3510 Widgeon Way
CITY OF EAGAN SEINER SERVICE PERMIT
8795 Pllot Knob Road PERMIT NO.:
Eagrp, MN 55722 DATE:
Zoning: No. of Units:
Owner:
Address: -
Site Address:
Plumber:
1 agroe to eomplr with tbe City of Eagon Connection Charge:
Ordinwnces. Account Deposit:
Permit Fee:
Surcharge:
By Misc. Charges:
Dote of Insp.: Total:
Insp.: Dote Paid:
CITY OF EAGAN WATER SERVICE PERMIT
3795 Pilot Knob Rood PERMIT NO.:
Eage--, MN 55122 DATE:
Zoning: No. of Units:
Owner;
Address:
Site Address:
Plumber:
Meter No.: Connection Chorge:
5ize: Account Deposit:
Reuder No.: Permit Fee:
1 ogroe to eomply with the City oF Eagan Surcharge:
Ordinanees. Mist. Chorges:
Total:
By Date Paid:
Dote af Insp.: Insp.:
cirr oF EAGAN
3795 Pilot Knob Road Eagae, MN 55122 N! 6343
PHONE: 454-8100
BUILDING PERMIT Receipt #
Te be ufed for Est. Volue Date , 19
Site Address Erect p Occupancy
Lot Block Sec/Sub. Alter ? Zoning
parcel # ' Repoir ? Fire Zone
Enlorge ? Type of Const.
W Name Move ? # Stories
Z Address Demolish p Front R.
o . '
Ci Phone Grode ? DePth ft.
~ Name , Approrob Fees
0
Address - Asseument Permit
~ Ci Phone Water & Sew. Surchorge
Police Pian check
y~W Name F(re SAC
H
Address Eng. Water Conn.
<W Ci Phone Planner Water Meter
Couricil Rood Unit
I hereby acknowledpe thnt I hove read this opplication and state thot Bldg. Off.
the information is Correct pnd ogree to comply with all opplicable
State of Minnesota 5tatutes ond City of Eagon Ordirances. APC Total
Signature of Permittee
A Building Permit is issued to: on the express condition thot
all work sholl be done in acoordance with oil applicoble Stote of Minnesota Statutes and City of Eagcn Ordinonces.
Building Official
PaewtM ~t peh losad FordMtM
Plumbing
Mechanicol
INSPKTIONS DATE INSP.
~7--'---- Rou9h-In Finol
Footings Date Insp. Date rup.
Foundatio Plum ing % - ~
From ins Mechonical
Final
~
~
Remarks: ~ ~,~p • ~ ~
• Y-Y f ~I~o ~ t~
. cIrY oF E?caN
3795 Pilot Kwo6 Road
No. Eosen, AAinnesota 55122 INSPECTOR NOTIFICATION
Phonro: 454-e100 REQUI RED BY LAW
FOR ALL INSPECTIONS
PERMIT
Dote: Receipt No.:
Single I
Site Address: Residential
Lot Block ~ 5ub/Sec. Multi Res., Comm./Ind. I
, ~ . , - - _ , .
N°^'K New/Alter./Repalr. ; Address ~
Cost of Installation
O
711
City , Phone: Permit Fee
r .
` Name Surcharge
~ Address
f~ -
City Phone: Torol
This Permit is issued on the express condition that all work shall be done in accordcnce with oll applicoble Stote of
Minnesota Stotutes and City of Eagon Ordinonces.
Buildirg Officiol
CITY OF EAGAN
3795 Pilot Knob Road
Easaw, Minw~sota 55122 INSPECTOR NOTIFICATION
No. Pbone: 434-8100
REQUIRED BY LAW
PERMIT FOR ALL INSPECTIONS
Date: Receipt No.:
Single (
Site Address: Residential
Lot Block Sub/$ec. ` Multi Res., Comm./Ind. I
Nome " New /Alter./ Repoir
; Address 4370
Cost of Installotion
O ,
City Phone: Permit Fee
Nome Surcharge
ti -
~ Address '
City Phone: Tota I
This Permit is issued on the express condition thot all work shall be done in occordance with oll oppllcable Stote of
Minnesoto Statutes ond City of Eogcn Ordinonus.
Building Official
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 P'tlot Knob Road Permit Number: ` 3~?''
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
1 ;j i - "ci 10 Ill 1. ,
:1iilfiFf113 (,fAY i, l . ' i r.l
i, 11• ~ I 1' - q. 1 1 j; . ~ . , . . ~
PERMIT SUBTYPE: TYPE OF WORK:
, .
INSPECTION . D.
_ ~
~
Pertnk No. Permit Holder Dete Telephona R
ELECTRIC
PLUMBlNC3
HVAC ,
Inspectlon Dete Insp. Comments
FOOTINGS
FOUND
FRAMINC3 '
ROOFING
ROUGH
PIUMBiNG
PIBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLOG FlNAL
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
Q
CITY OF EAGAN Remarks
Addition DUCKWOOD ESTATES Lot 20 Rlk 1 Parcel 110 21900 2
ow~e~ ~ st~eet 3510 East Widgeon Way stete Eagan, P~fN 55123
-
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. STREET RESTOR. $4 1391.48 A009965 3-4-81
GRADING ~
SAN SEW TRUNK 1971 109.77 5.49 20 55 . 91 A009965 3-4-81
1t SEWER LATERAL 1980 8
WATERMAIN
# WATER LATERAL
WATER AREA 1972 jjj .$j 5.59 ZD
*
f STORM SEW TRK
t STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
Rd. UNIT 185.00 21728 11 S 80
WATER CONN. 305.00 21728 11 5 80
BUILDiNG PER. 6343
SAC
PARK
,,~~p~ ~
~w CITY OF EAGAN ~-`Include 2 sets of plans,
" y~ BUILDING PERMIT APPLICATION ?1 set oflenerqylcalculations.
~ -
Zb Be Used For e Valuation ~ ye(f 0 Date
Site Address 3 S/ 0 Q)/ cvC4epl C~;J k
Lot pZ G Block ~I~ USE ONLY
Sec./Sub./Q il 90 Erect cccupancy
PdrC21 A.c~~ cuec ~X rrrs -~c y Alter
Zoning ~
Repair Fire Zone ~
ONmer: Enl
ar4e _ 7ype of Const.
Flddress: _S~0~ e S~ # Stories Y
DeTolish Front
CitY/Zip Code: ~Yl~j~s /f7 d Grade Dep~ ~l/ ft.
3p ft.
Pr,one
SENS GN:T/luc7/G:: C(i. APPROVAIi.S 0~ FEES
Contractor: D v OL 'c, Assessments pexmit ;
Pddress: J3~JU Water/Sewer . Surch e •r~
Police PlanCheck
City/Zip Code; EA6 A a y Fire SAC G Z. `d"
Phone r~' / 62~ aa
`1` 7U.;?a ~r - Water Conn. .3et. ao
Wat2r Met2r (y D. D D
Arch./Ehg..: ? fL1 u~ /N Council ~ / SS. o O
S S ol ^ Road Unit
Adclress: Bldg. Off.
~'i 6 i J e »c C,o aFC
City/Zip Cocie: ST PQw L .SS / C L
Phone L/ - ~ 3 S R Zt7PAL42 c.~-
~ ~ ~
CITY OF EAGAN
~ 3795 Pilot Knob Rood Eagan, MN 55722 N2 6343
PHONE: 454-8700
BUILDING PERMIT APPLICATION Receipt #°2' / 7°Z'g,
To be uaed for SF DWG/GAR Est Value 4/+s000 Dote 11-5 , 19-aa_
Site Address-3`J10 W1dgBOri W3y Erect ~ Occuponcy R3
Lot24_ BlockI_ Sec/Sub. rn1e_kw00d Est. Alter p Zoning Rl
Porcel # 10 21900 200 Ol Repuir ? Fi.e Zone 3
Enlarge ? Type of Conzt. V
w. Nome R(aggp CjGbcntr Move ? # Stories
3 Address SG.09 24th Ave S Demalish ? Front -41 ft.
° Ci Mpls, Mx1. phone 722-4511 Grode ? Depth
~ Nume Son's Construction Co.-Don Olsan ~'pprova1s Feae
a
~U Address 4370 Rahn Rd. AswSSnWAtl n_?~_ttn Permir 125 5f1
~ Ci Phone Water $ Sew. Surcharge 2P . nn
Police Plan check h2 75
Fw Nome Fire SAC -~.~~95 nn
~2 Addreu Eng. Water Conn. 305.,QO
a W Ci Phone Planner Water Meter Hn nn
- Council Rood Unit 199Pn0
I hereby acknowledge that I have read this app'cation and state thut Bldg. Off. ) ia~
the information is correct ogree to co y' h ali applicable APC Total 1~2g5.25
Stote of.Minnesota Stat nd Ci E onces.
Signoture of Permittee
A Building Permit is tssued to: ~ on the exprew condition that
all xrork sholl be done in accord e with oi/l ~g/pp `lica,bleState of Mi`nnesota Statutes and Ciry of Eagan Ordinonces.
Building OfHcial y'/'„r ,
Certificate for:
. •Don Olson
DELMAR H. SCHWANZ
LANDSURVEVOR
Re9iste/etl UntlOr Laws Of The Stale af MinnasOta
2978- 146TH STREET W. - BOX M ROSEMOUNT, MINNESOTA 66068 PHONE 812 4211789
SURVEVDR'S CERTIFICATE
SCALE: 1 inch = 30 feet
Elevations ahown are existing
T,20 o ~and based on assumed datum
~ I- u a
M ~
O np
' N
O ~
%
aq' 8 20. o i
~ p,eoo~sEO ~
~ NoUS~ m H
~ `p1.1 3 ` ~ M a
~ a GAQ• 19 /O9e
o N oo1~'9 4 ___o,o d- = hereby certify that this is a true and
correct representation of Lot 20, Block
9c9 1, DUCKWOOD FSTATES, according to the
A
Drainage & Utility ~ recorded plat thereof, Dakota County,
m easement Minnesota.
~ M ° 2¢•L4 ~~b~ Also showing the location oP a
ZP r ~;3° y9 2~ ra633 y 823~'~'0LJ proposed house thereon.
Dated: October 15, 1980
s~~jy 9O~ ~ $.r3•z2 XaK
6 s~~- a, l x JOg~ Ar
p,¢1vE~Ay House staked and elevations •
M V/d shot October 17, 1980
/
CGrvS72uario%J fZti l-llu iz cP Ei+Lti w
r ,
r'; ~1.G{J~~?
MINNESOTA REGIS RATION N0.8625 ~
~ I
N4 G.i,'i.
ASHNAk:~ YU-7'S
n•.~3r T~OCe~fz- ~JIL ~`30~~.C~- Phone 224' I~S~ _
-~sita Address 35 Ic_, (A911~GE-06) wtF v -
contractor Phone
euildinq Clsssification - A1(Sinyl• Fnnilyl X A2 (Residential)_
(Other) (over 3 stories)
; GFN,RAIr ZNFORMP+TION
: l. Huilding Perimater lq-Z-- . tt.
; 2. Wsll haight (ground to eave) ft.
j , 3. 1 x 2~ 9ras wall 25(F'Z. tt.2
4. Building nlmunsions 3i'.(0~ x lt.2 zoof b lloor aree
S. Square foot aroa of rim joist - Floor joist •ise (2 x7
'A x Perimater ~ Rim joist area ~ ICu~
b. Doors - 7?rea
Thic ess I v' ~n• U factor Typ~ ot Const.cuction M~ZA~ INSC~ . Per m~ter 3F, fc.
manutactuzer F r AsJ,-7
7. Total door's perimater 3 8 it.
8. N1nCan s Maaufacturer-CR-SST+-10F- State approved
2
Type Slze Aren (FC.2) Number of T4ta1 Ft.
Each Un1:-e
c:tr~~trt~~I' 2 -ta .X •3 _ (o - -f 'Z 14 i
` 3-4 X - 4.4 2 A:~
Lk) ~ _ - • 3,~ t 3,~,
-o iD.~ 2 21
C~,SC~r u`-~- 44 x 3-0 cP ~
M T uL~ ~S
I
SuD t'. '(`(e K C2 bi
TOT7IIS . . . . lY'~ o
j Total Pt.2 plas•
9. Firoplac• erees Ni Ch x height • x ~ 7 Ft,
10, Sxposed lounQations Height x Pesirteter x ' 340 Ft
CpMpLETIODi OF THIS PORM IS kl~:GTJIRED FOR ALL NEW CODiS'PRUCTION, MAJOR REMODEL
AND HUILDID108 BSIHO lpVY.D MHL':t: F,'D:F.NGY, OTFlER TFiAi7 Titii MIDIIMAS. CODE 1?LI.OMADu
IS UM.
~
. . II
11. Framiny area a 10;6 of yru-~:. w:,11 "ru".
12. (Gross wall area
Window a[ea U x A=IOZ.~~
~
, i.` u riLii )Q,sc = (o v x A= 8~~1
Rim joist area i 39
Door arca u door .,rca = p u:,
Fireplace area U fircplace = I • IU x A = 7_1
, Exposed foundation 3~-3 it. U foundation =14 U x A ~
~a ~ 1
Framing area L _tt. U frarning area - •175 U x A-33_
Net wall area 1(4l 0 U wall = - 03 U x A °IlZ
• y~O'~
(izn)T(YPAL. . . . . . . . . . v x A
13. Gross wall area x.185 yinylc family m allowable U x A
.23 other build_ny BTUH Must be
.185 xI A) 15 U'--- 414 ° -°F-- larger than _jl?
14. Ceilinq framing area enuals of ceiling area
Ceiling area = 31-(c> X ft.2
14A. Joiet area = 10i6 ceiliny drca = 119 "1 ft.Z
148. Net ceiling area 3 ft.2
cathcPwA~- R"I. 3 X. 033 !(a. I
U ceiliny x A~Tjl~' SFjO.O 0Z5 ~ 1q•5
U framing x Af = 1 ~`~`1 k I`f
14C. TOTAL U x A= 4 1 Crr~e
15. Item 4 x.04 (singlu L.llhllJ) - 47. 68 must Lc larger than 14C
to meet code
.06 (othcr)
~ U Fac[or and R YaCLur v.,lu.::. a1u avalleblc from the materials euppl.
~ for their products.
t
1
~
I
i
,
~ . . .
1
~ _
~
RCcFivED"cc 1 14E1
rnvi<rinr~'rr: nrm itr,r:Tuir^i•Tntl::
KNO:J ALL MES ?Y T[[6SB PRfiSCNTS, that the undersigned, -
Edward E. Parranto and Valentine Parranto, hushand and wife, of the .
County of Ramsey, State of_Minnesota, Robert H. ICaratz and Naomi
Y.aratz, husband and wife, of the County of Maricopa, State of Arizona,
and Kenneth Appelhaum and Sally Anpclbaum, husband and wife, of the
County of ttenneoin, State of Dtinnesota, being all of the fee owners .
of the followina described lands situated in the County of Dakota
. -and State of Minnesota, to-wit:
3, 4, 5, 7, 8, 10, 11, 12, 13, 15, 16, ~17, 18, 19, r21, 21, 24, 25, 29, 30, 31, 32, 35,
. . . 39,.40.--41.. 43'r 43. 4e, 45. 98. 99, 50, 52, all
in Block l:~and Lots 1, 2, 3, 5,,_Q, 7, 8,9, 10,
. ~ 11, 12, 13, 19, Dlock 2; all in:DUCkwood Estates,
- according to the recorded plat thereof, sometimes hereinafter referred to as "the land",
do hereby set out the followinq covenants and restrictions, which ,
-shall run with the land and bind the parties hereto, their respective
- heirs, renresentatives and assigns, and all subsequent purchasers of
- the land or any part thereof, and their heirs,representatives, suc- , cessors and assigns, to-wit: 1. These covenants and restrictions are to run x•ith the land and shall be binding upon all parties and all persons claiming through or under the undersigned £or a period of thirty (30) years
from the date hereof, after which time said aovenants and restrictions shall automatically extend for successive_periods of ten (10) years _
. '^~~^^w++.~•=%~^ each unless an instrument signed by the majority of the then owners .
of the above described lots has been recorded, agreeing to change such covenants and restrictions, in whole or in part., - 2. No lot shall be used except forresidential purposes. ito building shall he erected, altered, olaced oY permittEd to remain on any lot other than one detached sinqle-family deaelling not to ex- ceed three stories in hei9ht and a private garage for not more than
three (3) cars.
3. The size of any dwelling, exclusive of one-story open
- porches and garages, shall be: (a) in the case of a single floor structure, not less than 1,200 square feet in area on the main floor;
or, (b) in the case of a split-level structure, not less than 1,200 square feet in area on the floor directly under the roof; or (c) in --the case of story ar.d-a-hal£ structure, not less than 900 square feet
,-on the ground floor, and a total on the main floor and second floor
of not less than 1,300 sguare feet; or (d) in the case oE a two story
~structure, not less than 750 square feet on the ground floor and a total on the ground floor and second floor of not less than 1,400 square
feet; or (e) in thr, case of a solit-entry structure, not less than
1,200 square feet in area on the uoper level, Eut a 258 credit will be
qiven for finished area of lower level which is 50% exposed over fin- ishe3 grade, f7o structure shall have a side exposure more than three ,
stories in height from groun3 to eave line, considering as a story, an .
expose3 walk-out hasement.
. 4. No doielling shall he con'structed or maintained on the above described property without a garage. The garage may be either :a separate structure from the house or attached. If an attached or a
_ basement garage is utilized, then the overall length of the dwellinq
structure, exclusive of eaves or open porches, shall not be less than
- forty (40) feet. All garages shall harmonize with the house as to de-
sign, naterials and finished floor elevations.
" 5. F.asenents for installation and maintenance of utilities
and drainage Eacilities are reserved as shown on the recorded plat.
- 17ithin these easements, no structure, planting or other material shall
he placed or he permitted to remain which may damage or interfere with
'the installation and naintenance of utilities, or which nay chanoe the
. direction of the flow of the drainaae channels in the easements, or I
-1-
which may obstruct or rctard Chc flow of watcr throuqh drainayc chan-
nrl~: in 1hr rnrr.in.•n~r.. Thr rnr:nmrnf nr~n nF rnch 1nP in.l nil imrrnve-
ments in i[ shall be maintained continously by the owner of the lot, except for those improvements for which a public authority or utility
, company is responsible. Lots which hordrr on wet lands (Lots 24, 25,
70, 30, 91, 92, 43, 45 and 50, all in IIlock 1) will not be cut or .
filled within the easement area bordering the wet land, as shown on thf
recorded plat. 6. No nosious or offensive activity shall be carzied on _ upon any lot, nor shall anything be done thereon which may be or may
become an annoyance or nuisance to the neiqhborhood.
7. No structure of a temporary character, trailer, base-
- , ment, tent, shack, garage, barn or other outbuilding shall be used
. on any lot at any time as a residence either temporarily or permanentl;
8. a7o sign of any kind shall be displayed to the public --view on any lot except one professional sign of not more than four
square feet, one sign of not more than eighty square feet advertising
the.property for sale or rent, or signs used by a builder to advertise
the property during the constrnction and sales period.
---NO animals,-livestock., or poultry of any kind shall
be raised, bred or Y.ept on any lot, exceot that dogs, cats and other - household pets may he kept, provided that they are not kept, bred or
maintained Eor any commercial purposes. ' 10. No lot shall be used or maintained as a dumning groun3 for rubhish, trash, garbage or other waste, and any such materials may be kept on the premises only in sanitary containers. All incinerators or othez equipment for the stozage or disposal of such material shall be kept in a clean and sanitary condition. - -
11. The exterior of all structures sha11 be finished in vood, stucco, brick, stone or other approved exterior hard materials. 12. T7o filling or storzge of refuse, discar3ed materials, -
- , junk or other obnoxious matter shall be permitted upon said prenises, .
er.cept within the house or garage. No storage of commercial, struct-
tural or husiness equipment or materials shall be permitted upon the
prer.iises,, except within the house or garage. No parking or storage of connercial vehicles shall be pernitted upon the land, except £or
- the maY.ing of usual and customary deliveries. to and from the premises, 'and except that each owner may park one (1) commercial vehicle owned
. hy him and not exceeding one (1) ton upon his lot at any time. Pri- vate vehicles upon the land sha11 be kept within a garage accomodating
, normal passenger-size vehicles. 13. No £ence in exaess oE a height of six (6)feet shall be
permitted upon the land or any part thereof, and all fences constructec .
. thereon must be of new material in metal mesh, wood or metal picket or . ranch type wood construction. T11 such fences shall at all times be
properly painted, stained or lacquered, and shall be maintained in a
neat aopearing conditSon. " • -
la, F.nforcement shall be by proceedings at law or in equitl against any oerson or persons, violating orattemoting to violate any . covenant or restriction contained herein, which proceeding may be eithe .
to restrain violation hereof or to recover damages for such violation.
15. Invalidation of any one of these covenants and re- strictions by judgment or court order shall not affeet any of the othei
provisions hereof, which other provisions shall remain in Full force
and effect. .
IN TESTZ[dOVY NFiEREOF, the undersigned have hereunto set
- their hands this day of1979. '
/
I . .
. " -2-
PERMIT
~ CITY OF EAGAN PERMIT TYPE:
383Q Piloi knob Road B U I L D Z N G
Eagan, Minnesota 55122-1897 Permit Number: 0 3 0 9 7 3
(612) 681-4675 Date Issued: g g(15 / 9 7
SITE ADDRESS:
3510 WIDGEON WAY
LQT: 20 BLOCK: 1
DUCKWOQD ESTATES
P.I.N.: 10-21900-200-01
DESCRIPTION:
(WINDOWS)
Building'-Perm3t Type SF (MISC.)
Building Wc#rk Type REPAIR
~ Census Gade''~''_..,~ 434 ALT. RESIDENTIAL
Z _i
2'>
P 7
-~~~~,,;'J ° ;,~~wrEa~•i~~~1 ~E'?
REMARKS:
FEE SUMMARY:
VALUATTON $3,000
Base Fee $74.75
Surcharge $1.50 . Total Fee $76.25
CONTRACTOR: - qpplicant - sT. Lrc OWNER:
RENEWAL BY ANDERSEN 15024777 2004063 SJOBECK DIANE
350 73RD AVE NE 3510 WIDGEON WAY
FRIDLEY MN 55432 EAGAN MN 55123
(6'12) 502-4777 (612)452-7089
Z hereby acknowledge that r hajre readthis appliGat3,on and 5tate,that,t6e
inf4rmatfoa is aorre'cC and agree to comply, witfi a11 appli_cable State of Mn.,
L Statu'tes and City of Eagan Ordinances.
~cu~a R~~r,ll ~h ~J-
APPLICANT/PERMITEE SIGNATURE ISSUED B)II SIG ATUREJ-k
1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) 30q13 CITY OF EAGAN
3830 PILOT KNOB RD - 55122
681 al675
New Construction Reauirements RemodeVReoair Reauirements
? 3 registered site surveys ? 2 eopies of plan
? 2 copies of plans (indutle beam 8 window aizes; poumd fid. deaign: etc.) ? 2 site surveya (ex[edor addkiona & dedcs)
? 1 energy calculations • 7 energy ealculations tor heated atldttions
? 3 copies of tree preaervatfon pfan if lot platted aRer 711193
repuired: _ Yes _ No
DATE: I O• l O• c1-I CONSTRUCTION COST: Z~3O `
DESCRIPTION OF WORK: RZIPLA(-E Zk l'400,4 S f"ti HOME W ITi1 LQCn K.EIIE t4Er4 N1,41COv4 S
STFtEETADDRESS: 3510 • ~.-11~SE01~1 1r~Il~r`l •
LOT BLOCK SUBD./P.I.D.
PROPERTY Name: `~J~6EiK D1,ao4E Phone _45-2-'-7099
owNeR
Street Address: 3'r`' \O •lt.11 OC EQ,4 4.M
City: CA G Av-~ State: (^~N Zip; S 5113 ,
CONTRACTOR Company: 2~rt~,1AS..6~ A~Qeg,912N Phone#: "51YZ'4rM
Street Address: '35b •"'r3 A~AE NE License #:2b0906'30
City: State: (~'1rJ Z;p: SS43Z
ARCHITECT! Company: r+ Phone
ENGINEER
Name: Registration
Street Address:
City: State: Zip:
Sewer 8 water licer.^.ed plumber (new construction only): . Penalty applies when address change
and lot change am iequested once permit is issued.
I hereby acknowledge that I have read this application and state that the information is correct and agree to compty with all applicable
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant: ~
OFFICE USE ONLY
Certificates of Survey Received _ Yes No
Tree Preservation Plan Received - Yes _ No _ Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging o 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch o 09 12-plex ? 14 Fireplace o 21 Miscellaneous
? OS SF Misc. 0 10 _-plex ? 15 Deck
WORK TYPE
? 31 New ? 33 Alterations o 36 Move
0 32 Addition ? 34 Repair o 37 Demolition
GENERAL iNFORNiAT10N
Const. (Actual) Basement sq. ft. MC/WS System
(Allowabie) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code.
Depth Footprint sq. ft. SAC Code
Census Bldg
Census Unit
APPROVALS
Planning Buiiding Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
SNV Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
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PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA150221
Date Issued:06/26/2018
Permit Category:ePermit
Site Address: 3510 Widgeon Way
Lot:20 Block: 1 Addition: Duckwood Estates
PID:10-21900-01-200
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
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.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$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 -
James B Hodgson
3510 Widgeon Way
Eagan MN 55123
(651) 493-9211
Bruckmueller Plumbing Inc
3992 Pennsylvania Ave
Eagan MN 55123
(651) 686-6696
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA150517
Date Issued:07/12/2018
Permit Category:ePermit
Site Address: 3510 Widgeon Way
Lot:20 Block: 1 Addition: Duckwood Estates
PID:10-21900-01-200
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
James B Hodgson
3510 Widgeon Way
Eagan MN 55123
Sela Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823-8046
Applicant/Permitee: Signature Issued By: Signature