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3607 Widgeon Way CITY QF EA6AN WATE[t SERVICE PERMIT 2/95 Pilot Keob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Owne r: _ Address: Site Address: - PI umber: Meter No.: Connection Charge: Size: Account Deposit: Reader No.: Permit Fee: 1 agrea to eompir with the City of Eagon Surchorge: Ordinonees. Misc. Chorges: Total: By Date Paid: Date of Insp.: Insp.: CITY OF EAGAN SEVNER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Eagan, MN 55142 DATE: Zoning: _ No. of Units: Owr?er: ' Address: 5ite Address: Plumber: 1 agree to eomplp with the Cltq of Eagan Connection Charge: , p~~~nces, Actount Deposit: Permit Fee: ~ Surcharge: gy Misc. Chorges: Date of Insp.: Total: Insp.: Dote Paid: CtTY OF EAGAN 3795 Pilot Knob Road Eogan, MN ssiu N°_ 5633 PHONE: 454-8100 BUILDING PERMIT Receipt # To be ated for fst. Value Dcte 19 Site Address Erect Q Occuponcy Lot Block Sec/Sub. Alter ? Zoning parcel # Repalr ? Fire Zone 0, Enlarge ? Type of Const. ~ Name Move Q # 5tories 3 Address Demolish ? Front ft. ~ Ci Phone Grode ? Depth ft. °C Name Approvols Fees ,o u~ Address Assessment Permit ~ Ci Phone Water & Sew. Surchorge Police Plnn check H~ FZ Name Fire SAC 3~ Address Eng. Water Conn. QW Planner Woter Meter Council 1 hereby acknowledge that I have read this applicotion and state thct gldg. Off. the informotion is correct and agree to comply with cll opplicable APC Total State of Minnesoto Statutes nnd City of Eogun Ordinances. Signature of PermitTee A Building Permit is issued to: on the express condition thot all work sholt be done in accordance with all applicable Stote of Minnesota Statutes and City of Eagon Ordinances. Building Official , Permif ~t Oeh 1 P~Mh~ Plumbing C) L. Mechonicol OS.~ to '5411 FO tNSPECTIONS DATE INSP. Rouyh-In Finot Footings ~ Dote Insp. Date Inap. Foundotion Plumbing 7`~a Frnme/ins. -7 d ~j/ -~5h Qd Mechonicol Q ~ Final Remorks: ~ ~ ~ , h ~ ~ ~ . - , CITY OF EAGAN 3795 Pilot Knob Roed Eagan, MinnesoM 55122 Phone: 454-8100 FiFATTNr, PERMiT No. 175Q Dote: 413180 Receipt No.: 18402 5ingle Y I Site Address: 3607 ~i clge0i1 WQy Residentiol Lot 2 Block I Sub/Sec. _ S"t.FrSS1CI8 WOOdB Multi Res., Comm./Ind. I Name 'VeCarthv Comstr, n@w New/Aiter./Repair ~ Address 1't+'n BiZ'Ul.°4iC'9? Cost of tnstallotion City EaE~,&W 55122 Phone: 452'5373 Permit Fee k`ill C3ty AeBting Nome Surcharge . ~ 130,05, 3 26th Ave, rJo, ~ Address I544l. 544'-2FJ90 , f "1 City Phone: Total This Permit is issued on the express condition that all work shall be done in accordance with oll opplicable State of Minnesoto Stotutes ond City of Eogon Ordinances. Building Official • cinr oF EAw?N 3795 Pilof Knob Rood Eo9ee, Mtwnesoee sstu INSPECTOR NOTlFICATION PhO"': 454-8100 REQUIRED BY LAW - PERMIT FOR ALL tNSPECTIONS Date: Receipt No.: Single I Site /Wdress: " Residential r " I Lot Block 5ub/Sec. ' Mu(ti Res., Comm./Ind. Name New / Alter. / Repalr ; Address 1 4 71 Cost of Installation O Ciry Phone: Permit Fee ..1 7. r ~ Name Surchorge ~ Address ' 0 City Phone: Total This Permit is iuued on the express condition thot oll work shall be done in accordance with all appiitable State of Minnesoto Stututes ond City of Eagan Ordinances. 8uilding Official r°"~~~r'^~?,rr'~'`~t~s'~~+'~'~?'-~~r~',~rr^',~rr^'~r~~,.~;~`^J~ ~aNIIII_.s: ~ AdIIIIIIIII.~ ~ 1 ~ - ~ .y.. t _ ^_:.'Y ^ _ . ~ ~ r_.'i =`'~s:Le_~L-1.-•` c~.