3690 Widgeon Way
CASH RECEIPT
~fV.,,~~~a.• _ . ~
, CITY OF EAGAN
• 3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
; i
DATE ` ' 19
R
RECENED
. ~ FROM
~ AMOUNT $ ,
i
& DOLLARS
i o0
? CASH Ej CHECK
wA
FUND OBJECT AMOUNT
I
Thank You ~
~
BY
WhRe-Payers CoPY
Vellow-Posting Copy
Pink-File Copy
CITY OF EAGAN
,g .
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
BUILDING PERMIT Receipt # To be used for 1/2 UI!PLEX Est. Value ~%i 1,(XjO Date tj."?OBt R 11
Site Address 3597 '.JliW-EON ~~IA`e OFFICE USE ONLY
Lot Block 1 Sec/Sub:,'I 3TnAi~L I S +;'ul:D On Site Sewage Occupancy i:"3 ~
s
.
1 t MWCC System x Zoning R`•3
ParCel No. On Site Well (ActuaqConst ~-N
City Water ~ (Allowable) V"N
cc Name s't.SCHER STAPF COHSTRUCT10:,t
z Address 14640'+I.Ai lER AVB PRV Required # of Stories s
~ City APi LE VA?1yLE1 Phone 431-3 S51 Booster Pump Length CG c
Depth 54
, o 'Name S A~'``+E S.F. Total
~ Q Address Footprint S.F.
~ City Phone APPROVALS FEES
v W Engr./Assess. Permit 042.QC3
W Name ~i(3. Sp
~ Z Planner Surcharge
Address 321.OU
Q W City PhOne Council Plan Review
BIdg.Off. SAC,City 1
I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC 55~J. d~,
information is correct and agree to comply with all applicable State of WaterConn. .5 50•00
Mjnnesota Statutes and City of Eagan Ordinances.
, WaterMeter 67•40
' Signature of Permittee - Road Unit 325.00
A B,uilding Permit is issued ta ---Fl$~%~~l`•B ST144'f CO1da7.Treatment P1 204•00
bn the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks
TOTAL z~ A 1~. 5(J
Buildi9g Official _
~ _ _
GASFi RECEIPT ;
CITY OF EAGAN
~ 3830 PILOT KNOB ROAD
s
~ EAGAN, MINNESOTA 55122
DATE 19
RECEIVED "FROLA - I . • .
AMOUNT $
8 DOLLARS
,oo
O CASH p CHECK
Fon
:
FUND OBJECT AMOUNT
Thank You
BY
White-Payers Copy
Yellow-Posting Copy
Pink--File Copy
?
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
. " k
PHON E: 454-8100 - ~
BUILDING PERMIT Receipt
r*
To be used for 1/1- DM1.1:1 Est. Value ;b117,i~:~a Date ,19
Site Address 3;~9~ i~ilf3f~L•~,T.< ':~,~'z OFFICE USE ONLY
~ p ~ ~ r,~~ n Site Sewage Occupancy "
Lot Block Sec/Sub.
i . MWCC System Zoning F-3
ParCel No. On Site Well (Actual) Const v "IN
a Name FISG::RR vTAP.F COlQSTRi1C`S:tiii CityWater X (Ailowable)
W PRV Required # of Stories
z Address 14640 GLALT ER: A'VL
3: -
0 City A-~P1,1- VALI"hOne 431-3551 Booster Pump Length
Depth
.0 NBme SAME S.F. Total
Z - Footprint S.F.
~ Q ~d•dress
~ Citx Phone APPROVALS FEES
~a Engr./Assess. Permit 6-10.(`0
W Name ~g,,Sp
~ Z Planner Surcharge
Address 315,0()
Q W City ~ Phone Council Plan Review
BIdg.Off. SAC,City 1~~"~
50. 00
I hereby acknQwledge that I have read this application and state that the Variance SAC, M WCC infdrmation is correct and agree to comply with all apqlicable State of WaterConn. 5 8-io•oo
Minnesota Statutes and Gity of Eagan Ordinartees. r,' f 67.00
- ~ Water Meter Signature of Permittee " -y~ • . Road Unit 325.00
,A Building Permit is issued to: ~3"F:r: STAPi CC}W~Wr Treatment P1 204•00
on tKe express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks r
TOTAL 799.50
BuiMing Official_ _
- CASH RECEIPT
CITY O~ EAGAN
~ ir
3830 PiiUT KNOB ROAD
. EAGAN, MINNESOTA 55122
DATE / ~ 4'?s~ ~ 4 19
rtEcerveo
,~,l.~ ? "t (.K_-,?~,.~ l.. G ~+~'1 , ;ti4
FROOA
AMOUNT
r
8 DOLLARS
,oo
? CASH Q CHECK
raA
!
-L ~
,
Z-1./.~1~~'-~=-'
~FUND OBJ€CT r AMOUNT
Thank You
BY
White-Payers Copy
Vellovp-Posting CopY
Pink-File Copy
.
BLDG. PERMiT NO. -
01-3210 Bldg. Permit 00
r:
c.
01-3422 Plan Check
01-3445 Surch./Adm. ~
01-3446 SAC/Adm.
/ 01-2155 Surcharge ~
75-3860 Road Unit
20-2275 SAC
20-3865 Water Conn.
20-3868 Water Trmt.
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Perm+t
79-3866 Sewer Conn. f~-
F
~ 28-3855 Park Ded.
TOTAL ~ ~~j ~ IT
~ . ~ CITY OF EAGAN . .
3830 Pilot Knob Road, P.O. Box 21-1991 Eagan, MN 55121 ~~'P :
PH ON E: 454-8100
BUILDING PERMIT Receipt
To be used for i~ Est. Value "L121+000 Date ~TO~~%~' I 1 ,19 ,
Site Address • ~ t}.;~:G3ti OFFICE USE ONLY
~:~+~Ir~ OnSiteSewage Occupancy
Lot Block Sec/Sub. ~~i ` R_3
MWCC System Zoning
ParCel No. On Site Well (Actual) Const
City Water p (Allowable)
~'~..~F' C4I~STRUC?I(1I'~
Q Name ,
W .•PRV Required # of Stories
z Address X, Avv" ~ e
3 . Booster Pump Length 3
0 City Phone ~:~1-3551 ~
Depth p Name S.F. Total
~ Q Address 'Footprint S.F.
~M_ City Phone APPROVALS FEES
~a Engr./Assess. Permit L`'z
~
W Name hG~ S(?
wW
~ = Planner Surcharge
U. Address Council Plan Review ' ~
~ W City Phone j ~;p. 00
Bldg. Off. SAC, City
I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC
information is correct and agree to comply with all applicable State of Water Conn. 5 50 • Co
Minnesota Statutes and City of Eagan Ordinances. Water Meter rj 7•oo
Signature of Permittee Road Unit 325.
A Building Permit is issued to:__~_~ C0~`~~ Treatment P1 204•00
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks
TOTAL
Building Official _
' Permit No. Permit Holder Date Telephone #
Plumbing
H.v.ac.
Electric LL /A 2 8'~ ~r dU
Softener
Inspection Date Insp. COmments
Footings I
Footings II
Foundation
Framing ~
Roofing
Rough Plbg. -1,7 - r ~J 11-6
Rough Htg. "f j 8W VG •
Isul. ~ s
Fireplace
D~ Q?~{ ~
/945
Final Htg.
Final Plbg. /i~y,"S ~~T ~,N' `'t~ '
Bldg. Final
Cert.Oca 8 DS
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
PERMIT #
~ MECHANICAL PERMIT
' CITY OF EAGAN RECEIPT # ~ ~Or
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-8100
Site Address 137TIanzy, BLDG.~ WORK DFrSCRIPTION
Lot BlOCk ~ "Sec/Sub (
New
Name , ^r Mult Add-on
Comm. Repair
m Address- f , S
c City Phone i F - Ofher
FEES
Name RES. HVAC 0-100 M BTU -$24.00
c .,141 ,1 ADDITIONAL 50 M BTU - 6.00
p City / PhoneL 1j (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PEkMIT) - 1.50 EA.
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air ~ M BTU ~ APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater M BTU $ REMODELS - 12.00
Air Cond. M BTU $ MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent. ~ CFM (ADD $.50 S/C IF PERMIT PRICE GOES
~
Gas Piping Outlets # BEYOND $1,000)
Other g
FEE: 30
a ) !t ~ 1 ~"~`i y / L1. ~
S/C: SIGNATURE OF PEAMITTEE ~
TOTAL:
FOR: CITY OF EAGAN
~
z:=. „ . _..3. _ . . _
. , ~ ~PERMIT # -
• . PLUMBING PERMIT RECEIPT # CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-8100
• ~ ~ r.~ -
Site Address BLDG. TYPE WORK DESCRIPTION
Lot Block Sec/Sub Res. ` New
Mult. Add-on
l.tiC .
~ Name Comm. Repair
m Address Other
c City Phone 17 RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
- FIXTURES TOTAL
Water Closet -$3.00 $
Name
Bath Tubs - $3.00
c Address L4640 "Av'enue
~-Lavatory - $3.00
~ ,
~ City 17031e+r Phone #3Z-35', ! Shower -$3.00
Kitchen Sink - $3.00
FEES Urinal/Bidet - $3.00
COMM/IND FEE - 1% OF CONTRACT FEE 'Laundry Tray -$3.00 '
APT. BLDGS - COMM RATE APPLIES ~ Floor Drains -$1.50
TOWNHOUSE & CONDO - RES. RATE APPLIES ~ Water Heater -$1.50 MINIMUM - RESIDENTIAL FEE - $12.00 ~Whiripool - $3.00
MINIMUM - COMM/IND FEE - $20.00 Gas Piping Outlets - $1.50 •
STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMM
(ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00
BEYOND $1,000.00) Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
SIGNATURE OF PERMITTEE FEE: 40.50
" STATE S/C:
~
~ FOR: CITY OF EAGAN , GRAND TOTAL: 41.00
. . a
, ~ . , ,h:, . „
~,R„r•_,~....-.,.. ,
- CITY OF EAGAN ,
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ~F
PH ON E: 454-8100
BUILDING PERMIT Receipt#
To be used for 1/2 I101L:.:-. Est. Value ~ 117, U's?U Date ' ,19
Site Address y~ ~+7~C*~i~:'~ µlt'•I OFFICE USE ONLY
Lot ~ Block ~ Sec/Sub. TPANx~ ~,qDOD . Site Sewage Occupancy 51 :tt MWCC System Zoning
ParCel No. On Site Well (Actual) Const •
a Name CityWater % (Allowable)
W PRV Required # of Stories
z Address Gl,AI."r.9 dlVc:
0 City V'`LLE'hOne +031-3551 BoosterPump Length
Depth
, p N a m e S.F. Total
~ Q Address Footprint S.F.
~M_ City Phone APPROVALS FEES
~ W Engr./Assess. Permit
W Name ~ .13
~ W Planner Surcharge
~ Address - ;Iy.(;p
x
Q W City PhOne Council Plan Review
Bldg. Off. SAC, City 1 iiU .'3o
I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC 550'00
y e~~~
information is correct and agree to comply with all applicable State of Water Conn.
Minnesota Statutes and City of Eagan Ordinances. ~ t;Q
Water Meter
Signature of Permittee Road Unit 325• 00
A Building Permit is issued to:-. f"1SGsPR .t'aTAPk" CO~.~'.-Z'-- Treatment P1 204.00
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks
TOTAL ' '
Building Official_
. Permit No. Permit Holder Date Telephone #
Plumbing
H.V.AC. 017
Electric
Softener
Inspection Date Insp. Comments
Footings I 1+~,~
Footings II
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg. a'~~ UG•
,
Isul.
Fireplace 44 e Kekf o C`i~rr
Final Htg.
Final Plbg.
Bldg. Final
Cert.Occ.
Temp. LP
DeCk Ftg.
Deck Final
Well
Pr. Disp.
, ' V , .
y
PERMIT #
PLUMBING PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: g /x
CONTRACT PRICE: PHONE: 454-8100
Site Address 3692 'wid eQri ,ATa' BLDG. TYPE WORK DESCRIPTION
~
Lot Blqck ~ Sec/Sub Res. " New
' " t~ Mult. Add-on
y Name iITr;T'ti'1rt?L> Me~chanicai IriC. Comm. Repair
~c Address i~'40 i-4 bth St. TtiT. Other
c Ciry e V'c.'11eY Phone432-0175 RES.PLBG.ONLY-COMPLETETHEFOLLOWING:
~ N~ Water ClosetFl$3 00 ES ~T~6L
Name r' isck~,er Stc'~ ~ Construct opc1-Bath Tubs -$3.00 6 •,r"
c Address 14640 G Lavatory -$3.00 9 fl
o ~;~y A~ap]Le ~J~:~lley phone 4' -551 Shower -$3.00
-i Kitchen Sink - $3.00
FEES Urinal/Bidet - $3.00
COMM/IND FEE - 1% OF CONTRACT FEE 1 Laundry Tray -$3.00
APT. BLDGS - COMM RATE APPLIES -LFloor Drains -$1.50 •
Water Heater - $1.50 1.50
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE -$12.00 I Whirlpool -$3.00 3.00
MINIMUM - COMM/IND FEE - $20.00 . ___FGas Piping Outlets - $1.50 - • 5 0)
STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT)
(ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00
BEYOND $1,000.00) Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
SIGNATURE OF PERMITTEE FEE:
STATE S/C: ' 50
FOR: CITY OF EAGAN GRAND TOTAL: ~ Z•~~
_ . _ ,.-_...r-
~ `E..
PERMIT# .
. ~ • MECHANICAL PERMIT RECEIPT # ~ ~ ~ ~
CITY OF EAGAN
3830 PILOT KNOB ROAO, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-8100
Site Address ' ~ " ~ f'
BLDG.~ WORK,DE,9CRIPTION
Lot , B~ ck ~ ` Sec/Su~ ~ Res. New X
~ -9;,.~,.~~ .
- I~ ~ ~ ~r Mult Add-on
~ Name
~c Addre ~'r ' "%DN Comm. Repair
c City. ~ Phone a~~ ~ r Other
FEES
Name ~ ` ' " ~ RES. HVAC 0-100 M BTU - $24.00
c Addr s L ' ADDITIONAL 50 M BTU - 6.00
p Cityt Phone 4 ~ CONSTRUCTION) DES A/C ON NEW
GAS OUTLETS (MINIMUM - 1 PER PEkMI~ - 1.50 EA.
TYPE OF WORK ~ COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air `~5 M BTU ~ APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8~ CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU $ MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent. CFM (ADD $.50 SiC IF PERMIT PRICE GOES
Gas Piping Outlets # ` B~YOND $1,000)
Other -
`%,T ~ ~ " ~
FEE: / " : .
t. H
t: S/C: J' rr' SIGNATURE OF PERMI EE ~ V~
TOTAL: , `
:
y~ FOR: CITY OF EAGAN
> ' .
i ~-2b--88
CITY 7F EAGAN Permit No: Date:
~ a.~~ ~ Size:
383~0 Pilot Knolh Road Meter No: .y ,
A.O. 801 x 21199 Reader No:Ql11Date:
I Eagan, MN 55121
nr
; Owner.-
* ~ ^ r rd7lC,s T•ioe~5 ;
Site Address: ~
Plumber i. ~
;~'l
Conn. Chg: , Zoning:
Acct Dep: No. of Units: ~
_ ,
Permit Fee: , polrd
Surcharge: , I agree to comply with the City o1 Eagan
Tr. Plant , 90194 Ordinances.
Meter.
Misc.: ~ BY
WATER SERVICE PER IT
" Date: ~'%--26-t~ ,
1C'3''j
Permit No: Size:
CITY OF EAGAN oad Meter No:
! 'Knob'R Date:
383apnot
, P o BoX 21199 Reader No:
~ Eagan, MN 55121 . I
'"ranc3s t?uo<'~ ~t'~ ~
~'~aci~c,r St~ f ConcL7 Bl St.
Owner. 3E92 hid ~ `"~a '
Site Address: }t „racl;, ~
Plumber.
: ~(~~aa Zoning: 1
Conn. Chg: 3. ~ No. of Uni1s:
Acct DeP:
Permit Fee: 1 I agree 1o comply With the City ot Eagan
.50 4
Surcharge: Ordinances.
Tr. Plant
204 .00 Meter. gy
Misc.: ~
, WATER SERVICE PERMIT ,
10-2h-`~g
Ltlr:_, Date: ^ a
CITY:OF EAGAN Permit No: Date:
r
3830 filtlt Knob Road B/ P No:
P.O. Box 21199
Eagan, MN 55121 .
.ci'ta;,~
Owner. ~ ~ n? ;did e-on ' `
SiteAddress:
Plumber.
Zoning'
MWCC~ i, p~= No. of Units:
City Chg: y.. ~ lWith the City of Eagan
1 ayree to comp Y !
Acct. Dep: • • Ordinances.
Permit Fee: e
Surcharge: gy
Misc.:
SEWER SERVICE PERMIT
Date: 1n_26 :8°
CITY af EAGAN Permit No: o
Size:
3830 not Knob Hoad M No: Date:
F+:O. Box 21199 ;Reader No:
Eagan, MN 5512
Owner. ?'ischer Canst.
3690 Wi~ eon Wa L6 Bl St. ~rar ici.s
Site Address:
Plumber. N th Mech. ~
350.0013d Zoning: ~
Conn. Chg: 15 00pd No. of Units:
Acct Dep:
Permit Fee: 10. OOpu
50 3d I agree to comply with the City oi Eagan
Surcharge: ~r7~~•~~pd Ordina eS•
Tr. Plant
Meter. ~ By
Misc.:
WATEFt SERVICE PERMIT '
. i
Permit Date:
CITY OF ~A~AN Size:
3830~Pi~ot Knob Fioad Meter No: Date: i
P.O. Box 21199 Reader No:
Eagan, MN 55121 i
b_ >~8 `~tii2st. '
Owner. ~ r~id$~n ~,'av I.~ '~1 ~t. P'ranicis Woad~s tn '
Site Address: '
Plumber. <'~qrLhru-~ 'fech_
~ R?
Conn. Ch ~Zoning: ~
9 ; v~. No. of Units:
Acct. Dep:~ 10 , ~~~ycl
Permit Fee:
' Surcharge: I agree to comply with the City oi Eagan
Tr. Plant 2 C14 00p J - Ordinances.
! ry l R .1 -
Meter. ~
Misc.: By ~
WATER SERVICE PERMIT
11_26~88
Date:
PermitNo:
CiTY.OF EAGfiN Date:
3830 Piiot Knob Road 8/P Na
P.O. Box 21199
Eagan, MN 55121 , r
Owner. ~ Vi geon ay . a . _
Site Address
Plumber: e, ^ f~ ~
..ru .
- i'-~
- , ^ ' Zoning' ~
h•1WCC: ..,pf: No. of Units:
City Chg: I a9ree to compIY With the City ot Eagan
Acct. Dep: ' r- Ordinances.
