3544 Widgeon Way
_
CITY OF EAGAN SEWER SERVICE PERMIT
3745 Pilot Rnob Roed
PERMIT NO.:
Eogan, MN 55122 DATE:
Zoning; ~ r
No. of Units;
s
Owner:
Address:
Site Address:
Plumber:
OQ
1 agree to eanph~ wkh Mia Cil~r of Eogon ConnecNon Qha~; -5• r.7!? rti,
Q
rdinan~e~.
, Atcaunt Deppsit:
Permk Fee: i By Surcharge: -
Date of fnsp.: Misc. Cho?9es:
I nsp.: Totcl:
Date Paid:
CITY OF EAGAN WATER SERVICE PERMIT
3795 pilot Knob Roed PERMIT NO.:
Fagan, MN 55122 DATE:
Zoning: r.T, NO. of Units:
Owner:
Address: ,
~`.yl: .T{~t .Qr!^, . 1 ' iCM-<•~, F*'dC''
Site Address: - - Plumber.
Connection Chorge: •
Meter No.:
Size: Account Deposit:
Reader No.: Permit Fee:
1 agree to eanply wilh f6a Citr of Eo9an Surcharge: - '
Qrdinanea. Mfsc. Chorges:
Total:
gY Date Poid:
Date of Insp.: InSP•:
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 1g
REC FIqtD
AMOUNT $ I
& DOILARE
tao
? cnsH ? cNecK
~r
~
FUNO CODE AMOUNT
You
BY
White-Payers CopY
Yellow-Posting Copy
Pink-File CopY
CITY OF EAGAN Remarks
AdditionDUCKWOOD ESTATES Loc 12 eik ? Parcel
Owner !.Lf Street 3544 Widgeon Way Stace Eagan, NRV 55123
r r
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR, jm L~ 1981 1739.35 347.87 5 695.74 A012650 5-25-8
GRADING
SAN SEW TRUNK ~ 1971 109.77 5.49 20 38.53 A012650 8-25-83
* SEWER LATERAL 1980 2953.16 190.71 15 2092.32 it
WATERMAIN
• WATER LATERAL
WATER AREA A5-7 1972 111.81 5.59 20 8-25-83
• service
11 STORM SEW TRK
• STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 450. o0 34597 3-1-83
BUILDING PER. 7814
~ n
SAC 525.00
PARK
~
CITY t?F EAGAN
. , 379s 'ilel Keob Rood Eoyow. MN 55122 ' PHONEt 454-8100
BUILDING PERMIT Receipt Te M wuA fer SF DWGIGAfi Est. Volue $63,000 pOfe March 1 , 19 83
Sus Addrcss - 3544 Widgeon Way iZ-3
Ertct Xp Octuponcy
Lot 12 Block 2 Sec/Sub. Duckwood Zstates Alter p Zuning P`-x
paroof # 10 21900 110 02 Repoir ? Firo Zone 14A
Enlarfle p Typa of Const. Vn
W N~$ Ai8re11, InC. Move 0 Stories
z Address 1000 E. 146[h St. DemoHsh p Length 46
G Bxirnsville pho,,, 432-8131 Grade DePth 4II Sq. Ft.
~ Nome Jadron, I:]C. Apoeovals Feas
6u Address 1000 L. 146th St. Nsseument Pe?mit 322.00
Ci BurnsVille P~~ 432-8131 Woter 8 Sew. Surchorge
b PoUce Vlan check 161.00
FW NOf"~ Firo SAC 525.00
/lddress Erq. Woter Conn45U • 00
i W Ci phone Planner Worer Meter f '
Council Rood Unit NA
I hercby acknowledqe that I have read this opplication ond stote thot gldp. Off.
the inlormotion is correct and agree to tomply with oll applicable A~ Totol $1549.50
$tate of Minnesofa Statutes and City of Eoflon Ordinorxes.
Sipnoturo of Permiftee
A Buildinfl Pennit is issued to: Ja6ron, Inc, on ths express conditlon tlxao
oll work sholl be dona in xcordance with all appiicoblp Stote of ond Ciry of EaQan Ordinonces.
f
Buildinp Offitiol
No. Permit Holder Mitc. Permit No. Holder
OF T r I~~ 3-3-r.3
-C ~ ~ ~'j' 7
Inapection Dets Insp. Other
Footings -2$-9C3 ~j
Foundetion
Framinp u
Rauyh Plbg. •~~iy> ~.f y
Rouqh HVA
Inwlation
Final Plbg. ~
Final HVAC
~0 l
Final
Water Deacribe Location:
YYell '
Sewar
Pr. Disp. '
Receipt PI.UMBING PERMIT Permit No. ~
CITY OF EAGAN •
Fee
Fi!l in numbered spacss S/C
Type or Print /egib/y Tot '
1. Date 2. Installation Cost
3. Job Address Lot61k. ~ Tract
J
4. Owner
5. Contractor Phone
6. Address
7. City State Zip 8. Building Type: Residential 0 Commercial ? Institutional ?
9. Work Description: New 0 Add ? Alter ? Repair ?
10. Describe
11. No. Fixtures No. Fixtures
Water Closet Cssspool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
Shower Wel I
Kitchen Sink ~
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and carrect, and I agree to
comply with all ordinances and codes governing this type of work.
