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3588 Widgeon WayPERMIT City of Eagan Permit Type:Plumbing Permit Number:EA160123 Date Issued:02/18/2020 Permit Category:ePermit Site Address: 3588 Widgeon Way Lot:35 Block: 1 Addition: Duckwood Estates PID:10-21900-01-350 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard 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. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 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 - Joan K Kartak 3588 Widgeon Way Eagan MN 55123 Tony's Appliance 2090 County Road 42 West Burnsville MN 55337 (952) 435-2442 Applicant/Permitee: Signature Issued By: Signature CITY OF eAGAN WpTER SERVICE PERMIT pERMIT NO.: 3795 pilot Knob Road Eagon, MN 55122 DATE: No. of Units: Zoning: pwner: Address: Site Address: Plumber: Connection Char9e: Meter No.: Account Deposit: Slze: permit Fee: Reader No.: 1 egree to ea++PlY wit' the City of Eagan Surcharge: Misc. Charges: Ordinanoes. Total: Date Poid: Insp.: ' 1nsp.. SEWER SERVICE PERMIT ' CITY QF EAGAN 3795 Pilot Knab Road PERMIT. NO.: Etigon, MN 55122 DATE: Zoning: No. of Units: Owner: Address: 5ite Address. Plumber: I agree M eomply wllh the Ciry oF Eagan Connection Chorge: Ordinances. Account Deposit: Permit Fee: Surcharge: By Misc. Charges: Date of Insp.: Totol: Insp.t Dote Pcid: i r vF EAGAN Remarks Addition DUCKWOOD ESTATES Lot 1 S Blk ~ Parcel OwnerY:ru'.:. ' li'i~'.t ,1-1.•~ street 3588 Widgeon Way State Eagan, NIlV 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SUFF. STREET RESTOR. Jpp. 1739.35 347.87 1391.48 A009843 1/7/81 GRADING SAN SEW TRUNK s' 1971 109.77 5.49 20 49• A009843 1 7 81 *SEWER LATERAL 1 7 1 WATERMAIN t WATER LATERAL WATER AREA ] 1972 111.81 5.59 20 • A~~ 3 1 ~ 81 * seryice w STORM SEW TRK * STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 305 00 91361 BUILDING PER. sac PARK CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 rrccerveo PROM AMOUNT $ I a coLLwws ~so ? CASH ? CHECK FOR 1 (f~ -~'^!ti W O~ LT~ ~ FUNO CODH pMOUNT Thank You BY White-Payers Copy Yellow-Posting Copy Pink-File CopY ~ PERMIT # /L'~LL PLUMBING PERMIT RECEIPT fk CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: 1 CONTRACT PRICE: PHONE: 454-8100 Site Address - BLDG. TYPE WORK DESCRIPTION Lot ~f~_ Block Sec/Sub Res. New x- 1 ~ Mult. Add-on y Name Comm. Repair _Address Other JR, c City Phone - RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Name Water Closet - $3D0 S y Bath Tubs - $3.00 3 Address Lavatory - $3.00 p City Phone Shower - $3.00 KI?chen Sink - $3.00 FEES UrinallBidet - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE Laundry Tray - $3.00 APT. BLDGS - COMM RATE APPLIES Floor Drains -$1.50 TOWNHOUSE 8 CONDO - RES. RATE APPLIES Water Heater -$i 50 MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $300 MINIMUM - COMM/IND FEE -$20.00 Gas Piping Outlets -$1.50 STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT) (ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00 BEYOND $1,000.00) Well - $10.00 Private Disp. - $10.00 ' Rough Openings - $1.50 OL SIGNATU F E I V./n FEE: STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL• Z~~ S- ~ CITY OF EAGAN 3795 Pilot Knob Rood Eagaw, MN 65122 N2 6291 PHONE: 4548100 BUILDING PERMIT Receipt # To be ased fer Est. Value Date 19 Site Address Erect :Q OccupancY - -3 Lot Block Sec/Sub. Alter ? Zoning " Porcel Repair ? Fire Zone Enlorge ? Type of Const. W Name Move ? # Stories 3 Address ' Demolish 0 Front ft. Ci Grade ? Depth ft. b _r:. , ~ cc Nome Approvalt Fees 0 Assessment Permit Address ~ Ci Phone Water & Sew. Surcharge Police Plan check u~ , - . WW Name Fire SAC P - Address Eng. Water Conn. `W Ci p}one Plcnner Water Meter Council Road Unit I hereby acknowledge that I hove read this application ar?d state that gldg. Off, the information is mnect and ogree to comply with all applicabie APC Total $tate of Minnesota Statutes ond City of Eagon Ordinonces. Signcture of Pertnittee A Buifding Permit is issued to: ' on the express condition thot all work shall be done in accordonce with all opplicable State of Minnesoto Stotutes and Ciry of Eagcn Ordinar?ces. Building Officiol P.nslr # ooN bw.e P.mifh. Plumbing 11- - p Mechanical - O tNSPECTIONS DATE INSP. Rouqh-In Final Footings ~Q Dote Insp. Date Irnp, Foundation Piumbing Frame/ins. Mechonical Finol . Remarks: ~~'~r,~+~"`-~fi~~~"•~t~'~~1'; WIn ~ fiftratt uf Orruptturg Citp of (f agan ; p,pttr#mpnt of Butlbing Jnoprr#imt Tfiis Certi f icatt issucd purtaaru to tlx nquirements o f Settion 306 o f thc Unif arnt Buildiag Code urtifYing that at tix timc af iasuarect tbis atructart waj rn cmnQliancc unth tlx various ; ordirraruet n f tix Cur ngulating 6uilding reustrrution or usr. For thc follourng: SF IX++1G/GAR ~~h~xo. 6291 U. c~is~aam ` namM ~ Fu• zm` 3 z~,~+a ~ o~~r rrw ~acl on CO 1000 E. 146th St,Bunavilles 3588 Widgeon Way "'a'«' L35,B1, Duckwood Est. r ! _ - O I~ g,~~otsd.l wa: ~ ~T IN A COM~~ICUOY• ?L/Gi - _ II ~~1.. e~'~ ~-af~-~, ~:~:\a.i ~v~~':..a..~.~ t .~..~J.~ , .,w - ..o. ~ ~ s'? '1 ~'„'~.o~w,~?~ 'r~~-'~''~r,~ _ , >~,°,~r~,'r..~? _ , . CITY OF EAGAN ' 3795 Pilof Knob Rood Eayan, Mieweooto 59122 INSPECTOR NOTIFICATION No. phone: 454-8100 REQUI RED BY LAW PERMIT FOR ALL INSPECTIONS . . Date: - - Receipt No.: Single I Site Address: Residentiol Lot Block y 5ub/Sec. Multi Res., Comm./Ind. ' . . Nome New/Alter./Repair. ~ 11)00 i:. ; Address Cost of Installation City Phone: Permit Fee c,rrmaon i lw.~bin4' , Name Surchorge . ~ : . -~i. ' `;1: . - 't' • ~ Addreu City Phone: Total This Permit is issued on che express condition thot all work sholl be done in acaordance with all opplicable State of Minnesoro Statutes end City of Eogan Ordinonces. Buildinq Offlciol , - C17Y OF EAGAN 3795 Pila Knob Read Ea9an, Minnesota 55122 INSPECTOR NOTIFICATION No. Ption.: 454-8100 REQUIRED BY LAW PERMIT FOR ALL INSPECTIONS . pate; Receipt No.: Single I Site /lddress: Residential Lot Block Sub/Sec. Multi Res., Comm./Ind. I Name New/Alter./Repair. ; Address ' Cost of Instullction O City Phone: Permit Fee Nome Surchorge . ~ . r ~ Address City Phone: Total This Permit is issued on the express condition that oll work shotl be done in accordance with eil appliooble Stote of Minnesoto Statutes and City of Eogan Ordinances. Buildinp Official INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: y?. = (612) 681-4675 SITE ADDRESS: APPLICANT: iA V PERMIT SUBTYPE: TYPE OF WORK: INSPECTION . .A , •~i~i,~; , i ~ ~ ~ J - - - - - - - --a= PertnR No. Permft Holdsr Dete Telophone k ELECTRIC /a 3rW Q ~ PLUMBING HVAC Inapectlon Date Insp. Comments FOOT1NCiS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL . BSMT R.I. BSMT FINAL DECK FTG DECK FlNAL I I I I CITY OF EAGAN ~ 3795 Pilet Kno6 Roed Fagan, MN 55122 N! 6291 ~ PHONE: 4548100 BUILDING PERMIT APPLICATION Receipt # _ To ba uted for SF DWG/GAR Est. Value 50,000 pae 10-15 , 1980 Site Address 3588 Widgeon W2 Erect $g Occuponcy Lot 35 Block 1 Sec/Sub. Duckwood ESt. Alter ? Zoning Parcel # Repair ? Fire Zone Enlorge ? Type of Const. s Name JadrOn Corp. Move ? # Stories 3 Address 1000 E. 146th 5t. Demolish ? Front k. Ci Bl1TTl5V1112, phone 432P8131 Grode ? Depth ft. ° ~ Nome APVrovala Feet . o~ Address S~e Assessment Permit 140.50 u~ Cit Phone Woter&Sew. Surcharge 25-00 Police Plon check 70.25 Name Fire SAC 525_00 iCity Probe EngineerinQ 1000 E. 146th St, Addreu Eng. Water Conn. 305.0Burnsville,YLl.phane 432.-3000 Plunner WaterMeter hQ•On Council Raad Unit NA 1 hereby acknowledge that I have read this application and stota thot Bidg. Off. the information is rnrrect and ogree to comply wfth oll appiicable StaM of Minnesoto Statutes and City of Eogan Ordinantes. APC Total IP125_75 Signoture of Permiitee A Building Permit isbissued to: - on the express condition tFqt ail work shalt be done in acmrdance with ppli able t e of innesotn Statutes ond Ciry of Eagan Ordinances. Building Official CITY OF EAGAN Include 2 sets of plans, lQ 1 site plan w/elevations & . BUILDING PERMIT APPLICAT2ON 1 set of energy calculations. / To Be Used For ('.a N S~-r V c-horv Valuation Date O Site Address: .1 9 GaN wQ+s OFFICE USE ONII.Y f Lot 3 .~slock / sec. jsub. ~ j c1' ect OccuPancY Alter Zoning Parcel Repair Fire Zorie ~ Enlarcje _ Type of Const. Raner: c0 Viove # Stories Pddress: / O(or) .~o~. Demolish _ Front ft. Grade Depth ft. ~ / , Im 7 City/Zip Co de : 1) g A I en, ,o Phone \ APPROVALS ~S 3~ - Contractor: Assessments Pennit %h?, 5-01 _ Address: Water/Sewer Surcharge e7,S-: 00 Poliae Plan Check - City/Zip Cocie: Fire SAC -Ia = d o Water Conn. d DO Phone ~eT Water.Meter 66_00 . "n' Council xoad vnit 4Z4 Arch. /Eng. 0- G n~ r a ee A Bldg. Off. Pddress: / APC City/Zip Code• J? S~S~3,- 7 Phone ~3 0~ vO~ 'IUTAL Saw. e/}s Lof fr'' 14aetz2 8v e"ed £ neePt ,Neo s 2 0"45 Rarvr WWk-004 05. ~376 ReQUest Dete Fire No. Rouq - n Inspectlon Required Ins eclion Other Than RaugM1-In Inspecmr 5- 6- 9 5 nou m st call in ~ctor when reatly) ~ Reaay Now ~ will Notity ~ Ves ? No Dete Reatl IMicensed contractor ? owner heraby request inspection of above electrical work at: Jab Atltlress (Slreet, Box ar Rou[e No.) Cpy 3588 Wigen Wa Ea an Section No. Township Name or No. Range No. County Dakota Occupam (PPINT) Phane No. Power Suppller Atltlress Electdcal Conlractor (COmpany Name) CoMracror's License No. City View Electric CA00384 Meiling Adtlresa (COnVacror or Owner Making Installatbn) 1145 Sn llin Ave No. Authorizetl Signalu (COnlrectorl0 er Meking Instellation) Phone Number 659-9496 MINNESOTA S ATE BOAFD O LE TflICITV THIS INSPECTION flE0UE5T WILL NOT Grlgga-Mltlway Bltlg. - Raom S- 8 II II I II I I I I II II BE ACCEPTED BV THE STATE BOpRD 1621 Unlveralty Ave., St. PBW, MN 55104 UNLESS PROPEF INSPECTION FEE IS PhonB (672) 692-0800 11111 ENCLOSED. ~ REQUEST FOR ELECTRICAL WSPECTION u`e`'~* ee-ooooi-as O s 7/~ ~ See instmMions for completing this form on back d yellow copy. i3 .!`/48D ~ 7 915 "X" Below Work Covered by This Request Ne Add ep. Type of Building Aryplianc c Wired . Equipment Wired I • Home Range Temporary Service Duplex Water Heater Electric Heatin ~ Apt. Builtling D er Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner Other (speGly) Cantreotor's Remarks: PO#70694 - Wiring Porch Compute Mspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimmin Pool 0 to 200 Amps 11 0 to 100 Am s 15. 