4649 Penkwe WayI • CASH RECEIPT
CITY.OF EAGAN
.
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE
Recerveo
FROM
19
AMOUNT $ I
& bOLLARf
iee
? CASH ? CHECK
5cp_
i
White-Payen Copy
Yellow-Postinp Copy
Pink-File Copy
Thank You
?(? ., Bv
CITY OF EAGAN
Addition JOHNNY CAKE RIDGE 3rd
Owner -liAlA?ti[ l7
Remarks
ADDITIQN Lot 4 Rlk 1 P8f.A10 39802 040 01
screec 4645 Ridge Cliffe Drive state Eagan MAI 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. SS 1981 Paid und r ori inal arce
STREET RESTOR,
GRADING
SAN SEW TRUNK ZiV( 1975 Padi UTId 2' original arce
* SEWER LATERAL
WATERMAIN
# WATER LATERAL 1981
WATER AfiEA L 1980 p31 und r original arce
STORM SEW TRK
* STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
sAC 525.00 20338 8 7 80
PARK
CITY OF EAGAN Remarks
Addition JOHNNX CAKE RIDGE 3Y'd ADDITIQN Lot 3 pik 1 Pe,oe,#10 33802 030 01
OwneQ,?? re; ;fhs ` 1_. • i?!: Z- street 4647 Ridge Cliffe Drive StateEagan MIIV 55122
Improvement Date Amount Annual Years Payrtrent Receipt Date
STRfET SURF. 67s 1981 Paid llllcl Y' OT7. inal &TC8
STREET RESTOR.
GRADING
SAM 5EW TRUHK 3oj 1975 Paid UII r original arce
* SEWER LATERAL S
WATERMAIN
* WATER IATERAL JQRJ
WATER AREA qZ 1980 81 lItl T origina arce
STORM SEW TRK
* STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET L1GHT
WATER CONN.
9UILDING PER, 6011
sAC 20338 8 7$0
PAR K
CITY OF EAGAN Remarks 'lfz
aadit?o?1 • Johnny Cake 3iZddk?'.5??i??l?dditionor 1 sik 1 ParceI#10 39802 010 01
owner 111C.j16L.F(L qVl£, Y-ffh Street 4649 Penkwe Wa,y State EagaII MIIV 55122
Improuement Date Amount Arinual Years Payment Receipt Oate
S7REET SURF. ?-? 1981 Paid U71d r ori inal arce
STREET RESTOR.
GRADING
SAN SEW TRUNK 1975 Paid und r original arce
* SEWER LATERAL r
WATERMAIN
* WATER LATERAL
WATER AREA • 980 Paid und r original arce
STORM SEW TRK 10 15180
* S70RM SEW LAT
CURB & GUTTER
SIDEWALK
57REET LIGHT
WATER CONN. 817180
BUILDING PER.
SAC $ 7 $Q
PARK
CITY OF EAGAN Remarks iC? a?? ??.??? '6&
A¢dixion?nuNNv retcF RT(lCG 3,.d ennrTrnu Lot 2 Rik 1 Perce11.111 39802 Q2() Ol
owne???':?;':`? scrwt 464915 Pe kwe Way StatQEagan MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 5!57 1981 Paid und r original arce
STREET RESTOA.
GRADING
SAN SEW TRUNK 197$ Paid und r original arce
* SEWER LATERAL 1981 22
WATERMAIN
* WATER LATERAL 1981
WATER AREA 1980 P81 Ulld P original arce
STORM SEW TRK S 1981 300.31 60.06 S 300.31 C005581 10/ 15/80
* STORM SEW LAT 19$1
CURB 8+ GUTTER
SIDEWALK
S'TREET LIGHT
r 80
WATER CONN.
RUILOING PER. rnin . ......
sac 525.00 20338 8 7 80
PARK
CITY OF EAGAN
3830 Pilot Knob fload
Eagan, Minnesota 55123
(612) 681-4675
INSPECTION RECORD I C°ntr°' "°.
. PERMIT TYPE: ?ut E paN?
Permit Number.
Date Issued: •? / i ?/ 32
SITE ADDRESS: LaT, 2
4549 112 P€NICL,IE WAY
aaHNNr cAKE Rr ueE sNo
PERYJT ?UBTYPE:
OLaCK ; i APPLICANT:
ALLEM CQMBT
(siz) de4-61*9
TYPE OF WORK: ADa t r[a"
PKmft No. Psrmft Hoider pate Tilsphone N
SJVY
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Mspectlon Dete Insp. Ccmmenta
Footfrgs 1
Foundetion
Framing
Raofing
Rough Plbg-
RWO ?• .
laul. I
Flreplace
Final Fitg-
Clreat Test
Flnal Plbp. Plbg. lnspec.?tor - Notify Plumb9r
Conet Meter
EnprJPlan
Bldg. Flnal
Deck Ftg.
Deck Final L ?
Well
Pr. Disp.
CITY OF EAGAN
3795 Pllot Kno6 Rood Eagan, MN 55122
PHONE: 4548100
BUILDING PERMIT
Te 6a uted fee
Receipt #
N° 6009
Site Addreu Erect
?
Occupancy
Lot 81ock Sec/Sub. Alter ? Zoning
parcel # Repoir ? Fire Zone
l
E t
T
f C
n
orge ? ype o
ons
.
oc Nome
Move
?
# Stories
W
? Address Demolish [3 Front ft.
Ci phbne Grode p Depth ft.
°C Appeovals Fees
Name
?F
Assessment
Permit
Address
~ Water & Sew. Surcharge
Phone
Ci
Police Plon check
F W Name Fire SAC
?z
C,
/lddress
Eng.
Water Conn.
aW Ci Phone Plonner Water Meter
Council Rood Unit
1 hereby acknowledge that I huve read this upplication ond state that gldg. O{f.
the information is wrrect ond agree to comply with all appiicable APC Total
State of Minnesota Statutes and Ciry of Eagan Ordirwnces.
Siflnature of Permittee
A Bulfding Permit is issued to: on the express condition that
oll work sholl be done in occordance with all opplicoble Stote of Minnesota Statutes and City of Eagan Ordirwnces.
Building Officiol
Pennif # peb IMred Peraditr
Plumbing / 9 I 9 - q-'Ie
Mechanical J?C ?
? -
INSPECTIONS OATE INSP.
Rough- I n
Ftnal
Footings Dote Insp. Date leup.
Foundotion Plumbing
Frame/ins. Methonical
Fincl
Remarks:
. ?
No.
Dote:
I2-Ll.-s0
CfTY OF EAGAN
3795 Pilot Knob Rsad
Euyan, Minnesote 55122
Phowe: 454-8100
PERMIT
Site /lddress:
Lot Block Sub/Sec.
, , .-, . ..
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
Receipt No.:
Single I
Residentiol
Multi Res., Comm./Ind. I
Name air
N
w/Alter
/Re
.
p
e
.
•
; ^r?rd.
AdAress
Co
t of Instollation
s
O
City Phone: I
Permit Fea
. ,..,.,., , ._ .
Name Surcharge
r
? Address
e
City Phone: Total
This Permit is issued on the express condition thot all work sholl be done in occordance wlth all oppliwble State of
Minnesoto Stotutes ond City of Eagan Ordinonces.
Buildinq
No. 1vl`;
CITY OF EAGAN
3796 Pilot Knob Road
Eogaw, Minnetota 55122
Phows: 454-E100
PERMIT
Date: '-??-80
Site Address:
i
Lor "
Jrk?' . GRke L? c4? . 3
Block Sub/Sec.
Name ? -' horT8aQ1 Hdrc f'
; Address
a ,
City „tonka, rtn. Phone: 544-7333
,
Nome
r
? Address ' r'} !=eranebec Dr.
City Phone:
This Permif is issued on the express condition thot all work shall be
Minnesoto Statutes and City of Eugan Ordinances.
Receipt No
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
$ingle
Residentiol
Multi Res., Comm./Ind. I
New/AIter./Repoir. Cost of InstoQotion
Pe?mit Fee
Surchoroe Total
done in occordance with all applicoble State of
Building Officiol
Receipt PLUMBING PERMIT Permit No.
CITY OF EAGAN
Fae
fill in numbered spaces S/C
Type or Print legibly Tat.
1. Date 2. Insiallation Cost
3. Job Address'y('`jS t?' u•,'. `'_ '; [ Lot q Blk. 1 Tracts C•
4, Owner j j k yN ? o h 1rt sT
b. Contractor ?1?j rvi r.? e QS V617 Phone 3I(o-]
6. Address i? J? ?• ?. ?l'lQ 15 ? 54 1 I
7. City
State
Zip
8. Building Type: Residential A Commercial ? Institutional ?
9. Work Description: New lO Add ? Alter O Repair ?
10. Descxibe
11.
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory ? Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
E Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : ' ' for
Rough Final
Inspections: Date Insp. Date _ Insp. _
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
cInr oF EacaN
- 3795 Yilot Knob Rood Eogan, MN 55122 , N0- 6011
' PHONE: 454-8100
BUILDING PERMIT
Receipt #
To be used fo? Est. Value Dote , 19
Site Address Erect [] Occupancy
Lot Block Sec/5ub. Alter ? Zoning
P
l Repoir ? Fire Zone
arce
#
r
l
E T
of C
t
a
ge ?
n ype
ons
.
w Nome Move ? # Stories
? Address Demolish 0 Front ft.
Ci Phone Grade ? Depth ft.
? Approvo Is Fees
? o Name _
?
v? Address
F- n...
Name _
Address
I hereby acknowledge that I have reod this applicotion and state that
the information is correct ond agree to comply with all opplicable
5tote of Minnesota Stotutes and City of Eagan Ordinonces.
Water & Sew.
Police
Fire
Eng.
Planner
Counci I
BId9. Off. _
APC
Permit
Surcharge
Plan check
5AC
Water Conn.
Water Meter
Rood Unit
Total
Signoture of Permittee I
A 6uilding Permit is issued to: on the express condition thot
all work sholl be done in nccordance with oll opplicable Stote of Minnesoto Stotutes and City of Eagon Ordinonces.
Building Officiul .
Psrmif # DaM Iwaad Parndtfes
Plumbing 1911, - V_ tv ?J
Mechonical o2d0 5-
INSPECTIONS
Footings
Foundation
Frame/ins.
Finul DATE
f-/, $6
o- J INSP.
fumbing
Mechonical
Rough-In
Date Insp.
?
Finol
Oota rnsp.
Remorks:
l t+Z ` e2.3 ro -a,e- g z
A?
No.
Dote:
CITY OF EAGAN
3795 Pile! Knob Reed
Eagaw, Minnmofa 55122
P6owa: 454-8100
PERMIT
Site /lddress:
Lot
4647 Ri.dge Cljffe Dr.
Block Sub/Sec
,TlIw. Cii.l;n P,° -n .
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
Recelpt No.:
Single (
Residential
Multi Res., Comm./Ind. I
Name . New/Alter./Repotr
;
; Address Cost of Instollotion
O
City Phone: Permit Fee
Nome Surcharge
.
i I I I -.- ..
i Addreu
Ciry Phone: Toto l
This Permit is issued on the express condition thot oll work sholl be done in aCCOrdGnCe with all CppllCable $tOte of
Minnesota Statutes and City of Eagcn Ordinonces.
Buildinp Officiol
No.
cirY oF EAGAN
3745 Pilot Knob Road
Eagan, Minnewfo 55122
Phone: 454-8100
PERMIT
Date:
Site /lddreu: Lot Block Sub/Sec. '
Name 'iI7
.
? Address 'a Crsr=.
) i
City Phone:
Nnme F'1
?
?
? Address -
City Phone: .
This Permit is issued on the express condition thct all work sholl be
Minnesota Stotutes ond City of Eagon Ordinances.
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
Receipt No.:
Single I
Residentiol
Multi Res., Comm./Ind. I
New/Alter./Repair
Cost of Instcllation
Pe?mit Fee
U v?fvi.n.
Totcl
done in occordance with oll applicable State of
Buildinp Officiol
.. ,, .* GTY OF EAGAN
3795 Pilat Knob Rood Eagen, MN 35124 Ng 6 012
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be med for Est. Vulue Date , 19
Site Address - Erect T] Occuponcy
Lot Block Sec/Sub. Alter Q Zoning
parcel # Repair 0 Fire Zone
Enlarge ? Type of Const.
Name Move ? # Stories
W
3 Address Demolish p Front ft.
°
Ci Phone Grode ? Depth ft.
a Aporovah Fees
o Name
?
?? Address
r.... nt...__
Name _
Address
I hereby ocknowiedge that I have read this cpplicntion and state that
the information is correct and ogree to comply with all applicable
State of Minnesota Stotutes and City of Eagan Ordirwnces.
Water & Sew.
Police
Fire
Eng.
Plonner
Counci I
Bldg. Off. _
APC
Permit
Surchnrge
Plon cheCk
SAC
Water Conn.
Woter Meter
Road Unit
Total
Signature of Permittee I
A Building Permit is issued to: on the express condition thot
oll work shall be done in eccordence with nll appliwble Stote of Mlnnesota Statutes and City of Eogan Ordinances.
Building Official
M - `•
P*nn1t # DeM IwaM PennlltM
Plumbing 1917 cl-jrf
Mechanical O
/..'?
INSPECTIONS DATE ? INSP.
Rough-1 n
Finol
Footings gyS -?D Oafe I Inap. Date Irup.
Foundation Plumbing "?7 :De-
Frame/ins. Mechanicol ?
Final
?/ ld-2? se
Remarks:
? ?
' - -' CITY OF EAGAN
3795 Pilot Knob Rood
Eogow, Min?sote 55122
No. Phoae: 454•8100
PERMIT
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
Date: Receipt No.:
Single - . I
Site Address: Residentiel
Lot Block y Sub/Sec. Multi Res., Comm./Ind. I
Name ' New/Alter./Repoir
; Address Cost of Instollction
O
City Phone: Permit Fee
Nome 5urchorge
.
Address e
?
City Phone: Total
This Permir is issued on the express condition that all work shall be done in ocwrdance with all upplicable State of
Minnesoto Stotutes and City of Eagnn Ordinances.
pfficial
?, .
No.
CITY OF EAGAN
3746 Pitot Knob Rood
Eagon, Minnesota 95122
PAone: 454-8100
PERMIT
IfVSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
n
Dote: Receipt No.:
Single _ I
Site Address: Residential - `
lot Block 1 Sub/Sec. Mufti Res., Comm./Ind. I
Name n
New(Alter./Repair
a 'i= :,?]';'•_'J'.? ?''+' >'.'C ,.
; Address Cost of Insfallntion
O
CitY ±nnka' ..a, Phone: 5:'!'-•7333 Permit Fee
Nome ' `E' C.7:?? ,,_j C• ? -
$urtha rge
? Address
City ' Phone: -- ` ? "
Total
This Permit is issued on the express condition that all work sholl be done in accordance with all applioable Stote of
Minnesoto Stotutes ond City of Eogen Ordinonces.
Building Official
- CITY? OF EAGAN
3745 Pi{ot Knob Road Eogon, MN 55122
• ? ? PHONE: 454-8100
BUILDING PERMIT
Receipt #
N° 6010
To be ?d fee Est. Value Date , 19
Site Addreu Erect Ei Occuponcy
Lot Block 5ec/5ub. Alter ? Zoning
p?rcel # Repnir ? Fire Zone
E
l T
f C
t
n
arge ? ype o
ons
.
W Name - Move ? # 5tories
Z
o Address Demolish ? FronY ft.
Ci .
Phone
C?? ?
Depth -? ft.
ce Nome Approvals Fees
Z0
ou
u?
t-
Address
Nome _
Address
I hereby acknowledge that I have read Yhis application ond state that
the informotion is correct ond agree to comply with all applicable
State af Minnesota Statutes and City of Eogan Ordinances.
