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3623 Widgeon Way wATER SERVICE PERMIT CITY OF EAGAN PERMIT NO.: 3795 Piloi Keob Road DpTE: fogail, MN $5122 No. of Units: Zoniilg: Qyy}18r: 1f'i .oO(is r pddress: •?y4•-ea:, Site Address: Ptumber. Connection Cher9e: Meter No.: quount DePosit: Size: Pertnit Fee: Reader No.: Surchorge: I o9~e, to wmplY wit1~ N~e Ci1'Y ~ Misc. Chnr9e5. . Ordinanees. Total: Dote Paid: By I nsp.: Dete of Insp.: SEWER SERVICE PERMIT CITY OF EAGAN PERµ1T NO.: 3793 pi!,* Knob Roa6 DATE: Eogan, MN 55122 No. of Units: ' Zorting: Owner: - Address: c Site Address: ° - Piumber. , ! ; . . . - i C 1 agrea to complr w1f'h N+e Cit1? oi ~3an vanection CharOe:' ~ s Account Deposit. Ordinonees. i Permit Fee: • ~ Surcharge: Misc. Char9es: ~ ~ By Total: ~ Dnte of Insp.: , Dote Poid: i Insp.: - - - cIrY oF EAw?N , 3795 Pikf Keo6 RaoA Eoqan, MN 55142 . PHONE: 454-8100 BUILDING PERMIT Receipr ~ Te be used for Est. Volue Dote , 19 Site Nddress Erect ? Occupcncy Lot Block Sec/Sub. ~Alter ? Zoning parcel # Repair ? Fire Zone Enlor9s p Type of Const. W Name Move ? # Stories Z Addross Demoliah p Length ~ G pho,e Grade ? Depth Sq. Ft. cr Name Approvals Fees ~0 ~ Address Assessmenf Permif ~ Cit p~~ Woter E~ Sew. Surchorpe F Police Plon check ~e ~Z Name Firo SAC Address Erq. Water Conn. ~ W Ci phq~ Plcrmer Water Meter Council Rood Unit I hereby ockrawledge thot I hove read this application ond state thot Bldy. Off. the in}ormation is Wrrect ond ogree to comply with oll opplitable Totel Stnte of Minnesota Statutes and City of Eoqan Ordinonces. Sipnature of Permittee /1 Building Pertnif Is iuued to: on the express condition thni oll work shall be done in accordante with oll appliaable Stote of Minnesota Statutes and Cify of Eapan Ordinar?ces. Buildinp Official Permit No. Permit Holdsr Misc. Permit No. Holdar Plumbing a WVVE C 7-Z --g2 H.v.a,.c. 3 p w r~F c- -30 w.u wn Disp. Sawer E lect?ic 71'7tl 7- 4` Inspection DatY Insp. Other Footinpt Foundation Framing Rouph PI6q. ~ Rouph HVA .~.av -Clt~~ t ~ sr~6 ~ AeAAA- AL ileir o li p Imulation Final PIb4 Flnal HVAC Final . ~ Water 0emibe Location: VYell Sevwr Pr. Dhp. Reoeipt PLUMBING PERMIT Permit IVo. '2 9 CITY OF EAGAN Fee 7/ Fill in numbered spaces S/C Type or Prini legibly Tot. ' 1. Date 71 ~ :ai 1~ d 2. Installation Cost 3. Job Address - • ~j4 ' Lot / 9 81k. / Tract '4 '~od 4. Owner i nAl2 yF~ 5. Contractor ; Jt_ ; n' 1Phone 6. Address 7. CitY ~ State + Zip - 8. Building Type: Residential Y Commercial ? Institutional ~ 9. Work Description: New f~ Add ? Alter O Repair ? 