3677 Widgeon Way . � �v���i�� `�
Use BLUE or B[,ACK !nk
r.__..�.���a.�v..s..�__....__..._
6 �or Office Use I
• �lUV �� �U U� � Permit#:----�—�a(L-C�-�1SL—. j
u � � ` ' - '`j-(3 �
3$30 Pilot Kttob Road � Permit Fee:_ ���- �
Eagan MN 55122 � �
Phone: (659) 675-5675 i Qate Received: `.����_ �
Fax: �651) 675-5694 j �
� Staff:_ �
�-------- --------I
2014 COMMERCIAL BUILQING PERMtT APPLlCATION
Date: Site Address� exp��' �t9�3— a3�p� 'J�—��07�
Tenant Name: (Tenant is: New/ Existing) Suite#:
Former Tenant;
Nams: Fhane:
Property Owner 1 3`-
Address/Gity f Zip: 7 - 3(��13'�(p���c��]_�i,, �� (� �
Applicant is: Owner �Contraetor
Type of}Nork Description o#work: QP �(''� � (
� �
Construction Cost: � ��
Name:����si�'1'UG��ti("�t"'3 �►�. Lic�nse#:_�-�� ��� �
Cantractar
Address �S�� 'r��� � � �P;.a'�°' Gity: ��� Q��,,. `
State:—��ZiP:s����"'i , Phone: `^� "�'J�, ° �J`�"� — '�(�'m"j',�.�
Contact: ���,,a,• e��(" EmaiL c�4"'(` � t� �'Vl� ,
Name; Registration#:
ArchitectlEngineer Address: city:
State: ZiP� Phone:
Contact Person: Emaif:
Licensed plumber insta(ling new sewer/water service; Phone#:
NOTE:Plans and supporting documents that you submit are considered to be puklic Informatlon. Portions of
the infarmafion may be classified as non-pub/ic if you provide speciflc reasons that would permit the City to �
conc[ude that the are�rade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651}454-0002 for protecfion agai�st undergraund uti{iry damage.
Call 48 haurs before you intend to dig to receive locates of underground utilities. www,gopherstateonecail orq
I hereby acknow{edge #hat this informatian is comptete and accurate; that the work wifl be in conformance with the ardinances and
�codes of the City of Eagan; that I understand this is not a permit, bui only an application for a permit, and work is not to start withou#a
rmit;that the work will be in accordance with the appraved plan in the case af work which requires a review and a,provaf af p4ans.
X ��arr� X
ApplicanYs Printed Name Applic 's Signat e
Page 1 of 3
Use BLUE or BLACK Ink
r-__.-__._---�---'-----+
� For Office Use i
� � Permit#: ��v��� �
C�ty of �a�a� . ; . . ��� �
Permit Fee. / i
383Q Pilot Knob Road � �
Eagan MN 55122 � Date Received: �
Phone: (651}675-5675 ,, � �
Fax: (651)675-5694 � Staff: t
I 1
2014 RESIDENTIAL BUILDlNG PERMIT APPLICATION
Date: ��. `� '" �� Site Address: (��� � Unit#:
,
Name:�� .e+f'�C�� � �l��'1 '�JC,�tx]a('�. Phone: �5�— �5z{�
Resident! l + �-
Uwner Address/Cityi Zip: �'�� l.c��c�c�f�n C�/ �ac2�3v� /�N
Applicant is: Owner �Cantractor
Type of Work �escription ofwork: 3 1'vl� I�ton�� �os� �D�c�c'��.re?g It.�� ��i�,��,�
Consfruction Cost: Multi-Farnily Building: (Yes�i No____)
Company; Contact: (Y1 i�C�...
Contractor Address:�`� � �c?� ���}- City: ___��,e1,�o�e�..�_,�
State: � Zip:�i,�� Phone:�5�°��i1-?Q7�mai1:_f�'k1lY�1vC�S`�''Z�y,�t�j 9 [x"1
License#:��;�? ,�� Lead Certificate#: f��'� --l�Q"�Zq,(°�
!f the project is exempt fram lead certification, please explain why: (see Page 3 for additional information)
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 pian:
Licensed Plumber: Phone:
Mechanicai Contractor: Phone:
Sewer&Water Contractor: Phone:
NOTE:Plans and supporting documents fhat you submit are considered to be public informafion. Portions ot'
the information may be c/assified as non-pubJic if you provide speeific reasons that wouid permif the City to
conctude that the are trade secrets.
CALL BEFORE YOU DIG. Cail Gopher State One Call at(fi51)454-0402 for protection against underground utility damage. Cai!48 hours
before you intend to dig to receive locates of underground utilities. www.qooherstateanecall.orq
I hereby acknowledge that this information is compiete and accurate; that the worfc will be in canformance with the ordinances and eades of the City of
Eagan; that I undarstand this is not a permit, but oniy an application for a permit, and work is not to staR without a permit; that the wark 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 StaEe Building Code must be compteted within 184
„,, days of permit issuance.
x c C'f x
Appiicant's Ptinted Na Appiica s Signa re
Page 1 of 3
For Office Use
:' Permit#;
E AG N w�^-� •• Permit Fee. "J v
Date Received;
3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810
(651)675-5675 I TDD:(651)454-8535(FAX:(651)675-5694 I staff:
(
rlitik
corn
2019 RESIDENTIAL~BUILDING PERMIT APPLICATION
Date: 5-3 "-) [ Site Address: 3 f (d't efor- ( A Do‘../ Unit#:
Name: ie_6 /) LD I Phone: ( I S -1-4511 `1�
Owner Address t City/Zip. 3 o 1
Applicant is: Owner y7 Contractor
Type ot writDescription of work: I e )\c3C.e 1 Fit\ -(O r e, E. - 5 as ,,
cin . ca Pak. Dr r
Construction Cost: _- Multi-Family Building:(Yes_ /No )
Company: l t+► ! ► _.. « Contact: ,'-`t
Address: #CO Arm. �i`ta City:contractor
-
3 State:./ �'' Zip: C Pho ie:9c .,.- 7"'7/` OE a i '1t 0t0V C.0 S4-) 4151‘) corn
License#:2)� as Lead Certificate#: i\1 - I 1 ci-7 .'^
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 plan?
Yes No if yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor Phone:
Sewer&Water Contractor Phone:
Fire Suppression Contractor.
f� Phone: �y�wy �aa rim.. yy�
NO� a esti �. a 6 $ wfi�; l� ` mwRiF o �fVO a en .Jnr'
ofessiffs iss • ±"; V Malitatalkat womid „ ' thetietsets
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,cilyoleAvo'urn urbse iba.
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 Cali at(651)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities*. p s tate -i 1_ .=r
i try 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 ' ► a approved plan in the case of work which requires a review and approval of plans. ,
d
Appli : 's Printed Name ,/ Appilcan Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA158213
Date Issued:10/01/2019
Permit Category:ePermit
Site Address: 3677 Widgeon Way
Lot:4 Block: 01 Addition: St Francis Wood 3rd
PID:10-65902-01-040
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
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 -
Andrea K Bonner
3677 Widgeon Way
Eagan MN 55123
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature