3559 Widgeon Way t~ y.: _~,;.-,R, ]o.E'f^.r~•~,;~ . _"f"i91
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- CITY OF EA6AN WATER SERVICE PERMIT
8795 Pila Knob Rood
PERMIT NO.;
Eoyen, MN 55122 DATE:
Zoninfl:
Owner: i' ~ r•? + - No. of Units: Address:
Site Ilddress: ;ea,- , I'ut ,rooc. J.states
Plumber:
Meter No.:
Size: Connedion Cho?ye: •
Reoder No.: Account Depps(t:
~ Permit Fee: ~ ' •
no"" to comPly wiTh fUs Ciy, of Eeqoe Surdharge: •
Ardlnenoa. Mfac. Cho • . ~ r
r'yes:
BY Total: Dote of Insp.: Date Poid:
Insp.:
Cln' OF EAGAN SEWER SERVICE PE(tMIT
3795 Pilo~ Ksob Rood
E°gap, MN 55122 PER/V11T NO.:
Zoniny: T, - F DATE: .
Owner: No, of Unita: I
Address: -
Slte Address:
PIUITIblr:
~~M P•7 M'~f~l HI! ~ Of fAsp11 Cp/~?ICLTIOfl ~IQ lio~. ~l~
~E: f~(1 r '
Account Depoafr: -r-_
Permit Fee: t 7 ,
By Surchorpe:
Qote of Insp.: Misc. Chorpes:
lnsp.: rorcr:
Date Paid:
INSPECTI4N RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road { ~
Permit Number:
Ea an, Minnesota 55122-1897
9 Date Issued:
(612) 681-4675
+-0 . ~ !-~r~ w w . -
SITEADDRESS: ~ E+~ r ~ APPUCANT:
11ra waY
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION D. .
. . ;i ,
F-
L
' ~
Permit No. PermR HnIdH Date Telephone s
ELECTRIC
PLUMBING
HVAC
Inspection Data Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFiNG
ROUGH
PLUMBING
PIBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
~
FIREPLACE 44
AIR TEST
FINAL PLBG I
FINAL HTG
ORSAT
TEST
BLDG FlNAL
BSMT R.1.
BSMT FBVAL
DECK FTG
~
DECK FlNAL ~
-
CITY OF EAGAN
3795 Pilot Knob Rood Eogan, MN 65122 N2 6789
' PHONF: 454-8100
BUILDING PERMIT Receipt #
To be ped fw Est. Value Date , 19
Site Address 'Erect [J Occuponcy -
Lot Block Sec/Sub. 1•~ ~ ~ Alter 0 Zoning
Porcel # Repair ? Fire Zone
Enlcrge ? Type of Const.
W Nome Move p # 5tories
; Address Demolish ? Front ft.
b
Ci Phone Grode ? Depth ft.
'
~ Name Approrais Fees
~ 0
Assessment Permit
Address
Ci Phone Water & Sew. 5urcharge
F Police Plan check
uW Nome
Fire SAC
Address Eng. Wuter Conn.
<W G Phone Planner Woter Meter
Council Road Unit
I hereby acknowiedge that I have read this opplicotion and state that Bldg. Off.
the information is correct ond agree to comply with all applicoble APC Totol
State of Minnesota Stotutes and City of Eagan Ordinantes.
Signature of Permittee
A Building Permit is issued to: on the express condition thot
all work shall be done in xcordante with all opplicoble State of Minnesota Stotutes and City of Eagan Ordinances.
8uilding Officfol
, t
Penelf # Oeft Isoed Pom11tM
Plumbing ~5 0 g' Z - Y E I'l Z -
Mechonical le- - 1'Il.,
El~ c.~ - ~ F rc~ ~ c"CF_~ ~
INSPECTIONS* DATE INSP. Rough-In I Finol
Footings Date Ins . Dote sp.
Foundation Plumbing
Frame/ins. Mechanical
Finai •ZS~ O D/q
w
I
Remarks:
~ .
,
, :
~%0%6m%m~Y~`'`~`~ITtA~~"~~?,~„T~'~?~~Y~r'~'"~_~'~
'
~tPr#ifirttt~ nf (~rr~~ttnr~
, .
