4663 Penkwe WayCITY OF EAGAN Remarks
AdditionjGBTM? CAU RIpn$ Jl-DI1iI"'.MN Lot ? Blk 3 Parwl 10 39800 010 03
Owner street 4663 Pe11kWe N?y' state Ea'gans MN 55122
Improvement pate Amourtt Annusl Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 323.14 21.54 1$
• SEWER LATERAL
WATERMAIN
* WATER LATERAL
WATER AREA
W
STORM SEW TRK
* STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Unit 155.00
WATER GOfVN. 305.00 18831 5/6180
BUILDING PER,
SAC
PARK
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE ? g
nECeIveD
FROM
AMpUNT $ I
DOLLARS
oo
7
? CASH [] CHECK
FOR I ? ???
Thank You
e v
White-Payen CoPV
Yellow-Postinp Copy
Pink-File Copy
Receipt MECHANICAL PERMIT
?(f-c` ? c Y",.1 ` CITY OF EAGAN
T
'r C( ( plL( q Fi/I in numbered spaces
lLc- ? Type or Print legibly
1. Date -- '' 2. Installation Cast
3. Job Address Lot Blk. - Tract •
S-I-
4. Owner /
5. Contractor • Phone
6. Address
7.
City '- -
State -,
Zip
8. Building Type: Residential Q Commercial ? Institutional O
9. Work Description: New E] Add ? Alter O Repair ?
10. Describe _ ___ , .?__• Fuel Typef
11.
No. Eauiument STU - M. Ea.
Forced Air No. E uipment CFM
Air Handli
:
Mfg, ng
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. ?
Other
Air Cond. ?
Mfg.
Gas, Piping Outlets
h r?? ?`?'
12. 1 hereby certify that the above information is true and correct, and I agree to
camply with all ordinances and codes governing this type of work.
5igned : for
Rough F inal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454,8100
Permit No.
Fee '
S/C
Tot.
?
? ?71p-
cirY oF EAGAN
~_ r 3795 Pilot Knob Road Eogen, MN 55122
PHONEs 454-8100
BUILDING PERIMIIT Receipt .#
Ta Ir uad fnr . Fef VRI110 I7/1*P
$It@ AddrESS
Lot
Parcel # -
Blotk Set/Sub. ' ! 17;i . C.'0.'
ac Nome - -
3 ?re? ? :ins 'rosscr<_ .
O ...i.-, ?i.?. ?,-• ,
°C Name _
0
Z
??u Address
? r....
Nome _
Address
( hereby ocknowledge that I have read this applicotion and stote that
the information is correct and agree to rnmply with oll applicable
State of Minnesota Statutes und City of Eagan Ordinnnces.
N2 5800
Erect ? Occupancy
Alter ? Zoning
Repair p Fire Zone
Enlorge ? Type of Const.
Move ? $!' Stories
Demolish ? Front ft.
Grnde ? Depth ft.
Approva4 Fees
Assessment
Water & Sew.
Poilce
Fire
Eny.
Planner
Council
Bldg. Off.
APC
Perrnif
Surcharge -
Plan check _
5AC
Water Conn.
Wafer Meter
Road Unit _
Total
Signature of Permittee I
A Buflding Permlt is issued to: on the express oondition thut
all work shall be done in accordonce witfi cll applicoble Stote of Minnesota Stotutes ond Ciry of Eagan Ordinances.
Building Officinl
Pamk # Dab 64- PennIftw
Plumbing
Mechanical Q
INSPECTIONS I DATE IMP• Rouflh-In Finol
Foptings Date InsD• Dote Insp.
Foundation
Frome/ins.
-27 $-ci
'9/?? 7rp Plumbing
Mechanicol 'j-- F,
Final I
Remarks: ? - .5 ' g ? ?, ` ' ?ovt?.?? .? 2?-?` ?^"?"?'?
Nd
Lt1r:iBI1dG
cirY oF Er?G,e?N
3795 Pilet Knob Read
Eogan, Minnasota 55122
Phons: 451-8100
PERMIT
Date:
Site Addreu: -- ? `'S :'?'?i!••
Lot Blxk Sub/Sec. ''•, • -
Name Orrin mhommeon I:Q:'r'?
