4672 Penkwe Way
Use BLUE or BLACK Ink
r - - - - - - - - - - - - - - - - -
For Office Use
I I
Permit
~n I I v
City of Ea
.
oi Permit Fee. I ~
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 i Staff:
UG 13 RECD
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 13 • dO 10 Site Address: 4614 z,-, kW , 10c1\1 E:~to (7 /1 M ~ 5 5 j j d
Tenant: Suite M
RESIDEN NER.._ Name: gcx t'it L C ~E Phone: 5 0 7
/ OW
e7 `l
Address / City / Zip: 3/ et ax o f cA. I ne och esfe t", M
Applicant is: 7"- Owner Contractor 5~1 J
TYPE OF WORK Description of work: R9 pj Q e ra Id cl~
Construction Cost, J 1~4 0C 1 Multi-Family Building: (Yes / No 71%--)
CONTRACTOR Name: License M
Address: City:
State: Zip: Phone:
Contact: Email:
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 A_No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
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 the are trade secrets.
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.org
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.
x 5(.~cck L. Glljc-e- x ga!L~ -1-,rp
Applicant's Printed Name Applicant's Signature
Page 1 of 2
I -
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation - Fireplace _ Porch (3-Season) _ Storm Damage
Single Family _ Garage _ Porch (4-Season) J Exterior Alteration (Single Family)
Multi Deck _ Porch (Screen/Gazebo/Pergola) - Exterior Alteration (Multi)
_ 01 of _ Plex _ Lower Level _ Pool Miscellaneous
Accessory Building
WORK TYPES
New _ Interior Improvement _ Siding Demolish Building*
Addition _ Move Building - Reroof _ Demolish Interior
Alteration _ Fire Repair _ Windows _ Demolish Foundation
Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation
Occupancy MCES System
Plan Review Code Edition _,2,eV SAC Units
(25%_ 100% -e!~ Zoning jt r City Water
Census Code 10(,7/y Stories - Booster Pump
# of Units Square Feet - 110 PRV
# of Buildings Length Fire Sprinklers
Type of Construction -7- Width_
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
Footings (Deck) Final / C.O. Required
Ilk- Footings (Addition) Final / No C.O. Required
Foundation HVAC
Drain Tile Other:
Roof: -Ice & Water -Final Pool: -Footings Air/Gas Tests -Final
Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace: -Rough In Air Test -Final Windows
Insulation Retaining Wall: _ Footings _ Backfill - Final
Meter Size: Radon Control
Erosion Control
Reviewed By: , Building Inspector
RESIDENTIAL ES ~l0 ~3 ~~'SG or
Base Fee r
Surcharge
Plan Review 7
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
° C. R. WINDEN & ASSOCIATES, INC.
LAND SURVEYORS T*1. 545-3645
1361 EUSTIS ST., ST. PAUL, MINN. 88108
`
For
U. S. HOME CORPORATION
~'4
f Scale: 1" = 30`
pZ. - a Denotes Iron
Bi:
.n
DATE:
, ?1LD!r1 'z.'' ,TIONS DIVIaIMI
1Q
L
yam'' . ~ t~
14 4 22.3 U
N 1
3/ o v
7 a 8
C,
`V 1011
}
rr,;fia~
~ D
Lot 5, Block 2, Johnny Cake Ridge
e Addition, Dakota County, Minnesota
WE HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE
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.
Dated sm. day of MAR A.D. 1980 C- R. WINDEN & ASSOCIATES, INC.
by
Sv.v~o*. Minnss4to R i~tration No. -71 Z-G
CITY OF EAGAN Remarks
Addition JQNhiN1t' CAKR R1'T16F. Ai1DTTTON Lot S Blk 2 Parcel 10 MOQ 050 02
owner Street 4672 Pankwe Way 5tate 2 Eagatt, MN 55122
ImQrovement Date Amount Annual Years Payment Receipt Qate
STREET SURF.
STREET RESTOR.
GRApING
5AN SEW TRUfVK
• SEWER LATERAL
WATERMAIN
* WATER LATERAL 1981
WATER AREA
.5?.?
STORM SEW TRK 19$1 670.68 134.14
* STORM SEW LAT 1951
CURB & GU'fTER
SIDEWALK
STREET LIGHT
Road Unit 185.00 18459 418/80
WATER CONN. 4672 tt 1 r
$UILDING PER, 5683 n tf
SAC
PARK
,-' CITY OF EAGAN
.?3795 Pilot Knab Raed Eogan, MN 55122 N! 5683
PNONE: 454-8100
BUILDING PERMIT Receipt #k
To bo vsed fw Est. Volue Date , 19
Site Address _ Erect ? Occuponcy
Lot ' Block - Sec/Sub Alter p Zoning
.
P Repair ? Fire Zone
arcel
Enlarge 0 Type of Const.
oWe Nome Move ? # Stories
3 Address ._" t7.:? ? Demolish p Front ft.
? Cit
- - Phone G?ade ? Depth ft.
?
0
o?
u?
F
Nome
Address
Name _
/lddress
I hereby acknowledge that I have read this application and stote that
the infortnation is mrrect and agree to comply with all applicable
State of Mlnnesota Statutes and Ciry of Eogon Ordinances.
Assessment j / --
Water & Sew.
Police
Fire
Eng.
Planner
Council
BIdg.Off. APC
Feaa
Permit
Surcharge
Plon check
SAC
Water Conn.
Woter Meter
Totol
Signature of Permittee I
A Building Permit is issued to: on the express condition that
all work shall be done in occordance with all opplicoble Stote of Minnesota Stctutes and City of Eagan Ordinances.
Building flfficial
hnnR # Dat? iwu?d lefM
Plumbing ? (p
Mechonical 5/ !?O
INSPECTIONS DATE INSP. RoupMln Firal
Footings Date insp. Dots Insp.
Foundution - Plumbing
Frame/ins. .• / l , 6d Mechaniwl ?? / / ?
Final ?
RemCrks:
No. :?98
arir oF EaGAN
3795 Pilof Knob Road
Eegon, Minnesoto 55122
Phone: 454-8100
PERMIT
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
,
Date: ?TaY 1, 1% Receipt No.:
Single I
Site /lddress; / E'7a Pelikwa ' Residentiol
Lot Block Sub/Sec. Multi Res., Comm./Ind. I
Name ?xrill T1011j)8011 i{GTT1E3
New/Alter. / Repair
.
? Add 171:
? ress Cosf of Instollotion
City A'ZnEtOZi}'fl. Phone: Permit Fee
Nome Surchorge
g.
Address
?
City Phone: Total
This Permit is issued on The express condition that oll work shall be done in occordonce with oll ppplitohle 5tote of
Minnesota Statutes and Ciry of Eogan Ordinonces.
Buildiny Offictal
CITY OF EAGAN
" 3795 Pilet Knob Road
Eo9an, Mlnwesote 56122
NO' Phone: 454-8100
' T IA r PERMIT
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
Dcte: , - -5 Receipt No.:
Site Address;
4r+72 PeTkvle Vda,y I
Single
Residential
Lot Block Sub/Sec. C, e l`idve Multi Res., Comm./Ind. I
Nome - " . . . . N
w/Alt
r
lR
air
.
e
e
ep
r
Address ? 7 "? -^ 1 - -. , ?? /' ?. -• n
- • '.. T1B v_ ? ,,.7•C :t!
t
f In
t
ll
ti
n
C
? os
o
s
o
o
o
City Phone: Permit Fee
Nome Surchorge
? Addreu C8?;0 . . .
?
- .
City ' Phone: Total
This Permit is issued on the express condition thot oll work sholl be
Minnesora Statutes end City of Eagon Ordinances. done in occordonce with oll opplicable Stote of
Building Official
crrir oF EAGAH
3795 Ptlot Keob Road
Eayae, Mieeesote 55122
No. Phone: 454-8100
- ' - PERMIT
Date:
9-b-$0
)72 Pezilswe I"lay
Sitt Address:
? ? r
Bl
k ? S
? ' r
Lot oc
ub/$et.
_'F_7.
?
Name
.
°e
Address .,?
n
?
Gty Phone:
Name ?o?-I:nP Z`s -:;i +' `:'F+ .
.
$ Address :)1 Cn13iO7Cnis ?i.
e
? City '-s Phone:
This Permit is issued on the express condition that oll work shall be
Minnesota $totutes and City of Eagan Ordinances.
INSPECTQR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
Receipt No.:
Single I
Residential
Multi Res., Comm./ind. I
New/Alter./Repair. Cost ot Instcllotion
Permit Fee "
Surchorge
ToTal
done in eccordonce with all opplicable Stete of
Buildirq Official
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE
19
wecelveo
FROM
AMOUNT $ (
a
?ao
? CASH ? CHECK
z5c?
FOR ? 2White-Payen Copy
Yellow-Posting Copy
Pink-File Copy
Thank You
??y- - BY
_ .AGAN
`lot Knob Rood
Eogan, MN 85122
Zoning:
Qwner:
Address:
Site Address:
Plumber:
1 agree to eomply wiE6 the City of Eagan
Ordinances.
By
Date of Insp.:
Connection Chnrge:
Account Deposit:
Permit Fee:
Surcharge:
Misc. Chorges:
Total:
Date Paid:
3795 Pilot Knob Rood PERMIT NO.:
Eagan, MN 55122 DATE:
Zoning: No. of Units:
Owner:
Address:
Site Address:
Pl-l,a-
Meter No.: Connedion Charge:
Size: Account Deposit:
Reader No.: Permit Fee:
1 agree to oamply with the Cily of Eagan Surchorge:
Ordinanoes. Misc. Charges:
Total:
BY Date Paid:
Dote of Insp.: Insp.:
SEWER SERVICE PERMIT
PERMIT NO.:
nATF•
No. of Units:
RESIDENTtAL
BUILDING PERMIT APPLICATION
'
3830 PILOT KNOB RDN 55122
651-681-4675
NewConsWCGon Reauirements
• 3 registered site surveys showing sq. fL of lot, sq. R of house; an?ll roofed areas
(20% ma)timum lol coverage albwed)
. 2 copies of plan showing 6eam 8. windaw sizes•, poured tound desigo, etc.)
• 1 set of Energy Calwlations
• 3 copies of Tree Preservation Plan if lol pletted afler 711/93
• Rim Joist Dehail Options selection shcet (hldgs with 3 or less unBs)
DATE I I'" 7^ U(
FIREPLACE(S) _ 0 -A 1 _ 2
JOB SITE ADDRESS 'I 42oZ Pfh et?C
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTYOWNER Ay'?- PK e"r<<t
TYPE OF WORK
APPLICANT ?00F eO . lv/4 .Z7tvG , PHONE# 743' 350 - n yy`/
ADDRESS o 36`/ 3?;i« L, r/?'/.4o/e A2ov-r ZIPCODE
PAGER # CELL PHONE # 0.2 "-69" `/of?;l FAX # 1103- s5 7-/O!?
NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY
Enecgy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor: _
Plumbing System Includes:
Mechanical Contractor:
Mechanical System Includes
Sewer/Water Contractor.
Air Condilioning
Heat Recovery 5ystem
All above information must be submitted prior to processing of application.
RemodePReoairReauirements
. 2 copies of plan
. 1 set of Energy Calculations for heated additbns
. 5 si[e survey fa eMerior additions & decks
. Indicate if home Served by sepbc system for additions
VALUQION Gf.JOD, UG
Phone #:
Lawn Sprinkler,
No. of R.I. Baths
Phone #
I hereby acknowledge that I have read this application, state that the in1
with all applicable State of Minnesota Statutes and City of Eagan rdi
Slgnature of Applicant
Certificates of Survey Received _ Tree Preservation Plan Received
_ Water Softener _
_ Water Heater _
No. of Baths
Phone #
11--? -Ci J
Fee: $90.00
Fee: $70.00
7y-\ 0V
Not Required _
Updated 1/01
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 AccessoryBldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
Q OB 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bidg)" ? 43 Reroof ? 46 WindowslDoors
O 34 Replacement *Demoiition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
Footings (new bldg)
Footings (deck) F
Footings (addirion) Plumbing
Foundation
Drain Tile
Roof Ice & Water Final Other
Framing _ Pool _ Ftgs _ Air/Gas
Fireplace _ R.I. _ Air Test _ Final Siding Stucco Stone
Insula6on _ Windows (new/replacement)
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
FinaUC.O.
_ inaVNo C.O.
