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3838 Bridgewater DrCity of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 3838 Bridgewater Dr Lot: 10 Block: 2 Addition: The Oaks of Bridgewater 1st PID:10- 75835- 100 -02 Use: Description: Sub Type: e- Reroof Work Type: Replace Description: House & Garage Census Code: 434 - Zoning: Square Feet: 0 Comments: If there is no ice protection inspec acceptable in lieu of inspections. Fee Summary: Valuation: 3,000.00 Contractor: Royalty Remodelers 4411 Slater Rd Eagan MN 55122 (612) 414 -8199 BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Construction Type: Occupancy: Permit Type: Permit Number: Date Issued: Permit Category: on prior to final, you must meet inspector with ladder and flat bar. Pictures are not Owner: Paula J Madsen 3838 Bridgewater Dr Eagan MN 55123 $88.50 0801.4085 $1.50 9001.2195 $90.00 Building EA080880 11/05/2007 ePermit 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 INSPECTION RECORD CITY OF EAGAN PERIUIIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: PERMIT SUBTYPE: APPLICANT: TYPE OF W4RK: ? ? Permit Na. Permit Holder Date Telephone #I ELEC7RIC PLUMBING HVAC Inspection Date insp. Comments FOOTINGS • FOUND FRAMING ROOFf NG ROUGH PLUMBING PLBG AIF TEST FiDUGH HEATING GAS SVC TEST fNSUL GYP BOARD FIREPLACE FIREFLACE AIR TEST FINAL PLBG FINAL HTG I ORSAT TEST BLDG FIN.4l ? BSMT R.I. BSMT FINAL DECK FTG DECKFiNAL / ! /!V? fVr' ? -?-- INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 , SITE ADDRESS: APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: ? _? Permit No. Permit Halder Date Telephone # ELECTRIC ?16 17 9 PLUMBING HVAC Inspectlon Date Insp. Comments FOOTINGS FOUND FRAMING RGOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL .? GYPBOARO FIFiEPLACE ? G? Z (I FIREPLACE AIR TEST n N FINAL PLBG - / ? FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL l DECK FfG DECK FINAL ?SPECTION RECORD CITY OF EAGAIV PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: PERMIT SUBTYPE: APPLICANT: TYPE OF WORK: 7 -1 Permlt No. Permit Holder Date Telephone k S/W PLUMBING HVAC - , ELECTR iega- d ELECTRIC Inspection Date Insp. Com ments Footings I a/lVy ? ? ? - - 3 / Founciat,G, Framing f ? Roofing P?r?«r /y?.,.:.?/z? - ??25??5?/ ?Q _ ' 07 -?. Cuv D ?- G 2 Raugh Plbg. r' Rough Htg. d IsUl. zA,-f ?. Fireplace Final Htg. Z , c3 ! ? • e•? . « Orsat Test ? Final Plbg. ? PI Inspector- Notify Plumber Const. Meter -- Engr./Plan Bidg. Final ( Deck Ftg. Deck Final Well Pr. Disp. ? - - - . , i. WeL`tifiCQtC df CCCIipQIiC? Wit? of Cfagan Zeparha¢at of ?tti[binq ;?n?pection This Certificate issued pursuant ro the requiremenrs nf 1he Uniform BirilditrK Code certifyrng that at the trme ojissuance tiris srructure was in correpfiunce wi1h the various ordinances of rhe Ciry regulating building corcctraction or use. For the fn(lowinX: Use Clacsifica[ion: Bldg. Pertnit Na 22823 Oc-Pa^cY TYPe ...4m l "Loning District Type Consi. VN Owner of Building ' 2;; ?XtEG Address 160);'`77_ ti T. EMAN euildmg Address IMTiYE3JA'TFR D2T'111' Localiry T,10. }SZy 12IL' CIAKS C)'i'' T?.?'i?' aATE-F - Dam: Building Official POST IN A CONSPICUOUS PLACE '+' Address 3838 BRm94nM DRIVE Zip 5512 3 io Blk 2 Sub nE naus cF tuzrm,FwarFa L,ot ? THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: a?f !J Yes No Inspector: Final gtade (6' from siding) ? Permanent steps (garage) Permanent steps (main entry) Permanent driveway i/ Permanentgas Sod/Seeded grass vl? TtaiUcurb damage Porch v Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shuFOff of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 6814645 before working in right-of-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Conlractor Copy ? / 3 9 7 OFFICE VSE ONLY This reqcestvoid 18 monPos 6om wlidaNon dam prinled in this 6q! / P ?7 ?J f?• /' * 0 4 1 6 1 5 8 4* pLEASE PRINT OR TYPE V ley??' xaBM? ??,?n? ?w,ea? ?r? ? w ' InzpecNOn Olher lhan RougMn: ? R dY rbw O wm caii $ Q? ? 3 ou must mll ?he inspecror when reody) ?I Dole Reody: aQ p M A I, ? licensed conhoclor Egowner hereby request inspeclion of the above el 4 g? Job Address (Sneet, Box, n Roob No.) 33'io GRiOC-vn1 p 7?12 D 2 . Ciy er(6-? Zip Code S>-12 3 Section No. Township Name w No. Range No. Fire No. Caunyq- ?p Occopam V11 µ.-Gl.Y?i Phwie Na.p ? ^? 7 p 0 C"/? Power Supplier Addreu i ?L>1 Ll E?e. c?tYi(_ Elecrvicol Connodor (Compony Name) S6?- m ? Gonhactor Iimnse No. MasM lic. No- (Plant Elecr. Only) Moili, Addhess (Convactur w Owner PeAwming Insmllafion) ? 3?to X?r lc? ? e c,-tEr T. L Nlti ANhwized Signoiure ?COnnador or Ov?ad Pedm mieg Insbll?ion) / nre' ,Mno. ho ( _ ? ? `i °' _ JY/ ! 'J J E600001 A-I 1 8/96 STA'WBOGflO COOV - SEE INSTFOC110N5 ON 9ACK OF YELLOW COPY 416-158 REQUEST FOR ELECTRICAL INSPECTION 6;1 j/-'-?? ? Minnesota State Board of Elec[ricity 1621 GniverSityAve., Rm. 5428, St. Paul, MN 55104 Phone (612) 642-0800 ?- ' Home Duplex A t. Bld . Otr: ? New Addn Commercial Indusfrial Farm Remod Re air Air Cond. Hrg. Equip. Wa1er Hh. Load M mt. Other: Dryer Ran e Elec. Heal Temp. Service "X" above the work covered by rhis request. ENer remorks in this space and on Ihe back of fhe white copy only. P) AS-em zn-? ?-i r\ k' S ? - Calcv/ate Inspecfion Fee - This Inspecfion Requesl will not be accepted wilhoul the cortect fee: Other Fee # Service Entrance Size Fee N Circufeedere Fee Mobile Home Park Stall 0 to 200 Am s 0 ro 100 Amps 51reet Lig./Traffic Sig. Above 20Amps A6ove 100_Amps Tmnskrmer/Genembr INSPECTOXS USE ONLY TOTAL lrn Sign/Oufline Ltg. Xfmr. + J ?1 Alarm/Remote Conhol Swimming Pool I here6 cerfi tMr I i ?he el ic xml - n daxn herein m Ihe daMS sl Irrigafion Boom RwgMn oore J Special Inspection _ . ?v ??vesti9ahve Fee Final a , 4Y THIS INSTALLAiION MAY 6E ORDERED DIS ONNECTED IF NDT COMPLETED WITHIN 18 MONTHS. OFFlCE USE ONLY This reqcest wic 78 monlhs from wlidafion dab prpinle?d in Ihis box. ?? III?I ?I?I I?I I IIII? I II? I?III?? ??II? I??,°'aa, a? 9? o? Q•?.af?>?.?- l? * 0 4 1 6 1 7 9 a* pLEASE PRINT OR TYPE Reques? ?? ?? Roughin irtspedian required? es 0 No ?Vou must mll tha ivpaclor when reody) Inspeclron Olher Thon Raghln: ? keody No ill Coll Data Reody: I, ? licensed conl!actor P(ownar hereby request inspeclion of ihe above elechical work at: lob Address Route No.? 38?8 r? ? -?Qr I r. City Zip Code Seclion No. Township Name w No. Ronga No. Fire No. Cwnly Occupvnl qr Phone W. Power upplier Address Elecviwl Con ador (Compo?ry Nome) 0 w n ComraM limnse No. Moskr Lic No. (Plant Elect Only) Mailing A ress (Conhocbr «Owner Peharmlng Insmllotion) b AaIliorized SignoNre (Convocbr or Owner Penfmnin Ilvli ? Phore No. J E' EBOOOOIA.I 1 8/96 STpTBICOMD COVY/,SEE INS14tlC110N5 oN BACK OF YELLOW COPY 416-179 a REQUEST FOR ELECTRICAL INSPECTION 70 ru Minnesofa State Board oi Elec[ncity 1827 University Ave., Rm. S-728, SL Paul, MN 55104 Phone (612) 6?2-0800 Home Duplex Apt. Bldg. Other. ? I I New Addn Commercial Indushial Farm ?'S? f -I ti-mod Re air 7170 nd. H. Equip. Water Hh. Load M ml. Other: Dryer Range Elec. Heat Tem . Service "X" above the work covered by this request Enier remorks in this space and on Ihe back of fhe while copy only. Cakulafe Inspection Fee - This InspecNon Requesf will not be accepfed wifhoui the correct fee: Other Pee M Service En[rance Size Fee R Circuifs/Feeders Fee Mobile Home Park Stall 0 to 200 Amps 0 ro 100 Amps Sheet Ug./Traffic Sig. Above 200_Am s Above 700_Amps Transformer/Generator INSPECTOP'S USE ONLY TQ - Sign/Oudine Ltg. Xlmr. Alarm/Remote Conhol Swimming Pool I hcre cen' d the eleariml i?lallanan 66ed herein on thc dales s Irrigafion Boom R«gM? Speciollnspection Invesfigative Fee Fnol Ome // p?. THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITNIN 1 8 MONTHS. ca70453 55 4 p- Fire o. Rough-in nspection Requiretl4 66TICE: Vou Must Gall Eledrical Inspeqor I! A Raughln inspedion Ves ? No Is Reqvirea. tor ? owner hereby request inspection of a6ove electrical work at: oute No.) Cily ?3?'3?' ?Ia - -?-4?17?w' &'C. E? & /tN Secfion No. Township Name or No, ange No. Coon ?f1-K C Occupant(PPINT) / _ ? Phone Nco. pC/G ? ? " y 70.19'C;S CUGG d v / Pow upplier Add ress /I-KCi77?LCC'???C'. r TC:? ElacVic ontracror (Comp/a-ny Name) ? ConVacmr's license No. ' C rUJSa' L<aCne .c 7 n.c 0/y 3Z Meiling tlres/s ?{Conirector or Owner Making Installati0n) ?/clCn 2yD661 /?/LG [?/fL4GY ?J/Z?j' AN?ori ignalure (COnVac r/O.vner Making Installation) Phone Number L Y7JZ+;14 gs3 MINNESOTA STATE BOAND OF ELECTHICITY THIS INSPECTION REQUEST WILL NOT Griggs-MlGway 91tlg. - Roam 5179 BE ACCEPTEO BY THE $TAiE BOAFD 1821 Univenity Ave., St Peul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phane (612) 6424800 ENCLOSED. 3??,/d? / REQUEST FOR ELECTRICAL INSPECTION (?A See instmHions,?r completing Nis (orm an back of yellow copy 1'1 15 4- x' Below Work Covered by This Request W EB-00001-08 ii ew Add qrw. TypeofBUilding AppliancesWired EquipmentWired x Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Induslrial Furnace Other (Specify) Farm Air Conddioner Olher (specify) Cantracror5 Remarks: Compute Inspection Fee Belaw: # Other Fee # ServiceEniranceSize Fee # Circuits/Feeders Fee Swimming Pool 0 ?0 200 Amps OTO 10 ps ?O - Transformers Above 200 _ Amps Above 700 Amps Si9n5 InspectorSlJSe Only: G J TOTAL 5V Irrigation Booms `? (J Speciai Inspec[ion Alarm/Communication THIS INSTALLATION MAY BE O D DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby certity that the above inspection has been made. R°°9°-'n Final d'L oeI Date ! OFFICE USE ONLY i Tbia request void 18 monihs trom RESIDENTIAL BUILDINC PERMIT APPLICATION CITY OF EACAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 NewConsWction Reauirements . 3 registered site surveys showing sq. 8. of lot, sq. ft. of house; and all roofed areas (20%mazimum lot cwerage allowed) • 2 copies of plan showirg beam & window sizes; pou2d found design, etc.) • iselotEnergyCalculations • 3 copies of Tree Preservation Plan if lot platled after 111/93 • Rim Joisl Delail Oplions selekion sheet (hldgs wflh 3 or less unils) DATE 10k l0'2_ c? RemodellReoairRequirements ?eA:5 _,,,yJ v . 2 wpies of plan ? <?° i set of Energy Calculations for heated additwns • lsitesurveyforezteriaradditions&decks • Indicate if home served 6y seplic system foradd'Aions VALUATION $ /12- 00 , 0_0 SITEADDRESS 3538 BR??G.E IA-TF i2 1702 IV€ MULTI-FAMILYBLDG _Y ?N TYPE OF WORK GRF P(. -cF C?A.sF. FIREPLACE(S) _ 0)( 1 _ 2 APPUCANT_ AkE AWpS6AJ STREETADDRESS 38315 6QlipGr?kTZ.,`? lp 1/ CITY r,AnI STATE W ZIP 55723 TELEPHONE # 6S'? ?/S;l-?S'iCELL PHONE # FAX # PROPERTYOWNER??J/k? JYffIDS?N TELEPHONE# ?OS?'yrG-D259 COMPLETE THIS SECTION FOR f°NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RIJLES 7670 CA'I'EGORY 1 MINNI:SOTA RLJLES 7672 (J submission type) Plumbing Contractor: Plumbing system includes: WaLer Softener Waler Heater No. of Baths • New Energy Code Worksheet Submitted Phone # Lawn Sprinkler Fee: $90.00 No. of R.I. Baths Mechanical Contractor: Phone # Mechanical system includes: _ Air Condiuoning Pee?470.00_- - Hcat Recovery System ?. ?'? , c ` Sewer/Water Contractor: Phone # 2V 0 r M?? - - - .- - - - - - - - - - - - - - -°------- ----- -------- ,--- I herebY acknowledge that I have read this applicati., n, state that the information is correct, and agr ee comply with all applicable State of Minnesota Statutes and City of Eagan es. Signature af Applica? .-??i?? OFFICF? USE ONLY . ResidenGal Ventila6on Category 1 Worksheet Submitted • Energy Envelope Calculations Submitted Certificates of Survey Received _ Tree Preser.ation Plan Received _ Not Required _ Updaled 4/02 OFFICE USE ONLY ? 07 Foundation O 07 OS-plex ? 13 18-plex ? 20 Pool ? 30 Accessory 81dg ? 02 SF Dwelling 0 OS 06-plex "W 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? OJ Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02•piex O 10 08-plex ? 18 Deck ? 23 Porch(screened) 0 36 Multi ? 05 03-plex ? 11 10-plex ? 79 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N O 25 Miscellaneous ? 1 New ? 35 Int Improvemen[ ? 38 Demolish (Intenor) ? 44 Siding $[ 32 Addifion T- ? 36 Move Bldg. ? 42 Demolish (foundation) ? 45 Fire Repair ? 33Alteration ? 37 Demolish(Bidg)• ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation o?C> Occupancy - ff/ MC/ES System Census Code 7? Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const v ?/ Width REQUIRED INSPECTIONS _ Footings(new bldg) FinaVC.O. _ Footings(deck) ? Final/No C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Ocher Roof _ Ice & Warer F inal Ftgs Au/Gas Tests Pool Final Framing _ _ _ _ Siding _ Stucco _ Stone _ ? Fireplace __X R.I. -X Air Test 4 Final Windows (new/replacement) [nsulation - Reuining Wall Approved By?1Z , Building Inspector Base Fee Surcharge Ptan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Olher Total FinP?m4c, q ? ?v 4- ? PERMIT ` L CI'TY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMITTYPE: BuiLoiNe Permit Number: 032043 Date Issued: 0 5/ 2 6/ 9 8 SITE ADDRESS: P.I.N.: 10-75635-100-02 DESCRIPTION: 3838 BRIDGEWATER OR LOT: 10 BLOCK: 2 OAKS OF BRIDGEWATER ild'3'ngA . Permit Type i,lding'Work 7ype nsus Code' ?..*F ..??.? . . ?. . ? ?rx ry ? ? 4 9.. YL r l e .> DECK NEW 434 ALT. RESIDENTIAL ??} y 1,1 y''? ??.?."`'', ?? ?t REM4ft1?§5 REVIEWED BY MIKE BARCK FEE SUMMARY: Base Fee Surcharge Total Fee $50.00 $.50 $50.50 CONTRACTOR: Hpplacans - MICHAEL 3838 BRIDGEWATER DR EAGAN MN 55123 (612)892-4202 T fiereby acknowledge that E'have "i^dad..this `applicata.a-n and staEe.Gehat the irrfawmattort ?is cohrect an?d'agreetes cc?fhplY with ,a1b, appl=a.cable,,S,taCe ,nf Mn, , Statutes °and City of Eag'an QPc€ihences.r ? . ° s ? . _ .._ _ , :. ,- .. _.... ... ._. . . , .__.. _ . ? . .. .._ . (24A 41CAT11PER64IMS1 G"ATURE ISSUED 8: 'SfGNATURE 3? ??L[ $J3998 BUILDING PERMIT APPLICATION (RESIDENTIAL??6 E-0- 3830 PII,OT KNOB RD 65122 (?? ???ZJ 681-4675 1 New Construdion Reauiremenls • 3 registered site surveys ? 2 copies of plans (inGude beam 8 windaw s¢es; poured fnd. design; etc.) ? 1 energy caiculations ? 3 eopies of trea preservation plan if lot ptatted after 7l1/93 required; _Yes _ No DATE: S 15' IB RemodeUReoair Reauirements ? 2 copies ot plan ? 2 sRa surveys (exterior addRions & decks) ? 1 energy calculations for heated addRions CONSTRUCTION COST; II9&O• @ d DESCRIPTION OF WORK: 10Z?K STR T ADDRESS: .? 3?S Z??JeIDGIE? ,/N g7-6e-, 7,teIUE ",-//V BLOCK : Z SUBD./P.I.D. #: 6.4?'nF ?+-oGEwarF? IS?,pOOrrAok_? PROPERTY OWNER q ?n 1 1-I M- SC? -? zSS Name: I`? l? oS_ ?r--? P, Phone #: l.A-?k - EFAZ - y ZO Z LaSt Fitst Street Address: 5?j S?'S b? ? ? 7) C=1 El.ll ,A ciry stace: Company: ?? E L-F 1 Phone #: CONTRACTOR Street Address: License # City ARCHITECT/ State: ENGINEER Company:_ V Phone #: _ Name: Registration #: Street Address: City State: Sewer & water licensed plumber (new construction ony): and lot change is requested once permit is issued. E zcp: S5?Z3 ? Zip: Zip: Penaity applies when address chang I hereby acknowledge that I have read this applica6on and state that the infortnation is conect and agree to compy with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received Yes No 1c1 .:K;i7? tu:eo bb2 • vVEYOR'S CERTIFICATE .OUGE HOIVIES - - ? 9. ?io•z9'4¢^w . ? 130.00 gss.ox ; ? l zs I N I N ? p URAfNFdE 9? UfIL?Y ? EASEMENT PER PtAT--- Lp T t ,. W M • lb r a a 2Y-(n , ?. .4 t l ? t)Fakc x900.P 900,9_...ZG:. a '?? o '0 p.COP03eD ? 4 4.0 (A Ne o Q. /a a? / 4i d1 M HDUSE_ ?- o o? : t+? 899.7 ? A L7 A 1 V 90s.01' R ?q n N EVIEWED a ? .0 o ? 190 a4o? QBY C904.o) 9030 ;? ? •. ? -?-------- HENC?i°9 MApqK (,gbz 902, •- To.11 - jo "1 P rRN J$ m D71TE • d- 3 E?EV.03.7 ? I ^ 1 BENCHMARK ??BV.=900g ° e .?- - ?. Z.4 . 9-5 dI G' 5!'//'???•??Nso2z ' /t • 558. N !3RlOG?WAT?R P OTE : NO SPECIFIC 90i{.9 INVESTI6ATION HAS BEEN GOMALETED ON THIS LOT BY JAME3 R. H1LL, INC. THE 3U17A51LITY OP SDILS 705UPPORT THE SPECIFfG HOUSE PROF'OSED IS NOTTNE RESPONSIdILI7Y0FJAMESR.HILL,INC. ? DENOTES PROPOSED SURFACE DRAINAGE O ?ENOTES IRON MONUMENT SET • DENOTES IRON MONUMENT FOUND X000.0 DENOTES EXISTING ELEVATION (000.0) DEtJOTES PROPOSED ELEVATiON SCALE:1 INCH = 30 FEEf PROPOSED GARAGE FLOUH -1700,6 FEET PROPOSED LOWEST FLOOR - 815.0 FEET FRUF'USEU TOP OF BLOCK = FEET Os+a) -? 900•q WE HEREBY CERTIFY TO HaUGE 14d3MES THAT THIS IS A TRUE AND CORRECT REPRESENTA710N OF A SURVEY OF 7HE BOUNDARIES OF: Lo! !o Block 2I THEOAKS OF BRIDGEWATER IST ADDITION,accofding Jo ihe frCOfdCd pklt Ihcrcof, Ookota County, Minncso}'4 . IT DOES NOT PURPOR7 70 5H0\N IMPROVEMENTS OR ENCROACHMENTS. EXCEPT AS SHOWN. AS i i L 7 C7- • susD - .. ?na.? v ru.o? New Receipt Receip[ Date ? S Order For Payment Date o29 ?? Request for Inspection Number on this job yl O Date Fi1ed // / 3 9?' Elecuical Installer D??-10?-- License No. -' Owner/Occupant /h/Git*C?-L (-tA:Vc;(-- County Ll?r%r? Job Address 3YP? &=i ec- c rr.4rZ?` City ?-4-x? Additional Rough-in inspecrion was required. A shortage of fees on the above job. _?Z-Reinspection Fee. A Copy of this order must be retumed with payment to the; Eagan ivlunicipal Center 3830 Pilot Knob Road Eagan, MN. 55122 Phone: 681-4600 Fee Computation _? J-?fi- T/i Sr^?CTi??'J -? ` /?accbrt- ?-??vsoECT.od I-CT)41- FLr- 4,() G.4s.0 zf D"`• Please return this° with a check in the amount of $ d-0 ??'' payable to the City of Egan. The above order must be comp(ied with by (date) S j 3 11y Electnca] Tnspedor, Mazk A. Anderson , PO 8ox 713,Shakopee, MN 55379 (612)145-2840 'CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: PERMIT PERMIT TYPE: Permit Number: Date Issued: 3838 BRIDGEWRTER OR L07: 10 B4.OCK: 2 l"HE OAKS OF BRSDGEWATER P.I.N.: 10-75835-100-02 BUSLDING 0?2823 01./27/94 DESCRIPTION: Building''-Permit Type 5F DWG I ?BuS lding W?rk Type ' NEW ?U6C OCCUPancy \? R-3 M-1 ? ConsYruct.i,on Typ? V-N % 2aning ?-'? PD ? Biaildirrq Lonqth ? 66 ? Bui,Lding Width ? 40 t B?il:ding staries 2 •-- ? ?C]n ?? V \? ?u??J? ? Ll V Vll?`; I?J?t1 U 4EMARKS: S& W PLBR - NEU PLBG FEE SUMMARY: 8ase Fae Plan Review Surcharge SAC SAC ? 5AC Units Su6total VALUATION $155,000 $832.0m $540.88 $77.50 $800.00 100 1 $2,250.30 MISCELLANEOUS $1,828,5@ 7ota1 Fee $4,078.80 CONTRACTOR: - FlpplS.cant HOUGE HOMES 19569021 1260 YANKEE DOODLE RD EAGAN MN 55123 (612) 456-9021 sT. LIC. 0005368 OWNER: HOUGE HOMES 1260 YANKEE EA6AN (612)456-9021 DOODLE RD MN 55123 I heraby eCknowl8dge at S have read Ghis appl,icatS.on and state that the informaCion is corrs t. and agree to onmpiy with alk applzo ablQ 5tate ofi iMn, Statutes end City ot Eagan Ordin anCes. L a4ck i J o APPLICANT/PER EE SWIATURE .IJR(lf ISSUED e: II.Lt.PA.I fli12 SI NATUR INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: Bu z Lo z Nc 3830 Pilot Knob Road Permit Numbec 022823 Eagan, Minnesota 55123 Date Issued: 01/2 7/g q (612) 681-4675 SITE ADDRESS: APPLICANT: i_or: im BLOCK: 2 3838 BRIDGEWATER DR HOUGE IiOMES THE QAKS OF BRIDGEWRTER (612) 456-9021 PERMIT SUBTYPE: TYPE OF WORK: SF DWG NEW INSPECTION FOOTINGS ., . FpUNDATION D• FRAMING ROOFING INSULATION FIREPLflCE ROUGH iN PLBG ROUGH IN HTG FINAL PLBG FINAL ftEMARKS: 5& W PLBR - NEU PLBG F- 7 L REACTIYATE ,._ ---- ITY OF EAGAN ? ?Il/E PEr.MIT UILDING PERMIT APPUCATION Dc C 2 2 i993 681-4675 M2A rA'xj::.t 1-10 SINGLE i MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy C8IC5. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month. in which request is made, 2) address is changed or 3) lot change i.s requested once permit is issued. Date /?_ Valuatlon of work ,(P 4, 04"t' "k' ? T Site Address??• llaGa W+s."Cm V. ?,^ LTREEi fUITE I Tenant Name: (commercial only) r LOT 1d BLOCK Z SUBD.7B I P.I.D. * IO-qZ?M-IOO-D1 Descri tion of work: ''A '!a---- The appl i cant i s: ? Owner Contractor ? Other co..oriee> . Name Z I"T?,+W1 S`T1=U no. Phone Property LAsT FIRST Owner Address ' S711EEi fTE M Zip55?!2? i-= A\ c.St 1"1i?j t a e • C i t y Company ee v C M S Phone (m- ? Z C011tf8CtOt' Address ?2(P0 1. -1?)• License d Exp. State ? . 21p ?5/7 Cit y Company 1 LL ? NG, ? Phone Architect/ Engtneer Name Registration K Address tity State Zip Sewer 5 water licensed plumber t? ??•-? . Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this app1i a ion and state that the lnformation is correct and agree to comply wit al applic ble te of Minnesota Statutes and City of Eagan Ordinances. _?. Signature of Applicant: - OFFICE USE ONLY ' BUILDING PERMIT TYPE ? ?; ? ??• O OI Foundatton ? 06 Duplex O 11 Apt./Lodging '0 16"Basementifln1 sh ,0 02 SF Dwg. ? 07 4-Plex 0 12 Multi. Misc. O 17 Swim Pool O 03 SF Addition ? OB 8-Plex ? 13 Garage/Accessory O 18 Coma./Ind. ? 04 SF Porch ? 09 12-Plex ? 14 fireplace ? 19 Coron./Ind. Misc. E3 05 SF Nisc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility O 21 Miscellaneous WORK TYPE ja 31 New 13 33 Alterations O 35 Tenant finish 0 37 Demolish D 32 Addition D 34 Repair E3 .36 Move GENERAL INF ORMATION Const. (Actual) V/I/ Basement sq. ft. MWLC System ? - (Allowable) ii - Ist Fl. sq. ft. ? tity Yater UBC 8ccupancy i 2nd F1. sq. ft. ?L PRV Required Ioning Sq. Ft. total Booster Pump 0 of Stories length 2 ? Footprint Sq. ft. On-site well Fire Sprinkler Census Code ? Depth YO On-site sewage SAC Code APPROVALS Planning Building Assessments Engineering Variance REDUIRED IN SPECTIONS ' ? Site 13 Footing 0 Framing M Insulation ? Mallboard M f inal O Oraintile ? Fireplace Permit Fee v.imcia,: g Surcharge Plan Review &'s,,,t ?aY f ( 94 3e zi 6, of License MNCC SAC 3yk 3p =(pzp Lity SAC Water Conn. /zx i.S = 4 lp?. z-Z =13Z Water Meter it D /,S ? ?8 .. zo - epos Acct. S/W Permit har e W S S 1'1SZX6? 2? elpp 2?'? ?? ?6 = g urc / Treatment P1. Road Unit - ?/4? Sy :? J3p5 6 Park Ded Trails Ded. Copies Ot her l ? ? 00(0 0 Total: SAC % SAC Units 12i30i93 16:26 002 SURVEYDR'S CERTIFICATE HOUGE HOIVIES 00 ?r «? l I r 11 V Q 5 W U' or ? N? ? ? 8 2,? w ! sos.ox ' 10 IM%p a OP F ? 9???? ? Lo r io S°l+ •9? ) ? n M? ?-?Zu?.T? -? _ n{ ? q?pRO as c ?? s.o M? M ? S? r' q ? d? M I „ N , tl o $? •• N L,; • Is, m, 0 1 a 9 C903.a?9ftiD a?• . .?'?? ? I O ?SQRY, ? ? ?DeXO ? N Z4.0 a•b• 37'W--T_" • ? ?..'?r? 6?t/OGEWATER D NOTE- NR $PEGIFIC 9011.8 INVESTI6ATION NAS 9tCEN GOMPLETED ON Trt15 LOT BY JAMES R. 1i161., ING. THE 3UI7A61LITY OP SOII.S 705UPPORT THE SPEGIFIG HOUSC PROPOSED IS NOT TME RE3f'ON31dILI7Y OF JAMES R. HILL, INC. +-- DENOTES PROPOSED SURFACE pRAINAQE O DENOTES IRON MONUMENT SkT • DENOTESIRON MONUMENTFOUND X000.0 DENOTES EXISTING ELEVATION (ODO.D) pENOTES PROPO$ED ELEVAT101V 5 ' Q ? k ? ? EAGAN R 2V 9E*WED v-°*- oiv IQ1 O)k-PE • D- 3 SCALE:1 INCH = 30 FEET PROPOSED GARAGE FLOf)Ft - *0,(? FEET PROPOSED LOWEST FLOOR- gqg,p FEET PRUF'USkU TOP OF eLOCK = FEE7 ?GAR) ? r40D.R WE HEREBY CEHTIFY TO HaUGE. NOIneS THAT THIS IS A TRUE AND CORRECT REPRESENTA710N OF A 5URVEY OF 7HE BOUNDARIES OF; Lof io BloCk 20 THEOAKS OFBRIDGEWATER IST ADDITIONtpcCOrdNg to ihc leCOfded pkll ihereot, Dnkota County, Mlnnasata IT DOES NOT PURPOR7 TO SHOW IMPROVEMENTS OR ENCROACHMENTS, FXCEPT AS SHDWN. A5 SURVEYED BY ME pR UNDER MY bIRECT SUPERVISION 7 HIS ZI $"' DAY OF pEG, .1993. S!GNEL?: .?endE5 NlLL, lMC. NOTE: BUU,pING pIMENSIONS SHOWN ARE 1-Vf1 NOli1Z9M'AL d VEHTICAL IOCr ATIOM OF STRUCTUR6 QNLY, SEE ARCMI7ELTUG.L PLANS fCR BU0.DIN0 BY; C 6 F6UkDATION piMENSiONS, ' GARY R. HA418, LAND SUFiVEYOR MINIdESOTA LICENSE NUMBER 10943 ? ? ? ?? ?? ? ti inc James R Hiil ? a . , . o ?o N p ? M e ? pLANNERS / ENGINEER5 / SURVEYQRS w 2500 w. crr. RD. az & BURNSVILLE, MN. 66337 • e12-890•8044 . +4"0 H=97% f 612 890 6244 12-30-93 10:28AM P002 918 r .r LOT BIIRPEY CSECICLZST FOR REBZDEIiTI]?L ? SIIILDING RMIT 71PPL CI?TION YROPERTY LEGAL; Dite o! 8urveps .,;I DOCQMENT ST7121D R S Il?D 80? 0 0 0 • Registered Laad Surveyor siqnature and company • Suildinq permit I?pplioant ' G-'0 0 • Legal description 0 8^ D • Address V0 0 • North anow and bar scaie 2-' G Q • Houce type (rambler, walkout, split v/o, aplit 11'13 13 lookout, etc.) 2'?0 0 • Directional drainage arrows with slope/gradient !. 0 • • Proposed/existing sawer and water services P Street name 0 • Driveway .? entry, fl f1?0 • ELEVATIONS Zxistirc Sewer cerviee ? 0 • Lot corners 0 • Top of curb at the driveway 0 0 • Elevations of any existing adjacent homes Proposee Ef 0 0 • Garage floor . ? G 0 ? • First floor 0 0 D ? • Loweat exposed elavation (walkout/window) 13 i0 D ? 4 Property corners E ? D • Front and rear of home aL the loundaLion PONDSNG l1REA8 fif aflfll3enb1al D 0"?D • Easement line 6 ? ? D 0 ?p • • xwL Pond t desiqnatfon D Cj?O • Emergency Overflow Elevation DIlSENSIONB ff. ? Lot lines 0 D? ? Right-ol-way and street vidth (to bnck of curb) 0 0 • proposed home dimensions includinq any proposed •decks, overhangs qreeter than 21, porchss, etc. (i.e. all C structures requiring permanent foctinqs) D D • Show all easements oi recerd and any City utilities within fl 0 D those eaaements • Setbacks of proposed structure and setb ack of adjacent existiag homes D 0 • Retaining e emente, if any Reviewed: Q Na e / te Cctober 1992 , PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ?,L50, FOR TOWNHOIvfE,S AND CONDQS WHEN PERMITS ARE REQUIRED FOR EACH UNTf. NO. FIXT[JRES EACH TOTAL SHOWER 3.00 WATER CLOSET 3:00 ? ? BATH TLTB 3.00 LAVATORY 3.00 ? KTI'CHEN SINK 3.00 LAUNDRY TRAY 3:00 HOT TUB/SPA 3.00 3 ? WATER HEATER 3.00 FLOOR DRAIN 3.00 I GAS PIPING OUTLET 3.00 .? ROUGH OPENINGS 1.50 S- WATER SOFI'ENER 5.00 PRIVATE DISP. • nax.ay. uG 20.00 U.G. SPRINKLER • n? unaa ?c. 3.00 ALTERATIONS • w adsuog 20.00 WATER TURN AROUND 20.00 STATE SURCHARGE i? .50 TOTAL: SITE OWNER ZIP CODE: s57t__)'72? PHONE #: ( ) & ff ' 9/D SIGNATURE OF PERMITTEE 1994 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOME3 AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. X NEW CONSTRUCTION ADD-QN A/C ADD-ON FURNACE FIREPLACE INSERT DATE HVAC: 0-100 M BTU ADDITIONAL 50 M BTU GAS OUTLETS (MINIMUM 1 @ $3.00 EACH) ADD-ON/REMODEL (EXISTING CoNSTxuCTION) STATE SURCHARGE TOTAL FEES $ 24.00 6.00 [P, dig $ 20.00 .50 ?&'Q S!TE OWNER TELEPHONE #: -oz " ly2l GNA RE OF PERMITTEE lYY4 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 CITY: &i/Yld/,//7e STATE: IY1/Y ZIP CODE:'!!?O?ZA TELEPHONE #: ?1??-?`?tff ???ElVEp ,GU' y g 9992 i G'/Tr/OWit?P.l? ;ep 11lOtleAdow. E , ?? ?3"iz2 ?•?'• ? ?d,C'i/sL''iFf fW7 Ax ?/w?r /? 0a,r. 10516 MEADOW CIRCLE BROOKLYN PARK. MN 55443 (612) 427-2690 , O l?ic?r?/ Z?looT2?rce da//??S'' O- --- ? --- ? / - - \\\? --- - - --_ _ _ ----- / jf 7 - ? i ? - - - - ? // ?? I / . °F ? '- ?;? ?- /. I ? --- , wAtr ?`. I ? i i jo ---?}- - 70516 MEADOW CIRCLE BROOKLVN PARK, MN 55443 (612) 427-2690 ll? 91-264 . `.? Or A85-01975 3830 PILOT KNOB ROAD THQWS EC,w EAGAN, MWNESOTA 55742-1897 Maror PHONE: (614) 454-8100 DAVID K. GllSTAFSON FAX:(612)454-8363 Special Assessment Search c,vMELnNtCREA TIM PAWLENiY THEODDRE WACHiER Council Memb2r5 Date: AUgUSt 5, 1991 THQMASHEDGES Ci[y AtlminStratar R2qUested By: Ret The Oaks of BridgewatexEUC,ENevAN ovEasEKE Universal Title Lo[ 10 Block 2 Crty Clerk On the attached form is the City's response to your search request on the identified property. The information includes the original amount of the assessments and the payo£f amounts of the assessments on the parcel. In addition, pending assessments are included for improvement projects that have been ordered to be installed by the City Council as they may affect this parcel. The levied and pending assessments may or may not reflect the complete asczssment obligation based upon the parcel's current use or zoning. Certain parcels have not been assessed at the appropriate rate per their zoning/use. The City's policy is to review the assessment obligation of parcels at platting, replat- ting, rezoning, waiver of platting, and prior to the issuance of conditional and special use permits and certain building permits and in other unique situations. A condition of approval requires the parcel to assume its additional assessment obligations that have not previously been levied for existing public improvements. The City's Engineering Division can provide further clarification of this policy, if you desire. WAIVER/DISCLAIMER: Neither the City of Eagan nor its employees guarantees the accuracy or completeness of the information provided which was required by the person or persons indicated. Nor does the City or its employees assume any liability for the correctness thereof. In consideration of receiving and using information on the attached form and for all other consideration of any nature whatsoever, any claim against the City or its employees rising therefrom is hereby expressly denied. Pending assessments cannot be paid until levied. Levied assessments can be paid to the CITY OF EAGAN. Very truly yours, SPECIAL ASSESSMENTS Attachment THE LONE OAK TREE...THE SYMBOL OF STRENGTH AND GROVJfH IN OUR COMMUNITY Equal Opportunify/Affirmative Action Employer AS OF: 08/05/1991 PROPERTY ID: 10-75835-100-02 *^. n/A# ASSESSMENT DESCRIPT. YEAR TM RATE TOTAL ANN.PRIN. PAYOFF CD 101728 ST 494 1988 15 9.0000 199.95 13.33 159.96 101727 SS 494 1988 15 9.0000 75.70 5.04 60.58 101726 SSTK 494 1988 15 9.0000 809.84 53.98 647.90 101725 WSSVC 494 1988 15 9.0000 19.58 1.30 15.68 101724 WLTK 494 1988 15 9.0000 65.82 4.38 52.68 101722 WTK 494 1988 15 9.0000 438.45 29.23 350.76 101719 STK 494 1988 15 9.0000 704.96 46.99 563.99 101698 ST 498 1988 15 9.0000 291.81 19.45 233.46 101697 SS 498 1988 15 9.0000 476.21 31.74 380.99 101696 SSTK 498 1988 15 9.0000 471.66 31.44 377.34 101694 WLTK 498 1988 15 9.0000 152.08 10.13 121.69 101692 WTK 498 1988 15 9.0000 255.41 17.02 204.35 101691 SLTK 498 1988 15 9.0000 367.05 24.47 293.64 ------ SUMPiARY OF LEVIED 4328.52 288.50 3463.02 ****** 1991 P&I CERTIFIED 626.12 Press ENTER; or F1, F4, F5, F7, FS SPECI AL ASSESSMENT SEARCH SUMMARY AS OF: 08/05/1 991 PROPERTY ID: 10-75835-100-02 S/A# ASSESSMENT DESCRIPT. YEAR TM RATE TOTAL ANN.PRIN. PAYOFF CD ------ SUPII,iARY OF DEFERRED 0.00 0.00 0.00 ------ SUMNIARY OF PENDING 0.00 0.00 0.00 ------ SUMMARY OF CLOSED 0.00 ? 6IT't OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-75835-100-02 PERMIT PERMITTYPE: guzLorive Permit Number. 029595 Date Issued: 0 3/ 13 / 9 7 3838 BRIDGEWATER DR LOT: 10 BLOCK: 2 THE OAKS OF BRIDGEWflTER 1ST DESCRIPTION: &uildind.--Permit Type Build'ing Wd•rk Type CenSUS Code ??A ... . . . . . ...w .. ti , ?. ..;-- < BASEMENT FINISM ALTERATIQN 434 ALT. RESIDENTIAL Le REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY ELECTRICAL DR PIUMBZNG WDRK FEE SUMMARY: Base Fee $50.00 Surcharge $.50 Total Fee $50.50 CONTRACTOR: OWNER: - Applicant - GAR6 RAMESH 3835 BRIDGEWATER DR ? EA'GAN MN 85123 (612)456-0840 T hereby acknowledge that.i hauP readthis,applicataan,and staCg thart tMS ]nformation is cort-ect,and agree ta camply with all applicable State of M-n. ? Statuees andCiCy of Eagan Ordin.anceer , c APPLICANT/PE MITEE SIGNATUFE IS UED . GNAT E ? W997 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 5830 PILOT KNOB RD - 55122 6814675 New Con tuGion Rea ui m nta RemodeUReoair Reauirements $-ff o ,6-o Coiii 3 °, 1 ? 3 registered ske surveys 2 ies ot lan • 2 copies of pians (inGutle beam 8 window sizes; poured fid. design; etc.) ? 2 site surveys eztedor additions 8 decks) ? 1 energy calwlations ? 1 energy calculations for heatetl adORions ? 3 copies of tree presarvatlon plan H bt plat0ad after 7H/93 required: _ Yes _ No ' DATE: At"Alk Gi J 9I7 CONSTRUCTION COST: N?fS'?P? DESCRIPTION OF WORK: STREET ADDRESS: LOT _1O / BLOCK PROPERTY OWNER CONTRACTOR ARCHITECT/ ENGINEER Name: _ a,41C Phone O??? . Street Add u., city: Z4 ZgAN nnrt State:/V/4/ zip: , ?3'3 ^ Company: sEG.? Phone #: a--P M461-e- Street Address: az/? License #: ??-- City: a?r a?-,rP State: " W444P-V? Zip: a.. Company: l/Xltv Phone Name: Street Add City: State: Zip: Sewer & water licensed plumber (new construction only): PenaHy applies when address change and lot change are requested once permR is issued. i hereby acknowledge that I have read this applicatlon and shate that the infortnatian is correct and agree to comply with all applicable State of Minnesota 5tatutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY RECEIVED Certificates of Survey Received _ Yes _ No MqR 0 6 1997 Tree Preservation Plan Received - Yes - No _ Not Required BY: /?? Registration t , SUBDJP.I.D. #: I v 005& 04,a?r?fJV &iI&O"E", BUILDING PERMIT TYPE OFFICE USE ONLY ?? •_ x ' 'q ?F. ' .AfR "iy+SF .61 ? 01 Foundation o 06 Duplex ? 11 Apt.lLodging Pl 16 Basement Finish 0 02 SF Dweliing ? 07 4-plex ? 12 Multi RepaidRem. 0 17 Swim Pool 0 03 SF Addition ? 08 8-plex n 13 Garage/Accessory o 20 Public Faciliry ? 04 SF Porch o 09 12-plex ? 14 Fireplace n 21 Miscellaneous ? 05 SF Misc. a 10 _-plex o 15 Deck WORK TYPE Z n 31 New 33 Alterations ? 36 Move ? 32 Addftion o 34 Repair a 37 Demolition GENERAL INFORMATION Const. (Actuai) Basement sq. ft. MCNVS System ? (Allowable) Main level sq. ft. City Water ? UBC Occupancy sq. ft. Fire Sprinklered 2oning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. H3 Depth Footprint sq. ft. 5AC Code o t_ Census Bldg I Census Unit o APPROVALS Planning Building "113 Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: °h SAC SAC Units - ? CITY USE ONLY 7,099 L 8L o2 RECEIPT#: `5 SUBD.ls& ? o?l?l/t?l?C?iusaYoiL I ? RECEIPTDATE: 1997 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: . single famiry dwellings . townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES EACH 10 TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = Water Heater 3.00 x = Floor Drain 3.00 x = Gas Piping Outlet ' miNmum - t • 3.00 x = Rough Openings 1.50 x = WaterSoftener 'fordwellingsunderconsWdion 5.00 x = Water Softener • for exlseng dweuing 20.00 x = U.G. Sprinkler ' for dweiling under wnst. 3.00 = U.G. Sprinkler ' for exisfing dwelling 20.00 AIt8f2tIOnS 'to existing residence 20.00 = 1C7 Water Tum Around 20.00 = Private Disposal System ' Dak Cty lic. 75.00 = (new and refurbished systems) Private Disposal Systems ' nbandonment 20.00 = STATE SURCHARGE .50 0 TOTAL ??? I hereby acknowledge that I have reed this epplication, state that fhe infortnation is correct, end agree to compty with allapplicabie Ciry of Eagan ordinances. It is the applicenYs responslbility to notify the propeAy owner that the Ciry of Eaganassumes no Iletiility for any damages ceused by the City during its nortnei operetionel and maintenance activities to the: faeili6es construcled under?fhis pertnit wRhin City property/right-of-way/easement. 139' ?0 ,) 0,14? , SITE ADDRESS: - - OWNER NAME: INSTALLER NAME: TELEPHONE 1793?-OX 4/'1-) STREET ADDRESS: (7!/ :q?? ciTV: STATE: ZIP: s?j2 3 SIGNATURE OF PER ITTEE _ y C:21')2SU S? T?no. 6? 2004 RESIDENTIAL BUII.DING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan NIN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 NewConsWCtionReauiremenb RemodeUReua'vReouiremenfs g^?`" n 3 registered stte suneys showing sq. fl W lof, sq. il of house; and a0 roofed arzas 2 copies of plan (20% memmum Iot coverage allrnved) 1 set of Energy CalculaGons for heafetl additions P?„ 2 mpies of pWn shaxing beam & window sizes; pouretl fouM desgn, etc. 1 site survey for additions 8 decks lsetofEnergyCakulations Addrtion-indicafeilarsdesep6csysfem 3 copies of Tree Preservatlon Plan'rf bl plaHed a%er 777f93 Rim Joist Detail Options seledion sheet (bbgs with 3 or less units Date I C?onstructioo Cost SiteAddress ?G?.Q_? 1-1 UniflSte # Description of Work \- 1Q dT) 1Q'I CXA.?? a c'7 AJC]MJ Multi-FamilyBldg _ Y)?) N Fireplace(s) _ 0 _ 1 _ 2 PropertyOwoer _b(!?td IQ.Q`"4`L Telephone#qQK?1 ) U Uc "n / ? / RENEWAL BY ANDRSEN ContraMor 1920 COLJNTY ROAD "C" WEST Address ROSEVILLE, MN 55113 651-264-4777 State LICENSE #20130983 City _ Telephooe # ( COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cate¢orv 1 _ Minnesota Rules 7672 Energy Code Category , Resitlential Ventilation Category 1 Worksheet • New Energy Code Worksheel (4 submission type) Su6mitted Submitted . Energy Envelope Calculations Submitted Have you previously consiructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contracfor Telephone #( Telephone #( ielephone #( I hereby apply for a Residenrial Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a pernut, but only an application for a pemut, 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. ? Applicant's Printed Name ApplicanYs Sigiature vveva.sv•.y iuu aG.oV f111 fOJ Ofl ? ? 860 ltC27L?11AL ?g' &Nd/bK,71SA' re a?. ?? - . Junet 2001 Cit'y of Eagan 3836 PiIat Kuob goad EagMt, MN 55122 To Whom It May Coctcern: w UU: Elder ]oncs tv ??odzed tO Pull buiIding perm;ta for Rertewai by Andecsm Ptease nlIow dat? boyond 6!6%0 j unb ?cr"vioc for ua in Eagan, `Ihia auchati2atinn is velid for any to the Ciry_ ' "'anawal by Andcrsen managar e4cass1Y nevokes it tn wrFHng I rcquest this authodzati our 6aildiuS on bc ecccpted-wtpeilitIously. aa to not defaY , the p ' P?ta cvcY fu?cz. Flcaac c?Ii mc If thcac at? m ?oeessiqg of conhtctcd at 763-502-4706_ anY 4nesdona.. I can Ua _ ,: Your immgciiaft attentiott tA this mUcr is Sinceivly. yutond R Rau ustxtlation Managcr Ronowal by A,udcrsen CoMoratic+n C:c: TCarn-F1?inr Tnne_a a„? MY M ? ? . ?uees`°"Eyyqya.n?zam Received Time Jun. 7. 1:01P}d RESIDENTIAL ? q?770 BUILDtNG PERMIT APPLICATION CITY OF EACAN rn 3830 PILOT KNOB RD - 55122 ? ? 851•681-4675 NewConstruMion Reouirements RemodellReoairReaufrements • 3 registered sfte surveys showing sq. R of lof, aq. R of house; a?ll mofed areas . 2 caples M plan (20% macimum bt oovemge albweA) . i set of Eneqy Cekulations for heated additions • 2 mpies ot plan showing beam & wlndax sizes; poured Tound de;gn, elc.) . 1 site wrvey for exlerbr addi6ons 8 dedks • 1 set of Energy Cakulations • Indkale it horne served by saptic system for addiUons • 3 copies at Tiee Preservation Plan if lot plallad afler 711193 . Rim Jast Detail Oplipre selection sheet (bldgs wb 3 a tess unNS) DATE 1 VALURION 1(000-6 0 JOB SITE ADDRESS 3838 '?Z1D???vl??2 'D 2iv"E IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER Ml c--kJrNc?_L M TYPE OF WORK E Lc-6 S FIREPLACE(S) _ 0_ 1_ 2 APPLICANT /SdICf-4"L MAOS? PHONE# ?5"/-`f5ln-?zs"9 ADDRESS 3P ':?B $2ZE w p,r-r D2i UE IIPCODE 6?5_1 2-22', PAGER # CELL PHONE # FAX # NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY Energy Code Category (check one) Plumbing Contractor. _ Plumbing Sys[em Includes: Mechanical Contraetor. Mechanical System Includes: 1- 5ewer/Water CoMractor. _ MINNESOTA RULES 7670 CATEGORY 1 - Residential Ventflation Category t Worksheet Submitted - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Phone #: _ Water Softener _ I,awn Sprink3er _ Water Heater _ No. of R.I. Baths _ No. of BaYhs _ Air Conditioning _ Heat Recovery System Fee: $90.00 All above information must be submilted prior to processing of applicalion. I,,. ? I hereby acknowledge that I have read this appiication, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ortiinances. Signature o} Applicant /???i??? `Certificates of Survey Raceived _ Tree Preservation Plan Received _ Not Required _ ''. uPaated 1101 Phone # ? ,-°?