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3695 Widgeon WayRESIDENT / OWNER Name: Phone: Address / City / Zip: Applicant is Owner Contractor 9 pG.ST i c 1 fig/ TYPE OF WORK ,DECK P057 P �, pa /A Description of work: ((JL if i 7ED l36 T72 ,s vi /cock- e e /Acy ..._ Construction Cost i 152)/�s, Multi- Family Building: (Yes / No ) CONTRACTOR Name: 0/50 C /Oei' 2'77 /4C, License #: .20-5 62 'Vg Address: 3% /S JJ )j/7 A / Y City: (/c>/C Cid/C° State: / T//y Zip: S37.2g Phone: 6'J ' 5 03132 Contact: c7t7 // 0/SOP Email: dd/'T// i g-- 06/ COMPLETE In the last 12 months, has _Yes 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: Licensed Plumber: Phone: Mechanical Contractor: Sewer &Water Contractor: Phone: Phone: NOTE: Plans and supporting documents that you submit are c onsidered 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 Date: Tenant: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 Applicant's Printed Name Site Address: x fl/l,QyLL O/c co AUG v j Ztiiu 11 X Applican ` Signature Use BLUE or BLACK Ink Permit #:�� 1 Permit Fee: � j"'� f' � \ Date Received: Staff: p � 2010 RESIDENTIAL BUILDING PERMIT APPLI Suite #: .90 I gar , 369.E M yee/7 I/6y CALL BEFORE YOU DIG. Call Gopher State One CaII 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 wit 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. Page 1 of 2 SUB TYPES Foundation Single Family Multi 01 of _ Plex Accessory Building WORK TYPES New Addition Alteration Replace Retaining Wall Fireplace Garage Deck Lower Level DESCRIPTION Valuation Plan Review (25% 100% Census Code # of Units # of Buildings Type of Construction Reviewed By: Interior Improvement Move Building Fire Repair Repair Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice & Water _Final Framing Fireplace: _Rough In Air Test Final Insulation Meter Size: RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S &W Permit & Surcharge Treatment Plant Copies DO NOT WRITE BELOW THIS LINE Go 3 - off_ TOTAL Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Pool Miscellaneous Porch (3- Season) Porch (4- Season) Porch (Screen /Gazebo /Pergola) Siding Reroof Windows Egress Window 7/2c - 3 Igo 7 A -3 Building Inspector hl �o s r Q 35o`° Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building — give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Sheetrock Final / C.O. Required 3 0 Final / No C.O. Required HVAC Other: Pool: _Footings Air/Gas Tests Final Siding: _Stucco Lath Stone Lath _Brick Windows Retaining Wall: Footings Backfill Final Radon Control Erosion Control /4c" Page 2 of 2 óõó ûø ÿþ ÿþþ ýüûûüû úþþøíùôô ãýï ãåòã ÿþó ýüûúùø ïü Úó úùø ö ïü Úó Ùü ÿÿ ø ô ðü ô üû ä þý ø þàåß þ òòæò ä ôï àõ ø ô èìæìòææ òú ýü ÿ ïê èìåìå ñùùð óïö øø Ü é ù ó ä ù æ ãå ÿ ù óùäöòå ÿäö àâãß ûù ÿ í øø ëô ÿ ôøù øøû ý ëä ýü óùë ÿî ì øø÷ ô ýÿü ü ùýÿü SEWER & WATER PERMIT OFFICE USE ONLY CITY OF EAGAN 6/7/90 3830 Pilot Knob Rd. METER # PERMIT DATE C HIP # PERMIT # 11434 Eagan, MN 55122 -1897 08175 METER SIZE B.P. RECEIPT # DATE JUNE 4, 1990 ISSUE DATE B.P. RECEIPT DATE 6/5/90 PRV _ BOOSTER PUMP SITE ADDRESS 3695 WIDGEON WAY PERMIT REQUESTED LOT 6 BLOCK 2 SEC /SUB ST FRANCIS WOOD 5TH L.__ X SEWER X WATER TAPS APPLICANT: F i . )-� ADDRESS: / UO /- t 1 _, . COMM /IND X RESIDENTIAL CITY, STATE d ,...21.-.. 4 /l/ nJ ZIP SS - S724 NEW EXISTING PHONE: 1 `-/?/ - 3 SS/ cD Lawn Sprinkler Meters are to be Installed PLUMBER: / - = 7 5� /` Ahead of Domestic Meters on Water Line. ADDRESS: Credit WILL NOT be given for Deduct Meters. CITY, STATE .._ 1 1/ 4/ I . ZIP SS/2 5< ' • PHONE: AGREE COMPLY WITH CIT OWNER: 1 ... I / EAGAN ORDINANCES ADDRESS: 3`& . �� CITY, STATE .e M I ZIP 5 PHO E: SIGNATURE WHEN METER ISSUED EVf ' O WO K NG' r • Y FOR PROCESSING. CALL 454 -5220 FOR INSPECTIONS. FOR STORM SEWS PERMITS, CONTACT ENGINEERING DEPT. (�_ q4 OK P Gt r l' — yU ' ;A - {for% C' 4 a• . 111 , � n nd'�- C fi p , � 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 . 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:Plumbing Permit Number:EA155583 Date Issued:05/22/2019 Permit Category:ePermit Site Address: 3695 Widgeon Way Lot:6 Block: 02 Addition: St Francis Wood 5th PID:10-65904-02-060 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. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). 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 - Catherine A Meyers 3695 Widgeon Way Eagan MN 55123 (651) 994-1010 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA168391 Date Issued:04/20/2021 Permit Category:ePermit Site Address: 3695 Widgeon Way Lot:6 Block: 02 Addition: St Francis Wood 5th PID:10-65904-02-060 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Catherine A Meyers 3695 Widgeon Way Eagan MN 55123--115 (651) 994-1010 Milbert Company (culligan) 1801 50th St E Inver Grove Heights MN 55077 (651) 451-2241 Applicant/Permitee: Signature Issued By: Signature