3618 Widgeon Way
;
~ OF EAGAN ' WATER SERVICE PERMIT
9995 Pilot Knob Road PERMIT NO.:
Eagon, MN 55122 DATE:
Zoning: No. of Units:
Owner:
Address:
Site Address: -
Plumber:
Meter No.: Connection Charge:
Size: Account De
posit:
Reader No.: Permit Fee:
! agree to eomply wieh the Ciry of Eagan Sureharge:
Oedinanees. Misc. Chorges:
Totcl:
BY Date Paid:
Dote of Insp.:
I nsp.:
~
t OF EAGAN SEWER SERVICE PERMIT
df95 Pilot Knob Road PERMIT NO.:
Eagon, MN 55122 DATE:
Zoning: No. of Units:
Owner:
Address:
Site Address: `
Plumber:
1 ogree to eomplp with !he City oi Eagon Connection Chorge:
Ordinanees. Account Deposit:
Permit Fee:
Surcharge:
By Misc. Chorges:
Doie of Insp.: Total:
Insp.: Date Poid:
Cities Digital Quality Control
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3795 PNet Kwob Rood Eeyan, MN 55122 v; . 7','-•'
PHONEs 454-8100
BUILDING PERMIT aeceipt -~1-
Te bo wad MrPO?,CF /DECKS Est. Volue $5,000 pate '11iay 4 19 83
Site Addrcss 3618 Widgeon k'ay
Erect M~ Occupancy I'.-3
Lot 12 Blxk 2 sec/5ub, St. Francis WoOd ls;kIter p Zoninp R-1
paKel # 10 65900 120 02 Repolr ? Fire Zone IvA
David Newman Enloroe p Type of Const. Vn
19 W N,"fQ Move ? ~t Stories
9 z Address 3618 Widgeon k'ay pen,oHsF, p Length 28
1 c; Eagan 55123 pE,one 452-11 7625 Grnde ? Oepth L2 Sq. Ft.
°C Name ii:iberline Builders, Inc. Approvals Faes
,o
~fen 3707 So. fiills Dt3ve Assessment Permit 58 . 50
Cit Layran 55123 phone 454-5913 Water & Sew. Su?chorge 4•00
Police Plon check
Nome Firo SAC
~
zo Address Enp. Woter Conn.
iW CI phane Plonner WoterMeter
Countll Rood Unit
1 hereby acknowledge that I hove reod this applicotion and stote that gldp. Off.
the intormation is correci and agree to tomply with all epplicoble Total State of Minnesoto Sfatufes and City of Eogan Ord' or?ces.
Siynoture of Permiftee a~ Z, m@ u• ere, Inc.
A Building Permlt Is issued to: on the express tonditlon tFai
oll work shell be done in xwrdance with oll cpplicoble Statit of Minnesota Statutes ond Ciry of Eapan Ordinances.
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CITY OF EAGAN
3795 'ilet Knob Raa+ Eo9en, MN 55122 3 j4 16
PHOMEs 454.8100 BUILDING PERMIT Receipt #
Te be wed for Est. Volue Dcte 3 , 19
Site Addrcss E?ect
E] Occuponcy
Lot ~ Block Sec/Sub. r /11ter ? Zoning
Pnrcal # Repolr p Fire Zone
Enlorge ? Type of Const.
oc Noma Muve ? # Stories
= Address Demolish Q Length
Ci Ph" Grode ? Depth Sq. Ft.
a NamQ Approvab Fees
o
uu Address Assessment Permit
Ci Phone Woter 8 Sew. Surchorge
~ Police Plan check
~ W Name Flro SAC
/1dd?ess Enp. Water Conn.
~ W Ci phone Plonner Woter Meter
Council Road Unit
I hereby acknowledge rhat I have read fhis application and stote that gldg. Off.
fhe informotion is correct and ogree to tomply with oll npplicable ^PC Total
Stete of Minnesoto Stotutes and City of Engon Ordinonces.
SiynoTure of Permittee
A Bullding Pertnir is Issued to: on the express conditfon ihnt
oll work sholl be done in accordonce wfth all opplicable State of Minnesoto Statutes ond City of Ea9an Ordinances.
Buildinq Official
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CITY OF EAGAN
3795 Pilat Knob Road Eogan, MN 55122 N2 6 140
PHONE: 454-8100
BUILDING PERMIT ReceiPr #
To be nmad for Est. Value - Date 19
Site Address ~ `'•r=~ ' i ``.f~° ~ ' Erect 0 Occupancy
Lot Block Sec/Sub. T_?'a''~ 1•`~ • Alter Q Zoning -1
~
Porce) # Repoir ? Fire Zone
Enlarge ? Type of Const.
oWc Name Move p #R' Stories
o Addreu Demolish ? Front ft.
Z
Ci PhoneJ . Grade ? Depth
~ Nome ~ ~.~:berline :~jilders, Approvab Fees
~o -
OU Address ' Assessmeht _ Permit N .
F Water & Sew. Surctwrge
u; Ci Phone Police Plan check
Name
~ Fire SAC
s~ Address Eny. Woter Conn. r' . C~~'
`W Cft phone Planner Water Meter , Council Road Unit
I hereby ocknowtedge that I have read this applicotion nnd state that gfdg. Off.
the informotion is correct ond agree to comply with all opplicable APC Totol ~
State of Minnesota Statutes and City of Eagan Ordinances.
5ignoture of Permittee
A Building Permit is issued to: ~ ~ ~ ' ' - " ~ " ' • on the express condition that
all work sholl be done in accordance with all applicable State of Minnesota Statutes ond City of Eagan Ordinonces.
