3693 Widgeon WayCity of Rata.
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
Applicant's Printed Na
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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
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/`APPLICANT: / ____ .-A,1
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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/
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��� O� �U U� � Permit#: ��V! l� 1
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3$30 Pilot Knob Road � Permit Fee: ��• '
Eagan MN 55122 � � ,� � i
Phone: (651) 675-5675 t Date Received:
Fax: (651) 675-5694 � �
j Staff: �
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2074 COMMERCIAL, E3UILDING PERMIT APPLICATIUN
Da#e: Site Address:�B 1 � 3(��"1-�(Qq�- �[�j°l 3"3(o°�� a �c�� r,,� .�)C�,�j
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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��
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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.
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Applicant's Printed Name Apptican Signature
Page 1 af 3
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� ���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
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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�
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Appts'cant's Printed Na APptica s ign re
Page 1 of 3
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For Office Use
Permit#: / r) C/
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% , ' ,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
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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