-~~-~ ~ ~t; - - - - - 1. %:~Irrttftrtttr uf Q'Iuvttnry of eagan OPpttrtmpnt nf guilding ltwpprtimt ~ Thrr Csrtrfitutt itsxtd pustuaru to the requi:tmtnta of Scction 306 of the Uniform Buildirrg ~a Codc cntifying that at the timu of itsxana tbil shruturt~was in com pGance with the varieus 3 ordinancu of the Citr rcgulating building connruction os ux. Fw the follouritrg: SF DWG/GAR . 5633 a.. cr~s~tiao eua~. ~mne No ooaPsn-7 Tra R3 ~yA cawI V F,. z4,% 3 zoni~q o„e~n Rl ~IcCartY~y Constr. 1471 Bridgeview,Ea.gan, Mn r~ Owm of Addrea 3607 Widgeon Way St. Francis Woods,L2,B1 a„uwomiw wu: 10-14-80 { . ~ .o.. I. . CC.I .,.C. a. ~ ~:iC.'.'.a:ti~.'1~~~:.~:: s.;~:'~G.._ _ ,,".a~1•i:~~.a- - -.J.-~ ~ '1~"ti~~~~a~4_~]a`~~.~:~a_-`-=~~~`?.r~ . ~ 4'•' ~ r ~ .~A,.r+~? .E a? ~'~.~i~-.,~w?.j _ , ~~i .__,'~?J ~ oo«. .u ` - - - ~ _ ~ LTMO~~ u S.A. CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 RECEIVED FROM AMOUNT $ ~ Ae DOI.LARS ~oo ? CASH CHECK FUND COOE pMOUNT Thank You ~ BY Z White-Payere Copy Yellow-Posting Copy Pink-File Capy cirr oF EAGAN "o ~ ~ 3795 ?ileR Knob Rosd Eayen, MN 651~ PHONEt 454-e100 BUILDING PERMIT Receipt # Te be wed for Est. Volue Date 19 Sib /lddress Eroct p Occupancy lot Block Sec/Sub. - Alter Q Zoninp pamel # Repair ? Ffre Zone Enlorye p Type of Const. aWC Name Move ? # Stories Z /lddress Demolfsh p Length ~ C; p}one Grade ? Depth Sq. Ft. ~ Name Aoorovals Fees 0 Mdress - Assessment Permit ~ Cit pho~ Woter b Sew. Surchorqa ~ Police Plon check ~ Nome ~+Z Firo SAC Address Eny. Water Conn. t W G phone Plonner Woter Meter CounNl Rood Unit I hereby acknowledge thot 1 have reod this applicotion ond stote that gldy. Off. fhe informofion is correct ond ogree to tomply with oll opplitable ApC Totoi Stote of Minnesota Stotutes and Ciry of Eagen Ordinences. Slpnature of Pertniftee A Building Permlt Is issued to: on tfie express tondition thnt all work shall be done in occordonte wlth oll applicabte State of Minnesota Statutes ar?d City oi Eapen Ordinonces. Buildirq Official $ i 0 0 ` ~ Z 0 ~V 2 ~ . L ~ d \ \ 0 1 : 6 d N C Z ~ E ~ O a y ° d : d s z W fi z 7+ ~ LL LL LL Q IL LL LL 6 INSPECTION RECORD CiTY OF EAGAN ~ PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 ~ . , . . SITE ADDRESS: APPLICANT: iw,i i?N uAV nN ~ i E r,r•i~ tt~~~~~t ~ ~ i PERMIT SUBTYPE: TYPE OF WORK: INSPECTION DA • DA ~ ~ ~ . 4 . . , ~ ~ ~ ; . . . . ~,~J PgrmR No. Permit Holder Date Teiephone M ELECTRIC PLUMBING HVAC Inspection Data Inap. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST 1f3Stlt GYP BOARD FIREPLACE FIREPLACE ' AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL CITYOF EAGAN Remarks Addition ST, FRANCIS WOODS Lot 2 Rlk 1 Parcel 10 65900 020 ni owner- k. street 3b07 Widgeon Way scate Eagan, IvW 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 40 STREET RESTOR. GRADING • SAN SEW TRUNK 413 7 234.90 15 3658.57 A009609 10-28-80 116EWER LATERAL 5 WATERMAIN +NNATER LATERAL MNATER AREA • ii6TORM SEW TRK 16TORM SEW LAT 1980 1S CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. if it SAC n ~ PAR K cinr oF E?cnN • F 3793 wlot Knab awe Easan, MN S5142 N? 5633 . PHONF: 454-8100 ~ BUILDING PERMIT APPLICATION Receipt To be wad fer $F DW ll;nn & iEst. Value 53.000 Dote 19..Qp_ Site Address 3607 Wid4eon WaY Erect gK Occuuarxy R3 Lot 2 Blak 1 Sec/Sub. S't..FTdI1C1S WOOdS Alter ? Zoning Rl parml 10 65900 020 Ol Repofr ? Fire Zone III Enlarge ? Type of Const. V Z Name lyg~~ n Move 0 # Stories Address Demolish ? Front 60 ft. ~ Ci ~g`~' m Phone 452-5373 Grade ? Depth 40 it. Apqovab Feet o~ ~fe~ S~~ p~ssessment 3 1 80 permit 145.00 V~ Cf Phone Wa~r & Sew. Surcharge 26.50 F Police Plancheck 72•50 ~w Name Fire SAC 525.00 43 Address Eng. Water Conn. 305.00 0 <w Cf Phorre Planner WoterMeter 60•00 Council F2d.UILit. IVd I hereby acknowledge that I hove read this oDPlication and stote thot gldg, pff. 3 1 80 the infortnofion is correct ond agree to mpiy with all applicable 1,134-00 State of MinnesoM SMfutes City ,y~~agaq Or~ APC Total Signafure of PermiHee L ' A Building Permit is issued M: / ~ tr an the express wndition that oll xrork shail be done In accordn with\ a/li ~a licable State of Minnewta Statutes and City of Eagan Ordirwnces. Bullding Official i"~ ~U o ` CITY OF F~FIGAN Include 2 sets of plans ,5 ~P,73 1 site plan w/elevati gIIII,pING PERNIIT APPLICATION 1 set of enes9Y calculati°ns. 1b Be USed FoY c~- rValuation 00 DDO Date 0 Site PddYess n7 ~B.ro~~ IiU~ OFFICE USE ONLY Lot ~ aiorx ~ s~./s,~v. S~' Frq~~,i cc~.~~~~t ~.occupancy X3 Parcel ~4 /'gDD iJ~D OI Alter zoning /Pi Repair Fire Zone ~ gnlattge 7ype of Const. Owcier: - Move # Stories ft. Address: ~ c% sP Damolish Fmnt ~o - Grade Depth City/Zip Cocle: 9 Phone ~ 5'~ ~ 5 3 7 J APP%)VP.IS FEES Contractor: P.ssessments Ll. ~ Permi.t T4ater/Sewer Surcharqe Pddress: Police Plan Check ~ City/Zip Coded Fire ' WSAC ater Conn. 3 oS Phone ~ Water _ Meter f_ o Council Road Unit 'N A. - Arch./Ehq. : Bldg. Off. Pr3dress : APC City/Zip Code: 'POTAL Phone This reqst void L~//~ G 2 1 ! rj~~ FrQ~('l:,g WOOd 3~Q q 1 S months irom 54 W 16422 oo Request Date Fire No. Rouqh-in Insperlfon Fepwrrf? ndy Now QWill Nmify Insper. - 0 as ? No 1 P ~o~ When Ready [T-ucQnsed Electrical ContrTCtor I herehy request inspection of ebove ? Owner eleclrical wark installed at Sveet Address. Bax or Foute No. C"V 607 Liij r'D Gz pnO w~ C-A(,.4j9/ ecuon o. Towns11p Name or Nn. Hange No. County Occv nnt (PRINT) Phone No. I,10 J UNlvKV'v Power $upplier Adtlress Electrical Con[ncmr ICOmpany Name) ConVar,mr's License No. E7LC-T- Lo, gfq 97 Mailing AdJress ICm[rac[or or Owner Makinp Insiallationl S 2(j 997-1 l~ G Pi-?-S J~Wr ,A P C- , S' . LaoaTs1v6- 1rrry~N N Au[ riee Signa[ure (Canvl todOwner Making Installationl Phone Nmnher MINNESOTA STATE BOAPD OF ELECTqICITV THIS INSPECTION flEQUEST WILL NOT Grie9s-Mitlway Bltlg. - floom N•191 BE ACCEPTED BV THE STATE 90APD 1821 University Ave.. St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Ph- f6721 297-2111 ENCLOSED. REQUEST FaR ELECTRICAL INSPECTION EB-00001-03 V42 2' See inshuctions for completin9 lurm on back ot yellow cnpV. ~ y X Below Work Covered by This Request ~ 360 y! e AdA Rep. Type ot euilding Auplinnces Wiretl Ey-ipment Wirod Home Range Temporary Service Duplex Water Heater Lightiny Fixtures Apt. Buiiding Dryer Electric Heatin L merciai Bldy. Furnace Siio Unloader Instrial Bldg. Air Condi[ioner Bulk Milk Tank Farm . ther oeci v the, ISuecilyl Ihnu peciFy Other Oth" Compute lnspection Fee Below 4 Fee ServiceEmranceSize N Fea Feeders/SuhtexAers # Fee Circuits 0 to 100 Am s 0 to 30 Am ps 0 to 30 Am s 101 to 200 Amps 31 to 100 Amps 31 to 100 Am s Above 200 Amps Above 100_Amps Above 700_Amps Transiormers ReinoControl Circ. Partial%Other Fee Signs , Speciatel spection Sq~ V'V~ TOTAL FE p~b. flomarks ~J s ~ 7 Fouyh-in 13 Date the Elechical Oecfar, hereby certify thet the xbove Final r nO{1~ ' s cti has been ; ~7 f d..,Zy '"a~ ihis reauest vo'nd 18 months tmm This request void 18 months from ~ r.2~ 26416 Date o this Request , S as •I.lcensed Electrical Contractor ? OwneT, do hereby requesi inspection of the above electri- cal wiring installed at: -7_,~ Street Address or Route No. ~ jU~ 1,QC' F_C~ t6?Z~~l City. 4-~`C,,4"' Section Township Range County 41AKC771- ~J ~ ~ Which is occupied by 16 ~iC~ ~U.?)J 772_r (Name of Occuoant) Is a roughin inspectio,p required on this job? No ? Yesx Ready Now ? Will Call Power Supplier Address Electrical Contractor. ~Contractor's License No A•30~s'f (CO pany Name) Mailing Address lectrical C tract or ow aking Th Ins Iatlon) Authorized Signatu e No. >3 ~-~v s~? rl I tr r or w er Ma Is atl s ; 5?~ n~~ ~nD ~~~~lQ , This impection requast will not be accepted 6y the d~~) J ~~S G ~i State Board unless propar inspec6on fee is endosed. Minnesota State Board of Electricity p 54 University Ave., St. Paul, Minn. 55104-Phone 645-7703 REQUEST FOR ELECTRICAL INSPECTION BELOW WOAK COVERED BY THIS REQUEST S --26416 Typ~-of Building New Add. Rep. Check Appliancea Wired For Check Equipment Whed Fot Home ? ? Range Temporary Wiring ~ Duplex Water H e Lighting F'uctutes Apt Bidg. Dryec Electric Heating ? Commercial Bldg. Fumac Silo Unloader ? Industrial Bldg. A'u Condi ' ner ~ Bulk Milk Tank ? Facm ? ? ? pList Lpist )y Othet ? ? ? HeiersI Aehe~sl COMPUTE INSPECTION FEE BELOW Service Entrance Size: # Fee Feedeis&Sub[eeders: # Fce Cttcuits: # Fee 0 to 100 Am s. 0 to 30 Am tes 0 to 30 Am eres 101 to 200 Am a , SD 31 to 100 Amperes 31 to 100 Am eres 1-7 Above 200 Amps. - Above 100 Amps. Above l OQ_Am s. Transformeis 11 Remote Contiol Circ. Pactial or other Cee i- Si ns 11 Special Ins ection Minimum fee S Remarks TOTAL F .J o ~ I, the Electrical Inspector, hereby certify ~e att'oo~, / r ~ R4~t s been m (Rough-in) e (Final) 2pate This request void 18 months &om ~ CITY OF EAGAN No 7 2 5 5 3795 VIlo1 Kno6 Rood Ea9an, MN 55112 - . " PHONE: 434•8100 BUILDING PERMIT , ke«+rx # Tu 6e a..e ?a. FINIM RASFMM est. value $4, 000 oare Mav 71 1 ssz- sib Addreu 3607 WLd6im-%Y Erect ? Occupancy R'3 Lot _2 Bixk 1_ See/Sub.St. FY3IICl3 Tftfl LS'tAlter ~ zo„i„9 R-1 parcof # 10 65900 020 Ol Repair ? Flm Zone Nk Enlarge ? Type of Const. VL1 W Nome K1IIl JPIII1180i1 Move 0 # Stories z Addren 3607 4f'idg= ity oenwlish ? Length RA C; Eagan 55123 Ph,,1e 452-2972 Groae ? Depth-Nk-Sq. Ft.- Nama knk Panpr (bnctnmtinn ApVrmola Fees ~ oG Addresa31316 River Hills DY'iVe Assessment Permit 44-5() u'?S ci BlIC11EV~.~.10 phom 894-5317 Woter & Sew. $urcharge nn r Police Plan check bw Nome Fire SAC _ Address Erq. Water Conn, <W Ci Phone Planner Water Meter Council Raod Unit 1 hereby ackrwwledge that I hove read this opplication and stota that Bldg. Off. the inlormotion is correct ond agree fo comply wilh all applicable ^PC Totol - 50 Stata of Minnesota Stotutea and t of E gan Ordirwnces. Sipnature of Permittee ~ ' W36u.v-4/ A Building Permif Is iuued fo: Harik ns i 1 . ~ an fha ezpress condition thnt oll work shall be dorw in occordance *ith all opplimb 3 ote of,l~d rcewta s dCiry of Eagan Ordirwncss. Buildirg OfflNal `e'~"~ f~ ~a~'~,' CITy CF EAGAN Include 2 sets of plans, 1 site plan w/elevations & BUII,DING PEIB= APPT..ICATION 1 set of e.nergy calculations. rno Be usea For f Qi[fH GAS r.'~I~E,V~ valuation `=1 )~Da Date Site Address 3( e)7 G/iOG.Fon~ wi9 y~~ S~ • OEFICE USE. ON[,Y Lot o2 slocx ~ sec./sub.~ , F rawc ~s Erect ~cupancy . R- ~ - raroei la bsR oZ v o~ Alrer zonirig < Repair Fire Zone Owner: "I SEn~n~rs~;~. Fnlarge _ 1ype of Const. Move # Stories ~x~ess: ~u p 7 (.vi;~6fc'r~ G?~G penlish Fnm,,„nt, ft. C,1ty/Zip Code: N7~N i SJ GTdC~2 a.t vcYu' 4164, ft. Ptmrie .297~1 APPRC7VAIS FEES Contractor: Cuh-yT.P; Assessrn.nts Permit ~ Pddress: cQivjjj?? 11iLL5 ?4ater/Sewer Surcharge ~.P Police Plan Cmec~ City/Zip Code: TuRn.fll/1(r,., f~I/v° ~77 Fire SAC Phorae # : 12Y - f-21 7 Eng• water Conn. Plaruier Water Meter Cotmcil Rnad Unit ~~•~g•~ Bldg. Off. Address: APC City/Zip Code: ~ Zi/ Pha¢ie TOTAL - ~a~i .O~-o~ae ~n~znec~-z~zq Carrrpacray ~O/ Tr~~sz-e2er's ?"resge~ .BtcrrisYilZe, 7lZixu p~s vsss I-,--I-- lnl !70:, 1: l, ".;T. I~I;,~k'%'I:iS UOUD, DakoL? Count~~, Ilinnc.^,oLa. . .1 ~f' 1 . I i ~ 30- po"riK.~t 'p a ti. f0 ° ; L0 Z ^ 30' n r1 , s o r ~.~1.__ f j~•• 14 yv Q = 'i.~ o I Ir i~ rl il~v I!'nl !Ili!, i". : I r(• ;ind currccl rcpro:;rnCatloil u(* a tcaci t7f 1:~110 Il:ir, :~7t.ti rl;ry ol~ De('rn)lu C. . ~ ? ~ . . .s, . ~ . . • . r~:rrr.ioi, i.:NVi_1-uF-f- nv[ FZncE_ "u" coMPuTnI ioN One or twa fam.ify dwelling ~ Owner AI I other Site Address ~tiOY I~L~ i!/Oi) Contractor Datc Phone LINf.AL Fi. OF fkPU;LD WALL 26 + Z1,1) + + _ + _ X / ~7ft above grade ~ • T01A1 EXPOSED ALL AREA SQ. FT. 78D, ` OPA~Ur IJALL GOhSTRUCfIQN:~ "U" value x?rea (u) (a,) p685~ ;q. ft. (U) (A) q. ft. (U) (A) Detall reter'ence 56~'_ ,,1 . it. 113 (U) (A) from -LQ. Lra'mG ---U" ~L.t ,q. ff. ~1, (!J) (N) attached sheets x sq. it. _ (U) (A) "U" x sq. ft. _ (U) (A) WINCOWS: "U" value x area Make A Type _,L~x sq. ft. (U) (A) x sq. ft. - (U) (A) n "U" x sq. ft. _ (U) (A) x sq. ft. _ (U) (A) DDORS: "U" value x area Moke & TYPe ft. (U) (A) ti 11 t I . _ (U) (A) x sq. ft. _ (U) (A) 1OTA i s z37(0, 2t sy. Ft. _OM(u) (n) TOTP,L (U) (A) VAWES DIVILED BY TOTAL WALL FRFA AVG. °U" 1-3)~ AVERAGE "U"' .17 or less for I& 2 family dwelliny ROOF/C[II_1NG: TOiAL AR[P.: J `sq. ( t. r Detai I reference DC/f! " Ux -y. (1. 1 3 00 = S4i (U) (A.) ~ firom "U" x sq. ft. _ (U) (A) attached sheets, "U" x uj. (t• _ (U) (A) dF,-;cril;e openings --"U" x sq. il. _ (U) (A) in roof "U" x sq. ft. _ (U) (A) TOTALS / 3 ~f a Sq. Ft. 5q, ) j (U) (A) TOTFL (G) (A) VALUES ~ DI V I DED (3Y TOTAL ROOF/ 73 - Q~ CEILINS AR'LA /3DT r<uf /1VERFl('1"U" .0`) for von I i I,i I r;d 1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN ~ S- ~ 3830 PILOT KNOB RD - 55122 t-t f ~ 651-681-4675 ~ i C) ~ ' New Ccnshuetion Reaulremenfs Remodel/Reoalr ReaNremeMs D 3 regisiered aNe surveys showing sq. tt. of lot, sq. ft. of house 4 eopies of plan and all roofed areas (20% maximum lot eoveraae allowed) 1 aei of energy calculafiont for heated addiHOna D 2 copfes of plans (show beam a wtndow shes; poured fnd. design; etc.) 1 siFe survey tor exterlor addkions a decb ? 7 sef of energy calculations ? 3 coples of hee preaervaNon plan if bf platted aHer 7/1/93 DATE: Cn -i\'-~ R CONSTRUCTION COST: DESCRIPTION OF WORK: STREET ADDRESS: ~J (P tJ -7 Vt.l ~"1) Z<-e?-(7 tiJ W'It LOT: BLOCK: SUBD./P.I.D. 4k: GI~O WO'C)l( J Name:_IM~ ~2.5 N~9 L~ ~ Eq"~~su 5~jti Phone PROPERTY ~ast Fdrt OWNER Sfreet Address: Co O~ LA-i tj&' L-Q'`' U-/ City AN/ State: Zip: S.5 t Z- 'Z- Company: Sa ~ "l Phone (area code) CONTRACTOR ~-t'2-13 Ucense # exp. 3&'6 ~z Street Address: ~^D S~f 41~ City State: ?vv14 Zip: S S/1 ARCHITECT/ ENGINEER Company: Name: Telephone area code ( ) Sheei Address: Registration City Sfate: Zip: Sewer 8 water licensed plumber (reaufred for new consfruction onlv ;~analy applies when addresz change and lot change is requested once pertnN Is Issued. I hereby acknowledge that 1 hwe read ihis application, state that the iMormatlon is cortect, and agree to comply wNh all applicabl Sfiyte of Minnesota Sfatutes and CNy of Eagan Ordinances. Signature of Applicant: OFPICE USE ONLY Certificates of Survey Received _ Yes _ No JI'+ - / Tree Preservation Plan Received _ Yes _ No _ Not Required1 i OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) g 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea. ? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? 05 3-plex ? 10 S-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE ? 31 New ? 35 Tenant Impr ? 39 Gas Line Oniy ? 43 Siding/Soffits/Fascia ~2 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bldg.' ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof ' Give PCA handaut to applicant for demolition permit GENERAL INFORMATION Const. (Actual) SBasement sq. ft. Census Code AI4- (Allowable) ~ Main level sq. ft. ' ' SAC Code t UBC Occupancy R•'~ sq. ft. No. of Units Zoning R• f sq. ft. No. of Bldgs # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV ' Fire Sprinklered APPROVALS • Planning Building Engineering Variance \TT LJ PermitFee 307,Y Valuation: $ ~9o 0o Surcharge /JU/ f 4 Plan Review 672 License MC/ES SAC lJPP~~ City SAC ~ Water Conn. / ~ yl `l = /b'~ X?` ~ ~ `'l 2 Water Meter Acct. Deposit SNV Permit SNV Surcharge Treatment PL sPark Ded. Trails Ded. Other Copies Total: SAC Units % SAC mzawmiux:az*um"W"x*• • CITY OF FAGAN ' CASHIER: S TERMINAI. t;10: 769. IIATE: 06/21/99 TIMc: 14s17,:50 ID; NAME: JOHN .RL FLORES 3210 900i 3E,07, WID6EGN WA ' 307.25 3422 4001 3507 14IDGEON WA • ,199.71 2155 9001 3507 WIDGEUN r1A , 9.50 • ' • . . ' . Total Receipt Am7.ent: 3:6.!F6 CR111711 USM ID e AlANCY kAnR~k 'kM . ~ : : ,-."^.'.^r.^~-~ . . . .-~.,T... . r/ ' :~r-o~ ~~z~ineeri ~zq Cc,~~rrpc~cny QOl 7'raz-eler•s ?"raa~ .BurrisYitle, 7~2i~r .Ph vsss 890-4704- _I• r i~.l i_-I nl 1 lucI I, `A. IIritil'I i UUUI~~ liaknt.~ Countp, : -r • ~ I . 1 i 34f r- cYw,.uvaZ n._~p .~n~.~TY E•WJ-LO . • ~ CP a,,, 10 a ~o` r . ; ~CJ~I E. i 2~w 7 13 1 c'` Jf'V . ~ . O ~ Z~s` 16 317 ~ . . . 1. a = 13 ' 140 r II~i!, i^ Irw ;inri currUct r(,pre::rut.ntion rif a trarl pf lnrni „i. Il~i•; "7t1i d:ry uiUerrwL, r, 17i;. i~;',~-••- . • . . . a 1~% PERMIT CITY OF EAGAN BUII DING 3830 Pilot Knob Road PERMIT TYPE: 028294 Eagan, Minnesota 55122-1897 Permit Number: 07 /19 /96 (612) 681-4675 Date Issued: SITE ADDRESS: 3607 WIDGEON WAY LOT: 2 BLOCK: 1 ST FRANCIS WOOD P.I.N.: 10-65900-020-61 DESCRIPTION: RE R n oF ~ Permit 7ype SF (MI9C.) 6"4AJ;ork Type REPAIR Cod'434 ALT. RE5TDENTIAI. FS rrVTg N,~ IPW c~^t~ p 3 s ~9 ~ REMARKS: FEESUMMARY: vaLuarsnN $50e Base Fee $21.90 Surcharge A.50 Total Fee $21.50 CONTRACTOR: Q{~N R - pp ican - I~A-F~~H-RLL pEAN 3607 WYD6EON WAY EAGAN MN (612)688-6483 t~°~~'~bY ~~k?~tlait' T hiiv4 head this `applioation qnck sL=aC4 thax th~ rTats~t a9r~~r tcz OcrJrMp:1.,~ Wi'~Mall aPd~1 lo at~I$ State cs~ f~~°. , ' e%.; =.~tatutand',~xtiy Careiinaac . r . APPLICANT/PERMITEE SIGNATURE ISSl1E0 B: IGNATURE CITY OF EAGAN ' Y 3830 PILOT KNOB RD - 55122 41n3v 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Constmctioa Rouirements R n Va nair Reauirements ?3 reglstered site surveys ? 2 capies of plan ? 2 copiesof plans (indude beam & window sizes; poured fnd. design; elc.) ? 2 sRe surveys (exterior addRions 8 decks) ? 1 energy ealculations ? 1 energy calculations (or heated additions ? 3 copies of tree preservation plan If lot platted after 711193 required: _ Yes No ~ DATE: Z'~r ~p ~ CONSTRUCTION COST: DESCRIPTION OF WORK: STREET ADDRESS: LOT ~ BLOCK ~ SUBD./P.I.D. V'/- PROPERTY Name: e.CL Phone-#: -(~q L3 OWNER ~`uI.' Street Address• :3'& 0. City: State: Zip: S'"L r z 3 CoNTRACTOR, Company: S e~ Phone Street Address: License City: State: Zip, ARCHITECT! Company: Phone ENGINEER Name: Registration #Street Address* City: State: Zip: Sewer & water licensed plumber: . Penalty applies when address change and lot change are Yequested once permit is issued. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: '!L^^ v`~ "Ad OFFICE USE ONLY Certificates of Survey Received _ Yes No , • Tree Preservation Plan Received _ Yes _ No OFFICE USE ONLY , . BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Muiti Repair/Rem. ? 17 Swim Pool ? 03 SF Addition ? 08 8-plex ? 13 GaragelAccessory ? 20 Public Facility ? 04 SF Porch ? 09 12-piex ? 14 Fireplace ? 21 Misceilaneous ? 05 5F Misc. ? 10t = plex ? 15 Deck WORK TYPE ? 31 New ? 33 Alterations ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MClWS 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 0-9 Permit Fee ~ Valuation: $ Surcharge • s'~ Pian Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit SiW Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: o?/ 6-0 % SAC SAC Units 2004 RESIDENTIAL BUILDING PERMIT APPLICATION < ~ City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 ~ 1~ 1:e1S14 Telephone # 651-675-5675 FAX # 651-675-5694 O C) New ConsWction Reaui2ments RemodeVFieoair Reauiremenis Office Use On 3 registemd sita surveys shaxing sq. R o( lot, sq. ft of house; and all roofed areas 2 coples of plan ~erfot SurvEytRecd~' ~,W °~N (20% maximum bt cove2ge allowed) 1 set of Energy Calculations for heated additions 7reePres PIan,Recd Y N 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for addilions & dedcs Tree P2s Reyuired NV~~ ~Y W N lsetofEnergyCalwhdtions Addd'wn-irMicatei/on-sftesepticsystem Or~*'JSepticSystem 3 wpies of Tree Preservation Plan'rf lot platted afler 711193 Rim Joist Detail Oplions seleclion sheet (bldgs wiN 3 or less unils ~ Date ~ / -,a *7 Construction Cost Site Address `Qd oU iVq Y UniUSte # Description of Work • ~ ` Multi-Family Bldg _ Y N Fireplace(s) _ 0_ 1 _ 2 Property Owner ~~j4SV SqV ~Y\ A Q~ b~rl Telephone # (do) 6 JT'~I 3PY - ~ ~ Za1~$`,+01 nC-o,nt'ractor v d ` 'W~Address ! 4A';_ilcV54 • CitY ' J~• V ~ State N Zip Ar! 4rTelephone # (o !7 :)IF ~ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilatlon Category 1 Worksheet • New Energy Code Worksheet (Jsubmissionlype) Submitted Su6mitted • Ener9y Envelope Calculatlons Submitted Have you previously constructed a building in Eagan with a similar plan2 _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone i- Mechanical Contractor Telephone v,_ ' i5 . ISewer/WaterContractor Telephone#~ ) v~t\ l 71 7N4 u ~ I I hereby apply for a Residential Building Permit and acknowledge that the informatioriCis=camn2ete"an ate; 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. •~.~',S ~ ~ ~ Lo0.•o,J Applicant's Printed Name ApplicanYs Signature OFFICE USE ONLY Sub Types • ? 01 FoundaUon ? 07 05-plex ? 13 16-plex O 20 Pool ? 30 Accessory Bldg x 02 SF Dwelling ? OB 06-piex 16 Fireplace O 21 Porch (3-sea.) ? 31 Ext. Alt - Muiti ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Att - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screeNgazebo) ? 36 Multi Misc. ? OS 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 Building ? 42 Demolish Foundation ? 45 Fire Repair IV 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors ? 34 ReplaCement 'Demolition (Entire Bldg) - Give PCA handout to applicant Valuation QJ O ~ Occupancy -,_,s MCES System Census Code 93 q Zoning City Water SAC Units - a- Stories Booster Pump # of Units ~ Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIREDINSPECTIONS Footings(new bldg) FinallC.O. _ Footings (deck) ? FinaUNo C.O. _ Footings (addition) ? Plumbing Foundation HVAC Drain Tile Other ~L~~ L' • Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final ? Franvng _ Siding _ Stucco _ Stone _ Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows _ Insulation _ Retaining Wall Approved By: Building Inspector - Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge 5&W Permit & Surcharge Treatment Plant License Search Copies Other Total 5n '~)D'3c7 2004 RESIDENTIAL PLUMBING PERMIT APPLiCATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date 0 2 10 3 I°1~ Awe Site Street Address 3lfO 7 w~~olevr? wi9y Unit # n- i Property Owner l~fl S USl¢v? Telephone #(&sl ) 778' Contractor Vi, %v MecLiA.?i~rtL -czi c. Telephone# ((,sl ) da7-/H3a- Address G?A~/ 64VSt" City ffTS StateAl/^/W- Zip SZ5-077 The Applicant is: _ Owner ontractor _Other I ~ Alterations to existing dwelling $ 50.00 _Add fixtures to rooms, excluding water softener and water heater _Septic System Abandonment _Water Turnaround (add $121.00 if a 5/8" meter is required) rSt er /.~'•g ~Gi /~ov~ / S'~F~au~< /~~.~-t~~L. Water Softener _ Water Heater $ 15.00 _ replacement _ additional Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00 State Surcharge jl ~ $ 50 Total g ly I3y I 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 start without a permit and work will be in ac ordance with the approvetl plan in the event a plan is required to be reviewed and approved. 17Z- zoz~/ `T Applicant's Printed Name ApplicanYs Signature City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 3607 Widgeon Way Lot: 2 Block: 1 Addition: St Francis Wood PID:10- 65900- 020 -01 Use: Description: Sub Type: e- Windows/Doors Work Type: Windows/Doors - New/Replacement Description: House Census Code: 434 - Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Beissel Window Siding 1635 Oakdale Ave W St Paul MN 55118 (651) 451 -6835 Applicant/Permitee: Signature PERMIT City of Eaan BL - Base Fee $3K Surcharge - Based on Valuation $3K - Applicant - Construction Type: Occupancy: Permit Type: Permit Number: Date Issued: Permit Category: A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector. Total: $90.00 Owner: Dean L Marshall 3607 Widgeon Way Eagan MN 55123 $88.50 0801.4085 $1.50 9001.2195 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. Issued By: Signature Building EA080454 10/12/2007 ePermit City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 3607 Widgeon Way Lot: 2 Block: 1 Addition: St Francis Wood PID:10- 65900- 020 -01 Use: Description: Sub Type: e - Furnace & Air Conditioner Work Type: New Description: Fumace & Air Conditioner Comments: Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, (952) 445 -2840 Fee Summary: Contractor: Angell Aire 12253 Nicollet Ave S Burnsville MN 55337 (952) 746 -5200 ME - Permit Fee (Replacements) Surcharge -Fixed Total: Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Owner: Dean L Marshall 3607 Widgeon Way Eagan MN 55123 Permit Type: Permit Number: Date Issued: Permit Category: $50.00 0801.4088 $0.50 9001.2195 $50.50 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 Issued By: Signature Mechanical EA090869 08/26/2009 ePermit PERMIT City of Eagan Permit Type:Building Permit Number:EA139976 Date Issued:11/16/2016 Permit Category:ePermit Site Address: 3607 Widgeon Way Lot:2 Block: 1 Addition: St Francis Wood PID:10-65900-01-020 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Dean L Marshall 3607 Widgeon Way Eagan MN 55123 Polar Builders Inc 1103 West Burnsville Parkway Suite 110 Burnsville MN 55337 (763) 370-0074 Applicant/Permitee: Signature Issued By: Signature