4702 Penkwe WayINSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: "I ' {, rNO
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
I'I I 69 ':.i .. ?I .
SITE ADDRESS: IA 41 APPLICANT:
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION D• • DA
7
J
Permlt No. Permit Holder Date Telephone #
ELECTRIC
PLUMBING
HVAC
Inapectian date Inap. CommeMs
FOOTINGS
FOUND
FRAMING
ROOFING 6wfG
7
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
CITY OF EAGAN ?, ?
. 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 8971
' PHONE: 454-8100
BUILDING PERMIT
Te V wmd fet :'F 1)j9G/(;P.T2
Site Address
Lot
Parcel No. _
Receipt #
,l, n,,,e .'1PRIL 13 „ 89
oc
? Name
Address ' " "
1. 712 rTOn-{ T r?G cROssROAn
City '' VA • Phone `_% 4 4- 7 3 3 3
oc
Name
go
u Address
p- City Phone
a
W
Name
F
_? Addresa
u
?,Zu
City
Phone
Erect
n?
p' i ...J
Occupancy
PT-
?Cter ? Zoning '
Repair ? Firo Zone '' `
Enlarge p Type of Const. "
Move ? # Stories
DemoNsh
Grade ?
? Length?
Depth SQ. Ft.
l,ssessment _
Woter b Sew.
Police
Fire
Enp.
Plonner
CouncH
I hereby ocknowlsdge that I hove read this applicotion ond srate thot Bldfl. Off. _
the inlormotion is correct ond ogree to comply with oll applicable ^PC
Stote of Minnewto Stotutes ond City ot Eagon Ordinances.
Sipnoture of Permittee
'I;?T, 1, V`,' [dTTi
Permit t ,7 . ; i Q
$urChurgE h 25.50
Plan check1.43 • 00
--7=1 . 00
SAC
. (10
Water Conn, ?• ?? 0
Water Meter ?1.00
Road Unit
, .-. . 5 (7
Total
A Building Permit is Issued to: on the express condition tF?ar
oll work shall be done in accardontt lgbi - licoble btate of Minnesoto Statutes and Gty oi Eopon Ordinances.
8uildinfl Officinl
Psrmit No. Permit HoltMr Misc. Pwmit No. Holder
Plumbiny
I n,' -- e I ?`l
H.V.A.C. ? r) A k?Q-f r C
w.n
Water
Disp.
S?wer
Elemic I4 ?tv
Impection Date Insp. Other
Footingt
Foundation
Fnminp _ ?, C"A
Rouph Plbq. LC
Rouph HVA
Inwlation
Final Plbg.
Final HVAC
Final /
Wa"r DesvikM Lotation:
YYell •
Sower
Pr. D'Kp.
Receipt PLUMBING PERMIT Permit No. ? -- 1
CITY OF EAGQN Fee
Fill in numbered spaces S/C
Type or Print /egrbly ? Tot.
1. Date 4/16/84 2. Installation Cost
,,.i .
3. Job Address 4902 Penkwe WdyLot1 'iBlk. -? Tract
4. Owner Orrin Thanpson Homes
5. Contractor Wenzel Mech. Phone 452-1565
6. Address 3600 Kennebec Dr
7. Citv Eaaan state Mn zip 55122
$. Building Type: Residential 0" Commercial O Institutional 0
9. Work Description: New 13 Add ?
Alter O Repair O
10. Describe
11.
No.
` Fixtures
Water Closet No. Fixtures
Cesspaol/Drainfield
Bath tubs Septic Tank
Lavatory Softner
Shower well
Kitchen Sink
? Urinal/Bidet
Laundry Tray Other Water heater
d 15 hid5 er
Flo4r Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the a6ove information is true and correct, and 1 agree to
comply with all ordinances and codes governing this type of work.
Signed : - for
Rough Final
Inspections: Date Insp. Date Insp.
This is yonr permit when numbered and approved.
Approved ' • CITY OF EAGAN 454-8100
1)
Receipt MECHANICAI. PERMIT Permit No.(??? ?
CITY OF EAGAN 17.00
Fee
Fill in numbered speces S/C •50
Type or Princ legibty Tot. -"()' J?
1, Date 5-7-84 2, installation Cost1500.00
3. JobAddress 4702 e11?`'tm '• -VLot 14 Blk. ?
4. Owner 'J"L tIPi 'ri? P1:' .. ;i , .. _;
Tract ?Tr' `' 4
5. Contractor ? ` • .-':.i ?' .. . ? . '' phone
525-6867
6. Address 4037 C}1iC1g0 •ve. ' o.
7. City State Zip 55407
8. Building Type: Residential $] Commercial O Institutional ?
9. Work Description: New 0 Add ? Alter ? Repair ?
10. Describe in:,t•.1 L'_zeating WAX Fuel Type Nat c: s
11.
No.
1 Eauinment 8TU - M. Ea.
Forced Air 1Ugs000 No. Equipment CFM
Ai
H
Mfg, r
andling:
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
- Mfg.
?
Gas, Piping Outlets
72. I hereby certify that.ihe above information is true and correct, and I agree to
comply with allpreinancds/apd codes?govoming this type of work.
Signed :
? for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CITY OF EAGAM Remarks -
Addition Lot 14 aik 2 Parcel ld 39800 140 02
?., .
Owner (<< 4 Street State_ BagBIl. r'iN 55122
?
Improvermnt Date Amount Annual Years Payment Receipt Qate
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 15 8
* SEWER LATERAL
WATERMAIN
* WATER LATERAL 1991
WATER AREA
STORM SEW TRK ?
?t S70RM SEW LAT 198
CURB & GUTTER
SIDEWALK
STREET LIGHT
ROAD UNIT z 4-13-84
WATER CONN, !+]Q.QQ
BUILDiNG PER. 8971
sac 525.00
PARK
?
CASH RECEIPT
?CITY 4F EAGAN -
P. O. BOX 21•199
EAGAN, MINNESOTA 55121
.
DA7E 19
?
RecEIveo
FROM . . .. . .
AMOUNT $ _
?'/-" ;? - )I!
& DOLLAR$
+oo
? CASH ___.[]-CFiECK
l'+ft
?
?--??i]?" ?i? ?.ti:: ti'r? ??r,.'., _? ?%' ,
FUND CooH AMOt1NT
? J
i l.
?.
Than ou-J'P4
B Y _.
5. '
UYhite-Payers Copy
Yellow-Posting Copy
Pink-File Copy
?. . LfASH RECEIPT
? CITY' OF EAGAN
P. 0. BOX 21-199
EAGAN, MINNESOTA 55121
DATE L 19
RECEI V RD
PRpM ' . . E' .
AMOUNT
f
i
?--'? DOI.LARS
too
? CASH ? CHEGK
! ., I
?'., . .. i I
FUND CODE, AtAOLINT
x r?
,, -
Thank You
Q?v e ?_? ,If BY -.
3
White-Payers Copy
Yellow-Posting Copy
Pink-File CopY
CITY OF EAGAN
3830 Pilot Knob Road
P. O. Box 21199 - -
'Eagan, MN 55121
Zaning: -
r:
rass:
T
ite /lddre? om qa!* 1 ?+'i`3(!
'Plumber:
n
L14 B2 Johnnv Cake
j r- - 111j
er No • ' ?
iCpnnection Charge: ??1l-.vv ?lu
isi?: ? p?. fccou,t Deposrt: 15.00 pa
?
'Reoder No.: 6 YPennit Fee: 10.00 pd
1 N.w to oo-oy wili !IN Cltq of Eagan Surchcrge: .50 Dd
'prdiwaseN. ? Miac. Chorpas: 6 Pd rieter
Total:
By Date Paid:
Date of I nsp.. I nsp.:
CITY OF EAGAN
3830 Pilot Knob Raad WATER SERVICE PERMIT
P. O. Box 2119C ' PERMIT NO.: 5410
Eagan, MN 551
2i DATE: `
?
f Zonirg:
o• ? Units:
,?,?r: ricmpyoti a py Div
/1rJdress:
Site Address: eu e ay L . o ny Ca e. ge
Plumber: Wepsel Hech
IMeter No.: Connection Ciwrge: • 00 P
Slu: Acwunt De
posit:
p
Raoder No.: Permit Fee: 10
P
i1 prN to oina* wI& !M Citi eF GYen Surcherge: .50 P
O.rtmnqm Misc. Charyes: 53-00- P met3r
Totoi:
By Dote Paid:
? Dah of I nsp.:
Insp..
CITY OF EAGAN
3830 Pilot Knob Road SEWER SERVICE PERMIT
5600
P. O. Box 2119o PERMIT NO.:
4
Eagan, MN 55121 DATE:
Zoning: it1 No. of Units: 1
Owner: Thonaon Valley ?71v
/Wdress:
Site Address: 4702 PeaWe Nav LI4 B2 Joi?nny Cake Ridge
Plumber: Wenzel Mech
4-13-84 42554 ?'? p?
1.on. to eon?ply wMh N?. Cihr oi Eagan Connection Chorpe: 425.00 pd
Ordinenas. Atcount Depoait: p
Parmft Fee: • P
Surchorpe: ' p
By Misc. Chorpes:
Date of Irup.: Tatol:
Inso.: Dats Puid:
WATER SERVICE PERMIT
PERMIT NO.:
DATE: => - i , - . +
No. of Units:
l{ 3?( ?-1 pEQUEST FOR ELECTRICAL INSPECTION EB'°°°°' °°
' Sae inatructione far completinp thia torm on back o1 vallow ewy. 9' S y
A058731 "X" Be/ow Work Covered by This Request
NwwIAdEI Aeo.l Tvoe ot Builtlino 1 Aoaiioneea 111rad I Equipman[ Wired I
tl%
CC
p Fee Sarvice EntrancaSixe p Fee Faedars/Subfaetlers k Fee Circuits
U to 200 Am s- 0 to 30 qm 5 1 O. 0 to 30 Am
Above 2_Am ps 31 to 100 Amps 31 to 100 An4ps
Swimmin Pool Above 100-Anipsi A6ove 100_Am -
Transiormers Irngation Booms I <jt ?.SQ Partial.'Other Fee
Signs Speciallnspection
emerks S?u,7J TOTA•?j?FEE\
?, .atl
Rough-in ? Date
Ihe t?ical
S Impector, ?eroby
?an1fY tMt tM above
Finel Date "mpaetion has Eeen
r wae..
Tft requeetvolClBmaniMirom - - " ?/?-"sll
Th; aa as w;d y??
,s mon,ns rram -
a rJ58731. Y o. 00
Rnques Dat Fire No. FouOh-in Inspection
I? (,[ Pe u red7 ? OPeady Now4W?ll Notify. InsD?-
aT ?as No A? ?/hen qeatly
?Licensad'Electrical Contractor I hareby mquast insoecUav oi above
Owner electricel work iretalled et:
Streei Address, 9ox ar Route No.
q`1c)Z QEukw; r?,a Gity
?
ecuon o.
I
I pwnship ame or o.
Nanee o.
Co{u?npty????-?
{/?IN
Occu ant (PqINT)
`?t?MPsZ,4 UR Phone No.
Power $upppli,er
?N
_7
Atldress L
l?CS 1-0,-J
Elect al ConVactor ICompany Name)
- Con[rar.mr's License No.
iS2
d
eL&-7
/LtL' I
151L
3
MailiL }Ad1 dres[s ICo(n?trac.tror or Owner Making Instailationl
?18
?
` L• 1.?--?II NIRO
1 •
A iz Sy?na u a( onVactor Owner MakinB Installation) Phone NwnGer
/
MINNE80 A STATE BOAND OF ELECTRICITV • THIS INSPECTION REQUEST WILL NOT
GriqOa•Midway BIdO. - Roam N•791 BE qCGEPTED BY THE STATE BOAND
1821 UnivereitY Ave.. St. Paul, MN 56104 UNlESS PNOPEN INSPECTION FEE IS
Phone 16121 297.2711 ENCLOSED.
? ? UL ? ?
" ? ?
I 1 site w/e]evatibrLS 6
plan
Plan: .?? ?
LD C T APPLTCATION 1 set of enesgy calNlatiorLS.
?
7b IIe Used For Valuation Date
Site Pddress: "102 ?....?...,a` ?.. OFFI(E USE ONLY
I,ot \''\ Block Z Sec./Sub.SG.iZ, (yUnErect ? Occupancy
c O ' aa Alter
?
rr? -
3 9? Zoning •
Paz
el # : ZL -
?
?
Repair Fire Zone ?y/,a
Oaner: Tur.s.?o ? vn? ? rv n n
--r?,v?mr-?6P? --o-???I V I SI?AE
Pddress: 8 Division of U.S. Home Corporetiolt
City/Zip Code: MINNETONKA, MINN. 55343
Enlarge _ 'I)+pe of Const. ?
hbve I Stories
Demolish Front ft.
Grade Depth 3q ft.
Phone #: ?? yc -1333 APPROvALS
Contractor:
Address:
City/Zip Code:
P}ione n:
Arch-/E7,9-: _
Pddress:
City/Zip Co9e=
Phone $:
Assessrents Permit gyrl?
Water/Sewer Surcharge
Police Plan Chec3c /y3
?
Fire SAC S'a
Enq. Water Conn_ y7D 934
planner . I9ater Meter ? 3 &0-
-
Council Roac1 Unit ,g/o o?
T
Bldg. Off.
APC - ? - -
'IC7i'AL ' /) ' 7 ;? '?-J 0
CITY OF EAGAN
3830 Pilot Kno6 Road, P.O. Box 21•199, Eagan, MN 55121
PHONE:•454-8700
BUILDING PERMIT
N° 8971
Recelpt #
To M uud fer SF DWG/GAR Est. Volue $ 51 , 000 pate APRIL 13 19 s4
SiteAddress 4702 PENKWE WAY Erect [X Octuponcy R3
Lot 14 eiock 2 Sec/Sub. JOHNNY?AGElter ? Zoning R1 (PD)
Parcel No. 10-39800-140-02 1sf Repoir ? FireZone N/A
Enlarge ? Type of Conrt. U
I Name THOMPSON VALLEY DIV.
z qddress 1712 HOPKINS CROSSROAD
? City MTKA. Pnone 544-7311
o Name SAME
?? Address
r- City Phone
r'w
Fw Name
_? Address
0
1 City Phone
Move ? # Stories
Demolish ? Length 4 7 ' 7
6rode ? Depth 39 Sq. Ft.-
ADVrovala Feas
Assessmenf _
Woter & Sew.
Polica -
F{re
Eng.
Plonner _
Council _
1 hereby acknowledge that 1 hove read this opplication ond state that Bldg. Off.
the informotion is correct and egree to comply with oll applicable APC -
Sfate o4 Minnewto $totutes and City of Eogon Ordinances.
Permit $ 286.00
Surcharge 25.50
Plan chetk 143.00
SAC 525.00
Water Conn. 470.00
Ware.Meter 63.00
Rood Unit 260.00
rotal $1,772.50
Signotum of Permittee I
A Buildine Permit is iuued to: THOMPSON VALLEY DIVISION. on tha expreu condiNOn ihm
oll work shali be done in nccordor.;&;il%3j!?vcHccble{$fare of Mi nesoM tatutes ond City of Eogan Ordinoncea.
Buildirp Official
?1111
PERMIT# MftJ
RECEIPT DATE: - ?D
USIDENTIAI. PLUM$IN6 PERM1T APPLICATION
crrY oF EAsm
3830 Pu.oT Kxos ftu
F-?sw?v, bnc ssisa
651-6$1-4678
Please complete for: D single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for irrigation system
SITE AUDRESS: 4-10Z.. `J?
Cxiv., SV\ N__?
\
OWNCR NAIVjt: : 1\ TELEPHONE #: 65I 45 (,,-GG t (J
(P.REA CODE)
WSTALLERNAME: TELEPHONE#:?? __;P34- (4 I_7 ?
l (AREA CODE)
STREET ADDRESS: R? F'i'?'I s- 'K?
LO %
CITY: STATE: ZIP: 5(00
?-?
Place a check mark next to the oermit work tvoe
New residential dwelling unit under construction and not ownerloccupied $ 90.00
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:/?,¢?e?.t? ?.LYa y?
?U
Septic System, new/refurbished - $ 225.00
I 0 ;ncludes County & Consuiting inspector fees
• requires MPC license
State Surcharge ? ? ? LR ?? ?.50
IS
Total ?9 FEB Q
1 9?00 ?
i
?
$?
Reminder: Be sure to schedule inspections of aiterations, i.e. water heat '?, water softeners, etc.
?_.?____
I hereby acknowledge that I have read this appliration, state that the information is corred, and agree to compiy with all applicable Cityof Eagan ordinances. It
is the applicanPs responsibilityto notify the property owner that the City of Eagan assumes no liability for any damages ca4sed by the City oring its normal
operational and maintenance acfivities to fhe facilitles constructed under this permit wit CiN pro rty h' ht-of-way/ea ?ment, „
SIGNATURE OF PERMIT
Updated 1101
4702
h
(j?
?? C.R. WINDEN d, ASSOCIATES, lNC.
V iAND suRVCVORS r.t 945•3646
IFo=: {? 13e1 Jusiis st, sr. PAuK, MINN, satoo
U. S. HOME CORPORATION
Note:
Proposed garage
( 900 01 Denotes
a&- Denotes
Vertical Datvm
b
o?' CpA
?. / ea.94)
/v
floor E1.=950.73
proposed finished qround 91.
direction of surface drainage
N.G.V.D. 1929
Scale: I" = 30'
O Denotes Iron
P? \
\ 4?? ° G
.
?° 3 s .
' ruq ?C ?rn rv o?h ? \ .ohir
ry (945) ?c
7-
Q
3795 a 21o5?9 R`1?4z3q ? ? ? ?
C N>/2so? ? J/0
r?i'J'Q/?/ ? ? 19 1.y o
(A4?GG"
Lot 14, Block 2, Johnny Cake Ridge
Addition, Dakota County, Minnesota
(939,19)
WE MERE6Y CfRTiFI' TMAT TMtS IS A TRUf AND COIkRECi lEPRESENTATION Of A SURVEY OF THE
IIOUNDARIES Of TME IAND A60VE DFSCR16E0 AND OF THE IOCATION OF All WIIDINGS, IF ANI;
TNfREOfJ, AND All VIStlIE ENCtOACMMEN)S, IF AHY, FROM OR ON SAIO tANO.
Doted ohis 28 -h /ar *f Jvne A.D. f1g3
Revised 4-10-94
C. !. WINDEN L ASSOCIATES, INC.
'iyr.tior. Mieeewro tqntroti" Mo.77
r
i..
tiY,:'1:?R"t(•$(Yn ;i`?:?::;im#:F:i;:'sfF C:I:Y'`r [l; 1=i=iG1I4!
.?
uAYf.-:c n?;?:i.; ,!sa; 5z;l!14e;!>:?..r.?9.
riNI4F1 i.!
4;t_!2 i°'[:MIN;i_ W;sy 50
ti::,c;:NlC!'lE:: p.lf-tY
r`49..
C, . . E. .. ..: ?.....
Tii: p.iANCy
PERMIT CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE:
Eagan, Minnesota 55122-1897 Permit Number: %SI0L7D9I9NG
(612) 681-4675 Date Issued: 09/17/97
SITE ADDRESS:
4702 PENKWE WAY
L07: 14 BLOCKc 2
JOHNNY CAKE RTDGE
P.I.N.: 10-39800-140-02
DESCRIPTION:
? (ROOFING)
q"?Jr i.lt?ini t,,Permit Type 5F (MISC. )
4?' !" TYPe REPAIR
?,
,1eFYt l?S "Gpd0,q434 A'L7. RESIDENTIAL
?
IV
cit . . . ' an
REMARKS:
FEE SUMMARY:
Base Fee
Surcharge
Total Fee
VALUATION
$48.50
.75
$49.25
$1,500
CONTRACTOR:
p-
.
?
APPLICANT/PERMITEE SIGNATURE
OWNER: - ppplicant -
FOUNTATN RQBERT
4702 PENKWE WAY
EA6AN MN 55122
(612)456-0018
e? I m.1?
T
ISSUED B SIGNATUREJ
997 BUILDING PERMIT APPLICATION (RESIDENTIAL)
30199 CITY OF EAGAN
3830 P1L0T KNOB RD - 55122
681 -4675
New Construetion Reouirements
RemodeURecair Reauiiements
? 3 registered site surveys ? 2 copies of pian
• 2 copies cf plans (include beam 8 window sizes; poured tnd. design; etc.) ? 2 site surveys (exterior additlons 8 dedcs)
• t energy calculations ? 7 energy plculations for heate0 adtlidons
? 3 eopies of tree preservation plan if lot platted aRar 711/93
required: _ Yes _ No?, DATE: _?? zj2?2 9 ? CONSTRUCTION COST:
DESCRIPTION OF WORK:
STREETADDRESS: 1-ye /C/ O`
LOT ? BLOCK Q,
klj
SUBD./P.I.D. #:
PROPERTY
OWNER
CONTRACTOR
Name: ? - ? AruJA" T? 9-axii9i.v Phone
4AT! RRST
Street Address: -,) ??,(l.fJGr?E Le_) f} v
City: State: ?*A( Zip: a--
Company: f- Phone #:
Street Address:
City: State:
Company:
Name:
License #:
Zip:
Phone #:
Registration #:
Street Address:
City:
Sewer 8 water licer.ned plumber (new construction only):
and lot change are iequested once permit is issued.
Penalty applies when address change
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicabte
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received
Tree Preservation Plan Received
_ Yes _ No
_ Yes _ No
- Not Required
State: Zip:
ARCHITECT!
ENGINEER
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex o 11 Apt./Lodging ?
n 02 SF Dwelling ? 07 4-plex ? 12 Muiti Repair/Rem. ?
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ?
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ?
? 05 SF Misc. ? 10 _-plex o 15 Deck
WORK TYPE
? 31 New o 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual)
(Ailowabie)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq.ft.
sq. ft.
sq. ft.
Footprint sq.ft.
Building
Engineering
Variance
a+?
Permit Fee u?S v Valuation: $,/S0D
Surcharge ?
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. DeFosit
5/W Permit
SM/ Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
MC/W5 System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bidg
Census Unit
i
% SAC
SAC Units
,
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTIODT
2/84
(PLEASE PRINT)
1) PxoPERT^1 aDDREss: 4702 Penkwe Way
r•rraT• DESCRIP'I`ION: Lot 14 Blk 2 JCR Addition
(Lot/Block/Subdivision or Tax Parcel.I.D. Number)
g?1:CT?,^?,i, n]^ OF V.J_.-...-.,r.i ?-. l:?:iii L-?•J_T I:Ji:?.i..?._..
PRESENT Z^i7rLN;/PROPOSn LSE: Cg R-1 SINGLE FAMILY
2) APPLICAN'P
? R-2 DUPLEX (TT+10 UlVITS)
? R-3 TCfev'nII-IOUSE (THILFE + UNITS) ( UNITS)
? R-4 APARBMENT/CONDCN'LII9IIM ( TJ:VITS)
? Ca?IMERCIAL/RF.TAII/OFFICE
? II3)US'1'RTAT,
Q INSTITUTIONAL/CgvMMZEM
(PLEASE PRINT)
ORRIN-THOMPSON HOMES
ADDRESS: 1712 Hcipkins Lrussxoad
CiTY, STATE, zzP: Minnetonka, Mn 55343
pHpNE: 544-7333
3) P?? kYLGNJC YH11YIf
NAP1E: %,M ...-"--. .
ADDRESS: 3600 KENNEBEC DHIVE. EAGAN. MINN.55122
CITY, STATE, ZIP: 452•1565
PHONE:
PLUMBER LICENSE N 001445M2
q) OCCUppNr/a*JER (PLEASE PRINT)
rAME: ORRIN THOMPSON HOMES
PLCRGSSc Sam2 as #2
CITY, STATE, ZIP:
PEIONE :
FOR CITY USE ONIY
PLUMBERS LICENSE:
M Active
E= Expired
Not af Record
a nitia
5) INpICATE WHICH PERMiT IS BEING RFXQUFSTEp:
? CONNECTION TO CITY Sa]ER
CONNECTION Tp CITY WATER
? (YPfin2 (PLE',ASE DESCFtiBE)
6) II1DICATE ONE:
? PLEASE HOLD APPROVED PEf2MIT EOR PICK-tJP BY 0Nr OF ABWE
P7ZASE MAIL APPROVED PERA7IT TO 1. 2,? 4 ABWE
(Circle one)
7) J1lY4411URL: LCl1L. ` .
?
F O R C I T Y U S E O N L Y ' " -
PERMIT ISSUED
F°ES: $ ip.s-ef SEWER PE?t,?1IT (INCLuDE SUP.CHARGE)
$ WATER PERb4IT (INCLUDE SURCHARGE)
$ (,?•°?-d WATER METER/COPPERHORN/OUTSIDE READER
$ WATER TAP (INCLUDE CORPORATION STOP)
$ SEWER TAP
$ ACCOUNT GEPOSIT - SEWER
$ /S ACCOUNT DEPOSST - WATER
$ WAC
$ SAC
$ TRUNK WATER ASSESSMENT
$ TRUNK SEWER ASSESSMENT
$ LATERAL BENEFIT/TRUNK SEWER
$ LATERAL BENEFIT/TRUNK WATER
$ ' OTHER
$ TOTAL . .?.,, :..,
$ ;< , . •._ . .
