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4694 Penkwe WayCITY OF EAGAN Remarks Addition .T.(?MOM QA_X_H?,];?(;? ,-A-BU?(;?jf1 Lot 11?-Blk Z Parcel 10 39800 120 02 Owner Street 4694 Fenkwe WaY State EAtAil , MIN 55122 Improvement Date Amount Annual Years Payment Receipt Data STREET SURF, STREET RESTOR. GRADING SAN SEW TRUNK * SEWER LATERAL WATERMAIN ,t WATER LATERAL 1981 WATER RREA a 7 STORM SEW TRK o26 * STORM SEW LAT 1991 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. tt f? BUILDING PER. » et SAC PARK INSPECTION RECURD CITY flF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (651) 681-4675 SITE ADDRESS:' APPLICANT: ???;1+Jt1 i ? 111 t I, f 1l4,t I „ t?.?.?4, PERMIT SUBTYPE: TYPE OF WORK: fiF ':1 I? ! 1' i f V" +i/1ti i!4''t I? I; ci/ I ? P!'=I'I i (f !) Nl (IlP I -1 ? Permit Nolder Date Telephone k SEWER/ WATER PLUMBING HVAC Inspectlon bete Insp. Commertts FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST flOUGH HEATlAlG GAS SVC TEST INSUL GYP BOARD FIREPLACE C(/(S FIREPLACE AIFi TEST FINAL PLBG FINAL HTG ORSAT TEST 9LD(3 FiNAL DOMESTIC METER IRRIGATION METER FLUSH MRINS • coHDucnvirr resT HYDROSTATIC 7EST BSMT R.I. BSMT FINAL DECK FfG DECK FINAL CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 AMpUNT $ I a oq Lw +o ? CASH ? CHECK FOR . /2_ White-Payers Copy Yellow-Postinp Copy Pink-File Copy Thank You ??' BY ?V ? cinr oF E?Gn?N 3795 Pilet Knob Read Eagae, MN 55122 N2 5682 . PHONEt 4.i' 4-8100 BUILDING PERMIT Receipt # To be umd for . Est. Volue ; Dote , 19 Site Address Erect [] puuponcy Lot Block ? Sec/Sub. IJAlter ? Zoniny Parcel # Repair p Fire Zone Enlorge ? Type of Const. e o Name - - Move ? #? Stories W Z 3 Addreu - - Demolish ? Front ft. ? • Ci ? Phone - ? Grode ? Depth ft. p ' Name Approvols Feea ?1? Address ? r.... Name _ Address I hereby ocknowledge thot I hove read this application and stote thot the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Assessment Water & Sew. Pol ice Fire Eng. Planner Countil Bidg. Off. APC Permit 1 Surcharge Plon theck SAC ? Water Conn. Water Meter Totul $ignature ot Permittee I A Building Permit is issued ta on the express condition that all work shall be done in accordance with nll applicoble State of Minnesota Statutes ond City of Eagan Ordinances. Building Official Pennit # DoM PWeMtN Piumbing Mechanical -7c? _ a INSPECTIONS DATE INSP. RouOh-In Final Footings Date Insp. Data Insp. Foundation Plumbing Frume/ins. Methonitol Finnl ?.f Remarks: hlo! : ?.,.._.. ?._? . 27, 19$0 Dote: Site /Iddress: CITY OF EAGAN 3795 Pilot Knob Rood Eagan, Mfnnesota 55122 Phone: 454-8100 PERMIT 4694 Penkwe Way Lot I ? Block 2 sub/Sec. TTy•Ck.Rd.g INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS , ,- Receipt No.: Single I Residentiol Multi Res., Comm./Ind. I Name OITi21 ?'hompsOil H0flies r' 'New/Alter./Repair. ? Address 1712 HopLins Cressroscl Cost of Instoliction ' ?Tlil@tOrikB .N City ' ? Phone: Permit Fee ` Name Surchorge ? Address 3'. .; ? ::r•1',^..?:,???' .-r:??.r,., City ` Phone: Total This Permit is issued on the express condition thot all work shcll be done in accordance with oll applicoble Stnte of Minnesota Statutes and City ot Eogan Ordinonces. Building Official No. cirY oF EAGAN 3795 Pilof Knob Read ' Eogan, Mlnnesota $5122 Phowe: 454-E100 PERMIT T Dote: Lme 18, 19$0 Site /lddress: ?.; . .: , . " Lot Block 5ub/S INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Receipt No.: Single Residentiol ec. •, , ??rrin Thompsan Hor±es ,, , .. Name New/Alter./Repoir ? Address Cost of Instnllotion City Phone: Permit Fee Nome Surcharge $. ?+ , ,. .. ._C.'., "t'. . V{?. ? Address - : 1s.554C?7 City Phone: Tota l This Permit is issued on the express condition that oll work shall be done in occordunce wlth oll opplitable State of Minnesoto Stotutes ond City of Eogon Ordinances. Building Officiol of Insp.: I ITY t7F EAGAN ..795 Pilot Knob Rood gae, MN 55122 oning: ner: Address: Site Address: Plumber: a9?ee to wmply with fhe City of Eagon Connection Chcrge: ? fnanees. Account Deposit: Permit Fee: Surcharge: i: -. r`? By Misc. Chorges: Date of Insp.: Total: D nsp.: DaYe Pnid: Address: iber: _ ir No.; _ N? • to eompip with fhe Ciryr of Eagan WATER SERVICE PERMIT PERMIT NO.- ne-rP• _ No. of Units: _ Connedion Charge: _ Account Deposit: . _ Permit Fee: Surcharge: ? Misc. Chorges: Total: _ Date Poid: _ 1 nsp.. SEVNER SERVICE PERMIT PERMIT NO.: DATE: No. of Units: 0 This request void ] 8 months ;rofn Date of this Request_ _512I 11?0 Fire No. S 64395 I, a wLicensed Electrical Contractor ? Owner, do eby reques ms on of the above electri- ? a.?8 ?St?ed at: ?0, a 6 a C,?. . Street Address or Route No. 1W I 1 1 c.?Y?'livllrV City ? Section Township Range County 4pom Which is occupied by (rvame or o<cupant) Is a roughin inspection required on khis job? No ? YeC&- Ready Now ? Will Call Co Power Supplier k3 Address f AA''tfNb1 ,Y') Electrical Contractor E7('eGrf- IG Contractor's L,icense Nh_751q + Company tName) Mailing Address I t E• YL (?i RD• ( I cal Co tractor or Owner Makin9 Thls Installatbn) n Authorized Signature Phone No. ? la - SSOS S?{'??? ?(?} y(? ?? ??? tq This inspection requeat will not ba accepted 6y tfie Fd ?7CrJ ? State Board unless proper inspeetian he is enclmed. w mmaaa a?a?n waru e? uwa?c?ry ' Griggs Midway Bldg. - Room N791 1821 University Ave., St. Paul. Minn. 55109 - Phone 297•2111 REQUEST FOR ELECTRICAL INSPECTION CHECCC BELOW WORK COVERED BY THIS REQUEST EB-00001-02 /9/Zr a-- S 64395 Type o[ Building New Add. Rep. Check pppliances Wired Fox Check Equipment Wired Fo[ Home Duplex Apt. Bldg. Commercial Bldg. ? ? ? ? ?? D ? ? ? Range -rA Wate ter Drjo Fu AJID Temporary W'ving Lighting Pixtuxes Electric Heating Silo Unloader ? (o ? ? Industrial Bldg. Fazm ? ? ? [] ? [] Air dn, List Bulk Milk Tank List ? Other ? ? ? p Hehe15i Herers? COMPUTE