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3841 Bridgewater DrAddrasa: 3841 gRIDGEJAlgZ Dglyg Lot Z Blk 3 Sec/SubTHE p[KS pg RRTIYBaATFR IST These items wera/were not completa at the time of the final Snspection. Date: g 11 q Yes No Tnqpprtor, Final grade (6" from siding) Permanent steps - garaga Parmanent staps - main entry Permanent driveway Permanent gas Sod/seeded grass Trail/curb damaga Pozch ^ y „ ? Basement finish Deck ? Please verify vith the builder the removal of roof teat caps from the pivmbing system and the shut-off of vater supply to tha outside lean faucet before freeze potantial exists. m .?o.?. White - Clty copy Yellow - Reaident copy Pink.- Contractor copy 60138 )? a,A 3 0j? ReQUest Dat ire No. Fough-in InsP f n Requiretl9 ? Ready Now 2?Will Nolity Inspector -_-_ (? z "?es u No When Ready7 I',Slicensed contracior ? owner hereby request inspection of above electrical work at Job Atltlress IStreet. Boe or ute No.) City Z?? .41'1 Se<OOn No Townshi0 Name or No. Range No• Coun OccupanllP R IN TN I Phone No. 1 / y / ///.4.C,?C. o c?n so,? s. S/5l ? l(07 Powe Su y--+ ? 4_L.El?7'?QZ tlress ElecVical raclor (COmpan y Name) ConVactor's License No. ? /15,-7-c? ?-EG t ??,_ 7 f? DI Mailin Atltlress IGOnira o' or Owner Makin Inslall ion 9 ' 9 1 9 1 ' Auihorized 5?° °lure (Coniracror;piyjn '?"a q Installalion) Phone Nvmber ?-_?'J.( w,.s. ?4S3-o33.Z MINNESOTA STPTE BOARD OF ELECTflICITY THIS INSPECTION REOUEST WILL NOT Grigqs-Mitlway Bltlg. - Hoom S473 OE ACGEPTED BY 1HE STA1E BOARD 1821 Universiry Ave., SL Paul, MN 55104 UNLESS PROPER MSPECTION FEE IS Phone(612) 662-0800 . ENClO5E0. REQUEST FOR ELECTRICAL INSPECTION / " See Insvuc[ions for completing Ihis form on batk ot yellow copy J 6 O 13 8 "X" Below Work Covered by This Request -d % E&00001-08 ask ew "A o Rep. TypeofBuilding AppliancesWiretl EquipmeniWired Home Range Temporary Service Duplez Water Heater Electric Heating Apt Building Dryer Other (Specity) Comm./lndustrial Fumace Farm Air Conditioner OIM1aral GonVacmr§ Remarks: Compute Inspection Fee Below: # Other Fee # ServiceEntrance5ize Fee S Circuils/Faetlers Fee Swimming Pool 0[0 200 Amps ?7 0 to 100 Amps Transformers Above 200 _ Amps 100 _ Amps Signs inspecmrs Use Oniy: 7pTAL Irrigation Booms Speciallnspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DI5CONNECTED IF NOT Other Fee SD COMPLETED WITHIN 18 MO .HS. I, the Electrical Inspector, hereby certity that Ihe above inspection has been made. Ro.yn;n oaie/ / ,? ?F^ Flnal 1 OFFICE USE pNLV TM1is reques[ voitl 18 montM1S fmm !?59as ,? ? 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date ?l 1-7 0 'I ,./,,?1,,I }?,? 8t St tAdd Vl' it# VV?l?'K U ?? ress e ree i n , • Property Owner yj' Y ? V Y? L(?haY l1 Telephone #((Dvj?) ?-' s _IR Contrector ?ati T e hone # l p e , I Address City q;jMState Mj?? Zip T-20 The Applicant is: _ Owner _ Contractor _Other Alterations to existing dwelling $ 50.00 _Add fixtures to rooms, excluding water soft r?qW, it?311?'3?J@r _Septic System Abandonment _Water Turnaround (add $121.00 if a 5/8" m is required Other: Water Softener _yWater Heater $ 15.00 x replacement _ additional Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00 State Surcharge $ 50 [Total $12 _'50 I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. C ? t f IS n?a .t'o Applicant's Printed Name Applicant's Signature RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EACAN MN 55722 651-681•4675 NewConsWetian Reaulrementa RemodellRaoair Reauirements • 3 ragislered sile surveys shovnrig sq. ft. of l04 sq. fl. of house; and all roofed areas • 2 copies of plan (20°k mvcimum lot coverage allowed) ' . 1 set of Energy Calculatior5 for heated additions • 2 copies of plan showirg beam 8 window sizes; paured found desgn, etc.) • 1 sde survey for exterior additians S decks • 7 set of Energy CaICWaUans • Indicale if home served 6y seDlic system for additions • 3 copies of Tree Presarvation Plan'rf bl platted afler 711193 • Rim Joat Delail Optlans selectlon sheet (bldgs wilh 3 or less uniLS) DATE - 7`o Z VALUATION I4t'q / O . ? ? SITE ADDRESS 3 S`II /S R? D 9F iF /E? ,(? /?