Wpter & $ew.
Police
Fire
Eng.
Plonner
Council
Bldg. Off. -
APC
Permit
Surchbrge
Plan check
SAC
Woter Conn.
Water Meter
Road Unit
Total
Signature of Permittee I
A Building Permit is issued to: on the express condition that
oll work shall be done in accordance with oll applicable State of Minnesota Statutes and City of Eagan Ordinonces.
Building Official
Permit # Dah Isaed Penpitlw
Plumbing / gaa o
Mechanical „?2 C .2 1,2 -/ ? 0
j 2 _/
INSPEC'TIONS DATE INSP.
Rouqh-I n
P+nol.
Footing5 Oate InsO• Dnte Insp.
Foundotion Plumbing j_
?.
Frame/ins. Mechanical ,
Final '
Remarks:
;7--??-??
19, 1171? ,W?
3
?
. cIrY oF EAGAN
• • 3795 PiW Ksob Read
No. Eo9on, Minnesota 55122
Phene: 454-8100
PERMIT
Dote:
Site Address:
Lor
461,9# Aenkwe Way
81xk ' Sub/Sec.
. , ; y, ,,-,-nnr ^ _pnn ,'O-r
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
Receipt No.:
$inqle ? I
Residentiul
Multl Res., Comm./Ind. I
Nome New/Alter. / Repair
? Address Cosr of Installotion
LOTl1:& , ""' ? ? ?
City - " . Phone: ` Permit Fee
Nome
` SurcFarge
? Address .
,
City ' Phone: Total
This Permit is issued on the express condition that all work sholl be done in occordonce with all opplicable State af
Minnesoto Statutes ond City of Eogon Ordinances.
Buildiny Official
CITY OF EAGAN
3795 Pi{ot Keob Roed
Eogan, Minnesota 65122
Phowe: 454-E100
PERMIT
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
Receipt No.: ' `
Site /lddress: 4( ' +n%? FE'L.MG ?.
Lor Block 1 Sub/5ec. -71,rLy, Cake -RdP,'• 3
5ingle
Residential
Multi Res., Comm./Ind. I
Name Orriri `rhODip80'_1 HOri?eS New/Alter./Repoir. $ qddreu ' ''? 2 ':?.or,kins Crs.rd.
Cost of Installation
O
City ,.,nCtOIIkB, ;`.n. Phone: ? -.71 ?.;
Permit Fee
` Name '?%eri2@Z ?.e411[LL114'gl Surchorge '
t -)0 ICennerec Dr.
g nddress
? City f Phone: Total
This Permit is issued on the express condition that oll work shall be done in accordance with oll opplitoble State of
Minnesota Statutes and City of Eagan Ordirwnces.
Buildiny Official '
SEVHER SERVICE PERMIT
Pilot Knob Road
, MN 55122
PERMIT NO.:
DATE:
No, of Units:
Lr
Site Address• r t ry
? -,? { !a C . T' '•
' ' ? . ?.
1 agree to eompIy with the City of FagOe Connection Charge:
Ordinnnces. Account Deposit:
Permit Fee: -
Surcharge:
By Misc. Chorges:
Date of Insp.: Total:
Insp.: Dote Paid:
CITY OF EAGAN
3795 Njlot Knob Road
?9an, MN 55122
Zoning:
Owner:
Address:
Site Address:
I Plumber:
/Vleter No.:
Size:
Reader No,;
I d9ree fo eomply with tha City of Eagnin
0?dinaneas.
By
Date of Insp.;
Connection Charge
Accrount Deposit: _
Permit Fee:
Surtharge;
Misc. Chorges:
ToYol:
Dote Paid:
Insp.:
CITY OF EAGAN SEWER SERVICE PERMIT
3795 Pilot Knob Rood
Eagan, MN 551T.2 PERMIT N?.:
DATE:
Zoning:
No. of Unitr.
Qwner:
Address:
Site Address:
Plumber:
1 egree w eompir wifh t6e Ciry of Eogan
Ordinanees.
By
Dote of Insp.:
WATER SERVICE PERMIT
PERMIT NO.:
DATE:
No, of Unitr.
Connection Churge:
Account Deposit:
Permit Fee:
Surcharge:
. Misc. Charges:
Totoi:
Dote Poid: ?
TY OF EAfiAN
795 PiW Kweb Road
gan, MN 55123
oning:
?wne r:
dress:
Ite Address:
" Plumber:
Meter No.:
SCTra•
WATER SERVICE PERMIT
PERMIT NO.:
DATE:
No. of Units:
Reader No.:
1 agree to comply wiNh the City of Eogan
Ordlnanees.
By
Date of Insp.:
EAIIIIIIII
Connection Charge:
ACCOUnF D2POSIt:
Permit Fee:
Surcharge:
Misc. Charges:
Total:
Date Paid:
I nsp..
t
crnr oF E1GAN W•_TER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.:
Eagan, MN 55122 DATE:
Zoni^9: No. of Units:
Owner:
Address:
Site Address:
PI umber:
Meter No.: Connection Charge:
Size: Account Deposit:
Reader No.: Permit Fee:
1 agroe to camply with the Ci[y of Eoqon Surchorge:
Ordinanqs. Misc. Charges: ?
Total:
BY ? Dote Paid:
Dote of I nsp.: I nsp.:
17795 uF EAGAN
Pilot Knob Road
gan, MN SS122
ning:
:
her:
Address:
Site Address:
Plumk,er:
1 agree !o complr wifh Hw Cifr of Eagon
Ordinances.
By
Dote of Insp.:
SEWER SERVICE PERMIT
PERMIT NO.:
DATE:
No. of Units:
Connedion Charge:
Account Deposii: _
Permit Fee;
Surcharge:
Misc. Chorges: _
TotoL• -
Date Paid
CITY OF PAGAN
3T7S Pilot K,wb Roed
Eagart, MN 53122
Zoning;
Owner;
Address:
Site Address;
Plumber:
SEWER SERVICE PERMIT
PERMIT NO.:
DATE;
No. of Units:
agree M wmp1Y with !he Citr of Eugan Connedion Charge:
inanees. Account Deposit:
Permit Fee:
Surcharge:
Y Misc. Charges:
ote of Insp.: Total:
nsp.: Date Poid:
?
CITY OF EAGAN WATER SERVICE PERMIT
3745 Pilot Knob Rocd PERMIT NO.:
Eagan, MN 55122 DATE:
Zoning: No. of Units. ?
Owner: _
Address:
Site Address:
Plumber:
Meter No.: Connection Chorge: ,
Sire: Account Deposit: ,
Reoder No.: Permit Fee:
I agree to Comply with the City of Eagon 5urcharge:
?
Ordinencea, Misc. Chorges: ?
roral:
gY Dote Paid:
Dote of Insp.: Insp.:
C"',
EAGAN WATER
E
-0 S
RVICE PERMiT
5795 Pilo+ Knob Rood PERMJT NO.:
Eagan, MN 55122 DATE:
, Zoning:
No, of Units:
Owner. '
Address:
SiYe Address:
Plumter:
Meter No.: Connection Charge:
Size: Account De
posit;
Reader No.: Permit Fee:
I e9?ee 10 oomply with fhe City of Eagan Sumharge:
Ordinaneea. Misc. Charges: '
Totol:
BY Do#e Paid:
Date of Insp.:
I nsp.:
r
cirir oF EAcaN
? 3795 Pilot Knob Road Eagan, MN 55122 N2 6009
' PHONE: 454-8100
BUILDING PERMIT APPLICATION i • Receipt
Te be uted for 1 of Q plex Esf.Value 46,490. Dote 8-6 , is=Q
Site Address 4649 Penkwe Wa.y Erect EC Occupancy R3
Lor 1 eiock 1 Sec/Sub. Johnx?y Cake Rd 3rd plter ? zoni„9 PD
P
1 unrecorded Repofr ? Fire Zone 3
arce
#
E
l t
T
f C V
n
arge ? ons
.
ype o
rc
w Name Orrin Tho=enn Hnmas Move ? # Stories
?y+ Address 1712 HOUklriS CTOSSI'o3d Demolish ? Front 22 ft.
°
Ci
Mi.nnetonka, N?? 5[,4-7333
Grade
?
Depth
?4 ff.
? Same Aowwub Fees
o Nome
?
?? Addrew
F r... a,..__
Name _
Address
i hereby ackrawledge thot I have reud this opplicotion and state that
the information is correct ond agree to comply with all appliwble
Stute of MinnesoM Statutes ond City of Eagon Ordinances.
Water & Sew.
Police _
Fire Eng.
Plnnner -
Cauncll -
Bldg. Off. -
APC
Permit 125 _ 50
Surcharge 22•00
Plan check62.75
snc 525.00
Water Conn 305.00
Water Meter 0.00
Road Unit VT5-.00
Toral 1285.25
Signature of Permittee I
A Building Permit Is issued to: OT'Tin 'f'homnGnn Hnmac on the express condition that
all arork shell be done in a;ordonce with pN)appljwbie State of Minnesota Statutes ond City of Eogan Ordinances.
Building Official
Include 2 sets of plans,
1 site plan w/elevations 6
1 set of ene calculations.
9Y
'Ib Be Used For Valuation ?i 46,490.00 Date SuLy 30 ? Iq Bo
Site Address: _4L1{q Qe-Nltwe InAy OFFICE USE OPII.Y
Lot _L Block Sec./sub. sdrN?Ny/???j`
p,?o? E /,?,.d' ? Erect ?
OccuPancY
lC'3
Paz-cel #: ? Alter zoning
? Repair Fire Zone 3
O.mer: Enlarge _ 'Iype of Const. t/
Move # Stories
Pddress: Dmnlish Front Aa ft.
City/Zip Code: Grade Depth r
y/ ft.
Phone #:
Contractor:
Addr2S5: MES
a Division of U S F?^no r?..,-...?_
1712 HOPKWS CFOSSROAD
(;lt.]l/ZlP COC]e: MINNFTf1NK a nai
Phone # : sy y - '13 33
Arch./Eng.:
Aclclress:
City/Zip Code:
Phone #:
??& EAGAN
BUIIDINC; PERMIT APPLICATION
APPFdOVALS F'EFS
?0
Assessments Pennit a ?
-
Water/Sewer Surcharge ?
Aa
Police Plan Check ?9z ?
Fire sr.c S-zs ?
Ehy. Water Conn.
Planner Water .Meter
Council Road Unit
Bldg. Of£.
APC
TU'I'AL
GTY OF EAGAN
3795 Pibf Knob Road Eagen, MN 55724
PHONE: 454-8100
BUILDING PERMIT APPLICATION N4 6010
Receipt # ??'-j
To be uaed for 1=0f /y p1eX Esf.Volue 46,490. Date 8-6 ,1980
Site Address 4 491 pPnkwP WU Erect gfi Occupancy R3
Lor2- elock1_ Sec/Sub.-Jnhny. Cake Ridge 34ker ? Zonioy pT1
Parcel # =eeorded Repair ? fire Zone 3
Enlorge ? Type of Const. U
m Name Orrin Thompson Homes Move ? # Stories
; Addreu 1712 Hopkins Crossroad Demolish ? Front 22 ft.
o c. Minnetonka, Wone - 5/+4-7333 Grade ? Depth 44' ft.
? Name S?e ?+vVrovals Fees
0
Address
r rin,
Nome _
Address
I hereby acknowledge thot I hwe read this oppiication and state that
the informntion is correct and agree to comply with oll applicable
State of Minnesota Stotutes and Gty of Eogan Ordinances.
Woter & Sew.
Police ?
Fire
Eng.
Plonner _
Council -
Bldg. Off. -
APC
Permit 1G7JV
Surchorge 22 • 00
Plan check 62.75
snc 525.00
Water Conn. ?3 5.00
Water Meter 60.00
Road Unit 185.00
Total 1-,285 25
Signature of Pem+ittee I
A Buildin9 Permie is issued to: Orrin Thompson Homes on the express conditlon that
all work shall be dorre in acmf nce with all ppliw,p? / bl_?- e Store of Minnesota Statutes and Ciy of Eagan Ordinances.
Bulldin9 Officlal %?
. CPI'Y 06_ F.AC',AN
Vk&alb BUILDINC; PfRMiT APPLICATION
Include 2 sets of plarLS,
1 site plan w/elevations 6
1 set of er,ergy calculations.
4b Be Used For Rts? r ye_F Valuatjon-4 4 6o 490.00 Date :Tyw 3o+19 80
site t+ddress: y byq i peyk.Wb I/up-Y OFFICE USE ONLY
a'oN„Ny caw?
IAt a_ Block __I__ SeC./Sub. g?fls? 3rd
Pdreel q'
Oaner:
Pddress:
City/2ip Code:
Phone #:
Erect p? Occupancy 3
Alter Zoning "0
Repair Fire Zone 3
Enlarge _ 'IYpe of Const. t/
Nbve # Stories
Derblish Front a? ft.
Grade Depth ' yle ft.
APPR7VALS F'EES
Contractor:
ORRIN THOMPSUN Addres5: a Division of U. S F:.°m= r'.? .._.en$
1712 HOPKIhS CFOSSROAD
C1t]+/ZlP COC30: MINNfTnNkt PRiN."1sS043
Phone syy- `7333
Arch./Eng.:
Pddress:
City/Zip Code:
Assessments . Permit
Water/Sa.er Surchasye aa eii
Polioe Plan Check
-
-
Fire SAC ?
?S acr
Eng, Wates Conn. 3 o,s
Plannes Water Meter / 6
Council Road Unit
Bldg. Off.
APC
Phone #:
CITY Ok EAGAN
3795 Gilot Kno6 Roed Eogan, MN 5512II N4 6012
PHONE• 4548100
BUILDING PERMIT APPLICATION ? ReceiPt #
ro 6e asedlfe? f 4Plex Est. Voiue 46, 490. 00 Dete 8-6 -, 19M-80
Site Address 4645 RidgeCliffe Ih' Erect g Occupancy R3
Lot_4- Block 1 Sec/Sub. JhriZ'•C3k2 R1dH. 3 Alter ? Zoning PD
Porcel # unrecorded Repnir ? Fire Zone 3
Enlorge ? Type of Const. V
m Name Orrin Thompson Homes n.tove ? # Srories
Z Address 1712 Hopkins Crsrd. Demoush ? Front 22 _ fr.
0
Ci N[innetonka, MIlphone 544-7333 Grade ? oevth 44 tt.
w Name S?T?P Approvals Feei.
0
AuemrArat
?a Address -
I Water & Sew.
Ci Phone
G Police
w Nome
?, Fire
? Addmu Eng.
i'?" Ci Phone Planner -
Council -
I hereby acknowledge that I have read this opplication ond stote that gldg. Off. -
the information is Correct ond agree to tomply wltM all opplicoble
SMte of Minnewta Statutes ond City of Eagan Ordinances. AP?
Permit 1Z7. ??U
Surcharge 22 • 00
Plan check 62•75=
SAC 525_00
Woter Conn. 305Q0
Water Meter60..Q2
Road Unit 1£35 _ 00
Total l .285.95
Signature of Permittee I
A Butldin9 Permit ts issued co: Orrin ThomASOn Homes on rhe expreu condiNon Hwf
all work shall be done in occarJance with oJl,appiisable State of Minnewta Statutes and Ciry of Eagan Ordincnces.
8uilding Officinl
CTTY QF.. £AGAN Irclude 2 sets of plans,
p?LC I ? 1 site plan w/e]evatjons 6
?
I BUIIDING PEFtMiT AT:PLICA7'IOtJ 1 set of energy calculations.
'!b Be Used For gt<? r_vcF Valuation ? y6? y9p, 00 Date S4LY 30 + 1980
Site Address: 4 b H S B1DG.E cii F FE /-)r, OFFI(E USE ONLY
Lot Blor]c Sec. Sub.
? ?4?
