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4652 Penkwe WayCITY OF EAGAN Remarks Additlon,j.)EN'Y' C:AKF. RT17GF dtft Lot I elk 7 Parcel 10 zC1?030.0.? owner screet 4630 Ridge Cliffe DT1Ye gtate EAg87t. MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK ' %EWER 1981 2277.43 455.4 5 2277.43 C005581 10 15 80 WATERMAIN WATER LATERAL 1981 WATER AREA ? 1981 300.00 60.00 5 300.00 C005581 10/15/80 STORM SEW TRK 1981 278.28 55.66 5 278.28 C005581 10/15J80 A5TORM SEW I.AT 1981 CURB & GUTTER SIOEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK CITY OF EAGAN Remarks - Additio . JOM+!*iY" CAKE RTME 4th Lot 2 Rik 7- Parcel J.() zau?x naq g7 Owner Street 4632 R1d$e Cliffe DTLVe State ESga.tl, MN 55122 Improvemeat Date Amount Annuel Years Payment Receipt Date STR EET SUR F. STREET RESTOR. GRADING 5AN SEW TRUNK ' * SEWER LATERAI. WATERMAIN * WATER LATERAL igRi WATER AREA ? STORM SEW TRK * STORM SEW LAT 981 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. SUILDING PER. SAG PARK CITY OF EAGAN Remarks . Addition r]'G&ryrn,?.??AXE?nI136'II 4+.t. Lot 4 elk 7--Parcei10 19803 ()40 07 Owner Street -4652 pETikwe KAy_ State Eag,an,` MII1T 55122 Improvement Date Amount Annual Years Payment Receipt Da2e STREET SUR F. STREET RESTOR. GRADING SAN SEW TRUNK id- ' SEWER LATERAL * WATERMAIN * WATER LATERAL WATER AREA STONM SEW TRK 278.28 10/15/80 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 13UILDING PER. SAC PARK CITY OF EAGAN - Remarks - Addiiion ,TdtiWff ('.AiCF RTrlr.F d 1. Loc 3 Blk 7 Parce11.Q zoAnz [izn 07 o,,,,ner ' st,set 4654 Penkwe ATay scate Eagan, MIN 55122 Improvement Oate Amount Annual Years Payment Receipt Date STREET SURF. S7REET RESTQR. GRADING SAN SEW TRUNK * SEWER LATERAL WATERMAIN * 1NATER LATERAL 1981 WATER AREA STOftM SEW TRK • STORM SEW LAT 1981 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 9UILDING PER. SAC D, ?.. ?, ' iS (rn L4 6 5 '.?' .?- 5 ?:1 ? V,?.r, kv-? ,?;,.,?it SrXi.E UNI LO CITY OF EAGAN !0 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ?- ?? 5?? i6ft PHONE 454-8100 ? Receipt # i ' -) (- ) used tor 1 OF 4 PLEX Est value $48,000 86 SiteAddress 4632 RIDGE CLIFFE DR Erect ff Occupancy R3 JOHNNY CAKE Lot-2 Block 7 Sec/Sub Remodel ? Zoniny pD . Parcel No. RIDGE 4TIi Repair ? Type of Const VII Addition ? No. Stories Name GOOD VALUE HOMES Move ? Length 4 4 1 - 14 6 0 9 3RU F.N N ?emo?ish ? Dapth 2 d 3c 0 Address City BI.AII4FPhone 7$0-55 Int. Impr. I t ll ? ? Sq. Ft ns a = o Name SMB ? ¢ Address City Phone W W Un °C W < Name- Address I hereby acknowledge that I have read this application and state that the iniormation is correct and agree.;o comply with all applicable State ot Ordina es. Minnesota Statutes and Ci=-A, Signature oi Permitteef GOOD VALUF HUMBS Assessment Water & Sew. Pofice Fire Eng. Planner Council Bldg. Off?? APC Var. Date Permit _ Surcharge Plan Revie Water Conn. 540 . UO Water Meter 63.510 Road Unit 290.0n Tr. P i. 156.010 Parks Copies . 5 C Total , A 8uilding Permit is issued to: ? on the express condition that all work shall be done in accordance with all applicqble State of Minnesota Statutes and City ot Eagan Ordinances. Building Official ? _ PwmiH No. Pormlt Holdor Date Tdsphoes tl Plumbinp H.V.A.C. sockic 9 • OC? sonen« InspecHon Dats Insp. Commtnh FooUnyt I ? (,`i ?,? Fooqnys II Foundation Framiny Rooflny Rouyh Plbq. Rauyh Htg. i L? Insul. Fireploce FinN Hty. 4-/,??j ?• q. FinN Plby. --? . S`- 7 GJ a-cti f Bidy. Final 4' Cort. Ocer. . Deck Fty. Deck Frmg. S Wsll f? cU? ? ??Z r Y Pr. Dbp. PERMIT # , .' PLUMBING PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Address BLDG. TYPE WORK DESCRIPTION Lot Block r7 ? Sec/Sub ? ti • Res. New ? Name X Mult Add-on m .q Address -- C' ` Comm. Repair c -? City Phoneli ='? ?l ": 1 Other ` NQ. FIXTURES TOTAL Name ?-- ' TWates C4oset - $3 00 ? Address . ' Bath Tubs - $3.00 p . City." ?- ?? , ? Phane?4'" - S - $3.00 ? _ _Lavatory ? Shower - $3.00 ' Kitchen Sink - $3.00 FEES Urinal/Bidet - $3.00 COMM/IND FEE - 1% OF CONTRAC7 FEE ?Laundry Tray -$3.00 - MINIMUM - RESIDENTIAI. FEE - $ya•00 ?Floor Drains - $1.50 ' MINIMUM - COMMIIND FEE - 20•00 Lyvater Heater -$1.50 STATE SURCHARGE PER PERMIT - .50 _ Whirlpool -$3.00 (ADD $.50 S/C IF PERMIT PRtCE GOES =Gas Piping Outlets -$1.5Q BEYOND $1,000.00) Softener - $5.00 Well - $10 00 l ? . • ? ??---.•', ?. . Private Disp. - $14.00 -? Rough Openings - $1.50 SIGNATUFiE OF PERMITTEE ?- FEE: STATE S/C: S ` • _' ' FOR: CITY OF EAGAN GRAND TOTAL CONTRACT PRICE Site Addfess "? ? ? Lot ? Block ? ? Name d '' - , ? Address c City y?.°4s,..+.? ? Name c Address ? '`? ? ?-• ' { ?.'?-& p City TYPE OF WORK Forced Air _ M BTU Boiler M BTU Unit Heater M BTU Air Cond. . . ? M BTU Vent CFM Gas Piping Outlets # Other FEE S/C: TOTAL• MECHANICAL PERMIT CITY OF EAGAN r KN08 ROAD, EAGAN, MN 55121 PERMIT # RECEIPT # " DATE BLDG. TYPE WORK DESCRIPTION Res. New I-- Mult Add-on Comm. Repair Other FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADOITIONAL 6 M BTU - 6.00 GAS OUTLETS - 1.50 EA. COMM/IND FEE - 196 OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - 10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PF4CE GOES BEYOND $1,000.00) r----r '(I r `"t I/ SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN . .. (gertifiratt uf (Orru?aury titp of eagan lgrpar#rnrnf af WutldWg Jpprtium This CertiJicate usued pursuant to the requireinents of Section 306 of the Urufornt Building Code certifying that at the tirae of issuance ihis structure was in comp!lance with the various ordinances of rhe City regulnting building carstruction or use. Far the fo!lowing: uae a.sarwuoe 1OF 4 )"•", swg. elrmii No. i i 584 occup.ncy Type R3 Zoning n;tlc;ct 7ype C.nl ? owner af suilding ?• i?,?1 r.i: r?~ l?? ; ,4ddra, i460 0,.31 ; i.N s;fAD?&. ? ? ?,,;- ; ?-;-;? - ; n,•:' ,,o??y, I.2, B7, ;P , J)at., 6Pfi::I. !31 198i Bwlding Officiil POST IN A CONSPICUOUS PLACE rQR bki'':' 0` CITY OF EAGAN ?'?y? 30 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 it 1 2 34 B ??kt? ??-- PHONE: 454-8100 BtS1L6If?G PER SW ?c n kw e. Receipt # 1! ? C? ?) (,, 12583 To be used for I OF 4 PLEX Est. Value $ 48,000 Date SEPTEMBER 4 19 86 SiteAddress 4630 RIDGE CLIFFE UR Erect CN Occupancy R3 Lot 1 Block 7 Seclsub. JOHNNY CA KF. Remodel ? Zoning p1'l Parcel No. RIDGE 4TH Repair ? Type of Const Sf{y Addition ? No. Stories W Name GOOD VALUE NOMES Move ? Length 44 = 14 6 0 9 3 RD LI? P7 Demolish ? Depth 24 o Address I I t ? Ft S 780-5510 B?INE C on n . mpr. ? q. ity Ph e Install a c am-N Approvals ? Fsss = o Name 0 a Address AS5BSSm8nt '- cttv Phone Water & Sew. ? Q Police _ Name Fir F = e - Address E : ng.- < W City Phone Planner I hereby acknowledge that I have read this application and state thatthe information is correct and agree to comply with all applicable State oi Minnesota Statutes and City)c!tagqa Ordinances. j1 Council gldg. Off. y 4$ G APC ? Signature of Permitt ?qi•- ???1 ,0.4 ? ,?c Var. Date GOOD VALUE HOMES Permit '? AIy • vv Surcharge 24.00 Plan Review 137.00 SAC 575.00 Water Conn. 500.00 Water Meter 63.50 Road Unit 290.00 Tr. PI. 156.00 Parks Copie T,,,. 2, U19. 50 A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City ot Eagan Ordinances. Building Official - e . Pormlt No. PormN Hokla Date Telephons N PluTbinp I0/3 ekwbic C'_ saRenw Impsetlon DaU Imp. Commenb Footin9s I C ? Ltl f7 Footfnys 11 i Foundtlbn Froming ? Roofing Rouyh Plby. ? - ? - Rouqh Htq. Insul. or FI?spbce Find Hiy. T d7 ?- ? Final Plby. 7-7-97 Bldy. Flnal 7-.-,e2 c.n.occ. 741-47 4E7 0 Deck Flp. Deek Frm9. WNI Pr. Disp. . u , PERMIT # PWMBING PERMR CITY OF EAGAN ?F?ElPT # 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: ? VTRACT PRICE PHONE: 454-8100 Site Address '/6 -5 a " Lot / _ Block - - Name ? ?,. ..,.h ? Address c City, . Phone ? Name c Address O City FEES COMM/IND FEE - 146 OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - $10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYaND $1,000.00) A'xll)'),-•4- II SIGNATURE OF PERMITTEE BLDG. TYPE WORK DESCRIPTION Res. - New - Mult Add-on - Comm. Repair Other N0, FIXTURES TOTAL % Water Closet - $3.00 ? $ " Bath Tubs - $3.00 ` Lavatory - $3.00 . % Shower - $3.00 ? Kftchen Sink - $3.00 Urinal/Bidet - $3.00 ? Laundry Tray - $3.00 ? 