3837 Bridgewater DrPERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA111934
Date Issued:07/19/2013
Permit Category:ePermit
Site Address: 3837 Bridgewater Dr
Lot:1 Block: 3 Addition: The Oaks Of Bridgewater 1st
PID:10-75835-03-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Holly Flood
1408 Northland Dr #310
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 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 -
Kathleen T Amerongen
3837 Bridgewater Dr
Eagan MN 55123
Sedgwick Heating & Air Conditioning
1408 Northland Drive, Suite 310
Mendota Heights MN 55120
(952) 881-9000
Applicant/Permitee: Signature Issued By: Signature
? DATE: FEB 19, 1992
qE: 3837 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 Permil for the above property has been completed, but the meter cannot
he 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.
- REOUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
Address: 3837 SRIDGEWATER DR Lot 1 Blk 3 Sec/SubTHE OAKS OF BRIDGEWATER
These items wera/were not complete at the time of the final inspection.
D t: Y 28- 1992 Yes No
Fina1 grade (6" from siding)
Permanent steps - garage . V
Permanent steps - main entry y
Permanent d[iveway ?
Permanent gas
Sod/seeded grass v
Trail/curb damage
Porch
Basement finish ?
Deck
Please verify vith the builder the removal of roof test caps from the plumbing
system and the shut-off of water supply to the outside lavn faucet before
freeze potential exists. 6?
nEMimnxx
White - City copy Yellow - Resident copy Pink.- Contractor copy
e 3, 1-fe r? 5
SEDGWICK HEATING & AIR CONDITIONING CO.
8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(612) 881-9000
ADDRESS
OCCUPANT
SOLD BY
MAKE LL T7'' G-X
SERIAL NO.
THERMOSTAT 62 all?/ % J
VALVE ;7?Ud Ir0/r.sr% G?l?l./
LIMIT l GhhGl
LIMIT SEl'rING lr?-v
FAN SETTING r ?G
PILOT TYPE
IGNITION MODEL
PILOT TIMING
PRESSURE ?oGs! G pERCENT CO, YC/
/G
_INPUT CFH PERCEM O,
L:-K TEMP. n
PERCENT CO -?"
JS IFEV. it991
CITV
HEATING doe No_
TEST RECORD
OWNER
S
INSTALLED BV
P7chT/L,C
MODEL
MPUT IdQ_?d ?I`?S
VENT SIZE i
< 1?
TYPE OF LIN ER ?-Uh
LINER SIZE f, PILTERS: SIZE NUMBER
WIFING
TEST TAG
LIGHTING INST.
DATE TESTED S -J- / - I I
COMPANV TESTING ?'
'l??Ul ? •
NAME OF TESTER en.? ( ?.G/J/V1?`,n
FOFM DISTRIBIITION: WHRE COPY JOB FlLE YELLOW COPV - CITY
3 3U?9a-- /U53od'
?
J 910 9 ;
Request Date
4 ^ Q?
2 Fire No. Rough-i n paction
R u
? Raedy Nawill Notily InspeclW
Wh
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tl
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'
I
- as G No en
ee
y
I6 icensed contractor O owner hereby request inspection of ahove electrical work at:
Job AdOress (SireeL Box or Roule No.)
d Ciy
e
i
S, e ? ? Y . a
Seclion No, Township Name or No. Range No. Counyf
?
a
Occu an? ?PRINT? ?n
? PM. No.
V,Vi ?l.C WVL
UVY[ ?1 V ,
Pawer Supplie
Gfl'(G tlress
4 b-2Zvt-ii
ElecVi al Convac?or ?LpmpanY Name) ? ConlractorS License No.
Mailing Atleress ICOnvactor or OwnerMaking Installali n?
C? I, ss ? o
.u S-F-, t2
NutM1Oraetl Signalure IGOnlracmr/Owner Making Installationn I ?
V V 1'-?C- Phona NumEer
?? ????-_'?
MINNESOTA STATE BOAFD OF ELECTRICIT/
Gtlggs-MiEway BIOg. - poom S1]J I?
Cf '?7? Q?
??
1821 University Ave., 51. Paul, MN 55100
VMre (612) 602-0800 ?
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THIS INSPECTION REOUEST WILL NOT
0E ACGEPTEO BY THE STATE BOARO
UNLESS PROPER MSPECTION FEE IS
ENCLOSED.
'
j?
cl
3 30 REQUE^ax EOR ELECTRICAL INSPECTION
? See mstr? m Completing lhis form on back af yeilow mpy
°"??`e'? eeaoooioa
J /0534?
_
J 2 9l 0 ? Below Work Covered by This Request ? P1Z O 3g
e Add Rrp. TypeolBUiltling AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Elec[ric Heating
Apt. Building Dryer Other (Specity)
Comm.llndustrial Furnace
Farm Air Conditioner
Olher (speaify) ConVedarS Remarks:
Compute Inspecfion Fee Below: IV e? ?QmL 2-0c)A
# ' Other Fee S ServiceEMranceSiu Fee # CircuiGVFeeders Fee
Swimming Pool 0[0 200 Amps , QD 15 0 to 100 Q. co
7ransformers Above 200 _ Amps gbova'TOB, Amps Z19.00
Signs iinspector§ use Ony: l ybTAL
' Irrigation Booms O
Special Inspection Y?
Alarm/Communication T}iIS INSTALLATION MAY BE OR DISCONNECTED IF NOT
Other Fee COMPIETED WRHIN 78HS.
I, the Electrical Inspector, hereby R°ugh,in ? ? are z 1?, Y
/
ceniry that the above inspection has
been made. F,,,i • o le
OFFICE USE ONLY
This requesl witl 18 mon[hs (mm
4 , / 0 RESIDENTIAL
"`Z BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55722 2?
651•681-4675 ? ?
New Conetructlon Beauiremema RemodeUHeoair ReaulremeMs
• 3 registered sRe surveys shOwing sq. N. of ht, sq.8. ot house; and II roofed areas • 2 copies of plen
(20% max¢num bt coverege allowed) . 1 set of Energy CeMxdations for heated add'Aions
. 2 copies of plan showing beem & window sizes; poured lound dasign, etc.) • 1 sfte survey for azlerior additions 8 decks
• 1 set of Energy CakulatWns . Indlcate il Fwme seNed by septic syslem for add'nbns
• 3 copies of Tree Preservatlon Plen d bt platted aMer 7/7/93
• Rim Joist Delall Optbns seledbn sheet (bkgs wM 3 or less un0a)
DATE
61- (Z-OZ
VALUATION t g `7 -3> S ,
SITE ADDRESS -S' 6 3-7 ?rt ? c? ra r?? Lvr MULTI-FAMILY BLDG _ Y _ N
TYPE OF WORK ?af?.res? I 0???- ht,,jV- cfFIREPLACE(S) _ 0_ 1_ 2
SELA ROOFING & REPAODELWG :•
APPLICANT ^ 4100 EXCELSIOR SLVO
STREETADDRESS ID#o0otD5o CIN STATE_ZIP
TELEPHONE #Cel'Z ' 62S•-isd ((„CELL PHONE # FAX q
PROPERTY OWNER 1??T/ ,?I?'l,l,¢?cs?1 c,2.,?n TELEPHONE #VS Y-4 29 Z
---------------------° -- ° ----------------- --------°-------------- ----- --------------- -------
COMPLETE THIS SECTION FOR ••NEW• RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672
(J submission lype) . Residential Ventilation Catepory 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Celcula6ona Submitted
Plumbing Conhactor:
Plumbing system includes:
Mechanical Conhaclor:
Mechanical system includes:
Sewer/Waier Conhactor:
_ Air Conditioning
_ Heat Recovery System
Fee: $90.00
Fee: $70.00
re r? r? 'i nq
?.
------------------------------------------------------------ -------------------------------------------------------------
I hereby acknowledge that I have read this applicafion, state thaT the information is correct, and agree tb comply
with all applicable State of Mlnnesota Statutes and City of Eagan Ordinfapces.
Signature of Applicant
OFFICE USE ONLY
_ Water Softener _
_ Water Heater _
_ No. of Baths
Phone #
Lawn Sprinkler
No. of R.I. Baths
Phone #
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
CITY OF EAGAN p'd Q ? 9 6
•. --..: 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55721
p h I r? 2?
BUILDING PERMIT PHONE: 681-4675 Receipt a ? ??
7obeusedfor SF DWG/GAR Est.Value $162 000 Date FEB 11 ,1992
Site Address 3837 BRIDGEWATER DR
Lot I_ Block 3 SeclSub. THE OAKS OF
Parcel No. BRIDGEWATER
Name_ _CHARLES CUDD CO
oc
Address 1802 WOODDALE DR
? Cfty WOODBURY MN ZjP
¢
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?o
U
Narne _
Address
Ciry _
Phone _
#
Zp
I hereby acknowlege Ihat I have read this application and state that the
iniormation is correcl and p ee to compl with all applicable Stale of
Minnesota StaWtes and Ci of agan Ordi
SignaWre of Permitee
A Buildinq Permit is issued t: CHARi.F.S G1ID? C.O
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Otticial
OFFICE USE ONLY
FEES
occupancy R-31i-1
Zoning
R_1
Bldg. Pertni[ g57.00
(ACtuaq Const V-N Surcherga 81 . 00
(Allowable) V-N p? Re?ne?, 557.00
# of stones
Length 62 ' Uoensa 9-0
?
Depih 37 ? SAC, City 100.00
S.F.7otal - SAC, MCWCC 700.00
S.F. Footprints -
00
675
OnSiteSewage _ WaterCOnn .
On Site Well - Water Meter
0
95.0
MWCC System X q?ct. Deposit 30.00
City Water ?
PRV Required _ S/VJ Parmit 30.00
Booster Pump - SAN Suroharge .5
?
Treatmenl PI 300. 00
APPROVALS RoadUnit 3190.(1(1
Planner - park Detl.
Council
BIdg.011. _ Copias'
Variance _ TOTAL 3,810.5?
? • II;m BUILDING ZER!!I1' APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL
Q
SETS OF PLANS 2 SETS OF PIANS 2 SETS OF ARCHITECT[1RAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PIANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCUTATIONS 1 SET OF ENERGY CALCS
_# OF RENTAL UNITS
_# OF FOR SAI.E UNITS
PENALTY APPLIES iRiEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY IAST WORKING DAY
OF MONTH IN WHICH REQUEST IS HADE.
IAT CHANG E IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE SUILDING PERHIT IS ISSUED.
PROCESSING TZME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
oe
To Be IIsed For: Valuation: Date: 2,5?4Z
Site Address 383'7 B21D60WA1-C2. D2.
Lot I Block 3
Tk-
•arcel/ Sub
Oqxs OF B2iDGErjA-re-+'L.
Owner l;A2lL +e ?,l kM&QonJ VG-j
Address 3 89 Z 7a? B.?rt1 T 2q ?L-
City/Zip Code 5 Acc sa M j. 5"5123
Phone 4 54- 429 1--
Contractor C ?es CLiao C o.
Address 1907_ ti1oaD.Da?e Dr Z.
City/Zip Code \,;J oopqo¢Y M N. SS12S
Phone --7 3 1 - 3 i s 3 1 M' 946 Ar
Arch./Engr. SsCw,'F
Address
l6Z,oaa ?
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F
IISE ONLY
R-3 M-1
R-I
Y- N
V-N
?
On site sewage_
On site well
MWCC System ?
City water ?
PRV
Booster Pump _
APPROVALS
Planner
Council
Bldg. Off
Variance
City/Zip Code
z-r- z ps
FEES
Bldg. Permit
851•00
-
-
-
Surcharge 9
1
-
00
Plan Review $ r1,00
SAC, City ! Qp.vu
SAC, MWCC Ip0 .0 0
Water Conn.
J
675,0
Water Meter 95, 0J
Acct. Deposi t 327,00
S/w Permit -30-1-00
S/W Surcharge I'S?D
Treatment P1 . 300,00
Road Unit 01 00
Park Ded.
Trail Ded.
Copies
Lie.r.e uer?'r..+,w? Soo
SDBTOTAL
Penalty
Lot Change
TOTAL
Phone #
eewer/Water Licensed Contr. PvLrkt ?"?u?..3r.•sa?
