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3637 Widgeon Way CITY OF EAGAN SEINER SER1/ICE PERMIT 3830 Pilot Knob Road P. O. 9ox 21139 PERAAIT NO.: Eagaii, MN 55121 DATE: Zoninp: No. of Units: Owrnr. /lddross: - Site Addross: ` Plumber. , - 1 pM h emob wm !w Ci1p of fawn ConnecHon t3+aye: ~ Onameam Aorount Depodt: Pernit Fer Surthorgs: By Mtsc. Chorgss: Date oF Insp.: Totol: Insp.: DaN Pbid: CITY OF EAGAN WATER SERVICE PERMR 3830 Pilot Knob Rasd ' P. O. Rox 21199 PERMIT NO.: Eagan, MN 55121 D/1TE: 2onirg: _ No. of Units: Owrnr: - - t : ~c~ - - - - /lddross: Site Address: - - Plurnbar. Mehr No.: Connaction Chorpe: ; Slza: 11oca,nt Deposit: Reoder No.: Pe?mit Fee: I pme to eowMlp wM6 IM Cifq oi EowN 5u?dwrye: Orikwwo... Mrsc. CF,n.fl.s: , Totol: By Dote Pafd: Dote of Insp.: Insp.: CITY OF EAGAN 3830 Pilot Knob Road WpTER SERVICE PHt11AR _ P. O. Box 21199 PERMIT NO.: 6889 Espsri. MN 551~211 DATE: 11-1-85 2onirg: . No. of Units: Owrwr, imhorlinp Addrw~ Sitr Address: Plumber. Thom son Plumbin Mehr No.: C.onuwctian Chorge: _5n0 _ OOnd - Stze: ~~ocK ~t Depoat. _ 15.00pd Reodar No.: L0 /'1'1 1Oli Permit Fee: _ 10. OOpd 1 ym fo ea.py wM& tb. CMr .f EyP• Surcho.p.: _ . SOpd Ordh""°". Mix. Choras: - 137 00,.1 TP_ Tatd; 8y Dote Petd- Dote of Insp.: Insp.: CITY OF EAGAN 3830 Pflot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ~5 4 PHON E: 454-8100 y BUILDING PERMIT Receipt ~ To be used for ~MNT Est. Value S 1, 50C Date *0%1 28 ,1986 Site Address 3637 WzDGEON WaY OFFICE USE ONLY Lot i BIoCk i SeC/Sub.cT z~ANC•j 7 wbOD 2 On 5ite Sewape Occupency MWCC System Zoning Parcel No. On Site Well (Actual) Const a Name VIRK DM0LW City Water (Allowable) Z Address 3631 WIDGE{% ''AY PRV Required # of Stories 0 City PhOne 452"6p56 Boos=erPump Length Depth , o Name TIM$8$LINr. 8U:{,DERy. 3Nf. S.F.Total oi Address 3727 S ~31LLc`: t.AY FootprintS.F. V~ City ~AGAN Phone 454-5918 433-3:`T1 APPROVALS FEES ~ W Engr./Assess. _ Permit 34.00 Name u~ Address Planner Surcharge 1.00 cc Z City PhOne Council Plan Review ~ W 81dg. Off. SAC, City I hereby acknowledge that I have read this application and state that the Variance _ SAC, MWCC information is correct and agree to comply with all applicable State of Water Conn. Minnesota Statutes and City~of Eagan Ordinances. . , _r. Water Meter Signature of Permittee Road Unit A Building Permit is issued to:_ 1 IMAbF,LiNE Treatment P1 on the express condition that all work shall be dorte in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks TOTAL 35.00 Building Officiai- - - Permft No. Permit Holdsr Date Tetephone it Plumbing H.V.AC. E lectric ,u i SoRener Inapectfon Date Insp. COmments Footings I Footings II Foundation Framing r 9 ~ Aq Roofing Rough Pibg. Rough Htg. isui. Fireplace Finai Htg. Final Pibg. Bldg. Final Cert. Occ. Temp. LP ~eck Ftg. ~slc Final Z Q Well Pr. Disp. , CITY OF EAGAN 11176 ~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Reteipt # Te w wed fa ' Est. Volue Date 0t"I" i.' 19 Site Address Erect 0 Occupancy Lot Block Sec/Sub. Remodel ? 2oning Parcel No. Repair ? Type of Const. Addition ? No. Stories , Move ? Length ~ Name Demolish ? Depth ~ Address Int Impr. ? Sq. Ft. Ci2Y Phone - Install ? , ~ Name Approvoh Feaa q~~s /lssessment Permit u~ Ci Phone Water 8 Sew. Surcharge tY , Police Ptan Review a ~uZ Name Firo SAC A~r~g Eny. Water Conn. of W City Phone plonner Water Meter Council Road Unit ! hereby ocknowted9e thet I hove read rhis opplicotion ond store thot gld9• Off• Tc PI. ~the inlormation is correct ond a9ree to comply with oH opplicoble ! s • ~~T State of Minnesoto Stetutes and City of Eognn O?dinonces, APC Parks . Slpnoture of Pertnittes Var. Oate C~ies ' Total • + A Buildiny Permif Is iuued to: on tho exprcss condition tha+ all work sholl be done in accordonce with alt epplioobte Stote of Minnesoto Stotutes ond City of Eopan Ordinonces. Buildir?q Official •dslp *id ,emYg t1aN1 :uoiu"l a41x"a JO3oM 14- ~ ~ ' /~l 9 ~6'J 'aa0/a?~~ '64{d IBUid 'aZH IQuId ,t £f ea~~da~ld ~ • •imul '63H 46noa - / / '691d 46nod Buli!! 6ulwmij uopepunaal II sDullood seupoo.4 wyip •dsul pep uo!P*dsu1 iw~~{og 5 "~s i~ -~lE' ? . 1 f-T- 5 ~ v~.~, p u ~ h ~ ~ J ~ ~~1~~ i e ~ ~,,,,1._ ~ • ~lqu ~ auoydojaj soQ JOp1oH 4luLnd '~N Mwu*d ~ r vF EAGAN Remarks Additio ST. FRANCIS WOOD 2ND ADDITION Lot 1 plk 1 Percel 10Z65901-010-01 Owne :A1• L1 '-C..,. (',B Street 3637 WIDGEON WAY State Fa,gan, 1Y1L1T 5512; ? t F•,. - i- Improvement Date Amount Annual Years ~ Payment Receipt Date STREET SURF. (.f 1981 86.88 17.38 5 STREET RESTOR. GRADING 1983 610.85 122.17 S SAN SEW TRUNK b 1983 316.84 63.37 5 *S£WERLATERAL 1983 510.68 1102.14 5 WATERMAIN * WATERLATERAL 1983 S WATER AREA lql 1983 316.84 63.37 S * Services 1983 S STORM SEW TRK J 'L 1983 670.74 134.15 5 * STORM SEW LAT 1983 5 CURB & GUTTER SIDEWALK STREET LIGHT 2 10 25 85 WATER CONN. 500.00 BUILDING PER. SAC 525.00 PARK Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN Fee _ . l fil/ in numbered spaces S1C Type or Prin[ legibly Tot 1. Date 2. Installation Cost 3. Job Address Lot Blk. Tract 4. Owner 5. Contractor Phone 6. Address i 4 + . , 7. City State ' Zip 8. Building Type: Residential ? Commercial ? Institutional ? . 9. Work Description: New O Add O Alter ? Repair ? , ~ 10. Describe 11. No. Fixtures No. Fixtures Water Closet Cesspool/Drainfield Bath tubs Septic Tenk ; Ldvatory Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and 1 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$100 Receipt ~ MECHANICAL PERMIT Permit No. - J CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Print legibly . Tot. 1. Date 2. Installation Cost 1 3. Job Address -iqt. / Bik. / Tract ~ 4. Owner 5. Contractor ,Phone 6. Address 7. City Statb ~ Zip 8. Building Type: Residential L~ Commercial ? Institutional ? 9. Work Description: New Ef Add ? Alter ? Repair ? 10. Describe - Fuel Type 11. No, Eauipment 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 prdinences and codes governing this type of work. Signed: - for Rough Flnal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-6100 ~ RESIDENTIAL BUILDING PERMITAPPLICATION / CITY OF EAGAN 470,00 3830 PILOT KNOB RD - 55722 r 651-681-4675 (~Q(I e,~ ((~b `0` I u~l I lew ConsWction Reauirements RemodellReoair Reaulremente 3 regislered site surveys showing sq. h. of lot, sq. fl. of house; and all roo(ed areas • 2 copies of plan r, (20% maximum lat coverage allowed) . 1 set of Energy Calculations for heated additions 2 copies of plan show(iry beam & windax slzes; poured found design, etc.) . 1 sde survey for eMerior addilions & decks 1 ut of Energy Calculations . Indicate if home served by septb system for additions 3 copies of Tree Preservadon Plan if lot plaked after 1/1193 Rim Joisl Detal Oplions selection sheet (Wdgs with 3 or less unils) )ATE P-4• 26 ` 6 t VALUATION ± 2?a aoo IOBSITEADDRESS 36'? F MULTI-FAMILY BUILDING, HOW MANY UNITS? 'ROPERTY OWNER PA-IL DUI-loi-r-I 'YPEOFWORK $Srr7 rt.-VSH FIREPLACE(S) ;!CO _1 _2 _3 %PPLICANT 15R'YA^4 9- VolGR'r t'r PHONE# kDDRESS Uosa 4-10)"1 -g;- ta 0 ZIPCODE 'AGER# 60-~10 ~4A0L CELLPHONE# 651~ 239' FAX# 4_115z-112 L- iL4 NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plum6ing Contractor. Phone Plumbing System Includes: Water Softener _ Lawn Sprinklcr Fee: $90.00 _ Water Hcater _ No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # Mechanical Syslem Includcs: _ Air Conditioning Fee: $70.00 Hcat Recovery System Sewer/Water Contractor: Phone # T m s ~ 111 above information must be submitted prior to processing of application. hereby acknowledge that I have read this appiication, state that the information is corre Ly6Fe;Wywwth A applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant c :ertificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 1l01 OFFICE USE ONLY 7 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg ] 02 SF Dwelling ? OS 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 6ct. Alt - SF 7 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ] 05 03-plex ? 11 10-plex w19 Lower Level ? 24 Storm Damage 7 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous 4v 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ] 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair ] 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 Windows/Doors ] 34 Replacement "Demolition (Entire Bldg only) - Give PCA handout to applicant /aluation d Occupancy R-3 MClES System ;ensus Code 5~3 Zoning R-/ City Water iAC Units G L Stories Booster Pump Jbr. of Units _L Sq. Ft. PRV Jbr. of Bldgs _L Length Fire Sprinklered "ype of Const 'fl-X/1 Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) Y~ FinaUNo C.O. _ Footings (addition) 7_~ Plumbing _ Foundation HVAC Drain Tile • Roof _ Ice & Water _ Final = Other - - Framing Pool Ftgs - Au/Gas Tests Final Fireplace _ R.I. _ Air Test _ Final Siding Stucco Stone Insulation _ Windows (new/replacement) Approved By U46 , Building Inspector - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 3ase Fee iurcharge Ilan Review AC/ES SAC ;ity SAC Nater Supply 8 Storage i&W Permit & Surcharge -reatment Plant 'lumbing Permit Aechanical Permit .icense Search :opies )ther fotai This rdquest voitl/.~Q ~ 18 month5 Irom D 3 6 411~,~ Re e l Dale Fire No. RouPh-' Insue<lion J~ ReQU' tl? oReatly Nuw hII Nntify InSOec- U es ?No mr When Reatly Ucensed ElecViAI Co ractor 1 hereby repuest inspection of above ? Owner elecbical work instelled et: Street Atldress, Box or ute o. W CitY k ` ecbon o. 11Townshi0 Nam or No. R nBe No. Co 1 OccupnnllPRINT) Phone No. Po er SuoD~~er Atltliess Ele rical Convacwr ( ompany Namel - Convactor's License No. liV Mailin0 A dress (C actor or Owne Makine Ins[ailetio I Amh ¢e Signat IConv odOwne akinB Installationl 11Phune NumCpr 3 7^ ~10l MIN 5 A STpTE BOARD OF ELEC ICITY TNIS INSPECTION qEQUEST WlLl NOT GriB s idwey Bldg. - Room N•197 BE ACCEVTEO BY THE STATE 80AHD UNLESS PNOPER INSPECTION FEE IS 1821 niversilv Ava.. S[. Vaul, MN 55104 Phone J6121 642-0800 ENC LOSE~. HEQUEST FOR ELE~:TRICAL INSPECTlON e ooooi-o 1 See instrucCbns far completing fhis twm on beek of yellow copy. ~ D36411 "X" Below Work Covered by Ihis Request AAd IYep. Type af 9uilCing AOnliunoea WireO Equipment WireA Home Range Temporary Service Duplex Water Heater Lightiny Fixtures Apt. BuilAing Dryer Electric HeaLn Commerual Bldg. Furnace Silo Unloader InAustrial BIAg. Air Conditioner Bulk Milk Tank Farm omer oet;i y inor 15ne,Wl \ t Pr Suec~(y pther Othoi ompute fnspection Fee Below p Fea ServiceEntrence5ixe M Fee Pextlers/Suhteeders # Fee Circurts 0 to 200 qm s 0 to 30 Am s 0 to 30 nm s Above 200 qmps 31 to 100 qnips 31 to 100 Am s Swinrning Pool Above 100_Amps Above 100_Am s Transiormers Irrigation Booms Partial-'Other Fee emarks Signs SUecial Inspectfon 5~6~ 07A F E -C+ NouBh-in ate the lect'i • ~ 7 l~ Inapeclor, e'aby ~ rtHy tAat the abova Final ( u/lo ~ nspection has baen (tiis repuest vo1C 18 mMHm irom This ren~p~ues[ wid ~ T ?Y/ ,p ' 1 u MV~ L~~ IJ c1 ~ILl~ iS W Uo Q.S -7 . v 6 T fleq st te Fire No. MqU ,a?Inspect~ ~ ~paady N. ill No~ily Inspec- ' p~pC. ?.es No mr W6en qeady Licensed Eleclrical Gontraaor 1 hgrqby request insOection ot aLUVe ? Owner electncal wmk iRS~lled at $Ireet Atldress, Bos or out o. City 363 ' r,c1 ecuon o. TrnmshiD Nanjb or No. nge No. Cou Occupa {PFtIN 1 Phone No. I m r 1lke. 415 - s r~8 PowerS ia ~ Atltlress ~ E viw/ Cont`act /C arp Nam _ Contractu~ Lic¢nse N. 03l 38 Mailim Atldress-1 o t c r r r M.iki'q Iretailati~ _S 6 AuMo iz Signat (Conlr mr Own AWking Iretella ~on~ P ~~vn-r /~3e) MINN p 57p7E gpppD OF E 71IICITY THIS INSPECTION PEQUEST OILL NOi Gripp idweY Bldg. - Room N-191 BE ACGEPTEp BV THE STAIE 9pAND 1827 nivarsity Ave., S[: Paul, YN 55704 UNLESS PROPER INSPECTON FEE' ENCLOSED. Phob 1672 297.2111 REQUEST FOR ELECTRICAL INSPECTION JIM Ea'0°°°'~ 7-~ , See i~vi.uetions fw complet:.p Ws Iurm on back of veliow copy. ~ 6317. "X-' Be/ow W6ik Covcred by This Request AAE ReD• 7weofBuiWing AppliaeceaMired Equiome~tWired - Home Range Temporary Service Duplex Water Heater Lightiny Fixtures Apt. BuilAfng Dryer Electric Heatin Comnercial Bldg. Furnace Silo UnloaAer Industrial Bldg_ Air Conditioner Bulk Milk Tunk ONer cec. fy Othee Isoerityl a r Sucufy Other Othcr pompufe Inspection fee Below p Fee ServiceEMre'weSixe k Fqe Feeders~Subfeatlers N Fee Circuits D to 200 Am 0 to 30 qm s ~ to 30 Am Above 200 qmps 31 to 100 Amps 37 to 100 A Swimming Pool Above 100-Amps Above 1~_A~4~ Tra~iormers Irtigation Boo~ris Paniai'Other Fee Signs Special Inspec!ion 5Q~ (ft TOT~ ~FE~ / Reire rk / Rouph-in Date 1. M~ IecLr:eSl'. . I-peetor. hereb, F I rtih ~hna *he above Final le ~~Yec~im has been ' / ~d)f `V .de. ftls rtp~mt rai0/8 mmlls hdn rncs ret~uasi w+e~ 1 ~(a3 JSg' ~~~~1 st~ tj ~d2)_ Req t Da[e Fire No. qoogh-in laspection y./ ~ ired? DReatly Now I]7 Wi11 Nolity. InsPec- 1`f ~ „as pNO T[or When Heady Licensed Electri"l Con[raclor I AerebY reYUasi inspection ol above ? Owner elactrical work instellad ar. SVeet Address, Box or oute No. ~ C~ry~ 63 ection o. Township Na or No. Rnnee o. Cou ~ Occu IRiI T] ' Phone No. ` .e ' ~3cc h, lders SS~- 591 8' Power Oo~i f _ , ` Address ~ ~V'trvH.c.c Ele tncal Contr=tor ICom n Name anhactor's Licen ~e No. ~ _ 03993~ Mailing ddress (C ntr or or wne Makine locWil o ~ ~sa ~s3~s AuM iz Sig re ( on ctor Ow r Making Installat N ~M1 ~e Nu /33 iJ NINN TA STATE BOAND OF E CTRICITY THIS INSPECTION PEnUEST WIIL NOT Gri idwey Bldp. - Room NA91 BE ACCEPTED BY THE STAiE eOARD 1827 UniversitY Ave.. St Paul, MN 5510,11 UNLESS PROPER INSPECTION FEE IS Plnro (g12) 297_2Hl ENCLOSEO. REQUEST FON ELECTRICAL INSPECTION Ee-°°°m'°~ a ? See iristnctions (or co / ~letirg this fpm on beckof vollow cooro• K ~ ~j~ 2 ""X"" Below Work.Covererl by`This Request ~~j S5 Ad9 Aeo. Typa of BuildinB pPDlianeee 11irM Epuio..t Wired Home Range Temporary Service Duplex Water Heater Lightiny Fixtures Apt Building Dryer Electnc Heatin Cwrnnercial Bldg. Furnace $ilo UnloaAer Industrial BIAg. Air Conditioner Bulk Milk Tank Fam olner Ueu y ther IS dfy) ~ t r yeci(y Other Other- ompute inspection Fee Be/ow M Fee bervi<eEMrenceSiza q Fea Feaders~SuEfeade~s M Fen Circuits 0 to200A s 0 to30qm s Oto 30Am MAbo ve 200 qmps 31 ta 100 Amps ~ 31 to 100 Amps Swirmnin Pool Above 100_Am s Above 100_Amps Transiormers Irrigation Booms Partial•'Offier Fee Signs Special Inspectfon $ TOTAL FEE Rerterks Hough-in 1 the Electrical 3 Insoectw. ne.oer certifv tMt the above Final inspaclirn has been mede. ~ 1kNrequest biClBmontlR/mm . l~LJiC /1` '6L1 J y CITY OF EAGAN N° 11 17 6 • ~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 Receipt # Te M wad f. SF DWG/GAR Est.Volue 106,000 pote OCTOBER 25 ~y 85 SlteAddreu 3637 WIDGEON WAY Erect 0 occuPancy R- Lot-1 Block 1 Sec/Sub.ST FRANCIS WOOD 2emodel ? 