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3641 Widgeon Way . _ . . ; , oni ~ Date: CITY OF EAGAN Permit No: Size: 3830 Pilot Knob Road Meter No: Date: ; p,p, gex 21199' Reader No: 4 Eagan, MN 55121 ' ' Streeter & Assoc. Wood IT Owner. s SiteAddress: 3641 Wid eou 4~av L2 Bl St. °lur~3~ri~ , Plumber. Iake Side S& s, '~o l.in3 t~t 325 . OOpd Zoning: i~ Conn. Chg: .0 0 d No. of Units: Acct. Dep: 0 0~Dd _ Permit Fee: . 50 c: I agree to comply with the City of Eagan Surcharge: 4 . OOpd OrdMances• Tr. Plant 7 Meter. By .Misc.: WATER SERVICE PERMIT , z - SEWER SERVICE piii~3T t C11'Y OF EAr"AN PERMIT NO•: 3830 Pilot Knob Road ~ Dp,TE. i ~ P.O. 9671214 9g`~ No. of Units: Ea9a^, MN 55* Zonin~' treeter s o0 . , ane ~ goc. Owner. $eon a`1 ur~ ~ , ~ Address: .op $ e 5~S.CO ~ Site Addresa;, e OL $ plumber. - ' Connection Charge: 15 • ~ ~e Cny ct Ea9a^ pccount DepOsit: 10.0 I a9re° t° complY WRh .50 d Permit Fee. ~ Ordinances• Surcharge, Misc. Charges: Total: . _BY Date Paid: . Date of Insp•~ Insp•' . ` _ _ . . . - me• , . , Date: Permit No: s 3 S~/ Size: C~7Y OF EAGAN Date: ~ 3830 Piiot Knob Road ReadeNN°~ ~ P.(j. Box 21199 ! Eagan, MN 55121 ,~treeter & Asso~=• St ~.ranc Owner. 3641 1•Iid eon L in~ Site Address: j ake S ide ~ G~ Et~• T;l Ptumber. • '~~1~ ~a Fj' 1. 525 00 d Conn. Chg: ~ S . t10 Acct. Dep: t~ ,0 Ity oi Ea9an Permit Fee: VCQ~. V+• F'I agr o c P~Y w Surcharge: 1 , 00 Ordinanc • Tr. Plant 67 ~ Meter. B Misc.: WATER SERVICE PERMI CASH RECEIPT • CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE V. 1 . 19 RECEIVEO . - . , FROM ' AMOUNT s I & DOLLARS foo E]CASH ~ CHECK FOR k"^ I f~ . 1 FUND CODE AMOUNT Thank You BY . ' j White-Payers CopY Yelfow-Posting Copy Pink-File Copy BLDG. ~PERMIT N0. 01-3210 Bldg. Permit 17 J ~(f / -Y~-' 01-3422 Plan Check 01-3445 Surch./Adm. 01-P446 SAC/Adm. 01=2155 Surcharge 17~-~'3860 Road Unit 20-2275 SAC - ? ~ 20-3865 Water Conn. 20-3868 Water Trmt. ~-20-3716 Water Meter ' 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. 11-3855 Park Ded. TOTAL ,.m ~..-.Rr,m;-w:~a , . . . . r z ~',-r,-+s~. ~:a • -s~, f . CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 'A;1e127 ' PHONE:454-8100 - BUILDING PERMIT Receipt # To be used r eREWgE;' Est. value s1atUQa Date JULY 9 , 1990 Site Addr'es 3~f i ~ S? ~t~s- V OFFICE USE ONLY Lot Block Sec/Sub. ~ Parcel No. occuPancy - FEEs ~ LAI3E DAI.EY b LA1tM Zoning - 117.00 ' ¢ Name (Actual) Const - Bldg. Permit ; 'AddreSS A (Allowable) - Surcharge S'~ ' 1 04011-- City EACAN Phone ` # or stories - ~ ° Length _ Plan Review ~ p Name `;AME Depth - SAC, City ~ ~Q Address S.F.Total - SAC,nncwcc ~ City Phone S.F. FootPrints - ~ On Sile Sewage _ ~Nater Conn W W Ngrpg On Site Well - Water Meter z MWCC S stem ~ Address y - Acct. Deposit ~ <W City Phone cicywacer - PRV Required _ S/W Permit ~ ~ I hereby acknowlege that I have read this a plicatio nd state that the Booster Pump - S/W Surcharge ~ information is correct and agree to c I pwith applicable State of Minnesota Statutes and City' aga rdi ces+ Treatment PI ; Signature of Permitee APPROVALS Road Unit ~ - A Building Permit is issued to: ~ ~ ~ Id" &MAE" Planner Park Ded. on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. _ Copies 122.00 Building Official ` " Variance - TOTAL ~ Permit No. Permit Holder Date Telephone # WATER ~ SEWER PLUMBING 3/ b SAOJ. H.V.A.C. ~ Z O Gtl'~`-ChJ ~ 3I Q ELECTRIC 33 ~/p1 r O ~ Inspection Date Insp. Comments Footings I Foundation Framing Roofing Rough Pibg. Rough Htg. Isul. Fireplace • Fnal Htg. Fnal Plbg. Const. Meter Plbg. Inspector - Notify Plumber Engr./Plan Bldg. Final Deck Ftg. Deck Final We11 Pr. Disp. , ,.'X •.f'... . . . MECFIANICAL PERMIT For City Use Only CITY OF EAGAN PERMIT # 3830 PILOT KNOB ROADr EAGANr MN 55122 RECEIPT DATE PHONE 4548100 DATE: 7 I3/ 1 ~U y' 1r t \ Site Address r BLDG. TYPE WORK DESCRIPTION Res. New Const. ' Lot Block Sec/Sub r Mult. Add-on ~ Comm. Repair ~ ~ Name ' Other / gas ' Address c City Phone FEES RES. HVAC 0-100 M BTU -$24.00 Name ADDITIONAL 50 M BTU - 6.00 ~ - (CO STRUCTION UDES A!C ON NEW ~ Address ~~y t~ O City `-,AEy4 Phone TOWNHOUSE 8 CONDOS - RES. RATE APPUES ~ MINIMUM RESIDENTIAL FEE - ALL ADD-ON & TYPE OF WORK REMODELS (INCLUDES GAS PIPING) - 12.00 GAS OUTLETS (MINIMUM -1 PER PERMIT- ` Forced Air t`bc~ M BTU $ _ NEW CONST.) 1.50EA % Boiler M BTU $ COMM/IND FEE -1% OF CONTRACT FEE Unit Heater M BTU $ APT. BLDGS. - COMM. RATE APPLIES , Air Cond. M BTU $ MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 ~ Vent CFM $ (ADD $.50 S/C PER EACH $1000.00 OF PERMIT FEE) Gas Piping Outlets # -1 $ I'so ; Other (~l 0 CommJlnd. Contract Price x 1% $ SI ATURE OF PERMITT E ' PERMIT FEE: S/C: FOR: CITY OF EAGAN TOTAL• ~ _ . . . . . M , ~ ~',:t~ _ . . . , . . . . , . o_._, . . , . , J"'V',*~".:'~„' ;i.. .xA~:•~e,rip~'^~'.r....w.lm . . . r. PLUMBING PERMIT For Office Use Only CITY OF EAQAN PERMIT # I~9 1) 4~ CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT ~ PRICE PHONE 4548100 DATE: 3~ ~ 0 Site Address BLDG. TYPE WORK DESCRIPTION Lot ' Block Sec?Sub Res. New Muft. Add-on ~ ~ Name Comm. Repair ~ Address aher ~ City Phone RE3. PLBG. ONLY - COMPLETE THE FOLLOWING: - NO. FIXTURES T TAL Water Closet - $3.00 $ ~ ` Name - Bath Tubs - $3.00 ! ~ Address LavatorY - $3.00 ~ City ~ Phone Shower - 93.00 Kitchen Sink - $3.00 UrinaVBidet - $3.00 FEES Laundry Tray - $3.00 COMM./IND. FEE - 1% OF CONTRACT FEE Floor Drains -$1.50 APT. BLDGS. - COMM. RATE APPLIES Water Heater -$1.50 TOWNHOUSE 8 CONDO - RES. RATE APLLIES Whirlpod -$3.00 MINIMUM - RESIDENTIAL FEE $12.00 Gas Piping OuUets -$1.50 MINIMUM - COMM.IND./FEE $20.00 (MINIMUM -1 PER PERMIT) STATE SURCHARGE PER PERMIT .50 Softener -$5.00 (ADD $.50 S/C PER H$ 000 OF PERMIT FEE) Well -$10.00 . Private Disp. - $10.00 Rough Openings - $1.50 IGNATURE OF PERMITTEE U. G. Sprinkler System -$12.00 PERMIT FEE: I a •0 " STATES S/C: S ~ E FOR: CITY OF EAGAN GRAND TOTAL: 101 • S 0 INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number. Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 , is: s. 1. j s1 i v, SITE ADDRESS: ~ f~ ? _ f ~ APPLICANT: L1AY „ . r; ~,I i . r'? ~ ; »,r , r PERMIT SU$TYPE: TYPE OF WORK: INSPECTION . D. f l rlri Permit No. Permit Holder Date Telephone # ELECTRIC PLUMBING _ HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL _ . . . . . - _ CITY OF EAGAN . 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100 BUILDING PERMIT Receipt # To be used for Est. Value TDate ,19 Site Address OFFICE USE ONLY Lot BIoCk Sec/Sub. On Site Sewage _ Occupancy MWCC System _ Zoning P8fCel NO. On Site Well _ Type of Const City Water _ (Actual) ¢ Name (Allowable) W # of Stories 3 Address Length ° City Phone Depth S.F. Total ¢ Name &n Footprint S.F. .0. ~ a Address APPROVALS FEES ~ City Phone Assessments _ Permit Water/Sewer _ Surcharge F W Name Police _ Plan Review s~ Address Fire _ SAC, City ~ Z Engc SAC, MWCC Q W City Phone Planner _ Water Conn. Council _ Water Meter I hereby acknowledge that I have read this application and state Bldg. Off. _ Road Unit that the information is comect and agree to comply with all applicable APC _ Treatment P1 State of Minnesota Statutes and City of Eagan Ordinances. Variance Parks Copies Signature of Permittee TOTAL A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official . Permit No. Permit Holder Date Telsphona it Plumbing H.V.A.C. 2 Electric , Softener ; , , i - . Inspection Date Insp. Commants Footings I F27 Footings II Foundation ~ Gp pS~- PQ Framing 1 ~ S-•T'yr¢r - 1-oL.d Roofing Rough Pibg. ~UW y S^97 LIJ 6 ~ O Rough Htg. Isul. •.tY47 t . 11- Azz i Fireplace Final Htg. r~ f, C,~. Final Plbg. ~ ~ J~J /t C(S = DC~ ~j•,•T1 ,s~? Bldg. Final v ~ Cert. Occ. ~ yo , G p~C1c 00 tli~ fos S~ Temp. LP ~ Deck Ftg. . Deck Frmg. Well ` Pr. Disp. 4 . : ..,y,.. , . . . . . . , PERMIT # PLUMBING PERMIT CITY OF EAGAN RECEIPT # ~ 7 C' l' 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Address ~ ~ le BIDG. TYPE WORK DESCRIPTION Lot Block ~ Sec/Sub ' Res. New f ~ - -•%n~ Mult. Add-on `(D Name Comm. Repair m Address Other c Ciry Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING: ' Nq.,. FIXTURES . TQTAL Name ` - ~ -~Water Closet - $3.00 ` _LBath Tubs - $3.00 . 3 Address ___~_Lavatory - $3.00 p City Phone 744- ~S =L Shower - $3.00 = ' Kitchen Sink - $3.00 ~ FEES Urinal/Bidet - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE =Laundry Tray -$3.00 APT. BLDGS - COMM RATE APPLIES -j-Floor Drains -$1.50 ~ TOWNHOUSE & CONDO - RES. RATE APPLIES -_~Water Heater -$1.50 MINIMUM - RESIDENTIAL FEE - $12.00 __~__Whirlpool - $3.00 " MINIMUM - COMM/IND FEE - $20.00 1 Gas Piping Outlets - $1.50 ? • STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIn (ADD $.50 S/C IF PERMg PRICE GOES Softener -$5.00 BEYOND $1,000.0Qy" Well - $10.00 ; Private Disp. - $10.00 Rough Openings - $1.50 ~ 6E =.iE ~ 1~ ~~•t.1-- - ~ . ~ ~ . ~SiGNATURE OF PERMITTEE FEE: j STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL: ~ ' PERMIT # MECHANICAL PERMIT " i • I ~ CITY OF EAGAN RECEIPT # 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Address , • -a--1'~-=.~~ BLDG. TYPE WORK DESCRIPTION Lot Block ~ Sec~nb ' - Res. New Name Mult Add-on ~s Address ' Comm. Repair c City Phone r< Other FEES Name I ` ` " RES. HVAC 0-100 M BTU - $24.00 c Address ADDITIONAL 50 M BTU - 6.00 (RES. HVAC INCLUDES A/C ON NEW p Ciry Phone ' CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERiIAIT) - 1.50 EA. TYPE OF WORK COMM/IND FEE - 19io OF CONTRACT FEE Forced Air '4 !2 jt~-o M BTU APT. BLDGS. - COMM. RATE APPUES TOWNHOUSE & CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 Vent. CFM STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # BEYOND $1,000) Other $ . FEE: S/C: r' SIGNATURE OF PERMITTEE TOTAL• ~ - FOR: CITY OF EAGAN C ' . ' a x :.....w . ~i:.=LL.,4 ..,....._r..ti _ . i . _ 1., . . _ . . ' (ger#if iraft uf Mrruvttnry titp of (tagan Drparttttrnf of ludding Jns.prrfimc This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following.• Use G9assification Bldg. Rrmit No. OccuWaY TYPe Zoning District Type Coost. Owner of Buflding LA• . ~014 KZrYIiS }iV. ~ EAi;ANy LL~4i «~Iiw~;caN f,AY ~.lity :.z, bi, ST FltANGIS wo~,;" A:~•~;; ;}vEr!~s~:~: Date: auiaing offl;.i POST IN A CONSPICUOUS PLACE INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: A Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 ~ i4 i ~a~ ~ SITE ADDRESS: ! APPLICANT: ON EaAv PERMIT SUBTYPE: TYPE OF WORK: INSPECTION . DA ~ ; . % , 41F ii G Nt)1 t tlAf:K Ft~~,~t1ti~L:PIEtJ1~Kt-0-t.tNFlt GiV tuNiltAI:l014':, '..#(t; ~~Ultvt;`i. ~ ~ ~ ~ - , Permit Holder Date Telephone # PLUMBING H VAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ~cl O/ ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE 7 ~ CY~e FIREPLACE AIRTEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC M ETE R IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL CITY OF EAGAN Remarks Addition T. FRANCIS WOOD 2ND ADDITION Lot 2 Rik 1 Parcel 10-65901-020-01 Owner kE 1 Street 3641 WIDGEON WAY State 'InIv Improvement Date Amount Annuai Years " Payment Receipt Date STREETSURF. 1/1-1 1981 $6.84 17.37 5 STREET RESTOR. ~ 016 -2 -72 /p GRADING 3 1983 610. 85 122.17 S e? ffo /G 2 72 /o ff-.c' SAN SEW TRUNK b 1983 316.84 63.37 5 0/ L 72- /a f -F.r * SEWER LATERAL 1983 5510.68 1102.14 5 ?aa ..Z o7z ~o ds WATERMAIN * WATERLATERAL 1983 S WATER AREA q 1983 316.84 63.37 5 ~.7 ff O~G a 7 0 *Services 1983 5 STORM SEW TRK 1983 670.74 134.15 5 .")6 72 -Z f~0/~ 2 6 * STORM SEW LAT j9H3 S CURB & GUTTER ' SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK CITY OF EAGAN NO- 13 9 01 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 Receipt # ~J-5#- 8/ To be used for SF DWG/GAR Est. Value $ 103 , 000 Date JULY 13 1987 Site Address 3641 WIDGEON WAY OFFICE USE ONLY 2 1 ST FRANCIS WOOD On Site Sewage Occupancy R3 Lot BloCk Sec/Sub. ND ADD MWCC System X Zoning g 1 Parcel No. On Site Well Type of Const City Water X (Actual) v- rc Name LANE DALEY/LAVON ANDERSON (Allowable) V W # of Stories z Address 2074 KINGS RD Length o City EAGAN Phone 681-0199 Depth S.F. Total °C Name STREETER & ASSOC Footprint S.F. 0 ~oQ Address 20455 LINDEN RD APPROVALS FEES ~ City DEEPHAVEN Phone 474-1955 Assessments _ Permit $ 512.50 Fic WatedSewer _ Surcharge 51. 50 ~W WWName Police _ Plan Review 256. 25 vz Address Fire _ SAC, City 100 . 00 Engr. _ SAC, MWCC 52 5_ n0 Q W City Phone Planner _ WaterConn. 525.00 Council Water Meter 0 I hereby acknowledge that I have read this application and state Bldg. Off. _ Road Unit 05. 00 that the information is correct and agree to comply with all applicable APC _ Treatment P1 180.00 State of Minnesota Statutes a d Ci y of Eagan Ordinances. variance Parks Copies Signature of Permittee r,v ~ . TOTAL $2,522.25 A Building Permit is issued to: STR ETER & ASSOC on the express condition that all work shall be done in accordance with all applState of Min sota Statutes and City of Eagan Ordinances. Building Official ~ c-~I - 7 ~ 5~ ~-f a loa-3 HOUSE HEATING TEST RECORD ADDRESS ~~~I "`~~DCrUN /+y APT. F100R CITY SUBURB OCCUPANT OWNER HEAT LOSS OATE HTG. INST. 71 SOLD BY INSTALLED BY Vo& T r+ Electticai Work By Gas Line By TYPE OF HEAT GA FA _Y_HW STEAM SPACE HTR. UNIT HTR. OTHER GAS DESIGN CONVERS 10- MAKE MAKE OF BURNER _OT Mod•1 ! MPV -&C- 0 Mod•I Swial.903 14 1(tq4 Max. BTU Rotiny INPUT ~K 000 MAKE OF FURNACE Mod•I _ CONTROLS THERMOSTAT ` o6d0Hwt Pluy Veet Size _ Valvo 2~~f KIND OF UNER SIZ , rlO~F Limit Z14`, co Droh Hood VK~~ Requlawr --Tyw Limit Settinq C~ V v FiltNS Sise Number Fan Settiny -(Af tatq Qimney Location inside tf IX OuNide ~ Pilot Trpe 11 A & J tF Chimney Constnietion Pilot Mok• Fe (A Wll y ~ Pilm Model ~7 Smoke Bomb Wirinq Pilot Timiny Oraft f -Test Top L.W. Cut Off Door Pr•ssw• Liphtinq (nst. Pressure i Percent C02 OoN 7estod ` -13-o (nput CFH~-Pneent 0~ ~ Compaoy Tostiny - Non» ef Toster ~ Stoek T~mp. ~~v P~rn~t CO 7 CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N Om 18127 PHONE: 454-8100 BUILDING PERMIT Receipt # c- To be used for 'REMODEL Est. value $10, 000 Date JULY 9 , 1g9o_ Site Address 3641 WIDGEON WAY OFFICE uSE ONLY Lot 2 Block 1 Sec/Sub. ST FRANCIS WQ9D_ Parcel No. ZND Occupancy FEES - Zoning - oc Name LE1NE DALEY & LAVON ANDERSON (Actual) Const - Bldg. Permit 117, 00 3 Address 3641 WIDGEON WAY (Allowable) - Surcharge 5.()0 ° City EAGAN Phone 624-8515 # oi stories - Length _ Plan Review , p Name SAMF. Depth - SAC, City ~Q Address S.F. Total - SAC, MCWCC ~ City Phone S.F. Footprints - On Site Sewage _ Water Conn W W Name On Site Well - Water Meter i? AddreSS MWCC System - Ucy Acct. Deposit aw Cjty Phone City Water - PRV Required _ S/W Permit I hereby acknowlege that I have read this application nd state that the Booster Pump - SNJ Surcharge information is correct and agree to cg~p W.. plicable State of Minnesota Statutes and~iiy-a Eaga~rTreatment PI Signature of Permitee APPROVALS Road Unit A Building Permit is issued to: LAI~ DAik.'Y OR AMERSON Planner - Park Ded. on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Otf. _ Copies Building Official 0~11 8 Variance - TOTAL 122. V0 • CASH RECEIPT • CITY OF EAGAN . ' 3830 PILOT KNOB ROAD EAGAN, MINNE TA 55122 . ~ E 19 . REC IV OM AMOUNT $ - l & DOLLARS oo F~ CASH CHECK FOR ~ ~ t FUND CO AM NT c / l U Q l CJ O C) Thank You BY ~ N' ~ 77288 White-Payers Copy Yellow-Posting Copy Pink-File Copy I w t } • r . ~ 1987 BIIILDING PERMIT gPPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLIIDE 2 SETS OF PL.ANS, 3 CERTIFICATES OF S[1FtVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOiiiNER MQST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BIIILDING PERMIT IS ISSIIED. MULTIPLE DWELLINGS - RFSIDENTIAI. RENTAL iTNITS FOR S1LE IINITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SIIRVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS ' COMIlMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used Fole---~,~~~,,~ / Valuation: Date: Site Address '~6 ~Q2pvJOFFICE USE ONLY ~ Lot ~ Block ~ On Site Sewage Oceupancy ~-3 MWCC System ? Zoning Parcel/Sub On Site Well Type of Const A „J City Water ? (Actual) V- Owner~~ ,e, P p„J (Allowable) :~V_- # of Stories Address ,-2 Q? Length Depth City/Zip Code --hc~ 01J, mN, Js~2. S.F. Total -T Footprint S.F. Phone ba/-~ APPROVlLS FEES . Sn Contractor Assessments Permit Water/Sewer Surcharge 17-so Address Police Plan Review 25Cn.z$ Fire SAC, City 1c?o. City/Zip MiN , ~ Engr SAC, MWCC S25 • Planner ~Water Conn SPhone Council Water Meter Bldg Off Road Unit --TCTS-- Arch./Engr.~~ 'S+61t APC Treatment P1 I i3D, n Variance Parks Address 2a~T ~ L-~ ,r„n1 eTaACopies City/~Zip Code w, SS33 ~ ~ TOTAII. Phone # . 2-C) = 4- 2c7 2-4 3 (c) c> 2 2, ~ 2c) -7 ~ 7 Z- 2~ (o C-D 2c) c~;~ 20~ ~ e3 = I D2-, o 6 ~ CEgt,TIFICATE OF SURVEY Prepared for ; STREETER & ASSOCIATES 0, P 893 I W~{°rA1q~~ M.N. ggg,Za S" Sanitary Sewer . _ ~ , . WA Top $ O.12 3.7 Cep~r~te r~v= ~76.94 895zx cyrb , p g i' ~ /4.r ~ ydran+ - Benchmark ~f R=320 ~1 se . N M/ = ~'ricer! 'Ao M / ft5 50 8938 X,' 0.0 g 892.9 J"i V ' OD ~ vl 33 Z~j- $e7 881.3 012.00 ~ I ' . 1 N?~ HOPtq~ d x81¢.3 ~ 68 _ I _21.9 / • - O M ~ `g[~ .0 15,p ( / / 869.fxi1 87 ~ ~N I ! O / X86}] ~ o ~ iV I M I ~ / N / I t ( / LEGAL DESCRIPTION: Lot 2, Block 1, ST. FRANCIS WOOD 2ND I ADDITION, according to / the recorded plat thereo , I Dakota County, Minnesota / I / / ~ , GENERAL NOTES o Denotes iron monument Proposed top of foundation elevation = 881•33 "t" Denotes cross chiseled in concrete Proposed basement floor elevation =$~~•33 x939.7 Denotes existing spot elevation Proposed garage floor elevation = 881.00 939 Denotes proposed spot elevotion E-- Denotes surface drainage BENCHMARK: Dashed contour lines denotes proposed features Sol i d contour lines denotes existing features I hereby certify tha t this survay, plon or report SCALE was prepared by me or under my direct supervision ALL -METRO LAND l = 40 and that I am a duly Reqistered Land Surveyor ~ SURV EYQRS under ihe lawa of the State of Minnesota. g00K PAOE z -7~~~eyv 5 7~ ~ 2340 Daniets Street g Long Lake, Minnesota 55356 f~D25 FILE N0. } Ph: 475-1433 OATE 7 g187 REC. No. 87 11$_A 0 J H ENERGY REQUIREMENTS This form to be completed and submitted with building permit applications EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION OWNER L~~NE .J)PAJ.eA c~LAVD~ LJ\yRLcSDVv ~ SITE ADDRESS ~XT=> ~ CONTRACTOR A 04,~S taG. DATE 16L67 PHONE~~QSS Determine working square footage of each. 1. Total exposed wall area sq. ft. x_ 07•~ 2. Total roof/cei li ng area 8)sq. ft . x 6D-~7 *757.7 S Total exposed wall area above floor = a. Total wall window area 2,:~7 ~ b. Total door area 4 5 c. Total sliding glass door area I"~ 2 d. Total fireplace wall area e. Total wall framing area (average lU~'o)........... 