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3691 Widgeon WayRESIDENT /OWNER Name: 'Phone: Address / City / Zip: Applicant is: Owner X Contractor ,° pos7. 3 3611/ TYPE OF WORK D CK PCS7 R�,� /A Description of work: rat /C eTTED ,z3O TT05� `1' ,1 /c9C e �'ei-' r Construction Cost: / . ST Multi- Family Building: (Yes / No ) CONTRACTOR Name: f)/50/, 6 c?// 277 / 4C, License #:.20 -54362 Address: ..3 6 t) 6 Alvin A A/ City: Oo1 /c b /0 State: / T/N Zip: 74q Phone: 6a i 7 034192 Contact: / 7dt7 // 0/c0/7 Email: o'd"T //c -' , 66/77 r COMPLETE In the last 12 months, has No If yes, THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING the City of Eagan issued a permit for a similar plan based on a master plan? date and address of master plan: _Yes Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer &Water Contractor: Phone: NOTE: Plans and supporting documents that you submit areonsidered to be public information. Portions of the information may be classified as non - public if you provide specific reasons that would permit the City to conclude that they are trade secrets. *. City of Eagan Tenant: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 R E© cy AJG J CU1 Use BLUE or BLACK Ink j Permit #: Permit Fee: \ t Date Received: Staff: 2010 RESIDENTIAL BUILDING PERMIT APPLIC 'riON 41 . 5 0 Date: 6/3© /dle Site Address: ,6�' TD 11 A67/ gi ".. f: 569.5 Mdgeo4 114 Suite #: 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 Applican ' S ignature Page 1 of 2 SUB TYPES Foundation Fireplace Porch (3- Season) _ Storm Damage Single Family Garage Porch (4- Season) Exterior Alteration (Single Family) Multi ji Deck Porch (Screen /Gazebo /Pergola) Exterior Alteration (Multi) 01 of Plex Lower Level Pool Miscellaneous Accessory Building WORK TYPES New Interior Improvement Addition Move Building Alteration Fire Repair Replace i f Repair Retaining Wall DESCRIPTION Valuation Plan Review (25% 100 % Census Code # of Units # of Buildings Type of Construction y39 RESIDENTIAL FEES Base Fee Go 1M Surcharge Plan Review 3 5- MCES SAC City SAC Utility Connection Charge S &W Permit & Surcharge Treatment Plant Copies TOTAL DO NOT WRITE BELOW THIS LINE Occupancy Code Edition Zoning Stories Square Feet Length Width Siding Demolish Building* Reroof Demolish Interior Windows Demolish Foundation Egress Window _ Water Damage *Demolition of entire building — give PCA handout to applicant /?c -3 Zoo 7 R -3 wt6srQ 35c MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers r REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition) 4i e Final / No C.O. Required Foundation HVAC Drain Tile Other: Roof: _Ice & Water Final Pool: Footings _Air /Gas Tests Final Framing Siding: Stucco Lath Stone Lath Brick Fireplace: Rough In Air Test Final Windows Insulation Retaining Wall: — Footings Backfill _ Final Meter Size: Radon Control Erosion Control Reviewed By: � , Building Inspector /4'!J , Page 2 of 2 , � R �� ��� � � � Use BLUE or BLACK Ink r---`-^----------- I For Office Use I ��� O� �U U� � Permit#: ��V! l� 1 • � � � �II � 3$30 Pilot Knob Road � Permit Fee: ��• ' Eagan MN 55122 � � ,� � i Phone: (651) 675-5675 t Date Received: Fax: (651) 675-5694 � � j Staff: � �-------- --------I 2074 COMMERCIAL, E3UILDING PERMIT APPLICATIUN Da#e: Site Address:�B 1 � 3(��"1-�(Qq�- �[�j°l 3"3(o°�� a �c�� r,,� .�)C�,�j � Tenant Name: (Tenant is: IVew/ Existingj Suite#: Former Tenant: Name: Phona: Pt'O�LI'Cy OWri�t` Address 1 City t Zip: (�+��' �te���3f�91- 3 -� (.,c.�c:��, App(icant is: Owner �Contractar Type of Wark description of work:_, �C�,�^� � Construction Cost: � �5 Name: t#' ��C.. License#:__�..��c�t Cl�� Address: ��� r��d ��'.� l��,S�" City: f1�. � Contractar ��n ot�� State:_��V ZiP������ Phane: � ��, " ��� -' '�("��'�� Contaet: 4 � e,,��`�" Emaif: t.�'t"(' c� rV`tS� _ Name: Registration#: ArchitectlEnginesr Address: �Ety: State; Zip. p����. Contact Person: Email: Licensed plumber installing new sewer/water service: Phone#: NOTE:Plans and supporting documents that you subrnit are consideretl#a be public informafion. Portians af the informa#ion may be ctass�fied as nan public if yau provide specific reasons that would permrt the City fo correlude thaf the are trade secrets. CALL BEFORE YOU D1G. Cal!Gopher State t?ne Catl at{651)454-0002#or protection against underground utility damage. Call 48 hours before you infend ta dig to receive locates of underground utilities. www,qopherstateonecali org t hereby acknowledge that this information is camplete 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, a�d work is not to start without a �ermit;that the work will be in accordance with the approved plan in the case of work which requires a revisw and approvai of plans. x (�'�i c°_• i/Y1Jf�.1 ,� ' �, Applicant's Printed Name Apptican Signature Page 1 af 3 `a+�� ..�.�s���''� e� �*i;. ".� :� ._�,._.�,�.__..�._._�—, � ����`r`a��� � � � �� �� �� j �'�s�t#:—lp���..�%�,j.S�— � a� � 1 j • 3$34 Pil�#Kltt3b R�d 1 Petmit fea: � I Eagan N!N 55122 � � Phone;(659)675-5&75 # �ate Rsc�iv�d; � � ! Fax:{659}6T5-5694 z # Sfaii: � i _____.._...._.��_� � �_..._�� I . �0�4 F�ES��Et�ftAL E3U[Ld , ��G P'E� MtT APPL( CATt4N Date. '�.—� 5ite Ad �____ dress: 3 s�---�..r._.� A � � r� C�c� tlnit#: II , � �� � ��-;��- 'car� � v:�or _ ' �� - _ ,.�.�,s�:�� .. . , � �� �������� .; .__ .� _,.,.. �3- pc,� � a� , � � ��������;�= �3 �g,l c��� c� ,�.n �� r �,...�`� -�.��con M �.� �c� � �: :� : r � Qe�n�o� � �,� �c� b v�� ��� w;n L .�_V.�..�._.. � � ' . . �k���; �: C,n � �' ; �: �� � "' ;� ��- a ° '������ ��a�-���'��it�t�r9:{`��s�,1�t�a._........� � �mpany; Ct�nl��: ��€�_ � €� ---.�...__,... � CC►#t�TBCtOi' Address: 1�,� �, � ,� ��,�- ��y: ��,e��r,��- a Sta#e: �,.`� ZiF����..._ Pharte:��'�LI�—?�7�maii: 5 � , �� • i.�cet�se#.�{',-.,�"`;r�,,,�„�► Lead Ceriiticate#:_,y�,r� `^°i l�'I�,�°r ,�[� Y y(.,S � �+ R g g.�yq.�. gy ---�--�-----»�-----------,�e•�._.�.�.,,�_..�.._ $; S�4P;x�3k.Sx3��±��a" �'[...�1� .�.wAM� P d"����#i'. R6�. �������-�'tS�'&6"°.�d4'!':'�'�}'=7`t' ar«'�4.�: fw, P*�� #.n { ,. t .4 w�� �%.,.. i�i1�.."�'.e.I�ia�21i�'J � C:�'3e :�.i°i�..tr::5<.i S' V H ���If���4Y1� �"@��� 4N14�4 �� �VRS�FII.SVW�iFi`V ['t,��R4 4JV�Ra4l��V 6 � �r� ��st'��nsc�n�s,�as tt�+��i�of�agan'rssued a permit for a sicnitar ptart based cxn a master pla�t? �Yes �iVo ff yes>date artd address of master p1an; Licensed P�umber: Pa�ac�+aP• Mechanical Contraa#�r. Phc�ne: Sewer&Water Contractor: Phane. �[�[QI'�,' .P1��.���5�.�'�,�'����� 7i#i�';�'�:�t� ,.�.x.� ', � t�'.'. J7l�*#��. � � `�a:�,.�ktt���i.��t'3� ° � '��� ��' ! f .:��:� `�`" ;� .��»�P��a��r��,������ ��`�,. �� � �, �, ��t�r�� ���,��;, � � �;�s�,..���� ` _�~��'�� � �I i.s�lY�4.:��(—��� #�id.i�3�ro ����S�T�e3�$�$i�r$4��i.$���}��A�J'�,��sat"V���#�1�153��1�'��e'���"�i#S�i a3T6�*�SGi.'SiL3 i3'{7�fiji F5i°�51"7t3�E.'. 4..G'1��"b{��qt363t5•_•,••,� i����re y�u an+.��:�i4 d`s�i�a t��:�iv�3�P�s ot un€��r��s�tt�i uta#�i's�_ a�v;r catr�hei�tai�e���*x�+ &h�ret�y ac�nsswtedge tha�ihis inicsrmaticsn is cc�mp�te and accurate;th►�the work w�will be in canforman�with the ord�nances and cades of the��#y�ri Eagan;tt�at I understand ttsis i, no1 a wi aCtt�tdanCe with the approved pfan in thecase ofUwork wh ch r�ePqu tes a r�eview a dtapprovao pt�nsi to sta�!w�hout a permit; it►at the work will b� in • Exterior work autharized by a huiiding permit issued in accordance with the Minnasota 8tate Building Cade must ba cam¢let�c3uuik�+;1�j. days�qf pec�'tt���c�. � ' �' k x Appfican#`s Rrinted l�a App(ica s ign re- Page 1 oF 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA129987 Date Issued:03/30/2015 Permit Category:ePermit Site Address: 3691 Widgeon Way Lot:8 Block: 02 Addition: St Francis Wood 5th PID:10-65904-02-080 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater 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. Applicant: Troy Good 3670 Dodd Rd Eagan, MN 55123 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 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 - Gary A Howard 3691 Widgeon Way Eagan MN 55123 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature • � Qem,it#: /'��ll:� �� ; �,,, . C�ty of �a�a� � Permit Fee: (� � �� 3830 Pilot Knob Road � ` � � Eagan MN 55122 � Date Received: 1 - '� i Phpne:(651)675-5675 I �� i Fax: (651)675-5694 I Staff: i • ` --1 `--- TION ---�1� 2014 RESIDENTIAL BUILDING PERMIT APPI.iCA ��,j� Date:_��` q " �1-� Site Address: � � 1 Unit#: u� ` Name: `'�G.�f"`�� ���,�P"��� Phane: (p�"r �a��D ���T���� ;�� : , ���Reside t/ �— "—' I� 5 � �, = p�_;. � �,` Address/City i Zip: C'. "� � ���, Applicant is: Owner �Contractor � � � ,;�.� �„� } „_, H �' rl � Description af work: ��,��V� � ��14�. �X��U't i�g �t 'XS�9 �� � �t �e ��.ar � � Construction Cost: ` � 7,� � Multi-Family Buiiding:(Yes�No } �� �,,� ���� � Gompany: � � � � Gantact:��1��_�f�1�6'f`c�i��,_ R , ..Q .� nr � Address:�'��" ��� 1.�..� City: � ��c3�.�t��� � �� ° State:��Zip: Phone: �JeZ"°t�11''���mail: �' �1�M .C ������ Y .:. �. � . . - i. �t���Ll'�. k' �z�lk��} ��}�� . s�,��� ��;��,�,� License#: � �� � �ead Certiflcate#: t��"C�^11''�'��1�-� (f the pro}ect is exempt from lead certification, please expiain why:(see Page 3 for additional inforrnation) � COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City af Eagan issued a permit far a simifar plan based on a master plan? Yes _No if yes,date and address of master plan: l.icensed Plumber: Phone: Mechanicai Contractor: Phone: Sewer 8�Water Contractor: Phons: �NL)�TE�f'l�ans�and,�uPpo!#rng a(ocumnen#s�tf�af you su�i»i# re con�ldered�fa� e ,. blf�' �����"a�1 '�".y`' " .�.s,�o �� �� '�#hei�forrr�a�ioi�`may�tie�lassiflia��s�n��z;pubt��'�i�you ov ,espec##fc� ea . s:t �tin�oud:� t,> e�� A �" v �� �z��' �� � ,, ��,��.. .o.� � � ��cot�c/ude:tha#.t t�� uar'e�t►a�tle secr'e s,�. ����.,.:�� �,�n= �� �,���, n�. „��., ,4�;� �. .��, .,. �� f • CALL BEFORE YOU DIG. Cail Gopher Sfafe One Cail at(651)4540002 for protection against underground utility damage. Cali 48 hours before you intend to dig to receive locates of underground utilities. www.aoaherstateonecali.ora I hereby acknowledge that this information is comptete and accurate;that the work wiil be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a pennit, but oniy an applicatian for a permit, and work is not to start without a permit; that the work will be in accordance with the approved pian in the case of work which requires a review and approvai of plans. Facterior work authorized by a bul{ding permit issued in accardance with the Minnesota Sfate Buiiding Code must be completed within 980 days of permit issuance. x . x n App{icant's Printed Name Appli nt's Sig ure • Page 1 of 3 _��;�� ��`��'�c`� („�G "�� D� NOT WRITE BELOW THtS LINE � �� `� � SUB TYPES _ Foundation _ Fireplace _ Porch{3-Season) _ Exterior Alteration(Single Family) � Single Family Garage Porch(4-Seasan} Exterior Alteration (Multi) • _ Multi � Deck , Porch(ScreenlGazebo/Pergola) -_ Miscellaneous _ 01 of_Plex _ Lower Level _ Pooi ^ Accessory Building WORK TYPES _ New ' Interiar lmprovement _ Siding _ Demolish Buiiding* _ Addition _ Move Buiiding _ Reroaf _ Demolish lnterior � Aiteration Fire Repair _ Windows _ Demolish Foundation Replace ,� Repair T Egress Window � Water Damage Retaining{Nalt `Demoiition of entire building—give PCA handout to appiicant DESCRIPTION Valuation !�lCA� Occupancy �RG_.3 MCES System '"" Plan Review Code Edition A�'? SAC Units —' (25%_100°to v) Zoning n ,..3 City Water � Census Code y3�1 Stories ^ Booster Pump -- #of Units / Square Feet '""" PRV .. #of Buitdings / Length — Fire Sprinklers � Type af Construction � Width — REQUIRED INSPECTiONS Footings (New Building� Meter Size: Footings (Deck) Final/C.O. Required • Footings(Addition) � Final/No C.O. Required Foundation HVAC Gas Service Test Gas Line Air Test Roof:_ice&Water _Final Pool:^Footings Air/Gas Tests _Final � Framing Drain Tile Fireplace:_Rough in Air Test _Final Siding: _Stucco Lath _Stone Lath TBrick tnsulation Windows Sheathing Retaining Wall:_Footings_Backfifl_Final Sheetrock Radon Control Fire Walls Erosion Control Braced Wal1s �✓,,.,_,,,...--�---�F" Other. Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee !�!> � Surcharge Plan Review ot� "' MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant • Gopies ,'�.f TQTAL Page 2 of 3 . For Office Use Permit#: / r) C/ �e % , ' ,r AGA N .{. 5E' Permit Fee: / "—� Date Received: 3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff: buildinginspections(a cityofeagan.com L 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date "1 ` r0i(O-- i? Site Address: 3 51 -)f\ `iel O Q r\ Unit#: i t i Name: -1 c rer. /AO OCAJar, -_ Phone: Coo I,- Cal- 9939 1 Resident/ I q� Owner Address/City/Zip: 36 7 L 3 6 . i.t` ...1,__, --\/ o c a Fu.) 5 5' .a 1 - y ° ' Applicant is: Owner /Contractor Type of Work ,, Description of work: A erc 3�R j 3(0. Q11 l®Ol l)'3t�S3� c3(o`15 r 3, Construction Cost: a l 3 45 Multi-Family Building:(Yes V/No ) Company: ucrc 1 CCVN4 .C?\ Drl LnC.. Contact /A t )4uf'Yo-V Contractor ° Address: i(1±.0 5 de,rsey Noe- City: clva5 Y 0-2 i t : State: )"I� Zip:56318 Phone: -��1---)0-15mail: (Ylor rcA j C.Or' t 1 c`-L ASN-C(Y ' zI I License# B C 11 a a S Lead Certificate#: If the project is exempt from lead certification, please explain why: 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 ou provides*- ific reasons that would •-rmit the Ci to conclude that the are trade secrets. You masubscribe b to receive e ei a an electronic ,notfication from the City of proposed ordinances by signing up for an email update on the City's websiteat ww 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.gopherstateonecail.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in / accordance [with �/the approved plan in the case of work which requires a review and approval of plans. x t\1C_> itis 0r 1� x , . / 7/V � ?' Applicant's Printed Name ( Applica s Signat e PERMIT City of Eagan Permit Type:Building Permit Number:EA152691 Date Issued:10/25/2018 Permit Category:ePermit Site Address: 3691 Widgeon Way Lot:8 Block: 02 Addition: St Francis Wood 5th PID:10-65904-02-080 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 - Gary A Howard 3691 Widgeon Way Eagan MN 55123 (612) 387-5200 Murray Construction Inc 10675 Jersey Ave Chaska MN 55318 (952) 941-7075 Applicant/Permitee: Signature Issued By: Signature