" 1712 i?Dnl:j:L
; Address
City Phone:
- •::? -
Ncme __..,.,. - .
? it?`.?? '?e. _ _ • .
? Address
,. .. ?
City Phone:
This Permit is issued on ihe express condition thot all work sholl be
Minnesoto Stotutes ond City of Eagon Ordinonces.
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
I Receipt No.:
! 5ingle I
Residential
Multi Res., Ccmm./Ind. I
New/Alter./Repofr. Cost of Installation
Permit Fee
Surcharge
Total
dorte in accordonce with all opplicable Stote of
Buildinp Offitial
No, ?
HEATING
Oate:
CITY OF EAGAN
3795 Pilot Kwob Rood
Eogen, Minnesote 55122
Phena: 454-8100
PERMIT
Site /Wdreu: 4663 F@I1-kwE W2,v
Lot Block Sub/Sec. "
Nume ;JIT1A !"!'<mA90ri
? Address ?.'712 HOn1?; ? _ - ,-
City Phone:
°P7 ?', ':?7' ?-, • - ??.,-, -
Nome -
.
?
Addreu 4637 Ch` c xro
? ' . . .
City ? .• ' Phone: '
This Permit is issued on the express condition that oll work sholl be
Minnesota Statutes ond City of Eogon Ordinances.
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
Receipt No.:
Single I
Residentiol
Multi Res., Comm./Ind. I
New/Alter./Repoir. Cost of Installation
Permit Fee - -
Surcharge
Total
done in accordonce wlth all cppiicable State of
Building Official
CITI' OF EAGAN
'Eagan, MN 55122 DATE:
ITIt OF E,4GAN
?
?95 Pilot Knob Road
gan, MN 55122
oning:
ner:
dress:
ite Address:
umber.
, agree to eomply with t6e City of Eogan
inances.
3?''95 Pitot Knob Road PERMIT NO.:
Zoning: No. of Units:
Owner; _
dress:
ite Address:
lumber:
dhAeter No.: Connection Charge: .
Sixe: Account Oeposit;
$eader No.: Permit Fee:
! agrse to complr with the City of Eagon Surchorge:
?rdinanoes. Misc. Charges:
Total:
y Date Paid:
te of Insp.:
Insp.:
Rv
Dote of Insp.:
Connection Charge:
Account Deposit: _
Permit Fee:
Surcharge:
Misc. Charges:
Total:
Date Paid:
SEWER SERVICE PERMIT
PERMIT NO.:
DATE:
No. of Units:
This request voidpi? SC /o, o 0
moaths from
Date ?pf tyw1Cequest cg- Fire No. T 46149
I, as fB'Licensed Electrical ConUactor ? Ownei, do hereby request inspection of the above electri-
cal wiring installed at:
Street Address or Route No.
Section Township
Which is occupied by
Is a roughin inspection required on this job? No ? Yes ?
Power Supplier
Electrical Contractor
Ready Now Ild? Will Call ?
ConttAC? r's ?icense No. _
VJ
Mailing Address 5322)
(E e ric on ra r or Own r Making ?I5 Installatlon)
Authorized Signature Phone No.
7 a?4
441
(EI rltal ontractor or UWAer Making Th15 Instailatlon)
?OWRD COPY This iMpection requeat will not 6e accepted by the
State Boerd unless proper inspection fee is enclosed.
STATE
mmnesota state itoara ot tiectriaty
Griggs Midway Bldg. - Room N791
1827 University Ave.. St. Paul, Minn. 55104 - Phone 297-2117
' ' "REQUEST FOR ELECTRICAL INSPECTION
CH?B I.OW WORK COVERED BY THIS REQUEST
EB-00001-02
T 4614e--
Type pf Bullding New Add. Rep. Check Appliances W'ved For Check Fquipment W'ved Fot
Hom6 ? ? ? Range ? Temporary W'uing ?
Duplex ? ? 0 Water Heater ? Lighting FuWres ?
ApU Bldg. ? El ? Dryer ? Electric Heating ?
Commercial Bldg. ? ? ? Purnace ?
/ Silo Unloader ?
Industrial Bldg. ? ? ? Au Conditioner -
l9r Bulk Milk Tank ?
Fazm ? ? ? List List
Other
?
?
? p
Hehergl
Rehers?
f
COMPUTE INSPECTION FEE BELOW
Service Entrance Size: # Fce Feeders&Subfeedacs: # Fee Cucuits: # Fee
0 to 100 Am s. 0 to 30 Am eres 0 to 30 Am eies /
101 ro 200 Am s. 31 ro 100 Amperes 31 [0 100 Am eres
Ahove 200_Amps. 1 1 Above 100 Amps. Above 100 Amps.
Transfotmers RemoteConVolCuc. Partialorotherfee
Signs Special lns tion Minimum fee $ GYj
Remazks
?? ? A FScr\
TOTAL FEE
I, the I ii? e:? he g y certify that the above inspection has been mad !Q , p? -ik (Rou y ?? Date
(Final).: /f„? /? 7- c _ Date
This request void
18 months from
REQUEST FOR ELECTRICAL INSPECTION Ee-ooooi-oa
^
T ? OO }( i? n ! ' Soe instructians tor completin8 tliis toem on bnck ot vellow copy.
?•k
l"X" Below Work Covered by This Request
,271(4T
Ne Add flep. Type of 9uilAing APpliances WireA Equipmenl Wired
Home Range Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt. BuilAfng Oryer Electrlc Heatin
Comm2rcial Bldy. Fwnace Silo Unloader
IndusVial Bldg. Air Condi[ioner Bulk Milk Tanl<
FBritt ther pecily Other (SUer,ify)
tier Sntcify Othcr Othi.,r
Compute Inspection Fee Belnw
k fiee ServiceEntrenceSize # Fen FexAe.s/SubfeeAerS n Fee Circuits
0 to 100 qm is 0 to 30 Am s ' 0 in 30 Ani os
101 to 200 Amps 31 ro 100 qmps 7 to 100 qm s
Ahove 200 qmps Above 700-Amps ?i0 Above 100_Ailips
Transtormers Remote Control Circ
\ Par[ial.'Other e
Sic?n= Special 6nspection S/ TOT
aem:,.ks O
,o
I
AL P !Q,
f
RouHh-in ? lia?r I, the Elechical
? Inspeclor, hereby
Findl
U+uP certity that the nbove
inspection has Aaen
ovida.
Thlti fL'QUPSI VDId
18 months Imm
This request void (q/5 L/, 93( i
T 18n?t8841 7? • ?
?
Reouest Dare
8?
??? Fire No. Rnugh-in Insper,tfon
Reo u red>
?Heatlv
Nnw ? Will Notily Inspec-
?
?. C]Yes ?NU W, When Reody
Licensed Elecvical Contrnctor
I hereby request inspoction ot above
? Owner ¢lechical work installed at:
SVeet AdJress, Bon ur Route No.
/4 63 CitY
le?
ecuon o. Township Naine or No. Fange No. CnuntY
Occu .int iPRIMI
?' ? Phone No.
?a-9o3?
Powe.r $ plier Acidress
Ele hicxl Cnnlractor (COmpanV Nam Convar.tor's Lir,ense No.
Mailine AdJross I `actor or Owne Makinp InslallatioN
a ;??f w, sv?,d?. - ?? - I
Auffiori-ed Sipnamre (Contrac dOwnor aking Installation) 41
' Phnne Numbm
? ,a -7- -7
MINNESOTA STATE 60ARD OF EIECTRICITV THIS INSPECTION HEQUEST WIIL NOT
Gri99s-Midwey 81dp. - Noom N-191 8E ACCEPTED BY THE STATE BOAflD
UNLESS PflOPEH INSPECTION FEE IS
1827 Univorsity Ave., St. Pau1; MN 65704
Pr.....e 1619 1 299.9111 ENCLOSED.
mmnesota state tloarU ot 6lectncity
Griggs Midway Bldg. - Room N191
-;. Z27 University Av .; Ft. Paul, Minn. 55104 - PFwne 297•2111
REQUE$T F?R ELECTRICAL INSPECTION
CHECK BELOW WOAK COVERED BY THIS REOUEST
EB-00001-02
/9/ 1e a--
S 64391
Type ot Building New Add. Rep. Check Appliances Wired For Check Equipment W¢ed For
Homc ? ? Range Tempo[axy Wiring ?
