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3644 Widgeon WayPERMIT City of Eagan Permit Type:Plumbing Permit Number:EA128268 Date Issued:11/03/2014 Permit Category:ePermit Site Address: 3644 Widgeon Way Lot:2 Block: 2 Addition: St Francis Wood 2nd PID:10-65901-02-020 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater & Water Softener 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. Ann Hoffman 505 Randolph Ave St Paul, MN 55102 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 - Gary R Maag 3644 Widgeon Way Eagan MN 55123 (651) 454-6069 Bonfe's Plumbing & Heating 505 Randolph Ave St Paul MN 55102 (651) 228-9071 Applicant/Permitee: Signature Issued By: Signature iTY oF EAGAN WATER SERVICE PERN~~ c 3830 Piia.' Knnb Road PERMIT NO.: P. O. E.bx 21199 DATE: Es9an, MN 55127 No. of Untts: i Zonin9: ~i'imberline B1'rs Ownsr. ~ Waov ? Addron';t,4', F.anci.- Site Nddross: ~ n Charfle: ;.,Jo Before di in ~""~b°`: C AAeter No. , Size: r( °r.~. it . SO Reade No.: I u a~9e' ],32.00 pd 1.yne !o eoOOV~s Misc. Charo", r "M TOtOI: pote Poid: gy InsP.: pote of I G 5 O ~ CITY OF EAGAN WATER SERVICE PERMR 3830 Pilot Kncb Road PERMIT NO.: P. O. Box 21199 DATE: Eagan, MN 55121 No, of Units: Zonir+p: Owner Addmss: Site I?ddrcss: Plumber: Connection Charys: meter No.: /ccount DePosIt: Siu: permit Fee: Reader No.: ~~p Surd+arge: 1m9~ h eo~wih ~ tIN Gh ~ Misc. Gwryes: - Oir/iMnam Total: Dote Poid: BY Irnp.: Date of InsD.: UWER SERVICE PERMIT CITY OF EAGAN ~T N~•~ 3830 Pilot K nob Road P~ P. O. Box 21199 DATE: ; Eagan, MN 55l 21 ?do. of Units: Zonirq: QWMR 9 Add?E55: Site /?ddress: i~ ? . Q Plumber. Charpe, ~ 1 Nm t° e°"'Vh !M CN7? ef Mf°~ Acc-urvt DeDWt: praiweoas. PemnR Fe°' Surcharoe: Misc. CFaro" gy Toral: pate of InsP.: Da" Pold: I nsp.: CASH RECEIPT CITY OF EAGAN P. O. BOX 21-199 EAGAN, MINNESOTA 55121 DATE ~ ~ 19 RtCtIV6D FROM J~ :l'r!...7.. .S ~`~i AMOUNT IG . & DOLLARS ioo ? CASH ~ CHECK FOR i/~' .~,-~GL.~~ "r ~.Z!_~L1. - •.L'/~`-7F` C~'Y:?`~L:!~--~. I / - r , d ~ FUND CODE AIAOUNT _y A ~ Thank You BY White-Payera Copy Yellow-Posting Copy Pink-File Copy ~ CITY OF EAGAN -7 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 RI^ PHONE: 454-8100 BUILDING PERMIT Receipt # 7o be used tor PORCH/JECK Est. Value ;i 1.0 , 0 0U Date Mn Y j 3 ,19 -s3 ~ SiteAddress 3644 WIDGEOiV 4•1AY Erect ?X Occupancy Lot2 Block 2 Sec/Sub. qT F?21+?140I.1; WpnIgemodel ? Zoning Parcel No. 2 WD ADD Repair ? Type of Const. Addition ? No. Stories ¢ Name (vARY hi.AAG Move ? Length W DemolisFl ? Depth 3 Address SAMF Int.lmpr. ? Sq. Ft o City Phone 4$A -611 fi9 Install ? o Name 'T,II"iBERLZDIE-WLOkS Approvals Fees Address 3727~0 k1ILY-S WAY Assessment Permit $ t3U .~U ~ City E- GnN Phone 4r,,$-59 1..a Water 8 Sew. Surcharge 5.00 Police Plan Review4U.25 F = Name Fire SAC 4 ~ Z Address Eng. Water Conn. < W City Phone Planner Water Meter , Council Road Unit I hereby acknowledge that I have read this application and state thatthe Bldg. Off. 5/1 /8 Tr. PI. information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. APC Parks f~, F~ Var. Date Copies Signature of Permittee Total $12 5_ 7 S A Building Permit is issued to: TIMAF. 1NE $LDRS 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 _ ` r Permk Na PermN Holder Date Tslephons A Plumbiny H.V.A.C. Eleetrie Soltene? Inspeetlon Date Insp. Commenb Footings I FooUngs II FoundaNon 'Framing Roofing `F 'S Rouyh Plby. Rouyh Hty. iL. InsuL Fireplsce 0 77a Final Hty. - v Final Plby. Bldy. Final Csrt. Oce. Deck Fty. Dsck Frmg. Well Pr. Disp. • ' CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # Te be w"d fer i: Est. Volue ~ Date Site Address Erect ZI Occupancy Lot I Biock •t Sec/Sub. Remodel ? Zoning Parcel No. Repair ? Type of Const. Addition ? No. Stories Move ? Length • W Name Demolish ? Depth ~ Address ~ Int. Impr. ? Sq. Ft. City Phone 454-59 1r ' Install O t ~ Name APOrovals Fees Z~ Assessment Permit Addresa sI City Phone Water 3 Sew. Surcharge (1 F Police Plan Review 2• r c t P~+ Name Fin SAC W ~x,Z-~ Address E~y. Water Conn. ~ t G:;3 ~W City Phone Plonner Water Meter Council Road Unit 1 hercby atknowledfle thot i haw reod this opplicotion ond stote that gldy, pff. 6'r24/"S7 Tr. PI. ' the inlormotion