3569 Widgeon Way
CITY OF EAGAN WATER SERVICE PERMR
3830 Piiot Knob Road
P.O. Box 21199 PERMIT NO.:
Eagan, MN 55121 . flATE:` - ~ -
,
~ Zoninp:. - No. of Urdts:
, Owner:
~ . .
/lddmss: -
51te /leldreW. .IJ
Plumber. =ye.-e r<.•~: •.rt.~" ~ - '
I-
Meter o.: ConnecNon Char9e: i~
Size: « o ctrC Acoaunt Deposit: n..
i 1
Racdar No.: e g Permit Fee: m P L
; 1 qne h aaa wilh tM Gry ef Eaws Surcharqe:
f Oje riw~ Mlac. Chorpes:
I ~ TotaL ~,j.~d cCletc~-•
Dote Pa1d:
of Inap.: Irup.:
/0
CITY OF EAGAN WATER SERVICE PERMR
3830 Pilot Knob Road\
P. O. Box 21198 PERMIT NO.: ,
Esgan, MN 5E.121 . • DATE:
Zoninp: _ Na of Units: ~
OWnfF: a;•sr 1 ~"~QfJa
Add1oSS:
Sifis /lddrcss:
Plumber. -
Mater No.: Cannecfion Chorye:
Siza: Aaount Deposit:
Reoder hb.: Permit Fee:
1 ym !e omPly rrkb 1M Cih? of Eews Surchorfle:
~ GeAsenoM. Misc. Cha?yes: i i
Totol: - ~ j
By Date Paid:
Date of Insp.: Inqp.:
CITY OF EAGAN ~ SEWER SERVICE PERMIT
3830 Pilot Knob Road , pERMIT NO.:
P. O. Box 21199 .
Eagan, MN 55121 ~~TE~
No. of Units:
Zoninp:
r;
Owna
Address: -
. att +_•~ar;:. ,•t., _ " i,,lrsx,.^.C~` _
SitQ AKbfEYS:
Plumber. -
I Nm to e" P111 wNb !M L'k1? oi imMo Corxwctton ChorOe: lr2
OrdiNeeM. Account Deposit. -
Pormit Fea: ---i
SurcFargo:
By Mlsc. Chargm
Dote of Insp.: Total:
Insp : Da" Paid:
t;i TY OF EAGAN Remarks
Addition DIJCKWOOD ESTATFS Lot 4 Blk 2 Parcel 10 21900 090 02
Owner_, -*'/lif Street 3539 East `dgc'on Way State ESg3I1, MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SUR F.
-
STREET RESTOR P. -T739-.35-
347.87
GRADING
SAN SEW TRUNK ,T- 1971 109.77 5.49 20
f SEWER LATERAL 1980 28S4.16
~
i
WATERMAIN
WATER LATERAL
WATER AREA 1972 111.81 5.59 20 -17, ~
S RM SEW TRK
f STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
V*TER CONN.
BUILDING PER.
Ing9s
SAC 525.00
PARK
INSPECTION RECORD
CITY QF EAGAN PERMIT TYPE: ~ " + ? ~ ~ +
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPUCANT:
(II!titi +irl I-lf4i' ~ ~ I i: . I r•,~ i. ,r; i
PERMIT SUBTYPE: TYPE OF WORK:
. .
~ 1; 1~M ~ rd,, ~,~~~:i~ ~ r•~ i I~. .
b 1111.1.01 ! t1 k i I t?r. t
F
L
~
Permit No. Permit Holder Date Telephone #
S/V1l
PLUM6ING
HVAC
ELECTRIC
ELECTRIC
Inspection Date Insp. Commenta
Footings I
Foundation
Framing s(l0 )
,<<
Rooting
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Orsat Test
Final Plbg. Plbg. Inspector - Notity Plumber
Const. Meter
Engr./Plan
l
Deck Ftg.
Deck Final
Well
Pr. Disp.
CITY OF EAGAN 'j Q ~ ~ ~ ~
• 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 , BUILDING PERMIT Receipt #
T* M rwd for F' 1)WU/::,?P, Est.Value Date - 19
~'.i tvlilGEUP: WAI Erect ~ Occupancy
Site Addres
Lot Blcek ~ec/Sub. DD`: 46~ , Remodel ? 2oning ;
Rep91r ? Type of Con4t.
Parcal No. Addition ? No. Stories
Move ? Length
~ Name Demolish ? Depth
~ Addresa Int Impr. ? Sq. Ft.
City Phone 4 Inatall ?
APPrevols Fees
~ Name
g Addresa `/S~ o_ K Nssessment Permit '
CRy Phone Water 3 Sew. 5urcharge `
Police Plen Rewew ~
Neme Firo SAC
x~ Addresa Enp. WaterConn.
~ W City Phone 8?-- 2 022 Plonner Water Meter ~».1 Q
Countil Roed Unft 2 ^(i . 0 C
1 hereby acknowledge thot 1 have reod this applitafion ond sfate fhat Bldg. Off, = c Tr. PL
the informetion Is correcf ar?d agree to comply with oll opplicable APC
State of Minnesoto Statutes ond City of Eagon Ordinonces. Pe?ks
- ~ Var. Date Copies
Sipnoturc of Permittee
tal
A Buildin Permit Is tssued to: ~ ~ .
9 xprcas condition Ihat
all work sholt be done in occordonce with all opplitoble Stote of Minne-W4 Statutes ond City of Eopan Ordinonces.
Buitdinq Offldol T . .
Pwmit No. Pwmit Holdw Dnte Tolephone s
Plumning J • + ~ .3.33-~.~38
H.VA.C. nV Cl.~ Z' - Y,)a
ENctric
Softww
Impection Dsta Insp. Other
Footings 1 p_/y e
Footings II
Foundatlon
Fnminq / % s !v -
Rooilny
Rou9h Plbp. - % • ~ ~~,Q,~'6t /~,QE,~ G}P,,l,~N-V/ / ~
Rouyh Hty.
Inwl. /
Fireplsce
Final Htg.
Final Plby
Final _
Cer!/Oac. D
Wat*r Wscribs Loeation: '
Wsll
$twer
Pr. Disp.
Raceipt ~ PLUMBING PERMIT Permit No.
CITY OF EAGAN
Foe
Fill in numbered spaces S/C .
Type or Print /egibJy Tot.
1. Date 2. Installation Cost ~
> ; . ! , - . / z. ~ • , ' - r
3. Job Address Lot -Tract
4. Owner
~
5. Contractor ~ • _ Phone - ~ ~
6. Address ' +
" ' i
7. City State Zip ~
8. Building Type: Residential O Commercial ? Institutional ? ~
9. Work Description: New Add O Alter O Repair ? j
10. Describe
11. No, Fixtures No. Fixtures I'
Water Closet Cesspool /Drainf ield
Bath tubs Septic Tank
~ Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
' Gas Piping Outlets
12. 1 hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governiM this type of work.
r .E
Signed : for
Rough ~ f inal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-6100
. R°pjpt
MECHANICAL PERMIT Permit
, . . ' CITY OF EAGAN
Fill in numbered apacea g/C
~ TYPe or Print /egibly
Tot, -
1. Date 2. Irutallation Cost
3. Job Address Lot_~ -
Blk. ~ ract
4. Owner
. . . ,
5• Contractor Phone
6. Address
7. City ~ State Zip
8. Building Type: Residential ? Commercial ? Inatitutional ?
9. Work Description: New ? Add O Alter ? Re -
. F>air ? ,
10. Destxibe Fuel Type 11' No, E4ui2M= B TU - M. Ea. No.
_ E ui ment CFM
Force4Air
Mfg. Air Handling:
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg.
