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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$30 Ptlot Knob Road � Permit Fee: �� i
Eagan MN 55122 i j
Photte: (651) 675-5675 I Date Received: 1
Fax: (651) 675-5594 j j
� Staff: �
l-----------------I
20'14 C4MMERCIAL BUILDING PERMIT APP�ICATIC)N
Date: Site Address: ����I' ��q " �1��-��Q� ��""10� �`��n � e��
Tenant Name: (Tenant is: New/ Existing) Suite#:
Former Tenant:
Name: Phone:
Property Owner Address i c�ty�zip:��- �(�qg-3�0►-��(�-3"7oS t,�, e�can t,��.c�
Applican#is: Owner �Cantracfor
�
Type Of Work ' �escription of work: �E� }(`t"jC`� �
Gonstruction Gost��$ �(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.
x ' 1 (' X r {
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
Use BLUE or BLACK Ink
r-----------------�
1 For Office Use �
r I /O?!)O a � I
��� �� �� �� ���� �� ��`��'"��� � Permit#: �
� � ' ...��`� "...°.���,. � (p�. � I
� O�T 2 3 2014 { ` � Permit Fee: �
3830 Pilot Knob Road � n � � ,, /��, �
E a g a n M N 5 5 1 2 2 ,I`�� �,�,Q ���, � Dafe Received: �O 0�=� �� t
Phone: (651)675-5675 ��::._.__.�`�'._"._`__---___ _..__y._ � � i
Fax: (651)675-5694 ���________
------�
20�4 RESIDENt L PLUM ING PERMIT APPLICATIOId
Date: `l" % ' � ,Site Address: l vS ""i � �/v
Tenant: j���� Suite#:
_,��� Name: ` { �� Phone: �p� l� l� ���Q�
� ��k���� . � �
Address/City/Zip: � �� � �� ���-� � � I� ����
"�» ' ` � . .. � � ..
t �7 , , / �
ff �� Name: License#: � / �-'��� �
� f,, j� � ;
� �Q��`+��QT` : Address: l.�.,, J J C�y: ;. � �
�' '� ( � �
� � State: l�.Jl Zip: �� "I Phone: Y✓� � �✓ �' �
� + �
' Contact:� EmaiL ` 1.�-1 1 e �
� � ` �,.����,�.�� �8.��,=�
� �Replacement _Repair Rebuild _Modify Space _Work in RA.W. i
"�`�'��?'��t�t� —New �
� , � _ _ �
�_� ': ; Description of work: ��y��
RESIDENTIAL �
� �
Water Heater � �
� �Water Softener �
' Lawn trrrgation�RPZ/_PV8)
�������� � Add Plumbing Fixtures�Main/_Lower Level} �
Septic System �
,; ; _
New Water Tumaround �
�
� ` ��,�Abandonment �����,���.�,�� ��....��.,��.� � .
�,��.-��,.��.,�.�:�.-� ���
� RESIDENTIAL FEES: �
� $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes$5.0o State Surcharge) �
� 3r60.00 Lawn Irri�ati0n(includes$5.00 minimum State Surcharge) �
� $60.00 Add Plumbing Fixtures, Septic Svstem Abandonment,Vllater Turnaround*(includes$5.00 State Surcharge} �
� "'Water Tumaround(add$200.00 if a 5/8"meter is required) �
� $115.00 SeptiC SYStem New($10.00 per as built)(includes County fee and$5.00 State Surcharge) /�� ;
� �
���...�.�,.�,,,��, ,�a . _ .� . .:.�,�,�.� . .
TOTAL FEES$ �W ,T�
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utifity damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecaN.arq
1 hereby acknowledge that this irrformation 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 perm�, and work is not to s art without a permit;tt�t the work will be in
accordance with the approved plan in fhe case of work which requires a review and a roval of plans.
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App. ant's Printed Name APP ica t's Signature _ _
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������`i��� ��ttik�l�[���F ����;�,�....
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��q#I�r����'l�zx1#��.. � _��d��,�"�rQl�r� : F�c��� ft� � A��"�`'�s� � t'�ts"�"� �E��I >
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA155738
Date Issued:05/31/2019
Permit Category:ePermit
Site Address: 3705 Widgeon Way
Lot:5 Block: 02 Addition: St Francis Wood 5th
PID:10-65904-02-050
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 -
Jerry D Peterson
3705 Widgeon Way
Eagan MN 55123
(651) 452-6409
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:EA155870
Date Issued:06/06/2019
Permit Category:ePermit
Site Address: 3705 Widgeon Way
Lot:5 Block: 02 Addition: St Francis Wood 5th
PID:10-65904-02-050
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Jerry D Peterson
3705 Widgeon Way
Eagan MN 55123
(651) 452-6409
K & S Heating, A/c & Plumbing Llc
4205 West Hwy 14
Rochester MN 55901
(507) 282-4328
Applicant/Permitee: Signature Issued By: Signature