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3693 Widgeon WayCity of Rata. 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 Applicant's Printed Na 011 x Applicant's Signattire Use BLUE or BLACK Ink Permit #: Permit Fee: Date Received: Staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Dater - it-I - 11 Site Address: o►) W Unit #: -� ✓ L/— RESIDENT / OWNER TYPE OF WORK CONTRACTOR Name: „v, vJr r O , t91 Phone: (05 241 2.3 Address / City / Zip: 3( t 047 jwY. OANI 65 23 Applicant is: Owner Contractor Description of work: Y`( ✓ v" a)eU cu Construction Cost:rj ?Cb. to Multi - Family Building: (Yes X / No ) Company: Quw.t-o. io+ 5 Contact: jj�tgvtt �j d! 7 Address: )0 -- 25" flo,utp5Lv / t 5 City: g `^5 +v State: i Zip: J 3 8 License #: 2 Phone: V( b L ' I io Lead Certificate #: i,IAT °''4 fiO 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 i No If yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: 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.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. 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 Nib REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Ice & Water _Final y( Framing Fireplace: _Rough In Air Test Final 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 Fireplace Garage Deck Lower Level .3693 L 8con L/ DO NOT WRITE BELOW THIS LINE Interior Improvement Move Building Fire Repair Repair TOTAL Porch (3- Season) _ — Porch (4- Season) _ Porch (Screen /Gazebo /Pergola) — Pool Occupancy Code Edition Zoning Stories Square Feet Length Width Siding Reroof Windows Egress Window Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous _ Demolish Building* _ Demolish Interior Demolish Foundation X Water Damage MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers o *Demolition of entire building - give PCA handout to applicant Meter Size: Final / C.O. Required Final / No C.O. Required HVAC _ Gas Service Test Gas Line Air Test Other: Pool: _Footings Air /Gas Tests _Final Siding: _Stucco Lath _Stone Lath Brick Windows Retaining Wall: _ Footings _ Backfill + Final Radon Control Erosion Control , Building Inspector 0 Page 2 of 3 SEWER & WATER PERMIT OFFICE USE ONLY CITY OF EAGAN METER # PERMIT DATE 09/06/90 3830 Pilot Knob Rd. 1 1622 Eagan, MN 55122 - 1897 CHIP # PERMIT # , METER SIZE B.P. RECEIPT # 0 c` 1 1 DATE 9/6/90 ISSUE DATE B.P. RECEIPT DATE 09/06/90 _ PRV — BOOSTER PUMP SITE ADDRESS 3693 WIDGEON WAY PERMIT REQUESTED LOT 7 BLOCK 2 SEC /SW; ST FRANCIS WOO S 5TH i X SEWER X WATER TAPS �J /`APPLICANT: / ____ .-A,1 � � C�-a.,4....4 X ADDRESS: 4N� _ COMM /IND RESIDENTIAL CITY, STATE - . 1, % E"'�� ce z ZIP SS/ 4 1 X NEW EXISTING PHONE: l J 1 1 /i 3/ ^3s-`s / � ��� Lawn Sprinkler Meters are to be Installed )( PLUMBER: /V• 1 i 11-- 'x" • Ahead of Domestic Meters on Water Line. ADDRESS: 7640 146 T W Credit WILL NOT be giv- - for Ded ct Meters. CITY, STATE s _' ,_ I' - ZIP .5 /2 i PHONE: 1 ' E,f3 2 ^044/7-C" / 44 . „X.411...i.. AGREE ' • COMPLY WITH CITY OF l OWNER: FISCHER - STAPF CONST EAGAN ORDINANCES ADDRESS: 14640 GLAZIER AVE CITY, STATE A.V. ZIP 55124 PHONF� 43 -3551 - 7M 9,47- SIGNATURE WHEN METER ISSUED • " • WORKIN R PRO SIN PLEAE� • ' E . CALL 454 -5220 FOR INSPECTIONS. FOR STORM SEWER PER ITS, CONTACT ENGINEERING DEPT. V/ , � R �� ��� � � � Use BLUE or BLACK Ink r---`-^----------- I For Office Use I ��� O� �U U� � Permit#: ��V! l� 1 • � � � �II � 3$30 Pilot Knob Road � Permit Fee: ��• ' Eagan MN 55122 � � ,� � i Phone: (651) 675-5675 t Date Received: Fax: (651) 675-5694 � � j Staff: � �-------- --------I 2074 COMMERCIAL, E3UILDING PERMIT APPLICATIUN Da#e: Site Address:�B 1 � 3(��"1-�(Qq�- �[�j°l 3"3(o°�� a �c�� r,,� .