822 Hidden Meadow Tr0 CASH RECEIPT
. 1t
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
OATE 19
?
Wterveo
F1104 ? •it 4'-_-i ?ka . / l . E .'?
AMOUNT Fs
d OdLLARS
,w
O CASH CHECK
FOR
BY
C 017'14 5 wwts-Pa,rers copN ,???
Yellow-PosGng Gopy
Pink-File Copy
Thank You
SEWfR & WA?ER PERMIT
CITY?FV4N
3830 Pilot Knob Rd.
Eagan, MN 5,5.122-1897
DATE ' MAR 18, 1992
_ PRV _ BOOSTER PUMP
SITE ADDRESS 822 HIDDEN MEADOW TR PERMtT REQUESTED
LOT 8 BLOCK 1 SEC/SUB THE OAKS OF BRIDGEWATER 2ND
X SEWER X WATER - TAPS
APPLICANT:
ADDRESS:
STATE
CITY
,
PHONE:
PLUMBER: POLAR PLBG
ADDRESS; 6087 46TH ST N
CITY, STATE OAKDALE MN
PHONE: 777-7525
ZIP 55128
COMM/IND X RESIDENTIAL
_X NEW
EXISTING
Lawn Sprinkler Meters are to be Instailed
Ahead of Domes 'c Meters on Water Line.
C di WILL NOT for Deduct Meters.
i
J iAw? . f .?iA../1
TO COMPLY W1XK CITY OF
OWNER_ CHARLES CUDD CO EAG O OINAN
ADDRESS: 1802 WOODDALE DR
CITY, STATE WOODBURY MN Zip 55125
PHpNE: 7 1-3153 SIGNATURE WHEN METER 1SSUED
PLEAIE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
Y, f,
SEWER PERMITS, CONTACT ENGINEERING DEPT.
ZIP
OFFICE USE ONLY
METER# 3112 ?? PERMITDATE 03/20/92
CHIP # U.3I ? 0?77? PERMIT # 12624
METER SIZE? LC OJ Su 5 B.P. AECEIPT # C 017845
ISSUE DATE ?o ?? 3' 1 02 B.P. RECEIPT DATE 03 / 18/92
SEWER & yNATER PERMIT
CITI-t)F' E'AGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
fo*
DATE y MAR 18, 1992
USE ONLY
METER # PERMIT DATE 03J20/92
CHIP # PERMIT # 12624
METER SIZE B.P. RECEIPT # C 017846
ISSUE DATE B.P. RECEIPT DATE 03/18 92
I _ PRV _ BOOSTER PUMP
I
SITE ADDRESS 822 HIDDEPI NY"W TR PERMIT REQUESTEO
LOT 8 BLOCK 1 SEC/SUB THE OAKS OP BRIDG6WAT£R 2ND ,
x SEWER X WATER - TAPS {
APPLICANT:
ADDRESS:_
CITY, STATE
PHONE: -
COMM/IND ? RESIDENTIAL ?
ZIP
PLUMBER: PdLAR pLBG
ADDRESS: 6087 46TH ST N
CITY, STATE OAKDALE MN ZIP 55128
PHONE: 777-7525
OWNER: CHARLES CUDD CO
ADDRESS: 1802 WOODDALE DR
CITY, STATE W)ODBURY MN Zip 55125
PHONE: 731-3153
_X NEW - EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
CCedit WILL NOT, be ve,n for Deduct Meters.
? ' '79
? ? > 3
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES ?
SIGNATURE WHEN METER ISSUED
PLEASE ALL4W TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
d1,8 %
SEDGINICK, HEATING & AIR CONDITIONING CO. HEATING , Jag NdD- ?26(0 ?
8910 WENTWORTH AVENUE SOU7H • MINNEAPOLIS, MN 55420 •(612) 881-9000 ? 7EST RECORD
ADDRESS 'C?ZL L?L"-l ) 7fr?? CITY
OCCUPANT
SOL•D BY
MAKE VA/A/Y\-rv4-
SERIAL NO.
VALVE
LIMIT
LIMIT SE?
FAN SET7
pILOT TY
IGNITION
PILOT TIE
INPUT CFH
STACK TEMP._
FORM 235 (REV. 71i89?
6
OWNER
/
INSTALLED BY
MODEL
INPU7 ?
VENT SIZE
TYPE OF LINER, ?? ?
LINER SIZE
FILTERS: SIZE NUMBER
WIRtNG ,
TEST TAG
LIGHTINC,
DATE TES
P?RCENT COZ
COMPANY
PERCENT OZ
?
pERCENT CO ? ? NAME OF
INSPECTION RECORD
*"CI=rY OF EAGAN . PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: 8:071 e OCoCK ) 1
u 2 2 HIDUEN MEAUfi3J TR
tHE OAga OF ORID6Ei•iATER ZiVU
` PERMIT SUBTYPE:
I ', r C?4JEi
t Iroorxw;
I I ra'Put_ArION
I 111114ffli.Al:f.
APPLICANT: ?
CUUn CO
(bl;?) 731-3163
TYPE OF WORK:
rRaKiNO
FYNA!
oI No. 0054
Hi„ t aiw•
000066
0s/ie?,92
mom
S
¦
?
Pem,n rw. Parmlt Flolder wts Tekpbone i
SNV .,-
PLUMBING
HVAC
ELECTRI Zi ? • ,}° o? 9 9 °0
ELECTRIC
Inspwtlon Data Insp. Commerrts
F°o&gs 1 U&
Fouridation
Framing ill?/24&
?
Raollny
Rou9h Pib9• ?(-
Rough Htg.
/u
led. y Rev
Fireplace ?
Rnal Htg.
Orsat Teet ?•?Z
Final Plbg. _ZS q ? Plbg. irspeefor - Notlfy Plumber
Cnnst. Meter
FngrlPlan
Bldg. Flnal
Deck Fty.
Deck Ffnel
we+i
Pr. Disp.
CITX OF EAGAN
3830 Pilvt Knob Road
Eagan, Minnesota 55123
(612) 681-4675
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
?1'$?,"?i•",?'? ?r lr
? SITEADDRESS: , 01: E{ R i 0 1
11 a?VAuuW rR
? 1 IiE upR *. ui tll..l Uw WA 1 i k .'N[l
PERMIT SUBTYPE:
? .-.. . _...?,....
TYPE OF WORK:
INSPECTION .. . ..
1'??i3?.ll [N F'! F•:i. ? •?
` O f MAF?k t ; r St PAHA l f : . C U R M 1 1'S ARl: Nf f}tl l
?
L
t11R IA?JY 1'1 UMItI/Jis fl#7 1! t( iFtIt-.AI blili
? I
??
Permit No. PermR Holder Dete Telephone N
S/IN
PLUMBING J~ }' f ff'/? ??f J
HVAC
ELECTRI
ELECTRIC
Inspection Dab InsQ. Comments
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
F?eplace
Fnal Htg.
Orsat Test
Final Pibg. y ? Plbg. lnspec[or - Notiiy Plumber
Const. Meter
Engr.lPlan
Bldg. Flnal Z?S
Dedc Ftg.
Deck Final
weli
Pr. Disp.
? 4, , A
(ger-#i#iratt of (Orrupanril
Citp of 4tagan
??Pt[Y of %aI1tQ jwP1'ttQi[
TJris ('.erafeoale isst?+d prrsuant !o tGe rrqidrements ojSerxion 306 of llie uRifonre BwUmg
Code oat fyfng tliat at t/ae linie of isurance llris s&ucdue xnr fn contpdiancY witJk tlw tarious
or+dinanm of dw Cih' re8&ft &dM&8 conslrrectdoR or use !',or the following:
we arawnuo. SP ad3m eWe. Rma Pto. 65
OXOP-C7''TM R3/141 zooies p;k;ct R1 7'm Caar VN
owMoraaai,s (NARiES C[IIm ri) Adkm I802 mm]AiE DR,, MM1IiY
2ND
Dm 7/!6/q2
POST IN A CONSPICUOUS PU1CE
1?4. DATE: MAR 20, 1
RE: 822 HIDDEN MEADOW TR (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 Ihe meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
_ Your Sewer & Waler Permit for the above property cannot be completed for the tollowing
reasons:
_ Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be lssued or occupancy allowed until further notice.
_ COMMERCIAL PROJECTS ONLY: Please pay tor meter at Ciry Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454•8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES-TELEPHONE, ELECTRIC, GAS, ETC.
- REOUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
REQUEST FOR ELECTRICAL INSPECTION 'y?.? Es-ooom-o /-
J ?$ee mstmctions for compl¢Lng this form on back of yellow copy ? ?p
29136 "X" Beiow Work Covered by This Request 2 ? 1 ol
e ??tl Rep Typeof8uilding ApplianceSWVed EquipmenlWued
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt Buddinq Dryer OMer (Specity)
Comm.nndustrial Fumace
Farm Air Condiuoner
Other (syanryl Controctors Remarks 1 1
Compute Inspection Fee BelowN C w 1 1 omf. ? oc)' `
# Olher Fee # ServiceEmrance5¢e Fee # Circutls/Feeders Fee
Swimming Pool 0 to 200 Amps 0 0 to 700 Amps
TranSformers Above 200 _ Amps_ A6ove 100 _ Amps $? ,dQ
Signs mspecmrSUUOnIy///;;; T T L
Irrigation Booms ?i
6rq ,50
Special Inspeclion ? .