2oniny R-1 Parcel No. Repair ? Type of Const. V AddRion ? No. Stories ~ Name TIMBERLINE BLDRS, INC Move ? Length 56_ W Demolish ? Depth _S4_ z Address 3727 SO HILLS WAY Intlmpt ? gq.Ft, city EAGAN phone 454-5918 Instan ? ~ Name SAMF''- APV•orab iees A~~~S Assessment Permit 448.00 ~ City Phone Wuter 8$ew. SurCharge 5.3 _ 0~ Police PlanReview 224.00 ~Z Neme Firo SAC 595 _ 00 Address Enp. WaterCona 900 _ 00 (1 ~W City Phone ptonner WaterMeter 61-0 I Council - Road Unit _AI/A I hereby ocknowledge fhot I Fwve read this applicafion and slate ihaf Bldg. Off. 10/25/$ rj Tr. PI. 1119 n n the informofion is correcf and ogree to comply with oll opplicoble AP~ Parks $tota of Minnesoto $tatutes ond C' y of Eagon Ordin cez. Var. Date a /7R Copies Siqnoture of Pertnitfea 7otal 1,945.00 A Building Permit Is Iuued te: TTMAF.Ri . BLDRS . INC . on the exOrcn cordiNon Ihm nll work shall be done in accor nee wi all oppljcpble, State oMinnesoro Statutes ond Ciry of Eopan Ordirwnces. Buildinp 04ficiol CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 N? 15907 = t PNONE:454-8100 BUILDING PERMIT Receipt# Zq 4 Ll:; To be used for BASEMENT Est. Value $1, 500 Date NOV 28 ,19$$_ Site Address 3637 WIDGEON WAY OFFICE USE ONLY Lot 1 Block 1 Sec/Sub.ST FRANCIS WOOD 2 On Site Sewage - Occupancy MWCCSystem _ Zoning PafC@INo. OnSiteWell _ (ACtual)Const m Name KIRK DUHOI.M Ciry Water _ (Allowable) i PRV Requiretl _ # of Stories ; Address 3637 WIDGEON WAY 0 City EAGAN Phone 452-6856 BoosterPump _ Length oevtn , a Name TIMBERLINE BUILDERS INC S.F.7otal ~a Address 3727 S HILLS WAY FootprintS.F. 0~ City EAGAN_ Phone 454-5918 432-3581 pppROVALS FEES ~w Engr./ASSess. Permit _$4_00 W W Name ~ Planner Surcharge _g Address Council Plan Review a= City Phone a W Bldg. Olf. SAC, City I hereby acknowledge that I have read this application and state that the Variance SAC, M WCC information is correct and agree to compy wilh all applicable State of WaterConn Minnesota Statutes and City I Eagan Ordin nces. ' 4 Water Meter Signalure of Permittee Road Unit A Building Permit is issued to:_TIMBE NE..$UZLDERS~-INC Treatment P1 on ihe ezpress condition that all work shall be done in acwrdance with all applicable State of Minnesota Statutes antl City of Eagan Ordinances. Parks roraL 35.00 BuildingOfticial ~ CASH RECEIPT CITY OF EAGAN ~ P. O. BOX 21-199 EAGAN, MINNESOnTA 55121 ~ ~pTE 19 _ R8C61V60 FFOM ~ L~ AMOUNT $ / I (~U J / & DOLLPRS +oo ~ CASH ? CHECK .3 ~ FVNG COGE~ AMOV z 7 / U U-U Thank You ~ BY N_ 57117 White-Payers Copy Vallow-Postin9 CoPY Pink-File CoPy 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date 11 / ' + ! 0.5 /vlA! 5$' 3--~~3 unit# - Site Street Address 3E 3 Li LJ<< ~ G~- Property Owner Telephone #(~SI ) 4 S a. -~gS~ Contractor Telephone J6~ ) V a`~ ~~`~G Address 7916 - 73r Z kJC,. n!o city 13roekly,ypsS _ State N N zip<SS4;1L3 The Applicant is: _ Owner XContractor _Other Alterations to existing dwelling $ 50.00 _ Add piumbing fixtures. This fee includes putting in a water softener and/or water heater at the same time. If you are instaJlina onl a water softener and/or water heater, do not complete this section. Move to the next section and check the appliance(s) you are installing. _Septic System Abandonment _WaterTurnaround (add $125.00 if a 5/8" meter is required) Other: Water Softener -x Water Heater $ 15.00 _ new ~ replacement Lawn Irrigation _RPZ _PVB _new repair, _rebuild $ 30.00 - State Surcharge $ 50 Q Total \ $ I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. ~ r a,.. Ze v.- B r ow ;6^^^'L Applicant's Printed Name ApplicanYs Signature -J6oK ,i7,n ~ 2005 RESIDENTIAL MECHAIVICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Pleue complete for: single family dwellings & rownhomes/condos'when pertnits are required~fo ach unit ~ . . _ ,'i Date 7 ~ Of Site Address .?6 37 ~aos - Unit # Property Owner &ilieG,,, Telephone 6S/ Contractor ~.t/P...~i1 i~ ~p f1 ~»o Street Address i~Ufe. 221 ,,w,:,/ A City aqa,.J v State 7'Yfu.,.,,,• Zip S.`rlda %096 Telephone# (6S/ )~9y'" 9~~i~ Bond Expires: The Applicant is _ Owner V/Contractor _ Other Add-ou or alteration to existing dwelling unit $ 30.00 V/ furnace _Additional ? Replacement air exchanger airconditioner _New _Replacement other State Surcharge $ .50 Totsl $ 3a ~ I hereby apply foc a Residential Mechanical Permit and acknowledge that the information is complete and acwrate; that the work will be in conformance with the ordinances and codes of the Ciry of Eagan and with the Mechanical Codes; that I unders[and 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 oFwork which requires a review and approval of ans. \-(a GefL Ta12tYL - , 7-- Applicant's Printed Name Applicant's Signature 2005 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complele for. commercial/industrial buildings mul[i-family buildings when separate permi[s aze no[ requircd for each dwelfing unit Date Site Street Address Uoit # Tenant Name (iTapplicable) Previous Tenant Name Property Owner Telep6one # ( ) Contractor Street Address City State Zip Telephone # ( ) Bond Expires: The Applicaot is _ Owner _ Contractor _ Other Work Type _ New Construction _ Underground Tank _ Install _Remove "see below Interior Improvement _ Install Piping _Processed _Gas Nature of Work: '*When installing/removing underground tank, ca!l for inspection by Fire Marshal and Plumbing Inspector Permlt Fe¢s: $7050 Undergmund tank installationlremoval $50.50 Miniinum (incWdes Sfate Sumharge) or Conuact Value $ x I% Permit Fee • If pCrmit fee is $1,000 or less, add $.50 $ State Surcharge If ep rmit fee is over $1,000, add $.50 for every $1,000 en rmit fee $ Total Fee I hereby apply for a Commercial Mechanical 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 with the Mechanical Codes; that 1 understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name Applicant's Signature Approved By: , Inspector Date: tp,k)d(p RESIDENTIAL BUII,DING ~ Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construdion Reauiremen5 RemodeVReuair Reouirements Offce Use Onlv 3 registe2d site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cert of Survey Recd (200% maximum lot coverage allowed) . 1 set of Energy Calculation5 for heated additions Tree Pres Plan Reed 2 copies of plan slwwing beam & window sizes; poured found design, etc. 1 sile suney for addidons 8 decks Tree Pres Not Reqd 7 set of Energy Calculations Addifion -indicate if on-sfte septic system _ On3ite Septic System 3 copies of Tree Preserva0on Plan if lot platted after 711193 Rim Joist Deiail Options selection sheet (bldgs wRh 3 or less unib z ~i Date / D J Cons[ructlon Cost 04~m Site Address Unit/Ste # Description of Work (~{'2/)L~11--~~'~ Multi-Family Bldg _ Y_ N Flreplace(s) _ 0 2 Property Owner a Telephoue # (V7) ) q''72 " (A0740 fIRS14:E HEARTH & HOME Contractor 'i R-S Q L H LI V 13 Address BURNSViLLE MN 55337 City State c-# 20090911 Zip Telephone#( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Vendlation Category 1 Worksheet . New Energy Code Worksheet (4 submissiontype) Submitted Su6mitted • Energy Envelope CaiculaGOns Submitted Licensed Plumber Telephone ) Mechanical Contractor Telephone J Sewer/Water Contractor. Te fTdr~#~ U)~ ~ 15 tuuj ~ OCZ ~ I hereby apply for a Resi.dential Building Permit and acknowledge that t e informatio ' - te and accurate; :a - that the work will be in conformance with the ordinances and codes of agan and the State of MN Statutes; I understand this, is not a pernut, but only an application for a permit, and work is not to `start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. 9&lTm P-rr~ ~ ApplicanYsPrintee Ap acanYsSigna e OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 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 Deck q 23 Porch (screen/gazebo) ? 36 Multl Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Stortn Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement ' 'Demolition (Entire Bldg) - Give PCA handout to appliwnt Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Foorings (new bldg) FinaUC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ Plumbing _ Foundation HVAC _ Drain Tile Othex Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. Air Test _ Final _ Windows (newlreplacement) _ Insularion _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total . 7985 BUZLDING PERMIT APPLZCATIOB - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED YfITN THE CITY OF EAG9N COT4IERCIAL SINGLE FAMILY D4fELLIHGS INCLUDE 2 SETS OF ARCHITECT[JRAL INCLUDE 2 SETS OF PLANS & STRUCTURAL PLANS, 1 SET OF 3 CERTIFICASES OF SURVEY SPECIFICATIQNS AND 1 SET OF 1 SET OF ENERGY CALCULATIONS ENERGY CALCULATIONS $2,000 LANDSCAPE BOND ~ CJCo,ooo To Be Used For; f7L%VP4cg Valuation: b!kLa= Date: 10 - Z Sfte Address ~~37 ~.-+OC ga{ waY OFFICE USE ONLY Lot { Bloek I Erect X Occupancy R 3 ~y Remodel ~ Zoning 12 I Parcel/Sub 5-f FfA.-%ciS wmT:;0 y~ Repair Type of Const 'SC' Addition 1/ of Stories Owner Y~1 RK A~NctM Move M Length Sto Demolish Depth 54 Address 17aO p~ ~z.3~ Int.Impr. ~ Sq Ft Install City/Zip Code 551z 2- - Phone 45Z - d6851. APPROVALS FEES Contractor TTMBt"RU+E II*Lpcu Assessments Permit 448. Water/Sewer Surcharge 53. Address 3°)z7 LtTws wA'~} ~,r,,.1Police ~ Plan Review 2Z4. Fire SAC SZS, City/Zip Code t~061, od SY123 Engr Water Conn Soo, Planner Water Meter Ca3. Phone y5H- 63~ 1 Council ~ Unit N/,a Bldg Off ja-3a-7-fTreatment Pl 13Z, Areh./Engr. ~ APC Parks Variance Copies Address TOTAL /q City/Zip Code Phone 0 ~~x 2~C~ = lZ`1C~ r~ ~ ~ 75«g 4 n i~ = ~c 44 - ~ ~1c~o , • , K = 1 ~ 400 ~c~ x 30 = 3co ~Fs24- Z¢K22 •a°~%a. nxo ~ ~ `Prn~c 29 ..Q~c .7,3 ~ ~~BIE COHSUlTIN6 ENOINEEflS ENGINEEAING PLpNNEBS ond LAND 9UflVEY08S ~ C0MPANYo INC. l 1000 EAST 1461A STREET, BufiNSVILIE, AIINNESOTA 53337 PH 432~3000 Cer~~tZ cCZzc o LOT 1, BLOCK 1, ST,FRANCIS 61OOC. ~ 2ND ADDITION, DAKOTA CDUNTY, hi\. . , ~a9s s`~ \ /zi ay~ ~ vo>,,~' o ~ ~ i.~ ~ ~ ~ ~ - ~/b, LIP-4e ~ j 3•PJI ~ ` ~92. ? 47 47 j ~ ; ; ~R yI N o / hJOKTH i S[-OL-C ~p= 3~ '}7~ DP~.trt~aLTE avn v-r~~i-ry / i ~ GL.E?hT7U~J ~ ~4L,~^p ~ ..9 \ % ~s 9az_o. (,~.ars5 FPa.%xf~ E+E~• (4ot.o1 ~ 5 B8~3 13z'W i cr S?~tcE 7f2M~1AbC 43.5 8-~.g I hereby certify that this ia a true and correct repnaentation of a tract of lnnd aa shor?n and dcscribcd hereon.. As prepared by me on thia ?.sl•7,r" day ot . Hinn. Reg. No. /G65'!7- ~ ~ , . . CITY OF EAGAN E%TERIOR ENYELOPE AYERAGE 'U' COMPUTATION owNEa: kt(zK Dvk Hoe..M SITE ADDRESS: Sfo3'7 WtSXsM34 wh~ CONTRACTOR: TP41ie.ALtAia7 ay~V~~izS. ~i:i~TE: ?a -L3 -95 PHONE: 951'5118 Determine working square footage of each: t. Total exposed uall a-ea 'ZC?'f(~j sq. ft. x.11 = L7~1.i8 ? 2. Total roof/crLei~ling area sq. ft, x.026 ? = N~•47 Total exposed wall area above floor = 2 35~ a. Total aall window area . b. Total d or area 50 c. Total ' glass area 13q d. e. Total wall framing area (average 10%) t'? e' f. Total net wall area above floor r57-$ zz~ g. Total rim ,joist area i3 Total ezposed foundation area = ~18j h. Total foundation window area - a" i. Total net foundation area above grade LSI ' Determine 'U' value of each wall segment: a. 33 y xvU' 1130 - /100•11 ~Wut- t~RF~ - 1S.o b. 56 x 'U' 130 C. l39 x 'U' ,3~ - ~//•7 d. ~ x gU' - e. t'7 o x' U' o. bzy - 17. SG3 f. t528 x'U' ~3,045'? - 49.83 s. r3c, x~u~ ~.ayr~1 = 5.93 h. o" x 'u' ^ - i. Ibl x 'U' '1:364wb50. = 't~•q-2^ ~..~9•F 3 . . Total = 273.%.I-f V, If item S3 is the same as or less.than item Ot, you have met the intent of SBC 6006(c)2. 2otal exposed roo~yf/ceiling area j. Total ~~yo`_ area k. Total roof/ceiling framing area (average 10%) ~ 1. Total net insulated roof/ceiling area (S (OVER) ~ y . . . Determine IU' value for each roof/ceiling segmentz j, ~Z9 x ~~l e, k. 1'IY x 'U' G.az58 - 4.4+ 1. 1x lut a.0 z31 - 37.6-7 4 . Total If total of,f14 is the same as or less than 02, you have met the intent of SBC 6006(e)1. Alternate Building Envelope Design To utilize the total envelope system method, the values established by the sum of Items #3 and U4 shall not be greater than the sum of Items #1 and Ii2. 1. + 2. - - 3. + 4. - ' ~ ~a~ . ~ • 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN ~1 l ~ ~t ~ 'SINGLE FAMILY DWELLINGS C INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL UNITS FOR S9LE UNITS # OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, t SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS - - M9Y2 2 1988 To Be Used For: Valuation: Date: Site Address 3~37 OFFICE USE ONLY Lot _J_ Slock On site sewage_ Occupancy MWCC system Zoning Parcel/Sub On site well _ Actual Const City water Allowable Owner //2/C 2u„rQ1-&1 PRV required _ dl of stories Booster Pump _ Length Address Depth S.F. Total City/Zip Code U9C',Ah-.1 S, l2 -3 Footprint S.F. Phone 4-15 2-/0g 5(~ APPROV9LS FEES Contractor ~/hd &E, G,~36- f5 tniac • Engr/Assess Permit Planner Sureharge Address Z'~z7 5 Hu-S L,aa~ Council ~ Plan Review Bldg. Off. ilIZ3 SAC, City City/Zip Code /gV-?f", /Hnl 9E'2-3 Variance SAC, MWCC I Water Conn Phone y/3Z- 3~~n Water Meter Road Unit Areh./Engr. Treatment P1 Parks Address Copies j TOTAL ~oJ City/Zip Code ! Phone ll C2YS' RF ERM+! PERMPIT 3830 ?°L4T KPSOB RD EW^-.N, NiN 55122 651-681-4617 fam% 05 S-A-L-E3 6-R-4-F-T 7357m BCf8°;M631 F~FF, C;:b fn hiE: VISA T3 TVFf: PUME It:J: 3755'1 u1TE: A14531, 93 10029,26 T4YAL Q157o250 KST: 43WM11(ffi8417 IXP: 01/12 0 M393 B BC(S .v G``yL~M F.."~;0°1EM NEMIPT OF ED5 f:]/0 :EtJ1CE5 PiI 1E R:MA CF TE iBFt_ V;`SI IifRFC`I Q AERIES TO PEkFl~tii TFW ilIPTIC:iS ~_l FC,',TH 6Y 1E afir(EE,3IT °IiH SFa IS~:'~i y ~ ,5 F„? 115fi;5 UISA ii? 1::='t;~:'df''7 Er7fi61 M-MTtI'.t.4 C:CT4' C?F RAGAiti! i;A.i4l:if:-F:: J:`.3 i'I::Iii1IN11._ N0: 693 DA'T'f::r 08/31J99 '1".I:Pfe!:;; 0e0n40 10 RA!iE,s Dl1F!AVNE 14 F:;ANF:S 22.1..Q 9001 36':i7 41.T.nG1::C~N P1r1 1.5 =~ai?5 205 9001 3637 WC.1.7t';F:i7N I^IFi 4.00 ~ c:~i.f}J "(a+,:. li,=y~ P~~s~n~..r•} k : l._~ cRi. i.WO Ust::R :i:x:,: JAra 1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD • 55122 651-681-4675 Q New Conshucfion Reouiremenh Semodel/Reoalr Reauhemenh D. 3 regislered aBe aurveys showing sq. R. of bt, eq. tt. of house 2 copies of plan and QH roofed arcas (20% maximum lot eoverage allowed) 1 set of energy calculationa for healed addXlons D 1 copies of plans (show beam i window alzes; poured Ind. design; elc.) 7 slle wney for exterior addMions 3 decks D 1 set of energy calculallons D S copies of hee presenaNon Wan if lof platfed affer 7/11/93 - ~O DATE: CONSTRUCTION COST: DESCRIPTION OF WORK STREET ADDRESS LOT: ~ BLOCK: ~ SUBD./P.I.D. Name:~ Phonelk: C>~~ ~~-lv~~G PROPERTY Losi fl'st OWNER r.~~l~Y Street Address: City State: Zip: Company: Phone {area co e 9'~ O CONTRACTOR Sheet Address: 6C rC l< t~~ License # Exp. CHy ew~State: ZiP: •al ARCHITECT/ ENGiNEER Company: Name: Telephone a?ea code ( ) SheeY Address: ReglstraNon Ci}y State: ZIp: Sewar 3 water Iicensed plumber (reau(red for new conshucflon onNl: Penaly opplles when address chonge and lot ehcnge Is reqvested once permR is hsued. 1 hereby acknowledge thaF I have read thls appllealion, stafe lhaf the informatio ortect, and agree to comply with all applicabl Sfpte of Minnesota Statutes and Clty ot Eagan Ordlnances. y ~ Stgnafure of ApplicanY. 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.) ? 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-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm 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 Bldg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bldg.' ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof ' Give PCA handout to applicant for demoiftion 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 Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVAL5 Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MC/E5 SAC City SAC Water Conn. Watet Meter - Acct. Deposit S/W Permit ~ SNV Surcharge Treatment PI. , Park Ded. Trails Ded. Other Copies TotaL• SAC Units % SAC P~1. z/aa ~ CITY OF EAGAN APPLZCATION FOR PERMIT SEWER AND/OR WATER CONNECTION (PLEASE PRINT) 1) PROPERITY ADDRESS: _ , LE•Xr'1I: D. ^^2IPTION: , C - ~ ~.,CG~Lr~~.e%~ ~ ~ ~ (Lot/Block/Suhdivisicn or Tax Pazcel I.D. NLmiber) ; g rs`ZiV"=~0 S!'RGCI't.TRE, DATF.' OF C..RiGL'~AL b[TIJ.DINC'a PE'ti•LIT ZSJJ11i\l~: ' - - . . ~i8'.::-1%•_°d=) . : PRESENT :.f n`7IIa:/P?.OFOSED ITSE: 1 SIIQGLE FAM.Y - ~ ~ 2 DtJPLFX (TnU t7NITS) I Q R-3 TCxvTIIiGUSE (TFII2EE + UD7IT5) ( UNITS) p R-4 APAR'IIgNf/COfIDOMIIVICjM . ( UNI'PS) . p OFFICE • p IINDt]STRIAL p INSTrl[TIONAL/GOS7ERRIENTl _2)-APPI,ICANL----- _ _ (PLEASE_ P INT~-- - - - . 1VAME: ~ ~ aDDREss: . ( crrsc, sl.ATE, zM: ~ PHONE: i , 3) PLLIMBER 40PL,FOR CITY USE ONIY rmrE: 4 PlUMBER C NE E: ADDRESS: Aetiv Z CITY, STATE, ZIP: Exp' ed I of Record UHBER LILENSE N ni ia q) OCCUpp~~at4M (PLEASE PRINT) ADDRFSS• ~ CITY, STATE, ZIP: PHODIE: 5} IIVDICATE WHICH PERMIT IS BEING RDQUESTF7D; IW CObINDCTION TD CITY SEFIER . ~ CONNDC..TION TO CITY WATER ? OPF£~FFt (PLFFSE DESCRIBE) 6) IN[]ICATE ONE: ? PLFASE HOID APPRWID PEE?MIT FDR PIQC BY ONE OF ABOi7E ~ PLEASE MIL APPROVID PFRMLiT SO 1, 4 703CIS7E ~ (Circle one) 7) SIG4ATVRE: ~ ~ pATE. • . .~~a~:wua~s.as~.arr~..-~:~.~r.~s1~.i~.e.+'s.`?~'#+~ii;li4s-~'s~rr~#l.~~!!'!Er'~!!'k'!'1 .,'~!1!+~Ik., , F O R C I T Y U S E O N L Y ~ PERMIT ISSUED FEES: SE*r7ER ?DBMIT . (ZDJCLE;DE SUP,CHARGE) ' S j0 S[.~ WATER PERPIIT (INCLUDE SURCHARGE) WATER METER/COPPERHORN/OUTSIDE READER $ WATER TAP (INCLUDE CORPORATION STOP) $ SEWER TAP ACCOUNT DEPOSIT - SEWER . . ACCOUNT DEPOSIT - WATER WAC ~-~:-~---------SAG S TRUNK WATER ASSESSMENT $ TRUNK SEWER ASSESSMENT S LATERAL BENEFIT/TRUNK SEWER S LATERAL BENEFIT/TRUNK WATER OTHER - - $ TOTAI. _ $ s/U AMOUNT PAID/RECEIPT : _ . DOES UTILITY CONNECTION REQUIRE EXCAVATION ZN PUBLIC RIGHT OP WAY? YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ZSSUED BY THE NO ENGINEERING DIVISION_ LIST AS A CONDI-- TION. SUSJECT TO THE FOLLOSJING CO[VDITIONS: APPROVED BY: ` TITLE: DATE : _ lO ~i ~f l/ ~e si~ ~lf~ w ~ i4 ~cf~ ~4r aak ~?J~ rl:+~ le ~l+k FJrt ~V~ dN~ /t~ Pt Oli }I! iJ!~ ~k~ ~rt~ 1! iJ~ w r . PERMIT# 45 3 d5 RECEIPTOATE: 5-15'0I RESIDWM7J41 PLUM$1NH PEftM1T lEPPLICATION crrY oF Ewsm ssso Pnor Kivos ttn EAfiAA, biA 551 EE 651-6e1-4675 Please complete for: : single family dwellings 9 townhomes and condos when permits are required for each unit ? backflow preventer for irrigation system 3637 , SITE ADDRESS: OWNERNAME::Qez.nP TELEPHONE#:~oJ~l ^ <13 7 - 9.5_3 Z (AREA CODE) INSTALLER NAME: tUcu.th'p TELEPHONE &s/ - 4.I '?7sd -0T' (AREA CODE) STREET ADDRESS: CITY: La:v~ STATE. )7f yZIP: da r- Place a check mark next to the ermit work t e New residential dwelling unit under construction and not owner/occupied $ 90.00 Add-on, modification or aiteration to existinq dwelling unit, including: $ 50.00 • abandonment of septic system • new installationlrepair/rebuild of RPZ • lawn irrigation system ~ • water turnaround Natureofwork:L2,,.eg ~~gjzG,,e~ i~~AY 15 ~ Septic System, newlrefurbished - . - ` $ - 225:00------ - • includes County & Consulting Inspector fees • requires MPC license State Surcharge $ 50 Total $ Reminder: Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc. I hereby acknowletlge thal I have read lhis application, slate that the information is correct, and agree to comply with all applicable City of Eagan ortlinances. I[ is ihe applicanPs responsibility to notify the property owner Ihat [he Ciry of Eagan assumes no liability for any damages caused by the City dunng its normal operaGOnal and maintenance activitles to the facilities consWcted under this permi[ within Cit property/right-of-waylease ent. ~ SIGNATURE OF PERMI E Updated 7/Ot PERMIT City of Eagan Permit Type:Building Permit Number:EA118384 Date Issued:10/31/2013 Permit Category:ePermit Site Address: 3637 Widgeon Way Lot:1 Block: 1 Addition: St Francis Wood 2nd PID:10-65901-01-010 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . Danielle Merritt 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 - Kirk S Duholm 3498 Greenwood Ct S Eagan MN 55122 Merritt Restoration 2031 Basswood Ct Rockford MN 55373 (612) 282-9979 Applicant/Permitee: Signature Issued By: Signature a . Use BLUE or BLACK fnk �----------------, � For Qffice Use � ' j Pertnit#!: ��v�� b� �� i • �� Permit Fee: 3830 Pilot Knob Road � " i� � Eagan MN 55122 -. -` � Date Received: , , � Phone:(651)675-5675 I I Fax:(651)675-5694 i Staff: � i ��J 2015 RESIDENTIAL BUILDING PERMIIT APPLICATION Date: Site Address: Unit#: Nar�e: Kirk and Karen Duholm Phone: Residentl Owner Address i c�ty i zQ: 3637 Widgeon Way Eagan Applicant is: Owner Contractor Type of WoMc �scription of woric: 1/� h�t1i,, m�irlrnnm rPmnrlPl �' Construction Cost� Sv� MuHii-Family Building:(Yes /No�' ) .�.�.�...4.. ""m f compar►y: Sandcon cor,tact: Nathan Johnsan � � address:---__121.3�agtn ave _c�ty: Plymouth Contractor � state: AAN z�p: 5�4.�t� Pnone: 612 669 9374Em,aa: Nathan sandcon.biz � License#: �1�� Lead Ge�cabe#:: �If the project is exempt from iead certification, please explain why: (see Pag��3 for additional information} 1`�'\ COMPtETE THIS AREA ONLY IF CONSTRUCTIN+G A NEW Bt11LDING � In the last 12 months,has the City of Eagan issued a permit for a similar plan ba:sed on a master plan? _Yes _No If yes,date a�d address of master plan: Licensed Plumber: Phone: Mechanical Contracbor: Phone: Sewer�Water Contractor: Phone: NOTE:Plans and s�pporting dacuments that you submit ar�:considered to be pu6tic infarneation. Portions of � the infarmation may be ciass�eal as non�aublic if you provide specificr reasons that wroutd permit the Cify to .:y�.�,�,�.��.,,�..�, conclude that ttre�are traaRe secre�ts. CALL BEFORE YOU DIG. Call C�opher State One CaII at(651�454-0002 for protection a�3airist ur�erground utility damage. Call 48 hours before you intend to dig to receive focates of urxlerground utilities. www.qopherstateonecall.orq I hereby acknowledge that this irtfarmation is complete and accurate;that the walc will be in confoRnance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a pe►mit;that the work will be in accordance with the approved plan in the case of work which requires a review and approval of pla�ns. Exterior work authorized by a building permit issued in accordance with the Minnesota Sta1�Buildin Code m pleted within 180 days of pertnit issuance. x Nathan Johnson X �- Applicant's Printed Name Applica Signature Page 1 of 3 . . �:�� 7 C,� j��c�� L��-� � �.1 DO NOT WRITE BELOW THIS LIINE � � � � SUB TYPES Foundation _ Firepiace _ Porch(3-Season) _ Exterior Alteration(Single Family) .� Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Muiti) _ Multi _ Deck _ Porch(Screen/Gazebo/Perglola) _ Miscelianeous _ 01 of_Plex _ �ower Level _ Poot _ Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building" Addition _ Move Building _ Reroof _ Demolish interior �C Alteration _ Fire Repair _ Windows _ Demolish Foundation _ Rep{ace _ Repair _ Egress Windov�+ _ Water Damage _ Retaining Wail *Demolition of entire building—give PCA handout to appifcant DESCRIPTION ,,, Valuation �GY,�(l Occupancy �-� MCES System .— Plan Review Code Edition �� SAC Units -- (25%_100% // Zoning —� City Water — Census Code � Stories ^ Booster Pump #of Uni�s � Square Feet � PRV .� #of Buildings � Length �' Fire Suppression Required -�' Type of Construction � Width —'' REQUIRED INSPECTIONS Footings(New Building) Meter Size:. Footings(Deck) Final/C.O. IRequired Footings(Addition) �Final/No C.O. Required Foundation � HVAC_Gas Service Test Gas Line Air Test Roof:_Ice&Water _Final Pool:_Fo�otings _Air/Gas Tests _Final � Framing Drain Tile Fireplace:_Rough In Air Test _Final Siding:_:>tucco Lath _Stone Lath _Brick � Insulation Windows Sheathing Retaining W'all:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppre.�sion:_Rough In_Final Braced Walls Erosion Coritrol � Other: Reviewed By: , Building Inspector �j' � � RESIDENTIAL FEES �; Base Fee ,�/�� "� � �� -''�� Surcharge Plan Review �� f�- MCES SAC City SAC Utility Connection Charge S8W Permit�Surcharge Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA137536 Date Issued:07/08/2016 Permit Category:ePermit Site Address: 3637 Widgeon Way Lot:1 Block: 1 Addition: St Francis Wood 2nd PID:10-65901-01-010 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 - Kirk S Duholm 3498 Greenwood Ct S Eagan MN 55122 (651) 452-6856 Home Depot At Home Services 6224 Lakeland Avenue N, #102 Booklyn Park MN 55428 (763) 542-8826 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA143366 Date Issued:06/14/2017 Permit Category:ePermit Site Address: 3637 Widgeon Way Lot:1 Block: 1 Addition: St Francis Wood 2nd PID:10-65901-01-010 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Kirk S Duholm 3498 Greenwood Ct S Eagan MN 55122 Heating & Cooling Two 18550 Cty Rd 81 Maple Grove MN 55369 (763) 428-3677 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA174425 Date Issued:01/26/2022 Permit Category:ePermit Site Address: 3637 Widgeon Way Lot:1 Block: 1 Addition: St Francis Wood 2nd PID:10-65901-01-010 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 - Kirk S Duholm 3637 Widgeon Way Eagan MN 55123 Paul Bunyon Plumbing Llc 5718 International Pkwy Brooklyn Park MN 55428 (612) 822-5292 Applicant/Permitee: Signature Issued By: Signature