�)C�,�j � Tenant Name: (Tenant is: IVew/ Existingj Suite#: Former Tenant: Name: Phona: Pt'O�LI'Cy OWri�t` Address 1 City t Zip: (�+��' �te���3f�91- 3 -� (.,c.�c:��, App(icant is: Owner �Contractar Type of Wark description of work:_, �C�,�^� � Construction Cost: � �5 Name: t#' ��C.. License#:__�..��c�t Cl�� Address: ��� r��d ��'.� l��,S�" City: f1�. � Contractar ��n ot�� State:_��V ZiP������ Phane: � ��, " ��� -' '�("��'�� Contaet: 4 � e,,��`�" Emaif: t.�'t"(' c� rV`tS� _ Name: Registration#: ArchitectlEnginesr Address: �Ety: State; Zip. p����. Contact Person: Email: Licensed plumber installing new sewer/water service: Phone#: NOTE:Plans and supporting documents that you subrnit are consideretl#a be public informafion. Portians af the informa#ion may be ctass�fied as nan public if yau provide specific reasons that would permrt the City fo correlude thaf the are trade secrets. CALL BEFORE YOU D1G. Cal!Gopher State t?ne Catl at{651)454-0002#or protection against underground utility damage. Call 48 hours before you infend ta dig to receive locates of underground utilities. www,qopherstateonecali org t hereby acknowledge that this information is camplete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, a�d work is not to start without a �ermit;that the work will be in accordance with the approved plan in the case of work which requires a revisw and approvai of plans. x (�'�i c°_• i/Y1Jf�.1 ,� ' �, Applicant's Printed Name Apptican Signature Page 1 af 3 ����'�,���,���.��:� ."`�� :° ....,..,`�...�`_..�_._� ; �t�t�ii�� � g�ii �� � � � F'�►sc�������/� � � � � � . 'f� 1 � �$�d�l�OZ�{l1B}��O�t� � P8f#Tttl FB�: ���j•r� _� { Eagan�NA155'!22 � I Phone;(851)575-56?5 � �ate�tec���d: � Faac:�651)675-�694 1 1 I Statfi: � 1 � _�.���.��__�_���_._�...� �€��4 RES�E?E�TtA�, E31��LD�N� PERM[T APPL1CATtQP1 �ar�:_i�.—l I— 1�{ s�f���,���SS: unit#: 5 '. '`"- � �...�,.,,.�,.�.�..y.�'°`��~-- . �:��ea�d�°'�'�:5.) 1 �' : ���;���.� . '�"� --��c��.2��....d_� _�_ _�-���,3;;.�, �.5�.:..��7 R �, � :����f �������_ t�'c� f�� � �� t a 0 � �� a�. � � z.�� � _ �mav� �n� �e ee�� � ;��s�: �P a J l 1 �rme. c.�7� n �w 5.�. E � �'�� �. �� � �; ��.._.._....,4....�...� _ �* -�--._.�.. � ��u�,���`���:; "u��aty�t��t3�ng:�'Y'�s�!�10____-� � Corr�{�any; - � �tsr�t��i: ��. � C+�ntra�#or �ddr�ss:�i`� �, ���� t��,�- ���. ey � S#ate: �� Zip.c�-J�'.��.�, Phone: '�.i-1 —7G►7S, � --_._.._...` i EmatJ:�v .1��,t�jc���}i-'�cs9- �►l r e� t...i�erise#• C'.��`d `�.� �l�t-T` �-11��R1=.; � �--__,.�„ Lead Certifiicate#: . ; $ �,� � .._ ; � .i��,'�'"'i��'��,'`.^c��$=„ ��:�. � _ . yy �,z yrg; X��+ i' ji� . .. ���tt�w � S b� ���, .�S�f. p� '�'��Nr�`�.��e"/t+�ifGT2'.�..-�{��y,� i',�°'.,'��"�b p�L�1}L���+.�; psg.y �{^ , �� `�e'..ac r a ' Y�".F t'Yan�-Z :&`i�ss':.:1"�j�. ���8 °°�4��('�!V Pt�ir��Ei��} Ai V�i4iiFikK�VF'��Fi �F�[6r�f VVtMV�A�V � � ���t�i�st�2 m�rcEt�s,.��s�t���E�,r�€Eagan issaed a perenit for a simitar pian based on a masfer plan? _._„Yes 'iVo (f yes,datp and�ddress o#r�aster p1an; Licensed Plumber: P�,.�.• tl�echanica�Conttr�a��r. '� Ph�an�= � Sewer,�Water Contractor: Phone [1fQt',�:Ata�t���.����,� � ��,'���,���� �ra��`�.���"�. �� . � ? �:�� ; ��,���� �t ��.i ���:���€��`�#�� „ �at�i�r�=i�f��t��� .��������_'�. � �,�. .�����t�%_. ��� 4 �r����,��'��� �t�;����, �� �f�"`.���� ��'��� � � �. ���,.���'�`��'����r �`�r,����€�s'����t�°��a�r�� �������a����€�,�;��r�r:.:.3s�u1s4t?�:�tt�a�e. i����€��tss� ���s�re��u�na�nd i�a t�ia 3a ar�ziv�ir�#�s ai uttd�rgrt�ut�d s�t`tk�t`se�e �[�pt's�18i�i�ra���!c+r� 3 he�eby a�nawledge that dhis intom�at'st�n is e�nmpiete and accurat�;€ha't ttfe wot�C wilt be in�an#ottnance wiiia the csrdinances anti cocles of the��y� Eagan;that 1 understand th� � not a permit, but on�r an application fa�a permit, and w�ck is �rol io star!without a perm�t; thai the work wirl be in ac+�rciance with the aRproved p(an in the case of work whi�h requires a review and appro a{t�t ptans. � Exterior wosk authorixeB by a buiiding permit issued in accardance with the Minnesota State Sullding Code must be com�te#�.ci�ti�,�i;�,�r� day�rsf�smit.�:s�,s�r��. � �� ' � � ��~�= x Appts'cant's Printed Na APptica s ign re Page 1 of 3 . For Office Use Permit#: / r) C/ �e % , ' ,r AGA N .{. 5E' Permit Fee: / "—� Date Received: 3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff: buildinginspections(a cityofeagan.com L 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date "1 ` r0i(O-- i? Site Address: 3 51 -)f\ `iel O Q r\ Unit#: i t i Name: -1 c rer. /AO OCAJar, -_ Phone: Coo I,- Cal- 9939 1 Resident/ I q� Owner Address/City/Zip: 36 7 L 3 6 . i.t` ...1,__, --\/ o c a Fu.) 5 5' .a 1 - y ° ' Applicant is: Owner /Contractor Type of Work ,, Description of work: A erc 3�R j 3(0. Q11 l®Ol l)'3t�S3� c3(o`15 r 3, Construction Cost: a l 3 45 Multi-Family Building:(Yes V/No ) Company: ucrc 1 CCVN4 .C?\ Drl LnC.. Contact /A t )4uf'Yo-V Contractor ° Address: i(1±.0 5 de,rsey Noe- City: clva5 Y 0-2 i t : State: )"I� Zip:56318 Phone: -��1---)0-15mail: (Ylor rcA j C.Or' t 1 c`-L ASN-C(Y ' zI I License# B C 11 a a S Lead Certificate#: If the project is exempt from lead certification, please explain why: l 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: Fire Suppression 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 ou provides*- ific reasons that would •-rmit the Ci to conclude that the are trade secrets. You masubscribe b to receive e ei a an electronic ,notfication from the City of proposed ordinances by signing up for an email update on the City's websiteat ww 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. 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.gopherstateonecail.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 t\1C_> itis 0r 1� x , . / 7/V � ?' Applicant's Printed Name ( Applica s Signat e PERMIT City of Eagan Permit Type:Building Permit Number:EA152692 Date Issued:10/25/2018 Permit Category:ePermit Site Address: 3693 Widgeon Way Lot:7 Block: 02 Addition: St Francis Wood 5th PID:10-65904-02-070 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 - James W Mclandsborough 3693 Widgeon Way Eagan MN 55123 (651) 454-7082 Murray Construction Inc 10675 Jersey Ave Chaska MN 55318 (952) 941-7075 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA154492 Date Issued:03/26/2019 Permit Category:ePermit Site Address: 3693 Widgeon Way Lot:7 Block: 02 Addition: St Francis Wood 5th PID:10-65904-02-070 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - James W Mclandsborough 3693 Widgeon Way Eagan MN 55123 (651) 269-2374 K & S Heating, A/c & Plumbing Llc 4205 West Hwy 14 Rochester MN 55901 (507) 282-4328 Applicant/Permitee: Signature Issued By: Signature