Building Official
~
f ;
PonaM # pate hped PwmIfMs
Plumbing U v2 - t0 - So qL
Mechanicol
INSPECTIONS DATE INSF• Rouph-In Finol
Footing5 D e Insp. Dote Insp.
Foundution Piumbing
Frame/ins. ~ S ~C Mechanical
Final
Remarks:
. crnr oF E?"N
. , ~ 3799 Wlof Knob Road
No.' . EO9en. Minnesoce 55122 INSPECTOR NOTIFICATION
Phom: 464-8100 R E Q U I R E D B Y LA W
PERMIT FOR ALL INSPECTIONS
Date: _ Receipt No.:
3(1~' "3Clcenri lr£!._ Single I
Slte /lddress: Residential
Lot Block Sub/Sec. Multi Res., Comm./Ind.
Nume -i~zb~rli:~e ~1:1.~;.•-!'!3Y~~ ~1@W?C181'? n~«
New/Alter./Repofr
~ 3 1,':) i . 11117 s ?1'-1;7," ) 7 :'"ieasZnt .
3 Address Y Cost of Installation
-•~il~ :3u.xns vi -1-1 ~ 454-5918
CitY Phone: Permit Fee
,fr ;on
Nome
. Surchorge
Address :'ur,l.er
City ' Phone: Totol
This Permit is issued on the express condition thot oll work shall be done in occordonce with cll opplicoble State of
Minnesota Statutes ond City of Eagan Ordinonces.
Buildinp Officiol
• CITY OF EAGAN
. . 3795 PiloF Knob Road
No.' Eayen, Mienasoco sst?,Z INSPECTOR NOTIFICATION
Phon.: 454-8100 REQUIRED BY LAW
PERMIT FOR ALL INSPECTIONS
Dote: 10-10 ?
-11'0 Receipt No.: ^1 . 1
Single I
l.. eon ~'~£:y
^ ~ ~ ~
5ire /lddress• Residentiol
Lot 1 f: Block ` 5ub/Sec. ' rane{ ° v^" ' Multi Res., Comm./Ind. I
Name •,lli l?IP,-,~.
New //11ter. / Repoi r
~
~ Address Cost of Installation
r
City Phone: Permit Fee
Nome . nat7 -1QZ';• ~.1C . •
~ Surthorge
~ Address y'21 I,vI1QflIE 11VC.
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0
41 City 'Ln. i51.1-~,-'
Phone: Total This Permit is iuued on the express condition that all work shall be done in otcordonoe wlth all oppllcable State of
Minnesota Statutes ond City of Eagon Ordinonces.
Building Officiol
~`i~ ; •11`~' ..`~Ir'#!° ' '~`r
~•4~~~1~
~ I r'l' Trrttft.CatP of C~.Cx~I ^ ~ ~
.
.
of a
Drpttrtmp t n ' ding J rrttnn
This Crrtificatc iuucd pur.ruant to the rrquiremcats of Section 306 of thc Uniform Building A ~
Code cntifring that at the tinu of itsuana this structure was in compliann with the variou.r -1p
ordinancu o f t{x City rrgYlating bxilding conssruction ar u.tt. For the follouang: A
,
~ c~ ch .,,~,;m SF DWG Sldg. Permit No. 6140
~
~
t . p=vpow71YPe R3 n'Pe Comvuctlm V Fim Zarte / Zanin6 Diiuict R.l Timberline Bldrs. 3707 S. Hills Dr,Eagan,Mn.
Owner ot Bulldin6 Addren 3618 i geon ay , , . rancis oo s
1'. Md'mg Addred Loaliry _ ~ ~
eWamgotr,d,t 12-3-$0
;
E II rO~T COMirICUOYf ~LACE B~
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- o~ L,r..~,v I s A.
, CASH RECEIPT
~ CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55121
DATE 19
RCCtI
FR ~Z~
AMOUNT Is I
!k DOLLAR!
+oo
? CASH ? CHECK
5~- . w o( S ,
ROR /2- ~
FUND COD6 AMOUNT
Thank You
BY
White-Payen Copy
Yellow-Postiny CopV
Pink-File Copv
CITY OF EAGAN Remarks
addicion_ST. FRANCIS WOOD Lot 12 eik z Parcel 1() .-65900 120 02
Owner - Street - 3h1 R Wi tigPnn Way State F.agan i MN 551 23
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF, 143' 1582.65 C005545 10-14-80
STREETRESTOR. 7$.00 C005545 10-14-80
GRADING
*SAN SEW TRUNK 357 243.90 15 3414.67 C005545 10-14-80
ytSEWER LATERAL I980 IS
WATERMAIN
•WATER LATERAL 19$0
iS
*WATER AREA 1980 15
* 1980 15
*STORM SEW TRK jJ$O LS
lSTORM SEW LAT I980 ZS
CUR6 & GUTTER
SIDEWALK
STREET IIGHT
WATERCONN. j$S.QQ 0722 9/3/80
BUILOING PER. 6140
sAC g gp
PARK
, cirr oF eaG+N N. ~ 7983
9795 Pilet Knob Reod Eagan, MN Sil~
PHONE: 451-8100 -
BUILDING PERMIT ReceiPr
Te ba wed /orPORCH/DECKS Est.Value $$,000 Date May 4' 19 83
Scra Addreu 3618 Widgeon Way Erect R-3
12 2 St. Francis Wood ls ~ a~u~~
Lot B~ock Sec/Sub. Sllter ? Zoning R-1
Parcel # 10 65900 120 02 Repair ? Flre Zone NA
W Nam David Newman Enlarge Type of Cansf. VR
Move ? # Srories
~ Address 3618 Widgeon Way oemolish ? Length28
ci Eagan 55123 Phom 452-1 7625 Grode ? Depth 12 Sq. Ft.-
g Name Timberline Buil ers, Inc. apv.ovals Fee.
