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3672 Widgeon WayRESIDENT / OWNER Name: Phone: Address / City / Zip: Applicant is: Owner Contractor TYPE OF WORK \ Description of work: 27ec 1 / wt (Aef /1)eivn/ZI . 3 9599 - 959.5 Construction Cost: 4y0® Multi - Family Building: (Yes / No ) CONTRACTOR Company: /' 5 0 , 9 (,. scit 6, ' L L C Contact: D4A 7!/ a_ sal Address: 356 6'r S // ()1 /'? Ave 1/ City: zmkeici C° State: 197/1/ Zip: :J�2 Phone: 6/ £7S e &f License #: 65 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. City of Eaan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 JUN 1 0 2011 Date: //// Site Address: 36 D 6 Q/ ;e®i? , x 0/0Y/ Y/ 54Slo,1/ Applicant's Printed Name For se Date Received: Staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION 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 1 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 en-C�C App ican s Signature Use BLUE or BLACK Ink tce,i Permit #: Permit Fee: $ Unit #: 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 %_) Cens 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 Final Insulation Sheathing Sheetrock Reviewed By: • Fireplace Garage 4 Deck f Lower Level Interior Improvement Move Building Fire Repair Repair v ►1 RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S &W Permit & Surcharge Treatment Plant Copies TOTAL DO`NOTWRITE B' Occupancy Code Edition Zoning Stories Square Feet Length Width Porch (3- Season) Storm Damage Porch (4- Season) Exterior Alteration (Single Family) Porch (Screen /Gazebo /Pergola) Exterior Alteration (Multi) Pool Miscellaneous Siding Reroof Windows Egress Window *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 f)(2 ("It MCES System ) SAC Units City Water Booster Pump PRV Fire Sprinklers Demolish Building* Demolish Interior Demolish Foundation Water Damage 9'5G83 Li v Page 2 of 3 1 RESIDENT / OWNER Name: Phone: q Address / City / Zip: 367,2 11./ ce9 /2 11/0 Applicant is: Owner i K, Contractor TYPE OF WORK Description of work: Deck ,e (/e/ A-2froiz / J Z... 9575-5 Construction Cost: —74/d0 Multi - Family Building: (Yes , / No ) CONTRACTOR Company: 4/50/7 `' C17/i/ ' LC Contact: / 7A )2,4 O/SO4/ Address 35 60 6ers 1/// /) / Ye /V City: t dkda l State: /17 Zip: —5-51.28 Phone: 6/2 6y - 3 e e 2 License #: 2O_1(2/ 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. City of hp 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 Permit #: C K2gq Permit Fee:$'. 75 Date Received: Staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: e // 0/7 Site Address: /Z /r1 �G"d /1 J1 c7 Unit #: Use BLUE or BLACK Ink 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 ®Iii / L J t iS O4/ Applicant's Printed Name x App ican s gnature 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 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 Interior Improvement Move Building Fire Repair Repair TOTAL DO IOT RITE BE Porch (3- Season) Porch (4- Season) Porch (Screen /Gazebo /Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width Roof: Ice & Water Final Framing Fireplace: _Rough In Air Test Final Insulation Sheathing Sheetrock Reviewed By: W1N 7-2 st* Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Siding Demolish Building* Reroof Demolish Interior Windows Demolish Foundation Egress Window Water Damage *Demolition of entire building — give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers 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 Siding: _Stucco Lath Stone Lath _ Windows Retaining Wall: _ Footings Backfill Radon Control Erosion Control Building Inspector 99 Final Brick o i) Final Page 2 of 3 P14v,,, Ejt� Use BLUE or BLACK Ink For Office Use 4,1'' City of Eaali Permit#: -31 3830 Pilot Knob Road JUN 3 0 7017 Permit Fee: • 3 Eagan MN 55122 Date Received: Phone: (651)675-5675 Fax: (651)675-5694 Staff: 2017 RESIDENTIAL BUILDING PERMIT APPLICATION „a � \ ' Date: (.0-' 0 — I Site Address: 3 Col (�t c C e_Qn LOQ Unit#: Name: 3"i m Lot^ Q rrklo Phone: Resident! , `` `` Owner Address/City/Zip: 3(r,-1 l�� 8set r, (1)0\i 1 N)c2 ©►� 5 S\ao. 1 Applicant is: Owner /Contractor Description of work:JPrr �C, 1Qc�e. eiC 1bt� Tripe o� lorlc ►8' r{. Construction Cost: I� �`1J Multi-Family Building:(Yes sZ/No ) x Company: IJJrrca j Corm cc Ic C.. Contact: M,14 es Address: I 0(o—)S Te.r,eAl City: C ,e ‘<e..J State: MA) Zip:553i O Phone: CIS)-OjL I” e mail: rAo rosi cons-3/4-1 COM License#: ti D.6 Lead Certificate#: If the project is exempt from lead certification, please explain why: 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: -ivoTei4 Plans an. upp ming dock t pori submi•t are cors e o ib ®} M ormat�on,:Portions of the »form ay be l lsi ed s non p� bac if you provid -Oft reason ' l d permit the ty to 1°74- x tri. condo®, that they are tr. 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.qopherstateonecall.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 kit �C i'rV x c ? Applicant's Printed Name Appli nt's Sig;r.ture Page 1 of 3 DO NOT WRITE BELOW THIS LINE 1 1( 3?'7 SUB TYPES —3(4,1 L 7 4t "` 1,34 Foundation _ Fireplace _ Porch (3-Season)4 Exterior Alteration (Single Family) Single Family _ Garage _ Porch (4-Season) Exterior Alteration (Multi) Multi Deck _ Porch (Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex Lower Level Pool Accessory Building WORK TYPES New _ Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building Reroof _ Demolish Interior _ Alteration _ Fire Repair Windows _ Demolish Foundation Replace Repair Egress Window Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation 640r0 Occupancy MCES System Plan Review Code Edition SAC Units (25% 100% J( ) Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) tX. Final/No C.O. Required Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Roof: Ice &Water Final Pool: _Footings Air/Gas Tests Final x. Framing ,( 30 Minutes 1 Hour Drain Tile Fireplace: _Rough In Air Test _Final Siding: _Stucco Lath Stone Lath Brick_EFIS Insulation Windows Sheathing Retaining Wall: _Footings_Backfill Final Sheetrock Radon Control Fire Walls Fire Suppression: _Rough In Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: 1-1.-., Building Inspector RESIDENTIAL FEES Base Fee Surcharge 0 -1/1)/(/' Plan Review MCES SAC City SAC Utility Connection Charge / S&W Permit&Surcharge CJ 6,)_- y /5.- Treatment Plant Copies /l e. l TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA152623 Date Issued:10/23/2018 Permit Category:ePermit Site Address: 3672 Widgeon Way Lot:2 Block: 02 Addition: St Francis Wood 3rd PID:10-65902-02-020 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 - James P Lamb 3672 Widgeon Way Eagan MN 55123 (651) 405-1521 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:EA161223 Date Issued:05/13/2020 Permit Category:ePermit Site Address: 3672 Widgeon Way Lot:2 Block: 02 Addition: St Francis Wood 3rd PID:10-65902-02-020 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 - Katherine A Aschenbrener 3672 Widgeon Way Eagan MN 55123 (952) 393-0393 Lofgren Heating & Air 5708 Upper 147th St W Suite 106 Apple Valley MN 55124 (952) 431-5811 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA167529 Date Issued:03/19/2021 Permit Category:ePermit Site Address: 3672 Widgeon Way Lot:2 Block: 02 Addition: St Francis Wood 3rd PID:10-65902-02-020 Use: Description: Sub Type:Residential Work Type:Alteration Description:Basement Fixtures 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087 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 - Katherine A Aschenbrener 3672 Widgeon Way Eagan MN 55123 (952) 393-0393 Pro Master Plumbing 9077 Jane Rd N Lake Elmo MN 55042 (651) 337-1738 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA174687 Date Issued:02/14/2022 Permit Category:ePermit Site Address: 3672 Widgeon Way Lot:2 Block: 02 Addition: St Francis Wood 3rd PID:10-65902-02-020 Use: Description: Sub Type:Water Heater Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 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 - Katherine A Aschenbrener 3672 Widgeon Way Eagan MN 55123 (952) 393-0393 Pro Master Plumbing Inc 9077 Jane Rd N Lake Elmo MN 55042 (651) 337-1738 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA174688 Date Issued:02/14/2022 Permit Category:ePermit Site Address: 3672 Widgeon Way Lot:2 Block: 02 Addition: St Francis Wood 3rd PID:10-65902-02-020 Use: Description: Sub Type:Gas Line Work Type:New Description: Comments:Please call for a Rough In and Air Test, prior to the Final Inspection. Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 210-0754. 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 - Katherine A Aschenbrener 3672 Widgeon Way Eagan MN 55123 (952) 393-0393 Pro Master Plumbing Inc 9077 Jane Rd N Lake Elmo MN 55042 (651) 337-1738 Applicant/Permitee: Signature Issued By: Signature