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4697 Penkwe WayCASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 AMOUNT $ I a 13OLL.ARS oo ? GASH ? CHECK ' 1 FOR /J . 3 . 5`? White-Payers Copy Yellow-Posting CoDY Pink-File Copy Thank You ??-? B Y Z? CITY OF EAGAN Remarks - Addition .T.[tHM_.CA1CR.1trnr,F annrr _rnN Lot ? Blk 3 Parcel 10 39800 080 03 owner?{?! street 4697 Po7lkwe NsY scate EsgA11, MN 55122 1 Improvement Date Amount Annual Years Payment Receipt Date STREET SUR F. STREET RESTOR. GRADING SAN SEW TRUNK 197 * SEWER LATERAL WATERMAIN * WATER LATERAL lgRl WATEfi AREA - STORM SEW TRK a ?c STORM 5EW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN, ' BUILDING PER, SAC 0 PARK 5 0 ' CITY OF EAGAN 3795 Pilat Knob ReeJ Eagoe, 1V41eelsote SS1'.1 No. • P6onr 454-8100 PEIGAIT Date: Site Address: Lot ? Btock --. ? Sub/Sec. •'? ?~ Name ? llddress ? City Phone: oi t "i-.t,l?." Name .: ? ? Address ..1. City Phone: This Permit is issued on the express condition that oll work sholl be Minnewta Stotutes ond City of Eogon Ordinonces. IfVSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Receipt No.: Single I Residential Multi Res., Comm./Ind. I New/Alter./Repair. Cost of Instollotion Permit Fee SurcF?ar9e Total done in accordonce with oll oppliwWa Stote of Buildinfl Offlcial cinr oF E??"N 3795 Pilot Knob Road Eagan, MN 55122 N2 5687 PHONE: 454-8100 • BUILDING PERMIT Receipt # To be uwd for _ T/ C:Fi r. Est. Val ue Dcte , 19 Site Address Erect ? Occupanty Lot Blxk ? Sec/Sub. ,',-"., ,',. • , ; 't : Alter ? Zoninp parcel # ? Repoir ? Fire Zone Enlarge p Type of Const. oWe Name `•?'' ? . ' . , ^' ? ?= " r: ` ? Move ? # Stories ; Address 171L i c.? _.-: ;::?3SrOd... Demolish ? Front b ?:?. , n r n}nnlr -, oL..__ ` 1-7'A -?< Grode fl Depth 0: 0 Ncme Z? Address ? Ci ?W Name FW Address i hereby acknowledge that I have reod this applicotion and state that the infortnation is correct and ngree to comply with oll applicable State of Minnesota Statutes ond City of Eogan Ordinances, Assessment ' / 4u/ ? Water & Sew. Police Fire Eng. Planner Counc;l BIdg.Off.d ?4 ' APC ft. Fees Permit ? -? ? • '? % $urchorpe Plon check SAC Woter Conn. Water Meter ! t 1'U,5.01 Total Signoture of Permittee I A Building Permit is issued to: on the express condition that all wark sholl be done in accordance with oll upplicnble State of rvlinnesota Statutes and City of Eagon Ordinances. Building Officfal r«?k # Doa Plumbing /[P t Mechanical ? INSPECTIONS DATE INSP. ' Rouph-In Finol Footings _ -kL Oote Irup. Dat Inap. Foundation plumbing Frame/ins. /? - s ; Mechoniwi Final Remarks: Dlo. cinr oF EAc,aN 3796 Pilot Knob Road Eagan, Minnasoto 55122 Phone: 454-8100 ''T" PERMIT Dcte: • . Site Address: Lot g 4697 Penkwe wes Block ' Sub/Sec. J2ry,Ca1=e Rid€;e INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS 'I ,•-`clr'• cReceipt No.: - Single I Residential - Multi Res., Comm./Ind. I d=in T110IITp80ri H0I'1( ; Nome N w/Alt r /R ir . e e epo Address 1712 I;OT:1-i'_75 CZ`OSSI'O,' -- Cost of Instollation ? ? _ ??ii ?1° + lil)?.a , _- L•Y City Phone: " Permit Fee ' •:E'11ZE? 1:?E:C?1;3IZj.Cc^.1 Nome , 5urchorge ` ? Address e 3 City Phone: Total This Permit is issued on the express condition that oll work shall be done in octordance with all applicoble State of Minnesota Stotutes and City of Eagan Ordinonces. Building Official CITY OF EAGAN 3795 ?ilot Knob Roed No. Ea9on, MinnesoM 55122 PtioM: 454-e100 PERMIT Date: ?.?RY20 , 198-0 Site Address: Lot 4697 Penkwe V7ey r"e Block Sub/Sec. INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Receipt No.: Single I Residentiol N4ulfi Res., Comm./Ind. I 7rrir: i!wTMr?±san fiomea Name New/Alter./Repuir ; Address f I C t t ll ti . os o ns a c on a . City Phone: P it F erm ee Nome Surchorge ` ? Address City Phone: Total This Permit is issued on the express condition thot oll work sholl be done in accordonce with oll applicable State of Minnesoto Stotutes and City of Eogan Ordinonces. Building Official +C(TY OF EAGAN WATER SERVICE PERMIT 3795 Pilo! Knob Road PERMIT NO.: Eagon, MN 55122 DATE: Zoning: No, of Units: Owner: Address: Site Address: . P4umber: Meter No.: Connection Charge: ; Size: Account De posit: Reader No.: Permit Fee: ' I u9?ee to eomply with the Cily of Eagan Surcharge; Ordinanees. Misc. Charges: Totol: By Date Paid: Date of Inso.: Permit Fee: Surcharge: BY Misc. Chorges: Dote of Insp.: Total: Insp.; Date Paid: ? ' 3F EAGAN SEVUER SERVICE PERMIT 3795 Pilot Knob Road PERMIT N4.: , Eagan, MN 55122 DATE: Zoning: No. of Units: Owner: Address: Site Address: Plumber: I agree to eomply with rhe City of Eogan Connection Chorge: Ordinanees. Account Deposit; 'uIVi O.Wltl W.fY V. L104YI4?1/ Griggs Midway Bldg. - Room N797 EB-00001-02 1821 University Ave., St. Paui, Minn. 55104 - PFwne 297-2111 /9/4?a- R,CQUEST F8R ELECTRICAL INSPECTION S c n n r n l;t1Cl;K 1fCl,VW WUK1C l;V Vr,KhL tlY -1H1J 1(hl1UhJT v O Jj O Type of Building New Add. Rep. Check Appliancea W'ved For Check Fquipment Wired Foi Home ?? ? Range 114 Temporary Witing ? Duplex ? ? Water Heater Er Lighting Fixtures ? t. Bldg. ?? ? Dryex, ? Electric Heating ? mercial Bldg. 0 ? ? Fum Silo UNoader ? ustrial Bldg. ? ? ? A'v io ' Bulk Milk'Iank ? Farm ? ? ? List List Othet ? ? ? p Hehe ? p Reiers? f COMPUTE INSPECTION FEE BELOW Service Entrance Size: u Fce Fceders&Subfeeden: x Fee C¢cuits: # Fee 0 ro 100 Am s. 0 to 30 Am eres 0 to 30 Am eres (ay lOl to 200 Amps. 31 to 100 Am res 31 to 100 Am eres l gJ.ao Above 200_Amps. Abave 100 Amps. Above 100 Am 5. Tcansformers Remoce Control Circ. Partial or othec fee 39 Si ns Special lns ection Minimum fee $5.00 Remazks TOTAL FEE _3-0 W6 I, the Electrical Inspector, hereby certify (Final) This request void 18 months from has been made. -a This request void 18 months from . -• Date o ihis Request 'S I I IP Fire No. ? 64356 I, ascensed Electrical Contractor OOwner, do hereby requ t' spection of the above electri- al wiring instalkd at: C>51 /` j3 Street Address or Route No. rw"& W&l City ?? •on Township Range County Which is occupied by ?(ZRIN T1dUMSgfj fJDf -er Is a roughin inspection required on this job? No ? Yes 98.,Ready Now ? Will Calk? Power Supplier 1"% Address fW-h ?Cfbf' Electrical Contractor 6ELL' 6,6 GrR I(' Contractor's License No.05/Q (CO any Name) Mailing Address '? ? ? E??-1 Rp, ectri a Co tract ar Owner Making Thiz Instellatlon) ?n0' ??? L{ Authorized Signature Phone No. ? (Elactrlcal Con rector or Owner'Making 7his Installatlon) (??(?}tl li ?j? ????''4J? ???? Thisinspectionrequestwillnotbeaeeeptedbythe t'J 11? Stffie Baerd uniess propaz inspection he is enclosed. cirY oF Er?c,r?N 3795 Pitot Kno6 Road Eagan, MN 55122 PHONE: 454-8100 BUILDING PERMIT APPLICATION Sae Aadmas 4697 Penkwe Wa}r Lot R_ Black I_ Sec/Sub. •T??'+*+*+?C???? P,WAi # Ridqe W Name (1Yrip T n en Homes ? Address 1712 Hopkins Crossroad p Name 89 qddmw same ? Ci Phone ?w Name z =?n Address 1 hereby acknowledge that I have read this opPlication and state thot tha Intormation is correct and agree ro comply with all oppiirnble SMte ot Minnesota Statutes nnd Ciry of Eagcn Ordinances. Signoture of Pertnittee _ A Building Permit is fssued to: oll work shall be done in oSyE Buildine Official K' Receipt # N9 A687 Ercct $7 Occupancy %R3 Alter ? Zonirg R 7 Repair ? Fire Zone 3 Entarge ? Type of Const. V Move ? #' Srories DemoHsh ? Fmnt 50 ft. Graae ? Deprh 38 ft. Approvais Feu AssessmeM iI Z h Water & Sew. Police Fire En9. Planner Countil Bldg. Off. 4 /4/ 0 APC lPermit 130_ 00_ Surcharge 2? i_ - ?00/ Plan check_4?_..SKL SAC 525 .100 WoterConn. 'I n5_00 Water Meter F () - n ? ',pa d LTnit 1R5_0( Totol 1293.75 Hnmes on tha express condition that of Minnesota Statutes and City of Eogan Ordirwnces. GITy.CF EAGAN Include 2 sets of plans. ???? \ • 1 site plan w/elevations & BUIIDING PF12NII.T AFPLICATION 1 set of energy calculations. '!b Be U For RLS1DEmt.E Valuation Li? oigo . o o Date S-as bo Slt2 Pddt'ESS: L1 6rl-I hN Y-?E W." OFFICE USE ObU.Y Lot (g_ Biocx 3 seo./sub. =a+mmr c nKe Erectocc?pancy Atter zoning ? Pazcel #: gPnayr Fire Zone 3 O4mer: Pddress: City/Zip Code: Enlanqe _ Type of Const. !/ _ Move # Stories Dennlish Front so ft. Grade Depth 38' ft. Phorte # : Contsactor: QRRIN THnMPCf1N NAMFe a Division of U. S. Home Corporation ?.L255: 1732 ?H^o?K.:SSCaHo$6R6AD- City/Zip COdO: MINNETONKA, MINN. 55343 Phone #: Syq•1333 Arch./Eng.. Pddress: Assessments / Pennit ' Water/Sewer Surcharge 3 -? _ Polioe Plan Check ? Fire SAC ? gM; Water Conn. 3/15' ? Planner Water Metes /0 O? Council Road Unit / $?5`? Bldg. Off. APC City/Zip Code: Phone # : ow37 S - qp.0o ?ou a3 2006 RESIDENTIAL BUILDING rER3UT arrLicaTioN City Of Eagan 3830 Pilot Knob Road, Eagau MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWCGOn ReauiremeMs 3 registered sife surveys showing sq, ft. M lot, sq. R of house; and all roofed areas (20%mazimumlotwverageauwred) 1 Soils RepoR'rf pmposed buildmg is ta 6e placed on disturhed soil 2 copias of Dlan showing beam & window sizes; poured found design, etc. 1 set of Enefgy Calculations 3 copies of Tree Preservation Plan if lot Dlatted afier 711193 RimJOist Detail Options selection sheet (6uildings w8h 3 oriess uniLS) Minnegasm mechenical ventilatlon form Remodel/Fteoair Reauirements 2 capias of pWn showing foollrgs, 6eams, joists i set of Eneyy Calculations ior heated addNOns 1 s8e survey for add'N'ons & decks Addifion • Mdicete if on•sRe sepfic sysfem 2 33J0 Cbrlo(StSrvepRer? 