0~ qddren 3707 So. Hills Dxive Assessment Permir 68.50
ci Eagan 55123 phom 454-5918 Water & Sew. Surchorqe 4.00
Police Plcn check
Gw NCme
~Z Fire SAC
Address Enq. Woter Conn.
<W C7 Phone Planner Water Meter
Council Rood Unit
1 hereby acknowledge thot I hava read this aDDlicotion and stote that Bldg. Off.
the In(ormation is torrect and agree to comply with all opplicoble APC Total
State of Minnewro Srotute~nnd ity of Eogoi rdjnances.
Si9norure of Pem,ittee ~ T m er ej ui e s, Inc.
A Building Permit is issued to: on the express conditlon thns
all work sholl be done in accordance with all licab o St t of Minnesota Statutes and City of Eagan Ordinances.
BWidirq Officiol
~
CITY OF EAGAN Include 2 sets of plans,
1 site plan w/el.evations &
BUZLDING PERNII'P APPLICATION 1 set of energy calculations.
7b Be Used For Ryeq,f ~ Valuation Date W- i l-8 3
site Aactress: _34ia wio4wpr~ oFFzcE usE oru,Y
Lot ~ slocx a sec. /sub. s-}_ Frare i's ~ Erect -'L occupancy Ao~
Parcel (D (DSQdd Zoning
Repair Fire Zone A
Enlaange _ 7~ of Const.
Nbve # Stories ~
Pddress: Demolish Front ft.
City/Zip Code: .y3 Grade DePth J~ ft.
Phone # : "Z - '16ZSj APPROUALS FEES
Contractor: 1'1P4oF1R-IaP+C S+.i~,Diaz4 11-1c. Assessments Pezmit 6 9~ a_
Psldress: -I W3ter/Sewer Surcharge ~
37°-) So. 1=1'.5 9IZ- Police Plan Check Av
City/Zip Code: ftyia s51%3 Fire SAC
g'g
Phone N 5?f ^5~1 kP~ • Water Conn.
Planner Water Meter
Arch./Eng.: Council Rnad Unit
Bldg. Of~
Address: APC `
City/Zip Cocle:
Phone T7PAL
CITY OF EAGAN
3795 PIIM Kne6 Read Eegan, MN 55722 N2 6140
PHONE: 454-8100 §
BUILDING PERMIT APPLICATION Receipt # ~o7a!'Z
Te bo usod for SF DWG Est Value 79,000 Dote 9-3 , 198-Q_
Site Address 3618 QjXtXEU= Wi rigann Way Erect ~ Occuponcy R3
Lot 12 Block z sec/sus. St. Francis WdS. Alter ? Zoning R1
Parcel # 10 65900 120 02 Repoir ? Fire Zane 3 _
Enlarge ? Type of Const. V
W Name David NeWmari Move ? # Stories
3 Address 12707 Pheasant Run Demolish ? Front 47 tr.
° ci Burnsville Phone 894-8171 Grode ? Depth 50 ft.
a Timberline Builders, Inc. Anvro.oie Feaa
Nqme
3707 S. xi~.~.5 Dx'. AssessrcAGt2-..2_$0 Permit 1$~+.00
o~ Address
u~ Cit ~BgSn hRn Phone -lF$.L~-SQl R Water & Sew. SurcMrge 39.50
Police Plon check 92.00
~w Name Fire SAC 525.00
Address Eng. Water Conn. 305.00
a W GI Phone Plenner Water Meter 60 _ 00
Couoca Road Unit NA
I hereby ockrwwledge that 1 have reud thls applicotion and state thot" gldg. Off.
the information is correct ond agree to comply with all apDlica6le APC Total ~~n5•~
State of Minnesoto Statutes and ity of Eagon Ordinances.
Sigiwture of Permittee
A Building Permit is issued to: Ti n on the express condition thot
all work sholl be done in acmrda e with cll liwble State of innesota Stotutes and City o4 Eagan Ordinances.
Building Offitial ~ ~-~a
I~o ~
i~• ~ I' CITY OF EAGAN Include 2 sets of plans,
1 site plan w/elevations &
BUILDING PII2NIIT APPLICATIIXV 1 set of energy calculations.
'Ib Be Used For t:ES. i~LMCI= Valuation ~ Date 8-zP- trU
Site Address: Wifllgarl WM OFFICE USE ONLY
Lot I Z slocac 2 sec./sub. sr, tp*-1cis ~Erect te oni ~
Parcel /D / 69DD /~2i~ ~Lgepair Fire Zone
Enlarge _ Type of Const. l/
~Aqj~ 0~M~ Nbve # Stories
Address: pNFkqraT' fay~ Demolish Front J ft.
City/Zip Code: 3uRr.1SV~ u~ Grade Depth ~SO ft.
Phone 8°1 k~ fl I~1 1 P,PPR0VAIS FEES
Permit
Contractor: -rl ~w Cir~. ?-i a E'Rui i..D~-S~i,.tG , Assessmnts 12/
~
Address: '~,Io'f 5e, ",u5 DR. Water/Sewer Surcharge -7 9
~ pplicE Plan Check qg ='a
City/ZiP Code: Qr_qriJ Hr.7 Fire - SAC
' gnq, Water Conn. ?
Phone 45K-~1i2~ Planner Water .Meter "'o ~ -
Arch./Eng.: Council Road vnit N A
Bldg. Off.
Pddress: APC
City/Zip Code:
Phone TOTpL j, ~?e 5. ao
CITY OF EAGAN
~ 3795 Pllo! Kne6 Rood Eagon, MN 55122 N~ 7436
PHONEs 454-6100 -
BUILDINCa PERMIT Reteipt # Y/
Te 6e wed for DECIC Est. Value 1,300 Dare 8-11
Site Addrcss 3618 Wi.dgeon Way 3
. Erect Occupanq R-
Lot 12 Block Z Sec/Sub. St. FTdI1C].S bQOOCl Alter ? Zoning Rl
Parcel # 10-65900 120 02 Repnfr ? Fire Zone Mk
Enlarga O TYpe of Contt. V
W Nome Tlavit'7 Na[mi Ne[uman Move ? # Stories
; Addreu 36 18 W1dgE'OTl Wdy pemolish ? LengthV~
b C. 55723 Phone 452-7625 GmaB ? Depth-2EL-Sq. Ft.-
~ Name Approrolf Feef eiffiew 0
•
ou Addreu Assessment Permit 22
VI Ci Phone Water & Sew.' Surtharga 1•00
Police Plon check
FZ Nome Fire SAC
Address Enp. Water Conn.
i Z. Ci Phona Planner Water Meter
Council Rood Unit
I hereby acknowledge that I have reod this application ond state that Bldq. Off.
fhe inlormCtion is correct nd ogree fo wmply with all oppiicable
Stote of Minnewta Statut and City of ~Eofg,/an~~ Ordinonces. APC Total .
$Ipnoture of PermiMee ' v~'~/•'~Y~
A Bu7lding Pertnit is issued to: on the express condition thnt
atl work sholi be dona in acu~5/dance with oll app1icable State of Minnewta Statutes ord City of Eagan Ordinances.
Buildinp OfHtlal .~~(2,Ze
1 " v
r`0 ~
GrtY oF EAGAn Include 2 sets of plans,
(J.~I(~,~~ 1 site plan w/el.evations &
BUILDING FERMIT APPLICATION 1 set of energy calculations.
7.b Be Used For (Jee..~ Valuatian O a Date
-r
site Pdaress: 31n LwL @ovx-- w4. ~ or'F'ICE vsE orus
I,ot blocx a. sec. /sub. S'f ~ ~ ~t oo~~ ,{'3
Parcel ~ Slod 12a Q2 ~ter ~ Zoning IV
Repair Fire Zone
Rmer: Ml1/A ~MLYY// &OLJh2fiA) Enlarge _ Type of Const.
Nbve # Stories
Pddress:36>6 6J146F'anj GJr4r Demlish Front ft.
City/Zip Code: 5,,r/~2-3 Grade Depth ~.lo ft.
PhoTe 'IS,;z - 712,5 APPFtOUAIS FEFS
Contractor: 04~4E~( Assessments Pexmit 4it
Address: Water/Sewer Surcharge /
Police Plan Check
City/Zip Code: Fire SAC
Phone Eng. Water Conn.
Planner Water Meter
Arch./Eng.; Council Nnad Unit
Bldg. Off. _
Pddress: APC
City/Zip Cade:
Phose MTAL a~ ~ 0 C
This.xequestvoidl8monthsfrom /,V-~-s-•~41 ~216 I(s ~
7
Date of~ Request S 48092
1, as L~f Licensed Electrical ontractor Owner, do hereby request inspection of the above electri-
cal wiring installed at: ~
Street Address or Route No. ity~
Section Townshi Range County&X~
~
1Vhich is occupied by aL~, ,
(Name of Occupfj )
ls a roughin inspec '~n reqti 4red on this job? No ? Yes Ready Now ? Wil] Call E('~
Power Supplier Address
ElectricalContracto CQntractor's icenseNo~+9zia
a y Na j
Mailing Address
( 1 ctr(cel C trattor i Ownar akin9 This Installatlon) /p'
Authorized Signature CUA Phone No. 7~ /f '
(EI Ical C ntrxtor or Ow er Making This Installation)
o . This ins ectian reuest will not be aece ted b tha
51~~ ~ o~ A 2 B State Baard unless proper inspeetion fea is endosed.
Minnesota State Board of Electricity
~1954 University Ave., St. Paul, Minn. 55104-Phone 645-7703
° REQDfST FOrR ELECTRICAL INSPECTION
CFfECK B L'OW WORK CO RED BY THIS REQUEST ~
Type ot Building New. Rep. Check Appliances Wieed F Check Equipment Wired Fm
Home ? ? Range 'Iemporazy W'ving ?
u'D prex Watei Heater Lighting Fixtures
Apt. Bldg. ? Dryer Electric Heating El
Commeicial Bldg. Fumace Silo Unloadei ?
Industrial Bldg. 0 ? ? A'u Condition Ik Milk Tank ?
Farm ? ? ~ oList
~
Other ? ? ? Herers~ ffliffinwl
COMPUTE INSPECTION FEE BELOW -wgho
Seff ice Entrance Size: # Fee Feeders.@ SubFeedecs: # Fee C'vcuits: Fce
0 to 100 Am s. 0 to 30 Am ces 0 to 30 Am res
101 to 200 Amps. 31 to 100 Amperes 31 to 100 Am eres
Above 200 Amps. Above ]00 Amps. Above 100 Amps.