Erect
?-
Oc _
c'F?ancy /Q.3
Parcel #:
?
.
?.? Alter Zoning p?/)
„?,y?y
?.,
. ? gepair Fire Zone 3
Oaner: Enlarge _ Zype of Const.
Nnve # Stories
Address: Denlish Front ?a ft.
City/Zip Code• Grade Depth y ft.
Phone #: APPRC7VAIS FEES
Contractor: Assessnents st3?0 Permit
ORRIN ? M ES
Address: a Division of U. S. F!na.'.;t;?i Water/Sewer
polioe Surcharge a a
Plan Check
1712 HOPKINS CFOSSROAD
City/Zip Code: MINNFrnNKa
n???
Fire
Sp,C
.
,
Phone syLj- `I333
En4•
Planner _
watPS Conn. soa ?
Water .Meter / O
Arch./Eng.: Council Road Unit
Bldg. Off.
Pddress: APC
City/Zip Code:
Phone #:
CITY OF EAGAN
3795 Pilot Kno6 Road Eagan, MN 55721'
PHONE: 454-8100 1
BUILDING PERMIT APPLICATION
N4 6011
Reteipt # ?""&J?57
Te be uted for 1 of Q pl@X Est. Value 46r!`90.00 Dare 8-6 , 193Q-
Site Address 4647 RiQgP Cl i ff . T}r. Erect ? Occupancy R3 --
Lot 3 Block 1 Sec/Sub. Jhny• Cake Ridge 3qIter ? Zoning PD
Porcel # uunrer_arded Repair ? Fire Zone 3
E
l T
f C
t v
n
arge ? ype o
ons
.
w Name O rrin Thompson Homes Move ? # Smries
; Addreu 1712 HOpkiriS Crsrd. pemolish ? Front 22- ft.
?
Ci
one 544-733
3 Grode ?
Depth
44 fr.
?
0 Name Approrala Fees
?
Address
? ron,
Name _
Address
I hereby ockrwwledge that I have read this application and state that
the informotion Is correct and aqree to comply with all oppliwble
Siate of MinnesoM Statutes ond Ciry of Eagan Ordirwnces.
Signature of Permittee
A Building Permit is iuued to: n+•r?:
all work shall be done in accordan? with all
Building Officiat ??-?
Assessmi1W °-'?-OV
Water&Sew.
Police
Fire Permit .?.iv
Surcharge 22•00
Plon check 62.75
SAC 525.00
Eng. WaterConn. 305.00
Planner
Council WaterMeter 60.00
Road Unit 185.00
Off
Bld
.
g.
,4vc
rorai 1,285.25
on the express condition that
Statutes and Cfry of Eagan Ordinances.
61I
?
crrx oFEACAN
SUIIDIIJC; PEWiT APPT,ICATILON
Include 2 sets of plarLS.
1 site plan w/e)evations b
1 set of energy calculations.
'Ib Be Used For Rrs,o ?vsF valuation -A 46 .0490, 00 Date Z'i„Ly 3 0 . 1q80
Site Pddress: l{by-r (ZlpC6 CLIFPE Dr: OFFICE USE ONLY
IAt I BZOCk SeC.I$Ub, 'XoHr+Ny Uv-!. EtCCt A OCcupancy /Y 3
R?D? E 3rd _. _
Alter ZOning
Paz?cel ir Fire Zone 3
O.mer:
Pddress:
City/Zip Code:
Phone #:
Pa
Enlasge _ Type of Const. v _
Move # Stories
Demlish Front ft.
Grade Depth f/y ft.
APPROVALS i FffS
Contractor:
"" nVIVItS
AddresS: a Division of U. S H
. n?-,= r,.:_._.3•izn
1712 HOPKIiVS CROSSROAD
C1ty/Zip COCl2: MINNFTONKt ?"INM ,3
Fhone #: syy-'7333
Arch./IIng.:
Pd3ress:
City/Zip Code:
Phone #:
/
Assesssn-p-nts
8 Pen-Rlt o 5
WatEr/Sewer Surcharge a a
Polioe Plan Check
Fire SAC ?5'aS °a
Enq, Water Conn. 3 o S
Planner Water Meter (ap
Council Roar1 Unit ) 8"5' Q;t-
Bldg. Off.
P.PC
minnesoca stace noara or eieccnciry
Griggs Midway 81dg. - Room N797
. 1821 University Ave., St. Paul, Minn. 65104 - Phone 297-2111
"%D. REQUEST FOR ELECTRICAL INSPECTION
CHECK BgL,OW WOAK_CQVERED BY TH1S REQUEST
EB-00001-02
7
T 16642
Tyye of 8uilding Dfew Add. Rep. Check Appliances W'ved Foc . Check Equipment Wired For
'Home ? ? ? Range ? Tempoxary Wiiing 0
DuPlex ? ? Water Heatec ? Lighting Fixtures ?
Apt. Bidg. ? ? ? Dryer ? Electric Heating ?
Commercial Bldg. ? ? ? Fumace ,
?.,(
[Y? Silo Unloader ?
Industrial Bldg. ? El ? Aix Conditioner ? Bulk Milk Tank ?
Farm List
) List 1
: Other ? ? ? p
}
Herersl p
Heierst
1
COMPUTE INSPECTION FEE BELOW
Service Entrance Size: # Fee Fcede?s&Subfeedeis: # Fee Circuits: # Fce
0 to 100 Am s. l> 0 to 30 Am eres 0 to 30 Am eres '
101 to 200 Amps. 31 to 100 Amperes 31 to ]00 Am eres
Above 200_Amps. Above ]00 Amps. Above ]04_Amps.
7ransformers Remote Control Circ. Partial or other fee
S' ns S eciai Ins ction Minimum Fee S
Remarks 4,
r,ret3c S?:; TOTAL FE
00
I.the
(Final) L-"
This request void
18 months (rom
&twy certify ?e
been made. O ,5a
e
e
O
This request void x?
] 8 months from
4JIlkte of this RequeSt "1 Z I S I? Fire No. ^ J. 16642
I, as('Licensed Electdcal Contractor OQwner, do hereby request inspection of the above electri-
: cal ?n?rg installed at:
Street Address or Route No. WId?City 6"ti
,Section Township Range County `0m
Which is occupied by
Is a roughin inspection required on this job? No ? Ye4, Ready Now ? Will C"K,
Power Supplier Address "VN_?W&+0
Electrical Contractor Contractor's License No 0?Sa?
(COmpany Name)
Mailing Address &? C?)
(EI ical ntractor or owner Making 7nis Installation) C?
Authorized Signature Phone No. a/`?":55roS
(Elettrica Contrattor or Ownei Making This Installatlon)
SMU[? ?p ?-(,? ?? ??f?? This inspection request will not be aecepted by the
? ?Q? (i-? ?3' Stete Board unless propar inspection fee is enclosed.
This"request void
18 months from - -
Dal!_gf this Request 1 z[ s i_S) Fire No. T16641
I, aLicensed Electrical Contractor ? Owner, do hereby request inspection of the above electri•
cal winng installed at:
Lit
Street Address or Route No. ?"' ?9 NNK,?,& City
Section Township Range County
?J
Which is occupied by
Is a roughin inspection required on this job? No ? Yepk Ready Now ? Will CaWK
Power Supplier 1'EA Address _ (-?LI N G lTJA)
Electrical Contractor B&L, Contracfor's License N&3ms
(COmpany NameJ
Mailing Address __ 1y( ?-
? •???. • ?.?v? ? _???a. inen...Y ....a...a.a.a.. ????
Authorized Signature ? Phone No, ?? • s?
(Eiectrlcal'COntractor or Owner Makln9 This Installation)
?. [-."p'j?n C?py This inspectian request will not 6e eccepted hy the
.pO(?{j? 1?
(;? L[, ?? State Board unless proper inspection fee is enclosed.
mmnxso[s ataiu weru ui nacincny .
Griggs Midway Bldg. - Room N791 ? EB•00001-(
AftiliI1.11niversity Ave.. St. Paul, Minn. 55104 - Phone 297-2111
REQUEST CHECK ELOW WORKOCO ERED BY'TH S REQ EST'ON T 16641
Type of Buitding Ne?X Add. Rep. Chmk Appliances Wired For Check Equipment Wired Fm
Home ? ? Range Tempoiary W'ving R
Duplex ? ? Water Heate[ ? Lighling Futures C
Apt. Bldg. ? ? ? Dryex ? Electric Heating ?
Commercial Bldg. 0 ? 0 Fumace 0- Silo Unloader ?
Industrial Bldg. 11 ? ? A'u Conditioner ? Bulk Milk Tank ?
Farm ? ? ? List Lis[ 1
Other
?
?
? p
Heiers? p
}
Heief3l
COMPUTE INSPECTION FEE BELOW
Smice Entrance Size: # Fce Feedeis&Subieedeis: # Fee Circuits: x Fce
0 to 100 Am s. 0 to 30 Am res 0 to 30 Am eres
101 to 200 Amps. 31 to 100 Amperes 31 to 100 Am res
Above 200_Amps. Above 100 Amps. Above lOQ Amps.
Transformers Remote Control Ciro. Partial or othet fee
S' ns S ecial lns ec[ion Minimum fee
Remarks TOTAL FE da ?j (?
?
I,the
(Final) ?
This request void
18 months from
cerufY that a 9 - D ve
i ' ?-n- s nmade. -oOG61
(/ • ? a 8-??
mmrn9smu awY ou9 u m ??wanc?q n
Gri9i s Midwa Bid Noom N791 EB-00001-(
niversity Ave., St. Paul, Minn. 55104 - Phone 297-2111
CHECK ELOW WORKOOVERED BYITH S REQ EsT'o" ? a T 16644
Type of Building ew Add. Rep. Check Apptiances W'ved For- Check Fquipmeot Wired For
Home ? ? Range Temporary W'uing
Duplex
?
?
WatecHeater
LightingPirztuies ?
Apt. Bldg. ? ? ? Dryer Electric Heating ?
Cofimercial Bldg. ? ? ? Pumace Silo Unloadet ?
Industrial Bldg. ? ? El A'v Conditioner ? Bulk Milk Tank ?
Farm ? ? ? List List
Other ? ? ? 2ere 1 thers? O Here theis1
COMPUTE INSPECTION FEE BELOW
Secvice Enhance Size: n Fee Fcedets&Subfeeders: it Fee Cvcuits: S Fee
0[0 100 Am s. 0 to 30 Am eres 0[0 30 Am eies .z
]Ol to 200 Amps. 31 to 1DO Am res 31 to 100 Am res
Above 200 Amps. Above 100 Amps. Above 100 Amps.
Ttansformecs 1 1 Remo[eControlCim. Partialototherfee St.
Signs .;r;5d?, -.$ cial Ins ection Minimum fee
Remarks ? TOTALF ,I)n .6D
I,the
certify
hasbeen mlNe!
(Final)
This request void
18 months from
?:..Z
Q Ce?e o0
This request void ?.Ji /?? ?a 3 b? 25 n
18 months from
Date is Reqvest F;re No. T16644
as Licensed Electrical Contractor OOwner, do hereby request inspection of the above electri
-
cal wiri P.
installed at:
StreEt Address or Route No. 40q7 RiD6,6 City Q(DRV'
Section Township Range County
D Which is occupied by
Qmw 7
Is a roughin inspection required on this job? No ? Y4 . Ready Now ? Will C&d
Power Supplier ? Address it, g?,4
Electrical Contractoi Contractor's License NMOS
iCOmvany Name)
Mailing Address E T- ?
( cirt 1 CoMtactor or Owner Making ThIS InstallaUOn) ?-?,`
Authorized Signature Phone No. 157V.J3Vs-
(E ettrical Contractor or Owaer Makinq Tnls Installatlon)
This inspection request wiil not 6e accepted hy the
?J Ej p U State Board unless proper inspection fae is enclosed.
Tlils request void e ?3 3? al???
,4 ?'o
] 8 months f'rom ?
Date o,this Request Fire No. 1 16643
I,.Q;AQ Licensed Electrical Contractor 0 Owner, do here6y request inspection of the above electri-
cal winlhg installed at:
Street Address or Route No. ???5 1?'i ?( " Cuf1? J>?? City. ±a9CA?_
Section Township Range County?
Which is occupied by
(Name of.OCC pant)
Is a roughin inspection required on this job? No ? Ye Ready Now ? Will CaK
Power Suppiier a Address 1 Ptl?VNV?N
Electncal Contractor ??- ?- ????"i '?'" Contractor's License Nb:'MSZC
..
Mailing Address
Authorized Signature Phone No,Q /"J, V'
(ElactrlcaYCOntroctor or Ownar Making Thls Installatlon)
2?jn?? ;? f? ?? fi ??? This inspectian request will not be accepted hy ffie
!1 bil LJ ?i?I1? ? State Baard unless proper inspection fee is enclosed.
minnesota state aoara ot Llecnicity
Griggs Midway Bldg. - Room N791
1821 Universiry Ave., St. Paut, Minn. 55104 - PFqne 297-2117
NPW?REQUEST FOR ELECTRICAL INSPECTION
CHECK BELOW WORK COVERED BY THIS REOUEST
EB-00001-02
??3? T 16643
Type of BuHding Ne Add. Rep. Check Appiiances Wired Fox Chack Fquipment Wired Foi
4lome ? ? Range ? Temporary W'ving
Duplex
?
?
Watex Heater
?
Lighting Fixtuces ?
Apt. dldg. ? ? ? Dryer ? Elect[ic Heating ?
Commercial Bldg. ? ? ? F'umace Silo Unloadei ?
Industrial Bldg. ? ? ? A'u Conditioner Bulk Milk Tank ?
Fazm List
1 Lis[ J
Othe:
?
?
? p
y
Heiers) y
Heieisl
COMPUTE INSPECTION FEE BELOW
Service Entrance Size: # Fee Fceders&Subfeeders: # Fee Cvcuits: n Fce
0 to 100 Am s. 10 0 to 30 Am eres 0 ta 30 Am eres
]Ol to 200 Amps. 31 to 100 Am eres 31 to 100 Am erea
Above 200 Amps. Above 100 Amps. Above 100 Amps.
7iansformers RemoteControlCuc. Partialorotheifee
5i ns S cial lns ection Minimum fee $5.,067
Remazks
AVVI.
iOTAL FEE ,.?
0D
I,the
that
has been
(Final) <
This request i<
18 months from
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
4649 1/2 PENKWE
JOHNNY CAKE RIDQE
PERMIT SUBTYPE:
OECK
?
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
Lor: z eLocK: i APPLICANT:
WAY AIIEN CONST
3R0 (612) 688-8180
TYPE OF WORK:
Control No. 0416
BUILDING
000510
05/11/92
ADDITION
?
PERMIT r Control No. 0416
? CITY OF EAGAN 3830 Pilot Knob Road PERMITTYPE: auzLozNG
Eagan, Minnesota 55123 Permit Number: 000510
(612) 681-4675 Date Issued: 0 5/11 / 9 2
SITE ADDRESS:
4649 1/2 PENKWE WAY
LOT: 2 BLQGK: 1
JOHNHY CAKE RIDGE 3R0
DESCRIPTION:
8uilditrk,g Permit Type DECK
Baildirtg`Work 7ype ADDITION
kJBC Qaauparky R-3
j:BuiXding CsngCh 12
Buildi:ng Width'_ l 10
<
r
!I ??. ?'}k ? f(? 'i
`'. ?4??iG..C??l,l"? •?'r/?vl ti ?-ti?.?' ?I "_.1#, n??
REMARKS:
C? C) I -? -1 a- -?
FEE SUMMARY:
Base Fee $25.00
Surcharge f.50
Total Fee =26.50
CONTROCTOR: - RPPlicant - s-r. L1 pWNER:
ALLE CON3T 16888100 000106 TOMASCHKO DEAN
4649 1/2 PEMKWE WAY 4699 1/2 PENKWE WAY
EAGAN pN 55122 EAOAN MN 55122
(612) 688-8100 (612)680-0527
I I
Z hereby ackhawledg6 that I have read' Chis applicatibn and state tMat the
information is eorFect n agree to comply with all applioable StaCe of Mn.
Sx,atutes and City of? n Ordinanaes.
L d? / / -1
&tlfl ?.Pil?,? ?ll ?
I UED Y: SIGNA UR '-
PERMIT #
? Alo
cirr oF eaGaN
1992 BUILDING PERMIT APPLICATION
681-4675
WkY (i 7 ?'Ett?
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural.& struct.ural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
Date /C/ Z_ Valuation of work
1
Site Address: L^
STREE ' - STE /
Tenant. Name: (commercial only)
LOT ? BLOCK / SU .
' _• 0_ P.I.D. N r.`.
Descri tion of work: L
The applicant is: S9.0wner M?Contractor ? Other (Deacribe)
Name f Phone (? PS Z?
Property LAST FIRST
Owner ?
??
? ??
? i,??,?
pddress ?/?i
?n
STREET STE N
.
City State Zip
Company AA4J ? T Phone lv? eoo
COntf8Ct0r Address ?.J44Z License # /?i?L Exp.
City 6d,,aAJ State Zip
Company , Phone
Architect/
Engineer Name Registration A
Address
City State Zip
Sewer & water licensed plumber . Processing time for
sewer & water permits is two days once area has be a roved.
I hereby acknowledge that I have read this ppl ' n and state that the information is
correct and agree to comply h all ap i bl te of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? O1 Foundation [3 05 Apt. Bldg ? 09 Basement Finish ? 13 Comm7I04-iPew
? 02 SF Dwg. 006 6arage/Accessory ? 10 Swim Pool ? 14 Comm/Ind Add
? 03 Two family E3 07 Fireplace ? 11 Res. Add. ? 15 Cortm/Ind Rem
0 04 Multi-fam. T.H. ? 08 Deck ? 12 Res. Porch O 16 Public Fac.
? 17 Agricultural
woRK rrPe
O 31 New ? 33 Alterations ? 35 Nove
32 Addition ? 34 Tenant Finish ? 36 Demolish
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(A1Towable) lst F1. sq. ft. City Water
UBC Occupancy ? 2nd Fl. sq. ft. PR4 Required
Zoning Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. ' Fire Sprinkler
Length On-site well Census Code
Depth ,b• On-site sewage SAC Lode
APPROVALS
Plannin9 Building Assessments
Engineering Yariance
REQUIRED INSPECTIONS
? 3ite [B Footing ? Framing O Insulation
0, Wallbaard P Final ? Draintile ? Fireplace
Permi t Fee ?$ % oo 1 v.imc;a,: s
Surcharge , 50
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded. -
Trails Ded.
Copies
I Other
Total: ,
SAC %
SAC Units
Diamond Condo Management
' 9130 Flyway Circle
Eden Prairie, Minnesota 55347
(612) 944-6644
?
124 6, if yL
?-
?
14K
-/'?/31 Al
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OUTLOT
CAKE RIDGE THIRD ADDITION
House Addresses
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General Contractors
4649'h Penkwe Way, Eagan, Minnesota 55122, (612) 888-8100
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For:
U. S. Home Corporation
C. R. WINDEN 3 ASSOCIATES, INC.
LANO SURVEYORS itl 645-3646
1381 EUSTIS ST., ST. PAUI, MINN. 55I08
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Note: As of this date Johnny
Cake Ridge Third Addition
has not been recorded.
Lots 1 through 4 inclusive, Slock 1,
Johnny Cake Ridge Third Addition,
Dakota County, Minnesota
WE MERE6Y CERTIFY TMAT TMIS IS A TRUE AND CONRECT REPRESENTATlON OF A SURVEV OF THE
80UNDARIES Oi THE LAND ABOVE DFSCR16E0 AND OF TNE LOCATION OF All 6UIl0ING5, IF ANY,
TNEREON, AND ALL VI516LE ENCROACMMENTS, IF ANY, FROM OR ON SAIU LAND.
Dofad thi&-?day ofju/?/_A.D. 198p C. R. WINrOEN 3 ASSOCIATES, INC.
br l?'O 42""4??
Sur.ayor, Minnowto pppiarotion Ne. r2c
-----------------,
? For:Ofliee?.Use I
I ?
I PermitN:
n?
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? Permit Fee:
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I
? Date Received: ?
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I
? Siaff:
I _________________?
2U08 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date:
7enant:
Suite #:
RESIDENT/OWNER Name: -1f(?)a?f Phone:
Address / Ci ! Zi / l u--e ?c?? t a s S?ZZ
ty p: qC?
CONTRACTOR Name: F! ?'i? License #: _??? ?7 tf ?0"1
Address:
City: StateL<t Zip:
Phone:e?/Z 7a( -5c-7Z ContactPerson:
TYPE OF WORK _ New K Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W.
Descri tion of work:
PERMIT TYPE RESIDENTIAL
WaterHeater 1( WaterSoftener
Lawn Irrigation Add Plumbing Fixtures
C__ RPZ /_ PVB) (_ Main _ Lower Levep
Septic System _ Water Tumaround
New
Abandonment
RESIDENTfAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing •Fixtures; Septic System Abandonment, Water Turnaround' (includes $.50 State Surcharge)
'Water Turnaround (add $136.00 if a 5/8" meter is required)
$100.50 SeptiC System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) -
$90.50 Fire Repair (replaceburned out.appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL,FEES $
i nereby acKnowiedge tnat tms mrormauon is compiete ana accura[e; ma[ me wom ww oe in comurrnance Wui uie uiun lWJUee allu w.,== u t l_
Eagan; ihat I understand Ihis is not a permit, hul only an application tor a permit, and work is not lo start without a permit; that the work will 6e in
accordance with the appmved plan in (he case oi work which requires a review and approval ot pians.
x" /4!- r, G/, f x?
ApplicanYs Printed Name ApplicanYs Signature
FOR OFFICE USE Reviewed By: Date:
Requiretl Inspeetions Under Ground Rough In _Air Test"' _Gas.Test _Final
, -
_ ., . - . .?. ,. _ ...; , .
Site Address:
RECORD OF COMPLAINT
Date C-K _ I ` U U
Compla.int taken by Aa{rv 6(-e,,t-
i
Typc of buflding
Name ?v?l? S+erkz
Address 1? 6`/ q
I.egal description
Phone number S-9CRk 6
Complaint J?o\e-', , C
vnr.a-c.?'s wa ? ?
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Action taken ??? ?? ? %• ? ? ? 1 i ?, ? o ? ?-? , o ? . 'T?.1 Cl J'r?, .1 d rt ti ?.?
WL WGV\CI -U-) (`av.lCll?? kOVSQ 'f.vti? DVe?- 1rGJY?LIi.}?Lr IS
1/rEtl, ? d Ll, --V lite.l Gp,C?Aq U/LYS 01'.CIC iC LrSCk,d 4htf SCl't?L?? .-j 6.lSSQ-
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b,d roc-
Cor..« wnll wh.eM •••d:Gaae-s ?'•.a?.t w.e.?}
?.OT?CIIZS /q„.. c, iv.? `a??t?aw...+-s5 10?Gk_Avr? -Fo ?e.> C??.i.?er•?1
c? .
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ASSOS ?? .?.? ¢?y?. de S`-r ?r oT Sti?C¢ ?r ?4o v.-o-? e_
_- $]gI18t11fC ? r7
RESIDENTIAL BUII.DING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan NZN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construc6on Reauiremen4 RemodellReoairReauirements Office Use Onlv
3 registe2d site surveys showing sq. @. of bt, sq. ft. of house; and ail roofed areas 2 copies of plan CeA of Survey Recd
(20% mazimum lot wverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan ReW
2 copies of plan showing beam & window sizes; poured found desgn, elc. t stte survey (or additlons & decks Tree Pres Not Reqd
i set of Energy Calculations Add'rtion -lndreafe if on-site septk system _ Onsite SepGc System
3 oopies of Tree Preservation Plan'rf lot platted a(ler 711193
Rim Joisl Deqil Options selection sheet (hldgs wilh 3 or less unit5
Date q / j ?--l /
Site Address
Description
Multi-Family Bldg _ Y ? N
Property Owner
Contractoi RENEWAL BY ANDERSON
Addre 1920 COUNTY RD. "C" WEST
i ROSEVILLE, MN SSll3
State' 651-264-4777
LIC # 20130983
.Construction
Fireplace(s) ?0 _
JQs. 00
UniUSte #
? • c
_ 2
Telephone#Qy?'j1)(QT?n •-q5L4G
_ Zip
City
Telephone # (
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minuesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category , Residential VenGlation Category 1 Worksheet • New Energy Code Worksheet
(4 submissionlype) . SuGmitted Submitted
. Energy Envefope Calculations Submitted
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # ( )
Telephone # (
Telephone
I hereby apply for a Residential Building Permit and aclaiowledge that the infor*oon is complete and_accurate;
that the work will be in. confomiance with the ordinances and codes of the City of Eagan anat?-e State of NIN
Statutes; I understand tHis is not a permit, but only an application for a permit, and work is not to start without a
perxnit; that the work will be in accordance with the approved plan in the case of work which requires a review and
apprp?al of plans. 4 /
Applicant's Printed Name Applicant's Signature
OFFIdE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? OB 04-plex ? 12 12-plex Plbg_Yor_ N ? 25 MiSCellaneous
Work Types
? 31 New O. ,35 'Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Damolish (Foundation) ? 45 Fire Repair
? 33 AReration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDoors
?. 34 Replacement "Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
, ,.
Nbr. of Units
Sq. Ft. .
PRV
Nbr. of Bidgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Foorings (new bldg) _ FinaUC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addition) _ Plwnbing
Foundarion HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fueplace _ R.I. _ Air Test _ Final Windows (new/replacement)
_ Insularion _
_ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
w?.?:, s..•... suv aa.v? rife. toJ V11 '4800 tttSl?M.f1AL f3Y°&CfU?lStY ? .
re
J?e ?, zoo? ? ? ?
City of Ham .
3836 Pitot gnob goad '
Eagan. MN 5s122
?
To whom u ivray eonce,,:
&ldcr 7oncs to ??? ?? buiIding permits farr Renewal bY Mdersen- Ptexae n1Iow
P?vidc this scrvicc for us in HoM. 'Rtis authatia$tian is valid for any
dato beyvnd 66101; watil at,?`anawat by AndGrsen mana?er ?lY ?vokes it fn wltciag
to the City-
Zrequ?g Pc?mi ?tion be $ccelnpd' exp?flously. as to noE delay in the groc?ssing af
ovr ha' Y?tcr. Eicasc caII mc lf thc?c anc m
cantacted at 763-502-,4746. Y 4uW ons.. I can Ua
Your immqdiate aftatiott to this mattcr is
SiuoeA'aly.
Kadild R Rau
on Managcr
Ranowal by Audastn CorPvraqtoII
('c: Karn-Fi1Rer Tnnea -
?H ??'?C3+4?AL
'I„n.he.n'um
wuu
Received Time Jun. 1. I:01Pm
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EACAN
L? C? 3830 PILOT KNOB RD - 55122
651-691-Q675
NawConstructlan Recuirements
• 3 registered site surveys showing sq. R. of lot, sq. tt. of house; and all roofad areas
(20°k maximum lot coverage allowed)
. 2 apies of plan showing beam & window sizes; Doured found design, etc.)
• i set of Energy Calculations
• 3 copies ot Tree Preservalian Plan if lot platted after 711193
• Rim Jast Delail Oplions selection sheet (bldgs with 3 orles& units)
/1 h _
DATE f 1T
JOB SITE ADDRE:
IF MULTI-FAMILY
PROPERTY OWNI
RemodeVReoairReauirements-D-?-V r 6
2 copies of plan
• 1 sel of Eneryy Calculations for heated additions
• 1sitesurveyforexlenoraddNOns&decks
• Indicate it hwne served by seplic system for additions
VALUATIFJN
TYPE OF WORK tk 1?t &f^` f- 11 'ik"r FIREPLACE(S) _ 0_ 1_ 2
APPLICANT PHONE# {Sa--q7ND6)
ADDRESS 1O cr OC, ?n CSkn M S-'?3I-7 ZIPC,ODE Uv.s
PAGER # CELL PHONE #!D QLND-Na FAX #`??????
NFW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category
(check one)
Plumbing Contractor. _
Plumbing System Includes:
Mechanical Contractor:
Mechanical System Includes:
Sewer/Water Contractor:
_ Air Conclitioning
_ Heat Recovery System
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that
with all applicable State of Minnesota Statutes and City of Eagan
Signature of Applicant
Phone #
Fee: $90.00
Fec: $70.00
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
_ MINNESOTA RULES 7670 CATEGORY 1
- Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Phone #:
_ Watcr Softcncr Lawn Sprinkler
_ Water Heater No. of R.I. Baths
_ No. of Baths
comply
Updated 2002
OFFICE USE ONLY
? 01 Foundation
02
? SF Dwelling
0 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? OB 04-plex
? 07 05-plex ? 13 16-plex
? 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 08-plex ? 18 Deck
? 11 10-plex ? 19 Lower Level
? 12 12-plex Plbg_Y or _ N
? 20 Poal
? 21 Porch (3-sea.)
? 22 Porch/Addn. (4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) 71, 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to applicant
6
1 Z Cogvo
Valuation Occupancy a-L--Y-14 MC/ES System
Census Code q3 N Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const v 1-L W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) ? Final/C.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addition) x Plumbing
_ Foundation ? HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_X Framing _ Siding Stucco Stone
Fireplace _ R.I. Au Test Final Windows (new/replacement)
Insulation _ Retaining Wall
Approved By Building Inspector
?
Base Fee ? (o a , `? ? I /?7
? 1
Surcharge /
?M? ? ? ti.
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
PERMIT #
RECEIPT DATE:
8008 MIDENTIJkL PLUM$INfi PERMIT APP'WCA7110N
crrY oF E?flAx
3$30 fII.OT KROB RD
f.A6Aft, MA 55122
651-691-4675
Ptease complete for: single family dwellings, townhomes and condos when permits are required for each unit,
backflow preventer for irrigation system
SITEADDRESS:
OWNER NAME: : 1-0 CK ROX 6FC9. B v
TELEPHONE #:
(AREA CODE)
INSTALLER NAME:
STREET ADDRESS:
CITY:
TELEPHONE #: dsf- ?77"' 7 3_ 3 3
(ARf O?'IO .
STATE: ZIPt, SS'O ?
_ SEPTIC SYSTEM, new/refurbished (requires two sets of pians and MPC license) $ 100;00
includes $40.00 County fee
Note: Additional consultant fees may apply
• MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
_ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $+ 50.00
_ A6andonment of septic system.
_ Water turnaround - existi dwelling unit (+ 5/8" me[er if needed -$118)
-5<' Other: ?
_ RPZ: new installation/repaidrebuild $ 30;00
_ lawn irrigation system
ReplacemenUadditional: _ water softener _ water heater $ 15:00.
State Surcharge $ ,50
T
t
l $ S0
"?
a
a .
I herebyacknowledge fhat I have read this application, sfate lhat the information is covect, and a Byfo comp applicable CityofEagan oNinznces. It
is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liabi' any damages caused by the City dunng itsnormal
operational and maintenance activities to the facilities constructed under this permit withln?Ei rofr'?t,of?i?easeyy?
SIGNATURE OF PERMITTEE' 1(02
CTTY i)F FAG(iN
CASH:CE:Re S TEfiMINAI_ NOe 7:38
BFl'fF. 06/25/93 'fT.ME.: 08:57s31
ILi a
NAMFs ED A. L.ANGF..NrEI_D
321:0 9001 4647 F'ENI(14F WAY 67B.75
R1!55 3001 4649 F'ENF:Wf_ WFlY 27.50
320 9001 168(] COVINGI'iJN 678.75
2JV"5*
? 9001 i.b9CJ C.UVIREfON f'.f'.5U
Tota7. Receipt Amount: 12412.50
Ck1120A$
L1SGFi IDe NANCY
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
L (4 3830 PILOT KNOB RD • 55122
651-681-4675
New ConahucTion Reaulrements Remodel/Recah ReaulremeMs
Y 3 regfstered sHe surveys showing sq. R. of lot, sq. 8. ot house
and all roofed areas (20% maximum lot eoveraae allowed)
D 2 copies of plans (show beam d window slzes; poured fnd. design; etc.)
? 1 ae1 oF energy calculallons
? 3 caples of hee presenation plan N lot plafted aMer 7/1/93
DATE: (p
2 coptes of plan
1 sHW energy caleulatiana tor heated addMions
1 aHe survey for exTerlor addRlons & decks
CONSTRUCTION COST:
DESCRIPTION OF WORK:
STREET ADDRESS:
LOT: BLOCK: SUBD./P.I.D. #:
Name: Phone #:
PROPERTY Lan First
OWNER
Street
City
State:
ziR:
Company:btluiCY ?ncPn Rtj6p cnsl_ Phone#: lts ! N37-5 3.?7
(area code)
CONTRACTOR ))
Street Addreu: i 70 a V4+'t+, i 1(! Sh c4_ License #`I 7-LS'79 Exp. ,?
City Or,c?i.9 S State: ry-16, Zip: .SSd
ARCHITECT/
ENGINEER Company: Name:
Telephone #: area code ( )
Street Address: RegistraHon #: _
City State: Zip:
.
'Sewer 8 waler tlcensed plumber (reaufred for new consfruction onlvl:
0enolfy opplies when address change and lof change Is requesfed once permH Is Issued.
I hereby acknowledge that I hrne read this applicatlon, sfate thal the irtformotlon is co ect and agree to com ly wHh all applicabi
State of M(nnesota Statutes and CHy ot Eagan Ordinances.
Signature of Applicanh
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _, No _ Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
:L
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.
0 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-piex ? 09 7-piex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex Q 10 8-pfex ? 15 Lodging ? 20 Pool Q 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bidg.' ? 41 Wood 5tove ? 45 Fire Repair
O 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
' Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Planning
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
SIVN Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Basement sq. ft.
Main level sq. ft.
sq, ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Census Code
SAC Code
No. of Units
No. of Bldgs
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Building Engineering Variance
Valuation: $
SAC Units
% SAC
r
JOHNNY CAKE RIDGE 3RD 39802
PERMIT
DATE &
TYPE LOT BL
8/80
8/80
8/80
8/80
8l80
8/80
8/80
010
020
030
040
010
020
030
040
010
020
030
040
010
020
030
040
O10
020
030
040
010
020
030
040
010
020
030
040
01
01
01
01
02
02
02
oz
03
03
03
03
04
04
04
04
OS
OS
OS
OS
06
06
06
06
4/81 010
020
030
040
07
07
07
07
08
08
08
08
ADDRESS
4649 PENKWE WAY
4649-1/2 PENKWE WAY
4647 RIDGE CLIFFE DR
4645 RIDGE CLIFFE DR
4645 PENKWE WAY
4645-1/2 PENKWE WAY
4647-1/2 PENKWE WAY
4647 PENKWE WAY
4641 PENKWE WAY
4641-1l2 PENKWE WAY
4643-1/2 PENKWE WAY
4643 PENKWE WAY
4637,PENKWE WAY
4637-1/2 PENKWE WAY
4639-1/2 PENKWE WAY
4639 PENKWE WAY
4633 PENKWE WAY
4633-1/2 PENKWE WAY
4635-1/2 PENKWE WAY
4635 PENKWE WAY
4629 PENKWE WAY
4629-1/2 PENKWE WAY
4631-1/2 PENKWE WAY
4631 PENKWE WAY
4625 PENKWE WAY
4625-1/2 PENKWE WAY
4627-1/2 PENKWE WAY
4627 PENKWE WAY
4621 PENKWE WAY
4621-1J2 PENKWE WAY
4623-1l2 PENKWE WAY
4623 PENKWE WAY
7
APPROVED 5/80
PAGE 1 OF 2
(4-PLEX)
(4-PLEX)
(4-PLEX)
(4-PLEX)
(4-PLEX)
(4-PLEX)
(4-PLEX)
(4-PLEX)
? •
JOHNNY CAKE RIDGE 3RD 39802
,
PERMIT
DATE &
TYPE LOT BL ADDRESS
10181 010 09 4617 PENKWE WAY
020 09 4617-1/2 PENKWE WAY
030 09 4619-1/2 PENKWE WAY
040 09 4619 PENKWE WAY
10/81 O10 10 4613 PENKWE WAY
020 10 4613-1/2 PENKWE WAY
' 030 10 4615-1/2 PENKWE WAY
040 10 4615 PENKWE WAY
10/87 010 11 4609 PENKWE WAY
020 11 4609-1/2 PENKWE WAY
030 11 4611-1/2 PENKWE WAY
040 11 4611 PENKWE WAY
(4-PLEX)
(4-PLEX)
(4-PLEX)
APPROVED 5/80
PAGE 2 OF 2
2/83 ? 010 12
020 12
030 12
040 12
5/83 010 13
020 13
030 13
040 13
4605 PENKWE WAY
4605-1/2 PENKWE WAY
4607-1/2 PENKWE WAY
4607 PENKWE WAY
4601-1l2 RIDGE CLIFFE DR
4601 RIDGE CLIFFE DR
4603-1/2 PENKWE WAY
4603 PENKWE WAY
(4-PLEX)
(4-PLEX)
8
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 795
DATE: 04/28/00 TIME: 11:40:27
ID:
NAME: LOCO CONSTRUCTION LLC
3210 9001 4676 RIDGE CLIF 111.25
2155 9001 4676 RIDGE CLIF 2.50
3210 9001 4649 PENKWE WAY 181.25
2155 9001 4649 PENKWE WAY 5.00
3210 9001 4629 PENKWE WAY 181.25
2155 9001 4629 PENKWE WAY 5.00
3210 9001 4625 PENKWE WAY 111.25,
2155 9001 4625 PENKWE WAY 2.50
3210 9001 4619 PENKWE WAY 111.25
2155 9001 4619 PENKWE WAY 2.50
CR128484 ** CONTINUE
USER ID: JAN ** CONTINUE
:x************,r:?**+++************+****
x**???*********?***x***r*+,r**** CONTIN[7EI
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 795
DATE: 04/28/00 TIME: 11:40:28
ID:
NAME: LOCO CONSTRUCTION LLC
3210 9001 4603 PENKWE WAY 111.25
2155 9001 4603 PENKWE WAY 2.50
3210 9001 4667 RIDGE CLIF 111.25
2155 9001 4667 RIDGE CLIF 2.50
Total Receipt Amount: 941.25
CR128484
USER ID: JAN
yyay..?,.?..?..?.? .......... . . . . . . . . .?..,..?.y+********ir****
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EACAN
4 l ? 3830 PILOT KNOB RD - 55122
651-881-4875
? 3 regbteretl aIte wrvays ahowlny aq. H, of bt, aq, fl. of house 2 ooplea of plan
and gn roofed areas CM maxlmum lot covemge allawed) 1 set d energy cNCUlallons for heated addlHons
> 2 coplea of plans (ahow beam & wlntlpw sizas; poured hitl. dealgn; etc.) 1 fite wrvey tw extador adcntlons 3 decks
? 1 aef of energy calculatlam
> 3 coples of hee PreaervaHOn plan if lot plaHed ofler 7/1/93
DATE: CONSTRUCTION COST:
DESCRIPTION OF WORK: -? z-)a, ?\- a F- r
STREET ADDRESS: LI
/ l., ? Y GoYry4ry ?rn, f?
LOT: ? BLOCK: ? SUBD./P.I.D. #: '••JCl
Name: -y° C f-"-. Phone e7lf-.3 /
PROPERTY La?1 F
OWNBR
Sheet Addreas:
CBy State: Zip:
Company:J?-? ?c c3 Phone a:
CONTRACTOR ?7 S ? } (area code)
Sheet Licerse?ill ExP
ciry, stare:,??? zip: s'rS3S7
ARCHITECT/
ENGINEER Comparry: Name:
Telephone #: ( )
Sheef Address: Reglshaflon #:
City
Sewer/water licensed plumber
State:
PFane
(o n is cortect, and?gl
I hereby acknowledge Ihat I have read this applicaNon, stafe Ma11he
of Minnesola SSatutes and City of Eogon Ordinancea
Signolure of ApplicanY.
OFFICE USE ONLY
Certificates of Survey Received _ Yes
Tree Preservation plan ReCeived Yes
_ No
_ No
Not Required
Lp:
to comply wNh aA appOcable Stafe
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 07 FoundaGon ? 07 05-plex
? 02 SF Dwelling ? 08 06-plex
? 03 01 of _ plex ? 09 07-piex
? 04 02-piex ? 10 08-plex
O 05 03-plex ? 11 10-plex
? 06 04-plex ? 12 12-plex
WORK TYPE
? 31 New ? 36
? 32 Addition ? 37
? 33 Alteration ? 38
? 34 Repair O 42
GENERAL INFORMATION
SAC Code
No. of Units
No. of Buildings
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
? 13 16-plex ? 21 Porch (3-sea.)
O 17 Garage ? 22 PorchlAddn.(4-sea.)
? 18 Deck ? 23 Porch (screened)
? 19 Lower Level ? 24 Storm Demage
Plhg _Y or_ N ? 25 MISCe118n80US
? 20 Pool ? 30 Accessory Bidg.
Move Bldg. ? 43 Reroof
Demolish (Bidg)' ? 44 Siding
Demolish (Interior) ? 45 Fire Repair
Demolish (Foundation) ? 46 Windows/Doors
" Give PCA handout to applicant for demolition pertnit
# of Stories
Length
Width
Basement sq. ft.
Main level sq. ft.
sq.ft.
sq.ft.
MISCELLANEOUS INSPECTIONS
? Stucco/Stone APPROVALS
Planning _
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
SNV Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Buiiding Engineering
Valuation:
sq.ft.
sq.ft.
Footprint sq. ft.
Census Code
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Variance
? 31 Ext Aft - Mulfl
? 33 Ext. Alt - SF
? 36 Multl
SAC Units
°k SAC
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
cirY oF EAcnN
3830 PILOT KNOB RD - 55122
• 651-681-4675
New ConstrucNOn Reaulremanh
'7/ i
?YA
? 3 regisfered site suneys ahowing aq. N. ot lot, aq. H. o} houae 2 copfea o( plan
and QII roofetl areas (20% maxlmum bt coveraae W lowed) i se1 ot energy calculatlona la Aeotetl adCHlons
D 2 copies o1 plans (ahow beam 8 wintlow sizes; pouretl fntl. dealgn; eic.) t sife wrvey for exteAOr atltliMons & decka
D 1!91 OI en9rgy CGICUIaNOnS '
D S ooples ol tree presenaNOn plan tt IM plaXed after 7/1/99
DATE: CONSiRUCTIONCOST:
,
DESCRIPTION OF WORK: FlC02t4 I?LL C"-? If multt-tamity bldg., how many units4
STREET ADDRESS:
LOT: ? BLOCK: ? SUBD./P.I.D. #:
Name: ?bYY10. SLK? K-CrY) A b4l?W Phone #: q-tD -47O- 3& 3 2 1Gev?-?
PRorErm w6, Fimt 3?, 31 OWNER
Skeet Address: P U ??( 2t5 S
clty Sl?l(2rr?.o?.rl e_ State: ? zlp: 8o4qc4
Company: o r-
CONTRACTOR
Street
Clry ,
ARCHITECT/
ENGINEER Comm
Telephone #: ( )
Sheet Address: RegishaHon #:
Ctty
Phone li:
(area code)
License # Exp.
State: Zip:
Name:
State:
Sewer/water licensed plumber (N installina sewerlwaterl: Phone #:
Zlp:
I hereby acknowledge that I hrne read this application, state that the fnfo n is conect??9ree maN wnn an a?icab?e state
of Minnesota Stafutes and CMy of Eagan Ordfnances. -
Sipnature of Applicanf: .
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No JLL f 7
Tree Preservation Plan Received _ Yes _ No _ Not Required
OFFICE USE ONLY
BUILDIPIG PERMIT SUBTYPES
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 08 06-plex ? 17 Garege ? 22 Poroh/Addn. (4-sea.)
? 03 01 of _ plex ? 09 07-plex ? 18 Deck 0 23 Poroh (screened)
? 04 02-plex ? 10 08-plex ? 19 Lower Level ? 24 Storm Damage
? OS 03-plex ? 11 10-plex Pibg _Yor_N ? 25 Miscelianeous
? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bidg.
woRK nPE
? 31 New ? 36 Move Bldg. ? 43 Reroof
? 32 Addition ? 37 Demolish (Bldg)' ? 44 Siding
? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair
? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors
* Give PCA handout to applicant for demolition permit
GENERAL INFORMATIOT!
SAC Code
No. of Units
No. of Buildings
Const. (Actuai)
(Allowable)
UBC Occupsncy
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
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning Building Engineering Variance
Permit Fee Vaiuation: $
Surcharge
Plan Review
License
MC/ES 5AC
City SAC Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
TotaL•
SAC Units
% SAC _
? 31 Ext Alt - Muki
? 33 Ext. Ak - SF
0 36 MuIG
city oF eagan
PATRICIA E. AWADA
Mayor
Augus[2,2000 PAULBAKKEN
BEA BLOM9UIST
PEGGY A. CARLSON
CERTIFIED MAIL - RETIJRN RECEIPT REOUESTED SnrvDRA A. MASiN
Council Members
MR MARK STOCKLAND
4649 PENKWE WAY rHOnnas NEDGES
EAGAN MN 55122 Ciry ndminisrrotor
MR DEAN TOMASCI-IKO
P O BOX 2155
SILVERTHORNE CO 80498
RE: 4649 &4649-112 PENKWE WAY
LOTS 1&`.2, BLOCK 1, JOHNNY CAKE RIDGE 3RD
Deaz Mr. Srockland & Mr. Tomaschko:
In response to an August 2, 2000 complaint regazding struchual damage at 4649-1/2 Penkwe Way, a visual
inspection was made wherein it was noted that:
• There is significant movement at the wall between the gazage doors at 4649 and 4649-1/2 Penwke Way.
• Brick facing is cracked and separated and curb blocks at the bottom plate are loose.
• It appears the wall is sepazating from the common wall.
• There is a hole in the floor between the units.
• The garage slab at 4649-1/2 Penkwe has settled in the comer.
• On the second floor, there is what appears to be a fresh crack in a comer from floor to ceiling that would
indicate movement.
The City is requiring a stamped, signed letter by August 10, 2000 from a certified struchual engineer stating that the
building at 4649 and 4649-1/2 Penkwe Way is structurally stable and does not pose a hazard to its occupants.
Failure to present this letter may result in the City having to evacuate these units in order to protect the occupants.
All parties aze aware of this problem and will be notified if such acfion is to be taken.
If you have any questions, please feel free to call me at 651-6814680.
Sincerely,
?
Barry Gre
Building Inspector
cc: Johnny Cake Ridge Homeowners Association, Ms. Ellen Hilla, Go Counhywood, P. O. Box 22272, Eagan
MN 55122
Tod Stertz, 4649-1/2 Penkwe Way, Eagan, MN 55122
MUNICIPAt CEN7ER
3830 PILOT KNOB ROAD
EAGAN. MINNESOTA 55122-1897
PHONE: (651) yg 1-4600
FAX:(651)68I-4612
TDD:(U51)454-8535
THE LONE OAK TREE
THE SVMBOL OF STRENGTH AND GROWfH IN OUR COMMUNIN
Equal Opportunity Employer
www.cNyofeagan.com
MAINiENANCE fACILffY
3501 COACHMAN POINT
EAGAN. MINNESOTA 55122
PHONE: (651) 681-4300
FAX:(b51)681-4360
TDD: (651) 454-8535
I CITY USE ONLY ? 3?$? L
L ?. BL RECEIPT#:
SUBD. Tn ? ki ALA ra, )Ujp, 3-4- RECEIPT DATE: 7- J? " Q.
PERMIT# q
2000 PLUMBING PERMIT (RESIDENTIAL)
CISY OF EAGAN 3830 PILOT KNOB RD .
EAGAN, MN 55122
651-681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
F1XTliRES
EACH #
TOTAL
Alterations to existing dwelling - minimum fee
Describe: $ 30.00
Bath tub $ 3:00 x = $
Floor drain 3.00 x = $
Gas ipin outlet ' minimum -1 3.00 x = $
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x = $:
Laundry tra 3.00 x = $
Lavatory 3.00 x $`
SEpCIC S stem new/refufiished ' requires MPC lic. 75.00 X = $'
SeptlC S stem abandonment 30.00 X = $.
RpZ new installaticrtlrepair/rehuild 30.00 x = $
Rough opening 1.50 x = $
Shower 3.00 x = $'
Underground Sprinkler if dwelling is under wnstruction 3.00 x = $
Under roundsprinkler if existing dwelling 30:00 x = $
Water closet 3.00 x = $'
Water heater 3.00 x - $ : aD
Watef SoftCnef if dwelling under cansiruction 5.00 x - $
Water softener if ezisting dwelling 30.00 x - $
Water turnaround 30.00 x -- - ?
State Suroharge
Total .50
-> -->
--> -->
---? -?
_.a $ 50
? 3n• S?
Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc.
------- -•----------- -- ? - ------- -----------.......---•--------• ------------•------- -------- -•--•-- --- ---
I hereby acknowledge that I hava read this applicatlon, state that the information is cortect and a9rea ro complywith all applicable?City of Eagan oNinances..
It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no.liability for anydamages caused by tlie.. City duripg its
normal operational and maintenance activities to the fadlities constructed under this pertnit within City propertylright-of-way/easement SITE ADDRESS
TOMASCHKO, KIM
OWNER NAME: : 46491/2 PENKWE WAY TELEPHONE #: .
EAGAN, MN 55122 (AREA CODE)
(651) 905-9886
INSTALLER NAME: TELEPHONE
(AREA CODE)
STREETADDRESS: --
_
_
INORBLOM PLUMBING CO srATe:
cirr: ,
3:: - ;s
V'905 UARFiELD AVE. SO. ° ' .
6c.?NNE}??OLIS, MN 5540??' SIGNATUR RMITTEE'j't'
;.: .
?
J.H. Dahlmeier Engineering Inc.
August 14, 2000
Coitntrywood Management, Inc.
2905 Countrywood Drive
Burnsville, MN 55337
Attn: Ellen M. Hilla, President
Re: '7'ownhouse
4649/4647 Penkwe Way
Eagan, MN
Commission No. 20266
Gentlemen:
The purpose of this IeYter is to report the findings of a structural engineering
regarding the Foundation system.
ASSIGftMENT
J. H. Dahlmeier Engineering Inc. has been retained to provide a structura
engineering review with recommended repairs of the Coundation system anc
associated items for the dou6le townhouse located at 4649/4647 Penkwe Way
Eagan, MN, 1s directed by Ellen M. Hilla, president of Countrywood Management
Inc.
BACKGROUND
Heavy rains in July caused flooding of as much as 4 feet above the garage floor let
at these two townhomes. Following the flooding, damage was reported to the City
Eagan Building Inspections Department.
The City Building Inspections Department requires an independent structui
engineering report regarding the structural soundness of the structures along wi
corrective measures and repairs required.
A presale inspeCtion was condttcted by J. H. Dahlmeier Engineering Inc.
reported to Dick Arten, then owner of 4649 Penkwe Way in a letter report
April 25, 2000.
2434 Cnmmerce Boulevprd • 1Vlound. MN 653fi4 • 1952) 472-4746 • FAX (952) 472-4761 • E-Mail
8i2'd £46'ON 69820682L9Q00M.l2ilNf10o WtlEE:9 0002'22'
698Z068Zti9
. Countrywood Managoment
Augu?t lA, 2000
i'age 2
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
throughout.
UBSERVATIONS AND COri1MENTS
1. A site visit was conducted by John H. Dahlmeier of J. H. Dahlme
Engineering Inc. on August 11, 2000 to review existing canditions.
2. A copy of the original report dated April 25, 2000 for 4649 Penkwe W
Eagan, MN, is attached.
3. The following observaYions were made with respect to the foundation syst
and associated items:
a. Conditipns as noted in Apri] 25, 2000 letter report to Dick Arten
not changed substantially except as noted herein.
b. 'Che southeast corner of 4649 Penkwe Way garage may have se
slightly more.
c. The upper level of 4649 Penkwe Way cottld not be inspected due to
of access.
d. The 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 ve:
crack exists in the southwest corner. The sheetrock tape is torn
indicates upward movement.
i. The brick veneer between the two garages is slightly more daar
than in the Apri3 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 structure.
However, i£ corrective measures are not taken, continued deterioration may
occur in the sheetrock cracks and brick veneer.
7. Although brick veneer is not structural in nature, repairs are stronj
suggested since further deterioration could cause Yhe brick to fall, thus
public safety issue.
8i£'d £CE'ON 69820682L9Q00M1,J1NIlOJ WtlEE:9 0002'22
698Z0682L9
Countrywood Management
August 14, 2000
PAge 3
8. In order to eliminate further deterioration, corrective measures will
required.
9. The following corrective measures are recommended:
a. Remove garage slab from garage door back 6 feet (beyond lateral cra(
at both garages.
b. Excavate to front wall footing and along common wall footing to hottc
of footing 4 feet back from exterior wall.
c. Repair or replace all broken masonry units.
d. Tuckpoint all deteriorated masonry joints.
e. Underpir? 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 foundatipn wall on exterior, repair
eliminate Lip.
j. Verify foating depth at other end of garage doors, both units. Underl
as necessary to provide at least 5 foot depth from grade to underpinr
footing at exterior wall.
PROFES^aIONAL OPINION
10. It is my professional engineering opinion that:
a. Although the structure is structurally stable, correctrve measures
eliminate fixrther deterioration are recommended.
b. No indication of settlement in the main structure exists.
c. Conditions and observAtitons 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.
8i4'd EbE'014 69820682i9Q00M.1211Nf10D WFJEE:9 0002'22
698z9682T9
Countrywood R4ansgement
August 14, 2000
Page 4
12. The observations and opinions expressed in this reporc 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 LMEIE?IMEERING, 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 registered professional engineer
under the laws of the State of Minnesota.
MinriWsota Registration No. 9222
8iS'd E7E'ON 69820682L9QOOMA2i1Nf10J Wt1EE:9 0002'22'
69820682T9
?.?? .
;.
?
J.H. Dahlmeier
Apri125, 2000
Dick Arten
2000 Highland Drive
Burnsville, MN 55337
Engineering Inc.
Re: Townhouse
4649 Penkwe Way
Eagan, MN
Commission No. 20122
Gentlemen:
The purpose of this letter is to report the findings of a structural engineering review
presale issues.
ASSIGNMENT
J. H. Dahlmeier Enginearing Inc. has 6een retained to provide a structural engineering revi
with respect to itema noted by the mortgage company's appraiaer for the townhouee located
4649 Penkwe Waq, Eagan, MN, as directed by Dick ?uten, owner of the property.
SACKGROUND
The townhouse is being sold by Dick Arten.
The mortgage company appraiser indicated three areas of concern with reepect to str
soundness. The martgage company wiehes to have an independent atructural engineering
of these conditions.
DESCRIPTIdN
The structure is a fourpleX type of townhouse with tuck-under garages.
The foundation system is concrete masonry and the auperstructure is wood frame throughout.
OBSERVATIONS AND COMMENTS
A site vieit was conducted by John fI. Dahlmeier of J. H. Dahlmeier Engineering Inc.
April 20, 2000 to review existing conditions.
2. The mortgage company's appraiser indicated concern regarding:
a. The southeaat corner of the garage slab and exterior brick mttsonry.
b. Basement floor slab cracka.
c. Sheetrock cracke in corner of aoutheast bedroom.
2434 Cominerce Boulevurd • Mound, MN 55964 •(962) 472-4746 • FAX (952) 472•4761 • E•Mail JHDIN(
8i9'd EbE'ON 69820682S9QOOMA211Nf103 WtibE:9 0002'22'
698206BZT9
'Dick Arten
April Zb, 2000
Page 2 oF 3
The following observations were made with respect to the garage slah:
a. The garage slah is cracked aY the southeast corner and settled.
h. The brick veneer is crscked and has step cracke and is laterally diaplaced.
c. The briclc veneor is bowed away from the frame wall.
d. Other cracka exiat in the main garage floor slab.
e. Framing in the garage is level and plumh.
f. The masonry joints in the foundation on the interior are level.
g. FoLmdation walls are plumb.
4. The following o6servations were made with respect to the baeement slab:
a. Two major cracks exist in the basement floor slab.
b. The crack near the entranee is 1l16" in width and level.
c. The crack on the west side is about 1/8" wide.
d. The foundation sysLem in the basement ehows no disCress.
e. Masonry jointa are level and the masonry- wall is plumb.
5. The following observationa were made with respect to the bedroom sheetrock:
a. In the southeast, bedroom, a vertical cx'ack exista in the southeast corner.
b. T'he sheetrock tape is torn and indicates upward mor•ement.
c. The floors are esseattially level.
d. In the southwest bedroom, a aixnilar crack exists at the southwest corner of
bedroom (over the garage dcwr jam6).
fi. The brick veneer distresa and sheetrock cracks in bedrooms are cauaed by frast heave.
7. The garage footing may not be placed helow irost. In unheated spacee like these
frost sometimes penetrates deeper than the frost footing depth of 42".
S. In addition, frost most likely has occurred under the hrick lip and lifted tho brick ve
This is evidenced by the brick being sepazatod from the wall and bnwed out. The
crack in the brick veneer is probably also a result o£f'rost displacement.
9. The cracka in the garage are probably due to frost action as well as possibly
compaction of aub-grade at time of construction.
10. The cracks in the basement slab are probably due to poor compaction of suhgrade at
of construction. These cracks are non-atructural
11. There ia nv evidence or indication of aettlement of the main atructure.
12. The observed distresses do not af'fect the overall soundnese of the atructure. Howerer,
corrective meaeures are not taken. continued deterioration may occur in the sheetro
cracks and briclc veneer.
13. Although brick veneer is not structural in naLure, repaira are strongly suggested sin
Further deterioratioa could cause the brick to fall, thua a public safety issue.
SiL'd E7E'ON 69820682S9QOOMA211N(10D W1JbE:9 0002'22".
69820682I9
Dick Arten
April 25, 2000
Page 3 of 3
PItOFESSIONAL OPIIVION
14. It is my professional engineering opinion that:
a. The structure ie structurally sound.
b. No indication of settlement in the main structure exists.
c. Slab conditiona have been affected by frost and/or lack of properly enmpacted
or Change in moisture conditions in the clay sub-sail.
d. Brick veneer and sheetrock dl5txess results from frost heave conditions,
e. Corrective measurea are suggested to eliminate annual movement.
GENERAI.
15. The information, obaervations and opinions stated in this report are based on
inspection made by me. Tl-ie inspection conaieted of a vi.sual walk-through obaer
exposed elemeats and those accessihle without the removal of finished materials.
16. Tho observAtiona and opiniona expreased in this report wcre based on my professii
engineering judgment and professional practice as well ae the visuallnspection.
If you have any questions, please contact me.
Sincerely,
JF-H. AAHLMEIEIt ENGINEETtING, INC.
d[f ,J yy. ;?
1}?.• J]
•'J ) ? ',? ???I ?????"?f
461in H. Dahlmeier, P.E.
1 hereby certify that this plan, specification or report was
prepared by me or under my direct aupexwieion and that I am
a duly regiatered profeasional engineer under the laws of the
Stg f inne o
'nneaota Registration No. 9212
8i8'd EbE'ON 69620682T9Q00M.lJ1Nf10o WCG£:9 0002'22'
6982068ZS9
city oF eagan
August 2, 2000
CERTIFIED MAIL - RETURN RECEIPT REOUESTED
MR MARK STOCKLAND
4649 PENKWE WAY
EAGAN MN 55122
MR DEAN TOMASCHKO
POBOX2155
SILVERTHORNE CO 80498
RE: ? 4649 & 4649-1/2 PENKWE WAY
LOTS`1 & 2, BLOCK 1, JOHNNl' CAKE RIDGE 3RD
Dear Mr. Stockland & Mr. Tomasclilco:
PATRICIA E. AWADA
MaYOr
PAULBAKKEN
BEA BLOM9UIST
PEGGY A. CARLSON
SANDRA A. MASIN
Council Members
THOMAS HEDGES
Ciry Atlminisirptor
In response to an August 2, 2000 complaint regazding structural damage at 4649-1/2 Penkwe Way, a visual
inspection was made wherein it was noted that:
• There is significant movement at the wall between the gazage doors at 4649 and 4649-1/2 Penwke Way.
• Brick facing is cracked and separated and curb blocks at the bottom plate are loose.
• It appears the wall is sepazating from the common wall.
• There is a hole in the floor between the units.
• The garage slab at 4649-1/2 Penkwe has settled in the comer.
• On the second floor, there is what appears to be a fresh crack in a comer from floor to ceiling that would
indicate movement.
The Ciry is requiring a stamped, signed letter by August 10, 2000 from a certified shuctural engineer stating that the
building at 4649 and 4649-1/2 Penkwe Way is struchually stable and does not pose a hazazd to its occupants.
Failure to present this letter may result in the Ciry having to evacuate these units in order to protect the occupants.
All parties are aware of this problem and will be notified if such action is to be taken.
If you have any questions, please feel free to call me at 651-681-4680.
Sincerely,
B Gre
Building Inspector
cc: Johnny Cake Ridge Homeowners Association, Ms. Ellen Hilla, C/o Countrywood, P. O. Box 22272, Eagan
MN 55122
Tod Stertz, 4649-1/2 Penkwe Way, Eagan, MN 55122
MUNICIPAL CENTER
3830 PILOT KNOB ROAD
EAGAN. MINNESOiA 55122-I897
PHONE: (651) 681 -A6W
FAX:(651)681-4012
TDD: (651) 454-8535
THE LONE OAK TREE
THE SYMBOL OF STRENGTH AND GROWfH IN OUR COMMUNIN
Equal ppportunify Employer
www.cityofeagan.com
MAIN7ENANCE FACILITY
3501 COACHMAN POINi
EAGAN. MINNESOTA 55122
PHONE: (651) 681-4300
FFV(:(651)681-4J60
TDD: (651) 454-8535
?
CITY OF EACe1N
EARLY UTILITY CONNECTION PERMIT
c 2
Address Subdivision/Par
I herehy request permission from the City of Eagan to connect tn the
sanitary sewer and water la[eral line in che 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-
men[ to cap the sewer service to prevent any unauthorized use.
In accepting this permit, it is agreed that I will hold the City and ics
agents harmless from any damage that may occur due to this early connection.
Zt is understood that no Occupancy Permit will be issued or water allowed
to be turned on until [he City utility system has been declared operational
by the City Engineer.
?
