Loading...
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 / ?o ? 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 ? ? Q A ? \f 4rV C945) ?? ?y ? I; i 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- ? ? 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 ? ? 3/ t ? p 2? O b ?3 a ?C a --1 ? lr ? 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