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