WENZEi MEc:,a1KCnL
Signed by - Plumber:?'?! el? Oi11VE, FAGAN,MtNN.557az
•-?. 452-1666
Owner:
Developer:
Bui er:
Dated• %/?`-'
,
_ r
.
CITY OF EAGAN
EARLY UTILITY CONNECTION PERMIT
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
3ndividual services to any interior plumbing and understand the require-
ment to cap the sewer service to preven[ any unauthorized use.
In accepting this permit, it is agreed that I will hold the City and its
agents harmless from any damage that may occur due to this early connection.
It is understood that no Occupancy Permit will be issued or water allowed
to be turned on until the City utility system has been declared operational
by the City Engineer. .,
WEN2Et MECH?A N.I
EC ° eatas
,?hiia1 D??? • ?.PL , aNee? 686cuN?
Signed by - Ylumber
Owner:
Develope
Build r:
Dated:?/d?/ ? v
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
, r
CITY OF EAC.1N
EARLY UTILITY CONNECTION PERMIT
41&?5 kDidqxpz e6lk 6
Address Subdivision/Parcel
I hereby request permission from the City of Eagan ta connect to the
eanitary sewer and water lateral line in the public right-of-way. I understand that the City has not yet completed, lnspected and/or accepted
the sewer and/or water lateral. I agree not to use, test, or connect [hese
individual services [o any interior plumbing and understand the require-
ment to cap the sewer service to prevent any unauthorized use.
In accepting [his permit, it is agreed that I will hold the City and its
agents harmless from any damage that may occur due to this early connection.
It is understood that no Occupancy Permit will be issued or water allowed
to be turned on un[il the City utility system has been declared operational
by the City Engineer. WEN2El MBCHANiCAI
?/? /?? eeEC oarve. Enan?, Mu+w se1ax
Signed by - Plumber•- "`" ' "- 4624686
Owner:
Developer:
Bui der:
Dated:???-"7 ?
t R
CITY OF EACe1N
EARLY UTILITY CONNECTION PERMIT
L7tC//-7 /yv 0121 Q d.P -'Zr,(
p,dd ess Subdivision/Parcel V
I hereby request permission from the City of Eagan to connect to the
sani[ary sewer and water lateral line in the public right-of-way. I
? understand that the City has not yet comple[ed, inspected and/or accepted
the sewer and/or water lateral. I agree not to use, test, or connect these
individual serv3ces 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 Che City and its
agents harmless from any damage that may occur due to this early connection.
I[ 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 Ci[y Engineer.
WENZEL MECHANICAL
Signed by - Plumber:? ??/J"?1? ""• /,LIB URIVE' EA3AN'M1NN'65M
4sa•1sss
Ovner:
Developer:
Bu der:
Dated:?'n?"/ ?
- ? " 2007RES c?DENTIAL BUILDING rERMiT nrr?ICATION
City Of Eagan
3830 Pitot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
150 .60
New Conswction Reauirements RemodeUReoair Reouirements OKce Use Onlv
3 registered si(e wrveys shovnng sq. tt. af lot, sq. (L oi house; and all mMed areas 2 copies of plan showing (oofings, beams, joafs Cert af Survey Recd _ Y_ N
(20%macimum lot coverage allowed) 1 set of Energy Calculations for heated additlons Soils RepoR . _ Y_ N
1 Soils Repvrt if proposed 6uiWing is to be placed on dislur6ed sdl 1 site survey for addifions 9 decks Tree Pres Plan Recd _ Y _ N,
2copiesofplanshowing6eam8vnndowsizes;pouretlfounddesign,etc. Addrtron-indicateifon-sitesep6csysfem Tree Pres Required _ Y _N
1 set of Energy Calculations On-site Septic Sysfem _ Y _N
J copies of Tree Preservafim Plan if lo[ platted after 717f93
Rim Joist Oetail Optiws selection shee[ (builtlings vrith 3 or less unils)
Minnegasco mechaniwl ventila0on form
nn0 o'
l' (
(? (J
.
Pians are considered public information uniess vou state thev are trade secret and th re8s on.
Date V //!?J l L-?, 7 ?
Si[eAddress nr4 e Construction Cost f?
Unit/Ste#
Description of Work
Multi-Family Bldg _ Y? N Fireplacc(s) ?L 0 _ t _ 2
Property Owner /G Telephone # ( ) '
Contractor /?• ? f=? ????'--
? )CLI., F?i?wcrYYl:[?J
i
Address
State 1'7y'? City
ziP.SrYJ.s_ Telephone #(yJa ) YSy Z' 'r0`-5
COMPLETE THIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Cateeorv 1
(J submission type) Residential Venlilation Calegory 1 Worksheet
Submitted
. Energy Envelope Calculations Submitted
In the last 12 monihs, has the Cify of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
A NEW BUILDING
Minnesota Rules 7672
• New Energy Code Worksheet
Submitted
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 3tate 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 of plans.
'ApplicanYs Printed Name
pplicanYs Signature '
DO NOT WRITE BELOW THIS LINE
ar - I.
Sub Types
? 01 Foundation
? 02 SFDwelling
? 03 Otof_plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
Work TVpes
? 31 New
? 32 Addition
? 33 Alteralion
x 34 Replacement
? 13 16-plex
? 16 Fireplace
? 17 Garage
)K 18 Oeck
? 19 Lower Level
? 20 Pool ' ? 30 Accessory Bldg
? 21 Porch (3-sea.) . ? 31 Ext. Alt - Multi
? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 23 Porch (screen/gazebo/pergola) 0 36 Multi Misc.
? 24 Storm Damage
? 25 Miscellaneous
? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding _
? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demolish Building" ? 43 Reroof ? 46 Wndows/Doors
'Demolition (Entire Bldg) - Give PCA handout to applicant OBSCfIpYlOfl: WaterDamage_Yes
Valuation 3crv Occupancy 1Z-3 MCES System -
Plan Review /d 100°/a or _ 25%
CensusCode ?Sy Zoning CityWater
SAC Units ? Stories - Booster Pump ?
# of Units ' Sq. Ft. / C°G PRV ?
# of Bldgs Length /O Fire Sprinklered -
Type of Const ? Width /G
REQUIRED INSPECTIONS
_ Footings (new bldg) _ Sheetrock
Foo[ings(deck) Final/C.O.
_ Footings (addition) ? FinaUNo C.O. .
Foundation HVAC
Drain Tile Other
[ce & Water
Roof Final Pool Ftgs Air/Gas Tests Final
_
_
_ Framing _
_ Siding _ Stucco Lath _ Stone Lath _Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Insula[ion Retaining Wall
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S8W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
? 07 OS-plex
? OB 06-plex
? 09 07-plex
? 10 08-plex
? 11 70.plex
? 12 12-plex
Building Inspector
/1De
-?`_-?
?
C. R. WINDEN & ASSOCIATfS, INC.
tAND SURVEYORS Tel 643-3646
a 1381 EUSTIS SL, 51. PAUL, MINN. 55108
For:
U. S. Home Corporation
N
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? Scale: 1" = 50'
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Note: As of this date Johnny
Cake Ridge Third Addition
DATE:?_? has not been recorded.
BUILDING INSPECTIONS DV!lISBOf?
Lots 1 through 4 inclusive, Block 1,
Johnny Cake Ridge Third Addition,
Dakota County, Minnesota
WE NEREBY CERTIfY THAT TMIS IS A TRUE ANO CORRECT REPRESENTAf10N OF A SURVfY Of TME
BOUNDARIES OF TNE LAND ABOVE DFSCRIEEO AND OF TME LOUTION OF All -6UILDINGS, IF ANY,
THEREON, AND All VISIBtE FNCROACMMENTS, IF ANY, FROM OR ON SAID IAND. Datad rhia23r? der ofJu/j,• A,D. 1980 C. R. WINOEN 8 ASSOCIATES, INC.
t ?
br
Survoror, Miaeesota Ilapiitrotion Ne.77F6
,I 'gl?
2007 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWction Reauirements
3 re3istered site surveys showing sq, fl o( lok sq. fl. of house; and all roofed areas
(200h maximum lot coverege allowed)
i Soils Report 'rf proposed building is to be placed on disWrbed soil
2 capies of plan showing beam 8 window sizes; poured found desgn, etc.
1 set of Energy Calalafions
3 copies of Tree Preservation Plan'rf lot platted af[er 7M193 Rim Joist Detail Options selection sheet (buildings with 3 orless unifs)
Minnegasco mechaniplventilationfortn
?l3o-U°-
CC_
Office Lse•Onlv
CertofSurveyRecd _Y _N
Sals:RepoA - _Y _N
TreePres Plan Recd _ Y _ N,
TreePtes'Required _Y _N
Oo-site Septic System _ Y _ N
L'r,c."kcQ-
'd d blic information unless ou state the are trade secret and the reason.
Plans are consi ere u
Date S/e.?n ?//U? o 7 Construction Cost p!?So u''
SiteAddress `7` b ( ? ?G°?7 ??? ??? ? UniUSte #
Description of Work ?U X l o
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner Telephone # ( )
Contractor ?.-i C
Address ???P? /U
State /`% d?-/
Zip SS?4?S City e-
Telephone #(?sd) YsY- 7?°S
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submitted .
In ihe last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan2
Y _ N If yes, date and address of master plan:
Licensed Plumber Rnll? s
Mechanical Contractor
Sewer/Water Contractor
O(n•a?
Telephone #(
Telephone # (
Telephone #(
I hereby apply for a Residential Building Pernut 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 of plans.
.h
Applicant's Printed Name
RemodeUReoair Reauiremenis
2 copies of plan showing foolirgs, beams, joists
1 set of Eneyy Cakulalions for heated addi6ons
1 site survey for additions & decks
Add'Non - indicefe if on-site sepfic system
canYs Signature
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
Work Tvpes
? 31 New
O 32 Addition
? 33 Alteration
A 34 Replacement
30 Accessory Bldg
31 Ext. Alt - Multi
33 EM. Alt- SF
36 Multi Misc.
? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
'Demolition (Entire Bidg) - Give PCA handout to applicant
DesGrlqtlOn: WaterDamage_Yes
Valuation (, 17 Occupancy MCES System
Plan Review ? 100% or _ 25% Code Edition
Census Code Zoning City Water
SAC Units Stories Booster Pump
# af Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
Footings(new hldg)
]k Footings (deck)
! Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
_ Framing
_ Fireplace _ R.I. _ Air Test _ Final
Insulation
Approved By: _ T 1,
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
? 07 OS-plex ? 13 16-plex ? 20 Pool ?
? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ?
? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ?
? 10 08-plex )( 18 Deck ? 23 Porch (screen/gazebo/pergola) ?
? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 12 12-plex ? 25 Miscellaneous
REQUIRED INSPECTIONS
_ Sheeh'ock
FinallC.O.
FinallNo C.O.
HVAC
Other
_ Pool Ftgs Au/Gas Tests Final
_ Sid'mg _ Stucco Lath _ Stone Lath _Brick
_ Windows
_ Retaining Wall
Building Inspector
o Ftl1z- 3/ ?P-,0-0
Copies
Other
Total
. . .. c
C. R. WINDEN 3 ASSOCIATES, INC.
LAND SURVEYORS Td. 643•3646
!! 1381 EUSTIS ST., Si, PAUI, MINN, 58108
For:
U. S. Home Corporation
?
0
1%?•VV
I? ?f 1?? ?2
?
?`
?
?
As of this date Johnny
Cake Ridge Third Addition
has not been recorded.
Lots 1 through 4 inclusive, Block 1,
Johnny Cake Ridge Third Addition;
Dakota County, Minnesota
WE MEREBY CERTIFY TNAT THIS IS A TRUE AND CORRECT NEPRESENTATION OF A SURVEY OF TME
BOUNDARIES OF THE lANO A60VE DESCRI6ED AND OF THE IOCATION OF All 6UItDINGS, IF ANY,
THEREON, ANO All VI5161E ENCROACHMENTS. IF ANY, FROM OR ON SAID IAND.
Dotod Ihit 23r" doy efJLI/?/ A,D. 198p C. R. WINDEN d ASSOCIATES, INC.
br 40?x? ?" ?'"„_`•?
Survoyor, Minnosota Ropittration 1%16.7726
?
? Scale:
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f"
City of EapIl
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Date:
? Fo??itce Usg I
i Permit#: T1 ?S % ??7 I
? PertnftFee: ?
? Date Received: ?
i ?
I StaN: ?
?----------------?
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Site Addresa: q- ?K F
i3c, rF?
Tenant:tl/SJ ?a??v?cS c-j(?y?L?t? ?dG?f7 ?-lGuS'
? Suite #:
RESIDENT / OWNER Name: jc3y;?l y4Lphone:
Address / City 1 Zip:
Applicant is: _ Owner _ Contracror
TYPE OF WORK Descdption of work:eTe_-4f G?r- -f
Construction Cost: 1,2? -7 2V Multl-Family Building: (Yes ? / No _?
CONTRACTOR Name:/VU??3e-S? Gt9rvTl?TU,'? !i'LL ucense #: ao, I 5ci `'l '7 3
Address: 8-/ G'q z-?/'--?i1 r?,/,l/t... G?tl c- /(,/
City:??L in ?'vvL State: l??-- Zip: 553//
Phone: Contact Person: L/ ` ;'Y1
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code • qesidential Ventilation Category i Worksheet . New Energy Code Worksheet
Category Submitted
b
Su
mitted
(4 SUbmission type) • Energy Envelope Calculafiors Submitted
In the last 12 months, has the City of Eagan issued a permlt for a similar plan based on a master plan?
_Yes _NO If yes, date and address of master plan:
licensed Plumber: Phone:
Mechanical Contrector: Phone:
Sewer & Water Contractor: Phone:
NOTE: Pians and supporting documents ttiat yousubmit are.considered to be publlc ibformation. Portions of
the information may,tie classified as non public if you provide specitic reasons that=would permit ttie City to
oonclude ihaf the are trade secrets.
I here6y acknowledge that lhis Information is complete and accurate; that the work will be in confortnance with the ordinances and codes of the Ciry of
Eaqan; that I understand ihis is not a pertnR, but only an application for a permit, and work is not to start without a permih, that the work will 6e in
accordance with the approved plan in the case of work which requires a review and approval of p s.
b X
ApphcanYs Printed Name
Page 1 of 3
4b? City of Eapn
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 6755675
Fax: (651) 675-5694
i - - - - --,
? Permit#: i
L I
? Permit Fee: V7 •? I
/_ I
? Dete Received: ? ?
? Staff: -----'
2009 MECHANICAL PERMIT APPLICATION
Date: C7a 10y^CR Site Address: 4'4`1 I/a L-Q?
Tenant:
Suite #:
1-1nej PhorleA5 I "(Ing i-
N
QiCc-Ae
QJ
RESIDENT 1 QWNER ame:
___3
--
o`P (12
4(
_.
AddresslCirylZip:
C)5'1 -7 q8 -7
iR L_
CONTRACTOR -
Dan Wohlers Southside Htg. & A/C l-icense u
6950 W. 146' St., #106
Apple Valley, MN 55124 state: zip:
(952) 431-7099 ,
...,;t Person: Jw tP
TYPEOFWORK -Ne'^' xReplacement _Additional _Alteration _Demolition
cesc?ipaonot;Nrork:?lQCe? "??ro? `?? -L- CLICJ
?'?#ath t?+4f?nrpanted ?t1f? ?eitrnd m?r ea ' uiptih?rt f?`iequFtd ???
?-
lt? ? ca spec?or ar nves of the ?
; i'`b? scveened?by City?Code" Please?coiftact
x ? _ . ,Plaiirieis?for k?tirma?, . " - rm ,s?resan?n =arethead?s .1 ?? . , , ,, ?,a ?. `;
RES/DENTIAL COMMERC/AL
PERMIT TYPE New Construction _ Interior Improvement
?
