3630 Widgeon Way
1
CITY ~ GAN warM sERvIcE PERM
3830 1tnob Ra,sd
P. a. - ix 21199 PERMIT NO.:
Eagan, MN 55121 DATE: '
~
Zoninp: No. of UMts: ~
Owner 3o~-Imson CU?' 9C .
ALIdrQSE:
Sih Addros: _3630 kidgeon G1av ' - ; . . .
Plunber. `~e•iz-V an _
Meter No.: ' ~ 1 .
Size: S.
Reader No.
wkb
~a~. au•f9G D~~~~~rges: 1 5 f, . 5 ~ ~ ~ ~d
~
Total: i3. 501)d ::~~`tez
10
BY Paid:
Dote of Insp.: Irqp,;
~
CITY OF EAGAN
3830 Pilot Knob Road SOM PELWT
P. O. Box 21199 PERMiT NO.: .
Eagan, MN 55121 DA~
~ing' No. of Units:
Owrwr.
' Md?ess:
Site Addresx:
Plumber: t~{~rkz~lv ~a c '"rC1 ic ~e
- - Li,
~ Mw~ eew~lp wIK
O !V ph, oi y„n Con?~cNon Qa~.
atwsau.
Account Dreposit: r
Pefmlt FNS (ll)-~7~
BY Surchorpe:
Date of I M+~. aO~' ?
Total: '
Dob Pold: !
1
; CITY OF EAGAN WATER SERVICE PERMIT '
3830 Pilot Knob Roro ~
P. O. Box 21199 . PERMIT NO.: ~
Eagan, MN 55121 OATE:
' Zont.q: Na ot Units: Z
~ Owrier: • ~ . L.' tuf son c, ;
Address: '
Sft Add~ 363C W:tdg„eon 4:av ;.:tn.C1B Waods ;
Pluenber: C =.;z -i'.S'Eln
Meter No.: Connectian C]arye: r)OO.O()W.i i
Size: /lcaour?t Depaeit:
Reoder No.: Psnnit Fee: I`? , Ji}pc j
' 1 Mm to amply wil6 !Iw CMy ef Leww 5urchorgs: . 50po l
1 5 slClpd Ti
O~raw. Mlsc. Chorpt::
Total• (_i . 5 G pe m~ c•~ r
gy oote Paid:
Dote of Insp.: Ins;L:
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 % Date Issued:
(612) 681-4675 ~l~'
SITE ABDRESS: APPLICANT:
• ~ iIit,,,1 ,*14 t•If1Y
t ~ . ;~t!~ ! if~~~ii ~ , ~ ' 1 . •I. .
PERMIT SUBTYPE: TYPE OF WORK:
it, ; 1111 ;0 irrtr~rr~~r,,
INSPECTION .
hlitl t'.. '~I f'rt!<rs ~ i I'I ~It~tlt I YJai { I I ~ 1 t I: iti I I I M k I'., i I~~~~ 1 i.l I~
~ ~
Permi! No. Permit Holder Dete Telephone #
S/W
PLUMBING
HVAC
EIECTRIC
ELECTRIC
Inspectian Uate Insp. Comments
Footings I
Foundation
Framing L 3
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Orsat Test
Fnal Plbg. Plbg. Inspector - Noti(y Plumber '
Const. Meter
Engr./Plan
Bldg. Final
Dedc Rg-
~
Deck Final
weli
Pr. Disp.
~
~ 3830 Pilot Knob R dl P.O. Bax~2G-A1 9, Eagan, MN 55121 IV72
~PHONE:454-8100
BUILDING PERMIT ReCeipt #
To be used tor 5x DwG/G.AR Est Value $127,000 Oate APR I L 9 1986
Site Address 3630 WI DGEON WAY Erect 12F Occupancy : t 3
Lot 15 Block 2 Sec/Sub. ST FRANCIS h'OODRemodel ? Zoning R 1
Parcel No. Repair ? Type of Const y
Addition ? No. Stories 5 4
W :y . tv ,,.l O~iNSdN CONST Move O Length
Name Demolish ? Depth 52
o Address 14251 CEDAR AVE Int Impr. ? Sq. Ft
City A• V• Phone 4 - 6 Install ?
Approvals Fees
o Name
~°,Q Address Assessment Permit $ 500.50
~ City Phone Water & Sew. Surcharge 6 0
Police Pfan Review 250.25
~0
--.F = Name Fire SAC
Address Eng. TAC 4/7/$ Water Conn. 50 . 0
< W City Phone Planner Water Meter0
Council Road Unit jl F'
I hereby acknowledge that I have read this applicatfon and state that the gldg. Off. 47$ 6 Tr. PI. 0
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances. APC ParkS
Signature of Perminee Var. Date Copies
Total $2, lUi3.'15
A Building Permit is issued to: •14• JUHsJ,`.i0N L:UCC on the express condition that
all work shall be done in accordance with all applicable State oi Minnesota Statutes and City of Eagan Ordinances.
Building Official
PormN No. PsrmN Holder Dob TNophone k
PlumMtnip
H.Y.A.C.
3 a
El~ctrfe Q `
sonsne~
Inspection Dsb Insp. Comments
Footings 1 y~p 19
FooHnysll
foundaUon
A Framiny ~s
RooRny
Rouyh Plbq. '
Rouph Nty. 'T~ 7/~' ~
In~ul. p~ ~,~(f
Finplacs
Finai Htp.
FInN Plby.
&dy. Final
CM. Occ.
Doclc Ft9.
Dock Frmp.
WeII
Pr. Dbp.
PERMIT #
MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
CONTRACT PRICE PHONE 454-8700
Site Addre,SS BLDG. TYPE WORK DESCRIPTION
Lot ' Block Sec/Sub '
Res. " New m Name Mult Add-on
.q Address Comm. Repair
c City Phone Other
~ Name FEES
; Address RES. HVAC 0-100 M BTU -$24.00
p City ~Phone `ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
TYPE OF WORK ADDITIONAL 6 M BTU - 6.00
GAS OUTLETS - 1.50 EA.
Forced Air M BTU COMM/IND FEE - 1% OF CONTRACT FEE
Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00
Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00
Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50
Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,Q00.00)
Gas Piping Outlets # ~
Other
FEE:
S/0. SIGNATURE OF PERMITTEE
TOTAL•
FOR: CITY OF EAGAN
- . y~„~' -dw~ A al•r w j?r:7 ~ , r s . . . . . . v . . s- !r ,r r - ~ .Y-- ve-. ~ , . . y. . .
? 6977 PERMIT # CITY OF EItGAN FEE
PLUMBING PERMIT ~
RECEIPT # v 454-8100 S~C
MINIMUM RESIDENTIAL FEE - $10.00 + $.50 TOTAL
DATE MINIMUM COMMERCIAL FEE - $20.00 + $.50
1. Bldg. Type: Res ~Comm Inst 2. New ~ Add Alter Repair
3. Total Bid Price 4. Joh Address U /O'"v
~l/. +v
Lot 1~ Block a Sec J~~ /~Z `7AC 0 C~;'
~S Owner C
`l~J j- ~~-C~ ~'f'? ~~!/~j ~ ~ ~f- ~ , ~j~ 1,- ` ~/?.7
6. Contractor
(Neme) (Sheet) (CitY) (ZiP)
7. Contractor Phone #
NO. FIXTURES NO. FIXTURES NO. FIXTURES
%'Water Closet - $3.00 ~ Laundry Tray - $3.00 -Well - $10.00
f IF-Bath Tubs - $3.00 ~Floor Drains - $1.50 Private Disp Syst - $10.00
Lavatory -$3.00 Heater -$1.50 ~ough Openings w/o
Shower - $3.00 Whirlpool - $3.00 Fixtures - $1.50
Kitchen Sink - $3.00 ,Wale,
Gas Piping Outlets - $1.50 -Urinal/Bidet - $3.00 -Softener - $5.00
COMM./IND. RATE - 146 OF TOTAL BID PRICE PLUS $.50 STATE SURCHARGE FOR EACH $1,000 OF FEE.
Signed: for
AppTOVed Inspections: Date Rough Insp. Date Final Insp.
CITY OF EAGAN Remarks
Addition ST. FRANCIS WOOD l.ot 15 elk 2 Parcel 10 65900 150 02
owner screet 3630 Widgeon Way state Eagan, NW 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. .
STREETRESTOR.4] mp. . S.O $
GRADING
SAN SEW TRUNK V
1980 3658,57 24 -3 - 90 15
fSEWER LATEfiAL
WATERMAIN
wWATER LATERAL
•WATER AREA
t
•STORM SEW TRK
*STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILOING PER.
SAC
PARK
CITY OF EAGAN p
„ 3830 Pflot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N- 11772
PHONE: 454-8100
BUILDING PERMIT Aeceiptu
70 6e used for SF DWG/GAR Est Value $127,000 Date APRIL 9 19 86
SiteAddress 3630 WIDGEON WAY Erect C~} Occupancy R3
Lot 15 Block 2 SecIsub. ST FRANCIS WOODRemadel ? Zaning Rl
Parcel No. Repair ? Type of Const. V
Addition ? No.Staries 54
~ M.W. JOHNSON CONST nnove ? Length
= Name 14251 CEDAR AVE Demolish ? Depm 52
; Address Int.lmpr. ? S FL
° Ciry A.V. Phone 432-683 Install ? Q
o Name SAME Approvals Faas
$ Q Address ASSeSSment P¢rmit $ 50 0. 5 0
~ city phone Water&Sew. Surcharge 63.50
~ Police Plan Review Z SZ S
_w Name Fire SAC 575.00
i? Address Eng. TAC 4 7/8 Water Conn. ~
u 0
i ~
a W Ciry ahone Planner Water Meter 63 . 50
Council Road Unit N A
Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe gldg.Off. 4/7/86 Tr.PI. 156.00
information is correct and gr to ply th all applicable State of
Minnesota Statutes and Ci f E rdi ,fance APC ParkS
Signature of Permittee Var. Date Copies 2 1 08. 75
•
A Building Permit is issued to M. W. JOHN113 SO ONST on ihe Totalexpress $condition that
all work shell be done in acc rdance with ail app' S o Minnesota tute ' ol Eagan Ordinances.
Building Oflicial -
CASH RECEIPT
CITY OF EAGAN ~
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
TE 19
aEeE~veo
FROM
AMOUNT $ I OU
& DOLLARS
Ej CASH ~ CMECK 1 ao FO
~
10,
PVNO CODH OI1NT
O 7 D~oc~
~
~
Thank You
B
N_ 61890
' White-Peyers Copy
Vellow-Posting CoPY
Pink-Fila Copy
This repuest~v,nid /
18 nth5-
`moC* 3807
Requev Date Fir¢ No. R.ouu, -inspection ~peady Now ~ I Notify Inspec-
` ~ es ?NO 1or When Ready
censed Electrical Controctor 1 hereby request inspection of abave
? Owner elecvicai work installed at
Sveet Address, Box or Route No. City"
b, o t,ame J r o~~--~ I= ~"x-
action o. Township N or N. Ranye N. CouNy
Y% (sL~L
Occµnt (PPINT) ~ Phone Na.
tg
P r Sup er . Add.ess
o~ w3~~
E ~e-ct1ica~l `~,n.,va~c[or (Company N;~mel Convactor's License No.
VV Q f'687
Mail g AtlJress ICOnvactor or Owner Making Insta.ilationl
~ 't ~ l~c C J, . $ i • ~-u~~
Auth ' ed ature IC ract r Ow a ng Installationl Phone Number
7>'( 337
MINNES TA STATE BOAND OF ELECTNICITV THIS INSPECTION FEQUEST WIIL NOT
Griggs-Mitlwey BIAg. - floom N•791 gE ACGEPTED BY THE STqTE BOARD
UNLESS PNOPER INSPECTION FEE IS
1621 Unive,sitv Ave., St. Paul, MN 55104
PAonn 16121 297.2111 ENCLOSED.
_ej-t(r,-~QUEST FOR ELECTRICAL INSPECTION EB-00001.04
, See instruetions for completi'q this fwm on back of yellow copy.
3807 X" Below Wwk Covered by This Requesl
A fle0. Type oi BuiltlmB Aooliances Ylind Equiument Wired
Home Range Temporary Service
Duplex Water Healer Lightin Fi#ures
Apt. Building Dryer Electrie Heabn
Commercial Bldg. Furnace Sflo Unloader.