INSPECTION FEE BELOW Service Entrance Size: # Fee Fceders&Subfeeders: # Fee Cucuits: # Fce 0[0 100 Am s. ' 0 to 30 Am eres 0 ta 30 Am eres 101 to 200 Amps. 31 to 100 Amperes 31 to IOU Am res 9.lY Above 200_Amps. Above 100 Amps. Above 100 Amps. Transformeis 1 1 RemoteControlCvc. Pattialorotherfee Si ns Special lns ection Minimum fee .00 Remaiks / TOTAL FE ??? I, the Electrical Inspector, hereby certify (Final) This request void 18 months from been made. e (a _ r'G-bD e fn_ /- &d cirir oF eac,aN 9795 Pllet Kneb Nwd Eegan, MN 55122 - _ PHOPIt: 454-8100 BUILDING PERMIT APPLICATION 5ite nddress d696 penkwa 1nTay Lor 12 Bixk 2 Sec/Sub. J hnn Cake Ri ge Parcel # Name OYYlri ThOIRASOR HOIClOS ? Address 1712 Hopkins Crossread p Name _ 8? Address riw. Nome Addrea 1 hereby acknowledge that I have read this application and state Thot the informotion is correct ond agree ta comply with oll applicable SmM of Minnesota SMtutes and Ciry of Engan Ordirwnces. Signature of Permittee - A Building Permit is issuad M: all work shall be done in xoo Reeetat # N? 5682 Se Ered r] Occuponcy R "i AIMr ? Zontng Rl Repolr ? Fire Zone I Enlarga ? Type of Const. V Move ? # SMries Demolish ? Front Sn ft. Grode ? Depth '314 ff. Approvals Feee Assessment .i.( ?> Water 8 Sew. Police Fire Eng. Plonner Council Bldg. Off. 4/ 4/ 8 0 APC Permit 1 77 _ QO Surchorge 37 _ SIl Plan check R R_ S 0 SAc ?qV;_nn Water Conn. 105 n n WaterMeter 1; 0 nn 'naA iTni+ 1 R5 1 0( Totcl I-A7R n n on the express crndition thet Statutes ond City of Ea9an Ordirances. Building Official , CI'i'Y OF EAGAN Include 2 sets of plans. 1 site plan w/elevations & Li ' BUIIDING PERMIT APPLICATION 1 set of ererY7y calculations. 'ib Be sed For Res%oeNCe Valuation Date Site Address: Li ??CA, Li V s W Ir`( OFFICE USE OrII,Y I,Ot (Z B1IX',k c SP(../Sl.IU. S0MNN`{ CF1KE Q\n4E Pa.rcel #: R.mer: Pddress: City/Zip Code: ect. X Er ? ? - Alter Zo ? Repair . Fire Zone 3 Ehlarge _ Type of Const. _ Nbve # Stnries Dernlish Fzont Sv ft. Grade Depth 3 y ft. Phone #: Contractor: a Division of U. S. Home Corporation ?L2S5: }7}z?+^vPIONS-6fi9SSRBnB City/Zip Code: MINNETONNA, MINN. 55343 Phone #: Syq-1333 Arch. /Eng. . Pddress: Assessments ?U_ PPSmit / 77 W3ter/Sewer Surcharge 3 7 - Police Plan Check g 8'::? Fire SAC gig, Water Conn. o S Planner Water Meter too ? Council Road [Jnit ew- Bldg. Off. APC -- City/Zip Code: Phone #: TO'PAL /d 7 d ? ?? ,?D 6F City of Eagan Cash Receipt Receipt Date 7/11/2008 Receipt Number 192074 9699 PENKWE WAY/DAYCARE INSP. DAYCARE INSPECTION 1221.4216 SO.ODDAYCARE INSPECTION Total Receipt Amount 50.00 121197 9:11:36 1 ra k< ?%x; :,?. ?X kc ? ? X? ?:'r• ? , ? ?h x?>R x? :k ra ?:,: m M ? >'r• ae ?k a, r, ? ? v,c ti' ?>k ?k ?E a?o8 X: r.,I7Y r'tl` I..Ai1AN L'AaN7I-Rc S il::l+'MINAL NCI? 931. DA'fC^ 10/29198 'Y'IM[ r, 1aOMc'3 ID? NFlt4r;; t:,AS I.INf.