3696 Widgeon WayPERMIT
City of Eagan Permit Type:Building
Permit Number:EA127899
Date Issued:10/20/2014
Permit Category:ePermit
Site Address: 3696 Widgeon Way
Lot:9 Block: 01 Addition: St Francis Wood 5th
PID:10-65904-01-090
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Insert
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 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 -
Victor C Bresin
3696 Widgeon Way
Eagan MN 55123
Hearth And Home Technologies
2700 N. Fairview Ave
Roseville MN 55113
(651) 638-3309
Applicant/Permitee: Signature Issued By: Signature
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PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA119161
Date Issued:11/18/2013
Permit Category:ePermit
Site Address: 3696 Widgeon Way
Lot:9 Block: 01 Addition: St Francis Wood 5th
PID:10-65904-01-090
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.
Beth Janohosky
207 150th Street W.
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 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 -
Us Bank National Association Tste
Po Box 24737
West Palm Beach FL 33416
(651) 955-1469
Apple Lake Heating & Air Conditioning
207 150th Street West
Apple Valley MN 55124
(952) 431-4328
Applicant/Permitee: Signature Issued By: Signature
Date:
City of Eapll
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
For Office Use
1Q
( Ills
Permit #:
Permit Fee:
Date Received:
Staff:
97, a,0
(217 -13
icfrc
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
O/i7/2.o13 Site Address: .31oq(pt.%,.66ton/0Ay Jfiran//PIN SSIa3 Unit#:
Resident!
Owner
Name: ?tf - /-lurlEgie.ktfouse—
Phone: to S/ - '5.5.- /54,9
Address / City / Zip: /9(oa S' kvtixe"sr ?4-7# , / /i ra N �/1r 5-(02 `/
Applicant is: 1( Owner Contractor
Type of Work
F1bJ NoN-comq{wc r+lf>Bt'gitelit t47A14 a oo s /N F"/NiSNtd L.0064 t.�v&7-
Description of work: c.1 -6347-e- 73cv.t0oon
1-0C.04/4 0 4Ifr
Construction Cost: s,/750``2" Multi -Family Building: (Yes / No )
Company: x771,-2lots'S orc Contact: /airrgNdA 67/402/4 -
Address: '4/590 .5torr /e +,c - Svire ao'/ City: .6 An/
State: /IN Zip: S5/a,2
License #: SC -4.30B°10
Phone: 43(0(0 -o?. 7 ~ 0 0 5/ 8
Lead Certificate#:
If the the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
C ON5744.4c7 I) lti
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:
NOTE: Plans and supporting documents that you submit are considered to be
the information may be classified asnon-public if; you; provide specific reasons
concludelhat they aretrade secrets:
CALL BEFORE YOU DIG. Call Gopher State One CaII 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 --REX /Jurrreit,ckNous�
Applicant's Printed Name
'cant's Signature
Page 1 of 3
3 togia`i dapn (day
DO NOT WRITL' BELOW THIS LINE 1
SUB TYPES
Foundation Fireplace Porch (3 -Season) 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
Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation Occupancy
Plan Review �� Code Edition
(25% 100% )1) Zoning
Census Code Stories
# of Units Square Feet
# of Buildings Length
Type of Construction V6 Width
REQUIRED INSPECTIONS
Interior Improvement
Move Building
Fire Repair
Repair
Footings (New Building)
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:
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC — Gas Service Test Gas Line Air Test
Drain Tile Other:
Roof: Ice & Water _Final Pool: _Footings Air/Gas Tests _Final
Framing Siding: _Stucco Lath _Stone Lath Brick
Fireplace: Rough In Air Test _Final Windows
4. Insulation Retaining Wall: _ Footings _ Backfill Final
Sheathing Radon Control
Sheetrock Erosion Control
Reviewed By: , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
dq/k/2.0-._
Page 2 of 3
�-�.,;1,�;�,� 5
Use BLUE or BLACK Ink
. r-""-"_-'-'-------`--
I For Office Use I
• � Permit#: ��� �� �
� �lt Of �� �Il ,
Y � �� �
3$30 Pilot Knob Road � Permit Fee: �5 , �
Eagan MN 55722 i i
Phone: {651) 675-5575 I Date Received: t
Fax: (651 j 675-5694 j �
1
� Staff: �
�-----------------�
2014 GOMMERCIAL BUILDING PERMIT APPLiCATION
Date: Site Address:�to9H - �b�, -3ioq.g 1�"�Q�,, �.��, ��,�Q�,,.�
Tenant Name: 7_—�
(Tenant is: New/ Existingj Suite#:
Former Tenant:
Name: Phone:
Pt"0�3@1'�Y OWtt@t` Address/City!Zip: �(��{ ' 3(p� ` .3(� `
' � �Q��'�
Applicant is: Owner �C�ntracfor
Description of work;__ �(�,7('("jQ � �
Type o€Work �,
�r
Construction Cost: `� '���
• Name: �t�l'U �.� �C.. License#; �
�1��—�- �5.—��� �C- `���'a�
Contractor Address: �s��' r'��� F�3�, �y,����,,�" City: �' o,� ,�.-- �
State:_��V Zip:����� Phone: � 7� " �"_1� — �(��j�� �
Contact: t�'�'s e�:t" Ema'r!: V C°�" ; t� ;�VtS1� _
Name: Regis#ration#:
ArchitectlEngineer Address: City: �
state: ziP� Pnon�:
Cantact Person: Email:
Licensed plumber installing new sewer/water service: Phane#:
NOTE:Plans and supporting documents that yau submit are considered to be public Informatfon. Porfions of
the information may be cla�sified as nan-public if you provide specific reasans that would permit the City to
concfude fhat the are trade secrets.
CALL 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 ta receive locates of underground utilities. www.aoaherstateonecall ora
I hereby acknowledge that this informatian is eomp(efe and accurate; that the wark wil! be in confarmance 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 nat to start without a
. permit;that the work will be in accordance with the appraved plan in the case of work which re uires a revis nd a roval of plans.
X_t`f1,��K� YY� ,r�,r ,�
Applicant's Printed Name �� Applican ' tgnatar
Page 1 of 3
DO NOT WRITE BELOW THIS LINE . �
SUB TYPES
_ Foundation _ Pubiic Facility Exterior Alteration-Apartments
_ Commerciai!Industrial _ Accessory Buitding Exterior Alteration-Commercial �
_ Apartments _ Greenhouse/Tent ` Exterior Aiteration-Pubtic Facility
_ Miscelianeous Antennae
WORK TYPES
_ New _ Interior Improvement Siding Demolish Building*
_ Addition � Exterior Improvement � Reroaf i Demolish Interiar
_ Alteration _ Repair _ Windows Demolish Foundation
_ Repface _ Water Damage _ Fire Repair _ Retaining Wall
_ Salon Owner Change *Demoiition of entire building-g�ve PCA handout to applicant
DESCRIPTION
Valuation Occupancy MCES System
Plan Review Code Edition SAC Units
(25%_1Q0%� Zoning City Water
Census Code Stories Baoster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED tNSPECTIONS
Footings(New Building) Sheetrock
Faotings(Deck) Final i C.O. Required
Footings(Addition) Final!No C.O. Required •
Foundation Other:
Drain Tile Pool:_Footings _Air/Gas Tests Final
Roof:_Decking _lnsulation ____Ice&Water �Finaf Siding:_Stucco Lath Stone Lath Brick
Framing Windows
Fireplace:_Rough in ____Air Test �Final Retaining Wall
insulation Erosion Control
Meter Size:
Finai C/O inspection: Schedule Fire Marshai to be present: Yes No
Reviewed By: , Buiiding inspector Reviewed By: , Pianning
COMMERCIAL FEES
Base Fee Water Quality
Surcharge Water Sampiing Fee
Plan Review Water Supply & 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 Lateral •
Traii Dedication Other:
Water Quaiity TOTAL
Page 2 of 3
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� €�� �ast t2'rne�r��€hh�,.E�as�.�re C�tg aE�agan issued a perr�it for a stmitar ptan based on a master lan?
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Licensed Flumber:
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i 3�reby ac"kn�arl�sdge�hat thr�inf�srm�ii�n is cornpiete��rd as.curate,tteat fie war�c wi11 be ir�conftsrmance witn the orc��ances and c�des of the C'+ty rr�
Eagan-ihat 1 understand th� � not a permit, but oniy an appiication for a permit, and work is nol fo sta�t�v"dhout a permit; that the work witl 1sa in
acco�dance wi#h the approved pian in fhe case af+roork whicfi requires a rsviewr and approvai ot p}ans.
• Exterior work autharized by a building permit issued in accordance wifh the Minnesota State Building Cade must be comp[etsd�acU,l,,;n,�4g,�
da.y��af�c�vs�k����.
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Apptican#`s Printed h�a Apptica s Sign re
Page'1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA153114
Date Issued:11/26/2018
Permit Category:ePermit
Site Address: 3696 Widgeon Way
Lot:9 Block: 01 Addition: St Francis Wood 5th
PID:10-65904-01-090
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 -
Victor C Bresin
3696 Widgeon Way
Eagan MN 55123
(952) 797-6562
Murray Construction Inc
10675 Jersey Ave
Chaska MN 55318
(952) 941-7075
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA155750
Date Issued:05/31/2019
Permit Category:ePermit
Site Address: 3696 Widgeon Way
Lot:9 Block: 01 Addition: St Francis Wood 5th
PID:10-65904-01-090
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 -
Victor C Bresin
3696 Widgeon Way
Eagan MN 55123
(651) 283-8309
Murray Construction Inc
10675 Jersey Ave
Chaska MN 55318
(952) 941-7075
Applicant/Permitee: Signature Issued By: Signature