830 Hidden Meadow TrCITY'OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
ON RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
? SITE ADDRESS: , 01: to
. , . ,, M1:Alli,bl rh'
iii 1tJ: 1'IIl, l I.,iA i P ft :1 Idli
PERMIT SUBTYPE:
Fi 1 0 14, .; ! APPLICANT:
TYPE OF WORK:
?4i w
iL
IPJSPECTION
?. .. ..
? . ? . .
MF+I'?:'. ? i4 1•J I'1 {il
toa ?
r-
PermR No. Permk Nolder Oate Tekphone 11
SNV
PLUMBING
HVAC
ELECTRIC WS80
ELECTRIC *
m
Inspectfon Date Insp. CommeMs
Footings I
-?8` 3
Id?
?SP C ? 7'iC?? ,• c/i?a ,? o
i
Foundation
Framing
Roofing
RoughPlbg.
7 41-
Rough Htg.
ti
isul. tia?
Freplace G/
(s i g 3
?
?'`1,?/ `s G, •??- z 9 3 QS'
Final Htg.
Orsat Test
Final Pibg. Plbg. Inspector - Notify Plumber
Const. Meter
EngrJPlan '
Bidg. Final • 3 ? ? S
Deck Ftg.
_ r
Deck Fnal
weli
Pr. Diep.
? ?3?? 41s 3
i;?
Wel'f`tftCQte of cCCItpQuC4
Wit4 of Cfagan
2typertoeut o? ?vitbing 34#0ection
This Certificate issued pursuant to the requirements of the Uniform Building Code
certifying that at the time of issuance this structure was in compliance wrth the various
orriinances of the City regulating building construction or use. For the following:
;F DW, 20897
Use Classificazion: Bldg. Peimit No.
Occupancy Type _ ? g District 7O-VIN't u,
Owner of Building Address
BoJl?ng Address ?????' l,ocality I..10, B1, ?3E QAKS Of'' B? ??
Date:
Building O?tial
POST IN A CONSPICUOUS PLACE
\
}
? REQUEST FOR ELECTRICAL INSPECTION Ee-ooo?oa
? See msvuclions tor camplyeny_lhrs torm on back oi yellow capy T?
6085f-?
p s
L, X" Below Work Covered by Thrs Request 'se?y?
ew r°!dd Re 7ypeotBuddirrg AppliancesWued EqwpmentWrted
X Home Range Temparary Service
Duplez Water Heater Electric Heaiing
Apt. Building Dryer Othec-(Specify)
Comm./Indusirial Fumace
Farm Air Conddioner
Other(spenly) CanVactorY Remarks
Campute Inspechon Fee Below.
# Other Fee # Service Enirance 9ze Fee # Circuits/Peeders Fee
Swimming Pool 0 to 200 Amps 1 / 0 to too Amps (w$
Transformers A6ove 200 _ Amps A6ov Amps
SIJns Inspector'sUSeOnry'
/o / m VrOTAL
IrngaUOn Booms /
t Dtv ?
Special Inspeaion . k
aiarmlCommunication THIS INSTALLATION MAY 8E ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS. / 1
I, the Electrical Inspector, here6y Ropyn-,n
?
certify that the above inspection has
been made. Final oa+ 7
OFFICE USE ONLV
This request vaitl 18 mantns irom
p? 2 4 4 d /
e°
?"'?'?
`
? ?/ 9? ? I . _ o
lo
Re uest oate ire No,
A Fough-in I edron
ReqwreC+ ? Ready Now p( Wtll Nmily Inspecror
93
7 &Vas --- No wnen FteadyP
I-, licensed contrector rJ owner hereby request inspection of above electrical work at:
Job Ftltlress (Streel. 8ox or Route o) CAy
g? ir3oEll F.4 Darx, .aG,a
Sadipn N. Township Name or No RangB No Cou
rGpT A
OccupanllPRINTI Phone No
?..?, 1 7 om 1o87-R5?3
Power $up0??e AEtlress
/-
? r?ICO7a ?CLEC?e' ?
Elech¢a
OnVactorlCOmOany Namel
l G ConVaclor5 L¢ense N.
^
?
}? A .CL GT,? C?nc . CA ol
Maling Adtlress ICanVetlor erMaking Insla Ia or OwntiON
Adthonxetl na[ure (ConVactonOwner Ma+mq Ins[ellalion) Phone NumOer
MINNESOTA STATE BOAPD OF ELECTRICITY THIS INSPECTION REOUEST WllL NOT
G.Iggs-Mbwey Bltlg - qoom 5-173 BE ACCEPTED Bv THE STATE 80A(i0
1821 Univeralty Ave.. St Peul. MN 55106 UNLESS PFOPER INSPECTION FEE IS
Fhov E/R) 842-0800 ENCLOSED
REOUEST FOR ELECTRICAL INSPECTION
ji, See mslruc1ions lor compleLng Ih9 torm on back oi yellow copy l
?
21880 "X" 9'e/ow Work Covered by 7his Request
6al sN
EB-OOODI.OB
? ???
7{'L 2
?
e Atld Rep Typeot8mldmg AppliancesWired EqmpmemWired
Home Fange Temporary Servlce
Duplex Water Heater Electnc Heatinq
ApL Bwlding Dryer Othec(Specify)
Commllndustrial Furnace
Farm Air Condifioner
Olher ?spenlyl Conlracror5 RemeBs
Compute Inspection Fee 8elow:
s Othar Fea :M ServiceEntrance5rze Fee # Circuits/Feeders Fee
Swimmmg Pool 0 to 200 Amps a to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
9gn5 tnsoeqor5 Use any TOTAL 0
irngahon Booms
6
S
Special Inspaction ?v
Alarm/Communicanon THIS INSTALLATION MAV BE OR DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electncal Inspector, hereby Rougn.m
1?P
certifY ihat the a6ove insPection has
been made Finai Oate? ??
OFFICE USE'JNLY
This request voitl 18 monlhs imm
d 21880
?
Request Oate Fre Na RouyM1-m Inspecfion
Reqmree? '??
XReetly N6 ] WJI Nobiy Inspectar
Cf .3 ?ves ? Na When Peetly'
IY[icensed wntractor ? owner hereby request inspection of above electrical work at:
Job Aatlress ISVeeI. Bov or Rome o) ? Gry
%D _ EA L?D ' 1 ?. R An
Sedion Na Township Name ar No Fange No Co
AIIC 0TA
Occupant?P Phona No
? ?y r
Vr/C6'
PowerSu her Atltlress
1 oTA C?1C l?.a? in To?
Eleclr nVacior ICompany Namel Contrdctor's Lirense No
MR eT
Idadmg AtliGOnVdcY or Owner Mabng IoslalleM1On) f--
L
i ?1 _ 1Z.z
Au;M1On¢ed nature fGonhector,Own e4in InslallaLOn) Ppona Number
?J V'
MINNESOTA STATE BOAPO Oi ELECTRIQTY THIS INSPECiION REQUEST WILL NOT
GriggsMidway Bltlg. - Poom 5473 BE ACGEPTED BV TNE STATE BOAPD
1821 UNVerslty Ave.. SL Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Ptrona (611) 661-0800 . ENCLOSEO
Address,_. 830 tuDnnv rEnDow rRnu.
, Zip 5512 3
I.ot' in' Blk I Sub UE oatzs oF sxmcEwnUR 2rui
THESE IT'EMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECITON.
Date: Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
TraiUcutb damage
Porch
Basement finish ?
Deck
Please verify with [he builder the removal of roof test caps from the plumbing system and the shut-off of water supply to
[he outside lawn faucet before freeze potential exists.
Con[act engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. ?
White - City Copy Yellow • Resident Copy Pink - Contractor Copy
? 0 -b (Z RESIDENTIAL BUII.DING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
46-1f0.c5b
ezz?
6flz71Oj
New Construdan Reaui2menfs RemodeVReoair Reauirements Office Use OnN
3 registe2d site surveys showing sq. fl. of lot, sq. k. of house; and all roofed areas 2 copies of plan Cert of Survey Recd
(20°h maximum lot mverage allowed) 1 set of Energy CalculaUons for heated additions Tree Pres Plan Recd
2 copies ot plan showing beam & window sizes; poured tound desgn, etc. 7 site survey for addNOns & decks Tree P2s Not Reqd
isetofEnergyCalculations Addifron - indicateilon-silesepEcsystem _ On-siteSepticSyslem
3 copies of Tree PreservaGOn Plan rf lot platted after 717193
Rim Jaist Dehail OpLons selecUon sheet (bldgs wiN 3 orless unifs
Date
03 ?
Construction Cost o2?D 0
SiteAddress ?4Wf e? meQyrJ'? -rrvc,i' UniUSte #
W b
6
`
Description oF Work
1
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner S' p ?
?dQ s c?t t.w 1tc ? ?"1 ?OK
Telephone #( ) C?aSP -
Contractor /'1 , 4j
Address 2-M? S- LO City
?ry4f
State Zip .?P L- Y Telephone #(G37 ) Y23 ^6 3 2 8
-Yh?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted SubMitled
• Energy Envelope Calculations Submitted
Licensed Plumber ? --- JTetep- ne #(
?
Mechanical Contractor ?? ^ ?Teleph'qne #(
Sewer/Water Contractor Teleph Ine #(
'?4Sti
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a 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
appro v?1 O; plans. ?
ApplicanYs Printed Name Appli anYs Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ?
? 07 05-plex ? 13 16-plex I ? 20 Pool 13 % ?
o
9
02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 E?R
Alt
Muti
? 03 01 of _ plex ?
? 0 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) .
ffl-'33 Ext. Alt - SF
4 02-plex ?
? 05 10 08-plex ? 18 Deck ? 23 Porch (screeNgazebo) ? 36 Multi Misc
03-plex ?
11
10-plex
? 19 Lower Level
? 24 Storm Damage .
? 06 04-plex ? 12 12-plex ply
g_Y or
_ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition
? 33 ? 36 Move Bldg. ? 42 Demolish (Foundadon) ? 45 Fire Repair
Alteration
B"'34 R
l ? 37 Demolish (Bldg)* ? 43 Reroof
? 46
Windows/Doors
ep
aCement •Demolition (EMire Bldg) - Give PCA handout to applipnt
Valuation 2 00o Occupancy
2-3
MC/ES System
Census Code Zoning
?
L --
--
-
- - City Water
SAC Units Stories Z- Booster Pump -
Nbr. af Units - Sq. Ft
- -
. PRV - ?
Nbr. of Bldgs - Length ? Fire Sprinklered
Type of Const ? Width ?
_ Footings (new bldg)
_ Footings(deck)
_ Footings(addiUon)
_ Foundation
_ Drain Tile
/Roof Ice & Water Final
? Framing -
Fireplace R.I. Air Test Final
? Insulation -
REQUIRED INSPECTIONS
FinaUC.O.
? FinaUNo C.O.
_ Plumbing
HVAC
Other
_ Pool Ftgs Air/Gas Tests Final
_ Siding Stucco Stone
_ Windows (new/ceplacement)
_ Retaining Wal]
Base Fee (D9 , od
Surcharge 1.00
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Approved By "'` "?e L-e--u-- , guilding Inspector
Total Q . 00
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
9UILDING
020957
05(18J93
SITEADDRESS: Lor: 10 BLOCK:
830 HZDDEN MEAOOW TR
7NE OAKS OF BRIOGEWATER 2N0
PERMIT SUBTYPE:
sF nwG
1 APPLICANT:
KOT HOME3, R A
(612) 687-9513
TYPE OF WORK:
NEW
INSPECTION
FOOTIN6 .. .
FRAMINO .A
INSULATION FINAL
FIREPLACE
REMARKS: S& W PLBR - MATTHEW OANIELS PLBC,
? . .
- - -° -^?
?CITY`OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
s
PERMIT
'ISERMIT TYPE:
Permit Number:
Date Issued:
CK 6 s-,,S? ?
euzLoiNC? ? ?
020957
05/18/93
SITE ADDRESS:
830 HIDDEN MEADOW TR
LOT: 10 BLOCK: 1
THE OAKS OF BRIDGEWATER 2ND
DESCRIPTION:
Bu'ilding,Permit Type SF DWG
Buildinq lJ'ork Type NEW
?UBC Occupancy\., R-3 M-1
/ Construction Typle V-N
Zoning L ? R-1
Building Length i 73
?Bu31d3ng Width 50
t
?-
C,?
\\ ? //
1. i
• ,?'` ',:? ??, i! L., '?? ?' LiJ ?`? ?L L?r? ?.; ?
REMARKS:
S& W PLBR - MATTHEW ?ANIELS PLBG
FEE SUMMARY:
Base Fee
Plan Review
Surcharge
SAC
SpC %
SAC Units
Subtotal
VALUATION
$989.50
$643.18
$100.00
$750.00
100
1
$2,482.68
$2ee,00e
MISCELLANEOUS $1.744.50
Total Fee $4,227.18
CONTRACTOR: - Applicant - sT. LIC. OWNER:
KOT HOMES, R A 16879513 0001506 R A K07 HOMES INC
7901 UPpER HAMLET CT 7901 UPER HAMLE7 CT
APPIE VALLEY MN 55124 APPLE VALLEY MN 55124
(612) 687-9513 (612)687-9513
I hereby acknowledge that I have read this application anxi state that the
information is correct and agree to oomply with all applicabls State of Mn.
Statutes and City of Eagan Ordinances.
APPLICANT/PERMIT IGNA RE
nmi, ?.a l rh.P4
5 ED V: IGNAT R
REACTIVATE
---------------
PERMIT # '
66? < < l?b?
°?I /.n n m;l sG? =n n n '
CITY OF EAGAN '
1993 BUILDING PERMIT APPLICATION 4xql• 13
681-4675
SINGLE & MULTI-FAMILV 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: 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 /q` Yaluation of work a?? 0
Site Address: I(
STREET SUITE N
Tenant Name: (commercial only) ?
LOT ?0 BLOCR ?_ SOB . Qt;ky S ar FJ A,%( P.I.D. k
Descri tion of work: esw. 2-s
The applicant is: L9 Owner L9'Contractor ? Other (Deecribe)
Name o? c Phone 07'1-03
Property LAST fIRST
Owner Address '19 Z- h" Ce z- Cf
STRdIV STE M
City a 3tate AIA) Zip
Company xa? az,.ef Phone 6,0744'/3
11
Contractor Address 75d 1 C " k C/ License #??ISD6 Exp.
City 1Lf R 144 State ? Zip z' / 2-
Company '?- sr? Phone 6 0 ?"gs?3
Architect/
f 7 "A?
En gineer Registration #
Name
Address
City a- State /RIJ ZiP
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been appraved.
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.
Signature of Applicant: ? ? ' /`"
OFFICE USE ONLY
BUILDING PERMIT TYPE
Ol
11 Foundation O 06 Duplex ? 11 Apt./Lodging ? 16 $em?n?ip
sti?
_
/
R9.02
SF Dwg.
?
07
4-Plex
?
12
Multi. Misc.
?
?
171wim Pool
? 03 SF Addition 0 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
0 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
"g 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Qemolish
0 32 Addition O 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) V- N Basement sq. ft. MWCC System Yg
(Allowable) V_N lst Fl. sq. ft. City Water ?--s
UBC Occupancy R 3m_i 2nd F1. sq. ft. PRV Required
Zoning F--i Sq. Ft. total Booster Pump
# of Stories
_ Footprint Sq. ft. Fire Sprinkler
Length TT On-site well Census Code I?
Depth ? On-site sewage SAC Code oi
APPROVALS
?lSus ?^^wT
?.
Planning Building Assessments
Engineering Variance
REQUIRED IN SPECTIONS
? Site
? Wallboard
? Footing
? Final
? framing
? Draintile
? Insulation
O Fireplace
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:
sac % lo3
SAC Units I_
Yaluetim: $ -4 00 O? J IST 'FL?o? --k_?
GA` ?= '?'z' = I SS R x Sti( d5 6? g
3 B x 3z =/ 2!? 2N? ??
.z x 14 = C25> aS??,T? ise?
0 `i 1 1,67x1!?= 4e
Iu?.9 X I(o 6 Z7 "I (-
P? ? 2 G
35X3o= /oSo;! IXG = ?
?ixri2/3? So 3xtrxz_ ??+?
I$ Y?j,33 = 348 ,qf X
2Y )'zx 52/3 ?
?
Is87 x )?=23?a??? r
0
U
w
. m vr
w
¢
a
? m
w
U N
? ?
? ?
? V0
? ?
?
??
? ?
?
LOT BURVEY CHECRLIST FOR RESIDENTIAL
$UI
P320PEftTY LEGAI,
DOCUMENT BTANDARDB
Date of survey
• Registered Land Surveyor signature and company
• Suilding Permit Applicant
• Legal description
• Address
• North arrow and bar scale
• Tiouse type (rambler, walkout, split wJo; split
lookout, etc.)
• Directional drainage arrows with slope/gradient $.
• Proposed/existing sewer and water services
• Street name
• Driveway
ELEVATIONS
entry,
Exi"stina
? ? ? , • Sewer service
C3' ? ? • Lot corners
0" ? ? • Top of curb at the driveway
Er ? ? •. Elevations of any existing adjacent homes
Propoaed
d o 0 • Garage floor
Er ? ? • First floor
i1 0 ? • Lowest exposed elevation (walkout/window)
0" ? ? • Property corners
H^ ? ? • Fiont and rear of home at the foundation
PONbIN(i AREAS (if BDPlicBble
0 e ? • Easement line
? ly ? • NWL
? I3 ? • HWL
? D' ? • Pond # desiqnation
? U' ? • Emerqency Overflow Elevation
DIMENSIONS
B'- ? ? .
Q ? ? •
Joe" ? ? •
t' o ? •
? X5? ? •
Lot lines
Right-of-way and street width (to back of curb)
Proposed home dimensions including any proposed decks,
overhangs greater than 21, porches, etc. (i.e. all
structures requiring permanent footings)
Show all ea§ements of record and any City utilities within
those easements
Setbacks of .proposed structure and setback of adjacent
exi
Ret
Revieiaed;
October 1992
. ,
E'XT'EFiT0:3 E:hIVEL01'F.: ;aYE'FiAi3E= "U" CuNIPUTA"flUN
UWtdER 5TE:VE 6aiVi7 BARF.t fiC:HM(:.[CHL"i. (-?' !VJ. 9-C?k;;-?1•.;?