-_ PL.115 INr. 3210 9001 4694 F'FNKIAIE MIAY 50.00 ^ci''i;i 3001 4694 F'Etlh(Nlc PI6aY 0.50 iotai F:'ecei.pl; F11i:Uu77F.t SJe']!] r,;;o3t392o usea? rDg Nnr,rv :1c ??.",:%??>Sn?F%?.a%%w$<?k?v,:?'?wBiSt•%X ?k•.'r??e?c>e?:?c%k?;:>;c#?Y• ??':%? PERMIT CfTY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (651) 681-4675 PERMITTYPE: suzLorNG Permit Number. 0 3 3 8 3 4 Date Issued: 10 / 2 8/ 9 8 SITEADDRESS: 4694 PENKWE WAY LOT: 12 BLOCKr 2 JOHNNY CAKE RID6E P.I.N.: 10-39800-120-02 DESCRIPTION: Gas INSERT/GAS LINE Bu14dirfig--Permit Type FIREPL.ACE B?iilding W'ork 7ype ALTERATION ,6'ensus Code \ 434 A17. RESIDENTIAL ? N, ? REM&W;EY/FLUE MUST BE INSPECTED BEFORE CONCEALING. FEE SUMMARY Base Fee $50.00 5urcharge $.50 Total Fee $50.60 C(?NTIi?CTOR: - Applicant - OWNER: C?A LI PLUS INC 12266220 MITCHELL KEN 466 RUTIEDGE ST 4694 PENKWE WAY PRIOR LAKE MN 55372 EAGAN MN 55122 (E12) 226-6220 (651)452-2514 I hereby acknowledge that Z have read this application and state that the information is correct and agree to comply with all applicable State of Mn. Statutes and C_i.ty of Eagan Ordinances. I APPLICANT/PERMITEE SIGNATURE \=?t? Pq i 1? I D BY: SIGNATU CITY OF EAGAN • ? ?'( ?S3830 PILOT KNOB RD - 55122 " 4999 FIREPLACE PERNIIT APPLICATION ??':?6' 3?j 681-4675 I 'O DATE: _ 10 -a-? "9? PERMIT FEE: $50.50 DESCRIPTION OF WORK: _ COI35TRUCT NM FIREPLACE _ ALTERATIONS TO EXISTTNG _ INSTALL GAS INSERT ONLY _ INSTALL GAS LINE ONLY OTfER: i?15? r'f` 4 9AS Ii Il9_. 4-o u?vu i- STREET ADDRESS: - <<? 1 -7 [ 2 n K I.i LOT ? BLOCK SUBD./P.I.D APPLICANT: (circle one only) OWNER Name: Phone #: I hereby acknowledge that I have read this application and state that the information is conect and agree to comply with al] applicable State of Minnesota Statutes and Ciry of Eagan Ordinances. PROPERTY OWNER FIR£PLACE INSTALLER Signature: Street Address: -63AIN.a CL8 ?A City: State: Zip: Company: Gas Line Plns, Inc. Phone #: 4806 Hntledge 3treet _r n, Signature: - p=j= t.a1rp, 1b(N 6lS372 ?T Q-G?', Street Address: City: GAS LINE Company: INSTALLER Name: Phone #: P.A-u Signature: Street Address: City: License #: 5tate: Zip: OFFICE USE ONLY BUILDING PERMIT TYPE ? 14 F'veplace WORK TYPE 0 31 New ? 33 Alterations ? 32 Additian ? 34 Repair GENERALINFORMATION Census Code. 434 SAC Code Ol REMARKS Chimney/flue must be inspected before concealing. ?lO?cb? 2000 BUILDING PERMIT APPLICATION (RESIDENTIA,L) CITY OF EAGAN d} 3830 PILOT KNOB RD - 55122 `~P 113,76 851-6S1-4875 Name: ?q&4''_?' Fl?T?- ?/ - Phone #: ?fSZ Y 3 roplderetl sNe wrveya Ywwlny tq. R d bt. $4 B. ol house antl gff rootetl areas C20% mmdmum Iot ooveraae a0owefi ? 2 coPlet of Plana fahow bearn h wlntlow slses: Pa+red kid dadyn: etcJ D i fet of aneryy CdculuMOru a S eoples d hee preservaMm plai H lof plaAfed aRer 7/1/93 DATE: Y-ZS Z nb O Remodel/Reoair Reauremenb 2 coples of plan t ser w eneryr cacwanons ror BeaW aaan«u t qte wrvey far exteAOr atltlitlont R deeka 00 CONSiRUCT10N COST: DESCRIPTION OF WORK: rf4L-r5'?''IAJy(PC 'Ff' / QCYA,qt/3 . ZS `.6ceT STREET ADDRESS: LOT: ja BLOCK: a SUBD./P.I.D. i: PtorERrv OWNER COMRACTOR ARCHIiECT/ ENGINEER Shee1 L?? 1??q5o 5-3_oa7 CNy State: ?w -- Zip: S S,1LL Compony: .,- y? -7NC_ Phone ?: C?