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3638 Widgeon Way CITY OF EAGAN VypTER SERVICF pE~ 3830 Pilot Kqob Road pERMIT NO.: P. O. ~ox 21789 Di4TE: 6agan, MN 55121 No. of Units: Zoning: - Ov+rrr: l'r,~ • - 5 - - AddmSS: Sits llddross: --r • ' i ; r . - PIuMnber. - ~ C~~~tion Charge: ; Meter Na.: Accmotnyt pepusit: _ , Sise: Pem+it Fee: ` . Recder No.: 1 M~ to es~v~! ~ lM C~ ~ lV11sc. CF+oryes: Total: Data Pa1d: eY Irap.: Dote af Insp.: ~ CITY OF EAGAN SMR SERYICE PERMR 3830 Pilot Knob Rwd ` P. O. Box 21199 pERM{T NO.: 9 _ ] Eagan, MN 55121 pATE: i i ZoninO. No. of Units: Owner: dfGSS: ^ 1 ` ~ •J~ ' i " f3 rl - "4 . Ad Site Addross:.~ C T -irc• e,1 i~_-, , Plumber• ~ , f r ~ 1 pm !e pqh? wMh !M CRy of ga!°e connectian C}wr0e: t: ~ i ~ (STt: permit Fee; -r- " _ Surcharpe: Misc. Garoes: By Total: Dcte of Insp.: ~ Ir?sp.: i-~_-- - CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilct Knob Road - P. O. Rox 21'199 PERMIT NO.: , Eagan, MN 55121 0/1TE: Zonlrq: No: of Uriirs: s " - - - Owner: ianper Ibddross 3 W i k p `i ' ;J' t''' • ~ Ci s iNood s 2 Sth Address: - - Plumber: AAeter No.: 3 Cainrse~tton'Cha}ye: I`S.. QOpd S iu: 4/$'' l4o c I'~ Acoo~mt Deposit: Reader No.: I ~!yl '70 ~o 7,? Permit Fee: 10.00nd I Mno fe eemplI wild !IN Ciep oi hW• Sunfrarye: • 50pd m-) OrJ;off Misc. CFwroes: ~ • n~Dd . ~ TotOl: r~etP.'T ; gy Dots Raid: I nsp.: I nsp.: J~ Addition ST. FRANCIS WOOD 2NU BRTI N Lot 1 Rik 2 Parcel I0-65901-010-02 Owner St~eet 363$ WIDGEON WAY gtace -Jr r 1 ~ L i r hi improvement Date Amount Annual Years Payment Receipt Oate STREET SURF. 1981 86.84 17.37 5 STREET RESTOR. GRADING 7 1983 $S 122.17 SAN SEW TRUNK 1qD 1983 1 * SEWER LATERAL WATERMAIN * WATEfi LATERAL " WATER AREA *Services 1983 STORM SEW TRK '11983 670.74 134.15 5 * STORM SEW LAT 1983 5 CURB & GUTTER ' SIDEWALK STREET LIGHT n n WATER CONN, 500-00 BUILDING PER. inqwl SAC . 00 PARK ' CITY OF EAGAN 109$ 3 , 3830 Pilot Knob Rosd, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100 sU1LcING PERMIT ReCeipt # Te w tned for Est. Value " ~ Dote 19 Site Address ~ Erect d, Occupancy Remodel ? Zoning Lot Block Sec/Sub. Repeir ? Type of Conat. Parcel No. Addition ? No. Stories Move ? Length ~ W Name Demolish ? Depth Address Int Impr. ? Sq. Ft. City Phone Install ? Avo?ovols Foes E ~ Name A~~ Assessment Permit - City Phone Water b Sew. Surcharge t Poliu Plan Review ~ Neme Firo SAC Address Enp. Water Conn. ~W City Phone Plonne? WaterMeter . Council Road Unft 260 • 0q= I hereby ocknowledge thot 1 have reod this application and state thot Bldg. Off. t~ Tr. Pl. j_ 3 2,Pt. the inlormotion is correct ond ogree ,to tomply..wifh oll opplicoble ~ 5tote of Minnewto $totutes ond City of Eagan Ordinontes. APC Perks Var. Date Copies Sipnoturo of Permittea , ; • , Total h 9uildinp Pennit is issued to: on ths exprcu condition that oll work sholl be done In accordonce with oll applicoble 5tate of Minnesoto Statutes ond City of Eayon Orainances. Bulldinp Offitiol •dsld •id IIvM :uoiieao~ p~~ M I,uld ~ "641d Io~l~ - ~F •63N I~~Id •imul P'61H 4a~l1 %~..r 'B41dydn~! Ca 'whl Bula~a SB suiwaii ~ uopopuno.4 II sBuR00d ts6upoozi iay~p •dsul ueQ uol3*adti+1 ~Mw3}o$ Czn- G~ l~j r i h$ I°1 c ~j ~ I x ~ j , a' . '-V (I-C, 7 1 -eloI '7v"n'H 7'y7 , ,/o , Guwmld ~ auoydalel 63ed JOploH uuusd 'ON iW++sd Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Print legibly Tot. j 1. Date 2. Installation Cost 3. Job Address L ` ~ot~Blk. ~ Tract ' 4. Owner _1J.. - r'5. Contractor ik 1 A , /'VI 1 I An1l 0' ~ Phone 6~16' - 6. Address ; 2 jocT ~o ec.1 - 7. City r~ s~~ ,1 I C. State Zip f1',5-.