00 Transformers Above 200_Amps Above 700 -Am s Si OS inspecmrs Use ONy: TOTAL Irrigation eooms 40.50 S ecial Inspection ~ Alarm/Communication THIS INS7ALLATION MAY B CONNECTED IF NOT Other Fee COMPLETED WITHIN 78 S. I, the Electrical Inspector, hereby Rough-in • (~e S certity that the above inspection has 14 been made. F~nai ~ o t OFFICE USE ONLY Thls reques[ void 18 monihs Irom This request void li 35/ /.S ] 8 mon[hs from Date sf this Request/r)/ Fire No. ~S 7 9 4 4 0 I, as P Licensed Electrical ont actor ? Owner, do hereby request inspection of ihe above electri- cal wiring installed at: p i Strett Address or Route No. Cit~ Section Township Range C unty Which is occupied by (Name of Occu q Is a roughin inspection required on this job? No ? YesV Ready Now ? Will Call ? Power Supplier Q C~-"A ~Address Electrical Contractor 12 w' (Z3~ Contractor's License No. _ (COmDany e) Mailing Address Z. Scn ~ (EtectricaJ-Co r cto~ oi Owne~ Making Thls In5ta11ation) Authorized Signature ~ Phone No. U Y (Eiectrical Controctor or Owner Making Thiz Installatlon) This insPection r89uest will not be aecePted 6Y the C} ; ~ 117~.U ~O O~ State Board unless praper inspection fee is enclosed. Minnesota State Board ot Electricity 'Griggs Midway Bldg. - Room N797 E13-00001-02 1821 Universiry Ave., St. Paul. Minn. 65104 - Pfwne 797.2117 7 ~f RE-QUEST FOR ELECTRICAL INSPECTION CHECK BCLbW WORK COVERED BY THIS REQUEST 7 9 4 4 0 TypebP Budding New Add. Rep. Check Appliances W'ved For Check Fquipment Wiced Foc Home ? ? Range ? Temporazy Wiring ? Duplex ? ? Water Heater ? Lighting Fixtures ? Apt. Bldg. Dryer ? Eleciric Heating ? Cofimercial Bldg. ? ? ? Furnace ? Silo Unloader ? Industxial Bidg. ? Av Conditione7Bulk Milk Tank ? Fazm pList yI ~ t 'Othe[ . ? ? ? Hehersl ~ ers~ COMPUTE INSPECTION FEE BELOW 4~ ° ServiceEn[cance Size: u Fee Feeders&Subteeders: # Fee Circuits: # Fce 0 to 100 Am s. 0 to 30 Am res 0 to 30 Am eres 101 ta 200 Amps. 14,176 1131 to 100 Am res 31 to 100 Am eres Above 200 Amps. Above 100 Amps. Above 100 Amps. 7ransformexs Remo[eControlCirc. Partialorothecfee S' ns Special Ins ection Minimum tee $ Remazks 14 TpTAL FE ~i ; /re I, the Electrical nspector, hereby ~ertify that the abe pe~~;tiof~ hSs bee,(, mad . O (Rough-in) (i%~~tg'6U `D-8 (Finai) This request void 18 months from 4_4+~ RESIDENTIAL ` BUILDING PERMIT APPLICATION CITY OF EAGAN O(p 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 . New ConsCUCtlon Beauiramenta HemotlaVHaoeU HeaulremaMs • 3 repislered stte surveys showing sq. R of lot, sq. fl. of house; and iII rooted ereas • 2 copies ol plan ~ D (20% maximum bl cove2ge albwed) • 1 set of Eneigy Calculatbns br heated adAilbns . • 2 copies af Dlan ahowing beam & window sizes; poured tound design, etc.) • 1 stte survey lor e#erbr adtlitbns 8 decla I • 7 set of Energy Cabulatbns • InCicate H home served 0y septk system lor addttions ' • 3 cupies of Tree Preservati0n Plan tl bt platted efler 7/1l93 . . Rlm.bis1 Defail Opfbns selecWn sheet (bldgs wM 3 or less units) DATE VALUATION C)o SITE ADDRESS MULTI-FAMILY BLDG _Y )~,N TYPE OF WORK & FIREPLACE(S) _ 0_ 1_ 2 APPLICANT ~ -71W' STREETADDRESS 4~"rI N~CD ~~7]~uV~- (SAAIII GN . Wk STATE_LP55-:~3_7 TELEPHONE #"M'-70-7-~ELL PHONE # FAX # PROPERTY OWNERZCC" T`a r1 WL TELEPHONE #k5I' 0~'06'`1917 COMPLETE THIS SECTION FOR -NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RUL ~n (4 submission type) • Residentiei Ven8latlon Category 1 Worksheet Submitted • New ~'4o ~Vl~ke~1Su e • Energy Envelope Calculations Submitted S u u I I .iu~ o s 2002 Plumbing Conhactor: Phone # Plumbing system includes: _ Water Softener _ Lawn Sprinkler BY _ Water Heater _ No. of R.I. Baths _ No. of Baths Mechanical Confractor: Phone # Mechanical system includes: _ Air Conditioning Fee: $70.00 _ Heat Recovery System SeweHWafer Conhactor. Phone M I hereby acknowledge that I have read this applfcation, sTate that the Information is correct, and agree to comply wtfh all applicable State of Minnesota Statutes and City of Eagan dinances... Signature of Applicant _..._._......-___...._...._-°-°_._.__....._.r. OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY , , . , ? 01 Foundation ? 07 05-plex ? 13 16-plex 13 20 Pool 13 30 Accessory Bidg ? 02 SF Dwelling ? OB 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Aft - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage 0 22 Poroh/Addn. (4sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) O 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Stortn Damage ? 06 04-plex ? 12 12-plex Plbg_Yor_N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDOOrs ? 34 Replacement *Demolitlon (Erytire 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) FinaUC.O. _ Footings(deck) FinaUNo C.O. _ Footings (addition) _ Plumbing _ Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final . _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Suroharge Plan Review MC/ES SAC Ciry SAC Water Supply & Storage S&W Permit 8 Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total RESIDENTIAL ~ 0-- BUILDING PERMIT APPLICATION ~ cinr oF eacaN 3830 PILOT KNOB RD, EACaAN MN 55122 651•681-4675 New Conetructlon ReouirameMa RemodeVReoair Beaulremems • 3 registered sle surveys showlnp sq. ffi of bt, sq. tt. of house; arM @.~ roofetl areas • 2 copies of plan (20%mamumbtcove2geelbwed) • lsetofEnergyCalculationsforheatedadtlHbns • 2 coples oi plen showtrp beam & wlntlow sizes; poured found d9&yn, atc.) • 7 site survey far e)derbr ad0ilbns & dedks • 1 set o1 Energy Cakulebons • Indicate If home senred by septic system for add'Aions • 3 coPies of Tree PreservaNOn Plan R bt Pletled atter 7/1/93 I • RUn,bist Detall Optbns selection sheet (bldgs with 3 or less unds) III ~ II DATE -7' VALUATION SITE ADDRESS ~sn I Poti PA Y MULTI-FAMILY BLDG _ Y N , TYPE OF WORK *M(l InPF 3ZE oe~ ~LSC}S ~ FIREPLACE(S) _ 0_ 1_ 2 I! APPLICANT AEC-, I~I STREETADDRESS I2247 Nlco&d- YLIUE .'S CRY s,k STATE~,,`~ZI,P~ 3 II TELEPHONE ri q5Z'747°~9.54 CELL PHONE # FAX #%Z',,yX1(}'~ (2) , r' PROPERTYOWNER~TA~ KAc7g K TELEPHONE# bIS/- 945-' 77 ~I COMPLETE THIS SECTION FOR °NEW° RESIDENTIAL BUILDINGS ONLY Energy Code Category MINNESOTA RULES 7670 CATEGORY 1 MINNES ~ 2nI({~~ II~I (d submisaion type) • Residential Ventilation Category 1 Worksheet Submitted • New E d9W1~eubr~i • Energy Envelope Calculations Submitted ,IUI 0 3 200Z ~ V PlumbMg Contractor: Phone # 8 Plumbing system includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00 Water Heater No. of R.I. Baths - - No. of Baths - II Mechanical Contractor: Phone # Mechanical system includes: _ Air Conditioning Fee: $70.00 _ Heat Recovery 5ystem Sewer/Water Conhactor. Phone # ° II I hereby acknowledge that I have read this application, state thaT the informatlon is correct and agree to comply ' with all applicable State of Minnesota StatuTes and Ciiy of Eagan Ordinances. Signafure of Applicant ~&AS,~~~rV l~Y \ 97 - - OFFICE USE ONLY !I Certificates of Survey Received Tree Preservation Plan Received Not Required I ;I~ - - Updated 4102 OFFICE USE ONLY 4: , _ ? 01 Foundation ? 07 05-plex O 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SFDwelling ? 08 OGplex ? 16 Firepiace ? 21 Porch(3-sea.) ? 31 Ext..Alt-Mulii ? 03 Ot of _ plex ? 09 07-plex ? 17 Carage ? 22 Porch/Addn. (4sea.) ? 33 Ext. Aft - SF ? 04 02-plex ? 10 08-plex ? 18 Oeck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex O 12 12-plex Plbg_Y or _ N d 25 Miscellaneous ? 31 New ? 35 Int ImprovemeM 0 38 Demolish (Interior) O 44 Siding ? 32 Atldition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair O 33 AReration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDoors O 34 Replacement *Demalitian (Entire Bldg only) - Glve PCA handout to applicark Valuation Occupancy MCIES 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 bldp.) FinaUC.O. _ Footings (deck) FinaVNo C.O. _ Footings (addition) _ Plumbing _ Foundation HVAC _ Drain Tile Other RooF Ice & Water _ Finai _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ RI. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing permit Mechanical Permit License Search Copies Other Total ~i-o~~r~e ~ngzneerirzq Compctny S~/ Trusi-e2~er's ?"raf~ BurnsYilZe, 772~~cat ph osts 890-47~0~4Cer~z}'z ca~e o~ Stc.r-z-e _y Levat .Descr~z~p~ion: Lot 35, Block 1, DUCKWOOD ESTA7E5, Dakota County, Minnesota. DRO-%.aA(aE. ~ oS1~%K . ~ . En.SEhIE~tP \ l ~P~,•'t~ - ~ \ o ~ r~ 6 r ot' . ~ . ~ ~ sL 4 L~ OT 35 9 . tW> 1 z'~ \ ~ 71 D r ~ql•9ti N y 83° Z~ 55 o ~O ) ~ DRAo A(_ f. 4 ~6, ~~p Unur Eo.SFJ~E+1T ~ ' BSr1T. F~~. Et-cV. = 898.5 1.1 o fZT'~{ ~AW~.IWS Stbw/til ARE I hereby certify that this is a true and correct representation of a tract of land as shown and described hereon. As prepared by me on tnis a_ day of March ~ 19 79. c.--Minn. Reg. No. 5158 ~ v. PERMIT 3`830 piloOF EAGAN B~ ~ PERMIT TYPE: Eagan, M i nnesotd 55122-1897 Permit Number: 0 2 5 5 6 3 (612) 681-4675 Date Issued: 05/ 2 4/ 9 5 SITE ADDRESS: 3588 WIDGEON WAY LOT: 35 BLOCK: 1 DUGKWOOD ESTATES P.I.N.: 10-21900-350-01 DESCRIPTION: (INCL DECK) Building Permit Typs SF PORCH Building Wo'rk Type NEW f' ~ . _ . . . ~ - t REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY EIECTRICAL WORK FEE SUMMARY: VALUATION $8,000 Base Fee $99.00 Surcharge $4.00 Lic. Search Fee $5.00 Total Fee $108.00 CONTRACTOR: - ppplicent - sT. Lzc. OWNER: G W CtlNST 15664065 0005802 HOGLUND MARICA 7949 LEE AVE N 3568 WIDGEON WAY BROOKLYN PARK MN 55443 EAGAN MN (612) 566-4065 (612)454-3648 i I hereby acknpwledge that I have read this application and state that the , Tnformation is correct and` agree tq co!mply wa:th ail appl,icable SCate af Mn. ~ Statutes and City ofi Eagan Ordinances. _ I ERMITE SIG RE 4 - ISSUED BY: IGNAFUREI ~ NT/P INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: B U I L D I N G 3830 Pilot KnOb Road Permit Number: 0 2 5 5 6 3 Eagan, Minnesota 55122-1897 Date Issued: 0 5/ 2 4/ 9 5 (612) 681-4675 SITEADDRESS:P•z.N.: 10-219e0-35e-e1 APPLICANT: LOT: 35 BLOCK: 1 3588 WIDGEON WAY G W CONST DUCKWOOD ESTATES (612) 566-4065 PERMIT SUBTYPE: TYPE OF WORK: SF PORCH NEW DESCRIPTION (INCL DECK) INSPECTION D. . FOOTINGS FRflMING FINAL REMARKS: A SEPARATE pERMIT IS REQUIRED FOR ANY ELEC7RICAL WORK F . _ ~ L CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 ~w Construction Reauirements RemodeVReoair ReauiremeMs 3 registared sile surveys ? 2 wpiea of plen 2 copies of plana (indude beam & window sizea; poured fid. deslgn; etc.) ? 2 site surveys (eMerior additions 8 deeks) 1 energy calalaHOns ? 1 energy plculations far heated addkions +i 3 copies of tree preservatian plan M lot platted afler 717193 required: _ Yes _ No DATE: CONSTRUCTION COST: DESCRIPTION OF WORK: STREET ADDRESS: e.^ LOT =44 fz) BLOCK SUBD./P.I.D. r.~~L~~f ~ PROaERTY Name:,llnR.Z ti nJ 114aTi ca Phone s's f 16 r'~' OWNER Street Address• ?5-AP W4 fn IA-eT v , City State:Zip: CoNTRACTOR Company: ti i -7' Phone 5l~' y~~3J Street Address: 75~-2 (rc License ~ City:t~l•zz~~l-n State: /Ll%nn Zip: ARCHITECT! Company: Phone ENGINEER Name: Registration ~ Street Address- City: State: Zip: 5ewer 8 water licensed plumber. . Penalty applies when address change and lot change are requested ance permit is issued. I fiereby acknowledge that I have read this application and state that the information is corted and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordfnances. Signature of Applicant: ' 2 OFFICE USE ONLY RECEtVED Certificates of Survey Received _ Yes _ No MAY 0 2 1995 Tree Preservation Plan Received _ Yes _ No . Y OFFICE USE ONLY i.. ?}J « ~ BUILDING PERMIT TYPE 0 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. 0 17 Swim Pool 60~ 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ~-04 SF Porch ? 09 12-plex o 14 Fireplace ? 21 Miscellaneous 0 05 SF Misc. ? 10 = plex ? 15 Deck WORK TYPE ~31 New ? 33 Aiterations o 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. ~/3 y Depth Footprint sq. ft. SAC Code Census Bldg Census Unit 0_ APPROVALS Pianning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MCNVS SAC City SAC -7 ao Water Conn. K Water Meter Acct. Deposit S!W Permit S/W Surcharge 7 Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units ~ PERMIT ~ CITY OF EAGAN 3830 Pilot Knob Road PERMITTYPE: BuZLn=NG Eagan, Minnesota 55122-1897 Permit Number: 025271 (612) 681-4675 Date Issued: 0 3/ 2 4/ 9 5 SITE ADDRESS: 3588 WIDGEON WAY LOT: 35 BLOCK: 1 DUCKWOOD ESTATES P.2.N.: 10-21900-350-01 DESCRIPTION: , (ROOFING/SIDIN6) Building P.mermit Type 5F (MISC.) BuYlding Wor-k Type REPAIR ti ~ ~ s F _ ! l J ~ ~ ~ REMARKS: FEE SUMMARY: VALUATION $13,800 Base Fee $144.00 Surcharge $6.50 Total Fee $150.50 CONTRACTOR: - Applicant - s-r. LIC. OWNER: G W CONST 15664065 0005802 HOGIUND MARCIA 7949 LEE AVE N 3588 WIDGEON WAY BROOKLYN PARK MN 55443 EAGHN MN (612) 566-4065 (612)454-3463 ~i I heMeby acknowledge that I have read this application and state that the inPormation is correct and agree to comply with all appl3cable S'tate of Mn. L, 5tatutes and City of Eagan Ordinances. J ~1A1 rn..~1 APPLICANT;PERMITEESIGNATURE ISSUED : IGNTRE INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: B U I L D I N G 3830 Pilot Knob Road Permit Number: Ea an, Minnesota 55122-1897 025271 9 Date Issued: 0 3/ 2 4/ 9 5 (612) 681-4675 SITE ADDRESS: APPLICANT: LOT: 35 BLOCK: 1 3568 WIDGEON WAY G W CONST DUCKWOOD ESTATES (612) 566-4065 PERMIT SUBTYPE: TYPE OF WORK: SF (MISC.) REPATR DESCRIPTION (ROOFING/SIDING) INSPECTION D, . DA FRAMING ROUGH IN PL6G ROUGH IN HTG FINAL F, L CITY OF EAGAN 3830 PILOT KNOB RD - 55722 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) „ 681-4675 Naw Censhuction ReeuiiemeMS . RemodeUReoair Reauiremenis ? 3 registered eke surveys ? 2 copies oT plan ? 2 copies ot plens (indude beam d window sizes; poured fitl. tleaign; eta) ? 2 sRe surveys (exterior atlditiona 8 dedce) ? t energy eakuledons ? 1 energy cekuletions for heated additiona ? 3 copiea oi tree preaervatlon plan ff lot pistled efter 7/1/93 + requhed: _ Yes _ No - ? DATE: CONSTRUCTION COST: Za4,1a 0 DESCRIPTION OF WORK: 62Ar x2r Ro or/' iz 2:~Zz, ,.,/o/ i;n y STREET ADDRESS: ' -~s~~ L? / LOT BLOCK SUBD./P.I.D. PROPERTY Name: 4164L114 /1lkrr,'a Phone yS`4 OWNER we Street Address- City: ~~«H State: /y1.'~n Zip: CONTRACTOR Company: Con s4 Phone ° Street Address: 74,,~Xe, Avc License yo-2 3 ~ ~S City: State: ~'n Zip• ARCHITECT/ Company: Phone #ENGINEER ~ Name: Registration Street Address• ~ City: 5tate: Zip: Sewer 8 water licensed plumber. . Penalqr applies when address change and lot ctiange are requested once pertnk is issued. fi:reby acknowledge that 1 have read this appliqtion and state that the iMormatlon is correct and agree to eomply with all akppiicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Appiipnt: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received Yes No ; OFFICE USE ONLY ~ ' te BUILDING PERMIT TYPE ? 01 Foundation o 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish 0 02 SF Dwelling ? 07 4-plex o 12 Multi Repair/Rem. ? 17 Swim Pool 0 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility 0 04 SF Porch ? 09 12-plex ? 14 Fireplace o 21 Miscellaneous o OS SF Misc. 0 10 _-plex o 15 Deck WORK TYPE 0 31 New o 33 Afterations ? 36 Move 0 32 Addition o 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code Census Bldg Census Unit APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge -~S O Plan Review License ' MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposft S/W Permit SNV Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: ) ~ , S b % SAC SAC Units " L r1 BL CITY USE ONLY RECEIPT#: d C~ C 2 a+O . I SUBD. ~ RECEIPT DATE: z~ 1998 PLiIMBING PERMIT (RESIDENTIAL) 5 CITY OF EAGAN ' 3830 PILOT IINOB RD EAGAN, A4t 55122 (612) 681-4675 Please complete Tor: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Shower 3.00 x = Water Cioset 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 = a er Heater 3.00 x Floor n 3.00 x = Gas Piping Outlet ' minimum - 1 3.00 x = Rough Openings 1.50 x = . Water Softener ' for dwellings under construction 5.00 x = Water Softener ' for existing dwelling 20.00 ' x _ U.G.Sprinklef 'fordvrellingunderconst. 3.00 = U.G. Sprinkler " for existing dwelling 20.00 = AftBfatlOns " to existing residenca 20.00 = Water Tum Around 20.00 = Private Disposal Sy5tem ' MPC iic. 75.00 = , (new and refurbished systems) _ Private Disposal Systems' Abandonment 20.00 - RPZ (new installatlon only) 20.00 = STATE SJRCHARGE .50 TOTAL Z~e2~ ---•---------------•-------Eaga----•---- - ances. '-I hereby acknowledge that I have re zdthisapplication,,state that the informafion is cortect, and agree-to-compy-wRh all applicable City of n-ordin - -'It is the applipnt's respon9" "@gan assumes no liability for any damages caused by the City during its nortnal operetional and maii KARTAK, JOAWRAYMON -this permR within Gty propertylright-of-way/easement. 3588 WIDGEONS WAY SITE ADDRESS: _ EAGAN, MN 55123 (651) 905-4977 OWNER NAME: INSTALLER NAME: IA~ ~~r-1 gI NG TELEPHONE#: 87-2' 7~33 STREETADDRESS: Z105 60}0_FI~L-p~ ?E So CITY: l o1kE OLI S STATE: ZIP: SI A OF PERMITTEE CDlPERMIT.FORMSlRPLBG PERMIT (RES) - 1998 r f2eCEIVED PIEC 1 iQE1 . . ~ rnvrcrinWrr: nnn urr^rinr^rmu:; - RNO:P ALL MEU BY Tf1ESE PHPS6NT5, that the undersigned, Edward E. Parranto and Valentine Parranto, hushan3 and wife, of the . County of Ramsey, State of Pfinnesota, Robert H. Raratz and Naomi Y,aratz, husband and wife, of the County of Maricopa, State of Arizona, and Henneth nppelhaum and Sally Anpelbaum, husband and wife, of the County of liennepin, State of Ptinnesota, being all of the fee owners . of the following described lands situated in the County of Dakota - and State of Minnesota, to-wit: . . - - . . , . . , jLots.,1-, 3, 4, 5, 7, R, 10, 11, 12, 13, 15, 16, ~17;-Y8, 19, 20, 21, 24, 25, 29, 30, 31, 32,;35•,l 39~ 40.,. dl, 43r 93. 49. 45. 48. 49, SD. 52, all' in;Block 1; an3 Lots 1, 2,. 3, 5, 6, 7, 8,9, 10, 11; 12, 13,- 19, Dlock 2; all in,DUCkwood Estates, according to the recorded plat thereof,- sometimes hereinafter referred to as "the land", do hereby set out the following covenants and restrictions, which - shall run with the land and bind the parties hereto, their respective heirs, reoresentatives and assigns, and all subsequent purchasezs of the land or any part thereof, and their heirs,representatives, suc- ce5sors and assigns, to-wit: 1. These covenants and restrictions are to run with the - laad and shall be binding upon all parties and all persons claiming - - through or under the undersigned for a period of thirty (30) years from the date hereof, after which time 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 recorded, agreeing to change such - covenants and zestrictions, in whole or in part. - - 2, No lot shall he used except forresidential purposes. - . 1to huilding shall be erected, altered, placed or permitted to remain on any lot other than one detached sinqle-far.iily dNelling not to ex- - ceed three stories in hei9ht and a private garage for not more than three (3) cars. 3. The size of any dwelling, exclusive of one-story open 'porches and garages, 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 structure, not less than 1,200 - squarc feet in area on the floor directly under the roof; or (c) in - - - the case of story and-a-half structure, not less than 900 square feet on the ground floor, and a total on the main floor and second £loor of not less than 1,300 sguare feet; or (d) in the case of a two stozy -structure, not less than 750 square £eeton the ground floor and a total on the ground floor and second floor of not less than 1,400 square feet; or (e) in the case of a solit-entry structure, not less than 1,209 square feet in area on the uoper level, but a 258 credit will be . given for finished area of lower level which is 50" exposed over fin- ishe3 grade. P:o structure shall have a side exposure more than three stories in height from groun3 to eave line, considering as a story, an '-exposed walk-out basemeni. 4. 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 lenqth of the dwellinq structure, exclusive of eaves or open porches, shall not be less than forty (af)) feet. All garages shall harmonize with the house as to de- , . sign, materials an3 finished floor elevations. - 5. F.asements.for installation and maintenance of utilities and drainaoe facilities are reserved as shown on the recorded plat. l•7ithin these easenents, no structure, planting or other material shall , he placed or he permitted to renain which may damage or interfere with -the installation and naintenance of utilities, or which nay chanae the direction of the flow of the drainaoe channels in the easements, or ; which may obscruct or retard Uic flow of watcr thxouqh drainayc chan- n,- l : in ihr .•a7.rmrmrn. Thn rnr:omrnt nrrn oi rnch 1~F .in.l nll imProvr- ments in it shall be maintained continously by the owner of the lot, except for those improvements for which a public authority or utility - company,is responsible. Lots which horder on wet lands (LOts 24, 25, . 20, 30, 91, 42, 43, AS and 50, all in IIlock 1) will not be cut or -filied within the easement area bordering the wet land, as shown on th, -.recorded plat. . 6. No noxious 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 nvisance to the neiqkborhood. . 7. No structure of a temporary character, trailer, base- ment, tent, shack, garage, barn or other outbuildinq shall be used on any lot at any timc as a residence either tempozarily or permanentl} B. 37o sign of any kind shall be displayed to the public view on any lot except one professional sign of not nore than four square feet, one sign of not more than eighty square feet adveztising the property for sale or rent, or signs used by a builder to advertise the property during the construction and sales period. ;i;_._.--•-_~.. -----9. 'No"-animals, livestock., or noultry of any kind shall be raised, bred or kept on any lot, exceot that dogs, cats and other household pets may he kept, provided that they are not kept, bred or . . main[ained for any commercial purposes. 10. No lot shall be used or maintained as a dumning qroun3 , . for rubhish, 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. •.n.~';s:^~~ . . 11. The exterior of all structures shall be finished in wood, stucco, brick, stone or other approved exterior hard materials. - 12, i:o filling or s:crzge of refese, discarded matezials, . 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 . - preJnises, except within the house or garage. No parking or storage o£ conmercial vehicles shall be permitted upon the land, except for the maY.ing o£ usual and customary deliveries to and from the premises, and escept that each owner may park one (1) commercial vehicle owned by him and not exceedinq one (1) ton upon his lot at any time. Pri- . vate vehicles upon the land shall be kept within a gara9e accomodating , normal passenqer-size vehicles. 13. No fence in excess of a height of six (6)feet shall 6e . . permitte3 upon the land or any part thereoE, and all £ences constructec . thereon must be of new material in metal mesh, wood or metal picY.et or - , ranch type wood construction. All such fences shall at all times be properly painted, stained or lacquezed, and shall be maintained in a neat anpearing condition. 14, F,nforcenent shall he 6y proceedinqs at law or in equit~ against any oerson or persons_ violating orattemoting to violate any covenant or restriction contained herein, which proceeding may be eithe . to restrain violation hereof or to recover damages for such violation. - 15. Iavalidation of any one of these covenants and re- - " - . . strictions by judgment or court ordet shall not affect any of the othei -provisions hereof, which other provisions shall remain in Full force and efEect. IN TESTIt40*IY IInIEREDF, the undersigned have hereunto set their hands this day of1979. ' -2' ~ i RESIDENTIAL BUILDING Permit Application City Of Eagau \ 3830 Pilot Knob Road, Eagan Mn 55122 ~"l C~ V Telephone # 651-675-5675 FAX # 651-675-5674 New Construction Reauirements RemodeVReoair Reouirements Office Use Onlv 3 registered site surveys showiig sq. ft of lot, sq. ft of house; andll roofed areas 2 copies of plan CeR of Survey Recd (20 % maximum lotcoverage allovred) 1 set o( Energy Calculations for heated additions Tree Pres Plan Recd 2 copies of plan showing 6eam & window sizes; poured found design, elc. 1 site survey for additlons & decks Tree Pres Not Reqd 1 set of Energy CalculaUons AtldPo'on -lrMicate itonsite septic system _ Onsite SepUc System 3 capies of Tree Preservation Plan if bt planed after 711193 Rim Joist Detail Options seledion sheet (61dgs with 3 or less untts Date -Y/ (21_ Construction Cost SiteAddress P ~,S`~~o_ o n . ~z U UniUSte # v ? Description;of Work gYtg11141 e1 ~lIS dt V'C~f t ~/PI/l t //'I S2V'~ ~ YGki Cr 0/~S'//!~/ p Multi-Family Bldg _ Y,~S N Fireplace(s) _ 0 1 2 Property Owuer cJ C3 CL Yl 7`Q)r ~ G! K Telephone ) Contractor Fl,r/0 S 1,442 tl t-C( ~-W P, Address 3p 6 J~ 0 l(, ~ CitY /Z~, x/ LlC' Stare Zip ~~337 Telep6one # (q5;) g 1~,- 0 7f;_6 COMPLETE THIS AREA ONLY IF CONSTRUCTING~ NEW BUILDING V„ ° ~ innesota Rules 7672 Energy Code Category Minnesota Rules 7670 Cate o-1~~Z ~ ~~J~x-_ • • Residential Ventilation Catego Worksh et N 1 New Energy Code Worksheet (4 submissiontype) Submitted Submitted • Energy Envelope Calculations Sutimitted - Licensed Plumber ~ Telephone # ( ) Mechanical Contractor ~r,rAS doL7 W(Jli1~tQ Teiephone O Sewer/Water Contractor Telephone # ( ) I hereby apply for a Residential Building Pernut 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 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. 4~ a v 1,(:~.- ~ . o ( , Applicant's Printed Name ApplicanYs Signature ~ OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-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 ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 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 (Bidg)* ? 43 Reroof ? 46 WindowslDoors ? 34 Raplacement •Demolition (Entire Bldg) - Give PCA handout to appliwnt Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump N6r. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. Footings (deck) FinaUNo C.O. _ Footings (addition) _ Plumbing _ Foundation HVAC _ Drain Tile Other RooF _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (newlreplacement) _ Insularion _ Retaining Wall Approved By , Building Inspector - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total 2004 RESIDENTIAL BUILDING PERNIIT APPLICATION ~ t City Of Eagan \ 3830 Pilot Knob Road, Eagan MN 55122 bU Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWcNon Reouirements RemodeVReoairReauiremen4s Ofice Use Onlv registered sde surveys showirg sq. ft of ht sq. ft of house; and all roofed areas 2 copies o( pWn CeA of Survey Recd _Y _ N (20%mazimumlotcove2geallowed) lsetofEnergyCalcuWtionsforhmtedaddiiions TrcePresPWnRecd _Y _N, 2 copies of plan showing heam & window sizes; poured found design, etc. 1 sile survey for addNOns & decks Tree Pres Required _ Y_ N 1 set of Eneqy Calculafions AddBion - indicate Hoo-site sepfk sysfem On-site Septic 5ystem _Y _ N 3 apies of Tree Preservation Plan'rf lot platted after 7/1193 Rim Joist Detail Options selection shcet (bldgs wAh 3 or less units Date q / -7 / .c~ Construction C SiteAddress C P - 777di DescripNon of Work By Multi-Family Bldg _ Y-V N Fireplace(s) _ 0 _ Property Owner Telephone # ( ) ~"-r O ~ -'19 -7 `7 Contractor O rn Address '7 City nSe State Zip -ri a 3 Telephone #(=S/ )fl5?il- G 93 a COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672 Energy Code CategOry , Resldential Vendlation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Su6mitted Su6mitted . Energy Envelope Calculations Submilled Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone J Mechanical Contractor E Telephone ) V [ u' Sewer/Water Contractor Telephone # I hereby apply for a Residential Building Pemut and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of ttte City of Eagan and the State of MN Statutes; I understand this is not a pernut, but only an app]ication 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. o v\ KoX r'~-Q K Applicant's Printed Name A-fplicant's Signature OFFICE USE ONLY Sub Types ~ , . ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 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 ? 04 02-plex ? 10 08-piex ;1!~ 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. O 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Yor_N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors ? 34 ReplaCement •Demalition (Entire Bldg) - Give PCA handout to applicant Valuation C9 t9L? Occupancy MCES System Census Code ~ Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) FinallC.O. ~C Footings (deck) ~ Final/No C.O. ! Footings (addition) _ Plumbing _ Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Au/Gas Tests Final _ Framing _ Siding _ Stucco _ Stone _ Brick _ Fireplace _ RL _ Air Tes[ _ Final _ Windows _ Insulation _ Retaining Wall Approved By: ~-Z, , Buiiding Inspector - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Base Fee Surcharge fi t~~L Plan Review MC/ES SAC City SAC ~ Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total , . ~ -oi~ae ~~a~z~aeer-an.q Ccsrrr~vc.aenec~ :O/ ~"r~z-eZc~-'s ?'ra;~~ rBscr~rsai-iZZe, ~as~ osas Cer-~z}'Z cc~~e o~ •.Su~-u'~ y? Ze,vat .Descri,o~ion: Lot 35, Block 1, DUCKWOOD ESTATES, Dakota County, Minnesota. . , ~ \ ~ ~a~ En EME.1T ,`.•K ,7o y8' ~ .r _ ~y • \ I. ~ ~ " ~ ~ dP ~ o` ~A _ v ~ ~ r ~ - j5~.91 J` S Y~3° Ztp' S5 ~p I o ~ pR41 ac>6 4 i"; ~p 1~T~Ir ~fj~1~FJJT I; 1-' BSr77. Fc.~. E[..c V. = g98,5 ~ U f~T}~ ~.W..1hS 5k4s../til ARE I hereby certify that this is a true and correct representation of a tract of land as shown and descriDed hereon. As prepared by me on this 8_ day of f°larch , 19 79 • ~Lei<~<~•c'.-c--Minn. Reg. No. 5158 v; City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 3588 Widgeon Way Lot: 35 Block: 1 Addition: Duckwood Estates PID:10- 21900 - 350 -01 Use: Description: Sub Type: Work Type: Description: Meter Size Meter Type Comments: Fee Summary: Contractor: Tony's Appliance 2090 County Road 42 West Burnsville MN 55337 (952) 435 -2442 e - Water Heater New Water Heater Mike Skaja 2090 County Road 42 W. Bumsville, MN 55337 PL - Permit Fee (WS & /or WH) Surcharge -Fixed Total: Manufacturer I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Permit Type: Permit Number: Date Issued: Permit Category: Serial Number Remote Number Owner: Joan K Kartak 3588 Widgeon Way Eagan MN 55123 $50.00 0801.4087 $0.50 9001.2195 $50.50 Issued By: Signature Plumbing EA091343 09/28/2009 ePermit Line Size õðõ ÿ ÿþý þýý üûúüû ùýýïì íí ûöÿ ãä þýõ üûúùø íû ÷ úùø ô ö øíû Þû þ þ ø ò îû ò û â ýü ÿ ø ý ý äããå Ý â ãã÷ ü âÿ òí áó ø ò àçëåëåå ôù üû çëäëãä èûãýãäë óììò õñ÷ øø ñ ùðòê üù ò Ýææ ãã÷ üåå÷þ ÷ù ñ þ âôÿþâôã áàå ùö þ ì øø ê ò þ òøùö øø ü êâ üû ðùêÿþ ë øøõ ò üþû û ùüþû