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4653 Penkwe WayCASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 RECEIVED FROM AMOUNT $ I ac DOLLARS I oa ? GASH ? CHECK VYhite-Payers Copy Yellow-Posting Copy Pink-File CopY Thank You ? 6 Y ? CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 REG41v6D FROM AMOUN7 $ I - ac DOLLARS ?oo ? CASH ? CHECK fs B Y YVhite-Peyers Copy Yellow-Posting Copy Pink-File Copy Thank You CASH RECEIPT CITY aF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 neeeIven FROM AMOUNT $ I E? OOLLAR6 toe ? CASH ? CHECK FOR v C:'? . Z*, BY ? White-Payers Copy Yellow-Posting Copy Pink-File Copy Thank You CqSH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 neceiveu FROM AMOUNT $ I ? CASH ? CHECK DOLLARS 100 FOR . ?/ Thank You - C?,°o' BY ? v? White-Payers Copy Yellow-Posting Copy Pink-File Copy INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: t 4 ?` (612) 681-4675 SITE ADDRESS: APPLICANT: p.?? ?.tt 1??ti•? ? ?il;f?'i i; {#'.?? c i?ae. 2 Nn t , PERMIT SUBTYPE: TYPE OF WORK: , , .. ., . rH k;t'R r nN! v ..,:.-- _., ...... ,.? ,. _. __ _ . . . Y ... . ... ? ::, .. ? . ? .. . ? ? .. ?? J iot rtARNc„ FOR hl I-o'Itttr.nI fW,rk'C"f7tZNS rAI I 446 ?RAH Pertnlt No. Psrmit Holder Data Telephone It ELECTRIC PLUMBING HVAC Inspectlon Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUM8ING PLBG AIF TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST r( ?f FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTd UECK FINAL CITY OF EAGAN , . , - 3795 Pilot Knob Raod Eagen, MN 55122 N2 5568 PHONE: 4548100 BUILDING PERMIT Rece(pt To be wed fer Est. Volue ` Date , 19 Site Address ' Erect ? Occupancy r Lot Block Sec/Sub:' Alter ? Zoninp Porcel # Repair ? Fire Zone Enlorge Q Type of Const. oe Name . r"? n t} ! ome ° Move ? # Stories Z3 Address Demolish ? Front ft. Ci Phone 544• '0 Grade ? Depth h. ce APP?w'ols Fees p Nome _ ?? Add?ess ? n... Name I hereby acknowledge thot I hove read this applicotion and state that the information is correct and agree to comply with all opplicoble Stete of Minnesoto Statutes and City of Eagon Ordinonces. Assessment - Water 8 Sew. Polite Fire Eng. Planner Council Blds. Off. - APC Permit Surchorge Plan check SAC , Water Conn. Water Meter Totol Signature of Permittee I A Building Permit Is issued to: -- on the express condition that all work shall be done in eccordance with oll applicable State of Minnesoto Statutes ond Gty of Eagan Ordinonces. Building Official hriak # Dah IrwA P«edltN Plumbing 7 - / ? - Q Mechanicol (p U .10 6 / eD INSPECTIONS DATE INSP. Rouph-In Flnal Footings {ss Date Insp. Dote irup. Foundation Plumbing / 8'O 9 Frome/ins. Mechonicol Fincl 91 Remarks: . No. • ' `? Date: Juxle 1930 r. r ? u Site Addreu: ? Lor ` Block ' - 1 Sub/Set.,".:r?y.Ck.Rdge II . . `..• ... 1i?r''-':.?C?? Ti?f??g NOmB •r - - - - --- - -- ? Address 1712 Hopkins C.ro?3P!'ul ,'.innetonka,?'?? City Phone: ,.a; ? N. iYl;lte^ Nome , r ? Address 4537 C.1iC8go ? City . ". , , --!7 Phone: ' - This Permit is issued on the express condition thot all work sholl be " - Minnesota Stotutes and City of Eogan Ordinances. cirY oF EA"N 3795 Pilot Knob Read Eogan, Minnnota 55122 Phene: 454-8100 PERMIT INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Receipt No.: ?•?15? Single Residential Multi Res., Comm./lnd. New/Alter./Repair. " Cost of Instollotion Permit fee "" Surehr?rno , jr1 Total done in octordance with oll opplicable State of Building Officiol No. Date: Site Address: Penkv?e tiYqy Lot Block SublSec. J. Cake Ridge II Nome rrin Thompson Ficn,es g Address , ' - CT`os8ro ? i ,. City . Phone: ,. Name r Address . City Phone: This Permit is issued on the express condition that oll work sholl be Minnesota Statutes and City of Eaqan Ordinances. CITY OF EAGAN 3796 Pilat Knob Reed Eogen, Minnesota SSiu Pbene: 454-8100 PERMIT INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS ?- Receipt No,: 1 Single I Residential Muiti Res., Comm./Ind. I New/Nlter./Repair. Cost of Insfallation Permit Fee Swc?mo Total done in accordance with all applicable Stote of Buiiding Officiel ? ?e+e+??"""?? ? s? CONTRACT PRICE Site Address Lot I '? Block . PERMIT # Ss?:-.Z7 -7 MECHANICAL PERMIT 7 ft CITY OF EAGAN RECEIPT # 7? • 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: PHONE:454-8100 ? Name ?o Address ? c City . Phone Name ? c Address ' f p City Phone ' TYPE OF WORK Forced Ai? Boiler Unit Heater Air Cond. Vent. Gas Piping Oueets # Other M BTU M BTU M BTU .'??C+1?1 M BTU CFM FEE S/C: TOTAL• BLDG. TYPE WORK DESCRIPTION Res. _? New Mult Add-on Comm. Repair Other FEES RES. HVAC 0-100 M 8TU -$24.00 ADDITIONAL 50 M BTU - 6.00 (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) MINIMUM COMMERCIAL FEE STATE SURCHARGE PER PERMIT (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1.0001 GAS OUTLETS (MINIMUM -1 PER PERMIT) COMM/IND FEE - 196 OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES MINIMUM RESIOENTIAL FEE - ALL ADD-ON 8 REMODELS FOR: OF EAGAN 1.50 EA. - 12.00 - 20.00 - .50 • . -? CITY OF EAGAN 3795 Pilet Knob Rood Fagen, MN 55124 N8 5567 PHONE: 454-8100 BUILDING PERMIT Receipt # Te ba wed for Est. Vclue Dote , 19 Site Addrcss Erect p Occupancy Lot Block See/Sub. Aiter p Zoniny Porcel # Repair ? Fire Zone Enicrge ? Type of Const. W Nome Move p # Stories 3 qddreu t Demolish ? Front ft. ? Ci 'r' Phone Grode ? depth ft. cc N Approvois Feet o ame - 0? /Wdross Nome _ Address I hereby acknowledge that I have read this applicotion and state thot the information is correct and agree to comply with oll applicable State of Minnesota Stotutes ond City of Eagan Ordinances. Assessment - Water & Sew. Police Fire Erg. Planner Counci I Bldg. Off. - APC Permit Surcharge Plan check SAC Water Conn. Warter Meter Total Signature of Permittee I A Building Permit is issued to: on the express condition that oll work sholl be done in occordance with oll applicable State of Minnesoto Stotutes and Ciry of Eagan Ordinonces. Building Official Plumbing Mechunical ? Q pd ?oL/ G ?LiJ INSPECTIONS DATE INSP. RoupMin Find Footings -`" ?6 fI jiw ft?iLt Da1'e Insp. Date Insp. Foundotion Plumbing Frame/ins. Mechanical Final ? Remorks: No. Date: I1?ATIltG 3une 2, 1980 CITY OF EAGAN 3795 Pilot Knob Rood Eagae, Minnesota 55122 Pbene: 454-8100 PERMIT Site 1lddress: 4653 Penkrre '•"JaY Lot I Block 11 SublSec. Johu4=13k . Rdg . Nome Orrin :'hompson HOmes $ Addre 1712 i".opkiris Crossroud ? ss City "im@t0`1k8 Phone: Nome '•aY :4. VTelter heati:i:- . ? ?, . O37 ?.iilCi?' ? 1_ve. g Address e S City 1n' ^' d??one: 825-E667 This Permit is issued on the express condition that oll work shall be Minnesoto Statutes and City of Eogan Ordinonces. INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Receipt No.: Single Residentiol New/Alter./Repalr Cost of Installatfon Permit Fee Surchorge Total done in accordance with all opplicable Stote of Bulldirg Official • cIrr oF EAc,AN 3795 Pilof Knob Rood No. ?9an. Minnetoto 55122 Phonr 454-8100 PERMIT INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS 7-]1t-$0 Dote: Receipt No.: Single I /<,g^, ??•,?;v^- . ?.r 1 ?? . , ,.?.: Site Address: Residentiol Lot , Block l' Sub/Sec. J. Multi Res., Comm./Ind. I Nome Urrin -1hompson HOiR@8 New/Alter./Repolr ?E•' ; Address ? 7,', i-.OT)?_i.219 Cr?issroad? Cosr of Installarion O City Phone; Permit Fee Ncme Surchorge . g Address 14745 S. ROL@2't TTl. e P.oser,iount !.?Z. City ' Phone: Totol This Permit is issued on the express condition that cil work shall be done in actordance with all applicable State af Minnesoto Statures and City ot Eagan Ordinonces. Buildin9 Officiol .. . . cirr oF EA"N 3795 PQot Knob Road Eogae, MN 53122 N2 5570 PHONE: 454-8100 BUILDING PERMIT - Receipt ? Te 6e wed for Est. Value' Dote , 19 Site Address - r, - -' 1 i f f P l ir Erect 0 OccuPancY Lot BI_____4tL_ Sec/Sub. •l Alter ? Zoning Parcel # Repair ? Firo Zane Enlorge ? Type of Const. W Name Move 0 # Stories ? Address 17 12 Demolish ? Front - ff. ?-:-. Grode rl Depth - - ft. qL Nome ^rr........ ?O v? Address Assessment Permit - Woter & Sew. Surtharge - ~ Cit Phone k ;' Police Plan chec UW Name Fire SAC Address Eng. Water Conni? <W Ci Phone Planner Water Meter Council 1 hereby acknowledge that I have reod this application and state thot gld9. pff, the informotion is correct ond agree to tomply with oll applicable APC State of Minnesota Statutes and City of Eagan Ordinonces. Totol - Signature of Permittee r r i n n , -q.. , A Building Permit is issued to: on t he express condition that oll worlc shnll be done in Gtcordance with oll applicoble Stote of Minnesoto Stotutes and City of Eagan Ordinances Building Offlciol hnnk # pab iaw? pemMfN Plumbing ep/ Mechanical ?., % /pZ916) _l?z-?21 7414C.,' INSPECTIONS DATE INSP. Rouph-In Flnat Footings = (,' SO ¢ .?1?(,rsr Date ltio. Dota Irap. Foundation Plumbing Frome/fns. ? Mechanirnl Final ?Q Remurl,s: No. 2? cin oF EAGaN 3795 Pilot Kno6 Reed Ee9an, MinnesoM 55122 Phewe: 454-8100 - PERMIT Date: Site Address: - .. Lot Blxk Sub/Sec. l?r•?'