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3572 Widgeon WayCityofEaaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 AUG 3 b Ll, iu r Use BLUE or BLACK Ink V Permit #: (NS pca Permit. Fee: Date Received: Staff: 2010 RESIDENTIAL BUILDING PERMIT APPLICATION copies* '61) Date:/304W Site Address: 36/,2 !1/6/yeo4 ) q Tenant: Suite #: RESIDENT / OWNER Name: Phone: Address / City / Zip: Applicant is: Owner )( Contractor / poS>Q 3672 TYPE OF WORK DECK P057 Pe,pa/, 6., Description of work: ne '"7 -TED Rol TT � v.,/ /f c t/dc e ��4e)'' ,�^�,� Construction Cost:'ti?5�/ f S J Multi -Family Building: (Yes )K / No ) CONTRACTOR Name: 0/50/? Cg71/e)c47/ rte' 4I. C License' #: 105662 7 8 Address: 35th ® 6�'/s f?lr/i/7 / y / t' City: (»k2/ /e State: np Zip: 53-"a Phone: 6/2 Sys 03132 77 Contact: (11 P/ y/ip� 0/Soil Email: Cilli T// g • 6-6/77 COMPLETE In the last 12 months, has If yes, THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING the City of Eagan issued a permit for a similar plan based on a master plan? date and address of master plan: _Yes _No Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents thatyou submit are considered to be public information Portions of the information maybe classrped as nron' publtc,;if you° provide specific reasons that would permit the City'to rsnconclude;that they; are:trade secrets. ; .. _ . CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. CaII 48 hours before you intend to dig to receive locates of underground utilities. www.ciooherstateonecall.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 1?OYLL ., 0/(fin Applicant's Printed Name ild'&24e}76/ A'ppli`can iS Signature Page 1 of 2 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Single Family Multi 01 of _ Plex Accessory Building WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review �• (25% 100% V ) Census Code # of Units # of Buildings Type of Construction Fireplace Garage Alt Deck Lower Level Interior Improvement Move Building Fire Repair Repair 3670 REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice & Water Final Framing Fireplace: _Rough In Air Test Insulation Meter Size: Reviewed By: Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width Final RESIDENTIAL EES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL � s Siding Reroof Windows Egress Window Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building — give PCA handout to applicant 7 MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers r Sheetrock Final / C.O. Required 71/Final / No C.O. Required HVAC Other: Pool: _Footings Air/Gas Tests Final Siding: Stucco Lath Stone Lath _Brick Windows Retaining Wall: _ Footings Backfill _ Final Radon Control Erosion Control , Building Inspector Page 2 of 2 CITY OF EAGAN WATER SERVICE PERNIIT 3830 Pilot Knob Road P. U. Box 21199 PERMIT NO.: ' Eagan, MN 55121 DATE: 7.1 ! Ioninq: No. of Units: 1 Owner, ~ A `7. eerJ COIIBt Address: Slte Address: 3572 Widgeon W L33 31 1uc=_MV0d :?ststes Plumbar. Dan t}te I'li]mbQl' Meter No.: Connedion Charge: Size: Acoount Deposit: ~ Reoder No.: Permit Fee: ; nt ; n<! 1ayroe fo oomplr with !he Citp oF Eayan Surthorge: . S~ d , Ordieose.s. Mtsc. Chorfles: • 00 pd meter Total: By Dote Paid: , Darte of Insp.: Insp.: SEWER SERVICE PERMIT CITIf pF EAGAN PERMIT NO.: 9793 rilot Knob Rea DqTE: Eugan, MN 55122 ~ i No. of Units: Zoning: prvner: Address: Site Address: Plumber: . - . ' ,f• 1 a9me to eon+Vh wHh t6e Cihr of Ea9°^ Cannection G+arge: Account Depesit: prdieanoe& PertnR Fee: SurchorOr Mtsc. C.ho?0ec By Totai: Dote of Irup•: pate paid: I nsp.: 3830 Pilot Knob Road! P.O. Box 2G-A1 9, Eagan, MN 55121 N2 12384 PHONE: 454-8100 BUILDING PERMIT Receipt # To ba used fw DECK Est. Value $6,000 Date JULY 31 , iy Afi SiteAddress 3572 WIDGF.ON WAY Erect El Occupancy Lot 33 elock 1 Sec/Sub. DUCKWOOD EST Remodel ? Zoning Parcel No. Repair ? Type of Const. Addidon ? No. Stories ~ PHILIP VIERLING Move ? Lengm 2 W Name 14 Demolish ? Depth _ $AME o Address Int impr. ? Sq. Ft City Phone 452-6875 Install ? a S~E Approvals Fess o Name 0i address Assessment Permit $56.50 ~ City Phone Water & Sew. Surcharge 3.00 Police Plan Review ~ W Name Fire SAC 00 Address Eng. Water Conn. W < City Phone Planner Water Meter Council Road Unit I hereby acknowledge that 1 have read this application and state that the gldg. Off. 7/ 30 f 8 6 Tr. PI. information is correct and agree to comply with all applicable State o( Minnesota Statutes and City of Eagan prdipances. APC Parks Var. Date Copies Signature of Permittee ` Total 5' p ' A Building Permit is issued to: PgILIP VIEI2LING on the express condition that all work shall be done in accordance with all applicable State of Minnesota StatuL@g and City of Eagan Ordinances. Building Official -~--L- r , PermN No. Pormit Holdkr DaW TN~phon* If Ptumbiny H.VA.C. ElecMc Softener InspocQon Dafe Insp. Comments FootMqs 1 Z SIFootinys 11 Foundatlon Framiny Rooflny Rouyh Piby. 11 Rouph Htq. IMYi. IFinplacs FMaI Hiy. Final Plby. Bldy. Final ICart. Occ. 11 I Deck Fty. IDack '-Q Deacribo LocaBon: WNI Pr. Disp. cirY oF E?GAN ~113 3795 ?ilat Knob Read Eayan, MN S5122 ~ PHONEs 454-8100 BUILDING PERMIT I Receipt ~j To bo wed for SF DWG/GA.D Est. Value $117.000 Qote Jtuse Site Nddreu 3572 Widaeon Way Erect %X Occupancy R-3 Lot 33 Blotk 1_ Sec/Sub. Uuckwood Eetatea Alter Q Zoninp -t-1 Porul # 10 21900 330 01 Repoir ? Fire Zone riA Enlarge ? Type of C.onst. oe Name ~'hil a Vir~±inia Vierling W move 0 # Stories _ ^ddrou Demolish Q Length 53-4 ~ Ci pho~e 831-5745 Grode ? Depth 44-Sq. Ft. ~ No,T,e Udeeu Construction, Inc. Approrals Ftes o~ Addreas 1~+5k0 Pennock Lane nssess~„er,r Permit 475.50 ~ Ci pple Va11Ny phone 431-5300 Woter 3 Sew. Surcherqa 58.50 Police Plon check 237.75 Ncme Zom Freehaii ~W Fire SAC 525.00 ~fe~ 15~10 Glazier Enp, Water Conni•S(1 Cln -W Ci pple Vallev phone 431-5760 Plonner woter Meter E0. 00 Councll Road Unit 250.00 1 hereby acknowledge thot I how reod this application ond state thof 81dy. Off. the inlormotion is correct and ogree to comply w11h ail applicable $2056. i 5 Stota of Minnesota Statutes and City of Eogon Ordinonces. APC Totol Sipnoture of Permittee A Bullding Perrnit fs issued to: Eldeen anatruct on , Inc. on tha express condition thni ell work sholl be dona in accordonce wlth oll opplitabte Stote.of MinrKscta Stotutes ond City of Enqen Ordinances. Buildirq Official E Parmit No. Permit Holder Misc. Permit No. Holder Plumbiny H.V.A.C. 3~~j W~II Watar • Disp. Sew~r elect.ic rvesi34~ rc'c~ -7-lI -83 Inspection Dm Insp. Other Footinps Foundation Freminp .,~.J3 - Rough Plbp. Rouph HVAC Inwlation y . Ij Fina l Plbq. Final HVAC Finel _ ? e'~ Weter ~ibe Location: YVell ~ Sawer Pr. Dhp. - Qrp~~~'-~e,~,~,'~• ~-~T~,~,~-~=~i'~ag?lI^,,~T~j•~?~Yr~,r~,~-l-~ ~~c,-~-^i:.-r.?z.~„~~'S'?'F~~yc.v:-R,;•T~:r--.i~c'r`ty't'~v'c_~'y ~ - - : - - - - ~ ~~~r#tftratt vrf (~rru~rtt~tr~ of ~agan lgPpM1'tilPltf Af llttlbt aI ltg lt18pPttiDlt i t T6rs Ccrti ficatc iuaad pxrsaaat to t& rcqxirmcnts a f Satiorr 306 of thc Uni f or,s Buildixg Cede arti fyix8 thwt at the tlnc of iutranu tbi.c itructxrc waa.r in com pliawu witb tlx ~~c a.r 4 ordinaruea o f thc City wgulating bialdmg cnnnructioa or xrt. For t!x joJlouring: UN Culdhomim SF DWG/GAR 8119 0-4--rTYr R3 7rwc...... tim v F. z.. NA Zwm D.. Rl ~ 0-..(WAdft Phil Vier1inQ Ad&m aeanAft. 3572 Widgeon Wav LmtiLot 33.Block 1.Duckwood i b,,, Estates October 27, 1983 BUILDER: ELDEEN COHST., INC T $ ~ ~'a~i`.:ea~a'ri~'`.:n`.~YL4i~i^Z- Lr:i~-.:S_a=w~ - - = a~ aa-.a'r~.`1~1~~'s:~~~-"`~~'ta~"• ~ _ .r? .r ~l~ ~ ~~h - ° . ~ a 7J ` ,~~L ~ ,n~i~° OAA '~~Of' ~~.,r- . ~I '1~4a~ierr~ ~1rr~ L.,rWrl ~?:uir~ ~ ~d Reoeipt MECHANICAL PERMIT Permit No. CITY OF EAGAN , Fee Fill in numbered spaces S/C Type or Prini /egibly , ~ ; Tot. - 1. Date 2. Installation Cost Blk. ! Tract 3. Job Address .1_.~l 4. Owner 5. Contractor Phone 6. Address 7. City State Zip 8. Building Type: Residential El Commercial ? Institutional ? 9. Work Description: New U Add ? Alter ? Repair ? 10. Describe • Fuel Type • 11. No. Eouinment STU - M. Ea. No. Enuipment CFM Forced Air r Air Handling: Mfg. Boilers Mech. Exhaust Mfg. Unit Heater ' Mfg. Other Air Cond. Mfg. Gas, Piping Outlets II 12. I hereby certify that the above information is true and correct, and I agree to ~ comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464$100 Reoeipt PLUMBING PERMiT Permit No, CITY OF EAGAN ~ Fee Fill in numbered spaces S/C - Type or Prini legib/y , . Tot . 1. Date 2. Installation Cost , cv,..: - 2 3. Job Address Lot .1 .3 B lk. ~ Tract jr-_. ~ / 4. Owner ~ 5. Contractor j~~/,r-,r1/ S t S 1 ti.C Phone , 6. Address c~vl. ~fir?f L / 7. City State ~ ir`"" ZiP 8. Building Type: Residential ~ Commercial ~ Institutional O 9. Work Description: New V Add O Alter ? Repair ? 10. Describe 11. No. Fixtures No. Fixtures ~ Water Closet Cesspool/Drainfield i Bath tubs Septic Tank ~ Lavatory Softner Shawer Well _L Kitchen Sink _ Urinal/Bidet Other ~ Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 hereby certify that the abave information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : " for Rough 'Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 . PERMIT # Ad 5 PLUMBING PERMIT / CITY OF EAGAN RECEIPT # 3830 PILOT KN08 ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE PHONE: 454-8100 Site Address " BLDG. TYPE WORK DESCRIPTION Lot Block eciSub Res. ~ New Mult. Add-on ? Name ~ ? . Comm. Repair ~ Address Other c Ciry Phone RES. PLBG, ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL ~ Name Water Closet -$3 00 $ Bath Tubs - $3.00 c Address Lavatory - $3.00 p Ciry r Ph ne Shower -$3.00 Kitchen Sink - $3.00 FEES Urinal/Bidet - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE Laundry Tray -$3.00 APT. BLDGS - COMM RATE APPLIES Floor Drains -$1.50 TOWNHOUSE 8 CONDO - RES. RATE APPLIES Water Heater - Si 50 MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $3.00 MINIMUM - COMM/IND FEE -$20.00 Gas Piping Outlets -$1.50 STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMI'n (ADD $.50 S/C IF PERMIT PRICE GOES Softener - $5.00 BEYOND $1,000.00) Well - $10.00 Private Oisp. - $10.00 Rough Openings - $1.50 SIGNATURE OF PERMITTEE u FEE: - srarE sic: - -~rt FOR CITY OF EAGAN GRANO TOTAL• CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE ~g RlCtIVtD FROM C~ AMOUNT $ I & DOLLARS 1 oo ? CASH ? CHECK FOR • FUNO CODE AMOUNT T : You ~ BY White-Payers Copy Yellow-Posting Copy Pink-File Copy CITY OF EQGAN Remarks Addition DUCKWOOD ESTATES Lot 33 pIk 1 parcel O 21900 330 O~ir~eY owne~~~ screet 3572 East Widgeon Way State Eagan, MW 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. RESTOR.jjhb mp. 1739.35 347.87 $ GRADING SAN SEW TRUNK S 1971 109.77 5.49 20 49-49 A01 004S 4-1-81 06EWER LATERAL WATERMAIN ~ WATER LATERAL WATERAREA ~ 1972 ilj,$j 5.59 2 4-1 -Al * servi * STOfiM SEW TRK STORM SEW LAT CURB & GUTTER SIQEWALK STREET LIGHT _gp SO 0 36284 6-8-83 WATER CONN. 4SO. 00 BUILDING PER, g 119 SAC PARK CITY OF EAGAN ~T 8119 3795 PpW Knob Reed Fe9an, MN SS12= lr ? ' PHONF: 434-8100 BUILDING PERMIT Receipt To ba uted fer SF D9G/GAR Est. Volue $117,000 Date .Tune 8 Site Address 3572 Wid¢eon Way Erect gX Occuponcy R-3 Lot 33 Bi«k 1 Sec/5ib Duckwood Estates qlrer ? Zoning R-1 parcel # 10 21900 330 Ol Repoir ? Fire Zone NA enla,ge O Tvce of Const. V W Nam Phil & Virginia Vierling Move ? # Stories ; Address Demolish ? Length 58=4 b Ci pham 831-5745 6mde ? Depth 44 Sq. Ft.- Eldeen Construction, Inc. Apvo.ab Faet og Name Address 14540 Pennock Lane Assessmenr aermir 475.50 58 Ci pple Valley Pham 431-5300 ' Water 8 Sew. Surchor9a .50 ~w Police Ia237-75 Nume TOm Freehan Flre ~PC check 525.00 Address 15010 G18ZieT Eng. WaterConn.450.On ~W C, pple Valley phorat 431-6760 plonner WoterMeter 60.00 Councfl Road Unit 250.00 I hereby ockrqwledge fhof I have read fhis applicorion ond state thot Bldg. Off. the intormotion is correct und ogree to comDly with oll opplicoble AP~ $2056.75 , Srote of Minnewto Srotures and City of Eogan Ordinonces. $ipnoture of PermiMee Eideen onstructi , Inc. A Building Permit Is issued ro: on the express conditlon thm oll work sholl be done in accordonce with al p'c la St maiefe3tatufes and Ciry of Eagon Ordirwnces. Building Officlal q CITY OF EAGAN Include 2 sets of plans, E~/U 1 site plan w/elevations s 9w BUILDING PEE2MIT APPLICATION 1 set of energy calculations. TU Be Used For . Valuation Date X3_ site rdaress : 357 a t,)i pGEan) U)AY n(' OFFICE USE ONLY Lot 33 siocx ~ sec./sub..Duccc~ooD Erect `l\ oocu~cY ~ Parcel LD ~ lq~ ~3a c2( ~~~0'~'~ ~-ter zoning Repair Fire Zone ' Enlarge _ Type of Const. Q,•mer: 1'~Nll., ti VIRGINsA l)~ER!-i n~G - Nbve # Stories Address: Demolish Front Sg'-y ft. City/Zip Cocle: Grade Depth yy ft. Phone FS3 1 - Jr `14Jr APPROVALS r~s Contractor: Gk,DEEA) rJC. Assessments Pesmit ' Water/Sew~r Surcharge S g Acldress: iq5~.}O i'E1Q NaC.k~ Lo• police Plan Check city/zip cocle: ({Pp~..E ()RU_~c.,~ 5513~- Fire sAC r9 3~~ Phone ~3t -53~ ~g• water Conn. Planner Water Meter 6,0 Arch./En9• : _~~Y~,l,. r"'AII) Council Road Unit - Bldg. Off. Pridress: IPS01O' LRZi E,e. APC city/zip coae: A'PPl.e c~Ru~4~ Phone 431- (61(00 TOTAL o2~S~~ 7 rJ ~ CITY OF EAGAN O u 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N 8 12304 BUILDING PERMIT PHONE: 454-8100 Receipt# ,/G T To be used for DECK Est. Value $ 6,000 pySe JULY 31 , 198 6 SiteAddress 3572 WIDGEON WAY Erect (m Occupancy Lot 33 elock 1 SeciSub. DUCKWOOD EST Remodel ? Zoning Parcel No. Rapair ? 7ype of Const. Addition ? No. Stories 32 PHILIP VIERLING Move ? Length w Name Oemolish ? Depth 14 o,4ddress S~E -6875 Int.lmpr. ? Sq.Ft Ciry Phone 452 Install ? z S~E Approvals Faes o Name Address Assessment Permit $56.50 ~ Ciry Phone Water & Sew. Surcharge 3. 00 ~ Police Plan Review a F W Name Fire SAC Address Eng. WaterConn. Q W a Ciry Phone Planner Water Meter Council Road Unit Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe gldg.Off. 7/3 0 /RFi Tf.PI. information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan ans s. ~ APC Parks d , Var. Date Copies Signature of Permittee Total $59.50 A Building Permit is issued to: HILIP VIERLING on the express condition ihat all work shall be done in accordance with all applicable State Minnesota t d Ciry of Eagan Ordinances. Building Ofticial Thiv eQ as od7-t l L33 gI , N4ekwoo4 3(0`~ S 3 18 mpnths from I W 082397 0.e.quest Date fire No. Rough-i Insuection / Peqmr ! E]Ready Nuw ili Notity, InsPec- g~ s ?NO ~dr i~hNn Mady icensed Electncal Con[nc[or I herabV reQUesl inspection ot above ? Owner elechical work inslallad at: Streef AdArass, Box ar Raute No. CiN 367 a ;5 A, n) ecUOn o. Township Neme or No. RanBa No. Cowvy FJ ~ Occu .~n[ IPRINTI PM1Oie Nn. ~F~ C'~ x~ s-F =31~s3 eo Power upplier . Address- kii~Cj ~ F C~ Q7N.1 A1 Elec[rical Contractor ( ompony Name) CAO Va r's License No. KENDHICK ELECTRIC A38974 ~ Mailinp Address I !(topt~ec,~cy~or~Q~v!{~p•Ma0~~aLjla}SopVkE ' . 5•:.)`tV rt~LV t31 Authorizetl Si t r :yk' i Phone Number 24 5036 - GARY KEND K 4 2- MINNESOTA STATE BOAND OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Grigps•Midway ~Blde• - Aoom N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS ENCLOSED. 1.11, IyI-1111 REQUEST FOR ELECTRICAL INSPECTION EB-00001.04 w: ' See inetructions for completing this form on back of Vellow coOV. . 1411 s BeTo*Ui~Co3ered by This Request 3(pQ S-t~, Upection Tvpe of Buildinq Aoaliances Wired Equipmen[ Wired /Home Range Ten orary Service Duplex Water Heater ightiny Fixtures ' Apt. BuilAinc~ D er Electric Heaun Commercial Bldy. umace Silo Unloader Industrial BIAg. Air Conditioner Bulk Milk Tenk Farm Oiher neufv Otncr IsueciWl tier Vecity iher Other Fee 8elow p Fee Service EnhanceSize tt Fee fqedors/SUEfeeders p Fee Circuits 0 to 200 Am s 0 to 30 Am s d0 0 tn 30 Am s Above 200 qiaps31 to 700 qmps 31 to 100 Amps Swimming Pool Above 100.-Am s Above 100_Am s Transformers Irrigation Booms ~ Partial/Other Fee Signs Special Inspeciion TOTA F eC9o Rem~rks ~ flouph-in Dnte . I, the ~ , ~ nspector, heroby certify thet tha above Final inspectian has been mede. ThIS reuuesl vold 18 montRV tmm /,57~ aoos RESIDENTIAL PLUMBING PeRMiT aPPUCarioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 ' 651-675-5675 Please complete for modifications to existing residential dwellings. Date F)l-2a / Q 1 Site Street Address 3 S ~i v V Unit # Property Owner i ~ l. Vd I Telephone #461l 52- b875 Champion Contractor. 