3614 Widgeon Way
C"y OF EAGAN
3834 Pilot I:nob Road SEINER SERVICE pERMR '
P. O. Box 21199
Eagan, MN 551~,1~ PE~IT NO.:
Zoninp: DATE: j
Owne?: E.T. Hughes Const No. °f Units: '
Address:
Site Address; 3614 Widgepa W~ LIO B2 St Francis Wood lst
Plurnber. r 8R13071 f
~ e~ew ta ~11-t3-E3 19'? I4 J I00.0(?
O.dleaso~s. vh~ wil6 tha Cil~, oi Eaoa¦ Connectton G,croe; 425. GO
Accou-k Deposft: ~
~ P.m?rt Fee: 10 0 a,i ~
gy Surcho?Oe:
Dote of In Misc. CMrqe~; I
Insp.: roroh ~
~ Dote Pcld:
~
- - ;
CITY OF EAGAN WATER SERVICE PERMtT
3*30 Pifot Knob Road 5221
P. O. 8ox 21199 PERMIT NO.:
Eagan, MN 55121 D11TE: 12-8-83
ZO^"'g: Ri No. of Units: 1
Ownar; _ F T Hnohag /'n++gt
Addrcss:
tto Address: 3614 Widgeon Wav L10 B2 St Francis Wood lst
~„„~r _ Abrahamson Plbg
er No.: 3 71 3 v Connectian Charpe: 450.00 Ad
Eo 1lcoourn Deposit:
der o.: /v? /q Permit Fee: 10. 00 Pd
iw M oomolp w116 1w Gfp ef Ea9ee Surchorge: '650 p1
Mix, pa,gm 60.00 vd metE
Tofnl:
BY ~ Dots Poid:
Date of I Insp.:
. . . , .~.a •rr .
. cirr oF EAGAN
• 3795 ?ilet Knob Roed Eaqan, MN 55122 "
PHONEs 454-8100
BUILDING PERMIT Receipt #
Te bo uwd M? Est. Volue Dote '+ov ar.~':r>r ~
Site Address =ec Eroet Oceuponq R-J
Lor Block Sec/Sub.' vUO t Alter Zonin
- ~ 9
Repoir ? Fire Zone A
Parcel # -
Enlorge p Type of Const.
oWe Name oHSt. " MOVe p # Stories
; 1lddress Demolish p Length
T~ Ci phone Grode p Depth Sq. Ft.
°C Nome Approvals Fees
0
Add~eu ^ssessment Permit
Cit p~~ Water a Sew. Surchorqe
Polica Plan check
~W Name Firo SAC
Addreu Enq. Water Conn.
<W Ci Pha~e Plannsr Woter Meter
CouncFl Rood Unit
I hereby acknowledfle thot I have reod this opplication ond state tfiat gldg, pff,
the information is correct and ugree to comply with oll oppliceble ^PC Totol
5tate of Minnesota Statutes ond City of Eagon Ordinonces.
Sipnoture of Permittee
/1 Building Pe?mlt is issued to: . on the expreas conditlon tlx,l
all work sholl be done in accordance with oIl applicable 5tate of Minnesoto 5tatutes ond City of Eoqan Ordinances.
Buildirq Oificiol
Permit No. Permit Holdsr Misc. Permit No. Holder
Plumbing
A~o
D 5 d 3
H.V.A.C.
Well
Wster
Disp.
Sewer -
Ekctric a d ~,Cl4i /a-
Inmpection Date Insp. Other
Footingt
Foundation
Framinq
Rouyh Plbp.
Rouqh HVA
Inwlation
-.3d_
Final Plbq. 13-3e.
Final HVAC
t .
'
Final -
Watar Descri L cstion/~~
Well
~
Sewe?
Pr. Disp.
