4689 Penkwe WayCITY OF EAGAN Remarks
Addition JOIII4NY' C!#- IiF RID?'sE ALIDITICIN -Lot S eik 3 Parcel 10 39800 050 03
Owner?±,?d.t'?-? Street 4689 PeTlkwe Way State EBg sri, I+'1N 55122
Improvement Date Amount Annuel Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADIMG
SAN SEW TRUNK 1 2
* SEWER LATEFiAL
WATERMAIN
* WATER LATERAL 1991
WATER AREA
STORM SEW TRK a
* STORM SEW LAT 1981
CURB 8i GUTTER
SIDEWALK
STREET LIGHT
WATER CONN, it
BUILDING PER. 5684 of
SAC
5
00
PARK .
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
REC61V6D
FROM
AMOUMT $ 17
?oo
? CASH El CHECK
Sc ?
L?i C BY
White-Payen Co ,
Yellow-Posting
Pink-Fila Copy
Thank You ,
cirY oF U"N
?---'" ' 3796 Pilat Knob Road Eogan, MN 55122 N2 5684
PHONE: 454-8100
' BUILDING PERMIT RQceiPt #
Ts b? u?ad for ?' r• Est. Volue Date 19
Site Address " '" ? ??'•? Erect ? Occupancy
Lot Block ' Sec/Sub. john!?;??, Alter ? Zoning parcel # P.ld gC Repcir ? Fire Zone
Enlarpe ? Type of Const.
oWc Nome i'n;??. Move Stories
3 Address 1-7I2 ln S :,'rG:?!7 Y'Ju:.: Demolish ? Front ft.
? ??... ., .-. ?..?, -., oL___ Grade fl Depth ft.
fl Name
Address
?
Ci Phone
W
? Name
PW
1 '13, Address
I hereby ockrwwledge that I hove read this opplication ond stnte that
the information is correct und ogree to comply with oll applicoble
Stote of Minnesota Statutes and City of Eagan Ordinances.
Assessment J i j 1/ G t
Woter & Sew.
Police
Fi re
Enfl.
Planner
Council
Bldg. Off.
APC
Percnit
Surchorge
Plan chetk
SAC
Water Conn. ? Water Meter
Total
Signoture of Permittee I
?.' r r' l.?- .•' ; ; 5<_. _ _?>: C: on the ex
A Building Permit is issued to: - -- --- - - press condition thot
oll work shnll be done in occordarxe with a!I applicable State of Minnesota Stotutes and City of Eogan Ordinances.
Building Off(cinl
POMit ? Daft Iwred PwuMlw
Plumbing
Mechanical / ?/
v
INSPECTIONS DATE IIVSP.
RauqF-ln
Final
Footings ,?,7?0-86 Dofe Inep. Date Irup.
Foundotion Plumbing
Frome/ins. Mechanical
Final
Remarks:
? pU
CITY OF EAGAN
3795 Pilor Knob Read
1F>?'??: Ee9en, Mtnnesote 55122 INSPECTOR NOTIFICATION
Nt' Phene: 454-8100
REQUIRED BY LAW
, FOR ALL INSPECTIONS
PERMIT
Date: ' Receipt No.:
Single
Site Address:
" I
Residenfiol
Lot 11ock S Sub/Sec. '-1? • Ga.t:`> :' 1"gF Multi Res., Comm./Ind. I
Name 'JZ'I'1:. ...?-a .,-; .
New/Alt
r
/R
oir
.
ep
e
? Add?ess 1712 'iopkinn 1.,rousrnEIQ
f In
ll
t
ti
n
C
t
os
o
s
a
a
o
? 511-7=' 33
; tiiuietonl: a .
City .
Phone: Permit Fee
Nome enzel ?.(£Ci:e.l`dCEtl Surchorge ?
.
?
Address
?
City - - r?
. . ? Phone: -
Total
This Permit i s issued on the express condition thot all work shol( be done in occordance with all opplicable State at
Minnesota StaTUtes and City of Eagen Ordinonces.
Buildiny Official
No.
CITY OF EAGAN
3795 Wlot Knob Road
Eegan, MinnesoM 55122
Phone: 454-8100
PERMIT
Date: jY 21, lr
Site Address: `nkew We
Lot Biock Sub/Sec,
JhM7.Cake ?'3dge
Nume «'i:l 'MprT')BOI7 l?OI!!e`:
? Address i :22 2o21-28
?
City ' UZ1T]'@t'031k8 , 1." Phone:
Name ?`?'T 17elter :ie3-?-4-I1:'
r
?
Addreu
?
City . ..
Phone:
This Permif is issued on the express Condition thct oll work shcll be
Minnesoto Stotutes ond City of Eagan Ordinonces.
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
Receipt No.: - "
Single I
Residentiol
li Multi Res., Comm./Ind. I
New/Alter. / Repair
Cost of Instullotion
Permit Fee g
SurcFarge Totol
done in nccordance with all applicoble State of
Building Officiol
CITY OF EAGAN
?T
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 lr ?
912 r,
PHONE: 454-8100
Z13 -
BUILDING PERMIT Receipt 7 ?
Te be w" d fer ??I'•.:?; ?,.•: !`•.i!L: :? ? I) U(1('
Est. Volue ? Date J U; ::: ?i a
, 19
Site Addre?s 4!".? 8 y F' F:: . r•:'? : F; F 1 A?' ?]
Eract
Occupancy.
3
"
Lot ?? Block 3 Sec/Sub. •l??F?C?:rY Ci' t:l. i't] Aiter ? Zoning
ParcelNa. 10-39t,0G-050-03 Repoir ? Firc2one „i a
E V
nlcrpe O
TF.RR?PICF; CO?1N:?.Li.X TYPQ of Gonst.
oc Name Move ? # $tories
Z ??1F
Address Demotish p
- Length
City ?
.? _ - 7 L
Phone 4
Grode ? ?
Depth 2 `• Sa. Ft.
ac
o laNnF.RSON SCDERMA:]
Name wpprovols Fees
,
o?
u?
Address i700 L PIDALE AV}' SO
F; 8 1- 5 0 4 4
Assessment
Wot
r & S
w 50
Permit .
`
?' ?• 00
S
h
City Phane e
e
.
li
P urc
urye
Pl
k?Z r?
h
o
ce on c
ec
P!W N8fT1e firo SI1C
x=
uu Address
Enp.
Woter Conn.
IXZ t W City Phone plannef Woter Meter
Council Rood Unit
I hereby acknowledge that I have read this application and state that g?? Off, _
fhe informotion is correct and agree to Comply with oll applicoble ^PC
Stote of Minnesoto Stat te nd City of Eogon prdir?cet.
Sipnature of Permittee
i,. ')•:':'.?i?[: ?;C1?):,F?:•:??i.
A Building Pertriit is issued to: -
all work shol I be done in accordo e wif ol I appli ble 5tote of Mi esok
Buildinp Official "L -
_
Totol ' . 2.0. 75
on the exprcss condition thcn
5tatutes ond City of Eoflan Ordinonces.
Permit No. Permit Holdsr Misc. Permit No. Holder
Plum6iny
H.V.A.C.
Well
Weter
D'isp.
S?wsr
Ekctrie
Irqpection Date Insp. Other
Footinps
r (
Foundetion
Frsminq
Rouyh Plby.
Rouph HVA
Inwlation
Fin?l Plby.
Final HVAC
Final
Water Dascribe Location:
VWII
Sewer
Pr. Ditp.
"Tl? Of EAGAN '
795 PiloF Knob Road
gae, MN 55122
oning:
ner:
dress:
ite Address:
, umber;
1Vleter No.:
c:>o•
111 ea der No.:
agree M wa?ply with the City of Eagon
Ordinanees.
y
Date of Insp.:
CITY OF EA6AN
3795 Pi lot Knob Road
Eagan, MN 55122
Zoning:
Owner:
Address:
Site Address:
Plumber:
VIIATER SERVICE PERMIT
PERMIT NO.; DATE:
No. of Units: _
Connection Charge;
Account Deposit: _
Permit Fee:
Surcharge:
Misc. Chorges: _
Total:
Date Paid:
I nsp.:
t agree to eompiy with the City of Eagan Connection Chnrge:
Ordinartcec. Accounr Deposit:
Permit Fee:
Surcharge:
BY Misc. Charge5;
Date of Insp.: Totol:
Insp.: Date Poid:
ry 4 (a REQUEST FOR ELECTRICAL INSPECTION EB-00001-?0/3
3 5 9 6 2 ? See instrvctians for campletin8 this form on hack
?+??9 of Yellow copv.
"X" Below Work Covered by This Reqo'tst '
Ne Atltl Rep. ?' Type ol Building Ap0liancas Wired 'Equipment Wired
Home Range Temporary Service ?
Duplex Water Heater Lighting Fixtures
Apt. Building Dryer Bectric Heatin
Commercial Bldg. Fumace Silo Unloader
Industrial Bldg. Air Conditioner 8ulk Milk Tank
Farm ome. oec, y ome, (su.dfv)
thxr Sueci y Other Other
Comput Inspection Fee Below
# Fee ServicaEnhanee5iie p Fee Fextlers/5ub}extlers k Fae Circuits
0 to 100 Am s 0 to 30 qm s 0 to 30 Ainos
A 101 to 200 Amps 31 to 100 Amps 31 to 700 Am s
Above 200 qmps Above 100_Amps Above 100_Amps
Transformers Remote Control Circ. Partial/Other Fee
Signs Speciallnspection $ ?
TOT EE
Remarks ??
?
,
- the Elte6ical
Inspector, hereby
cer ify Ihat the above
pection hes been
?a da.
. d y?oc?g
?o months from
?"? 35962 L5 6 3
?
J o k n u CaL f?? AX--
S-r 9y
(G.o-O
Feque`st ?e Fire No. Rou in Inspection
Requiretl?
(Ra'1tly Nowt,]Wiil Notify InsUeo-
? ?NO t-r When ReadY
? lice sed EI trical?ConVactor I hareby requestinspection of above
Owner elecvicol work installad er
Svea[ Ad
drass. Box or Roure CitY
/
?d 6- 1 ?n 2 ? ZN-"!7 gpn_
ection 140. Township Name or No. Fange o. County
OccupAnlIPPINT) Phona No.
Power Supplier Adtlress
EI Vical Convactor ICom eny Namel . ? Conhactor'S License No.
r ?lt cr,c a lJ? / ?/?G ?
Mai ing Address fContractor or Owner Makine InsYail/e?tionl
!
SS?a2
,
* A?F ,?.// Irlq•
A44?lprized Sipn ure IContractor Owner MakinO Installationl Phone Number
zo fx4.-Q g.'p- ' s° Gtf-
.
MINNESOTA STATE BOAPO OF EL ITV THIS INSPECTION PEQUEST WILL NOT
GrigBS•Midwey BId9• - poom N•1 BE ACCEPTED BY THE STATE BOAPD
7821 University Ave., St. Peul, MN 55104 UNLESS PHOPEN INSPECTION FEE IS
nn....e f8121297_2111 ENCLOSED.
This request void.
18 montl^'s from
5
? l? `?
S V9t3 5O
Date o this Request i Fire No.
tractor 00wner, hereby ?request insAection of the above electri-
I, as icensed Electrical Co
cal wiring installed at: ?-/L
•et Address or Route No.
7 V1?? r??
P??'? w L%
s4 City?
Section Township Range County
1Ahich is occupied by
Is a roughin inspection required on this job? No ? Ye201L_ Ready Now ? Will CaM
PowerSupplier ? Address Fkph Iri Vj iN
Electrical Contractor Be('L EC.EGTR (c, Contractor's License NoP3sIq
l.? f$ e?)
yl `nY Na
Mailing Address
' al ntractar or Owner Making ThIZ Installatlon) r(??57-
Authorized Signature 1 ? 73n_c Phone No. ?
(Electrlcal contractor or owner Maklnq rnls Installatlon)
STAVE BOARD CoPY This inspectian requertwill not 6e accepted 6y the
State Board unless proper inspeetion fee is endosed.
._...e eoartl of Elecnicity /?/??
_.?ygs Midway Bldg. - Room N191 B-00001-02
?niver5ity Ave., St. Paul, Minn. 55104 - plwne 297-2111
UEST FOR ELECTRICAL INSPECTION S 5 g 3 5 0
CHECK BELOW WORK COVERED BY THIS REOUEST
Type of Butlding New Add. Rep, Chmk Appliances Wired For Check Fquipment Wired For
Home' ? ? Range ? 7empoiary Wiring ?
plex ? ? Water Heater ? Lighting Fixtuxes ?
t. Bldg. ? ? ? Dryzr : ? Etectric Heating ?
Commereial Bldg. ? ? ? Fum
LL Silo Unloader ?
Industrial Bldg. ? ? ? Au Ck? '
o Bulk Milk Tank ?
Farm ? ? ? Lis[ .?.
-. List
Othe: ? ? ? p
Hehe p Hthers?
COMPUTE[NSPECTION FEE BELOW
Seiviee Entrance Size: # Fee Feeders&Subfeedeis: u Fce Circuits: it Fce
0 to 100 Am s. ' J 0 to 30 Am res 0 to 30 Am tes (7,J?
101 to 200 Amps. 31 w 100 Am eres 31 to 100 Am eres
Above 200 _Amps. Above ]00Amps. Above 100 Am s
Transformers RemoteConUolCirc. Pattialoro[hetfee ?
Signs 1 1 S ecial Ins ction Minimum fee
Remarks TOTAL FE ,?i •JU"? AoJ
I, the Electrical Inspector, hereby certiFy
(Final)
This request void
18 months from
been made. J
e
c fo '.7-E d
CITY OF EAGAN *T
?
9125
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55 121 N
PHONE: 454-8100 , /?
-
BUILDING PERMIT Receipt # ?3
/
To ba uwd for FAM RM ADD Est Value $20,000 Dote JUNE 4 19 $4
Site Address
Y ?
4689 PENKWE WA Erect
p«upo,Ky
R3
Lot 5 Block 3 Sec/Sub. JOHNNY CAKE RIDCp&ef ? Za?irkg Rl
Pa.ceirvo. 10-39800-050-03 Repoir ? FireZone N/A
Enlarga ? Type of Const. U
W Name TERRANCE CONNELLY Move ? # Stories
Z Addrass SAME Demolish ? Length 21
? City Phone 454-7286 Grode ? Depth 22 Sq. Ft.-
? ANDERSON SODERMAN Apvrorala Faes
o Name
?? Address $700 LYNDALE AVE SO Assessmenr_
? City BLMTN phone $$1-5044 Water&Sew.
F Police -
w Name Fi
F
?
Address re
E
? np.
?W City Phone Plonner_
Cauncil _
( hereby ocknowledge that I have read this op0licotion ond stote that Bldg. Off. _
the informotion is wrrect nd ogree fo comply with all applicoble
Stute of Minnewta $tot?and Cify o?( EaQan ,Ordinywc6AS. -
APC
Signoture of PermiRea -nbE
A Bulldin9 Permit is issued to:
oll work shall be done in occo
Buildfng Offlciol
Permit . 5 0
Surcharge 1 0• 00
Plan check 70. 2 5
SAC
Woter Conn.
Woter Meter
Rood Unit
Toml $ 220.75
on the expreu condition thnt
$tatufes ond City of Eapan Ordirwnces.
CITY OF EAGAN
Include 2 sets of plans,
1 Certi£icate o:.Survey &
BUILDING PERMIT APPLICATION 1 set of_ enerTy ca].culations.
t?Zo,aoo °= - /
To Be Used Eor Awu a+ry I Valuation ? Date 5'115"19' 7
Site Address: 4-68y ENre-w6: WPY \ OFFICE USE ONLY
Lot ? Block 3 sec./sub.
R,cc,6 anou, Erect OccuIancY
Parcel #: /O '3 ??ir-? Fire Zone N/A
Qaner: TtF-R-A-jtE GoNos"Y
Address_ Swr?, hS S?7E
City/Zip Code:
Enlarge _ Type of Const. 'Z7
Move # Stories
Delmlish Front Z j ft.
Grade Depth 2Z ft.
Phone #: 'J 2 q APPROUALS FEES
Contractor: dn?A&lciu,.j SoI1eR-n.,? Assessments Pexmit ?40.5'
W3t.Er/S2M72r SUYCh3PY.J2 I 0?
ACZ(3Y'255: $7OD l.. 1( N DA l.A- N v( , S+.
P
li
Plan Check 5
?o
o
ce .
City/Zip Code: IbLror.,44r4/3 5S"?to Fire SAC -
EnW• Water Conn. -
Phone #:
Planner Watex Meter -
Council Road Unit -
Arch./Eng.: GrN7M??o?- Off
Bld
ffq
33
.
o
g.
1lddress: sA.•,s APC -----
City/Zip Cocle: 5 aM,f
Phone #: S•µdl ?- TOTAL a a o, J J`'
//yc5,
2o,c 22 = 4 40 x 4 I= iF2, ogo
(Px7 ? gZn 4) = l 12Z
, ; - I6i-7cP2
. , o00Uw
0*
14G•SC}
1?•C0+
7 7 "h
2 2 C ^ 5 ,.
rrY OF EAGAN
BUIIDINGP'?urP APPLICATION
;
? 3 7,oao ?
4b Be Used For RXS IDEn,c V. Valuation
S1t.E PLICILESS: Q-:-N`F0E (135-4
iot -Q5- El«ck ? sec./s,ab. sw+uNy cnKe
Parcel #:
Qaner:
Pddress:
City/Zip Code:
Phone #:
Contractor: ORRIN THnMPSf1Nl Hf1MFC
a Division of U. S. Home Corporation
AddreSS: 3712::S6R9S6R8kB
City/2ip Code: MINNETONKA, MINN. 55343
Phorne #: Syq•1333
Arch./Fng.:
Ptidress:
(7ty/Zip Code:
Phorie #:
Erect
Alter
Enlarge -
Nlove
Datolish
Grade
Include 2 sets of plans,
1 site plan w/elevations &
1 set of energy calculations.
Date 3-a5-8o
OFFICE USE ODII.Y
occupancy Zo ?/
Fire zore 3
Zype of Const.
# Stories
Front ft.
pepth ft.
Assessments ,•,/?a
Water/Seaer
Police
Fire
En3 •
Planner
Council
Bldg. Off.
APC
Peanit
Surcharge
Plan Check b'y
SAC
Water Conn. ?
Water Meter /?p
Road Unit % ?,5
z ? -
TOTAL
%?,??
cIrv oF eacy?N
3795 Pilef Kee6 Roed Fegan, MN 55722
PHONE: 4548100
BUILDING PERMIT APPLICATION
siee Address 4689 pQn1:we way
Lotq - BixkI Set/Sub..Tnhn? ?'?k?
p,,,0ei # Ridae
? Name nr+-; x? Thnmpsnn HOIOPS
3 Address 1712 Hookins Crossroad
0
zu
V?
?
Name _
Address
Name _
Address
I hereby acknowledge that I have read this application und state thut
the infortnation fs correct ond agree to comply with all upplicable
$Mte of Minnesota SMtutes and City of Eagan Ordinances.
$IgnMUre of PermiMea
A Building Permit is issued to: all work shall be done in occoce wi Ilwbl e of
Buildfng Offieial
Receipt #
N? 5684
Erect $] Occupancy R'i
AIMr ? Zoning R1
Repair ? Fire Zone 3
Enlotge ? Type of Const. V
Move p # Stories
Demolish [] Front ft.
G.ade ? Depth ft.
Apprmala Feee
Assessment 3 / ?1 / R I
Woter & Sew.
Police
Hre
Eng.
Planner
Council
81dg. Off. 4/ d/ R!1
APC
Permit l OA _ f10
Surcharge 1 R _ S(1
Plen check 54 _ 00
SAC szs_nn
Water Conn. 117) S_ Q(
WaterMeter Fn -nn
'naA Tini+ 185_0(
Total 42.57-
on the express condition that
Statutesond Gry of Eagan Ordirwnces.
2005 RESIDENTIAL BUILDING PERMIT APPLICATION ? O
? City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone 9 651-675-5675 FAX # 651-675-5694
New Constmction Reauirements
3 registered site suroeys showing sq. fl. of IW, sq. fl, of house; and all roofed areas
RemodeUReoair Reauiremenis
2 copies oi plan _. ......, ...
Office=USe dnW
Cerf nl5urvey Recd
1Y _N
`
(20% mauimum lot coverage allowed? 1 sef of Energy Calculations for heated additions
& d
k
di( Tree PreS PlanrR2etl
Tr¢e Pres Reqtiired :3
_N.
? Y N
2 capies of plan showing beam 8 window sizes; poured found design, etc. s
rons
ec
7 site survey for ad
Addifion - indicateifon-sifesepficsystem System
Drt53?e3ephG _
isetofEnergyCalculations ,
3 copies oF Tree PreseNation Plan if lol platled afler 71153
Rim Joist Detail Options seledion sheel (buildings with 3 or less units)
DateI I_/M /05y?
Site Address ? (eg)q
Description of Wark
Multi-Family Bldg
_ Y ?0 N
Property Owner 1
Contractor _
Address _
State _
Construction Cost $ oo o.?
UniUSte #
v.
Fireplace(s) _ 0 _ 1 _ 2
/ f-I
Telephone # 0J'?1) y511- 7 U(P•
New Windows for America
559 Shoreview Park Road
Shoreview, MN 55126
(651)203-0149
www.WindowsAmericamn.com
p
City
Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Categorv 1 _ ??esota Rules 7672
Ene?gy Code Category , Residential Ventilation Category 1 Worksheet . New Energy Code Worksheet
(J submission type) Submitted Su6mitted
. Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Confractor
Telephone #(
Telephone # (
Telephone #(
I hereby apply for a Residential Building 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 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
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 Pnnte ame pplicant's na ure ??? ? V ? • ?i
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OB 06-plex ? 16 Fireplace ? 21 Porch (3sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? OS 03-plex ? 11 1 D-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement O 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bidgs Length Fire Sprinklered
Type of Const Width
REQUIItED INSPECTIONS
Foo[ings (new bldg) _ FinaUC.O.
Footings (deck) _ FinallNo C.O.
Footings (addi[ion) _ Plumbing
Founda6on ^ HVAC
Drain Tile Other '
Roof Ice & Water Final Pool _ Ftgs _ Air/Gas Tests Final
_ Framing _ Siding _ Stucco _ Stone _ Brick
Fireplace R.I. Ai rTest Final Windows
_
Insulation _ Retaining Wall
Approved By: , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
4689
C. R. WINDEN 3 A550CIATES, INC.
!7'???` V IAND SURVEYORS ftl 645•3646
V
1381 EUSTIS 51., ST. PAUI, MINN. 55I08
For:
U. S. HOME CORPORATION
o.
?-?
C? lJ
1
\
\
z
25'L° sed
pYOPo
e
; No?s
?
? ?yeYra?9
?''
?o
P?NK?E
\
v\
`
?
?
WAy
N
Scale: 1" = 30'
O Denotes Iron
i
?
Lot 5, Block 3, Johnny Cake Ridge
Addition, Dakota County, Minnesota
wE HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE
60UNDARIES OF TME IAND ABOVE DESCRIBED ANO OF THE IOCATION Of All 6UItDINGS, IF ANY,
TMEREON, AND AlL VISIBIE ENCROACMMENTS, IF ANY, FROM OR ON SAID IAND.
Dotad fhis 2 0 r w doy oF MA R A.D. 1960 C. R. WINpEN 3 ASSOCIATES, INC.
bY 6L?.??.?.?
Sur.oyor, Minnetoro Rapistrotien Ne.77u
2000 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
3 Olo6y 651-887-4875 ?-
Remodel/Reoalr Reaufremenb
S-ay-c? 0
> J regiatared tlte wrveya alwwing aq. fl. d bf, a% fl. of house
and g,o roofed areaa CM maxlmum bt covemce albwadl
> 2 coplea of plans (ahow beam & wlndow sizes; pouretl Md. tlealyn; etc.)
> 1 sef ol energy ca culatlons
a 3 coples of tre "rv Bo plan 116ot platted afler 7/1/93
oA,E:
DESCRIPTION Of WORK:
STREET ADDRESS: -L6 _D /
LOT: ? BLOCK: 3 SUBDJP.I.D. i:
2 caplec of plan
130 of energy cdculaMons la heated addiNOns
1 aite aurvey tOr exleAOr adcUtlons 8 tleCka
CONSTRUCiION COSf:
V\, L W-e-
2 .3 3 0
Name: \ (9on , ll !4 MI `i 0 Phone M V5-/ 7 73?
PROPERTY LOS1 First
OWNER ? „ ,
Sheet
citY o`_ c G n S a te: ?In ziz zip:
Company:-Cj?C?g2,` Q f io%i4one #: ? ??? ?tlal,615
(area code)
COMRACTOR y?7 .SPC°OnC'A 5?
Sheet Addreas: llcense If ? J? p, ?//0r
city v t°A-, o /1 s?are: 64L np: Yv/'?! 6
ARCHtiECT/
EfdGINEER
Telephone a: (
Name:
Sheet Addreas: Registraflon #:
Clty
State:
Sewer/watar Iicensed plum6er (if Installinn sewerMraterl: Phone #:
uP:
I hereby acknowledge Ihat I have read this applicaHon, sfate thaf Ihe infomwfion is cortect, and agr to comply wNh a0 appacable State
ol Minnesola Statutes and CHy of Eagan Ordinances.
Signalure of Applicant
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No '
Tree Preservation Plan Received _ Yes _ No _ Not Required VipY 2 a
?
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 05-plex
? 02 SF Dwelling ? 08 06-plex
? 03 01 of _ plex O 09 07-plex
? 04 02-plex ? 10 08-piex
? 05 03-plex ? 11 10-plex
? 06 04-plex ? 12 12-plex
WORK TYPE
? 31 New
? 32 Addition
? 33 Alteration
? 34 Repair
? 13 16-plex ? 21 Porch (3-sea.)
? 17 Garage ? 22 Porch/Addn.(4-sea.)
? 18 Deck ? 23 Porch (screened)
0 19 Lower Levei ? 24 Storm Damage
PIOg _YOr_N ? 25 Miscellaneous
? 20 Pool ? 30 Accessory Bidg.
? 36 Move Bldg. ? 43 Reroof
? 37 Demolish (Bldg)" ? 44 Siding
? 38 Demolish (Interior) ? 45 Fire Repair
? 42 Demolish (Foundation) ? 46 Windows/Doors
' Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code
No. of Units
No. of Buildings
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq.ft.
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning Building
Permit Fee ? ) -? •?5-
Surcharge
Plan Review
License
MC/ES SAC
Ciry SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Traiis Oed.
Other
Copies
TotaL• a -D-9. ? S
sq. ft.
sq.ft.
Footprint sq. ft.
Census Code
MCiES System
City Water
Booster Pump
PRV
Fire Sprinklered
_ Engineering Variance
Valuation: $
? 31 Ext Alt - Mutti
O 33 Ext. Alt - SF
? 36 Mutti
SAC Units
% SAC
.
CITY OF EAGAN
EARLY UTII:ITY CONNECTION PERMIT
4684 peDkwe Way
Address Subdivision/Parce
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 CiCy 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: WENZEL MECHANICAL
Ownel?i.r?un.••-
Developer:
Builder
Dated: 5/27/80
$ -ZC.so
? 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomes/condos when permits aze required for each unit Date?/119 / 0,5
Site Address '??O d I _YPJ7kW E. WA ?/ Uuit #
Property Owner 1 P r T?,?rln Telephone #( 63 n/5^{
Contractor A qu? I0.
StreetAddress d&(p Jr Jr'% J i• W. City osemo??
State A-11V Zip '5 QZP Telephone# 461 O2(P
Bond #: Expires:
The Applicant is _ Owner _X Contractor _ Otber
Add-on or alteration to eaisting dwelling unit $ 30.00
? furnace _Additional _LReplacement _ New
air exchanger
air conditioner
heat pump
other
State Surcharge $ .50
Total $ ? 50
I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; tYiat the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechazncal Codes; that I understand this is not a
peraut, but only an application for a pernut, and work is not to start without a permit; tLat the work will be in accordance with the
approved plan in the case of work wlrich requires a review and approv I
NQ M1??S?F N?/4C teOYQi/I?CCdi^
Applic nYs Pnnted Name Ap licant Signature
2005 COMMERCLAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: comtnetciaVindustrial buildings
multi-family buildings when separate petmits are nQ required for each dwelling writ
Date
.
..
`
.., ?;
Site Street Addrese , IInit #
,
_?_
0
Tenant Name (f applicable) previous Tenant Name
r.,'".:
Property Owner ; ?x... ' • . ?.?, `
T81ephone.#:( . )' • . ' i
Contractor .?; . • ?',_
Stree[ Addr'ess`4%' " " • Ci'iy^'.. `
'
: . .
State ? " ? ' 'ti • x . Zip Telephone # ( ) Z .
Bond #: Eapires:
The Applicant is _ Owner _ Contrador _ Ofher
Work Type
_ New Construction _ Underground Tank Install _Remove "see below
Interior Improvement _ Install Piping _ Processetl _Gas
Nature of Work:
"*When installeng/removing underground tank, call for inspection by Fire Marshal and Plumbirtglrtspector
PC17ttif FCCS: $70.50 Undergound tank installativnlremoval
$SO.SO Min? (includes State Smchazge)
or
ContractValue $ x 1% PermitFee
$ State Surcharge
If nemut fee is less than $1,000, add $.50
If perntit fee is more than $1,000, surcharge
. is $.50 for every $1,000 owed
$ Total Fee
1 hereby apply foc a Commercial Mechanical Permit and acknowledge tha[ the infocmation is camplete and accuraze; thaz the work
will be in conformance with the ordinances and cndes of the City of Eagan and with the Mechanical Codes; ttiat I understand this is
not a perxnit, but only an application for a pennit, and work is not to start without a pernut; that the work will be in accordance with
the approved plan in the case of work which requires a review and approval of plans.
ApplicanPs Printed Name' . ? ^y.r •`'.. . ,... .t t; ? Applic2et's'$ignature5' . ... .t!''.tT9'JP'? ; ?.tYt= i.
Approved By: , Inspector Date:
ltequired Inspections: _ U.G. _ RI. _ Air Test _ Gas Service Test
_ Infloor Heat _ Final
City of Eaku
3890 Pilot Knob Road
Eagan MN 55722
Phone:(651)675-5675
Fax: (651) 675-5694
2008 RESIDENTIAL BUILDING PERMIT
Mts:?0 K 5fto ,??ss: y ?? _Pu??.?I aa-
Ta?m:
?-----------------
? P
r
i
j Dffie Received: j
I Sfafl:
PLICA l4EP 0 3 2008
Su,ts #:
RESIDENT / OWNER Name: PhonehCi I'Ml 4 __iZUP
Address / Ciry / Zp: -1 W?glUua ? ?A 1
Applicant is: _ Owner Contractor
TYPE OF WORK Description of work:i W 4f
?
Construc6on Cost: %r,
?1 Iq0D Mul[fFamily Building: (Yes_ / No
CONTRACTOR ,1
Name: ? Licerue #: ZD1`1 ILi 10
naarers: l b-I (lU Ln &C S ? cite ZO?
A"
(bk, \
?5ti
D
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9
4)
[.v
%zip:
ciry: _
I state:
?
cn
t
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Phone:JSZ - O(4?y- S9xo Contact Persore oV' WW
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateorv 1 Minnesota Rules 7672
EIMfQy CCdC . Resitlerrtial Venpla6on Cffiegory 1 Waksheet ^• Naw Energy Cade Worksheet
Category Suwmiaed sutmmed
(4 wbmission typ8) • Energy Ernelape Calculatlore Submitted
In ihe lest 12 mOMhs, has the CNy of Eagan issued a pumit far a simller pian bsaed on a master plen?
_Yes _NO If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanlcal Contractor: Phone:
Sawer & Water Cpnhuaar: Phone:
NOTE: P/ai+s"'and supporfing dawrrrenfa tieaf you suGmit a?e consldered to be puWic intormsHour. PoRlon"s o/
ihe /nlamatloo-may pe clasaHied as non-publlc !1 you provlde spec?f!c reasons that woWd permlt the CIty to
conclude thet the are trade secrets.
I hereby edcnowledge ihel 1MS irrfortnation is complete mM acwrate; Maf the work wi0 be in coMOrtnaxe wilh the ordinances arW eotles ot Uie City oF
art wl
MOUt a pertni[; tat the woAc will be in
Eagan; that I understerkl tltis is not a permit, but only an applicatlon for a permit, antl i E
with the app" plen in the case of work which requires a review arid ?6 ?.Cure?- ? 4?
ApplicaM's PrlMed Neme Ap i s ure
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