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3555 Widgeon Way CITY OF EAGAN WATM SERVICE PERMR 3831) Pilot Knob Road P. O. Box 21199 PERMIT NO.: - Eagan, MN 55121 D.RTE: - Zonirg: No. of Units: OwRwr. Addflff: 511s /ltidrc= ? 'i~'?e:•";oC` f'Z! Plurnber. MeMo No.: CannscHan G,arps: 5C0. L~t:r Size: Acoount Depostt: : r` ~r No.: Permit Fee: : I NM 1'O 00opil Muh dbs Cky of Bqpm 541fdIQMf: ~ ~hMnC~f. NfC. ~.f101"Qef: .i Totol: BY DOte Paid: Daft of Irap.: Irap.: CITY OF IiAGAN UWER SERVICE PERMIT 3830 Pilot Knob Road P. O. Box 21189 PERMIT NO.: Eagao, Mk 55121 p,,TE: _ ZOning: _ No. of Un7ts: - Ownor: - Ilddress: Site Aeldress: Plirnber. - . . . . _ _ . . , b I yfM tO a0111/y Mim df cay Of sm"m CAfln~cr__~v ..r~.t~r_?~ _ K~.g.: OnrlMnae. Acaount Deposit. Pam-Jt Fa: SurcJarps: By IMlsc. Garges; Dote of Irxp.: Totol: frap" Dote Paoid: CITY OF EAGAN WA~ SERVICE P ~ 3830 Pilot Knob Rosd ERM ! P. 0. Box 21199 PERMtT NO.: ~ Eagan, MN 55121 ~ DATE: Zonlny:. ' ~Mr: ~y ?yi No. of Units: ~ Add?ess: ~ Sih /1dd?as: i L A I j Plumber: MMrr No.. J~ ~I Slze: ~ < < Ilocounr, Depdsr~• . t; r No.: Permit Fse: I n!ne 10 aeae* wm !IN Cihr eF E'W¦ Surct?arps: • - ` OriiM Mise. Clwryes: T ` `•'1~ix: 8 Total: ar- Doh of Dote Poid: Insp': B y' Irnp.: /D-Zg. CASH RECEIPT { ' CIfY 4F EAGAN P. O. BOX 21-199 EAGAN, MINNESOTA 55121 . rc DATE 19 wscravio FROM AMOUNT $ I v 8 pOLLARS +eo ? CASH CHECK soR " , ~-?r~ ~i i . r: -'r . - Ji.!~' 'i~ : / . • /`.!I'./- ~ ~ r ' . , i , . . !!"Jl~ _ . r J FUND COO6 APnOUNT L) 3 71 z~ (U > Thank You ; s r r ' r - White-PaYen CoPY Yellow-Posting Copy Pink-File Copy CITY OF EAGAN Remarks Addition-DUCKW00D ESTATES Lot 11 Blk I Parcel 10 21900 110 01 Owner L, T et:=JLau .,L(Street 3555 Widgeon Way state Eagan, PIN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTO mp. . , 87 5 ~ GRADING 5AN SEW TRUNK 1971 109.77 5.49 20 , 0 q e o 4 0~ -z p ~ SEWER LATERAL L' Q ~ (SO oZ e'Z 4 WATERMAIN ~ WATER LATERAL WATERAREA 1972 111.81 $.59 ZO , 0 11:5-0 o-2.. .Z 20 # t STORM SEW TRK ~t STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 11 9 BUILDING PER. sac 525.00 PARK ~ CITY OF EAGAN ~ 7 i 3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55127 PHONE: 454-8100 BUILDiNG rERMIT Receipt ~ To M wed ia Est. Volue • Date - - ' 14 " ~ SiteAddress ~ k':(?", ';IIAY Erect 11 Occupaney [rT!tVKWOUIi E.;;' Remodel ? Zoning Lot ! L I_ Block Sec/Sub. Repeir ? Type of Const. Parcel No. Addition ? No. Staries ' Move ? Length ~ Name ` W . Demalish ? Depth = ; Address Int Impr. ? Sq. Ft. b City _ I, T' Phone 31- J 1 Install ? APporals Fe.s ~ Name . ~u A~~ Asseument Permit ti - • ~ City Phone Woter 3 5ew. Surcharee 3 6-50 Poliu Plan Review 1 7~; • 0 0 tW Name T Fin SAC r 0 Address Erp. Water Conn. 5 1' • ~ ~ ~ W City Phone 43!- 30e0 Plonner Water Meter 63.00 Council Road Unit 2 0 • 010 I hercby acknowledye that 1 hcve read fhis oppliwtion ond state thof Bldg. Off. f' Tr. PI. f~ the inlormntion is correct and ogree to comply with all opplicoble A~ -mz Pg~ Stoh of Minr~esota Statutes ond City of Eo9on Ordinnnces. ~ Var. Date copies Stpnoturt of Permittao . w 9uiidirq Pem,it Is yssued rtr:Li' 3 C+1C on the e8icpreas conditbn thot all work sholl be done in occo?donu with oll oppliaoblo StaM of Mirx+esofo Stotutes ond City oF Ecqon Ordinonces. 9ufldtnq Offidal ' , M o ° 70 d ~ ~ s ~ 9 'a g n ~ A ~ - ~ ~ ~ g m on S ~ m o w _ ; ~ ~ o\ ~ ~ ~l o w 5- a » Cl o = ~ C"o 1 ~ ~ Reaipt MECHANICAL PERMIT Parmit No. ' ~CITY OF EAGAN Fee 20,00 Fill in aumbered swces S/C .50 Type or Prinr legibly Tot ~'C. 1~r, - 1. Date 2. Installation Cost 1AIU•00 3. Job Addreu 3555 AdLeon ' :10i Blk. ~ Trect - 4. Owner ~ - 5. Contractor `:~v N. :.71L7 phone f-5--6867 6. Address 2+637 Ch:LC-..' 7. Clty $LaLe YZIp r54!~'l 8. Building Type: Residential M Cammercial ? Institutional O 9. Work Description: New C] Add O Alter O Repair ? , 10. Descri be T Fuel Type 11. No• EpLinment 9'fC1- M. Ea. No. Equiprttent CFM '0' 1 Forced Air V,ip Air Handling: Mfg. Boilers Mech. Exhaust Mf9. Unit Heater Mfg. Other Air Cond. Mfg. ' Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to compl y with a!l ordinances and codes govetning ihis type of yyork. Signed : , for Rough F inal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464,8100 Receipt PLUMBING PERMIT Permit No. / CITY OF EAGAN Fee frll in numbered spaces S/C Type or Print legib/y Tat. 1. Date 2. Insiallation Cost 3 S~ 3. Job Address s < ~ (c• ~ Lot! Blk. Tract 4. Owner ' C_~..~/ S 7• 5. Contractor Phone 6. Address ~ 7. City State Zip 8. Building Type: Residential L'] Commercial ? Institutional ? 9. Work Description: New"E1Q. Add ? Alter ? Repair ? 10. Descri be 11. No. Fixtures No. Fixtures Water Closet Cesspoot/Qrainfield ~ Bath tubs Septic Tank Lavatory Softner Showe r yvell Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink ' Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Finel Inspections: Date Insp. Date Insp. 7his is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 PERMIT # CITY OF EAGAN FEE MECHANICAL PERMIT;' ~ RECEfPT # 454-8100 S/G ' MINIMUM RESIDENTIAL FEE -$Y0.00 + $.50 0 TOTAL ~iA1NIMtSM COMMERCIAL FEE 7'~20.OD + $,50 DATE 1. Bldg. Type: Res v CommInst 2. New Add Alter Repair : 3. Total d Price 4. b Address Lot Biock r Sec ~ S. Owner / kf 7lDr~~ ~tL/'I(::.l 6. Contractor ~ (Name) (Street) (City) (Zip) - 7. Contractor Phone # o` o RESIDENTIAL HEATING - O1-100960 BTU's -$24.00',,Each add'?tiona{ 50,000 BTU's or iraction -$6.00 RESIDENTIAL COOLING - 01-24 00 BTU's -$12.00. Eaah additional 6,000 BTU's or fraction -$6.00 MODIFtCATIONS/ALTERATIONS -$10 0 minimum fee HEATING VENTIOTING HOT WATER STEAM ZAIR COND. _AIR PIPING P'ROCESSED PIPING AIRtiAND. EQUIP. RtFRIG. RES. GAS PIPING OUTLETS $1.50 TANKS: LP, UNDERGROUNO OTHER COMM./IND'RA7'E - 1% OF ~TAL BID PRI,0E PLUS $.50 STATE SURCHAR(3E FOR EAGH $1,000 OF FEE. Signed: for Approved Inspections: Date Rough Insp. Date Final Insp. CITY OF EAGAN N_° 106 7'I ' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ~ PMONE: 454-8100 yr ~ " BUILDING PERMIT rteceipt # ? Ta MVwd fw SF DWG/GAR Esr. Volue $73,000 Date SULY 30 1 y 85 SlteAddresa 3555 WIDGEON WAY erect 11 ocwpenov R3 Lot elock 1 SrsclSuh. DUCKWOOD EST Remodel ?Zoainq R1 Repair ? Type of Conrt. V Perce4 No. Addition ? No. Stories MARELL INC Move ? Lenytn 68 W Name Demolish Q Depth 29 ; Address TH Int.lmpr. ? Sq. Ft. b City BURNSVILLEphone 432-8131 Install ? Name $AME Apporolf Fws ~ , Addresa Assessmenf Permlt ~5-00 ~ Water 8 Sew. Surcharge 36.50 ~ City Phone Police PlanReview 176.00 ~W Name PROBE ENGR F1ro SAC 525.00 qddress; 1000 E 146TH 5T Eny. weterconn. 500.00 mW City Phone 432-3000 plonMr WaterMeter 63.00 Council Road Unit 280.00 I hereby atkrowladge Ihat I Mve read this opplicotion ond srore that BId9• off• 7 30 85 Tr. PI. 13 . 2 O 0 the inlormotion is correcf ~ a ree fo Compl rlfh oll apvlicabla APC Parks StaPo of Minnesota Stotute an iry of Eo inancas. ~ Var. Datt Coples Slpnwurc of Pem+ittaa 2•064.50 RELL INC rotai A Building Permit Is issued ro on tha azpreY corditlon Ihoi oll work sholl be done in occordonca wi o bla Staro of Min wfe Sta e~ ond Ciey of Eopon Ordinancaa 8ufldinp Officiql This requesl voitl Q~~~- 45 1 B~n3hs (ram~.i J o T L I~/1 ( p~u a ~ a 5a Bequ st Date Fire No. Rouqh-in Inspection ~ ) R q ire0? ? I ~Rcady Now~lYill Nulify. Inspec- / 1'es No ~or. When peady Lice sed Elecir' al Conirac[or I heraby reauest inspection ol above ? Owner electrieal wwk irefalled at Streei Addr Box or Route 14o. Git ' ecuon o. Township Name r No. Han e No. Cn~ OccuVant IPFiIN ) Phone No. ma t v3,~-~'i3! Po r SuoPlier Address EI tncal Contractor (Compa'ry. Namel Cmhacmi s License No. ~ .ti ~lt ~'cI'I 3 Ma11' tldress Contracror or Owner Making Ins[ail tionl . A/ ~ sd_ ose?j9le mrtJ Ss~i3 Au[h ' ed S~e~at e(Comrect Owner MakinO Insullation) Phone Number ~97d MINN OTp gTpTE BOARD OF ELECiRICITY TMIS INSPECTION REQUEST WIIL NOT Griggs-Mitlway Bltlg. - Room N-197 gE ACCEPTED BY THE STATE BOABD 1821 UniversitY Ave., St. Pa-l. MN 55101 UNLESS PROPER INSPECTION FEE IS Ph..a 1812) 297..2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION Ee-°°°°''°° g ~:9,~,Ss~ ~ s (ar completing this fmm on back of Yeilow copY• ~,6'6q , Sea instruction C- "X'" Be/ow W^rk Cnvered by 7his Request FAd Hep. Type ol BuilEing APDliajes MireO EQUipment WireA Home Bange ^ Temporary Service Duplex Water Heaffir Ligh[in,y Fixmres Apt. Building Dryer Electnc Heatin Cormnercial Bldg. ' Furnace Silo Unloader Industrial Bldg. Air Conditioncr Bulk Milk Tank Farm otner oeci v ~the. Isu«veyl 1Mr VecilV Offier Other ompute lnspection fee Below p Fee ServiceEMreMeSize B Fee FeeOers/SUbleedare p Fee Clrcuits U to Z00 Am 0 to 30 Am 5 / 0 to 30 Am s Above 200 Amps 31 to 100 qmps 31 to lOD Amps Swirtmin Pool Above 700_Am s Above 100_.4m ' Transtormers Irrigation Boorrs Partial.'Other Fee Sigis Speciallnspection S / Remarks n'-1 $Q TOTAI17E ~ I ~ ;2 RouBh-in ' " " theechipi lospactor, he~eGy ' ftltV lhat the TboVB I Final , 0 1 ~timoection hes bcen mia repuest wid 18 monOU Imm . ~ pU-~29 'HAMMARGREN ~C'~4 C( ATTORNEVS AT LAW 730I ONMS LANE, $UIiC 360 ~ , ~ . m ~ MmNenarn.Is, MN 55439 TeLeexorve (952) 544-9033 FncsImae (952) 844A714 DAVID D. HAMMARGRE.N www.xnmMnw.nw.r.nm PnuL T. MErFa` TIhtorIiv C. CooK Wnter's disect dial BRENDA M. $AURO (952) 229-8483 JF.NNIFER A. THOMPSON AxTHONV W. T~ioMesoN Wricer's e-mail • L Y. ,p ex ` $ >.,A. F.. _ :;a coriQhammadaw.com VIA U.S. MAIL June 28, 2007 City of Eagan Building Inspections 3830 Pilot I{nob Rd. Eagan, MN 55122 RE: Robext and jennifer Michelson 3555 Widgeon Way Eagan, MN 55123 Dear Six or Madam: This of&ce reptesents Robert and Jennifex Michelson, ownexs of a single family home at 3555 Widgeon Way, Eagan, MN. Pursuant to Minn. Stat. Ch. 13, the Government Data Pxacrices Act, I am tequesdng access to any and all files, documents or infottnadon in the City's possession telating to ot arising out of the design and construcuon of the Michelson home located at 3555 Widgeon Way. This xcquest includes, but is not limited to, the Eollowing: 1. Applications fox any and all building pemvts and the pcrtnits themselves. 2. All plans, dxawings or otheT documents submitted to the City in connecrion with the construction of the home plus any comments or ordexs issued by the City. 3. All inspection tecotds and notes. 4. All correspondence, notes, memos or othex documents in the Citp's files relating to this home. If all items can be copied and sent to my attention for undex $100.00 please have them copied and mailed to my attention. Please call me with the applicable charges and I will be certain you ceceive payment. If the copping costs will exceed $100.00 and /or if we must pexsonally review and copy [he documents at youx offices, please make such arxangcments xvith me at (952) 229-8483. ~ECEoWED JUN 2 9 2007 V~ . City of Eagan june 28, 2007 Page 2 of 2 Thank you fot your prompt attendon ro this xequest. Please call me with any quesdons. Sinc y, ! ` " { ~ ~ Cori Leuthaxd Paxalegal CCL/cl cc: Robert and jennifec ivlichelsor. PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA076619 Eagan, MN 55122 ~ Date Issued: 02/06/2007 (651) 695-5675 Clt~ of hp Permit Category: ePermit www.ci.eagan.mn.us Site Address: 3555 Widgeon Way Lot 11 Block: 1 Addition: Duckwood Estates PID: 10-21900-110-01 Use: Description: Sub Type: e-Siding Construction Type: Work Type: Siding Description: House & Gazage Census Code: 434 - Occupancy: Zoning: Squaze Feet: 0 Comments' ~'en installing ventilated softit material, remove existing soffit material (i.e. debris that could block venYOpenings) and ~ take steps to ensure maximu m ventilation into attic space Mel Hazelwood 5558 Smetana Drive Minnet onlca, MN 55343 952-9359669 kari@minnesotarusco.com Fee Summary: Surchazge - Based on Valuation $3K $1.50 9001.2195 BL - Base Fee $3K $88.50 0801.4085 Valuatio~: 3,000.00 Total: $90.00 Contractor: - npplicanc - Owner: Minnesota Rusco Robert H Michelson . 5558 Smetana Dr 3555 WidgeonWay Minne[olilcaMN 55343 EaganMN 55123 , (952) 9359669 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 Ciry of Eagan Ordinances. ApplicanUPermitee: Signature Issued By: Signature HAMMARGREN AITORNEYS AT LAW 7301 Oxms LnNe, Smre 360 1 ~ MINrvcnrous, MN 55439 ~ ~ A TELevxoNe (952) 8449033 FecsImac (952) 844-0114 N'W W.HAMMARIAW.QpM AVID D. HAMMARCREN PAUL T. MEYER* TIMOTHY C. COOK Wvter's direct dial Basxow M. SavRO (952) 229-8483 )ENNIP6R A. THOMPSON ANtHONV W. TxoMPsoN Writex's e-mail • ~~r.:~~ r..r..o,A, e~1:~nIta coriQhammarlaw.com VIA U.S. MAIL U ms U june 28, 2007 City of Eagan Building Inspecaons 3830 Pilot Knob Rd. Eagan, MN 55122 RE: Tun and Theresa Schugel 3565 Woodland Court Eagan, MN 55123 Deax Sit ar Madam: This office xepxesents Tim and Theresa Schugel, owners of a single family home at 3565 Woodland Court, Eagan, MN. Pursuant to Minn. Stat. Ch. 13, the Government Data Pxactices Act, I am requesting access to any and a11 files, documents ox information in the City's possession telating to or axising out of the design and construction of the Schugel home located at 3565 Woodland Court. This request includes, but is not limited to, the following: 1. Applications fox any and all building permits and the pernvts themselves. , 2 All p1ans, drzwina o± o*.her rlocnm?nts suh::utted tc thc Ci j- in cbn:,cctlcn w:th ;ha construcrion of the home plus any comments or oxdezs issued by the City. 3. All inspecrion records and notes. 4. All coxxespondence, notes, memos or othet documents in the City's files relating to this home. If all items can be copied and sent to my attenrion for undet $100.00 please have them copied and mailed to my attenrion. Please call me with the applicable chaxges and I will 6e cextain you teceive payment. If the copying costs will exceed $100.00 and /ox if we must personally review and copy the documents at youx offices, please make such axrangements w-ith me at (952) 229-5483. ,aUN 2 9 2007 City of Eagan june 28, 2007 Page 2 of 2 Thank you for your prompt attention to this xequest. Please call me with any questions. Sincexely L'u'thard Patalegal CCL/cl cc: Tim and Theresa Schugel RESIDENTIAL S I~~ BUILDING PERMIT APPLICATION ~ CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 Llgw ConsCUCtlon HeauUementa RemodeVReosir Beauhemems • 3 repisiered stte surveys showing sq. n. oi bt, sq, tt. of house; antl Al roofed areas • 2 coples of plan 00% max4num bt coverage allowed) • 1 set of Energy Cakuletbns for heated eddltlons • 2 copies ol plan shaxing beem & window sizes; poureC found tlesign, etc.) . t site survey for exlerbr addRions & decks • 7 set of Energy Cakulatlons • Intlipte B hane servetl by septic system for addilions • 3 copies of Tree Preservation Plan N bt platted atter 711/93 • Rim ,bist Detall Options selectbn sheet (DWgs with 3 or less untls) DATE & -/G " G Z VALUATION 61^2,28 , 3~ SITE ADDRESS (-f-)1Dqeor? C1JAU MULTI-FAMILY BLDG Y N TYPE OF WORK /2o Bf~ fIREPLACE(S) _ 0_ 1_ 2 APPLICANT ~Cc aVcc l~oo~iti~ 4~vjr) 5 i1) +rJ4 STREETADDRESS /~S;6' f.r~cNY~LE Bt vD sv,T 130 CITYE.Mt? PR.aia1c STATE Nl NZIP~LL TELEPHONE # 41s'12-c/zl7-~5'o~ELL PHONE # FAX ~96`a -`!V 7- I~5 Ry tiuo PROPERTYOWNER .J£n/NiLk NJir_heLsoni TELEPHONE# 6112'322'52`IP~ COMPLETE THIS SECTION FOR °NEW• RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA (J submission type) • Residanfial Vantilation Category 1 Worksheet Submitted • Ne ~v @d~V~rk~~ ed • Energy Envelope Calculations Submitted ~ ~U7 LI lJ JUN 12 2002 Plumbing Conhactor: Phone # ' CS Plumbing system includes: _ Water Softener _ Lawn Sprinkler By _ 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 Conhactor: Phone # I hereby acknowledge That I have read this appllcatlon, state maT the information is correct, and agree to comply with all applicable State of Minnesota Statutes and Cf1y of Eagan Ordinance Signaiure of Applicant OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool O 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) O 31 Ext. AR- Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage O 22 Porch/Addn. (4sea.) 0 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) O 36 Multi ? 05 03-plex O 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04plex ? 12 12-plex Plbg_YOr_N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) O 45 Fire Repair ? 33 Afleration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 Windows/Doors ? 34 Replacemenl •Demolition (Entire Bldg only) - Give PCA handout to applican! 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) _ FinaVC.O. _ Footings (deck) _ Fina]/No C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _[ce & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ RI. _ Air 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 Perrnit License Search Copies Other Total • 1 / ~ 6 17/ 985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL COlITRACTORS MUST BE LICENSED iRTH THE CITY OF EAGAN INCLIIDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 7 SET OF ENERGY CALCULATIONS To Be Used For: Valuation: Date: Site Address: 3$~'~.5' /tJi ~a WiR!~ OFFICE USE ONLY /J u c.E el 4 Lot: ~ Block ~ Sect/Sub 1_=S ~ Erect X Occupancy Remodel Zoning Q-I Parcel fl Repair _ Type of Const ~ Enlarge li of Stories Owner 7-, r Move _ Length / Demolish Depth Address Grade _ Sq Ft City/Zip Code 17 U4?nico,~~ Contractor pPPROVALS Address ~ Assessments _ Permit 351~o Water/Sewer Surcharge City/Zip Code police Plan Review Fire SAC 52g,m Phone ll Engr Water Conn Soo. ~ Planner Water Meter (fl 3.= Arch, ngr Council ~ciad Unit 2Q+o7%° Bldg Off arks Address ppC Treatment Pl 132 Variance Phone # = L~,7,~ ?~C~f~J(~ 'fOiAL o~ G (q ~ ~mlc- 2~} f~E ]S7 PIENGINIEFRING AOBE CONSUI?INd ENGINEEflS PLpNNEpS and IAND 3URYEYORS COMf~ANY, INt. k ~1000 EAST I461A STREET, BURNSVILLE, LIINNESOTA 55337 PH +32-3000 Cer1~i}'z ca~ Su.f-y-e y Ir~~at QC+t c?"L ~p 1ro nt LOT J l, BLOC K 1, DuCKWOUD ESTATES j . DAKOTA COVNTY, M I NIUESOTA pENa7FS EXlS7/A/6 ELEVA776A-' pEAtoTES pROpoSEo CCEVAT/oN NORTH "a- IrvDIGATES DIRECT10ti uF SURFAC.E bKqInrA6E 5C.4t-E i^• 30' . _ ~ Fl,vISPIED :~ARAGF FLOOR ELEVA"7'1o1l1_ 119 ~So O ~ s ai° s~' 25-^E - ~o.uc ``/~3•~ 30• N ~ iosi r _I 3H: lo' -v-, r o N y ~ 9!~ p1 ~r f I n m ~ I L UT C r' - ~ 7,e _ 919~~, 3o.en v- N - ~j3=L~ W.oi 3o t r ° 3 ° ~ - - 10 i3. : ~Z,.~2 .3~ Y,, s~S! ~q• 2= DRAIn:AGE AND u7Ru-t"y tas-MENT I hereby eertify that this is a true and carreet repneentation ot a tract of land as shovn'and deecribed hereon.. Aa prepsrad by me on this day of ZL+..v Mina. 1les. No._/~ O Page 1 of 4 EX7ERlOR CNVI.I_UI'i. /1V(ItAG f !.(K'ilf/1flUlv 0'ANER; S I TE FDDRESS ~SS~_~, ~~okJ (,c~, PiiU;vEi 43z-=vl~~ CONTRACTOR:_` ~~jG Deter•iuinrr wurkiny square fnutaqe of each 1. Total exposed wall area..... ,,i . FC. x.11 2. Total roofjceiling area..... la-l~i sy, ft,, x,OZ~ = 33,30 Total expcsetl wall a rea above Iloc;r= a. Total wall window area b. Total door area............. 71,1 c. Total sliding glass cloor area............. - ~ d. Total f9repiace wall area . e. Total wall framin area 'averae 10.',; 9 l 3 ) . . . . . . . . . . . . . . . . . . \3G,5~ f. Total rim joist area . . . . . . . . , ~53.6s . 9. net wall area above floor h. CA-~'~'- : - Sb,& > ; . c:A::t~.1: ~JZAME . . . . J. frame wall area at founciat:iou - Total exposed foimdaCion are,= -7 C, k, Total foundation tvindow area (7) l. Total net foundaticn area abuve qrade - Determine "u" value of r.ach wali seymenC (e.g. qindow, door, eacii ;rp,,.rni.e taal I secCion) a._ x b._ 11 . 1 x u„ 6~5 c. ~ x „i „ ,~r~ ~G.`~~ d. ~ X "U" ,3G ------7.z e. 13G 5S X U„ (:::P\ f._ 153,GS-- x ~,U„---~----'---G„l~ g,x liuii h. x ,lu,l -21~)='----=--I,~Z-- 1. S.GS X l,u„ X If item }13 is the same k•- X as, or less than item ~ -~C~ x L, #1, you have met the ' intent of SBC 6006 (c) 3 . Tocal = 1`l3.`~`~ .F ' . 1>1:1frlor L'nvelopo Averagc "U" L'omputation Yaye 2 of 4 . •i . . ~ • . T ' Total exposed roof/ccili.ng area m. Total skyli.ghl- arca O n. Total roof/cczl..inc7 Fram.iiig ar.r_a (;tvcr.aqc 1U4.) 7 ?_Z, ,"7CE ~ o. Totnl nct insu.lated raoC/cei..ii.nq ;irea...,....... . DeCnrmine "U" valuc for cach roof/cci.ling segmenC M. X ,V„ n. a §1U1F o. x 4 Total If t:otal cf 44 is the same as, or less 1:han 12, you have mel- the ini:ent ot SkfC: 6006 (c) 1. Alternate P.ui].di.nq Erive)_oPe De:;, i`q:z_ . 1b uh.ilize the total envelope 'syst:em method, the va].ues esCabli.shecl by tlte s:um af i.tems 03 un8 09 sha11 not be greater Chan the sum oL items #1 and ik2. 1. + 2. 3. + 4. _ . ~ PLA kc L.~ r~ ~.4 L FT, F...Xpo5~O W,4LL ~ , PULL F U l.l... Z. ~ !Ft 1ZIM:; 153-Q, -5 WA LL A2EA t3LocK:'~ ~ s~ K, S' G 1~_, ti EE S w.o, x P u L l.. I', ?C, g -,:~s Fu LL Z;- y~ P=-- , , 'To-t7\ i_ F-KPoSE--D GEI LfIJG I-,~.-1-7 I 4V DkA1:5 1~ 1-KL DooZ..s ?AT10 Wn t.i. :;r.r.~•. ot~.^, UaJ% J'~t o( o~l,~(Jur, v4111 nrcn Cor from~: aunrt ruci lun C'om .l I nr.; it•n I(..`Jn ln.. _ 1• ditltn.~.~.~~.:~~.~.. i ~ cI , P. ~ ~ rj'/2in,:!i~•:_:_~,;~ . . . _ . . . _ . .~.r ~l_~. a, i6~L..6HTC~. ~IC ~ G. f:r,li•rii,r nli fil~n • 0 , I '1 - _ _ i Y2:: /0.85 Y1C. W1 TGPVIFIJ OF • FIWti WALI. 2 • `~i: ..c~ _ b dL _ . ~}5 . . . . _ __.J. , , J. _4•! r.su.l ..............---....----L_t..o.. ~ . ~ e. . ~t._~ ~i 5 • ..~7)~.i.r loZ - - . EsCC[io~ _;1i.: til_I PIC. 02 ZZ.9gj Q / U - . o'( Q 1. 1/i_: C1'y...__. . . .T / - • ~ ~ ! • Z~4.J.Q... _C2:~. w. ~.tio.~S-l. _ _ . L,.Pfi ~ „ ~ . ~ 4. 1 1 S n i t:xtcrJor rtii I.ilm----- • _~)_1.7 ~ ~ ~.i1~•J .r O n , oq . U• v~ (n riini air (il~~i (1.6(1 . . _ . . ...L'L".._ ~3.~.oc.?c._..... ...__...._..1~.2.$ J. 1. : ...1'--9{~°-. _ ..._....5..~ ~ , d. , •o. ,.____.----•-Q • n• ~ra4ecl~~.uc._ bavv':~Y_... • ~ _ {y r i'. . . ' . . •j.•`~ G. 0.17 % . . 'roi.ll oia_ ~;unui: / ~ ~ . ' t(~ ~ } ' • ~ . ~ ' I(I / e3 . I y • ~ ~ ~ /11•_`._"I / ~ . l/' - C~~ ~ ~ ;lt~•I'I:: lndlcac,~ l.}•~~w, vnluu, d1:PCh nnd o • ~ : ' ~;lncnn~~•il n( irisnl.iCinn. \m/ , ~ . Roor/cEiLiNc . • , , t . . . . . 'J • . Constructlon A-ValuQ Intcrior air filn ,0.G1 ' ~~~~~i~.~-- z. 3' -Ldl-!~OL_ •i~I ~ ~ 4. Extcrior air filn {still) C.G1 VF,rz Torad 2 ~.s8o % • ~ FtiAM d , :rted Hea[ f.low ~ 3• Interlor nir fiim 0.61 2 _ uP ' 3. . rNsu~. 38.35 , • 4. Iixtr_tic?.~ir 1`iLa • . ~ ' ~ ~ . ~ 'Potal 2 _ B'ZG. 9S . - . . ~ U=.oz4. Coq..sTR'?tri m~..., • Tnsidc ii.r. E3_lm 0.61 2. ~i . s . • 3" - 4- ~ 5, putsidc zlir fil:n 0.17 Lai,,~~11 1bta1 12 Instdc air f.S2[n . . 0:61 • . ~ ~ . . , _ ~ 2, • n~TCLL llov up • , ~ j-v¢nted ~3- . . . _ . . • ' ' . . Qutsidc ..ir filca 0.17 ~ ..SIC. d6.. . ~ . . : ToGa1 `3 . FO' S 1. Ynslde air fi]m~ . • - 0.67. r,..:,~^';3',~:~.i?-'..:{~..~-~`•.=~-%`.~ 4- 7 Gl3t~i.dc nir. filtn 0.17 1,_, r•--^` i ~ ~ / Tota1 • ' ' . . ! ~ ~ ~ . . • , • , , . . . . , xMl_vi 2,-~-,~ ]vote: Uso additionai sheets if morc .,pae4 i: , ueerlecl for details and calculatians. • • , . I{eaC • . ' ' . . ilav up • - • a • . • FZ G. 07 ' f~ • • . , . . , . ~ I~I-C~Ot?- A2F.h5 boEtZ uN{-~EAcTE17 SPI~~~. ~ I~ ; ~ ; - ~ ~m ~i ~ I - ~ - - _ t N SIV L. Pt tZf- ,q F R.A M\N GA 2E ;i - ~ ~ - IrZ. F(L../n . ~ ? l 6 I - . 'F(N t s +l _ ~c..06 tz. SUt3 ;~6 m ~X~I;; F~. WrtTS 3 D, o 0 E~ (br p1iud sa~, } 5 8-- - - x r ~ 1,mr2- FIuA . ~ 1------= , - ~ , - - , ~ ~ ~ .b3 ~ = •~7 ~ j I . _......._._.I I . . ~ Ili 17)0k (nk2.PcC~,Es ~ G RAOL S f ALF-S, . CANTS- ~ ~ ~.~Rn... .~F`.~F.~TT..~-_..~~.ni..~~.i...- - rini.t, r.r.r°r:nti.^, K - FZe ` LAGE ~ol t'l~nnun u~~11 nrcn foi' coi~:truciiun - - ' _?Ektz~ a • P-`itt,_.SP_~ ..108 s[C G. - . ~ ~ U= .34• FIG. fll TGl'VIL1J OF FIWHE {{nLI. 1, fuCorlnt' ni:' 'i!m U.(,~I 2 j , . ~ • . 4. - - , _ . g . ; L---, G. Exltrricir air !'il~.i ^Q.17 FIG.A2 'PuLal 'V ` ~-"J I,---~~~ • 1, )ntci~•,ur air. Film O.G'1 . . . " ' . _ , . , 3. , - _ . . _ lsf.'Fc.A ~ . - . y~::a~ h:x_tcrf_oC n'ti- lilm . ~ o . ~ ~ • • , l. U~l~ti i-~[ I r (l I;~.~ O.Gft ~ , . . . 2' . ~ \:lCli C ; , -t~ ~ 7, , ~ _ _ L ~a, .e.____..----•-{~ ~ n • . . , . - - ~ . 0 . JC ~ , - - . ~ il; ,n. • r . 1 . ~ 0.1~7 . ~ G. I:aC~u'~cC n~r ' ! _ ,.....-,-POl:ll . ~ i , . ' ~ ~ ` , ' ~ • ~ F~1~ ~/1 f ' - ~ ~ .C.l~ ~r~ i/!:~- . • ' j' 1;-,,-,,I n /ri, rit ' • I'lG. IIA ~ . , ~ 1!i S • • i c. 11 !cr _ , J • , `o-~ lndlrat..: va1m:, dcPCli nnd ~ ii ~ ` ~n• . ' pln^cn~:nt'. c~f inni;i..iCinn. ~ rU1 : ~ , ~ I 2/84 ~ CITY OF EAGAN ~ APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTIODI (PLEASE PRINT) i) PROpERT^r aoDRess: rs-s .J; J Y,'JR ~ r.Fr,ar. DESCRIPTION: ~J ! j ( i (Ipt/Block/Subdivision or 'rax Parcel I.D. N r) 17 E{iS=': :G STRL*CPf:RRE, DAi: 0F OR?GlN nUIL: i:G P=:iT ISSJANCy: ~ i:or._.; _e=sr PRESa7 ",^,•1''NC;1P3?OPOSED USB: $R-1 S=dGL.:. r^Pytr:.Y L7 R-2 DUPZ= (TN0 UN,ZTS; [3 R-3 T('3qNH0[JSE (TI-LREE + UNITS) ( iJNITS) ? R-4 APP.RZmENT/CO~~ID(',d4INIIM ( UNITS) ? CONAIERCIAL/REPAI7,/OFFICE ? IlZUSTRIAL Q INSTITUTIONAL/GOVEW= z) APPLICANT (PLEASE PRINT) D]AME: ADDRESS: CITY, STATE, ZIP: PHONE: 0 3) PILMBER PLEASE PRINT) ~ FOR CITY USE ONLY NANIE: ~'cv1KeYf I74ca.Ye6enro pLUMBERS L E ADDR~SS: Attive CITY, STATE, ZIP: 0 Expir PHONE: Neca ~d F3`7d `gs PLUMBER LICENSE / a' ni ia 4) OCC[,7PANT/Ow[VER (PLEASYPINT) NAf~: jra2~~..~ ~o.ce ADDRESS: e CITY, STATE, ZIP: PHONE: 413 2~ 8'! 31 5) INDICIITE WHICH PERMIT IS BEING RBQUESTID: zr~ NNECPION 't0 CITY SESVIER NNECPZON TO CITY WATER ~ dI'fEFt (PIEASE DE.SCFtiBE) 6) INDIC.ATE ONE: ~ PLEASE HOLD APPR(RIID PERMIT FOR PICK:;W BY ONE OF ABOVE ~ PLF,ASE MAIL APPROVE.D PERMIT TO 1,17~ s, 4 ABWE (Ci~~~one) 7) sr~zv~• DAzE_ •a~ew:~e~.~.t.a+re~:~m,r ~ ,~a, : F 0 R C I T Y U S E O N L Y PERMIT ISSUED ~ F°ES: $ ,G-SG SETAER PERMIT (I27CLliDE SUP,CHARGE) $ r4,,•SO WATER PERP4IT (INCLUDE SURCHARGE) $ 4S-(e WATER METER/COPPERHORN/OUTSIDE READER $ WATER TAP (INCLUDE CORPORATION STOP) $ SE;VER TAP ' $ / S-e° ACCOUNT DEPOSIT - SE:^;ER $ ACCOUNT DEPOSIT - WATER $ WAC $ 5d_~ •O/ SAC $ TRUNK WATER ASSESSMENT $ TRUNK SEWER ASSESSMENT $ LATERAL BENEFIT/TRUNK SEWER $ LATERAL BENEFI~/TRU WATER $ OTHER e a. v $ TOTAL $ AMOUNT PAID/RECEIPT DOES UTILITY CONNECTIO[V REQUIRE EXCAVATION IN PUBLIC RIGcIT OF WAY? YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE ~ NO ENGINEERING DIVISIO[V. LIST AS A CONDI- TION. SUBJECT TO T[iE FOLLOWING CONDITIONS: APPROVED BY: ~ J TITLE: DATE: i .a r"" wuo Mmsomuw Em wnuo wmiemw som wm MM R+w sE w'"ok" ONE= Iamsa sm Ra P*w sa s" wm ~ RECEIVED D2C 1 iggi rnvr,rinr{.i..; n^in ui<r•ruit^rrnn~: Y.NC:J ALL ME:d DY T[[ESE PRPSENTS, that the undersigned, Edward E. Parranto and Valentine Parranto, hushan3 and wife, of the County of Ramsey, State of_Afinnesota, Robert H. Karatz and Naomi Karatz, husband and wife, of the County of Maricopa, State of Arizona, and Kenneth Appelbaum and Sally Appelbaum, husband and wife, of the Coun[y of i{ennepin, State of P7innesota, being all of the fee owners of the followinq described lands situated in the County of Dakota 'and State of Minnesota, to-wit: . . ~ -'LOts 1, 3. d, 5, 7, R, 10, 11; 12, 13, 15, 16, 17, 18, 19, 20, 21, 24, 25, 29, 30, 31, 32, 35., 39, 40, 41, 43 '93, 44, 95, 48, 49, 50, 52, all -in S1ocR l;-ani i.ots 1, 2, 3, 5, 6, 7, 8,9, 10, - 11, 12, 13, 19, IIlock 2; all in_DUCkwood Estates,'. according to the recorded plat thereof,-sometimes hereinafter referred to as "the land", do hereby set out the following covenants and restrictions, which -shall run with the land and bind the parties hereto, their respective heirs, zeoresentatives and assigns, and all subsequent purchasers o£ . the land or any part thereof, and their heirs,repsesentatives, 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, a£ter which time said aovenants and restrictions . shall automatically extend for successive.periods of ten (10) years . each unless an instrument signed hy the majority of the then owners . of the above described lots has been recorded, a9reeing to change such covenants and restrictions, in whole or in part. ' .2. No lot shall he used except for residential purposes. . " „ r1o building shall be erected, altered, placed oY permittEd to remain - on any lot other than one detached sinqle-family dwelling not to ex- ceed three stories in height and a private garage for not more than three (3) cars. 3. The size of any dwelling, exclusive of one-story open ._porches and qarages, shall be: (a) in the case of a single floor structure, not less than 1,200 square Peet in area on the main floor; , ' or, (b) in the case of a split-level stzucture, not less than 1,200 ~ - square feet in area on the floor directly under the roof; or (c) in . the case of story acd-a-half structure, not less than 900 sqvare feet - on the ground floor, and a total on the main floor and second floor - of not less than 1,300 square feet; or (d) in the case of a two story structure, not less than 750 square feet on the ground floor and a 'to[al on the ground floor and second floor of not less than 11400 square feet; or (e) in the case of a split-entry structure, not less than - - 1,209 square feet in area on the unper level, but a 258 credit will be given Eor finished area of lower level which is 50% exposed over £in- ished gradw. TIO structure shall have a side exposure more than three stories in height fzom ground to eave line, considering as a story, an . -exposed walk-out basement. . A. No deielling 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 " ' basement garage is utilized, then the overall lenqth of the dwellinq structure, exclusive of eaves or open porches, shall not be less than forty (90) feet. All garages shall harmonize with the house as to de- ._sign, naterials and finished floor elevations. - 5. F.asenents £or installation and maintenance of utilities and drainaqe facilities are reserved as shown on the recorded plat. - tlithin these easements, no structure, planting or other material shall he placed or he permitted to remain which may damage or interfere with the installation and naintenance of utilities, or which nay chanae the 'direction of the flow of the drainaae channels in the easements, or _1_ which may obstruct or retard Chc flow of watrr throuqh t]rainaye chn r . n~•lr: in thn ..nr..•mr.ntn. Thr rnr:rmrnT nrrn of rnch lnf nnA .117 imprnvr- ments in it shall be maintained continously by the owner of the lot, except for those improvements for which a public authority or utility company.is responsi6le. Lots which hordar on wet lands (LOts 24, 25, 20, 30, 91, 92, 43, 45 and 50, all in Dlock 1) will not be cut or fille(3 within the easement area bordering the wet land, as shown on th- recorded plat. i 5. No nosious or offensive activity shall be carried on - upon any lot, nor shall anything be done thereon which may be or may become an annoyance or nuisance to the nei9hborhood. 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 telnporarily or permanentl; 6. No sign o£ any kind shall be displayed to the public '---view on any lot except one professional sign of not nore than four sqvare feet, one sign of not more than eighty square feet advertising the property for sale or rent, or signs used by a builder to advertise the property during the construction and sales period. 9.--NO animals, livestock, or poultry of any kind shall be raised, bred or kept on any lot, exceot that dogs, cats and other household pets may he kept, provided that they are not kept, bred or maintained £or any comnercial purposes. " 10. No lot shall be used or maintained as a dumning groun3 . for rubhish, trash, garbage or ottier waste, and any such materials may . - be kept on the premises only in sani[ary containers. All incinerators or other equipment £or the storage or disposal of such material shall t+e kept in a clean and sanitary condition. .-11. The exterior of all structures shall be finished in wood, stucco, brick, stone or other approved exterior hard materials. - 12. No filling or stcrage of refuse, discar.??d materials, . junk or other obnoxious matter shall be permitted upon said premises, - except within the house or garage. No storage of commercial, struct- . . . tural or business equipment or materials shall be permitted upon the . premises,, except within the house or garage. No parking or storage of connercial vehicles shall be pernitted upon the land, except foz . - the maY,ing of usual and customary deliveries to and from the premises, and e:ccept thaL 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 gara9e 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. All such fences shall at all tines he _ properly painted, stained or lacquered, and sha11 be maintained in a nea't aopearing condition. " - ' - 14. F.nforcement shall be by proceedings at law or in equit~ a9ainst any oerson or persons, violating orattemoting to violate any ' - covenant or restriction contained herein, which proceeding may be eithe -to restrain violation hereof or to recover damages for such violation. 15, Invalidation of any one of these covenants and re- - strietions by judcrnent or court order shall not affect any of the othez ' .-provisions hereof, which other provisions shall remain in full force ' and effect. - IN TESTIt10`]Y HiHEREOF, the undersigned have hereunto set - their hands this day of1979. ' -2- Tenant: City o f Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 Applicants Printed Narh Applicants Signature Fatfk Permit Permit Fee: Date Rece Staff: Use BLUE or BLACK Ink (9 I 9 -ate oy 2009 RESIDENTIAL BUILDING PERMIT APPLICATION L 1 4?(-- 1196 555 Lvtc[ 01 (A- q_ 0 q Date: 2- Site Address: 16 i,-t- 4e kur i k/SO it Suite TYPE OF WORK CONTRACTOR Name: b( f Th1 LN ISDn Phone: 5 1 ‘09$ /WE Address City Zip: J irit e O i✓1 Vi-k.(4 �(y M i■ r 3 Applicant is: Owner X Contractor Description of work: Construction Cost: nom, riOtti c mQvd no/7_ h('(/4 0040 -O 0 Multi- Family Building: (Yes No,) Name: 09t/ds r,Rf2statircha 6oet Address: deilg GU ?S1 (h a o 0 City: 6i.-4 V1 5v l l.Q State: Pl N Zip: 55 3b Phone: 959 y r 3b(tb Contact Person: ^1 6 kr k9 j e r 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 o 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 nd codes of the City of Eagan; that l understand this is not a permit, but only an application for a permit, and work i startyvithout a per hat the work will be in accordance with the approved plan in the case of work which requires a review and approval Page 1 of 3 SUB TYPES Foundation Fireplace Single Family Garage Multi Deck Lower Level 01 of Plex Accessory Building WORK TYPES New Addition Alteration Replace Retaining Wall Reviewed By: DESCRIPTION Valuation Plan Review (25 100 Census Code of Units of Buildings Type of Construction V� REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice Water y Framing Fireplace: Rough In 1 Insulation Meter Size: RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S &W Permit Surcharge Treatment Plant Copies TOTAL 3 \a6 DI'i DO NOT WRITE BELOW THIS LINE Final Interior Improvement Move Building Fire Repair Repair Porch (3- Season) Porch (4-Season) Porch (Screen /Gazebo /Pergola) Pool /0004 e t 11 m Occupancy Code Edition Zoning Stories Square Feet Length Width Siding Reroof Windows Egress Window *Demolition of entire building pL J ✓4A) $aa? Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Demolish Building* Demolish Interior Demolish Foundation Water Damage give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Sheetrock Final C.O. Required 1C Final No C.O. Required V HVAC Other: Pool: _Footings _Air /Gas Tests Siding: Stucco Lath _Stone Lath Air Test Final Windows Retaining Wall: Footings Backfill Radon Control Erosion Control 7_ Building Inspector a IAA 0-0 L1( 3L/ Final Brick Final Page 2 of 3 City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 3555 Widgeon Way Lot: 11 Block: 1 Addition: Duckwood Estates PID:10- 21900 - 110 -01 Use: Description: Sub Type: e- Siding Work Type: Siding Description: House & Garage Census Code: 434 - Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Minnesota Rusco 5558 Smetana Dr Minnetonka MN 55343 (952) 935 -9669 Total: Applicant/Permitee: Signature PERMIT City of Eaan Surcharge - Based on Valuation $3K BL - Base Fee $3K - Applicant - Construction Type: Occupancy: $1.50 $88.50 $90.00 Owner: Robert H Michelson 3555 Widgeon Way Eagan MN 55123 Permit Type: Permit Number: Date Issued: Permit Category: When installing ventilated soffit material, remove existing soffit material (i.e. debris that could block vent openings) and take steps to ensure maximu m ventilation into attic space. Mel Hazelwood 5558 Smetana Drive Minuet onka, MN 55343 952- 935 -9669 kari @minnesotarusco.com 9001.2195 0801.4085 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 Building EA076619 02/06/2007 ePermit City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 3555 Widgeon Way Lot: 11 Block: 1 Addition: Duckwood Estates PID:10- 21900 - 110 -01 Use: Description: Sub Type: Work Type: Description: Census Code: 434 - Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 e- Fireplace Gas Fireplace (new) Contractor: Hearth and Home Technologies 2700 N. Fairview Ave Roseville MN 55113 (651) 633 -2561 Improvements to the home may requ concealing. PERMIT City of Eaan BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: Applicant/Permitee: Signature - Applicant - Construction Type: Occupancy: e smoke detectors in all bedrooms. Chimney / flue must be inspected prior to Carbon monoxide detectors are required by law in ALL single family homes. Owner: Robert H Michelson 3555 Widgeon Way Eagan MN 55123 Permit Type: Permit Number: Date Issued: Permit Category: $88.50 0801.4085 $1.50 9001.2195 $90.00 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 Building EA091831 10/30/2009 ePermit 111111.101/1. City of Eaton 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUR or BLACK Ink For Office Use Permit #: , IDI Permit Fee: Date Received: Staff: 2013 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. Date: 3 / 1 / 13 Site Address: 3555 Widgeon Way Tenant: Robert Michelson Suite #: J est en' Name: Robert Michelson Phone: 651-303-3691 Address/City/Zip: 3555 Widgeon Way, Eagan, MN 55123 ontractor' Name: K&S Htq . , A/C & Plbq LLC License #: 0153 Address: 4205 Hwy 14 W State: MN Zip: 55901 Phone: City: Rochester 507-282-4328 Contact: Heidi Brown Email: hbrown@ksheating.com e OT W O) New XX Replacement Additional Alteration Demolition Description of work: OTE: Roof mounted and grounc Cade Please contact the Mee RESIDENTIAL XX Furnace XX Air Conditioner Air Exchanger Heat Pump Other ounted mechanical equip nical Inspector for nforma New Construction Install Piping Gas eth COMMERCIAL Interior Impro -Ment Processed Exterior HVA e Unit Under / Above ground Tank ( Install / _ R move) RESIDENTIAL FEES: $60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) 60.00 $100.00 Fire repair (replace bumed out appliances, ductwork, etc.) (includes $5.00 State Surcharge) T • AL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal (includes $5.00 State Surcharge) $60.00 Minimum (includes State Surcharge) *If the project valuation is over $1 million, please call for Surcharge OR Contract Value $ x 1% _ $ Pemhit Fee = $ 5.00S rcharge* =$ 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.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. x Rick Keehn Applicant's Printed Name X / Applicants Signature City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE Ir BLACK Ink For Office U e Permit #: Permit Fee: Date Received: Staff: 2013 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 3/1/13 Site Address: 3555 Widgeon Way Tenant: Robert Michelson J Name: Robert Michelson Suite #: Phone: 651-303-36 91 Address / City / Zip: 3 555 Widgeon Way, Eagan, MN 55123 Name: K&S Htg. , A/C & Plbq LLC License#: 59620PM Address: 4205 Hwy 14 W City: Rochester State: MN Zip: 55901 Phone: 507-282-4328 Contact: Heidi Brown Email: hbrown@ksheating.com New XX Replacement Description of work: Repair _ Rebuild _ Modify Space _ Wtrk in R.O.W. RESIDENTIAL X Water Heater Lawn Irrigation (_ RPZ / _ PVB) Septic System New Abandonment Water Softener Add Plumbing Fixtures ( Main / Water Turnaround ower Level) RESIDENTIAL FEES: $60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 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) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ 6 0. 0 0 CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground ul I ty damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and cipdes 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 *e work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Randall A Holtan Applicant's Printed Name nt's Signature