10. Describe 11. No, Fixtures No. Fixtures { Water Closet Cesspool/Orainfield ~ Bath tubs 5eptic Tank Lavatory Softner T~ Shawer Well / Kitchen Sink Urinal/Bidet Other ~ Laundry Tray / Floor Drains Drinking Ftn. Slop 5ink ) Gas Piping Outlets 12. I hereby certify that the abova information is true and correct, and I agree to comply with all oFdinances and codes gaverning this type of work. Signed : - Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454,8100 Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN Fes FiII in numbered spaces S/C Type or Print /egiWy Tot. 1. Date 2. Installation Cost 3. Job Address Lot Blk. Tract 4. Owner - 5. Contractor Phone B. Address 7. City State Zip 8. Building Type: Residentiai 13 Commercial ? Institutionaf ? 9. Work Description: New L41 Add O Alter ? Repair ? 10. Oescribe Fuel Type 11. No. Eqipment BTU - M. Ea. No. Equipment CFM Forced Air Air Handling: Mfg. Boilers Mech. Exhaust Mfg. Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 w~ee~vso . FROM AMOUNT $ I ~ ak DOI.LARS ~oo ? GASH CHECK FOR 1S~- FUND COOE AtApVNT ~ Thank You , B,r / White-Payers Copy Yellow-Posting Copy Pink-File Copy CITY OF EAGAN Remarks Addition ST. FRANCIS WOOD Lot lg Bik 1 Parcel 10 65900 190 Ol Owner ! • 1 5treet State Eagan, NIN 55123 3623 Widgeon Way Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. ? ~ ~ 61 eiP o / STREET RESTOR. IMP.:gj 1981 75.00 15.00 5 GRADING *SAN SEW TRUNK ~ 1980 3658.57 Q r O~/SD ~ ca~ a?~ *SEWERLATERAL 15 WATERMAIN t WATER LATERAL 1980 jS t WATER AREA 1980 jS * 15 sSTORM SEW TRK jS * STORM SEW LAT 1980 j$ CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 420.00 #30438 6-9-82 BUILDING PER. 7329 sa,c 525.00 PARK ec o HOUSE HEATING TEST RECQRD / ADDRESS WA/ ;6,i2'3 APT.-FLOOR CITY 6~"5UBURB OCCUPANT OWNER HEAT LO55 DATE HTG. INST. -121"113 `43' SOLD BY INSTALLED BY Elactrical Work By Ga: Line By TYPE OP HEAT GA _ FA HW _STEAM-SPACE HTR. UNIT HTR. -OTHER CONVERSION MAKE MAKE OF BURNER Model ~i G /odB qq~S~ 4 0 Model Serial ~-~0`r~'~ y!J Max. BTU Rating INPUT MAKE OF FURNACE Model ~ ONTR LS THERMOSTAT eat lu§ Vent Siza yalve - KIND OF LINER SIZE Z!: NONE Limit DrohHood AaGlt5#2_ Ragulator Limit SeHing Filfars Size/d,C'9nh/ Number ~ Fan Setting Chimney Location InzA X Outside Pilot Typa Chimney Construction ~ Pilot Make AIN/ t Pilm Model rV •E ~/7 ^ S6/S Smoke Bomb A?x~' Wirin9 J~ Pilot Timing Draft 0 k-' Test Ta9 L.W. Cut Olf Dow Pressure Lighting Inst. Prsasure ~-s ~l^^'L!!~ Percent C02 -7 Dote Tested -A3 -V InPut CFH 641f' Pmcent OZ Company Tesii g * Percent CO ~ Name of Tesr $tack Tamp. 6 Form 235 This request voitl ~3[7 L( ~f(Lf-,c l J((`k~o 18 months lrom ( ( T 71701 c.~~L IS~' ' ~Z t vo Rnque~D31e sz I I Ffre Na. Rouuh-i~'InsUectinn ~Reatly Now~@'iil Nntlty, InsPec ~ a Yes ? No lor When Reatly ~ licenseA Elecuical ConVaaor I hnreby request inspectiOn ot abovn Owner electrical work installed at Stree[ Address, eox or Roule No. Ci1V 21,23 L r C-E &P? A E- AGA ecLOn o.. Townshio Name or No. Ranee No. County D,4KnrA Or,cupantlPRINTI Phone No. GRav E. KRAt ME -e- Pawer Sup0lier AAtlress LORKOt4 ELU-7RiC ASs od ~2nru ~.