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4703 Penkwe WayCITY OF EAGAN Add'Rion 3DLOiNY r-_RT DGE AIIDTTTOI+L Lot 1 Q Blk 3 Parcet 10 39800 100 03 Owner?`L'V:;. ?• ` u?.i;iLl L. lLF Yi'it (-tL street 47 03 Penkw e ffay State Eagan, MIN 55122 Improvement Date Amaunt Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 3 * SEWER LATERAL WATERMAIN * WATER LATERAL WATER AFEA 3 a STORM SEW TRK S70RM SEW LA7 CUAB & GUT"FER SIDEWALK STREET LIGHT WATER CONN, n It BUILOING PER. SAC PARK - CASH RECEIPT CITY OF EAGAN 3795 PILC7T KNOB ROAD EAGAN, MINNESOTA 55122 DATE RECtIVED 19 AMOUNT $ I 6 D LLARS to ' ? CASH ? CHECK / row Whita-Payers Copy Yellow-Posting Copy Pink-File Copy Thank You / _ ?--. BY ? Receipt MECHANICAL PERMIT Permit No. - ? ' CITY OF EAGAN Fee Fill in numaered spaces S/C Type or Print /egib/y Tot. 1. Date 2. Insta?lation Cost - 3. Job Address Lot Blk. -' Tract 4. Owner 5. Contractor Phone ' 6, Address 7. City State Zip 8. Building Type: Residential ,0 Commercial ? Institutional O 9. Work Description: New ? Add fl Alter ? Repair ? 10. Describe % Fuel Type 11. No. Eqyinment BTU - M. Ea. Forced Air No. EQUipment CFM Ai dli H Mfg. r an ng: Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Ai r Cond. Mfg. ? Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and'?odes governing this type of work. Signed: .•??i- for Rough Final [.? Inspections: Date Insp. Date •ZY' ;6 nsp. This is your permit when numbered and approved. ? Approved CITY OF EAGAN 45448700 r- lec . `i a-i q q 't - ?L- 3 -x y I o. a-n CITY OF EAGAN 3795 PileF Keob Road Esgaw, MN 55122 N2 5689 i;C?e?' .?C?NE: 454-8100 BUILDING PERMIT +Q--1 Recerpt # To be used for Est. Volue Date , 19 Site Address Erect Q Occu anc p y Lot Block Sec/Sub. " C Alter ? Zoning parcel # Repair ? Fire Zone Enlarge ? Type of Const. c C P1ame Move ? # Stories W Z 3 Address Demoltsh ? Front ff. - ° Ci Pfione Grade ? Depth ft. ? o Name APProvols Fees o Assessment ? Add?ess __? ---- u Woter & Sew. F" Cl Phona F N Police 2W ome Fire ?? Address Enp. i'Z" Ci Phone Planner Council I hereby ocknowledge that I have read this applicotion and stote that Bldg. Off. the informotion is correct and agree to comply with all opplicable State of Minnesota Statutes and City of Eagan Ordinances. APC Permit 5urcharge Plan check " SAC Woter Conn. Water Meter Tatal Signature of Permittee ? A Building Permit is issued to: on the ettpress condition that oll work shcll be done in accordonce with all opplicable State of Minnesota Stetutes ond City of Eagan Ordinances. Building Official t , P4wMit # Oeft bwd !'wwMlN Plumbin9 1703 /(4 ?v Mechanical 1711 /3 D INSPECTIONS DATE INSP. Rouph-In final Footings _ Date Insp. Dute Insp. Foundation Plumbing Frome/ins. - Mechaniool -7 7ya Ftnal Remarks: cirr oF Er?"N 3795 Pilof Knob Road ? Eayan, Minnesoto 55122 NO' Phone: 451-8100 PERMIT 13 , Dote: Site /lddress: Lot Block Sub/Sec. INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Receipt No.: Single Residentiol Multi Res., Comm./Ind. I Name r,ew New//11t r /R i . epo e r ? :L`r'12 fiopkfn:- g Address t f In t ll ti C ' os o s a a on -fN City Phone: Permit Fee i'2l ' ?J_ +P- i -.. . ? Nome Surchor e . ? ?.1.^7 g /lddress ? City Phone: Total This Permit is issued on the express condition that all work sholl be done in occordance wfth all applicable State of Minnesota Statutes and City of Eagan Ordinonces. J.Cake Ridge II Buildinq Offlciol Mo. ?• j uiii.il! cirY oF E?GAN 3795 Pilot Knob Roed Eugen, Minnesota 55122 Phone: e54.e100 PERMIT INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Date: Receipt No.: Single I ??7?3 Per?_. Site Address; ' Residential Lot Block Sub/Sec. Multi Res., Comm./Ind. Nome . ?...t 8 New/Alter./Repoir. . , 3 Address Cost of Instollation O City Phone: Permit Fee Name ? " ..C;? 1. . . ? Surchorge ? •. ? Address e ? City Phone: Total This Permit is issued on the express condition that oll work shall be done in accordnnte with all applicable State oi Minnesota Statufes and City of Eogan Ordinances. 8uilding Official No. , • Dote: .' - ` - CITY OF EAGAN 3795 Pilot Knob Rood Eagaw, Minnesota 55122 Ptione: 454-a100 PERMIT Site Address: ''-1 „ : Lot ?U Block ? Sub/Sec. 'J' C• 1Z i INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS ?"72^ Receipt No.: Single Residential Nome New/Alter./Repair. . 3 Address Cost of Installation O City Phone: Permit Fee . Nnme `.l.?'L"l."8 T_ '??:Y.- • ? - Surchorge ? Address _. . l City Phone: Totol This Permit is issued on the express condition that cll work shall be done in accordonce wlth all appliccble Stota of Minnesofo Statutes ond City of Eogon Ordinonces. Building Official fu T't (9F E.".GAN 95 Pllof Knob Roed gon, MN 55122 ning: ner: dress: Address: mbAr: SEWER SERVICE PERMIT PERMIT h10.: DATE! No. of Units: I agree to comply with the City of Eagan Ordinanaea. By Date of Insp.: Connection Charge: Account Deposit: _ Permit Fee: Surcharge: Misc. Charges: _ Total: Date Paid: CITY oF fAGAN WATER SERVICE PERMIT 3795 Pilot Knob Rood PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Addre,5s: Site Address: Plumber: Meter No.: Size: Reader No.: 1 agree to eompy wieh the City of Eagan Ordinances. By - Dote of Connection Charge: Account Deposit: _ Permit Fee: $urcharge: Misc. Charges: - Totol: Dote Paid: This request vold 78mpnlhslrom J4 al l.pq ?o A 4 0 97 L okK?rw cx*,e, Request Date Fire No. Pouph-' Inspection fleqwre 7 Hoatly Now Q Will NotitV. Insoec- y-?b - ?yes %N. Ior When fleatlv ? Licensed Electncal Cwtrnctor 1 hereby reqvest inspectlon of above [l wner elechical work installed aL Street Atldress, Baz or Route No. CitV y?e3 ?e E nrt ecuon o. Township Name No. Range No. Co ny Occapnnt (PPINT) Pho /h' p¢ Nq.?? p ? ) .?7?u? 4Je.Pn G Gu ?+ (oJ Power Supplier Atldress Electrical ConVactor (Compeny Name) Cnnhacmr's License No. E.K. L-/ecf.P"C. 441I660 MailfnB Address (Contractor or Owner Makine lnstailation) 15710 A. U1. 4nokq Z4n-i Authori ed S?9nature ICOntracmdOwner Makine Installation) Phone Number ?z 5'2I-5o67 MINNESOTA STATE BOARD OF EIECTNICITV TMIS INSPECTION NEQUEST WILL NOT Griggs-MiAway Blde. - Aoom N-191 BE ACGEPTED BV THE STATE BOAND UNLESS PNOPEH INSPECTION FEE IS 1821 Univarsity Ave., St. Paul. MN 66106 Phone (612) 297-2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION q-1.'3-g1 EB-00001-04 ?. ", Sea instructions for completirg this form on back of vallow copy. A^ ^/d n 1 97 "X" Below Work Covered by 7his Request ALd Nap. -. Type of Builtling Apptiancas Wiretl Equipment Wired Home Range Temporary Service Duplex Water Heater Lightiny Fixtures Apt. Building Dryer Electric Heatin Commercial Bldg. Fumace Silo Unloader Industrial BIAg. Air Conditioner BWk Milk Tank Farm ONxr peoly Other ISner,i(y) t .r uccify Other Other Comoute fnspection Fee Below k Fee ServiceEntrenceSiza tt Fee Fexdars/5ubieedera # Fee Circuits 0 to 200 Am s 0 to 30 Am s 0 to 30 Am s Above 200 qmps. 31 to 700 Amps 31 to 100 Am s Swimmin Pool Above 100-Amps Above 700_Am s Transrormer5 Irrigation Booms Partial%Other Fee Signs Special Inspection g 0 TOTA ^ Remarks 1 / E \ /A? flouBh-in Date 1. Ma • mel ( Inspector, he?aby Final `? rtifV lhat [he a4ove ? d ? mspaction hes 6een ? ?meAe. I Thia reauest vmE 18 montM irom 7 4 J 501 cy? o 6'3 ? . ?/7 ReQUest Da[e / / /? ? Fire No. Roughrin Inspec?io Required? ?? L7CHeatly Now ? Will No[iy Inspector ?? ? L y YBS WOen Reedy? I Xicensed contractor ? owner hereby request inspection of above electricai work at: Job Atltlress (SVeeL Bax or R le No.) h??a 3 e.?k? ? W , Cily (Fct ?i Seclion No. Township Name or No, ga No. Counry '0 O+ Occupant (PRINT) / A Phone No. er a ene emme_n Power ppli r 6'lec;/ric Adtlress . armih Elecvic Gonvac r ?COmpany Name) ? I Con?rector5 Licanse No. s ?S r yi Ooa7 Mailing AtlCress ICOnvacror or wngr Making Insta latio? 1? ? iVl 5?0 3 ? i a . bn e, ?e. rrn?V1 AWhonzetl 5' aWre IComractor?0 n r aking Installa?ionl Phon umber -7 ? MINNESOTA STATE BOARD OF ELECTflICITY THIS INSPECTION REQUEST WILL NOT Griggs-Mleway BICg. - RoOm 5-113 BE ACCEPTEO BV TME STATE BOARD 1021 University Ave.. St. Paul. MN 55100 UNLESS PROPER INSPEGTION FEE IS Phone (612) 6C241800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ?n'y??°'y`yy!? ee.oooo,oa ? Cm n n hic lnrm nn I?rY nl .?nllnw rv i iTTYiT'c'I i A C? ?. J501 86 - ___. ,??,?s "X" BeT w Work Covered by This Request ? wyry _1, _ q ew Add Rep. Type of Building AppliancesWired EquipmemWired Home Range Temporary Service Duplex Water Heater Electric Heating Apl Buiiding Dryer Other(Specity) - Comm./Industrial Furnace Farm Air Conditioner Other (syecily) Conlractor's Remarks: Compute Inspec[ion Fee Below: # - Other Fee 8 ServiceEntranceSize Fee # Circuils/Feeders Fee Swimming Paol 0 to 200 Amps 0 to 700 Amps Transformer5 Above 200 _ AmpS bove 1Amps Signs inspecmr§ use Only: TO7 pL Irrigation Booms i?? / ` S• S ? Special Inspection Alarm/Communication THIS INSTALLATION MAY BE OR ISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Elecirical Inspector, hereby Rouph-in oare certify ihat the above inspection has been made. F;,,ei ? oeie. ) OFFICE IlSE ONLV Tnis repoest wid 18 monins irom This request void 18 months from Date of this Request 5 11 1?V Fire No. S 64357 I, as $_U censed Electrical Contractor ? Owner, d here6y r quest i ection of the above electri- cal wuing installed at: ?L0 ? . . et Address or Route No. City?????? ?ion Township Range County J?d?r!? Which is occupied by 0 N)-1t?j 4itDt.1r5?? IAP??S Is a roughin inspection required on this job? No ? YesU<_-Ready Now O Will Callln? Power Supplier k1a' Address Wq-,'WG 1 D/j Electrical Contractor 6?u- ??'?G?n I G Contractor's License No ?3?51? OmPa ) I I I I l..CL fFF AD' Mailing Address (E?1 "cal ntractor or Ownar Making Thls InstallatlOn) ??? _??0? Authorized Signature Phone No. (Elactrical Contr tor or Ow?er Makin9 This Installatlon) Q ?£ This inspection request will not he accepted 6y the (?j? r? IJ AT LMS OA?D COtl" Y State Board unless proper inspection he is enclosed. mmnnsmn aaain oonrm m cpacuicicy Griggs Midway Bldg. - Room N191 1821 University Ave., St. Paul, Minn. 55104 - Phone 297-2777 REQUEST FOR ELECTRICAL INSPECTION CH6CK BEiOW WORK COVERED BY THIS REQUEST EB-D0001-02 S 64357 Type of Building New Add. Rep. ??eck Apptisnces W'ved Foc Check Equipment W'ved Foi Home ? ? Rxnge Temporary Wiring ? plex ? ? ? Watec Heatec ? Lighting Fixtures t. Bldg. ? ? ? Drye[ ? Electric Heating 0 ommercial Bldg. ? ? 