- MULTI-FAMILY BLDG _ Y _ N TYPE Of WORK ?'e. - 94aa F FIREPLACE(S) _ 0_ 1_ 2 APPLICANT STREETADDRESS A5fa'S-od4,tJ401r_ /d/Y TEIEPHONE # 9.ro2-?7q-3`03_3 CELL PHONE # ?qiRif STATEh'I_IYZIP ?534/ FAX # 93'?2 -97y -JS8 11 PROPERTYOWNER_N-Ok'A-1 SAeq4,cJ TELEPHONE# 662•yS5'- 2`?18 ------------------------------------------------- -----------------°--------------------------- COMPLETE THIS SECTION fOR °NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RUITS 7670 CATEGORY l MINNGSOTA RULLS 7672 (J submission rype) • Residential Venlilalion Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitled Plumbing Contractor: Plumbing system includes: Meehonical Contractor: Mechanical system includes: Sewer/Water Contractor: Air Conditioning Hcat Recovery System Phone # Phone # Pee: $70.00 -------°----°°--------------------------^•------------------------------------°--------------°-----------°--------- I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicanf -- ___._.__?___?__.r___ _._.________....?_.r__.._.._-------------------------------_..? OFF'ICE USE ONLY Certificates.of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 _ Water Softener _ Water Heater No. of Baths _ Phone # Iawn Sprinkler No. of R.I. Baths Fee: $90.00 PERMIT CITY,OFi?AGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: PERMIT TYPE Permit Number: Date Issued: 3841 BRIDGEWATER OR 10T: 2 BLOCK: 3 THE OAKS OF BRID6EWATER:I3T., BUILDING 000634 05/27/92 DESCRIPTION: Building Permit Type SF DWG . Building Work Type NEW ,'. U8C Occupancy R-3 M-1 Construction fiype VN Zoning R-1 Building Length 80 . _ BuYlding W3dth , . 40 "Y-j _ y REMARKS: RECEIPT N ftjC`Llj ? 9&W PLBR. - SCHUI.TIES P186. FEE SUMMARY: Base Fee Plan Review Surcharge SAC saC $ 5AC Units Subtotal VAIUATION $965.00 $627.25 ;96.50 $700.00 iee $2,388.75 =193,000 pIZSC FEES $1.610.50 Total Fee E3,999.25 CONTRACTOR: - APPlicant - sT. LI pWNER: JOHNSON CON3T, MARK 14511676 090328 JOHNSON CONST IARRK P 0 BOX 21327 P 0 BOX 21327 EA6AN PIIV 65121-0327 EAGAN MN 55121 (612) #51 (612)451-1676 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 pln. Statutes and City of Eagan Ordinances. I -:;;A l? & ?7 t? ?.a,n ?.o, ??. J?C?tf APP ANT/PERMITEESIGNATURE I UED Y: IGNATURE INSPECTION RECORD - C°ntr°' "° 0514 CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITEADDRESS: Lor: 2 3841 BRIDGEWATER DR THE OAKS OF BRIDGEWATER 1ST PERMIT SUBTYPE: SF OWG TYPE OF WORK: Control No. 0514 NEW INSPECTION FOOTING „ . FRqpING DA INSUlATION FINAL FIREPIACE ,._ RE04ARKS: RECEIPT N r- L PERMITTYPE: euiLoiroo ,. Permit Number: 0 0 0 6 3 4 Date Issued: 0 5/ 2 7/ 4 2 BLOCK: s APPLICANT: JOHNSON CONST, MARK (612) 451-3268 S&W PLBR. - SCHULTIES PLBG. ? I cinr oF eac,aN 1992 BUILDING PERMIT APPLICATION 681-4675 s ?a JAY 2 0 RECD SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies when typing of permit is requested, but nat picked up by last working day of month in which re uest is made r lot chan e is re uested once ermit is issued. Date o9 0/4Z Val uati on of work /90, oo O• o 0 ite Location: 3sy? gr;dcewat&' Nr;Jo_ STREET STE Y Teridnt Ndme:__/?IP/`?, .?ONV1So^ LOT o'L BLOCK 3 I I SUBD.-;IIL P.I.D. # ? oxks oF /3?;oP e Descri tion of work: ew S?` le Fo,,..?;1 The applicant is: ? Owner 1% Contractor ? Other (Deseribe) Name 1Vlant_ 3o4nsa.-. l.r, s? Phone Property LAST FIRST Owner addr-ess STREET STE M City State Zip Company /Y1a^l(_ Sa%.%so?t C?st Phone 4/57 co Contractor Address PO Qox ac?a? License # 3,288° City Ec<oar. State /H'v Zip SS/al -033 Company larlSov? ?Jes:sjp? Phone 7 lU - SOYR' Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber _ 4iuWCS p/u.,..,6/n4 . Processing time for sewer & water permits is two days once area has been a roved. I hereby acknowledge that I have read this application and state that the infarmation is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Si t f gna ure o Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation 02 Single Family ? 03 Two-family ? 04 Multi-fam. T.H. ? 05 Apt. Bldg. WORK TYPE fg 90 New ? 91 Addition ? 92 Alterations ? 06 Garage/Accessory ? 07 Fireplace ? 08 Deck ? 09 Basement Finish ? 10 Swim Pool ? 93 Remodel ? 94 Repair ? 95 Tenant Finish ? 11 Res. Add./Porch ? 12 Comm./Ind. New ? 13 Comm./Ind. Add ? 14 Comm./Ind. Rem ? 15 Public Fac. ? 96 Move ? 97 Demolish ? 99 Undefined ? 16 Agricultural O 17 Building Move ? 18 Demolition ? 20 Miscellaneous GENERAL INFORMATION Occupancy R-3 M-t Zoning R -i Const. (Actual) y- N (Allowable) V- N # of Stories Length Depth ? APPROVALS Planning Engineering REQUIRED INSPECTIONS O Site ? Wallboard Basement sq. ft. MWCC System YE& lst F1. sq. ft. City Water Y-c 2nd F1. sq. ft. PRV Required Sq. Ft. total Boaster Pump Footprint Sq. ft. Fire Sprinkler On-site well Census Code a/ On-site sewage SAC Code -0/ Building Variance ? Footing ? Final Yaluatim: $ H3.0J J ? Insulation ? Fireplace Permit Fee l6 S.O`o Surcharge 96 Plan Review Lo Z7, License MWCC SAC -J o o, oo City SAC , o ? 100 Water Conn. Water Meter gs,?u Road Unit 3wo. o„ Treatment Pl. 30\0,. Rcad-Nni t 51K, prrwt '-3o, v o Park-.Bed. s45/4 1510 Copies Other Total : 3 / ?c1- SAC % ?p O SAC Units _L GARAGE; ?z xz2? 26L/ 7-o Kay c 4I 90 42 K cl ; /8 ? Framing ? Oraintile 'lYJZK 16s 2bX`-(cd= 124?3 ?f X 1 S` = 'CC7 3 X ?o_ 30 JY3?i ?ST ?c.J ?12 ZN7J FLaJh.. )eA(. s: /244 12, 19 2 17 ?12 X 2; 3s' ?x IS, 2 es? ? /3??53 1,Z?e G=? 7 ? Kl e ? Xf s /d ?] Od E f5smr- rq3U 16X?v= Z24 16?yKS? s ?5-7 22 -T-0TA'L /c/ 2_cl ? a Assessments MRY-19-'92 TUE 17:15 ID:JAMES R HILL INC SURVEYOR'S CERTIFICATE MARK JOHNSON CONST. BJ? IQ.G_EWATER_ R -508.00 S 12°ST.TOT??wi'_ 30 291751'--.?1 - J?°3e ?23 s1,5 „ fGoz.l ) ? ? ? ; W W •so. : 1' .1_ N to m s ? ? 0 m --T /GA L PORCH (845.A) l ?`o r 2 Ir zso 02oo ? fl r (Y+r'/4101 C ? 7,oJ BEPT NOTE: BUiLDING pMENSIONS $NOWN ARE FOR HqtljCNrAI @ VOlTCAL LOC' ATION OF 5TRtlCTUAE ONLY. $EE , ARCMt1EGTUAL PLANS 1? WILD?G 8 FOUNOATION OIMENS10N8, 0 DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - qo3,$ FEET • DENOTES PROPQSEO SURFAGE DRAINAGE O PENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 FEET X000.0 DENOTE$ EXISTINCi ELEVATION PROPOSEO LOWEST FLOOR -?yg, I FEET (OW.O) OENOTESPROPOSEDELEV1iTION PROPOSED TOP OF BLOCK-Ra4,2 FF.E,' WE HEREBY CERTIFY TO MARK JOHNSON CON ST. THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNOARIES OF; c THE OAKS OF BRIDGEWATER I ST ADDITIDN, accordinp to the o rac r `0t thereof, pakota Gouray, Minnesota. i7 DOES NOT pRp ORT.'TO SHOW IMPRpVEMENTS OR ENCROACHMENTS, EXCEPT AS SkOWN. AS SURVEYED BY ME OR GNDER MY DIRECT SUPERVISION THIS 197H DAY OF MAY ,1992• NOTE? NO SPECIFlC SOILS INVESTiGAT10N SIGNE : J ES R. HILL, INC. HAS BEEN COMPLETED ON TH1S IAT 6Y TNE 9URVEYOR. 1HE SUITAB?ITY OF 9dL$ 7CI StJPPp1T ? THE SPECIFlC HOUSE PRDPOSEp B IS NOT TME RESPONSiBLITY OF JOHN C. LARSON, LANQ SURVEYQR TME SURVEYOR. MINNESOTA IICENSE NUMBER 19828 m o ? N po m N o N a)ames R. Hill, inc. o ? o °4 Z ? y Z ? m ?z PLANNERS ! ENGINEERS / SURVEYORS - O m N j j `q ti ? - ? -- ?--------- ----- - ? --1=---- - --?'?--- ?03 5J ? 1 , io.oa ? . ? M M / PR POSED /N/ E ? / poJ Ap DECK I • L__ _4 ? e Q/ B ' 6b TEL N0:612 890-6244 p647 P91 / OO ` / a 2600 W. CTY. RD. 42 • BURNSVILLE, MN. 55337 o $12-890-8044 , ' rrCTER20R ENVc,LOPE aV&tAGE "U" COMPUSdTION OWNF?i - PLAN N0. I4' SITE ADDRESS L o T Z rF L o?K pi4/C5 oF DATE Ib 1?a2 CONTRACTOR MAINO'so 40WWt.i (:WST, PHONE ls7 na, rid" Determine xorldng square footage oY each 1. Total exposed wall area....... ±5 sq.ft. x.1? 2. Total roof/ceiling area...... ?lIA00 sq.ft. x•07S = e?/1j?OGj .62G 3. Total Pl.oor/cant. area....... sq.ft, x 71 Total ezposed wall area above Yloor ?1,0 8 • TOf'.81 L78u S711)dOW 82'98 ... ....... • SU/T.?/ b• Total door 8P6&..... 0 . . . . . . . $ . . * 0 . 0 0 0 . 0 9 . I• 1 ""271 C• TOt,81 5liding g18S5 d002' area ................ 00 0 d. Total firaplace wall area .................... e. Total vall framing area (average 10%).... .... ? Y• TOt.81 Y1Bt. K811 8T98 &bOV6 fl001`....... so ...?? ? $• TOt.dl rim joist area .................. so .... a. • Total ezposed foundation area «??os h. Total founiation orindocr area ........ ........• 1. Total net foundation area above grade........ S- Determine "II" value of each vall segment st*,zz „ n 51 I b. al # 7?1 x"iT" .1 1= 0 23? , 9 g o. [wto5 a "II" .Q-1 = Gfl ?OZ d. x "II" e. x "II" . 1 O = . B • , O x "II^ he a "0" _ i.??j, z "U" 4. ................................... Totam = 4?JZ??S If item #4 is the same ass or less than item # 9 you hava met the intent of SBC 6006(0)2. 4 1 Total exposed roof/ceiling area 1=1#0 J. Total skylight area................................. .... k. Total roof/ceiling framing area(aver.(.10*16"o/c), .„ d ? (.0625324"o/0049 1. Total net insulated roof/ceiling area .................. 10 " Determine "0" value for each roof/ceiling segment J. x "U" _ k. ?V R °U° D ? 1. (P I'tl 7C ^U° OZ = J ? g . ................................................. Totai If total of #5 is the same as, or less than #29 you have met the intent of SBC 6006(c)1. Total exposed floor/cant. area SWO M. Total floor/cant • fr3R1'121 8P68 (average • 1 0%) ? ? ? ? r ? ? ? ? • `" "? n. Total net insult.ed floor?cant. area .................... 37Z Determine "II" value for each floor/cant. segment "IIn •UIOZ = I.(P n.? x "U" ,OL = 777 6 . ................................................. Total = If total af #6 is the same asg or less than #3, you have met the intent of SBC 6006('c)3. eI,TMNATE BUILDING EPNELOPE DESIGN To utilize the total envelope system methodp the values established by the sum oY items #4, #5 and #b shall r,?qt be greater than the sum of items #1 9 #2 arri #3. ? .?7 I jli i, 44;;15, rd8 2. +yiW$ 3, a. 4'3?? 15 5. 54' 145 6. Prepared by Date 5 "t ?O'?IZ 4 THRO STUD vl S.R. & SIDING int, Air .68 1/2" S.R. ,45 St,d (v.S$ m '? ? 9e? a.e6 sias,og ,ZS Fxt. Air .17 xotai •x• = q.s& 1 IR = "II" _ TffitII RIlK JOIS? xHRv cLO. MEMIDSR Int. Air .68 lo? Ins. 1114O Opt. Styro. i i /2^ tdood 1.89 0XW,0A4l.h .(sZ 24J32- B!k? 49" Sirling , ijj bct. Air .17 Opt. Brick xotgi NaO = Z3, 1¢ i/x = ^U" _ Ir?t. Air .61 S.R. (q,;) ?S(. Clg. Memb. ¢,?S Ins. ( "); ?j5o still Air .61 Total "R" •r 1 /a = °tr^ _ THRQ INS. WALL v/ SR. & 3IDING ? c' 'fHRO CONC' HIACS ,. y --= :, ?.. ; G - / ? THRII CLG. rasui.axiox ? ? Int. 61r .68 i/2¦ s.x. .45 CO • IAS. " e ? ei 6 siaina ,74 &xE. Air •17 . Total "R" = 1,101 1/R = "II" _ ?d? Int. Air C.B. ( J'Zff) Opt. Ins. Pxt. Air ppt, S.R. Opt. 5ld. Total "R" _ i/$ = Nj]w a .68 1,746 ??f0 .17 I3,11> ,o? Int. Air .61 S.R. (.?) 15Sm, IIIB. 4S.0 Still Air .61 Total "A" _ ?,7e7 l/g = ^D+ _ /OLI , THRII MEMM Iat. Air 492 Tg&II IITS. Iat. Air 092 AT TIICS'S Carp.-Pad IIVJ AT TIICI'3 Carp.-Pad (02}j vimyi vswi 5/8" IItd. .82 5I8" IInd. .82 1/2w Ply. 062 ? 1/20 Ply. .62 Joiat Depth ?1.6 4NOW Ias. Apa ? 5J$'s S.R. SIS" S.s. .56 Still Air . L Still Air i Total "R" = Rotal "E" = 35101 l/g = "Uu s lIR ' LOT _ 1 BLOCK ? SUBD. 14?L C.CJru.a?? RECEwr # a?oo j & DATE ?`- 1994 CITY OF EAGAN IRRIGATION PERMTf (FOR BACKFLOW PREVENTER) COMMERCIAL INSTALLATIONS - FaRM MUST BE COMPLETED BY LICENSED PLUMBER Date: _T/919y Area/address to be irrigated: 3$y1 Installer: Street address: City, sta[e & zip code: eA 9y3 -oos'3 Owner Name: ( )?1ti/cs ?7. (?""sao Street address: Owner lr? Plumber ? City, state & zip code: fy .r ? M N 3 S/ 7--3 phone #: Irrigation conuactor, if different than installer: Telephone iJ: Phone li: 'ySy` 92/9 ysy v219 j' S.c.ciqA7?c% ?1x.c.?qAYi=•v v ? I hereby acknowledge that I have read this application, state ihat the information is correct, and agree to comply with all applicable City of Eagan ordinances. $1gIlahlt8 Commercial GPM 0" Residential (boulevazds) GPM Existing residential - ?oiye o w.?d?(, Title If consuuction activity occurs in public easement or Ciry right-of-way, signature of property owner is required. The properry owner agrees to hold haruiless the City of Eagan for any damages caused by the City during its normal operational and maintenance activiries to [he facilities constructed under this permit within City propertylright-of-way/easgment. &Z '/' ?) . '6-/g/9 / Properry Owner Date Approved by: ja ik14?'?V Date: NI A 1 1 , ?q L PRV ? Yes Cg No New service 0 Yes D9 No Meter Size & Cost i 4fD? Fees due: 0o Calculated by:,' A 145:e-- ? 6 o PROCEDURE FOR IRRIGATION SYSTEMS 1. A site plan must be submitted to the Engineering Department for review before installing an irrigation system. A permit to work within City property/public easemenUright-of-way may be required. 2. Jerry Wobschall, Finance Department, will calculate permit fees as follows: a. Commercial proiect: $ 25.50 irrigation system pemut to cover installation of backflow preventer. $ 50.50 water permit fee onlv if new service is installed. $100.00 per tap if installed by City. b. Residential proiect: $ 20.50 irrigation system sprinkler permit to cover installation of backflow preventer. $ 50.50 water permit fee if new service is installed. $725.00 per connection - WAC. $348.00 Q,er connection - water treatment facility. c. Existing residence: $ 20.50 irrigation system permit to cover installation of backflow preventer -(not required if backflow preventer previously installed), however, plan and application must still be presented for approval. d. Meter char¢e: If gallons per minute aze less than 25, a 1" meter will be required at a cost of $165.00. If gallons per minute are more than 25, a 2" turbo with strainer will be required at a cost of $775.00. This information is to be supplied by the designer of the system. 4. No meter will be sold bePore all sewer and water inspections are complete on a new service. If new service lines are not require d, one check may be written for meter and permit costs. Receipt will be coded to 20-3716 (meter portion only) with pink copy forwarded to Utility Billing Clerk. 5. The installer is to contact Protective Inspections at 681-4675 for inspection of the inside water line and backflow preventer. The Public Works Department may be reached at 681-4300 for water turn-on and set and seal of the meter. Inspection hours are 8:30 a.m. to 3:30 p.m. Monday through Friday. Requests for A.M. inspections should be made on the preceding work day. Requests for PM inspections will be accepted until 12:00 noon. PERMIT # REACTIVATE ? L %it CITY OF EAGAN 1892 BUILDING PERMIT APPLICATION 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & 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 lat chan e is re uested once ermit is issued. Date(1(??I?t?n??/ Valuation of rk Site Address• STREET SUITE R Tenant Name: (commercial anly) IAT BLOC& .J SUBD. ,i1s JiJ' ?1zti L±? rj1??1 G J P.I.D. tf r ? . , Descri tion of work: The applicant is: ? Owner Contractor ? Other (Destribe) NameC_.t-Ilr'F'?Y1 ?Y^C)?,? ?01(1 A ) Phocia 44 61 Property . LAST F1R5T Owner Address STREET STE N City State Zip ?.?Ic::? I Company Phone 0? COntfBCtOf Addressr-ap\? A,6,ba , License liladx Exp. City State Zip Il Architect/ Company Phone Engineer Name Registration # Address City State Zip Sewer 3 water licensed plumber . Processing time for sewer 8 water permits is two days once area as been approved. I hereby acknowledge that I have read this application and state that the informatian is correct and agree to ga" with all applicable State of Minnesota Statutes and City of Eagan Ordinances. , . Signature of Applicant. OFFICE USE ONLY BUILDING PERMIT TYPE O Ol Foundation 0 06 Duplex ? 11 Apt./Lodging ? 'fl°`16 Bas?nt Finish 0 02 SF Dwg. ? 07 4-Plex O 12 Multi. Misc. ? 17 Swim Poal ? 03 SF Addition 0 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind. ? 04 SF Porch ? 09 12-Plex ? 14 Flreplace ? 19 Comn./Ind. Misc. ? 05 5F Misc. ? 10 Multi. Add'1. ? 15 Deck O 20 Public Facility ? 21 Miscellaneous WORK TYPE ? 31 New ? 33 Alterations ? 35 Tenant Finlsh ? 37 Demolish ? 32 Addition ? 34 Repair ? 36 Move 3Ed,!E4AL !NFOoN' w?IG`N Const. (pctual) (Allowable) UBC dccupancy Zoning M of Stories Length Depth APPROVALS Planning Engineering REQUIRED INSPECTIONS O Site O Mallboard Basement sq. ft. lst F1. sq. ft. 2nd Fl. sq. ft. Sq. Ft. total Footprint Sq. ft. On-site well On-site sewage Building Yariance ? footing ? Final O Framing O Draintile MWCC System City Water PRY Required Booster Pump Fire Sprinkler Census Code SAC Code Assessments ? Insulation ? Fireplace Permit Fee Surcharge Plan nevlEir License MWCC SAC City SAC Nater Conn. Water Meter Acct. Deposit S/N Permit S/H Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Coptes Other Total: . vetuet;m: g SAC % SAC Units I_ ? ? : CITY OF EAGAN I- °Z B°? /-? CHANICAL PERMIT RECEIPT #/O SUBD. ?(612) 681-4675 DATE ?/o? RESIDENTIAL PLEASE COMPLE'I'E UPPER PORTION ONLY FOR SINGLE FAMII,Y DR'ELLINGS. AISO, COMPLETE FOR TOWNHOMES/CONDOS WHEN SEPARATE PERMITS ARE REQUIRED FOR EACH DR'ELI.IlVG UNTf. owlvER: ' av- ms6 7, C-Ans#. ?" rrzd FEEs SI7'E ADDRFSS: ,/ f?{rl 1 2lv.1 ??-r.? ?-, ?rt a CONSTAUC! ION ONLSTING S 15.00 INSTALLER: AVAC: 0-100 M BTU , 24.00 rHOrrE #: 12481 Rhode Island Ave] So. ADnlTioxAL so 1H s1'v 6.00 nDnxESS: avage, cns ouTi.Ers • hmvrniUM i@ S3 EA. ? ?. D D crry. ZIP: SURCHARGE: $ .50 SIGNATURE: TOTAL: COMMERCIAI, PLEASE COMPLEi'E THIS PORTION FOR ALL COMMERCLWINDUSTRIAL SUILDINGS. ALSO COMPLETE FOR APARTMENT BUII.DINGS OR OTHER MULTI-r AMILY BUILDINGS R'HEN SEFARATE PERMITS ARE NOT REQUIRED FOR EACH DR'ELLING UNTf. WORK DESCRIPTION: CONTRACT PRIC& FEES 196 OF CONTRACf FEE. STATE SURCHARGE IS $.50 FOR EACH $1,000 OF PERMIT FEE. $ PROCESSED PIPING - $25•00 $ =.Cni . OWNER- TOTAL: $ SITE ADDRFSS: TENANT: SUITE #: INSTALLER: ADDRESS: CITP: ZIP: PHONE #: CITY SIGNATURE SIGNATURE: CITY OF EAGAN 3830 PILOT KNOS ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 --------------- WORK DESCRIPTION NEW CONST _ ADD ON _ REPAIR _ OWNER NAME: SITE ADDRESS: J O '7v( LOT:,4 BIACK oS SUBD. / - 7 Y _7 1 1. ? FOR CITY USE ONLY PERMIT # RECEIPT # C DATE: ?a-:?'l -`I DWELLINGS 6 COMPLETE THE FOLLOWING: 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 FIAOR DRAIN 3.00 G1i5 FirlciG Jui. TOTAL 2" 29- ell. Cy:) ? INSTALLER: (MINIMUM - 1) 3.00 6.c_U ? ROUGH OPENINGS 1.50 .?? ADDRESS: OTHER ? WATER SOFTENER 5.00 CITY:? E ? ZIP: PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 PHONE #• ?..J ?p 5 0 ? SUBTOTAL S c_J Os 3 ST. SURCHARGE .50 SIGNATURE OF PERMIT ,?C?/? TOTAL: 4?' J/?./ CO3AIER?IAb??ND[IST&IAl:; ' PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL Bt1ILDINGS AND MULTZ-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: OWNER NAME: SITE ADDRESS: LOT: BLOCK SUBD. FEES 1% OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 18 $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE #: (SIGNATURE) FOR: CITY OF EAGAN NO PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. -----°---------------------------°------------------ 73S35 0Q0 03 MEMO TO: TOM COLBERT, DIRECTOR OF PUBLIC WORKS FROM: WAYNE SCHWANZ, SUPERINTENDENT OF UTILTI'IES DATE: NLY 7, 1993 SUBJECI': SEWER BACKUP AT 3841_BRIDGEWATER; CHUCK GROSSO RESIDENCE Enclosed is the Supervisor's report with attachments for the problem at 3841 Bridgewater. Besides the contact ffiat Kelley 7anes and lvs crews had with the Grossds, I was personally contaded by Chuck Grosso on May 11, 1993. At that time he was in Florida on business and asked if I would assist his family in this problem. I subsequently contaded Cris Grosso and recommended two cleaning services that could help deal with the clean up and disinfection of theu basement. The Grosso's concem at this time was for the safety of their children and [he po[en[ial for sickness or disease because of the contamination caused by the sewage in the home. I had a followvp conversation with Mr. Grosso in which he informed me that they had proceeded with the cleanup and that his insurance wmpany informed Lim they would not allow the claim and the he should follow up with the city insurance company or builder. The incident was forwazded to Gene VanOverbeke and reported to the League of Minnesota Cities Inswance Trust and assigned to Julie Lassonde. Julie has since requested background informatiou from Kelley Janes in this matter. After reviewing the reports from Kelley, the followup jettiug records, and televising tape, it appeazs that gravel and construction debris were at fault. This material was lefr in the line from construction or may have been flushed down stream of the project prior to inspection by the 5eld manager. The je[ting removed gravel and one lazge piece of 8" PCV pipe. The gravel had not been in the line for a long period oF time based on it had not turned black hom !he sewage. Historically the Depaztment has found this kind of blockage to occur frequendy with new projects. Unfortunately, it is hard to determine where conswdion debris will settle if flushing of mains occurs with lazge volumes of water. It is my opinion that tLis blockage is the responsibility of the contrador and that the city has ao involvement or responsibility to cover the cost of the clean up. Wayne Schwaaz Superintendent of Utilities Attachments WS/uab 9b:co1bert.188 CSTY OF E.tCar! PUflLIC 4Q81L$ DEPARTMElR' e H E R C E N C Y C A • L L- 0 U? I N F 0 R M ? I 0 N SECTION - STR£ET WATER SEyL•g EQ(IIP. MA1N. Dace S? ?=3 Timc °` 1 D (7 ` Called hy ??E ??e . ??'l n C S TYPe of Ca11 SG we?.. ? 10? Problem Locacian 13e[-ai1a of Prnblem . ----------------- ActLon Yaken J G.? .-L, K EquiPmeat Lsed 0 C'St'- ) ., <- , 7o1L0v Up ucrk To IIcDcnc Qy C(i e e- 1c FI a.,? o„? SI- cc coo Hpurs Spenc % . ? Employec (?) -7 6o ctr . . ? UTILITY INCIDENT REPORT May 10. 1993 - 9-00 p.m. I was contacted by Police Dispatch concerning a sewer backup at 3741 Bridle Ridge Rd. I cailed in Larry Cudo to respond to the site and then contacted the resident: I spoke to Chris Grosso and told her that a maintenance worker was on the way. At approximately 9:15 p.m., Poiice Dispatch again contacted me with another resident call from the Bob Johnson home, experiencing the same problem. Assuming there was a backup in the main, I then contacted Mark Dornseif to assist Larry and instructed him to take the Jetter out to the site. Within approximately 5 minutes, Larry Cudo contacted me to call in assistance for him. i arrived at the scene at approximately 10:00 p.m, and met the jetting crew as they were leaving the site. They informed me of the probable location of the blockage and I met with both homeowners. Asst. Ciry Engineer Mike Foertsch was already on site, living near the problem area. Mav 11. 1993 - 7•30 a m Bill Weitrel and Mark Dornseif Jetted the line on Bridle Ridge Road to Bridgewater Dr. and puiled back sand and gravel and a piece of a green 8" PVC pipe. They cleaned the entire development. Superintendent of Utilities, Wayne Schwanz, was informed of our findings. Visu-Sewer was cailed in to televise the section of the main in question. The tape showed clean lines and no apparent signs of pipe breech or deflection. Televising was inconclusive. Respectfully Submitted, Kelley M. Janes UtiUty Supervisor City of Eagan KJ/cm 32wp:wnry. 14 7 PROJLCT U DATE: PERSONNEL ASSICalED? -(0(OG EQUIPPN3NT ASSIGPlED: YOUR OUT: - HOUR rTN: STTtC•ET k$ LOCATION MAN HOLE PIPE DISTANCE 1'YPE WORK PREFOftMGD LOCATIOt; I NUh?E4iS [iGT1VCEN SETTI G RO OING PACc tl FROM TO SIZE 1YPE MAN HOLES JCTTEI?P 00r ROOT SAW OJ2??(!C-3 _ _ .. _. _.. - - ? .. . I _.,..... . .__._ _ I I kr? _ ._._ _ . . I o ? ._. ...y_ . ._ . . .. . ... ._' " ' _ _.. .. _ __ __. .. _ .. . ....: i ... ? ? _ Z ID...w._, Y2. 3. . C S _•• Pr/C 1,2,5, 70 (o ¢0 380 _..-----..._......- - ___... . . C3 _-5S _ . ... _. _. . . .. J .. . ._ _. . . .. . . . . 14.MAMS: Visu-Sewer Clean & Seal, Inc. 1159 W14397 Bobolink Ave., Menomonee F'alis, WI 2849 Hedberg Dr., Minneapolis, MN 55343 Software Release 3:1 - Copyriqht 1990 Sewer Type: Location . Precipit . From MH . To MH . Lenqth . Sanitary Bridal Ridqe Road 0 2 3 174.0 53051 Phone: (414) 252-3203 Phone: (612) 593-1907 - All Rights Reserved Date: 05/14/1993 Direction : Down Stream to the e Ground Con: 0 Surface : Paved Pipe Type : 8-' PVC- 13.0 Video Tape: 1:0275-0570 Footaqe Hegin end 0 69 174 Test and Seal Observations and Comments Value Pres Chem Gal ----------------------------------- --------------- ----- ----- ;Upstream Manhole ;WYe Connection ;Downstream Manhole ? ? I ? , ? ? ? ? ? ? ? ? ? ? ? I Projeck: Eaqan, MN Crew Leader: SG Right Paqe 2 Visu-Sewer Clean & Seal, lnc. N59 W14397 Bobolink.Ave., Menomonee Falls, WI 53051 2849 Hedberq Dr., Minneapolis, MN 55343 Software Release 3.1 - Copyright 1950 - Sewer Type: Sanitary Date: Location : Bridal Ridge Road Direction : Precipit : 0 Ground Con: From MH : 3 Surface . To MH : 4 Pipe Type : Length : 68.0 Video Tape: Phone: (414) 252-3203 Phone: (612) 593-1907 A11 Rights Reserved OS/14/1993 Down Stream to the e 0 Paved 8- PVC- 13.0 1:0275-0680 Footage Begin end Observations and Comments Value ----- ----- ----------------------------------- --------------- 0 47 68 ;IIpstream Manhole ;Wye Connection ;Downstream Manhole ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? , ? ? ? ? ? ? ? ? Right Test and Seal Pres Chem Gal Project: Eaqan, MN Crew Leader: SG Yaae 3 Visu-Sewer Clean 6 Seal, Inc. N59 W14397 Bobolink Ave., Menomonee Falls, WI 53051 2849 Hedberg Dr., Minneapolis, MN 55343 Sottware Release 3.1 - Copyriqht 1950 - Sewer Type: Sanitary Date Location : Bridal Ridge Road Direction Precipit : 0 Ground Con From MH : 1 Surface To MH : 2 Pipe Type Length : 145.0 Video Tape Footage Begin end Observations and Comments ----- ----- -------------------------------- 0 5 81 145 ;Upstream Manhole ;Wye Connection ;Wye Connection ;Downstream Manhole ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Right Right Test and Seal Pres Chem Gal Project: Eaqan, MN Crew Leader: BG Phone: (414) 252-3203 Phone: (612) 593-1907 All Rights Reserved 05/14/1993 Down Stream to the e 0 Paved 8- YVC- 13.0 1:0000-0275 Value --------------- Paqe 1 League of Minnesota Cities June 28. 1993 Mr. Charles Grosso 3841 Bridgewater Drive Eagan l+aT 55122 RE: SR8 File No.: Trust Member: Claimant: Date of Losss Dear Mr. Grosso: 3490 Le:dngton Avenue North St Paul, MN 55126 (612) 490-5600 11001 City of Eagan Charles Grosso 5/10/93 As you know LMCIT provides insurance coveraqe for the City of Eagan. This letter is just a follow up of our numarous phone conversations. As discussed, I find no negliqence on the part of the City of Eagan in causing your sewer back-up. Therefore, I will not be able to make any payment to you and I must respectfully deny yourclaim. As discussed, there was a piece of 8" PVC pipe that was found to have caused the blockage. This piece oE PVC pipe would have had to qet into the system sometime during the construction of the main sewer line. As discussed, I will make an attempt to recover your damages from the subcontractor who installed the sewer. I am still waiting on some information from the City. Once i receive this information I will be in touch witi? the sewer contractor an3 in turn then will be in touch with you. If you should have any questions, please feel free to contact me. Respectfully, Julie Lassonde Claims Adjuster JL/clw C.C. Eugene VanOverbeke Rothschild, Sell 8 Walaeth City of Eaqan Box 7128 3830 Pilot Knob Road St. Paul MIId 55107 Eagan MN 55122 League of Minnesota Cities June 28, 1993 Mr. Bob Jackson 784 Bridle Ridge Road Eagan MN 55122 REi BR8 File No.: Trust Member: Claimant: Date Of Loss: Dear Mr. Jackson: 3490 Lexington Avenue North St Paul, MN 55126 (612) 490-5600 11001 City of Eagan Bob Jackson 5/10/93 As you know LMCIT provides insurance coveraqe for the City of Eagan: This letter is just a follow up of our numerous phone conversations. As discussed, I find no negligence on the part of the City of Eagan in causing your sewer back-up. Therefore, I will not be able to make any payment to you and I must respectfully deny youf claim. As discussed, there was a piece of 8" PVC pipe that was found to have caused the blockage. This piece of PVC pipe would have had to get into the system sometime during the construction of the main sewer line. As discussed, i will make an attempt to. racover your damaqes from the subcontractor who installed the sewer. I am still waiting on some information from the City. Once I receive this information I will be in touch with the sewer contractor and in turn then will be in touch with you. If you should have any questions, please feel free to contact me. Respectfully, Julie Lassonde Claims Adjuster JL/clw C.C. Eugene Vanoverbeke Rothschild, Bell i Walseth City of Eaqan Box 7128 3830 Pilot Knob Road St. Paul MIIJ 55107 Eagan MN 55122 7697/ 2007 RESIDEMTIAL PLUMBIIVG PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existina residential dwellinas Date 0 3/ 1 31 0 7 SiteStriketAddress 3841 BRIDGEWATERDR Unit# Property Owner KIM & MARK SHEAHAN Telephone #((61) 454-7518 Contractor Genz-Ryan Plumbing & Heating Telephone# (952 ) 767-1845 Address Z200 W. Hwy 13 Crty Burnsville State MN Zip 55337 Tfie Applicant is: _ Owner $ Occupant x Licensed Plumbing Contractor Septic System _ New _ Refurbished Submit 2 sets of pians and MPC license Includes County fee $ 100.04 Per as-built $ 10.00 Fire Repair (replace burned out fixtures, etc.) $ 90.00 This fee a lies when extensive lumbin re airs are made to a huildin . Alterations to existing dwelling $ 50.00 _ Add plumbing fxtures to main level lower level. This fee includes installation of a water softener and/or water heater at the same time. lf yoa are insfalling onlv a water softenar and/oi water heater, do not complete this section; move to the next section and place a chedcmark next to the appliance(s) you are installing. _Septic System Abandonment ' _Water Turnaround (add $136.00 if a 518" meter is required) Other: Water Soitener X Water Heater $ 15.00 _ new x replacement _ Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ 50 Total $ 15.50 t hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and coiies of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. 5I-eohan?? ?)Mu,, _ . Applica 's Printed Name ApplicantV Signature . , INSPECTION RECORD CITY OF EAGAN F,?.ACI'IVATED r"OR FIREPLACE 11/30/92 pERMIT TYPE: ZESI?E CORNER 633-2561 Permit Number: 3830 Pilot Knob Road ?P Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: ... ? Hk IflliE4fA 1 f 1. 1f1? 101-Ir,NON coNSr. 1Hl 0AM'. uf HF;[I.IiIEWAtEN itif tb]Z 1 4c;t . 3I0!18 PERMIT SUBTYPE: TYPE OF WORK: Control No. '-) 1514 1,11lki, [Ni1 0fdNti.tq OF,l:'719: MAFt1i N INSPECTION ? . . ., . ?... , D• I???.?rt A 1 I i<<i r cNai f l If l I' 1 A. ' ! I, 1 Ml1i'4 '. ;. t 1 I 1 if1 4 ? ? A%a 1111.814. .- •; rAi u r rics PLRO. ; I Permit No. Permtt Holdsr Date Telephone N S/W PLUMBING HVAC ELECTRIC ? L ELECTRIC Inapection Date insp. Comments Footings I 7 Foundation Framing ?- f72 ?J S Rooting Rough Plbg. Rough Htg. IsuL Fireplace Final Htg. c n I, Orsat Test Final Plbg. Plbg- Inspector - Natify Plumber Const. Meter EngrJPlan Bldg. Final ` J Deck Ftg. peck Final Well Pr. 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PERMIT City of Eagan Permit Type:Building Permit Number:EA123059 Date Issued:05/28/2014 Permit Category:ePermit Site Address: 3841 Bridgewater Dr Lot:2 Block: 3 Addition: The Oaks Of Bridgewater 1st PID:10-75835-03-020 Use: Description: Sub Type:Fireplace Work Type:Gas Fireplace (new) Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 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 - Patrick Joyce 3841 Bridgewater Dr Eagan MN 55123 Twin City Fireplace 6916 Washburn Ave S Richfield MN 55423 (612) 282-2684 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA129546 Date Issued:02/20/2015 Permit Category:ePermit Site Address: 3841 Bridgewater Dr Lot:2 Block: 3 Addition: The Oaks Of Bridgewater 1st PID:10-75835-03-020 Use: Description: Sub Type:Fireplace Work Type:Gas Fireplace (new) Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 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 - Patrick Joyce 3841 Bridgewater Dr Eagan MN 55123 Twin City Fireplace 6916 Washburn Ave S Richfield MN 55423 (612) 282-2684 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA171153 Date Issued:08/03/2021 Permit Category:ePermit Site Address: 3841 Bridgewater Dr Lot:2 Block: 3 Addition: The Oaks Of Bridgewater 1st PID:10-75835-03-020 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. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the water damage. 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 - Patrick Joyce 3841 Bridgewater Dr Eagan MN 55123 Options Exteriors 460 Hoover St NE, Suite 2 Minneapolis MN 55413 (651) 705-6376 Applicant/Permitee: Signature Issued By: Signature