?? agrees that all woTk ahall be done in accordance with
Si ature, f Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
VA l Ll AT1
?ARAIoS
ayx23=$52X/5= $Z$o
RSMT,
V
3?u2'7= /02?
73x z, L7 = /9
ll X l? ? !76
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IZ7?W= ?/o°o
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I 385 X53 =
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Z. i3%Z= z7
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I1 `6? X S3= 62?So.s
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11
02-11-SB82 86:03 612 731 4B69 G'YWLE5 CUW C0.
P.02
SUpVEYOR'$ CERTMFICA*E gIENNA OOpr9qAT10N
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, - oMorO rAOVOSED sunFncE onanua?,,;ACaAK EiVCINEERING DEP
O DENOTES IRON MaNUM8N7 SET , BCALE:1 INCH - 30 rpET
0' OCN07ES IRON MONUMEM POUND - PROPpSD OAHALiE pLpOR - 9aKo pW7
7Wo0A DENOTES EfpBnNQ BEyA7iaN .' PROPpSED LOWEST FLOpR - e99.0 PH6T .
(OOO.W. UGNOTES PROPOSm ELENATION PROPOSW 700 OF 50M - 906./ FW
r ?j.
WF HERlBY CERTIFY TO Stgryry{ CORpqqATpN T}{AT TFflB IS A TRUE AMO CORRECT
REPRESENTATION Op A BURVEY OF THE 6E1l1NDMIEB OF:
Lat I?Blak 3, THE OAK9 OF BRibOHVWITEH I5T At?DRiDN,aaaMlnq ro Mt
ndeMM pkt Ihenvl, Dolrola Cwnly, Mkmeoro,
R OOE5 NOT PURPOP7 TO BHOW IMpRpV6AABtfg DR ENGROACHMENiS, EXOBPT AS 6HOWN. A8
9URVEVEp BY ME OR UNDER MY pIRECf 6UP6RV1910N THIB P.gNO DAY OF JANVARY , tesl.
APMIOVED
RdIi SIFJNNq 810N : R. HRL.INC.
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WONNBOTA
LIOBI6E NUMB9A 19826
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inc.
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PLANNEt?S / ENGINEER3/8URVEVl7RS
Orm ?AMFS AYE. 4. • BLOOMWOSON, {AN. 6343I 4 614•BBq•7a1Y
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, . ENERGY CONSERYkfION EYALUATION
Siteadaress 383-7 8E I f-)GEin/A-+s`2 POe J ?E
Owner_ 15?l'7JL, f' i?q7rr? ?EYLONG6-t/ Contrector L.-clOD t..-o
Calculations done hy *LGE.tA.M"l Phene 73 /- 3/S 3 Date Z S
TYOe o` buii?ing ?iNC,LE ?iz-
Area (A)
Assembl .(Show calculations on -,rorksheets (SqFU U-Value U x A
( Oi: o Total Ceiiing rea, ess :y ig t
Insulated Area: Area, See Fi . 7) /Z/S . Dy 7-¢i3
Framin Area:(10% of Total Ceilin Area, See Fi . 2) 31;7- , oZ Z, 7
o Sk li hts (From Pa e 7) - *?k -
?
°i Other. (Describe) - r- ?
ci 1 Towls o
2 Avera e U-Value, (UxA)/(A) from Line 1 =*•**+?t O 2 ?*
3 Required U-Vafue (For one and two family drrellings only) t**r** .026 ****kk
(907. of Total Wall Area, less Windav and
Insulated Area: Door Area, See Fi , 3) /982. • 0S 99. o
Framin Area QO! of Total Wall Area, See Fi . 4)
indows: (From Pa e 71
Doars (From Pa e 7)
_ im Joist Area: (See Fi ..5) Otj
R
3
v
ireplace Wal4
-
-
-
w
N
°
x
oundation WaII: (Above Grade Less Windav Area See Fi . 6)
W
oundation Windows: (Fran Pa e 7)
-
'`•*"*"?'
i
ther.(Descri6e)
-
-
?-
ther-(Descri6e) -- - -
a Towls 3190 ***y** 3 /4, `7
5 Avera e U-Value, (UxA)/(A) 6om Line 4 **A*** /p *x*+?**
6 Required U-Value (For one and t++o family drrellings only) *+***k .11 ****+?*
If line 2 is less than line 3, and line 5 is less than line 6, proposed assemhlies meet code
requireaients. If line 2 is greater than line 3, or line 5 greater than line 6. complete the
followiag to determine alternata U-Yalue for total exteriar envelope.
?
0
? 7 UXA fLine 17 + UxA (Line 4), + _ *Ax**}
m
g
8
Area (Line 1) x U-Value (Line 3) _ x =
***k**
m
'
w
9
Area (Line 4) x U-Value (Line 6)
x
o "Budaet", Line 8+ Line 9 *k**k*
r
I( Line 7 is greater than Line 10, alter assembiies as required so Line 7 does not exceed Line 10 . i
If Line 7 is le5s than Line 10, proposed assemblies meet code requirements.
.
FiQUre 1 Ceiling/ROOf Insulated Area: /Z/-5' Sq. Ft.
(with attic area)
R-Value
Interior Air Film .61
Insulation SO. 00
Continuous Vapor Banier 0_00
Interior Finish s fL
Interior Air Film .61
Total Assembly R-Value .So2.3'?
Assembly II-Value (1/R) . O Z
Enter on Page 1
Figure 2 Ceiliag/Roof Framing Area: 13 S Sq. Ft.
(with attic area)
R-Value
Interior Air Film .61
Insulation 3 9..470
Wood Member 1-1,3S
Continuous Vapor Barrier 0.00
Interior Finish e$Z.
Interior Air Film .61
Total Assembly R-Value yS,/L
Assembly U-Value (1/R) .ae2
Enter on Page 1
For additional roof assemblies, see pages 3 and S.
2
Figure lA Ceiling/Roof Insulated Area: Sq. Ft.
(without attic area)
R-Value
Veated Air Space
Interior Air Film .61
Znsulation
Contiauous Vapor Barrier 0.00
Interior Fiaish
Interiar Air Film .61
Total Assembly R-Value
Assemblq U-Value (1/R)
Enter on Page 1
FiRure 2A Ceiling/Roof Framing Area: ? Sq. Ft.
(wi.thout attic area) .
R-Value
Exterior Air Film .17
Roofing
Roof Sheathiag
Wood Member
Continuous Vapor Barrier 0.00
Interior Finish
Interior Air Film _61
Total Assembly R-Value
Assembly II-Value (1/R)
Enter on Page 1
For additional roof assemblies, see pages 2 and 8-
3
Figure 3 Exposed Wall Insulated Area: /9 8 2, 9 Sq. Ft. _
R-Value
Interior Air Film .68
Interior Finish /
e?S
Continuous Vapor Barrier 0.00
Insulation ? 9. od
Sheathing e G 2
Exterior Fi.nish. ? C/7
Eaterior Air Eilm .17
Total Assembly R-Value
Assembly II-Value (1/R) . OS
Enter on Page 1
Fif;ure 4 Fsmosed Wall Framing Area: 3/9 Sq. Et.
R-Value
Interior Aiz Film .68
Interior Finish .VS?
Continuous Vapor Barrier 0.00
Woad Member G -165
Sheathing •G 2
Exterior Finish
Exterior Air Eilm .17
Total Assembly R-Value ?• ? ?
Assembly U-Value (1/R)
Enger on Page 1
Por additional wall assemblies, see page 8.
4
FiRure 5 Expose(i Wall Rim Joist Area: Z Z Z Sq. Ft. .
R-Value
Interior Air Film .68
Vapor Barrier 0.00
Insulation • 00
Woad Member A 6 6
Sheathing • l' Z
Exterior Finish
Exterior Air Film .17
Total Assembly R-Value 22 - ?2
Assembly U-Value (1/R) • ?y
Enter on Page 1
Notes: 1) Floors over nnheated spaces. Far floors of heated or mechanically
cooled spaces over ffiheated spaces, the overall U-Value
for the floor shall not exceed 0.05_ For floors over outdoor
air, such as overhaagst the onerall U-Value for the floor
shall meet the same req+•;rement as for raofs, U-Value of
0.04.
2) Slab-oa-grade flaors. For slab-on-grade, the insulation
around the perimeter of the exposed floor shall have a
m+nim„m R-Valne of 6.4. The insalatioa mnst extead downward
from the top of the slab a miaimum cf 3'6" or dowaward
to the hottom of the slab then horizonWlly beaeath t3ie
slab for aa eqaivaleat distaace.
3) Vapor barriers. The max;mum perm ratiag 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 .
continnous with all jaints overlapped and made aver framing
members ar blocki.ng.
4) For notes oa foundation wall see page 6.
5) For additional assemblies not illustrated use worksheet
on page S.
5
. Fiqvre 6 Exposed Fovndation Wall Area
Concrete Slock or Poured
Concrete Fouadation Area: //O Sq. Ft.
R-Value
Wood Founda on Insulated
Area: Sq. Ft.
Interior Air Film •68
Con[inuous Vapor BarrieY 0.00
Foundation Wa11
Insulatian S". vU
Exterior Air Film •i7
Total Assembly R-Value ?'??
Assembly U-Value (1/R) • !?
Enter on Page 1
1) OalY the abare grade azea of the £oundasiaa wall is
to be inCluded in the energy calculaiions.
2) 'Clu Eneryr Code zequires shat, if the floor abave the
bueaeat oz cnxl space is aos iasulased, the £ouada-
ston vall aust be infalated. Either the Eoundatiaa
mssL have a ninieuu 0.-10 iasulaiioa applied izom the
top of the £ouadasion co the frosz liae ar a minimum
R-S insnlasion applied orer the entire Foundacion
vall. The A-Yalue speci£ied iz for the insulasion
.,unal onlr. SJ I£ ridgid £oam insulacion is so be applied ta the
ezterior of the fuundation rall, r1u above grade
portioa musL be protected £rom the sua, the veather
and physical abuse. {) If ridgid foan icsulasiaa is so be anplied to the
iaterior, it ausc be proeected by minimum 1/Z" gyp.
6oard or eQwl (as speeificd in seesion 1:12 af the
Uniform Buildiaq Cade).
5) Faundatioa vall insulziion far vood £oundat3ons musc
he iastalled as specified hy the Vacional Foresc
Produccs Associatian•s Oesign Manual.
Flood F7!! Framed
Area: Sq. F[.
R-Value
Interior Air Film .68
Continuous Vapor Barrier 0.00
Foundation Wall (Plyvood)
Wood Member
Exterior Air Film •17
FTo Assembly R-Value
P.ssembly U-Value (1/R)
Enter on Page 1
b
SKYUGHT, WINDOW ANO DOOR ASSEMBUES
ManufaC,urel
Manufatture Na,
No. Used I Tatal Sash Area(A)
I -Va
ue
R-Value I U=1/R I
'
U x A
I
I
Paqe 1 XX
uT,tals X X XXXXX
Windaws MamrfacCtro Mamifactvee No. No. Used Tatai Sash Area U
x
yo 46 Atio?ss.i 2 /3? l?
o =
6 2
7 ,
3?FS2 ? 4. / I 4?S
3o6z ? 3- 4S, ? /4.9'
Gi4-S . 2 /b,a S, l
?.?zs ia.¢ s, g
Wi3S 2 (2,0 3.8
ota s EtRC P e 1
1-
PERMIT # ?
REACT'i i"ATE
CITY OF EAGAN NU o I)
1992 BUILDING PERMIT APPLICATION
681-4675
SINGLE 8 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of archltectural & 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 whi
h
c
re uest is made or lot chan e is re uested once ermit is issued.
h Date Valuation of work
LZ ?. OD
_
Site Address: ;? ?>
2 ? [? ??
, •
,?
? ?
A
.
s
,??
, ,
,??
?,
STREET SUITE N
Tenant Name: (commercial only)
IAT ,? BIACR ? SUBD ? C9-? ? ' P . ?D . 0
Descri tion of work: fb X+ . z-
The applicant is: p Owner llcl Contractor ? Oth21' (Deecrtbe)
Property Name AME7k0A-12E-wJ P,9vL 4NO &-ATtlY Phone
LASr
FIRST
OWner
Address _3??3 7 62c6??e?c.a??ti?
Cli .( U?
, . SiREET STE I
City ?C_€State -/71? Zip
Company I?ovS; o0 c? 4-?s?oti-l ['nNsr- Phone y(
?
' Contractor Address -22 - o? sT? License #0006-6 Z- EXp
N
,
City tare ? ip SSa`i 1/
Architect/ Company Phone
Engtneer Name Reglstration #
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 Stat of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicent: ? 6n.cc.,? ??
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation
? 02 SF Dwg.
? 03 SF Additian
El 04 SF Porch
? 05 SF Misc.
? 06 Duplex
? 07 4-Plex
? OS 8-Plex
? 09 12-Plex
? 10 Multi. Add'1.
? 11 Apt./Lodging
? 12 Multi. Misc.
? 13 Garage/Accessory
0 14 Fireplace
15 Deck
,
r .
? 16 Basement Finish
? 17 Swim Pool
? 18 Comm./Ind.
0 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
31 Ne
Addition
? 33 Alterations
O 34 Repair
? 35 Tenant Finish
? 36 Move
O 31 Demolish
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
SAllowable) lst F1. sq. .ft. City Water
UBC ccupancy R-3 2nd F1. sq. ft. PRV Required
Zontng Sq. Ft. total Booster Pump
# of Storfes Footprint Sq. ft. Fire Sprinkler
Length ? 6. On-site well Census Code 3-
Depth IH On-site sewage SAC Code
QPPROVALS
Planning Building Assessments Engineering Yariance
REGIUIRED INSPECTIONS
? Site ? ?.ing . O Framing ? Insulation
? Mallboard Fina ? Draintile ? Fireplace
Permit Fee v.iuatimd g
Surcharge
Plan Review
n ?
MWCC
SAC
City SAC
Mater Conn.
Water Meter ,
Acct. Deposit
S/W Permit
S/N Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
CoPies
Other
Total:
SAC %
SAC Units
P.02
eL-11-iBB2 09:07 612 731 40W py?L6 qpp Cp.
BUIIVEYOR'$ CEIS7IFICMtE sIeaNU, mproMarroN
p?dI.
`°?$?E ??n _
W
a -?
LOT r
? pircN
b
JOHN C. URBON, UNb BURVEVpR
MINWF90TA LKWVBE NUMB9R 10BY$
r-- e r
? ?? ITD.e4 • 3!s'4Bb? ??
r
•?. ?1 s
+ MoTM pRovosmsurtKAceoannNuog:il,::.
AiV liN:a'sCe'::=£i;iNG DF:r^
.
O OkNOiEy IRON MONUMlHT SET BCN.E: 7 INCH -!0
S' Dl1dOTES IRON MONUM&IT FOUND MLgT
PROPOBSID DARA4E FLOOR - yeKo
xaoo.o DstorU OaenNq aEVAaow PnvPOeO LowEBr FLoon - efto PEET
PW
aoo.ao. osnoTEs vHOPOsED aEanoH rROrosm nva oF Moac - 906./ PNET
. ,t•
REP
Rl69YTATbN OF A BURVEY ? E BE! NCARI? OF:?T TFNB 4 A 7AUE AND tORRECi
LN I,Bleek b, THC OAiq 010 Mb?YW%t? IS7 qpDrtpN, eamrdirp la fhe
nlswim plof fMnol, polM counly, YMwq?a.
IT DOES NOT PURPORT TO BNOW IMiROVilr{gNg pq SNGqpApHMENTS, pWgrT tiy gHOWN. A8
BU11VE1'ED BY ME DR UNDER MY pIpECT gUp6qyIyIpN THIB P$JD pAy OF JANVARY
9
, tY
1,
COINCWTION FOR 81ENHA 8W 1 / 6? R. HtL1.. INC. ?
//
)ames R. Hill, inc,
PtANNEHS / dVOINEERS ! SURVEYpRS
uw JArft AvE, e, 0 6woMlNaroN, uw. aust . s?x•esawQa
A
t t
A?J I ?
' .s
?k . a.?.
BY, . .. , , . '
CAT[M .
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
FOR CITY USE ONLY
PERMZT #
RECEIPT #
DATE: ?
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
----------------°------ ------------------------------
WORK DESCRIPTION
NO.
NEW CONST
ADD ON
REPAIR
OWNER NAME: ? I?YI yP9 r917/' 4?,P?'
SITE ADDRESS: 2 ? tY IlfiiT-,on
LOT:/ BLOCK ? SUBD;A & lu?X ?r? l< ?
INSTALLER: D
ADDRESS: /eo I rn!1-
¢ J
CITY: ZIP:
COMPLETE THE FOLLAWING:
FIXTURES EA.
ADD-ON MINIMUM 15.00
SHOWER 3.00
WATER CLOSET 3.00
BATH TUB 3.00
LAVATORY 3.00
KITCHEN SINK 3.00
LAUNDRY TRAY 3.00
HOT TUB/SPA 3.00
WATER HEATER 3.00
FLOOR DRAIN 3.00
GAS PIPING OUT.
(MINIMIJM - 1) 3.00
ROUGH OPENINGS 1.50
OTHER
WATER SOfifENER 5.00
PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
?
TOTAL
SUBTOTAL S
ST. SURCHARGE .50
TOTAL: $ ?2 .'?PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
-------------
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
LOT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE
FOR:
CITY OF EAGAN
wi
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18
STATE SURCHARGE
TOTAL:
$
$
(SIGNATURE)
Lot Block ?
Subd.
UNDERGROUND SPRINKLER SYSTEM
PLUMBING PIItMIT
Date
Receipt
_ Coaunercial: $25.50 + water tap if required. (City installs all taps up to 1"). If
adding new service, a water permit will be required, as well.
? Existing residential: $15.50 (Plumbing permit not required if backtlow preventor was
previously installed).
_ Residential develonments: Fee to be determined by building inspections department.
May require payment of water permit, plumbing permit, WAC, and water treatment
plant fees.
' 3 7 - r SA?
(Address to be sp ` ered)
-..-a..?n,..,.m/Plutnber: . •?'2?? ??.e%J?+?c9' ?
Phore #: yo2 ?- 7z- cf? U
Street Address:
City, State, ,Zip: 9
Owner Name:
Street Address: 3• ?? ?'- _ ?
Phone #:
Irrigation Contractor:
Phone #: y o2 7-?? 7 C?
I hereby aclmowledge that I have read this application and state that the information is
conect and agree to comply with all applicable City of Eagan Ordinances
' ? • =u ' D. /<.
cc: Engineering Department /Z ?? &? 7?0 ?
lU
lU
40 CIT4 OF. EAGAN FOR CITY USE ONLY
f ? 3830 PILOTIRNOB ROAD
EAGAN, MN 55122 PERMIT #
PHONE: (612) 454 8100 RECEIPT
?C?NxCAty-;"I - , , - ,TT; DATE: 4114
PLEASE COMPLETE OPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUTRED FOR EACH UNIT.
WORK DESCRIPTION
NEW CONST _
ADD ON _
REPAIR
OWNER NAME: ?
SITE ADDRESS:
LOT: I BLOCK ? SUB .
INSTALLER:
ba :'? \>: V 1i .l I '?
ADDRESS: HEATING & kIR COiNC T10TMG C0.
MINNEAFOLIS, LiN 65420
CITY: w?.??mJZIP: PHONE #:
FEES
ADD-ON MINIMUM
HVAC 0-100 M BTU
ADDITIONAL 50 M BTU
GAS OUTLETS - MINIMUM
OF 1 PER PERMIT
SUBTOTAL:
STATE SURCHARGE:
$15.00
24.00--
6.00-
3.00 ,
S J ,L+7J
.50
TOTAL: $ . iL56
?ule ?J ii?lL?g.
SIGNATURE OF PERMITTE -77vst-=
i?Q3+Q4ERCIALfII!I?AST?tTAT.: PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS,
APARTMENT SUILDINGS, AND MULTI-FAMILY BUZLDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
-------------
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
LOT: BLOCK SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE
FOR:
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE - $.SO FOR
EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING = $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18 $
STATE SURCHARGE
TOTAL:
$
( S IGNATIJRE )
CITY OF EAGAN
? _ BGc 3 CITY OF EAGAN
PLUMBING PERMIT
SUBD. (612) 681-4675
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS
WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION
NEW CONST ?
ADD ON _
REPAIR _
OWNER NAME: lCtc, t H/VL P/'
SITE ADDRESS: 3g37 Z1`JqPlt+ujP/' 61"•
INSTALLER: d.JUf[F/' ??? • r/LC .
ADDRESS: ? 7D?p GO , ? . ? ?
CITY: G7'Gts?ciec oA_?. LJ ZIP: SyD /.S
CITY USE ONLY
RECEIPT e,01 7 -Ig
DATE 3 4 9S-
ALSO, FOR TOWNHOMES AND CONDOS
COMPLETE THE FOLIAWING:
N0. FIXTURES EA. TOTAL
REPAIR/ADD ON 15.00
/ SHOWER 3.00 3 -
? WATER CIASET 3.00 ?
?- BATH TUB 3.00
LAVATORY 3.00
/ KITCHEN SINK 3.00
? LAUNDRY TRAY 3.00 T
HOT TUB/SPA 3.00
/ WATER HEATER 3.00 ?
? FIAOR DRAIN 3.00 3-
3 GAS PIPING OUT.
(MINIM!]M - 1) 3.00 9-
? ROUGH OPENINGS 1.50 ?5D
OTHER
_ WATER SOFTENER 5.00
_ PRIVATE DISP. 15.00
_ U.G. SPRINKLER 3.00
_ W. TURNAROUND 15.00
$TATE SURCHARGE .SA
O?
TOTAL: $
COMMERCIAL
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MITLTI-FAMILY
BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
WORK DESCRIPTION:
OWNER NAME:
SITE ADDRESS:
TENANT NAME:
SUITE #:
INSTALLER:
ADDRESS:
CITY:
PHONE
FOR:
ZIP:
CONTRACT PRICE:
1% OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
EP,CH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL:
$
(SIGNATURE)
CITY OF EAGAN
PHONE #: -7 I$' 7 9& - -5-30 S
RUCztvAIE aox cECt Pc.AN REVIEWEn 7/29Q2
"H6". b''MTS"t'M (XX+1Sr. 461-2121
(gtr#tft??tt of (O.rruvattry
Citp of (Eagan
Brpartatptt# a# BWOing JnWPrttnn
This Certifrcate issued pursuant lo the requirencentr of Section 306 ojlhe Uniform Building
Code cenifying [hat a1 the time of issuance this structure was in compliance wilh tlte various
ordinunces oj[he City regulatiRg building rnnstruction or use For the foUowing.
U,,p„a.6. SF DWG/GAR M4.Paraft No. 20096
pca,pa,cy Type R- 3 M-1 yoa;ng pj0,;u R-1 Type Cu. V-N
0wva41ei&thw CHARLES CUDD CO Add= 1$02 WOODDALG DR
Bmldiog Add= 3$37 BRIDGEWATER DRL-&H(Y `tF(E OAKS OF BRID(EWATf.R
Mv- PIAY 28, 1992
e.Odi.8 officw
POST IN A CONSPICl10US PLACE
IM RE??ITVAT'E FCY_t DEaC-PLAN RLN",'WED 7/24142
' t30USInN &HOI751ON CoNST. 461-2121 CITY OF EAGAN •t ,ti,ti n?.,,?
3830 Pilot Knob Road, P.O. Box 21-199. Eagan, MN 55121 "
PHONE: 681-4675
BUILDING PERMIT
To be used for ;>p [1kJC,/Go?: Est. Value
Site Address ? 7
Lot Block Sec/Sub. ??? •
Parcel Na F t`! J,`" . i r`:
Name • .: J'; •'
Z Address • , G'ODUUAI.?. ?+.
"°5
? C?y Zp 5i1`?
o
Phone
? Name •- ? Address
? Ciry Zp
o Phone
U
LIC211S8 #
I hereby acknowlege that I have read this application and state that the
information is correct and agree to comply with all applicable Siate ol
Minnesota Statutes and City of Eagan Ordmances.
Signature of Permitee
A Budding Permit is issued to:
on the express condition that all work shall be done in accordance with ail
applicable State of Minnesota Statutes and City of Eagan Ordinances.
8uiiding ONicial
Receipt #
Date
1gYL
OFFICE USE ONLY
FEES
Occupancy --
? ?
?'V
Zoning
Bldg. Permit
•
(Actual) Const Suroharge 61.00
(Allowable) Plan Aeview
?
557.
# ol Stories
?
5
Length 6 ucerise
Depih -' SAC, City 1001
S.F. Total - SAC, MCWCC 70`-'
S.F. Footprinis -
".' ??' t:"
On Site Sewage _ Waler Conn
On Si te Well water Meter 95.
?
MWCC Syslem _ 3 0. ?
Acct. ?eposit
Ciry Water _ ' 310.00
PRV Required - 5,
W Permit
Booster Pump - S?W Surcharge " .910
Treatment PI '' `t''.
APPROVALS Road Unrt
Planner - park Ded.
Council
BIdg.OH. _ Copies
Variance - TOTAL
Permit No. Permit Holder Date Telephone #
,,S
PLUMBING
HVAC
• G ? 0 ?I - S?v
ELECTRIC ?l/L' '.,?c.? '.l? - 3 l ?D(v oa
ELECTRIC
Mspection Date Insp. Comments
Footings I ?- 3• Z S
Foundation A
Framing
Rooling
Rough Plbg.
Rough Htg. ' -9? Cf? 4 l{ ?j
Isul. 3- _ f Z S
Fireplace 3 -?/-gZ
Final Htg.
Orsat Test
Final Pibg. Plbg. Inspedor - Notify Plumber
Const. Meter
Engr./Plan
Bldg. Final
Deck Flg.
Dedc Final l-
Well
Pr. Disp.
- -I`z ??? ?C?' SI -'s---.Y•' ',. ?
SEWER & WATER PERMiT
CITY OF EAGAN
3830 Pilot Knob Rid.
Eagan, MN 55122-1897
DATE FEB 11. 199
OFFICE USE ONLY
METER #_."' a', I t ? L-? PERMIT DATE
CHIP# PERMIT# 551
METER SIZE ? 5 `r B.P. RECEIPT #?-- ??-•
ISSUE DATE B.P. RECEIPT QATE 02 /1
PRV - BOOSTER PUMP
I SITE ADDRESS 3, DR
I LOT i BLOCK SEC?SUB i'HE OAKS OF BRIDGEWATER
APPLICANT:
ADDRESS:_
CITY, STATE
PHONE: -
PLUMBER: POLAR PLBG
ADDRESS: 6087 46TH 5T N
CITY STATE OAKDALE MN ZIP 55128
PERMIT REQUESTED
X SEWER x WATER - TAPS
_ COMMrIND _ RESIDENTIAL
x NEW - EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
PHONE: 777-7525
I AGREE TO COMPLY WITH CITY OF
OWNER: CNARLES CUDD C() EAG ORDINANCE ,
ADDRESS: 1$02 WOODDALE i_?. V-P
'
CITY, STATE G!('ODRIfIZY M*i ZIP 5512?
PHONE: SIGNAT R WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
ZIP
SEWER & WATER PERMiT
CITY (5F EAG+i4N
3830 Pilot Knob R,d.
' Eagan, MN 55122-1897
DATE
OFFICE USE ONLY
METER # PERMIT DATE U2/1(;! 1;2
CHIP # PERMIT #
METER SIZE B.P. RECEIPT #
ISSUE DATE B.P. RECEIPT DATE 1-2
;' .
PRV _ BOQSTER PUMP
SITE ADDRESS 3, !, • ?-'ATER DR
LOT 1 BLOCK SECiSUB Tl1E CAKS OF BFInGEWATEE
? APPUCANT:
ADDRESS:_
CITY, STATE
PHONE: -
ZIP
PLUMBER: PDLAR PLBG
ADDRESS: 6087 66T1? Sl- r<
CITY, STATE OAY.DAI.F. rTN ZIP 55126
PHONE: 777-7525
OWNER: CHARLES CUDD CC'
AoDRESS: 1 A02 wOnDnat.r F4:
CITY, STATE ZIP
PHONE:
PERMIT REQUESTED
X SEWER y WATEFi - TAPS
_ COMM;IND _ RESIDENTIAL
x NEW
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.
t
Use BLUE or BLACK Ink
I For 0-11-c-9 Use I
d E* j Permit J`. f Ifl I
WIT I RECEIVED
Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 AP 201 j Date Received:
Phone: (651) 675-5675 1 I
Fax: (651) 675-5694 1 Staff.
2014 RESIDENTIAL BUILDING PERMIT APPLICATION U a j 1
Date: Site Address: 3'? 11 b, . l 2 71)'-:'.Unit
Name: I'k n ttk_i A r, z r"o. -.c AJ Phone: S"It - G t z
Resident/
Owner Address / City / Zip: D w
C
Applicant is: Owner Contractor
Type of Work Description of work: A L l p/r"7 wG A
Construction Cost: Multi-Family Building: (Yes / No )
Company: Tom, b - t,, .a R'.. I r~Cr Contact: i 4 ,A
Contractor Address: o" u q 14n, r i r A td,- S, City; l r Wt ,v
c
State: 04 ti Zip: Phone: 71 S L - ? - 2 - I y
License " v y I ~-Z q Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
1rnj ~ I -I
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 wv considered to be public Information. Portions of
the information may be classified as non pubUc 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 Cali at (651) 454-0002 for protection against underground utility damage. Call 48 hairs
before you intend to dig to receive locates of underground utilities. www.gooherstateonecall.om
I hereby acknowledge that this information is complete and accurate; that the work will be in confomlance 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 approval of plans.
Exterior work Ali thorized by a building permit Issued In accordance with the Minnesota Stui ing Code must be completed within 180
days of pemmt I i ance.
X x.
Applicant's Printed Name Appli is i na
Page 1 of 3
r,)ot:H,t- pk~
3?,S 7 /3od,
DO NOT WRITE BELOW THIS LINE
SUB TYPES
_ Foundation Fireplace _ Porch (3-Season) _ Exterior Alteration (Single Family)
_ Single Family _ Garage _ Porch (4-Season) Exterior Alteration (Multi)
Multi Deck Porch (Screen/Gazebo/Pergola) - Miscellaneous
01 of - Plex _ Lower Level _ Pool _ Accessory Building
WORK TYPES
_ New _ Interior Improvement T Siding Demolish Building'
Addition _ Move Building _ Reroof _ Demolish Interior
_ Alteration _ Fire Repair _ Windows _ Demolish Foundation
_ Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall Vemolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation O em Occupancy MCES System
Plan Review Code Edition -Icy 7 SAC Units
(25%_ 100%z Zoning City Water
Census Code 1~f Stories Booster Pump
# of Units Square Feet :10? PRV
# of Buildings ! Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final / C.O. Required
Footings (Addition) J~- Final / No C.O. Required
Foundation HVAC _ Gas Service Test Gas Line Air Test
Roof: -Ice & Water -Final Pool: -Footings Air/Gas Tests -Final
Framing Drain Tile
Fireplace: -Rough In Air Test -Final Siding: -Stucco Lath -Stone Lath -Brick
Insulation Windows
Sheathing Retaining Wall: _ Footings _ Backfill _ Final
Sheetrock Radon Control
Fire Walls Erosion Control
Braced Walls Other:
Reviewed By: Building Inspector
RESIDENTIAL FEE Pre ZAL -TO? /p ~G4
Base Fee -7--
Surcharge /~A~J~L/P 1 / •t ~4'"
Plan Review y MCES SAC 900.5-
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
SUIRVEYON18 CERTIFICATE SIENNA CMMRATION Y`
17:5. ply
ld''fo =
$`'G a 71 N
Sarlt
e
LOT
f
1 g aC ~8'-G' r
t 7'd~ F
n L
-'f A
Ulf-
w{. 4 i^ .yr.wa~llrr •~rs►'f~.w~'In .A . ~fWi~J...
r TI NS DIVISION
,,AGAN EN
Dm()lm PAmORD suRfAcEmvm0v ERING
O MNOM IRON #+AQMMIal T SET
AL
-
S' T IRON MOR M f FCnJND PROKSWO GA MOP FLOOR myav~ c r.
X000.0 DMOTIS ISTttr O &-wAllcN . ' PRA LOWEST FLOOR 017o o P
MOM. DENOTI8 PROPOSED ELEYATIC)i i PRMSED TOO OF vL6W laer.1 P
t / N A! = 07e 41
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City of EaRdPermit REC I Permit Fee:
3830 Pilot Knob Road 2 ~61 Z 2 ° I
Eagan MN 55122 ~a I Date Received: C-I
Phone: (651) 675-5675 I I'~ 7
Fax: (651) 675-5694 i Staff:
/2/014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 2 1 `-f Site Address: Unit
Name: Pklleu- U Phone: 65 ~ST q 2q2-
Resident/
Owner Address / City / Zip: _3,737 Applicant is: Owner - Contractor
~ 6C, ~ 41W t ~(/Ci bail
Type of Work I Description of work:
11 ~
Construction Cost: 6~ J yU0 Multi-Family Building: (Yes / No
I e Contact:
Company:
~c W Address: 17yx A City:
Contractor II,n,,~~ 3$73
State: rV~ Zip: s (23 Phone: ~1 Z 675 Email: U D 5 Z Ct{
I
License Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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 they 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. www.-gopherstateonecall.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 approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Bui g Code must be completed within 180
days of permit issuance.
xP0-~, I V'I'D VWVV X
Applicant's Printed Name Applicant's Signature
Page 1 of 3
,-l 0 e r~J'et- 0~
DO NOT WRITE BE OW THIS LINE
SUB TYPES
y6undation Fireplace _ Porch (3-Season) _ Exterior Alteration (Single Family)
Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Multi)
Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Miscellaneous
01 of - Plex Lower Level Pool Accessory Building
WORK TYPES
_ New _ Interior Improvement _ Siding _ Demolish Building*
ddition _ 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 C Occupancy- MCES System
Plan Review Code Edition (7qj SAC Units _pApaq (25%_ 100%) Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC _ Gas Service Test Gas Line Air Test
Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final
Framing Drain Tile
Fireplace: -Rough In -Air Test -Final Siding: _Stucco Lath -Stone Lath -Brick
Insulation Windows
Sheathing Retaining Wall: _ Footings _ Backfill - Final
Sheetrock Radon Control
Fire Walls Erosion Control
Braced Walls Other:
Reviewed By: , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
V_
Copies TOTAL 1~ f~ Page 2 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA126685
Date Issued:09/05/2014
Permit Category:ePermit
Site Address: 3837 Bridgewater Dr
Lot:1 Block: 3 Addition: The Oaks Of Bridgewater 1st
PID:10-75835-03-010
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Fixtures
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fixtures:Remodel master bath
Mike Schiltz
P.o. Box 22172
Fee Summary:PL - Permit Fee (miscellaneous)$55.00 0801.4087
Surcharge-Fixed $5.00 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 -
Kathleen T Amerongen
3837 Bridgewater Dr
Eagan MN 55123
Hessian Plumbing Services
Box 22172
Eagan MN 55122
(651) 681-8252
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA161476
Date Issued:05/28/2020
Permit Category:ePermit
Site Address: 3837 Bridgewater Dr
Lot:1 Block: 3 Addition: The Oaks Of Bridgewater 1st
PID:10-75835-03-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
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.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$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 -
Kathleen T Amerongen
3837 Bridgewater Dr
Eagan MN 55123
(612) 840-5484
Milbert Company (culligan)
1801 50th St E
Inver Grove Heights MN 55077
(651) 451-2241
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA164326
Date Issued:09/24/2020
Permit Category:ePermit
Site Address: 3837 Bridgewater Dr
Lot:1 Block: 3 Addition: The Oaks Of Bridgewater 1st
PID:10-75835-03-010
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Kathleen T Amerongen
3837 Bridgewater Dr
Eagan MN 55123
Sela Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823-8046
Applicant/Permitee: Signature Issued By: Signature