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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 , / i ' O ? I?? erha?O1 t oY \ \ z? ? ? ? % 0 _ Sed PYOP o h???- 1-1? \ v 0 \ \ \ / (?p2 t \ \ \ \ ? 7 \ \ ._ - ? o 1-?- io -- - ? i2&.so - 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 ? .? For: U. S. HOME CORPORATION R? ? , 26.90 ?h 10? 1 oYCYrp?9 2? ? ? .? \ A 1 NoPaeed 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 \ -m - \ N C ? 1 ? ? \ \ Q - ? m ? \ \ ` ` ? ? ? ? ur \ 4. CJ / G ---- ? O ?O -- ? /2b.60 N 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 _ 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