Permit Fee: ,
Surcharge: By
Misc.:
SEWER SERVICE PERMIT
- ~ CITY OF EAGAN
y 3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55121 N? 15695
PHONE:454-8100
BUILDING PERMIT - Receipt
To be used for 1/'2 DUPLEX Est. Value $121, 000 Date OCTOBER 11 ,19 88
Site Address 3690 WIDGEON WAY OFFICE USE ONLY
Lot 6 Block 1 Sec/Sub. ST FRANCIS WOOD On Site Sewage Occupancy R-3 M-1
T MWCC System X Zoning R-3
ParCel No. On Site Well (Actual) Const V-N
ac Name FISCHER STAPF CONSTRUCTION City.water x (Allowable) V-N
z Address 14640 GLAZIER AVE PRV Required # of Stories
o Booster Pump Length 34'
CityAPPLE VALLEYphone 431-3551
Depth 54'
, p Name SAME S.F. Total
v Q Address Footprint S.F.
P City Phone APPROVALS FEES
¢ Engr./Assess. Permit 642.00
uW Name
~ W Planner Surcharge 60.50
Address
u Z Cit PhOn2 Council Plan Review 321.00
°C w Y
a Bldg. Off. SAC, City 100.00
I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC 550.00
information is correct and agree to comply with all a plicable State of Water Conn. 550.00
Minnesota Statutes and C' f Eagan Ordi ces.
0
Water Meter 67.0
Signature of Permittee - Road Unit --325-00
A Building Permit is issued to:_ ER STAPF Treatment P1 204.00
on the express condition that all work shall be done in accordance with all
applicabie State ofM~innesota Statutes and City of Eagan Ordinances. Parks
7 1~f'~A A~ TOTAL 2,819.50
Building Official v ]o
~
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N? lrj 1?6
PHONE: 454-8100
BUILDING PERMIT Receipt
To be used for 1/2 DUPIEX Est. Value $117, 000 Date
Site Address 3692 WIDGEON WAY OFFICE USE ONLY
Lot 7 Block 1 Sec/Sub. ST FRANCIS WOOD f?n Site Sewage Occupancy R-3 M-1
TH MWCC System X Zoning R-3
ParCel NO. On Site Well (Actual) Const V-N
a Name FISCHER STAPF CONSTRUCTION City Water X (Allowable) V-N
W PRV Required # of Stories
Address 14640 GLAZIER AVE
o Booster Pump Length 66'
City APPLE VALLE~hone 431-3551
Depth 38'
, o Name SAME S.F. Total
~ Q Address Footprint S.F.
~ City Phone APPROVALS FEES
~M Engc/Assess. _ Permit 630.00
"W Name
~ Z Planner Surcharge 58.50
_ - Address
u Z Cit Phone Council Plan Review 315.00
a W y Bldg. Off. SAC, City 100.00
I hereby acknowledge that I have read this appiication and state that the Variance SAC, MWCC 550.00
information is correct and agree to comply with ail ap licable State of Water Conn. 550.00
Minnesota Statutes and of agan Ordin S. -
Water Meter 67 . 00
Signature of Permittee Road Unit 325.00
A Building Permit is issued to: ~ F15GHER STA-PF -Q _ Treatment P1 204.00
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks
Building Official 4~1 kQ,(.d, _I M1C, TOTAL 2,799.50
BLDG. PERMIT NO.
LL- o-t- L e -l?~ I o
C~C. ( J~I-r"cz,v~,c~~ S 1 h
s01-3210 Bldg. Permit
r 01-3422 Plan Check
01-3445 Surch./Adm.
a 01-3446 SAC/Adm.
~ 01-2155 Surcharge ~ c
~ 75-3860 Road Unit
' v 20-2275 SAC s/4-4 SC)
J 20-3865 Water Conn. ~60
20-3868 Water Trmt. ~ 4-t
U.~. 20-3716 Water Meter L--)
~ 20-2252 Acct. Dep.
m 20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn. 0
28-3855 Park Ded.
TOTAL ~ ~ ~ ~ S~
~2566 1
Request Date Fire No. Rough-in Inspection
I Required? Ready Now )GWill Notify Inspector
- r es ? No ~ When Ready?
I~V licensed contractor ? owner hereby request inspection of above electrical work at:
Job Address (Street, Box or Route No.) Cily
W
Sectibn No. Township Name or No. Range No. County
P"O.Aee
Occupant (PRINn Phone No.
c- 5 x- 44, W-7 7 U f 12 F
Power Supplier Address
p A<a ~ N
Electrical Contractor (Company Name) Contractor5 License No.
d'W -A0--
Mailing Address (Contractor or Owner Making Installation)
6~
Authorized Signature ontractor/Owner Making Installation) Phone Number
'~Ifo
MINNES A STATE BOARD OF ELECTRIC THIS INSPECTION REQUEST WILI NOT
Grfggs-Midway Bldg. - Room 5173 BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
REQUEST FOR ELECTMCAL INSPECTION .r« ee-00001 -07
? See instructions for completing this form on back of yellow copy. U
<
~
E~62~ 6 6 "X" Below Work Covered by This Request
ew Add Rep. TypeofBuilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm ' Air Conditioner
Other (specity) 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 g
Transformers Above 200 Amps Above 100 Amps
Signs Inspectors Use Only: TOTAL ~
Irrigation Booms b ~
Special Inspection
Alarm/Communication
Other Fee
i, the Electrical Inspector, hereby Rough-in Dat
certify that the above inspection has Final ° ~~at~ _ii
been made. o~
OFFICE USE ONLY '
This request void 18 months from -
E 62567 ~ ~//M ~25-
Requesl Date Fire o. Rough-in Inspection
Re uired? ? Ready Now J~Iill Notify Inspector
17, ~l Yes ? No When Ready?
I licensed contractor ? owner hereby request inspection of above electrical work at:
Job Address (Street, Box or Route No.) City
W« ~6
Section No. Township Name or No. Range No. County
7,_>AtKa 77?-
Occupant(PRINI) - Phone No.
11564 /3/ - 35- s-/
Power Supplier Address
AX4 ~c7xle_~
Electrical Contractor (Company Name) Contractor's License No.
~ e- C
Mailing Address (Contractor or Owner Making Instaliation)
~ i~
Authorized Signature (Contractor/Owner aking Installation) Phone Number
~ o M3
MINNESOTA ST E BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room S173 BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St. Paul, MN 55704 UNLESS PROPER INSPECTION FEE IS
Phone (672) 642-0800 ENCLOSED.
REGIUEST FOR ELECTRICAL INSPECTION rk es-00001 -07
? See instructions for comPletin9 this form on back of Yellow copY U
goQ
E 62567 X" Belclw Work Covered by This Request
New AdA Rep. TypeofBuilding AppliancesWired EquipmentWired
Home Range . Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Indusirial Furnace
Farm ~ Air Conditioner
Other (specify) CoMractor's Remarkx
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps ~ 0 to 100 Amps Z
Transformers Above 200 Amps Above 100 Amps 15-
SignS Inspector's Use Oniy: TOTAL ~
Irrigation Booms ~S
Special lnspection /L
Alarm/Communication
Other Fee c
I, the Electrical InspectQr, hereby Rough-in iDate
certify that the above inspection has Final
been made. ~
~ ~
OFFICE USE ONLY
This request void 18 months fram
~ This request void /0/0//Q''~
CJ
18 months from
E 442Z0 <0/C9
Request Date ~ Fire No. Re4uired7 nspection JrNow Q Wilf Notify. InsPec-
(~No tor When Ready
/0 " ~ ff 4d
~ ?yes Yv.
Licensed Electrical Contractor 1 hereby request inspection of above
? Owner electrical work installed at:
Street Address, Box or Route No. City
Gi r d l~ 9'
eczUOn o. Township Name or No. Range N. County
Z~~ A6, ~
Occupant (PRINT) Phone No.
6- _ -
Power Supplier Address
Electrical Contractor (Company Name) Contractor's License No.
me~ lft.-p- vL ec 7xlC~- 4 4~d ? !l'~`° °
Mailing Address (Contractor or Owner Making Instailation)
l o~ wl
Authorized Signature (Contractor/Owner Making In tallation) Phone Number
THIS INSPECTION REQUEST WILL NOT
MINNESOTA STATE BOQRD OF EL CTRICITY BE ACCEPTED BY THE STqTE BOARD
Griggs-Midway Bldg. - Room N-191 UNLESS PROPER INSPECTION FEE IS
1821 Universitv Ave.. St. Paul, MN 55104
Phone 16121 642-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTlON 47 ee-ooooi-os
~
, See instructions for completin9 this form on.back of yellow copy.
E 4 4 2 2 0 "X" Below Work Covered by This Request
Add Rep. Type..pf Buiiding Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Liyhtin,y Fixtures
Apt. Building Dryer Electrie Heatiti
Commercial Bldy. Fumace Silo Unloader
- Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm Other pecafy Other (SPer.ify)
t er Specify Other Other
ompute lnspection Fee Below
p Fee Service Entrance Size M Fee Feeders/Subfeeders # FP,@ Circuits
~ 0 to200Am s 0 to30Am s Oto 30Am s
Above 200 qmpy~ 31 to 100 Amps 31 to 100 Am s
Swimming Pool Above 100_Amps Above 100_Amps
Transiormer5 Irrigation Booms Partial•'Other Fee
Remarks Si9ns Special Inspection $ TOTAL F
0)
Rough-in - Date
I, tha Elec al
ir ~ Inspector, hereby
certify that the above
Final ~ Date inspection has been
GJ~` made.
This request void 18 months from ~
.
xkrrtiftratr of Orrupttury
. Citp of tEagan
Or~urtnrnt n# Buildirig Itwprrtinn
~ This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building
Code certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City regulating building construction or use. For the following.•
Use Classification 1/2 IU31M Bldg. Permit No. 15696
Occupancy Type ro /•'I Zoning District M Type Const. VN
Owner of Building FISM SLW 020• Address 14MQ ~AVE.9 A.V.
Building Address 3690. GTID= WAY I.acalityiiu 9B1 e i7a.. FRANCIS WOOD JTH
Date:- MA~ 198()
Building &ici
POST IN A CONSPICUOUS PLACE
„
i.
4t~ (Itr#tftrtttt of lOrrupaury a ~Citp of eagan
DQpMrtl2tPttf Af BlltlbiriJ ltm,pPl'tt.OY[
This Cenificate issued pursuant to the requirements of Section 306 of the Uniform Building
Code certifying that at the time of tssuance this structure was in comp[iance with the various
ordinances of the City regulating bui[ding construction or use. For the following.•
Use Classi6caUOn 1/2 DUPLFeX slag. rerm« xo. 15766
Occupancy Type RJ /m I Zoning District R3 TYPe Const. Vn
Owner of Building FI S CIiER STAPF CONST1q~~I0N 14640 aAZM &WM.,A.(18 ~
~`a
9 B 'v ~•~l ~
Locality
g Add
T~,
Deu: lam= MF,Y 1989
Building Offfc'f~l
POST IN A CONSPICUOUS PLACE
`~'0,so
2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomes/condos when permits are required for each unit
Date09 /"_V /ow
Site Address j`Q 70 kl/ doe Q h V4 Unit #
Property Owner Arfk(A OLA ( M ~ Telephone #(65I ) &~d 'ok.2&
Contractor A l
Street Address 0! c~lp5 City~{r' 0$2/'?')OL1r1f
State •M i V Zip Telephone #
Bond Expires:
The Applicant is Owner A Contractor Other
Add-on or alteration to existing dwelling unit $ 30.00
furnace _Additional X Replacement
air exchanger
_ air conditioner _New _Replacement
other
State Surcharge $ .50
Total $ '?0.56)
I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a
permit, but only an application for a permit, and work is not to start without a permit; that the wor will be in accordance with the
approved plan in the case of wark which requires a review and appr a f ans.
V lJ
Motri e SP-Ver,50n. i a o r
Applica t's Printed Name App ican ' ignature + I I I ~13
LI l~
By
2005 COMMERCIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: commercial/industrial buildings
multi-family buildings when separate permits aze not required for each dwelling unit
Date / /
Site Street Address Unit #
Tenant Name (if applicable) Previous Tenant Name
Property Owner Telephone # ( )
Contractor
Street Address City
State Zip Telephone # ( )
Bond Expires:
The Applicant is Owner ' Contractor Other
Work Type
_ New Construction _ Underground Tank _ Instail _Remove't'tsee below
_ Interior Improvement _ Install Piping Processed _Gas
Nature of Work:
**When installing/removing underground tank, call for inspection by Fire Marshal and P/umbing /nspector
Permit Fees: $70.50 Underground tank installation/removal
$50.50 Minimum (includes State Surcharge)
oC
Contract Value $ x 1% - $ Permit Fee
• If ep rmit fee is $1,000 or less, add $.50 $ State Surcharge
If ep rmit fee is over $1,000, add $.50 for
every $1,000 ermit fee $ Total Fee
I hereby apply for a Commercial Mechanical Permit and acknowledge that the information is complete and accurate; that the work
will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is
not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with
the approved plan in the case of work which requires a review and approval of plans.
Applicant's Printed Name Applicant's Signature
Approved By: , Inspector Date:
2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomes/condos when permits are required for each unit
Date 8 / / 0,-5-
Site Address 601,Q 6',_F~lc) (t)19- V Unit #
Property Owner CkRIQ-S CQS~f}' ~ Telephone # ( GsI) 612- (?00b
Contractor ~-Q(,/~1,4
Street Address Q City ~QSC /h MOUI
State A /V Zip (pdc" Telephone # (~l ) c~~- ~ ~a h~
Bond Expires:
The Applicant is Owner ~ Contractor Other
Add-on or alteration to existing dwelling unit $ 30.00
_ furnace _Additional _Replacement
air exchanger
~ air conditioner _New 4LReplacement
other
State Surcharge $ .50
Total $ 130• `so
I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a
permit, but only an application for a permit, and work is not to start without a permit; that the wark will be in accordance with the
approved plan in the case of work which requires a review and approval of plans.
,7_FA~.T 1,)r ((ctu
Applicant's Printed Name Ap icant's Signature
2005 COMMERCIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: commerciaUindustrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
Date / /
Site Street Address Unit #
Tenant Name (if applicable) Previous Tenant Name
Property Owner Telephone # ( )
Contractor
Street Address City
State Zip Telephone # ( )
Bond Expires:
The Applicant is Owner Contractor Other
Work Type
_ New Construction _ Underground Tank _ Install _Remove '"""see be/ow
_ Interior Improvement _ Install Piping _Processed _Gas
Nature of Work:
"*When installing/removing underground tank, call for inspection by Fire Marshal and Plumbing /nspector
Permit Fees: $70.50 Underground tank installation/removal
$50.50 Minimum (includes State Surcharge)
or
Contract Value $ x 1% _ $ Permit Fee
• If eQ rmit fee is $1,000 or less, add $.50 ~ $ State Surcharge
If ep rmit fee is over $1,000, add $.50 for
every $1,000 e~ fee $ Total Fee
I hereby apply for a Commercial Mechanical Permit and acknowledge that the information is complete and accurate; that the work
will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is
not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with
the approved plan in the case of work which requires a review and approval of plans.
Applicant's Printed Name Applicant's Signature
Approved By: , Inspector Date:
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Construction Reauirements RemodellReoair Requirements
• 3 registered site suNeys showing sq, ft, of lot, sq. ft. of house; and aU roo(ed areas • 2 capies of plan
(20% maximum lot coverage allowed) • 1 set of Energy Calculations for heated additions
• 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 site survey for exterior addiGons & decks
• 1 set of Energy Calculations • Indicate if home served by septic system for additions
• 3 copies of Tree Preservation Plan if lot platted after 7/1/93
• Rim Joist Detail Options selection sheet (bldgs with 3 or less units)
DATE l b/ j.3 ~o ~ VALUATION ~
t'`'
SITE ADDRESS MULTI-FAMILY BLDG _ Y _ N
TYPE OF WORK --,4 11` FIREPLACE(S) - 0_ 1_ 2
APPLICANT ~j
STREET ADDRfSS A v ~ /,g CITY cJJ~// STATE 0*3 ^fZIP 5S-22 ~
TELEPHONE # ~.L-1 - WS CELL PHONE # G1,a -2~4 - 51212 G FAX # 4-s'J
PROPERTY OWNER vU~9 Zo 4.,sp? //o~ -e-.I TELEPHONE #ZS-/ ` ``13 JV
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MIV NESO'I':k Itt'I.I;S 7670 C:ITEGORI' 1 MINNES0"I'.1 RULES 7672
(4 submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calcuiations Submitted
Plumbing Contractor. Phone #
Plurribing system includes: Water Softener _ Lativn Sprinkler Fee: $90.00
~ vVater Heater ` No. of R.I. Baths
No. of Baths
Mechanical Contractor. ,/U Zi2 Phone #
F~~: y~~.~~
i-vlCCl1"LIllCiI.l S4'tiICIIl IIlCIU(Il'S: :~iC COiI(IIIlOI11I1T
Hcat Recovcry Sysccin i~ T c; , ~ V7 r
Sewer/Water Contractor: Phone
L_
I hereby acknowledge that I have read this application, state that the information iS corr-ec#; and-agr-ee-to compiy
with all applicabie State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant
Z==' c-= =~6 =-1----------------
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received ^ Not Required ,
Updated 4102
OFFICE USE ONLY ,r.. ~
? 01 Foundation O 07 05-piex 0 13 16-plex ? 20 Pool 0 30 Accessory Bldg
? 02 SF Dweiling ? 08 06-plex D 18 Fireplace C! 21 Porch (3-sea.) 0 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex C] 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex 0 10 08-plex ? 18 Deck 0 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex PIbg__Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
0 32 Addition ? 36 Move Bldg. ? 42 Demotish (Foundation) ? 45 Fire Repa+r
? 33 Aiteration 0 37 Demolish (81dg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement *Demolition (Entlre Bidg 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 Bidgs Length Fire Sprinklered
Type of Const Width
REQUIRED tNSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addirion) _ Plumbing
Foundarion HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test T Final _ Windows (newlreplacement)
_ Insulation _ Retaining Wall
Approved By , Building Inspector
- -
Base Fee -r - -
-
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge ,
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
SAINT FRANCIS WOOD STH 65904 APPROVED 12/86
PERMIT
DATE &
TYPF i.nT BL annuFSs
4i87 4-PLEx 010 01 3682/ WIDGEON WAY
020 01 3684/
030 Ol 3686/
040 Ol 3688
050 Ol 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
11/92 s-pLEx 010 02 3697/ WIDGEON WAY
10i89 020 02 3699/
10i89 030 02 3701/
12i88 040 02 3703/
11/88 050 02 3705
6/90 s-PLEx 060 02 3695/ WIDGEON WAY
9i90 070 02 3693/ '
4/94 OgO 02 3691/
4/94 090 02 3689/
4/94 1 00 02 3687
110 02 COMMON AREA
7/94 a-PLEx 120 02 3685/ WIDGEON WAY
7/94 130 02 3683/
7/94 140 02 3681/
6/93 150 02 3679
16
.Y ~ ^ .
1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS EP 3 0 1988
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL IJNITS FOR SALE UNITS OF UNITS ~
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
CONIlKERCIAL .
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For: Valuation: /2-/00-.) Date: '913-O'Y
Site Address 3 a 9Q ~,+4G60 0 k?A OFFICE USE ONLY
Lot ~ Block ~ On site sewage Occupaney ~-7J M-1
MWCC system Zoning R-3
Parcel/Sub 5t. f-''Pi4iLG /S !?Oop SfN On site well Actual Const V-N
City water Allowable Y
Owner R4~/'/12o-0Q )r~S e.1lC~ PRV required 4k of stories
Booster Pump Length ~
Address %V41-10 6-4A2.!€'f 4!/e. Depth
S.F. Total
City/Zip Code APP4 6 ?A41E SSi2 ' Footprint S.F.
Phone APPROVALS FEES
Contractor I:K,a I-R CbIlSi. Engr/Assess Permit Gy2.00
. Planner Surcharge ('0.St7
Address jvlo r,Co cLAZ-/E'Z AvF Council Plan Review '3 I, vo
Bldg. Off. SAC, City DO-Op
City/Zip Code SK-/z y Varianee SAC, MWCC 550,00
Water Conn 560,00
bp
Phone VN VXo t45T AF Water Meter ZP7,
Road Unit 3ZSlC7t9
Arch. /Engr. R'6! ,ENG. Treatment P1 p, o
Parks
Address ~Ot~1p Copies
TOTAL '1_ I G . 60
City/Zip Code ~ . , 5-53 3 7
Phone # .3000
A
Nr ' +
~ ~ ~1 = (11f? ,
Sio x~~? _ r] lyo
,
3yX3a
ISt F~a~K~
~b~w?'T` t °~A
J_.--
/vs2 X y9 = 5 i5q8
2 ND ~t~vo2
x 39 = S~'t 1
SXiLI. r)v
Z x ~t = I y
981 X y9 _ 980(09
?2oad1
'
~?SCNER
O R e
[DIISUlT1110 EIIc311EEl1S . STqFF
E N I N~~ t~ 1 N G pLniil+Ens ond lAH[1 iunvEVons CoNST
CO.P.N., INC, i8o~:a
.I000 EAST (461~ S7REE7, BUf11iSY1LLE , ulllliESOtJ~ 55337 pll ~4=~`D000
Ct'_ F"'~ Z~Z C Q~~ D~ ~3~~"' -~-E'- 3
LOT 6, BLO CK l. ST. FRANGS wOOD 57N AD017?ON,
' DAKOTA C.UUN?Y, M ! NNESOTA,
sv~.s DEI=JO-T'ES EXiS7NG CLLw JON
(8 9 8. 5~ UEIV OTES PROI'OSW EL61 /ATl CN
1 NUICATES UREC770N QF' St./R!'°,4C,E
Vk.AINAG~..
848.83 ^ ~"IlaJl.~,a1-IG17 G/APAGk: f='L.UQOR tL.cVATlUN
/ \ •
k
SCALE : I',- 30'
. ~
~
'(P
6~o `ey3.5 0 ~ n
. ° 4.
~ PRo~FD
~Oqe.5 1q.o ,(ov+?J N°~
gq35)
GPP 5k - 0
„ ~ ~ ~ O ~~'5 O .15,5 010
690
3b
N
\
• ~ ~ ~ 598.5) ~ ?
~ tc 3 , r~ / / ~ ~
~1 p EI l, y R
L
- ~ ~r,•.~"~"•,_•; ti.._._,`.,._ ~ '.,r
s~~ ~l.
. 20.00 I I ?~~..i / ? i
I I
. • ~ 30.00 ~
4ent~tiott of a tract of
T herib ~f Nue arid corract rePr~
~
lond asY cahsoxrt~n' and tltda4t ecr t}iibs ed e ~t re t. vn.• Ae prepared by fie nn thi, 3~~~_d!!Y ot
SE1°TFi!!~'E~ f 19 SS . 4-7.o R
~
~ ~
NE2 .S'r9FF ~on/~1;
'~Is9~,o~
~NGI1`jEERII`jG PLai+'+E'is and tni+a.5unvEVons
COMPANY/ INC.
i~t000 EJlST 146th STAEET, dUf1115VILLE , LiINNESOT.1 55337 pll 432-3000
QZ C O"0 ts 7,~.~"'
LoT 7, B~oCK ST -'RAA/e1S 'h/OOv S7N ADDiTio/v,
DAKoTA CDUWY, MINiuESoTA
EX/ST/N6 ELE'1/.9T/U ~
• ' 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS ~ f7
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BIIILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL iTNITS FOR SALE UNITS # OF UNITS ~ a.
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For: Valuation: J12.oQp~ Date: ~ Az V/ gw
Site Address 36 goZ lpG~c~f1~ OFFICE USE ONLY
Lot ~ Block _Z On site sewage Oecupancy
f , MWCC system Zoning P--
Parcel/Sub S~. ('/1NccS (~l/po/J .S~ On site well Actual Const •~/-N
, City water ? Allowable V-AI
Owner PRV required # of stories
Booster Pump Length
Address /514p ~ Depth 38'
I; U- S.F. Total
City/Zip Code 41../ ~ Footprint S.F.
Phone (o L- APPROVALS FEES
Contractor r1S'~4,o tiF le Sfi/gPF (fo e ngr/Assess Permit
Planner Surcharge S8 • So
Address d Couneil Plan Review 3/ nv
,)y Bldg. Off. SAC, City 100, Dn
City/Zip Code i~ 5:S,2 Variance SAC, MWCC S50,00
ca
. : - - - - -Water Conn 550.0
Phone (,6 / Z - 3 SS J`. Water Meter 69,00
, _ Road Unit
Arch./Engr. ~ • Treatment P1 yt~L?
. Parks
Address /000 Copies
` TOTAL 7 i i,
~ City/Zip Code Aa SSA
Phone # V3 2 - .,3 00 0
~
~
\
1999 BUI LDI NG PERMIT APPLI CATI ON (RESI DENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
'C 651-681-4675
New Construction Reauirements RemodeVRepair Reauirements
? 3 registered site surveys showing sq. 1L oflot, sq. ft ofhouse ? 2 copies of plan
and a!1 roofed areas (20% maximum lot coveraae allowed) ? 1 set of energy calculations for heated additions
? 2 copies of plans (show beam & window sizes; poured fnd. design; etc.) ? 1 site survey for exterior additions 8 decks
? 1 set of energy calculations
? 3 copies of uee preservation plan if lot platted after 7/1/93
DATE: `7'" CONSTRUCTION COST: ~Y;!;~76 7
DESCRIPTION OF WORK: ~-~u? OT-F d- d
STREET ADDRESS: 3~~(~ 1~tJ ~~c~g e c.),\ (~CJC< ~l
l
LOT: C~ BLOCK: SUBD./P.I.D. Oi ~ CAJ~ UJOZ~C~ ~
Name: O aU eAc. b~~j 14r A fu I- Phone
PROPERTY ~c F'usc
OWNER
Street Address:
City State• _ Zip:
Company: Phone
CONTRACI'OR
Sa-eet Address: 1200 E. 79th S t r e e t license # dUV .3~'t95 F.xp.
BlOOCT16ngtOil,
City State• _ Zip:
ARCHITECT/
ENGINEER Company: Phone
Name• Registration
Street Address:
City State: Zip:
Sewer & water licensed plumber (reauired for new construction onivl:
Penalty applies when address change and lot change is requested once permit is issued.
I hereby acknowledge that I have read this application, state that the information ' co cand agree to comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances. `
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received Yes No ? ,
; ~
Tree Preservation Plan Received Yes No Not Required
;
othezwise and hereby expreesly waives any claim tor damagee on account
thereof.
. .
AC3sE COHSULTIN3 !NO Httllf •
ENGINEEAING . PLaNNEas o,~a ~AHp ~UAVEYOAf
COMPRNY0 tNC. . < 1000 G1ST 1469k 57REET. OURNSVILI[ O 111NNE30TA OS33T PH ~IS2•SOGQ
LEGAL DESCRtPTION '
An easement for roadway purposes over under and across the
following property:
Lot 6, Block 1, St. Francis I-lood 5th Addition according
to the recorded plat thereof;
which lies within the circumference of a circle having a
radius of 60.00 feet. The center of said circle is the paint
of intersection or the easterly right of way line of Widgeon uay, as dedicated in the plat of St. Francis Wood, with a
line 166.34 feet westerly of, measured at a right angle to
and parallel with the easterly line of St. Francis Wood 5th
Addition.
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5 . . ~ ST. FRAWcis wooD
~ /2 Fj I $TH ApDITION
,
_ -J 20 - :o o -
FASTERLY R/bNT OF WAY LInIE
• OF W ID6EON WAY
.
I hereby certify that thii ie a true and correct rapre54ntation `t ~a ~~+~Ctof t
1and a• •havn' and deacribed hareon.• prePared by on this Y
Ar.KvsT1 19 oc",• .
%.1 M ! n n . iter. 4S 0 .
. ;t.
.1' . . . ' . . .
IN WITNESS WHEREOF, said Grantors have hereunto set their hands end seals
the day and year first above written.
Z4~' . iL~y~%4
Ra ond F. Fischer
Vivian C. Fischer
STATE OF MINNESOTA)
COUNTY OF DAKOTA ) ss. '
On this day o£ 19 0O, before m , a Nota P.ubli
within and for said County, personally appeared dzLz 0
me known to be the person described in, and who executed the foregoing
instrument, and acknowledged that he executed the same as free act and
deed.
THIS DOCUMENT DRAFTED BY:
IiAUGE, EIDE & KELLER, P.A.
1200 Yankee Doodle Road Notary Publ'c
Water View Office Tower, Suite 303 ~
Eagan, MN 55123 AAAAAA
(612) 456-9000 DONNA J. 6REEN0
~\~a NOtRRY PUBUC •MINNESOTA
DAK~TA COUN1'Y
~9fll~ti91l~fl Rplres June 3, 1992
~cetrlp~' _
COUN7Y CONSERVATION Peell@-40
dh pmn.g V. n nc t<l~
DA40TP. COUNTY TREASURER
Exempt from Dakota County Deed Tax
v Oni
-
Dakota Counry Treasurer -
Tre.ryPer Enter Thia
da.y of ~ L
19 n~
Ceun ,;aditor
ai:ct
r
4 ' A A ^
V 4 0912
CORRECTIVE STREET EABEMENT
This easement, made this 3rd day of Mav , 1990,
between THORNWOOD ASSOCIATION, INC., as owners of Lot 5, Block 1, ST.
FRANCIS WOOD 5TH ADDITION, herein referred to as "Grantor" and the
CITY OF EAGAN, a Minnesota municipal corporation, organized under the
law of the State of Minnesota, hereinafter referred to as "Grantee".
WHEREAS, a street easement deed was executed November 1, 1986 and
recarded as Document No. 756655 between Raymond F. Fischer and Vivian
C. Fischer, husband and wife, as Grantors and the City of Eagan as
Grantee over the following described tract:
The part of Lot 6, Block 1, St. Francis Wood 5th Addition,
which lies within the circumference of a circle having a
radius of 60 feet. The circle is located as follows:
Beginning at the southeasterly corner of said Lot 6, thence
northerly along the easterly line of said Lot 6 a distance
of 172.57 feet; thence westerly at a right angle to the
easterly line of said Lot 6 a distance of 166.34 feet to a
point on the easterly right-of-way of Widgeon Way, said
point being the center of the circle, said point being the
center of the circle to be described; (hereinafter "Old
Easement"); and
WHEREAS, this Old Easement was executed prior to final plat
approval; and
WHEREAS, the final plat of St. Francis Wood 5th Addition
renumbered and realigned the lots in Block 1; and
WHEREAS, the City of Eagan as Grantee now wishes to release the
Old Easement and record a new easement incorporating the correct lot
numbers.
NOW, THEREFORE,
The Grantors, in consideration of the sum of One Dollar and other
good and valuable consideratian, the receipt and sufficiency of which
is hereby acknowledged, do hereby grant and convey unto the City, its
successors and assigns, forever, the following easements:
That part of Lot 5, Block 1, St. Francis Wood 5th Addition
which lies within the circumference o€ a circle having a
radius of 60.00 feet. The circle is located as follows:
beginning at the southeasterly corner of said Lot 5, thence
northerly along the easterly line of said Lot 5, a distance
of 172.57 feet; thence westerly at a right angle to the
easterly line of said Lot 5 a distance of 166.34 feet to a
S~ 1
point on the easterly right of way of Widgeon Way, said
point being the center of the circle described.
See also Exhibit "A" attached hereto and incorporated herein.
The grant of the foregoing permanent easement for street purposes
includes the right of the Grantee, its contractors, agents and
servants to construct, reconstruct, inspect, repair and maintain a
roadway and appurtenances over, under, across and through the
premises, to erect and maintain signs in conjunction with the
public's use of said roadway and appurtenances and any signs erected
in conjunction with the use of the roadway and appurtenances.
And the Grantor, for itself and its successors and assigns, does
covenant with the City, its successor and assigns, that it is weZl
seized in fee of the lands and premises aforesaid and has good right
to grant, convey the easement herein to the City.
And the Grantee does hereby agree to release the Old Easement by
the recording of this document.
IN TESTIMONY WHEREOF, the Grantor has caused this easement to be
executed as of the day and year first above written.
GRANTOR:
THORNWOOD ASSOCIATION, INC.,
.By:X,
zts :
and
_
~7,1,
By: P
Its:
GRANTEE:
CITY- AN
By: Thomas A. Egan
Its: Mayor
Atte E. J. VanOverbeke
Its City Clerk
STATE OF MINNESOTA )
) ss.
COUNTY OF ,DAfrc ~g ) ~
On this day of 1990, before me a Notary
Public within and for said County, personally
appeared and to me
personally know, who being each by me duly sworn, each did say that
they are respectively the a- / 1? '777
and SC cAf F rof the corporation named in the
foregoing instru ent, and that the seal affixed to said instrument is
the corporate seal of said corporation, and that said instrument was
signed and sealed on behalf of said corporation by authority of its
Board of Directors and said
and /~,?'~-.C/ acknowledged sai instrument to be the
free act and deed of the corporation.
DARLENE E. MELINE
~ NOTARY PUBLIC -MINNESOTA
DAKOTA COUNTY N-
otary Pubiic
My Commmission Expires May 11, 1995
. YVF4t
STATE OF MINNESOTA )
) ss.
COUNTY OF DAKOTA )
On this 2~ day of , 1990, before me a Notary
Public within and for said County personally appeared THOMAS A. EGAN
and E. J. VanOVERBEKE to me personally known, who being each by me
duly sworn, each did say that they are respectively the Mayor and
Clerk of the City of Eagan, the municipality named in the foregoing
i~ . A.' J
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instrument, and that the seal affixed on behalf of said municipality
by authority of its City Council and said Mayor and Clerk
acknowledged said instrument to be the free act and deed of said
municipality.
1i.r......'._.....vs ~
EUZACETH A. ~'JITT
fEiiNOTARY PUBUC - M.INNESOT/~ DAKOTA COUNTY Notary blic
Commission Expint Fb.40~ 10it
APPROVED AS TO FORM:
City ttorney' Office
Dated:
APPROVED AS TO CONTENT:
Public Works Department
Dated: 3-?3- 9~
THIS INSTRUMENT WAS DRAFTED BY:
SEVERSON, WILCOX & SHELDON, P.A.
600 Midway National Bank Bldg.
7300 West 147th Street
Apple Valley, MN 55124
(612) 432-3136
JPE
APFLKCATIQN FQR PERMIT *14OTE= PAYMINP OF FEE AT TIME OF =
APPLICATION DOES NOT CON- *
STIZ[JTE APPRGVAL OF PII2NIIT. ,*f
SEW E R A N D/ Q R W A T E R C O N N E C T I Q N * YNsPBcTION OF SE.'Wgi AAY)/OR WATER *
. { ' • *k INSTALLIITIONS WIIS. NCn SE SCIDULID *k
`k4~ , y ' .*k L?KfIL PII2MIT HAS BEE1V APPROVID. x
,r,t*****t,r*,r****,r********#****,r,r**,et*r*
~~~~a, n
( PI,E'.ASE PRINT
1) PROPIIZTY ADDRESS : _3 o 9
T,MAT, DESCRIPTIONe~
(Lot7Block Sub ivision or Tax Parcel ID )
IF EXISTING STRLCT[JRE, DATE OF ORIGINAL BLILDING PiRN1IT ISSLiANCE:
Mont Year
PRESENT ZONING/PROPOSID LSE:
~ COMMERCIAL/RETAIL/OFFICE ,_j R-1 SINGLE FAMILY
~ INDLSTRIAL R-2 DUPLEX (3~vo C'nits)
~ INSTIT[JTIONAL/GOVERNMENT ~ R-3 TOWNHOUSE (Three + L'nits) ( Lnits)
Q R-4 APARTMENT/CONDOMINIL'M ( Lnits)
2) 9000, ~10 NAME:
ADDREss : 1 1-16 e/ o ~ 4 A
CITY, STATE, ZIP: A40101--`'
.
PHONE :
/ For City L'se
3) ° T-,~+' NAME : d~'~ Plumbers License ;
ADDRESS: Active
A Pf't. l/ /~I ~ . y ExPired
CITY, STATE, ZIP: Not recordec
PHONE: ~ MASTER LICENSE #
~ Staf~ Initial
4)
NAME : eA y 07O f2 4 .S`C /?//a-/L.
ADDRESS : 610 (Z L- Z
CITY, STATE, ZIP: P~L X-7 Z ~C
PHONE : Z3 / - 3
5)
s ~ ' .a* • u ~ , : ~~~~k a~~
(V'I CONNECTION TO CITY SEWER ~ CONNECTION TO CITY WATER ~ CI'HER
~
6) ~~3E:T~
,
* r
~ THE GOLD COPY OF THE PERMIT WILL BE SE1VT DIRECPLY TO PL1SLIC WORKS TO FACILITATE METER PICK-LP. f
* PLEASE AT_.LOW Zi++lO WORKING DAYS FOR PROCF,SSING. SOMFANE FROM TfIE CITY WILL CONTACT YOL~ IF THERE ;
* ARE ANY PROSLENlS. ;
~*r********************~r*******~****************************************************************~*;
. FOR CITY USE ONLY
PERMIT # ISSL'ED
rB a
Pd w/Bldg. Permit FEES:
$ SEWER PERMIT (INCLL'DE S!!L:RCHARGE)
~
$ WATER PERMIT ( INCLL'DE SL'RCHARGE )
$ (G' C~• d~ $ WATER METER/COPPERHORN/:OI:'TSIDE READER
$ $ WATER TAP (INCLUDE CORP~ORATION STOP)
$ $ SEWER TAP `
$ , $ o-o ACCOUNT DEPOSIT - SEWER"' ,
$ $ 10 0 ACCOL'NT DEPOSIT - WATER
$ J`"rS Gj • CJ-~ $ WAC
$ (p S G' CTV $ SAC . „
$ $ TRL'NK WATER ASSESSMENT I
$ $ TRt'NK SEWER ASSESSMENT '
$ $ LATERAL BENEFIT/TRUNK SEWER ;
$ $ LATERAL BENEFIT/TRL'NK WATER ,
$ $ WATER TREATMENT PLANT St;'RCHARGE
$ $ OTHER:
$ IV, 7/. CI C~ $ T 0 TAL ~ ~gy&
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQLIRE EXCAVATION IN PL'BLIC RIGHT OF WAY?
~ YES IF YES, THEN A"PERMIT FOR WORK 6VITHIN PLBLIC
ROADWAY" MLST BE ISSL'ED BY THE ENG.INEERING
~ NO DIVISION. LIST AS A CONDITION.
SL'BJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY :
TITLE:
DATE :
*APFLI~ATIQN FOR PERMIT *~'E= PAYMUNr OF FEE AT TIME OF FArt,*
. # APPLICATION DOES NOT CON- *
STITUi'E APPRGJAL OF PII2MIT. *t
S E W E R A N O R A T E R C O N N E C T I N * YNSPF7CTIQN OF SE4~R ADIDjOR WATER *
itasTALLATiotas wna, taom BE scmtLED *
.-k~;•~•<., . . ,*t [?[1I'IL PERMIT HAS BEQN APPROVID.
? t . ,r,r**,ra**~***,r**,r,r****,r**,r**,r**,r**,r*a**
tC ~
~ ~acqwa, n
(PLEASE PRINT
1) PROPERTY ADDRESS: ebl A1141
T,MAT, DESCRIPTION:~_~~ 7 FP,,4d)C 1S
Lot BlockTubdivision or Tax Parcel ID )
IF EXISTING STRUCTCJRE, DATE OF ORIGINAL BLILDING PERMIT ISSLANCE: Mont Year
PRESENT ZONING/PROPOSID IISE:
~ COMMII2CIAL/RETAIL/OFFICE R-1 SINGLE FAMILY
Q INDLSTRIAL R-2 DUPLEX ('~tao C~nits )
~ f~~
~ INSTITUTIONAL/GOVERNMENT ~ R-3 TOWNHOLSE (Three + L'nits) ( Lnits)
Q R-4 APAR'I'NIENT/CONDOMINILM ( L'nits )
2) P.1000hIZA41 NAME: j~ /S (:f ~-/F~ P14:7
ADDRESS :
CITY, STATE, ZIP:
PHONE:
For City Use
3) ° ~ --2+; NAME : t4-- C ~ Plumbers License :
ADDRESS: Active
Expired
CITY, STATE, ZIP: l
,4L-1-E S~12!?" Not recordec
PHONE: MASTER LICENSE #~4,1q3 , Sta Initial
NAME:
ADDRESS : Z
CITY, STATE, ZIP: 44~~l jy f~ LLfz~ 14,~J,~/ .T-5-1 2;K
PHONE :
5) s . a+• t •~~a E a~a
~ CONNECTION TO CITY SEWEFt rv"'fCONNECTION TO CITY WATER ED CTHER
~
> >
6
* r
* TI-E GOLD COPY OF THE PERMIT WILL BE SENT DIREC'ILY TO PUBLIC WORKS TO FACILITATE MEI'ER PICK-LP. ~
PLEA.SE ALI,OW TWO WORKING DAYS FOR PROCFSSING. SONIEONE FROM Tfis CITY WILL CONrACT YOL~ IF THERE ~
X ARE ANY PROSIEMS. ~
~icicicF**Ftk***ic**tYic**kY**tittF**icFYic***ic***kieyr*t*,tF***k~ttytt**t**~Fir*~k*~F**irFir*t***,t~r**~rt**t**t*~r~c**F*F;
I y t~
. ~
FCJR CI1"Y USE ONLY - y
PERMIT # ISSL'ED ~3 S-
Pd w/Bldg. Permit FEES:
$ SEWER PERMIT (INCLUDE SURCHARGE ) .
$ WATER PERMIT (INCLUDE SL'RCHARGE)
$ -7 WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ $ fcS~'I1"-Z~ ACCOL'NT DEPOSIT - SEWER
$ $ ACCOLNT DEPOSIT - WATER,
$ -0 ' U-0 $ WAC
$ $ sAC $ $ TRUNK WATER ASSESSMENT
$ $ TRL'NK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRL'NK WATER
$ $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ j`/, TOTAL '
P~S`7 ~k -s~ ~ RECEIPT # RECEIPT
DOES UTILITY CONNECTION REQLIRE EXCAVATION IN PLiBLIC RIGHT OF WAY?
~ YES IF YES, THEN A"PERMIT FOR WORK 6aITHIN PLiBLIC
~ ROADWAY" MLST BE ISSUED BY THE ENGINEERING .
NO DIVISION. LIST AS A CONDITION.
SIIBJECT TO THE FOLLOWING CONDITIONS:
A P P R O V E D B Y:
TITLE:
DATE : Z
. :
PERMIT # RECEIPT DATE: " r°~3 -01
T. .
RESIINENTIAL PLUbI$INF PERMIT ~PPLICATION '
CTTY OF EAfiAN
' 3830 PaoT xxo13 fn
EAfiAN, MN 55188
651-6$1-4675
Please complete for: ? singie family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for irrigation system
SITE ADDRESS: CQQ Z~~ L~
OWNEP. NAiVIE: : TELEPHONE
(AREA CODE)
.
-1 - 33ZI- 6P I !
INSTALLER NAME: LEPHONE So
(AREA CODE)
STREET ADDRESS:
CITY: M-V-~ v1 STATE: C!2,iJ ZIP:
Place a check mark next to the ermit work t e
_ New residentiai dwelling unit under construction and not owner/occupied $ 90.00
Add-on, modification or alteration to existin dwelling unit, including: $ 50.00
• abandonment of septic system
• new instal lation/repai r/rebu ild of RPZ
• lawn irrigation system
• water t und
Nature of work:
_ Septic System, new/refurbished - $ 225.00
• includes County & Consulting Inspector fees
• requires MPC license
State Surcharge .50
Total .1' AUG 2 3, 2001 ~ SG
~ ~
Reminder: Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc.
I hereby acknowledge tliat I have read this application, state that the information is correct, and agree to compiy with all applicable City of Eagan ordinances. It
is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal
operational and maintenance activities to the facilities constructed under this permit within City property/right- -w / sement.
~
SIGNATU OF PERMI E
Updated 1/01
RESIDENTIAL BUILDING
t=-
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
l O~ t Telephone # 651-675-5675 FAX # 651-675-5694 ~ c4, 1~
New Construction Requirements RemodeUReoair Reauirements Office Use Oniv
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 CalculaGans for heated additions Tree Pres Plan Recd Y N
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Not Reqd _ Y_ N
1 set of Energy Calculations Addition - indicate if on-site septic system On-site Sepbc System _ Y_ N
3 copies of Tree PreseNation Plan if lot platted after 711193
Rim Joist Detail Options selecction sheet (bldgs with 3 or less units
Date .c- / cs 3 Construction Cost~/
Site Address 3 (f e),) Unit/Ste #
Description of Work , CJ-~ T~3 ~13 Uj-p
Multi-Family Bidg 1/I' _ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner Gv e, Telephone )
b a rv. 4 ~f
Contractor ~ vc- f r.. J,c a.-h f J'.~ <<
Address ~ 13 (r q l ly City ~ a. -JJ cl .
State !1- --J Zip ,S7S~ 3 ~ Telephone # (`riCGL) 'V..9 .5~_- oP ~ r"'
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateorv 1 _ Minnesota Rule§ 7672
Energy Code Category • Residential Ventilation Category 1 Woricsheet • New Energy Code Worksheet
(q submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previousiy constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% pian review
fee appiies.
Licensed Plumber Tefeph n& # ( )
IMechanical Contractor ~Tevl! e^pih # ( )
.,v'
Sewer/Water Contractor I ~ Telephone # ( )
Q-~y - - - - - ,
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
ge- -0 CL ce p c- j ..2.
Applicant's Printed Name Applicant's Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 AccessoryBidg
? 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
O 04 02-piex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex 1:1 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) O 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bfdg)* ? 43 Reroof ? 46 WindowslDoors
? 34 ReplaCement *Demolition (Entire Bldg) - 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.
_ Foorings (deck) FinaUNo C.O.
_ Footings (addition) _ Plumbing
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
, Fireplace _ R.I. Air Test _ Final _ Windows (new/replacement) ,
_ Insulation _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permif & Surcharge
Treatment Plant
License Search
Copies
Other
Total
SAINT FRANCIS WOOD 5TH 65904 APPROVED 12/86
PERMIT DATE &
TYPE LOT BL ADDRESS 4i87 4-PLEX 010 01 3682/ WIDGEON WAY
020 01 3684/
030 01 3686/
040 01 3688
050 01 COMMON AREA
ioiss DvP 060 01 3690/ WIDGEON WAY
070 01 3692
6i88 3-PLEx 080 01 3694/ WIDGEON WAY
090 01 3696/
100 01 3698
t 1i92 s-PLEx 010 02 3697/ WIDGEON WAY
10i89 020 02 3699/
10i89 030 02 3701/
12i88 040 02 3703/
i vsa 050 02 3705
6/90 5-PLEX OEO 02 3695/ WIDGEON WAY
9/90 070 02 3693/
4/94 OHO 02 3691/
4/94 090 02 3689/
4/94 100 02 3687
110 02 COMMON AREA
7/94 a-PLEx 120 02 3685/ WIDGEON WAY
7/94 130 02 3683/
7/94 140 02 3681/
6/93 150 02 3679
16
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION G~ wo•
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
~l ~ ~ QUINBY, JANICE
Date
3690 WIDGEON WAY
Site Street Address EAGAN, MN 55123 U11it #
i (651) 688-2426
Property Owner ~ ~I elephone # ( )
.
Contractor (612) 82740:3:3 Telephone # ( )
Address 2905 GARFiELD AVE. 80. city state zip
r
The Applicant is: _ Owner Y-\ Contractor _Other
Alterations to existing dwelling $ 50.00
_Add fixtures to rooms, excluding water softener and water heater
_Septic System Abandonment
Water Turnaround (add $121.00 if a 5/8" meter is required)
Other:
Water Softener ~ Water Heater $ 15.00
X replacement _ additional
Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00
State Surcharge $ .50
Total
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete
and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved.
(-blOVA
Applicant's Printed Name ,ig~a lu~r'e
~C ~ 1 t004
u
1-1 L
I
OCT -18-2812 15:28 From:JIM MURR PLUMBING 6514574256 To:6516755694 Paae:2'2
411)! City of Eau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
vr i/
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Staff: ' J
Permit*:
Permit Fee:
Date Received:
INFLOW & INFILTRATION PERMIT APPLICATION
X Plumbing / Sewer & Water
Date: `t ( b- (;}r Site Address:
3b,1wid,e .Lk)
Tenant:
Suite #:
RESIDENT ! OWNER -
Name; �n r Af=,w( Qvir^, Phone:66(— 1.438- aia fQ
Address / City I Zip: 369t, t-+ cis W &Dm."
CONTRACTOR ,.
Name: , j r, (Yt uc f P LA, -,14 in License ft: O 5 9 I a to P r✓_
�,
Address; '15o (9 0i - 13k.'' City: !V 0d
State: f`^J. Zip: CJ 5055 Phone: 65I —/5'i--1123]
iv r• -.4.g re..3-,,n w . (z.^'\
Contact: V ' r4. Email:
.: TYPE OF WORK
PLUMBING (Within the building envelope)
Sump Pump Repair
SEWER & WATER (Outside the building envelope)
Repair
Other:
Other:
DESCRIPTION
Description of work: --L-P.1.1U-eet Ow f-,2_, 5/-.-.O ,,,,, 'e-Adi-e.
FEES
$60.00 I Each (includes $5.00 State Surcharge) TOTAL FEE $ UP- CA.)
*
"Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit Ill repair costs for
reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors
can be found by visiting www.citvofeagan.com/inflow, or City Hall at 3830 Pilot Knob Rd.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call
48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.ord
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 J t/ 'fS x '3 2
Applicant's Printed Name Appli ant's Signature
FOR OFFICE USE Reviewed By: Date:. ..:
_Final
...Required. Inspections:. ,Under Ground _Rough -In , .::
��;1a��,� �
Use BLUE or BLACK ink
r_____.._._.______�__�
i �or Office Use i
� � Permii#: ��� l �
Clty af ��.�a� ; . /�_r ��-�
� Permii Fee: l (C�L9 1
3830 Pilot Knob Road � �
Eagan MN 55122 ` Date Received: �
Phone: (651}675-5675 � �
Fax: (651)675-5694 I Staff: �
I I
2014 RESIDENTIAL BUILDfNG PERMIT APPI.ICATION
Date: Site Address: Ql� '° c� 9, . r�, Unit#:
Name: Phone:
Resident/
Owner Address I City/Zip: c��c O �- ����. ( �; cer�� �a�,i
Applican#is: Owner �ontractor
Typ� of Wot'k description of work: ���'O��
51 /
Construction Gosf: Multi-Family Building: (Yes ✓ J No__}
Company:'�f��J�'�'��45�(�C"��-�Or� �G- Contact:__1�,c K�
Cantractor Address: �'�,c�� c�,�� AtI� � City: c�,-,X?�p�P.�
State:�Zip: c�5�7g Phone:�c�'4�1°�d�EmaiL�1�(,rCk.( CA�'1���W1c� �C.:D�
• License#:�G ��c�..$�� Lead Certiticate#: /U E t�" ����� �' 4
lf the pra}ect'rs exempt firam iead certificafion, pfease expiain why: �see Page 3 far aciditional information)
C4MPLETE THtS AREA ONLY IF CONSTRUCTfNG A NEW BUILDENG
(n the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master pian?
_Yes �No If yes, date and address of master pian:
Licensed}�lumber: Phone;
Mechanical Contractar: Phone:
Sewer&Wa#er Contractor: Phone:
N�TE:P/ans and supporting documents that you subrrrit are considered to be pubfic informatr`on. Porfions of
the inforrrtafion may be classified as non-public if you provide specific reasons fhat would permit the Ci#y to
canc/ude thaf the are trade secrefs.
CALL BEFORE YOU DIG. Cali Gopher State One Call a#(651}454-UOQ2 for protection against underground utility damage. GaN 48 hours
before you intend to dig ta receive laca#es of undergraund uti(ities. www.400her�ta#eonecall.org
I hereby acknowiedge that this infotmafion is compiete and accurate;that the work will be in canformence with the ord'snances and codes af the City of
Eagan; that 1 understand this is not a permit, but only an applicatio� for a permit, and wark is nat to start without a permit; that the work will be in
accordance with the approved pian in the case of work which requires a review and approvaE of plans.
� Exteriar work authorized by a buiiding permit issued in accordance with the Minnesota State Building Gode must be completed within 180
days of permit issuance.
x i,�� '� X
App(icant's Printed Name Applica s � natur
Page 1 of 3
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P�one;{&51)675-�675 � �
Fax:{8b1}675-5694 3 Sta#�: �
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.._______.__________�
2€�14 ����D�I`�TIAL 8t.��LD[[�� PERMtT APPL[CATIC}I�
Date: jc�—� ,' �� Site Adclress: 3 �� � n�, llnit#:
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�ompa�y: ��#�ct: � i��'�
� Gantract+�� Addre$s: �� �;�' ��r°v. L���- City: �������* �
S#atE: ��} Zip:�� Phone;��'G?i��°�?t7t�mail:_�r�,J�rx�s�f`��+r�,�lj °br'�'1
<1
• �.ice�se#.�('.�� Q,�,� �.eae Certifiicate#:�Zsr� '-t l��,�—i
� - ��`����;�� " �` ��,� _� " `. ' ;�- . �
;:-����`'�'� '�' ,� '�� ,����±�3�°'���`_.
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� �� _ �sE�����t��E��������f�agar�essued a perrrtit:foc a sicr��(a€�ptar�E�ased c�n a master pian?
�Yes .._._No tf yes,dafe and address af master plan:
E,icensed Pl�tmber: P�.
R�ect�anic�l�car�tra�� P�t��e�
Sewer&Water�s�ntrac#or: Phone:
1�QZ"�Pl��c�.�,���.�.��� � �� � �. :� - � ��- , ��.�� -----��� _ - �
F >. _
� "°�. . _ � - � � ,_ � -
� � � � �_ � �'�_ � �
z._ _
x - ,� s - r �� ���� � a�����
= � � ��
���.��,F��� �`���.�� �� ������[���. �ar��cs�.�srs �.��r� e
be�Fc�re you in#end lo dig io rece9ve�at�tes sa�un�ergr��r�#�°s3t��. ��y�t�a ��� T�3���s�i�d��g�. ����q����
1 t�ere�y a�s��t�dge th�t f�is�fi�rrt�t�o�is cc�sr�p�e a�d a�u���:��at�e wo��n"�t�e in�n�omganr�w'�ttae cardin�n�s and�sfes of tt�e�ai�sa�
Eagan;ihat 1 unde�t��c!tir�is no!� pem�it, bat rar��y a�s a�plication€c�r a perrr�it, and war}c is ncs#io slart�nthout a perm�t; fhat i�ee wr�rk will b��n
accordanee with the approved�tan in#he case of wo�k which requires a rev�w an�i sppreival�i pta�s.
Exter�ar work authorized by a buiiding permit issued in accordance with#he Nfinnesota State 6uilding Code rnust be cflmptst�,�;�,�,t�,�
d�y�u#�cm�k.s���c�,
� * . K
Applicar�t's Pc�nted�ia ApplEca s Sign re
Page 1 of 3
,
For Office Use*,
Permit#: /409oci
E AG AN Permit Fee:_ / b612 .40?.5
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD:(651)454-8535(FAX:(651)675-5694 Staff:
buildinginspections(a?cityofeagan.com L
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
j ('� �w
Y�
Date: jIii r0(0— 1$3 Site Address: 3CociP i AID \ WG. E. Qt's Unit#:
Name: :3-9.‘f 1 ce., Q+,.J‘,ilA)jy Phone: (051`088-a40 0
Resident/
Owner Address/City/Zip: 3(090 l 6 `t' 1� 4, r>. P)15 5 1 ca ca
1.
Applicant is: Owner /Contractor
Type of Work Description of work: tm�.C'C'
En e Otic "
o� 3(0 so 3�q LAD; r iQ )
F i Construction Cost g c5�i9 Multi-Family Building (Yes ' /No
` Company: Mu(rcj &inn&VCvCA Or\ ->-nC...Contact M t h )k-lt frlti%� 6
Contractor ' Addrests:'I C)(j l 5 S Noe- City: CIA<2.S 0.-'
y State: t"►x� Zip:553 l g Phone:�i 'q� ' Email: tnarre COnS 1 �cU,rrm/\)-COTe I
1
License# B C 11 a2 Q 5 Lead Certificate#:
I
I If the project is exempt from lead certification, please explain why:
1
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 maybe
classified as non-•ublic if ou provide s ific reasons that would -rmit the Ci to conclude that they are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.cityofeagan.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.qopherstateonecall.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 l\Ai\4.e., ,gc)f co x L��/. /17
Applicant's Printed Name Applica s Signal e 7
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA155753
Date Issued:05/31/2019
Permit Category:ePermit
Site Address: 3690 Widgeon Way
Lot:6 Block: 01 Addition: St Francis Wood 5th
PID:10-65904-01-060
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 -
Janice C Quimby
3690 Widgeon Way
Eagan MN 55123
(651) 688-2426
Murray Construction Inc
10675 Jersey Ave
Chaska MN 55318
(952) 941-7075
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA174492
Date Issued:02/01/2022
Permit Category:ePermit
Site Address: 3690 Widgeon Way
Lot:6 Block: 01 Addition: St Francis Wood 5th
PID:10-65904-01-060
Use:
Description:
Sub Type:Water Heater
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Lee B & Gail M Whited
3690 Widgeon Way
Eagan MN 55123
(651) 699-6623
Service Today
490 Villaume Ave, Suite 300
South St. Paul MN 55075
(651) 340-5956
Applicant/Permitee: Signature Issued By: Signature