3616 Widgeon Way
GITY Of EAGAN WATER SERVICE PERMIT
3795 Pilot l:nob Road PERMIT NO.:
Eayon, MN 55122 DATE:
Zoning: - No. of Units:
Owner:
Address:
Site Address:
Plumber.
Meter No.: Connection Charge:
Size: Account Deposit:
Reader No.: Permit Fee:
1 ogroe to eompfr with tha City of Eagan Surcharge:
Grdinenee@. Misc. Charges:
Total:
By Date Pnid:
Date of Insp.: Insp.:
CITY OF EAGAN SEWER SERVICE PERMIT
3795 Pilot knob Road PERMIT NO.:
Eagon, MN 55122 DATE:
Zoning: No. of Units:
Owner.
Address:
Site Address. T T a_
Plumber:
1 ogrea to wmPh with the Cify of Eagon Connection Charge: •
Oedinonces. Account Deposit:
Permit Fee:
5urcharge:
BY Misc. Charges:
Dote of Insp.: Total:
Insp.: Dote Paid:
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: ~~s I'j ~
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS• 1 4~ 1' 0~`+ i 1 cj " APPLICANT:
' i t+f : 11 Iif wt
1113Fr?N tj AY r~rJ •t iN#' . Nlrk
PERMIT SUBTYPE: TYPE OF WORK:
rii , r ra4 ii
INSPECTION D. .
~ i N~, , E r~,~ i
~ ~
Permit No. Permit Holder Dete Telephone ~t
ELECTRIC
PLUMBING
HVAC
Inapectlon Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP 80ARD
FIREPtACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BIDG FIMAL
BSMT F.I.
BSMT FINAL
OECK FTG IJ4 _
DECKFI'•
~
i
CITY OF EAGAN .
. 3799 Pilot Knob Rood Ecgon, MN bsl?.Z N4 6121
PHONE: 454-8100
BUILDING PERMIT Recelpt #k _
Te bs ured for Est. Value Date , 19
Site 1lddress Erect ~j Occupancy
Lot Block Sec/Sub. Alter ? Zoning
Parcel # Repair ? Fire Zone _
Enlorge ? Type of Const.
W Name Move ? # Stories
3 Address Demolish p Front ft.
Ci Phone Grade p Depth ft.
`K Nome Approvols Fees
,o
Address Assessment Permit
~ Ci Phone Water & 5ew. Surcharge
Police Plan check
y~W Name Fire SAC
r
Address Eny. Woter Conn.
Ci phone Plcnner Water Meter
Council Road Unit
I hereby acknowledge that I have read this application and stute thot Bldg. Off.
the info?mation is correct and ogree to tomply with ull opplicable APC Total
Stote of Minnesote Statutes and City of Eagan Ordinances.
Signature of Permictea
A Building Permit is issued to: on the express condition thot
all work sholl be done in accordance with oil applicable State of Minnesoto Statutes ond Ciry of Eagun Ordinonces.
Building Official
~ Pensk # OeM lared Panwtttea
Plumbing
Mechanical
:7
c-
INSPECTlONS DATE INSP. Rouph-ln Final
FooYings I ~ Date Irup.
Foundation Plumbing
Frnmelins. lytv ~~T•~4- Meclwnicol ~s•9/- D
Fincl
~
Remorks: 1y/4/~'C
CITY OF EAGAN Remarks
Addition ST. FRANCIS WOOD Lot 11 sik 2 Parcel 10 65900 110 02
Owner 5treet 3616 Wi d,gPnn Wav StatePag3I1.~ MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 1980 1758.49 175.85 10 1582.65 C005544 A-10-80
STREET RESTOR. 71 1. 1980 75.00 15.00 5 75.00 C005645 10 1$ 80
GRADING
*SAN SEW TRUNK q3) 1980 3658.57 243.90 15 3414.57 10-10-80
*SEWER LATERAL
WATERMAIN
#WATER LATERAL
frWATEfi AREA laRn
*
•STORM SEW TRK
fSTORM SEW LAT 1980 15
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATERCONN. 185.00 20627 8/26/80
BUILDING PER.
SAC $ 26 $Q
PARK
CITY OF EAGAN
3795 Pilot Kno6 Rood Eagan, MN 55122 N! 6121
PXONE: 454-8100
BUILDING PERMIT APPLICATION Receipt # ~~/•-?7
70 6e ueed hr SF DWG/GAR Est. Value $102,000 Date 8-26 , 19_80_
s+re nddreu 3616 Widgeon Way - erecr ik Occuponcy R3
Lot_11 Block2_ $ec/Sub. St._ Franni.a WdS. Alter ? Zoning Ri
Parcel # 10 65900 110 02 Repair ? Fire Zone 3
- Enlarge ? Type of Const. V _
w Name lUChael & Pamela Wold Move ? # Stories
; Address 1783 Serpentine Ih'. Demolish ? Front ft.
0 Ci Phone - Grade ? Depth 42 ft-
& Name Mi ka R Pam Wn'1 ri Riiconn Igr AvProrab Fees
0 - 23 50
o~ Address Assessr~t 7-22-8 0 Permit ~
u
~ Ci Phone Water & Sew. Surcharge C
Police Plan check1n8 .75
WW Name Fire SAC 525.00
Address Eng. Water Conn. 305 _ 00
<w Ci Phone Planner Water Meter 60.00
Council Rood Unit
I hereby ockrrowledge thut I hove reod this applicotion ond stote that gldg. Oft.
the informotlon is correct and aqree to comply with all applicoble AP~ Totol •~~~5--
State of Minnesota Stat te a d City of Eaga ~r'napnces.
Signature of Permittee ~!Q-~~1• 4ZA7.-1-5~
A Building Permir is issued ro: Miehael & Pamela WOld $c 6 p ~uSCOri IriC. on the express condition that
all work shall be done in q~dunce with all applicable State of Minnesota Statutes cnd City of Eugan Ordirwnces.
Building Official 7 z~ r
CITY OF EAGAN Include 2 sets of plans,
~ 1 site plan w/elevations &
BUILDING PII2MIT APPLICATION 1 set of energy calculations.
o /o~~ , 00ir -
'Ib Be Used For Valuation Date ic-t P e,~i
Site Address: ~ r OFFICE USE ONLY
Lot 1t Block Sec./Sub. ° • ~(~ct x occupancY 3
Alter Zoninq /
Parcel M ( ; w i'i 9- ~pair Fire Zone ~
eEnlarge _ Type of Const.
Raner: ~e # stories
Pddress: 17$ 3 ~pp&\{ ;y)o, Deirolish Front ft.
Grade Depth y y- ft.
City/Zip Code:
Phorle # : APPROVATS FEE'S _
Y ~
Contractor: Assessments Pexlnit 6-0
Pddress: .(.t Cem II~ Lrh G• Water/Sewer Surcharge a o
Police Plan Check ) Q g, ~ y'
City/Zip Code: Fire SAC a-sn-, o0
Phone ~9• Water Conn. ,S;,,D
Planner Water.Meter ~l,,o d
(~1 I Council Road Unit
Arch./Erg.:V-~11<<~iI~ST c,e~ <~ObiJ~CQ'. Bldg. Off.aO 7 ~~a-So
Pi3dress: APC
City/Zip Code:
/ ?r
Phone TOTAL
2005 RESIDENTIAL BUILDING PERMIT APPLICATION 00
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Conshuclion Reauirements RemodeUfieoeir Reauirements Office Use Onlr
3 registered site surveys showing sq. fi. ol lot, sq. ft. of house; and all roofed areas 2 copies of plan CeA of Survey Recd _ Y_ N
(20°h mazimum lot coverage aflaxed) t set af Eneqy Calculalians for heatad addNOns Tree Pres Plan Recd _ Y_ N,
2 copies of plan showing beam & window s¢es; poured found design, etc. t s'rte survey for addltlons 8 decks Tree Pres Requ'aed _ Y_ N
1 set o( Energy Calculatrons Add'dion • indicefe Hon-sBe septk system On-sife Septic Sys[ein _ Y_ N
3 coples ol Tree Preservation Plan If lot platted after 711193
Rim Joist DeWil Options selec6an sheet (buadirgs with 3 or less units)
Date /-0< Construction Cost
Site Address 9) (P k) 1 d a Po 04 UnitlSte tt
Description of Work
Multi-FamilyBldg _ Y&N Fireplace(s) _ 0_ 1 _ 2
PropertyOwner w1 `e pi G Lh~ ~ d P(A) ( Vl C. Telephooe # ((ptrl ) yOSf `
Contractor £l1CA--e PrOr.s
Address -7351 K r rL wood ,Yn~P N' ~ l3d _ City
State .614 Zip 'J~~7,3lO Telephone tt 7A0)00 rJ
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category
. Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(+l submission type) Submitted Submitted
• Energy Envelope Calculations 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 )
Mechanical Contractor Telephone # ( )
Sewer/WaterContractor Telephone#( )
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the Ciry 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
w~a.n
Permit; that the work will be in accordance with the approved plan in the case of work which requices a,re~ia L
~l)~
approval of plans. U JUN I ~1 2005 ~I
Applicant's rinted Name Applicant's Signature By
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 AccessoryBldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Exl. 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 OS-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 Building ? 42 Demolish Founda5on ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 48 Windows/DOOrs
? 34 Replacement •Demoiitlon (Entire Bidg) - Give PCA handout to applicant
Valuation Occupancy MCES System _
Census Code Zoning City Water
SAC Units Stories Booster Pump
# af Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) Final/C.O.
_ Footings (deck) Final/No C.O.
_ Footings (addition) _ Plumbing
_ Foundation HVqC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final
_ Framing _ Siding _ Stucco Stone Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By: , Building Inspector
Base Fee
Surcharge
Plan Review j
MCIES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN 1 ~ ~ • ~ ~
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New ConsW ctian Reauirements RemodellReoair RecuiremaMs
• 3 registered sde surveys showing sq. fl, of lot sq. fl. of house; and all rooted areas • 2 copies of plan
(20% maximum lol caverage allaxed) • 1 set of Eneigy Calculations for heated addNOns
. 2 wpies at plan showing beam 8 wirMOw sizes; poured found design, etc.) • 1 sde suney for exterior addi6ons 8 decks
• i set of Energy CalcWations • Indicate i( home urved by septic system for additions
. 3 wpies of Tree Presenafion Plan if lol platted atler 711193
. Rim Joisf DeWd Options selection sheet (bldgs witlh 3 or less units)
DATE G- f -7-~ VALUATION y 51 9s
SITEADDRESS MULTI-FAMILYBLDG _Y N
TYPE OF WORK I Df FIREPLACE(S) _ 0_ 1_ 2
APPLICANT e
STREET ADDRESS l3n IVe /J CITY_~STATEL~_~IP S5~/~/
TELEPHONE # ~~3 SC(~'~~ELL PHONE # FAX #
PROPERTYOWNER Af ke 0 I-\Q G'° I ZZ e" TELEPHONE# 6'51_Y65- 3d3-~
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RliLFS 7670 CATCGORY 1 MI?1NESOTA RULFS 7672
(J submission type) • Residential Venlilalion Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Su6mitted
Plumbing Contractor: Phone # _
Plumbing systcm includcs: _ Water Softencr _ I.awn Sprinkler Fee: $90.00
Waler Heatcr _ No. of R.I. Baths
~ No. oF Baths
Mechanical Contractor: Phone #
Nlechanical system includes: _ Air Conditioning I'ee: $70.00
Hea[ Recovery Systcm
Sewer/Water Contractor: Phone #
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant , I
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not R Mir
Uptlated 4102
OFFICE USE ONLY
? Ot Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Owelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Gara9e ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
13 OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Stortn Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
11 32 AddiGOn ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bidg)" ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement `Demolition (Entire Bldg only) - Give PCA handout to appiicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
Footings (new bldg) REQUIRED INSPECTIONS
_ FinaVC.O.
_ FooCings (deck) FinaUNo C.O.
_ Footings (addition) - Pl~~g
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final Pool Ftgs Au/Gas Tests Final
_ Framing Siding Stucco Stone
_ Fueplace _ R.I. _ Au Test _ Final Windows (new/replacemeot)
_ Insulation _ Retaining Wall
,
Approved By Building Inspector
ase 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-c~e ~nc~?ine~e~~'~z.~? Ca?i~~+c~ny:
~00 ?~-Q~-eZ~~•s ?f?~~z~..~3z,zc~°a~a~~IZ~;, 77'Z~~e
Leqal Description: Lot 11, Block Z, CFRT IFICA-FL °w , SURYEY
ST. FRANCIS WOOD, Dakota County, p
M.innesota 0 ~
I '
I1t ,03~•4"io
0
PFJIS~~NS
5-7-&W {kDV6p PROPOiF.~ / ` ~
. Z.=STy' N]C V'SP.t ELEV.S,
. { .
N I~
~DRAINA64 EF~t58MgN"~;. : . .
-h h
~ ki
0
_ e~~(~• " L ~F ~ ~ '
go N
~ L Q'~ f O N ry/ so~?&Y c.~+vE'
L e37
L" ~Newe
~ ~.YE' ~ I•tL. ~3!~R~NaS
. . 24~ ~z~ .
, . y. ~ . .
LO7"
'fb',4 , ~ ~ , ,h 4?~ r rt
O 1 h. ~ ~Q . " . . . ~ .
I horebv cextzfy that this is a true
a ~ and correct repFesentakian'of:a tract
of land as showri and described'hereon.
,r g As prepared by me on th~s 6 iiay af
December , 1978, ~ .
Min~ ' Reg No ; W58 `
1t
,w•k , , v:.. ~ .
f F . 4 7777M
d i•. p 1~'
. . . ' ~~Owlr..
' PHILLIPS PLAN SERVICE
10700 Lyndale Ave. So.
EXTERIOR ENYELOPE kYERAGE "tl° COMPUTATION BloomiIIgton, MN 3' ~~2p
Suite ~ 306 .
01tNER Me ~ Me5 UJoLD SITE ADDRESS
CONTRACTOR DATE I'-I- 5O PHONE
Determine working square footage of each.
1. Total exposed Nal l area 313 t.p , y y sq. ft. x .1$
2. Total roof/ceiling area 1`) l9l.o sq, ft. x .04 Total exposed wall area above floor = Z'I Zo
a. Total wa1T window area 3 9 5.10
b. Tatal door area gy .
c. Total sliding glass door area -1 y
d. Total fireplace wall area........................
e. Total wall framing area (average l0%)............. Z.I . y
f. Total net wall area above floor I q? lo,? Co
g. Total rim foist area Z ~S
Total exposed foundation area = 13q.54
h. TotaT foundation window area
1. Toal net foundation area abpve grade ± 31, to
Determine "U" value of each wall segment.
a. 39S1a X"U', , 55 = Zi`7.5$
b. x"U" ,13 = 1 I.lD1
' C- Lj Lj ' X ~-r , 5 = Z Z
d. X „Ul.
e. Ztq,laN X"U" IZ = ZLo.35
f. 1~rl l.4 •'7lo X•°uis , 05q = 1 Ilr,1oZ
e. z'1 . ag xHull , 05 = 13.q`1
n. " - x „u„
i. 1e x „U., yL-eci = 1~y.51
3 . . . . . . . . . . . . . . . . . . .Total = ~ Lo
If item #3 is the same as, or less than item #1, you have met the intent
of SBC 6006(c)2. •
.
' ; .
Total exposed roof/ceiling area = I y Lo l,Q
Total gross roof/ceiling area = I`A lo lo
3. Total skylight area
k. Total roof/ceiling framing area !Lf lo,lo
1. Total net insulated roof/ceiling area....... 1--~ 14 ,4
Determine "U" value for each roof/ceiling segment.
~
j. - X iluit
k. I'4 ln.l9 z"utl I
t. ~3i9,`I x_'u" 3a•3y
' 4 L9.L.e......... Total
If total of A4 is the same as, or less than #2, you have met the intent of
SBC G006(01.
To utilized the total.envelope system method, the values established by the
sum of items #3 and fl4 shall not be greater than the sum of itens 81 and k2.
1. + 2. _
r
3. + 4. -
~
' IIATERIALS Therm. Rasistance "R"
x .
Erzterior Air I `7
; Siding Haterial '4 5
~ Sheathing 7,b 1.0
Inaulation 1-5_
~ 9heetrock LIj
i Interior Air yLa e),
( StuQs ~1,38
F Rim 1, A8
Conc. Blks. I, z A
~
PHILLIPS PLAN SERVICE
~'•i 1 10700 Lyndale Ave: So.
' Bloomington, MN SS~l4Q
• ° EXTERIOR ENVEIOPE RYERAGE wU" COMPUTATION Suitef lOA .
~
OIiNER _M Me~ l.Jol.D '
SITE ADDRESS
CONTRACTOR DATE O PNONE
Determine working square faotage of each.
1. Total exposed-xal l area . 3131a . 4 4 sq. ft. x .18 = Lo'i.5
2. Tota1 roof/ceiling area 1 `1 Lo Le sq. ft. x •04 8,10
Total exposed wall area above floor = Z`1 ZO
a. Total walt window area 3 9 5.10
b. Total door area gy '
, c. Total sliding glass door area ~Iy
d. Total fireplace wall area ==LQ~
e. Total wall framing area (average 10%)...:........ I 'y
f. Total net wall area above floor (,e
g. 7ota1 rim joist area 7- '1$ . S~
Total exposed foundation area = 13'l.5l0
h. Total foundation window area.....................
i. Toal net foundation area above grade 131. lo
Determine "U" value of each wali segment.
a• 3951o X,lr
6 ~ y X"U" 139 = 1 I.~`T
c. y y ' X ~-r 5 = Z Z
, d. - X lull
e•_ LoLi X1.ut, ~ IZ = ZLo.35
f. 15'1 ~e ,'7ln x„OU" 05g = I I l,,.bZ
e. Z'1~.88 x $I U., ,05 = 13,qy
h. , X „uli
i3~,5tg x r ,yuG = l.y y.51
3 ~ 0.1?H ...Tota1 = y~Z lo?
If item #3 is the same as, or less than item #1, you have met the intent
of SSC 6006(c)2.
~
I . ,
l, • _ _ _
• , Total exposed roof/ceiling area = I yl-V tg
Total gross roof/ceiling area = ~14 lo lo .
3. Totat skylight area
k. Total roof/ceiling framing area ( 4 l.,lo
1. Total net insulated roof/ceiling area....... 13iq . 4
Determine "U" value for each roof/ceiling segment.
'
j. - X ,lu„
- " k. Iq lo. lo x"u" . ~ ZLn = 3.81
i. ~3iG.y X „U„ pZ3 ° 30 '3y
• a 1.`lt4 .Le.........rotal
If total af ffi4 is the same as, or less than H2, you have met the intent of
SBC G006(01.
To utilized the total envelope system method, the values established by the
sum of items #3 and #4 shall not be greater than the sum of itens B1 and q2.
1. + 2. _
.
3. + 4. _
IIATERIALS Therm. Resistance "R"
Baterior Air 17
Siding 1[aterial .4
Sheathing ,Ola
Insulat Son
8heetroc& y 5
Snterior Air
$tuda y.38
RiM 1, 8fS
Cos?c. B11[s, 1. Z A
J -
~ .
. . ' k. , . .r ,
, 1-011i PERMIT
CIl'Y OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B u z Lo IN e
Eagan, Minnesota 55122-1897 Permit Number: 028197
(612) 681-4675 Date Issued: g 7/ 0 8/ 9 6
SITE ADDRESS:
3616 WIDGEON WAY
LOT: 11 BLOCK: 2
ST FRANCI5 WOpp
P.I.N.: 10-65900-110-02
DESCRIPTION:
~ . x
O~7i3~c11 rt~Permit Type DECK
tk~t"~k Type NEW
~J, Cen,6~6s JEbd'6 ~:k 434 ALT. RESIDENTSAL
s ~
~ ~
v ~f s~aLa ts~a~ ra
REMARKS:
FEE SUMMARY:
Base Fee $45.00
Surcharge $.50
Total Fee $46.50 '
CONTRACTOR: - p,pplicant - ST. Lzc.OWNER:
HEINEN CONST INC, NICK 14574659 0005629 RQHERTY JOHN
1409 WACHTLER AVE 3616 WIDGEON WAY
MENDOTA HEZGNTS MN 55118 EAGAN MN
(612) 457-4659
? Z Fierehy ackns~w~.eSige C;hat I`have read app~ji~atjQti , arvd jaCat;s Chatthe
i L mati. ba.r'i4ct tin'ii,~gree tca '~csmply u3th al Z alspii;ea'b1e 5ta.te +af M-m. `
: t, ta ~s r~(0-tfy af
L 4 . , . _ _
j APPLIGANT/PERMITEE SIG TURE ISS EO 6 SIG TURE
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
NaW Gonstrudion Reauirements RemodeVReoair Reauirements
? 3 registered sife eurveys ? 2 copies of plan
2 coDies of plans (include beam 8 window sizes; poured fid. design: etc.) ? 2 slle surveys (exterior additions & decks)
1 energy calwlations ? 1 energy ealculations tor heated addilions
? 3 copies of tree preservaHon plan if lot plalted after 711193
requlred: _ Yes No ~
DATE: L.1 CONSTRUCTION COST:
DESCRIPTION OF WORK:
S REET ADDRESS:
'LOT BLOCK Z SUBD./P.I.D.
PROPER7Y Name:TcA-`i VT( Phone.#:
h OWNER
Street Address- 1 U 1• 1a`
~ ~LA i~~ State: Zip:
City: ~
~ -~~p
CoN7RACTOR Company: 4~I1 Phone #:~~~r
v Street Address: License S~
~`YZ City:.b3fFea'tlg~> -c). IVS'S State: . Zip: s.~=I s-
e~ Z~~
~ ARCHITECT/ Company: cEW~~ Phone 8
~ENGINEER
~ Name: Registration
Street Address•
V City: State: Zip:
Sewer 8 water licensed plumber: ~ Penalty applies when address change and loc
change are requested once permit is issued.
I hereby acknowledge that I have read this application and state that th inf ation is c rre and agree to comply with ail
.applicable State of Minnesota Statutes and City of Eagan Ordinances.
1
Signature of Applicant: ~
OFFICE USE ONLY ,f,~~ d~I
Certiflcates of Survey Received _ Yes No C! :1996
Tree Preservation Plan Received _ Yes _ No
I
OFFICE USE OPlLY '
.
_
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dweliing ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Misceilaneous
? 05 SF Misc. ? 10 = plex 5 Deck
WORK TYPE
)3/-31 New ? 33 Alterations ? 36 Move .
0 32 Addition ? 34 Repair ? 37 Demolition '
GENERAL INFORMATION
Const. (Actuai) 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 Bidg i
Census Unit b
APPROVALS ,
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Geposit •
S/W Permit
SNV Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
r_'
.77
_ t;... . ,
~ ~ ~
L~ngineex-~r,~.gr G'csr~-r~cacny
ttol ?'~-~a~e2 p1~ ~'a89~o ~0 ~rrilZe,; a'1Z~rca
w
Leqal Description: Lat 11, Block 2, ST. FRANCIS WOOD, Dakota County, o CERT{F.ICATE . SURYEY
Elinnesota 0*
4.,
. 7'7"80 ADCED PROPOSi.p / ` .
~
1A4E ~ SPet E~EV.3. . ~
/ M Y•
,ARA+INA&CR EACSCM6M'1~', '
p~`4'
~ lAIJ °N
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Lp r 10
h
L07
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2 .N . AAII IrSfi1HC~!
4T ~'y,f LOT 12.
46.4 ' . . - ~.p }
~y
I hereby certify thet -thES ip a true ,
y4 rr and eorrect representetiort of a tract -
~,'\99. of land as shown a~td descrfhed hereon.
~y,g r~ ~o ~'+~"T ,t , Y• ' As prepared by rtie vh thi$ b day of
December ~ 1478, _
4°' h;• ~ 0
No.
`8
77 ~ . .
~ -
t . . "ri ' ? .
,
RESIDENTIAL MECHANICAL
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675
Please complete foc Single Family Dwellings & Townhomes and Condos when pemvts are required for each unit
Date C `-I
Site Address 1~O V v ~ C~CIf~ hYl W Q~ Unit #
Property Owner VA 1 c}1QP jd- RCaC~) L-e-1lv l Ylej Telephone (o'rJ ) )LI 051'
Contractor ~ b n~ rd t l ~1 A~t r
Street Address 01 91d FAAbll AV.e.y'1uP City Va f M i 00 I
State M N Zip 65dQ Telephone #((c6l -~o0aD
Bond Expires:
The Applicant is ` Owner I/ Conhactor _ Other
Add-an, modiTication or alteraGon to existing dwelling unit $ 30.00
~
furnace replacement
air exchanger
~ air conditioner _ New J/Replacement
~ other ~ a r ' f
v--
State Surcharge $ 50
Total $ C~• ~
I hereby apply for a Residential Mechanical Pemut and acknowledge that the information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a
permit, but only an application for a permit, and work is not to start without a permit; that the work wdl be in accordance with the
approved plan in the case of work which requires a review and approval of plans. '
Applicant's Printed Name Applicant's Signature
COMMERCIAL MECIIANICAL
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675
Please complete for: commercial/industrial buildings
multi-family buildings when separate permits aze not required for each dwelling unit
Date
Site Street Address Unit #
Tenant Name (if applicable) Previous Tenant Name
Property Owner Telephone # ( )
Contractor
Street Address City
State Zip Telephone # ( )
Bond k: Expires:
The Applicant is _ Owner _ Contractor _ Other
Work Type
_ New Construction _ Underground Tank _ Install _ Remove '*see below
_ Interior Improvement _ Install Piping _Processed _Gas
Nature of Work:
'When insfalling/removing underground fank, call for inspection by Fire Marshal and Plumbing lnspector .
P¢77i111 F¢¢S: $70.50 Underground Ixnk installafian/removal $50.50 Minimum (includes State Smcharge)
or
Contract Value $ x 1% Permit Fee
• If nemilt fee is $1,000 or less, add $.50 ~ $ State Surcharge
If permit fee is over $1,000, add $50 for
every $1,000 permit fee $ Total Fee
I hereby apply far a Commercial Mechanical Permit and aclmowledge that the iuformation is complete and accurate; that the work
will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is
not a permit, but only an application for a pemut, and work is not to start without a permit; that the work will be in accordance with
the approved plan m the case of work which requires a review and approval of plans.
ApplicanYs Printed Name Applicant's Signature
Approved IIy: , Inspector Date:
RESIDENTIAL BUILDING ~ L ~ 0JJ 7S
Permit Application ~
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
New ConsWGion Reaui2menLs RamodeUReoair Reaui2menLs Offxe Use Onlv
3 registered sde surveys shovnng sq. ft. of lot, sq. ft. of house; and all roofed a2as 2 copies of plan Cert of Survey ReW
(20%maximum lot coverage allowed) 1 set of Energy Calculations lor heated additions Tree Pres Plan Reod
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site sunrey Por addi0ons & decks Tree Pres Not Reqd
7setofEnergyCalculalions Add'Rion - iridkateNarsitesepdcsystem _OasiteSep6cSystem
3 oopies of Tree Preservation Plan M bt platled afler 717/93
Rim Joist Detail Optbns ulection sheet (bldgs vrith 3 or less uniLs
Date Construction Cost 500, UO
Site Address UnidSte #
Description of Work 1GCh'W¢ ~e, Kas~~Q, ~pU~4 - CtG~c~e ~~z UlAao'vS ~ f PGf~~A ~Cor,
Property Owner m IKe, E QL{ie, I Le Wre c Telephone 6S))VZS"3G3 2
Contractor 1\Cx15!~ 0.1% Ce GXtcr~c, rS
Address ~ 755G [0 City J)Ku
State f~ fJ Zip $51 f2 Telephone#(7('3 ) 7$0 -Z~CCU
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesob Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential VenUlation Category 1 Worksheet • New Energy Code Worksheet
(4 submission type) Submitted Submitted
• Energy Envelope Calculatlons Submitted
Licensed Plumber Telephone )
Mechanical Contractor Telephone # ( )
Sewer/WaterContractor Telephone#( )
I hereby apply for a Residential Building Perxnit 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.
MO-4c
Applicant's Printed Name Applicant's 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 OS-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 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 'Demolltion (Entire 81dg) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) Final/C.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addition) _ p]umbing
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding SNcco Srone
_ 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
Utility Connection Charge
S&W Perrnit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
2007RESIDENTIAL BUlLDING rExNnT arrLIcariox
' City Of Eagan
, 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694
Nex Construction Renuirements RemodeYReoair ReauiremeNs ORice Use OnN
3 reg5lered sfte surveys showing sa. R of K sq. R af Iwuse; antl all raofed areas 2 copies W plan slnwing fmNgs, haems, jo"sts CeRaf Swvey Reod. _Y _ N
(2096meximumlotcoveragealbwed) lsetoFErcetgyCekulations lorlreeledaddmoms ShcsRepat Y _N
1 Sab Reparl if proposed butltling a fo be placed nn daNrbed soil 1 sfle suneyfir eddiliore & decks Trea Pres F'lan Rfltd Y_ N,
2copiesofplanshawmgbeam&weidaxsaes;pouredlounddesign,eh. AddAion-indieteilmrsieaepticsyskm TreePfesReqwied - _Y _N
iwtorEneryycalculaeoos on,simso* system _v _N
3 copies af Tree Preservation Pfen if lot ptatted after 711N3
- RimJostDehdOp6onsselectimsheef (buBdirgswqh3orlessunits)
Minmsgasro medianical ventiialon fotm
1'lans ascuniAss you state the are trade secret and the reasan.
Date Constructlon Cost a~~ / • &6
V UoiUSte #
Site Address 6 to vJ]_dLiP n. -~.l'
Ij
Description of Work 1ewV Pi c1 L.Pjal:e.i rLi dcor I n cxu~nci
Multl-Family Bldg _ Y_ N Fireplace(a) _ 0 _ 1 _ 2
PropertyOwner ~Bachel eWi ?ne, Telephoue#({pq)ovc)s -,5037--
Contractor ~Il Ql1 W 1n_.Qa...J.-4rzs,~LJ .1., •
Address ~7 ~~f~~l)Q~~ ~Yl Cily r State 7rp Telep6one
COMPLETE TMIS AREA ONLY IF CONSTRUCTIN6 A NEMI BUILDING
- Mimcsota Rulcs 7670 Cateeorv 1 Mmnesota Rutes 7672
Energy. Code Category ,PoosideMial Ventilation Cafegory I Waksheet • New Emrgy Code Waksheet
(J submission typa) Submitted Submdted
• Energy Envelope Celculatbns Su6mitled
In ihe last 12 months, has The City of Eagon issued a permit for a vmilar plan based on a master plan?
_ Y _ N If yes, dote and address of master plan:
Licensed Plumber Telephane ~
Mechanical Contractor Telephone J
Sewer/WaterConTractor Telephone#( ~
I hereby apply for a Residential Building Permit and aclmowledge 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; 1 understand this is not a pemvt, but only an applicarion for a pemut nd work is not without a
permit; that the work will be in accordance with the approved efi in th c of w which uir a review and
approval of plans.
~~~nv,.j,j
ApplicanYs rinted Name ant s tgnatur
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 3616 Widgeon Way
Lot: 11 Block: 2 Addition:
PID:10- 65900- 110 -02
Use:
Description:
Sub Type:
Work Type: Gas Fireplace (new)
Description:
Census Code: 434 - Occupancy:
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Haley Comfort Systems
122 West 3rd St
Hastings MN 55033
(651) 437 -0338
e- Fireplace Construction Type:
Chimney /flue must be inspected prior to concealing. 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.
Brian Welke
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total: $90.00
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.
Applicant/Permitee: Signature
PERMIT
City of Eaan
St Francis Wood
- Applicant -
Owner:
Michael A Lewine
3616 Widgeon Way
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
Issued By: Signature
Building
EA081743
01/22/2008
ePermit
Use BLUE or BLACK ink
For Office Use
,�
Permit # L 1r" D
Permit Fee: 211- I
Date Received: ''''.(.3--/c)-41
l Staff:CS
lv I S
tAGIC
Eatall
830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
RECEIVED
MAY 022012
p 2012 RESIDENTIAL BUILDING PER
J Site Address: 3/ is
IT APPLICATION
Applicant is: Owner
Description of work:
Construction Cost: o a
Address: 6 i 00 5T +, j,,3
State: Zip:
License #: VROO Lf 5
Multi -Family Building: (Yes / No
Contact: a Sell 1
0 City:
If the project is exempt from lead certification, please explain why: (see F e 3 fora additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan
date and address of master plan:
Mechanical Contractor. Phone:
Phone;
1;to be p i<rtl rmatiort. Porti' of
reasons l
at vlr+otfi perrniit i`tbe CI fy #o
CALL BEFORE YOU DIG. Call Gopher State One Cal at (651) 454.0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. o er tateoneceli.arg
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
nete
Applicant's Printed Name
-3(4/ ik, {wry
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation
Single Family
Multi
01 ofPiex
Accessory Building
WORK TYPES
New
Fireplace
_ Garage
4 Deck
Lower Level
Interior Improvement
Addition Move Building
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%___ 100%)
Census Code
# of Units
# of Buildings
Type of Construction
Fire Repair
Repair
V
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roo€:___Ice & Water _Final
Framing
Fireplace: ___Rough In __Air Test
Insulation
Sheathing
Sheetrock
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazetoo/Pergola)
Pool
Siding
Reroof
Windows
lo(f)(0o
Storm Damage
_
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous'
Demolish Building*
Demolish Interior
Demolish Foundation
Egress Window — Water Damage
Demolition of entire building - give PGA handout to applicant,
Occupancy ,LC/ MCES System
Code Edition g SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Zoning
Stories
Square Feet
Length
Width
Meter Size:
Final / C.O. Required
Final i No C.O. Required
HVAC Gas Service Test Gas Line Air Test
Other:
Pool: __Footings ___Air/Gas Tests ___Final
Siding: ___Stucco Lath ___Stone Lath ___Brick
Windows
Retaining Wall: _____ Footings Backfill ___ Final
Radon Control
Erosion Control
, Building Inspector
Reviewed By:
RESIDENTIAL FEES
Base Fee.
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
sot 7rrecrirre8zefici7iffs 1:43"-ffitiaeliZe‘
.131E r -47194.-a...
Legal Description: Lot 11, Block 2,
ATE
ST. FRANCIS WOOD, Dakota County, CERT.iF %
Minnesota
. F.t.41S1MN 5 :
7-7-$o Avc►Err PRorost
Z - STS/ use ' i1?o1 mLEv.J.
e_
o.)
Srr�
Liot
LOT 1 O;
SURVEY
lerk
a a4m4
freo 9-C{,52
Alto podit
Lo -r
hereby certify that -thio ice. a, true
d correct representetiost�, of a tract -
f land as shown and described hereon.
s prepared by'ale-on thio r6 day of
December , 14784..' ` . .; -._
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA135754
Date Issued:04/04/2016
Permit Category:ePermit
Site Address: 3616 Widgeon Way
Lot:11 Block: 2 Addition: St Francis Wood
PID:10-65900-02-110
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Michael A Lewine
3616 Widgeon Way
Eagan MN 55123
(651) 888-6639
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA143544
Date Issued:06/19/2017
Permit Category:ePermit
Site Address: 3616 Widgeon Way
Lot:11 Block: 2 Addition: St Francis Wood
PID:10-65900-02-110
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 -
Michael A Lewine
3616 Widgeon Way
Eagan MN 55123
(651) 888-6639
Bischel Building Contractor Services LLC
100 8th Street
Farmington MN 55024
(651) 463-8762
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA156179
Date Issued:06/19/2019
Permit Category:ePermit
Site Address: 3616 Widgeon Way
Lot:11 Block: 2 Addition: St Francis Wood
PID:10-65900-02-110
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Andrew J Theis
3616 Widgeon Way
Eagan MN 55123
(651) 368-2173
Metro Air
16980 Welcome Ave SE
Prior Lake MN 55372
(952) 447-8124
Applicant/Permitee: Signature Issued By: Signature