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3858 Bridgewater Dr p 6 612 4 Request Date I I` p _? ? Fire No. _L Fough-i spec6on qe ?„?? 4 pec[or 7-1 Reaby Now _.?'? ? otR d ? ues C No y ea Ilicensed contractor ? owner hereby request inspection of above electrical work at: J b Adtlress (SVeet Box or Roule Na.) I , 3 4lld?el.lJ1 CN ?V 1 1^2 Gty ?G(G Dt 1? Section Na Townsmp Name or No. Range No. County t)o ?G Oc upan[(PqINT? Phona No- ?C A PawerSuvoller Aa ress ?4pr? Iy? S??ZL+ s EiecV I Convactor ICompanY Nam? Y? ? ?'l o Gonlrector5 Llcense No. Mailing Adtlress fCon[roclor or owoer Making In lailalion, Z? S k 5?. , G? nutnorizetl Slgnawre Comra ta1Owner Making ins Ilation, I?0WevQ v? I PM1one Number -7, z-1 - 7- MINNESOTA STATE BOpRD OF ELECTqIpTV Griggs-Mitlway Bltlg. - Roam S173 Cl ? 1821 UniversHy Ave., SL Paul. MN 55ID4 hona (612) 842-OB00 THIS INSPEGTION REQUEST WILL NOT BE ACCEPTED BV THE STATE-BOARD UNLESS PROPER INSPECTION FEE IS b?i? ? ? V') ENCL0.5ED. /??./9/. REQUEST FOR ELECTRICAL INSPECTION W See mshuclions lor compleung mi=_ lorrn on back ol yellow copy QRM 24 "X" 8elow Work Covered by This Request 'o EB-00001-08 s?,?_?+ e Atld Rep. 7ypeofBUiltling ?-AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specity) Comm./Intlustrial Furnace Farm Air Conditioner OtM1er(sVemty) GoNrdotor's Remark5I. I Compute Mspection Fee Below.' "Q??? vo-c"' ` 00A # Other Fee # ServiceEnlranceSize Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps ? QQ 0 to 100 Amps Transformers Above 200 _ Amps Amps SiJnS Inspeciors Use Only. Q TAL Irrigation 8ooms Speciallnspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Elecirical Inspectoc hereby certify ihat the a6ove inspection has been made. Ro?qn-no oaie OFFICE USE DNLY ? Tnis requesl vo-tl 18 mONhs Irom , 2004 RESIDENTIAL BUILDING PERMIT APPLICATION ? City OfEagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Consiruction Reauirements Remaklhteoair Reauirements _ _ .... dfftce?USe-O?lv 3 registered site surveys showing sq. R. of lol, sq. fl. o( house; and all roofed areas 2 copies ot plan CerfoT Swveq Recd (20°h mmimum lot cwerage aliaved) 1 set of Energy Calculations for heated additions 7reePres Plan RmCtf _ YN_ _ 2 copies of plan showing beam & window sizes; poured found design, etc- 1 site survey for additions & decks Tree F'resReiiwted • .T, Y r N lsetofEnergyCalculations Addkion - indicateiloo-sifesepticsystem Or[-site5eptieSysiem Y,....N- 3 copies of Tree Preservation Plan if lot plafled after 7l7793 Rim Joist Detail Options seieciion sheet (bldgs with 3 or less units Date /! / // / vy 1 Construction Cost Site Address O`vaII DO UniUSte # ., Descriutianc- ' ? ' Multi-Family lfiLr?_ Y _ N ?- - - '- F ireplii v r = T ??`'?/ I f' 22-Xf/7 F-- k Telephone # ( (pV) qJ % - a?d 9 Property Owner - Contractor 39sZ? i J !?7 Add 1 3 city !3'Ueucs? , ress ? - Zip 4?)3f ? Telephone # State COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cate¢orv 1 _ Minneso[a Rules 7672 Ene?gy Code Category . Residential Ventilation Category 7 Worksheet • New Energy Code Worksheet submission type) Submitted Submitted . Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( Telephone #( I hereby apply for a Residential 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 permit, but only an application for a per . t, and work is not to start without a permit; that the work will be in accordance with the approved pl in the ca f work tiuhich_requires.a_review and ?z n '? I approval of plans. e , ?1??? NoV M ? 