Citp of eagan ~
;
,
EPpaI'tmMIf of lltilbWg JWPtftitlt
?bis Cerfificatc ittutd pursara„t to tbt rujiaresuru.r o f Sutiop 306 of tbr Um fom Building
Y-! Codr urti fying tbat at the Mw o f tJJffliflCe tI1tS S1f10[lk/t UMS tfl [OlltpliatlCE UMlI1 tIX WifJOMJ
~tv,;j ordinaiues of tbe Cuy ngxkrtiA$ bxilding coR.stnutien w re.a. For thc fo!lowing:
SF T1W, /('-1R
w ,...~No. 67~9 ~
' ' c~rlBo.Ka. w,
~71'Do P%3 7yrloCanwtdon V Fies Zm4 *t 1'A ZaoftDiu+kt Pi
J
a,.e d.,mlidlimflsford Gons trvctiorA,„. P.0 . Fax 21218, Faimn
WA4bgA,,,. 3559 widgeon Way Lat 9,
~Biock 1~,Duckwnor1 rst~,~
l 26,
t_
' B~dhqOffkW ~?1 Dab:
e c1~~~ ~i
nwci ~3~ ~
11 rwT M w ~cuw*
_ y` , , . _ '~f,~' _ „
, ~a ~ ~ ri . . ~ s1! : +41? ~ - ~ ~ ~i +I! ¦ 7 ,
_ '°~J _ _ ~..s~w? "~J _ ~ _ ~
O~~c. adLITMDIM~.1A.
Receipt PLUMBING PERMIT Permit No.
CITY OF EAGAN
Fee
Frll in numbered spaces S/C •
Type or Prrni legibly Tot.
1. Date ` 2. Installation Cost .
3. Job Address Lot r Blk. Tract
4. Owner
.17 ~I f
5. Contractor ~ r ~ Phone
6. Address .rL~
, - .
7. City State Zip S. Building Type: Residential Commercial ? Institutional ?
9. Work Description: New Q Add ? Alter O Repair 0
10. Describe
11. No, Fixtures No. Fixtures
_ Water Closet Cesspool/Drainfield
~ Bath tubs
Septic Tank
Lavatory Softner
~ Shower Well
i Kitchen Sink
Urinal/Bidet Other
j_ 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 : r - for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt ` MECHANICAL PERMiT Permit No.
CITY OF EAGAN
Fee '
fill in numbered spaces S/C '
TypB or Prini /egib/y
Tot.
1. Date 2. Installation Cost '
3. Job Address Lot ; Bik. Tract
4. Owner
5. Contractor Phane
6. Address
7. City State Zip
8. Building Type: Residential I~ Commercial ? Institutional ?
9. Work Description: New LJ Add ? Alter O Repair ?
10. Describe Fuel Type
11. No, Epuioment BTU - M. Ea. No. Equiament CFM
Forced Air Air Handling:
Mfg.
Boilers
Mech. Exhaust
Mfg,
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outleu
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 Flnal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
. . , PERMIT #
MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN 7 %
• 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-8100
Site Address BLDG. TYPE WORK DESCRIPTION
Lot Block 1 Sec/Sub ,
Res. New
Mult Add-on
Name
Comm. Repair
Address
~ City f~~r /~fv Phone ~ - - Other
FEES
~ Name RES. HVAC 0-100 M BTU -$24.00
c Address ADDITIONAL 50 M BTU - 6.00
p City Phone (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - t PER PERMIn - 1.50 EA.
TYPE OF WORK COMM/IND FEE - 196 OF CONTRACT FEE
Forced Air M BTU aPT. BLDGS. - COMM. RATE APPLIES
TpWNHOUSE & CONDOS - RES. RATE APPUES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
Unit Heater M BTU REMODELS - 12.00
Air Cond. < M BTU MINIMUM COMMERCIAL FEE - 20.00
Vent CFM STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # BEYOND $1,000)
Other $
FEE: ` •
SlC: SIGNATUR ITTEE
TOTAL•
FOR: CIN OF EAGAN
CASH RECEIPT
4
CITY 4F EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
RHCEINrO
FRqN
AMOUNT $ I
& DOLLARS
~oo
? CASH ? CHECK
Foa
_ '
FUMD CODE AMOUNT
Thank You
BY
A
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
CITY OF EAGAN Remarks
Addition DUCKWOOD FSTATES Lot 9 Bik 1 Parcel U0 21900 490 '
Owner~*nz1f =-06 6, ' treet 3559 Wldgeo~l Wsy State Eagan, MN 55123
}JU • ~ r ~ ~ I ~ ~ `t ~S/o2 7
Improvement Date Amount Annual Years a Payment Receipt Date
STREET SURF. -TgTF STREET RESTOR. 11CP. w ---F73T.-37 .
GRADING
SAN SEW TRUNK 1971 109.77 $.49 20
* SEWER LATERAL q
*
WATERMAIN
* WATER LATERAL
WATEF AREA 972 111.81 59
* STORM SEW TRK
* STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Unit 185.00 26120 8-4-81
WATER CONN. 335.00 BUILDING PER. 6569
sa,c 525.00 " "
PARK
ThisrequestvbidI Lq ! 25 1~ Kl.l70oc- o~'43'(- f f~
18 months from aq
' ~~6
Da of this RequestAD - 36 -8 ~ Fire No. S 94~
I, as censed Electrical Contractor ? Owner, do hereby request inspection of the above electri
-
cal iri g installed at:
Street Address or Route No. 5-6-9 ujdQen~q WQ- City ' /
Section Township Range ounty
Which is occupied by~ t-) `v ~1/e~ n
(Name of Octupant)
Is a roughin inspection required on this job? No ? Yep& Ready Now ? Will Call:~
Power Supplier &4 Af A57L4 tA%L Address ?
rS,~-
ElectricalContractor^F~ G''C~[_/~[ ~a„ ContractoisLicense~" ~
(COmpnny Name) '
Mailing Address_ r' ~ N
(Ele al Contra r or Owner Makln9 This 5[allatlon)
Authorized Signature Phone No.
( i rlcal ont actor or Owner aking This Installatlan)
This inspection request will not be eccepted 6y the
~'1 /%.l u L'~y t1U l.r IT la Sta[e Board unless proper inspection fee is endosed.
Minnesote Stete 9oartl Of EleCtncfty
Griggs Midway Bldg. - Room N791 ES-00001-0zJ
7821.University Ave., St. Paul, Minn. 55109 - Phone 297-2117 ~a[IO Y
REQUEST FOR ELECTRICAL INSPECTION
CHECK BYiiOW WORK COVERED BY THIS REQUEST 94196
Type of Building New.Add. Rep. Check Appliancea Wired For Check Equipment Wired Foi
Home ? ? Range ? 7emporary Wving ?
Duplex ? Watec Heater ? Lighting Fiatures ?
ApL Bldg. ?Dryer ? Electric Heating ?
Commercial Bldg. ? Fumace ? Silo UNoader ?
Industrial Bldg. ? A'u Conditioner 0 Bulk Milk Tank ?
Fazm ? ? ? pLis[ pList
Other ? ? ? Hehers~ Heieis~
COMPUTE INSPECTION FEE BF.LOW
Semice Entrance Size: it Fce Feeders&Subfeeders: # Fee C¢cuits: # Fee
0 to 100 Am . 11 0 to 30 Am eres 0 to 30 Am eres
101 to 200 Amps. e 31 to 100 Am Kes; 31 to 100 Am res
Above 200 Amps. Above 100 AAbove 100 Am s.
Transformers 11 RemoteConUo1Pactialorother fee -S
S' ns Specul lns eCtioMinimum fee $5.00
Remazks
TOTAL F
vIt
i1,s hen spector, hereby cerhat the'a6ove inspefUon has bee~~ a._ Date
~te request void
18 months from
CITY OF EAGAN
'I 43795 Pilot Kno6 Road Eagen, MN 55722 N2 6789
• PHONE; 454•8100 ~
BUILDMG PERMIT APPLICATION Receipt
To be used for $F DVYG/GAR Est. Volue $69s000 Date Aueust 4 , 19-21-
Site Address 3559 tiVidgeon WQy Erect [Z Occupancy R3 _
Lot 9 Block 1 secisub. Duckwood Pstatea Alter ? Zoning Rl
Parcel # 10 21900 090 Ol Repofr ? Fire Zooe NA
Enlarge ? Type of Const. v
w Name Burford Construction Move ? # Stories
Z Addre P•0•2~'21'g Demolish ? Front 52 ft.
'eg
~O C. 8n 11 phone 454-3237 Grada ? Depth 42 ft.
