3805 Bridgewater DrAddress. 3805 aRID09aTE2 nRIVF Zip 5512 3
I.ot ?2 Blk i Sub nE oaxs oF sxmcE[aATEEt 1ST
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPEGTION.
Date: 0 a.3 ?b Yes No Inspector.
Final grade (6" from siding)
Permanent steps (garage) f?
Permanent steps (main entry) LI/
Pecmanent driveway
Permanent gas
?
Sod/Seeded grass f
Trail/curb damage
Porch
Basement finish
?--.
Deck
Please verify with the builder the removal of roof test caps from the plumbing system -and the shut-off of water supply to
the outside lawn faucet before freeze potential exists. Contact engineering division at 6814645 before working in right-of-way or installing underground sprinkler system. ?
- Whitc - City Copy Yellow • Resident Copy Pink - Contractor Copy
OFFICE USE ONLY ihis request void 18 monlhs 6om wlidvlion dan, printed in Pois 6oz.
? /., 4 4 4 4
06
* 0 4 3 3 2 2 4 3 * PLEASE PRINT OR TYPE
Reqoest ?are Ro?gbin inspeclion ,equired? Yes ? No Inspenion Olher iho. &oogiNn.- ? Ready Now Wi0 Call
?-?? ? ?Ya? m?s? mll ?he inspecbr ?ven mady? Dnre Neody:
1, , licensed conhottor ? owner hereby request inspection of fhe above elechical work ot:
Job Address fSrceet, Boz, n Roule No. l1l • Gy 2p Gode
3 S
Sacfion No. Township Name or No. 61 Range No_ fire No. C ry ?
/ AJ Phone No.
P. Supplier Address
Electn<al ConnocM Cwnpany Name? Conky?Mmnu N? Maskr Lic. No. IPlant Elecr. Onlyl
?
Moiling Address (Canhod w Owmr Performing Insmlloiion)
/
Amhorized Sig Iure IConhocror or er Pahrmtng Insm lolion) Phon?D ?? J
EBOOOOIb778/96
STATE BOApD COPV - SEE NSTRUCiION$ ON 6ACK OF YELIOW COPY
a/??/s 7
433--2L4 1
REQUEST FOR ELECTRICAL INSPECTIOn
Minnesota State Board of Electriciry
1821 Universiry Ave., Rm. S-728, Sl Paul, MN 55104 ?
Phone (57e).6:2-0aoo
Home Du lex A t. Bldg. Other: New Addn
Commercial Industrial Farm Remod Re ir
Air Cond. Htg. Equi . Warer Hh. Load Mgmf. O?her.
D er Range Elec. Heat Temp. Service
"X" above the work covered by this requesi. Enter remorks in this spoce and on the back of the whife copy only.
W ? g-<-- Z&) Lv??Z hir-- V??-/
Calculafe Inspection Fee - This Inspeclion Requesf will nof be accepMd wifhaul fhe correcf fee:
O[her Fee ri Service Entrance Size Fee # Circuits/Feeders Fee
Mobile Home Park Stall 0 t0 200 Amps to 100 Amps
Street Ltg./Tmffic Sig. Above 200_Am s A ve 100_Amps
Tmnskrmer/Generator INSPECTOR'S USE ONLY TOTAL, l
s'O
$ign/Oudine ltg. Xfmr. ? e
? ?-
Alarm/Remote Conhol
$wimming Pool
I here cefi ilwi I ins d 1
nan deuribed herein on lFe dates s d
?fti9afion BoOm RoaglNn - Da
S
ecial Ins
ec?ion
p
p
Investigative Fee Finol ?
Z i
THIS INSTAlLAT10N MAY BE ORDERED DI CONN D T COMPLETED WITHI 18 ONTHS.
d 35637
02/.
Request Dane Fire No. Raug i In50eclion Requi ? ? Reatly Now,YWill Notity Inspector
?j Ves G No When Reatly?
Iolicensed coniractor ? owner herehy request inspection of above electrical work at:
Job Atldress ISIreeL 8oa ar Foule No.l
? Ciy
.? .Aal
? .
Setlion No. Township Na or No. Renga No. COUn
Occupant(PRINT) Ph`on?e No.
Power Suopiier
bu. yC Atltlress
Elecinc Gonlractor ?COmpany Namel
` Co?nV+actO,/?§ Licensa No. O
e
Mailing Atltlress ICOnlred/or ?or ?Ow?ner Making Installation,
?.'zb?
aumorrzea ignaNre ?GOnva ?orrOwn? Instaliati ? -- Pn[o?ne ?Nu/mDer
MINNESOTA 5 TE ARD OF ELECTPICITY ' THIS INSPECTION REQUEST WILL NOT
Grlgga-Mitlway - Room S413 BE AGGEPTED BV THE STATE BOARD
1821 Ilniversity Ave.. SI. Paul. MN 55109 UNLES$ PROPER INSPECTION fEE IS
Phone (612) 602-0900 ENCLOSED.
REQUESTFORELECTRICALINSPECTION
611 D/?? r
? ??; es ooqoi?
See Insimctions Por campleting fiis lorm on Oack of yellow copy
?.5f?37 ? X ? .
?. ' " Below Work Covered by This Request
ew Aild Fgp. Typeol8uilding AppliancesWirad EquipmenlWired
Home Range Temporary Service
Duptex Water Heater Electric Heating
Apt Building
l Dryer Other-(Specily)
Comm./Industrial Fumace
Parm Air Conditioner
Other(sVecify) ConlredoYS Remarks.
Compute Inspection Fee Be7ow:
# Other Fee k Service Entrance Size Fee # - Circuits/Feeders Fee
Swimming Pool 11 0 to 20 Amps 0 i0 100 Amps
Transtormers Above 200 _ Amps Above 700 _ Amps
Signs Inspectors Use oniy: TOTAL J-0
Irrigation Booms
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED OISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 1 MONTHS.
I, the Electrical Inspector, hereby
if Rough-in oata o
cert
y that the above inspection has
been made. oate
^
OFFICE USE ONLY
This reqoasivoid 18 monthsfmm
F
? 2118?9
RNuest Date Fi o. Rou h-in In
RequireG? ion
? Reatly Now KNotity Inspactor
WhenR
atl
7
(f D ?5 ? y
e
I licensed contractor O owner hereby request inspection of above elearical work at
Job AtlOress (Sireet. 60x or R Ne No.)
? 1
? City
$etlion No. Township Neme or . Range No. nN?
?J
Occupant•PqINT) Phone No.
P er Suppii i. / t Atltlress t;P0 L ,
Elqp ?ical Contracior (Company a ?)
'
h
? ConVaclor? License No.
a
a
r
ec
co?, ?s
.
Mailing Ap0 ess (Conttaclm or Owner Makin Installalion?
Y
U ?
A e0 5 nature (Co Iractor/O - Making Installalion)
1
I Q4ALM Pn e Numbar
MINNESOTA STATE BOAHD OF ELECTPICITY
Gtlgqs-MlOwey BIOg. - Room Sd]3 HIS INSPECTION REQUEST WILL NOT
E ACCEPTED BV THE STATE 90ARD
1821 Unlvenlty Ave.. St. Vaul, MN 5510C NLE55 PROPER INSPECTION FEE IS
Phone(61Y) 642-0800 ENCLOSED.
?EeOlJESTFORaE?ECTRI?CA?LtiNSPECTI?ON
Im 21 189 "X" Below Work Covered by This Request "'4w•"'"
ew lLEQ Rep.y TypeoiBuilding AppliancesWired EquipmentWired
Home Ranqe Temporary Service
Duplez Water Heater Eleclric Heaiing
Apt. Building Dryer Other (Specify)
Comm./lndustrial ' Furnace
Farm Air Conditioner
?speciy) ? ConVactor5 Ramarks'.
Compute Inspection Fee Below: ?
# Olher Fee # ServiceEniranceSize Fee # Circutts/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
Signs Inspecmr's Use Only: T
AL
hrigation Booms ?? D ?
S
i
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDER SCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby RO1gh"" oate
certify that ihe above inspection has
been made. F;,,@i pa? /? a
OFFIGE USE ONLY -
This request wiC 18 monlns irom
.. ??/?
i?/?a/ 7v
? 21188z?
Request Oate
I ?? O Fire No. Rough-in Ins
fie uiretl?
? Yes ion
No
? Feady Nav ill Notify Inspector
nen Featly?
I 'censed contractor -D owner hereby request inspection of above electrical work at:
J b Atltlress (Sireet. 9ox or ute No.?
r. Ciy
Section No. Townsbip Name or N Range No, Co
a
Occuppn (Q PPINT? ?O
.
Phone No.
P upplier AtlOre?
Elacuical Contractor (COmpany Name ? ConVactor icensa . 7
-
Mai' _ Atltlres (Con ractor or Owner Ma g Inslalla?ion) '
Aol riied gnalure (COnVac r/Owner Makin Installation) Phone Num?er
MINNESOTp STATE BOARD OF ELECTHICITY "0 1e // /?L{ ? THIS INSPECTION REOUEST WILL NOT
Gtlgge-Mltlwey BIEg. - floom S-0]3 ?
l fR•. C-?(-.wAcf?.V ? ? 8E ACGEPTED 8V THE STATE BOARD
18Z1 Universlty Ave., SL Paul. MN 55100 y V UNLESS PROPER INSPECTION FEE IS
Phono(812) 602-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
k :ee instmc[ions lor completing mis form on back of yallow copy.
W 21 1 88 X" Below Work Covered by This Request w... a'
e Add Rep. Typeof Building AppliancesWired EquipmentWired
-- FToine Ran9e emporary Service
Duplex Water Heater Eledric Heating
Apt. Building Dryer O?her (Specify)
? Comm./Indusirial ' FUrnace
Farm Air Conditioner
Other (specity) fqnVector5 Femarks'.
Compule Inspection Fee Below:
# Other Fae # ServiceEntrance5iza Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 Amps
$ign5 Inspectar5 Use Onty:
.? TOTAL
Irriqation Booms )
/?' ? 1
Special Inspedion
Alarm/Communication THIS INSTALLATION MAV 8E ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby RO°9h-10 r oaie
certify that the above inspection has
been made.
Final
Da
?? ?
OFFICE USE ONLY
Thls request voitl 18 mon[hs Gom
?a ?Yoo 0
? ?
F
PERMIT --?? CTY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B u I LD= N G
Eagan, Minnesota 55122-1897 Permit Number: 029461
(612) 681-4675 Date Issued: 0 2/ 0 4/ 9 7
SITE ADDRESS:
3805 BRIDGEWATER DR
LOT: 2 BLOCK: 1
THE OAKS OF BRID6EWATER 1ST
P.I.N.: 10-75835-020-01
DESCRIPTION:
(NO BEDROOMS)
Buildyin,T;,Permit Type BASEMENT FTNISH
j3uSlding Wp.xR? Type ALTERATION
? Gensus Code wz
;
i:
?
s '.
fi"._ .. . .
_ j tya ?
434 ALT. RESIDEN7IAL
?a
REMARKS:
FEE SUMMARY:
Base Fee $50.00
5urcharge $.50
Tptal Fee $50.50
CONTRACTOR: - qpplicant - ST. LzC OWNER:
TIMBERWORKS BLDRS INC 16860911 0006352 SUSTAO p GARY
829 TROTTERS RIDGE RD 3805 BRID6EWATER DR
EAOAN MN 55129 EAGAN MN 55123
(612) 686-0911 (612)688-9588,
?
I h2reby acknouleclge tfiaC`I hav2 read,this'applioat?iAn amd state Y?hat_the
information is correcC and ag,ree to°comply with a?3 appl3.cable State of Mn.
$Catutes ?and Cityaf Eaga'n'Ordinartees`: ' - - . -?-?? -
APPLICANT/PERMIT SIGNATURE . . . . ? ,.. . .
<
? ISSUED BY: T
?
1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) ?JrO.;1 o
CITY OF EAGAN I 9 f?
1q4U 5830 PILOT KNOB RD - 55122 ?t(/t, ?C-J
681-4675
Hefv Gonstrvetion Reouirements
? 3 repistered ake survoys ? 2 copies of plan
• 2 copies of plans (indude beam 8 window afus; poured fid. design; etc.) ? 2 site surveys (pctettor additione 8 dedcs)
? 1 energy calwletions ? 1 energy celalations Mr heated adCkions
? 3 eopies W tree preservadon plan tt lot plalted aRer 7M/93
required: _Yes _ No '
DATE: I- yf- /7 CONSTRUCTION COST: cu
?
DESCRIPTION OF WORK:
STREET ADDRESS:
LOT BLOCK
3Bos 1-312,10c.e,V4725,?, P,,, . I
2??46?? ?/•?. s-sz?
?
I_ SUBD./P.I.D. #:
PROPERTY Name: Phone #:
OWNER
Street Address:
City: State: M%J • Zip:
CONTRACTOR Company: Phone #:
Street Address: /6 License #: d C G-3 rz
City: Z?4GA? State: Zip:? ?Z ?
ARCHITECT/ Company: Phone #:
ENGINEER
Name: Registration #:
Street Address:
City: State: Zip:
Sewer 8 water licensed plumber (new construction only): 1??A . Penalty applies when address change
and lot change are requested once permit is issued.
I hereby acknowledge that 1 have read this application and state that the infortnation is eorrect and agree to comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances.
?
Signature of Applicant:
OFFICE USE ONLY ?
Certificates of Survey Received _ Yes _ No JAN
Tree Preservation Plan Received - Yes _ No _ Not Required
BUILDING PERMIT TYPE
OFFICE USE ONLY
"' ,? 35 ' „e??
• ? k d a: ?:;.
? 01 Foundation ? 06 Duplex o 11 Apt./Lodging .0' 16 Basement Finish
n 02 SF Dwelling ? 07 4-plex o 12 Multi RepaiNRem. 0 17 Swim Pool
0 03 SF Addition ? 08 8-plex n 13 Garege/Accessory n 20 Public Facility
0 04 SF Porch o 09 12-piex o 14 Fireplace n 21 Miscellaneous
? 05 SF Misc. n 10 = plex ? 15 Deck
WORK TYPE
0 31 New jz(/33 Alterations o 36 Move
0 32 Addition o 34 Repair o 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS System ?
(Allowabie) Main level sq. ft. City Water i
UBC Occupancy sq, ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. 4
Depth Footprirrt sq. ft. SAC Code e) I
Census Bldg I_
Census Unit 0
APPROVALS
Pianning Building 6L? Engineering Variance Pertnit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
Vatuation: $
: % SAC
SAC Units
..,y
? CITY _OF EAPAN
3830 Pilot Krityb"Road ,
Eagan,. Minnesota 55123
(612) 681-4675
SITE ADDRESS::
P.I.N.: 10-75835-020-01
DESCRIPTION:
PERMIT, (Tec) 0-s?
PERMIT TYPE: B u ?riz N 6
Permit Num6er. 0 2 0 6 3 0
Date Issued: '' 0 Q'/ @ 9/ 93
3605 BRTDGEWA'TER DR LOT: 2 BLOCK: 1
THE OAKS OF BRTdGEWATER 1ST
ermit 7ype
k 'iype
bG < e
SF DWCr
N E.W .
R-3 M-1 '
V-N
R-1 .
70
nz
icolt OF
REMARKS: •
, .. ,
S& W PLBR - PULAR PLBG
FEE SUMMARIF.
Base Fee
P1an Review
Sur.charge
SAC
SAC %
'°SAG Units
i-SUbtotal
VALUATIUN
$919.50
$597.68
$90.00
$750.00
100
1
$2,357.18
$180,000
I%TSCELLANEOUS
Tot'al Fee
$1,7R4eG6
!
" $4;1@li,6R
?i
i;
1 qo ?
CONTRACTOR: - Rpplicant - sr. Lzt:. OWNER: •
CUDD CORP, CHARI.ES 17313153 0003945 CWARLES-.CUbD GO
1862 WOODDALE DR 1802 WObDDALE DR
WOODBURY MN 55125 WOODBURY nN 55831
(612) 731-3153 (617)731-3153
•., ? . , I SUED?W. SIGN RE'?
v
REACTIVATE _
PfRF=.IT 4
ou(SID
CITY OF EAGAN ?,jr'f.?,?
1993 BUILDING PERMIT APPLICATION
681-4675 WpR 0 2 REco
SING & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 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 Yaluation of work /9.(?,zao
Site Address: 3605'
STREET SUITE M
Tenant Name: (commercial only)
IAT 2 BLOCK / SOBD. S2tLEwRT?+2 ?d P.I.D. k
Descri t70f1 of work: SprE Woee_ FGJNOIeTeJ FQ4MWC. F,?,cN R^HG. MECH,
The appl i cant i s: ? Owner ,g Contractor 0 Other (Deseri6e)
Name SusTw.? Gaey Phone 66A- 9s?
Property LAST FIRST
Owner
pddress 2oe? z elNbs e'p .