Fumace _
? Air Conditioner _ Install Piping _ Processed
Air Exchanger _ Gas _ Exterior HVAC Unit
_ Heat Pump _ Under / Above gmund Tank L Install /_ Remove)
" When installing/removing tank(s), call for irispection by Fre
Other Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge)
$90.50 Fir2 fEpair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
SO TOTALFEE
'
SD
$
-
COMMERCIAL FEES:
$70.50 Underground tank installation/removal OR Contrect Value $ x i%
$50.50 Minimum (includes State Surcharge)
Permit Fee
- If Pertnit Fe? is less than $1,000, surcharge is $.50.
$?atB SurCha
- If Pertnit Fee is >$1,000, surcharge increases by $.50 for each =$ ?e
$1,000 Permit Fee (i.e. a$1,001-$2,000 Permit Fea requires a$7.00 surcharge).
$ TOTAL FEE
I hereby acknowledge that this information is complete antl accurate; that the work will be in confortnwce with ihe ortlinances ano cooes rn me ury or cayan, uhaL
I understand this is not a pertni[, hut only an appliration for a pertnit, antl work is not to s[art withou[ a pertnR; that t xark wAll be in aCCOrtlance v.ith the approved
plan in the Case oi wnrk whith requires a feview and appfoval of plan5. ?
X ChacL ?-
Applicant's Printed Name ApplicanYs Signature
40' City of Ea:lan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 6755675
Fax: (651) 675-5694
? ForOTA6aUea -----_--- ?
i Pa?na: S?%3??d ?
? Permn Pee: 30 ?•S? i
? Data Racalved: -6 j
I ? I
I BtaH; o I
------------
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 81te AddresB:
Tenant:
Suite #:
RESIDENT / OWNER Name: PhonelDs? f'4-.9 1`.2O
Address ! City 1 Zip: 'yI1 PQk t.'C'./
P.pplicant is: __,;<Ovmer _ CoMractor
TYPE OF WORK Descriptlon of work: FAC)d Y"Oenw6l "h d°?-?c Q0--LK...
Construction Cost: _0KG1?' ? Multi-Family Building: (YesX l No
CONTRACTOR +
Name:+4Li.4tV4 14Ji-Nt7Y 1)qJJA7?iNj9A1 License#:
.
Address: 11d 7
ciri: 76, r wN c.a firsn state: -JOAL zip: ""5 S da ?
Phone'. Cm??IS' ?? Contact Person: VSta ? h. 1"! f 5?'Tl q y? 7?__,.
COMPLETE THIS AREA dNLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code . ResitleMial Vsntilation Categay 1 Worksheet
Category Submhted • New Energy Cade Worksheel
Su6mittea
(J submission type) • Energy Envelope Calculations Submitted
In the last 72 months, has the City of Eagan issued a pertnit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Lieensed Plumber. Phone:
Mechanical Contractor: Phone:
Sewer & Water ContraMOr: Phone:
NOTB: P/ana and aupporNng documenfa that you aubmit are conalafereaf Lo be pubfk InMrmatton. Portlons of
the lMorrnatlon mey be clasaffPed as non•publlc 1/you provlde apec/l!c reasona that woufd pemrlt the Clqr tu
conc/ude that the are trede secreta.
I hereby acknowledge tlret Mis iMormatlon is cpnplete and aaurate; that the woAc will be in canformance with the ordinarnxs arM codes of the City of
Eagan; Mat I urders[and lhis is not a permit, MA ony an aWication for a permil, and work ta start Mn7ha4 pertni[; that the wak will 6e in
accordance with the approve plan in the pse of vrork wFiich requi2s a review and approval of
I ` / t
X r 1? [ I Ci'Y17 7? ' ..
Appl c rrCs PrirMed ame A s Si
D I ? c r'?" ? - - . Pa9e1of3
D
IN MAY 2 5 2009
DO NOT WRITE BELOW THIS LINE ?
SUB TYPES
_ Foundatlon _ Fireplace _ Porch (3Season) _ Storm Damage
_ Single family Garage _ Porch (4Season) _ ExUeMOr AlteraGon (Single Femlly)
_ Multi ? Deck Porch (ScreeNGazebo/Pergola) Exterlor Alteration (Mutti)
_ 01 of _ Plex _ Lower Level _ Pool _ Misceilaneous
_ Accessory 8uilding
WORK TYPES
_ New _ Interior Improvement _ 5iding ? Demolish Bullding"
Addition _ Move 8ullding _ Reroof _ Demolish IMerior
? Alteratlon _ Fire Repair _ Windows _ Demolish foundation
_ Replace _ Repair _ EgressWlndow _ WaterDamage
_ ReffiIning Wall *Demolftion of antlre building -give PCA handout ro applicaM
DESCRIPTION
Valuffiion Occupancy --E:VL ? MCES System
Plan Review Code Ed"Rion IA4 lzcr?`t SAC Units
(25% 100%? Zoning City Water
Census Code ? Stories Booster Pwnp
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklere
Type of Construction Width
Footings (New Building)
?O Footings (peck)
_ Footings (Addition)
Foundation
Drain Tile
Roof: Ice & Water Final
Framing
Fireplace: _Rough In Air Test _Firial
? Insulation
Meter Size•
Reviewed 8y:
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
Cfty SAC
Utflity Connection Charge
S&W Permit 8 Surcharge
Treatment Plant
Copies
TOTAL
Sheetrock
Final / C.O. Required
? Final/ No C.O. Required
HVAC
Other:
Pool: _Footings _Air/Gas Tests _Final
Siding: _Stucco Lath _Stone Lath _Brick
_ Windows
Retaining Wall
? Erosion Control
Building inspector
?ly?T Pee-
I,ifr Il
Page 2 of 3
-,
General Contractors
4649'h Penkwe Way, Eagan, Minnesota 55122, (612) 688-8100
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� Permit Fee: ; ��. �
3830 P�iof Knob Road ;
Eagan RAN 55122 � Date Receroe�d: j
Phone:(651)675-5675 � �
Fax:(651 j 6T5-5694 1 Staff: t
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2014 RESIDENTIAL BUIL.�31NG PERMIT APPLICATIBN
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Date:�'���'"j� Site Addre.ss: L['��/�'" � �/ 7 �� �iG Ci,r/��` ElnFt#'
� tVame: ��/�i1� �-r�'�� t t�t,.�r��?�+�r� �Phone:
� �R£S1[�@fl#� �
C1W1��F Address I City f�ip: ���"�' /��� ,
Applicant is: Owner � Gantractor
Description of work: ��r�r �(�� �{ ��- ---J'�o�'/"��
TYt�+a of WoMC �
Cons#ruction Cost:������ Mu�i-Family Building:(Yes�/No�
Company;I VC�I��1°5� �r�Y11�v9�C.�U15 '� Cor�taact t l f� �G�tJ��'
� Go�tra�t�r �daress:�5'��� �✓���`��ja�r- L,%�-y}x /� c;�,:���'� �f�t�l.��
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State_�Zip:� Phone: ` Emai1:��►rn�? t3v'L�_,;'..,..5'T��r�t�J`�✓�v�vv —
trcense#: �J� �.r�S� �'1 7� -_�c. �_�-�.
l.e�aa certif[cate#:!V�.t—.—r�i�1 t9 3 ~-�
It the pro}ect is exempt from lead certi#°�cation, please exptain why: (see Page 3 for addition�it informatian)
CflMPLETE THIS AREA ONLY IF CONSTRUCT'ING A NEW BUILDtNG
)n the last 12 roont , a�the City of Eagan iss�d a�rmit€or a similar plan based on a ma�#er plan7 `
^Yes _No if yes,date and addr master p[an:
Ucensed Plumber: Phone:
Mlechanicai Contractor: ,
Sewer 8 Water Con r; Phone:
�OfE= �a�d syppof#in�'docu�n�nfs fl!rat yc�rt sutimit�r�caasideF�c!f4 L�e publhc in�rrn�#an ��rti�ns of
�� �
trtfQrmatiet�m��rb��la�si�ed&s nart pubiic ifyot�pr+ovid'e.spec�c r�s�trs�lr�t t�r�ittfd{�ei�►rtt:��G��,r#t>
c��rcf�de#tr�=f�ie �r��ad�secc�ts.
CAL�BEFORE YOU D1G. Cait GophrerSta�One Ca8 at(651}454-00pZ#arprotection agai�st undergrounci ut�lity damage. CaA 48 hours
beiore you iRtend to dig to receive locate.s of underground utilities. ww�v.c�opherstateonecait.oru
i hereby acknowledge that this irifarmation is t:ompiete ar�d ac�urate;that the vaork wlit be in t:onfwmance with the ordinan�ar�tl codes of it►e Giry of
Eagan; #hat 1 uadersfand this is not a permit,but only an applic�tron#or a permit, and w�ork is not to start writhcwt a permit;that the work will be in
accordance writh Ute appraved pfan in the rase oi u�rorlc wk►ich requires a review arxt approvat of plans.
Exterior�nrork authairized by a building pemvit issued in acc�dance with the Minnesota State iiding Code must be compieted witt►in 180
days of}�rmit issuance. '
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Applir.anf's P�r�ted Name anY's Signature
Pi�f of 3
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Use BLUE or BLACK Ink
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I For Office Use �
� � Permit#:_ ��" ��
City of ����� � � � �
Permit Fee: r
3830 Pilot Knob Road � { �
i _ "�i�
Eagan MN 55122 � Date Received: �(�
Phone: (651)675-5675 � �
Fax: (651)675-5694 �.;{:, � � s �M`� `; I Staff: �
I I
-------------- --
2015 RESIDENTIAL BUILDING PERMIT APPLICATION r ����5
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Date. Site Address: �� �`t`L'� Unit#: �y,.
3� � . -�_� �"�`1
��� �� ��������
� + Name: _� s Phone:
Address/City/Zip: l G� ��f'��c /�w ��f�
Applicant is: Owner Contractor
Description of work: ��f` �°°rf �`���(4 �DS� ,��'
Construction Cost: �i�� � Multi-Family Building: (Yes /No_)
Company: �!"�t� Sf'/'d�e �K,f'��-�lc.Fc`�'6ontact: ��Yfc �Cc�(���� �Z '?,--
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Address: ���� �j Z'.".� ���: �ra��vc���
��� State:�1 Zip: ��'6�' Phone: F71�������aiL• �
� �� ��,
license#: �' ���%r/ Lead Certificate#;
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
/Ue ��d n�-- .v;�..c ` � ��
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
_ ,�_..., ., . _ _ _
�.w _
� . : ; � � ,
� . _ _ �_. g ��_
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. wuvw.aoaherstateonecall.ora
I hereby acknowledge that#his information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x��,l��' J `/D � G�� X -
Applicant's Printed Name Applicant's Signat re
Page 1 of 3
�
��y� ��. �,�� c��
DO NOT WRITE BELOW THIS LII�E ��-- ( ��
SUB TYPES
Foundation Fireplace Porch(3-Season) Exterior Alteration(Single Family)
�Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
_ Multi _ Deck _ Porch(ScreenlGazebo/Pergola) _ Misceilaneous
01 of_Plex Lower Level Pool Accessory Building
WORK TYPES
New _ Interior Improvement _ Siding _ Demolish Building*
_ Addition _ Move Building _ Reroof _ Demolish Interior
�Alteration' _ Fire Repair _ Windows _ Demolish Foundation
_ Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall •Demolition of entire building—give PCA handout to applicant
DESCRIPTION
Valuation Occupancy MCES System
Plan Review Code Edition "�� =�SAC Units
(25%_100%_) Zoning City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction �[� Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) Final/C.O. Required
Footings(Addition) � Final/No C.O. Required
Foundation HVAC Gas Service Test Gas Line Air Test
Roof:_Ice&Water _Final Pool:_Footings Air/Gas Tests _Final
Framing Drain Tile
Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick
� Insulation � Windows
Sheathing Retaining Wall:_Footings_ Backfill_Final
Sheetrock Radon Control
Fire Walls Erosion Contrbl
Braced Walls Other:
Reviewed By: ��, Building Inspector
RESIDENTIAL FEES ' �,�
� a � I
Base Fee ,�°���' �� . �
` �:
Surcharge � 6 { �I,
Plan Review � ���Y � ��� �
MCES SAC � � �
Ci SAC ���
tY �„ �
Utility Connection Charge ����
S�W Permit�Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
Use BLUE or BLACK Ink
� r-----------------�
I For Office Use
� /� �. iy
C�bOl L� �11 j Permit#: �o�' "1 �f��"_ .y,�`' J
y � ' ��� � �-��
� Permit Fee: � �
3830 Pilot Knob Road � I � ���
Eagan MN 55122 � Date Received. .�
Phone: (651)675-5675 ' ' , I I
Fax: (657)675-5694 I Staff: �
�� , r' , �----------------�
2015 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: / � �"� °�� Site Address: L �o Unit#:
,� ��-�_._ ..
�` - ` Name: !'f�ilo�s /� Phone: ��Z'70�--S�S"'"'7�
, �J s6 3'>(� .�L�G
Address/City/Zip:
- Applicant is: %�Owner Contractor
Description of work: �/�ri d�'� �/,� ��� � /�(pc('Gi /h��,�
Construction Cost: � Multi-Family Building: (Yes /No�
Company: �'I1-l�.c. :��7�`���v �_l3�Contact: (Of�� ° 0�,17— / ���
� }
Address: �U��� J(�� /� �Z4 �IJ City: �
���aT State�Zip: Phone: (��Z�ZII"S�mail: ,�'�
�� � �y� � �� � - �
� � �icense#: �G Lead Certificate#:
If the project is exempt from lead certification, please e lain why: (see Page 3 for additi infor ation)
� ,� �/� �
�- �(,��-°S T r Ca✓�
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING `�'" �;`�
,���'Gt E�' l C'✓'
In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? `�����P1
-� ,
_Yes �No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.00aherstateonecall.ora
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x /'`f� S!�'DP� X _
Applicant's Printed Name Applicant's Si nature
Page 1 of 3
���� ����� �� . � .
DO NOT WRITE BELOW THIS L+rNE c��S 6 �—
SUB TYPES
_ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration (Single Family)
� Single Family Garage Porch(4-Season) Exterior Alteration (Multi)
Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
01 of_Plex Lower Level Pool Accessory Building
WORK TYPES
_ New _ Interior Improvement _ Siding _ Demolish Building*
Addition _ Move Building _ Reroof _ Demolish Interior
�Alteration _ Fire Repair _ Windows _ Demolish Foundation
_ Replace _ Repair _ Egress Window _ Water Damage
_ Re'taining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation � � '� � Occupancy MCES System
Plan Review Code Edition "� SAC Units
(25%_100%�) Zoning --��� City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings(Addition) Final/No C.O. Required
Foundation HVAC Gas Service Test Gas Line Air Test
Roof: Ice&Water _Final Pool:_Footings _Air/Gas Tests _Final
� Framing Drain Tile
Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick
••a, Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Erosion Control
Braced Walls Other:
Reviewed By: 1 "' , Building Inspector
RESIDENTIAL FEES
Base Fee �''`�.��✓`"� � ��
Surcharge
�
Plan Review �;+
MCES SAC �� � �.-� .-- `?� � � �
CiTy SAC � �
Utility Connection Charge
SS�W Permit 8�Surcharge
Treatment Plant "�,,.,�-��``
Co ies � �"'�
P
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA129129
Date Issued:01/13/2015
Permit Category:ePermit
Site Address: 4649 Penkwe Way
Lot:1 Block: 01 Addition: Johnny Cake Ridge 3rd
PID:10-39802-01-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Chris Grant
19700 Embers Ave
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Epstein Enterprises Llc
161 Marie Ave
West St Paul MN 55118
(651) 455-1630
Grant Heating & Air Llc
19700 Embers Ave
Farmington MN 55024
(651) 226-0515
Applicant/Permitee: Signature Issued By: Signature