3542 Widgeon Way
CITY OF EAGAN WATER SERVICE PERMIT
3795 Pilot Kno6 Road PERMIT NO.: "
,'Sagan, MN 55122 DATE: . ~
Zoning: ~ No. of Units: t
C}wner: f . .77
Address:
Site Address:
Plumber;
Meter Na.: Connection Charge: ' 7 !'!A~
Size: Account Deposit:
Reader No.: Permit Fee: '~<<
1 ogree to eomply with the City of Eagon Surcharge:
Ordinances. Misc. Charges: '10 h~ ••^j;
Toto I:
gY Date Poid:
Date of Insp.: - Insp.:
CITY LF EAGAN SEWER SERVICE PERMIT
3795 ailot Knob Road PERMIT NO.:
Eagan, MN 55122 DATE: ,
Zoning: No. of Units: '
Owner: ~ . -,,~~i t _ . .
Address:
Site Address:
Plum6er:
I ogree to tomply ~ritk the Cify of fo9an Connedion Chorge: • n~
1
Ordinanees. Account Deposit:
Permit Fee: '
Surcharge:
BY Misc. Chorges:
DaYe of Insp.: Tota):
Insp.: Date Poid:
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNE50TA 55122
DATE 19
rtECeIvBn
FROM
AMQUNT $ I
1
& DOLLARS
~oo
? CASH ? CHECK
FOR
FUND CODE AM0uNT
5--
- ~ .
,
' . ~ C. f 7r - - . . ~ .
~
Thank You BY '
White-Pa ers Co
Y Copy
Yellow-Posting Copy
Pink-File Copy
~ .
CITY OF EAGAN
9795 Wlot Knob Road Eogsn, MN 55122 N°. 5281
PHONE: 4548100
BUILDING PERMIT Receipt #
Te ba used for Est. Value Date , 19
Site Address Erect ? Occuponcy
Lot Block Sec/Sub. ` . Alter ? Zoninfl
Porcef # Repoir ? Fire Zone
Enlarge ? Type of Const.
W Nnme . Move ? # Stories
Z Address Demolish ? Front ft.
0
Ci Phone Grade ? Depth ft.
`c Name - Approrols Fees
0
Address Assessment Permit
~ Cit Pfione Water & Sew. Surcharge
Police Plan check
~w Name
Firc SAC
Addreu Eng. Water Conn.
<w Ci Phone Plonner Water Meter
Council
I hereby acknowledge that I hove reod this opplicotion and stote that gldg. Off.
the informotion is correct ond ogree to oomply with oll applicable APC Total
State of Mlnnesota Statutes ond City of Eogan Ordinantes.
Signoture of Permittee
A Building Permit Is issued to: on the ejcpress conditian that
oll work sholl be done in occordance with all npplicable 5tate of Minnesoto Stotutes and City of Eagan prdinances.
Buifding Officief
r . .
- r
Psemlt # DaM Neuad PeredtiN
Plumbing i 3q56 Cic
Mechanical eft . CT'
INSPEGTIONS DATE INSP.
Rough-In Finol
Footings ~ Date Insp. Date Insp. 14 Foundation Plumbing
Frome/ins. 2s,71 Mechanical
Fincl
Remarks:
q ~ ~ 7
~ . . •
CITY OF EAGAN
3795 Pilot Knob Road
Eagan, Minnesote 55122
Phone: 454-8100
P`Lh.t"k~3I.rQ PERMIT No. 1390
~
Dcte: - ~ Receipt No.: 149~3
I
3542 E. Widgeon Way 5ingle X
Site Address: Residential
Lot 27 Block 1 Sub/Sec. TXickwmd E:states Multi Res., Comm./Ind. I
Nome ~~~icin Im• New/Alter./Repair
3°e Address 1.769=1 Ialetm optirt
Cost of Installation
O
City Phone: 435-7080 Permit Fee J
Name Blayvx-x PLxj. rn. .
SurcFwrge
.
~ Address 7731 4tI AVe. `'tl~l2t.~1
e
3~ity 53423 Phone: tQ
Toto I
This Permit is issued on the express condition that all work sholl be done in accordonce with all oppliccble State of
Minnesota Statutes and City of Eagan Ordinances.
Building Offitial
CITY OF EAGAN
3795 Pilot Knob Road 711(N, FM`~P
Eagan, Nllnnesota 55122
Phone: 454-8100
inuaurl PERMIT No. I528
9-2o--79 I5 62 9
Date: Receipt No.:
?542 E. W~ Single I
Site Address: ~ W. Residential Y
Lot Block 1 Sub/Sec. DLickwoo(i ^statf--~ Multi Res., Comm./Ind. I
?3zum ReikDw&i
Nome New/Alter. / Repai r
3 Address 3760 So. H].Z19 !yr.
Cost of Installation
O
City War Phone: Permit Fee 20~Ot)
Oodc Iit~q. Or . .
Name Surcharge
.
r'341 Stanl~~ '~x-~d
~ Address '
e
City Phone: Total
This Permit is issued on the express condition that oll work shall be done in accordance with ail opplicobfe State of
Minnesota Statutes and City of Eagan Ordinances.
Building Officiol ,
CITY OF EAGAN Remarks
Addition__I)IICICW(}nD F.STATF.S Lot 2.7 Blk 1 Parcel
Owner A3d~t~ 'f PA/ /6~~'+?+ztreet 3542 East Widgeon Way State Eagatl, MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SUR F.
STREET RESTOR.4SO Jn 1981 1739.35 347.87 S 1739.35 C005632 10 15 80
GRADING
SAN SEW TRUNK S 1971 'J 5.49 20
t16EWEF LATERAL
WATERMAIN
• WATER LATERAL
WATER AREA 15-7 1972 111.81
*service
* STORM SEW TRK
* STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 270.00 14914 6-25-79
BUILDING PER.
sac 14914 6-25-79
PARK
cirr oF EAcaN
~ .r 979$ Pllot Kno6 Read Eagan, MN 33122 N2 5281
PHONE: d548T00 'J
BUILDING PERMIT APPLICATION Receipt #
Te be ueed fer SF Dwlq & Garaqe esr. Voiue 97, 000. Dme 6-25 , 19J9_._
Site Address 3542 E. W1dq20R Wdy Erect g] Occupancy R3
Lot 27 Block 1 Sec/Sub.DUCkM~ FState5 Alter ? Zoning ~
Parcel # 10 21900 270 Ol Repoir ? Fire Zorre 3
Enlarge Type of Const. V
z Nome B~~ ~1kOWSkl Move ? # Srories
z Address 3760 South Hi.lls Drive Demolish ? Front 58 n.
~ Cit EdCJc3T1 phone Grade ? Depth 54 ft.
Name EZC~eEi1 COriStrUCtlOll IriC Approvols Fees
A
17694 I510tAri COUYt Assessment Permit 211_nn
Address eV11 e 435-7080 . Water & Sew. Surcharge
Ci Phone 48. 5~
Police Plan check 105.$0
FW Name Fire SAC 525.00
Address Eng. Water Conn. 270.00
6Z' Ci Phorre Planner WaterMeter 60•00
l Cpuncil
I hereby ocknowledge hat I have read this a ppi' ion n s tate that gldg. Off.
the information is c rrect and agree o it all pplicable APC Total 1.22~.~~
State of Minnesota tatutes and ord nanc s.
$ignature of Perrti A Building Permit 4 i[~c on the express condition that
oll work shall be done in uccordance with all appli le St ot Minneso Statutes ond City of Eogon Ordinances.
Building Official ~
CITY OF EAGAN Include 2 sets of plans,
1 site plan w/elevations S
. BUILDING PERMIT APPLICA~ON 1 set of energy calculati
~ ~ ons.i
~
g.aifon Date ~
To be used far
it~
Site Address~~u~ ~ !C .J OFFICE USE ONLY :
~ r o a P~~ (,,o° ~3.~.. ti 3
~
Lot Block ~ Sec./Saub.~ t~rkG~.-;~c_~rect V Occupancy
Alter Zoning ~
Parcel U /Q .9/cg/)D ~;w /91 Repair Fire Zone
Q Enlarge Type of Const. V
Owner: 2~iGF ~E1koC.t'Siz~ Move 6 Stoties
Address: Front Sb ft.
L)kA Demolish
- ,s^y
Grade Depth ft.
n.•,,.,~
lclqttractor one U: Approvals Fees 4
:Assessment Permit
~
Address: i7NQ ~D5Lc Water/Sewer Surcharge .S/frka~
Police Plan Check
~zE V, U f ~.J Fire SAC 5u'i6 !
Phone n: ~toR n Eng. Water Conn.
n Planner Water Meter .
Arch/Eng.: _ Council Road Unit ~
Bldg. Off.
~
Address: APC ~
~ -ne 11: - - TOTAL I ~ O~ ~ ~
This rnvues,'vS/dU//S ~ o
18 momhs from .
4 43-61 a~
Request Uale F?ra No. Roagh-in Inspec[ion
Hequ reA? Veady Nuw ? Will Notity Insoer
?Ves No lor When Ready
(T mensed ElecVical Con[ractor I hereby request insDaction ot abova
LJ Owner electrical work instelied at:
Str¢et Adaress, Bo. or Poute No. City
3.~ v~- tVQ r-G 4
ecbon o. Townshi0 Name No. nge No. Cowny
OccuoantlPRINTI ~ Phmne No.
rue-e- ~e s' ys,~s o'R,~
Pawer SupDlier L ~ Atltlress
F
Ele tri a1 ConVac (Comoany Namel Contracloi's License No.
F~ 0~36'
Mailing Atldress ntr ctor or Owner Making In ailau ~
~ 7 v~
Au[horied $iBnature ICO cmdOwn Making Insl'dlla onl Phone ber
1~7
MINNESOTq STpTE BOARO OF ELECTRIGITY THIS INSPECTtON REQUEST WILL NOT
Grigge-Midwey Bltle. - Noom N-191 BE ACCEPTED BY THE STqTE BOAqO
1821 UniversitvAva., St. Peul, MN 65104 UNI.ESS PNOPEN INSPECTION FEE IS
Ph...o 1812) 297-2111 ENCLOSED.
REQUEST FOR ELECTHICAL INSPECTION .
11, See inatructions tor completirp ihis form on Eaek o1 Yellow copv. ry
~cP d1;~_o
"X" Be/ow Work Covered by lhis Request
Hdd Rap. Tvpe oi BuilGinO Appliancea WiraE Eqviumanl Wired
Home Range 7emporary Service
Duplex Water Heater Lightiny FizRrtes
Apt. BuilAing Dryer Electric HeaLn
Commercial Bldg. Fumace Silo Unloader
Industrial Bldg. Air Conditioner BWk Milk Tank
Farm thyr peu r thnr ISnarifvl
t,r ucafy t er Oth,,r
ompute lnspection fee Below
p Fea ServicaEnVaneaSixe p Fea Peede,s/SUbleedars % Fne Circuits
0 0 to 200 Am s 0[0 30 Am s gA.boverI(1 0 F~m s
Above 200 qmps31 to 100 Amps 00 A 5
Swinming Pool Above 100_Am s 0_Amps
Transforme r5 Irngation t3ooms ~Other Fee
Signs Speciai hispection -
Ne..ks 2 y~ S ISS TOTAL~FEEy
PouBh-in Oa}e...._ 1. the ElecFiC.il
InsPectaq heraby
certifV that the abave
Final „ D'11e~j iw9peetion hes been
$ " giatle.
Tttla repuest void /8 moniM irom
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CdNTRAC7GR DRTE ~J3 PHdNE 7)
~i 7a_ter~nirie 4:orking scjusre fenCage Of .eac~ .
l e Total e~xposed ~Na11 area . ~.Z . sq• '`c° x'_ LZ ° C~~~
~ 2. Total rDOf/ceiling area ,t5-,s.. sqo fV. x.06
Total exnosed ti•rali area ahove flcor = 30-L-a ;
` a.`Total.wall windol,,,area . ' 34Z c
b. Total:.doo° area ......e
c. Total;sliding glass door zrea ....e.....:. tZo
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' d. Toiai firepiacn wa71 area...... .
e. Total ka1] r`ramiiig ar2a (averaee 1U'a). ~ 3' (C,
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1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
3~~1 CITY OF EAGAN
3830 PILOT KNOB RD - 55122
659•681-4675
New Conshuetlon Reauiremenh Remodel/Reoair Reaulremenis `
? 3 regisfered sRe surveys showing sq. H. of lot, sq. H. ot house 2 coples of plan
and all roofed areas (20%, maximum loi coveraae allowed) 1 set of energy calculalions for heated addffions
9 2 copies ot plans (show beam 3 window tkes; poured tnd. design; eTc.) 1 sHe survey for exierior addBfons 8 decks
: t set of energy alculations
> 3 copies of }re presery lon plan if IM plafted aHer 7/7/93 ao
~ ~
DATE: l CONSTRUCTION COST: ~ 5 OO .
DESCRIPTION OF WORK: d~
STREETADDRESS: ~~~Z ~ ~ ~it//D~G--~~? U/~
LOT: BLOCK: SUBD./P.I.D.#:
Name: /6OD.4 Phone#: /7- gZL9
PROPERTY lusl Firri
OWNER StreetAddress: ~S'~Z ~ ~/~~IZGJ'? /
Ci1y State: !A Zip: ~S~ Z J
Company-/MC'?7LO ~ Phone ~o~ Z 5 3 6 O Z 7 7
(area code)
CONTRACTOR
Street Address: Z"' ° 0 License # ~7 Exp.-~ a
City State: Zip: ~Z 7,
ARCHITECT/
ENGINEER Company: Name:
Telephone area code ( )
Street Address: Registration
City State: Zip:
Sewer 3 water Iicensed plumber (reaulred for new construct(on onlvl:
Renalty applies when address change and lot change Is requested once permR Is Issued.
1. hereby acknowledge that I have read this applicatlon, atate that the informatio co t, and agiee fo compty with all applicable
State of Minnesota Stafutes and City oi Ecgan Ordinances.
Signature of Applica
OFFICE USE ONLY
• IC .J
Certificates of Survey Received _ Yes _ No ~
~ ` - -
Tree Preservation Plan Received _ Yes _ No _ Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg.` ? 41 Wood Stove ? 45 Fire Repair
0 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
' Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. Census Code
(Allowable) Main level sq. ft. SAC Code
UBC Occupancy sq. ft. No. of Units
Zoning sq. ft. No. of Bldgs
# of Stories sq. ft. MC/ES System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other 'Copies
Total: SAC Units
% SAC
MECHAIVICAL (RESIDENTIAL)
Permit Application ~ 30 ac
City Of Eagan
: 3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Please complete for: Single Family Dwellings
Townhomes and Condos when pennits aze required for each unit
na?e C / ~1~_ / b 3
Site Address Unit #
Property Owner _`ti_r i-S Telephone #
~
Contractor SIN,r~.',`~,IiU ilLnt~l'P7 0t n~~~+~,~}'~ o-- Q~ mnn\~1t'. ;
. FV~+~~ '
'.0 WEST LAKE STREET
Street Addres~ ~~~55 S~_29qg City
Mi~.li !~C1- PQLTS,
State R19-R9a"~HSR Zip Telephone # ( )
The Applicant is Owner ~ Contractor _ Other
Add-on, modiIIcation or alteration to existing dwelling unit $ 30.00
furnace replacement
'p air exchanger
air conditioner
` other
State Surcharge ,ID l r ~ ~ ~ ~II $ .50
I ~ SEP 2 5 2003
Total $
BV -
. I hereby apply for a Resident:al Mechanical Pemut and acknowiedge that the information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; tAt I understand this is not a
pemilt, but only an applicarion for a permit, and wo is not to start witho a ernvt that thl be in accordance with the
appro d plan in the case of wo ch requires a rev ew and approval o lans.
J\j
Applicant's Printed Name ~~r~- Applicant' ature
MECHAMCAL (COMMERCIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Please complete for: commercial/industrial buildings
multi-family buildings when sepazate permi[s are not required for each dwelling unit
Date
Site Address Unit #
Tenant Name (if applicable) Previous Tenant Name
Property Owner Telephone # ( )
Contractor
Street Address CiTy
State Zip Telephone # ( )
The Applicant is _ Owner _ Contractor _ Other
Work Type
Newconstruction UndergroundTank _Install _Remove
Interior Improvement Call for inspection during installation/removai of tank
Processed Piping
Nature of Work:
Permit Fee $50.50 Minimum Fee (includcs State Surcharge)
Contract Value $ x 1"/0 = $ Pernut Fee
• If perxnit fee is $1,000 or less, add $.50 $ State SurcLarge
If pemvt fee is over $1,000, add $.50 per
$1,000 Pemut Fee
$ Total Fee
I hereby apply for a Coaunercial Mechanical Pernut and aclmowledge [hat the infortnation is complete and accurate; that the work
will be in conformance with the ordinazices and codes of the City of Eagan and with the Mechanical Codes; that I understand this is
not a pemut, but only an application for a pernut, and work is not to start without a pemrit; that the work will be in accordance with
the approved plan in the case of work which requires a review and approval of plans.
Applicant's Printed Name Applicant's Signahue
Approved By: , Inspector Date:
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA109111
Date Issued:02/08/2013
Permit Category:ePermit
Site Address: 3542 Widgeon Way
Lot:27 Block: 1 Addition: Duckwood Estates
PID:10-21900-01-270
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Kris Oien
3670 Dodd Rd
Eagan, mn 55123
651-365-1340
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 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 -
Sim L Childers
3542 Widgeon Way
Eagan MN 55123
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA168184
Date Issued:04/13/2021
Permit Category:ePermit
Site Address: 3542 Widgeon Way
Lot:27 Block: 1 Addition: Duckwood Estates
PID:10-21900-01-270
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 -
Sim L & Christopher Childers
3542 Widgeon Way E
Saint Paul MN 55123--100
(651) 247-9368
Milbert Company (culligan)
1801 50th St E
Inver Grove Heights MN 55077
(651) 451-2241
Applicant/Permitee: Signature Issued By: Signature