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3802 Bridgewater Dr Use BLUE or BLACK Ink r - - - - - - - - - - - - - - - - I For Office Use ~~J ' of Ea~~ Permit#: Cit/ V J J I Permit Fee: 3830 Pilot Knob Road 1 1 I Eagan MN 55122 Date Received: 1 Phone: (651) 675-5675 I I Fax: (651) 675-5694 L Staff: - - - - - - - - - - - - - 2012 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Site Address: Tenant: Suite Name: ~-'1 Phone: RESIDENT I OWNER Address / City / Zip: S Name: e License C-3,6-,C) CONTRACTOR Address City: State: Zip: Phone: Contact:/!l Email: TYPE OF WORK - New _ Replacement _ Repair _ Rebuild = Modify Space _ Work in R.O.W. Description of work: RESIDENTIAL Water Heater Water Softener PERMIT TYPE Lawn Irrigation RPZ PVB) Add Plumbing Fixtures Main Lower Level) Septic System IIII _ New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $189.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ U. O b 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.org 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 no hout a permit; that the work will be in accordance th the appro Ian in the case of work which requires a review and approval of s. X ~1~ x Applicant's Printed Name App icant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final Address 3802 BRIDGEWAM DRIVE Zip 5512 3 Lot 1 Blk 2 Sub TIE OAKS OF BUDGEkI M THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) t/ Permanent steps (main entry) Permanent driveway Permanent gas Sod/Seeded grass Trail/curb damage Porch Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shutoff of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contractor Copy /o ~Y Yeo- M 4794 ga Request Date Fire No. Rough- spection NOTICE: You Must Call Electrical Inspector Require ? It A RoughIn Inspection ❑ Ves /No is Required. licensed contractor ❑ owner hereby request inspection of above electrical work at: Jab Address (Street, Box or Route No,) City J~ ICICi L !'t S4 410V Section No. 1 16 Township Name r No. Range No. County a4044 Occupant PRINT)Phon/ J1j-,3 ~I 1-le-,s 7 Power Supplier Address ~Qoo ~ov14 Sf- 4J Electrical Contractor (Company Name) Contractors License No. GA4oad1 Mailing Address ( ontracer or her Making Installation) 10181: r o d Aur nzetl 51 nature (COntractodOwner Maki g Installation) Phone Number MINNESOTA STATE B ARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Idg. Room S-173 BE ACCEPTED BY THE STATE BOARD 1621 Unleeraily St, Paul, MN 55106 UNLESS PROPER INSPECTION FEE IS Phone (612) 6424600 ENCLOSED. I /Q p REQUEST FOR ELECTRICAL INSPECTION lela/-000001-0a (7d' ► See irslrvjgionsfor completing this form an back of yellow copy. "X" Below Work Covered by This Request r / ff 04794 Me Add Rep. Typeof Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner Other (sperdy) contractor's Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Above 100 -Amps Signs Inspector's Use Only / TOTAL f~ Irrigation Booms J c-~ 8 Special Inspection (\E`OR( Alarm/Communication THIS INSTALLATION MAY B DEREO"DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in Dale certify that the above inspection has Final f Date been made. OFFICE USE ONLY This request void 18 months from l2'~ d o i 9~,C1 4~0 Request Date e - Fire No. Ro -in Inspection Re on ❑ Ready Now /ill Notify Inspector (j ` q~ es G No When Ready? licensed contractor ❑ owner hereby request inspection of above electrical work at: Job Address [Street. Bos or Route No., City -7502 - t E v Section No. Township - me or No. Range No. County Occupant lPRINTI Phone No. GG ~/Es C~dd 7k~/'~?t.S~ Power Suppler Atltlress Electrical Contractor (Company Name, Contractors License No. / I& ~ c ~0206y Mailing Atltlress [Contractor or Owner Making Installation) 1r Authorized natu a IC onOwner ing Installation, Phone Number r MI SOTA ST a RD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-liti %W.. - Room 5.173 BE ACCEPTED BY THE STATE BOARD 1821 University ve.. St. Paul. MN 55106 UNLESS PROPER INSPECTION FEE IS Phone(612)6s?-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION 0!u! N e8//00om.08 J, See instructions for completing this form on back of yellow copy. 5 2 9 3 8 _ ."X. ".Below Work Covered by This Request 'V / e Add Rep. Typeof Building Appliances Wired EqulpmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other-(Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specify) Contractor§Remarks: Ve t 110~E ~b SER,c~LfCompute Inspection Fee Below: .(~G # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool O to 200 Amps 0 to 100 Amps ~fOa Transformers Above 200 _ Amps - Above 100 _ Amps Signs Inspector's use only. TOTAL Irrigation Booms / ~J(fGJ i2Q.~ Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DIS ONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MON 1, the Electrical Inspector, hereby Rough-in certify that the above inspection has Final been made. OFFICE USE ONLY / 'lG~ Y 3 This request void 18 months from [ r; PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: BUILDING Eagan, Minnesota 55123 Permit Number: 021729 (612) 681-4675 Date Issued: 08/16/93 SITE ADDRESS: 3802 BRIDGEWATER OR LOT: 1 BLOCK: 2 THE OAKS OF BRIDGEWATER P.I.N.: 10-75835-010-02 DESCRIPTION: tt eu"ildin,Permit Type SF DWG puiidin rk Type NEW ,-UBC OocupanCy". R-3 M-1 Construction type VN Zoning R-1 Building Length 74 Building Width 48 I 1 REMARKS: S&W CONTRACTOR - POLAR PLBG. FEE SUMMARY: VALUATION $176,000 Base Fee $905.50 MISC FEES $1,744.50 Plan Review $588.58 Total Fee $4,076.58 Surcharge $88.00 SAC $750.00 SAC % 100 SAC Units 1 Subtotal $2,332.08 CONTRACTOR: - Applicant - ST. LIC. OWNER: CUDD CORP. CHARLES 17313153 0003945 CURD CO CHARLES 1802 WOODDALE.DO 1802 WOODDALE DR WOODBURY MN 55125 WOODBURY MN 55125 (612) 7353 (612)731-3153 I hereby acknowledge that I have read this application and state'',.that t;he information is correct and agree to comply with all applicable State of Mn. Statutes and City a agan Ordinances. wz.- ~ ,gyp APPLIGANTIPERMITEE SIGN kR ISSUED B . GNATURE INSPECTION RECORD CITY OFEAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 021729 Eagan, Minnesota 55123 Date Issued: 08/16/93 (612) 681-4675 SITE ADDRESS: LOT: 1 BLOCK: 2 APPLICANT: 3802 BRIDGEWATER OR CUDD CORP, CHARLES THE OAKS OF BRIDGEWATER (612) 731-3153 PERMIT SUBTYPE: UBTYPE: TYPE OF WORK: NEW INSPECTION TYPE .DATE INSPTR. INSPECTION TYPE DATE INSPTR. FOOTING FRAMING INSULATION FINAL FIREPLACE REMARKS: S&W CONTRACTOR - POLAR PLBG. REACTIVATE CITY 193 BUILDING PERMIT APPLICATION PERMIT ,N a~ 72 7 AUG 10 1993 681-4675 ~r e_ 0 -7 5 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, l set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date Valuation of work 9 -2-,o 00 Site Address: _190'z %-izIt4P_ WA,-re bt2 STREET SUITE # Tenant Name: (commercial only) LOT BLOCK 2 SIIBD. r' K ~Tg z P.Z.D. M Description of work: -w s c'rscr! The applicant is: ❑ Owner ff Contractor ❑ Other (Describe) Name ~io404,1ztiG Phone Property LAST FIRST Owner Address 3eo2_ i3R(~4cc..~v+n pa STREET STE M City - C h State A ,-,A,-, Zip Company ~tlara~c~5 c_uno c- . Phone 731-719'3 Contractor Address lRoz rajooobokia breiie, License #aoose.a5 Exp. City GJoor713ylzc% State !n_u• Zip S-C'1ZT- Architect/ Company Phone Engineer Name Registration # Address City State Zip Sewer & water licensed plumber (,~e 1c~c,rl~.ic~ Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable Syete of Minnesota Statutes and City of Eagan Ordinances. n Signature of Applicant: 1 OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish ,W 02 SF Dwg. ❑ 07 4-Plex ❑ 12 Multi. Misc. ❑ 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-Plex ❑ 13 Garage/Accessory ❑ 18 Comm./Ind. ❑ 04 SF Porch ❑ 09 12-Plex ❑ 14 Fireplace ❑ 19 Comm./Ind. Misc. ❑ 05 SF Misc. ❑ 10 Multi. Add11. ❑ 15 Deck ❑ 20 Public Facility ❑ 21 Miscellaneous WORK TYPE P 31 New ❑ 33 Alterations ❑ 35 Tenant Finish ❑ 37 Demolish ❑ 32 Addition ❑ 34 Repair ❑ 36 Move GENERAL INFORMATION Const. (Actual) v-" Basement sq. ft. MWCC System Y+_5 (Allowable) j- N 1st Fl. sq. ft. City Water y UBC Occupancy R-3 M-1 2nd Fl. sq. ft.. PRY Required Zoning K-1 Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length 17f4, On-site well Census Code 1 0/ Depth 4p, On-site sewage SAC Code o L_ APPROVALS j~ Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ❑ Site ❑ Footing ❑ Framing ❑ Insulation ❑ Wallboard ❑ Final ❑ Draintile ❑ Fireplace Permit Fee valution: g 1rl(at0ac~ Surcharge :R~ 7 _ Plan Review 4ARA6r9' 3Z~/ z2= Rou License ?_,3 5,a r-T- '-A S"-/ MWCC SAC 6sm r; `s~ u 1 40 City SAC - ' 334b~ Water Conn. I g X Sg . 1 oN A Water Meter y 31 Acct. Deposit S/W Permit if v 1 7 , 136 r1S ULIS S/W Surcharge 61c~ 3` Treatment P1. v 1 Road Unit Park Ded. 2- IXl, ~ I Trails Ded. 3Z2 Copies I K 23 - I Du~- Other I00 K15Total: I~r F~,,n; SAC % too '35- m-r= ~3ou% 2 oa SAC Units !orittl; IyK~2~16~b yxy_ ISL ~ ~5 ~SY%) 08/17/93 13:14 0001, SURVEYOR'S CERTIFICATE CHARLES CLAN] NOTE: BUILDING DIMENSIONS SHOWN ARE WESCOTT ROAD FOR HOR12ONTAL 9 VERTICAL LOC- ATION OF STRUCTURE ONLY. SEE ARCHITECTUAL PLANS FOR BUILDING. a FOUNDATION DIMENSIONS. •"904.8 D BENCH MARK ~TOPOFi ) / ELEV. .909.19 (~o S2 !qo0 It 1 Io ✓ / >1 g 18 I_, © O n~, `i (o t I u `r 25 y~j f to Q 1.90 4~ d ( 1 x91a.2 xslo.l K9o9.5 W to I I oi- 1.0 ~y wI 2.0 a_ to 0 JAN ' 4- h 91Q.11 OTC 0) tie 25 ItL' .O c7 10 *+J 1 0. 910.0A N 10 LJ phi/I f0 L J 36.08- - ` 40.QI 910.8 m' - /134.68 .588°48'07"~ (9/0-31 BENGIMARK NOTE' NO SPE SOILS INVESTIGATION ~Q TOP OPpJpp: HAS BEEN N COMPLETED ON THIS EteV,«$16.00 LOT BY THE SURVEYOR. THE SUITABILITY OF SQI1-3 TO SUPPORT THE SPEGihTC I1DU5E PROPOSE'DF + DENOTES PROPOSED SURFACE DRAINAGE TH~6 UTH Y RHE51?ONSIrBLITY OF O DENOTES IRON MONUMENT SET #C 1 I Q F E • DENOTES IRON MONUMENT FOUND PROPOSED E L g F X000.0 DENOTES EXISTING ELEVATION PROPOSE L L (000.0) DENOTES PROPOSED ELEVATION PROPOS ate WE HEREBY CERTIFY TO CHARLES CUDD THAT TH i1U I AlING DEPT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF Lot I Block 2 , THE OAKS OF BRIDGEWATER IST ADDITION, according to the recorded plat thereof, Dakota County, Mln"eS01U. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS. EXCEPT AS SHOWN. AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 4TH- DAY OF AUG. . 1993. APPROVED FOR SIENNA SIGN(6 JA ES R. HILL, INC. CORPORATION ` J BY: BY JOHN C. LARSON, LAND SURVEYOR DATED MINNESOTA LICENSE NUMBER 19828 o i7s o a o \1:1 o D James R. H'11 , inc. r rn GIP - cn A D O o m PLANNERS /ENGINEERS / SURVEYORS _ O O m { 9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 • 612-884-3029 ENERGY CONSERVATION EVALUATION Site Address Owner CGl-i~/c_LC~~ (J/ 13th Contractor c/~-~ e e---3 c-0,9,9 Cd- Lalculatipns done by `~~p ~c-,tiiy,.l Cfn So-r,f Phene /'/-`35"3 Date B/ ~G3 c Type of bui id ing Area (A) Assemhly (Show calculations on,vorksheets (SaFU I U-Value U x A (907, of Total Ceiling rea) Less :y ignt Insulated Area: Area, See Fig. 1) )6,20 Framing Area:(107+ of Total Ceiling Area, See Fig. 2) ~~7 U2 3.G0 c Skylights: (From Page 7) I ""'xy Other: (Describe) ci 1 Totals 1 (rJ0 3 S,Cy 2 Average U-Value, (UXA)/(A) from Line 1 r ' 3 Reouired U-Value (For one and two family dwellings only) .026 (907- of Total Wall Area, Less Window and Insulated Area: Door Area, See Fig. 3) ~3'7/~0/ Framin Area (10' of Total Wail Area, See Fig. 4) i indows:(From Page 7) ~i ~ ~~•7~ Doors (From Page 7) S Rim Joist Area: (See Fig.. S) n 3 Fireplace Wall: Foundation Wall:(Above Grade Less Window Area, See Fig, 6) 22 I ~3 0~ ~/,/Z W I I ,,,hy_,y„ Foundation Windows: (From Page 7) i then: (Describe) Cher: (Describe) 4 Totals '7`q~J * * * 02`)5 3Z 5 Average U-Value, (UxA)/CA) from Line 4 6 Required U-Value (For one and two family dwellings only) +-k .11 If line 2 is less than line 3, and line 5 is less than line 6, proposed assemblies meet code requirements. If line 2 is greater than line 3, or line 5 greater than line 6, complete the following to determine alternate U-Value for total exterior envelope. c o 7 UxA (Line 1) + UxA (Line 4), + _ ***kdr ^ 8 Area (Line 1) x U-Value (Line 3) x _s d ~ 9 Area (Line 4) x U-Value (Line 6) x - w - o "Budget", Line 8 + Line 9 101 If Line 7 is greater than Line 10, alter assemblies as required so Line 7 does not exceed Line 10. If Line 7 is less than Line 30, proposed assemblies meet code requirements. 1 L Bl. CITY OF EAGAN CITY USE ONLY SUBD. r l yC~ 1~ Q~ PLUMBING PERMIT /(612) 681-4675 RECEIPT DATE RESIDENTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION COMPLETE THE FOLIAWING: NO. FIXTURES EA. TOTAL NEW CONST REPAIR/ADD ON 15.00 ADD ON SHOWER 3.00 3. Cc REPAIR I -L f WATER CLOSET 3.00 q.oo BATH TUB 3.00 6,0 OWNER NAME. ~ l LAVATORY 3.00 .00 u JL KITCHEN SINK 3.00 3.eO _ LAUNDRY TRAY 3.00 -4.Ub SITE ADDRESS: HOT TUB/SPA 3.00 3"ov 3 SQ~- / WATER HEATER 3.00 3.00 rL.OOR DRAIN 3.00 3.~0 S 1A v / J GAS PIPING OUT. INSTALLER: Lll l/`c/ (MINIMUM - 1) 3.00 3 ROUGH OPENINGS 1.50 SO ADDRESS: OTHER _ _ WATER SOFTENER 5.00 CITY: /JS7ii✓(~ S ZIP: x. 0_33 PRIVATE DISP. 15.00 _ U.G. SPRINKLER 3.00 PHONE: W. TURNAROUND 15.00 STATE SURCHARGE .50 SIGNATURE OF PERMITTEE TOTAL: S ~7 00 COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: OWNER NAME: UV,TRACi •Ri . SITE ADDRESS: 1% OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR TENANT NAME: EACH $1,000 OF PERMIT FEE. SUITE $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 1% $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE: FOR: (SIGNATURE) CITY OF EAGAN sINSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: INSPECTION TYPE DATE INSPTR, INSPECTION TYPE .DATE INSPTR. Permit No. Permit Holder Date Telephone # -S/W PLUMBING HVAC ELECTRIQr- ELECTRIC Inspection Dato Insp. Comments r - - Footings I Foundation Framing 3 g S i Roofing Rough Plbg. - - Rough Htg. sul. lali !519,; Fireplace Final Htg. Orsat Test Final Plbg. Plbg. Inspector - Notify Plumber Const. Meter Engr./Plan Bldg. Final Deck Ftg. I Deck Final Well Pr. Disp. I Kertificate of Cccupanc~ Witt' of Cfagan Zepartmat of fni[bing' 3nopection This Certificate issued pursuant to the requirements of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: UseClassificalivn: 1 Bldg. Permit No. Occupancy Type 1 Zoning District Type Const. Owncr of Building -PI Fq C (UA !Yl Address j ' ,';____y*, 0 Building Address - . - Locality _ Date: Building Official POST IN A CONSPICUOUS PLACE 4 f Use BLUE or BLACK Ink r For Office Use I Permit 3 City of Eall(Ift Permit Fee: ~p 3830 Pilot Knob Road Eagan MN 55122`` - Date Received: ~ ~~I Phone: (651) 675-5675 I I Fax: (651) 675-5694 a : E° I Staff: 1 AUG Z6 1 1 I\V 012 RESIDENTIAL BUILDING PERMIT APPLICATION 0'` Date: A /Site Address: 3,5(o 1C/f 014 e W e° 10,e Unit y Name: p .J a X_ Phone: RESIDENT I 3C4 e OWNER Address/City /Zip: L'°Ir, P~ Applicant is: Owner X' Contractor TYPE OF WORK Description of work: e-z f~ r : Construction Cost ` 0o Multi-Family Building: (Yes / No Company: Contact: CLG/~ l ~~07Q' dC.<a/G v ~ fat~.~~ CONTRACTOR Address City: State: Zip: Phone: (A License T 7 1' / Lead Certificate If the project is exempt from lead certification please explain why: (see Page 3 for additional inf(ormation) 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: 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 you provide specific reasons that would permit the City to conclude that they are trade secrets. , 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.org 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. Exterior work authorized y a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days i / Applicant's Pried N e Applicant's Signature Page 1 of 3 DO NOT WRITE BELOW THIS LINE CN SUB TYPES _ Foundation _ Fireplace Porch (3-Season) _ Storm Damage Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) _ Multi _ Deck Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) 01 of _ Plex Lower Level Pool _ Miscellaneous Accessory Building WORK TYPES New _ Interior Improvement Siding _ Demolish Building* _ Addition _ Move Building _ Reroof Demolish Interior ~C Alteration _ Fire Repair _ Windows Demolish Foundation Replace _ Repair _ Egress Window Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation ) V O Occupancy MCES System Plan Review Code Edition SAC Units (25%_ 100%4) Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation V HVAC _ Gas Service Test Gas Line Air Test 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 Sheathing Radon Control Sheetrock --t Erosion Control Reviewed By: IBuilding Inspector RESIDENTIAL FEES / E Base Fee l~l~ v Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 Z~~(,- 3 1-C~ Use BLUE or BLACK Ink - _ I------------------ For Office Use I Permit ~tD I City of Eqd 3830 Pilot Knob Road Permit Fee: I Eagan MN 55122 I Phone: (651) 675-5675 I Date Received: I Fax: (651) 675-5694 I~ I ~ Staff: I 2012 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial application Date: ~1 1 Z- Site Address: Tenant: Suite Name.iylfJ...~,~' V. Phone: )L} f RESIDENT / OWNER ; Address/ City/ Zip: w rr'1 f ev V Name: trrl fYIKC C j.~,(~; l-}1 License CONTRACTOR Address: ~ t~ S fClti City: U~e,,J -I''I/,~ ILL State: Zip): ' %k (4Phone: 0)s H IU y 4 Contact: G(f1'1!i1CJ~ EmaiL•t~~iGl:p- New Replacement Additional / Alteration ,De'm'olition TYPE OF WORK Description of work: /P,) : ~A~ 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. RESIDENTIAL COMMERCIAL Furnace New Construction Interior Improvement i PERMIT TYPE Air Conditioner Install Piping Processed Air Exchanger Gas Exterior HVAC Unit Heat Pump Under / Above ground Tank Install Remove) -_X- OtherDL)C 2kk RESIDENTIAL FEES: $60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) = ~v TOTAL FEE r ..:::..m m... m COMMERCIAL FEES: $75.00 Underground tank installation/removal (includes $5.00 State Surcharge) OR Contract Value $ x1% $60.00 Minimum (includes State Surcharge) Permit Fee - If the Permit Fee is less than $10,010, surcharge is $ 5.00 Surcharge - If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee (i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge) TOTAL FEE 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.orr 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 wor 'll be in accordance with the approved plan in the case of work which requires a review and approval of plans. X. x App icant's rinted Name Appli a i t re FOR OFFICE USE Required Inspections: Reviewed By: Date: Underground Rough In Airiest Gas Service Test In-floor Heat Final HVAC Screening PERMIT City of Eagan Permit Type:Building Permit Number:EA124397 Date Issued:07/01/2014 Permit Category:ePermit Site Address: 3802 Bridgewater Dr Lot:1 Block: 2 Addition: The Oaks Of Bridgewater 1st PID:10-75835-02-010 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . Elizabeth Hess 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 - Daniel C Reardon 445 Minnesota St Ste 2250 St Paul MN 55101 Sela Roofing Remodeling 4100 Excelsior Blvd St. Louis Park MN 55416 (612) 823-8046 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA146270 Date Issued:10/17/2017 Permit Category:ePermit Site Address: 3802 Bridgewater Dr Lot:1 Block: 2 Addition: The Oaks Of Bridgewater 1st PID:10-75835-02-010 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 - Daniel C Reardon 3802 Bridgewater Dr Eagan MN 55123 (612) 790-0292 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:EA146441 Date Issued:10/25/2017 Permit Category:ePermit Site Address: 3802 Bridgewater Dr Lot:1 Block: 2 Addition: The Oaks Of Bridgewater 1st PID:10-75835-02-010 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener 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 - Daniel C Reardon 3802 Bridgewater Dr Eagan MN 55123 Appliance Installers Of Mn 14105 Rutgers St NE Prior Lake MN 55372 (952) 469-8341 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA170476 Date Issued:07/06/2021 Permit Category:ePermit Site Address: 3802 Bridgewater Dr Lot:1 Block: 2 Addition: The Oaks Of Bridgewater 1st PID:10-75835-02-010 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the water damage. 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 - Daniel C Reardon 3802 Bridgewater Dr Eagan MN 55123 (612) 970-0292 Legacy Restoration Llc 15350 25th Ave N, Suite 114 Plymouth MN 55447 (763) 354-7660 Applicant/Permitee: Signature Issued By: Signature