Signed: for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454,8100
r f
Receipt = MECHANICAL PERMIT Permit No.
CITY OF EAGAN
Fee
Fill in numbered spacea S/C
Type or Prini legibly Tot. "C' .
1, Date i~'•' 2. Installation Cost
3. Job Address ~:;4- Lot f2 Bik. ~ Tract
4. Owner ' L
5. Contractor . ~ . Phone 4-4,867
6. Address
.
7. CitY rl State zi w p i `
8. Building Type: Residential ED Commercial O Institutional ?
9. Work Description: New :E7 Add O Alter ? Repair 0
~ -
10. Describe-;.n: _ :i- ` FuelTyqe <<;.
11. No. EqltinmeLi± 8TU - M. Ea. No. EQUiament CFM
Forced Air Air Handling:
Mfg.
Boilers
Mech. Exhaust
Mfg.
Unit Heater
Mfg. Other
Air Cond.
Mfg.
~ Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8700
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number; '~''`3
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
I~ 11 I Iti.) •,H WAY W: i..
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION .A • rA
nH i 14:,
~ i
~.ia.~ ~ • ~-,,t: ~ ~ i ~ r;i ~ , ~ ~-~t i , i ~,iii~:t .
~ ~
Permii No. Permit Holder Date Telephone p
5/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
InspeMian Date Insp. Comments
Footings I
~a
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Orsat Test
Final Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
Engr./Plan
Bldg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EACAN
U 3830 PILOT KNOB RD - 55122
651-681-4675
NewConstructionReauirements RemodellReoairReovirements
• 3 registered site surveys showing sq. R. of lot, sq. fl. of house', and all roofed areas • 2 copies of pian
(20% maximum lot coverage allowed) _ 1 set of Energy Calculations for heated additlons .
• 2 copies of plan showing 6eam & window sizes; poured found design, etc.) . . . 1 site survey for exterior additions 8 decks
• 7 set of Energy Calalations • 3 wpies of Tree Preservafion Plan if lot platted after 7l7193
. Rim Joist Detail Options selec6on sheet (bldgs wiM 3 or less units) -
DATE ~ VALUATION (EXCLUDING LAND)
JOB SITE ADD ESS
IF MULTI-FAMILY BUILD G, HOW M Y NITS?
PROPERTY OWNER
~
4_ _1 2
TYPE OF WORK FIREPLACE(S) _0
APPLICANT PHONE #
22
ADDRESS ZIPC DE
PAGER # CELL PHONE # FAX #
I
~ NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
~ Energy Code Category _ MINNESOTA RULES 7670 CATF.GORY 1
(check one) - ResidenUal Ventilation Category 1 Worksheet Submitted Ju L ZU Za)f i I'
- Energy Envelope Calculations Submitted
i
~ MINNESOTA RULES 7672 j - New Energy Code Worksheet Submitted BY -J
Plumbing Contractor: Phone
Plumbinn Systecn Includcs: _ Water Softener L.ativn Spnnkler Fee: $90.00
Watcr Heater \o. of RL Batlis
No. of 13aths
Mechanical Contractor: Phone #
Vlech;mical Svstem Includes: Air Condiuoning P'ee: $70.00
Heal Recovery System
I
; Sewer/Water Contractor: Phone #
i
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, siate that the information is correct, and agree to comply with
ali applicable State of Minnesota Statutes and City of Eagan Ordinances. ~
Signafure of Applicant
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 1/01
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dweiling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex 0 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 lower Level ? 24 Storm Damage
? 06 04-plex ? 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 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System '
Census Code Zoning . (:ity 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) _ FinallNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile
Roof Ice & Water Final Other
_ Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone
_ Insulation _ Windows (new/replacement)
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
5&W Permit & Surcharge
Treatment Plant
Plumbing Permit
iVlechanical Permit
License Search
Copies
Other
Total
Z, z.~; ~ , A o~;,
Y~~«•~-~..^~-~a~'L~-ct;~~~~-~.-~-cY~-c-ccsr. 'fv \
Ter#ifirxtr nf Q9rrupttnry ,
eitp uf (eagan
BYpitl'fltlPltf IIf BlitlhirilJ -%B}1Pft111tt
~ f~ ; . . . . . . . . . ~ I
Thit Ct+ti f itate irtutd purtaunt to t!x +equrnmanu of Secqon 306 0} the Uni(orm Buikling
Code arti fying that at t!x time o/ irtuanrt tbir itrurtarc wai in tom pliance witb tbe variour
ordinanrct of tbc City rrguGuing brulding connrruiioa or use For tbe followrnK:
+
~ r. SF DWG/GAR 7814
e~ace~~~No. ~ I
RZ
o~c,4., ry~w R3 *rrc~~ Vn Fi.zoo NA z~~sui.~~
v`{ Marell, Inc. Ada,,, 1000 E. 146th St. , Burnsvil .,A•).~
3544 WidQeon Way L.H,Y Lot 12.Block 2 Duckwood
Estates
July 26, 1983
e,wdaoffida w<. ~ .
1\~.' K: '~i a'_ ~i::i5s•>`~r~~"-+s--_':.'~~'~va_a'~a:i~.~vi.,~:.~.:-~S~i----.-.iNw.v=~aa?a~~°,s_-~a°~~s41 "r-~
a o. •
~ - rn+ , . .°c3 ar~ ~ •
k y - m'
y,~ •..IA» ~
CITY CF EAG~kN Include 2 sets of plans,
1 site plan w/elevations &
~ BUILDINC, PERMIT APPLICATION 1 set of energy calculations.
2-G0.'C i
Zb Be Used For S '~luation 3 Date H-s 3
Site AddreSS: w OFFICE USE ONLY
Lot (Z Block Z Sec./Sub. .~md Erect -C,- Occupancy -
Parcel Lo 2lQoo ?zo oZ S ~*-er Zoning ~
Regair Fire Zone
O.mer: 'lC ~ Enlarge _ Zype of Const.
Nbve # Stories
Address: Demlish _ Front ft.
City/Zip Code: kJ~ 11~P lbv. S J--3 37 Grade Depth q ft.
Phore # : ~3 ;k- R'/ 3 / APPROUAIS ~s
sC)
Contractor: Tf}- /J 7,411) Assessments Permit
Water/Sewer Surcharge
Adclress: Police Plan Check ~
City/Zip Code: Fire SAC
Phone ~4• Water Conn. O
Planner Water.Meter
Aron./En9.: /'v 2- council Roea onit
ye6 Bldg. Off.2-15,-f(:~3
Pddress: APC
City/Zip Code:
Phone TOTAL
CITY OF EAGAN N~ 7814
~ • 3795 Pllet Knob Road Eagan, MN S3721
VHDNE: 454-8100
BUILDING PERMIT Receipt # _.~~~7
Te ba wad 1or SF DWG(GAR EO.yajun $63,000 pOte March 1 _ 19 83
Stte Address - 3544 Widgeon Way R-3
Erect $x Occuponcy
Lor 12 elock 2 Sec)Sub. Duckwood Estates Airer ? Zoninq
Purcel # 10 21900 120 02 Repair ? Fire Zone
Enlnrge ? Type of Canst.-
c Name Marell, Inc. Move ? # Stories
z Address 1000 E. 146th St. Demoliah ? Length 46
C; Burnsville pho„e 432-8131 Grade ? Depth 48 Sq. Ft._
o Jadron, Inc. Aovrovab Fees
Name
o'~ Address 1000 E. 146th St. Asussment Permit 322.00
C~ Butnsville phone 432-8131 Water 8 Sew. Surcharga 31.50
Police Plan check 161.00
~w Nome Fire SAC 525.00
Address Eng. Water Conn450.00
<W CI Phone Planner Water Meter 60.00
councn Road Unit NA
I hereby ockrrowledge thaf I have reod this opplication ond stara that Bldg. Off.
fhe intormotion is wrrect ond ogree f0 wmply with all applicabla $1549.50
State of Minnesota $tatutes ond City of Eogan Ordinances. APC Totol
Sipncture of Permittee
A Building Permit Is issued to: ~ Jadron In on the express condition thas
all work sholl be done in xcordonce wnll appl le StaM aa•v+m c•^••~tes ond Ciry of Eaqnn Ordinances.
Building Offlcial ~ " P-~"Lr_JL21 - .
Thiv re0uest void c-i -~,y Lr
i.e munths tmm 11-_ 27840
Reqw'et Date . Fire No. Fough-in InSUection
ReQUiretl? ~Ready Now,~Will No~ity InsPer.-
~ ~ '~V's ?No tur When ReatlY
156.1-irensed Elecvical ConVactor I heraby reQUest inspection ol above
? Owner electrical.work installed at
Sireet Address Box or~Rqu e o. Citv
~tl ~ r ~ia~
e ~ it ~Vl
L.V~ -
ectmn o. Townghip Name r o. ~~ge o. Co(u~nly
Y/a' V~
Occuoent IP~~1TI ~ 1 Phone No.
MM L ~ .~0 4~0
Pownr Supplier Address
~ ~n ~
Elewal ConVactor (COmpany Namel Convacmr's License yo.
~ e l 6 ~
MainB AdJress IConVacmr or Owner Makine Instailation~
`.F.allt lyllt~ 5Y11
Au o' ed SiBna[ure ICOnu ctorfOwner Makine Installationl Phone Number
d~7~7 ~S-ff'f3/
MIN ESOTA STATE BOARD OF ELECTNICITY THIS INSVECTI N HEQUEST WILI NOT
GriBOe-Midwey Blde. - poom N-191 BE ACCEPTED BV THE STATE BOANO
' 1821 University Ave., St. Paul, MN 55704 UNLESS PROPEH INSPECTION FEE IS
ENCLOSE~.
o.___ 1a111 Io7 ill
nc,aU~ST FOR ELECTRICAL INSPECTION EB-00001-03
840
e@- ~Sea instructionsYOr complatin9 chis form nn back of yellow copv.
"X" Below Work Covered by This Request
New naa Rep. Typ¢ of Building Applience5 Wiretl EquipmBnt Wlred
Home Range Temporary Service
Duplex Water Hea[er Lightin Fixtures
Apt. Building Dryer Electric Heatin
Commercial Bldc~. Furnace Silo Unloader
Industrial BIAg. Air Conditioner Bulk Miik Tank
Farm Or er Deci y ~ ther (SUeclfy)
t e~ Veuly ihCr 5 Other
Compute Inspection Fee 8elow
d Fee ServicaEnhence5ize N Fee FeeAers/Subleaders k Fee Circuits
O to 100 qm s O to 30 Am s O to 30 Am s
701 to 200 Amps 31 to 100 Amps 31 to 100 Am s
Above 200 qmps Above 100_Flm s Above 100_Amps
Transformers Remote Control Circ. Partiuf%Other Fee
Signs Special Inspection S ~
Fomorks TO L FEE
~J
RouAh-in Da[e
Elet'trical
Insprcior, heraby
" certify that the nbove
Final ^:~.,r ;,,.76•_"' Da« inspection hns been
~5 made.
This roquest void 18 month5 hom
INSPECTION RECORD
CITY OF EAGAN PERMITTYPE: BuiLoiNG
3830 Pilot Knob Road Permit Number: 0 2 0 8 2 6
Eagan, M innesota 55123 Date Issued: 0 6 J 01 / 9 3
(612) 681-4675
SITE ADDRESS: LoT : 12 B L 0 C K: 2 APPLICANT:
3544 WIDGEON WAY DURABILT ASSOCIATES
DUCKWOOD ESTATES (612) 938-9350
PERMIT SUBTYPE: TYPE OF WORK:
GARAGE/ACCESSORY ADDITTON
INSPECTION . .A
FOOTING FRAMING
FINAL
REMARKS: SEPARATE ELECTRICAL PERMIT REQUIRED
F ~
L
,
--'=------J
PERMIT ~~,4 9
~ CI~Y ~F EAGAN 3830 Pilot Kno6 Road FERMIT TYPE: B IJL D I N G
Eagan, Minnesota 55123 Permit Number: 020825
(612) 681-4675 Date Issued: 0 6/ 01 / 9 3
SITE ADDRESS:
3544 WIDGEON WAY
LOT: 12 BLOCK: 2
DUCKWOOD ESTATES
P.I.N.: 10-21900-120-02
DESCRIPTION:
B,uildingc-Permit 7ype GARA6E/ACCES30RY
Building W'q,rk Type ADDITION
,lBuilding Lengt~h 10
~ Building Width 33
f ~
f~ \
L
t ~
~
~
~1ra, u~~~
U'~i ~
~R
REMARKS:
SEPARATE ELECTRICAL PERMIT REQUIRED
FEE SUMMARY:
VALUATION ;6,000
Base Fee $81.00
3urcharge $3.00
Total Fee 584.00
CONTRACTOR: - Applicant - ST. LIC OWNER:
DURABILT ASSOCIATES 19389350 0003004 COVERT GHRIS
7343 ANM COURT 3544 WIDGEON WAY
EDEN PRAIRIE MN 55346 EAGAN MN
(612) 938-9350 (612)454-3569
S hereby acknowledge that I have read this application and state that the
infiormation is correct and agree to comply with all applicable State of Mn.
Statutes and City of Eagan Ordinances.
L -
r,
I APPLICANT/P MIT E SIGNATURE SSUED Er. SI NATRE 'k
~
REACTIVATE _ ~~~ENED CIIY OF EAGAN ';4 ~
PERMI'.0#" APR 2 9 1993 1993 BUILDING PERMIT APPLICATION
681-4675
~a ~as
SINGLE & MULTI-FAMILY 2 sets of plans. 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit 9s typed, but not picked up by last working day of month.
in which request is made, 2) address is thanged or 3) lot change is requested once permit
is issued.
Date Valuation of work Afli560.0
Site Address:~S4"t Wiu~4ka;, ~nla~J
STREET SU1TE Y
Tenant Name: (commercial only)
tAT BIACK d SUBD.QJ_K`''~00 ~(t0.'FeS P.I.D. *
Descri tion of work:~o~5~~uclF~oo~f,~rqw~
The applicart is: ? Owner 2Contractor 13 Other coes«tee>
Name ovL'(~- LkriPhonei'S4--35 6~
Property LAST FIRST
Owner Address 7i54 "i ~j iJ4toti \tj ^~1
STREET STE I
City EaQlLr\ State Zip55I1)
Lompany buvkW«' Sfa<<o,~Lt Phone~1 121- l~S U
Contractor Addressl14) Qhh Courfi License #300 Exp. 011F'r
City EJLh State fvkK• ZiP Ss~ab
Company Phone
ArchitecU
Englneer Name Registration M
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: •
OFFICE USE ONLY
BUILDING PERMIT TYPE
O OI Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement finish
? 02 SF Dwg. ? 01 4-Plex ? 12 Multi. Misc. ? 17 Swim Poal
O 03 SF Addition ? 08 8-Plex 13 Garage/Access~' O 18 Comn./Ind.
