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3665 Widgeon Way yr ~ ? 3. . • - :'.'i3 { , - ` . . ~ ~ . . . . _ „ t.,i, ''r.~_.~. , . ~ y'1 . / ~ ~ ~ . .;•y. .P~i v'~ ~ d.t; . . . . . 'E. . - CITY OF EAGAN 3795 Piyof Kno6 Rood SEWER SERVICE PERMIT Ea9an, MN 55122 PERMIT NO.: Zoriing; - DATE: Owner: No. of Units: Address: ' Site Addresr. ~ -,c - - Plumber. ' ~ • . T., 1 e9ree to eomply wifh the Ordinonees. City of Eogon . ? Connection Chorge• Account Deposit: Permit Fee: • ~ BY Surcharge: I Dote of Insp.: Miu. Chorges: I nsp.: Toral: Date Pafd: ~ ,I CITY OF EAGAN 3795 Pi1ut Keob Road WATER SERVICE PERMIT Eo9an, MN 55122 PERMIT NO.: Zoning: DATE: Owner, , a-- No. of Units: Address: - Site Address: Plumber: - , ~ Meter No.: _ Size: Connection Chorge; Reader N0,; Account Deposit: ~°9ree fo comply wtth fhe Ci rY of E Permit Fee: Ordinan~, agan Surcharge: Misc. Chorges: By Totol: Date of Insp.. Dete Poid: Insp.. CITY OF EAGAN . . ~ A~ e 3795 Pilot kKOa Aoad Eogon, MN 53 122` ~ t. .x..: ' " PHONVs 454.8100 BUILDING PERMIT ~ J ReceiPt # ~ . . To be und for Est. Volue Date 19 " Site Address ~ Erect ~ Occuponcy ` Lot Block Sec/Sub. ^Iter ? Zoning Parcel # Repoir ? Fire Zone Enlarge ? Type of Const. W Name Move Stories ; Address Demolish p Length b Ci Phone Grode ? Depth Sq. Ft. p Nome • Approvols Fees v~ Addreas (SV-Lnwood kwA4Sz, Assessment Permit F Cit Phone (6u0r WUp !L& Water & Sew. Surchorge Police Plan check. ~ F~ W Name Fire SAC _ Address Enq. Water Conn. <W Ci Phone Plonner Water Meter Council Rood Unit I hereby acknowledge thut I have read this application and state that gldg. Off. the intormotion is correct ond agree to comply with all applicoble Stote of Minnesota Stotutes and Ciry of Eagan Ordinances. APC Total Sipnoture of Permittee /1 Building Permit is issued to: on the express condition thai oll work shall be done in eccordance with oll applicable Stote of Minnesota Stotutes ond Ciry of Eayon Ordinances. Building Off(ciol Permit No. Permit Holder Misc. Permit No. Holder 50 Plumbing Z q a 5 ~ H.V.A.C. Well Water Disp. Sewer ?Q S$ Z 3l U E Y~. Yl ~~C I-Z~-~ Electric q Zq51O flfC. -7- Z-fZ-!~+F1- P, Ttc765`7 BflKE- FIEc. g-~ ~ Inspection Date Insp. Other Footingt Foundation Framing Rouph Plbg. Rough HVAC Inwlation Final Plbg. 4? ci Final HVAC Final e ~ ,e ' Water Describe ocation: vueu Sevrer Pr. D'isp. ' CORRECTION NOTICE DATE: '`,tay 5, 1983 Address 3665 Widg;eon °Way, Eagan, M 55123 SiteNameLot h,Block 1,St, Francis Woo;} 2 Owner/Agent G~.r. `,u ~m Telephone l ~ Owner/Agent Address °3me as above Ordinance Nos. and Corrections - Correct By June 6, 1983 ~ I1'~'•fS TO BE CORkECTBD/INSTALLED: UPSTAIRS 8EDl:79114 PATIC, DOVit tv:~:: TO BT? PER1ANFNTLY OP FiA:"is ItAIL,I:'~!~"ef; T1;STx'LL.i~.I3 l?td DECY; rI~:TGI~ Ft1~.A~L1I<,•'.? I.ti~:'~. .'.:rt>''.i~l;;: , LID AiJ?) [dAT.L TOWAR-11", FOT7SE. LOt{lFR LIES1EL SMOKE DETFC'£CR I:ISTALLI:~--; Nl.' , 4'Ai:bMi B?i}~;~"~KZR. SIE CQCF'S:, GATL VEI.LVE 0i1 1•7ATER 29s':'iT'R h7?ST 'RF; `iNZ':Crlii;;: AII?nT ~d,,; /'LIR FC?R HEA'T'ER A'_tiv FURiiACF. 'P:iESE ITEP-1S I±S' ,TU11F i, _OPL T!.'.E 14A711R WI11, RE 17UR;JED C7F7 PY TLIE CITY. , . Foi reinspection iE: 1~ ,'tC:Tz1, i`ri.Lr ";U:LI_CiI IlC; if C `:x't Eagan Dept. of Inspection InSpBCtOf: ' . ~ti'r •a W95 Pilot Knob Rd. Eagan, Minnesota 55122 Dnpt, n"' ?'7-0t::=cs_ i.ve Ir311a--tions 4 ~a-310o Dept.: x, - - - - - RACeipt ' MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee fill in numbered spaces S/C Type or Print legibly 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 ? I i 9. Work Description: New ? Add ? Alter ? Repair ? 10. Describe Fuel Type 11. No, Eauinment 9TU - M. Ea. No. Equipment CFM ` 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 : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454,8100 r- ~ ~ CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD ~ EAGAN, MINNESOTA 55122 DATE 19 R6GEIV ED FROM AMOUNT $ I & DOLLARS +oo F-1 CASH F-1 CHECK FOR FUND CODE AMOUNT Thank You BY c> White-Payers CopyV Yellow-Posting Copy Pink-File Copy Receipt MECHANICAL PERMIT Permit No. CITY UF EAGAN Fee - Fill in numbered spaces S/C Type or Print /egibty Tot - 1. Date 2. fnstallation Cost 3. Job Address idF,eOn -,'!#Lot Blk. Tract 4. Owner i:uilders 5. Contractor 2gnmi ] 1 ar's Phone 6. Address ~ ~ • V a ~er 7. City rtnz ielJ'., State Zip 8. Building Type: Residential/W. Commercial ? Institutional O 9. Work Description: New ~ Add ? Alter ? Repair O 10. Describe Fuel Type 11. No. E.quinment STU - M. Ea. No. EQUiament CFM 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 : for , Rough Fin Inspections: Date tnsp. Date 17 Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454,8100 Receipt ' PLUMBING PERMIT Permit No. = CITY OF EAGAN Fes fill in numbeied spaces S/C Type or Prini /egibly ~ Tot. 1. Date 2. installation Cost 3. Job Address ~ r Lot ^ Blk.~ ~ Tracf ~ 4. Owner 5. Contractor Phone `r 6. Address f' 1 ~a~ Y f . 7. City State Zip 8. Building Type: Residential O Commercial O Institutional ~ 9. Work Description: New ? Add ? AlterAl Repair ? 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 ihe 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 INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: ''"f Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 . SITE ADDRESS: APPLICANT: ~ PERMIT SUBTYPE: TYPE OF WORK: INSPECTION . - ~n~ ~ ~ ~,~""'~~re+ . . . . ~ - - - - - - - - - - - - - - - - - - - - - - Permit No. Pertnft Holder Date Telephone # ELECTRIC 5~ PLUMBING gg-~~$v HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH ~ PLUMBING Y 7 AIR TEST ROUGH m AfiG HEATING - 7/ GAS SVC TEST -0~~i -dCS( INSUL GYP BOARD , FIREPLACE FIREPLACE AIR TEST FINALPLBG FINAL HTG • ~Z~ ~GI (J'o)~ ~"Q~ AC.~ f~L~~~~ ~ ~ ~ ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FfG DECK FINAL v INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: ''o ' Flo Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 . . SITE ADDRESS: APPLICANT: I ° ! t (lQi"tlt+4 t•JAY . y .r,. i: 1 ± PERMIT SUBTYPE: TYPE OF WORK: , , . . . . INSPECTION . 6~a+h~ ~M . V ~ L iI I Permit No. Permk Holder Date Telephone # ~ ~ ELECTRIC ' PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS I I FOUND ' FRAMING ROOFING ~ I ROUGH ~ PLUMBING ~ PLBG j AIR TEST i ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE I ~ FIREPLACE AIR TEST FINAL PLBG FINAL HTG II ORSAT I TEST I BLDG FINAL I I BSMT R.I. I BSMT FINAL DECK !-TG DECK FINAL CITY OF EAGAN Remarks Addition ST. FRANCIS WOOD 2ND ADDITION Lot 6 Bik 1 Parcel 10-65901-060-01 Owner k;{ rnr. _htfgl Street 3665 WIDGEON WAY State Improvement Date Amount Annual Years 5 Payment Receipi Date STREETSURF. 19$1 $6.84 17 37 ' STREET RESTOR. 1 D 0.39 GRADING ~y~ 1983 610.85 122.17 5 "J'ff 31/ SAN SEW TRUNK ~ p 1983 316.84 63.37 5 ~ *SEWERLATERAL 1983 5510.68 1102.14 5 ,a9 WATERMAIN * WATER LATERAL 1983 $ WATER AREA 1983 316.84 163.37 5 *Services 1983 5 STORM 5EW TRK 1983 670.74 134.15 5 g. 2 * STORM SEW LAT 1983 $ CURB & GUTTER SIDEWALK STREET L1GHT 240.00 #30668 6-22-82 WATER CONN. 420.00 BUILDING PER. 7365 sAC 525.00 PARK Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Print /egibly 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 0 Commercial ? Institutional ? I 9. Work Description: New 1~ Add ? Alter ? Repair ? , 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 This request void 1 ~ ~ ~^Ct ~ ~ , . ~l O ~ ~ 18 months from ~ t~ 7 92956 z^- Request Date Fire No. Rough-iil Inspection - ~ Re uired? . ~Ready Now ill Notify. Inspec-. ~ Y {S Q No tor When Ready . ; censed ElectricaLContractor F hereby requestinspection of above - ?Owner . . elecfrical work installed'at Street Address, Box or Route No. City C t ection o. Township NameorNo: . 7ge No. County OccupO (PRIiT) . Phone No. , 4V Power Sup lier Ad ess i Electric 1 tracmr ( o any Name) - Contract s License No. s Y a r ~ G1 00 - -Mailing ddress (CoMractoror. wnerMaking,instailation) ! ' - . Authorizsd Signature{Contracfor70wner.Making Installation) Phone Numb . . . . . . - (J ~ ~ ~ . MINNESOTA STATE BOARD OF E:LEC7RIC+TY. THJS I SPECTION_REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE AGCEPTED 8Y THE STATE BOARD 1821 UniversitY Ave., St: Paul, MN ,55104 UNLESS PROPER. LNSFECTION PEE IS ' Phnnw 16121 297-2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB-00001-03 ~ ~~~'''R b~' See insiructions for completing this form on 6ack of yellow copy. , e6 \J "X" Below Work Covered by This Request New Add Rep. Type of Building Appliances Wired Equipment Wired f Home Range Temporary Service - Duplex Water Heater Lightiny Fixtures Apt. Building Dryer Electric Heatin Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other SPecify Other (Specify) ther (Specify Other Other Compute lnspection Fee Below # Fee Service Entrance Size # Fee Feeders/Subfeeders #i Fee Circuits 0to100Am s 0to30Am s 0 to30Am s 7;05 101 to 200 Amps 31 to 100 Amps 31 to 100 Am s Above 200 Amps Above 1 00 _ Amps Above 100_Amps Transformers Remote Control Circ. Partiah'Other Fee Signs Speciallnspection' ~ T AL FEE Remarks ' « « Rough-in Date 1, the Electrical - Inspector, hereby certify that ihe above Fin21 Date. ~ inspection has been ,This request void 18 months from . ' ~ nis reqtiest void 18 manths from L T 67057 CL z~- 30 , c(f) Requesf- [:att ° Fire No. Rough- inI nspertion (j.ry i Required? ~Ready Now Vill Notify Inspec- t94 ?7(J ~~v~~ E-Tes ? No tor When Ready Licensed Elsctrical Contractor . . . I hereby request inspection of above ? Owner - electrical work installed at: . Street Address, Box or Route No. City 1c~ Eai? ect-ion. No. Township Name or No. Range No. ~C-Ounty Oc ant (PRINT) Phone No. ? ~ wer Supplier Address x,4360 Z,Elecal Contractor (ComUany ame) 1,,~or*s License No. % Mailin rAddress (Contractor or wnerMakin Instailation) . A rz Signature (Contractor/0 er Making Ins allation) Phone Number ' s MINNESOTA STATE'BOARd OF ELECTRICITY THIS INSPECTION REQUEST WIIL NOT . Griggs-Midway-Bldg. = Room N-191 - BE ACCEPTED BY THE STATE BOARD ° 7821 University Ave.; St. Paul,'MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 297_2111 ENCLOSED. ~ REQUEST FOR ELECTRICAL INSPECTION Ee-ooooi-oa ' See instructions for completing this form on back of yellow copy. T 67057 ~ i1:_ "X" Qe,~ow._W,qrk Covered by This Request ~z~ New Ad Rep. Type of Building qpptiances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lightiny Fixtures Apt. Building Dryer Electric Heatin ~ Commercial Bldg. Furnace Silo Unloader Industrial Bidg. Air Conditioner Bulk Miik Tank , Farrp Other SpecifY Other (SUecify) OtherlSpecify Other Other Compute lnspection Fee Below # Fee ServieeEntranceSize k Fee FeedersfSu6feeders # Fee Circuits 0 to 100 Am s s:?36 6 0 to 30 Am s 0 to 30 Am s 101 to 200 Amps ~Z4)f 31 to 100 Amps 31 to 100 Am s Above 200 Amps Above 100_Amps Above 100^Amps Transformers Remote Control Circ. C Partial-'Other Fee Signs Speciallnspection $ 0~ T AL F E Rem rks r • ~Q Rough-in Date 1, the Electrical ~~'!l'~ spector; hereby certify that the above Final Date ' ection has been r'~~1,J~ ~ made. This request void S 18 months from OFFlCE USE ONLY This request void 18 monihs from validaTion date prinfed in thi bo ~ x. 9~ i Iil 11*111111 la&kv~ *'0 4 3 7 3 0 3. 1' * pLEASE PRINT OR TYPE ~~(5 inspecfion required? es ? No Inspection Other Tnan Rovghln: ? Ready Now ? Will Call h-in Request Date ~-E-ug JQ must call the inspector when ready) Date Ready: I, X'licensed contractor ? owner hereby request inspection of the above elechical work at: 106 Address tSfreet, Box, or Roufe No.) Ciy Zip Code 3Q. 5 1~.?1'kj W,4ti T--f4Gr¢N' 1651-13 $ecfion No. Township Name or No. nge No. Fire No. County /4 k.o/ Occupanf Phone No. ~~'~ht ~A k ~ P ! ~ Power Supplier Address Elechical Conhactor ICompany Name) Conhacior License No. Masfer Lic. No. (Planf Elect. Only) CDRRI.C"ri~;j A~mC ~ <:~4 Bt? 0. - Maili Address (Conhactor w Owner Performing Installafi , Auth ?i ignafure onha c(qr -pr Owner rming Installatiep) Phone No. E OlA-11 8/96 TATE BOARD COPY - INSTRUCTIONS ON BACK OF YELLOW COPY REQUEST FOR ELECTRICAL INSPECTION O~ Minnesota State Board of Electricity - 1821 University Ave., Rm. S-128, St. Paul, MN 55104 Phone (612) 642-0800 Home Duplex Apt. Bidg. Other: ^ New Addn Commercial Indushial Farm Remod Re air Air Cond. Htg. Equip. Water Htr. Load Mgmt. Other. Dryer Range Elec. Fleat Temp. Service "X" above the work covered by this request. Enter remarks in this space and on the back of the white copy only. F )F,a RrvA?rz Calculate Inspection Fee - This Inspection Requesf will not be accepted without the correct fee: Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps Street Ltg./Traffic Sig. Above 200 Am s Above 100 Amps Transformer/Generator INSPECTOR'S USE ONLY TOTAL Sign/Outline Ltg. Xfmr. Alarm/Remote Confrol Swimming Pool I hereb certi that I ins ed the eleclrical installa6on described herein on the dafes sfated Irrigation Boom RougFfln • Date ? V Special Inspection . ~ Investigative Fee Final Dafe J THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS. re4uest void l` Z~ Llo l~'S ~ Q 1~ 18 months from ~ 058231 Request D te . Fire No. Rough-in Inspection Required? E]Ready Now ~II Notify. Inspec- ?Yes No or When Ready cen'stE~ Electri al Contractor I hereby request inspection of above Owner electrical work installed at: Street Address, Box or Route No. City to~" i G~ lcii-r1 ection o. Township Name r No. Range No. County F-0, ol,,n O upant (PRINT) Phone No. U)CCA' Z2-4 -!55-2-6 Power Supp r Address N Electrical Contrac4or (Company Name) Contractor's License 1\15~_. L.DV C~~ E?~; EL Tf-l L Mailin 59 g Address (Contractor or Owner Making Instailation) 5 Uc. . o.Lu1 Autho ' ed Si natur Contractor ner Making Installation) Ffhone Numbe~41 r MINNESOTA STATE BOARD OF ELECT ICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N.191 BE ACCEPTED BY THE STATE BOARD 1827 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS oti,...e ia171 ?oz?111 ENCLOSED. ~ REQUEST FOR ELECTRICAL INSPECTION EB-00001-04 See instructio~ for completing this form on back of yellow copy. ~ ~ C~~ 88,231 - "X" Below Work Covered by This Request 3y l`~ Nevy Add Rbp. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service j. Dupiex Water Heater Lightin,y Fixtures ~ Apt. Building Dryer Electric Heatin Commercial Bldg. Furnace Silo Unloader industrial Bldg. Air Conditioner Bulk Milk Tank - Farm otner pecify Other (svecify) t er Specify Other - Other Compure lnspection Fee Below # Fee Service Entrance Size !i Fee Feeders /S ubfeeders # Fee Circuits 0 to200Am s 0 to30Am s 0 to30Am s Above 200 qmpy' 31 to 100 Amps 31 to 100 Am s Swimming Pool Above 100_Amps Above 100_Amps Transformers Irrigation Booms Partial%'Other Fee Remarks Signs Special inspection $ I~ TOTAL FEE o, Rough-in L]ate ~ ical I E~ I pector, hereby r tify that the above Final i pection has been s made. This request void 18 months from CITY OF EAGAN 8795 Pilot Knob Raad Eagon, MN S5122 N? 7365 t -i PHONEs 454-8100 - BUILDING PERMIT Receipt To be uied fo. SF DWG/GAR Est. Volue $100,000 Date June 22 1982 Site Address 3665 WidqeOri W8y Erect Xg Occupancy R-3 t-t 6 Block 1 Sec/SubSt. Francis WOOd 2AdAlter ? Zoning R'1 Porcel # 10 65901 060 Ol Repotr ? Fire Zone NA Enlorge ? Type of Const. Vn oe Name Gold KCY ReAltyi IIIG. Move ? # Stories 2 W Z Address 278 Af=pOrt DY'., nowntown Afrport Demoiish ? Length 39 9 Ci MA$8 . 55107 phone 292-9490 Grode ? Depth 40 ~6° Sq. Ft. p Name Bold KeY Ree11t? InC. ADVrovals Fees o~ Address S~e Assessment Permit 433.00 u~ Cit Phone Water & Sew. Surcharge 50.00 Police Plon check 216.50 ~ FZ Name Fire SAC 525.00 ~5 Address Eng. Woter Conn. ~Q <W Ci Phone Plonner Water Meter 60.00 Council Rood Unit 240.0Q I hereby ocknowledge that I have read this oppl'cotion and state that Bldg. Off. the informotion is correct ond agree to to with all applicoble 1~144 _5.,0 Srote of Minnesota Stotutes and ' y of ,n Ordinonces. APC ' Total Signature of Permittee A Building Permit is issued to: on the express condition that oll work sholl be done in accordonce with all applicoble State o innesota Stat es ond City of Eogan Ordinances. Building Officiol n D~ ..l~~'a.D-/i oY~ e"'-'"~ ~(~,~l"~ CITY O'' EAGAN Include 2 sets of plans, 1. site glan w/elevations & ~ f T~ - BUILDINGPERNII'C APPLICATION 1 set of energy calculations. ~,ocp C,C- 'ib Be IIsed For Valuation /'zVLtW Date _ [-!Ne Site Address OFFI.CE USE.ONLY > ` ~ Lot 6.,-- Block Sec./Sub. ~ t~ occupancy Parcel # : 16 (p S' ?O ( C~,&6 Alter ~ Zoni.ng Repair Fire Zone fJwner: ~ eq`f Enlarge Type of Const. Move # Stories Address: . ,,/-~~.v~~~! Demolish Front ft. City/Zip Code: _97~;_,a 7 Grade Depth 462"(,~ft. Phone # = > APPROVAZS ~S Contractor: ~~~ICG° 1~~7I/!VC. Assessments Pexmit _ taater/Sewer Surcharge Address: S ~a Police Plan Check V~ City/Zip Code: Fire SAC Sa gg, Water Conn. A 0 . Phorie # : Planner Water Meter Council Road Unit .9 1/0 Arch. /Eng. : Bldg. Off. Adclress : A-PC Citg/Zip Code: Phone # : ~ =AL ' ` , . . G ~ . / . 4!. ' . . . ~ . R . ~ J . . . ' ' - , . ; , - - . . ' j : . . . , . . T ~clC) C O.f: Q _ EXTl:RTOR ENVI.I.OPT, AVI:R71GE "U" COMPL'T717'IUN - - - owriEr~: nr~~rL `-i-_~~ ~ SxTE IlDU12I>SS: PIIONE: CONTRhCZ'OR: ~ Detexmine working square L-ootaye of each 1. Total ca:posed wall area...... sq. it. x~.17 2. Toal roof./ceiling area . . . . . . sq. ft. x `O5 Total expa$ed wall area above f_1oor a. Total wall tai.ndow area e ^:;cta? CA07Y area ~e gIuss door area ~ t-7__ Total slidzng I d. 'rotal fireplar_e wall area - e. Total wall fraining area (average 10%) i. Total rim joist area g. r;all area above tloor • h. wa7.1 area above floor i. . ~cvall area above f.loor 3' wall area above floor _ Total exposed foundation area, = _'15 AS> J k. 12otal fn,ir:dation window ar.ea........................... 1. Tatal net.f_ourdation area above grade De-ermine "L"' value of each watl segment ' {e.g. window, door, ezch separate i,ial'1 section} a. X flUff ' . ' „ . X liu lt , C. At X n U n , ~a+•~+s" d . ....~.r. V ftun ~ ~ . I I + t a e. 0.~~ XflUsi ,i . ltU„ , ; 9• X h. x ,oUli _ - i. X ioUll - _ ~ - F iL-cin is thc satne ans, j• X lout* - _ - or less L-han 9.t:cm ;I]., yi>ti li«vE, met thc> i.ntent c;f :;13,. GGOr) (c) 2. 1 • • ~__T__. x • ~ ~ . Total s IixtPri.or. I,nvel.ope Average "U" Compu tal,ion P~~eje c> f 4 ~ ToL-aI exposed 'roof/ceil.i.ng azea m. Total skyli.ght area . . . . . . . . . . . . . . . . . . . . . . . . . . . . n. TotaJ. rooE/cei.l.inc~ -fzaminq axea {~~ver.~~r;~c q P. Total net insulated roof/ceil.ing area........... , - ~ Determxne "U" valuc for each roof/cei.ling scqmr_.nL- ' M. X ~ F --~-Q-~--- • x ~,u;, o~ - r ? ~ , • ~ ~.O .o~ ?~s,' ; 173.2. X „u,, . c~3tn = • 4 Tbt;a7. If total of #4 is the same as, ar less L-hati 42, you have meL- the iriteizt oi SJ3C 6006 (r.) 1. Alternate Building L'nvelope Design 'Ib urilize the total envelope'system method, the values establishecl by thc sam of ' i.tems. N3 and 114 shall not be greater than the sum of items II1 and 112. + 2. ~.5'! , 3. + 9. j < < ~ . ft ~ ~ I . . . . a/• .y . . , . ,ry . . . t!~ , ~ y "i1 i',~ ' ; . . . • ~ PL.A ki ~ ~ L.i ~jF-AL FT, ~pos~~ WAL,L ~ zrtZ ~'ULL ~v L~2. ; = . ~ WALt_.. AP.E-A . x , i~ x - s~.s ,s ~ 2A0 \N . 0 2C~ ~ ~v~,L,I ~ ~I~i ~ 2~31.0 , , Llt~.! ; Doo~ ~N DWr.`S ° ~ 70Y 1tl 17•t 3 . e~, eo ~r,,-i r = PAT IO -8s ~ ~7 I~? i , 40.0 Uk)1+s t~ , I ! t 1 L~ sccTSPNS of npa,que wall area''foz R-Valua Canstrucfiion ~ ~ ~ ~ frame eonstruction y '~i 9 i ` ~ • . ` ~ , 1. ~~JC~ a x~ a i. x ~m , ~ ~ ' , . x C? , • 3, i.nches soft woocl ~ . V- "1" i ~ ~ 5. ~ t71 •(r Z 5. Extexi or air film 0. ~7 IC } Total ~ , C~IAT~I3 , . , , . a~\IL . ,i. ~ . . . l.J . . . . , F'ZG. #1 1fiOPVzEW OF . 0.68 ' ~ FFWt4E Z,1AI.L • . 1. Interior air film , ~ . a. -GY P D.P ~ . , 3. Q" 1N t)L i OO . ~ ' 4• s . 1.~~~ ...._.._._....~fa 6. ~xtezior air film ~ 0.17 • 'I'o C a 1 Fzc;. #2 .4 ~ ..A' ~ . ' . . , . ` ~ 0.6E3 Interi.or air film ~..~.~_0 O - 2. ~I 3. 4. YiD~---5. I 6. Extezior air film 0. 7.7 ~r,~iA~ ~ ToL'al ~ ~i~~~;~~ ~~r . • 1`,7• , 1 + •0/~_ , -r- 1. Interior uir film O.C~ --~----~-~--Q' . 2. ~.TZOTl • , ,t a 3 ~ ~ . • 3. I,'Z.'< 13 t~- ~ ;:?J1. ~ t{ • , •y: _.~.r_„'.'~ , • 4 • . . c 5 . 6. Exteri r fi 0.17 otal . . . ~ SI:AB ON 'GRADE ~ , . . . ~ • , w ' . I,~ ' ~ . . , . . ; C-1; • . ; i • • ~L_fff ~ ~ . A t i ~ . ' ~ ' r. " , . • il ( L~Y-~t~tC FZG. #4 . i a F7:G. #3 Xi ~ . ne, "'t" 'value, ciepLh and. NOTE: Indicate tY.. • ~ " ' - ' 46 ~ . ' plACenent of insu].ation..' ~ . , ts ~d • ~ ~ , ~ y ~ ..._i....u.x~s.sxrc:....:w.a.ae..._•":S`.f733f~ew.........-..::c'~„"`qr . . . . . ~ , . ~ , _ . . . . . . . ~ . . gi~?OF~CEILI'~G . , . R"`/aI.llC ' Construction , i° ~ . ~ • . N ~ 0.67. ' V Yntcrior air film p • ' : ~,~~3 ~3 , ~ p a ~ " ~l`'~ ~ . l ~..v . 44 • OZ~ ~ , { ,i zf.or air fi3n tstil.ll O.Gl ~e Exte Taca1. . OZ ' f ~ i • ~ • . . • t ~I' • . . ' ~ • . . ~ • • • ' . • Ynteriox air gilm ' 0.61 „ . Beae flow , , . =ted 2 uP • • c.. r ,~'Vd.,,, ' ' ' ~ ir Liln (stil , • . Exteriar a ' + i: , , ~ • . ' . . Total rTc. 024 . . ' . . , . . . ~ , : . . • : . C.~.~,. g~?,t. ? e r~ i 0 . 61 .,v-Y'u,L'~'~}: ~.~=:-"'"'~•~•r~~..c••-~ ~ 1. Inside air filtn r:..•..rJs:.: - r_"'_'°'T 2 . . . ' " • ' 3. . . . . , 4. 0.17 . S. putsidc air. £i1m To ta1 . i f~? 1~~f _ ' - • , . ~ . ' i . - . , ' ' . . ' ' . ~ 2 ~ • 1. Znside afr film 0.61 • x. ~ ~ . , ~ ~ . . . ~4 , , . . ~ . . • qrenied 3' l, Reat floa vp. 4. 0. 17 ~ . , ` ' . - • . . . 5 outside aiz film a ' • , ' . ~ . • „ , ~ To~al ti~ tl w ~~\Or . ~ . . ~ . . . ' • t '(a S f 'i • ' ~,,,~,i~ . , . . ~ ~ ~ ~ ~ . • ' ~ ' a I~' • f ? • . sr+•• . ~ . 0.61 Snsiae air Film ~ ~ ~ t ~ ~ ~ t~ i a~ ' ~ . , ~~~v ~le,:..t r , , , ' 3` 4. 0.17 ,-~...•M r•~-;;.:-° • 5, Out,idc air fiLn , ~+j,~.--s%~'T'.'? 1'• . , ' To tal' ~t.. . . . ' , • • • ' . . . . / • ~ • - I • . . ~ ~ ~ ~ . - • ~ 'f~~. f -~~~r t . • ' ~ CQ 1.; ' ~ ' • • • Notex Use additi.pnal sheets if more ~P ,d i ~ • ~iQ:J-~'CI2: cP.LI • ~ . • $eedecl far aet;3il.5 and calcu2atians. . . „ • • , • . . . , e Beet , , . ~ . fl.aw up . ~ • ' • . . - , ~ ~ . ~ , • t~' . • ~ ~ ' PZro. 07 ' . , ~ . ~ ~ ~ " • . . . ~ , ' ~ , • . • . _ _ _ 1 . . . . , y ~ ~ , _ . . . . . I ° -noar/r.rzr,xt~c ° ~ ~ . • . ' ' ~ • ' ' Conrl:ruc t.i011 ' lt--Vnlnc . ~ ff~' • " ' tt a'nt;r_r.i.or ai.r film • 0.61 . ~.i' =~-:C'~ %~~t~ ~ ~ " z • "~-tt____ _ ~ t 3. 0~ • ~~;~~~`ti it'II~1~ f 4. l.xl:et~S.or. r~a.i filiu (',1:i7..) '1'o Ca l . VE11r ; ~ • • • . ' . ~ ~ ` o~~ Vetited llcaC flow . ~ . ` . ~ up ~ ~ • . ~ . ' ' ~ ~ • , • rxG. ~5 , . • . , . , ~ ~ . . • . • . • ' : . ' . ~ ' , ' ~ ~ . ' • . ' . ' • - ~ 1. Int:erior. ai.r f i.].m 0.61 ~ n ~T r'~ 1 :'+1•` 1::^~ t / ~ >,r ~•,;t c= s C ~a J~ f-'..i 2. . h. I'>:t:eri(.Jr iiir iilm~st:l"~~-._.~-~-~. • ~ _ . . , •Toi;al. . . • . j/ ' . , • • ~ ~1; Am ti 1 2 3 ~ . • . ~ . . ~ ~ ~ ~ . ' ~ ~'x ~ ~ • " ~ l?c=.nt f1aw vp .•venGed • . ' • ~ ' , ,1'IG. ~6.' . ; . . ' ' - . • ' . . . . Insida ~a.r fi].m 0.61 2 . E @ ~ , • ' ; ~+:c.^•`Q1'^?:"•`:::,:. 4. ?0'~~~s~,41,.,'~r ~~r4~''~*~'~ i1~i ~ ~ - .-o.w-+-- . . . . . ' • ~ - . • S. Outsidr M.z fil.1n 0.17 Total. ~,o7c) ~ ~ 1 2 ~ . . ~ . ; . • NO;~-dP.2~'TE17 ~ Noi:e: ttse i1aCI1tit711'1J. ShccGs i.f mam ::pacc. 3s »ccclecl for c]cl-ai.l• and calcul.,alionl. . . . . . lient • • flou up • ~ , . , , . ~ , , . . . ~`.T,G, 47 ' ~ ' • t,~e~ ~ ; , _ •A~~.y•Jr,ut~ •:4:~..ti{%i~•.}~Fi: ;:'i:}"~S~ir.ti:.;::Fi:i\t~C?Li~~tl. ( F•~ ~I.+ieJiiY~..C:r"(~~tv:{: :..r,::~•.;`.:~?~.:{.:~:. s~ t a y... t,;Ca.,. 4~ C.rTY r.)F I".# IG;'•1N CAr:i;"iI1:.RN 1 Sfs ..('::_f;.M'l,NAL '.tqt..r 77 j,.A: l.., N , 1!:~:~ ~:f 1. fS°.~~ 00017 +..t ~ b :r. r:} : W`-, t ~ . . 1:;~('~j..l~':.I ~ ~...~.,.y.....i,..~ ,3, 1..j`,:.•~r., l..~i' t~t~. Y~.? ;^~,y . ry 9001 ft~.:, ~ _J , . (.~1 3.! ~"~f•,(•... ,.,I; . ~ d L. ~a :::•ir 900i 4 ::'i"t'r~.~ la ~ ~ ~ ,,~::~t:.,' 3665 . c_.i.•..!•..f r:'~~...1~4.:~...c.:~:s t.. ' :4 .,7~...~..r~~if'~•~ 3665 rY~ !•I.I.,i~.:rE~.%~l. 1 l:~p• f~:,::."J 3430 . f;;~•'' ;~~.t•_~::•~:~:i. v°....~. • 1r:•'; " ~ f F i-'tl:.Ci_;r1':: 50.75 ..~.i. r','i t'ii 0`':i i:.l C ~ r;:)~...!'•. „~r.,j.~..~ ~~1:; j,:~ i ~.~;i•Ii~l f~t~'.~.. . _ • .~.•.t:•.:~.1:•J:+le-.:•ar•.j:•1~isv1•-l:v:~1••Iil:tir~:ti~ira';~.~:~i~'ie'G~r:ai~.~:.',~1r.4:~.li•.t:*4:~,~i.~.L i a`::,::,..;::;..,;~~~:.;:-,:;,-.:.~r~..,,:.:,~.1 ;,,,,,;,,,,;;,;r,,~,h.,,;,,~..y;,:,..~r.-,.f,~n.,;:;,:.,.:;~.7:,•.. 1 ~ r . ~ . n?r•:,..; ~ACITV'OF EAGAN PE MIT` 3830 Pilot Knob Road ~ PERMIT TYPE: BUILDING Eagan, Minnesota 55122-1897 Permit Number: 030750 (612) 681-4675 Date Issued: 0 9/ 18 / 9 7 SITE ADDRESS: 3665 WIQGEQM WAY LQT: 6 BLOCK: 1 ST FRANCIS WOOLI 2ND P.I.N.: 10-65981-060-01 DESCRIPTION: REPLACE EXISTING ~u11dirtd"Permit Type DECK ~ul`.~'ding:w6.rk 7ype REPAIa ;°~ens.c,o:de 434 flLT. RESIDENTTAL a 0..a ~..~~5N 'I~'~'" ~i . .:::3 a. . . REMARKS: FEE SUMMARY: Base Fee $50.00 COPY .25 Surcharge .50 Tatal Fee . $50.75 5ubtntal $60.50 M ? CONTRACTOR: _ ;q p p lx ca nt _ ST. Lz C OWNER: RQtdEL RESTf?RATIQIdS 14351932 0002158 KEEFEi2 BREPIDR P 0 BpK 240744 3665 WIDGEpN WAY APPLE VALLEY MN 55124 EAGAN MN . (612) 432-3444 ~ h~Y'~~#~ ~~~..r=rn~~~:~c~`ri ~..s:..~~~:r~~~ ~`b ~i ~ 1 P AP LICANT/ ITEE SIGNATURE ISSUED B SIONATUM i ` ,w ~ ~ . . . _ , . . , . . . , , . . , . ~5~, 1997 BUILDING PERMIT APPLlCATIOM (RESIDENTIAL) 'so CITI( OF EAGAN 3830 P1LOT KNOB RD - 55122 681-4675 ~ New Construction Reauirements RemodeUReoair Reauiroments ~ ? 3 registered site surveys ? 2 copies of plan ? Z copies of ptans (include beam 8 window sizes; poured fid. design; etc.) ? 2 site surveys (exte[ior additions 8 dedcs) ? 1 energy calculations ? 1 energy caiculations for heated addiGons ? 3 copies of tree preseroation plan if lot platted after 7/1/93 required: _ Yes _ No ' DATE: CONSTRUCTION COST: ~ 000 ~ ~ DESCRIPTION OF WORK: STREET ADDRESS: LOT ~ BLOCK I SUBD./P.I.D. PROPERTY Name: 1ilc~- Phone OWNER um FOW Street Address: -4-J4262aLl City: State: Zip: CONTRACTOR Company: 12eg QIO~,As Phone Y Street Address: "f'u 2License ~ City: ~2. State: lgx,- Zi ARCHITECTI Company: Phone ENGINEER Name: Registration Street Address: City: State: Zip: Sewer & water licensed plumber (new constrvction only): . Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this application and state that the information is co t d agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: CEIVED OFFICE USE ONLY ~;;~t~ Certificates of Survey Received Yes No BY: `Tree Preservation Pfan Received Yes No Not Required OFFICE'USE-ONLY '$UILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging a 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex o 12 Multi Repair/Rem. ? 17 Swim Pool ? 03 SF Addition o 08 8-plex ? 13 Garage/Accessory o 20 Public Facility 0 04 SF Porch ? 09 12-plex o 14 Fireplace ? 21 Miscellaneous' ? 05 SF Misc. 0 10 = plex 15 Deck WORK TYPE ? 31 New o 33 Alterations ? 36 Move . ? 32 Addition 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. `PRV # of Stories sq. ft. Booster Pump r Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code Census Bldg Census Unit ~ APPROVALS Planning Building L Engineering Variance ~ Permit Fee Valuation: $ Surcharge _ Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge , Treatment PL Road Unit Park Ded. : Trails Ded. Other Copies Total: . % SAC SAC Units C P ANNEAS o daIAND *fuAVEYCAt NEERt~lG j COMPRNY, INt. r~w.r~..~.... 0000 CAST • M eRt STAEET. OIORNSVILLE. MINNESOTA SS337 rN 43=•3000 - q+~ , y g . ~sa~l 171e~!cr~l.e,~~ost • , f - ~ • j K`•.' LOT 69 BLOCK 1, ST. FRANCIS WOOD 2N0 ADDIT101V, CAKOTA COUNTY, PS.J. Z S ;.1 ~ Y ~ . ~ ~ ..x 3 . a:. ` W IDG.Eo~ ~ I 3 S o o p ~ Co 3. ~ Z p S 78 ao oo.,~ z~' Z7 00'00 _ = - I • ~ ~ sr~, ~ ~ ~ ~i• 000 ~ ~ 01CT N :w rv a . ' S~-/~.LE t'~= So• ~ s ' ON ~ / ~ aa • . L~ .'Z- N h , ANa tJ77L/T(' j; ~ EAS EM6N7" w E 5 T ;'!s , '~•A+ `;.~.i. _..:k . y? ' ..M.a... _ czTY oF eAcAN cAsHrERe as rERMINaL Nae 66 DATE: 05f02i97 Tr.Mrn 13m42n49 .t I~FZ~ d N,AMEa r,oNE4 REsraRATZaNs 32:10 9001. 3665 µIIDGION WA 98i a?5 215 r90p:l. 3665 WI:DGT.0N WA 6qoLlO Tata1 Rece9.pt Amounta i. y t]4r.25 ChOr ;31 34 usER Inw aaN ~ . ~ PER IT CITY OF EA(~aAN 3830 Pilot Knob Road PERMIT TYPE: BuILDz NG Eagan, Minnesota 55122-1897 Permit Number: 029838 (612) 681-4675 \ Date Issued: @ 5/02/ 9 7 SITE ADDFtE$$: 3665 WxDGEaN wAv Lare s BLacK: 1 ST. FRANCIS WClO[] 2NC? P~I o N> s 10--65901--060-01 DESCRIPTION: ~ Fx~E REPAsR P~ti1'dPermi t T y p e SF (MISCe) ;~uz1~f*rigl 0~arnk T y p e REPAIR ,434 AL1 e RESIDENTTAL ~ ~ 3 C A.&.. a 2? 011~'~z 34 ' ~ U . a..._ t ~ ~ RECOOAY YKS. FEE SV'M¦¦tARt p, . N `J?1~'} LYJq'!J,OY.7 UP"9LU1"fTIll W aS~ ~ee `P 9U.7e 25 SUY'Chdt"g£? rptal Fee $1,047.25 ~ , . COIVTRACTOR: - App1 i c a n t- sT, LIC. OWNER: FtONEL RE5TCIRRTIClNS 14351932 0002158 KEEFEFt BRENDA P Q BaX 240744 3665 WTqCEOPd WAY APF'LE U'ALLEY MN 55124 EAGAN MN (612) 432--3444 T ~ e.by, ~-,a 4f~r~a~~~~~~ dg ~PrT 9 9~, q~r~~ Or Stat€~~~ 4 ftd APPLIC T/PERMITEE SIGNATURE IS U D : SIONATUFiE 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN ~ 3830 PILOT KNOB RD - 55122 681 -4675 New Construction Rgauirements RemodeUReeair Reauirements ? 3 registered site surveys ? 2 copies of pian ? 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ? 2 site sunreys (exterior additions & dedcs) ? 1 energy calculations ? 1 ene rgy calculations for heated additions ? 3 copies of tree prese?vation plan if !ot platied aRer 7/7/93 required: _ Yes _ No • DATE: 6 °CONSTRUCTION COST: DESCRIPTION OF WORK: 2 ~ STREET ADDRESS: Z6_~~~ LOT G BLOCK SUBD./P.I.D. PROPERTY Name: _ kee~e Phone OWNER LW FMW, Street Address: -71r, q!5-f G?l am~-ed,fl City: ~e," State: Zip: 1/ ? r '3 CONTRACTOR Com'any: A)e-~ Phone Street Address: Po fd~- c~ ~ 07 License City:_,&&- State: ~ Zip: ARCHITECT/ Company: Phone ENGINEER Name: Registration Street Address: City: State: Zip: 5ewer 8 water licensed plumber (new construction only): . Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowiedge that I have read this application and state that the information is ct nd agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY RECEIVED Certiflcates of Survey Received Yes No , ~ g1997 Tree Preservation Plan Received Yes No Not Required ~---°BY: OFFICE USE ONLY i , BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basemen# Finish a 02 SF Dwelling o 07 4-plex ? 12 Muiti Repair/Rem. 0 17 Swim Pooi ? 03 SF Addition o 08 8-plex n 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch o 09 12-plex a 14 Fireplace n 21 Miscellaneous ~t. 05 SF Misc. a 10 __7plex o 15 Deck WORK TYPE 0 31 New o 33 Aiterations o 36 Move 0 32 Addition ;a" 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) 44 Basement sq. ft. MC/WS System (Allowable) _V 4 Main level sq. ft. City Water ~ UBC Occupancy Iz -3. e sq. ft. ~ Fire Sprinklered Zoning 2-1 sq. ft. PRV # of Stories 2 sq. ft. Booster Pump Length sq. ft. Census Code. ~ Depth Footprint sq. ft. SAC Code ot_ Census Bldg I Census Unit o APPROVALS Planning ~ Building ?'L~~ Engineering Variance Permit Fee Valuation: $ 120~0 0CO.--` Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PL Road Unit Park Ded. - Trails Ded. Other Copies Total: % SAC SAC Units CITY USE ONLY LOT ~ BL ~ RECEII'T SUBD. „J7 ~"~cy w7-d Z.RECEIPT DATE: 1997 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 Date: C~ (612) 681-4675 < < Complete this section only if you are installing HVAC in single familv, townhome, or condos that are under construction and are not owner /occupied. • HVAC: 0-100 M B T U $ 24.00 ADDITIONAL 50 M BTU 6.00 • Gas outlets (minimum of one required @$3.00 ea.) • State Surchazge: .50 • TOTAL: . Complete this section only if you are remodeling, adding to, or repairing ezisting single familv dwellings, townhomes, or condos. ~ Add-on furnace Add on air conditioning Add-on air exchanger, i.e. Vanee system, etc. Other, 'e LC1C~. G. ~ l Q~ vk C,t W O'~ ~ lviinimum fee applies to aii remodel or add-ons oi existing residences $ 20.00 State Surcharge .50 Total: $ 20.50 SITE ADDRESS: G- OWNER NAME: PHONE : INSTALLER NAME STREET DDRESS: - 1 2 W• ~ L~ C~~ W C~ CI . STATE: ZIP: ~ 97 J SIGNATURE OF PERMITTEE CITY USE ONLY L BL RECEIPT SUBD. RECEIPT DATE: - 1997 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? ail commercial/industrial buildings. ? mufti-family buildings when separate permits are not required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: ?$25.00 minimum fee or 1% of contract price, whichever is greater. ? Processed piping - $25.00 ? State surcharge of $.50 per $1,000 of ep rmit fee due on all permits. CONTRACT PRICE x 1 % PROCESSED PIPING STATE SURCHARGE TOTAL SITE ADDRESS: OWNER NAME: TELEPHONE TENANT NAME: (innPROVEMEnrrs oNLY) INSTALLER: ADDRESS: CITY: STATE: ZIP: PHONE SIGNATURE: SIGNATURE OF PERMITTEE CITY INSPECTOR v CITY USE ONLY L LP BL ~ ~ RECEIPT#: / T33C~ SUBD. .l.C/gO-W C1 ~ RECEIPTDATE: 60:0 S/Y9/ 1997 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please compiete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES EACH T TAL Shower 3.00 x = Water Cioset 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = Water Heater 3.00 x = Floor Drain 3.00 x = Gas Piping Outlet * minimum -1 • 3.00 x = Rough Openings 1.50 x = Water Softener ` for dwellings under construction 5.00 X = Water Softener " for existing dwelling 20.00 x = U.G. Sprinkler " for dwelling under const. 3.00 = U.G. Sprinkler * for existing dwelling 20.00 = Alterations « to existing residence 20.00 Water Turn Around 20.00 = Private Disposal System " Dak Cty lic. 75.00 = (new and refurbished systems) Private Disposal Systems * Abandonment 20.00 = STATE SURCHARGE .5 TOTAL ~ I hereby adcnowtedge that I have read this application, state that the infortnation is cortec:t, 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 for any damages caused by the Ciry during its nortnal operational and mairrtenance activities to the facilities constructed under this permit within City property/right-of-way/easement. SITE ADDRESS: OWNER NAME: INSTALLER NAME: TELEPHONE 4py- 6"c.' jv STREET ADDRESS: 3175-0 12 CITY: STATE: ZIP: ~ S l~;2 SIGNATURE OF PERMITTEE ïû þ ý ü þýý üûúûüúûü ùýýø÷÷ïöö ÿ þýõ ûúùø÷ÿÿô ê ò ûùø÷ÿ ùø÷ÿô ê áÿôêßÿ÷ ÿíÿ ÿ ÷âû ÿ òÿ û òÿñîû÷ ø ðý ïû ÿÿÿ í÷ìÿíÿ ÿ íÿÿïûÿ íÿÿÿ úÿí ëé ÿýôô÷ÿý ü éé íý ý ÷ÿëò éé ÷ÿ éÿ ë ò úíèÿÿÿ ÿÿïûÿúø ô ýÿé íø íÿ ë ÿÿÿæñåæääë äëä ôù û ýÿ ÿç û æñåæë ë ç û ñüë óò õñð ÷÷ åÿ þèÿ ù í í ñ ýÿ ø ìÿöìÿâÿý ãá þ ý ãá ñ õ óääñä ÿÿúø ôÿýÿ ìÿÿ ÷÷ ÿ ÿéí ÿ ýÿÿí÷øô ÷÷ úÿ ÿ éãÿ ûÿ òøéþ ý î ÿ ë ÷÷ êÿíÿÿý ûÿ ûÿøý ûÿ PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA108886 Date Issued:01/22/2013 Permit Category:ePermit Site Address: 3665 Widgeon Way Lot:6 Block: 1 Addition: St Francis Wood 2nd PID:10-65901-01-060 Use: Description: Sub Type:e - Water Heater & Water Softener Work Type:Replace Description:Water Heater & Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Josh McGuire 1424 3rd St N Minneapolis, MN 55411 612-604-4285 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 - Thomas D Williams 3665 Widgeon Way Eagan MN 55123 Benjamin Franklin Plumbing 1424 N 3rd St. Minneapolis MN 55411 (612) 604-4285 X61 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA121791 Date Issued:04/15/2014 Permit Category:ePermit Site Address: 3665 Widgeon Way Lot:6 Block: 1 Addition: St Francis Wood 2nd PID:10-65901-01-060 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . William Krech 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 - Thomas D Williams 3665 Widgeon Way Eagan MN 55123 (651) 905-0724 Krech Exteriors Inc 5866 Blackshire Path Inver Grove Heights MN 55076 (651) 688-6368 Applicant/Permitee: Signature Issued By: Signature r For Office Use \\ a Permit#: / 97--r-r6 E AGA N L-16/-5. Sg, Permit Fee: Date Received: 8 9 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 G � (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 ®�t� Staff: buildinginspectionsCa7cityofeagan.com O 1 2 • 2019 RESIDENTIAL BUIL DI 51:t. PLICATION Date: Site Address: Unit#: Name: /04e/4 74 -11,Ool ZciGG7 7M J Phone: jS"y-/9/?— 302_ Resident! / Owner Address/City/Zip: 36 6 5 u 1,p6 4.) Applicant is: Owner Contractor p R - ck�A D/G./!(,r�►' /v�� 57/ - �2� Type of Work Description of work: E�C� w tom' Construction Cost: 3 'OO 2 Multi-Family Building: (Yes /N ) Company: /g04)-Xing/2- ,7777-1 C771?&) Contact:0"-/-0-y__5,/z/A)44.-- Contractor Address: Cg‘ 3.41/4/V-49 City: ell45 /649 State: Zip:5 i f Phone‘g-'/c'7-/c537Email:R"P'14/Raug/veA—c v. C40,4/, License#: 1 G 2-7! z.7e Lead Certificate#: If the project is exempt from lead certification, please explain why: r� /P 57 OCL kid 7-,0/s2-5- /R4/4/4 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? DD GX Yes No If yes,date and address of master plan: Licensed Plumber: Phone: )v6 "7n� 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. 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.citvofeagan.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.gopherstateonecall.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 ' • t a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and appro . . plans. x Z/it42/ 57,2/nigi / .I Applicant's Printed Name • •lican sei. sbil . ACovt 19„g_- DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) — Multi Deck Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex Lower Level T'Pool Accessory Building WORK TYPES New _ Interior Improvement _ Siding _ Demolish Building* _ Addition _ Move Building _ Reroof _ Demolish Interior �(Alteration _ Fire Repair _ Windows _ Demolish Foundation /_`Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION ValuationOccupancy , Y MCES System Plan Review :74)--, Code Edition /51 SAC Units (25% 100% Zoning41- City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction ` /6 Width V REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) X Final/No C.O. Required Foundation Foundation Before Backfill HVAC Service Test Gas Line Air Test Hood Roof: Ice&Water Final Pool: Footings Air/Gas Tests Final Ni Framing 30 Minutes 1 Hour Drain Tile ' Fireplace: Rough In Air Test Final Siding: Stucco Lath Stone Lath Brick EFIS Insulation Windows Sheathing Retaining Wall: Footings Backfill Final Sheetrock Radon Control Fire Walls Fire Suppression: Rough In Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: J �� , Building Inspector RESIDENTIAL FEES Base Fee ()6a--/-- ,, Surcharge �/,),9 7it„, Yic-_-. Plan Review E /7--,-, _,., - MCES SAC / . / 2 Ci SAC f` �`P IA,, l y (c..._ Utility Connection Charge ,,1 hi'-'1 oOX o S&W Permit&Surcharge 512 = r- Treatment Plant for, Radio Meter Read cd }2°.11 t'+ / -'t p,...; / 0 Copies TOTAL ‘ f i l- i P of3 PERMIT City of Eagan Permit Type:Building Permit Number:EA172803 Date Issued:10/18/2021 Permit Category:ePermit Site Address: 3665 Widgeon Way Lot:6 Block: 1 Addition: St Francis Wood 2nd PID:10-65901-01-060 Use: Description: Sub Type:Reroof & Siding Work Type:Replace Description: 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. We encourage you to retain an electronic copy of photos until the project passes a final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to Valuation: 10,000.00 Fee Summary:BL - Base Fee $10K $191.75 0801.4085 Surcharge - Based on Valuation $10K $5.00 9001.2195 $196.75 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 - Travis Keith Weltman 3665 Widgeon Way Eagan MN 55123 (952) 913-2302 Younger Exteriors 2340 Cavell Ave N Golden Valley MN 55427 (612) 360-0320 Applicant/Permitee: Signature Issued By: Signature