3680 Widgeon Way S a
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA110666
Date Issued:05/21/2013
Permit Category:ePermit
Site Address: 3680 Widgeon Way
Lot:7 Block: 02 Addition: St Francis Wood 3rd
PID:10-65902-02-070
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Window or Door:Replace 1 patio door within existing opening.
Kara Benson
Valuation: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 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 -
James W Nichols
3680 Widgeon Way
Eagan MN 55123
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
. - ,. /�
� �r�in� �
Use BLUE or BLACK ink
. r______________.��._.
I For Office Use I
• Clt of �a aIl ; Permit#: �� �D �
Y � � � �
3$30 Pilot Knob Road � Permit Fee: � i
I �
Eagan MN 55122 i i
Phone: (651}675-5675 I Date Received: 1
Fax: (651 j 675-5694 � �
j Staff: �
�-----------------�
. 2014 COMMERCIAL BUILDING PERMIT APPLICATION
Date: Site Address: 3(07�1 - vb7�-3(�r7$_��8C7 t );r1QP.nr, �,�.v �e�er.f.l✓��
Tenant IVame: (Tenant is: New I Existingj Suite#:
Former Tenant:
Name: Phone:
Pt"0�3e1't}/OWtt@P Address I City t Zip: �7 � � - �(�,`jg -3(Ey$(� �
� acc
Applicant is: (?wner �Contractor
Type of WoI'k ��scription of work: ��,�(''�j� �
�� ��
co►,St�u�c�op cost: 1 °7
Name:��'�e,..� �r't'i�'d`UG�t(�f1 �+��.. Licsnse#._���� ur��
Contractor Address: ��� r'��� F�i � �s�r��S�"` City: � 4 ,+ °
�3__�`.�.
state:_��zi�:_�3��3�� Phone: � �� � q�`I� ,� -°I b���
Contact: � ''� e,j:t" Email: t„?C"f� c*� �!VtS� �
Name: Registratian#:
#
Address: Cit
Architect/Engineer v� � I
� �
� State: ziP� Phone: �
t
Contact Person: Email:
Licensed plumber installing new sewer/water service: Phane#:
NOTE:Plans arrd supporting documents that you subrnit are considered to Ge publrc informatJon. Porf�ons of
fhe infarmafion rnay be c/assified as non-pub/ic if you provide speciflc reasons that would permit#he City to
conctude fhat the are trade secrets.
GALL BEFORE YOU DIG. Cal1 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 utiiities. www,qapherstateonecail orq
I hereby acknowledge that this information is compiefe and accurate; that the wark 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 far a permit, and work is nat to start without a
rmit;that the work wi11 be in accordance with the approved plan in the case of work which re uires a re ' w an provai of plans.
x
Applican#'s Printed Name X
AppGc t s igna re
Page 1 of 3
�
DO NOT WRITE BELOW THIS LiNE
SUB TYPES
_ Foundation _ Public Facility _ Exterior Aiteration-Apartments
_ Cammercia)/Industrial Accessory Building Exterior Alteration-Commercial •
! Apartments _ Greenhouse 1 Tent � Exterior Alteration-Public Facility
_ Misceilaneous Antennae
WORK TYPES
_ New _ Interior improvement Siding Demolish Building*
` Addition � Exterior Improvement � Reroof _ Demolish tnterior
V Aiteration _ Repair ` Windows Demolish Foundation
` Replace _ Water Damage _ Fire Repair _ Retaining Wall
_ Salon Owner Change "Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuatian Occupancy MCES System
Plan Review Code Edition SAC Units
(25%,14Q%�} Zoning City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Sprinkiers
Type of Construction Width
REQUIRED INSPECTIONS
Footings(New Buitding) Sheetrock
Footings(Deck) Final 1 C.O. Required
Footings{Addition) Finai t Na C.O. Required •
Foundation Other:
Drain 7ile Pool:_Footings _Air/Gas Tests �Final
Roof:_Decking _Insulation �Ice&Water _Finai Siding:_Stucco Lath _Stone Lath _Brick
Framing Windows
Fireplace:_Rough in �Air Test �Final Retaining Wa0
insulation Erosion Contro{
Meter Size:
Finai CIO Inspec#ion: Schedule Fire Marshai to be present: Yes No
Reviewed By: , Building Inspector Reviewed By: , Planning
COMMERCIAL FEES
Base Fee Water Quality
Surcharge Water Sampling Fee
Plan Review Water Supply �Storage(WAC)
MCES SAG Storm Sewer Trunk
City SAC Sewer Trunk
S8�W Permit&Surcharge Water Trunk
Treatment Plant Street Lateral
Treatment Plant(trrigation) Street
Aark Dedication Water Lateral •
Trail Dedication Other:
Water Quality TOTAL
Page 2 of 3
� � �
.
Clt of �� ��
y �
� 3830 Pilot Knob Road
Eagan MN 55122
(651) 675-5675
COMMERCIAL BUILDING PERMIT SUBMITTAL REQUIREMENTS:
Foundation Oniv
❑ 2 sets of scaled Structural Plans New Buildinq AND Additions
❑ 2 sets of Civil Plans ❑ 1 Soiis Report
❑ 1 Certificate of Survey ❑ 1 Certificate of Survey
❑ 1 Code Analysis*'` ❑ 2 sets of scaled Structural Plans
❑ 1 Project Specs ❑ 2 sets of scaled Architectural Plans
o HVAC units required on building elevation/
❑ 1 Special Inspection &Testing Schedule*'` site plan
❑ 1 Soils Report ❑ 2 sets of Civil Plans
❑ Meter size must be established—if applicable ❑ 2 sets of Landscaping Plans
❑ Met Council SAC Determination (651) 602-1000 ❑ 1 Code Analysis**
❑ 1 Energy Calculations complying with the 2009
Interior Improvement Commercial Energy Code (Chapter 1323 of the
MSBC) "`**"
� ❑ 2 sets of scaled Architectural Plans ❑ 1 Emergency Response Site Plan ***
(maximum plan size =< 24" x 36")
❑ 1 Code Analysis ❑ 1 Special Inspection &Testing Schedule**
❑ 1 Project Specs ❑ 1 Project Specs
❑ 1 Key Plan ❑ 1 Master Exit Plan
❑ 1 Master Exit Plan ❑ 1 CD including electronic copies of the final
reviewed plan submittal
❑ 1 Energy Calculations complying with the 2009 ❑ Fire Sto �n Submittals
Commercial Energy Code (Chapter 1323 of the pp g
MSBC) "*"* ❑ Fire Suppression/Alarm Form ,
❑ Fire Stopping Submittals ❑ Meter Size must be established
❑ Meter size must be established—if applicable ❑ Met Council SAC Determination (651) 602-1000
❑ Met Council SAC Determination (651) 602-1000
* Call MN Dept of Health at (651) 201-4500 for details regarding food & beverage or lodging facilities.
** Contact Building Inspections to see if it is required and for a sample.
*"* Permit for new building or addition will not be processed without Emergency Response Site Plan.
***" 2009 Energy Code Compliance Forms are available at www.citvofeaqan.com/buildinqinspections. You will need the
ANSI/ASHRAE Standard 90.1 —2004 to complete the compliance forms.
�
Page 3 of 3
Us� ��t��ar ��ACK lnk
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Eagan MN 55122 � Date Received: �
Phone:(651)675-5675 � I
Fax: (651 j 675-5694 I
� StaH: �
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2014 RESIDENTIAL BUILDING PERMIT APPLICATIt�N
Date:��' ��— �� Site Address: �
Unit#:
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Name: �c�rtnP ��iC��� {.�°��� � � �
� ReS(d�tt#/ Rhane:
OW�1B1` Address i Ci#yl Zip:�,�$��,_�e��� li�c��l CcLC���,�J�� 7 e �a,�..
Applican!is: C)wmer ^�
�Contractor
Re.+r,�ve., �: e� oc� 1�t\ rn-�MG w� � ____ --
Type of Work ����;����t�t,��w�r�: G.�,, !� Q��,
Construction Gost; Muffi-�amily Bufiding: (Yes_,g�/No____)
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Contractor Address: 1�?j� �, � ,� �,�..,}- c�{y: � ��� �,�
State: � Zip:���_ Phone:��"�'ci-1_�CJ7�mai1:i�'tv�^,rr.a J tar�5'�'���I t'�'i
• l.icense#��,.4"7 �,� t,ead Certificate#:��"(�� �--l},Q"'j�,�--�
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=a ._.-L �.=-..s _. ..— ': _-'_ ,-.� . ��. _.' _— �' - Y.�.i .z.-c.�i�
� tn ttre fast 42 months,h�s the City of Eagan issued a permit for a similar plan based an a master (an?
P
,,,,_Yes �No If yes,date and address of master plan:
Licensed Piumber: Phone;
Mechanical Contractor: �,hQ�E:
Sewef&Water Contractor: Phone:
NOTE' Pl�ticanrlc»nnnriin.,.,t.,.....,,....s,..e.,,�s.._.. _..L__•� _ , . _ . _ .____.
- - - - -:�m,�:,. � �.���,�.��;:
c�j�����v�rrr��ec�Tt�ay�e ciassifiet�as nan-publfc if you provide speclfic reasons thaf wouEd perrnit the City to
conclude that the are trade secrets.
!`A1 1 RC'G1'5�7�vf1�x n�,'. __ �
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- °_ = - - .. .
u�a;����t�u��ii�a�t3 sc�5 t7t�[t9 TL'L�iUB 3DC�C�4f Ut}d�7�3YittlTii�t�i�i�S. V�>CtOD11{.'IS���U�T���ZtkTS3 ` - c�.�_� •,��#•£•.����,-;��. �'�ai��;tt�
I hereby acknowlsdge that this infarmation is compfete and accurate;that the work wili be in conformance with the ordinances and codes of the Cify of
Eagan; ihat i understand this is not a permit, but oaly an application for a permit, and work is nat to stari wi#hout a permit; that the work wili be in
accordance with the approved plan in the case of wark which requires a review and approval of plans.
• Exterior work authorized by a buiiding permif issued in accordance with the Minnesota State Building Coda mus#be comoteteci w�tt,tn�tRn
tlavfi nf na�met iecu�n_r_p_ ,
+ -
X �j"' ` x
Applicant's Printed Na Rppiica s igna re
Page 1 of 3
�� w���
Use BLUE or BLACK lnk
. �---------_---------�
� 1 For Office Use �
' � Perm it#:����r�� j
Clty o� �a��� , � �
• � Permit Fee:_ �� � i
3830 Pilot Knob Road
Eagan MN 55122 � DaTe Received: '� '"� �
Phone:{651)675-5675 � �]„> i
Fax: (651j 675-5694 t Staff: Y7��
1 I
2014 RESIDENTIAL BUILDING PERMIT APPLICATION ����^ J
! � �1���`��
Date:��i�� _Site Address; �lo t �G�'� Unit#:
� � ,,; Name: �q,rYl'�"'j f�,'��_,�1\� Phone: ►`1 SC��" �ZC°)� 1
���je�������. .<<; � .
C) tt�C' �Y: Address 1 City/Zip:__�(r�JgD lA):�«.7r� ���1___________ on� �_�5 ��„�—
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; Applicant is: Owrner �Contractor ,
P Description ofwork: ��.�� � � � C�. �7�� � i �� �9�� ��t.'� �
OC , �, —_� ,
� Construction Gast: 3 7� � Multi-Family Buifding:(Yes�Na )
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aY � .. �; Gompany: 1" Gontact:t�Y�����<'j`' � —
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-on ractor �� Address: '� City: �,
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�„_�� ���;f.; �,,,; License#:►�,.1`7 � Lead Csrtifiaate#. �
If the project is exempt from lead certi€ication, please explain why: (see Page 3 fiar additional information}
COMPLETE THtS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months,has the Ctty of Eagan issued a permit far a similar plan based on a master pian?
�Yes _No If yes,date and address of master plan:
Licensed Piumber: Phone:
Mechanical Contractor: Phone:
Sewer 8 Water Contractor: Phone:
NOTE Pian��r�d support�n�nc�locurr�e�ts , a#yo�%�su�r�t`�t are�o s�d�re�t3to b�publi�� 'fo ;f� =;`µ';�'o�` o s��of��
� �a�:,�r ���>,<� '^ ���.� K� :,. k�:_ �, ��:. ��� �# ' ��a�`�.�,������,�' � � ',���". �,
�h��nfornta#�'an ma�be'c�assi�ed�s�t�n;�ubti��f�yAu p�o �af�;,s�e�cc��c�re �o ��#,1�a woultl e. ct _e ,°to��,.
'"�r "a��' �'�� -�� � ^'�«�,M � 2 � � "��, � x�„ a.� .. x � � :. �
�,�' f�,���r �. ��'���� ' �'` �`��'co�c/uc�e,fhat,th�"� re�tr�tc(e,�s,ecre ,��.�����. .� U.,���:. �. � ���� `;�
CALL BEF�RE YOU DIG. Cali Gopher State One Cat!at(851)454-4002 for protection against underground utility damage. Cail 48 houTs
before you intend to dig to receive locates of underground utilities. www.qopherstateonecali.orq
I hereby acknowledge that this information is complete and accurate;that the work will be in confarmance with the ordinances and codes of the City.of
Eagan; that I understand this is no#a permit, but only an application for a permit, and work is not to start without a permit; that the work wiil be in
accordance with#he approved plan in the case of work which requires a review and approval of plans.
• Exteriorwork authorized by a buiiding permit issued in accordance with the Minnesota State Building Code must be completed within 180'
days ofi permit issuance,
x � x �
Applicank's Printed Name Appli n#'s Sig ure
Page 1 of 3
.
��' �L� �t���G.��G1 '���
DO NOT WRITE BELOW TH1S LWE � �� �� � °
SU8 TYPES
_ Faundation Fireplace Porch(3-Season) Exterior Alteration(Single Fam�
_ Singie Family Garage _ Porch (4-Season) _ Exterior Alteration (Multi)
` Multi � Deck _ Porch (Screen/GazebolPergola) _ Miscellaneous
_ 41 of_Piex _ Lawer 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 Waii "Demolition of entire building—give PCA handout to appEicant
DESCRIPTION
Valuation OG �` Occupancy � -� MCES System "�
Plan Review Cade Edition � SAG UniEs ~""
{25°I4�100°lo�f/ Zoning �-3 City Water --
Census Code �,/3K S#ories r"' Booster Pump ^
#of Units � Square Feet ""' PRV �"
#o#Buildings i Length -^" Fire Sprinkiers "`
Type af Construction __��� Width ,.�
REQUIRED INSPECTIONS
Foatings(New Buildingj Meter Size:
Footings (Deck) Finai 1 C.O. Required •
Footings (Addition) � Final/No C.O. Required
Faundation HVAC Gas Service Test Gas Line Air Test
Roof:_Ice&Water _Final Poot: _Footings ,_Air/Gas Tests Final
� Framing Drain Tile
Firepface:_Rough !n Air Test _Final Siding:_Stucco Lafh _Stone Lath _Srick
lnsulatian Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Wal1s Erosion Control
Braced Walls - Other:
Reviewed By: , Buiiding inspector
RESIDENTIAL FEES
ease Fee D
5urcharge
Plan Review ,'',��i �
MCES SAC
City SAC
Utility Connec#ion Charge
S&W Permit&Surcharge •
Treatment Plant
Copies oZ� 'o1J
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA138787
Date Issued:09/20/2016
Permit Category:ePermit
Site Address: 3680 Widgeon Way
Lot:7 Block: 02 Addition: St Francis Wood 3rd
PID:10-65902-02-070
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater & 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.
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 (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 -
James W Nichols
3680 Widgeon Way
Eagan MN 55123
(651) 450-7071
Benjamin Franklin Plumbing
5718 International Parkway
New Hope MN 55428
(612) 238-9709
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA152688
Date Issued:10/25/2018
Permit Category:ePermit
Site Address: 3680 Widgeon Way
Lot:7 Block: 02 Addition: St Francis Wood 3rd
PID:10-65902-02-070
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: 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 W Nichols
3680 Widgeon Way
Eagan MN 55123
(651) 450-7071
Murray Construction Inc
10675 Jersey Ave
Chaska MN 55318
(952) 941-7075
Applicant/Permitee: Signature Issued By: Signature