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3689 Widgeon WayC!ty of Etali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 ❑ Pleas - su Date: Z Tenant: CA) RECEIVED FEB 10 2014 Use BLUE or BLACK Ink For Office Use !' Permit #: G o'J7 vJ l a Permit Fee: /�i • 0 Date Received: at 10/1 Staff: 2014 MECHANICAL PERMIT APPLICATION mit two (2) sets of plans with all commercial applications. , 1 14 Site Address: 3Le 9 v �l V 61 Uuctj 4cti1 &D1r1 Name: Vi`4Piri 1 so r\ Address /City /Zip: � w tek ,eon Suite #: Phone: ij5( —LOS -04"— CA. a-0 /YIN -A2.3 Name: f'eS Plot/Mot ply 1iict r 4 ! ,9 Address: 5 +Oo! � State: t Zip: 65 ( 0 Z Phone: 61- /22)- go 1 Contact: On, Email: �t050VIO 1900P42- CO M License #: L �� L L City: Sk- . QCW New X Replacement Additional Alteration Demolition Description of work; 1Y1 II p GiOQ (►a-v1 Y Y1 ace. J RESIDENTIAL. Fumace Air Conditioner Air Exchanger Heat Pump Other New Construction Install Piping Gas COMMERCIAL Interior Improvement Processed Exterior HVAC Unit _ Under /Above ground Tank ( Install / Remove) RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit (includes $5.00 State Surcharge) $100.00 Residential. New (includes $5.00 State Surcharge) COMMERCIAL FEES $55.00 Permit Fee Minimum $70.00 Underground tank installation /removal *If contract value is LESS than $10,010, 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 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. x Ctitil•P;:) -i- 1-1 LotAcoo Applicant's Printed Name x App ants Signature , � R �� Use BLUE or BLACK Ink r---`-^----------- I For Office Use I �� O� �U U� � Permit#: ��V! l� 1 • � � � �II � 3$30 Pilot Knob Road � Permit Fee: ��• ' Eagan MN 55122 � � ,� � i Phone: (651) 675-5675 t Date Received: Fax: (651) 675-5694 � � j Staff: � �-------- --------I 2074 COMMERCIAL, E3UILDING PERMIT APPLICATIUN Da#e: Site Address:�B 1 � 3(��"1-�(Qq�- �[�j°l 3"3(o°�� a �c�� r,,� .�)C�,�j � Tenant Name: (Tenant is: IVew/ Existingj Suite#: Former Tenant: Name: Phona: Pt'O�LI'Cy OWri�t` Address 1 City t Zip: (�+��' �te��3f�91- 3 -� (.,c.�c:��, App(icant is: Owner �Contractar Type of Wark description of work:_, �C�,�^� � Construction Cost: � �5 Name: t#' ��C.. License#:__�..��c�t Cl�� Address: �� r��d ��'.� l��,S�" City: f1�. � Contractar ��n ot�� State:_��V ZiP�� Phane: � ��, " �� -' '�("��'�� Contaet: 4 � e,,��`�" Emaif: t.�'t"(' c� rV`tS� _ Name: Registration#: ArchitectlEnginesr Address: �Ety: State; Zip. p��. Contact Person: Email: Licensed plumber installing new sewer/water service: Phone#: NOTE:Plans and supporting documents that you subrnit are consideretl#a be public informafion. Portians af the informa#ion may be ctass�fied as nan public if yau provide specific reasons that would permrt the City fo correlude thaf the are trade secrets. CALL BEFORE YOU D1G. Cal!Gopher State t?ne Catl at{651)454-0002#or protection against underground utility damage. Call 48 hours before you infend ta dig to receive locates of underground utilities. www,qopherstateonecali org t hereby acknowledge that this information is camplete 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, a�d work is not to start without a �ermit;that the work will be in accordance with the approved plan in the case of work which requires a revisw and approvai of plans. x (�'�i c°_• i/Y1Jf�.1 ,� ' �, Applicant's Printed Name Apptican Signature Page 1 af 3 i.J��°�+:.ttr.� '�r�,`"�3�..��r�� ,-:� ��r.��_��s.��.�.�.� � ��P�3�� ` � /�G� � � �� 7 %�_.._ � � � ��etr�it� � ! • �834 Pila#}�n�b Rra�d � Permit�ee:��>�_,j T_o # Eagan MN�.�122 � � C Phone:{659)575-5£75 � �ate#�eceived. � � ! Fax:�651j 675-5694 4 Sta�#: � } � ______.._.__________� �€�14 F��S�DE�`�`�AL 8�f[LQ�NCa PERMtT APPL.�CATItJN Date��_�— �1 — 1� site Address: � � tlti'tt#: � �� R � -� � .��. � g.�}- ` � � r� � . �� n� i-��n Y, ��_$� .� � � ,e__�.—___ ,....__._._ . �a:Yt��¢-ea"._��--' � �, ��: � � ��' "a �� a`�6�'c:� � �Q � �„''Q Qi �� (�j, � ��tl��'r'. ��Ef3i ,.� , � a � �ern�J� 4�G� c�e ��l r�;rn,e cti,��n � .._.....�_. � '�"�`�� d��'�'.�k._G.'rtiC� �__ S QS,n � ,� -° _.�e fi � ��-�aaS...�,{L�f' .�, . �' . ��tf#�tg:��e��i�o.�,,.} � �ompany. � � �t�r�i�s,�: �� Ccsntractvr �daress_ � � , 1�� t�� c�y: ��.$,r��:� Siate: �}� ZiP=�—�-.�i-��z�.. Phone:�°��i1°�707�maii:_�r'k,k'i�c,r�c�o��"��J r'� • ��c.�nse#��. Leat!Certifiicate#:�j�-(`� '—�lQ'�� i � �s`:��q��:"`��'��, � � �. �.� � t. . �_ �. .-°�__......�.,.».__.___.� .� o ,.•.,� , � .� . �_.. w � '� `�,€�� . �� ;��"t��'` �,�k�°a :�:��e��a�xc.kr��#.t-�r°X:��Y,�: � 'G�'l��L�'�E'F'E�t� AR��Q��1��' i� C€1�1��"IZ�GTt1�G A t�E�Bt�l�F3tC�G � i � �r��fasE't2 rrsc�r�ttss,.E�,as�ti+��of��gan'rssa�d a�rere�tat€or a simitar plan based c�n a master pian� �Yes ____No tf yes,date a;�d address af mast�r pl�t�: Lxcer�sed Plumber: ,�lact+a�: Mechantcal Con�racl;�r: Phr�ne: Sewer&Water Contrac#or: Phone: t�OtE� .Pt�,cx.s��.��«a�'��r�st.��r r��o--��.� ��. t��:�: ti�t�� . , .� ; � ,� r .�$� �x �.��Fw pg�� yg��pg�gg'' y,,,�qwSryyy�ggt��w;e.y.��: gr� ��' 4 '.,..#. . ..a0. :d �.��R; &4 '�::�' L�S'��#d3xP PN Yd'iNii did.s 8�1G'; �i6irr.�a . .. �L G>� 7. ��M�€'.Yi�i§.��:�,LF$�i3 .�.u£..' .s��«�-�� '��'� � �A�.l..1��E,F`t�'��`fl��. c�� f � ._.�..w.,...._,.,... t�r� J��ali�x�5��}��4-��a�t��r�ciinn��u?s�er�r�c.��iil��ti�,a��., �a��a�ta�� b��c�re�au irnens�ia dig io receiv�ic�#�s a#ur�clera�ra€a��s�idits`e�e ��.��l�etst�t�o��z� 1 h�aek�y acl�cnss+�vledge tha�tt�'�s'sntorm�ficen�s compiet�and a�urate,that ftte wor#c wilf be in r.ontormancs wit91 ths ordin�n�es anc3 cocles of the�'�ty� Eagan-it�at i unde�rstand this is not a permit, but oniy an appiica#ion fior a permit, and v�r�rrk is not to start w�thout a permit; thaf the work vvitl b� in 2ctroMance w►th#he approved p[an in the case of rvork which requires a review and approvai t�f ptans. . Exterior work authorized by a buitding permit issued i�accordance with the Minnesota Sfate 8uilding Cade mus#ba completsr!tieci.tkei�,l,s3�. d��{�.raf�Secca"s,�i�sss2�s*r�:. � � �" � App4icant`s Printed i�#a X °' � APptica s ign re Page 1 of 3 Use BLUE or BLACK Ink • r-----'---_-_-_'_--_, 1 For Qffice Use �� I Clt of�� A= F : ; PB��#: �-�., ;�� _ . ' I Permit Fee: / ��- cfT/ 3830 PilOt KnOb ROad � . ,�r � � �_ Eagan MN 55122 .��.�A'. � �''-�� Date Received:_��" � Phone:(651)fi75-5675 1 � i Fax: (65'I)675-5694 � Staff: I i I 2015 RESIDENTIAL BUILDING PERMiT APPLICATiON Date: ��"�""1 - � � Site Address: 3�$q C�� Unit#: � r � � � � P}ad'�'18:��_-��,,,� ��.��'� F>han�: ��a ��a � ' '��--`�� ' : � Address/City C�ip: �� ,��_�� :�.� � � t � Rp�li�ant is; (�wr�er ��ntra�tc�r __ ` . � Description af wark:�,r�ru'}��, � ��`Q�- � ��'�`�t r'1S2 �r��„ �C� �Si� T�� t?�'��'�C „.�,. /' Canstruction Cost: C�J Mutti-Family Building:(Yes t No� Company: (��3[�'�' ,yl, (�n��'t`�-�-�'�re ��. Contact: �1 i i�i� Address: �� «�� L.'. �`�� City: ��.� � �i 8tate: Ah� Zip: ��1� Phone: ��`��{�"��EmaiL 1'ti'�u��CC>d'��"�� mSP�= C�°'°°� License#:�'�.,��Q��j_ Lead Certificate#: iV(�'�-- 1��i�'� � - �. if the project is exempt from lead certification, please explain why: ,� 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 pian? Yes No if yes,date and address of master plan: Licensed Plumber: Phone: Mechanicai Contractor: Phone: Sewer 8�Water Coritractor: Phone: �I Fire Suppression Contractor. Phone: 1�f�?�;��83�d�D�dOIG#�",tl�/��t3�;�llf�S#J�?�t e�1"'8��9�►'��`,�,�7�#9t�A$�'�D�tT.' PO�"�'�'!�S Gf �!�i�t�rr�ti+��na�r be�l��'ted�r�s r�m�trb�c i�`,yac��rr�s�c�r�scu�s�t wc�l�d �C�ty to cflt��t�t �e i�l�scact�. CALL BEFORE YOU DIG. Cali Gopher State One Cali at(651)454-0002 for protectian against underground utitity damage. Ca1148 hours before you intend to dig to receive locates of underground utilities. www.aonherstateonecall.arq 1 hereby acknowleclge that this information is compiete and accurate;that the woric will be in conformance wiih the ardinances and codes of the City of Eagan; that 1 understand this is nat a permit, but anly an appiicatfon for a permit, and work is nat to start uvithout a permit; that the work wiil be in accordance with the approved plan in the case of work which r+equires a review and approval of pians. Exterior work authorized by a buiiding permit issued in accordance with the Minnesota State Buiiding Code must be compieted within 180 days of permit issuance. x ��,�i � )r!'�"�� .i x Applicant's Printed Nam Appiica 's Signat Page 1 of 3 ,��5� �;��ED�1 ��f DO NOT WRITE BELOW THIS LINE � `� � �� 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 _ 07 of_Plex _ Lower 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 Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation � Occupancy G—� MCES System .— Plan Review Code Edition _�j � SAC Units -- (25%_100%_V) Zoning R.�3 City Water — Census Code � Stories �" Booster Pump ..� #of Units t Square Feet ^ PRV � #of Buildings � Length r„_ Fire Suppression Required --� Type of Construction _�_ Width ,� REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) � Final/No C.O. Required Foundation HVAC Gas Service Test Gas Line Air Test Roof: _Ice &Water _Final Pool: _Footings Air/Gas Tests _Final Framing Drain Tile Fireplace: _Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: _Rough In_Final Braced Walls Erosion Control Other: Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee '?� ,� Surcharge Plan Review .L�l'� � MCES SAC City SAC Utility Connection Charge S8�W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 r For Office Use Perntit lk. * , * , * i- ° .0 E AG A N Permit Fee: - / /Date Received: 3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 , (651)675-56751 TDD: (651)454-8535 I FAX:(651)675-5694 ' Staff: I irkir buildiniiiristections*cit ofea*an.com 1... JAN 1 ? 2018 2018 RESIDENTIAL BUILDING PERMIT APPLICATION ilDate: ler) l'O Site Address: -( bSi , (1)..,,A, Foci 17 -0 -ff.Iff i Name: C. ne tri 1 4 4.05or PhLe: 0351 i Resident/ t .*- Owner Address/City/Zip:Zip: <3 ) 9 e on Wu.), -55/ 3 3 la cif tt) d _ i ..... --.__ i I Applicant is: Owner )(Contractor .±.0 O y7) few° al , &Strr- ' I ription of work: , a_, roc) . di_ 1 c-- f. Type of Work Desc1 ,, Construction Cost: 4Multi-Family Building:(Yes I No Y. ) 1 .4...--r Company: --t- R 1--\.1 2 r A1/4,,,,i)0 0 CI ' I 11).er z ontact: a . 4 II i 1i Contractor ffigliff i , I Address: g44145 oiR).e vs ck City: I/a State: P/ ip: 5-C 31:7 Phone: ii,rii Cie'1"1172Ernall: _ ,,,.- ic ,I License#: L.ill 42. (.0 /4.4‹. Lead Certificate#: NeC4 if the project is oxempt,frQrn 1 d certificationplease explal why: i, i . 6:4' r7001,rn t4•C.44,1/0(3-t, , 1 i------- --- --- -- , — -----------------4 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING rf in the last 12 months,has e City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and a** - . * aster plan: = Licensed Plumber: .•:: ii Mechanical Contractor: Phone: ..._ I Sewer&Water Contract. . Phone: i Fire Suppression Contractor: Phone: {"WOTE:Plans and supporting documents that you submit are considered to be public'information. Portions of the information may be i Lsiassified as non . ink if .u proKmcific reasons that would.treat the city to conclude that the are trade secrets. j You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeadan.comisubscrihq. 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. CALL BEFORE YOU DIG, Cali Gopher State One Call at(651)464-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities, www.gooherstateonecaltorg 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 accordanc0 rth the approved plan' e case7 work which requires a review and approval of plans. x Applicant's Printed Name Applicant's Signature 34S1 \A) %Ay Dr) \A)1 I i -7ii5. g./ DO NOT-WRITE BELOW THIS LINE 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 t 01 of L Plex Lower Level Pool ___ Accessory Building WORK TYPES New e Interior Improvement Siding Demolish Bu'Wing* — _ — — Addition Move Building Re roof Demolish Interior Alteration Fire Repair Windows Demolish Foundation _____ _ _ — Replace Repair Egress Window Water Damage -- Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation Let c), 1)V0.— Occupancy .J-12 e- -3 MCES System Plan Review Code Edition 10 41 0/5.--- SAC Units (25% 100% ) Zoning 2 — 3 City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction t78 Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: — Footings (Deck) Final I C.O. Required ___ Footings (Addition) 3 Final/No C.O. Required Foundation Foundation Before Backfill .,0 HVAC Gas Service Test Gas Line Air Test Roof: Ice&Water Final Pool: Footings Air/Gas Tests Final Framing 30 Minutes 1 Hour Drain Tile Fireplace: Rough In Air Test Final Siding: Stucco Lath Stone Lath Brick EFIS _ y) Insulation Windows Sheathing Retaining Wall: Footings Backfill Final Sheetrock Radon Control Fire Walls Fire Suppression: Rough In Final Braced Walls Erosion Control )4 Shower Pan Other: „..--. Reviewed By: _11)07 illi7c-/yfr ,Building Inspector RESIDENTIAL FEES Base Fee Surcharge b c7g. c .c, .00 5 7 / 7 Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies Sx.. ; _s TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA147587 Date Issued:01/19/2018 Permit Category:ePermit Site Address: 3689 Widgeon Way Lot:9 Block: 02 Addition: St Francis Wood 5th PID:10-65904-02-090 Use: Description: Sub Type:Residential Work Type:Alteration Description:Fixtures 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 (miscellaneous)$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 - Cheryl A Hanson 3689 Widgeon Way Eagan MN 55123 My Plumber 18948 Radford St Minnetonka MN 55345 (952) 465-2031 Applicant/Permitee: Signature Issued By: Signature . For Office Use Permit#: / r) C/ �e % , ' ,r AGA N .{. 5E' Permit Fee: / "—� Date Received: 3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff: buildinginspections(a cityofeagan.com L 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date "1 ` r0i(O-- i? Site Address: 3 51 -)f\ `iel O Q r\ Unit#: i t i Name: -1 c rer. /AO OCAJar, -_ Phone: Coo I,- Cal- 9939 1 Resident/ I q� Owner Address/City/Zip: 36 7 L 3 6 . i.t` ...1,__, --\/ o c a Fu.) 5 5' .a 1 - y ° ' Applicant is: Owner /Contractor Type of Work ,, Description of work: A erc 3�R j 3(0. Q11 l®Ol l)'3t�S3� c3(o`15 r 3, Construction Cost: a l 3 45 Multi-Family Building:(Yes V/No ) Company: ucrc 1 CCVN4 .C?\ Drl LnC.. Contact /A t )4uf'Yo-V Contractor ° Address: i(1±.0 5 de,rsey Noe- City: clva5 Y 0-2 i t : State: )"I� Zip:56318 Phone: -��1---)0-15mail: (Ylor rcA j C.Or' t 1 c`-L ASN-C(Y ' zI I License# B C 11 a a S Lead Certificate#: If the project is exempt from lead certification, please explain why: l 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: Fire Suppression 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 ou provides*- ific reasons that would •-rmit the Ci to conclude that the are trade secrets. You masubscribe b to receive e ei a an electronic ,notfication from the City of proposed ordinances by signing up for an email update on the City's websiteat ww 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. 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. www.gopherstateonecail.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. x t\1C_> itis 0r 1� x , . / 7/V � ?' Applicant's Printed Name ( Applica s Signat e PERMIT City of Eagan Permit Type:Building Permit Number:EA152690 Date Issued:10/25/2018 Permit Category:ePermit Site Address: 3689 Widgeon Way Lot:9 Block: 02 Addition: St Francis Wood 5th PID:10-65904-02-090 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 - Cheryl A Hanson 3689 Widgeon Way Eagan MN 55123 (507) 351-0988 Murray Construction Inc 10675 Jersey Ave Chaska MN 55318 (952) 941-7075 Applicant/Permitee: Signature Issued By: Signature