3701 Widgeon Way R 3 WATER PERMIT f OFFI E 4SE LILY
Cr" OF EAGAI METER # PERMIT DATE 11 /2
3830 PIICI: KIIQb'Rd. _ 1 .a70
Bn, MN 56122 -1897 CHIP # WATER PERMIT
METER SIZE y B.P. RECEIPT #
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-; fi 'ISSUE DATE B:P. RECEIP' „DATE
-, _ PRA/ , BOOSTER PUMP
SCFE ADDRESS 3 7 0/ PEI " REQUESTlI
LOT . __BLOCK , SEC/SUB • f/ f
i `.o, y " C=rw"" )4.4...e... ' SEWEf J WATER `� ' TAPS
APPLicAw .. ,..
ADRS f 7G ° ".‘ a...,„_,- ,,/ _ _ COMM/IND RESIDENTIAL
CITY, STATE , 1 < k ,r Z
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, ZIP : 7
PHONE: / *NEW , - ` EXISTING
PU*4BER: .A
ADDRESS. /ark ,,
-. �; � I AGREE TO COMPIN I ' CITY �
�� '` 3 t' l 2 EAGAN OR ■ G Q
CITY, STAT ' ZIP /
PHONE • Z Qj ' o? -/�l ".ad ®. i.4 Y
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ADDRESS: . ,_-, - ' ' d ' .-.. i'-' SIGNA'TVRE WHEN METER ISSUED
CIl , STA'G`E —.s . , g - P 6.
PHONE: «? 3 . / ._
PLE*SE TWO WOAKING DAYS NG. FOR STORM SEWER PERIWT1k CONTACT
f. ENNGIhEsE `+ t r � i o = E NOTIFIED WHEN FERRO IS PROCESSED.
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Use BLUE or BLACK!nk
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I For Office Use 1
C�t of �a a� ; Permit#: ���� 1� I
• � � � �, �
3$30 Ptlot Knob Road � Permit Fee: �� i
Eagan MN 55122 i j
Photte: (651) 675-5675 I Date Received: 1
Fax: (651) 675-5594 j j
� Staff: �
l-----------------I
20'14 C4MMERCIAL BUILDING PERMIT APP�ICATIC)N
Date: Site Address: ����I' ��q " �1��-��Q� ��""10� �`��n � e��
Tenant Name: (Tenant is: New/ Existing) Suite#:
Former Tenant:
Name: Phone:
Property Owner Address i c�ty�zip:��- �(�qg-3�0►-��(�-3"7oS t,�, e�can t,��.c�
Applican#is: Owner �Cantracfor
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Type Of Work ' �escription of work: �E� }(`t"jC`� �
Gonstruction Gost��$ �(g �N
Name:�' ��{�,L.x .�r1fi�l'tJCs��f�fl �1''�G License#:�.��sY t�a�� �
Address: ��� "r��d �+,�> l�����"' Gi Gt, �
Contractor h'�
State:—�Zip: c����� Phone:_ � ��. " �"_1� "' �����
Contact: 1 �s �a� Email: t��"l, ' � �Vt'`'..s-� �
Name: Registration#:
Architect/Engineer Address: City:
5tate: Zip: Phone:
Contact Person: Emaii:
Licensed ptumber installing new sewedwater service: Phane#:
NOTE:P/ans and supporting documents that you submi;f are considered to be pu;blic informatlon. Portians of
the information rrtay be classified as non-pu6/ic if yau provide specific reasans fhaf woutd permit the City fo
conclude that the are trade secrets.
CALL BEFCIRE YOU DIG. Cail Gopher State One Cail at{651)454-0002 fo�protection against underground utility damage.
Cali 48 hours before you intend to dig#o receive locates of underground u#iiities, www.�c�pherstateonecail.ora
I hereby acknowfedge that this inforcnatian is complete and accurate; tha# 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 wark is not to start without a
�ermit;that the work wii!be in accordance wi#h the approved plarr En the case of work which requires a review a�d approval of plans.
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Applicant's Printed Name Applican ' �gnature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE '
SUB TYPES
_ Foundation _ Public Facility _ Exterior Alteration—Apartments
i Commercial i Industrial Accessary Building Exterior Alteration—Commercial •
_ Apartments _ Greenhouse/Tent � Exterior Aiteration—Public Facility
_ Miscelianeous Antennae
WORK TYPES
_ New V Interior improvement Siding T Demolish Building*
_ Addition _ Exterior Improvement � Reroof Demolish interior
_ Aiteration _ Repair _ Windows Demolish Foundation
_ f2eplace � Water Damage _ Fire Repair i Retaining Wall
_ Salon Owner Ghange *Demoiition of entire buiiding-give PCA handout to applicant
DESCRIPTION
Valuation 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 �ength Fire Sprinklers
Type of Construction Width
REQUiRED INSPECTIONS
Footings(New Building} Sheetrock
Footings(Qeck) Final!C.O. Required
Footings(Addition) Final t No C.O. Required •
Foundation Other:
Drain Tile Pool:_Footings _Air/Gas Tests Final
Roof:_Decking ____Insulation �Ice&Water �Finai Siding:_Stucco Lath _Stone �ath �Brick
Framing Windows
Fireplace:_Rough In _Air Test ,_Final Retaining Wall
Insutation Erosion Control
Meter Size:
Final C/O Inspec#ian: Scheduie Fire Marshal to be present: Yes No
Reviewed By: , Building tnspector Reviewed By: , Planning
COMMERClAL FEES
Base Fee Water Quatity
Surcharge Water Sampling Fee
Plan Review Water Supply 8� Storage (WAC)
MCES SAC Storm Sewer Trunk
City SAC Sewer Trunk
S�W Permit& Surcharge Water Trunk
Treatment Plant Street Lateral
Treatment Plant(irrigation} Street
Park Dedication Water Laterai •
Trail Dedication Other:
Water Quality TOTAL
Page 2 of 3
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Phane;(65'i j 675-5575 � �ate Recei�d: �
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bet�re you irn�ns�ts��:i�q�s�-,.eau�6c�1es�#undergr�+u�a�#iE�i€es. racr�hersi�f�s,�a���i����, � t
1 hea�by ac�Cnowledge that th�ini�srrna#�o�n"ss c�rmpiete and a�urat�,that itie wor�wilt be in e�anfiormance witi�the�rd�nan��s and crx�es of the Gi#y tr�
Eaga�;ffi�l } Ut1C�i5�e3t1tl U7I5 tS PSfl�3 (32ltfii�, but only an application far a permit, anci wo�k is ►�ot to stari w�hout a perm�t, thai the wor9c wiq#�in
accotdance with the appmved plan in the case of wor�whiah rec}uires a r$v�w and approval of pfans.
� Exterior work autharized by a building permit issued in accordance with the Minnesata State Building Code must be compteksd�aail.��,�
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Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA155739
Date Issued:05/31/2019
Permit Category:ePermit
Site Address: 3701 Widgeon Way
Lot:3 Block: 02 Addition: St Francis Wood 5th
PID:10-65904-02-030
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 -
Linda Look
3701 Widgeon Way
Eagan MN 55123
(651) 994-6756
Murray Construction Inc
10675 Jersey Ave
Chaska MN 55318
(952) 941-7075
Applicant/Permitee: Signature Issued By: Signature