AMOUNT PAID/RECEZPT:::#
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
YES IF YES, THEN A"PERMIT FOR WORK WITHIN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
NO k;NGINEERING DIVIS2QN. LIST F.S A COP.DI-
TION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE: -.YL zq -,57;?oC
.a wl=.? ? ?wye =us +.tmie Mm wwwiaWoe" wm "ruspt imi" wke wmm*wpa rom 5-
?
----- -------
i
j Permit #: j
I ?
? Permif Fee: ?
I I
? Date Received: j
? I
I Staff: ?
I -________________'
2009 RESIDENTIAL BUILDING PERMIT APPLICATION L?,&o{
Date: (4 - !? -d % Site Address: 974 Z ?p.n k w P Wn
Tenant:
Suite #:
RESIDENT / OWNER Name: ?__i ?1 //a 1 Lc ? Phone: I? ?J' '/ ?o S- 02 I?i
Address/CitylZip: V702 A? kwp rvQ??p[,/i
'-
7
Applicant is: ? Owner _ Contractor
TYPE OF WORK Description of work: Ae nl, C z 1iiP .01?c'k 6:?? ?/I'?QAx
. Construction Cost: Q? I-oa Multi-Family Building: (Yes _/ No
CONTRACTOR Name: License #:
Address:
City: State: Zip:
Phone: Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code . Residential VenGlation Category 1 Worksheet • New Energy Code Worksheet
Category Submitled Submitted
submission type) • Energy Envelope Calculations Submittetl
In the last 12 mon[hs, has the City of Eagan issued a permit for a similar plan 6ased on a master plan9
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contrector: ` Phone:
`NOTE Plans and supporLng ?cuh?en?Ls:that you s'ubmtt are consrtltredtn be pA#Irc v?formaUOn Portloias of :
?tqe rnfortria#Tdb ma? b? classifr? es nari?ublic d'y?o}?rmui&e ?oeoi/i? Rea?s?ons Yha# w6tlldyermIt tlee Grty to
„
I here6y acknovAedge ihat this information is complete and accurate; that the work will be in confortnance with the ordinances and codes of !he City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start withoul a permR; ihat the work will be in
accwdance with the approved plan in ihe case of work which requires a review and approval of plan5.
x 13"n &u i ?? U
ApplicanPS Printed Name I? w JUN %: 2009 X
App?nPs Signature
Page 1 of 3
lw?
DO NOT WRITE BELOW THIS LINE
SUB TYPES
_ Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage
Single Family Garege Porch (4-Season) _ Euterior Alte2tion (Single Family)
_ Multi _ Deck _ Porch (ScreenlGazebolPergola) _ Exterior Alteretion (Multi)
_ 07 of _ Plex _ Lower Level _ Pool _ Miscellaneous
Accessory 8uilding
WORK TYPES
_ New _ Interior Improvement _ Siding _ Demolish Building'
_ Addition _ Move Building _ Reroof _ Demolish Interior
Alteration Fire Repair Windows Demolish Foundation
_ Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall "Demoiition of entire build ing - give PCA hantlout to applicant
DESCRIPTION
Valuation Occupancy MCES System
Plan Review Code Edition SAC Units
(25%_ 100%_) Zoning City Water
. Cens s Code ,
~ Stories Booster Pump
#.of U'nits"
" Square Feet PRV
# af Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
_ Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: _Ice & Water _Final
Framing
Fireplace: _Rough In _Air Test _Final
Insulation
Meter Size:
Sheetrock
Final / C.O. Required
_ Final ! No C.O. Required
HVAC
Other:
Pool: _Footings Air/Gas Tests _Final
Siding: _Stucco Lath _Stone Lath _Brick
_ Windows
Retaining Wall
Erosion Control
Reviewed By:
Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
5&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
-.?:•,?. -rvrFTDEN 3 ASSOCIATES, lNC.
- IAND SURVEYORS TaL 946•E646
1361 EUSTIS ST, ST. PAUI, MINN. 66105
U. S. HOME CORPORATION
Note:
Proposed garage
( 900 00 Denotes
.4 Denotes
Vertical Datum -
?' C A
° k
9.94)
?
34j
P?
q
_??
?l \
Q /
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O
.
795?
09' R??zs4
QlL
N
floor El . = 950.73
proposed finished ground S1.
direction of surface drainage
N.G.V.D. 1929
Scale: 1" = 30'
. O Denotes Iron
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Q A
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4rV
C945) ??
?y
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I;
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125Q? O D
N >7' ?
`?OI/jN6'J'O/t/
So?y•?
?r9NE'
Lot 14, Block 2, Johnny Cake Ridge
Addition, Dakota County, Minnesota
i '4-
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?
Z
(93s. /9)
WE MERE6Y CERTIFV TNAT TMIS IS A 1RUE AND CORRECT REiRESENTAiION OF A SURVEY Of THE
SOUNDARIfS Of TNE IAND AlOVE DESCR16E0 AND OF tHE IOtATIOH OF All WItD1NGS, If AN1f,
tMERfON, ANp ALL VIS16lE ENCROACMA4ENTS, iF ANY, FROM OR ON SAIO IAND.
?
Dosad tAis 28 - dar oF ivne A.D. ft 83
Revisea 4-10-84
C. R. WINDEN i ASSOCIATES, INC.
Sur.?yer. Miee?wra lpinrotien No.77
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C!ty of Evan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Date: Z./ 0/ 13 Site Address:
11 61II
Use BLUE or BLACK Ink
Permit #:
agol
Permit Fee: 60:13
Date Received: 1 i&J 13
Staff:
2010 MECHANICAL PERMIT APPLICATION
CPI
A SSI
J
Tenant:
RESIDENT / OWNER
CONTRACTOR
TYPE OF WORK
1/
Suite #:
Address: ICE 10 tli/V
State:' M N , Zip: ;--
��J
Il�
Phone:
4
Los
Qicense #:
i3I UGI N City: 051 (Oa lb
Phone: (a5 I- '77o -64003
Email: �J wr wl l4 ai 1QPA1)-o % I
PERMIT TYPE
New
Replacement Additional Alteration Demolition
Description of work:
RESIDENTIAL
Fumace
Air Conditioner
Air Exchanger
Heat Pump
Other
New Construction
Install Piping
Gas
COMMERCIAL
Interior Improvement
Processed
Exterior HVAC Unit
Under / Above ground Tank ( Install I_ Remove)
**When installing/removing tank(s), call for inspection by Fire
Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge)
$95.00 Fire repair (replace bumed out appliances, ductwork, etc.) (includes $5.00 State Surcharge)
(00.00
TOTAL FEE
COMMERCIAL FEES:
$75.00 Underground tank installation/removal OR Contract Value $ x 1%
$55.00 Minimum (includes State Surcharge)
= $ Permit Fee
- If the Permit Fee is less than $10,010, surcharge is $ 5.00
- If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee = $ Surcharge
(Le. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge)
= $ TOTAL FEE
CALL BEFORE YOU DIG. Cali 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.qopherstatecnecallorq
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 1 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 i the case of work which requires a review and approval of plans.
Applicant Signature
Applicant's Pphted Name
2-1 Os , ~Ls- C~ G61~G 9
Use BLUE or BLACK Ink
For Office Use I
I Permit
of I'
I `l J
City Eap I
3830 Pilot Knob Road Permit Fee: I
C~ I
Eagan MN 55122 Date Received: / J
I
Phone: (651) 676-5675
Fax: (651) 675-5694 I Staff:
I
f / 2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: `1 L°I /3 Site Address:
r__......~_ ~ . . Unit
Name: 8 ►1 t 1 1C~1\ J1~~1 Phone: 365
Resident/
` Owner Address / City / Zip:
I
^ Applicant is: Owner contractor
t Description of work:
Type of Work !
Construction Cost: Multi-Family Building: (Yes
Company: Contact: ! t'~
Address: <Jlts
Contractor Wad "
AIAM ct ) G1ff'. !V City: IUX!4 <~r
t
i ;State: ! t 1 Zip: 55(3 ~ Phone: _6015 1 - 029 - 9111 ; (
License Lead Certificate N)qT-
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: 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
i . _ conclude that they 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.Qoi)herstateonecall 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 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.
d
x / x-
Applic nt's Printed Name
Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA163406
Date Issued:08/31/2020
Permit Category:ePermit
Site Address: 4702 Penkwe Way
Lot:14 Block: 2 Addition: Johnny Cake Ridge
PID:10-39800-02-140
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Insert
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 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 P Hoium
4702 Penkwe Way
Eagan MN 55122
(952) 513-7706
Glowing Hearth And Home Llc
100 Eldorado Dr.
Jordan MN 55352
(952) 492-9276
Applicant/Permitee: Signature Issued By: Signature