Duplex 0 ? ? Wa[ec H Lighting Fvctures ?.
Apt. Bldg.
Commercial Bldg. ?
? El
? ?
? Dryer
Fuma Atz Electric Heating
Silo UNoader ?
Inddstrial Bldg. ? A'v Co ion Bulk Milk Tank ?
Farm ? ? ? List List
Other El ? ? p
HeietS? HerelS?
COMPUTE INSPECTION FEE BELOW
Service Entrance Size: # Fee FeedersdSubfeedere: # Fee Circuits: n F
ft
0 to 100 Am s
.
0[0 30 Am eres
0 to 30 Am res ?
101 to 200 Amps. 31 [0 100 Am ies 31 [0 100 Am eres
Above 200_Amps. Abov]00 Amps. Above 100 Amps.
T[ansfortners RemoteConttolCirc. Paitialorotherfee N
Si ns S cial Ins ction Minimum Cee $500
Remarks
i _
TOTAL FEE
I, the Electrical Inspector, hereby certi ?t theq q pect' n has been made.
(Rough-in) ??? Date _5 - V'"910
(Final) Date
This request void
18 months from
quest void
I8 months hom
/7/ le2,
Date of this Request k,) Flre No. S643 91
1, asCR-Licensed Electrical o tractor Owner, do reb request inspection of the above electri-
cal wiring installed at: ?? ? ??
Street .?ddress or Route No.
Section Township Range County
.----
Which is occupied by_ O(Zp-?? 1?0t'?Q? ?'??$
(Nama oT Occupant)
Is a roughin inspection required on this job? No ? Yesg- Ready Now ? Will CaIYEI
Power Supplier ? Address I NXr"?w4T&J
Electrical Contractor .PELG ??'EGT?(C' Contractor's L,icense No 3?5!9
? (C pany Name)
Mailing Address I I L l ff-_ ? t c I Contraetor oi Owner Makin9 Thls Installatlon) q
Authorized Signature ' Phone No. IQ" ??s
? pp (Electrlca Gf?o ractor or Owner?Mpaking This Installatlon)
4,? `?7t ?r?r? ES ???p.,yx?+? ? ??? qy This iMpection requestwill natbe accepted 6y the
r> ? o Stata Board unless proper inspeetion fee is endosed.
l CiTy n,F Ea.c?c3AN Include 2 sets of plans,
? 1 site plan w/elevations &
BUILDING_PERMIT APPLICATION 1 set of energy calculations.
? ev-6,- -
4b Be Used For Rcs?DE.,?e Valuation -66-+Qoae Date f10TL a?, 19Re)
Site Address: 4(,6,3 PEN KLJ E W? (V-,0 PK Y7 ) OFFICE USE ODII,Y
IAt l BI.OCk ? S2C./SUU. SO)ANNY CAKe FSeCt _ Z?COCCUF3IICy ?
R?uy? Alter Zoning .M _
Parcel # • gepair Fire Zone
Enlazye Type of Const. v
Owner:
Pddress:
City/Zip Cocle:
Phone #:
Contractor: nRRIN THnMPR(1N I-In14APc
s Division of U. S. Home Corporation
?C?.L'eSS: _17. 2 u?n?. ? S 6R9SSR6n9
City/Zip COd2: MINNETONKA, MINN. 55343
Phone #: Sqq-1333
Arch. /F1ig. .
Pddress:
City/Zip Code:
Phone #:
Nbve # Stories
Dermlish Front ft.
Grade J DePth ft.
Assessiients Penni.t
?-
Water/Sewer Surcharge 3D
Police Plan Check } > ?
Fire SAC 5?6 gm
gng, Water Conn. 3 o S? -
?
Planner Water Meter ?,4'
Council Road Unit
Bldg. Off.
4
7
1
APC
TOML /? 3 3l? ?
CITY OF EAGAN
3795 Pilot Knob Road Eagan, MN S5722 N2 5800
PHONE: 454-8100
BUILDING PERMIT APPLICATION
Site Address _
Lot 1
Parcel # -
w Name _
; Address
b
? Name _
0
z< Address
u?
Fw Name _
iZ Address
1712 Hopkins Crossorad
I hereby acknowledge that I hav ad this
the information is Correct an ree to c
State of Minnewta Statute ! d Ciry of
Signature of Permittee
A Building Pertnit is iss d ro:
all work shall be done in ocwrdance wit
Building Officiat
Z
Block 3 Sec/Sub. 'rnny.Cake Rdg
"fnd state that
ail applicable
Receipt # ( ? " j?
Erect 3 Occupancy R3
AlTer ? Zoning Rl
Repoir ? Fire Zone III
Eniorge ? Type of Const. V
Move ? # Stories
Demolish ? FroiN 54 ft.
46
Grade ? Depth ft.
Aoorovals Faes
Assessment 41L7/OU
Water & Sew.
Police
Fire
Erg.
Plonner
Council
eid9. orf. 4 2 80
APC
Pertnit 174.7V
Surchorge ?0.00
Plon check 77 • 25
SAC 525.00
Water Conn.395 . 00
Wuter Meter 60 . o0
Road Unit 189.00
Totol l ??3F.75
on the express condition that
Statutes ond City of Eagan Ordinonces.
4663
. .
(904
n
71-C
?v
Q?
?
1 / .
,o
, 9J
f Ufi%'/
C. R. WINDEN 3 A550CIATES, INC.
LAND SURVEYORS Ttl 543-3646
1381 EU5TI5 ST., ST, PAUtD MINN, 55108
ti
Scale: 1" = 30'
O Denotes Iron
L
J
q,o
\
\
\
\
\
For:
U. S. HOME CORPORATION
Lot 1, Block 3, Johnny Cake Ridge
Addition, Dakota County, Minnesota
WE HEREBY CERTIfY TNAT THIS IS A TRVE AND CORRECT REPRESENTATION Of A SURVEY OF TNE
60UNDARIES OF THE IAND ABOVE OESCRIBED AND OF THE tOCAT10N OF Atl bU1LOtNG5, IF ANY,
THEREON, AND ALl VI518LE ENCROACMMENTS, IF ANY, FROM OR ON SAIO IAND.
Dorad thit )0,'h_day eF? r, ? A.D. 19$0 C. RZ7 3 ASSOCIATES, INC.
by ,a &I'j,
Surwyor, Minnewfa Ropisfrolion Ne.,772C_
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?O v
CITY OF EACAN
EARLY UTILITY CONNECTION PERMIT
4663 Penkwe Wav Ll B3 7ofinny Cake Ri?gP
Address . Subdivision/Parcel
I hereby iequest permission from the City of Eagan to connect to the
sanitary sewer and water lateral line in the public right-of-way. I
understand that the City has not yet completed, inspected and/or accepted
the sewer and/or water lateral. I agree not to use, test, or connect these
individual services to any interior plumbing and understand the require-
ment to cap the sewer service to prevent any unauthorized use.
In accepting this permit, it is agreed that I will hold the City and its
agents harmless from any damage that may occur due to this early connection.
It is understood that no Occupancy Permit will be issued or water allowed
to be turned on until the City utility system has been declared operational
by the City Engineer.
Signed by - Plumber:wenzet M¢chan,LCA.2 JV
Owner: ?
