Loading...
3653 Widgeon Way 1~`". ~ „ _ , - ` , , . ~a. , ` . CITY OF EAGAN WATER SERVICE PERMIT 1830 Pilot Knob Road F. G. 8ox 21199 PERMIT NO.: Eagan, MN 55121 DATE: 7--2a-R-1 Zoning: KI No. of Units: 1 Owner. 5unwoOd l:riargy 110me: - Address: Site Address: 3653 ?r'3dgeon Wax, L5 131 St F'a.-icis Wood Znd Plumber: Sauber Plbg Meter No.: Connection Charge: 450. ao tad Size: Account Deposit: t1 Reader No.: Permit Fee: 10.00 2 1ggm to eanoly with Nhe Gtp of Ea9en Surcharge: . 50 Ud Gdinanoa. Mlsc. Charges: 67• 30 Rd meteT Total: gy Dote Paid: Date of Insp.: Insp.: CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road ~-,1~ P. O. Box 21799 PERMIT NO.: vV Eagan, MN 1;51121 D11TE: Zoninp: No. of Units: pwner. Sunvrood Energy Homes ' Address: Slte Address.3653 Widgeotl i+Fay LS 31 ;t rrancis Woo 2n Plumber. SaUber Plbc• 7-26-83 37464' 100.00 pd 1 eom to empy wiM e6a Cihr of tagoe Connection Choroe: 425. (}0 R,cf Oedinanm. Account Deposit: Permit Fee: 10, tin ucl Surcharpe: _ Bv Mise. Choryes: Date of Insp.: Totai: Insp.: Date Paid: CITY QF EAGAN 3793 Pilet Kaob Rood Eogan, MN 55122 ~~.Cj J " ' PHONEs 454-8100 BUILDING PERMIT Receipt # To be wed forSB llWG/GAR Est.Value $90,000 pOte Tuly 26 , 19 33 Site Address 3653 WidgYeon Wav Erect , ~y{~] Occuponcy '•t--3 Lot 5 Blxk 1 Sec/Sub. S t. rrancis WOUd Alter p Zoning R-1 Parcel # 10 65901 050 01 ?Ild Repoir p Fire Zone i1A Enlorge ? Type of ConsG ~ n ae Name Sunwood EnerAy Homes, Inc. Move 0 # Stories 2 Z Address P• Q• Box 24401 Demolish ? Length3$- ~ City A e Va phone 431-6$44 6rode p Depth _5_4-Sq. Ft. _ o Approvals Fees Name _~LTZlPr oU Address Assessment Permit 403.00 u~ Cit Phone Water &$ew. Surchorge ~+5 .00 Police Plan check 201.50 WW Name Fire SAC 525•00 FW x~ Address Eny. Water Conn. 1uQ .,,.i.lQ ~W Ci _ phone Plonner Water Meter 60 •lO Council Road Unit ---~=r4 1 hereby acknowledge that I have read this application and state thot gldg. Off. the information is correct and agree ta comply with oll oppiicoble APC Totol $1~~i4.5U State of Minnesota Statutes and City of Eogan Ordinances. Sipnature of Permittee unwoo ner~=;y L omes, Inc. /1 Building Permit is issued to: on the express condition thnt ell work sholl be done in occordance with oll opplicoble Stete of Minnesota,5tataTe-Vond City of Eogan Ordinances. Buitdin9 Officiol Permit No. Permit Holder Misc. Permit No. Holder Plumbing '7~j5 .7 H.V.A.C. Well ~ Water ~ Disp. - Sewer Electric Q~ •2~'~'•3 1N0S4b9"8' 13~.5'~ Inspection Date Insp. Other Footings Foundation Freming d'// -~p D1•, IIs~~CCe $-10$3 6t LLD Rough Plbg. Rough HVAC ~ Inwlation Final Plbg. -?7 w Final HVAC Final Water Describe Location: Well _ Sewer w _ Pr. Disp. _ CORRECTION NOTICE ~ i ~ DATE: , ~ ~ " ~ ~ Address Site Name r-' Owner/Agent Telephone Owner/Agent Address ~l r Ordinance Nos. and Corrections - Correct By _ l i~F %~.6 , r.f'~ ~ • ~~•efv~i ~r i ~i G~ . ....a.._ . . . ~ ~ f• wr~u For'reinspection,. ' t • Eag,un Dept. of Inspection 111SpeCtor: 379P Pilot Knob Rd. Eagan„ Minnesota 55122 45431.00 ~ Dept.: ~ x .11 1 1 t- * ' ~7 ~Y~ ~ ~ ~3~~~ ?li `y~l ,~1~p~~ . ~tg _ ~ .5~, ~Il~ ,ti ..m< @ t . e.t-s-?c:,_.,, ~c. t.~.:is . ~°[Sv r . ~,1 ~^__c ; -°.+c _ ,-=_T-~a~~~c~-c-' d ~ c: . ; ~A- - - - _ - - - - - - ~ Trrtt#.tratt uf (Orrupanry ~ QCitp of (tagan / Dr,pttx#mpttt nf Buiibing 3ns.prrtirnc ~ Thit Certificatc i.rsutd Purtuant to the rcguiremcnu of Section 306 of the Uniform Building Codc urtif ying that at the timt of issuarae thit nructurc wa.c in complianct with the variou.r ordinancc.r o f the City rcgulating building connruction or u.rc. For the following: I % ~ . ~ a~` 'I SF DWG/GAR 8288 Ur ClueHeatim Bld{. Pemdt No. ~ o~~r ~'rm R3 na c~,u~~ Vn F~R z~d NA zon;ns n~t~ct Rl . ~,~at~~s Sunwood Energy HomeAqd. P.O. Box 24401, Apple Vall? h' ~Ma. 3653 WidQeon Way Lacal;,yLot 5 Block 1, St . Francis ~ Wood 2nd 'BwWnq oMc., t3~_ n,t.: September 29, 1983 ,4 ~ j A c~ww,. `~.,vr:.._..,.va'~;~-:~-a~s. . - - . • _.,:...,.a~aa:.a~.t.._.^'~.~:s.=a.e. ~_a.-:~:a.._...~.:~m..l / ;yqe : , ~ A~ > ~Al~` t. ~ II~..• t& 1 11 ~ p. Permit Receipt MECHANICAL PERMIT No. . CITY OF EAGAN ~ - i , Fee ` Fill in numbered spaces S/C Type or Prini /egib/y . Tot. 1. Date ~ 2. Installation Cost ytn lnu j 3. Job Address vLot 15 BIk. ~ Tract' < 4. Owner 5. ContractorCJiE'n/'JI-.v Phone ~~~3 V- 6) fi. Address.f cZ 7. State j j%/..! Zip - y~-;- 8. Building Type: Residential 6 Commercial ? Institutional ? 9. Work Description: New LQ Add ? Alter ? Repair ? 10. Describe Fuel Type'rt~ 16_// 1 11. No. Estuipment STU - M. Ea. No. EQUiament CFM i - - ~ Forced Air Air Handling: ' Mfg. ~ Boilers Mech. Exhaust Mfg. Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : _ • ~'i.~„ 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 Permit No. c:L ~ CITY OF EAGAN Fee fill in numbered spaces S/C Type or Print legibly Tot 1. Date . 2. Installation Cost . 3. Job Address = Lot ~r Blk. Tract 4. Owner 5. Contractor Phone - ' 6. Address 7. City - • State Zip 8. Building Type: Residential U Commercial ? Institutional ? 9. Work Description: New ID Add ? Alter ? Repair ? 10. Describe 11. No. Fixtures No. Fixtures Water Closet Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner Shower Well Kitchen Sink - w' Urinal/Bidet Other_ i Laundry Tray Floor Drains Drinking Ftn. - , ~ Slop Sink ~ Gas Piping Outlets ~ ~ I 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 CASH RECEIPT , CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 ATE 19 RECEIVED Z FR KL AMOUNT $ I & DOLLARS +oo ? CASH ? CHECK FOR FUND CODE AIAOUNT Th You w - - . . BY vWhite-Payers Copy Yellow-Posting Copy Pink-File Copy l " Receipt PWMBING PERMIT Permit No. CITY OF EAGAN Fee - Fi/l in numbered spaces S/C Type or Print /egibty - - - Tot. 1. Date 2. Installation Cost 3. Job Address ni Lot ~ Blk. r Tract C+. ' j ~ i 4. Owner N r, i~<~ ~n !1 ~vt t~r? c,r ~ t 5. Contractor t ' , Phone 6. AddreSS r•~ r 7. City State Zip 8. Building Type: Residential Commercial ? Institutional ? 9. Work Description: New ? Add ? Alter C7 Repair O 10. Describe 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 CITY OF EAGAN Remarks Addition ST. FRANCIS WOOD 2ND ADDITION Lot 5 sik 1 Parcel 10-65901-050-01 Owner ' `-6 , - Street 3653 WIDGEON WAY State , 2 Y1L14 tn /,1 , n Improvement Date Amount Annual Years Payment Receipt Date STREETSURF, Y7 1981 86.84 17.37 5 17.40 A 013631 3-9-84 STREET RESTOR. 1983 2675.93 535.19 S 1605.57 A 013631 3-9-84 GRADING 1983 610.85 122.17 5 366.51 A 013631 3-9-84 SAN SEW TRUNK 1983 316.84 63.37 5 190.12 A 013631 3-9-84 *SEWERLATERAL "xfl 1983 5510.68 1102.14 5 3306.42 A 013631 3-9-84 WATERMAIN * WATER LATERAL 1983 5 WATER AREA 1983 316. 84 63.37 5 190.12 A 013631 3-9-84 *Services 1983 5 STORMSEW TRK I 2, 1983 670.74 134.15 5 402.40 A 013631 3-9-84 * STORM SEW LAT 1983 ' S CURB & GUTTER SIDEWALK STREET LIGHT WATER(;ONN. 450.00 37462 7-26-83 HUILDING PER, 8288 SAC 25.00 PARK , CITY OF EAGAN N? g2$$ ' $795 Pilot Knob Rood Eogan, MN 55122 ~ PHONE: 454-8100 • BUILDING PERMIT Receipt # To be uted for SF DWG/GAR Est. Volue $90,000 Dote July 26 , 1 q 83 Site Address 3653 Widgeon Wav ' Erect )a Occuponcy R-3 Lot 5 Block 1 Sec/Sub. St. Francis Wood Alter ? Zonin9 R-1 Parcel # 10 65901 050 Ol 2nd Repoir ? Fire Zone NA Enlorge ? Type of Const. Vri 99 W Name Sunwood Energy Homes, Inc. Move ? # Stories 2 ; Address P.O. Box 24401 Demolish ? Length~_ Phone 431-6844 Grnde Depth 54 Sq. Ft. b Ci Apple V3112y le Name OwnPr Approvals Fees 0 ~ Assessment Permit 403.00 oU Address 0 u~ Cit Phone Water & Sew. Surcharge 45.0 F Police Plon check 201.50 °C Nume 525.00 F,"'., Fire SAC Address Eng. Water Conn. 450nn <W Ci Phone Planner Woter Meter 60 . 00 Council Road Unit N/4 1 hereby acknowledge 4hot 1 hcve read this opplication and state that gldg. Off. the informotion is correct and ogree to comply with oll applicabie APC Totol $1684.5~ Stote of Minnesoto Stotutes and City of Eogon Ordinonces. Signoture of Permittee unwoo nergy omes, Inc. A Building Permit ts issued to: 11 on fhe express condition thot ali work sholl be done in accordance with cll oppii St te of ' nesot s ond City of Eagan Ordinances. Building Officiol ~ . ! ; CITy pF EAGAN Include 2 sets of plans, 1 site plan w/elevations & BUILDING PERMIT APPLICATION 1 set of energy calculat:ions. Zb Be Used For " , Valuation Date site Aaaress ~t9 53 tA i~YLDY~ ~&L)X- ' OFFICE USE ON,LY . Lot 4-"Block ~ Sec./Sub. 5T. lC/`Aw C:5 r,ect Occupancy . IQ 3 Parcel o ~ 056 bt W e 06 '0t Aj*jAlter Zonirig Repair Fire Zone Owner: ~n ~~Je ~'YPe of Const. Nlove # Stories Address: o 0 Denrolish Front ft. City/Zip Code: Grade Depth s ft. Phone APPROVALS FEES Contractor: ~!¢rnL~ Assessments Permit ~ Taater/Sewer Surcharge 9 Address: Police Plan Check City/Zip Code: Fire SAC 2.5 g1q, Water Conn. -V5 CU Phone planner Water Meter p Council Road Unit /V Arch./EncJ• Bldg. Off. Adclress : ~ 3 ? UUx?-~ 2 J5~ APC , City/Zip Code : ~x s "0~ )x,a?) Phone # : 'IOTAL ; ~ . . This request void -2:4 ~~M A- A l~ 18 months from 0 5 9 6 8 So. oc:~ Request Date Fire No. Rough-in Inspection Required? T[DRead, Now.ZWill NotifY. Inspec- " ;Z,S ' 9Yes ? No [or When Ready ~ Licensed Electrical Contractor I hereby request inspection of above ? Owner electrical work installed at: ` Street Address, Box or Route No. City 3 L% 6_3 WrDc /6~ ,ag s~ ectron o. Township Name or No. Range No. County Occupant (PRINT) Phone No. Power Supplier Address Electrical Contractor (Company Name) Contractor's License No. dJc:ll_ Mailing Address (Contractor or Owner Making Instaiiation) Authorized Sign t e(Contractor Owner Making Installation) Phone Number THIS INSPECTION REQUEST WILL NOT MINNESOTA STATE BOARD OF ELECTRICITY Griggs-Midway BId9• - Room N-191 BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS 1821 University Ave., St. Paul, MN 55104 pti- 181121 297.2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ' See instructions for completing this form on back of yellow copy. BeJow"IN~r~Ao`'er~~'ed by This Request 3 ~ Sv'~2 7 Add Rep. Type of Building Appliances Wired Equipmen[ Wired Home Range Temporary Service Duplex Water Heater Lighiin,y_Fixtures Apt. Building ;9C Dryer Electric Heatin Commerciai Bldg. Furnace Silo Unloader Industrial Bldg. ~}C Air Conditioner Buik Milk Tank Farm Other peci Y Other (Specify) t er Specify Other Other Compute /nspection fee Below # Fee ServiceEntrenceSize # Fee Feeders/Subfeeders # Fee Circuits 0 to 200 Am s 0 to 30 Am s 0 to 30 Am s Above 200 Ampsi 31 to 100 Amps 'j j° 31 to 100 A s Swimming Pool Above 100_Amps Above 100_Am s Transformers Irrigation Boorris iSD Partial,'Other Fee Signs Special Inspection ~ $ TOT EE Remarks t• o~ Rough-in Date I, the al e ~~Inspector, hereby certify that the above Final Date inspection has been _ made. This request void 18 months from 2006 RESIDENTIAL MECHANICAL PERMiT arrLlcaTaoN City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please compiete for: single family dwellings & townhomes/condos when permits are required for each unit Date 5ite Address Unit # Property Owner ~L fY~ ~ S Telephone # Contractor StANDARD HEATING & AIR CONDITIONINC 410 L K RE T Street Address MINNEAPOLIS, MN 55448 City State Zip Telephone # ( ) Bond Expires: . The Applicant is Owner ~ Contractor Other Add-on or alteration to existing dwelling unit $ 30.00 ~ furnace _Additional _XRepiacement New _ air exchanger air conditioner _ heat pump oiner State Surcharge ~ [E QC~ ~c, 0,. ~,\q [E ~ $ .50 , Total $ :RR) - I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Cod • t I understand this is not a permit but only an application for a permit, and work is not to start without a m' • that the wi 1 in accordance with the appr d plan in the case of hich requires a review and approval of pl . Applicant's Printed Name Applicant's Signatu e t 2005 RESIDENTIAL BUILDING PERMIT APPLICATION i - City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 I Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reau+rements RemodellReoair Reouirements Office Use OnIV 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Ced of Survey Recd, = Y= N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd _ Y_ N. 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres: Required _ Y_ N 1 set of Energy Calculations Addition - indicate if on-srte septic system On-s+te Septic System _ Y_ N 3 copies of Tree Preservation Plan 'rf lot platted after 7/1193 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Date Construction Cos Site Address '0053 !.(,//dQ(e0/i lbl av Unit/Ste # Description of Work RemaVe and rt? d)CfCe Aree dE` ckS' . Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 r 1 _ 2 Property Owner UOb at,d Paf KJe ckG r Telephone #(6$'/ ) l0 ~3(~ Q Contractor S~ (`,1,M 1'QCG G' (,l !f 1d ~rs t Address /53!? Pi'Y1C-' ROQC~ Ng, City Priar 4aRe State /q 1,01r1P,!'D fCt Zip :2.2 Telephone # (q5,Z),g/O . /,os COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 CategorL Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submission type) Submitted Submitted . Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N if so, 25% plan review fee applies. Licensed Plumber Telephone # ( ) Mechanical Contractor Telephone # ( ) Sewer/Water Contractor Telephone ) I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan ' the case of wo which requires a review and approval of plans. 14 chctrfes dcryt anvl _ , Lji l 05 Applicant's Printed Name (~;e~ Applicant's Signature ~ OFFICE USE ONLY ? Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alf - SF ? 04 02-plex ? 10 08-plex pf 18 Deck ? 23 Porch (screenlgazebo) 0 36 Multi Misc. O 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior. ? 44 Siding 0 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration 11 37 Demolish Building* ? 43 Reroof ? 46 WindowslDoors 34 Replacement *Demolition (Entire Bldg) -'Give PCA handout to applicant Valuation Z4Occupancy ~-3 MCES System Census Code Zoning fz City Water SAC Units Stories ' Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) _ FinaUC.O. ' ,)~O Footings (deck) ~p Final/No C.O. _ Footings (addition) _ Plumbing _ Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final ~O Framing ~ Siding Stucco _ Stone _ Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows _ Insulation ~ Retaining Wall Approved By: Building Inspector Base Fee Surcharge ~ Fpc-Al ecle- 1eS5 V" 3,~~" Plan Review /-He cr~~'v ,?D If i'? V L es,S `°A 't' Ser MC/ES SAC City SAC ~..2~ iZe*Ja- ~ ~c.k.S 5:r?- c k-~D f7'hx Utility Connection Charge S&W Permit & Surcharge ~ee- Treatment Plant License Search Copies Other Total , ~ • 0010 ~ 56 ~ • e• o O O O • • i ..nr,W+•. ~ J ~ ~ .~r_~ r-t .a `j sl`,~% - ~ • Q„ ~ 4 4. V•, a ~ r ~ ao \(p dI ~ h ~ ~ • ~ 2 1i~ 3o i 0 ~ - • $fo1' •O ~ \ 1 ~ ; ~ ~ ~ ~ 60 \ ~ Zo.o Olr\ 1 • {o to ^ ~ 1 h \ . ~.a ~ LL ~ ,n l, X ry ~ l ~ u \ °o f 5\ ~ O'~ \ 1S it O • ~ L i.. p~..i , ) : % % \ \ ~ W 1~E t-RIPT1oN o LoT 5~6 LoGL. 1~ h~ fT. FCAtJCK woo v ~ 4E40044 40614T1oM, +GO?I.E 1"=30' ~r?r,,o~i'A Ca~~?t~ ~l, /a.1. ~EAR1N~ A~K ~ ` M6 M NLR 1ro-CA e pEMffE4 IRM MoWl1AffNR I hereby certify that this survey was prepared by me or under my direct supervision and that I am a duly Regietered Land Surveyor under the laws of the State of Minnesota. Dat e: J u^e 7~a t 9x3 LeRoy . Bohlen Registered Land Surveyor No. 10795 ~i li 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan ~j 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Ij II Please complete for: single family dwellings & townhomes/condos when permits are required for each unit IlDate~/~/ ~I ~ Site Address 3lU 53 Unit # I ' ~ i Property Owner Telephone ~ I Contractor Street Address City State Zip Telephone # (CQJ~ ) ~~-8 f Bond Expires: I The Applicant is Owner J.-eontractor Other._ Add-on or alteration to existing dwelling unit $ 30.00 Q I furnace Additional ~Replacement ? CJ ~ I airexchanger - ~ II - - _ air conditioner _New _Replacement other - li I~ li State Surcharge $ .50 II II Total $ 30%so ~ II Ij I~ I hereby apply for a Residential Mechanical Permit and acknowledge that the ' rmation is complete and accurate; that the work will II be in conformance with the ordinances and codes of the City of Eagan a wit the Mechanical Codes; that I understand this is not a m ut only an appl' tion for a permit, and work is not to start ithout permit; that the work will be in accordance with the li ' II appr ve plan in the c e o wo k whic req 'AE: review and approval p ns. II Applicant's Printed Name App icant's Signature li li II 2005 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: commerciaUindustrial buildings multi-family buildings when separate permits are not required for each dwelling unit Date Site Street Address Unit # Tenant Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) Contractor Street Address City State Zip Telephone # ( ) Bond Expires: The Applicant is Owner Contractor Other Work Type New Construction _ Underground Tank _ Install _Remove ""see be/ow Interior Improvement _ Install Piping _Processed _Gas Nature of Work: **When insfalling/removing underground tank, call for inspection by Fire Marshal and Plumbing lnspector Permit Fees: $70.50 Underground tank installationhemoval $50.50 Minimum (includes State Surcharge) or Contract Value $ x 1% _ $ Permit Fee • If ep rmit fee is $1,000 or less, add $.50 $ State Surcharge If ep rmit fee is over $1,000, add $.50 for every $1,000 eQ rmit fee $ Total Fee I hereby apply for a Commercial Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name Applicant's Signature Approved By: , Inspector Date: w 6-7 RESIDENTIAL BUILDING PERMIT APPLICATION ~ CITY OP EAGAN ; 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 ~ Now Construction Reauiremenis RemodellRepair Reauirements • 3 registered site surveys hs iw ng sq. ft. of lot, sq. ft. of house; and all roofed areas • 2 copies of plan (206% maximum lot coverage allowed) • 1 set of EnergyCalculations for heated additions • 2 copies of plan showing beam & window sizes; poured found design, etc.) • t site suroey for exterior additions & decks • 1 set of Energy Calculations • Indicate 'rf home served by septic system for additions • 3 copies of Tres Preservation Plan N lot platted atter 7/1 /93 . Rim Joist Detail Optbns selection sheet (bldgs with 3 or less units) DATE VALUATIO rI y 7 *3" y~ SiTE ADD S 3C~~ ce~ ~ ~A I MULTI-FAMILY BLDG Y~N I TYP~ OF W1~RK '2 0 e,-( , FIREPLACE(S) _ 0_ 1_ 2 ~ APPUCANT,a&e1cao-- ~~e ~d~a~vy [~f~~c.~'~ro~c~?ov.~'',Z.YY'. STREET ADDRESS l~ D 17 Nit o/!PT A,~e S~ CITY6L rM "I /if STATEY{v ZIP ~ - - - ~ - - - - TELEPHONE 9T5a-909-K57f CELt PHONE#' - FAX il PROPERTY OWNER'~c6f+" f~ TELEPHONE COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY , I Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672 (q submission type) • 12esidential Ventilation Category 1 Worksheet Submitted i • New Energy Code Worksheet Submitted • Energy Envelope Calculations 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 I: Sewer/Water Contractor: P e# ~ JuN J s 2002-- i~ i I hereby acknowledge that I have read this application, state that the infor tion is correct, and agr~'e to compiy with all applicable State of Minnesota Statutes and City of Eagan Ordinanc y„_._ _j Signature of Applicant0IW1 lol. ~ i OFFICE USE ONLY Certificates of Suroey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 00, 0/ ~ 16 ~ 1rr ~A~~ 11 `?3~ I ~ N .t~ ~ . ~00p0~.•• 0 40 / \ f • IO ~ / ~ ! ~ 'L~..33 I . ~i 30 ~ 10 0 ow \ ~ ~ 1~J~E O ~ • \o 60 ~ ~ Zo,o 0 U•\ , ~ ?l \ j - 00 ~ W ' 1(i u ~~tti ~o ~ ° °D ~O .00~ • / \ ~d° 1 O p ~ \ 5 ~ • 4 4~~ ••s % % \ J . ~'~S , 1.oT S ~ 6tW-oGtc- 1 o #T. FItAMCI4 W oo v h ; t~t0 R.'r M *6w644 4,061'reo +&d?I.E 1"x3v. VI?"TA CdV1?tT 1r, /X1. $EAitiW4f A44f M~ U N a +o1'A e pEWrE4 IRft MoMMINT I hereby certify that this survey was prepared by me or under my direct supervision and that I am a duly Registered Land Surveyor under the laws of the State of Minnesota. Dat e s t 9 R 3 LeRoy . Bohlen Registered Land Surveyor No. 10795 df, 4 ExTt.RxoR E:avr•;Lr>Pr•, ntrEMcM "u" COMPt:rnTtonr nnTE .._...,a~.... ~ • OM 11AUFi~S~S ; ~ Pf IONE : _ t?XTR?1CT'?Ri ~v Determine working square foatage: of each JTotal, cxpased walZ area...... sq. ft. x .17 2.' 9bal roof/cei3.ing area . a . . . , sq. ft. x ~05 .r.. ° ~ • Tatul exposec3 wall area above floor- a.'Tcstal. wall window area . a... Total c7oo r r.P. a . . . . . . . . . . . . . . . . . . . . . . . . . . > . . . . . . , . . . . . ALI- c;. Ta`.a1 ali-Jzn-4 gla::s 3our area . . . . . . . . . . . . . . . . . . . . . . . .a9 1 d. Total fireplace wali arca, a. 'I'otul wa11 fxacring 'axea (average lo%) . . . . . . . . . . . . . . . . . . f. Total rim joist arf:a . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . g. Z.%@~_ wall azea abovc f:Ioor.......................... Yy. Vor,T°.W.-..`~PA. VrW . ~.+~t i. wal.l arra above floar.......................... J. ;aa11. area abe,vr, floar . . . . . . . . . . . . . . . . . . . . . . . . . . . Total exjwsed fouiidat;ion area = k. 'o'aLal fa~u:datian window axea . . . . . . . . . . . . . . . . . . . . . . . . . . . x; Total net_foundatian area above grade ~ , Detemine "tJ° value of each wall segment (~e. g.'~r.indc~w, door, each separate l,~all. SectiOtl) . A • x N ~ ..rw+...r.,. ~ • A.,~.. . }f.N ' ~ . • . . Ga tt ;is-id• *n~s:. ~ lM t!sa ! i ~er . . ~tt09 ~ ~ 23 . ~i ytk i ~ + ~ar C• Y? V yq~4 r4Y a • wwwwm it « ~~n ammmw=mo Z b'}' tl CS ~w ~ 5 ~x A M x "uN • oy ~ p , . . ~ ~ . 74- s:~'•,:', ~ 9 • ' x #,i~s+ o a h. oeLa _ ~ _ _ x "uto :iL' ztetn 4'3 is the szme as, j . X uU" or less L•han ite:m #1. You mrt t1to. intent c>f k•..,..._._._,~__ ;;y3^ 6006 (c) 2. x U . - ' , , , 6~lor ETfYelClA!?exBgQr -l7°' cOmpUtatiOt1 1'"Afje 2 Of 4 • ,tf ~v ty ~ . . ~ $ kN Tatal expc~sec~ 'rract/coilxng area =1 P ~~N~~~~r' 13~~aR~ea . . . . . . . . . . . . . . . . . . . . . Ac n.'; ~c~~'j+~e~:~:ir~g ,f~x~ing area (avera~,~c 10+~) . . . . :f'~3 ~ '.5t y~, t ar S ~4~'~1. ~ar~~J~cc~iling ~ e s , . • • e • . • ~.....~.~...r - . . r n ~"*Alu@ flir diA 7CEiGffCt3~lit'tCj 88gffl~,*flt ~ 1''~'a k~k= 1~S+ hnq -~t g q e9~ j;. _ ,i~ . . . i y^t i t tf ~ z t*4ti x't'~ ~ h. 90 A 4`~ F ~ i ! „ ' ~+~,t ~ , ? ' ` i?A ? . . x i ~.i. ~ J~,« { A . . . . . . . [.rr~?~ ; ~oM:a~+/.?•e••~.ris~'r•e«•?•as~aer .C~ e . . S F iv. d ' . . . ~ . . ~ . . ~ If tatal of #9 is the same as, or Aess 1:han #2, you h~zve met the: intciit of S4< ~ q OBC 6006 fCj 1. , ~~ernatL.' BU1~C~1ng 1:riVC.1O d: De51 Fl To utilize the tgtal envelape'systern methad, the va2uc=, esrablished by t3ze 4;um of Items #3 and #4 atia2,1 not be greater than the sum Uf items. #1 ar2d #2. e . + .L ? ~s.~w.+.~.++~..+...ww T d s 50 ~ ...........m... . _.e~~..,..~.e~. . ~ . . . ~ 1 4 ~ *7 , 3, + ~d. ~ ~ . , i~ t . ~ . ~ -sL ~ g~ r f ~i M ti ~l~ N ~ ~ [ A { :.M . . . . ~ . , K M 1 a'. - . ' . . ~ . T ~ # ~ . . ~ • ~ . ~ . . . ~ - . ~ . . VA VAGt,~_,E' . of 004ua. Wall area for ,consL•ruction pk l~ ` )j~ • ' ~ ~".~Y~~' ` w.~~. ~ i a~ 4~~,'-i l~.tti.,:~.~ ~•...~X.~ ~ nY i.-~^~ 2. 30th .i~~r.1 4 f~ .(e.:~. 0 .17 ~ • ic • 6 , x t r z , s i r F ~ l m G~ 0 v , : FI~. ~ 1 TOflVir31 4r 0.69 EltitdU.: t,fAL.S, 1. In t c ij or. a 1 r . . 2. ' ti f~ `i F'_~3 .C~ w.....~~.~ _..._...~...w..... -77 7 oBC~ . R , , • a . ~ N ~.~T.~-. {..1..~~......w....._..__._.. ~ ~ ~ s• , ...~~.~_...~IQ 7- ~r ~..,,..,,...~.....-,~......~........w ~ G. F.xterioz air film 0.~ r ~ F 70 La7 l Lr t' ~d+~ !'IG. 02 ~ • a . , C) T n tc~ r i o rai r f ~..1. m ~-~0 °60-~~ ~r 16 ~t 01 2.° " • " G . i x Y cc i c, r sz i t 0.17 . ~ -t . _._._.._~...,.w._.._9`0l i .L ~»'c~• ~ ~ . v ~t , ' ? ~5~' ~~~~f '•,/~+y • • P . y ? 1\ ~ s k 1 . ?`i'. ~ ~ , ' ~ 1 x i , )1' t\ 1. r f i :1^. . ._..e~.__.m.-...._+ k ~ ~ ~ ~ ..~..,,~.r,.,..r•.w... ...~r....-.r..,.r~..~b...~i1~3 ~ 2 ~ ...._.,~.m_ _...,..7-~- . ~ ~ ~ . ~ 3 . 6l ~.a.w LL,'> r ~ ct • , ~ ; ~ ~ ' , ` . ~'"~~'•n0 c c • G. x fi c r a o z~ x i ~ 1 ~ io.1'' ai r~ ~ (J R . ,j' °~i ~ .~I, ~,o•, . . ~ ,.~,_...._....a,.._ ' ° tb YPr • • SL718 ON 'GPApE . , ~;a,,;t„ • e JA~~ r g a~#~~ ~ . • ~ ° • ~,f •i• ~ie`~ . • : ~s r yr ~rr'~y~y ~ . . Il~j ~i'~•~'' t . s a ~ ' i • s_ , ~{a.~.,r ~ • ' ~ , .r , + ~i~' " - o • • '1!( . ' ' ~ , t . ~ ; ? . ~ I f ~ / .r. ~ e .,.r / t ~ ~ ~ s • ! f~ ` ~ . . • ~ ( ~ = /l~` {fl ~ = , lfd, t . 1~.~1 ~ f ~~I . . ~ • . A~? FZC?• 04 ~ Y` Yajx~ej dCp1:lZ and. . +o _ , ° c,_ ~,'a~:{~~,rn~. oz i;,sulr~ticn. • . - . " • 9 _ y . .p C".`,•. ..^:.twT`:S'".'^:.. . ..~..-...~...~...+.,,w w..a...+i.. .~i•.ur++. ~n.on . @gtyqs`-~ . . . ~p~%~EI7.~:i~; _ , • ' • ~"F , • a Con5trtar:-t ior7 ~ . . . { r • , f?,G1 ~ . ~ xntcr. ic~r i c' f tl c~, ~ • ~K._..._~~...W ~ ~ . . r-..._ .e. ' ~ ' ; r ~ • "~,~~~''...r°.~ ' ~ ~ _.........-.-...-,q w~' ~ ~ r ~ • ~'+7~t'.l: ~ ~ 'X.' e~ 'A~ 1. ~ 11 ~ ~ l' 1 1 1 ~ ~ k~ +N ~ \1~~1 . . ' ?`~4~~' ' ~ ~ • " ~ " ' oz ~ , , . ~f s ~x + • , ' ' f ~ ay1 Q+ ' K lClt" Y'. S. C ~ ~,.ry"a . . ~ J..G~ tBt~ ~eaC f lacd • . ~ ~.J ! . . ~ ~ . ~ u i- . ~ . ~ , • a ~ , i . ~ t ~ ~ 157' . . ~G. 15~ o 2A.. , • ' , •w t,, t., r i 7•... . " ?6~.f1~.. i.+~,st..~ - ! , ~ y; ~ ~ , . ~ '~,.~.~.a,.~.. ..w.r..,w r.. . 4rr+~^,.+^'~... ^ ~~/'i ~ - . . . . . . . . ~ + . ' . n+ I . ~ . ....__..e...~.-.:...~......... . . _.....a ~ , . . . s ~ ' , . ' . ~ ~ . . . . . • . . ~ ! , . . . . .w-~- .....w . . . 4 .rr... . . . _ , • ? , • , , . • ~ ~r ~.P'~ ~ 6~6~. 'llnrla~' Q°sSr ~ 2 3 . . . • _ . s x. ~ . . . ° ~ s ~ ~~.~v n~ • . ~ ~ . a~~ . ~ • ` ^ . • y ' .'~i~ Qt~t~S3.C~C al1X ~1~3ct v k,~ ~..Y - p 0 • ~ ..rr• ~ . • • . ~ ' ~MM V,~.. . • ~ ~ ' , es~„~,~ ° ~ ~ r ~ • ' ~ • • ~ . 0 ~ . a61 • # a ew ~ s . . Iri*.sic'~^. t~'£,x ~ - ' 'U ? r _ ' . ~ p ~1~ q ;~f21~~ ~ A. . . .....__....._.._...--,-...^"'^"'_'_.,..r..t.~-...,....~.,..+~.-~ . • . • . : ~ - ;r • , ~~-a~ :z ' _ _ . _ _..._.-----^-b ~(i~`+ rut'alT • ~ \ A/ ~ • 4 ' . . .i~1CC-~=S'. S.# g Tnl1S.C.° spEkcC1 ' s7ri lc~yt~,~.~.t3t'ts. . pjr)Ct° l~ cxc .`,a~.~ C~ C+~ • ~~~~~i~~ - . xid'4tit'l.T fi)Z r-, ~ p s . ~ s • 9 - ~ . . . . Y4q ~ • . ~ . • • . $low up . + ' e ~ ~ . , . • a m., . ? fbipr. Ws . . . i ~ . . , . 'F' ~ 3Xh +"'dt ~3- t raa. . a y ~ ~ •qs~' - . . ~Ln . . ~ . , ~ ~'A,j~s~a.~.~~i3+s~~j~ ~e I ~,-Fvo" ~ ~d N Y 5! l a . . ' _ fs{ ~ H } v 4 } `i' i} 'd'~ Y t~ C'4£'~ ~ ~",F..~. ? . . 72"~ [ yu h'~u t i s i ~r ''`M4`~ a , ~ ~ 7 S~ertz~ _t lk~+.~M ~ t P, T ty i~ ' 1 ~,tn ~ t y at~,~ A#ki, ' ^ ~ ' 3 ` ~ 3 s x n r ~'k` dy ' . . . . . ' 5 , W i s y~ ~ . . . ~ ~ . + _ . • - " ` 'c ^'f" ~ ~ ~ Pul. f , i v a y c~ ~ t 02 ~ 9a~:.m~ `;s=~ b+~~~~~ra ~ ~~F'a~-... ~{k, ~~n # +Y"•~!+~ ~t'.~ ~+~'~A~ -~L#~,4~- ~ g C . . ~ ~ ~ ' d ~ ~k~ ~~t' ~v, ~ 4 A 4l)~ ~ ! d „t ^ swe p '~w""4..s R4 t"t~;'SW'AI `M°~ j+ y ~A' a, qi,, ~i2~w P-:I ~1h Y r y. 's y, • . . . . . f ~ { , ~ R#~Ai"~ a y . ~ ~~~'~ae q ~ 4 a A.t eLS...c, t.~f _n a w n - . ,a . , . . .':fi r ~vr •4. .n . ..d 7;.. , f . . MEMO T0: DALE PETERSON, CHIEF :BUILDING OFFICIAL FROM: WILLIAM ADAMS, PLUMBING INSPECTOR DATE: JULY 25, 1984 , - \ RE :/_3b53_ WIDGEON WAY \ Per instructions from your office, on July 24, 1984 John Vuyovich and I went to 3653 Widgeon Way to see the owner regarding framing defects at the above referenced property. The owner stated he had replaced two wood laminated beams in the house, a stub wall and footing in the basement to support beams, and one steel beam in the garage. I asked the cost of these alledged repairs when done and the owner stated it was around $6,000. I informed the owner that he should have included the Building Inspec- tions Department in his problems and their repair. He disclaimed the fact that the original permit was taken out at the time the building was 75% framed in. The first inspection on this building was done on rough-in heating on July 28, 1983 and the building permit was issued and picked up on July 26, 1983. ~ WA/js CC: Parcel File i Ij MEMO TO: CHIEF BUILDING INSPECTOR PETERSON FROM: CITY ADMINISTRATOR HEDGES DATE: JULY 11, 1984 I ' SUBJECT: STRUCTURAL FAILURE/365WIDGEON WAY I i ~ Regarding my note of July 9, I would like for you to again meet I with the property owner who resides at 3656 or 3653 as you corrected on your note and find out exactly what happened regarding the al- leged structural failure. City Councilmember Wachter was informed 'i that the structural failure was caused by an architect who designed the home incorrectly, and that a snow load caused the $6,000 damage. I Last evening, I was again informed by City Councilmember Wachter ' that our building inspections are lax incomparison with the City ~ of Burnsville, particularly in the area of plumbing inspections. j Dale, this whole matter is continuing to fester in City Council- member Wachter's mind. ~ City Councilmember Wachter was not in agreement with the memorandum ~ which I sent out to the City Council, and we discussed the merits ~ of the memorandum at the last City Council meeting. I am strongly ~ suggesting that we have a meeting again with Ted and try and get to the bottom of the issues. It is necessary that we target on i what his concerns, are and make every effort to explain to Ted how the inspections are similar to those of other communities and the fact that there is no difference or make some changes that you and i Ted would agree upon regarding building inspections. I I feel it is so essential to resolve this issue as soon as possible. ~ I will be talking with Ted tomorrow evening in an effort to schedule ~ a time at which the three of us, and possibly Doug, can meet. I i ~ City Administrator ! TLH/hnd ~ I i Ii I I i Date: City of Eaali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 f\tt.°4 Use BLUE or BLACK Ink For Office Use Perit#: /D73j 7 Permit Fee: 1 (49 LO. S/ Date Received: 1 i5 c C Z Staff: 2012 RESIDENTIAL PERMIT APPLICATION `) Site Address: 31,53 Id 1 D L E( k) LU l- T Unit #: Name: J 1801;ifP1 kt- cue. RESIDENT / OWNER Address / City / Zip: 6 J t ('i 6-E-00 W// Applicant is: Owner Contractor TYPE OF WORK CONTRACTOR Description of work: Phone: b5 - 68Y Y - 6? T5/IS-CA U1r,ufou 1 &-Kl Z74)lf ©P Construction Cost: 37 / J"� Multi -Family Building: (Yes / No X. ) Company: I V r) mi l: col -04i- I -I j)�' S i. /�iP Contact: L M? Address: 7 {) ( 1-P/31) PI O E /) f) City: /L)& t) OPt State: ►Vt L) Zip:55 (ta.7 Phone: 7 a- 5- J 3 J2 fro License #: �19`s� 1 Lead Certificate #: k) R I ` Lit3 -1 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 the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One CaII 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.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work win be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. 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 -W',' Applicant's Printed Name x App cant's,8'igjtature Page 1 of 3 41101 CityofEaop 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: /1/009 Permit Fee: Date Received: f lat/6 Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit #: Resident/ Owner Name: /✓cam A OYyc/ A/<'/e•-Cil ef-' Phone: f Address / City / Zip: G.'// e f C'" "1/4- CA" Applicant is: Owner (Contractor / Type of Work Description of work: A -mo f /1 ?" —/o? .1e ' � ( 1/1144-"-. 'e"- /,i4c" / `2' /Zero. .- r tt W0,-ee- e ✓ c...0e"yry-r. d Aice. ..,.r ,0 re -""4 Or90.-- '-,c.`/ Construction Cost: 7J cZ 0 a MultiFamily Building: (Yes / No V') Contractor Company: c/C.,rr+e.: e -e-4),- /,`+e>%y.- g4/1707 %07 Contact: ,/c'9* -r."' /h4'"'*- Address: ,-/ "1'/ "1 -' %• e`IW �`"`' City: /�5, /•-- e✓ci/may / State: �' ' Zip: :J1701--"," Phone: 5:213i- «5/%d'il/1-4 7o License #:"`":-/-/./4-4.0 1 Lead Certificate #: ,/V47- -Z67/- 0 If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) ,,ik-,,/ / 4,1 r5d'3 1CI6 R,.--1 In the last 12 months, Yes _No If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE: Plans and suppor#ng documents that you submit are considered tri be crn►. Par the information may be classified as non-public if you amide specific reason€ conclude that they are trade secrets. sof CALL BEFORE YOU DIG. Call Gopher State One CaII 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.00pherstateonecall.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 understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. 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 ci tyme.".✓ G�/�JP-n.., x Applicant's Printed Name Applicant's Signature Page 1 of 3 SUB TYPES Foundation k Single Family Multi 01 of _ Plex _ Accessory Building WORK TYPES New Addition Alteration Replace _ Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100% Census Code #of Units # of Buildings Type of Construction 3(,53 c(O 1 of DO NOT WRITE BELOW THIS LINE Fireplace _ Garage Deck Lower Level _ Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) _ Pool _ Interior Improvement Move Building Fire Repair Repair )1(90,7 REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Ice & Water _Final Framing Fireplace: __Rough In Air Test _Final Insulation f` Occupancy Code Edition Zoning Stories Square Feet Length Width Sheathing Sheetrock Reviewed By: _ Siding Reroof Windows _ Egress Window Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Demolish Building* _ Demolish Interior ` Demolish Foundation Water Damage "Demolition of entire building - give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required Final / No C.O. Required HVAC _ Gas Service Test Gas Line Air Test Other: Pool: _Footings Air/Gas Tests _Final Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall: _ Footings _ Backfill _ Final Radon Control Erosion Control V , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of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a'Z$9%&9. 0633'EL'Q-*.W*9P'(W9\[I"\['A*)G9+'A-> @89W*$$9',E''""!!\[X-G-+',E''""!0\[ HI"!J'I\[V4\[\[3U 1'K9.9<>'-%&+P$9)G9'K-'1'K-W9'.9-)'K*8'-??$*%-*+'-+)'8-9'K-'K9'*+D.F-*+'*8'%..9%'-+)'-G.99''%F?$>'P*K'-$$'-??$*%-<$9':-9' D',*++98-':-;98'-+)'M*>'D'X-G-+'Y.)*+-+%98L (??$*%-+S/9.F*99 ':*G+-;.9188;9)'#> ':*G+-;.9 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA145579 Date Issued:09/14/2017 Permit Category:ePermit Site Address: 3653 Widgeon Way Lot:5 Block: 1 Addition: St Francis Wood 2nd PID:10-65901-01-050 Use: Description: Sub Type:Residential Work Type:Replace Description: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. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Robert Tstes J Klecker 3653 Widgeon Way Eagan MN 55123 Dakota Water Treatment 17484 Goodland Path Lakeville MN 55044 (952) 953-4643 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA177129 Date Issued:06/16/2022 Permit Category:ePermit Site Address: 3653 Widgeon Way Lot:5 Block: 1 Addition: St Francis Wood 2nd PID:10-65901-01-050 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: 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 - Robert J & Patricia K Tste Klecker 3653 Widgeon Way Eagan MN 55123 Estate Claim Services Llc 6701 Penn Ave S, Suite 201B Richfield MN 55423 (651) 309-1114 Applicant/Permitee: Signature Issued By: Signature