3870 Bridgewater Dr
CITY OF EAGAN 1 79
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 II
BUILDING PHONE: 681.4675 Receipt s PERMIT l• n,3 6
To be used for SF DWG/GAR Est. Value $204,000 Date MAR 4
Site Address 3870 BRIDGEWATER DR
OFFICE USE ONLY
Lot 9 Block 3 Sec/Sub. THE OAKS OF FEES
Parcel No. . BRIDGEWATER 2ND Occupancy R-3 M_1
Zoning R-1 Bldg. Permit 1 , 004.00
Name CHARLES CUDD CO (Actual) Const V-N Surcharge 102.00
LU Address 1802 WOODDALE DR (Allowable) V-N Plan Review 652.00
Z
City WOODBURY MN ZIP 55125 # of Length stories 78' License 5.00
Phone 731-3153 Depth 56' SAC, city 100.00
Name SAME S.F. Total SAC, MCWCC 700.00
Q S.F. Footprints
Address On Site Sewage Water Conn 675.00
City ZIP On Site Well Water Meter 95.00
Phone MWCC System X Acct. Deposit 30.00
City Water L
License # 0003945 ~
PRV Required S/W Permit 30.00
I hereby acknowlege that I have read this application and state that the Booster Pump SnW Surcharge .5o
information is correct agree to comply with all applicable State of
Minnesota Statutes d ity of Eag Ordinaneceeuus.~ Treatment PI 300.00
Signature of Permifel APPROVALS Road Unit 380.00
A Building Permit is issued to, CHARLES CUDD CO Planner Park Ded
on the express condition that all work shall be done in accordance with all Council
applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies
Building Official 4Lqlq 11 Ol! 11.9 - Variance TOTAL 4,073.50
Address:3870 BRIDC~k]ATER DRIVE Lot g Blk 3 Sec/SubUE OAKS OF BRMGEWATER 2ND
These items were/were not complete at the time of the final inspection.
Date: 9 14 92 Yes No C.,lj JASPecrnr, Final grade (6" from siding) 1/
Permanent steps - garage L/
Permanent steps - main entry
Permanent driveway v'
Permanent gas
Sod/seeded grass
Trail/curb damage
Porch
Basement finish ✓
Deck l
Please verify with the builder the removal of roof test caps from the plumbing
system and the shut-off of water supply to the outside lawn faucet before
freeze potential exists. rj
•nawwa
White - City copy Yellow - Resident copy Pink - Contractor copy
DATE: MAR 13, 1992
RE: 3870 BRIDGEWATER DR (CHARLES CUDD CO)
X Your Sewer & Water Permit for the above property has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
Your Sewer & Water Permit for the above property cannot be completed for the following
reasons:
Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be Issued or occupancy allowed until further notice.
- COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
ass ~ ~3i"7
Request Can, Fire No. Rough-in I sotbn
/ ~pt ~r gequlrad? ❑ Ready Now 'Will When nspector
I ,
(p Ves No When early?
licensed contractor ❑ owner hereby request inspection of above electrical work at:
Jab Atltlress (Streel. Box or Route No) City
Sedion Na. Township me or No. Range No. County
Occupant lPRINTI Phoe No.7
/ ; 17/
Power Supplier
Electrical Contractor (Company Name) C Mracter's Lkense No.
i~U'
ailing Address IConntractororO ne'r Making Installation)
Aul rae Signature tCononttrrracerlOw r Making nslallation) Phone Number
N ,3C /710
MINNESOTA ST E BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midw Idg. - Room 5-173 BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St. Paul, MN 55106 UNLESS PROPER INSPECTION FEE IS
Phone (612)1 642-U N ENCLOSED.
(y ga- REOUES7 FOR ELECTRICAL INSPECTION,• Eeooool-oe
6 See instructions for completing this form on pack of yellpw copy. ~ sd 10&,3
/
8 1? X" Below Work Covered by This Request
ew Add R.p yTpeot Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Other (specilyl contractor's Remarks'.
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps Fee 0 0 to 100 Amps (2D
Transformers Above 200 -Amps b e 1V -Amps
Signs Inspectors Use Only: 7~q1q
Irrigation Booms ~O
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 78 HS.
I, the Electrical Inspector, hereby Rough-in pate
certify that the above inspection has Final oat
been made. P
OFFICE USE ONLY
This request void 18 months from
p 66154 ~ D`J ~ ~
Request Date Fire No, ~ 5ough inspection Notify Rag Yes ❑ReatlY Nowi When Ready?ector
IL =Yes a
licensed contractor ❑ owner hereby request inspection of above electrical work at:
Jab Acdress (Street Box or. Route No.II II r~ city
Ytd eWaI-GV D Ve6l c,V~
.
Section No Township Name or No. Range No. County
- - aka
Oau an; (PRINT(II I r Phone No.
CtVLXS d,- dVl' nV1\-
Power Suppliler I' Address Vf/VJ IN~
[Din OL -n fV? QS t5ii
Elemri al Contractor ICOmpan>`Namel Conirectms License No.