~" / 8. Building Type: Residential ~ Commercial O Institutional ? 9. Work Description: New,X Add ? Alter ? Repair O 10. Describe 11. No. Fixtures No. Fixtures Water Closet Cesspool/Drainfield ~ Bath tubs Septic Tank _ Lavatory Softner 71 Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink • ^ Gas Piping Outlets r.. 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 Roaipt MECHANICAL PERMIT Permit No. CITY OF EAGAN FN ' { , _ • Flll in nambsred spam S/C 7YPe or Prfn[ legib/y Tot ~ - 1. Date 2. Installation Cost' ~ 3. Job Addresty`C;;,~,y.,~= Lot i Blk. Tract' 4. Owner 5. Contractor Phone 6. Address y~L~ f--, t~~ , _ • ~ ! ~ = 7. City r=n:"-~~ State 2ip ' 8. Building Type: Residantial ~ Commercial ? Institutional O 9. Work Desa'iption: New ~ Add ? Alter C] Repair ? 10. Describe Fuel Type 11. No. Fqujpmep,t BTU - M. Ea. No• Eauiament CFM Forced Air Air Handliny: Mtg. Boilers Mech. Exhaust Mfg, Unit Heater Mfg. Other Air Cond. ,-l ` • Mfg. Gas. P'iping Outlets 12. I hereby certify that the above information is true and correct, and I agree to oomply with,9lyo rd~aanqes and codes governing this type of work. Signed : r~ ~t for Rouyh Flnal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EA(3AN 464-8100 ~ CASH RECEIPT ' CITY OF EAGAN P. O. BOX 21-199 EAGAN, MINNE50TA 55121 DATE 19 wceuv~o ~ PROM ! AMOUNT $ I i r r 4 DOLLARS ~oo C] CASH ? GH£CK rOR ` FUrTD CODE AMOUNT J Thank You - BY White-Payers Copy Yellow-Posting Copy Pink-File CopY This request void ~js~ 9 ~l 5 ~ 18 months from ~ d ~ ~ ~ 49 L ( ~ a St ~ ou~ i ~ Request-Date Fire No. Rough-in InsDection Re uired? OReady Now~ ~II Notify, Inspec- ~ es ?No / [or When Ready . Licensed Electrical Contractor I hereby request inspection of above Owher electrical work installed at: Street Address, Box or Route No. City_ Mt ect10n o. TownsAip Nam r No. ange No. County Occupant (PRINT) Phone No. p~- q-,Q -l Pbbver Supplier Address Al 4. t a k'r\, Ecai Contractor (Company Name) Contractor's License No. XnfC-!s ~s.. ' o~~~~''i~ ~ Mailing Address (Contractor or Owner Making Instailation) ,2' -3-A.te Authori Signature (Co ractor.Owner Making Installation) Phone Number MINNESOTA STATE BOARD OF LkECTRICiTY THIS INSPECTION REQUEST WLLL NOT Griggs-Midway Bldg. - Hoom N-791 BE ACCEPTED BY THE STATE BOARD 1827 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Plqne (612) 297.2111 ENCLOSED. ~ REQUEST FOR ELECTRICAL INSPECTION Es-oooot oa See instructions for conipleting this form on back of yeilow copy. 1/ ~ ~i1 = X"" Below Work Coveaed by This Request • Add Rep. Type of Buiiding AOOliancea IMired Equipment Wired Home Range Temporary Service Dupiex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heatin Commercial Bidg. Furnace Silo Unloader Industrial Bidg. Air Conditioner Bulk Milk Tank Farm Other fSpecify) Other(Specify) t r SVecify Other Other ompute Jnspection Fee Below N Fee Service Entrance Size p Fee Feeders/Subfeeders # Fee Circuits U to 200 Am s 0 to 30 Am s ~ (Rto 30 Am s Above 200 qmpS 31 to 100 Amps 4~ 31 to 100 A s Swimmin Pool Above 100-Am s Above 100_Amps Transformers Irri~tion Booms Partial-'Other Fee Si~s Special Inspection $ TOTAL Remerks { y t[1Xt,,ra~= rvp Rough-in Datf` the Elec ' a Inspector, hereby certify that the above Final D?)e 7~ inspection has been ~ made. TIMa request vold 18 months from Thi q ,requesisyoid 18 rrpnths from 55-) ? 9. cl. A - 0C.~~ 1848 , L J ~ a Request Date Fire No. Rough-in Inspection • ^ Required? IrAReady Now 0Will Notify. Inspec- j~ ?Yes No . tor Wheo Ready icensed Electrical Contractor I hereby request inspection of above ? Owner. electrical work installed at: Street Address, Box ar Route No. City ecU X o. Townshi ame or No. Range No. Count~ Oc upant (PRINT) Phone No. kn, 'fia :5~ P er Supplier Address ~ ~ a ELy, Fmu~ ,n Ele trical Contractor (Company Name) Contractor's License No. E' z-- Mailing Address (Contractor or Owner Making Instailation) ~r t , 1fl'Idt ?'1 Autho 'zed Signature ( ontractor/Owner Making lnstallation) Phone Number , ~7" Q`Z6 3 -36 4 , MINNESOTA STATE BOARD ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-197 BE ACCEPTED BY THE STATE BOARD 7821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 297-2111 ENCLOSED. { Vp Ci REQUEST FOR ELECTRICAL INSPECTION Ea-00001 104 ' See instructions for completing±his form y' l~ack of ~ Ilow copy.. /4 0618 ~I ~ X" Be/ow Work C..vered b This Re uest Add Rep. Type ot Building Appliancea Yrirad Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heatin Commercial Bldg. Furnace Silo Unloader Indusirial Bldg. Air Conditioner Bulk Milk Tank ) Fafm Other SPeci y Qther (Specify) t er Specify Other Oiher ompute lnspection Fee Below # Fee ServiceEntranceSize ti Fee Feeders/Subfeeders It Fee Circuits U to 200 Am s 0 to 30 Am s 0 to 30 Am s Above 200 Amps 31 to 100 Amps 31 to 100 Amps Swimming Pool Above 100_Am s Above 100_Am s Transformers frrigation Booms Partial•°Other Fee • Signs Speciallnspection S1Qy1I10 TOTAL F Rema rks j?"~ °y?~~Er~ S'~JL'U'~.: J` . Rough-in Date I, the Electrical Inspec y rtify that the above Final f te inspection has been niede. This requeat vold 18 months from e CITY OF EAGAN N ° 10 9 8 3 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 " PHONE: 454-8100 BUILDING PERMIT ReceiPt To be wed for SF DWG/GAR Est. Vo1ue $14 8, 0 0 0 Dcte SEPTEMBER 17 1q 8 5 Site Address 3638 W I DGEON WAY Erect C$ Occupancy R lot 1 Block 2 Sec/Sub. ST FRAN WOODS 2 Remodel ? Zoniny R1 Parcel No. Repair ? Type of Const. V Addition ? No. Stories JOHN TAPPER Move O Lenyth 78 W Name Demolish ? Depth 40 Z Address 8868 BACARD I AVE W Int Impc ? Sy. Ft. City IGH Phone 452-1436 (H) Install ? Name SAME 4 5 4- 3 310 (W) APprovols Fees ~ o Z~ Assessment Permit 553.00 o~ Address u~ CitY Phone Water & Sew. Surcharge 74 • 00 F Police Plan Review 276.50 PW Name Fire SAC 525 . 00 s~ Address Eng. Water Conn. 5 0_0 • 00 ~ W City Phone Plonner Water Meter 63.00 Council Road Unit 280.00 I hereby acknowledge that 1 have read this opplicotion and stote that Bldg. Off. 9/1685 Tr. PI. 132 . 00 the informotion is correct o d ree APC State of Minnesoto Statut o gon Ordinonces. Parks Var. Date Copies I jr -'4 Signoture of Permittee J V - I Total $ 2. 