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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 , CONNELT Tb EX/ST, MN. ~ ` ~ ~~~,Gy9 popG 00q F/ELD YER/Fy //YY. ELEI! roP IRTH is \ \ 14 0 ~ ~ B~ A" 9 8 ' 3 7 ' . _ - ~ 1 ............................i............................i.................................. ~ ~ .............l..i ~ ; . ' f : ~ . . ..............:~.7.1:4:.. : i::...........~ : f............................ . . . . . . . : : . TZ7.P... ; . . . . . . . . . t . 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STiiB W~ ~ysT °~F y~a ~Q~~ { b ^ ( . _ `z-°.Z3 4s ' ' 9 tER = m ~ ~ 42~ 6 ~~`~is~, y~P ~ ~ ,~_CO,NyECT To EXiST, rEE~ 6 A y ~ ~ 333 C ` ~ j ~TFE\~w\qr / \ rn N I ~tf ~ 'QECOCA7F0 yy~AN7 j7i !08 2~ \ S!W 1 ' BbX6YTEE / P// 1 Y ~ or98 ~I a ~ 7'`3" . , /65 o ~ ~ W I ~ -3 ' n¢ 0l~' 27~~' ~ ~b SI6 ~ ~I L ~ ~ g 7 ~ 1 zl0 c4 w I m f 7 S`~~' ~I~H b I . 8"G.V. i •-1 9"-~`5~'-- BA~.~P.~` t w 2 ~ 22r97.6B , ..............•..........._....,........................•...y - ~ ?wr~ s ~ ' WATER S~RVICES SHALL BE 1" COPPER. 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 . . . : . , , . . • . . . . . . ' ~ . . . . ..u.~+ i ' . ~ . , . . . . . c . . . ....t ' . . • • . . . . , . . . . • . . . : . .A . ...11.... ~ . . . • . . , . . . • . w . • . . . , . . • , . . « . • . • • . . , . . ' ' • . , ~ . , . . . . . - - • - ~-t ' _ . . . ..........."1.'1J..'ll.'? YC.' . 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' . ~ - ~ . . , , t'. \ • ~ ...................vo.. :::::::::::::..h...~i.:: . ~ : W. ........,w ~ : ~ ~ ~ JLJL 21 ' 94 09: 36 TO 612 681 4612 FROM PROBE E7NGI NEER I NG T-317 P. 02 . , l~ CoHSU~T I~a 6Nt3 NEEf{S F~s~~"STAf~ G'IdTJST. ~ ROB.E PI.ONN611S and ~flNb ~unvEVOns 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 INUlCATEg DInECTiUN Op EURFlLCE URAINAtlE : FINI31-IEU GIARAt1LTLUOIi ELF-V/lCION 7~. s 9ASEMEN"1' rL.UOn ELEVAf10N 6 8=, 00 -7Ur Uf r-OUNUAIlVN r--LEYAI'1UN BCALE t i' - 30' BFJM MARK' SAN- MH. NO. 3- TOP = 888.08 INV. = 874.88 , ADDRESSES: , L07 12 - 3688 WIDGi£ON WAY ` bOT 13 - 3863 WIDDEON WAY WEST LOT 14 - 3881 WIDQEON WAY ~ (6 E A ~ A t~19 143. oo " REVIE*W 1: D DRAINAr,E wa d rit i Ty E4661*01T , ~ . A97 MN. ~ gT. M M. 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' . . . . . ~ . . . . . . . . . . .......}H . v.~•.L+i.:! ~ .k.....~.~ . ..,.q{:::.~.,;, .4i~~::..~: •::x . .......,....v...;,.:%:,• ~ • ::~~':c . . . . •::.;:~;:•::•:;;:~;::;;>:•::•::•>:•x~.~::o-:•:>:•>::~;:~;;::: • . . t • r......... . Y:;,;.~......ti..::..,-...... . . • .~..I...~..r..... v.~:: v: :v::::::.:~::.::_.~ ..::::::::::::::::::n~::::.::~:.v w::::: w::::::.v; ~.L..~Y. Tn . :.i•.ri•i:0:<w: w: :::n .~.~.......y?._i.v~.~.~:::.::::•iii::ii>?:v`v: . . ~n..... :y.~.• ...:.......n...........v.{~vv.... >.~~....v..vxn• Y{4::iiiii:4iii:}i:~: :v ::::........::.~:::.~::::::::::::::::::.~:::::.:::::m::::~:: - 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 ~ K.r~,.:,::... a>:::<t:: - i:i:'B~~.i:i~:i::::::;~<:;i;;<.>c;:i:i:c::`i2`;i:i:;i:c.;:~;'';i;;i~}?;`?;i;;i::::;::`;::.:;:;i~;;%;;:~:ic:i2k:::~2;::::::::+::<:::>::s:;:r;::::ii;:;:i::;::::5':ii.:i:<i=`:::::::;::::<i:::[:::::L:`':'•.>;::i . . • - . • • • . . . , . . : ' . . : :::Sr::':'•;;:;'?:;d~i:;'r3f:~C::;::::<:j::~:?:i:'::t~:'~:i::?;i:':::::"~:;';:;;:;::i~:f::}:;i;;i; . ..~c .................::.s::::..:.. r:;:.:r,:;•::~:>::::%:t::>~:::::::::.::::.::. :y:.::>:`•:'+•:::':t.::•.::.;~:::.;;:::.;•: ;:.:::::::::.;.:.::s':::w::~•.:+'•:•::.•r>::: :.:.y:::>•+i:+•~:~::a>::.w:;:.::•::~•>::::•:>:•. _::::::::•....:~..;:•::::::::,..::::::.:~:.~::.:'.:::::::.~::c:...:::.;.;~::.:.p...:'•:;:..~>:•:::~..;::::.,;::..; :..::::::::::::.y:.;•..:...~;;.:..::•.:...:.;:.::~::;;:•;:..:::;........:+.~:::::::::::::i;::::........::•::.....:::::: . . [S S' ;::'+i'+.:?`ji::»"::i.^:::{i.:;;5k?'t?:~i:::;'•,••,,':;:.`•;q}.';[::i:ri::;i>i•':::•':t; : ::•`:~f~i<••.~: i::ii~iSi~?`: iY::`~i~':i:'i~::`•i<?i3:: i:}i[•}$i;j:ti:2jij2;?:•'•;'.•i'::~:5>'Yi$>~:S}[{ii::'•v`•t::'i;~:{•`.~'^~:M1?ti:•'.<tt~i . ; v.V. .:.y ..~~:~'~)ti~:~i:•::•,:{::•::~:~{::{:•,:{'~':`.;:l,t::;:4:;:i:i+; '}"'~<{"~~'}~~ii~<:':'j~::j~<i::.:y:;: j ' . .::.::i:: n....... : : . . ..~.~•~~•i~ii:i:ri'i?~Si::>.~•>::i::i~(j~:;•yyY::i:C:::~i?i:~i~:i.j:',:',Y:::;ti:: ••'4i:~Y.'}•vti~ii:•i$:'::;J;'~~~:~:~~:~:'i:}i}ti!'i:::•:-:-'•{.•~~~~•.~• :':~''ii:ry~:.i:::::i:::;~rti:iti'ii'ti!:?i:;:;:j:;}i:ii'f+.~ V::::. ...:::r~n~iV?1X^iii::•:'::i:iii:tiv:•i:Gr.~.v.v.•:ii:iii:i:•:4:•:l:iii::::i:iii:•5:':iiiiiii:tiiiiii::.i:4::.i:iii:i: :::::::::::::::::::::.~:::::::::::::::.~::::::::::::::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 . ' . ~;s;:~':;'•:: ~:>:>:::s;~ ~.::<:;::::%;`:.:~::::~:?:`:~::;::::>:~:::`:::::;:~:s'•::::'::'`:~;<:s~~:>:::::::::;::<`::>:;:::::;:~>:: ~ ~~:<'::`'<?:<:::»:'•>:::'•>:'::':::;:'::;:>::'::::`:::::~:~;::~::~:::;:::~;`~::::::>:%:z::?::'• . . . . : i:: ~:':~<;~:;;::`::;::::::';;;is:::::;:::::: ::::::::::::::;::::::::~::~:;:~:::::<.:::?:?:::::::>~::::::::::;<2:::;:::;::::;::::::::;:;~:<:~;::::::;::;::;~::::::::::::S:Y::;:;:;:3:2:;s::><::s::i:::::#::%:::r::::~:::::::::f::;;;:::;:;::;;>::::::;:;i:•,••`:::::; ~ r.: ~ ;::r:::>;:;::<::;: ;:i:":f:;'t~:;•`:'`5<:'::~%.;::;:;. :::v v:::::: ••y.::.