Industrial Bidg. Air Conditioner Bulk Milk Tunk
Farm ornr, p.,:, v etno. (sne,rv)
1 er pecify t er Oth¢r
ompute lnspection fee Below
p Fee Sarvic trencaSiza p Fee Feeders/Subteeders # Fex Cir<wIs
•LU 0 t Am s 0 to 30 qm s 0 co 30 An! s
Above 200 qmju37 to 100 Ainps fj • 31 to 100 q y
Swinuning Pool Above 100-Amps Above 100_AmIK'
Transformers rrigation Booms .~7 Pdrtial-'Other Fee
Signs SVecialinspection S TOT ~FEt \
Rema rks ~ ~
NouBh-in he.El`_cVina(
Insoactor, heraby
certity the1 the above
Final insoec[ion hes bean
mede.
mis repuesl volO 1B manthe irom
Fhis re~qQuedst witl ~
I/ ~ a 1
/f/~0 40-,4
~'~nJslro~ 1 ~
PeGuest Dat¢ Fire No. f0oogh-i Inspeciion
u ? ~ReadY Naw I NoG~Y I~pec-
es ?NO
nsed Electrical ConUnctor 1 hereb
' Y request inspectim af ehove
Owner elaetrical wark imtalled at:
Street Aadress, Box or Route No. Cip.
ection o. Township amc No. 1lengc Counly ~
Occupant IPRINT) No.
Po Su DHer Z-c& Address
e~e.L_4
v' I Con[rac Company ame) Cm actoi s Gcense No.
ii ng Address (CO rac[or or Owner Mak' e12sbilatfon)U ~ L-+-
Authoriz " namre (Con[raclor r Makirq ~stallati Phone N~mb~r .
MINNESOTIC STATE BOARO OF ElEC7111CITY THIS 1lLSPECTION NEQU&T VILL OT
Griggs-MidweY BId9. N-797 BE ACCEP7ED B~ iHE STA~E BOAM
UNlESS PROPER INSfFCT10N FEE IS
1821 Universitv Ave., St. Peul, YN 65106
PMoo 18t2) 297-2117 ENCLOSED_
7REQUEST FOR ELECTRICAL IPSPECTION Ee-aC41011_o4
' See irartrueti~ iw campleti~g this fnm m haek ef pelbo capr.
619107 "X'" Below Wurk Covered by This Request ~
7roa of a-.ia+~a Applianeaa Airad Ea~io~t wH.sa
0
De P° ome Range Temporary Service
Duplex Water Heater Lighting Fixtures
Apt. Building Dryer Electric Heati
Carcnercial Bldg. Fumace Silo Unloader
Industrial Bldg. Air Corditioner Bulk Milk Tank
Farm SaeoN etne. ISOCCGHl
t r ycnly Ot r Other
ampute lnspection Fee Be/ow
p Fee SarviceEMrancaSize # Fee Feeders/Su6feeders p Fee Gi¢uits
O to 200 Amps O to 30 A O to 30 An~ys
A6ove 200 Amps 31 to 700 Artqs 31 tn lOQ AnWs
Swinming Pool Ahove 100_ A6ove 1~-A
Transformer5 imgation Baurs . $O PaKial-'Othei Fee
Signs Speciailnspectfon
xema 5 f~. ~O TOi/!L
f; ~Y
fl gh-in Date 1. the Elecv:ol
1'¢pector_ lierpbp
osnih ~ abvs
Final ~ D.I. i~epeeti
' m has been
TWqrepueStroldl8monlhsM1Om •
~4 070 Y~ ~ ~$~s
ReQUest Date ire No. Rough-inlnspection
~ ~1C ? Re D Reatly Now Will Notity Inspeclor
O c~I ~ d- X. C No <Whan ReatlY?
1 Ci` licensed contractor $-ewner hereby request inspection of above electrical work at:
Joo Atltlress (SVeet. Box or Rout No ~ Ciry
. G 30 WIevn Lia
Section No. Townahip Name or No. Range NI,. County
Occu fPRIM~ Pfwne No.
~r e (er
Power SuOPlier AOtlre9s
Elecvi I Connaclor ICOmpany Namel CoMretlwk License No.
OMEOWIIEY
Mailirg Atl0 ess ICOnVacror or O.vner Making Instellation,
bvoe-
Aut~~qvner Mekin nstallaLOn) Phone NumOer
~ X& /
MINNESOTA STATE BOARO OF ELECTPICITV L THIS INSPECTION REOUEST WILL NOT
Grlggs•MIUV,ay Bldp. - Xoom S173 BE NCCEPTEO 8V THE STATE 80NRD
1821 University Ave., St. Peul. MN 5510/ UNLESS PROPER INSPECTION FEE IS
Plwne (612) 86]-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTIO
~ 4 5 0 7 0 , Se¢ insimqions lor comple0ng ihis brm on back oi yellow co i~
a-
°'X" Be%w Work Covere d by This Re ~ w.
MCApt. ofBUilding AppliancesWired Equi pmentWired
Range eglectric ervice
Waler Heater ting
ing Dryer ity)
dusirial Fumace
Parm Air Conditioner
~ Other(sV~iN) Contracwr~ S~. 1Compute Inspection Fee Be/ow:
# Other Fe e # ServiceEmrence5ize Fee # Circuits/Feetlers Fee
Swimming Pool 0 0 200 Amps 0 ta 100 Amps
hansformers Above 200 _ Amps Above 100 _ Amps
SignS Inspecmr§ Use Only: TOTAL ~
Irrigation Booms ~
Special Inspection AiarmiCommunication THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 M S. ~
I, the Elecirical Inspector, hereby Rough-in oe~e • y
certity that the above inspection has Final oata
been made.
OFFICE USE ONLY
This request witl 18 manihs hom
PERMIT
3`830 Pilot Kno EAGAN PERMIT TYPE:
Eagan, Minnesota 55123 Permit Number: 621822
(612) 681-4675 Date Issued: 0 6/ 2 5/ 9 3
SITE ADDRESS:
3630 WIDGEON WAY
LOT: 15 BLOCK: 2
ST FRANCIS WOOD
P.I.N.: 10-65900-150-02
DESCRIPTION:
Boildi g.`Permit Type BASEMENT FINISH
~Ouilding Work Type ALTERATION
~
Z' ~
i
\ 1
> i
r y/~-
Li
ji
REMARKS:
SEPARATE PLUMBING & ELECTRICAL PERMI7S REQUIREO
FEE SUMMARY:
Base Fee $35.00 COPIES $1.00
Surcharge $.50 Total Fee $36.50
Subtotal $35.50
CONTRACTOR: OWNER: - Applicant -
AEGLER CARL
3630 WIDGEON WAY
EAGAN MN
(612)458-4263
I hereby acknowledge that S have read this applicatian and state that the
infiormation is oorrect and agree to comply with all applicable'State of Mn.