~ Name Owner Aovro,rals Fees
0
o~ Address Assessment , - Percnit 40.00
u~ Woter & Sew. SurcMrge 34.50
Ci Phone
Police Plan chetk 170•00
Gw Nume Fire SAC 525.00
Fw
Address Eng. Water Conn. 335• ~
aw CI Phone Planner WaterMeter ~.00
councu Road Unit 185.00
I hereby ackrawledge that I hove read this oppiication and state that gldg. Off.
the information is correct ond agree to wmpiy with all applicable AP~ Total $1649.50
State of MinnesoM Stafutes and City of Eagan Ordinances.
Signature of Permittee
A Building Permit is issued to: on the express condition thm
all work shall be done in occordance wif ppliwble State - innesota Stotute nd Ciry ot Eagan Ordinances.
Building Offitial .ti ~<•~=Jcy ~t~~
. t, • ~y~ ~ CITY OF EAGAN ' Iriclude 2 sets of plans,
1 site plan w/elevations &
~ BUILDING PEIdNIT APPLICATION 1 set of energy calculations.
7.b Be Used For $111~6' (2AZv1 Valuatian Date ('La 2.It)~
Site Pddress fl,'6h 1()a-*
pFFICE USE ONLY
Int Blocx sec./sub. Erect Occupancy
Paroel 0u~. G~~i_e )C?n(~ FSrl'~ s Alter Zoning
10 t2 G e) ~ q C; 6~. Repair Fire zone /y p
Owner: Enlarge _ 2ype of Const. V
Address: I"o`re # Stories
Danolish Fmnt 32 ft.
City/Zip Code: Grade Depth yz ft.
Phone
APPROVAIS FEEContractor: ~U 12{~d/2l~ [~id:.' S~(2Uc/o•i) Assessmiits Pexmit s 3 yQ. o n
?dater/Sewer Surcharge 3 Y, so
Pdciress: ~o Police Plan Check iTO. e e
City/zip code: cft o4tcl ~/i,l AJ Fire SPG _'o a
Ehg. Water Conn. 3 3~ o
Phone Planner WaterMeter /BO.OO
Arch./Eng. : Council Road Unit 186, o0
Bldg. Off.
Adclress: " APC '
City/2ip Code:
Phcne
.
,
lANbS VEvON.
' Rybt~rW Un00r L'Yws e TM~ 9I'to w MinnpDU '
- 2079 - 716TH $YpEgy N: 6pX M R ESUYA q608O ~RNONE 612 4$31769 '
- ? ~41
. SURNEYOR lE
'\~yY •~Pd ~+~~4r ` ~T . ) F L
QQ ' y
L'3100 . • ~
~ ~ ~ ~ ?t ~ ,9~y ~ ~:t'
llf 1
D!'jIAagB &
u;t#lity
i
eabemant • ~
~ I • .
~ f
~
SCALEs 1 inch ~ 30 Peet
s ~ Didilcst@8 tlet Nood hub .
C
E1~IS?ratI orte tlhbrn ere existing
\
,
I hereby,certify.that this li a 4i•" and eorreet repreeentation of
Lot 9, Block 1, ~KMiQOD ESTAM; ~,edrdiiig to the recorded piat
thereof, Askota Couuitq„ Minne4ota. s
Aleo showing the localtion ot a pTOpEiesd ti6ulN9 as ataked thereon.
Dated: June 11, 1481 ' -
Elevations revised Jwne 17, 1981.
. r
- ;r,.
y
Y~7f3~
. . MiNNESbTA WEl31ST ATIQN NO. BBxb
-
. v_ . e 24. A t:
1
~ Burford Constrnction
~ INC.
~ INOIVIDUALIZEO HOME CONSTRUCTION & CDNSULTATION
~Q
IOVEGPSpiMOME
PPOTECTION
~ JOHN F. BURFORD
1 P.O. BOX 21218, EAGAN, MINNESOTA 55121
~ PHONE 454-3237
C~ • s-a~ ~
C~ 2z ~U. rt( 044~ cv6c..F 7~f-
iA~e
47<~
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
5 I C) -1~ 3830 PILOT KNOB RD, EAGAN MN 55122 q L~.a,~-S
851•681-4875
New ConsVUCtbn Rapulrementa pamotleVRepair jleaWremeMe
• 3 registeretl sde surveys showing aq. M. of lot, sq. fi. of Muse; and all roofed areas • 2 copies ol plan
(20% maximum bt coverege allowed) . 1 se1 of Energy Cakulations lor heated add'Abns
. 2 caples of plan showing 6eam & wlndorr sizes; pouretl found aesign, etc.) • 1 ske survey tor exlarbr addttrons & decks
• t set of Energy Celwlations . Indicate il home sened by septic system for additbns
. 3 copies of Tree Presarvatbn Plan tl lot platted after 711/93
• Rhn Jolst Deffiil Options seleCtion Sheet (bklgs wilh 3 or less untts)
DATE VALUATION W00
SITE ADDRESS C MULTI-FAMILY BLDG _ Y ~ N
TYPE OF WORKIID 0 T ~ CL P~ fIREPLACE(S) _ 0_ 1_ 2
APPLICANT YtC, ' p~I
STREET ADDRESS f CIT~STATE ~ P
TELEPHONE CELL PHONE # FAX #Y~ "992 C" 1
PROPERTYOWNEklh11 l\ lQW%` J TELEPHONE#Gfj" W'1~ 10`-t'
COMPLEiE THIS SECiION FOR "NEW» RESIDENiIAI BUILDIN6S ONLY
Energy Code Category _ MINNESOTA RULFS 7670 CA'IF,GORY 1 MINNESOTA RULFS 7672
(4 su6misaion type) • Residential VeMilation Category 1 Worksheet Submitted • New Energy Code Worksheet Su6mitted
• Energy Envelope CalculaYions Submitted
Plumbing Coniractor: Phone #
Plumbing system includes: _ Water Softener - Lawn Spruikler Me 119 _ Water Heater _ No. o
f R.I. Baths No, of Baths
Mechanical Conhacior: Phone #
Mechanical system includes: Air Conditioning _ Heat Recovery System
SeweNWafer Conhactw: Phone #
I hereby acknowledge that I have read This applicatlon, state that the information is correct, ond agree to comply
with all applicable State of Mlnnesota Statutes and City of Eaga=dina ~iCJI/
~n A/~
Signaiure otApplicaf nces. ~G~ n ~
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
updatad aroz
OFFICE USE ONLY
? 01 Foundation 13 07 05-plex ? 13 16-plex 0 20 Pool Q 30 Accessory Bldg
13 02 SF Dwelling ? 08 06-plex ? 16 Fireplace 0 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Poroh/Addn. (4-sea.) ? 33 Ext. Alt - SF
O 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
0 OS 03plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex 0 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 Wiridows/Doors
? 34 Replacement 'Demolitton (Entire Bldg only) • Give PCA harWout to applkarH
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr, of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings(new bldg) _ FinaUC.O.
_ Footings (dcck) _ FinaVNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
RooF ! Ice & Water ^ Final _ Pool _ Ftgs _ tlir/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ A'v Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By , Building Inspector
- - - -
Base Fee
Surcharge
Plan Revfew
MC/ES SAC
City SAC
W ater Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
)NJCiY•.::.:~iY).~~:i~SryS~~~ ~C~1^~N.Y~in iSi?.)I'.~l.~li 9~:~}'~~~~.T..iJ i~C):%~il'~n~in~.:
c.i rv OF e-Ar:,aN
i.r~ ri-~~. _ ,
f.'P...`~~..
. S 77
ll!`Tr::; :i,f)/:I.:ii/`:)i' ';`:!:MEc W38::26
' I)
N..':....~ r,: 'ri,_
(~I"L.l1C.i': 11"'J(;
~.,,I ' 'li' f'. ,~c:.r_r ,.,..~...~..1 l.1t.
.:Sc:....f.l
..,.)._ll ~a.I.T;~,~=1'.. 50.
Pi55 9001 35f59 1+17:D,":JI. (:i.,F.if.J
I
-„t...... Re,-..- ;,r, Amrrun';, 50.50
C'r;:022i:L.'G4.
ME=' !:T?:• f:!P,NCY
PERMIT
CITY OF EAGAN
3830 P*t Knob Road PERMITTYPE: BusLoiNs
Eagan, Minnesota 55122-1897 PermitNumber: 030956
(612) 681-4675 Date Issued: 10 / 13 / 9 7
SITE ADDRESS:
3559 WIDGEON WA'Y
LOT: 4 BLOCK: 1
DUCKW00? ESTATES
P.I.N.: 10-21900-990-01
DESCRIPTION:
(OAS)
BuilLng Permit Type FIREPLACE
8uild3ng Wb,rk Type NEW
CensUS Cade 434 ALT. RESIDENTIAL
r
~ f
Y%
~
~;E
i.l
REMARKS:
FEE SUMMARY:
Base Fee $50.00
Surcharge $.50
7ota1 Fee $50.50
CONTRACTOR: - Applicant - ST. I.IC OWNER:
FIRESIDE CORNER INC 16332561 2009091 MICKELSON JOHN
t700 N FAIRVIEW AVE 3559 WIDGEON WAY
ROSEVILIE MN 55113-0847 EAGAN MN 55123
(612) 633-2561 (612)661-9184
T hereby acknow2edge that Z ha've read this ajsOlicstlon and stote that the
informatio.n is correct and agree to comply wi;th all applicabie State of Mn.
StatWtes and Gity of Eagan Ordinences.
~~7UR
I m I~
APPLICANTlPERMITEE SIGNATURE ISSU B s
I CITY OF EAGAN ~z, "5 0
~ • . 3830 PIL07' KNOB RD - 55122
1997 FIREPLACE PERMIT APPLICATION
681-4675
DATE: PERMIT FEE: $50.50
~YX15
DESCRIPTION OF WORK: ~ CONSTRUCT NEM FIREPLACE _ ALTERATIONS TO EXISTING
_ INSTALL GAS INSERT ONLY
_ INSTALL GAS LINE ONLY
OT'FER:
STREET ADDRESS: ~ r-> c.,
LOT q BLOCK SUBD./P.I.D.#: -&arhWnti FL1V;,IQ2
APPLICANT: (circle one only) OWNER CONTRACTOR
I hereby acknowledge that I have read this application and state that the information is coaect and agree to comply with
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
PROPERTY Name: M 1 C Kc S-o)J --Xook-~ Phone 6 I84-
OWNER
5ignature:
Street Address: L"K ~
City: State: ZIP: Z--
LL1 ~ ab~~~ ~ G3 3 ^256 (
FIREPLACE Company: GRf~~ C~ V~12 Phone 8 So -47-X.Lf
INSTALLER
Signature:
Stree ddress? 625b'- (-JJ License c) zl- o q ~
City.?~-+-1~ State: Ilf, Zip:
GAS LINE Company: one
INSTALLER
Name:
Signature:
Street Address: ~
City: State: Zip:
OFFICE USE ONLY
BUII,DWG PERMIT TYPE
a 14 Fireplace
WORK TYPE
0 31 New ? 33 Alterations
0 32 Addition o 34 Repair
GENERAL INFORMATION
Census Code. 434
SAC Code 01
REMARKS
Chimney/flue must be inspected before concealing.
I
L BL / CITY USE ONLY RECEIPT
7
SUBD. LR-C.~%~ C.(/,2w~ RECEIPT DATE:
PERMIT #
1999 PLUM$INC PEfiMiT (ftESIDENTtAL)
crrY oF snanx
3830 Paor KNoe gn
3 5 i~-I o EAfiAN. MN 55122
(651)681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
: backflow preventer for underground sprinkler system
FIXTURES EACH # TOTAL
n..th tu~ G I n^ - s
Floor drain 3.00 x = $
Gas i in outlet ' minimum - t 3.00 x = $
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x = $ •
Laund tra 3.00 x = $
Lavato 3.00 x = $
Minimum fee alterations to existin dwellin 30.00 x = $
Private Dis osal S stem new/refurbished ' re uires MPC iic. 75.00 x =
Private Dis osal S stem abandonment 30.00 x = $
RPZ new installation/re air 30.00 x = $
ROu ri G"8iiifi- 1.50 X - $
Shower 3.00 x = $
Under round s rinkler if dwellin is under construction 3.00 x = $
Under round s rinkler if existin dwellin 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener if dwelling under construction 5.00 x = $
Water softener if existin dwellin 30.00 x = $
Water turnaround 30.00 x $
State Surchar e .50 $ .50
Total $ . SO
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
I hereby acknowledge that I have read this application, state that the information is corred, and agree to comply with all applicable City of Eagan ordinances.
