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.
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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