is torred ond agree to comply with oll applicoble APC Parks Stots of Minnesoro Stotutes and City of Eog?n Ordinonces. ~r... Var. Date Copies Sipnofure of Pertnittee ~ ~ ` I;•S RL7N F, jr,1:-11 Total A Bullding Pertr~it Is issued to: on the express conditlon thai oll work shall be done in xcordonce with oll applicable State of Minnesota Statutes and City oF Eopan O?dinances. Buildinq Officiol ~ _ - Pa?mit No. Psrmk Holdsr DoH Tslephons Plumbing 33 H V A.C. 15- g( f'~ yl~ I31 I lJ_ Eiectric ~j G f U. o U T SoitsrMr Inpeetion Date Insp. Other Footings I Footings II 7 Foundation Framing Roofing Rpugh Plbg. A I Rough Htg. Insul. FireplaCe Flnal Htg. /J Final Plbg. Final Cert/Occ. Water Dee?ibs Loeation: Well Sewer Pr: Dlsp. Receipt MECHANICAL PERMIT Permit No. -7 CITY OF EAGAN - Fee FiN in numbered spaces S/C C Type or Print legibly Tot. 7 1, Date 2. Installation Cost , 3. Job Address." Blk. Traci T- - 4. Owner : 5. Contractor Phone 6. Address ` 7. City State Zip 8. Building Type: Residential ~ Commercial ? Institutional ? 9. Work Description: New L'J Add ? Alter ? Repair ? 10. Describe Fuel Type 11. No. Equipment 8TU - M. Ea. No. Equipment CFM i Forced Air - Air Handling: Mfg. Boilers Mech. Exhaust Mfg. Unit Heater Mfg. Other Air Cond. Mfg. i Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt PLUMBING PERMIT Permlt No. _ • CITY OF EAGAN FN ' fill in numbered spaces S/C • Type or Print legibly Tot. 1. Date .2. Installation Cost ~3. Job Address U?~~`'.k r~ Lot Blk. Tract L~ 4. Owner (A! 5. Contractor Phone 6. Address ii t 1 ~ 7. City. t State Zip ~ 8. Building Type: Residential Commercial ? Institutional ? ~ B. Work Description: New ~ Add O Alter O Repair O ~ 10. Describe 11. No. Fixtures No. Fixtures Water Closet Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner - - - Shower Well Kitchen Sink ~ 7 Urinal/Bidet Other ~ Laundry Tray ~ ` Floor Drains ~ Drinking Ftn. ~ Slop Sink c Gas Piping Outlets 12. 1 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 r. Rouph Final Inspections: Date Insp. Date Insp. ? ~ This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 CITY OF EAGAN Remark Addition ST. FRANCIS WOOD 2ND ADDIT~ON 2 - - - 106590102002 Lot Bik Parcel Owner Street 3644 WIDGEON WAY • State , r Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. q _ STREET RESTOR. 1983 2675.93 535.19 5 - 0 / 9- - 5 GRADING JY~ 1983 610.8$ 122.17 S SAN SEW TRUNK 1983 316.84 63.37 5 70 c- , /ojo • SEWER LATERAL 1983 5510.68 1102.14 $ .'7 0 / - WATERMAIN * WATER LATEFiAL 1983 $ WATER AREA 1983 316.84 63.37 5 17 - d-Al - 416- *Serivces 1983 5 STORM SEW TRK 1983 670.74 134.15 5 ,s -1030 * STORM SEW LAT 1983 5 CUfi6 & GUTTER ' SIDEWALK STREET LIGHT 6 2 8 WATER CONN. 500.00 BUILDING PER. 469 sac 525.00 PARK CITY OF EAGAN N ° 10 4 6 9 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 ~ BUILDING PERMIT ~ Receipt # Te be wtd _ier SF DWG/GAR Est,yalue $10 3, 0 0 0 Dote JUNE 26 19 8 5 SiteAddress 3644 WIDGEON WAY Erect )[I Occupancy R3 Lot 2 Block 2 Sec/Sub. ST FRANCIS WOOD Remodel 0 Zoning Rl Parcel No. 2ND ADDITION Repair 1:1 Type of Const. g Addition ? No. Stories TIMBERLINE BLDRS INC Move ? Lenyth 50 W Name Demolish ? Depth Q 1 Z Address 727 SO HILLS WAY Int Impc ~ Sq. Ft. ~ City EAGAN phone 454-5918 Install ? SAME Approvals Fees Name ,O = Assessment Permit $ 440.5C su Address City Phone Woter 8 Sew. Surcharge 91 - 5( Police Plan Review 220 _ 2-r tW Name Fire SAC 525 . Address Enfl. Water Conn. 50 0. 0 ( tW City Phone Planner WaterMeter 63.0( Countil Road Unit 280.0( I hereby acknowledge that I heve reod this application and stote that gldg. Off. 6 2 4 $ 5 Tc PI. 132.0( the in(ormotion is torrect ond agree to comply with oll applicable APC Parks Stata of Minnesoto Stotutes and City of Eago ~ Ordinances. Var. Date Copies $ipnature of Permittee Total $ 2, 212 ' 2_i N Building Pernit is issued W: TIM LINE BLDRS INC on the exprcss condifion that oll work sholi be done in accordance wit oppliooble ote o 'nnesota Stotutes and City ot Eayon Ordinonces. Buildlnp Official " ICITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ° 11941 PHONE: 454-8100 G BUILDING PERMIT Receipt # To be used for PORCH/DECK Est. Value $10 , 0 0 0 Date MAY 13 ,19 $ 6 3644 WIDGEON WAY Site Address Erect ~ Occupancy Lot' 2 Block 2 Sec/Sub. ST FRANCIS WOODRemodel ? Zoning Parcel No. 2ND ADD _ Repair ? Type of Const. Addition ? No. Stories °C Name GARY MAAG Move ? Length Z SAME Demolish ? Depth o Address Int. Impr. ? Sq. Ft. City Phone 454-6069 Install ? a~ Approvals Fees Z o Name TIMBERLINE BLDRS Address 3727 SO HILLS WAY Assessment Permit $ 80.50 ~ c;ty. EAGAN pt,one 454-5918 Water & Sew. Surcharge 5. 00 tm Police Plan Review 4 0. 2 5 F = Name Fire SAC ~ Z Address Eng. Water Conn. a W City Phone Planner Water Meter Council Road Unit I hereby acknowledge that I have read this application and state thatthe Bld . Off. 5/13 /8 6 Tr. PI. information is correct and gree to comply with all applicable State of g Minnesota Statutes a d Ci of Eagan Ordinances. APC Parks Signature of Permittee r''~ C. Var. Date Copies Total $12 5 . 7 5 A Building Permit is issued to: TIMBE 1~~ BLDRS on the express condition that all work shall be done in accordance with all ~p`pli/c le State of MinStatu~and City of Eagan Ordinances. Building Official ~ This l;quest void ~ g~/~l UI 18 mon oT Y`~ ~ 4 7 Z L a st Irg, ~ o y1.5-Z Reque Date Fire No. Rough-i In ~ spection• O` Requ ? Ready Now ill Notify. Inspec- ~ Yes ?No [or When Ready Licensed lectrical Contractor 1 hereby request inspection of above ? Owner electrical wwk iFtstalled at= Street Address, Boz or Route No. City .3~ I/ tx~ ' wctq ~ ecuon o. Township N e or No. Range No. Cou Occupant (PtiINT) ' Phone No. Power plier /~.r~r `~t~ Address ~ ? ~L Ele ical Contractor (Com ny Name) ConOtractor's License No. ` e 7 _27 r3 Mailing A dress (C ctor or Ow er Making Instailati ) E5.2 .~P .!9's3 4t~ Authori ed ignature Contrac r/Owner king Instal ation) Ph neN'umber _ 133 MINNES STATE BOARD OF ELEC ICITY THISJNSPECTION REQUEST WILL NOT Griggs- idwaV Bldg. - Room N-197 BE ACCEPTED BY THE STATE BOARD 7821 University Ave•. St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE tS Phone (612) 297-2111 ENCLOSED. REQUEST FOR ELECTRICAL 1111SPECTION Es-°°°°t~a ' See instructions for co 0 mpleting this form on back of yellow copy. 312 "X" Below Workzeugffibd by This Request ~0 /K Add Rep. Type of Building Applisnces aired Equipment Wired Home Range Temporary Service Duplex Water Heater Lightiny Fixtures Apt. Building Dryer Electric Heatiii Commercial Bldg_ Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other SceciW Otner (Specifv) t r Specify Other Other . ompute lnspection Fee Be/ow # Fee ServiceEntranceSize # Fee Feeders/Subfeeders #t Fee Circuits 0to200Am s- 0to30Am s 0 to30Am s Above 200 qmps 31 to 100 Amps 31 to 100 Amps Swimming Pool Above 100 Amps Above 100_Am{s Partiah'Other Fee Transformers lirigation Boorrs S Signs Special Inspection TO~TAL FEpE Rema.ks ` ~ ( /?Q ~ Rough-in Date , 4he ectriea~ • tns ctor. Aereby tify that the a6ove Final ~ e inspection has been • made. This reQuest void 18 montl~s hom 1 Iy, rg J L J This request void months.from 5 _ ? L1 ~ O~ f ~ St' -7?Ly-xLi R st Date Fire No. Rough-in Inspecti n w5 Required? eady Now ? Will Notify. Inspec- ? Yes No tor When Ready f censed lectrica Contractor I hereby request inspection of above ?~Owner . electrical work installed at: Street ftddress,. Box or 11;.e. C ity 36zl ecuon o. Township Name r No. Ra ge No. Cou a' OccuWt (PRINT) Phone No. 'i ~ .e 1 /'M .e_ ~S - 5~11 ~ Powe uppl Address y ~ Elec cai Contractor (Co pany Nam I' ontractor's License No. ` 0 3273 Nlailing Add ess (Contr t r Wner Ma ing Instailatio~ ~ ~ S:53 °Auth Signatu ( ontra r/Owne king Installation) Phq e Number ? q- i3 D MINN O STATE BOARD OF ELECT ICITY THIS INSPECTION REQUEST WILL NOT Griggs dway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 7827 University Ave_, St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS PIeone (6721 297-2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION Ea-oooo» See instructions for completingrthis farm on back of yellow coDY• G, 310 ••X' Be1ow Work Covere&by This Requesl Iadd ,Rep_ Type of Building Appliances Wired . Equipment Wired ' Home Range Temporary Service Duplex Water Heater Lightiny Fixtures Apt. Building Dryer Etectric Heatfn Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other Specify Other (SUecify) ther Specify Other Other ompute lnspection Fee Below 0 Fee ServiceEntrenceSize # Fee Feeders /S ubfeeders # Fee Circuits 0 to200Am sOto30Am s 0 to 30Am s Above 200_Amps 31 to 100 Amps 31 to 100 A s Swimming Pool Above 100_Amps Above 1(10_Amps Transformers Irrigation Booms Pariial/Other Fee Signs Special Inspection $ ~ TOTAIFE D~ G Remarks qpugh-in Date the Electrical - Inspector, hereby certify that the above Final r Date inspection has been made. ' IAis [equest wid 18 months froin 0 ffiffi7 Request Date / ue o. Rough-Unspection Required Insp on Other Than Rough-In - / (You must call inspector when y) Ready Now E] Will Notify Inspecror ? Yes ~ Date Ready IEZJie6nsed contractor ? owner hereby request inspection of above electrical work at: Job Adi~re (Street, Box or Route No. C City ~ ~tY ~ ~ ge_;~ _ Section No. Township Name or No. Range No. County Occupant RINT) Phc,2l 0 ~ Power Supplier Address Electrical tract (Company Na e) Contracror' License No. Mailing Address (Cont~to`r ~or Owner Makin allation) ~ V Z~3 Authori Signat r ontractor/ n r Making Install ion Phone Number MINNESOTA STAT BOARD OF ELECTRICITY \ A i THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-728 L~ BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paui, MN 55104 ~ UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 - ENCLOSED. V ~REQUEST FOR ELECTRICAL INSPECTION >r " ~o EB-00001-09 • l, ~ 1137 loo- See instructions for completing this form on back.of yellow copy. 5,~ . "X" Below Work Covered by This Request ~y7 jg.~;hV • New Ad Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management ' Comm./Industrial Furnace Other (Specify) Farm ir 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 A e 100 Amps Signs Inspector's Use Only: .Q~ TOTAL IC-b Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED SCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONT I, the Electrical Inspector, hereby Rough-in Date certify that the above inspection has Final been made. OFFICE USE ONLY This request void 18 months from RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EACAN d,5 `J'~ 1 G L~J 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Constructiort Reauirements RemodellReoair Reauirements • 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas • 2 copies of plan (20% maximum lot coverage ailowed) • 1 set of Energy Calculations for heated additions • 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 site survey for exterior addi6ons & decks • 1 set of Energy Caiculations • Indicate if home served by septic system for additions • 3 copies of Tree Preservation Plan if lot platted after 711193 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE Z VALUATION (50 < ~ SITE ADDRESS 3CQ qq_LA, Yl AG W6-ca MULTI-FAMILY BLDG _ Y _ N TYPE OF WORK o~~~ 170 Oa-n~ C~c,iC~-FIREPLACE(S) _ 0_ 1_ 2 SELA ROOFING & REMODELING, in`x APPLICANT 4100 FX('FI RIOR 131 vn STREET ADDRESS ST• LOUIS PARK, MN 55416 CIn STATE ZIP TELEPHONE #QZitY(,~CELL PHONE # FAX # PROPERTY OWNER ~ CQA - TELEPHONE # 5z~- (00(o / COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY i MINNESOTA RULES 7672 (q submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Enve{ope Calcutations Submitted Plumbing Contractor; - _ Phone # _ J Plumbing sYstem includes: Water eater r _ oo pR.L Baths~!, r-F~e; ' $90.00 Water H No. of Baths , U Mechanicai Contractor. Phone # ~ Mech<uiical systein includes: Air Conditioning Heat Recovery Sys[em Sewer/Water Contractor. Phone # 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. - c Signature of Applicant OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4l02 ~ OFFICE USE ONLY ~ . ? 01 Foundation ? 07 05-plex 0 13 16-plex ? 20 Poo! O 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace D 21 Porcfi (3-sea.) ? 31 Ext. Alt Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Ad'dn. (4-sea.) 33 Ext. Alt - SF ? 04 02-plex 13 10 08-piex ? 18 Deck ? 23 Porch (screened) 36 Multi 0 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Rlbg_Y or, N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move 81dg. 0 42 Demo}ish (Foundation) 0 "45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ?,46 Windows/Doors ? 34 Fieplacement *Demolition (Entire Bldg only) - Give PCA handout to appiicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. F#. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Wid#h REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. ° _ Footings (deck) FinaUNo C.O. _ Footings (addirion) _ piumbing _ Foundation HVpC _ Drain Tile Other Roof - Ice & Water _ Final _ Pool _ Ftgs Air/Gas Tests Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test T Final _ Windows (new/replacement) ' _ Insulation _ Retaining Wa11 Approved By , Building Inspector w_-..~_~~----------------- Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permi# ; Mechanical Permit License Search ' Copies ; Other Totat ~ 6 ~ 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN _ NOTE: ALL CONTRACTORS 1iUST BE LICENSED WITH THE CITY OF EAGAN INCLUDE 2 SETS OF PLANS 3 CERTIPICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS To Be Used Far ~c Valuatian ; f Date : ~ 0'3, c~oo. Site Address : hC,nw,J weN~ OFFICE USE ONLY Lot Block ~ Sect/ Sub 5+ • FR/r-ti.~S Erect X Occupancy ~3 ND Remodel ~ Zoning 12-1 t,~•oop Z Parcel # ~&pp. Repair ~ Type of Const Addition 4d of Stories Owner ~MLX MAAC-,-, Move ~ Length 50 Demalish Depth 4-1_ Address L-or-bgr oAjL g-fl, Int.Impr. Sq Ft Install City/Zip Cade SS122--- Phone APPROVALS FEES Contractor '~j w~'~'19~1.~.~~ I u~C• Assessments Permit q-- ~ ' Water/Sewer Surcharge Address 3~72-] '5~, kILLS Police Plan Review 220.25 Fire SAC City/Zip Cade kq.6p.,z, Engr Water Cann Spp ~ Planner Water Meter Phone ~ 54--- S°( I2j Cauncil oad Unit Bldg Off ~ Treatment Pl I 3 2. = Arch./Engr. APC Parks Variance Capies Address TOTAL ~ a /a ~a S City/Zip Code Phane # P i~O E z~ ~ ~ HGINEE~IIVG C PiAa~iEns ~aGiA~u s9uwvGYoAs OMPRNY INC. ~1000 EsST 1461h STREET, 9URPJSVILLE, MINNESOTA 38337 PN 432-9000 C'4eppozZ~~~~ LaemDtL, pLSC.FIIPtlw.) ~r Z~ $I~c.lc Z,.~ 5r FR~kNC.~s Wxp ?..~.fD Aton~Tlco-i M i?JKezoTA 1 ~ 1 - -f ~ ~ ? s T~2aa~E ~i ° Eh`.~E N1~tt'' . i ` ( ~ . ` ~ V : ~ ~ LoT 2, gILYCK 2, ST, FRANCIS `,o WOOD 2K1D ADpITI ON 1 5 I~67 ~j DAKOTA COUNTYj MINI.lE50TA. \ ~DENOTES ` LQT 2 \ NORTH EXIST?NG ELEvATIUN • I _ SGA~ ~ ( Sgo.o ) DENOTES \ S , PRUPOSED ELEVATION y . I . /O . ~ INDIGATES Q DIRECT?ON OF SURFACE DRAINAGE A.•°(0`~'~ m FINISHED GARA6E F LUOR E LEVATIUN = 885,0 (n Xv o yL' ° ~r \ l(~ 'o ~ ; ~ - i t/~ _ y"'? ~10~ ~ ~ ~ ! ~ l~ ~ . ` ~ ~a 30' FRONT Bu1L.D?t,16 SETF3ACK LINE ~ / ~a / • q~l DRAIIJACaE AND UT1LIT\( 00 ° o (893,9 L; 9~`~ 0 L= 25.00 50.00 4p R- 260' °O E A ST . a = 5* 30' 33" \t1j I ~ \N ~EON a~ I hereby eertify that thia ie a true nnd eorreet repreaenta4ion of a traetof land at shown'and deecribed hereon.. 11e prepared by me on this 2~11'r day o! ITL)QE , 19 65;. J-1inn. /i}~eg• No1 16a85 i ~ ' ~ . EXTERIOR EPJVELC: L AVERAGE "U" C0117?:JTATI0:3 OjAIIdER SITE ADDRESS CONTRACTOR "'r'f w4qML.b,,g- 13 tAil.VXPs DATL E-ZN-*Sr PHOPIE ySy- 5 jlk' '-i- Determine working square footage of each. 1. Total exposed wall area ~ sq. ft. x_li = 2 S'1 2. Tot31 roof/ceiling area 15~3 sq. ft. x.O26 = ~9=078 Total exposed wall area above fZoor a. mot-al wall vrindcvr area b. To-ual door 2rea S' c. Total °l{dt^T g' ee~ area !~°R~. . . IoS~ d. Total fireplace pra1Z area e. Total wall framing area (average 10%)... f. Total net vrall area above floor g. Total rir, joist are2 1-7 Total exposed foundation area = h. Tctal faun3ation t•;indow area . . . . . . . . _'6 i. Total Zet foundation area above grade Determine "Ut: value o£ each wall segment-. a. tCl~f x rIUI: A 0.3d b.7 X rtUt; C. OC~ X "U:, j} . .-C g 4i U:' e. 2Ca~_ X ,.Uer 17.2.E± f.X ''jj" : .c4`13 = 76 3Z. 9• 173 X ,rU•. o y2(~, _ ~ • - h. ~..v , X ;'U t ...d i.X NUtf 3 Tota1 = Zr72 If item #3 is the same as, or less than item #1, you have met the intent of SBC 6006(c)2. ~ . • . , • r_S r ' ( Tot2.l exposed roof/ceiling area = 1563. yotal skylight area 1z-. k. Total roof/ceiling framing 2rea (average 10~ t3cs l. Total net insulated reof/ceilins area i~sd Determine "U, value fcr each roof/ceiling segrr.°nt. J. X f: U , '3a~ k, t3~ xUr~ X1: U,l z~. ~Ly ~A"N i, t b2sa 2~ 4 ...............................Tota3 = ~.97 If total of {,'-4 is the same ass or Iess than #2, you have met the intent of SBC 6006(c)1. Alternate Buiiding Envelope DesiF,n To utilize ihe total envelope system nethod, the values established by the suM of items #3 and #4 shal'I not be E;re2ter than the sur.:, o: itens #1 and h 2. " 1. + 3. ~~7, a.1- + 4, z/o.q7 = Z~~r• f Y 1986 BOILDING PERNIIT APPLICATION - CITY OF EAG9N NOTE: ALL CONTRgCTORS MQST BE LICENSED WITH THE CITY OF EAGAN SINGLE FANIILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS M[TLTIPLE DWEI.LINGS - RESIDENTIAL RENTAL IINITS FOR SALE IINITS • INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECg WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMRCIAI: . INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: pv~c~E(Q~~i~ Valuatio : p o~a Date: Site Address 36'~(''~f" r,at~~bara cs-~t~~j OFFICE USE ONLY Lot Z Block ~ Erect ~ Occupancy Remodel Zoning Pareel/Sub S"f'- t-^j2A-oact5 Repair Type of Const T~7 Addition # of Stories Owner Move Length Demolish Depth Address S~ Int.Impr. Sq Ft Install City/Zip Code Phone qSq-APPROVALS FEES Contraetor r"05~~+~~ Assessments Permit p, Sa Water/Sewer Surcharge Address'-!5")2'7 50. }n Police Plan Review Fire SAC City/Zip Code WIA-P-1. Mr' S5\2"j Engr Water Conn Planner Water Meter Phone ib Council Road Unit Treatment P1 Bldg fflKjrl Arch./Engr. APC Parks Variance Copies Address TOTAL City/Zip Code Phone # NOTE: ADDRESSES FOR CORNER LOTS - CONTRiCTOR/HOMEOi1NER MUST DESIGN9TE WHICH ADDRESS IS DESIRED. NO CHdNGFS WILL BE AL.LOWED ONCE BIIILDING PERMIT IS ISSUED. / a 411, ~ ~a P (a J ~ ? 6e/ D Xf . ~ ~ s~ ^ ~ ~ . ~ ~ ROOF,~ IM~NIECRING c P`~~aa~~ni naaiA~ao Siu~~r~vo~s OMPRNYB INCo fa 6000 E~?ST 1461A STREET, BURPOSVILLE, ~S1NNE~OTl4 555337 PH 432•3086 L.F-Z-AL (~,.~6p~ya•J - l.A,-,r Z e f~Locx Z ~ 5r FRaNC.` sv-bu 2j~z Atoa, nm1li 1 . ~ ~ . ~ ~ \ ? EAGAN a o `QS R E V E~V D , BY DATE t' 2, gWCK 2~ 5T, FRANCIS )OD 2ti1D ADDIT1 ON ) KOTA COU N.TY) M I N ME SUTA . ~ ;do.o UENOTE~ I LO-T Z \ 151'ING ELEvATiUN . ~ NORTH ' ~ . SGAI_E : I"= 30' ~e.o ) DENOTES \ ' `r DPOSED ELEVATiUN ~ ~s3•3 tA t_~: 1 INDICATES ~ 9 0 RECT10N RFACE DRAINACE . , ` ;}~'~a~ _ ~ . ~ , JISHED GARAGE >OR EUEVATkU1..1= 66510 mN a - b7 .o AN o tJ3 • I ~~9,~ C~y` o) \ ' ~ _ . • I . \ ~ 30" FRDNT BuiLRIt-AG l~ SETF3ACK LIP?E DRAINAC~E AND 5 UTILVI'`~ EASEMENT Ao p0;I L=z5.oo 50.00 l,~ 9~'_ 40 U 0 p- = 2.0.0o EAST p 1 ~ d = 5' 30' 33" 0 M ' g9 ~ ~ ~ ~p~EON ~ ' hereby eertffy that thia is a true and corrset repreaentation of atract~ of Land as thwn' and deecribed hereon.. Aaw,,prepared by me or? thi• eZls'r dty ot 5~~~ , 19 g5 ~ , Rfnn. het. Fto. /Ga,~s ~ . . . f ~`:;~~~`::.~~.s~":~ . . . . ~ : : : . . . . ~ ~ . . . . . . . . ::.r.....,... :::::.~.::~~,::>:;;~..;:;.;>;;::.;::.:;:;:;;>;;:.:<;::::.:.<::<:.~::::, . . ~ . . ~ . > . . . ~ : . :...:r;: . < : . . ~::.;`.;:;;i~ 5::.:; .y • ~ .e::::c:>:•>~.;:~:~i~.;:.:.:4`•+i~':`•i o-:.:: . •::..•..a~..::~: ~:r.:;~? ,.;l.;;i:;k,::`;,:.~'y' ...............o::•::•::+•;::.;:•:::::.;:;;:;::::r:;.:>;::::a:::<a......::::::.::::::::::::.:::..::.......;...::::.::::•:~i,~S7~ f.r... r,~:::::::::::..:::.::........,.,.... : ;i;: < . . i:4 • . : . .:s.. . . ~~;G+~~ii}:'5::;;.+:n`•:'~•`: . , • • T ~ . . ~ ::.sr!.•!•':~:5:':::5:•'.~:::.:: i;:i::i:;?;<:::::•,`:::::::o~:~:>::?:;<i;i;:';i;i?i;?'>':it•`:'•::::<tk'•;;;?i%::i;,:';:;:i;~:;::;:i::;?2i";t•r%':': .~;~'.::?.~i''.'":'3~''`'7~r:<:?~:"::`;r:~:~ ~i;::;i::i;i;~:i"''~~:.;>:: , . . . ; . . ~,w:~ , . . L/.i:;'::'':::: •:.'~..:.,..~..~,:.a,;,,;..•. ~::::.~:.si:`:;:..,'.;•`;5;:.~.:':::~ ;;...:•':.,:'~`::a:i;:::;:;~:::~ ~ . . , . • ' x. : : : „ : ::::.i'.; o-:~.:~.:~.: <:::.,::.:a.....,. : ::••»::c:::::•::;.::x•;s;:•;;:•:: r:;:::.>;:;: : . . ,~:::::..c:•.::::r::;:r . . } : ~ . . . . : : . . . . f.. . . . . . . . ,......t..... . ` . , ~:~:':~wii'• ; o>r : . . ::.Y•::::. :::~:{ts.~?~:4~>r:• • • . : . .t....a.. :::•x:•:.: . ..~.~..~~r.~~.'.~~.~........... . . . . •:•:+:::;a:::::•>o-;:>:• ,.........:~d~~i!!~!?.......~....~............v..•:..•..t.•:::..•.~•..•:..•..,•..'n ..•:..,...t::.::::: :•.::::..•:.~~W~2~::5:.'~:t;2'{•i;fit:~:2~.`:.'::i': :~i:;~:::2`. ~•~~0///.37 ~1°'~5~5 1994 MECHANICAL PERMIT~(RESIDENTIAL) 00 CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AISO, FOR TOWNHOMES AND - CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. NEW CONSTRUCTION ~ ADD-ON A/C ADD-ON FURNACE Fi~'cr,Fi ACr; I'NSETtc i DATE FEES HVAC: 0-100 M BTU $ 24.00 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS (MINIMUM 1 @ $3.00 EACH) ADD-ON/REMODEL (ExISTIIVG CONSTRUCTION) $ 20.00 STATE SURCHARGE , .SO TOTAL SITE ADDRESS: (.P Wltj OWNF.R NAME: TELEPHONE INSTALLER: ~ ~ - - - - - - ~ Preferred Mechanical Services, Inc. ; ADDRESS: ~ 7643 Logan Avenue South ' Richfield Mn 55423 CITY: ! ' ~ ZIF CODE• ~ Bus:866-7511 Fax:866-0125 " ~ TELEPHONE ! - - - ~ SI N U OF PERM E ~ 7~~~~ ~ . . ~ , . . . . . . . ..:~'~..:':{';::::>:<;:~:>::>::>:~»::::»>::>:<':'':.<:~:<:::>:~>::::::;::;::;::::::;;.:::: ~ ~ ~.~...;••<:;..r:::~ : :.......r..l........ . . . .fi .:...::r::::::::::::u:.:r::::.n....... .....................................................................................n........~........n................r.t...r...........n..............~.... ?.n..............~....v...............................::.'~.'ti•::~:::•:~::~{•:..................... .r.i~....... 1994 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PIL4T KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMII.Y BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. - - - - - - - - - - - - - DATE: CONTRACT PRICE: $ NEVV 13 UII.,DING INTERIOR IMPROVEMENT WORK DESCRIPTION: FEES 1% OF 99MAM FEE $ PROCESSED PIPING: $25.00 ~ MINIMUM F'EE: $25.00 STATE SURCHARGE $.50 FOR EACH $ i,000 OF FEE. TOTAL $ SITE ADDRESS: OWNER NAME: TELEPHONE TENANT NAME: (IMPROVEMENTS ONLI) INSTALLER: < A,DDRESS: CI'I'Z': STATE: ZIP CODE: TELEPHONE SIGNATURE OF PERMITTEE CiTY INSPECTOR . ~ ~ ti . C~ i 2/84 l` ~ CITY Or EAGAN APPLICATI^vN FOR PERMIT ; . SEWER AND/OR WATER CONNECTIODJ (PIEASE ARIHi) 1) PF.OP=- ADDRESS: YV ` LEMI. DESGRIPTICV: 6w (Lot/Block/Sul:~divisicn or Tax Parcei I.D. Nt..^r~er) ~ IF .-~.:I-c__-.G ST??L'C'ITURE, Dai ' 0F GRT_GMAL wIiDL:G _.=_:I: TSS4ANC.: • . P L ,jn p`c-`'I+ ^^~JIi ?DPOS= U5: : tit ' ¦ R-1 S~.,GI.. ~ r_ .ILY 0 R-2 DUP= ('ITtiO L^?I ~ S) . C1 R- 3 ~~:~~TSE . t,Nr Ts) ( tNi~s) . p R-4 APAP=;r/CC.Z)C:.Trjr-M ~ mI`?'J) E3 CCL•n1ERCT-:%L, ? a.-11Ly Ci~lt.a:. Q . . . . . + 1~UV J i ZL~1i . ~ . ? L\lsTZ~,~zoXAL/c.7\.~ ~~,M;T her,j.rV 2) APPUIC=.~v'T (PLEASE PRitii) ADDRESS: 7ffi v-16-i c=z, sr.nT--, zip: - . _ . PHOLNE: • - . - 3) Pa.~,IBER - LE"SE-PR.Ni) FOR CITY USE 04LY NPr'`E: ~101 PLU!!BERS LICE,YSE: ADDRESS : ~ m , • =1 Active : - ~ CITY, STATE, ZIP: Expired 71AZI1r Not of Record PH0NE: PLUMBER IFCENSE A ' arr nitial- 4) OCC(,'?P.~~1T/CulL1..~t NPM: (PLEASE PRINT) ADOxFSS: me ctS 4L Z. CITY, STATE, ZIP: PHC}:lE: 5) IIVDICI'lTE :aEiICH PERhiIT IS BEING RECLTESTID: ~ CG:IiVF.GTION 'IC) CITY SDi-M ~ CG:ViQDCTIG,.q 'Ib CZTY WATE:t Q di'IFR (PI.EASE DFSCRIBE) ~ 6) r.D~GALZ C..:.• • . ? P=%.SE fiOID APPP,(7VID PER.N'.IT FOR PICi:-Lr BY Q:VE OF AFiCiL'E PT..~.;.SE :•7LIL APP:tOVED PEFMIT Z''J 1, 2,03 4 A£CAIE , (Ci: cle one) 7) SICzTL,'RE: DAT'E: • ' ~ Ol:~!'iR}O•_1! :f~ ~~!!:g!l1~ i r7t ~7q 71t~i ~0 ~i MS ~i Ir i i~ : i s 1R ~IFJ~F~~I l~y~y/ !f L! ~t' is lCiiia`•.,x . ~ . , • F O R C I T Y U S E O N L Y PER:6IIT " ISSUED FL'TZS . /D . 57J SE::LD PrRMT i+ SUpc ?r ~r.. ~ ~ L.) S~ WATER PE:ZZtIT (Ii:CL'uDL ScliRCHARGL) . WATER METER/COPPERHORN/OUTSIDv- REr,DER $ WATv-R TAP (INCLUDL CORPORATION STOP) $ S::vER TAP ~ ?VLIJrTV~j.~ ~ ACCOUNT DEPOSIT - t•TaTv-R crD WAC $ SAC $ TRliNK WATER ASSESS:IE:IT $ TRliNK SEjvER ~,SSv-SS::E:iT $ Le`-?TEP,AL BE:iEFIT/TRU`1K St.::~F, $ LITr,RAL BENEFIT/.TRU:JK WATER WATER TREATMENT PLANT SL'RCHARGE $ OTHER: . $ TOTAL . $ .5 ~ AMOL'NT PATD j RE~~I?T : . DOES UTILITY CONNECTION REQUIP.E: EXCaVATION IN PUBLIC RIGHT OF WAY? YES ZF YES, THEN r? "PERMIT FOR WORK WI-THIN PUBLIC ROADWAY" MUST BE ISSUED BY THE NO ENGINEERING DIVZSIONo LZST AS A CONDI- TION. . SUEJECT TO THE FOLLOWING CONDITIONSs ~ , APPROVED BY: TITLE: ' . DATr : 4 fs~ w*s+ w mjw 8*04 mc=`a 10*~w sPQ Vka ~ ~ yft Wjlq w i r*WwE sls w MV- WPERMIT# RECEIPT DATE: - I - V' U.SII}IENTIAL PLUM$INfi PEft4IIT APPLICATION crrY oF EAsm sgso Pu.oT xxos Etn EA6M, MN 55188 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: : TELEPHONE (AREA ODE) INSTALLER NAME: C TELEPHONE q`5_9~ (AREA CODE) STREET ADDRESS: CITY: STATE: ZIP: 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 alteration to existin dwelling unit, including: $ 50.00 • abandonment of septic system • new instal lation/repair/rebu ild of RPZ • lawn irrigation system • water turnaround , Nature of work: Septic System, new/refurbished - $ 225.00 • includes County & Consulting Inspector fees • requires MPC license State Surcharge $ .50 - Total I :~`f1~i A Z". 1^(7 Reminder: Be sure to schedule inspections of alterations, i.e. water heaters, water softeners;"etc. I hereby acknowledge that I have read this appfication, state that the information is correct, and agree to comply with all applicable-City of Eagan ordinances. It is the applicanYs responsibility to notify the property owner that the City of Eagan assumes no liability foranyaamages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City pr erty/right-of-way/easement. SIGNATURE OF PERMITTEE , Updated 1/01 V"~at`e: 11/13/2001 Appliance Installers of MN Installer HARRY Install Date: 11/09/2001 Time - M Client SEARS Order Number: 011321429476 Department..: 50 Customer.... : MAAG, LOIS Address..... : 3644 WIDEGON WAY City........ : EAGAN, MN 55123- Phone....... : (651)454-6069 Work Phone : (612)339-2345 Item: Pick up at: WATER TREATMENT Standard Replacement - Softener 38815 11-3-01 KS WATER TREATMENT Permits WATER TREATMENT Delivery Special Instructions: SOFTENER HERE --NAME ON CARTON Amount Received : Comments NOTICE TO CUSTOMER: Do not sign this statement until the installation is satisfactorily completed. The installation of the above has been completed satisfactorily. . 011321429476 SALES CHECK NUMBER CUSTOMER SIGNATURE INSTALLER NOTE: Return this form with your invoice. I have inspected merchandise and found no damage. (X) I have inspected my home and found no damage. (X) I have checked all water lines and found no leaks. (X) Customer Signature ôìô ï ÿþ þý ÿþþ ýüûøüúûû ùþþ ø÷÷îî ð þ÷ â ÿþô üûúù ðü þ ö ô ÷ á ì ðü þ ö ô Úü þ þù í ñü í îü ãþ ý þ ÿ þù ýßÞ þ óóåó ãÿ çêåêóåå óù ü îþ çêê òýýñ ôöð ùùþ õþ úøãþþ á ä âóó÷ ÷þú ü ÿþ þãá ßÞàóâ î úþì îþîþä þîþùùþþþ îþî íþ þþ íùúìîþþùùþ þ ã þ þü þôúÿþ þï þ ê ùùþë í þü ü ú þü Use BLUE or BLACK Ink r � For Office Use f JiCityOl L� �Il Permit#: � �Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 Date Received: j`" Phone: (651)675-5675 buildinginspections(a)cityofeacian.com Staff: 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: O 1 2 /,u) 1 Site Address: - 41z/ ijil, e o ri / Unit#: Name: Oa 2 1 Phone:d 657 295 - �951 Residents Owner Address I City/Zip: 3 6 y 1/vi 9 e a 1/UGt/� Applicant is: Owner Contractor Type of Work Description of work: 'lea./� 0 0\e 4.? Construction Cost: g1Z 619U Multi-Family Building:(Yes I No ) Company: 44 'r\,(f2, 144.4 S Ce/`' S J 6) Contact: 50-0 11 j14-0-"h Contractor Address: /3 "Aeibi f -S71— City: 5 9L State: NZip: S5767 Phone: /2-7a/-2Za1Email: i140 Coal h.P %9l/esrrCo,✓i License#: 15C 00S1/SE Lead Certificate#: If the project is exempt from lead certification, please explain why: 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 If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information.mation. Portions of the information maybe.classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.cityofeagan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that .erstand 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 accord- e with t e approved plan in the case of work which requires a review and approval of plans. x - / A.45 'C '7 /144X-5. x Appli 5.fliglit Printed Name Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA179482 Date Issued:10/06/2022 Permit Category:ePermit Site Address: 3644 Widgeon Way Lot:2 Block: 2 Addition: St Francis Wood 2nd PID:10-65901-02-020 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. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the water damage. Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after started. 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 - Gary R & Lois E Maag 3644 Widgeon Way Saint Paul MN 55123--112 (651) 295-3094 Weathersafe Restoration Inc 1103 Weir Dr, Suite 200B Woodbury MN 55125 (651) 528-6219 Applicant/Permitee: Signature Issued By: Signature