1 Floor Drains - $1.50 ? Z Water Heater - $1.50 ' Whirlpool - $3.00 / Gas Piping Outlets - $1.50 Softener - $5.00 Well - $10.00 _ Private Disp. - $10.00 ' - Rough Openings - $1.50 FEE ? S7ATF S/C: ' • GRAND TOTAL FOR: CITY OF EAGAN CONTRACT PRICE MECHANICAL PERMIT CITY OF EAGAN r KNOB ROAD, EAGAN, MN 55121 c PHONE:454-8100 PERMIT # FiECEIPT # DATE: f m Name 3 Addre c City _ ? Name L= c:c.d U cLit.u c Address O City t TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent Gas Piping Outldts # Other MBTU M BTU M BTU M BTU CFM FEE S/C: TOTAL• BLDG. TYPE Res ? Mult Comm. Other WORK OESCRIPTION New ? Add-on Repair FEES RES. HVAC 0-100 M BTU - a24.00 ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 GAS OUTLETS - 1.50 EA. COMM/IND FEE - 196 OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - 10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) PERMITTEE FOR: CITY OF EAGAN I . + • 01rrttf irate uf Orrupanry Citp of (Eagan EP,}t8ltt[Pttf Af BlitIbiC[g jWPtYiOt[ This Cern'ficate issued pursuant to tlre requrrements of Section 306 of the Uniform Buildixg Code certifying that at the ttme of rssuance thfs structure was in compliance with the Parious ardinances of 1he Ciiy regulating building consrruction or use. For the following.• Use cwssifintioo 1 CF f+ F:.'-:• Hldg. Rrmit No. Occup-y Type R3 Zooing District Type Cc?ust '? : 'v S't;`• { C ?.- f!* . _ J.' :' •, Owner of Bwlding ?Ylf? a f p?? ;4l? ) Bui{dingAddress 1 Lonlity i-? Date: iLY 20. 1987 Buildiug OtTicial POST IN A CQNSPICUOUS PLACE Fo3 ?ALE UN?5 CITY OF EAGAN ?' ? 12 5 8 5 ?`?:?FJOU3S 30 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 t?? I 2.3?4, R? ? ?•?,?+5 on PHONE:454-8100 ? . BUI?DING PERMIT '-??30 ?-3a I?' i d?je c I, ? Receipt# ???` ``? ?'' ' To be usad lor 1 OF 4 PLE:{ Est va?ue $ 4 8? 0 0 0 Date ?p???? 4 : ? s '?? Site Address - Lot_? Block Parcel No. Phone = o Name S?+ ? ? Address Ciry Phone ?Q ? W Name- ? ? Address ?_ t W Citv - I hereby acknowledge that 1 have re+ information is correct and agree to Minnesota Statutes and Ciry of'?Ig Signature of ?plication and statethatthe with all applicable State ot Erect ? Occupancy K3 Remodel ? 2oning p? Repair ? Type of Const Vn Addition ? No. Stories Move Demolish ? ? Length Depth Int. Impr. ? Sq. Ft Install ? ApqfOVeb Fees Assessment _ Water 8? Sew. Police Fire Eng. Planner Council BIdg.Off. y Var. Date Permit ? ? r y. v v Surcharge 24.00 Plan Review 137 .00 SAC 575.00 Water Conn. `?U0.00 Water Meter 63 . 50 Road Unit Z90. 00 Tr. p?. 156. 00 Parks Copies Total 5 2. 019 . 50 A Building Permit is issued to: ?'WU y?'V?' nu?`i'J an the express condltfon that all work shall be done in accordance with all applicable St?te o( Minnesota Statutes a?d Ciiy of Eagan Ordinances. Building Official ? \ ? ?. `"J'.- l /? . _ Psmdl Nu. PormN Holdw Date TNephme M Plumbinp N.V.A.C. elocatc Sofbna Inspectlon Date Inap. Canmenb Foodng. I ci g ?j L? Foodnqsll Foundstm Framiny ? w Rootiny Rouqh Pibq. ?/ -?` • L - 'Y /o - Rouyh Mty. Insul. Flnplact Final ft. -d347 Flnsl Plbq. -447 V •A &dq. Flnal CQA.OCC. ^? r Dock Ftq. Deek Frmy. WNI Pr. Obp. PERMIT # •.? ? . ' MECHANICAL PERMIT RECEIPT # ? CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: CONTRACT PRICE PHONE: 454-8100 Site Address `4 BLDG TYPE WORK DESCRIPTlON . Lot V Block Sec/Sub , ,?- rCk t R V N L ? Name ?• ?? ' ? ` ' ` es. ew R Add M a) -on u Address ? -- ` C R i s c City Phone 7 ? omm. epa r pth er Name FEES ? c Addr J < (` ?? ?• ? ?± RES. HVAC 0-100 M BTU -$24.00 p Ciry ? Phone ?? ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 TYPE OF WORK r GAS OUTLETS - 1.50 EA. Forced Air M BTU COMM/IND FEE - 1% OF CONTRACT FEE Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00 Unit Heater M BTU MINIMUM - COMM/1ND FEE - 20.00 Air Cond. • M BTU STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES Vent CFM BEYOND $1,000.00) Gas Piping Outlets # Other FEE () 51GNATURE OF PERMITTEE S/C: TOTAL• ??` • ` ?? FOR CITY OF EAGAN PERMIT # PLUMBING PERMIT RECEIPT # CITY OF EA(iAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: _ Site Addresa k"' -' Lot " j Block m Name ? Addre c City s ? Name 3 Addre O FEES COMMIIND FEE - 1%OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - $10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) SIGNATURE OF FOR CITY OF EAGAN BLDG. TYPE WORK DESCRIPTION Res. ? New L- Mult Add-on Comm. Repair Other NQ. FIXTURES W Cl $3 00 TOTAL : ` ater oset - . -7-Bath Tubs - $3•00 - TLavatory - $3.00 - r Shower - $3.00 I Kitchen Sink - $3.00 ' (f Urinal/Bidet - $3.00 ? Laundry Tray - $3.00 ? Floor Drains - $1.50 ?Water Heater - $1.50 Whirlpool - $3.00 I_Gas Piping Outlets - $1.50 ?' Softener - $5.00 Well - $10.00 Private Disp. - $10.00 ? Rough Openings - $1.50 -`' C' FEE STATE 3/C: GRAND TOTAL• ?? ?5 U CITY OF EAGAN TbWNPOJSE 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 1258?+ v L 32, 3' 4"r3 1 ?? ?:-+S o--? PHONE: 454-8100 BUIL6II46PERMIT `+l0 3 0 ? 31 jL' ; JV c h i-{-c, Receipt # 7o be used tor l OF 4PLEX Est. VaIue $ 4 8,000 Date SEP'PE14BER 4 1y 86 SiteAddress 4 654 PENKWE WAY Erect ? Occupancy K3 Lot 3 Block 7 Sec/Sub. JOHNNY CAKE Remodel ? Zoning PD Parcel No. R I[XiE 4'1'H Repair ? Type of Const. 11p Additian ? No. Stories ? Name GOAD VAj,UE FiQfMES Move ? Length 4 Demolish ? Depth 24 3 0 Address 1460 93RD L Ld Int. Pr. O Sq. Ft City BLAINEPhone 78 0-5510 Install S IME ?R,? k F? t Z o 4Vame - ?°, a Address Assessment _ i- City Phone Water 8 Sew. ? ¢ F Z Name Police Fire F a Address E , ? W City Phone ng. Planner I hereby acknowledge that I have read this application and state thatthe information is correct and agree to comply with all applicable State oi Minnesota Statutes and City of,E,,agp Ordinances. ?- Signature oi Permittee-?_?_ A Build'+ng Fesmit is issued to: GOOD VALUF. fi ES all work shall be done in accordance with, all appiicable Sjete of Minneso Council Bldg. Off. 9 4 8 6 APC Permit 274.00 Surcharge 24• 0 Plan Review-??00 SAC 5 .00 Water Conn. 500.00 Water Meter?J4 Road Unit 290.00 Tr. PI. 156.00 Parks Var. Date I rCopie - +?i , • d on the express condition that and City of Eagan Ordinances. Building Aarmit Na Mrmit Holder Date TNephone N Plumbing {?/? H.V.A.C. IVIN ei.ctnc 7- 0c? Softsner Inspecdon Date Inap. Commenb Footings I e i FooHnys t1 Foundatbn F?aminq Rooliny Rough Plbg. - - G - - ?` ?- Rough Htg. Insul. 1?4 6 aP Firsplace Final Mty, Ffnel Ptbq. Bldg. Final Cert.Occ. °I? ? C{J? D?ck Fty. Deck Fnt1y. Well Dbp. r. L I PERMIT # _ PLUMBING PERMIT RECEIPT # ' CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: CONTRACT PRICE PHONE: 454-8100 Site Address '? F' `? ? J ?? -`• l'?' {`` ?` BLDG. TYPE WORK DESCRIPTION Lot - Block ? Sec/Sub Res. New ? m Name 7 Mult Add-on a, Address Comm. Repair •. _ c City Pho662 ? W' Other FIXTURES T TAL O hlame . O H Water Closet - $3 00 ? c Address . =Bath Tubs - $3.00 - " Phone :7 /Lavatary - $3.00 =s, - ?Shower - $3.00 ? Kitchen Sink - $3.00 FEES Urinal/Bidet - $3.00 COMMIIND FEE - 145 OF CONTRACT FEE ?Laundry Tray -$3.00 MINIMUM - RESIDENTIAL FEE -$10.00 ?Floor Drains -$1.50 f=? MINIMUM - GOMM/IMD FEE -20-00 _L Water Heater -$1.50 L' ` r STATE SURCHARGE PER PERMIT - .50 Whirlpool -$3.00 (ADD $.50 S/C IF PERMIT PRICE GOES Ias piping Outlets -$1.5U BEYOND $1,000.00) Softener - $5.00 Well - $10.00 Private Disp. - $10.00 _ -? Rough Openings - $1.50 SIGNATURE OF PERMITTEE FEE STATE S/C: ? ` " ' 77 Sv GRANb FOR: CITY OF EAGAM TOTAL: PERMIT# , AAECHANICAL PERMIT RECEIPT # ? CITY OF EAGAN 3830 PILOT KN08 ROAD, EAGAN, MN 55121 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Address '} ? BLDG. TYPE WORK DESCRIPTION Lot " Block ? SeclSub G ?c% - Res. ? New m Name ?3 , t, , Muit Add-on il" ? Address , Comm. Repair c Ciry .x. ?., .? •?-? Phone ,.'? ? 11 Other Name c Address 03 City TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. - Vent Gas Piping Outieb # Other M BTU M BTU M BTU M BTU CFM FEE S/C: TOTAL• FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 GAS OUTLETS - 1.50 EA. COMM/IND FEE - 1% OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - 10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) ? e f SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN . ?''1•.. CASH RECEIPT ???. . CITY OF' EAGAN , •• 3795 PILOT KNOB ROAD • EAGAN, MINNESOTA 55122 DATE ,9 & f1CC FROM AMOUNT is rI/ / ?L) & DOLLARS 1 oo []CASH E)CHECK U FUNG GODE /ytifOUNT ?a Z ?.sz mc) 3 /3 a c) 374t_(l /G a v z Thank You 66283 i , •,? White-Payers Co. Yellow-Posting . Pink-File Copy FOR ? / ?_ CITY OF EAGAN 3830 Pilot Krt,?b Rosd P. O. Bux 21199 Eagan, MN 55121 Zoninp: VwnOr: 5 1 ARIress: `{ SiY! AddroSE: ~ . Plumber. *(ickei: 1 Nrw ro aM46 wilh tw QIh o1 Eew, OrdiMnen. By Dafe of Insp,; SEWER SptVlCE PERMIT PERMIT NO.: D/17'E: No. of Un(ts: `F B 7 Johaauv Ck CAnrNCtlOn ChdrQe: - -` _)i?;,,_ Aooount Deposit: Permit Fae: ? .'• ?, -. Su?dwrgs; AAisc. Chorges: Totol: Doh Poid: , P. O. Box 21198 Eagan, MN 55127 Zonirg: ? Owrrar. Addmss: Site Addrcsa: Plumber: r - ' " ? F?,•:t.; IKster No.: s;ze: watER sErnrIcF PERM PERMIT NO.: -..: .DATE: - No. of Units: ; --r12t): Reodar No.: I NM M 0000oiy rdNh tlw City oi Ee"n Or/iwwwoM. By c«x,ecri«n a,arge: _r Aowunt Deposir: Parmit Fee: Surcharge: Misc. Chorpas: J-" TotoL• ? •: ? ? ., Dota Poid: Date of Ir?sp.: Imp.: CITY OF EAGAN 3830 Pilpt ICnob Road P. O. 8ox 21199 Eagan, MN 55121 ' Zonlnp: . O1MflQf: C0Ut1 V2llUe . r-••.:?.: AddrQSi: _!: JOttriAy C Meftr No.: o to 5- ion Qwrys: Siu: Depostt: Reods No.: U?a ?O q Q D r2? - -?*mng-ca R98C?16af t"... ft aa.Py +ri? er. ELE-i1 Or1iac, ryes: _ REQUIREDTOY-l?4W- ey or Dote Pald: Dote of Insp.: Insn_, WATER SERVICE PERJNIT PERMIT NO.: D/CTE: - ? ? _ No, of Units: d T'P / 7, - s- ??O ° CiTY OF EAGAN - 3830 Pilot Knob Rcqd SEMR SERVICE PEmR ; P. O. Bax 21199 PERMIT NO.: Eagan, MN 55121 D^TE: Zoninp No. of Units: '+ _ -, ?- - , pM,nar. ;Addmss: S1te /Iddross:4b52 r ? _ i.?l; !17 T,?x:ii;:v ? Plumber. y?"`:.e?sor •?r ? ?z:: ? ??-?,•'?f?,.- 11 ym 1o awepy wi1616 Ciy oi hw¦ Cannactton aorow. Aooount DepoW: ,- Pern+it Fse: ' surcl,ar0e: B y /Y115C. QqrQli: Date of Insp.: ? Total: I^sp" Oote Pald: Pilot Knob Road Box 21199 n, MN 55127 y: t Ize: OF EAGAN ss: er. -eZNo.. - j Reoder No.: ? I y" ts eoapip wllb tw City of E."¦ Onllmsna& Bv ? oate of Insp.: f ? E..-- YVATER SERVICE PERMIT PERMIT NQ: OATE: -- No, of Units: ' Connectian Charga: Aooount Depoalr: _ Permit Fee: Surcharps: Mlsc. Chorpes: - Totol: Dote Paid: ITY OF EAGAN WATER SERVICE PERNUT 4 Pilot Knob Rosd . fJ. Box :1199 ?PERMIT NO.: agan, MN 5?121 DNTE: Y - o ex ?i?; J No. of Units: :co. ?ues??ores r. ross: W -TR 4652 ? ? . :., . , Jo.nn,r M /Wdross: - _. c Kc son , Lun• .nu umber. ? .. tr . 00M r No.: 3 fon Charye: ?t. • ? F ze: 0 1I1 ? Cp? WAti . 0p r No.: q? te aewvy wi1?AlE 5urfh . y p-• pT metet ? Totai. . y Dote Poid: e of Irap.: Insp.: nny Ck r.dg 4tt I 15 F n r-? ?,c; ; ?, 63. 50ncI r3e`:: r CITY OF EAGAN 'WATER SERVICE PERMIT 3830 Pilo3 hnob Road - , P_O. Soz 21199 PERMIT NO.: Eagan, MN 5?121 i DATE: _ --`, ZO^i^g: No. of Units: Ownef: ''?' aI„: ?O!;P_S Addreas: Sit? Mdress: -ifre Drive T7 .7ohnny ?.k ? - Plumlxr I ic s; )rt P.I?lIIiL???:a Rall,Ie- Reoder tv6.D """•? -'" Tpj(`i-.- tte. Iu.UupO ,p?'- Ioo?ly wi11? !6e per ' O?Y?¦ - Symbo - ?. , 77. :P << Total: po -7 - BY Dah Potd: Dote of Inap.: Insp.: CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road P. O. Box 21189 PERMIT NO.: _ Esgan, MN 55121 DATE: . Zwnirg: - No. of Units: Owner, Address: 5ite Nddross: • ; , r r { -.?: - . ., , ? ,. ° ;? ? ?? : 1.. tfs Plumber. Matar No.: - - Connection CFarpa: $ize; AtoouM Deposit: . -,:. Roader No.: Penmit Fee: 1 pm !o aawoil wMr 1M Cih of Esvw Surcharge: OrrlMAew Mlac. CMrpes: ;, - TotaL• . _ . . r gy Dot. Poid: Date of Insp.: Irqp.: 'CITY pF EAGAN $?? 5O?O PERMIT 3830 Pilot Knab Road P. O. Box 21199 PERMIT NO.: 'Eagan, MN 55121 p^?; 'ZO^i^4: Na of Unita: 'Ownen ress: ? . . . .?. '. e ite /4ddress: ;;;' ., -. t ;Plumber. ?- yT, , ;•,, , ? yne ta eaaoy? wkb Nw Cihr Oi !aN¦ Conr?sction Chorge: Areount Depaltr Permit Fes: . ? ` Surdwrps: . BY ? Misc. Chorpss; ? Dote of Irop.: Total: Irap.: ? QaM Pafd: ?-? CITY OF EAGAN WATER SERVICE PERMR 3830 Pilot Knob Rosd P. O. 8ox 21199 PERMIT NO.: Eegan, MN 55121 p,^TE; I Zonirg: No. oi Units: Owner. Va I tt e-.- , ? 11ddross; ' , ? $ke Add?!Si' Pr J.V E ?..? 7 JO ?;ririy F:<? ??T., 4t PlIJ1MItIQ?: ' . ` C!:E:?.Z.UC Meter No.: 37 3 ?tion Chorpe: r`)U . ()OFd ? Size: ?? oc_ 'L ?? ? ?!??,d Readsr No.: I ..... !o aoMol,? .NI+? ? m&e.ELECr??aa-s ic. • : ii,?d OniiMwew. ? I =•6 . c)QP3 7'F ?V[V ?R???bloF. F?`'• 51?7:?' °ne * az BY Dots PIVId: DcM of Inap.: [rap,; /- ? ? ? 7 - -.._--- --_--_? CjTY OF EAGAN WATER SERVICE PERMIT 3830 Pibt Knob Road P. U. Box 21188 PERMIT NO.: Eapan, MI: 55721 DATE: Zonirp: .. IV -, .; • c. of Units: --p1 eY Owner: Md?ess: Slte Addreac Vlurnber. $1t.mE?i` _ . . -, Mebr No.: 5ize: Reader No.: I NrM to eema* wilh tiN Cihr of Eown 4r/INeem By Date of Insp.: Connsctian Chorge: Accourrt Depostt: - T t1t}a'I Permit Fee: ' - . -? Sur+cha?fle: Misc. Chorpss; Total: Dots Poid: I?up.: CITY OF EAGAN SEWER SEVICE PERMR f 3830 Pilot Knob Road •: P. O. Box 21199 PERMIT NO.: Eagan, Mn 55121 ti/1TE: - • Zoni^o: -- No. of Unlts: ex ? OwrNr: >ood VaItt,: e ` Address: I Site Addres: 4632 p;`'!g CZi.ffe ?'- I Plumber. ``?C"?'?c'3n T'1u1:1hir.? I 1-1- )- ' ' f'•-? ' I o!m to awh wkk !iw Cily of Eyen C Comeetlon Cltaego: - -'. f .-F tjl L?25I adi?..e... Acaoune Deposrt• 1 5. PC,n<, By - Dote of i.,... • Pemdt Fee: . Surciw?pr Mitc. Chor9es: Insp.. Totol: Dats Paid: - 11 16?? I?; REUUEST FOR ELECTRICAL INSPECTION ee-ooooi-as It See inatructions br completine <his form on back o1 vellaw copy. h a?? I X" $e/ow Work Cavered by This Request c 58558 AAd Reo. Tvoa o18uilEina Anolianees WreA Equipment Wirea I I II ? CommerC531 8fdg. Fumace ? 1 Silo Unloader ? m IndusVial BIAo. Air Conditioner Bulk Milk Tenk Y Fes ServicaEntrenceSize H Fee Feaders/5ubleedare N Fea Circuits o U to 200 Am s 1 2 D to 30 Am s ` 0 to 30 Am - Above 20 _qm ?s 31 to 100 Amps 31 to 100 A s Swinvnin Pooi Above 100_F1m s Above 700_Am s Transformers Irrigation Booms Partial•"Othor Fee ial ?nspection 5`t ` 1? , SD .. / /?? w• -- - - ? !'?? I. tne'EI.c?.ice1" V ? Impectoq heraby • cerlity thet Me above 7 I Final ` 1e/. ?n inapec'ion hee Caen ?,n;= d4uas ve,d I I/G 3 i 4? ? 8 ? ? I - 18 months from C 58558 ca.? 2L 47,00 Request Date Fire No. Rouph- n Inspection .l Required7 ?Reatly Nuw?'ill Notify, Insoec- ? Ve5 ?No Ior When NeadV C] LicMSeC Elacvical ConVactor I hereby requeat inaoection oi ebove ? Owner electrical work inatelleE ef: Stra Atldress, Boz or Xout¢ No. . j ? ' Cit ? ? ection o. ownShiD eme or NO. 1 anBe o. Couiity / ?`?? Op.9upunt (PRINT) ? . ' I Phone Ne. Po er Ssv upplier l \ia Ai Adtlress EI ctrical Convactor IComOany Nemel ' ? Convactor's License No. 3 - 8 ( ? t r I ?s? .?,c 1 - Mailinp AtlJress (Conttactor o Owner Making Instailationl kj-j?- \1) A thorized $iBOature ICantrectoJOwner Making Installatinnl Phone NumOer - MINNESOTA $TpTE BOARD OF ELECTliICITY ? TMIS INSPECTION pEQUEST WILL NOT (irippe-Midwey Bide. - Noom N•797 BE ACCEPTED BY THE STp7E BOARo UNLE55 PpOPEN INSPECTION FEE IS 1831 Univsraitv Ave.. St. Peul. MN 65704 eh....e iG»i an,.nwnn ENCLOSED. rnis reauast voia I 4?03? b''?o 1E moMhs from C 58557- C9 $O? I Vr\:9Btl7.N!? - - - ? _- - - - I[JR6'ady Nuw Will Notify Inspec- ??j??i/+4 rRYes nNO tor When Ready ? Lieensed Elecvical Contractor I hereby request inepactian o1 ebova ? Owner • electricel work inalelled at: Stree Addr eoz or Noute No. Cit ? ? lY ecuon o. awnshiD Na o No. Range o. Cwn Oc upunt IPPINTI Phone No. N?g v P er Suaolier Atldress C EI lrical Contrector IComDanv ? Coniractor's License No. " U'?l,r 7 - 3 MailmO AdJr ss (Cont ctor or Oy? ner Making InstailatioN /; - ?? !^GC MINNESOTA STATE BOAXO OF ELECTRICITY 1 THIS INSPECTION qEUUEST WILL NOT Oriyps•Midway Bldp. - Room N•181 BE ACCEPTED BV THE STATE BOARD 1827 Univeraitv Ave.. SL Paul. MN 68104 UNLESS PflOPEP INSPECTION fEE IS Phone 16121 842-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION Ii, bee inatruetions lor campletinB this lorm on beck ol Vellow coOV• "X" Below Work Covered by 7his Request ce Bulk EB-00001-05 L 91 Ovj t wi.aa p Fee ServlceEntranceSixa n Fee Fextlers/5ubieeders N Fee Circuits U ta 200 Am s 0 to 30 Am s ' 0 tn 30 Am Above 200 Amps 31 to 100 Arnps ,Q 31 to 700 A s Swimmin Pool Above 100_Am s Above 100_Am s Transiormers Irrigation Booms Partial: Other Fee Signs .. . ..? ?? --? -ISUecial InsUection I5I Y TOTAL,FEE emarks _ / . ? tha Plec?ripaY InsOecto?f,??rehy rFinal ? ? ? - - p. t J cartily thei the nbove I I?? I inapection hea baen I ? ?roda. mMrrequanl c3REQUEST FOR ELECTRICAL INSPECTION , ea-ooooi-oe IlO Sea inatmctiona lor comoleting this fam on bnck of yellow copy. c-?QSI r C? Q,an "X" Below Work Covered by This.Request NwAAAtlI Ren.l Tvoe ol euilelno 1 Aoolinntaa Wired 1 Equiomanl Wirad I Commercial Bldg. ? ? Furnace Silo Unloader ? Industrial 61Ao. . Air Conditioner Bulk Mflk Tenk PP M Foe ServiceEnirancaSize p Fee Fenders/Subleedere N Fea Ciicaits .C? 0 to 200 Am s 0 to 30 Am s 0 tn 30 Am s A6ove 200 qmps 31 to 100 Ainps 31 to 100 A s Swinvnin Pool Above 700_Am s dhove 100_Am Transformers Irn tion Booms Partial.'Other Fee D?ynS Jpeclal Inspection rn ' emarks 5 7? JV TOTAL FE ? Rou h-in - -d i ? Da a ?7 I. the Eiectncel ? ry {l?'