JR~i r
CITY OF EAGAN Remarks
Addition ST. FRANCIS WOOD Lot 10 s,k 2 Parcel i CL59nn i nn 02
Owner ' [ Street 3674 WidgPnn Way Stete Rag,an., 1MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. $79.29 A013412 1-5-$4
STREET RESTOR. , IMp. 1981 75 . 00 15.00 S 15.00 Pt "
GRADING
wSAN SEW TRUNK ~ 2439.07 A013412 1-5-84
•SEWER LATERAL
WATERMAIN
•WATER LATERAL
•WATER AREA IqRn
*
lSTORM SEW TRK
lSTORM SEW LAT 1280
1S
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 450.00 39814 11-8-83
13UILDING PER. 634
SAC
M.nO
PARK
HOUSE HEATING TEST RECORD L_ja d3:2 5% ~
ADDRE55 APT.-FLOOR CITY SUBURB
OCCUPANT .(,cfp ~ Pc OIYNER ~`Ira-P
MEAT LOSS DATE HTG. INST. GAS C0. METER BADGE i
SOLD BY INSULLED BY
Electrioal Work By Gas Line Br S'.. 7 4_
TYPE OF HEAT GA _ FA -,c_HW -STEAM _SPACE HTR. _UNIT HTR. _OTHER
l ASDESIGN CONVERSION
MAKE r~ MAKE OF BURNER
Modsl -`IAedei
Swfal 1?,~jox. BTU RaHnq
INPUT-IU`~/~ MkKEOF EURNACE ~Medd
CO IROlS
THERMOSTAT ' pa,t Pi~ -Vm Si:• ~
Valv ~F~- ?p1ER SIZE NONE
Llmit `P N 9~r h'FIooJ E' C4-21=j` Rpulamr
Limif SeMin9 a ~Pfl/ws Slae l&xa S uumber ~
Fan Setting ~s Ch{mmy LeeaHen Inalde X' OuNido
Pilot Typs Ct.j" Ch{mMy Conslruefien _43
Pilot Make ?7 O 'l?~ .
Pilot Model Smob Bemb Wiefny
' Pilot Timing GaFt _ ~6 Tost Tay •--/y" C
L.W. Cut OFf Dear Pr~wwa llyhqnp Inst. ~~,e
Prassure -Y~•-'C Pereent CO] Date Tested _<11-2 2 e
~
Input CFH Pvcan~ 02 Cea~yany Teseln9
o
$lock Tsmp. ~Pnnnt CO 462T~C'P Nam ef Testw
Form 235 ~%f~
CITY OF EAGAN N? 8634
~ 3795 Pllot Kno! Rmd Eagon, MN 35122
' PHONE: 431-8I00
BUILDING PERMIT Receipt jf` ( L
To M uwd 4or SF DWG/GAR Est. Voiue $80 000 Date 29ovemher 8 _ 19-83-
Sita Addreu 3614 Widgeon Way Erect R-3
~C Occupancy
Lat 10 Block z $ec/Sub.St.Francis Wood lst Alter ? Zoning R-1
parcel # 10-65900-100-02 Repolr ? Fire Zone NA
Enlorye ? Type of Const. V
w Name E.T. Hughes Cosst., Inc. Movo ? # Srories
Z Address 739 Knomlwood Court Demolish ? Length 65
~ c; Mendota Hts. ppo„e 450-0424 Gmde ? Depth 41-9 Sq. Ft.-
~ Name O`'ner Approvalf Faes
o~ Address Assessment Permit 373.00
u~ Cif Phone Water & Sew. SurcFwrge 40.00
F Police Plon check 186.50
Ww Name fire SAC 52$.00
~w
Address Eng. Waler Conn. 450. nn
i W CI Phone Plonner Wuter Meter 60.00
Council Rood Unit NA
I hereby acknowled9e fhot 1 hove read this applicotion ond stote thaf Bidg. Off.
Ihe information is correct and agree to comply with all npplicable $1634.50
Sfate of Minnesoto Stotutes und City of Eagon Ordinances. APC Tofol .
Sipnature of Permittee
. Hughes Const. Inc.
A Building Pertnif is issued to: ~ ' on the exDress cordition thnt
all work shall be done in accordante w7th oll upPlitoble St Minnew t utet Ciry f Eogan Ordirwnces.
Bulldin9 Offic{al ~
~
C11Y OF EAGAN Include 2 sets o plans,
1 site plan w/elevations &
BUILpING PERMST APPLICATION 1 set of_ er.ernr cal.culations.
'Ib Be Usecl For: Valuation Date 1 3/ ~
Site Address: :~6 /Al- , OFFICE USE ONI,Y ~
Lot slocx ~L sec./sub~~ 'Z"'je t~ occupancy
Parcel Alter zoning
Repair Fire Zone I
O„mer: Enlarge _ Type of Const. 724
Nbve # Stories ti
Address: 72 S Front 66 ft.
City/Zip Code: Grade Depth ft.
Phone APPROVALS FEFS
Contractor: Assessments Peimi.t 3 ]3 Atmd
Watzr/Sewer Surcharge y p
Iuldress: Police Plan Check /
City/Zip Code: Fire SAC
Eng. water Conn. yS'O
Phone
Planner Water Meter To--4-,IL7-
Arch./Ehg.: r ~ 6Council Road Unit
Bldg. Off.
Pa3dress: ~ ~APC
City/Zip Code:
Phone 'IbTAL
RESIDENTIAL
BUILDINC PERMIT APPLICATION
5u ~ I~ 3830 PILOT KNOB RDEAGAN MN 55122 7~
651-681-4675
New Conatruction Reauirements RamodellReuair Reouirements
• 3 regisiered sile surveys showing sq. R. of:ot, sq. R. of house; and all rooled areas • 2 copies of plan
(20 % maximum lot coverage allowed) . 1 set of Energy Calwlations fw heated adailicr.s .
• 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 site survey 1ar extenor addi6ons & decks
• 1 set of Energy Calculations . Indicate it home served 6y septic system rar xditions
• J copies o( Tree P25ervation Plan if lot platted after 111193
• Rim Joist Detatl OpGons seleclion Sheel (blCgs with 3 or less units)
DATE lb-W ~U 2- VALUATION
SITE ADDRESS 3&LI(~~__~ crn Wa~ MULTI-FAMILY BLDG _Y _ N
TYPE OF WORK fZ0 roa~ (4~ ~aa-FG~~ca~Q FIREPLACE(S) _ O_ 1_ 2
~S{zc.l~ f~-~, ~a.~ua.rn ~ Zes~f
APPLICANT SELA FiOOFING & REMODELING, !n,' STREET ADDRESS ST. LOUIS PARK, MN 55416 CITY STATE_ZIP
50
TELEPHONE ICE~PHONE # FAX #
PROPERiY dWNER coo iEIEPHONE # L/SZ- 3`i 6g
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ y[INNh:SOTA RCI.IS 7670 C:1'l'F.GORl' I IMINVESO'I'.\ RCLES 7672
(J submission rype) . Residential Ven6laUon Category i Worksheet Submitted • New Energy Code'Norksheet Submitted
• Energy Envelope Calculatlons Submitted
Plumbing Contractor: Phoiic
Plumbing systein includes: Water Softener _ I,awn Sprinkler Fee: $90.00
_ Water Heatcr _No, of R.I. Baths
No. of Baths
Mechanical Contractor: Phone #
Vlcchanic.il systcm includcs: Air Condiuoning Fcc: 570.00
Hcat Rccovcry Systcm
Sewer/Water Contractor: Phone #
I hereby acknowledge that I have read this application, state that the information is correci, and agree to comply
with all applicakale State of Minnesota Statutes and City of Eagan Ordina ces,
Signature of Appiicant J Lt-e- 6
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY
O 01 Foundation ? 07 05-plex ? 13 18-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 18 Fireplace ? 21 Porch (3-sea.) ? 31 EM. 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 0 23 Porch (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex p 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 38 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteratlon ? 37 Demolish (Bldg)' ? 43 Reroof p 46 Windows/Doors
? 34 Replacement •Demolition (Entire Bldg only) • Give PCA handout to applicant
Valuation Occupancy MClES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bidgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
! Footings (new bldg) _ FinallC.O.
_ Footings (deck) ~ FinaWi o C.O.
_ Footings (addirion) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tesu _ Final
_ Framing _ Siding Stucco S[one
_ Fireplace _ R.I. _ 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
, 1 .
` r
I
?TY DESCRIP ION
10, 19IOGK 1.
d w
`
:IrTA
• - . . . ` . . . . ~ R . ~ 1 0/ . . \S 94F m .
~
r i
7
3° ~ 1f\
. ../.a,......_e e;'.e~4.a~f 1l. - w_.N,..~.~. ~ ' ~ ~
p Y ` e" ,A. ~ . . r'. ' • _ > . . I ' ~
r r ~ ~ , ~ ' ; : . ' m ' . ~ , • , J~~~A~ , ~ f . L O T 10
W
. , . , ~ 4
~
~ y 30,
~
3e D L ~ ~ ~ • 295.2,; xo.oi
4m ; AS3uMEa: 87°30'44"p
I
o . i
~t' ~ •
~ ~ •j ~ ~ ~ .
Q
' oo . . ~ ~ ~
O ~ .
~ R ~t ~
EXTERIOR ENVELDPE AVERAGE "U" COMPUTATION
OWNER
SITE ADDRESS
CONTRACTOR DATE PHONE t) L( ZQ
Determine working square footage of eath.
~
t. Total exposed waTl area ~775 sq. ft. x rN-'=
2. Total roof/ceiling area 3 r~ ~ sq. ft. x ,05 =
Totdl exposed wall area abave floor =
a. Total wall window area N~ Q
b. Total door area
c. Total sliding glass door area
d. Total fireplace wall area e. Total wall framing area (average 10%) 7s-
f. Total net wall area above floor Vp a
q. Total rim joist area
Total exposed.foundation area
h. Total foundation window area i. Toal net foundation area above grade
Determine "U" value of each wall segment.
~
a• x °u°
b. ~^(J xHut,
c. rL x~lull
d. ~ x slut,
e•'77..Sr X"U"
f- gllUt, 7 G = 1~~~ Q
=E-~
9'- X. ,.U.- 7,72
u-_t
h X lbull
i. X toull ,2, / ta
3 .....................................Tota7
If item N3 is the same as, or less than item #1, you have met the intent
of SBC 6006(c)2.
.
Total exposed roof/ceiling area
J. Total skylight area
k, Total roof/ceiling framing area(average 10%).... A32, 0 ,
1. Total net insulated roof/ceiling area
Determine "U" value for each roof/ceiling segment.
j X ,JUI, _
k. ~ x"U" S^ 7
,
x „u„
4 Tota1
If total of #4 is the same as, or less than #2, you have met.the intent of
2 MCAR 1.6005 (4.3.2.2) _
Alternate Building Envelope Design
To utilize tht total envelope system method, the values estab]ished by the
sum of items N3 and #4 shali not be greater than the sum of items #1 and #2. I. hPv 7. 2 5` +2. 6 `/.3'~ 5' 6 1r
s. 7 7 + a. ,2 7
I
~
~-sD
Jo- ~ CITY USE ONLY
L
J.., RECEIPT
SUBD. ~ T{Q CI RECEIPTDATE: -OO
PERMR#
2000 PLi1NBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PZLOT IINOB RD
EAGAN, tMI 55122
. 651-681-6675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? badcflow preventer for underground sprinkler system
FIXTURES EACH # TOTAL
Alterations to existing dwelling - minimum fee $ 30.00
Describe:
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas i in outlet ' minimum • i 3.00 x = $
Hot tublspa 3.00 x = $
Kitchen sink 3.00 x = $
Laundry tray 3.00 x = $
Lavatory 3.00 x = $
Septic System newfrefurbished ' requirBS MPC Ilc. 75.00 x = $
Se tic S stem abandonment 30.00 x = $
RPZ new installation/repairlrebuild 30.00 X = $
Rough opening 1.50 x = $
Shower 3.00 x = $
Underground sprinkler if dwelling is under construaion 3.00 x = $
Underground sprinkler 'rf existing dwelling 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener if dwelling under construction 5.00 x = $
Water softener H exlsdng dwelling 30.00 x = $
Watertumaround 30.00 x - _ $
State Surcharge .50 $ .50
Totai -a $
Reminder. Call for inspectfons of alterations, i.e. water heaters, water softeners, etc.
I here6y adcnowledge that I have road this application, state that the intortnation is correc{, snd agree to camply wiM all aPPIlcable C' of E an ordinances.
It is the applicanYs responsibility to notify the property owner thet the City of Eagan assumes no liability for any damages caused by the City during ds
normal operational and maintenance activities to the facil@ies construeted under this pertnit wtthin City property/Nght-of-wayleasement.
SITE ADDRESS: L17 j ll,~~
OWNER NAME: : Yr11 ~LIti3p2-OTELEPfiONE 4a51- 4Sa-3409
(AREA CODE)
INSTALLER NAME: TELEPHONE #``7lo3' •SS /-C?S.SS"-
STREETADDRESS:~(~1aLL5 l~1Z .6IkflC (nREa, cooe)
y~
CITY: l r.a ST T IPiN ZIP: 5;iS~t-4I
~ .
I SIGNATURE OF PERMITTEE
EY' J
~ ~91-7 RESIDENTIAL BUII.DING 4'70' 00
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
New Conshuction Reauirements RemodeVReoair Reauiremenls Office Use Onlv
3 registe2d sfle surveys showing sq. ft. of bt, sq. ft of house; and all roofed areas 2 copies of plan Cert of Survey Recd
(20°h maximum lot coverage albwed) 1 set of Energy Calalations for heated addilions Tree Pres Plan Recd
2 copies of plan showing beam & window s¢es; poured lound design, etc. 1 stte survey for additions 8 decks Tree Pres Not Reqd
1 set of Energy Calculations Addifion - indicate if on-site septic system _ On-site Septic Syslem
3 copies of Tree Preservalion Plan'rf bt platted afler 1/1193
Rim Joist Defail Options seleclion sheel (61dg5 with 3 or less untls
Date ~ //7 / oZ Construction Cost -S 1 (5c)
Site Address 14 G.~ ~ ~&-ON V-7 {J UnitlSte #
DescriptionofWork',rAST'P`1~ ~ea° ~-te°`re.~ce. i..;c>oa gurtWw~ fiU,y(W_Q_
Multi-Family Bldg _ Y KN Fireplace(s) _ 0 ~ 1 _ 2
~4sz- g
Property Owner Telephone #ls7
Contractor `99 a/vU b k4r^ ~o n 5 Me i~-*
Address .S City S1-7 ~ Z.L G~?!3"i~7Z.
State /l~ Zip Telephone k(fJ~Z ) 4~
e ~G--
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Mirmesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submissionlype) Submitted Submitted
. Energy Envelope Calculations Submitted
Licensed Plumber Telephone )
Mechanical Contractor Telephone # (
Sewer/Water Contractor Telephone # (
µ . 003 ~
~
I hereby apply for a Residential Building Permit and acknowledge that the informatson-is-com urate;
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
ap roval of plans. ~
Applicant's Printed'Name Applic ' Si ature
OFFICE USE ONLY ,
Sub Types
? 01 Foundation ? 07 OSplex ? 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 O 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc.
? 05 03-piex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex pibg_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 (Bldg)' ? 43 Reroof ? 46 Windows/DOOrs
? 34 Replacement 'Demolitfon (Entire Bldg) - 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 Bidgs 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 (new/replacement)
_ Insularion _ Retaining Wall
Approved By , Building Inspector
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Base Fee
Surcharge
Plan Review
~ MC/ES SAC
City SAC
Utility Connection Charge
S8W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
ft~s.sm
<~qI~ 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION C k•'''~ - ~ Z Z 8
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
.1 1.J..
Date
~
Site Street Address aC` Z~z Unit #
PropertyOwner~~f1QeL, '"Telephone#
Contractor 1?-17'7 a/Dti I 7'-P2 Telephone #
Address - l _ State)P221) Zip
~
The Applicant is: _ Owner Contractor Other
Alterations to existing dwelling j $ 50.00
L
_Add fixtures to rooms,,ezcluding water softener and water heater~
_Septic System Abandonment
_Water Turnaround (add $121.00 if a 5/8" meter is required)
Other.