HVAC
_ Final
Building Inspector
This request void
18 months from
A.-[e LP
Date o1'this Request 5 Fire No. S' 59349
I, ao4icensed Electncal Contractor ? Owner, do he?r.e¢y re?4ye? t inspection oT the above electri-
cal wiring installed at: ?° `? .t??. ? (?. (Kdj •
fet Address or Route No. L??7Z ??kL? W?1 Ciry ?GM
.?ction Township Range County Dft"Ti?,
Which is occupied hy
Ki$
Is a roughin inspection required on this job? No ? YesC@I-- Ready Now ? Will CaIF<
Power Supplier I?k Address 01WIN67*4
Electrical Contractor ??LL eLoC'tc/G Contractor's License No A?qQ
rL jComphanry Nampe)
Mailing Address ??I ?? E• v l` i' h bR
(Et trlc Controctor or Owner Maklnq Tnls Installatlon) t
Authorized Signature Phone No. tia- J'SCs
(Electrlcal Contractor or Ownel Making Thls Installatlon)
S j'??? ???? ???? This impection request will not be aceepted by the
J Stete 8oard unless praper inspection fee is enclosed.
MmnesoW state eoartl oT Electrfcity
Griggs Midway Bldg. - Room N791
7821 University Ave., St. Paul, Minn. 55104 - Phone 297-2111
`REQUESLFOR ELECTRICAL INSPECTION
CHECK BELOW WORK COVERED BY THIS REQUEST
/9241fEB-o00o1_a2
S 59349
Type of Building New Add. Rep. Check Appliancea Wired Foc Check Equipment W'aed For
He ? ? Range ? Temporary Wiring ?
ex ? ? ? Water Heatec ? Lighting Fixtures ?
Bldg.
i ? ? ? Dryei ? Electric Heating ?
mereial Bldg.
p ? ? ? Fu Silo Unloadei ?
Istrial Bldg. ? ? ? A¢ ?? io
` Bulk Milk Tank ?
Fazm ? ? ? Lis .
? List 1
Other
?
?
? p
Heie 3 p
}
Herelsf
COMPUTE INSPECTION FEE BF,LOW vM mow
Service Envance Size: # Fce FcedersBSubfeeden: # Fee C'vcuits: it Fce
0 ro 100 Am s. 0 to 30 Am eres 0 to 30 Am eres
101 to 200 Am s. 31 [0 100 Am eres 31 to 100 Am eres ?
Above 200_Amps. Above 100 Amps. Above 100 Amps.
Transformers Remote Control C'vc. Partial or other tee (. • d
Signs S cial Ins ection Minimum f
Remazks TOTAL EF227•J? 0.00
I, the Electrical lnspector, hereby certif that the a ove inspection has been,m?dep?.^ ? Q
(Rough-in)_ ? Date ??
(Final) Date /u " ;L S ?
This request void
18 months from
cin oF Enc,aH
9795 Ptlet Kne6 Rood' Eagan, MN 55122
PHONL:4S4-8100' .
BUILDING PERMIT APPLICATION Receipt #
S/F DW1Q/GaY. Est.Value 46,000.00 Dme
Stte Address 4672 Penkwe Way
Lor 5 eixk 2 5ec/s?b. Johnny Cake
Parcel # Ridge
rc Name Orrin Thompson Homes
Z naaress,- 1712 Hopkins Crossroad
o Name _
Address
Nome _
Address
I hereby ncknowledge that I have read this applicatian and stote that
the Infortnotion is corred ond agree to aomply with ull applicable
State of Minnetota Statutes and City of Eogan Ordinances.
Signature ot Permittee -
A 8uilding Permit is iswed to:
all work :hnll be done in acco
5683
Erecf ]h Occupancy R3
Alter ? Zoning Rl
Repair ? Fire Zone
Enlorge ? Type of Const. V
Move ? # Stories Snl i t
Dertrolish ? Front ft.
Grade ? Depth ff.
Approrala Fees
1
AssessmerM 3/ l U/ 8
Water & Sew.
Police
Fire
Eng.
Plonner
Council
BId9. Off. 4/4180
APC
Permit 1 30 _ 50
$urcharge 23 - n n
Plancheck 64.25
sAC s2s.no
Water Conn. 305- n 0
WaterMeter 6 0 _ 00
Total 1 9 . 7 S
on the exprea cordition thM
Statutes and Ciry of Eagan Ordinances.
Building Official
??? , CITY OF F,AGAN-• Include 2 sets of plans,
1 site plan w/elevations b
BUIIDING PERhIIT APPLICATION 1 set of energy calculations.
? -
'lb He ed For pu %oENCe 4 GAr Valuation kibFn@o , oo Date MRR 1A t °I 6 0
$lt2 A?L'255: 46Z--k PEnM.WF 11 A4 GMOOB? 1Z)
I,ot S slocx sec./sub. aa+Hwy cnxe
?-
P3TC21 # : Ain'7 - ?iP a
Qaner:
Address:
City/Zip Code:
Phone #:
Contractor: nRRIN THnMP4f1N Hf1MFc
Addte55: a Division of U. S. Home Corporetion
341 -P HOP:;;.S 6R9SSR6IkB
Clty/Zip COd2: MINNETONKA, MINN. 55343
Phone #: S4q•1333
Arch./Bng.:
Pddress:
Gity/Zip Code:
Phone #:
OFFICE USE CNII,Y
Erect ? occupancy 4-3
Altes Zonin9 --
ReFl31r , Fire Zone
Enlarge _ 'lype of Const.
Move # Stories /
Dmiolish EYont S ft.
Grade Depth ft.
APP%7VALS FEES
go,
Assessments-%o
Pennit /36 s'
Water/Sewer Surchan3e 2 3 e-9
Polioe Plan Check 5' -
Fire SAC S Z S%
Eng; Wdtex' CoTll]. ? 03,01
Planner Water Meter 6 D°P
Council Road Unit I
Bldg. Off.J-=,-%-p.
APC
TOTM lz 93 , 73,
p ?o a)
City of Eaian
3830 Pilot Knob Road
Eagan MPI 55122
Phone: (651) 675-5675
Pax: (651) 675-5694
2008 RESIDENTIAL
Date: SiteAddress: `TLLi /
7T
a406
?-----------------
? ,
?
? ?v
? Permit Fee:
i
? Date Received: ?
i ?
I Staff: ?
I I
- ----"-----------?
BUILDING PERMIT APPLICATION
Tenant: ? suits
RESIDENT/OWNER Name: r Phone:?? ?jp7
Address 1 City / Zp:
Applicant is: _ Owner jk? Contractor
TYPE OF WORK Description of work: - `iit'f -d- m t C/Usz
Cons6uction Cost: Multi-Family Building: (Yes_I No
CONTRACTOR Name: ?
?Yyrj License#: d???Lng
Address: M
i
city: ??I cA`Y)rer stacaj"Y ra: 55
Phone:60Gj"I;?I•Lj&;lJ ContactPerson: KC(Cen
COMPLETE THIS AREA ONIY lF CONSTRUCTING A NEW BU{LDING
Minnesota Rules 7670 Cateoorv 1 Minnesota Rules 7672
Energy Cod! . Reeidentlal VeftlaUOn Category 1 Worksheet • New Eneigy Code Workshae[
Category sunmittea
(4 SubmisslOfl type) • Energy Envelope Caiculalions Su6mitted submined
In the last 72 moMhs, has the Cky of Eagan Issued a permit for a almilar plan be9ed on a masler plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
t nereby acknowledge that this iMOfmation is complete and accurate; that the work wlll be in conformaxe with the ordinences antl codes of ihe City of
Eagan; that I understand this is not a permit, but only an appiication for a permit, and wrork is not to start without a pertnit; that the work will be in
accordance with the approved plan in the case of woAs which requires a review and approval of plans.
X? ??Yl X wc
Applicant's Prin Name ApplicanYs Signa
Page t of 3
91"
FOr:
U. S. HOME CORPORATION
xuic
C. R. WINDEN 3 A550CIATES, INC.
lANO SURVEYORS 7Ol 643•3646
1381 EUSTIS SL, ST. PAUL, MINN. 88108
Scale: 1" = 30'
O Denotes Iron
I
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10
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W
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?
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12685
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R
10"
10 C"3 f [OS
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Dr°;np
1 Lot 5, Block 2, Johnny Cake Ridge
Addition, Dakota County, Minnesota
WE MIEREBY CERTIfY TMAT THIS IS A TRUE AND CORRECI REPRESENTATION OF A SURVEY Of TME
60UNDARIES OF THE IAND A60Vf DfSCR16ED AND OF TME IOCATION OF AlL lUILDINGS, IF ANY,
THEREON, AND All VISIB/E ENCROACHMENTS, IF ANY, FROM OR ON SAID lANO.
Dorod Ihi* 17r`4 dey f MAR A.D. 1980 C. R. WINOEN d ASSOCIATES, INC,
_ o
6y c" "??i.t..?
Su.voer, Minnewro Royistrofion Ne. -7-7ZG
CITY DF. EAGrLV
EARLY UTILITY CONNECTION PERMIT
4672 Penkwe Way LS H2 Johnng Cn a R"dgA
Address Subdivision/Parcel
I hereby request permission from the City of Eagan to connect to the
sanitary sewer and water laieral line in the public right-of-way. j
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 pexmit, 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: WENZEL MECHANICAL
Owner • +-j ??
Developer:
Builder:
Dated: 5/27/80
I
MECFIANICAL (RESIDENTIAL)
Permit ApplicaGon
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694.
Please complete for: Single Fanvly Dwellings Townhomes and Condos when permits are required for each unit
Date
Sit
Add V`-' U
it #
e
ress n
Property Owner Telephonr# us()
?rANDqRU NEATING & AIR CONDITIONIN6 C0
.
contra?ror
Street AddressNEA?LIS, MN 5540&2998 City
State Zip Telephone # ( ) _
The Applicant is _ Owner X Contractor _ Other
Add-on, modification or atteration ta existing dwelling unit $ 30:00
furnace replacement
air exchanger
??,?c
> air conditioner
\
`?other
State Surcharge $ :SQ '
Total - J D
I hereby apply for a Residential Mechanical Permit and ac owledge that the information is complete and accuiate; tbat ihe woik will
be in conformance with the ordinances and codes of the Ci of Eagan and the Mechanical odest I understand t}us is-not, a
pemu but only an applicarion f7wchrequires rnut, and work is t to start w' ouf a p , that the o wi e in accordance• with the
app v d plan in the case' of/ w a review d approv
Printed Name
MECHANICAL (COMMERCIAL)
Permit Application
City OfEagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Pleese camplete foc commercial/industnal buildings
multi-family 6uildings when separate permits are not required for each dwelling unit
Date
Site Address Unit #
Tenant Name (if applicable) Previous Tenant Name
Property Owner Telephone # ( )
Contractor
Street Address City
State Zip Telephone # ( )
The Applicant is _ Owner _ Contractor _ Other
Work Type
Newconstruction UndergroundTank _Install _Remove
Interior Improvement Call for inspection du ring installation/removal of tank
Processed Piping
Nature of Work:
Permit Fee $50.50 Minimum Fee (includes State Surcharge)
Contract Value $ x 1% _$ Permit Fee
• If permit fee is $1,000 or less, add $.50 => $ State Surcharge
If permit fee is over $1,000, add $.SO per
$1,000 Permit Fee
$ Total Fee
[ hereby apply for a Commercial Mechanical Permit and acknowledge that the information is complete. and accurate; that [he work
will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that t 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.
Applicant's Printed Name
ApplicanYs Signature
Approved By: , Inspector Date:
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA114681
Date Issued:09/18/2013
Permit Category:ePermit
Site Address: 4672 Penkwe Way
Lot:5 Block: 2 Addition: Johnny Cake Ridge
PID:10-39800-02-050
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Window or Door:PATIO DOOR
Perry Firkus
Valuation: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 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 -
Sara L Mckee
4672 Penkwe Way
Eagan MN 55122
(507) 254-8373
Crew2 Inc
2650 Minnehaha Ave
Suite 100
Minneapolis MN 55406
(612) 276-1680
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA156019
Date Issued:06/13/2019
Permit Category:ePermit
Site Address: 4672 Penkwe Way
Lot:5 Block: 2 Addition: Johnny Cake Ridge
PID:10-39800-02-050
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Sara L Mckee
4672 Penkwe Way
Eagan MN 55122
(507) 254-8373
Bws Plumbing Heating & A/c
7251 Washington Ave S
Minneapolis MN 55439
(952) 681-2615
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA169459
Date Issued:05/27/2021
Permit Category:ePermit
Site Address: 4672 Penkwe Way
Lot:5 Block: 2 Addition: Johnny Cake Ridge
PID:10-39800-02-050
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Sara L & Arthur J Mckee
5314 Belmoral Ln Nw
Rochester MN 55901
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(641) 264-4088
Applicant/Permitee: Signature Issued By: Signature