3674 Widgeon WayCity of Eapll
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Date: q/ -
i
Tenant:
2010 RESIDENTIAL PLUMBING PERMIT
Site Address: 3 6 1 / lJ>' g Fv ft/ e)a
2%GA'e V Y
Use BLUE or BLACK Ink
Permit #:
Permit Fee:
Date Received:
Staff:
C (D �
v
SS O
APPLICATION
2:2 71-f27 / yA) 5 S /2.:
Suite #:
RESIDENT / OWNER
Name: 74/ aGNCda-r' Phone: &S-/. S . /L ‘)-,‘'
Address / City / Zip: .S'ed7X �,),a/�Z,i o rr ' A,/ I' /r%/ ,.52.2.2
CONTRACTOR
/
Name: License #:
Address: City:
State: Zip: Phone:
Contact: Email:
TYPE OF WORK
New Replacement Repair Rebuild Modify Space _ Work in R.O.W.
_ _ _
Description of work:
PERMIT TYPE
RESIDENTIAL
Water Softener
Water Heater
Add Plumbing Fixtures ( Main / Lower Level)
_
Lawn Irrigation ( RPZ / PVB)
Water Turnaround
Septic System
New
Abandonment
RESIDENTIAL FEES:
$55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$35.00 Lawn Irrigation
$55.00 Add Plumbing
*Water Turnaround
$105.00 Septic System
$95.00 Fire Repair (replace
(includes $5.00 State Surcharge)
Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
(add $166.00 if a 5/8" meter is required)
New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge)
TOTAL FEES $--5-6--0-e)
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.ciopherstateonecall.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.
C%Ci 1/ c2 of"`
Applicant's Prin(ed Name
FOR OFFICE USE
6
icant's Signature
Reviewed By:
Air Test
Required Inspections:
Gas
Inal
ClTY QF EAGAN
' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100
BUILDING PERMIT Rece+pt
Te 6e uad fer ' Est. Value ~ t- Dote 19
Site Addrea: - Erect 0 Occupancy
Remodel ? 2oning
Lot Block sec/Sub.
Parcel No. Repair ? Type of Const.
Addition ? No. Stories
Name Move ? Length
C:i
~
L", T~' -,r, A.VF, Demolish ? Depth
Address " .
Int Impr. ? Sq. Ft.
City Phone 4 Install O
c-~m~1u F' Approvab Fees
O Name
uu Address Assessment Permit
~ City Phone Woter b Sew. Surcharge
~ Police Plan Review
~W Name l.::.
W Fire SAC
Address - ~n Enq. WaterConn.
°C W City , Phone ` ~ Plonner Water Meter
<
Council Road Unit
1 hercby ocknowledge thot I how read this opplication ond srote that Bldg. Off. Tr. PL
fhe intormation is correct ond ogree to comply with oll opplicable APC parks
State of Minnesoro Statutes and City of Eagon Ordinoncos.
; Var. Date Copies
Sipnoture of Pem+ittee .
7 rE R ..~•f 'A)II' ..i:`.1'~ TOtel
A Building Permit is issued to: on the exprcss cadition tho+
oll work shall be done in xcordorxe with oll applicQble State of Mlnnesota Statutes ond City ofi Eopan Ordinances.
Buildi?q Official `
- Permit No. Psrmft Holdsr DaN Telaphone iF
Plumbing ~ 1'
HMA.C. C,O o
ENct~i~ 3~ ( j
socen..
Ir?spection Data Insp. Other
Footings I
Footings II
Foundation /
Framing ~ (,J 8
Roofing $ ~
Rough Plbg.
Rough Htg.
Jnsul.
Fireplace
Flnal Htg.
Flnal Plbg.
Ffnal ~•aY_~-7 •
Csrt/Occ.
Water Desc?ibe Location:
Well
Sewer
Pr: Aisp.
Rooeipt PLUMBING PERMIT PNmit No.
' CITY OF EAGAN
Fee
fill in numbened 4meit S/C
Type or Arint /egidly TOL
1. Date 2. Installation Cost
3. Job Address ~ ' ~ _ ' Lot % Bik. . ' Tract
_t
4. Owner 5. Contractor : Phone s .
6. Address
7. City State 2ip
8. Building Type: Residential E3 Commercial 0 Institutional O
9. Work Description: New O Add ? Alter O Repair ?
10. Describe
11. No. Fixtures No. Fixtures
Water Closet Cesspool/Drainfield
' Bath tubs Septic Tank
Lavatory $oftner
~ Shower WeN
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 1 agree to
oomply with all ordinances and codes governing this type of work.
Signed : f
for
Rouyh F inal
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:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
, ON wotY
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION . D.
I ~
~
- ~
~
Permit Hoider Date Telephone #
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPIACE V ~
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTNITY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL ,
DECK FTG
DECK FINAL
~ .
CITY OF EAGAN ~
ti; •i
~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan. MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt
Te bo wud fa ` 0
Est. Value Dote 19
SiteAddresa Erect Q Occupancy
Remodel ? Zoning
Lot Blxk Sec/Sub. Repair
? Type of Const.
Parcel No. Addition ? No. Stories
Move ? Length
el Name
W Demolish ? Depth
; 4 ' l': j ` . .I. i: t Z~,W:
Address Int. Impr. ? Sq. Ft.
b City ' Phone 3 ' ' 3 5 .5 1 Install ?
Approvab /oos
o Name "
o~ Address Assessment Permit
ul Cit Water E~ Sew. Surcharge • Ej
~
y Phone
Police Plan Review ~ •
~W Name ~s Fire SAC
i . 4 6 ; t Eny. Water Conn. U
x~ Address
a:W City Phone Plonner Water Meter
Council Road Unit
I hereby acknowledge that I heve rcad this opplicotion ond state thaf Bldg. Off. Tr. PL the informotion is torrect ond agree to comply with all applicable AP~ parks
State of Minnesota Stotutes and City of Eogcn Ordinprqces.
~ Var. Date Copies
Siynoturc of Perrr+ittse
~ il 112':TAPI~ c'd3.1 v:::; : t, Total
h Building Permit is issued to. on the expross conditlon 1hoi
oll work shall be dona in accordance with oll opp(aoobie Stote of Minnesoto Statutas wd City o3 Eapan Ordinonces.
Buildinp Offitiol
Parmit No. Psrmk Holder Date Telephone #k
Fupl,mbing ~V,.l4.C. ~3 YU LC1 1~ l^ ~
Ekctric Y Y\ 0/2
? ? -"Cl
Softener
Inapeetion Date Insp. Other
Footings I
Footings II
Foundation
Framing Roofing
Rough Plbg
Rough Htg. ~ `~~(r~g6~ 4N ~ • ~
Jnsul.
Fireplace
Final Htg.
Final Plbg.
Final
[Cort/Occ. Z
Water Desc?ibe Location:
Well
Sawer
Pr. Risp.
Receipt PLUMBING PERMIT Psnnit No. J J
CITY OF EAGAN FN ~
Fill in numbered spaces S/C
~ TYpe or Print /egib/y `i'. •
~ Tot
1. Date 2. Installation Cost
3. Job Address Lot Blk. ~ Tract '
4. OWflBf J.J ~•Jr` f r-. ~ ~
~
5. Contractor Phone ~ ~
BRUCKMUELLER PLBG.
6. Address 678 3Rp AVE.
, :.~~!N. F5118
7. City 4+ State Zip
~ .
S. Building Type: Residential Lf1 Commercial O f stitutional O
9. Work Description: New O Add O Alter ? Repair 0
10. Describe
11. No. Fixtures No, Fixtures ;
Water Closet Cesspool/Drainfield
? Bath tubs
Septic Tank
Lavatory Softner
f Showcr
Well
~ Kitchen Sink
Urinal/Bidet Other
Laundry Tray
,f Floor Drains
Drinking Ftn.
t
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
~ comply with all orfiinancesand cod%lqoverning 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
' Y .
ClTY OF EAGAN ~ ~ i.~
` 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #
TO 6e wnd fer • ~ ' Est. Value
Dete 19
Site Address Erect EJ Occupancy
Lot ' Block Sec/Sub. x2l-.X Remodel ? Zoning ,
Repair ? Type of Const.
Parcel No. Addition ? No. Stories
a'T:`)Iti~? i' . ;~.i.5C ;.~17,'`~ Move ? Length
W Name Demolish ? Depth
z =.4 h(~1=~
Address Int. Impr. ? Sq. Ft.
~ City Phone ~ ~ ~rv'~ ~ ` ' Install ?
Approvals F~es
Name
Asscssment Permit ~1 `7 • 3 (J
o~ Address
~ City Phone Water 3 Sew. Surcharge ,
Police { Plan Review •
W Name Firo SAC
x~ Address Enq. Water Conn.
~ W City Phone Plonner Water Meter tu 3•`' Cl
Countil Road Unit L; n•'' E`
I hereby acknowledge that i have rcod this oppiication ond stote that gldg. Off. t f air<% Tr. PI.
the informotion is torrect and agree to comply with oll applicoble qpC Parks
State of Minnesoto $totutes ond City of Eogon Ordinances. ;
Var. Date Copies
Sipnature of Permittee
~.,~;GF'ii':.h',~1.',E~.~~Ni~'~;.c2 TTota~ A Building Pertnit is issued to: on the exprcss condition Iha+
oll work shall be done in ocwrdarxe with oll opplicoble State of Mlnnesotu Stotutes and City oF Eoqon Ordinonces.
Buildlnp Official _
r Permit No. Psrmit Holdsr Dsft Telaphone ~
Plumbing L t m
A.VA.C. 5 't r yy)- F
EMctric ys~ ~~S oZ `J"D
SoRener
Inapection Date Inap. Other
Footings l
Footings 11
Foundation 6 ~
Framing
Roofing
Rough Plbg.
Rough Htg.
Insul.
Fireplace P~
Final Htg.
Final Plbg. ~ . b1 s- ?_s_ -
Final
CerbOcc.
Water ~~~ibe Location:
Well
Sewer
Pr: Disp.
Rooeipt--' PLUMBING PERMIT Penriit No.
' CITY OF EAGAN Fee
fill in numbered spaces S/C Type or Prini /egibly Tot ,
1. Date 2. Installation Cost
3. Job Address-% Lot - Blk. Tract
4:...
4. OWI1~
5. Contractor ~ Phone . >
BRUCKMUELLER PLBO.
6. Address 678 3RD AVE.
MEPIBEf7A i1E181fFS, MIMN 55118
7. Cit~ State 2ip
~ S. Building Type: Residential,.4~3
Commercial 0 Institutional ? ,
9. Work Description: New ? Add 11 Alter O Repair 0
10. Describe
11. No. Fixtures No. Fixtures
' Water Closet Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
Shower Welt
Kitchen Sink
~ Urinal/Bidet Other
Laundry Tray
' Floor Drains
Drinking Ftn.
Slop Sink
G Gas Piping Outlets
F 1- 12. 1 hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
.r"
Signed for
Rouyh final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454,6100
. ~ CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDIKZ's PERMIT Receipt ~t
Te be wed for ' . Est. Volue ' ti.` r0 . rl Date 19 r~
Site Addreu I-IY Erect I3; Occupancy
. : . V'„ ~
Lot Block Sec/Sub. .Femodel ? Zoning
Repair ? Type of Conat.
Parcel No. Addition ? No. Stories
C . k~I;),.:fl,r;ft Move ? Length
~ Name
W Demolish ? De th
~ . " t' c;`' ii :R AV E P
Address Int. Impr. ? Sq. Ft.
City Phone 31 ' 5' . Install ?
~.P APProvab Fees
ae S`'a~?P~' i:'AP.T1'~2'~Tt.'~iI:
O Name
u~ A~~~s Assessment qermit
1- City Phone Water 3$ew. S~urcharge
Police Plan Review .
~W Name Pl`.t?~31~~ ~'t•d{.'F' Firo SAC ~
z 1C,11),0 L; .1 d fiTFi :~T
Address Eny. Water Conn.
ac z ;4/ILI.'~' 4 s 2_ ~r'UO
trA City ~fione Plpnner Water Meter
Council Road Unit
I hercby ockrwwledge thot I have reod this applicotion ond stote thot Bldg. Off. 6 /5~ Tc PI.
the informotion is torrect and agree to tomply with oll applicoble APC
Stata of Minnesoto Stotutes ond Ciry of Engon Ordinances.. Parks
Var. Date Copies
Sipnoture of Permittee
Y!'dY1P~: 1P TOtal
A Buildiny Permit is issued to: on fhe express condition thot
all work shall be done in acrnrdance with oll applicable Stcte of Minnesoto Sfatutes ond City of Ecgon Ordinonces.
Buildlrq Officiol
Psrmit No. Psrmit Holdsr Dats Talephone ik
Plumbing ~Jc M 1' ~ g S
H.VA.C. GOO<
eactryk (0
sonw..
Inspaction Date insp. Other
Footings 1
Footings II
r
Foundation -
Framing ~
Roofing
Rough Plbg.
Rough Htg.
Insul.
Ffreplace Lot B a ~
Final Htg.
Final Plbg.
Final
x
ceivooo.
Water Desaibs Location:
~'c
weu
Sewer
Pr.;Disp.
CITY OF EAGAN '
;
454-8100 a
;
~
DEPT. OF BUILDING INSPECTIOIVS j
,
* * ~
~
I
;
Cormction Notice ~
~
;
Located at ~ v
i ~
I have this daY insPected this structure and '
;
these premises and have found the following ~
violations of city codes governing same: ~
' % ~ - ' C a,-
' I
~
When corrections have been made, please I
call 454-8100 for inspection.,
Date ' ~.C~~2_ Q i;
Inspector City of Eagan 1
{
DO NOT REMOVE THIS TAG ~
a
i
Raoeipt PWMBING PERMIT
CITY OF EAGAN
Fw
fill in numbened spaces S/C •
Type or Prini /egib/y Tot
1. Date • ` 2. Installation Cost
~
3. Job Address Lot ' Blk. t l Tract
4. Owner
5. Con4actor PhonA '
6. Address BRUCKMUELLER PLBG.
678 30L1-A-VE
MENDOTA HEICHTS, IMlNN. `5118
7. City State _ Zip
8. Build~inYg Type: Residential ? Commercial 04,
Institutional O
9. Work Description: New ? Add 0 Alter D Repair ?
.10. Describe '
11. No. Fixtures No. Fixtures
Water Closet Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory $oftner
• Shower WeN
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains '
Drinking Ftn.
E 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 : ~ .t . _
for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
r.-~-
Receipt 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. a~ Tract
' .
_ , c :
4. Owner
5. Contractor - Phone
6. Address ~ G,•' r T .
7. City fc.~'re'- State Zip ~ - _ -
8. Building Type: Residential 0 Commercial ? Institutional ?
9. Work Description: New ? Add ? Alter ? Repair ?
10. Describe Fuel Type
11. No. Eauipment 97U - 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 Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
~
(Ctr#i#irafit u# (Orrupanry
Cttp of eagan
Erpartmpnf u# Wutftg jnaprrtiun
This Cenif cate issued pursuant to the requirementr of Section 306 of the Uniform Building
Code cenifying that at the time of issuance this structure was in compliance with the various
ordinances of the City regulating building construction or use. For the following.•
Use Classificauon Bldg. Rrmit No.
OccuWncY TYPe Zoning District Type Const.
Owner of Building ` Addres~s' ^ .
Bw7ding Addross L'otaGtyi_
n.u: xz'-~21 jy/Y.,
Building Offidal
POST IN A CONSPICUOUS PLACE
1
a, ^
/
. ~ ~j.
(Itrti#tra#t uf (Orrupttnry
titp of (tagan
Mp~artmmt of lluiiaWg Inspprtton
This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building
Code certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City regularing building construction or use. For the following.•
Use Classi6cation Bldg. }ermit No.
Occupancy Type Zoning District Type Const.
~,~1j3T. ~S '
Owner of Building Address
fs ?
Building Address [.ocality
Da,e: k;'RlI_, 29, 19873
Building Official POST IN A CONSPICUOUS PLACE
.
Ter#if iraft uf Orrupttnry
titp of eagan
DP}tartqtPllf Df l11tlbittg JriBpPttiDlt
This Certificate issued pursuant to the requirements of Section 306 of the Uniform Butlding
Code certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City regulating building construction or use. For the following:
Use Clacsificaaon ' 1
~ Bldg. Permit No.
%
OccuPflncY TyPe Zoning District Type Const.
OwnerofBuildin~`}'li,C;f~~ Address ~L'•;jS~ ~s.~.iii;'Y1 AV2. A.V.
'.'s, F2, 5Z. Fran. 4+Tnacs:: '
BuudingAderess3G74 Wl.d,geoil WAY Loml~ty
nau: iV24187
Hvdding aficial
POST IN A CONSPICUOUS PU1CE
CITY OF EAGAN Remarks
addition S' • FRANCIS WWD 3Rt) Lot 4 aik 2 Parcel 10-65902-040-02
Owner street 3674 111IDt3E0N WAY state EAGAN I?Qd 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 19$2 199.14 39.83 5
STREET RESTOR.
GRADING
SAN SEW TRUNK 1985 159.20 10.61 15
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA
STORM SEW TRK 02 . 1985 377.91 25, 15
STORM SEW LAT ~ 1983 396.84 79.37 5
CURB & GUTTER '
SIDEWALK
STREET LIGHT
Road Unit
WATER CONN. 500-.OD-
BUILDING PER.
sa,c 525.00
PARK
CITY OF EAGAN Remarks a?~T~ ` )L
additiori ST. FRNCTS WOOD 3RD Lot 5 eik 2 Parcel 10-65902-050-02
owner street 3676 WTDGEON WAY State EAGAN MW 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 1982 199.14 39.83 5
STREET RESTOR.
GRADING
SAN SEW TRUNK 1985 159.20 10.61 15
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA c~ 1983 83.97 16.79 5
STORM SEW TRK 9OZ 1
STORMSEWLAT 1983 396.84 79.37 S
CURB & GUTTER '
SIDEWALK
STREET LIGHT
Road Unit $280.00 52442 6 5 85
WATER CONN. 500.00 BUILDING PER. 10352-10359
SAC
PARK
CITY OF EAGAN Remarks
addition ST• gRANCTS NTWD 3RD Lot 6 eik 2 Parcel 10-65902-060-02
owner street 3678 WIDGEON WAY state EAGAN MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 0 1982 199.14 39.83 rJ
STREET RESTOR.
GRADING
SAN SEW TRUNK oj31 1985 159.20 10.61 15
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA -7q) 1983 $3.97 16.79 rJ
STORM SEW TRK Q 1985 377.91 25.19 1
STORMSEWLAT ~ 1983 396.84 79.37 S
CURB & GUTTER '
SIDEWALK
STREET LIGHT
Road Unit
WATER CONN. 500.00
BUILDING PER.
SAC 525.00
PAR K
CITY OF EAGAN Remarks Di r' `
Addition ST. FRANCIS WOOD 3RD Lot 7 Bik 2 Parcel 10-65902-070-02
owner Street 3680 WIDGBON WAY State EAGAN MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. $ 1982 199.14 39.83 S
STREET RESTOR.
GRADING
SAN SEW TRUNK 1985 159 . 20 10.61 15
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA 1983 83.97 1E1.79 S
STORM SEW TRK O 1985 377-91 25-19 19
STORMSEWLAT 1983 396.84 79.37 5
CURB & GUTTER '
SIDEWALK
STREET LIGHT
Rnad Unit •
WATER CONN. 500.00
BUILDING PER. Q3rj2-].O3rjrj
sAC 525.00
PARK
~ TY QF EAGAN WATER SERVICE PERMIT
3$30 Pilot Knob Road
P. O. Box 21199 PERMIT NO.: 5 3 S 0,
Eagan, MN 55121 D/1TE: -1-3-
Zontnp: I'lE No. of Units: i of 4plex
Owner: ~~i.SC~1et Sta~)I: Ping~
i
Add1lSS:
Site Addross• -`'7 4 Wic~?eo x :t Frailc2s ~ oous 3
Plumber:
Meter No.: 5 _ 500.00 pd -
Stze: ~°i'~15.00
Recder No.: d 6m ~ D C r'1 ~ODUnt posit:
~~zvP" IkAw 10.00
I pfw to eeinolp wifh tIM Gh ef foyea Surchorge: .50 i
Misc. Chorges; 132.00 ad i
~
Totol: 63.00 ad m +-er :
ey Dote Poid: '
~
Date of Insp.: (nsp.:
~
~o 171 Xy-- ;
ciTY oF eacAN WATER SERVICE PERMIT
3830 Pilot r nob Road
P. O. Box 21199 - PERMIT NO.: -
Eagan, MA1 55121 DATE:
Zoning: 1 No. of Units: i of. 4o?
Owner: t; c:,~„ -
/lddress:
Slte /lddrcas: 51,,74
Way I. ?daoda 3
Plumber. -
Meter No.: Connection Chorpe: 500. UO ad
Size: Acca,nr aePostr; 1:. 0
Readsr No.: Permit Fee:
1 eorw h aaeply wNh tM
City OF BA90A SUfCh0fgQ: » J U
0num~p•. Mtac. G,orpes: _ 112. GJ pd
Total: 11.3 , , c= mprpz
BY Dote Paid:
Date of insp.: Irnp.:
. ~.._.......,.y.-- s.... ~.,CITY OF EAGAN SEWER SERVICE PERMIT
3830 Pilat Knob Road
P. O. Box 21158 PERMIT NO.:
Eagan, MtN 55121 DATE:
Zoninp: + No. of Units: - 1 401an ;
Ownsr: - ~`s~~` c,r• .s; -'~.u ;n
/lddrcss:
Site llddross: 3F-74 tdfj-nr.•
Plumber:
~ • : . . 1 G~ . ~30 pc? ~
I qew to eomplp wh6 Ne Ciey ef Booew Connection Chanpe. 4? ,,yyi
OrliMaa~. Acaourn Deposit: . ~ • e~
Pem+lt Fee:
Surcharps: ~
BY Misc. Chorpes:
Dcte of Insp.: Totoi:
Insp.: Doft Paid:
. .
_ .
cIT'! OF E.AGAN SEWER SERVICE PERMIT
3830 Pilot Knob Road pERMIT NO.:
P. O. Box 21199 Eagan, MN 55121 DATE:
Zoninp: No. of Units:
Owner:
Address:
Site /?ddress: 'r 6-7 6 -Wi3 er>u Wav
Plumber:
y . C '2- ; 0 V % Cl
1 eome to aomphr wIM tlM Ge1r ef Lelew Connection Chargs: ,
OrAineeam /lccount Deposit:
Permk Fee:
Surchor0e:
By Mix. Chorfles:
Date of Insp.: TotaL•
Insp.: Dote Paid:
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Road pERMIT NO.:
P. O: Box 211,19
DATE:
Eagan, MN 55127 n1 nx
Zoniny: ~ No. of Units:
~
Owner:
Addross: nr_:~s tdoods 3
$ite /lddress: ,.:`}r~ c~ ~ tNS tC. -
@feCQ -v? , , r` . Cl~J
Mete~No.. Co^ ;opd.
SiZQ: •rf t:
Reader No.: Qfa Permit Fee: . S~
1 prN eo aomvh wNh lM Cihr eF G"" SurcF+arge: 132.00 nd
. Chorfles. ~ n~ r:, r• r e z
O~Jiu~neM. Mist pote Poid:
, Total:
B
Dote of Insp.: Insp.:
r°17f85
CITY OF EAGAN WATER SERVICE PERMIT
3836 Pilot Knab Road 7
pERMIT NO.:
P. O. Box 21199 p,,TE:
Eagen, MN 55121 f!t r;1. c--ic
Zoniny: No. of Units:
pwner; ~
/tiddress: 357ft fjjc`- eoT.. 'vl.av
Site /lddrcss:
Plumber. Connection Charge:
Meter No.: AccouM Deposit:
Size: permit Fee:
Reader No.:
1 qn~ to eew~Vh? ~!w Cihr ef le~n Surcharge:
O.~iM~a~. Misc. Chorges: =
Totol:
By poto Paid:
Dote of Insp.: 1nap•:
I
' CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Road PERMIT NO.: `
P. O. Bnx- 21198
Eagan, N1N 55127 DATE:
Units: '
No. of
Zoniny: ST~i~i p'rsp
r isc=ler
pwner: ~
Address: , B2 gt i ra,.cis Woods 3
Site /~ddrcas: ?,ii I I I
PlIJfI'1ber: r• ~~j~a7~l~~a'1Cf~l: ')U!.'C)n Ci
Mster No. K~ posit; , . Ci
~i
51u: Pertnit ee:
Reoder No.: , 5(>
of E~9on Surcharge: 132.0~ pd
I peN to ee~?Vy? wilh !IN Cihr
O.noeeas. Misc. Choroes:
~ 'f a~ meS..er .
Totat:
` Dote Paid:
BY I?aP.:
Dote of I nsP.: f o~'
CITY OF EAGAN WATER SERVICE PERMIT
381) pilot Knob Road PERMIT NO.:
P. O, Box 21199 DATE: j~,;~ :~a
Eagan, MN 55121
Zonino: No. ~ Units:
R
..y~i_:C''
a"r'r' L za?ci.s 'oods 3
~ ~
. R~i2 -
,~IYSS: s ]'b
: ~ a<U Cl 'tir:i
Site Nddrcss: flU d
y~;-;•.r.tx~ ; S,tJ
Plumber. Connection Charge: 1 . ;
Meter No.. /CODunt DePosit:
Siu: Pem+it Fee:
Reader No.: ~ C~ Surcha?9e.
1 p~ to eomVb ~ Misc. Cha?pes:
OaiMoom Totol:
pots Poid:
BY IraP.:
Date of I nsV.:
~
CITY OF EAGAN SEWER SERVICE PEMR
3830 Pilot Knob Road pERMIT NO.:
P. O. Box 21199 DqTE:
Eagan, MN 55121 No, o{ ~Inits:
Zontrq: rr St~~•? `'~r,.~
Owner: F i.~ ctt -
Address: 3~F7~ rrar...cTs t~oods 3
Site Address:
Plumber. 100.00 pd
1 p~w fe eo~uolf? wNU /M CNp of /else nt ~ro°: .~.=•--3-- _
~u w~
pralaenam
perntit Fes: _
Surdwroe:
Misc. Charpes:
By Totol:
pote of Insp.: p~ Poid:
Insp.: ~
ciTY BF E;GAN WATER SERVICE PERMIT
3830 Pilc±t Knob Road PERMIT NO.:
P. O. liox 31199 D/~TE: _
Eagan, MN 55121 I
Zoniny: No. of Units:
Owner: - -
, L ~ r:~rYCis ?ac~a ? s ? .
Address:
Site Address: Plumber: 500.00
Connection Charye: •
Meter No.:
ize: Account Deposit:
S '
Reoder No.: ~ Permit Fee: -
1~yrM to aomVlf? wi1b 11N CifY Of ISO°n Surcharge: 1,; 2. 21 Pd
ist. Charoes. ri[
p~M~, ~ ' ~ pd meter
Totcl:
~ Paid:
By
Date of Insp.: 1nsp.:
~ 0/7 ~ 8 S
CITY OF EAGAN WATER SERVICE PERMIt
3830 Pilot Kregb Road PERMIT NO.:
P. O. Box 21199 -
Eagan, MN 55127 DATE: os 4,31cr
No. of Units:
Zoniny: . t -
Owrwr:
~S. 1...
Address: •1
•r,,'
- . '
Site Address:
I0 . sytl "a
Plumber. Connection G+ef9e:
Meter No.: Account Deposit:
Size: Permit Fee:
Reader No.: `vril6 tiM C1fp eF G9a" Su?chargs: ~2 . E3Q ~d.
1ao~ te oowrVb misc. CFwrpes:
craMeem
Total:
pote Poid:
By Irop.:
pote of Insp•:
CITY OF EAGAN SEWER SERVICE PERMIT
3830 Pilat Knob Road pERMIT NO.:
P. O. Box 21199 D^.~:
Eagan, MN 55121 No. of Units:
Zoninp: `
Ownsr: -
Address: Site Address:
Plumber.
1 pree to emuVh wiM' !Iw CNp ef /avo" Connection Charps:
Orainenar. Aooount Deposit:
Pem+R Fee:
Surcharps:
Misc. Choroes:
By
Dote of Insp.: Total:
pots Paid:
Insp.:
~
REQUEST FOR ELECTRICAL INSPECTION Es-00001o4
' See instructions for complr,ting this form on back of yellow copY.
B32452 . -X" Be/ow Work Covered by This Request
dd Rep. ' Type of Building AppliancesNired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt. Building Dryer Efecvic Heatiti
Commercial Bldg. Furnace Silc Unloader
. Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm Other Specify Other ISper_ify)
ther SVecify Olher Olher
ompute lnspection Fee Below
p Fee ServiceEntranceSize # Fee Feeders/Subfeeders # Fe ;G Circuits
`m2 ' U to 200 Am s 0 to 30 Am 'Z? 0 to 30 Am s
Above 200 Amps 31 to 100 Amps Q31 to 100 Amps
Swimming Pool Above lOD Mips Above 100_Amps
Transformers frrigation Boorrs Partial,`Other Fee
Signs Spec:al Inspec*_ion $ ~ TOTAL FE
Remarks ~q4DZP
Rough-in Date 1, the Electrical
' - yy -giOJ Inspector, hereby
. ~ certifY that the above
Final p a1e inspection has been
made.
thiy request void 18 months from
This request void
18 hsf J Q~ 7
~ 4
Requee~st Date ' Fire No. Rough-in Inspection
Required? ~Ready Now_~lYill Notify. Inspec-
)RYes ?No tor When Ready
ensed Electrical Contractor 1 hereby'request inspection of above
? Owner etectrical work installed a.t: .
Sireet Address, Boz or Route No. City
7Q ~-l'C Cfav
ection o. 7ownship me or No. Range No_ - County
cJ
Occupant (PRI T) Phooe No.
25 I ~
~A.
.Power Supplier A ress .
a 4 e C K~
Electric~aj Contractor (Company Name) Cootractor's License No.
7
Mailing Address (Contractor or Owner Making Instailat~ n)
ay ~ s ~ ~
Authoriz Signat e(Contractor/ wn r Making Installation) Phone Number
d r3~~s
MINNESOTA STAT BOARD OF ELEC7RIC1 THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD
7827 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS~
Pho~ (612) 297-2111 ENCLOSED.
D~ REQUEST FOR ELECTRICAL 1111SPECTION EB-0°°°'~
' See instructions for compleiing this farm on 6ack ot rellow copr_
I~
` 3 2 4»5 ""X" Be/ow Work Coveredby This Request 44 dd Rep. Type of Building Applianees wirad Equipmen[ Wired
Home Range Tentporary Service
Duplex Water Heater L6gBe4ing Fixtures
Apt. Building Dryer E9ec9anc Heatin
Commercial Bldg. Fuirnace S6BO Uaaloader
Industrial Bldg. Air Conditioner Ben9Bc GlAilk Tank
Farm ocner saecifv Ovher uspecety)
tFwr Specify Other BJVhec
ompute Inspection Fee 8elow
# Fee Service Entrance Size t1 Fee Peeders/Sub4eeders m Fee Grcuits
0 to200 Amps 0 to30/A Z~y 0ta30Am
Above 200 Amps 31 to 100 Anips ~ 31 to 100 Amps
Swimming Pool qbove 100 jAbove 100_Amps
Transformers Irrigatoon 6oorr~ ~ PartialA'Other Fee
Signs . Special lnspection
S TOTAl-FEE
Remarks
Zv7~ ~ 1'?~', )7~ /
Rough-in Date `
th\. E"lecVical/
n~~ ~nspec~-ber~br
cer[iiy that the above
Final D inspection has been
made_
Uft request void 18 months from
This request void
rranths from ~ (3 t
3 Ya.So
RequesI jHm No. Rough-in 9e~spec4non Inspec-
/ ~ ~ - Quired? hBdeady 9dowe~I11 Notify
~j es ?B~o tor When Ready
icented Electrical Contractor I hewebr request inspectuon of a6ove
? Owner elec[rical wark inslalled at: .
Sireei Address, Box or Route No. Cotv
~ /p "7 ? Wf J.ep m Oo-q
ection o. Township Name or.N Ra ge Plo. Coumxy ~
~a
OccuPant IPBINT) Po^one NQ-
, 713-
Power Su
ppliet - ~ Address
1-4
Etect 1 Contractor (Cgmpa y Name)` [ConUaciLoir's License No.
~ o ~ 0-3
Mail+ag Address (Contractor or O ner aking Instailationl
l~ ScZV~
Authori Signatu (Contracto /O er Making Installation) Nurnber
MiAtNESOTA STAT BOARD OF ELECTRICITY THIS Ia1SPECTION BEQUEST WILL NOT
Griggs-Midway BI g. - Room N-191 BE ACCEPIED BY THE STATE BOARD
1521 University Ave., St. Paul, MN 55704 UNLESS PROPER INSPECTION FEE IS
phone 4612) 297-2711 ENCLQSED_
REQUEST FOR ELECTRICAL INSPECTION ER'00001-04
' See instructions for completifg~_Ais form on back of yellow copy.
s,-15,0 i~-
"X" Be/ow Work Covered by This Request
Pim dd Rep_ Type of.Building Appliances Yrirad Equipmen[ Wired
Hom Range Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt. Building Dryer Electric Neatin
Comrnercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm Otner Specify Qther (specify)
ther (Specify Other Other ompvte lnspection Fee Below
# Fee ServiceEntranceSize 11 Fee Feedsrs/Subfeeders # Fee Circuits
~ 0 t Amps 0 to 30 Am s 9 Z 0 to 30 Oam
Above 200 Amps 31 to 100 Amps 2/ 0 31 to 700 An4is
Swinuning Pool Above 100-Amps Above t00-AMPS
Transformers Irrigation Boorcts ' Partial,`Other Fee
Signs Special Inspec*.fon
!J' " TOTAL FEE
Remarks $
Rough-ia ~ late t3 Inspector, hereby
certify that the above
Final Date nmspec,tion has been
i
r l~ ~ made.
Thig request void 18 montlm from ~
v/) q REQUEST FOR ELECTRICAL INSPECTION EB'00001-0"
~v ' See instructions for completing this form on 6ack of yellow copy_
B'3 2 4 9 2 "X" Be/ow W,ork Covered by This Request
Add W.P. Type of Building Apptiartces rllired Equipoent wireJ
Home Range Temporary Service
Duplex Water Heater Lighting Fixtures
Apt. Bui Iding Dryer Electric Heatin
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Mi1k Tank
Farm Otner Specify Qther (Specefy)
ther Specify Other Other
ompute 41nspection Fee Below
Fee Circuits
M Fee ServiceEntranceSize # Fee Feeders/Su4bleede
0 to200Am s 0 to30A 0 to30Am
Above 200 Amps, 31 to 100 A31 to 100 Anips
S~vimming Pool Above 1Q0Above 7Q0_A~
Transformers Irrigation BPartial-`Other F
Remarks Signs S,~ecial Ins~ TOT/`L E ~.J
Rough- i n Date
1, t E
lecVical
( POCfw, hereby
cariify ihat The above
Final , Date J -ffvspecUon has 6een
This request void 18months from
' ~equest void
aths 6-om ~J f~ t
0
cJe od-) q 5,c,
Request Date Fire No. Rough-in Inspection
Required? DReady Nowj~jAlill Notify Inspec-
~ es ? No tor When Ready
01-icensed Electrical Contractor I hereby request inspection of above
? dwner electrical work iristalled at: ~Sireet Addr ss, Boz or Route No. City
ection o. Township ame or No. Range No. County
l~~ 4 C) ~~c
OccupantlPR1N ) Phone No,
~ S ~3-z~7l3a.
Power Supplier Address ~
&
Electrical Contractor (Company Name) Contractor's License No.
e l,-r / ~L 07
Mailing Address (Contractor or Owner Making Instailation)
la'~ ~(c `J D a C,~~ce
Auiho ed Signat re (Cont=V,ez ng Installati on) Phone Number
y70 - 3 s SS
MINNESOTA STAT BOARD OF ELECTRIGTY THIS INSPECTION REQUEST wILL NOT
Griggs-Midway BI - Room N-191 BE ACCEPTED BY THE STATE BOARD
UNLESS PROPER INSPECTION FEE IS
7821 UniversityAve., St. Paul, MN 55104
lb-Pirone (612) 297-2111 ENCLOSED.
This request void 6j y 90
8r7~T92 L4 ~ a st_JY~ W oad s3 o
Request 7DtFire No. Rough-Inspection
Req? ~Ready Now ~ Wi11 Noiity. I(p 3 ? Yes -ONO tor When ReadY
_01-icensed Electrical Contractor 1 hereby request inspection of above
0 Owner electrical work installed at:
,Street Address, Box or Route No. City
~
4 ection fllo.
I . r Township Name or No. nge No. County
DaAU &
Occupant (PR.~ - Phone No.
~/S S
Power Sup lier Add
r ss ~
~ Q ~
I~
Elec ca Contractor (Company ame) Contracior's License No.
o vU
Mailing Address (Contractor or Owner Making Instailation)
1,~y6
Author'zed Signa ure (Contractor Owner Making Installation) Phone Nuniber
/ C? '3J_'~5
MIPoNESOTA ST E BOARD OP ELEGTRIC V THIS INSPECTION REQUEST wILL NOT
Griggs-Midway Bldg. - Room N-191 ' BE ACCEP7ED BY THE STATE BOARD
1821 University Ave., St. Paul, MN 65104 UNLESS PROPER INSPECTION FEE IS ~~Phone (612) 297_2111 ENCLOSED_ '
REQUEST FOR ELECTRICAL INSPECTION Ee-00001=04
' See instructions for completing this form on hktck oi yellow copy.
2 419 9 ."X" Below Work CoverifJ by This Request
dd Rep. Type of Building Appliances Ylired Equipment Wired
Home Range Temporary Service
~ Duplex Water Heater Lightin,y Fixtures
Apt. Building Dryer Electric Heatfn
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm Other SPecifY Oiher (Spec.ify)
ther Specify Other Other
ompute lnspection Fee Below
t Fee ServiceEntra eSize # Fee Feeders/Subfeeders it Fe S6 Circuits
' Oto IV(AdO s 0 to30Am s 0 to30Am s
Above 200 Amps~ 31 to 100 Amps D 31 to 100 A s
Swimming Pool Above 100_Amps Above 100_Amps
TransformerS frrigation Boorns : Partial-`Other Fee
Signs Special Inspection g ~ TOTAL FEE,,--
=,ks 6 Wf ~ ~",~4
Rough-in f Date , the Elec 'c_-t.,~
Inspector, here6y
rtify that the above
Final D te inspection has been_
made.
TAis request roid 18 moMts from
This request void
from
Mmom - nths
- d
~'trequest Date Fire No. Reughe~n~lnspection ~ReadY Now ill Notify. Inspec-
~ 4
y / 5 Yes Q No [or When Ready
J*Licensed Electrical Contractor I hereby request inspection of above
Q Owner electrical work installed at:
Street Address, Box or Reute No. City
~ u//~ Gt~ ~ ~
ct~on o. Township N e or No. Range No. County
Occupant (P,RIN 1 , Phone No. ' ~ Z/3~- 71
~
Power Supplier Address ~
~ F ' ~
Electri 1 Contractor (Company Name) Contractor's License No.
6,13 F_ l 6 D7 ~ ~
Mailing Address (Contrac or or Owner aking Instailation)
o~ ~~o d o S
Authorized Sig ture (Contract r/Owner Making Installation) Phone Number
ifto -.~5 sS
YIMNESOTA S TE BOARD OF ELECT CITY THIS tNSPECTION 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
Phone (612) 297-2111 ENCLOSED.
Receipt r MECHANICAL PERMIT . Permit No. q~ ~ d
,
r;- CITY OF EAGAN
Fee
Fill in numbered spaces S/C .(9" C1
Type or Print /egibly
Tot. ~ ~ • ~ ~
1. Date 2. Installation Cost
~ 14,s~~
3. Job Address "7 g~t-5 Lot 4--7 Blk. ~ Tract L-~ooas ~
4. Owner FSc~ ~
~~S ~~~~r= ~,~(d
5. Contractor js?Cs' Phone 7-7i
6. Address
" 7. City State Zip
8. Building Type: Residential I~ Commercial ? Institutional ?
9. Work Description: New ? Add ? Alter O Repair ?
10. Describe Fuel Type
11. No. Equioment 8TU - M. Ea. N0. Equipment CFM
Forced Air
Mfg. Air Handling:
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg.
Other
Air Con
Mfg. ~~'/"//9'J~r
~ Gas, Piping Outlets
12. I hereby ce ' that the ove informatio is and correct, and I agree to
compl with al ' a s d codes go i this type of wark.
Signed :
Rough Final
Inspe ' ns: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454$100 . 4
~ .
/
Receipt r / r MECHANICAL PERMIT • Permit No~-` ~~C
CITY OF EAGAN
~ Fee
PType ill in numbered spaces S/C U Cl
or Prini /egibly
Tot. ~ ~ • Q o
1. Date - 2. Installation Cost
~ J4i S i .
3. Job Address g~&-n Lot qF7 Blk. Tract
4. Owner
5. Contractor f~_~phone
6. Address
7. City State i ~ Zip ~_L
8. Building Type: Residential ~ Commercial ? Institutional O
9. Work Description: New ? Add ? Alter O Repair ?
10. Describe Fuel Type
11. No. Ew&-ment 8TU - M. Ea. No. EQUipment CFM
Forced Air Air Handling:
Mfg. *y~
Boilers ~
- Mfg, Mech. Exhaust
Unit Heater
Mfg. ~ Other
Air Con .
Mfg. ~
~ Gas, Piping Outlets
12. I hereby c ' that the ove informatio is and correct, and I agree to
oompl with al ' a es d codes go i this type of work.
Signed : • • :
Rough Final .
Inspe ' ns: Date Insp. Date Insp. '
This is your permit when numbered and approved. '
Approved CITY OF EAGAN 454-8100, .
(TOWNYOUSE)
CITY OF EAGAN N° 10 3 5 5
~ 3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121
" PHONE: 454-8100
BUILDING PERMIT Receipt #
Te b* wed Fer 1 OF 4 PLEX Est. Velue $101,000 Dafe JUNE 5, 198 5
SiteAddress 3680 WIDGEON WAY Erect C~ Occupancy R
Lot 7 Block 2 Sec/Sub. ST FRAN WOODS 3Remodel ? Zoning R3
Repair ? Type of Const. y
Parcel No. Addition
? No. Stories
RAYMOND F. FI SCHFR Move ? Length
W Name Demolish ? Depth
z 14640 GLAZIER AVE
Address Int Impr. ? Sq. Ft.
~ City APPLE VAL phone 431-3551 Install ?
FISCHER STAPF PARTNERSHIP , Approvols Ftes
, o Name mit $ 435.5C
Address SAME Assessment Per
~ City Phone Woter 8 Sew. Surcharge 50,5(
Police Plan Review 217 - 7 ~
~W Name PROBE ENGR Fire SAC 5 2 5. 0 C
Address 1000 E 14 6TH ST Eng, Water Conn. 500.0(
~W City BURNSVILL~hone 432-3000 planner WaterMeter 63.0C
Countil Road Unit 280 . 0(
I hereby ocknowtedge that 1 have recd this applicotion ond stote that eidy. off. 6/5/85 Tr. PI. 132.0(
the intormotion is torrect and ogree to comply with oll cpplicable APC Parks
State of Minnesota Stotute Qnd City of Ea rr-jOrdina
Var. Date Copies
Sipnotum of Permittea • Total $ 2?2 0 3. 7E
A Bullding Pem+it Is issued to: ISCHER STAPF T RSHIP on the exprcas condifion tho+
oll work shall be done in acco?donce with oll appli bl SCMi neso City oF Ecpan Ordinontes.
Buildinq Officiol
(TOWNHOUSE) _
CITY OF EAGAN No 10354
'`~4 3830 Pilot Knob Road, P.O. Box 21-199, Eagae, MN 55121
' PHONE: 454-8100
BUILDING PERMIT Receipt ~t
Te be wnd ier 1 OF 4 PLEX Est. Vaiue $ 9 5, 0 0 0 pate JUNE 5 19 8 5
SiteAddresa 3678 WIDGEON WAY Erect (Z Occupancy R3
Lot _6- Block 2 Sec/Sub. ST FRAN WOODS 3 Remodel ? Zoning R3
Parcel No. Repair ? Type of Const. U
Addition ? No. Stories
RAYMOND F. FI SCHER Move ? Length
cc Name
Z 14640 GLAZ IER AVE Demolish Depth
Address Int. Impr. ? Sq. Ft.
~ City APPLE VAL phone 431-3551 Install ?
FISCHER STAPF PARTNERSHIP Approvols Ftes
,o Name
Z~" Assessment Permit • 00
ou Address SAMF.
u9 City Phone Water & Sew. Surcharge 47. 50
Police Plan Review 209. 0 0
~W Name PROBE ENGR Pire SAC 525.00
q~~$ 1000 E 14 6TH ST E~, Water Conn. `QQ. 0 0
~ W City BURN SV ILLE phone 432-3000 Plonner Water Meter 63. 0 0
Council Road Unit 280.00
1 hereby ocknowledge thot 1 hcve reod this opplicotion ond state that gldg. Off. 6 5 8 5 Tr. Pi. 132 . OQ
the informotion is correct ond ogree to comply with oll applicuble APC Parks
Stote of Minnesoto Statute "nd City of E an Ordi o es. '
. Date Copies
Sipnoture of Pem?ittea Var
" 7otal $ 2 17 4. 5 Q
FISCHER STA PART IP ,h Building Pertnit is iuued to: on the express tonditfon Ihot
oll wo?k sholl be done in occordance with oll applicabl S of in~e t es ad-City o} Eopon Ordinonces.
Buildiny Officiol
if s t (,~TOWNHOUSE ) _
. CITY OF EAGAN (~0 10353
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
~1~, S~~
BUILDING PERMIT PHONE: 454-8100 Receipt * ~
Te be wnd ie? 1 OF 4 PLEX Est. Volue $ 9 6, 0 0 0 pate JUNE 5 85
SiteAddresa 3676 WIDCEON WAY Erect 12 Occupancy R3
Lot 5 Block 2 cec/Sub. ST FRAN WOODS 3 Remodei 0 2oning R3
Parcel No. Repair ? Type of Const. v
Addition ? No. Stories
Move ? Length
~ Narrme RAYMOND F. F I SCHER
Z 14640 GLAZ IER AVE Demolish ? Deptn
~ Address Int. Impr. ? Sq. Ft.
City APPLE VAL phone 431-3551 Install ?
FISCHER STAPF PARTNFRSHIP Approvols Ftes
,O Name
Address SAME Assessment Permit $ 421.00
O~
u~ CitY Phone Water & Sew. Surcharge 48.00
~ Police Plan Review 210.'rJ 0
Name 1'ROBE ENGR - Firo SAC 5 2 5_ 00
W
~ 1000 E 146TH ST 500.00
Address En9. Water Conn.
~W City BURNSVILLE Phone 432-3000 Plonner waterMeter 63.00
Countii Road Unit 280.00
I hereby ocknowledge that I have read this opplication and stote that gldg. Off. 6 5 8 5 Tc PI. 132.00
the informotion is correct ond ogree to comply with all applicoble APC Parks
Stote of Minnewta Statut ond City of E en Ordin n es.
Var. Date Copies
Siqnoturo of Pertnittea ! Total 2.17 9. 5 0
h euilding Pem?it Is iuued to: FISCHER STAP16 ARTNERSHIP on the exprcss condition that
oll work shall be, done in ocwrdance with oll app ' ble State of inne City oF Ecpan Ordinances.
Buildirg Officiol
(TOWNHOUSE)
CITY OF EAGAN (~0 10352
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
'
BUILDING PERMIT PHONE: 454-8100 Receipt * ~~#d"-
Te be wed im l OF 4 PLEX Est. Value $10 3, 0 0 0 pate JUNE 5 , 198 5
SiteAddress 3674 WIDGEON WAY Erect 51 Occupancy R3
Lot 4 Blxk 2 Sec/Sub. ST FRFiN WOODS 3 Remodel ? Zoning R-3
Repair ? Type of Const. v
Parcel No. Addition ? No. Stories
RAYMOND F. FI SCHER Move ? Length
W Name Demolish ? Depth
z 14640 GLAZIER AVE
Address Int Impr. ? Sq. Ft.
~ City APPLE VAL phone 431-3551 Install 0
FISCI~ER STAPF PARTNERSHIP Aporovols Fees
o Name
o~ Address SAME Assessment Permit . 50
u~ City Phone Water 8 Sew. Surcharge 51 . 50
Police Plan Review 220.25
~W Name I'ROBE ENGR Fire SAC - 525.00
q~~s 1000 E 14 6 TH S T Enp. water Conn. 500.00
uW City BURNSVILLE phone 432-3000 plonner WaterMeter 63.00
Council Road Unit 280 . 00
I hereby ocknowledge that I have read this cpplicotion and stote that gldg. Off. 6 5 8 5 Tr. PI. 132.00
the intormotion is corred F d oto comply with all applicoble APC
Srote of Minnesoro Srotua City of Eog Or , ° din c s Parks
Var. Oate Copies
Siqnoturc of Pennittee $ 2~212.2 5
A Building Permit Is issued to: SCHER STAPF TNERSHIP Totai on ths exprcss condition thot
oll work sholl be done in cccordance with oll oppli le State of ffiTn-n-e"to Statutes ond City oi Eoyan Ordinonces.
8uildirp Otficiol
~
2006 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Requirements RemodeVReaair Reauirements 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 CerLof Survey,`Recd Y= N
(20% maximum lot coverage allowsd) 1 set of Energy Calculations for heated additions Tree Pres Rlari Recd
2 copies of pian showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tre~ Pres R~uped
1 set of Energy Calculations AddiGon - indicete rf on-site septic system On-site SepUc SYstem Y,_ N`
3 copies of Tree Reservation Plan 'rf lot platted after 7/1/93
Rim Joist Detail Options selaction sheet (buildings Hrith 3 w less units)
Minnegasco mechanicai ventilation form
Date 5?_ / OR / 0-7_ Construction Cost
Site Address 4 k) j C~ C~ YZ Unit/Ste #
Description of Work 11'l~b•~ YlCil.+ arh S-tj
t nSer+- ~~AS2 t Yl~., ~~-f-
Multi-Family Bldg _ Y ~ N Fireplace(s) _ 0~ 1 _ 2
Property Owner Telephone # ((C~ZA ) AUE->J ~ (O 0(40
Contractor ~V~~~J~ , i ?C,CrI~'A ~,1 ~ ~
~"~.t Sv l , _ 0 r
Address City
State Zip Telephone #
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Mixuiesota Rules 7670 Categorv 1 Minnesota Rules 7672
Energy Code CabBgory . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(,l 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 # ( }
Mechanical Contractor Telephone # ( )
Sewer/Nfater Contractor Telephone # ( )
I hereby apply for a Residential Building Pemut 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
pernut; that the work will be in accordance with the approved plan i e case of work which requires a review and
approval of plans.
Applicant's Printed Name Applicant s Signa '
DO NOT WRITE BELOW THIS LINE
Sub Tvqes
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pooi 0 30 Accessory Bldg
0 02 SF Dwelling O OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Muiti
O 03 01 of _ plex ? 09 07-plex C] 17 Garage O 22 PorchlAddn. (4-sea.) O 33 Ext Alt - SF
E3 04 02-plex ? 10 08-plex 0 18 Deck O 23 Poroh (scraen/gazebo) O 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Starm Damage
C3 06 04-plex 012 12-piex ? 25 Miscellaneous
Work Tvaes
O 31 New C3 35 Int Improvement ? 38 Demolish Interior O 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
C3 33 Alteration O 37 Demolish 8uilding` O 43 Reroof ? 46 WindowsJDoors
? 34 Replacement •Demolition (Entire Bldg) • C3ive PCA handout to applicant
D@8CfiptiO?1: WaterDamage Yes
Valuation Occupancy MCES System
Plan Review 100% or 25%
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width REQUIRED INSPECTIOAiS
_ Footings (new bldg) _ Sheetrock
_ Footings (deck) _ FinaUC.O.
_ Footings (addition) _ FinaUNo C.O.
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice 8c Water , Final _ Pool Ftgs Air/Gas Tests Final
_ Framing _ Siding _ Stucco Lath _ Stone Lath _Brick
_ Fireplace _ R.I, _ Air Test _ Fina1 _ Windows
_ Insulation ~ 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
l.icense Search
Copies ,
Other
Total
RESIDENTIAL BUILDING Z_ Z 1 -7 Permit Application
City Of Eagan 11516..3
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Requirements RemodellRepair Reauirements Office Use Onlv
3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan CeR 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 Reqd _ Y_ N
1 set of Energy Calculations Addition - indicate if on-site septic system On-site Septic System _ Y_ N
3 copies of Tree Preservation Plan if lot platted after 711 /93
Rim Joist Detail Options selection sheet (bldgs with 3 or less units
Date I -P /d v / c, 3 Construction Cost r.')
Site Address 3G 7v LtI r~ Unit/Ste #
Description of Work
~
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner Telephone # ( )
Contractor fF rJ G r ~t r 6 A, ~ S~ ^-j ~L_ •
Address ~ d City , J l t /c-
State ~ .J Zip Telephone # (~li~~) ~/,y7s ' ~ `l ~
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Categorv 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 Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber 'orr# ( )
Mechanical Contractor D Teleph i#( )
Sewer/WaterContractor OCT 2 2Te003 hanr ~
illy
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.
Applicant's Printed Name 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. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ~ 25 Miscellaneous
Work Types ~ ~D 6, L=_ - i~~f-ke,. ~ 45 0 i'Z D-5 ?i P D Zx'u ~el+W,.A
? 31 New ? 35 Int Improvement 11 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
34 ReplaCement *Demolition (Entire Bldg) - Give PCA handout to applicant
c-
Valuation Occupancy MC/ES System
Census Code L-B q_ Zoning ~ City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const U~`) Width
REQUIRED INSPECTIONS ,
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) ~ FinaUNo C.O.
_ Footings (addition) _ Pluxnbing
_ Foundation HVAC
_ Drain Tile Other
~ Roof _ Ice & Water _ Final - Pool _ Ftgs _ Air/Gas Tests _ Final
Framing Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ 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
-7'~ j ~ RESIDENTIAL BUILDING ~
~ ~ Permit Application ~
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Requirements RemotlellReaair Requirements Office Use Onlv
3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cert 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 Reqd _ Y_ N
1 set of Energy Calculations Addition - indicate if on-site septic system On-site Septic System _ Y_ N
3 copies of Tree Preservation Plan if lot platted after 711193
Rim Joist Detail Options selection sheet (bldgs with 3 or less units
Date Z a / 6,~ Construction Cost
Site Address ,s UJ •.i Unit/Ste #
Description of Work L ~ e- e-N-
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner Telephone # ( )
Contractor 2?~(~ C-y ti A
/ Q"V-
Address P O /Q e5 ,A City C. .J c1' v
State Zip PS" ,3 2 Telephone #
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cate~orY 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 Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber Telephone )
~
Mechanical Contractor Fi ; Tefephone # ( )
Sewer/Water Contractor TeYo.phone )
L •"~~,l:1
B I hereby apply for a Residential Building Permit y ~~t~ai_. he information is complete and accurate;
that the work will be in conformance with the ordinances and code 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.
P_ nrc'_ C~~L J J
('01
Applicant's Printed Name 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. Alt - SF
? 04 02-plex ? 10 08-piex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N x 25 Miscellaneous
Work Types L. el~>6 1= J2 PIZ i 41 c61 ca3 4 fI
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
~ 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation 0 v•~ Occupancy rz~ MC/ES System '
Census Code Li~ Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const r ~ Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) -20 FinaUNo C.O.
_ Footings (addition) _ Plumbing
_ Foundarion HVAC
_ Drain Tile Other
~ Roof _ Ice & Water _ Final - Pool _ Ftgs _ Air/Gas Tests _ Final
Framing Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insularion _ Retaining Wall
r ~
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
RESIDENTIAL BUILDING d~~ ~
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122 ~034
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reauirements RemodellRepair Requirements Office Use Onlv
3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cert 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 Reqd Y_ N
1 set of Energy Calculations Addition - indicate if on-site septic system On-site Septic System _ Y_ N
3 copies of Tree Preservation Plan if lot platted after 7/1193
Rim Joist Detail Options selection sheet (bidgs with 3 or less units
Date -Z 0 / D l 3 Construction Cost CD
Site Address Sj L2x- L(f ts <C_ n„J - Unit/Ste #
~
Description of Work iD e- t, /L A Q- /0 c(/"
Multi-Family Bldg Lv,,-Y _ N Fireplace(s) _ 0 _ 1 i 2
Property Owner • • Telephone # ( )
Contractor ~CS e, r/ c.,1 C~r '7 6 e ~j G.
Address ~ C). City /4-
State M ~ ZipZ Telephone #
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(~1 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 # ( )
Sewer/Water Contractor D Teleph #
2
I hereby apply for a Residential Building Permit and ~the rmation is complete and accurate;
that the work will be in conformance with the ordina kowledge
ty of Eaganand 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 wark will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
--S e Lr_0 C' e -~J
Applicant's Printed Name 4Appnt's Signature
r
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-piex ? 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 ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N 25 Miscellaneous
~
Work Types G ~ h+ 0"4
c~ 8~
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
~ 34 Repfacement *Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation Occupancy _12^,3 MC/ES System
Census Code 31-1 Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const v fl Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) ~ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
~ Roof _ Ice & Water _ Final - Pool _ Ftgs _ Air/Gas Tests _ Final
Framing Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test , Final _ Windows (new/replacement)
_ Insulation _ 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
/ RESIDENTIAL BUII.DING
/ Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reauirements RemodellReaair Repuirements Office Use Onlv
3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cert of Survey Recd _ Y_ N
(20°/a 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 Reqd _ Y_ N
1 set of Energy Calculations Addition - indicate if on-site septic system On-site Septic System _ Y_ N
3 copies of Tree Preservation Plan if lot platted after 711193
Rim Joist Detail Options selection sheet (bldgs with 3 or less units
DateL Construction Cost ~ dQv
Site Address Unit/Ste #
Description of Work /0~ ate a3 ~ iC.. c- ~k c, c_ a..s f ~ iU G Lle-- '2e- /oG- J~
Multi-Family Bldg !/Y _ N Fireplace(s) _ 0 _ 1 _ 2 '
Property Owner c-o ~ L j Telephone # ( )
Contractor ZCv L 11,. t- J ~~-rj c-
Address 6. f 3 '-s y City j t1
State Zip S,s 3 Telephone # 0(Td) -2
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Categorv 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 Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber Telephone )
Mechanical Contractor TelePhone # - _
~Sewer/Water Contractor Telephon~
I hereby apply for a Residential Building Permit and acknowledge that the inf ation is complete anc~ accurate;
that the work will be in conformance with the ordinances and codes of the Ci ~ Yof Ea~an-~arid~~he=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 wark which requires a review and
approval of plans.
c~~L ~~GGJ ~
Applicant's Printed Name 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. Alt - SF
? 04 02-plex ? 10 08-plex X 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 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
X 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 ReplaCement *Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation -1 040 ~ Occupancy ` t MC/ES System
Census Code I id Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const vWidth
REQUIRED INSPECTIONS
11""Footings (new bldg) _ FinaUC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile . Other
/Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ 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
, . / . . . . .
. ~
y s
~ ' e
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
MOTEs' ALL CONTRACTORS l9UST BE LICENSED WITH THE CITY OF EAGAN
Tc>WN~4c>U-;,~ INCLUDE 2 SETS OF PLANS
U NIT I!~ . . 3 CERTIFICATES OF SURVEY
~ o F 4 PC-t~X 1 SET OF ENERGY CALCULATIONS
~ 103,~,. °d •
To Be Used For : Valuation : , -06 Date :
Site Address:3 OFFICE.llSE ONLY
~ ?
Lot: !/~Av Block ol Sect/Sub -Erect X Occupancy
Remodel _ Zoning R-3
Parcel # Repair Type of Const 'Q
Enlarge # of Stories
Owner ~qy/koni,o ~ ~sG4,e2 Move Length
• Demolish Depth
Address /y 6 C1c7 C L, A Z/Fr~~ ~AF- Grade Sq Ft
City/Zip Code APPL F' 11A1LFy-/11,s1,
Phone 4-31- 367!5/ gPPROVALS
Contractor rj5cA / ,4a~~~ffs9J'AACnts Permit
Water/Sewer Surcharge 51,s°
Address C 4 42 /f'!z Police Plan Review Z? -0.~
Fire SAC 5'L5. "
City/Zip Code A p P« L LOA/Il. Engr Water Conn 500-
Planner Water Meter (0 3aO
Phone V31 Council Road Unit
n Bldg Off (o - 5 85 Parks
Arch./Engr. APC Treatment Pl
Variance
~
Address /5~TOTAL 0;
City/Zip Code /-714- • 5~~~'~
Phone #
t
2- - 4 590c) , , •
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F---XTE=F:tnR E1y'JE;_..OPE A'dC=RAuE "l.i" COMPL1TA-1"iC1N
i
4 i OWNER
5I ;.=,ITr At3U'f?ESS ~
6 ~ CON--RF=iC"fOR_--.____.___.~' ._2_5
~
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r ~!i i c a^^ ~ ~1_:-1 .l.. :~ti'~~;~ r~~:J%=4"t? j=( IP
:I.`~I :D.. T o t w~~-1 w:a.ll wir'idovr area ..d.uan.„oa.atlaae°o. j59o467
;='i?t 1 b. T~~'~i:1~. c1'°r?an d. a~. „ d .n ...n.. .a...u 4 0..4 .,7.~ ~,`~~~a
2d. 1 o Tr_~ ~~1 s.L i. dinq glG7. .J... s, d3...i or ~ C~ n n v a u a a o c v n v n 3. ..7 ~ o :.J .
221 d, Tot r?i 1°ir-`e I:3 1---1 1_e at:.ea.n..,,ao.,eenoa4oen„a.tl.a
i:,:i i E?~ ~-c~t a 1'Y"cti'riIY'IL c'ety (a''E?. 1~..`~f ) n n a., u i:6o 7 C: 3 'I". T1~~_ -i s + E.. a .~1 cI ~ . E_ ~ t f'i C. f o < n 4 ~'(~i h ~L h
•I• i c~ Y'i f:•_ t c 1. 1 z:~ r " ,~i t i r" „ C_c. ~r» .,„..ik ...t
25 1 q Tcf t ~17. r:i.m jc~i.st. ai'er.?.nn...d.a..uao.a.b...e i":..~rf. 6..i
7 -rt_?TAL._ ~..f P~~ SED Fl.l}J~'~1~.,h~T.C{~F'~ l'.E~;a o a a o u 4 n A u i~~o ~E~c~.~
281
I 2~~~ Ic-, t „ u a e .d u..a n~, e n 0
~ . .
t n T~a f; Y'[ t'~::? ~l~ i ~ t i 1"I 1~.t Y'I Z F' 4~ r"(,. .4 ...u..v ..L ~F F., 8 ~r.'t G_ .i.
I
31
.32; De'l:e1''fi17.Y1P_ "U" .":.f h'ach wa.F. Z •sE_'11i'11C-?Y!t
LS_~
~te
331 c":l. 1.J9. 4 I"•7)( if L!i~ n46=: l ~c. .J , -3.• 4.,~_.
~4; ' i_ ~u ~.•5 ~'7., r t~t• I„ ti. ~P~ „:~a~1-= ~_o ~~~,1.?:~~
135 1 G'. i.r:~~w. ~ :C ~~I ill ~ 77. `D22 \
..:,F, I C~~ 171 X "LJll lf!
n C.. _ r _ ' iY 1 E.'a . ~w'i:,la (.L'}t n ~E ~ ~r:~ :)~..lC_,...~~_~ i Jo 876,H
381 2003u 546x iiUii p 03i2'1 130= S 4. .:5.."a9 9 :;j.
D. 2137. r x" R. i" n~in t~~ = a~!~~ 0 1 E~ :t
40 1 i 7 0 Ii.i j{ t i`E t i n4l.i 0
? ~i~
t~i t. - ~ :.'~.~C.~
1 I • ~ u
C.7 ~i_~ L:. J. iJ 04866 .i
4L"? 1
=i•," 1 ~~)n u 4 u,.n u .n o o n 1 .a e e., u., u^i+=tct.~ Cfe'~'n +~~.~.~I~
4 .4 1 T'F :i. t i:"sisl i:s 1. s U i"3fw' saiile c:as oT' I f=:`iS t17an 1. tk:'tli #1 \%ou ha`de CIIc-t ti 1e t.:: LlY"Y'e 1-1 t
tF 5 i L YI G' i' C1 y C' d ed 'Y~ . I .r 7~1 ' I1 41 r i- ~ } t*.~ 0e
( t ~u a~
46 i
L~ ~
-r t
451
i
491
501
~
L
~ 1~..
w ~
54 1
G5 I
56 i
Jf I
581
621 TO'1"A1__ i_XPOSl`D RC?OF'/CEa:f_..Ti'+iC AREA 1488, 063
631
641 7. Ioti::i .L s!•{ .i. 1 C] ht t7. rer»1 0.A..a ..n„.e .tl„ a .u.<« u n
651 k~ Total fl:?t Y'ov_if/Cf:'.3. liYIg f1''`c.?s"i11Yig ct:'E'a o a .e d o x'-1`te 606,.:i
661 1n Total t'i et f.L ::d f: Y" t,i o'€" /CY :i. li i"i C} c"1. Y' eri. N e a o a .e., 4 4 1339.257
671
681 lr'3 91
701 DC?tet' I'17 YI e "U" i3 c? lu~ foY' E' c? t:' j-Y roof/Ciga sE' 17 Cfl ent
711 _en IFI,`r? HF(~l 0.....
721 I•c. 148„ 8063:t "U" .0238']d:p9rv. 34 5a5?06,
731 1339.257m ie{ i " „i~ii'..' ~ ri~::
' ~ •~4 32.00135
741
751
761
i 71
7817 nnba.n..aar.naN.a.„w..u..Ran„a.~nw. Total. 35.5570E,
?9i
801.!. f 1 j: eI'il #r its 'r I"lE same i:t=: oY' le"m;~ thc! YI :!.tefil #i:'_ `r'of I. h1'v e I'flet 'r he
B1. ! energy _ode 2 h`lC;;"1 R 1.16008 A Af`.E L7 0.
821
831 TOTf-?L_. FLOOR 1.,Ai~~~~. ARr.h~ (eY'!C`losed) ~7i
y
:KC ( o„ T:wt'r' J. .7t. ooY' crtl'it., fY"'iilll 7. Yig aT"ea (i=4`~ 10°W )a 'I
I as{ C7 0 Tot;;1. l YI E-t 11"t sulca teC:l fZ v;"t iWi rt(::: Lti. i''tta cl i'" C?-?. o a e n n o Iz'E
871
"1.. 81 f ete`c'' fli :E. YI e " U" 't al! ! F? foi C: ca L':: E I flooT'" /c:.? Y'It4 = egiii w: Y't t
89I -r;;. . uL.1" E . . . .
~~n s~.~ - i"~
'
d~_
901 r:.~a Oi{ iiU" n 029..~858=^ i?E
91~
9218 n n e.. o n „ u w n e .n..d.. ..w.~ ...u~~ ToT,._t l 0
_ 3i
9411f 7. tePfS #8 :L w the *:::ctfile a=i o7' .i. eaS th::?YI 3.'F eCii ~{t~~~_! he1.~f P 1'ile~~ t"lc'
r r_f~ ~ ~ ~~R 1.16008 A -I~'•~ ~..i 0.
~~i~Y'~_p' L.~~ i
Y
96!
971 TOTAL !"'Ll_;OR„/CAN-i . r-iREA (F:'%tpi"isC-?t:J } 3.663
9t`.7~}
f
_J I~i
`=''-?I . "f~I 1t~;1. fl_ ...3~~(r,`r..~t~r~-u ~ fr~ar~~3.r-:q ar^ea (avF_a :L0f :.J
) ~ tiJ o r" Yt
1001 r. To'r::?. l t"1:?t 1. Yi sua. atet, f.t oor/f_"ctYitA cSY"ea a a e . _ C.'.96*7
.i. 0i i
1021 I 1 „ " 1~~
Dl~ , ei" fl711ri ~t...a ; a.i.~_f k? oY" c-':~ C.` i~l 'i~. t;{ Y' i c? I"3 u ~ se~~it Y'It
1031 Ci 4 .::JC,,am "U" .0_.~c8/. i.i9._ ~t.._- .0214211
104i r" . :'t .2967x "i U3' w i!y 27w87 f= .0922670
J.0~,!~1
10619 o e ..a e .n .a « ...4 „ ..n ..e -Toti 1 l .1136881
1071
10811'F 7.tefi7 09 is TiIP_ :±aflle r.°ls o1'' .t?ss uhan 7.tL?fii #4 `y'ou :"1aNe met tC'te
09i ener g:r codc. 2 iYl CAR 1.16008 A Ai'•l.Lt 0.
1101
1111
11211 1-iEREB4` L:;ERl" IF Y Tr-ii=i T I N AVE CAi.._CUl... Ai EI) T?-ir " i ) FACTt? RS f-1 ND "r ~ '
113IVt1?__1.:E;7 H1=rr.C:Tt,i r=;h,[Lr fih-EA"f Ti-fE Ni.JT4._DING HI_=RE raESGRIBED Mi=.FT~ OF EXCEEDS
114f T!-€E STF=iTE OF MN ~-~.~.NF_"R::a CONSl~RVAT sON F;CTa
1151
M'K
1161 -
1171
1181
1191
1201
lo°.. ! i c1:?. tei
, .
1221
I BA 1E BB s f Br.v 11 BD i
P » z~ETERr~~ INE „t ; " VALUES',
21THRU STL1D WT?'Fi 5 7: 7 7: hfG & S.R.
31
41:In•tnr,ior tti.r .„uw..an...,,.a.„ d68
.'rISI"i't...-''P'~ RoCk ooa.o4a..aoaoo.un .45
6~The1'" f!1 o-- BY' ec't k R..u a.tl a a u a .a«. F,
71Studpo.oo444..aa.aaoaay°e.o 6.83
819i'7ea'thi.r'3g ao.,,.,..wn.,nue,,,,~~. 2.06.
91Sid:ine..oaoAOOOUnaoee„qo.R. .?o
10lE;t•terior Air„.„..n...a..e.n .:l?
111T+r~tal. ~~R" Value .ua.n.w.wea. :l.6o8
1211.•R "z~~~ Value .n„a.ne„e..d e059;~~8
13;
Q
151THRU INSULrTION wITH sIDING & sa Re
161
17I1nterior, Air .ooeoo.aa...oeo .68
18IS1-ree't: Rocknooo. Qaa.ueAO4oa. o45
19IT(7ermo-Brse~.~!-r...,o„.en.n. 7 oeoo G
2011.i"tsulc"it1G1"Ia„o..noo„ooosn.an 21
2sI~..~'hF? ath:f. Y'i Ci a A .a a ..N .e a... 4 n a d 2.06
221S;I, f i:I. 1"! g .o n.n d e o n a o 0 0 0 .a.n o n o .78
23iE3tter:LoY' A].Y"aonan.A4Nn.a... a.ii.!
241.
i„',.~~~Totc"1 Z ii R" Val4.1C-'...n .u„ p.a n a '1o14
2611iR _ ",J" Value oenabo.vo4oo a0,,,2il30
271
28.~
~ ~ THRU G. EILING M~'+.' MBC R
301
31EZrrl:erior Fiir AOndn.o..asoene o68
32ISheet RocRce.o....oa4.eaasen ~56
331 C; ei l. inci Member o A e .A A n e 4 .o o u 4e35
34E1Y7s+_ti?tlot'Io a a .a a a 4 a .n.n .o p n 35.65
,.:,J1r`t:l.ll A1P"e„a.oeboono.e..naa a61
.:i61
~ 37~Totc.? l "R" Vs:l luGti n a e a n o a a o a 4 0 41o85
..a8t1/R "U .a o a .u a.d n n .o., a a n., a02::i8949
' 391
401
411
42E THRU CEI! ING INfSLJI_ATION
431
44E1nter,ior A:i.r a68
451Sheet E2ock .uAOe4°eno.asovoe o56
46I.1.Yi::aul;.:it.E.oYluuuan...a.unnotlnu ~i'~r'., ,
4; ISti:l? Airaon>>oa4.evednoona n61.
48( .
49iTota7. "R" Value aooAp..eo.<. 41.85
50I1iP - '°IJ"pa.Rneo.ddoRa.u.e. 4023894`3
51!
521
53!
541"ft-!C!J CONCRCTE B1._OCK
551
56lTn•Lerior• Air .ao..ano.do..en a6~'~
a7iConco B1.k oAO<ae.u4e.rtaaa . 1.28
5,3{Inrsuli=tt:ion a4.A.ao.4.Ae.uo.p 18a42
i'1 I. _.L 1
L. ~ ~ ~ . . 1 , „ a , o n a z a n o a e . ti.•
60lE:.•terior; Air uQUa:,oponea.Aan v17
FJ J. f
621TC+tal Vct luE?- 0 4 a n.o a o d 20a cr
6..:t 1i fR U .a.n.n n u a .e a d ..o d., e a0486618
641
65:
r",G iTHRU RI M ,.TO:C S'T
671
6°Iir,terYaors Air°..o..„a<.n4qa~o a€~.~8
694Ir~gul.ation °unnnn.u„ ,....N. 2 1
I0It? 3. Cil ao1st o u„ .a ..o n n..b„ .o . 1. 9
71ISF1E'cZtS'l1Yig p.on.ou..oeen..an.. 2. 4'7F.,
?2lSidinr.~.o.„.o.uua„.o„,.ew.,oo„ e78
731E>.terior Air°unn..n.ne.n.an.
741
7516otal. "R" Va.l.ue n . a .n.o.a. 26.58
761i/R = °iJ"no4na..u„a4edw„aNO u0w?,76223
;71
781
791"L1" vatue for, uv?.nr.low „ e„ o.o. a46
801"t.J" va1ue for c1oorsb 4 a o .,.o .06
811"U" 1/cytl.ll2 fo1'' Pi-1t.lo DY"s .e a o .39
821
i
831
841TNRLJ GANT. @ MEMBER _{Erzcloaed?
.
86I Zni:;er':ior Air°e .d a ..o a n n e n ti a a o~':,8
87I F= :i. nisi-t C-` looring A a a 4 n o a o e W 4., 1.23
8BlUni.ler°7.aymeht ...ae.n..tluAa.„ 0
89IPl.vwood oovawati.d.,u„oo„.ou.A o9..~,
901..Toi St n n o o n u:, .a a a.. ro n...n o u 11o56
911ShE?t3t RoCk oau.....u~~~~...„..„ ..5(',
II 921St1..E.i A.lY"n~~~..., .nAO. n.seno ..t=s1
934
941Total °'R" Vaiue .adnooso.... 15.57
9J{ i.}.!/R !ill_. ' F3.w a u a o u n n n n p a a o u n e ~~LJ~~'LL.~I1 .
~
`:16 i
971
~
981i {-•iR1.1 CANT. @ :C i:lSULAi I ON ( Enc 1 osec! )
991 iL;
10011nterior, Air .„ndun4..nnaeee o68
:I 0:t ! f= inish F'1 oor:i ng n o„ a o o a o o e a o :L e2,°.
1.4:."~2ltfnderlaymenrt naA.n.enavosao„ 0
1~.?~3I13lywood 4Ad,a.n.°aeees4noaoo o93
10411risula'I.7.on „oaou5.aoueoaoe.. 30
1051cheE?t f?oCk ob.,aAa...AA..>a.a .58
106~St7.ll Air „n..o.o..YO.a., W u.o b61
1071
108ITotal. "R„ V:.:?lue nnyna„A.vooe .=,4A03
10911/R _ "LJ"oa..ue„atlno.an..n.n n0c:9,.'~r~.,a58
i:t o1
:t J. I!
1121THRL1 CANTe @ t*1Et*1BER {Exposed)
1131
1141Interzor Air,,,.u4n.A,,,,e„n.ae <68
1157inish Fi.ooring „a..nAUUOa.. 1.23
116IL:nder"lctyi'i7eY'it e..4.e„eon...o. 0
1171Ply'tFlooC:i.,oonu.no.noeeeoea~o4 a93
y jC
,ij. 1 i~ ~ ~.i.at a u u a . a w u v a o v n u a n w w p a w o - 11.56
1191SNEAI°HING uo„.w.o.n„..boatl.4 2.0;::,
t''/~,~._.~.
"i"
~L..~ t7 ~i v~ 1.~it u.u n a n n v u p n n n u a o o n - a/~
:1oi.lE;<tera.or, Air ..oau.a..w,,,,,.n .17
1221l'ot..7a. "R„ VaIu«.na.e.W„.an. 17u1
:iWHl.AR _'"L1"n...na.4QO...„ez4u e25S4?9;
1241
r~.r..• r -
126; l°Hr?U CANTa @ iNS'.1L_A1".T.Oh! (Ex ter^i.or)
:l.-F:7, i- ,
:ii:'.A}~.~ ~ Yit~f..-' rioi^ A1, 1'" e .4 ..u n a n n H .68
127 i i- 7.n.i sh Flooi" :I. nC( .n a e.R..n.o. 1.23
130i«nderlaYment b„u.„uu.a.n.oa„ 0
i:.:t.f. fPl'y'wood .W 4 u o r h n n n „ ..n w n.a .92
1321.i. i"is!_; lat:i. oY'i~ a„ a A 4 m n.,.u.u., a n ri~'~
1..".131Sh-t...~- athii i g „ n n u ..a 2.06
i. 3ti• i,.~"7. ofT 1. 'L e n u o.„. 4...a u w a.. .67
1 . . 1 5ZExGe7'" oY' A7. d a.n a.n e» .a .a .d. .17
136e . . .
13r` fTotw.l .7l i tR" Value n n o..o« a a .n,. 5o/•_'.'r
1vl~ 11/R - "U " .a 4 m .a A „ .4 .0279877
~
1391
(
Al
1. . • ~ ~i
~
~
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS l9UST BE LICENSED WITH THE CITY OF EAGAN
-Tc)WN HOuINCLUDE 2 SETS OF PLANS
UIJIT 2-4, 3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
60
To Be Used For : I OF PI~EX Valuation : 9(0,000•- Date:
Site Address: OFFICE USE ONLY
T. F
Lot: 5 Block Z. Sect/SubY.~D 3~D Erect ~ Oceupancy 2"3
Remodel Zoning -3
Parcel # Repair Type of Const
Enlarge 4d of Stories
Owner IZLO~~ r Move Length
Vzl) Demolish Depth
Address Grade Sq Ft
City/Zip Code
Phone T'6 APPROVALS
Contractor Assessments Permit 421-°'
Water/Sewer Surcharge 48-~
Address Police Plan Review 210.Sb
Fire SAC 2S.
City/Zip Code Engr Water Conn 5c)o.SET
Planner Water Meter (03.r
Phone Council Road Unit 2a0.
Bldg Off ~ , Parks
Arch./Engr. APC Treatment Pl
Variance e.
Address TOTAL 67 ~
City/Zip Code
Phone #
Q~oG ~
o~ I _ 1-~x o~ ~b 02 x 2Z
o-JO
r ~
• I
~ 1 V
///X// ~ ~ r • ~
' 1 -74-
. 3
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN
TowN HouSE INCLUDE 2 SETS OF PLANS
(.I fJ lT 2(3 3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
To Be Used For : 1 OF 4 PLEX Valuation : ~ S1OO0. 9p Date :
Site Address: 7d OFFICE USE ONLY
4:,T.
Lot : (p Block Z Sect/Sub WcoD 3j2D Erect ~ Occupancy ~-3
Remodel Zoning ~-3
Parcel # Repair Type of Const -!Q7-
Enlarge # of Stories
Owner Move Length
Demolish Depth
Address Grade Sq Ft
City/Zip Code
Phone r~~ ~ ~ ~s l APPROVALS
Contractor Assessments Permit 418>,ER
Water/Sewer Surcharge 4J'a
Address Police Plan Review L09.9?
Fire SAC 525.00
City/Zip Code Engr Water Conn 6DO ao
Planner Water Meter (03.
Phone Council Road Unit
Bldg Off Io -5-gy Parks
Arch./Engr. APC Treatment Pl (32.CO
Variance
Address TOTAL a ~ 7
City/Zip Code
Phone #
Z~0) zZ ~ ~ Z~~ = ~2
.
. p ' .•l
ZLbI-t7
~ . .
J ~ s
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS l9UST BE LICENSED WITH THE CITY OF EAGAN
To~r~ ~-tou~
INCLUDE 2 SETS OF PLANS
UN I`F I b 3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
To Be Used For: I OF 4 F-EX Valuation: CX7. GO Date:
Site Address :,3 6Jrr0 OFFICE USE ONLY
Lot: 1 Block 2 Sect/Sub wooo 3~E Erect ~ Occupancy
Remodel Zoning (L.-3
Parcel # Repair Type of Const ~
Enlarge # of Stories
Owner Move Length
Demolish Depth
Address Grade Sq Ft
City/Zip Code
Phone APPROVALS
so
Contractor Assessments Permit 435.-
Water/Sewer Sureharge 50, S
Address Police Plan Review Zl
Fire SAC 525. =
City/Zip Code Engr Water Conn Soo.°-°
Planner Water Meter (C>3.°=
Phone Council Road Unit
Bldg Off (9,5.85 Parks
Arch./ Engr . APC Treatment Pl
Address Variance TOTAL a c-0 3 7,Y
City/Zip Code
Phone #
~ 3 Zro
, . .
( c,
Zo 7, 2Z
20 ~Z2 -
I0o Zo3,
I
4 . • I!o 1~4taE 8Co
ROBE
PENGINCt~~~~ CONSUlTiN3 EN~31NEEflS
OAS
S
~G~G PLANNEAS ond LAND iURVEY
COMPRNY, INC.
1000 EAST 1461A STREET, BURNSVILLE, MINNESOTA 55337 PH 432'3000
Cc4f VZ
2, S.T FRANCiS
Vl/OCD ,3RC ADO/i;ON~ DAi~v^,`'A COUNT% M%/yNESDi%-~.
~Dt?"6
~ ` E'~:o%rrtorl $qo.c>
DRf'r/NAGc ~ASciylEiV~ v
N ~f ` ~ N0~?Tl~
s
tjg ~E~/ /
-
,
s' ~G~N1Nl~pN ta 9•~.si ~ .
,
-
35aC-~,,
.r O.
p0
p( ,?7 ' ~fe.SJ ~ _
~$go.c) DENDTES ~ROP,~SE.~ ~ $ o wC~93 ' ~ ~ ~
/ND/CATES D/~PECT/ON OF 10
SURF,9Cc p,PA/NAGE ~vM o
- ~ ti• _ ~S ~ {
'O ~S, M -
A
46
~J
.
aS,
41 o
O
~ Q m'~' ~ i~ n~
. o 6° ~ E
IrL
p~
io,` Q0
i 9 0~•i ~
F~•s~ g~}EO 6ARdt.E F~-Gez EtF~I. _ a~I 0 ~
~
- / .
I her:by cartify that thia ie a true and correct repreeentation of a tract ot
land as sho++n' and deacribed hereon.. 11s prepared by me on this z-N_ day ot,
may ~ 1 g 85 .
v A'? FERMIT
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road B u I LDz NG
Eagan, Minnesota 55122-1897 Permit Number: 0 3 3 0 4 3
(612) 681-4675 Date Issued: 0 8/ 2 7 J 9 8 11 SITE ADDRESS:
3674 WIpGE01V WAY LpT: 4 BLnGK: 2
ST. FRANCIS WOOL? 3FtD
P. T e N e: 10--65902-040--02
DESCRIPTION:
Bui3.da rt-.
g~'£,Permit Type FTREPLACE
~k Type NEW
C~era~ e 43A ALT. RESIDENTIAL
~ . Y.
a.a;r
x
k~
'k
-4LY&n
~
10,
A~.:.. , ~ , Exln ' ~~`C$•r .C,~SS~, ,P~ ~ . '~,1
REMARK~:EY f FI.UE MUST BE INSPECTED BEF'qRE CONCEALING.
FEE SUMMARY:
Base Fee $50.00
5urcharge $.50
7ota1 Fee $60.50
I
~
~ COI~TRACTOR: App~-iCant OWNER:
f ST(3: E£ FIREPLAGE CAL.LERY 18981174 KqCHEVAR WL
127'~ COUNTY ROAD 42 3674 WIDGEON WAY
~ BURN,SUILLE h1N 55337 EAGAN MN 55122
(612) 898-1174 (651)405-1606
q ~y ~ g £sau g.: Y s za ~ !ga ~ 3,~fl as :
au4:w:
t}~~~:~the~~
.
~ y J
Z ~~ta~.w ~w. - ~3~R ~~v~ 3 ~ - au.&z M - ;>t~ ~a ~~+a '~R~,: ~~y~
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APPLICANT/PERMITEE SIGNATURE SSUED BY: SIGNATURE
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1X•~'~f-~~t~i yl.7'A'yl.~?4~'~~~~7~.~~~'~+~k~Y~'1F~3~ `~~'i }y~Q+~~'1f+~C7'F.?~`~~
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321.0 9(7(:)1 3674• I4T.I1rC.()N klFa 50.QO ,
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1 ot•71. Re?ce?:i.p$ AlYtt]utltu 50,.50
rR09674.{
t.J•.":'rl:::R :l:D-. tvF1NrY
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- - - - - - - II
CITY OF EAGAN
O1S" 3830 PILOT KNOB RD - 55122
,,J~REPLACE PERNIIT APPLICATION
C) 681-4675
33 L43 a ~ qS1
DA'TE: PERNIIT FEE: 5 5
DESCRIPTION OF WORK: ZCONSTRUCT NEW FIREPLACE _ ALTERATIONS TO EXISTING
_ INSTALL GAS INSERT ONLY
_ INSTALL GAS LINE ONLY
OT'HER:
STREET ADDRESS: L e n,.,
LOT ~ BLOCK ~ SUBD./P.I.D. ~ L Lko
APPLICANT: (circle one unly) OWNER nNTRACTOR
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.
v- O C \n -e.. a- ~
PROPERTY Name: kcx-Lpver- ~ Phone lt OcLp
OWNER W7 Fl~*
Signature:
72
t f~C
Street Address:
City: State: Zip:
FIREPLACE Company: Phone
INSTALLER ~
Signature:
' Street Address: ~-Z-'"'Z 64-7- License
City: dka State: Zip:
GAS LINE Company: Phone
INSTALLER C ~
Name: -2-
Signature:
Street Address: ~ ~~~"~~"r
- ~
City: C~ p: ~ .
I
AU a 4' 9 8
.
OFFICE USE ONLY
BUILDING PERNIIT TYPE
0 14 Fireplace
WORK TYPE
0 31 New ? 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Census Code. 434
SAC Code 01
REMARKS
Chimney/flue must be inspected before concealing.
~
' city oF Lvclgcln
THOMAS EGAN
Mayor
PATRICIA
HAWN HUNTER AWADA
September 21, 1995 S
_ SANDRA A. MASIN
THEODORE WACHTER
Council Members
THOMAS HEDGES
NR JIM SAMUET.SON City Administrator
BRAUN INTERTEC
E. J. VAN OVERBEKE
6950 W 146TH ST SUITE 131 cirv cierk
APPLE VALLEY MN 55124-8520
Re: St. Francis Wood 3rd Addition
Request For Soil Boring Analysis
1O G5907, o~0 oz
Dear Mr. Samuelson:
As we discussed on the telephone last week, the City is looking for soil boring information in two
backyard areas within the St. Francis Wood 3rd Addition. The borings are located behind townhome
buildings addressed 3678 Widgeon Way and 3686 Widgeon Way and adjacent to a ponding area.
The townhomes at the two above addresses are currently experiencing damage to their,decks and
patios due to frost heaving. Currently, the deck footings are approximately 48" deep.
The scope of services requested would include borings in two locations to a depth adequate to
analyze the existing soil conditions noting the water table, the soil classifications, a recommendation
on how the frost action on the decks and patios can be mitigated, and a cost estimate for these
services.
Please contact me at 6814637 with any questions. Thank you for your anticipated timely response
in this regard.
Sin erely, cc: Tom Colbert, Director of Public Works
Doug Reid, Chief Building Official
Ichae P. foert'gch, P.E./L. S.
Assistant City Engineer
MPF/jj
MUNICIPAL CENTER THE LONE OAK TREE MAINTENANCE FACILITY
3830 PILOi KNOB ROAD THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY 3501 COACHMAN POINT
EAGAN, MINNESOTA 55122•1897 EAGAN. MINNESOTA 55122
PHONE: (612) 681-4600 PHONE: (612) 681-4300
FAX; (612) 681-4612 Equal Opportunity/Afffrmative Actlon Employer FAX: (612) 681-4360
TDD: (612) 454-8535 TDD: (612) 454•8535
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~ ~~~~•~..,t-~ .
•ti~~i~ , APPLICATION FOR PE:2:tiIIT
SEWER AND/OR WATER CONNECTIODI
(PLEASE PRINi)
t
PPOp~ ~DRES5 : 361 v . r/,~~.
r.Fr`AL, DaSPal-I'rIcN: L -/V '5'X
(Iot/B1oc.K/St;:,uivisicn or Ta:t Parcel I.D. Nt=Der)
S'I"=-':'vE, DaTE OF CRTGyAI., r`.UIL^.LI:G ISj~;~~%C?:
prc-~~.-, ,.,.T._
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. Z- 3'~C:.~??nUcz(?F_1=- 1 L=ILTIS) l, Tj-N!ITS )
p R-4 tu-==iT/CC: ZG -t rr !-L:M ( UN -L.
p CC:ti=,=,I./RE-MII.?Or 'ICr.'
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2) j.PPT,T=;,l• (PLEAJ"t PRIliT)
NAi•~ : ~ m '7~ ~a~ ~s~ f~'' ~
~
ADD.2ESS:
: crrnY, smrTE, zzP: T5/2
PfiO-NE
3) PLL,:•~~? (P `EASE i'RiNi) FOR CITY USE 04LY
NAl~'EE > p l ( !=.e ~~y
PlU!!BERS LICE4SE:
ADDRESS: 6' ;7$'( ._r/ Active
CIT`_', ,STA''E, ZIP; fExpired
1 L" ~ Hot of Record
PHO~IE• 1.~7 PLUMBER LICENSE # 5
' afr :ni[13
4) OCCL'PF`1T/Cf~~i`I"'•t2 NANIE: (PLEASE PRINT)
ADDRFSS :
CT?"l, STATE, ZIP:
PfiO:lE:
5} INpIG*,TE ;dI-iICH PERi•1IT IS BEItiG RFJCUES'ITD:
~ CC~+'NEC_'rION 'In CITY SEtrJER
COi.^=IC:I 'Ib CITY LaATER
Q C7i'i12 (PZ.ZASE DESCFtIBE) 6) U;J,G~= C.7-.. •
. Y E] PT..r",.SE F?OID APPP,OVID PERm.IT FOR PICK-LP BY ONE OF AB=
DLE:,SE .•7LIL APP?t= P=lIT T'J 1, 2./34 AFO~'E .
(Circl~c~one)
7) SIC7A'IUr2:.: DATE:
~ ~ Q"~iA~_l~ ~ ~ !l~~t~ ~ i I7t p ~1~ # ii is i i ~ :1~ S 1! !t ~J!-.fA Yl~~ ! 1~ ~ ~~g~
'
F 0 R C I T Y U S E O N L Y
PER`''•I•,• ISSUED
Fr.`.S : $sE;','LD flr7'.ST^' JUP.C.c:a-.-. /
' : U G )
'S /-9 ' WATErZ PE?utT- (~I`NCi,uDr, _SliRCHAr`2GE)
13 `r- WATER METER/COP,PERHORN/OUTSIDE REr,DER
$ WATER TAP (ZNCL;:DE CORPORATICN STOP)
$ SE::ER TA ?
. $ /.S ~ . n -.T C ~ _
-'.....~..1..._ - .r_.
-Zly $ ~s ACCOliNT DF?(`SIT - j•laTER
$ whC
$ gaC
$ TRliNK WATER t,S SS:iE.IT
$ TRli:1K SE:•:ER :SS?~S:•'E:iT
_ $ LATEP.AL BL.ivc.r ZT/TRIIidK SE:•:E~
$ LATERAL BEVEr IT/T:?U:1K WAT°R
$
WATER TREATMENT PLA:\T SURCHARGE
$ OTHER:
$ TOTAL
$ AMOLTNT PAID jRiCEI?T ;
DOES UTILITY CONNECTION REQUIP.E EXCAVATION IN PUSLIC RIGHT OF WAY?
YES IF YES, THEN A "PERMIT FOR 'f70Rfi WITHIN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
NO ENGINEERIr1G DIVISION. LIST AS A CONDI-
TION.
SliEJECT TO THE FOLLOWING CONDITIONS: •
.
APPROVED BY; ~j
TITLE: •
DATE:
fs~ ~r~ w m sa .ES wtm
ne w ~ w ws~ ~a ~a rf s~ ~ ~ ~ ~.a ~t~ nit s~
C ~ i 2/84
CITY Or EAGAN
111~~ APPLICATIvN FOR PERMIT
SEGJER AND/OR WATER CONNECTION
(PLEASE PRINT)
1) PF?OP= ALDRESS: 3C~ -7c
e.h ie'~
~
='AL Di..='PTTcN: _C -~r
(Lct/Block/Sutdiviszcn or Ta:i Parcel I.D. N=ber)
i .~C ST,:DAl~.:. OF =1Ci.l LUIa.u=G ISJ~.N.-~.:
PDL'C= 13 R-1 Sl'`.,:= FAYILY
11 R-2 CIJ'r= (7.%'0 ITNITS)
. XR-3'I'Cf,.~~~TSE (TI= 1- L~ i~-'~ 1 - _ ~
( L' ~~_C
? R-4 t~~:.::^=:T/CC`:DG.ir; ~'I ( 7-
p CCti?~1~?CL'~L~E^'AII,/Cr ~'IC: :
p i ~=i~L=1,
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2}. APpT,i= (PLEASE PRINi)
r
N~•~: %~~e"~' /~~7' ~G~/`/li~~~
ADD.`zESS :
c=, smazE, zzP:
- PFoNE: 4f3 f ~ 3 5 5' /
3) PL;[::,IB=, ~ (FLE"SE PRI4i FOR CITY USE 041Y
NPML : U e
PLUHBERS IICEtiSE:
A.GC=cESS: 0~2.'r Active
' CITY,.,STA^.'E, ZIP: Expired
iNa i~r ~ Not of Record
. PHO~]E: PLUMBER LICEYSE q,;;p ar- :nitia
4) OCCL*pA2,1T/Cr,-,\;M NA (PLEASE PRIt~T)
t~:
ADDRESS:
CITY. STATE, ZIP:
PI-i0`IE :
5) INDICI'.TE :~JHICH PERi•lIT IS BEItiG RDQUESTED:
CG.1D1F'J'ION TO CITY SaiER
~ CON,v'F~rIG:V 'IIO CITY WATER
Q 071112 (PL£r'SE DESCRIBE) 6) L; D IC A -L" C..r.: •
. y Q PT..r~,.SE F?OLD APPRWEI) PERM.IT FOR PICi~-U-P BY O:VE OF ABGL'E
PLE-tiSr. t•7LIL APPRWID PEF-%LIT TJ 1, 2. (.S.r 4 r'1E''E
(Circle one)
7) SIC7A7-R:.: DATE
F O R C I T Y U S E O N L Y
P~DL%?IT " ISSUED
~ $ CJ',;^D 171-77%1T'^ \i.-•r Dr~~ .
$ - /D•,S~ WaTE-RI PE~*trT (INCLIUDi SuRCHARGE)
$ WAT°R METER/COPPERHORN/OUTSIDE READIER
$ wr~TE=? TAP ( INCL~DE CORPORr,TIQN STOP )
'S sE :':C,R i yP
$ R
$ - f ~ AC,^_OuNT D=:PC'SIT - WATER
$ WhC
$ ~a ,5 zi-a S AC
$ TRli`7K [•1AT°R AS :T
$ TRL:•IK Sr„•;EER ySSy_.,.iE:iT
_ $ LhT :F-AL BEivEFIT/TRUidK SE::..
$ LhTiRaL BENE:IT/TP,U.1K ;9AT°R
$ WATER TREATMENT PLANT SURCHARGE
$ OTHER:
$ TOT.%L $ Ai~?OL:.T PAI'JREC°IPT ' J~.~'~
- tt
DOES UTILITY CONNECTION REQUIP,E EXCaVATION IN PUBLIC RIGHT OF iJAY?
~ YES IF YES, THE:7 A"PERMIT FOR 'r70RK WITHIii
PUBLIC ROADWAY" MUST BE ISSUED BY THE
NO ENGINEERING DIVISION. LIST AS A CONDI-
TION.
SLEJECT TO THE FOLLOWING CONDITIONS:
,
APPP,OVED BY: ~ Z7 :
TZTLE: •
DATE: _ • ~G~- _
fs~ w~ s~ E~ uc~ w~ ~ts~ ~ w~ At si! w~ ~a ~t+~ w~.i~ s~ ~t~ w~ ~ i! ~i~ ~e~ ~t~ ~ sl~
. ,
C ~ 2/84
CITY Or EAGAN
APPLICATION FOR PERMIT
; .
SEWER AND/OR WATER CONNECTION
(PLEASE PRINi)
.y 0
1) PP.OP= ADDRESS:
T Frar• DESG2IPTICN: _ Z- /7 c-, 41-
(Lot/Block%Su;aivisicn or Tax Parcel I.D. N=berj
~ IF S'I'RLTMME, DaTL Oz' 0R?GMIAI, rUI:.DL:G ISS:r%C.:
_
PDFSL~.T. Z^`7I:T,/P7?OPOSZ-[) t'S': O R-1 SZ= z-Pu.ILY
? it-2 L'Urlr_..1 (T.iV L?i:l'iS) .
('I'F?n= y L':rITS) ( Wi I'^S)
~ r-4 Ac:~.U- =;T/CC_ZCi-=ljr'M ( UtiITS)
? CCi.?nE°CIAL/RF,':AII?Or'F'IC::
p !NCL'ST.a.L
Q L`~STI
2} APPI,I= r (PLEASE PRINi)
NAi'IE: / % iC~A Pd Vj/
ADD:tESS: l
`~G
CITY, S'I~=, ZIP:
~
PxoNE: 57 5~ /
p~~IBER (PJ~j ASE PRINi ~ FOR CITY USE O4LY
LVC'1~:
PIUHBERS LICE4SE:
PDDRESS: Active
:
CITY, STATE, ZIP; Expired
HJI~r. Q Not of Record
PHM1E: PLUMBER LFCENSE # 2~ ~ G
' atr ,nitia
4) a=~+ppNr/CrvT;II2 NAME (PLEASE PRINT)
:
ADDRESS:
CITY, STATE, ZIP:
PI-i0i`TE :
5} INDIG*,TE WE-IICH PERt•1IT IS BEING REQUESTID:
~ CO:INECTION 'IO CITY SaiER
CL'NNDCTICN TO CITY WATER
? CfIMR (PI.EA.SE DF.SCRIEE)
6) =ICitL Ci'i1t.: '
. ? PLrA.SE FrOID APPP,OVEU PER.',LIT FOR PICi:-L'P BY O:VE OF ABCNE
PLEySE ~VII, APPR= PEF,'•LIT TJ 1, 2,04 AFOVE .
(Circle one)
7) SIC.-ATL'RE: DATr': 8~
~ Olil_iR}OfJO ~ i ' • ~ • ~ '
. . . . . . . . ' _ j,
F O R C I T Y U S E O N L Y
PERMIT ISSUED
FE Z'S : $ 1 IS~D SE:'.LD PE?ZMT^i' (INCL'.:i:r JUP.CL":ARGG)
$ WATER PEFtP'[IT ( INCL'u'DE Sli?CHARGc )
$ WATER METER/COPPERHORN/OUTSZDE READER
$ WATER TAP (ZNCLUDE CORPORATION STOP)
$ SE;vER TAP
$ '.l ~-C.i;:i''_' GSi: - - . -R
$ ACCOUNT DrPnSIT - WATER
$ J~Uo `s° WAC
$ 5 C0 ~ SP.C
$ TRliNK WATER ASSESS.IE:1T
$ TRliNK SEGrER ASSiSS.ME:iT
$ LATEP.AL BENEFIT/TRUNK SE:,:E?2
$ LATEIRAL BENEFIT/TRUZ11K S9ATER
$ 130L~ WATER TREATMENT PLANT SURCHARGE
$ OTHER:
$ TOTAL
P,riOL'tiT PAID/RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIG'riT OF WAY?
YES IF YES, THEN ti"PERMIT FOR PIORK WITHIN
- PUBLIC ROADWAY" MUST BE ISSUED BY THE
~O ENGINEERING DIVISION. LIST AS A CONDI-
TION. '
SUEJECT TO THE FOLLOWING CONDITIONS: •
.
APPROVED BY:
TITLE: •
DAT° :
~?s~ ~ ~ ..ES~ .c~~ ~ ~ ~ w s~ft wsN NIL-M §WM w W.No 4WPM ow•~ ~ ~ ~ Wjpq oea ~M a% spg M
.
~
2/84
~
CITY Or EAGAN
•111~~ APPLICATION FOR PERirIIT
; .
SEWER AND/OR WATER CONNECTIODi
(PLEASE PRINi)
1) PF.OP= ADDpzSS : 3~,~J fj ~ P C
T_F~~ DaSs'--`rTcN: -,4 - 7 lc~~cz 3,-or"'
(In, t/Block/Su:,aivisicn or Ta:i Parcel I.D. NL::,-er)
S'I':;LCT' cE, DAi~. 0° CRT_GL-Ai., =yP.L:G
TSJuA";C.:
pDrCL+-, ? c'Z"_1 S.L .:v'Z+ r''-:.1IT :Z -
? R-2 CLi-= ('IT':O L':IITS)
R-3 TC?,,~-c._rv~c~ - + L: f r~~1I='S)
pR-4
/
'ICE
? ~~csl.T:z
? .L"sTI"T~T,..1,M1.
~I,/G~,^'v~ ~:,r.~•
V 1 V l.~Li~
2) APPL,1i:.~.il' r (PLEASE PRINi)
-
P,DD:tESS: 114/~
_ CIT`_', STrT:.', ZIP:
PFO~:
3) pLC,M, NP (P ASE r~) FOR CITY USE 04LY
l: Gl f' / /P~
PLU!!BERS LICE4SE:
, ADDRESS:
Active
CITY, _,STATE, ZIP: Expired
NJICr. Q Not of Record
. PHO-NE: PLU"18ER LICEYSE 1J 2 3 ~
' ar- :niti3
4) O=uTA.~'~1T/Cfv';1E.R NAME (PLEASE PRlNT)
:
ADDRESS:
CIT"L, STATE, ZIP:
PI-i0`IE :
5) INDICIM7 :'1E-IICH PERi-lIT IS BEING RDQUESTED:
CC~.',JECTION 'IO CITY SEfriER
~ Mi.:JDCTZCU 'IO CZTY WATE:t
? Cr'iIEZ (PIE'SE DFSCRIBE) 6) -U.'DiG~:: C.u.: •
• v Q PZ.r-~SE F?OLD r1PPF,= PER.^^.IT FOR PICK-LP BY 0:1E OF AEGVE
P=-tiSE ~%7,IL APP1ROVED PM'•LIT TJ 1, 2,6j~4 AFOVE
(Circle one)
7) szc7A~,-~: DATE:
MR IR Q -wiA ftwJY -on an !!~mwZXw ! i
F 0 R C I T Y U S E O N L Y
P---?-%!I^• " ISSUED
FEES: $ •6~ S~..~R ?~ya«Tm C:.::L~ SURC~~~~~)
$ fD S~ WATER PER:= (IN
ICLUDE c-liRCHARGZ)
$ WATER METER/COPPERHORN/OUTSIDE RiADy?
$ WATER TAP ( INCLL'DE CORPORATION S':QP )
~ 5.:.:':GR iA P
$ f5~~ _ cs~_ -
$ /S Z'v AC.^_OuNT DEPOSIT - t•]ATER
$ °r, WnC
SAC
$ TRr.iNK WATER ASS-ESS:.";T
$ TRuNK SE:•:ER ySSE ;S.iE:iT
$ LAT7-R.yL Br.:ur,r IT/TRli:dK SiI•:E~
$ L"`TiRaL BEVEFIT/TRU.:K WATER
$ WATER TREATMENT PLANT SURCHARGE
$ OTHER:
$ TCTAL
~
$ 57 A~'-OLT`:T PAID;'RiCEIPT R
DOES UTZLITY CONNECTION REQUIP.E EXCaVATION IN PUBL,IC RIGiiT OF WAY?
~ YES IF YES, THE"'7 A"PERMIT FOR WORK WITHIV
PUBLIC ROADtvAY" MUST BE ISSUED BY THE
1=J ND ENGINEERIr1G DIVISION. LIST AS A CONDI-
TION.
SL•EJECT TO TfiE FOLLOWING CONDITIONS : •
,
APPROVED BY;
TITLE: .
DATE:
COMMERCIAL BUILDING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
r Telephone # 651-675-5675 FAX # 651-675-5694
Foundation Onl : New Buildin Interior Im rovement
• Structural Plans (2) sets • Architectural Plans (2) sets • Architectural Plans (2) sets
• Civil Plans (2) . Structural Plans (2) • Code Analysis (1)
• Certificate of Survey (1) • Civil Plans (2) • Project Specs (1)
• Code Analysis (1) • Landscaping Plans (2) • Key Plan (1)
• Project Specs (1) • Code Analysis (1) " • Master Exit Plan (1)
• Spec. Insp. & Testing Schedule • Certificate of Survey (1) • Energy Calculations (1) not always**
• Soils Report (1) • Spec. Insp. & Testing Schedule (1) • Elec. Power & Lighting Form (1) not always*'
• Meter size must be established • Meter size must be established • Meter size must be established-if applicable
1 • Project Specs (1)
1 . Energy Calculations (1)
1 • Electric Power & Lighting Form (1) 1
1 • Master Exit Plan (1) 1
l . Emergency Response Site Plan (1)
1 • Soils Report (1) 1
• SAC determination - call 651-602-1000 • SAC determination - call 651-602-1000 SAC determination - call 651-602-1000
Call MN Dept of Health at 651-215-0700 for details regarding food & beverage or lodging facilities.
Contact Building Inspections for sample and if required when it states "not always".
Pemut for new building or addition will not be processed without Emergency Response Site Plan.
Date Construction Cost ~
Site Address J Unit/Ste #
Tenant Name Former Tenant Name
Descri tion of Work L ~
~
Property Owner (.c> : ~9 Telephone # ( )
Contractor C,_=,r-_ /c..
Address City ~J c.. /'•J Is J
State /1%. LJ Zip Telephone # (9,3"~D) `'y ~
Arch/Engr RegistNation #
Address City
:
State Zip Telepho e#( )
Licensed plumber installing new sewer/water service: P.ho.ne L_)
I hereby apply for a Commercial 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- Cceac t..s
Applicant's Printed Name Applicant's Signature
OFFICE USE ONLY
~
Sub Types
? 01 Foundation ? 26 Public Facility ? 30 Accessory Bldg.
? 14 Apartrnents ? 27 CommerciaUIndustrial ? 32 Ext Alt - Apts.
? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt - Comm.
? 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt - PF
? 37 Nail Salon
Work Types
0 31 New ? 35 Int Improvement ? 38 Demolish (interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool ~ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final'- _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S/W Permit
S/W Surcharge
Treatment Plant
Park Dedication
Trails Dedication
Water Quality
Copies
Other
Total
I' -
r
SAINT FRANCIS WOOD 3RD 65902
PERIVIIT
DATE &
TYPE LOT BL ADDRESS
-
7i985 4-Pr_,Ex 010 01 3671/ WIDGEON WAY 020 01 3673/
030 01 3675/
040 01 3677
vsa Dtrn 010 02 3670/ WIDGEON WAY
020 02 3672
_
6i85 4-PLEx 040 02 3674/ WIDGEON WAY 050 02 3676/
060 02 3678/
070 02 3680
14
2006 RESIDENTIAL MECHANICAL rExMiT arrLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomes/condos when permits are required for each unit
Date / ~ I_ / 06
Site Address ~[p so e d qe o n Wav Unit #
Property Owner jim I m(li(/ v MiCVI 0) s Telephone # ( 65 1 ) ~ CJ U ^ 7 0~)
Contractor
- O'CONNOR ONE HOUR
Street Addre~ 1904 VERMILLION STREET
City
HASTINGS, MN 55033
State Telephone # ( U5 j
Bond P) Expires:
, . . . /
The Applicant is Owner ~ Contractor Other
Add-on or alteration to existing dwelling unit `•-R;;-. $ f 3Q':00
~ furnace _Additional ~Replacement New
air exchanger
~ air conditioner
heat pump
other
State Surcharge 0
Total $ '30- °
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 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
` approve plan in the case of work which requires a review and approval of plans
(1A -c d416~a
q
Appli nt's rinted Name Ap cant's gnature
6513403879 9.6K
Jul 26 06 08:46a Hillcrest Exteriors 6513403879 p.l
zaw. RESIDENTIAL BiTILDING rERMiT Arrt,icATioN
City Uf 1;2gan
3830 Pilot Knvb Kc?ad, Fsgan 141N 55122
Telephonc # 651-675-5675 FAX # 651-675-5694
RemodelrAMK ~ieoaae~r~evA5 OrNosilse ~nbr
3mgis~sileswweysshowin9 s7• It, d1at, sq. ft. o~~rie; ~d,~l wded ae~s 2 ~api6+ft Dldt ~,o~rit9loo~. hlm K. jDi$ts CettdSwMey Recd _ Y_-N
~20"~i4nmdnr~m bt~a aecwed) 1 Sat ffi Fnergp C8wWmHx fiesled addloam 7ma Aes PhoRecd _ Y_ N.
Z~P~~P~S~~9~Bemd~wkfdONfSItBS:pON1eQ~d6~n.elC. 73439YIVCYfOriidtlm018ddOd5 TieePmyRe*iretl ..Y - M
1set0(EneigyCaCldalrons Addhan-mticaAeff.on.adeaepffcsySiam O"de_r,epb'cSymm ,,,..Y .-14
3 oopies of Tree Prpervafian Plan if lot plaGcd afoer 715193
Rim Jvist Oeteil Op6ons selaction shett (buqdings wBh 3 or leP.s writ)
MinncRa.scn mcchanical veMiladon forni
lDate
ti (Q Construciion Cost I(~~, • - Site Address aso z-J14.QrQ~~~ ~ke-C. 6Z. Unit/$te #
Dcscriptinn of Wurk IVMV
Mu1tl-N'amily Bldg _ YXN Fircplace(s) l _ 2
1'rc?pcrtyQwpcr 6A~~ ~ 'Telephoae#(~f ! 3 z ~
- -
Cootractor &G
Addren LS~~.lP J~R Av~. . Cih' -;?L 'Af
St9tc )*/!l ZiP Telephone !t(&:Z) 237 - g ZS2',
COMPLETE TH1S AR'EA O1MLY 1F CONSTRUC77lMG A ME1N SUlLDMG
~~~e~~~ - Minncsotu ftulcs'7670 Catezorv 1 T MinnesolA Rulcs 7672
Q,1 sut~mF~~oA lynel • Resldential vehiitation Gate9oil+ I Wwksheet New Energy Code Worksheet
Submltted Submiried
- Energy Envelvpe Galculations Submitted
In the last 17 months, hos tt+e; Gity of Eagan issuod a pormit for a similar plan based on p moster ptonZ
Y _ N If yes. datc and addross of master plan:
Licensed Plumber TClcphone # ( } .
Mechan;cal Contractor Telephone # ( )
Sewer/Water Cantractor Telephone
1 he:n;by apnly for a Residential 13uilding Permit and acknowledgc that lhe inforntateon is wmpi4te and ac:curate;
that thc work wiil be in cdnformance with the ordinanccs and codes of the City of Eagan 3nd Che Statc; of MN
Statuteti; 1 understand this is not a permit, but only an appiication for a pennit, and work is not to start without a
px;rmit; that 1he work w'stl be in accordance with the approved plan in the Case of work which requires a review and
approval of ptans.
Z(;
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.l#pplicant's Printed Name Applicant's Signature
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Use BLUE or BLACK Ink
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Clt of �� �� j Permit#: � u�
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� Permit Fee:
3830 Pilot Knob Road � �
Eagan MN 55122 � Date Received: �
Phone: (651)675-5675 � �
Fax: (651)675-5694 I Staff: �
I I
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: "1 r a� ' `"� SiteAddress: ���� '� 3��� U��� eOr1 �, EQ un Unit#:
Name: Phone:
Resident/
Owner Address i c�ty i z�p: 3b~1 � - �lo�� VJ,�,Qe�7n v�c�
Applicant is: Owner �Contractor
T e of W r Description of work: ��O��
Yp o k �� /
Construction Cost: ��o �(9 Multi-Family Building: (Yes �/ /No_�
' Company: �J('��( '�n�-�-f,�C' .'J�Zv�C. Contact: �� �e--
'COt1t1'aCtOY; Address:�.p ��� {-tU� W�S T City: ���`p pe,P✓
In n —��O`�15
State:!"V�Zip: 'J��1"I Phone:�LS�'q�1�' Email:�('[� C.c�r��i�' ��yY�S�,
' License#:�C- �1 �.� a � Lead Certificate#: IV(�� � � �q�Q � � l
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 considereal to be'public information, Portions of `
:the information may be classified as non-putilic if you provide specific',reasons that would permit the City to
conclutle that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq '
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes ofi 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 issu ce. '
X X ` �i2� �Jr(' i
Applic nYs Printed ame Applicant's Signature '
Fage 1 of 3
. - ,. /�
� �r�in� �
Use BLUE or BLACK ink
. r______________.��._.
I For Office Use I
• Clt of �a aIl ; Permit#: �� �D �
Y � � � �
3$30 Pilot Knob Road � Permit Fee: � i
I �
Eagan MN 55122 i i
Phone: (651}675-5675 I Date Received: 1
Fax: (651 j 675-5694 � �
j Staff: �
�-----------------�
. 2014 COMMERCIAL BUILDING PERMIT APPLICATION
Date: Site Address: 3(07�1 - vb7�-3(�r7$_��8C7 t );r1QP.nr, �,�.v �e�er.f.l✓��
Tenant IVame: (Tenant is: New I Existingj Suite#:
Former Tenant:
Name: Phone:
Pt"0�3e1't}/OWtt@P Address I City t Zip: �7 � � - �(�,`jg -3(Ey$(� �
� acc
Applicant is: (?wner �Contractor
Type of WoI'k ��scription of work: ��,�(''�j� �
�� ��
co►,St�u�c�op cost: 1 °7
Name:��'�e,..� �r't'i�'d`UG�t(�f1 �+��.. Licsnse#._���� ur��
Contractor Address: ��� r'��� F�i � �s�r��S�"` City: � 4 ,+ °
�3__�`.�.
state:_��zi�:_�3��3�� Phone: � �� � q�`I� ,� -°I b���
Contact: � ''� e,j:t" Email: t„?C"f� c*� �!VtS� �
Name: Registratian#:
#
Address: Cit
Architect/Engineer v� � I
� �
� State: ziP� Phone: �
t
Contact Person: Email:
Licensed plumber installing new sewer/water service: Phane#:
NOTE:Plans arrd supporting documents that you subrnit are considered to Ge publrc informatJon. Porf�ons of
fhe infarmafion rnay be c/assified as non-pub/ic if you provide speciflc reasons that would permit#he City to
conctude fhat the are trade secrets.
GALL BEFORE YOU DIG. Cal1 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 utiiities. www,qapherstateonecail orq
I hereby acknowledge that this information is compiefe and accurate; that the wark 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 far a permit, and work is nat to start without a
rmit;that the work wi11 be in accordance with the approved plan in the case of work which re uires a re ' w an provai of plans.
x
Applican#'s Printed Name X
AppGc t s igna re
Page 1 of 3
�
DO NOT WRITE BELOW THIS LiNE
SUB TYPES
_ Foundation _ Public Facility _ Exterior Aiteration-Apartments
_ Cammercia)/Industrial Accessory Building Exterior Alteration-Commercial •
! Apartments _ Greenhouse 1 Tent � Exterior Alteration-Public Facility
_ Misceilaneous Antennae
WORK TYPES
_ New _ Interior improvement Siding Demolish Building*
` Addition � Exterior Improvement � Reroof _ Demolish tnterior
V Aiteration _ Repair ` Windows Demolish Foundation
` Replace _ Water Damage _ Fire Repair _ Retaining Wall
_ Salon Owner Change "Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuatian Occupancy MCES System
Plan Review Code Edition SAC Units
(25%,14Q%�} Zoning City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Sprinkiers
Type of Construction Width
REQUIRED INSPECTIONS
Footings(New Buitding) Sheetrock
Footings(Deck) Final 1 C.O. Required
Footings{Addition) Finai t Na C.O. Required •
Foundation Other:
Drain 7ile Pool:_Footings _Air/Gas Tests �Final
Roof:_Decking _Insulation �Ice&Water _Finai Siding:_Stucco Lath _Stone Lath _Brick
Framing Windows
Fireplace:_Rough in �Air Test �Final Retaining Wa0
insulation Erosion Contro{
Meter Size:
Finai CIO Inspec#ion: Schedule Fire Marshai to be present: Yes No
Reviewed By: , Building Inspector Reviewed By: , Planning
COMMERCIAL FEES
Base Fee Water Quality
Surcharge Water Sampling Fee
Plan Review Water Supply �Storage(WAC)
MCES SAG Storm Sewer Trunk
City SAC Sewer Trunk
S8�W Permit&Surcharge Water Trunk
Treatment Plant Street Lateral
Treatment Plant(trrigation) Street
Aark Dedication Water Lateral •
Trail Dedication Other:
Water Quality TOTAL
Page 2 of 3
� � �
.
Clt of �� ��
y �
� 3830 Pilot Knob Road
Eagan MN 55122
(651) 675-5675
COMMERCIAL BUILDING PERMIT SUBMITTAL REQUIREMENTS:
Foundation Oniv
❑ 2 sets of scaled Structural Plans New Buildinq AND Additions
❑ 2 sets of Civil Plans ❑ 1 Soiis Report
❑ 1 Certificate of Survey ❑ 1 Certificate of Survey
❑ 1 Code Analysis*'` ❑ 2 sets of scaled Structural Plans
❑ 1 Project Specs ❑ 2 sets of scaled Architectural Plans
o HVAC units required on building elevation/
❑ 1 Special Inspection &Testing Schedule*'` site plan
❑ 1 Soils Report ❑ 2 sets of Civil Plans
❑ Meter size must be established—if applicable ❑ 2 sets of Landscaping Plans
❑ Met Council SAC Determination (651) 602-1000 ❑ 1 Code Analysis**
❑ 1 Energy Calculations complying with the 2009
Interior Improvement Commercial Energy Code (Chapter 1323 of the
MSBC) "`**"
� ❑ 2 sets of scaled Architectural Plans ❑ 1 Emergency Response Site Plan ***
(maximum plan size =< 24" x 36")
❑ 1 Code Analysis ❑ 1 Special Inspection &Testing Schedule**
❑ 1 Project Specs ❑ 1 Project Specs
❑ 1 Key Plan ❑ 1 Master Exit Plan
❑ 1 Master Exit Plan ❑ 1 CD including electronic copies of the final
reviewed plan submittal
❑ 1 Energy Calculations complying with the 2009 ❑ Fire Sto �n Submittals
Commercial Energy Code (Chapter 1323 of the pp g
MSBC) "*"* ❑ Fire Suppression/Alarm Form ,
❑ Fire Stopping Submittals ❑ Meter Size must be established
❑ Meter size must be established—if applicable ❑ Met Council SAC Determination (651) 602-1000
❑ Met Council SAC Determination (651) 602-1000
* Call MN Dept of Health at (651) 201-4500 for details regarding food & beverage or lodging facilities.
** Contact Building Inspections to see if it is required and for a sample.
*"* Permit for new building or addition will not be processed without Emergency Response Site Plan.
***" 2009 Energy Code Compliance Forms are available at www.citvofeaqan.com/buildinqinspections. You will need the
ANSI/ASHRAE Standard 90.1 —2004 to complete the compliance forms.
�
Page 3 of 3
Use B�U�vr BLACK ink
�_.._�_��_�_�....--�,
� �ov affice l�se /j
i t��� 4)� I',�f1�����;1 j PermlE#: ���� �
,�
__. _._
` `� �' ;
---=° ° = __. ,.
• .. � Pet�i���: 1.�7 t
383D Ptlot Knob Road 1 i
Eagan MN 55122 - � Date Received: �
Phone: (657)675-5675 � !
Fax: (651)675-5694 �
_. � Staff: �
�----_—.____--___,—�
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: �o�'� � � �' �� Sife Address: ��1 C1�, Unit#:
__�_______
rv��,�:�I 1 e� �,�c���va,r � C�� - � p� �_
RBSiden#1
Phone: _ �
QW11Bt' Address f Gity!Zip: �� �p� �i � � �� � � ��
Applicant is: Owner �Contractor
........__y.—.___ w
�mO�f?. � P U<,c°_. v l f ar+ne, W� � Ol���
Type of Wt�rk uc�`'r+�a���f�QT war�: S �..
Cnnsfruction Cast. Muiti-Farnily Building: (Yes�/No„��
; �
_ = v�:..�.�,.�. - ._ . .:_ .- ° - -t3�i�
� �t: �,���
Cantractar Address: W,?,`� �, � ,r t,�,��}- �,ty. _��_ L�o��_ �
State: � Zip:��� Phone:��'��-It-707�mail: l��s� t�,s'���� r'[x^�"1.
• License#�t.,,i��1 ,�,� Lead Certificate#:_��-"� °-l�Q"�,�--'�
-
. . - --_. --:..�,���.m::, �:::���.�; vnrtG��� Y�„y. 4�GC r�sye � �oi a�ia��ionai �ntarmat�c�n}
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..._ _ _ .. __ , --_. . . -_ . __ .� .— =c...s °.s�=vs
In the last 72 manths, has the Gity 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: P���e,
Mechanical Cantractor: Phone:
Sewer 8�Water Contractor: Phone:
NOTE' Planc anrC cunnnrttn,,,.�,,...,.,"..»s.. .r...�.._.- -•-�--�< _ _ . . _ , _ _____
: .. _ __"__.,`",..s:�a.. t VFGiVIIJ �(
�;�e rr1r���radrr�n rnay�e Giassif�eci as non-public if you provide specfflc reasons that would permi#the Gity te
conclude that the are trade secrets.
P'�t � gCCf1DC Vt'tilt n�„ _, --
- __ . _ _ -, . _ __
- - � ° •
- °--
.-_ -. .._ . _ .- - -- -•, �, --_... R=.���..,.,.,u.,,,t�rs..�cut73st�G-. is�t�i��fS
la�#�.7t�'�l�1!1(iF#3�313 t�Cd�ti3 T£GL'iY$iCTC.d��'$t'31 U1'7C�2�1??1lT�i;11�3�'1�!.PS Y+4YW C10[3�1$T+�?�i']��C}i3BC:��� isa
1 hereby acknowiedge that this infarmatian is compfete and accurate; that the work w�ll be in conformance with the ardinances and oodes of the City of
Eagan; that i understand this is not a permit, but only an application far a permit, and work is not to start without a permit; that the work will he in
accordance with the approved plan in the case of work which requires a review and approva{of plana
Exterior wa�k authorized by a buiiding permit issued in accordance with the Min�esota State Suilding Code must be comnfeteri withi��an
cl�vc nf nn�mit i_cc���n.r.e - _.
♦
x C� � X
Applicant's Printed Na
Apptica s igna re
Page 1 of 3
TUU''N\ng 1
For Office Use
Permit#: fil eg
_s---,
- E AG AN Permit Fee: 1—#1g-1 06
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff:
buildinginspections{cr�citvofeagan.com L
ii 2018 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: d _ (.0 w 1 53 Site Address: 3(c1q kr`'PO(\ LA) .+ Qr'\ Unit#:
Name: -la tsr. \ \ Ors5 :x, Phone: (051- I-4-0-CO3 SS
Resident!
Owner Address/City/Zip: 3(.01 ,ta,1 Y1 at e./ a a(,1.j� 5 5 1 4 a
a Applicant is: Owner /Contractor
n f era) nO n ." &fi ,la
c0 r %n 7 n
Type of Work Description of work: R t?,C'co "
tip 3404 (,0.1.C..o/-3Coig` Co 'o t.,S,c�
Construction Cost glp 007 Multi Family Building:(Yes V /No ) &C
Company: ,Mu)Trc CD(N A'CXC� .1:-'C.Contact: M 1 'INC..—, }4o1ro d/
Contractor
Address: i0(.61 5 l-,64 1\0e- City: CAA 4S h ca.-J
,(� �5
State: J 1" zip:5531 g Phone: '� �' Email; (Y1tJr7 e=�� Cc?n� 1 co- -Ccs j
License# B C \1 a r. S Lead Certificate#:
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be
classified as non-public if •u provide specific reasons that would •'rmit the Ci to conclude that the 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 Cali 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.
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Applicant's Printed Name 1 Applica s Signat e
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA152624
Date Issued:10/23/2018
Permit Category:ePermit
Site Address: 3674 Widgeon Way
Lot:4 Block: 02 Addition: St Francis Wood 3rd
PID:10-65902-02-040
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 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 -
Darryl G Horsman
3331 Crossing Ct Unit 301
Bonita Springs FL 34134
(651) 470-6358
Murray Construction Inc
10675 Jersey Ave
Chaska MN 55318
(952) 941-7075
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA167846
Date Issued:03/31/2021
Permit Category:ePermit
Site Address: 3674 Widgeon Way
Lot:4 Block: 02 Addition: St Francis Wood 3rd
PID:10-65902-02-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater & Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Carol Horsman
3674 Widgeon Way
Eagan MN 55123
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature