $ io Total -> _> -> --> $ O. Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc. -----------•-----------------------------------------•----------• -----• ----------------- •----- • • ------------------------------------• ------ I hereby adcnowledge that I have read this application, state Mat Me informatlon is cortect, and agree M compy with all appticeble City of Eagan ordinences. It is the applicaM's responsibility to notify the property owner that the City of Eegan assumes no liabilily for any damages caused by the City during its nocmel operational apd-ma' ?-?--Apr this pertnR within City prapertylrightof-wayleasemant. SITE ADDRESS? OWNER NAME: GILMORE, KIM 4647 1!2 PENKWE WAY EAGAN, MN 55122 (651) 686-1073 TELEPHONE #: (AREA CODE) INSTALLER NAME: STREET ADDRESS: cirv: ' - TELEPHONE #: GBA VENTC07APPLIANCE IflSTA:I[RS (AREACODE) ST ZIP: SIG A RE OF PERMITTEE COUNTR1NVOOD MANAGEMENT 1NC. 2905 Countrywood Drive Burnsville, MN 55337 Phone 952-890-4834 Fax 952-890-2869 Page 1 of g Date : g 2 0 0 To: Company: Fax# ?,•~l-l?YsI:4694 Phone# From: Phone # 'R9o-?F83q., Comments; ' If you do not receive all the us a call 8iL'd 6GE'ON 69820682T9QOOMJ,J1Nf70J Wt1EE:9 0002'22' 698z0682L9 ? J.H. Dahlmeier Engineering Inc. August 14, 2000 Cottntrywood Management, Inc. 2905 Countrywood Drive Burnsville, MN 55337 Attn: Ellen M. Hilia, President Re: 'fownhouse 4649/4647 Penkwe Way Eagan, MN Commission No. 20266 Gentlemen: The purpose of this letter is to report the findings of a structural engineering regarding the fottndation system. ASSIGBTMENT J. H. Dahlmeier Engineering Inc. has been retained to provide a structura engineering review with recommended repairs of the foundation system anc associated items for the double townhouse located at 4649/4647 Penkwe WaY Eagan, VIN, as directed bv Ellen M. Hilla, president of Countrywood Management Inc. BACKGRDUND Heavy rains in July caused flooding of as much as 4 feet above the garage floor lei at these two townhomes. Following the flooding, damage was reported to the City Eagan Buiiding Inspections Department. The City Building Inspections Department requires an independent structu] engineering report regaxding ihe structural soundness of the structures along wi corrective measures and repairs required. A presale inspection was conducted by J. H. Dahlmeier Engineering Inc. reported to Dick Arten, then owner of 4649 Penkwe Way in a]etter report 1 April 25, 2000. 2434 Commerce Boulevard • Mound. MN 55364 • i9521472-4946 • FAX (052) 4724761 • E-Mnil 9i2'd £bE'ON 69820682T9QOOMAalNf10o Wti£E:9 0002'22 69B2068259 Countrywood Management August 14, 2000 I'age L DESCRIPTION The structure is a two-plex type of townhouse with tuck-under garages. The foundation system is concrete masonry and the superstructure is wood frame throughout. UBSERVATIONS ANY3 COMi41ENTS 1. A site visit was conducted by John H. Dahlmeier of J. H. Dahlmeiei Engineering Inc. on August 11, 2000 to review existing conditions. 2. A copy of the original report dated April 25, 2000 for 4649 Penkwe Way, Eagan, MN, is attached. 3. The following observations were made with respect to the foundation systerr and associated items: a. Conditions as noted in April 25, 2000 letter report to Dick Arten not changed substantially except as noted herein. b. The southeast corner of 4649 1'enkwe Way garage may have se slightly more• c. The upper level of 4649 Penkwe Way cottld not be inspected due to of access. d. 