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3678 Widgeon WayRESIDENT / OWNER Name: Phone: Address / City / Zip: Applicant is: Owner Contractor TYPE OF WORK � Rost' ' .1 Description of work: c i �-2� �./ 2� / , : ' Cl� �.-�%1 ��.�L. Construction Cos � Multi - Family Euilding: (Yes " 6 / ; / No ) �Gy -�'/ / CONTRACTOR Name: /�Sp fl . -- �� e, Z`iy L L (° J License #: 0-5: -Z 9, Address: � �6� 6 › GU //) IA City: CJ ��LQ'Cl /e/ f State: /V/ Zip: .5 E Phone: ha O % 5 63g-z- Contact: Dail / Ol.50i7 Email: ciai //0 Q• Co m 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: Phone: Sewer & Water Contractor: Phone: NOTE" -Plan and support documents that y s ub mit are considered to b p ublic information P ort ions of th information. maybe class�ea as non -pu bh � rf you provide spe reasons that would t he ity t c onclude th at f theyare trade secret Tenant: ` City of Ea�ali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 Site Address: x / ? &y'/ /( ( 0 /7 Applicant's Printed Name RECEIVED SEP 16 2010 2010 RESIDENTIAL BUILDIN r Cqvs IT APPLICATION C Staff: Suite #: CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454 -0002 for against underground utility damage. CaII 48 hours before you intend to dig to receive locates of underground utilities. www.gooherstateonecall.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,. VA, j Applica s Signature Use BLUE or BLACK Ink Permit #: % (9 57 Permit Fee: // 56 _ Date Received: : / L/J , Page 1 of 2 SUB TYPES Foundation Single Family Multi (� o1 Accessory Building WORK TYPES New Addition Alteration Replace tif Repair Retaining Wall DESCRIPTION Valuation Plan Review (25% 100% 1 ) Census Code # of Units # of Buildings Type of Construction Reviewed By: g RESIDENTIAL Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S &W Permit & Surcharge Treatment Plant Copies Fireplace Garage it Deck Lower Level Interior Improvement Move Building Fire Repair 3vo ki f 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: TOTAL DO NOT WRITE BELOW THIS LINE yo °- Porch (3- Season) Porch (4- Season) Porch (Screen /Gazebo /Pergola) Pool Siding Reroof Windows Egress Window Occupancy J RG - 3 Code Edition g„ z? 7 Zoning 12- 3 Stories Square Feet Length Width Demolish Building* Demolish Interior Demolish Foundation Water Damage MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Sheetrock Final / C.O. Required yG Final / No C.O. Required ✓ HVAC Other: Pool: Footings Siding: _Stucco Lath Windows Retaining Wall: _ Footings _ Backfill Radon Control Erosion Control , Building Inspector q6o6 Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous *Demolition of entire building - give PCA handout to applicant Air /Gas Tests Final Stone Lath Brick Final Page 2 of 2 ÿ þ ý ÿþþýüûúúûü ùýýþþ ø÷öýö ÿþ üûúùø ü ÷ ö õ ô øü ÷ ö óü þ þ ø ò ñü ò ðüû ï ý ÿ ø ýîí þ ììëì ïÿ ò îç ø ò íæèëèìëë õù ü ð þ å æèè ê ü éýè ôóóò ñð øø þôà þ÷ öþá ç ìëõ ð ä ýü éë þ ù ï à þðïõÿ þ ïõ îíëë ð ûù ô þ ð ð ä ð øø ð ð ã ò þ òøùôð øø û ãï ü öùãÿ þ â è øø ß ò þ ü ü ùþ ü , r -.: s ;` f ;..q.--,.3,..-.-----,... _ I r ,, Y " y p i q ,, ' ' � ? 1 ` . , ....,;:,.,..::::,:„1_, d is p '1 ,.� r� & '�� 6 � l '"I';,:.:'' k s fie f„ ,r 3+ k '' r _ ' ...: i �. �Ci1•Y x ay ,� } ...fit 4 , a b� I t . . ' r ` 55121 DMyt' 6 is Z"" ; , " . ] -s + , ms 1 Q€ 4 i h i tom: F 'bar $tapt 6 5 $2442': r I J .. . x t, w1Nc;q iii a , cs , _ , t,,, ''' . , ', : s Y PERMIT City of Eagan Permit Type:Building Permit Number:EA119959 Date Issued:01/06/2014 Permit Category:ePermit Site Address: 3678 Widgeon Way Lot:6 Block: 02 Addition: St Francis Wood 3rd PID:10-65902-02-060 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - 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 by law in ALL single family homes . 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 - Sonja R Sorensen 3678 Widgeon Way Eagan MN 55123--111 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature . - ,. /� � �r�in� � Use BLUE or BLACK ink . r______________.��._. I For Office Use I • Clt of �a aIl ; Permit#: �� D � Y � � � � 3$30 Pilot Knob Road � Permit Fee: � i I � Eagan MN 55122 i i Phone: (651}675-5675 I Date Received: 1 Fax: (651 j 675-5694 � � j Staff: � �-----------------� . 2014 COMMERCIAL BUILDING PERMIT APPLICATION Date: Site Address: 3(07�1 - vb7�-3(�r7$_��8C7 t );r1QP.nr, �,�.v �e�er.f.l✓�� Tenant IVame: (Tenant is: New I Existingj Suite#: Former Tenant: Name: Phone: Pt"0�3e1't}/OWtt@P Address I City t Zip: �7 � � - �(�,`jg -3(Ey$(� � � acc Applicant is: (?wner �Contractor Type of WoI'k ��scription of work: ��,�(''�j� � �� co►,St�u�c�op cost: 1 °7 Name:��'�e,..� �r't'i�'d`UG�t(�f1 �+��.. Licsnse#._�� ur�� Contractor Address: �� r'�� F�i � �s�r��S�"` City: � 4 ,+ ° �3__�`.�. state:_��zi�:_�3��3�� Phone: � �� q�`I� ,� -°I b�� Contact: � ''� e,j:t" Email: t„?C"f� c*� �!VtS� � Name: Registratian#: # Address: Cit Architect/Engineer v� � I � � � State: ziP� Phone: � t Contact Person: Email: Licensed plumber installing new sewer/water service: Phane#: NOTE:Plans arrd supporting documents that you subrnit are considered to Ge publrc informatJon. Porf�ons of fhe infarmafion rnay be c/assified as non-pub/ic if you provide speciflc reasons that would permit#he City to conctude fhat the are trade secrets. GALL 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 to receive locates of underground utiiities. www,qapherstateonecail orq I hereby acknowledge that this information is compiefe and accurate; that the wark 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 far a permit, and work is nat to start without a rmit;that the work wi11 be in accordance with the approved plan in the case of work which re uires a re ' w an provai of plans. x Applican#'s Printed Name X AppGc t s igna re Page 1 of 3 � DO NOT WRITE BELOW THIS LiNE SUB TYPES _ Foundation _ Public Facility _ Exterior Aiteration-Apartments _ Cammercia)/Industrial Accessory Building Exterior Alteration-Commercial • ! Apartments _ Greenhouse 1 Tent � Exterior Alteration-Public Facility _ Misceilaneous Antennae WORK TYPES _ New _ Interior improvement Siding Demolish Building* ` Addition � Exterior Improvement � Reroof _ Demolish tnterior V Aiteration _ Repair ` Windows Demolish Foundation ` Replace _ Water Damage _ Fire Repair _ Retaining Wall _ Salon Owner Change "Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuatian Occupancy MCES System Plan Review Code Edition SAC Units (25%,14Q%�} Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Sprinkiers Type of Construction Width REQUIRED INSPECTIONS Footings(New Buitding) Sheetrock Footings(Deck) Final 1 C.O. Required Footings{Addition) Finai t Na C.O. Required • Foundation Other: Drain 7ile Pool:_Footings _Air/Gas Tests �Final Roof:_Decking _Insulation �Ice&Water _Finai Siding:_Stucco Lath _Stone Lath _Brick Framing Windows Fireplace:_Rough in �Air Test �Final Retaining Wa0 insulation Erosion Contro{ Meter Size: Finai CIO Inspec#ion: Schedule Fire Marshai to be present: Yes No Reviewed By: , Building Inspector Reviewed By: , Planning COMMERCIAL FEES Base Fee Water Quality Surcharge Water Sampling Fee Plan Review Water Supply �Storage(WAC) MCES SAG Storm Sewer Trunk City SAC Sewer Trunk S8�W Permit&Surcharge Water Trunk Treatment Plant Street Lateral Treatment Plant(trrigation) Street Aark Dedication Water Lateral • Trail Dedication Other: Water Quality TOTAL Page 2 of 3 � � � . Clt of �� y � � 3830 Pilot Knob Road Eagan MN 55122 (651) 