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3822 Willow WayCity of Eagan Eagan, PERMIT City of Eaan Permit Type: Plumbing Permit Number: EA094816 Date Issued: 07/07/2010 Permit Category: ePermit Site Address: 3822 Willow Way Lot: 62 Block: 01 Addition: Briar Hill 4th PID: 10-14993-620-01 Use: Description: Sub Type: e - Water Heater Work Type: New Description: Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Kris Oien 3670 Dodd Rd Eagan, mn 55123 Fee Summary: PL - Permit Fee (WS &/or WH) $50.00 Surcharge -Fixed $5.00 0801.4087 9001.2195 Total: $55.00 Contractor: Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 - Applicant - Owner: Janice L Anderson 3822 Willow Way Eagan MN 55122 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. Applicant/Permitee: Signature Issued By: Signature City of Eaan Permit 9 Permit Fee: t~ 3830 Pilot Knob Road Eagan MN 55122 Date Received; Phone: (651) 675-5675 Fax: (651) 675-5694 Staff: 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ^ ~ ` d S Site Address: 3 $ /ta A' ac' 2 'L'J' t.,.) / Y Tenant: Suite RESIDENT I OWNER Name: -;.•f I•tf Ay4.J.¢4,r 1 L:-f 'r Phone: - 3 - q14 - - 3 7 z - Address I City I Zip: '7°AR E. oa,,sow Lra 1 fib. /)74 l-f- £2?L I4iu Applicant is: Owner 2 Contractor O r L TYPE OF WORK Description of work: o d. + Q - ° G i - r -s Construction Cost: g £ OO Multi-Family Building: (Yes / No CONTRACTOR Name: S,xT' ° 2 !V.4-rw License # . o R Address; 4' 3 W a City: P'I PLS State: /'2 Zip: Phone: k 1z - x6 G V Contact Person: -b4V £ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 Minnesota Rules 7672 New Energy Code Worksheet Energy Residential Ventilation Category I Worksheet Code Category Submitted Submitted (4 submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone. NOTE: Plans. an d supporting documents shat you submit are considered to a .pudic ho ?natfon. port ons of the !nfo r adore mlay be c(Isslffed as non-pu,blia'if you provide specific reasons that Would permit the city to c crets.: y are trade se orrcl~idf3that the 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 I ans accordance with the approved plan in the case of work which requires a review and approval 0 x i4 ~a c~ (t-~~ 5 x Applicant's Printed Name Applicant's Signature Page 1 of 3 TO 39Vd 1NIVW d0Id31X3 139 L9Z9I98ZI9 50:ET 6OOZ/ZO/60 L9E9T98ET9 CityofEa�all 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use ���� Permit #: 40. to Co Permit Fee: Date Received: Staff: 45- z9z 199 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 0141-Y i9 i.2 She Address: 3VG, 311 / 8, 3 8:t e , 3 S'2 Z cJ «c w ! j ,.. •; RESIDENT r. ("INNER -•, . Name: c% A s 504-1 -'7-1 .J P �.4.J 4 r 44L. "0 4, 7 --;Phone: 7 4, 3 - 141 3 74- 7 Address / city /zip: 7 02.1. z. ..c% 5/444/ Jea /41315,41:. a.2o r .S3// . Applicant is: Owner X Contractor T ` 1.'•`.. I T'fpE:;.:..: QF 11N( . Description of work: 7+/o a. QX•2c uF 0 w L`c. i ..s 4, R.010 f.-- 0.a L y Construction Cost 7, 4/ULA. Da Multi -Family Building; (Yes S / Na ) C ON7' 7'OIR'', • Company: !fie/ Z'x 7.-42iGI. 2 /447$07-. deaP,, Contact: &w>r (t3� r'‘- r41 Address: yo s— /3. 10o rbc S`r, City: /SPG S ,. State: M A Zip: SZ—V/ 9 Phone: 6 IA -• 8 4I , 6 2.4/ 3 License #: a -- .7 4/1/ 3 / Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) In the last 12 months, _Yes No If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan Issued a permit for a similar plan based on a master plan? yes, date and address of master plan: Licensed Plumber: - Phone: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: NOTE: R 044" $if,!p 1a .heanfVit,800:::F Cd:tion,001lc:ff,-.00vde:'• ,cdc ��if��Gh �o0lea ..,.QCi` .a • . . :-.,... A 6RIBtthey'ftear4ie.4ecret$."'`: i': ...- , .. . CALL BEFORE YOU DIG, Call Gopher State One Call at (651) 454.0002 far protedion agaInst underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecal ,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 won( will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State 8uiidir3p»Cpde must be completed within 160 days of permit issuance. x $vip aup-ai.; Applicant's Printed Name t'0 39dd Applicant's Signature Page 1 of 3 1NIaW dOId31X3 Iia L9Z9I98Zt9 SZ :Ca ZTOZ/6Z/S0 , *; , AGA '- " ry � ° ICE PE , i M Y A i. ,+ . 5-1-84 Zoni " 7 4 i DA'T : ;4 i'"tmit trinis ° " No, of Units: t>tvdrtf; Tolle son. Builders rr 382 ti�tillow Way L62 1l Brier 111 4th ': fi ' ' W � "1/4 GenzT T(.y Jy /y Meser No.: , Connec charge: 70.t pd Account D eposit: • 14. Of) pd R e�g d er No.: Permit Fee: I e s te comply 'w .ifr. City of Egan Surcharbe• . 5 pct a Mi sc. Cha rges: 6 3.00 ltd m • 01-7------ Dote o Insp / insp. , ;:ettr -;i:: :,:',::::.„.,_.-„,., , ..,....,,,,-.1:, ,..,, .„ .......,.„,, .„,,,„.:., ';''' ' •,*::',:''"' ... ' ‘.7.; * .. . ) f No . of Ueii f © 1 v . n B iders o. , :; 3822 W .w 1ow` W - 1 1462 43" Briar 11, ili $! 4f � 5 100.00 pd .0 Y .. 1 45.00 t a /Me " !e. e 4 connection Chore 13.00 • z i ; Putt posit: 10.00 pd a ` surcharge: .50 ...it f F . . By -." Misc. Moran: , '. r Dote o f Teich }gyp„ / Dote Paid. 2"; Use BLUE or BLACK Ink 1 _ - For Office Use / j Permit e: MY of Eatan I Pearnh Fee: 3630 Pilot Knob Road Eagan MN 65122 Date Received: j Phone: (651) 6755675 i~ Fax: (661) 6766694 I I I - - - - 2013 RESIDENTIAL BUILDING PERMIT APPLICATION babe: /1 /3 Bite Address: `3S 1 (o , g I T, 1816, 3 ? A 11 W11-Lei',.9 JOY units: Name: A1.4^1 <i b £ /•t ,s:. r C. Phone: 7 3 - S ! 3 - 9 '7 710. Resid.~nt1 Owher Addms / City / Zip: Sso Q t ewYu Q Av, Al\, A Coc6ta£~ 11i-Ll.E r IWA) . Ss' yx 7 Applicant is: _ Owner Contractor Type.at.:Wc R DewAption ofwwk: (4-6-f- a- RE PI-4-c->: ~%d ~ w► b a >~,~-sc.~a :m-rO4 Construction cost; do • CrO Multi-Family Building: (Yes ~ / No Company: g E J r £.~i c 2 IY~ieti ~T . Cv p Contact I)A+~ r p Q`' ~ S coqtmctor Address: IVo.s' CO &,D) r. City: n? PL S State: Zip: 5S'`// /r Phone: lv/ - to / Co Z X13 License m x 4 / Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional Information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW 6UILOINt3 In the last 12 months, has the City of Eagan inued a permit for a similar plan based on a master plan? „-Yes -No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: iris~yjtgr i~i►ibrntattfon ~°Y~+►iRr1id CAS BEFORE YOU DIG. Call Gopher Sh ter One Call at (691) 454-0082 for protection against underground utility damage. Call 48 hours before you Intend to dig to receive locates of underground utl", v6ww.gopherstateonecall.ora 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 a0m; that I understand this is not a permit, but only an application forreawpermit, and work is not to start without a penult; that the work will be in accOrdance wttn the approved plan in the case of work which requires a vie entl approval of plans. Exterior work authorked by a building permit issued In acconlankas with the Minnesota State Building Code must be cote leted within 180 days of permit issusnw. p ~aV, Applicanre Printed Name X AppllcanCs Signature Page 1 of 3 TO/T0 39Vd 1NIVW 1X3 139 L9Z9T98ZT9 TT:ST £TOZ/80/TT Use BLUE or BLACK Ink f;or Office use Poynas; i I ~~FI of &qan t~+~5 Dbenit Fee: am PNOt Knob Road I I Eagan UN 55122 I hate Re=Wd: ~ 3 ~ t I Phofw: (601) 6704676 I Fate (661) 67"664 I I 2413 RESIDENTIAL BUILDING PERMIT APPLICATION Data. / o - i i3 Site Addnt 9: Uf , 38/ p . 32,L0 . 3~:i:Z (A..j,41_O W LJp4 r Unit#: Names 'V& R C r V j4 AJ 4 le 4M LAJi xa C Phone: 7t'oI -.s'r 3- 9 7 70 Address / City ! Zip: V S0 c G W-r--u Q 491 AJ A (ao1. ~l -9 V" U* •J~ ~ AJ Appiftnt is; Owner Contr=tor Downption ofwork: '7'£.4Q oAF't a• 2E - Po=F Consttudion Cost 7th, crc Multi-Famly Building: (Yes k' ! No I Company!E ) Sim r-t2Io,t' /947.a L..arG.lp Co' I~tAVi d Ts%1PR.R 5 -I Addn3ss yo S W 6 ~ > . Chy: /h PL S State: ✓VJJ zp SS'Sr/ 9 Phone: &,.I Licanea;le read Cerfiiieate d If the project is eXMPt from lead cerdfif~rdvn, please explain why; (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In !!w fast 12 monnta, hae ttte City of ftgan Issued a permit for a similar plan based on a mas*r plan? _Yes _.I'lo If yes, date and addreas of mwW plan: Licsnaed Plumber per, Machaamw Contraction; Phone: Eswsr I>< 1NaoEtr Cot>,>~tor, No Phone: tlFle4j. Y M • Ca Godwr &me One Cep St r tD 49 t0 fwgv-b f p~ Z for QIt Of) a"198Y~t tl~iQeV(OWIf~ UdrrQl dflffl~@. ( 1{$ to= wWarw~o InMd tttllWL iWLN ..r I hereby actawWWge dmt this inlott WOW is LO Ft~C that I undeMMW is not a Damn X"P °;1tWt the v,** Wdl be in cor~Eoenattaa with dre orglaanoes and codes of the of +ccordar►tc wLn the wvp+ou.d pin in ms 0s0 a a andvm*~ no to sun %idud a pwrMt #w the WWk VA be kv "Wked by bsmwm a bWldltVPermit issued In M wHdt ttw Minne9oel State Mcligp Code must be days of P$Mdt oanplitod wlWn 180 ~~~~e, ~uma is ApPltcaM's PHntaed teatne A"UcWs SlgrwMm + Pa9a 100 9 ZO/TO 39Cd 1NIVW 1X3 139 L9Z9T98ZT9 ZT:60 ETOZ/TE/0T TED - ,t For Office Use I , g JUL 24 2018 Permit#: / q47 Permit Fee: c 7 - 0/-/ Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildindinspections(cDcityofeacan.com L 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ? 2M /$ Site Address: 382 2 W:1 til (A/A / C.A - ,AM►y SS4Jnit#: l: Name: uKG ScJt,✓c1ntA. Phone( ,52) 201'1I144 Resident/ Owner Address/City/Zip: 3g 22 W:llotA1 (Ail 62,gavt) 14.1 ) 3S1 2 2. Applicant is: )( Owner Contractor Type of Work Description of work: RA oneit's 3 fC sVt / 514-ee4. (ccYC Construction Cost: ,J Is-00 Multi-Family Building: (Yes /No ) Company: Contact: Contractor ) Address: City: IState: Zip: Phone: Email: License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: • COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Phone: _ a 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-•ublic if ou •rovide s•ecific reasons that would •ermit the Cit 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.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.00pherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. 117I4 o I YC,-tc 12 x Applicant's Printed Name Applicant's Signature - .tea- a How f,,a /609.cle-1 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) Multi _ Deck — Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex Lower Level _ Pool _ Accessory Building WORK TYPES New Interior Improvement _ Siding _ Demolish Building* Addition Move Building Reroof Demolish Interior x Alteration _ Fire Repair _ Windows _ Demolish Foundation (_�Replace Repair Egress Window Water Damage Retaining Wall , *Demolition of entire building—give PCA handout to applicant'. DESCRIPTION -*-if ,2 Valuation 1.0 Occupancy Y y MCES System Plan Review Code Edition �}Q ") SAC Units 25%_100% k ( ) Zoning --r_d_____ City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction 165 Width REQUIRED INSPECTIONS JJ Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) y Final/ No C.O. Required Foundation Foundation Before Backfill x HVAC_Gas Service Test Gas Line Air Test Hood Roof: _Ice&Water _Final Pool:_Footings Air/Gas Tests _Final X Framing x 30 Minutes 1 Hour Drain Tile Fireplace: _Rough In _Air Test _Final Siding:_Stucco Lath Stone Lath _Brick_EFIS Y Insulation Windows ' - Sheathing Retaining Wall: _Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: rili , Building Inspector RESIDENTIAL FEESt Base Fee v&,°/ 0 ovvv (I Surcharge f47 6° Plan Review Oe ? 6"' MCES SAC v i City SAC /2,0 5 Utility Connection Charge � 1` ,' 7 ' S&W Permit& Surcharge // Treatment Plant Copies TOTAL Page 2 of 3