'T'he common wall between units remains plumb. e. Masonry joints in the foundation in both units are level. f. Framing in the garage is slightly out of plumb. g. Garage slab in 4647 Penkwe Way is similar to 4649 Penkwe Way but not as severe. h. In the southwest bedroom of 4647 Penkwe Way bedroom, a vei crack exists in the southwest corner. The sheetroek tape is torn indicates upward movement. i. The brick veneer between the two garages is slightly more dam than in the April 25, 2000 letter report. j. Paragraphs 6, 7, 8, 9 and 10 are still valid and consistent for units. 6. The observed distresses do not affect the overall soundness of the suucture However, i£ corrective measures are not taken, continued deterioration ma} occur in the sheetrock cracks and brick veneer. 7. Although brick veneer is not structural in nature, repairs are suong13 suggested since further deterioration could cause the brick to fall, thus s public safety issue. 8iE'd £7£'ON 6982068219QOOMA2ILNflOo WUEE:9 0002'22'9f 698Z0682S9 Countrywood ivIanagement August 14, 2000 Page 3 8, In order to eliminate further deterioration, corrective measures will reqtiired. 9. The following COrrective measures are recommended: a. Remove garage siab from garage door back 6 feet (beyond lateral cra4 at both garages. b. Excavate to front wall footing and along common wall footing to bottc of footing 4 feet back from exterior wall. c. Repair or replace all broken masonry units. d. Tuckpoint all deteriorated masonry joints. e. Underpin front wall footing and common wall footing full thickness depth of at least 5 feet from grade and/or garage slab, whichever deeper. Use 2,500 psi concrete. f. Repair and/or realign wood framing at garage doors as necessary. g. Repair brick veneer at cracks. h. Tie back brick veneer to wood framing with Dura-Wall Connectors. i. If brick lip projects beyond foundation wa11 on exterior, repair eliminate lip. j. Verify footing depth at other end of gazage doors, both units, UnderF as necessary to provide at least 5 foot depth from grade to underpinn footing at exterior wall. PROFE3SIONAL OPIDTION 10. It is my professional engineering opinion that: a. Although the structure is structurally stable, corrective measures eliminate further deterioration are recommended. b. No indication of setttement in the main structure exists. c. Conditions and observations as reported in Dick Arten letter report da April 25, 2000 remain valid. d. Corrective measures have been suggested to provide a structurally ste and sound structure. GENERAL 11. The information, observations and opinions stated in this report are based an inspection made by me. The inspection consisted of a visual walk-throi observing exposed elements and those accessible without the remova] finished materials. Bib'd EbE'ON 69820682S9QOOMA211Nf103 WCEE:9 0002'22' 69820682i9 Countrywood Nlanagement August 19, 2000 Page 4 12. The observations and opinions expressed in this report were based on professional engineering judgment and professional practice as well as visual inspection. If you have any questions, please contact me. Sincerely, J. D LMEI??IMEEFlTNG, INC. Jo H. Dahlmeier, I hereby certify that this plan, specification or report was prepared by me or under my direct supervision and that I am a duly rea stered professional engineer under the laws of the State of Minnesota. MinriWsota Registration No. 9222 8i9'd £dE'ON 69820682L9QOOMA211Nf10J WdEE:9 000Z'22'9f1C 698Z0682L9 ? J.H. Dahlmeier Engineering Inc. April 25, 2000 Dick Arten 2060 $ighland Drive Burnsville, MNI 58337 Re: Townhouae 4649 Penkwe. Way Eagan, MN Commission No. 20122 Gentlemen: The purpose of this letter is to report the findiags of a structural engineering review preeale issues. ASSIGNIVIENT J. H. Dahlmeier Engineering Inc. haa been retained to provide a structural engineering revii with respect to iteme noted by the mortgage company's appraiaer fot the townhouae lxated 4649 Penkwe Way, Eagan, MN, as direcced 6y Dick Arten, owner of the property. SACKGROUND The townhouee ie being sold by Dick Arten. The mortgage company appraiser indicated three areas of concem witfi respect to stn soundness. The mortgage company wiehes to have an independent atructural engineering of these conditions. DESCRIPTION The structure is a fourplex type of townhouse with tuck-under garagea. The foundation system is concrete masonry and the auperstructure ie wood frame throughout. OBSERVATIONS AND COMMENTS 1. A site vieit was conducted by John H. Dahlmeier af J. H. Dahlmeier Engfneering Inc. April 20, 2000 to review existing condiiione. 2. The mortgage company's appraiser indicated concern regarding: a. The southeaec corner of the garage slab and exterior brick masonry. b. Basement floor slab cracka. c. Sheetrack cracks in corner of eotttheeat bedroom. 2434 Caminerce Soulevnrd • Mound, MN 55364 •(9b2) 472-4746 • FAX (952) 4T2•4761 • E-iKail 8i9'd EbE'ON 69820682T9QOOMA211FJf10o WF17£:9 0002'22 6982068zi9 Dick Arten April 'Lb, 2000 Page 2 of 3 3. The following obserr-ations were made with respect to the garage s1Qb: a. The garage slab is cracked at the southeast corner and settled. b_ The brick veneer is crscked and has step cracks and is laterally displaced. c. The briclc veneer is bowed away from the frame wall. d. Other cracka exiat in the main garage floor elab. e_ T'raming in the garage is level atld plumb. f. The masonry joints in the foundation on the interior are level. g. Foundation walls are plumb. 4. The following observations were made with respect to the baaement slah: a. Two major cracks exist in the baeement floor slab. b. The crack near the entrance is 1/16" in width and level. c. The crack on the west side is about 1/8" wide. d. The foundation eyetem in the basement ehows no distress. e. Maeonry jointa are level and the masonry wall is plumb. 5. The following observationa were made with respect to the bedroom aheetrock: a. In the southeast bedmom, a vertical crack existe in the southeast corner. b. The sheetrock tape is torn and indicates upward mor-ement. c. The floora are esaentially level. d. In the aouthwest bedroom, a aimilar craek exists at the southwest cornar of bedroom (over the garage door jamb). 6. The Hrick veneer distresa and sheetrock cracks in bedrooms are cauaed hy frost heave. 7. The garage footing may not be placed below frost. In unheated spacea like theee gara frost soraetimes penetrates deeper than the frost footing depth of 42". 8. in addition, frost most likely has occurred under the hrick lip and lifted the brick veneer Thie is evidenced by the brick being separatod from the wall and bowed out. The sto crack in the brick veneer ia pro6ably also a reeult of frost displacement. 9. The cracks in t}ae garage ace probably due to frost action as well as possibly poo compaction of aub-grade at time of construction. 10. The cracks in the basement slab are probably due to poor compaction of subgrade at tim of construction. Theae crscks are non-etructural 11. There is no evidence or indication of setLlement of the main atructure. 12. The observed distresses do not affect the overali eoundnees of the atructure. However, i corrective meaeures are not taken. continued deterioration may occur in the sheeEroc cracks and brick veneer. 13. Although brick veneer is not structural in natuze, repalrs are strongly suggested sinc further deterioration could cause the brick to fall, thue a public safety issue. 6/L'd £7f'ON 69820682T9QOOMJ.211Nf10o Wtl4£:9 0002'22'9fltl 698Z068Zi9 D9ck Arten April 26, 2000 Page 3 of 3 rRoFEssioxAL aPzrrIorr 14. IL is nly profeSSional engineering opinion that: a. The structure ie structur811y sound. b. Na indication af settlement in the main StruCture Cxista. c. Slab conditione have been affected by frost and/or lack of properl,y compacted or change in moisture conditions in the clay aub-aail. d. Brick veneer and sheetrock distress results from frost heave conditions. e. Corrective meaeurea ate suggested to eliminate annual movement. GENERAL 15. The information, obaervations and opinions stated in thia report are based on inspection made by me. The inspection conaieted of a visual walk•through obaer, exposed elements and those accessible without the removal of finished materials. 16. The observationa and opinione expressed in this report wcre hased on my pi engineering judgment and professional practice as well as the cisual inspeetion. If you have any questions, plense cantact me. Sincerely, JFl r AAFILMEIER ENGINEEFtYNG, INC. qf ??yp a ?%'?!?// 1/J?ihn H. Dahlmeier, P.E. i hereby certify that this plan, specificatioa or report was prepared by me or under my direct aupervieion and that I am a duly regiBtered profeasional engineer under the lawa of the ${.a ne o ? ? ?, .. 'nneeota Regiatration No. 9212 8i8'd EbE'ON 69820682S9400MA211Nf10J Wtl17E:9 0002'22' 6982068zi9 ?w• kbw7lzfwylv&831 ,?Ywv???,,..?, ,.? CZTY OF EAGAN 3830 PIIAT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 FOR CITY USE ONLY PERMIT # RECEIPT DATE: ?t ? PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & ;?>.<:.f.:..,.__?.r.....„.... TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ------- ----------- -----------------°----- WORK DESCRIPTION ---- -------------° ----°------------- FEES NEW CONST ADD-ON MINIMUM $15.00 ADD ON ? HVAC 0-100 M BTU 24.00 REPAIR _ ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM 3.00 Or^ 1 PER :ERM'.; OWNER NAME: /?' ? SUBTOTAL: $L _ SITE ADDRESS: 7' lo & op?E "?w STATE SURCHARGE: .SO LOT:? BIACK clo- SUB TOTAL: 00 INSTALLER : A/ge (f e," ? i 12 ADDRESS: ,&w x?v SIGNATURE OF PERMITT? E c 81 JUAKUIA CITY: ZIP: SS?,?. ?.2 HEATING ANUCOOUNG PHONE #: 2020 SILVER BELL F10i11I) EAGAN, MN 55122 154-A600 'h"?31t4ERCIALj?IA(75?'RTAL: PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINCS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FDR EACH DWELLING UNIT. CONTRACT PRICE: OWNER NAME: SITE ADDRESS: IAT: BLOCK _ SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE #: FOR: CITY OF EAGAN FEES 18 OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR EACH $1,000 OF PERMIT FEE. PROCESSED PIPING = $25.00 $25.00 MINIMUM FEE. CONTRACT PRICE x 18 STATn SJ-icCItiARGE TOTAL: (SIGNATURE) r- S?S??AT???.: . CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454 8100 ?4?G,?NICAL? YFI?f??; FOR CITY USE ONLY PERMIT # RECEIPT # 10 S DATE : PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. DWELLINGS & ------------------------ --'------ WORK DESCRIPTION NEW CONST ? ADD ON REPAIR _ OWNER NAME : JN 1// / 1 Q 1J" ? e1 SITE ADDRESS: IAT: BLOCK SUSD. INSTALLER: Burnsville Heating & A/C, Inc. o e s an ve. o. a.nnRESS: Savage, MN 55378-1122 894-0005 ZIP: PHONE # FEES ADD-ON MINIMUM $15:0 HVAC 0-100 M BTU 00 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM 3.00 OF 1 PER PERMIT D SUBTOTAL: $ I-c-' ? STATE SURCNARGE: .50 TOTAL: $ "'? S ATUR^ OF PERMITTEE Cc??- V- t' e.r A-IC' '3 S'cKoa-? 711 r/5' i- % 'qle_ gQMME&qItl17?tSTRTAT.°, PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, APARTMENT SUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING IINIT. CONTRACT PRICE: OWNER NAME: SITE ADDRESS: IAT: BLOCK SUBD. INSTALLER: ADDRESS: CITY: PHONE #: FOR: CITY OF EAGAN ZIP: FEES 1% OF CONTRACT FEE. STATE SURCHARGE a $.50 FOR EACH $1,000 OF PERMIT FEE. PROCESSED PIPING = $25.00 $25.00 MINIMUM FEE. CONTRACT PRICE x 18 STATE SURCHARGE TOTAL: $ (SIGNATURE) CITY OF EAG,1N EARLY UTILITY CONNECTION PERMIT Address Subdivision/Parcel I hereby request permission from the City of Eagan to connect to [he sanitary sewer and wa[er la[eral line in the public rigfit-of-vay. 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 connec[ these individual services to any interior plumbing and unders[and the require- ment to cap the sewer service to prevent any unauthorized use. In accepting this permit, i[ 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 Permit will be issued or water allowed to be turned on until the City utility system has been declared operational by the City Engineer. VVAL WENZEL MECHANICAt Signed by - Plnmber Owner: Developer Builder: Dated: . .' CITY OF Fr1G,1N EARLY UTILITY CONNECTION PERMIT Address ? Subdivision/Parce I hereby request permission from the City of Eagan to connect to the sanitary sewer and water lateral line in the public right-of-way. I understand that the City has not yet completed, inspected and/or accepted the sewer and/or watez lateral. I agree not to use, test, or connect these individual services to any interior plumbing and understand the require- ment to cap the sewer 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 6e issued or water allowed to be turned on until the City utility system has been declared operational by the City Engineer. WEN2EL MECHAMICAL NHBEC ?2156?5 Aµ????? Signed by - Plumber: Owner: Developer: Buil er: Dated: ? F ? CITY OF EAC,1N EARLY UTILITY CONNECTION PERMIT .3IJ pddress Subdivision/Parcel? I hereby request permission from the City of Eagan to connect to the sanitary sewer and water lateral line in the public right-of-way. I ' understand that the City has not yet completed, 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 mill hold the City and its agents harmless from any damage that may occur due to this earTy 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 operacional by the City Engineer. ?p? ???p?? WENZEL£ME?CH?AN?I? ? Signed by - Plumber:???t???? `'`? ' ?`?-`°" ?? ?,?{?g$ Owner: Developer: Builder• Dated: -?-? - CITY OF EAC.1N EARLY UTILITY CONNECTION PERMIT G e-/? y7?? '?-? C`P ?,c??_- Address Subdivision/Par 1 I hereby request permission from the City of Eagan to connect to the sanitary sewer and water lateral line in the public right-of-way. I • understand that the City has not yet completed, inspected and/or accepted the sewer and/or water lateral. I agree not to use, test, or connec[ these individual services to any interior plumbing and understand the require- ment to cap the sewer service to prevent any unauthorized vse. In accepting this pezmit, it is agreed that I will hold the City and its agents harmless from any damage that may occur due to this early connection. It is understood that no Occupancy Permit will be issued or water allowed to be turned on until the Ci[y utility system has been declared operational by the City Engineer. ,,???? WEMZEL MECHANICAt ,,*-A ECDANE. EAtiAN,WNlk65&7! Signed by - Plumber: ?!'.L" W?? ?. 45?r15l6 Owner: Developer: Buil er: Dated:??/? 7 `) ? City Of EaiaIl 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fau:(651)675-5694 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Ske Atldress: Tenant: RESIDENT/OWNER Name:JG)?? Address / Cfty / Zip: Applicant is: _ p?er _ Contractor TYPE OF WORK Description of work:je 'a'r U?? ?-IQc?'JF ? Construction Cost: ? -7.2 V Mufti-Family Building: (Yes A- / No CONTRACTOR Name:/VU?u),o-51- Grj,7-T t;?'TL't'3 L?CG Ucense u: ?