675-5675 COMMERCIAL BUILDING PERMIT SUBMITTAL REQUIREMENTS: Foundation Oniv ❑ 2 sets of scaled Structural Plans New Buildinq AND Additions ❑ 2 sets of Civil Plans ❑ 1 Soiis Report ❑ 1 Certificate of Survey ❑ 1 Certificate of Survey ❑ 1 Code Analysis*'` ❑ 2 sets of scaled Structural Plans ❑ 1 Project Specs ❑ 2 sets of scaled Architectural Plans o HVAC units required on building elevation/ ❑ 1 Special Inspection &Testing Schedule*'` site plan ❑ 1 Soils Report ❑ 2 sets of Civil Plans ❑ Meter size must be established—if applicable ❑ 2 sets of Landscaping Plans ❑ Met Council SAC Determination (651) 602-1000 ❑ 1 Code Analysis** ❑ 1 Energy Calculations complying with the 2009 Interior Improvement Commercial Energy Code (Chapter 1323 of the MSBC) "`**" � ❑ 2 sets of scaled Architectural Plans ❑ 1 Emergency Response Site Plan *** (maximum plan size =< 24" x 36") ❑ 1 Code Analysis ❑ 1 Special Inspection &Testing Schedule** ❑ 1 Project Specs ❑ 1 Project Specs ❑ 1 Key Plan ❑ 1 Master Exit Plan ❑ 1 Master Exit Plan ❑ 1 CD including electronic copies of the final reviewed plan submittal ❑ 1 Energy Calculations complying with the 2009 ❑ Fire Sto �n Submittals Commercial Energy Code (Chapter 1323 of the pp g MSBC) "*"* ❑ Fire Suppression/Alarm Form , ❑ Fire Stopping Submittals ❑ Meter Size must be established ❑ Meter size must be established—if applicable ❑ Met Council SAC Determination (651) 602-1000 ❑ Met Council SAC Determination (651) 602-1000 * Call MN Dept of Health at (651) 201-4500 for details regarding food & beverage or lodging facilities. ** Contact Building Inspections to see if it is required and for a sample. *"* Permit for new building or addition will not be processed without Emergency Response Site Plan. ***" 2009 Energy Code Compliance Forms are available at www.citvofeaqan.com/buildinqinspections. You will need the ANSI/ASHRAE Standard 90.1 —2004 to complete the compliance forms. � Page 3 of 3 U�� BLU��+r BLACK ink r_._.....—�..�—��....��.._�._.�,,.� � F�OI'OffIC@ USE � I _ _ ��t�r �f �� ; P��,tt�: ��g�1� � ----_ . -_ �= � : ��t�c�,�t�� - � ��: C�S � r� � � � � Eagan MN 55'122 � � Date Received: � Phone:(651)675-5675 �` � � Fax: (651)675-5694 I � StafF: � �_��__�__._-------� 2014 RESIDENTIAL BUILDtNG PERM(T APPLICATlC}N Date� �a � � � "' �� Site Address: ��p7 e Unit#: � Name: �O� �9� �c`tfC..YtigC'n Phone:�p$(p° ca�� _. Residen#J � Owner Aaar�ss i c�ty i z��3 ,�, — � � Applicant is: p�e� �Contractor ��a�rf�f��or wortc:��lF� �r � ,�� 5 5 C;S _ Type of Wark --� _'��'.�`s"''` � ,,... Consteuctian Gost: Muiti-Family Build�ng: (Yes�I tVa�_} , � ,_., :�..:>�. _- � - - �t�n��: #�,�'�� Contractar Address:�`� 24 � � t��-�- city: ��,�t��,n�.� State: � Zip:�i-� Phane:��.'�1-1�-7o'7�mail: ��-,:, t�S�i'�� 1 Pr�r'i. � � l.icense#:��;'7�. �.� Lead Certificate#:__J��,-"(� �-��Q'"�,�--� - � � - - -=- -�.�.;.��:.�,:, N;W�v�;.��u�� vrriy. ��c rctt�� IUt c]C�QIIIO�iai Ifit01'ttic'�t10n} �—�.,..�...__..�r....� �,, nt�e�:Lt.t r�+rr- -.�s..n �.•-.. .. _ ,. .... � � . . . � E �-.��i- ____�s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ity of Eagan Permit Type:Plumbing Permit Number:EA179285 Date Issued:09/27/2022 Permit Category:ePermit Site Address: 3678 Widgeon Way Lot:6 Block: 02 Addition: St Francis Wood 3rd PID:10-65902-02-060 Use: Description: Sub Type:Water Softener Work Type:Replace Description: 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: This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after started. 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 - Sonja Rose Sorensen 3678 Widgeon Way Saint Paul MN 55123--111 One Hour Heating & Air 15191 Boulder Ct Rosemount MN 55068 (651) 437-4177 Applicant/Permitee: Signature Issued By: Signature