5'n1s R?"?gpor? 7i?7PW -1ecd?? , ?Y, +N 1 ? 0 ^ ' Date Construction Cost 91 Site Address Pt k 14 I,v{ Unitlste # Descriptian of Work Multi-Family $ldg _ Y_ N Fireplace(s) _ 0. _ 1 _ 2 Praperty Owner k v " L 11 1"1 S r w q Telephone #(?p q-7 Contractor n' Address /T?'•' /U--. State 17) N .... .. Zip c57& /?GJ?fev City . . .. Telephone # 57) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Catego;y l Minnesota Rules 7672 Energy Code Category - , ResiCenNal Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted submitted - . Energy Envelopa CalculaUons Su6mitted In the lasi 12 monihs, 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 SewedWater Contractor Telephone #( Telephone #( Telephone # ( I hereby apply for a Residential Building Permit and acknowledge that the inforxnation is complete and accurate; that the wark will be in confortnance with the ordinances and codes of the City of Eagan and the State of MN Stahxtes; I understand this is not a pemut, 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. AA tiuk ? ? ApplicanYs Printed Name ApplicanYs ignature eeyi W • • o/ For: U. S. HOME CORPORATION C. R. WINDEN & ASSOCIATES, INC. ?J IAND SURVEYORS Tel 843•3646 1361 EUSTIS ST., ST. PAUL, MINN. 55I08 / /o / ^ r , ? r 'I / ?_ ? / • / / / / /o .N \ \ Scale: 1" = 30' \ O Denotes Iron ? \'9s \ \ \ 12? \ \ a ? F? \ y ? ?4S P ? a ye oe0 y? 3/. i J? ? ??(()Z?O / Lot 8, Block 3, Johnny Cake Ridge / Addition, Dakota County, Minnesota / 2 ? Q? WE HFREBY CERTIFY THAT 1H15 IS ATRUE AND CORRECT REPRESENTATION OF A SURVEY OF TME 60UNDARIES OF THE LAND ADOVE DESCR16E0 AND OF THE LOCATION OF All lUIIDINGS, IF ANI; TMEREON, AND ALl VI5161E ENCROACMMENTS, IF ANY, FROM OR ON SAID LAND. Datod rhi?2C?7H doy oF MRR A.D. 1980 C. R ASSOCIATES, iNC. br zld && A"_ Survarer. MiRn*wfo Ropistrofien No. 77'4y- CIi'Y i:i;` E:f:GAi4 . cAsH7:t.F,; s rEs;MTNAL Not 891(l.. pA7l':: 04I20/93 T'IMF_° 15c18•39 ILi ;; NNAM'ca r1Af'REI_I_ 3 N,ULSRiJD 20::; nfJOi 4637 I''CNF:WF. P!A4 3210 90(]1 4697 i'Eh!':bll'r: I+IAY in±..,l Rer.e.ipt Cfi 1.0"i 48k- U'3EF' :[17:: N1PdCY Amc,ur,t; a :i . 50 13905 i .n.2 . 75 1999 BUILDING PERMIT APPLICtiTION (RESIDENTIAL) • ? ' CITY OF EAGAN J ? 3830 PII.OT KNOB RD - 86122 (651) 681-4676 New Construction Reaviraments RemodeUReoair Reauiremants ? 3 registered site surveys ? 2 copies ot plans (indude beam & window sizes; poured fnd. design; etc.) ? 7 energy cakulations ? 3 copies of tree presarvation pian if lot platted after 7H193 required: _Yes _ Na DATE: ZG ?C17 / Name: TiG1L5PU4Y? n9 El- L. Pho?nre#: (9???lJ?D "?.?Ql ' Las[ First Street Address: /G / 7 ??N )<wE Zx-il° Ll City /-Z?A 6 /V A/ State: MN , Zip: :5-5-I 2, Z DESCRIPTION OF WORK: ??D 3? dy+i?i?Y LSNTd !57x )$TI?v6- GAKIOG? STREETADDRIESS: 76 97 LOT: BLOCK: ? SUBD./P.I.D. #: ?Y? 1n cr? ,41 C_? ? ?9Y--, Q. PROPERTY OWNER CONTRACTOR ARCHITECT/ ENGINEER Company: ._SG?, -r. Phone k: ? 2 copies of plan ? 1 sde surveys (exterior additions8 decks) ? 7 energy calcutations for heated additions u A CONSTRUCTION COS7: / ?d- Street Address: License # Exp. City State: Zip: Company: 54E1.r. Phone #: Registration #: Street City State: Sewer 8 water licensed plumber (new construction only): _ change and lot change is requested once permit is issued. I.hereby acknowledge that I have read this applicaGon, state that the cZate of Minnesota Statutes and City of Eagan Ordinances. ? Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received !/ Yes _ No Tree Preservation Plan Received _ Yes _ No Penalty applies when address is correct, and agree to comply with all applicable - Not Required APK 2 6 i999 ?? OFFICE USE ONLY ._, , BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Multi RepaidRem. ? 17 Swim Pool O 03 SF Addition ? 08 8-plex ;1M, 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ??14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 = plex ? 15 Deck WORK TYPE 31 New ? 33 Alterations ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq, ft. SAC Code ? UBC Occupaocy sq. ft. Census Units ? Zoning sq. ft. Census Bldg # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS n Planning Building Engineering Variance Permit Fee 13 g. a.? Valuation: $? Surcharge 3 •sZJ Plan Review License MC/ES SAC City SAC Water 6onn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total < , % SAC SAC Units • CITY OF EAGAN EARLY UTILITY CONNECTION PERMIT 4647 Penkwe Way g 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 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:WENZEL MECHANICAL Owner• ?t Developer• Builder Dated: 5/27/$0 ,? 53qS f? - ? b°?? Clty of BaQan 3830 Pilot Knob Road Eagan MN 55122 Phone:(651) 6754675 Fau: (651) 6755694 -----------------; ? Pwnfd t. ? RemdFw-- a i I DaDa Remfvfld' ? ? j i Stat. 2008 RESIDENTIAL BUILDING PERMIT APPLICATION ,re; 13? A sne Mdress: 42 e n w suibe #: Tenmtt: RESIDENTiOWNER N?: D?rrell Kuw?uo arwre: ?la-, $?_U?O?°9? aearm / C41r / rm: nvckMis: -a,nec -?d-c,o"oaa°` TYPEOF WORK Desa+DCwn 01 wocic: I? r ?-=- OpndtructionCasC 4Iag,?b CONTRACfOR a L Mul6-FamilY 8uikft:Cy@s-1No X I t.roerm#: ?'•???? Raoress: • c;ti ,.1hN z?:? :?l4 x...??' -s?: Phone: tnSi • (4-Aq-y?120 faontact Petson: COMPLETE TNI3 AREA ONLY IF CONSTRUCTING A PI__._.IN BUILDfNG Minrresots Rules 787d Catamrv 1 '` W,,esou A„i% 7672 Ener9Y Code ?•ReWenUvena'Mon.CANMIwakBt" •?? cxae waaneoc ?ory ? {+I submission type) • E=W E^WW CabAebons SuMndted m u,e rst tz moMhs, nas sno City of Esaan hsued a t+mK wr a shnimr plan eesea on a master plen? _Yes No if yes, de0e and ad&m d mebYer Plan. Licenaed Plumber• phcne: medhanieal Contractor. Phonsa Sewar & Water Contractor. ?one' i tw?eby a?kcwwledge tl?at Cus iMOtma4on is ow?ktea? ar?affi8: ?et tlie rialc x/8 Ue ?+ ? xdtlf tlie or?rm?es ? U00 ro vuak w? W 5? e?an, nias I underscand ws is not a pxma, nu? onN an app6?on ta a a?. a? work is ?t m:s+an w?t,an a partn? . accordwa witlt tlre approved pimt in tlie cbe ot wodCwhidl roqA= a teview eM ppmwW of PWm . appi icWft?arhW Nam U"ccv a?'?rs ??1fe Page I ot 3 F ~ 99Q246 04I15/99 DARRELL KULSRUD . ~ . H . No. 101 Minnetonka MN 55345 Phone (612) 474 7964 Fax (612) 474 8267 5300 S wy , SURVEY FOR: FOUND 1 /2" IRON PIPE ~ 1 99 DRAFTED: A ril 15,1999 SURVEYED: Apnl, 9 P , , LEGAL DESCRIPTION: Lot 8, Block 3, JOHNNY CAKE RIDGE ADDITIQN, Dakota Counry, Minnesota. SCOPE OF WORK: l. Showin the len h and directian of boundary linas of the above legal description. The g ~ sco e of our services does not include determining what you own, which is a legal matter. - P Please check the le 7a1 descri tion with your records or consult with competent legal counsel, if ~ P i i correct and that an matters of record such as easements, that you necessary, to make sure that t s , y ~ wish shown on the survey, have been shown. ~ 2. Showing the location of existing improvements we deemed important. ~ ents or vera in old monuments to mark the corners of the ro erty. i 3. Settmg ~ew monum fy g p p co ~ s im rovements to our ro e we not as familiar with your ~ 4. Whlle we show proposed p y p p rty, 0 4~ ~ h• ~ 6~ lans as ou are nor are we as familiar with the requ~rements of govemmental agencies as their ~j p Y ~ ~ 9 3 em lo ees ~re. We suggest that you review the survey to confirm tbat the proposals are what you _ i 9~. p Y ~ ~ ~ 9~ t nd and submit the surve to such overnmental a encies as may have jurisdiction over your ~ F me y g g project to gain their approvals if you can. STANDARI) SYMBOLS & C~NVENTIONS: ~ " arin State License Number 9235 set unless otherwise ~ ~ Denotes 112 ID pipe with plastic plug be g noted. 5.19' A~, 32 CERTIFICATION: ~ , , '~p~'0p ~ 5' SETBACK I hereb c~r~i that this surve was re ared b me or under my direct supervision and that I am a °~T SFO ~ Y Y P A Y . . . . ti + g . _ - ~ Profess~cn~l En lneer and a Professlonal Surveyor under the Laws of the State of Mmnesota. - .?7 ~ , ~ y , h• . ~ r ~L + - i a es H. Parker P.E. & P.S. No. 9235 ` ~9 , . - ~o ~ • ~ - <v -ry~~ G~ p~~. P~ 0~' ~ K ~ ~~.o'o.H. 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'~~&tl} .~~5 i9~ p ' . . . f . _ ! ~ _ ~''C, ~ ~ F ~ t ~ ~ . z. ~ ~ ~ .J _ . _ ~ -7 ~ ~ ~ I 4..~ t"~ ~1t ~ ~.i!1~,,,. 1~.. ~ , : ~ ;x:~ g AC , r ~ ,'4 !i.~ . . . . . . . . ~ ~ , ~ ~ . : g F~E~~ ~ _ i~ ~'f'i~(~'~ . SHORTLINE ~ , ~ , .n , . , . . ' ' : : ~p ~ ~ V. . p~/~ ~ . . , . ~ . . , 1. Y . : r.., f ~ ...i~ . M . r r. ~ . , . . r~.l t.C~~. n~4n I"t :.....e . ,,-t1.. . . ~ 19~.'~. ~ ~p~ . C- y , ~ 4 ~ . . ."r: ~p~~ ~~.A~tx 4 . , , . ,a ~ ~ ~ ~tASP e . „ Y ~QQK RENNSYLVANIA AVENU'r ~ a 4'"~ Ii~il~~~'t~ ~ . ~d.... . ' H~.., . A~ .i~-. ~ N~ . . ~ ~p~ . . ~n~.,"'i,r, . 4?F.'!EQ .a , t. . . ~ ..a „~~,P„ ~!'ldMi ~ ~ ~ . ~ „ < / , ~ ' Q ~.r • ,e~ ~ c: . , . ~ p~ ...~w , , m` ~q . 1. i m~ . , , a v 4 . tl. . . . . , ~ .Y.. , , ,..i.,. . . ~~'~'i. ~ ..:.i ,.r...,~ . . r . {,l . , ;~n~~.. -..x,~. , . . . t...~..~x .~a.i . , a t , o~. t., . . . F~Y . ..y..i.. t ...h , .,t., ~ , . . p. ~y ` f ~ ~ppr~aent CQrp. FI~.~. ~ ~ r ~ , . .y ~ f"t ^R~ir . . , . , . , . . . . . . , . ? 1'1:~(`'' ~ ~u . r I' i iI , , ~ . . , . , , ~ ir.. • ( . i , . ~ y . . ~ , . c nfl . , ,':i , . . . . . . ..t._ n . . . f , . ~ , .i , . . , .~a .,..F v~. , ' . . . . ~ ~ . , , k~ . . ~..!~t*.... . -T,..,» +~s w . i 'M1. s ..x.. , . ' . . , -r . wa,~. . .u... ,~,8~.. a~7, . . . . , w . i a,. .w.., . .v.~l. , . , pT . . . , ~r.w,~ . ,~...r. , ~ ~ . . , ':0.! H~. ~c. ~ M . . ,N k , ~v... ~ . ~ . . P~ . . . e:~~ . . ~ :1 ~ , ~ . .vr'~, W' r I. ~,7:,. n... . . R . ' . . . mw.. . , 5 . . .s. ( n... . ~ . . . . „ ~ ~ ~ . ~ F^ . g . , n R ~ . . . , F, . t w.. . . I . d~ . . ~ ~-f' .r. . , , ..u. ¢ . . .v~ a,. 5,r~ u.. ..u.. , . ~ ~ t~ : , . . . . . 'S".T. . . . . . , . 4 .h. . k".~.~h~ . v. . S ~ . ~..s . ,s,:.i . . 1g . , r.:.: . ~ . . ~ ..1 . ~ ..'t' ~ . . . .,=P^ , . ~ , . , ~t~..,, . , . , . ~ ~ ~ ' ~ ~ , . •Y _ . < ~ ~ , ~ ~ ~ , . . . ;A , 8`v.....,.. : „ ; ;~I~~'~• . ~A`~ ~.~ON REV151ON$ _ . ~,1q•~ ) .4_ . l. ~ .,w . ~ r ' a. a ..f r . . , . . , ' . , ..x . , ~...s..::, . . ~ , . . , . . ' ~ . . ^ , . . . ~ . . . . . .;;,4 , . : , I mom Permit of Eon Pemdt Fee: Date FkKWved: 3830 Pilot Knob Road Fagan MN 55122 Phone: (651) 675.5675 ` Statt Fax: (551) 675.5694 1 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: -1. \2 site Address: sum Tenant: RESIDENT /OWNER Name: Address / City I ZIP: Applicant is: Owner,,. Contractor TYPE OF WORK Description of work: A ~'(G Construction Cost Multi-Family Building: (Yes____/ NoX t License CONTRACTOR Name: ./11 Address: rt ' City: sate:.. 1. : Phone: Jf;61' L4-Aq-"! Contact Person: rl~l~ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW _ BUILDING Minresota Rules 0~ateaorv 1 Minnesota Rules 7672 Energy Code • Residential vendlation.Categmy 1 worksheet • New Energy Code wodwfteet Category Submitted submitted {,1 submission type) • Energy Envelope Calculations Submitted to the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? __Yes No if yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & water Contractor. Phone. I hereby xknowtedge that this information is complete and eoauate: to the work will be in conforman x with the ordinances and codes of the city at Eagan; that t understand this is not a pemuit, but only an application for a permit, and work is not to start without a perms that the work will be in accordance with the approved plan in the me of work which requires a review and approval of plans. x A Y\_ \ I 0 v,& U-, x Applicant's Printed Name Applicant's Sigt rS Page 1 of 3 411 City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use Permit#: 1 (3L� c Permit Fee: 105:°5- Date 05°5 Date Received: rj I 1 j Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: 6 17 PQ y Name: Ci i i C 1 1 r'C I S r Lt_G( Phone: 6l -39Y- O 6 7 Unit #: Address / City / Zip: `1 6 7 7 Pc Applicant is: Owner K Contractor Description of work: R e 106 Construction Cost: 7 Li S-2 Multi -Family Building: (Yes / No ) Company: dc.) /I C-5 E' d I y P C_J t `4 B (4I I C Contact: DQ-' l �j Address:)C L L—ce !.-cu'is 11c- A` U �1 City: V"'Vt; it "t' State: it ? Zip: S .5c.) (( L( Phone: 6/Z ^ 6 - 3 0Z ` Z License #: & C 3f 7 13 Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that 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. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x VC— Applicant's Printed Name x cc__ Applicant's Signature Page 1 of 3 Use BLUE or BLACK Ink ---------, � For Office Use � ���y V�1J���11 I Permit#:��. ��p i 3830 Pilot Knob Road REC�I�OE� i Permit Fee: �Q�, (7('� � Eagan MN 55122 � I Phone:(651)675-5675 OC� � � 1��j i Date Received:l0- �i .n� I I � Fax:(651)675-5694 � � Staff: � __�.__.___�__�_�.___J 2015 MECHANICAL PERMIT APPLICATION ❑ Please submit two(2) sets of plans with all comm cial applications. Date: ��"o��/s Site Address: ��a� Tenant: Suite#: �� 7���� � � � , � �}� �/��/ � �F3�tY����t���C��1��#�1��'"' Name: Phone: �lvr� �b 7—�,��� 'r ��° �'���� �`� �°� ��`� ����°����' ;; Address/City/Zip: L � � � �� �1 ��_� , � � ? ���� }�����`�� � � ,� Name: License#: ���� ���� � �'� � J/�'J � ����� �;�,��� `��'�� � Address � �{ �L�' � /'//�l�, ,��C�ti'�f� R� � City: ,���� 7� � � �; - 7 G e�- 75��„� ° ��� � ��� � �' State:��Zip: ��� Phone: � � " ,^�"���s� 3{ � ,��� , . � :,. ,�_�, : Contact: l'L� Email: r1L /� G � , � ��,�.� ;����``� ��`�,���� ,� � � � New Replacement Additionai Alteration Demolietion ����� ���� g� � !Y � �?''� �� � c'� �����-�' Descript�on of work ° G' � !� ��� �� �.,,�' y�9�'" y �.,,y P; a� `�y� �����x�5��� �y, ���� .rs �F "W^'%S����( i��y�� ���rw+� �a�{��F �/u;,.�� y # �+t(A � �� . ��"����1 � � �e s�e k��.���`l��}��'�: i"/� � &�i✓z?y -x "". F: kc,:���{.,,a 7L$V�G�Q��t��,a �&#s����� eC�� l�itZ ���r����k?� �(��: � � m.�. .,� _ . .p._- lil �: �#'£�fl� .. . �,5_..�_ �, a.r.+r,�. e - .—,.�<r, 's�� � : s ��`'`c � � .sK �x _ � �-���� RES/DENTIAL COMMERCIAL � � ������ ���- .� � �umace _New Construction _Interior Improvement �{� k�'' '�� ����� � ��° Air Conditioner � ��� g�� � : — _Install Piping Processed ���� ,� � — _ , �; � _Air Exchanger _Gas Exterior HVAC Unit � ; �� . � — �� � . _Heat Pump Under/Above ground Tank �Install!_Remove) ���' � �� �� � � — � �� ��,���h�:. � .�`���t, Other RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit(includes$5.00 Stat'e Surcharge) $100.00 Residential New(includes$5.00 State Surcharge) _$ ��� TOTAL FEE COMMERCIAL FEES - Contract Value$ x.01 $55.00 Permit Fee Minimum $70.00 Underground tank installation/removal =$ Permit Fee "If contract value is LESS than$10,010, Surcharge=$5.00 =$ Surcharge" '"'if contract value is GREATER than$10,010, Surcharge=Contract Value x$0.0005 ""`If the project valuation is over$1 million, please call for Surcharge =$ TOTAL FEE I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan;that 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. 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