-C 15-9 `'! 7,3 Address: City: ?? .;??vU? State: X- Zip: J S3 ?? Phone: C:I.Z-l5 TY^9lP? Contact Person: Li J0?-A?'?`rj COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cate^orv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Ca}egory 1 Warksheet • New Energy Code Worksheet Category Submitted Submitted submission type) • Energy Envelope Calculations Su6mined In the last 12 months, has the City of Eagan issued a permR for a similar plan based on a master plan? _Yes _NO It yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE• Plans and supporting docuinenfs: ifiat you-submrt are;con,sidered to be putillc information: Porfions of - the mfoimation may;be classlfied as non pubiic if gou pro vide specf?,c_reasons that would "permit ttie City to °°' ` conclude ihat thev are trade secrets. - - -.. .__, --.-.-..,-°7? •, p, •,,,? aUun is wmpiece. ano accurate; that the work will be in confortnance with the ordinances and crodes of the City of Eagan; that I understand this is noi a permh, but only an applicadon for a permit, and work is not to starl withoui a permit that the work will be in accordance with the approved plan in ihe case of work vfiich requires a review and approval of p 6hs. x??-" ApplicanYS PNnted Name - r -------- -_ _ ?- ---------- ? h`b(i?ausg ? j Permit#: ? ? I I ? Permi[ Fee: I I j Date Received: ? i ? I Staff: ? I I t ________ J Page t of 3 ror Office.Use Permit I City.. of EaQafl Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 l Fax: (651) 675-5694 i Staff., J 2009 RESIDENTIAL BUILDING PERMIT APPLICATION r Date: "0_6 *1 Site Address: Tenant: 00C- S tJ 51"4'01 'O Suite /I1 Gs~ t`r~r! ! hone: RESIDENT /OWNER Name: LTj Address / City J Zip: Applicant is: Owner Contractor r {f TYPE OF WORK Description of work: P*q~` Construction Cost: K 5c' 0 Multi-Family Building: (Yes i No CONTRACTOR Name: 0-,*-- License ,20 9 &173 Address g- City: State: Zip: SAS Phone: Contact Person: cJ 2 ? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Energy Code • Residential Ventilation Category I Worksheet • New Energy Code Worksheet Category Submitted Submitted ( 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 s rait are considered e pu'bli aSon: Portions of the information .;maybe classified as non-public if you provide specific re s that would permit the City to canckde that the are trade secrets. I hereby acknowledge that this information is complete and accurate; that the work will be ljpfomiance 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 wqr~ is no o 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 approv0V pla x f f'12 x Applicant's Printed lame A an's Signature Page 1 of 3 1 1 .swr w. w.. r....r... a Vi 4 C. R. WINGfN & ASSOCIATES, INC. 1~~• •i " LAND SURVEYORS Tsl. 645-3$46 For: 1381 EUSTIS ST., ST. PAUL, MINN. 55108 U. S. Home Corporation N EAGAN REVIEWEt BY:..., i- rr? : tl 7,: ng ,~!I s tIi14T~ f ~b ~0 9 plILtMNK #N$PECTI«NE O awUM Scale: 1" _ 501 \,P h n, 3 Ct ,y'L_ 3 LT 32 Oc \2u ~gam, *13 ti ?2 h 2~ RP It n,^' t" tiff c~ ~`6C? c3 titi o~' V ti 32 s'4 y `7 RA 33~A Note: As of this date Johnny 9 ~2 Cake Ridge Third Addition has not been recorded. Lots 1 through 4 inclusive, Block 2, 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 FALL day ofVISIBLE ENCROACHMENTS, IF ANY, FROM OR ON SAID LAND. Dated this 3rd C. R. WINDEN & ASSOCIATES, INC. s~t~~G A. O. 1980 by Survsyor, Minnsso?o Registration No. .G City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Description: Sub Type: e - Furnace & Air Conditioner Work Type: Replacement Description: Fumace & Air Conditioner Comments: Questions regarding electrical perm 952- 445 -2840. Fee Summary: Contractor: Lofgren Heating & Air 5708 Upper 147th St W Suite 102 Apple Valley MN 55124 (952) 431-5811 ME - Permit Fee (Replacements) Surcharge -Fixed Total: Applicant/Permitee: Signature PERMIT City of Eaan Site Address: 4645 Penkwe Way Lot: 1 Block: 02 Addition: Johnny Cake Ridge 3rd PID:10- 39802 - 010 -02 Use: - Applicant - Permit Type: Permit Number: Date Issued: Permit Category: equirements should be directed to Mark Anderson, State Electrical Inspector, Owner: Diane K Sather 4645 Penkwe Way Eagan MN 55122 $50.00 0801.4088 $0.50 9001.2195 $50.50 I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Issued By: Signature Mechanical EA080618 10/22/2007 ePermit ��`�S, y�y� 'l�- , `���7. ��y� '/�: Use BLt1E or BLAGK Ink �__�— ------------ • � � For Office U;se �� � ��" � Permif#: ' ! ���i C��� �f�� �� ; . . �3, s� , � Permd Fee. , � ! 3830 Piiot Knob Road � ' � Eagan MN 55122` � Date Received. � Phone:(651)675-5675 I t Fax:(651 j 675-8694 1 Staf�: t I I � . .. . . . . � � . � . . . . . . . . � . . �.�+�...�.� �r���. �J. . 2014 RES#DENTl14L BUILDING PEl�M1T APP��CATIQN �r�: �°-l�—I`� Ss�Ad��: Lf�y 5 ���`�'r '� P��i� �v� �„�t�: Name: LJ�!rl?i'j 4' �'—�'�� /t�t.v��t�rc� �Phone: ' Resident/ � _- C�WR�t' Address I Ci#y t Zip.--�C�/l��}.J�' /�� APPlicant is: Owner ✓\, Gontractor Ty�t���NO�'ic Description of work: "�'�w�►- �l�� �-{ ��. �Qr'�"'� Construction Cost: ��'i��'p � Mufti-Family Building:(Yes�I No ) Cornpany:�UY?-rJ�f 5� �c��l��v�-�?�OfS '� Cantach �l f��'t /�G�✓a� Address:���j�l ��1��✓/��?a� L�M"� � City;1�� ��V��--- Contract�r � State:�Zip: �1�,� '3�l Phone:����9"��EmaiL a J����J Jv'L�S`?��r.�vJ`Y�i/��T^v v =` License#:�J� ��`� � 1 3 '��?c.-C;r�=� �eaa certi�ca�te#:�V�-�—�--t=>J�1 i�3 —> If#he pro}ect is exempt from fead certi�cation, please explain why` (see Page 3 for add�ion8!infc�emafion) COMPLETE THIS AREA ONLY tF CONSTRUCT'!NG A NEW BUILDtNG ,/� in the{ast 12 mo , tt�e City af Eagan issued a permit for a sim�lar pFan based orr a master plan? ,_Yes _Na If yes,dat�and addr f master ptan: Ltcensed Plumber: Phone: Mechanical Contractor: , � Sewer�Water Cont rc Phane: 1���'�; ., s ar�ri supportirrg dctcur»ents f�at yr�u��bit�r�t arr�.cons�de�ted#o be pu61�+c ir�fi�tt,�#r� P��+�.�s:o�" tr�fc�rrnat�oi��ta�tie ci��.sif'�f as non=publ�c�yct�.p�+r�vt�'e spec��reaso�rs�w#�ufd�ii`i�'C�ty#a c.�rictude�t fhe ar+e�ade�rets CALL BEFC}RE YOU DIG. Calt GopherSta�One Cail at(651)454-0002 far pc4teciion agai�t underground utility darnage. CaU 48 hours t�efiore you intend to dig to receive loqtes of undetground utflrties. www.ctopherstateonecat[.ara i hereby acknowiedge that this ir�fom►ation is c�rnptete and ac�urate;that the warlc will be in canformaace writh the ordina�and cQdes-of the Gity�f Eagan;fhat 1-unde�stand this is not a Qermit,but aMy an appiication for a pennit,and work is not to§tart withouk a perm�#;thai ihe wrork wrill be in accortlance with tne appraved ptan in the case of wa�rtc which requires a r�v�w and approvat of piat�s. E�cterior work authwized by a buildF�g permit iss�d in aceordance with ths Mlnn�+�ta Stabe Ming Cod�m�t be compieted within i80 days of pgmnit issuance. � � i X �� �1� � � - X App�t+cat�E's Printed Name ' nYs Signature ; Page!of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA140304 Date Issued:12/07/2016 Permit Category:ePermit Site Address: 4645 Penkwe Way Lot:1 Block: 02 Addition: Johnny Cake Ridge 3rd PID:10-39802-02-010 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Brooke Plan 4645 Penkwe Way Eagan MN 55122 (651) 402-8932 Window Concepts Mn 291 Eva St St Paul MN 55107 (651) 905-0105 Applicant/Permitee: Signature Issued By: Signature