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3669 Widgeon Way CITY OF EAGAN qF~~"` ' rt~,.'~i F F 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for Est. Value $154,0M Date JVN"" Q , 19 Site Address t,!lt:'y, ".'t% 4dt°, . Lot ' Block 1 Sec/Sub`~T i~ANMS VWt 2d OFFICE USE ONLY PBfC@I NO. Occupancy FEES Zoning m Name (Actual) Const BIdg.Permit 12~~~t} 3 Address 3; (Allowable) d~ Surchar9e 7'•~ . ~ City Phone 780w4# of Stories - Plan Review 414y'~ Length 6Zp Nd1112 `i;nDepth 3-&- SAC,City 100 a00 ~a Address S.F.Total SAC,MCWCC 575•b"O ¢ City Phone S.F. Footprints - ~ On Site Sewage Water Conn j''~.00 A;9 `r':.Aplc t.0 .f1t) W Name On Site Well w W Water Meter Address ~ PX1 to MWCC System JOL- ~ a ~ Acct. Deposit ~ • a W City ni I ` Phone 6 3 6°'6 R A cicy wacer 3tx- PRV Required S/W Permit I hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge information is correct and agree to comply with ail applicable State of {t~ Minnesota Statutes and City of Eagan Ordinances. Treatment PI " Signature of Permitee APPROVALS Road Unit 140•N) Planner A Building Permit is issued to: Park Ded. on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies Building Official Variance - TOTAL ~•283. 50 ~ , Permit No. Permit Holder Date Telephone # W}CTEFJ SEWER PLUMBING H.V.A.C. ELECTRIC Inspection Date Insp. Comments Footings I Foundation Framing Roofing Rough Plbg. _ Cf-g Rough Htg. 9 7~ g /y'~ GOK ~1ft- Isul. y ~ Fireplace ZPX ~oT 77,5 Final Htg. Final Plbg. Const. Meter Plbg. Inspector- Notify Plumber Engr./Plan Bldg. Final Deck Ftg. Deck Final Well Pr. Disp. ~~se. . .r. . t _ .r ..n. . , . Cx.... r.. r . PERMIT # MECHANICAL PERMIT RECEIPT # ' CITY OF EAGAN • DATE: 3830 PILOT KNOB ROAD, EAGAN, MN 55122 CONTRACT PRICE: PHONE: 454-8100 For Office Use Only: Site Address f - - BLDG. TYPE WORK DESCRIPTION , Lot_ ~ Bbck Sec/Sub Res. { New ~ Name Mult Add-on Comm. Repair ~o Address c City Phone - ' ~ Other FEES ~ Name RES. HVAC 0-100 M BTU -$24.00 c Address ADDITIONAL 50 M BTU - 6.00 p City Phone (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA. TYPE OF WORK COMM/IND FEE - 196 OF CONTRACT FEE _ Forced Air M BTU - APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIdENTIftL FEE - ALL ADD-ON 8 Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU R MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # BEYOND $1,000) Other g _ ' ' • FEE: SIGNATURE OF PERMITTEE j' S/C: TOTAL: FOR: CITY OF EAGAN ` PERMIT # PLUMBIN(3 PERMIT RECEIPT # D . ' Q CITY OF EAGAN J 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: ,'`1 CONTRACT PRICE: ~~G 'C? . 66 PHONE: 454-8100 Site Ac~~l,ress BLDG. TYPE WORK DESCRIPTION Lot ~ Se /S n AJ~°, ck ~ - ~ Res. ~ New ~ ~ Name ~=4;~~~-~ Mult Add-on co Address ''j, ~ Comm. Repair c City Phone Other 40. FIXTURES T T~1L Name - ` • ` ` Water Closet - $3.00 c Address Bath Tubs - $3.00 0 Ci~ Phone ~-Lavatory -$3.00 ~-Shower - $3.00- FEES =Kitchen Sink - $3.00 COMM/IND FEE - 1°fo OF CONTRACT FEE Urinal/Bidet -$3.00 MIIVIMIJM - RESlDENTIAL FEE - $10.00 Laundry Tray - $3.00 ~ MINIMUM - COMM/IND FEE _ 20.00 -;-Floor Drains -$1.50 ; V STATE SURCHARGE PER PERMIT - .50 Water Heater -$1.50 (ADD $.50 S/C IF PERMIT PRICE GOES Whirlpool -$3.00 Gas Piping Outlets - $1.50 BEYOND /$1,000.00) Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 SIGN URE OF PERMITTEE FEE: • STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL: SEWER & WATER PERMIT OFFICE USE ONLY CITY OF EAGAN 3830 Pilot KnOb Rd. PERMIT DATE WATER PERMIT # SEWER PERMIT # P.O. BOX 21199 METER #~/5-.112 B.P. RECEIPT # C 2476 Eagan, MN 55121 REAVEO-# 6 p 73 B.P. RECEIPT DATE 61 :i 416 n METER SIZE aa ISSUE DATE PRV - BOOSTER PUMP ~ . , - SITE AD~RESS L~ P~RMIT REOUESTED LOT BLOCK SEC/SUB 1~/ILWC/ ; ~SEWER ~ WATER - TAPS APPLICANT: ADDRESS: ~ 02 w /U COMM/IND `-r RESIDENTIAL CITY, STATE ~ t~ ~7 ZIP -•~..-PHONE: ZNEW - EXISTING PLUMBER: ADDRESS: `~'y l•- ~ 1`~C I AGREE TO COMPLY WITH CITY OF ~ ~ EAGAN,QRDINANCES: , CITY, STATE 1'~-ti ZIP V ? r ~ PHONE: 7 YO O OWNER: .f.. 7 ADDRESS: ! SIG RE HEN METER ISSUED CITY, STATE ZIP ~ PHONE: PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEW PERMITS, CONTACT - ENGINEERING DEPT. SEWER.