O l~ ~PGT. V1 - ( ~G)5 '2--
Mailing Address lContracror or Ovine, Making 10
VI
r
Authorized Signature ( oniremorvOwner Making Installelipnl Phone Number
~KL MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room 5-173 { f~ j I BE ACCEPTED BY THE STATE BOARD
1821 University Ave.. St. Paul. MN 55104 ~ UNLESS PROPER INSPECTION FEE IS
Phone (612) 6420800 ~C G ✓ r ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
///U EB-o00 1.p8
- ~G 3
/ No See, instructions for completing this Iwrn on back of yellow copy
/03
66154 . p'
Q 'X" Below Work Covered by This Request:
ew Add Rep. Typeof Building ppiari Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Spscity)
Comm./Industrial Furnace
Farm it Conditioner
Oher ("cflt l Contractors Remarks'.
m,p . SP r ✓ c e_
100 A Te Compute Inspection Fee Below:
Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool O se 200 Amps 0 to 100 Amps
Transformers Above 200 Amps Ab 0 Amps
Signs Inspectors Use Onty: TOTAL
Irrigation Booms t Q
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 M NTHS.
Dale
1, the Electrical Inspector, hereby Rough-in 1746 4
certify that the above inspection has Final oat
been made. /
OFFICE USE ONLY '
This request void 18 menthe from
t BL CITY OF EAGAN _ CITY USE ONLY LUMBING SUBD. 4 Kt L& A ~P(612) 6 PERMIT L O 1'l.3-''
1"r4) (612) 681-4675 RECEIPT #
DATE Iv-~
RESIDENTIAL
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS
WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION COMPLETE THE FOLLOWING:
~I NO. FIXTURES EA. TOTAL
NEW CONST REPAIR/ADD ON 15.00
ADD ON SHOWER 3.00 3-CO
REPAIR 3 WATER CLOSET 3.00 g.ac)
y► 2 BATH TUB 3.00 t-4'0
LAVATORY 311-00
. 1 a1 51-Y-0 .00
OWNER NAME: De n
owar y~ Q 1 KITCHEN SINK 3.00 3,00
LAUNDRY .x10
SITE ADDRESS:_- 35'70 11r c~ e r~af er ov- R TRAY 3.00 3 tlU
HOT TUB/SPA 3.00
1 WATER HEATER 3.00 3.00
FLOOR DRAIN 3.00 -3-00
t GAS PIPING OUT.
INSTALLER: _ B(11Ier plymbihCJ 3 (MINIMUM - 1) 3.00 qOO
ROUGH OPENINGS 1.50 4•50
ADDRESS: 1706 ~f T OTHER _
® _ WATER SOFTENER 5.00 5.00
CITY: #&~Y✓o n u Wis ZIP: ` PRIVATE DISP. 15.00
PHONE (7~S) 7yE-ay77 U.G. SPRINKLER 3.00
W. TURNAROUND 15.00
% y STATE SURCHARGE .50
SIGNATURE OF PERMITTEE TOTAL: S I/Ir .00
COMMERCIAL
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY
BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
WORK DESCRIPTION:
OWNER NAME:
CONTRACT PRICE:
SITE ADDRESS: 1% OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
TENANT NAME: EACH $1,000 OF PERMIT FEE.
SUITE $25.00 MINIMUM FEE.
INSTALLER: CONTRACT PRICE x 1% $
ADDRESS: STATE SURCHARGE $
CITY: ZIP:
TOTAL: $
PHONE
FOR: (SIGNATURE)
CITY OF EAGAN
CITY OF EAGAN FOR CITY USE ONLY
3830 PILOT KNOB.ROAD
EAGAN, MN 55122 PERMIT #
PHONE. (612) 454-8100 RECEIPT
i4E'vHXNICAI.:;~ERMTT DATE:, Co /a
R fENTxtlT PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION FEES
NEW CONST ADD-ON MINIMUM $15.00
ADD ON tl HVAC 0-100 M BTU 24.00•-
REPAIR ADDITIONAL 50 M BTU 6.00 -
GAS OUTLETS - MINIMUM 3.00-
OF 1 PER PERMIT
OWNER NAME:
oel _ SUBTOTAL: $ 9 3/'o
SITE ADDRESS: I J STATE SURCHARGE: .50
LOT:_ 9 BLOCK SUBDI~ TOTAL: $ 3 3 Sb
INSTALLER: m.. Tr ED'r'~~ICK
ADDRESS: HEATING & AR CONDITIONING CO. SIGNATURE OF PERMITTEE
0910 WENTMPtTH AVE. So.
MINNEAPOLIS, NN 55420
CITY: arts-anon ZIP:
PHONE
COMMERGIALjLNDtISTRIALi! PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS,
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
CONTRACT PRICE: FEES
OWNER NAME: 18 OF CONTRACT FEE.
STATE SURCHARGE -.$.50 FOR
SITE ADDRESS: EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING - $25.00
LOT: BLOCK SUBD. $25.00 MINIMUM FEE.
INSTALLER: CONTRACT PRICE x 18 $
ADDRESS: STATE SURCHARGE $
CITY: ZIP:
TOTAL: $
PHONE
(SIGNATURE)
FOR:
CITY OF EAGAN
■
1992 BUILDING PERMIT APPLICATION
CITY OF EAGAN
MEQUIREMENTS:
SINGLE FAMILY 2 SETS OF PLANS, 3 REGISTERED SITE SURVEYS, 1 SET ENERGY CALCS.
MULTIPLE DWELLINGS 2 SETS OF PLANS, 3 REGISTERED SITE SURVEYS, 1 SET OF ENERGY CALCS.
# OF UNITS RENTAL FOR SALE
COMMERCIAL 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF
SPECIFICATIONS, 1 SET OF ENERGY CALCS.
PENALTY APPLIES WHEN TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING
DAY OF MONTH IN WHICH REQUEST IS MADE -QB LOT CHANGE IS REQUESTED ONCE PERMIT IS
ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH
ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
di-
To Be Used For: S . c. Valuation: r Date: 2 /z I /9 2-
Site Address 8-10 S 2 Q G E t-,.,,- D 2 I V E.
0204,ooo- OFFICE USE ONLY
Lot ci Block 3 FEES
A-4 Oak DT- Occupancy R-3 M-1 Bldg Permit IDOy.oo
Parcel/Sub 3Q oc,E A Z Zoning R-I Surcharge /02.00
Actual Const \/-M Plan Review 652,00
Owner , n De E ~s r~o Allowable v-N License Fee S. 00
# of stories SAC, City /oD.oo
Address 492-0 sN~Ls~ LR~E Length '78' SAC, MWCC 700.Do
Depth S6' Water Conn. , 00
City/Zip / c 5-0 7 7 S. F. Total Water Meter 95, 00
Footprint S.F. Acct. Deposit 30,00
Phone 4S - 3S2S S/W Permit 30,00
On-site sewage S/W Surcharge ,Sa
Contractor C r s C, ,D D co . On-site well Treatment Pl. Sao, o0
MWCC System v Road Unit 3 D,UJ
Address t 9 D w oo D O IE DP-, City water Park Ded.
PRV Trail Ded.
City/Zip oo D a , ~Y s s z,- Booster Pump Copies
SUBTOTAL
Phone ~3 - s3 License APPROVALS Penalty
ot: Planner Lot Change
Council TOTAL
Arch./Engr. Bldg. Off.
Variance
Address
City/Zip Code
Spone #
--.Sewer/Water Licensed Contr. Processing time
for sewer/water permits is two ays once area as been approve .
agrees that all work shall be done in accordance with
(Signatuwof errhittee
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
~ 1/Al.u,4-floe)
ayx34 =?31{,
a ~ 6'rZ = C13~
x 15=~, G8s
BSMT,
yyx3( ~5$y
8
i~=
19Y-IF _ .25Z
16ull= Soy >>u,~~ poE
yx~v~/Z= SZ ~o2•op+
552.00:
1.33x22%z . 3o, 2, 31 5.50+
'Z = 13 4'073 50.<
-7 zs
2 y 16 = (3 Z) - 1 02.00+
552.OOt •
2077 x 14 .291 07~ P'315'50+
1sT ~t_oaYL 4,0vs•50:,
S 9,AW7
1.33X9
L) k 1/ = 1,1-1 y)
cZ X 5%Z . 11
zw1_ ',1 oG 0 X S3 . I D ~1 1 ~o
PO R- zz xS-3 = ! I6c
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4`X Il = aV
2 Y. TJ ~'LoU~ I76 yc y o = 7D
~LYzx3~ - 9s~( •
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85 2,
?G S3 = y Sl / S6
-
o~03,~&-S" o>e 20L►,OLIO
Fq B-14-'92 FRI 13:59 IO:JPMES R HILL INC TEL 1,40:612 890-6244 4943 P01
~ aw oa ~
-SURVEYOR'S CERTIFICATE CHARLES CDDD
i !-rj
A ,n ~ llr 1!
By
Dald 2-
EAGAN ENGINEERING DEPT
NOTEv NO SPECFIC SOILS INVESTUAT1ON HAS BEEN COMPLETEI
ON THIS LOT BY THE SURVEYOR. THE SUITABILITY OF
SOILS TO SUPPORT THE SPECIFIC HOUSE PWP05ED IS
NOT THE RESPONSIBILITY OF THE SURVEYOR
DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 FEET
0 DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - 817. S FEET
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - 6loq,'I FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK Sla.5 FEET
WE HEREBY CERTIFY TO CHARLES CUDD THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 9, Block 3, THE OAKS OF BRIDGEWATER 2 ND ADDITION, occording to the recorded
plat thereof, Dakota County, Mlnnesoto.
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS. EXCEPT AS SHOWN. AS
SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 14 TH DAY OF FEBRUARY , 1992.
SIGNED; ES R. HILL, INC.
r
B -
JOHN C. LARSON, LAND SURVEYOR
MINNESOTA LICENSE NVMBER 19828
a ~'o 0 0 o N gg James R. Hill, inc.
f mO c1 yy b = 3
o °rn~ o N o N v j PLANNERS /ENGINEERS /SURVEYORS
N 2500 W. CTY. RD. 42 • BURNSVILLE. MN. 55337 - 612-BBD-6044
'SURVEYOR'S ClEkti , dAti ' ~q§'' CHARLES cuoo
ti ~ -CATER p R 1V ~ _--~J
- 1 17. 14 a
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SCALE-I INCH
o mN m oN o~ p dames R. Hill/ inc.
° Z a A p
O 1 m PLANNERS / r-NGINEERS / SURVEYORS
O N 2 ~ 2 fD Oo
N O m y N K
2600 W. CTY. RD. 42 • BURNSVILLE, MN. •55337 . 812-890-8044
i
ENERGY CONSERVATION EVALUATION
Site Address X510 2, 1170 E Wa~ R,
Owner_ Contractor MKW vii, CUDO GV.
Calculations done by R Tf -Phone ate 'ZJ211197_
Type of building 01?40 HQM-C- C•(.1J5I,1c•7 100
Area )
Assembly-, (S)1ow calculations on Morksheets (SgFU U-Value U x A
( O% of Total Ceiling rea, Less 51tylight
Insulated Area: Area, See Fig. 1) I Z .OZ '1J(Gt$
Framing Area:(10% of Total Ceiling Area See Fig. 2) 7.b O2-
Skylights: (From Page 7)H**
o:
Other: (Describe)
v 1 Totals
2 Average U-Value, (UxA)/(A) from Line I **+k** ) .~Zk
3 Required U-Value (For one and two family dwellings only) 5 *trxtk
( a Total Wall Area, Less. indow an
Insulated Area: Door Area See Fig. 3)
Framin Area (107. of Total Wall Area See Fig. 4) 332 I 757
Windms:(From Page 7)
Doors (From Page 7) - - q im Joist Area: (See Fi ..5) o~ 11.14
Fireplace Wall: foI
o Foundation Wall: (Above Grade Less Window Area{ 'See Fig. 61 Ivi•I al3 ZI .D~
x
w
Foundation Windows: (From Page 7)....-- - - }
t ' Other: (Describe) -
Other: (Describe)
4 Totals Z~
r
i 5 Average U-Value, (UxA)/(A) from Line 4 * Q
6 Required U-Value (For one and two family dwellings only) 1 ****i•*
If line 2 is less than line 3. and line 5 is less than line 6, proposed assemblies meet code
requirements. If line 2 is greater than line 3. or line 5 greater than line 6, complete the
following to determine alternate, U-Value for total exterior envelope.
v
0
7 UxA (Line 1) + UxA, (Line 4), + _ *****r
8 Area (Line 1) x U-Value (Line 3) x -
0
d
g Area (Line 4) x U-Value (Line 6) x
W
"Budget", Line 8 + Line 9 ►
0
H
If Line 7 is greater than Line 10, alter assemblies as required so Line 7 does not exceed Line 10,
If Line 7 is less than Line 10, proposed assemblies meet code requirements.
1
Vi~cc,, r
Figure 1 Ceiling/Roof Insulated Area: t &4#1 Sq. Ft.
(with attic area)
R-Value
Interior Air Film .61
Insulation SO. 00
Continuous Vapor Barrier 0.00
Interior Finish eS-( 111 /J
{V
Interior Air Film 61
Total Assembly R-Value 662' 3 J
Assembly U-Value (1/R) . O 2
Enter on Page 1
Figure 2 Ceiling/Roof Framing Area: Sq. Ft.
(with attic area)
R-Value
Interior Air Film .61
Insulation 3.9..oa
1 Wood Member y 3~
Continuous Vapor Barrier 0.00
-Interior Finish e52
i
Interior Air Film .61
Total Assembly R-Value S'S.JG.
Assembly U-Value (1/R) .4.Z
Enter on Page 1
For additional roof assemblies, see pages 3 and 8.
2
r
Figure 1A Ceiling/Roof Insulated Area: Sq. Ft.
(without attic area)
R-Value
Vented Air Space
Interior Air Film .61
Insulation }
Continuous Vapor Barrier 0.00 IQ
Interior Finish
Interior Air Film .61
Total Assembly k-Value
Assembly-U-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
i. Roof Sheathing
Wood Member
Continuous Vapor Barrier 0.00
Interior Finish
Interior Air Film .61
Total Assembly R-Value
Assembly U-Value (1/R)
Enter on Page 1 e
For additional roof assemblies, see pages 2 and 8.
3
Figure 3 Exposed Wall Insulated Area: Sq. Ft.
R-Value
Interior Air Film .68
Interior Finish -1/s /
Continuous Vapor Barrier 0.00 47I
Insulation f 9, od
Sheathing o G 2
-Exterior Finish ~/7--
Exterior Air Film .17
Total Assembly R-Value -;-Ll/
Assembly U-Value (1/R)
Enter on Page 1
Figure 4 Exposed Wall Framing Area: Sq. Ft.
R-Value-
Interior Air Film .68
Interior Finish
Continuous Vapor Barrier 0.00
Wood Member
i 1
Sheathing .G 2
Exterior Finish . rf \
Exterior Air Film .17
Total Assembly R-Value
Assembly U-Value (1/R) e
Enger on Page 1
For additional wall assemblies, see page 8.
•k t
4
1Figure S Exposed Wall Rim Joist Area: Z98.+Sq. Ft.
R-Value
Interior Air Film .68
Vapor Barrier 0.00
Insulation P7,00 L
Wood Member )~I
Sheathing . G Z
Exterior Finish > Y~
Exterior Air Film .17
Total Assembly R-Value 22 . 8Z
Assembly U-Value (1/R)
Enter on Page 1
Notes: 1) Floors over unheated spaces. For floors of heated or mechanically
cooled spaces over unheated spaces, the overall U-Value
for the floor shall not exceed 0.05. For floors over outdoor
air, such as overhangs, the overall U-Value for the floor
shall meet the same requirement as for roofs, U-Value of
0.04.-
t
2) Slab-on-grade floors. For slab-on-grade, the insulation
around the perimeter of the exposed floor shall have a
minimum R-Value of 6.4. The insulation must extend downward
i from the top of the slab a minimum of 316" or downward
to the bottom of the slab then horizontally beneath the
slab for an equivalent distance.
3) Vapor barriers. The maximum perm rating for the vapor
barrier is 0.1. A minimum of 4 mil polyetheline, or equal,
is required to achieve this. The vapor barrier must be .
continuous with all joints overlapped and made over framing
members or blocking. -
4) For notes on foundation wall see page 6.
5) For additional assemblies not illustrated use worksheet
on page 8.
5
Figure 6 Exposed Foundation Wall Area
Concrete Block or Poured Wood Founda 'on Insulated
Concrete Foundation Area: sq. Ft. Area: sq_ Ft.
R-Value
Interior Air Film .68
U
Continuous Vapor Barrier 0.00
Foundation Wall
I Insulation vU
Exterior Air Film .17
Il Total Assembly R-Value
Assembly U-Value (1/R)_ 4tr
Enter on Page 1 Notes: 1) Only the above grade area of the foundation will is
to be included in the energy calculations. 1
2) The Energy Code requires that, if the floor above the
basement or crawl space is mat insulated, the founds- 0
tion will must be insulated. Either the foundation 0 0 0~
must have a minimum R-10 insulation applied from the Cl
top of the foundation to the frost line or a minimum O
R-5 insulation applied over the entire foundation
wall. The R-Value specified is for the insulation O V
material only. `)c 0
S) if ridgid foam insulation is to be applied to the 7O0 o p0O~y7 Vi
exterior of the foundation will. the above grade -5,706 0Gtl
,exterior
must be protected from the sun, the weather O00 O0C 000 000
and physical abuse. O J 000 OOOvs
t) If ridgid foam insulation is to be applied to the Q L
interior, it must be protected by minimum 1/2" gyp. 00 ~~QjC
board or equal (as specified in section 1:12 of the
Uniform Building Code).
5) Foundation wall insulation for wood foundations must
be installed as specified by the National Forest
products Association's Design Manual.
Wood Founda n Framed
Area: Sq. Ft.
R-Value
Interior Air Film .68
Continuous Vapor Barrier 0.00
Foundation Wall (Plywood)
Wood Member
`\\1\
Exterior Air Film .17 -
Total Assembly R-Value
Assembly U-Valve (1/R)
Enter on Page 1
SKYLIGHT, WINDOW AND DOOR ASSEMBLIES
U-value
Skvllaht I Manufacture) Manufacture No. No. Used Total Sash Area(A) R-Value U=1/ft U x A
I
I
Totals Enter Pane 1 XXXXXX XXXXX XXXXXXX XX X XXXXX
- a ue
windows Manufacture Manufacture No. No. Used Total Sash Area (A) R-Value U= IR U x A
2o~z rl E ~rl I 7~?~ ~2 fI&
h~z I 5. ~2 9'.O~O
~~caL I I~, t ~ ci.l5
r'wi(e' II 2~ 2~ q
A w 35. 5 . ? I .X70
w,~ til •u 2,5►
Totals Enter Pace 1
-Value
ours ion
Wall Window Manufacture Manufacture No. No. Used Total Sash Area (P.) R-Value U=1/R U x A
';v►, IN 154-15 0-
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SEDGWICK HEATING & AIR CONDITIONING CO. HEATING JOBQ-t~
8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 p• (612) 8619000 rTTEST RECORD
' ADDRESS CITY `4&*4((~
OCCUPANT OWNER ,OZ-- ,4S/ JPCp
SOLD BY fSQ c,, y 1 C /e INSTALLED BY Sf'-06'VI CCK 11-64" Y ~
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LIMIT -S~✓~-~ 4e -//ON LINER SIZE
LIMIT SETTING ~ STC.7 a FILTERS: SIZE s2L) E UMBER
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IGNITION MODEL leO~ecS/fkJ LIGHTING INST. J/
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-70 STACK TEMP. -2 %//f T PERCENT CO - 42 NAME OF TESTER
FORM M IREV. I t+B9I-S FoFAI DISTRIBU M WHITE COPY JOB FILE YELLOW COPY - GRY
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71
MKS: lei,' f'= z
!:n
® CORPORATION Suite 608.4940 Viking Drive • Minneapolis, Minnesota 55435.612-835-2808
September 9, 1992
Gene VanOverbeke
City of Eagan
3830 Pilot Knob Road
Eagan, MN 55122
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 9, 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 the above referenced lot. 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 oehn
Acco ting anager
John anlinson, Vice President Ge VanOverbeke, City of Eagan
~ 2y ljZ ~ , q
Date Date
Planners ■ Developers ■ Contractors
q(423 RESIDENTIAL
, I ~_5 BUILDING PERMIT APPLICATION
53`i4 CITY OF EAGAN _
3830 PILOT KNOB RD, EAGAN MN 55122 a2
651-681-4675
New Construction Reaulrements RemodeNteoah Reoulrements
3 registered site surveys showing sq. ft. of lot, sq. ff. of house; and LU roofed areas • 2 copies of plan
(20% me)amum lot coverage allowed) . 1 set of Energy calculations for heated additions
. 2 copies of plan Mowing beam & window sizes: poured found design, etc.) . 1 site survey for exterior additions & decks
1 set of Energy Calculations . Indicate r home served by septic system for additions
. 3 copies of Tree Preservation Plan 9 lot platted after 711193
Rim Joist Detail Options selection sheet (blogs with 3 or less units)
DATE VALUATION lJ DID
SITF_ADD E' 70 aJ ! E 2 O MULTI-FAMILY BLDG _ Y N
TY K ~EQo, '5 39a_51 FIREPLACE(S) _ 0 _ 1 _ 2
APPLICANT
STREET ADDRESS 10V7 Nlc-ollaf Avr CITY C eaLd ~/STATE,4,v ZIP pSS~~aZ 3
TELEPHONE # NISI -IdLi6 FS-1 CELL PHONE # FAX # ~Z'`ZC~C~' gCSeD
PROPERTYOWNER k cK TELEPHONE#65Ei''
----------------------------m-------------------------------------------m----------------------
COMPLETE THIS SECTION FOR %%NEW,, RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MINNESOTA RUL _ 67Zj
(d submission type) . Residential Ventilation Category 1 Worksheet Submitted r, n_dr9yc6d 1 ,or~h et', ubmitted
Energy Envelope Calculations Submitted IpJ 1 Ili; (SU `
1 JUL 2 3 2002`u
Plumbing Contractor: Phone #
Plumbing system includes: _ Water Softener _ Lawn Sprinkler ey,_._-S-30:00
_ Water Heater _ No. of R.I. Baths-' "
No. of Baths
Mechanical Contractor: Phone #
Mechanical system includes: - Air Conditioning Fee: $70.00
Heat Recovery System
Sewer/Water Contractor. Phone #
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 Applicant
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
A.
T rrtif irate of (Orrupattry
Citp of Qlagan
I
11ppa twMt of "bim jwwrrtiw
This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building
Code certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City regulating building construction or use. For the following:
a
Use Cl f,.tioc Bldg. Rrmit No.
O-Pan y Type R3M 1 Zoning Dioxin TYP, Cep VN
Owns at swldieg 17-Mi rS C TT a) Am. 1 ;2 Wx-- 1 , TY,'77 l,[x '
Biolding Adder ;}RI taniity I,~+, B3 f
Due: q/ 14/Pi
Building Official
POST IN A CONSPICUOUS PUCE
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 681-4675
BUILDING PERMIT Receipt #
To be used for Est. Value - Date 19
Site Address 7C
Lot Block Sec Sub. ~t 3 OF OFFICE USE ONLY FEES
Parcel No. U.';%ATF-R 2' C' occupancy k-3
Zoning Bldg. Permit : 004• 00
f_ 1
Name CHARLES t;t°l)t) 110 (Actual) Const V-t
Surcharge 102.00
cc -
1302 WOODBALF (Allowable) v i'
z Address Plan Review 652.00 .
O iciy JOODWRY zip ~5S Lenghtories 7,,.` License 5.00
Phone 731-3153 Depth SAC, City 100.00
SAFE S F. Total SAC, MCWCC 700.00
cc Name
S F. Footprints 675•00
Address On Site Sewage Water Conn
City Zip On Site Well Water Meter 95600
MWCC System 30.00
O Phone City Water Acct. Deposit
U License # S,W Permit 30.00
PRV Required
I hereby acknowiege that I have read this application and state that the Booster Pump SiW Surcharge • 30
information is correct and agree to comply with all applicable State of '
Minnesota Statutes and City of Eagan Ordinances. Treatment PI
Signature of Permitee APPROVALS Road Unit 380.00
A Building Permit is issued to: t-',tp Planner
Park Ded.
on the express condition that all work shall be done in accordance with all Council
applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies
Building Official Variance TOTAL 4,117 1. SC
Permit No. Permit Holder Date Telephone #
SNV
PL M91NG
FIVAC
ELECTRIC (t~5 IS 0.0
ELECTRI ~118~ /tea- v
Inspection Date Insp. Comments
Footings I
Foundation Z,
Framing
Roofing
Rough Plbg.
Rough Htg. n ?
Isul.
Fireplace ~r C X c -~2 LG' t !v
Final Htg. j .
Orsat Test
Final Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
Engr./Plan
Bldg. Final
Deck Fig.
Deck Final
Well
Pr. Disp.
SEWER & WATER PERMIT OFFICE USE ONLY
CITY OF EAG~AN METER # 416,2 341 •SI PERMIT DATE 2 / 1 % L
3830 Pilgt Knob Rd. 12602
Eagan, MN 55122-1897 CHIP PERMIT #
METER SIZE ti~' ~t S B.P. RECEIPT # -7
ISSUE DATE ' B.P. RECEIPT DATE 03 le.,
DATE MAR 4, 1992
PRV -BOOSTER PUMP
SITE ADDRESS PERMIT REQUESTED
LOT BLOCK SEC/SUB OA;:.'
SEWER WATER TAPS
APPLICANT:
ADDRESS: COMM; INID RESIDENTIAL
CITY, STATE ZIP NEW EXISTING
PHONE:
Lawn Sprinkler Meters are to be Installed
PLUMBER: POLAR i 1,BC Ahead of Domestic Meters on Water Line.
ADDRESS: 6087 46Th Credit WILL NOT be given for Deduct Meters.
CITY, STATE OAKDALE MT: ZIP 55128
777-7525
PHONE:
I AGREE TO COMPLY WITH CITY OF
OWNER: CHARLES CUDD CO EAGAN ORDIII S
ADDRESS: 1802 WOODf; Ili- /
CITY, STATE WOODBUR.ZIP 55175
PHONE: . SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
SEWER & 41ATER PERMIT OFFICE USE ONLY
CITY OF EAGAN METER # PERMIT DATE o3/13/92
3830 Pi:,Pt Knob Rd. 12602
Eagan, MN 55122-1897 CHIP # PERMIT #
METER SIZE B.P. RECEIPT #
NAR 4, 1942 ISSUE DATE B.P. RECEIPT DATE C"' PRV - BOOST ER PUMP
DATE
SITE ADDRESS ' ' i DGLWATERZ 1iR P _R; i~'r REQUESTED
LOT 9 BLOCK SEC/SUB , Ht OAKS OF BRIDChWAT P 2ND
X SEWER -X-WATER TAPS
APPLICANT:
ADDRESS: COMM,IND RESIDENTIAL
CITY, STATE ZIP NEW EXISTING
PHONE:
POLAR FLBIC Lawn Sprinkler Meters are to be Installed
PLUMBER: Ahead of Domestic Meters on Water Line.
ADDRESS: 6087 46TH ST Credit WILL NOT be given for Deduct Meters.
CITY, STATE OAKDALE MN ZIP `512$ _ j
PHONE: 777-7525
I AGREE TO COMPLY WITH CITY OF
OWNER: CHARLES CURD Cc EAGAN ORDINANCES
ADDRESS: 1802 WOODDALE DR
CITY, STATE V,'OODBUFy ZIP 55125
SIGNATURE WHEN METER ISSUED
PHONE: 7 31 -91 c,",
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
r
Use BLUE or BLACK Ink
I For Office Use
Permit j
City of Ea
Ed .001
Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 } , I Date Received:
Phone: (651) 675-5675 E_(_' I V ED I I
Fax: (651) 675-5694 Staff:
MAY 3 0 2012 4 14 7
- - - - - - - - - - - - - -
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
77nl~ Site Address: 70 rld' ew~f~r ,D1zjv
Date: CJl✓Vie
Unit
Name: "k r Phone: f016~ "Ma RESIDENT / 7 U ~YICY eW& ~ 1/ X)r 5yld
OWNER Address / City / Zip: i
Applicant is: _1X_ Owner Contractor
b adc1/ 17 f abo vc, la,4 rr~d~/ h
TYPE OF WORK Description of work:
Construction Cost: ~T130 Multi-Family Building: (Yes / No X-)
Company: Contact:
1
CONTRACTOR Address: City:
State: Zip: Phone:
License Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.oopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance. -
In I I--_XLI~ -
x 77C x a,11~4.
Applicant's Printed Name Applicant's Signature
P ),of 3
3~S-70 ~2i fa~lt~Fi 04DO NOT WRITE BELOW THIS LINE ~ , .
SUB TYPES
Foundation _ Fireplace _ Porch (3-Season) - Storm Damage
Single Family _ Garage _ Porch (4-Season) - Exterior Alteration (Single Family)
Multi _ Deck _ Porch (Screen/Gazebo/Pergola) - Exterior Alteration (Multi)
01 of Plex _ Lower Level _ Pool _ Miscellaneous
Accessory Building
WORK TYPES 47/ Vo 5y
New _ Interior Improvement _ Siding _ Demolish Building* l) '
_ Addition _ Move Building _ Reroof _ Demolish Interior
Alteration _ Fire Repair _ Windows _ Demolish Foundation
Replace _ Repair Egress Window _ Water Damage,
Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation Occupancy MCES System
Plan Review Code Edition SAC Units
(25%_ 100%) Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
I
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC _ Gas Service Test Gas Line Air Test
Drain Tile Other:
Roof: -Ice & Water -Final Pool: -Footings Air/Gas Tests -Final
Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace: -Rough In -Air Test -Final Windows
Insulation Retaining Wall: _ Footings _ Backfill _ Final
Sheathing Radon Control
Sheetrock Erosion Control
Reviewed By: Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review rn
MCES SAC 7A
.
City SAC Y~j Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
I
'SUPIVEYO R'S CIE#Ati F,Id tIt' 1 '4•` CHARLES CUDb
-r- 14
9 n
~ o 06 to R `2'30.35
i
8
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SCALE 1 I 1 C
CD w
O rn
No N ~ o N Q James R. Hill, inc..
v
z ~ vim
0 ' PLANNERS ! ~NGlNEERS / SURVEYORS
~ ~ `O N 2 ~ t z o N „ -C
N d m
2500 W. CTY. RD. 42 • BURNSVILLE. MN. 55337 612-890-6044
i
Use BLUE or BLACK Ink
F-----------------
I For Office Use ~n I
441
I Permit u
City of Eap t 1
Permit Fee: 1
3830 Pilot Knob Road p
Eagan MN 55122 ~ 1) Date Received: U 6 Z
Phone: (651) 675-5675 t` I Staff: 66 I
Fax: (651) 675-5694 1 l
L.
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Date:
" Site Address. Unit
F
I i Name: n. 1.• P r Phone:
RESIDENT f ne f
I OWNER Address/ City /Zip: Applicant is: Owner Contractor
TYPE OF WORK Description of work: t1.~'
Construction Cost: i~ Multi-Family Building: (Yes No
Company: tact: t`
J
l 4
CONTRACTOR Address: City:
i i State: l ZIp F, Phone:
9 °
e License Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information maybe classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One 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.gor)herstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota StaW'Suilding Code must be completed within 180
days of permit issuance. '
r
x c
Applicants Printed Name A licants Signature
Page 1 of 3
4,11
City of Eapll
Date:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
Date Received:
Staff:
c63W
I�
2012 RESIDENTIAL PLUMBING PERMIT APPLICATION
Site Address: 3c 1 b '.S j G Cie-telCt- ` 42,' Z_ l ✓�_
Tenant:
Suite #:
RESIDENT /OWNER
Name: Maar //75 Phone: w /a ` 6. ?•3wv?
Address / City / Zip: c.,5 8 7 0 8f t cfri e cost: K JO17 '
CONTRACTOR ; ..
Li
Name: //? /7 t7 / " 6( License #:
Address: (5 c?`Y7C= City:
State: Zip: Phone:
Contact: Email:
TYPE OF WORK
— New Replacement Repair Rebuild ZModify Space Work in R.O.W.
_
Description of work: /Y Q V C F /LL rr, /7 / r? v^e /1 '6- 7L7. n- -Oat v fZ) Cej/ ,?
PERMIT TYPE '
RESIDENTIAL
Water Heater
Water Softener
Lawn Irrigation (_ RPZ / PVB)
Add Plumbing Fixtures (_ Main / Lower Level)
Septic System
Water Turnaround
New
Abandonment
RESIDENTIAL FEES:
$60.00 Minimum Water
Heater, Water Softener, or Water Heater
(includes $5.00 State Surcharge)
Fixtures, Septic System Abandonment, Water
and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation
$60.00 Add Plumbing
*Water Turnaround
$105.00 Septic System
Turnaround* (includes $5.00 State Surcharge)
and $5.00 State Surcharge)
TOTAL FEES $
(add $189.00 if a 5/8" meter is required)
New ($10.00 per as built) (includes County fee
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.
Applicant's Printed Name
Applicant's Signature
FOR OFFICE USE
Reviewed By:
Required Inspections: Under Ground Rough -In Air Test Gas Test .` ' Final
411.
City of hp
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
Date Received:
1)1( stop
1.006)J
Staff: ')
L
2012 MECHANICAL PERMIT APPLICATION
❑ Please submit two (2) sets of plans with all commercial applications.
Date: a- y Site Address: 7 0 ;--;d /3 /2
Tenant:
Suite #:
RESIDENT / OWNER :
Name: NeI' / r7) Phone: Co /oi ' 2 .8-6- k-Y)3L.,)
C+�WAddress / City / Zip: 3k -i 0 , /«) Ie ` ,o,,z
CONTRACTOR
Name: /ILO !7P7ip✓ License#:
Address: S a --"7-1—e-- City:
State: Zip: Phone:
Contact: Email:
TYPE OF WORK
New Replacement ✓ Additional Alteration Demolition
Description of work: 4 dd ft 6 -iv --, bcl4-m sr2 c- — r ce.,.. c c -f- k,/ch ve,-7
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical Inspector for information on permitted screening methods.
PERMIT TYPE
RESIDENTIAL
Furnace
COMMERCIAL
New Construction Interior Improvement
Air Conditioner
Install Piping Processed
Air Exchanger
Gas Exterior HVAC Unit
Heat Pump
Under / Above ground Tank (_ Install / Remove)
Other
RESIDENTIAL FEES:
$60.00 Minimum Add-on or
alteration to an existing unit (includes $5.00 State
burned out appliances, ductwork, etc.) (includes
Surcharge)
$5.00 State Surcharge) = $ TOTAL FEE
$100.00 Fire repair (replace
COMMERCIAL FEES:
$75.00 Underground tank installation/removal
$60.00 Minimum (includes State
(includes $5.00 State Surcharge)
Surcharge)
$10,010, surcharge is $ 5.00
surcharge increases by $.50 for each $1,000 Permit
Fee requires a $ 5.50 surcharge)
OR Contract Value $ x 1%
= $ Permit Fee
- If the Permit Fee is less than
= $ Surcharge
- If the Permit Fee is > $10,010,
Fee
= $ TOTAL FEE
(i.e. a $10,010-$11,010 Permit
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.
Applicant's Printed Name
Applicant's Signature
FOR OFFICE USE
Required Inspections
Underground Rough In Air Test
ewed By: Date.
In -floor Heat Final : HVAC Screenin