2004 ApplicanYs Printed Name App cant's Signat ?I { , BUILDING PERMIT ' CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 o be used for SF DWG/GAR Est. Value $160, 000 Site Address 3858 BRIDGEWATER DR Lot lZ Block 3 Sec/SubTHE OAKS OF Parcel No. wlName CHARLES CUDD CO 0 Address 1802 WOODDALE DR City WOODBURY Phone 731-3153 o Name SAME I $¢ Address ? City Phone Name _ Address CIty _ Phone I hereby acknowlege ihat I have reatl this application and state that the iniormation is wrrect a ree lo comply wlfl all applicable State of Minnesota Statutes an iry f Eagan Ordinan?s. SignaWre of Permitee & A 6uilding Permit is issu d to: CHARLES CUDD CO on the express condition Ihat all work shall be done in accordance with all applicable Stata of Minnesota Stalutes antl City oi Eagan Ordinances. Building Oflicial N4 19628 Receipt # oate SEP 3 91 OFFICE USE ONLV Occupancy R-3 M-1 Zoning R=1 (Actuaq Const VL1i Bltlg. Permit (Aliowable) -V-- N Surcharge k ot stories Length Depth S.F. 7otal S.F. Footprint5 On Site Sewage On Site Well MWCC System Cily Water PRV Required Booster Pump APPROVALS Planner Council 01dg. OfI. Variance 761 PlanReview 48' SAC,City FEES 850.00 80.0? 552.00 100_00 SAC. MCWCC 6 Sn . nn Water Conn 660_ OO WalerMeter 95_f10 X x Accl. Deposit 30.00 ShY Permi[ 30.00 - SNJ Surcharge .5 n 7reatment PI 276.00 Road Unit 370.00 - Park Oed. Copies - TOTAL t,.?i=n 1991 BUIL19NP IT AP CATION CITY OF EAGAN N NGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COI4IERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - 6 STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITN BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS _# OF RENTAL UNITS # OF FQR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT QS' PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE PERMIT MUST SHOW A LICENSED PLUMBER. AUG 2 81n ?` so To Be Used For: S,tiaLe f?Ly Valuation: .?? . , Site Address 3 QS Sg B2, DGEwMt-2 l.k, 40 OFFICE USE ONLY ??- Lot IZ Block 3 ? jhe Parcel/Sub Q,tiKS OF BR?D(?EWAr£i2-ZUo Owner GH?4?es Cul>D Go. Address ISaZ U,/oooDq?e Da City/Zip Code Woop RUzM,M„- SSIZS Phone --i'3 i- 3 ( S 3 Contractor _ Cup,QLES CuDD Co. Addxess 1pi02 1n/ooDDA UE 172. City/Zip Code 1nI0oD 3UR`{ SS" 125- Phone -7 3 I- 3 ? S3 Arch./Engr. Address City/Zip Code .aone # (Signature of Contractor) occupancy R 3 M-t Zoning K' l Actual Const Y-N Allowable # of stories Length ? Depth Ig $1 S.F. Total Footprint S.F. On site sewage_ On site well _ MWCC System y City water ? PRV _ Booster Pump _ APPROVALS Planner _ Council Bldg. Off. -? 9 •4/DS Variance -`?A.? • IS d ? FEES Bldg. Permit 850,00 Surcharge $0, oa Plan Review SS Z.o0 SAC, City /DO.OD SAC, MWCC (s O.DO Water Conn. 66 ,D Water Meter 95.00 Acct. Deposit 30.00 S/w Permit 30,00 S/W Surcharge ,$-C Treatment P1. 276.0o Road Unit 3 O.Po Park Ded. Trail Ded. Copies SUBTOTAL Penalty Lot Change TOTAL IV 3e, ? agrees that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. GA R.a&C C-l U o x 1s.:7 qGoc $SMT, ?--?- 36?46 sG 1?l Y Lf ? .sZ 1 ?} x zL = 3?? a,oG x (y ? Lt .._.r-- Bsrrs-I :- 2 t o G. 2?(6= 12 Zt32??r3- 112?qG P°1z` -- ????«f? IR? L1 ` (1?) I0 Y. LlD ? /2.Ju ar? lG ?, vd n - ? zs- lsy f _.. ? 0 0 S"VEYOR'S CERTIFICATE CHARLES CUDD C0. ?' ?? F.' NO7E' FOR DF OR ZOpHM1'FTISie 1??FRT? LO td E1?t1GI.Zy ATION OF 3TM1CTtME ONLY. S6E ?D??` Ai1CHITEGTUAL pLAHg ?Oq BUItpWG B FOIJNpAT10N pIMEN910N3, ? DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRpN MONUMENT SET SCALE: 1 INCH = 30 FEET • DENOTES IRON MONUMENT FOUND PROPOSED GAFiAGE FLOOR - 8811, o FEET X000.0 DENOTES EXISTIMG ELEVATION PROPOSEp LOWEST PLODR - 8-77,17 FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK -- 888• o FEET WE HEREBY CERTIFY TO CHARLES GUDD C0, THAT THIS 15 A TRUE ANb CORRECT REPRESENTATION pF A SURVEY OF THE BOUNDARIES OF; Lot 12, Bbck 3, TNE OAKS OF BRIOGEWATER 2ND ADDITION, according fo the recorded plof fhereot, pakota Couniy, Minnesdo. (T}US DESCRIPTiON WILL BDMW VALID URON FILING THE PLAT,) IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS SURVEYED BY ME OR UNDER MY DIREC7 SUPERVISIpN THIS 23RD DAY OF AUGUST , 1g9i . NO7E, NO SPECIFiC $pl,$ INVESTIGATION SIGNE HAS lEEN COMPLETED ON 7FN$ WT BY THE BURWroR. THE .., .. gVfT'A/LITY OF SOtlS l0 9llPpqiti' T++E a-ecFic HousE raoaoseo . , e IS NGT iTFE RE3hONStOLITY OF THE 3URVEYOR. • " ?''% Lo O m o ~ ?m .Pm ? ? 4? v cn ? ? Z ? ? ? Z p ? Ti :17 O n i ? O ? m T` "n Z ? Z 0) w W N O m -< ? JA?IES R. HICL, INC. ° ? . . _ . . _ ._ : . . _. . . ? - r ?. _ . • . :1,OH1V:C. IA5SON, LAND,SURVEYOR MINNESOTA LICENSE NUMHEFt 19828 James R. Hill, inc. PLANNERS / ENGINEERS / SURVEYORS 2600 W. CTY. Rp. 42 • BURNSVILLE, MN. 55337 * 812-890-6044 ?.... ... _. __??.._.. W.... _ . . _ _.......?:..:?.:...:. , ... I tUAVEYOR'S CERTIFICATE CHAaLEs cuoo co. h N ? / r 30 w ? ? 0 ?ff Z / v ? N ? ? ?R?181 23 N . A¦?J'"J6'29" o . f-- ? ' e ? s ;;:'• ? I o ,,. g Zo.aa e';o.oo , Ya? /o,eo o ?l• Lb GARqGE ?y a J N ry ? ? . ,°v N h 11 2.00 ?'{oWSC /L.eo J ' ? M 'c N x I ?9.00 ,e.s z o.so I -- il J I ? o ?orecH D?cK 14.ea ZL,ee ? ? l_.lJT 12 I I I I lt?DRqINAGE d UTILITY I 30 L EASEWTlT PEf7 PIAT? -? 5 4. I O • 114.00 N84•10`39"W ?-- .. , ,., ,,. .. ;, . . . . ,. .: ? ,. ... SCALE: I INCH = 30 FEET m N ` ? y ° N 7' Qm ° C m N y W ~ ? Z a mo N O ' " LO T ? p m y .. ? N , SL James R. Hill, inc. PLANNERS / ENGINEERS / SURVEYORS 2500 W. C1Y. RD. 42 9 BURNSVILLE, MN. 55337 • 612-890-8044 ENERGY LONSERV0.TION EYALUATION 38S8 B2?oce?a.r?rl Drz. SiteAddrezs OF Owner 'E?nN (-{ljsEnJ Lontrector CHA2L'ES C'jl>D Co • Calculations done by ,)EFF Phone -731-3i53 Jate 26 iyDe of buiiding 5013C-LE T?lkM??•j rea A ssembl .(Shav calculations on -,rorksheets 1 c (SpFU U-Value U x A i. of Total Cei iag rea, ess •y ;g t , (0 . I nsulated Area: Area See Fi . 1) /771 019 33. F ramin Area:(107. of Total Ceiiin Area, See Fi . 2) 196.8 , OZo 3. ° S 0 k li htz (Fmm Pa e 7) - - a' ther: <Desai6el ci 1 Totals 9 ****'* 37. S 2 Avera e U-Value, (UxA)/(Al 6om Line 1 00. 11 ?`**** 3 Required U-Value (FOr one and tro fam5ly dwellinqs only) *?'x*** .026 (907, o otal Wall Area, l.ess Window and d s l asulated Area: Dom Area, See Fi . 3) 2 2 S • b /. Frami Area (101. of Total Wall Area, See Fi . 4) ZZ S, 6 •?/ Z?. indows: (From Pa e 7) 346 ? S ?? 9a ?? Ooors (From Pa e 7) 3 3, im Joist Area:(See Fi ,.5) 60 .04 G•¢ m 3 '- - ireplaee Wal4 a d s oundation Walt=(Above Grade Less Window Area See Fi . 6) x W , k ? oundation W indows (Pram Pa e7) ytki y?t - ? - r ther. (Desaibe) - `? fhK= (DeSaibPJ 4 Totals ZZS(a ***A*k 233. I L 5 Avera e U-Value, (UxA)/W trom Line 4 1/0 6 R 'rcd U-Value For one and two family dwellin s onlyl ****x* .11 ****** If line 2 is less than liee 3. and line 5 is less than line 6, proposed assembltes meet code reQufrements. If line 2 is greater thah line 3, or line 5 greater than lfne 6, camptete the fotlowin W determine alternav U-Yalue for toGl exteriar envetape. 9 O w 7 UxJi (Line 1) + UxA (Line 4), + ^ 0 8 Area (Line 1) x U-Value (Line 3) x m W 9 Area (Line 4) x U-Vai?e (Line 6) _ x a "Bud et" Line 8} Line 9 r li Line 7 is greata than Line 10, alter azsemblies as required sa Line 7 does not exceed Line 10. If Line 7 is tess than Line 10, proposed assemblies areet code requirements. Fifture 1 Ceiling/Raof Insulated Area: / 7 7Z Sq. Ft. (with attic area) R-Value Interior Air Film .61 Insulation So, o0 Continuous Vapor Barrier 0.00 Interior Finish .Slo Interior Air Film .61 Total Assembly R-Value SL M Assembly II-Value (1/R) . 0/9 Enter on Page 1 Figure 2 Ceiling/Roof Framing Area: / 9 G.g Sq. Ft. (crith attic area) R-Value Interior Air Film .61 Insulation 44 . o 0 Wood Memher 4,38 Continuous Vapor Barrier 0.00 Interior Finish .5(0 Interior Air Film .61 Total Assembly R-Value 5 O.?lo Assembly II-Value (1/R) ,0 20 Enter on Page 1 For additional roof assemblies, see pages 3 and 8. 2 Figure lA Ceiling/Roof Insulated Area: Sq. Ft. (without attic area) R-Value Vented Air Space Interior Air Film .61 Insulation Continuous Vapor Barrier 0.00 Iaterior Finish Interior Air Film .61 Total Assembly R-Value Assembly II-Value (1/R) Enter on Page 1_ Figure ZA Ceiling/Roof Framing Area: --? Sq. Ft. (without attic area) R-Value Exterior Air Film .17 Roofing Baof Sheatfiing Wood Member Continuovs Vapor Barrier 0.00 Iaterior Finish Interior Air Film .61 Total Assembly R-Oalue Assembly II-Value (1/R) Eater on Page 1 For additioaal roof assemblies, see pages 2 and 8. 