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3817 Bridgewater Dr PERMIT City of Eagan Permit Type: Mechanical 3830 Pilot Knob Rd Permit Number: EA078746 Eagan, MN 55122 . Date Issued: 07/11/2007 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 3817 Bridgewater Dr Lot: 5 Block: 1 Addition: The Oaks of Bridgewater 1st PID 10-75835-050-01 Use Description: Sub Type: e - Air Conditioner Work Type: Replacement Description: Air Conditioner Comments: Questions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, 952-445-2840. Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088 Surcharge-Fixed $0.50 9001.2195 Total: $50.50 Contractor: -Applicant - Owner: Sedgwick Heating & Air Irene I Kotula 8910 Wentworth Ave S 3817 Bridgewater Dr Minneapolis MN 55420 Eagan MN 55123 (952) 881-7739 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. Applicant/Permitee: Signature Issued By: Signature Address: 3817 BRIDGEWATER DRIVE Lot 5 Blk I Sec/Sub nE OAKS OF IiRIDGEWAIER 1ST These items were/were not complete at the time of the final inspection. 11/23/92 Yes No S JXSPPrrnr- iv Final grade (6" from siding) ✓ Permanent steps - garage f/ Permanent steps - main entry Permanent driveway ✓ Permanent gas y/ Sod/seeded grass Trail/curb damage Porch Basement finish l~ 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. .noaewa White - City copy Yellow - Resident copy Pink - Contractor copy DATE: DEC 13, 1991 RE: 3817 BRIDGEWATER DR (CHARLES CUDD CO) x Your'Sewer & Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. Your Sewer & Water Permit for the above property cannot be completed for the following reasons: - Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. - COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. Request Date Fire No. Roug InpseCtiOn Pegged Ins ction Other Than Rough-in - - (You ust call impact Ivan ready) Ready Now aWill Notfly Inspector Yes ❑w No Date Read I *licensed contractor 11 owner hereby request inspection of above electrical work at: Job Address (Street Box or Route No.) City 3431`1 ~ ~r v. ~4 Section No. Township Name or Range No. Dounry Occupant (PRINT) Phone No. Power Supplier Address Electrical Contractor ICOmpany Name) Dontractor5 License No, e* -1a: vi oak-e Xing Address (Contractor or Owner Making Installation) 453 5 bax 1c, v%'rti k~ E)i +CV~ SS3 Autnonied Signature (CO a<torlOwner Making Installation) Phone Number MINNESOTA STATE BOARD OF ELECTRICITY ' yvY THIS INSPECTION REQUEST WILL NOT Orlggs'Mldway Bldg. - Room 5-173 St..)1 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul. MN 55104 ` UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. -.REDUEST FOR ELECTRICAL INSPECTION ,0 T; g EB oo001. ► See instructions for completing this form on back of yellow copy "X" Below Work Covered by This Request ew Add Rep? Typeof Builtling Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Builtling Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner Other (specify) Contractors Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers IAbove 200 _ Amps Above 100 Amps Signs Inspectors Use Only: TOTAL b Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 1 MONTHS./ 1, the Electrical Inspector, hereby Rough-m oat certify that the above.. spection has Final Date been made. f OFFICE USE ONLY This request void to months from Request Date Fire No. Rough-in Inspection / ?r 9 ~ Requiretl? ❑ Ready Now K Will Notify Inspector ` / Ves G No When Ready? I)` licensed contractor ] owner hereby request inspection of above electrical work at: Job Address (Streel. Box or Route No.) City {{77 G~ GSA/ Section No. Township me or No. Range No. County / 4L 1-044, Occupant (PRINT) Phone No. Power Supplier 1 1 Address r lJ4l-D~4 y.3cb -2jo74 Elennoel Contractor (Company Name) _ / ContradorS License No. Mailing Address (Contractor or Owner Makin Installation) A OD ~4/ Z--// GY~vl~vn• Authorize Signature (Contractou0w r Making tall anal hone Number S O '7 / MINNESOTA T E BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-IAIAwe Bldg. - Room SSlm BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EM0001-08 See instructions for completing this form on back of yellow copy.a' X" Below Work Covered by This Request Appliances Wired Equipment Wired ew Md Rep. Type of Building Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other(Specify) Comm./Industrial Furnace Farm Air Conditioner X Ome"e ity Contractors Remarks / r • _ il7Z F e..f r~L o aw. v~.._• Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # CircuitsiTeeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 2(X1 _ Amps Above 100 _ Amps Signs Inswetor6 use only: _ TOTAL Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERE9 DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 1 NTHS.^ ` I I, the Electrical Inspector, hereby Roogh-m l~~ Data y Y~ 0 certify that the above inspection has Final o to been made. / . OFFICE USE ONLY This request void 18 months from PERMIT ~oz -43~ CITY OF EAGAN 7_(~-jy` 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55123 Permit Number: 024111 (612) 681-4675 Date Issued: 07/14/94 SITE ADDRESS: 3817 BRIDGEWATER OR LOT: 5 BLOCK: 1 THE OAKS OF BRIDGEWATER P.I.N.: 10-75835-050-01 DESCRIPTION: (IN-GROUND) uilding~Permit Type SWIM POOL uilding Wbr_k Type NEW .flr U O r f cg, REMARKS: FEE SUMMARY: VALUATION $15,000 Base Fee $162.00 Plan Review $105.30 Surcharge $7.50 Total Fee $274.80 CONTRACTOR: - Applicant - ST. LIC. OWNER: CUSTOM POOLS INC 18821112 0005023 KOTULA IRENE 601 E EXCELSIOR AVE 3817 BRIDGEWATER DR HOPKINS MN 55343 EAGAN MN 55123 (612) 933-2255 (612)452-2170 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 Mn. S Lutes and City of Eagan Ordinances. - J 'Pll I W 'Lam ICANT/PERMITEE SIGNA E SUED BY: IGN TUR CITY OF EAGAN 14111 1994 BUILDING PERMIT APPLICATION L{ . 681-4675 mm" (All 1-14 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registere sT a curve opy of energy calcs. COMMERCIAL 2 sets of architectural & s uctural_plans_ 1_ et of specifications, 1 copy of enngy &A F applies: 1} when permit is typed, but not picked up by last working day of month h request is made, 2) address is changed or 3) lot change is requested once permit ed. Date Valuation of work Site Address: 2~~~~~b~r/.~fz`2 STREET SUITE # Tenant Name: (commercial only) LOT r _ BLOCK SUBD. P:.I.D. 0 Description of work: J ~l? (J(Jl J DN The applicant is: ❑ Owner Contrac or ❑ Other (Describe) Name 4eJ Phone s -170) Property LAST FIRST Owner Address 3/ Z7 3Y=z kez- c2 STREET ~i, STE # City ~ State ~ zips ~a 3 Compan w" Phone Contractor Address c <©-/L _License # xp.IL City State Zip.S Architect/ Company Phone 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 acknowledge that I have read this application and state that the information is correct and agree to comply with all -a licable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: 1 OFFICE USE ONLY BUILDING PERMIT TYPE 019 46 ❑ 01 Foundation ❑ .O6 Duplex. ❑ 11 Apt./Lodging ❑ 16 Basement Finish ❑ 02 SF Dwg. ❑ 07 4-Plex. ❑ 12 Multi. Misc. P 17 Swim Pool ❑ 03 SF Addition i ❑ 08 8-Plex. ❑ 13 Garage/Accessory ❑ 18 Comm./Ind. ❑ 04 SF Porch ❑ 09 12-Plex ❑ 14 Fireplace ❑ 19 Comm./Ind. Misc. ❑ 05 SF Misc. ❑ .10 Multi. Add'l. ❑ 15 Deck ❑ 20 Public Facility ❑ 21 Miscellaneous WORK TYPE 31 New ❑ 33 Alterations ❑ 35 Tenant Finish ❑ 37 Demolish ❑ 32 Addition ❑ 34 Repair ❑ 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System (Allowable) 1st F1. sq. ft. City Water UBC Occupancy 2nd Fl. sq. ft. PRV Required Zoning Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code Depth On-site sewage SAC Code ~L Census Bldg U APPROVALS Census Unit _4 Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ❑ .Site Footing ❑ Framing ❑ Insulation ❑ Wallboard Final ❑ Draintile ❑ Fireplace Permit Fee valuation: $ sO0 Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % SAC Units I i - `Sf - I ~ ~J -e~ ~ ~ i G c~ pG I1E Z°_S~/~ S ~'e~ss -o~~N~'2 L- - - - - ' PERMIT # CITY OF EAGAN 1992 BUILDING PERMIT APPLICATION (mits) 681-+675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy talcs. COMMERCIAL 2 sets of architectural_& structural plans, 1 set of specifications, i copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which request is made or lot change is re uested once ermit is issued. Date tJMEN eZX / 4_ I0q 2 Valuation of work ~ Loco Site Address: 361"7 C-~21ctc~WA~i o iye STREET STE / Tenant GName: (commercial only) LOT 5 BLOCK SJSD. yJ 2. P.I.D. r Description of work: L,-eti Fri rs:~ The applicant is: ❑ Owner X(Contractor ❑ Other (Describe) Name Y.O I t>L4411t I Qkr" E Phone 4$Z-332.) Property LAST FIRST Owner Address 12 1 VILOMF42U_ 90- STREET STE # City Eton rl 1 State pATJ Zip S& I'Llx7 Company 6447~cits Gr,~✓~ CO. Phone "731. -5453 Contractor Address l ao2 Woo0ppfL G vim, License # 02'O14h Exp. 31a~ City vc~`7 State M,J Zips Archi tect/ Company Phone Engineer Name Registration # Address City State Zip Sewer & water licensed plumber P{~Nf1Q+ 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 rrect and agree to comply with all ap licab a State of Minnesota Statutes and City of _.gan Ordinances. Signature of Applicant: ` OFFICE USE ONLY BUILDING PERMIT TYPE ❑ Ol Foundation ❑ 05 Apt. Bldg 9 Basement Finish E) 3~fi~pmMlrNir [3 02 SF Dwg. E3 06 Garage/Accessory ~O Swim Pool ❑ 14 Comm/Ind Add • ❑ 03 Two family ❑ 07 Fireplace ❑ 11 Res. Add. ❑ 15 Comm/Ind Rem E] 04 Multi-fam. T.H. ❑ 08 Deck ❑ 12 Res. Porch ❑ 16 Public Fac. ❑ 17 Agricultural WORK TYPE 42I'31 New ❑ 33 Alterations ❑ 35 Move ❑ 32 Addition ❑ 34 Tenant Finish ❑ 36 Demolish GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System (Allowable) 1st F1. sq. ft. City Water , UBC Occupancy 1z_ - 3 2nd Fl. sq. ft. PRY Required Zoning Sq. Ft. total Booster Pump of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code Depth On-site sewage SAC Code APPROVALS ( h'aKS bld Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS • ❑ Site ❑ Footing ❑ Framing ❑ Insulation ❑ Wallboard ❑ Final ❑ Draintile ❑ Fireplace Permit Fee ss a C valuetion: t Surcharge TIP Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % SAC Units Lot Block Subd. UNDERGROUND SPRINKLER SYSTEM PLUMBING PERMPI' Date 5- C;) O " 9a Receipt # C (i 1 Commercial: $25.50 + water tap if required. (City installs all taps up to V). If adding new service, a water permit will be required, as well. E:dsting residential: $15.50 (Plumbing permit not required if backflow preventor was previously installed). Residential developments: Fee to be determined by building inspections department. May require payment of water permit, plumbing permit, WAC, and water treatment plant fees. n~ nn / 3 / 7 D/ Jcl Gec~o~Ter 0 (Address to be sprinklered) Homeowner/Plumber: O u f P Phone T715- 7 9 (0 5' 3 6 5 Street Address: f 7 a 6 C o- K~ • 'T City, State, Zip: f{~eak.k o~i (i !s . 5~~10 /5 Owner Name: G ~a le:s Q, cQd o - Street Address: /80a IkDooscoale /fir. Phone -7 3 r- 3 ! 53 Irrigation Contractor: Ua f (c y C re err-1 --,Fr e q a f~~ Phone -7 3 Q - s2gO & G Y-9 Z a C~ I hereby acknowledge that I have read this application aM ate that the information is correct and agree to comply with all applicable City of Eagan Ordinances cc: Engineering Department I Request Oa;e (Fire Na ~ROUgh P Inspection A Re:, neo? G Ready Now ill Notify Inspector L _es _ No When Ready? I;Klicensed contractor owner hereby request inspection of above electrical work at: Job Access (Street, Box or Route No I City L_ al`I__LYideu:P c b~~~e ~a u T- Section No. (Township No" or N . Range No. County - Occupant L' Phone No rma IPowe Suppi Adores 6 AV _I~gl~v ---C-1 Ltc - ~z S~ly~sf 5 Electncal Com;actor ncomrv n ame) i- Contractor's License No. ~ZOj_le~ Gov~s}_ Go. _d~ 5 7-2 Ma.Im/g~ Atldre/s~s tContrector of Owner Makin, Inst.aationl IAutnorrzea S.gaatu a Comracto :0 ner Mok, Installation) Phone Number MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room 54)0 G f Q L BE ACCEPTED BY THE STATE BOARD 1621 University Ave.. St. Paul. MN 55104 l UNLESS PROPER INSPECTION FEE IS Phone f612) 6420800 ~a n V) ENCLOSED. _ REQUEST FOR ELECTRICAL INSPECTION Q ED00001-08 ► Sea nslruciions for completing this form on back of yellow copy. Sy' "X" Below Work Covered by This Request -71m ew UC IRep- rype of Builtling App'ances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating ~_1Apt Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other Ispeoty', Contractors Remarks. 2-00A Compute Inspection Fee Below.: Iv1.~~ # _ Other Fee x Service Enhance Size Fee # Circuits/Feeders Fee Swimming Pool ~0 to 200 Amps 119,00 0 to 100 Amps 15.00 Transformers Above 200_Amps Above 100Amps +Signs _ Inspector's Use Drily TOTALZ Ilrngation Booms 50 ~I Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT IOther Fee COMPLETED WITHIN 18 MONTHS. L the Electrical Inspector, hereby Rough-.n Date certify that the above inspection has Finat 1 Date been made. i~W) OFFICE USE ONLY This request vaid 18 marine from 1991 BUIIAN Y PLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS OF RENTAL UNITS OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. 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 BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. mm To Be Used For: 5 N&t,E Valuation: Date: 12-110 9/ , Site Address 38/7 ✓XFwa,E+i pQ . -17~ 000 OFFICE USE ONLY Lot Block / FEES c~ Occupancy R-3 M -1 Bldg. Permit I0q,O O ' ~ Zoning R-I Surcharge Parcel/Sub ~J~KS OF gQ/D6Ewar ~/Sr Actual Const V-N Plan Review 59 .00 Allowable V-N SAC, City cb,00 Owner Cr/xYL[C~ C✓DD Co. # of stories - ~ SAC, MWCC 6450,00 OD Length Water Conn. G601 Address -/90z- e'joan04za Pe- Depth L4Y Water Meter 95,oo S.F. Total Acct. Deposit S0,00 City/Zip Code LA)oooau•ZW , /III 55i2S Footprint S.F. S/w Permit 3p,00 S/W Surcharge .Sb Phone i5 3 On site sewage- Treatment P1. ,oo On site well Road Unit .370.,00 Contractor N g rem CODD Co , MWCC System ;-7 Park Ded. City water / - Trail Ded. Address 5~~,~ fs Q>sovE PRV Copies 0 Booster Pump City/Zip Code SUBTOTAL APPROVALS Penalty Phone Planner Lot Change Council TOTAL Arch./Engr. Sg~, E Bldg. Off. /Z-/%9/DS Variance Address City/Zip Code Phone # Sewer/Water Licensed Contr. POL-A,R i~uM3wC-, X&e agrees that all work shall be done in accordance with -S'g ature Contractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. VA W 2AGE ~xay . L/ L) 2 X as = g6V -7 q I xIS =I1 r6D BS tv~T. 3u 12K I~o•oo+ 2;9•>0+- I~JX ~~G~ ~'JrL'~~-~~ 1 •OOr i11 • 00 2,6~ X = 8 122L X l4 = 1r1 IGt-I I ST F-Looy2 r4 12x lu = 16$ 2.b1K2.67_ 2 !40L(X 5"3 = Q4/ y1 2 Z N D ~loo~. 12 ~ Z B ~ 33(, 13~3r,=Wb% 7 Y- 3a- . 2,Ly I~~~a ~g2u 139ci X53= ~3,61-7 ra '55 ~1z 17 7 ~a®~ D E.C - 1 1-91 WED 129 :5 8 P- 0 2 SURVEYOR'S CERTIFICATE CHARLES CUDD CO. 13RIDGEWATER DRIVE 92.00 S 1° I I' v w OF 1 m IL\ z~; tiffs°;r, f f,. ~ W W _ t. I IJy O /4.e' 7.0 M.YI' N • zo.o 1 4. 4ouor- - co y ~ I T' d 4 re.e = <A vI i sa:o ! JO-o 1 /ss ~ I t J $ . , LOT 5 $ DRAINAGE 6 UTILITY y $[-YLA~I EAsemta PCR PLAII 5 2 0 ; . 92.00 N 10 11'531 E + DENOTES PROPOSED SURFACE DRAINAGE 0 DENOTES IRON MONUMENT SET SCALE: 1 INCH - 90 FEET DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR w 9zo,7 FEET X000.0 DENOTES EX{STING ELEVATION PROPOSED LOWEST FLOOR - -jig. 7- FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK - 9zz, a FEET WE HEREBY CERTIFY TO CHARI.X9 CUDD CO. THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: LOT 5 j BLOCK IjTHE OAkS OF BRIDGEWATER 1ST ADDITION, ACCORDING TO THE RECORDED PLAT. THEREOF, DAKOTA COUNTY, MINNESOTA, IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, FXCFPT AS SHO'044.. AS SURVEYED RY ME OR UNDER MY DIRECT SUPERVISION THIS 15TH DAY OF NOVEMBER ,1991. I SIGNMFYS R. HILL, INC. - ,r ENERGY CONSERVATION EVALUATION Site Address 5p_ 96E W4^eL ~P~i NL P2£q 1E~j - 38/7 4f6,906w.~+ - 7Q, Owner ~s-fa2LES CU DD Go, Contractor r✓u-qr~~._s C,DD Co. Calculations done by Phone 731-31S3 Oate l Z 9 Type of building -L. C,L,E A-mi y~ Area Assembly- . (Show calculations on worksheets (SgFU U-Value U x A ( /I of Total Ceiling rea, Less ;y ig t Insulated Area: Area See Fig. 3) S33 , O/.f 2 3 Framing Area:(10/ of Total Ceiling Area See Fig. 2) 10, . OZo , 4a Sk li hts (From Page 7) k 0 Other. (Describe) *****k 32.53 ci 1 Totals 04- 2 Average U-Value, (UxA)/(A) from Line 1 3 Required U-Value (For one and two family dwellings only) 'y*'•'** .026 *A**~k (901/, of Total Wall Area, Less Window and Insulated Area: Door Area, See Fig. 3) / (7 o5- Framing Area 0101 of Total Wall Area, See Fig. 4) 3/2• B ~¢,4' Windows: (From Page 7) Doors (From Page 7) Z9,ba _ Rim Joist Area: (See Fig.. 5) .04- J3.76 R 3 Fireplace Wall - v d Foundation Wall: (Above Grade Less Window Area See Fig. 6) /3 s0 X Foundation Windows: (From Page 7) Cher: (Describe) then. (Describe) - L4 Totals/28 26¢ 06 5 Average U-Value, (UxA)/(A) from Line 4 . 8 9 6 R uired U-Value (For one and twp family dwellings only) *k-Ax+i* .11 *x*+r*k If line 2 is less than line 3, and line 5 is less than line 6, proposed assemblies meet code requirements. If line 2 is greater than line 3. or line 5 greater than line 6. complete the following_to determine alternat. U-Value for total exterior envelope. 0 0 2 7 UxA (Line 1) + UxA (Line 4), + _ g 8 Area (Line 1) x U-Value (Line 3) x = **°"k m g Area (Line 4) x U-Value (Line 6) x w "Budget", Line 8 + Line 9 0 H If Line 7 is greater than Line 10, alter assemblies as required so Line 7 does not exceed Line 10. If Line 7 is less than Line 10, proposed assemblies meet code requirements. 1 Figure 1 Ceiling/Roof Insulated Area: /533.6 Sq. Ft. (with attic area) R-Value Interior Air Film .61 Insulation ~O.o0 ~l Continuous Vapor Barrier 0.00 Interior Finish S6 11t 1 Interior Air Film .61 Mdl Total Assembly R-Value 5-1,76 Assembly U-Value (1/R) 019 Enter on Page 1 Figure 2 Ceiling/Roof Framing Area: /70, ¢ Sq. Ft. (with attic area) R-Value Interior Air Film .61 Insulation 4/t,oo Wood Member q,3$ Continuous Vapor Barrier 0.00 Interior Finish , S6 Interior Air Film .61 Total Assembly R-Value 6-0,/6 Assembly U-Value (1/R) ,0 Zo Enter on Page 1 For additional roof assemblies, see pages 3 and S. 2 Figure 1A Ceiling/Roof Insulated Area: Sq. Ft. (without attic area) R-Value Vented Air Space Interior Air Film .61 Insulation ' Continuous Vapor Barrier 0.00 I~ Interior Finish Interior Air Film .61 Total Assembly R-Value Assembly U-Value (1/R) Enter on Page 1. Figure 2A Ceiling/Roof Framing Area: Sq. Ft. (without attic area) R-Value .Exterior Air Film .17 Roofing Roof Sheathing Wood Member Continuous Vapor Barrier 0.00 Interior Finish Interior Air Film .61 Total Assembly R-Value Assembly U-Value (1/R) Enter on Page 1 For additional roof assemblies, see pages 2 and S. 3 Figure 3 Exposed Wall Insulated Area: / 734,5 Sq. Ft. R-Value Interior Air Film .68 Interior Finish Continuous Vapor Barrier 0.00 Oil Insulation /9,00 Sheathing 6 Z I~ y Exterior Finish .47 Exterior Air Film .17 Total Assembly R-Value Z/. 40 Assembly U-Value (1/R) o S Enter on Page 1 Figure 4 Exposed Wall Framing Area: x/2,8 Sq. Ft. R-Value Interior Air Film .68 Interior Finish .45, Continuous Vapor Barrier 0.00 l~`\\ Wood Member ~,gg Sheathing '67- \ Exterior Finish .-47 Exterior Air Film .17 Total Assembly R-Value 9,2x1 Assembly U-Value (1/R) / Eager on Page 1 For additional wall assemblies, see page S. 4 Figure 5 Exposed Wall Rim Joist Area: 3 4 Sq. Ft. R-Value Interior Air Film .68 Vapor Barrier 0.00 Insulation /9,00 II~ Wood Member 88 II Sheathing '47- Exterior Finish '47 Exterior Air Film .17 Total Assembly R-Value 7,7.87,- Assembly U-Value (1/R) .04 Enter on Page 1 Notes: 1) Floors over unheated spaces. For floors of heated or mechanically cooled spaces over unheated spaces, the overall 0-Value for the floor shall not exceed 0.05. For floors over outdoor air, such as overhangs, the overall o-Value for the floor shall meet the same requirement as for roofs, D-Value of 0.04. 2) Slab-on-grade floors. For slab-on-grade, the insulation around the perimeter of the exposed floor shall have a minimum R-Value of 6.4. The insulation must extend downward from the top of the slab a minimum of 3'6" or downward to the bottom of the slab then horizontally beneath the slab for an equivalent distance. 3) Vapor barriers. The maximum perm rating for the vapor barrier is 0.1. A minimum of 4 mil polyetheline, or equal, is required to achieve this. The vapor barrier must be continuous with all 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 8. 5 Figure 6 Exposed Foundation Wall Area - Concrete Block or Poured Wood Foundation Insulated Concrete Foundation Area: Sq. Ft. Area: Sq. Ft. R-Value Interior Air Film .68 u Continuous Vapor Barrier 0.00 n Foundation Wall /,8 9 i Insulation S,°O i~ Exterior Air Film .17 Total Assembly R-Value ? 7 4- yp Assembly U-Value MR) Enter on Page 1 H t Notes: 1) Only the above grade area of the foundation wall is to be included in the energy calculations. 2) The Energy Code requires that, if the floor above the basement or crawl space is not insulated, the founda- tion wall must be insulated. Either the foundation most have a minimum R-10 insulation applied from the ii2 top of the foundation to the frost line or a minimum R-S insulation applied over the entire foundation wall. The R-Value specified is for the insulation V O material only. rZ7 17C ~ 3) If ridgid foam insulation is to be applied to the ~O O o O o~~~~pp v exterior of the foundation wall, the above grade 7 0OOO~OGCrCJO portion must be protected from the sun,. the weather 00- O O°O and physical abuse. OOOOO O~ Q 4) If ridgid foam insulation is to be applied to the 0,~;,OOp~•p~ interior, it must be protected by minimum 1/2" gyp. ~~00 c Cri board or equal (as specified in section 1:12 of the Uniform Building Code). 5) Foundation wall insulation for wood foundations must be installed as specified by the National Forest Products Association's Design Manual. Wood Foundation Framed Area: Sq. Ft. R-Value Interior Air Film .68 Continuous Vapor Barrier 0.00 Foundation Wall (Plywood) Wood Member `\\1\ Exterior Air Film .17 Total Assembly R-Value Assembly U-Value (1/R) Enter on Page 1 6 SKYLIGHT, WINDOW AND DOOR ASSEMBLIES -Va ue Skylight Manufacture Manufacture No. No. Used Taal Sash Area (A) R-Value U=1/R U x A Totals Enter Pace 1 XX - value Windows Manufacture Manufacture No. No. Used Total Sash Area (A) R-Value U=1/R U x A sera 2862 /Z0, boo a° 6z 57, ~a /7 Zp S !r z°aro 7- 0 , ~Go 3.S 34io / / 7, 5 a 3 4 56, l~ S 415--2- 852 'LZ,a 344 was 2 X6.8 4 C/4S 4 2 a .31 8• Z Totals Enter P e - a ue Foundation Wall Window Manufacture Manufacture No. No. Used Total Sash Area tlU R-Value U=1/R U x A 1 G4c 3 / 12,3 4- % 2,g 2 ¢ 3 1 S, 7 ass er age ¢69.ro /43,0 -aUe -.rue R-Value Storm Door Doer U-Value Doors Manufacture Size No. Used Total Dom Area (A) Door (If Used) Assembly U=1/R UxA nc+csc~ 3 a 3 i~8, ~ I , z6 IS.Z ~neN 3° l Zo I /~f,8 I 0 7 ~ 4 / ° 2 /3. 3 rr I r/ .9 28 /7,8 i ass :rater age X X X XX X X / S/, 67 29. CITE' OF EAGAN FOR CITY USE ONLY ~(da ~fD 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT # HEGHANXCAI1D DATE: RESDDENTTALi PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION FEES NEW CONST 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 OWNER NAME: OF 1 PER PERMIT p ? qq SUBTOTAL: $ SITE ADDRESS: _ STATE SURCHARGE: .50 LOT: BLOCK _ SUBD. TOTAL: $ 33.6,0 INSTALLER: _ ~/1UYY~'o Xl~islir_efi ADDRESS : HEATINr R AIR rrUtT~OfllAr, aO, SIGNATURE OF PERMITTEE ,,;ju 8910 WENi'yvOITH AVE. S0. CITY: MINNEAPOLIS MNZ149: 881.9,0,00 PHONE e~I GiI1D77 - COMMERCIAL/TNDASTRTAL; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WREN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: FEES OWNER NAME: 18 OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. PROCESSED PIPING = $25.00 LOT: BLOCK SUBD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 18 $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN L BL CITY OF EAGAN CITY USE ONLY r~ SUED. ~ '(612) N 681-4675 RECEIPT - 6c)03J_ DATE 77 ~I9T RESIDENTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION COMPLETE THE FOLLOWING: NO. FIXTURES EA. TOTAL NEW CONST REPAIR/ADD ON 15.00 ADD ON / SHOWER 3.00 3-00 REPAIR y3 WATER CLOSET 3.00 1-e O BATH TUB 3.00 &-00 p p LAVATORY 3.00 Ufa- OC OWNER NAME: G kAr b-j C t..8d~ Co. _L KITCHEN SINK 3.00 3.00 LAUNDRY TRAY 3.00 3,00 SITE ADDRESS: $ / 7 O r~ d 4P Wq {F/ Q~ _ HOT TUB/SPA 3.00 / WATER HEATER 3:00 3.00 FLOOR DRAIN 3.00 2.0c GAS PIPING OUT. INSTALLER:J Lti~ L P I- P(Ctaw p;s~sy ZK~ 3 (MINIMUM - 1) 3.00 9.00 3 ROUGH OPENINGS 1.50 y.5 a ADDRESS: `O 9I o'G ~Que, OTHER _ pQ WATER SOFTENER 5.00 CITY: ICo'k.-fS. W rr, ZIP: Sy0 aZJ-' PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 PHONE W. TURNAROUND 15.00 STATE SURCHARGE .50 SIGNATURE OF PERMITTEE TOTAL: COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: OWNER NAME: CONTRACT PRICE: SITE ADDRESS: 1% OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR TENANT NAME: EACH $1,000 OF PERMIT FEE. SUITE $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 1% $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ .PHONE r FOR: (SIGNATURE) CITY OF EAGAN L__ 8L CITY OF EAGAN CITY USE ONLY a PLUMBING PERMIT SUBD. (612) 681-4675 RECEIPT C 6 3 i DATE f Ito/y;~ RESIDENTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION COMPLETE THE FOLLOWING: NO. FIXTURES EA. TOTAL NEW CONST REPAIR/ADD ON 15.00 ADD ON X / SHOWER 3.00 3•o O REPAIR WATER CLOSET 3.00 3.00 ase,k c&x t F~ n s BATH TUB 3.00 G Ct r lPI ~u n ~d , _L LAVATORY 3.00. 3. o 0 OWNER NAME : KITCHEN SINK 3.00 p rnt LAUNDRY TRAY 3.00 SITE ADDRESS:_3$/~ 6ri lewaler be-. HOT TUB/SPA 3.00 _ WATER HEATER 3.00 / FLOOR DRAIN 3.00 3.0O INSTALLER: ~u K 1;64 -7-/LC GAS PIPING OUT. l5ut~e (MINIMUM - 1) 3.00 ~w ROUGH OPENINGS 1.50 ADDRESS: /O 9/ 8O /qve - I OTHER Bar Sr- k 3__oc 3. o0 O2Ft S WATER SOFTENER 5.00 CITY: o W rS - ZIP: 5y ®0 3 PRIVATE DISP. 15.00 U.. SPRINKLER 3.00' PHONE ~(5 74/g - 331/ W.GTURNAROUND 15.00 JSTATE SURCHARGE 50 - OiL ~o SIGNAT OF PERMITTEE TOTAL: 5 COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: _ OWNER NAME: CONTRACT PRICE: SITE ADDRESS: 1% OF CONTRACT FEE. STATE SURCHARGE a $.50 FOR TENANT NAME: EACH $1,000 OF PERMIT FEE. SUITE $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 1% $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE: FOR: (SIGNATURE) CITY OF EAGAN 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements Remodel/Repair Requirements - Office Use Only 3 registered site surveys showing sq. ft of lot, sq. fl. of house; and.4 roofed areas 2 copies of plan showing footings, beams, joists Cart of Survey Recd _ Y _ N (29% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Soils Report _Y _N 1 Soils Report if proposed building is to be placed on disturbed soil 1 site survey for additions & decks Tree Pres Plan Recd _ Y _ N. 2 copies of plan showing beam & window sizes; poured found design, etc. Addition- indicate if on-a8e septic system Tree Pres Required _ Y _ N l set of Energy Calculations on-sile septic System _Y_N 3 copies of Tree Preservation Plan if lot platted after 711/93 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Minnegasco mechanical ventilation form Plans are considered public information unless you state the are trade secret and the reason. Date Cl / / 0 Construction Cost Z O Z 7 G e 9 Site Address $ l •,cic e e a, f- r 0/- Unit/Ste # V Description of Work fd e n1c Multi-Family Bldg _ Y N Fireplace(s) _ 0 _ 1 _ 2 Property Owner 14 e A Telephone # ((oS() 4Y,rZ - Z / ? Contractor D l l a~ e (2O 77 l~ S Address ql;ee l City state /yuv Zip J.r/!' Z Telephone # (jam 7 (y L Q COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Energy Code Category. Minnesota Rules 7670 Category 1 _ Mitnesota Rules 7672 (J submission type) Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Submitted Submitted • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Y - N If yes, date and address of master plan: Licensed Plumber Telephone J Mechanical Contractor Telephone Sewer/Water Contractor Telephone ) I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN 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 plan in the case of work which requires a review and approval of plans. _Z&~ ~o lI Applicant's Printed Name Apps cant's Signature INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: + (612) 681-4675 SITE ADDRESS: APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: INSPECTION TYPE .DATE INSPTR. INSPECTION TYPE DATE INSPTR. - Fern-!t No Permit Holder Date Telephone r. S/W PLUMBING HVAC ELECTRIC Inspection Date Insp. Comments Footings I _ - J bd ` tv 40 41 Foundation Framing Roofing Rough Plbg Rough Htg. I Isul. Fireplace Final Htg. Orsat Test Final Plbg. Pibg. Inspector - Notify Plumber Const. Meter Engr./Plan Bldg. Final 1 - Deck Ftg. Deck Final Well Pr. Disp. A `ij'~,Qt ' . f Kerb f icate of Ccc"a=4 cfit~ of (Pagan ZcVartment of fniibinq 3ngpecdon ' This Certificate issued pursuant to the requirements of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: Use Classification: ST, TxJG/GAR Bldg. Permit No. 1OA63 Occupancy Type Zoning District Type Coast. Owner of Buildin GWRLFS t 00 Address 1802 WOCIDUAM Tit, WOODEM M 17 ERIUMU&M ME U), - . IST Building •Address Locality 1,'I-,' Date- 11/23/42 Building Official POST IN A CONSPICUOUS PLACE BS Mr FINISH 11/10/92 CITY OF EAGAN r_ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 681-4675 BUILDING PERMIT Receipt # To be used for . Est. Value Date I i 4 ) Site Address Lot Block Sec Sub. C1i'. OFFICE USE ONLY FEES Parcel No. Occupancy 1 C, Zoning Bldg. Permit Name (Actual) Const V-N Surcharge P8. SO ul (Allowable) V-V Z Address Plan Review 591.00. # of Stories 0 City ZP ; 51 Length 70' License Phone ! - I Depth 44 00 SAC, city 100.00 Name S.F. Total SAC, MCWCC 650.00 S.F. Footprints F- Address On Site Sewage Water Conn 660.00 City Zip On Site Well Water Meter 95.00 MWCC System 30.00 Phone City Water _ Acct. Deposit License # y PRV Required S!W Permit 30.00 1 hereby acknowlege that I have read this application and state that the Booster Pump S.W Surcharge .50 information is correct and agree to comply with all applicable State of 2 76.00 Minnesota Statutes and City of Eagan Ordinances. Treatment PI Signature of Permitee APPROVALS Road Unit 70.00 L..`- JiJ Planner A Budding Permit is issued to: Park Ded. on the express condition that all work shall be done in accordance with all Council f AA applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copes l . 04 Variance TOTAL 3,801.00 Building Official Permit No. Permit Holder Date Telephone # 15/w PLUMBING 7~ s HVAC ELECTRIC ELECTRIC Inspection Date Insp. Comments Footings I J ! Z~,j' Foundation /Z . Z _ g D S Framing 2 _ 7 AS i~ Roofing I' Rough Plbg. Rough Htg. -3 92- 23 Isul. Fireplace Final Htg. 1,1K1 Or-at Test Final Plbg. Plbg. Inspector - Notify Plumber Const. Meter L Engr./Plan Bldg. Final ` i7 A 2 /7yJ F' l Deck Ftg. Deck Final Well Pr. Disp. Q SEWER & WATER PERMIT OFFICE USE ONLY CITY OF EAGAN I s MET "''v PERMIT 3830 Pilot Knob rid. E #~7 PERMIT DATE Eagan, MN 55122-1897 CHIP # 12445 1 7, METER SIZE 5 j B.P. RECEIPT # ISSUE DATE 4112 B.P. RECEIPT DATE 12/13/() DATE DEC t 3 , 1 ()(~.1 PRV _ BOOSTER PUMP SITE ADDRESS Sgt, '-IJATER I'k, PERMIT REQUESTED LOT BLOCK I SEC/SUB SEWER WATER TAPS APPLICANT: ADDRESS: COMM IND RESIDENTIAL CITY, STATE ZIP NEW EXISTING PHONE: Lawn Sprinkler Meters are to be Installed PLUMBER: POLAR PLUMBING CC Ahead of Domestic Meters on Water Line. ADDRESS: 6087 46TH ST N Credit WILL NOT be given for Deduct Meters. CITY, STATE OAKDALE MN ZIP 1 ? PHONE: 777-7525 11 *f ~f I AGREE TO COMPLY WITH CITY OF OWNER: CHARLES CUDD C~ EA"N ORDINANCES? ADDRESS: 1802 WOODDALE L CITY, STATE WOODBURY MN -ZIP 5 5 t 2 5 PHONE: SIGNATU WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. SEWER & WATER PERMIT OFFICE USE ONLY CITY OF EAGAN METER # PERMIT DATE 3830 Pilot Knob Rd. , Eagan, MN 55122-1897 CHIP # PERMIT # METER SIZE B.P. RECEIPT # ISSUE DATE B.P. RECEIPT DATE DATE PRV - BOOSTER PUMP SITE ADDRESS PERMIT REQUESTED LOT BLOCK ' SEC/SUB TRF O~, SEWER WATER TAPS APPLICANT: ADDRESS: COMM/IND RESIDENTIAL CITY, STATE ZIP NEW EXISTING PHONE: Lawn Sprinkler Meters are to be Installed PLUMBER: i'ULAic FLUt-113INC C. Ahead of Domestic Meters on Water Line. ADDRESS: 6087 46TH ST N Credit WILL NOT be given for Deduct Meters. CITY, STATE ...A" DALE 1,1,1' zip PHONE: 777-7525 y. I AGREE TO COMPLY WITH CITY OF OWNER: CHARLES CUJV) EAGAN ORDINANCES ADDRESS: 1802 WOODDALE [ CITY, STATE WOODBLIRY MN ZIP 5 5 t PHONE: SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ND 19965 BUILDING PERMIT PHONE: 681-4675 Receipt # 01 LO / ! O To be used for . SF DWG/GAR Est. Value $177,000 Date DEC 13 , 1991 Site Address 3817 BRIDGEWATER DR Lot 5 Block 1 Sec/Sub. THE OAKS OF OFFICE USE ONLY FEES Parcel No. BRIDGEWATER 1S Occupancy R-3 M-1 Zoning -8=1 Bldg. Permit 909 - 00 Name CHARLES CUDD CO (Actual) Const V-N Surcharge 99-5 0 W Address 1802 WOODDALE DR (Allowable) V-N Plan Review 591 _ 00 ~ 01 Stones C4 WOODBURY MN Zip 55125 Length JSL' License Phone 731-3153 Depth 44' SAC. City 100.00 lr Name SAME S.F. Total SAC, MCWCC 650.00 S.F. Footprints Address On Site Sewage Water Conn 660.00 Cfty Zp On Site Well Water Meter 95.00 MWCC System _X Phone Acct. Deposit 30.00 O v License # City water S.PW Permit 30.00 PRV Required - I hereby acknowlege that I have read this application and state that the Booster Pump SW Surcharge -5 0 information is correct an agree to co ply with all applicable State of Minnesota Statutes an it of Eaga ~s. Treatment PI 276.00 Signature of Permitee in trn APPROVALS Road Unit 370.00 CHARLES CUDD CO Planner Park Ded. A Building Permit is issued to: on the express condition that all work shall be done in accordance with all Council ~ applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies 1.9 Building Official Variance m- i TOTAL 3,801-00 Sep 21 1010:38a DECKSTORE 9524326202 p.2 q t Use BLUE or BLACK Ink FordfftceUse I 7 f I City of Ea a ~ Permit I Ed I ermit Fee: 42 3, qq 3830 Pilot Knob Road l Eagan MN 55122 Date Received: Phone: (651) 675-5675 / I I Fax: (651) 675.5694 S St- 1 2010 RESIDENTIAL BUILDING PERMIT APPLICATION C~ Date: q-21- zo, d Site Address: Tenant: Suite RESIDENT I OWNER Name: -'E f~n2 Y_ a ~ Phone: _ 1 ' 1-1:57-- 7- 3 1"~ 3~ • c~~' •`t e_ Address/ City/Zip: Applicant is: X Owner _ Contractor TYPE OF WORK Description of work: 'Re-moye f ReP~-~- ?.Ck Vi '10+ o Construction Cost: 2,bi~4 Multi-Family Building: (Yes _ / No CONTRACTOR Name: l he "7 c c ~Z>oelr CemQo.-~ _ License -5-Y-5-7 Address: X100 151 S ` is_~_ City: A p6 Q Nda"-N State: ~~~n Zip. SS I ZY Phone: 952- X.3 1 1 Contact: Email: J a-~ n Y,-y~~ s2 e12 Cor 2 • 1} COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes `No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor. Phone: Sewer & Water Contractor: Phone: NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. wv,,w.gouherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and ap o plans. 54- Applicant's Printed Name Applicant' gnature Page 1 of 2 Sep 21 1010:38a DECKSTORE 9524326202 p.3 I DO NOT WRITE BELOW THIS LINE SUB TYPES - Foundation _ Fireplace _ Porch (3-Season) _ Stone Damage _ Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) Multi Deck _ Porch (ScreenlGazebolPergola) _ Exterior Alteration (Multi) 01 of Plex _ Lower Level Pool Miscellaneous Accessory Building WORK TYPES _ New _ Interior improvement _ Siding _ Demolish Building* Addition _ Move Building Reroof Demolish Interior _ 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 Occupancy MCES System Plan Review Code Edition SAC Units (25% - 100°l0Zoning k-1 City Water Census Code /Y 3Y Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition) Final 1 No C.O. Required Foundation HVAC Drain Tile Other: Roof: -Ice & Water -Final Pook -Footings Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In -Air Test -Final Windows Insulation Retaining Wall: _ Footings _ Backfill Final Meter Size: Radon Control Erosion Control Reviewed By: Building Inspector RESIDENTIAL FEES, Base Fee 73 Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 2