3821 Bridgewater DrINSPECTION RECORD I Control No.
CITY OF EAGAN PERMIT TYPE: t{kt i i. n i Nrr
3830 Pilot Knob Road Permit Number: 0 0 01;`"'•E1
Eagan, Minnesota 55123 Date Issued: ?} `' ? i E'• ??? ?
(612) 681-4675
S1TE ADDRESS: APPLICANT:
z[ty'j. I?{:1(Vtifft.lilTtff t+l% ('f'i?itakSiRNk" 1"Q0 L .. il
T1•tG CFHK^.; pF IIP fkxr.q't,JA i"Li?a ( C.t:'? f:t.(.-sS4 44 44
. ??._.... . .. . . , .. . _ .
,.
PERM!T1pBTYPE: TYPE OF WORK:
.. 1'fr6l {??G!
Permi[ No. Permit Holtler Date Telephone #
S/W
PLUMBING
HVAC
ELECTRIC 1010 3S ! e-
ELECTRIC
Inspection Date Insp. Comments
Faotingsl ?(j?9-9Z S
Poundation
Framing
Roofing
Rough Plbg. . ,
Rou9h Ht9.
Isul. i
Fireplace i '
Final Hig.
OrsatTest
Final Plbg. Plbg. Inspector - Notity Plumber .
Const Meter
Engr./Plan
Bltlg. Final
Deck Fig.
DeCk Final
Well
Pr. Disp.
A ?
Fequesl Date Fire No. Rovgh-in Inspection
RBquiretl?
!'Yes G N.
v Reatly Now ?i Notify Inspector
When Reatly?
I-: licensed contractor ? owner hereby request inspection of above electrical work at:
Job Adtlress ISireet Box or Raute No-I Giry
3O-.?, -31??T- CAC,
Sedion No. ITOwrshi0 Name or No. Range No. Counry
?QT
OcaipantlPRINTi Pbone No.
Powe! Supplier qtloress
_.?.1t4l?QL ?L,???IS.-- ?'?l?.l_
Elacincal cbr ?Company Neme, ConVactor's Lloense No.
???`?L?
MaiLng AoOress I COnlrecroi or OwnBr Making Inslall Lo ?
?
n, S
Nd?nonzea 51 naNre ?Comracto,?0
'ul?M?g ?nsallauon, P?one Number
i -
MINNESOTA STATE BOPRD OF EIECTFIGITV THIS INSPEGTION REQUEST WILL NOT
Griggs-Mifway BIGg. - Room S473 BE ACCEPTED BV THE STATE BOARD
1821 Universlty Ave., SL Peul. MN 55100 l1NLESS Pf10PER INSGECTION FEE IS
Vppne (612) 602-0800 ENClOSED.
REQUEST FOR ELECTRICAL INSPECTION
? Sae ms?dions lor compieling Ihis lorm on pack oi yallow mpy.
"X" Below Work Covered by This Request
,F:? EB-00001-08
e Atld Rer, TypeofBullding AppliancesWiretl EquipmeniWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt Builtling Dryer Other (Speciiy)
? Comm./IndUSirial FumaCe
Farm Air Conditioner
Omer isyeatyl Conlractors Remarks'
Compute Inspection Fee Below:
# Other Fee k ServiceEn?ranceSize ? Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 ta 100 Amps (o
Transformers Above 200 _ Amps Above 100 _ Amps
SI9n5 Inspac[ar§ Usa Only TOTAL
Irrigation Booms
Special Inspection
' Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee jl,J COMPLETED WITHIN 18 MON
I, the Eledrical Inspector, hereby Rougn-in
, oa?e e?J L?
O
certify thatthe above inspection has
been made. f oaoe
OFFICE USE ONLY •
This reCUesl voie 18 momns irom '
j 6?? - Jat &o-4.,
Repuest Date
? J? Flre No. Rough-in Inspe i n
irey?
? Ready Now pp Will Notify Inspeclor
d
?
R
? ?Wh
G- Ves C No en
ea
y
II licensed comractor O owner hereby request inspection of above electrical work at:
JoD Adtlress (Sneet, 0ox ar aute No.
3Q z r
$ection No. Townshi0 Name o. Ranqa No. Counly
Occupa fPRINTI PM1OnB N0.
/ ?
Power Sv r AdtlreSS
Elec al Co vacmr IComoany ame) Gjo,nLtJ?clo(r5 Lire?nse rN
o /
Z
/
! ?
- i ?aJ CO
/
J
Mamnq Aatlr ss iConhec or or Owner Makin Insleila?io?
?
Amnor Si mre fCOmr O ner e' g Inst ion) Ppona Numbar ? /J
? e/
MINNESOTA STATE BOAqO OF4CECTRICITY THIS INSPECTION REQUEST WRL NOT
Grigga-MiGway Bldg. - Poom S173 BE ACCEPTED BY THE STATE BOARD
1821 University Ave.. St Paul, MN 55104 UNIE$5 PROPER INSPEGTION FEE IS
PROne (612) 692-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION EB-00001-08
, ? See instmdrons lor compgting this lorm on Oack of yellow copy.
"W Below Work Covered by This Request
ew lAtld Rep. ' TypeofBuiltling AppliancesWired EquipmenlWired
Home Range Temporary Service
Duplex Water Heater Electric Heatinq
Apt. Building Dryer Other (Specify)
Gomm./Industrial Furnace
Farm Air Conditioner
Otber (specity) Conttacror5 Remarks'
Compute Inspection Fee Below:
# Other Fee # ServiceEntranceSize Fee 8 Circuits/Feeders Fee
Swimming Poal 1-15.M 0 to 200 Amps 0 m 100 Amps
Lansformers Ahove 200 _ Amps Above 100 _ Amps
all?ll?' I?- InsPector5 Use OnIY: TOTAL
Irrigation Booms
15 9 sO
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee ?' , COMPLETED WITHIN 18 MORTHS. ,R ,.
I, the Electrical nspector, hereby
tif
th
h Rouqn-m ?; r?,. , 7^ •
a l? ate
cer
y
at t
e above inspection has
been made. F;n,i oate
?? y
?OPFlCE U8E DNLY
;This requast voo 18 months Irom
0 (° 1
2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
D
t
5-I 11 105'
a
e
r
Site Street Address / (LY V
Unit #
Property Owner.UH/l) Telephone # (lO57 qz.S~ 9J?`"er
Contracto ? `- 7elephone # ( '(?j b - ?? ?
Address?' 0Wry-k) lDh ? city ?-, v? state VY) 1"3 Zip ?/d
The Applicant is: _ Owner rContractor _Other
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures (excludes water softener and/or water heater-complete next
section if installing these appliances).
_Septic System Abandonment
_ Water Turnaround (add $125.00 if a 5/8" meter is required)
Other:
Water Softener ? Water Heater $ 15.00
_ new ? replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
Total $115,-5-b
I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a pl is required to be reviewed and approve . ?
Applicant's Printed Name App icanYs Signature
., ? , on?5l IIl l
?-- _
69 lo.2-
J'a, So
2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomes/condos when permits are required for each unit
Date
SiteAddress'3?--? / 'ZL-ColC j.(?k ?jC?_,?F?,??" bY Unit#
Property Owner Telephone # ( (oS) ) -r 0S'• -/c?`-t')
Contractor ?
Street Address ? 02?10 cjQ l IDJ-A 4u-e-. City
State ? / a Zip ?/b_c=? Telephone # ((ps /
Bond #: Expires:
The Applicant is _ Owner ACContractor _ Other
Add-on or alteration to existing dwelling unit $ 30.00
? furnace _Additional V--Replacement
air exchanger
airconditioner _New _Replacement
other
Sta[e Surcharge $ .50
Total $?; ?
I hereby apply for a Residential Mechanical 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 with the Mechanical Codes; that I understand this is not a
permit, but only an application for a permit, and work is not to start without a permi - at the w will be in accordance with the
a proved plan in the case of work which requires a review and approval of plans. ?
??? ?u lCZ?
Applicant's Printed Name Ap icant's Signature 1-?9 L? L Li
PERMIT
? ClTrOF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
DESCRIPTION:
REMARKS: c 1(} ( qBI I
FEE SUMMARY:
Base Fee
Surcharge
Subtotal
VAIUATION
;117.00
$5.00
;122.00
$10,e00
BUILDING
000550
05/15/92
CQPIES i1.@0
Total Fee $123.00
CONTRACTOR: - Applicant - OWNER:
pERFORPIANCE POOL & SPA 17913440 GRACEK RAY
1740 WEIR DR 3821 BRIpGEWATER DR
EAGAN iqN 55125 EAGAN MN
(612) 731-3440 (612)450-1076
i hereby ackneaw2edge that I4ave r^sad Chis eppiicaGinn and state thak tMe
infarmatian !s correct end agrve `Co osrmpiy vli'tlx a11 nppYicable SCats qf 0ln.
Statutes and Ctty of E$9afi D.rd'inancos.
L ?.1
, .? R ?
APPLICANTlP MIT E SIGNATURE -- Ip UED Y: ?IGNA RE
? 11NCPFf'T1(1N RF.f'(1Ril I c°ntr°'"°. -
PERMIT TYPE:
Permit Number:
Date Issued:
3821 BRID6EWA7ER DR
LOT: 6 BLOCKs 1
THE OAKS OF BRIDGEWAtER
IM-GRQUND
guildtng Permit 7ype SWIM POOL
@taildihj?rnWork Type HEW
UBC O'ccUp&xt1'cy M-Z
BuiFlding Lenotlh 36
9u.i2ding Width',.._,, 18
;C.
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b:y
7
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-A_pq
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C "
Control No.
PERMIT_N
Al
CITY OF EAGAN
1992 BUILDING PERMIT APPLICATION
681-4675
SINGLE & MULTI-FAMILY 2 sets of ptans, 3 registered site surveys, 1 copy of energy
CdlCS.
COMMERCIAL 2 sets of architectural_8 structural plans, 1 set of
specifications, 1 copy of energy 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 ? //5 /q ?)_ Valuation of work /0, Do U
Site Address: 3f- '?.q -4 uj a_4 -e-v ?'DY-
STREET $TE x
Tenank Name: (commercial only)
LOT BLOCK SUBD.
Oescri tion of work: Sw t'^^ {Dao
The applicant is: ? Owner 0?6ontractor ? Other coes«sbe>
Name (:;i rcf_ c e__ k P,=,-.i Phone1/'ro -/ c) 2-6
PrOpP.rty . LAST FIRST
Owner qddress 3 gc? ( 3,. ? -?
D ?
STREET- STE M
City ?? cc ? State ZiP
Company 22,*- Phone -J 3 I- i41 Cd c-)
Contractor Address vL-LR-tY ?71) v License #Cx??Exp.3?31'`T3
Gity State Zip
Company Phone
Architect/
Engineer Name Registration N
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 applicable State of Minnesota Statutes and City of
Eagan Ordinances.
?
Signature of Applicant: ?? -°--? ` ?
SUiiVEYQR'S CERTIFICATE
R.A.KVI NV111e,
?BRjQGEWAITER_ DR
d
N ?ey ? ?N
11 F04„ 1N `??
(918.l?? ?
BENCH W1RK
tu?K M+M
[L[v..919.44
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7
hROFOSEO
DRIVEWAY
I II c??19,`? a (4r4y?
,:-
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^ N AfiAGE ,//
-r,o/ aROrosEa •8I
HOU9E / 7
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0 ? LpT s
v
? DRAINAQESUTIUIY'
- y?Nl?MR?1? 1'RN MAT?
i c943.z)`, ro 9
qpVwj?
` 92.00
? P..-
?.r ???` ????+ort: `??1
KNGI M?111f
10P OI IIIDN
0.EY. • 916.!!
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? DENOTES PHOPOSED SURFACE dFiAINAGE ° •°"""'"^",
O DENOTES IRON MONUMEN7 SET SCALE: 1 IMCH - 30 FE'ET
N DENOTES IHUN MONUMENT FOUND •AROPOSED GAfiAQE rIOOR - 9ta. L FEET
X000.0 DENOTES EXiSTINQ ELEYATION pfiOPOSED LOVYEST rLOOH - 9//. $" FEET
(OOO.U) DENOTES PRdPOSEO ELEVIITION PROPdSED TOP OF BLOCK - q Lo b FEET
WE 11EREBY CERTIPY TO R. A. KpT NOMES THAT THIS IS A 7RUE AND CORAECT
REPRESENTATION OF A SURVEY OF 1HE BOUNDARIES OF;
LOT 6j BIACK I,THE OAkS OF BRIDGF-WATER IST AOOITIQN,ACCQRbINd
Tt7 TNH RECVROEp PLAT THEHEOF,DAKOTA QDUNtY, MINNE907A. .
17 1i0E5 N01 r'UiZi ORT TO SiiOYJ IRnPROVEiv1E1JT5 GR EiJi.ROACHME1f iP, EXCCR' AS 314OWr3. P?S
SURVFYED BY ME dR UNDER MY DIRECT SUPERVISION THIS 9 T N 6A?' OF AUGUST , 1991.
laozt= `? ?c aoi! ilr?iir ?o?: SIQN ? JAP R. NILL, INC. ?
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? CITY OF EA6AN FOR CITY USE ONLY
3830 PILOT KNOB ROAD
EAGAN, MN 55122 PERMIT #
PHONE: (612) 454-8100 RECEIPT # !5(o(c7
MLCFtAt?TCA7.::#'ERMI? DATE:
N2?AT:is PLEASE COMPLETE IIPPER PORTION ONLY FDR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
------------------- -------------------------------------------------------
WORK DESCRIPTION FEES
NEW CONST X
ADD ON _
REPAIR
OWNER NAME: K• A, 1ebT- J-1rYw,F-s
SITE ADDRESS: 3?L1 DA,
LOT: BIACK _ SUBD.
INSTALLER: hAA.j4&jI dC9ln'ctc-, d-Id??
,?
ADDRESS:?/ JC-A,
CITY: ?iJ?$SJLL?? ZIp; ? 5?337
PHONE #: ? 7 J? 'O.? I o
T?'yTKXPLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL SUILDINGS,
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
° ------------------------------------°--°________-----------------
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
LOT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:_
CITY:
ZIP:
AD?-ON MINIMUM $15.40,
HVAC 0-100 M BTU c?4,_09/
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM 3.0
OF 1 PER PERMIT
SUBTOTAL: $?].&
STATE SURCHARGE: .50
TOTAL: $ 2O ', a
SIGNATURE OF PERMITTEE
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING = $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18 $
STATE SURCHARGE
$
TOTAL:
PHONE
(SIGNATURE)
FOR:
CITY OF EAGAN
` CITY OF EACAN FOR CITY USE ONLY
3830 PILUT KNOB ROAD
EACAN. 55122 PERMIT #
FHONE: (612) 454-8100 RECEIPT N
?I.UMBING` P'ERHI'i' DATE:
,
?p?STT38NTIA?::; PLEpSE COMPLETE UYPER PORTION ONLY
t?
FOR
SINGLE FAI4ILY
DWELLINGS. •&
•
..? ..:..............:..:......
:,
TOWNHOHES/CONDOS WHEN YERHITS ARE REQUIRED
FOR
EACH UNIT.
--------
------
^-___-
----------------°--°-- -____"__-----^----___----°
WORK DESCRIYTION --- -------
COMPLETE THE FOLLAWING:
N0. FIXTUEtES EA. TOTAL
NEW CONST ADD-ON MINIMUH 15.00
ADD ON I SHOWER 3.00 3.0
a
RE?AIR 3 WATER CIASET 3.00 R^bU
? BATIi TUB 3.00 ?.O
IAVATORY 3•00 Ls:0-0
OWNER NnME :?•??? RITCHEN SINK 3.00 3' o a
3$,) t ci
wO?'''?" ? IAUNDRY TRAY
HOT NB/SPA 3.00
3.00 3 Do
3.00
SITE ADDRESS:
?
WATER HEATER
3.00 ?
S•""
'
LOT: BLACK SUBD. FIAOR DRAIN 3.00 5'o°
Da`^` eI S
E GAS PIPINC OUT.
(MINIMUM - 1)
3.00 3,OQ
INSTALLER: ? ROUGH OPENINGS 1.50 `?•?
ADDRESS: 0 V StS 1,w7 w.?-? _ OTNER
wnTeR soFreN? 5.00
? ?S
CITY: ?0?.K.-u ZIP: 55 D PRIVATE DISP. 15.00 .
U.C. SPRINKLER 3.00 '
PFIONE a: = y
SUBTOTAL
ST. SURCHA2GE $ .50
SIGNATURE OF PERMITTEE C
?j
p ?
TOTAL: ?- r
•
?--
e?_ ?
COMMERCIAL/INDUSTkIALi PLEASE COMPLETE THIS PORTION FOR ALL CQMMERCIAL/INDUSTRIAL BUILDINCS AND
MULTI-FAHILY SUILDINCS WNEN SEPARATE PERNITS ARE NOT REQUItIED FOR HACH
DWELLING UNZT.
CONTRACT PRICE:
OWNER.NAME: _
SITE ADDRESS:
LAT: BIACK SUSD. _
INSTALLER:
ADDRESS•
CITY:
PHONE #: .
FOR: '
CITY OF EACAN
ZIP:
FEES
1% OF CONTRACT FEE. '
STATE SURGHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 1$ $
STATE SURCHARCE
$
TOTAL:
(SIGNATURE)
?
hf
i
? . .,
Y, `???
,
, ^ 1991 BUI??G? OT PLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
2 SETS OF PLANS
3 REGISTERED SITE SURVEYS
1 SET OF ENERGY CALCULATIONS
MULTIPLE DWELLINGS
COMMERCIAL
2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
REGISTERED SITE SURVEYS - 6 STRUCTURAL YLANS
(CHECK WITH BLDG. DEPT.) 1 SET OF SPEGIFICATIONS
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 ALIAWED 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.
To Be Used For:
Site AddYess
PG 2 " RECD
Valuation:? Date:
Lot _ Block
Parcel/Sub
Owner
Address
City/Zip Code
Phone
Contractor _
Address
City/Zip Code
Phone
Arch./Engr. _
Address
City/Zip Code
Phone #
1 0 yr dD OFFICE USE ONLY
Occupancy F°3 M FEES
Sldg. Permit p
7314,00
Zoning P. -) Surcharge x10 v
Actual Const V- N P1an Review 60 ,oo
Allowable V-N SAC, City /OO.oa
# of stories SAC, MWCC 650,00
Length 7 $ ? Watex Conn. ?O¢0,a?
Depth yg? Water Meter 9$, 00
S.F. Total Acct. Deposit 30.Do
Footprint S.F. S/w Permit 30,00
S/W Surcharge '5 0
On site sewage_ Treatment P1 . 2 7G.oo
On site well Road Unit 370, 0?
MWCC System ? Park Ded.
City water ? ? Trail Ded.
YRV _ Copies
Booster Pump _
SUBTOTAL
APPROVALS Penalty
Planner Lot Change
Council TOTAL 9?t?n
Bldg. Off.
Variance
agrees that all work shall be done in accordance with
(Signature of Contractor)
all apFlicable State of Minnesota Statutes and City of Eagan Ordinances.
VA ?u ATf m N.? ?,? ?
Gan aa,-
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2Np ?l?y
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4 X ED:
33x3,67= ? _
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SURVEYqR'S CERTiFICATE
__BRIl?G?WAITER_ DRzI.ME--
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-t DENOTES F'RQPOSED SURFACE CfRAWAGE
O UENOiFS IRON MONUMENT SET
46 pENOTES IfiUN MONUMENT FOUND
X000.0 DENO?E5 EXISTING ELEVATION
(C100.U) UENdTES PROPOSFD EI_EVATION
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SCALE: 1 INCH ^ 30 FEET
•PROPdSED GARAGE PLOOq - yte. L fEEI
pROPOSEU LOWE31 FLOOFt - 411. S' FEET
PROPOSED TOP OF BLOCK - q Lo. 6 FEE7
WE NEpEBY CERTIKY TU R. A. KOT NOMES 7HA7 TNIS IS A 7RUE ANb CORRECT
itEPFiESENTATION c7F A SURVEY OF THE BOUNnANIFS OF;
lAT 6, 81,ACK I,THE OAkS OF HRIDGEWATF3t IST AOqItI4N,ACCOR01Nc3
TC) 7NE itECOROEU Pl.AT THEHEOF, DAKO7A COUNtY, MINNE907A.
17 WE5 W) f NUFtPORi" TO aliOYV iiviPhOVEtviFfdiS GR cNCnOACNNIEP+T?, EXCCRT AS SiiO'."Jt:, AS
SURVFYED BY ME OR UNDER MY DIRECT SUPERViSIUN TNIS 9 T H bAY OF AUOUST , 1991.
Nort? Ho_ OI'(CIk lOA.s W401"TION SIGN R. HILL, INC.
..
I k .
EXTERIOR ENVELQPE AVERAGE "U" COMPUTATION
OWNER R.A. KOT HOMES, INC. PLAN N0._9-0802-1
SZTE ADDRESS Bridgewatar-Eagan
CONTRACTOR_R.A. KOT HOMES, INC. DATE 08/15/91 PHONE 687-9513
DETERMIME WORKING SQUARE FpOTAGE
4361.54
1. Total exposed wall area 4433.9 sq.ft. x.11 487.729
2. Total roof/ceiling area 1674 sq.ft x.026 43.524
3. Total floar oant. area 16$ sq.ft. x 0.026 4.368
(over unheated enclosed areas)
4. Total floor cant. area 37 sq.ft. x 0.08 2.96
(nver unheated exposed areas)
5. Total exposed wa1L area above the floar. 4002.54
a. Total wall window area ....................795.1531
b. Total door area ........................... 37.8189
c. Total sliding glass door area ............. 71.1022
d. Total fireplace area...................... 0
e. Total wall framing area (ave. 10%)........ 400.254
f. Total net wall area above the floar....... 2698.212
g. Total rim joist area ...................... 359
TOTAL EXPOSED FOUNDATION AREA ................ 72.36
h. Total foundation window area .............. 0
i. Total net foundation area ................. 72.36
Determine "U" value of each wall segment.
a. 795.1531 x "U" 0.27 = 214.6913
b. 37.8189 x "U" 0.06 = 2.269134
c. 71.1022 x "U" 0.34 = 24.17475
d. 0 x "U" 0= 0
e. 400.254 x "U" 0.090334 = 36.15664
f. 2698.212 x "U" 0.043215 = 116.6038
9. 359 x "U" 0.040683 = 14.60537
h. Q x "U" 0.27 = 0
i. 72.36 x "U" 0.076161 = 5.511043
6. .. . ...... ................. .. . ... . ...Total 414.0121
If item #6 is the same as or less than item tk1 you have met the current
energy codes. 2 MCAR 1.16008 A AND 0.
TOTAL EXPQSED ROOF/CEILING AREA
1674
j. Total skylight area.. . .............. 0
k. Total flat roof/ceiling framing area...... 167.4
1. Total net flat roof/ceiling area.......... 1506.6
petermine "U" value for each roofJclg. segment
j. 0 x"U° 0= 0
k. 167.4 x"U" 0.026925 = 4.50727
i_ i?nti r v1-ii-i n n?q7qr _ ?4_q47RR
ii...................................Tota1
38.84964
If item #7 is the same as or less than item #2 you have met the
energy code. 2MCAR 1.16008 A AND Q.
TOTAL FLOOR CAN7. AREA (enclosed). 168
o. 7ota1 flonr cant, framing area (ave. 10°k). 16.8
p, Tntal net insulated floor/cant. area...... 151.2
Determine "U" value for each floor/aant. segment.
0. 16.8 x"U" 0.047642 = 0.800381
p. 151.2 x"U" 0.025361 = 3.834644
8 ....................... ............ Tota1 4.635025
If item #B is the sama as or less than item #3 yau have met the
energy code. 2 MCAR 1,16008 A AND 0.
7QTAL FLOOR/GAN7. AREA (exposed) 37
q. Total flnor/oant. framing area (ave. 10%). 3.7
r. Tatal net insulated floor/cant. area...... 33.3
Determine "U" value for each floor/cant. segment.
q. 3.7 x"U" 0.057438 = 0.212522
r•. 33.3 x"U" 0.027894 = 0.92887
9 ...................................Total 1.141392
I.f item #9 is the same as or less than item #4 you have met the
energy code. 2MCAR 1.16008 A ANp 0.
I HEREBY CERTIFY THAT I HAVE CALCU ATED THE ?'U" FACTqRS ANp "R"
VALUES HEREIN AND THAT THE BUTLDI G MERE ? SqRTBEp MEETS OR XCEED5
T'HE S7ATE OF MTNNESO7A ENER6Y CO ERVAT,?5N?A2T. 119, ?
gnature)
( date)
DETERMTNE "U" VALUES"
7HRU STUD WITH SIqING & S.R.
Snterior Air...... 0.68
Sheet Rock........ 0.45
Thermo-Break...... 0
Stud.............. 6.93
5heathing......... 2.06
Siding............ 0.78
Exterior Air...... 0.17
Total "R" Va1ue............ 11.07
1/R - "U" Value...... ...... 0.090334
-r•unli TPICIII ATTIIPI idT-ru crnrnir 0 c o
?f .Interiar Air......
5heet Rnok........
Thermo-Break......
T.nsulation........
Sheathing.........
5iding............
Exterior Air......
0.68
0.45
Q
19
2.06
0.78
0.17
T'ntal "R" Value............ 23.14
1/R = "U" Value............ 0.043215
T'MRU CEILING MEMBER
Interior Air...... 0.68
Shaet Rack........ 0.58
Ceiling Member.... 4.35
Insulation........ 30.92
Still Air......... 0.61
Total "R" Value..,......... 37.14
1/R - "U" Value............ 0.026925
T'WRU CETLING INSULATION
Interior Air...... 0.6$
Sheet Rock........ 0.58
Insulatipn........ 42
Still Air......... 0.61
Total "R" Value............ 43.87
1/R = ''U'' Value............ 0.Q22795
THRU CONCRETE BLOCK
Tnterior Air...... 0.68
conc. Blk......... 1.28
T.nsulation........ 11
5heet Rk. (opt.). 0
Exterior Air...... 0.17
Total "R" Value............ 13.13
I/R _ ??U ...................Q.076161
THRU RIM JOIST
Interior Air...... 0.68
Insulation........ 19
Rim Joist......... 1.89
Sheathing......... 2.06
8iding............ 0.78
Exterior Air...... 0.17
Tatal "R" Value............ 24.58
1/R _ ??U ................. 0.040683
U" value for window........ 0.27
U" value far doars......... 0.06
T.,r o-.+;,, nr, !1 2h
, THRU CANT. @ MEMBER (enclosed)
Interior air...... 0.68
Finish Flooring... 1.23
Sheathing......... 5.4
PlYwood........... 0.93
Joist ............. 11.56
Sheek Rock........ 0.58
5ti11 Air......... 0.61
Total "R" Value............ 20.99
I/R _ "u........... ......... 0.047642
THRU CANT. @ INSULATION (enclosed)
Interior Air......
Finish Flooring...
5heathing.........
Plywood...........
I.nsulation........
5heet Rock........
Still Air.........
0.68
1.23
5.4
0.93
30
0.58
0.61
7otal "R" Value............ 39.43
I/R = "u.................... Q.025361
THRU CANT. @ MEMSER texposed)
Interinr Air...... 0.68
Finish Fiooring... 1.23
underiayment...... 0
Plywood.,.,.....,. 0.93
Jaist ............. 11.56
Sheathing......... 2.06
5offit............ 0.78
Exterior Air...... 0.17
Tatal "R" Value...... ...... 17.41
I/R = "Ull ............ ......0.057438
IHRU CANT. @ INSULATION (exposed)
Interiar Air...... 0.68
Finish Floaring... 1.23
Underlayment...... 0
P1Ywnad........... 0.93
Insulation........ 30
Sheathing........, 2,06
5offit............ 0.78
Exterior Air...... 0.17
Total "R" Value............ 35.85
I/R W "U ....................0.027894
CLAIP( VOUCHER - REFUND REQUEST
CITY OF EAGAN
CLAIifANT T7Rf1NF.N 'S NF.ATTNG b A/C_ TNl7 -
ADDRE55 1141 F.AST !T.TFF unan
BURNSVILLE. MN 55337
Loca[ion 3821 ERIDGEWATE% D?tIVE
L6, BI, THE OAKS OF BBIDGEWATER IST
Receipt No./Date C15739-10/q/91
Reason fer Refund DUPLICATE PERMIT
Type of Refund Electricai Fermit 01-3211 $
Plumbing Permit 01-3212 $
llechanical Permit 01-3213 $ 27.00
Surcharge 01-2155 $
Water Connection Permit 20-3713 $
Sewer Connection Permit 20-3743 ,$
71r?
Account Deposit 20-2252 , $ .
ll[ility Account Ovez-Payment 20-2250 $
Other: $
S
20TAL $_ 27.00
I declare under the penalties of law that this account, claim or demand is just and
[hat no part of it has been vaid.
JL. L? 10110/Ql
? Signature Date
CITY OF EAGAN
3830 PILOT KNOB ROAD
? EAGAN, 2SN 55122
PHONE: (612) 454-8100
MM?fA;NZG94m
FOR CITY USE ONLY
PERMIT #
RECEIPT #
DATE:
9E99ENM PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMZLY
TOWNHOMES/CONDOS WNEN PERMITS ARE REQUIRED FOR EACH UNIT.
------------------------ ---------------------°------------
WORK DESCRIPTION FEES
NEW CONST ? ADD-ON MINIMUM
ADD ON _ HVAC 0-100 M BTU
REPAIR _ ADDITIONAL 50 M BTU
GAS OUTLETS - MINIMUM
OWNER NAME: OF 1 PER PERMIT
?
SUBTOTAL:
SITE ADDRESS: I..t?". STATE SURCHARGE:
LOT: BLOCK SUBD. TOTAL:
INSTALLER: bAdt.?S.T oulje _7,-l?<--
.-
ADDRESS: I 'Y/ C• 6?
CITY: gui4?ISP,c? ZIP:
PHONE #: c? D31d
DWELLINGS &
$4.00
6,00
?
$27 0 a
.50
$12 .sa
SIGNATURE OF PERMI TEE
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS,
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WNEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLZNG UNIT.
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
LOT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FOR:
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING = $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18
STATE SURCHARGE
TOTAL:
$
(SIGNATURE)
CITY OF EAGAN
1?mcp
2006 RESIDENTIAL MECHANICAL PERNIIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single femify dwellings & townhomes/condos when pertnifs are required for each unit
?D F?o
Date l'_
Site Address ??-1 ?jf 1' C.'?(^Q k.JCA Cr ,af Unit #
Property Owner \ jG'r Telephone #((051
Contractor
StreetAddress ciry
- ,_
State _ Sl\C\ Zip 5 5V2'3 Telephone# ( 45t ) 22?'-41ti"I i
Bona Eapires: bL C La,
The Appl[cant is _ Owner ? ConMactor _ Other
Add-on or alteration to existing dwelling unit $ 30.00
_ furnace _Additional ?Replacement _ New
air exchanger
? airconditioner
2
D
?
h ???6
_
eat pump
other
_
JYN 2
State Surcharge $ .50
Total
$ 33.`w
I hereby appfy for a Residential Mechanical Permit and aclaiowledge 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 with the Mechanical Codes; that I understand this is not a
permit, but only an application for a permit, and work is not to start without a permih, that the work will be in accordance with the
approved plan in the case of work which requires a review and approval of plans.
CcorlS-l, Uk ,t'%2.Cknx ?l-( \,? Q LcX-Ql"C
Applicant's Pnnted Name ApplicanYs Signature
4- 0 t
I
Terttf tr?te of (Or.ru?aur-n
Citp of (gagan
DppartmPtiY Df BlIOittt? 3myPttiDtt
This Cerlifreare irsued pursuanl to 1he requirements aJSection 306 of the Uniform Building
Code certifying lhal a1 the time af rssuance lhis struclure x+as in compiiance with the variour
ordinances of the City regulating 3uilding eonstrucFion or use For the following:
vse aNZrw,aon ST I][,1G4'C',AR IMd& h=k No. 19607
OauP_y T3'M - Zoaiui DiU? R I 'rype [`q""
o,,,« ?r &aeig A K[rT T-M, S T,'C Add,= 7901 [J=, dAkIIW, AP'PLE VAIJ.EY
8,?;,,e ,?,? 1 F'RTTYM?f7/??' 17?''?,'?'_. ?,?;ty L6 L B], TI lE QAK;: OF iiF?C>?aATE.R 1 ST
Dacc ! ^ /!?,iq 1
Bw7ding 09,d,l
POST IN A CONSPICUOUS PLACE
? CASH RECEIPT i '
CITY OF EAGAN
3830 PILOT KNOB ROAD •
EAGAN, MINNESOTA 55122
DATE f9
NECEIVED
FfqM
AMOUNT $
8 DQLLARS
im
? CASH EJ CHECK
raw
BY
l . ' White--PaYefS COPY ?
\J Yelbw--POSting COpY
Pink-File Copy
Thank You
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 • ?'? 3??
PHONE: 454-8100 .
BUILDING PERIIIAT
7o be used for GAk Est. Value $184,01
Site Address i DG L,'h1` ,: ^
Lot t?_ Bl ock : Sec/Sub. -diL. OAKS OP
Parcel No.
..r i L?.'GE?ATER 1 ST
Name A KU's'
W
3 Address l??- :136l1 KAP!LcT Cr
0
City
'•'Ai.LFY
Phone 687-4513
o Name :?At:t,
i
?a Address
U? City Phone
WW Name
== Address
a W City Phone
I hereby acknowlege that I have read this application and state that the
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permitee ?
A Building Permit is issued to: hCT 11,10riES x MC
on 1he express contlition that all work shall be done m accordance with all
app6cable State of Minnesota Statutes and City ot Eagan Ordinances.
Building
Receipt #
OFFICE USE ONLY
Occupancy i-3 Z3r_-1 FEFS
Zornng
(ActuaqConst V-N Bldg Permit '?34-coo
(Allowable) Suroharge 92 . ilC)
N of Stories -
Lenglh ? S? Plan Review 607 • 00
Depih 4F' SAC. City 100.00
S.F. Totai - SAC, MCWCC 6 50-?
S.F. Foolprints -
On Sde Sewage _ Water Conn 660.00
On Site Well Water Meter 9 5• 0111)
MWCC System X
City Waler ? Acct.Deposit 30•00
PRV Required _ S/W Permil 3U•00
Booster Pump - g,W Surcharge - 50
Treatment PI 276.00
APPROVALS Road Unit 370•00
Ptanner - park Ded.
Counal
81dg.OH. _ Copies
Vanance - TOTAL 3 + t 44• -' _
Permit No. Permit Holder Date Telephone #
WATER
SEWER
PLUME3ING ? UTTi, ? , ?;?; l ; j,' ?/ ii ,
H.V.A.C. -l •?9"U?.K2 ?'?/.3 ?l? p ??'' -%'? / c?
?
ELECTRIC ?3•.?/ l ?i ?J y/ ,? dJ
Inspection Date Insp. Comments
Footings I
foundaUon
Framing
Rooting Z
Rough Plbg.
Rough Htg.
isul. ,. Is
Fireplace ' ?/ /' j ? ? ? ??.? ,/ !? ?/ ? ?? S? `?) ?•
Final Htg.
Orstat Tes1 jJ
Final Plbg. Plbg. Inspeclor - Notily Plumber
Const. Meter
EngrJPlan
Bldg. Final - - s Z
Dedc Ftg.
Dedc Final
Well
Pr. Disp.
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob-Rd.
Eagan, MN 55122-1897
DATE
OFFICE USE ONLY
METER # y ? ?? ? ? 7 PERMIT DATE
cHiP # G? 3 9 30 ? PERMIT #
METER SIZE g ti'x) B.P. RECEIPT # '
_ PRV -_ BOOSTER PUMP
ISSUE DATE B.P. RECEIPT DATE
SITE ADDRESS
LOT BLOCK SEC SUB - APPLICANT:
ADDRESS: _
CITY. STATE
PHONE: _
PERMIT REQUESTED
? SEWER ? WATER - TAPS
- COMM:IND - RESIDENTIAL
NEW
EXISTING
Lawn Sprinkler Meters are to be Installed
PLUMBER: Ahead of Domestic Meters on Water Line.
ADDRESS: .;.',Y Credit WILL NOT be given for Deduct Meters.
CITY, STATE ZIP
PHONE: -
I AGREE TO COMPLY WITH CITY OF
OWNER: EA N O DI ANCES
ADDRESS: ' UFpF= .
CITY. STATE ' ZIP - -
PHONE: SIGNATURE WHEN METER ISSUED
Z1P
PLEASE ALLOW TWD WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
SEWER & WATER PERMIT
CIT) 0F ENGAN
DATE OFFICE USE ONLY
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
METER # PERMIT DATE
CHIP # PERMIT #
METER SIZE B.P. RECEIPT #
ISSUE DATE B.P. RECEIPT DATE
- PRV - BOOSTER PUMP
SITE ADDRESS
LOT_-BLOCK _SEC;SUB
APPLICANT:
ADDRESS: -
CITY, STATE
PHONE: _
PLUMBER:
ADDRESS:
CITY. STATE ZIP 5`-'
PHONE:
OWNER:
ADDRESS:
CITY, STATE ZIP -- :
PHONE:
ZIP
PERMIT REOUESTED
SEWER WATER TAPS
COMM!IND - RESIDENTIAL
N E W
EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES
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. 6ox 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMFT Receipt
To be used for SF DWG
Est. Value $184,000
Site Address 3821 BRIDGEWATER DR
Lot 6 Block 1 SeciSub.THE OAICS OF
Parcel No. BRIDGEWATER 1ST
W IName R A KOT HOMES INC
; Address 7901 UPPER HAMLET CT
0 City APPLE VALLEY Phone 687-9513
Zo IName-_ SAME
OU ¢ Address
? City Phone
?w¢ WName
??w
Address
< W City Phone
I hereby acknowlege that I have read this application and state that the
iniormation is correct and agree to comply with all applicabie State ot
Minnesota Statutes and City,pf Ea`ga ,O ances.
Signature of Permitee ?• ? "?
A Budding Permit is issued to: R A KOT HOMF S 7 NC
on the express condition that all work shall be done in accordance with all
app6cable State of Mmnesota Statutes and City ot Eagan Ordinances.
Building 0`ficial
OFFICE USE ONLY
1s 91
Occupancy R-3 M-1 FEFS
Zoning R-1
(ACtual) Const V-N Bltlg Permit 934. n0
(Allowable) 3L--N Surcharge 9 2- nn
+Y of Stories -
length 75' Plan Review 607.00
Depth 48' SAG City 100.00
S.F. Total -- SAC, MCWCC 6 5n _ nn
S.F. Footprints _
On Site Sewage _ water Conn 660.00
On Site well water Meter 95.00
MWCC System X
Ciry Water
x Acct. Deposit 30.00
PFV Required _ SlW Permit 3n . o0
Booster Pump - S1W Surcharge 5(1
Treatmem PI 2 7 h- On
APPROVALS Road Unit 370.00
Pianner - Park Ded.
Council
Bldg.Ofl. _ Copies
Variance -
?
TOTAL 3,844.5
N°_ 19607
? ?
Address :'3 Rr i? Lot Blk Sec/Sub ?%(J,, /cjT D f . •?? fp?,
These items were/were not complete at the time of the final inspection.
- - / Z Yes No
Final grade (6" from siding)
Permanent steps - garage
Permanent steps - main entry i/'
Permanent driveway ?
Permanent gas ?
Sod/seeded grass
Trail/curb damage ?
Porch ?
Basement finish
Deck
Please verify with the builder tha removal of roof test caps from the plumbing
system and tha shut-off of water supply to the outside lawn faucet before
freeze potential exists.
White - City copy Yellow - Resident copy Pink - Contractor copy
:S?
DATE: AUG 28, 1991
, . .
- 3821 BItiDGEWATEP llR (It A KOT HOMF:S INC)
RE: .r
x ?
- Your Sewer & 1Nater 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 5ewer & 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.
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 3821 Bridgewater Dr
Lot: 6 Block: 1 Addition: The Oaks Of Bridgewater 1st
PID:10- 75835- 060 -01
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Fee Summary:
Valuation: 2,000.00
Contractor:
Seta Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823 -8046
Surcharge - Based on Valuation $2K
BL - Base Fee $2K
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Construction Type:
Occupancy:
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Building
EA074772
08/17/2006
ePermit
Comments: Pictures are not acceptable in lieu of inspections. Brenda Van Sick le 4100 Excelsior Blvd St Louis Park, MN 55416
952- 915 -7226 brendav @sela roofing.com
$1.00
$69.00
$70.00
Owner:
Daniel T Shelton
3821 Bridgewater Dr
Eagan MN 55123
9001
0801
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature