Loading...
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 V 9 4) [.v %zip: ciry: _ I state: ? cn t V 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 Page 1 of 3