AiarmlCommunication TIiIS INSTALIA AY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONT S.
I, the Electrical Inspector, hereby Rouen-m old._ y 7 y?
d(
certify Ihat the above inspection has
been made. F,?ai ? oa? •^ ??Y?
OFFICE USE ONLY
This repuest voie 18 monlhs Irom
/OSG 9 S. I
J 1 36 i ? "d $F 9°°
RequeslDale -
4 1-( Fre No Rough- spBChon
eQui
D Reatly Now II Notdy Inspecmr
When Read
'+
1 s ? Pb Y
Ix hcensed contractor O owner hereby request inspection of above electrical work at:
Job Atltlress (Street Box or Route No ) I
ZZ ' Wlcaatow l ?axi'( Pry
?q ct I'l
SxOOn No Township Neme or No qange No County
ID
OL F-'V
Occupant (PRINT)
???VuS CA)dd CD . Phone Na
Power Supplier
1 a ?t ?l{G?viC? qtlUress ?VY71 NC?
-22o-to St- .?llest ' z4
Elech¢al Comratlor (Company Name)
l
-E-
ll
f
G Contrector5 ?cense No
(
?
G
. 0145
?s :.'
o
ec
o.
. o
o
?Foo
Maihng Atldress (Contraclor or Owner Making InslallaLO I
Z7 g S?-a?f-e -(-re e St. Pa v! 5S 10-7
Authmizetl S. atu'a ConvactollOwner Making Installatlon' ?
I 1 , - Phone Nvmber
21?1-zg3
MINNESOTR STATE BOAflO Oi ELECTRICITY
GngBa-MlUway BIOg - Room 54'I9 /' .'?
?r4
1831 Universky Ave, SL Paul, MN 551p0
Phone (611) 6<2-0800 ?a ???
THIS INSPECTION FEQUEST WILL NOT
8E ACCEPTED BY THE STATE BOARO
UNLE55 PROPER WSPEGTION FEE IS
ENCLOSED
+3 / ? ?O<a ??
Repuest Oele Fne No Fough-In I eciron PeQwre
(YOU must call inspaclor when reaEy) Inspection OMer TM1en Raugn-In
E] qeatly Now ? Will NotHy Inspeclaf
? [E Ves ? No OeleReaO
I [A licensed contrector O owner hereby request inspection of above electricel work at:
Job Adtlress (Street. Box or Rowe No ?
Z rQ 11 Qry
Iffa ail
SMion No Township Neme or Na Range No County
?
Occupanl(PFINT?
.1ahn Fc?rd ' S1??( o Phone No
Pawer Supplier Atltlress
Eleclncal ConVacror iGOmpany Name) I /?
Il lo GonVe/c?lor? Licensa No
?rl O
Mailing AOdress IConiratlor or Owner Making Instailaoonl
? UrJ 5S
-
b
?
1
AuO?re iGOnt actovOwner Making I talletion;
1? ?? vn,4'rl _ Phone Num r
z -Z 33
MINNESOTA STATE BOARD OF ELECTRICITY
Gtlgga-Mitlway Bitlg. - Room S113 O
1821 UmvraHy Ave. SL Faul. MN 55104 /? y?
hone(612) 642-0800 THIS INSPECTION REOUEST WILL NOT
BE ALCEPTED BY THE STATE BOARO
UNLESS PROPER INSPECTION PEE IS
(?(/?rl ) ENCLOSED
J/rA1/9y
N 10604?
REQUEST FOR ELECTRICAL INSPECTION
? Sea instmctions for complelmg Nis lorm on beck of yellow copy
")C" Be/ow Work Covered by This Request
?_
Ne* Add Bpp. 7ypeof8wltling ApphancesWiretl EquipmentWired
Home Range Temporary Senice
Duplex Water Heater Electric Heating
Apt Building Dryer Load Manegement
Comm.llndustnal Furnace Other (Specity)
Farm Air Condihoner
Other(5pecity) Contractors Pemarks Compute Inspecnon Fee Below.
'?.-?-t,?(YIU1
# Other Fee # ServiceEnirance Srze Fee # Ciromts/Feeders Fee
Swimming Poal 0 to 200 Amps 0 to 100 Amps
Trensformers Above 200 _ Amps Above 700 _ Amps
SignS lnspecto.5 Use only -\' TOTAL
IrngadonBooms 01."? L--?D?? j?
Special Inspection
Alarm/Communication THIS INSTALlAT10 BE 09 Ed DIS NECTED IF NOT
Othei Fee COMPLETE? WITHIN MO
I, the Electncal Inspector, hereby
if
h
h Rough-in oate
cert
y t
at t
e above inspection has
been made Finei Date
s{
OFFICE USE ONLY O
This request vaia 18 months imm
Address:' 822 HIDDEN MEA?OW IRAa I,ot g Blk I Sec/Sublffi pAKS pg RRiiYEi,rpi'Ea M
These items were/were not complete at the time of the final inspection.
D t: 7 16 q2 Yes No
Final grade (6" from siding) - G a'kiis n0(- C4
Permanent steps - garage
Permanent steps - main entry ?
Permanant driveway
Permanent gas
Sod/seeded grass
Trail/curbsdamage
Porch
Basement finish Y'
Deck
Please verify with the bnilder the removal of roof test caps from the plumbing
system and the shut-off of water supply to the outs3de lawn faucet before
freeze potential exists. ?
ucroienwc.
White - City capy Yellow - Resident copy Pink - Contractor copy
PERMIT CITY OF`EAGAN PERMIT TYPE
3830 Pilot Knob Road
Eagan,+Minnesota 55123 Permit Number:
(612) 681-4675 Date Issued:
SITE ADDRESS:
822 HIDDEN MEADOW TR
LOT: B BIOCK: 1
THE OAKS OF BRIDGEWATER 2N0
I Control No. 0054
BUZLDING
000055
03/18/92
DESCRIPTION:
Building Permit Type
Building IJork Type
UBC Occupancy
Construction 7y'pe
Zoning
Building length
Building Width
SF DWG
NEW
R-3 M-1
V-N
R-1
64
36
? _: _ ., __.. .. ???` ... . ?.
REMARKS: mI$ , /?
7
FEE SUMMARY:
VALUA7ION
Base Fee
Plan Review
Surcharge
SAC
sac $
SAC Units
Subtotal
$783.00
$508.95
$Y0.50
$700.00
100
1
$2,062.45
$141,000
MISCELLANEOUS $1.610.50
Total Fee $3,672.95
CONTRACTOR: - Applicant - s7. 1LVllNER:
CUDD CO 17313153 0003945 CHARLE3 CUDD CO
1802 WOODDALE OR 1802 WOODDALE DR
WOODBURY MN 55125 WOODBURY MN
(612) 731-3153 (612)731-3153
I hereby aeknqwledge that I have read this appl3cation and stete that the
information is correct and agree to comply with all applicable 3tate of Mn.
Statutes and City of Eagan Ordinances.
I ? PPLICANTlPERMITEE SIGNATURE ISSUED Y: SIGNATURE - -
PERMIT N
CITY OF EAGAN
1992 BUILDING PERMIT APPLICATION
681-4675
A4AR 1 0' RECO
?_7 6 7a.9S
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
nf month in which re uest is made or lot chan e is re uested once ermit is issued.
Date t:2-7, / ` ? Valuation of work 0,90
Site Location: ?'1L-'z kODenj MQ-a+ocxl A2Zu?L-
STREET STE M
Tenant Name: 1?::i? 1'Y1l?rJ 1 ?-?+-??S?C-?
LOT BLOCK ? SUBD. ? e P.I.D. N
Descri tion of work: N'LLQ ?? rCWC'f"
The appl i cant i s: ? Owner KContractor ? Other (Deseribe)
Name ry\Ar? Phone
Property LAST F1R5T
Owner
Address
STREET STE /
City State ZiP
Company 6+4_rlN_l-eS Guoo GO - Phone
Contractor Address (OcZ)Z li-x'00DPL2 DM-QZ License #67M??xp.
City VQMD 6M-fA State MN Zip
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber . Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
I111R
t
lxl?"
Signature of Applicant.
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation
fr 02 SF Dwg.
? 03 Two family
O 04 Multi-fam. T.H.
O 05 Apt. Bldg.
WORK TYPE
CX 31 New
? 32 Addition
? 33 Alterations
? 06 Garage/Accessory
? 07 Fireplace
? 08 Deck
? 09 Basement Finish
? 10 Swim Pool
? 34 Remodel
O 35 Repair
? 36 Tenant Finish
GENERAL INFORMATION
? 11 Res. Add./Porch
? 12 Comn./Ind. New
? 13 Comm./Ind. Add
11 14 Comm./Ind. Rem
? 15 Public fac.
? 37 Move
? 38 Oemolish
? 99 Undefined
..
...?
? 16 Agricultural
? 17 Building Move
? 18 Demolition
? 20 Miscellaneous
Occupancy P -3 Af-I
-- Basement sq. ft. // S9 MWCC System Ilt-
Zoning 7- lst F1. sq. ft. is City Water __TT_
Const. (Actual) V? 2nd F1. sq. ft. 921 PRY Required
(A1Towable) L Sq. Ft. total Booster Pump
/ of Stories 2 Footprint Sq. ft. Fire Sprinkler
Length 77 On-site well Census Code ZT7_
Depth 36 On-site sewage SAC Code
APPROVALS
Planning
Engineering
REOUIRED INSPECTIONS
? Site
Wallboard
Building
Yariance
C F Footing
inal
Assessments
El Framing JU Insulation
? Draintile O Fireplace
Permit Fee r) 9 3 ,i„atid,: s / Oc?o
Surcharge
Plan Review 90,70 isr
f?x
z?
License 13.3,f- Z ? 24•?
MWCC SAC
City SAC 70o z y? aG
Water Conn. !oo
61) S
l/S' 3, yzx?9 -,
J
Water Meter Zti?J
Acct. Deposit 30
S/W Permit 30 32,?-z9
S/W Surchar e
? 30 / 3,Sk z= z?
7reatment P1
. .so 13
?-
Road Unit
3ov
,
q?/XS3_ 3'I 9 9 3
Park Ded.
390
? J
Trails Ded.
Copies
Other ?o,3xzz.3 : yS2,69
Total : 1 Z x z0. 3 - 2--1/ .'?
656,29,?16 = ?-
SAC %
SAC Units
9?
?• . ? _-. F. ??q ?
f .•? }
- - ------?,/??/--?-?.
..'.'.::Sl`? p,?i(;?:1`,l?:.L2'iiAJ;e y.',? •
NOiLi ??M?ON 0? fT?YI!'0 wR R?!
?,. w,?I pto aworw a rowana+
Notr? wo rane nM.e ixvaro?na+ ?e?aoe???cao
? ??'? ?j?y?c Mowc r?o?oato is
? ? =NWJfY OI TM1 lYMT'OR
,*? pENp7F8 pqpPOBID SURfACB DRAINA6E BGyE: t Nidl ? 50 ?
O CENOTEB IRON MOMIMENT BfiT
• DEN0M 1RON MONUMFNf FOUND ? PROPOMOAMOE FLOOp ?IPW'1 FW
?B? I.OW?T ??? _,?,1 rffT
7(ppp.0 ORN07lS IX18TiN04EVM10N' P ?p SOP OF BLOCK? tJb'F•y ?
(000A) DENOTE6 PROP08E? B.EYA110N ,
7HAT TM1616 A'TiWE AND CARRIt+"T
WEMHIEDvC6t11FYT0 CFiARLfiB FtDD C0. .
pEpqF,S?1TASI0N OF A SURVEN OF'IHE BDU??D?? oF AppI71Dfl, aoaar0{n0 ro tM
Lp} B, Elwh 1? TMR OAKE Of BR1006WAT19R tN0 .
naerNdOlat tMnef, Caketa cany, MlnnMeta. ,
IT W E$ NOt PURPORT TO 8F10W liMpROVEMENTS OR BIOROACHMwf8. FXCIPT A9 9HOWN. AS
gUqVFKD 6Y ME OR UNDER MY Oi1lFCT BUPERY1810N TMO IOTN DAV OF M11RCM .IYib
flN?,t .NM r IIL? MG.. . .
r
p??R
• ' HN C. LAR90K lA?08
. • • , . ????BOTA IKK?BE NUMBER 1882!
James R. Hi{1, inc.
pLANNERS ! ENaINEERS ! SURVE1ft7R!
esoo w..cr. ao..z • sunHevu.14 ew. esa+T . o,aa0"134
03-37-1892 I5:42 612 '
QWS.ES CX7O 00.
CFIARLES WOD 00.
P.05
.&YRVIEYOR'8 CHRTIFICA7E
C:•', M.???Z
4?'j? M`•
, • ,
SY#VEYOit'S CEitTIfICAT
Z
.?
.? ,
Q?ag?? I
Ga ? C?n
9
?
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t_t % ?
J
cHMti.[s cuoo co.
?
.?? •
a o tlw
? r ??LOT 8
r?
' .?
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ii
I IN4M ? bD FEET
?p 0
tib t,
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.
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F
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1:i
James R. Hiil;, inc.
PLANNFAS / ENGINEERS 1 SIJRVEYDRB
seoo w. crr, po. 42 . SuRNMUa. wwl. aM7 . s, saoodoN
I !
20'd '07 OKfl:) 63-Wk1t7
69BG TCL 2S9 Sb:SS 28BT-LT-40
ENERGY LONSERVA'fION EVALUATION
Si?e Address t)7'Z H'QQ/.4 K°LRcow -?"IL. r
Owner Mw%?c?g ? Contractor (?ry?,.J,? Gvpp Gn
Calculations aone 5y?-L. PheneDate 7j ? Z
Tvna n` hui i?ina
Assem6l .(Show calculations on xorksheet5 Area (A)
(SqFt)
U-Value
U x A I
,
(90y of Total Ceiling rea ess ry igh[
Insulated Area: Area, See Fi . I) d?p li
Framin Area:(10% of Total Ceilin Area, See Fi . 2) 114- ?D2 i2i
60 Sk liohts: (Fram Pa e 7)
K
?
°
Other: (Descrihe)
u i TocaiS lr14 ****** 23,?'0
2 Avera e U-Value, (llxA)/(A) hwn Line 1
3 Required U-Value (FOr one and txo family di+ellingt onty) ?k 026 +'•'••?*
( 0% of Total Wail Area, Less Windav and
Insulated Area: Door Area, See Fi . 3)
Framin Area (107. of Total Wall Area See Fi . 4) •alj ??j ,
indows; (From Pa e 71 201 ' "{
Doors (From Paae 7)
?• O
_ im Joist Area: (See Fi . 5)
rs
z
Fireplace Wail: - '
('0
?
2
Foundation Wall:(Above 6rade Less Window Area See Fia, 6)
:.
9,n?
w i
Foundatian W indows: (From Pa e 7)
i
I
ther.(Descri6e)
ther. (Descri6e)
4 Tatais !Z
5 Ave2 e U-Value, (UxA)/(A) (rom Line 4 *xft+-.r
6 ReQUired lJ-Value (For one and tr+o family drrellings only)
******
.11
****i*
If line 2 is less than line 3, and line 5 i5 tes3 ihan line S. proposed assembiies meet code
requirements. If line 2 is greater than line 3, or 7ine 5 greater than line 6, comolete the
following Yo determine a7ternatn U-YaTue for total exierior envelape.
c
0 '
? ) UxA (Line 1) + Ux4 (Line 41, +
?
g
8
Area (Line l) x U-Vatue (Line 3) x =
***+?y*
?
Area (Line 4) x U-Value (Line 6) x
o "Bud et", Line 8+ Line 9
?
If Line 7 is greater than Line 10, alter assem6lies as required so Line 7 does nat exceed Line 14. I
If Line 7 is less than Line 10, prnposed assemblies meet code requirements.
1
Firture 1 Ceiling/Roof Insulated Area: 1000 Sq. Ft. -
(with attic area) R-Value
Interior Air Film .61
Insulation $-O. 00
Continuous Vapor Barrier 0.00
Interior Finish a SL
Interior Air Film .61
TotaI. Assembly R-Value So?.3 -r'/
Assembly Q-Value (1/R) . O 2
Enter on Page 1
Eigure 2 Ceiling/Roof Framing Area: ?_?_Sq. Ft.
(with attic area)
R-Value
Znterior Air Film .61
Insulation 39..670
tWood Member y 38
Continuous Vapor Earrier 0_00
Interior Finish ,51Z,
Interior Air Fiim .61
Total Assembly R-Value yS /C
t
Assembly II-Value (1/R) .a.2
Enter on Page 1
For additional roof assemblies, see pages 3 and S.
'r.
2
r
Figure lA Ceiling/Roof Insulated Area: Sq_ Ft. (without attic area) -
R-Value
Vented Air Space
Interfor Air Film .61
Iasulation
Continuous Vapor Barrier 0.00
Interior Einish
Interior Air Film .61
Total Assemblp R-Value
Assembly II-Value (1/R)
Enter on Page 1
Figure 2A Ceiling/Raof Framing Area: ? Sq. Ft.
, (r,ithout attic area)
R-Value
Exterior Air Film .17
Roofing
Roof Sheathing
Wood Member
Continuous Vapor Barrier 0.00
Interior Finish
Iateriar Air Film .bl
Total Assembly R-Value
i
Assembly II-Value (1/R)
Enter on Page 1 •¢
For additional roof assemblies, see pages 2 and 8.
3
Figure 3 Fxposed Wall Insulated Area: ?t!? Sq. Et.
R-Value
Interior Air Film .68
Interior Finish lv5
Continuous Vapor Barrier 0.00
Insulation ad
Sheathiag e G 2
-Exterior Finish
Exterior Air Film .17
Total Assembly R-Value ?4/
Assembly II-Vaiue (1/R) . 05,
Enter an Page 1
Figure 4 Exnosed Wall Framing Area: _Z4? Sq. Ft.
R-Falue
Interior Air Film .68
Znterior Einish _'YS?
Continuous Vapor Barrier 0.00
Waod Member
Sheathing .G 2
Exterior Finish
Exterior Air Film .17
Total Assemblp R-Value
t
Assembly U-Value (1/R)
Enger on Page 1
£or additional wall assemblies, see page 8.
.x
4
Figure S Exposed Wall Ri,m Joist Area: Z7.7 &Sq. Ft.
R-Value
Interior Air Film .68
Vapor Barrier 0.00
Insulation UO
Woad Member ,?--r
Sheathi.ng . G Z
Exteri.or Finish , `l')
Exterior Air Fi1m .17
Total Assembly R-Value 2.2 . e2
Assembly II-Value (1/R) . Od/
Enter on Page 1
Notes: 1) Floors over naheated spaces. For floors of heated or mechanically
cooled spaces over nnheated spaces, the overall II-Value
for the £loor shall not exceed 0.05. £or floors over outdoor
air, such as overhangs, the overall II-Value for the £loor
shall meet the same req*,;remeat as for roofs, II-Value of
0.04.
t
2) Slabron-grade floors. For slabron-grade, the iasulatioa
azouad the perimeter of the expxsed floar shall have a
mi.nimum R-Value of 6.4. The insulatioa must extead downward
i from the top of the slab a mi. imum o£ 3'6' or downward
' to the bottom of the slab then horizoatally beneath the
slab for an eqni.valent distaace.
3) Vapor barriers. The mar;mum pezm rating for the vapor
barrier is 0.1. A mini.mum of 4 mil polyetheline, or equal,
is req,;red to achieve this. The vapor barrier must be .
coati.nuous With all joi.nts overlapped and made over frami.ng
memhers or blockinq. •
4) For notes on foundation wall see page 6.
51 For additional assemblies aot illustrated use worksheet
on page 8. •? ..
r
5
Fiqure 6 Exposed Foundation wall Area
Concrete Block or Poured /??
Concrete Foundation Area: ;f?Sq_ Ft_
Wood Founda 'on Insulated
Area: Sq. Ft.
R-Value
Film •68
apor Barrier 0.00
all
u ?'?
'' vd
r Film _ •17
ue
bly R-Value ?-?`?
Assembly U-Value (1/R) 1/3_
Enter on Page 1
1) Only the above grade area of the foundatian ?all is
co 6e ineluded in the energy calculations.
2) The Energy Code tcquires that, if the floor a6ave che
bueaeat or Craxl space is nat insulaLed, the Eouada•
tian wall muss 6e iasulated. Either the foundacion
ausc have a miaiaum R-10 insula[ian applied crom che
top af the fouadacion io the frost line ar a minimun
R-5 insulacion applied aver ihe entire fouadacion
vall. The R-Value speci£ied is for she insulation
mitezial only.
3) I£ ridgid foam iasulzcion is so h< applied co che
ezserior af the faundation wa11, the abovc grade
portioa musc be pratected fron the sun. Lhe xeacher
aad physical abssse.
6) I£ ridgid foam iasulacion is co be anplied xo thc
iaserior, ic musx be pracected 6y minimum 1/2" ¢"p•
board ar eqval (as specified ia section 1:12 of the
UniFarn Buildiag Cod<).
53 Foundssioa vall iasulaiion for road faundacians muss
he instslled u specified 6y the Vatianal Foresc
PTOduCLS r1550C11tlOa'3 Ue3igR M3IIUa1.
Wood Founda ' n Framed
Area: Sq. Ft.
R-Va1ue
Interior Air Film .68
Contiauous Vapor Barrier 0_00
Foundation Wall (Plyvood)
.?
Woad Member
Exterior Air Film •17
To[al Assembly R-Value
Assembly U-Value (1/R)
Encer on Page 1
J _
SKYIIGNT, WINOOW AND DOOR ASSEMBUES
Skviiant I
I
Manufac.urel
i
ManuacYUre No.
I
Na. Used I Totai Sash Area(p)
I I U-Value
R-Value U=1/R
I
U x A
I
I I I I
Tatals E.rt.er P aae ! XXXXXX ? XXXXXXXXXXX XXXXXXX I XXXXX
XXXXXX
Windows
Manufactvre
Manufac2vre No. I Na. Used
Totai Sash Area (A)
R-Value - a ue
U=1/R
U x A
? •z I I?? ro
z 1 ? ?'??.? L'1
2 2 ??I 24?%'1
?
ata s Elrtc Paae 1 . ._. ?,
?01 14?Ll . !`t'O I
wndation I
Wall Windaw Manufarure I Manufacuure No. 1 No. Used
Total Sash Area (A]
R-Value I - aWe
U=1/R_
U x A
I ? I
I I I I
Tata 5 t.ncer aqe I i I
.
R-Value
puars Mamifacurc Size No. Used Tatai Daar Ares (N Ooar -Va ue
Starm Oa
)
tlf Use A a??
oor
emci
=
U-Value
U=1/R
UxA
?l?o I I ,?
-Iz$ I I ,o? 1
,a-7 I 2.
i.Z
I I I I I I I
i I I I
i acais --rzr aae XXXXX XX I XXXXXXX t I XXXXX 1
X? XXX I
iXXXXXXX ?
I XXXX i.
I
13'[ 1 2) f+-
fiq
4
12-4•CTs
ssemo v rca ]art] ?1
atmat t esc+oe !I nicznr_s - ame
( I ?J
Mrtcenor qir i m -I ?
-Value ( r_ raae I sL ? I
mar A?r ri m ( ee ae a? I
- a
lu
e
?I OtA SSM10 Y I T
-
T
C1i131 rtG3tSfln?G
e.?.?«.. _Va _i ;rtc on aae I
kssembiy tuU
aLwL (Describe) IIICXnesS ' 1 t!!
I
I
ncciar Air + m -Va ue ee aee =3 1
erior Air i m - alue ( e! ae 6 7
oca ssann y i anu aismnca
ssr.no v -Yalue ( rrcc on aee
ssemot
azm crno ?
I CV'
icxness - a ue
I
I
ntelial Air 1 Rt - a U! eG da! 7
erior Air i m - a ue te aae ?
oa Assemn v i nama esisnnea
s5em4 v -Va ve iKR m? ace
SSdnO A? u?V
ama (Descnbe) I j ianess - a ue
I
I(1[GliOf Air r+Irti -4afue C_ aae
i erior air ?, m-vame I es aee s?! ? !
? OBI 115SPJM1O?V Illplrtldl 25133fICL
I 1-mx nn aae 1
WssemnIv Area varU 1
a[cial escioe) Iinicznesm - alue ?
? ! ' I
I I !
I I ?
I r?n
f(itQ1a Alr ?''m R
cior Air ?im
1 aL3 SSElIIO Y I
ssemof - a ue I I i
-Va??'
- Va?ue l?r_ ad
CSIId GSISBfICL I
/> cmc art aae i i
sCmO rt3 CPI
1U!
?Izvrnai tlCtltiU 1lIICNlSS? ? 2
I I
( I I
( I I
rltCtof Air t m -Lalue ee aae 1
ena Air i m -4atue l m e 6oi I
otdU A53Mfo [TSREt G375mIK2 ?
ssemo v -Va ve U/KJ cmer on ae I 1
ssma
a[uia esci U Am ?c'?
I?Cxnessl - alue
I l.
I I ?
I I I
1 I I
4rKerior Air , m -Value
ar ir i m - atue
ac ssmro i vma ee aae 5 I ?
ee aae ?
cistanea ?
ssemtiv -42ve / mtc on aae
Stlml Arta I?OPU
'al ( esat e) '1 ?aicXnessi ' alue
I
I ?
Ilrrtenar Air Fiim -Vaiue C ee aael
t Cior Air ri m R-Yalue : C_ aae &» '
? oal .13semnlv ? nermal e5?slariC= ?
?
n«ennla ?l-'value ?ii 1 e:icu ?n Zaae 7
-CCITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMIT TYPE
Permit Number:
Date Issued:
Cr3//f
NG
023040
03/03/94
SITE ADDRESS:
P.I.N.: 10-75836-080-01
DESCRIPTION:
822 HIDDEN MEAOOW
LOT: 8 BLOCK: 1
THE OAKS OF BRIDGEWATER
Building'?Permit Type
Building Wa..rk Type
?. ?
,--?
TR
2N0
BASEMENT FINISH
ALTERATION
REMARKS:
SEPARATE PERMITS ARE REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK
FEE SUMMARY:
Base Fee $35.00
3urcharqe $.50
Total Fee $35.50
CONTRACTOR:
OWNER: - Applicant -
+1ANIKOWSKI 6tlB
322 HIODEN MEADOW TR
EAGAN MN 55123
(612)454-7191
I hereby acknowledge that I havs read this eppl.ication and state thet the
information is correct and agree to comply with all applicable State of Mn.
Statutes and City of Eagan Ordinances.
L ?
APPLIC /PERMITEE SIGNA7URE
' I SUED Y. SIGE
-i
CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION y.J 0
-" V
I`! 681-4675 ' ?. 3? 5 1994,
---------------
SINGLE & MUL 'I"FT A 2 sets of plans, 3 registered site surveys, 1 copy of energy
?---'-` cal cs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: °1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date oZ /.?/ 71- Valuation of work
Site Address:?1&Ph TV
i STREET SU1TE #
Tenant Name: (commercial only)
LOT BLOCK ? SUBD.?r
„I? OG' -D?UA P.I.D. #
Descri tion of work:' e
The applicant is: E0 ner ? Contractor ? Other (Deseribe)
Name 01, Phone 451-7101
Property I LAST FIRST
Owner &
-
GG?J
qddr'ess &l a-(ddPti
L
STREET STE #
u
City, ?State Z i P y
Company Phone
Contractor Address License # Exp.