0 . Fu Silo Unloader 0 Indus[rial Bldg. ? ? ? Aiti ? F Bulk Milk Tank ? Facm ? ? ? Lis List Othei ? ? ? p s Here f Eereers? COMPUTE INSPECTION FEE BELOW Semice Entiance Size: # Fce Feeders&SubPeedeis: # Fee Cucuita: # Fee 0 ro 100 Amps" . J 0 to 30 Am eres 0 to 30 Am eies 101 to 200 Amps. 31 to 100 Amperes 31 to 100 Am eres .rN Above 200_Amps. Above 100 Amps. Above IOQ_Amps. Transfocmers RemoteCont[o1C'vc. Pariialoiothertee $igns $pecial Ins ection Minimum f Remazks TOTAL F 4 Z?r 1, the Electrical Inspector, hereby certify been made. (Final) This request void 18 months from . • ??? CPPY OF EAGAN Include 2 sets of ,Q;a1is; 1 site plan w/elevations 6 BUI7DING PERi+IIT APPL2CATION 1 set of energy calculations. "`?d" 4"0°0 8 O 'Ib Be Used Rt51DEt?c.E Valuation ? Date lnA? ? Site Pddress: L11 D? QF mt-w6 W Ay (M099-37 ) OFFI(E USE dNLY I.ot I p_ B10Ck SGC./SUb. SomNay CRKE /? Q1D4E PdIY'RL #: F.L2C.'t ALt2L OCCUpdiH..'y - 7AI11i1CJ Fire Zone 'type of Const. # Stories Qaner Address: City/Zip Code: Phone #: Contractor: _pRRIN TH(1MPSf11V I-If1MPS Pddr25S: a Division of U. S. Home Corporation 1732 -1 69f'KMFFr6ReSSRenB Clty/Zip CAd2: MINNETONKA, MINN. 55343 Phone #: S4q-1333 Arch./E1i4.: Pddress: City/Zip Code: Phone #: Enlarge • Move Deniolish Grade Front ft. Depth 3$ ft. APPFOVALS F? Rssessments I ? Perniit - - °' Water/Secaer Surcharge _ Polioe Plan Check . Fire 5AC glq, water Conn. Planner Water -Metes Council Road Unit _ Bldg. Off. APC ? S ,Z I j_T cInr oF eaG?N 3795 Pilot Knob Road Evgan, MN 55122 PHONE: 4548100 . BUILDING PERMIT APPLICATION Ta 6a ueed For S/F T1wla/GdY. Est. Value 46.0 sire Address 4703 Penkwe Way Lot?- Bl«k_3.? Sec/Sub. jnhnny Cake pamel # Ridqe w Name Orrin Thompson Homes 9 z Address 1712 Hopkins Crossroad ? Name 0 $? sam[e ? Address f- r.e., G4.- Ncme _ Address I hereby ncknowledge thaf I have read this aDP?ication and state that the informmion is correct ond agree to wmply-with all applicable Stah oi Minnesota Statutes and City of Eagon Ordfnonces. Receipt N? 5689 Emct Occupancy Alter ? Zoning Repair p Fire Zone Enlarga ? Type of Const. Move ? # Stoiies • Demolish ? Front 50 N. Grade ? Depth 3 $ fr. Approvcls Fees -Assessment 4 / 1 /_tl ll Water & Sew. POlICB Fire Eng. Planner Council Bldg. Off. 4 ?4 ?R? APC Permit ' 3U--LLL $urcharge 23.00 Plon check SAC 525100 Water Conn._3_Q5_-00 WaterMeter 60.00 Total 1 - 1. 7 5 5(gnmure of Permittee -- 1 A Building Permit is issued to: Or'Y ' ri ThOlri Home on the express condition that all work shall be dorre in acwrdance i Ilp i b?? ? ?? M?in1ne Statutes and Ciry of Eagan Ordirmnces. 8uiiding Officiol ?-M/ ?-/?? 6,Ba?a e /J-7so 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date ! Li 2 1 Site Street Address LI ja3_PQpKW e W? Unit # Property Owner r! V eY(? rnTelephone #( FjS-h Contractor Pf n1n«6l' 1CS Telephone #( bS-1) 31?1? f 3q 0 Address 3?70 (JOdGl Pd City E??e;? el State-M V Zip SS("Z3 The Applicant is: _ Owner ?Contractor _Other Alterations to existing dwelling $ 50.00 _ Add plumbing fixtures (excludes water softener and/or water heater--complete next section if installing these appliances). _Septic System Abandonment Water Turnaround (add $125.00 if a 5/8" meter is required) Other: _ Water Softener Water Heater $ 15.00 _ new ! replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ 50 Totai $ I hereby apply for a Residential Plumbing 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 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 accordance with the approved plan in the event a plan is required to be reviewed and approved. ApplicanYs Printed Name Applic nY Signature I 5 - So ?'D RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 l rI 1.-I ? 651-681-4675 New Canshuctlon ReaWremanG • 3 registered sde surveys showinq sq. ft. of lat, sq. ft M lause; aM all raofed areas (20% maximum lot coverage allowed) . 2 copies of plan showirg beam 8 window s¢es; poureA fouiW desgn, etc.) • 1 set af Energy Calculations • 3 copies af Tree Preservation Plan il lot platted after 711193 • R'un JoSI Detail OpGons selection sheet (bldgs wAh 3 or less uniLa) DATE / ?-/,LYJ?.I`- SITE ADDRESS TYPE OF APPLICANT 417-V3 ? 15%f7C '-' ??Fi ? G-YIE'?lar `hpJ?cTrjn STREET ADDRESS /vll? TELEPHONE # W121-CEII PHONE # MULTI-fAMILYBLDG ?Y _N FIREPLACE(S) _ 0 _ 1 _ 2 !?/mt^ STATE/OPZIP FAX # PROPERTYOWNER 11,'4 /)irn TELEPHONE# COMPLETE FOR KNEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULFS 7670 CATEGORY i MINNCSO'Cq RULL'S 7672 (J submission type) • Rasidential Venlilation Category 1 Worksheet Submitted • New Energy Code Worksheet Su6mitted • Energy Envelope Calculations Submitted Plumbing Contractor: Plumbing system includes: Mechanical Contractor: Mcchanical system includes: Sewer/Water Conhactor. Air Conditioning _ Heat Recovery System Phone # Phone I hereby acknowledge that I have read this application, state that the information with all applicable State of Minnesota Statutes and City of Eagan Ordinances. , Signature of Applicant OFFICE USE ONLY _ Water Softencr _ Water Heater _ No. of Baths _ Phone # Iawn Sprinkler No. of R.I. Baths RemodeURaoair Reaulramenh . 2 apies of plan • 1 set of Ercergy CalcNatlans for heated additions • 1 sile survey for ezlerior addiGons 8 decks . IrMicate if home sened by septic system tor additions VALUATION CPSSU ? Fee: $90.00 ; " - -- - :oRect, and agree to comply Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex O 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex O 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Additlon ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof O 46 WindowslDoors ? 34 Replacement •Demolition (Entire Bldg only) • Give PCA handout to appllcant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) FinaVNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Srucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (newJreplacement) _ Insulation _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plum6ing Permit Mechanical Permit License Search Copies Other Total Building Inspector 4703 - w • • ol For: U. S. HOME CORPORATION ina9e ? / .a9•? O C. ^. WINDEN b ASSOCIATES, INC. v IAND SURVEYORS TfL 645-3648 1361 EUSTIS ST., ST. PAUI, MINN. 65108 ? e U?i /i ly /94. 9? Scale: 1" = 30' p Denotes Zron `- ? I ? tn ? ? y23 N H N Ff ?j ? ?? ?? ? ?-L--T o ? 0 ? ? ? 0?) ? m a - ? T ?,o r° cQ I ? ? p p 3? ? ? /o WE HERElY CERTIfY TIiAT THIS IS A TRUE AND CORRECi REPRESENtAT10N Of A SURVEY OF THE SOUNDARIES OF THE IAND A60VE DESCRI6ED AND Of THE IOCATION Of All lUIl01NG5, IF ANY, TMEREON, ANO ALl V15I61E ENCROACHMENTS, IF ANV, FROM OR ON SAIO IAND. Oatad thi. M doy ef MAR A.D. 1900 ? C. R. WI OEN 8 ASSOGIATES, INC. Survoyor, Minnewla Ropistrotion Ne.L EQ3ef,.,Q nf I J 10 ? ? ? .. ?POe Lot 10, Block 3, Johnny Cake Ridge Addition, Dakota County, Minnesota . CITY OF EAGAN EARLY UTILITY CONNECTION PERMIT 4703 Penkwe Way Address Subdivision/Parce I hereby request permission from the City of Eagan to connect to the sanitary sewer and water la[eral 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 MECr.ran,Trpr Owner : Developer• Builder: Dated: 5/27/80 Use BLUE or BLACK Ink ' r - - - - - - - - - - - - - - - - - I For Office Use I City O1 Permit Ea ~a I I 4' E` I Permit Fee: 3830_P_ilot Knob Road` Z Eagan MN 55122 Date Received: Phone: (651) 675-5675 S~ I I Fax: (651) 675-5694 I Staff: I I 012 RESIDENTIAL BUILDING PERMIT APPLICATION 15 t) Date: 2- Site Address: Z 6 4 I\J Unit Q)L jE Name: EL01M ~ Phone: [ RESIDENT I yy OWNER Address /City /Zip: E?~ Y f Applicant is: __KOwner Cor►tractor i Description of work: / /Z, x131 e K 45~- t I TYPE OF WORK Construction Cost: Multi-Family Building: (Yes / No XI) Company: ' Contact: i , CONTRACTOR Address: City: State: Zip: Phone: License Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional informations) Bul 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: 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 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.oopherstateonecall.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 tate Building Code must be completed within 180 days of permit issuance. x Verl(f" 61610 er x Applican s Print d d-Name- A plican ignat- Page 1 of 3 DO NOT WRITE BELOW THIS LINE 1 C~~~`fcU SUB TYPES C 2~J ~Ie, we ` 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* 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 '?000 cteo Occupancy gC -x MCES System Plan Review Code Edition Cwt SAC Units (25%_ 100% Zoning City Water Census Code W 3Y Stories / Booster Pump # of Units / Square Feet /GS PRV # of Buildings Length /JL Fire Sprinklers Type of Construction Width /H REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC _ Gas Service Test Gas Line Air Test 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 Sheathing Radon Control Sheetrock Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FEE f G ~ r~1 YoA CCU f!`A,,a y~ 7960 Base Fee Surcharge Plan Review /O !f MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 4703 (p C)qo ree io/ C.•^. WINDEN & ASSOCIATES, INC. CJ LAND SURVEYORS Tot 643.3646 For; 1381 EUSTI S ST., ST. PAUL, MINN. 55106 U. S. HOME CORPORATION Scale: 1" = 30' O Denotes Iron Easema n>~ 1 o ra ina9e 194,90 10 zl* 22.3 11, L. 41 ° W a J ID O o 31 ~ ts- 10 EAGAN R EVI ED ~ BY. ~o DAT E: P / G ~ CO /p / Lot 10, Block 3, Johnny Cake Ridge .O Addition, Dakota County, Minnesota WE HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF THE LAND ABOVE DESCRIBED AND OF THE LOCATION OF ALL BUILDINGS. IF ANY, THEREON, AND ALL VISIBLE ENCROACHMENTS, IF ANY, FROM OR ON SAID LAND. Doted this (lay eE MAR A. D. 1980 C. R. W DEN 6 ASSOCIATES, INC. A br ' Surveyor, Minnesota Registration No.3 a-C. City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Date: D Use BLUR or BLACK Ink For Office Use /`'� Permit #: / v 951 Permit Fee: }+ -(..) Date Received: -dp-I 3 Staff: f�7 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address: v Unit Va Name: Ver/ D Flo/pp/ye Address / City / Zip: 4/9013 Pey! kou e. fo y o p; Applicant is: X Owner Contractor Description of work: l "'elk) (&V /) Q ;lit /1'1 & eV/S-17 PI Opr,i,) i S : /0 eh Construction Cost: Multi -Family Building: (Yes ) No NA ) Company: Contact: Address: City: State: Zip: Phone: License #: Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional informatic n) 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: 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 they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One CaII 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 complted within 180 days of permit issuance. V2 r' c/ /(eil yvl °Y1 x //JJ CJl Applicant Printed Namc Applica nature Page 1 of 3 + Use BLUE or BLACK Ink I For Office Use F~ Permit #:I City of EaWan I aaa o ,Ilk I Permit Fee: I 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: 1 Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff(-----------I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION I Date: Site Address: Unit Name: ~Ly(~ t"16 Phone: Resident/ ~r ~ifU~ 't/ LLLlL l b9 Owner Address / City / Zip: Applicant is: _X_ Owner Contractor Type of Work Description of work: Plow-- ,16-0 x V-0 W ihtoy) r5b G' PA To R r lZxt2 Construction Cost: /C t}t Multi-Family Building: (Yes / No X j Company: Contact: Contractor 'Address: City: i State: Zip: Phone: License 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 r 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: I Licensed Plumber: Phone: I ,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.gopherstateonecall.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 St a Building Code must be completed within 180 days of permit issuance. x I/P r 11 / 14 a ~1" fig e- N x Applicant's ri ted Name Applicant' igna ure Page 1 of 3 470,3 Pepkwe- LADO NOT WRITE BELOW THIS LINE SUB TYPES Foundation _ Fireplace Porch (3-Season) _ Exterior Alteration (Single Family) Single 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 _ 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 *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation 61:~w Occupancy MCES System Plan Review Code Edition SAC Units (25%_ 100%_0 Zoning City Water Census Code Stories Booster Pump ^ # of Units / Square Feet 1441 PRV # of Buildings ! Length 1 X Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC Gas Service Test Gas Line Air Test 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 Sheathing Radon Control Sheetrock Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FEES yG~ $'g TT' /.72c A- ®~~7 ~1 1 Base Fee z-- Surcharge Plan Review pG 4 MCES SAC GPI ~U City SAC G`I Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies Ci ACV TOTAL Page 2 of 3 4703 1115 ` C. h. WfNOEN d. ASSOCIATES, INC.: LAND SURVEYORS TeL 645-3646 For: ( 1381 EUSTIS ST., ST. PAULr MINN. 65105 U. S- HOME CORPORATION Scale: 1" = 30' 0 Denotes Iron &Z'5 a rye n t ,a ina9e 194.90 --7 10 ro /o 22.3 1 0 °1 9 t' m ►o q ~ \ o 31 Q EAGAN ~ t o REVI ED 10 BY. 0- v4 a t, EAGzAN LU RE-VII, ED a C: 1D DNS D1 /0 Lot 10, Block 3, Johnny Cake Ridge Addition, Dakota County, Minnesota wE HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF THE LAND ABOVE DESCRIBED AND OF THE LOCATION OF ALL BUILDINGS, IF ANY, THEREON, AND ALL VISIBLE ENCROACHMENTS, IF ANY, FROM OR ON SAID LAND. ,N Doled Phis--2.Q~-._doy ofMAR A D 19go C. R. WI pEN 6 ASSOCIATES, INC. by Surroyor, Minnoiolo Ropiflrolion No.~~