~ Water Softener _ Water Heater $ 15.00
v replacement _ additional _
Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00
State Surcharge $ .50
Sd
Total $
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 accordance with the approved plan in
the event a plan is required to be reviewed and approved
App canYs Pri ted ame A plicanYs natur
2006 RESIDENTIAL BUILDING rERmrr arrLYCaTTON ~C`q
City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Conshuction Reouiremenfs RemodeVReoair Reauirements Office~Use,On(v
3 registered site surveys shmving sq. R of lot, sq. ft ot house; and all roofed 2reas 2 copies of plan showirg footings, 6eams, joisLS GerfoF'$iffigyTt.eoi
(20°k mazimum lot coverage allowed) t sel of Energy Calwla6ons for heated additio~ 7"ree Pr~sPl-an#?~ "
2 copies of plan showing beam & wmdow sizes; Poured found design, eta 7 site survey for additions & dec4s '[IEe P.tesf~eq~rte:Y Y?, f~
1 set of Energy CalculaGons Adddion - indicate if on-s~7e septic syslem _O.n-site'Sep4c_Sysigm
3 wpies of Tree Preserva5on Plan if lot platkd attar 711193
Rim Joist Detall Options selec4on sheet (buadings wiN 3 or less units)
Minnegasco mechanical venUlatiroi fortn
Date b I a3 1 Q,b' ConstructionCost
Site Address ~ w Ao(/\, Q)a UniUSte #
DescriptionofWork ~A 14~ C(-j wU(`t (
Multi-Family Bldg _ Y K N Fireplace(s) _ D K' 1
Property Owner ~~fl UlLa[Telephone
Contractor =U;(4~0(A Address ~~Cit3' State Zip Telephone #(j5S YSz •3Y~
COMPLETE THIS AREA ONLY IF CONSTRUCTING A PIEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category . Residenfial Ventilation Category 1 Worksheef • New Energy Code Worksheet
(J submission type) Submitted Submilted
. Energy Envelope Calculations Submitted
In the Iast 12 months, has the City of Eagan issued a pertnit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master pian:
Licensed Plumber Telephone # ( )
Mechanical Contractor Telephone #
Sewer/Water Contractor Telephone #
I hereby apply for a Residential Building Permit and aclaiowledge 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 whic equires a review and
approval ofplans.
r,(nut.\ ~u~~U
ApplicanYs Printed Name Applicant's Sigtahue
DO NOT WRITE BELOW TAIS LINE
Sub Tvpes
O 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? DB 06-plex ? 16 Fireplace ? 21 Porch (3sea.) 0 31 Exk Alt - Multi
? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OB-plex ? 18 Deck ? 23 Porch (screeNgazebo) ? 36 Muiti Misc.
? 05 03plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscelianeous
Work Tvaes
0 31 New ? 35 Int Improvement ? 38 DemoGsh Interior ? 44 Siding
? 32 Addition ? 36 Move Building O 42 Demolish Foundation 0 45 Fire Repair
O 33 Alteration ? 37 Demoiish Building• ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg) - Gfve PCA handout to applicant
DBSCfiDt10n: WaterDamage_Yes
Valuation Occupancy MCES System
Plan Review _ 100% or _ 25%
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(newbldg) Sheelrock
_ Footings (deck) FinallC.O.
_ Footings (addition) Final/No C.O.
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final Pool Ftgs Air/Gas Tests Final
- Fmi°'IIg _ Siding _ Stucco Lath Stone I.ath Brick
_ Fireplace _ RI. _ Air Test _ Final Windows
_ Insulation _ Retaining Wall
Approved By. , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatrnent Plant
License Search
Copies
Other
Total
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA169063
Date Issued:05/13/2021
Permit Category:ePermit
Site Address: 3614 Widgeon Way
Lot:10 Block: 2 Addition: St Francis Wood
PID:10-65900-02-100
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Michael Wedward
3614 Widgeon Way
Saint Paul MN 55123--112
Minnesota Restoration Contractors Inc
12252 Nicollet Ave
Burnsville MN 55337
(612) 280-4807
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA171544
Date Issued:08/20/2021
Permit Category:ePermit
Site Address: 3614 Widgeon Way
Lot:10 Block: 2 Addition: St Francis Wood
PID:10-65900-02-100
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Michael Wedward
3614 Widgeon Way
Saint Paul MN 55123--112
Minnesota Restoration Contractors Inc
12252 Nicollet Ave
Burnsville MN 55337
(952) 479-7131
Applicant/Permitee: Signature Issued By: Signature