SITF_ A.P,DRESS LU7 7..:?,, EtLK ?y ?SFtl:Di?EWATGFt?--N+ P1?_-H "n? "„'----------
---
CfIIV'fPtFlCTOf-± R.A. F'Q'T ROM-_S, zrac. A-rr o5/10/9,.', PF-ICNE foLRi`-9:'71.',
Af.="fEFZIh T r'IF.. W01=tE: I IVO SG1UARf= F'OOTAGIE
4405.898
i„ 'I-caCa7. e::pn:>?.=.d wal.l area 44E32.05 sq.'f't;, :, .11 49'.;.0255
2„ Tc;'r,al roofrr_e:ling area 172:' sq.ft .. .025 44.772
.-.,. Tokal floor c;xr7t. area 48 ,q„7{:., :, 0.05 2.,4
(iaver unhesited encl.osed area<_;)
'+. Total i']oar cetnt. ai•etz 4Ei sq.fit. x 0.025 1.2
(over i.intiecxl;ed F3::Po?iBC.ai 3i'E?ci)
5. !` .o'tai e;;p, ?a .st,ov? th:.? 1' - l i?<?t??d uia.I ..1 ?xr•t._?-. ].oc?r•. ? : :y. :
a. "fni;a1 ar;l.l i,i:ndc:i.i tsrea.......,..........._47i".,05"?£3
b. 1°nf.al. dour araa ....................o.....,, 37.8184
!:, "futa:t s:lic7ing yL:ss door area ............. `a5.J547?:_;
cl. Totzal fi.rep'lace area . ...... .......... .. • • - t)
e, "fotal wa:1 1 frazm:ing area (ave. i p'/.)_a.. w.401.'iE3'?F3,
t. "fotzzl neL: Wal.l area aboGe the f?.oor ..,....302`?.4£_t9
t:7. 7'nl:til r.trri ,7o:ittl; ar•ea.,.,,.,.. , 366
fG'T'flL F..vF'OSf=.D FOi.lNDFi'('1[}N ARF::A ., „ „ , . , e . . . . . .. . 7h, 1.`_i22
h. ToL-c.:t fr.ai_trrdat.ion t,i:i.ndnui ar•Da.............. i. l`otal net fiounUati.on area.............ae.. 76.1522
17e'L-erm:i:r.a "IJ" va:lue oi' each wa11 5egment.
a, 477.0528 „ "U" 0,34 - t62.198
b. :'.81f;9 ,. " U" o,tjCz = ._.:::'.t;'i?13<F
r.. 95,54775 .. "iJ" iD.34 _ 22.46624
ti. Ci : " U" 0 _. 0
0, 403.9898 „ "U" 0.0?ln03JfF ' 36.49411.
f, 3025.489 .. "iJ" 0,043215 -. 130.7471
c3. 366 ., "U" 0,0406g":; - 14.89015
ri. C; ,. "U" 0,34 _. i.t
i. :6.1522 , ??U" 0_076161 = 5.79986,35
v..e.,....,,,....,..,.,e.,....,.,,. ..roexl
T f a.{.canr #6 in T!I"1E: s2fY1P as; nr less than itaam 4I1
enere.3:.- codes. :_' MCAFi 1060% Fd AtJD Q.
l'OTFII. EXPOSFD FiGt)i=!GEILSNfi AflEA
??34 -8t3?6
VOLS f1.24'E? ? iF•? CLIP"i"'4''flt
17:'2
,i. "fot;a7, sl::ylighfi area ............:.....e.... U
I'.. TOt:ii]. '?'.I.at i'Oi1'f/L'B1.J.i.ntj 'SY"dcii77.f:C: 87'L:2...e,.=. 172..2
1. To±=.cl nc,t fl.a.t raofice9.ting area..,......a 1549.3
P_catermirie "L!" value YOT' 23Ch Y'OOf/(=JG. SPGmEfiI:
j . O .. °U° Ci .. f)
,.. 172.2 .. "U" 0.026925 = 4.636511
??i ??? . r,,J<"::.3-
1. 1549.8 „ i°si<<, _.. :,._?"?7]. ?
i,,.,....,,..o,.....,,..,,,,,,,,,,,,,,,,,,,,,,,,,,fcai...]. v:,9.?J6?.,b
-?
.. i4 item 57 is i,he same as nr les=, t,han item #2 yot_t haye met the
' e,riF-,r:rr coc:le. :' I"I1;F11=: 7.16008 A ANII U.
TCi'1"Al.. 1-Lf7L]R CAN?. 61ftC:A :t=nc.Lc7sed7. 46i
c:r. Tof:al fil.cror =ant. irami.ng srr*a (ave. 10%). 4,.8
p. "foL-al net, i.rrai.ilatecJ floor/cant. area...... 43.2
UE'_vtE?Y'(nll'lE "lJ" value i'cr^ each 7l.ciar/c:ant. seGnrent.
c:. 4.£3 .. "L" 0.043459 = 0.208605
F>. 43.2 „ 'IJ' 0,0249:5 - 1.04222
?„ , . . .. . . . .. . . . . . . . . e . , . . . . . . . . . .. ..'I'ot.sl. 1 .:;'Sntl?.l?'4
/
?:; item 148 is the SntT@ a=_s or 2PSS th<sn item #Z yaia hacve met the
<:nerr,y r_cviiE=. 2 I"iLAF? 1„16008 f-? AIVi) 0.
TQ'f(?i_ I--t_OCiF!.; CAN"i . APtI'_Fd if.r:;po=;ed 7
q. Tn'r.,a' rloor,'cant. fram:inq arecc
r-. "I'ai;ai nec :in:3i.tlated flcaor/can1,
De+.ermine °LJ" v.;xlue tor
q. 11.4:3 ;: "U"
i•. 43.:' .. ??U"
48
4.8
. area .,,..,. 41.2
=ach t=7oor/cant. seUment.
0.043917 = 0.21080=1
0.024266 __ 1,048289
;,,o........,,,,....,...................TOtal 1.25909_;
j f i'h.ern #9 is tlie s<ame :>.s ur less thr7n item #E<I you t:ave meat the
PnergY cac;e. ._ I'iCFaR 1.. 16008 A
S HERrFtY t7EiFiT.T.F1' "fF1A'I' I: Ht=+VE: il(-C(.II...G3-I-t.i.t) TF:iF ?U" FF4C:TCJRS G?N?`???
'Jr1L.L1ES -IER[:Ihd AI?L THFi-( fHF' E.17: Ul:hlG HENO 09`' RSBEL? MEEl"S OR EEI:}s
THE °-TATE OF t'I.[hdNE:50TF7 FNE:FtGY C]PJSF.iR.V?lI":COtd
.e
?-"_-siyn te7 -
?.da
DETERM'[NE "U° `u'ALl.1ES"
T'I-IRL.1 S7'Ui) Ldl:'?'H ',=iSDl:luf'; Y: E.R.
[r.terior e'vi.r...... 0,6E3
E:hiee;: f;ac'4:,..a.,,. 0,45
fhermo--Break......
t3 ,'; ud ,. ,. . . . . . „ .. .. . . . f, . '='' "'
She;athi.nq...,..... 2.06
Si.din+d„e..,,.....,,,. 0.7E:3
I=:I:er•ior fair.,..a. 0.1;
T o!; a l. " F2 " V a, 7 ue ,, .. .,. ..,, .... 11.07
7 ,R _, , U" U<: t ue , . , . . , . . , a , . 0.090Z34
• y ;-I-iRl.l ThdSLlLr,T.T.f!h? WT.7'H S7:I77:NG `< S.R.
In'i:er'x0^ A:r ...... (,.oid
Strc,t., L Roc.4.: ... . . .. . (?.?vi
Thermc-E.rea4: . , . ., . {?
Tn,u).aF.S.on........ j.'7
'.;heai,hiny....,.... ,...%
Si.clinc:i............ 0.7H
E;:i;ear tcir t1i.r. ,... ,.. 0.7 7
Tcstal. "R" Val.iae......... , . „ 23. 14
1.iH ..: "i..J" Va1i_ie a..,.........ty,ii43'.:_:!l?'',
"(HPU Ct.:fL.7:hIli 1°II:::h'iE,LR
fnter•i.nr Rir ...,...
kaheet NncF:........
Cei7.inc Member.,..
1. ri e> u]. aa Li. on . . . . . . , .
f3Fil.l H.tr.,,,,.....
i).Fc;
0.58
4,35
3u.92
tj..S1
"I"ot<x7. "R" Ua:I.ue............ Z7. 14
1.'R _ ^l.1" Vali_ie............ 0.0r269?5
i'h-IF?U CL=.II..TIVG )'h!SUL.6'jT;.0N
[rr,erinr- Ai.r...... 0,68
fiiiee1. F'[7C4 ........ 0.5E3
TCISi_ll2.FlOf1........ i';_'
f,t:i77. Ai.r'..,...„.. 0e6].
TDtiil uRu V%31L(P_.e a .. . ... .. , 43.87
1IR . "tJ" Veilue............ ir,0y;=;'9.'3
1'.N,RU CONCRETE 9LOCh'
l.n'LP7^20i Hir'....,. O.E:E3
conc. B1't;.,e.,,.... 1.28
f.nsula4:icrn,..,..,,, !.J.
Stieet R.!:. topt. } e n,
F:_ >: t ca Mc r A i. r,. ....,. 0.17
Ta*a l "R" Value............ 13.13
1.'R "!i^,.........,,.,......0.nr6169.
TI-If?L.i RT.M 7[]:L3"f
]:ntear•i.c:r Air...... 0,681
Insi_ilat,on,..,.ee„ 19
fti.m Jr]isi;......... 1.89
She_x'I.h;ng..,a....,, 2.06
S;.diny.........?e. 0.713
E;:*eriur Air...,.. ir.1','
?'ni;a] "F3" V3J.llF_'e........... 24_58
i.:R - 'U'....,.,,,........ 0,04068:?
U va: Ue rOi n nnnW. ,. . e....
• , L" ','31L1E ror Loi]P:3a....,... 0.06
U" vai'lut: for Pal:ic Ur*s..... 0.34
T'HFtIJ CHN'f. 0 {'1LMNE:R (enc: ios2d )
J rite,r•aor ai r... . . . 0.68
F"in.i.s;: F1ourinq... 1.45
She.a't:hiiiryo,....,,,.,, 7..::
Plfuioad.e.,.ee,,,. 0„93
.TCyist,..,,,....... 11.5h
3heEa'L- !;cac.:k......... 0.03
Si:xl i Air......... 0.61
l.ni-a1 "R" Va1uEa..,,.,,.e,,... 23.01.
7. /ft = °LI................... 0,c?43459
THRU : Ahl'I', @ IhISULF3TT0N 'enr::1osr:=d)
Irrtc=rinr Ai"...,,.. 0.68
F.irish f=.lcaorir,u... i.,%
Sheathi.nr.a.........
Pa,-wood .,.,,....., ,
7:,,_,uiai:aon . .. . . . . .
Sheet H.OCF::. . . . ..e ,
4;i.i ].l r'1i.r........
.
,
o . v:
"c,
0. 58
0.61.
"I'cat<a] "R" Va1t.in?...,........ 45.45
1,.R :_ ??U ...,,.........,.,....:,.0>t4125
TI-I"riU CF1h;r. c hiEMBER (e::posed)
; nterior Ai r. , . .. . 0.68
Fini..s!r f"l;nrin_{.,,. 1.45
LJnder^layment ., , . . „ 0
Plywnod..,..,...., Oe%
.T r:t 7 =; {; , , ., „ .. . . . . . „ . . :I. Y. „ `..i F.r
SI'te<x!_hanci,.......e 7.2
snffi.t....,........ 00E
E;xtericr Air.,.,,.. 0oa.:'
Total 'R' Value..........,. 22.77
7. ;' I? :: "U ° . .. ., ., , ,. , . ., . . ., .. ., ,. ., U.043917
IIiRIJ llFiNl . Ci lIJ'.3UL.A'I"!.C)N te;;posod7
LrrF,E=r•inr (vir...... 0,6E3
F';.ni.st, I'l.c:nri.ng... 1.45
lJrderlaymenL-...... 0
P;ywnuc9..,........ In=>ulatzon.... , a .. 30
ShE=ai:hang =...,.,.. - .._
SJ'('Y :. f; , .. .e . . e , ., . . 0. 72
r,.;i.E'.1", L"ti' f''.7. i . . . . . . 0.17
rotal „ft„ ,.,?? lue . . . .. . , e . ., . a A1.: t.
i.;r-i -- °u.,....e..,...,...,,. 0.024266
PLEASE COMPLETE FOR SIIVGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTT.
?NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FURNACE
DA? (a /I V
HVAC: 0-500 M BTU
ADDITIONAL 50 M BTU
GAS OLTTLETS (MINIMUM 1 C$3.00 EACH)
ADD-ONIREMODEL (EXISTING CONSTRUCI1oN)
STATE SURCHARGE
TOTAL
STTE ADDRESS: D 3 Li
OWNER
INST
FEES
?24.00
6.
' ? dD
SL=.
$ 1$.O(1
.50
?. ?
TELEPHONE #:
ADDRESS: 12481 Rhode Island Ave. So.
savese,
CI,I,1,: 894-0005 STA1'E: ZIP CODE:
TELEPHONE #:
I)GNATORE OF PERMITTEE
1993 MECHANICAL PERNIIT (RESIDENTTAL)
CTfY OF EAGAN
3830 PII.OT KNOB RD
EAGAN MN 55122
(612) 681-4675
.`
.?
1993 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 651-4675
PLEASE COMPLETE FOR ALL COMAERCIAUINDUSTRIAL BUILDINGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTI-IER MUI.TT-FAMILY BUILDINGS WI-iEN SEPARATE
PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNTT.
DA'I E:
NEW BUILDING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
1% OF CONTRACT FEE
PROCESSED PIPING:
MINIMUM FEE:
STATE SURCHARGE
TOTAL
SITE ADDRESS:
FEES
CON i i2A t PRIc:.E:
$
$25.00
$25.00
$.50 FOR EACH $1,000 OF PERMTT FEE.
$
OWNER NAME: TELEPHONE #:
TENANT NAME: (IMPROVEMENT'S ONLY)
INSTALLER:
ADDRESS:
CTTl':
TELEPHONE #:
STATE: ZIP CODE:
SIGNATURE OF PERMITTEE CITY INSPECTOR
PLUMBING PERNIIT (RESIDENI7AL)
CITY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTf.
FIXTURES E&C-H TOT?
SHOWER 3,00 3. o 0
?
i,.?., i
`rr'ri iiTi' ?i..?'?'
? M
9.00
1 BATH TUB 3.00 3. v n
:
5 LAVATORY 3.00 tS. ? o
KITCHEN SINK 3.00 3. o 0
t LAiJNDRY TRAY 3.00 3. o 0
1 HOT TUB/SPA 3.00 3-0 °
-? WATER HEATER 3.00 3. o 0
-T_ FLOOR DRAIN 3.00 3. o 0
3 GAS PIPING OUTLET • minimum - t 3.00 `t. o?
-?- ROUGH OPENINGS 1.50 y . ?
WATER SOFI'ENER 5•00
PRIVATE DISP. • Dak.Cry, lic. 15.00
U.G. SPRINK].,ER • eome uneer consi. 3•00
ALTERATIONS • to adsting 15.00
WATER TURN AROUiv'D 15.00
STATE SURCHARGE .50
51• 00
TOTAL:
SITE ADDRESS: '8 3 C) 4. A d ? )N' ??CL d'?)-i 'r°-- ?
OWNER NAME: R A . 4-, 4'
INSTALLER: P`? +?71 +-f ?w L?v\ k e 1 5 -
ADDRESS
i Sk ? S Co_vz"?? w?
STATE: ?_k"1 ZIP CODE: -'.'voQ
CTTY:
PHONE #: (?Q,) ??3? 37 3U
BL
6p•?... ...... ?..........
1993 PLUMBING PERMIT (CONIIIZERCIAL)
CITY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR ALL COMIIvIERCL4UINDUSTRIAL BUILDINGS. ALSO FOR MULTI-
FAMILY BUI: 7INGS WHEN SEPARATE PERMTTS ARE NOT REQUIRED FOR EACH
DWELLING U:-,T.
_ NEW CONSTRUCIION
ADD ON
REPAIR
WORK DESCRIPTION:
CONTRACT PRICE:
FEE: 1% OF CONTRACT FEE.
STATE SURCHARGE $.50 FOR EACH $1,000 OF pER1Gir!' FEE
MINIMUM FEE $ 25.00
CONTRACT PRICE X 1%
STATE SURCHARGE
TOTAL
SIT'E ADDRESS:
$
$
$
TENAIVT A'A11ZE: STE. #
OWiv'ER NAME:
INSfALLER:
ADDRESS:
CI1Y:
PHOA'E #:
STATE:
ZIP CODE:
FOR:
CITY OF EAGAN APPLICANT
MECHANICAL PERMIT (RESIDEIVTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMTI'S ARE REQUIltED FOR EACH UNIT.
UCTION
ADD-O/\N?T?j?]?} /'l}'!
L-illtl I-V?YtI?V?LT..
FIREPLACE INSERT
DATE n 0 2?2I --/ l"'
FEES
HVAC: 0-100 M BTIJ
ADDITIONAL 50 M BTU
GAS OLJTLETS (MINIMUM 1 @ $3.00 EACI-)
ADD-ON/REMODEL (ExISTING CoNSTRUCI'ioN)
STATE SURCHARGE
TOTAL
$ 24.00
6.00
$ 20.00
.50
(1
SITE
OWNER
TELEPHONE #: ?
L?
CTI'Y: C?T?- STATE: ZIP CODE: t5l3l0
TELEPHONE #: ?94" D(/93
f,? "Ill") &f24,_ -
SI T EtE O RMIT`TEE
?
PLEASE COMPLETE FOR ALL COMb1ERCIAL/INDUSTRIAL BUII,DINGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WI-EN SEPARATE
PERMTTS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
DATE:
N-r,W BUILDING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
CONTRACT pRICE;
1% OF ;?;?.?' FEE
PROCESSED PIPING:
MINIMUM FEE:
STATE SURCHARGE
TOTAL
FEES
$
$25.00
$25.00
$.50 FOR EACH $1,000 OF L'FEE
$
SITE ADDRESS:
OWNER NANM: TELEpHONE #:
TENANT NAME: (IMPROVEMENTS oNLY)
INSTALL,ER:
ADDRESS:
CTI'Y:
TELEPHONE
STATE: ZIP CODE:
SIGNATURE OF PERMITTEE CITY INSPECTOR
1994 MECHANICAL PERMTT (COMMERCIAL)
CITY OF EAGAN
3830 PII.OT KNOB RD
EAGAN MN 55122
(612) 6814675
i? Suite 608 • 4940 Viking Drive • Minneapolis, Minnesota 55435 • 612-835-2808
CORPORA710N
July 30, 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 10, block 1, 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 Eaqan 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,
am?_
a•apyranyci
son, Vice President Ge VanOverbeke, City of Eagan
2- 1 -,4'W U
Date
Planners ¦ Developers ¦ Contractors
_..? ............ ._ __ ra. n. ioi
sas.s o?rT _?.
U?VEYOR'S CERTIFICATE
,T?? PIFf F.
ECt2.5 ? S. -. ?^ELEV.-883.0!
87 e.4
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----- --------
9.89 °57 00° ___----N
22.35- -- '
oUAIL--
NOTE: bUILbIFb qMFNS10N5 SNOWN AnE
f011 HOIr20NfAC d VENT?CAL !DC- ATION OF STRUCTlM1E DNLT gEE
ARpIfTtCT11pATIOVAI.N ?iul! 1t1R Nltnn+c '; .
a /pQ DIM(NtiONS. ?:.,.
•4----- DENOTFS PROPOSED S1?17rACF URAINAGF
p DEN01E5 IHON MONUMFNI
A DENOTES IRON MONUMENT FC)UNU
X000.0 DENOTES EXIS11Nr ELFVA710H,'
(000.0) DEN07ES PROPOSED ELEVA7ON
,perowa" S?G?.t:'wI?G ?PTTF"I
pROPUSFU UARAQE FLOOR - 817, o fFFi
PROPOSED IOWEST FLOOR - 4'71 -3 FFr I
pROPOSEU 70P OF BIOCK - B 8 B. I f F.F I
TFIA1 1111S IS A TI1UE ANU CORRECT
WE NEREBY CERTIFY TU R. A. KOT ;F.tQMBS
REPRESENTATION OF A SURVEY OF TI 1E,8CiUNaARl N U^riNTION occorAing lo tlie recorded pht
jai-nes R. I-lill, inc. PLANNEfiS I ENGINEERS I SURVEYOI
2500 W C1Y_ RD 42 6 BlIRNSVILLE, MN. 55337 • 51,2 sQn r
Lo11U, Bbd< I , TFIE dnKS OF Bf71UGFWATER 2 D thlrooi, DaMnIa Counfy, M?nnesoro. i.,
IT DOES WOt PURPOF?7 TO SHOW IMhliCiVEMENfS UR F?4C;??????-??MFWTS, EXCFPT AS SHUWN. AS
SURVEYEO BY ME OR UNDFFZ MY DIRFCI SUPERVISIC)N iF115 28i1i D/1Y OF APRIL. ,1993'
NOTE: NO SrECIFlC SoLS Ifsr£STtOAtIeN SIUP Ffi. { L1IIJC NAS 9EEN COMPIFTEd ON TIIIS LAt !Y ?NE SuRVEYOR. 11fE SUIT?LITY OF SOIl9 ? ???R TN! !'ECIFIC NOUSE MO('PSED
=-------t4 Nof T? REg?NSeL1TY oF tIN L. LARSON, 1_ANb SUf?VEYOR
TNE SUiNEYOR. ;:
,y MINNES07A I_ICENSE NUMBER 19626
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R.R.KOT HOMES, INC. 6128920218 93 9 1 8:56 P.02
?UIRrIYOR's
-qtjErj1 6b k A$ =bJiLt /
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NetE: 6UILb1Na.MAIkNtI040.#Mb*ilAft
=:, : ? bavus pkopn3eu SUhPAc.r bRAINAeE
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til,N-r I I
r
a btNotts fRaN MoNUMENr set acALO; I iNCH - sa REET
0 6ENO'tE81RON MOWUMENT toUNb pROPOSEQ QARAGE I'LCJOR m FEE(
k600.0 bliNqttt 1EXIStINp kFVATIpN hROPOSEO LoWESt FLODp e PEPY
(tlOfJ.b) bbNOtM bl#OpO5ep ELEVA71Oh1 hh03'O&tb TOP OF 9LpOK - FEET
WL NeFIeDy 000WYtO li; AA6f HDtAEffi tHRT THI$ IS A TRUrz ANd G`pRRtCt
HEPAEStNtAf1oN o? A GURV?Y or tNt soUNpAh1e?9 0?:
l.61 h?1,?k+d? .? tH? t?AKS c? attlbvCNVAT_CPl= INb AOblrIaw? accoroIn9 to ttre rocorded . ptot
1hEfBtll? ?}0 ?dllhlY?Mlhhlf?tlltl. - .
Ifi b6t5 NOt WUFtpppT'I'0 SN01M IMPKOVEMENT8 DN CNGpOACHMEf47S, EXGEpY iA5 SiiC7WIV. A5
GUkYE*b bY Mt OR UNDER MY QIFiEGY 6UPMVI$I17N'I'Hi8 287W DAY4F ApRIL ,189"S,
Nat?? NNAb 1f+clhe ?opyt,??? gI?Mv btNr?b? N.
6 Slq . M R. HILL. INC.
LbT tN6?UpVCYDk 6 ?
}Ht U E?aN?LITY aJt)Mlh! C. LAItB61V, LAND SURVEI'v~R
MIfdNSC1TA LIG'EN815 NUMIER 198E8
2
jam-?s R 6 H?i?, ?nc.
PLANNPA5 1 ENa iNEERS / SURVEYOR5
250U W. Cii'. qp. 42 8 BURNSVII.LE, MW. 66837 r 612-890-8044
R=94% 6128920218 09-01-93 09:53AM P002 #12
PERMIT
City of Eagan Permit Type: Building
3830 Pilot Knob Rd Permit Number: EA080035
Eagan, MN 55122 . Date Issued: 09/26/2007
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 830 Hidden Meadow Tr
Lot: 10 Block: 1 Addition: The Oaks of Bridgewater 2nd
PID 10-75836-100-01
Use
Description:
Sub Type: e-Reroof Construction Type:
Work Type: Replace
Description: House & Garage
Census Code: 434- Occupancy:
Zoning:
Square Feet: 0
Comments: If there is no ice protection inspection prior to final, you must meet inspector with ladder and flat bar. Pictures are not
acceptable in lieu of inspections.
Fee Summary: BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
Valuation: 3,000.00
Total: $90.00
Contractor: -Applicant - Owner:
Hometown Restoration Robert E Fagot
7308 Aspen Ln N #110 830 Hidden Meadow Tr
Brooklyn Park MN 55428 Eagan MN 55123
(763) 494-8695
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.
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
For Office Use I
• D~ 27
4 Y of E a,n 1 Permit#: 1
1 Permit Fee: (Oy I
3830 Pilot Knob Road l
MN 55122 I Date Received: &12-
Eagan Phone: (651) 675-5675 I Staff:
Fax: (651) 675.5694 L_____________~
INFLOW & INFILTRATION PERMIT APPLICATION
~y Plumbing I `Sewer & Water /
eAd-
O i~ Tr a l ;l
Date: / d ~P 4? ` Site Address :y l I
Tenant: ! / A Suite
Name: b 4 Q Ca
o Phone: I` I 7 "L9 ~
ccl
RESIDENT /OWNER - 1i Address/ City /Zip: Y30 L&det, T(ra l E &~5 a
Name: License
CONTRACTOR Address: City:
State: Zip: Phone:
Contact: Email:
PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope)
TYPE OF WORK tL"'Sump Pump Repair Repair
Other: Other:
Description of work: 3 q-e! e f° L mlo n e cd S f y be- C3 i- ta wt e dP
DESCRIPTION
FEES
$60.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $
*Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit 1/1 repair costs for
reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors
can be found by visiting www.citvofeacian.com/inflow, or City Hail at 3830 Pilot Knob Rd.
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
Appli ant's Printed Name Applicant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: -Under Ground -Rough-In _Final
Use BLUE or BLACK Ink
� r----------------�
' , I For Office Use (I�s
/ 1� ,��
� � Permit#: /� ��J��
Clty of �a�aIl � � -�� � � ;
� Permit Fee: ° �
3830 Pilot Knob Road j ,� �,�.� I
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Eagan MN 55122 ���;.�.;�;,�?,� � Date Received: �
Phone: (651)675-5675 I I
Fax:(651j 675-5694 ��� '� `� ���� i Staff: i
2015 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
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Name: 1,t^ �at 41 Phone: � l��7� ����
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{�yy�,g� Address/City/Zip: ��(1 �i � ��t� �
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� xk:; �w� A licant is: Owner �Contractor
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�rr . . � , � .: Description of work: �t�-(�e(;� � '� 1�� +� � � � J
w�V���- --
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� � �� ��: Construction Cost: �C1�'�� Multi-Family Building:(Yes /No�)
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�.� � Company: �I'�Y�t.l��� E.D�i^�t.C-�ru✓� �� Contact: �J:W�c"Q ��(�►��
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� �'or�tr��� Address: t ��� t't�t.�i�� �� c�ty: �:-nSoC� �� 1�4/1�
� x � ��„ � State:�Zip:��� Phone: ��Z ��Z 7 Z EmaiL
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� ;;: License#: �l7 Lead Certificate#:
If the project is exempt from lead certification, please explain why: n '�
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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:
Fire Suppression Contractor: Phone:
� i1t(��'�h�lar� � nd i'�� . �ni'� �t f: �Sm�t�are�or���ler��' +��� � ' ` ri� f
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� ��t�ae information ,��e� �ez�'as � r. �b�i��f�vu r�v� ��"� ���# �� ��i��� `�
n. ' v �.�.��s� ����� x�: .��..� �c. ... � {11 :�1ici �s F�
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CALL BEFORE YOU DIG. Call Gopher State One Call at(651)4540002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.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.
Exterior work authorized by a building permit issued in accordance with the Minnesota ate Building Code must be completed within 180
days of permit issuance.
C,....
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x � G,����, � �c x
ApplicanYs Printed Name Appl ant's Signature
Page 1 of 3
�v¢'` D ���� ��'�. ��� �„�_ 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 �� Occupancy � MCES System
Plan Review Code Edition �i SAC Units
(25%_100%�) Zoning �� City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
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
Roof: _Ice &Water _Final Pool: _Footings Air/Gas Tests _Final
Framing Drain Tile
Fireplace: _Rough In _Air Test _Final Siding: _Stucco Lath _Stone Lath _Brick
Insulation Windows
Sheathing Retaining Wall: _Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression: _Rough In_Final
Braced Walls Erosion Control
Other:
Reviewed By: � �� , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge ����-
Plan Review
MCES SAC
City SAC
Utility Connection Charge r �� �j'`�, /" �
S8�W Permit 8�Surcharge � l �
Treatment Plant �
Copies
TOTAL
Page 2 of 3
R.R .KOT� HOMES� INC . 612892021$ 93 9 1 8�56 P .02
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R=94% 6128920218 09-01-93 09:53AM P002!#12
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA137216
Date Issued:06/23/2016
Permit Category:ePermit
Site Address: 830 Hidden Meadow Tr
Lot:10 Block: 1 Addition: The Oaks Of Bridgewater 2nd
PID:10-75836-01-100
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Yu Dia
830 Hidden Meadow Tr
Eagan MN 55123
(778) 237-9688
Scherer Brothers Lumber Company
9401 73rd Ave. N
Suite 400
Brooklyn Park MN 55428
(952) 277-1600
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA151801
Date Issued:09/13/2018
Permit Category:ePermit
Site Address: 830 Hidden Meadow Tr
Lot:10 Block: 1 Addition: The Oaks Of Bridgewater 2nd
PID:10-75836-01-100
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 -
Yu Dia
830 Hidden Meadow Tr
Eagan MN 55123
(612) 876-7809
Home Energy Center
2415 Annapolis Lane N #170
Plymouth MN 55441
(763) 476-1990
Applicant/Permitee: Signature Issued By: Signature