The URL can be used to link to this page

3580 Widgeon Way‘* City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Date Received: Staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 3—I5--/ I Site Address: 3 580 t) i cIq ,A,c0A Unit #: RESIDENT / OWNER d t Name:— cv.)q'a►r1 Phone: (05/_ Y5Y- /oy2 Address/City/Zip: 358.0 4)i(-3 Ld. n 114 Al 55123 Applicant is: , Contractor TYPE OF WORK fi(sOwner �/ k Description of work: t- tornk.;.L 1 -1 -ref -1-. n r/ -4r04i / J Construction Cost: "Food' Multi -Family Building: (Yes / No----'f— CONTRACTOR Company: 4„.....,&..... a.l ictitJ 1. k-,a*d rs ,7..•�c. Contact: 44442-00) �- Address: 2%O -1 cja\ �d�t�G. RAJ City: &dISV i 6 L State: Mit.) Zip: 5337 Phone: 752 - 707- b 9 5-1 License #: Z O, 69 3 3' 3 Lead Certificate #: 'U4 I — 3 3 ZZ S- / If the project is exempt ij0f c .is Tw from lead certification,++''please explain why: (see Page 3 for additional information) 6:1 a p l t tet Swt - In the last 12 months, If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: _Yes _No Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: 'A a an pp alh� _ AR` A 0 @ 4T 8t' i�d J (Iy M t ♦'+r n'a. s a, e v #a Ej a s — 1 ,�P�ip. ' P pan, ®i."4f A f ! :c 3� & Y B x a ' 7 IV c �-7 9':! f f r e c f r B h 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.aopherstateonecall.org 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 of to start without a permit; that the work will be in accordalice with the approved plan in the case of work which requires a review and approval of • . ns. x Id/ :or - Applicant's Applicant's Printed Name Applicant's Signet Page 1 of 3 d ("13 "1 DO NOT WRIT BELOW THIS LINE SUB TYPES Foundation Fireplace Single Family Multi 01 of _ Plex Accessory Building Garage Deck Lower Level WORK TYPES New Interior Improvement Addition Move Building Alteration Fire Repair Replace `s/ Repair Retaining Wall \ DESCRIPTION Valuation Plan Review (25%_ 100%_) Census Code # of Units # of Buildings Type of Construction g)(. co _fes Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Ice & Water Final // Framing Fireplace: _Rough In _Air Test Final Insulation Sheathing Sheetrock /� Reviewed By: �► 4 t'kt— L 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 MCES System f5(. SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Other: Pool: Footings _Air/Gas Tests Siding: _Stucco Lath _Stone Lath Windows Retaining Wall: _ Footings _ Backfill Radon Control Erosion Control , Building Inspector Final Brick Final RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 City of EaQall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 AU6 02 RECD Use BLUE or BLACK Ink CEf.se Permit #: 0 9,5 SLS` Permit Fee: q0 g - Date Received: !9. Staff: 41(.." 2010 RESIDENTIAL BUILDING PERMIT APPLICATION -7 Date: t'21 -2b10 Site Address: 35S0 Wudltivl 1k)&3 , \cAn .im h 55123 Tenant: J Suite #: RESIDENT / OWNER Name: YJOC,, ►dol Address / City / Zip: .35S 0 Phone: (09 -1151-1 '104 n 551 23 Applicant is: ( Owner Contractor TYPE OF WORK Description of work: Construction Cost: 23, 215. oo Multi -Family Building: (Yes / No X ) CONTRACTOR Name: AYY0(11 Can 'F ltr OrS License #: 21:X.03(05 LF I Address: /Ho 8 if 1o( )a TLI vc, si0 City: State: 1 Y ) n Zip: 561 94) Phone: g 52 - 23 2 - b 8 '79 Contact: Email: j dere Q,YY12)`'• GO YI 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: Ph one: Sewer & Water Contractor: GTE: Pfanand supporting doc rments thaf yocr submit are considered to be pubfic information u'' he information maybe cfassifred as non public if you provide specs c reasons that would permit` cdliolude.thet they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orci 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. xjediriN1 (rlJk to \ Applicant's Printed Name CITY OF EAGAN WATER SERVICE PERMIT 3745 Pilot Knob Rood PERMIT NO.: Eogan, MN 55122 DATE: Zoning: No, of Units: ~ Owner. Address: Site Address: Plumber: _ Meter No.: Connection Chorge• ' ' • ~ ~ SiZe' Account Deposit: Reader No.: Permit Fee: 1 agree to eomply with the City of Eagon Surcharge: Ordinances. Misc. CFwrges: Tota(: By Date Paid: Dnte of Insp.: Ins p.. CITY 7F EAGAN SEVI/ER SERVICE PERMIT 3795 Pilot Knob Road PERM17 NO.: Eogan, MN 55122 DATE: ' Zoning: ~ No, of Units: Qwrter: Address: Site Address: '••Plumber: I agree !o comply with fhe City of Eagan Connection Charge: 4, Ordinances. Account Deposit: Permit Fae: Surcharge: , •~C~. gY Misc. Charges: Dote of Insp.: Totol: Insp.:- Date Paid: ~ ~ r CITY OF EAGAN • 3795 Pllof Kaob Road Eagon, MN 55112 N2 5479 PHONE: 454-8100 BUILDING PERMIT Receipt # Te be uNd for Est. Volue Date , 19 Site Addreas Erett ? Occupancy Lot Blxk Sec/Sub. Alter ? Zoniny Porcel # Repair 0 Fire Zone Enlarge p Type of Const. 19 W Name Move ? # 5tories 3 Address Demolish ? Front ft. b Phone Gnade ? Depth ft. Ci APProvols Fees o Ncme _ Address Assessment Permit ~ Ci Phone Water 8~ Sew. Surchcrfle ~ Police Plan check FW Name Fire SAC Address Eng. Woter Conn. aW Ci Phone Plonner Water Meter Counci I I hereby ocknowledge that I have read this opplication cnd state that gldg. Off. the information is correct ond ogree to comply with all applicable APC Totul State of Minnesota Stututes and City of Eagan Ordinonces. Signature of Permittee A Building Permit is issued to: on the express tondition that oll work shall be done in nccordarKe with all opplicable State of Minnesotu Statutes ond City of Eogon Ordinances. Building Offictol ' c.= E.:'-!~ hrwit # Oaft bwd ~ 0 PrwiltM Plumbing /D Mechonical Q -'T~u~nP. ~ 85ei 9 t- I - ? o_ - _ INSP C710N5 DATE INSP. RoupMln Finol Footings Date In . Date Iraa. Foundotion Plumbing Q Frome/ins. ,z Mechoniool Final fy - Remorks: l^~~' ^ T~ ~ - 9 ~r . ' CITY OF EAGAN ~ 3795 Pilot Knob Rood 10 ;+,@& i;r Eogon, Minnesota 55122 Phone: 454-8100 1;?? AT ING PERMIT No. ZC27 Date: 11120/79 Receipt No.: .16 7 4 Single Sife Address: 33$0 Widgeon W3y Residential Lot y~ Block 1 Sub/Sec. _DuckW d Muiti Res., Comm./Ind. I F3uz{OZ'd -.-UT;.Str. New/Alter./Repair Nome Y '1 P 3 Address Cost of Instollation _ O ;4n-~i37 ~u City Phone: Permit Fee ' Nome `~f1Z b j'.Vc~?1 - ~ Sureharge ~ Address 4"45 Cq • Robert Tr 1. e 0 City J Phone: . . Total . . This Permit is issued on the express condition that oll work sholl be done in occordance with all npplicable Stnte of Minnesotu Statutes and City of Eagan Ordinonces. Bu;lding Official CITY OF EAGAN 3795 Pilof Knob Road Eagon, Minnesota 55122 Phone: 454-8100 PLM'IBZ'1C PERMIT No.15 34 Date: I0/30/79 Receipt No.: 16406 Single Site Address: 3580 Widqeon Way Residential ~X Lot 34 Block i Sub/Sec. _ DuCkWOOd Multi Res., Comm./Ind. I Name Hurforci COT?9tT. c?w New/Alter./Repair d T'" PQ F30X 21218 ; A~ress Cost of Installation O City F' aQ ~ _ Phone: 4 54-3 237 permit Fee Nome 'enZ R]?3I1 . 5 - Surcharge . g A~d`d'res45 Sottth Robert r 0 V ~;I~S.~ ^~l~~•TT ` City ° Phone: Total ' This Permit is issued on the express condition that all work shall be done in accordonce with all opplicable State of Minnesota Statutes and City of Eogan Ordinances. Building Officiol CASH RECEIPT CITY OF EAGAN ~ 6 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 r eecfitvsu - PROM _ . • . _ . _ AMOUNT $ . I ~ & DOLLARS too ? CASH CHECK . ~ _ . ~ - ' . :~d - _ J ~ . FOR, - '!_'Y. ~ h- . r_'' ? ~ , ~ - " FUND CODE A-OUNT 7:1~ Thank You J BY UVhite-Payers Copy ~ r Yellow-Posting Copy ~ Pink-File CoPY CITY OF EAGAN Remarks Addition DUCKWOOD ESTATES Lot 34 sik 1 Parcel Owner~'e. Street 3580 Widgeon Way State Eagan, MN 55123 Improvement date Amount Annual Years Payment Receipt Oate STREET SURF. STREET RESTOR. Tllp. 347.87 1739.35 C005613 10 15 80 GRADING SAN SEW TRUNK 1971 109.77 5.49 20 w SEWER LATERAL 1980 2851.16 190.08 IS WATERMAIN * WATER LATERAL WATER AREA /11-7 1972 ljj. $j 5.59 20 * service t STORM SEW TRK f STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. 11 SAC te PARK This request void 18 months £rom A3,~, 611 t-~ 17 b ~ Date of ~this Request /02 -t?b ,s 17479 1, asLicensed Electrical Conhactor ? Owner, do hereby request inspection of the above electri- cal ring installed at: Street Address or Route No. ~6F0 to! d 4wrL ZCl gEK Citya G-~-- Section Township Range County d176J'-d Which is occupied by (Name of occupant) Is a roughin~inspection required on this job? No ? Yes ~ Ready Now ? Will Call I~L PowerSupplier b,14 "t'a ~L1o~7i~wia Address;Qwnd-:_ot.lcr~ Electrical Contractor~. Contractor's License No. k ` Campany NameJ MailingAddress~7~~ ~e~e,7;~" ~Yt~~// Rba,.~cxe,,,~' `~~c~+•ru. n (Electrlcal Cantractor or Owner Making Thls Installa on) Authorized Signature Phone No.~/'~3"// yV (Electrical Contractor Owner Making Thls Installatlon) p~~~ ~;~3~ This inspecdon request will not 6e accepted 6y the State Baard unleu proper inspxtion fee is endosed. This reque; t void 18 months from 6v I Date of this Request a S_ 267 90 I, as O Licensed Electrical Contractor ZOwner, do_ he , by request inspectjon of the above electri- cal wiring installed at: ~ ~ ~~1,~,•~;rj{nE , .4~ ~ ~ ~ Street Address or Route s-~~(7ity Section Township Range County~/ Which is occupi4~4-~- (Name of OccuDant) Is a roughin inspection required on this job? No ? YesA Ready Now ? Will CON PowerSupplidG~~6~~, Electrical Contraczt3r,_~_~~-=~ Contractor's License No. _ (COmDany Name) Mailing Address (E ctrical or Owner king This Instellatlon) aj 6~ Authorized Signatu Phone No. 3 i (EUbctrltdi L-dntractor or Owner Making This Installatlon) S iATE BOARD Co~~ . This inspection request will not be accepted by the State Board unlass proper inspection fee is enclosed. - Minnesota State Board of Electricity . 1954 klniversity Ave., St, Paul, Minn. 55104-Phone 645•7703 REQIJEST FOR ELECTRICAL INSPECTION - CHECK BELOW WORK COVERED BY THIS REQUEST s Tpge o[ Building New Add. Rep. Check Appiiances W ired Foi Check Fquipmen[ Wirod Fo[ Home ` ? ? ? Range ? Temporary Wiring ? Duplex Water Heater ? Lighung Fixtures ? Apt. Bldg. Dryer ? Electric Heating ? Commercial Bldg. Fumace ? Silo Onloader ? Industrial Bldg. A"u Conditioner ? Bulk Milk Tank ? Faim 11 C] P 0 List List ? ? H ptheis~ Others~ Other~^O~m ere 1 }4ere COMPUTE INSPECTION FEE BELOW Service Entrance Size: it Fee Feedecs&Subfeeders: it Fee Cucuits: # F0 to 100 Am s. 0 to 30 Am eres 0 to 30 Am etes 1D1 to 200 Amps. 31 to 100 Am res 31 to 100 Am eres Above 200_Amps. AAbove 100 Amps. Transformers RemoteConxolCuc. Paztialorotherfee Signs S ecial lns ction Minimum fee SS- Remarks TOTAL F I, the Electocal~Zn'specYOr, hereby certify t~ the a4 v fnspection has been ma . (Rough' Date lja' ~ (Final) Date This request void 18 monffis from , Thi^est void 18 months from ~lp 'e,! S/~ Date of this Request R 185 99 I, as ? Licensed Electrical Contractor OOwner, do hereby request inspection of the above electri- cal wiring installed at: , 34 ~ ~ ~tx_Y_L0p0 C~_ Street Address or Route No.3S80 1&40eYi 116~ City&4CL~ Section Township_ Range CountypaJ&IM Which is occupied by ,&a,~" r_n-%,Xs (Name oi Octupant) ls a roughin inspection required on this job? No PQ Yes ? Ready Now ~ Will Call ? PowerSupplier Oa$lAK E ne .Ui Address Yanirru~ Electrical Contractor."e...n aa~r.. Contractor's License No~L3+~ ~COmpany Nam~.e/-) INailingAddress S~, lc~t~/ fYl.A.LQ R62r~ntrturif ~cnir- (Electrical Contractor or Owne Making Tnis Install tion) Authorized Signature ~V ~i~ , Phone No!f`~ 3/If~f~ (ElectHCal Contracfor o wner Making Thls Installatlon) ;p [j~~t'~~ This inspection request will not 6e accepted by the ~~~~I-'C ~~R, State Board uniess proper inspection fee is enclosed. Minnesota State Board of Electricity •f'J54 University Ave., St. Paul, Minn. 55104-Phone 645-7703 G!~ d~ REQUEST FOR ELECTRICAL INSPECTION 18599 CHECK BELOW WORK COVERED BY THIS REQUEST Type of Bu-1:1ing New Add. Rep. Check pppliances Wired For Check Fquipment Wired For Home ~ ? ? ? Range ? Temporary Wiring ? Duplex , '4%, ? ? ? Water Hea[er ? Lighting Fiztuies ? Apt. Bldg. Dryer ? Elec[cic Hea[ing 13 Commeccial 81dg. Fumace ? Silo Unloader ? Industrial Bldg. ? A'v Conditiongi„+y< ? Bulk Milk Tank ? Farm " ? ? ? pList (,;1~ •1 LOist Other ? ? ~ HeiIm~~' Hehels~ COMPUTEINSPECTION FEE'.$ O' , Se`vice Entnnce Size: n Fee\-. eeQeisBSubfeedecs: # Fee Cucuits: e Fce 0 to 100 Am s. 6,eo , 0 to 30 Am exes 0 ta 30 Am eres 101 to 200 Amps. 31 to 100 Am eres 31 to 100 Am eces Above 200 Amps. Above 100 Amps. Above 100 Amps. Transformers RemoteControlCire. Partialorotherfee S' s Special lns ection Minimum fee $5 ~ Remarks TOTALFE 7~~ tSa~ I, the Electrical Inspector, hereby certify t the o irrspection has been made. (Rough-in) Date (Final) Date 7 `r This request void 18 months from Minnemta State Board of Electricity ~~3~fa.,, 54 University Ave., St. Paul, Minn. 55104-Phone 645-7703 BEQUEST FOR ELECTRICAL INSRECTION ~a' c C EC& $ELOW WORK COVERED BY THI§ REQUEST J 1709 Type of Butlding New Add. Rep. Check Appliances W'ved For Check FquWment Wrted Foi Home ~ ? ? Range ? Temporazy Wiring ? Duplex Water Heater ? Lighting Fixtures ? Apt. Bldg. Dryei ? Electric Heating ? Commeicial Bldg. Furnace ? Silo Unloader ? Industrial Bldg. Air Conditioner ? Bulk Milk Tank ? Farm ? ? ? pList C=-'List Othei ? 0 ? Hehers~ thersf 1 COMPUTE INSPECTION FEE BELOW :J Illf I Secvice EntrJnce Size: # Fee Feeders&Subtceders: ~@ • C'vcuits: # Fa 0 to 100 Am s. O 0[0 30 Am res 0 to 30 Am eres 6 oZG, 02 101 to 200 Amps. 31 to 100 Amperes 31 ro 100 Am eres / . c?! Above 200 Amps. A6ove 100 Amps. ' Abave 100 Amps. Transformeis RemoteConvolCua 60 Partialorotherfee Signs Special Ins ction Minimum fee Remazks TOTAL F o I, the Electrical Inspector, hereby certify thatyia-bove in"spectidn has been m (xoush-in) C.~?~.-,Y~? -16-- i'd (Final) .t 4.c-we This request void 18 months from d 0 9 9 4-~r,3 ReQuesl 08te Fire No. Rough~in Inspettion - Requiretl? _ I i64 B tly Now ? Will Notily InspBCtor Yes o When Reetly? J I; icensed conirector ? owner hereby request inspection of above electrical work at: Jo0 Adtlress (Sireet Box or Roule No.) Ciry .ST-o t6l !'d N Gfli~ r9~/~iy Seciwn No. Township Name or No. Range N Couny ~ Occupanl(PPINTI Phone No. ~ POwarSuppLer AOtlre% Electtical Convactor IGOmpany Nama) ConVaClorS License No. Cyf .~c oaA~ Mai ing Atltlress ICo raclor or Owner Installelion~ Auth S~g~atu i pwner Ma~ing Installatio n) Pnone Number L MINNESOTA S E BORRD OF EL CTRICITY THIS INSPECTION REQUEST WILL NOT GHggs-Mltlway 81tlg. - Room 5-713 BE ACCEPTED 9Y THE STATE BOARO 1821 Ilniversity Ave., SI. Veul. MN 55104 UNLE55 PPOPER INSPECTION FEE IS P1rone (612) 60¢-0800 ENCLOSED. ~ REQUEST FOR ELECTRICAL INSPECTION ~~~A, ee-ooom.oe Sea ins~rudions lor completing ihis lorm on back o1 yellow copy. p~.Z ~ ^ / d 0 9 9 6 4 "X" Below Work Covered by This Request 3 ew Add ep. TypeofBuiltling AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Eleciric Heating Apt. Building Oryer Othec(Specify) Comm./Indusirial FurnaCe Farm Air Conditioner Otner isyeciry) Contredor5 Remarks: Compute lnspection Fee Below: # Other Fee # Service Entrance Size Fee # CirouilsiFeetlers Fee Swimminq Pool 0 to 200 Amps 0 to 700 Amps Translormers A6ove 200 _ Amps Abova 100 _ Amps Si9n5 Inspecbr§ Use Oniy: TOTAL Irrigation Booms /L?1SCONNECTED Special Inspaction • Alarm/Communication THIS INSTALLATION MAY BE RDIF NOT Other Fee COMPLETED WITHIN 18 MON I, the Eleclrical Inspecior, hereby Rough.in oaie certify ihat the above inspection has Final oei,~!! been made. OFFICE USE ONLY This request voitl 18 months Irwn cirir oF E?"N ~ 3793 Plle! Knob Rmd Eagan, MN 55122 N2 5479 ` PXONEi 4548100 7 / BUILDING PERMIT APPLICATION Receipt ro be usea torSF Dwlg & Garage EN.voi„B 45,000. Date 10-RR 24 , 1979 stre nddrea 3580 Widqeari Wav E,~ ~ ~upa„cy R3 l.ot 34 Bixk 1 Sec/$ub. DLiCkwood Alier p Zoning Rl porcel # 10 21900 340 Ol Repotr ? Fire Zone 3 Nome Iee & Kathy Urness Enlarge ? Type of Const. V ac Move ? # Stories = Address Demolish ? Front 60 ft. ~ Ci Phone Grode ? Depth 271611 ft. rc BUYfOY(~ COILStTllCtlOI1 AVPrmob iees o Name z~ - Address P.O. BOX 2121$ Assessment Permit 128. F Ci 94a9nPhone 454-3237 Water & Sew. Surcharge Police Plan check ~w N°rne Fire SqC 525.00 _o Address Eng. Water Conn. 270.00 aW Ci Phone Pianner WaterMeter 60•00 Council I I+ereby acknowledge thct I have read this application and state That gldg. Off. the informMion is correct and ogree to comply with ull applicnble A~ .~aa~ 1,069.50 State of Minrcesota Statutes end City of Eagan Ordinances. Siqnature of Permittee A Building Permit is issued to: BurfOYd COI1St'ri1CtlOri on the express condition thm oll work shall be done ~inC, ac~cordance with pplico6le Stcte of Minnesoto tatutes und City of Eagan Ordimnces. Buildlrg Officiol e-2 , CZTY OF EAGAN Include 2 sets of plans, 1 site plan w/elevations & BUILDIf~PEF~1.iT APPLI~TION 1 set of energy calculations. 'Ib Be Used For $i,vE L&- Ti9*~'t _ba~Valuation olk~_o v o Date /6 f Z L47 5 Site Pddress ?~S~U (4ji'66EoN t.t1&cr/ pFFICE USE ONLY I.ot _3V_ slorac sec./suu. iuvvb grect Occupancy Parcel Alter Zoning Ip~ Repair Fire Zone 3 Owner: ~XJ~'NSy fJ2.)F5S- Enlar9e _ TYIe of Const. Address• Mo~ # Stories Danolish Front ~ O ft. City/Zip Code: Grade Depth ft. Phone APPRpVP.iS FEE.S Contractor: 3U(L{~'o2D C4VV6f(2(iC4-/Oitl Assessments a yPerndt /98' /~C~ taater/sewer surcharge ;t Pddress: c,n Police Plan Check ~ ~ City/Zip Code: vi-rt RA) Fire SAC S~5 a O Phone ~$z-('^ 3a-~7 p~r Water Water Conn. Meter (o /Eng . Council Road Unit Bldg. Off. -2Y Adclress: APC City/Zip Code: Phone TOTAL I o t9 9, .;iai~fk~rd GX)ri:.tr^iction $K 99, P. ZI E'Lr:tn, MN S~)lSEE DELMAR H. SCHWANZ , LANDSURVEVOF Re9iftanE Untler Laws of The Sbte of Minneiota 2978 - 145TH STREET W. - BOX M ROSEMOUNT, MINNESOTA 55068 PHONE 612 423-1769 ~ SURVEVOR'S CERTIFICATE Q~ 1=30 . ~ ~ ~ ~ ~~Q v ti5ti i~ ~ ~2 / ~ y Zo ~ : \ N o ? \41"~ ~ ~ X\ 00 \D ' Z-3 ri~ , ` .1 a 3p Q 3 ~ ° N 1 0 - ~ Z v~ N~~ r c, -Ip° 4S , 3L.5413Z•~7" sEr ~~v~tTn~rc \V 1 L ~ . ~ . a . . v L ' t'... , i~ . r ~ . . i,, . 7 , : ''!~,i : ...~:-r'. , i . ' . ~ , . • . . ~ , ~ ~ . . • \U 8A25 ~j . ERTERIOR ENVELOPE AVERAGE "U" COMPUTATIOPI OtdNER SITE ADDRESS 3SBG . W~ ~6o6vAJ CONTRACTOR Ev2(brzk~~ &A&7'RuC-PaRJ,WitL DATE f01&/"r7 PHQNE 45y-343'7 Determine working square footage. of each. 1. Total exposed wall area /S 5o sq. ft. x.1~ = 02, o 2. Total roof/ceiling area /p S$ sq. ft. x.0Y y Total exposed wall area above.floor ,c a. Tota1 wall windova area l16.nn b. Total door area . . . 3C.+.96 c. Total sliding glass area" Total fireplace urall area . ~ e. Total wall framing area (average,10%)...~ f. Total net wall area above floor ,oy g. Tota1 rim ,joist area . . . . 133,o0 Total exposed foundation area = /31,,cu ° h. Total foundation window area 3•3 7 i. TotaZ net foundation area above grade .IL Deterinine "U"'value of each wall segrient. a.....1/a . . ..X "Us; ioS6' = 6•(ov8 ' b. 36.f6 X "Ut; 13 C. _Zj . . X_ erU:c.. _ . . . . . . D. A X"U"? A = 9' e:../6apn;.....X.,;U,i .t'JS'~. . _ . . f•. II , g ,1 us: ..131- = !$/,vr3 . . . g• 132.w X "U' h. 3~37 }i' ''1J" i. /28.63 X r,UE' yL7 = S :36 3 . . ..Total If item #3 is the same as, or.less than item #I, you have met the intent of SBC 6006(c)2. Burford Conatruc6on 1uc. P.O. BOX 21218. EAGAN. MN 55121 . . : PHON . -3137 . . . . ~ • . , Total exposed roof/ceiling area = /OSS.oo .Total:skylight.area ~ ` k: TotaT roof7ceiling framing area (average ZO % /o~vo 1. Total net. insulated roof/ceiling area 4'.S7_,vo ;:•Determine value £or..__each.roof/ceiling segment: ` g . . M U it . , . p. . k). /061.... :1ijJn .,[S7 = aJ._ _ g . . , . . rU''. 4 .................Total . = 0.6&'/ If total of {,!'-t is the.same asy or•less than,O, you.have:met the intent of S8C 6006(c)1... ° Alternate Building `Enirelope `DesiF,n To utillze tkie total envelope system method, the balues established by the sum of items #3 and #4 shall not be greater than,the sum of 3tems tFl and #2. 1. ± 2. _ 3 + u. _ . , I RESIDENTIAL BUILDING PERMIT APPLICATION ~ 3 5~a 3830 PILOT KNOB RD, EAGAN MN 55122 651-681•4675 7 ~ New Construction Renuirements RemodeVReoair Reauirements . 7 regisrered site surveys stwwirg sq. ft. of lot, sq. ft. ot house: and all roofed areas • 2 copies of plan (20°6 mmimum lat cove2ge allowed) . 1 se1 of Ene(gy Calculations for heated additions • 2 cooies of plan showing beam & window sizes; poured found design, elc.) • 1 site survey `or extenor additions 8 tlecks • 1 set of Energy Calculatqns • IMkate if hame served oy septic system (or aaditioas • 3 copies of Tree Preservation Plan if bt platted after 717193 . Rim Joist Detail Options selection sheet (blCgs with 3 or less units) ~ DATE I" Q 4 VALUATION SITE ADDRESS 3`5 wloq e aN //t)71 ~ MULTI-FAMILY BLDG _ Y N TYPE Of WORKTSAI2 d'Fi' o2,aFIREPLACE(S) _ 0_ 1_ 2 APPLICANT ~9 (~'_-i_DOC - I~P /YUP ~CITYSU04414 STATE{W ZIP y~6SS3,37 STREET ADDRESS 11114-0 !5~-7 ~9S7 CELL PHONE # FAX #ar"JZ'BC0-S~% TELEPHONE # ~d TELEPHONE# ~s~- ysy- 9o yz PROPERTY OWNER COMPLETE THIS SECTION FOR "NEW° RESIDENTIAL BUILDINGS ONLY Energy Code Category NIt\\'1:ti01-A RULES 7670 C:\"['EGOI2Y 1 [IN:\LS0'l?-t-114 iLl:ti 7672 r:,, ~ (v submission type) • Residenlial Ventilation Ca[egory 1 Worksheet Su6mitteC ".New Energy Cotle WoksheeLSubmitted • Energy Emelope Calcula6ons Submitted LB l(o 4 ZOi Jl Plumbing Contractor: Plumbing system includes: ~Vater Sof[cner Iaw=Fc ~ Water Hca[er No. oF R.I. Baths No. of Baths Mechanicai Contractor: Phone # NIcch.mic>il systcm includes: Air Concliuoning F«: SiO.OO Elral Rccovcn Svs[cin Sewer/Water Confractor: Phone # ° ° ° _ I hereby acknowledge that I have read this appiication, stafe that the informaTion is correct, and agree to comply with oll applicable State of Minnesota Statutes and City of Eagan~ rdinances. Signature of Applicanf '(?,YN~ Iri'LVA.%(/lJ(.~5'/ .a'1 OFFICE USE OtiLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4f02 OFFICE USE ONLY ? 01 Foundation ? 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 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) O 33 Ext. Alt - SF ? 04 02-plex ? 10 08•plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi 0 OS 03-plex ? 11 10-plex O 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Ooors O 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 W idth REQUIRED INSPECTIONS _ Footings (new bldg) FinaVC.O. _ Footings (deck) Fina~No C.O. _ Footings (addition) _ Plumbing _ Foundaaon HVAC _ Drain Tile Other Roof _[ce & Water _ Final _ Pool _ Ftgs _ Air;Gas Tzsts _ Fina! _ Framing _ Siding Stucco Srone _ Fireplace _ R.I. _ Air Cest _ Final _ Windows (new/replacemenq _ Insulation _ Rztaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC W ater Supply 8 Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total CITY USE ONLY L .3~ BL RECEIPT SUBD. DATE: 1996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD r(~ Z EAGAN, MN 55722 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES EACJH. NQ. TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Tub/S a 3.00 x = at a e 3.00 x = n 3.00 x = Gas Piping Outlet ` minimum -1 3.00 x = Rough Openings 1.50 x = Water Softener 5.00 x = Private Disposal ' Dakota Cty. license 50.00 = (new and refurbished systems) U.G. Sprinkler' home under const. 3.00 Alterations * to existing 20.00 Water Turn Around 20.00 STATE SURCHARGE .50 TOTAL DOLRh JOSEPH SITE ADDRESS:~ asso wiocEOn wRv EflGRN , 55123 I OWNER NAME:--t H 454-9042 w i INSTALLER NAME: NORB~OM PLUti~BtNO CO. DM% (812~827-4033 STREET ADDRESS: ~~pF~ LD Ave. souTH CI7y; STATE: ZIP: PHONE ( ) ~.L-- OFFICE USE ONLY L _ BL _ RECEIPT SUBD. DATE: 1996 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 687-4675 Please complete for: . all commerciaUndustrial buiidings. N multi-family buildings when separate permits are = required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: _ NEW CONSTRUCTION _ ADD ON _ REPAIR DESCRIPTION OF WORK: IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING: WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED? YES NO. FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE. WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? YES NO. IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT. FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per $1,000 of pgrmit fee due on all permits. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: STE. # OWNER NAME: INSTALLER: H; v ADDRESS: CITY: STATE: ZIP: PHONE SIGNATURE: APPLICANT OFFICE USE ONLY METER SIZE: " DATE: INSPECTOR: `buCKwoo c~ ~ DAK 544 ZONING - NOTIFICATION OF INTENT Foster Family Aomes Day.Care Homes To: (Municipality or Political Sub-Division) _3 -2 G 5 P( c~k iGVtUb P4 (Street Address) cr C oA /Y11~ SS ( ty) (State) (Zip) FROM: Dakota County Social Serricea 357 9th Anenue North So. St. Paul MN 550 S~ ' - ~ arrr.irarrr.•r!~ e a s . ~ (Name) . , S ~O p (stree N ss c~.3 (State) (Zip) Number of Natural Ch3ldren under 18 ia home: 0 13 4 Sf' (circ e number) Number of Foster Children iacluded in licenae:l 2 3 4 5 6 7 ' circle number) Number of Natural Preachool Children 3n Home: 0 1Q 3 4 5 (circle aumber) :Jumber of Daq Care Glfildrea included in license: 0 1 2(])4 5 6 7 8 9 10 (c3rcle number) DATE OF NOTIFICATION: 02/17/2010 WED 17:01 FAX 6514378831 City of EaRall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 tl002/002 Use BLUE or BLACK Ink Permit #: Permit Fee: Date Received: Staff: 60,66 Date: 2-it 2010 MECHANICAI. R�[%� . P RMIT APPLICATION V Site Addr s: Tenant: Suite #: RESIDENT! OWNER Name: J64- Phone: %45+"*Ct0414.. Address / City / Zip: 3516 0/ 1 1/4`a+ CONTRACTOR Name: O`C ,n n ok IPI ul�, OiYt �q tko-I-! '1 cense : ,YY}t1 ee5UJ GI -I { Address: 1904 t] ffr hi ! i l i o .J%1 . r "6tY: Fi5 3 i i'} S State: W1 Zip: 33 Phone: (OS 1 431- 411 Contact: tett-nrA Email: r. ! ,t 1. , TYPE OF WORK New X Replacement Additional Demolition _Alteration Description of work: Fy :4£.r .0 . d ti yF` KS'a'A0.1i RESIDENTIAL Furnace Air Conditioner „ '�. .� . Q C C o a t c 0:44 COMMERCIAL New Construction interior Improvement PERMIT TYPE _ _ Install Piping _ Processed Air Exchanger Gas Exterior HVAC Unit Heat Pump _ Under / Above ground Tank (___ Install l Remove) '" When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector ww Other RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $.50 State Surcharge) $e TOTAL FEE $90.50 Fire repair (replace COMMERCIAL FEES: $70.50 Underground tank $50.50 Minimum (includes installation/removal OR State Surcharge) surcharge is $.50. increases by $.50 for each Permit Fee requires a $1.00 surcharge). Contract Value $ x 1% $ Permit Fee - If Permit Fee is less than $1,000, = $ Surcharge - If Permit Fee is > $1,000, surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 $ TOTAL FEE CALL BEFORE YOU DIG. Calf Gopher State One Cali 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.gooherstateonecall.org I hereby acknowledge that this information is co plete and accurate; that the work will in conformance with the o nces and codas of the City of Eagan; that I understand this is no a permit, • • my an application for a permit, and work of to start without a pert the work ' i • e in accordance approved plan in ..f work i' requires a review and approval of planF. nt's Printed Name ONKflJOUR HEATING & AIR CONDmONINGrM��" Always On Time—Or You Don't wry A Dime!! ® February 23, 2010 City of Eagan Inspection Department 3830 Pilot Knob Road Eagan, MN 55122 Mister sp-y® America's On -Time Electrician Ifthere's any delay it' you wepay/ We I installed the furnace and venting at Joe Dolans home I used a clear primer on the vent connections. Thank You Chad Fahey Installer One Hour Heating and Air Conditioning 1904 Vermillion Street Hastings, MN 55033 Cc-qa r4o� ,,si O t L' 4ro, L,Vc 1904 Vermillion Street • Hastings, MN 55033 • Phone: (651) 437-4177 • Fax: (651) 437-8831 3595 East 260th Street • Webster, MN 55088 • Phone: (952) 461-4328 www.oconnorphc.com PERMIT City of Eagan Permit Type:Building Permit Number:EA129910 Date Issued:03/24/2015 Permit Category:ePermit Site Address: 3580 Widgeon Way Lot:34 Block: 1 Addition: Duckwood Estates PID:10-21900-01-340 Use: Description: Sub Type:Fireplace Work Type:Gas Insert Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required by law in ALL single family homes . 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 - Joseph T Dolan 3580 Widgeon Way Eagan MN 55123 Hearth and Home Technologies 2700 N. Fairview Ave Roseville MN 55113 (651) 638-3309 Applicant/Permitee: Signature Issued By: Signature 4'_ ,^ �r` ��O� Use BLUE or BLACK� � � f�-rJ� U � For Office Us �1� D�� 11 0 ' 3 � �3 J � q � ,/ � � � � � Permit#: I �f �r� � �� 3830 Pilot Knob Road ( ��_�y- � � �� Permit Fee: � Eagan MN 55122 I �, I Phone:(651)675-5675 ,��j �� 2�i� j Date Received: "' 3 �� I Fax:(651)675-5694 � � � Staff: r! ` ) � ��J 2015 MECHANICAL PERMIT APPLICATI4N ❑ Please submit two(2)sets of plans with all commercial applications. Date: Site Address: Tenant: Suite#: � Name: .l��, �U��' \ Phone: �� Address/City/Zip: � � �, � � Name: � � 1"t p �� "�� License#:_ � � � U �t_Cr �j � Address: � �f � � City: State:�Zip:�`�j(1''j�j Phone: ��' `C 7 - �� Contact: EmaiL•�.�Gj1(�.'r(,��V�� Qy1 e[�lt�l,.(,G''c�,/�r,('C112-� _New � Replacement _Additional Alteration Demolition Description of work: �, " Q�� RESIDENTIAL GOMMERCIAL Furnace New Construction Interior Improvement ,�Air Conditioner _Install Piping _Processed _Air Exchanger _Gas _Exterior HVAC Unit _Heat Pump _Under/Above ground Tank (_Install/_Remove) Other RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit(includes$5.00 State Surcharge) $100.00 Residential New(includes$5,00 State Surcharge) _$ � TOTAL FEE COMMERCIAL FEES Contract Value$ x.01 $55.00 Permit Fee Minimum $70.00 Underground tank installation/removal =$ Permit Fee *If contract value is LESS than$10,010,Surcharge=$5.00 '`*If contract value is GREATER than$10,010,Surcharge=Contract Value x$0.0005 -$ Surcharge* **"If the project valuation is over$1 million,please call for Surcharge _$ TOTAL FEE I hereby acknowledge that this information is camplete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan;that 1 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�\�� U�� t/�� — x Appti"cant`s Pr�nte ame Applicant's ignature i Use BLUE or BLACK Ink r For Office Use r -� I by City of Eaaan ::::ee. . 3830 Pilot Knob Road / ) Eagan MN 55122 Date Received: cry 4 Phone: (651)675-5675 Fax: (651)675-5694 Staff: 7 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: l®/.,/// 7 Site Address: 3'$ e D W l 067 E A/ 1t/7 / Unit# Name: Jeff-P1+ l)C � � Phone: Resident/ Owner I Address/City/Zip: 35-80 lJ f b o r V AV.ty Applicant is: Owner (/ Contractor T of Work Description of work: It f- 0C- C�U IT Yp Construction Cost: !D/ UU Multi-Family Building: (Yes /NoL---1" Company: 601.4IA ACIAl_, S-e/2—Vt G(ffS Contact: 4f Iii ,e� f Address: lc�eZD W 7777-, (T/s/E7� City: L/A/it Contractor r ; State:sew Zip: . J� Phone:C7 ��—/3Z mail: l/�Pfi , �J� �Et( S• Ll� -7 q License# I Z` 7 C Lead Certificate#: If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you`'I submit are considered to' public information._-____bePortions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the, r are trade secrets, y� 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.qopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x G -p-t-ti C&L,cIF,c, xpi iff.c.._4.iii4 I 6/41.11'' Applicant's Printed Name A licant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA174435 Date Issued:01/26/2022 Permit Category:ePermit Site Address: 3580 Widgeon Way Lot:34 Block: 1 Addition: Duckwood Estates PID:10-21900-01-340 Use: Description: Sub Type:Gas Line Work Type:Alteration Description: Comments:Please call for a Rough In and Air Test, prior to the Final Inspection. Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 210-0754. 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 - Joseph T Dolan 3580 Widgeon Way Eagan MN 55123 (651) 270-5419 Drain Pro Plumbing 8815 209th Street W Lakeville MN 55044 (952) 469-6999 Applicant/Permitee: Signature Issued By: Signature