Developer:
Suilder:
Dated: 5123180
*****?*************?*******************
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 678
DATE: 08/16 /00 TIME: 13:02:28
ID: ~
NAME: AZTEC ROOFING AND CONSTRUCTION
3210 9001 4663 PENKWE WAY 125.25
2155 9001 4663 PENKWE WAY 3.00
3210 9001 3782 WESCOTT HI 167.25
2155 9001 3782 WESCOTT HI 4.50
Total Receipt Amount: 300.00
CR136001
USER ID: JAN
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT NNOB RD - 55122
651-881-4875
New ConshucHon Reauiremenri .. Rertwdel/Reualr ReaWremenls
> 3 reglstered Yfe aurveya ahowinq aq. IL of bl, aq. ft. of house 2 copias of Plan and go roofed areas (40°6 maxlmum bt covemae albweN 1 se101 energy cpiculallons for heated addiHona
> 2 coples of pians (slww betan & window sizes; poured fnd. design; etcJ 1 sife wney !or axteilor addiHons & deCks
> 1 36t of en6rgy ColcWatlom
> 3 coples of hee preaarvallon plan Il lot plaMed aRer 7/1/93 ,.
DATE: CONSTRUCTIONCOST:
DESCRIPTION OF WORK: Rb e06-?-
STREET ADDRESS: qW3 PEn) k-JC 11v k/
LOT: ? BLOCK: ? SUBD./P.I.D.M: J0611 l n& K? APJ
?& ` % ii? ?•4 ?E Phone #:
PROPERTY
owNee
WM flnt
6S! "C8'.? -0756
strearnaaress: 't 4G 3 ?zw kW6 til`AX
E.??q+lrl State: Lp: $S12Z
citY
. companr. Phone lf: 4 t Z" Sr9s -a a ?lo
(area code)
COMRACTOR
sn,,rAadress: I(583 !?ff l2 ucansen-?o"3"'yo EV.-
City ?R Kr2NSJrt IL State: fn N tip: S5 J3 7
ARCHITECT/
ENGINEER Company: Name:
Telephone A: ( )
Sfreef
City
State:
Sewerlwater licensed plumber Qf installina sawerhvater): Phone #:
I hereby acknowledge tFwf I have read this applicalion, aFafe that ihe infortnafion is cortect, and agi
of Minnesota Sfalutes and Cify of Eagan Ordinances. 1 ";7 Z,
Signature of Applicant:
OFFICE USE ONLY
ReglshaHon N:
Zip:
to comply wilh o0 applleable SfatE
AUG 16 2000
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 21 PorCh (3-sea.)
? 02 SF Dwelling ? OS 06-plex ? 17 Garage ? 22 Poroh/Addn. (4-sea.)
? 03 01 of _ ptex ? 09 07-plex ? 18 Deck ? 23 PorCh (screened)
? 04 02-plex ? 70 08-plex ? 19 Lower Level ? 24 Storm Damage
? OS 03-plex ? 11 10-plex Plbg _Yor_N ? 25 Miscellaneous
? 06 04-plex O 12 12-plex ? 20 Pool ? 30 AcCessory Bldg.
WORK TYPE
? 31 New ? 36 Move Bldg. ? 43 Reroof
? 32 Addition ? 37 Demolish (Bidg)` ? 44 Siding
? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair
? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors
' Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code
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.
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Pianning Building
Engineering
sq.ft.
sq.ft.
Footprint sq. ft.
Census Code
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Variance
0 31 Exc Alc - Mufti
? 33 Ext. Alt - S F
? 36 Mutti
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SM/ Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
SAC Units
% SAC
Use BLUE or BLACK Ink
�-----------------
� For Office Use �
� j Permit#: /��S✓� j
Cit of E�o�� ; . . �� ;
Y �a Permit Fee: ���
3830 Pilot Knob Road � �
Eagan MN 55122 � Date Received: � � �
Phone: (651)675-5675 I I
Fax:(651)675-5694 I Staff: I
I I
�________________J
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
`� 3 �3c� S�� 1
� Name: �� Phone:
Resident/ ( � �i S�I 22
(�yyngX Address/City/Zip: �v� (��V' � � I(a
Applicant is: Owner�`�, Contractor
T aF W,pl'k Description of work: �� �4..0 ' ���:.� �l CJ� ((�t' �; 'l(�� l�`�ti�
YP� �
` Construction Cost: 1���-' Multi-Family Building:(Yes /No )
Company: �� \. Ji �� � � Contact: t�, �
,
COC1'�1'aCt01' Address: 1���1�3��c��(`�����. City: �� '
, �
S�� t �..� .. Phone��o�. ���' ���-%3 @_
� � State:�� Zip: ,�-� � Email:�E' ��� C ���51(���C��1`�1���'l '�-�`�Y�
License#: ��v�.7 3 C�� �, �!' Lead Certificate#:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
NOTE:Plans and supporting documenfs th�t you submit are co�rsiafered to be public information. Porfi�tr��of ''
the infarmation may be classified as non:pubri+�if you'prowide specifrc reasons that rvaultl permif t�►e City to :
conclude that#he ar�e trade secrets.:.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Ca�l 48 hours
before you intend to dig to receive locates of underground utilities. www.aonherstateonecall.orq
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
X ��\.z?��dli` � `��C����1�\k,
Applicant's Printed Name Applicant's Signature
�, Page 1 of 3
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Lic#20630760
1623 Norwood Drive • Eagan, MN 55122
Office: (651) 379-9899 • Fax: (651) 344-0949 • Email: ted@citysideexteriors.com
Hello Jeff Wheeler,
Permit EA127553, Dave Bolin, is the home Owner, a lady by the name
of Tiffany is representing Mr Bolin because of health issues. CitySide
Exteriors was contracted to do work for the home owner for the following.
Replace gutters, roof and siding and install replacement windows. The
issues that were brought up for adjustments are as follows:
1. TV cables on the ground, prior to the residing, the cables were under the
previous 8 inch aluminum, the solution, we put the cables under the
bottom panel of steel siding, Fixed.
2. Lower office room: They said there was a breeze coming through the
frame of the window on a windy day. Solution, we took off the inside trim
and reapplied more insulation, and reattached the trim, and we did that to
every window they wanted to be addressed. Fixed.
3. The roof leaked by the chimney on a very rainy and windy night, came by
the next day to address the situation, the flucap was missing or out of
place , that was fixed and also added more black roof caulking to areas of
that vicinity. I believe if it still leaked, they would have called me , so all
should be good there, fixed.
4. Said the gutters were holing water, location of gutters above 3 car
garage. Had the Gutter man come and lower the one end and now no
standing water. Fixed
My belief is to make every customer pleased with the service that I provide,
I have made every effort to resolve this issues.
Sincerely Ted McKinney
Use BLUE or BLACK Ink
----------,
� For Office Use I
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Clt Of E8 a� � ��an. � '
Y � � Permit#: �
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3830 Pilot Knob Road � �i-1 ' �
Eagan MN 55122 I _ �
Phone:(651)675-5675 I Date Received: �
Fax:(651)675-5694 � I
� Staff:�� �
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2015 MECHANICAL PERMIT APPLICATION
❑ Please submit two(2)sets of plans with all commercial applications.
Date: � � 3 —1� Site Address: ��b ;3 ��f1�c_,��� �.�Ja..��
Tenant: �(�r1�, ���\,,� Suite#:
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RES/DENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit, includes State Surcharge p
Q
$100.00 Residential New, includes State Surcharge =$ � � TOTAL FEE
COMMERCIAL FEES Contract Value$ x.01
$60.00 Permit Fee Minimum, includes State Surcharge
$70.00 Underground tank installation/removal =$ Permit Fee
'If contract value is GREATER than$2,010, Surcharge=Contract Value x$0.0005 -$ Surcharge*
If the project valuation is over$1 million, please call for Surcharge =$ TOTAL FEE
I hereby acknowledge that this information is complete and accurate; that the work will e in conformance with t 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 ot to start withou a p r it;that the work will be in accordance
with the approved plan in the case of work which requires a review and approval of plans.
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PERMIT
City of Eagan Permit Type: Building
3830 Pilot Knob Rd Permit Number: EA145106
Eagan, MN 55122Date Issued: 08/23/2017
(651)675-5675 (] Qqp
'tE
www.ci.eagan.mn.us 1 O' Q Qll
Site Address: 4663 Penkwe Way
Lot: 1 Block: 3 Addition: Johnny Cake Ridge
PID: 10-39800-03-010
Use:
Description:
Sub Type: Single Fam Construction Type:
Work Type: Day Care Inspection
Description:
Census Code: - Occupancy:
Zoning:
Square Feet: 0
Comments: Clarence Tweh 651-216-9670
Fee Summary: Day Care Inspection $50.00 1221.4216
Total: $50.00
Contractor: Owner: - Applicant -
Snyder Health Care Systems Inc
355 Marie Ave E
West St Paul MN 55118
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
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For Office Use !1 d
Eakall ::::ee.
: i 7 le Clr? -� - ' +11
City of P717. .V lo'
3830 Pilot Knob Road
Eagan MN 55122Date Received:/0` —7 `1 7
Phone: (651)675-5675 ��
buildinoinspections c(Bcityofeaoan.com Staff: +
OCi 342017
2017 RESIDENTIAL
/ 2BUILDING PERMIT APPLICATION
Date: Site Address: / tp 6.3 I V' `C IJ�J Unit#:
I Name: Li i�"'1 C . .-. Phone: 6 (1.- Z t 6-71;7
7 l D
Resident/ P 1
I Owner I Address/City/Zip: '3V t1 .3 fe i4 W II Waver a L q c1 m-tv S 57a.,"�
Applicant is: 1/Owner Contractor
il
Description of work: Oe_d' i k t(° k. 'Yc
Type of Wor I
i Construction Cost: Multi-Family Building: (Yes /No
g-----
Company: Contact:
Contractor I Address: City:
State: Zip: Phone: Email:
License#: Lead Certificate#:
(
If the project is exempt from lead certification, please explain why:
I
I COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
i
( Fire Suppression Contractor: Phone:
i NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the
information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they
are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on
the City's website at www.cityofeagan.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before
you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I u derstand 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 'it the approved plan i the case of work which requires a review and approval of.plans.
ti
_„,,,„, 111,10 —, x
Applicant's Printed Name Applicant's Signature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE •
SUB TYPES
Foundation Fireplace Porch (3-Season) Exterior Alteration (Single Family)
Single Family Garage Porch (4-Season) Exterior Alteration (Multi)
Multi Deck Porch(Screen/Gazebo/Pergola) Miscellaneous
01 of Plex Lower Level Pool Accessory Building
WORK TYPES
New Interior Improvement Siding Demolish Building*
Addition Move Building Reroof Demolish Interior
Alteration Fire Repair Windows Demolish Foundation
Replace Repair Egress Window Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation /6 2 5:ZC Occupancy :2.../Z C" I MCES System
Plan Review Code Edition yYt4 Z� I'S— SAC Units
(25%_ 100%?) Zoning — _ City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction ✓i Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
ly' Footings (Deck) Final / C.O. Required
Footings (Addition) t41 Final I No C.O. Required
Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test
Roof: _Ice &Water _Final Pool: Footings Air/Gas Tests _Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace: _Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_ EFIS
Insulation Windows
Sheathing Retaining Wall: _ Footings— Backfill_ Final
Sheetrock Radon Control
Fire Walls Fire Suppression: _Rough In_Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: %i?rin ,/Y1,ii l ./4 , Building Inspector
RESIDENTIAL FEES _
Base Fee i 2- X/
Surcharge
Plan Review ` ' 5J • ft-
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
A w
weilipaze fl �Q C. R. WINDEN & ASSOCIATES, INC.
!J LAND SURVEYORS T.L 643-3646
1381 EUSTIS St, ST. PAUL, MINN. 55108
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IC -�_ /...60.00f5/
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For: NN, \
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Lot 1, Block 3, Johnny Cake Ridge
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Addition, Dakota County, Minnesota
WE HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE 0
BOUNDARIES OF THE LAND ABOVE DESCRIBED AND OF THE LOCATION OF ALL BUILDINGS, IF ANY,
THEREON, AND ALL VISIBLE ENCROACHMENTS, IF ANY, FROM OR ON SAID LAND.
Doted tfiii_1B#Ji day oi_Qpr, J A.D. 1980 C. R. JNDEN & ASSOCIATES, ZINC.
by )1102�`•''
Surveyor. Minnosoto Registrotioo No.77PC