Air Cpnci, . Other
Mf9.
Gas, Piping Outlets
12. I hereby certify that the.above information is true and oorrect, and I agree to
~mPIY with all ordinancet ane{ codes governing this type of ~rk.
Signed :
for
Rough F inal
Inspections: Date Inap. Date
~ Insp.
This is your permit when numbered and approved,
Approved
CITY OF EAGAN dre-o,nn
-~^-v~s . . . _ . , ..r . , r-. .x;•r.
CITY OF EAGAN ~Q 17600
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHO N E: 454-8100 `
BUILDING PERMIT Receipt #
To be used for DECK Est. Value $1+00a Date APR S 1 g ~
Site Address 3569 (JIDGEON W1Y
LOt 9 BIOCk a Sec/Sub. DIiCKiJi000 B3'fATES OFFICE USE ONLY
PefC21 N0. Occupancy - FEFS
Zonirxg
W Name J6FiBEY S L.ARSON (Actual) Const - Bldg. Permit 25•00
# Address 3569 iIIDGEON iiAY (Allowable) _ Sp
o Surcharge .
City FAG" Phone 452-5068 # oi stories
s Length 23 ~ Plan Review
i/ASH'TOGK CONSTRUCTION. INC
o Name oeptn snc, ciry
o~ 9361 PLN[~ ='t S Address S.F. Total
U~ City B~MINC'1~ON Phone 8~5248 S.F. Footprints _ SAC. MCWCC
On Site Sewage _ Water Conn
~
W¢ W Name On 5ite Well - Water Meter
AddfESS MWCC Syslem _
¢Z Acct. Deposit
a W Clty PhOn@ Ciry Water _
PRV Required _ SNJ Permit
I hereby ackrvowlege that I have read this application and state that the Booster Pump - Sn/ Surcharge
intormation is correct and agree to comply with all applicable State of
Minnesota Statutes and Cityr of Eagan Ordinances; Trealment PI
1 f'.
,\~ignature of Permitee L ' APPROVALS Road Unit
A Building Permit is issued to: WA$HMi( (`,OO'r, iNC Planner - Park Ded.
on the express condition that all work shall be done fn accordance with all Councit '50
applicable State of Minnesota Statutes and City of Eagan Ordmances. gld9. O1f, _ Copies
Building Otticial - Variance - TOTAL 26
Permit No. Permit Hoider Oate Telephona #
WATER
SEWER
PLUMBING
M.V.A.C.
~V
ELECTRIC 970
Inspectlon Date Insp. Comments
Footings I y~
Foundation
Framing
Rooling
Rough Plbg.
Rough Hlg.
tsul.
Fireplace
Final Htg.
Fnal Plbg.
Consl. Meter Plbg. Inspector - Nolity Plumber
EngrJPian
Bldg. Final
Deck Ftg.
1
Deck Fnal
weii
Pr. Disp.
CASH RECEIPT
• - ' eITY OF EAGAN
P. O. BOX 21-199
EAGAN, MINNESOTA 55121
DATE 19
RLC61VlD . '
ARCM
AMOUNT
[e DOLLARS
oe
? CASH CHECK
FOR
FUND CODi AMOUNT
Thank You
BY
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
This request void 111k O GG.ry^J ~'1
18 momhs (mm
~ 9~360 9 ~ ~
RRe Uat Fire No. Pouph-inInsUer, i ~
Required? HeaAy Nuw ~ Will Nnlily InsDer
~ o ?Yes ?No «or When ReadY
~se Eleclri col Contractor I hereby request insoection of above
? Owner alectrical work installad at:
Street Atldress, Boz or Route No. Cit
M I
V!L
ecLon o. ownshi ame or No. Range o. Count
Dako~
:w ' n1 (P ANT) ~q Phone No,
J v
M-w
Pow Sap i AAdress
EI ~ on[ractor ICo pany Na 1_CO ractor' icens~o. - ~
dJr ss 1 on[ cmr or wn r M ing In ?atio ~
l
i
u[horiz $iB Iwe IContractod r Mak nsfallatinnl Phmer ~
i~
l
MINNESOTA STATE B APU OF ELECT CITV THIS INSPECTIDN pEQUEST WILL NOT
Griyqs•Midwey Bitle. - Moom N-791 9E ACCEVTEO 9V THE STATE BOAND
1821 Universilv Ave.. St. Peul. MN 55104 UNLESS PqOPEP INSPECTION FEE IS
_Phone1fi72J642-0800 ENCLOSED.
~~90 REQUEST FOR ELECTHICAL INSPECTION Ee-ooooi-os
r'~See instructions for complatine t„is lorm on EecN of vellow coCV.
8600 "X" Be/ow Waik Covered by 7his Request
ptld Rap. TVVe oi Builtlinp APPlinncea Wirad Equipment Wired
Home F7ange Temporary Service
Duple,x 'Water Heater Lightiny Fixture5
Apt. Buildinc~ Dryer Bectric HeaUn
Commercial Bldy. Fumace Silo Unlonder
InAu&tnal,Bldg.,,_ , Air,Cqnd, tioner„- ~ Bulk Milk Tank
Farm Othti. pe~v v . Oinflr IsneNfvl
~ ~;r Succi v t c, Oihu,
ompute Inspection Fee Below
N Fee ServiceEntranceSize H Fee Feeders/5ubtexdels N Fen Circuits
U to 200 Am s 0 to 30 Am s 0 tn 30 Am s
Above 200 qmps, 31 to 100 qmps 31 to 100 Amps
Swinoning Pool Above 100-Am 5 Ahove 700_Am s
" Transiormers Irngation Boonis Partial•'Other Fee
Signs Special ~e U S
Nertwrks J OT/1L FEE
~ S. SO
RouBh'o^ D:rte ~he Elechicel
. ' Insoectoq he~eby
ce t ty thxt the above
Final ,D`A~te/ s0eetion has been
'f~' , ~aa : .
min re0uest voitl 18 monllre trom., . . = . . . . . . : . - ' . . .
1 841~9,
Request Oate Fire Na. Rough-In Inpsec[ion RepuireU Inspection Other Tnan RougM1-In
q
, (VOU muaf call inspeclor when rea0y) ~ ReaEy Now fo wm nmiry msnecror
.5 ( y Yes ? No Dare FeaOy
iX licensed contrector ? owner hereby request inspectionof above electrical work ak .
Job AOtlress (SireeL 6ax or Route Nno) City
~ 5 l¢ ~ W1 Cl C O+l M 'Llw~ Gt•-.'v
Seclion No. Townshlp Name oiNo. Range No. Cou'n"l'y~ J1/
Octupanyl~(P~RINT) ~ q Phone No.
1/71.ZA p.
Pawer Supplier AEtlress~y
' ?-Zc'~'S~' ~~.ro.,•~~~--~
4 ~ ~ t x!
Eiecfncal Comrac r ~COmOany Name~ ' Cont roMwS License No.
S`}" ~cc., ( ~F4o 171 ~
Maiiinq AaOress IConlractor or Owner Making Installati n ~
l~{k3o ~-S ` k~n S ~ SSo33 ii~°
Avthorizetl Signatu I ontraclor;0 er Making Inslallalionl Phone Number
~ ~ ~y6 q
MINNESOTA STATE BOAPD OF ELECTFICITY THIS INSPECTION REOUEST WILL NOT
GriggaMitlway BIEg. - Poom S-179 BE ACCEPTED BY THE $TATE 90ARp
1821 University Ave., SL Paul. MN 55100 UNLESS PflOPER INSPECTION FEE IS
Glwne(612) 862-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION `~'"`~~j4, e-oooow
~1=41 ? insrcuctions for co -pleting ihis lorm on back ol yellow copy ~X" Be/ow Work Covered by This Request ~~Zvvl
ew Add Rep. TypeoiBuilding ApplianceSWired EquipmentWiretl
Home Range Temparery Service
~ Duplex Water Heater ElectriC Heating
Apt. Building Dryer Load Management
Comm./Industrial Furnace Other (Specify)
Farm Air Condi[ioner
OMer (specily) ConVaclor5 RemaMs
Compute Inspection Fee Below:
# Other Fee # ServiceEnVenceSize Fee # Circuils/Feeders Pee
Swimming Pool 0 to 200 Amps 0 to 700 Amps
Transformers Above 200 _ Amps A6ove 100 _ Amps
Signs Inapecmr's Use Onyi TOTAL
Irrigation Booms G $Tl
Special Inspection ~
Alarm/Communication THIS INSTALLA710N MAY DER [NSCpNNECTED IF NOT
Other Fee COMPLETED WITHIN 78 S.
I, the Electrical Inspector, hereby Ro~ynm
CertitY that the above insPection has ~
Final
been made. Dat e x~`~~
OFFIGE USE ONLY
This repuest voi0 18 months from
This reQUeSl voitl tf ~ 1~ -I
18rtqnNF.fmm 4 b
A_~0 63 2-7 3 L~1 1:5 ao~ o.ot)
fiequest ate Fire No. RouBh-in Inspection
Feq re ~ ? ~Beatly Now ~II Notify, InsOec-
~j es No ~ur When peady
ense Elactrical Contractor I hereby raquest insDection of above
? Ownei elactrical work irmtelleA et:
Stre'e7t Arddress, Box or Route No. ~ qCitY
t7~J ~ W ' W
ecjion o. Township Name or ange Cou~
V-A~
Occupent (PRINT) Phone Na.
Se = = L. Power Supplier Addresa
,Ql- KO'rp Flc-~ L3cU ~ao77- si
Electrical ConVacmr (COmpany Name) Convactor's Lipense No.
t-. - R<< ~-cJLlo1G ~
Miling Atldres IConvactor or Ownar MakinO ~~stailation) S~~
~~-Aut iz SignaWre (Contrac or Owner ine Inswllation) Pho Number
~3~-7~ryy
VINNESOTA gTA BOAPD OF EECTRICITY TMIS INSVECTION REQUEST WIIL NOT
'pgs•Midwey Bldp• - Noam N-191 BE ACCEPTED BV THE STATE BOARD
I University Ave.. St Peul, MN 66704 . UNLESS PROPEH INSPEGTION FEE IS
I8121297.2111 E CLOSED.
REQUEST FOR ELECTRICAL INSPECTION 0 ee-ooooi.a
' See inatruetians tor comDleting this torm on back of yellow copy.
AN327 3 X" Be/ow Work Cqvered by This Request 1~4 +
AAd Rep. Type of Builtling Appliancee NIrN Equipment Wired
Home ge Temporary Service
Duplex Water Heater bghting Fixtures
Apt. Building Dryer Elecuic Heatin
Commercial Bldg. urnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
F3rm Olher peci y t er IS~ietltyl
t er Suoci y rher Oth¢r
ompute lnspection fee Below
M Fee ServiceEntreneeSixa p Fee FeedarS/Subfeedere N Fee Circuite
~ U to 200 Am s- 0 to 30 qm G°. 0 tn 30 Am
Above 200 qm ps 31 to 100 qmps 31 [0 100 Amps
Swimmin Pool Above 100-Amps Above 100_A
Transformer5 Irngation Booms ~L5 Partial•'Ot6er Fee
Signs Suecial Insp cti n / \
e~~ks L9. TO/K ~i oLl
1
Nough•in t D~ , ~hElectri~l
Inspecbr hereEy
Final pN cenitv thet the above
inspaction Aas Oeen
mda.
fMtrequeetvoiElBmonthnfrom p.~~ '
! CITY OF EAGAN N2 176S O
„ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE: 454-8100 Receipt # l(1 q
l. 1 d+
To be used for DECK Est. Value $1, 000 Date APR 5 ,1990
Site Address 3569 WrD .ON WAY
Lot 9 Block 2 SeGSub.DUCKWO0D ESTATES OFFICE USE ONLV
P2fC01 ND. Occupancy _ FEFS
Zoning _
W Name JEFFREY B LARSON (Actual) Const Bldg. Permit 25.00
o AddreSS 3569 WIDGEON WAY (Allawable) - Surcharge .50
City EAGAN Phone 452-5068 xolStories
Length 23 ' Plan Reviaw
o Name WASHTOCK CONSTRUCTION, INC oepm 12 sac,ciry
z Address 9361 PENN,. AVE -S S.F. rotai
ua - - SAC,MCWCC
~ City BLOOMINGTON phone 888-5248 S.F. Faotpnnis -
Mill On Siie Sewaga _ 'Nater Conn
Name On Sita Well - Water Meter
Address MwCC System -
Acct. Deposit
City Phone Cily Wa[er _
PqV Required - SfN Peimit
1 hereby acknowlege ihat I have read this application and state that the 6ooster Pump - SiW Surcharge
iniormation is correct and agree to comply with all applicable Stale ol
Minnesola Statutes and Cit of Ea n Ordinances. 7reatment PI
XSignaWre of Permitee 7 4dzq-= APPROYALS Road Uni(
A Building Permit is issue WASHTOCK CONST~ TN(` Planner - Park Ded.
on the express condition t at~all work shall be done in accordance with all Council 50
Building applicable Ollicial State of Minnesota Statppputes and City of Eagan Ordinances. Bldg. OIL _ Copies .
D~('h I Varianca _ TOTAL 16.00
`
` CITY OF EAGAN N ° 10 8 9 8
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 4548100
BUILDING PERMIT Receipr #
Te M mad for SF DWG/GAR Est. Volue $99.000 pafe SEPTEMBER 5. I q 85
5iteqddresa 3569 WIDGEON WAY erect CR occupencv R3
l.ot 9 glock 2 seclsub. DUCKWOOD EST Remodel ? zoninq Ri,
Parcel No. R@pair ? Type W Const. v
Addition ? No. Stories
JEFFREY LARSON Move ? Length gp
~ Name Demolish ? Depth 34
Address $5 W THOMPSON AVE.,#108 Int Impr. ? sq. Ft.
city W ST PAUL phOfe 457-5579 (H) ~nstau ?
SAME $93-0452 (W) AvProrols Faes
O Name
Zpu Address Assessment Permit . OQ
~
City Phone Water85ew. Surcharge 49.510
Palice Plen Review 215 . 0 C
Neme D~ REINERS
w Fire 3AC $25.OQ
x0 Addrass 1188 RICE ST Enq. wecerConR _500 , 00
~W City ST PAUL phane 487-2022 planner WaterMeter 63.04
co„ncil RoaaUnit Zso.oa
I hereby ackiawiedga thot i have read this apDlication ond state tFwf gldg. Off. $IZ 6I $ 5 Tr. PI. 132 - OQ
the informofion is corrett ond ogree lo wmply With oll up0licoble aP~
Srate of Minnesota Stotutes nGy of Ecgan Ordinonces. Perks
Var. Date CoDles
Sipnaturc of Perm'rttaa 2,19 4. 5 0
EFFREY LARSON T°tal
A Building Permif 1 e on the express conditlon tFwt
all work sMll be done " accordance with oll ble ote of Mln ures and City of Eayan Ordinonces.
Buildinp Officlal
RESIDENTIAL BUILDING ~ ~a~I • 0 ~
• ~ ~ , Permit Application ~
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWCtion Reauirements RemodeUReoair Reauirements Office Use Onlv
3 registered site surveys showing sq, ft. of lot, sq. R of house; and all roofed areas 2 copies of plan Cert of Survey Reod
(20°h maximum bt coverage allowed) 1 set of Energy Calalations for heated additions Tree Pres Plan Recd
2 copies of plan showing Geam 8 window sizes; poured found design, etc. 1 site survey for additions 8 decks Tree Pres Not Reqd
7 set of Energy Calculations Addrtiun -irMicafe il on-sife septic system _ Oo-site Septic System
3 wpies of Tree Pmservation Plan rf lot platted after 7/1193
Rim Joist Detail Options selec6on sheet (bldgs with 3 or less units
oc
Date -C~/ O o2 / 03 Construction Cost .J ,3, D 6o
SiteAddress 3 S Cv c/ 144 a/4ecr7 li?~~/ UuiUSte #
~ r
DescriptionafWork /y~Ai~~raH Ot- W~vd fL&VnJrv e ~'{Sr~sao ~arc
Multi-Family Bldg _ Y~ N Fireplace(s) _ 0_X 1 _ 2 (A)o
Property Owner Te-- f-~re l 416- S u c. L--X?i-S c~ Telephone #((i5) ) ~Isa- Go3~
(o (c - b d f
Contractor
Address City
State Zip Telephone#{ )
~
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category t Worksheet • New Energy Code Worksheet
(4 submission type) Submilled Submitted
. Energy Envelope Calalations Su6mitted
Licensed Plumber Telephone # ( )
Mechanical Contractor Telephone
Sewer/WaterContractor Telephone
I hereby apply for a Residential Building Permit and acknowledge that the informatioA~-somplete and acc= te;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; 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.
%~-"~ej ~~.SoaJ
Applicanrinted Name '5--~~ ppl canYs Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage X 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex 18 Deck ? 23 Porch (screen/gazebo) 0 36 Multi Misc.
? 05 03-plex ? 11 70-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-piex Plbg_YOr_N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
X. 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolition (Entlre 81dg) • Give PCA handout to applicant
Valuation 1~61" Occupancy _ jl -3 MC/ES System -
Census Code 434 Zoning /2 - / City Water -
SAC Units - Stories / Booster Pump "
Nbr. of Units - Sq. Ft. G PRV -
Nbr. of Bldgs " Length ~ Fire Sprinklered -
Type of Const Width ~G
REQUIRED INSPECTIONS
Footings (new bldg) FinaUC.O.
Footings (deck) FinaUNo C.O.
,j)t Footings (addition) _ Plumbing
Foundation HVAC
_ Drain Tile Other
Roof Ice & Water Final Pool Ftgs Air/Gas Tests Final
~ Framing _ Siding 5tucco Stone
Fireplace _ R.I. _ Air Test _ Final Windows (new/replacement)
~ Insulation _ Retaining Wall
Approved By ~ Building Inspector
~1.~~ ----------------G
Base Fee 7`t ~ vf 8'
Surcharge r~
n~G~ ~cv~o
Plan Review
m
MC/ES SAC c~ gv?G ~
City SAC
Utility Connection Charge
S&W Perrnit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
I .
' Permit Number
REScheck Compliance Certificate Checked By/Date
2000 Minnesota Energy Code
REScheckSoftware Version 3.5 Release lc
Data filename: P:\PROJECT5\2002\02029\Text\Code Review\i.arson-3.rck
TITLE: Sue & Jeffrey Larson Residence
COIJNTY: Dakota
STATE: Minnesota
ZONE: 2
CONSTRUCTION TYPE: Single Family
DATE: 05/28/03
DATE OF PLANS: Revised on 5/28/03
PROJECT INFORMATION:
Laundry room addirion & second floor closet addition
COMPANY INFORMATION:
CNH Architects
NOTES:
T1vs is the revised Energy Calcularion with the addition of the 2nd
floor closet and elniilnation of the gazage stall addirion.
COMPLIANCE: Passes
Maximum UA = 119 /
Your Home UA =107 6y ~
10.1°/a Better Than Code (UA)
Gross Glazing
Area or Caviry Corn. or poor
Perimeter R-Value R-Value U-Factor UA
Ceiling 1: Raised or Energy Truss 255 49.0 0.0 5
Ceiling 2: Cathedral Ceiling (no attic) 177 49.0 0.0 4
Wall 1: Wood Frame, 24" o.c. 624 19.0 0.0 28
Window 1: Above-Grade:Wood Frame:Double Pane with Low-E 82 0.340 28
Door 1: Solid 21 0.067 1
Door 2: Solid 21 0.067 1
Floor 1: Slab-On-Grade:Unheated 56 10.0 38
Insulation depth: 4.0'
Floor 2: All-Wood JoisV'1'russ:Over Outside A'v 48 30.0 0.0 z
Proposed and Maximum U-Factor Averages
Proposed Maximum
Average U-Factor Allowed U-Factor
A6ove-Grade Windows and Glass Doors 0340 0.370
Includes Foundation Windows > 5.6 ft2
COMi'LIANCE STATEMENT: The proposed building design described here is consisten[ with the building plans, specifications,
and other calculations submitted with the pernut application. The proposed building has been designed to meet the 2000 Minnesota
Energy Code requirements in RES checkVersion 3.5 Release lc (formerly MECchec~ and to comply with the mandamry
requirements listed in the RES checkInspection Checklist.
Builder/Designer__~~ Date
. . . . . .
~ °:n~F' }'~h e. • ..:.t 'HtI^•Fa`~<'J%'aa'2z t'. . c~i'~!t!{eh+'G{~'1!s`J'~`-E~4::,.3.u'Td y ea> .
~a. k""v iat ~
. . e~
"ROBE CONSULTtN3 EHdIHEEIIS
ENGINEEAING PLpNNE11S end LANDUpYEYOIIS
. , COMPANY, INC.
.1000 EAST 1461h STREET. BURNSVILLE, MINNESOTA 33337 pH 432-3000
cer~i~'i cac~ Surv-e y
jaoat .D~ascrt Zton: <9, ~
_3o F/PONT ;Qu/LD/Alb
LoT 9, BLOCK 21 OUCKWOOD ESTATES, SET6qcK L/A/E
DAKOTA Cou11/TY, MINNESOTq sC
~Gla l~ ~ •1 ~ ~
ILi.? + DEAIOTES EX/5T1N6 EGEVqTION
~ ~
9ii.e) PEU07E5 PROFbSED E _ ~ •t 'i
[t'VATioA/
~1 ~ ' ' '
O
/NO/~TES DtREC71aN OF
FIn/I5HE0 GARA6E FcaqR y ~ ~~9io y ~ ,y
EGEVAr/aV = 9/3. 83 L-OT' 41WN9 ~ w ~
va
?
DRA/AlqbE /}ND ~ ~ ~ ~o' ~pg
UTILlTY fASEMENT I
•J 3
/ `a5 J s, • ~o ~f oi~'1 / ~ P,-l .
~q~ s io ~ L p ~4 ~
Er 3~ R~ ~ / '+S° ~
V
S
NORTH 9~~°J\
SC4Lf = 3p ~
'LOI
I hereby certify that thia ie a trne and correct rep enlalion ot a tract ot
land as •hown'and described hernon.. As pzaparad by ma on this i`_ dar of
A.1s&"sr , 19 f6 .
' 11inn. 1les. No.
, . . PERMIT ~u3q~~
~ CITYOFEAGAN PERMITTYPE: ~1GIG~
3830 Pilot Knob Road B U I L D I N G
Eagan, Minnesota 55123 Permit Number: 0 2 3 5 3 4
(612) 681-4675 Date Issued: 0 5/ 0 9/ 9 4
SITE ADDRESS:
3569 WIDGEON WAY
LOT: 9 BIOCK: 2
DUCKWOOD ESTATES
P.I.N.: 10-21900-090-02
DESCRIPTION:
(CANTILEVER)
Building-_Permit Type SF (MISC.)
Building Wor_k 7ype ALTERATION
~
~
r~
\
L
REMARKS:
FEE SUMMARY:
VALUATION $3,000
Base Fee $54.00
Surcharge $1.50
Lic. Search Fee $5.90
Total Fee $60.50
CONTRACTOR: - Applicant - sT. I.IC. OWNER:
VALLEY INVESTMENTS CONST 14545191 0004241 LARSON JEFF
2401 LEXINGTON AVE S 3569 WIDGEON WAY
MEN007A HTS MN 55120 EAGAN MN
(612) 454-5191
i hereby acknowledge that I have read this application and state that the
infiormation is correct and agree to comply with all applicabl8 State of Mn.
Statutes and City ofi Eagan Ordinances.
~ ~
.'1
n t!1 A.oi I rlid -
IJ' APPLICANT/PERMITEE SIGNATURE SSUED B: SI A UR
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: B U I L D I N G
3830 Pilot Knob Road Permit Number: 0 2 3 5 3 4
Eagan, M innesota 55123 Dafe Issued: 0 5/ 0 9/ 9 4
(612) 681-4675
SITE ADDRESS: Lpr : s B L 0 C K: Z APPLICANT:
3569 WIDGEON WAY VALLEY INVESTMENTS CONST
DUCKWOOD ESTATES (612) 454-5191
PERMIT SUBTYPE: TYPE OF WORK:
3F (MSSC.) AL7ERATION
pESCRIPTION (CANTILEVER)
INSPECTION D. • D•
FRAMING ROUGH IN PLBG
ROUGH IN HTG FINAL
F-
J
L
CITY OF EAGAN
1994 BUILDING PERMIT APPLICATIO ~ ECEN(~~
13.5-34 681-4675 tO50 I' ~~;Y 0 3 1994
~
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, i copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date Valuation of work 3 5-0 d~
Site Address: 3SG ~~f'EnN (/V ~
STREET SUITE N
Tenant Name: (commercial only)
IAT r_ BLOCK SUBD. P.I.D. M
/.l
Descri tion of work: 02~ (-f~!?L"_ M2 F90?L) 7- c, 60- (vE0 D ~
The applicant is: ? Owner ? Contractor ? Other (Describe)
Name l,4-2.Sd'j Phone
Property LAST FIRST
Owner Address ~~5-6, ~t Lt1(oow .J Gt/64 _
STREET STE #
City kI-l-6 tkN State 2ip
Company RLt~ -rA) [/~s~ "iYt~?`S fU~Sv Phone -S-2 9(
Contractor Address ~`fd( ~~'{n.l'~'$n1 ~S License # ~aYl Exp.~
City „2WQ0 Yf~/6-K~ State llA (/JN Zip
Architect/ Company Phone
Engineer Name Registration #
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
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16.Basement Finish
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition ? OS S-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
? 04 Sf Porch O 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
~ 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE N9iN
? 31 New A 33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addition 034 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWLC System
(Allowable) lst F1. sq. ft. City Water
UBC Occupancy 2nd F1. sq. ft. PRV Required
Zoning Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code ~/3 y
Depth On-site sewage SAC Code oi
APPROVALS Census Unit
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
? .Site ? Footing a Framing ,0 Insulation
0 Wallboard 0 Final 0 Draintile ? Fireplace
Permit Fee vswac;on:
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC %
SAC Units
,
.
;l
~
/
7985 BUILDING PERMZT APPLICATION - CITY OF EAGAN
NOYE: ALL COHTRACTORS HUST BE LICENSED IiITH THE CITY OF E9GAN
COl4MERCI9L SINGLE FAMILY DiiELLINGS
INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS
& STRUCTURAL PLANS, t SET OF 3 CERTIFICATES OF SURVEY
SPECIFICATIONS AND 1 SET OF 1 SET OF ENERGY CALCULATIONS
ENERGY CALCULATIONS
~
To Be Used For: 'lF PW(a lca°2, Valuation: qq, 004 Date:
Site Address ~_56cr WipGEON w,~ ~ OFFICE USE ONLY
Lot 9 Block c2 Erect ~ Occupancy -3
Remodel Zoning -I
Parcel/Sub ,,t` Repair ~ Type of Const SZ
Addition # of Stories
Owner (3 a Susa.-. C L-vso~ Move ^ Length 80
Demolish Depth 34
Address `os w.'Y.o„-.nso,j)~ve ~^~ag Int.Impr. 1 Sq Ft
Install
City/21p Code
Phone `ls7- SS' 7 q W$5'3 -045 cZ APPROVALS FEES
Contractor Srr~~ As NqoQL5- Assessments Permit
Water/Sewer 1 Surcharge 4
Address Police ~ Plan Review I
Fire SAC 25.
City/Zip Code Engr Water Conn 500,
Planner Water Meter 601
Phone Council oad Unit lle~pl
Bldg Off .2 ' Treatment P1
Arch./Engr. -DPy4 ~]'eis APC Parks
/ Varianee Copies
Address //$b' /r{)-ce 5{,<rTOTAL / S
City/Zip Code MA1 SS ia 7
Phone A ~/&~-acaa
, , .~,'G.. . n: rt.._.~.-'~~.KCSa.•
.
_ .c•x-u.... .
. A..
PIE'NGINCIERING 4 . Z.
AOBE CONSULTIN6 EN3INEEBS - PLRNNEflS end lBND fURYEYO!!S"`
COMPANY, ING.
LI000 EAST 1461h STpEET, BUHNSVILLE, MINNESOTA 55337 PH 432-3000
cer~i}'i cczl Szcrir-e y
LgQQr ~GlCt'~P~~Oft: ~9~Z 30 cRoAIr gu/GO/Atb
LoT 9, BLOCK 21 DUCKWOOD ESTATES, -9C72FACK L/AIE
DAKOTA COVNTY' MIlIlNESOTA
C? 1 DEAIOT65 EXfST/N6 ELEVATlvN
(9/2.e) G1EAI07E5 PRORVSED E[.E.'yqT/oA/
/ND/CAT65 DIRfCT/ON OF 000
/d
SURFA[E DR41N,y6E
d,S
F/NISHED 64R.46E F~a~ y ~ • 9~o h ~ ~i
ELEVA I/al/ = 9/ 3. $ 3
`q
DRA/A/A6E i4ND /
f o, v U•
UTILITY £ASEiVfENT
\
A3
q~3 s3 os r L \p. ~ 1~
!y/
OG
fo
. ~ti
0
lVORTH
$C4LE = 30~
90 i
I hereby cnrtify that this ia a trne and correct rep entation of a traat of
land as shown' and deseribed rereon.. As prapared by ma on tAi• zzJD day ot
~us~sr , 19 f5 .
' i~.C liinn. 1le6. No. %~O$s
CITY OF EAGAN
EXTERIOR ENVELOPE AVERAGE 'U' CONPUTATION
OIiNER: %TEFFvxY Q- SI/SR G~• ~At2SO NI
SITE ADDRESS: 3S'~9 Wi p< an rJ Wll~Y
~ gs-o~saq
CONTRACTOR: DAiE. 9 PHONE:
Determine vorking square footage of each:
1. ToLal exposed wa1l area 0 sq. ft, x.11
2. Total roof/ceiling area ~ sq, ft, x.026
Total exposed wall area above floor = le-)
a. Total wall window area
~
b. Total door area
c. Total sliding glass area
d, Total fireplace Wall area
e. Total wall framing area (average 10%) .
f. Total net wall area above floor
g. Total rim ,joist area
Total exposed foundation area = 1-210
h. Total foundation uindow area 4v
i. Total net foundation area above grade
Determine IU' value of each wall segment:
a. g8, xfur _ 30 _ S~•SZ
b. 71 x fU' 0-/= = Z.BO
c, x 'U' ,SL = 74v~-, 90-
e. x I U'
d • X ' U' ~
f. 1c~7sf'.o6 x 'U' A~ = ,S
g. /SQ x'U~ ,ofL = .30
h. ~X'U'
i. x 'U'
3. Total = ~0 8,s3
If item 93 is the same as or less than item P1, you have met the intent of SBC
6006(c)2.
Total ezposed roof/ceiling area
J. Total skylight area
k. Total roof/ceiling framing area (average 10%) S.
1. Total net insulated roof/ceiling area .6
(OVER)
a ~
Determine 'll' value for each roof/ceiling se8nent:
x IU]
k. ~Sx'U'
IS~Z~•~ x 'U' .oLS = 3$,!0
Total
4 .
If total of #U is the same as or less than 02, you have met the intent of SBC
6006(c)1.
Alternate Building Envelope Design util
val of ItemsZ03tandtU4ashalle ot beygreatertthan the sumuof Items1111handb#2the sum
O + 2.
3. 88- 53 + 4. = zz~~8
,
~
STEEL ENTRY D04R
Steel insulated entry
door, 1 3/4" thick 13.59
R = 13.59 ti
1/13.59 = U of .074 i
. '2x6 WALLS
LAP SiDING - WOOD
Interior air film .61
1/2" gypsum wa116oard .45
S 1/2" saft wood 6•8$
R-19 insulation 19.00
Interior air film •61 ~
R = 27.55
- - 1/27.55 = U of .036 .
t
Interior sir film .61
1/2" gypsum wallboard .45
R-38 insulation 38.00
Interior air filn •61 I I
R = 39.67
1/39.67 = U of .025 ~
Interior air film •6$
1/2" gypsum wallboard .45
5 1/2" soft wood 6•$8
1/2" insulated sheathing 1.22
Lap siding - wood .93
Exterior air film •17
R = 10.33 e
1/10.33 = U of .097 ~
Interior air f11m .68
1/2" gypsum wallboard .45
R-19 insulation 19.00
1/2" insulated sheathing 1.22
Lap siding - wood .93 ,
Interior air film 17 ~
R = 22.45
1/22.45 = U of .045 ~
~.a.
Interior air film •68
R-19 insulation 19.00
1 1/2" soft wood 1.88
1/2" insulated sheathing 1.22
Lap siding - wood .93
See separate sheet for Interior air film •17
foundation U value R~ 23'88 g
1/23.88 = U of .042
. 12" BLOCK WALL
~a
' O Interior air film .68
12" concrete block 1.28
' 1" rigid insulation 5.00
~ • : ~ (furnished by buyer)
Exterior air film .17 ~
R = 7.13
1/7.13 = U of .14
° . . . p
. • C
. .'f
1990 BUILDING PERMIT APPLICATZON
CZTY OF EAGAN
SINGLE FAMILY DWELLINGS M[?LTIPLE DWELLINGS COMMERCIAL
Z SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITEGTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
OF RENTAL UNITS
OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
MAR 0 2 Reco
To Be Used Foz: Valuation: Date: q - Z- /p
Site Address 5 lb OFFICE USE ONLY
G
Lot 1 Block Z W FEES
Occupancy
Zoning
Parcel/Subl?f,tGlGweoD c:.SjAiLg Actual Const Bldg. Permit cW5,0'J
Allowable Surcharge 5-0
Owner ~1 # of stories Plan Review
Length 2~- SAC, City
Address Depth 12' SAC, MWCC
S.F. Total Water Conn
City/Zip Code ~A-0 Footprint S.F. Water Meter
ILQ Acct. Deposit
Phone On site sewage_ S/W Permit
On site well S/W Surcharge
Contractor -V00 e-i MWCC System _ Treatment Pl.
City water Road Unit
Address CJ3(pI PRV _ Park Ded.
~ Booster Pump Copies .3~
City/Zip Code ~LA W- ' SUSTOTAL
~ ~rSti{ 3 ~ AYPROVALS - Penalty
Phone Planner TOTAL
Council
Arch./Engr. ~ Bldg. Off.
Variance
Address
City/Zip Code
Phone # ~
1 ' 1 1
iI•
2/84
~ .
CITY Or EAGAN
~ APPLZCATION FOR PERMIT
' IUu
SE[dER AND/OR WAT£R CONNECTION
. ~'`PLEAIE,PRIHT)
1) PP.OPE.Tr?"! ACD?, :SS: • ' `
11
rFraI. GF~~T_P':IC~I: '
L
(Iot/31ock/S~iv' icn or Ta~c Parcel I.D. LNL:.,-er)
' I"r E=S='=:G S:"=i.'CMME, D.aT' O° C=tT_GiAL uilT_JL:G I S S "::-.N G.: ~ .
' .~~r':_.
CTS: ctsi2-1 SL;GL: FPtiffLY -
Q R-2 GUr_,_..°`{ (Tti'O LTIITS)
- ' _ ? R-3 'IC?,;tiT?CvTCg n=s) ( =S)
Q R-4 A^r?.c?"rc'n:T/CC2~tr~I2;,~,I ( [11iI_S)
? CCint&~C?~L/RE:AIL?Ci'FIC
? L1`SiI:LTI0JIAL/GGVE'n="
2) A ?T_: C ~,T iPLEaSE ?nl;if)
J Ff
t=RESs:
c=, s::.~.-, zip: _
PHvM: `
3) Pj[;:.:,ut.~., (PLE:.SE PR1HT)
F0R CITY USE 09LY
rrrr~: ~,.F; t a ka T&~ x~ rX c
PLUNB
- rLi.wSS: CE%SE:
Active
CI~. ST".~."_'-„', ZIP: Ez 'red
t Of CO~d
P~e`~: ~~rY pLUMBEA LICENSE N(~ p//~~2 y
arr initia
4) OCCf_'Pp,N:/Cr,;,;m (PLEASE PRI4f)
NAi'IE:
P: CF2ESS:
CITY, STn;T:, ZIP:
Ph%)VE:
5) INDImTE :•7HIC3 PEF3IT IS BEItiG RF'QUF.STID:
la'C6~' 1EC.TI0N M CITY SDiER
rt~
lL.YCC/mMCPIG:T 'Ib CZTY WATE.Tt -
? 0711Et (PLFA.,~ DE,CRZBE)
6) MmC:,,:: C:z: .
PM!%SE E?OiD r1PPRWED pEE2?1IT FOR PICf:-UP SY ONE OF ABGUE
? PI.EPLSE :'AII. APPROVID PIIZ`LLT 1t7 1. 2. 3, 4 AfiOVE
(Circle one) ,
7) SIGaICRE- ~ ~ • ;
nATE: fX
• ~ . . •y.
a ~..h~~ • ~ yx u r: ~ u.
~~lEliiA/lAi~ip!lafv~fsA~i~r~Mi~~s~i:~slie~~EiFj~ '
F O R C I T Y U S E O N L Y ~ ' .
PER.MIT ISSUED
FEES: $ /O`SO SEi:En noqMrT IINCLJLL JUP.C`.i?RGnJ
$ /~-JL' WAT°_R P..R11TT (ITJCLVDL JjJ~.'~.CHA1ZCiL)
$ WATER METER/COPPEBHORN/OL'TSIDE READ:H
$ WATER TAP (INCLUDE CORPORATION STOP)
S SE:PEY TAP
$ =!~_?r.cl^
$ lC'.c1 o " ACCOliNT DEPpSIT - 41ATER
$ We,C
$ SP_C
$ TRCiVR WATER ASSESS,-+.E:IT
$ TRui•]K S :biER aSSESSME:1T
$ L:,TEPAL BENEFZT/TRUNK SE:dEY
$ LF+TERr1L BENEFIT/TRUNK WAT°R
$ WATER TREATMENT PLANT SURCFIARGE
$ OTHER:
$ TOT? L
$ uU AytilpUNT PAID/RECEI2T n
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGiiT OF WAY?
YES IF YES, THEN A"PERMZT FOR WORK WITHIN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
~ NO ENGINEERITIG DIVISION. LIST AS A CONDZ-
TION.
SUESECT TO THE FOLLOWING CCN?ITIONS;
APPROVED BY;
TI:LE: •
DATr: _
~ w@w:MWkPQ OtM wR Wsa Wj+ R40 R're asw w~
.
: . -
.:.iaJ~;.._~ - ~:.,t~:-•, . . . , . . _ . . . .
ReCcIVEDCL•C 1 01
. ~
rnvicwnrrrf: nrin
KNCtiQ ALL MEN DY T[[ESE PRP•.SENTS, that the undersigned,
£.dward E. Parranto and Valentine Parranto, hushan3 and wife, of the County of Ramsey, State o£,.Ftinnesota, Robert H. I(aratz and Naomi
Y.aratz, husband and wife, of the County of Maricopa, State of Arizona, and Kenneth Appelbaum and Sally Anpelbaum, husband and wife, of the
County of tiennepin, State of Dfinnesota, being all of the £ee owners .
of the followinq described lands situated in the County of Dakota - and State of Minnesota, to-wit:
.--Lots 1•, 3, 4, 5, 7, R, 10, 11, 12, 13, 15, 16, - 17, 18, 19, 20, 21, 29, 25, 29, 30, 31, 32, 35.,
39, 40, 41, 93r 93, 49, 45, 48, 49, 50, 52, all '
in Bloc!c 1; an3 Lots 1,, 2,. 3, 5, 6, 7, 8,9,10,
- 11, 12, 13, 14, fllock 2; all in Duckwood Estates,
- - according to the recorded plat thereof, sometimes
- hereinafter re£erred to as "the land",
do hexeby set out the following covenants and restrictions, which
shall run with the land and bind the parties hereto, their respective
- heirs, reoresentatives and assigns, an3 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 areto 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 £rom the date hereof, after which tirne 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 recorged, agreeing to change such ~covenants and restrictions, in whole or in part.
.-.2. No lot shall he used except for residential purposes. TIO building shall be erected, altered, placed oY permittEd to remain -on any lot other than one detached sinqle-family dccelling 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 £loor
structure, not less than 1,200 square feet 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 and-a-half structure, not less than 990 square £eet
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
total on the ground floor and second floor of not less than 1,900 square
feet; or (e) in thP case of a solit-entry struciure, not 2ess than
1,200 square £eet in area on the,upper level, but a 258 credit will be
qiven for finished area of lower level which is 508 exposed over fin- ished grade. T:o structure shall have a side er.posure more than three ,
stori?s in height from grovn3 to eave line, considerinq as a story, an -
exposed walk-out basement.
A. No dwelling 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 length of the dwellinq
structure, exclusive of eaves or open porches, shall not be less than ,
forty (90) £eet. All garages shall harmonize with the house as to de-
, sign, naterials an3 finished £loor elevations. S. F.asements for installation and maintenance of utilities
and drainage facilities are reserved as shown on the recorded plat.
-{•7ithin these easements, no structure, planting or other material shall . he placed or he permitted to renain which nay damage or interfere with
the installation and maintenance of utilities, or which nay chanae the
direction of the flow of the drainaoe channels in the easements, or
' -1- . . .
I
--which mny obstruct or ret+vd chc Llow of watcr throuqh drainayr. chan-
n.•lr: in hhr ..ar...mrn~~. TLr rnr;,mrnT nrnn nP rnch lnt .~n.l nll imprnvr-
. nents in it shall be maintained contirtously by the owner of the lot,
except for those improvements Por which a public authority or utility
_ company is responsible. Lots which horder on wet lands (LOts 24, 25,
20, 30, 91, 42, 43, 95 and 50, all in IIlock 1) will not be cut or fillerl within the easement area 6ordering the wet land, as shown on thr recorded plat. 5. No no:cious 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 neiqhborhood. , 7. No structure of a temporary character, trailer, hase-
~ment, tent, shack, garage, 6arn or other outbuilding shall he used
. on any lot at any time as a residence either temporarily or permanent2;
S. *IO sign of any kind shall be displayed to the public - -view on any lot except one professional sign of-not more than four
square feet, one sign ofnot more than eighty square feet advertising
the,pzoperty for sale or rent, or signs used by a builder to advertise
the property during the construction and sales period. -
. __g
--No animals,livestock, or noultry o£ any kind shall
be raised, hred or Y.ept on any lot, excent that dogs, cats and other household pets may he kept, provided that they are not kent, bred or .
maintained for any commercial purposes.
" 10. No lot shall be used or maintained as a dumoing ground . Por rubbish, trash, garbage or other waste, and any such materials may
be kept on the premises only in sanitary containers. All incinerators -
or other equipment for the storage 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, stucco, hrick, stone or other approved exterior hard materials. - 12. TIO filling or stcrage o£ refLSe, disczra?d mzterials,
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 .
prer.iises,. except within the house or garage. No parking or storage of commercial vehicles shall be pernitted upon the land, except for
the maY.ing of usual and customary deliveries to and from the premises,
and except that each owner may park one (1) comr.iercial 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 garage 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. A11 such fences shall at all tines he
properly painted, stained or lacquered, and shall be maintained in a
neat anpearing condition.. • -
19. Enforcement shall he by proceedinqs at law or in equiil against any person or persons. violating or attenoting to violate any
. covenant or restriction contained herein, which proceeding may be eithc.
-to restrain violation hereof or to recover damages for such violation.
_-15. Invalidation of any one of these covenants and re- - strictions hy judgment or covrt order shall not affect any of the othei provisions hereof, which other provisions shall remain in full force and eEfect. IN TESTIt40'VY t71iERE0F, the undersigned have hereunto set
- their hands this - day of1979. '
. -2-
PLUMBING (RESIDENTIAL)
Permit Application
City Of Eagan
~ Q' a 1 3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675.. FAX # 651-675-5694
Please complete for: Single Family Dwellings
Townhomes and Condos when permits are required for each unit
Date _7-/ ~ / G5'
Site Address S 60, j Cv.t/ W~u Unit k
Property Owner V ~ & lli~SG?!/ Telephone # ((/"a)
)FrA l<^ w6 t
Cantractor /r J,
Address /UwW b/t vL City ?UGf
State / /i(/ Zip Telephone # 4i3-4
The Applicant is _ Owner Contractor _ Other
Septic System New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00
Includes County fee. Additional consultant fees may apply.
Altera ons To Existing Dwelling Unit, Including $ 50.00
Adding fiMures to lower levels or room additions, excluding water softener and water heater
_ Abandonment of septic system
Water turnar nd 5/S" meter ~if ,neended,1-$121.00)
Other: YV~-- v~-~t
_ RPZ _ new installation _ repair _ rebuild $ 30.00
_ Lawo irrigatian system
_ Water softener _ Water heater $ 15.00
_ replacement _ additional
$ .50
State Surcharge
Total $
1 hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurete; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a
permit, but only an application for a permit, and work is not to start without a that the work will be in accordance with the
an
approved plan in the case of work which requires a review and approval of s
J~,~cs M. /~%6 f,rfiS
ApplicanYs Printed Name plicant's Signature
w
MECHANICAL (RESIDENTIAL)
Permit Application
' City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
. Please complete for. Single Family Dwellings
Townhomes and Condos when pertnits are required for cach unit
Date0-3
Site Address +l(/~~t~eOil/ if/~-Vy Unit #
Property Owner Telephoue # ( 6.E9
Contractor
Street Address City ~
State /t~;?/? Zip Telephone # ( af~~ ) ~~~9~~
The Applicant is _ Owner ontractor _ Other
Add-on, moditication or alteration to existing dwelling unit $ 30.00
furnace replacement
air exchanger
0--'~_air conditioner
.
?pther
- ~
State Surcharge 50
Tora?
~7-
I hereby apply for a Residential Mechanical Pernut and acknowledge that the information is complete and accurate; that the work will
be in conformance with the adinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a
pemrit, but only an applicatien for a permit, and work is not ro 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.
1_14"EcC7s_e1
ApplicanYs Printed Name ApplicanYs Signature
i
MECHANICAL (COMMERCIAL)
Permit Application , .
City Of Eagan '
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Please complete for. commercial/industrial buildings
multi-family buildings when separate permits are no[ required for cach dwelling unit
Date
Site Address Unit #
Tenant Name (if applicable) Previous Tenant Name
Property Owner Telephane # ( )
Contractor
Street Address C;ty.
State Zip Telephone tF ( )
The Applicant is Owner Conhactor Other
Work Type
_ Newconstruction UndergroundTank _Install _Remove
_ Interior Improvement Cali for inspection during installation/removal of tank
Processed Piping
Nature of Work:
PeI'mi[ F¢¢ $50.50 Minimuin Fee (includes State Surcharge)
ConhactValue $ x I% _ $ PemutFee
• If pemvt fee is $1,000 or less, add S.50 $ State Surcharge
If permit fee is over $1,000, add $.50 per
$1,000 Permit Fee
$ Total Fee
I hereby apply for a Commercial Mechanical Permit and aclmowledge that the information is complete and accurate; that the work
will be in confotmance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is
not a permit, but only an application for a pernut, 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 requues a review and approval of plans.
Applicant's Printed Name Applicant's Signature
Approved By: , Inspector Date:
y
,
i . -
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16
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16
17
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LAUNDRY
:t . I ~ 4 t SITTI G ROOM ^a
, , 9 8 I
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA152638
Date Issued:10/24/2018
Permit Category:ePermit
Site Address: 3569 Widgeon Way
Lot:9 Block: 2 Addition: Duckwood Estates
PID:10-21900-02-090
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Insert
Description:
Census Code:434 - Residential Additions, Alterations
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 -
Jeffrey B Larson
3569 Widgeon Way
Eagan MN 55123
(612) 801-7850
The Fireplace Guys Llc
680 Hale Ave N #110
Oakdale MN 55128
(612) 326-1919
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA161516
Date Issued:06/01/2020
Permit Category:ePermit
Site Address: 3569 Widgeon Way
Lot:9 Block: 2 Addition: Duckwood Estates
PID:10-21900-02-090
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
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 within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Jeffrey B Larson
3569 Widgeon Way
Eagan MN 55123
(612) 801-7850
Walker Roofing Company
2270 Capp Rd
St Paul MN 55114
(651) 251-0910
Applicant/Permitee: Signature Issued By: Signature