City State Zip
I
Company Phone
Architect/
Engineer Name Registration #
Address '
City " State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this aPplication and state that the information is
correct and agree to compl ith 11 pplicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
LAY
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duptex ? 11 Apt./Lodging
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc.
? 03 SF Addition O 08 8-Plex ? 13 6arage/Accessory
? 04 SF Porch ? 09 12-Plex 0 14 Fireplace
O 05 SF Misc. ? 10 Multi. Add'l. ? 15 Deck
WORK TYPE
? 31 New El 33 Alterations ? 35 Tenant Finish
? 32 Addition ? 34 Repair O 36 Mave
GENERAL INFORMATION
Const. (Actual) Basement sq. ft.
(Allowable) lst F1. sq. ft.
UBC Occupancy 2nd F1. sq. ft.
Zoning Sq. Ft. total
# of Stories Footprint Sq. ft.
length On-slte well
Depth On-site sewage
APPROVALS
Planning Building
Engineering _ Variance
REGIUIRED INSPECTIONS
? Site
? Wallboard
? Footing
ED Final
0 Framing
? Draintile
d
?
i
O
10 Insulation
? F9replace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
vstuaeion_ $
r
.*.•
.. . ._??.
,016 Basement Finish
11 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
O 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
MWCC System
City Water
PR4 Required
Booster Pump
Fire Sprinkler
Census Code
3AC Code
Census Bldg
Census Unit
Assessments
3AC %
SAC Units
CITY 0Y EAGAN
3830 PIt.OT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
?Cl}d,NICAx;1'?1t?1?'?
FOR CITY USE ONLY
PERMIT #
RECEIPT # ?-
DATE: q?
R?SI?I?NTIAI:7: PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
:.......:.......:.:.. ::..:....... ..
TOWNHOMES/CONDOS VHEN PERMITS ARE REQUIRED FOR EACH UNZT.
WORK DESCRIPTION
NEW CONST ?
ADD ON _
REPAIR
OWNER NAME • (?!? e" O
FEES
ADD-ON MINIMiJM $15.00
HVAC 0-100 M BTU 24.00 -
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM 3.00 -
OF 1 PER PERMIT
SIIBTOTAL: $.7?
SITE ADDRESS: b'oZ.1 /.6,Idrin STATE SURCHARGE: .50
LOT: 8 BLOCK SUBD. ?Vt_?_ a? TOTAL:
INSTALLER: rt P4 °. ?7??°
HEATItl? 8 AIR CONDITIONING C0.
ADDRESS: g??-,?,?,T?r? SIGNATURE OF PERMITTEE /J?2GfJ
MINNFAPOLIS, MN 55420
CITY: tojvn?, ZIP:
PHONE #:
?`OMMERCI.AT:j?iVDiTSTK?A7i: PLEASE COMPLETE THIS PORTSON FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS,
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
LOT: BLOCK SUBD.
INSTALLER:
ADDRESS:
CITY:
PHONE #:
FOR:
ZIP:
FEES
1$ OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING s $25.00
$25.00 MINIMIIAi FEE.
CONTRACT PRICE x 1% $
STATE SURCHARGE
TOTAL:
(SIGNATURE)
CITY OF EAGAN
- ?
CITY OF EAGAN FOR CITY USE ONLY
3830 PZIAT KNOB ROAD
EAGAN, MN 55122 PERMIT #
PHONE: (612) 454-8100 RECEIPT # /O S
DATE:
R85T21EN2XAI.:': PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS fi
TOWNHOMES/CONDOS WHEN PERMITS ARE REQIIIRED FOR EACH UNIT.
-
---°-
------------°--------° --------------°--------°
WORK DESCRIPTION ----- -------------------
COMPLETE THE FOLIAWING:
N0. FIXTURES EA. TOTAL
NEW CONST ADD-ON MINIMUM 15.00
ADD ON 1
1 SHOWER 3.00 ?
''
REPAIR WATER CIASET 3.00 I,
? BATH TUB 3.00 G,OZl
? ?
? ?-1 LAVATORY 3.00
p??
OWNER NAME: /
l??'?f.1 (
, /
?E-r-? Cl?!'it tF)- T KITCHEN SINK 3.00 3,c
LAUNDRY TRAY 3.00 -. Q?
SITE ADDRESS: HOT TUB/SPA 3.00
I WATER HEATER 3.00
IAT:BIACK I SUBD.??o ?t ? oa a ?rrt? -?? ? J FIAOR DRAIN 3.00 a?Cl)
P
a GAS PIPING OUT.
?
INSTALLER.
- .P)rD
- (MINIMUM - 1) 3.00
? ?
'
?d ? ROUGH OPENINGS 1.50 L?Q
ADDRE55: l??C'?? N 1?
??t.
• ? OTHER-?)OMpp+y S,m
r
? WATER SOFTENER 5.00
CITY: MihrNe+0 JS
J??J
niCu 2IP: ' PRIVATE DISP. 15.00
(?
ri I `? ? ?S?R?PH?bEit 3.00
•rF?;Pc -IdrU.
PHONE
-- SUSTOTAL S tD
? ST. SURCHARGE .50
SIGNATURE OF PERMITTEE
TOTAL I
S ?a'a 'm
:
COMMERCIAL INDUST?IAL:, PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUZLDINGS AND
:. . .......... r....:...:......,..
MULTI-FAMILY SUILDZNGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
------------
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
LOT: SLOCK _ SUBD
INSTALLER:
ADDRESS:
CI1'1':
PHONE
FOR: _
ZIP:
FEES
18 OF CONTRACT FEE.
STP.TE SURCHARGE _ $.50 FOP.
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18
STATE SURCHARGE
TOTAL:
(SIGNATURE)
CITY OF EAGAN
PLEASE COMPLETE FOR SINGLE FAMII.Y DWELLINGS. ALSO,, FOR TOWNI=IOMFS P?ND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACFi iJNIT.
NO. FIXTURES EACH TOTAL
SHOWER 3.00
WATER CLOSET 3.00
$ATH T[TB ?• 3.00 -
i.AVATORY
KITCI-EN SINK 3 ?
LAUNDRY TRAY `' 3.00
HOT TUB/SPA ? 3.00
WATER HEATER 3.00
FLOOR DRAIN 3.00 ,
GAS PIPING OLJTLET • mmimum - t 3.00
ROUGH OPENINGS 1.50
WATF.R SOFTENER 5.00
PRIVATE DISP. • nan.ay. u?. 20.00 _
U.G. SPRINKLER • nome unea oonst. 3.00 •
ALTERATIONS • to ?ting 20.00 ?10,00
WATER TURN AROUND 20.00
STATE SURCHARGE :50...
TOTAL: 'F?20, ?o
SITE ADDRESS: g a? !-?rTjolPn /L(Padl/?c) ?/`?x ? F
OWNER Nf1ME: !7a/Li ?o
,b-.
?.
e
ADDRESS: /D W X'O
CITY: koi e^ fS STATE: C.? r.S ZIP CODE: o c? 3
rxorrE #:
SIGNA F PERMIITEE
lYY4 YLUMIf1Nli YLKMI'1' (1fESWLrN'1'lAL)
CITY OF EAGAN
3830 PII.OT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR ALL CO1VIIAERCW-ANDUSTRIAL BUILDING.S. AISO-FOR MUI:T!-
FAMILY BUILDINGS WHEN SEPARA'TL pERML"I'S ARE' NOT REQUIl2ED .FOR EACH
DWELLING iJ1VIT.
_ NF.'R' CONSTRUCfION
_ ADD ON
_ REPAIR
WORK DESCRIPTION:
CONTRACf pRICE: $
FEE: 1% OF CONTRACf FEE.
STATE SURCfLARGE $.50 FOR EACH $1,006 OF : FEE.
hmviMUM ?E: $ u.oo ??
CONTRACi' pRICE R 1%
STATE SURCHARGE
TOTAL
SI1'E ADDRESS:
$
$
$
TENANT NAME: STE. #
OWNER NAME:
INSTALLER:
ADDRESS:
CITY:
PHONE #:
STATE:
ZIP CODE:
FOR:
CITY OF EAGAN AppLICANT
1994 PLUMBIN,G PERMIT (COMMERG74,L)
CITY OF EACrAN
3830 PII.OT KNUB RD
EAGAN MN 55122
(612) 681-4675
?-'13 iyj
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIl2ED FOR EACH UNIT.
NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FURNACE
FIREPLACE INSERT
DAT'E ? - ff - 4 q
HVAC: 0-100 M BTU
ADDITIONAL 50 M BTU
GAS OUTLETS (MtrruviuNr i @ $3.00 EAcx)
ADD-ON/REMODEL (ExrsTnvG CoNSTaucrtoN)
STATESURCHARGE
TOTAL
FEES
$ 24.00
6.00
$ 20.00
.50
? SO
0
SITE ADDRESS: ?? a2. ?i ddGn /Yl e,l.mi
CWNER NAivIE: Q.rr hm F*r d Cm'1 Sd-r TELEPI-iGNE #:
INSTALLER: C n r'_'WI I+v
ADDRESS: HEATING a IIIR CONDITIONtNG fA,
MINNEAPOI{g, MN 55420-2853
CTI'Y: 881.0mn STATE: ZIP CODE:
TELEPHONE #:
?? 2A?-
SIGNA URE OF PERMITTE ??
