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4643 1_2 Penkwe WayCity of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675-5675 www.ci.eagan.mn.us PERMIT City of En Permit Type: Permit Number: Date Issued: Permit Category: Mechanical EA076817 02/27/2007 ePermit Site Address: 4643 Penkwe Way 1/2 Lot: 3 Block: 3 Addition: Johnny Cake Ridge 3rd PID:10-39802-030-03 Use: Description: Sub Type: e - Gas Line Work Type: Replacement Description: Dryer Comments: Josh McGuire 605 12th Ave S Hopkins, MN 55343 952-931-9676 josh.mcguire@benfranklinplumbing.com Fee Summary: ME - Permit Fee (Replacements) Surcharge -Fixed $50.00 0801.4088 $0.50 9001.2195 Total: $50.50 Contractor: McGuire & Sons Plumbing & Heating 1424 N 3rd St. Minneapolis MN 55411 (612) 604-4285 X61 - Applicant - Owner: Kurt J Schultz 4643 1/2 Penkwe Way Eagan MN 55122 I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Applicant/Permitee: Signature Issued By: Signature City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675-5675 www.ci.eagan.mn.us PERMIT City of En Permit Type: Permit Number: Date Issued: Permit Category: Mechanical EA076817 02/27/2007 ePermit Site Address: 4643 Penkwe Way 1/2 Lot: 3 Block: 3 Addition: Johnny Cake Ridge 3rd PID:10-39802-030-03 Use: Description: Sub Type: e - Gas Line Work Type: Replacement Description: Dryer Comments: Josh McGuire 605 12th Ave S Hopkins, MN 55343 952-931-9676 josh.mcguire@benfranklinplumbing.com Fee Summary: ME - Permit Fee (Replacements) Surcharge -Fixed $50.00 0801.4088 $0.50 9001.2195 Total: $50.50 Contractor: McGuire & Sons Plumbing & Heating 1424 N 3rd St. Minneapolis MN 55411 (612) 604-4285 X61 - Applicant - Owner: Kurt J Schultz 4643 1/2 Penkwe Way Eagan MN 55122 I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Applicant/Permitee: Signature Issued By: Signature 41' City of Eaftau 45 3830 Pilot Knob Road \)1 VA1 Eagan MN 55122 �uL Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use 21 Permit #: / ©///' 2 Permit Fee: L Date Received: -7,3- Staff: 7,3_ Staff: 2012 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. `7 t'a Date: 7- - /a Site Address: ✓ Y T 2-, u k boi S tl r> -l - Tenant: RESIDENT / OWNER Name: kwt d S Address / City / Zip: 1/47 .J' a. 1914441"4- wal Name: 50I:, side. 1LBi t i/ii�iY`� License #: Address: / o l o1 /Y ftAQ arzt City: State: Zip: ', 3 Phone: 95) - � 9 `-ay ` 5 Contact: f 10-6444- Email: Suite #: Phone: f 42- Se-% 8631 `PE OF'WORK /4,39451 New X Replacement Additional Alteration Demolition Description of work: 4 NOTE: Roof mounted and ground cc Code. Please contact the Mechanical It Ci RESIDENTIAL COMMERCIAL xi Fumace New Construction Interior Improvement ?(I Air Conditioner — Install Piping _ Processed _ Air Exchanger Gas — Exterior HVAC Unit _ Heat Pump Under / Above ground Tank ( Install / _ Remove) Other RESIDENTIAL FEES: $60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) an .$ 6'TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal (includes $5.00 State Surcharge) OR Contract Value $ $60.00 Minimum (includes State Surcharge) _ $ Permit Fee - If the Permit Fee is Tess than $10,010, surcharge is $ 5.00 = $ Surcharge - If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee (i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge) _ $ TOTAL FEE 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.uonherstateonecall.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. x A-Ub r:,^ (. 5 �l� Fe rt. Applicant's Printed Name x le44-64, Applicant's Signature FOR OFFICE USE Required Inspection Underground R Site: Account Det: t* tick Rar er tfp.: Permit Fee: AVOW !eova* ! of : 60.ff0 g+; ii,ter" Mfg. • °harms: Total. By ®--- Date Paid. Dote of Insp.: Insp.. 4643 Pet-awe T? r+nb+ec Wenzel p./7/ 80 20340 itoik do far^ qc0L4l. Kopyi City of Eaiall �� 3 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 `ib 4f3, 1-00y3 Use BLUE or BLACK Ink For Office lice Permit#. .13-721 ''S°3 "CI) Permit Fee: Date Received: Staff: 2014 RESIDENTIAL BUILDING PERMIT APPLICATION �j__ � > ,may Date: u Li Site Address: 4-141 — / 4 /2 6 a Unit '#: Name: Lie, / /Aid c-4_ 14-,4 hmff c— 1) .Phone: Resident! Owner Type of Work Contractor Address / City / Zip: ✓C / Applicant is: Owner Contractor Description of work. 1/6141' ' ft Construction Cost l67, OP Multi -Family Building: (Yes X / No ) Company://c7r%% L5r" t� 0�l rt'v¢Ci1 x ' Contact t�f /Vet-azu Address: 5'r'1`tj 2 Z✓�7 /"b i- -1n'e Av City: /or ,10' 6' l7l/ .Slate: f---/A/Zip: ���3 Phone ' Email:{ r`r�c�4JY'Wr✓S`T-rr.t�t7"�✓�i��t�Y License#: i'3e iS� � 73 Lead Certificate #: /VA- t"... %/, /10 3 — I 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 the City of Eagan issued a permit for a similar plan based on a master plan? In the last 12 mon Yes No If yes, date and add Licensed Plumber: Mechanical Contractor: f master plan: Phone: Sewer & Water Cont r , r: Phone: NOTE: s and supporting documents that you submit are considered to be public information. Portions of rnft rn>,atiorr may be clashed as Hort public if you provide sp i t riearsons at would permit tfte" conclude that the" are traria secret CALL BEFORE YOU DIG. Calf Gopher State One Cast at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receivelocates of underground utilities www: aooherstateonecali.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 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 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 _ ilding Code must be completed within 180 days of permit issuance. x) e - r Applicant's Printed Name ant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd�.A Eagan, MN 55122� g .� `��� Permit Number: EA161677 Date Issued: 06/08/2020 (651) 675-5675 Permit Category: ePermit www.ci.eagan.mn.us Site Address: 4643 Penkwe. Way 1/2 Lot: 3 Block: 03 Addition: Johnny Cake Ridge 3rd PID: 10-39802-03-030 Use: Description: Sub Type: Windows/Doors Construction Type: Work Type: Replace Description: One Window/Door Census Code: 434 Residential Additions, Alterations Occupancy: Zoning: Square Feet: 0 Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota Fee Summary: BL - Base Fee $1500 $62.50 0801.4085 Valuation: 1,500.00 Surcharge - Based on Valuation $1500 $0.75 9001.2195 Total: $63.25 Contractor: - Applicant - Owner: Crew2 Inc Kurt J & Tabitha M Schultz 2650 Minnehaha Ave 4643 1/2 Penkwe Way Suite 100 Eagan MN 55122--272 Minneapolis MN 55406 (612)276-1680 C hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable Statc )f Minnesota Statutes and City of Eagan Ordinances. At Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA177507 Date Issued:07/06/2022 Permit Category:ePermit Site Address: 4643 Penkwe Way 1/2 Lot:3 Block: 03 Addition: Johnny Cake Ridge 3rd PID:10-39802-03-030 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 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 - Kurt J & Tabitha M Schultz 4643 1/2 Penkwe Way Eagan MN 55122--272 (612) 382-8888 Designcraft Construction Inc 3333 80th Ave N Brooklyn Park MN 55443 (763) 333-2559 Applicant/Permitee: Signature Issued By: Signature