•??• II C,??rin :horuw3urL iiCl:?ies Nome ? ^ddress '7op?:ir_s Croseroad ? City -; =L'•etorla, Phone: Name '.?elter ?•' ; - .. ? ? Address ! ?ry Ci"1iC8k;0 i:'Tc _ ? . . . . . -',?-?.,. '7 City Phone. . .11 This Permit is issued on the express condition thet all work sholl be Minnesota Statutes and City of Eagon Ordinances. INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Receipt No.: 5ingle I Residential Multi Res., Comm./Ind. New/Alter./Repoir Cost oF i?,sranarion Permit fee Surchorge ' Total done in xcordance with nll appliwble State of Buildirq CIT1f OF EAGAN 3795 Pi1oF Knob Read Eoyon, Minnesota SS1u INSPECTOR NOTIFICATION No. ' Phone: 454-8100 REQUIRED BY LAW PERMIT FOR ALL INSPECTIONS l Dcte: - - - Receipt No.: Single ( ! ?)44 f?.1c1?;C _.?.? I - Residential ? • ' ?? Site 1lddress: Lot Block - Sub/Set. Mulci Res., Comm./Ind. I Ncme 3rrin ThoLmsOri HOI(lG'S New/Alter./Repair. 0 1712 FiO??l:??'.S C-^CSSr!'^ :3 ; Address Cost of Installation O T 31LT1@tOI'L}:8 , 1?S7 . Phone: Permit Fee City NOme Gt''nz Ttyan Surtharge r g Address 14r'5 So. fiobert Tr2. ? !'ose:no?,i??* City , - Phone: Total This Permit is issued on the express condition that oll work shall be done in accordance with oll upplicoble State of Minnesota Stotutes and Cify ot Eogon Ordirronces. Building Official No. "' I cirr oF EAc,nN 3795 PiloF Keob Road Eaqen, Minnesote 55122 INSPECTOR NOTIFICATION Phone: 454-9100 REQUIRED BY LAW PERMIT FOR ALL INSPECTIONS Dote: Receipt No.: • • Single I Site Addre ss: Residenticl Lot ? Block 5ub/5ec.? ' L ? Multi Res., Comm./Ind. I Nome uNew /Aiter. / Repalr . ? Address Cost of Instullation ?.. . , City Phone: Permit Fee . Name N31=: ? - , Surcha rge g Address < = C. ".'. . City Phone: Total . This Permit is issued on rhe express condition thar all work sholl be done in accordance with all applicoble Stote of Minnesota Stotutes ond City of Eogan Ordinances. Building Officiol • _ -? CITY OF EAGAN 3795 Pllat Knob Rood Eogan, MN 55122 N2 5569 PHONE: 454-8100 BUILDING PERMIT Receipt # Te be used for Est. Vaf ue ' Date 19 Site Address Erect ?. OccuPa^cY , . , Lot Bixk i Set/Sub. J CkJt e t i d.ge i i Alter ? Zoninp Parcel # Repalr p Ffre Zone E l t T f C n croe 0 ype o ons . Name - son ';ori< " Move ? # Stories W 3 Address ; n ?, ki r, s ,- - c r:? Demol ish p Front 0 Ci t;ii'wQtwnka Phone ' " Grode p Depth w Approvois Fees o Nome _ ? ?l Address Name _ Address I hereby acknowledge thot I hove read this opplication and stote that the infortnation is corred and agree to comply with all applicable State of Minnesota Statutes and City of Eagon Ordinonces. Assessment - Water & Sew.. Police Fire Eng. Planner Counci I Bldg. Off. _ APC Permit ' "j $urcharge Plnn check SAC z Wuter Conn. Water Meter??}p Totol -' Signoture of Permittee 1 r,. ? A Building Permit is issued to: _r?n !,o. ;r on the express condition thot ell work shall be done in accordance with all appliceble Stote of Minnesoto Statutes and City of Eagan Ordinonces. Buildlny Official Powk * Data Iruei PamIMN Plumbing f 7'f 7-/ - d Mechanical ?. (p .2, o . L 73 INSPECTIONS DATE INSP. Rouqh-In Finul Footings E-- ff: Date Irap. Dnta Insp. Foundntion Plumbing Frame/ins. Mechonical Final v Remarks: Na. IaATi Date: J uu1e 2, 1 cirY oF E?G,?N 3795 PiloF Knob Road Eagan, Minnesots 55122 P6ene: 454-8100 PERMIT Site /lddress: ' - - - -. iffe IfiiVe Lor Biock V Sub/Sec. `TML'?y' Ck ' RUi Ae Name il i};n^ w0:1 ? Address 1712 HOpk3ne Ci`oesl'oec: ? City ' tirvietOrLka Phone: INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS 1?158 Receipt No.: Single X Residential Multi Res., Comm./Ind. New/Alter./Repoir Cost of Instollotion Permit Fee 20.0 Name '?ay N. IVelter Fieati.r: - • ? Surcharge ? 4637 Chicago Jkve. ? Address 6 ? Ciry .sp18. , 55407 Phone: Totol • 'J.;7 This Permit is issued on the express condition that oll work shall be done in otcordonce with all opplicable State of Minnewta Stotures and City ot Eoqon Ordinances. Buildiny Offlcial No. Dcte: Site Address: Lot 3 461r6' Ridge Cliff Dr. Blxk 5ub/Sec T . caxe Pidge z: INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Receipt No.: Single I .- r Residentiol 2 ' -'- " Multi Res., Comm./Ind. I Orrin Tha?mpson homes •.f?v. Name New/Alter./Repair. " ? Address I71? r`Op?AB CZ'o88T0&??3 Cost of Instollation 1T1I1@'t0211LQ, '.Sl. Ciry Phone: Pertnit Fee ' Nnme GenZ Ryan SurcFarge ' . ? Address 1. -, 7 •' ', , . ,?ti: c'-" - _'2`l . e e City Phone: Tofal ' This Permit is issued on the express candition thot oll work sholl be done in accordonce with oll appliwble StoTe of Minnesota Stotutes and City of Eogan Ordinances. 7-14-80 CITY OF EAGAN 3795 Pilot Rwob Road Eagae, Minnesota 55122 Pbone: 454-8100 PERMIT Building Official arY oF EAGAN 3795 Pild Keeb Raod No. -- Ea9an. Minweseta 55122 INSPECTOR NOTIFICATION Pbone: 454-8100 R E Q U I R E D B Y LAW PERMIT FOR ALL INSPECTIONS pate; Recelpt No.: Single $ite Nddress: Residential i: ?- Lot Block Sub/Sec. ?11' Comm. / I nd. Name J011I'_ New/Alter./Repair ¦ ; Address " Cost of Instollotion O City Phone: - ' Permit Fee Nome Surcharge ? g Address ? City Phone: I Total This Permif is issued on the exprass condition thot all work sholl be done in uccordance with all opplicable State of Minnesota Stotutes and City of Eagon Ordinances. Buildinp -?-.,,- ? CITY OF EAGAN ? ;?Q ???52 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 } BUILDING PERMIT Receipt # To be used for DECK Est. Value $1'000 Date SBP 1 1 ,?g $9 Site Address 4646 RIDGL CLIPF£ DR Lot 3 BlOCk li Sec/Sub. JOHNNY CAKE OFFICE USE ONIY ParceT No. ? Occupancy - FEFS Zoning W Name DOUGW KEWERECK (Actual) Const - Bldg. Permit 26•00 ; Address 4646 RIACB CLIPF DR (Allowable) - h ? • o Cit ?? Phone 452-8847 Y +? of stories arge Surc 121 Plan Review Lenglh o Name STV"T ? Depth 10? SAC City ?4 Address 3019 RU35ELL AVE ti S.F. Total - , ? City MPLS Phone 529-7057 S.F. Foatprints - SAC. MCWCC Water Conn On Site Sewage _ ?Q W Name On Site Well - Water Meter ? =Z Address MwCC sysler„ U <W City Phone cirywacer - Acct. Deposit PRV Required _ SNJ Permd I hereby acknowlege that I have read this application and state that the Booster Pump - S/W Surcharge information is correct and agree to comply with all applicable State of Minnesota Statutes and Ciry oi Eagan OrdinancQs. 7reatment PI Signature of Permitee APPROVALS Road Und A Building Permit is issued to: STEVART CO Pla^^er - Park Ded. on the express condition that all work shall be done in accordance with all Council - 1.50 applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Otf. _ Copies Building OftiCial . ' I . - Variance - TOTAL 2a'? Permit No. Permit Holder Date Telephone # WATER SEWEA PLUM8ING H.V.A.C. ELECTRIC InspecNon Date Insp. Comments Footings 1 Foundation Framing Roofin9 I Rough Plbg. Rough Hig. Isul. Frepl2ce Final Htg. Final Plhg. Const. Meter Pibg. Inspector - Notify Plumber Engr./Plan BWg. Final Deck Flg. / Deck Final weli Pr. Disp. ? cy?.'-?. ??{,? i:? f~ ?w?e? : . . .::. .. .. . . . .; .. . . . . PEAMIT# ?? Z . . .. . a.:,... ?T • yr 79 ?, , MECHANICAL PERMIT CITY OF EAGAN RECEIPT # 3830 PILOT KNOB ROAD EAGAN MN 55122 DATE CONTRACTPRICE: , , : PHONE:454-8100 Site Address ?l /l ' ? ? ?' '?? ~?• BLDG. TYPE WORK DESCRIPTION Lot B?ck Sec/ b - ?? Res. New n Mult Add-on ` Nam . = - . ? 0 / d ? ' vCCf/, <?r 1 ? ? l /c V,: cr Comm. Repair ?o Ad ress ?•t ? . - , : c City /`1•.?.??,,??/?,; Phone J - lGJ4 Other FEES ? Name RES. HVAC 0-100 M BTU -$24.00 c Address «f? ?4 <? ?1'• %?- u. ADDITIONAL 50 M BTU - 6.00 p City Phone ?{?? (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA. TYPE OF WORK COMM/IND FEE - 1g'o OF CONTRACT FEE Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES Boiler M BTU I t TOWNHOUSE & CONDOS - RES. RATE APPLIES ` - MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater - Ivl 6Ttt -- -' REMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 Vent CFM STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # BEYOND $1,000) Other $ FEE EE S/C: SIGNATURE OF PEZ'r.. TOTAL LT? T,? FOR: CITY OF EAGAN CITY OF EAGAN Remarks Addition -Tnh,mTC2ke Ridge 2xnd Additj.0U__Lot4 Bik 11 Parcel #10 39801 040 17 Owner Street State_ Eaga_, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STR EET R ESTOR. GRADING SAN SEW TRUNK a 1975 66.97 4.46 15 44.67 C006899 10/15/80 -joSEWER LATERAL a WATERMAIN -A1/VATER LATERAL 1991 WATER AREA STORM SEW TRK -kTORM SEW LAT 1981 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 11 it BUILDING PER. it r? SAC 525 00 i r n PAR K . CITY OF EAGAN Addition Lot 3 Blk 11 Parcel 10 39801 030 11 ownerl)?i kf 1' i -?ci_ -% Street 4646 Ridge Cliffe Dz'ive scate Eagan, Iqn 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF, STREET RESTOR. GRADING 5AN SEW TRUNK a 1975 66,97 4.46 15 *SEWER LATERAL 19$1 2277.43 45$.49 S WATEFIMAIN *WATER LATERAL 1981 WATER AREA STORM SEW TRK 1981 343.41 68. 