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3809 Bridgewater DrCity of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Description: Sub Type: e- Reroof Work Type: Replace Description: House & Garage Census Code: 434 - Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Hometown Restoration 7308 Aspen Ln N #110 Brooklyn Park MN 55428 (763) 494 -8695 Applicant/Permitee: Signature PERMIT City of Eaan Site Address: 3809 Bridgewater Dr Lot: 3 Block: 1 Addition: The Oaks of Bridgewater 1st PID:10- 75835- 030 -01 Use: BL - Base Fee $3K Surcharge - Based on Valuation $3K - Applicant - Construction Type: Occupancy: If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes. $88.50 $1.50 Total: $90.00 Owner: Ann Marie Luke 3809 Bridgewater Dr Eagan MN 55123 Permit Type: Permit Number: Date Issued: Permit Category: 0801 9001 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply of Minnesota Statutes and City of Eagan Ordinances. h all applicable State Issued By: Signature Building EA091867 11/03/2009 ePermit C°"t ° INSPECTION RECORD "°. CIT? OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Pe it Number: Eagan, Minnesota 55123 D?Issmed: 0 b17 4/ e z (612) 681-4675 SITE ADDRESS: APPLICANT: ':f+0cl fth I Uhl !J!i! t N ilia r.110f1 l'.O 1Hf 41 Ak`. pf NNfII4i1 .4JAtI.1 ?(61:) /-dl.-.1lfii , PERMlT ?SU BTYPE: ??,?; TYPE OF WORK: NEW iNSPECTION FUOi I Noi .. . f IeAMlkt3 .• lpt;lll Al liiN FiNAI. F Ik[.PI.Ai t It I MA1f i.', , ltn?llV i p ':1&4t PlHft. - VqiAH FI.Nf,. PermN No. Permit Holder Date Telephone # S/W PLUMBING HVAC ELECTRIC ? ELECTRIC InspeeUon Oate Insp. Commenls Footings I 5/5 9a- t+.l? FOUntlation , Framing aa Roofing Rough Plbg. Rough Htg. I5ul. Fireplace X? FnalHig. lO.??Z C ] Orsat Test Final Plbg. Plbg. Inspector- Notity Plumber Const. Meter EngrJPlan Bldg. Final Deck Flg. Deck Final Well Pr. Disp. 3 °'"' /` (7 SEDGWICK HEATING & AIR CONDITIONIN 8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(612) 88 ADDRESS -3? OCCUPANT SOLD BV MAKE SERIAL NO. THERMOSTAT VALVE ? ?DAA LIMIT LIMIT SETTING FAN SEiTING ? PILOT TYPE _ I IGNITION MODEL -!5Y PILOT TIMING r? PRESSURE ?1 O WA- PERCENT CO, INPUT CFH-?tzs?-PERCENT Oz L ZS STACK TEMP,,- FOflM 295IREV. I 1.99) l?? ? ????? HEATING 74?v ZZ 1C'y?opC?' TEST RECORU ?OB NO cin ?•vs- OWNER INSTALLED BY ? ?y1} L , MODeL> 2m 17 (r `- l L?Z INPUT LZL? ? ?0-? 4 C/ VENT SIZE 5 TVPE OF LINEFi LINER SIZE FILTERS: SIZF NUMBER ?f .. WI.4:D:G ??r? TEST TAG ? UGHTING INST. ? DATE TES74?DA COMPANV TESTING Q NAME OF TESTER_ FOFN DISTRIBUTION: WHITE COPV JOB FlLE YELLtV COPY CITV 3 r? _ Repuest Date G). ? Fire No. Rough-in Ins e,tion Requiretl? ? Reatly No?'; I N lity Inspactor ( ? Yes ? No `Nhen FaeOy? Iqj-5licensed contractor ? owner hereby request inspection of above electrical work at: Jab AEtlress (Streec eow or R No.) '? ? Ciry Q ? Section No, Townsnip Name or No. Renge No. C ty Ocapant IPRINT) Phone No. PowerSupplier Atltlress ElecmIcal Con aclor (COmpany Name? W? LL? fi ?` ? ? ConlrectoYS Licensa No. C l- l?2 2 f e c E- of Mailin qpOress ICo Vactor or 07ner Maiinq Installation) 'b ? q x?t ?rt ? Ai " - ? Aulho tl Sign ? rector wner Mak g I t U ? P ne Num lber MINNESOTq STATE B ARp OF ELECTqICITV THIS INSPECTION REQUEST WILL NOT Gr199s-Midway BIOg. - Room S1]3 DQ BE ACCEPTED BV THE STATE BOARD 1821 Univereity Ave., Sl Peul. MN 55104 UNLESS PROPER INSPECTION FEE IS Ppane(612)6Cf-0800 ENGLOSEO. REQUEST FOR ELECTRICAL INSPECTION d 0 6 ?3 7 , See In+tmctions lor complB(ng Ihi3 form on back of ?ellow cbpy. '-X"-9elow Work Covered b This ReQuest eE .s`,:, S?3 q ew Ad0 Rep. Type of Building AppliancesWired EquipmentWired Home Range Temporary Service Duplez Water Heater Electric Heating Apt 8uilding Dryer Olher-(Specity) Comm./Indusirial Fumace Farm Air Conditioner OlherlSVecity) Contraclor5 Remarks: Compute Inspection Fee 8elow.' x Other Fee # ServiceEntrenceSize Fee 8 Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps 100 -Amps Signs mspeqor5 use omy TOTA 0 Irriga[ion Booms ?• ? Speciallnspection Alarm/Communication TNIS INSTALLATION MAV 6E ORD DISCONNECTED IF NOT Other Fee COMPLETED WITFiIN 16 MONTNS. I, the Electrical Inspector, hereby Rough-in J cerlify that the above inspection has been made. F;nai ? w oe+ l OfFlCE USE ONLY Tnis request void 18 monihs Irom . 140 4 ? J ? ? Q ? ? ? - ? ? ? Request Oal Flre No. Rouqh-in InSp on Raquiretl? ? Reetly Now XWill Noti(y Inspeclor R ? Wh tl Y ves G No en ea y I?Qlicensed coniractor ? owner hereby request inspection of above electrical work at: Job Adtlress (Slreet. Box ar FoWe N/o ) JQ v9 ? Clty f C U / /Ci C, Ca/I Senion No. Township Name o. Range No. County Occupam ?PRINT? / /1 / " GM ?dGM W?[ ??V • Phone fNo- V l?N V Power Supplier Atldress ? ?L EIecVicai GonVactor ICompany Name) ConVac?or5 Lbensa No. Gi/ O 1018 Marring Atltlress ICctor or Ow rMaking Installationj i W , y Ao?nonre (COnrcac? r?Owner a'ng Installan n? n A ?//f??1 Pbane Numbar 1112,611, !) MINNESOTA ST TE OARD OF ELECTRICITY y THIS INSPECTION REOUEST WILL NOT Griggs-MlOwey Itl .- Room 5-173 8E aCCEPTED BY THE STATE BOARD 1621 Oniversily e., SL Peul. MN 55100 t1NLE55 PROPER INSPECTION FEE IS Phone(6/]) 662-0800 ENCLOSED. /y'?REQUEST FOR ELECTRICAL INSPECTION ee-ooo i- a J ???^^? See Instmclions lor wmpietinq this form on ?ack of yellow copy (1 ? Y -M1J V ?"X"'Betbw Work Covered by This Aequest ew Add Rep. Typeol8uil0ing AppliancesWired EquipmeniWired Home Range Temporary Service Duplez Water Heater Elechic Heating Apt. Buittling Dryer Other (Specity) Comm./Industrial Fumace Farm qir Condi[ioner Olher (syecily) ConvacmrS RemerAS' Campute lnspecNon Fee Below. # . Other Fee # ServiceEntranceSize Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to WO Amps ? Transformers A6ove200_Amps Above?00-Amps SigOS Inspector's Use Only: TOTAL, _ A61 ' Irriqation eooms ? Special Inspection `? Alarm/Communication THIS INSTALLATION MAV BE DER NECTED IF NOT Other Fee COMPLETED WITHIN 16 S. I, the Electrical Inspector, here6y certify that the above inspection has been made. Rou9n ?n Flnal 5 OFFICE USE ONLY This request voitl 18 months irom I?CITY QF F.AGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-75835-030--01 PERMIT PERMIT TYPE Permit Number: Date Issued: 3899 BRIDGEWATER DR LOT: 3 BLOCK: 1 TNE OAKS OF BRID6EWATER Cd`'`z' S %° BUILDTNG 020739 04(26/43 DESCRIPTION: Building.,roPermit 7ype SWIM POOL Build'irrg Work Type NEW UBC flccupancy., M-2 Building l.engt'h' 38 Building WidGh 16 _ ., _ . . ., , , , .?. _ .. . .. REMARKS: FEE SUMMARY: Base Fee Surcharge Subtotel VflLUATION $117.00 $5.00 $122.00 $10,000 COPIE3 $1.50 7ota1 Fse $123.50 CONTRACTOR: - flpplicant - OWNER: PERFORMANCE POOL & 5PA 17313440 LUKE JEFFREY 1740 WEIR pR 3809 6RSCIGEWATER DR EAGAN . MN 55125 EAGAN MN (612) 731-3440 (612)454-1902 I hereby acknawledge that I have resd this application and state tMat the information is cprrect and agree tn camply with all applicable 5tate of Mn. ? StaCUtes and City ofi Eagan Drdinances. J 17 APPLICANT/PER EE SIGNATURE ?ISS D B: SI NAT RE- INSPECTION RECORD CITYOFEAGAN PERMITTYPE: suIl.nlNG 3830 Pilot Knob Road Permit Number: 020739 Eagan, M i nnesota 55123 Date Issued: 0 4/ 2 6/ 9 3 (612) 681-4675 SITEADDRESS: Lor: s aLocK: 1 APPLICANT: 3809 BRIpGEWATER OR PERFQRMANCE POOL & SPA THF OAKS OF BRIDGEWATER (812) 731-3440 PERMIT SUBTYPE: SWZM PQOL TYPE OF WORK: N£W ? ? L --1 REACTIVATE _ GITY OF EAGAN PERMIT # I u f`uECMVEDD 1993 BUILDING PERMITAPPLICATION $97.3,60 ? ?PR 2 0 1993 681'4675 SINGLE 8 MULTI-FAMILY 2?sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural 8 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 •-Y aO -c/ Valuation of work 1? da? Site Address:. RO?Z c-4 ca?- STREET SUITE N Tenant Name: (commercial only) IAT BIACK _L SUSD. P.I.D. N Descri tion of work: o o The applicant is: ? Owner ErContractor 0 Other <oK«sx> Name /, vk',?_ . ?? ?-- -ff r -ev Phone?3_q-/!6 ?2- Property LAs FIRST Owner Address 3£Sd 9?v v- STREET STE / City _ Ff??4 -r State ly ? Zip Company R'V4r,.,.,4 "t ?SPhone -2 3l YV 0 Contractor Address 1721e?) Cc1,zi? ?1 ? License 61 ?3Exp. City?????o?r? State /Zll ?i Zip?-S ??5~ Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber . Processing time for sewer & water permits is two days once area has been approved. I hereby acknowled9e that I have read this application and state that the information is correct and agree to comply wi all applicable State of Minnesota 5tatutes and City of Eagan Ordinances. Si ? gnature of Applicant: IL' OFFICE USE ONLY BUILDING PERMIT TYPE ' . , 40 '*I.p -? " . ,. 0 01 foundation ? 06 Duplex ? 11 Apt./Lodging i?h ?.i6?eeient'-E'Ri E3 02 SF Dwg. O 07 4-Plex O 12 Multi. Misc. ;IX 17 Swim Pool 0 03 SF Rddition ? OS 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind. ? 04 SF Porch ? 09 12-Plex 0 14 Fireplace 13 19 Comm./Ind. Misc. ? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public facility ? 21 Miscellaneous WORK TYPE - ?31 New O 33 Alterations ? 35 Tenant Finish ? 37 Demolish 32 Addition ? 34 Repair 0 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCL System (Allowable) lst F1. sq. ft. tity Mater UBC Occupancy YTj-- 2nd F1. sq. ft. PRY Required Zoning Sq. Ft. total Booster Pump B of Stories footprint 5q. ft. fire 5prinkler Length On-site well Census Code 3 zq Depth ? On-site sewage SA ef?? ' APPROVALS Planning Building Assessments Engineering Yariance REQWRED IN SPECTIONS ' ? Site El Foating ? Framing ? Insulation ? Wallboard f+? Final O Draintile ? Fireplace Permit Fee J??,pp v.iuac;«n: g /0.,0420 5urcharge SDO Plan Review License MWCC SAC City SAC Water tonn. Water Meter ct: Deposit , S/W Permit S rge T tm t Pl. R it Park Ded. Trails Ded. Copies Other Total: SAC % SAC Units lcq, STATE OF NINNESOTp ????,? OEPARTMENTOFWM111ERCE ?'? 133 East Seventh St 5t. Paul, MN 55101 ?? (512) 296-6319 ??, BUILDIN6 CDNTRACTOR I Dit00061 23 RESIDENTIAL CONTRACTOR CORPORATION Issued: 04/24/92 Expires:03/31/93 MICHAEL PEARSON PERFORMANCE POOL SPA INC 17404 WEIR DF WOODIIVRV MN 55125-0000 cuaos,a STATE OF NN DEPT. OF COtlMERCE 133 East Seveoth St ? Sk. Paol. MN 55101 s= (612) 296-6319 BUILDING CONTRACTOR ?? IDp0006123 RESIDENTIAL CONTRACTOR CORPORATION I Issued: 04/24/92-03/31 /93 MICHAEL PEARSON . PERFORMANCE POOL SPA INC 17404 WE1R DR WOODDURY MN 55125-0000 ? CERTIFICATE REVIfWED sv JCN? . DATE 5 L- C' 1?r 12C nn ?^ - - SIENNA CORPORAT{ON L_ ..,......._J- n_ CA 11 y';i_ qcv.5t +---- 13ENO7E5 PROPOSEO SURFACE DRAINAGE O DENOTES IRON MONUMENT SET • DENOTES IRON MONUMENT FOUND X000.0 DENOTES EXISTING ELEVATION (OOQ.O) OENOTES PROPOSED ELEVATION S88°48'O7"E ? 1i4..50 W 1 ,`i 1l1 I - N? : },, ..(• .''. :Y .. . . . _ . .. ? SCALE: 1 INCH - 30 fEET PRQPQSED GARAGE FLOOR m9V3.9-4"7EET9V- PROPOSED LOWEST FLOOR - q4'0-?FEETf /T. PROP05ED TOP OF BLOCK -44-41 FEET47,v 4 WE HEREBY CERTIFY TO SIENNA CORPORATION THAT THIS IS A TFUE ANO CORRECT REPRESENTA710N OF A SUFiVEY OF THE BQUNDARIES OF: Lot 3,81ock I, 7HE OAKS OF BRIDGEWQ7ER IST ADb1TIDN, accotding to the recorded plot lhereo(, pokota County, Minnesoto. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR EtJCROACHMENTS, EXCEPT AS SHOWN, AS SURVEYED BY ME OR UNDER MY QIRECT SUPERV1510N THiS 22ND GAY OF JANUARY , 1991 . l1PPROVED FOR SIENNA SIGNErJ?4ME$ R. HILL, INC. CORPORA710N i / / BY: - DATEDi r ? O T i p cn a tD N D ? Z O Z ? p ? ? > O - I ? m Z Z m m ° C 1?? ? 4;? JOHN C. LARSON, LAND SURVEYOR MINNESOTA LICENSE NUMBER 19828 James R. Hill, inc. PLANNERS / ENGINEERS ! SURVEYORS 5401 JAMES AVE. S. • BLQOMINGTON, MN. 55431 • 612•884-3029 F 7 CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT BUIlOING 00@b46 05J14/92 SITE ADDRESS: 3809 BRIDGEWATER DR LOT: 3 91QCK: 1 THE OAKS OF BRIDGEWATER DESCRIPTION: Suilatli'ng Permit Type SF OWG 8u31din4,Work Type NEW UBC pccupans,y R-3 M-1 Canstruction'[,ype VN ZonaLng y..,. R-1 Buildfng Length , 76 , Building 4kidth j 05 } t?( yilE b.,?LJ t. 13 ..- ... t.?' REMARKS: RECEIPT # ? o,?$oq S&W PLBR. - POLAR PLBG. FEE SUMMARY: VAI.UATIOM Base Fee Plan Review Surchar9e SAC SAC 8 SAC Units Subtotal $940.59 $611.33 $93.00 ;700.00 100 $2,344.83 PERMIT TYPE: Permit Number: Date Issued: ;18b,00B MISC FEES $1,610.50 COPIES $1.0& Total Fee $3,956.33 CONTRACTOR: - ApplicanC - ST. LI pyyNER: CUOU CO 17313153 000394 CUDD CO CHARLES 1802 WOODDALE DR 1802 WOODDALE DR WOODBURY MN 55125 4lpOqBURY MN 55125 (612) 731-3153 (612)731-3153 I hereby acknowledge th:at I h.ave read this application and state that the information is oorreat and agrQe ta comply wfth alt appliaable State of Mn. 5'tatutes and City ot Eeg:an Ord3nanaes, L ? APPLI N R IT E SIGNATURE ISSUED 8. SIGNATURE INSPECTION RECORD C°"tr°'"°. 0 4 3 t -- CITYOFEAGAN PERMITTYPE: auiLorNO:...,;,,"'.i. 3830 Pilot Knob Road Permit Number: 000546 _ Eagan, Minnesota 55123 Date Issued: 0 5/ 14 / 9 2 (612) 681-4675 SITEADDRESS: toT: 3 BIOCK: 1 APPLICANT: 3809 BRIOGEWATER DR CUDD CO 7HE OAKS OF BRIDOEWATER (612) 731-9153 PERMIT SUBTYPE: sF owc TYPE OF WORK: Control No. 0437 NEW INSPECTION FOOTING D. . FRAMIN6 ., INSUlATION fINAL FZREPLACE -REI9ARKS: RECEIPT $ 1- L S&W PIBR. = POLpR PLBG. ? ? r_ . r . 