{::::::::. v:. +.'?i'?i~iY.t~i:t~}:i::i~i:i.,.'i:; :?~i:< i'~•i Y:•,:k!~:~:i::tiii;:''::;iii?!{i~;'i'ivi~':'i:~~:'::~i:Si:~riJi:!•:~i:i:i::;::•,:'.•:;:•:•Ci>:?{tiv:S:ti,+.:L•j:~:'•?y' ~tii:ti;:;:i~:<~:i:v:~i~:ti!i'r:~Ov:ti:;i~{:}i::,l::•:i::ti~:•i'~?:•:~:i:tivii:•::?;:',i:;:':::•i:•:•i:•:i':?:•iii'ii~ . ......ti.:..~::::::;.::: ~::::_n ::...........:.........r..........:n:::: : { . . . .~y : :.v . . •:n w:: :iiii:ti.. J ~v .....x:::..?..::.i:•i:i.ii:.ii:i::..vi' . . : . ~ : • ~ ~ :?r;:;;::.;;.::;::;:i: z.:: . ~ i:.t,~,,.,.,~~,:;::•`.{ti~i'riJTi:•'ii'riiiiii>?iiihiitii::i:}:}.;:•,`::;+:i:i:i ii?ii:~:i?`>R~i:~:~'~S:::i:::ii : .......:..;:::.:....::::.::.:::.~::::::o...:....::::..;..~:.:.::::.,....:.......... G::~'~..:%•;'•:<~~.;•..•.~.'..'':::~'~':`::~:::~;::~:::::':':~?3iY~:~~::;':%~>~:: . . : • • . r::.,•::::::::: . • ~......~~~~tR,.~:!fv~~..~..::.... : .~~~~~.....~...r... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : : : . : . . . . . . . . . . . : : : : : : : : : : . . . . . . . . . . . . . : : . : . ~ : : : : : : : : : : : . ~ . . . : : : : . : : 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..:. . . : : : . ~ : . ~ . ~ : . . ~ . : ~ . : : : : . ~ : : : : ~ . : . : : : ~ : : : : : ~ : : : : : . . . . . . . . . . . <.; ~<h:.:.::•;:.;: ~ ~ ::..:;.>::<.>:<:.: . :~i:t!~:+ ~ 4:•iti4iiii: :~~?•'Y?y'~~Q~'~i,ir•}<+i~~L,•:S~';y.~"~~ii':?y<~~:Lj$••;'~)'~iii'~}: :•+:~:!?:ti;iiryi•~•~•~•~{.'•+~''+>i'•~~{>:'iii:~ :'4i•'~i::'!~~~~'?'?~:•~•ti•ii'~`iii~i4n+:i~~~'~'i~'~i::::::i%: :;{:Y•:j:. 2.:'~:'~:•'i:;:;iS;t;iii:::•iii:!:• :•::::::::4.i':'ii:ii:i}i:::'r'>i•::?i}iii~Tiiiiiiii:'i:'•:•ii:•~'+'~i:•i:•i}?ii'{:.~:.:~:::.'•ii:•i:•:L4i::viii:iti:tiiJi:•ii:i!::iiii:•}ii$i:~i:i•: i.;..::.:~ :::i:ii::::.~::n~:::::::::n:~:::::.:~:ii:: ~.:i.~ . . :::;i~;:::':i::•Y~i:v~iii:ii : n::::::?:iii:::iv ;..•.:it:::::::: . 4. . ~ v . : v:..,-•: vi.il.:. y::.:: • :~~~..~t4'::~.~:;:!:v:2;:i•,::~:~;:?titi~:t?;:•,:•:;:5;~:::•,:::::;:•,:::::•,:;:;'.~;iY:;:','::::;~:'',::::•i::::'u:::•vi'.i:::::;;.}~;~.,.:~:;:i;:;:•„~:•,:•:~:.;::'',;~:}":;:j ••,~••:~•~~;.;••~,..••••~••',••'.:~•~•:'•.~~.,:••::;:;!}}j;;~;•ij~'' . w::};..y . . : ; . : . . ' ~ . • :~i . . . . ~ . . ,~i+~::.:. . ,n•:::::;....: . . ~ . . . n.........,..... n....v..... r............,.,....., : . 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 f 'vv:::.v.::r:::::.4-.v:::. ..:w . . f~i[ . w:: v.~: :::n.::.:~ ..::.v':ti.i:t:.}}}:::~ii'.::iy}:~':::~:: ~`i:'•,;?}i}ii~'r.iif•iri•,}iiii}i}i: vi:iiiii:4:.^:•:4:tiC.}:..}.:. . ::.,~.':•:...~.~~af. " ~':::::ii:i:i:<~i::ji{}:;::::i>::i~l~%::j{;::i::iiiii:?~i't~'i:iii:~'i{~$i:::::iiiii'r':L;::i;'i,:;i,`.;i:l::iiiii?::iii+:iiiiii:`::iY.ti~i$ii:i::i::i%~?i:'L~iiiiiY~ii:4Titi:•,vi::{ii::iii:vi}J?}iJi'i~ii}:~:•i::•:~iiii:•:y ~~F:~ . ~~:I~•. i~:~: ~':'i:•::ti:x~,'~'i:{~'~~?:Ci'i'v:'::::'i;';i;:•ii?:•::•:•~ v:•:i~<•:•?'.:.~: .Y}}•:ti~'•S:~t:<~iSi:-:~:.:i::::>` : : :;c:::.<::::::::.~:::: . . ':'t' .~~~~~~«:~~~'..':'•:~:~:o:~:':.:t~~~~::':':~~:.:.'~:~:~~~::~::~3;?yg~':i;::;:~:i::;;S';':::::~:~::':~~<':':"~:;~'':: ~~:~~;'~'~:~:~:~::~;:~:;?iii'~ ~:..t:'•::::?~2'::'•;,:<::'i•?.r":;'.'':~`.~'~~t:~:~~;'~:~'%~:~~~~.:a:~::~:~£:~:':~:'•:;::::::::::;::::~:::::::'':;:::~:'<:~:`•:'~.,.,. ~ 5::$::t~:crn~:'t~::;:;::~;:~:~ S:~h~:~:r:;:::,•.•:•::::~::'t't~t::4::<~:~:%. ..............v........M1...n. .ii~i"+ 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 ~ . . . ::>~''4:::::>:::;;;>:::::>::::::::<:>::>::::>:«:;:::::>::::>::>:<::<::::::::<>{>~~>:>;:::>:>:>:::::::>::::::::::>:::'::::::»:::>:<:>::::>::>:::::<.<.::;:::>::::>::>;::>:>:::»::»::>::>;:::.<.~::>:<:::::>::>::::>::::::>::::.;;;:.;:.::.;:.;:.;;:;.;;;;;;:.;;::<::.>;:<:::>:<;•>::>::>::>::>::>:: ~:>::::::>~:>::>::>::::«<::>:::<>:.<:.:.::.;:;:.;:.:.; . . . . . . . . . . . . . : : . : ~ : : : : : : : : : : . . . . . . . . . . . . . . . . : : : : . . . . . . . . . . : . . . . . : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ~•>;;:~~:>:<:»>:~:~.:~.:::~.;.<:::.;:.::.;;:.:.~.<:>:«:>::;><:::::::;:::::~:.;~.:~:.::.;:.::.>:.;:.;:.»:.;:.::.::.;:.:;:;.::>;<•;::.:>:;::: k . .~~ai.'•':.::.`~ ij ">:r:":::<"i~ii:«t;::;:?±:~ir:~:;~' . ~.~~.~~i?i3~.~i' ~ Ci::•'i.•a~:~i: ~ . . . . . . . . ...~~~i~`::'::':•`.`•:6:'•;;t:~::;y:;i::•`:M1:•`:,,c"'~e~:'i~~'~::.'i:}%.::'S:a:'•:>:::#;::<::~5:`•r:•'•~. :'::~i~~i~~~7~::::•.`'^',::i3:ii'2i%i::i:, :::1:::f';~:o<,,#%~'i%fi'i'•`•.:~;i;:'•:%;~;''•:'•:~?:,i3i%:`':`•iai~:~`~•'•'•`:<:i:E::i::'.>::::'•':;~'r';:::::: . . . . . . . . . . . . . . . . . . . . . > > : ` ~ ~ ~ ~ . ~ ' ~ ~ . . . . . . ' ~ . . . . : : : . : : : : : : : : : : . ~ . ; . > : : : : . ~ . . , . 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 . . ;...:........,i~~ . . f. .j .::::;:<;:;:r:<?:~::;:;~::;~i3::•"•::~:::`':~#:':::`::~::::;;?~:':`':~:::~i;<::: •:::.~:>:;::.:~~ir~ ,;:::2::::3i:;~::i:::::i:`ta:::i::;::`::::::::::::::::::::$:t::::::::::;::;::: ~-:::.;~::.~:::::::.~:::::.::~::::::::::s::«.:.:.>:s:~::~:::•:.~:::::: ::.::::•:::•>:~s:•>:~>:s:.;:•:::::~::>:•:::•::•;::~::::::;.~.s:<:<::.~:::::::.~::::•::::~:;.::<;.:.~.;:•::::.:•t:•:.:::;:•::•:>::•::.:•::•: ~ . ~~>:':~~`=:~::'•;~::':;':Y~.:;'?::::3::~~::;'~~:::r:::::.~~~~;:~~~.'::~~'~~:~;::'.'~~'~~.'~.:~~~~::;::':z.Yi:::.:~:•`:~:~~'~~:'~~'.~<:~::~:2~:~::~:::::;:3:;~;:'r::%~:~#:':<~~#.i:':'::?>#;S:c;::::?:i:;~;::.r::::~:`:':'i"?;'..;'~::Y:2:,:`~t~:•':~::<:;`.:::.t::;>3:%,~:.,~?.,~'.:~..?z".?::~:~`:::::Y:~ ~ ;'i::'•:#2;~;~~:~~~::~:~:~~:::::::':::?::`t;:::~::::::':' ::::::::::::::~:~:~:.5:: t~i• + ' v:::::: :o:::::::.::............. 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 f • , . 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'#5:;::::::.. : : . .:•+•::~:.::•:~:•:::.•::•::•::•:;;•::::::•;:t:»::::~::;>r:::.::::;a»:.:.•:::•;~<:•::~;•a~ Z~:::::•:. . C•:: ' ~AY'...... t:.~;.;;.; • ........4.:::::>:::•: .:r . . . . ............r. . ...::s... Y ::::::::::::::::..~iW~~':.::.~~'::::. .::::::::::.,.:...:.:::::::>.:•i::::,~>::: s:•:::::::.,...,...:..•:::::::: .:..::::.,.............,v.....~.....•:::. r:•::•:::::::::::.:............,..... 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 , . ~.....~.'.`.~......~.'.,~':>~:~.~<:~'r~':~i'~ , . . ~~::;>;:::::;::::::;:[;:E'•iE::fi:; . : ::..............:...:.:.::.::%:::;:;t~:::`~`>.`~::•2~:;2;;k:?~:~ %~:;i::~:::::;t;:;;:::c:;;s:-:;;r::::>::•>:r•::::::_ j~1 ~>~:>'.#~:::::::::?::':::r ~1::::::?:>:::<::'•>:::<i<#>:::<:::::~::: ~i~:~i'•:;'r':~S;~:SS::~;::#:i:~::~;::;+::i.'•:a'•.'~.':::::;::::.'•:: ;r'5::; ;~:;{:;i;i;i;i~i~r:~:i:::i:2:::`::%;i:i~i:5:;::::::i::; r:::<:::~:::;:;i::~>';;;::2:~;::i::::;::;:::. %.i;t'•:: ~r%.~.''•:t i;ii ;i~i~:i~i`~iiiii:'iiii:<:i'i::;::"':::£;?'i;;:ii$i~i;~i'?~::`;~:';':;~;.;';:v.;.;;•y;;::;i;:~':~i~i~:?~:~:~::;`•:~Si2i::~i • :a::.,ty::::t•>::?n:.;•.~::::::::::.;.:::::::.~.:::::.:::::::::: ;i:'~7c2:;i;;i;c;;'t?:3<:t#~>'~::::::::'Fi~iit%~t.:i~~::S:>S;::i:;3'2~i3"i'~E%:;i'.`•::.';ij;:;:;:j??tj`cj;`i~~icj~>'::%:;tt~i:Sii::;:;::jt?;;::;;c?qF?i;i~ii~;;::`Y2t':~ii'i~i:~iti'i~ti~~$;iS:`•'<+°£"' ~:''$:'+•;2:;53:?~£:~::5:::: . ;.:::::..:.....::.,-ti ~ . ; ~<'t:%~:~:`v':::::t+^ti:<~ic:3t:>#3t::s3:~::::i:C:::::ti::i::?:'.'•:<£i:'::::'+.'''~'>~F'ti:tt? . •:;:>::::•;:o-:n:->:•o-::.:::.:.t•:::,~:•~:•::......... . . t...:.........::::........ : ~.:~::.::::::r:::: ~:::.:::,~.:,,~:::::.:.::..::::...•...,.......,.,,,,.,..:,+r.a:<•.':<c:::;::..:.:..~..» : 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 �t „�� �.r���':����.� ���„�.�� ,.�__�_..,.__�. ..._._.�_ � Fer�ta� _. ..��___� ���i ����� �� � � � � ����y� � � ���:��:_ � , � i perr�,t�ee: �,�j� � . 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 � � Sta#f: � � t ..._...__.__...._.._.___�___ � 2�'�� R���[?��[TiAL Bl�[LD�NG PERM[T Al�PL(CATft�N ' o���: l� -- I 1 - 1 �I s�t�a�����s: �-�„""""`� � un�t#: , � � � �, . `, a �3?�:: vf'1 'C�YI �('i<' I��n �. Q' �����, ~-.�+.1� �.'"°--.�-...aa . . . ., k•"5�<sY'::-���". li . � � �:.� ���i��#��s�'.� ��� \� e � ( � V Uc� l '��!�: ���� �������� � � Rerh D ve; � �P o�e� _ �,..A...._. � . 3 v 11 �vv�e.. c.��,� v� ..... � ��+� �����. ;� ���: c��, g - ,.��.�_ S ; ,� �--�� � � �� _� � ,: ���t�.�:� ��-i���������stg�.��es���tt�,.._.,�.� � Gompany: .: " {�€�aa3a�t: ��, CK3t1tT�tGtOi` Address: i�i`� �, � � ��,,� ���: ��e���,e� � " � i St�te: a�,�`� ZiA=���„_ Phone:�'�1L1�°�'(�I�mail: Itrtcc�r��,.,r ? �ar.s'�-�e c�4�►� r°.�.�°t. � � �.��e�se#•��`��.��.. 1.ead Certifiicate#:_I�Ar"C °-1 l� •�°r , e:. , .,: .�..: „� . �a...._... �. s tE:'.�,.I�.r6�$.,.�, 4.��-��'� ''.`�m'$�� ���:`���'.� y��y.:������'�.�5�.��£" q S° ��;.€ - ..:�..,......_,,�,. ., � �°{ '��` ; �� �a_a1 �1�,T�a[,�"�# c:,�i.:����sa; � � �rW�F"L�G.I���C1Ec7 ���:6J��.k �� Er�#Y��[E6ikstE��3�.f�CGYit I3'�ViL�}�ig�3 � �� 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: ; �LQT� .Pt��.���,��.��.��r��.����:��br��;���r��r�� one: ���� �€�� �. $( ,� �+��+,gy }�.� �y� p �y `����tt�i�t��t�'������€t °���r��� � � � � .Y-. ��" @°�! �.v�, kY�#"�i���E#e:@�4gtiX�P 'a.�"1���^��'����Li��'�..' . s5s°.�f.W..�..`�.W#��3�".�SSL.sf4�S.``s'��� .lt5:���`4i' . . .:�a��ir�:�•'`�.. �`� ��r�.. . ..: .�. .��- :iq� � �s4l,�..����2��'d�� � �'.���a�;�'������������(��� �� -- � „�fcre��u�r�*�nci ica�1 ta rs�iva`- '�`� =��T.��i��r=�����-:�;��ryr�,�,-�utid`siy��rsiag�;. ���si�fia�atsa� �� �#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,�, day�.caf�„cm'ttt��,�1�a > - � . �"j"�k �� Appticant`s Printed Na x Appt`tca s S'sgn re. F'age 1 of 3 zo , For Office Use ,.„...,.,,,,,..„,,t. £t,,,„, . ,,,,_ E AG A N Permit#: / e90 (0 , 4..,, , e, 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