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3673 Widgeon WayRESIDENT / OWNER Name: (A1- 1) ILL) ^ Z Phone: ( 5 1 - If 5 y - 1.2'L ) Address /City /Zip: 367 Wt P 6 cs0r) 1i) 6;44 ykA) _SS IZ3 Applicant is: xi Owner Contractor TYPE OF WORK lieu, u,srr pow s 1 voo .C.J Description of work: /26 Pt-Ars E Z (414-1- /J VC 7 w rifi6 e. D/g004 -( is Construction Cost: / 8' LAT . / Multi - Family Building: (Yes / No ) t e CONTRACTOR Name:6 ut=t'N r u- C v NSr la 6 r t License #: Z o a 4 70 Er19 Address: (0 5 Z 5 M41' }t-12 t= 4/F' s' City: f3L6b M "A i& r° eV State: 1/14 tN Zip: S' 1 7 F Phone: G (Z - 3 k- fO 3 if .s y Contact: / l- l4" " . S PIZ' 4T't Email: Tk rfrilr3 ,RNta( 1 t»'1 C. i1L2,. < 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: NO TE Plans and supporting documents that you subm are cons to be publ 7nforrtlation. th information may be classified as non-pub if you provide specifc reasons that w ould permit `''' :conclude :th at they; are trade: ecrets, ; Portions of 6 the City to City of Eaall Tenant: c--/kg L D ,= LO N Z x Applicant's Printed Name Sn 5,ap 3 tto3 3830 Pilot Knob Road r./ Eagan M 55122 i�, Phone: (651) 675 -5675 CgT Fax: (651) 675 -5694 4 4 Date: / / 3^ 1 0 Site Address: 3 61 3 A) P 6 C r Use BLUE or BLACK Ink Permit #: C3 \L0 (D Permit Fee: V.� Date Received: y/ ,_/ kn. Staff: 2010 RESIDENTIAL BUILDING PERMIT APPLICATION WM"; 64444.1 Suite #: SSIZ3 CALL BEFORE YOU DIG. CaII Gopher State One Call at (651) 454 -0002 for protection 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. 7504 `3__J p 01- ' 1 Page 1 of 2 SUB TYPES Foundation Single Family Multi 01 of _ Plex Accessory Building DESCRIPTION Valuation Plan Review Reviewed By: RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S &W Permit & Surcharge Treatment Plant Copies Fireplace Garage Deck Lower Level (25% 100% ) Census Code # of;Units # of Buildings Type of Construction REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice & Water Final Framing Fireplace: _Rough In X, Insulation l Meter Size: Move Building Fire Repair Repair TOTAL DO NOT WRITE BELOW H IS LINE WORK TYPES New Interior Improvement Addition Alteration Replace Retaining Wall Porch (3- Season) Porch (4- Season) Porch (Screen /Gazebo /Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant Siding Reroof Windows Egress Window Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Sheetrock Final / C.O. Required Final / No C.O. Required HVAC Other: Pool: _Footings _Air /Gas Tests _Final Siding: Stucco Lath Stone Lath Brick Air Test Final 1,, Windows 1000 Retaining Wall: _ Footings _ Backfill Final Radon Control Erosion Control Building Inspector Page 2 of 2 1. 4 f ',s as x �� t . `#° ? „ r j Ya y ` ` `; a , t' s � , 3 a , r � '7++Y rt 'x y k ;' s .`' '.a, l''''''.7-;,,,, ,� z �.,4„ r , ) 1 '' ''''.' *C j�fL? . � / ,..A,;-'15,,,.:,,,',,,-,11.;',.- 4 x W ', �k' a $ e, - ta""m* 1 3 w f ,,r. .� rte -, , , ,,10: -., _ P •v a s .. .1� " x S`�r ,:-" q,. ,d fit. - ay� ''k' „t-., : ' 1�" • f e .. m 4 s ue : ' � ..mow tr,sf,�£ ip " Y � s` �+ f 'n z t �7s r' ? +'� 3 + .. 'per' , , "°`w :„..,=4,',0. ,, .r t . o B ' ;'''''4't:-. , P' may►{ t ".v k+ .' 4 . unit: ___4 s : '''t &-.. d i e „ . .. 4 ( t4-*. ) �. T � ; W4* iI Cher 61 � 9 ti . 4 I i i ' - ! ' �/ ,tV�Ya tip Cit of Ea Qf e S j' 0 t01- - o 3830 Pilot Knob Road Eagan MN 55122 3 Vim` Phone: (651) 675-5675 1 (R Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit # (O 50 J Permit Fee: (_/20 651 Date Received: Staff: INFLOW &JNFILTRATION PERMIT APPLICATION Plumbing / Sewer & Water cV Date: i_ 7- 1 Z Site Address: 3 7 3 (-v i Jaen 4.41c si �gS Tenant: Suite #: Name: cc -r-0)... b v Y - h Z, 0 Phone: Address / City / Zip: 3 -7 3 ge a y. Name: 142S;QQf City: Qa State: I`1Zip: -. S> a a Phone: ( S l c,81- g Z S Z Contact: lh 14 Email: dh i ►� eSSr{G p I vy 3; •, • t ar- PLUM MNG (Within the building envelope) Sump Pump Repair Other. SEWER & WATER (Outside the building envelope) Repair Other. Description of work: ( 10 i° p t S -.."-y) , s -r d Ce 1.--\ FEES $60.00 / Each (includes $5.00 State Surcharge) TOTAL FEE$ U• Uo *Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit 111 repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.citvofeaaan.com/inflow, or City Hall at 3830 Pilot Knob Rd. 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 Applicant's Printed Name ,I,6 Applicant's Signature if,* City of Ea u 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: 0e2, Permit Fee: Date Received: —(9-C-' /3 Staff:, l'YA. f2012 MECHANICAL) PERMIT APPLICATION Date: l (>z Site Address: � o7 3 \AI t a eon \4o Tenant: Ed Po I ock. Suite #: RESIDENT / OWNER Name: Ed c 1 ( 7C �2 � 2-3.Q- 703S act. Address / City / Zip: :(131-1e)" VJ ldCi ebn V\ o4 ac(. J Cc-i'l ss � 2 CONTRACTOR Name: beans ictu tbi ((lg avis #4 W- License #: I+4ett- Address: -I 400 ki rk1 J 0Oct (t • jj City: Mcg pie Grave State: M N Zip: ss 319 Phone: (1 16.3) -12 3 - t -tap Contact: lard-. Email: ' .a Gi' is' W1..I'D h.• • g k TYPE OF WORK New X• Replacement Additional Alteration Demolition Description of work: NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. PERMIT TYPE RESIDENTIAL X Furnace COMMERCIAL New Construction Interior Improvement Air Conditioner Install Piping Processed Air Exchanger Gas Exterior HVAC Unit Heat Pump Under / Above ground Tank ( Install / Remove) Other _ RESIDENTIAL FEES: $60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State burned out appliances, ductwork, etc.) (includes Surcharge) $5.00 State Surcharge) = $ 0 TOTAL FEE $100.00 Fire repair (replace COMMERCIAL FEES: $75.00 Underground tank installation/removal $60.00 Minimum (includes (includes $5.00 State Surcharge) State Surcharge) $10,010, surcharge is $ 5.00 surcharge increases by $.50 for each $1,000 Permit Fee requires a $ 5.50 surcharge) OR Contract Value $ x 1% = $ Permit Fee - If the Permit Fee is Tess than = $ Surcharge - If the Permit Fee is > $10,010, Fee = $ TOTAL FEE (i.e. a $10,010-$11,010 Permit CALL BEFORE YOU DIG. Call Gopher State One CaII at (651) 454-0002 for protection against underground utility damage. CaII 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 nota permit, but only an application for a permit, and work is not to start'tout . t-rmit; that the work will be in accordance with the app[ovpd plan in the case of jf work which requires a review and approval of plans. J° rkSD 0, x Applicant' § Printed Name x Applicant's Signature FOR OFFICE USE Required Inspections: Underground Rough In Reviewed By: Gas Service Test In -floor Heat Final HVAC S . � �v��i�� `� Use BLUE or B[,ACK !nk r.__..�.��a.�v..s..�__....__..._ 6 �or Office Use I • �lUV �� U U� � Permit#:----�—�a(L-C�-�1SL—. j u � � ` ' - '`j-(3 � 3$30 Pilot Kttob Road � Permit Fee:_ ��- � Eagan MN 55122 � � Phone: (659) 675-5675 i Qate Received: `.��_ � Fax: �651) 675-5694 j � � Staff:_ � �-------- --------I 2014 COMMERCIAL BUILQING PERMtT APPLlCATION Date: Site Address� exp��' �t9�3— a3�p� 'J�—��07� Tenant Name: (Tenant is: New/ Existing) Suite#: Former Tenant; Nams: Fhane: Property Owner 1 3`- Address/Gity f Zip: 7 - 3(��13'�(p��c��]_�i,, �� (� � Applicant is: Owner �Contraetor Type of}Nork Description o#work: QP �(''� � ( � � Construction Cost: � �� Name:��si�'1'UG��ti("�t"'3 �►�. Lic�nse#:_�-�� Cantractar Address �S�� 'r�� P;.a'�°' Gity: �� Q��,,. ` State:—��ZiP:s��"'i , Phone: `^� "�'J�, ° �J`�"� — '�(�'m"j',�.� Contact: ��,,a,• e��(" EmaiL c�4"'(` � t� �'Vl� , Name; Registration#: ArchitectlEngineer Address: city: State: ZiP� Phone: Contact Person: Emaif: Licensed plumber insta(ling new sewer/water service; Phone#: NOTE:Plans and supporting documents that you submit are considered to be puklic Informatlon. Portions of the infarmafion may be classified as non-pub/ic if you provide speciflc reasons that would permit the City to � conc[ude that the are�rade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at(651}454-0002 for protecfion agai�st undergraund uti{iry damage. Call 48 haurs before you intend to dig to receive locates of underground utilities. www,gopherstateonecail orq I hereby acknow{edge #hat this informatian is comptete and accurate; that the work wifl be in conformance with the ardinances and �codes of the City of Eagan; that I understand this is not a permit, bui only an application for a permit, and work is not to start withou#a rmit;that the work will be in accordance with the appraved plan in the case af work which requires a review and a,provaf af p4ans. X ��arr� X ApplicanYs Printed Name Applic 's Signat e Page 1 of 3 Use BLUE ar BLACK ink ��_____�__�__-___� i For Qffice Use. 1 � t.��V� I C16� O1 �� ' � � Permit#: � t Permit Fee: / �S�� i _ 383d Piiot Knob Road � � Eagan MN 55122 � Date Received: � Phone: (651j 675-5675 � � Fax: (651)675-5694 � Staff: � � I 2014 RESIDENTIAL BUILDING PERMIT APPLICATlON Date:_��"�`j"�� 5ite Address: 3 1 �, Unit#: Name: Phone: Resident/ Owner Address!City/Zip: ��D�� (��c��erU,� 1��1 �4�,^� �,� Applicant is: Owner �Cantractar c��aux, � Type of Work Description of work:� '�r�3\� ��'ow� �r g �� ,.p�c�C�,�+n�S Consfruction Cost: Multi-Fami(y Building: {Yes�t No_) Company: Contact: �.i1�� C011tY1CtOC Address: h�� c�. �c}�, 1��;}°- City: J`��{c��_,c�?._,r State: Mr� Zip:�iYii��,_ Phone:�t5�~`�41-7o��mai�:�„ic,�:� r�.s�-�l "�,�. "r� _ � License#:��;7 �� Lead Certificate#:_�r�-� ^-��Q'�,(-°-� !f the project is exempt from lead certification, please explain why: {see Page 3 for additional information) � COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BU{LDING 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 Piumber: Fhone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: NOTE:P/ans and supporfing documents that you submit are considered fo be public infiormafion. Portians of the informafian may be ciassified as non-public if you pravide specific reasaas that woufd permit the City tv conGude that the are trade secrets. CALL BEFORE YOU DIG. Cai1 Gopher State One Call at(651)4540402 for protection against underground utility damage. Ca�l 48 hours before you intend to dig to receive focates af underground utilities. www.qor�herstateanecail.o� I hereby acknowledge that this information is comp{eta and accurate; that the woric wiil be in conformance with the ordinances end codes of fhe City of Eagan; tha# 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 pian in fhe case of work which requires a review and approval of plans. Exterior work authorized by a buiiding permit issued in accordance with the Minnesota 5tate Building Code must be compteted within 18d �µ, days of permit issuance. . x c � C'1' X ApplicanYs Printed Na Apptica s Sign re Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA136431 Date Issued:05/12/2016 Permit Category:ePermit Site Address: 3673 Widgeon Way Lot:2 Block: 01 Addition: St Francis Wood 3rd PID:10-65902-01-020 Use: Description: Sub Type:Fireplace Work Type:Gas Insert Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 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 - Jane Tuseth 3673 Widgeon Way Eagan MN 55123 (651) 638-3301 Fireside Hearth & Home 2700 Fairview Ave N Roseville MN 55113 (952) 985-6675 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA137128 Date Issued:06/17/2016 Permit Category:ePermit Site Address: 3673 Widgeon Way Lot:2 Block: 01 Addition: St Francis Wood 3rd PID:10-65902-01-020 Use: Description: Sub Type:Fireplace Work Type:Gas Insert Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 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 - Jane Tuseth 3673 Widgeon Way Eagan MN 55123 Fireside Hearth & Home 2700 Fairview Ave N Roseville MN 55113 (952) 985-6675 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA155747 Date Issued:05/31/2019 Permit Category:ePermit Site Address: 3673 Widgeon Way Lot:2 Block: 01 Addition: St Francis Wood 3rd PID:10-65902-01-020 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 - Jane Tuseth 3673 Widgeon Way Eagan MN 55123 (651) 428-0232 Murray Construction Inc 10675 Jersey Ave Chaska MN 55318 (952) 941-7075 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA170226 Date Issued:06/23/2021 Permit Category:ePermit Site Address: 3673 Widgeon Way Lot:2 Block: 01 Addition: St Francis Wood 3rd PID:10-65902-01-020 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 210-0754. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 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 - Jane Tunseth 3673 Widgeon Way Eagan MN 55123 Standard Heating & Air Conditioning 130 Plymouth Ave. N Minneapolis MN 55411 (612) 824-2656 Applicant/Permitee: Signature Issued By: Signature