4670 Penkwe WayCITY OF EAGAN Remarks -
nddition Lot 4 slk 2 PeFcei 10 39800 440 02
OwnerF ',t, 11 ';, street 4670 Pe11kF?e WSy state Eagan, MN 55122
Improvement Dete Amount Annual Years Payment Receipt Dete
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
* SEWER LATERAL ?
WATERMAIN
* WATER LATERAL lqRl
WATER AREA
sa
STORM SEW TRK ,2
* STORM SEW LAT 1991
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Unit 1 185.00 18457 418180
WATER CONN. 305.00 11 if
BUILDING PER. I I IV
SAC r? rr
PARK
CA5H RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE
19
AMOUNT $ 1-1
6 O L
? o o?-
? CASH ? GHECK
FOR
White-Payers Copy
Yellow-Posting Copy
Pink-File CoRV
Thank You ;
?? ^ HY L/
. CITY OF EAGAN
". ? 3795 PiW Knob Road Eagen, MN SSIZZ
PHOWE: 454-8100
BUILDING PERMIT
Receipt #
N9 5680
Te 6e upd Mr Est. Value Date , 19
Site Address Erect ? Occupancy
Lot Blxk - Sec/Sub. Alter p Zoninp
po?l # - Repoir p Fire Zone
Enlarge ? Type of Const.
W Name Move ? # 5tories
; Address ? 112 Demolish p Front ft.
b r-:... ,,>.,-.I- nL,.__ Grode fl Death ft.
p Name
?? Address '
F r....
Name _
Address
I hereby acknowledge that I have reod this application ond state thot
the information is correct and agree to comply with all applicable
Stote of Minnesoto Stotutes and City of Eagon Ordinances.
Assessment
Water & Sew.
Police
Fi re
Eng.
Planner
Council
Bldg, Off. TT?.
APC
Permit 1 %
$urchcrge
Plan check
SAC
Water Conn.
Water Meter
Totol '
Signoture of Permittee I
A Building Permit is issued to: - -' on the express tondition thot
all work shall be done in occordonce with all opplicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
w?
hnek # paN IMwd IwmIttN
Plumbin9 /(p l -7 /[r CJ
Mechonical 02 ?
zz-7?? . 5 - 9 0
INSPECTIONS DATE INSP.
Rauph-in
Flnal
Footings - ?LZV Dote Insp. Dofe Irtsp.
Foundation Plumbing
Frame/ins. -r?- Mechonical
Final
--Q----
Remarks:
, z
No. ' 1697
CITY OF EAGAN
3795 Pilot Knob Read
Ea9an, Minnasota 35122
Phom: 4544100
PERMIT
Date:
/' i •Jr`r>Fy - r L -
$ite /lddress: "
Lot
Nome
.
?
Btock ` Sub/Sec. '?'. ?ake ?icl9
Address 1.712 HOpkiA?2 ,-,.,, ?, : •.-. ..,
City ?`-{ 1?Il@ t oi L;:4 ,:.'.I; Phone: i, .• ,
INSPECTOR NOTIFICATION
REaUIRED BY LAW
FOR ALL INSPECTIONS
Receipt No.: ?
Single
Residential
Multi Res., Comm./Ind.
New/Alter./Repoir ,
Cost of Installation
Permit Fee
,J0,
Nome WeAZ@1 ?,1@C11aI1iCQ1 5urcharge
.
? Address
City " Phone: " Toto)
This Permit is issued on the express condition thot oll work shall be done in accordance with cll opplicable Stcte of
Minnesota Statutes ond City of Eagon Ordinances.
Buildinp
No.
CITY OF EAGAN
3795 Pilot Knob Road
Eagan, Minnesofa 55122
Phone: 454-8100
y 1- , PERMIT
Dote: T
11T1@ ? .
Site Address: ?'*670 PeT1Ixe 74 a;'
Lot ' Block SublSec. `' -?'V • ' . , F -
Name (Jrrin T2uapsoa iior,?s
`
Address ! :" ?. ? ro':i.-?. :; '.•os?3ra??
-' "
?
City ' IlT]21c-1:Or1k8 , Phone:
Nome E1y '•1. ?erP?, _, . F ?:.f_
.
? Address f+637 Mlj.CFi, t .
?
? '1
'.^j
9•
City '
'
Phone:
This Permit is issued on the express condition that all work sholl be
Minnesota Statutes and Ciry of Eogan Ordinances.
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
Receipt No.:
Single I
Residentia)
Multi Res., Comm./Ind. I
New/Alter./Repair.
Cost of Instollotion
Permit Fee
$urcharge '
Total '
done in accordance with I
nll opplicable State of
Building Official
?
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH O N E: 454-8100
. To be used for
Est. Value 1 •
Receipt #
Date ,19 '-
Site Address
Lot Block ? Sec/Sub. ?` • ' "^' `' ?''<,?
o.,...si ?.i..
a
W
2
3
0
°C Name _
.o
? d Address
¢ City Phone
Name
Address
Ciry Phone_
I hereby acknowledge that I have read this application and state that the
information is correci and agree to comply with all applicabie State of
Minnesota Statutes and City of Eagan Ordinances.
5ignature of Permittee -
A Building Permit is issued to:
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
On Site Sewege Oocupancy
MWCC System Zoning
On S{te Well (Actual) Conat
City Water (Allowable)
PRV Required * of Stories
Booster Pump Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit ' •
Planner ,
Surcharge
Councii Plan Review
Bidg. Off. SAC, City
Variance SAC, MWCC
Water Conn.
Water Meter
Road Unlt
Treatment P1
Parks
TOTAL
Permit No. Permit Holder Date Telephone #
Plumbing
H.V.AC.
Electric
Softener
Inapection Date Insp. GOmm@nts
Footings I
Footings II r
Foundation ?
Framing
Roofing ?T.-.
Rough Plbg.
Rough Htg. T ,?ES' ?? ?•? ?.r-? ?
lsul. AO
Fireplace
Final Htg.
Final Plbg.
Bldg. Final
Cert. OCC.
Temp. LP
Deck Ftg. -
Deck Final
Well
Pr. Disp.
cinr oF EAGaN
3795 Pilot Knob Read
Eaqan, Minnesate 551?
No. P6one: 454-8100
PERMIT
Date: -9-80
Site Address: 4 ": 70 PenLwe 1'i
?
Lot ( Block ? Sub/Sec.
Name Bruce 3odir,
` 3t370C £1S E?boV!?
; Address
O
City Phone:
Narr?e Couners
?
•a.,;
? Addrcss • _ . _ ,
City Phone:
This Permit is issued on the express condition thot oll work sholl be
Minnesoto Stotutes ond City of Eagon Ordinonces.
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
Receipt No.:
Single I
Residential
?Multi Res., Comm./Ind. I
New/Alter./Repoir. Cost of Instollotion
, -Permit Fee
tiA
Surchorge r -
Tofal
done in xcordance with all opplicable State of
Buildinp Official
cirv or" U?GAN WATER SERVIC
E PERMIT
3793 Pifot Knob RoQd PERMIT NO.; -
Eagan, MN 55122 DATE:
Zoning: No. of Units:
Owner.
Address:
'Site Address:
Plumber.
eter No.: Connection Charge;
12e' Ac<ount De
posit:
eoder No.: Permit Fee:
I agree to comply wifh fhe City of Eagan Surtharge:
Ordinonoes, Misc. Charges:
Total:
By
Date Poid:
Date of Insp.:
I nsp.:
CiTY0 OF _s.CsAN
3795 Pilot Knob Road
Eagnn, MN 55122
Zoning:
Owner.
Address:
Site Address:
Pl umber:
( agree to complp with the CiFy of Eagon
Ordinanees.
Bv _
Dote of Insp.:
Inso_-_
,
SEWER SERVICE pERMIT
PERMIT NO.:
DATE:
No. of Units:
Connection Charge:
Account Deposit: _
Permit Fee:
Surcharge:
MiSC. CF?orges: -
Total:
Qate Poid:
RESIDENTIAL
BUILDING PERMIT APPLICATION
? CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
New Construction Reauirements
. 3 ragistered site surveys stwwirg sq. R M M. sq. R of house; and aN rooted areas
(20% maximwn bt coverage allowed)
. 2 copies of plan showing heam 8 window sizes; poured found design, etc.)
. 7 set of Eneryy Calcula6ons
• 3 wpies of Tree Preservation Plan if IM plaUed after 711193
. Rim Jaist Oefad Options selection sheet (bldgs wilh 3 or less uni4t)
DATE
JOB 51TE ADD
IF MULTI-FAMILY BUILDIN1G, HOW MANY UNITS?
PROPERTYOWNER CoGyI,,n ?IPJe-
TYPE OF WORK v:
L/e;"`
APPLICANT
ADDRESS 2-,S5& N'inRw? 10
PAGER #
CELL PHONE #
RemodeUReoafr Reautremanrts
• 2 copies ot pfan
• 1 set of Energy Calalatlons for heated addNans
• 1 site survey tor exterior additions 8 decks
. Indicate if home served by septic system (or addNons
VALUATION
FIREPLACE(S) _ 0 _ 1 _ 2
?v a ?S.foiitt ?- X'f"P/'104 PHONE# (7G ? 7L(V -ZOUrJ
n1/y4llSV1C'A in1v ZIPCODE SS))Z
FAX #
Nf1V RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category
(check one)
Plumbing Conhactor: _
Plumhing Systech Includes:
Mechanical Contractor: _
Mechanical System Includes:
Sewer/Water Contractor:
_ Air Conditioning
_ Heat Recovery System
All ahove information must be submitted p{iar to processing of application.
Phone #
Phone #
?--) O() .-l':?;-
Fee: $90.00
Fee: $70.00
I hereby acknowledge that I have read this application, state thaT the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinanci? ',..
?
Signature of Applicant ?-
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 1I01
MINNFSOTA RULES 7670 CATEGORY 1
- Residential VenGlation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Phone #:
? Water Softener _ I.awn Sprinkler
Water Heater _ No. of R.I. Baths
No. of Baths
(' `a ('-d(
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) 0 31 EM. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ex[. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 38 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement "Demolitlan (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
Footings (new bldg)
Footings (deck)
Footings (addi6on)
Foundadon
Drain Tile
Roof Ice & Water Final
Framing ?
Fireplace ` RI. _ Au Test _ Final
Insulation
Other
_ Pool _ Ftgs , Air/Gas Tesu _
_ Siding Stucco Stone
Windows (newheplacement)
Approved By . Buiiding Inspector
------------°------------------------- ----------------------------------------___-------------------
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
Total
REQUIRED INSPECTIONS
FinallC.o.
FinaUNo C.O.
_ Plumhing
HVAC
CITY OF EAGAN No 14780
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 ?--
BUILDING PERMIT Receipt# ?o1J?t?
To be used for SHED Est. Value $1, 500 Date APRIL 5 ,79_$$_
Site Address 4670 PENKWE WAY
Lot 4 Block 2 Sec/Sub.JOHNNY CAKE RIDGE
Parcel No
w Name STEVEN B GEHLEN
3 Address 4670 PENKWE WAY
° City EAGAN Phone 452-6034
OFFICE USE ONLY
On Slte Sewage - Occupancy
MWCCSystem _ Zoning
On Site Well _ (ACtuap Const
Ciry Water _ (Alloweble)
PRV Required _ # of Stories
Booster Pump _ Length
Depth
S.F. Total
Footprint S.F.
p Name_
,
oa Address
? City_
U?
WW
r=
z?
¢
wz
a
Name _
Address
CitY _
I hereby acknowledge that I have reatl this appliCation and State that the
informa[ion is correct antl agree to wmply with all applicable State ot
Minnesota Statu[es and City Eagan Oinanc
Signature ol Permittee 3`_9,
A Builtling Permit is issued to:___ $TEVF-I] _$__(',E$I.FN ___
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Sta1tutes and City of Eagan Ordinances.
BuildingOHicialA?1A? ??lA'_nt. _____
?
APPROVALS FEES
Engr./Assess._ Permi[ 34.00
Planner _ Surcharge _ 1.00
Councii Plan Review
Bldg. OH. . SAC, City
Variance SAC,MWCC _
Water Conn.
Weter Meter _
Road Unit _
Treatment P1
faarks Copies _1-0Q
TOTAL 36.00
\ tcriYs oF EAGAN..
U BUIIDING PERNIIT APPLICATION
? # "7S, o-w --
Zb He sed For 9tesweMce Valuation ?
Site Address: 461IO Pe..hctad lONy (+nooet SUCS)
Lot %j_ slocx ;L- sec./sub. =omuNv cnnce
{Z1a4E
Pazoel #:
Qaner:
Pddress:
City/Zip Code:
Phone #:
Contractor: _pRRIN TNnMPRnN I-1OMPe
Addx'255: a Division of U. S. Home Corporation
-1:12-1 I13P,:;:.6 6RBSSRB,4B
City/Zip Code: MINNETONKA, MINN. 55343
Phone #: 5yq•1333
Arch. /E,lng. .
Pddress
City/Zip Code:
Phone #
EYect
AI.t2S
RePau .
Enlarge _
Move
Dennlish
Grade
Include 2 sets of plans,
1 site plan w/elevations &
1 set of enen7Y calculations.
Date h1Mk, 1°l ? 14 8 0
OFFICE USE OfII,Y
Occiapanc,y
zoning ?'L=
Fire Zone 3
'Iype of Oonst.
# Stories
Front ft.
Depth ft.
APPR(7VAIS F'EES
Assessments . ?/?O Pernmit °? 7 7 ?
Water/Sewer Surcharge Z 7 '?
Police Plan Check S 8
Fire
EnJ •
Planner
Council
Bldg. Off.
APC
SAC ?SaS ?'
Water Conn. 305
Water Meter ? s
Road Uni.t T6-"
RriII?L /-j 7
cirY oF Uc,AN
37,SS Pile4' Kneb Road EagaN, MN 35724
PNONF: 454-8100
BUILDING PERMIT APPLICATION
Siro Address 4670 PenkwP Way
Lot 4 Bt«k2_ 5ec/5ub. Johnny Cake
p,rcel # Ridge
c Nome Orrin Thomnson Homes
? A?m? 1712 Hopkins Croasroad
s
?
ZV
u?
Name _
Mdress
Name _
Addreu
1 here6y ocknowledge thot I have read this application and state that
the InformMion is correct and agree to comply with ull opplicable
State of Minnesota $Wtutes and City of Eepan Ordirwnces.
Receipt
5680
i
Erect 7€j OccupanqR i
Alter p Zoning RI
Repair ? Fire Zorre 3
Enlarge ? Type of Const. `L
Move ? # Stories
Demolish ? Front ft.
Grade ? Depth fr.
Approvals Peea
Assessment -i / - .2 L1 / ti 1
Water & Sew.
Polite
Fire
Eng.
Planner
Council
Bldg. Off. 414120
APC
Permit 1 / "/ _ O O_
Surcharge 37 - 50
Plnn check 88 - 50
SqC 525. (10
Woter Conn.
Woter Meter F n_ n p
;oaA tinit 1R5_Q(
T,tal 1378.00
$IgnMure of Pertnittee I
A Building Permft is issued M: on the express condition that
cll work sholl be done in accordu a pl' f Minnesota Statutes and Ciry of Eagan Ordinances.
4
Buildine Official L
This request void
18 months from
/9a-!vlp
Date o-this Request .1 ? 1.? fi0 Fire No. S 59348
I, acensed Electrical Contrac or OOwner, do hereby re uest inspection of the above electri-
cal wiring installed at: ? y
??y? i?
S eet Address or Route No. ??? ??K?"? ?Q`1 City?
on Township Range County ??
Which is occupied by V
Is a roughin inspection required on this job? No ? YesDgL- Ready Now ? Will CpII/9'
Power Suppliei
Electrical Contractor
Mailing Address
Rar Addn
b'c (.L El.EGT1, Ie-
N}-ama) (/J?{?
I' /?l/.
Authorized Signature - I 7QKT0..> -k?
y(?Electrica?l ?Coqntractor or O?
(?
E!?/?drlf Il E WO[?'?1?YD CC
No. , VC
kin9 This Installatlon)
This inspection request will not be accepted 6y the
State Board unless proper inspection fee is enclosed.
FknW(zaj
_ Contractor's License No! A"' F1y
minnesoca bmce noara or tiectticity /
Griggs Midway Bldg. - F6oom N791 /L,'1 ?/„ EB-00001-02
1821 University Ave., St. Paul, Minn. 55104 - Phone 297-2117 °" ?C
REQUEST FOR ELECTRICAL INSPECTION S 59348
CHECY, BEL/JW WORK COVERED BY THIS REQUEST
Type of Building New Add. Rep. Check Appliances Wired For Check Fquipment Wired Fm
Home IZR ? El Range ? Tempowry W¢ing ?
Duplex ? ? Wat er Lighting Pixtures pC
t. Bldg. ? ? ? Dry Electric Heating ?
meccial Bldg. ? ? ? ilb
Fu ?
A Silo Unloader ?
ndustrial Bldg. ? ? ? A"v ndit
. Bulk Milk Tank ?
Farm ? ? ? List ) List 1
Other
?
?
? p y
Herelgl p y
Heier$)
COMPUTE INSPECT[ON FEE BELOW
Seivice Entrance Size: # Fm Fceders&Subfcedecs: u Fm Circuits: # Fm
D to 100 Am s. ? 0 to 30 Am res 0 to 30 Am eies
101 to 200 Amps. 31 to 100 Am eres 31 ro 100 Am eres
Above 200 Amps. Above 100 Amps. Above 100 Amps.
Transfolmers RemoteConvolCirc. Paztialorothertee C. -
S' ns Special (ns ection Minimum fee
Remarks ?
T7 ? ? TOTAL E?j;J v N?
I, the Electrical Inspector, hereby ce t t e? has been-m-ldff.?
(Rough-in) Date .J-'P&- S?D
(Final) ? Date 4e-j!!-,F0
This request void
18 months from
4670
le • • ? ????"W*
FOr:
U. S. HOME CORPORATION
N
C. R. WINDEN 3 ASSOCIATES, INC.
IAND SURVEYORS ifl 645•3646
1381 EUSTIS ST., ST. PAUI$ MINN. SSIOB
-? 69. e8
?
0
7/D
Scale: 1" = 30'
O Denotes Iron /
9Q
/
ti
0
25 ?
?
S/ !'Orerhang -+a\?
\ \? \ ?
\ \ q
'O
? o
? m
O ? - -
/
/
/
ti
?
/
/
I
I
Lot 4, Block 2f
?o Johnny Cake Ridge
- Q( Addition, Dakota
County, Minnesota
I
WE HEREBY CERTIf1r TMAT THIS IS A TRUE AND COIIRECT REPRESENTATION OF A SURVEY OF TME
60UNDARIES OF TME IAND A60VE DFSCRI6ED AND OF TNE LOCATION Of AlL 6UILDINGS, IF ANY,
THEREON, AND All YISIBIE ENCROACMMENiS, If ANY, fROM OR ON SAID LANO.
Datad thi, 1 "H day eF A&AR A.D. 19$0 C. R. WINDEN 6 ASSOCIATES, INC.
b,
Surrayor, Minnewla Rpitlrolien No. 7 72 L
1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN
? ??'?7$0
INCLUDE 2 ETS OF PLANS, 3 CEATIFICATES OF SURVEY, 7 SET OF ENEAGY CALCULATIONS
NOTEs ADDA SES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DE RED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELL GS RENTAL pNITS FOR S6LE UNITS U OF IINITS
INCLUDE 2 SETS 0 PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.t
1 SET OF ENERGY C LCULATIONS
CONMERCIAL
INCLUDE 2 SETS \0FARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFONS AND 1 SET' OF ENERGY CALCULATIONS
/2) To Be Used For: _SN'ED Valuation:Date:
Site Address Vt,176 P?N,kuG' WA?v
Lot Y Block olz
Pareel/Sub vOHNNY C:AKt JQ.IDL•c A-M .
owner 5Tc=5-ilEnl A GL /-LE?
Address `t?O7v P,?FNkuG WAN
City/Zip Code L A(¢R!!? $$12-7-
Phone L( $-02- 6 03 '(
Contractor J?rC-IGn) /-( LE??
Address VL76 jDEnI1CL?L L?.A,?
City/Zip Code C-/a(i/Fh4
Phone Ys"a_ bd3y
Meh./Engr.
Address
On site sewage_ Occupancy
PBJCC system _ Zoning
On site well Actual Const
City water _ Allowable
PRV required _ IF oF stories
Hooster Pump _ Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr/Assess Permit ,00
Planner Sureharge
Council Plan Review
Bldg. Off. SAC, City
Variance SAC, MWCC
Water Conn
Water Meter
Road Unit
Treatment P1
Parks
Copies 1 0 C>
TOTAL
City/Zip Code
Phone U
.---
CITY OF EAGAN
EARLY UTILITY CONNECTION PERMIT
4670 Penkwe Way L4 B2 Johnny Cake Ridee
Address Subdivision/Parcel
I hereby request permission,from the City of Eagan to connect to the
sanitary sewer and water lateral line in the public right-of-way. i
understand that the City has not yet completed, inspected and/or accepted
the sewer and/or water lateral. I agree not to use, test, or connect these
individual services to any interior plumbing and understand the require-
ment to cap the sewer service to prevent any unauthorized use.
In accepting this permit, it is agreed that I 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.
Sigcied by - Plumber: t"1ENZEL MECHANICAL J?
Owner:
Developer:
Builder
Dated• 5/27/80 ,
CITY OF EAC-AN
---- - EARLY UTILITY CONNECTION PERMIT ---- - -- ---- - - -
1689 Covington SOhnnv Cake Ridee Addn. O?'St '?^?'
Address Subdivision/Parcel
I hereby request permission from the City of Eagan to connect to the
sanitary sewer and water lateral line in the public right-of-way. I
- understand that the City has not yet completed, inspected and/or accepted
the sewer and/br vater lateral. I agree not to use, test, or connec[ these
individual services to any lnterior plumbing and understand the require-
- -- --- ment to cap thP sever service to prevent any unautfiorized use. -' =
In accep[ing 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 Engineei.
Signed by - 'Plumber:
Owner: -
Developer•
Builder:
Dated: a - --z -s- ' drd
2004 RESIDENTIAL BUILDING PERNIIT APPLICATION
? City Of Eagan
?
? 3830 Pilot Knob Road, Eagan MN 55122 to 72)
•Telephone # 651-675-5675 FAX # 651-675-5694
3 registered sile surveys showing sq. fl. af IoL sq. ft of house; and all roofed a2as
(20% mazimum lot coverege allowed) '
2 copies af plan showing beam 8 window sizes; poured found desgn, etc.
1 selof Ener9y Calcumtions
3 wpies of Tree PreservaGon Plan if lot platted after 711193
Rim Joist Detail Optlons selectlon sheet (bldgs with 3 or iess units
RemodellReoair Reauirements
2 copies of plan
1 sel of Energy CaIwlaUOns for heated addihons
1 site survey for addilions 8 decks
Add'dion -indkate if on-sde sep6c system
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Date /9,5 ?
Construction Cost
Site Address /
I ei7 ?Jr a WQ u UniUSte #
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Description ot Work :EL% -Y !37"f?-i2 V' +T 4
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Multi-Family Bidg _ YX N Fireplace(s) _ 0, 1 _ 2
Properry Owner cy- 4?5°7 zii^+ Telephone #( 65}' 5E5:P - 6,03 V
Contractor % -OL- '.V'A
aaaress G° a 6ae .5??7 cicy
State CI'7 IV Zip 3 Telephone #( )
COMPLETE THIS AREA ONLY IF CONSTRUCTIN6 A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy COde Category , Residential Ventilation Category t Worksheet • New Energy Code Worksheet
(dsubmissiontype) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #f D
Telephone #( p
I hereby apply for a Residential Building Permit and acknowledge that the info ion is c___omnlete_?curate;
that the work will be in conformance with ttte ordinances and codes of the City of Eagan and-t'fTe° of MN
Statutes; I understand this is not a pernut, but only an application for a pernut, 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.
,9 a ndi M u n z
Applicant's Printed Name
Appl cant's Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
O 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi
? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt- SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 38 Multi Misc.
? OS 03-plex ? 71 10-plex ? 19 Lower Level ? 24 Storm Damaga
? 06 04-plex ? 12 12-pleX ? Plbg_Y or_ N? 25 MiScellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
O 32 Addition ? 36 Nbve Building O 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors
0 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation Occupancy MCES System
Census Code.. Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS .
_ Footings(new bldg) _ FinallC.O.
_ Footings (deck) _ FinallNo C.O.
_ Footings (addirion) _ Plumbing
Foundation HVAC
Drain Tile Other
RooF Ice & Water Final _ Pool _ Ftgs Air/Gas Tests Fina]
_ Framing _ _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ Ai r Test _ Final _ Windows
Insulation _ Retaining Wall
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA136174
Date Issued:04/28/2016
Permit Category:ePermit
Site Address: 4670 Penkwe Way
Lot:4 Block: 2 Addition: Johnny Cake Ridge
PID:10-39800-02-040
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Insert
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 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 -
Steven B Gehlen
4670 Penkwe Way
Eagan MN 55122
Fireside Hearth & Home
2700 Fairview Ave N
Roseville MN 55113
(952) 985-6675
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA150470
Date Issued:07/10/2018
Permit Category:ePermit
Site Address: 4670 Penkwe Way
Lot:4 Block: 2 Addition: Johnny Cake Ridge
PID:10-39800-02-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
Steven B Gehlen
4670 Penkwe Way
Eagan MN 55122
(651) 452-6034
Apple Lake Heating & Air Conditioning
207 150th Street West
Apple Valley MN 55124
(952) 431-4328
Applicant/Permitee: Signature Issued By: Signature