4 0 3. 5 0 h Building Permit is i d to: `TO TAPPER on the expreu condition thai oll work sholl be don n accordante with all plitable State f Minn tutes and City of Eaqcn Ordinonces. ~ Building Offitial . ~ 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAH NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN COMMERCIAL SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS & STRUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY SPECIFICATIONS AND 1 SET OF 1 SET OF ENERGY CALCULATIONS ENERGY CALCULATIONS' ' $2,000 LANDSCAPE BOND To Be Used For :-!~I"Cx1,R yrAernj~X Valuation cod Date : Site Address OFFICE USE ONLY Lot ~ Block -2w Erect ~ Occupancy ~-3 Remodel Zoning -i Parcel/Sub ST Ey.&,ioS i,vt..t-,,fl Repair ~ Type of Const ~ Addition # of Stories Owner k,1Qj6a-i -32,gpfjL Move ~ Length -7b Demolish Depth Address Int.Impr. Sq Ft Install City/Zip Code Phon~ ~TD~5~a`~ :331C APPROVALS FEES Contractor Assessments Permit s S3. Water/Sewer Surcharge '14• Address Palice Plan Review Z~&.S° Fire ~ SAC S2S, City/Zip Code Engr Water Conn scx`3. Planner~ Water Meter b3. Phone Council~ R ad Unit ZSO. Bldg Off~ Treatment Pl 2.. Arch./Engr. APC Parks Variance ~ Copies Address TOTgL. Zqp~.~ City/Zip Code Phone # _ . . _ , . _ _ . _ - , - ' - - . - . AO BE CONSULYING p s-~ ENGINEERING ptANNESS and LANO SfUAVEYOAS COMPRNY, INC. 1000 EJ15T 1461A STREET, BURNSVILLE. h11NNE507A 55337 PH 432-3000 CcriFz~`z l,~val .Iawcr4022f0rt: LoT l, BLOCx 21 sY FRANCts wooo ZA1D ADDITION , DAKOTA CouA47Y. MiwtJESoTA pENOTES 6X15TIAJ& ELFVAT/O,V o° (900) DENOTES PROP064D FLEV,47-16,V. qo' $ ' h - /illD/CIqTES D/RFCTiGA/ OG S SuRFAC~ bR~1 1NA6~ 69° ~ASE~'1 E~ ~s~ SS'2 NoRTU s~ ~ \ 6-F 5 CALE 40' F/N/ SH4rb 6191?461E fL d D g E4-VAT/OAJ U- 40 AA . . I V \ O ~I i m 30' F~PoNT BvsCD/~l ~ 2 as,_3: ~~\°J I ° o h SFT,OA~K L tA/E le o ~ - ° 7 ~o ! yoQ / ~ ~O/• ~ ' ~ ~ / 4 LA ~ ~ ~ /6 GA- 006p a0 'o ~ 5~' 91 ~ 1 I her:by cartify that thia ia a true and co.rrect reprasentatof a tractot adass 1 n hawn and deacribed hereon.. As prepared by me on this LZ_ day ot ~ ~ Ninn. Re~. No.1l.~' • MINtJESOTA STaTE E:lERGY (:ODE CALCULATIONS 2C~7_z-,7 BASED ON CF{APTER 5 GF T1iE ~J? MOULL E:IERGY CODE - 1983 EDLTtON Adoptiun Effe:ccivr: l/ 1/84 )wner Phone rat ;ite address • ;ontractor ' • Phone 3uilding Classification: Type Al (Single Fa:nily S Ouplex) Type A2 (Residential (3 stories or ess (Other) (Over 3 stories) ;cNERAL INFORhWTION 1. Building Perimeter ~L')= t. . Wall height (qround to eave) ~E "IL5,4rft. 2 3. l. x 2. (above) gross wall arga. ft. 3. Building dimensions (L) ~X (W) _ ~ ft.2 roof S floor area 0. Square fcot area of rim joist - Floor joist size (2 x/ 0?) )P? x Perimeter = Rim joist area =~~ft2 12 . ; 6. Joors - area Thiclcness in. U ~actor e Type of Construction . . Perimeter ft. htanufacturer 7. Total door's perimeter ft ' . 8. Windows: Manufacturer State approve~ U factor TYPE SIZE AR.-R (Ft.2) NUMBER OF TO'AL FEET 2 EACH UNITS g. Total ft.2 Gl ass Lr _ _ Z 101- Fireplace area: Width x heiuht - x - ^ Ft. 11 . Exposed found3tion: Height x Perimetere Ft.2 ; )MPLE i iuN OE 7HIS FORM IS RcQUIRED FOR ALL NIEW CONS7RUCTIOtJ, MAJOR REti00ELING Atr'0 BUILOINGS BEIN q)V:D WNERE EhERGY, OTNER THAN THE MINIMAI CQDE aLLQ!•JANCE, IS llSED. s ' • . . . ~~~r~7, 7, 12. F.•~ming area ¦ 10% of gross wall area. : 13. Gross wall area ft.2 F Window area A 492 ft.2 U windows U x A~ Rim joist area A ft.2 U rim joist U x A 2 ; Do y~ rea A ft. U door area U x A= i Ae~la~e~~ea ft.2 U fireplace = . U x A= Exposed foundation A ft.2 U foundation 2 U x A= p•s s Framing area A ?2q?^14-Wft.2 U framing area U x A ~ Net wall area A ft. U wall U x A , Z~,~3 , • - (13B) TOTAL . . . . . . . . . . UxA= 2 •I~ 14. Gross wa11 area x 0.11 (A-1 single family b dupiex = allowable U x A/Code (13. above) . . x 0.23 other residential) x .23 ~A-2 Other buildings) ~ . x .28 (Over 3 stories) BTUH Must be larger tt ' A ?'13~ x l! Code 1Z -VT. 136 above . , . r 15. Ceiling framing area (Af) equals lOx of ceiling area C or the same as) ISA. Gross ceiling area =(L) x(w) = ft.2 . 158 Joist area (Af) = 10a ceiling area = ~ q9 ft.2 --T 15C. Net ceiling area (Ac) (15A - 158) • ~~q (,0? ft.2 ~ U ceil ing x A c_ x~~ U framing x A f= x 15D. TOTAL U x A . 16. Ceiling area (15A) x 0.026 (A-1 single family b duplex - code allowable U x A • . x 0.033 (A-2 other residential) x 0.06 (other) BaUN Must be larger than 15D (above A 15A f x U (code)= F (or the same as) NOTE: Use U and A values obtained from ops 1, 3 and 4. Y F ~ ~ z- s a s a 3 - z i ~ J O , u 2 2 ~ ~ - 3 ~ 3 4 y ~ 4 S S J ! v 1 7 I H ~ e 8 g r j ~ 0 . ~ 12 • 12 U 13 11 S,. 2 14 15 15 is u ~ u 1! 7i ~ 19 2G ~ tC 21 21 22 22 23 X 23 14 7iU Al, ya 25 2^ 26 46 27 c' . I1 m i il 28 _9 29 70 kpdt z 30 31 ' 'A7~ U bz, 31 32 32 33 33 74 34 35 - 35 38 36 _ • 31 37 31 3t 3! J! 10 40 0 MiR.3CN JCNE! CCMrANY 07806 oNiiN 7504 MUI'w 07906C COVt11L[SS MAO[ IN U.O.A. 4;./,~41 ""/1~.` - 'v`v~"' LC u ~At-uc 1.AL! ULN i tUN) 'dALUE U VALUE Instde air film .68 WALL Interior wall (Wall) U • ~ . ~ ? SEC:ZON ~ Insulation Sheathiag .0 r I' Siding OutsLde atr Eilm .17 R rorar. Z 3,63 Inside air f ilca .68 STL'D ~ In t er i cr va 11 SECT20N ,ie+ scud ((o) R= 4%44:/ .)p(Frasaing) U . ~ . 4 Sheaching '1,U(o ~ Siding 0407 Qutside air film .17 ~1 ~ ~ TOTAL 1(3, r;~s ' Inside air film R= .68 2ND VALL , Iaterior vall ' SECTION Insulacion (Siall ~ U • g ~ Shea ~ ^ . . ' Exteriar rall ring Extarior air filia R ~ . 8 TOTaL • Interior air film R= .68 , RIM Insulacion JOIST 1h inch soft wvod R=1.88 (RTm (J = R' z Joist) Sheathing ~ Exterior wall covering G7 Exterior afr film R- ,17 ~ . R TOTaL ?~4,~ ~ . . Inter ior ai: f i lm R, .68 Insulatior. /O, DV I z8 1 ~ Foundacion . (Fdn.) U = Exterior air film R= .17 ~ R TOTaL xposed 91uck ~ r----r . - 1 ~ ~MING ai'H VENTED M4T TIC SPACE A80vE : R ::+L~J"c 'J LUE FRAt4 i t1G CEIL I NG ' 0.61 Air Film 0.61 InsuTation Jo;st " . ~5_0 Ceilinq ; . , , 0.E1 Air Fflm 0.61 , 4Z, t(n Total R 1 , . , oZ3 U = R • .C~zZ . F! AT RGOF OR CATHEDRaL CEILING Wile ~ R Va ue R 'lALUE - FR:,ttIMG CEILING . ~ 0.61 Inside air film 0.61 . , Cei i i nq - I . Joist (stud . Insulation Air space , Rocf deckinq . Insulation Built-up roof 0.17 Outside air film 0.17 , Tota1 R . , ~ u R~ 4indow infiltration .5 cfm/lineal foot of crack tesidential door infiltratien 0.5 cfm/squsr2 foot or doar and minimum code requirement !cn-resid2ntial door infiitration 11.0 cfm/lineal •"oot of crack 1b 12" concrete block no insulation =.47 R 2.1 ~ !b 12" concrete blocic insu3ated cores =.26 R 3.8 = 1b 1 Z" 1 i gSmNei ght bl ock =.32 R 3.1 !b 12" lightiveight block insuTatsd cores =.12 4 8.3 J singie glass = 1.13; with storm SVindow .54 1 double glass = .55 1 tripie glass = .41 ' - - ail exterior wa11s and cetlinqs must have a vaaor harrier (0.10 perm r:3x.). ' ;aoor barrier must be on the inside (heated side) of taall. japor barriers of the polyethelene thin film have no 4 value. . : 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) r CITY OF EAGAN 29 3830 PILOT KNOB RD - 55122 (651) 681-4675 ~vorrf1^ rn~ New Construction Requirements Remodel/Repair Requirements ? 3 registered site surveys ? 2 copies of pian ? 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ? 1 site surveys (exterior additions & decks) ? 1 energy calculations ? 1 energy calculations for heated additions ? 3 copies of tree preservation plan if lot platted after 7/1/93 required: _ Yes No DATE: CONSTRUCTION COST; ~`~.50 DESCRIPTION OF WORK: TC STREET ADDRESS: ~0~ ~AQI ~ LOT: I BLOCK: ~ SUBD./P.I.D. /Mlaw ak'TJ 2 C)" Phoiie PROPERTY I-uc Fi, Sc 0 ) A'N l:R ~ j I Street Address:_~6~l--~ UQ! ~--v\`! -A~ ZiP: City ~ _ ~ State: C<>nipany:_M~~~~r ~~lio«e I~~~--- - coNTliAcrOR {~j~ 3 31 2.C~ Street License # L"L1~~3Q~:xP• j"-~--G C;ity State: __1~~~~------ Gip' ~ ~ ~ ~ __l_--- ARCHITECT/ ENGNEER Compaiiy:--------------------------------------------- hone N:une: Re~nstiatiou Street Address:------------------------- - Citv State: GlP' Sewer & water licensed plumber (new construction only): . Penalty applies when address change and lot change is requested once permit is issued. i hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: T7 T I I l ~ OFFICE USE ONLY ~ ' '53 Certificates of Survey Received Yes No i Tree Preservation Plan Received Yes No Not Required OFFICE USE ONLY ' BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. 0 10 _-plex ? 15 Deck WORK TYPE ? 31 New ?~3 Alterations ? 36 Move ? 32 Addition 4 Repair ? 37 Demolition GENERAL INFORM TION Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. SAC Code UBC Occupancy sq. ft. Census Units Zoning sq. ft. Census Bldg # of Stories sq. ft. MC/WS 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 MGM!S SRC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. , Trails Ded. 'Other Copies Total: % SAC SAC Units . • . 2/84 ~ CITY Or EAGAN APPLICATION FOR PE:tMIT SEWER A:VD/OR WATER CONNECTIODT (PLEASE PRINi) 1) PROP= ADDR...'.SS : _ 14 3e ur_FraL, D.:.s=?TTcV: L.dT l 3! lvc:', 2- k-Q ops .4i%A (I,ct/Blo=}c/SL ;r.ivisicn or Tax Parcel I.D. vt„~*^zex) ~ I-r' S?".==,--..cE. DAi:.' Oc Ci2IGMAL rUII1JI_`:G ISSUANC?: L'•vy: f~/~~ . ' iJ I('~l SM=- i AMILY 0 R-2 DUP~,~..L' ('ISti0 L'NITS) [3 ~-~-3 TUZ&C'USE (`I'H-1:1= 1 L':TITS) ( Wi i'='c) . ? YZ-4 ~i-~aYT~+T~CC.:~C:•~rII'L~i ( IJNi,S) p CCI~nE?CL7\I,/RETAII?OF:'IC:± ? I\i'DL'STERIAL ? LNSTI-l 2) APPI,I= (PLEASc PRIti i ) CI'r'', S r: r', ZIP: ~~u Lc72 ~2~rcc ff~: ~'7`I' /I~,i s s°rz> _ pHoNE: 3) pu,^,.~~ r, (PLEASE PRINT). FOR CItY USE 04LY t~~•.r. PLUHBERS L -SE: , - FZL=ss: a c l ,G~ . Active CITY, STA'?E, ZIP: 1~* f-/~.,~ .iy? 5 S/~-3 Expire f Record ' pF== PLUMBER LICENSE # r lnitia 4) OCCtJpANi`/Cr;;m IVi LM E(PLEASE PRINi) j ' °'l'? r1-S /-l--. ~ /C./`~-v ADDRESS: CITY, STATE, ZIP: PFiU:vE: 5} INpICl*,TE WHICH PF.F.*•lIT IS BEIDC-i RFXFX UF.STM: - ~"VECTI0N 'IO CITY SD7ER CQi.r.V'EcrIa1 To CITY wATER _ Q dnM2 (PT~.' DFSCRZBE) 6) IN'DIG, -Iz. C:.c.: PL= ~SE F?OZD r'1PPRWF~ PER''~IIT FOR PIC~i-L'P BY ONE OF AEGZIE . ? PIEASE %AIZ. APPR= Pgt:llT T'J 1, 2, 3, 4 AFO7E (Circle one) , 7) SM.TNTL'RE: , ~ • _ _ . - - - DATE: • ~ ~ • i a~• • , n ~ • ~ •y• • o ~ • . • ~ . ~ c,.r. 1 1 1 • olil_Ml~~s ~~I sae ~t ~~sc~ at s r+e paW-aM4r ar s s rFS s:;=:a a at fR atMrrt a~smmaa ' . F O R C I T Y U S E O N L Y PER-MIT ISSUED FEES . $ D~ SE:'iLR nERMTT ( I`1CL~iE JU°CHaRGE) $ WATER PE;U'(IT (INICLUDE c-liRCHARGL) $ WATER METER/COPPERHORN/OUTSIDv- READER $ WATER TAP (ZNCLUDE CORPORATION STOP) . $ S: ;vER TAP $ ~S Ud ACCOUNT DEPOSIT - UiaTER $ wac $ spc $ TRliVK WATER ASSESS:IE:1T $ TRli:IK SEWER ASSESS::ENT $ LATE?.AL BE:IEFIT/TRU`1K SE:•:'R $ LATE?tP,L BENEFIT/TRUtiK :'7ATER $ WATER TREATMENT PLANT SURCHARGE • $ OTHER: $ TOTAL • ,S ~ci~, c•rC~ AN10L'tiT PAID/RECEIPT I-r a DOES UTILZTY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? 7-7 YES IF YES, THEN A"PERMIT FOR 'r10RK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE C~ NO ENGZNEERING DIVZSION. LIST AS A CONDI- TION. SUEJECT TO THE FOLLOWING CONDITIONS: ~ APPROVED BY: TITLE: • DATE: ~ w ~ i~ ~ ~l ~IFl~ ~ ~t~ ~lf~ ~4.a ~Fi ~?i~ ~4.i wF ~ ~si~ ~l.i ~k~ si~ w a 7:~r'-~,.-=r=-= ~..:_.;,e:.«c,~-• - ~ . . - . . . , PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA159026 Date Issued:11/18/2019 Permit Category:ePermit Site Address: 3638 Widgeon Way Lot:1 Block: 2 Addition: St Francis Wood 2nd PID:10-65901-02-010 Use: Description: Sub Type:Residential Work Type:Alteration Description:Fixtures 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (miscellaneous)$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 - Gene C Pagel 3638 Widgeon Way Eagan MN 55123--112 Applicant/Permitee: Signature Issued By: Signature For t t, 6, ��1 C EIV.E. � S / Permit ' A G A N NOV 07 2019 /1/11 c 3830 PILOT KNOB ROAD I P=AGAN, MN 55122-1810 (651)675-6675 17 t) (651)454-6535] FAX' (651 ,5 Staff. 2019 RESIDENTIAL BUILDING PERMIT APPLICATION Nov,Cote: 4r 2019 site 3638 Widgeon Way Unit : Name Gene & Julie Pagel Resident/ 1 3638 Widgeon Way, Eagan 55123 Owne1 Applicant is ,mer Contractor TypeofLies on of w Kitchen remodel Work $45 00(3 Conse n Cost i t F amity Building tYr= ,No 'f Stacy Strojny Design Stacy Strajny CompanyC;t nG 13194 Grenhaven Ave Apple Valley Contractor C`xa. City; 1MN 55124 612A90-6397 Strojn hoo.c m state` Zip riot !-start License a 71315$ Lead Certificate-�.�. w._... ti the project rs exempt train lead certification, please explain why: Built in 1985 and interior work only /,� G COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months.has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No it yes,dote end atidroas of meatix par. .__. ... ... Licensed Plumber: Phone: I Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: FirC Suppression Contractor- NOTE:Aims mid sup aims Mar you Submit ere coottidered to be paiite inforniation. Ptwitons of the befornottion may be craws _ as • • •r. if.,: . '. -•,,_.. lis masent eterwoutdpermerme CM to cond. xi xt t t1h ant fled.sbetelre. You may subscribe to reeve an electronic nattflcat on from the City of proposed ordinances by Signing up for an email update on the City's F.xtertor work a uthorued by it building permit issued in accordance wan the Minnesota state Hung Code must be soar rated within 180 days of permit issuance. CALL BEFORE YOU Of{G. Cali Gopher Std One Cell ai(6511 454 2 for protection against laridergratind — damage Call 48 hours before yr•ss Mono to dig to Moen*I-00,14es of.underground utilities #tiereby acentwitedoe that this inf rrn mr is complete and . that tunia work ore tro in conform.. ., men ^ 0 a._. , rs and oodes of to City of ragart that a triderstand its t rota permit, but only arx apphoiation lte a permit and mutt( is riot + permit, that the work will to 31 acl ordaoce vein tote aPprOired plan n the Case of work ss#at„e rectums a review anprovai of plan. Stacy Strojny x Applicant's Printed Name A ig rt€ DO NOT WRITE BELOW THIS LINE ------C-' 01-8(c60 gi 1,{)4(-1 /5 (2 67‘ SU?TYPES Foundation .„...,_ Fireplace _ Porch(3-Season) Exterior Alteration(Single Family) '._. .. Single Family . Garage _ Porch(4-Season) Exterior Alteration(Multi) Multi Deck Porch(ScreereGazetiorPergolal liliseellanemes _ 01 of Plex _ Lower Level Pool _ Accessory Building WORK TYPES New Ulterior Improvement Siding Demolish Building* _ _ Addition Move Building Reroof Demolish Interior A Alteration Are Repair Widows Demolish Foundation Replace Repair Egress Window Water Damage Retaining Wall Ilernoilition of entire building-give PCA handout to etvaeititt 2.. C.,.. R. . -....E... . Valuation -'6) raf Occupancy 7 Ac. ,( MCES System Plan Review Code Edition 2,fi SAC Units . . (25% 100%/) Zoning rz.-1 City Water Census Code .--.3Li Stories Booster Pump #of Units ( Square Feet — PRV — ,.. #of Buildings / Length — Fire Suppression Required ---- _ _ Type of Construction - D:11 Width _ ...-- R s!LH- # INSP Ti•NI Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings(Addition) — Final I No C.O. Required — Foundation _ Foundation Before Backfil 4 HVAC Service Test Gas Line Air Test Hood _ Roof: Ice&Water Fetal Pool: Footings _Air/Gas Tests Final 4. Framing_lr 30 ttAirutes 1 Hc to Drain Tile Fireplace: Rough in Air Test I tnal Siding: Stucco Lath Stone Lath Bock IF IS Insulation Windows Sheathing Retaining Wall: Footings Backfill Final _ Sheetrock Radon Control _ Fire Walls Fire Suppression: Rough In Feist amend Walls Crozion Control ... . Shower Pan Other ,.. Reviewed By: ,Budding Inspector .., RESIOgNTIAL FEES /1-13 # Ake N4/ 24ine/g4t & 02,0170 21'1 Base Fee Surcharge Plan Review 5 7 52-- mCES SAC City SAC Utility Connection Charge S&W Permit& Surcharge _ Treatment Plant Radio Meter Read Copies TOTAL Pg e 2 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA159367 Date Issued:12/11/2019 Permit Category:ePermit Site Address: 3638 Widgeon Way Lot:1 Block: 2 Addition: St Francis Wood 2nd PID:10-65901-02-010 Use: Description: Sub Type:Residential Work Type:Alteration Description:Stove 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 - Gene C Pagel 3638 Widgeon Way Eagan MN 55123--112 Applicant/Permitee: Signature Issued By: Signature