It is the applicant's responsibility to no6fy Ihe property owner that the Ciry of Eagan assumes no liabiliry for any damages caused by the Gity during its
normal operaUOnal and maintenance activities to the facilities constNCted_under this pertnit within City property/right-of-wayleasement.
.
SITE ADDRESS: MICKELSON, JOHN
- 3559 WIDGEON WAY OWNER NAME: : ; EAGAN, MN 55123 TELEPHONE
1 (651) 681-9184 - (AREACODE)
INSTALLER NAME: ` NQQ$LQ!N-PL-UM3"I''.e-vL'1: J TELEPHONE l'nv
(612) 827-4033 (AREA CODE)
STREET ADDRESS:
ciTY: MINNEAPOUS. MN 55408 STATE: ZIP:
S G URE OF PERMITTEE
METRO TITLE CORPORATION
5930 BROOKLYN BLVD., SUITE 101
BROOKLYN CENTER, MN 55429
(siz) sso-aeso
April 29, 1982
City of Eagan
3795 Pilot Knob Road
Eagan, MN 55122
ATTTI: Special Assessments
RE: 3559 Widgeon Way
Gentlemen:
Enclosed please find our check numher 3704 in the amount of $3,442.07
in full payment of the assessments for sanitary sewer turnk; water area;
utility; and streets on the above referred to property address. The
PID number is 10-21900-090-01 and the legal is: <F.ot:9B1ock'1,_Duck-
•woo'd Esta-tes.
If you should have any questions concerning this payment, please feel
free to contact me.
Sincerely,
METRO TITLE CORPORATION
,L~.a_~~~ci ~ ~c~~c/?
Debra L. Waldoch
~
Branch Manager Z.
y3. Fr9
DLW:mjs
Enclosure a3o`/. a5
50. 31-
M-12302
d?ePteaenEin9 Yawy$¢a E7lde 9nsuuuzce do¢#ozatton
City of EaOEall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
i
Permit #: 0611/4-tIV 0
Permit Fee: ++�J
Date Received:
Staff:
2011 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: Site Address:
Tenant:
Suite #:
RESIDENT / OWNER
Name: Phone: / — ���X ��
Address / City /Zip: `) 5-5-7 1N ll I'.f%Y,�/• / / , /1t gin-
/ 3
CONTRACTOR
Name: MILBERT COMPANY INC.dtfa CULLIGAN W 3ER
Address: 1801 50TH ST EAST City INVER GROVE HGTS
State: MN Zip; 55077 Phone: 651 ;.45.1.-2241
Contact BILL .MILBERT .i . Email:
TYPE OF WORK
_ New Replacement Repair Rebuild Modify Space Work
I
r1,R.O.W.
_ _ _
Descri.tIon o'work:
PERMIT TYPE
RESIDENTIAL
Water Heater Vater Softener
Level)
Lawn Irrigation ( RPZ / PVB) ( Add Plumbing Fixtures ( Main / _ Lower
_
Septic System Water Turnaround
New
_
Abandonment
RESIDENTIAL FEES:
$55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
)
$35.00 Lawn Irrigation
$55.00 Add Plumbing
*Water Turnaround
$105.00 Septic System
$95.00 Fire Repair (replace
(includes $5.00 State Surcharge)
Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharg
(add $166.00 if a 5/8" meter is required)
New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge)
TOTAL FEES $
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility
damage.
of the City of
work will be in
Call 48 hours before you
I hereby acknowledge that this
Eagan; that I understand this
accordance 't the approve
x
intend to dig to receive locates of underground utilities.- www.aooherstateonecall.orq
information is complete and accurate; that the work will be in conformance with the ordinances and code
is not a permit, but only an application for a permit, and work is not to s = • without a permit; that the
Ian the c workwhichrequires a review and ap. • IIj
of .:) '
not
L�%/L `v /i1�
App l'1 'cant FrintedName • ppiicant'sSign • re
(� L ggt�*�Rtf � r 1�,{.
FO . e - C U S �,Y}`l�lt`i °k a,J ,f�} f4 &.gEd,. t.,f Z 2Y'' .��}. f :.,:.:is.LtdLLw➢v(ns ,; t tit {' I f ® S t.'
ev ew s! B
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R qu reed I spec o s 4�. d r v d P,Duo-
�w �o 8+''x� , �. �,. ., <. A: yrs �.;€4s� .. � _.. � �' ,. , �,t; ,.• , z�<.;a,v�.i?
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA125719
Date Issued:07/31/2014
Permit Category:ePermit
Site Address: 3559 Widgeon Way
Lot:9 Block: 1 Addition: Duckwood Estates
PID:10-21900-01-090
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Matt Czech
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 -
Travis Raimann
3559 Widgeon Way
Eagan MN 55121
Pineview Builders Inc
2201 Lexington Avenue N, Suite 100
Roseville MN 55113
(651) 489-3696
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA150860
Date Issued:07/26/2018
Permit Category:ePermit
Site Address: 3559 Widgeon Way
Lot:9 Block: 1 Addition: Duckwood Estates
PID:10-21900-01-090
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 -
Travis Raimann
3559 Widgeon Way
Eagan MN 55121
Angell Aire
12253 Nicollet Ave S
Burnsville MN 55337
(952) 746-5200
Applicant/Permitee: Signature Issued By: Signature
- ilfi&10
For Office,, 1, Us�
a i e#, Permit#: V
E AG A N
®"� .. Permit Fee: O�• a II
L CET 'F[) Date Received: 0?-431°
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 FEB 13 2020 L Staff: C
buildinginspectionscityofeagan.com __
2019 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 02/13/2020 site Address: 3559 Widgeon Way, Eagan, MN 55123 Eagan
Name: ANN RAIMANN and TRAVIS RAIMANN Phone: (651 ) 328-99691
Resident/ 3559 Widgeon Wa Eagan, MN 55123
owner Address i City/zip: g Y+
Applicant is: Owner ✓ Contractor
5.20 KW DC solar array flush-mounted to south-east facing roof of home.
T e of Work Description of work: Q 1 ' l
yp Construction Cost: 7800.00 Multi-Family Building: (Yes /No ✓ ) 1
Company:
TruNorth Solar, LLC Contact: Donna Pickard
Address: 3735 Dunlap St. N. City: Arden Hills
Contractor y
State: MN Zip: 55112 Phone: 952-500-0789 Email: dpickard@trunorthsolar.com
BC639643 ---
License#: Lead Certificate#:
If the project is exempt from lead certification, please explain why:
We do not disturb the walls of the building, we only attached to roof and minor exterior attachment.
w
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:
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-.ublic if ou .rovide s.ecific reasons that would permit the City to conclude that they are trade secrets. _
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeagan.com/subscribe.
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.
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.
oylery nu.a sr o�,�k.a
xDonna Pickard xDonna Pickard
Reawn'.i am IM au11,a ol0,is Jocumuni
00,0120 TN"OM 109
OnNt p n.r,v.r•��
Applicant's Printed Name Applicant's Signature
DO NOT WRITE BELOW THIS LINE .5.,5- U 1716),1 /‘,0a V
SUB TYPES
Foundation Fireplace Porch(3-Season) Exterior Alteration(Single Family)
Single Family _ Garage _ Porch(4-Season) Exterior Alteration(Multi)
Multi _ Deck _ Porch(Screen/Gazebo/Pergola) Miscellaneous
01 of_Plex Lower Level Pool Accessory Building
WORK TYPES
New _ Interior Improvement Siding _ Demolish Building*
_ Addition _ Move Building _ Reroof _ Demolish Interior
Alteration Fire Repair _ Windows _ Demolish Foundation
Replace Repair Egress Window Water Damage
Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION /7q
Valuation t! 0 Occupancy � 1 MCES System
Plan Review Code Edition 4j7 i SAC Units
(25`)/0 1•) Zoning City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction v6 Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) Final/C.O. Required
Footings (Addition) Final/ No C.O. Required
Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood
Roof:_Ice&Water _Final Pool:_Footings Air/Gas Tests _Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace: Rough In _Air Test _Final Siding: _Stucco Lath _Stone Lath _Brick_EFIS
Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill Final
Sheetrock Radon Control
Fire Walls Fire Suppression: _Rough In_Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: Ilei , Building Inspector
RESIDENTIAL FEES
Base Fee (�
Surcharge 0 ,1,j On
Plan Review 'M °hi.
MCES SAC
City SAC 1c2
Utility Connection Charge �I
S&W Permit&Surcharge
Treatment Plant
Radio Meter Read
Copies '(y eaS 1,. ,0
t' TOTAL
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