303 f. Total net wall area above floor Z-7 3¢ g. Total rim joist area 26 (0 Total exposed foundation area ~ ~ h. Total foundation window area i. Total net foundation area above grade - Determine "U" value of each wall segment. a. ~03 X „u„ o 4-rl) = 15~=4 b. ¢~'5 x liuii c. ~ 7 1~ X liuil d. _ X ltull e. X liull . O- ~ f. Z..~a U X„U„ g. 2.51o X lluii r0~2 h. - X liuii X 'lull _ \ i. . 3 . Total a If item #3 is the same as, or less than item #1, you have met the intent of 2 MCAR 1.6005 (4.3) I _ r 1 Total exposed roof /cei 1 i ng area ZGj~ j. Total skylight area 4-40 k. Total roof/ceiling framing area (average lOqo)... ) 2 O l. Total net insulated roof/ceiling area....... (~q Z m. Total net insulated raftered area - Determine "U" value of each wall segment. . A-Ga X „U„ ~C5 t5 = 25. , k. l2~ X „u,i X --U-1 4. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Total If total of #4 is the same as, or less than #2, you have met the intent of 2 MCAR 1.6005 (4.3.2.2) Alternate Building Envelope Design To utilize the total envelope system method, the values establisehd by the sum of itmes #3 and #4 shall not be greater than the sum of itmes #1 and #2. 1. -1 dZ,d +z. ~o, -5 _ - 7 ~2 • ~ A o . I 3. .°I~ +4. i ; . ~ t • . . . ' ~ , . . . . ~ ' 111 . . . . . . ~ , i4~ • ~ ~ ;:5 /2.. . 8`1 ~ o I 132' ~e, . . 2 • ~~P • • . . OV I _r • ~ I,i • , , ~ q~~ • ~ 1 - t o oA- ~ , ; . P, -V-A w~_ v -v~E. , ' I; . • ! ; : ~~I'Kfl~.r.(Yl+ GLC/L..~ o 16O C) I~.oa 1 . . G~~ ~ 0 81 r ~ 0~-3 ~ 23.i7 . , ; , ~ 1 ~ . , \ ' _ . _ . _ - . . . . . . . . . . . - - . . ~ . . . . . . ~ _ G . ~ ~ . . ~ ~ . ~ rn x ~ , r . 70 , e • N ~ < ~ D • N ~ * ~ 0D ~ - - ve ~ . N ~ , - UeC->6IL cL4A,, , (cy ~'~5~811. . - 5Co l - L,7.84 I „ . ~~~~8 Gr~. ~~o- Co ; g¢ . . . - - - . , . . . - - . . C-.E~4 L.,,Kl CC> %dA~ ~i ~~-c.~ ~.#3. 15 . . - . . . _ : . ' . 5l0 1W l 4-. 2.2 ' I V ~ •.Ilr~ ' y ~ ] w ~ D~ f ' ~ ~ n H , MECHANICAL (RESIDENTIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Please complete for: Single Family Dwellings Townhomes and Condos when pernvts are required for each unit Date / / U3 Site Address cJ~D "t 'PO U.t_t~ Unit # Property Owner Telephone # ( C,~ 8U,7- yU Contractor VOGT HEeriNC P. ais..cnurnnnNs NG 3260 GORHAM AVE. Street Address ST. LOUIS PARK, MN 55426 City State Zip Telephone # ( ) The Applicant is Owner ~ Contractor Other Add-on, modiflcation or alteration to existing dwelling unit $ 30.00 kM 9V-3&(,-v`i 6 X furnace replacement air exchanger ~ air conditioner jl other State Surcharge $ .50 Total " t?~: 7 =J0 I hereby apply far a Residential Mechanical Permit and acknowledge that the informati qRtis_complete-and accur-ate-jat the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a permit, but only an application for a perxnit, and work is not to start without a pernut; 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 Signatur MECHANICAL (COMMERCIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Please complete for: commerciaUindustrial buildings multi-family buildings when separate permits are not required for each dwelling unit Date Site Address Unit # Tenant Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) Contractor VOGY HEArIN6 8 qIR CGypMUM AVE ST. LOUIS PARK, Mry 55426 Street Address City 1 State Zip Telephone # ( ) The Applicant is Owner Contractor Other Work Type _ New construction Underground Tank _Install _Remove _ Interior Improvement Call for inspection during installation/removal of tank Processed Piping NaturP of Work: Permit Fee $50.50 Minimum Fee (includes State Surcharge) Contract Value $ x 1% _ $ Pernut Fee • If permit fee is $1,000 or less, add $.50 $ State Surcharge If perxnit fee is over $1,000, add $.50 per $1,000 Permit Fee $ Total Fee I hereby apply for a Commercial Mechanical Pernut and aclrnowledge that the information is complete and accurate; that the wark will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a permit, but only an application for a pernut, and work is not to start without a pernut; that the work will be in accardance 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: C:i:TY 01:` Ef3t:,l1N (ar'l~:i~_4i.~ ; S N1_7 : 58 DAxH 07/4'C3/97 Y.Z.P'IE: W50rs03 :I: D° NAME„ Ai...!_.3:l:::D 1=:4:Rf:::i7:l:Di:: :I:Nt; `irS.t..1 9001 3641 MIDGHE'.ON 50..00 205 900:!. 3641 lAI:i:T.:+i:;lb{I:::i'tN! (:lu`SfJ \ I CI tad. RL'ryckS.L pt t^Imount', 50.50 CI'1.l../ ( 90.:75 1..1S1-.tt 1.DN N('tNCti? '1.: )M?f:. ir~.:~i i. ~ i~ ik~r' ~ }r 7~ •~'.i: i~ F~(.?j. ~F~: i~;?~(,i~.'r~,C )~4 i~ PERMIT ~ CI4Y OFNEAGAN gurLDING 3830 Pilot Knob Road PERMIT TYPE: 030526 Eagan, Minnesota 55122-1897 Permit Number: (612) 681-4675 Date Issued: 07/25/97 ' SITE ADDRESS: 3641 wroGEoN waY LOTs 2 BLOCK: 1 ST FRANGIS WQOD 2Nq P.I.N.: 19-E5901-020-01 DESCRIPTION: Bt~~.F~.~c~3U~'1!q, Permit Type F'IREPLAGE Work Type NEW 434 ALT. RESIDEPI7IAL R. & a~ $ ~ ' ~ g ~ t i ~:s`~ ~ ~r.rvae~ ~ y, ~y~ . ~ ~ s ~ ~ : a ~ a•~ ~r a A r ~ y~ Ait , WW'q P A i 4."J . ~ k ~ s ~ A ~ ~ REMARKS: FEE SUMMARY: Base Fee $50. C90 5urcharge $.50 Total Fee $50.50 . CONTRACTOR: - Ap pl'- ca"t - ST. L T C OWNER: HEA7-N-GLO FIRE(?LACES 18900758 0002960 PpDUGM LAURA 4 3850 W HWY 13 3641 WIDGEON WAY 1BURNSVTLLE MN 55337 EAGRP! MN 55122 •'(612) 890--0758 (612)686-0248 & ~ a . g ::v e a u ~ ~ a a ~ ss ss ~ ~ ~ ~ ~ ! z_ y~ ~ S ~ -e.~c~w~a T her~b~~~~ckna~+ledge '~t~~'~ ~ r~ac~ ht ~""p ia`~y . p 1 kh~~~f'fi{'T~{~~~~ r e~ ,.m~ ~ ~a u.•s ~ a,-v . :~a 3+.~`~ ~ ~ ~ ~ ~ ~ ~~~s r a ~$~-a'~-~~~ ~ ~ a~•~: a ~ ~ ~ ~ x -e a. ~ a~ € ~ ~e~ ~ s L y,~ ~ n~,Y g ,y x ra ~ ~ -d a: ; ~~~'e,~a,~ APPLICANT/PERMITEE SIGNATURE ISSUED BY: IGNATU CITY OF EAGAN S(D 3830 PILOT KNOB RD - 55122 ' 1997 FIREPLACE PERNIIT APPLICATION 681-4675 r-- DATE: PERMIT FEE: $50.50 DESCRIPTION OF WORK: ~ CONSTRUCT N W FIREPLACE _ ALTERATIONS TO EXISTING _ INSTALL GAS INSERT ONLY _ INSTALL GAS LINE ONLY O'THER: STREET ADDRESS: Uv ~ ~ ~ ~ C'My LOT J=_ BLOCK SUBD./P.I.D. Jmw>'~ ~~~d hd APPLICANT: (circle one only) OWNER CONTRACTOR I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. PROPERTY Name: F0 D") C.~. LA 0 (A Phone 08~-024$ OWNER LAn FlRST Signature: Street Address: 3 G ~ ~ ~ 1 C> C City: 14, A ~ State: Zip: FIREPLACE Company: A L-~- `e d~ aci~ Phone #:89067~T 16f 3 ZS6/ INSTALLER Signature: Street ddress,585Z -uJ -/vy~ j...3 License 2-'0'70 9~ ~ lJ City: ~v42~S~1c.-C,_ State: Zlp; GAS LINE Company: Phone INSTALLER Name: Signature: Street Address: City: State: Zip: RECEIVED ~ _ BY: ~ ~ OFFICE USE ONLY BUILDING PERMIT TYPE ? 14 Fireplace WORK TYPE ? 31 New ? 33 Alterations 0 32 Addition ? 34 Repair GENERAL INFORMATION Census Code. 434 SAC Code 01 REMARKS Chimney/flue must be inspected before concealing. lsT ~ 1 jej 1990 BUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS # OF RENTAL UAIITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HONIEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: Valuation: c9~ ~ Date: <0'Z-~ Site Address L-A,(p6co~ ~,Ry OFFICE USE ONLY Lot 7- Block FEES Occupancy Zoning Parcel/Sub ~~°'++c)s 6t)aW -2,/n4~ Actual Const Bldg. Permit , Allowable Surcharge 21- Owner LA"E r~ ~~AuC%j l.PjUo" kAN0C,[.%# of stories Plan Review Length SAC, City Address ~ ~p`~o,•~ c-vr3~r Depth ' SAC, MWCC S.F. Total Water Conn City/Zip Code S 5 ~Z ~ Footprint S.F. Water Meter Acct. Deposit Phone -Vrit On site sewage_ S/W Permit On site well _ S/W Surcharge Cantractor Sc Lip MWCC System _ Treatment Pl. City water _ Road Unit Address PRV _ Park Ded. Booster Pump _ Copies City/Zip Code SUBTOTAL APPROVALS Penalty Phone Planner TOTAL ~ Council Arch./Engr. Bldg. Off. Variance Address Gity/Zip Code Phone # CITY USE ONLY _dv~ = L BL l d RECEIPT#: ~ ~~d ? SUBD. zk RECEIPT DATE. 1997 PLUMBfNG PERMIT (RESIDENTrIAL) : CITY OF EAGAN 3830 PILOT KNOB RD f:°~ • EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when perrnits are required fo`r`each urnt ? backflow preventer for underground sprinkier system FIXTURES EACH TOTAL Shower 3.00 x = ; : = WBieP CiCi3ei Q.vu X ' _ - r- - Bath Tub 3.00 x = Lavatory 3.00 x Kitchen Sink 3.00 x _ Laundry Tray 3.00 x - Hot Tub/Spa 3.00 x Water Heater . 3.00 x = Fiooc Drain 3:00 x Gas Piping Outlet * minimum -1 3.00 x = Rough Openings 1.50 x - Water Softener * for dwellings undec construction _ 5.00 : x Water Softener * tor existiny dweuin9 20.00 x - U. ..Sprirrkler ` for dwelling under const. 3.00 G. S rinkle "forexistingdwelling 20.00 - Alterations " to existing residence 20.00 = - Water Tum Around 20.00 Private Disposal System * oak cry iic. 65.00 = - r (new and refurbished systems) Private Disposal Systems " Abandonment 20.00 = STATE SURCHARGE :50 TOT4L . . . - .::a~. _ . . I hereby acknowledge that I have read this application, state lhat the information is correct, and agree"fo compl,y with alL~ppbcable,' City of Eagan ordinances. It is the applicanYs responsibility to notify the property owner that the Gity of Eagan assumes no liability fo~ any' damages caused by the City during its nom?al operational and maintenanoe activities to the.facilities constracted,,und"ec this 4iermdn City property/right-of-way/easement. SITE ADDRESS: OWNER NAME: FNSTALLER NAME: GENZ-RYAN PLUMBING TELEPHONE 423-=11444- STREET ADDRESS: 14745 So Robert Trl CITY: Rosemount STATE: MN ZIP: ~ 55068 n ~ GNATU OF' PERMITTEE ; OFFICE USE ONLY ~'J J CITY OF EAGAN 3830 PII.OT KNOB RD - 55122 1998 FIREPLACE PERNIIT APPLICATION 681-4675 ~ DATE: r PERNIIT F,E~: $50.50 DESCRIPTION OF WORK: Construct new fireplace Alterati to elcisting Install gas insert onlv ~ Ins a-as line onty Other / ev ~ JOB ADDRESS: V~3 10 LOT: Rr nrx: ~ SLTBr~_n,~IgrO /P T.D. tkc S l~ C3~e APPLICANT (circle one only): OWNE CON CTOR ~ I hereby acknowledge that I have read this appli tion and state that the information is correct and agree to comply with all applicable S e of Minnesota Statutes and City of Eagan Ordinances. Name: ~_Cl,ul.,ir Ct- Phone PROPERTY Last First OWNER Signature: Street Address: City State: Zip: Comp y: Phone FLREEPLACE INSTALLER Si ature: treet Address: License # City State: Zip: Company: ~ , Phone#: (a 1,2."' ~--067 GAS LINE - ~~Iy INSTALLER Signature: 7'" street Address: ~o ~CpC~ rA"UG a ~ ~ ~ ~ OFFICE USE ONLY BUILDING PERMIT TYPE O 14 Fireplace WORK TYPE 0 31 New O 33 Alterations O 32 Addition ? 34 Repair GENERAL INFORMATION Census Code. 434 SAC Code 01 REMARKS Chimney/flue must be inspected before concealing. CLAIM VOUCHER- REFUND REQUEST CITY OF EAGAN MAKE CHECK PAYABLE TO: Vogt Heating & Air ADDRESS: 3260 Corham Avenue Minneapolis, MN 55426 LOCATION: 3641 Widgeon Way P.I.D. 10-65901-020-01 RECEIPT #/DATE: 08-04-98 VALUATION: REASON FOR REFUND: Covered under permit #32326 PERMIT 32789 TYPE OF REFUND: Electrical Permit 3211-9001 $ Plumbing Permit 3212-9001 $ Mechanical Permit 3213-9001 $ Building Permit Fee 3210-9001 $50.00 Plan Review Fee 3422-9001 $ SAC (MC/WS) 2275-9220 $ SAC (City) 3866-9379 $ SAC (Admin) 3446-9001 $ Water Connection 3865-9220 $ Sewer Permit 3743-9220 $ Water Permit 3713-9220 $ Account Deposit 2252-9220 $ Water Meter 3716-9220 $ Road Unit 3860-9375 $ Water Treatment 3868-9220 $ Surcharcye 2155-9001 $.50 Utility Acct Overpayment 2250-9220 $ Curb Box Deposit Refund 2253-9220 $ Construction Meter Dep Refund 2254-9220 $ Water Usaae Char~e 3711-9220 s TOTAL $50.50 I dec(are under the penalties of law that this account, claim, or demand is just and that no part of it has been paid. CL .L Date: *~****#**#***********~~*~**~##**z • ~ . ~ . . • ~ ~ T i ~ O ~ E ~ ~ ~ PAYMFi~~ OF FEE AT TIME C _ . APPLICATION DOES IVOT CQIVSTI= APFRt7VAL OF PERNIIT. . APPLICATION FOR PERIV1tT ~ . . . * INSPECTION oF SEwER A1~1ID/(~t WA~ • ~ ' ~ ~ TTZSTAT T,ATTOjQ$ WLGL IVC71' SE SC:E3ECSEWER AND/OR WATER CONNECTI0IV ~uLm uNTIL PERmIT HAS BEm' • . . ~ APPROVID. • . . _ _ , _ . . * . . . _ _ , * ~ . ****~***************~r*#*~***~*~*~:: P ease Print) ~ 1) PROPERTY ADDRESS: LEGAL DESCRIPTION: Lot Block Subdivision or Tax Parcel ID ) , . IF EXISTING STRtCIL'RE, DATE OF ORIGINAL BL'ILDING PERMIT ISSL'ANCE: : (Nbn Year} . PRESENr ZONING/PROPOSID QSE: Q CO,'11NERCIAL/~.~I'AIL/OFFICE ~ R-1 SINGLE FAMILY [D INDL'STRIAL R-2 DLPLEX (Tao LTnits) f-I INSTIZT-1TIONAL/G0VERIZIE,'NT ~ R-3 TOWNiOL1SE (Three + Units Linits ) ~ R-4 APARTmEVT/COIv'DONIINIT-7Ni ( Units ) 2) ff;1;;::A *+;5 rAME: ADDRESS:~.~ CITY, STATE, ZIP: ~$f3'?i~r~ ~j, 5-5~~~ : PHONE : "7 ~ 00 3) For City Use NAME=_'~ Pltunbers License : ADDRESS : ,6 Acti.ve ExpirCITY, STATE, ZIP. ~ ed rm2 Not recorded PHONE : MASTII2 LICIINSE R St 'al mmae~• s i~+• ...a.. 4) NAME: _ ADDRESS CITY, STATE, ZIP: "-T PxorE: .5) " Y~AM o+ii' ~•1t@I: • ~I• Y: ~tM ;~~y~91:d~'tilhl~a CONI~GTION ~ CITY SETn~ER i~1 CCIVFX..TION ~ CITY WATER 0= ~ . t_- 6 ) PI.F..ASE HOLD APPROVID PIIRMIT FOR PICK-L'P BY ONE OF. AIY NE . PLFA.SE MAIL APPROVID PERMIT TC~ 1, 2, ~ 4, ABOVE ~ , (Circle one ) 7) k 47U:4 - 7 2 saw ' ae+ -,e col- o:imol• el- -ta i:~• o y~- ua: ~o; • ae e• ~ r• a fu~s.~ei• a:J. a e:rs m:r• •.r.ao 1 s:~+: a aa~ls~ • a,to~~ ~/r:' MRf'mm.~t. PERMIT # " r~ `7 g3RECEIPT DATE: U~oC flJ fIRSIDi:NML PLUM$INB~ PEt1ViIT APPLICATION crrY oF EAGAx 3830 PaoT xNOe ftn EA?fiAN, MN 55185 651-6$1-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for irrigation system SITE ADDRESS: OWNER NAME: : l'~i,~('oto_ TELEPHONE ~AO ' C)~`t ~ (AREA CODE) INSTALLER NAME: TELEPHONE Lf 23 4I STREET ADDRESS: ~2c~ Kp T YL-~-- (AREA CODE) CrN; STATE: V~.l iV ZIP: Place a check mark next to the ermit work type New residential dwelling unit under construction and not owner/occupied $ 90.00 ~ Add-on, modification or alteration to existina dwelling unit, including: $ 50.00 • abandonment of septic system • new installation/repair/rebuild of RPZ • lawn irrigation system • watertumaround AUG CUU1 I' i~ Nature ofwork: ~ -7 -------.-_v - - \ u . . Septic System, new/refurbished - $ 225.00 • includes Gounty & Consulting fnspector 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 acknowledge that 1 have read this applicaUon, state that the information is correct, and agree to comply with all appllcable City of Eagan ordinances. It is the applicanPs responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within Ci njL_~ylright-of-way/easement. SIGNAT E OF PE MITTEE Updated 1/01 i t ~K?Ss'~; ~ ~~?',t?;~ ~ yh ~C a~ x~ ~k ~ ~ ~ ~ k: ~t x; ij~ >YY,a %t xc:~ ~ a~ G:C1 Y Oi': I:::Af::PN (:ASH.f.•L":.Rs ::i 'fE:;i`ilNAL Nf?;;. 791' . LATC: u -Ct¢:,/2~.~/r:7S-.,, ' T IMEn . i4°,YY! s:I.o' ~ II=t . , NAMF"„ agT'Rf'E'rr:Yt' ASSOC:[r?TE:u 1 Nt; ~ ..32:!.O 00E.'l:f. 364i 14.30.)GE`L1N 1n':A ;';i i.,.i".; 34i?%.'. 9(:)01 3641 iA1:rli(:;E:::(:tN MA • 332.64 2.155 9001 364i. ~{~~~fvL:.S..~+ 14A 21x50 ;r - f~ ~'i • . TOa; pl R~.~{:`.tti.Lp, E11Ttt3i.17it ° CCti094389 . ' ' F.d iERi.Da i~~NCY •~1C?;t~;C~~r •1<`f'd~K~~'~~ri ?;~3Y.`u~'~Kyr'%"~~':`;y~~~r:~iKi~:?at~Y{'+'~h+m:vL.9n`Yf.~~:%d This request void 18 nonths Trom D 1~n;,6 2oG 21_~~ / , l r ~,1.~~ ?G '"i~ ~ 7 Request Date Fire No.' Rough-in InsUection Required? E:]Ready Now }~qyry.,,.' ill Notify. Inspec- ~ Yes ? No ~ `tar When Ready.~ ~Licensed Electrical Contractor , I hereby request inspection of abo've ~ ? Owner electrical work installed at: Street Address, Box or' Ro te No. C~ J~ C 3 ~ ~l 1 ec~v~ w~ L~'i ecuon o. Township N or No. rnge No. ounty 0, 1< 0+0,_ Occu ant (PRINT) Phone No. vlle V` ~7+3 V C_'I Power Supplier l n Address C Electricat ContractorI (Compa~ny Name) Contractor's License No, ~ ~1/,~nLt s l.:r' e-c- . 0 11 ~c~oZ Mailing Address (C ntractor 9r Owner Making Instailation) L uthorized Signature (Contractor/Owner king Installation) Phone Number MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUES WILL NOT Griggs-Midway Bldg. - Room N.191 BE ACCEPTED BY THE STATE BOARD 1821 Universitv Ave.. St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION .n. Ea-ooooi ; -os , See instructions for compieting this form on back of yellow copy. ~D 3 ~ ~ ~ ~ '"X'" Below Work Covered by This Request ~ Now Add Rep. Type ot Building Appliances Wired EquiUment Wired Home Range Temporary Service Duplex Water Heater Lightin,y Fixtures Apt. Building Dryer Electrie Heatni Commercial Bldy. Fumace Silo Unloader Industrial Bidg. Air Conditioner Bulk Milk Tank Farm Other SPer.ify Other (SUecify) t er Suecify Other Other ompute lnspection Fee Below # Fee ServiceEntranceSize # fee Feeders/Subfeeders # Fee Circuits O to 200 Am s O to 30 Am s ~ GY 0 to 30 Am s Above 200 Amps~ 31 to 100 Amps I 31 to 100 A s Swimming Pool Above 100_Amps Above 100_Amps Transformers Irrigation Booms Partial- Other Fee Signs Special Inspection S TOTAL FEE Rertkirks _ -2 1, 5 C/ Rough-in Ple I ~ , the Electrical Inspector, hereby ~ certify that the above Final inspection has been < made. I This request void 18 monttis from .OG This reques", void 7 y3 months ''m : a-~- 14 97"z2/y1 R11, ~ Reque a e N Fireo. Rough-in Inspection ~ Required? Ready Now C] Will Notify. lnspec- ~ ?Ves tor When Ready ~licensed Electrical Contractor I hereby request inspection f'above_~---- ' Owner electrical work installed aff Street Address, Box or Route No. City ~v i CjQ e o~. tJ~ a G_ a C~ ecuon o. Township Name o No. Range N. County Occu ant (PRINT• Phone No. --~e-~,er Power Supplier Address DaX)tt". Cl eA9SOC:~, I Electrical Contractor (Company Name) Contractor's License No. 0`f l.'~. Mailing Address (Contractor or Owner Making Instailation) nv,, +ti. Authorized Signature (Contractor/Owner Making Installation) Phone Number m - C ~ s 3 is ~ MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQU ST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEP7ED BY THE STATE BOARD 7827 Universitv Ave.. St. Peul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (672) 642-0800 ENCLOSED. F3~ REQUEST FOR ELECTRICAL INSPECTION M EB-00001-05 7/~ ~ See instructions tor completing this form on back of yellow copy. 7s7~ "X" Below Work Covered by 7his Request ! Now Add Rep. Type ot Buitdiog Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lightin,y Fixtures Apt. Building Dryer Electric Heatln Commercial Bidg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm ocner peci Y Other(SPecify) t er Specify Other Oiher ompute lnspection Fee Below ~ # Fee Service Entrance Size H Fee FesdersfSubfeeders # Fee Circuits I 0 to 200 Am s 0 to 30 Am s r aO 0 to 30 Am s Above 200 AmpS 31 to 100 Amps 31 to 100 A s Swimmin Pool Above 100_Amps Above 100_Am s Transformers rrigation Booms Partial-'Other Fee Signs Speciai Inspection $ Rerrarks OTAL FEE~ d rbil Rough-in i Date 1, the Electrica I Inspector, hereby certity that the above Final inspection has been made. This request void 18 montha from I ~;18 2,_5 8 ~ Request Date Fire No. Rough-in Inspection 9 O Required? ~eady Now p Will Notity Inspector ~i ~ yes o ' ~ When Ready? I licensed contractor ? owner hereby request inspection of above electrical.work at: Job Address (Street, Box or Route No.) ~ W) Section No. Township Name or f4ad Rang o. Coun_ty D czk-cl Occupant (P INT) Phone N_ o. _~-CA taC> ` 15, Power Supplier Address Electrical Contractor (Company Name) Contractor's License No. Harrison Electric Inc. 421867 Mailing Address (Contractor or Owner Making Installation) 2525 Nevada Avenue No, GoldenWalle 55427 Authorized Signature (COntracto /Owne Installation) Phone Number 544-3300 MINNESOTA STATE BOARD OP-ELECTRICITY . THIS INSPECTION REQUEST WILC NOT Grlggs•Midway Bldg. - Room 5-173 BE ACCEPTED BYTHE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. 9 `s ~ 436 - ~ ~ ~ ~ 42 7 0 Request Date ~ ~ Fire No. RInspection Required? ? Ready Now ~Will Notify Inspector Yes ? No When Ready? I E1 lis7ansed contractor ikowner hereby request inspection of above electrical work at: Job Address (Street, Box or Route No.) Ciry - cwL4% I w o.~ Sectfon No. Township Name or No. Range No. County l.J 4 Occupant (PRINT) Phone No. Power Supplier Address UA kxn~ Electrical Contractor (Company Name) Contractor's License No. rn Mafling Address (Contractor or Owner Making Installation) Aut Signature o r m king Installation) Phone Number 4731 -E,' MINNESOTA STATE BOARD OF ELECT CITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room 5-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. REGIUEST FOR ELECTRICAL INSPECTION ea-00001 -07 ? See instructions for completing this form on back ot yellow copy. `X'~Below Work Covered by This Request ~ a 33542 3 ew Add Re j *wiypeofBuilding AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specify) Contractor's Remarks: Compute Inspection Fee Below: # - Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 100 Amps SignS Inspector5 Use Only: TOTAL Irrigation Booms 0. ~ •'S C' Special inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee L COMPLETED WITHIN 18 TNS. I, the Electrical Inspector, hereby Rough-in Date ~ f certify that the above inspection has Final ' Date been made. -9 OFFICE USE ONLY - This request void 18 months trom 0%34 6 ~ -2 oa a W.~_fn'u~ 1t)aO04 Request Date - Fire No. Rough-in Inspection Required? ? Ready Now ill Notify Inspector 3/~`S/S~ ` Yes o ~When Ready? I~_' licensed contractor 'Xpwner hereby request inspection of above electrical work at: Job Addrese (StreeL Box or Route No.) Ciry 3G / GcJ Gt~ Gc/a~ Section-No. Township Nam r No. Range No. Counry ~ Occupant(PRINT) Phone No. L qn , e Power Supplier Address Electrica! ;9tractor (Company Name) Contractor's License No. o~~owner Mailing Address (Contractor or Owner Making Installation) ba L)L Authorize Signature ICo ner Making Installation) Phone Number s MINNESOTA STATE BOARD OF ECTRICITY ' THIS INSPECTIONAEQUEST WILL NOT - Griggs-Midway Bldg. - Room.S-173 BE ACCEPTED BY THE STATE B,OARD 1821 University Ave., Sl. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. 40?519-~L REQUEST FOR ELECTRICAL lNSPECTION ee-oaoo1-os I ? See instrur5;on~pleting this form on back of yellow copy. s, - q~ 043466 Below Work Covered by This Request New Rdd R'ep. ' Type of Building AppliancesWired EquipmentWired liome Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Fumace Farm Air Conditioner ~ Other (specify) Contractor's Remarks: C art•i a e s~- Compute Inspection Fee Below: -#6,33 0 q0 ~ # Other Fee lAbove ServiceEntranceSize Fee # Circuits/Feed s Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers 200 Amps Above 100 Amps Signs Inspector's Use Only: TOTAL s-O Irrigation Booms Special Inspection ' a , Alarm/Communication THIS INSTALLATION MAY BE ORDE D DI NNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in Date - certify that the above inspection has Final Date been made. • OFFICE USE ONLY This request void 18 months from 5 9 ~.~3gv Request Date Fire No. ~ Rough-in Inspection Require d? ~ Ready Now O Will Notify Inspector ~ d ? Yes N. When Ready? I licensed contractor ? owner hereby request inspection of above electrical work at: Job Address (Street, Box or Route No.) City 3~ y~ ~ Z::a ~ ai-~ Section No. Township Name or N. Range CoZ2~64Z Occupant (PRINT) Phone No. ~ G. Powe upplier Address Z. o Z2U Electrical C tractor (Company Name) Contractor's License No. c Mailing Address (Contractor or Owner Making Installation)~^ 3~ ~~R° e ~uS rG . /?UdikL$U \ ~ L1 Authoriz ignature ( ntractor/Own kingilnstallation) Phone Number 3S~ S`2 MINNESOT TATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-MI way Bldg. - Room S-173 BE ACCEPTED 8Y THE STATE BOARD 1821 Unlversity Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION re7e-oooo,-m_ / ? See instructions for completing this fOrm on back of yellow copy. 7 34 3 `X" Below Work Covered by This Request ew Ad0 Rep. ~Zz TypeofBuilding Appliances'S~/ired EquipmentWired Home Range Temporary Service ~ Duplex Water Heater Electric Heating Apt. Building Dryer Oth r(Sp cify) Comm./Industrial Furnace Farm Air Conditioner ~ Other (specify) Contracror's Remarks: ~ OZ~-C 6~L °W tiGe-- C5 C-IC O~ Computs Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps ove 100 Amps SIgf1S Inspector's Use Only: TOT/AI,/ Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE O ED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in Date certify that the above inspection has Final Date been made. 7 OFFICE USE ONLY This request void 18 months from FERMIT CITY OF EAGAN ~330-P%t Knob Road PERMIT TYPE: gUIL q I N G Eagan, Minnesota 55122-1897 Permit Number: 032326 (612) 681-4675 Date Issued: 06/29/ g g SITE ADDRESS: 3641 wzDGEaN wRv l.q7e 2 BLpCKa 1 ST FRANCIS WqqQ 2ND pel.N.a 10-65901-020-01 DESCRIPTION: 3-SEASCIN . 8~l""lc1in~;s;Permit 7ype SF PQRCH T y p e N E W n Sus~..' C`cad0 434 ALT. RESIDENTIAL ~ ..e ~ . REMARKS: PLh1N REVTEWED BY JtlE VpEL5 NQ1'E: 10' SETBACK REQUIREMENT RED-LINED QIV GONTRAGTqR'S SITE SURVEY. FEE SUMMARY: vALuA-rzaN $43,000 , Base Fee $511.75 Plan Review $332.64 5urcharge 21.50 Tata1 Fee $865.89 CONTRACTOR: - AppliG a n t 5l" .LIC. OWNER: STREETER ASSqCIATES IIVC 14499448 0001380 RqDUCH LRURA 19300 MINNET'ONKA BLVp 3641 WICIGEDN WAY WnvZA'(A MN 55391 EAGflN MN 55123 t42} 449-9448 (612)686--0248 . h~r4b,y... 'AtknowI.e d:g:j9' t:6,6 t iV°h~ue rea.d I . d.r,e 6~t o,r~la.n~r?ces ~ , . . . . . ~I ~ I ICANT/P ITEE GNATURE SSU BY:SIGNATU E-----' ° 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 2 6 3830 PII.OT KNOB RD - 55122 681-4675 ~ New Construdion Reauirements RemodeURepair Requirements ~ ? 3 registered site surveys ? 2 copies of plan ? 2 copies of pians (include beam & window sizes; poured fid. design; etc.) ? 2 site surveys (exterior additions & decks) ? 1 energy calculations ? •i energy calculations for heated additions ? 3 copies of tree preservation plan ff lot platted after 7/1l93 required: Yes No DATE: Ft 7 CONSTRUCTION COST; "DESCRIPTION OF WORK: 3" S 2cSah Qa rc~ . s ' . a - l • . . . . . ' • . STREET ADDRESS:, 3 4C _ 1' ' ~ e.or1 G~ BLOCK: SUBD./P.I.D. S I C~ ~S ctd ~ Name: Phone PROPERTY Last First OWNER 1 Street Address: 9,eG-, G City 1~ '-N State: ? " ~ ~ Zip: S ~ ~ Company: J '1 w-p~ 4 AKO Phone CONTRACTOR Street Address: 1~ 3a~ 1~ trln ~ License # ciry ~ ei % i 2G~ State: ~ zip: s" s'3 `C' ARCHITECT/ ~Q ENGINEER Company:~G ~ ~ ~-d'Cr K; ~ Phone ( 61" g E a ( Name: ~ ~ G ~C~. G.~ Registration Street Address: City State: Zip: Sewer & water licensed plumber (new construction only): . Penalty applies when address chang and lot change is requested once permit is issued. 1 hereby acknowledge that I have read this application and state that the information is correct and agree to comply with alt applicabl State of Minnesota Statutes and City of Eagan Ordinances. . Signature of Applicant: ~ RECEIVED OFFICE USE ONLY , Certificates of Survey Received Yes No BY:~L~ : . 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 Dweiling ? 07 4-plex ? 12 Muiti Repair/Rem. ? 17 Swim Pool ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory O 20 Public Facility ,X~404 SF Porch ? 09 12-plex ? 14 Fireplace , 0 21 Miscellaneous `w O 05 SF Misc. ? 10 _-plex 0 15 Deck • „ ~ r • WORK TYPE ? 31 New ? 33 Alterations Q 36 Move ' -32 Addition ? 34 Repair ? 37 Demolition ,,r GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code o' Census Bldg Census Unit 4 APPROVALS Planning Building Engineering Variance , . ; Permit Fee. Valuation: ~ $ _ -7-~;a Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/V1l Permit S/VN Surcharge Treatment PI. Park Ded. Trails Ded. - , Other Copies Total: . % SAC SAC Units i . ~ CERTIFICATE OF SURVEY , S'1'KE'G'I.'E[2 & 11SSOCIII'1'ES Prepared for : 0.(, p ~Q{~rm9i,~ MN888.2 S" 5anif`ary Sewer 9 ~ Inv - Vyq > ~76 94 895t 3.7 Copcr~{~ r x 1 C4b - ~ •.~t 94~ ~ y4r4nf -Benchmor(c JA~ R=20 s e k M =160 )p ~v : I 895 / 30 1~" ,~~y I 89j4 x o:o'~ 892.9 Q oQ ~ ~ ~ X 2e x891.7 <al .0 , ~ ~ " N ~~Q t°f;d N \\28.0~ Lw eg~ 9 ~ 87 ~ _ r I 33 04 ~ Q J.3 olt.oo ~ ~ , ~j~ ,r..~,. / ~ .?1,83 ~ x874.3 ~ ~ ~r ~ PF~~E'~~ • NV c/HPoaed,d 44.~g" ...21,q.. 0 [r~ ZI'~, G j s tA o Vivo~ X 78.D a 15.o. ~ ~ o X 86q;j ~ -E. C Z 0 ti m M I / LLG11I, _DESCRIPTION Lot 2, IIlock 1, S`I'. FRIINCIS WOOD 2ND I AllDITION, according to / the recorded plat thereo I Dakota County, Minnesota / I / / J I L-. _...~86.09 S88°31'3Z„w.-_ GENERAL NOTES o Denotes iron monument Proposed top of foundation elevation = 88?.33 ++Denotes cross chiseled in concrete Proposed basernent floor elevat( n= 8l~•33 x 939.7 Denotes existing spot elevatlon Proposed garage floor elevation UO 939 Denotes proposed spot elevQtion E Denotes surface dralnage BENCHMARK: Dashed contour lines denotes proposed features Solid contour lines denotes existing features I hereby certify thal this survey, plan or report SCALE ALL -A~ 111ETR0 LAND wos prepared by me or under my direct supervisi n and that I am a duly Reqistered Land Surveyo SURVEYORS under the laws of the Staie of Minnesota. BOOK L7~ 2340 Daniels Street ~~~'~~`N~ 5 Long Lake, Minnesotu 55356 FILE No. Ph: 475-1433 DATE 718187 REG. NO. ~~025 971m_A PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA108867 Date Issued:01/22/2013 Permit Category:ePermit Site Address: 3641 Widgeon Way Lot:2 Block: 1 Addition: St Francis Wood 2nd PID:10-65901-01-020 Use: Description: Sub Type:e - Water Heater Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Kris Oien 3670 Dodd Rd Eagan, mn 55123 651-365-1340 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Lance E Lemieux 3641 Widgeon Way Eagan MN 55123--113 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA109105 Date Issued:02/08/2013 Permit Category:ePermit Site Address: 3641 Widgeon Way Lot:2 Block: 1 Addition: St Francis Wood 2nd PID:10-65901-01-020 Use: Description: Sub Type:Fireplace Work Type:Gas Fireplace (new) Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 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 - Lance E Lemieux 3641 Widgeon Way Eagan MN 55123--113 Hearth and Home Technologies 2700 N. Fairview Ave Roseville MN 55113 (651) 638-3309 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA149730 Date Issued:06/07/2018 Permit Category:ePermit Site Address: 3641 Widgeon Way Lot:2 Block: 1 Addition: St Francis Wood 2nd PID:10-65901-01-020 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - Sabirhusain N Patel 3641 Widgeon Way Eagan MN 55123 Applicant/Permitee: Signature Issued By: Signature