? insoecbq he.aey Findl certi/y that the abova aPectionhesbeen - mede. thh fepueat void 1B Th;9 "uas vo,d ? ?? a3 ( ss? 6-?-c 78 months from C58560 e??'? .?7 lo co t Date Fire No. Rough-in InsVection ?Yes red? DReatly Nuw?Will Notity InsDer ??,a? -gb 4ui ?NO ror Wh¢n Ready ? Lipensed Elacbical Convactor . I hareby reQUest insaection of ebove . ? Owner alactrical work instellad eL Slreet Address, Boa or oma No. / L162 CitY ecLOn o. Townstlip ame ar No. an8e No. Cou tp y '?---d1 O p ant IPFIINT) GX'V?vt! n ?l?l Phone Nc+. P o wer SuD0lie r Address ?? ?- ? ?y1/?,.J;; + CA, EI vical Convaadr IComDa Namel ' Connactor's License No. ? Lc?t_r ? ,CQQ,c G ? -)K Mailing Ad(d,ress IContrector ar wner MakinO Insta ila?tionl 1 O V f? A orizetl Signature (Contractor Owner Making Installa[ion) ' 65Sb?.r- ' Phone Number O ? - ?CQ? MINNESOTA STATEIBOAPD OF ELECTPICITY ? THIS INSPECTION REQUEST WIIL NOT Grippe-Midwey Bldp• - Room N-197 BE ACCEPTED BY iHE STATE BOAND UNlESS PROVER INSPECTION FEE IS 1811 Universitv Ave.. St. Paul, MN 65704 Phone(672)642-0800 ENCLOSED. ,his «4uas o;d c[/o?,/s3'b (=8-05 ) 1a moncns irom c 5 8559.,_ r? `-7???,?,??,,, Raquest Oata ?O ?('± O/ v Fre No. RooPh-in Inspection pBaurteA7 ?Reatly NuwDTWil1 Nnlify, Insoec- ^ ? O,p ?Ves ?NO lor When Peady ? licensed Elecirical Contractor I heraby repuast inapaction of above ? Ownar electricel work inatelled at: S ?tree Address, Box or Route NP. Cv 5a - Cit C',c.?3 ection o. TownshiD ame or N. ULl /mange No. Co-u?nty? / OccupuntlPRINTJ , I U Phone No. Power SupfOlie, ?? ^' a/?+r? I v\ Address EI vical CanvactoCr I,C,omvanvl???7xa el ? ?VX- Conirnac.toi's Lico!y? _e No. - ? U Mailin0.4dJress IConiraclor or Ownar MakinB lnstailationl . ? ? s rn n , O - ? J:) Authorized Sipnemre (Comractor Owner MakinO Installationl Phone Nu/m?ber Q ?T S?t? - CJ CO W ? THIS INSGECTION REQUEST WILL NOT MINNESOTA STATE OARD OF ELECTRICITV Grippa•Midwey Bldp. - Room N•781 BE ACCEPTED BY THE STATE BOAND 1821 Univaraitv Ave.. St. Veul. NN 65704 UNLE55 PflOPEN INSPECTION FEE IS ENCLOSED. ]M1enw16121662-0600 REQUEST FOR ELECTRICAL INSPECTION es-ooooi-os tili 1 Seo instrucLions for completin9 this larm an back o1 vellow capy. "X" Be/ow Work Covered by This Request C??5 ? oi-I N Add flao. Tvoe ot Builalm . ' Aoolianms Wiretl - Equiymem Wiratl I I I I I Duolex 1 I Water Heater 1 I Liahtinu Fixtures I I I I I CeIRTi5eicial 81dg. I I Furnace I I Silo Unloader I N Fee ServiceEntrenceSize tl Fee Feaders/Svbieeders tl Fee Circuits (7 to 200 qm 5 0 to 30 Am s 0 tn 30 Am s Above 200 qmyy, 31 to 100 qinps 31 to 100 A s - Swimmin Pool Above 100-Am s Above 100_Am s Transformers Irri tion Boorcis Partial-"Other Fee I I I.Signs -I I ISpecial Inspection 'SZJ,7 }. ??BmBrks '' ] ,,??6 TOTAL F Ji `Y` ?F i. roe eieI Inspector, hereby certity thai the above inspaccion has been meda. Thle raQUest rold 1B FOR SALE UNITS TOWNHOUSE +TY QF EAGAN t?1 12584 ? 3830 Piloi Knob Ei??ad.F:O• Box 27-199, Eagan, MN 55121 'v L*1 2 364 B 7 j S rONE: 454-8100 J BU LD NPERMIT Rece ipt p 7o be used for 1 OF 4 PLEX Est value $ 4 8,0 0 0 pyte SEPTEMBER 4 19 8 6 SiteAddress 4632 RIDGE CLIFFE DR Erect CN occupancy R3 Lat z Block 7 Sec/Su6. JOHNNY CAKE Remotlel ? Zoning PD Parcel No RIDGE 4TH Repair ? 7ype of Consl UA . Addition ? No. Stories w Name GOOD VALUE HOMES nnove ? Length 44 z 1460 93RD LN N Demolish ? Depth?d 3 ° Address Int. ImPr. 7$0-5510 BLAINE ph cji ? ? Sq. Ft y one Install 0 0 Name SAME _ $ Q Address City Phone ?Q F W Name o Address u s W City Phone I hereby acknowledqe that I have read this application and state that the information is correct and agr o comply with all applicable State of Minnesofa Statutes and Ci o n Ordin ces. _ Siqnature of Permitte A 8uilding Permit is issued to: GOOD VALUE HOMES all work shall be done in accordance with all applicpble State of Mi neso Assessment _ Water 8 Sew. Police Fire Eng. Planner_ Cauncil Bldg. Off. 9 /4 /8 6 APC Var. Date Permit $ 274.00 Surcharge 24.00 Plan Review 137.010 SAC 575.00 Water Conn. 500 . 0 C water Meter63 5C Road Unit 290,010 Tr.PI. 156_OC Parks Copies Total $2,01 *5C on the express condition that and City ot Eagan Ordinances. Building FOR SALE UNITS CITY OF EAGAN ?1 p TOWNHOUSE 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121Iv2 125o3 L 1, 2, 3, 4 B 7 . PHtjNE: 454-8100 BUILDING PERMIT rteceiptp Tobeuaedfor 1 OF 4 PLEX Est.Value $ 48.000 Date SEPTEMBER 4 19 86 SiteAdtlress 4630 RIDGE CLIFFE DR Erect LY Occupancy R3 Lot 1 Bloc k 7 Secisub. JOHNNY CAKE Remodel ? Zoning pn Parcei No RIDGE 4 TH Repair ? Type of Const. y.fk . Addition ? No. Stories ¢ GOOD VALUE HOMES Move ? Length 44 w Name 1460 93RD LN N Demolish ? Depih 94 o Address 780-5510 BLAINEpn Ci Int.lmpr. ? ? Sq. Ft. ry one Install o SAME Approvals Fees Name 0 u a Address a ? Ciry Phone F w Name _z Address z s W City Phone I hereby acknowledgethat I have read this application and state thatthe information is correct and agree to comply with all applicable State of Minnesota Statutes and Ci ag Ordinances. Signature of Permitte??!??5? A Building Permit is issued to: GOOD VALUE HOMES all work shall be done in accordance with all applicaMe State of M Assessment Water & Sew. Police Fire Eng. Planner Council eidg. On. 9/ 4/ 8 6 APC Var. Date Permit $ 274.00 Surcharge 24.00 Plan Review 137.O0 SAC 575.00 Water Conn. 500. 00 water Meter 63. 50 Road Unit 290.00 Tr. pi. 156.00 Total $2,019.50 on the express condition that and Ciy of Eagan Ordinances. Building FOR SALE UNITS CITY OF EAGAN Np TOWNHOUSE• 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 12586 L 1, 2, 3, 4 S 7 PHONE: 454-8100 BUILDING PERMIT - u Receipt# 7obeusedtor 1 OF 4 PLEX EstValue $48,000 Date SEPTEMBER 4 ?y86 SiteAddresa 4654 PENKWE WAY Erect )L Occupancy R3 3 Block 7 Sec/Sub. JOHNNY Lot CAKE Remodel ? Zaning PD RIDGE Parcel No 4TH Repair ? Type ot Const lZ}} . Addition ? No. Stories a GOOD VALUE HOMES Name Move 0 Length 44 i 1460 93RD LN I Demolish ? Depth 24 3 ° nddress Int.lmpr. ? S Ft. Q city BLAINEphone 780-5510 Install ? ¢ SAME i o Name V 6 Address a ? Ciry Phone a m W Name t: ? Address i W City Phone I hereby acknowledge that I have read this application and state that the iMOrmation is correct and agree to comply with all applica6le State of Minnesota Statutes and Cit a n Ordina ces. Signature of Permitte A Building Permit is issued to: GOOD VALUE HO ES all work shall be done in accordance with all applicable te of Minnesoi Building Official ' Assessment_ Water & Sew. Police Fire Eng. Planner Council Bldg. Ott. 9/4/86 APC Var. Date Permit $ 274.00 Surcharge 24.00 Plan Review 137.00 SnC 575.00 Water Conn. 500 . 00 WaterMeter 63.50 Road Unit 290.00 Tr. PI. 156.00 Parks Copies T...nl 2/O .SO on the express condition that Ciry of Eagan Ordinances. FOR SALE UNITS CITY OF EAGAN - 12585 TIPSVNiiOUSE 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 Np L , 2, 3. 4, B 7 PHONE: 454-8100 ???? BUILDING PERMIT • Receiptn ?e 7oheusedtor 1 OF 4 PLEX Est.value $48,000 pate SEPTEMBER 4 19 86 SiteAddress 4652 PENKWE WAY Erect f? Occupancy R3 Lot 4 Block 7 Sec/Sub. JOHNNY CAKE Remodel ? Zoning PD Parcel No RIDGE 4TH Repair ? Type of Const. Vn . Addition ? No. Stories W Name GOOD VALUE HOMES Move ? Length 44 24 1460 93RD LN N oemolish ? oepth 3 ° Address BLAINE 780-5510 Int.lmpr. ? ? S Ft Q cih, Phone Install o Name SAME ? i Address a ? City Phone ra w W Name E: ? a Address ?a W Ciry Phone I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and Ci ga rdinan s. ?J Signature of Permitlea 6 A Building Permit is issued to: GOOD VALUE HOMES all work shall be done in accordance with all applicable S e of Minnesota Building ORicial SZ-t Assessment Water & Sew. Police Fire Planner Council BIdg.Off. 9 4 86 Var. Date Fees Permit $ 274.00 5urcharge 24.00 Plan Review 137.00 SAC 575.00 Water Conn. 5 0 0. 0 0 Water Meter 63. 50 Road Unit 290.00 Tr. PI. 156.00 Copies rotal 52,019.50 - on the express condition that of Eagan Ordinances. COMMERCIAL f 71? 2002 BUILDING PERMIT APPLICATION CITY OF EAGAN 651-681-4675 r? &3-??a1 Aty-' Foundation Onl New Construction Interior Im rovement • Structural Plans (2) sets • Architectural Plans (2) sets • Architectural Plans (2) sets • Civil Plans (2) • SWC[ural Plans (2) • CodeMalysis (1) • Certifcate of Survey (1) • Civil Plans (2) • Project Specs (1) • Code Malysis (1) • Landscaping Plans (2) • Key Plan (1) • ProjectSpecs (1) • CodeAnalysis (1)" • Master Exit Plan (1) • Spec. Insp. & Tes[ing Schedule • Certiflcate of Survey (1) • Energy Calculations (1) not always`* • Soils Report (1) • Spec. Insp. & Testing Schedule (1) • Elec. Power & Lighting Form (1) not always"' • Meter size musl be established • Meter size must be established • Meter size must be established - i f a licabl L . • ProjedSpecs Energy Calculations (1) (1) " ? ^ 1 ? j D U y • Electric Pawer & Lighting Form (1) ! • Master Ezit Plan (1) ?AY 1 0 2002 y • FireProtectionPlan (1)" b . SoilsRepart (1) 1 • MClES SAC tletermination letter • MGES SAC delerminafion letter • MGES 5AC dete ination letter call 651-602-1 D00 call 651-602-1000 call 651-602-100 Contact Building Inspections for sample Food & beverage or lodging facilities -s'ubmit plan to MNpartme t of Health. Cail 651-215-0700 for details. n ? \J a'? DATE: ?S ' ?wC?? ORI ?r P€?V? R MODEL CONSTRUCTION COST: ? SITEADDRESS: "'? q??'? t-lYI? TENANT NAME• SUITE #: FORMER TENANT NAME, I APPLI L 1 iB'7o -?yCk9- z} i1-. C BLE: DESCRIPTION OF WORK?O YV?AA? I n PROPERTY OWNER CONTRACTOR ARCHITECT/ ENGINEER Last SlreetAddress: J City: ON? State: CompanyM? Sueet Address: , City: ost Company: Nazne: Street Address: City: I1321?- Zip: Phone #: (&_ ) -L Y 0 State: /Vt/I-/ Phone #: ? Registration #: State: Licensed plumber installing new sewer/water service: Phone #: L I hereby acknowledge that I have read this application, state that the information is correct, an{i agree to Minnesota Statutes and City of Eagan Ordinances. ? Signature of Applicant: ??""d Zip: 6671 ( Zip: with all applicable State of OFFICE USE ONLY 5UBTYPE ? 01 Foundation ? 26 Public Faciliry ? 30 Accessory Bldg. ? 14 Apartments ? 27 Commercialllndustri al ? 32 Ext Alt - Apts. ? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt - Comm. ? 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt - PF ? 37 Nail Salon WORK TYPE ? 31 New ? 35 Tenant Impr ? 42 Demolish (Foundation) L 46 Windows/Doors ? 32 Addition ? 36 Move Bldg G 43 Reroof ? 47 Repair ? 33 Alterations ? 37 Demolish (Bldg) ? 44 Siding ? 48 Authorization ? 34 Replacemetit ? 38 Demolish (Int) ? 45 Fire Repair GENERAL INFORMATION Census Code ` Zoning SAC Code # of Stories No. of Units Length No. of Bldgs. Width Const. (Actual) Basement sq. ft. (Allowable) First Floo; sq`. ft. y ; UBC Occupancy . ? % sq, ft, .. '-' ?. ?;.,-. . MISCELLANEOUS INSPECTIONS sq. ft. sq. ft. sq. ft. sq. R. ? . . :. MC/ES System . Water ' ? • , • - . . ? ? • ? • • ??Fire Sprin'klered ,, r .?--; , . . • :r ,? r ,,, ?rr'. ? ? Gas Service Test ? Heating ? Insulation q Plumbing 0 Stucco/Stone . APP.ROVALS '•• ? t . ? , F . Planning' " •^ . ,,; ;',?BuiTdang Et?gtL'eerlng`,?• f.J ; • .? ?' Variance.' • Permit Fee • Surcharge " • - ' ? Plan Review MC/ES SAC t n• .,?',?`? Clty $AC , Water Supply. & Storage • S/W Permit • - . S/W 5urcharge Treatment Plant Park Dedication Trails Dedication Water Quatity Other Copies VALUATIOm .. % SAC ? a'wn ' ; ,'!, ?' . • ? ? • ? . ? . ?. SAC Units • ?'? . ? ` , ' ?' Meter Size ? • ? ? ?, Total CERTIFICATE OF SURr'EY fpr.' GOOD VALUE HOMES / / ? \ V O? / V?v ?.. ? \ / v??\ n .e r ,\ ?- , C- m r J N. o \ o ? 0 I U N \ \ Lots 1 through 4, inclusive, Slock 7, JOHNNY CAKE RIDGE FOURTH ADDITION, Dakota County, Minnesota. ? ? ? r SJ - LE6EAID fFapwiO hbyye £Jevitions Scal• f' Aa: x%%.X Oenotom ExSrtlnp Elevation B M r? ol Ar e?i t el % 1%lGf.%) Doootos Propoee0 Elewtion ToD a} Foundstfon - W.Y a Oenotn ]ran Nonumsnt Garape F:oor 4430 O DOnotite MontlGn Stake Baseiwnt Floor O?tw , 1??-...?,._ , (LYD !S!Lo.i .4-- OrnOt#$ 5urrec• OrafnaYe . . I MEREBY CERTIFY THAT THIS SURVEY, PLAN, OR REPORT MAS PREPAREO 8Y ME OH tNOEF MY OIHECT SUPERYISION ANO THAT I AM A DULY REGIS7ERED LAND SUHVEYOR UNDER THE LAM5 OF THE STATE Of MINNESOTA. ' Oatpd this ?ra Oey of Sep'? , f9 86 C.R. MINDEN C ASSOCIATES. INC. DY @opAr_ pay?? Minnabote"papie'sfrerien No. 7TZL C.R. WINDEN 6 ASSOGIATES.- INC. Land;, Planning, Surveys & Site' pesign 1383 tustie St.. St. Paul. MN 58f08 7a1. 845-3846 z?•aos ec/ , / ? ir 1 e ` ? .. ?s. ., ?---- ?- `? ? 4p ? ? .. . S , 1986 BOILDING PEAFIIT APPLICATIOA - C NOTS: ALL CABTRAGTORS MQST HB LICENSSD iIITH THE CITY OF EAGAN SIBGLB FAMIILY DWSLLIAGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SUAVEY, 1 SET OF ENERGY GALCULATIONS MOLTIPLS DWELLIAIGS _ gESIDENTIAL RENT9L ONITS FOH SALS QHITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SDRVEY - CHECB WITH BLDG. DSPT., 1 SET OF ENERGY CALCULATIONS COHIMRCTer" INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: /OF i/R-4? Valuation: Site Address V'(-c4 ?2 Lot 4/ Block 7 Pareel/Sub Owner Address Q 9,3?&z L/t/ i(/ City/Zip Code Phone _ 2?? Contractor _ Address City/Zip Code Phone Areh./Engr. _ Address City/Zip Code Phone # Date: OFFICE USE ONLY Erect _ Occupaney Remodel Zoning Repair Type of Const Addition U of Stories Move _ Length Demolish _ Depth Int.Impr. _ Sq Ft Install _ APPROVAIS FEES Assessments Permit Water/Sewer Surcharge Police Plan Reviev Fire SAC Engr Water Conn Planner Water Meter Council Road Unit Bldg Off Treatment P1 APC Parks Variance Copies YO?AI. NOTE: ADDHESSES FOR CORNER LOTS - CONTRACTOR/HOMEOiiNS6 MDST DESIGNAYS WHICH ADDRESS IS DESIRED. NO CHANGFS iiIC,L BE ALLOWED ONC6 BOILDING PERMIY IS ISSOED. . .. , ??? 7986 BIIII.DING PERI?T 6PPLICATIOH - CITY OF EAGAA HOTB: ALL COBTRACYOHS MUST BE LICSNSfiD I?ITH THE CITY OF EAG9N SIIiGLS F9MILY DWELLIHGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES DF SURVEY, 1 SET OF ENERGY CALCULATIONS MOLTIPLE DiiBI.LIAGS - EESIDSNTIAL RENTAL i1gIT5 FOE S9LS QpITS cr INCLUDE 2 SETS OF PLANS, CfiRTIFICATE OF SORVEY - CHECB itITH BLDG. DSPT., 1 SET OF ENERGY CALCULATIONS COAMER(`•TAi• INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, l SET OE SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: 0"42 Valuation: Site Address Lot 3 Block 2_ Parcel/Sub ?L424 Owner GGO?7Je??:?lyn.? Address /ry?d 93 ne?ye? City/Zip Code D`y'3 y/ Phone -?7<251 - Contraetor Address CityJZip Code Phone Arch./Engr. Address City/Zip Code Phone # Erect Remodel Repair Addition Move Demolish Int.Impr. Install Date: r Occupancy Zoning Type of Const # of Stories Length Depth Sq Ft 9PPROVALS FEES Assessments Permit Water/Sewer Surcharge Police Plan Review Fire SAC Engr Water Conn Planner Water Meter Council Road Unit Bldg Off Treatment P1 APC Parks Variance Copie9 YOT9L NOTE: ADDHESSBS FOR CORNER LOTS - CONTRACTOR/HOMEOiiNER Ii05T DSSIGHATE WHICH ADDRfiSS IS DB3I8ED. NO CH9AGFS iIILL BE ALLOWED ONCE BOILDING PERM13 IS ISSOED. • 5 ?.3 1986 BDILDING PEEItiIT APPLICATION - C2TY OF EAG9N NOYB: ALL COPTRACTORS MOST BE LICBNSED 1iITH THE CITY OF EAGAP 3IRGLS FAlffLY DWELLIAGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCOLATIONS M[II.TIPLE DW6LLINGS - RFSID&NTIAL INCLUDE 2 SETS OF PLANS, CEB 1 SET OF SNERGY CALCULATIONS C0MKERCIAL RENTAL ilNITS FOR SALE DNITS OF SDRVEY - CHECB WITH BLDG. DEPT.* INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE HOND To Be Used For: -T f Valuation: - Date: Site Address OFFICE OSE ONLY Lot Bloek ? Erect Oecupaney _ Remodel Zoning Pareel/Sub Repair _ Type of Const , Addition li of Stories Owner 6oa,a0 VAy-,Zm 2!(na? Move Length Demolish Depth Address D .03.-!.? v/r/ .l/ Int.Impr. _ Sq Ft Install City/Zip Code .6,4rl?„i , ,y`,/-??e/,3 ? Phone APPROVAI.S FSFS Contractor Assessments Permit Water/Sewer Surcharge Address Police Plan Review Fire SAC City/Zip Code Engr Water Conn Planner Water Meter Phone Council Road Unit Bldg Off Treatment P1 Arch./Engr. APC Parks Varianee Copies Address iOTAI. City/21p Code Phone 4 NOTE: ADDHESSSS EOR CORNER LOTS - CONTRACTOR/HOMEOBNER MOST DESIGHATE iiHICH 9DDRESS IS DESIRED. NO CHANGES iiILL BE ALLOHED ONCE BOILDING PERMIT IS ISSIIED. ..? - I ?Sao V 1986 BOILDING PEAlIIT APPLICATIOB - CITY OF EAGAA NOTE: ALL CAdTRACfOES M[TST BE LICSNSED iiITH THE CITY OF E9G9N SIIYGLE FAFIILY DWELLIBGS INCLUDE 2 SETS OE PLANS, 3 CERTIFICATES OF SURVEY, 7 SET OF ENERGY CALCULATIONS MQLTIPLS DiiELLINC3 - RSSIDSNTIAL INCLUDE 2 SETS OF PLANS, CER' 1 SET OF ENERGY CALCULATIONS COlYAfERCI9I. RENTAL Oe1ITS FOR 3ALE ONZTS OF SORVEY - CHECB iiITH BLDG. DEPT., INCLQDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: Valuation: Site Address " I Lot 6Z Block _2_ Parcel/Sub Owner Address 1411lp6? /V City/Zip Code l914" ? Y Phone ?79?? Contractor Address L City/Zip Code Phone Arch./Engr. _ Address City/Zip Code Phone 4i Erect Remodel Repair Addition Move Demolish Int.impr. Install Date: Occupaney Zoning Type oP Const # of Stories Length Depth Sq Ft APPROOAIS FEES Assessments Permit Water/Sewer Surcharge Police Plan Review Fire SAC Engr Water Conn Planner Water Meter Council Road Unit Bldg Off 1reatment Pl APC Parks Variance Copies TOT6L NOTE: ADDHESSES FOR CORNER LOTS - CONTRACTOR/HOHEOHNEE HDST DESIGN9RE WHICH ADDRESS IS DfiSIEED. NO CHANGES AILL HE ALLOiIED ONCE BOILDffiG PEHIiI? IS ISSQED. CI'f Y USE ONLY LOT 3 BL 'j PERMIT #: SUBD. 7U1'lVXvL ?,. ??EIPT tt: RECEIPT DATE: 2000 MECHANICAI, PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PIIAT KNOS RD EAGAN hAt 55122 n ^? 651-681-4675 Date: Complete this section onlv if you are installing HVAC in a single family dwelling, townhome or condo under construction and not ownedoccunied. • HVAC: 0-100 M B T U ADDITIONAL 50 M BTU • Gas outlets (minimum of one required @$3.00 ea.) $ 30.00 6.00 State Surcharge .50 Total $ Comptete this section onlv if you are remodetina, addine to. or re airin an existing single-family dwelling, , townhome, or condo. Please indicate if it is a new item, alteration, or repair. _ New _ Alteratian ? Fumace _ Air exchanger Reminder: Call for rnspections SITE ADDRE55: '?COS y _ Repair _ Other ? A'v conditioning Other Fee State Surchazge Total $ 30.00 0 $ 0.50 OWNER NAME:,l o jn ,? ?.[ ? A'11 [1V 4? , PHONE #:1,67 ?/SIr, "?y s3 -?•? (aPXn coDE) ^ INSTALLERNAME: ke"YtG ? t-'4/C' PHONE#: 96d- - c4??/=DUoS? (AREA COOE) sTMET ,e,DDxESS: l 0,48, l`?hoc? CITY: Q__ STATE: c^-[ A.1 ZIP: '`J SJ' J O a TURE OF 6 t.u b ? 2000 CITY USE ONLY L BL SUBD. APPROVED BY: . INSPECTOR PERMIT #: RECEIPT#: RECEIPT DATE: 2000 MECSANICAL PERMIT (CObMRCIAL) CITY OF EAGAN 3830 PILOT RNOS RD EAGAN, bIIi 55122 651-681-4675 Please complete for all commercialfindustrial buildings multi-family buildings when separate permits a2 not required for each dwelling unit DATE: WORK TYPE: New construction lnstall U.G. Tank _ Interior Improvement _ Remove U.G. Tank _ Processed Piping When installing/removing underground tank, call 651-681-4675 jor inspeclian by fre marshal and plumbing inspectar. Descriptian of work: ? Fees: 1% of contract price OR $30.00 minimum fee, avhichever is greater. Underground tank removaUinstallation = minimum Fee - Contract price: $ x 1%= $ (Base Fee) State surcharge calculate at 5.50 for each $1,000 Base Fee , TOTAL SITE ADDRESS: $ OWNERNAME: PHONE#: - (AREA CODE) TENANT NAME (IMPROVEMENTS ONLl): WAS THERE A PREVIOUS TENANT IN THIS SPACE? _ Y_ N. NAME: INSTALLER: ADDRESS: CITY: PHONE#: - ' (AREA CODE) STATE: ZIP: , SIGNATURE OF PERMITCEE **?*********?**********?****?*?***?*?** CITY OF EAGAN CASHIER: JS DATE: TERMINAL NO: 665 09/06/00 TIME: 14:49;11 ID: NAME` BURNSVILLE HEATING & AIR 3213 9001 4654 PENKWE WY 2155 9001 4654 PENKWE WY 30.00 0.50 Total Receipt Amount: CR137114 30.50 USER ID; JAN CITY USE ONLY LOT ? BL -7_ ? PERMIT k: SUBD. TL1 / RECEIPT #: RECEIPT DATE: 2000 MECHANICAL PERMIT (RESIDENTIAL) CxxY os Encnx 3830 PITAT IQdOB RD F.AGAN MSi 55122 Date: 9 - /% -Ul ) Complete this section on if you are installing HVAC in a single faznily dwelling; townhome or condo under construction and not owner/occupied. . HVAC: 0-] 00 M B T U $ 30.00 ADDITIONAL 50 M BTU 6.00 • Gas outleu (minimum of one required @$3.00 ea.) State Surcharge .50 Total $ Complete this section onlv if you are remodelin¢. adding to, or re airin an existing single-family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or repair. _ New _ Alteration _ Repair _ Other Z/ Furnace Air conditio ing _ Air exchanger f/ OtheT Fee $ 30.00 State Surcharge .50 Total $ 30.50 Reminder: Call for inspecrions SITE ADDRESS: OWNERNAME: ?o PHONE#:?- ???-?07q /? / ('? (AIIEA CODE) INS'fALLER NAME: (./^)s, ? T'i'C?/? ? J PHONE k: .? l /` p (AREA CODE) . . . STREET ADDRESS: a/?KK? ?QT?4h? }tt)P C[TY: ?ll7zi?J STATE:/?A) ZIP:-? OF PE E„' , " Jt r L ? ?1i?0 L BL suao. APPROVED BY: CITY USE ONLY INSPECTOR PERMIT #: RECEIPT#: RECEIPT DATE: 2000 NECHANICAL PERMIT (COI•MRCIAL) CITY OF EAGAN 3830 PILOT IQIOB RD EAGAN, MN 55122 651-681-4675 Please complete for. all commerciaUndustrial buildings multi-family buildings when separate permits are not required for each dwelling unit DAT'&: WORK TYPE: New construcdon Install U.G. Taok _ InteriorImprovement _ Remove U.G.Tank _ Processed Piping When installing/removixg underground tank, ca[! 651-681-4675 jor inspection by fire marshal and plumbing inspector. Description of work: Fees: I% of contract price OR $30.00 minimum fee, w6ichever is greater. Undergrommd tank removaVinstallation = minimum fee Contract price: $ x 1% =$ (Base Fee) State surchazge calculate at $.50 for each $1,000 Base Fee TOTAL SITE ABDRESS: S OWNERNAME: PHONE #: (AREA CODE) TENANT NAME (IlviPROVEMENTS ONL1): WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: ADDRESS: CITY: PHONE #: - (AREA CODE) STATE: 21P: SIGNATURE OF PERMITTEE *****?********************************* CITY OF EAGAN CASHIER: JS TERMINAL NO: 673 DATE: 09/21/00 TIME: 09:53:06 ID: . NAME: NORBLOM PLUMBING CO 3212 9001 4654 PENKWE YFY .30.00 2155 9001 4654 PENKWE WY 0.50 3212 9001 1858 JADE LANE 30.00 2155 9001 1858 JADE LANE 0.50 Total Receipt Amount: 61.00 CR137764 USER ID: JAN ? BL ? CITY USE ONLY L ? RECEIPT #: SL1BD. ? 0- RECEIPT DATE: PERMIT # . !qc? U / 2000 PLUMBING PERMIT (RESIDENTIAL) CTTY OF EAGAN 3830 PILOT KNOB RD EAGAN, MA7 55122 651-681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system FIXTIIRES EACH # TOTAL Alterations to existing dwelling - minimum fee Describe: $ 30.00 Bath tub ? $ 3.00 x = $ Floor drain 3.00 x = $ Gas pipin outlet " minimum -1 3.00 x = $ Hot tub/spa 3.00 x = $ Kitchen sink 3.00 x = $ Laundry tray 3.00 x = $ Lavatory 3.00 x = $ Septic System new/refufiished • requires MPC lic. 75.00 x = $ Septic S stem abandonment 30.00 x = $ RPZ new installationlrepaidrebuild 30.00 x = $ Rough opening 1.50 x = $ Shower 3.00 x = $ Underground sprinkler if dwelling is undar construction 3.00 x = $ Underground sprinkler ifexisting dwelling 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x = $ Water softener if dwelling under construction 5.00 x = $ Water sokener if existing dwelling 30.00 x = $ Waterturnaround 30.00 x - _ $ State Surcharge .50 -> -> -? $ .50 Total _> $ Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc. ------ ---- ------------at - - -------------------... -• --•---- • --- •- • --------------------------------------------------- ----------------- -va readYhis applica6on, state that the infortnation is correct, and agree lo compywith all applicable City of Eagan ordinances. I hereby acknowledge th I -ha- It is the applicanPs responsibility to notiry tha property ownar that the City of Eagan assumes no liahility for any damages caused by the City during its normal operational and maintenance activitie5lQ is perm@ within City propertyfright-of-wayleasement. SITE ADDRESS: OWNER NAME: INSTALLER NAME: STREET ADDRESS: cirr: RAYNOVICH, SHERRY 4654 PENK"aNE WAY EAGAN, MN 55122 (651) 456-5493 SEP 2 (i e-GoO TELEPHONE#: (AREA CODE) TELEPHONE #: (AREA CODE) STATE: ZIP: SIGNAT PERMITTEE CITY USE ONLY f? L 1BL ? RECEIPT#: 1C)dS7" SUBD. vONn 'd /I C . `?? RECEIPTDATE: I'ab'OO PERMIT# 3 1 '"l 0 7 2000 PI.UMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PZLOT KNOB RD EAGAN, bIIZ 55122 651-681-4675 Please complele for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprirtklersystem FIXTURES Alterations to existing dwelling - minimum fee Describe: $ 30.00 Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ Gas piping outlet ' minimum - t 3.00 x = $ Hot tub/spa 3.00 x = g Kitchen sink 3.00 x = $ Laundry Vay 3.00 x = $ Lavatory 100 x = $ Septic S stem newlrefurbished • requires MPC lic. 75.00 x = $ Septic System abandonment 30.00 x = $ RPZ new instaltatioNrepaidrebuild 30.00 X = $ Rough opening 1.50 x = $ Shower 3.00 x = $ Underground sprinkler ff dwelling is under construction 3.00 x = $ Underground sprinkler ffexisting dwelling 30.00 x = $ Water closet 3.00 x = g Water heater 3.00 x = $ . [7U Water softener if dwelling under conso-uction 5.00 x = $ Water softener if existlng dwelling 30.00 x = $ Water tumaround 30.00 x - _ $ State Suroharge .50 -> -> ---> $ .50 Total -> -> -> -a s Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc. EACH q TOTAL ----------•-------.. _-------------------------------------------------------------------------------------------------------------------- I hereby adcrrowledge thal I have reed this application, state that the infortnation is conect, aiM agree to compy with all applicebla Ciry of Eagan ordinances. It is the applicaM's responsibiliry to notify the property owner that the City of Eagan assumes no lia6ility for any damages ceused by the City during ks narmal operational and r this pertnit within Ciry propertylright-of-wayleasement. SITE ADDRESS: OWNER NAME: INSTALLER NAME: STREET ADDRESS: RAYNOVICH, SHERRY 4654 PENKWE WAY EAGAN, MN 55122 (651) 456-5493 TELEPHONE #: (AREA CODE) ' TELEPHONE #: (AREA CODE) MINNEAPCU8e MN b5409, cirv: STATE: ZIP: G E OF PERMITTEE 2000 STORM DAMAGE PERMIT APPLICATION (RESIDENTIAL) t ?3511 ReaufremenfE ? 