Transformers RemoteControlCirc. Paztialorothecfee
S" ns Special lns ection Minimum fee
Remarks
, J r TOTAL F
I, the Electrical Inspector, hereby certify that t e ag e~'p;ppqyon has been
(Rough-in) • f Date
(Final) • Date
This request void 18 months from
This request void 18 months from AloZ~ 7 5'7 v
48082
Date of u Request c M n 7~ A~ /TZ . s
I, as Licensed Electrical ontractor O Own~,' do hereb y re quest ins pection of the above electri-
cal wiring installed at:
St}eet Address or Route No. ~~G?~ i t7~~.o li(Ja City~
Section Township Range County 11 ,finm -
Which is occupied by /0e u~ JVD fi S P. ~ T ~'h ~/,/72
(Nama of Occupant) - /
Is a roughin inspection required on this job? No ~ Yes Ready Now LN' . Will Call ?
Power Supplier A P-n 70_ Address
Electrical Contractorft-~'a-~ G~ecJ~'hr`C Contractor's License No~B
(Company Name)
Mailing Address ' J~~ 3 13
( ctr cal ntractor or Own Making Thla Installatlon)
Authorized Signatu Phone No. 935_/-,/7~J
A."RORD Contra or orly ner Making TMS Installatlon)
~~~G~~ co This inspection reques[ will not be accepted by the
~ u Stete Board unless proper inspection fee is endosed.
Minnesota State Board of Electricity
"`W4 lliaiversity Ave., St. Paul, Minn. 55104-Phone 645-7703
" REQUEST FOR ELECTRICAL INSPECTION ~
CHECK BELOW WOKK COVERED BY TiIIS REQUEST s
Type of Building New d. Rep. Check Applisnces W ired For Check Fquipment W'ved Fm
Ho~fie U ? ? Range ? Temporary Wving ?
Duplex Water Heatec ? Lighting Fixtures ?
qpt. Bldg. ? 0 ? Dryec ? Electric Heating 0
6ommercial Bldg. Fumace ? Silo Unloader ?
Industrial Bldg. Av Condi[ioner ? Bulk MBk Tank ?
List ) L'ut
Farm ? ? ? p y
Other ? 0 ? He~rejs) Rehers
COMPUTE INSPECTION FEE BELOW
Seivice Ent:ance Size: # Fce Feeders&Subteeders: # Fee Citcuita: # Fee
0 to 300 Am s. ' 0 to 30 Am eres 0 to 30 Am eres
101 to 200 Amps. 31 to 100 Am res 31 to 100 Am res
Abov s. 4573~±~ Above 100 Amps. Above 100 Amps.
teControlrc. Paztial or othecfee
tnfiA
ns L`S cial lns ' n Minimum fee $
Remar /
~TOTAL FE
I, t e cer y a e a ove jnspection has been made.
(Rough-in) Date
(Final) Date -
This request void 18 months from
. a
EXTERIOR Ei;VEti PE Ab'ERAGE "U" COt1°UTATION
01•lNtR pAVr ~5-WMW
STTE ADDRESS ,J
CONTRACl'Oft ~M(3y~L~J~'_1su~Wk~Si ~ac. DATI, 8-z8 _ PHGNE 45~~'-+4~8
Determine wcrkina square footage of each.
sq. ft. x_;_JL_ = 34-9_i
1. Tota7 exposed t•:al T area zo54-
2. Total roof/ceiliric/area iZio sq. ft. x.05 = 6o.s
Total exposed wall area above flcor = Ibqy F'fi '
a. Total wall window area I~ FrL
b. Total door area _ ~i fr=
c. Tci.<~.I slidirg glass door area 2o S rr..
d. Total fii°eplace veall area -o -
e. Total wall framing area (average 10i)...'......... tre?
f. Total net wall area above floor Isq Z Fr`__
g. Total rim joist area iz~
~ Total e;:posed foundation areu = Ic.y- Frz
h. Total foundation windoG-r area _ o-
i. Toal net fcundaiion ar•ea abeve grade
Dete r.-flne "U" va'ue cf each Uiall segment.
a. X~lull
b. Sz, X slU',
C: ZoS x uuli I12.15
d. X liuli _o _
e._ X ltuii
f. izqa X uU° ,oHM~ ---5t.85
g. ft.c, X 'tU"
h. -o- X 1, u~~
i._ X ilUn
3 ...................................:.Total
Ifi item ,=,'3 is the same as, or iess than item ;l1, you have met the intent
of SBC 6006(c)2.
~
'k . . ,
Total ex,pcsed roof/ceiling area = I zio
j. Total s`r.y7ight area............................. _ n-
k, Total roofi/ceiling frariing area (averaae 10°').,_ lai ~r2
1. Total net insulated roof/ceiling area........... logq pr+
Dete-rnii;e "U" valuc for eaci) roof/ceiling segmeri;.
j, X uun
k•_ 121 X nUn ,o a4' = z.9a
1•_ lo$q X liuu z3,9L
4 ..................................Total ic.8 6
- C-~
If total of #4.is the same as, or less than n2, you ha•;e met the intent of
SBG6006(c)l.
Altern.=ie Buildir~g Emvelope Design
To utilizL' tl7n tctal envelope system m;chod, the values established by the
sum oi ; tee:s 0 a:,' #4 shall not be nreater than the sum of items i;] and #Z.
+ 2.
3. a3~,c.~ 4~ -Z~N-,5L
61qSy RESIDENTIAL BUILDING
Permit Application ,
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reauiremenls RemodeVReoairReauiremenb Office Use OnN
3 regislered site surveys showing sq. R of lot sq. R of twuse; and all roofed araas 2 apies of plan Cert of Survey ReW _ Y_ N
(20%maximum lot mveraye albwed) i setof Energy Calculatlons forheated additions Tree Pres PWn Recd _Y _N
2 copies of plan shaxing beam 8 window s¢es; poured found design, etc. 1 site survey for additions & dedcs Tree Pres Reqd _Y _ N
1 set of Energy Calalafions Addition - indkate Son-site sepOc system On-site Sep6c System _ Y_ N
3 copies of Tree Preservation PWn if bl platted after 71/93
Rim Jaist Demil Optlons selectlon sheet (bldgs with 3 ar less units
Date /v .2Q7 ConstructionCost /2 DOo
/ i
Site Address 34 ~ 8" N/;de F.an rZ-( w{ SS~/7S3 Unit/Ste #
- Ca
Description of Work
Mu?ti-Family Bldg _ Y ZC N Fireplace(s) _ 0~[ 1 _ 2
Property Owner ( 4l (s E. Telephone #((>S/
Contractor
Address CitY
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672
Energy Code Category . Residentlal Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J 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% pian review
fee applies.
Licensed Plumber Telephone )
~7 r t
Mechanical Contractor Telephone J) 1_ (n ~ 'I I 01
Sewer/Water Contractor Telephone I I I) rT ~n~
U J
I hereby apply for a Residential Building Permit and acknowledge that the inform tioti"'is co lete-ana-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 wiil be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
(~e,a-t t-1M CCLu12-cl - <9
Applicant's Printed Name App]'cant's Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-piex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Dedc ? 23 Porch (screeNgazebo) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex 0 12 12-plex Piby_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Aiteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolition (Entlre 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 Bldgs Length Fire Sprinklered
Type of Const Width
REQUIItED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) _ Fina]/No 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 _ RI. _ 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
S&W Permit 8 Surcharge
Treatment Plant
License Search
Copies
Other
Total
L/rI-( 55 CITY USE ONLY
I PERMIT YA~y RECEIPT DATE: IO -),Oj I
ftE,SIDENTIALL MECMNIClkI. PEgMIT tkPPLIClkT10R
crrY oF EAenx
ssso Paor xeos sn
L'A6kA b1R 55122
651-691-4675
Please complete for: ? single tamily dwellings
townhomes and condos when permits are required for each unit
Date: xBz~/ /
SITE ADDRESS: 3`I S 141Od GoN
OWNER NAME: eRi4elr TELEPHONE G~~ - 90S- r
(AREA CODE)
INSTALLERNAME: 600-4Ef PLG el H~ ~c TELEPHONE#: ~OS"i - aaX-;0iYo
(AREA CODE)
STREET ADDRESS: G/t/ 04&~
CITY: 5756w C STATE: ^y/`' ZIP: 5-]i7yVZ
Place a check mark next to the ermit work t e
New residential dwelling unit under constructionand not owner/occupied $ 70.00
? Add-on, modification or alteration to existin dwelling unit $ 50.00
• fumace replacement
• air exchanger
• air conditioner
• other
IVature of work: e~AS 10"111y~ ~02*51`4-r0 `
State Surchar e $ .50
Total $ !;-0 5=
In ccr F-Iinns I'l
u
Reminder: Call for inspections.
SIGNATURE OF PERMITTEE
Updated i/Ol
CITY USE ONlY
PERMIT RECEIPT DATE:
APPROVED BY: , INSPECTOR
CObIMERCIAL MECi3"C!!I. PERM1T APPLICATION
C11'YoF gAem
S$SO PILOT KftOB ftD
EA6lEN,MN 551 EE
651-6$1-4675
Please complete for: all commercial(industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE:
SITE ADDRESS:
OWNER NAME: PHONE
(AREA CODE)
TENANT NAME (IMPROVEMENTS ONLY):
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER:
ADDRESS: PHONE#: -
(AREA CADE)
C1TY: STATE: ZIP:
WORK T'YPE: ` New construcrion Install U.G. Tank
_ InteriorImprovement Remove U.G.Tank
„ Processed Piping
Specify Nature of Work:
When installing/remaving underground tank, ca1[ 651-681-4675 for inspection by Fire Marshal and
Plumbing Iinspector.
Fees: 1% of conhact price OR $50.00 minimum fee, whichever is greater.
Underground tank removaUinstallation = minimum fee
Contractprice: $ x 1%= $ (Base Fee)
State surcharge calculate at $.50 for each $1,000 Base Fee
TOTAL $
SIGNATURE OF PERMITTEE
Updated 1/Ol
y L IA BL CITY USE ONLY RECEIPT#: 7'/
o~ ~.i`7`
SUBD.,/JT• 7/aNE~0 RECEIPTDATE: `S
1997 PLUMBING PERMIT (RESIDENTIAL)
cirY oF eaGaN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ~ single family dwellings
. townhomes and condos when permits are required for each unit
~ backflow preventer for underground sprinkler system
FIXTURES EAO 'L TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Hot Tub/Spa 100 x =
Water Heater 3.00 x
Floor Drain 3.00 x =
Gas Piping Outlet " minimum - t • 3.00 x =
Rough Openings 1.50 x =
Water Softener ' for dwellings under construdian 5.00 x =
Water Softener ' for existing dweliing 20:00 x =
U.G. Sprinkler ' kr dwelling under const. 3.00 =
U.G. Sprinkler ' for existing dwelling 20.00 =
Alterations " to existing residence 20.00 =
Water Tum Around 20.00 =
Private Disposal System ' oak Cry iic. 75.00 =
(new and refurbished systems)
Private Disposal Systems ` nbendonment 20.00 =
STATE SURCHARGE .50
U
TOTAL 222
I hereby adcnowledge that I have read this applicetion, sfate that the infortnadon is correct, and agree ta wmply wRh all appliwble City
of Eagen ordinances. It is the applicanYS responsi6ility W notify the propefty owner that the City of Eagan assumes no liability for any
damages caused by the City during its nortnel ope2tional end maintenance edivRies to the taalRies eonsWGed umler this permk within
City property/right-oi-way/easement.
SITE ADDRESS: L ~ ~ G
OWNER NAME:
STR ET ADDRE S: ZO~ TELEPHONE
21'Z U o U`C0.,\
cirr: S l J~ STATE: A/ zip:~ C' CAI (O
SI6NATURE OF PERMITTEE
Iia,
CITY USE ONLY s.y ~ ~f p ~J
L BL ~L RECEIPT ~
SUBD. oa,TE: ya~/97
.
1996 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FJXTURES ~A~1 N4~ TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 :c =
L2undry Tray 3.00 x =
Hot Tub/Spa 3.00 :c =
Water Heater 3.00 x =
Floor Drain 3.00 x =
Gas Piping Outlet ' minimum -1 3.00 x =
(ly Rou h in s 1.50
ater Softener 5.00 x =
Pnvate Disposal ' Dakota Cty. license 65.00 =
(new and refurbished systems)
U.G. Sprinkler ' home under const. 3.00 -
Alterations ' to exdsnng 20.00 = 02~
Water Tum Around 20.00
STATE SURCHARGE .50
TOTAL aO
SITE ADDRESS: (o G h W LU-~
OWNER NAME: S1 O` p
INSTALLER NAME: go?~ R'~~P ry~rr~ P& hiloi~LG1
STREETADDRESS: 513-1 rn1nr(;do) 4-ko- S,
CITY: `l LP STATE: ZIP: 1; jo_
PHONE ((OIa )
G~
SIG
Xl~
- - OFFICE USE ONLY ~
L BL RECEIPT
SUBD. ` DATE:~.
`y
7996 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 6814675
Piease complete tor: w all commerciaVindustrial buildings.
w multi-family buildings when separate permits are IIQt required for each dwelling
unit.
DATE: CONTRACT PRICE:
WORK T"fPE: _ NEW CONSTRUCTION ADD ON REPAIR
DESCRIPTION OF WORK:
IS WATER METER REQUIRED7 _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING:
WATER FLOW: GPM. ARE FLUSHOMETERS TO BE iNSTALLED7 YES NO.
FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE.
WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? YES NO.
IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINi:LER PERMIT.
FEE: $25.00 minimum fee or 1% oi conhact price, whichever is greater. State surcharge of $.50 per
$1,000 of pgnng fee due on all permits.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL
SITE ADDRESS:
TENANT NAME: STE. #
OWNER NAME:
INSTALLER:
ADDRESS:
CITY: STATE: ZIP:
PHONE SIGNATURE:
APPLICANT
OFFICE USE ONLY
METER SIZE: " DATE: INSPECTOR:
~----------------i
~ City of Eapn ; Pertnit# b~~ 1 p j
I Permit Fee: / 3O .Ov ~
3830 Pilot Knob Road I I~ P l~
Eagan MN 55722 ~ Date Received:
Phone: (651) 675-5675 i Stafl: i
Fax: (651) 675-5694
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address:
Tenant: Suite
RESIDENT/OWNER Name: ~~5~ /.k(3cJ Phone:
Address 1 City / Zip: 414~ E _
Applicant is: Owner _ Contractor
TYPE OF WORK Descnption ofwork: :gn C 7~R l7Pu
Construction Cost: 7 f SC~ Multi-Family Building: (Yes No ~
CONTRACTOR Name: 1~--' i /l2ci ~ c v License#: -7- %9.S'2 S O SpO
Address: (o q/) / a~,r ra ei, dQ- l/,z` S
Ciry: lV~:`A 64 -Po-6,k71:s State:-A&-tl Zip: ~f~ydsr
Phone: -&Z- Z75-"Ly2 Z- Contad Person:
COMPLETE TH15 AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
(J submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a perrnit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumher: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
=NOTE:=Flans and suppoiting atocuments that you,submit are consitlered to be public'informaticrL Purtroresaf, _
'ythe informa6on,may be class~fied as rron-pub(icif you provide spec~c reasoris tbat woutd pee~mif the City to !
~ ,9a ° y~L.'coric7ude tiiaY the ~r'e tracle secrets.
i ~t; , ~ !i z'
I hereby acknowledge that thfs information is complefe and accurate; that the work will be in confortnance with the ordinances and wdes of the City of
Eagan; that I understand this is not a permit, but only an application for a permd, and work is noi to it; th he wo ill be in
accordance with the approved plan in the case of work which requires a review and approval of
X /"lVt= ~~'7 .
Applicant's Printed Name p ~E ~ 1~ 7-E icant's Signature
Page i of 3
MAY 1 4 2008
~ DO NOT WRITE BELOW THIS LINE
SUB TYPES 4 ? Foundation ? 05-plex ? 16-plex ? Accessory Building ? Pool
/El Single Family 0 06-plex ? Fireplace ? Porch (3-season) ? Ext. Alt. - Multi
? 01 of _ Plex ? 07-plex ? Garage ? Porch (4-season) ? 6ct. Alt. - SF
? 02-Plex ? 08-plex 'V, Deck ? Porch (screen/gazebo/pergola) ? Multi Misc.
? 03-Plex ? 10-plex ? Lower Level ? Storm Damage
? 04-Plex ? 12-plex ? Miscellaneous
WORK TYPES
? New ? Interior Improvement ? Siding ? Demolish Building*
~(-Addition ? Move Building ? Reroof ? Demolish Interior
? Alteration ? Fire Repair ? Windows ? Demolish Foundation
? Replacement ? Egress Window ? Water Damage
' Demolition (entire building) - give PCA handout to applicant
DESCRIPTION: ~"Q
Valuation Occupancy n / N{/ 1J~' MCES System
Plan Review Code Edition SAC Units
(25%_ 100% ~ Zoning . City Water
Census Code Stories Booster Pump
~TrT
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Const. Width
REQUIRED INSPECTIONS
Footings (new bldg) Sheetrock . . Meter Size:
~ Footings (deck) _ Final/C.O.
_ Footings (addition) Final/No C.O.
Foundation ~ HVAC
Drain Tile Other:
Roof: _Ice & Water _Final Pool: _Footings Air/Gas Tests _Final
Framing Siding: _Stucco Lath _Stone Lath _Brick
Fireplace:_R.I. _AirTest _Final Windows
Insulation ReWining Wall
Reviewed By: Building Inspector
- - -
RESIDENTIAL FEES:
Base Fee
Surcharge ov
Plan Review ~
MC/ES SAC
City SAC
Utility ConnecGon Charge
S8W Permit 8. Surcharge
Treatment Plant
Copies
Total
Page 2 of 3
i i
; T Y D E S C R I P T I O N ,
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woou, /i . !COTA CouNTY ~ MINNCSOTA. ;I ~ ~ 'Z2.q~ 5 75 40' / ~ =3 I ~ IA zss a~ae'E,
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~198yf 1
DENOTic$ PR.opoSHD ~VtiTiOt~i
I f1 I
~
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~
I hereby certify that this is a true and careecl; reprasentation.of a tract of
land as shown and described hereon.: As prepared by me on this 2Z day of
SAhkvAP-y 19 79 . ,
• ' ' ' - J1.
_ i
~ vr JVRVG
~ ~ r,; _T_ ~ A - ~ ~ „
, L_v I ~ ~
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r~ ~ ~~.~-z~ ~ ~ ~ ~ ~ ~ Z.s.
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sr. ~r' NG~1 waol~ i'~ ~Z,~, $ Q, t.0'r 12.1 F3u~ ~C 2, ~ ~ ~ i~' ~ ~t7 7~ 4~ ~`N ~.6;~ 9~"r
'ora ~o~r~rY M~N~~s~i~°A. ,'1 ~~7 ~A~. 1 ~ ~ . ~ : ~ j~ . . . ~ . . ~ ~ . ~ ~ ~ . ~ . ~ 1
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SNCU<_L'iN~. . ~
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~ ~ra~ ~ o~) ~ 4~"~ ~'/p~.~ PRoPuiE.5a G+AIZ. 5t,f+.x3 t~.
~ /6/, S°!3~„Z. PRcPo5k9 13SM'C SGa.~ ~.tEVarrioN ~
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8'~ ~,o~ D ENo ~S PttoP ~ I /R Z ~ ~ 1 i 1 t
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T t7erel~ certif that ~his is a true and ccarrec~ re re~eritai.i.~ :~f ~ trac~t oP Y. Y A I, /S.t~D~t~ 13~t~. ~5 sNowN
` „ ~ ~ lancl as ..ahQrun and cJescrzbed hereon~ As prepared hy me ;an tf~i~ ~iay C~~ ;
~T~N~ARY ~ I9 79. ~ ~ ~ ,
~ ~ • , ~ , ,t.,.~ ~
. , ° : ti
~ C I';?a~l Mlni N r r~
E cES RevisioNS PP(?B~ ~~fC~4NE~,RIN~ ~ ro~ RaN ~ ~i
. . ~ . . ~exeetr es noteol N0. DA7E BY ~ ` F. A1V~~ '1\ CJ { P,~4 ~i Z1S T RAi 1
~E`~"""` , 7 ~i n7. ~UR?~SVILLE, MfNN~~~7TA ~ ~ _ ~ ~ _ :'St7 TA -"JIN,_r
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 3618 Widgeon Way
Lot: 12 Block: 2 Addition: St Francis Wood
PID:10- 65900- 120 -02
Use:
Description:
Sub Type:
Work Type:
Description:
Comments:
Fee Summary:
e - Furnace
Replacement
Fumace
Quesetions regarding elec
952- 445 -2840
Ashley Orman
410 W Lake St
Contractor:
Standard Heating & Air Conditioning
130 Plymouth Ave. N
Minneapolis MN 55411
(612) 824 -2656
cal permit requirements should be directed to Mark Anderson, State Elec
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
$50.50
Owner:
Craig Mcclure
3618 Widgeon Way
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$50.00 0801.4088
$0.50 9001.2195
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
EA079863
09/18/2007
ePermit
cal Inspector,
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 3618 Widgeon Way
Lot: 12 Block: 2 Addition:
PID:10- 65900- 120 -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:
Fireside Hearth & Home
20802 Kensington Blvd
Lakeville MN 55044
(952) 985 -6675
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.
Andrew Hoffman
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:
Joshua M Brown
3618 Widgeon Way
Eagan MN 55123 -1124
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
Issued By: Signature
Building
EA080997
11/08/2007
ePermit
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA166142
Date Issued:12/15/2020
Permit Category:ePermit
Site Address: 3618 Widgeon Way
Lot:12 Block: 2 Addition: St Francis Wood
PID:10-65900-02-120
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
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 -
Justin Wied
3618 Widgeon Way
Eagan MN 55123
(612) 226-6433
K & S Heating, A/c & Plumbing Llc
4205 West Hwy 14
Rochester MN 55901
(507) 282-4328
Applicant/Permitee: Signature Issued By: Signature