1992 BUILDING PERMIT APPUCATtON ' CITY OF EAGAN UIREM N • ? NGLE FAMILY Occupancy Zoning Actual Const Allowable # of stories Length Depth S.F. Total Footprint S.F. MULTIPLE DWELLINGS 2 SETS OF PLANS, 3 REGISTERED SITE SURVEYS, 1 SET OF ENERGY CALCS. # OF UNITS RENTAL FOR SALE COMMERCIAL 2 SETS OF ARCHITECTURAL & STRUCTURAL PIANS, 1 SET OF SPECIFICATIONS, 1 SET OF ENERGY CALCS. PENALTYAPPLIES WHEN TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE QR LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUII,DING PERMIT 15 ISSUED. To Be Used For: $1?4Lz? T?,m,&{ Valuation: 1(,6,5cn do Date: s-! i-4 Z V&ite Address 30M ? Lot 3 Block I Parcel/Sub jl??0p,ws , Ovner SzFFg4--r + p Address 3! s4 City/Zip-t--p'CaA?" Phone dsA. -- j qn z On-site sewage Contractor C?+a,P , On-site well MWCC System Address tg,oZ City water PRV City/Zip 2, SS !LS Booster Pump Phone 73I-3i53 1-icensen?9p3ygS APPROVALS 9 Planner Council Arch./Engr. CHpa-L?_-5 Bldg. Off. Variance Address /M7 Ciry/Zip Code f o ne # 7a1 - 3rs3 wer/WaterLicensedContr. ,s,,z for sewer/water permits is two ays once are agrees that all work shall be done in accordance with ignature o Permittee . , ? all applicable State of Minnesota Statutes and City of Eagan Ordinances. 2 SETS OF PLANS, 3 REGISTERED SITE SURVEYS, 1 SET ENERGY CALCS. 'F ayS?.33 ZAY ? RECO Bldg Permit Surcharge Plan Review License Fee SAC, City SAC, MWCC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trail Ded. Copies SUBTOTAL Penalty Lot Change TOTAL ? FEES Processingtime PERMIT'? ? CITY OF EAGAN 1992 BUILDING PERMIT APPLICATION 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural 8 structural plans, 1 set of specific.ations, i copy of ehergy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re uest is made or lot chan e is re uested once ermit is issued. Date Valuation of work Site Address: STREET STE / Tenant Name: 3 ? Or?KS o?' Lcr s?aK A?u SUBD. v.?.o. r Descri tion of work: The applicant is: ? Owner ? Contractor ? Other (Describe) Name Phone Property LAsT FIRST Owner pddress ' SSREET STE / City State ZiP Company Phone COntPBCtOY Address License # Exp. City State Zip Company Phone ArchitecU Engineer Name Registration # Address City State Zip Sewer 8 water licensed plumber .. Processing time for sewer 8 water permits is two days once area has been approye . 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. 5ignature of Applicant: . vrrv?.G Y.7C VIVLT BUILDING PERMIT TYPE O 01 Foundation ? 05 Apt. Bldg O 09 Basement finish Jg 02 SF Dwg. ? 06 Garage/Accessory ? 10 Swim Pool ? 03 Two family ? 07 Fireplace ? 11 Res. Add./Porch ? 04 Multi-fam. T.H. ? 08 Deck ? 12 Comm./Tnd. woRK rrPE jg 31 New ? 32 Addition ? 33 Alterations ? 34 Repair ? 35 Tenant finish ? 36 Move GENERAL INFORMATION ? 37 Demolish ? 99 Undefined i#. O 13 Public Fac. ? 14 Agrlcultural ? 15 Miscellaneous Const. (Actual) v- N Basement sq. ft . MWCC System (A1Towable) v- . lst F1. sq. ft. City Water UBC Occupancy .? -{ 2nd F1. sq. ft. PRY Required Zoning Sq. Ft. total Booster Pump # of Stories Footprint 5q. ft. Fire Sprinkler Length 14 On-site well Census Code !?epth ys On-site.sewage SAC Code APPROVALS Planning Building Assessments Engineering Variance REGIUIRED INSPECTIONS ? Site ? Footing ? Wallboard ? Final O Framing ? Draintile tS ts / oL or ? Insulation ? Fireplace Permit Fee 5urcharge ' 4.50 ? v.i?cso?,: s?_ ? p? t2xw-rb?xy.?? Plan Review License ?71'.33 ?""2 ??';. 32 xz2= ?oU 2 %/ 2 _ Cx MWCC SAC 00,0 0 ?Ba K)s= loSe? City SAC IDU,ou ---- Water Conn. G'15, oo s zx 2? = I3ao 2N?Fcjuri ' Water Meter Acct. Deposit 94-,00 30,00 ? k z2 ; 2'j r?i7a ry?,?HtT- 5/W Permit 3a,4)0 lIK/2 > 132 <0- S/W Surcharge 150 z x?_ + 2 Treatment Pl. -:,oo. ,ao Road Unit Park Ded r . Trails Ded z?ls%'-= ?a? I) . Copies 147o KI?` ZZvss? 4 Other, K Total :- 12 SAC % l00 i35mTs t?k`?o ti[5'3= c? C G 6 7 6/ - _ s u,u ?,i cH SAC Units 7 _ 12xlv? Ib?xL?S? d 777-A? fs '67q ? ? _. .- s .- .. ?,; . ENERGY LONSERVATION EVALUATION sice Addre55 3 S oq LoT Bc.nc« ) 1 owner .7EFFRk.?r + Lu u E concractoT C N-aiz??s Lu r?n Lo , J Calcutations done by <Tt'Ih; LiGµ-'t Phene '731-S1S3 Jate S-l1-47- TYOe of buiiding 'Cj, ,uC?LC Rl?^rnt L?- ( ipt,--?("i,6kt__ Area ) Assem6l .(Show calculations on -.vorksheets (SqFt) U-Value U x A ( ;6 of Total Geiling rea, ess :y ig t Insulated Area: Area, See Fi . 1) 3RC? • OZ zl.f3 Framin Area:(107. of Total Ceilin Area, See Fi . 2) ¢ 0 Z ° 0 Sk li hts (From Pa e 7) ? °i Other. (Describe) ci 1 Totals .90 2 Avera e U-Value, (UxJ)/(A) fram Line 1 O Zo •-- 3 Required U-Value (For ane and twa family dwellings only) .026 *ftft'k (907. of Total Wall Area, Less Window and Insuiaced Area: Door Area, See Fi . 3) n2Z , ds S). I F2min Area (107. of Total Wall Area, See Fi . 4) -3-1 ,0 indows: (From Paae 71 40 S 1 Z9 • ? Doors (From Pa e 7) im Joist Area: (See Fi ..5) 376 .0¢ 5, I ? Fireplace Wall: / I , o-7 /. O d ° Foundation Wa11=fA6ove Grade Less Window Area See Fi . 61 137- , 13 17, x - Foundation Windows: (From Pa e 7) i ther.(Describe) ther: (Desaihe) 4 Totals ¢4(9S ****** 3G?o? / 5 Ave2 e U-Value, (UxA)/(A) from Line 4 ****** Q? ****'*k 6 Required U-Value fFor one and two family dwellings anly? ****?* .I1 *****+ If line 2 is less than line 3, and tine 5 is less than line 6, proposed assemblies meet code requirements. If line 21s greater thah line 3, or line 5 greater than line 6, camplete the follawiag to determine alternato U-Value for tOtal exterior envelope- ? 0 ? 7 UxA (Line 1) + UxA (Line 4), + _ ****** v o 8 Area (Line 1) x U-Value (Line 3) x - d w 9 Area (Line 4) x U-Valba (Line 6) x - - *****k 1O 0 "Bud et", Line 8 t line 9 ****** t- If Line 1 is greater than Line 10, alter assemblies as required so Line 7 daes not exceed Line 10. ' If Line 7 is leis tAan Line 10, proposed assembties meet code requirements. 1 Fi¢ure 1 Ceiling/Roof Insulated Area: 1'S9 O Sq. Ft. (with attic area) R-Value Interior Air Film .61 Insulation 570.00 Continuous Vapor Barrier 0.00 Interior Finish , S(p Interior Air Film .61 Total Assemblq R-Value SI , -7°J Assem6ly U-Value (1/R) , p Z Enter on Page 1 Figure 2 Ceiling/Roof Framing Area: Sq. Ft. (with attic area) R-Value Interiar Air Film .61 Insulation .¢¢, DO Wood Member ¢, 38 Continuous Vapor Barrier 0.00 Intezior Finish , Stp Interior Air Film .61 Total Assembly R-Value Sa.iLn Assembly U-Value (1/R) ?p Z Enter on Page 1 For additional roaf assemblies, see pages 3 and 8. 2 S ' Figure lA Ceiling/Roof Insulated Area: (without attic area) R-Value Vented Air Space Interior Air Film .61 Iasulation Continuous Vapor Barrier 0.00 Interior Finish Interior Air Film .61 Total Assembly R-Value Assembly U-Value (1/R) ? Enter on Page 1 Sq. Ft. Figure 2A Ceiling/Roof Framing Area: Sq, Ft. (without attic area) R-Value Exterior Air Film .17 Roofing &oof Sheathiag Wood Member Continuous Vapor Barrier 0.00 Interior Finish Znterior Air Film .61 Total Assemblq R-Value Assembly U-Value (1/R) Enter on Page 1 For additional roof assemblies, see pages 2 and 8. 3 . • i Figure 3 Exposed Wall Insulated Area: 30'ZZ Sq. Ft. R-value Interior Air Film ,(g Interior Finish Continuous Vapor Barrier 0.00 Insulation )q , o0 Sheathing Exterior Finish , 4-7 Exteriar Air Film .17 Total Assemhlp R-Value Zt .4D Assembly II-Value (1/R) , 0 Enter on Page 1 Figure 4 Exnosed Wall Framiag Area: . 3 3 Co Sq. Ft. R-Value Interior Air Film .68 Interior Finish , ¢S Contiauous Vapor Sarrier 0.00 Wood Member Sheathing . (o Z Exterior Fiaish ,¢7 Exterior Air Film .17 Total Assembly R-Value z7 Assembly U-Value (1/R) .?? Enger on Page 1 For additional wall assemblies, see page 8. 4 FiQUre 5 Exposed Wall Rim Joist Area: 3 78 Sq. Ft. R?Value Iaterior Air Film .68 Vapor Barrier 0.00 Insulation 1q,00 Wood Member 1, Qj5 Sheathing 1C97- Exterior Finish ,4--7 Exterior Air Film .17 Total Assembly R-Value Z'1-• 2)Z Assembly U-Value (1/R) ,p ¢ Enter on Page 1 Notes: 1) Floozs over unheated spacee. For floors of heated or mechanically cooled spaces over unheated spaces, the overall D-Value £or the £loor shall nat exceed 0.05. For floors over outdoor air, such as overhangs, the averall II-Value for the floor shall meet the same rem•irement as for roofs, II-Value of 0.04. 2) Slab-oa-grade floors. For slab-oa-grade, the insulation arouad the perimeter of the exposed floor shall have a mi.nimum It-4alue of 6.4. The insulatioa must extend downward fsom the top of the slab a mi.nimum of 316" or dowaward to the bottom of the slab then horizontally beneath the slab for an equivalent distance. 3) Vapar barriers. The maximum perm rating for the vapor barrier is 0.1. A mi.nimum of 4 aul polyetheline, or equal, is requiredto achieve this. The vapor barrier must be . continuaus with all joints overlapped and made over fr'aminq members or blocking. - 4) For notes on foundation wall see paqe 6. 5) Far additianal assemblies not illustrated use worksheet on page S. 5 Piqure 6 £xposed Foundation Wall Area Coacrete Block or Poured Concrete Foundation Area: l3 Z Sq. Ft. Wood Foundation Znsulated Area: Sq. Ft. R-Value In[erior Air Film •68 ConCinuous Vapoi BariieY 0.00 Foundation Wall 1.51 Insulation 04) Exzerior.Air Film .17 Total Assembly R-Value -1?14" Assembly U-Value (1/A) Enter on Page 1 Wood Founda[ion Framed Area: Sq. Ft_ R.-'Value IJ Only the abave gradearea of the faundacion -a11 is to be included in the energy calculazians. 2) The Energy Code requires chac, if the floor above the bueve¢t or craxl spa[e is aot iasulaced, the faunda- tion vall must be iasulated. Either the foundation musc havr a miaimum R-10 iasulatian applied xrvm the top af the fouadasion Lo the frost iine ar a minimum 0.-5 insulatian applied over the enLize fauadacion va11. The R-Value specified is for the iasulacion material aaly. S) If ridgid foam inaulation is so b< applied co the exserior a£ the £ouadation vall, the ahove gzade pariion must be pruxected fram the sua. the weather and physical abusc. 47 If ridgid Faam iasulatian is co be anplied so the interior, ic must be pro2ecced by minimum 1/2" gyp- baard or equal (as speci£ied in scccion I71Z of the Uni£oxm Bnilding Code). S) Faundatiaa xall iasulatioa foz ?ood foundations musc be ias2illed as speci£ied 6y Lhe Vasional Faresr. Producss Asaociatian's Oesign Maaual. Int ior Air Film Con[inuo Vapor S rier 0.00 Faundation W (Plyvood) Wood Mem r Ext ?r Air Film -17 Total Assembly R-Value Assem6ly U-Value (1/R) EnCer on Page 1 6 ------- - ------- I? • ' SKYLIGH7, WINDOW ANO DOOR ASSEMBLIES Skvliaht Manufacmre I Manuiacturc No. No. Used ? Total Sash Arca(A) R-Value I -va ue U=1/R - U x A I I TaGals Errter F aqe 1 XXXXXX XXX XX X XX - a ue Windaws Manufaebue Manufaclvrc No. No. Used Total Sazh Area (A) R-Value U=1/R Ll x A I 5 ?R 3. ,-;Z . 8,? cl??z4- ( ?3,Lv 3,? , 3Z 3,°-7 ci?s z 13.z 3.8 3? 4.zz . ( rc,.?r5? 3 ; lo Z? .8 ? 32_ 3 83 ?3•? r? ,?? za•>S / Zasz Z ZZ.a .? ,: -,,o?- ? 3q-sz s ?o.S ? • '?? 3z zz•sZ? ? CoZ 7-6 f34•0 %•? ,??- A-Z?SB z 4.4- ota s E+rtv Paae 1 XXXXX ,,. ¢ps -ZD I L'T . cnv wn ion Wall Windaa Mamifacture MamifaeEuve No. No. Uned Tatal Sash A2a (A) R-Value i a ue U=1/fi U x A oca s er aqe I ? Ooars Manufaemre Size No. Used Taaf Dow A'es fA1 R-Value Ooar -Va ue Stam Daa (IF tJsed) Ocer Assemhl U-Vaiue U=1/R Uz4 ?EncH37z? 3 ? I zO.oD 4'b 1 !? ? Z 3.33 14-_? - ? - ? , o ?• i ( z$ ? 3 53.43 l4.$ - ? - ,0.'7 i?5?-nr C9b f I 3Z •4- I 3,'7 ? - ?- ?, 30 ? i aa s 1rca aae X XXXXXXX I X XX XX X XXX 6 X X 1 119.1(0 7 -0 ? 4- Z I s,-7 q SUFtWE1fC?R'S CEFt7'IFICIATE F-AGAN REVI£WED sr J D Jv'c onrE5 - 13 -92 L-1 ! I ^ ! .- i.3s.oo 8Rc¢'i, 1 oW a ? i I „t 4'S?O -, ? WatilC'a? e Z LlJ /'? o Ira T? ? J4 3 ICD? ? 10 n ? qai•5-? ?'? I ` 136.00 SIENNA CaRPORATION 588°48'07 "E PR.tZ W y ?? I-IoUSE a 5?? +G •a -- 1 o r , ? , - ,,.a z,-.?,, ? .< - 6PRRCaE ? ? i +k 0 ? } b Z0.33 r?'+ ? ? ? qia.s? W ? io ?? 3 kIPUC D ? f..? ? 1v PRttiiM. ? .rW`W.4?t,17 - j?. I yiE, vc <unJS,? ?' 2s L?l ? I S$8°48'QT"E 4 5y ?AC?AN EIVC?TiVE'EftII+?G DEI?'T +---- DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET SCALE: i INCH - 30 FEET • DENO7ES IRON MONUMENT FOUND PROPOSED GARAGE FLOOfi =%-&?FEEfM l X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR -qVI--'?"EETQ1 T. - (000.0) DENOTES PROPOSED ELEVATION PROPOSED TpP OF BLOCK-4L4-44 FE£T5"LJ 4 WE HEREBY CERTIFY TO SIENNA CORF'ORATION THAT THIS IS A TRUE ANp CORRECT REPRESENTATION UF A$URVEY OF THE 6pUNDARIES OF: Lot 3,61ock I, THE OAKS OF 6RIDGEWA7ER IST ADbIT10N, according ta The redordtd plot tharao(, Dakotu County, Minnesota. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 22ND DAY OF JANUARY , 1991 . APPROVED FOR SIENNA SIGNEpS 1?4ME,$ R. HILL, INC. ,."'J CoRPORATION i I / / l BY: - DATED? ? ? m ? r ?o 0 O Q 7 (A p a m m x ? ? ? O ? $ ? ? ? D O ^' z T Q m N cD ? JOHN C. LARSON, LAND SURVEYOR MINNESOTA LICENSE NUMBER 19828 James R. Hill, inc. PLANNERS / ENGINEERS / SURVEYORS 9401 JAMES AVE. S. • BLOpMINGTON, MN. 55431 + 612-884-3029 ? i ? BL / ^> CITY OF EAGAN PLUMBING PERMIT SUBD. (612) 681-4675 RESIDENTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. CITY USE ONLY RECEIPT ? lo DATE r1 7 G3 7 ALSO, FOR TOWNHOMES AND CONDOS WORK DESCRIPTION NEW CONST ADD ON _ REPAIR OWNER NAME : Nyl ") ? 1 SITE ADDRESS: INSTALLER:-%-\Ornx'-? C.tLQ ADDRESS:1'-SCXD1 IZo- ,,y.ra CITY: \.e m,'r?u?1M?2g, , ZIP: PHONE #: OF TOTAL: S rA-,OO PLEASE COMPLETE TNIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. AL50 FOR MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH,DWELLING UNIT. WORK DESCRIPTION OWNER NAME: SITE ADDRESS: TENANT NAME: SUITE #: INSTALLER: ADDRESS: CITY: PHONE FOR: GGNTRiiCT PRICa: 1% OF CONTRACT FEE. . STATE SURCHARGE _ $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL: $ (SIGNATURE) COMPLETE THE FOLLOWING: N0. FIXTURES EA. TOTAL 1 REPAIR/ADD ON 15.00 SHOWER 3.00 ,uo ? WATER CIASET 3.00 R? ? BATH TUB 3.00 la. ? LAVATORY 3.00 1,3la ! KITCHEN SINK 3.00 'v,co ? LAUNDRY TRAY 3.00 3.CO J -H87-TBBtgpA??,?,3,00 3,rA ? WATER HEATER 3.00 ?-00 ? FIAOR DRAIN 3.00 CP,uo GAS PIPING OUT. 4L ?q (MINIMUM - 1) 3.00 V.? ? ROUGH OPENINGS 1.50 4,---7;,,-) I OTHER- A-L- 3-? -T WATER SOFTENER 5.00 ??. _ PRIVATE DISP. 15.00 _ U.G. SPRINKLER 3.00 W. TURNAROUND 15.00 STATE SU?2C?RGE t O?l?? ? ? PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQIIIRED FOR EACR UNIT. FOR CITY USE ONLY PERMIT # RECEIPT # DATE : WORK DESCRIPTION ? /'lJ?S,,-,M, NEW CONST _ ? -•-' ADD ON REPAIR CITY OF EAGAN ?. 3830 FILOT ?'70B ROAD EAGAN, MN '55122 PHONE: (6I2) 454-8100 FEES OWNER NAME: C'd_e,{i GC ADD-ON MINIMUM HVAC 0-100 M BTU ADDITIONAL 50 M BTU GAS OUTLETS - MINIMUM OF 1 PER PERMIT r -. SUBTOTAL: SITE ADDRESS:lb-*?Q ? STATE SURCHARGE: IAT: J BIACIC ? SUBD. fOTAL: ??] ,? ll INSTALLER: q?DGll`?lladp< ?-y $15.00 24.00 6.00 3.00 $? SD $ ?.?_s0 HFATVNG E. AI? C31':6ITlC;11fdG C0. % /s4r ADDRESS: a910l?JEfJTIh?OR1N F:lE. 50. SIGNATURE OF PERMITTE'Ly MINNEAPOLIS, MN 55a CITY : _ 881-9000zI P : PHONE # CONTRACT PRICE: OWNER NAME: PLEASE COMPLETc THIS YOR'tI-dN FOR Af.L C'U"rfMERCTAL/INDUSTRIAL BUIT.DINGS, APARTMENT BUILDINGS, AND MULTZ-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. SITE ADDRESS: TOT_: BivGK _ Si;BL. INSSALLER: ADDRESS: CITY: ZIP: PHONE #: FOR: FEES 1$ 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 I GNAT[JRE ) CITY OF EAGAN IAT ? BLOCK ? SUBD. ? ? ? RECEIPT # ?o7I?I & DATE S,a?Z9 CITY OF EAGAN UNDERGROUND SPRINKLER SYSTEM PERMIT 1993 Application Date: g4-0 6 3 _ Commercial project Gallons per minute/rnmmercial only Residential project (sprinkler systems for development projects) IK Existing residence Area/address to h sprinklered: Installer: 5eCU<?- Street address: _ 3eo! City, state & zip: _ N?? 5-?;7-/ / Telephone #: qS4?^ [46d- Owner name: Street address City, state & zip: fa'*? Phone #: .Q.l?-'? Irrigation contractor, if different: Phone #: I hereby acknow]edge that I have read this application and state that the information is correct and agree to comply with all applicable City of Eagan ordinances. 5ign r of Permittee New service required Fee due: $ Calculated by: q-Z--?3 "W- CITY OF EAGAN UNDERGROUND SPRiNKi.RR SYSTEM PROCEDURE 1993 1. A plan must be submitted to the CSty's Engineering Department for approval before installing a]awn sprinkler system. If digging in the boulevazd, a right-of-way permit may be required. 2. Once plan is approved, it will be presented to. the City's Plumhing Inspector for sizing of the meter. 3. Jerry Wobschall, Finance Department, will calculate permit fees as follows: a. Commercial 12roject: $ 25.50 underground sprinkler permit. $ 50.50 water permit fee only if new service is installed. $100.00 per tap if installed by Ciry. Please consult with Engineering Department regarding feasibility of City installation (City will only install taps up to 1"). b. Residential proiect: 15.50 nderground sprinkler permit. $ . 0 water permit fee if new service is installed. $695.00 per connection - WAC. $324.00 per connection - water treatment plant. c. Existiniz residence: $15.50 underground sprinkler permit -(fee not required if bacldlow preventor previously installed); however, plan must still be presented for approval and an application must be filled out. 4. Once meter size is determined, Protecuve Inspections Clerk Typist will contact Utility Bilfing Clerk for cost and notify installer of all wsts associated with project. If new service lines are not required, one.check may be written for meter and permit costs. No meter will be sold before all sewer and water inspections are wmplete on a new service--(Engineering Department will advise Utility Billing Clerk when meter can be sold). Receipt will be coded to 20-3716 (meter portion only) with pink copy forwarded to Utility Billing Clerk. 5. The installer is to contact Protective Inspecrions at 6814675 for inspection of the inside water line and backflow preventor. The Public Works Department may be reached at 681-4300 for water turn-on and set and sea] of ineter. Inspection hours are 8:30 AM to 3:30 PM, Monday through Friday. Requests for AM inspections should be made on the preceding work day. Requests for PM inspections will be accepted until 12:00 noon that day. l CITY OF EAGAN Page 1 of 5 PERMIT TO LiORK STITFiIN CITY PROPERTY/RIGRT-OF-WAY/EASEMENTS 1. Location %rJ o? ?? l? 2. Nature of Work 3. Indicate helow items to be affected and include a sketch or plan of work to be done. Curh & Gutter Street Surface Trail/Sidewalk Trees: Pond/Wetlands Public Traffic Control Devices/Signs Private Drainage Utilities Structures/Buildings Other 4.. Method of Installation or Construction 5. Work to start on or after: 15J2-Z-A?Jand shall be completed hy: unless an extension granted to: by: DATE STAFF/DATE 6. Will detouring of traffic be necessary7 . If necessary to detour traffic, describe suggested route: DETOURS: The Director of Puhlic Works shall be notified in writine at least 72 hours in advance of any detour being established, changed or discontinued. NAME OF APPLICANT ?Epp-e9r-f F 'KE- PHONE 45????02, ADDRESS STREET CITY STATE ZIP NAME OF PARTY OR ORGANIZATION PERFORMING WORK ?-e-?? CONTACT PERSON: EMERGENCY (24 HR.) PHONE #: ADDRESS DAY PHONE STREET CITY STATE ZIP The undersigned herewith accepts the terms and conditions of this permit by the City of Eagan as herein contained and agree to fully comply therewith to the satisfaction of the City of Eagan. Signed: f Title: FOR CITY USE ONLY FINANCIAL SECURITY: Fee: $ DATE: AUTHORIZATION OF PERMIT AMOUNT: TYPE: Receipt No (Cash,bond,IAC,etc.) Permit No. In consideration of agreement to comply in all respects with the regulations of the City of Eagan covering such operations, and pursuant to authorization duly given by said City of Eagan; permission is hereby granted for the work to be done as described in the above application, said work to be done in accordance with special provisions as hereby stated: AYPROVED BY: DEPT. OF PUBLIC WORKS BY: /DATE ALL LEGAL REQUIREMENTS SHOWN ON REVERSE SIDE AND ON ALL "SPECIAL PROVISIONS" TO BE COMPLIED WITH! THE DATE WHEN WORK IS COMPLETED MU5T BE REPORTED TO THE EAGAN CITY ENGINEER. Permit No. Page 2 of 5 PERTINENT REGULATIONS Safety 1. Traffic shall ba allowed to pass and to be protectad at all times. If it is not possible to allow traffic to pass, a suitable detour must be provided and plans submitted to the Director of Public Works 72 hours in advance. 2. Harricades shall be erected in a manner which will provide suitable visibility in all directions. All barricades shall be in good condition, and all signs shall be of such size and legibility to provide adequate warning to oncoming traffic. At least two 7" flashing amber lights shall be mounted on each end barricade with one on an advance warning sign. 3. Excavations must be shored or sheeted when necessary to prevent under-mining of roadway, trailways, utilities, or for safety reasons. 4. Guys or stays shall not be attached to trees on right-of-way or private property without written permission. 5. Flagmen shall be furnished by the party or organization performing the work whenever the work being done creates a hazard either to the traffic using said road or the personnel engaged in the construction, or when directed to do so by the City. OPERATIONS 1. Permit on Job--Permits or copies shall be kept on.the site of the work while it is in progress in the custody of the individual in charge, and sha11 be exhibited upon request made by any City official. 2. Provisions and Specifications--These general provisions, specifications and Std. Plate P-1 shall be considered as forming an integral part of each and every permit issued for operations within Eagan. The work authorized by this permit shall be done at such time and in such manner as shall be consistent with the safety of the public and shall conform to all requirements and standards of the City. If at any time it ahall be found by the City that the work is not being or has not been properly performed, the permittee, upon being notified by the City, shall immediately take the necessary steps, at his own expense, to place the work in condition to conform to said requirements or standards. 3. Execution--The permittee shall use diligence in the execution of the work authorized under this permit in order not to endanger or unnecessarily obstruct travel along any road or trailway. Operations shall be so conducted at all times as to permit safe and reasonable free travel over the roads and trailways within the limits of the work herein prescribed. All safety measures for the free movement of traffic shall be provided by the permittee at his own cost. 4. Conformity to Laws--The installation shall be made in conformity with all applicable laws, regulations and codes covering said installations. All installations shall be made in conformity with regulations of governmental agencies for the protection of the public. a. The applicant shall furnish a bond or financial guarantee in the amount to be determined by the City which is required to ensure adequate & timely completion of repair. This bond or financial guarantee shall Xemain in effect for 2 years subsequent to completion of street repair to protect the City from defects in material, worlmanship or non-compliance with City Standards or specifications. Y Permit No. Page 3 of 5 b. The applicant shall furnish evidence of public liability insurance of not less than $100,000/300,000 and property damage of not less than $25,000 issued by an insurance company authorized to do business in the State of Minnesota on which the City is named as an additional insured party. c. Except for the negligent acts of the City, its agents and its employees, the permittee shall assume all liability for, and save the Gity, its agents and its employees, harmless and defend same at its sole cost and expense from any and all claims for damages, actions or causes of action arising out of the work to be done herein and the continuing uses by the permittee, including but not limited to the placing, constructing, and reconstructing, maintaining, protecting and use of said facility under this application and permit for construction. 5. Existing Facilities--The utility facility and installations shall not interfere with any existing utility facility on the City's right-of-way or easements. It is the responsibility of the applicant to call for necessary locations of existing utilities. (Gopher One 454-0002) 6. Private Property--The work permit or permit for construction as issued does not in any way imply an easement on private property. 7. Quality of Work--Finished surface, base and sub-hase of road or trailway upon completion of work shall be at least equal to or better than specifications of originally provided road or trailway in accordance with City Standard Specifications. Surface shall be finished within 48 hours upon completion of backfill. 8. Cutting Trees--The permission herein granted does not confer upon the permittee the right to cut, remove or destroy trees or shrubbery within the legal limits of the right-of-way, easements that are not specifically identified on the plan attached to this permit or relieve permittee from obtaining any consent otherwise required from the owner of the property adjacent thereto, 9. Drainage--All waterways and lines of drainage shall remain operative. 10. Pole Anchors--Pole anchors, anchors, braces or other construction will be permittad within right-of-way or easements and will be approved on a case by case basis. 11. Driving Limitations. a. Driving or parking on City trails or sidewalks shall only be permitted for those operations requiring direct access to the boulevard area. b. Vehicles operating or parked within the right-of-way area shall utilize their warning flashers at all times. c. Vehicles driving on trails or sidewalks shall not operate in excess of 5 miles per hour. Vehicles shall opexate at slower speeds when weather conditions,.trail conditions, poor visibility, obstructed sightlines or other conditions require special precautions to ensure the safety of trail users and the general public. d. Driving shall not be permitted within those boulevard areas where.damage to turf trailways or other infrastructure may occur. e. Vehicles shall not be parked on trails or sidewalks in such a manner as to unnecessarily impede the safe and efficient use of trailways by the general public. Permit No. Page 4 of 5 12. Vehicles or equipment traversing roads or trailway surfaces shall not utilize studded or chained tires, caterpillar traction, or any other form of traction which will result in damage to the surface. 13. Clean-Up--Street, trailways and affected right-of-way shall be scraped clean at the end of each work day and swept clean after construction is completed and left in a neat and presentable condition. 14. Trees and Vegetation-Burning or disking operations and/or the use of chemicals to control or destroy trees, brush and other vegetation is prohibited without prior approval from the City. 15. Replacement of Sod--Wherever top-soil and sod are disturbed, they shall be replaced and maintained satisfactorily until the turf is established. The undersigned hereby daclares he/she has read and will comply with all the YERTINENT REGULATIONS as stated above and relevant City Ordinances. DATE: SIGNED Revised 5/93 LTS#1-PERMIT.FM PAGE 5 OF 5 , PROPERTV LINE ? I SAME AS REMOVED. (3" IMNINUM) SAME AS R"0VED (6" MINIMUM) TRAILWAY 1. Curb and Gutter sha11 be removed only after saw cutting at joints and replaced according to specifications or Standard Plate. 2, Sitiuninous pavement area removed shall be saw cut prior to patching. 3. Boulevard sod removed shall be replaced with minimum 4" of topsoil and cultured sod. 4. 2341 bituminous wear course shall be paved between May lst and November 15th for permanent patch. Temporary cold mix patch should be used IVovember 16th to April 20th (or as permitted by weather). 5. Class 5, 100% crushed aggregate base. 6. Roadway closures in accordance with Appendix B- Traffic Control for street or highway work zones - MnDOT/"NTCD. 7. Bituminous trailway closure requirements same as roadway in #6 above. 8. Backfill shall be thoroughly compacted by the "Specified Density Method" of compaction. All suitable backfill material placed below a depth of five (5) feet below the final pavement surface shall be placed in maximum lifts of twelve (12) to eighteen (18) inches and compacted to a minimum ninety-five (95%) percent of ASTM Specification D698- 64T (Standard Proctor Density), method "A". All suitable backfill material placed within five (5) feet below the final pavement surface shall be placed in lifts not to exceed twelve (12) inches and compacted to a minimum of one-hundred (100%) percent of the above ASTM Specification. c ity of eagan STREET AND BITUMINOUS TRP.I_WAY approved :PSlate ?d P U B L I C EXCAVATION/PATCH DETAIL sisa ? P-1 WORKS DE PARTMEN 1AFFIC CONTROL REQUIREMENTS 4 ?l1 i+ N " " '!3 OS ? a 15? o? . a-- ? ? 0 5? O O 9 t q1 P p7 Y I , y1 ?oF 1 3,? I ?°S a o5 µ i b? 3 ?s ONEER . IDWEST NC. fRACTOfl OFTHEYEAR'• 1984,1988;--l 03R .oa a R Ssf ?S 3 ?3 ,p3Q 1.VI LAFGEST RETAIL DO IT VOURSELF CENTERS IN THE MIDWEST ?? NORTHWEST SOUTH EAST 420-8981 934-2554 681-1614 SPRINKLER SYSTI ....? \(`.?:?w." . . . ? •- e? . ? ?,._?r, ?; ?? -,,i?,?,.,-? ?.?=•. -?, . ,C3?.e9?.?f?c ? ,???,? : , a SEDGWICK HEATING & AIR CONDITIONING CO. HEAriNC JOB NQ (Al CD7Z 8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(612) 881-9000 TEST RECORD ? V?? I /?j^!c/(s' G?.?-TF?i ?/ A D D R E S S OC W PANT SOLD BY MAKE SERIAL NO. THERMOSTAT VAWE LIMIT \Y?2/,?LAhy LIMIT SETTING FAN SETTING ?'/7/ ? ??/-- PILOT TYPE UCl? ?'71vC-t..r1 IGNITION MODEV ? 77?S_ r PILOT TIMING 5;e PRESSUfiE 31SLAJC PERCENT COz ? b INPUT CFH PERGENT O, STACK TEMP21-?-, PERCENT CO FOFM 2351REV. n/ft . CITY- C14-Q"2" OWNER INSTALLFn RV MODHV ?DF???CiJ L- I L5--Z INPUT IZE? ?6? G ` VENT SIZE TVPE OF LINER LINER SIZE FILTERS: SIZ? NUMBER 1Ts WIRING U ? / TEST TAG LIGHTING IN57. DATE TESTED COMPANY TESTING NAME OF TESTER FORM DISTqIBU?ON: WHRE COPY - JOB PILE YELL COPY - QTY Address: 380q BRID(IwALE.R DRIVE Lot g Blk I Sec/Sub IM pAKS pF gqjDWgATER These items were/were not complete at the time of the final inspection. Date: 10/06/92 Yes No Final grade (6" from siding) Permanent steps - garage Permanent steps - main entry ?11 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 shut-off of water supply to tha outside lawn faucet before freeze potential exists. ?4_ attmeow[n White - CiCy copy Yellow - Resident copy Pink - Contractor copy INSPECTION RECQRD CITY OF EAGAN PERMIT TYPE: 3830 Pilat Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: N " t' 1% 7 PERMIT SUBTYPE: -??,- = TYPE OF WORK: Permit No. Permit Holder Date Telephone # S/W PLUMBING HVAC ELECTRIC ELECTRIC Inspection Dete Insp. Comments Footings 1 ? 17 !L (.. ?F?.C Foundation `. Framing Roofing Rough Pibg. Rough Htg. Isul. Fireplace Final Htg. Orsat Test Final Plbg. Plbg. Inspector - Notity Plumber Const. Meter EngrJPlan , Deck Ftg. Deck Final Well Pr. Disp. : ; • «? Kertifrcate nf Cccupanc? wim o f Cfagatt Tcvilt hm? ext ?f lanitiing ZuOOatiox This Certiftcate issued pursuant to the requirements of the Uniform Building Code certifying that at the time vf issuance this structure was in compliance with the various ordinances of the City regulateng building co?tstnection or use. For the foldowrng: Use Classificazion: Sr DW G Bldg. F'ermit No. ? Occupancy Type Zoning Distrin Type Const. 1VN Owner of Building= ?, OiAR'E`S Addre,cc 1802 ?? ?, WXDBM 38QQ Building Address W.IDMIAIE_R UM'E l.acaliry 13, B 1, QAKS C1F N= WAT f 10/06/q2 Date: Building Official POST IN A CONSPICUOUS PLACE PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA137017 Date Issued:06/10/2016 Permit Category:ePermit Site Address: 3809 Bridgewater Dr Lot:3 Block: 1 Addition: The Oaks Of Bridgewater 1st PID:10-75835-01-030 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. 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 - Ann Marie Luke 3809 Bridgewater Dr Eagan MN 55123 Sedgwick Heating & Air Conditioning 1408 Northland Drive, Suite 310 Mendota Heights MN 55120 (952) 881-9000 Applicant/Permitee: Signature Issued By: Signature SEDGWICK HEATING & AIR CONDITIONING CO. 1408 NORTHLAND DRIVE, SUITE 310 • MENDOTA HEIGHTS, MN 55120 • (952) 881-9000 ADDRESS ✓Voi � �L) CITY Gala/1 OCCUPANT OWNER AA A SOLD BY BrtAi MAKE 1,144.o _ 5c L L C'DaeS SERIAL NO EA 1'00 /7 HEATING TEST RECORD JOB NO liHiq !9 At:c Lva INSTALLED BY stiWte% MODEL INPUT 50,P utt flov6oCi /10 THERMOSTAT For4btM4Ju It &OQ VENT SIZE }� VALVE l� w .x TYPE OF LINER / ) LIMIT '{ LINER SIZE & j LIMIT SETTING FILTERS: SIZE ��' x `� 5 x l NUMBER jv v FAN SETTING t �h-2'h- + f WIRING . PILOT TYPE ' L e.- TEST TAG IGNITION MODEL 1-' < ? J LIGHTING INST PILOT TIMING .S C.c.,</5" pp --. % DATE TESTED PRESSURE " ( PERCENT CO2 `/ / 1 rl INPUT GFH / ( PERCENT Oy / I COMPANY TESTING "� n� STACK TEMP. Y/ d PERCENT CO 1 NAME OF TESTER FORM 235 (REV. 10/10) FORM DISTRIBUTION:JOB FILE YELLOW COPY - CITY 62/(P6 SEDGWICK HEATING & AIR CONDITIONING CO. 1408 NORTHLAND DRIVE, SUITE 310 • MENDOTA HEIGHTS, MN 55120 • (952) 88t-90 0 /Q ADDRESS ✓ VOgl DDc. CITY Ell/1 HEATING TEST RECORD JOBNO qq( `Y9 OCCUPANT OWNER A lbf•c Lvt6 SOLD BY Bf'tINSTALLED BY MAKE Ltknot SERIAL NO MODEL INPUT S(.no uff Iloao /(6K THERMOSTAT 1404141tt irboco VENT SIZE VALVE ` Vt 4, TYPE OF LINER A LIMIT F---; X Z i LINER SIZE IP LIMIT SETTING (.;4 T.: - FILTERS. SIZE dO )" 0,S x ' NUMBER FAN SETTING -1--k4h,'h-•p V + WIRING Li/ ,^ PILOT TYPE �' 1 n € TEST TAG IGNITION MODEL RS\ y LIGHTING INST. PILOT TIMING ,S Z G.cr.t�1� S" PRESSURE` PERCENT CO2 `/ INPUT CFH / (j0 PERCENT 02 £ J�� STACK TEMP. 1/ Z (- PERCENT CO 5, FORM 235 (REV. 10/10) DATE TESTED 62/filizo ___ce;de tot( COMPANY TESTING NAME OF TESTER 1/4171/4" FORM DISTRIBUTION:TE COPY - JOB FILE YELLOW COPY - CITY PERMIT City of Eagan Permit Type:Building Permit Number:EA152528 Date Issued:10/18/2018 Permit Category:ePermit Site Address: 3809 Bridgewater Dr Lot:3 Block: 1 Addition: The Oaks Of Bridgewater 1st PID:10-75835-01-030 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. 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: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Bennett C Olson 3809 Bridgewater Dr Eagan MN 55123 (347) 453-2206 Twin Cities Siding Professionals 664 Transfer Road, Suite 22A St. Paul MN 55114 (651) 255-2844 Applicant/Permitee: Signature Issued By: Signature For Office Use E AG A NLL �i Permit#: �fOUZS SC_EPermit Fee: /.7? • Cc-- E C EIV E Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535{FAX: (651)675-569 JUN 2 201 L Staff: 2019 RESIDENTIAL BUIE • • ' - y APPLICATION Date: G 110 11q Site Address: 3 O gn� Nye Unit#: Name: 014 V Ls" Phone: 1 g 7 r ` S-3_2 2 OC Resident/ 3.o1 6a1' 4 Ona E M5t23 eAddress/City/Zip: Applicant is: Owner Contractor s 6ksT e of Work Description of work: Qe � 60(0ie/96ad&-ic YP Construction Cost: I ()I VV Multi-Family Building:(Yes /No K ) Company: E Oletif OI$diA Contact: Contractor Address: 11 1 enoyAmirtr City: C ell IVA State: 1N Zip: TS1 23 Phone: /17- CSI leg9 (I'( 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 maybe classified as non-public if you provide specific reasons that would permit the City to conclude that they 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 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. 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 wi 'ut 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 V" "t(- dA x / ,'I� Applicant's Printed Na a Applica t' ig I De, gc1 acv DO-NOT WRITE BELOW THIS LINE SUB TYPES — Foundation _.__ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) Single Family _ Garage — Porch(4-Season) _ Exterior Alteration(Multi) Multi Al Deck Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex Lower Level ____ Pool Accessory Building WORK TYPES New _ Interior Improvement — Siding _ Demolish Building* V Addition _ Move Building - Reroof T Demolish Interior _ 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 /LP Occupancy it/14'i/ MCES System Plan Review v Code Edition ' O/y SAC Units (25% 100% Zoning R"/ City Water - Census Code if 31/ Stories r Booster Pump #of Units i Square Feet It,/ PRV r #of Buildings i Length /3 Fire Suppression Required Type of Construction Width it REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings(Addition) Final/No C.O.Required Foundation Foundation Before Backfill HVAC 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: , Building Inspector T RESIDENTIAL FEES ��f / 4/Dt'4-& p f/s 3 ,✓ e A Base Fee Jo 3 Surcharge Plan Review G7..--- MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Radio Meter Read Copies TOTAL Page 2 of 3 +0 CERTIFICATE SIENNA CORPORATION /� —' , E-AN -c- Ko &I d6 WRk . REVIEWED BY i D M • • DATE 5 — 1 2- L3 : --• I 1 136.00 S8$°4� 07"E ---- z 8q6,L-4----„-. ____�:. ___ _ CEJ I a �- - - ' 'ipI ko ` W 4-S-o '!s -a IhAr 4 ' 1 ii I 4 „_ (Dr , • MEL,trial al' 1A111._1(...1:::. CAL.1 CA . izt......_Li, ., . _ >` it d LOT �3.CD 1.v Hb USE N SFwe>-`+ i �.. Cri _..s....----;;*,-.to - e!,__ .64 W ,. PILL`LI M. 4 Gi-4) 4 ki c ` 11.0 r`:., ' ',-,;:;!'_:7,: •Z~ bR.�vt h4 g t l' riS,--: 't •,,e:;./..:_,,,...y ,._., _ . ,_, N 21 -4 z i ' * -z .33 it 'io. [ti4 ,' !t V►`+ o - qi in N 13s.00 -7,1 S88°48'07'"E -- 25 0 EAGAN _ I E�� Vil� _ BY: "r#41 • O/20//�DATB. <BUILDING INSPECTIONS DIVISION S .45(/,2):--r___ . . , _______ _ s....„.. -7.,.ii,N E.N... .iNIiir.NIG T.-:r: ". DENOTES PROPOSED SURFACE DRAINAGE - -- O DENOTES IRON MONUMENT SET (SCALE: 1 INCH — 30 .; FEET i DENOTES IRON MONUMENT FOUND PROPOSED GARAGE-FLOOR m EET - ' 1 X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - q.vdPrEETIPIS. (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK -464-44 FEET12,14, 4 WE HEREBY CERTIFY TO SIENNA CORPORATION THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF; Lot 3 ,Block I t THE OAKS OF BRIDGEWATER 1ST ADDITION, according to the recorded plot thereof, Dokoto County, Minnesota. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN, AS • SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 22ND DAY OF JANUARY , 1991. APPROVED FOR SIENNA SIGNS J TyAME .R. HILL, INC. CORPORATION 1I ( BY BY; 4."-----i-", _ •••' JOHN C. LARSON, LAND SURVEYOR DATED_____ MINNESOTA LICENSE NUMBER 19828 = co -0 00 I 1 9 7:1 r 2 O $PT ). * 0 3 JarriesR. HiH, inc.Hiii, 1 ... r rn Z 0 m x m PLANNERS I ENGINEERS I SURVEYORS _ o rn . ch - -< 9401 JAMES AVE. S. • BLOOMINGTON, MN, 55431 • 612-884-3029 PERMIT City of Eagan Permit Type:Building Permit Number:EA163310 Date Issued:08/26/2020 Permit Category:ePermit Site Address: 3809 Bridgewater Dr Lot:3 Block: 1 Addition: The Oaks Of Bridgewater 1st PID:10-75835-01-030 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - Bennett C Olson 3809 Bridgewater Dr Eagan MN 55123 (347) 453-2206 New Life Contracting Inc. 814 Grand Avenue St. Paul MN 55105 (651) 336-9966 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA166615 Date Issued:01/22/2021 Permit Category:ePermit Site Address: 3809 Bridgewater Dr Lot:3 Block: 1 Addition: The Oaks Of Bridgewater 1st PID:10-75835-01-030 Use: Description: Sub Type:Residential Work Type:Alteration Description:Basement 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 - Bennett C & Lauren K Olson 3809 Bridgewater Dr Eagan MN 55123 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA174736 Date Issued:02/16/2022 Permit Category:ePermit Site Address: 3809 Bridgewater Dr Lot:3 Block: 1 Addition: The Oaks Of Bridgewater 1st PID:10-75835-01-030 Use: Description: Sub Type:Fixtures Work Type:New Description:Kitchen 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. All tiled shower bases require a water test. 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 - Bennett C & Lauren K Olson 3809 Bridgewater Dr Eagan MN 55123 Applicant/Permitee: Signature Issued By: Signature