651-1155_1340 Telephone # ( ) Address 3670 bodd Rd. #100 Ciry State Zip The Applicant is: _ Owner `C~Contractor _Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Peras-built $ 16.00 Alteratlons to existing dwelling $ 50.00 _ Add plumbing fixtures. This fee includes ins[altation of a water softener and/or water heater at the same time. If you are installing onlv a wafer softener and/or water heater, do not complete this section; move to the next section and check the appliance(s) you are installing. _Septic System Abandonment _Water Tumaround (add $130.00 if a 5/8" meter is required) Othar. v Water Softener `/Water Heater $ 15.00 _ new replacement Lawn Irrigation _RPZ _,PVB _new _repair _rebuild $ 30.00 State Surcharge $ .50 Total $ K 5u I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to siart without a permit and work will be in accordance a e approved plan in the event a plan is required to be reviewed and approved. ~-aar91 n ~ ~ odT ApplicanPs rint d ame ApplicanYs Signature AUG 2 7 2007 D ' a5 99 ey . I ~ RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF FJ4GAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 ~U New CanstrucUan ReaufremeMe RemodeVReoair ReouiremeMs • 3 registered site surveys showirg sq. R. af lot, sq. R. of house; and au raated areas • 2 capies af plan (200/a mauimum lot coverage aliowed) • 1 set of Eneyy Calculations for heated additions . 2 copies of plan shawing beam & wirtdow s¢es; powed found design, etc.) • 1 site survey far exterior additions & decks . 1 5et o1 Energy Calculations • IMicate if hame served 6y septic syslem tor addi6ons • 3 capies of Tree PreservaGon Plan'rf fot platted after 711193 . Rim Joist Detatl Optbris seledion sheet (bklgs wiTh 3 or less unds) DATE VALUATION 2 #v Q' I ci SITE ADDRESS MULTI-FAMILY BLDG _Y 6'-iV' TYPE OF WORK ~S T/S 4G fIREPLACE(S) _ 0 t1/ 2 APPLICANT tCkJAJ. STATE ZIP STREET ADDRESS I"~ Et CITY TELEPHONE #g(OI 9U/.3 CELL PHONE #~7 AX # . • ' //7 PROPERTYOWNER ~ 6 ~ IMUL~M7 TELEPHONE#Si COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNFSOTA RULES 7670 CATEGORY 1 _ MINNLSO"CA RULES 7672 (J submission lype) • Residentlal Ventilation Category i Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Phone # Plumbing system includes: _ Water Softener _ I.awn Sprinkler Fee: $90.00 _ Water Heater ~ No. of R.I. Baths _ No. oF Baths Mechanical Contractor. Phone'#"=- - - Mechanical system includes: _ Air Conditioning I ~.I^ ~=~'e'e; Qd0 HeatRecovery System $J 1 6 2002 II'Iv Sewer/Water Confractor. Phone I BV I hereby acknowledge ihat I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eaga nances. Slgnature of Applicant ~(A - OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4l02 OFFICE USE ONLY ? 01 Foundatlon ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF O 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 17 10.plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) 0 44 Siding 13 32 Addition 0 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning 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) FinaUNo C.O. _ Footings (addition) Plumbing _ FoundaHon HVpC _ Drain Tile Other Roof _ Ice & Water _ Final Pool Ftgs Air/Gas Tests Final - Frami°g Siding Stucco Stone _ Fueplace _ R.I. _ Air Test _ Final _ Windows (new/repiacement) _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Pian Review MC/ES SAC City SAC Water Supply 8 Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total ~ . CERTIFICATE OF SURVEY 95.8 p o~°5 1 / S I ~ 60 . . (4 ~ 6 • '7r° / i v , 4 LOT 33 ~'~o~~F 90. ~ 6GOCK I ~ • ~~q . si.s ss: ~o\ ~5 0. 9 ~ PfEOPo6ED ? 93.5 \ ~ NOUSE 9 8 ~ 92 1 R 3 , , ,/Q~~ ''B ~pi. ~.,y' . • ~ 0 'o 93 p2• y . , 02 94 9 2 ,9~ po 5y ~ 9 2 ~ 92. j . . . /i~'„-" . 91.0 \ Elevations shown arelexisting ' grades and are aesumed datum. I ~ I I herebp certify that this iR a cnrr0ct rapresentation of a survey of: Lot 33, Block 1, DUCKWOOD tiSTATES, Dakota County, Minnesotn, according to the pLal- thereof on file and of zecord. and that I am a duly registered land surveyor under the laws of the S[t+tc of Minnesota. ~ Dated this 2nd day of June, 1983 Gene L. Jaco on, Minn. Reg. No. 7734 ~ i DRBYpER ISCALE- 1- =46 0 DENOTES iRON MON. BEARINGS ARE A5SUMED OATUM. i l Yrepared for: l ~ JACOBSON SURVEYORS i I' Eldeen Construction LQKEVtLLE, MINN. 55044 ( 14540 Yenaock Lane ~ Apple Valley, Mn. 55124 PHONE 469 - 4398 ~ ~oa-~8 I _ iiFeehan's arcLiitectursl ~ 521-5253 services EXTERIOR ENVELOPE AVERAGE "U" CObiPUTATION ~ OtVNER SITE ADDRESS CONTRACTAR C!_/JFF.U r~/~~` DATEr~-~-.^ PHONE DETERMINE WORKING SQ. FOOTAGE 1. Total exposed wall area..... _ "=s9 • ft. x .17 2. Total roof / ceiling area... !~~="•~'s4• Yt. x .05 3. Total floor/cant. area...... 1^o,z0aq. 4t. x _ -a ;'`1 FJ.vC''=+.:..'..% L~-.=~.1 :'x='^,' ~ ~/'t r' '1 1 a. Totsl wall window erea b. Total door area............................ - c. Total sliding glassdoor area - d. Total Yireplace wall area.................. e. Total ac.ll Yraming area (average SO%)...... f. Total ne:t wall area above Ploor.....:...... 2a=~•-`-- g, Total rim joist area h. Total Poundation window area..................... i. Total net Poundation area above grade...... a~ Determine "U" value ot each wall segment ; a. 21. x,o U" g55 x "U~, nco ° ~3~ C. X frUn ~ ' d. X nUn - a @. ."4 16i17 X "U" . f. 2.coL ; x"U:: ~ g. 2 .ao s "U„ , h . R 1tU" ~ n i "U" Total 0 S If item #3 is the same as, or lesa than #1, qou have met the ~ intent of 38C 6006(c)2. r . [Feehan's arcii`tectural , servlces . .t. 5. Total expoaed roof / ceiling area J. Total akyliqht area..... k. Total Plat roof/clg. framingarea............ - 1. Total net insulation flat roof/clg.area,.,,,, tk'f~'"-,,,p,b m. Total vault rooPJclg, framing area............ n. Total net imsulated vault roof/clg. area...... Determine "U" value for each roof/clg, segment x „U k o=> e 1 x ftU„ ~ . I~ , 02 S m ~ m. X itU~, @ n, X 5.......... Total If total of #5 is the same as, of less than #2 the intent of SBC 6006(c)1.1 . You have met 8. Total exposed floor cant, area `}00, p o. Total floor/cant. framing area (average 30%)„ 4p,o v p. Total net insulated Ploor/cant. area,,,,,,,,,, ~o n o Determine "U" value for each lloor/csnt. eegment 6 Total If total oY #6 ia Lhe saene as, or less than #3 you have met the intent oP SBC 6006(c)3. ALTERNATE BUILDINC.ENVELppE DESIGN To utilize the total envelope system method, the values established by the sum of items #4, #5, #6 shall not be ' greater than the sum of itema #1, #2, and #3. ' 1• 2. 3. a 4. 5. 8. . Prepar by Date $3 ' : . i • TF1RiJ 3TUD ~Int. Air .6f? TH1U. IId3. -nt. Air .68 , • a•~ S.R, & Siding S.R. qs v/ S.R. & 3lding S.R. .~15 . Stud L~ , 35 Ina. 13 Shtg. (2) 2.0~- Shtg. ~2) 2 OC° $idinp. 7G Siding 79 Ext. Air ,17 / Ext. Air .17 'i i FEL'r ,o~ IO.Co2 Totel nR" z I~ ` T~tal nRN ~ ~q 21 27 tD9~l l/g e "Un ~ p~rj 'i I~ 1/R = "U" ~ .052 O5Z TFIItU CEILING Int. Air .68 THRU CEIUNG Int. Aia .68 MEMBER S.R. INSUI,ATIOP B.R. C1R. Member -1.35 Ine. G4Iae. 3 Still Air .61 • r.: Still Air .61 Totel "R" T,tal 1IR" = 37.8G 1/R ~ "U" = 023 . ' ~ 1/R a trUn m ,021A s. ,~;~'4 4t'HR[J COUC. BIJC. Int. Aii .bg THRU RIM JOIST Int. Air. .69 r~.•`P,,`~ o C.B. 28 Ine. ~3. ~ . Ine. 1.. q9 Shtg. ~2 ~ ~.OCo Ext. Air .17 R a~ SidinP 7q S.R. (UPt.) Ext. Air .17 Sidin~ t. , a n Totel rrRn ~ 7.73 'I Totel R- . "U" - ~3 I 1/R - "U" ,OS . : - ~ a_ . ' F'J: , . ? ' G . _ . _ni 9tV OF ett9gC9n 3795 PILOT KNOB ROAO. P.O. BOX 27199 eEA BLOM9Vi5i EAGAN. MINNESOTA 55121 Maya PHONE: (612) 454-8100 TFfOMAS EGAN JAMES A. SMttH JERRV THOMAS iHEODORE wACHiER ~A'I'E : ' CwncJ Members JU112 23, 1983 THOMAS HEDGES City Atlmipshotor EUGENE VAN OVERBEKE Ciry Ciert SPECIAL ASSESSNENT SEARCH DAKOrA COUNrY ABSTRALT CO• RH: Duckwvocl Estates, Lot 33, Block 1 1250 Highway #55 3572 Widgeon