~v.Fia~e ~~uG7 Electrical Comracmr ICOmpany Namnl Cuntrac~or"s License No. C.U VLcC_ Mailing AdJress (Convactor or Owa,er Making Instailation) 1fdG, GRE-iJ DlC- 11 07'7'AGE 6-R0116 M!L'SS01 Authorized Si amre (COnh t, wi Making Installation) Phone Number MINNESOTA S BOAND OP ELECTRICITY ' - THIS INSPECTION REQUEST Will NOT Grie9s•Midwey Bldg. - Boom N-791 'gE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS 1821 Uaiversity Ave., St. Paul, MN -55104 oe...,o 19121 297-2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ee-ooooi.oa , See insVUCtions fur completin9 this torm on beck of Ve110W copy. T 71701 " IrJ_ , ' ' X'~e/owiVork Covered by This Request .3 11 W ¢w Add NeP. Type oi Building Applianms Wiretl Equipmenl Wired Home Range Temporary Service DuUlex Water H"eater ~ Lightiny Fixtwes Apt. Building Dryer Electric Heatin Commercial 81dg. Furnace Silo Unloader Industrial Bldg. Air Condi[ioner Bulk Milk Tank Fyrm Other pecI y Olhei ISUE=cifvl thnr SVerify Othcr Oth,.r Cnmpute Mspection Fee Below 9 Fee ServiceEntranceSizQ, g' Fee Fee.ders~Subfeetlers A Fee Circui!s 0 to 100 Am bs 0 to 30 Am ps 0 to 30 Am os 101 to 200 qmps 31 to 100 qmps 31 to 100 Am ps Above 200_qmps Above 100-Am s. Above 100_AmPS Trensionners RemoteControl Circ. • Partial%0 Signs SUecial Inspection $ TOTAL E~~pRenx~~ks . ~ Alt floCph-in , at ~ " r y. eElectrical M 7' nspector, he.reby - certily that the above Final'r • D'~le [ 'ns0eccion hes heen 1./.Z 6 maae. ' This reUUest void ~y~~ `3 mmnths from - X (.l/ . ( cITr oF ea"N N° 7329 3795 Pllet Kneb Roed Eagan, MN 54113 - PMONE: 4548100 2- r BUILDING PERMIT Receipt # F S Te ba wed hr 3F DTdG/GAR Est. Value $128, 000 pate June 8 lq 82 Site Address 3623 W3.d4eOf! W8Y Erect ]Q OccupancY R-3 Lot12 Block_1_ Sac/SubSt• Francis WOOd lSty,iter ? Zoning R-1 Parcel # 10 65900 190 Ol Repatr ? Firo Zone pA Enlorge ? Type of Const. V W Neme Ga=w E & ViCki M. KT8eIDer Move ? # Stories ; Address 8406 GYelldd3er AVe SO Demolish O LengthA71 ° b Ci Phone 459-1866 Grade ? Depth-38' _Sq. Ft.- ~ wiliie r.ehmann AOVrorab iem Name p Z~ Assessment Permit 503.00 ou Address u~ Water 8 Sew. SurcFrorge 64.00 CI Hastings Phone 251 _ 50 Polica Plon check Ww Name Fire SAC 525_00 ~ Address Enp. Woter Conn. a2n_0n iW Ci Phone Planner WoterMeter Fn_nn Council Road Unit-NS 1 hereby acknowled9e that 1 have reod this apDlicatian and state thot Bidg. Off. fhe iniormation is mrrett and agree to wmply witM oll opplicoble AP~ T~a~ $1923.SQ Stote of Minnewta $tatutes and City of Eogan Ordirwnces. Sipnature of Perminee A Bullding Pertnit is issued to: Wi Af T1 on the express mnditlon thni oll work shail be done in accordance with oll opp'r I Stotevf~Ap~yne W-Ctotutfs ond City of Eagan Ordinances. Bulldirp Official ~~044r~` \ 7-3 CITY OF EAGAN Include 2 sets of plans, 1 site plan w/elevations & BUILDINC; PERbIIT APPLICATION 1 set of energy calculations. 7b se Used For~\ ~W ~Cj, Valuation vate site Address: 6 3 ' .I ~ ~J oFFICE USE ONLY Lot /9 . sloclc ~ sec./Sub. GI~~L,Erect ~ Ocaipancy P~~i lv (~sqoo 1~o d xlter zoning Repair Fire Zone Owner: Enlarge - Z`ype of Const. . p" Nbve # Stories Pddress: Denblish Front City/Zip Code: Grade Depth ~3Tfte Phone APPROVALS FEES Contractor: Assessments Pexmit ' Water/Sewer Surcharge Address: Police Plan Check _ °Ai= City/Zip Code: &~dz'7, Fire SAC S;2.S' 0 ~g, water Conn. y~0 ~ Phone Planner Water Meter 60 Arch./Eng.: Council Rflad Unit N)U Bldg. Off. Address: APC City/Zip Code: ~ I $ o~ ~ • ~ Phone # : i T= ^ 10 (~~2 0 0(Qo o i 3(9 z 3 W . ~'r-o~e L~n~~r~ee~i~zg? CoP-rrpacr~y AVCJ! ?"rQzo~eZer's ?"r-aiZ, .BstrrisviZZ@, ?TTZiPror p~t o~t~ ; Lat 19, rl,m.k 1 ,`:7. ('cur:t ~ ..'KEK c~ric~E 2-zx,.oo G_ . ~ ~ ~ ~ ~ O ST SJ _ ,',_,i~s' `l7 , ,I•y Vn~__ ~"1Y Litit a~ NORTM N . ~ C~O ~ SCAL-C 111'30t ; T tis~ L 0 9 ~ - ~ , 30 • ; 6 ~ s NoTE' ALL BC^F-i1JUS sr+OwN ~ NCE ~+SSuMCD. - ' - I hereLvi certify that thi:; ia a true and ccrrect representetion of a tract of !:ind as shovn end desr.ribed hercon. As prepared by me tFiis 28th day of December,,;97ti . Hinti. Reg. Na. 5154 . EXTERIOR ENVELOPE HVEFJAGE "U" COtdPUTATIDN . OYtNER y F~e aam~ 2 • SITE ADDRESS. CONTRACTOR DATE PHONE Deteemine working square footage-of each. - l. Total exposed wall area 2 3 51.7 sq. ft. x .17 = ,399• ~9 ' 2. Total roof/ceiling area sq. ft. x .05 = Total exposed wall area above floor a. Total wall windowyarea /GS• 8S' b: Total daor area.................................... 37,-7 9 c. Tota.l_s]_iding glass do9r area 5 d:. Tota7 fireplace walT area..... NtT e. Total wall framing area.(average 10%).:.:.......... 2 3 -7•17 f_ Total net wall area above.floor IC• i -g. Tota].rim joist area...... i6..x..?.?......__._. _ Total exposed `oundation area = /5t9•14 _ - h. Total foundation window area...... 3: /0.13 ~ - i. Toal net foundation area above grade 135 •pl Deternine "U" value of each waTl seqment. i • ~ - r a. /Gs.8S' X 'fUll b. 37•7`I X ~lull , i23 = GS . c. 5G z 7 X~ult d - X lull e. 23'), i7 X.1u,. . 0 8B ~ Zo.$7 /539. i6 X %lu„ .055' _ `o4.c.5 - 19'3~F 9- x HUll , oS r h. 10. /3 X "U° . 5S = 5.57 2i3 i. 9•a/ X "U„ _.y7 = _G5.33 3 .7ota1 1T li.cisii 73 i5 i.(12 SdiTi2 B5, Ol" IE'S5 i.~~dil ItEfl yOU IhcV? i„2t i:7i2 lilCcflt of S3C 60C5(c)2. • Total exposed roof/ceiling area Total gross roof/ceiling area = • . vnv~T S--~ /•Al j. Totai sky44;%ht area G'{ 6 -3 r.o-ri+c .4 Kz 4 k. Total.rnnf/ceiling franing area / 3i. 2. 1. Total net insulated roof/cei7ing area..:.... a,-Ba Determine "U" value,for eacho roof/ceiting seqnt. J• /3/•2 X..oUa... , o~/I S~3'7 2 1/.39 214.'L k. SBI.~ XllU" '04 = 23,2s' • = 35.'~2 3/.8 1. //$o.Fso gl,uli .03 4.................................. Total Ff totaf of a4 is the same as, or less than A2, you have met the inLent of = SBC 6005(c)i. - - To utilized the total envelope system m2thod, the values established by the = sum ofi items 43 and z4 shall not be greater than the sum of items pl and 02. 