68 5 *STORMSEW LAT LgHl CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 270-00 rr +i BUILOING PER. SAC n n PARK CITY OF EAGAN Remarks Addition-' .'f?1?-INA1Y' f'A1CF R7"IIIZF 7*+d Lot Blk Parcel #1(1 39R[ll 010 11 Owner street 4653 Petlkwe Way state ,-Eaga71. MAi 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK d 44 . 67 C006896 10 15 80 .xSEWER LATERAL WATERMAIN *WATER LATERAL WATER AREA STORM SEW TRK ,tSTORM SEW LAT 1981 CURB & GUTTER 51DEWALK STREET LIGHT WATER CONN, 8UILDING PER. ? SAC 25 00 PARK ? CITY OF EAGAN Addition fONNNY rA1CF. RTTIGF. 21td Lot 7 Blk 11 Parcel #1() 39801 020 11 owner street 4655 Fen#ew Wa State Eagan, HN 55122 94-,r:. Improvement Date Amount Annual Years Payment Receipt Date STREET SUR F, STREET RESTOR. GRADING SAN SEW TRUNK a 1975 66.97 4.46 15 *SEWERLATERAL 2277,43 C006853 1 /1 /80 WATERMAIN *WATER LATERAL WATER AREA STORM SEW TRK 1981 343-41 68-68 343.41 C006853 10/15/80 ,tSTORM SEW LAT 98 CURB & GUTTER SIDEWALK STREET LIGHT Road it 75.00 17063 12 11 79 WATER CONN. 270.00 tt BUILDING PER. 5568 ri it SAC PARK GTY OF EAGAN 3795 Pilot Keob Rood Eagan, MH 55122 Zonina- Owner Address: Site Address: Plumber: fvieter No.: Connection Chorge: Size: Account Deposit; Reader No.; Permit Fee: 1 ogree fo comply wilh fhe Ci1y of Eagan Surcharge: drdinonoes. Misc. Chqrges: Total: BY Dote Paid: _ Date of In C1T7f OF EAOAN 3795 Pqet tCeob RoW Eegas. MN 65122 Zoninp: . . Owrrr : Addsess: Swe Address: fll4mber. 1oprM ta eomply with fhe City of Eagan Ordinenws. • By _ Date of Insp.: I nsp.: Connection Charge: Account Deposit: _ Permit Fee: Surcharge: Misc. Chorges: ? Total: Date Poid: ? LI7" ^R EAGAN 79. elilot Knob Rood gan, MN 55122 oning: ner: dd. ess: ?ite Address: lumber: eter No.: Connection Charge: ize: Account Deposit: eoder No.: Permit Fee: ogree to eomply wit6 the City of Eagan Surcharge: rdinanees. Misc. Charges: Totol: y Dote Poid: ate of Insp.: Insp.: ?? - WATER SERVICE PERMIT PERMIT N4.: DATE: . No. of Units: WATER SERVICE PERMIT PERMIT NO.: DATE: _ No. of Units: SEWER SERVICE PERMIT PERMIT NO.: DATE: No. of Units: CITS "- EAGAN SEWER SERVICE PERMIT 379h Pilot Knob Road PERMfT NO.: Eug,n, MN 55122 DATE: No. of Units: [Addi ning: ner: ess: e Address: mber: 1 agree to eompfy with the C'ity of Eogan Oedinaneea. By Dote of Insp.: I nsp.. Connection Charge: Account Deposit: Permit Fee: Surcharge: Misc. Chorges: Total: Qate Paid: WATER SERVICE PERMIT PERMIT NO.: DATE: _ No. of Units: ---- ?- Site Address: Plumber: Meter No.: Size: {teader No.: I ogree to oomply wit6 the City of Ee90n ?Ordinanees. BY ? Date of Insp.: qccount Deposit: Aermit Fee: Surtharge: Misc. Chorges: Totoi: Dote Paid: I nsp.. CITY OF EAQAN SEWER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Eogan, MN 55122 DATE: Zoning° No. of Units: Owner: Address: , . Site Address: Plumber: 1 agree to aomplr wifh the City of Eagnn Connection Charge: Ordinances. Account Deposit: By Date of Insp.: Insp.: Permit Fee: Surcharge: Misc. Charges: - Totol: Dote Paid: 6 CIT1f tF EAC,AN ? 92 Pilot Knob Rood Eagan, MN 55122 Zoning: Owner; Address; Site Address; . Plumber. _ SEWER SERVICE PER141fi' PERMIT NO.: DATE: No. of Units: ? 1 a9ree to aomply with fhe City af Eogan Connection Charge: Ordinonce:. Account Deposit: Permit Fee: B y SUYCfIQPgE: Date of Insp.: Misc. Charges: ? Ins Tatal: p.: G Gote Poid: CM OF EAGAN W 3795 Pilot Knob Rood ATER SERVICE pERhUT Ecgon, MN 55122 PERMIT NfJ.: Zoning: DATE: Owner; • - --- No. of UniYr. Address: Site Address: Piumber: Meter No.: Size: Reoder No.; 1°gree to CO-RIY with flie Cn Ordindncea. Y of Eogon By --- Date of Insp.: Connection Charge: Account Deposit; PermiY Fee: --? Surchorge: Misc. Chorges: Totnl; Date Paid: lnsp.: I ? mmnesoca awce noam or uacinciry Griggs Midway Bidg. - Room N191 1821 University Ave., St. Paul, Minn. 55104 - Phone 297-2117 _REQUEST FOR ELECTRICAL IN5PECTION CHECIC"BELOW WORK COVERED BY THIS REQUEST ? 2 S ?-. / ?u4 64415 Type ot Building New Add. Rep. Check Appliances W¢ed For Check Equipment Wired For Home ? ? Ra e y Tempocary Wrsing ? Duplex ? ? " e ea ` Lighting Futwes to Apj. Bldg. ? ? ? ? Electric Heating ? Cpmmercial Bldg. ? ? D a Silo Unloader ? Industrial Bldg. ? ? ? Au Con tione Bulk Milk Tank ? Fxrm ? ? ? Lisl List Other ? ? ? p Heiets? 2ehers# COMPUTE INSPECTION FEE BELOW Service Entrance Size: # Fee FcedersBcSubfeedecs: # Fee C'ucuits: x Fce 0 to 100 Am s. 0[0 30 Am etes 0 to 30 Am eies 101 to 200 Amps. 31 to 100 Amperes 31 to 100 Am res ?J Above 200 Amps. Above 100 Amps. Above 100 Amps. Transformers Remote Control Cvc. Partial or other fee L . Si ns Special Ins ection Minimum fee Remazks TOTAL F W, J'O 00 I, the Electrical Inspector, hereby certify/ t/'at ihe lRnuvh-inl ? ??? (Final) This request void 18 months from been?a . e e /p-k-Fa This request void 47 18 months from 644,15 Date of this Request 0I Z' 1 &J Fire No. I, asORLicensed Electrical ConUactor,? Ow?er, do ?e • b?Te?uest ' Pec ion of the above electri- cal wiring installed at: Z'?? ?// ('.?, , Q' 0 ?? Street Address or Route No. ??q? nDGC C??? City p ?-+?1?N? Section Township Range County DNFa-1-ft z`• ?- Which is occupied by HOW 0 p?ama e. alccaPanq Is a rouqttin inspection required on this job? No ? Yes,6_ Ready Now ? Will Calldd Power Supplier Address m w k-7, y" Electrical Contractor E(EGTiE/G Contractor's License No!' L519 (COmvany Name) MailingAddress • ??F D, (E clcal ontractor or Owner Making Thls Inataiiatlon)Qn Authorized Signature Phone No. VRO -.jSOS (Electrical Contractor or Owner Making Thls Installatlon) ((`??`?'E p ? D ???? This inspection requestwill no[ he accepted by ffie cl? t? ky ?rza?iu SWte Boerd unleu proper impxtion fee is endomd. This request void ?/? 18 mon(hs (rom C 4 0 7 9 5tiir,.? ?? 7144"" A'k Hequest Dale ? Fir? No. Raugh-in Inspedion fleqmred? ?teady Nuw ? Will Nolity. lnsPec- ?Yes No tor When Ready aLice.sed ElecVical ConVactor 1 hereEy mquest inspection of above ?Owner electrical work inetaltad ae: Sveet A/ddre,s/s, Boz or Foute No-/. ! ! '' Citv Y(?' G - .clC? Z ection o. Townshio Name o No. Range No. Counry iJ.? OtGUpant IMiINTI? / ' Phone NNo. M ? L [pJee-ffl$ ,J VJ Power Supplier Atltlress Electrical Contra tor (Company Namel Contractor's License No. ?3 ?_ f?????h Mailine Address (Contractor or Owner MakinB Instailation) ? ! `?CD Au rized S,Bnature (Contr tor Owner MakinB InstallaY nl ? Phone Number C . 7?Y- ? MINNESOTq STpTE 90ARD OF ELECTRICITY THIS INSPECTION HEQUEST WILL NOT GrigBS-Midway Bidg. - Room N•791 BE ACCEPTED BY THE STATE BOARO UNLESS PPOPEN INSPECTION FEE IS 7821 University Ave., St. Paul, MN 55104 aw...,e ixili 199_1111 ENCLOSED, j§- ;EST FOR ELECTRICAL WSPECTION 4k?7i0*-, AVh ee-oXroi.cu ? , See instructiors lor comolefinq this fwm on beek of Yellow copy. ?J? J?J J r,?9 CJ ''X" Be/ow Work Covered by This Request ?v ? W-J nAn aaa.1 TVOe ot BuilAina Anoliancea Wired I taurunnent Wirntl 1 0uik Mi M Fae ServiceEMmnceSiie tl Fee Fexders/Subfeeders M Fen Circuits 0 to200Ams 0 to30Ams 0tn30Am Above 200 qmps 31 [0 100 qmps 31 to 700 q y Swinvnin Pool Above 700__Am s Ahove 100_Am : Transiormers Irngation Booms PartiaLOther Fee Special Inspection Final ?. " IB flI Inspectoq here?y cerlify tM[ the ebove inspection hes bea:4 meda. mie renuaet •aa ie mmnnsoca awce ooem or ueczncicy Griggs Midway Bidg. - Room N191 7821 Universiry Ave., St. Paul, Minn. 55104 - Piwne 297•2117 REQUEST FOR ELECTRICAL INSPECTION YCHECK BELOW WORIC COVERED BY THIS REQUEST EB-00001/-02 / p ! W 41 ? S ?4 ? Type ot Building New Add. Rep. Check Appliances Wired For Check Fquipment Wired For Home Duplex Apt. Bldg. ? ? ?? ? ? 0 Range ? Wa eatet ? Dr ? : Tempotary Wiring LighUngFixtures Electric Heating ? ? Commercial Bldg. ?? ? Fu Silo Unloader ? Industrial Bldg. Fa[m ?? ? ? ? ? A" ond' List ) Bulk Milk Tank List ? Other ? ? ? p } Heie?sl o Neiers? COMPUTE INSPECTION FEE BELOW Service Entrance Size: # Fee Feede[aBSubfceders: # Fee Circuits: it ee 0 ta ]00 Am s. 0 to 30 Am eres 0 to 30 Am eres 101 to 200 Amps. 31 to 100 Ampeces 31 to 100 Am eies Above 200 Amps. Above ]00 Amps. Above 100 Am s. Transformeis Remote Control Circ. Partial or other fee Signs S cial Ins ction Minimum fee $5 Remarks TOTAL FE •J ?ri+ I, the Electrical Inspector, hereby ce4?i?t (Final) This request void 18 months Gom has been made. Date & - 13-S-C-) Pate /,-,.. j- F,& 77i;s request void ] 8 months from Date of this Request Fire No. 6 4 4 11 I, asgLicensed Electrical Contra?to OOwr: quest spection of the above electri- cal wiring installed at: oP-5' ,U/? StrcetAddressorRouteNo. Iy061C u-tff- D(W City AA1 Section Towns}tip Range County K-vm Which is occupied by DR-Ilfj I l7UtySey-.1 6m5 Is a roughin inspection required on this job? No ? Ye%K, Ready Now ? Will CalfCE!f. PowerSupplier OCA Address Electrical Contractor llE? eLeGTklG Contracior's License No!!??? (COmpany Name) Mailing Address Rp • (EIeEt ical ontractor or Owner Making Thls Installatlon) Authorized Signature Phone No. 04 '.6_5b4- (Electrical Contractor or Owner Making 7hls InstalNtlon) (C?Sf'??? bs? 1,1 ?? ???? This inspection request wifl not 6e aceepted by the J 4J i?l State Board unless proper inapection tee is endosed. Westvoid ;rom Dat, oE this Request Fire No. S Zr? `?' 0`3 I, as?4icensed Electrical Contractor ? Owner, do hereby request inspection of the above electri- cal wiring installed ar Street Address or Route No. City MG&J SecUon' Township Range County Q&Z-7-01 Which is occupied by ?pst!d INama ?f (lr?nnn11 Is a roughin inspection required on this job? No ? Yea(, Ready Now ? Will Call ? PowerSupplier I-(-fT Address ?hfr%1wbi-i/4 Electrical Contractor ?05CL (EL6rrelG Contractor's I,icense Nd.'3 S (COmpany Name) MailingAddress I F A. fEl Ic a tra tor or Owner Maklnq Tnls Installatlon) Q?' y Authorized Signature Phone No. SSpe (Elxtrical Contractor or Owner Making Thls Installaflon) This inspection request will not be accepted hy ffie ?1 111? lS L? lJ State Board unless proper inspection fee is enclosed. . Minnesota State Board o1 ElecVicity /Griggs Midway Bldg. - Room N791 1 UniverSity Ave.. St. Paul, Minn. 55109 - Phone 297•2111 ?REQUEST FOR ELECTRICAL INSPECTION CHECK-BEY,OW WORK COVERED BY THIS REQIIEST EB-00001-02 194r.5` S 72043 TyQe of Building New Add. Rep. Cheek Appliances Wired Foi Check Equipment Wired For Nome Duplex ApL Bld'd, ? Commercial Bldg. ? Industrial Bldg. 11 Farm' ? ? ? ? ? o ? ? ? ? ? o Range Water Heater Dryer Fumace A'u Conditionei List ) Temporaxy Wiring ? Lighting b'ixtures Electric Heating ? Silo UnloadeF ? BWk Milk Tank ? Lis[ ? Other p Herelsl } p ) Herels? COMPUTE INSPECTION FEE BELOW Service Entcance Size: # Fce Feeders&Subf . C'vcuits: # Fce 0 to 100 Am . ?, 0[0 30 Am eres 0 to 30 Am e[es 7 PfO.V 101 to 200 Am s. 31 to 100 Amperes 31 to 100 Am eres ? Above 200_Amps. Above 300 _Amps. A6ove 100 Amps. Transfotmecs Remo[eControlCira Partialorotherfee ? • ?' Signs Special Inspection Minimum fee Remarks TOTALF op 60 n 6-0Q I, the Electrical Inspector, hereby certify thaT the above (Roueh-in) .`t (Final) has be? maY? 1Jate 'Uate 0 - / - ? REQUEST FOR ELECTRICAL INSPECTION ?????s ? ? See instructions tor comoleting this form on back ot yellow coDV. "X" Be/ow Work Covered by 7his Request Adtl Reo. Tyoe of Buiitling AoPl?nntae Wired Epuipment Wired Home Range Temporary Service Duplex Water Heater Ligh[iiiy Fixtures Apt. BuilAing Dryer Electric HeaLn Commercial Bldy. Fumace Silo Unloader Industrial 81Ag. Air Conditioner Bulk Milk Tank Farm OtnN, ver,i v +he? ISUCCIivI t er SVecily O?ha?r O?hi?? fee 6erow p r Pee r5erviceEnheneeSize p Fee Fexders/Subfenders b U l0 200 Am 5 0 to 30 Am s Above 200 Amps 31 to 100 Amps Swinming Pool Above 100_Amps Transformers Irrigation Boorris Hemorks Signs Special Inspection Rouph-in Date ?. ?he Elecvical Inspector. hereby certify thet the nbove Flnal ?+soecxion hes been ?mede. Rtls requesl voiG 18 mantlre Irom This requast voitl .2 /8 7 I8 cnnths irom ?d7 75;?--l 7 ui Uce.sed Electrical Conlractor I hereby request inspection ot abova ? Owner electrical work inslallad at: Street Address, eoz or Raute No. 4655 Penfzwe City Eagan eCbon o. Township Name or No. RanBe No. Coumy Occapnnr IPBINTI Jenlr y CZa&h Phone No. Power $uDnher AddresS ElecVical ConVactor (COmpany Namel IOAVI }Ip/1?'An ? ?nj'H% A TN/? CnnUactor's License No. 04 _ MaJing AtlJress I?Vaclor o?wner ? 6525 E. 170.th S.t. Phi.on. ak ?g Ins?allalionl Lalze MN 55372 ulhorizetl SignaWre (CoMraclor Ow C. M9 king Installatian) Phone Number aa7-za9o MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION NEQUEST WILL NOT Griggs-Midway Bldg. - Room N•191 BE ACCEPTED BV THE STATE 80AHD 1821 Universitv Ave.. SL Paul, MN 55104 UNLE55 PFOPER INSPECTION FEE IS Phone (612) 642-0800 ENCIOSED. ' Minneso[a State 8oard of Electricity Griggs Midway 61dg. - Hoom N791 1 7-University Ave., St. Paul, Minn. 55104 - Phone 297•2111 'A ,- W' Rc'ilUEST FOR ELECTRICAL INSPECTION CnbCKbELOW WORK COVERED BY THIS REQUEST EB-00001-02 S 72042 Type of Building New Add. Rep. Check Appliances W'ved For Check Equipment Wired Fm Home ? ? ? Range ? Temporary Wiring ? Duplex ? ? Water Heater ? Lighting Fumres ? Apt. Bldg. ? ? ? Dryer ? Electric Heating ? Commemial Bldg. ? ? 0 Furnace ? ? Silo Unloader ? Industrial Bidg. ? ? ? A'v Conditio Bulk M0k Tank. ? Parm List List p eier3? ?heIgI Other ? D ? H COMPUTE INSPECTION FEE BELOW ??ff 11 Service Entrance Size: * Fee Feedecs&Subfeedfts: # Ciccuits: # Fee 0 to 100 Am s. 0 to 30 Am eres 0 to 30 Am res I%W 301 to 200 Am s. 31 [0 100 Am res 31 [o 100 Am eres Above 200_Amps. Above 100 Amps. Above 100 Amps. Transformers RemoteContcolCirc. Partialor otherfee Si ns Special Ins ction Minimum fee Remazks TOTALF Ec?J''3J .?? I, the Electrical Inspector, hereby certify that the above inspection has been ma . (Rough-in) Date 4161, (Final) Z?la ?ate -7`' This request void ?? _ A 18 months from - ° "`YL 6?i . 18 months?m `?? °`? Date of this Request Fire No. S72O4- I, asPLicensed Electrical Contractor 0 Owner, do hereby request inspection of the above electri- cal winng ins[alled at: Street Address or Route No. 1 u+?? 1??'? V ??H City Gzl? Section Township Range County VNFzl* Which is ocwpied by Is a roughin inspection required on this job? No ? Yesg_ Ready Now ? Will Cakto, PowerSupplier ?4W Address ???6-1-aj Electrical Contractor PCCC. ELECJT?IG Contractor's License No 3?5IC, !1 I (COmOany Name) Mailing Address I-I ? l ?? ? 1-I FF IRLN: Authorized 11- No ' l ? - 5505 S-ME 500 G'?M This inspection request will not be accepted by the State Board unleu proper inspectian fee is enclosed. cirr oF EAc,AN 9795 Ptlot Kno6 Reod _ Eogaa, MN 35122 ' PHONE: AJI-8100 BUILDING PERMIT APPLICATION Receipt # To be und tor 1 of 4 Plex En, y(H3y 600. pa?ec N2 5567 11 , 19Z2- StteAddrcss_l4653 peLkwCW- Erect pc Occupancy-R3 Lor 1 ei«k il Sec/Sub. J Cake Ridee II Alrer ? zoning_ED?- Pa?l # Repafr ? Fire Zone __Il?_ Erge p Type of Const. rc Name ir n ompson omes Move ? # Stories Z op ins iosstos s ? qddreu Demolish ? Fmnt ft. Ci Minnetonkh phone 544-7333 Grade ? Depth tt. ? Approvols Fcea Nome 0 o? Address Assessment Permit 115 $0- V? Water 8 Sew. Surcharga 22?00 Ci Phone Police Plon check 69 7_ ?w Nome- Fire SAC s2 -00 ? Address Eng. Woter Conn. _.7.g„0Q_ Ci Phone Plonner Woter Metet6Q,..Og- Council nd rr,.i?* ??--?0 1 hereby ocknowledge thot I have read this application and stote that gldg. Off. the inTortnotion is corred and agree to comply with all applicable APC Total 1140.25 Stata of Minnesota Statutes and City of Eagon Ordinances. Signoture of Permittee A Building Permit is issued to: O r i^ Th^mp cnn mac on the express condition that ail work shall be done in accordaixe with oI o?plicable Stote,zO mnesata Statutes and City of Eogan Ordirances Building Official .. C?PI'Y OE' FAGAN BiTILDIN4 PERNIIT APPliICATION Include 2 sets of plans, 1 site plan w/elevatiams & 1 set of energy calculations. 7b He Used For valuation y3,, boo•oo Date DEC 3 1979 site AddreSS: 4? ?l.r/ NY? Lot I_ Block 11 Sec./Sub. aaoc e ?uc Parcel #: Owner: Address: City/Zip Code: OFFI(E USE ODII.Y . Erect Occupancy Alter Zoning /° _ Rcpai_r Fire Zorie 3 Enlarge _ 7.ype of Const. Move # stories Derolish Front ? x ft. Grade Depth +e</ ft. Phone #: APPROVAIS FEES Contractor. Assessnents?Ga_11 Pennit ES Water/Sewer Surcharge ? a-= Adclress: a Division of U. S. 1712 HDP P7ari Check C1CS1/Zlj? CACIZ: KIiVS CFOSSROAD FSZ'2 - MINNFT(1NUn ¦ ;;p?=? g53 S? Phone #: syy , 43 -- -17333 En4• plannps Water Conn. Water Meter ,?. 2>0? (,o .. Coimcil Road Uni.t 7?"m Arch. /EYig. : Bldg. Off. Address: APC City/Zip Cade: Phone #: RC7i'AL / / 5'd cirr oF ¢ac,AN 3795 Pilof Kaab Reed Fagan, MN 35122 N2 5568 PHON!• 4548100 •t ? 7 6) ?o 3 " BUILDING PERMIT APPLICATION Rec eipt # To 6e owd fer 1 of 4 plex Est. Vofue9600. 19-79 Sire Address 4655 PEI1kwe W. Erect ? x Occuponcv R3 Lor 2 el«k 1 1 Sec/SubJ Ckae Ridge II qlrer ? ZoNng Fp pafcel ,#. Repair ? Fire Zarre 3. E l t T f C n arge ? ons ype o . ?L z Nome Orrin Thompson Homes µow ? # Stories i 3 Address 1712 Hopkins Crossroads pe,,,olish ? Front ZZ ft. o ?` Minnetonka .__ 544.73331 Grode n Death 44 h. p Name _ t- u? Address Nnme _ Address I hereby acknowledge that I have reod this application and state that the information is correct and agree to comply with all applicable SMte of Minnewta Statutes and City af Eagan Ordinances. Signoture of Permittee A Building Permft is issued to: _ oll work shall be done in occordonce Feee Assessmenf' 14?: - 7/' Woter & Sew. Polfce Permit +cJ. iv Surchcrge 22.00 Plan check 62.75 Fire Snc 525.00 Eng. Plonner Wafer Conn. 270.00 Water Meter 60.00 Co,,,,cil d Unit 75.00 Off BId9 . • APC Total 1140, 25 on The express condition tFwt Statutes and City of Eogan Ordinances. Buildtng Official . CITY. QF EACAN BUILDII?'r PEFs`ff'P APPLICATION Include 2 sets of plans. 