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4684 Penkwe WayCity of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4684 Penkwe Way Lot: 9 Block: 2 Addition: Johnny Cake Ridge PID:10- 39800 - 090 -02 Use: Description: Sub Type: e- Reroof & Siding Work Type: Reroof & Siding Description: Census Code: 434 - Occupancy: Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 6,000.00 Contractor: Roncor Construction 10740 Lyndale Ave S #11 Bloomington MN 55420 (952) 888 -5578 Reroof: If there is no ice protection inspection prior to final, you must meet inspector with ladder and flat bar. Siding: When installing ventilated soffit material, remove existing material (ie: debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Mike DeBolt BL - Base Fee $6K Surcharge - Based on Valuation $6K Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply of Minnesota Statutes and City of Eagan Ordinances. h all applicable State Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Construction Type: $132.75 $3.00 $135.75 Owner: Paul Gilbertson 4684 Penkwe Way Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: 0801 9001 Issued By: Signature Building EA087121 10/27/2008 ePermit CITY OF EAGAN Remarks - Addition ,1019iNY [:AKF. RIDGE ADDTTTON Lot 9 Rik 2 Parcel 10 39800 090 02 OwnerLtd '-ILLail:Fb LiIl?JVr i!?i)?-) Street 4584 Penkwe Way state Eagan, NIN 55122 Improvert?ent Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 1975 323.14 21.54 IS * SEWER LATERAL ' ? WATERMAIN * WA7ER LATERAL WATER AREA -51) ] STORM SEW TRK 3(0 * STQRM SEW LAT 1981 CURB & GUTTER ' SIDEWALK STREET LIGHT Road Unit 185.00 18833 516180 WATER CONN. 305.00 18833 5 6 80 BUILDING PER. sAC 525-00 18833 516180 PAR K CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 REC ElV 6D AMOUNT $ I DOLLARS +oo []CASH []CHECK FOR /'L White-Payers Copy Yellow-Posting Copy Pink-File Copy Thank You ?? BY . .._ . , CITY OF EAGAN o3830 Pibt Knob Road, P.O. Box 21-199, Eagan, MN 55121 12312 PHONE:454-8100 BUILDING PERMIT 17ECK i Receipt # ??%•' ?? value $3, 000 Police Fire _ 86 SiteAddress 4684 PFNRWE WAY Erect O Occupancy R3 Lot 9 Block 2 secisub. JOHNNY CARE Remodel ? Zoning RIDGE ADD Repair ? Type of Const. Vh Parcel No. Addition CXX No. Stories W rvame ?AUL GILBERTSON r?nove Demolish ? ? Length Depth 16 o Address S?? Int. Impr. ? Sq. Ft City Phone 4 S l- 5 5 Install O o Name SAME RpPrOVI y i Address Assessment ~ CiN Phone WBtef & Sew. ?Q F W Name ? z a Address i W Ciry Phone I hereby acknowledge that I have read this application and state that the inlormation is correct and agree to compty with all applicable 5t4te of Minnesota Statutes and City oi Eagan Ordinances. Signature of Permittee A Building Permit is issued to: PAUL G 7 LBERTSOId all work shall be done in accordance with all applicable State of Minnesot Building Official ?.s"-` , Planner 21 Permit ° • -'v Surcharge 1.50 Plan Review Water Conn. Water Meter Road Unit Bldg. Off. ' f Tr. PI. APC Parks Var. Date Copies 1.00 Total . - on the express condition that Eagan Ordinances. PKmR No. PamN1 Holdw Date Tdophone N Plumbloq H.V.A.C. el.oa+e SonerNr Inspecebn Dsb IMp. Commwls Footinys I ?? • ? FooNnqt It Foundatbn Framiny RooNny Rou9h Plby. Rouyh Htq- Imul. Flreplscs Flnal Hty. . FMN Plbp. Wftmmw Cert. Qce. 4Z Deek Ft . Deck Frmy. ? Doscribe Locadon: We11 Pr. Dlsp. 1082 Payne Ave. St. Paul, MN 55101 651/772-2449 LAST AS, WORK ORDER ?410 W. Lake St. XATAIIMDARD b HEA`TING ? Minneapolis, MN 55408 , 612/824-2656 ??v - l':--- _A"IR CONDITIONING A Blue DoC: Service Co. E'QUIPMENT INFORMATION FIRST LeI4 TYPE I ,)n, ! CITY t(I ' - ZIP _? S I 2 L HMPH WKPH TECH DATE !? I? i0 Z MAKE MODEL3 ?a ,4? vocia o a a,-? J? SERIAL 3 A -5,) y INPUT ORSAT TEST RECORD C02 D % METERED INPUT Cfh CHIMNEY TYPE ? o 02 , % LIMIT SETTING ° FLUE SIZE . in. CO % PILOT OUTAGE JXec CONNECTOR SIZE in. NET STACK TEMP 5 0 TOTAL CHIMNEY INPUT ?,?a C7k=::,C.btuh ? BUILDiNG PERMIT CITY OF EAGAN 3795 Pile! Knob Rood Eagan, MN 65122 PHONE: 454-8100 Receipt # N? 5802 Te be und for Est. Volue Date , 19 Site Address Erect ? dccuponcy Lot Block 5ec/Sub. ' Alter ? Zoning Porcel # Repair ? Fire Zone Enl T nst f C arge ? ype o o . W Nome = Move ? # Stories Z 3 qddres, - Demollsh ? Front ft. 0 CI ' ` - Phone Grode ? Qepth ft. ? p Name Approvals _ Fees ?? Address r r:... Name I hereby ocknowledge that I have read this application and state thot tha informction is correct and agree to comply with ull opplicable State of Minnesota Stntutes ond Ciry of Eogan Ordinonces. Assessment - ' / Water & Sew. Police Fire Eng. Plonner Council Bldg. Off. . /? APC Permit Surcharge Plan check SAC Water Conn. Water Meter Road Unit Total Signature of Permittee ? A Building Permit is issued to: ? on the express condition that all work sFwll be done in occordonce with all appliwble Stote of Minnesotc Stotutes and City of Eagan Ordinances. Building Qfficial PwnM # Dah Ismd ?roiMM Plumbing 1-71 Mechanical 11369 ? INSPECTIONS DATE IMP• I I Rough-In Finol Footings Dote Irap. Dute Inap. Foundation Plumbing Frame/ins. ? Mechonicol Finul ' - Remarks: , . No. ' l. Dote: Site AWdress: 40'? PeTLiiWe ti'l9y Lot Block ' Sub/Sec. '?'K` • Cl:• Pdjr Nome O?in ?$On New/Alter. / Repair ` . 12 fiop'r3r.:= , r.oad ; /lddress Cost of Instollation O ? ?Il@t0??1:._?_ _• City Phone: Permit Fee Nome Surchorge ? Address 3600 i?_e?Z:,..':,, : ^ Or• ` v e r City Phone: Total This Permit is issued on the express condition that oll work shall be done in occordance with all applicable State of Minnesota Statutes ond Cify of Ecgon Ordinonces. cirY oF EAGAN 3795 Pilot Knob Road Eagon, Minwesofa 55122 Phone: 454-e100 PERMIT INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Receipt No.: Single I Residential Multi Res., Comm./Ind. I Buildiny Official Na ? 1c?' Dote: Site /lddress Jur 46c,:: : a-?1we Wa,Y CITY OF EAGAPI 8795 Pilot Knob Road Eagon, Minnesota 55122 Phone: 454-8100 PERMIT Receipt No. Single Residential INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS ?, , i• :C I I Lot Block Sub/5ec. Multi Res., Comm./Ind. Name ?=",:i?'l ?1C!•`"'`>?;'? - .°? New//11ter./Repoir 0 171- ? HOpk?.113 CY'032'G2J c Address Cost of Instollation ? ?i rlIl?i:UY!t::? . "?`.?' ''' , • ^ ' City Phone: Permit Fee Nome Y i1. 'iJelt?T' F;@3tii"L7 SurtFarge . ? Address e o V ' - ' City Phone: Totol - This Permit is issued on the express condition that all work shcll be done in xcordance with al) appllcoble Stote of Minnesota Stotutes ond City of Eagan Ordinances. Building Official CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-189 (651) 681-4675 SITE ADDRESS: PERMIT SUBTYPE: ? ? INSPECTI4N RECORD PERMIT TYPE: Permit Number: 7 Date Issued: APPLICANT: TYPE OF WORK: -1 J 14 i F1/1i.'i''. : 1 1IiNlN! Y/1'1 U1 M!1`. i 13k IN'41 1' lf'11 0 ( f llkt i i; Fd1'f AI 1W0, Perm k Holder Dete Talephone M , S EWER/ WATER PLUMBING HVAC Inspectlon Dete Insp. Comments FOOTiNGS . FOUND FRAMING ROOFING ROUGH PLUM8ING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE ? FIFEPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL C'T`if OF EAGAN 3795 Pilot Knoo Road Eagon, MN 55124 Zoni ng: Owner: Address: Site Address: PI umber: ree to ao?nply