1994 MECHANICAL PERMIT (RESIDEIVTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUII,DINGS WHEN SEPARATE
PERMTTS ARE NOT REQUIRED FOR EACH DWELLING UNTT.
DATE:
NEW BUILDING
INTERIOR DvIPROVEMENT
WORK DESCRII'TION:
CONTRACI' PRICE:
FEES
1% OF PDFEE $
PROCFSSED PIPING: $25.00
MINIMUM FEE: $25.00
STATE SURCHARGE $.50 FOR EACH $1,000 OF FEE.
TOTAL $
SITE ADDRESS:
OWNER NAME: TELE??I„ONF
AaOTP. Y !
TENANT NAME: (IMrROVEMEN'1's oxL1)
ADDRESS:
CITI'. STATE: ZIP CODE:
TELEPHONE
SIGNATURE OF PERMITTEE CITY INSPECTOR
1994 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 681-4675
CTTY OF EAGAN
CA7NIER: 5 'fF_RMSNAL N0: 943
pA1'F;; 06/30/33 'T'IMFe 15:11:45
ID:
NAFfE: G F: CONS'iRUCT]:ON
321.0 9001 822 HTLiD1:=N MCAia 135.25
3422 9001 822 N.T.DDEN MEAD 126.31
F!i:ii 9(:1(]1. $i?2 HIDLiEN MEAD 5.50
Tot.J?l?)•ReIceip+, Ama.nt? 32i'.F,L
CrIl11L?Tf 1
U5E'12 TD: NANCY
11
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
-? ?- CITY OF EAGAN
3830 PILOT KNOB RD • 55122
651-681-4675 /
New Consfructlon Reaulremen}s ' Remodel/Reoair Reautrements?
D 3 regisfered sHe surveysllshowing sq. fl. of lot, sq. ff. of house 2 copies of plan
and cll toofed areas (20? moximum lot coverane allowed) i aet of energy calcutallons for heafetl addMions
D 2 copies of pians (show beam 3 window sixea; poured Ind. design; eic.) 1 aRe survey tor extertor atldMions a decks
? 1 set of energy calculotbns
? 3 copfes of hee preservdtion plan H loi platfed after 7/1/93
DATE: (L Z3 "?//`? CONSTRUCiION COST: ?!o -?dtJ •?
DESCRIPTION OF WORK:' -2 St'7t?'? ????l-? m t,e"?
STREEf ADDRESS:
I
LOT: ? BLOCK: 1 SUBD./P.I.D #:
?
g03 ? (GiA?' (`'f e-uJLKoSt4?? Phone#: Ya?" -7(0
Name•'
PROPERTY ii last Finf
OWNER J2 2-
'/ ?M -c+rP?.1 ( rL.
f7tDQ e?l
Street Address:
Ci}y ii State: Zip:
G
Company?' ` ? • ?• ?5'[-(?uc?'tt ? Phone #: s ( 7 3" '?l 7?
° (area code)
Signcture of Applicant:
CONTRACTOR ' 1Z ( ucense # ? 2 ? 3 Ex
Street Address: S P•
City I ? / .? State: ? ?? Zip:
ARCHITECT/
ENGINEER Company: S'cName:
? ?t VIL
Telephone #: area eode ( 6 1Z- ) g ?? ? 713'-d'r"Z
Street Address: 6 3 1 3 Registration #:
City II J- FF P in-A State: A vt vt zip:
Sewer 8 water Iicensed plu ?mber (reaulred for new conshuction onlv): ?
Penalty appltes when address change and lot change is requested once permff Is issued.
?
i I hereby acknowledge that 1 have read thls appllcaiion, state that Ihe
State of Minnesota Statutes and City of Eagan Ordinances.
Certificates of Survey Received ? Yes
Tree Preservation Plan Received _ Yes
11
and agiee to comply wRh all applicabl
OFFICE USE ONLY D
_ No S
_ No _ Not Required
23M
?,
OFFICE USE ONLY
BUILDING PERMIT TYPE
.410; y
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace X 21 Porch (3-sea.)
? 02 SF Dwelling 0 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex X 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging O 20 Pool ? 25 Miscellaneous
WORK TYPE `I?CC,{L ? '3 SGk56,l Fli-?
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
P? 33 Alteration ? 37 Demolish Bldg.' ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
* Give PCA handout to a
licant for demoliti
it
GE NERAL INFORMATION pp
on perm
Canst. (Actual) 6 Basement sq. ft. Census Code +34
(Allowable) Main level sq. ft. SAC Code o 1
UBC Occupancy R•?i sq. ft. No. of Units l
Zoning sq, ft. No. of Bldgs b
# of Stories sq. ft. MC/ES System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
APPROVALS Fire Sprinklered
Planning Building ? Engineering Variance
Permit Fee Valuation: $ 1 O? 300?1
Surcharge S . ?
Plan Review
License 4- Sf? .^ ?(o S X 54 s16 72?
MC/ES SAC ??o ?
City SAC "-
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/VV Surcharge
Treatment PI. •
Park Ded.
Trails Ded.
Other
Copies
Total:
TOTA,L = l 0 272'
?
SAC Units '
% SAC
t r'6-
&AVEYOR'$ CE11TIrlCATE cH.RUS cuoo oo.
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EKY
DATE
BUiLDiNG NISPECTIONS GEf'T. ,NeK - so ?c*
james R. Hill;. inc.
PLJINNEAS / ENGINffAS 1 SURVMRS
aem w. cn, no..a •.unNMUa ww. GM7 • e,saoa.o"
2m•d
'O] OOfT) ?TMa
BBBb SiL 2S9 T?:SS 2BBT-CT-£0
a?
IAT ? BLOCK ? SUBD
• ^ ! ?, /; :
RECEIPT # CITY OF EAGAN
° UNDERGROUND SPRINKLER SYSTEM PERMTT
1993
Date: L l ` ( ?
_ Commemial project
? Residential project
_ Existing residence
Area/address to be sprinklered:
11
Installer:
Street address:
City, state & zi
Telephone #:
Owner name:
ex
f.)
Street address: ??a ( I IGX??'?'1 fV I42a a'
City, state & zip: ? _,
P6one #• ;iol
?
rigation rnntractor, if different: /Yl,'di.tJ? 4 Lawi7 rou't`A
Ir
Phone #:
I hereby acknowledge that I have read this application and state that the information is wrrect and agree
to comply with all applicable City of Eagan ordinances.
gi ure of Permittee
New service required k1O
?D
Fee due: $,J ?'?/ Calculated by:
CITY OF EAGAN
UNDERGROUND SPRINIMER SYSTEM PROCEDURE
1993
1. Plans must be submitted to the City's engineering department for approval before
installing a lawn sprinkler system. If digging in the boulevard, a right-of-way permit
may be requ'ued.
2. Once plan is approved, it will be presented to the City's plumbing inspector for sizing
of the meter.
3. Jerry Wobschall, Finance Department, will calculate permit fees as follows:
a. Commercia] project: $ 25.50 plumbing pemvt.
$ 50.50 water permit fee onlv if new service is installed.
$100.00 per tap if installed by City. Please wnsult with
engineering department regarding feasibiliry of Ciry
installation (City will only install taps up to 1").
b. Residentia] proiect: $ 15.50 plumbing permit.
$ 50.50 water permit fee if new service is installed.
$695.00 per connection - WAC.
$324.00 per connection - water ueatment plant.
c. Existing residence: $15.50 plumbing permit -(not required if backflow
preventor previously installed) however plan must still be
presented for approval and an application must be filled
out.
4. Once meter size is determined, building inspections clerk typist will contact utility
billing clerk for cost and notify installer of all costs associated with project. If new
service ]ines are not reauired one check may be written for meter and permit costs.
No meter will be sold before all sewer and water inspections are rnmplete on a new
service--(engineering department will advise utility bIlling clerk when meter can be
sold). Receipt wil] be coded to 20-3716 (meter portion only) with pink copy
forwarded to utility billing clerk.
5. The installer is to contact building inspections division at 681-4675 for inspection of
the inside water line and backflow preventor. The public works department may be
reached at 681-4300 for water turn-on and set and seal of ineter. Inspection hours are
8:30 AM to 3:30 PM, Monday through Friday. Requests for AM inspections should
be made on the preceding work day. Requesu for PM inspections will be accepted
until 12:00 noon that day.
....,.
July 2, 1992
01
Suite 608 - 4940 Viking Drive • Minneapolis, Minnesota 55435 • 612-835-2808
Gene VanOverbeke
City of Eagan
3830 Pilot Knob Road
Eagan, MN 55122
RE: Pending Assessments for Oaks of Bridgewater 2nd Addition
Lear Mr. VanOverbeke:
Enclosed please find a check in the amount of $15,100.00 as pre-
payment of pending assessments for lot 8, hlock 1, Oaks of
Bridgewater 2nd Addition.
Sienna Corporation acknowledges
of the construction costs, and
$15,100.00, Sienna Corporation
assessments are levied. Should
amount, Sienna will anticipate
assessments are levied. sienna
pay interest to Sienna on this
that $15,100.00 is only an estimate
should the final costs be more than
will pay the difference when the
the assessments be less than this
a refund of the difference when the
acknowledges that the City will not
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 loehn
Acco ntin anager
llf??i ?
ohn Hankinson, Vice President
If219 Z?
Date
?10aA,A?
Ge VanOverbeke, City of Eagan
I -a,) -92
Date
Planners ¦ Developers ¦ Contractors
LOT ? BLOCK SUBD -
RECEIPT # c?r/?1c?a & DATE
1994 CITY OF EAGAN
IRRIGATION PERMTT (FOR BACKFI,OW PREVENTER)
COMMERCIAL INSTALLATIONS - FORM MUST BE COMPLETED BY LICENSED PLLTMBER
Date: 1z9L Commercial GPM
Residential (boulevards) GPM
% Existing residential
Area/address to be irrigated:
Installer: e-B si &cc,. Aa ?S?i4r Owner ? Plumber t?r
Street address: -2a y` LZ { AL 1 a`
City, state & zip code: ?ndC?wr ??7u Phone #:
Owner Name: l/y/ un, Ka W.6t ?
Street address: / 17C`?° r
City, state & zip code: C/ Phone #: 2/c>
r
Irrigation contractor, if different than installer: ?'CJ d I???G ??d I y
Telephone #: 11`514r
I hereby acknowledge that I have read this application, state that the information is correct, and agree to
comply wi all a' able Ciry of Eagan ordinances.
Si re Tide
If construction activity occurs in public easement or City right-of-way, signature of property owner is required.
The property owner agrees to hold harmless the City of Eagan for any damages caused by the City during its
normal operational and maintenance activities to the facilities constructed under this permit within City
property/right-of-way/easement.
Property Owner
Date
Approved by:
PRV ? Yes ig No
New service ? Yes X No Meter Size
?? s o
Fees due:
Calculated
Date: E0
& Cost
??
% l
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 project: $ 25.50 irrigation system permit to cover installation of backflow preventer.
$ 50.50 water permit fee only if new service is installed.
$100.00 per tap if installed by City. b. Residential oroject: $ 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 ner connection - water treatment facility.
c. Existin¢ 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 charee: If gallons per minute are 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 before all sewer and water inspections are complete on a new service. If new
service lines are not reauired, 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 Deparqnent 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.
4 ?q ?-7?
2007RESIDENTIAL BUILDING rExmrr arrLIcnTioN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Canshm,tian RewiremeMs
3 reg'stered sBe wrveys shawing sq. R of lot. W. R aF house: aml 80 roofed arees
(ZO%mapmum bt mrerage albwad)
1 Sods Repal Aproposed builft is b be placed m d'ohohed soil
2 otpies of plan showinp 6eam 8 windaw saes; Pwred Tound 0esign. etc.
t set ot Fireigy Celculatims
3 copies M Tree Reservetion Plan if lot plallad after 711l93
Pom Joist DeW Optians selectian shcei (buiMl'mgs wiM 3 a less unils)
Minnagesco mechanical vcntiletiai fam
?
,o
40
RanodeURmW Reauirements Oke Use OnN
2apiasofqanahawimg ka6nps.hams,J6sls CetofSurveyRacd _Y _N
1 set of Ener9Y Celaletiom for heeled ed6tiore SoAs RepM _ Y_ N
tsuesuroeyfaradfim &decks TreePresPlanRUCd _Y _N.
Add'fion-iMica(eHon-sifese?csYstem TreePresRequ'ved _Y _N
Orrsi[eSepticSystem _Y _N
Dlaoo ?rn rnncirinrnrl ni ihlir i.,fn.,»aoinn i ioiprc uou ctate thev are 4rade secret and the reason.
Date
Site Address 2?9A {-? icAd'P ^> >'Y}PCPCQ Construction Cost
C? TeA I? ELQ? N Uuit/Ste #
Description o( WorkT? (? (T?? £( ?P? ? ?`'e
Malti-Family Bldg _ Y_ N
Ntireplace(s) _ 0 2
PropertyOwner ?Bob ?- J?'1 rYl Y?)? 1 t Telephone # (661 ) q ?'D4 '? 10 )
ContraMor 16-511-) Ci-1l`fS NIG?1ric?
naaress (n(el Tfeans',2 2oad
Slate S ,=1- .?-i e ctiri ?0?"I
Zip5.5 t J<1 Tekphone#(IIASSl ) °?55-?FC?°'I
COMPLETE THIS AREA ONLY IF CONSTRUCTIN6 A NEW BUILDING
- Minnesota Rules 7670 Categorv 1 _ Minnesob Rules 7672
Energy COde CateyOry , RESidential V¢Milation Category 1 WorkshEet • New EnertJy Ca1e WoAcshee[
(J submission type) gupmrded 5ubmined
. Energy Envelope CakaAations Submilletl
In the lasi 12 months, has the City of Eagan issued a pertnit for a similar plan based on a masfer plan2
_ Y _ N If yes, date and address of master plan:
licensed Plumber
Mechanical Confractor
Sewer/Water Conhactor
Telephone #(
Telephone #{
Telephone #(
1 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 pertnit, and work is not to start without a
perntit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
111,49Cu l-??ow 1 4
ApplicanY Printed Nam
6? lIG?G?
Ap ic s Signature
J '
DO NOT WRITE BELOW THIS LINE
Sub Tvoes
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ?30 AccemrY Bid9
? 02 SF DweIling ? OB 06-pleu ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 ExL Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Pwch//ddrt (4sea.) ? 33 Ext Alt - SF
? 04 02-plex O 10 08-ptex ? 18 Deck ? 23 Porch (scxceNgazebo/pergola) ? 36 Murd Misc.
O 05 03-plex ? 11 10-piex 0 19 Lower Level ? 24 Stam Damage
? OB 04-plex ? 12 12-piex ? 25 Miscellaneous
Work Tvaes
? 31 New ? 35 IM ImprovemerK O 38 Demolish Interior ? 44 Siding
? 32 AddiGan O 36 Move Buildirg ? 42 Demdish FoundaBon ? 45 Fire Repair
? 33 Altera6on ? 37 Demolish Buildirg• ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Denolltlon (EMire Bltlg) - Ol ve PCA harMoul tn applkaM
Descriotion: water oamege _ ves
Valuation Occupancy MCES System
Plan Review 100% or 25%
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklerad
Type of Const Width
REQUIItED INSPECTIONS
_ Footings (new bldg) _ Sheetrock
_ Footings(deck) _ FinaUC.O.
_ Footings (addition) _ FinaUNo C.O.
Foundation HVAC
Drain Tile Other
Roof Ice & Water Final Pool Ftgs _ AidGas Tesis Final
_ Framing _ Siding _ Stucco Lath _ Stone LaUE _Brick
Fireplace _ RI. _ Air Tes[ _ Final _ Windows
_
_ Insulation _ Retaining Wall
Approved By: . Building Inspector
Base Fee
Surcharge
Plan Review
MGES SAC
City SAC
Utility Connection Charge
S&W Permit 8 Surcharge
Treatment Plant
License Search
Copies
Other
Total
,
?. ? . State of Minnesota
Departmentof Labor and Industry
' t-•'.. ..-.,? 443 Lafayette Road N.
St. Paul, MN 55155-4344
Residential Remodeler License
Constructian Cades 2nd Licensing Division
Telephane:(651)284-5065
E-mail address: dii.contractor@state.mn.us
Website address: www.doli.state.mn.us
Legal Name: TWIN CITIES SIDING PRaFESS10NALS INC
DBA:
Address: 664 TRANSFER RD
SUITE 22A
ST PAUL, MN 55114
License Identificatlon Number: 20311108
License Expirafion Date: 3/31/2008
Business Structure:
CORPORATION
Qualifying Person: TERRELL J STAMMAN
ConHnuing Education: 7 hours due 6y 3/31/2008
'PL -7 9 5-70
soos RESIDENTIAL PLUMBING PERmIT aPPUCaTioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
$ lE. So
Date CJ I ? I ?
-?
Site Street Address ,1
?10102 H 1? ??'L(dnL? / ra.J / Unit #
Property Owner M<X.YI l Ko l.o si-C I Telephone # (
Champion
ContracWr 651-365 q240 Telephone # ( )
Address 3670 dodd Rd. #100 City State Zip
The Applicant is: _ Owner V06ontractor _Other
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license tncludes County fee
$ 100.00
Peras-built $ 10.00
Aiterations to existing dwelling $ 50.00
_ Add plumbing fixtures. This fee includes instaliation of a water softener and/or water
heater at the same time. If you are installing onlv a watei softener and/or water
heater, do not complete this section; move to the neut section and check the
appliance(s) you are installing.
_Septic System Abandonment
_Water Tumaround (add $130.00 if a 5f8" meter is required)
Other:
?
WaterHeater
WaterSoftener $ 15.00
_ new replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
Total $!
I hereby apply for a Residentiaf Plumbing Permit and acknowledge that the information is complete ana accurace; mai me
work will be in conformance with the ordinances and cotles of the City of Eagan and the plumbing codes; that 1
understand this is not a pertnit, but only an application for a permit, work is not to start without a per 't and work will be in
accordance with the approved plan in the event a plan is required to b reviewed and a oved.
- - U lJ LS
ApplicanCs Printed Name ? ApplicanYs Signatu AUG 3 1 2007
?S9a-?
PERMIT
City of Eagan Permit Type: Building
Eagan. Permit Number: EA099040
Date Issued: 05/13/2011
OR Permit Category: ePermit
41 it~ of E3
E
Site Address: 822 Hidden Meadow Tr
Lot: 8 Block: I Addition: The Oaks of BridgeNvater 2nd
PID: 10-75836-01-080
Use:
Description:
Sub Type: e-Reroof Construction Type:
Work Type: Replace
Description: House & Garage
Census Code: 434- Occupancy :
Zonin,:
Square Feet: 0
Comments: If there is no ice protection inspection prior to final. the contractor must meet the inspector Nva ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes.
Fee Summary: BL - Base Fee S3K $88.50 0801.4085
Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195
Total: $90.00
Contractor: - Applicant - Owner:
LakeN odds Remodeling Robert J Nlanikowski
9001 E Bloomington Freeway =144 822 Hidden Meadow Tr
Bloomington MN 55420 Eagan MN 55123
(92)888-5550
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and Cite of Eagan Ordinances.
ApplicantiPermitee: Signature Issued Bv: Signature
Use BLUE or BLACK Ink
r
For Office Use
r Permit O 1 j
City of Eva I PermitFee:$
3830 Pilot Knob Road C~, I I
Eagan MN 55122 AUv - c Date Received:
I I
Phone: (651) 675-5675 Zits
Fax: (651) 675-5694 I Staff:
2011 RESIDENTIAL BUILDING PERMIT AP LICATION ?-3)
Date: Site Address: Unit Cj Name: P>~ M 410. kcws/Y Phone:
RESIDENT /
OWNER Address / City / Zip: 1~2 7 aftK -Ca ~KJ
Applicant is: Owner Contractor
TYPE OF WORK Description of work: 'f l /lfw o~t eta :
c~
Construction Cost: ' Multi-Family Building: (Yes / No )
Company: 4,"'9042 676-.)JE Contact: ~ rt.SG
CONTRACTOR Address: City: Z,4-,,J{
State: AA.,l Zip: Phone: 651-
License Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
13,,- / a~ie„r / 17f1
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets,.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x 11"3r, i~~G~ x
Applicant's Printed Name App nt's Signature
Page 1 of 3
D9OT WRITE TNIS NN io'f j
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
- New _ Interior Improvement _ Siding _ Demolish Building*
- Addition _ Move Building _ Reroof _ Demolish Interior
_ Alteration _ Fire Repair _ Windows _ Demolish Foundation
It Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation Occupancy 7,4G _ MCES System
Plan Review Code Edition SAC Units
(25%_ 100%1~) Zoning City Water _
Census Code_ Stories Booster Pump
# of Units - Square Feet PRV
# of Buildings Length Fire Sprinklers r
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC _ Gas Service Test Gas Line Air Test
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 3W m
Base Fee /413
Surcharge
Plan Review 7
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
l'
Ai
For Office Use 6
c a
w 0 , Permit#: /ow cy
a,,, .r x
,,,,,,,,,, .....0 N
Permit Fee:
.,„----.,,, R E C 1 E VF n ....„.7 /
Date Received: g ---te
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 � � a
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 2018 Staff: ,
buildinginspections(c citvofeagan.com L YYY
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
CJ
Date: 8 Site Address: 627 kdd t nowt-r d' Unit#:
I
Resident!
Name: Phone:
—
Owner Address/City/Zip: ( ---1
I 1t
' Applicant is: Owner Contractor �/ �,/�
IDescription of work: Pfvl kt L.JO. (( f,j�} -/�? a/1 lit 'd A4V
Type of Work J �/
Construction Cost: 6(462 .CJO Multi-Family Building: (Yes /No )
j < Company: ' Ad, I `# r la • a • Contact: (On 1-07 'MG,0
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Contractor Address: 2`5201 t 'nb"t ,1V lJ City: { iMp'�"oY'�
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IState: OZip: 5s37( Phone: (a SI. 7772 ail: c--4/10.(c(11,Lt" 0€_.5304:v.(.1(01--
_ .__ ,,..,_ License#: Lead Certificate#:
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
I In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan?
I Yes No If yes, date and address of master plan:
I Licensed Plumber: Phone:
I Mechanical Contractor:
Phone:
V 4
€ 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 be
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.citvofeagan.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.00pherstateonecall.orq
I hereby acknowledge that this information is complete and accurate;that the work will be in co • ance with the ordinances a'id codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work '1 of to .tart 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 - s.
x Sri tn , r Nit4IP
Applicant's Printed Name Applic• 's Sig ature
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g 19 0 (ckk 4 / ?I (2) T(2.. / ------' //7
I/61x- () ,
DO NOT WRITE BELOW THIS LINE
SUB TYPES
_ Foundation _ Fireplace — Porch(3-Season) _ Exterior Alteration(Single Family)
Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
01 of Plex Lower Level Pool Accessory Building
WORK TYPES
New Interior Improvement _ Siding _ Demolish Building*
_ 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 _4'_AL Occupancy s"%IwL €1, MCES System
Plan Review Code Edition ifrew41-0(5" SAC Units
(25%_100%Ni ) Zoning Al- City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction \/h Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) Final/No C.O. Required
Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Hood
Roof: _Ice&Water _Final Pool:_Footings Air/Gas Tests _Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace:_Rough In Air Test _Final Siding: _Stucco Lath _Stone Lath _Brick_EFIS
Insulation Windows
Sheathing 'f Retaining Wall: )( Footings y Backfill y Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: II , Building Inspector
RESIDENTIAL FEES
Base Fee (1.,6"/ 1
Surcharge
Plan Review
MCES SAC S'; �7 2'
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
LOT SURVEY CHECKLIST FOR RETAINING WALL / 5///9
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Q „� BUILDING PERMIT APPLICATION
Address: baa 1,d,der► Il a k) Ir --il
Applicant Name: gAers- - I\; I� 0)►1a1(011 /(4
DATE OF SURVEY: /O/A
LATEST REVISION:
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**Permits required for Retaining Walls 4 feet high or greater.
a
O z DOCUMENT STANDARDS
❑ ❑ • Registered Engineer signature and company
f2' ❑ ❑ • Building Permit Applicant
❑ ❑ • Address
Al ❑ ❑ • Legal description
❑ ❑ • Lot lines/Bearings&dimensions •
❑ ❑ • North arrow and scale
fX ❑ ❑ • Street name
IPJ ❑ ❑ • Show all easements of record and any City utilities within those easements
/e" ❑ ❑ • • Setbacks of proposed structure and side yard setback of adjacent existing structures
ELEVATIONS
A ❑ ❑ • Property corners
❑ ylt` ❑ • Top of curb at the driveway and property line extensions(only if wall is within 30 ft. of curb)
❑ ❑ • Elevations of any existing adjacent homes
,,II ❑ ❑ • Adequate footing depth of structures due to adjacent utility trenches
❑ ,,Er ❑ • Waterways(pond,stream, etc.)
❑ ❑ • At the foundation of the building and/or nearest structure
PONDING AREA(if applicable)
❑ )J ❑ • Easement line
❑ yJ ❑ • NWL
❑ ,B ❑ • HWL
❑ ,12- ❑ • Pond#designation
❑ ❑ • Emergency Overflow Elevation
❑ .2 ❑ • Pond/Wetland buffer delineation
Y • Shoreland Zoning Overlay District
Y • Conservation Easements
RETAINING WALL INFORMATION
.14" ❑ ❑ • Location of Retaining Wall on property
,,0' ❑ ❑ • Top&bottom elevation at each end of wall and any change in elevation in between
,,,E" ❑ ❑ • Type of material (i.e. modular block, boulder, etc.)
,2T ❑ ❑ • Directional drainage arrows with slope/•r-dient%
Reviewed By: 0 Date WA
G:FORMS/Building Permit Application-Retaining Walls Rev.5-4-09
03-17-1882 15:41. 512 731 4858 /
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PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA157484
Date Issued:08/22/2019
Permit Category:ePermit
Site Address: 822 Hidden Meadow Tr
Lot:8 Block: 1 Addition: The Oaks Of Bridgewater 2nd
PID:10-75836-01-080
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
Robert J Manikowski
822 Hidden Meadow Tr
Eagan MN 55123
Airic's Heating & Air Conditioning Inc
9124 Grand Ave
Bloomington MN 55420
(952) 345-0032
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA167895
Date Issued:04/01/2021
Permit Category:ePermit
Site Address: 822 Hidden Meadow Tr
Lot:8 Block: 1 Addition: The Oaks Of Bridgewater 2nd
PID:10-75836-01-080
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. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
*Roof permits issued between December and March will be inspected in the spring or when weather warms up.
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 -
Robert J & Kimberly Manikowski
822 Hidden Meadow Trl
Saint Paul MN 55123--252
Millersberg Construction Llc
P.O. Box 155
Dundas MN 55019
(507) 301-3626
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA179367
Date Issued:09/30/2022
Permit Category:ePermit
Site Address: 822 Hidden Meadow Tr
Lot:8 Block: 1 Addition: The Oaks Of Bridgewater 2nd
PID:10-75836-01-080
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Insert
Description:
Census Code:434 - Residential Additions, Alterations
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 within 10 feet of all sleeping room openings in residential homes (Minnesota State
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:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Robert J & Kimberly Manikowski
822 Hidden Meadow Trl
Saint Paul MN 55123--252
Fireside Hearth & Home
2700 Fairview Ave N
Roseville MN 55113
(651) 633-2561
Applicant/Permitee: Signature Issued By: Signature