1 site plan w/el.evations & 1 set of energy calculati-ons- Zb Be Used Far REStoeuee Valuation y3 , boo. oo Date Dg 3 1979 Site Pddress: 4:C/cc.4 OFFICE USE ODII.Y Iot 1 B1oCJc It SeC. Sub. ?°HNN? ? 0.10f,E :Lmfl Farcel #: oaner: Address: City/Zip Code: Phorte # : _ Contsactnr: pddress: a oiviston or U. H_ ES 2712 Haac<i?;s c?,ossROaa Cl.ty/Zig. Code: MlNNErntiKn.A1fNN 6b"#q Phone #: s44-733S ? Arch./Yng.. Address: City/Zip Code• Phone #: - Er - ? X ? /Ics zoning ir.er a s40 Repair Fire Zone 3 Enlarge _ Type of Const. ? Nbve # Stories Danolish Front a.2 ft. Grade Depth 5b4? ft- APP%)VAIS FEES Assessments ?j%,,, Peanit Water/Sewer SurCharge POlice P1an Check? Fire SAC ?es a s-? Etnq. Water Conn. jp. > o ? Planner Water.Meter U o ? Council Roarl Uni.t Ts' m Bldq. Off. APC /'/0 crrr oF EacaN 3795 Pib! Knob Rocd Fagan, MN 53132 N2 5570 - PMONE:4S4-B700 BUILDING PERMIT APPLICATION Receipt .# /7'?40? 1 of To be uied for 4 plex 43,600. Est. Value - pae DeC, ll 1 9 79 Sire Address_46 41A Ridge S-.1iffe D= Erect [k Occupancy R3 Lor 4 Biock 1 sec/g„b; J Cake Ridge II Alter ? zoninfl Pd pomal #. Repair ? Ffre Zone 3 E l f Co t V T n orge ? ype o ns . w Nome 0= tiA Tham[39on NomPS Move ? .#' Srories 9 z Address 1712 Hypkins Ciosstoads DemolIsh ? Front 22 ft. Ci Phorre Grode ? Depth 44 ft. p Name _ ? ?? Address 1- rj«. Name _ Addres 1 hereby acknowledge that 1 have read this appiication and state that the information is wrrea nnd agree to wmply with all applicable Stme of Minnewta Statutes and City of Eagan Ordinances. Signaturo of Permittee Orrin Thom son A Building Pertnit is issued to: ail work shall be done in occordance with ;I applicaVe S} te of Fees Water 8 Sew. Polite _ Fire En9. Planner _ Council _ Bldg. Off. - APC Permit 194 50 Surcharge 77 _ 0n Plancheck F7,75 $AC 525 nn Water Conn. 70 _ nn Water Meter Ft) - nn RA fTnit 7f10 Totul 1140 9 5 s - on the express condition that and City of Eagan Ordinonces. Building Officlal A,X ? d < - / ?x,cA.o - , . CTTi'_ OF EAGADI BUIIDING PMNffT APPLICATIIXN Include 2 seYs of plans. 1 site plan w/el.evations & 1 set of energy calculations. To Be Used For RsstoEVae V??? 'i3i boo - oo pa? n`? 3 1979 Site Address: 111,4V OFFICE USE CNII.Y LOt IA_ BIOC.k ?r S2C. UY]. R10G£ '?L CP,,*,r-, Pancel #: OMmer : P.3dress: City/Zip Code: Phone #: Contractor: - a.,rcrcnv I nu1V1rSUN HQMES AddY'255: a Division of U. SH.-m. r,,,,,..,. 1712 HOPNINS CRDSSROAD C1ty/ZlP COdE: - MINiUFTNUaAUpIN 55?43 Prcne #: s4y-'1333 Arch./Eng. l+ddress: City/Zip Code: Erect _.A, occupancy ,rp 3 Alter Zoning Repair Fire Zone 3 Enlarge T Zype of Const. Nbve # Stories Demolish Front p::? ft. Grade Depth -f't/ . ft- APPROVALS FEES Assessnents 41. Pern.it JaS? Water/Sewer Surcharge Police Plan CSieck L z i Fire SAC o;;Ls ? giq, Wates Conn. s ;w ? Planner Water Meter Lo m` Council Rnad Unit )f? Bldg. Off. APC Phone #: _ RnTAi. //Ya `- . • cirY oF EAcwN ' 3795 Pilot nob Roed Eagan, MN 53721 N2 5569 PHONF: 454-8700 ' BUILDING PER MIT APPLICATION aeceiar # 1 o f 4 p 1 ex 600. o u 19 , 70 6e oaed for Esr. v l t Date --pe 9 4--LL. Sire Address 4646 Ridge Cliffe Dr. Erecc Ek Oaupanq R3 Lot -4_ Blxk I I_ Sec/Sub. T rkkp jt4dgg II Alter p Zoning gB Parcel # Repair ? Fire Zone 3 Enla e ? e of Const T rg . y yp c Name Or rin Thmmpson Homes move ? # Smries Z Address 1712 HopkinS CIOSSioads pemolish ? Front 22 ft. ? Ci Ph Gmde ? DePth 44 ft. one ? Name ? Z Address AssessmeM _ Water & Sew. Ci Phone Palica - ?W Name Fire ?0 Addreu Erg. <w CI Phone Plonner _ Council _ I hereby acknowledge that I have reod this application and state that gldg. Off. - the information is correct and ngree to comply with all opplicable Stata of Minnesota Statutes and City of Eagon Ordironces. . . Feea AVrov APC Signmure of Permittee A Building Permit is issued to: Or all work sholl be done in acmrdance Permit SurcMrgA"' • "" Plan theck 62.75 SAC `f2?.^?-v0 Water Conn. 270.9 Water MeMr _60.00 °-miUa#E ' Total 1140.25 on the express condition thot Minnesota Stotutes and Ciry of Eagon Ordirwnces. Building Offitiul CI'I1'. OF EAGAN BUILD* PERMIT APPT.ICATION Include 2 sets of plans, 1 site plan w/elevations & 1 set of enesgy calculations. To Be usea For R ioE? . valuation y3, 600 . oo nate DcC 3 1979 Site Address: 116y -_6J1??_ Q OFFICE USE ONLY. Lot 3 Block Sec./?Sub. ??NnNY ?PME ? wo?e ?aD Frect occupancy it'3- Parcel #: ?? Zoning F' Zone 7 Owner: Address City/Zip Code: Repair ire Enlarge _ Type of Const. l/ Mcyve # Stories Demlish Front ft. Grade Depth PhOne #: APPRDVIILS. FEES Contractor: AssessmentsPennit 1a_? ES water/Sewer Surcharge St.t -- Ptlc3ress: a Division of U. Sr...Pm...-:_ police Plan Checlc- /' ;L-7A l'?/Z].p COC1E: . 1712 HQ?KINS CBOSSROAD . - - INlNNETnNke ARINN 553d ?C Flre ? sa,s '? .. 9 3 Enq, water Conn. O>d - Phorne #: s44- 3 73 Planner water Meter Ge 92 Council Road Unit 7a-°?- Arch./Ehg.: Off Bld . g. Address: APC City/Zip Code: Phone #: TOTAL BUILDING PERMIT 70 6e used for DECK CITY OF EAGAN N2 17052 3830 Pilot Knob Roadq P.05 Bbx 21-199, Eagan, MN 55121 ??? ? PNONE: 454-81 DO Receipt # Est.VaWe $1,000 Date SEP 11 , 7g89 Sile Address 4646 RIDGE CLIFFE DR Lot 3 Block 11 SeGSub. 30HNNY CAKE Parcel No. W IName DOUGLAS KENNEBECK z Address 4646 RIDGE CLIFF DR City EAGAN Phone 452-8847 ? Name STEWART CO zi? Address 3019 RIISSELL• AVE N $< ? City ??_ Phone 529-7057 Name Address City Phone IN I hereby acknowlege tha} I haW"- ion and st te that Ihe inlormation is co rrect and agrll app a e State o Minnesota Statutes and City ol Signalure of Permitee A euilding Permit is issued lo: STEWART CO on Ne ezpregs wndition that all work shall be done in accordance with all applica6le Sfate ol MinnesoW Slatutes and Ciry of Eaqan Ordinances. Building Official Occupancy Zoning (AClual) Consl (Allowable) a o1 stories Length Depfh S.F. Tolal S.F. Footprin[s On Site Sewaqe On Site Well MWCC System City Waler PRV Required Boosler Pump APPROVALS Planner Council 61dg. Oll. Variance OFFICE USE ONLY 12' 10, eldg. Permit Surcharge Plan Reviaw SAQ Ciry SAC,MCWCC W eter Conn Water Meter Acct. Deposit S/W Permit SiW Surcharge Treatment PI Roatl Unit Park Ded. Copies TOTAL FEFS 26.00 .50 1.50 28.00 ?. ? . . ? For: U. S. Home Corporation / Y" C. R. WINDEN 3 ASSOCIATES, INC. IAND SURVEYORS T*L 648-3648 1381 fU5T15 SL, ST, PAUI, MINN. 55106 ? - -- 1 Scale: 1" = 50' / / _\? ?r? ?ct}E ? Q ? ? CF / ti6jb.?? ?M1 h? n 3 6j ? o hh b' ?o? /3o1j•33 h ?r ¢ 3 x? . ?? Q?. \ ? F Note: As of this date Johnny Cake Ridge Second Addition has not been recorded. Lots 1 thru 4 inclusive, Block 11, Johnny Cake Ridge Second Addition, Dakota County, Minnesota WE HERE6Y CERTIFY THAT TMIS IS A TRUE AND CORRECT REPRESENTAiION Of A SURVEY Of TNE 60UNDARIES OF THE IAND A60VE DESCRIlED AN D OF THE IOCATION OF All lUIIbINGS, If ANY, TMEREON, AND All V15161f ENCROACHMENTS. IF ANY, fROM OR ON SAID IAND. Dotad tAi. 27f? dor ef Alov' A.D. 1979 C. R. WINDEN 8 ASSOC IATES, INC. - a4" - ""?`_ ".- br Survqor. Minnewta Roqistrotion Ne.-22-2S ? RESIDENTIAL -1.5 / BUILDING PERMIT APPLICATION 1?a ?p CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Reauirements RemodeUReoair Reauiremenls . 3 registered site surveys showing sq. ft. of lot, sq. N. of hause; and all roofed areas • 2 copies of plan (20°h mazimum lot caverage allowed) • 1 sel of Energy Calculations for heated addilions . 2 copies of plan showirg beam 8 vrindow saes; poured found design, etc.) . t site survey for ezterbr addi6ons 8 decks . 1 set of Eneyy Calculations . Indicate if home served by septic system for additions • 3 copies of Tree Preservation Plan if lot platted aHer 7l1193 • Rim Joist Detail Oplions selection sheet (bldgs with 3 or less unils) DATE VALUATION SITEADDRESS 4tc5S _+,eM`u,5-C WCU.? MULTI-FAMILYBLDG _Y _N TYPE OF WORK&otnt o A l,.K nic ;. n•41-?r?o?y rIREPLACE(S) _ 0_ 1_ 2 APPUCANT?? ?h ? A ?cS?RanA•Ncw.nS,?c.?lea,c? STREETADDRESS3aoe Co?& CITYOctb+kes. STATE6-0. ZIP?3? TELEPHONE # *to-b.s4a3BacD CELL PHONE # `i?C.•o'1Dalo$35?' FAX # PROPERTYOWNERISP3?¢x SrSp??. TELEPHONEA071-y94-0010 COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNP:SOTA RiJLL,S 7670 CA'1'EGORY 1 MINNrSO'1'A RULES 7672 (4 su6mission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: ___________ Phone # ______________ PlumUing systccn includes: _ Water Softener _ L-iwn Sprinkler Fee: $90.00 Water Heater No. of RI. Baths No. of Baths Mechanical Contractor: Phone # Mechanical system includex _ Air Conclitioning Fee: $70.00 Heat Recovery System Sewer/Water Contractor: Phone # _ -? f- , I hereby acknowledge that I have read this application, state that the information is correct, an`d cpree to ¢omply with alI applicable State of Minnesota Statutes and City of Eagan Oinanc Slgnature of Applica??" A?? OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFIGE USE ONLY ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? OS 03-plex ? 