O 04 SF Porch ? 09 12-Plex -14-Fireplace O 19 Comm./Ind. Misc.
? OS SF Misc. ? 10 Multi. Add'1. O 15 Deck 0 20 Public Facility
? 21 Miscellaneous
WORK TYPE
'E7~ ? 33 Alterations ? 35 Tenant Finish O 37 Demolish
32 Ad ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) Ist F1. sq. ft. City Ylater
UBC Occupancy M-I 2nd F1. sq. ft. PRV Required
2oning Sq. Ft. total Booster Pump
I of Stories Footprint Sq. ft. fire Sprinkler
Length /v , On-site well Census tode 43)r
Depth On-site sewage SAC Code
APPROVALS
~PC15u5 u'L~~
Planning Building Assessments
Engineering Variance
REDUIRED INSPECTIONS `
? Site footing /El',framing 0 Insulation
? Wallboard f$ Final ? Draintile 0 Fireplace
Permi t Fee 5J f, ov.iuac;on: gcn UO
Surcharge S;00
Plan Review fo,~33 _ 33~x
License
MWCC SAC
City 4AC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
5/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC %
SAC Units
_ ~
20/ ~'rczYeter's ?"ra~~ .Bu~-~tsYZIZe, 77Zisca
ph osta 890-4710?+~
Cer~Z}'Z ca~e o~ S~r~cr-Ye y
~ecra I I~es cr~~~ i o rt :
Lot 12, Block Z, Duckwood Estates
Dako[a County, Minnesota, '
NORTH
~
LU 5
~ 8 •oi'4o"w .
~
N r~
- r L <
~
24-0 \ .
1~
w
y~
; - ~ o~ ~~sED
N~ HajsE I 3
Z4.0 ~0 ~ LOT 12. ~M
PRO fbSF.D 5 P`, r
M' o G+-R~wE ~zRY I M
3 a ~m ~fL. ELEJ. ~
~ T)DR~ I
k DRAIN46E~~p ~
vYIIITY ~~ENT
31•46- 14D,¢4 /l
84°zo,o3..£ l.. !f
4
SGALE I" = 30'
uOTE : ALL BEARlr,IGS SNOWN ARE ASSVt./\E p.
I hereby certify that this is a true and correct representation of a tract of
land as shown and described hereon. As prepared by me on thie 24+L day of
rF_8 Qvw eY , 19 ?3 .
-Rlnn. Reg. No.~?t,~
RESIDENTIAL
A~S,y BUILDING PERMl AG NPLICATION
mr O
3830 PILOT KNOB RD, EAGAN MN 55722
651•681-4675
? ~
Naw Conatructbn ReaulremeMa pamotleUNeosir Heaulremenis
• 3 registered Me sunreys showinp sq. tl. of bt, sq. iL of house; arM II rootetl areas • 2 copies of plan ~
(20%maximumbtcoveregeallowed) • lsetofEnergyCalculatbnsforheatedadd0bns
. 2 coples of plan sliowing beam & window sizes; poured foun0 design, etc.) • 1 stte survey lor exlerior edtlilbns & decks ~
• 1 set at Energy Cakulatlons • IrMicate ii nome served by saptfc system lor etld'Abns
• 3 copies of Tree Preservetlon Plen tl bt pletted afler 7/1193
• Rim ,bW Detail Optbns selecNOn sheet (bklgs wtth 3 ar less unft)
DATE VALUATION ~ /00
SITE ADDRESS 35Z/(-/ MULTI-FAMILY BLDG _ Y _ N
TYPE Of WORK T ic4- FIREPLACE(S) 1_ 2
APPLICANT
STREETADDRESS ~7~lil J2. CIN_Ap4140XISTATE~ LPf.f/JI-'/
TELEPHONE # 95..1-~l7! /9!9 CELL PHONE #~o FAX #
PROPERTYOWNER d/~6'y TELEPHONE # ~`6~~-ysy-3sG 9
COMPLETE THIS SECTION FOR ••NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672
(+1 submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Conhacfor: Phone #
Plumbing system includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00
Water Heater No. of R.I. Baths
No. of Baths
Mechanlcal Conhactor: Phone #
Mechanical system includes: _ Air Conditioning Fee: $70.00
_ Heat Recovery System
Sewer/Water Confracfor: Phone #
I IS
-i•~°-
~ rrn--1 Y-2ttOt" i
I hereby acknowledge that I have read this application, state that the InformaTion Is corredB,19nd agree to comp
with all applicable State of Minnesota Statutes and Ctty of Eagan Ordinances. ~
Slgnalure ofAppllcant
OFFICE USE ONLY
Certiflcates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
I
OFFICE USE ONLY
? 01 Foundation ? 07 OSplex O 13 16-plex O 20 Pool 0 30 Accessory Bldg
? 02 SF Dwelling ? 08 OSplex ? 16 Fireplace ? 21 Porch (3-sea.) 0 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 D&plex 13 18 Deck ? 23 Poroh (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04plex ? 12 12-plex Plbg_Yor_N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement 13 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 38 Move Bldg. 0 42 Demolish (FOUndation) ? 45 Fire Repair
13 33 Akeration ? 37 Demolish (Bidg)• ? 43 Reroof ? 46 Wlndows/Doors
? 34 Replacement 'Demolition (Errtire Bldg only) - Give PCA handout to applicaM
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 af Const W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) FinaUNo C.O. •
_ Footings (addition) _ Plumbing
_ Foundauon HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AidGas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Ait Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Suppy & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
5=v~ae L~nyzneeri~r.q Com,vcacny
00/ Traire2~ho~s 890 ~91A~.sYZZZe, 7'1'lix~c
Cerzzz cale 0 Suf-~-e y
Le_aat .0escr4eg
Lot 12, Block 2, Duckwood Estates
Dakota County, Ninnesota,
L NO RT H
3
y s a •o1'ao"w
N
N \
w
< OI I .
N~ r~~sE I a 3
~a . Z4.0 LOT 12. ~.o
5 P~-~ r
ry • M pFLI Et.EJ, 6+rav I ~1 . M
-r~ ~ ~ 9 z•t. 5 ~ _ J ~y~x J tl- ~ ~
~ d } a 4s.o ~ i ~
1 YIS ,
pr fiuIu46e ~
1t AND VrIIiTY
e 3i.yb _ .4~EN7
14o
\j S 84°ZO1 0
Q 3 £
11 -Y i i ~
SGALE I" = 30`
NOT£ > qLL SEARiN6,5 SHoWN ARE RSSVtJ%D•
I hekeby certify that this is a true and correct representation of a tract of
land as shown and described hereon. As prepared by me on this 24+L day of.
Fe~S kue Q*/ , 19 ~ .
mt'VcNnn. Reg. No.13 c&e
,
RECEIVED "1- C 1 19E1
. . . . . , ' n .
rnvitrinrii^: n^in irrrrr~tir•~•T~m~~
RNOW ALL MPy DY TIIESE PRESGNTS, that the undersigned, ,
Edward E. Parranto and Valentine Parranto, hushan3 and wife, of the .
County of Ramsey, State of Dlinnesota, Robert H. Karatz and Naomi -
Karatz, husband and wife, of the County of Maricopa, State of Arizona,
and Kenneth nppelhaum and Sally Anpelbaum, husband and wife, of the
County of ftennepin, State of Pfinnesota, being all of the fee owners ,
of the followina described lands situated in the County o£ Dakota . . . . . . . .
and State of Minnesota, to-wii:
Lots 1.. 3. d, 5. 7. R. 10. 11, 12. 23. 15. 16, . . -
. -17, 18, 19, 20, 21, 29, 25, 29, 30, 31, 32, 35,
39, 90, 41, 93F 43, 49, 45, 98, 49, 50, 52, all
. , - in 91ock 1; and Lota.l, 2, 3, 5, 6, 7, 6,9, 10, ~
11, 12,;13, 14,IIlock 2; all in Duckwood Estates, ~ according to the recorded plat thereof, sometimes
hereinafter referred to as "the land",
do hereby set out the £ollowing covenants and restrictions, which
--shall run with the land and bind the pazties hereto, their respective _
.
- heirs, reoresentatives 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 with the - land and shall be binding upon all parties and all persons claiming --through or under the undersigned for 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
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 he used except £orresidential purposes.
TIo huilding s.*.all be _rected, altered, placed oY permittEd to remain on any lot other than one detached sinale-family dwelling not to ex- -
ceed three stories in heiqht and a private garage for not more than
three (3) cars. .
3. The size o£ any dwelling, exclusive of one-story open porches and garages, shall be: (a) in the case of a single floor s[ructure, 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 £eet in area on the floor directly under the roof; or (c) in the case of story and-a-halE structure, not less than 900 sqvare feet
on the qround £loor, and a total on the main floor and second floor
of not less than 1,300 square feet; or (d) in the case o£ a two story ,
-structure, not less than 750 squaze feet on the gzound floor and a
~-.--total on the grovnd floor and second floor of not less than 1,400 square .
feet; or (e) in thP case of a solit-entry structure, not less than
1,200 square feet in area on the uoper level, but a 258 credit will be
given for finished area of lower level which is SOA exposed over £in- ished grade. T:o structure shall have a side exposure more than three
stories in height from ground to eave line, considering as a story, an .
- exposed walk-out basement.
4. No doielling shall he constructed 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
- ' baseroent garage is utilized, then the overall length of the dwellinq
structure, exclusive o£ eaves or open porches, shall not be less than . .
. forty (40) feet. All garages shall harmonize with the house as to de-
, - sign, naterials an3 finished floor elevations.
5. £.asments for installation and maintenance of utilities
-and drainage facilities are reserved as shown on the recorded plat.
- YJithin these easements, no structure, planting or other material shall .
he placed or be per.nitted to remain which may damage or interfere with
-the installation and naintenance of utilities, or xhich nay chanoe the
. direction of the flow of the drainaae channels in the easements, or
_1_ . .
'-which inoy obstruct or retard tLc Llow of watcr throuqh drainaye chan-
ro.lr: i n th,, .•nrrmrmrn. Thn n.~~:~mrnt ornn nf ~nch lnt nmi nl] imProvr-
ements in it shall be maintained continously by the owner of the lot,
except for those improvements for which a public authority or u[ili[y
_ companyis responsible. Lots which horder on wet lands (LOts 29, 25,
20, 30, 91, 92. 43, AS and 50, all in IIlock 1) will not be cut or Yilied within the easement area bordering the wet land, as shown on thr recorded plat. ,
5. No noxious or offensive activity shall be carried on
upon any lot, nor shall anything be done thereon which may be or may become an annoyartce 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 timc as a residence either temporarily or permanentll
6. a7o sign of any kind shall be displayed to the public "
, view on any lot except one professional sign o£ not nore than four
square feet, one sign of not more than eighty square feet advertising
`the property £or sale or rent, or signs used by a hvilder to advertise
- the property during the constzuction and sales period. -__---__~.----q,
-No animals, livestock, or ooultry of any kind shall - be raised, bred or Y.ent on any lot, exceot that dogs, cats and other - ,
- household nets may he kept, provided that they are not keot, bred or
maintained for any commercial purposes. " 10. No lot sha11 be used or maintained as a dumoing ground
£or zuhbish, trash, garbage or other waste, and any such materials may
be kept on the premises only in sanitary containers. All incinerators oz other equipment for the storaqe or disposal of such material shall be kept in a clean and sanitary condition. - -
. : 11. The exterior of all structures shall be finished in _ wood, sCUCCO, brick, stone or other approved exterior hard materials. 12. T:o filling or stcrage of refuse, discar3ed materials, junk or other o6noxious matter shall be permitted upon said prenises, _
except within the house or garage. No storage of commercial, struct- . tural or husiness equipment or materials shall be permitted upon the
prer.mises,,except within the house or garage. No parking or storage
of cor,unercial vehicles sha11 be permitted upon the land, except for -.the making 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 shall be kept within a qarage accomodating .
normal passenger-size vehicles. ' 13. No fence in excess of 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, nll such fences shall at all tines be
properly painted, stained or lacquered, and sha11 be maintained in a
neat aopearing condition.
- ld. Enforcement shall be by proceedings at law or in equitl , against any nerson or persons, violating orattelnnting 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 affect any of the othet' provisions hereof, which other provisions shall remain in Full force - . , and effect.
- - IN TESTIt90VY NiEtEREOF, the undezsigned have hereunto set
- their hands this day of~, 1979. , . -2-
APPLIANCE
PERFORMANCE TEST
Attach to gas line adjacent to regulator
Heating Contractor
Name of Tester
Date
Job Address 3V-14
Heating Contractor
Name of Tester
Date
Percent 0
Percent CO2
Percent CO
Stack Temp.
.74,4_..,;
—1
tTh
ro4.:4
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 3544 Widgeon Way
Lot: 12 Block: 2 Addition: Duckwood Estates
PID:10- 21900 - 120 -02
Use:
Description:
Sub Type: e - Fumace
Work Type: New
Description: Furnace
Comments:
Fee Summary:
Contractor:
Angell Aire
12253 Nicollet Ave S
Burnsville MN 55337
(952) 746 -5200
Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Elec
952- 445 -2840
CRAIG ANGELL
12253 NICOLLET AVE. S.
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Owner:
Christophe Covert
3544 Widgeon Way
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$50.00 0801.4088
$0.50 9001.2195
$50.50
Mechanical
EA092278
12/10/2009
ePermit
cal Inspector,
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA131800
Date Issued:07/08/2015
Permit Category:ePermit
Site Address: 3544 Widgeon Way
Lot:12 Block: 2 Addition: Duckwood Estates
PID:10-21900-02-120
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Insert
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 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 -
Kimberly A Wilker
3544 Widgeon Way
Eagan MN 55122
(651) 587-1173
Hearth And Home Technologies
2700 N. Fairview Ave
Roseville MN 55113
(651) 638-3309
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA131832
Date Issued:07/09/2015
Permit Category:ePermit
Site Address: 3544 Widgeon Way
Lot:12 Block: 2 Addition: Duckwood Estates
PID:10-21900-02-120
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Insert
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 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 -
Kimberly A Wilker
3544 Widgeon Way
Eagan MN 55122
Hearth And Home Technologies
2700 N. Fairview Ave
Roseville MN 55113
(651) 638-3309
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA132869
Date Issued:09/09/2015
Permit Category:ePermit
Site Address: 3544 Widgeon Way
Lot:12 Block: 2 Addition: Duckwood Estates
PID:10-21900-02-120
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Kimberly A Wilker
3544 Widgeon Way
Eagan MN 55122
(651) 587-1173
Standard Heating & Air Conditioning
130 Plymouth Ave. N
Minneapolis MN 55411
(612) 824-2656
Applicant/Permitee: Signature Issued By: Signature
Gity of Ea�ali
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
For Office Use �
Permit #: I "J 4P Li 7,
Permit Fee:- 1 ,
^•Alk_ 1414
i'
Date Received: v (cO
Staff: 6(1
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 7/8/2016 Site Address: 3544 Widgeon Way Unit #:
Name: Kim Baldwin, Kim Wilker
Phone: 651-587-1173
Address City zip: 3544 Widgeon Way, Eagan, MN 55123
Applicant is: Owner ✓ Contractor
Description of work: removeing part of existing deck and expanding it to 16'x16'
Construction Cost: 24,000
Multi -Family Building: (Yes / No ✓ )
Company: SOS Homecare and Construction Contact: Todd Oberg
Address: 1816 Colfax Ave S City: Minneapolis
State: MN Zip: 55403
612-710-9775 todd@soshomecareandremodleling.com
Phone: Email:
License #: BC270903 Lead Certificate #: NAT 30365-2
If the project is exempt from lead certification, please explain why:
$9&,'7 i.d 10
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:
Mechanical Contractor:
Sewer & Water Contractor:
Fire Suppression Contractor:
Phone:
Phone:
Phone:
Phone:
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.orq
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 issuance.
)(Todd Oberg
Applicant's Printed Name
x
Applicant's Signature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
13107
SUB TYPES
Foundation
Single Family
Multi
01 of Plex
WORK TYPES
New
if Addition
Alteration
_ Replace
_ Retaining Wall
.-5`�i/`1 Lam,.
Porch (3-S
eatsol e Exterior Alteration (Single Family)
_ Fireplace
_ Garage
It Deck
Lower Level
Porch (4 -Season), Exterior Alteration (Multi)
_ Porch (Screen/Gazebo/Pergola) _ Miscellaneous
Pool — Accessory Building
Interior Improvement
_ Move Building
Fire Repair
Repair
DESCRIPTION
Valuation ti/coo
Plan Review
(25%100%__Zr
Census Code </ 3
#of Units /
# of Buildings
Type of Construction
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Roof: _Ice & Water _Final
Framing 30 Minutes 1 Hour
Fireplace: _Rough In Air Test —
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
Reviewed By:
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies / 6+ 027,
TOTAL
Final
/035 -
Siding
Reroof
Windows
_ Egress Window
_ Demolish Building*
_ Demolish Interior
Demolish Foundation
_ Water Damage
*Demolition of entire building — give PCA handout to applicant
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Suppression Required
Meter Size:
Final / C.O. Required
A4 Final / No C.O. Required
HVAC _ Gas Service Test Gas Line Air Test
Pool: _Footings Air/Gas Tests _Final
Drain Tile
Siding: Stucco Lath _Stone Lath Brick
Windows
Retaining Wall: _ Footings _ Backfill Final
Radon Control
Fire Suppression: _Rough In _Final
Erosion Control
Other:
, Building Inspector
Page 2 of 3
.APre'cibe engineei#q Campcinq
Rol s a eZe s et, ,.8B.u?'ssarii 11e, 77Zis,�et
.Ph ossa 890-4W4
Cer_ jPectic 8w -wire y
gal Descrivoiion:
Lot 12, Block 2, Duckwood Estates
Dakota County, Minnesota.
SCALE V = 30'
NOTE ALL BEARI**$
SHOWN Ake. ASSvW1tD.
I hereby certify that this is a true and correct representation of a tract of
land as shown and described hereon. As prepared by me on this 24ft. day of
Fad , 19'3.
EAGAN
REV `yWED
nn. Reg. No.13600
*'
City of Eaan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
For Office Use
Permit #: / ` G/e'
Permit Fee:/10
Date Received:
Staff:
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Col Brio Site Address:mho :
1/ 4*i' Phone Unitc#7 // ,3
Resident/ j J 5-4/7( 664
Owner Address /City /Zip:
Contractor
Applicant is:
Owner Contractor
Description of work: iG'
Construction Cost:
/ 1i iL
Multi -Family Building: (Yes /
Company:A4,0c44- eril Contact: C//�/i"�,r
Address:57' 7 it)/
,�=>/ City: tP/A/fr
State: M " Zip: ! Phones ) ? / l mail: / 7' P/17 17- /'
License #: PC` //3/ Lead Certificate #:
If the project is exempt from lead certification, please explain why:
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:
Mechanical Contractor:
I Sewer & Water Contractor:
Phone:
Phone:
Phone:
Fire Suppression 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.orq
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 issgance.
x
Applicant's Printe
CeIn,ccDitret
Applicant's Signatu
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA148412
Date Issued:03/27/2018
Permit Category:ePermit
Site Address: 3544 Widgeon Way
Lot:12 Block: 2 Addition: Duckwood Estates
PID:10-21900-02-120
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 -
Kimberly A Wilker
3544 Widgeon Way
Eagan MN 55122
(651) 587-1173
Craftsmen Home Improvements Inc
7455 France Avenue, #194
Edina MN 55435
(952) 930-3777
Applicant/Permitee: Signature Issued By: Signature