3679 Widgeon Way
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: t' 'I•; r, j
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
aEPt $AAY
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DA
{ P•!'.•ti i I vit! , ~ {'Ilti ~
L_._, ,.z~~ia 6.,u` ~ _ ~ r~ ~•r~- - - ..Y~~~r"d ,~.~~.._~--~J
' Permit No. Permit Holder Date Telephone #
S/W
~ PLUMBING
HVAC ' ~ f(/ l~'3 ~c~••.1!'
ELECTRIC
ELECTRIC
Inspection Date insp. Comments
Footings I
Foundation
/
Framing
Roofing
(o
RoughPibg. .ILt-?3 N+1.`
(
Rough Htg. 6~~ 9~3 f3 L~f
Isul.
Fireplace js- ~~•f 3 G!~
Final Htg.
Orsat Test
Final Plbg. Pibg. Inspector - Notify Plumber
Const. Meter
Engr./Plan
Bldg. Final
Deck Ftg. -7
Deck Final
Well
Pr. Disp. I
I
w.1~ ~Y' 3 1 ti l J
: .
INSPECTION RECORD
' CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
'Ia w.t riN I.IAV t ~;tt iI ~til•; ~ i4 , I t Mi~
PERMIT SUBTYPE: TYPE OF WORK:
I q1i (1
INSPECTION D• • DA
I i'd'~I.tt Jti t( il~-~ ; 1 I~) i I n~t
r;
~
1. f tli,1 f 1 It~~ F 1!''1".i
~ ~
Permit No. Permit Holder Date Telephone #
, S/W
b PLUMBING
~
HVAC C 4 ~1' /~~~-5'~5!
ELECTRIC 9~' 8`v QO
ELECTRIC
Inspection Date Insp. Comments
i Footings I
!
Foundation j~ U)A9
Framing -7~Z~
Roofin
, 9 n,~ , /re r 07
~p Rough Plbg. /D -17 ,fl
n
Rough Htg.
Isul. _j1 4 4 ~
/
Fireplace
Final Htg. ~ ~ . ~ .
Orsat Test
Final Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
Engr./Plan
BIdg.Final dr 144t7f L'14C ~qf t*`e
`Z -°I'? ~ e- c~Ie Sw~rr N ' ss d
Deck Ftg.
Deck Final
s a~
ZP!OBL
• a~-a6 i,~(
~
~ . . ~ , INSPECTION RECORD
CY OF EAGAN PERMIT TYPE:
3 3 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
. lr t l}t,I (,PJ t.lF1Y 1 I r`11,I ( rIPt,, l I Nr
I f`Er'Hhl, i•. I.ill+)H 1 fi i.' } 4 . i ~
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION DA • D•
{ t~~~ 1 I{I~~ f ~ttlldl+f~ I 1~~ri
i
Pd
It;i !'I rt~.l
1t~isit_,1) J N f'1 I~t~ ~,ttll~,ii 1 td il I
Y 1 Yl~;) f'I t,~, 1 1 hJfyt
e ~ i r~r,tr~~ • . , , r, w I ' • l t l t r 1 : i " I , i t n muti lf~ r: 1,1 1;1,
L ~
,i Permit No. Permit Holder Date Telephone #
` S/W
PLUMBING
~
HVAC 95 •5
7
ELECT 7e,oj,~, 9 -4?0
ELECTRIC
Inspection Date Insp. Comments
Footings I j71911 /~O
Foundation ~/ZF / ~ J
Framing
f Roofing
Rough Plbg.
Rough Htg.
l5ul. `ll,~ ~~GIQS e~~~~ Fireplace
aN1
Final Htg.
G
Orsat Test
Plbg. Inspector- Notify Plumber
Final Plbg. r
6A
Const. Meter
Engr./Plan
Bldg. Final Z
Deck Ftg.
Deck Final
Well
Pr. Disp.
INSPECTION RECORD
' pClTY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number.
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
, t I „t,f c±N UlAy ~ ; ~ ~ i;, t ~ i i~~~
PERMIT SUBTYPE: TYPE OF WORK:
r ~ I r- ~JS 1.+
,v j.~ ~ i• ~ f ix~.~ ; i il; i ii~'.I i!,
INSPECTION DA • DA
F i!a<! .I lt+; t f Ais~i
I'4 M~+1;CF . 1,~.! S'l Ftl' (tl=lla {,P~ttF t i f Ii'l ii~,
e~~.~
0AW
1~
A, . . ~
~ Permit No. Permit Holder Date Telephone #
' S/W
. PLUMBING
HVAC
ELECTRI ~QQ~~ . 9 rj ~80 ~
ELECTRIC
Inspection Date Insp. Comments
I~ Footings I 7,451 ~ ale
Foundation
G(/
Framing
/
Roofing
i
Rough Plbg.
, r3 3
Rough Htg.
O ~ Z-
I5ul.
Fireplace
Final Htg. 3_Z3F~ ~
Orsat Test
Final Pibg. Plbg. Inspector-Notify Plumber
J
Const. Meter
Engr./Plah
Bldg. Final
3
Deck Ftg.
Deck Final .512
1I
IIJZ~
Well
Pr. Disp.
~r
t3'?,`ei.~i~cate n~ ~ccu~anc~
This Certificate issued pursuant to the requirements of the Uniform Building Code
certifying that at the time of issuance this structure was in compliance with the various
or&nances of the City regulating building construction or use. For the following:
4 use claniscation: 1 0F 4 - 4-PLEX sldg. Permit No. 21357
Occupancr TYr~ ~ 7mnizkg Diada R3 Tipe consL VN
o~ or s~aa;~ FI9~.R STAPF flONSTi~1CTIoNt~ 14640 (IER AVE, APPLE VAI~EY
~ 367q ~fIDC~Sd~i WAY L 15, B2, Sf FRAi~IS WOiOD SiH
B~g A
Dae y~--
_ Building
POST IN A CONSPICUOUS PLACE
~
CeL`tifiCQte 0f cCC1tpQ1iC~
wim of Wagan
Zqartmeat of isritbiig aaoection
This Certificate issued pursuant to the nequirements of the Uniform Building Code
certifying that at the time of issuance this stntctur+e was in compliance with the various
ordinances of the City regulating building construction or use. For the following:
uu aassificauon: 4-PLF.X-( 1CF 4 i1NITS) Bldg. Permit No. 24223
Occupancy lype R3/Mj Zoning Dishict R3 Type Const VN
o.-=or ftilaing FISG:R STEIPF CONST IIW nad.. 14640 (LAZIER AV;, APPiE VALIEY *
Building Address -W 1 WIDGaM WAY I om,;ty L 14. B2, ST F'RAN;,IS WOOD 5Ili
;r~
Date:
sui?afing afficial ' / -
POST IN A CONSPICUOUS PLACE
;
4r
_ ~1... ~
. .
WtrtifCCate bf cccuvanc~
%it4 o~ ~agan
Meoicrtmeat oF ZKilbi»g 3u6pcction
This Certificate issued pursuant to the requirements of the Uniform Building Code
certifying that at the timeof issuance this structure was in compliance with the various
,
ordinances of the City regulating building construction or use. For the following:
uu a.ir.u;wkPLFX (1 OF 4 tJNITS) Bldg. Pertnit No. 2422I
O-p-Y TYPe R3/11I Zoning District R3 Type Const. VN
own« or suaaing FI9MR STAW OOMT IlC naaress 14640 QJAZM AVE, APPIE VAII.F.'Y
B.iia;ag nddnn 3685 WIDGBCI[d WAY i om ity L 12, B2, ST FRANr*IS WOOD 5IIi
4-l Date: ~ ~'li L~C.- / / .J
Bu"bfficial
POST IN A CONSPICUOUS PLACE
~
» . ' .
CeL`ttfiCQte nf CCClipQliCv
W44 of Cfagan
,zc0artmeat of !SaIbixg an6pection ~
This Certificate issued pursuant to the requirements of the Uniform Building 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:
ux c~~r~;~: 4-~F•X (1 OF 4 tJNII5) Bldg. Permit No. 24222
OccupancY'[ype Zoning District P--3"' Type Consc ~
ownerof Building FI9Mff'R WPF COlVST IrY' ,4dd,.. 14640 (aL,AZIER AVE, APPIE VAU.L'Y
Building Address 3683 WIIIGFAN WAY Lo,aiicy L13, B2, ST FRAW-IS WOOD SIH
~T~' JANUARY 24, 1496
POST IN A CONSPICUOUS PLACE
;
Address 3679 WIDGEON WAY Z1p 5512 3
Lot ~15 Blk 2 Sub s'r FRANCIS WOOD STFi
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF TEIE FINAL INSPECTION.
Date: Yes No Inspector:
Final grade (6° from siding)
Permanent steps (garage) ~
Permanent steps (main entry) "W pp k; K u.da ' '(toH fe-tk
Permanent driveway ?
Permanent gas
Sod/Seeded grass
Trail/curb damage
Porch
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in right-of-way or installiag underground sprinkler system. ~
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
Ac`dress 3681 wznGEoN WAY Zip 5512 3
~ Lot 14 Blk 2 Sub ST FRANCIS Tn100D 5TH
THESE IT'EMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: 9 Yes No Inspector:
Final grade (6" from siding) ~
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
Trail/curb damage c
Forch ?
Basement finish
Deck ?
Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before wotking in right-of-way or installing underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Contractor Copy ~
Address 3683 WIDCEON WAY Zip 55123
Lot~ 1~ , Blk 2 Sub ST FRANCIS WOOD 5TH
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECITON.
Date: 0 I/ 24 / 9 6 Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
Trail/curb damage
Porch .