3 Figure 3 Exposed Wall Insulated Area: /Z 29.5' Sq. Ft. R-Value Interior Air Film .bg Interior Finish _45 Contiauons Vapor Banier 0.00 Insulation Iq,oo Sheathin8 .l02 Eaterior Finish ,47 Eaterior Air Film .17 Total Assembly R-Value z I•4o Assemblq II-Value (1/R) .OS Enter on Page 1 FiRUre 4 Eaoosed Wall Framing Area: Z 2S,(o Sq. Ft. R-Value Interior Air Film .68 Iaterior Finish 14-5 Coatinuous Vapor Barrier 0,00 Wood Memher („ BR --sheathins . io2 Exterior Finish .4-7 Eaterior Air Film .17 Total Assemblq R-Value q,2,7 Assembly II-Value (1/R) .?I Eager on Page 1 For additioaal wall assemblies, see paqe S. 4 Fipure 5 Exposed Wall Rim Joist Area: 1(?U Sq. Ft. : R-Value Znterior Air Film .68 Vapor Barrier 0.00 Insulation 19.00 4lood Member gg Sheathing .(2 Eaterior Finish .4'7 Eaterior Air Film .17 Total Assembly 8-Value 22.82 Assembly U-Value (1/R) . 04 Enter on Page 1 Notes: 1) Floors over nnheated spaces. For floors of heated or mechaaically cooled spaces oner nnheated spaces, the overall U-Value for the floor shall not exceed 0.05. For floors over oatdoor siz, snch as onerhanqs, the overall U-Value for the flaor shall meet the same r.+q+,;rement as for roofs, U-Value of 0.04. - 2) Slab-oa-qrade floors. For slab-oa-grade, the insnlation aromd the perimetez of the exposad floor shall have a mi*im+++• R-Value of 6.4. The insnlatioa mnst extead downward __- from the top of the slab a minimum of 396' or downward • to the bottom of Yhe slab thea horizoatally beaeath the slab for aa equivaleat distaace. 3) Vapor barriers. The ma=+mum perm ratiaq for the vapor barrier is 0.1. A mini.mum of 4 mil polyetheline, or equal, is +eq,+zed to achieve this. The vapoz barrier mnst be . coatinuons raith all joints overlapped aad made over framinq ? members or blocking. -4) For notes on fouadation wall see paqe 6. 51 For additional assemblies not illnstrated use worksheet on page S. 5 Fi re 6 Exposed Foundation Wall Area Coacrete Slock or Poured Conc=ete Fouadation Area: / Z9 Sq. Ft_ Wood Foundation Insulated Area: I Sq_ Ft. R-Va1ue Interior Air Film •68 Coatinuous Vapor 9arrier 0.00 Foundation Wall 1.801 Insulation 5,00 Exterior Air Film •17 Total Assembly R-Value "77,+ Assembly U-Valve (1/R) •15 Enter on Page 1 1) Oa17 the a6cre arade area af [he fouadacion wall is co be iaeluded ic the mergy calculations. 2) The Enerp Code zepuires thac, if che floor above"che bueaani ot crarl space is nat insnlated, the fauada- claa rall wst ba insulated. Ei2her she fouadaiioa wL have asin3aum R-10 iasulatioa applied from che eap of she fomdasion to che frost liae or a minimm R-5 Lnsalation applied over che eacise £owdatian rail. The R-V:lue specified is foz shc insulasion uterial only. 3) If ridaid fam imalatioa is co be applfed co t6e ezterior of ehe fou¢datioa rall, the a6ave ;rade postion aust be proLected fzoa the sim,. the vesther and phrsical abuse_ t] If ridgid foan iazulstioa is ca 6e anplied to the iaurios, it aust be protected by miainum 1/2° gyP- beard or eyval (as speeified ia secsian 1712 of the tluifom buildia` Cade). 5) Fouudatioa vall iasalation far voadfoundasions must be iasulled u spacified Ly the Nasional Forest Produess Associatioa's Oesign )1anu+1. Wood Foundation Framed Area: Sq. Ft. R-Value Interior Air Film .68 Continuous Vapor Barrier 0.00 Foundation Wall (Plywood) Wood Hember Exterior Air Film •17 Total Assembly .R-ealue Assembly U-Value (1/R) Enter on Page 1 . 6 SKYUGHT, WINDOW ANO OOOR ASSEMBLIES 5kviiaM Manu(attue Manufaeture No. No. Used Tatal Sash Area(A1 R-Value I -Va ue U=1/0 U x A Tatals EatQ Pat 1 tfaclun.• Mamufudue Ne. Na. Used Tolal Suh Area (A) R-Value U--l/K u s n 3 A3, w3.Z •Z /Z. u ? -7 19, il 14, 4- .1 ZG 3. it 28fo ?o 80.¢ 3.1 .26 Zo. ii .GR?b Z -/, 8 3.1 , Z6 31 n k3 3 Z. 3,1 .26- 3-• u d d I 'I S. 9 3.1 34G.80 1?°, S .? Wall Windw MamufuYure Maeu(acture Ne. o. Used atal Sash Mea tA) -Yalue _ ue vat U=1/11 x A an s tfter /(' 5-. /7 33.1 • ' ' 1991 BOILDING PERMIT APPLZCATION CITY OF EAGAN INGLE FAMILY DWELLINGS HIII.TIPLE DWELLINGS COI44ERCIAL 2 SETS OF PLANS 2 SETS OF PIANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PIANS .. 1 SET OF ENERGY CALCUTATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCUTATZONS 1 SET OF ENERGY CALCS OF RENTAL UNITS -# OF FOR SAI.E UNITS : _ , .. . :.. PENALTY`APPLIES'',AHEN < TYPING,OF PERMIT:;ISiREQUESTED,""BUT NOT`„PICKED UP.BY'IAST WORKING'.DAY OF,MONTH-IN WHICH REQUEST IS MADE ? ? , ea?kIAT,CHANy'GE?.IS REQUESTED ONCE PERHIT IStISSUED ? ? NOTE ADDRESSES FOR'CORNER?IATS+ CONTRACTOR/HOMEOWNER MUST DESZGNATE WHICHeADDRESSIS ? s PROCESSINGsTIMFr+?FOR'?SEWER.d? WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS`BEEN COMPLETED pp?(??! r: y r' T r ?}}yQ x } - .s? a??y?. r;:^ gh,gY -+??''{;y?, kR3 ?w?'?,ra?i:!,'.'.?_.T.'_5+???N.???,?SL?i?,?,S?YPyY.!...?,'?„l...t>?..'L`ai,..,.?..>v:.^•-t'x_?'.?t?..? ....... .... To;Be Used Fo ,s;Si%?e?z?ei•?A,v?i?.`Y. ValuationG?+J? 1$3{900 7 .7i `4 Y-Y5?i'?111? . ? . ,?t' I? `9'ts O ICErIISF?,O N - °??.+?` ? '?cg. " ,•' , r ?' ?'?`.? ?.r( r a . ? i i,r;?'r„3??,rr???'n ??'? ? ',?"&`? A?cy'? . ? a C, + ' ??? ? n???• Occupancy ? F"Bld? ?. , t?K-.?w??s'?`??Jd,t1LCl3rg? ? ) 'I G 1 ?? ? g d v w a '?C . r ? Allowable m*: SAC v,q,C? ` t WBCCL? " ' €S Total^??,? ?. .? ?,?,?r M7 ?3i "-ootprinte ewa e m . atme ?? ?" w?*? ox ?fi $• ?,,?..*(t ?n , ??_ ?W4r?? "BOOSC@L?dPl1m(?,r?#. ? 7 ,s ? 4 {j`'?r??+Pfioney? i?r "??'?? .: 9 1'? ? .c??.? v?S ?'h ? Platmer +. a q_ 1?m8I?1g@R?" a ? 4t p?T`{,)r° G,?</??s?Y'h 0 C F?`y ? '??? ??Cy?Arch /Engr ??=???Sx ???q¢? 1t'?-? `?+'? FFT.'• C ..???_- '$t????- +y yx?Sr.?. Variance ??r L! wk ???r5'" r7'¢t t.??? ? ??`?5+ t ? P1bt: Fk??N? ? t ?j ?M k'i.'i .L.. ? r 2 ?y N .a uud yn ? 1 'S Address , f ?, ? +.jZ E3 ( { p+?, "s1+ ? ? CityJZip C?de 5 +a. *?p? a? i+,iui ?¢4+ri' Y- aA' x s??a??F n f-x ? #r atvaTpS ? a ?one'# K viW?'?'i.?y"k^?§ ?$?v6u+.; a+ r] '?"t5 t`?? 3 t e z. E x 1 h? r `w? ' ` t '? - ?' ' `?" _ ' , .4^. ; w `. •+agrees' that a1T work shall be done in .accordance with ? r J 'c ` fY-N f l?"4 n'S"SM??PY't sf?.c+T- M' a'?,L +?yha4 t - .. . I Yn. i .y >Wit _j" .r. all ap ? ?? plicablenStateqofsMinnesota Statutes and,City'of fiagan Or'dinances : » , ,., , •,, ?::. .,-. . , ?+ . .. :: CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 L PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQIIZRED FOR EACH UNIT. WORK DESCRIPTION N0. NEW CONST ? ADD ON ? REPAIR 3 OWNER NAME: iD Oti L.c4-e/l ? ! SITE ADDRESS: 3 gsr? zijvioGUCi l4P/` -61'• ? LOT:? BLOCK 3 SUBM.?? Aa C?J ? INSTALLER: ?U 1 lP P P/U na / in a ? -7 /l C v annrtESS : 17010 G c•,??. 7' T FOR CITY USE ONLY PERMIT # RECEIPT # D DATE: COMPLETE THE FOLLOWING; FIXTURES EA. TOTAL ADD-ON MINIMUM 15.00 SHOWER 3.00 (?. ob WATER CLOSET 3.00 90 6 BATH TUB 3.00 3• 06 LAVATORY 3.00 /e2, 00 KITCHEN SINK 3.00 >•a? LAUNDRY TRAY 3.00 3.0.0 HOT TUB/SPA 3.00 - WATER HEATER 3.00 ?(.da FLOOR DRAIN 3.00 GAS PIPING OUT. (MINIMUM - 1) 3.00 3-O O ROUGH OPENINGS 1.50 - OTHER WATER SOFTENER 5.00 S.p o PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 '- SUBTOTAL S 53. O ? ST. SURCHARGE .50 5 3 =° TDTAL: 5 ?tit?EII?GZhL iN?fII$`TB?qi?. 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 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) CITY: i7lf Mrti anc+` . b-) i-S . ZIP: -5'410/57 PHONE #: -715 - 79(0 - Sj pJr C_4 : - - : -?`? = . .:. ... : -- ------ . •. _ . - - ---. •- .•--•-- - . --- _. ... . ------ --- ?, • . ; ? . . ? HOIISS HSBTSNG TSST RSCORD ADDRESS ?0 ?/YGu,I'CCC? APT. FLOOR CITY SIIBDRB OCCUPAI4T OWNER HEAT"LO55 DATE.HTG_INST. - C1 - SOLD BY Cf t? INSTALLED BY G L F'T.F'CTRICAL WO RK BY ? GAS LINE BY ? . TYPE OF FIEAT GA FA_AC HW STEAM SPAC?.' HTR. UNIT 3TR. OTHER GAS DESIGN CONVERSION L MARE. C MARE.OF BURNER MODEL. "-( CJ O^ I MODEI;. . SERZAI; o R MAX. STII RATING INPIIT 00 MAKE OF FURNACE MODEL. CONTROLS' THERMOST /C?? 3EAT' ?LIIG VENT SIZE VAI.VE _--? . > KIND. OF LIN"r.R SIZE NONr, LIM2T' 1/'n S_ ?RAET' HOOD REG'JLATOR - LIMST SETTING Ite FILTERS SIZE NITMBER FAN SETTING C'H2MNE° LOCATION INSIDE. OQTSIDE -- YT_?OT TYP?. CHS.aSNhY CANSTRIICTION PILOT :dA? '- PII;OT M_ODEL SMORE: BOMB. WIRING PILOT' TIMING DRAFT' /yr TEST" TAG ? L..W_ CIIT' OFE' DOOR. PF2ESSIIRE LIGH'SING INST. PRESSDRE 4 PERCENT. C02 DATE: TESTSD - 7 ? INPIIT' CF3. Dl1G?? ? pERCENT' 02. C0?9NY TESTING ST't1C?' `IEMP PERCEITL CA G 70 NAME. OF TF,'ST5'R FOR'i 235 REP Ol DATED 8/15/90 I SUBURBAN NR ?????G Co' CEDAR VALLEY HEATING 8419 CENfF.R DIM AND AIR CONDITIONIIJG 8415 CENTER DRIV[ MINNEAPOl73.DOMU 5"n MINNEAPOLIS, MIN 55432 CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, HN 55122 PHONE: (612) 454 8100 NompCo;"m FOR CITY USE ONLY PERMIT # RECEIPT # /O CO DATE: PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE 1 TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH IINIT. ------------------- WORK DESCRIPTION NEW CONST ADD ON REPAIR OWNER NAME: SITE ADDRESS: LOT:/2, BLOCK d SUBD. INSTnLLER: CEDAR VAIIEY HEATINC; ? nDDRESS: 5415 CENTER DRIYE CITY ZIP: PHONE FEES ADD-ON MINIMUM HVAC 0-100 M BTU ADDITIONAL 50 M BTU GAS OUTLETS = MINIMUM OF 1 PER PERMIT SUBTOTAL: STATE SURCHARGE: DWELLINGS 6 $15.00 24.00 6.00 3.00 ?L- .50 C9MMERCYAL/Mff5TRIAY.! PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLZNG UNIT. ------------ CONTRACT PRICE: OWNER NAME: SITE ADDRESS: LOT: SIACK _ SUBD. INSTALLER: ADDRESS; CITY: ZIP: PHONE #: FOR: FEES 18 OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR EACN $1,000 OF PERMIT FEE. PROCESSED PIPING = $25.00 $25.00 MINIMUM FEE. CONTRACT PRICE x 18 STATE SURCHARGE TOTAL: (SIGNATURE) CITY OF EAGAN `SC c?;7 1991 BUIID1 ?PERM?? ? CATION CITY OF EAGAN iDINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH SLDG. DEPT.) 1 SET OF SPEGIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS _# OF RENTAL UNITS _# OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTEA, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOA CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WIiICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: [pa?&O- &yet- Fi.visK valuation: Date: ! Site Address 3858 B2iDGE??2? OFFICE USE ONLY Lot ? Block FEES Occupancy Bldg. Permit • Zoning Surcharge Parcel/Sub OF8,2?p5Ea.MrE?2-Z?ffo,b Actual Const Plan Review Allowable SAC, City Owner Dan? +A IW LAltsC?-/ # of stories SAC, MWCC Length Water Conn. Address ??o ¢ J??p-rL.ecuFi? D.e . Depth Water Meter S.F. Total Acct. Deposit City/Zip Code Z 3 Footprint S.F. S/w Permit S/W Surcharge Phone 45 w- 2b00 On site sewage_ Treatment P1. On site well Road Unit Contractor Cfy ,?2?cs ?on ?'o. MWCC Systera _ Park Ded. City water _ Trail Ded. Addxess 161Z Ii?ooDDil-e.4?- Pe. PRV _ Copies Booster Pump _ City/Zip Code (n/ooD8uR-?1 55'1 2 5- SUBTOTAL AYPROVALS Penalty Phone 731 -3/S3 Planner Lot Change Council TOTAL Arch./Engr. Sqrn 6 Bldg. Off. Variance Address City/Zip Code Wone # eaa W. /vl?.,-.--- agrees that all work shall be done in acco rdance with (Si ture of C ractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. ? SEENNAI CORPORAiION February 18, 1992 Gene VanOverbeke City of Eagan 3830 Pilot Knob Road Eagan, MN 55122 Suite 608 • 4940 Viking Drive • Minneapolis, Minnesota 55435 • 612-835-2808 RE: Pending Assessments for oaks of Bridgewater 2nd Addition Dear Mr. VanOverbeke: Enclosed please find a check in the amount of $15,100.00 as pre- payment of pending assessments for lot 12, block 3, Oaks of Bridgewater 2nd Addition. Sienna Corporation acknowledges that $15,100.00 is only an estimate of the construction costs, and should the final costs be more than $15,100.00, Sienna Corporation will pay the difference when the assessments are levied. Should the assessments be less than this amount,.sienna.will..anticipate a refund of the..difference when the assessments are levied. Sienna acknowledges that the City will not pay._interest to Sienna on this amount. .,,.. . . .,... . _ . .,. ?, ,,. . _ . __ : : _. _ . : . __ ._. . The City of Eagan acknowledges receipt of the $15,100.00 as pre- payment of the pending assessments on lot 10, block 3, oaks of Bridgewater 2nd Addition. As this amount is only an estimate, should the final costs be lower than $15,100.00, the City will refund the difference to Sienna Corporation when the assessments are levied. Should the final costs be more than this amount, the City will anticipate payment of the difference when the assessments are levied. The City will not pay interest to Sienna on this amount. Please sign both copies and return one to my attention. Should you have any questions, please call me at 835-2808. Thank you for your cooperation with this matter. Sincerely, ??-?.-??-?----. Patti PYOehn - John Hankinson, Vice President Ge VanOverbeke, City of Eagan .. .. - _'z lVA2-.? _ _. . , .. . .. Date . Date . , Planners ¦ Developers ¦ Coniractors ? I BASIIMW FINISH 11 / 14/91 . CITY OF EAGAN •+.? BUILDING PERMIT for SF Value Site Address 3858 n[tIDCEWATEB DR Lot _12 Block 3 Sec/Sub.T}iE dAKS OV Parcel No. BRIDG WA W Name CHA[ti.E3 CiJDD CO It: Address 1802 iACOD _A ?! DR 0 City WOODBliRY Phone 731-31 5? , o Name SAN_'.E z2 0014 Address ? City Phone W W Name ? o ; Address < W CitY Phone Building Ofticial 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 I hereby acknowlege that I have read this application and state that the intormation is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordfnances. Signature of Permitee A Building Permit is issued to: CHARLES CUDD CO on the express condition that all work shali be done in accordance with all apphcable State oi Minnesota Statutes and City of Eagan Ordmances. PHONE: 454-8100 OFFICE USE ONLY Occupancy Y-3 F'i=1 Zoning R- t (Actual) Const Bltlg. Permil (Allowabie) --?N Surcharge # ol Stories length Depm S.F. Total S F. Footprinls On Site Sewage On Site Well MWCC System Ctly Wa[er PRV Reqwred Booster Pump APPROVALS Planner Councii Bldg. Oit. Variance . ? r "+ - i 3 ?:. Receipt # i -. 19?L Plan Review SSZ.? SAC. City 1ALl _ CS[1 FEES F. 50.00 $a.? - SAC. MCWCC 650,.QQ Water Conn - Water Meter O S_ A[] x Acct.Oeposit -X- 30.00 _ S.-W Permit 34•00 - SNV Surcharge - ? Treatment PI 276. 00 Road Urnt 370.00 - Park Ded. Copies - TOTAL ? Permit No. Permit Holder Date Telephone # WATER SEWER PLUMBING 2- ?4 L H.V.A.C. ELECTRIG inspection Date Insp. Comments Foolmgs I Foundation Framing Rooling Rough Plbg. / Rough Htg. / ? ?? ' .J , - -.' . . _ , i ? . Isul. Fireplace v ? Final Htg. Orstal Test Final Plbg. Plbg. Inspector - Notify Plumber Const. Meter Engr./Plan Bldg. Final Deck Ftg. Dedc Final Well Pr. Disp. ?S 1 ?I 7 z ? ? ? .. w w Trr#tf trafr of (Or.rujranr-q Cifp of (Eagan Bepartmptct nf BuiGding 3twrrtimt 77eis Certificate issued pursuant to the requirements ojSeclion 306 of lhe Uniform Buildirrg Code ceriifying lhal at 1he lime of issuance lhis structure was in compliance with the various ordinances of the G'ty r,egulating building constnrciion or use For lhe fo!lowing. -_ U. a.mc.o,. SF DWG/CAR awg. Pcrmit xa. 196.28 o«ap„n• ryp- R3 /Mi. 1 Tm;,g o&r;a '' Type cO= ?rN Owov o[ Buadiog ?WRLES ?'[,? ?' /SAdress 1422 OYM41F--DRDE, 2ND Ihtc 2/18/1' POST IN A CONSPICUOUS PIACE Address : 3858 BRIDG'EWAIER DBIVE Lot 12 Blk 3 Sec/SubTHE OAKS OF BRIDCiEWAIER 2ND These items were/were not complete at the time of the final inspection. D e: 2 18 92 Yes No Final grade (6" from siding) y? Permanent steps - garage v Permanent steps - main entry Permanent driveway ? Permanent gas c/ A SodJseeded grass Trail/curb damage Porch ? Basernent finish ? Deck ? Please verify with the builder the removal of roof test caps from the plvmbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. PEMtED MPEP White - City copy Yellow - Resident copy Pink - Contractor copy SEWER & WATER PERMiT C(TY OF EAGAN 3830 Pilot Knob Ra Eagan, MN 55122-1897 DATE SEt 3, 249 fJ OFFICryE USE ONLY METER PERMIT DATE CHIP #Of ? ? PERMIT # 1135b METER SIZE RECEIPT # C 1522. B.P. RECEIPT OATE ISSUE DAT 2 PRV - BOOSTER PUMP SITE ADDRESS R:: '. A'?'FR DR LOT l:' BLOCK SECiSUB ''-1- OAKS OF BRIDGEWATER APPLICANT: ADDRESS:_ CITY, STATE PHONE: - PERMIT REL]UESTED 2ND X SEWER = WATER - TAPS COMM!IND ?? RESIDENTIAL ; X NEW _ EXISTING Lawn Sprinkler Meters are to be Instalied ' ? PLUMBER: POLAR PLUMBINC ADDRESS: 6087 46TH ST N Ahead of Domestic Meters on Wata_r Line. ? Credit.NlILL NOT be given for Deduct Meters. C ITY. STATE OAKDALE MN ZI P ? PHONE: 777-752 ; I AGREE TO COMPLY WITH CITY OF OWNER: CHARLES CUt,i: ::6 EAGAN ORDINANCE ADDRESS: 1802 WOODDAI..E: I)R CITY, STATE WOODBURY MN ZIP 110WEE-M PHONE: ' "`' SIGNATURE HEN METER ISSUEb PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. ZIP SEIAlER &VATER PERMiT CITY OF EAGAN 3830 Pilot Knob Rd? Eagan, MN 55122-1897 DATE ; 3, 1991 METER # PERMITDATE PERMIT # B.P. RECEIPT # 15224 B.P. RECEIPT DATE 104I91 _ PRV _ BOOSTER PUMP OFFICE USE ONLY CHIP # - METER SIZE ISSUE DATE SITE ADDRESS - ??: `, ': ; %.TER DR I.OT ' BLOCK SEC/SUB E OAKS C. ".:R APPLICANT: ADDRESS; _ CITY, STA7E PHONE: ? PLUMBER: ''?LAR PLUMBiNG CO ADDRESS: "t?87 46TH ST N CITY. STATE _ ` `'nALli ?!1; Z4P PHONE: OWNER: ?HARLES CUllD CO ADDRESS: 1802 WOODDALE DP CITY, STA7E ""`1"'070?'`trply MN ZIP PHONE: 7 ZIP PERMIT REQUESTED 2xD Y SEUVER - COMM?IND - NEW X WATER TAPS ? - RESIDENTIAL EXISTING Lawn Sprinkler Meters are to be Installed Ahead ot 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 1 SEWER PERMITS, CONTACT ENGtiNEERING DEPT. PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA119008 Date Issued:11/13/2013 Permit Category:ePermit Site Address: 3858 Bridgewater Dr Lot:4 Block: 1 Addition: The Oaks Of Bridgewater 3rd PID:10-75837-01-040 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater 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. Amy Volby 2905 Garfield Ave S Minneapolis, MN 55408 Fee Summary:PL - Permit Fee (WS &/or WH)$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 - Terry S Dick Po Box 64523 St. Paul MN 55164 Norblom Plumbing 2905 Garfield Ave S Minneapolis MN 55408 (612) 827-4033 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA150698 Date Issued:07/19/2018 Permit Category:ePermit Site Address: 3858 Bridgewater Dr Lot:4 Block: 1 Addition: The Oaks Of Bridgewater 3rd PID:10-75837-01-040 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 - Terry S Dick 3858 Bridgewater Dr Eagan MN 55123 Dakota Water Treatment 17484 Goodland Path Lakeville MN 55044 (952) 953-4643 Applicant/Permitee: Signature Issued By: Signature For Office Use I Permit#: /S /7o ,,,,,'t,,„ ,...04 , E AGA N /0.C'- - Permit Fee: Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildinginsoectionsCcr�citvofeagan.com L 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: ,- — Nam.,.,., e: ;iii/.6/k, Alie117 Phone: I Resident/ I Owner Address/City/Zip: I frij'‘4". ,4,tAti/9-47-e_...- Applicant is: Owner Co ---/ ntractor Description of work: d n Type of Work p 71� PA � , rod/- ( re rlp_ c p2y7f 1) i Construction Cost. l 5 a Multi Family Building: (Yes /No ) Company: h,4/Sty- ;:1 J/I1 Contact: Gi�i i Address: / /, 5 �+.lam/ City: /4045 Contractor �{ (� �j 41, State:1/1/Zip: 'f✓ i ' Phone: /52"95 176%mail r Or: 0% i "df �� i /'� 1 License#: E� Lead Certificate#: i I If the project is exempt from lead certification, please explain why: r COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING j 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: I Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may beRN a classified as non-•ublic if ou.rovide s•ecific reasons that would .ermit the Cit to conclude that the are trade secrets. _ You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaqan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. 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.orq 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. xlio —A Allr'',r- ..,,. /9----7 x a' ,4,11(— .(11.---_, f </-- Applicant's Printe Name Applican s ignature