2 coples of plan CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 DA1E: I0 /30 A2,00 J CONSIRUCTION COST: ? DESCRIPTION OF WORK: RcS'TivaTihTt OW4 If mulH-(amity bidg., how many units? Z4 INDICAiE THE FOLLOWING EAUIPMEM TO BE REPLACED AND BY WHOM: _ Plumbing _ Homeowner Qr Contractor Name _ MechanVcal _ Homeowner gE Contractor Name "NOte: If somebody other ihan the homeowner Is pertorming plumbing or mechanical work, they mustapply forappropriate permft. Only Ilcensed plumbing coniracTor or homeowner may complete plumbing work. STREETADDRESS: Nh,SV l<I04t- (. L1 LOT: I BLOCK: _7 SUBD./P.I.D. #: 1'c. mlas. 1 o w?J Name: S m cekbwf f ?AL4%1 Phone#: 31079 pgOpERTy Last Flrsf OWNER ? A??? , ? StreetAddress:"k? City e A tG^Ab State: Zlp: Company: (RITEc H?S Phone #: GS A T01`21E114E (area code) CONTRACTOR !?- SheetAddress:?" 2 1?j `? License#,?O0q 1537 Exp.3 34/opI ay G.booral3 srare: f+llr'4 rp: 55 t 2 S I hereby acknowledge that I have read thlsapplicafion, state fhat fhe informatbn is correcf, and agree to compty wilh all applicableState of Minnesota Statutes and CNy of Eagan Ordinancea 11 - . "- A ? '11.'1Y ,IL ! Oc r 3 a 2000 Signalure of Applicant: 2000 STORM DAMAGE PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 ??' ? 651-687-4675 Rewlrements ? 2 coples ol plan w? DAiE: I O ? p?2?D 0? CONSTRUCTION COST: DESCRIPTION OF WORK: ?ESTOM?t..-? I( multi-family bldg., how many units9 A[ INDICATE THE FOLLOWING EAUIPMENT TO BE REPLACED AND BY WHOM: _ Plumbing _ Homeowner gC Contractor Name _ Mechanlcal _ Homeowner pl Contrpctor Name "NOTe: If somebody other than the homeowner is pertorming plumbing or mechanical work, they mustapply for appropriate permit. Only Iicensed plumbing contractor or homeowner may complete plumbing work. SiREETADDRESS: t-nd''8.0 ?"•3t?N? C4-Cc'- Ki,Ga \0'4-?! LOT: ? BLOCK: ? SUBD./P.I.D. #: UOI1nh? CA L Q+cqr' `['Kn J Name: ?k?^'?L`? K4??Phone#: 1?'43-?& PROPER7Y Lost F+fst OWNER ? Street Address: ?? S 64 N"L-?-tql? t'?\A'4 Clry E- ONf.A-4 5tate: Zlp: ComPanY:tAtMCNX Phone#: ( ,'?L E (area code) . COMRACTOR SfreetAddress:"V'??'- ucensen MT7 Exp. 3/1lam ll Clty WsoWR a„nyt State: Zip: I hereby acknowledge fhat I hwe read this application, state fhat fhe information is cortect, and agree to comply wifh all applicable State of Minnesota Sfalufes and City of Eagan Ordinances. (? R _'+?C-F-1-V-E nalure of Applicanf: ?r ?=???V ? (JGT 3 0 210? 1 ? 1BY: 42LI 55 2000 STORM DAMAGE PERMIT APPLICATION (RESIDENTIAL) , CITY OF EAGAN ? 3830 PILOT KNOB RD - 55122 651-681-4675 ReaulremeMs ', ? 4 copies ot plan DO DATE: II Il I1 CONSTRUCTIONCOST: 15 S 5OO DESCRIPTION OF WORK: r TP." I X)dd I l1u-ca ICJr0 If multl-family bldg., how many unfts? I INDICATE THE FOLLOdI11NG EQUIPMENT TO BE REPLACED AND BY WHORA: _ Plumbing _ Homeowner or Contractor Name _ Mechanical _ Homeowner or Contractor Name `*Note: If somebody other than the homeowner is performing plumbing or mechanical work, they must apply for appropriate permit. Oniy licensed plumbing contractor or homeowner may complete plumbing work. STREEiADDRESS: 'IL LOT: ` BLOCK: Name:_quoles- k?ljf Phone #: PROPERTY Lasf Firsf OWNER YY?WP Sfreet Address: ? . `{??_ City Sfafe: MU 2Ip: (). J 1 zZ ? /??_ ?51- -Wzq A-ompany: WQdj lJJ ?YJ?? one #: I ` CONTRACTOR ?? pr- ar{( cde)?(p°1-' Sheet Address: - License ik Exp. Cfly Stafe: Zip: °1,`d$7 rnle?+ I hereby acknowledge that 1 have read this applicaflon, state fhat the informatlon Is correct, and ogree to comply wlth all applicable Stote of Minnesofa Sfafufes and Cffy of Eagan Ordtnances. Signa re of ApplicaM: ??? ZZ4 SEP 1 ° 2000 OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 21 Porch (3-sea.) ? 31 R4 Multi ? 02 SF pweliing ? 08 06-plex ? 77 Garage ? 22 Porch/Addn. (4-sea.) ? 33 6NE SF ? 03 01 of _ plex ? 09 07-plex ? 18 Deck ? 23 Porch (screened) ? 36 Mutti ? 04 02-plex ? 10 08-plex ? 19 Lower Level ? 24 Storm Damage ? 05 03-plex ? 11 10-plex Plbg _Y or N ? 25 Miscellaneous ? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg. WORK TYPE ? 31 New ? 36 Move Bldg. ? 43 Reroof ? 32 Addition ? 37 Demolish (Bldg)* ? 44 Siding ? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair ? 34 Repair ? 42 Demolish (Foundation) ? 46 WindowslDoors ' Demolition permit - Give PCA handout to a pplicant GEiJERAL INFORMATION No. of Units No. of Buildings Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length W idth Basement sq. ft. Main level sq. ft. sq.ft. sq. ft. sq. ft. sq.ft. Footprint sq. ft. Census Code MC/ES System City Water Booster Pump PRV ,4NpZL\V\V4zd CoN,5TZucTioN 1288 5EL6Y AVE. 5T. PAUL MINNE50TA 55104 651-603-0670 ?. ? l L ? i- 1S • I ` -'-- > ?;r d?ao2 S ?- _ __?. ------ __ CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION 1) PROPERTY ADDRESS: LEGAL DESCRIPTION: ? *TOTF: PAYMFT!TP OF FEE AT TIIM DF AAin.TcATIoN DoEs rOr COrSrITUM APPROVAL OF PERMIT. xxsPncrsorr oF sENM p,rm/OR MM TALS`I'Ai7ATTON$ WnL NOj' $$ $Q-]@- ULID U[aPIL PERMIT. HAS BEFIN APPROVID. IF EXISTIIS', SlRCClSJRE. DATE OF ORIGINAL BL'ILDING PERMiT ISSL'ANCE: ' (Nbn Year PRESENf 2ANING/PROPOSEp C'SE: ? CO?VERCIAi./FtEI'AIL/OFFICE ? R-1 SINGLE FAMILY ? IAIDL'STRIAL Q R-2 D[;PLEX (Rwo L?nits) ? INSTITL'TIONAL/GOVERI07EfNT ? R-3 ZL7WN-iOL?SE (Three + Units) ( T-lnits) , q R-4 APARTMENT/CODIDOMINIDM { Units) 2) Z? NAM:IV i'ckc-, 1- m4 P-?H- . ADDREss:_? o, 6 c) k- / 2 Ss .. ' cixY, srATE, zzP: -- PxorE : i..?33 - S/ 7l 3) c c r• NAME: ADDRFSS: I? Active CITY. STATE. ZIP: ES[pired Not recorded PHONE: MASTER LICQVSE# St Ir11t1a1 4) ??• • • i?• NAME- -? _ aDDUESS : / y6 0 9 a r d CITY. STATE, ZIP: , 3(jLAiN-e A.NSS G?f?-<l35F. PHONE:_ ? •5} ? ? v, ? r. • ?• : a • a? - ?? Od CONNECTION Tl7 CITY SE,WER )?... CpNNEX.TZON 7q CITY WATER ? O= '. . 63 PLEASE FiOLD AFPROVED PERMIT FY)R PICK-C?P BY ONE OF ABOVE PLEASE MAIL APPROVED PERMIT TO 1,? 3, 4, AHpVE . T~ (Circle one) 7) r r. U• ' ?? D \ L? ¦?s?i -/ 'S ^' FlY F4R CITY USE ONLY PERMIT # ISSL'ED ?J3? 7 Pd w/Bldg. Permit FEES: $ $ $ $ ? 3 S? $ $ $ $ $ SEWER PERMIT (INCLODE SL'RCHARGE) WATER PERMIT (INCLUDE SORCHARGE) WATER METER/COPPERHORN/OC'TSIDE READER WATER TAP (INCLL'DE CORPORATION STOP) SEWER TAP $ S ?jrO? ACCOUNT DEPOSIT - SEWER $ $ /?,rj • U? ACCOUNT DEPOSIT - WATER $ SGn • u o $ wAc $ ?J 75^, O D $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRCNK SEWER ASSESSMENT $ $ ` LATERAL BENEFIT/TRL'NK SEWER $ $ LATERAL BENEFIT/TRL'NK WATER $ /SZ ?d p $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ $ 6^4O rJ TOTAL lG e 4 213 RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCA VATION IN POBLIC RIGHT OF WAY? Q YES IF YES, THEN A" PERMIT FOR WORK WITHIN PL'BLIC ROADWAY" MUST BE ISSLED BY THE E[VGINEERING Q NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE: 7/? ?? ` 1) CITYOF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION *Tdiw-: PAymom OF FEE AT TIME OF APPMCMON mES MT CONST17M APPROVAL OF PER=. nvsPnerioN oF sENM nrm/oR MOm TTLSR4lT.7.ATTQNS W1IL NdP BE SC1IID- ULID UNM PERNffT HAS BM APPROVID. PROPERTY AflDRESS: Sel »i' ? J?i-c?= LEGAL DESCRIPTION: 3 7 '- _ Lot Block Subdivision or Tax Parce ID ) IF E7QS'I'ING STRL'LZLJRE, DATE OF ORIGINAL H[IILDING PERMIT ISSCANCE: PRESEBTP ZANiNG/PROPOSID L?SE: {r7onth/Year} ? WMME2CIAL/REfAIL/OFFICE ? R-1 SINGLE FAMILY Q IAIDCSTRIAL Q R-2 DLPLEX (1b.a Units) ? INSTITLTIONAL/GpVERNMg,'N7,' ? R-3 '1C)WN30C?SE (Three + Units) ( Onits) . q R-4 APARTNEVT/CODIDOMINICIM ( Units) 2) NAW= N? ck ?L c, o ;./ t-t- AwDREss:-E. C) , a a k- l2a- _ CITY, STATE, ZIP: -S C A nl d 1' ;L/V\l N- S S u 73 PHONE: el 3 ? -5 / 7/ 3) u ?: ?• ?ME. For City Use .. Plisnbers License: ADDRFSS:_?? Active -?-- FS ? cpired CITY, STATE, 2IP: Not recorded PHONE: MASTER LICENSE# Sta?tial •ar • • i?• 4) NAME: G c-? ? e? ? W- L v? ?0 7+-- `• - ADDRESS: Ic/ 4? D g 3 r?1 L 1q-)vc t/ I= CITY. STATE. ZIP:_ 13 LR_ j rv 'e h- n/ PHONE: ,71gp :. •5) ? w• ? r• • ?• : at • y? - ?? ? CONNFX.TION 7O CITY SEWER ?7( CONNF7C,`rION TO CITY WATII2 ? OTHER ' . /.. .? 6) n •-• r ? PLEASE HOLD APPROVFD PERMT FOR PICK-UP BY ONE OF ABDVE ._ -•--- -- ? PLEASE MAIL APPROVFD PEEtMIT TO 1a 3. 4, ABOVE (Circle one) 7) c ?• u• • ["Q n ot / I . F4R CITY USE ONLY" 'PERMIT # ISSUED Pd w/Bldg. Permit FEES: $ $ /O 5-7) SEWER PERMIT (INCLDDE SURCHARGE) $ $ WATER PERMIT (INCLUDE SORCHARGE) .. $ $ WATER METER/COPPERAORN/OL'TSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUNT DEPOSIT - SEWER $ $ ACCOL'NT DEPOSIT - WATER $ J760 ^ U ? $ WAC $ .S7S.o? $ sAc $ $ TRLNK WATER ASSESSMENT $ $ TRLNK SEWER ASSESSMENT $ $ ' LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BEN°FIT/TRONK WATER $ ?'??•? ? $ WATER TREATMENT PLANT SLRCHARGE $ $ OTHER: $ `T ' S D $ J,/• U ? O T TAL ?G" S 4?"3 RECEIPT RECEIPT DOES LTILITY CONNEC TION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? ? YES IF YES, THEN A"PERMIT FOR WORK LVITHIN PLBLIC Q [VO ROADWAY" MUST BE ISSLED BY THE ENGINEERING DIVISION LIST AS I ION O . . A C LVD T SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: g 7?'?0 TITLE: DATE : /? ?l0 !,UTp': PAYMFTIP OF FF.E AT TIME OF aPriscATxorr mES rDr mNSTITUTE APPROVAL OF PERMIIT. INSPDCrION OF SEWR ANID/OR MTII2 rrSrar.ramrpNS w1I,L NQT BE S(RED- ULID UNTIL PERMffT. HAS BF?] APPRqVID. CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION xx,.xxwxxxxxxxxxxxxxxx -xx-xx-,. = F x?,.x P ease Print 1) PROPERTY ADDRESS : 3 0 LEGAL DESCRIPTION: I F (?> M i`L- -Z or •rax Yarce IF EXISTING STRL'Cii'RE, DATE OF ORIGINAL HPILUING PII2MIT ISSL'ANCE: ' Mon Year) PRFSENTP ZONING/PROPOSID DSE: [} M'11MERCIALjRETAIL/OFFICE 0 Q IPID[.'STRIAL 0- ? INSTITL'TIONAL/GOVERDpONT ? ? R-1 SINGLE FAMILY R-2 DUPLEX (Tbo C?nits) R-3 TOWNiOC?SE (Three + [hiits) ( Lnits) R-4 APAR'IMELVT/CONIDOMINI[,T1 ( Units 1 2) NAME:_1?( i Ck e .wDRESS: Va, (3oX /24' •? cixY, srAZE, ZIP:5 C e PxorE: 3) u i: ?• NAME: ADDRESS: PHONE: Active Emirea Not recorded St Initial 4) •?r • • ? ia• tuanE: ?a C? O? ?f 1?-L v Q ??=-c _ ADDREss: _, 9 3 VA A ,e ' ny F CITY. STATE, ZIP: ?(!4 i w L° h2 ?U 3 f?- ZI 7 9(_ PHONE: .5) ? z• i a• • ?• : ? • ?? - a? WCONNECi'ION T0 CITSC SEWEEt ?LrCpI9NEC,`I'ION To CITY WATER pTfm ' . 6) " ''• ??• ? PI,F,ASE HOID APPROVID PM:ZMIT FOR PIC-K?l-UP BY ONE OF ABO?IE .-• -- PLEASE MAII, ApPROVID PERMIT ? 1. CZ/ 3, 4, AHOVE (Circle one) 7) C I. . ^ . }fl f 1?.. _ - 71 . ¦ •. -\ e?' - F"- b/ CITY, STATE, ZIP: MASTER LICINSE# FOR CITY USE ONLY PERMIT # ISSCED Z ? Pd w/Bldg. Permit FEES: $ $ SEWER PERMIT (INCLUDE SURCHARGE) $ $ WATER PERMIT (INCLUDE S['RCHARGE ) .. $ $ WATER METER/COPPERHORN/OL'TSIDE READER $ $ WATER TAP (INCLODE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUNT DEPOSIT - SEWER $ $ ACCOONT DEPOSIT - WATER $ o p $ WAC $ U? $ SAC $ $ TRCNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ ` LATERAL BENEFIT/TRL[VK SEWER $ $ LATERAL BENEFIT/TRDNK WATER $ $ WATER TREATMENT PLANT SL'RCHARGE $ $ OTHER: $ 5Z1 $ C?? D d J TOTAL S" /4? 2--9 3 RECEIPT RECEIPT DOES UTILITY CONNEC TION REQUIRE EXCAVATION IN POHLIC RIGHT OF WAY? F-1 YES IF YES, THEN A" PERMIT FOR WORK WITHIN PLBLIC Q NO ROADWAY" MOST BE DIVISION LIST ISSLED BY THE ENGINEERING IO . AS A CONDIT N. SUBJECT TD THE FOLL OWZNG CONDITIONS: APPROVED BY: TITLE: D ATE: CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION *A1'E: PAYMRNI' OF FEE AT TSME OF ArriscATIoN DOES Nom oONsrITUTS APPROVIIL OF PSRNffT. INSPDGTION OF SEWR APID/Ct WA'CII2 TuarAr.ramrONS G7IId, NOiP HE S(?ED- [LEn t7rrrII. PERMIT.HAs s? anPxavm. P ease Print) 1) PROPERTY ADDRESS: 4 5 c L/` FF l'V c-- °- LEGAL DESCRIPTION: oc or Tax earce IF E2ISTING SIRLY,Z[7RE, DATE OF ORIGZNAL B[JILDING PERMIT ISSL'ANCE: . (Mon Year) PRFSENf 7ANING/PROPOSFD C'SE: ? COMMERCIAL/RETAIL/OFFZCE ? R-1 SZNGLE FAMILY Q IPIDC'STRIAL Q R-2 DOPLEX (7tao Onits) INSTITL'TIONAL/GOVII2NMENr ? R-3 TOWDIIIOC?SE (Three + Units) ( Qnits) . ? R-4 APARTMMIT/CODIDOMINIDM Units ) 2) :JJ ,vNmnE: & ; cke !_ s o s./ e i ,g- • ADDRESS: 611) fbox I? st . CITY. STATE, ZIP: S C A N d,` a M 1v - SG 73 PHONE: u,3,p - S/ 7l 3) • u c r• NAME- For City Use Plunbers License: ADDRESS: Active ? bcpired CIT7C. STATE, 2IP: Not recorded PHONE: MASTER LICENSE# St-=In.tial 4) j i?- NANE:_ _ aoDREss: / y/o o 93 v d 7? w e nt,c . CITY. STATE. ZIP:1j Lf3?'ni Jr-4e '31/- C?7 qL PHONE: '? FfCJ ^ SSI /J ' 5) n v i ? a?• •?• : a? • o• - 7• ? CONNECI'ION TO CITY SEVER CONNDC.TIOIV 1U CITY WATER ci OTfER ' 7" - 6) ?? ?• -• r PLFASE HOLD APPROVID PEftMIIT FOR PICK-C?P BY ONE OF ABOVE ? PLEASE MAIL APPROVID PIItNIIT Z+D 1? 3. 4. ABOVE . ??p? • (Circle one) 7) r r• .. ? f'?,.?i..?, . iSSuTL+! FOR CITY USE ONLY - PERMIT # ISSDED 7,F&, 6 Pd w/Bldg. Permit FEES: $ S SEWER PERMIT (INCLODE SDRCHARGE) $ $ WATER PERMIT (INCLUDE SL'RCHARGE) .. $ $ WATER METER/COPPERHORN/OC'TSIDE READER $ $ WATER TAP (INCLLDE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUNT DEPOSIT - SEWER $ $ 0? ACCOL'NT DEPOSIT - WATER S lj ? O• a Ti $ wAC $ 5 7 S , $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRLNK SEWER ASSESSMENT $ S LATERAL BENEFIT/TRL'NK SEWER $ $ LATERAL BENEFIT/TRCNK WATER $ 1S-L 'U ? $ WATER TREATMENT PLANT SLRCHARGE $ $ OTHER: S 7-?z SZ) $ J?? D U TOTAL RECEIPT RECEIPT DOES UTILITY CONNEC TION REQLIRE EXCAVATION IN POBLIC RIGHT OF WAY? ? YES IF YES, THEN A"PERMIT FOR WORK 6VITHIN PUBLIC Q NO ROADWAY" MUST BE ISSUED BY THE ENGINEERING DIVISION LIST AS . A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE: //? ?!o q ?? 73_?_ 2oo6 RESIDENTIAL MECHANICAL rERMiT arPLicaTTarr City Of Eagau 3830 Pilot Knob Road, E$gan MN 55122 Telephone # 651-675-5675 Please complete for: singte Pamiiy dwellings & mwnhomeslcon4as when permite are required For each unit -IF 3 0 so Ck. 14,2g689 / Date - Site Addreas " !10vl'/ K??C/' i ? W ? Unlt # _ Property (hvoer ?? 9?6C/V •?/?- ? ( ?? Telophone # (?jI )zL'?L_L?.?- Contractur Cit ' 'flll? y p Street Address 'P State " ZiQ Telephone # (? )y3! S9 g Hond #• q? Lzx 0 0'° ires p : The Applicant is _ Owner ?ofltractof _ Other Add-on or alteratlan to existiog dwellipg unit $ 30.00 X Reptacement _ New 7y fumace „Additianal "G / air exchanger 1< air conditioner heat pump other ?O State Surcharge ? Cb $ .50 ? O ? ? Total I I $' I hereby appiy For a Residential Mechanical Permit and acknowledge that the infotmation is cqmpteU: and accurate; that tho work wi[I be in conformaixe with the ordinances and codes of the Ciry of Eagan and with the Mechnnical Codes; that I undersi and this is not a rm?i but only an ap 'cation for a permit, and work is not to start wichout a permit; that the work wiU be in accordance with the ep ro >> Rofrk hich requires a review and approval of pla? App icanPs Printed Naine Applicai3t s Sigtiature ??? YU - ----------, 1 ?yqrQffice?,l?se ?7 ? ? Pertnit #: ?J - 1 7 j ? PermitFee: (?LO`l'?? I ? Date Received: /? J/ ? ? S1afS: ?z 1 I ------------------ 2oos RESIDENTIAL BUILDtNG PERMIT APPLICATION Date: `' I.` Site Atldress: 44u.wwi: ? N CJW RESIDENT I OWNER Name:?)n&???(1?7?U?"l('?(1 Phone: _ Address / City I Zip: 1 V 1)A)1 Ez?`1 S h &z z0 Applicantis: _Owner \Z Contractor M?51ntlj 7 TYPE OF WORK Description of work ?`?Q` ? , Construction Cost:? Multi-Famiiy Building: (Yes No ? CONTRACTOR Name: C,ffi?- License #: Address: 1125SZ Ol?af\b`Qi I\wYlXJ city: 'R\YwY1U?vYl . state: MN ziP: ?.JC1Z? Ph (61^`1uQ"wyl C tP t 1? V\i w one: erson: on ac D _ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateoorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted (4 submission type) • Energy Envelope Celculations Su6mitted 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 Plumher: Phone: Mechanical Contractor: Phone: Sewer & Water CoMractor: Phone: NOTE: Pians and supportiqg documents'that you'submrt ai?considered to be-public information:; Portions'of fy to : Vi¢e?s?ecjfia`reasoris thaf would permit fhe Cr the information may be classrfied as'non p'ub?ic if?ou p ? r +r+`4 condlG?de'fha?`the?'.'are?irade:seciets I hereby acknowtedge that this information is complete and accurale; 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 p{an in the case of work which requires a review and approval of plans. x X?t,? ?? ? Applic n s rinted Name Applican s Signa ure Page 1 of 3 {(3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA146989 Date Issued:11/29/2017 Permit Category:ePermit Site Address: 4652 Penkwe Way Lot:4 Block: 07 Addition: Johnny Cake Ridge 4th PID:10-39803-07-040 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 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 - Schelly L Day 4652 Penkwe Way Eagan MN 55122 (612) 703-2080 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature