3535 Widgeon Way 1
CITY QF EAGAH WATER SERYICE PERMIT
3745 Pilu± Knob Rood PERMIT NO.:
Eagao, MN 55122 DATE:
Zon'ing: No. of Units:
Owne r:
Address:
Site Address:
Plumber:
Meter No_: Connedion Charge:
Size: Atcount Deposit:
Reader No.: Permit Fee:
1 agree to eomplp with the C4ty of Eogan Surcharge:
Ordinanees. Misc. Charges:
7otal:
By Date Paid:
Date of Insp.: Insp.:
-
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1} '
i
CITY OF EAGAN SEWER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.:
Engo-1, MN 55124 DATE:
Zoning: No. of Units:
Owner:
Address:
Site Address:
Plumber:
1 agrea to oon+ply with the Citq of Eogon Connection Charge:
Ordinonees. Account Deposit:
Permit Fee:
Surcharge:
BY Misc. Charges:
Date of I nsp.: 7ota1:
Insp.: Date Paid:
i~
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CITY OF EAGAN Remarks
Addition DUCKWOOD ESTATES Lot 14 elk 1 Parcel' 0 21900 1
oWnerLa; ~)1~lf~~,;, street 3535 Widgeon Way State Eagan, hiN 55123
'r Dr.
Improvement Date Amount Annual Years Paymeni Receipt Date
STREET SURF.
STREETRESTOR. iRp. 90 1 1739.35 347.87
5
GRADING
SAN SEW TRUNK S 1971 109.77 5.49 20 9 y A01032 -29-8
• SEWER LATERAL s-Q
~
WATERMAIN
t WATER LATERAL
WATER AREA / 1972 jjj.$j S ZO
:
• STORM SEW TRK
w STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Unit 185.00 23787 3-18-81
WATER CONN. 335.00 237$7 3-1$-$j
BUILDING PER, 6528
SA C
PARK
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DA7E 19
RECCIY6D
FROM
AMOUNT $ I
b DOLLARS
1 oo
? CASH ? CHECK
FOR
FUND CODE 0.140UNT
Thank You
BY
VYhite-Payers Copy
Yellow-Posting Copy
Pink-Pile CoDY
, . . ......~...,fi:~::. -~.~-.-.r. . . .w•, -o: rn . ,.;.r-.an..~a..°-:w .-'.rsr-"--.u-.~
CITY OF EAGAN 17005
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE:454-8100 -
Receipt #
To be used for CHIMNEy YWE Est. Value ;i .000 Date AIFG 24 ,1989
Site Address 3535 NIDGEON WAY
OFFICE USE ONLY
Lot 14 elock 1 Sec/Sub. DUCPiOOD SSTATE
Parcel No. Occupancy - FEES
EARL ROTTRE zoning -
¢ Name (Actual) Cons1 - Bldg. Permit 26•~
o Address 3535 WIDGEOq W1Y (Aliowable) - Surcharge
City EAGO Phone 454'5614 # ot Stones -
Length Plan Review
o Name JACK P2XLEY SYBF.PS, INC pepth - SAG City
Address 4179 149TH AVE NW S.F, Total
U~ City Phone 22"0~81 S.F. Footprints _ SAC, MCWCC
F On Site Sewage _ Water Conn
¢ Name or, site wen
W W - Water Meter
Address MwcC system -
o= Acct. Deposit
< W City Phone City Water _
PRV Required _ S/W Permit
I hereby acknowlege that I have read ihis application &nd state that the Booster Pump - SiW Surcharge
iniormation is correct and agree to comply~ wiSp ap able State of
MinneSOta Statutes eM1 ~ity 0f Eagan Ordin~n `s ~ Treatment PI
Signature of Permi[ee, 011 y~, APPROVALS Road Unit
JACK PIX1.8Y IlWEEPS, IIUC Planner - park Ded.
A Building Permit is issued to:
on the express condition that all work shall be done in a{:cordance with all Council _
applicable State of Minnesota Statutes and City of Eaga , Ordinances. Bldg. Olf. _ Copies
. 2b. SO
Building Ofiicial Variance - TOTAL
Permk No. Permit Molder Date Telephone k
WATER
SEWER
PLUMBING
H.V.A.C.
EIECTRIC
Inapection Date Insp. Comments
Footirgs I
Foundation
Framing
Roo(ing
Rough Pobg.
Rough Htg.
Isul.
FirePlaCe
Final Htg. j h c Jm w4af,
}inal Plbg.
Const. Meter Plbg. Inspector - Notity Plum6er
EngrJPlan
Bldg. Final ~h ~
Deck Ftg.
Deck Finat
Wetl
Pr. Disp-
•
• CITY OF EAGAN
' ,4 3795 Pilot Knob Rood Eagsn, MN 55122 N2 6528
PHONE: 454-8100
BUILDING PERMIT Receipt
To be und for Est. Volue Date , 19
Site Mdress hErect 0 Occupancy
Lot Block Sec/Sub. Alter ? Zoning
parcel # t Repoir ? Fire Zone ;
Enlarge ? Type of Const.
oWc Nome Move ? # Stories
Z Address ' Demolish 0 Front ft.
~ Ci Phone Grade ? Depth ff.
~ Nume Approvols Fees
~a
Address Assessment Pertnit
~ Ci ph~ Water & Sew. Surcharge
Police Plon check
~W Nome Firo SAC
u~ Address Enp. Water Conn.
<W Ci phone Planner Woter Meter
Council Road Unit
I hereby acknowledge that I have read this applicotion and state that gldg, pff.
the informotion is correct ond agree to comply with oll appiicoble
State of Minnesota Stotutes ond Ciry of Eagan Ordinances. APC Total
Slgnature of Permittee
A Bullding Permit is issued to: on the express condition that
all work shall be done in accordanca with all opplicable State of Minnesota Stctutes and Cty of Eogon Ordinonces.
Building Officiol
.
Poek # Doh Inaed Pannittn
Plumbing / --f-,,P/
Mechonicul s- /
r
jt_ c:,- ~ , % J.-f SS`~ / ~ - ~ - r~-••- , ~
7-2 i J4 7
INSPECTIONS DATE I INSP. I Rouwh-in I Finel
FoOtings Date Insp. Date Insp.
Foundation Plumbing
Frome/ins. Mechonical
Finol
Remorks:
' . arir oF UGAN
. ~ ' 3795 Pilot Knob Roed
No. Easan, Minnosote 55122 INSPECTOR NOTIFICATION
Phene: 454.8100 REQUIRED BY LAW
PElCMIT FOR ALL INSPECTIONS
Dote: Receipt No.:
Single (
Site /lddrcss: Residentiol
Lot Block ~ Sub/Sec. ~'t x' Multi Res., Comm./Ind
~ I
~ 7.t't'SO ?"i~
Name t~ I New/Alter. / Repair
~ Address 7-381G Tin1VO)'F'. T,ri
~ Cost of Instollotion
City Phbne:
Permit Fee
~
Nome ' =n
~
Surcharge
~
1 ,:'1'? = c _ ' r; _ _
~ Address
City Phone: Total
This Permit is issued on the express condition that all work sholl be done in occordance with oll opplioable State of
Minnesoto Stotutes and City of Eogan Ordinonces.,
I~ Buildinfl Offlciol
Receipt PLUMBING PERMIT Permit No.
CITY OF EAGAN
Fee
Fill in numbered spaces S/C
Type or Print legib/y Tot
~
1. Date 2. Installation Cost
~~}y
3. Job Address3~ ~fJ. co~ Lot Blk. Tract
4. Owner L- 10
5. Contractor~G~ Phone
~
6. Address ~ 7 V~5 Sc) /~GfJE~~~ ~Cf~ 1 ~
7. City ' ) i G) aN 7 State /1'1 I?J. Zip ~ ~ .
8. Building Type: Residential ~ Commercial 13 Institutional ?
9. Work Description: New I~ Add O Alter O Repair ?
10. Describe
11. No. Fixtures No. Fixtures
Water Closet
- Bath tubs Septic Tank
Lavatory Softner
' Shower Well
/ Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outleu
12. I hereby certify that the above information is true and correct, and I agree to
comply with afl ordinances and cpdes governing this type of work.
Signed : for
Rough Finat
Inspections: Date Insp. Date Insp.
.This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
• ~ r
ye~~ "
:
(~rx~~f ira#r of O"Orruvttnry
(titp of (eagatt
~`~r ~F~tFtx'#1riFltt D~ ~illtl~ilig JtLS}~P!'#tDtt `
i.r TIJ11 CKIt ficatc i.raued pursuunt to the rrquisementJ a/ Section 306 of t!x Uni form Building
Code urti fying that at thcitima o f is.ctianrc tbrr .rtructure war in com pliance with tlx varioru
ordinancu o f the City scgul~ruing buildiag connruciion or sue. For the f ollouing:
i I U.e ChtdScatim SF nq(nar Bleg PsmUt No. 652$
C.-PancYh'Pe R3 1YDe Nou V Fire7ona 3 Zoning Disuict R1
of M'„a To 1 afs~m aii 1 r'~araAdd,,, 1181 C F3n1 gokp TaM_ Arin7
aJamB Aaa.. '453 5 ge= Way-L«.,itY
~ k Bieldin{Offidd I ~ Date: Jlm 18• 1981
.
'I ?Oil N A CONf~ C Wf ~twCG
. . .
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~
CITY OF EAGAN
8
. ' 3795 Pilot Knob Road Eogan, MN 53122 N? 652
. PHONE: 454-8100
BUILDING PERMIT APPLICATION Receipt # 7
Te be umd for $F Mr3/C'AR Est. Volue 70r000 DMe 3-19 , 19 sl_
Site Address 3535 W].dgeon WdV Erect ~ Occuponcy R3
Lot 14 Block 1 Sec/Su6. ~~~h~ Alter ? Zoning Rl
Parcel # 10 21900 140 Ol Repair (3 Fire•Zone 3
Enlarge ? Type of Const. _ V
rc Name `i'n» efapn Bl [Lrs Move ? Stories
z Address 13816 Holyoke Ln. . Demoiish ? Front 70 ft.
ci App10 V311217 Phme Grade ? Depth 26 fr.
w Nome aana Approvals Fees
ou Address 'lssessrri 2-?~_-. Permlt 146.50
V~ CI Phone Woter&Sew. Surcharge 27 -0Q
~z Police Plan check 73.25
~Z Nome Fire SAC 525.00
sa Address - Eng. Water Conn.335.00
<w CI Phone Plonner Water Meter 60.00
Council Rood Unit 185.00
I hereby ackrwwledge tFwt I have read this apPlicotion and state that Bldg. Off.
the information is correct and agree ta comply with oll applicable
State ot Minrresota $tafutes ond City of Eogan Ordinances. APC Total IF~~S
Signoture oF Permittee
A Building Pertnit is issued to: TbllefSOri BZC1Y'S. on the e~press condition that
oll work sholl be done in occorda ~ wityh a~ll a~ppl' ble ote of Minnewta Stotutes and City of Eagan Ordirwrrces.
Buflding Officiot '
~
QTY CF FrF ~GGAN ITZels12 2 SetS Of plans,
. 1 site plan wJelevations &
Hf1ILDIIVG PEIfIIT APPLICATION 1 set of energy calwlatians.
7b Be Usea ~ . ~~~tion &nod Date
Site Addres8 s CFFICE USE ONI,Y
Ivt /'V elock / Sec./5 pocupancy
Parael -Qj9zi> alr.es Zoni.rg
. Aepair Fise Zone
Owner: Enlarge _ 1Ype of Oonst.
Address: Move N Stories
Damnlist~ Front 70 ft•
citYl7aP code: craae - neprh a G ft.
Ptloale
' APPR(7VAI.S EEES OontSactox: Asgessttients Peanit / 5+4 . So
AddsESS: / Water/Sewer Surc#uazge 2 74 a
~a, Polioe rlan Check 7 3 aS
CitY/ZiP Clode ?//~~~5`ia~ Fire SAC cs 2j- n O
E1ig. Water Con. a 8Sm o ~
~ Planner Water Metes
.GOaG
Ardz./brg. c Cauicil Iioarl Unit i 8S o0
Bldg. Off.
Jlddress: • APC
C1tY/2ip Oode:
~thane 7t7TAL
;
CITY OF EAGAN NO 'I 7005
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55127
BUILDING PHONE:454-8100 ~~ya'~
PERMIT Receipt # ~ R~
To be used ror CHIMNEY FLUE Est. value $1, 000 Date AUG 29 ,ig 89
Site Address 3535 WIDGEON WAY -
Lot 14 Block 1 SeclSub. DUCKWOOD ESTATES OFFICe USE ONLv
POfCEI NO. Oaupancy - FEES
Zoning _
x Name EARL KOTTKE (AMUap Consl - Bld9. Permit 26.00
w
~ Address 3535 WIDGEON WAY (Ailowable) - Surcharge .SO
° cjty EAGAN Phone 454--5614 a oi srodes -
Lenglh _ Plan Review
o Name JACK PIXLEY SWEEPS. INC Deplh - SAC,CiIy
Address 4179 149TH AVE NW S.F.7ola1 - SAC, MCWCC
City ANDOVER PhOne 422-0481 S.F. Foolprinls _
On Site Sewage _ Water Conn
rulg Name On Si1e Well - Waler Meler
AddreSS MwCC System
Axl. Deposil
City Phone CiryWater -
PRV Required _ S/W Permil
I hereby acknowlege ihat I have read ihis application and state that the Booster Pump - SMl Surcharge
infortnation is correct and agree to pl wi h na~ble State ot
Minnasola StatuI.E an Or Treatmem PI
SignaWre of Per ite I APPROVALS Road Unit
A Building Permi ' is ~ to: -.TACK PIXLEY SWEEPS. INC Planner - park Detl.
on the express condition that all work shall be done in acwrdance with all Councll
applicabla Stata of Minnasota Statutes antl Cit of Eagan Ordinances. gldy, pff, _ Copies
Building Official Vanance - TOTAL 26.50
~L~{CdCL
RESIDENTIAL
~ BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 pILOT NNOB RD, EAGAN MN 55122
651-681-4675
New ConsWction Reuuiremenh RemodeUReuair Reauirements
• 3 registered site surveys showing sq. R. of lot, sq. ft. of house; and a0 roofeA areas • 2 copies of pian
(20%maximum tot cwerage allowed) . t set of Energy Calculations for heated addi[ions
• 2 capies ol plan showing heam & window s¢es; pou2d found desgn, etc.) . 1 site survey'or eztenor additions & decks
• t set o( Eneqy CakWalions . Indicate if home served hy septic system for additions
• 3 copies of Tree PmsenaUon Poan if lat platted aRer 711193
. Rim Joist Oelail OpGons selectbn sheet (biCgs with J or Iess uniCs)
DAiE if6-2-_02 VALUAiION yaV,
SITE ADDRESS 3s35 W-d
LdLr\ Yo WH MULTI-FAMILY BLDG _Y )~N
TYPE OF WORK +tHr 04 crOo~ FIREPLACE(S) _ 0_ 1_ 2
APPUCANT ~<nn:5 i'~~ ~P CbnS}(hG{,br\ L.•c i 7~33~o3t
STREETADDRESS 3074 (1L*=' A.vc NiE CITy~ASt j3g4?,d STATEAyk ZIP SsG~~
TELEPHONE #76-413-335s5r CELL PHONE # 6(2-4'g5- ff675 FAX #
PROPERTYOWNER F-url kof+-r,e- TELEPHONE#6S)-9Sw'Sblk
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINYESOTA RliI.ES 7670 Ca1'EGORI' 1 M[YYESOT:1 RliLP:S 7672
(d suhmission type) • Residential Ventlla6on Category t Worksheet Submitted • New Energy Code Worksheet Su6mitted
• Energy Envelope Calculations Submitted
Plumbing Contractor. _ Phone kf
Plumbing system includes: _ Water Sohener Laini Sprinl:ler Fee: $90.00
Water Heater No. oF R.I. Battu
No. of Baths
Mechanical Conhactor: Phone #
Mecfiviical system includes: _ Air Conditioniqfi Fec: $70.00
Hcat Rccoven Svstcai
Sewer/Water Contractor: Phone #
I hereby acknowledge ihat I have read ihis application, state that the information is correct, and agree to comply
with all applicable Sfate of Minnesota Statutes ond City of Eagan nonces.
Sfgnature of AppUcant ~ A
...__....W___"----------
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Ptan Received _ Not Requlred _
Updated al02
OFFICE USE ONLY
? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 0 1 of _ plex q 09 07-plex ? 77 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02•plex ? 10 48-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex q 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Oemolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/DOOrs
? 34 Replacement •Demolition (Entire Bld9 only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addirion) _ Plumbing
~ Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Poo! _ Ftgs _ Air/Gas Tests _ Fina]
_ Framing _ Siding Scucco Stone
Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacemen[)
_ Insulation _ Retaining Wall
Approved By , Building Inspector
-
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply 8 Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
~
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PHONE 43448100
CITY OF EAGAN
2715 VLLOT KND! ROAD
EA6AN, MINNE80TA
February 19, 1981
Dakota County Government Center
% Auditors Office
Hastings, MN 55033
Attention; peg
Dear Peg;
This letter is to verify a correcLion on the follow legals:
Receipt Ji Coo5550 which shows a
Duckwood $atat.es on D.P. #480 in the amount ofyment for Lot 13, Block 1,
t Lot 14, Block 1, Ihxckwoo $1739.35 should be for
,.d_~st~tes s 17iis correction need to be made on
he 1381 tax` statement.
Also, j
The assessment for storm sewer trunk on parcel 10 16400 082 00 ~
for $430.00 on D.P. #442 was paid and therefore should be deleted from ~
the 1981 tax statement, i
If You need additional information please call me, f
Thanks for your assistance.
Sincerely,
Ann Goers
Assessment Clerk
City of Eagan ~
i
~ ~ .
1989 SIIII.DIBG PERMIT APPLICI?ION
CITY OF 8lGAN
1
;SINGLE FAMILY DiiELLItiGS l~IDLTIPLE DYIELLINGS C014fERCIAL
`.S OF PLANS 2 3STS OF PLlN3 2 SETS OF IRCHISECTUAAL
=.4.vISTERED SITE 3DR9EYS 6EGISTSRED 3ITfi 3QAOE?S - 6 3?EUCfQRAL PLANS
i SET OF EIiEAGY CILCS. (CHECE VITfl BLDG DI9.) 1 88T OF 5PECIFIC97IONS
1 SET OF E6SAG2 CiLCS. 1 SET OF E6EBGT CALCS.
MULTIPLfi D1iE[.LIBGS EMT1L U19IT3 FO8 SALE UHITS i. UF IIHITS
M=Z& ADDRESSES FOB oDRNEA L0'!S - CD1PtAIf.TO8/80MEOWNEH !lOST ~'SIGNA7E YHICH IDDSESS
IS DESIRED. 80 CHANGES F2LL BE iLLOilED DNCE BUILDIIiG YEftlJIT IS I33IIED..
3EiiER 8 lilTER PERMIT FEE4 lAD ?CCOIIl9T DEPQSIT F6ffi WII.L Bfi INCLIIDED IiITH THE BOILDINti
pERHIT FEE. PROCESSIMG TIIS FOA SENEA lND IiITER PEIMIT5 LS TiiO DAYS CMCE E YERMIT HA3
BEEN COMPLETED I11DIClTIMG A LICENSED PLOlBEA.
PENAL'FY APPLIES WHEN: PERMIT IS NOT PAID FOR IN SAME MOMTH IT IS REQUE5TED.
LOT CHANGE IS REQUEST6Q ONCE PERMIT IS ISSQED.
To Be Used For: GNiMNL-`I Fc.UE Valuation: ~ Date: Xue~ 29 ,~9 7 cl
Site Address 35 3,~ UJ ,Wgon! 1/1)/}ap OFFICE DSB ONLT
!
Lot ~ Block Occupancy FEFS
Zoning
"~rcel/Sub ~11r~j,xmr~ Ll~~t~b 9etual Const Bldg. Permit
Alloxable 3urcharge , SD
Ormer Ed2 ~(-,0 1 TKE _ t of atories Plan Review
Length SAC9 City
bddress 3~'J WisJGE~,+J 1~R"4Depth SAC, MWCC
S.F. Total ilater Conn
City/Zip Code E.AC t4 5 5(23 Footprint S.F. liater Meter
1 ,I lect. Deposit
Phone US On site aewage S/B Permit
On aite well S/W Surcharge
tractor -~R<.K P1 Y.! Eq 5wa:PSStI~C KWCG Syatem _ Freatment Pl.
11 Ci'~g vater Hoad llnit
address 14~' /tJ, 0 ~J PB9 reqaired Park Ded.
BowrGer Pump _ Copies
City/Zip Code sUBZOTLL
IPPROPbL3 PenalLq
Phone Planner _ !OT`I.
Couneil
Arch./Engr. - Bldg. Uff.
Yariance
- - eaereas '
Citq/Zip Code
Phone 0
J~
Use BLUE or BLACK Ink
r
For Office Use
I I
Permit#:
j
non
City of Ea I Permit Fee: r~ !
3830 Pilot Knob Road I l
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff: I
I I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
r~
Date: Site Address: Unit
Name: (D\,t /a-N G- 12 [+,`r-M Phone: 61? ~ k 6 ) )-L-
Resident/ Owner Address / City / Zip: 5 Uwe
Applicant is: Owner Contractor
i 2w iZ rt T5/77
Type of Work Description of work. 1-r,. _ _.o n o
Construction Cost: 3 d oud Multi-Family Building: (Yes / No )
Company: Contact:
Contractor Address: City:
State: Zip: Phone:
License Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
R,-1 1611
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:
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 you provide specific reasons that would permit the City to
conclude that they are trade 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 to dig to receive locates of underground utilities. www.gopherstateonecall.oro
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.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit i uance.
x x attLN 6- 4p4`n
Applicant' ed Name Applicant's Signature
Page 1 of 3
3 535 Old n ~u
DO NOT WRITE BELOW THIS LINE //c,2 T 7
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
01 of - Plex _ Lower Level _ Pool _ Accessory Building
WORK TYPES
New _ Interior Improvement _ Siding _ Demolish Building*
Addition _ Move Building _ Reroof _ Demolish Interior
Alteration jjr 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 MCES System
Plan Review / Code Edition Ave? SAC Units
(25%-100% r!) Zoning City Water
Census Code 1~31~t Stories Booster Pump
# of Units ! Square Feet PRV
# of Buildings Length Fire Sprinklers
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
Drain Tile Other:
Roof: -Ice & Water -Final Pool: -Footings Air/Gas Tests -Final
Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace: -Rough In -Air Test -Final Windows
Insulation Retaining Wall: _ Footings - Backfill - Final
Sheathing Radon Control
Sheetrock Erosion Control
Reviewed By: Building Inspector
RESIDENTIAL FEES 70
S
Base Fee
Surcharge
Plan Review 3 3
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
?Q
Copies
TOTAL
Page 2 of 3
Use BLUE or BLACK Ink
---------i
For Office Use
City of Eajan I Permit#:
I C7 ~ I
I Permit Fee: I
3830 Pilot Knob Road I I 13 I
Eagan MN 55122 1 Date Received: /
Phone: 675-5675
(651) I staff:
Fax: (651) 675-5694
2013 ~J~RESIDENTIAL PLUMBING PERMIT APPLICATION
Site Address:
Date: `7 S vu`
Tenant: ,,yyam~ Suite
Resident/Owner Name: 62,0_ 6-tJ Phone: bar
Address/ City/ Zip: Zj ' D l~!% a cam' N kefu l Z
Name: License z1
Contractor Address: 1y19 1 1 [rW F City: ( ~c L1
State: Zip: Phone: 2'6`i
Contact: Email: * -
Type of Work - New Y_ Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W.
Description of work: t`✓
4e,4 ~
RESIDENTIAL cam„ rf~ I yam, ji~
Water Heater U
_ Lawn Irrigation ~ RPZ PVB) Water Softener
Permit Type Add Plumbing Fixtures Main Lower Level)
Septic System -
_ New Water Turnaround
Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
*Water Turnaround (add $200.00 if a 5/8" meter is required)
$115.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
TOTAL FEES $
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.aopherstateonecall.oro
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 app
p roval tans. _RA
x a,I 1 ylI\j L-1-17- 47,-`I x
Applicant's Printed Name Applicant' Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In _ Air Test _Gas Test Final
Meter Related Items: Meter Size Radio Read Staff:
Use BLUE or BLACK Ink
~ For Office Use I
Permit
City of Eajan I
3830 Pilot Knob Road I Permit Fee:
Eagan MN 55122 I I
Phone: (651) 675-5675 I Date Received:
Fax: (651) 675-5694
1 Staff:
L--------------
2013 MECHANICAL PERMIT APPLICATION
❑ Please submit two (2) sets of plans with all commercial applications. _ t
Date: i 17 I22 Site Address: 53 1n/ 1 & t4 ® YV Aq
Tenant: Suite M
Resident/Owner Name: f> OA AX Phone: JjGj% • 3"71 • Ge
Address /City /Zip: p
Name: I-1 E ~Tl l~ ~ L! uou I4 (7 IDEn y(J License MOOOO39
Contractor Address: 100)30 RBLE ST city: Bum N 5
State: Mfg Zip: 5543 Phone: W11-2290- (S-144 Z U11. 32-0. 101
Contact: QO 54,1.f Email: ~IERTCOOLJ ! AI~1~~ C~MAIL ~M
New X__ Replacement Additional Alteration Demolition
Type of Work Description of work:
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical Inspector for information on permitted screening methods.
RESIDENTIAL COMMERCIAL
Furnace im' New Construction Interior Improvement
qIG r~Vck 1fr
% Air Conditioner r_ Install Piping Processed
Permit Type 2 b~fh -ktv
- Air Exchanger 6%nbt Gas _ Exterior HVAC Unit
Heat Pump 9 o v L1V-4--AV 'fW" _ Under/ Above ground Tank l- Install Remove)
Other
RESIDENTIAL FEES:
$60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge)
$100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) = $ TOTAL FEE
COMMERCIAL FEES:
$70.00 Underground tank installation/removal Contract Value $ x1%
$55.00 Minimum Permit Fee
*If the project valuation is over $1 million, please call for Surcharge 5.00 Surcharge*
TOTAL FEE
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.oopherstateonecall.orii
I hereby acknowledge that this information is complete and accurate; that the work will be in confo a e 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 is to st rt wi hout 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 p ns.
x SH'AC,KEJ iCtA x
Applicant's Printed Name pplicant S gnature
FOR OFFICE USE
Required Inspections: Reviewed By: Date:
Underground Rough In Air Test Gas Service Test In-floor Heat Final HVAC Screening
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA162936
Date Issued:08/06/2020
Permit Category:ePermit
Site Address: 3535 Widgeon Way
Lot:14 Block: 1 Addition: Duckwood Estates
PID:10-21900-01-140
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Ngan Kim Dao
3535 Widgeon Way
Eagan MN 55122
(651) 447-1802
Tri County Water Conditioning Inc
325 Third Ave NW
P O Box 65
Huchinson MN 55350
(320) 587-2950
Applicant/Permitee: Signature Issued By: Signature