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3692 Widgeon Way*City of Evan Use BLUE or BLACK Ink 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 1 (} Fax: (651) 675-5694 2011 RESIDENTIAL BUILDING PERMIT APPLICATIO `LQ Date: �eV/ Site Address: Xo/ 'GV/7 107 Unit # l )--d)--11 Il! ti Date Received: Staff: RESIDENT / OWNER Name: Phone: Address / City / Zip: Applicant is: Owner Contractor TYPE OF WORK Dec((&{p/Z` 11� Description of work: .Di :7/j) /-kr'S 95 -25-Y.5-5) Construction Cost: 00 Multi -Family Building: (Yes / No ) CONTRACTOR Company: 02So4e/c/P,E/JTXe y Lie Contact: YLL4. a(ow _/%J/C Address: . 56O ( efr'$ J j G11//7 Air A/ City: Gile,Z2J�57L State: %//I� Zip: 55/Z Phone: 4/2 .8r.- o �. 2 License #: 1 675ei p2f g Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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 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.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. x bit," Y ,3/Soiy Applicant's Printed Name 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% \t) Census Code # of Units # of Buildings Type of Construction f D.W ��d DON WRITE B Fireplace Garage y_ Deck Lower Level /14,MHOO Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Interior Improvement Move Building Fire Repair Repair Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Ice & Water Final Framing Fireplace: Rough In Air Test Final Insulation Sheathing Sheetrock Reviewed By: r Siding Reroof Windows Egress Window Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building — give PCA handout to applicant Aiv Meter Size: MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Final / C.O. Required `ic.. Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Other: Pool: Footings Air/Gas Tests Siding: Stucco Lath Stone Lath _ Windows Retaining Wall: Footings _ Backfill Radon Control Erosion Control , Building Inspector Final Brick Final RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL OK/a6 rL6A11704-- Page 2 of 3 �o *City Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Permit #: Permit Fee: iflD: 0 0 Date ceived: 5C0 Sta i` 2011 RESIDENTIAL BUILDING G PERMIT i� ) APPLICATION v © 4 I Site Address: -3 V 1 dqov v Q Unit #: J RESIDENT / OWNER Name: C c CBs Cos -fa S Phone: 65/ 027 f D( � a . Address / City / Zip: I GLS I t 4 • 1 c, 1� Applicant is: Owner (J Contractor `+Y ' Wir TYPE OFF J WORK 1 Description of work: o 'e it \I c or ` Y e7 ST i n 41 c F plGkCQ �1 Construction Cost: ) D l3 G Multi -Family Building: (Yes / No ) CONTRACTOR Company: \41fl J C o,nCc ''�'S Contact: Man "So C Address990 Lone e Oa C,W IN City: Ea Qui State: AAM Zip: 551 Q 1 Phone: 61 �0 0/06 License #: a V, t■ Lead Certificate #: I A -r-. •?"3-7 17 '- 1 If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) In the last 12 months, Yes 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: _No Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE: Plans and supporting documents that you submit are considered to be public info . . Port Ons of the information may be classified as non-public if you provide specific reasons that would pmt# tide 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.000herstateonecall.org 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 accordan with the approved plan in the case of work which requires a review and approval of plans. 1/1Cy rY►iesi Applicant's Printed Mime Applicant's Sig Page 1 of 3 • • • c310•\\,n City of Eapll 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use `� Permit #: 1? -15 l Permit Fee: (0(0 Date Received: Staff: 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: 3(610 - 3 (.09 a. L) eon. LOG. Unit #: Resident/ Owner Name: Phone: Address / City / Zip: 3(090 ` 3 via 0 t d ear. Applicant Applicant is: Owner Contractor Type of Work Description of work: Re. -COM 51 Construction Cost 1( kit:) 415 Multi -Family Building: (Yes //./ No ) Contractor Company: rnUCC ET(Uc -cy-\ In6- Contact: m * Ke_... Address: i•{3 gr,a. AJC City: 5VjrP.. State: M/3 Zip: 5 5379 Phone: a5a'9i1-707.5 Email mU(rc COr1 7Vt V\I ,Cor License #: )C., l i a., S ,b Lead Certificate #: A.1 Ai_ 1 i `N19 t - 1f If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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 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.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 completed within 180 days of permit issuance. x 1\1\ \<e) (' rel Applicant's Printed Name 41i" ,City of App 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 OLIVE WLACK For Office Use Permit #: 1 Date Recerved- • 1 1 Staff: 2014 RESIDENTIAL BUILDING PERMIT APPLICATION 2, Date: I,Q -t1-11-1 Site Address: 3 VA gt, CO 1 8 S enn t 9,3CV Unit #: , ' lilwrr. CO,f k D5 CM AO s rProxiu, (t)S1 q 00(0 Resident! Owner Type cif Address / City / Zip: Applicant is: -‘fej:Cflptiori DT wart, Construction Cost: 3LoQ (2)18eon LjEb ACQ 5lak Owner V" Contractor Rev-N-1-coe. 4 Ae,p lace, c0 I 1 Fecifv•e... (50-‘',-NacuL) Contractor Company: Oki ft Multi -Family Building: (Yes / / No ) Contact: INNi4ke., Address: IVA /Noe— City: State: MN Zip:853(6'i • Phone:et.51-C14k-7015-amaii: (no License Lead Certificate #: NAT —1 tct 'At irgrwr4lfl.) VAPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Ir; thelast 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 t.l.r.wIrfir.,7, 1,_; the ifINNYVaV011 maybe as ff you tttrtMcfe- specffic reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Cali at (551) 454-00T2 for proleciion against underground utility damage. Cali 48 hours before you intend to dig to receive locates of underground utilities, vmw.racroherstateorketelltra 1 hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and 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 accordance with the approved plan in the case of work which requires a review and approval of plans, e City of will be in Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be comptater! ‘eattli.V. days. at clectikkt. tisskias.s.a irij x Aivt, Ye. mocr Applicant's Printed Na Applica s Signa re Page 1 of 3 City of Eagan PERMIT 41' City of Eaan Permit Type: Plumbing Permit Number: EA152267 Date Issued: 10/08/2018 Permit Category: ePermit Site Address: 3692 Widgeon Way Lot: 7 Block: 01 Addition: St Francis Wood 5th PID: 10-65904-01-070 Use: Description: Sub Type: Residential Work Type: Replace Description: Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary: PL - Permit Fee (WS &/or WH) $59.00 Surcharge -Fixed $1.00 0801.4087 9001.2195 Total: $60.00 Contractor: Tony's Appliance 2090 County Road 42 West Burnsville MN 55337 (952) 435-2442 - Applicant - Owner: Carlos M Costas 3692 Widgeon Way Eagan MN 55123 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. Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA155752 Date Issued:05/31/2019 Permit Category:ePermit Site Address: 3692 Widgeon Way Lot:7 Block: 01 Addition: St Francis Wood 5th PID:10-65904-01-070 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 - Carlos M Costas 3692 Widgeon Way Eagan MN 55123 (651) 687-9006 Murray Construction Inc 10675 Jersey Ave Chaska MN 55318 (952) 941-7075 Applicant/Permitee: Signature Issued By: Signature