3685 Widgeon Way , '` tjU��c��r� �
Use �LUE or Bl.ACK tnk
�_�.�..�e..�_._m..e_e.,...�_�.
E gor Office Use i
�lU V� �� �� � Permit#: � � l0� S�� I
• � � � C.. �� ,
3$30 Pilot Knob Road f Permit Fee: J �. �
Eagan MN 55122 i p� ` '� j i
Phone: (651j 675-5675 I �ate Received: � ! 1
Fax: (651} 675-5694 � �
{ Staff: �
�------------------�
2014 COMMERCIAl. BUILQING PERMIT APPLICATIC3N
oate: Site Address: ��7�—3(c��1- � S3 3 "3(0$� �
Tenant Name: (Tenant is: New/ Existing) Suite#:
Former Tenant:
Name: Phane:
Property Owner Address/City t Zip: 1 — 3 r - � g - � '�
Applicant is: Owner �Cantractor
Type Of Work Description of work:_ ��,�'`�� �
Consfructian Cos� �� '
Name; 1�1��1't"�.�x +'�;��'U '���y�"1 �3'`kC.. License#._�,.����,��j
f� , �
Address: �^S J� ��� �l� ��t�.�..��' Cit Gt '
Contractor ------- Y�
State:_.�ft�V Zip:_c�3���� Phane: � J e� " �"��� '" � ��,�
Contact: � Ut�'{° Email: U i"�" + � �� . €
Name: Registration#:
Architect/Engineer Address: City:
State: Zip: Phone:
Contact Person: Email:
Licensed plumber installing new sewerlwater service: Phone#:
NOTE:Plans and supporting dvcuments that yocr submit are considered to be public lnformatlon. Aartlons of
the informafion may be class�fied as non public if you provide specific reasons that woutd permi�the City to
conclude fhat the' are frade secrets.
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 ta dig to receive tocates of underground utilities. www,00qhersta#eonecall.orq
i hereby acknow{edge that this information is compiefe and accurate; that the work wilf be in conformance with the ordinances and
codes of the City af Eagan; that I understand this is not a permit, but anly an applieation far a permit, and work is not to start without a
�rmit;that the work will be in accordance with the appraved plan in the case of work which requires a review and approvai of plans.
X � x
ApplicanYs Printed Name Appli anYs Signa re
Page 1 of 3
Use BLUE ar BLACK Ink
r-----._-..._�_.._�.-_--�
� For Office Use l
� � Permit#: � ���� �
�lty Of ���l�Il � � � o����� �
Permit Fee: � I
3$30 Pilot Knob Road � �
Eagan MN 55122 � �' ia � Date Received: 4
Phone: (651)675-5675 � �
Fax: (651)675-5694 i Staff: �
� I
2014 RESIDENTIAL BUILDING PERMIT APPLlCATION
Date:_�l"�" (� Site Address: Unit#:
Name:�VEi � ���2� ��f1P��' Phane: (�8(g—Q �'4�_
Resident/
Owner AddressfGitylZip:_3��� (,��t�c��p,r� �C`/ ���,�,�, /V(,�
�`
Appiicant is: Owner �Contractar
Type of WOrk Description ofwork: t>t —�' € �e ,n�
Construction Cost: Multi-Family Building: (Yes�!No_,
Company: Contacf; (Y1,c 1{�.,,
Contractor Address: h��`� ,�, �� t.� �}- c�ty: __�i-�el��,��.� .�
State: �r� Zip:��c�� Phone:�Lv�.'�1-11°�7��mail:�,��(,1c���'��,�j s C�
License#:����1 ^�'�,_� Lead Certificate#: /��,-'� ^-�tQ"Z�,(^'�
if#he project is exempt from lead certification, piease explain why: (see Page 3 for additional infarmation}
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILD}NG
in the last 12 months, has the City of Eagan issued a permit for a simifar plan based an a master plan?
_Yes _No If yes, date and address of master plan:
4 Licensed Plumber: " Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
NOTE:P/ans and supporting documents that you submit are considered to be public informafion. Portians of
the informafion may be c/assified as nan-public if you provide specific reasons thaf wouid permit the City fo
conc/ude that the are trade secrets.
CALL BEFORE YOU DIG. Caii Gopher State One Call at(651)454-OOQ2 for protection against underground utility damage. Cali 48 hours
before you intend to dig to receive locates of underground utilities. www.aopherstateonecali.orq
1 hereby acknowledge that this information is compfete and accurate;that the wark will be in conforrnance with the ordinances and codes af the City of
Eagan; that I understand this is not a permit, but only an appiication 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 pians.
Exterior wark authorized by a buiiding permit issued in accordance wifh the Minnesota State Buiiding Code must be compieted within 180
,,� days af permit issuance.
.
x c Cf. X--� '�
Appiicant's Printed Na Appiica s Sign re
Page 1 af 3
�'.��. �'�"
„�.... � Use BLEIE ar BLACK Mk
.------------------.
1 For Otr�ce use 1
� � Permit#: / ��%' -S�� �
Clt� of �a�a� ; . e � - �
• 1 Permit Fee: /� � � i
3830 Pilot Knob Road
Eagan MN 55122 � Date Received: � ! �
Phone: (651}675-5675 � �
Fax: (651)67�-5694 i Staff: � �
I !
20'14 RESIDENTIAL BUILDING PERMiT APPLfCATtON Z ��+
� U����-lS
Date:,�" �"" t 1-� Site Address: � Unit#:
¢�` �"�`���x��� �., Name:_ � 'f� �,�C� Phone: ���� �i ���_
� ResEc�en �`�� ��
��
._� tl�..;` � Address J Ciry/Zip; � � Q � J'r����,.
"� ij ' App{9cant is: Owner �Contractor ' ' '
" } {� w..�. t $ �t l�
� O�, Description of work: ��.:�m�3l.�C'.. � 't`���Q,C� �?��s3't t�r°� � '��.o ��� ��
, �
:� � Construction Cost: /y�S Multi-Family Buiiding:(Yes�No ) '
�
_ ' Company: Gantact:�g i��� V`���'' �
� � _� (
�� on ractor ��
Address: ��`� c� �tc�?• i�.� City: � cAi�t►b��.
� -
�� � � S#ate:�2ip: Phone: �o�,'`��tl-'7t�►�mail; l` �1�r�n .�
t �
• ,����,� �
� j�'���"����. �����,
�.� ���� � ��-�� License#: �'�� � Lead Certi�cate#;
If the projeet is exemp#from lead certi�cafion, plsase expiain why: (see Page 3 for additionaf information)
COMPLETE THIS AREA ONLY IF C4NSTRUCTING A NEW BUILDING
In the last 92 months, has the City of Eagan Issued a permit for a similar ptan based an a master plan?
Yes _No If yes,date and address of master plan:
Licensed Plumber; Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractar: Phone:
IVQF� f�lans and�support�n ctocume fs tttaf ou sr�bmt't are cons,►de,red�o'be ubhc�. a�I' �"' "`� s�
'`rt�r+ � � '�i�+ ''�g^r,� �""�;t��&"'^� ,.'h f g,� r��:Su��i�`5�+ ,r��„�'�",�L a'a ��'���;,"�����NN��r::�� ,�r � ��r� . j� �:,
the�n,�ormaf�on may�be c,�assff�d as non pUblt�,���f�ous�t7o�rtle,��p�e�c-,�#ic;, asc��ts`�Ka�wou d�,pe: t=�he. .��y� �,ri
'� � ,�' �#� �� � ��� �-Conclutle�fhaf,the�are,.tr,�a(e`��e�re#s,rv .�. ..� �"� ,�� �,.�
� � 3 ,
.. ���,.. ... ,, .k ..�n; n. .... � � ,.�. ,
�� ��;.. _ n.�,�, �..v.
CALL BEFORE YOU DIG. Gall Gopher State One Cali at(651)454-0002 for protection against underground utiliry damage. Cali 4$hours
before you intend to dig to receive{ocates of underground utilities. www.aopherstateonecail.orq
I hereby acknowledge that this information is complete and accurate;that the work wili be in conformance with the ordinanees and codes of the City of
Eagan; that I understand this is not a permit, but only an appiication for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved pian in the case of vtirork which requires a review and approva!of pians.
• Exteriar work authorized by a buifding permit issued in accordance with the Minnesota State Building Code must be connpleted within 180
days of permit issuance.
X x
ApplicanYs Printed Name Appii nYs Sig ure
Page 1 of 3
:��� �� l�1 ��������� ��' -.� r
.,� f � ����--- -,.
DO NOT WRITE BELOW THIS LINE t — �
5UB TYPES
— Foundation Fireplace � Porch(3-Season} ` Exterior Alteration(Single Family1
Single Family Garage Porch (4-Season) Exterior A[teration (Multi) •
_ Multi � Deck ^ Porch (ScreeniGazebo/Pergola) J Miscellaneous
01 of_P1ex Lower Levei Poai Accessory Building
WORK TYPES
_ New _ interior improvement _ Siding _ Demolish Building''
_ Addition _ Move 8uilding _ Reroof _ Demolish Interior
_ Alteration Fire Repair _ Windows J Demolish Foundation
_ Repiace � Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building–give PCA handout to applicant
DESCRIPTION
Valuation /,SOd� Occupancy _r,QG-3 MCES System �"
Pian Review Cade Edition _�N� SAC Units !-'
(25%_�00°lo V) Zoning J�"' 3 City Water -,.
Census Code �7 3�4f Stories �"" Booster Pump —
#of Units / Square Feet " PRV -
#of Buildings � Length Fire Sprinklers ---
-----�—
Type of Construction �_ Width "
REQUIRED tNSPECTIONS
Footings (New Building) Meter Size:
Foatings (Deck) Final/C.O. Required •
Footings(Addition) � Final/No C.O. Required
Foundation HVAC Gas Service Test Gas Line Air Test
Roof: _ice&Water _�inai PooL• _Footings AirlGas Tests _Final
� Framing Drain Tile
uc o Lath Stone Lath Brick
F�repiace:_Rough in _Air Test _Final Sidmg:�St c _ _
Insulation Windows
Sheathing Retaining Waii:_Footings_Backfiil_Final
Sheetrock Radon Control
Fire Wails Erosion Control
Braced Walis Other:
Reviewed By: , Building tnspector
RESIDENTIAL FEES
Base Fee G aZ �
Surcharge
Plan Review y�
MCES SAC
Gity SAC
Utitity Connection Charge
S&W Permit 8�Surcharge •
Treatment Piant
Copies ,�_���
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA153117
Date Issued:11/26/2018
Permit Category:ePermit
Site Address: 3685 Widgeon Way
Lot:12 Block: 02 Addition: St Francis Wood 5th
PID:10-65904-02-120
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 -
Haskell D Rosner
3685 Widgeon Way
Eagan MN 55123
(651) 686-0895
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:EA155742
Date Issued:05/31/2019
Permit Category:ePermit
Site Address: 3685 Widgeon Way
Lot:12 Block: 02 Addition: St Francis Wood 5th
PID:10-65904-02-120
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 -
Haskell D Rosner
3685 Widgeon Way
Eagan MN 55123
(651) 686-0895
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:EA158714
Date Issued:10/28/2019
Permit Category:ePermit
Site Address: 3685 Widgeon Way
Lot:12 Block: 02 Addition: St Francis Wood 5th
PID:10-65904-02-120
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Haskell D Rosner
3685 Widgeon Way
Eagan MN 55123
Haley Comfort Systems
4320 Hwy 52 N
West Frontage Rd
Rochester MN 55901
(507) 281-0138
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA159023
Date Issued:11/15/2019
Permit Category:ePermit
Site Address: 3685 Widgeon Way
Lot:12 Block: 02 Addition: St Francis Wood 5th
PID:10-65904-02-120
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 -
Haskell D Rosner
3685 Widgeon Way
Eagan MN 55123
(651) 686-0895
Noah Acquisitions Llc
5718 International Pkwy
Brooklyn Park MN 55428
(612) 822-5292
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA173464
Date Issued:11/12/2021
Permit Category:ePermit
Site Address: 3685 Widgeon Way
Lot:12 Block: 02 Addition: St Francis Wood 5th
PID:10-65904-02-120
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
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: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Haskell D & Susan J Rosner
3685 Widgeon Way
Eagan MN 55123--115
(612) 964-5804
Top Notch Floors & More LLC
9736 Almond Ave N
Brooklyn Park MN 55443
(612) 730-9686
Applicant/Permitee: Signature Issued By: Signature