& WATER PERMIT OFFICE USE ONLY CITY OF EAGAN PERMIT DATE 3830 PIIOt KIIOb Rd. WATER PERMIT # a•~ SEWER PERMIT # P.O. BOX 21199 METER # B.P. RECEIPT # t; 247r_ Eagan, MN 55121 READER # B.P. RECEIPT DATE E*/~ METER SIZE ISSUE DATE - PRV - BOOSTER PUMP SITE ADDRESS PERMIT REOUESTED LOT BLOCK ' SEC/SUB • ~ ' ~ - SEWER - WATER _ TAPS APPLICANT: , ADDRESS: / y~ ) _ COMM/IND - RESIDENTIAL CITY, STATE 'ZIP PHONE: NEW - EXISTING PLUMBEA: ADDRESS: I AGREE TO COMPLY WITH CITY OF CITY, STATE ZIP EAGAN ORDINANCES: PHONE - ~ OWNER: ADDRESS: SIGNATURE WHEN METER ISSUED CITY, STATE ZIP PHONE: PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. ~ CASh RECEIPT CITY O P~~~`?GAN r 3830 PILOT KNOS ROAD EAGAN, MINNESOTA 55122 t DATE 19 ~ pECE1VED ? ~ ? _ f J ~ FFiOM 41 F' AMOUWT $ w, ~ 4 f ,/'1~ ~"M ti 8 DOLLAHS ,oo ~ ? CASH Ip.CHECK wn ~~:'L f .~.•i ~ ¢ ~ / i ;i " ~ , •f , ( ~ , 7.1 I~ ry,^ pi~'? v r ~ y4~',r FUND OBJECT AMOUNT Thank You BY White--Payers Copy C Yelbw--POSting Copy Pink--File Copy ~ BLDG. PERMiT NO. 01-3210 Bldg. Permit i -01-3422 Ptan Check 01-3445 Surch./Adm. ~J 101-3446 SAC/Adm. ~ 01-2155 Surcharge ( `,5:?75-3860 Road Unit , 7n 20-2275 SAC ~ 20-3865 Water Conn. ~ ~ 20-3868 Water Trmt. ~ C~ 20-3716 Water Meter 1~ r^ 20-2252 Acct. Dep. ~J 20-3713 Water Permit , ' 20-3743 Sewer Permit 79-3866 Sewer Conn. + 28-3855 Park Ded. ; ~ - TOTAL ' \ CITY OF EAGAN Remarks Addition ST. FRANCIS WOOD 2ND ADDITION 7 Blk 1 Parcel 10-65901-070-01 t ~ 3669 ~IDGEON WAY Ownerr~~ ~ Street State u ' ±t;~,, i, ,•,,1. ~ Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 6 STREET RESTOR. GRADING 7t{ 1983 61~. $5 122.17 5 SAN SEW TRUNK 1983 316.84 63.37 S *SEWERLATERAL Li 1983 5510.68 1102.14 5 WATERMAIN * WATERLATERAL 1983 S WATER AREA / 1983 316.84 63.37 S *Services 1983 5 STORMSEW TRK 1983 670.74 134.15 5 * STORM SEW LAT 1983 5 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PAR K ~~+*~!~x r:~!m'': +~~:~~'v~'~?: w ~ _ . ;,y~ _ ~ t ~ ~ ~~exft#ir~te u# (~rr~t~~nr~ Citp of Cagan ` iur#rartmrtcf of suiibing jwrrtina This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying ti?at at the time of issuance this structure was in compliance with the various ordinances of the City reguladng building construction or use. For the fo[lowing.• uu ci.mrc.don SF DWG/GAR Eag. nffmic No. 16606 oaUP-,y T,pe R3/*''1l zooingauM R1 Thv ConsL VN o„ner of Biii7ding T.TB OCHPAtJIES M. Add.„ 4704 NE H+IY 10. ST. PAiTL Bugdi,g AMr= 3669 WIDC,~QJ WAY Lmaty L7, B 1, ST. FRANCIS 6JOOD 2iid .~in„,DO(ROER 14. 1989 / Building Off"f POST IN A CONSPICUOUS PLACE . . L . . . . 4.; f % L= . - . . . , , . . _ . . \ . . _ , _ DATE: 6/15J89 RE: 3669 WIDGEON WAYF L7, B1, ST FRANCCS WOODS 2ND XX Your Sewer & Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. Your Sewer & Water Permit for the above property cannot be completed for the following easons: 40 Yo r Sewer & Water Permit for the above property has been completed, but the meter cannot besued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REOUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. .f" Secretary, Building Inspections Dept. DATE: 6/15/89 ~ RE: 3669 WIDGEON WAY, L7, B1, ST FRANCIS ii00D5 2A1D xx Your Sewer & Water Permit for the above property has been completed. It will be 11e1d at the Public Works Garage (3501 Coachman Road) until th meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERM?NENT WATER TURN ON. Your Sewer & Water Permit for the above property cannot be completed for the following ~reasons: ~ ~ Y Qur Sewer & Water Permit for the above property has been completed, but the meter cannot be'i+ssued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REGIUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. ~ CITY OF EAGAN NQ 16606 r 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 d BUILDING PERMIT PHONE: 454-8100 Receipt # ~ ~ ~7c' To be used for SF DWG/GAR Est. Value $154, 000 Date JUNE 9 19 89 Site Address 3669 WIDGEON WAY Lot 7 Block 1 Sec/SubST FRANC1IS WOOD 2 d OFFICE USE ONLY ParC21 NO. Occupancy 8-1_ M-1 FEES Zoning R~1 W Name TJB ^,OMPANIES IN^, (Actual) Const VL1L BIdg.Permit 828-00 :zt Address 2704 NE HWY 10 (Allowable) V-N surcnarge 77.00 y # of Stories o Cit ST. PAUL PhOne 780-2944 _ Length L/. - Plan Review 41 4_ n(1 a~~ Zp Name e nuunE Depth SAC, City 100 _ 00 0004 Address S.F. Tocai _ ~ C11Y PhOll@ S.F. Footprints SAC, MCWCC 575.00 On Site Sewage Water Conn 580.00 W W Name PERTINIAN PLANS On Site weil - water Meter 90.00 Address 1611 NE HWY 10 MWCC System xx Qw Cjty MINNEAPOLIS Phone 636-6889 Ciry Water Acct. Deposit 30.00 PRV Required _ S/W Permit 20.00 I hereby acknowlege that I have read this application d state that the Booster Pump - S/W Surcharge 1.00 information is correct and agree to comply with II p icaple State of Minnesota Statutes and City o ag n Ordin e Treatment PI 228.00 Signature of Permitee APPROVALS Road Unit 340-.00 A Building Permit is issued to: T.TB COMPAN S Planner - Park Ded. on the express condition that all work shall be done in accordance with all Council applicable State of utG nd City of Ea an Ord ances. Bldg. Off. Copies ~n Building Official MZ `h-( Variance - TOTAL 3,283.50 a 95968- ~ Reques ate ~ Fire No. Rough-i nspection „i. _a° Requ' d? k~4dy Now ? Will Notify Inspector es ? No When Ready? I El licensed contractor ? owner hereby request inspection of above electrical work at: Job Ad ress (Street, Box or loute No.) Ciry ~ ~ -n--4ti Section No. Township ame or No. Range No. County r t 1 Occ nt (PRINT) , Phone No. Power p lie Address 1 ~ ~ •"1~ q fo iU`-/ Electrical Contractor (Company Name) Tontractor's License No. ~ ~02- (a M lin Addres Contractor or ner Making Installation) ~ ! - -t-6- ~ 6 '~-~c ~i ~ ? ~ Authori d Sig ature (C ntractor/ ing Installation) Phone Num er_ < ~ ? MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BYTHE STATE BOARD 7821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. v° p EQUEST FOR ELECTRICAL INSPECTION es-00001-07 / ,~3p~ 3ee Ihstructions for completing this form on back of yellow copy. 95968 /s ~`X" Below Work Covered by This Request ew dd Rep. TypeofBuilding AppliancesWired EquipmentWired Home Range . Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm ' Air Conditioner Other (specity) Contractor5 Fiemarks: Compute Inspection Fee Below: # Other Fee # ServiceEntranceSi e Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps C 0 to 100 Amps Transformers Above 200 Amps Above 100 Amps SignS Inspector§ Use Only: TOTAL Irrigation Booms Special Inspection 7s Alarm/Communication Other Fee I, the Electrical Inspector, hereby Rough-in !ZO certify that the above inspection has Final been made. ' OFFICE USE ONLY This request void 18 months from Rpr 10 07 04:58p South Face Huilders, Inc. 9522335462 p.l 44116/2007 42:49 FAX 9528968606 0001/001 0 USP Corporate Q,~'rce ~ SMCTVM ~ OONNBCYW 14305 Southcross brive, Svite 200 • 8urnsvilfe, MN 55305 800-328-5934 • Fax:952-898-$683 www.USPconnectors.COm • 0-mai1: infoftSPcenaeccors_cam ApriE 30, 2007 . City of Eagan 3669 Widgeon Way - Eagatt, MN 55123 AEtn: Jeff Whcetcr Re: NS2I0-TZ instatlledon 2x20 Ikar lcff, A NS210-TZ is iQStalkd on a 2xI0 2 inches beiow the bottom surfaco of the heacler. This ryge of instaltation . wilJ yield a maximum of SOOIbs alloweble Ioad due to the rcdudions that must be takcn per ANSilTPY. A11 : possiblt fasicner holes witb header mataisi behitui them should be filled to achieve the allowable load for this instaliaticm. : Cordially, : Tadd Cnvwious : Eagineedag Manager, CeAaal Region PLUMBING (RESIDENTIAL) Permit APPlication ~ City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Please complete for: Single Family Dwellings Townhomes and Condos when permits are required for each unit Date 6 / 90 / 0,3 Site Address Unit # Property Owner Telephone # (G5/) Contractor Address xv! ~ City State Zip Telephone # v 6: The Applicant is Owner Contractor Other Septic System New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00 Includes County fee. Additional consultant fees may apply. Alte_ rions To Existing Dwelling Unit, Including $ 50.00 Adding fixtures to lower levels or room additions, excluding water softener and water heater _ Abandonment of septic system Water turnaround 5/8" eter if needed -$121.00) Other: ?.~Q _ RPZ _ new installation _ repair _ rebuild $ 30.00 _ Law:a irrigatir.n system _ Water softener _ Water heater $ 15.00 replacement _ additional _ .50 State Surcharge r~ P. Total ~By $ ~J~IL I hereby apply for a Residential Plumbing 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 Plumbing Codes; that I understand this is not a pernut, but only an application for a permit, and work is not to start without a pernut; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of p . ~G~l ~v UD~~S App ' t's Printed Name Applicant' gnat 2422 Enterprise Drive PIONEER ~J Mendota Heights, MN 55120 LANDSURVEYORS• CIVIL ENGINEERS * engineering rn LAND PLANNERS• LANDSCAFE ARCHITECTS (612) 681-1914 * * f~ Certificate of Survey for: EAGAN REViEW ED 0 $Y -1 'D ~A ~if/~' J~C DAtE ILS~I 'r'v-qY 8 e ~ 5 7 , - J 13.sN .~2o.s3 9.1 ~ tz' ' S ~ . 4, C e ~ I r _ zo / . ~n M p~:j (2 M' ' w ~p ~ ; i Nousr m / N ~ M ~CQ~~i • ~ - 30 ~ ,o q • o 00 12.0 M 'Q o - l)¢no~ag %?~rr ~rJonurYl 4e'u 900 - l)¢xo 7 ¢xi4rrl Q~ava{~on l / ( o ; y Y - ¢Va l~/on i , 1 ? I ~ Da a S ~ 1 15 ~1qGxPfZiR?4G DEPT . ~ - ; 876 .s LoK1251 fl-VI/ ¢/¢v. BB6 90• 99 -t- / 894• I 10~! of b1oc~ 212 v. ~ar~a~¢ ~~vor ¢IQr~. 893• 8 zoi )OWCK ~ *4577 ~~Z"05 I~t/CX~f> 2AII) A ON TI0, A su6,i'd A ea~e~~ ~ v~~~4 ~~,114 I hereby certi(y that this survey, pian or report wa pNpared by me r under my direct supervision and that I am dui Registered land Surveyor T under the faws of the State oF Minnesota. Dated this day of ~ u C A.D. 19. I .vJAQO U.).~CZpC~PVLS!_.S REG.NO. ~Ag47 168 8 v~5 ^ ~ ~ : a ' , r f ' 1989 BIIILDIAG PERMTT APPLIClTION -1 , CITY OF EAGAN i L~J V SIlNGLE FAMILY DidELLIHGS MLTIPLE DiiELLINGS tON~'iERCIIL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHI'i'ECTURAL 3 REGISTERED SITE SDRQEYS 8E#;ISTERED 3ITE SIIRVEYS - & STaUCTtJRAL PLANS 1 SET OF ENERGY CAL(S. (~CK WITH BLDG DIV.) 1 3ET OF SPECIFIC9TIONS lSET 0F EAERGY C1lLCS. 1 3£T OF EHERGi CALCS.. MULTIPLE DWELLINGS RENTkL IINITS FOB SILE WlITS f OF ONITS - NOTEs ADDRESSES POR CORNER LOTS - CONTAACTORISOMEOWNER liQST DESIGNATE i18ICH ,DDRFSS IS DESIRED. NO CAANGES WILL BE ALLONED ONCE BUILDING PERIriIT I3 I3SUED64 SEWER & iiATER PEMIT FEES AAD ACCOUNT DEPQSIT FEET iiIi,L BT INCLUDED WITH THE HUILDIN(3 PERMIT FEE. PROCFSSING TIME FOR SEWER ARD iTgTER PERHITS IS TWO DAYS ONCE A PERMIT HLS BEEp CONlPLETED INDICATING A LICENSED PLUlIDER. ' PENALTY iPPLIFS WHENs PERMIT IS 2dOT PAID FOR IN 5AME MONTH IT IS REQUESTED. LOT CFiANGE YS REQUESTED ONCE PERMIT IS ISSIIED. kuN 0 ? ~989 To Be Used Fors A/41e~e7,/%4z. Valuation: ` Date: b~ ~ Site Address 366qXjC~cVor~ OFFICE USE ONLY ' 15 ocaa''` ".)t ~ Bloek ~ Oecupaney FEES Zoning R- ! Pareel /Sub ,'~j f-1K"44Q;V 11100 ~?Aj ~Aetual Const V- N Bldg. Permit Sz Oa Allowable V-N Surcharge '"irT.oo Qwner # of stories Plan Review ti t y- oa Length ' SAC, City 1 aD, po lddress 0'7,041-'V4- At)u 1C`I Depth SAC, MWCC S?S,DD S. F. Total Water Conn 960,00 City/Zip Code Footprint S.F. Water Meter 10.00 Aect. Deposit 30 %t~ Phone ~ On site sewage S/W Permit Zp D+3 On site well S/W Sureharge ,oo Contractor I+fWCC System ~ Treatment Pl. A aOD City water Road Unit "I yo, oa Address PRV required Park Ded. Booster Pump Copies -.50 City/Zip Code StTBTOTAL APPROVdLS Penalty Phone Pla' nnr- TOTAL / Couneil Arch./Engr. a-A.Bldg. Off. Variance Address ~~-4ke City/Zip Code 1911,161"- ) #~1/ !;S `!3 Z Phone # 6 3& - 0/90 ~ V A L vl 4710~j . t ; l " 2 GARA~S7 Zc,~ y 7- 1-4 Ov 12. x -z- -2- b q ~L4 W xf~`~~ ly 12V 19 Xyb ~ 6 72.0 13's m-r ~ 1'~F k 5~- 2. g V~ ~ 32 - s~z / X 114. ~z~~ ~c ly= 1755~ 1 ~r io ~ 12X 1010 Zn1v 5 °~3~- Z~/q : 2g 2 y 1~ = 2-9. t n ,r,.~• ! • • CC]MM. i'JCJ. Plr3f3f'11 f1g DC-7!=,rj, g{i ICiC:: . 1611 F-laghway 10 N.E. fi1ir3neapolis, lMPJ 554• 3. 6 12..° rE30-• 15'a'Ci h1:i nnesota ~'~tate Erieryy t"ndt_ L~.a:l c:ul ati acis Based un ChrGapter• 15 caf i;.t-re fysacieJ. E:.ncz:w°gy fr..'ude 1983 Ecia ta on Adapted 1 / 1 /64, L.I4U1"1eI'' . ST'EVE & JOAhdhlE L..E::I"iHY GUMM. N[7: 890072 ai te Acir_Ir-ess: Ccant: r• act or° ; "C J f='h one: B]. dq. C1 aitisa A1 A;l for Si ngle rarni 1 y/Dup1e;; A21 resicierstial G: 3 sf:crries Over 3 atar-i es Ot ht er• Ok::hJERAI_ :f.NF=C1F'tMA"1'T0hJ Nca-t~.~: Tt•it:, sec:•k:ion tiesa.gn~.at.a.caris ("~'3e:c:t:ion A°g "aec.ta.on M" etc.} ar•e fcar convcarji erzc:r~-- i ri r_~.~lc:ul ai: i oras onl y, and ar-e riat rel a.tes3 from onet :~et of C: a.I C. 41 a. c=t t], of'i a k:x ea 1 oVa t, ntPi e ri er, •k: . 1. 131c:ig> lqs:t1 .i 5 F='er•a rne1.er WAl. l t7ex gl-rts, - Arw a gr-ciund to eave SC=c: •t;:i c.rn A a ':..'0 9.54 Sc. c; f.: i. cun I:t ; 114 1. 8. 37 2Crci'q• . 9. 8 Sec: ta at•i : 34 26.95 9 16 • Sk:!twt1 f,:ll"1 D . t„Y 0 M. C) lJr{„ys.,'l WAI.1. Ar'~.'~a 3201.26 ~Bu:i 3 c,f i. rr g ci a. mer3 s:i. ons I oar or- [:ei 1 i ng L_engtl-i r. Widi:h » Ar°e,.~ Sc: c,: t :i rtin A . : 40 1200 . heci-:i ol°•i B : "'l 12 ~ £34 Sc.-~ct i an C: ;w 3 y aecti cary D `i"cai.~71 •f1 oar- or° c:pa. Z i ng area 1293 3. (=tisn Joisat Per•imet.er 168 F].caor .joi.st 2 tay (8~~ ~10"y 12" rar- 1611) a: 10 Ri rn ,Jr,s~ ~t Ar°ea - 140 4. Unrar- s 61rpaR 4::e41:3 'T'ttii.ckness (irie:hes) ; C) ~''er-i rnra•t F>>M ( feet t.? 'Cype:.~ o•f c:oristr•UCt9.Or7: "fat~.~l cioor-' s pera.metew: 0 6. Wi. tiCjCiWs ' Er~'d 'DNI N9IS3Q 18 DhJINNb"ld diQ EV:T0 68. 0'G J,bW 1 ' ' • • • • Manuf ac:turer; U factor" : 0.52 5tat.c~ appr•ovFade YES Type Me:i qht L..ength r: hi"mber Tni:al (iriches) (:[nr.,hes) af gl.ass SqFt units CASElYlEN7° f~~Cy 16 2 1 "w . 3--' CAaEl"'iENT :36 20 10 50 C.AiLh1EIV"I" 48 20 6 4cr CE-l~-'F1~1CG1~1'i" E.~~:? iC1 .b 115 0 CASEI"tEN..t.. 48 24 y 72 . . ROUNDTOP 37.5 37.5 . 29.3 0 Cr 0 t:y C} p 0 0 0 0 0 0 0 0 0 . 0 0 : 0 0 Cy C~ ~ 0 0 0 7. Wi rzdow y]. aess area (~qFt. 254.63 Yype Height x L.f?1"1gtf1 :e Number '1'utal (feet) (feei:) uni.ts aqFt 8. Pa{:ia Doar: 6.85 fa 1 41.1 1 At?~ i. um : Ea . £3 5 -2n 5 ."~2 34e 25 10. Fi r•e{al ace area w idtr, : b I°{~.F i. gh t: 4 '1"tat aI Sq F t 24 11. L.>:paseci C=oundatioi-I , Hei.gl-yt area A: per-irnetOr area Ft: 166 SCa Ft t'' ~.'a'1 A w- 137.78 EM,:paseci t=ourtdatican Height area H: 0 f='erinieter, aw~a,B: 0 Sq k= tar-ea B t:) 12. ScaF't U factar' L3 Ft GP"CZf35: wb~ll e3i''E:'r_'t 3201. 28 fi17, f16.45 Wi. ndc.-rw area 254.63 0.52 132.41 Pa1: i. n door- ar ea 41.J. ' 0.47 19.32 Atri uai area ~ 3 4. 2.5 c:r. 44 15. 07 Rim .]caist area 140 0.041 5.74 Draor x:rr-~a 45.8 0.14 6.41 t=i.replace area 24 0»76 18.24 E:;poseci (=rauricl. 1:+7« 7E3 ; Cy. t'?66 9.09 ~ Fr•arnirig area 320, 1:?8 0.095 30.41 equaI s Tr.rtcia, s fcar• net wril, 7. : 2203.592 0e043 94.75 ~/Od 'oNI N9IS3Q 9NINNtiId dJQ Eb : ti0 68 i 0ti J,dW i • J f • ' • • ~ • . . Tf.9'C: als 'F C3Y" gN' i:J fa s W all c71" f? e{ 331.44 M' Y" i ml fl g a1" C? ct G3 10% C3'F' gY' fi] !a "a W a?i l1, cl I"' 'E.'r'I 13. G 1" o`E: t:'s Wd al1 i::i 1" C? c"i `r: f~:'~ CtC7i" bC? lCJ {*d °x u i: A C?I" C t:?de Factor- i.ia e11 fczr•• A....1 sinc,}1e family q,, cluplex .23 for fl--2 and other resa. deni.i aJ. , .23 fr r c:a'k her bui]. rJ i ngs .28 4CJI" oYE?Y" stCJI'" 1 'k' : Fa[:tp!'" 7.5. 0.11 D1°lJi°I 352.1409 M1.laT BE > C1r . 44 (cal. cuJ: ated abov~.~) _ 14. Gr rass c_ ei 1 i n ca :ar ea = 1293, 15. Cea,la.iig fram:i.ng ar°ea {10% of cei,ling area) - 129.3 ih~ Joa.st Area (it:>% c*f r.ei:Ling area} 129.; 17. PJe1: cez 1 i ng ar°ea (Gross ceil. area Joi. s•h.: area) 1163.7 18. U cei'ling: 0»021 x Net cMeil. ar-ear- 24.4377 J. % U f rant i rr g: 0.024 J oi a t, ar ea 3.1032 20• 7'otal of i•kem IS r: i.tem 19 ~ 27.5409 21. . Cr-rassa cei 1 i rzg area :a fac;:tr.ar- bcal. caw = l.) r; A per° c-or,l~.~ Fac:tor•• :i s . Q26 f car A-° 1 f.31 figlF? f arni y& dup3e>; .033 for (1-2 anc:l ci•L••.t•ier- 1'"G7!:1 df:'Cit7. al .06 fcar- other bt.r:i ld.i ngs Fac tor• i,: 0.026 B1"UM - 33.61B I"ilJSl" E:tk: . OR - ~7. r4C?~ (c:.alr.ulatcad abav~.~) E/Z'd 'DtJI N5IS3Q I 5NINHdld dJQ Zb:tiO 68, 0t J.kiW K Y`E U UALUE . Inatde air film ` •WALI. 'Iater ior ' wa 11 (Glal l ) U • 1 . SECTION ~ ~ I R I ~ insulatioa Sheathing S id i ng 461 Outa tde a lr f l tm .17 R TOTAL_23~p3 Inside air ftlm .68 STUD I• Interior wal l SECTION 1 sCud R= ~(O,SC~ (Framtng) U~ R ~ ~ Sheathing '~,Q(p r Slding -7 ' . r-----_ ' Oukstde air filra .17 . ~ R TOTAL_. f d , -S 7 Inside air fitm R- .68 2ND WALL Int er Lor va 11 5ECTION Insulatioc? (W411 ) U . 1 . Sheathing • Exterior vatl covering ~ Exterior air f ilm R..17 R TOTAL tnterlor atr f llm R= ,68 R IM ' . tnsulation I ~OD . JoIST (Rim ~ . l~ [nth sofC wUUd R=1.8$ U a R= ~ Jaist) Sheathing '?•O(p O~' l Extecior wall covering #6-7 ExtarLor air Ellm R- .17 ` ~ . .R TOTAL 2~, Intertor air Eilm R= ,6$ . ~ Insulatiort Foundatton. (,ZS ~ (Fdn. ) U = R Exteriar air film R' .11 ~ R TOTAL I i. ;r xpased 31uck F „ Et~rrtn „r Trc• SPA~E A80VE . . RRA 1 f IG . • . . F~ 11 ,IUE.~ ~ . ' • • . ' . • ~ ~ ~ CE ` " • , , . ILjNG'., , . . . 0.61 -Air Film .~0.61~~ • , 36.00 r , . . . - , , Insulation 44 .00 ~ . . . ~ • . . 4.38 Jo i s t . . : : ~ •56 . Ceil ing ' ,056 ' . . ~ , . ~ / . . : . ' :i,,,' ';•t., ~ . . 0.61 , Air Fi 1rn 0 : 61• . ' ' . 41.55 Total R 45.78 . • : . . .024 u , R , . , .021 . . , , F! A T. RGOF OR CATHEORAL C E I L I."IG . t 4 . ' ~ r ~;.1IPIG ' . R +/q(,UE ' . 5EILING 0.61 Inside air film 0.61 • Ceiling Joist ~stua . , . Insulation , , • A1r space _ • • Roof decking I ' • , Insulation . ' • Suilt-up roof . 0.17 Outside air film 0.17 Total R , U lindow infittratian ,5 cfm/11nea1 foot of crack R tesidential door infil tration 0.5 cfm/square faot or doora nd min•imum • code requirement ~cn-residential daor infil traCian 11.0 cf;n/l ineal faot of crack )b . 12" conci•ete block no insulaCion : sI .,47 R lb 12" concrete 2.1 block insu1ated cores ' • ' 15 12" 1 igl~t~Neioht black .26 ~ 3.8 , . 1b 12" 1fi9httveighC block lnsulate ' .32 R 3,1 : ' . • : ` . d cores. .12 R 8.3 1 sin9le.glass a 1.13; with storm.ivindow 1 double glass . .55 .54 ~ 1 triple giass = .41 exterior, wa 11 s and . . ' ' ceilings must have a vapor barrier (0,10 perm max. :apor barrier must be on the lnside (heat2~f slde of ~•~i1 ~ . i ~Iapor barriers of. the polyethelene thin film have . . , !10 R ~ V a U B , . . . • . . , • ' , .ti " ' . • . CITY USE ONLY LOT ~ BL ~ RECEIPT 9 Q 5 S SUBD. la p` " RECEIPT DATE: T~Z~~209 1998 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT IQd08 RD EAGAN MN 55122 (612) 681-4675 Date• Complete this section onlv if you are installing HVAC in single family, townhomes or condos under construction and not owner /occupied • HVAC: 0-100 M B T U $ 24.00 ADDITIONAL 50 M BTU 6.00 • Gas outlets (minimum of one required @$3.00 ea.) • State Surcharge: .50 • TOTAL: ~i u ~:1 y~u iui~ YV1Y VkVllllg, %~ddiiig iv, vi Pcypqiiliig ~xl$iil'1~ J111~1E 1Slllilj' UV"v`~.111iigJ, Ccrt~ 1ete t?'~'s secticn ~r~~ r ° townhomes, or condos. Note: Mechanical pernut is not required for alteration/add-on to ductwork in existing residential units; but is required for the following: Install fumace k/V__*-c. e ) Install air conditioning Install air exchanger, i.e. Vanee system, etc. Other Minimum fee applies to all remodel or add-ons of existing residences $ 20.00 State Surcharge Total: $ 20.50 4 SITE ADDRESS: v e OWNER NAME: PHONE / 71V INSTALLER NAME: ~ ~r?1 Z -J PHONE STREET ADDRESS: 4 131 E- I' \ GwtiU?A flWj o V CITY: STATE: • ZIP: J- "Jl~ 7-~'~~ SIG A OF PERMI JS/FORMS BLD/I~CH PERNIIT (RES) -1998 cmr usE oNLY L BL RECEIPT SUBD. RECEIPT DATE: 1998 MECHANICAL PERMIT (COMMRCIAL) CITY OF EAGAN 3830 PILOT 1QT08 RD EAGAN, IrN 55122 , (612) 681-4675 Please complete for: all commerciaUindustrial buildings multi-family buiidings when separate permits are not required for each dwelling unit DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: 1% of contract price OR $25.00 minimum fee, whichever is greater. Processed piping - $25.00 CONTRACT PRICE x 1% u PROCESSED PIPING PERMIT FEE STATE SURCHARGE (S.50 per $1,000 of permit fee due on all permits.) TOTAL SITE ADDRESS: OWNER NAME: PHONE ' TENANT NAME (IlvIPROVEMENTS ONLY): INSTALLER: ADDRESS: PHONE CITY: STATE: ZIP: SIGNATURE OF PERMITTEE CITY INSPECTOR i ' i b(33F RESIDENTIAL MECHANICAL Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 Please complete for: Single Family Dwellings & Townhomes and Condos when pernuts are required for each unit Date Site Address l W,\dqQ-on-- Unit # Property Owner Telephone # ( ) Contractor '-,\Q c 0S Street Address g l *&o;n?oYV)wau City (licclo V State 1 1 Zip ephone # OC3 Bond Expires: The Applicant is Owner ~ Contractor Other Add-on, modification or alteration to ezisting dwelling unit $ 30.00 _ furnace replacement air exchanger ~ air conditioner _ New ~ Replacement State Surcharge $ .50 Total $ Z.~ :I V 6 a~0 `~a'i I hereby apply for a Residenrial Mechanical Permit and acknowledge the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagar3 and with the Mechanical Codes; that I understand this is not a pernut, but only an application for a permit, and work is not to start without a permit~hat th work will be in accordance with the . app ved plan in the case of work which requires a review and approval 4p, ~ ~ r 1 licant's Printed Name Ap ican ' ignatur 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 Egpires: The Applicant is Owner Contractor Other Work Type _ New construction _Install _Remove Underground Tank _ 111t21'IOt' 1171pPOVefil@Clt Schedule inspection during installation or removal of tank Processed Piping Nature of Work: Permit Fee $50.50 Minimum Fee (includes State Surcharge) Contract Value x 1% _ $ Pernut Fee • If pernut fee is $1,000 or less, add $.50 $ State Surcharge If permit fee is over $1,000, add $.50 per $1,000 Pernut Fee $ Total Fee I hereby apply for a Commercial Mechanical Permit and aclrnowledge that the in#'ormation 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 perxnit, but only an application for a perxnit, and work is not to start without a pernut; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name Applicant's Signature Approved By: , Inspector Date: f~ RESIDENTIAL BUILDING Permit Application ~~Q• C1~ City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reauirements RemodeVReoair Requirements Office Use Onlv 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of pian Cert of Survey Recd Y N (20% maximum lot coverage allowed) 1 set of Energy Calcula6ons 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 Not Reqd Y_ N 1 set of Eneryy Calculatlons Addition - indicate if on-sife septic system On-site Septic System _ Y_ N 3 copies of Tree Presenration Plan if lot platted after 711/93 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date Construction Cost Site Address q Wi r.l a~Mto, Ll) n~~ Ea Unit/Ste # Description of Work ?~v tli. b2 0l cr o o~'(~ s~y b~T~ Multi-Famiiy Bldg _ Y ~ N Fireplace(s) _ 0 2 Property Owner e r to ~e 4- S40j) h c, o /-e L Q c4 Telephone ) Contractor 140 vs~ I Address 17/ (7 U ~ a14/ vi, a we 5'~ Ah~ City State (3 1 G! v~ Zip M n Telephone #(7fo 3j .557 YY~ R ~r-t~ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 CategoEy 1 _ 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 Eqg I ,tmi1~ ~an? _ Y _ N If so, 25% plan review fee applies. ~ D~~ C L5 ~ Licensed Plumber 2303 ~Telephone J Mechanical Contractor ~,Telephone # ( ) Sewer/Water Contractor Tefephone # ( ) 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 accardance with the approved plan in the ase o work which requires a review and approval af plans. CCJ~ ~ ~ k Applicant's Printed N e Applicant 'gnat e OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-piex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-piex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-piex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Muiti Misc. ? 05 03-plex ? 11 10-plex 1~ 19 Lower Level 0 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg„~Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (interior) ? 44 Siding 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair 1 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 34 ReplaCement *Demolition (Entire Blda) - Give PCA handout to applicant Valuation ,i}D o v Occupancy Rr?j MC/ES System Census Code q-3 Zoning ~ City Water SAC Units r Stories Booster Pump Nbr. of Units v Sq. Ft. PRV Nbr. of Bldgs j Length Fire Sprinklered Type of Const -S Width REQUIRED INSPECTTONS _ Footings (new bldg) / FinaUC.O. _ Footings (deck) t~ FinaUNo C.O. - Footings (addition) 8~ Plumbing Foundation ~ HVAC _ Drain Tile Other Roof Ice & Water Final Pool Ftgs Air/Gas Tests _ Final Framing Siding Shzcco Stone K Fireplace R.I. Air Test Final Windows (new/replacement) ~ Insu2ation T ReTaining Wall Approved By Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search ' Copies Other Total ~~`'f?c ~I 2422 Enterprise Orive ~ PIONEER LANDSURVEYORS•CIVILENGINEERS Mendota Heights, MN 551tU ~ er~g'n~ ~~ring~• ~-ANCPl.ANNERS - LANOSCAPEARCHITECTS 1 (612) 681-1914 Certificate of Survey for: ~ E A G A N REVtEWED ~I P '?~~~~V DATE ~ ~S9 ~ ~d8~~ 8~`='D- S, 7p °oo - ~ - g~ i • ~I "0 o 1s.s t, a c „N 2.0.33 io•9. .~J „r ~ / ~ 9•~ ~ ~a'~ .'~g'I.~o ~ 00 M I •/~fi~ C-7A~ . ~ M PiZePo"o ~ .0 HouSC- Jl~ rv ~ ~ ~G4/fi • ~ ° 30 v q s Z . o tA o° ~I ro I at J / z / ~ 1 (.1 o 1~¢hota/~S %?or7 »yonurs~~~P; f.U O ~ ~ 900 - /)¢ito~q ¢zey~i.~te~ ¢!¢vaY~:.,-a y Y ~av.:r~~s~r•~ ~ / I ! By r r i ~ Datia s' EAGAN IqGI EE G DEP! ~ Lolvd5~ fleov elev. eN - MAN I? 7"rn or 610-,k e!Q v. 69¢. BEVEW ED 893. BY: 3 Z~ ~a ~ . DAzE;~ --.------Bui~.DiNGINSPECTIQNS.DiV(SION.--.--. L~ 0 7 13Z40CK 5-r- ~,~7"4 C/S /~I/caDD 2A10 A901TOA1 s4~~l A eQ*,z*"en1C tlpared by me r u~der my diroct supe~rv~i5yion and thet 1 am dtii Registered Lsnd Svrveyo: ~ I hereby eertlFY that tfils survey, plan or report was j?r vnder the lewa of the Stete ot Mlnnesota. Deted this day of ~ uI7JC A.D. 19 JLZ . ~ ~ r/ • ° ~ ~C~B 89~75 ~ .vJARO 1w1.R.~~~%vL~'-.5 REC3.NQ. ~og~j7 ~ AYM..II~ 2007RESIDENTIAL BUILDING rERMIT APrLICATION ~ U City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reauirements Remodel/Reoair Requirements Office Use Onl 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan showing footings, beams, joists Cert of Survey Recd _ Y_ N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Soiis Report _ Y_ N 1 Soils Report ifi proposed building is to be placed on disturbed soil 1 site survey for additions & decks Tree Pres Plan Recd _ Y_ N, 2 copies of plan showing beam & window sizes; poured found design, etc. Addition - indicate ifon-site septic system Tree Pres Required _Y _ N 1 set of Energy Calculations On-site Septic System _ Y_ N 3 copies of Tree PreservaUon Plan if lot platted after 711/93 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Minnegasco mechanical ven6lation form , P(ans are considered public informafiian unless ou state the are trade secret and the reason. Date 3 /'ZZ /-7 Construction Cost gZ215 Site Address 3 Ca t°n QC Gu/ w 10(!~f1 (h/A- _ Unit/Ste # Description of Work l~~ s? I//~.t.~ Multi-Family Bldg _ Y N Fireplace(s) X 0 2 Property Owner &,v A i~e L. d?.e-A Telephone #(66/ .~17,~ ~ Contractor 5-o'-ft F~c~e- et^./Clt -'s Address tp+',g gqz Ail,= City l"rl' o r State Zip 55372 Telephone # (952 ) 2 10, D S COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Catego!Y 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submission type) Submitted Submitted . Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N if yes, date and address of master plan: Licensed Plumber Telephone # ( ) D Mechanical Contractor Telephone # ( ) MAR 2 2 2007 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 in the case of work which requires a review and approval of plans. ~ A,ex ~v o Applicant's Printed Name Applicant's Signa ure d~ DO NOT WRITE BELOW THIS LINE Sub Tvpes ? 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. Alt - SF ? 04 02-plex ? 10 08-plex Ir 18 Deck ? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work T es 31 New 13 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Aiteration ? 37 Demolish Building* ? 43 Reroof 0 46 WindowslDoors ? 34 Replacement •Demolition (Entire Bldg) - Give PCA handout to applicant D@SCI'IptlOil: Water Damage Yes Valuation DC--~Q _Cxp Occupancy P"~> MCES System Plan Review 100% or 25% Census Code Zoning 2-~ City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length ZZ Fire Sprinklered Type of Const y 13 Width REQUIIZED INSPECTIONS _ Footings (new bldg) _ Sheetrock ~ Footings (deck) _ Final/C.O. _ Footings (addition) ~ Final/No C.O. Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool Ftgs Air/Gas Tests Final ~ Fraaning _ Siding _ Stucco Lath Stone Lath iBrick _ Fireplace _ R.I. _ Air Test _ Final _ Windows _ Insulation _ Retaining Wall Approved By: ilding Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other ~ Total JK I 2422 Enterprise Drive ~ PIONEER LANOSURVEYOR3- QVIlENGINEERS -JI Mendota Heights, MN 551E0 ( ~ er~g eQringr. LANOPLANNERS - LANOSCAFEARGHITECTB Cp~'1h1w * v c~ vo ~ * * ~ • Certificate of Survey for: P EAGAN ~ R E V I E W E D DATE B $ve'~`~ j'V-4 88~~ s 78 oa • . Ba . Od C E ? 8( ° ~ ~ ~ J 87• i fo ~ , 1~ 7c> ~ 9 o' 3 ~~•9~ , ~ I M/ ,q 9 r to c W. , p / Aze,v o i ~r e;N 4 . J7A~. / m/ r o° v ?~oa,r ' N ' ' ~C4~Pc • / = 30 ~ N ~ e~ " t~S.o / ! ~''0 (z.o ? M \ ~ S • o " • 1 1 f 14 / 2 , ~ / ~ 1~ _ o - ~~2i1eT¢~j /?O?7 ti'7o~1!?YI T I< < / _ p o /Jd.to/¢> c~?oi.~u9a ,c u . . { ~:~;a 3~lavy? or¢ as~yu~r~~? i ~o 900 l~¢noi~7 2rerob"79 ¢l¢vat~~v.~•a ! ~ _ ~ ~ ~ o y r ava~rc+r~ ~ ! / By f ! / I Di3fes ~ - - - - - - - - - - - - - - .Ea~?GAN ANGI EE G DEPT C1-ii3 "s76.S [,orVayt ~oo? a~¢v. BB`d ! ~ -I? MAi 7-ip orbinet c(d v. 894 . r` ~ ~~oo, ¢lav 893• z6 /-0--? ` Go i 7, I0Z OC,~ 57" /~,4?,~~/C/S !~t/l.Jl'~D 2A10 A 00lW10A l suke'l A aQ6cmenx' ~~-:114 ~ ~ ~ 1 hereby certiFy thet thls survey, plan or repart wa~ pr@pared by me qr under my diroct svpervision and that I am AUI Registered Land SurveyoF STN under the tewa ot the Stete of Mlnnesota. Dated this dav of `1t-[wJC- A.D. 1945_9 7~8 4~1V~~ ~_WARO Iwl. ,ne~e~rLa•_.5 RE~.NO. ~09~y m.ecw PERMIT City of Eagan Permit Type:Building Permit Number:EA133320 Date Issued:10/06/2015 Permit Category:ePermit Site Address: 3669 Widgeon Way Lot:7 Block: 1 Addition: St Francis Wood 2nd PID:10-65901-01-070 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 within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Bernard E Lach 3669 Widgeon Way Eagan MN 55123 (651) 329-5016 Krech Exteriors Inc 5866 Blackshire Path Inver Grove Heights MN 55076 (651) 688-6368 Applicant/Permitee: Signature Issued By: Signature