3810 Willow WayCity of Eagan
PERMIT
City of Eaan
Permit Type: Plumbing
Permit Number: EA127476
Date Issued: 10/02/2014
Permit Category: ePermit
Site Address: 3810 Willow Way
Lot: 68 Block: 01 Addition: Briar Hill 4th
PID: 10-14993-01-680
Use:
Description:
Sub Type: Residential
Work Type: Replace
Description: Water Softener
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.
Jennie Wood
1424 3rd St N
Minneapolis, MN 55411
Fee Summary:
PL - Permit Fee (WS &/or WH) $55.00
Surcharge -Fixed $5.00
0801.4087
9001.2195
Total: $60.00
Contractor:
Benjamin Franklin Plumbing
1424 N 3rd St.
Minneapolis MN 55411
(612) 604-4285 X61
- Applicant -
Owner:
Timothy A Burns
3810 Willow Way
Eagan MN 55122
(651) 454-0938
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
City of Eagan
Eagan,
PERMIT
City of Eaan
Permit Type: Plumbing
Permit Number: EA102331
Date Issued: 12/06/2011
Permit Category: ePermit
Site Address: 3810 Willow Way
Lot: 68 Block: 01 Addition: Briar Hill 4th
PID: 10-14993-01-680
Use:
Description:
Sub Type: e - Water Softener
Work Type: New
Description: Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:
Josh McGuire
1424 3rd St N
Minneapolis, MN 55411
612-604-4285
Fee Summary:
PL - Permit Fee (WS &/or WH) $50.00
Surcharge -Fixed $5.00
0801.4087
9001.2195
Total: $55.00
Contractor:
Benjamin Franklin Plumbing
1424 N 3rd St.
Minneapolis MN 55411
(612) 604-4285 X61
- Applicant -
Owner:
Timothy A Burns
3810 Willow Way
Eagan MN 55122
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
41,11`City afEaean
3830 Pilot Knob Road
Eagan MN 55122
Phone: (661) 675-5675
Fax: (661) 675-5694
Use BLUE or BLACK Ink
Date Received:
Staff:
S-717/2—
(19
2`)-/Z
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: /I'l /q'Y .t 9 "X Site Addreea: 3 1'4 41 3 FS °, 3 VI L , 5 gi y LJ/L Lor -V t.)
Unit d:
Fkj
RESIDENT t
°AN `: ; '' ,
Name: c/o /45-5° C-.) +rro ,J 1vi.J 4.J 61 44— 10-,J 6 % Phone: 7 3 -1193 3' z 7
Address / City / Zip: 7 °A Z £_ mss L.rs1 E 2 d MARL 1.1 Cv,ac V S5-3 / /
'
Applicant is: Owner X Contractor
l
Description of work: Y/o 6- i2 2cr
Construction Cost: / %l. ffr7° ' Multi -Family Building; (Yes k' / No
)
. ' , . = .
CONTRAFOR
.::
Company: (14/ 4.-7-4/4,.!2. /ri4,, -: , e-i1P- ? Contact: bmf; {i., RIZ, 5
Address: 9o4r f3. !p o .1' fes- City: Al'h r
State: / Zip: SSy/ f Phone: (a/ 4 - F 1►' - ( W3
License #: 4 C X"/ I -3 ! Lead Certificate If:
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:
Llceneed Plumber: _ Phone:
Mechanical Contractor:
Sewer & Water Contractor:
Phone;
Phone:
NOT Pia ,tan 000#1000.41.0-.._
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,.... ...... . �.......eoMeliuf� ttiat:Ehtsyr aare,oali� ��+ets:. .. ... ... .. . ...
CALL BEFORE YOU DIG. Call Gopher State One Call at 1651) 454.0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www,000herstateonecap.orq
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.
Exterior work authorized by a building permit Issued In accordance with the Minnesota tate Build' de must be completed within 180
days of permit Issuance. n
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Applicant's Printed Name Applicant's Signature
ZO 3JCd
Page 1 of 3
1NICW d0I831X3 I3S L9Z9T98Zt9 SZ:OI ZIOZ/6Z/S0
11ow Way.b8 B.I tri ar x11 ,
Pl nber den Z Ryan P .utnb it-4g
�A
Connection Charge
Account Deposit, v i
Reader No.: Permit Fee:
1 Sem tof wIIlf ,,,City of &a�On Surcharge: ►
.. Misc+ Charges: 63 0£i P� X01
Total:
BY Dote Paid:
Dote of Insp.: :k blip •
bR.:°
P• T y y
nr , 5121 \\
Zoning: R4 No. of Units:
Owner: ld2
Address:
Site Address: 381
Plumber: Gans, _Ryan 1 nnthh j ng
2-27-84 417 8 I J �►
!agree to amply with the City of ratan Connection Chopin
Oraponces. Account Deposi :
I Permit Fee:
Surcha e:
By
Date" of Insp.:�
Insp.:
City of EaQan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
4-46 q..)
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
Date Received: 13
Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
i0 \ I l 1i EO C M
Date: Site Address: �/ J � Unit #:
Resident/
Owner Address / City / Zip:
Name: l Prat-) tV"[ ft-) j 1 i s Phone: CO5 1 -
1t) 1 I tc 1 an, Mei ISIS -b2 -
Owner Contractor
1 °l etwry city(lOc m --erg
�
03 Multi -Family Building: (Yes / Np<.)
Company:' , J PtY?) I m % kntact: a i e Sliadet—
Type of Work
Contractor
Applicant is: _
Description of work:
Construction Cost:
Addresser I t \J J1 I S City: ffinacwro
State:
MS Zip: 5 13 tdI - r O - rj �
License #:
If the project is exempt
om lead certification,
Phone:
Lead Certificate #:
ase 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:
\o\c6L1
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water 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 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. Lwww.goohersfr'- oneca!i.orq 1
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 \t
Applicant's Printed Name
x
Appli ...- it's Signature
Page 1 of 3
3630 Pibt Knob Road
Eagan MN S3122
Phone: (661) 6754675
Fax: (661) 6754654
•
OPP
USD BLUE or BLACK ink
For Doles Us,
Permits
Pernik row 95 .15
Dame Received: 3) /13
Saw
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: / o -• i - ,3. Sive Address: 380 8, s Vi 3rix 3/1( art.L° W W Y •unit ik
Name: do AC 7" phone 763-0 3-4770
Address / City i zip: 'SD & G 4P% "-v Q %i V .Z A L $A iKLE4)
pcAs 43'1,1 7
Applicant is: — Qwn6r X. Contractor
•
•
Description of work 7£.42 a PF & (ZE - I420F _..
Construction Cost / 31 7 csr), Op MuIU.Famay Bulldog: (Yes
company: 41)E i t'.>= -rt io.€ N'ler.,:v. Za2.14
Confect Zvi d Q`' ft.h.!
Address: , r4136012' S. . cite: In Pi" $ .
state:, zip: SS9./9 Phone: lo't - 4{61- Y3
1License a: ,Q C ,t Ill/ / Lead CertMeaae 4:
If the project is exempt from lead certification. please explain why: (see Page 3 for additional information)
140E12E: Qu)Lr Pos: J9ti F
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 monose, has the City of Sagan Issued a permit for a similar plan based on a master pian?
Yes No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor:
Srwer & Water f pr;
Phone:
YOU
o iom � tO dm to�ooelw toe of lam) -0002 for marshprotecman imt uindgr9nxmd uta damage. Cas as hoursw�rw,etxthersteceercerea.e�r�,
l hereby acknomedee that this information is complete and accurate: that the work will be in conk: mance. with the ordinances and codes of she City of
EI this is not a permit, but only an application fa. a permit. and work is not to start mithout a pent* that the, wok .4 bs
Qrww.a Man In ate CM. of wont wilch rewire. a ninon, and .pp.ow d plans.
wow of pe by a building permit bated In accordance with file Minnesota Stab Bull Code moat be completed WNNn 180
rt es
AAa iolinfa Printed Name
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Applicant's Signature
Page 1 of,
1NIPW 1X3 I3S L9Z9t98ZI9 ZT:60 EtOZ/TE/0t
410' CitytyofEaQan
3830 Pilot Knob Road
Eagan MN 56122
Phone: (651) 6754675
Fax: (651) 675.6694
Use BLUE or BLACK Ink
For office Use
Permit Fee:
Date Received: Q. /3/1.4
03
Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Data; 3%ry.
Site Address: 3 c $', 3 t ic, 3 8� 2, 3 ) V �,t)1 LLoG►) i Y Unit #:
Resident/
Owner
Type:of:Wt:wit
Name: eio 46 /hAsta A 4,/z Am £ •-i -r✓ �1: •+ C..
Address / City / Zip: g-fO D E G i4 r u 2 All, 13
Applicant is: _ Owner Contractor
Phone: 76 3- •S'71- 9 7 7
C?oGb j/ .1Y Alit)
Shy. 7
Description of work- E a- rt. £ 1 6 a P'rtfe.'"At 11/E
Construction Cost /& s"efe, Cap Multi -Family Building: (Yes 2C / No
Contract
Company: t £ 1 e.,e• r- Le, o 2 MO . Cv.2P- Contact Da ✓, f I�u2��S
Address: 4147-3- LJ tools'` S%. City: /y! PL .5
State: /VAS Zip: .Ssyi 9 Phone: log ,t- 3 la' - Co 2'/3
License #: 4.3 L 21i/ / 3 I Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional Information)
t�e.P�laS_ �u/L7' PoS" 1y7r
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 pian based on a master plan?
Yes No If yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: PATIOS 8110 ISr r►� I� ab C, . ,t, 7-
- . the bifor►net[on Vii ", al 4)o • "brow d4a y; `/�4C]�: '
ccnciU .
Phone:
CALL BEFORE YOU DIG. Call Gopher State One CaII at (661) 454.0002 for protection against undeiWound utifily damage. Call 48 hours
before you inland to dig to receive locates of underground utilities. www.aopherstateonecall.ore
1 hereby admowiedge that this information is complete and accurate; that the wort will be in conformance with the ordinances and codes of the City of
i_®pan: that I umderatand thus is nota permit, but only an applic actor, for a permit, and worts ie net to atart without a oomtlt: 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 BulldlnjCode must be completed within 180
days of permit issuance.
x 142L242,S
Applicant's Printed Name
b0/IO 39Vd
X.
Applicants Signature
Page 1 of 3
1NICW 1X3 I3S L9Z9I98ZI9 OZ:bt tVIOZ/8I/Z0
04/07/2014 MON 9: 23 FAX 612 822 5405 Al' a Master Plumbimg
dal° N.0n cs)(o5 Joy'' L÷I I (LU
City of EaRall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
1004/004
Use BLUE or BLACK Ink
For Office Use j '� (�
Permit*.I J 5 3 D
Permit Fee:
Date Received:
Staff
2014 MECHANICAL PERMIT APPLICATION
0 Please submit two (2) sets of plans with all commercial applications.
Date: ,f)' Z" 14 Site Address: 1/49B10 VU I\1tiWr Ufa
Tenant:
Suite #:
License # 1` }N,1 I4° 1
City: Min1 el��
(fl2.-qT4^. 1
New X Rep acement Additional
Description of work:
Altiratton Oemolition
NOTEaRoofi,mounted"and„ground mounted mechanical equipment is regli(red'to bes5reened b City;
d de:rP a se'cori echanic _
1 � tact;tho:M al'IPis ec4or.:for�fnforma i � +'I+•
p • •, • � t ory,on;pe'rmitttad screei�iny. rnetliods:,i;w�,4�
RESIDENTIAL COMMERCIAL
Furnace New Construction — Interior Improvement
V Air Conditioner — Install Piping _ Processed
_Air Exchanger Gas Exterior HVAC Unit
Heat Pump _ Under/Above ground Tank L Install / _ Remove)
Other
RESIDENTIAL FEES
$60,00 Minimum Add or alteration to an existing unit (includes $5.00 State Surcharge) rn
$100.00 Residential New (includes $5.00 State Surcharge) = $ 1O) TOTAL. FEE
COMMERCIAL FEES
$55.00 Permit Fee Minimum
$70.00 Underground tank Installation/removal
"If contract value is LESS than 310,010, Surcharge= $5.00
'"If contract value is GREATER than $10,010, Surcharge = Contract Value x $0.0005
"""If the project valuation is over $1 million, please call for Surcharge
Contract Value $ x .01
$ Permit Fee
= $ Surcharge'
$ TOTAL FEE
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 ofs
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 Mt 0016
Applicant's Printed Name
, FAI , PP,Id -USE:
'r?r,�� r t-�
Requjrecli ' lilsp�i trill (. 1
rtle rrb ci;�`�l��ll �rn r
!?. ,/g• r9uUd.;: Rol 11,In:'Ai, 4 Ai 4414+,11
Applica t'g;(101Signature
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rl:'p ee
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GasS
1,11'City afRalan
3830 Pilot Knob Road
Eagan MN 66122
Phone: (651) 675.5675
Fax: (651) 676-5694
RECEIVED
PR 2 1014
Use BLUE or BLACK Ink
For Office Use 2-;, (14
Para* #:
Permit Fee:
Date Received: `1 (d°' tt7
Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Cate: y - 2 ) " <</ Site Address: 3 8/ O/ Lc_ L) t,,3 LAN Unit#:
Name: e/c /96 M.„4eitx Phone:763 -593- 9770
Address / City /Zip: g$-0 g C x47 L 2 4v, A), 14 64946 1/ L Y /OA)
Applicant is: Owner .. Contractor
TYPm'4>>r;work.
Description of work: PL. A C € YYt u L7-, PL.17, Ci / 4 IS iS
Construction Cost _ Multi -f=amily Building: (Yes / No —....)
Corat>raotor
Company: Q E 1 C.2i a /L) At, a`r . & aP. Contact 114a/ 4 ad/Ws
Address: Li"LJ 6 b I
Stater Zip: SrV/ q
City:
Phone:
ID/ • .5-? /-10x4'3
License #: 4-4 e— 2 YW / 3 / Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
js,r
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 en a master plan?
rYes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor:
Phone:
Sewer & Water Contractor: Phone:
CARL BEFORE JOU DIG. CaO Goph.rState One Call at (551) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www_ govherstateonecaii_oro
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 t understand n le not a permit, but only an application for a permit, and work is not to start wbhout a permit: that the work will be in
accordance withi
th the approved plan in the case of wall %Olcn requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Build' Code must be compietad within 180
days of permit Issuance.
x ,�4✓� 4 i2c,re—ei5
Applicant's Printed Name
Ze/Ze 3Jvd
x
Applicant's Signature
Page 1 of 9
1NI�W 1X3 I3S L9Z9t98ZT9 60:6T bTOZ/8Z/b0
City of Eagan
PERMIT
411' CityofEaan
Permit Type: Building
Permit Number: EA134332
Date Issued: 12/11/2015
Permit Category: ePermit
Site Address: 3810 Willow Way
Lot: 68 Block: 01 Addition: Briar Hill 4th
PID: 10-14993-01-680
Use:
Description:
Sub Type: Windows/Doors
Work Type: Replace
Description: One Window/Door
Census Code: 434 -
Zoning:
Square Feet: 0
Construction Type:
Occupancy:
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
Fee Summary:
Valuation: 500.00
BL - Base Fee $500
$40.00
Surcharge - Based on Valuation S500 $0.50
0801.4085
9001.2195
Total: $40.50
Contractor:
Lindus Construction
879 Hwy 63
Baldwin WI 54002
(715) 684-4647
- Applicant -
Owner:
Timothy A Bums
3810 Willow Way
Eagan MN 55122
(651) 270-0699
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:EA159732
Date Issued:01/14/2020
Permit Category:ePermit
Site Address: 3810 Willow Way
Lot:68 Block: 01 Addition: Briar Hill 4th
PID:10-14993-01-680
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 -
Timothy A Burns
3810 Willow Way
Eagan MN 55122
(651) 270-0699
Scherer Brothers Lumber Company
9401 73rd Ave. N
Suite 400
Brooklyn Park MN 55428
(952) 277-1600
Applicant/Permitee: Signature Issued By: Signature