06 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 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) ? 23 Porch(screened) ? 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 EM. Alt - Multi ? 33 EM. Alt - SF ? 36 Multi ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition , ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration '? 37• Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to appllcant Valuation Occupancy MC/ES System Census Code ` Zoning ' City Water SAC Units Stories Boaster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length ' Fire Sprinklered Type of Const W idth • •• . REQUIRED INSPECTIONS _ Footings (new bld'g)' FinaUC.O. ' _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ Plumbing _ Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framin8 _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC W ater Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Building Inspector Total Installed Siding andhVdMspOWER OF ATTORNEY OF COBB STATE OF GEORGIA KNO W ALL PEOPLE BY THESE PRESENTS: THAT I, David N. Katz, a resident of Montgomery County, Pennsylvania ("Principai"), and a licensed contractor of RMA Home Services, Inc., DBA Fiome Depot Installed Sales located at 660 Mendelssohn Avenue North, Golden Valley, IvIIV 55427, having a license.number of BC- 20268257, do hereby appoint, name and constitute Elder-7ones Building Permit Service, Inc. ("Agent") as my true and lawful attorney-in-fact and do authorize and grant said attorney-in-fact for me and in my name, place and stead the power to execute, acknowledge, sign and deliver (in such form as may be requirad by the municipality) a peemit apptication, or any other instrument(s) which may be necessary and appropriate, in order to obtain the proper permit(s) from the City ofEagan, Minnesota for the instailation, maintenance and repair of windows and siding (the "Work"). "I'fie powers comveyed to=the Agent by this Limited Power of Attorney are limited solely to the express powers delineated herein and apply solely to the Work. This Limited Power of Attomey shall expire and automatically be revoked on the 3& day of May, 2003, wkich date is one yeaz from the execution hereof. Further, the powers conveyed by this Limited Power of Attorney may be revoked by Principal at any time by express revocation and shall also be revoked by the Principal's death, disability, incapacity or incompetence. IN WITNESS WHEREOF this Limited Power of Attorney is executed this 30"' day of Mh`f , 2002. David . z SWORN TO AND SUBSCRIBED BEFORE ME by David N. Katz on this 30`h day of May, ),2-.? Notary %blic in for the Stat o eorgia My Commission Eicpires: January 21, 2006 396816.v3 Proudiy sold, furnished and installed by RMA Home Services, Inc., a Home Depot authorized contractor. 3200 Cobb Galleria Parkway, Suite 200 • Atlanta, GA 30339 • Phone (770) 779-1300 • Fax (770) 984-0709 • Toll free (800) 79-DEP I 1985 BIITLDI6G PERMIT lPPLICAiION CTfY OF EAGAN 1911) 65 im. SINGLE FAMILY DiIELLIAGS 2 SETS OF YLdNS 3 AECISTENED STTE SURVEYS 1 SET OF ENERGT CALCS. 1lULTIPLB D1iELLINGS AEliT9L ONTTS F09 SALE UBITS COMMERCI9L 2 SElS OF lRCHITEClUEtAL i 3TRDCTQRAL PLANS 1 36T OF SPECIFICATIONS 1 SE'! OF El9ERG1 CALC3. 1 OF ONITS iOTEt IDDRFS3E4 FOH CORNEA LOT3 - COATA?CTOA/HOMEOHNEA MDST MIGBAZE UHICH IDDRE55 I3 DFSIRED. 80 CSlWGE4 iTILL BE lLL0i1ED OtiCE HOILDING PERHIT 13 I3SOED.. SEWER 8 IiATEA PEAMIT FEES UPD ACCODNT DEPOSIT FEFS iTII.L Bfi INCLIIDED MITH i8E 80ILDIN4 PEM7IT FEE. PROCESSING TIIM FOR SEiiEA AAD N9TEA PERH215 IS TU10 DAYS ONCE A PERMIT HAS BEEN COMPLETED IBDIC9TIBG A LICEIiSED PLDlIDER. PENALTY APPLIES WHENs PERMIT IS NOT PAID FOR IN 36ME MONTA IT IS REQUESTED. LOT CHINGE IS REQOESTED ONCE PEEIMIT IS ISSIIED. To Be Used For: Valuation: Date: g Il 67 Site Address `} , i 2?I?F?p ? Lot ? Block I` Parcel/Sub -461iNNY CArE r111DloE ZND'?D?T oFmer DAJC(n < ?e,inA?.o Lecl- Address S&,,,S City/Zip Code rfiGAPO !Y(L1? 5?12i Phone Q4 4S:2.- Contractor ?jTr-y.lR2t c,o n/!PAN v) Address 3 D lj f?il SS+S4? 4 l/? IV d City/Zip Code L-S. Phone Erch./Engr. ? ? dddress Citq/Zip Code - ? Phone 0 lIDLTIPLE DfiELLINGS 2 3ETS OF PLlNS BEGISTfiRED 32SE 3QRVETS - (CHECb iTTTH BLDG DIa.) 1 SET OF ERERGT CALCS. / aa(-?- Oceupaney Zoning Aetual Const Allowable I of storiea Length ? Depth S.F. Total Footprint S.F. On aite aexage On eite well _ PlfiCC System City water _ PRV required _ Booster Pump _ 1YP80VALS Planner _ Couneil Bldg. Off. Veriance FEE3 Bldg. Permit ?2&, o0 Sureharge ,so Plan Review SAC, Citq SAC, MWCC Aater Conn Nater Meter Acet. DeposiL S/H Permit 3/il 3urcharge Treatment P1. Aoad Onit Park Ded. Copies 11501 SIIBTOTAL Penaltq SOTAL I W"qf';nak 0/' C99" For: U. S. Home Corporation / Or„PWQy Q ? ?\ cF ? ? 2 5}? A ,.? -7.33 6j Q?17 b INV b ? 06 / Poeos. Qag,? h' / 0?'?•3,j ' ?r \ ? ? F ? Note: As of this date Johnny Cake Ridge Second Addition has not been recorded. Lots 1 thru 9 inclusive, Block 11, Johnny Cake Ridge Second Addition, Dakota County, Minnesota WE HERElY CERTIfY THAT TF115 IS A TRUE AND CORRECT REPRESENTATION Of A SURVEY Of iHE 60UNDARIES OF TME IAND A60VE DESCRIlED ANO OF TME LOCATION Of All lUIIDINGS, If ANY, THEREON, AND All VISIlIE ENCROACHMENTS, IF ANY, fROM OR ON SAID LAND. Ooiad tAis 27f? der eF AlOy' 1079 A D C. R. WINOEN 6 ASSOCIATES, INC. . . b d-4-? ?-a y Svrvher, Minnesole RoOistrolion Ne. 772 6 C. R. WINDEN 3 ASSOCIATES, INC. IAND SURVEYORS Td 645•3646 1381 EUSTIS ST., Si. PAUI$ MINN. SSIOS Scale: 1" = 50' E XI STINI. D qt-K , N CW AEc< 0 ? - X? ?a a` , 2000 STORM DAMAGE PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 Reauiremenh 2 copies ot plan /V .?i.?/D L? DATE: ONSTRUCTION COST: ?L? ?? DESCRIPTION OF WORK: 14 °"k ?? t' A ; I( mulfl-family bldg., how many untts? _ c n, U INDICATE THE FOLLOWING EAUIPMENT TO BE REPLACED AND BY WHOM: _ Plumbing _ Homeowner g[ ConhacTOr Name _ Mechanical _ Homeowner gI Conhactor Name "NOte: If somebody other than The homeowner is performing plumbing or mechanical work fhey must apply for appropriate permff. Only Iicensed plumbing contractor or homeowner may complete plumbing work. SfREETADDRESS: V6N /`?3rGl?yd" R,( ,£•r?i??,Ad ft72Z-- LOT: ? BLOCK: SUBD./P.I.D. #: PROPERTY OWNER Name: 01'eSa/dt)A OiFf6y lD ta Phone #: J?QG ?l.?? Last t Sheet '`dy1 xd", 6lv?- Dr- city stare: PI,V Zip: Company: '/ k? 14" Phone#: 612 (area code) CONfRACTOR SheetAddress: 13 s ??? '? u ense# ??323d /e?. ? ? ?1 Clty n Sfate: Lp: Z I hereby acknowledge fhat I have read this application, siate fhat the Information is correct, and agree to of Minnesota Statufes and City of Eagan Ordinances. z Signature of Applicanf: all applicable Sfafe OCT 2 5 '2000 2000 STORM DAMAGE PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN ?-. 3830 PILOT KNOB RD - 55122 651-687-4675 Reauiremenh ? ? 2 coples of plan ?-? I" Q? DATE: 9 `.7-6- va CONSTRUCTION COST: DESCRIPTION OF WORK: _/)?e lJ ",r?y ^ ??U?/If mu1N•famlly bldg., how many unifa? ? IPoDICATE THE FOILOWIPoG EQUIPMEidT TO BE REPL4CED APoD BY WHOAA: _ Plumbing _ Homeowner gr Coniractor Name _ Mechanical _ Homeowner Q Contractor Name "Note: If somebody other ihan ihe homeowner is performing plumbing or mechanical work, ihey must apply for appropriafe permif. Only licensed plumbing coniractor or homeowner may complete plumbing work. STREET ADDRESS: 4{ (0 1 V Q fd/ TJ'Ci J? /'/ S`??/ ?L')' LOT: ? BLOCK: SUBD./P.I.D. #: 6R P, Rt e- Sex(JrV Name: Phone #: ?S? ` [ •? ` ? ?7 PROPERTY Last , Fint OWNER u Sfreef Addreas: 1? ? l?' lsl? I.YI? City t-GiO ct h S}afe: ? ZiP: CompanY:?)u a 1 f? 4?,e w6k 4'S lff- Phone#: 957?2- ?- (area code) CONTRACTOR Sheet Address: ?y/V ij Llcensa # 943,k Exp. a OD ? CHy State: Ilp: ? ??????F1) SEP 2 8 2000 BY: I hereby acknowledge ihaf 1 have read thla applicaflon, ataFe fhaf the InformaNon is corteef, and agree to comply wHh all applleable SfaFe of Minnesota Stafirtea and Clfy of Eagon Ordinances. SlgnaFure ot App canf: OFFICE USE ONLY BUILDING PERMR SUBTYPES 0 01 Foundation O 07 OS-plex Mul ti ? 02 SF Dwelling ? OS 06-plex SF ? 03 01 of _ plex -? 09 07-plex ? 04 02-plex ? 10 08-plex ? 05 03-piex ? 11 10-plex ? 06 04-plex ? 12 12-plex WORK TYPE ? 13 16-plex ? 21 Porch (3-sea.) 0 31 61;4 0 17 Garage ? 22 PorchlAddn.(4-sea.) O 33 6WE ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 19 Lower Level ? 24 Storm Damage Plbg Y or _ N ? 25 Misceltaneous ? 20 Pool ? 30 Accessory Bldg. ? 31 New ? 36 Move Bldg. ? 43 Reroof ? 32 Addition ? 37 Demolish (Bldg)• ? 44 Siding ? 33 Alteration ? 38 Demolish (interior) ? 45 Fire Repair ? 34 Repair O 42 Demolish (Foundation) ? 46 Windows/Doors ` De'molition permit - Give PCA handout to applicant GEIYERAL INFORMATION No. of Units _ No. of Buildings _ Const. (Actual) _ (Allowable) _ UBC"Occupancy _ Zoning _ # of Stories Length Width Basement sq. ft. Main level sq. ft. sq.ft. sq. ft. sq. n sq.ft Footprint sq. ft. Census Code MC/ES System Cily Water Booster Pump PRV CT7Y OF EF1GAN CASH:LCfi: 5 TL.RMSNAL_ NUc 765p PA'C'Ec 02/18/98 7'.T.MFe 1.4c3:1.r12 Iri .°, AAMFe AL.I..TE.Li f-]:F:ESTDr .T.NC 3210 9001 4655) F'E:NKIAIE NIAY 50.00 2155 3009. ¢655 I''ENI:NIF. I4AY 0.50 3P.1.0 9001 4246 F.+RAIiDUCF; 50.00 UJJ 9001. 4.246 t?RAIyT70CF; 0.50 I Te+,a1 firac,eypt Amni.an+,;; i.01.00 cRc:,sf,a?9 Use R m e NaNcv PERMIT -CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT TYPE: Permit Number: Daie Issued: BUILDING 031470 02/18/48 SITE ADDRESS: 4655 PENKWE WAY LOT: 2 BLOCK: 11 JOWNNY CAKE RIDGE 2ND P.I.N.: 10-39801-020-11 DESCRIPTION: GAS INSERT ONLY '?'w p?.,di.?'kf"Permit Type FIREPLACE rk Type NEW k? K^?• -i V ots a REMARKS: FOR ELEGTRTCAL INSPECTIONS CALL 445-2846 FEE SUAAMARY: Base Fee $50.00 Surcharge $.50 Tntal Fee $59.50 CONTRACTOR: - Applicant - sT. Lzc OWNER: FrIRESTpE CORNER INC 16332561 2009091 5CHMID7 R06ER 2700 N FAIRVIEW AVE 4655 PENKWE WAY RQSEVILLE MN 55113-0847 EAGAN MN 55122 F612) 633-2561 (612)454-0100 _ A' kCer"?„? ?ckrriaw?pdge?,t d,r"Jo •??'r??? Stetaatss ?nd APPLICA T/PERMITEE SIGNATURE ? ? "SUEO BY: SIGN RE CITY OF EAGAN 3830 PIIAT KNOB RD - 55122 1998 FII2EPLACE PERhIIT APPLICATION 681-4675 DATE: Z - I Co - is OF WORK: _ Construct new fireplace PERM[T FEE: $50.50 Alteretions to existing ? Install ¢as insert only _ Install pas Iine onlv Other JOB ADDRESS: ,46,5y f??a.j K u/ 6- 4" `? 2 LOT: ? BLOCK: ? I SUBDMSION/P.I.D. #: ? APPLICANT (circle one only): OWNER CONTRACTO >?, G33 - ZS'?G i Phone q& 0 "a 7?5?8 Z.oo 90 9 // citA3 \2n1SV 1srare: 'f1 2j L I hereby acknowledge that I have read this application and state that the informarion is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Name:z-?7C t}+MI'D7 1)JGeK?IA n'79L.A Phone#:Y'S7'0 100 PROPERTY Last Firs[ OWNER Signature: Sheet Address: r P !z? ul L..- City 4-? 1C1 aJ state: Zip: y 2 Z GASLINE INSTALLER OFFICE USE ONLY BUILDING PERMIT TYPE O 14 Fireplace WORK TYPE O 31 New ? 33 Atterations ? 32 Addition 0 34 Repa'v GENERALINFORMATION Census Code. 434 SAC Code Ol REMARKS Chimney/flue must be inspected before concealing. 2000 STORM DAMAGE PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 ReauiremeMs ' ? " y I ?? ? ? - ? 2 capies of plan L'C DATE: DESCRIPTION OF WORK: If mulN-tamily bldg., how many units? INDICATE THE FOLLOWING EAUIPMEPlT TO BE REPLACED APlD BY WHOM: _ Plumbing 4or-HOmeowner g[ Conhactor Name _ Mechanlcal _ Homeowner ql Contractor Name "Note: If somebody other than The homeowner Gs performing plumbing or mechanlcai work, they must apply for appropriate permit. Only Iicensed plumbing contractor or homeowner may complete plumbing work, STREET ADDRESS: Zf "5-j LOi: ? BLOCK: I? SUBD./P.I.D. C l/O6ny Cnu KJlIP 24 Name: Phone q: 1?5 l?/,? PROPERiY Laat Flrst OWNER Sheet Address:4'?/,6 SJ T 1N 4 !/? city ?G? Gz,7.V state: c/ zip: Company: Je ?$ Phone #: (area code) CONTRACTOR Sheef Addreu: llcense # Exp. CHy AUG 2 4 2000 I hereby acknowledge ihat I have r?dfi of Minnesota Statufes and Cffy of Eagan / ?.1.?r-) CONSTRUCTION COST: State: Zip: sfate Aat the informaHon is cortect, and agreeto canpy wilh allappHCable State Signalure of Applicant: OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 05-plex ? 02 SF Dwelling ? 08 06-plex ? 03 01 of _ plex ? 09 07-plex ? 04 02-plex ? 10 08-plex ? 05 03-plex ? 11 10-plex ? 06 04-plex ? 12 12-plex WORK TYPE ? 31 New ? 32 Addition ? 33 Alteration ? 34 Repair ? 13 16-plex ? 21 Porch (3-sea.) ? 31 Ext. AR - MuRi ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF p 18 Deck ? 23 Porch (screened) ? 36 MuRi ? 19 Lower Level ? 24 Storm Damage Plbg _Yor_N ? 25 Miscellaneous ? 20 Pool ? 30 Accessory Bldg. ? 36 Move Bldg. ? 43 Reroof ? 37 Demolish (Bldg)* ? 44 5iding ? 38 Demolish (Interior) ? 45 Fire Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors * Demolition permit - Give PCA handout to applicant GENERAL INFORMATION No. of Units No. of Buildings Const. (Actual) (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 ncuucos fV0 CLCVIf11VML bYJ1'C%.IIVa4 o?-/??w? -?o See inafruetionn (or comwlet inB this form on beck o1 Vellow coov. ?'S° ?-27 1?' "X" Below Work Covered by 7his Request TYne ot BuilEinp AVOllaneee Wired Equiument Wired ome - ' Hange - Temoorarv Service I I I I Industrial 81da.' 1 YI Air Condi[ianer 1 I Bulk Milk Twnk I M Fee ServiceEniraneeSixa N Fee Feedere/Subf¢eders N Fce Circuits U to 200 Am s 0 to.30 qm s O.to 30 Am s - Above 200 qmps ' 31 to 100 Amps 31 to 100 Am s Swimming Pool Above 100_Am s Above 100_AmPs Transformers Irrigation Boortis Pertial,'Othor Fee aigns apeuai mspecuon S TOTAL FEE pemarks - . - ' ' Rouph-in Date 1, the Elac7h.r , . . ' InaOeetm, certify theFinal Date inspaction " mede. mis repupl wld 18 montM Irom ?This reauest void /8 ? . ' . . 18 d7 h / ... -. ' . .. . _ . ?,?/y? 7` ? mont rom s I D 7726 zg ' J , ( Request Date , Fi No.-. Bh-in Inspection iie pu?retl7 Peady Nuw Q Will Nolify. InsPec- p 5-[g'p7 n M uVes yJNO lor When qeadV [ryp LiwnSetl ElecVital Contractor I hewby reuuest insoection oi ebove ? Owner elecbicel work instelled aC Street Address, Box or,Route No.,:??,F?,,,,?.,-;,,",__,y??,?t,Q,y..: 4655 Penkwe .CitY.-....-?,.?..,:-.?..,.< Eagan ecUan o. Township Name or No. '- ange o. Counry . Occupanl (PflINT) J" nn_?L ?.?.r.?.?rc . . Phong No. . f'owerSupplier . , , - . ..- Atldress , .. ^- . Elaco-ical ConVactor (ComDany Name) IQin FlonliyJ n& F?¢C?t,?_ C TY!^ Conuactor s License No. - , MadmB ?1dJress Il.?invaClor of dwner 6525 E. 110.th St. Pn.i.oh ?kingTns?ailatioN Lah.e MN 55372 . uMorizetl )pnBwra (Contraclor/Ow C. Mqkinp Installation) Phone Number aa7-2440 MINNESOTA STqTE 60ARD OF ELECTIIICITY ? THIS INSPECTION NEQUEST WILL NOT Giip9s•Midwev Bldg. -ROam N•181 9E ACCEVTED BV THE STqTE BOARD .:..`i-.. 1821 Univs,sitv Ave.. SL Peul, MN 66104 UNLESS PNOPER INSPECTION FEE IS Phone(812)642-0800 ' - ' ' ' ENCLOSED. - ,?. (:?, S'( 9 -:)- 2004 RESIDENTIAL BUII,DING PERNIIT APPLICATION L-A jj 9 City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 S-i `_O6 New Construction Reauirements RemodeVReoair Reaui2menLs 3 reg"stered site surveys shaving sq. R of lot, sq. fL of house; and all roofed areas 2 copps of plan (20% mazimum bt coverage allaved) 1 set of Energy Calculalions for heated addNOns 2 wpies of plan showing beam 8 wimbw s¢e.a; poured found design, etc. 1 sile survey fw atld'Nons & decks 1selofEneigyCakulations AddRiort-!nd(cateHOn-sffesePtlcsystem . . . . 3 copies of Tree P2servation Plan if lol pbried after 717193 Rim Joist Detail Opfbns seleGion sheet (bld9s wRh 3 ar less units Date 'IA l?? 9 l c";?DO ?1 f? Construction Cost ? 5U o Site Address 4(?SS ? Y1???k° I1,-?Q?-a UniVSte # ?Y?' n sl( a -a Description of Work Multi-Family Bldg ? Y _ N Fyreplace(s) _ 0 X 1 _ 2 Proper[y Owner {?'?^ip r 1 A,-,Ci, Pt-Vil &MY11.lCM Telephone # 00 f (.? Contractor Address CrtJ' State Zip Telephune # ( ) COMPLETE THIS AREA ONLY {F CONSTRUCT{NG A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Cod6 Category . Residentfal VenUlation Category 1 Worksheet • New Energy Code Worksheet (4 su6mission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ fee applies. Licensed Plumber n r? r? r? n Ma 11 Telephone #( Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( N If so, 25% plan review I hereby apply for a Residential Building Pernut and aclaiowledge 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 tlus is not a pernut, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved an in the case of work which requires a review and ap7zwc/a al of plans. Z?? M Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types 0 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace Q 21 Porch (3-sea.) ? 03 01of_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.) ? 04 02-plex ? 10 OS-plex 0 18 Deck ? 23 Porch (screen/gazebo) ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 30 Accessory Bldg ? 37 Ext. AR - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding JW 32 Addition 0 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 WindowslDoors ? 34Replacement •Demolition (Entire Bidg) - Give PCA handout to applicant ? Valuation OGO ? Census Code 1-7 2 /i' SAC Units ? # of Units ? # of Bldgs - Type of Const ? Footings (new bldg) ? Footings (deck) _ Footings (addition) Foundation Drain Tile RooF Ice & Water Final _ Framing _ Fireplace _ R.I. _ Air Test _ Final _ Insulation Approved By: Base Fee ' Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge 5&W Permit & Surcharge Treatment Plant License Search Copies Other Totai Occupancy R .,3_ MCES System - Zoning R-3 City Water Stories ?- Booster Pump - Sq. Ft. PRV ? Length Fire Sprinklered Width REQUIRED INSPECTIONS FinaUC.O. ? FinallNo C.O. _ Plumbing HVAC Other _ Pool Ftgs _ Air/Gas Tests Final _ Siding _ Stucco _ Stone _ Brick _ Windows _ Retaining Wall Building Inspector /'a:!7- w • • / ? ??"!'? For: U. S. Home Corporation ? ??O \ \ GF ? ?a h i ?6?aa ti 23 Q ? y / boQa c ? ? O,px L \ F C. R. WINDEN 3 ASSOCIATES, INC. IAND SURVEYORS 7el 845•3646 1381 EUSTIS ST., ST, PAUL, MINN. 55I00 ? L Q? . ?? 4 ? ,o a` Scale: 1" = 50' Note: As of this date Johnny Cake Ridge Second Addition has not been recorded. Lots 1 thru 4 inclusive, Block 11, Johnny Cake Ridge Second Addition, Dakota County, Minnesota / / / ?L ? \ ? WE MERElV CERiIFY THAT TMIS IS A TRUE ANO CORRECT REPRESENTATION OF A SURVEY Of THE lOUNDARIES OF THE IAND A60VE OfSCR16ED AN D OF THE IOCATION OF All lUIIDINGS, IF ANY, TNEREON, AND All VI51llE ENCROACNMENTS. If ANY, fROM OR ON SAIO LAND. Z?fh 1979 C. R. WINDEN 8 ASSOC IATES, INC. day of Dotad ihis A.D. b r Sur.ryer, MinMwta Rayistroti 26 1 Jv 6 2006 RESIDENTIAL PLUMBING PeRnniT aPPUCarioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. ??5D Date / O Site Street Address (AkW Unit # Pro ert Owner ( , I Telephone # ?5?) svo (.U 7 p y H.P. PIPEWORKS I Contrector ne-.n nr.nn n?. Ar. Telephone #( J Address EAGAN,JMN 55123 City State Zip The Applicant is: _ Owner %Contractor _Other i Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Alterations to existing dwelling $ 50.00 _ Add plumbing fixtures. This fee includes installation of a water softener and/or water heater at the same time. If you are insta/ling onlv a water softener and/or water heater, do not complete this section; move to the next section and check the appliance(s) you are installing. _Septic System Abandonment _Water Turnaround (add $130.00 if a 5/8" meter is required) Other: I ? Water Heater Water Softener $ 15.00 _ new ? replacement Lawn Irrigation _RPZ _PVB new _repalr _rebuild $ 30.00 State Surcharge I ? $ 50 onnC Total I $ I hereby apply for a Residential Pluriatiing-PenniYand'aZ`fcno`wre ge that thE information is complete and accurete; that the work will be in conformance with the ordinances and codes of the Gity of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a per it, work is noC to start without a permit and work will be in ccordance with the ap oved plan in the event a plan is requi to belevi ed and ove IicanYs Printe Name ?? A canYs /.?;- .?C PC-- - , ,,t = ,_ . " ^d _ a€"°°' ''''C'' a < .� c '�s v sa " , .7 :_ y ''<''''''.''.4,,,- ' ' ✓MAIY{i� �u : } y3i - :lb n permit FINK 1. . ► '+ r • SurdK e: 0- . pd : - e6 ,4, ... , . s .; �, - ., 37 N* iuN . $5 1 � 22 DAT 7 '1 r : _ No. of Units: s ' l.:_ r 1 E ! rr ''r, t C , , site Add ,: : z 7: i Z ,J{ � ..acte iI Pitman': s asepir y 7,,, ; ,, e , \; , .1.,-)0. ' t ,: t o !'amo. do Citr . e Connection Charge: 4 2 3 C ) k s Cidimitetts. Account Deposit: Permit Fee: ti) r).-s, ,. ,a urchorge: ,,,.? By ' isc. Charges: .,'4 Dole of 6 r Tot I _ Insp.' Dote Paid: 8q �3r� REGAN VIE ter: ' DATE, :./� . ~ ^~ S'613(4) -` ej - ]v�/" -- ~ Y-[) / - ° Si~^/ [J /. , o .� , '..'�� .` ,',' ' i� ' ~7 _ v'-,~ ^ ^ --�^ ~ ^ �� ~ 1��r'4 , ' =.~ 1I'� �i ~ ' _ /� .mf / /~�-` � ' �J�- 'm` * —.71 • 11 4.4.0e,sz 5 P1 3 �� , C (�� l U�I ��V� llse LUE ar E� BLACK Ink �-----=----------- 1 For fl�ice U�Se � � .� j Permit#: � G-��f j � � � C�� of �a a� , , � Perm�Fee: ; 5830 Rilot Knob Road � � Eagan MN 55122 j Date Rece�v$d. � Phone:'{65t)675-5675 I I Pax:{659)6T5-5694 1 Staff: t I l � � . � . . � . � � � . � � . .. �L.��.�. �� .��J . 2014 RESIDENTIAL BUILDING PERMIT APPLiCATION �f�/ ,/� _ 13ate. �1°'��`�c� Site Addr�s: �� 3 � `7 b �� 1�`+�� iJi � Q� Unit'#; Name: U�1'�i9✓��-?' �¢�L !t�tvr)/?r,�r E� �Phone: ' '-��S1t�Gt1�/ Qw#tEr Address I Ci#y/Zip:��"✓� �ti` ^ � Appficant is: Qwner � Contractor w-.- Description of wo�ic: �'G�''' t1�� '� '��'� Type of Work � Cons#ruction Cost: 1��G�� Multi-Family Building:{Yes�/No_;,� Gompany:/VC'�YZrJ�a��[�Yf�s�r�4-C��UFS '�Corrtat�:� t s� /�G�t1d�' Contract�r Address:C��'I tj l ��?�r �7� Lr,�-jn� .�/ C;ty:1Y�,��- �j�!.�j,r� y � State_�Zip: ��I � Phone:vj2--��_��Emait:t�►rn� �3trL�S`7r�dy1�✓��c�r� u��#:�3C 1.�`l �f 73 �a cert��#:N��=,�r��1�� —l If fhe project is exempt f�om tead certi€fcation, please exptain why: (see Page 3 for additiona!information) C4MPLETE Tt1iS AREA ONLY fF CONSTRUCI'ING A NEW BUtL[31NG in the tast 12 maM S;p the City of Eagan issued a�rtnit for a similar ptan based ort a r�ster plan? _Yes _No If yes,date and add f master plan: Ucensed Plumber: Phone: lVlechanicai Contractor: . ` Sewer 8�Water CaM r: Phone: Atl��f„ : a�rd�t�ppvr�in�tlacr�rnerr�t1�at�ou srrt�mit are co�tsid�red tc�'be public�r��rm�tiv» ;�"a�tit�as of rrt�cr�a�an rr�a�y be�l�ss"�''"red�s r�on pub/fc i#'yvu:pr+uv�de sp+e�i�c�asorts;#tat ws�uld�e�rr�it#te C�#y�t�. c�nclude t��#,�ie are trade secret�: < CALL SEFORE YOU DiG. Cail Gopher State One Cail at(651)454-Q002 for protection agair�si undergrour�d uUlity damage. Calt 48 hours before yau intend to dig to receive locat�s of underground ufrlitiss. www.aonherstateonecali.arg i heneby ackno+ndedge that this information is canpiete ar�d accurate;that the wrork will be in c;or�fonnanc�e with the ot�finan�s and codes of the Gity o€ Eagan;that f undecstand this is not a permit,6ut only aa applic�tion for a pecmit,and vvork is not to start withou#a pesmtt; that the work wili'be in accosdance with the aPDroved ptan in the case of vvork which r+equi►es a review and aPProval of plans. Exterior work autharused by a buildirtg permiilssued in accordance wittr the Minnes�a 8tate iidlr�Code m�t k�cqmpieted within 188 da�rs af permit issuance. � �c , , ,�. e . . x i/' � �G�-/ � , ApplicanYs Pri�d Name anYs Signature : - Page!of�, �}�� C IO��r �l4�� U�e BLUE or BLAGK ll�k � �[NK'uJ� i�IJK11J� j �orO�iceuse----------' . �C�: , �� j Permit#: �� ! �� i� � ' 1 3830PilotKnab Road - � Permft Fee: � Eagan MN 55122 � Date Received: j Phonet(651j675-5675 1 1 Fax:{651)875-5694 I Staff: 1 I [ . . � . . � � . � � . � � . � - � � � . � . a�.'.��:�. ��' � �.J� . 2014 RESIRENTIAL BUILDING PERMiT APPL�GATION na�:�-�1'�`j`�` si�Ada�: �-1 L 53 �-f� �`� l�`��f� �-I� � .4.� �n�t�: Name: ��f'�"i�i�� !r�tv.�}h�rt� � Phone: `.�t�Sit��11'�1 ; . - � 4W�t��' Address/Gity 1 Zip:��`Jt-" /�/�'` � AppGcant is: Ownet J\. Cantractor � � � : �v� � _ � � Type Of Wt��'IC Description of wock: � c�� °�� Canstnaction Cost.I+�,�� Multi-�amily'Suilding:(Yes�/No 1 � / � �{ ,, Company:�VUY�.t1�°��,E'�J't�s�-G.TO/5 '�Corrtact t l�"� /�G��' C011t['1CtOt' Address:l�['�tj�'l Z+��'1�r �9�- �-r'�M"z .�O City:��'�'�` t7l�L�1/'�. a7 t State:�Zip: �� Phone:��g�"��EmaiL•t�i ru� �3Y Lv�57��d�/l`�d��,��v Ltcense#: �� 'f�� ?c�_Cr�r� �eaa certi�cate#:rV�.�,--r=»�!a 3 —> !f the pro}ect is exempt from lead eerti#ication,please explain why: (see Rage 3 for add�ionat in#armation) C4MPLETE THiS AREA ONLY iF CONSTRUCTiNG A NEW BUII.DiNG' In the last 12 mon , the City of Eagan issued a pertnit€or a similar ptan based ort a master p�n? Yes ,_„No If yes,date and addr s.�f master p(an: Licensed Plumber: Phonec Mechanica!Contractor: . ` Sewer 8�Water CoM r: Phonec 1�1�T� s�:aris�supprartin�alr�c�ments�l`�at y�u�ubmrt are cc�nsid�r�c�f tn be putrEic in�n��ic��: °��i,�ons:r� = �►it`orm��ion'tr�a�r�r�class�f'�est as�n=p�il�+�if�cru p�n�de spscif��son�f�t t�auC�t��fh€C�fy to� � cvnclu�t�fhat t�e aEae�ratle sec�ei� CALL BEfORE YOU DlG. Gati Gopher State Qne Cali at{651}d5+{-0002 for protection against underground uU7iht da�age. CaH 48 hours befiore you intend to dig to receive tocates of undergrounri utilities. www:crooherstateanecatf.ara 1 hereby admo+Medge tha#this Er�Tormation is c�mptete and accurate,that the work will be in coniormance with the ordinar�and c�des of the-City of Eagan;tf►at l understand this is not a permi#, but only an application for a permit,and w�1c is not to start without a permit;'tha#the wock wii#be in accordance with the aPproved ptan in the case of vwrtc which►�equires a review and approMai of plar�. E�erior work authorized by a buildir�g permit issued in acca�dance wittr the Minnes�a StaGe iiding Ccde must 1�completed within 180 days af parmit issuance. � f iJ�� G � . x � X AppiicanYs Pri�rted Name aM's Signature Page i of� PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA148181 Date Issued:03/12/2018 Permit Category:ePermit Site Address: 4653 Penkwe Way Lot:1 Block: 11 Addition: Johnny Cake Ridge 2nd PID:10-39801-11-010 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 - Shelly Gilliam 4653 Penkwe Way Eagan MN 55122 (612) 240-2612 Bonfe's Plumbing & Heating 455 Hardman Ave South St. Paul MN 55075 (651) 228-7140 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA171114 Date Issued:08/02/2021 Permit Category:ePermit Site Address: 4653 Penkwe Way Lot:1 Block: 11 Addition: Johnny Cake Ridge 2nd PID:10-39801-11-010 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Shelly Gilliam 4653 Penkwe Way Saint Paul MN 55122--371 Appliance Connections Inc 12850 Louisville Road Shakopee MN 55379 (952) 445-4803 Applicant/Permitee: Signature Issued By: Signature