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3645 Widgeon Way WATER SERVICE PERMl7 CITY OF EAGAN PERMIT NO.: 3795 Pilot Knob Road DATE: Eogar,, MN 55122 - No. of Units: Zoning: Owner: Address: ~t : ranca , / Site Address: Plumber: Connection Charge: Meter No.: qccount DePosit: Size: permit Fee: Reader No.: Eaean $urcharge: 1 agree to wmpiy witii t6e City of Misc. Chorges: Ordinances. Totol: Date Paid: BY I nsp.: pate of Insp.: ~ CITY OF EAGAN SEWER SERVICE PERMIT 3795 Pilot Knob Rood PERMIT NO.: Eagon, MN 55122 DATE: Zoning: No. of Units: , Owner: - Address: Site Address: ' Plumber: ~ I ogroe to eomplp with the Citp of Eagan Connection Charge: Ordinaneet. Account Deposit: Permit Fee: Surcharge: By Misc. CFwrges: Date of Insp.: Total: Date Paid: I nsp.. _ CITY OF EAGAN , 3795 Pilot Knob Rood Eogan, MN 55122 ~ 17 ' PHONE: 454-8100 6UILDING PERMIT Receipt # Te M uud for Est. Vclue Date 19 Site Addreu Erect ? Occupancy Lot Blxk Sec/Sub. ~ ~Nlter ~ Zoning Pcrcel # Repoir ? Fire Zone Enlorpe ? Type of Const. W Name ' Move Q # Stories ; Address Demoiish ? Length Z) Ci Phone Grade Q Depth Sq. Ft. p Name Approvals Fees /lddress Assessment Permit ~ Cit Phone Water & Sew. Surchorge Pulice Plan check u~ W W Name Fire SAC ~ Address Enp. Water Conn. <W Ci Phone Planner Woter Meter Council Road Unit I hereby ocknowledge that I have read this applicotion ond stote that gldg. Off. the intormation is correct and ogree to tomply with all applicable ^PC Totol State of Minnesoto Stotutes and City of Eogon Ordinonces. Signcture of Permittee /1 Building Permit is issued to: on the express condition thnt oll work shall be done in accordorxe with oll opplicable State of Minnesota Statutes ond City of Eogon Ordinances. Buildinq Official Permit No. Permit Holder Misc. Permit No. Holder Plumbing . ~P "'7 p H.V.A.C. vZlJ ur~ CS~-Ki?~S Z 7_~r Z Well Water Disp. Sewer Electric 'T-7 I' L :I~.t^A Wl Inspection Date Insp. Other Footings Foundation Framing I A ^ t +r Rough Plbg. y W • 4-4 -T Rough HVAC Inwlation Final Plbg. Final HVAC Final Water Describe Location: Well sewer Pr. D'np. , -1/ -44 "A~-~,'' c'_~~c.~'~.'~_..i,B:'. _•cs„_~.~-~~cS~r,crR-~.-~-...yr, ~'~',~t:4 ;_c.a~rto~~'~.,. \ (~9rrupttnr y of (lagan 101p.Pttrtmrnt nf NuitMtcg in,aprriinti Tbit Ctrti f icatt itsxtd purttrant to thc rtquirtmtntf of Stction 306 of tix Unifosm Buildin ~ g Cedt artifyirtg that at tix timc of ittuann tbit .ctruc'ture wa.r ix coinplianu urith tbt variou.r ordinaruct o f the City rrgulating building connrrrction w usr. For thc following: u,.chwificatim SF DWG/GAR BW~. hrmit No. 7OZH I? oC-PT Tra R3 T~p comti. Vn Fi. z. NA Zoaft D.tnc, R1 ~ o-OrwAang 02rmm-Pedersan, ,Mn. 308 Oiak. St Faruingtvn RuIdftAd&,._3645 WiciQean Wav m,,a- Lot 3.Blocl: 1.St. f~:-ancis P \ "r: WoOd '22nd ~or&W wu: April 1, 1982 • - - V~ iM A COMMCYOYs R~C[ i ~ ' , , : / . ~ .a { ~ ~ `~p~, ,y~~~;:'~~~ ~,~...J~~.,~• ~ =.'y~p.. ~1~ ~~6_ `'~p,,. y~ ~ ~ ~,"~e?,.~ , , ' . - ~ Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered spaces S/C ' Type or Prini legibly Tot. 1. Date 2. Installation Cost • ~ , 3. Job Address Lot Blk. 1 Tract - 4. Owner ~ ~!p 5. Contractor ' ~ • Phone `'If 6. Address 7. City State Zip 8. Building Type: Residential O' Commercial ? Institutional ? 9. Work Description: New C9 Add ? Alter ? Repair ? I 10. Descri be , 11. No. Fixtures No. Fixtures Water Closet Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and 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 MECHANICAL PERMIT Permit No. - ' CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Prini legib/y Tot. 1, Date ~ 2. Installation Cost 3. Job Address Lot _Blk. Tract,, 4. Owner 5. Contractor Phone 6. Address 7. City State Zip 8. Building Type: Residential ~ Commercial O Institutional ? 9. Work Description: New ? Add ? Atter ? Repair ? 10. Describe Fuel Type 11. No. Equioment STU - M. Ea. No. EQUipment CFM Forced Air i Air Handling: Mfg. Boilers Mech. Exhaust Mfg. Unit Heater Mfg, Other Air Cond. Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with alt 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 , •..:.~,-:P...'~s'^~_.:ff;)11r~r..+-....R.4 . 'F+e"sv . i.AR wr' ~ MECHANICAL PERMIT For City Use Only ~ CITY OF EAGAN ; pEA'MIT # r 3830 PILOT KNOB ROAD, EAGAN, MN 55122 F~ECEIPT DATE PNONE 4548100 DATE: Site Address BLDG. TYPE WORK DESCRIPTION Lot ock Se /Sub Res. New Const. • Mult. Add-on Name Com Repair ~ Other~~~ ~ Address~i6'~5' r~j~S C c City D:~ =,no goJ7E~~, 5, Phone ` FEES 1 RES. HVAC 0-100 M BTU -$24.00 ; Name ADDITIONAL 50 M BTU - 6.00 ` ~ Address " (RES. HVAC INCLUDES A/C ON NEW -Ne 3 CONSTRUCTION) O City r- 0-n pC~ Phone TOWNHOUSE & CONDOS - RES. RATE APPLIES Q MINIMUM RESIDENTIAL FEE - ALL ADD-ON & i TYPE OF WORK REMODELS (INCLUDES GAS PIPING) - 12.00 ` GAS OUTLETS (MINIMUM - 1 PER PERMIT- ' _Forced Air M BTU $ NEW CONST.) 1.50tk 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-y Gas Piping Outlets # $ ' Other ~~i~'+eiC \~a.~e( $ CommJlnd. Contract Price x 1/o $ ~ l SIGNATURE OF PERMI~ PERMIT FEE: U S/C: FOR: CIN OF EAGAN TOTAL: _L CITY OF EAGAN Remarks Addition ST. FRANCIS WOOD 2ND ADDITION Lot 3 Rlk 1 Parcel 10-65901-030-01 3645 WIDGEON WAY Owner )Ahr1 Mai Street State Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 419 1981 86.84 17.Z7 5 52.12 A011026 4-13-82 STREET RESTOR. ~ GRADING 4 1983 610.85 122.17 5 SANSEW TRUNK 7YO 1983 316.84 63.37 5 *SEWERLATERAL 179 1983 $$10.68 1102.14 5 WATERMAIN * WATERLATERAL 1983 $ WATER AREA 7y/ 1983 316.84 63.37 5 *Services 1983 5 STORMSEW TRK T 1983 670.74 134.15 5 * STORM SEW LAT 1983 S CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 335.00 28028 12-7-81 BUILDING PER. 702 SAC PARK !'^.•tr;,,;;-F-_~` ~rt~ ""~T"~:13^+R^'~~r+ 2 , i'JI'~~~r~ GAS iNORK-ORDER 1072 Payne Ave. STANDARD 410 W. Lake St. St. Paul, MN 55101 9 Minneapolis, MN 55408 651 /772-2449 b H E AT I N GO 612/824-2656 & AIR CONDITIONING EQUIPMENT INFORMATION LAST FIRST TYPE ADDRESS ~,32- MAKE ~ CITY L.()!'kO ZIP ~ MODEL 5-1-35MN C~}U HM PH~o")) - 1-I~' WK PH SERIAL ,fX I f~ I TECH DATE ~ O ? INPUT ORSAT TEST RECORD C02 % METERED INPUT 1Z0 Cfh CHIMNEY TYPE r U(~' 02 % LIMIT SETTING ~ 0 FLUE SIZE in. CO % PILOT OUTAGE sec CONNECTOR SIZE ~ in. NET STACK TEMP 0 TOTAL CHIMNEY INPUT 0 ~ 000 btuh , • CASH RECEIPT - CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 RECHIVED FROM AMOUNT $ I & DOLLARS +oo ? CASH ? CHECK FOR - FUND CODE AtAOUNT Thank You ~ e9_ BY White-Payers Copy Yellow-Posting Copy Pink-File Copy . . _ . . _ _ CIT1( OF EAGAN _ 8795 Pilot Knob Rood Eagan, MN 551n - p ~ p : PHONE:4S4-8100 7028 BUILDING PERMIT Receipt To be wed for SF DW-,/W Est. Value $121 rOOO Dete DP-Oenber 7 19 8~' Site Addreu 3645 WidgeOn My ~,3 3 1 St. FYdriC].S 6~1ppd 2n~rect ~ Occupancy Lot Blotk Sec/$ub. Iter ? Zoning R 1 Parcel 10 65901 030 Ol Repoir ? Fire Zone NA John A. Johnson Enlorge Q Type of ConsL Vn W Nome Move Z ? # $tories ~ Address Demolish ? Length 78 Ci Phone 6rode ? Depth 48 Sq. Ft. ~ Nome O=M-PedPSSOTl, ITbC• Approvals Fees o uu Address 308 Qak $'~t Assessment Permit 8•50 ~ Cit F'arntinQbDn Phone 463-4555 Woter & Sew. Surcharge 60.50 Police Plan check242.75 FZ Nome Fire SAC 525.00 Address Eng. Woter Conn. 335.00 <W Ci Phone Plonner Woter Meter60.00 Council Rood Unit NA 1 hereby ocknowledge thot I have read this applicotion ond state thot gldg. Off. the informotion is correct and gree to co y with oli opplicoble State of Minnesoto $tatutes d E' of E Ordinances. APC Totol $~-708•75 Signature of Pertnittee ~ ~ lel- A Building Permit is issued to: sqn ThC• on the express condition thm all work shcli be done in occordante with pplica le St e f Minnesota Statutes ond City of Eogon Ordirwnces. Building Officiol . CITY OF EAGAN Include 2 sets of plans, 1 site plan w/el.evations & BUILDING PERMIT AqP,LyIC,ATjXj ~ 1 set of energy calculations. foo O. Date ~ Z-" To Be Used For Valuation Site Address : -364!~r 40j,j7ertj-V?,,f GU /'Ey OFFICE USE ONLY Lot Block Sec. /Sub. ~T F/~'~1N~~ s Erect Occupancy Parcel b(p (o 3 D p( Alter Zoning ~ Repair Fire Zone Owner: Enlarge ''ype of Const. Nbve # Stories Address: Demolish Front ft. City/Zip Code: Grade Depth ft. Phone APPROVALS FEES Contractor: 6t N ~ pG''L7EldSdW.~ ~L Assessments Permit Water/S2wer Surcharg Address: ~ • Police Plan Check City/Zip Code: ~~lLy9/N~l fTJJ~I. /11N 5~.~~ Z'F Fire SAC g~q , Water Conn.~? p d' Phone planner Water Meter G(j O 0- Arch./Eng• : DZZsss?u~!- council xoaa uriit Bldg. Off. Address: APC City/Zip Code: Phone # : 'IOI'AI' ~ ~~7 ~g ~ Z This request void 4-3~ p 2-6(i'I z-3 18 months from _ T -74110 -77100 [7,est D,-tc Fire No. lnspection [ReRoquugih-iredn( ~Ready Now N Wiil Notify, Inspec- I-`~8-8Z ' [Z Yes ?No [or When Ready ~ Licensed Electrical Contractor I hereby request inspection of above ' ? Owner electrical work installed at: Street Address, Box or Route No•LOT 3 BLK. 1 City 3645 WIDGEON WAY,ST. F{2ANCIS W. 2ND ADD. EAGAN ection, No. Township Name or No. - Range No. County . DAKOTA Occupant (PRWT) Phone No. OZMUN PEDERSON INC. JOHN JOHNSON Power Supplier - Address DAKOTA ELECTRIC FARMINGTQN MN . Elecirical Contractor (Company Name) . Contracior's License No.. JEMM ELECTRIC, INC. A40117-5 Mailing Address (Contractor or Owner Making Instailation) Authorize ignatur (Contr ctor/O aking Installation) Phone Number MINNESOTA STATE BOARD OF ELECTRICIT - THIS INSPECT.ION AEQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS ' 1821 University Ave., St. Paul; MN 55104 ' " Phone (612)'297-2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB-00001-03. See instructions for completing this form on back of yellow copy. -~°~~7~110 ? ""X" Below Work Covered by This Request New A d Rep. Typ¢ of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lightiny Fixtures Apt. Building Dryer Electric Heatin Commercial Bldg. Furnace Silo Unloader Industrial Bldg. X Air Conditioner Bulk Milk Tanl< Farm Other Specify Other (SUecify) OtherlSUecify Other Other Compute lnspection Fee Below Fee ServiceEntranceSize il Fee Peeders/Subfeeders #I Pee Circuits 0 to100Am 0 to30Am s 0 to30Am s 1 12.00 101 to 200 ° ps ° 31 to 100 Amps 31 to 100 Am s - Above 2. Above 100_Amps Above 100_Amps Tran er Remote Control Circ. Partiat/Other n Special Inspection . $ - TOTAL FE C,?..?. Remarks Rough-in N~X Date 1, the Electrical Inspector, hereby t~ certify that the above Final Dai?/ inspection has been made. L. This request void 18 months from -vuest void ~CQY\,CIS \D' l0 " o C 8 months from l ~ 74103 ~Co Re~uesLDate-- Fire No. Rough-in Inspection Required? FX)Rdy Now ~ Wiil Notify, Inspec- 11-25-81 ?Yes ONo tor When Ready P~ Llcensed Electrical. Contractor . 1-hereby request inspection bf above ' ? Owner electrical work installed at: Street Address, Box or Route No. LO-I- 3 BLK. 1 CitY 3645 WIDGEON WAY ' EAGAN ect~on o. Township.Name or No. Range No. County ` DAKOTA Occupant (PRINT) JOHN Phone No. OZMUN - PEDERSON INC., JOHNSON 463-4555 Power Supplier Address DAKOTA ELECTRIC FARMINGTON Electrical Contractor (Company Name) . Contractor's License No. ' JEMM ELECTRIC, ING.- Mfig A40117-5 Mailing Address (CoMractor or Ownee Making.lnstailation) ' 20480 JAC UARD AVE. W. - LAKEVILLE MN 55044 Authorired ' nature ( ontrac r/Owner ng Installation) • Phone Number - 469-4938 MINNESOTA STATE BOARD OF EIECTRICITY _ THIS' INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. = Room N.191 ' BE ACCEPTED BY THE STATE.BOARD 1821 University Ave., St. Paul, MN 55101 UNLESS PROPER INSPECTION FEE IS. Phone (612) 297_2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB-00001-03 T,7 / -y , /~p~ ~-1oa See instructions for completing this form on back of yellow copy. ""X";,,f4elow Work Covered by This Request New dd Rep. Type of Building Appliances Wired Equipment Wired X Home Range x Temporary Service Duplex Water Heater Lighting Fixtures Apt. Buiiding Dryer Electric Heatin Commercial Bldg. Fumace Silo Unloader industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other Specify Olher(SPecify) ther (Specify Other Other Compute lnspection Fee Below # Fee Service Entrance Size # Fee Feeders/Subfeeders # Fee ' Circuits 1].50 0 to100qm s 0 to30Am s 0 to30Am s 101 to 200 Amps 31 to 100 Amps 31 to 100 Am s Above 200 Amps Above 100_Amps Above 1 00_Amps Transformers..~r Remote Control Circ. .50 Partial%'Other F,e Signs Special Inspection $ TOTAL F E •0 Remarks 1\\ 1 0. 5 0 f~ . , , R. Rough-in Date 1, the Electrical Inspector, hereby certify that the abova Final . ( Daie nspection has been - i ~ made. This request void 18 months from 2004 RES1DE1V1°IAL PLUniIBING PERiVIIT APPLICATION CITY OF EAGAN 3830 ~~LOT KNO@ ROAD, EAGAtV iVIN 55122 651-675-567 ; Please comy,=e4e fur rnodifications t~ ex€sting residential dwellings. DatE Vq FEAGAN, JOHNSON, JOHN 3645 WIDGEON WAY SRt@ Stl'@@t AC~dCGsS MN 55123 Uillt # (651) 452-7660 I Property Ow~~er ne # ( ) ~ ~~~~MM~~~~~~ ~fq'-~~ Contractor-t~l 21827"'403 ' 3 Telephone# ( ) Address ~~~~~ELD HVE• S50» City State Zip c11 77,;APi 5- 08 The Applicant is• OvrrYer ~ vonkractor _Other - [[Alterations ttr existing d.weliing $ 50.00 _Add fixtures ?ta y ooms, excluding watp-r softener and water heater lS'Q~~ b _Septic Syst::rn r?handon;nen# _Water Turnaround (add $121.00 if a 5f8" rneter is required) Other: _ Water Sofiz,,:°n i,::- Water Heater $ 15.00 X ,en;qrem,-:r; additiona! Lawn lrrigation Systern RWZ~ new _ repair _srebuild $ 30.00 State Surcharge $ .50 Total $ 15. s-0 Ihereby apply for a F?e,si°,~aentia1 F'iurr:oing Permit and acknowledge that the information is complete arid accurav,',)e vvork wiil h.: an ,,.onformance with the ordinances and codes of the City of Eagan anc~ ii;e coJes; tha+: i understand this is not apermit, but only an application for a pPrmit, wcrl, Uir( perrn:t and work wi!( be iri aecordance with the approved plan in the event a k~.W; s.o b~: revi<;wed and approved. ~ ~ Applicant`s Proi#ad Narne Ap i ai-Vs .9ignature RESIDENTIAL BUILDING PERMIT APPLICATION ~ CITY OF EACAN 3830 PILOT KNOB RD - 55122 651-681-4675 0 ~ New Construction Reauirements RemodellReaair Reauirements • 3 registered site suroeys showing sq. ft. of lot, sq. ft. of house; and all roofed areas • 2 copies of plan (20°/a maximum lot coverage ailowed) • 1 set of Energy Calculations for heated addiGons . 2 copies of pfan showing beam & window sizes; poured found design, etc.) • 1 site survey for exterior additions & decks • 1 set of Energy Calculations • indicate if home served by septic system for additions • 3 copies of Tree Preserva6on Plan 'rf lot platted after 7/1/93 . Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE VALUATION JOB SITE ADDRESS IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTYOWNERsef~'Jh?I . ~[Jl/Ii?S'O~'1 TYPE OF WORK 7ef,2 rC,-00 F FIREPLACE(S) _ 0_ 1_ 2 APPUCANT 1 ~D/JS PHONE#~G3 ADDRESS 731"~kVA~ VU- &XK'Lrl Pi/"~' ZIPCODE PAGER # CEII PHONE FAX # rrEw RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY ! Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted I - Energy Envelope Calculations Submitted I l MINNESOTA RULES 7672 ~ - ~ - New Energy Code Worksheet Submitted ~ ~ Plumbing Contractor: Phone Plumbing System Includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00 Water Heater No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # Mechanical System Includes: _ Air Conditioning Fee: $70.00 ~ Heat Recovery System _ Sewer/Water Contractor Pho ~ N ~ ~ k All above information must be submitted prior to processing of application. `t t3y ~ ' ~ I I hereby acknowledge that I have read this application, state that the informati n is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. C ~ Stgnature of Appllcan Certifcates of Survey Received _ Tree Preservation Plan Re Not Required Updated 2002 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool 0 30 Accessory Bldg ? 02 SF Dwetling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Muiti ? 03 01 of _ ptex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) 33 Ext. Ait - SF ? 04 02-plex ? 10 08-piex ? 18 Deck 0 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 lower Level ? 24 Storm Damage ~ ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscelianeous ? 31 New ? 35 fnt Improvement ? 38 Demolish (Interior) ? 44 Siding 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ?,45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* 0 43 Reroof 0 46 Windows/Doors ? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) ' FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Roof Ice & Water Final Other _ Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone _ Insulation _ Windows (new/replacement) Approved By , Building Inspector Base Fee Surcharge • ~ Plan Review . MC/ES SAC >l; City SAC ~Water Supply & Storage ' S&W Permit & Surcharge ~Y Treatment Plant Plumbing Permit , : Mechanical Permit License Search Copies Other . Total ~ };XTEI2TUR ENVEI,OPE AVERt\CE "U" COMPUTnrION ner CTy~i .-Address s Phone gal Description of Froperty: Lot ? Block__LAddition Z'410 Date )Z -3 -B 1 te A d d r e s s ln AVERAGE LINEAL EEET OF E?CPOSED WALL AREA ABOVE GRADE iin level V/f~lL7" Ci ~SLE's To uncFf~~14Te-V i]-2EY~5 Z~ t Lineal it. of framed wal ~abave grade z09 x height of wall F~ 77 g 6~6' a-a im joist area Lineal ft. of rim 3 d~ x height of rim ~ , i :,wer level S'Yz, a-D Lineal ft. of framed wall above grade___7fLx height of wal1.° Z O I~ } Lineal ft. of masonry wall above grade 13¢ x height above. grade , ` TOTAL wall area above grade including windows and doors = 3 7~~ , 1NDOWS: Area x"U" value ; X„U" (U)(A) ake & type sq. ft.______q-~, so 01 !a, aa sq. ft. 010 XfUIf_-_ ° 39, Zo (U) (A) ~ Z-a4. G G.a6 sq. ft. !'S.3 L x U--~-== ~t1A I 5831 '~.f u) (A) sq. ft. X~ Us•~ 7 3S ft') (A) i .~o sq. ft. ~,c' L$ ( ) ( ) nU,' ff sq. ft. x 4 U A ft. 9 D~ 7C nUll ~j.(U)(A) O Y z t Y Z Ft o q flUtI-~---- ~ z, O R (u) ( A) „ 0 Y2J~ 16Y7- PkXa2 sq. ft. , 7 x . 3~ O( ) t1 of f t.. • d 'K 11~111 36 s ~j./ 7 . u r X (u) (A) sq. ft. _ (U) (A) - ° sq. ft. x 'lU" X flUll (U)(A) sq. ft. X ,oUt I I(U) (A) sq. ft. X uUll _ (U) (A) If sq, ft. - ~tUll s (U) (A) sq. ft. X (U) ~A) sq. ft. x ovUle - X nUll _ (t') (A) sg. ft. . nUff (U)(A) X sq. ft. - )OORS: Area x "U" value ake & type 3°?C ~ S th T 2@ s9• f t• x"Un , 0 4;6 = Z. 7 7 (U) (A) Z@ 17.7 7 $q• ft. ~ 5. S4 X'lUll (U)(A) " " a~'~XG a !~/TL. ZX #lUll _ (U) (A) sq. ft. - f~~ X soU,l , ~4-' CL? (A) 74-00 ~G°~ ~Z,Q'nsQ. ft. ~ Z o 3. 54- 73.1 ~ OPAOUE WALL CONSTRUCTION; Area x"U" value sQ. f t. Z . q3 ~~~U~~ • pq 7= Z`6, 3 7 (l%) (A) ~~~~s sq. ft. a7 (u) (A) Detail refer (U)cA>> U„ s Q ~ M ,r'O! 5T A IZE74 sq. ft. '3 5~ X ence from flUe~ (U)(A) MA~oN2`{ W/-tLL sq. ft. ( (t')(A) attached "U~~ _ sq. ft. X X (t!) (A) sheets sq. ft. q. f t. X (U)(A) 3 2 zv~"', 3 . TOTAL Wall Area Including TOTAL (U) EA) Windows & Doors 5 C) TQTAL (U) (A) VALUES AV6. "tJ" I UIVIDED BY TOTAL WALL AREA ~ AVERAGE "U" Minimum .17 or less for 1& 2 family dwellings 'rtinimum .22 or less for all other buildings Nc)TE: Tf avprage "U" values as calculated above do not meet the Energv Code requirements, the "Alernate Envelope Design" as indicated on Page 5 may be used. ~ ROOF CF.ILING Outside air film .61 _ _ d c E u c. c ~-05 ~ Insulation - oz~ D ly~ ' v 11" Drywall .45 Interior air film _ .61 _ TOTAL R 0.~ 3 u = ~/R u = _ • . Outside air film _ 61 - _ . - - = ~ Insulation 9 FK__. j 1 ^ ~ ( ~ Drywall .45 ~ Interior air film .61 - ~ g . ~ ~ TOTAL R = 3,.7, 7? U=i/R u= Outside air €ilm •17 Bui1t_up--nxnf3.nQ - 33 . ~ ~ Insulation _ _ ~ . ~ i~ . Wood decking Interior air film .61 , i i' - - 1 TOTAL R = . U-1/R U- - ROOF/CEILING: 'I'GTAL AREA: sq. ft. _ (U) (A) X Sq, ft; - Detail reference _ (t') (A) ~lUst X sq. ft. - f rom above. _ (U) (A) x sq. ft. nescribe openings - _ (i;) (A) in roof, loUUlt x sqQ ~ • ft. (n) - ofUlt x sq. ft. (L )(A) - - - IfUll x sq. ft. _ (U) (A) TOTALS sq. ft------- (lT) 0 TOTAL (U) (A) VALUES ~ „ ,e, nIVIDED BY TOTAL PUOF/ = AVG. L CEILIt:G AKF.A nVERAI:E "t:" .`:S for ventilated roofs .10 for all other construction Code re uirements, the NtYfF: ]f averaYe . val.ues as calculated above do not meet the En~erry "Altcrnate F:nvelope f)esign" as indicated on Page 5 may be used. l3i . ~ . R-V a l ue FItAMING MEMBERS IN WALLS . . - Top Vi ew Y4tiLL s::C.IUV?tiod _ Exterior air,_film----.•- . IvGTE: ose lUjo . ~ ~ 77 of opac;ue Siding..,... ~ A'fill area for framiri• } SheaChing meu.bers 4;-- soft woad ~ - - 3g" dr.y wall _ ' 45_ Interior air film . 68 1 Z 2, TOTAL R = I ~ ~ ~ U = 1/R U = •0177 FRAMED WALL Exterior air film - Siding . ~o w7 . Sheathing ~ batt insuiation • ~ ~ .45 '1" dr wall - - .68 Interior air fil . u=i/R u= RIM_ JOIST AR-EA,- Exterior air film - ~ Siding Sheathin , __~--r. 1.88 r~ ~ 1 soft ,.lntinn •t ~+vl` ~ ~ ~.i'.x~ .68 . Interior air film - - TOT.AL R = ~ ~I Z ~ - U = 1/R U MASONRY WALL_ .17 Exterior air film - • Z 8_.._ - 12" concrete blocic - Insulation - Interior air film 68 TuTAL R = Z. ~ 3 (2) ~ - - - - ~ U = 11R U - • ~~O ~ ~ ~ 4.~ ~ . . . . . . `-..r ~ _ . • _ - . . . 1 1 ~ ~k"3~~ ? ~ ~ ...a~"1- pf.ty.<. eLJ5( ~ .rz~,a- • j . • - ,d--qi 1 ~~s 4~`1 ; • ~ ~ Li~ ~ . ~i LOT ~ , . ST' T)Y.'.!CK, kc~ 2*~-' tvmo,,,: ; ~ ~ i ~ , s c~ t , i ~ , r j , A:f t tstPUT*' 61y, i ~'afr4TZ,~;, pr&TC), CITY USE ONLY PERMIT RECEIPT DATE: MIXNTIA]L MECH"CAI. PERMIT APPLICATION crrYor EAsuu . sgso PaoT xxoa ftn ER6M MN 55122 651-681-4675 Please complete for: ? single family dwellings townhomes and condos when permits are required for each unit Date: t /Z_4S (o ~ < SITE ADDRESS: G ~ J OWNER NAME: TELEPHONE ~uo (AREA CODE) INSTALLER NAME: TELEPHONE . . . . , , . . „ (AREA CODE) STREET ADDRESS: CITY: STATE: ZIP: Piace a check mark next to the ermit work t e - New residential dwelling unit under constructionand not owner/occupied $ 70.00 ~ Add-on, modification or alteration to existinA dwelling unit $ 50.00 • furnace replacement • air exchanger • air conditioner • other Nature of work: (ef ce_" Co ro State Surchar e $ .50 ~ Total $ i.r _-rp-(,) F-E fl pn ~ . I~ P~ IC. Ll U LS ~ Reminder: Call for inspections. ! , . . SIGNATURE - Updated 1/Ol CITY USE ONLY ' PERMIT RECEIPT DATE: ' APPROVED BY: , INSPECTOR COIVIMEtC1AI. MEC}IMICAI: PE14I1T ~PPLICATION CTfY OF EA6uaEN ' 3$30 i'ILOT KNOB RD ' EAfuAN, hIN 551 E8 651-6$1-4675 Please complete for: all commercial/industriai buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: SITE ADDRESS: OWNER NAME: PHONE _ (AREA CODE) TENANT NAME (IMPROVEMENTS ONLY): WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y_ N. NAME: , INSTALLER: . . , , , ADDRESS: PHONE , . (AREA CODE)1 , . CITY: STATE: , ZIP: WORK TYPE: New construcrion Install U.G. Tank Interior Improvement Remove U.G. Tank Processed Piping ` Specify Nature of Work: When installing/removing underground tank, call 651-681-4675 for inspection by Fire Marshal and Plumbing Iinspector. Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater. i, Underground tank removaUinstallation = minimum fee Contract price: $ x 1% (Base Fee) State surcharge calculate at $.50 for each $1,000 Base Fee TOTAL $ . SIGNATURE OF PERMITTEE Updated 1/O1 Aug 0513 06:45a The Fireplace Guys City of Eapll 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651)675-5694 612-326-1918 p.1 Use BLUE or BLACK Ink For Office Use Permit ax: agg9 Permit Fee: IO f 22 Date Received: '3160 I J Staff. 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: /5 /!3 Site Address: 3‘,Yc vJm Unit #: Name: 1-17 VN 1.O1,1nSOi Phone: t(.51) Li52— 766o Resident! Owner Address / City / Zip: .3 b t(S 1,U ; G� (Aeon ("JAI f gt.,/ .n , /Y?!',i S 4 1 23 11 Applicant is: ) Owner Contractor T e Of Work ' Description of work: -rid C 1 i rf \k (e 1 r s -I -c tx 33 t: •'1 r.l yp Contractor Construction Cost: ) 0 . n 0 Multi -Family Building: (Yes / No 1( } Company: T\'tL 1:171 r' p ICc Le �; i r }; S Contact: ii_n-i'hi,°Li.n )-grins./v Address: 6 g /i i til - /) G City: 0 Ct k-nr (? State: IK IV Zip: 5-V)2,8" Phone: (6/7.) 3 j %l License # C. j N J'9' Lead Certificate #: A/A T - r 1 G,?11 0 --) If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at 1651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www•gooherstaleonecall.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 I understanc this is not a permit, but only an application for a permit, and work is not to start without a perma; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. 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. x )61-1.11401 ill-riase,;1 Applicant's Printed Nam6 L ys Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA150536 Date Issued:07/13/2018 Permit Category:ePermit Site Address: 3645 Widgeon Way Lot:3 Block: 1 Addition: St Francis Wood 2nd PID:10-65901-01-030 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. 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 - John Johnson 3645 Widgeon Way Eagan MN 55123 (651) 452-7660 Krech Exteriors Inc 5866 Blackshire Path Inver Grove Heights MN 55076 (651) 688-6368 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA152493 Date Issued:10/17/2018 Permit Category:ePermit Site Address: 3645 Widgeon Way Lot:3 Block: 1 Addition: St Francis Wood 2nd PID:10-65901-01-030 Use: Description: Sub Type:Windows/Doors Work Type:Overhead Garage Door Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 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 - John Johnson 3645 Widgeon Way Eagan MN 55123 (651) 452-7660 Twin City Garage Door Co 5601 Boone Avenue North Minneapolis MN 55428 (763) 533-3838 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA155470 Date Issued:05/16/2019 Permit Category:ePermit Site Address: 3645 Widgeon Way Lot:3 Block: 1 Addition: St Francis Wood 2nd PID:10-65901-01-030 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 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 - John Johnson 3645 Widgeon Way Eagan MN 55123 (651) 452-7660 Pella Northland 15300 25th Ave N #100 Plymouth MN 55447 (641) 670-7051 Applicant/Permitee: Signature Issued By: Signature