Basement finish
Deck
Please verify with the builder the removai of roof test caps from the plumbing system and the shut-off of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. ~
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
Address 3685 WIDGEON WAY Zip 5512 3
Lof 12 Blk 2 Sub ST FRANcls wooD srw
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: 1`:~ Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry) k""
Permanent driveway ~
Permanent gas ~
Sod/Seeded grass Trail/curb damage ~
Porch
Basement finish ~
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. ~
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
91//1/ ~
. G~ 78
Request Date Fire . Rough-in Inspection NOTICE: You Must Call Electrical Inspector
• R uired?
q If A Rough-In Inspection
s ? No Is Required.
I~Mensed contractor ? owner hereby request inspection of above electrical work at:
Job Address (Street, Box or Route No.) City
~ C'-) q
Section No. Township Name or No. Ran No. Coun
Occupant (PRINT) Phone No.
die.r -
Power Sup lier Address
i" C_7 i rM~~
Electrical Contractor (Company Name) CLicense No.
CPrPI lqP
Mailing Addr s(Contractor or Owner ing Installation)
t a4~1 ~cor~
Authorized Si nature (Contractor/Own Ista/l n) R Phone er
~
JI
g O ~_J'.J
MINNESOTA T E BOARD OF ELECTRICITY THIS INSPECTION REQUEST WIIL NOT
Griggs-Mid Idg. - Hoom S-173 BE ACCEPTED BY THE STATE BOARD
7821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ea-oooo,-oa
~ S instructions for completing this form on back of yellow copy. i/~~ ~7
~ 6~ / f C'~ X" B e l o w W Q r k C o v e r e d b y T h i s R e q u e s t
~ New Add Rep. Type of Building AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Industrial Furnace Other (Specify)
Farm Air Conditioner
X Other (specitX)Contractor's Remarks:
W f1YlWAR
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 5 0 to 100 Amps
Transformers Above 200 Amps Above 100 Amps
Slgns Inspector's Use Only: TOTAL - w
G~J
Irrigation Booms 7Y ,
Special lnspection
Alarm/Communication THIS INSTALLATION MAY BE ORD ISCONNECTED IF NOT
Other Fee ~ COMPLETED WITHIN 18 NPWHS. ~
I, the Electrical Inspector, hereby Rough-in te
certify that the above inspection has Final ~ Date
been made.
OFFICE USE ONLY
This request void 18 months from
OFFICIEo USE NLY This requesf void 18 months from validation date printed in this box.
~39-147 Ff_N~ 5-00010
. °I 5a~j~~ 1~199 ~ ~
PLEASE PRINT OR TYPE a, ,~/LQqtCo~ tt,~O Xv o
Request Dak Rough-in inspedion required2 Yes [3 No Inspedion Other Than Rough-In: ? Ready Now 6d Will Call
~q -2) (You must call the inspedor when ready) Dafe Ready:
I, icensed contractor ? owner hereby request inspection of the above electrical work at:
Job Address (Sireef, Box, or Route No.) City Zip Code
$ecfion No. Township Name or No. Range No. Fire No. County
Occu ant ~ Phone No.
?
~
Power $upplier Address
i J A16
Elecfical Controdor (Company Name) \ Confractor License No. Master Lic. No. (Planf Eled. Only)
C, Q
Mailing Address (Con}rador or Owner Performing Installation)
Phone No.
A ihorized $ignature (Coniractor r Owner PerformizzLj==
~ 0 135
~
EB-00001A-10 6/95 STATEBOA COPY-SEEINSTRUCTIONSONBACKOFYELLOWCOPY
REGIUEST FOR ELECTRICAL INSPECTION
arrof S jctric
. I III) O III Ci 1N-II•iH-Iliiltl'll II) I IIII Minnesota essaty Ae Rn
S21 Uni S Paul, MN 55104
t
~
0 23 9 1 4 7 2* Phone (612) 642-0800
Home Duplex Apt. Bldg. Other:.~ New Addn
Commercial Industrial Farm I0 U9/, Remod Re air
Air Cond. Htg. Equip. Water Htr. Load Mgmt. Other:
D er Ran e Elec. Heat Tem . Service
, "k' above the work covered by this request. Enter remarks in this space and on the back of the white copy only.
Calculate Inspection Fee - This Inspection Request will not be accepted without the correct fee:
Other Fee # Service Entrance Sae Fee # Circuits/Feeders Fee
Mobile Home Park Stall 0 to 200 Amps 6 C, 0 to 100 Amps p
$treet Ltg./Traffic Sig. Above 200 Amps Above 100 Amps
Transformer/Generator INSPECTOR'S USE ONLY . TOTAL~} sD
Sign/Outline Ltg. Xfmr. ~0 ~
Alarm/Remote Control
$wimming Pool
I hereb certi ihat I ins eded the elecfrical i Ilation de cribed herein on the dates sfated
Irrigation Boom Rough-In Dato/~
Special Inspection 4J
. so Final Date
Inwetie~afive Fee I <
THIS INSTALLATION MAY BE ORDERED DISCONNECTEO IF NOT COMPLETED WITHIN 18 MONTHS.
.9',(/J, J/S'(, 7
N 70032 E 37gyl
Requ85t Date Fire No. Rough-In Inpsection Required Inspection Other Than Rough-In
`
A (Vou s all inspector when ready) ~ Ready Now ? Will Notity Inspector
V Ves ? No Date Ready
I licensed contractor O owner hereby req est inspection of above electrical work at:
ob Address (Street. Box or Route No.) City
~~R-~?
:2~ .0&Eow tt)iqV
Section No. Township Name or No. Ran e No. County
O t (PRINTI Phone No.
cc r I&e
Power Suppiier Address
o(k rry"-i ~rrj
Electrf I Contractor Company Name) C License N. ~ e1,e `L_,,) (2A_ 4 ;;II.-
Mailing Ad ress IContract wner Making Insta tion) .
nsz. c~ C~ -~e ~ n/
Authori etl ignaWContractor/O er Making Installation) Phone Number ~
~d - ~SSS
MINNESO A STATE RD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Mi way Bld . Room S-173 BE ACCEPTED BY THE STATE BOARD
1821 University Ave. . Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
y•L ' REGIUEST FOR ELECTRICAL INSPECTION 4' es-oooo,-oe
? See instructions for completing this form on back ot yellow copy. -7
`X'=8e1ar;41ork Covered by This Request
C~ 7` tl 3 2
ew Ada T;ep'- Type of Building AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Industrial Furnace Other (Specify)
Farm Air Conditioner
r (specif ) Contractor's Remarks:
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 Amps Qve 100 Amps fl-+
Signs Inspector's Use Only: ) TOTAL
' Irrigation Booms
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDE D DISCONNECTED IF NOT
Other Fee S C) COMPLETED WITHI ONT t
I, the Electrical Inspec r, hereby Rough•in Dat , Cj,9Lf1
certify that the above inspection has Final Date
been made.
OFFICE USE ONLY
This request void 18 months from
. ~ 1 ~i a~ A y~~"-~~ Gc~.ad` ~/~"~v
7 U 3 ~ n4W 'ItgD °,D
Request Date Fire No. Rough-In In ection Required Inspection Other Than Rough•In
8'I r w~ (Yo mus all inspector when ready) ~ Ready Now ? Will Notify Inspector
YJ Ves ? No Date Ready
r
I licensed contractor p owner hereby request inspection of above electrical work at:
ob Address (Street. Box or Route No.) Ciry
1 3&85 U)(o &E:onl f~~ EA 6n ~ Section No. Township Name or No. Ran No. County
0o v-aTA-
Occupant NT~i Phone No.
154PP4 A'4nert:> 'T,31` 55S ~
~ Power plier Address
4 o- ~,~~.c~2?'e~ -'Icc rm
Electrical Contractor (Company Name) ContractorStLicense No.
CA 0 Q
Mailing Address (Contractor or Owner Making Installation)
Authorized gn tur (Co tractoriOwner Making Installation) P~LWjber
v-,3sS_~
MINNESOTA STA BOARD OF ECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway BI g. - Roo S- 73 BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St. Paul, 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
M919 Y3 REQUEST FOR ELECTRiCAL INSPECTION .`~~!E" es-oooo,-oa
( ? See instructions tor compieting this torm on back of yellow copy.
1 ,
1`X" E#,*low Work Covered by This Request
' ew Ad"a Type of Building AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater EleCtriC Heeting
Apt. Building Dryer Load Management
Comm./Industrial Furnace Other (Specity)
Farm Air Conditioner
Other (specify Contrecror's Remarks:
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 Amps Above 100 Amps itoo-
Signs , Inspector's Use Only: TOTAL
Irrigation Booms o d
Special Inspection 0
larm/Communication THIS INSTALLATION MA E OR !?ISCONNECTED IF NOT
Other Fe COMPLETED WITHI ONT
41
I, th@ Electrical Inspector, hereby Rough-in ~ Date
certify that the above inspection has Final Date ?
been made.
~ -
OPFICE USE ONLY
This request void 18 months from .
/ „2 ~l ~ RESIDENTIAL BUILDING 6 d-.
Permit Application
City Of Eagan /40,j
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Repuirements RemodellRepair 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% 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 16 /_)6 / 63 Construction Cost cl, oe v---
Site Address ~3 t.AJ e-.e Unit/Ste #
Description of Work ~e- e- e-.~ c. 1 r'
Multi-Family Bldg N Fireplace(s) _ 0 _ 1 _ 2
Property Owner Telephone # ( )
Contractor L) e-?- r-rt e- j ~e-j .
Address 0 _ A 'i City .Is v
State f h-j Zip ,575- 3)Telephone 07
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 # ( )
phone #
Mechanical Contractor TF~Tl
vu~ Sewer/Water Contractor oophone
I hereby apply for a Residential Building Permit e information is complete and accurate;
...,.T. __...r .,a,. .
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.
Cl_ a _ C j
~
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
0 06 04-plex ? 12 12-plex Pibg_Y or _ N 1)14 25 Miscellaneous
Work Types T~
v
,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 Demalish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 ReplaCement "`Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation 2/ 41 Occu anc
p y °"3; 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
w~.
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
~ 1c Q!~COMMERCIAL
2002 BUILDING PERMIT APPLICATION
CITY OF EAGAN
• 651-681-4675
Foundation Onl New Construction 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 ofSurvey (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
. Project Specs (1)
• Energy Calculations (1) " y
y • Electric Power & Lighting Form (1) " y
y . Master Ept Plan (1) y
y . Emergency Response Site Plan (1) 1
y • Soils Report (1) y
. MC/ES SAC determination letter • MC/ES SAC determination letter • MC/ES SAC determination letter
call 651-602-1000 call 651-602-1000 call 651-602-1000
Food & beverage or lodging facilities - submit plan to MN Department of Health. Call 651-215-0700 for details.
Contact Building Inspections for sample.
Permit for new buildings or additions will not be processed without Emergency Response Site Plan. Ask Building Inspections for requirements.
01 WORK TYPE: _ NEW _ REMODEL CONSTRUCTION COSTd Q~ D Jo -
1
DATE: ~ G 6
SITE ADDRESS: 3 Y~ 3 3 C,~ 4 S e- v^3 ZcI``.
TENANT NAME: [~3 FJ c e v--s e_.c Io v~p 7_0 -e oSUITE
FORMER TENANT NAME, IF APPLICABLE:
DESCRIPTION OF WORK 2-e- l'v o~
Name: e- o a v r Phone
PROPERTY Last First
OWNER / G
Street Address: f,-o
City: State: „j Zip: _
Company: G / /c ~r J~. ^i I /7 ~rt • e f l , Phone
CONTRACTOR
Street Address: 1:2
City: d. J c. /'.-1 . f cJ State: Zip: 3-~~
ARCHITECT/
ENGINEER Company: Phone
Name: Registration
Street Address:
City: State: ZiP'
Licensed plumber installing new sewer/water service: Phone
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant
Updated 7/02
Z.~~ 3a~ y
OFFICE USE ONLY
SUBTYPE ~ " .
? 01 Foundation ? 26 Public Facility ? 30 Accessory Bldg.
? 14 Apartments ? 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 TYPE
? 31 New ? 35 Tenant Impr ? 42 Demolish (Foundation) ? 46 Windows/Doors
? 32 Addition ? 36 Move Bldg ? 43 Reroof ? 47 Repair
? 33 Alterations ? 37 Demolish (Bldg) ? 44 Siding 0 48 Authorization
? 34 Replacement ? 38 Demolish (Int) ? 45 Fire Repair
GENERAL INFORMATION
Census Code Zoning sq. ft.
SAC Code # of Stories sq. ft.
No. of Units Length sq• ft.
No. of Bldgs. Width sq. ft.
Const. (Actual) Basement sq. ft. MC/ES System
(Allowable) First Floor sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
MISCELLANEOUS INSPECTIONS
? Gas Service Test ? Heating ? Insulation El Plumbing ? Stucco/Stone
APPROVALS
Planning Building Engineering Variance
VALUATION $
Permit Fee
Surcharge
Plan Review
MC/ES SAC % SAC
City SAC SAC Units
Water Supply & Storage Meter Size
S/W Permit
S/W Surcharge
Treatment Plant
Park Dedication
Trails Dedication
Water Quality
Other
Copies
Total
w
SAINT FRANCIS WOOD STH 65904 APPROVED 12/86
PERMIT
DATE &
TVpF, 1.nT UL AnnRF.SS
,
4i87 4-PLEx 010 01 3682/ WIDGEON WAY
020 01 3684/
030 01 3686/
040 01 3688
050 01 COMMON AREA
10i88 DuP 060 01 3690/ WIDGEON WAY
070 01 3692
6i88 3-PLEx 080 01 3694/ WIDGEON WAY
090 01 3696/
100 01 3698
11i92 s-PLEx 010 02 3697/ WIDGEON WAY
10i89 020 02 3699/
10i89 030 02 3701/
12i88 040 02 3703/
i vss 050 02 3705
6i90 s-PLEx 060 02 3695/ WIDGEON WAY
9/90 070 02 3693/
4i94 080 02 3691/
4/94 090 02 3689/
4/94 100 02 3687
1 0 02 COMMON AREA
, 7/94 4-PLEx 120 02 3685/ WIDGEON WAY
~ 7/94 130 02 3683/
° 7i94 140 02 3681/
6/93 150 02 3679
16
4 ~ * P PERMIT
CIT;Y OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L LI I N G
Eagan, Minnesota 55123 Permit Number: 021357
(612) 681-4675 Date Issued: 0 7 J 0 7 f 9 3
SITE ADDRESS:
3679 WI[lGEQN WAY
I.OT: 15 BLQCK: 2
ST FRANCIS WDQD 5TH
P.I.N.: 10-65904-150-02
DESCRIPTION:
(1 OF 4) B ij ~2 Permit Type 4-PIEX
g~ r k T y p a MEW
R-3 iM-1
e V - N
R - 3
66
3$
t w°a ~
,ee~~
g ~ ~m
cltV oF cagan
.
REMARKS:
5& W PLBR - MARQUE PLBG
FEE SUMMARY:
VA4UATION $130.000
Base Fee $744.50 MISCELLANEQUS 11,744.50
Plan Fieview $483.93 Total Fee $3,787.93
5ureharge $65.00
SAC $759.@0
SAC % 100
SAC Units 1
Subtotal $2,043.43
CONTRACTOR: - Applicant S7. LIG. OWNER:
FISGHER STRPF CONST INC 14313551 0004649 FISCHER STAPF CONST INC
14640 6LAZIER AVE 14640 GLAZIER AVE
APPLE VALLEY MN 55124 APPLE VALI.EY MN 55124
(612) 431-3551 (612)431--3551
w~
p i6v
~A 18".. M0
PLICANT/PERMITEE IGNATURE ISSUED : SIGN RE
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: e u xLDxNG
3830 Pilot Knob Road Permit Number: 021357
Eagan, Minnesota 55123 Date Issued: 0 7 J@ 7 J 9 3
(612) 681-4675
SITE ADDRESS: Lp T: 15 BLQ c K e 2 APPLICANT:
`:36.79. WIpGEpN WAY FISGHER STAPF GQNST INC
ST FRRNCIS WOOC1 5TH (612) 431-3551
PERMIT SUBTYPE: TYPE OF WORK:
4-PLEX NEW
DESCRIpTIqN (1 OF 4)
INSPECTION .
FOOTING FRAMING
INSULATION FINAL
FIftEPIACE
REMARKS: 5& W PLBR - MARQUE Pl.B6
a - f
s
e ~
„ . .dax.~ ._tP_ ,.e.,_. s~...
+ -.G: L:n 06 j•,._
W. .1 ~
0 , r~,~,~ 14 r-N!
t{ 4' 1,
w'.! L V 11t.1 11 I)0 I1 t? 1`1
( t1 I, 4~' f r i ~ ,
i'1 f; i i: V. 00 6°1 ti A.
~ , _ ti ~,:f :?;y:•,
• ~-S i 1.) i I; J I+~
~
REACTIVATE _ GITY OF EAGAN ~
1993 BUILDING PERMIT APPLICATION ~
PERMI'L ia , 1' b
681-4675 1 3 ~
l I ~c W000 FO /'~i AS' fE !2 ~ L AV 1 ~
c~ tc~ll/~-lC~ ~
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural p
specifications, 1 copy of energy calcs RsCEWED
Penalty applies: 1) when permit is typed, but not picked up by 1 st wo ing ay of onth.
in which request is made, 2) address is changed or 3) lot chang is_ requested_once permit
is issued. - -
Date Yaluation of work
,
Site Address: ,2 ~7 wl10 6 F a A/ WA V
STREET e SUITE 9
Tenant'Name: (commercial only)
LOT ~ BLOCK SUBD. /f'R4 AIGj T P . I . D . #t •
s- `f A A old .
Descri tion of work: r` i'AvG r'w Teu.W l aA A'
7he appl i cant i s: ? Owner 0 Contractor ? Other (Describe)
n Name r2 l~k//it.c~rv Phane
TrQperty LAST ~ F[R t
Owner address /416, Vv ~L._,q z 14 UC-
STREET STE 0
City /a PPL c-- ~IA /-~4-Y State /"I ~fl Zip
Company 1= 'i'5C AC1,Z SY-APF C-_o4t~'f • -7/jlC, Phone 4/3f -3SSI
ContraCtor Address / ~6,clb CL14 Z«~ Ak':E- License # 0 4Iro419 Exp.
CitY ~AA0L- V411- //~'State /11,*/, Zip
Company &G ~ I /Vc- Phone q 3~. Oaca
Architect/
Engineer Name 6 ~ v ~ ~f~ k Reg istration #
Address /000 /47(6 1~-/-/ T-1-eC4-'7'
City Ra2iYs ti/ //,4-- State 111V• Zip 6_S33'7
Sewer & water 1 icensed plumber /jAf~ g2G r5 PL uA 4 i111(; . Processing time for
sewer & water permits is two days once area has been approved'.
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.
S__
Signature of Applicant: ~V • ~
OFFICE USE ONLY ,
BUILDING PERMIT TYPE , Y
E3 OI Foundation ? 06 Quplex 0 11 Apt.JLodging C] 16 Basement Finis~
0 02 SF Dwg. ? 47 4-Plex O 12 Multi. Misc. O 17 Swim Poot
D 03 SF Additio.n ? 08 8-Plex ? 13 Garage/Accessory ? 18 Cortm./Ind.
? 04 SF Porch D 09 12-Plex 0 14 Firepiace , O 19 Camm./Ind. Misc.
O 05 SF Misc. 0 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
~31 New ? 33 Alterations O 35 Tenant Finish ? 37 Demolish
32 Addition ? 34 Repair [3 36 Move
GENf RAL INFORMATION
Const. (Actual) Y~1 Basement sq. ft. MWCC System J~
(Allowable) ,v_,i lst F1, sq. ft. City Water
UBC Occupancy I 2nd F1, sq. ft. PRV Required
Zoning Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler.
Length On-site weTl Census Code io z
Depth ~ On-site sewage SAC Code o3
1
APPROVALS "
i
Planning Building Assessments
Engi-neering Variance
REQUIRED INSPECTIONS -
? Site ? Footing ? Framing D Insulation
? Wallboard 13 Final ? Draintile ? Fireplace
Permi t Fee veiuac;«,: g ~3eooo,
Surcharge
Plan Review % qo 10 q 0
License
MWCC SAC $S'P"`7-d ~q 3z* ~ K ~ Z I N`do
C i ty SAC
Water Conn.
Water Meter t~j~~''~ ~~f
Acct. Deposit t 15 r Z'~ ~ib 4>
S/W Permi t ~
S/W Surcharge
Treatment Pl. ~ 2-~~ Road Unit
Park Ded.
Trails Ded. -
Copies -
Other
Total. ,
SAC 9K a ~
SAC Units
PERMIT c ~ zg ~ ~ ~ z~ U~
.
C( bF EAGAN
,
3830 Pilot Knob Road PERMIT TYPE: a u rLo x NG
Eagan, Minnesota 55123 Permit Number: 024223
(612) 681-4675 Date Issued: 07/26/9q
SITE ADDRESS:
3681 WIDGEON WAY
Lp7s 14 BLQCKr 2
ST FRANCIS WQOD 5TH
P.I.Ne: 10-65904-140-02
DESCRIPTION:
(i nF a u n? zTs)
Permit Type 4-PLEX
TYPe lVEW
F2 3 M -1
e V-N
,~~t~#~~ R-3
~
Pi 3 8
66
g ~A 2 pi"
~-~A,.
lq RV
REMARKS:
S& W PLBR - BRUGKMUELLER PLEiG
FEE SUMMARY
vALuArxan~ $1z6s000
Base Fee $730.50 MI5CELLANEnUS 1 828.50
F'lan fteview $474.83 Total Fee $3,896.83
Surcharge $63.00
5AG $800.00
5AC ~ 100
5AC Units 1
Subtotal $2,068.33
CONTRACTOR: - Applicant - S7. LxC. OWNER:
FISCHER STAPF COhtST IP1C 14313551 0004649 FISCWER S7APF COIVS7 INC
14640 GLAZIER AVE 14640 GLAZTER AVE
APPLE VALLEY MN 55124 APPLE VALLEY MPd 55124
(612) 431--3551 (612)431-3551
dr~~
A}{Id_~ I ~
APPLICANT/PERMITEE SIGNATURE SSUED : SI ATURq
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: e u xLo x rv G
3830 Pilot Knob Road Permit Number: 0 2 A 2 2 3
Eagan, Minnesota 55123 Date Issued: 0 7/ 2 6/ 9 4
(612) 681-4675
SITE ADDRESS: L Q T; 14 B L OC K: 2 APPLICANT:
3681 WIDGEniV WAY F'ISCHER STAPF CONS7 INC
5T FRANCIS WOqD 5TH (612) 431-3551
PERMIT SUBTYPE: TYPE OF WORK:
4-PLEx NEw
nEscRIPrxarv (a. aF a uNxTs)
INSPECTION •A • s•
FQATINGS FCIUNDATIqN
FRaMxNG RoaFxNG
INSULATTON FIREPLACE
RQUCH IN PLBG RqUGH IN HTG
FIhIAL PLBG FINAL
REMARKS: S& W PLBR - E3RliCKMUELLER PLBG
. . . ~ .
. , ~ ~ i . ~ ° ~ ~ . : i ~ ~ • . . . .
i. i . . ~ , . .
i ' I ~ ' } ~ , . , . • i~i ` ,
, i • . ~ ~ i • i i
' ~ ~ ' •
. . ~ ~
- y
r~t~~~p~~~
CITY OF EAGAN 13-.- 1994 BUILDING PERMIT APPLICATION ' 81994
. fif 1-4675
,~L A ~ ~ -
SINGLE MULTI-FAMILY 2 sets of plans, 3 registered site surveys, l copy of energy
calcs. .
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date 7 Val uati on of work
Site Address: ( * ~0 6-Ff>'tV WA
STREET SUITE #
Tenant Name: (commercial only) ~
LOT ~ BIACK ~ SUBD. S~• C 1 S P. I. D. #
~ 4~
Descri tion of work: F, J4j O M~
The appl i cant i s: ? Owner 'Contractor 13 Other (Describe)
Name S Djt/ Phone 35~Tr
Property LAST FIRST
Owner Address 1q(;410 ~~~E6~
STREET STE #
City State ' Zip ~5-~/Z7
Company Ca&S 't- Phone 4-9 /
~
Contractor Address VC7 6~-/4~/~=~ i en e' # 6 Exp. 3 S
City 4 &L. r "Ll.jE ~ State /V . Zip SS Z
- Company 17Mrz ENC. Cp. .TNc. Phone 2 '30 00
Architect/
Engineer Name 13if C- K Regi strati on # /icd
Address ,/e)6 o T7-°
.
City 46 e(RNSp'l State n,,
!',V. Zip 6-5`337
Sewer & water licensed plumber &G[~ ~Pi~%~~~ Aqaf6141c- Processing time for
sewer & water permits is two da s once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicabl tate of Minnesota Statutes and City of
Eagan Ordinances.
L!n~ ure of Applicant: ~ • ~
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 01 Foundation 0 06 Duplex 0 11 Apt./Lodging y"-`016'Basement Finish
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. 0 17 Swim Pool
? 03 SF Addition ~ 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
13 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck 11 20 Public Facility
? 21 Miscellaneous
WORK TYPE
~ 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addition O 34 Repair ? 36 Move ~ GENERAL INFORMATION
Const. (Actual) ~(Al Basement sq, ft. oU MWCC System
(Allowable) ~ %iAJ_ lst F1. sq. ft. City Water ~
UBC Occupancy ~2 2nd F1. sq. ft ~
,r,~ PRV.Required
Zoning .a Sq. Ft. total ° Booster Pump
# of Stories d- Footprint-..Sq:: ft. ' Fire Sprinkler
Length On-site well Census Code lo
Depth On=site sewage SAC Code ~
APPROVALS Census Undt f
~
~
Planning Building -`Assessments
Engineering Variance
.
REQUIRED INSPECTIONS ? Site ~ Footing M'Framing ' V Insulation
? Wallboard JO Final D Draintile M Fireplace
Permi t Fee vaiuari«n:
Surcharge
P1 an Rev i ew
License
MWCC SAC ~ 5~~3 ~
C i ty SAC
Water Conn.
Water Meter
Acct. Deposit vl',#~ 5" oeg 4
S/W Permit /
S/W Surcharge .~~le,
Treatment P1.
Road Unit
Park Ded e ~ :t:-~----_"`""
Trails Dec.
Copies
Dther
Tatal: 3q~xj.3 = d"?7
o lq e ~ s ~p
SAC / 7 ~,.L.
SAC Units
PERMIT
CI7`Y OF EAGAN OR- 3L r~
3830 Pilot Knob Road PERMIT TYPE: s uILoING
Eagan, Minnesota 55123 Permit Number: 024222
(612) 681-4675 Date Issued: 07 /26/g q
SITE ADDRESS:
3683 WZpGEON WAY
LQl': 13 BLCIGKs 2
S7 FF?ANCIS Wqqq 57H
p . Z . N . : 20--65904-139-02
DESCRIPTION:
(a. 4F 4 uNzTs)
Permit Type 4--PLEX
~
Type NEW
R-3 M-1
~'~#°~~~~I~~'~~~~s~~" ~e V-N
i
~4 * , R--3
V 01 3 8
wo~,~~ 66
2
V oF . ~e ,
REMARKS:
5& W PLBR - BRUCKMUELIER PLBG
FEE SUMMARY
vaLuATraN $126,e00
Base Fee $730.50 MISCELLANEDU5 1 828a50
Plan Review $474.83 Tatal Fee $3,896.83
5urcharge $63.00
5AC $800.0t9
5AG ~ 100
SAC Units 1
Subtatal $2,068.33
CONTRACTOR: Applicant - 5T. LIe. OWNER:
FISGHER STAPF CONST INC 14313551 0004649 FISCHER STAPF CpNST INC
14640 GLAZIER AVE 14640 GLAZIER AVE
APpLE VALLEY MIV 55124 APPLE VALLEY MN 55124
(612) 431-3551 (612)431--3551
4,e~~~e ~~~e
¢
~
APPLICANT/PERMITEE SIGNATURE iSSUED BSIG ATUR
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: a u x LpING
3830 Pilot Knob Road Permit Number: 024222
Eagan, Minnesota 55123 Date Issued: 071 26/g q
(612) 681-4675
SITE ADDRESS: APPLICANT:
LqT: 13 BLOCK: 2
3683 WIDGEqN WAY FISCHER STAPF CON5T ING
5T FRANCIS WOOD 5TW (612) 431-3551
PERMIT SUBTYPE: TYPE OF WORK:
4-PLEx NEw
DESCRIPTIQN (1 QF 4 UNITS)
INSPECTION .A .
FOOTINGS FpUNp+4TION
FRAMING FtOQFING
INSULATItlN FIREPLACE
RUUC,H IN PLBC FiqUGH IN WTG
FINAL PLBG FIPdAL
REMARK5s S& W PLBR - BRUCKMl1ELLER PLBG
, .~v, s. e .~ea...ee.=ee e e e e e, m eee . e°e . e., e.. . ~e.. .e,,., e.e e~
, , .
. ~ , , ~ ~ •
~ i • , ~ ~ ~ ,
~ Y .
i. ~ . . .
IC; [E UV E D
CITY OF EAGAN
1994 BUILDING PERMIT APPLICAT OIV~ij~ fg9~
4MASI 681-4675 VlJ ~
SINGLE & MULTI-FAMIL 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date Valuation of work
Site Address• _ ~ -3 w /,o c, r--- O PO W4 iz
STREET SUITE #
Tenant Name: (commercial only)
LOT BLOCK ~ SUBD. GI S P. I. D. #
W0e A 5-7tA AA
Descri tion of work: 'Fpt,u/l A px4 fz
The appl icant is: ? Owner %contractor O Other (Describe)
Name . 94Y,Ma,~VQ Phone 4131"z6'5'1
Property LAST FIRST
OWt1@1' Address /L /'1 Vr~=-
STREET STE #
City 40'10L)5 41AZ-1fV State -$kltl Zip S-S-14(
Company Ga/t/S'~• Phone V3 %r--3 $5-1
Contractor Address v
1~ va Li ce # q Exp. 3 3
City 0, OP Z r L~ State ~a Zip
Company Z /f c- Z/VE- Phone Yd2 ,3 0O Q
Architectf Name C-)C r-* d k R/ Re ~ strati on #
Engineer g ~
Address aoa 99- S-r" ~ /q(;7'A ST.
City q RN S U/* ~ State /I~• Zip 5-~5- T37
Sewer & water l i censed pl umber 14 At b f~?G. Process i ng t i me for
sewer & water permits is two days once area has been approved.
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.
Slgnature of Applicant:
,
OFFICE USE ONLY
BUILDING PERMIT TYPE
? Ol Foundation O 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Rool
0 03 SF Addition ? 08 8-Plex ? I3 Garage/Accessory 0 18 Comm./Ind.
? 04 SF Porch ? 09 12-Plex 014 Fireplace O 19 Comm./Ind. Misc.
1:1 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
E
R 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Additiop ? 34 Repair O 36 Move GENERAL INFORMATION
Const. (Actual) Basement sq. ft. ~ MWCC System A^
(Allowable) ~ lst F1. sq. ft. City Water )r_
UBC Occupancy /P-) A-/ 2nd F1. sq. ft. ~ PRV Required
Zoning Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code
Depth On-site sewage '~SAC Code
APPR'OVALS Census Un~it
T
- . . . . ` . .
. . .
Planning Bui1`di'ng° ' Assessments
Engineering . . Variance
REQUIRED INSPECTIONS ? Site' ` $A.Footing, jg' Framing PI Insulation
0 Wallboard J~a7 Final ? Draintile FirQplace
. . . . ..`.h. . .
Permi t Fee vaiwc;on-
Surcharge
P1an,Review ~..~.z.~'3~
License ,~1"
MWCC SAC
City SAC r
Water Conn.
Water Meter .
Acct. Deposit
S/W Permi t
S/W Surcharge
Treatment P1. r~~~.~ d~ p
Road Un i t
Park Ded.
; Trails Ded.
Copies
'Other
Total : 3q~,~3s' ~`T?
~ y
~ SAC % ~
:k SAC Uni ts
PERMIT ce,
CiTV OF EAGAN CR '
. 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
~
Eagan, Minnesota 55123 Permit Number: 024221
(612) 681-4675 Date Issued: 07/26f g,q
SITE ADDRESS:
3685 WZDGEON WAY
LCIT: 12 BLQGK s 2
5T FRANCIS WOOD 5T'H
P.I.N.: 10-65904-120-02
DESCRIPTION:
( i oF 4 u N x-r s)
Bu~.lt~.inPermit Type 4-PLEX
~u .~~dl i ng;. W*.q TYPe NEW
~11BC c~cu-pa nc°~R-3 M-1
~ Cnnstruct3,nn Tyja.~ V-P!
~
,~f n Ft - 3
{r~ Builda.ng Ler~g
- th - ~ 38
~u1ld xn,q :wxdt h 66
B u i~A-410.iries P 1 Z
x
REMARKS:
S& W PLBR - BRUCKMUELLER PLBG
FEE SUMMARY•
vALuA-rxoN $131,00e
Base Fee $748.00 MISCELLANEqUS $1,828.50
Plan Review $486.20 Total Fee $3,928.20
Surcharge $65.50
SAG $$00.00
sac % 100
SAC Units 1
Subtotal $2,099.70
CONTRACTOR: - Ftpplieant - ST. LzC. OWNER:
FISCHEFt STAPF CqNSI" INC 14313551 0004649 F'ISCHER STAPF GON5T INC
14640 GLAZIER AVE 14640 GLAZIER AVE
APPLE VALLEY MN 55124 APPLE VALLEY MN 55124
(612) 431-3551 (612)431-3551
a
s. . y 9'.e
- . . . , p
, I hereby 4_ckna.wled0e that Z have read this appl.i.cation and state that. the
F.~< V0:'170rowi~~~t~~' caT,~.y ,0a,pp.~~,~~1~~.e ~,~ate 1 of ~n p
,u
5tatutes aknd C"i.ty of Eagan gOrdinartces
APPLICANT/PERMITEE SIGNATURE S~ECT'B SI ~ ~ ~ ~
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: Bu Y Lo zNG
3830 Pilot Knob Road Permit Number: 024221
Eagan, Minnesota 55123 Date Issued: 0 7/ 2 6/ 9 q
(612) 681-4675
SITE ADDRESS: LnT: 12 BLp c K: 2 APPLICANT:
3685 WID6EON WAY F'ISCHER STAPF GONST ING
ST FRANGIS WQp[l 5TN (612) 431-3651
PERMIT SUBTYPE: TYPE OF WORK:
4--P LEX NEW
DESCRIP7ION (1 qF 4 UNITS)
INSPECTION . .A
FOQTINCS FOUNQATIAN
F'RAMING ROOFING
INSULA7ION F'IREPLACE
ROUGM IN PLBG ROUGH IN HTC
FINAL PLBG FINAL
REMARKS: S& W PLBR - BRUCKMUELLER PLBG
p
~ ; P. . . ....s .a.,. e a.,.._..... _ _
~~~~ll V
CITY OF EAGAN
~ 1994 BUILDING PERMIT APPLICATIO J~t 18 1994
681-4675 ,
S f'~ A
SINGLE & MULTI-fAMILY \ 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs. .
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date 7 / 15- ~ Valuation of work ~3~ lJl,,~/~
Site Address:_6 YJ~ [rv / J0 G ~'~Ov WA
STREET SUITE #
Tenant Name: (commercial only)
LOT BLOCK SUBD. ~~A IVC I P . I . D . #
WoD /J -J 1-A ADPO.
Descri tion of work: y„ /r(J E) tv/'/-~ A O/m &z
The appl icant is: ? Owner 'P~Contractor ? Other (Describe)
Name rASCA ag /Q/d 1//1'1 o il/ Q Phone y3 /-3SS /
Property LAST ' FIRST
OWnel' Address qo G9LAl-/kl'z A VF-
STREET STE #
City ~ ffil- ~ 1/4 Ur~ State ~ Z i p Company -n'SGLi/_n ~0 Iil9 fi. Phone 1-131- -?SS4
!VG .
Contractor Address ~ VAC Li cense # 414 e/9 Exp.3 3
City APPL/- IIALZ FEZ State M Zip
Architect/ Company P O 9- X-r• Co . al-dV e;Phone ~713 2 - 30 o 0
Engineer Name ~ 1P,65-q o R13l'c 1ck Registration # 160?6-
Address /640 /Y 4 S7' u--/"~~'~`~ S~'% •
Ci ty 40 0,41T A-'1111-W State Zi p
Sewer & water licensed plumber ~(UGIC M z4 0-IrR &Gt/?+LP'Aessing time for
sewer & water permits is two days once area has been approved.
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.
A~~
Signature of Applicant: j~, '
OFFICE USE ONLY
BUtLDING PERMIT TYPE
01 Foundatian ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. " O 17"-Swi•m Pool
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory 0 18 Comrn./Ind.
? 04 SF Porch 0 09 12-Plex 0 14 Fireplace C`omm./Ind. Misc.
? 05 SF Misc. 1:1 IO Multi. Add'1. ? 15 Deck O 20 Public Facility
El 21 Miscellaneous
WORK TYPE
~ 31 New 11 33 Alterations ? 35 Tenant Finish O 37 Demolish
? 32 Add:ition O 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) kl) Basement sq. ft. y! 3.Z MWCC System
(Allowable) lst F1. sq. ft. Z V,?.Z City Water
UBC Occupancy '-1 2nd Fl. sq. ft. PRV Required
Zoning ~ r~`2 Sq. Ft. total Booster Pump
# of Stories a Footprint Sq. ft. Fire Sprinkler
Length 3 91 On-site well Census Code
Depth :'On-site`,s;ewage \SAC Code e).~
Census Bldg
APPROVALS Census Unit
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
? Site ~ Footing 0, Framing 1H Insulation
C) Wallboard ~ Final ? Draintile W Fireplace
Permi t Fee vaiuat;a,:
Surcharge
P1 an Revi ew
License
MWCC SAC ? 64-~ ~',Z9'z.. .74;,~ C~,
C i ty SAC
Water Conn. "
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Ro ad U n? t
Park Ded. ~ r- e ~
Trails Ded:
Copies
Dther
Total.
. SAC %
'SAC Un i ts
LOT BIIRVEY CHECRLIST FOR RESIDENT.IAL
, e ,
~ BOILDING RMIT APYLZCATION
~
m 11-1
a ~ ~ PROPERTY LEGAL:
< a m ~
Date of Survey:
T T-
~ ~ DOCOMENT BTANDARDS 71z l
Y--
0' 13 0 • Registered Land Surveyor signature and company
D-fQ p • Building Permit Applicant
[f Q p • Legal description
C~ 0 0 • Address
p p • North arrow and bar scale
D~ ? 0 • House type (rambler, walkout, split w/o, split entry,
lookout, etc.)
V 13 0 • Directional drainage arrows with slope/gradient t.
D"'? p • Proposed/existing sewer and water services
,0- ,0 0 • Street name
t~0 11 • Osiveway
ELEVATIONS
Existing
EC 0 0 • Sewer service
,0' 0 0 • Lot corners
i, p ? • Top of curb at the driveway
~Cl 0 • Elevations of any existing adjacent homes
Broposed
0. 0 • Garage floor
? 0 • First floor
0~ 0 0 • Lowest exposed elevation (walkout/window)
[~~0 0 • Property corners
Q' 0 0 • Front and rear of home at the foundation
PONDING AREAS (it a,Qplicable) ? 0", ? • Easement line
0 0' o • NwL
0 0~ 0 • xwL
0 0-/K' p • Pond # designation
? Q 0 • Emergency Overflow Elevation
DZMENSIQIQB
L~ 0 0 • I,ot 1 ines
`~0 0 • Right-of-way and street width (to back of curb)
t:'0 0 • Proposed home dimensions including any proposed decks,
overhangs greater than 21, porches, etc. (i.e. all
structures requiring permanent footings)
d'--D D • Show all easements of record and any City utilities within
those easements
C] • Setbacks of proposed structure and setback of adjacent
existing homes
0 0" 0 • Retaining wall equire nts, if any
Reviewed: L--~q
Name Date
October 1992
,
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BENCh~/~IAR/(: TOP NUT OF 11y0RA1Y7' /OD' l~YEST OF Ti~1E NORTiYeo
' OF LOT S, BLOCA- ST. FRANC/S M2V0 3,9Q A!,
WAY DAKOTA COU/VT)', ,V//YA! ELEV,qT/D/Y = 86d. 35 .:u
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P `COIVtPRNY, INC. 1000 [AST 1481h 8mHT, 6UIINSVIl6B, MINNESOiA 553bT ('ll 432-21004
CERTIFICATE t7F SUFi1lCY
Legal Descriptiorl:lo' 1 yj l~lt,6l , 7A. - .
U[NO't'E3 EXISI'INC# ELEVA710N ~
( 8 Az . S) V ENOTES PROPUSEU ELEVA710N
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BCALE t i' - 30' BFJM MARK' SAN- MH. NO. 3- TOP = 888.08 INV. = 874.88
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ADDRESSES:
, L07 12 - 3688 WIDGi£ON WAY
` bOT 13 - 3863 WIDDEON WAY
WEST LOT 14 - 3881 WIDQEON WAY ~ (6
E A ~ A t~19
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1993 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN ~
3830 PILOT KNOB RD
EAGAN MN 55122
, (612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMTl'S ARE REQUIRED FOR EACH UNIT.
- -
- NO. FIX'fURES E,ACH TOTAL
-Z. SHOWER 3.00
~ WAT'ER CLOSET ~ 3.00
~ BATH TUB 3.00
~ LAVATORY 3.00
I KITCHEN SINK 3•00 2
LAUNDRY TRAY 3.00 . 3. o~
HOT TUB/SPA 3•00
WATER HEATER 3.00 3. co
r FLOOR DRAIN 3.00 3, ooi
/ GAS PIPING OUTLET • minimum - 1 3.00 3. av
ROUGH OPENINGS 1.50
WATER SOFTENER 5.00 ~
PRIVATE DISP. • Dak.Cry. lic. I5.00
U.G. SPRINKLER • eome under const. 3.00
ALTERATIONS • to adsting 15.00
WATER TURN AROUND 15.00
STATE SURCHARGE .50
TOTAL: ~ 5 1• 60
SITE ADDRESS: L
OWNER NAME:
WSTALLER: ~?-1
.
ADDRESS:
CITY: J-- STATE: /S''`-I`/ ZIP CODE:
PHONE
~
SI NATURE O- ER EE ~
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:::::::::::::::::::::.~:::::::::::::::.~::::::::::::::x:: :..:.......v.............~.....r.................................v.~:...~..
1993 PLUMBING PERMIT (CONIIVIERCIAL) ~
. CITY OF EAGAN
3830 PII,OT KNOB RD
EAGAN MN 55122
(612) 681-4675
~ PLEASE COMFLETE FOR ALL COMMIERCIALJINDUSTRIAL BUILDINGS. ALSO FOR MLJLTI-
FAMILY BUP-DINGS WHEN SEPARATE PERMI'f'S ARE NOT REQUIRED FOR EACH
DWELLING LT: < :T.
NEW CONSTRUCTION
ADD ON .
REPAIR
WORK DESCRIPTION:
CONTRACT PRICE: $
FEE: 1% OF CONTRACT FEE.
STATE SURCHARGE: $.50 FOR EACH $1,000 OF pERMrT FEE.
MINIMUM FEE: $ 25.00
CONTRACT PRICE X 1% $ ~
STATE SURCHARGE $
TOTAL $
~
SITE ADDRESS: ~
TENANT NAbZE: ~ STE. #
.
OWNER NAME:
INSTALLER:
ADDRESS: `
CITY: STATE: ZIP CODE:
PHONE
FOR:
CITY OF EAGAN APPLICANT
,
MECHANICAL PERMIT RECEIPT #
SUBD. 6 (612) 681-4675 DATE - -
RESIDENTIAL
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWEI.LINGS. ALSO, COMPLETE FOR
TOWNHOMES/CONDOS WHEN SEPARATE PF.RMITS ARE REQUIRED FOR EACH DWFLLING UNIT.
OWNF.R: ~ FF.E.S
S1TE ADDRESUdqfe7w ADD ON/REMODII. (EIIISTING S 15.00
c~~o ~ CONSTRUCTION ONLY)
INST AVAC: 0-100 M BTU 24.00
PHONE ADDTfIONAL SO M BTU 6.00
n" D,^r iEa" ~ p. c n~xrir•a.~'rS >~.,r~?n~ a~'.'~. C~
~~a: .ar v v a a
~
CITY: SURCHARGE: $ .50
SIGNA TOTAL: $ (
Q ~ v
3
I
COMMERCIAL
PLEASE COMPLETE TIiIS PORTION FOR ALL COMMERCIAUINDUSTRIAL BUILDINGS. AISO COMPLETE FOR
APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMTTi S ARE NOT REQUIRED FOR
EACH DWELLING UNTT.
WORK DESCRIPTION: CONTRACT PRICE: FEES
lqfo OF CONTRACT FEE.
STATE SURCAARGE IS $.50 FUR EACIi
$1,000 OF PERMTT FE& $
PROCESSED PIPING $25.00
$
MINIMUM FEE - $25.00
OR'NER. TOTAL: $
SITE ADDRESS:
TENANT: ;
.
,
UITE
S
:
INSTALLER:
. : . : •
ADDRESS:
CITY: ZIP: .
PHONE CITY SIGNATURE:
SIGNATURE:
CITY USE ONLY
L ~ BL RECEIPT
SUBD.;,c!,l ~ JA&W~o 66~~ DATE: ~ ~ 6f1
1995 MECHANfCAL PERMIT (RES1DENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
New construction Add-on furnace
Add-on air condriioning Atid-on air excnanger, i.e. iianee sysierr, eic.
Date:
FEES
? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00
? HVAC: 0-100 M BTU 24.00 -
Additional 50 M BTU 6.00 -
? Gas Outlets (minimum of 1 required @$3.00 each)
? State Surcharge •50
TOTAL SITE ADDRESS:
OWNER NAME: F4"/U,/, PHONE
INSTALLER NAME
STREET ADDRESS: ~
CITY: STATE:'/n /v ZIP:,~ - ~
PHONE #:bon, ~J
"
CITY USE ONLY
L BL RECEIPT
SUBD. DATE:
1995 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? all commercial/industrial buildings.
? multi-family buildings when separate permits are not required
for each dwelling unit.
11 A-~'•1"~. 'v!Z ~r ~ A~:l ~~1'T Fit
r~.~,
uri i~.
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: ?$25.00 minimum fee Qr 1°/a of contract price, whichever is greater.
? Processed piping - $25.00
? State surcharge of $.50 per $1,000 of permit fee due on all permits.
CONTRACT PRICE x 1 %
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SiTL AiJDIRESv. `
OWNER NAME: TELEPHONE
TENANT NAME: (IMPROVEMENTS ONLY)
INSTALLER:
ADDRESS:
CITY: STATE: ZIP:
PHONE
SIGNATURE:
SIGNATURE OF PERMITTEE CITY INSPECTOR '
CITY USE ONLY
L BL d2 RECEIPT
SUBD. ~ DATE:
1995 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
New construction Add-on furnace
Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc.
Date:
EEES
? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00
? HVAC: 0-100 M BTU 24.00
Additional 50 M BTU 6.00
? Gas Outlets (minimum of 1 required @$3.00 each) _'00
? State Surcharge .50
TOTAL
SITE ADDRESS:
OWNER NAME: PHONE
tNSTALLER NAM :
~
STREET ADDRESS: g
CITY: STATE: ZIP: ~
PHONE (~j~ ) ~
7r
CITY USE ONLY
L BL RECEIPT
SUBD. DATE:
1995 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? all commercial/industrial buildings.
? multi-family buildings when separate permits are no# required
for each dwelling unit.
DATE: CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: ?$25.00 minimum fee or 1% of contract price, whichever is greater.
? Processed piping - $25.00
? State surcharge of $.50 per $1,000 of germit fee due on all permits.
CONTRACT PRICE x 1 %
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME: TELEPHONE
TENANT NAME: (IMPROVEMENTS ONLY)
INSTALLER:
ADDRESS: 'CITY: STATE: ZIP:
PHONE
SIGNATURE:
SIGNATURE OF PERMITTEE CITY INSPECTOR
. '
.
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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : : : . : . . . . . . . . . . . : : : : : : : : : : . . . . . . . . . . . . . : : . : . ~ : : : : : : : : : : : . ~ . . . : : : : . : :
1994 MECHANICAL PERMIT (RE5IDENTIAL)
, CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
NEW CONSTRUCTION
ADD-Oiv A%C
ADD-ON FURNACE
FIREPLACE INSERT
DATE " ~ fGT `f
FEES
HVAC: 0-100 M BTU $ 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS (MINIMUM 1 @ $3.00 EACH) - oo
ADD-ON/REMODEL (ExISTI1vG CoNSTRUCTION) $ 20.00
STATE SURCHARGE .50
TOTAL ~
SITE ADDRESS:
OWNER NAME: Fl' 7L TELEPHONE
INSTALLER: ~ 'i
ADDRESS:ZS ~4/1,~1'?.l.Sd dJ~ .
CITY: ~ ~.l Nl~- STATE: I'M ZIP CODE: ~~K00
TELEPHONE
~
SIGNATURE OF PgRMITTPI
: : : : : : . . . . . . . . . . . . . . . . . . . . . . . . . . : : . : : : : : . : : . ~ . _ : : . . . . . . . . . . . . . . . . . . : : : : : : : : : : : : . . . . . . . . . . . . . . . . . . . . . . . : . : . : : : : . : : : : : . : : : : : . . . .
:
~iii:::<i2<:i:i:i:i:~S:;::i:;?i:i;:;::`c:%;t!iY:';i;.:;i<':::i?i:i;::i;c;<;~;~ ;'i;<"'i?is'i;`3c:::;i;`;:;;c%i:i2?>;::r:::;is'::;'i;::ii;':;;i:i:;.:i::'i'`i.<.
.
: . .
. :
....................................r::::::::::::.
1994 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE
PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
- - - - - - - -
DATE: CONTRACT PRICE: $ .
NEW BUILDING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
FEES
1% OF P4~DM FEE $
PROCESSED PIPING: $25.00
MINIMUM FEE: $25.00
STATE SURCHARGE $.50 FOR EACH $1,000 OF ~PM FEE.
TOTAL $
SI'I`E ADDRESS:
OWNER NAME: TELEPHONE
TENANT NAME: (IMPROVEMENT'S ONLY)
INSTALLER:
ADDRESS:
CITY: STATE: ZIP CODE:
TELEPHONE
SIGNATURE OF PERMITTEE CITY INSPEGTOR
COMMERCIAL BUILDING
~ Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122 F-7 Telephone # 651-675-5675 FAX # 651-675-5694
Foundation Onl New Buildin Interior lm 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 • ProjectSpecs (1)
1 • EnergyCalculations (1)
1 • Electric Power & Lighting Form (1) 1
1 • Master Exit Plan (1) 1
1 • Emergency Response Site Plan (1)'"' 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".
Pernut for new building or addition will not be processed without Emergency Response Site Plan.
42
F / <5Construction Cost
Date
Site Address V3 F 3 - cp C~ C%- M~Ste #
Tenant Name Former Tenant Name
Description of Work J
Property Owner C.-d : e.9 s ~o ,,,1 4-d . e., P .1' Telephone # ( )
Contractor L',-U e- C/~ ,L rN~ /Y, r+, e? 2^J c.
Address City 11 „J,c tJ Is/e-
State Zip ,S"S-3,3 7 Telephone # (9Jo~
Arch/Engr Registration #
Address ~~Y
}r t; ~ ~
State Zip ~
?.I ~ ! Telep~idn'I ( )
I1 ~1
Licensed plumber installing new sewer/water service: ( Pho~e
i
~ .
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.
L9 G-,!e_
Applicant's Printed Name Applicant's Signature
OFFICE USE ONLY
~
Sub Types v
? 01 Foundation ? 26 Public Facility ? 30 Accessory Bldg.
? 14 Apartments ? 27 Commercial/Industrial ? 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
? 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
. `
SAINT FRANCIS WOOD STH 65904 APPROVED 12/86
PERMIT
DATE &
TYPE LOT BL ADDRESS
4/87 4-PLEx 010 01 3682/ WIDGEON WAY
020 01 3684/
030 Ol 3686/
040 01 3688
050 Ol COMMON AREA
ioisa Dtrn 060 01 3690/ WIDGEON WAY
070 01 3692
6i88 3-PLEx 080 Ol 3694/ WIDGEON WAY
090 Ol 3696/
100 01 3698
i v92 s-PLEx 010 02 3697/ WIDGEON WAY
10i89 020 02 3699/
10i89 030 02 3701/
tziss 040 02 3703/
ivsa 050 02 3705
6/90 s-PLEx 060 02 3695/ WIDGEON WAY
9/90 070 02 3693/
4/94 080 02 3691/
4194 090 02 3689/
4/94 100 02 3687
110 02 COMMON AREA
; 7/94 4-PLEx 120 02 3685/ WIDGEON WAY
j 7/94 130 02 3683/
: 7/94 140 02 3681/
6193 150 02 3679
~
16
/ S 7 a S.'_
~~j S^ 2004 RESIDENTIAL BUILDING PERMIT APPLICATION
7 CitY Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reauirements RemodellRepair Requirements offic~'Use'onlv
3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and atl roofed areas 2 copies of plan Gert:9f Survey R2af _LY_ N
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres P[an Recd _ Y_ N;
2 copies of plan showing beam & window sizes; poured found design, etc. t site survey for additions & decks Tree Pres Requlred', 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 Iot platted after 711193
Rim Joist Detail Options selection sheet (b4dgs with 3 or less units
Date Construction Cost d' 0,~r> -
Site Address C oc- / d Unit/Ste #
Description of Work
Multi-Family Bldg N Fireplace(s) _ 0 _ 1 _ 2
Property Owner L,41 i405: e-~, cQI v c,~1 dt on. ~,I Telephone )
~
Contractor (f v n r- /c ,rf~, -J C. ~
Address 13 t~ , City c J' zJ l ltl~c_
State />v ..3 Zip Telephone #
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Category 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 Telephone # ( )
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ardinances 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 wark will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
n
~ ..J
Applicant's Printed Name Applicant's Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-piex ? 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. A(t - 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
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation Occupancy MCES System
Census Code Zoning C+ty Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Foorings (deck) Final/No C.O.
_ Foorings (addition) _ Plumbing
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final
_ Framing _ Siding _ Stucco _ Stone ` Brick
_ Fireplace _ R.I. _ Air Test _ Final 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
License Search
Copies
Other
Total
~ .0,
'~SEDNEY
:..,.............:........:.....:.................r..:. .
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1994 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PIL4T KNOB RD
EAGAN MN 55122 ~
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
NO. FIXTURES EACH TOTAL
~ SHOWER 3.00 Lda
3 WATER CLOSET 3.00 6), _2 BATH TUB 3.00 G e r~
~ LAVATORY 3.00 o r~
KITCHEN SINK 3.00 o o
_4 LAUNDRY TRAY 3.00 ~ 0 C2
~ HOT TUB/SPA 3.00
/ WATER HEATER 3.00
FLOOR DRAIN 3.00
GAS PIPING OUTLET • minimum - 1 3.00
ROUGH OPENINGS 1.50
WATER SOFTENER 5.00
PRIVATE DISP. • neILccy. uG 20.00
U.G. SPRINKLER • home unaer consc. 3.00
ALTERATIONS • co exiscing 20.00
WATER TURN AROUND 20.00
%5-
STATE SURCHARGE .50
TOTAL: d v
~
SITE ADDRESS: 3
f
OWNER NAME:
INSTALLER:
ADDRESS:
CITY:_ _1~~~'.~e"v STATE: ZIP CODE: _2
PHONE
SIGNATURE OF PERMITTEE
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1994 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COMMERCL4L/INDUSTRIAL BUILDINGS. AISO FOR MULTI-
FAMILY BUILDINGS WHEN SEPARATE PERMTI'S ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
NEW CONSTRUCTIdAT
ADD ON
REPAIR
WORK DESCRIPTION:
CONTRACT PRICE: $
FEE: 1% OF CONTRACT FEE.
STATE SURCHARGE: $.SO FOR EACH $1,000 OF FEE.
.
MINIMUM FEE: $ 25.00 .
CONTRACT PRICE X 1% $
STATE SURCHARGE $
TOTAL $
SITE ADDRESS:
TENANT NAME• STE. #
OWNER NAME:
INSTALLER:
ADDRESS:
CITY.. STATE: ZIP CODE:
PHONE
FOR:
CITY OF EAGAN APPLICANT
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1994 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
- 3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
- - - - - - - - -
NO. FIXTURES EACH TOTAL
/ SHOWER 3.00 3,, aa
WA_TER CT-OSET 3.00 Gj t00
2 BATH TUB 3.00 ~ . e ~
LAVATORY 3.00
/ KITCHEN SINK 3.00
LAUNDRY TRAY 3.00 42 C2_
HOT TUB/SPA 3.00
1 WATER HEATER 3.00 3,00
FLOOR DRAIN 3.00 3(Or.-
~ GAS PIPING OUTLET • m?nimum . 1 3.00 3, 0,2
ROUGH OPENINGS 1.50 C/i 52;lp
WATER SOFT'ENER 5.00
PRIVATE DISP. • Dex.ay. uc. 20.00
U.G. SPRINKLER • home undec const. 3.00
ALTERATIONS ' to extisting 20.00
WATER TURN AROUND 20.00
C/9, 1~~
STATE SURCHARGE .50
TOTAL:
r
SITE ADDRESS:_. 3 G e3
OWNER NAME:
INSTALLER:__
AI3DRESS: ~ ~a ~ o ~r
CTTY: STATE: ~h:z ZIP CODE:
PHONE
SIGNATURE OF PERMITTEE
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1994 PLUMBING PERMIT (COMMERCIAL) ,
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COMMERCLAL,/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-
FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
NEW CONSTRUCTIOAT ~
ADD ON
REPAIR
WORK DESCRIPTION•
CONTRACT PRICE: $
FEE: 1% OF CONTRACT FEE.
STATE SURCHARGE: $.50 FOR EACH $1,000 OF FEE.
MINIMUM FEE: $ 25.00
CONTRACT PRICE X 1% $
STATE SURCHARGE $
TOTAL $
SIT'E ADDRESS:
TENANT NAME: STE. #
OWNER NAME:
INSTALLER:
ADDRESS:
CITY: STATE: ZIP CODE:
PHONE
FOR: CITY OF EAGAN APPLICANT
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1994 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLING5. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIltED FOR EACH UNIT.
NO. FIXTURES EACH TOTAL
.2 SHOWER 3.000 ' d
_3 WATER CLOSET 3.00 %o d
2 BATH TUB 3.00 , , !g t2
~ LAVATORY 3.00 j 2_ o ~Z_
/ KITCHEN SINK 3.00 3, o '
/ LAUNDRY TRAY 3.00
HOT ,
WATER HEATER 3.00
FLOOR DRAIN 3.00 3,
~ GAS PIPING OUTLET • mtnimum - 1 3.00 3, O J
ROUGH OPENINGS 1.50 WATER SOFTENER 5.00
PRIVATE DISP. • DaiLay. uc. 20.00
U.G. SPRINKLER • home unaer consc. 3.00
ALTERATIONS • to edsting 20.00
WATER TURN AROUND 20.00
52r
STATE SURCHARGE .50
TOTAL: ~ 3,
SITE ADDRESS:- 3 6~
OWNER NAME:
INSTALLER: /q"5,.
n c
ADDRESS:
~
CITY: STATE: ZIP CODE: 5 5-/ 2
PHONE
SIGNATURE OF PERMITTEE
,
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1994 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-
FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
NEW CONSTRUCTIOAT
ADD ON
REPAIR
WORK DESCRIPTION:
CONTRACT PRICE: $
FEE: 1~'o OF CONTRACT FEE.
STATE SURCHARGE: $.50 FOR EACH $1,000 OF FEE.
MINIMUM FEE: $ 25.00
CONTRACT PRICE X 1% $
STATE SURCHARGE $
TOTAL $
SITE ADDRESS:
TENANT NAME: STE. #
OWNER NAME:
INSTALLER:
ADDRESS:
Cffy: STATE• ZIP CODE:
FHONE
FOR:
CITY OF EAGAN APPLICANT
, '` tjU��c��r� �
Use �LUE or Bl.ACK tnk
�_�.�..�e..�_._m..e_e.,...�_�.
E gor Office Use i
�lU V� �� �� � Permit#: � � l0� S�� I
• � � � C.. �� ,
3$30 Pilot Knob Road f Permit Fee: J �. �
Eagan MN 55122 i p� ` '� j i
Phone: (651j 675-5675 I �ate Received: � ! 1
Fax: (651} 675-5694 � �
{ Staff: �
�------------------�
2014 COMMERCIAl. BUILQING PERMIT APPLICATIC3N
oate: Site Address: ��7�—3(c��1- � S3 3 "3(0$� �
Tenant Name: (Tenant is: New/ Existing) Suite#:
Former Tenant:
Name: Phane:
Property Owner Address/City t Zip: 1 — 3 r - � g - � '�
Applicant is: Owner �Cantractor
Type Of Work Description of work:_ ��,�'`�� �
Consfructian Cos� �� '
Name; 1�1��1't"�.�x +'�;��'U '���y�"1 �3'`kC.. License#._�,.����,��j
f� , �
Address: �^S J� ��� �l� ��t�.�..��' Cit Gt '
Contractor ------- Y�
State:_.�ft�V Zip:_c�3���� Phane: � J e� " �"��� '" � ��,�
Contact: � Ut�'{° Email: U i"�" + � �� . €
Name: Registration#:
Architect/Engineer Address: City:
State: Zip: Phone:
Contact Person: Email:
Licensed plumber installing new sewerlwater service: Phone#:
NOTE:Plans and supporting dvcuments that yocr submit are considered to be public lnformatlon. Aartlons of
the informafion may be class�fied as non public if you provide specific reasons that woutd permi�the City to
conclude fhat the' are frade 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 ta dig to receive tocates of underground utilities. www,00qhersta#eonecall.orq
i hereby acknow{edge that this information is compiefe and accurate; that the work wilf be in conformance with the ordinances and
codes of the City af Eagan; that I understand this is not a permit, but anly an applieation far a permit, and work is not to start without a
�rmit;that the work will be in accordance with the appraved plan in the case of work which requires a review and approvai of plans.
X � x
ApplicanYs Printed Name Appli anYs Signa re
Page 1 of 3
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. 3830 Pilot t�nob F�aa�d � i
Eagan MN 5�122 �
Phone;{S51)675-5575 � 1�ate�tecei�d: 1
�a�c:�651j 875-56g4 1 �
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St�te: a�,�`� ZiA=���„_ Phone:�'�1L1�°�'(�I�mail: Itrtcc�r��,.,r
? �ar.s'�-�e c�4�►� r°.�.�°t.
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�.��e�se#•��`��.��.. 1.ead Certifiicate#:_I�Ar"C °-1 l� •�°r
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� �� fast�t2�sc�r���,.�as tXi+�Ge�vf Eagan issued a�ermit�or a sicnitar ptan based on a master !an?
P
_.__�es _,_._1�0 !f yes,date and�ddress t�f master plan:
Licensed Piumber:
P�+a�•
Mechanical Con#ractt�r,
Phc�ney
Sewer&Water Contraetor:
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one:
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�� �#e�o�ur�ttergr�€a�util�t�a .�n�het �rna���c�z�
t�aereby acknowledge that th'�inform�tipn'rs compiet�snd accuraie;th�'t tite urc�r�w�`!1 be in aanfi�ttrian�wi�h tfi�e or�lnances anci t.odes�P ttae�d#}+�#
Eagan- that i undersiand th�s i� nr�t a permit, but oniy an appl��ation far a permit, end work is nest to start wi#hout a permit; that the worfc witf b�in
accotdance with the appsoved plan in the case of work which requires a rsview and approvat of piac�s.
. Exterior work autharized by a building permit issued in sccoMance wifh the Minnesota State Building Code mus#be com¢tet��1.�ti�i�±,�s,�,
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Appticant`s Printed Na x
Appt`tca s S'sgn re.
F'age 1 of 3
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For Office Use
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,,,,_ E AG A N
Permit#: / e90
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Permit Fee: 7&''
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@,cityofeagan.com L
!!-f2018 RESIDENTIAL BUILDING PERMIT APPLICATION
”
Date: - CO- i 53 Site Address: 3(61°1 V V tc).ye' 0..0(\ WC.. E` Cir.\ Unit#:
Name: -.014f r'toy 1 'r:0 Sp r Phone: cola-1 aO- 33o 1
Resident/ / _ / 11 , `
I
Owner a Address/City/Zip: 3( 7 W 630,a\ uDc a, ,N i {N 551a
I cJ ( J
Applicant is: Owner /Contractor
4.
Type of Work € Description of work: t�,C O` O \ \3 aplq` b(.0?t) 8(,02 j,3(c)R b'
to-1
R f Construction Cost: 1 i )i111 Multi Family Building:(Yes V/No )
l Company: U rrc.\ Cori y�cct» ‘Or\ ..1-11(_. Contact: 1"`\h f-1 �* lit'v
1. Address: I b&1 5 cj ;i-se toe-- City: C�,i1czs h0.�
i Contractor `�
State: I-14 Zip.5 3 I g Phone: 5d-g1-i i-- E ail: i''la rc COrSA 7 cu'ire NV -c)Th
•
License#. B C 1-1 a Q 5 Lead Certificate#:
If the project is exempt from lead certification, please explain why:
IF 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
conclude that they are trade secrets.
classifiedP_ reasons thatwould permit the G' to
as non-nonpublic if •u rov�de s ific ,.. �. ..
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeagan.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.gocherstateonecall.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.
x M,t��e.,, g i)f 10., x
Applicant's Printed Name ( Applica s Signat e
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA153116
Date Issued:11/26/2018
Permit Category:ePermit
Site Address: 3679 Widgeon Way
Lot:15 Block: 02 Addition: St Francis Wood 5th
PID:10-65904-02-150
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 -
Marian I Erickson Tste
500 Heartwood Dr Apt 310
Crosby MN 56441
(612) 720-3309
Murray Construction Inc
10675 Jersey Ave
Chaska MN 55318
(952) 941-7075
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA155745
Date Issued:05/31/2019
Permit Category:ePermit
Site Address: 3679 Widgeon Way
Lot:15 Block: 02 Addition: St Francis Wood 5th
PID:10-65904-02-150
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: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Marian I Erickson Tste
500 Heartwood Dr Apt 310
Crosby MN 56441
(612) 720-3309
Murray Construction Inc
10675 Jersey Ave
Chaska MN 55318
(952) 941-7075
Applicant/Permitee: Signature Issued By: Signature