399.-79 2. 8 3. 3/ I. ~o } a. MEMO T0: DALE RUNKLE, CITY PLANNER TOM COLBERT, DZRECTOR OF PUDLIC WORKS FROM: DALE PETERSON DATE: JUNE 21, 1982 SUBJEC'P: SETBACR VARIANCE FOR 3623 9VIDGEON WAY - GARY & VIC2C2 KRAEMER, OWNERS IAT 19. HIACK 1, ST. FRANCIS WOOD 1ST A ten (10) foot variance from the thirty foot to a twenty foot sethack from Ylidqeon Way was granted per APC directions of March 26, 1978 and council approval of April 4, 1978 in order to pzeserve all trees posaible. CC: Gary & Vicki traqner Parcel File . 4a _ ~ y s"s'g' ~^E.z $ a~ F5n : i '~x « 3eorsib§~ f y~CSS^'s3.s ~w a,~v~r r ~nt.Fa~~' ~ ~ . 1993 MECHANICAL PERMIT (RESIDIIVI7AL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMTI'S ARE REQUIRED FOR EACH UNIT. - - - - - - - - - - - - - - NEW CONSTRUCTION ADD-ON A/C 77 ADD-ON FURNACE DATE FEES HVAC: 0-100 M BTU 2• ADDITIONAL 50 M BTU 6.00 GAS OUTLETS (MINIMUM 1 @ $3.00 EACH) ---?CIO ADD-ON/REMODEL (EXISTING CoNS'rRUGTION) $ 15.00 STATE SURCHARGE •50 ToTfu. srrE aDDRFss: OWNER NAME: TELEPHONE 0 rur D 141R Ti-ee.. dT A~ INSTALLER: ADDRESS: ZIP CODE: CITY: STATE: TELEPHONE ~ SIGNATURE OF PERMITTEE ~itsxhb ,~a o`~yc.'~a~~ ~.w`Ca f' , Z""`L.,.?4 Fa~u$x t~y t)s t 'y k rnf'°~ a3# s'° a"Y3 '.SSfSA~~ Ng Mvqb9 I~+f yb~S' YYS s ~'~£k s 'a' ~~k~ ' w.3 f .i e > = Fa s 3 e ; td rr: ~ ~q'y. i=; $sb3. kaa ~ ' l3':~rN ~.E~ w~y~Hx$ s ~y ~ ( 1993 MECHANICAL PERMIT (COMMERCIAI.) CITY OF EAGAN 3830 PIIAT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR ALL COMMERCIAUINDUSTRLAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR O'THER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIl2ED FOR EACH DWELLING UNTf. DATE: CONTRACT PRICE: $ NEW BUILDING INTERIOR IMPROVEMENT WORK DESCRIPTION: FEES 1% OF 9pNI"R6G`f' FEE $ PROCESSED PIPING: $25.00 MINIMUM FEE: $25.00 STATE SURCHARGE $.50 FOR EACH $1,000 OF M,, FEE. TOTAL $ SITE ADDRESS: OWNER NAME: TELEPHONE TENANT NAME: (IMPROVEMENTS ONL1) INSTALLER: ADDRESS: CITY: STATE: ZIP CODE: TELEPHONE SIGNATURE OF PERMITTEE CITY INSPECTOR ' ? _ I CITY USE ONLY A 2 Q L ~ BL ~ RECEtPT SUBD. :LL~ RECEIPT DATE: ` 1 - c` -9 ~ PERMIT # 1999 PLIJM$INfi PEftMiT (RESID£NTIlkI.) crrY oF EAsarr S$SO fILOT KPOB RD f.AHAN, MN 5518E (65] ) 6$1-4695 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Bathtub _$3.00_ ....,.x Floor drain 3.00 x = $ GaS i in OUtlet ' minimum -1 3.00 X = $ Hot tub/s a 3.00 x = $ Kitchen sink 3.00 x = $ Laund tra 3.00 x = $ Lavato 3.00 x = $ Minimum fee alterations to existin dwellin 30.00 x = $ ~ p oO Private Dis osal S stem new/refurbished ' re uires MPC iic. 75.00 x = $ Private Dis osal S stem abandonment 30.00 x = $ RPZ new instailation/re air 30.00 x = $ Rou h o enin 1.50 x = $ Shower 3.00 x = $ Under round s rinkler if dwellin is under construction 3.00 x = $ Under round s rinkler if existin dwellin 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x = $ Water softener if dwellin under conswction 5.00 x = $ Water softener if existin dwellin 30.00 x = $ Waterturnaround 30.00 x $ State Surchar e .50 $ .50 30, ~ Total ---a $ Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc. • - I hereby adcnowledge that I have read this appl iption, state that the infortnabon is cortect, and agree to comply with ail applicable Ciry of Eagan ordinances. It is the applicant's responsibility to no6fy the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operalional and maintenance activities to the faciliUes constructed under this pemut wifhin City propertylright-of-wayleasement. SITEADDRESS: 3623 ~~~~G~~G'y wuy Z~qQy/1 '4~ ~~/23 OWNER NAME: : TELEPHONE (AREA CODE) . / C CU-dal( ~To%ws~^ INSTALLER NAME: TELEPHONE f"t;'l Z 'n (AREA CODE) STREETADDRESS: ~V CITY: P~Y~vu7~ STATE: 1441 ZIP: ,S~vyl SIGNATURE OF PER EE 2006 RESIDENTIAL BUILDING rERMIT nrrLicnTioN ~ City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reouiremenfs RemodellReoair Reouirements Office Use Oniv 3 registered si[e surveys showing sq. tt. of lot, sq. iL o( house; and all roofed areas 2 copies of plan showing footings, beams, joisfs Ced of Survey Recd _ Y_ N (20% mazimum lol coverage allowed) 1 set oi Energy Calculations for heated add'Aions Tree Pres Plan Reoi _Y _ N, 2 copies of plan showing beam 8 window s'¢es; poured found design, etc. 1 site survey for addRions 8 decks Tree Pres Required _ Y_ N 1 set of Energy Calculalions AddNon • indicate'don-sde sepfic sysfem On-sife Sepfw Syslem _ Y_ N 3 copies of Tree Preservation Plan'rf lo[ platted afler 711193 R"vn Joist DeUY Oplions selection sheet (buildings with 3 or less units) Minnegasco mechanical ventilation form Date~/~_I ConstructionCost ~ z ~OV Site Address 3~ Z~ ~/1 IQ-~ Z o~ ~ ~ Unit/Ste # Description of Work Multi-Family Bldg _ Y X- N Fireplace(s) _ 01 _ 2 Property Owner 1'14.? e_/h /e_~'X Telephone ti (~aIZ Contractor ~V~LvZS/^ GU/)Tdg°fv~P~ Address 74%7 ik'or L,l 16- City~~/yfy,~~~L State Zip l Telephone#(e"/L) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv I _ Minnesota Rules 7672 Ene~gy Code Category . Residential Ventilation Cate9ory i Worksheet • New Energy Code Worksheet (Jsubmissiontype) Submitted Submitted - • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Telephone ) Mechanical Confractor Telephone # ( ) Sewer/WaterContractor Telephone #f ) 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 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 approva of plans. ' i ? ~ ~-r~ ~ /l p licanYs Printed Name j~ pplicant's 5i ature DO NOT WRITE BELOW THIS LINE 1 Sub Tvpes 0 01 Foundation ? 07 05-plex ? 13 18-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 O 22 Porch/Addn. (4sea.) ? 33 Exl. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gaze6o) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex 13 25 Miscellaneous Work Tvpes ? 31 New D 35 Int Improvement ? 38 Demolish Interior 0. 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building" ? 43 Reroof ? 46 WindowslDOOrs ? 34 Replacement 'Demolition (Entire Bidg) • Give PCA handout to applieant . D@SCfiDtlOn: 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 (new bidg) _ Sheetrock _ Footings (deck) _ FinaVC.O. _ Footings (addition) _ FinaUNo C.O. Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool Ftgs Air/Gas Tests Final _ Framing _ Siding _ Stucco Lath _ Stone Isth _Brick _ Fireplace _ R.I. _ AirTest _ Final _ Windows _ Insulation _ Retaining Wall Approved By: , Building Inspector Base Fee Surcharge Plan Review MC1ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Norwest Contractors, Inc. 8469 Zanzibar Lane, Suite 202 Maple Grove, MN 55311 Phone/Fax (763) 420-8268 ~ 4-27-09 TO: City of Eagan MN FROM: Nonvest Contractors Inc. RE: 3623 Widgeon Way Permit # EA072248 We are writing this letter to inform you that the stone work on this project was done by other. Norwest west Contractors was responsible for the installation of the siding only. If you have any additional Question please contact me at 612-859-8517 Thank you Sin rely ~ ook- ' im McEvoy Norwest Contraptors Inc Minnesota License #20159473 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA118234 Date Issued:10/29/2013 Permit Category:ePermit Site Address: 3623 Widgeon Way Lot:19 Block: 1 Addition: St Francis Wood PID:10-65900-01-190 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Sue H 16411 Aberdeen St Ne Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 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 - Lisa M Lemieux 3623 Widgeon Way Eagan MN 55123--112 Air Mechanical 16411 Aberdeen St Ham Lake MN 55304 (763) 434-7747 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA118775 Date Issued:11/07/2013 Permit Category:ePermit Site Address: 3623 Widgeon Way Lot:19 Block: 1 Addition: St Francis Wood PID:10-65900-01-190 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. Dean Kamrath 13791 Jonquil Ln N Dayton, MN 55327 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 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 - Lisa M Lemieux 3623 Widgeon Way Eagan MN 55123--112 (507) 398-5518 Adam's On Time Plumbing & Water Heaters Llc 13791 Jonquil Lane N Dayton MN 55327 (612) 205-6060 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA169361 Date Issued:05/24/2021 Permit Category:ePermit Site Address: 3623 Widgeon Way Lot:19 Block: 1 Addition: St Francis Wood PID:10-65900-01-190 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 - Scott Rindahl 3623 Widgeon Way Eagan MN 55123 Minnesota Restoration Contractors Inc 12252 Nicollet Ave Burnsville MN 55337 (612) 280-4807 Applicant/Permitee: Signature Issued By: Signature