Statutes and City of Eagan ordinances.
L J
r APPLICANT/PERMI7EE S GNATURE ISSU D BY: 1 ATURE.
INSPECTION RECORD
CITYOFEAGAN PERMITTYPE: BuiLoiNG
3830 Pilot Knob Road Permit Number: 021322
Eagan, Minnesota 55123 Date Issued: 0 6/ 2 5/ 9 3
(612) 681-4675
SITEADDRESS: Lor: 15 BLOCK: Z APPLICANT:
3630 WIOGEON WAY AEGLER CARL
ST FRANCIS WOOD (612) 458-4263
PERMIT SUBTYPE: TYPE OF WORK:
Bp5EMENT FINISH AL7ERATION
INSPECTION . D.
FRAMING FINAL
REMARKS: SEPARATE PLUMBTNG & ELECTRICAL PERMITS REQUIRED
F-
~
~ ~
~ S
REACTIVATE CITY OF EAGAN
PERMI7 i.~ ~ L 1993 BUILDING PERMIT APPLICATION
1 7 1993 681-4675 ~ .
~
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural 8 structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month-
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
~ Date Valuation of work (Do Q
Site Address:
SiREET SUITE /
Tenant Name: (commercial only)
IAT ~ B7ACK SIIBD. 6A P.I.D. M
F r
Descri tion of work: '\DRSC'.0-) e n~- SV
The applicant is: O10wner 0 Contractor ? Other (oeacrtee)
Name w~r G;:v \ Phone
Property LAs FIIiST 4a63 b+YS -
~ Owner Address 3 6'3b 1.~\ ( ~
STREET STE M
City 6LV_-, State ~Yl\) Zip S 5 l~
Company Phone
Contractor Address License # Exp.
City State ZiP
Company Phone
ArchitecU
Englneer Name Registration #
Address
City 5tate ZiP
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this apPlication and state that the information is
correct and agree to comply 'th all applicable State of Minnesota Statutes and City of
Eagan Ordinances. ~
~ Si9nature of Applicant: al
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ?~O6 Duplex ? 11 Apt./Lodging O~16 Basement Finish
0 02 SF Dwg.. ? OZ 4-P1ex ? 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition ? 08. 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
0 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 SFMisc. ? 10 Multi. Add'1. ? 15 Deck O 20 Public Facility
? 21 Miscellaneous
WORK TYPE .
,
~31 New ?,33 Alterations ? 35 Tenant fin9sh ? 37 Demolish
32 Addition T.3:14 Repair O 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) lst F1. sq. ft. City Mater
UBC Occupancy ~ 2nd F1. sq. ft. PRY Required
Zoning Sq. Ft. total Booster PumP
# of Stories Footprint 5q. ft. Fire Sprinkler
Length On-site well Census Code ~.~/3C/
Depth Oo-site sewage SAC Code
APPROVALS o
Planning `Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
O Site O Footing )S~Framing O Insulation
? Wallboard ~Q Final ' ? Draintile [3 Fireplace
Permit Fee 3.5c C) 0 v,i„ac;«,: g
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
5/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
CoPies
Other
Total:
SAC %
SAC Units
~ 260 ^ 29 +
7=0°30+
1985 BUILDING PERNIT APPLICATION - CITY OF EAGI 63--j0+
1J6=00+
NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY 29108=750
CLUDE 2>106-7"*
3 ERTIFiona".~_..,......._..._..
1 SE OF ENERGY CALCULATIONS
To Be Used For:T ~y,~N Valuation: ~Z7,00U Date: ~ 0 8
~ /
Site Address: /
(.j~ OFFICE USE ONLY
. ~-,P,9~t1u 5
Lot: /S Block ~ Sect/Sub j,dpp Z) Erect ~ Oecupancy R 3
Remodel Zoning (Z. ~
Parcel !I ftepair _ Type of Const ~
i Enlarge 4l of Stories
Owner .J'147uC-~s L/'00 ~Q Move Length 54
?emolish Depth
Address Grade Sq Ft
City/Zip Code pM a r L4-k_r'
Phone Z14 "1-~ 73 APPROVALS
Contractor m. JW/156n L:0775~• ~C. Assessments Permit 500. ~
Water/Sewer ~ Surcharge ~03.$D
Address Police Plan Review 'L50 ~
Fire SAC 5?S'
City/Zip Code Engr 04~y- (,Water Conn Sop.
Planner Water Meter (v3. SD
Phone LI-3 2 - fo,f%-3 ~ Councal Road Unit
Bldg Off Parks
Arch./Engr. APC Treatment P1
Variance
Address TOTAL
City/Zip Code
Phone lk /ytArt p.w.wrM ~r. ~ ~e
J
I
~ CERTIFICATE OF SURVEY 5 0Z° 29 3
5 3 9"I ~
t4 N
. d ~
o~ N 0
Q
~~y ORA~~.~AGE Z
Eq sEM~.t.~T
oL70~ S p
G7`V p'
~
LoT I5 \
~
/ BLOCtc. 2 S ;
94 9/ 9 ~o •o ~ O O l~
V o~
~
9 a a ~ Sl 1 9~~ 41~c~. ~4 93 . 9 0'C N~ O
-2 ~
r
9O "O S~ \ 9a to1~~
L. ~ p 2 Q~„ o
\l, filevntions shnwn are existing
grades and arc a•:sumed datum.
Q ~ 9 4 Proposed garage [loor elevation = 94.0
L ~a O yo.\
87.,
1 hereby cerCify that this is a correct representation oE a survr_y uf:
l.oC 15, Ylock 2„ S'T. FRANCIS WOOU, Dakota Cnun[y, Minnesota, according tn
Che recorded plat thercof._
and tha[ I:im a duly registered land surveyor undcr he laws oF the State uf Minneso[a,
Dated tlii s l:;th day of March, 1986 Gene L. Jacobson, Mirt . ke};. No. 77'14
DR. 8Y <sL~j SCALE - 1" = 4O o DENOTES IRON MON. BEARINGS ARE ASSUMED DATUM.
