3518 Widgeon Way
cinr oF EAGaN SEVIIER SERVICE PERMIT
3795 !'11ot Keob Road PERMIT NO.:
F--on, MN 55122 DATE:
Zoning: No. of Units:
Owner:
Address: -
5ite Address:
Plumber:
I agree to aomply with !he City of Eagan Connection Charge:
Ordinanoes. Account Deposit:
Permit Fee:
5urchorge:
By Misc. Charges:
Date of Insp.: Total:
Insp.: Date Paid:
CITY OF EAdAN WATER SERVICE PERMIT
3795vrilof Knob Road PERMIT NO.:
Eavon, MN 55122 DATE:
2oning: No. of Units:
Owner. -
Address:
Site Address:
PI umber:
Meter No.: Connection Chorge: ~
Size: Account Deposit:
Reader No.: Permit Fee:
1 ogrea to eomply wi1h Nw City of Eagan Surchorge:
prdinances, Misc. Charges:
Totol:
gy Dote Paid:
Date of Insp.: Insp.:
CITY OF EAGAN
• 3795 Pilor Knob Rood Eogon, MN S5122 N2 6210
~ PHONE: 454-8100
BUILDING PERMIT ReceiPt #
Te be stsd fer Fst. Value Date , 19
Site /lddress Erect ? Occupancy
Lot Block Set/Sub. Alter ? Zoning
Pprcel # Repair ? Fire Zone
Enlorge ? Type of Const. _
aWC Nnme Mave ? # 5tories
~ Address Demolish ? Front h.
Ci Phone Grade ? Depth ft.
p Na~ I?PProvals Faes
Address Assessment Permit
Ci Phone Water & 5ew. Surcharge
Police Plan check _
~,~,°C+, Na~ Fire SAC
Address Eng. Water Conn.
<W Ci Phone Planner Water Meter
Council Road Unit ~
I hereby acknowledge that I hove reod this opplicetion ond state tfiat gldg. Off.
the informotion is correct and agree to comply with oll applicable
$tote of Minnesota Stotutes ond City of Ea9cn Ordinances. APC Totnl
Slynature of Permittee
A Building Permit is issued to: on the express condition thnt
nll work shall be done in accordonce with all applicable Stote of Minnesoto Statutes ond City of Eagon Ordinonces.
Building Officio)
Pennk # OeM b~wd PonmMfN
Plumbing 2~G> -J -,P/ ,
Mechaniwl a7 / / - /O - ~d
-A. yG
/
INSPECTIONS DATE INSP. Rough-In finol
Footing5 ~ Dote Irap. e Imp.
Foundation _ Plumbing
Frame/ins. Mechaniwl
Final 1-4n
Remarks:
N~- ~~'o•~_
?E' /b~0-d( N~~ do.,~ r Tr~„As ~ C~°~t,
1z~hd,-0, i Is o~l~ ~~rs
ar^f P
- - cirY oF EA"N
• 3795 Pilat Knob Roed
- Eoyee, Minneaota 65122 INSPECTOR NOTIFICATION
NO' Phone: 454-8100 REQUIRED BY LAW
PERMiT FOR ALL INSPECTIONS
~ .~..~Z - .
Date: Receipt No.:
Single I
Site /lddreu: Residential
Lot Block Sub/Sec. ~Multi Res., Comm./Ind. I
Nome
New/Alter./Repalr
; Address . . ~
Cost of Instcliation
O
^f _ .
City Phone: Pe?mit Fee
Name
~ Surchorge
g Address 74 S
e
e
t)
City Phone: Total
This Permit is issued on the express condition that all work shall be done in accordcnte with all appliooble State of
Minnesota Stotutes ond City of Eogan Ordinonces.
9uilding Official
' - ' - CITY OF EAGAN
• 3795 Pilot Knob Roud
Eosen, Minnesate 55122 INSPECTOR NOTIFICATION
No. Phene: 454-5100
REQUIRED BY LAW
FOR ALL INSPECTIONS
PERMIT
Date: Receipt No.:
Single I
5ite Address: - ' Residential
Lot Block Sub/Sec. ^Multi Res., Comm./Ind. I
Nome - i- New/Aiter./Repair
.
; Address Cost of Instollation
O
~
City Phone: Pe?mit Fee
Nome ~ Surcharge
.
~
~ Address
Ciry Phone: Tota l
This Permit is issued on the express condition that oll work shall he done in otcordonte wlth oll opplitable Stata of
Minnesoto Statutes ond Ciry of Eogan Ordinances.
Buildirg Officiol
CITY OF EAGAN Remarks
Addition DUC000?l ESTATrS Lot 22 aIk 1 pa~~~ ",0A
Owner ~~~A"-5 i~+~ ~ ~ screet 3518 East Widgeon Way State Eagan, MW 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR. O Im , 1981 1739.35 347.87 5 1391.48 A009899 2 9 81
GRADING
SAN SEW TRUNK 1971 109.77 5.49 20 49.49 A009899 2 9 81
• SEWERLATERAL 1 2471.02 A009899 2 9 8
WATERMAIN
* WATER LATERAL
WATER AREA 115-9 1972 111.81 5.59 20 55.91 A0098 9 2
*service
t STORM SEW TRK
* STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
8L11LDING PER.
SAC 525.00 21149 10 1/80
PARK
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number. .
Eagan, Minnesota 55123 Date Issued: Feb /e 44 ~
(612) 681-4675
SITE ADDRESS: ~ APPLICANT:
i.l ~ ~;i:l l'~~ . i'.~ ! I ii . ili ~ ~~•,f~htf . t N1
i~li~ ~ i i~~~i~~ t, I I i , i. ~ . { 1~•~
PERMIT SUBTYPE: TYPE OF WORK:
, . ~ . ,
INSPECTION . .
; ~~u 1 l r•I~~'. ,,,,r+ ~ ~i~..
;t i Pt n i
i~ f fqrs; l ~ I} }+/a}tA I I I•1 Ir441 1 !f.l fi1l 1 1 i 'iWY' t' 11 I ~
' ~J
L
Permk No. Permft Holder Date Telephone k
S/VN
PLUMBING
HVAC
ELECTRIC
.
ELECTRIC
Inspection Date Insp. Comments
Footings I
Foundation
f ~
Freming I C rn-gr
Roolln9
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Orset Tesl
Final Plbg. Plbg. Inspector- Notify Plumber
Const. Meter
EngrJPlan
Bldg. Final G p L ~ v- ~
? iv
Oeck Ftg.
DeCk Fnal
Well
Pr. Disp.
11NSYL:L 11U1N KLI:UKv
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number. s}, ILO F3
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITEADDRESS:' APPLICANT:
. . t t I t<trF hs WQY
PERMIT SUBTYPE: TYPE OF WORK:
~ , , t ; ~ ,
INSPECTION DA .
nifSi Y~ f( 111 Pfll~.l f<!' IN';T'i 1 1 I~ I;i 1 1,;:i
~ ~
Permit Holder Date Telephone #k
PLUMBING
HVAC
Inapectlon Date Inap. Commente
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
aRSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
coNOUCTiwrv
TEST
HYDROSTATIC
TEST
BSMT R.I. I
BSMT FINAL II
OECK FTG I
I
DECK FINAL I
I
I
r ,
>e ~~-~°°'4~~-~ r~r~.~ T~. ~sr'~"-~~' ~,?~~r,~
C~twr#ifirttfP vf (~rru~ttnrg Lz ~a
~
Citp uf (EAgan ~
lgepttrtmrni nf iguilDing Insprrtinn
I Thir Certi ficate irrued purtHarot to the requiremerus of Serlron 306 of the Uuiform Building
Codr rMifying that at the timt of iswancc tbir ttrrutart wat in tomplianrt with the variout
j I ordinannr o f the City rrgrJoting building ronnruttian or urr. For the f ollouting:
rt~'I IheCI~Gu6m SF I)V'i/CAR 61d6.Pemtit No. F)ZZO Ir
kl o.~'ha R3 tyrV Fm zm 3 Rl ~
Burford Construc. P.O.Box 21218,Eagan
- l~~ OweveLW9dinf Addma i~ .
rl 3518 Widgeon I4ay L22,B1, DuckwOod
BY ~
B.Kft Offi" 1-29-81
~ r
aas. , e .
. . . - . . ,
~
J ~ .
~
.I.oiI ,.s<. ..a,.....u - . . .
CITY OE E21GAN Include 2 sets of plans,
r U 1 site plan w/elevations &
BUILDING PERMIT APPLICATION 1 set of energy calculations.
lY
40 Be Used Forta- 16~- oc~Valuation ~ Date l/;Cqn
Site Pddress C-C14-~' i OFFICE USE ONLY
Lot ;9,:)- Bloclc Sec./Sub. t'e I" ~zw Frect Occupancy if 3
Parcel 7jv4cCc900--) Alter Zonin4
RPpair Fire Zone 3
O.mer: Enlarge _Type of Const.
Address: i"bve # Stories
Dennlish Front ~ ft.
City/2ip Code: Grade Depth ~ y ft.
Phone
P,PPFtOVAIS FEES
Contractor: Assess[m.nts Petmit //s"
Pddress: ?^later/Sewer Surcharge-
~ 6 C~ ~X Police Plan Check ~r? ~n
City/2ip Code: Fire SAC ~rg ~-a 0
Eng. Water Conn. 'a o,S, a o
Phone 7 Su 7'~ planner Water Meter & e e 6
Council Road Unit ~ gs o e)
Arch•/Eng'° Bldg. Off.
Address: APC ~
City/Zip Cocle:
Phone TllTAL a6 J'c)-.~
CITY OF EAGAN
9795 Pilot Koo6 Rood Eagae, MN 53122 N2 6210
° VHONE: 454-8100
BUILDING PERMIT APPLICATION Receipt # .2&
Te M used fe, SF DWG/GAR Est, Volue 40,000 pczte 10-1 , 19$0
Site Addrew 3518 Widgeon Wfl,y Erect g]L Occupancy R3
Lot 22 Block 1 Sec/Sub. DuCISWOOCI Alter ? Zoning Rl
Parcel # 10 21900 220 Ol Repair ? Pire Zone 3
Enlorge ? Type of Const. V
w Nome Burford Construction _ Move ? # Srories
z Address P. 0. Box 21218
Demolish ? Front 48 ft.
C; Eagan. Mn phone 454-3237 Grade ? Deprh 34 h.
~ Nnme Approvab Faea
0
o~ Address Same Asseshont-9--40 Permit 115.50
V~ Ci Phone Woter & Sew. Surcharge 20.00
Police Plan check 57.75 .
~Z Name pre SAC 525.00
Address Eng. Water Conn. 3 5.00
<w Ci pFqne planner Water Meter 60.00
CAUnCiI Rood Unit 185.00
I hereby acknowledge thot I have read this application and state that gldg. Off.
the information is correcf and ogree to comply with oll applitoble 1,268.25
State of Minnesota Statutes and Ciry of Eagan Ordinances. APC Total Signature of Permittee
A Building Permit is issued to: Burggya aenr*yuA+a4An on tha axpress condition that
oll work shcll be done in accordunc with all appl' le tate of Minnesota Statutes and Ciry of Eagan Ordirwnces.
Building Officiol ~ ~
Certificate £or:
Burford Construction
P.O. Box 21218
' Eagan, Mn. 55122
DELMAR H. SCHWANZ
l'.ANO SURVEVOR
r RpiftHetl UnAer Laws of The StaU of Minnesob
2878 - 146TH STREET W. - BO% M R08EMOUNT, MINNESOTA 66068 PHONE 812 4294178Y
SURVEVOR'S CERTIFICATE
rLI. 1z N sa°w'S-1"E
,
ITS
w ~ ~y
d N
N ~ .
/ n
N z%n = v ~DO _ 3-
~ ~ flo seo ~ zb,(y.~ ~
/ n
~ ~.~pJSP_ n 5~ N
~ 19.00
A_ 3O ~QQ
, S
o pQ ~ ~
14,48 e~2'0~o
5 ~g R=t~Z ~
I hereby certif"y thst this is a true and correct representation of
Lot 22, Bloak 1, DUCKWOOD ffiTATES, according to the recorded plat
thereoP, Dakota County, Minnesota. •
Also ahowing the location of a proPoaed house thereon.
Dated: September 22, 1980
MINNESOTA REGISTRATION N0.8816 -
~
l 8 \Al 1 D 61 -~o zU W 4~'
EXTERIOR ENVELOPE AVERAGE `U" COPIPUTATIOr1
y...
OWNER 0 Burford Construction Inc.
~ . . . Enc.a.t,r, mttv 55121
SITE ADDRE$$ PHONE 454-323
CONTRACTOR BURFORD ION, Inc DATE PHpNE
Deter rorking square footage of each.
S6
1. ToCal exposed wall area /63Cc sq. ft. x,2i m3 31
2. Total roof/ceiling area f o zZ sq. ft. x. 06 ° (o).414-
Total exposed wall area above floor
i
a. Total wall windotr area i~•7s
b. Total door area 8,7a
c. Total sliding glass area -o-
d. Total fireplace wall axea .
e. Total wall framing area (average lOK)...
f. Total net wall area above floor
g. Total rim joist area ~rZ.o
Total exposed foundation area ~ Ilb,o
h. Total foundation taindow area
i. Total net foundation area above grade
Determine "U" value of each wall segment.
a. 17 Z,7J x nU~a , S8 ° 1 S
b. 38.~5 X aUs~ ~MO'-~ a Z,71
C. _o_ g nt1:` D. g "U;+ _4
0 ~ zo,o
6. n ~3.G X nU~~ I l~.r'. LK3
F. 2,5.9 X "Uir .,,,1 a 1
g• I 1 Zr r~ X IfU! . ~(o a ~n, g9 2
h. -o- X "Ul. -o-
3. To, o X,;U" .30 ~35~c&
3 ............................................Tota1 ~ i.60 If item #3 is the same as, or lesa than item #1, you have met the
intent of SBC 6006(c)2.
Total exposed roof/ceiling area
Total skylight area - 0
k. Total roof/ceiling framing area(average 0
1. iotal net insulated roof/ceiling area
Determine "U` value for e3ch roof/ceiling segment.
J. -v - X I,U;? . -o - : -v-
k. (vz,q x 'u" .v-) l = 7.~7
1. Zl, X ';U11 ,o- = Z/4 .........................................Tota1
If total of #4 is the same as, or less than #2, you have met the
intent of SBC 6006(c)1.
. Alternate Building Envelope Des1gn
To utilize the total envelope system method, the values established
by the sum af items #3 and N4 shall not be greater than the sum of
items #1 and #2.
~ + 2. ~o~• /
1. ~~3= ~ ~ ~ os
+ u. 9.Z1 = Z50 815~
PERMIT
1C,~ITY OF E•ArGAN
yc~830 Pilot Knob Road PERMIT TYPE: B U I L O I N G
Eagan, M in nesota 55123 Permit Number: 023732 (612) 681-4675 Date Issued: 0 6/ 0 7/ 9 4
SITE ADDRESS:
3518 WIDGEON WAY
LOT: 22 BLOCK: 1
DUCKWOOD E5TATE5
P.I.N.: 10-21900-220-01
DESCRIPTION:
(3-SEASON)
Building-.Permit Type SF PORCW
`Building Wo.nk Type NEW
'
~ :,i : - . .
, .
L.L~'7
REMARKS:
A SEPARATE PERMIT IS REQUIRED FOR ANY ELECTRICAL WORK
FEE SUMMARY:
VALUATION $7,000
Base Fee $90.00
Surcharge $3.50
Total Fee $93.50
CONTRACTOR: - Applicant - sT. Lzc. OWNER:
PATIO ENCLOSURE3 INC 15251494 0001676 REYE3 FRANK
5120 CEDAR LAKE RD 3518 WIDGEON WAY
ST LOUIS PARK MN 55416 EAGAN MN 55123
(612) 525-1494 (612)688-9541
I hereby acknowledge thaC I have read this application and state that the
information is correct and agree to comply with all applicahle State of Mn.
L Statutes and City ofi Eagan Ordinances.
~~ANT/PEITEE S GNATURE I SUED B SIG ATUR
. Y ' _ _ _ _ . .
PERMIT # CITY 6F EAGAN L,
19WBUILDING PERMIT APPLICATION MAY ~
681-4675 2 3_1994 _
SINGIE & MULTI-FAMILY 2 sets of plans, 3.registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural 8 structural plan.s, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested,'but not picked up by tast working day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
Date s /19/ 94 Valuation of wark S10,500.00
Site Address: 3518 NTidgeon Way
STREET STE ¦
Tenant Name; Frank & Jan Reyes
r
Lor eLaK I wm. P. I.D.
Descri tion of work: Building a Three Season Parch to existing structure
The applicant is: ? Owner ER Contractor ? Other (oescr+ne)
Name Sarm As AJOve Phone 688-9541
Property uST F?RST
Owner Address
STREET ' STE ~ City F.aqan State rIN ZiP 55123
Company PATIOENCiASURES IlvC Phone 525-1494
NN 55416
Contractor Address 5120 ceaar iake xd.,st.rouis Prlc License # 0001676 Exp. 3/31/95
City St.Louis Park $tdte M` Zip 55416
Company sEE ATTACHED ING•PAPMWW Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber . Processing time for
sewer & water permits is two days once area has been approved.
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.
Signature of Applicant:
vrrwc uac unLT >
BUILDING PERMIT TYPE . .
0 01 Foundation ? 05 Apt. 61dg ? 09 Basement Finish [3µ13,1' bliFar~-
iji
02 SF Dwg. ? 06 Garage/Accessory ? 10 Swim Pool -Q=14'Agri~ultural
0 03 Two family ? 07 Fireplace ? 11 Res. Add./Parch ? 15 Miscellaneous
? 04 Multi-fam. T.H. ? 08 Deck ? 12 Comm./Ind.
WORK TYPE
? 31 New O 34 Repair ? 37 Demolish
? 32 Addition ? 35 Tenant Finish ? 99 Undefined
? 33 Alterations ? 36 Move -
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(A1Towable) lst F1. sq. ft. City Ylater
UBC Occupancy 2nd F1. sq. ft. PRV Required
Zoning Sq. Ft. tntal Boaster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code
Depth On-site sewage 5AC Code
APPROVALS
Planning Building Assessments
Engineering Yariance
REGIUIRED INSPECTtONS
? Site ? Foating ? Framing ? Insulation
? Wallboard ? Final ? Draintile ? Fireplace
Permit Fee voiL.c;a,: s
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC %
SAC Units
.
MAY 17 '94 04:40PM PATIO ENCLOSURES ' P•2!4}
~ ~J
B~ 3 +Qt
N5
~
J
~
~
N
. ti
. . . ~
~ 1
,13 ~ F..
. ~ Gt 4 ~ty 'a ~ .1ot -a~ `3 •c, u, `_'t
l ~in H
H
-_~`fl 7p M
• -1.. . v
m ;y
. . .
~
~
~
• ~
,
yC iVl :
nat ruction
21218
~;n, 1Mi1, 55122
• ~xc'
DEIMAR H. SCHWANZ
LANDSURVEVOR
RN49terM Untlsr Laws 01 TM Slab o/ MinMfob
~ 7978- 146TH STREET W. - BOX M ROSEMOUNT, MINNESOTA 68068 PMONE 672 423-77{Y
SURVEYOR'S CERTIFICATE
rtY.12 N 88°y'Si"E
/rs
~ - ~
~ ~ ~Fz
~
d 13
~ .
l~l ~ ' ~Fl~ ~ Z N
N Zf.~9 ' V w
m
~ DobCO I~'~~ :
crr-
~ - - -
_ ~ t~
~ " Vie;
~;,s S~ale
~ AQA1 ~Sr` *1 `j+~
74.46 0• 2p•0 'j .0 5
5g
I hereby certily thst this is a trtte and correct representation oP
Lot 22, Block 1, DUCKWOOD ffiTATES, according to the recorded plat
thereof, Dakota County, Minnesota. ,
Also ahowing the location of a proposed houee thereon.
Dated: September 22, 1980 '
MINNESOTA REGISTRATION N0.8825
PERMIT
.CITI( OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 0 3 3 5 9 8
(612) 681-4675 Date Issued: 10 / 0 7/ 9 S
SITE ADDRESS:
3518 WIDGEON WflY
LOT: 22 B'LOCKv 1
DUCKWOOD E3TATES
P.I.N.: 10-21900-220-01
DESCRIPTION:
GAS INSERT
Biilding , i,Permit Type FTREPLACF
6uiiding WrS`r.k Type ALTERATION
,~'Gensus GoOe '434 AIT. RESIDENTIAL
;
W ~
0..?'-..e.. J:t U /a a
Y
~ ~ ~~'~.,t~`i',~ j~,i y l~~/~~ t~,•~~1~IE°='~!
~ 7... f . _7.`2!1 --~{-•..:~L~
REMARKS:
CHIMNGY/FLUE MUST BE ZNSPECTED BEFORE CDNCEALZNG.
FEE SUMMARY:
Base Fee $50.00
Surcharge $.50
7ota1 Fee $50.50
CONTRACTOR: - Applicant - sT. Lzc. OWNER:
FIRESIDE CORNER INC 16331042 20090911 RAHN " MRRVIN
. 2100 N FflIRVIEW AVE 3518 WIDGEON WAY
I ROSEVILLE MN 55113 EAGAN MN 55123
(612) 633-1042(651)454-4181
t hgkeby aakhowledgo thaCT have readthis aAPlicat3.on ahz} sCate that Cne
infgrmation i,s ccsrrpct and agree to comply with all a,ppkicah,la state ofi Mn,
statutes and tity o'f Eagan 4rdir5anoes« ,
~ APPLICANT/PERMITEE SIGNATURE IS UED BV: SI NAT E
' - d
~o _-7
CITY OF EAGAN
1998 FIREPLACE P'ERMIT APPLICATION
681-4675
~ r--~`l~
DATE: ~ (J ~ PERMIT FEE: $50.50
DESCRIPTION OF WORK: Construct new fireplace _ Alterations to existing
~ Install sas insert only _ Install ¢as line only
Other
OB ADDRESS:
, 1~~`CTO C'~ ~cS`TC~
LOT: ~ BLOCK: ~ SUBDMSION/P.I.D. c V~
APPLICANT (circle one only): OWNER ONTRACTOR
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.
Name: o(`i1 ~ VI ~ ~1{~~(f 1V1 Phone
PROPERTY Last ~ First
OWNER
Signature:
Street Address:
City ~C{ Cl d~'1 State: Zip: ?~S ~~3
lc~~f7-
Company: Phone
FIREPLACE
INSTALLER Signature:
Street Address: License N
City -RCAYI/Z Q/i°! State:~ Zip: _~31
Company: Phone if:
GAS LINE
INSTALLER Signature: Vil
Street Address:
I I
OC7 - 61398
V
~r
OFFICE USE ONLY
BNLDING PERMIT TYPE
? 14 F'veplace
WORK TYPE
? 31 New 0 33 Alterations
O 32 Addition ? 34 Repa'u
GENERAL INFORMATION
Census Code. 434
SAC Code Ol
REMARKS •
Chimney/flue must be inspected before concealing.
1 a~ 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
~ CITY OF EAGAN
3830 PII.OT KN08 RD - 55122
(651) 681-4675
Yew Constructian Reauirements RemodeUReoair Reauirements
? 3 registered ske surveys ? 2 copies of plan
? 2 copies of pians (include beam 8 window sizes; poured fnd. design; etc.) • 1 sfte surveys (exterior additions 8 decks)
? 1 energy calculations • 1 energy caloulations for heated additions
? 3 copies of tree pieservatian plan 'rf lot platted after 7/1/93
required: _Yes _ No
DATE: 'e- I J'- 51,9 CONSTRUCTION COST:
DESCRIPTION OF WORK: ~j'-
STREET ADDRESS:
LOT: BLOCK: I SUBD./P.I.D.#: ~IAGK.~ND(1G1 -F~~~T~S
Name:/(A/7N Phone#:
PROPERI'Y Last First
OWNER
Street Address: 3;~rI ? L~I~~rJ~? !/~~y
Ciry 4E;~A'41 state: zip: ~i
Company: 1i/7l1E Phone#:
CONTRACTOR
SueetAddress: c9417 License# r371~ Exp. ~ dfl
City State: AVAI Zip:
ARCHITECT/
ENGINEER Company: Phone
Name: Registration
Street Address:
Ciry State: Zip:
Sewer 8 water licensed plumber (new construction only): . Penaity applies when address
change end lot change is requested once permit is issued.
I herebypcknowledge that I have read this application, state that the information is corr t, gree to comply with all applicable
State of Minnesota Statutes and City cf Eagan Ordinances.
Signature of Applicant:
~ ~ I- ~
OFFICE USE ONLY
Certifcates of Survey Received _ Yes _ No AUG I 3
11 ~
u ~
Tree Preservation Plan Received Yes No _ Not Required
- - I
OFFICE USE ONLY
3UILOING PERMIT TYPE
7 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
3 02 SF Dwelling ? 07 4-plex ? 12 Multi RepaidRem. ? 17 Swim Pool
7 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility '
7 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
7 05 SF Misc. ? 10 = plex O 15 Deck
NORK TYPE
7 31 New ? 33 Alterations ? 36 Move
1 32 Addition ? 34 Repair ? 37 Demolition
.iENERAL INFORMATION
.onst. (Actual) Basement sq. ft. Census Code
(Allowable) Main level sq. ft. SAC Code
JBC Occupancy sq. ft. Census Units
?oning sq. ft. Census Bldg
# of Stories sq. ft. MC/ES System
_ength sq. ft. City Water
Nidth Footprint sq. ft. Booster. Pump
PRV
Fire Sprinklered
4PPROVALS
?lanning Building Engineering . Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MC/ES SAC
Ciry SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded. }
Trails Ded.
Other ~
Copies •
Total:
% SAC
SAC Units
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA142530
Date Issued:05/08/2017
Permit Category:ePermit
Site Address: 3518 Widgeon Way
Lot:22 Block: 1 Addition: Duckwood Estates
PID:10-21900-01-220
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.
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 (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 -
Marvin Tstes Rahn
3518 Widgeon Way
Eagan MN 55123
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature