3694 Widgeon Way ~ ^7k. . . . .
CITY OF EAGAN 194
' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100 •
BU)LDING PERMIT Receipt
To be used for Est. Value Date r- ,19
Site Address 1~194 'vlA OFFICE USE ONLY
Lot ` Block ' Sec/Sub. ~7~' ~ ~ ' : On Site Sewage Occupancy j 1
Parcel No. MWCC System Zoning
On Site Well (Actual) Const
cc Name `L+FER City Water ~ (Allowable)
3 AddreSS 16~040 0 f++~ Ifr)it AtiyI PRV Required # of Stories
o City VALL.£YPhone ta } Booster Pump Length
Depth
, o Name S.F. Total
~ Q Address Footprint S.F.
~ City Phone APPROVALS FEES
M Engr./Assess. Permit
U
W Name
~ Z Planner Surcharge " '
x Address 310.00
u = Council Plan Review
Q W City Phone
Bldg. Off. SAC, City
I hsreby acknowledge that I have read this application and state that the Variance
information is correct and agree to comply with all applicable State of Water Conn.
Mi.nnesota Statutes and Cj4y of Eagan Ordinances. r Water Meter '
Signature of Permittee Road Unit 7-11,21-4 . GC1
A Building Permit is issued to: Treatment P1
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 TOTAL
CASH RECEIPT
~ ~ ~ •
CITY OF EAIGAN Y
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
'r.. ~
~ DATE 19 RECENED
sr+aM
~ AMOUNT
C
~ 8 DOLLARS
1m
? CASH p-GHECK
FOR • ~ ' Y 'I I ~ i ' (
1 i ~l
t
+t il
FUND !OBJECT AMOUNT
u
- 7 4/-3 ? u
. Thank You
BY
Whfte-Payers Copy
4 " ~ ~ Yellow-Posting Copy ~
~ ` ~ Pink-File Copy
.
~ CITY OF EAGAN 193
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
r PHONE:454-8100 " •
BUILDING PERMIT Receipt # ~ ~ ~p
. To be used for Est. Value €s•s'F ~l? Date ,19 "b
Site Address OFFICE USE ONLY
Lot I Block i Sec/Sub. " 111' ~'U')f: On Site Sewage Occupancy ti-3 ci-1
~`sq MWCC 5ystem Zoning R-'3
Parcel No. On Site Well (Actuaq Const V" 1~i
z Name T1vCi;l_,:1 •,'':AP!' i:(`'.S"1 ;i"C"1';i;i;: CityWater ^ (Allowable) t*_N
z Address ~''~f : PRV Required # of Stories F
0 City'~~g'Lt 1iALL:ilPhone BoosterPump Length
Depth
, o Name S.JE S.F. Total
~ Q AddreSS Footprint S.F.
~ City Phone APPROVALS FEES
¢ Engr./Assess. Permit
~W ° Name ~C~, $i~
~ ZW Planner Surcharge
~ . Address ;~;g -
Q W City Phone Council Plan Review
BIdg.Off. SAC,City iVc; . 00
I,Jiereby acknowledge that I have read this application and state that the Variance SAC, MWCC 550'00
1~
information is correct and agree to comply with all applicable State of WaterConn. J50,00
Minnesota Statutes and GitY of Eagan Ordinances. j Water Meter 67•00
,S+ignature of Permittee Road Unit ~ 4 ~ • 00
A Building Permit is issued to: Treatment P1 204'UO
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 -
~ `CASH RECEIPT
. - .
` CITY OF EAGAN 3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
~
~
DATE ~ • 19
j,
RECEIVED ' -C~L-' ~-C . - C~ CL ~ ~ 7 ~ L..~I~ .
s- ~
AMOUNT $
, 8 DOLLARS
too
O CASH L~ CHECK
n k-1-;
FUND OBJ T AMOUNT
Thank You
BY
r.,, P r._ White-Payers CoPY
r F : Yellow-Posting CopY
_ ` ~ Pink-File CopY
~ ' 9:~2 - ~slo 9 ~
BLDG. PERMIT NO. g3 :.3&
~
01-3210 Bldg. Permit 9 ~
01-3422 Plan Check
~
01-3445 Surch./Adm. ~
01-3446 SAC/Adm.
~ 101-2155 Surcharge
75-3860 Road Unit
T20-2275 SAC
ry
20-3865 Water Conn. ~
20-3868 Water Trmt.
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn. G
28-3855 Park Ded.
TOTAL
. . . . . , T
t a ~
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100 .
BUILDING PERMIT Receipt # ~ ~ s'
To be used for Est. Value ~ ~ ~ ~ ,000 Date ~UN}'• 14 ,19 611-1
Site Address a'•°z''~ ~I~~`~~s~`: OFFICE USE ONLY
h.
° On Ske Sewa Occupancy --3 ri-1
Lot l~t elock I Sec/Sub. 57 i'R4..~xyi, t5 'A~t}~ , 9e
MWCC System Zoning K '3
ParCel No. On Site Well (Actuai) Const y'"N
F'I','zCtiE(d STAPP GY3N5Th.l'CTlIiN Citywater x (Anowable) v-N
oc Name
W PRV Required # of Stories
z Address 14640 GLA?It:R AV4: 401
a Cit '~~'PLE VAI.LEjihone ~~31--35`y1 BoosterPump Length
y Depth 66
~
, a Name S.F. Total
~ Q Address Footprint S.F.
~ City Phone APPROVALS FEES
Engr./Assess. Permit C%~C.GV
a
W W Name ;0
~ W Planner Surcharge
' ~ Address
W City Phone Council Plan Review
Q
BIdg.Off. SAC,City 1~'~
Variance SAC, MWCC 5J0'~
I hereby acknowledge that I have read this application and state that the 5~U. U~
infErmation is correct and agree to comply with al4 applicable State of Water Conn.
Minnesota Statutes and Gity of Eagan Ordinances. I ~ Water Meter 67.00
.
Signature of Permittee Road Unit 5 • ~U
A Building Permit is issued to: VISLli:^:k STAFf` `'6,' ;i'(' Treatment P1
on the express condition that all work shall be done in accordance with all Parks
applicable State of Minnesota Statutes and City of Eagan Ordinances. 1--~-~Q
Building Official TOTAL
CITY OF EAGAN 3§30 Pilof Knob Road, P.O. Box 21-199, Eagaut, fiAN 55121
PHON E: 454-8100
BUILDING PERMIT Receipt #
To be used for Est. Value Date ,19
Site Address OFFICE USE ONLY
~
> J
Lot Block Sec/Sub. On Site Sewage Occupancy '
MWCC System Zoning
Parcel No.
On Site Well (Actual) Const
a Name City Water (Allowable)
W PRV Required # of Stories
z Address
~ City Phone Booster Pump Length
Depth
°oC Name S.F. rotai
,
~ ~ Address Footprint S.F.
P City Phone APPROVALS FEES
~ W En r/Assess. Permit
WW Name 9~
_ g Address Planner Surcharge
Q W' City Phone Council Plan Review
Bidg. 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 WaterConn.
Minnesota Statutes and Ciry of Eagan Ordinances. Water Meter
Signature of Permittee Road Unit
A Building Permit is issued to: Treatment P1
on the express condition that all work shall be done in accordance with all Parks
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official TOTAL
, Permit No. Permft Holder Date Telephone #
Plumbing 9CaL,
H.V.A.C. 35 } i
Electric 6 ~
Softener
Inspection Date Insp. COmmBnts
Footings I 6 ~
Footings II ~a188
Foundation
Framing
Roofing
Rough Pibg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Plbg.
Bldg. Final
Cert.Occ. ~y
Temp. LP
Deck Ftg.
~
Dpck Final
Wel.l
Pr. Disp.
PERMIT #
MECHANICAL PERMIT
CITY OF EAGAN RECEIPT #
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-8100
Site Ad ess t~ ` ' BLDG.~ WORK ESCRIPTION
Lot~'~ock Z .1Sec/ ub
Res. New
Mult. Add-o
? Name 4 4
Comm. Repair
m Addre ~ -
c Ciry 'IMI Phone ~ - Other
~ FEES
Name LRES. HVAC 0-100 M BTU -$24.00
c Addr ss Z yG ` l, lk~ 0 illy ADDITIONAL 50 M BTU - 6.00
p Ciryf~ Phone (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 Fe" 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 $~-r /
.r-~ -
FEE: /j
S/C: ~Q' SIGNATURE OF PERMITTE /
TOTAL:
FOR: CITY OF EAGAN
~
~ . _
PERMIT # y
f PLUMBING PERMIT r( `
• CITY OF EAGAN RECEIPT # - ~ .
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ~CONTRACT PRICE: PHONE: 454-8100
Site Address 94 Y7xa edri l"l;ky BLOG. TYPE WORK DES4ZRIPTION
Lot lock ~ Sec/;Su~ Res. New `
Mult. Add-on
i
~ Name'" or 'ruP ML-chanica3., IY3C . Comm. Repair '
'ia Addr ss t `~t• w• Other '
N ~ e Va:~.l.ey 432-0175
°
c Ciry ~p Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING: ~
FIXTURES ~AL
Name 1'$cher S f Construct3o ~Water Closet - $3.OFi' ~ •
~ Bath Tubs - $4.00 ` •
c Addrss ~ C,1aziPr hvenug ~Lavatory - $3.00 '
o CiryL
3 `~~p~'e V~Z1~-'y Phone 3551 ~Shower - $3.00 •
Kitchen Sink - $3.00 •
FEES -,--Urinal/Bidet - $3.00
COMM/IND FEE - 1% OF CONTRACT FEE Laundry Tray -$3.00 3.00
APT. BLDGS - COMM RATE APPLIES ~Floor Drains -$1.50 •
TOWNHOUSE 8 CONDO - RES. RATE APPLIES TWater Heater -.$1.50
MINIMUM - RESIDENTIAL FEE - $12.00 ~Whiripool - $3.00 3.00
MINIMUM - COMM/IND FEE -$20.00 Gas Piping Outlets -$1.50 1.50
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: ~ Q'~g
STATE S/C: • 5'0
FOR: CITY OF EAGAN GRAND TOTAL: 41.00
: CITY OF EAGAN
j ' 38t30 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
f PH O N E: 454-8100
BUILDING PERMIT Receipt #
To be used for Est. Value Date ,19
Site Address w' OFFICE USE ONLY
Lot Block - Sec/Sub. On Site Sewage Occupancy
~
MWCC System Zoning
Parcel No.
On Site Well (Actual) Const
s Name t i•':;'~' t`i •~•i 1 ~?~i City Water ~ (Allowabie)
W PRV Required # of Stories
3 Address
~ City Phone Booster Pump Length
Depth
, p Name S.F. Total
~ Q Address Footprint S.F.
P City Phone APPROVALS FEES
W W" Name Engr./Assess. Permit
~ Z Planner Surcharge
x ~ Address
~ Z Council Plan Review
Q W City Phone S-
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.
Minnesota Statutes and City of Eagan Ordinances. Water Meter
Signature of Permittee Road Unit -
A Building Permit is issued to: Treatment P1
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 TOTAL ~ "
Permit No. Permit Holdsr Date Telephone #
Plumbing
H.V.A.C. 0 3J
Electric
Softener
Inspection Date Insp. COmments
Footings I l>
Footings II
Foundation -
Framing F2/
Roofing
Rough Plbg.
Rough Htg. isul. Fireplace 10~8 ~ S
Final Htg. ~ 1
Final Plbg. ~
Bldg. Final Cert. Occ.
~
Temp. LP ~ Deck Ftg.
Deck Final
Well
Pr. Disp.
~
r . _ PERMIT # ,
~ ~ 4 f MECHANICAL PERMIT
1 CITY OF EAGAN RECEIPT # ~
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-8100
Site Address -'r~ ~ BLDG. P WORK ES PTION
Lot=,._' Blq,ek Sec/Sub Res. New
Add-on
Name' frzy ' l/- Mult.
Comm. Repair
c~~o Addre~ss, tlt ,~.af L(.-
~ ciry Ac5y n,t'U rt P h o n -7 5115 Other
, FEES
Name 17~' ~"-I - - 0~ RES. HVAC 0-100 M BTU - $24.00
c Addr, ss ADDITIONAL 50 M BTU - 6.00
p City;~(-~-'fF Phonel (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PEHMIT) - 1.50 EA.
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air M BTU 6K APT. BLDGS. - COMM. RATE APPLIES ~ff TOWNHOUSE & CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater " M BTf7 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
FEE: i ~ .!C% j~, ?.,~f~~/ ) ,j,
S/C: 61GNATURE OF PERMITTEE ~
f TOTAL:
~
~ • FOR: CITY OF EAGAN
,
' PERMIT #
' PIUMBING PERMIT RECEIPT # -2~
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-8100
Site Address VidgR',,r)n CA'a BLDG. TYPE WORK DESCRIPTION
Lot 81ack 1Sec/Sub Res. New `
, J,_ • ~ ~-r~ Mult. Add-on
~.!..T" . Y'Up A1eC'P.3Yl Ca Ii']C.
~ Name ~ Comm. Repair
R~
u Addr ss " • Other
c City ~pF'-e Va ey Phone 432'"017 5 RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
N~. FIXTURES ,.a !R~AL
13C @Z' c'~p_ OI18 r[3C O Water Closet -$3.00
Name ~-Bath Tubs - $3.00
c Addr ss-~~ ..ii~iE'~ AV@» _ .
~Lavatory - $3.00
o c~ry pp -e a' ev Phone 431-3551
Shower - $3.00 • Q
-1 Kitchen Sink - $3.00
FEES Urinal/Bidet - $3.00
COMM/IND FEE - 1% OF CONTRACT FEE -~Laundry Tray -$3.00 3.1,10
APT. BLDGS - COMM RATE APPLIES TFloor Drains -$1.50 .50
TOWNHOUSE & CONDO - RES. RATE APPLIES ~Water Heater -$1.50 .
MINIMUM - RESIDENTIAL FEE - $12.00 1 Whirlpool - $3.00 ~ •
MINIMUM - COMM/IND FEE - $20.00 -T-Gas Piping Outlets - $1.50 t50
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 - $1.50
SIGNATURE OF PERMITTEE FEE: 40.50
STATE S/C: .50
FOR: CITY OF EAGAN GRAND TOTAL: 41'00
y CITY OF EAGAN
3830 Pilot Knob Road, N.O. Box 21-189, Eagan, MN 55121
PHON E: 454-8100
BUILDING PERMIT Receipt #
To be used for Est. Value Date ,19
Site Address OFFICE USE ONLY
On 3ite Sewage Occupancy - 5
Lot Block Sec/Sub.
Parcel No. MWCC System Zoning
On Site Well (Actuaq Const "
oc Name .'tl'i: City Water (AUowable)
W PRV Required # of Stories
z Address '
a City Phone 1 1%I Booster Pump Length
~ Depth
¢o Name S.F. Total
.
~ Q Address Footprint S.F.
P City Phone APPROVALS FEES
¢ En r/Assess. Permit
uW WW,, Nam g .
e
Planner Surcharge
_ ~ Addre3s
Q W City Phone Council Plan Review
Bldg. Off. SAC, City
I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC
information is correct and agree to comply with all applicable State of Water Conn.
Minnesota Statutes and City of Eagan Ordinances. Water Meter
Signature of Permittee Road Unit
A Building Permit is issued to: Treatment P1
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks
Building Official TOTAL
Permit No. Permit Holder Date Telephone #
Plumbing C a 9 ~ ~
H.V.AC.
Electric
Softener
Inspection Date Insp. Comments
Footings I 411
~
Footings II
Foundation
Framing
Roofing
Rough Plbg. - G)._ _ fj
Rough Htg. ~
Isul.
17
Fireplace
Final Htg. 31V
Final Plbg. /Yh
Bldg. Final
~
Cert.Occ. ~ 4. DS
Temp. LP
Debk Ftg. 11~/>,
Deck Final
Well
Pr. Disp.
, ~,,,..T,_ . . . . ,
~ PERfv111 #
PLUMBING PERMIT - `
I . •
CITY OF EAGAN RECEIPT # c=
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: - PHONE: 454-8100
Site Address 'i jSlb d E'• on 1`Ta BLDG. TYPE WORK DESCRIPTION
lot 81ock ~ Seci$ub Res. x New
! / , - ` ; - Mult. Add-on
Name" Or 'rup NechaniCa1, InC Comm. Repair
a~
ca Address • • Other
c City~ApPle va~..1e~r Phone 437"d~.75 RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
FIXTURES T.QTAL
T Water Closet - $3.00 9• V
Name s
14640 c er Sta f Constr t. -7-gath Tubs -$3.00 •
c Address 1~~- hygnUgg ~Lavatory - $3.00 • Q
3
o c;H ppZe Valley Phone 51 T-Shower -$3.00 •
1, Ki?chen Sink - $3.00 .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 ~o
TOWNHOUSE & CONDO - RES. RATE APPLIES -y-Water Heater -$1.50
MINIMUM - RESIDENTIAL FEE - $12.00 T-Whirlpool - $3.00 3.00~
MINIMUM - COMM/IND FEE - $20.00 -r-Gas Piping Outlets - $1.50 - 5c
STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIn
(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: 4 0
~n
STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL: 41'D0
, PERMIT # '
' MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-8100 For Office Use Only:
Site AddKess BLDG. TYPE WORK DESCRIPTION
Lot Block ~ Sec/Su
Res. New
~
~ Name ,l " Mult Add-on
Comm. Re air
To AddresS ; , . P
c City Phone Other
~ FEES
Name
RES. HVAC 0-100 M BTU -$24.00
3 Addre ADDITIONAL 50 M BTU - 6.00
p City Phone (pES. HVAC INCLUDES A/C ON NEW
5 CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMI'() - 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 R MINIMUM COMMERCIAL FEE - 20.00
Vent. CFM $ STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # % $ r BEYOND $1,000) •
Other
FEE:
:
S/C: SIGNATURE OF PERMITTEE
'
TOTAL: FOR: CITY OF EAGAN
~
. _ . _
CITY 4F EAGaN Permit No: Date:
3830 Pitot Knob Road Meter No: 71 Size:
P.O. Box 21139 Reader No; 357 23 Date:
Eagan, MNr 55121 '
Owner.
. FTStIFT
Site Address: , _ -
,
Plumber.
}
t
Conn. Chg: 5 Sii.Gt) Zoning: R3
Acct Dep: S. 00 ~ No. oi Units'
Permit Fee:
Surcharge: I agree to comply with 1he City o1 Eagan
Tr. Plant Ordinances.
Meter. ~%4~~ 'W.
Misc.: By
WATER SERVICE PER IT
r,...~
-
CITY OF EAGAN Permit No: Date:
Size:
3830 Pilot Knob Road Meter No:
P.O. Box 21199 , Reader No: Date:
Eagan, MN 55121
Owner.
Site Address: j
Plumber.
i~~,'•,oo~.i9F ~
Zoning:
Conn. Chg: ~
No. of Units:
Acct Dep:
Permit Fee: :
Surcharge: 1 agree to comply with the City ot Eagan
Tr. Plant Ordinances.
,
Meter: '
' Misc.: By
WATER SERVICE PERMIT
' ,,,p~~ Date: CITY OF EAGAN Permit No: Date:
a 3830 Pilot Knob Road B/P Na. ~
P.O. Box 21199 ~
Eagan, MN 55121 j
~
Owner. ` , oC .T~ 5
' Site Address: 3694 d - Pa`~ w$v ~y 31, ~ l
Nort:hlaQ4 "!ec''- ~
Plumber: '
MWCC: 5 50. 00 Zoning'~! '
'
City Chg: 1;Z01, 01 No. of Units: °
Acct. Dep: 1 agree to comply with the City of Eagan ,
Permit Fee: 10. C-01 Ordinances.
Surcharge: 54
Misc.: By
SEWER SERVICE PERMIT
CITY OFFRAGAN; Permit No: Date: ' 1.'.-''•`
3830 Pilol Knob Road Meter No: ~ ~;a~~ Size: ~O
P.O. Box 2.199 gEo: Date: - "
Eagan, MN 5512{~`~~~~
Owner. ,
Site Address:
6eett
Plumber.
Conn. Chg: 550• r:l Zoning: ~Acct Dep: ' No. of Units: ?
Permit Fee: 10 •
Surcharge: I agree to comply with the City oi Eagan
Tr. Plant • Ordinances.
Meter. 0
Misc.: BY ` ep"
i
WATER SERVICE PE MIT ;
;
CITY OF EAGAN Permit No: Date: 3830 Pilot~ Knob Road Meter No: Size:
I
P~O. Box 21199 - Reader No: Date:
Eagan, MN 55121
Owner. ,F.y
b ~ ~
~ u°o 7 51 S t
Site Address: E~iic~
Plumber s'°tlal--g
t.~
Conn. Chg: Zoning:
c r~ ~
Acct Dep: G n No. of Units:
Permit Fee: '
Surcharge: I agree to comply with the City ot Eagan '
' Tr. Plant " `Qrdinances.
Meter. ~ ? e QO
; Misc.: By
f WATER SERVICE PERMIT ~
CITY OF EAGAN Permit No: Y Date:
R 3830 Pilot IFROb Road B/P No: .-U-23 5 Date: 5••~k
w P.O. Box 21199 Eagan, MN 55121
~ Owner: ria}inr Stanf
Site Address: ' < _ ' , , . - - - Plumber: "+orthl amAl e- c i '
55~t.04 - i j
` MWCC: i Zoning,
~ City Chg: 100' 00 No. of Units:
~ Acct. Dep: 15.00
10 . 00 I agree to comply with the City of Eagan j
Permit Fee: Ordinances. ~
Surcharge: • S0
i Misc.: BY
SEWER SERVICE PERMIT
_I
-i
Date:
CITY O' EAGAN Permit No: aG
3830 Pilot Knob Road Meter No: Li -7 elo°~' 9d Size:
P.O. Box 21199 Reader No: Date:
Eagan, MN 55121
;s1,er 5r.apfl
I°.~
Owner.
Site Address: 3~~9~ G7 F~n
Plumber.
Zoning: r'3
Conn. Chg:
Acct Dep: _5. t~f~ No. of Units:
Permit Fee:
I agree to comply with ihe City oi Eagan
Surcharge:
Tr. Plant pt~ Ordinances.
~
Meter. rh?.00
Misc.: By
WATER SERVICE PERMIT
M~.
CITY OF EAGAN Permit No: Date:
3830 Pilol Knob koad Meter No: Size:
P:b. Box 21199 Reader No: Date: -
Eagan, MN 55121
Owner. ~p .-9 r~ -3 ~
Site Address:
Plumber. ' `'rt
~±cY _ r $
Conn. Chg: Zoning:
Acct Dep: No. of Units: `
Permit Fee:
Surcharge: I agree io comply with the City ot Eagan
Tr. Plant Qrdinances.
r~
Meter. '
Misc.: By
WATER SERVICE PERMIT
.
CITY OF EQGAN Permit No: Date:
3830 Pilot Knob Raad Bf.P No: Date:
P.O. Box 21199
Eagan, MN 55121
R ~ . -
Owner.
Site Address:
Plumber: " Y '
MWCC: Zoning•
City Chg: ' f"-~ No. of Units: ~
Acct. Dep: I agree to comply with the City of Eagan
~.(}1{~'i
Permit Fee: Ordinances.
Surcharge:
Misc.: By
SEWER SERVICE PERMIT
x
CITY OF EAGAN , 1519 4
32~30 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT / PHONE: 454-8100 Receipt # 0`I'
To be used for --TDWNH0UsE' Est. Value $118,000 Date JliNE 14 ,19 88
Site Address 3694 WIDGEON WAY OFFICE USE ONLY
Lot 8 Block 1 Sec/Sub. ST FRANCIS WOOD On Site Sewage Occupancy R-3 M-1
Parcel No. 5TH MWCC System X Zoning R-3
On Site Well (Actual) Const V-N
oc Name FISCHER STAPF CONSTRUCTION Citywater X (Allowable) V-N
z Address 14640 GLAZIER AVE PRV Required # of Stories
~ Booster Pump Length 36'
CityAPPLE VALLEYphone 431-3551
Depth 661
, p Name SAME S.F. Total
~ Q Address Footprint S.F.
~ City Phone APPROVALS FEES
Engr./Assess. Permit 632.00
WW
~ Z Name Planner Surcharge 59.00
_ - Address
~ Z City Phone Council Plan Review 316 .00
a W Bidg. 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 applicable State of Water Conn. 550 . 00
Minnesota Statutes and C' of gan Ordin s. 67 . 00
- Water Meter
Signature of Permittee 5; - J~L. Road Unit 325.00
A Building Permit is issued to: ' ISCHER STAPF C T Treatment P1 204.00
on the express condition that all work shall be done in accordance with ail
applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks
~~}l~fE ' "rn~ TOTAL 2,803.00
Building Official j,Ai
' CITY OF EAGAN f, N° ` 1519 3
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
t _ ~ PHONE: 454-8100
BUILDING PERMIT Receipt#" V
To be used for Est. Value $113,000 Date JUNE 14 19 88
Site Address 3696 WIDGEON WAY OFFICE USE ONLY
Lot 9 Block 1 Sec/Sub. ST FRANCIS WOOD On Site Sewage Occupancy R-3 M-1
STH MWCC System X Zoning R-3
ParCel No. On Site Well (Actual) Const V-N
oc Name FISCHER STAPF CONSTRUCTION Cirywater X (Allowable) V-N
z Address 14640 GLAZIER AVE PRV Required # of Stories
~ City APPLE VALLEYphone 431-3551 Booster Pump Length 32'
Depth 54'
°Co Name SAME S.F. Total
.
~ Q Address Footprint S.F.
P City Phone APPROVALS FEES
~CC Engr./Assess. Permit 616.00
u W Name
~ W Planner Surcharge 56.50
= Z Address
~Z Cit PhOne Council Plan Review 308.,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 all aLpplicable State of Water Conn. 550. 00
Minnesota Statutes and ' of Eagan Ordi es. 67 .00
Water Meter 1Signature of Permittee Road Unit 325.100
A Building Permit is issued to: FISCHER STAPF AIAT Treatment P1 204.100
on the express condition that all work shail be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks
,J TOTAL 2~~~6'Sn
BuildingOfficial
't .
CITY OF EAGAN Nb 1519 2
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT / 61C 3'p/-e ~ Receipt #
To be used for Est. Value ,117,000 Date JliNE 14 1 g 88
Site Address 3698 WIDGEON WAY OFFICE USE ONLY
10 1 ST FRANCIS WOOD On Site Sewage Occupancy R-3 M-1
Lot Block Sec/Sub. MWCC System X- Zoning R-3
Parcel No. 5TH
On Site Well (Actual) Const V-N
¢ Name FISCAER STAPF CONSTRUCTION City Water X (Allowable) V-N
z Address 14640 GLAZIER AVE PRV Required # of Stories
3 Booster Pump Length 40'
0 City APPLE VALLEYhone 431-3551
Depth 66'
°oC Name SAME S.F. Total
,
~ Q Address Footprint S.F.
~ City Phone APPROVALS FEES
~cc Engr./Assess. Permit 630.00
~
W W Name 58.50
Planner Surcharge
= Z Add~eSS
Q Z City Phone Council Plan Review 10015.00
W Bldg. Off. SAC, City
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 al applicable State of Water Conn. 550 . 00
Minnesota Statutes and ' o Eagan Or ' nces~ Water Meter 67.00
Signature of Permittee
Road Unit 325.00
A Building Permit is issued to: FISCHER STAPF ST Treatment Pi 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
~q~i~p ~~pJII ~r TOTAL 2,799.50
Buildin9 Official ae~,~ ,
CASH RECEIP-i'' ' ' . ~ ~
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
f1
DATE 19
Rr ~F~N
- ,
AMOUNT $
& DOLLARSioo
? CASH ~ CHECK
v
~j'
FUND OB.J T AMOUNT
Thank You
BY
White-Payers Copy
84 Yelbw-Posting Copy
Pink-File CopY . .
.
v. I ~ iu . . . . . . . ; _ _
} In Y,. ,
. A ..i ..N . , „ ' y
t e L `R,u~'~?'y,~_v,p~''n~: ~ Ar t~9&p~y ,3~; _ !"..,,Y. a L .y." h ~ •s
. X~/
BLDG. PERMIT NO. /-:0 4~:_3~ ~ l~
~h-
V
01-3210 Bldg. Permit
01-3422 Plan Check 7 •
01-3445 Surch./Adm.
10.
01-3446 SAC/Adm.
01-2155 Surcharge
v~ 75-3860 Road Unit C)
yT.
20-2275 SAG
r'!
20-3865 Water Conn.
20-3868 Water Trmt.
3?i
~ 20-3716 Water Meter
20-2252 Acct. Dep.
~
20-3713 Water Permit
A
20-3743 Sewer Permit
~ 79-3866 Sewer Conn.
28-3855 Park Ded.
~
TOTAL
;
~ : . . . . .
- : .
° tASH RECEIPT
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
~ vr~oM~\~ J~/ ~-Ci ~..CL.:f~ ~ /f ~7L~'i'~~ I~"CC.~. •
.r--
AMOUNT $ S~I 3 ~J g ~ ~l
/
& DOLLARS
iou
? CASH ~ CHECK .
Li2n Cc..> f?~r
FUND OB,)EGT AMOUNT
Thank You
BY
White--Payers Copy
~'t ~ tl 2} t 3 Yellow-Postin9 CoPY
Pink--File Copy, .
~5 y .
^e S ' . r . , . .
, ' , ,
ry
k t ,
Y[ k ,
b'
( T
T ~
Y~1 W'n 4 ~5j~ ~ h"4Y a•~~•"k'•.xr~' ~~,,r~ Y~'S2 .x 4 ' J ia r
~sp st i a"t r
BLDG. PERMIT NO.
ty4'~ ``T'
t~`~; 1 "sCl~ • ~7%GcYilt~Ci~(j,,c~.f
01-3210 Bldg. Permit ~
01-3422 Plan Check
' 01-3445 Surch./Adm.
01-3446 SAC/Adm. Q
~
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 Permit
~ 79-3866 Sewer Conn. ...5
>b
28-3855 Park Ded.
~
u~ •
u"
~ TOTAL
.
7 -
~
Texfi#traft uf (Orrupanry
Citp of Cagan
flrpar#mrn# nf Builaing Jnsprrtina
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 reguladng building construction or use: For the following.•
Use Classificauon Bldg. Permit No.
Occupancy Type Zoning District Type Const.
• C - - ; ~ ^ n i r~ , r - -
Owner of Hw7ding' Addreu -
Building Address I.ocality
~ . - -
' . . . . .r DBIC' Buildiog 0[ficial~' h
POST IN A CONSPICUOUS PLACE
. w j
(Itr#i#iratt uf Mrruvttriry-
titp of (tagan
Dppart1ltMtf D# llitlbtttg JpPtftAYl
This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building
Code cenifying that at the time of issuance this structure was in compliance with the various
ordinances of the City regulating building construction or use. For the following.•
use classircaeon SF IX+1GIGAR smg. Pennit No. 15192
Occupancy Type R3 1 Zoning District R3 T Const VN
FI9Ct~R STAFF ,,O~tS7I~TCTI01~dd~~ 14640 (~AZI~R AVF21[TE, APPiE VAI~'Y
Owner of Building 9 WIDGE~Q WAY L 0, B. ST. ~IS 6J0W 5TI
Bwld~i +ddress - I.ocality i ~
DECMM 12, 1989
Date:
~ suaaine officiat'-
POST IN A CONSPICUOUS PLACE
t
, . .
• ' .A7~'
~ .
~ . ~~r#tfir~tf.e uf. ~rr~t~~tnr~
,
_ ~Citp of eagan
~ Er~artttrnt n# Builbing Jns,pprtinn
- , _
This Certificate issued pursuant to the requirements of Section 306, of the Uniform Building
Code cenifying that at the time of issuance,this structure was in compliance with the various
ordinances of the City regulating building construction o6- use. For the fo[lowing.•
Use Classification TOWNEi0U5E Blag. eemi;t No. 15193
Occupancy Type R-3 M-1 Zoning District R-3 T Const. V-N
Owner of Huilding FISLHER STAPF Addrm1..46k0 GLA,IER AVSIdUB Building Address _3696 WIDGEON WAY ~liiy _ Lg , Bl,
_.S~'P FRAN~^?IS WOOD Sth
~
Date. November 13, 1989
Building Official \1.
POST IN A CONSPICUOUS PLACE
This request void
18 months from ~ d
E - 4 2 0 9 . 'Request Date lFire No. Req ired7lnsUection EIReady Now$Will Notify. Inspec-
6 - ,7p Yes ? No [or When Ready
~ Licensed Electrical Contractor I hereby request inspection of above
Owner electrical work installed at:
Street Address, 8ox or Route No. CitY
31, ~r K Gc) e PGF.-d~ isq-6wdl;--j
ecUOn o. Township Name or No. Ra ge No. County
P"¢-/GO CrX~'
OccuGant (PRINT) Phone No.
Power Supplier Address
T)agKOT71"
Electrical Contractor (Company Name) Contractor's License No.
M fts Tp-.,R- fiGE GG D ~!o'
Mailing Address (Contractor or Owner Making Instailation)
l o~ v6 41~~ A's :~o
Authorized Signature (Contractor/Owner Making Installation) Phone Number
1~19-o r 3 SS
MINNES A STATE BOARD OF ECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bidg. - Room N.191 BE ACCEPTED BY THE STATE BOARD
1821 Universitv Ave.. St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTlON .r-. Es-00001-06
,
See instructions for compieting this form on back of Vellow copy. 4,
E' 4.,-70- 9 "X" Below Work Covered by This Request
eww Add ReD• Type of Bailding Appliancea Wired EquiUment Wired
Hbme Range Temporary Service
Duplex Water Heater Liyhtin,y Fixtures
Apt. Building Dryer Electrii; Heatin
Commercial Bldy. Fumace Silo Unloader
Industrial Bidg. Air Conditioner Bulk Milk Tank
Farm Other Speci Y Olher (SPer.ify)
he,, Other Other
7
ompute Inspection Fee Below
# Fee Service Entrance Size tt Fee Feeders/Subfeeders # Fee Circuits
Z-' 0 to200Am s 0 to30Am s Z-'{- Oto 30Am s
Above 200 qmps~ 31 to 100 Amps 3 / - 31 to 100 Am s
Swimming Pool Above 100_Amps Above 100_Amps
Transformers Irrigation Booms Partq,al
Signs Special Inspection $ e
70T Remarks Rough-in I, thIns
py
certibove
Final ~e~ inspeen
T madeThis request void 18 months from
; ~ ~
~Q~24C33
~ 8 . r,cJ~ ao
Request Date Fir o. Rough-in Inspection Required Ins ection Other Than Rough-In
Q^~S (You must call inspector when ready) ~ Ready Now ~ Will Notlly Inspector
-~l~ ? Yes No IDate Read
IMlicensed contractor ?owner hereby request inspection of above electrical work at:
Job Address (Street, Box or Raute No.) City
zKogq
Section No. Township Name ckNo Range No. County
Occupa, (PRINT) Phone No.
~
Power Supplier Address
Electrical Contractor (Company Name) Contractor's License No.
A~vz C- C~e
Mailing Address (Coniractor or Owner Making Installation)
O,P0 4~ l~ J ~ SS a
Authori Signature (Contract dOwner king Installation) ~ Phone Number
, ~-I a3- t13 i
MINNESOTA STATE BOAR F ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Grlggs-Midway Bldg. - Room 5-126 BE ACCEPTED BY THE STATE BOARD
1821 Universlty Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 0 ENCLOSED.
EB-00001-09
ffo 2l q REGIUEST FOR ELECTRICAL INSPECTION
L 3 3 ~ See instm•- ins for completing this form on back of yellow copy.
n 4%Below Work Covered by This Request
Ne Ada- - Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Industrial Furnace Other S ecif
Farm Air Conditioner
Other (specify) Contractors Remarks:
Compute Inspection Fee Below: 0 IF
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Am s
Transformers Above 200 Amps Above,100 Am s
Signs inspector's Use Only: \ 'TOTAL
Irrigation Booms Fw 1 i~~
Special Ins ection
Alarm/Communication THIS INSTALLATION MAY BE ORDERE DISCONNECTED IF NOT
Other Fee ~ COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rough-in _ Date
certify that the above inspection has Final Dat
been made.
OFFICE USE ONLY
This request void 18 months from
This rectuest void/~/~d Q/„~~j /
18 months from 4 ~J
E ' 4208 Lga ~ ~ ,5~="'
7n6 e Fire No. Rough-in Inspertion
Required? ~Ready Now ~ Will Notify_ InsPec-
y° t.6 - 9 k QY es [NNo [or When Ready
~ Lice`nsed Elec[rical Contractor 1 hereby request inspection of above
? Owner electrical work installed at:
Street Address, Box or Route No. City
~ 10 17 l.j t G-E.c+.v ~ J506-00'J
ecuon o. Township Name or No. Range llilo. County
.0
rw-
Occupdnt (PRINT) Phone No.
/.s CJt - Sr ~t,?~,~.~i 3/ - 3 5".S'/
Power Supplier Address
P-4-Ko f.~~~ iG .C' .~r .vG7Zt~? •
Electrical Contractor (Company Name) Contractor's License No.
~'1,0t 5m. -a fcf-erx-;t O O? -3
Mailing Address (Contractor or Owner Making Instailation)
6 f- A/`f-
Authorized Signature (Contractor/Owner Making Installationl Phone Number
f%Qo-35~5
MINNESOTA STATE BOARD OF EL TRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room N.191 BE ACCEPTED BY THE STATE BOARD
1827 Universitv Ave.. St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
REQUEST FOR ELECTRICAI INSPECTlON rr« Ee-00001-06
See instructions for completing this form on back of yellow copy.
`E 4208 "X" 8elow Work Covered by This Request
Add Rep. ";ype of Building Appliances Wired Equipment WireA
Home Range Temporary Service
Duplex Water Heater Lightin,y Fixtures
Apt. Building Dryer Electric Heatiti
Commercial Bidg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm Other SPecify Other (Spr,r.ify)
ther SVecify Other 01her
ompute lnspection Fee Below
q Fee Service Entrance Size M Fee feeders/Subfeeders # Fee Circuits
0 to200Am s 0 to30Am s 0 to30Am s
Above 200 Amps~ 31 to 100 Arnps 31 to 100 Am s
Swimming Pool Above 100-Amps Above 100_Amps
Transformers Irrigation Booms Partiap
Signs Speciailnspection $ TARerr~rks Rough-in Date Inspeccertify Final Date inspecmade.
44 This request void 18 months from •
This request void~
18 months from
E 4 2.1' 0
Request Date ' - ' Fire No. Rough-in Inspection
Requ~red? 13Ready Nuw;XWill Notify.lnspec-
~p ~ lp "5,~ es ?No tor When Ready
~ Licensed Electrical Contractor I bereby request insvection of above
? Owner electrical work installed at:
Street Address, Box or Route No. City
- 56 ~
9~_ Gj " C)11_J/fLq
eciwn o. Township Name or No. Range . County
F~~74`d
Occupant (PRINT) Phone No.
FscIfEr- 6e_e"11 , y3,1
Power Supplier Address
Electrical Contractor (Company Name) Contractor's License No,
/1i1hl-5 77-o2 i5l~ c
Mailing Address (Contractor or Owner Making Instailation)
A ~16 A/r :~-e
Authorized Si nature (Contractor/Owner Making Installation) Phone Number
MINN SOTA STATE BOARD OF E TRICITY THIS INSPECTION REQUEST WILI NOT
Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD
7821 Universitv Ave.. St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTtON .r.. Ee-00001-06
? S~S45ln
See instructions for completing this form on back of yellow copy.
E` 10" "X" Below Work Covered by Thrs Request
Nev4Addj Rep. Type of Building Apptiances Wired Equipment Wired
- Home Range Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt. Building Dryer Electrie Heatin
Commercial Bldg. Furnace Silo Unloader
' Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm Otner Specify othe, (suecify)
a Other Oth(ir
ompute lnspeciion Fee Below
q Fee ServiceEntranceSize fl Fee Feeders/Subfeeders # Fee Circuitsj 0to200Amps 0to30Am s 0to 30Am s
Above 200 qmps31 to 100 Amps 4~1 31 to 100 Am s
Swimming Pool Above 100_Amps Above 100_Amps
Transformers Irrigation Booms Partial- ee
Remarks Signs Special Inspection sd TOT (FEE
_ . ~ . oU
Rough-in Date 1, the E Inspector, hereby
4Y certify that the ahove
Final inspection has been
made.
This request vofd 18 months from
/
This request void //0JF7
18 months from <<~/ l E 4 2 11
Request Date Fire No. ~Reqghedn?lnspection ~Ready Nuw ~II Notify_ Inspec-
(p Yes ?No or When Feady
r%A Licensed Electrical Contractor I hereby request inspection of above
~
Owner electrical work installed at:
Street Address, Box or Route No. City
' ' GP~IDG~~onl 4LIO-Z ~'i~14J
ection o. 7ownship Name or No. Range No County
D ST/~
Occupant (PqiNT) Phone No.
Power Supplier Address 10,
/
779- ' ~}Ko "--G
Electrical Contractor (Company Name) Contractor's License No.
6Z~C;-l-P7'/ cr d O 7
Mailing Address (Contractor or Owner Making Instailation)
l /6
Authorized Sig ture (Contractor/Owner Making Installation) Phone Number
f-ga - 3 S s 5'~
MINNESOTA STATE BOARD OF ELEC RICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room N.197 BE ACCEPTED BY THE STATE BOARD
1821 Universitv Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
& lC ,T 9 REQUEST FOR ELECTRICAL INSPECTlON .c-. Es-oooo~i/-os
.._,1_ _i ~ See instructions for comDleling this form on back of yellow copy.
E i 4211 _ "X" Below Work Covered by This Request
Nim AAd Rep. Type of Building Apptiances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Liyhtin,y Fixtures
Apt. Building Dryer Electrie Heatni
Commercial Bldy. Fumace Silo Unloader
Industrial Bidg. Air Conditioner Bulk Milk Tank
Farm othrr SPerify othe, (snecity)
6_ Other (lther
ompute lnspection Fee Below
# Fee ServiceEntrenceSize t! Fee Feeders/Subfeeders # Fee Circuits
y~ 0 to 200 Amps 0 to 30 Am s P-11 0 to 30 Am s
Above 200 Amps~ 31 to 100 Amps 3 S~ 31 to 100 Am s
Swimming Pool Above 100_Amps Above 100_Amps
Transformers Irrigation Booms ~$'p Partial-' ee
Signs Special Inspection L~5e TO AL F~EE
Rerrv~rks ~
Rough-in P641 I, the ctri
Inspector, ereby
certify that the above
Final s ~ il inspection has been
~ made.
This request void 18 months from
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681 4675 T ~
New Construction Reauirements RemodellReoair Reauirements
• 3 registered site surveys showing sq. ft. of lot, sq. k. of house; and all roofed areas • 2 copies 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.) • t site survey for exterior addiGons & decks
• 1 set of Energy Calculations • Indicate if home served by septic system `or addibons
• 3 copies of Tree Preservation Plan if lot platted after 7/1/93
• Rim Joist Detail Options selection sheet (bidgs with 3 or less units)
DATE dD VALUATION19 /,5r, v~--
Wjcrk~_
SITE ADDRESS s3V[~ 1 O "-v` "'ff MULTI-FAMILY BLDG Y _ N
TYPE OF WORK 2C 2 ac:,~ 'r-vr c FIREPLACE(S) _ 0_ 1_ 2
APPLICANT lJ c,r A S1 ` s ~ /I Q n, e s TJ C ~ 2_
S7REET ADDRESS e, v,~ 6 v 5 i y CITY/3wr•.~S J; i/, STATEXI,.-~ ZIPEI3J')
TELEPHONE CEII PHONE # 4-La -344-522 ~ FAX # ~ S2 4
~
PROPERTY OWNER /-~s ° e o v L~ , ~ /D c,, d dm t J TELEPHONE # / - 213k
I.J
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category
_ v1INNES0"1':1 R['I.1:S 7670 CA"CEGORI' 1 MINNESO'I'.1 RL'LES 7072
(4 submission type) • Residential VentilaGon Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Piumbing Contractor: /Ij /9- Phone # ~
Plumbing sysCem includes: N Water Softener _ Lawn Sprinkler Fee: 590.00
~ Water Heater ~No. of R.I. Baths
No. of Baths
Mechanicai Contractor: /9 Phone #
."VIcctivlic11 syslctii incluclcs: _ Air Conditioninnv Ff:C: 570.00
Hcat Recovcry Syslrtii . ,
r ,
;
Sewer/Water Contractor. Phone #
r ~
-7.?
I hereby acknowledge that I have read this application, state that the information is c6rrect, and agree to comOly
I._
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
ooool
Signature of Applkant ?
L C
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY .
? 01 Foundation O 07 05-plex O 13 16-plex ? 20 Pool ? 30 Accessory Bldg
O 02 SF Dwelling D 08 06-plex 0 16 Fireplace ? 21 Porch (3-sea.) O 31 Ext. Alt - Multi
? 03 01 of _ plex 0 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) 13 33 Ext. Alt - SF
0 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex 0 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Pibg_Y or _ N 0 25 Miscellaneous
? 31 New O 35 Int Improvement O 38 Demolish (Interior) 0 44 Siding
? 32 Addition 0 36 Move Bldg. ? 42 Demolish (Foundation) 0 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bidg)' ? 43 Reroof O 46 Windows/Doors
? 34 Replacement *Demalition (Entire Bldg oniy) - 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 INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) FinaUNo C.O.
^ Footings (addition) _ Plumbing
Foundarion HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By , Building Inspector
- - - - - - -
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S8W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search ~
Copies
Other
Total
1
SAINT FRANCIS WOOD 5TH 65904 APPROVED 12/86
PERMIT
DATE &
TVPF i.nTBL AnnuFSS
4i87 4-PLEx 010 01 36$2/ WIDGEON WAY 020 01 3684/
030 01 3686/
040 01 3688
050 01 COMMON AREA
10i88 DuP 060 Ol 3690/ WIDGEON WAY
070 01 3692
6i88 3-PLEx 080 01 3694/ WIDGEON WAY
~ 090 01 3696/ ~
100 01 3698 _
_.r.-
11i92 s-PLEx 010 02 3697/ WIDGEON WAY
10i89 020 02 3699/
10i89 030 02 3701/
tzisa 040 02 3703/
11/88 050 02 3705
6/90 s-PLEx 060 02 3695/ WIDGEON WAY
9/90 070 02 3693/
4/94 080 02 3691/
4/94 090 02 3689/
4/94 100 02 3687 '
110 02 COMMON AREA
7/94 4-PLEx 120 02 3685/ WIDGEON WAY
7/94 130 02 3683/
7/94 140 02 3681/
6/93 150 02 3679
16
w
• -
~
1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS ~
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVE;i, 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 3
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
CONIIMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS HIN g~
5,~-r---€
To Be Used For: Valuation: ~i Date: co g ~ g
Site Address .OFFICE USE ONLY
/
Lot ~ Block / On site sewage Oecupancy -3 /4r1-f~ MWCC system Zoning R-3
Parcel/Sub On site well Actual Const V-N
City water ? Allowable y_n/
Owner PRV required # of stories
Booster Pump Length ~
Address 1 ~G vO Depth
S.F. Total
City/Zip Code Ai!/. S"S Footprint S.F.
Phone APPROVALS FEES
Contraetor/-,-- Engr/Assess Permit 432.00
Planner Surcharge 00
Address Council Plan Review 316. t>o
Bldg. Off. SAC, City IDo. av
City/Zip Code Variance SAC, MWCC ,o, Oo
SS/~ Water Conn 0, oa
Phone V31 - 35S / Water Meter 617,00
Road Unit ?ZS, Oo
Arch./Engr. zLcl~ Treatment P1 O .Oo
A ~ ibl aD~ L~~ Z Q~~ Parks
Address /00 0 Copies
Seaa~Y.
. City/Zip Code 7 ~Or~h TOTAL 28010a
.
Phone # ~2 - 3 DOO
\
~
Yv10-~? ~ ~ J 12, 7 3~
•i ; . .
y(y.Al
~~~~Y~ }A~! W~ ~t•
9 c"~" ° T
161 lk $'C) y D
~wP
lll`1M3
~
1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
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 BOILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL [JNITS FOR SALE UNITS # OF UNITS -3
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCIJLATIONS
CONMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS „J N 9 19881 .
s - ~ ~ ~pwH o 4~,~.
To Be Used For: Valuation: I'i467 Date: 6e~
Site Address 34 96 11 3, D~ ~ OFFICE USE ONLY
Lot ~ Block ~ On site sewage Occupancy
J l n s~ MWCC system ? Zoning
Pareel/Sub F,~.a--~ Glso-o~ On site well Actual Const V- I'I
n City water ? Allowable
Owner PRV required # of stories
Booster Pump Length ,3ZT-
Address Depth R' S.F. Total
City/Zip Code Footprint S.F.
S~f2e/
Phone APPROVALS FEES
Contractor &14x Engr/Assess Permit /b, °s
Planner Surcharge 5~,50
Address 4l0 C'G~• Couneil Plan Review $,oo
Bldg. Off. ~~G/I4SAC, City ! DO.oo
City/Zip Code .Variance SAC, MWCC 550, Oo
Water Conn 55D.
O~
Phone ~3 3 s s r Water Meter 62 °o.
Road Unit 2 j, OJ
Arch./Engr. £ Treatment Pl 20y ,Qo
y ~ - Parks
Address /p 60 Copies
TOTAL Z r1~1(o, Sv
City/Zip Code ' , , MODt-:-" Z'41 ~
V32 - 1~00o s`S3~'7
Phone 4i
YALtAA-T t ON
~ k
,
~~iPj? ' ` ~ ' '
rZ7+ ~ zq= 5Z.8
~x - kf
S~ X ly-- '?osc
I T~
u3
~ ~ ~ 1~)?-
, 9D8 X i3 = 11''} e~r~
~
f` ~JQ~
s
2 Y-~~
n0
2~fKL3=~5~
?
9to y L{ cl= qiozc)
~
.t.~
1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
~
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTEs 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 IINITS FOR SALE UNITS # OF UNITS ~
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
CONMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS x,~'~, ";l 4_ ~ w ~
To Be Used For:- - Valuation: Date:
Site Address )I7' 000. OFFICE USE ONLY
Lot Block ~ On site sewage Oceupancy ~ 3/?'~- ~
MWCC system ,i Zoning R-3
Pareel/Sub ~•~i~-w~- ~a-o-~~ On site well Actual Const V-N
City water vAllowable V-N
Owner PRV required # of stories
Booster Pump Length - y~-
Address /5el~ ~a • Depth 66'
S.F. Total
City/Zip Code Footprint S.F.
t~ sf~z e1
Phone 7 3/ - 3s.S1 APPROVALS FEES
Contractor Engr/Assess Permit
Planner Surcharge .,50
Address % y O ~Q Council Plan Review 3',D o
Bldg. Off. ./1¢SAC, City OU, O
City/Zip Code Variance SAC, MWCC O.00
Water Conn ,Da
Phone Water Meter 00
Road Unit 32.S.00
Areh./Engr. ~ Treatment P1 20y,o v
]Vl ovEL. I i~ Par`ks
Address n ~i!' Copies
~ f I^ TOTAL 2 r1 R q, S v
City/Zip Code
Ss33'7
Phone 4i
i
"
A l_...Lk A;-J'I
.
GAR
X z2 = y y~ X 14= 6 i 64
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34
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1437. X 13~ IS~l~
Isr ~„~oe
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S Y
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1 4-n- xf9 ~&167
b'
2 w D Fuo or/?-
ZZXzfl- 44u
3 X ?v
4 58 x y9 = ZZu4
Z,
il~~4G
~
fiSHEJ2 Am,-F CowST.
IloQ C ~i553O,f
~ N I N E E(~ I N(~ ~ piIiIIIiEns tina i~nNa SiunvEVOns '
. COMPANV, INC.
,{OOQ EJlST 146th SIREET, BUnNSY(LLE , u1HNESOTA 55337 PII 44 33 2-3(03 00
io, f3LOC.K 5'T. FRW/CiS kVooD .STN
• ADDIT/o/V, ,dAKOTA CDUNTY, M/NA1ESoT.9
=zD OENoTES Ex/STiivG E1EV4 7'10A/
C898, 5) pL5'N07~5S PROP09E0 ELE I/4 T/Oil/ PO I L.I D
uu1L= 9~87
r--' 1NDIC47'95 DIREC T1aN oF SURF~j- E 0RAIA1,46E
898~$3= F/NISNED 6ARAEE FLaoR ELEti~>TioN
(89L,o~ i1
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6l^lfn 9~
a • .71
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2 p o ~89 e, 5~ o W i2•~~ ~ C '
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V' p~ p ~ g rn ~ ~ cp N C~1R~(oE ~ N~ rq I
00
30.00
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-
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12.60
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~ Sqe,s 3¢00 ct,
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~ / ~ll g£~° 3~' 32"E
894 .71- 1°
30 /
DRAINAGE AND ~89Z]
uT/Ll~ ~.SF~ENT ~i1'51~.
I her.by csrtity that thia ia a t:ue and corrnet rep"eentition~~~ a tract ot
land as thoxn'tind deecribad hereon.. Ae prepared by mn nn this day v[
t~vaE ~ 19 8 6 . •
liinn o llea , Ho, 160B
~
x~xxx~xxwxxxxxxxx~~xxxxxxxxxFRxxxx=xx.
*
f APFLI~ATION FOR PERMIT *~TE= PA~TP OF FEE AT TIME OF *
* APPLIcMoN mES Nar coN- *
* STITUR'E APPR('iJAL OF PII2MIT. *
INSPDGTION OF SEwIII2 ADID/OR WATII2 *
SEWER AND/OR WATER CONNECTIQN ; INSTALLATIo~ WILL NOT BE SCEDULED*
1 • • * C!NIIL PII2NIIT HAS BEEN APPROVfD. *
,t,t*,r,rr,r*,t,r*+,t,r*,t,r***,r*,r*t*,t***,t+.****,r*
~arjan
(PLEASE PRINT
1) PROPERTY ADDRESS : 3 & 4N (,J i d CG+ ra 'j Zv a r/
T,FY;AT, DESCRIPTION: . .
Lot Block Sub ivision or Tax Parcel ID )
IF EXISTING STRLiCTI.1RE, DATE OF ORIGINAL BLILDING PE2MIT ISSLANCE:
Mont Year
PRESENT ZONING/PROPOSID USE:
Q COMN1gtCIAL/RETAIL/OFFICE R-1 SINGLE FAMILY
Q INDLSTRIAL ~ R-2 DLPLEX (TWo Cnits)
~ INSTITLTIONAL/GOVERNMENT ~ R-3 TOWNHOL~SE (Three + L'nits) ( Lnits)
Q R-4 APARTNENT/CONIDOMINIL'M ( Lnits )
2) NANE: S~s ~J ~au rua.~
~
' ADDRESS : W 1 7 n rY s? ? Lv ~
CITY, STATE, ZIP: Ga 0 AL4
PHONE :
For City Lse
3) NAME: I hoC~ Plumbers License:
Active
ADDRESS : °`7 &yp Expired
CITY, STATE, ZIP: Z_-* U L 1- CC Not recorded
PHONE: q3Z-. 0f-,_S:- TER LICENSE #I Staf Initial
4) 1VANE: ~'iS !~~>2 4 rra, J~ ~F?
ADDRESS:
CITY, STATE, ZIP: ~CJ ~~lJl, ii l) /4 LC vl l'V
PHONE:
5) s ~ a • ~e ~e
f_V? CONNECTION TO CITY SEWEF2 CONNECTION TO CITY WATER ~ OTHER
6)
*
* THE GOLD COPY OF THE PEE2NIIT WILL EE SEUr DIRFX.'TLY Zb PUSLIC WORKS TO FACILITATE NIE.'TIIt PICK-UP. *
* PLEASE ALLOW ZWO WORKING DAYS FOR PROCESSING. SONIDONE FRONl TM CITY WILL CONTACT YOL IF TFIEf2E *
* ARE ANY PRORI.IIMS. *
~**Y**t*Y*kk**~t*~F**iFiPiF*Ykk***k**k****it**kicitYlr~ek*k**k**k~ekyt****ie*tk******Ic~lr*~F***yF*1ric*iF*******~r*ir****';
' t
:"FOR CITY USE ONLY ~y ~PERMIT # ISSL?ED
Pd w/Bldg. Permit FEES:
$ $ /Q S 0 SEWER PERMIT (INCLUDE SURCHARGE)
$ $ WATER PERMIT ( INCLLiDE SURCHARGE )
$ i 7• D Z~ $ .
WATER METER/COPPERHORN/OLiTSIDE READER
$ $ WATER TAP (INCLLiDE CORPORATION STOP)
$ $ SEWER TAP
$ $ /S ACCOUNT DEPOSIT - SEWER
$ C9Z~
$ /S ACCOUNT DEPOSIT - WATER
$ wAC $ C~C) S sAc
$ $ TRLiNK WATER ASSESSMENT
$ $ TRLiNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRLNK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ WATER TREATMENT PLANT SLRCHARGE
$ $ OTHER:
0 v TOTAL
~ QC
_RECEI T~~ RECEIPT~ ~ ~ -
DOES LTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
~ YES IF YES, THEN A"PERMIT FOR WORK 6VITHIN PLiBLIC
ROADWAY" MLST BE ISSUED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
.
APPROVED BY:
TITLE:
DATE :
~~x>..xxxxxxxxxxx~xxx>xxxx.R.xxxxxxxAPFLiC"ATION FOR PERMIT *NOTE= pAYNJENT OF FFM AT TIME OF *
APPLICATION DOES NOT CON- *
STI4[TIE APPRGJAL OF PERPIIT. *
3.' # *
SEWER AND/OR WATER CONNECTIQN * ZNSPDLTION OF SE,SCt AHID/OR WATER
F= INSTIIT LATIONS WII,L NOT BE SCIDULID *t
• • * i!NI'IL PII2MIT HAS SFEN APPROVID.
v *****+****,r,?,r#**,r*,r,r+r*:*****,r****,r**,r,r
C:
city oF eagan
(PLEASE PRINT
1) PROPERTY ADDRESS :
T•F7GAT• DE.SCFtIPTION: . .
Lot Block S division or Tax Parcel ID )
IF EXISTING STRLiCTC]RE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE:
Mont Year
PRESENT ZONING/PROPOSID USE:
~ COMNIEE2CIAL/RETAIL/OFFICE R-1 SINGLE FAMILY
Q INDLSTRIAL Ej R-2 DLPLEX ('itao L~nits )
~ INSTITqTIONAL/GOVERNNENT R-3 TOWNHOLSE (Three +.Units) ( Lnits)
R-4 APARTNIENT/CONDOMINILM ( Lnits)
.
2) , „'UO(O-AZA1 NANE: 9 7,9 -j
ADDRESS : 31
&a f~v rr ~-J eA.A:a
CITY, STATE, ZIP:
PHONE :
For City Lse
3) ' W6: R+"A NAME: ,~J~to~, ,[~i> ~i-fi-~a •Js ~~c~ i ~ Plumbers License:
Active
ADDRESS:
Expired
CITY, STATE, ZIP: 14 L) A j,~ Not recorded
PHONE: Z.- 1012 g MASTER LICENSE #;a S~Y3 Qil . StafT -Ini a~
4) ~ e a~• NAME:
ADDRESS: CITY, STATE, ZIP: ,q ,f a A LL17 ~ nJ -
PHONE:
s ~ q~ . • ~ t a+~
5)
~ CONNECTION TO CITY SEWER Q CONNECTION TO CITY WATER ~ O'IHER
6)
*
* THE GOLD COPY OF THE PERMIT WILL BE SEDTr DIREC.'TLY TO PUBLIC WORKS 'Io FACILITATE METIIt PICK-UP. *
* PLF.ASE ALIAW TWO WORKING DAYS FOR PROCFSSING. SOMONE FROM TM CITY WILL -CONrACT YOL IF MRE *
ARE ANY PROBIEMS. *
ic**************************************************************************************************i
: FOR CITY USE ONLY ~
PERMIT # ISSUED
Cr ~ l
Pd w/Bldg. Permit FEES:
$ $ ~D s0 SEWER PERMIT (INCLUDE SURCHARGE)
$ $ 6 WATER PERMIT (INCLUDE SIIRCHARGE)
$ $ WATER METER/COPPERHORN/OLTSIDE READER
$ $ WATER TAP (INCLLDE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOLNT DEPOSIT - SEWER
$ $ 1S ACCOLNT DEPOSIT - WATER
S $ wAc
$ e'D 0 $ sAc
$ $ TRUNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRLNK WATER
$--~~-~C) ~ $ WATER TREATMENT PLANT SLRCHARGE
$ $ OTHER:
c ~ j. G C) TOTAL
_ gq7 ~ ooLj 7i
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQLIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
ED YES IF YES, THEN A"PERMIT FOR WORK WITHIN PLBLIC
ROADWAY" MUST BE ISSUED BY THE ENGINEERING
~7 NO DIVISION. LIST AS A CONDITION.
SLiBJECT`TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE :
,
*.xWxxx~~xxxxxxxx~xxxXxxxxxR.>xxxx>x.
. • . APFL1: ATION FOR PERMIT *NOTE: PAYMM OF FEE AT TIME OF *
APPLICATION DOFS NOT C'ON-
STITUTE APPRGJAL OF PERMIT. *
S EW E R A N R W E R C O N N E IQ N +~r INSPDCTION OF SES2 AI~ID/OR WATIIt
INST}1IJ ATIONS WII.L NOT BE SCIDULFFD *
F' • *
: . * [!KTIL PII2MIT HAS BFFEVV APPROVID. *
t' ' fr**********,t,t***#**,r*r,t***,r,r*,t,t**,t****
C~
.
acicjan
(PLEASE PRINT
1) PROPERTY ADDRESS : ? ~Q~C ;P . ~ ~'o rY' D ~
LE77GGAI, DE.SCRIPTION: . .
Lot Block Sub vision or Tax Parcel ID
IF EXISTING STRLiCT[]RE, DATE OF ORIGINAL BLILDING PE2MIT ISSTIANCE:
Mont Year
PRESENT ZONING/PROPOSID LTSE:
Q COPMRII2CIAL/RETAIL/OFFICE R-1 SINGLE FAMILY
Q INDLSTRIAL ~ R-2 DLPLEX ('iwro Lnits)
~ INSTITIJTIONAL/GOVERNNIENT r7T R-3 TOWNHOLSE (Three.+ Units) ( Lnits)
ffi.R-4 APARTMENT/CONDOMINILM ( Lnits)
2) ° • ; ? NANIE : 5 f'/~ ~ ~i' O 2t vF fI ~ g4
P,DDRESS : 3 Lra EE w , 4 atk'04J Gt~ ~ ~-I
CITY, STATE, ZIP : ; ~ ,fL,.
PHONE: 4V2 J
For City Lse
3) ~ NAME: Plumbers License:
Active
ADDRESS: ~2 fT~/'n Expired
CITY, STATE, ZIP: ~A~ 1i I~~l LL C ~ a ~l~~ c-?~ , Not recorded
PHONE: MASTER LICENSE ~ltj,~ .(~1` Staf Initla
4) ~'e'~~I • ~ a a~ oIF,NAME :
ADDRESS:
CITY, STATE; ZIP: 1141 ! ,q Ce 14 ;Oh J
PHONE: 7
5) d ~m• a~, . r~~
Q CONNECTION TO CITY SEWEE2 Q CONNECTION TO CITY WATER ~ OTHER
6) ~~W:r~
*
* THE GOLD COPY OF THE PERNIIT WILL BE SERr DIRECTLY TO PUSLIC WORKS T0 FACILITATE MEIM PICK-UP. *
* PLFA.SE ALIAW Tn10 WORKING DAYS FOR PROCFSSING. SONIEONE FROM TM CITY WILL CONTACT YOL IF ~tE *
*
* ARE ANY PROSLEMS. *
. 1
FOR CITY USE ONLY y
PERMIT # ISSUED
Pd w/Bldg. Permit FEES:
$ $ Ld S~ SEWER PERMIT (INCLUDE SURCHARGE)
$ $ / O WATER PERMIT (INCLUDE SLiRCHARGE )
LZ $ WATER METER/COPPERHORN/OLiTSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ ~ Gl
$ I'S ACCOUNT DEPOSIT - SEWER
$ (~-v
$ / l ACCOLNT DEPOSIT - WATER
$ 5'60, e 0 $ wAc
S 6,5 L7, $ sAc
$ $ TRLNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRLNK SEWER
$ $ LATERAL BENEFIT/TRLNK WATER
$ $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER: '
TOTAL
_ ~v7~S y7/7
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
F__j YES IF YE$, THEN A"PERMIT FOR WORK 6VITHIN PLiBLIC
ROADWAY" MUST BE ISSLiED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SLiBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE :
ssisZ~
RIGHT-OF-WAY AND IITILITY EASEMENT
This easement, made this 0a~ day of ue- 1990, between
ROBERT D. SELBY and NANCY A. SELBY, husband and w fe, herein referred
to as "Landowner" and the CITY OF EAGAN, a Minnesota municipal
corporation, organized under the laws of the State of Minnesota,
hereinafter referred to as "City".
W I T N E 8 8 E T H:
That the Landowner, in consideration of the sum of One Dollar and
other good and valuable consideration, the receipt and sufficiency of
which is hereby acknowledgEd, daes hereby grant and convey unto the
City, its successors and assigns, forever, the following easement for
right-of-way and utility purposes:
That part of Lot 8, Block 1, St. Francis Wood 5th Addition
which lies within the circumference of a circle having a
radius of 60.00 feet. The circle is located as follows:
beginning at the southeasterly corner of Lot 5, Block 1, St.
Francis Wood 5th Addition, 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 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 right-of-way
and utility purposes includes the right of the City, its contractors,
agents and servants to construct, reconstruct, inspect, repair and
maintain a roadway and utilities.
And the Landowner, for itself and its successors and assigns,
does covenant with the City, its successors and assigns, that it is
well seized in fee of the lands and premises aforesaid and has good
right to grant and convey the easements herein to the City.
IN TESTIMONY WHEREOF, the Landowner has caused this easement to
be executed as of the day and year first above written.
.
OBERT D. SELBY
`
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- ~ ~,,>r o ~ -o H 1 ~ ~
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P.7, 21r60. 54 .
O 1/~ S~` , Si 4f
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S ! w
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F2 2Z+976B 8"xB" T'EE
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Exhibit A B"PGUG
:
' : : :::y~~ ....e
. -H.. ° ,
.
. • .
. . .
..1••::.... .
. • • .
, .
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•
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:
•
:
. . . . _
. . . .
. ~
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. . , . .
.
~NANCY A SELBY
STATE OF MINNESOTA )
) ss.
COUNTY OF 04.re Z~A_ )
~~'day
The foregoing instrument was acknowledged before me this LO
of 1990, by ROBERT D. SELBY and NANCY A. SELBY,
husband and wife.
tM ~ pARA L NE E. MELINE ~ -
NOTARY PUBUC-MINNESOTA
DAKOTA COUNTY
mission Expires May 11, 1995 Notary Public
APPROVED AS TO FORM:
~ C't~ jittorney's O fice
D ted : "Z - ~-z. r G •
APPROVED AS TO CONTENT:
Public Works Department
Dated : 8- 3- 9 0
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
< <
.
-City oF aagan
3830 PILOT KNOB ROAD THOMAS EGAN
EAGAN; MINNESOTA 55122-1897 Mayor
PHONE: (612) 454-8100 DAVID K. GUSTAFSON
FAX: (612) 454-8363 PAMEIA nncCREA
TIM PAWLENTY
THEODORE WACHTER
Council Members
March 28, 1990 CERTIFIED MAIL c~ d;~st°aos
EUGENE VAN OVERBEKE
Ciry Clerk
RAYMOND F& VIVIAN C FISCHER
14640 GLAZIER AVE
APPLE VALLEY MN 55124
Re: Lot 8, Block 1, St. Francis Woods 5th Addition
Conveyance of Public Street Easement
Dear Mr. & Mrs. Fischer:
On November 1, 1986, you executed a public right-of-way easement
which was recorded at Dakota County on December 15, 1986, for "Lot
611, Block 1, of St. Francis Woods 5th Addition. However, there
apparently was an error in the preparation of this easement
document as the final plat for the St. Francis Woods 5th Addition
recorded on December 2, 1986, shows different lot number
designations and configurations. Either the original easement
document prepared by your surveyor, Probe Engineering, Inc., was
prepared in error or the final plat was subsequently changed
without correcting the original easement dedication.
Enclosed please find a summary of the events that have transpired
by City personnel in trying to resolve the proper acquisition of
this easement.
As can be seen, the City has been unable to acquire this easement.
This easement dedication was, and still is, a requirement of your
final plat approval. Due to the fact that this has not yet been
fulfilled, the City feels it is necessary to pursue the acquisition
of this easement using the remaining financial security for the
above-referenced subdivision, if necessary.
Therefore, we would appreciate it if you would provide us a written
response indicating your preference/ability to provide this
easement to the City of Eagan prior to May 1, 1990, after which
time the City will proceed with the acquisition through
condemnation, if necessary, and file for reimbursement through your
financial security for the above-referenced subdivision.
THE LONE OAK TREE.. .THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNiN
Equal Opportunity/Affirmative Action Employer
i a
Page 2
While we realize that this is an awkward and difficult situation,
we feel that the error in either the preparation of the original
easement document or the lack of correction due to a change in the
final plat must be rectified. We would appreciate your prompt and
immediate attention to this matter and your intentions, in writing,
by the referenced date.
Sincerely,
4
T omas A. Colbert, P.E.
-4~
Director of Public Works
TAC/jj
cc: Bruce Allen, Engineering Technician
Joe Earley, Assistant City Attorney
Enclosure
:
. ~
MEMO T0: THOMAS A. COLBERT, DIRECTOR OF PUBLIC WORKS
FROM: BRUCE ALLEN, ENGINEERING TECHNICIAN
DATE: March 23, 1990
SUBJECT: Corrective Street Easement In St. Francis 5th Addition
This memo is to give you some history of what has been happening with the revised
street easement along Widgeon Way that we are requesting from Myron Staff and
Robert Selby.
In 1986 we requested and received a bubble cul-de-sac from Raymond Fisher (Item
A) as part of the St. Francis 5th Addition. The easement description and graphic
submitted to us was signed by Raymond Fisher on November 1, 1986 and recorded
December 15, 1986.
In May of 1989, a title company contacted us to point out that the easement
description originally used for this easement was now, because of a late change
to the final plat, not over Lot 6, but actually over Lots 5 and 8, Lot 5 being
the common lot.
5/30/89 I sent a copy of a revised street easement to Joe Earley to prepare
and have signed.
7/9/89 Joe Earley sent a corrected easement to Myron Staff for his signature
and that of Robert Selby.
10/24/89 Joe Earley was asked to prepare two separate easements in order to
deal with Robert Selby on his own. Selby expressed a concern about
possible future sidewalks and wondered about compensation.
12/12/89 Robert Selby talked to his attorney and decided he should be
compensated. Joe asked me for the square footage of this easement.
The area is no more than 170 s.f. (Item B)
2/21/90 Joe offered Robert Selby $170.00, one dollar per square foot. Mr.
Selby said he would need $2,000.00. Joe told me that overall costs
of condemning the easement could be $3,000.00. The title company's
legal people are not concerned whether we fix this situation or not.
3/14/90 I returned approved revised easements to Joe for Myron Staff's
signature for the easement affecting his property, Lot 5.
This is where this easement situation sits at this time. Joe and I will need
your review and comment to proceed any further.
Bruce Allen, Engineering Technician
BA/ j f
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STREET BASElsENT DEED '
THIS INDENTURE, made aad entered iato thio day of ,()oJPrri~
1986, by snd betveen RAYMOND F. FISCHEB AND VIYIAN C. FZSCHER, hueband and •
wife, as Grantors and the CITY OF EAGAN, Dakota Couaty, State of Minnesota, as
Grantee. verrNG( 5 W0,0D - - `
' WITNESSETH WHEREAS, said Graators are the owaers of the tract of land in
tbe City of Eagan, Dakota County, Minnesota, legally de4cribed ae follows:
Lot~ Block I, St. FzaACis Wood 5t6 /lddition, according to the recorded
! /~a thereof now on file and of record in tbe office of the County
5 xecorder within and for Dakota Countq, Mianeaota.
~y•
NOW THEREFORE, the said Vzaators ia consideration of One ($1.00) Dollar
and other good aad valuable consideration to them paid by Grentee, receipt
whereof ie hereby acknowledged, hereby comrey, warrant and dedicate to said
Grantee, ite succeasors and assigns, for atreet purposes, together with the
unrestricted right to impzove the sames the following described tract of lsnd,
together with the right to lay, maintain, operate and repair utility lines
over and through said tract, free and clear of all encumbraacea, except for
re8trictions, reservationa aad eaeemente of record, if any:
The part of Lo Block 1, St. Fraacis Wood Sth Addition which lies
within the cifcumference of a circle having a radius of 60.00 feet. The
circle ia located as follovs: beginaiag at the southeasterly corner ot -~j
said Lot~, thence northerly along the easterly line of said Lot~!`~'
dietance ~Jof 172.57 feet; tbeace vesterly at a right aagle to Lhe eseterly
line of said Lot 6 a diatance of 166.34 feet to a point on the eaeterly
right of way of Widgeon Way, said point being tbe center of the circle to
be described.
And said Grantors, forthemselves, tbeir heire, executore, adminiatrators
and assigne do covenant never to cut, dmmage, deetroy or remove any tree or
shrub or other natural growth upon the hereinbefore described premises for the
continuance of thie easement and do hereby grant and comrey to the said City
of Eagan all grasses, shrube, trees and natural growth aow existing on said
lande or that may be hereafter planted or grown thereon.
And the said Grantora, for themselves, their heirs, executoza,
administrators and asaigne do hereby releaee the said City of Eagan, its
euccessors and assigne, from all claima for any and all damages reeulting to
the premieee hereby conveqed by reason of the location, grading, conetruction,
maintenance, and uee of a public •treet over and upon,. the removal of
materials from the premiees herebq eoaveyed and frem ihe uses incident
thereto; it being underetood said releaae shall not apply to any damage to any
property abutting the premisee conveyed hezeuader arioing hecause of the uae
of the premiaea conveyed hereunder by the Gz4ntee; and said City of Eagan
shall h:ve the right Lo use and remove all earth and other materiale lying
within the parcel of land hereby conveyed.
And the said Grantors, for themselves,their heirs, ezecutoro,
administratoreand assigno do hereby vaive the right to any and all notice for
the removal of trees or hedge• vitbin tbe limit• of tbe above described
highway under the psovisions of Seetion 160.22 Minnesota Statute• Annotated or
otbervise and hereby expressIy Maives any elaim for damages on account
thereof.
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ROSE tOHSUITIHA tN0 Ntlltf
ENGtNEERiNG . PIANNEAS &dd ~HD ~YAVEYOAf
Compilliyf INC. l 1000 GIST 14i4 S?REET. ~URNSVILLE ~ YINNCSOTA 55317 tM ~~2'~OOq
LEGAL DESCRIPTION An easement for roadway purposes over under and across the
following property:
e--A
Lot~~he Block 1. St. Francls Wood 5th Addition according
L to recorded plat thereof;
7
which lies within the circumference of a circle having a .
radius of 60.00 feet. The center of said circle is the point
of intersection of the easterly right of way line of Widgeon
Way, 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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FIEcEoP-r FoR c~RTeFoED M90L '
INSURANCE NTERNATIONAL MAIDED
NOT FOR
(See Reverse)
i tto
Street and No. i~~~Q~?' _
Q`and I ode ~
v , 5
P tage ~
Ce iti d Fee
Spec,ial Delivery Fee
Re,victed Delivery Fee
Return Receipt showm9
to whom and Date Delivered
~n to whom.
m Return Receipt showing
~ Date, and Address of Deiivery
c> 5
- TOTAL Postage and Fees
~
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o postmark or Date
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• SENDER: Complete items 1 end 2 when additional services are desired, and complete items
3and4.
Put your address in the "RETURN TO" Space on the reverse side. Failure to do this will prevent this
card from being returned to you. The return recei t fee will rovide ou the name of the erson delivered
to and the date of deliver . For a itiona ees t e o owmg services are avai a e. onsu t postmaster
or ees an c ecc ox es for additional ser,vice(s) requested.
1. ? Show to whom delivered, date, and addressee's address. 2. ? Restricted Delivery
(Ertra charge) (Extra charge)
3. Article Addressed to: . • 4. Arti Nu ber
VA.~,~~ ~ ~ fL+~a la gi/11
Type of Service:
r`t~Q -(l ,A~, ;„,ft,
~ X l ~~,C~•-L'/ egistered ? Insured
~ ed ? COD
C~~ ertifi
Express Mail ? Return Receipt
for Merchandise
Always obtain signature of addressee
or agent and DATE DELIVERED.
5. Signa ure - Address S. Addressee's Address (ONLYif
X requested and fee paid)
6. Signature - Agent
X
7. Date of Delivery
PS Form 3811, Mar. 1988 * U.S.G.P.O. 1988-212-865 DOMESTIC RETURN RECEIPT
UNITED STATES POSTAL SERVICE
OFFICIAL BUSINESS
SENDER INSTRUCTIONS i~
Print your name, eddress and ZIP Code
in the space below. 0~~~~~ _
• Complete Items 1, 2, 3, and 4 on the f~ EL~
q'~ ~ uS.~
reverse.
• Attach to front of article ff space
permhs, otherwise affix to beck of
article. PENALTY FOR PRIVATE
• Endorse article "Return Receipt USE, 5300
Requested" edjecent to number.
REtURN ~ , Print Sender's name, address, and ZIP Code in the space below.
TO `
~ .
( J~~ ,4,?~ i ot ob Road
~ ~ ~ . ~ • . Eagan, MIV 55
oF aagan
s:
~
RESIDENTIAL BUILDING
~ • Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reouirements RemodeVReoair Reauiremenis 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 addi6ons Tree Pres Plan Recd Y_ N
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for addi6ons 8 decks Tree Pres Not 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 Pian if lot platted after 7/1193
Rim Joist Detail Options selection sheet (bldgs with 3 or less units
Date Construction Cost
Site Address %3 y Unit/Ste #
Description of Work
Multi-Family Bldg --~-Y _ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner 4-v •'~Q ~ 0-j, W t, .0 J J Telephone #(g~~ o2/ Yf
~
Contractor
Address 6 _ A a y ~ / f City /6 4 `,.fcP r? .i/ r
State Zip Telephone#(4,r'a.) 41"
~.3~"'
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cate~ory I 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 # ( )
I j ~ 1~
Mechanicai Contractor Ti~lebne # ( )
~
Sewer/Water Contractor Tefeph~o,'ne )
I hereby apply for a Residential Building Permit and tkn wledge that the iriformation 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.
Ce- ,J e C:.. L,o t c-
Applicant's Printed Name Applicant's Signature
OFFICE USE ONLY
Sub Types
F;.
? 01 Foundation ? 07 05-plex ? 13 16-plex O 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex O 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex 0 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck O 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level 0 24 Storm Damage
O 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement 0 38 Demolish (Interior) 0 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 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.
_ Footings (deck) FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
, , .
SAINT FRANCIS WOOD STH 65904 APPROVED 12/86
PERMIT
DATE &
TYPE LOT BL ADDRESS
4i87 4-PLEX 010 01 3682/ WIDGEON WAY
020 Ol 3684/
030 01 3686/
040 01 3688
050 Ol CONIMON AREA
ioiss DuP 060 01 3690/ WIDGEON WAY
' 070 Ol 3692
~
' 6i88 3-PLEX 080 Ol 3694/ WIDGEON WAY
090 01 3696/
100 Ol 3698
i v92 5-PLEX 010 02 3697/ WIDGEON WAY
10i89 020 02 3699/
10/89 030 02 3701/
12i88 040 02 3703/
i vss 050 02 3705
6/90 s-PLEx 060 02 3695/ WIDGEON WAY
9/90 070 02 3693/
4/94 080 02 3691/
4/94 090 02 3689/
4/94 100 02 3687
110 02 COMMON AREA
7/94 4-PLEX 120 02 3685/ WIDGEON WAY
7/94 130 02 3683/
7/94 140 02 3681/
6i93 150 02 3679
16
C/ C/ - as
2004 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Constroction Requirements RemodellRepair Reauirements O1fiGekUse C}nTv
3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan G~rt of Suruey~te~a! ~=~4; Y N
V~
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions T~e~~'res~P~an R~~d = Y
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks T~ee Pires`Re uir~tl`
q i+!
1 set of Energy Calculations Addltion - indicate if on-site septic system {~r~s~e°~epbC ~~ysts ~~a? ~;;;Y 1~ 3 copies of Tree Preservation Plan if lot platted after 711193
Rim Joist Detail Options selection sheet (bldgs with 3 or less units
Date Construction Cost 57 r' J --'Site Address Unit/Ste #
Description of Work s ,S 0 t j ~ ~ Ic-
Multi-Family Bldg e-- Y _ N Fireplace(s) _ 0 2
Property Owner ~ /t~,~ Telephone #(C-
Contractor ~~cJ C-i-~~J~.^.,,,, J
Address ~ a City /10~ ~ a.s'J u•! lc ,e~.J
State Zgn Zip ~q- ,S`3 3 7 Telephone # (qr-2) ~Va- S' - '9 /Y 'r-
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submission type) Submitted Submitted
. Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber Telephone # ( )
Mechanical Contractor Telephone # ( )
Sewer/Water Contractor Telephone # ( )
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
6e-_ - .J A,
Applicant's Printed Name Applicant's Signature -
ff'll L-
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 RP 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 Ptbg_Y or _ N ? 25 Miscel{aneous
Work Types #1'90 J''~ Jr7~~j ~IZ }Z ~orc
? 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
*P 34 ReplaCement *Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation 94 000 . - C*cupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
` Footings (new bldg) FinaUC.O.
_ Footings (deck) ~ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundarion HVAC
Drain Tile Other
~ Roof _ Ice & Water ~ Final _ Pool _ Ftgs _ Air/Gas Tests Final
~ Framing - Siding _ Stucco , Stone _ 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 Pfant
License Search
Copies
Other - -
Total
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Use BLUE or BLACK Ink
. r-""-"_-'-'-------`--
I For Office Use I
• � Permit#: ��� �� �
� �lt Of �� �Il ,
Y � �� �
3$30 Pilot Knob Road � Permit Fee: �5 , �
Eagan MN 55722 i i
Phone: {651) 675-5575 I Date Received: t
Fax: (651 j 675-5694 j �
1
� Staff: �
�-----------------�
2014 GOMMERCIAL BUILDING PERMIT APPLiCATION
Date: Site Address:�to9H - �b�, -3ioq.g 1�"�Q�,, �.��, ��,�Q�,,.�
Tenant Name: 7_—�
(Tenant is: New/ Existingj Suite#:
Former Tenant:
Name: Phone:
Pt"0�3@1'�Y OWtt@t` Address/City!Zip: �(��{ ' 3(p� ` .3(� `
' � �Q��'�
Applicant is: Owner �C�ntracfor
Description of work;__ �(�,7('("jQ � �
Type o€Work �,
�r
Construction Cost: `� '���
• Name: �t�l'U �.� �C.. License#; �
�1��—�- �5.—��� �C- `���'a�
Contractor Address: �s��' r'��� F�3�, �y,����,,�" City: �' o,� ,�.-- �
State:_��V Zip:����� Phone: � 7� " �"_1� — �(��j�� �
Contact: t�'�'s e�:t" Ema'r!: V C°�" ; t� ;�VtS1� _
Name: Regis#ration#:
ArchitectlEngineer Address: City: �
state: ziP� Pnon�:
Cantact Person: Email:
Licensed plumber installing new sewer/water service: Phane#:
NOTE:Plans and supporting documents that yau submit are considered to be public Informatfon. Porfions of
the information may be cla�sified as nan-public if you provide specific reasans that would permit the City to
concfude fhat the are trade secrets.
CALL BEFORE YOU DIG. Cal1 Gopher State One Call at(651)454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig ta receive locates of underground utilities. www.aoaherstateonecall ora
I hereby acknowledge that this informatian is eomp(efe and accurate; that the wark wil! be in confarmance 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 nat to start without a
. permit;that the work will be in accordance with the appraved plan in the case of work which re uires a revis nd a roval of plans.
X_t`f1,��K� YY� ,r�,r ,�
Applicant's Printed Name �� Applican ' tgnatar
Page 1 of 3
DO NOT WRITE BELOW THIS LINE . �
SUB TYPES
_ Foundation _ Pubiic Facility Exterior Alteration-Apartments
_ Commerciai!Industrial _ Accessory Buitding Exterior Alteration-Commercial �
_ Apartments _ Greenhouse/Tent ` Exterior Aiteration-Pubtic Facility
_ Miscelianeous Antennae
WORK TYPES
_ New _ Interior Improvement Siding Demolish Building*
_ Addition � Exterior Improvement � Reroaf i Demolish Interiar
_ Alteration _ Repair _ Windows Demolish Foundation
_ Repface _ Water Damage _ Fire Repair _ Retaining Wall
_ Salon Owner Change *Demoiition of entire building-g�ve PCA handout to applicant
DESCRIPTION
Valuation Occupancy MCES System
Plan Review Code Edition SAC Units
(25%_1Q0%� Zoning City Water
Census Code Stories Baoster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED tNSPECTIONS
Footings(New Building) Sheetrock
Faotings(Deck) Final i C.O. Required
Footings(Addition) Final!No C.O. Required •
Foundation Other:
Drain Tile Pool:_Footings _Air/Gas Tests Final
Roof:_Decking _lnsulation ____Ice&Water �Finaf Siding:_Stucco Lath Stone Lath Brick
Framing Windows
Fireplace:_Rough in ____Air Test �Final Retaining Wall
insulation Erosion Control
Meter Size:
Finai C/O inspection: Schedule Fire Marshai to be present: Yes No
Reviewed By: , Buiiding inspector Reviewed By: , Pianning
COMMERCIAL FEES
Base Fee Water Quality
Surcharge Water Sampiing Fee
Plan Review Water Supply & Storage(WAC}
MCES SAC Storm Sewer Trunk
City SAC Sewer Trunk
S&W Permit& Surcharge Water Trunk
Treatment Plant Street Lateral
Treatment Plant(Irrigation) Street
Park Dedication Water Lateral •
Traii Dedication Other:
Water Quaiity TOTAL
Page 2 of 3
Use BLUE or BLACK Ink
�_�._._�._.___�_�.__�--�
� For Office Use I
� � Permif#: ��O / �°� l
Gl�y of ���a� ; . . 1��� �
Perm�t Fee. E
� 3830 Pilot Knob Road � �
Eagan MN 55122 � Date Received: �
Phone: (651)675-5675 � �
Fax: (651)675-5694 � Staff: �
� i
2014 RESIDENTIAL BUILDING PERMIT APPLICATlON
Date: �1`�' �� Site Address: ���� ,C Q Unit#:
�
Nams: �`�'1P�s^��n � ��c,�nr� �r;o�.1�,�c2�, Phone: (�g�'— 0��12.
Resident/
Owner Rddress!City i Zip: ��q�-{ �)��� �,� p�) ���
i�—
Appiicant is: Owner �Contractor
f��naou�
T e of Work Description af work:3 �v'�� '�.{'ovr� �4 (�p S4��jP�`c�'��Y� ,r'���
Yp
Construction Cast: Multi-Family Building: (Yes�!No_�
Company: Confa�t: (1f1,iK�
Contractor Address:�`� � �� t�{�,}- City: � el�����_
State: � Zip:�J�)c�,�, Phone:�45�'�.�11`�7t��mail:.fYWr,t'�v�C�'�S�"��,�. 't�'�,
__. License#��'..,i�1" `�j,� Lead Certificate#: !�//,�-"(p ^-��Q�,(°`�
if the project is exempt fram lead certification, piease explain why: (see Page 3 for additional information}
COMPLETE THlS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the GiEy of Eagan issued a permit for a similar plan based an a master plan?
_Yes _No !f yes, date and address of masfer plan:
Licensed Ptumber: Phone:
Mechanica! Contractar: Phone:
Sewer&Water Contractor: Phone:
NOTE:Plans and supporting documents that you submit are considered to be public informatian. Portions of
the information may be classit'ied as non-public if you provide specific reasons thaf would permif the City to
conc/ude that they are trade secrets.
CALL BEFORE YOU DIG. Ca11 Gopher State One Cali at(651}454-�002 for protection against underground utility damage. Cail 48 hours
before you intend to dig to receive locates of underground utilit+es. www.qopherstateonecali.orq
t hereby acknowledge that this information is complete and accurate;fhat the work wiil 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.
Exterior work authorized by a buiiding permit issued in accordance with the Minnesota State Building Code must be compieted within 180
� days of permit issuance.
, �/'�
X �r X ��'�;�
AppficanYs Printed Na Applica s Sign re
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA142450
Date Issued:05/03/2017
Permit Category:ePermit
Site Address: 3694 Widgeon Way
Lot:8 Block: 01 Addition: St Francis Wood 5th
PID:10-65904-01-080
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Mervin D Prestebak
3694 Widgeon Way
Eagan MN 55123
Dakota Water Treatment
17484 Goodland Path
Lakeville MN 55044
(952) 953-4643
Applicant/Permitee: Signature Issued By: Signature
'00-,\As 5
,
For Office Use _
t
::::eeiY
: 57/ 7-5
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
i f I2018 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: '"I ` c�lt1— Site Address: r f •�
^1 ! �"-'L� E Unit#:
��
Name: Tc-Ann �f't''pAkel\OQ Phone:(rl)\" COSS _aa1Q._
Residents 1 2 , + 33 �
Owner Address/City/Zip: c�(Oq'`1 W;C �,2 �0C. ' 0,c�f `p}., 5 5`,4a
i > Applicant is: Owner /Contractor
J
r :
TyNe of Work Descri tion of work: o 3(091-11 3(oo 10 1 3Co9 t�;dyeo
r,
Construction Cost: 3� O(S( Q(.0Multi-Family Building:(Yes Vi No )
AA ��
I 2 Company: rel Cc -v.\3A-COC; 1� '1C_ Contact: !-'1111, 0r MAI
Contractor , Address: C3( 15 �! St/ Nue-
! City: CIvCZS\2\0--J
State: i"1' Zip:5631 g Phone:Cls 'qH1- Email: mOrro COr A `I ct.1A1AA-C1Y''''
license#:_,B C)1 alas Lead Certificate#:
If the project is exempt from lead certification, please explain why:
---1
l COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE Plans and supporting documents that you submit are considered to be public information. Portions of the information may be
classified as non-public if •u provides•• Tic reasons that would •ermit the C to conclude that the are trade secrets.
___,,,_
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeagan.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Call Gopher State One 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.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.
Applicant's Printed Name ( Applica s Signat e 7
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA153113
Date Issued:11/26/2018
Permit Category:ePermit
Site Address: 3694 Widgeon Way
Lot:8 Block: 01 Addition: St Francis Wood 5th
PID:10-65904-01-080
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 -
Joann M Prestebak
3694 Widgeon Way
Eagan MN 55123
(651) 688-2212
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:EA155751
Date Issued:05/31/2019
Permit Category:ePermit
Site Address: 3694 Widgeon Way
Lot:8 Block: 01 Addition: St Francis Wood 5th
PID:10-65904-01-080
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 -
Joann M Prestebak
3694 Widgeon Way
Eagan MN 55123
(651) 688-2212
Murray Construction Inc
10675 Jersey Ave
Chaska MN 55318
(952) 941-7075
Applicant/Permitee: Signature Issued By: Signature