Way, Eagan, MN 55123 Hastings, MN 55033 parcel # 10 21900 330 Ol Enclosed herein is the search which you requested made on the above described property. Kind of Improvement Runs Beginning Original Amount Balance Due NONE - I further certify that according to the records of said office, the following improve- ments are contemplated or pending after having been approved, and are now in the process o£ planning or completion. ' Kind of Improvement Approximate datc ot Completion Approeimate cost NONE WAIYER: Neither the City of Eagan nor its employees guarantces tlic accuracy of the aUove in- formation which was requested by the person or persons indicated. Nor does Ute City or its employees assume any liaUility for the correctness thereof. In consideration for thc supplying of the indicated information in the aUove form, and for all other consideration of any nature whatsoever, any claim against the City or its employees rising thcre from is hereby expressly waived. Levicd assessments to be paid to the County Trcasurer at Hastings, hIIV, 55033 Very~y ya S, THE LONE OAK TREE...THE SYMBOL qND GROWTH IN OUR COMMUNITY (:~7~ 1986 BIIILDING PEEI~IIT APPLICATIOP - CITY OF BAGAN AOTfi: ALL COPTRACSORS MOSY BS LICENSED iiITH THE CZTY OF EAGAN SINGLE F6MIILY DWELLIHGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 7 SET OF ENERGY CALCULATIONS lIOLTIPLE DWH.LZNGS - RESIDENTI9L RENTAL DNITS FOR S6LE DNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SOR9SY - CHECB WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMAlERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, t SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: Valuation: Date:)l,l \ (1J ~ Site Address vt, `d Q R OFFICS OSE ONLY Lot J3 Block ~ Erect Oceupaney Remodel Zoning Parcel/Sub pair _ Type of Const ~ • • Addition # of Stories Owner Move Length ~ Demolish Depth Address d.Q Int.Impr. ~ Sq Ft Install City/21p Code ';l a ,3 Phone 7 Sc~ ~0 ~ 7,~ APPROVALS FEES Contractor 17 /AP, Assessments Permit Water/Sewer Surcharge ~ Address Police Plan Review Fire SAC City/Zip Code Engr Water Conn Planner Water Meter Phone Couneil Road Unit Bldg Off y Treatment P1 Areh./Engr. APC Parks Varianee Copies Address TOTAL 19 -~p City/Zip Code Phone Ik NOTE: ADDRESSES FOR CORNER LOTS - CONTRACYOR/HOMEOIiNER MQST DESIGNATfi WHICH 9DDRESS IS DESIRED. NO CHANGES WILL BE 9LLOAED ONCE BUILDING PERMIY IS ISSQSD. *30. Sv 2004 RESIDENTTAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 F_-1 ~ Telephone # 651-675-5675 AN r s 2Please complete for. single family dwellings & townhomes/condos when permits are required for each unit Date~_/~_/ Site Address -7 l~ V V Unit # Property Owner ( I ~ ? Telephone # (v.Y bd' Contractor $~OARQ MfflTIN6 & AIA CONDITIONING 011 a10 WEST LAKE STREET Street Address MINNE14POLI$ MN 55408-2988 City 812-824-2856 State Zip Telephone # ( ) Bond Expires: The Applicant is _ Owner ~ Contractor _ Other Add-on or altcration to existing dwelling unit $ 30.00 X furnace _Additional /N";eplacement air exchanger airconditioner _New _Repiacement other State Surcharge $ .50 Total $ ~S(o I hereby apply for a Residential Mechanical Pemnt and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical C s I understand this is not a permit, but only an application for a ernut, and work is not to start with a p t that the o will in accordance with the approve an in the case f ork tc requires a revi~nd approval o plans. ~tf ~ 2MA Applicant's Printed Name Applicant's ' re 2004 COMMERCIAL MECHANICAL PERMIT APPLICATION City OfEagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for. commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling uni[ Date Site Street Address Unit # Tenant Name (if applicable) Previous Tenant IYame Property Owner Telephone # ( ) Contractor Street Address City State Zip Telephone # ( ) Bond Expires: The Applicant is _ Owner _ Contractor _ Other Work Type _ New Construction _ Underground Tank _ install _Remove'*see below _ Interior Improvement _ Install Piping _Processed _Gas Nature of Work: **When lnstalling/removing underground tank, call for inspection by Fire Marshal and Plumbing Inspector P¢rmlt Fees: $70.50 Underground tank installation/removal I, $50.50 Minimum (includes Sta[e Surcharge) or ContractValue $ x 1% PermitFee • If ev rmit fee is $1,000 or less, add $.50 $ Sta[e Surcharge If ep rmit fee is over $1,000, add $50 for . every $1,000 ep rmit fee $ Total Fee [ hereby apply for a Commercial Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; 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. ApplicanYs Printed Name Applicanfs Signature Approved By: , Inspector Date: ü ÿ ÿþþ ýðýü úþþîùûüíí ý ä ÿþö þýüûúùôöêñöýûúù øöûúùôù öùòýÝ ö ñýñíýùú ð þïýöî êöùöùùööêÿööóýóùö ÷öêüöë þ ýööùüýêùë ñöüóéöööïýöüú êóúóë îçæçååëåëå õú þýöö èýçæçëäëä èýÿë ôó öòñ ùù ôó ùèö äó îö úØÞø øú ó ãõ ãõ àäßååå öüú ìöùùêöóöö öóùú ùùüþ êãþýñúê íöë ùù÷ ýúþ ýö ü û ú ÿþþ ý ýû úþþüôðûññ ïïøóü åïï ý ÿþø ùø÷öõ ì õ ð øöõ ôöõ à õ ð ø ð ïøõ ö îû ùíø õê ö íø ÷ çð öòø ø ÷ õ õ þ ûç ð ÷ß íø ÷ö ó û ö ç æÿÿç ÿçÿ ÷ú ùø û è ø æç åçå è ø ïúç öùõ øóò õõ â ð û ùç éçì ï ôû ô ö ñ ê ëé ïü û ëé ï äþã þïï Øþ ÷ö ó û ê õõ û õöó õõ ÷ ù ë ù ø ðöü û ç õõ ò ùû ø öùû ø PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA109432 Date Issued:03/08/2013 Permit Category:ePermit Site Address: 3572 Widgeon Way Lot:33 Block: 1 Addition: Duckwood Estates PID:10-21900-01-330 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Kris Oien 3670 Dodd Rd Eagan, MN 55123 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Charles Pogemiller Sr. 3572 Widgeon Way Eagan MN 55123 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink �---------- - --, � For Office Use �/ ' i�//� �' C�c�- ��} O� nn �n � Rermit#: � I � p.ti !1 ��.�� b Lu 11 � Permit Fee: i 3830 Pilot Knob Road I � Eagan MN 55122 I Date Received: � Phone: (651)675-5675 i � Staff: Fax: (651) 675-5694 L________________� 2015 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: ��`� �� Site Address: �� .J e �oiJ Tenant: Suite#: r--^ ReSld�t�#1i�W�tBt� : Name: l � '� o�' � Phone:(�,�`�a ��'3�J"`�1 O a+ � � �� ` c� �� o� 9_�<< ��' Address/Ciry/Zip: ° �-°'`� � � ` �K r�, , `� � �`'t � License#: � 1 � �. Name: � �.�� ,. C 35 � '� �; � x��ontra�tor . address: t c�c�� -a�� -u..�'� city: ��- � , �r� �, �� " � � ,� ��.�� State: �� Zip: Phone: � �� 3� �� ra,.,�� .�� Contact: Ac..-J�� _:.11�-=—'�'�mail: �_��-�C �-�J .wrz� �a.< a� ��J New Replacement _Repair _ ebuild _Modify Space Work in R.O.W. 7`�/�l�:L��l�lQ1'k: — — — �`��t� ';�� t - ` : Description of work: �\� c�� o �\ �l P�..J �:�1-� ' . RESIDENTIAL � ' �� °� Water Heater r P � � _ ' � Water Softener �� Lawn Irrigation�RPZ/_PVB) P�i't'11i��/� ` r Septic System Add Plumbing Fixtures�Main/_Lower Level) , � ��r� �� New Water Turnaround :�� r — �,: ; �,� � � �,�� '� �`Tw Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes$5.00 State Surcharge) $60.00 Lawn lrrigation(includes$5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround*(includes$5.00 State Surcharge) "Water Turnaround(add$210.00 if a 5/8"meter is required) $115.00 Septic System New($10.00 per as built) (includes County fee and$5.00 State Surcharge) TOTAL FEES$ CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. 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 ' 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 ot to start without a permit; that the work will be in accordance with the proved plan in the case of work which requires a review and approval of plan X �C-�� , ��--��e.r�- X ApplicanYs Printed Name Applicant's Signature� „ P� � � ��?Fft��US�` � � ' � �` � � � -��'�� 1° ,�t'�aA y,s ;�� - ��'r� � . - r � - ' - . . . ;�y ,}�� y��y� a 1[�*. }^4 S �r�y" �, � . v ' � ��=�a fl��"',��^r+"�, . m an ��? R��il��.�l�ll.�ti V��.r�L7}��` 4 ��: I'1�� ;y7�+' �„��lr7��c�7.aab� �:.��z�: , �*� �` � - �: k ■� 2 ;-�. � � �; .- f"�r �r"a� : _ � q ,�� 5� �,ay �' ' �� e 1�#G`��.�'4� � ��tiM-�cJY�� i � . ��1��.��y� i��Fa�� ..� ��`��Y ��'j`��^ �� •o„ } ��q��. « � , , . , . , � . ` .. , , � � ��. ,. �^ _. Ga .,. F.�rt*.�ew_ . ., �- 5:,, :" ..