STREET STE Y
City State MA.) Zip
Company C4-)no Co . Phone 73/- 3? S3
'
Contractor ? / I
Address /802 WooDDALE Ae, License #aoo394S Exp.33i 9¢
City vJooDa??_y State 1,4,4. Z;p 5533/
Company Sa-?E Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber Po 1- A-e- ??m B 9, . 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 State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant: ?? c.?• ??
OFFICE USE ONLY
BUILDING PERMIT TYPE
O 01 Foundation
X02 Sf Dwg.
O 03 SF Addition
? 04 Sf Porch
? 05 SF Misc.
O 06 Duplex
O 07 4-Plex
? 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'1
WORK TYPE
-W31 New
? 32 Addition
O 33 Alterations
? 34 Repair
GENERAL INFORMATION
vatmcta,: S ( 8 dF0 0 0?
Const. (Actual) V- N Basement sq. ft. MWCC System `fr."S.
(Allowable) V- N lst F1. sq. ft. City Water ?
UBC Occupancy R- 1 2nd F1. sq. ft. PRV Required
Zoning Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code O/
Depth ?cz On-site sewage SAC Code
Q;,V
us bidl '51_
c
5 J
.._
APPROVALS 10 <.?.h'?? 1
Planning Building Assessments
Engineering Yariance
REQUIRED INSPECTIONS
O Site
? Wallboard
? Footing
? final
`dpRAGE:
? Insulation
? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Depasit
5/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
5AC X
SAC Units
? ^ ..
??.? ? .
? 11 Apt./Lodging ? a`s?m On" Finish
O 12 Multi. Misc. ? 17 Swim Pool
O 13 Garage/Accessory ? 18 Comm./Ind.
? 14 Fireplace ? 19 Comm./Ind. Misc.
? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
? 35 Tenant Finish ? 37 Demolish
? 36 Move
? Framing
? Draintile
ZnD FlooR:
32 X ;y = 768 35 mT: I?sY
) 16K?y? (Z2y?
Z K 12= C214
BSMT ; 39 't 33 = IZsy / 6= 1-Yo ?
12X12= 14y zx 13 =36
'? x 3 = (2i) Z?3zVz"?
((. N) 1'zz2x5y.
y r IG= 6SIq?
X 3 = 2 2
133b-X?.s- _0Z c,s-7
fsr rt_ooR
6s? +?T= 1335
2xt?= 12
`S12X?y= IbFi ? $?
J ?
Z 3K3x-CS)
? ? v
_
RVEYOR'S CERTIFICATE SIENNA CORPORATION
REVISED 3- 31 - 93 TO $I10W HOUSE
FOR CNARLES CUDD C0.
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912
? 136.00 M
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IOTE: HO S-EICFIC SOILS INVCSTC.ATION HAS BEEN COMPI,ETED
ON -H1! LOT BY THE SURVEYQR. ThE 4UITABII,RY OF
SOIlS Tb SUPPURT TI{E 9rECIFiC HOUSE PiiOpOSEO IS
NOT THERE9PONSIBILITY OF THE SURVEYOR
dOHN C. LARSON. LAND SURVEYOR
MINNESOTA LICENSE NUMBER 19828
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N07E: BU6DING DIMENSIONS SHWfN ARE FpR HpRQpNTAL
B VERTICAL LOCATION OF 3Tl1UCTUR? OMLY. ?CE
ARp/1TMTUAl q.AN! FUR BUIlD1116 S: ?0{R1DATfON ?
DIAtENSqM3.
- DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 FEET
• DENOTES IRON MONUMENT FOUND PFiOP05ED GARA(3E FLOOR - 9/5. 7 FEET
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - So7.3 FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK - I FE£T
WE HEREBY CERTIFY TO SIENNA CORPORATION THAT THIS IS A TRUE AND CORREC7
REPRESENTATION OF A SURVEY OF THE BOUNDAFiIES OF:
Lot 2,Block I, THE OAKS OF BRIDGEWATER IST ADDITION, occordlnq lo Itie
recorded plaf fhereof, Dakota Counly, Mlnnesola. S? ?r
Ii OOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHM?: ?
SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 22ND DAY RAPPftOVEO FOR SIENNA
CORPORATION
BY:
OATED:
SIGNE JAN?ES . HILL, IN
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PLANNERS !
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R'.Hill,
ENGINEER5
inc.
/ SURVEYORS
9401 JAMES AVE. S. • BLOOMWGTON, MN. 5543t - 612-864-3029
i
LOs SvnVZx cazcuter FoA uuaaNTsU
sIISZO=N! nRcIT "fLIGTIOti
?ltOPLRTY .1pR+* t
?
a.se e: snr..t: i? /_,L? =
b0ffiNT fT"*+Rene
? 0 n • Rsqistared =ena Surveyor siqnature and oampany
8?0 0 • Buildir,g permit 1lpplieani
Q'0 0 • Legal descziption '
D B' 0 • 1?ddress
td" D 0 • Nort?, anow ane bez acale •
G?'D 0 • tiouse type (rambler, vaikout, split v/o, split erfLry,
lookout, otc.)
1Kb 0 • Dirtctional drainaq• arravs rith slopa/qradisnt =.
D D-?D • Proposed/sxistinq sewer and vater sarviess
0-1) 0 • street name
?0 D • Driveway
RLL7aTIONB
t:istino
D 0-0 • tever service
? O D . Lot corners
Top of eurb at th• dziveway
0 0 • Elevations of any axistinq aCjaeent bomes
lzonoaea
?D 0 • Garage floor
O?D D • First floor
? 0 ? • Lovest exposed elevation (walkout/vindov)
D? D 0 • propezty eorr,ers
D? D 0 • Fzont and reaz oi Aome aL the toundntion
pOKDING ARiAB lif tDDlI Otb1e1
n ? 0 • Easement line
V,L -? ,
Hi; L
?? G • Pond f dec3qr,ation
D 0? 0 • tmerqeacy Ovsrtlow Zlevation
DIi!rNSZOxs
a'ti 0 • Lot lines
D'0
8' 0 D • Riqht•of-vay and street vidtA (to back ei eurb)
0 • Pzoposed bome aimeasions incluQinq any proposea docks,
overAanga qreater then 2', pozches, ete. (i.e. ail
?D struetures zequirinq permaner,t iootinqs)
D • Shov all aasemenis oi raeord and aay City utilitisa vithin
19?D
0 tt,ose sesemer,te
•
Setbacks ot pzoposed strueturt and aetb aek et aajacent
D •xisting homes •
njD • Retain r, •quirements, if aay
• Ravieved ;???
:
i _... . J _ _._" ..... . . ._ _ . _.. ._ __. _. _ .. . . - .. _ . . . ... .
ENERGY CONSERYF"lION EVALIJATION
i
Si*_e Address 38os =_rz 71Dz,Jr--
Owner Contractor C+a?'?Cs C?az Co.
Calculations aone Dy -iE?= Phene]ate 4' 1, 1°'
Type o` buii:li
Area (A)
Azsembiv. (Show calculations on -worksheets (SqFt] U-Value U x A ?
(907. of Total Ceiiing rea, ess •y ignt
I nsulated Area: Area See Fi . 7) /39 .oz I 28.0
Fremin Area:(10% ot Total Ceilin Area, See Fi . 2)
o Skvliah[s: (From Pa e 7)
I ? -
Other. (Describe) ? -
?j 1 Totals /S?¢ ?* ? ?• ?
2 Averaae U-Value, (UxA)/(A) from Line 1 *.`•`k•`•*
3 Required U-Value (For one and tw fami7y dweilinqs only) .026
(907. of Total Wall Area, Less Window and
I lnsulated Area: Door Area, See Fi . 3) I 3. Z I
Framinq Area (1O% oF Total Wall Area, See Fic. 4)
? c.; (
indan5: (From Pa e 7) i
22 . G-
Doors (From Paae 7) 10 ?, d- Ia . 3
im Joist Area:(See Fi ..5) 3$? ???-' I IS.4
3 '
Fireolace Wall: I- I - I
i
0
° Foundation Wall?lA6ove Grade Less Window Area, See Fiq_ 6) I I i?. ? '? ? I = I
u
Faundation Windows: (From Pa e 7)
i
i
ther: (Describe) • I
?
tfier- (Descri6e)
4 Totals ? z
. 5 Ave2ae U-Value, (Ux)/(A1 from Line 4
6 Required U-Value (For one and two family dwellings only) ****:k .11 ?*
[f line 2 is less than lioe 3, and liae 5 is less than line 6, proposed assemclies meet coae
requirements. If line 2 is greater thah line 3, or tine 5 greater than line 6, comolete the
followino to tletermine alternato U-Yalue for total exterior envelope. ?
-
o I I
"
?
7
UzA (Line 1) + UxA (Line 4), + I
^
0
8
Area (Line 1) x U-Value (Line 3) x_ I I
U
'
9
I
A
(L
4 I
w rea
ine
) x U-Value (Line 6),
1
x
-
o In "Budaet", Line 8 t line 9
j
?
?
If Line 7 is greater than Line 10, alter assem6lies as required so Line 7 does not exzeed Line 10. '
If Line 7 is lezs than Line 30, proposed assemblies meet code requirements.
1
, ---,-------- -- _
Figure 1 Ceiling/Aoof Insulated Area: /3`r8 Sq. Ft. .
(with attic area)
R-Value
Znterior Air Film .61
Insulation SO. 00
Continuous Vapor Barrier 0.00
Interior Finish e ?L
Interior Air Film .61
Total Assemhly R-Oalue So2131?
Assembly II-Value (1/R) . D 2
Euter on Page 1
Figure 2 Ceiling/Rnof Framing Area: Sq. Ft.
(with attic area)
R-Oalue
?
Interior Air Film .61
iasulation 3 CJ..oa
wood Member • 4/, 3$
Continuous Vapor Barrier 0.00
Zaterior Finish e 52
Znterior Air Film .61
Total Assembly R-Value ys JL
Assembly U-Value (1/R)
Enter on Page 1
For additional roof asseaLhlies, see paces 3 and 8.
Figure lA Ceiling/Roof Lnsulated Area: Sq. Ft.
(without attic area)
R-Value
Vented Air Space
Interfor Air Film .61
Insulation
Continuous Vapor Barrier 0.00
Interior Finish
Iaterior Air Film .61
Total Pssemhly R-Value
Assemhly U-Value (1/R)
Enter on Page 1
Fimre 2?. Ceiling/Roof Frami.ng Area: Sq. Ft_
(vitnout attic area)
R-Value
Exterior Air Film .17
Roofing
Roof Sheathing
Wood Member
Continuous Vapor Barrier 0.00
Interior Finish
Interior Air Film .61
Tota1 Assembly R-Va1ue
Assembly II-Va1ue (1/R)
Enter on Page 1
For additional zoof assemblies, see pages 2 and 8.
3
,- --- -__ _. . ---- ?
Fieure 3 Exposed Wall Insulated Area: Sq. Ft.
R-Va1ue
Znterior Air Fi1m _68
Interior Finish /
e tl S
Continuous 4apor Harrier 0.00
Insulation f 9, ad
Sneathing e G 2
Exterior Finish
Exterior Air Fi_m .17
Tota1 Assembly R-4a1ue ? /• ??
. D?
2ssembly II-Crzlue (1/R)
Enter on ?age 1
?i-ure 4 Exposed Wall Frp-_ng Area: ? ro S Sq. Ft.
R-CT?.lue
c
For acc tional wall assemblies, see page S.
Pssembly U-Value (1/R)
Eager on Page i
I
FiQure S Exposed Wall Rim Joist Area: 38 S Sq. Ft.
?t-Value
Interior Air Film -68
Vapor Barrier 0.00
Insulation /1• V 0
Wood Member .?
Sheathing ? G Z
Exterior Fi.nish
Exteriar Air Film .17
Total Assembly R-Value Z 2-?-Z'
Assembly II-Value (11R) • ?y
Enter on Page 1
Notes: 1] Floors over uaheated spaces. For Eloors of heated or mechanically
? coolea spaces over nnheated spaces, the overall II-Value
for the £Ioor shall not exceed 0.05. For floors avez outdoor
air, snch as ove=hangs, the averall II-Value for the floor
shall meet the same requirement as for roofs, II-Value of
0.04_
2) Slab-oa-grade floors. Far slab-aa-grade, the iasulation
aroimd the peri.meter of the exposed floor shall have a
'minimum R-Value of 6.4. The insnlation must extend downward _
froa the top of the slab a miaimum of 3'6' or downward
- to the bottom of the slab then horizontally beneath the
slab for an emuivaleat distance.
3) Vapor barriers. The mar;^+um perm rating for the vapor
barrier is 0.1. A mini.mum of 4 mil polyetheline, or equal,
is zeauired-to achieve this. The vapor barrier must be .
coatinuous with a11 joints overlapped and made over framing
members or blocking. 4) For notes on foundation wall see page 6.
- 5) For additional assemblies not illustrated use worksheet
on page S.
e ?•
Fiaure 6
Exposed Foundation Wall Area
Coacrete Hlock or Foured
COncrete Fouadation Area: 117•0 Sq. Ft.
wood Founda 'on Insulated
Area: Sq. Ft.
ti_ \
R-Value
I) OalY the above grnde area of tl'O ? onsn vall is
co be iacludcd ia che ene=gy cslcul
2) The EaerZy Code requires thai, if che °loor above :he
bueaeat oT cravl space is aoc inssslited, che £ouads-
sian vall cuss 6e issulsied. Eithe: tbLe foundacion
eusi hare a miaiaum 0.-10 iasulstien apolied i:om the
tap o£ the fouad:tion to Lhe :rost line ar i minimim
R-5 iasalatioa apQlied orer the e¢ti:c £ouadztia¢
vall. ihe R-Yilue specizied is £az che insulatian
ezLeriil oalp.
SJ I: rideid foam insulation is Lo be +pplied to th<
ezteria: of che £ouadttian wall, the grade
portiaa nusc be proeeeted Eroa 2he sua,
and physieal a6use- '
s) If ridqid foam iasulatiaa is co be anplied to the
• iaierioz, ic mu= be procected by einimum 1/2" _a;'P-
baard ar eqval (as Specified ia sec:iaa 1:12 of [he
Uni£am Huilding Cade).
5) Foundaiioa Yall insulacia¢ for vood fouaditions must
6e i.nscziled u speeified by the Vasioaal Forest -
P:roduc:s Associs:ian's Desi¢n :tanuil.
tdood Founda ' n Framed
Area- S9- rr•
R-Value
P.ssembly U-Value (1/R)
Assembly 0-Value (1JR)
Enter on Page 1
?
U
(o ?15, (o •'7 v- ? L I., r
n?sEJ oSY
30?2 4 ?l•Z ? 18,4
28?z /o?? ? 32.Z
_.. _ o Z?.o I ( I G,9
_' ? 345Z Z 23,2 I.30 ? i7?s
1 Gi4S 6 I 39 cA a ?.31 I 12,3
G.3
18,¢
34,q
4-04. Z
3l
Z.q
C , -7
lo. S
IZZ•4
?' SKYUGHT, WINOOW ANO OO4R ASSEM8LIE5 7
0 _ yJlss
;? Ui
-GITY OF EAGAN
3830 PIIAT rCNOB ItOAD
EAGAN, MN 55122
PHONE: (612) 454 8100
FOR CITY USE ONLY
PERMIT #
RECEIPT #
DATE:
It?S?PiE1TTIP?.,; PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE
- REQIIIRED FOR EACH UNIT.
----------------------- -------------------
WORK DESCRIPTION --------------------------
FEES -----------
?.?r?-yo?eL 1DQ S/b E-/1S
NEW CONST ?,?yyry,?? SLd- Shc C??fn) ADD-ON MINIMUM $15.00
-
ADD ON _ HVAC 0-100 M BTU 24.00
REPAIR _ ADDITIONAL 50 M BTU 6.00 "
GAS OUTLETS - MINIMUM 3.00 ?
OF 1 PER PERMIT
OWNER NAME:
• SUBTOTAL: $ -?-?, ?
SITE ADDRESS: D STATE SURCHARGE: .50
LOT: 0-1- BLOCK
? SUBD &? G./?a OJ (^/JN
? /TOTAL:
INSTALLER: .
HEHTING & AIR CONGITIONRJG C0.
ADDRESS: 8910 WF+11n;.iRru aur 50. SIGNATURE OF PERMITT -y/ZCy
MINNEAPOLIS, MN 55420
CITY: 881•9004,ip :
PHONE
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS,
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
------------
CONTRACT PRICE
OWNER NAME:
SITE ADDRESS:
LOT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FOR:
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING = $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18 $
STATE SURCHARGE
TOTAL:
$
( S IGNATIJRE )
CITY OF EAGAN
?
1993 PLUI?EBING PERMTf (RESI]
CITY OF EAGAN
3830 PIIAT KNOB RD
FAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AISO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIKED FOR EACH UNTf.
SITE
FIXTURES ? TOT?
( SHOWER 3,00 3
? WATER CLOSET 3.00 (a
3 BAT'H TCTB 3.00 9
_
LAVATORY
5 3.00 P 5
_
_
1 KITCHEN SINK 3.00 3
1 LAUNDRY TRAY 3.00 3
HOT 7'UB/SPA 3•01
WATER HEATER
1 3.00 3
_
-
1 FLOOR DRAIN 3.00 3
? GAS PIPING OUTLET • minim„m • 1 3.00 ?
ROUGH OPENINGS 1.50
1 WATER SOFTENER 5.00 ?
PRIVATE DISP. • Deixty. iic. 15.00
U.G. SPRINKLER • eome unaer const. 3•00
ALTERATIONS • ro ausung 15.00
WATER TURN AROUND 15.00
STATE SURCHARGE z .50
TOTAL: 50
nnRF?c. 3 605 /gr, rjoe wa?er
OWNER NAME: SU S ra - v
WST.
er Plu. t7in
ADDRESS: 10'71 ?? ?4 Ave
CITY: Ropeds • STATE: Wi 5- ZIP CODE: 54623
PHONE #: ( 715 ) 741-33 ! 1
/0'z/ 1:?
SIGNATURE OF PERMITTEE
PERMIT #
RECEIPT DATE: ?I ' I ? ' V t
RESIDENTIlkL PLUbI$INfi f'E$M1T APPLIClETIOft
crrY oF EAsM
3830 enor xxoa Rn
EA6AR, biR 551 EE
651-691-4675
Please complete for:
SITE ADDRESS
? single family dwellings
? townhomes and condos when permits are required for each unit
D backflow preventer fnr irrigation system
OWNER NAME: :? r y s 4,kS 714cI TELEPHONE #: cl 5 L- g8 T_?? Z?
? (AREA CODE)
INSTALLER NAME: S?`?????° r" rCr/haSf/LIG-
STREET ADDRESS: Su 7 Dorr
TELEPHONE #: SZ -93 3 - /7S 0
(AREA CODE)
CITY: /1 r r?Nr;-7vA?re4 STATE: /t?N ZIP: ,?_?31( 3
Place a check mark next to the ermit work t e
New residential dwelling unit under construction and not owner/occupied $ 90.00
/
? Add-on, modification or alteration to existin dwelling unit, including: $ 50.00
• abandonment of septic system
• new installation/repair/rebuild of RPZ
• lawn irrigation system
• waterturnaround
Nature of work: w??<i,- L<,, JZ_ 0`13 ? la.,si
_ Septic System, new/refurbished - ? _ p r? ? ? ? $ ?25.00
• includes County & Consulting Inspector fees I
i
J U L 1 9
20D1
?
??
• requ
res MPC license
LY I
State Surcharge .50
$
Total
Reminder. Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc.
I hereby acknowledge that I have read this applicadon, state that the informatlon is correct, and agree to complywith all applicable Ciry of Eagan crdinances. It
is the applicanPS responsibility to noUfy lhe property owner that the City of Eagan assumes no IiabiliTy for any damages caused by the City duAng its normal
opera6onal and maintenance acGvities to the faciliGes consWMed under this permit withi ity propertYlright f-waylea men[.
?
SIGNATURE OF PERMITTEE
Updated 1101
2007 RESIDENTIAL BUILDING rERMrT arrLicaTiox
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWctlon Reouirements
3 registered site surveys showing sq. ft. W lot, sq. tt. of house; and all roofed areas
(20%maomum lol coverage allmved)
1 Soils Repwt'rf proposed 6uilding is to be placed on distuibed soil
2 topies of plan shovnng beam 8 window sizes; poured found design, etc.
1 setof Energy Calculations
3 copiw of Tree Preservation Plan H lot platted aRer 711193
Rim Joist Detail Op6onsselection sheet (bulldingswith 3 orless uniis)
Minnegasco mechanical ventllatlon fam
n?_.__ :.?.. .._1 .? .6.1:,. ..i.. ?4:.. ..I
RemoOellRenair Requiremen?
2 copies of plan showing faotin9s, beams, joists
1 set of Energy Calculations fw hea[ed addipons
1 sAe survey for additlons S decks
Addifiar- indicate if on-sde sepfic sysfem
qb; ?
Office Use?9nlv
C?INSUrveyRecd Y _N
SoilsRepoR _Y _N
TreePresPlanRecd _Y N.
TreePresRegwred.• Y 'N
Dn•siteSeRbcSystem Y `N
.nii cfnfo rhov arp trade secret and the reason. .
rimw mc u..?w . __ _'--- -"- - - -
Date ?l l U? ConstruMion Cost S/1(7
Site Address Tvo S UniUSte #
C/
tion of Work
Descri ee-
p
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
Proper[y Owner •'
d
TelePhone # (r? ) 7 d Y ? ?? ?
?
Contractor
Address
State A-,I N CitY 4-LI` ? ill?z
Zip S* _C0 I/!% Telephone # Z_1J ) JV
7 7-
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 su6mission type) Submitted Submittetl
• Energy Envelope Calculations Su6mitted
In the last 12 monihs, has The City of Eagan issued a permiT for a similar plan based on a master plan? I
_ Y _ N If yes, daTe and address of master plan:
Licensed Plumber Telephone # ( )
Mechanical Contractor Telephone #( ?
Sewer/WaterContractor Telephone#( J
I herebv apply for a Residential Building Permit and acknowledge that the information is complete and accural
e;
that the work will be in conformance with the ordinances and codes of the Ctty oi Lagan ana me 3iaic ol rvIN
Statutes; 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 p[an in the case of work which requires a review and
approval of plans.
a ?Ip- +a ..,..
ApplicanYs Printed Name pphcanYs Signature
? INSPECTION RECORD
? CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS:
PERMtT SUBTYPE:
APPLICANT:
TYPE OF WORK:
f Vi I <<N
INSPECTION .. . ..
cr
66
?
LL -._.__.----
Permit No. Permlt Holder Date Telsphone N
ELECTRIC l?G3 a // 9 S? Q?'O
PLUMBING
HVAC
InapecNon Date Insp. Comments
FOOTI NGS
FOUNO
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARd
FIREPLACE
FIREPLACE
AIR TEST
FINAI PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
-fauw.
1
- ? .
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
PERMIT SUBTYPE:
iF
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
TYPE OF WORKV
-1
?
Permit Na. Permit Holder Date Teleohone S
5NH
PLUMBING
HVAC
ELECTRIC • . ?ro 93 ?0 ?
ELECTRIC
Inspection Date Insp. Comments
Footings I
!J
Foundation
Framing ??sqs
Roofing
Rough Plbg.
Rough Htg.
I5ul.
Fireplace
Final Htg. v2
Orsat Test
Final Pibg. Plbg. Inspector - Notity Plu r
Const. Meter 77
Engr./Plan
Bld9. Final
12
Deck Ftg.
Deck Final
i
Well
Pr. Disp.
?/? ? 9 3 a .N?,? 3 a•tX
S+
WQL`tifiCQte 0f CCCIipQIiC?
Csitv df ?agan
'Zcpartmcnt of `Nuilbinq ?n?pectio?
This Certificate issued pursuunt to the reyuirements of ihe Uniform Building Code
certifi,ing that ut the time of issuance this structure ?vas in compliaRCe with the varraus
ordinances of the Ciry regttlating building construclron or «.se. For the fo!lowing:
Use Classification: SF MC Bldg. Permit No. 20630
(kcupancy Type Zoning Districi R' Type Coost. VN
Owner of Buildiog GlkTM ?M (JD Address 1802 ?? ?? ?KJ-RY
Build'mg Address 3805 ??"`R ?I?' Locality
?, B I , ?'' Q?•? ? ?? +? i•?
Building Official
P05T IN A CONSPICUOUS PLACE
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA149464
Date Issued:05/23/2018
Permit Category:ePermit
Site Address: 3805 Bridgewater Dr
Lot:2 Block: 1 Addition: The Oaks Of Bridgewater 1st
PID:10-75835-01-020
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and house wrap and leave on site.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 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 -
John T Marlow
3805 Bridgewater Dr
Eagan MN 55123
(952) 500-1025
Marshall Building & Remodeling Inc
6975 Washington Ave S
Suite 215
Minneapolis MN 55439
(612) 369-0123
Applicant/Permitee: Signature Issued By: Signature
4 AO 6
For Office Use < 7v
t % e iti 0 ' a :::t: . i
,t„, '%,. ,,, „,, EAGAN
:
RECIEVED Date Received:
3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810
(651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 , ry 4 U 10 Staff:
buildinginspections@cityofeagan.com C
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Q j2q/K Site Address: 3Y0; erilq?.‘,J+a ei' Dc, 4,„, \r\f\o &S123Unit#:
Name: vrI\". y"\A\p,) Phone: 152"S°0,'015
Resident/ j \
Owner Address/City I Zip:a OS in d% QW \ . E� ^n M� \
Applicant is: X Owner Contractor
•
Description of work: 4\4/1/4(t ���\^"�
Type of Work J
Construction Costt \ OO Multi-Family Building: (Yes /No )
Company. ScW O.a c\e.r Contact: .
Contractor Address: City:
State: Zip: Phone: Email:
License#: Lead Certificate#:
If the project is exempt from lead certification, please explain why:
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 nonpublic if you provide specific reasons that wouldpermit the C to conclude that the are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeaoan.com/subscribe.
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.goaherstateonecall.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 tart without a per '; that the work will be in
accordance with the aproved Ian in the case of work which requires a review and approval o n
x '&31.`r\ Kr 01,E x ✓—
Applicant's Printed Name G%l ant's Signature
'`-' / 6 z: -16( 11 / / / $7
DO NST WRITE BELOW THIS LINE 3 v( ,�
.Yt
SUB TYPES
Foundation _ Fireplace — Porch(3-Season) _ Exterior Alteration(Single Family)
_ Single Family Garage — Porch(4-Season) _ Exterior Alteration(Multi)
Multi 7 Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
_ 01 of T Plex _ Lower Level _ Pool _ Accessory Building
WORK TYPES
_ New _ interior Improvement — Siding — Demolish Building*
Addition Move Building _ Reroof _ Demolish Interior
_ Alteration — Fire Repair _ Windows _ Demolish Foundation
SReplace _ Repair , Egress Window ^ Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation -9"-E- 17 Occupancy MCES System
Plan Review Code Edition j SAC Units
(25% 100%4) Zoning City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
—
Footings(Deck) Final I C.O. Required
Footings(Addition) \ Final/No C.O. Required
—
Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Hood
—
Roof:_Ice&Water Final Pool:`Footings Air/Gas Tests _Final
—
Framing 30 Minutes 1 Hour Drain Tile
—
Fireplace: Rough In Air Test _Final Siding:_Stucco Lath Stone Lath Brick EFIS
—
Insulation Windows
—
Sheathing Retaining Wall:_Footings—Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: ---<1-^` , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge '1
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PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA168030
Date Issued:04/07/2021
Permit Category:ePermit
Site Address: 3805 Bridgewater Dr
Lot:2 Block: 1 Addition: The Oaks Of Bridgewater 1st
PID:10-75835-01-020
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Fixtures
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (miscellaneous)$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 -
John T & Stephanie L Marlow
3805 Bridgewater Dr
Eagan MN 55123
Servin Plumbing & Heating Llc
24752 705th Ave
Dassel MN 55325
(320) 980-4666
Applicant/Permitee: Signature Issued By: Signature