(2- (area code) Sheet Address: ?(1l Y O alaQ[yIA/-,&ff. Ucerse M SZ?Exp. 3 3/-7no/ Cly Siate: Zip: Company: Name: Telephone A: ( Sheet Addresa: ReglshaHon #: CHy Sfate: Sewer/water licensed plumber (H installtna sewerAwater): Phone #: nP: 1 hereby ackrawledpe Mat I have read ihis applicalbn, afate Ihat the WonrwMon Is cortecf, and aWee b comply wNh a9 apPIcOble Sade of Minnesota SMlules and CMy ol Eapan Ordinaneea Siywlure of Applicaft. PRSS,ox,rr Ts.or? -?.c. OFF,ICE USE ONLY / / Certificates of Survey Received _ Yes ? No ' ?) MAY I Tree Preservation Plan Received _ Yes _ No ?! Not Required ?? OFFICE USE ONLY BUILDING PERMIT SUBTYPES O 07 FoundaUon O 07 OS-plex ? 02 SF Dwelling ? 08 06-plex ? 03 01 of _ plex ? 09 07-plex O 04 02-plax D 10 08-piex O 05 03-plex ? 71 10-plex ? 06 04-plex ? 12 12-plex WORK TYPE ? 31 New ? 32 Addition 0 33 Alteration 0 34 Repair O 13 76plex O 21 Porch (3-sea.) O 17 Garage O 22 Porch/Addn.(4-sea.) ? 18 Deck ? 23 Porch (screened) ? 19 Lower Level ? 24 Stortn Damage wbp Yor_N O 25 Miscellaneous ? 20 Pool O 30 Accessory BWg. O 36 Move Bldg. ? 43 Reroof O 37 Demolish (Bldg)' O 44 Siding O 38 Demolish (Interior) O 45 Fire Repair ? 42 Demolish (Foundation) 0 46 Windows/Doors • Give PCA handout to applicant for demolltion 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 Engineering sq.ft. sq.ft. Footprint sq. ft. Census Code MC/ES System Ciry Water Booster Pump PRV Fire Sprinklered Variance 0 31 Fxt. Alt - Multi 0 33 Ext. Alt - SF ? 36 MuRi Permit Fee Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: Valuation: $ SAC Units °k SAC 9694 • • ? n?,?' C. R. WINDEN b ASSOCIATES, INC. IAND SURVEYORS TeI. 615•3646 O 1381 EUSTIS SL, ST. PAUI, MINN. 55108 For: U. S. HOME CORPORATION N V'AI?q Y PEN K'?E ? i ? / onc? 10+t+% 5e ?ou \ P1DPose , v ?.H 4 ¢ ? \N3? . i. c9 O \ ? Scale: 1" = 30' O Denotes Iron ? \ ?y 0 0 0 \ \ \ b Lot 12, Block 2, Johnny Cake Ridge Addition, Dakota County, Minnesota ? O ?f WE MERE6Y CERTIFY THAT fH15 IS A TRUE AND COaRECT REPRESENTATION OF A SURVEY OF 1ME 60UNDARIES Of TME LAND A90VE DfSCR16ED AND OF TME IOCATION Of All 6UILDINGS, If ANY, TMEREON, AND ALL V15161E ENCROACMMENTS, IF ANY, FROM OR ON SAIO LAND. Corad tAis 20 tH day of MAP A.D. 198a C. R. WINDEN 6 ASSOCIATES, INC. br Survayor, Mine?wfa Raqi?tralion Ne.77?o CITY OF EAGAN EARLY UTILITY CONNECTION PERMIT 4694 Penkwe Way L12 B2 Johnny Cake Ridge Address Subdivision/Parcel I hereby request permission from the City of Eagan to connect to the sanitary sewer and water lateral line in the public right-of-way. i understand that the City has not yet completed, inspected and/or accepted the sewer and/or water lateral. I agree not to use, test, or connect these individual services to any interior plumbing and understand the require- ment to cap the sewer service to prevent any unauthorized use. In accepting this permit, it is agreed that I will hold the City and its agents harmless from any damage that may occur due to this early connection. It is understood that no Occupancy Permit will be issued or water allowed to be turned on until the City utility system has been declared operational by the City Engineer. Signed by - Plumber: fllen eC MCat Y Owner: s•.-?- Developer: Builder Dated• 5123180 CITY USE ONLY PERMIT #: RECEIPT DATE: ? FxS1DENTlAL Mm"CAI. P£iiMTf APPLICATIOft crrY oF EnsM 3830 Pnor xivoe sn ER6AA MA 5SS1 EE e51-691,4675 Please complete for: ? single family dwellings townhomes and condos when permits are required for each unit Date: 1 lkc??)01 SITEADDRESS: LItUC*`i P't--nhut? -1-1-Y ? ----- OWNER NAME: YlcY1 TELEPHONE #: (AREA CODE) INSTALLER NAME: STREET ADDRESS: Wotilers Southside Htg. & Air., Inc. 'ON E#: 6950 W. 146" St., #106 Apple Valley, MN 55124 (952) 431-7099 CITY: _ -:._-- Dlaro n rhne4 mnr4 nov# }n fha narmif wnr4 ime ZIP: New residential dwelling unit under constructionand not owner/occupied $ 70.00 ? Add-on, modification or alteration to existin dweliing unit $ 50.00 • furnace replacement • air exchanger • air conditioner • other Nature of work: ?'?C?,? CA [?=cX7 6it? mdGel Acxi0. rplacGCIiG State Surchar e $ .50 Total Rensinder: Ca1J for inspections. ?M I'e d A ! ??/l a- SIGNATURE F PERMITTEE (AREA CODE) Updated 1101 CITY USE ONLY PERMIT #: APPROVED BY: INSPECTOR RECEIPT DATE: CObIMERCLAL MECHi41VICFtL PERMiT !lPPLICATION CiTY OF EA&Aift 9$80 PILOT KAOB !iD E,e?sM,M1v 55122 651-8$1-4675 Please complete for: all commercial/industrial buiidings multi-family buildings when separate permits are not required for each dwelling unit DATE: SITE ADDRESS: OWNER NAME: PHONE #: (AREA CODE) TENANT NAME (IMPROVEMENTS ONLY): WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: ADDRESS: CITY: WORK TYPE: Specify Nahue of W ork New construction _ Interior Improvement _ Processed Piping PHONE#: - (AREA CODE) STATE: Install U.G. Tank Remove U.G. Tank When installing/removing underground tank, call 65I-681-4675 for inspection by Fire Marshal and Pluinbing linspector. Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater. Underground tank removaViastallarion = minimum fee Contrac[ price: $ x 1%= $ (Base Fee) State surcharge calculate at $.50 for each $1,000 Base Fee TOTAL e SIGNATURE OF PERMITTEE Updated 1/O1 PERMIT # Please complete for: SITE ADDRESS: OWNER NAME: : RECEIPT DATE: V 1 MIDENTUkL i'Ll)M$IN6? PMMTf APPLICATION crrY oF E,aeM ssso Pnor xNoa ftu EAsM, Mrr ss 122 651-6$1-4675 ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for irrigation system rP v"\;i 55122 TELE?HONE /t: (AREA CODE) INSTALLER NAME: BTEINKRAUS pwneniNr,, iUa ? TELEPHONE aS2 -LI 7c) ` 1800 l AKE IUCY RD. (AREA CODE) STREET ADDRESS: EXcFi SioR, ^^iNNESOTA 55331 CITY: e Plaee a r.heck mark neYt tn the oermit work tvoe STATE: ZIP: New residential dwelling unit under construction and not owner/occupied $ 90.00 J Add-on, modification or alteration to existina dwelling unit, including: $ 50.00 • abandonment of septic system • new installation/repair/rebuild of RPZ • lawn irrigation system • water turnaround Nature of work: na?? v(4F Uh{rr ti?.?A/ TT?y 1 Septic System, new/refurbished - $ 225.00 • includes County & Consulting Inspector fees • requires MPC license State Surcharge $ 50 Total $ Sc, 5U \ f'}J Reminder. Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc. I here6y acknowledge Ihat I have read this application, state thatthe informauon is correct, and agree to comply with all applica6le Ciry of Eagan ordinances. It is the applicant's responsi6ility to no6fy lhe property owner that the City of Eagan assumes no lia6ility for any damages caused 6y the Ci[y during its normal operefional and maintenance actlvities to fhe facilities constructed under [his permit within City propertyfright•of-way/easement. Z,? / _I SIGNATURE OF PERMITTEE Updated 1101 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone 9 651-675-5675 FAX # 651-675-5694 New Conslrudion Reguirements RmodeUReoair Reauirements 3 registered site surveys showing sq. ft. of lot, sq. ft. of trouse; and all roofed areas 2 copias oi plan (20% maximum lot wverage allowed) 1 set of Energy Calculetions for heated addfion? 2 copies of plan showing 6eam & window sizes; poured found design, etc. 1 siie survey for additions 8 decks 1 set of Energy Calculatiom Add'N'on - indicafe 'rf onsite septic sysPa 3 copies of Tree Presenation Plan if lot plafled after 711193 /? Rim Joist Defail Opiions selecfion sheet (buildings with 3 or less units) (? 1 ? Y x ? Date OS Coustruction Cost /.0kndew 4 Site Address i UniUSte # Description of Work PP f' O!a o /jq? ('LP r ? T7ij j/J 4r.j cyfr'j? Multi-Family Bldg ? Y N Fireplace(s) _ 0'k 1 _ 2 O 1! '!/ ! iF? ? Telephone #(?? wner Property CJl / / ContraMOr 6?0 1T" - Address -;5K, 9¢ City 4?40i" i/ State Zip Telephone # ?? v? C? w'wiad Crn S(-?7 ?l ?' -.SCv s?' ? C.°a ll d-,v???'r_ b.c-?-,••?e COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cate¢orv 1 Minnesota Rules 7672 Enefgy Code Category , Residenflal Ventilation Category t Worksheet • New Energy Code Worksheet (J su6mission type) Submitted Submitted . - Energy Envelope Cakulationa SubmiUed In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor 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 oniy 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 w? I'I ' ew and approval of plans. ?? ? b 141 Applicant's Printed Name Applicant's Signature ? J'O OFFICE USE ONLY Sub Types - I , ? 01 Foundation ? 07 05-plex ? 13 16-pleac ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OB 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of_plex ? 09 07-plex ? 17 Garege ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex x 18 Dack ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? OS 03-plex ? 11 10-pleu ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_ Y or _ nl ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building" ? 43 Reroof ? 46 WindawslDoors ` 1 }p 34 Replacement i ? . 'Demolitfon (Entire Bldg) - Give PCA handout W appiicant ? , 17'3 e Valuation , &a Occupancy m MCES Syst ? Plan Review / 100°h or _ 25% CensusCode A{3? ~ Zoning CityWater ? SAC Units ? Stories ' Booster Pump ? # of Units - Sq, Ft. ? PRV ? # of Bldgs - Length )A: Fire Sprinklered ! Type of Const Width /;2-- REQUIItED IN5PECTIONS Footings(new bldg) FinaUC.O. ? Foorings(deck) ? FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Finai Pooi _ Ftgs _ Air/Gas Tests Final _ Framing _ _ Siding _ Stucco _ Stone _ Brick _ Fireplace _ RI. _ AirTest _ Final _ Windows _ Insulation _ Retaining Wall Approved By: _ Base Fee Suroharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Inspector 4694 Ce • • ? cl ???1??? ? Fdr: U. S. HOME CORPORATZON _' O Q 02 . .?Ol`N/ \ 96? u? o-n0 PYCP°se? \ ? ?{o , co .l? .? _ M 1,?91t A(i?t;(?ecl A11K1,'p r?Y ?--57 f Lot 12, Block 2, Johnny Cake Ridge Addition, Dakota County, Minnesota \ ? X. Q \ ?. ? X 0 ?co \ ?? ? C.R. WINDEN b ASSOCIATES, INC. IAND SURVEYORS iel. 643•3646 1381 EUSTIS ST., ST. PAUL, MINN, 55108 N ? Scale: 1" = 30' O Denotes Iron ? \ s ? .?, ? 0 35 0 . \ ? ? \l _o ? WE HERE6Y CERTIFY THAT TMIS IS A TRUE AND CORRECT REPRESFNTATION OF A SURVEY OF 1ME 60UNDARIES OP THE LAND A60VE Of5CRt6ED AND Of THE IOCATION Of All lUIIDINGS, If ANT, TMERfON, AND Alt V1516LE ENCROACMMENTS, If ANY, fROM OR ON SAIO LAND. Dotod rhit 20Tri dey of M,ae A.D. 1980 C. R. WINDEN.l, ASSOCIATES, INC. 1.'•'? _?.:.,:..,;, ?., ? Survoror, .Rap?{.t?tion No.7"?7l0 ÷þÿø ÿþ ýüü ûúûúþ ùüüÿíðö âõÞÿ ó ýüõ ýüûúù÷ä ÷úùãé ù÷ä åýÙåúùåüëüýãüïûÞïãüïûýÙ ü æð óß Þ ÿþïó ç í íô ß ôù ýüÿøêçí í ó÷÷ò õñð ùù õïù ÷ïæå óß ÞíþÚ ô ô é÷ ÿåãó ÿåã áàóóô ûéÿ îùùëïÿïùéùùûý ëåýüõë ÿðí ùùì üýÿü PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA156685 Date Issued:07/15/2019 Permit Category:ePermit Site Address: 4694 Penkwe Way Lot:12 Block: 2 Addition: Johnny Cake Ridge PID:10-39800-02-120 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - William K Mitchell 4694 Penkwe Way Eagan MN 55122 Tony's Appliance 2090 County Road 42 West Burnsville MN 55337 (952) 435-2442 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA169788 Date Issued:06/09/2021 Permit Category:ePermit Site Address: 4694 Penkwe Way Lot:12 Block: 2 Addition: Johnny Cake Ridge PID:10-39800-02-120 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Dyani Saxby 4694 Penkwe Way Eagan MN 55122 (615) 496-9538 Hero Plumbing Heating & Cooling Inc 10900 Hampshire Ave S Minneapolis MN 55438 (612) 827-4674 Applicant/Permitee: Signature Issued By: Signature