3830 Bridgewater DrCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 3830 Bridgewater Dr
Lot: 8 Block: 2 Addition: The Oaks of Bridgewater 1st
PID:10- 75835- 080 -02
Use:
Description:
Sub Type: e - Water Softener
Work Type: Replace
Description: Water Softener
Meter Size Meter Type
Comments:
Fee Summary:
Contractor:
Bob Sable Services
5242 Quebec Ave N
New Hope MN 55428
(612) 534 -6526
Bob Sable
5242Quebec Ave N.
New Hope, Mn 55428
PL - Permit Fee (WS & /or WH)
Surcharge -Fixed
Total:
Manufacturer
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
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
$50.50
Owner:
Ann J Verbeke
3830 Bridgewater Dr
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Serial Number Remote Number
$50.00 0801.4087
$0.50 9001.2195
Issued By: Signature
Plumbing
EA083729
06/23/2008
ePermit
Line Size
,
+?; __s: -?? s•
- , f
Wertiftcate of cccupanc4
_ WU4 of Cfason
melkwfteat of 13ai[biag aaoectioa ?
This Cenificate issued pursuant to the requiremertts of the Unifonn Building Code
certifying that a[ the time of issuance this structure was in complimwe with the vnrious
ordiwnces nf the City regubting buildiag construction or ecse. For the following:
I/se Clascificarim: SF DW eldg. Pwm No. 15
Ottvpsory Type Zaning Dist?u
-^w R A R(7f E?? ? -74U7-L?T' t?l?,'? ?rT?VAtLE7C
OwmrosBUildi pdd? f f 'ST
. Baild' ..Add. LaGty
01/25/43
\ ir?am:
. BuildingOtfnal
? POST IN A CONSPICUOUS PLACE
. ?
Add*ess 3830 aRinc?wwnrER DtuvE Zip 5512 3
Lot 8 , Blk 2 Sub Iff onxs oF sRIDWArat Isr
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: Ol 25 93 Yes No Inspecror:
Final grade (6" from siding) ?
Permanent steps (gazage) ?
Permanent steps (main entry)
Permanent driveway ?
Permanent gas ?
Sod/Seeded gass ?
TraiUcurb damage Lll
Porch ?
Basement finish ?
Deck
Please verify with [he builder the removal of roof test caps from the plumbing system andthe shut-off of water supply to
the outside lawn faucet before &eeze potential exists.
Contact engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. ?
. White - City Copy Yellow - Resident Copy Pink - Contracror Copy
? 08 17 ? 6aZ .
ReGUest Dale
/ Fire No. Rou in InSpeniO
Re retl?
? Reatly Now "?Will Nallty In?r
e eatly?
Ilicen ed contractor p owner hereby request inspection of ab electric
JobAdtlress (Sireet Box or qoute No. ity
:38 i Gs • a E2 ?
Seclion No. Township Name or No. Range No. aunry
AIC--
Occupant(PRINT) Phone
No
.
J
/ r
,
?
1?
/
? ' Ly fJyl') _ A
Power Su`? Atldress
0 Y /- wm10 4-%01-'t
Etectncai Convector ICOmpany Name) Conhaclor's License No.
h CADiZ1 z
MaAinq Atltlres5lConVactor or Owner Makmg Inslallalion? ?
' G, (2 o o C.aG,a., Ssiz2
Authorrzeo Si aWre iCOnvactor)Owner Makinq InstallaLOnl Phone Number
d33Z
MINNESOTA STATE BOARD OF ELECTqICITY TNIS INSPECTION REQUEST WILL NOT
Griggs-Mitlway BIEg. - Foom 5-173 BE ACCEPTED 6V THE STATE BOARD
1821 UniversRy Ave_ St. Faul. MN 5510Y UNLESS PROPER INSPECTION FEE IS
Vhone (612) 642-0800 ENCLOSED.
/?/?jq? REQUEST FOR ELECTRICAL INSPECTION ee-oaom-oe c
ji? a 05817 See Insimctions lor completing this brm on Dack ot yellow copy ? ?
,. '"X"Below Work Covered by This Request 62 00 1_ .
ew Adtl Rep. 7ypeofBuiiding AppliancesWired EquipmenlWired
? Home Range Temporary Service
? Duplex Water Heater Electric Heating
Apt. Buiitling Dryer Other(Specity)
Comm./Industrial Furnace
Farm Air Conditioner
aner (weoav) CoMracwr5 Remarks'
Campute Inspection Fee Below:
# Olher Fee # ServiceEntranceSize Fee # Circuits/Feeders Fee
SWimming Pool O l0 200 Amps ? 0 to 700 Amps 616
Transtormers Above 200 _ Amps Above Amps
SignS Inspeaor's Use Onty: ' TOTAL
Irrigation Booms ?OTAL 1py fjj
Speciallnspection ? ?
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNtTED ? NOT
Other Fee ;'? COMPLETED WITHIN 18 M S.
I, the Electrical Inspector, hereby Roughin f i oaie
?
JG
certity that the above inspection has
been made. Finai (
ta
OFFICE USE pNLY • '
This request voitl 18 montns Irom
o5792
9
/Z
z
? a?
flaquest Dafe i FirWtdo' Rough-in In tlion
r' t Requiretl? 3?.Reatly Now ? WJI Notify Inspector
/Q - f,; - ?,Yes ? No When Reatly?
IXlicensed contracror p owner hereby request inspection of a6ove electrical work at:
Job AOtlress (SVeet Box or Raute No.? _
- Ciry
'
?
2 3 O ?.J(a k OGE,d.TE
Section No7 wnshlp Name or No. Range No. Cau
? orA
Ocmpant IPRINTI Phone No.
! \ -T orn 5 ?8'7- 51._3
Pawer Supplier.
- Atltlress
)LL
-
o?A ,
Orn j 7c
Electrical ?omrayor ?COmpany Name?
. f ConVactor§ License No.
c!" ?/??.-?
q t ??YZ
Mailing Adtlress (COnIre<lor
Owner Making Installalion,
?
•n?7 , L Y1i 'S5 /.Z
Aumorixe ignaNre ICOnVaclon0 MaMing InstallaFOnj ? Phone Num?er
?.e
MINNESOTA STATE BOAqO OF ELECTRICITY ~ THIS INSPECTION FEQUEST WILL NOT
Griggs-Mitlway Bldg. - qoom 5173 9E ACCEPTEO BV THE STATE 00AFD
1821 Univorolty Ave.. SL Paul. MN 55104 UNLESS PqOPEF MSPECTION FEE IS
Phone161Y) 602-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ee-00001-oa
? See inslmctions lor compleling Ihis form on back af yellow copy.
?
(/OJ V
Q 5 7 9 2 "X" Below fNork Covered by This Request
K
e Add Rep. -- TypeofBUiltling AppliancesWired EquipmemWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt 8uilding Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Other(specify) Conlractor's Remarks:
Compute Inspectian Fee Below:
# Other Fee # ServiceEntranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transtormers Above 200 _ Amps Above 1 _ Amps
Signs Inspeclors Use Only. TOT L ti?
Irrigatian Booms / ?
Special Inspection ? J
Alarm/Communication THIS INSTALLATION MAY BE ORDER ISCONNECTED IF NOT
Other Fee U COMPLETED WITMIN 78 MONTHS.
I, ihe Electrical Inspector, hereby R°°9n-m oe?e
certity ihat the abave inspection has
been made. F;,,ai oate /,
7
?dFFlCEU5E3NLV
This reduest voi0 10 monltis Iram
??
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
I Wr--,.-- - - - - - -
j Permit#:
I Permit Fee: ,` ? ? I
I ?
? Date Received: ?
I I
? Staff: I
i
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address:
Tenant:
Suite #:
RESIDENT/OWNER Name: 'E D4? X? Phone:z?l2?
Address / City I Zip: L_3g-'2?0 gfZ/pECG /.t?ATL?
Applicant is: N Owner _ Contractor
TYPE OF WORK Description of work: kokg6r?r
Construction Cost: DCVD Multi-Family Building: (Yes No -Y-)
CONTRACTOR Name: 4ft97- vi2t Hoo-,;e57 '. LLe License #: 2? 70
Address: ?? t'0012W 7WA'tL
City: e?AE1i l State: A4AJ Zip: $572 Zi
Phone: C??-,2' Contact Person: /?5ZlC
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
CategOry Submitted Submitted
Submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a pertnit 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 arid supporting documents that'you submiE are consideied to 6e public infonnation: Portron_s ofs ;
fhe informatronFmay be dasnon-pu
thaY w6u/d p?rmit the Crty #a '
o
rfrc; reasons
i
conclude that th
e are trad s'e
crets, i ?' - ' . ... ? ?!QrH. _ I hereby acknowledge that this information is complete and accurete; that the work will be in conformance with the ordinances and codes of the Cdy 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 permd; that the woric will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x
ApplicanPs Printed Name
ApplicanYs Signature
Page 1 of 3
6&sgq
2004 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 pemtits are required for each unit
3p.sz3
Date
Site Address Unit #
Property Owner .L )V2j\/ f. v C_y? h?T l? Telephone #((cD1 )(cDg -3- V )'it-(
Contractor C () r-
Street Address dla ?c) L- A rO n JJ ? City F;9?'Y Y) I r"l r'
State m ? n n6, 50 i A Zip e?c_?) ()c) y Telephone #(icfo-
Bond #: Expires:
The Appticant is _ Owner ? Contractor _ Other
Add-on or alteration to existing dwelling unit $ 30.00
furnace _Additional _Repiacement
air exchanger
air conditioner New _Replacement
vl other 19 3 r )F ne Y'
State Surcharge $ .50
"t004
l $
?!
/
Tota ?--
-
?Y ---
I hereby apply for a Residential Mechanical Pemut and acknowledge that the inforxnarion 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 tlus is not a
pemut, but only an application fox a perrrnt, 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.
ApplicanYs Piinted Name ' ApgksanVegnah{re
ATfOAtlEV3ATI.pW
7301 Onms Lnrv¢, Surre 360
Mmrveaeous, MN 55439
TeLeexorve (952) 844-9033
TeLecoeIex (952) 8440I14
email: oFficc@hammadaw.com
DAVID D. HAMMARGRPN
PAUL T. MEYER*
NICHOLAS L. KLEHR
• Lmrnsm Pxua-orvni E,cirvsea
VIA CERTIFIED MAIL - RETDRNRECEIPT REQI7ESTED
September 17, 2002
Eagan City Hall
Attn: Building Depart.
3830 Pi:ot Kttub Raad.
Eagan MN 55122
Re: Dave & Jolee Verbeke
3830 Bridgewater Drive
Eagan, MN 55123
Dear Sirs:
I am an attomey representing Dave & Jolee Verbeke, owners of a single-family home aT 3830
Bridgewater Drive, Eagan MinnesQta. Puxsuant to Minn. Stat. Ch. 13, the Govemment Data
Practices Act, I am requesting access to any and all files, documents or information in the City's
possession relating to or arising out of the design and construction of the Verbeke home at 3830
Bridgewater Drive. This requesY includes, but is not limited to, the following:
1. Applications for any and all building permits and the perxnits themselves.
2. All plans, drawings ar other documents submitted to the City in connection with the
construction of the home plus any comments or orders issued by the City.
3. All inspection records and notes.
SL. A .11 nr_ayr?nn??o,,.. ntec Pma5 pr nther 4?camer.4s n:he o? .YOiu+:-
.... , r. , irt . v:.. City' ls? ., .b this home.
If all items can be copied and sent to my office for under $200.00, please have them copied and
mailed to the attention of my legal assistant, Janice Danieison. Further, please phone Janice at
(952) 844-9033, with the applicable charges and she will be certain payment is made
accordingly. If the copying costs will exceed $200.00, please phone Janice to discuss the matter
further.
Thank you for your prompt attention to this request.
gardna/M avi
d margren ?~
PERMIT Cont ol No. 1139
CITY OF EAGAN --
3830 Pilot Knob Road PERMIT TYPE: g iJ I L p y N G
Eagan, Minnesota 55123 Permit Numher: 0 01. 5 5 6
(612) 681-4675 Date Issued: 10 / 0 2( 9 2
SITE ADDRESS:
3838 BF2T[JGEWATER DR
LOT: 8 BLOCKa 2
THE OfaKS DF 6RIDGEWRTER 15T
DESCRIPTION:
- r...
Buil.d"z'og Permit 7ype SF UWG
' Building"Work 7ype NEW
UBC Qecupan?Q.y R-3 M-1
GarrstruG'C,ion"1t,y pe V-N
Zaninq R-1
Building Length 68
Building 4J3.dth 55
t'i
.-._r .:•-Z, _? .._?.
REMARKS: Q D
o?- S& W CONTRACTOR - MflTTHEW pANTELS
FEE SUMMARY:
vaLuarroN $171.,000
FJase Fee $808.00 MISCELLANEOU5
__.__. $.1..s610.50
.....-..,....._??
Plan Revi,ew $677.20 Totel Fee $3,861.20
Surchai°ge $85.50
SAC $700.00
SAC ? 100
SRC Units 1
?
SubtaCal $2,250.70
CONTRACTOR:
K07 HpMES R A
7901 UPPER
APPLE Vfl4LEY
(672) 687-9513
- ApplicanT. - ST. LI
1687961.3 000156
HAMLET CT
MN 55124
OWNER:
R A KOT HOMES INC
7991 UPPER HAMLET CT
ApPLE VAILEY MN 55124
(612)687-9513
Z hereby acknowledge that I fiave read Chis application and sTate tha°t' the
infnrmat3on is oarrect and agros tv campty with all applicable 5tate ofi mn.
Statutes and G3ty vf Eagan prda,nances_
?
e
APPLICANTlP E SIGN TURE
? Au 0 A.Q LA , I rng
ISSUED Y: SIGNATUE l-
-1
PEkMIT N
REACTIVA7E ?
[ML
CITY OF fACAN ?? ? ? 1, 0
1992 BUILDING PERMIT APPLlCATION '
681-4675
6 E P 3 0 ReGD
SINGLE & MUL'fI-FAMILY 2 sets of pians, 3 registered site surveys, 1 copy of enerqy
calcs.
COMMERCIAL 2 sets of architectural fl 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 Valuation of ?prk _ 0
Site Address: ?W3 a LrlVe
SiREET 67 SU[TE /
Tenant Name: (commercial only)
IAT 8 BIACK _Z) SUSD. Oa1ci o'? d-?clyc«?ytcr P.I.D. N
/S
Descri tion of work:
The applicant is: COwner C9"Eontractor ? Other (Describe)
6.97-9S13
Name /'•A Phorie
Property .
u5, F,RS,
Owner
Address 7961 W4a.??`- ¢ c7e
SfAlAf sre r
City ? 1,91 ?y 3tate AA-) Zip S` L
Company )?e. <'*-r Phone
Contraetor Address sa..v^-.c ac a 4d Y4e- License I OCOISo,E, Exp.
City State Zip
Architect/ Company . /? .L &°sr Phone /?? 7 •- 9S'i,:3
'
Engtneer Mame J u Lk t// Lw.,l:4e n Registration #
Address gkhp
T
? _
City State Zip '
Sewer 6 water ticensed plumber A?o-AIotiJ '?a ur?(S tbl?? Lrh Processing time for
sewer & water permits is two da'ys once area as been approve .
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable 5tate of Minnesota Statutes and City of
Eagan Ordinances.
Si
t
f
?z
?a
gna
ure o
Appl icant: /
C.
.
OFFICE USE ONLY
BUtLDING PERMIT TYPE
? 01 Foundation ? 06 Duplex O 11 Apt./Lodging
002 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc.
? 03 5F Addition ? 08 8-Plex ? 13 6arage/Accessory
? 04 SF Porch O 09 12-Plex ? 14 Fireplace
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck
WORK TYPE
1$ 31 New ? 33 Alterations 0 35 Tenant Finish
? 32 Addition O 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) V- N Basement sq. ft.
(Allowable) v- lst F1. sq. ft.
UBC bccupancy (, 1 2nd F1.•sq. ft.
Zaning R"I Sq. Ft. total
# of Stories Footprint Sq..ft.
Length On-site well
Depth ? On-site sewage
APPROVALS
Plannirtg Buiiding
Engineering Variance
REQUIRED INSPECTIONS
? Site
? Wallboard
Permit Fee
Surcharge
Dlan Review
License
MWCC SAC
City SAC
Water Cunn.
blat ir Meter
Acr... Deposit
S/W 'ermit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total: .
SAC % Oo
SAC Units _L
? Footing
? final
O Framing
? Draintile
v.tu,tio,: s 191 o 00?
GaI Zp&G,. 32 x 244 C. r7('g
Z X/o- ?a
FZ?t?o= fZa ?*117 x I6 =!1! f032
81%22 = ?0? Lrvp '
??xr?f= 1?? g+ct4= 112
?
3
=
.zbX /b_ klb 3.A/I
,IS
14%`'? 9?
z
Y. (3)
2 1JZ= ?
3x?f= ?12)
?6??z=f35
0
W
IN 51
tsr F.?? ?
?T ? ?{ 3 ?(
N-?g X53
? .?i
??BBas ftnt Finish
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
MWCC System YGs
City Water Y6,,
PRY Required
Booster PumP
Fire Sprinkler Census Code
SAC Code 01
Assessments
,
? Insulation
? Fireplace
1 ,hXc? r 1q
1??tr 516
?.o X? ' ??xs3=.
?fDo3`
L r? aL - 4-1 CITY OF EAGAN CITY USE ONLY I
SUBD. ? IYG-/?? pLUMBING PERMIT
(612) 681-4675 RECEIPT #
, DATE
RESIDSNTZAL ;
' I
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS ?
WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
------------------°----_-----------------------------____------_____----_°°---- . ?
WORK DESCRIPTION
NEW CONST Xx
ADD ON _
REPAIR _
OWNER NAME:
l;.A. tiCo-?
SITE ADDRESS:
INSTALLER
NATt'fESnl DANIECS, INC.
ADDRESS: 15185 CAROUSEC. WAY
CITSC:
2IP; 55068
PHONE j/: 423-3730
COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
` REPAIR/ADD ON 15.00
SHOWER 3.00 3 • ?
WATER CIASET 3.00 `F
a BATH TUB 3.00 b• o 0
l S? o 0
S IAVATORY 3.00
t KITCHEN SINK 3.00 3?b
,L LAUNDRY TRAY 3.00. 3.00
HOT TUB/SPA 3.00
? WATER HEATER 3.00 ?bO
FLJCR DRAIL7 3.00
°
GAS PIPING OUT.
1+ (MINIMUM - 1) 3.00 ?? • ?n
LT ROUGH OPENINGS 1.50
_ OTHER
WATER SOFTENER 5.00
_ PRIVATE DISP. 15.00
_ U.G. SPRINKLER 3.00
_ W. TURNAROUND 15.00
COMMERCIAL
PLEASE COMPLETE THIS PORTION FOR ALL COt4IERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY
BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACN DWELLING UNIT.
WORK DESCRIPTION:
OWNER NAME:
SITE ADDRESS:
TENANT NAME: _
SUITE #:
INSTALLER:
ADDRESS:
CITY:
PHONE
FOR:
CITY OF EAGAN
CONTRACT PRICE:
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:
STATE SURCHARGE .50
TOTAL: S
$
(SIGNATURE)
r
CITY OF EAGAN
?csaxtcnt. PERMrr
S'UBD._O T?. /U?tJf?n?r, R (612) 681-4675
RESIDENTIAL
RECIIrr # C- O z. I? 1
DATE // 3o y
PLEASE COMPLEI'E UPPER PORTION ONLY FOR SINGLE FAMII Y DVVELLINGS. AISO, COMPLETE FOR
TOWNHOMES/CONDOS WHEN SEPARATE PERMTI'3 pBg gEQUIREp FOR EACH DWELLING i7NIT.
o?: . ?l . lLb I vn ?S FEES
STfE ADD : ./ ADD ON/REMODEL (EJIISTING
CONS1'AUC110N ONL1) $ 15.00
INSTALLER: HVAC: 0.100 M BTU 24.00
: ADDITIONAL 50 M BTU 6.00
MADDRESS: F_ . GAS OU1'LEI'S - hIINIMUM 1@ S3 EA. , OD
fk-, i / ZIP: SURCHARG& $ .50
SIGNATURE TOTAL: $ 5'5.50
COMMERCIAL
PLEASE COMPLEfE THIS PORTION FOR ALL COMMERCIAIJINDUSTRIAL BUILDINGS. ALSO COMPLEI'E FOR
APARTMENT BUII,DINGS OR OTHER MULTI•FAMILY BUILDINGS WHEN SEPARATE PERMTI'S ARE NOT REQUIRED FOR
EACH DWELLING UNTf.
WORK DFSCRIPTTON: CONTRACT PRIC& FEES
1% OF CONTRAGT FEE.
STATE SURCAARGE IS $.50 FOR EACH
$1,000 OF PERMTl' FEE. $
PROCFSSED PIPING • $25.00
$
MIPIIMiTM FEE • $25.00
OWNEIL TOTAL: $
STfE ADDRESS:
1'ENANT:
SUITE #:
INSTALLER:
ADDRESS:
CiTY: ZIP:
PHONE #: CITY SIGNATURE:
SIGNATURE
EX'fER:[CJR ENVELL71'E AVERAGE "U" COMPI.ITATIUN
OIdNF..R Bo6 and k::at Hammo cJ PLANo NO. 9-OE312-2
SITE ADDRESS_?, ?oF ?e?D?l?_
CONTRACTQR R.A. K:OT HOMES, ThJ?. !]A-?E___ 04!?'9%S'?_' F'HppJE___6
DETER,MSNE WCJRk:ING SWlJr1RE FOLITACE
448n . 04 i.
1. Total exposed w,ll area4555,865 sq.ft. ;. .li 501.1451
^. Total root/ceiliny_ area 1757 eaq.ft ;, .026 45.68=
3. Total floor cant. area 254 sq.'ft. :. 0.026 6.734
([7VE21^ l.tnhe2tE:d enclosed areas)
4. Total tioor can+.,, area 33.5 sy.ft. ; 0.014j ?"
(over unheated exposed areas) e9 1
5. Total e„pused i=ia11 are3 a6nve tlie floc,r.
4102.041
a. 1'otal tat:li uii.ndow area.................... 5'<'2.5:'2S
b. Total dnnr 3rea ........................... 37.8189
c. 1'ntUl sli.dr.nG ylass door area .............126.bti3u
d. Total fi.replacE area ....................... p
e. Total uia7.1 fir•aminG area {ave. iii%) ........ 4i.U.2!+41
f. Total net i.iali area 3L'JrJVe the floor....... 30G4.732
y. Total ri.m ,ioi.st area ...................... 37$
TOTAI EXPUSED FOL1nIDA'T TOIV ARF..A . . . . . . . . . . . . . . . . 75.8239
h. Total fnundat.i.on wi.ndow arEa .............. 0
i. Tot3l net, found?l:ion ar•ea ................. 75.8239
9513
Aetermi.ne "U" val.i.ie of Fwch wazll segment.
a. 5:^<.b228 ;; "U" 0.32 = 167.239;
b. 37.8189 >; "U" 0.06 = 2.269134
c. 126.6633 ,. "U" 0.12 - 40.53226
d. ft „ ?U?l 0 _ C.)
E. 410.2041 :. "lJ" 0.090334 = 37.05548
f. 30n04.732 ., "U" 0.043215 = 129.8501
y. 378 ,. "U" 0.040683 = 15.37836
h. 0 ,. ??U" ii.:','? _ o
i. 75.8239 ;; "U" 0.076161 -- 5.774859
6 .... ................... .............. "fotal 798.i?95'5
If item #6 is the same as or less thtan ite=m #1 you hava met the currenL
energy code=_,. 2 MCAR 1.16008 A AND 0.
fQ'T'AI_ F'XPOSf=U ftUOf=ICETI_INLi ARF'Fl
1757
j. Total st::ylic3ht are<c ....................... 0
4::. Total f1at roof!r_eili.ny firaminG area,.,..o. 175.7
1. Total net flat rooficeila.nG ar•ea.......... 1587..3
P.etermine "U° V3I4lE' for ea; h ronf/clg. segment
j . [J ;, „U?. Ct = Q
!.. 175.7 ,. "U" 0.026925 = 4.730749
?.. 1581.3 ,. ??UH 0.022795 :.. 36.04513
7......e...oo..,,e.e...e...a.........TOt;n1 (?_4(7.7'!5C'i8
lt item #/ ta tYte same <xs nr less than item #k<- YoLI haue me'L 'L-he
,. energ,y ra?.,e. 2 MCAR. 1.160pt3 A F?Pdi) 0. ..
TCJTAi. FLOOR CANT. AREA (enclosed), 259
o. Tot;sl rlaor cant. framinq .sres (ave. 10::), 25.9
p. Total net insulated f7.oorlcant. area...... 233.1
Lleter•mine "U" value fior each rloor/cant. segment.
o. 25.9 ;; "U" 0.043879 = 1.13646:;
p. 233.1 ,. ??U" 0.024254 = 5.65365
8 ................ ................... 1"otal. .; _ 14
If item #IS is tha same as or less than item t#,: you have met the
encargy code. ^ I"ICAft 1.16008 A/aND D.
TO'TAL 1='LOOR/CAN't. AREA (e>;posed)
33.5
ca. Total rloor/cant. fraini.ng tcrea tave. 10::1. 3.35
r. 'T'ntal net insul.a+,ed f:tnorfcant. area...... 30,15
Determine "U" value for each floor/cant. seyment.
q. 3.35 :, "U" 0.044346 = 0.14E3559
P. 34.15 ,. "lJ" 0.024396 = 0.735545
9 ..................................."fu'L'ci1 1p:E=
I9 item #9 i=s ttie :>ame as or 1ess th<.n item #4 vou tiave met the
eneryy cocJe. 2 MCAR 1.16003 A RND 0.
I HEF'tE6+Y CER"I"T!='Y TNA"f T HAVE CA 'ULA"I"ED "- E"L1" Ff1rTOR5 AN ' R"
VAL_I.JES HEREIN AIVD THAT 'THE EtUI ING HE _ D SCRIBED MEETS XCEEDS
THE S"'1°Al"E OF M7: NNf::SO'f A ENE FtU'Y ONSERV "f' T I`d ACT .
?
--
--.
d a t _-- -- ---Q ?Q-Q?----------------
t tr
DE'1'ERMSI'JE "U" V(-1LLJES"
THRU STUD l•JTTH S]:DING °< S.R.
interior Air...... 0.68
Sheet Rock........ 0.45
Thermo-Breaf:,.....
Stud .............. 6.93
She:at,hzng......... 2.06
5icii.ng............ 0.7t3
Er,terior Air...,.. 0.17
Total "R" Value..........., 11.07
1='R = °!J" Va1ue............ i,.09ci;;:,4
"fHFiU iNSULA'1"ION WI1-H S]:DING y< S.R.
Interior Air-..,... 0.68
Sheet Rock.......e 0.45
l"hermo--Brca4::...... i?
r__.., -'-- -- a.,
Sheathiny......... 2.06
• Aidi.nG............ 0.73
., E•::terior Air...... 0.17
Total. "R" Value ............ "'?.14
.:.,
1/R = "U" Value............ U.i4.:;^15
T'HRU CE I L. ]: NG h1EMHE R
Interior Air...... 0.E8
Sheet ftc,cF::........ 0.58
Ceiliny Memlier•.... 4.:;5
- ?
nsu a ion........ -? ?U.Y.:.
Still Air,...,..,. 0.61
Total "H" Value............ :,7oJ.fl
i/R = "LJ" Value.... ,....... p.026925
TI-IRU rEILING INSUL_ATION
IntEC'ior Air...... 0,68
Sheet Roc4::......., 0,58
Insulation........ 42
Stil.l Air......... 0.61
Tntal "R" b'a_:ue............ 43.87
]./R = "U" Va7.ue............ 0.0y'2795
THRU CONCRETE bLGrt::
Interi.or Ai.r...... 0.68
conc. P1F.i......... 1.28
In:aul.otinn., . . . . . . 11
Sheet Rk:. (opt.). i:
f-:;:tcari.rar Aire..... 0.17
Total "R" Va1uE..........,. 13.13
1/R - „U" .................a0.07E,ih1
THRU RIM JC1IS7
IntEZri.or ?i.r..,,,..
InsulaL-ion...o....
Ri.m 3oi.st..,...,..
Sheathing.,.......
Si.di.ng.........,...
E;;terior Air,....,
ii.bEi
1'3
].,89
2.06
0.79
0.17
Tota]. "R" Value............ 24.58
1/R = "11".,,. ............. 0.04063:;
U" .alcie for wi.ndai=r........ 0.32
l_1" value tor doors., .., ...... 0.06
lJ" valiae for Pati.o Ur=s..... 0.32
THRU CANT. @ P1-L`MBFR (rnrlosed)
.-?--.._-- - -
Finish Flaoring...
" ,Sheathinq.........
, .I'•:tylood... . .. . . . . .
Joist .............
Sheet RocE::........
Stil.l. Ai.r,........
7.:_
0. 9z
11..54
n.5E3
n.6i.
Total "R" Value....,....... 22.79
1.lFt = "U................... 0.0438'79
T'HRU CAN"f. @ IIVSiJL.ATTUN (enclased)
7 ntcaricir Ai.r...... 0.68
Finish F1ooring... 1.2"
Sheathi.ng......... ?.:
Plywoad........... 0,93
Insulation........ ;;(i
Sheet Ror_4::........ 0,58
Sti.7.7. Ai.r....,.... 0.61
Total "R" V<>lue............ 41.=
i.,'R - 'U'........,..,,,,....q.0'?t254
TI-IRU CANT., C ME:IMBF=R (e;:posEad )
In±erior Air...... 0.68
F=7.f17.SF1 (-.I.(7pP'117CJ._. 1,23
Underl.ayment...... c?
Plywoad..,,......,. 0.93
Joi=_st ............. 11.56
Sheathing......... 7.2
Soffiit...,........ 0.7H
E::'terior Aare..... 0.1'7
Total. "R" Vnlue............ 22.55
1lR = "U"..e ...............ci.p44.;46
THRU L'ANT. @ INSULATIOIU (e::posed)
In'r,erivr Air...... 0.65
Fini.sh Floo*,i.ny... 1.2Z
UndErlaymente...- i7
Plyuiood........... 0.93
Insu1%ation........ ;;i.:?
aheetthing.,....... i'.,_
Soffit..........., 0.78
F_"::tari.or Air... e .. 0.17
Tota1 "R" Va1ue ..........., 40.99
7.:,R _, ??U ...................(i.p:'439b
?? . ...
SUR.VfE"t(OR'S CERTIFICATE
I
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140.00
- QR„ .
SIENNA CORPORATI4N
pEy1SE0 9-24-82 TO SFIOW
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'BENCH MARK _
TOP OF PoPE
ELEV.s 905.87
NOT?: 6UlLblik WMENSIONS 3HOWN.?E
FOp lqHtONfAL 8 VFATICAI. ?-
ATION_OP..S?pTUaE ONLY. SEE
Af1CHITECtUAL PIA?iS iCR l?JIlAtN6
N FeuNbdl'ION biMENSIoNS.
i " bENOTES ?'ROPOSED SURFACE DRAINACiE
o bENoTFs IpoN MaNUMENr ser
? DENQTES iliON v10NUM?NT FOUND
XOb0.0 ?1tNOt?5 ?XISTINO ELEVATION
(Up0.0) bEN07ES PROP05ED ELEVATION
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NOTE: NO SPECIFlC SAIL9 INVESTt0ATI0N
HA4 BEEM COMh.XMON THIS
LOT !Y TNE lUI1Y!'MII• ZME
SVITABILtTY Of SONS 10 BUPO'OR?
?g ? FIECIKlHOUK rON?.i1'Y?O?F
TNE SU/MEYOR.
SCALE;IINCH - 30 FEET
PROPQSED CiAHAGE ?LOOR - 9l0 2. PEET
PROPOSED LOWEST FLOOR - yo!• $ FEET
PAOPOSED TdR OF BLOCK -q iI• ; F?T
WE.NEpEOY CEft?IFY TO SIENNA OoRPORATION THAT THIS 15 A TRUE AND CORRECT
f1tpl?EBkNTATION OF A SURVEY OF THE BOUNDARIES OF:
l.oi 8,91ock 2; THE 0,4KS OF BRIDGEWATER ?7 ADDITiuJv, xcaraing fo 4hs
Fdc6id6d 'plot ihettiof, Odkota Couofy, Mlnnesqto.
Ifi b0E3 NOfi PUpPOHT TO SNpW IMPRC?VEMENTS OR ENCaOACHMENT5, EXCEPT AS SHQWN. AS
$UI?VtVED 6Y ME OR UNDER MY DIRECT SUPERVISIaN THIS 22ND DAY OF dANUARY , 1991.
APPF?OVL6. ?Qf2 SIENNA SIG
co?l?oadrwN
INC.
?v? ?' ?`-"??"
OHN C. LARSON, LAND SURVEYOR
MINNESOTA UCEN3E NUMBER 19828
.
James R. H'ill, nc.
PLANNERS / ENGINEERS / SURVEYORS
9401 JAIv1ES AVE. S. ? BLOOMING70N, MN. 55431 0 612-884-3079
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1NSPECTI4N
RECORD Control
i No.
'CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued: !A 18;1 0F1
(612) 681-4675
SITE ADDRESS: ? c, ? ?, ? ? i ? ? ? r APPLICANT:
t;i ! ! t,f: 6JArf R fW iiun?F', Ft A ?
i f:i• t Ia 1I 1"IdHiFFi 1.'i"i :.1. ? r,?47-"l5:l;3 '
PERMIT SUBTYPE:
TYPE OF WORK:
ra k i ?
INSPECTION
. ,:I ;, D. . .•
i t+•,iii ,i r r r??a t t wr??.
1: i MA 1<F
r-
4J I:f.lyI?tfl{:illl: MAT iiiEla (lAP!!f i'-
7
_?
`
Permit No. Permlt Molder Date Telephone #
SNV
PLUMBING -
HVAC
ELECTRIC
ELECTRIC
Inspection Date Insp. Gomments
Footings I
Foundation
Framing bS+
Rooting
Rough Pibg. ?
Rough Htg.
Isul. /2??BZ - ? Iz 2 z D.
Fireplace
Q
Final Htg.
Orsat TeSt 2 Jc-/? j iL i? ^
Final Plbg. Pibg. Inspector - Notify Plumber
Consl. Meter
Engr./Plan
Bldg. Final
Deck Ftg.
Deck Final
Weil
Pr. Disp.
- c?-??? ?----------'' ---
?,
0,150
? , ??.
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA172854
Date Issued:10/19/2021
Permit Category:ePermit
Site Address: 3830 Bridgewater Dr
Lot:8 Block: 2 Addition: The Oaks Of Bridgewater 1st
PID:10-75835-02-080
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.
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 -
Ann J & David M Verbeke
3830 Bridgewater Dr
Saint Paul MN 55123--252
Janecky Plumbing Service
720 Pontiac Place
Mendota Heights MN 55120
(651) 454-9297
Applicant/Permitee: Signature Issued By: Signature