4686 Penkwe WayCITY OF EAGAN Remarks
Additlo`n jQH?= C,aKE RIDGa ADDITION - Lot in Rik 2 Parcel 10 39800 100 02
Ownerilll ? 11•i '.e.-• ,: Street 46$6 pen We wSv State FS$an - MN 55122
Improvement Date Amount Annual Years Payment Receipi Date
STREET SURF.
STREET RESTOR,
GRADING
SAN SEW TRUNK
* SEWER LATERAL
WATERMAIN
* WATER LATERAL 1981
WATER AREA ;5-;;2 7
STORM SEW TRK 1991 670-68 134-14 670-68 8 O 1 HO
* STORM SEW LAT 1981
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Unifi 185.00 18618 -41.21180
WATER CONN, OS OO 18618 4 z1 80
BUILDING PER.
SAC
PARK
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE
R6CffIVED
FROM
19
AMOUNT $ I
& DOLLARS
+oo
? CASH ? CHECK
FUND I CODE I pMOUNT
Thank You
BY
WFiite-Paye
Yel low-Po?t
Pink-File
. CITY OF EAGAN '
? y 3795 P'ilet Knob Rood Eagon, MN 56122 N2 5782
PHONE: 454-8100
BUILDING PERMIT Receipt #
?To be ossd fer Est. Vatue • Date , 19
Site Address Erect ? Occupancy
Lot Block Sec/Sub. Alter p Zontng
Parcel Repair ? Fire Zone .
Enlorge Q Type of Const.
W Nome Move p # Stories
3 Address Demolish ? Front ft.
Ci Phone Grode 0 Depth ff.
ce Name
z?-°,
?? Address
~ Ci
bwW iName
?
_? Address _
I hereby acknowledge thot I have read this applicotion and stute thot
the information is correct ond agree to comply with oll applicoble
Stute of Minnesota Stotutes and City of Eagon Ordirwnces.
Assessment
Water & Sew.
Pol ice
Fire
Eng,
Plonner
Council T ;
BIdg.Off. '
APC
Fess
Permit
Surchorge
Plon check
SAC
Water Conn.
Water Meter
Rood Unit
Total
$igncture of Pertnittee I
A Building Permit is issued to: on the express condition that
oll work shall be done in occordance with oll applicable Stote of Minnesota Statutes and Clty of Eagon Ordirwnces.
Building Official
Parmit # Doh laoed YonsilMn ?
Plumbing 711
Mechonical
Y
INSPECTIONS DATE INSP. Rough-In Finol
Footings --?jO Da Insp. Date Irtsp.
Foundotion Plumbing
Frame/ins. Mechanical
Final
Remarks:
No. ' 'll
CITY OF EAGAN
3795 Pilot Knob Reed
Eaqan, Minnnota 55122
Phana: 454-13100
PERMIT
Date: 27, 1987
5ite /lddreu: 4686 Penkwe W8y
Lot Block Sub/Sec.
Jzy. Ck. Rdg
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
Receipt No.:
Single I
Residential
Multi Res., Comm.llnd, I
Nome ?)r^in T2wrapsan New/Aiter./Repoir
. ,
? Address .9 ;mst?roe<!
Cost of Installation
City Phone: Permit Fee
Name -, ! s'
16 Surthorge
? Address D-,
j Gri - /r'_lc"?
City _. , . . _ . _ Phone: ' ' . Total
This Permit is issued on the express condition that oll work sholl be done in occordonce with all opplicable State of
Minnesota Statutes ond City of Eagen Ordinonces.
Buildin9 Officlal
No. i'J 32
•, •,T ?r.
Dote:
Site Address:
4686 R@TIkYi@ Way
Lot Block Sub/Sec.
• ? ?L".' . . . . ._ E!,".
[;r:'in
Name
?
?
Address Y12 IiOpkins (.r•)^=;T'o??C-
_°
Ciry Phone:
':i@1t@I' tle 9t L;'!; -
Name
.
?
Address
City Phone:
This Permit i s issued on the express condition that all work sholl be
Minnesoto Stotutes ond City of Eagan Ordinances.
CITY OF EAGAN
3795 PiloF Knob Road
Eo9an, Minnesota 65122
Phom: 454-91100
PERMIT
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
Receipt No.:
Single _ I
Residential
Multi Res., Comm./Ind. I
_,,..
New/Aiter./Repoir. Cost of Installotion
Permit Fee
Surchorge . ?
Totol "
done in accordance with oll appliooble Stote of
Building Official
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21 -199, Eagan, MN 55121
PHONE: 454-8 100
BUILDING PERMIT Receipt #
RLSUILDING
To be used for DZCK Est. Value Date , 1
Site Address -?686?l1?llr,fi6 WkY
Lot .1,0 _ Block I_ Sec/Sub OFFICE USE ONLY
Parcel No. occuPancy _ Fees
Zoning _
W Name ?QY ??? (Actual) Const _ M
Bldg. Permit 9 S_-
3 Address 4"6 Priam VAY (Allowable) _ ?
'?
0 surcnarge -
City ?1?1 Phone ?iS4-lOl7 ? ol Stories _
Plan Review
Length ?_
o Name TRB CUMNG EDGE Depth SAC
Cit
Z
' ,
y
Ua T8
AddfeSS 7630 V 14S S.F. Total
? SAC, MCwCC
City /?PPLE VI1-1-9Y Phone 491-5322 S.F. Footprints _ Water Co
On Site Sewage _ nn
r-
OW
LU
Name
on site weu
W
t
M
w
=Z
Addr@SS
MWCC System - ater
e
er
<W City Phone City Water _ Acct. Deposi?
PRV Required _ S/W Permit
I hereby acknowlege that I have read this application and state that the
' Booster Pump - SNV Surcharge
information is correct and agre9•-lo
?Q mply with all applicable State of
Minnesota Statutes and City of agaq•4rdinances. Treatment PI
Signature of Per Q- APPROVALS Raad Unit
?
A Buiiding Permit is is ed to: Planner - park Ded.
on the express condition that all work shali be done in accordance with all Council
applicable State of Minnesota Statutes and City of Eagan Ordinances. gldg, pff. _ Copies
Building Oflicial
_ .
'tgl Variance - TOTAL 25•50
Permit No. Permit Holder Date Tefephone #
WATER
SEWER
PLUMBING
H.V.A.C.
EIECTRIC
Inspection Date Insp. Comments
Footings I
Foundation .
Framing
Roofing
Rough Pibg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Orstat Test
Finai Plbg. Plbg. inspector - Notity Plumber
Const. Meter
Engr./Plan
Bldg. Final
Deck Ftg.
Dedc Final 64/0 2
v
Well
Pr. Disp.
Iag 1,•? ?"N SEVNER S ERVICE PERMIT
5 Pilot Knob Road PERMIT Na.:
an, MN SS122 DATE:
ing: No. of Units:
er:
ress:
Address:
mber:
ree w eanph with tha Citp of Eayan Connection Charge:
??nces, Account deposit:
Permit Fee:
. Surcharge:
gy Misc. Chorges: -
Date of Insp.: Total:
Insp.: Date Paid:
_
R SERVICE PERMIT
' WATE
CITI
OF EA6AN
'4795 Pilot Knob Rood PERMIT NO.:
Eagan, MN 55122 DATE:
Zoning: No. of Units:
Owner: ' -
Address:
Site Address:
Plumber:
Meter No.; Connection Charge:
$ize: Account Deposit: -
Reader No.: Permit Fee:
1 agroe to oanply with the City of Eagon Surcharge:
p???ncom, Misc. Charges:
Total:
gy Date Paid:
Date of Insp
RESIDENTIAL
*7J BUILDING PERMIT APPLiCATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 1, Z,5
651-681-4675
NewConstructionReouirements RemodeURebalrReaulrements
• 3 registered site suneys shoxvg sq. ft. of lot, sq. ft. af house; arid all roofed areas • 2 wpies of pan
(20°6 mazimum ki mverage allawed) • 1 sel d Energy Calculafions for heated additions ?
• 2 copies of plan shov+irg beam & windmv s¢es; poured tound design, etc.) . i sile survey for exfminraddilions 8 decks
• 1 set of Energy Calculations • Indicate'rf hame swved by sePtic SYStem for additans
• 3 copies af Tree Presenafwn Plan if bl platled afler 717193
. Rim Joist DeWB Optiore seleclion sheet (bldgs wilh 3 ar less uNts)
DATE
JOB SITE ADDRESS
IF MULTI-FAMILY BUILDING, HOW MANY U ITS?
PROPERTY OWNER ?- ??
NPE OF WORK 51 d-i'
APPLICANT
ADDRESS N'?P? G????? ?1```? ?
VALUATION ???dv C U
FIREPLACE(S) _ 0 It'1 _ 2
PHONE#
er.7
PAGER # CELL PHONE #&I2-- M"71 FAX #
COD155_]i
NEIV RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envalope Calculations Submitted
MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor. Phone #:
Plumbing System Includes: _ Water Softener _ Lawn Spdnkler Fee: $90.00
Water Heater _ No. of R.I. Baths
?
No. of Baths
Mechanicai Conhactor. Phone #
Mechanical System Includes: _ Air Conditioning Fee: $70A0
? Heat Recovery System
Sewer/Water Conhactor: Phone #
All above information must be submitted prior to processing ot application.
i hereby acknowledge that I have read this application, state that the information is correct, and a ree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ord' ?ices. ?
Signature of Applicar?t O
T-f
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
. Updated 1101
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? OS 03-plex
[3 06 04-plex
? 31 New
? 32 Additian
? 33 Altera6on
? 34 Replacement
Valuation
Census Code
SAC Units
Nbr. of Units
Nbr. of Bldgs
Type of Const
W idth
REQUIRED INSPECTIONS
Footings (new bldg)
Foorings(deck)
Footings(addirion) _
Foundation
Drain Tile
RooF Ice & Water Final Other
Framing _ Pool _ Ftgs _ Air/Gas Tesu _ Final
Fireplace _ R.I. _ Air Test _ Finsl _ Siding Stucco _ Stone
Insulation _ Windows (newheplacement)
Approved By
Base Fee
Surcharge
Plan Review
MClES SAC
Cily SAC
Water Supply & Storage
S&W Pertnit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
? 07 05-plex ? 13 18-plex
? 08 06-plex O 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 08-plex ? 18 Deck
? 11 10-plex ? 19 Lower Level
O 12 12-plex Plbg_Y or_ N
? 20 Pool
? 21 Porch (3-sea.)
? 22 PorchlAddn. (4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bidg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
? 35 Int Improvement ? 38 Demolish (Interior) O 44 Siding
? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
O 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
•Demolition (Entire Bldg onty) - Give PCA handout to appticant
Occupancy MC/ES System
Zoning City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
FinallC.O.
FinallNo C.O.
Plumbing
HVAC
Building Inspector
irunnasoca a`aae noam oi uacmciry
Griggs Midway Bldg. - Room N791
1627 University Ave., St. Paul, Minn. 55104 - Phone 297•2117
- REQUEST FOR ELECTRICAL INSPECTION
CHECK BELOW WORK COVERED BY THIS REQUEST
lqlZQ;)L-- EB-00001-02
S 64394
Type o( Building New Add. Rep. Check Apptiances W'ved For Check Equipment Wired Foi
Home ? ? Range Temporary Wiring
Duplex
?
?
Water Heater
Lighting Fixtures ?
Apt. Bldg. ? ? ? Dr Electric Heating ?
Commexcial Bldg. ? ? ? Fu Silo Unloadex ?
[ndustrixl Bldg. ? ? ? A' ondi Bulk Milk Tank ?
Fazm ? ? ? Li Lis[
Othex 0 ? ? p
HeiersI p
Herers?
COMPUTE INSPECTION FEE BELOW
Service Entiance Size: # Fee Fceders&Subfeeders: 7i Fee Cixcuits: n Fee
0 tu 100 Am s. 0 to 30 Am eres 0 to 30 Am eres Al W
101 to 200 Amps. 31 to 100 Amperes
Abave 200 Amps. Abave 100 Amps.
7ransformers RemoteControlCiro. •. J
Signs
Special Ins ection Na t
Remarks
.
I,the Electricallnspector,hereby
certify
(Final)
This request void
18 months from
been?naae. - &?
e ?p - C-i -
le -((-
This request void
18 months from
Date of this Request 51 21 Fire No. S 64394
I, aD14,Licensed Electrical Contractor 0 Owner, do her? r st inspect'o of the above electri-
cal wiring installed at: ?13 Ck .
Street Address or Route No. 46o'P C? V?W City zmzm
Section Township Range CountyW
Which is occupied by
Is a roughin inspection required on this job? No ? Y CK- Ready Now ? Will Call;Erl
Powec Supplier P4A- Address
Electrical Contractor ???.L ?GEGr'?l e. Contractor's [.icense No?31v9
(' (COmpany Name)
MailingAddress )7?t 4!?,• Ci iFF ?PD,
r? a e?trl a o itrac or or Ownar Making Thls Installatlon) p
Authorized Signature Phone No. S ID 'ssps
(Electrical Contract r or Owner Makinq This Installatlon)
?o{?V This inspectian requert will not he aecepted 6y the
dJ lrv ? State Board unless proper inspection fee is endosed.
CITY OF EAGAN No _ 19591
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
?"7
BUILDING PER?'fBUILDING PHONE: 454-8100 Receipt # (? , ??GO?
To be used for DECK Est. Value Date AIiG 99 , 199,1_
Site Address 4686 PENKWE WAY
Lot 10 Black 2 Sec/Sub.JOHNNY CAKE RIDG
Parcel No.
= Name GARY FORSBERG
3 Address 4686 PENKWE WAY
° CitY EAGAN phone 454-1017
,o Name THE CUTTING EDGE
?a Address 7630 W 145TH
? City APPLE VALLEY phone 431-5322
N Name
Address
City Phone
I hereby acknowleqe that I have re this application and stale that the
inlormation is corcect and agr o mply with all applica6le Stale oi
Minnesota Statures and City o a rdinance. - ?-'
Occupancy
2oning
(ACtual) Consl
(Allowa6le)
A of Slories
Lengih
Deplh
S.F. Total
S.F. Foolprints
On Sile Sewage
on sne wen
MWCC System
Ciry water
PRV Required
Boosler Pump
Signature oi Perm4e?.?? ' APPAOVALS
A Building Permit is is?ued to: V THE CUTTING EDGE Planner
on the express contlition that all work shall 6e done in accordance with all Council
applicable State of Minnesola StQalutes andCyi?ty of Eagan Ordinances. Bmg. ON.
BUilding Olficial ?JTI` D1r I -y I' I? Vanance
OFFICE USE ONLY
14,.
10'
Bidg. Permit
Surcharge
Plan Review
SAG Ciry
SAC,MCWCC
Water Conn
Water Meter
Accl. Deposil
S/VJ Permil
S/W Surcharge
Treatment PI
Road Unil
Park Ded.
Copies
TOTAL
FEES
25.00
.50
L5.50
CITY OF EAGAN
5? ?
3795 Pitot Knob Rond 'Eugan, MN $5122 ? !???
PHONE: 454-8100 /BUILDMG PERMIT APPLICATION . " rteceipr #
Te 6e owa for SF Dwliz/Garaae Esc. vaiue 60,000. 00 oare Ap?rl 21, 1980 19_
Site Address
Lot l? siock 2 Sec/S?b. Johnqy Ckae Ridge
Porcel # unrecorded
W Name
Z op ins rossroa
; Addrew
o _ Minnetonka,MDL. 55343 5-7333
o Name _
?? Addres
h r:«.
Ncme
1 hereby ocknowiedge tMt 1 have read this application and state that
the in4ormation is correct ond a9ree to comply with all applicable
State of Minmsaro Statutes and City of Ea9on Ordinances.
Erect gJ Occuponcy R3
Alter ? Zonin9
Rl ?
Repair ? Fire Zone III
Enlarge ? Type of Const. V
Move ? # Stories
-
Demolish ? front 5? tt.
?-
Grade ? Depth fr.
Aoorovab iees
Assessment 4/ 1u / vv
Water & Sew.
Police
Fire
Eng.
Planner ,
Council
Bidg.Off. 4 18 SO
APC
Signeture of Permittee _
A Building Permit is issued to:
oll work shatl be done in acco
Building Officiol
Permit i7'+• Jv
D
Surcharge 30.0
Plan check 77 • 25
snc 525•ee
Water Conn. .305.0
?
Water Meter 60. 00
Road Unit 185.00
Total 1, 336.75
on the express condition that
Stotutes and City of Eogan Ordinances.
r
`'CITY OF EAGAN Include 2 sets of plans.
1 site plan w/elevations 6
?P BUIIDING PII2MIT APPLICATION 1 set of enengy calculations.
? ?
4b Be Used For R!S\DE?ac ¢ Valuation (, p? - Date kw?, !F_?, l4 $ o
Site Pddress: 41.9b Wr`v_we LU/?y w?1T? OF'FICE USE ODII.Y
Iot _L Eloctc a._ sec./sub. soOr+Ny cnKe srect )4, occupancy
p R1OGE Altps ZARlI1CJ
Parcel #: Repai r Fire Zone ? -
Owner: ??e • TYPe of Gonst.
Address e - - --
City/Zip Code:
Phone #:
Contractor: QRRIN TH()MPCf1N I-If1MFC
a Division of U. S. Home Corporation
Addr2sS: }7}2 1 1OP?;,NS6rt0SSReAB
C].ty/Zlp COd2: MINNETONKA, MINN. 55343
Phone #: S4y-1333
Arch./fng.:
Address:
City/Zip Gode:
Phorie #:
Nbve # Stories
Demlish ° Front s-y ft.
`I!o ft.
Grade DePth
APPROVAIS FEES
Assessments Perniit l 6`l ?
Water/Sewer
Police _
Fire
? Planner
Council
Bldg. Of£.
APC
Surcharge 3 0
Plan Check 7 7
SAC
Water Conn. 0
Water Metes (? O
-
ltoad [Init J $S
?
T=L 1,336
?`>
RESIDENTIAL
' BUILDINC PERMIT APPLICATION
CITY OF EAGAN ?
3830 PILOT KNOB RD, EACAN MN 55922
651-681-4675
New ConaWctlon Reauiremenis
• 3 regisiered site surveys showing sq. ft. of lot, sq. R of house; and all roofed areas
(20% maximum lot coverage allowed)
. 2 capies of plan showirg beam 8 window sizes: poured found desgn, etc.)
• i set of Eneryy Calculafions
• 3 copies of Tree Preservation Plan il lol platted after 717/93
• Rim Joist Detail Oplions selection sheet (bldgs with 3 or less units)
DATE LXe / O :>
SITE ADDRES
TYPE OF WO
APPLICANT
STREET ADDRESS
TEIEPHONE #IaSI-?f51-SZS/? CELL PHONE #
iULTI-FAMILY BLDG _Y -4N
FIREPLACE(S) _ 0 A 1 _ 2
G?n STATEdZIP?
PROPERTYOWNER TELEPHONE#
-------------------°-----------------------------------------------------------------°°-----
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MIT;N LSOTA RliLFS 7670 CA1'r:GORY 1 MINNIaSOTA RULF.S 7672
(J submission type) • Residen[ial Ventilatlon Category 1 Worksheet Submitted • New Energy Code Worksheel Su6mitted
• Energy Envelope Calculations Submitted
Plumbing Contractor:
Plumbing syslem includes:
Mechanical Conhaetor.
Mechanical system includes:
Sewer/Water Contractor.
Phone #
Phone #
I hereby ocknowledge that I have read this application, state thot the infor tion is c rre"ct, ar
with all applicable State of Minnesota Statutes and City of Eagan Ordin es.
Slgnature of Applicant
ee tczc . ply
OFFICE USE ONLY
_ Water Softener
Water HeaCer
No. of Baths
_ Phone #
Lawn Sprinkler
No. of R.I. Baths
_ :lir Conditioning
Hea[ Recovery System
RemodaUReoair Reaufremenb
. 2 copies of plan -1 --a -C) a
• 1 set of Ereryy Calculafians forhealed add@ions
• 1 sitesurveyforezterioradditions8decks
• Indicate i( home served by sep6c system for addi6ons
VALUATION /<)LJ0 1 ?
Fce: $90.00
c..... cvn nn
!
JU;J 2 F Z l;?l
JU ??
------
B v ---
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage 0 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex 'K18 Deck ? 23 Porch(screened) ? 36 MuIG
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
q? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
?O 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
?? 34 Replacement 'Demolition (Entire Btdg only) - Give PCA handout to applicant
Valuation Occupancy ? ?-uo" MC/ES System
Census Code Zoning Cily Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const ? ?L Width
REQUIRED INSPECTIONS
Footings(new bldg) FinaUC.O.
Footings (deck)
7 v
?? FinaUNo C.O.
Footings (addition) Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final Windows (newlreplacement)
_ Insulation _
_ Retaining Wall
Approved By 5r-z , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit 8 Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
C r
,
_ S?
v
C. R. WINDEN d, ASSOCIATES, INC.
IAND SURVEYORS ia1, 645•3648
For: 1381 EUSTIS ST., 5T. PAUI, MINN, 55108
U. S. HOME CORPORATION
pEN?4??
? 51.4J ,
/
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PYOP o
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1-?-
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-
A/'
wE MERE6Y CERTIFY THAT TNIS IS A TRUE AND COpRECT REPRESENTATiON Of A SURVEY OF THE
60UrlDARIES Of iHE LAND A60vE DFSCRIlEO AND OF TME IOCATION Of All lUiIDINGS, If ANY,
TMEREON, ANp All VI5161E ENCROACMMENTS, IF ANY, fROM OR ON SAID IAND.
Derad rhis 17" doy oF Mqe A.D. 19 80 C. R. WINOEN 6 ASSOCMTES, INC.
br 6??? a'KJ??.t ,
Su..eyor. Minnewto Rapirtrotion No.111G
Scale: 1" = 30'
ODenotes Iron
Lot 10, Block 2, Johnny Cake
Ridge Addition, Dakota County
Minnesota
6Z3J-e?5_ MECHANICAL (RESIDENTIAL) ' 430. 6Z,)
Permit Applicarion
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete for. Singlc Family Dwellings
Townhomes and Condos when permits are required for each unit
Date
Site Address Unit #
Property Owner ka, 'aCp
? Telephone # I-)
CouYractor 1 ? '? ?,• v ?? ? ^ ? ?' ` ?
l. -
Street Addrese
J
City
v ? ?4 kt-
1
State ? p
Zi Telephone # 1
.
The Applicant is _ Owner ? Contractor _ Other
Add-ou, modificatiou or alteration to existing dwelling unit $ 30.00
k furnace replacement
'M air exchanger
?L air conditioner
ather
State Surcharge $ •50
T S?
utal $
?p?
061 ? w?Hn 1 o wuj
I hereby apply for a Residential Mechanical Permit and acknowledge that the ' ration is complete and ac ate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with e Mechanical Codes; that understand this is not a
permit, but only an application for a permit, and work is not to start without a 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 ?
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For:
U. S. HOME CORPORATION
R?
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26.90
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10? 1 oYCYrp?9 2? ?
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C.R. WINOEN 8
LpND SURVEYORS
1381 EUSTIS ST., ST
46tl6
A550CIATES, INC.
T*L 644-3646
PAUI, MINN. 55t08
Scale: 1" = 30'
ODenotes Zron
Lot 10, Block 2, Johnny Cake
Ridqe Addition, Dakota County
, Minnesota
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WE MEREBY CERTIfY TMAT iN15 IS A TRUE AND COaRECT REPRESENTATION OF A SURVEY OF THE
lOUNDARIES OF THE IAND A80YE DFSCRI6ED AND OF THE IOCATION OF All 6UItDINGS, If ANY,
TNEREON, AND All VISIBIE ENCROACMMENiS, If ANY, FROM OR ON SAID IAND.
Dafad this 17TH day OF MA¢ A.D. 1980 c? R. INOEN 6 ASSOCIATES, INC.
by ? ja.?,.,?
Sur•ayor, Mienstweo Ropisrwtion Ne.11IG
1991 BUI?M PLICATION
CITY dF EAGAN
SINGLE FAMILY DWELLINGS MTLTIPLE DWELLZNGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PIANS 2 SET5 OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRACTURAL PLANS
1 SET OF ENERGY CALCUTATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCUTATIONS 1 SET OF ENERGY CALCS
_# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIE5 AHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY IAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES f'OR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS ISSUED_
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: XEBuP-T 'be-K
Site Address 42? Cp ?
Lot 10 Block 9,
Parcel/Sub
Owner ?i4
Valuation:
Address ?z2-7'yLe
City/Zip Code C-/Jz:;fpA/
Phone
Contractor
.(?
Address o 5(J GcJ, ` ! z/S-
City/Zip Code ?
Phone `
Arch./Engr.
Address
City/Zip Code
Phone #
Sewer/Water ce 31sed
Date: ??_ 2
OFFICE USE ONLY
FEES
Occupancy Bldg. Permit ,ZS QO
Zoning Surcharge
Actual Const Plan Review
Allowable SAC, City
sk of stories SAC, MWGC
Length /y ' Water Conn.
Depth lo' Water Meter
S.F. Total Acct. Deposit
Footprint S.F. S/w Permit
S/W Surcharge
On aite sewage_ Treatment P1.
On site well Road Unit
MWCC System Park Ded.
City water _ Trail Ded.
PRV _ Copies
Booster Pump _
SIIBTOTAL
APPROVALS Penalty
Planner L.ot Change
Council '
TOTAL
Bldg, Off.
Variance
that all woik shall be done in accordance with
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
CITY OF EAGAN
FARLY UTILITY CONNECTION PERMIT
4686 Penkwe Way L10 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 undezstand the require-
ment to cap the sewer service to prevent any unauthorized use.
In accepting this permi[, 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 heen declared operational
by the City Engineer.
Signed by - Plumber: UJENZEL MECHANICAL Y_
Owner: ja
6-4 Developer:.
Builder:
Dated• 5123180
?3` ' 2 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
(1'T
Date ? l01
I
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p
`/1/? ! 5
,Itl?O? ?R 1?
Site Street Address T2, WR? Unit #
Property Owner Telephone #05(
?9 • ??
Contractar --Jr?'" Telephone # 06,31)
Address o7y??? ??Q,k-?Z V2., ity LQ?k2-J,WZ State MO Zip G50'4
The Applicant is: _ Owner x Contractor _Other
II Alterations to existing dwelling $ 50.00
_Add fixtures to rooms, excluding water softener and water heater
Septic System Abandonment
_Water Turnaround (add $121.00 if a 5/8" meter is required)
Other: '?-----?
Water Softener Water Heater ApR 2 3 2004 $ 15.00
_ replacement _ additional B
vNC0 vw1 ta.c?.ker'
? Lawn Irrigation System RP2_ new _ repair _rebuild $ 30.00
State Surcharge $ .50
ToWI $?
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete
and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan and the 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 approved.
SV-Q.?t ? _Da? Z(
ApplicanYs Prin ed Name ApplicanYs Signa re