witfi H?e City of Eagon Connection Chorge: inances. Account Deposit: Permit Fee: Surcharge: I Misc. Charges: e of Insp.: Total: p .: : ns Q ute Paid: 'Y OF EAG AN 5 Pilot Kn,cb Rood WATER SERVICE PERMIT PERMIT NO.: an, MN 55122 t DATE: ing: No. of Units: er: n ress: Site Address; Plumber: Meter No.: Connection Charge: Size: Account Deposit: Reader No.: Permit Fee: 1 egree to eomplp with t6e Crty of Eagan Surcharge: Ordinances. Misc. Chorges: Totol: BY Date Paid: Date of Insp.: Insp.: SEWER SERVICE PERMIT PERMIT NO.: DATE: No, of Units: ThiS rnpuest voitl S- _? s?(C) /- 18 months from C 3 5 4.4 8 nlL pz,/?w a-o - pFauest te ? ? Pirn No.( Rough-in VecUon A q adi OBea1 v N. Will Nolify InsPec- t Wh F fC7 Yes ?NO oe en eady iceped le Irical Conlractor ? 1 hereEy requesi insoaction o( abova ? Owner alectrical work insfialled ar Street Ad ress, Box o• Ro t No. ! City p$ P n - ecLOn o. TownshiD Name or N0. Ra Ba o. Coull b 4/? Occup nt IMt N 1 Phone Nc. woa ?3?c?r 5 - / Power Su00lier Address n or (CO pry apy Ne? Electri C t.c,c M Cory,[ar,lqr'$ Licor?seflo vY:7za Mailin0 Ad ess IC ntracmr or ner Makine In e ilation) , S i s ?v AuNor ed SiOnewre ontractor/Ow r M in allationl Pho e N ba D- 5 MINNESOTp STATE 8 RD OF ELECTHICITY THIS INSVECTIDN flEQUEST WILL NOT Grie98-MidwaY Bltle. Noom N-797 BE ACCEPTEO BV THE STqTE BOAND UNLESS PPOPEX INSPECTION FEE IS 1821 Universily Ave., M. Peul, MN 65704 Pn....e 18121 29].2t11 ENCLOSEO. REQUEST FOR ELECTRICAL INSPEC 0 Sea instructio-s lor cOmDlBtint, Uis torm on back of vellow eooV. __C .3 5 4 4 8 "X" Below Work Covered by lhis Request . ve'9?dal H9p4 3+?' ol Build,n9 1 ApPlianeea Wired 1 Eauiumem Wired I Bulk Milk B@ p Foa SarviceEntronca5iza H Fee Fexden?Suhfeetlers # Fee Circvlts 11 tp 200 qm s 0 to 30 Am s 0 to 30 Am Above 20 _qmjr.; 31 to 700 qmps 31 to 700 A s Swinming Pool A6ove 100_Am s Above 100_Amps Transiormers Irngation l3ooms Pdrtial-'Oth si s SVecial Inspection erryrks $,?Z0 7pTAK ?(Y Final (' ?. ?ne ?eao-f ? Q Inspec , e,eby certity thet the abov insPection has been Thb reQUest voltl This request void 18 moryths frTm Date of this Request ?0 Fire No. ?S 6 4 3 9 3 I, as@,Licensed Electrical Cont actor 1-1 Owner, do here¢y?eque mspection of the above electri- cal wrring insialled at ?? ?'[? . Street Address or Route No. U C?ity Ee6&j Section Township Range County VRJW1 ?i Which is accupied by Is a roughin inspection required on this job? No ? YeA?Q. Ready Now ? Will Catli?r PowerSupplier P-6A Address Fhp?%I?`?Tw Electrical Contractor !?Ic? Conttactor's License No?3?519 (COmpany Nam {? Mailing Address ?_l? ` ?• G ? J-?, (EI tricat Contractor er Owner Making This Installatlon) q ? Authorized Signature Phone No. (Electrical Contractor or Owner Making ThIS Ins[allatlon) Q This inspectian requeat will not 6e accepted 6y tAe ?(' ? I! A ?n O??B COPYState Board unless proper inspectian fee is endosed. mmnesow au,cn ounra m ciecvociry Griggs Midway Bldg. - Room N197 ,182' Universitq-Ave., St. Paul. Minn. 55104 - Phone 297•2117 . REIIUEST FOR ELECTRICAL INSPECTION CHECK BELOW WORK COVERED BY THIS REQUEST / J/ ? ?---EB_0000 _02 S 64393 Type of Building New Add. Rep. Check Appiiances W'ved For Checlc Equipment Wired For Ho'me ? ? ? Range ? Temporary Wiring ? Duplex ? ? Watei er ? LightingFixtuces 19 Apt. Bldg. ? 0 ? Drye Electric Heating ? Commereial Bldg. ? ? ? JID Fum p Silo Unloader ? Industrial Bldg. ? ? ? A¢ Bulk Mi1k Tank ? Farm ? ? ? List ` I.ist O[her ? ? ? p He:eisj p HereTS? COMPUTE INSPECTION FEE BELOW Service Entcance Size: # Fce Feede[s&Subieede[s: # Fee Citcuits: !k Fee 0 to 100 Am s. 0 to 30 Am eres 0 to 30 Am eres 101 to 200 Amps. 31 to 100 Amperes 31 to 100 Am eres Above 200 Amps. Above 100 Amps. Above 100 Amps. Transformers Remote Control Circ. Partial oc othec fee G • S Si ns Special Ins ection Minimum fee $. 0 Remazks / TOTAL FE ? JZ9 ?Q?) I, the Electrical Inspector, hereby certify (Final) This request void 18 months from ?a . J Y- //'-1f? ? CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-799, Eagan, MN 55121 N2 12312 BUILDING PERMIT DECR & PHONE: 454-8100 qeceipt# Tobeusedior 3-SEASON PORC$st.value $3,000 Date JULY 21 ?g 86 SiteAddress 4684 PENKWE WAY Lot 9 eiock Z Sec/Sub. JOHNNY CAKE Parcel No. RIDGE ADD Name PAUL GILBERTSON Address SAMF Ciry Phone 452-6516 o Name SAME = ? a : Address ? City Phone ?? w W Name . ? ? Address ` w City Phone Erect ? Occupancy R Remodel ? Zoning Repair ? Type ot Const Vn Additi0n [RX No. Stories Move ? 12 Length. Demolish ? Depth 1 h - Int Impr. ? Sq. Ft Install ? Water 8 Police _ Fire - Planner Council Bldg. Of I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and Ci of Eagan Ordinances. Signature of Permittee A BuiltlinglPermit is issued t: PAUL GILBERTSON all work shall be done in accordance with all applicabJe.itatq)of Minnesotz Var. Permit $38.50 Surchargs 1.50 Plan Review SAC Water Conn. Water Meter , Road Unit Tr. PI. Copies?? T.?1n1 on the express condition that Ciy of Eagan Ordinances. Building Official ? CITY EE EFgAN Include 2 sets of plans. 1 site plan w/e]evations & g(1TIDING PM2NLPP APPLICATION 1 set of enen7Y calculations. F 7?? - Zb Be Used For Res?oetice Valuation ?te APRAL- a3i l99a site Padress: 468'1 4E#? ? W wi ?wwoa so?) oFFicE osE otus jLlt \ BlOCk -2, SE'C./SU}). SOmNN-i GAKE ELYC.'t..(y_ Occupan-y Pazcel #: Alter Zoning RePdl= Fire Zone 3 Oaner: Address: City/Zip Code: Phone #: . Contractor: nRRIN TNnMPStIN Nr1nARc a Division of U. S. Home Corporation Pddress: 1712 1 POP;..{vs saessrteks City/Zip COd2: MINNETONKA.MINN.55343 Phone #: 549V'?333 Arch. /tng. : Pddress: City/Zip Code: Phone #: Enlarge = Type of Const. Move # Stories Deimlish Front (3-0 ft. Grade DePth --- 3 y ft. , Assessments ? Permi.t Water/Sewer Surcharge Police Plan Check S 8 Fire SAC Sa 6- ? gng, Water Conn. ? O S planner Water Meter (00 ? - Council Road Unit / 8'S ? Bldg. Off. ,e APC ?'I'AL C?JU CITY OF EAGAN ' 3794 Pilot Kneb Road Eagan, MN 55122 N2 5802 PHONE: 454-8100 ? /??? BUILDING PERMIT APPLICATION Receipt # To 6a utad for SF Dwlg/Garage Est.Volue 75 000.00 Date Mav S 19--.8D_ , , Site Address 4684 Penkwe Way Erect 1,;j Occupancy R3 Lot 9 Block 2 Sec/Sub. Jhny.Cake Rdg. Alter ? Zonin9 Rl Repair ? Fire Zone III Porcel .# E l f C T t V n arge ? ons ype o . W Nome Orrin Thompson Homes Move ? # Srories ? Address 1712 HO k1riS CY'o85x'oad Demolish ? Front 50 ft. o ?. Minnetonka, ?m 5-7333 Gmde ? Depth 3?F N. ° O Name SSitte Approvols Faes o? U? Address ?' rtw Name _ Addreu I hereby acknowledge thot I hav ead this oppl' the information is correct and? 9ree to mm Stote of Minnesata Statutes nd City of n r Signature of Permittee A Building Permit is iss ed to: OTY'lri all vrork shell be dorie in accordonce with all Building Official Assessment 4/kf7/OU Water & Sew. Police Fire Eng. Plonner Council and state that gld9, pff, 4 2 SO all applicable APC Il1IIfPC perrrift 1( ! . UU Surcharge '37.50 Plan check 88.50 SAC 525,00 Woter Conn345 . 00 Water Meter 60. o0 Road Unit 185.00 roroi 1,378,00 i nm on the express condition that of ry soto Statutes and City ot Eagan Ordirwnces. RESIDENTIAL BUILDING Permit Application 59q City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 v -? C) '(5b New CansWCtion Reaui2menls RemodeAReoair Reauirements OKce Use OnN 3 registered site surveys showing sq. fL ot lol sq. tl. of house; and all roofed areas 2 wpies of plan Cert ol Survey Recd (20% maximum lot coverage allaxed) t sel of Energy CaIcuW6ons for heated addifions Tree Pres Plan Recd 2 copies of plan sMwing beam 8 window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Not Reqd isetolEnergyCalculatbns Add'N'on-indicafei(on-sdesepBcsystem _OmsiteSepticSystem 3 oopies of Tree Presarvation PWn'rf bt platted aRer 711193 Rim Joist Defafl Optlons selection sheet (bidgs with 3 or less uniLs Date Construction Cost &a(1 ? Site Address UniUSte # `-- ? Ks.?r Description of Work rE U Bld N M lti F il Y X/f`f! ? 1 Fire lace(s) 0y u - am y g _ _)? _ p _ C Property Owner A? 6 ), /b aY' jl-?d kl Telephone # 65/) 75.,[ ' LDJrYjC;2 Contractor yPG {? ? ? q-Povop Address K (A CitY State Zip Telephone # ? COMPLETE THIS AREA ONLY IF Energy Code Category Mi?esota Rules 7670 Cateeorv 1 . Residential VendlaUon Category 1 Worksheet (J submission type) Submitted • Energy Envelope Calculations Submitted Licensed Plumber Mechanical Contractor ?r 09 E'LIrl h T I L Sewer/Water Contractor A NEW BUILDING Minnesota Rules 7672 . New Energy Code Worksheet . Submitted Telephone # ( Telephone #P-Q Telephone # ( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work wil] be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a pertnit; that the work will be in accordance with the approved plan " the case of work which requires a review and approval of lans. Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ? Ot Foundation O 07 05-plex ? 13 16-plex ? 20 Pool ? 02 SF Dwelling O 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 03 01 of_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage O 06 04plex ? 12 12-plex PI6g_Y or _ N ? 25 Miscellaneous Work Types , ? 30 Accessory Bldg ? 31 EM. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Additlon ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDoors ? 34 ReplaCement •Damolition (Entire Bldg) - 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 W idth _ Footings (new hldg) _ Footings(deck) _ Footings (addition) Foundation Drain Tile Roof Ice & Water Final _ Framing _ Fireplace _ R.I. _ Air Test _ Final Insulation REQUIRED INSPECTIONS _ FinaUC.O. _ FinaVNo C.O. _ Plumbing HVAC Other _ Pool _ Ftgs _ AidGas Tesu _ Final _ Siding Stucco Stone _ Windows (new/replacement) _ Retaining Wall Approved By Base Fee Surcharge Plan Review ' MC/ES SAC City SAC Utility Connection Charge S&W Permit 8 Surcharge Treatment Plant License Search Copies Other Total Building Inspector PERMIT S '7 b S$SO PILOT KNOB itD EA6AN MN 55122 651-6$1-4675 Please complete for: ? single family dwellings townhomes and condos when permits are required for each unit Date: L Lo ? SITE ADDRESS: C 6 OWNER NAME: STANDARD HEAT G 6 AIR CONOITIONING C0. INSTALLER NAME: .++n wccT i ei[c CTRFr-T MINNEAPOLIS, MN 55408-2998 STREET ADDRESS: 612-824-2656 CITY: STATE: Place a check mark next w the permit work type ZIP: ? .Add-on, modification or alteration to existin dwelling unit $ 30.00 . furnace replacement ? • air exchanger i- • air conditioner . other SEP 1 9 2002 L J'; Nature of work: State Surcha e $ .50 $?(n -? TOtal SIGNAT RE O PERMITTEE 1102 CITY USE ONLY RECEIPT DATE: ?1? ?loz 2002 $ESIDENTIAL MECHANICAL PEfiMIT APPLICATION cmt oe Eaea?N ?c ? t(S?= GS<b TELEPHONE #: CITY USE ONLY PERMIT #: APPROVED BY: INSPECTOR RECEIPT DATE: 2002 COMMERCIAL MECHx4NICAL PERMIT A#'f'LICAT10N CITY OF E4fiAN 3$30 PILOT KNOB RD EAfiAN, MN 55122 651-6$1-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: SITE ADDRESS: OWNERNAME: PHONE #: TENANT NAME ([MPROVEMENTS ONLY): WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAIVIE: INSTALLER: STREET ADDRESS: CITY: TELEPHONE #: STATE: ZIP: WORK TYPE: New construction Install U.G. Tank _ Interior Improvement _ Remove U.G. Tank _ Processed Pining Specify Nahue of Work: W/ren installing/removing underground tank, call 651-681-4675 jor inspection by Fire Marsha[ and Plumbing i?upectar. Fees: I% of contract price OR $50.00 minimum fee, whichever is greater. Underground tank removaVinstallation = minimum fee Contract price: $ x I%= $ (Base Fee) State surcharge calculate at $.50 for each $1,000 Base Fee TOTAL $ SIGNATURE OF PERMITTEE Updated I/02 4bC9 C. R. WINDEN a ASSOCIATES, INC. IAND SURVEYORS Te1. 645•3648 For: 1381 EUSTIS ST., ST, PAUI, MINN. 55108 U. S. HOME CORPORA7ION ? ? . Scale: 1" = 30' O Denotes Iron ?•p?evha^9 ?S' \ ? ? 9 /??Ca \ y g . h <5 Qa°° to \ ?o ? \ I o ( o \ o \ ? ? =- \ ? I \ m \ I Lot 9, Block 2, Johnny p? Cake Ridge Addition, I Dakota County, Minnesota ..._ \ h ? . o i r . 6 2. 0 WE MEREBY CERTIfY TMA1 TMIS IS A TRUE AND COARECT REPRESENiAT10N Of A SURVEY Of TME 60UNDARIES OF THE LAND AlOVE Of5CR16ED AND OF iME LOCATION OF ALl lUIIDINGS, If ANY, TMEREON, AND All VI516tE ENCROACMMENTS, If ANY, fROM OR ON SAID LAND. Datad tAis?dey ef M.AQ A.O. 1980 C. R. W1-?- Surweyor. d ASSOCIATES, INC. bY ?. . Minnewla Rapislrotion No•? ? ' . . For: U. S. HOME CORPOR ?V P / / C. R. WINDEN a ASSOCUTES, INC. v IAND SURVEYDRS TeI. 645•3646 1381 EUSTIS SL, ST. PAUL# MINN. 55106 ION ? ? ? Scale: 1" = 30' ? O Denotes Iron I 'Orerh4"9 J /" / 0 s ?tiA ea ph ?yP/ ?Gj aD \ 0 O ? A ?. \ _M- \ N \ c `'y \ m p Lot 9, Block 2, Johnny ? Cake Ridge Addition, 3 Dakota County, Minnesota ? ? \ 'J4 Se \ . ? 10 \ I L ? ? • \ `J/O ? •. -- ? WE MEREEY CERTIPY TMAT TMIS IS A TRUE AND CONRECi REPRESENTATION OF A SURVEY OF THE 60UNDARIES OF THE tAND A60VE Df5CRi6ED AND Of iNE IOCATION OF All 6UIlDIrlGS, If AN1; TMEREON, AND All VI5161E ENCROACMMENTS, IF ANY, FROM OR ON SAID LAND. Dotad IAi, Z,;-r!4_doy oi MAk A.D. I980 C. R. WIN EN 6 ASSOCIATES, INC. b, ???-..?-.?.? Su.reror, Minnesero loOiNrotien Ne.777nU c:r. rv or :r:.Fl.r.;nr,l C;P?^M:t!ii:Fi; .'ii i'f:F'M7:Ni^d._ N0t 7E35 DFl7G_,; :I.:!./24/3E3 TTPS:=:: i5a33a12 IDn NAMEi;; A!_L7EIi F'!"I?ci3TiiF: rNC 3210 9001 4684 PF:NI:E'Ic WAV 50.00 205 9001 4684 reraf;Nc NAv o.r?? op TOt71 r:er'E?1(?': Aff:OiJl1'I'.n :!_i.,50 (;Rf)796r'.: l.E1i.R !T.1: ?fAl't(:Y . PERMIT CITY OF EAGAN 3830 Pilot Knob Road Eagan,.Minnesota 55122-1897 j651)681-4675 PERMIT TYPE: P u t L D I N G Permit Number: 031117 Date Issued: 11 ! 2 4! 9 S SITE ADDRESS: 4689 pENKWE WAY LQTe 9 BLOCK: 2 JOHNNY CAKE RIDGE P.I.N.: 1.9-39890-090-02 DESCRIPTION: r ?--- Bu/i2dina,'P-ermit Type 6pildinq Work Type e'ensus Code ? i ; ? ?.., i-- \I? / FTREPLflCE NEW 434 HLT. RESIOENTIflL ,1 '-. . .. . . _. % REI", %YJI=LUF MUST BE INSPECTEO BEFORE L'ONCEALING. FEE SUMMARY: Base Fee $50.00 Surcharqe l'ota.L Fee $50.50 CONTRACTOR: - Applicant - 57. Lzc. OWNER: FIRESIDE COt2NER 7:NC 16331042 20090911 GILEERTSON PHUL 2700 N FAIf2VIHW FlVE 4584 PENKWE WAY FE?EVILLE MN 55113 EAGAN f4N 55122 ?) 633-7042 (651) I hereby acknowledge thui I have read this epplication and state ttiat the inf'armatian 3s correct and aqree to comply with all applicable StaY.e o1' Mn. Statutes and City ofi Eaqan Ordinances. I APPLICANT/PERMITEE SIGNATURE ISSUEDBY:"-IGNAI I1 RE?- ' ' CITY OF EAGAN 3` I 1 I? 3830 PIIAT KNOB RD - 55122 q ---?. 1998 FIItEPLACE PERMIT APPLICATION I 1-?-? - l 681-4675 t DATE: ?)r)t, .? PERMIT FEE: $50.50 DESCRIPTION OF WORK: ? Construct new r1a e _ Alterations to existing _ Install Pas insert onlv _ Install $es line only Other JOB ADDRESS: LOT: -1 BLOCK: ?.. SUBDMSION/P.I.D. #:,?:L&Y\ APPLICANT (circle one only): O O NTRACTOR 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. PROPERTY OWNER FIItEPLACE INSTALLER GAS LINE INSTALLER Name:r9_1'/hLof^ *snh QU I_ Phone#: Last First Signature: -? Street City '_('f ('1 LY !1 State: ? Zip: ? ? ??/ I City /?1.I 1"Y1?1 i, 1Q- v State: Phone #: 49(?2 -S W 07-5f? V # _ .2o?2Y ll _ ZiP: -5 .3-3 StreM Address: OFFICE USE ONLY BUILDING PERMIT TYpE O 14 Fireplace WORK TYPE O 31 New ? 33 Alteratians O 32 Addidon 0 34 Repair GENERAL INFORMATION Census Code. 434 SAC Code Ol REMARK.S Chimney/flue must be inspected before concealing . .? . ?? ? ? ? 1986 BDILDING PERFIIT 9PPLICA?ION - CITY OF EAG6B NOYE: ALL COATRACTORS MOST BE LICSNSED BITH THE CITY OF EAG6H SIBGLE FAlIILY DiiELLIBGS INCLUDE 2 SETS OF PLANSP 3 CERTIFICATES OE SURVEY, 1 SET OF ENERGY CALCULATIONS MOLTIPLE DSJB[.LIIYGS - RLSIDBNTIAL RENTAL [1NITS FOR S6LE IINITS INCLUDE 2 SETS OF PLANS, CERTIFICATS OF SIIRYSY - CHECH iiITH BLDG. DSPT., 1 SET OF ENERGY CALCULATIONS COPIl9ERCTAi• INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND dl- To Be Used For: --I Valuatio . 3Od ° Date: S1te Address ? OFFICE OSE ONLY Lot ? Block ?- Ereet ? Occupaney /J? ? Parcel/Sub ?cQ? 1? Remodel Repair Zoning Type of Const Addit3on ? 0 of Stories Owner qL ' Move Length Demolish Depth ? Address ? Qz Int.Impr. _ Sq Ft Install City/Zip Code ?Q,Lrv? ?{.? 557ot?. -- ?/ Phone /7? ot ^(o S/ G APPROVAIS FEES Contractor Assessments Permit Water/Sewer Surcharge Address ? Police Plan Review Fire SAC City/Zip Code ?•-?SSwSe Engr Water Conn T Planner Water Meter Phone Council Road Unit Bldg Off 4:z, l. Treatment Pl Areh./Engr. APC Parks Variance Copies Address TOTAL City/Zip Code Phone # NOTE: ADDRESSSS FOR CORNEB LOTS - CONTRACTOR/HOMEOiTNER MDST DESIGNAiS HHICH ADDRESS IS DESIRED. NO CH9NGES ftILL HE 9LLOWED ONCE BOILDING PEEMIT IS ISSIIED. t? - 1b ? 1 Z? 1°1Z x?? = Z`??J 1??Z? = 3z? ? v ? Z??ioo ? ??-?? C? , ?? w"Onak For: U. S. HOME CORPOR 0/ Y" ION ? ?.?YeYho?9 / V1 0 o ? ? 0 ? ---- - - .? ---?_ • ? C.!!. WINDEN 3 ASSOCIATES, INC. lANO SURVEYORS TfL 645-3646 1381 EU5TI5 SL, ST, PAUL, MINN. 55108 ? Scale: 1" = 30' ? O Denotes Iron ? hs Lot 9, Block 2, Johnny Cake Ridge Addition, Dakota County, Minnesota \ r? o I _ . s2.ao WE MEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATtON OF A SURVEY OF THE 60UNDARIES OF TNE LAND ABOVE DESCRi6ED AND OF TME LOCATION OF ALl sUIIDINGS, IF ANY, THEREON, AND ALl VISIBIE ENCROACHMENTS, IF ANY, FROM OR ON SAID LAND. Dotad this ?-13vi doy ef MAR A.O. 1950 C• R• Wl N EN 3 ASSOCIATES, INC, House Locaied MpcJ 28, 1980-d'ew ? • by 'H ? ' Survoyor. Minnnoto Ropisiwlion No,77ZG i17o - ri . .. ? CITY OF EAGAN EARLY UTILITY CONNECTION PERMIT 4684 Penkwe Wav L9 B2 Johnnv 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. Signed by - Plumber:(Uenzek MeChan,cCa.2 ? Owner: Developer: Builder: Dated:5/23/80 73,Sg? ?o? ? 15??? 2006 RESIDENTIAL PLUMBING PeRMiT aPPUCarioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 S " 651-675-5675 Please complete for modifications to existing residential dwellings. Date ? I ?! d ?9 '/ Site Street Address Y(0 gy P??n KiJ>P_ (NCG' tf Unit # Property Owner 'PlX (,cll U'1 I 6,45(M Telephone # (661) L5??o ContractoMC ISLI?fP_ Telephone# (9]U) '73I GI?O? Address jc?tts?e S City +n1 State_flLt?__ 2ipS534?*3 The Applicant is: _ Owner ontractor _Other 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 fxtures. This fee includes installation of a water softener andlor water heater at the same time. lf you are installing 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: Water Softener Water Heater $ 15.00 _ new replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ 50 T t l $ o a I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the woric will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and ap roved. ApplicanYs Printed Name ApplicanYs Signature City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4684 Penkwe Way Lot: 9 Block: 2 Addition: Johnny Cake Ridge PID:10- 39800 - 090 -02 Use: Description: Sub Type: e- Reroof & Siding Work Type: Reroof & Siding Description: Census Code: 434 - Occupancy: Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 6,000.00 Contractor: Roncor Construction 10740 Lyndale Ave S #11 Bloomington MN 55420 (952) 888 -5578 Reroof: If there is no ice protection inspection prior to final, you must meet inspector with ladder and flat bar. Siding: When installing ventilated soffit material, remove existing material (ie: debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Mike DeBolt BL - Base Fee $6K Surcharge - Based on Valuation $6K Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply of Minnesota Statutes and City of Eagan Ordinances. h all applicable State Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Construction Type: $132.75 $3.00 $135.75 Owner: Paul Gilbertson 4684 Penkwe Way Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: 0801 9001 Issued By: Signature Building EA087121 10/27/2008 ePermit PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA156492 Date Issued:07/02/2019 Permit Category:ePermit Site Address: 4684 Penkwe Way Lot:9 Block: 2 Addition: Johnny Cake Ridge PID:10-39800-02-090 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 - Ragarshi Baner Jee 4684 Penkwe Way Eagan MN 55122 (817) 932-2582 Standard Heating & Air Conditioning 130 Plymouth Ave. N Minneapolis MN 55411 (612) 824-2656 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA165759 Date Issued:11/18/2020 Permit Category:ePermit Site Address: 4684 Penkwe Way Lot:9 Block: 2 Addition: Johnny Cake Ridge PID:10-39800-02-090 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 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 - Rajarshi & Emily Anne Banerjee 4684 Penkwe Way Saint Paul MN 55122--275 Standard Heating & Air Conditioning 130 Plymouth Ave. N Minneapolis MN 55411 (612) 824-2656 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA165816 Date Issued:11/20/2020 Permit Category:ePermit Site Address: 4684 Penkwe Way Lot:9 Block: 2 Addition: Johnny Cake Ridge PID:10-39800-02-090 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater 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 - Rajarshi & Emily Anne Banerjee 4684 Penkwe Way Saint Paul MN 55122--275 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA165874 Date Issued:11/25/2020 Permit Category:ePermit Site Address: 4684 Penkwe Way Lot:9 Block: 2 Addition: Johnny Cake Ridge PID:10-39800-02-090 Use: Description: Sub Type:Residential Work Type:Alteration Description:Fixtures 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (miscellaneous)$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 - Rajarshi & Emily Anne Banerjee 4684 Penkwe Way Saint Paul MN 55122--275 Sieben Plumbing 18605 Fischer Ave Hastings MN 55033 (651) 343-6298 Applicant/Permitee: Signature Issued By: Signature