PREPARED FOR: JACOBSON SURVEYORS
Johnson Cnnstruction
P. 0, i't,x 24389 I.AKEVILLE, MINN. 55044
Apple Va1Ley, PfN 55124
PNONE 469-4328
~ ,
~ ` - - ~ EXTERIOR EKVELDPE AVERAG'c "U"- CO?iPU7ATIM
O41HER
. i ~ SITE ADDRESS
COtiTRACTOR DATE PHONE
• Determine working square footage of each.
1. Total exposed wall area Z32-q ,L.o,-C sq. ft. x .11. ° ZSI~.Z
2. Total roof/ceiling area 9 ILp sq. ft, x 6=
Total exposed waTl area above f1oor = 191n8
a. Total wall windaw area
b. Total door area 3 8 c. Totai sliding glass door araa F? 8
d: Total fireplace wall area
e. Total watl framing area (averaqelOA)............. ( o919'7
f. Total net wall area above floor
g. Total rim icist area 'Z Lc D
Total exposed ioundatian area = ~LI L^ ~ •
r
h. Total roundation window area _
1. Toal n_t roundation area aoove crad= . IOl, luu
Oetemine "U" valu_ of eazn wa7] se_-._nt.
a r] ^,,Z Lr
x ~l.u. „ ~"J.•? c~
X llUl~ L!
C. ~
d. X „ull _
e, G7 X ~~U" l.n = li~.?•
x%,1 *7= L' ~ n
Z L,p X~lUll 1= I O, Lrla
9•
h X „up,
{ ~Dt i,.01 X"U"
3 .
1T =3 1s 4fl°_ SdT° 25, Ci" l°_sS -Gafl yG'~J F?0V? G:°_~`. `.I':° lfiii.'_int
. . • , ~ . . , s G
Total exposed roof/ceiling area ' LO
=
Total gross roof/ceiiing area
j. Tota1 skylight area
k. Total roof/ceiling framing area - rZ
1. Total net insulated roof/ceiling area....... 8,Zy ,~4
Determine "U" value for each roof/ceiling segment.
. . , : . . x iiull _
tt5
k. q 1, to x„u„ , o z9 ; 2,
x lfull ,n25 = zo,laI
4 q.~.L-0...........7ota1 = G La ' .
If total of #4 is the same as, or less than P2, you have met the intent of
56C 6006(c)l.
To utilized the total envelope system method, the values.established by the
sum of items #3 and #4 shall not be great'er than the sum of itens #1 and #2.
I. + 2. _
3. + 4. _
MATERIkLS Therm. Resistance
Exterior Air ,ir?
Siding Mlaterial . uS
Sheath'ing ?.o~
Insulation
SheetroCk
Interiox Air
Stufls 4r't
Rim
Conc. B7Jcs. 12.4-;
rrT4• OF ''-.AC=APJ '
[:ASH.iEFis ,75 'fFnt9ThfiE_ Npc G?e
?A7c; 79/30/3.9 7IM~'; 18:i.i:Y6
NIpME:: DUMAYNE W. RAtd4:S .
;i21Q '.?0''~i 3630 W7Dr,E0N '4Y •1.67:25
'r_1.95 3001 3030 W!I)GEf.;V WY . 4.54
. .
'fo+,-a1 Receip't AmuijM: 171.75
f.h'ii76AC! .
USER 193 : :IRV .
~`TT11'h~T T~M ~i~MTMH'T TAT~M*TT 4~~T T TTyITTMT TTTT
1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651•681-4675
New ConslrueHon ReauhemeMs Remodel/Reoalr ReaWremenh " ~ g
? 3 regisfered sHe surveys showing sq. X. of lof, sq. H. of house 2 copfes of plan '
and ~II roofed areaa (20% maximum bf eovercae allowed) 1 set of energy calculaNons tor heafed addXlons
? 2 coples of plans (show beam 3 window shea; poured fnd. deslgn; efc.) 7 sRe aurvey for exfertor addMlom a decks
D 7 set of energy calculaNons
D S copies of hee preservaHon plan B lot plalfad aRer 7/1/93
DATE: ! - a-*- p9 CONSTRUCTION COST:
DESCRIPTION OF WORK:
SiREET ADDRESS:
LOT: ~ BLOCK: a SUBD./P.I.D.#: -Y Ca n 1J.~0(V
Name: /`~--Phone N•
PROPERiY ~ Lan Ftra?
OWNER
Sheet Address:
City State: Zip:
~
Com'any: Phone
(area code)
CONTRACTOR
Sheet Address: License #~/A'G~~x/p.
city state: /7"Al/ zip:
ARCHITECT/
ENGINEER Company: Name:
Telephone area code ( )
Stree't Address: RegishaHon ik:
City State: Zip:
Sewer 3 water Iicensed plumber (reaulred for new conshuctton onNl:
,Penally applles when address ehange and lot change Is reqvested once permR Is issued.
I hereby acknowledge fhat I have reod this apptlcaHon, state that the InformaNeortect, and agree to eomply wkh all applicabl
Stafe oi Minnesota Statutes and CHy of Eagan Ordtnances.
Signafure ot Applicant '
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
O 02 SF Dwelling.? 07 .5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-piex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Stortn Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bidg. ? 40 Gas Insert ? 44 Windows/Doors
O 33 Alteration ? 37 Demolish Bldg.* ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair O 38 Demolish (Interior) ? 42 Reroof
` Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. Census Code
(Allowable) Main level sq. ft. SAC Code
UBC Occupancy sq. ft. No. of Units
Zoning sq. ft. No. of Bldgs
# of 5tories sq. ft. MC/ES System
Length sq, ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MC/ES SAC ;
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit '
S/VN Surcharge
Treatment PI. ,
Park Ded.
Trails Ded.
Other
Copies
Total:
SAC Units
°h SAC
p¦ ~TM- ~1RaM a q, yf6 Tn~
aF~'r; "ayr a
f
1993 PLUMBING PERMIT (RESIDEN'I7AL)
CITY OF EAGAN
3830 PII.OT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AISO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTT.
10. FIX1'URES EACH TOT~
SHOWER 3.00
i BATH TCJB OSET 3.00
LAVATORY Y`n 3.00
KITCHEN SINK 3•00
LAUNDRY TRAY 3.00
HOT TUB/SPA 3.00
WATER HEATER 3.00
FLOOR DRAIN 3.00
GAS PIPING OUTLET • minimum • i 3.00
ROUGH OPENINGS 1.50
WA'I'ER SOFTENER 5.00
PRIVATE DISP. • Deray. iio. 15.00
U.G. SPRINKLER • nomc unaer wmt. 3.00
ALTERATIONS • w aosting 15.00 ~
WATER TURN AROUND 15.00
STATE SURCHARGE .50
TOTAL:
SITE ADDRESS: (,J i cf eo n6t)
OWNER NAME: (,,,IA" ) ef-
INSTALLER: 'J-e-/ C
ADDRESS: ~&,30 l,t~i d q~on W~,
C1TY:- ~ q Cc-r, STATE: kl-) /2 - ZIP CODE: ~s'sia 3
PHONE (61d, )
SIGNATURE OF PERMITTEE
~~~faly ~AatL~ ~tl _ux
p} L m e3~`~ ~a
: 114 S ?i *>~z~Jy~ ~~"s 'Y~~k.~-t#~ Fy y a
m F
1993 PLUMBING PERMIT (CONLMERCIAL)
CIT'Y OF EAGAN
3830 PIIAT KNOB RD
FAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COMIvIERCIAUWDUSTRIAL BUILDINGS. ALSO FOR MULTI-
FAMILY BUP_DINGS WHEN SEPARATE PERMTTS ARE NOT REQUII2ED FOR EACH
DWEL.LING L': I'.
_ NEW CONSTRUCI'ION
ADD ON
REPAIR
WORK DESCRIPTION:
CONTRACT PRICE: $
FEE: 1% OF CONTRACf FEE.
STATE SURCHARGE 530 FOR EACH $1,000 OF ?'ERlGI1T FEE.
MINIMUM FEE $ 25.00
CONTRACT PRICE X 1% $
STATE SURCHARGE $
TOTAL $
SITE ADDRESS:
TENANT NAl?ZE: STE. #
OWNER NA114E:
INSTALLER:
ADDRESS:
CTfY: STAT'E: ZIP CODE:
PHONE
FOR:
CITY OF EAGAN APPLICAN'I'
• C I I Y O F E A A i~ *~~~Fm~F~ ~~.~;~F *
. = * APPROVAL OF PIIiNIIT. *
APPLICATION FOR PERMIT ;
: • .E * INSPDC~'TON OF SE4dI2 AI~ID/~2 i~7II2 *
. * IIzI'AI.I.ATIONS hT.L NC)T BE SCFED-; ~
SEWER AND/OR WATER CONNECTION ~ ufm UNTM PERMIT HAs sEM . . . _ »
*
. • ' ' . . • * APPROVID. . • '
* w
. **::x* * * *,+*,r******,r#,r+***t t *i
. . P ease Print
~1) PROPERTY ADORESS: A) y
LEGAI, DESCRIPTION:~,(~j,Qn~K~' G /~,NC/S ~~Q~_ ~
_(Lo B ock ubd~vision o Tax Parcel_ID ) .
IF E7QSTING S1RC'C.ZLME, DATE OF ORIGINAL g[1ZLpIM pERMTT ISSL'ANCE: "
PRFS ZONZNG/PROPOSID [ISE: (Nbn Year
COhIIME2CIAL/REl'AIL/OFFICE R-1 SINGLE FAMILY .
n IbIDOSTRIAL, R72 DLPLEX (Thn Chiits)
~ INSTI7SJTIONAL/GpVIItNMENT ~ R-3 =%4HpUSE' (T.yree + Units) ( Cfiits)
- R-4 APAR1MENf/CObIDOMINILTI ( Units)
2)
N1VIIE: i ~ ~
ADDRFSS.,
CITY, STATE. 2IP: 0
PHOI~: o? • ~ p .
3) i° "D 1211,111;~: 11 ~11 For City Use . .
Plumbers License:
ADDRFSS: Acti.ve
CITY. STATE. 2: L4'~j'fMWT O~/~/ ,~6~ . ~ Notirrecorded
PHONE:~~' MASTER LICIIdSE#
StaFf Initial
9) ~..ti~~t;-rr.~ee,v~. . .
- NAM. . ' .
_ ADDRESS: .
CITY, S'PATE, ZIP:
PHONE: .
.
.5) ~.i a• • ~ ~ : o - o~ a. ;IONNECTION CON[g',CTION 'Il7 CITy SEWE12 SO CITY WATER ~ pTHER . .
6) p E HOLD ApPROVfD PEF2MIT FOR PICK-L~P BY ONE OF AHOVE
P• E MAIL APPROVID PEFUMIT ?q 1,
(C 2P 4,)AgpVg
.
A irce
7] . r . u•~- f~
'1: • y C { 1. : M Y ' ' 11 n'_ ' '.0 1 • /
~I' DO;' .t~7:'?' P `~•,.y.~ 1 YC 'ti 1'~.41:
4f~.9. e~,• I.......... ti!
' 11. }:~a~i~l e:o (J'{ • 1.11'IA~/ " Y\/" OO lF.~..
. FOR CITY USE ONLY • " PERMIT # ISSUED
`7 z~ ' ~ a • '
Pd w/Bldg. Permit FEES: ,C $ ~C. ~ D SEWER PERMIT (INCLUDE SORCHARGE)
$ $ WATER PERMIT (INCLUDE SURCHARGE) .
$ $ WATER METER/COPPERHORN/OC'TSIDE READER
$ WATER TAP (INCLC'DECORPORATION STOP) '
$ $ SEWER TAP
$ $ %SCr~ ACCODNT DEPOSIT - SEWER
S $ 1_j ; C-D ACCOC'NT DEPOSIT - WATER
$ yGO, c~ D $ wAC $ J~75 f~ O $ SAC .
$ $ TRUNK WATER ASSESSMENT
$ - TRC'NK SEWER ASSESSMENT
S $ • LATERAL BENEFIT/TRCNK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ J S~ cD d $ WATER TREATMENT PLANT SORCHARGE
$ $ OTHER: $ % $ TOTAL
REC PT -
RECEIPT
DOES CTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RZGHT OF WAY?
F--j YES IF YES, THEN A"PERMIT FOR WORK WITHIN PL'BLIC
Q ROADWAY" MUST BE ISS(:ED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SL'BJECT TO THE FOLLOWING CbNDITIONS:
~
APPROVED BY: 4~8-lu) b-d-w~
,
TITLE:
DATE:
,
r '
1 • •
,
citV oF eac:c~ Y r ~
3830 PILOT KNOB ROAD. P.O. BOX 21199' • • BEw BtO:uout5i
EAGAN. MINNESOTA 55721 . " ?nyv
PHONE (612) 454$I00. - iHpMAS EG.+.N
JAMES A. SMITN
DATE: March 25, 198E hRfiY iN`J~1A5 '
TNEOOO.E Y/ACMTER
. . Ccurc. r.xmaera
. . ' TMC.LtaS NcCGES
- Car w~imnsrtemr
SPECI~I. ASSESS~!tVT SEaRCH EuGErve~ry~o~vEaeEKE
. DAKOTA COUNTY ABSTRACT G RE:~ t Francis Wood F,
1250 HWY 55, P O BOX 456' Iot 15 Block_2'
SASTINGS MN 55033 13630 Wic~qeon Way . ,
i
Enclosed herein is the search which you requested made on the above described prooert;
Kind oi I-morovement YPq,---, Beeinnins Orisinal Aceount Balance Due
Street Stiarf 10 1980 $1758.49 ' $ 527.61
San Sew Trunk 15 1980 3658.57 1951.27 ~
I further certify that according to the records af said office, the following imnrove-
ments are contemplated or pending after having been approved and are now in the proce:
' of.planning or complet3on. ,
. Kind of Imvrovement Anuroxiaate Date of Comvletion Aonrosiraace Cost
NOM . ' I .
WAIVER• , , . ' ' . .
Neither the City ofEagan nor its employees guarantees the accuracy of the above infor
mation which was requested by- the nerson or persons indicated. Nor does the City or i
employees assume any liability for the correctness thereof. In consideration'for the
supplying of the indicated information in the above form and for all other considerati
' of any nature whatsoever, any claim against the City or its employees rising therefroc
is herehy expressly waived. Levied assessments [o be paid to the CITY OF EAGA.Y,
3830 Pilot Knob Road, P. 0. Box 21199, Eagan, MN 55121. '
.Very,truly yours, • , ' •
. /,~~...2i~z~f.~-~--~> _ . ' - . . . .
. SPECIs1L ASSESS:fENT DIVISION
•
iHE L04E OA)C TREE...1HE SYMBOI OF STRENGiH AND GROWTH IN OUR COMMUNIiY • •
I
~
Clty of EapIl ~ Permit# ~
' I 5~
I Pertnit Fee:
3830 Pilot Knob Road ~
Eagan MN 55122 ~ Date Received: ~
Phone: (651) 6755675 i stae: i
Fax: (651) 675-5694 I i
2009 RESIDENTIAL BUILDING ERMIT APPLICATION
Dat~ SiteAnd dress: ~ ~
Tenant: C~
RESIDENT / OWNER Name: ~ Phone: WN / a/j<7
AddresslCity/Zip:
Applicant is: _ Owner Contractor
c fn
TYPE OF WORK Description of work: - Cf/ cJ ~
Construction Cost: 2 --Multi-Family Building: (Yes No,An
CONTRACTOR Name: f"' C e5 ~-s 'r-ticense #:0~ a 3~ 7~d ~
Addresv'//~C~ ~
~ity: Av'~_r%
Phone: r V%U/Lntact Person: 2ff 4- m P9~r~~5/
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Cade . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category suMnreea submitted
(4 Submission type) • 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?
_Yes _No If yes, date and address of master plan:
Licensed Plum6er: Phone:
Mechanical Contrector: Phone:
Sewer 8 Water Contractor: Phone:
" N07E: Plansand supporting documenis that you submit are considered Yo be public information. Portions of
- the infonri-ation may be classifiied as non-public,ff yoo provide specific reasons that would permit the City to
conclude that the are trade secrets.
I h eby cknowledge that this' ormation is complete and accurate; that the work will be in conformance wilh the ordinances and codes oi the Ciry of
E an; at I understand this i ot a permit, but only an applitation for a pertnit, and vrork is nol to start without a permit; that the work will be in
7ord_01,1&2 ce with the approved pl in the case of woM wfiich requi25 a review arW approval of plans.
~ ~ X
ApplicanYs Printed ame ApplicanYs Signature
Page 1 of 3
For Office Use
Permit
D
City of Eaaafl ~j
I Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I
Fax: (651) 675-5694 Staff:
2009 RESIDENTIAL BUILDING ERMIT APPLICATION
Dat b
Site dress:
Tenant:Suite
RESIDENT I OWNER Name: Phone: 63V / all4l"
Address / City / Zip:
Applicant is: Owner Contractor
TYPE OF WORK Description of work:
Construction Cost: 2 2_ e ' Multi-Family Building: (Yes No )
CONTRACTOR Name: $ 4h3t'J47 4icense 3t 96
Address+,~~i~~'~
City: / State:4?4, Zip:,
r e--7-7
Phone: 1 2 ' / Y 7 3 ontact Person: 16 //I `1°
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Category 1 Minnesota Rules 7672
Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
submission type) • 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?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
I h eby cknowledge that this ' ormation is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
E an; at I understand this i of a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
a cord ce with the approved p1 in the case of work which requires a review and approval of plans.
Applicant's Printed Came Applicant's Signature
Page 1 of 3
Date:
Tenant
City of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
2011 RESIDENTIAL PLUMBIN PERMIT APPLICATION
ti/Vii Site Address: j (PAO (A)
074_1.0'
RESIDENT 1 OWNER
rf.
CONTRACTOR
Name: -ri Aeiy\e.,�
Address / City / 21p: 0 1k)
i•
Sults X:
h
.a
Phone: 61- � 4c1' 7
Name: _MILBERT COMPANY INC.dba CULLIGAN WATER
Address: 1801 50TH ST EAST City: . INVER GROVE I IGTS .
State:' MN Zip: 55.077' Phone: 65.1 :451-2241
Contact BILL.MILBEikT
Email:
TYPE OF WORK
PERMIT TYPE
• New eplac ement Repair _ Rebuild _ Modify Space _ Work I).RO.W.
Description of work:
RESIDENTIAL
Water Heater Water Softener
Lawn Irrigation C RPZ /PVB) Add Plumbing Fixtures ( Main / Lower_Level)
Septic System
_New
_Abandonment
Water Tumaround
RESIDENTIAL FEES:
$55.00 Minimum Water Heater, Water Softener, or Water Heater An Softener (includes $5.00 State Surcharge)
$35.00 Lawn Irrigation (incitides $5.00 State Surcharge)
$55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround" (includes $5.00 State Surcharge)
'Water Tumaround (add $166.00 if a 5/8" meter is required)
$105.00 Septic System Nair ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
$95.00 Fire Repair (replace bumed out appliances, ductwork, etc.) (includes $5.00 State Surcharge)
TOTAL FEES $ 5; CO
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities.- www.000herstateonecall.ora
I hereby acknowledge that this Infimnation 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 riot 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 $,review and approval of plans.
x f
Applicant's Printed Name
x
Applicant's Signature
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA138142
Date Issued:08/11/2016
Permit Category:ePermit
Site Address: 3630 Widgeon Way
Lot:15 Block: 2 Addition: St Francis Wood
PID:10-65900-02-150
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Andrew C Cerio
3630 Widgeon Way
Eagan MN 55123
Twin City Home Remodeling Inc
85 3rd Ave SE
New Brighton MN 55112
(763) 572-2577
Applicant/Permitee: Signature Issued By: Signature
vEDI \‘a
3:
.4.-,4
r
1/ ,514
JAN 26 2018 For Office Use
i i...7 ,.......7/7
Permit# /".7 / /cr/ I'
G
.-/-..—.:.
Permit Fee: 4 7.
1-?"(0-0
,„........„...
......
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 or,_
(651)675-56751TDD:(651)454-8535 FAX: (651)675-5694 Staff:
huildinginsnections(Ccityofeagan cam L ,
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 01/26/18 3630 Widgeon Way
Site Address: Unit#:
, t Name: Robin Cerio Phone. 612-386-8157
Resident/ -
Owner Address/City/Zip: 3630 Widgeon Way, Eagan, MN 55123 ,
f.
: I
X
i
Applicant is: Owner Contractor i.
.....-- , _ ,„,,,„_ __
I r
Type of Work Replace existing deck with new, same size deck
° 1 i, Description of work:
Construction Cost' $8,72545 Multi-Family Building:(Yes /No X
. z Outdoor Spaces Design&Build Ca, LLC
Contact: Jayme Quinnell /
/
. i Company: i
=
;
, t
Address: 5378 193rd St W CitFarmington
y:
Contractor I
State: MN Zip55024 Phone. 651-235-1100 Email: jaymegosdab.corn
.
. t ;
NAT-F168253-1
. License#: BC689582
Lead Certificate*
------
;
If the project is exempt from lead certification, please explain why:
: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING 1
In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? ;
;
1 Yes No If yes, date and address of master plan:
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Licensed Plumber: Phone:
...
:
Mechanical Contractor: Phone:
4 =
Sewer&Water Contractor: Phone: _
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1 Fire Suppression Contractor: Phone:
--'. NOTE;Plans and supporting documents that you submit are considered to be public Information. Portions of the Infonnalon may be 1
classified!s netpublicyntrprovide .• fic reasons that would.ern*the C to conclude thatLheipletrpde secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvoleauamcomisubscribe.
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.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. wwwaopherstateonecalforq
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 wit J. i , i.zrrnit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
.*) .....
xJayme Quinnell
....._„
Applicant's Printed Name A••!leant'- -'•;nature
/)
6,s7O k) i'-7 -77-q I
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation Fireplace Porch(3-Season) _ Exterior Alteration(Single Family)
Single Family Garage Porch(4-Season) Exterior Alteration(Multi)
_
Multi ix Deck Porch(Screen/Gazebo/Pergola) Miscellaneous
01 of Plex _ Lower Level Pool Accessory Building
_
WORK TYPES
New Interior Improvement Siding Demolish Building*
_
Addition Move Building Reroof Demolish Interior
______ _
Alteration Fire Repair Windows Demolish Foundation
Replace _ Repair Egress Window Water Damage
_ Retaining Wall *Demolition of entire building-give RCA handout to applicant
DESCRIPTION
Valuation 34ea Occupancy 24 e -/ MCES System —
Plan Review Code Edition A a/c SAC Units —
(25% 100% )' Zoning 4-1 City Water ----
Census Code 4,a 0 Stories Booster Pump --.
#of Units / Square Feet /rx PRV _
#of Buildings / Length /3-3 Fire Suppression Required
Type of Construction 7.3 Width /.7. r
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
e Footings (Deck) Final/C.O. Required
Footings (Addition) .V. Final/No C.O. Required
...____
Foundation Foundation Before Backfill HVAC Gas Service Test Gas Line Air Test
Roof: Ice&Water Final Pool: Footings Air/Gas Tests Final
X. Framing 4,..30 Minutes 1 Hour Drain Tile
Fireplace: Rough In _Air Test Final Siding: Stucco Lath Stone Lath Brick EFIS
_
Insulation Windows
Sheathing Retaining Wall: Footings Backfill Final
Sheetrock Radon Control
Fire Walls Fire Suppression: Rough In Final
Braced Walls — Erosion Control
Shower Pan Other:
Reviewed By:_ 441r4 _, Building Inspector
RESIDENTIAL FEES ./ 0, fi 0916-/( @ ./0- 1Y‘ca at 7 3ele`
Base Fee ill 0
Surcharge I
Plan Review 57 MCES
—
MCES SAC
City SAC
Utility Connection Charge
S&W Permit& Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
CERTIFICATE OF SURVEY /W7 "/
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Q Zo 4 Elevations shown are existing
Q. \\ D �`C grades and are ansumed datum.
% 95.4 Proposed garage Eloor elevation = 94.0
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/37. LIA tTE:_________4„ r
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V_____________
I hereby certify that this is a correct representation of a survey of: IO !
Lot 15, Block 2., ST. FRANCIS WOOD, Dakota County, Minnesota, according to
the recorded plat thereof._
and that I am a duly registered land surveyor under he laws of the State of Minnesota.
i
11r4V . 41104e-e :
Dated this l:,th day of March, 1986 Gene L. Jacobson, Minfkeg. No. 7714
DR. BY GLJISCALE - I" = 4.dJ O DENOTES IRON MON_ BEARINGS ARE ASSUMED DATUM.
PREPARED FOR:
JACOBSON SURVEYORS
Johnson Construction
P. 0. Box 24389 LAKEVILLE. MINN. 55044
Apple Valley, MN 55124
PHONE 469 - 4328
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA174601
Date Issued:02/07/2022
Permit Category:ePermit
Site Address: 3630 Widgeon Way
Lot:15 Block: 2 Addition: St Francis Wood
PID:10-65900-02-150
Use:
Description:
Sub Type:Water Heater
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Andrew C & Robin M Cerio
3630 Widgeon Way
Eagan MN 55123
Tony's Appliance Inc.
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature