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3698 Widgeon WayRESIDENT / OWNER �-- Name: / c D ✓'1 c1 ---- 7) c „ 74,? S Phone: Address / City / Zip: , ' e lk -- 4,4 cis (--t-,,, G ---09y ` Applicant is: Owner X Contractor TYPE OF WORK a Description of work: v i 0 / c"� ` 7 r ,- /C i z / / / I Construction Cost: /I Multi - Family Building: (Yes / No ) CONTRACTOR Company: 'C c i 5rr ` ✓ i Pl C'7 Contact: L, .4%� -, (� . --- I Address: L , � �� ' 1 "- S City: /77,4 - 3 C �yC) State: / //0 Zip: S Sef o6 Phone: 6(2 - i) . 2 g''" � 2S 3 License #: 2.66' 2 /7Y 5 Lead Certificate #: Does this project require If no, please explain: Lead Remediation? ❑ Yes G No (see Page 3 for additional information) r'1 - I ;-`, /7 - 2 In the last 12 months, Yes No If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE: Plans and supporting documen th y ou submit are considered to;be publi information Port o the information may be classified ei non'- public if you'provide. specific' reasons that would permit the Ci to conclude th they are trade secrets: <<:! .�'� 4 * City of Eapll 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 RECEIVED MAR 3 1 2011 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Use BLUE or BLACK Ink Permit #: Permit Fee: Date Received: Staff: itics4 1 Unit #: 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.00pherstateonecall.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. Applicant's Printed Name Applicant's Sign re Page 1 of 3 SUB TYPES Foundation )(' Single Family Multi 01 of _ Plex Accessory Building WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25% 100% )( ) Census Code # of Units # of Buildings Type of Construction REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Ice & Water Final Framing Fireplace: Rough In Air Test Insulation Sheathing Sheetrock Reviewed By: RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S &W Permit & Surcharge Treatment Plant Copies (d; ' c116 -0`1 DO NOT WRITE BELOW THIS LINE Fireplace Garage Deck Lower Level 0 00 TOTAL Interior Improvement Move Building Fire Repair Repair Final Porch (3- Season) Porch (4- Season) Porch (Screen /Gazebo /Pergola) Pool wl 73 Occupancy Code Edition Zoning Stories Square Feet Length Width Siding Reroof Windows Egress Window 1 n hr 1 0 0( 7" Miscellaneous 9 <?qc Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant Radon Control Erosion Control �/, Muilding Inspector MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: 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: Footings Backfill Final 0o � Page 2 of 3 £ 1 , • Qom` -a '. • ` ' y'+ . ., D Z ' ' N k 4 "..A.''''-; a .5%.,--',' J - t ra Y '� r t ` . f g� '''4 s M� , y a f� s'" y,q • 4 4 a #.. *' ,a ` ` 1Qg? Data 6 -16-88 lo af r „ - 19 -' As#1r,eg4E a st y., t ' t ;i . 4 �� NO - 1 :--- °- % �-�.,;1,�;�,� 5 Use BLUE or BLACK Ink . r-""-"_-'-'-------`-- I For Office Use I • � Permit#: �� lt Of �� Il , Y � �� 3$30 Pilot Knob Road � Permit Fee: �5 , � Eagan MN 55722 i i Phone: {651) 675-5575 I Date Received: t Fax: (651 j 675-5694 j � 1 � Staff: � �-----------------� 2014 GOMMERCIAL BUILDING PERMIT APPLiCATION Date: Site Address:�to9H - �b�, -3ioq.g 1�"�Q�,, �.��, ��,�Q�,,.� Tenant Name: 7_—� (Tenant is: New/ Existingj Suite#: Former Tenant: Name: Phone: Pt"0�3@1'�Y OWtt@t` Address/City!Zip: �(��{ ' 3(p� ` .3(� ` ' � �Q��'� Applicant is: Owner �C�ntracfor Description of work;__ �(�,7('("jQ � � Type o€Work �, �r Construction Cost: `� '�� • Name: �t�l'U �.� �C.. License#; � �1��—�- �5.—�� C- `��'a� Contractor Address: �s��' r'�� F�3�, �y,��,,�" City: �' o,� ,�.-- � State:_��V Zip:�� Phone: � 7� " �"_1� — �(��j�� Contact: t�'�'s e�:t" Ema'r!: V C°�" ; t� ;�VtS1� _ Name: Regis#ration#: ArchitectlEngineer Address: City: � state: ziP� Pnon�: Cantact Person: Email: Licensed plumber installing new sewer/water service: Phane#: NOTE:Plans and supporting documents that yau submit are considered to be public Informatfon. Porfions of the information may be cla�sified as nan-public if you provide specific reasans that would permit the City to concfude fhat the are trade secrets. CALL BEFORE YOU DIG. Cal1 Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig ta receive locates of underground utilities. www.aoaherstateonecall ora I hereby acknowledge that this informatian is eomp(efe and accurate; that the wark wil! be in confarmance 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 nat to start without a . permit;that the work will be in accordance with the appraved plan in the case of work which re uires a revis nd a roval of plans. X_t`f1,��K� YY� ,r�,r ,� Applicant's Printed Name �� Applican ' tgnatar Page 1 of 3 DO NOT WRITE BELOW THIS LINE . � SUB TYPES _ Foundation _ Pubiic Facility Exterior Alteration-Apartments _ Commerciai!Industrial _ Accessory Buitding Exterior Alteration-Commercial � _ Apartments _ Greenhouse/Tent ` Exterior Aiteration-Pubtic Facility _ Miscelianeous Antennae WORK TYPES _ New _ Interior Improvement Siding Demolish Building* _ Addition � Exterior Improvement � Reroaf i Demolish Interiar _ Alteration _ Repair _ Windows Demolish Foundation _ Repface _ Water Damage _ Fire Repair _ Retaining Wall _ Salon Owner Change *Demoiition of entire building-g�ve PCA handout to applicant DESCRIPTION Valuation Occupancy MCES System Plan Review Code Edition SAC Units (25%_1Q0%� Zoning City Water Census Code Stories Baoster Pump #of Units Square Feet PRV #of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED tNSPECTIONS Footings(New Building) Sheetrock Faotings(Deck) Final i C.O. Required Footings(Addition) Final!No C.O. Required • Foundation Other: Drain Tile Pool:_Footings _Air/Gas Tests Final Roof:_Decking _lnsulation ____Ice&Water �Finaf Siding:_Stucco Lath Stone Lath Brick Framing Windows Fireplace:_Rough in ____Air Test �Final Retaining Wall insulation Erosion Control Meter Size: Finai C/O inspection: Schedule Fire Marshai to be present: Yes No Reviewed By: , Buiiding inspector Reviewed By: , Pianning COMMERCIAL FEES Base Fee Water Quality Surcharge Water Sampiing Fee Plan Review Water Supply & Storage(WAC} MCES SAC Storm Sewer Trunk City SAC Sewer Trunk S&W Permit& Surcharge Water Trunk Treatment Plant Street Lateral Treatment Plant(Irrigation) Street Park Dedication Water Lateral • Traii Dedication Other: Water Quaiity TOTAL Page 2 of 3 Use BLUE or BLACK Ink r-___�.�_...-----'-----� 1 For Office Use I � � Permit#:��U l G�� I Clt� of �� . ; . . ��- � Permit Fee. I �� 383Q Pi{ot Knob Road � E Eagan MN 55122 � Date Received: � Phone: (651)fi75-5675 � � Fax: {651)675-5694 i Staff: � I ► 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: �I-'7-�� Site Address: �i� Q Unit#: 359- Name: �omc.� �'.,��.o,�i r�5 Phone: �3�--� C7�CnC"5 Resident/ Owner Address 1 City!Zip: ��9� �� ctP�� _��., Applicant is: Owner �Contractor -� uJ i n�a,7� # T e of Wark �escriptian ofwark: c� 1^�\1 F,('arnE� � �D �� RtA��m�,r��5 �� Yp Construction Cost: Muiti-Family Buifding: (Yes�/No_� Company; Contact:_ �Y1.i�i�.... Contractor Address: ��,b c�� c1�. t,� �;}- City: ��,D,� � Stafe:�r� Zip:�Jrf��{_ Phone:��°g.Ll�-?Q7�mail: f'�'lcart'r�vv�Cx�S'�1"��,+�J. "L7r"t, _, License#:��i�?�,�� Lead Certificate#: ��-'T •-��Q'�,(�� if the project is exempt fram iead ce�tification, please explain why: (see Page 3 for additional informatian) COMPLETE THIS AREA ONLY iF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a simiiar plan based on a master plan? _Yes _No If yes, date and address of master plan: � Licensed Piumber: Phone: Mechanicaf Contractor: Phone: Sewer&Water Contractor: Phone: NOTE:P/ans and supporting documenfs that you submit are considered fo be public informa#ion, Portions of the informatian may be ctassified as non-publlc if you provide specific reasons thaf would permit the City to concJude that they are trade secrets. CALL BEFORE YOU DlG. CaU Gapher State One CaN at(651j 454-Q002 for pro#ection against underground utiGty damage. Cali 48 hours before you intend to dig to receive locates of underground utilities. www.aonherstateonecall.org I hereby acknowledge that this information is compiete and accurate;that the woric wiii be in conformance wifh the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an appfication for a permik, and work is not to start without a permit; that the work wiH be in accordance with the approved pian in the case af work which requires a review and approval of plans. Exterior work authorized by a buiiding permit issued in accordance with fhe Minnesota State Building Code must be compieted within 18d �,„ days of permit issuance. x � t'f's� x ApplicanYs Printed Na Apptica s Sign re Page 1 of 3 Use BLUE or BLACK Ink ---------, � For Office Use � • ' 13�35� � Clt of Ea a� � Permit#: � Y � t ' RECEIVED i Permit Fee:` ��.� i 3830 Pilot Knob Road � i Eagan MN 551Z2 I Date Received�� ' — � Phone: (651)675-5675 OCT 0 9 1015 i star�J ; Fax: (651)675-5694 I ________________� 2015 RESIDENTIAL PL Ni�i�i1G PERMIT AP ICATION ' �' � � l�ll� .�� Date: '' Site Address: ' Tenant: �� Suite#: ;�� , d � ''� " � �� Name: ��'1l�.. ��.'l��/�. Phon � ��"��'� � Resident/Qwne --�_ � � 4 ,. t �//�� 1 �#2� '��?�2 . . �� 4 1� I - "i V�� ; e� �,_.. ��s�, AVdFess!^i}�i ZiN: a ,}, � �" � Milbert Corr�pari Inc dba Culli an Water� � WC641376 � � Name: Y . g License#: ��r �; � �k� �; � Address: �1$OI SO`k' St EaSt c�ty: Inver Grove Hgts., �'��Contracto, �� .r� �. �� ;� state:� Mn zip; 55077 � Pnone: 651-451-224r � � � � �� William R Milbert � ,,� ' Contact: Email: �� a z�� n ,.rz �� New �Replacement _Repair _Rebuild _Modify Space Woric in R.O.W. y T p�e� f Wor, — — �� , �5 Description of work: � � '�;� �$�� RESIDENTIAL �,.. � � � � ��'``' �� x Water Heater ,� �,� � � �Water Softener � � Lawn Irrigation�RPZ/_PVB) ;F� "3Permi#�Typ, � " �"'° Septic System Add Plumbing Fixtures�Main/_Lower Level) i ��'j ��s ;�a,� =a`� ��e�, Water Tumaround � .s-.r �E: — �� ; � ' ° �`'�� Abandonment � RESIDENTIAL FEES: $60.00 Water Heater,Water Softener, or Water Heater and Softener(includes$5.00 State Surcharge) ��.03 Laws� E�i'iyaiic�i,(in�'ru�#es��.��si;ni�r�urri Siai�'�urcfiargej $60.00 Add Plumbing Fixtures, SeQtic Svstem Abandonment,Water Turnaround*(includes$5.00 State Sur�harge) *Water Tumaround(add$200.00 if a 5/8"meter is required) $115.00 Septic System New($10.00 per as 6uilt)(includes County fee and$5.00 State Surcharge) � O O TOTAL FEES$ CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against undergroun�utility damage. Gall 48 hours before you intend to dig fo receiVe locates of underground utilities. www.aopherstateonecall.orq I hereby acknowledge th8t 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, bu4 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 reguires a review and approval of plans. . x ,' x C� � Appl n ' ri te Name ApplicanYs Sign ure :F :FFI ,��' .�e ed _ -. >�. �� , 2,. � �, ��equired ns�ec i�n��F �a �� , ;f�o� i� �.a�� 5 ��i � � ,,� .� .� � _ � ,z _,F . � �Meter Rel te��I.e . _� e e�Si�, -�� •,��. � . , � ��e � , �.�„� a, ��.��_ � � �� 400) City of Eaall Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Lit r Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: Staff: 2015 RESIDENTIAL BUILDING PERMIT APPLICATION/LP�Site Address: 3 63 6( 8 i ✓) �j r' �'"`1- �Unit #: Name: e L CO 9 1 r/l. 5 Address / City / Zip: 31,c R f J y e Applicant is: Owner X Contractor Phone: -7 33Z — 6)3 Description of work: fiepiaae. vim' CJ -Pd8 Construction Cost: fl/ 330. Multi -Family Building: (Yes / No ) Company: //,44,0 ([CContact: / G5 $4m 'z C ey'"- Address: / 450cwe Ale /0 City: Ma.., State:,4' /V Zip: jridZ8 Phone9-9:391" mail: License #: dLR "LDc3 5-2)6 Lead Certificate #: N47-- 7. 373 --/ 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: ! :?d e :311%/%1,0 : / • •RlO' { •,t141- 11,11°tiA-..." (fp'i ' ..•. !}i4 A,AS!:1 A1��;4! I rift: , (f tini i";1'111I,'tfpC"1 a C,Vt-1.Xe ,. CALL BEFORE YOU DIG. Cali 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.00pherstateonecall.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 Building Code must be completed within 180 days of permit issuance. Applicant's Printed Name x Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA140456 Date Issued:12/21/2016 Permit Category:ePermit Site Address: 3698 Widgeon Way Lot:10 Block: 01 Addition: St Francis Wood 5th PID:10-65904-01-100 Use: Description: Sub Type:Fireplace Work Type:Gas Insert Description: Census Code:434 - 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 - Thomas L Cousins 3698 Widgeon Way Eagan MN 55123 Fireside Hearth & Home 2700 Fairview Ave N Roseville MN 55113 (952) 985-6675 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA142874 Date Issued:05/22/2017 Permit Category:ePermit Site Address: 3698 Widgeon Way Lot:10 Block: 01 Addition: St Francis Wood 5th PID:10-65904-01-100 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 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 - Thomas L Cousins 3698 Widgeon Way Eagan MN 55123 Haley Comfort Systems 4320 Hwy 52 N West Frontage Rd Rochester MN 55901 (507) 281-0138 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA153115 Date Issued:11/26/2018 Permit Category:ePermit Site Address: 3698 Widgeon Way Lot:10 Block: 01 Addition: St Francis Wood 5th PID:10-65904-01-100 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors 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: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Thomas L Cousins 3698 Widgeon Way Eagan MN 55123 (651) 332-0359 Murray Construction Inc 10675 Jersey Ave Chaska MN 55318 (952) 941-7075 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA155749 Date Issued:05/31/2019 Permit Category:ePermit Site Address: 3698 Widgeon Way Lot:10 Block: 01 Addition: St Francis Wood 5th PID:10-65904-01-100 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors 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: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Thomas L Cousins 3698 Widgeon Way Eagan MN 55123 (651) 332-0359 Murray Construction Inc 10675 Jersey Ave Chaska MN 55318 (952) 941-7075 Applicant/Permitee: Signature Issued By: Signature