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4698 Penkwe Way Use BLUE or BLACK Ink For Office Use I Permit j City of Eap I 2r-:> I I Permit F \5\-A 3830 Pilot Knob Road I I Eagan MN 55122 j Date Received: Phone: (651) 675-5675 RECEIVED I I Fax: (651) 675-5694 I Staff: I SEP 2 3 2010 ' 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date:: 9E9 2 , ~ (aSite Address: 4 lp Q o Q~ 1~1 Tenant: IMSCVMCA_ v SA"A -9►A~R t~~ Suite RESIDENT f OWNER Name: lM rCA+ft-£(_ ,J~j _bU y FEF,- Phone: 6%50 - qs2 -N_.3 Address / City / Zip: LAU~'C- C~ a4 1 13S Applicant is: Owner Contractor TYPE OF WORK Description of work: R Wl Construction Cost: 2 i yL V Multi-Family Building: (Yes / No ) CONTRACTOR Name: License Address: City: State: Zip: Phone: Contact: Email: 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: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. 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 qopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the rdinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work i . out a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval f I s. x AX-CJ L b\Ajt M X Applicant's Printed Name Ap c Page 1 of 2 i ti DO NOT WRITE BELOW THIS LINE o1`,,'~ _P SUB TYPES _ Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) Multi Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) , _ 01 of Plex Lower Level Pool Miscellaneous Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building" 1( Addition _ Move Building _ Reroof _ Demolish Interior Alteration _ Fire Repair _ Windows y Demolish Foundation Replace _ Repair _ Egress Window Water Damage Retaining Wall 'Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation q(~ 30 Occupancy ~ MCES System SAC Units Plan Review Code Edition (2594 _ 100% 1/1 Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In Air Test -Final Windows Insulation Retaining Wall: _ Footings _ Backfill _ Final Meter Size: Radon Control Erosion Control Reviewed By: Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Ll) Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 2 PERMIT City of Eagan Permit Type: Building Eagan. Permit Number: EA094245 Date Issued: 06/02/2010 OR Permit Category: ePermit 41 it~ of E3 E Site Address: 4698 Penkwe Way Lot: 13 Block: 2 Addition: Johnnv Cake Ridae PID:10-39800-130-02 Use: Description: Sub Type: e-Siding & Windows Doors Construction Type: Work Type: Sidina & Windows doors Description: House & Garage Census Code: 434- Occupancy : Zonin,: Square Feet: 0 Comments: When installing ventilated soffit material. remove existina material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing Fee Summary: BL - Base Fee S6K $132.75 0801.4085 Valuation: 6.000.00 Surcharge - Based on Valuation S6K $3.00 9001.2195 Total: $135.75 Contractor: - Applicant - Owner: Beissel Window Siding Michael D Durfee 163 Oakdale Ave 4698 Penkwe Wad W St Paul l\IN 55118 Eagan NIN 55122--275 (651)451-683 I hereby aeknowledae 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 Cite of Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature l t l T~ L2 mit Per of Eman R 1 Pemtit Fee: Pilot Knob Road 3 t 3830 1 Date Received: = Fagan MN 55122 1 Phone: (651) 675.5675 E start: ! Fax: (651) 675-5M ! Zoos RESIDENTIAL BUILDING PERMIT APPLICATION x r' tit's Date- Site Address' (c ~ll~ ~t, K t, - Suite Tenew. ` Phone J I' RESIDENT 1 OWNER Name: Address / City / Zip: Apprtcant is. owner Contractor TYPE OF WORK Description of work: Consbucdon Cost:, t U , Multi-Family Buikiilfg: (Yes No ucense CONTRACTOR Name: Address: i Zip: City; State: . Phone: n~~ - ~~~j 1-4 Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A E__.'W BUILDING Minnesota Rules 71370 Cateaorv 1 Mines tao__ Rufes 7672 Energy Code • Residen6af Venblation.Caftory 1 Worksheet • New Energy Code Worksheet god subrftd Submitted Cate (d submission type) . Energy ape Calculations Submitted In the last za 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 ad~e that this ft nation is camptetB.a~ ac curame: to the work wE be in conbrmencewidt the ordinances and coda of the City of Eagan; that t understand fhra is not a Permit, but only an a OcMn for a permit, and work is not to start wldtout a Permit; that the wok will be in accordance with the approved pan in the case of wok Oft requires a review and approval of plans. x Nil o' Applicant's Printed Name Applicant's Sig= = peQe 1 of 3 CASN RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN. MINNESOTA 55122 DATE 19 Racciv¢o PROM AMOUNT ? I ac DOLLAwS 1 oo ? CASH ? CNECK FOR II -=?- White-Payers Copy Yellow-Posting Copy Pink-Fila Copy Thank You BY ' ? _ CITY OF EAGAN Remarks " Addition Lot 13 elk 2 parcel 10 39800 130 02 . f Owner I ' Street 4698 Dsnlrva llfav Stete EBoe'LAy MN ;SlZZ Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRApING SAN SEW TRUNK ? * SEWER LATERAL WATERMAIN * WATER LATERAL WATER AREA STORM SEW TRK * STORM SEW LAT CURB & GUTTER SIDEWAIK STREET LIGHT WATER CONN, 6UILDING PER. s,ac 525.00 20606 PARK CITY OF EAGAN 3795 Pilot Knob Roud Eogon, MN 55122 PHON E: 464-8100 BUILDING PERMIT Site Address %?5 1 Lot Block Sec/Sub. ?my• Cake r Parcel # oc Name i:uuicm Z ? Address r?12 HOA1Slris Crsrd. 9 . _'. - o Nome _ ?? Address ? r:«., Nome _ Address I hereby acknowledge that I have reod this application and state that the information is correct ond ogree to comply with all applicable Stote of Minnesota Statutes and City of Eognn Ordirwnces. Receipr # N2 6115 Erect Q rr ? Occupanty Alter ? Zoning Repair ? Fire Zone Enlcrge ? Type of Const. - Move p #k Stories Demolish ? Front ft. Grode ? Depth ft. Apnrovals Feos Water & 5ew. Police Fire Eng. Plonner Council Bldg. Off. _ APC Permit Surcharge Plan check . ' sac Water Conn. - Water Meter ' Rood Unit Total $ignature of Permittee I A Building Permit is issued to: on the express condition that oll work shall be done in accordonce with oll opplicAble State of Minnesota Statutes and City of Eagon Ordinances. Building Officiol ?onnM # oaM luwd Plumbin9 97 Mechonicol ? 7 ° -C? ?C' INSPEC710NS DATE INSP. pennMtr ouph-In Finol Footings Dote Insa. pare Insp. Foundotion Plumbing Frome/fns. Mechanical Final Remarks: No. Date: CITY OF EAGAN 3795 Pilot Knob Read Eegan, Minnesota 55122 Phena: 454-8100 PERMIT 3-15-80 Site Address 4696 Penkwe Lot Block 5ub/Sec. ??+ • ?Y? ?aj7 INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Receipt No.: $ingle Residentiol Multi Res., Comm./Ind. I Nome New/Alter./Repotr ; Address Cost of Instollotion O City -"? `? tOni8 , rta• Phone: 514-73 i; Permit Fee Name ??'enZe1 ',S4Crzonic - SurcFarge . ? Address 36CV) `=emnebPC ?`z', ? _. , . City Phone: Total This Permit is issued on the express condition that all work shall be done in octordance with oll opplicable Statc of Minnesota Stotutes and City of Eogan Ordinances. Building O#ficlol No. Heatinp CITY OF EAGAN 3793 Pilof Knob Rond Eagan, Minnasota 55122 Phone: 454-8100 PERMIT t'aate: Slte Address: ? Lot I Nome - ? ? Address '.11T1@ t.dT1?iS , ? M'l . City Phone: ny Vilelter Heat-t r.i- Receipt No 5in9fe Residentiol INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Multi Res., Comm./Ind. ? New /Alter./ Repair Cost of Instaliation Permit Fee 20.00 Neme Surchorge r ? 1,637 Chicaro Av. . ? Address City ? Phone: Totol This Permit is issued on the express condition that all work sholl be done in accordance with all appliovble Stote of Minnesoto 5totutes and City of Eagan Ordinonees_ • ' ??? rC'fItm@ ?i•I , ,.-• •? = Block Sub/Sec. ? ` . . Building CITY OP EwaAN SEWER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: -' Ea5lon, MN 55122 DATE: „ •- ? Zoning: No. of Units: Owner: Address: Site Address: : : ? .••e . C - Plumber. 1 agree to eomply with the City of Eagan Ordieonees. Connection Charge: Account Deposit: Permit Fee: f $urcharge: Misc. Charges: Total: Dote Paid: Bv Dote of Insp.: 1CITY OF EAGAN WATER SERVICE PERMIT ' 3795 Pllot Knob Road PERMIT NO.: E: jon, MN 55122 DATE: Zoning: No, of Units: Owner: ' Address: Site Addresr Plumbe,r: Meter No.: Connection Charge: Size: Account Deposit: Reader No.: Permit Fee: I agree to canply wifh the City of Eogan Surchurge: Ordineneea.. ? Misc. Chorges: . Total: BY Date Poid: Date of Insp.: Insp.: This request void 18.monr,hs,from Date o•this Request Fire No. S 99309 I, Licensed Electrical Contractor ? Owner, do hereby request inspection of the above electri- cal ?d?ring installed at: 0et Address or Route No. 1M NJkAJ6` WkU City ENW Section Township Range County Which is occupied by ? Is a roughin inspection required on this job? No ? YeO_ Ready Now ? Will CallRC DC& PowerSupplier 1`' w Address ???lytl?_ Electrical Contractor ? ?fL? Contractor's License NoA. 3-6K (COmvany Name) Mailing Address &.{r- (1p Authorized Signature No. W-53%6 (Electrlcal Contra[tor or Owne1 Makln9 ThIS Installatlon) This inspection request will not 6e aceepted by ffie G.1 lJ l"J l??\?J State Board uniess proper inspection fes is enclosed. mmnesow state noam or tiecvicity Griggs Midway Bldg. - Room N791 EH-00001-02 1821 University Ave.. St. Paul, Minn. 65704 - Phone 297-2117 ? 'r'i'EQUEST FOR ELECTRICAL INSPECTION S CHECK BELOW WORK COVERED BY THIS REQUEST 60'9 3 0 9 Type of Building New Add. Rep. Check Applisnces W'ved For Check Equipment Wited Fm Home 16 ? ? Range ? Tempoiary Wuing [ ] uplex ? ? Water Heater ? Lighting Futu:es '?• [. Bidg. ? ? ? Dryei Electric Heating ? Commercial Bldg. ? ? ? Fumace Silo Unloadec 0 Industrial Bldg. ? ? ? Air Conditio ? 0 Bulk Milk Tank ? Farm ? ? ? List ) List ) Othe[ ? ? ? r ?ehers) } ehef5l COMPUTE INSPECTION FEE BF,LOW ?A Smice Entrance Size: ;Y Fee Feeders&Subteeders: # Cucuite: # - Fee 0 to 100 Am s. 0[0 30 Am eres 0 to 30 Am eres ]Ol to 200 Amps. 31 to 100 Am eres 3l to 100 Am res Above 200 Amps. Above 100 Amps. Above 100 Amps. Transformeis 1 1 RemoteControlCirc. Partialorotherfee Signs 1 1 S cial Ins ction Minimum fee Remarks .? ?., I r J7W'D TOTAL F ? M I, the Electrical Inspector, hereby certif the?les?eFS?jlhas been madE:? (Rough-in) ., ?r Date ? 0 (Final) ?? Date ? This request void 18 months from CIT'- OF feA('!?N Include 2 sets of plans. 1 site plan w/elevations & Y BUILDINC; PMrIT APPI.IC}1TION 1 set of energy calculations. \j 3, aoo :F2- . 'ib Be Used For S?ts?oE,ace Valuation Date A- l8 -eo site Address: 4 4.9 A oF'FICE USE ODII,Y Lot ?3 slocx 2 sec./sub. swANNy cnwe Parcel #: t/D 69k? / ?D ? `/' O? Owner: Address: City/Zip Code: Phone #: Contractor: nRRIN THnMPSC1N I-If1MPC P,c1dYeS5: a Division of U. S. Home Corporation 17-12 1 1OPK+'.S-FRASGReRB City/Zip Code: MINNETONKA, MINN. 55343 Phone #: Syy9333 Arch./Fng.- Pddress: City/Zip Code: Phone #: Erect ,x Alter Repair Enlarge • Move Derrolish Grade oc ?ncy ? Fire Zone 3 7ype of Const. (T # Stories Front ? y ft. pepth 2 g ft. Assessments W3tET/SeW2L Police Fire EnJ • Planner Council Bldg. Off. APC Pen[tit / `fJ °d Surcharge Plan Check sAC sas ? Water Conn. 3os? Water Meter itDad Unit TOTAL J3fi CITY O.F EAGAN 3795 Pilot Knob Road Eagan, MN 55124 PHONE: 454-8100 BUILDING PERMIT APPLICATION Receipt # Site Address 40`90 reiuiwe vuay t 7L5 1 Lot 13 Block z Sec/Su6. 'S'• Cake Rdg. porcel # 10 39800 130 02 w Nome Orrin Thomnson Homes 3 A?rew 1712 Hopkins Crsrd. ° ?_ Mntka, Mn. .,?--- 544-7333 A Nome _ ?? Address ? r.., Nume _ Address 1 hereby ocknowledge that I have read this opplicotion and state that fhe information is mrrect and'ogree to comply with oll oppiicoble Stote of Minnewto Statutes und City of Eagan Ordinances. N° 6115 C;:,? CL-) 41 Erecr fp Occupancy R3 x Alter ? Zoning PD Repuir ? Fire Zone 3 Enlarge ? Type of Const. V- Move ? # Staries Demolish ? Front 64- ft. Zg Grade ? Depfh ft. Aourorola Fees Water & Sew Police - Fire Eng. Plunner _ Councll - BId9. Off. _ APC - PEMIit surchorge 26.50 Plnn check 72. 50 sAC 525.00 Water Conn . 305.00 Wocer Meter 60. 00 Road Unit 185.00 rm,i 1,319.00 $ignature of Permittee I A Building Permit is issued to: Orni n ThnmpSnn HnI}1eg on the exprew condition thct all work sholf be done in oaa ance with 11 applA icabte State ot Minnesota Statutes and City of Eagan Ordinances. Building Offlctcl 4698 159 C. R. WINDEN 3 ASSOCIATES, INC. IAND SURVEYORS 1ol 845-3648 . 138t EUSTIS ST., ST. PAUL, MINN. 65108 For: U. S. HOME CORPORATION / Scale: 1" = 30 o Denotes Iron / WE MEREBY CERIIFV TMAT BOUNDARIE$ OF THE IAND TFIEREON, AND All VISIBIE / Lot 13, Block 2, Johnny Cake Ridge Addition, Dakota County, Minnesota l4 TMIS IS A TRUE AND COaRECT REPRESENTATION Of A SURVEY OF THE ABOVE OESCRI6ED AND OF THE LOCATION Of All lUILDINGS, If ANY, ENCROACHMENTS, IF ANY, FROM OR ON SAIp lANO. Dorad this l.3lh._doy ef Au°`A.D. 19Bp C. R. WINDEN 6 ASSOCIATES, INC. bY .4 Survwor, Minokswta Rapiarrotion No.7726 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone 9 651-675-5675 FAX 9 651-675-5694 ??? 2 ??_ New ConsWClion Reauirements RemodeVReoair Reauirements Office Use OnN 3 reg¢tered site surveys showirig sq. $. of lot, sq. ft. of house; and a11 moted areas 2 cop4es of plan Ced of Survey ReM - _Y _ N (20°k mazimum bt wverage allowed) 1 set of Energy Calwlations for heated additbns T2e Pres Plan-Recd . _ Y_ N. 2 copies of plan showifg beam & wirMow sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required . _ Y_ N 1 sel of Energy Calculatiore Addilion - indkate 8 on-sne septic system On-SAe Septlc Syslem _ Y_ N 3 coples of T2e Preservation Plan rf lot platted after 711193 Rim Joist Defail Optlons selecibn sheet (6uldings with 3 arless units) Date lt+0 / Construction Cost v? 000' ? Site Address -[ O?3 r C/? I?? w{iy ? 55 ? Z2' UniUSte # ,n DescriptionoFWork g?-510(?? Multi-Family Bidg _ Y-N Fireplace(s) _ 0 2 PropertyOwner Telephone#(6SJ Contractor :51 6jVfl-rj4M? bl"4 ESTQ.V tCF_sL_LC Address ? S?ay W Da State /v1 /v L ?J1?K ?aOD City Wu?P?BU?y Zip SSI25 Telephone #((SI ) rI3I' 11 I COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cate2orv 1 Minnesota Rules 7672 Energy Code Category Residentiaf Ventitation Category 1 Worksheet • New Energy Code Worksheet (Jsubmissiontype) ? Submitted Submitted • Energy Envelope Calculations Submitled 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 undersYand this is not a permit, but only an application for a permit, and work is not to start without a f work which requires a review and o permit; that the work will be in accordance with the approvem approval of plans. sNMnl? P?oN4s&l Applicant's Printed Name App icant's Signature OFFICE USE ONLY Su6 Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-piex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 38 Multi Misc. ? OS 03-plex ? 11 10-plex O 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-piex Plbg_Y or_ N ? 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 Windows/Doors ? 34 ReplacemBnt •Demolition (Entire Bldg) - Give PCA handout to applicarrt Valuation Occupancy MCES System Plan Review 100% or 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV ` # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AidGas Tests Final _ Framing _ Siding _ Stucco _ Stone _ Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows _ Insulation _ Retaining Wall Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Building Inspector 2006 RESIDENTIAL MECHANICAL rERMrr ArPLicaTTON City Of Eagan 3830 Pilot Knob Road, Eagan MN 55132 ' Telephone # 651-675-5675 Please complete for. single.family dwepings & townhumes/condos when permits ere required-for each uuit I a)+So Date ?lJ ( V lJ n SiteAddress 41y oi Unit?# PrapertyOwner m-? ?c 'Y ;"`^"? _Du'-V -1 e C Telephoue#( . ) . Contractor v1 0l,C 1 /? Street Addsess I? City '? Ll:WSV I hL. State 1-1 I y Zip Telep6one #(? )?? Bond#: Expires: The Applicaot is _ Owner J(XonVactot _ Other Add-op or alteration to existing dwelling unit "/--furnace _Additional -Replacement _ New $ 30.00 air exchanger ? airconditioner heat pump ? • ? ?{ ? other j ? ? State Surcharge '$ .50 Total 1 hereby apply fot a Residential Mechanical Peanit and acknowledge that the information is complete and accurate; that [hework wil] be in conformance with [he ordinances and codes of the City of Eagan and with ihe Mechanical Codes; that I understandthis is not a permit, but only an. application for a permit, and work is not to start without a pemiit; that the woek will. be. in accoxdance witk. the approved ptan 'n the caseof work which requires a review and approval of plans. , ?;nVi 1 J L Applicant's nnted Name Applic s Si ature a? 2006 RESIDENTIAL PLUMBING PERMITAPPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Piease complete for modifications to existing residential dwellings. Date 6 ! 5 1 ! VU/ ?j ?, ?p /-Site Street Address (? `"1 b K v?(- Unit # Property Owner I" V 1 k l. ?! ?'l,rOP ..) l.l,VAC Telephone #( ) Contractor ?z ' ' '/ Telephone# ????fIV?V Address 0 City l?Ll" ?50 State_LAN_ Zip .? The Applicant is: _ Owner TContractor _Other Septic System _ New _ Refurbished Su6mit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Alterations to existing dwelling $ 50.00 _ Add plumbing fixtures. This fee includes installation of a water softener and/or water heater at the same time. If you are instalfing onl a wafer soffener and/or water heater, do not complete this section; move to the neut section and check the appliance(s) you are installing. Septic System Abandonment _Water Turnaround (add $130.00 if a 5/8" meter is required) Other: 'Water Softener _ Water Heater $ 15.00 'k, new _ repiacement Lawn Irrigation _RP2 _PVB _new _repair _rebuild $ 30.00 State Surcharge $ 50 Tota1 $ I / 5? I hereby apply for a Residential Plumhing Permit and acknowiedge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordancp with the_3pproved plaq in the event a plan is required to;beyivi@wed andaRproved. ? ?IM? IJc nun Applicant's Pnnted Na e Applic s 5ignature S 9b.00 4' Civ of Balan 3830 wlot Knob Road Eagan MN 55722 Phone: (651) 675?6675 Fex:(65t) 675-5694 C? 5ag ? ----------------- ; ? mmom ' ?SSb v ? i ?? ? ftw& Fm` ; ? DeDa Re?Ived: ? n I ?--^-------------? 2008 RESIDENTIAL BUILDING PERMIT APPUCATtON oM: site nadrM: suN s: renm+c: RESIDENT! OWNER pddress / Cdy / zry: AppfiwMs. -? ?COVaCW IS TYPE OF WORK Ca%hCdDn Cost bb CpNTRACTOR Muiti.FeMilY BAft: (Yes -/ NoX.] L Lioeroa g; ?.?? ?III'1 ---• - nn,? PhOne: rn6t • N-A9-q&'!0 CW1f8Ct P9mOfC ?nl r7 1 COMPLETE'fNIS AREA ONLY IF CONSTRUC7ING A NEW BUILDING M:mrresjoffi Rules 7670 teaorv i _""?n?+_----? R---?? F.nergyCode • pwift"verd8tim.0e0937+w00113r+cez • NewSwW ClOdO wonmheec o ? ? (J su giasioa hpe) • E^?9v &Nebpe camdwwm &&nw m m• wx 12 mnths, nas mo cny of Eeaw+ losusd a vwa rx a akmimr Ptan besed on a maseor mmn4 _Yes No If yes, dete erd eddreas at mfl606r p12n: Licensad Plumber• Modfanies) C.onUacWr - phw: . Seierer 8 wa[ar Comractor. ? : ?-- - ' nme6y a?Wqvdedge ft tlds kfammft Is o'anpleteard acataaos; Cret Cie worlc wIA A9 Mi a*nnonos wAh tlio owaneea ena mees ot tne GttY ar ?,Mmm me ap?wro?ed ft nreteae ? d ?woM?whcn ? ? ?prpval at al?- mamrt witlpW a p?mt #ec tho wanc wm m m I?PpfiariYs Pdnted Name Appkmft M9naM page 1 of 3 PERMIT City of Eagan Permit Type: Building Permit Number: EA105505 Date Issued: 0711712012 itj of 0n Permit Category: ePermit R Site Address: 4698 Penkwe Way Lot: 13 Block: 2 Addition: Johnny Cake Ridge PID: 10-39800-02-130 Use: Description: Sub Type: e-Reroof Construction Type: Work Type: Replace Description: House & Garage Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: BL - Base Fee $4K $103.25 0801.4085 Valuation: 9,200.00 Surcharge - Based on Valuation $4K $2.00 9001.2195 Total: $105.25 Contractor: - Applicant - Owner: Beissel Window & Siding Co Michael D Durfee 1635 Oakdale Ave 4698 Penkwe Way W St Paul MN 55118 Eagan MN 55122--275 (651) 451-6835 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. Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA119263 Date Issued:11/20/2013 Permit Category:ePermit Site Address: 4698 Penkwe Way Lot:13 Block: 2 Addition: Johnny Cake Ridge PID:10-39800-02-130 Use: Description: Sub Type:Siding & Windows/Doors Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of house wrap and leave on site for final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Valuation: 8,000.00 Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 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 - Michael D Durfee 4698 Penkwe Way Eagan MN 55122--275 (651) 451-6835 Beissel Window & Siding Co 1635 Oakdale Ave W St Paul MN 55118 (651) 451-6835 Applicant/Permitee: Signature Issued By: Signature RECEIVED CAR 2016 341' FEB 16 For Office Use E � Permit#: NO0 AG N "" Permit Fee: y., Date Received: "1 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 �y (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: fJt"7 buildindinspections@citvofeagan.com L 11 ,2`018RESIDENTIAL BUILDING PERMIT APPLICATION Date: � f tfly/2C/rJYSite Address: 4698 penkwe way Unit#: << �- PAVAN DEVARASETTI ,27D-5 3C-3/113 �� Name: Phone: Address/City/Zip: 4698 PENKWE WAY Applicant is: X Owner Contractor 1 BUILDING UNDER GROUT Q BATHROOM Description of work: g j Fn cAjv "w; i< � 9 �i° . Construction Cost: 500 Multi-Family Building: (Yes /No X ) 1,11 L5 SELF Company: Contact: 0 "iti'I77 P um Address: City: tE At State: Zip: Phone: Email: License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: YES(This is modificiation in existing building) c% 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: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaoan.com/subscribe. 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. 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.000herstateonecall.org 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 • to start without a permit; th- - work will be in accordance with the approved plan in the case of work which requires a review and approval o xFv D&) , , C Applicant's Printed Name •plic• 's Si!nature ,i• i(-(e, DO'NOT WRITE BELOW THIS LINE z.-// P / � �4- SUB TYPES /O 1� y _ — _ Foundation Fireplace Porch(3-Season) Exterior Alteration(Single Family) rSingle Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) Multi Deck Porch(Screen/Gazebo/Pergola) Miscellaneous 01 of_Plex _ Lower Level _ Pool _ Accessory Building WORK TYPES New 'QInterior Improvement _ Siding _ Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior Alteration Fire Repair Windows Demolish Foundation Replace Repair Egress Window Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION _ Valuation 2� Occupancy 1.jzc- ( MCES System Plan Review Code Edition x/17/ ts-- SAC Units (25%_100%_) Zoning X-7:1 City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction V 3 Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) p Final/No C.O.Required Foundation Foundation Before Backfill �p HVAC_Gas Service Test Gas Line Air Test Roof:_Ice&Water _Final Pool:_Footings _Air/Gas Tests Final A Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS .p, Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: _Rough In_Final Braced Walls Erosion Control Shower Pan Other: ,---, . Reviewed By: ! ©/h ,/M/41' , Building Inspector RESIDENTIAL FEES LJ f Base Fee S / 5 97 ' f y Surcharge Plan Review n % ,,r)--...0P'''t. ,�to:e.. MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 E AGA NFor Office Use Q %t% � Permit#: 1 ga ..P (7_ Permit Fee: 1p (O `0 V Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD:(651)454-8535 I FAX: (651)675-5694 Staff: buildinginsoections(c cityofeagan.com L 2018 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 03/16/2018 Site Address: 4698 PENKWE WAY Tenant: OWNER Suite#: Name: PAVAN DEVARASETTI Phone: 2705353143 Address/City/Zip: 4698 PENKWE WAY EAGAN MN 55122 �mti 1 SELF ,0� Name: License#: 111 p 3 Address: City: 111419r e— elj ' State: Zip: Phone: x1641 1;11,1 Contact: Email: 41 411 � ��� "# New Replacement Repair Rebuild 1/__ y ModifSpace _Work in R.O.W- n , E Description of work:a. C 16-v6-7 /' --Mien /- V; 1021'4I igj reRESIDENTIAL -S�`/�ll� Water Heater Water Softener Lawn Irrigation(_RPZ/ PVB) 11,1 i41i;a :flia�>., Septic System 1 Add Plumbing Fixtures(_Main/ ✓ Lower Level) 11111Water Turnaround '111111143,37 — 1 t6 New -419 Abandonment RESIDENTIAL FEES: $60.00 Water Heater,Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation (includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround*(includes State Surcharge) "Water Turnaround(add$280.00 if a 3/4"meter is required) $115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES $60 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 You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeanan.com/subscribe. 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 • .n in the case of work which requires a review and approval of plans. c` ` X 7.141c1/4 �� �Sr✓ J Applicant's-Printed Name Applicant's Signature o ♦ ppp