796 Quail Ridge Rd?
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS:
,1
1111 trnlSS 01? k1Ft1Urit:WAItFi .'Nr.?
APPLICANT:
N41i 11:1!.1 2140.1
(r,l:') !, 94 ilt,JI
LstILCtl1N6
41.'1f--: n
oi> /Gl :'3 /4 Ei
?
- - - - - - - - - - - - -
PERMIT SUBTYPE: TYPE OF WORK:
? Fi1i ,r (11)tt(T1?lAt {?{ •? 1•- i i' ( fiN f'?it t1??
Permit No. Permit Holder Date Tetephone #
ELECTRIC
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DFCK Fl^??
-
. ^-•^v'z-•+ : . . . ,. . . . ^`+?'++ar.??--...._..",...r-.t,pr,;v--a.?r?a.
u
CITY OF EAGAN
... .,.: „ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 '? •.,20097
PHO N E: 681-4675
BUILDING PERMIT Receipt #
To be used for SF" DirC/GAR Est. Value $174,000 Date FEB 11 , 1942--
Site Address 796 QvAIL RI[}GE RD
Lot Z Block Z Sec/Sub.T? a? OP OFFICE USE ONLY FE Es
PBrCeI NO. Occupancy R"3 M-1
99
Z
i R- I Bldg. PertnR 8
.00
N2me CEiARLE$ CUDD CO on
ng
(Actual) Const ?-P1 surcharge 87000
w Address 1802 WOODDAI.E DR (Allowable) Plan Review 584,pp
? Cjty WOODWRY MA3 Zp 55125 L n9 htories 701 ?? 5.00
" Phone 731-31 S3 oaPtn 42' sAC, aty 100•00
Name sAME S.F. Toiel SAC, MCWCC 700000
cr
0
S.F. Footprints
- ;
,
675
00
Addrm On Site Sewa
e Water Conn .
V g _
(`,RY Zjp On Site well X . Water Meter 93'00
? Phone MWCC System ? Deposit
Acct 30•?
Ciry Water . :
8 ()ID03945
V
# 30.00
cel1S2 PRV Required _ S/W Permit
I hereby acknowlege that I have read this application and state that the Booster Pump - SiW Surcharge •50
in(ormation is correct and agree to comply with all applicable State of ??
?
Minnesota Statutes and City of Eagan Ordinances. Treatment PI ?
Signature of Permitee APPROVALS Road Unit 3W•oo
A Building Permit is issued to: CHARLES Cl1flD CO Planner - Park Ded.
on the express condition that all work shall be done in accordance with all Council
applicable State of Minnesota Statutes and City of Eagan Ordinances. gld9, pff, _ Copies
8uilding OffiCial Variance - TOTAL 3,885.30
i
j
` Permit No. Permit Holder Date Telephone #
SNV
PLUMBING
Hvac
ELEcrRic
ELEcrAic
Inspection Date Insp. Comments
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg. _
l5ul.
Fireplace j/19?2
Final Htg.
Orsat Test
Final Plbg. o.
Plbg. Inspector - Notify Plumber
Const. Meter
EngrJPlan
Bldg. Finai
Dedc Ftg.
Dedc Final
Weil
Pr. Disp.
, .
!J, •
...... d '•
? ` y ?
&r#i#irate u# (Oxru?aury .
Citp of eagan
igv,pwftm Af llttatttg .3twPttWlt
This CertiJ`icate issuwdpursuanl lo 41ie requirements of SectioR 306 ojthe Unijorm Building
Code cerlil.yin8 [hat a1 the tinre ojissuance l/ris srrrccture was in compliance with the various
ordinanoes oJdre City regulating building cbnstrudion or use For !he following.
um chnifiW&M SF DWG/,(:AR Bwyp..k Nm 9no97
o=v„qTypr. R- 3 M-1 zag Davit R-1 Tya co,,.. V-N
Owna of Bwldios CHARLES CUDD CO A&,,. 1802 WOODDALE DR
Buid;,,aAddmu 796 QUAIL RIDGE RD Lmay L2. B2. THE OAHS OF
BRIDGEWATER
D.W _TIiNR 1 R, 1997
eWw;qg offi
POST IN A CONSPICUOUS PLACE
? ?
CASH RECEIPT
CITY OF EAGAN
3830 PILOT KNOB ROAD t';j
?
?
EAGAN, MINNESOTA 55122 `
, - ?
DATE 19
. / .?
HECEIVEO
FRpA
?
AMOUNT
& DOLLARS ?
? CASH ? CHECK 'oo ?
BY
017271 VV„te-Payers CopY
Yelbw--Posting Copy ?
Pink-File Copy
Thank You
SE?UER & WATER PERMIT
CIT;Y QF EAGAN
3830 Pilot !4Vb Rd.
Eagan', Mf155122-1897
METER #
CHIP #
OFFICE USE ONLY
I METER SIZE
DATE FEB 11. 1992 ISSUE DATE
PERMITDATE 02/19/92
PERMIT # 12554
B.P. RECEIPT # ? I ?-: 1 /
B.P.RECEIPTDATE 02/12/92
_ PRV - BOOSTER PUMP
SITE ADDRESS 796 QUAIL RIDGE RD
LOT 2 BLOCK 2 SEC/SUB THE OAKS OF BRIDGEWATER 2ND
PERMIT REGIUESTED
X SEWER X WATER - TAPS
APPLICANT
ADDRESS:
CITY, STATE
PHONE: -
ZIP
PLUMBER: ppLAR PLBG
ADDRESS: 6087 46TH ST N
CITY, STATE OAKDALE MN ZIp 551?_8
PHONE: 777-7525
OWNER: CHARLES CUDD CO
ADDRESS: 1802 WOODDALE DR
CITY, STATE WObDBURY MN Zip SSlZS
PHONE: 73 -11 S3
COMM/IND -X- RESIDENTIAL
X NEW - EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credif-WILL NOT pe giyen for Deduct Meters.
; f /
X ??l ! :??( ?(_
?
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-52,20 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
SEWER & WATER PERMIT
CITY Ot EAGAN
3830 Pilot KnQb Rd.
Eagan MN 55122-1897
01
DATE FEB 11. 1992
_ PRV - BOOSTER PUMP
OFFICE USE ONLY
METER # 21-31 PERMIT DATE 02/19/92
? CHIP°? O a?9 g 7 8?v PERMIT # 12554
METER SIZE ?? sE?su s B.P. RECEIPT # ' l??I
ISSUE DATE B.P. RECEIPT DATE 02/12/92
SITE ADDRESS 796 QUAIL RIDGE RD
LOT 2 BLOCK 2 SEC/SUB THE OAKS OF BRIDGEWATER 2ND
APPLICANT:
ADDRESS:_
CITY, STATE
PHONE: -
ZIP
PLUMBER: POLAR PLBG 7
ADDRESS: 6087 46TH ST N
CITY, STATE OAKDALE MN Zip 55128
PHONE: 777-7525
OWNER: CHARLES CUDD CO
,4bDRESS: 1802 WOODDALE DR
CITY, STATE F100DBURY MN Zip 55125
c -? ?F??(WO WORKING ? ?4? DA?-rrS ?FOR?'- PROCES-Of ? '
,
PL?AS LL W
SEWER PERMITS, CONTACT ENGINEERING DEPT.
PERMIT REQUESTED
1X- SEWER X WATER - TAPS
_ COMM/IND -X-- RESIDENTIAL
X NEW - EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Cre LL N0T"' giv n for Deduct Meters.
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES _
SIGNA'FURE WHEN METER iSSUED
454-!jk20 FOR INSPECTIONS. FOR STORM
??/
r
SEDGWICK HEATING & AIR CONbITIONING CO.
8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(612) 881-9000
. . HEi4TING
TEST RECORD
JOB NO. Z6?
ADDRESS _JZ!ra4?c CITY /
OCCUPANT ? OWNER
w
SOLD BY INSTALLED BY ?
MAKE MODEL
SERIAL NO. If INPUT
THERMOSTAT ?
VALVE
LIMIT
LIMIT SETTING 1
-----{-?
FAN SETTING
PILOT TYPE
IGNITION MODEL .r--?
PILOT TIMING .
-' 7
PRESSURE PERCENT COZ
INPUT CFH PERCENT OZ v
STACK TEMP. „? PERCENT CO
FORM 235 (REV. 11/89)
?
VENT SIZE A TYPE OF LWER-
?O ?_07
LINER SIZE
FILTERS: SIZE NUMBER (
WIRING ?
TEST TAG
LIGHTING INST.
DATE TESTED (° // $6 /4 Z
COMPANY TESTING
NAME OF TESTER
FORM DISTRIBUTION: WHITE COPY - J06 FILE YELItJW COPY - CI7Y
DAKOTA COUNTY MINNESOTA
RECEIPT FOR PAYMENT OF PUBLIC IMPROVEMENT ASSESSMENTS
,/ :
DATE ljir"'L ?<r, ??/?/,?--•
RECEIPT NO.C 2059J
,.
NAME:
ADDRESS:
DESCRIPTION:
?
?
pISTRICT ?!?> I PLAT PARCEL NO. HECK DIGITI I MUNICIPALITY
1 - ? l
(12-13) (14-18) (19-21) (22-23) 1241
IMPROVEMENT D/P - AUD - INT. °o FROM TO ORIGINAL AMOUNT PRINCIPAL INTEREST TOTAL PAIO
: f • ?,,,, i
x"
?O . 1'i ??.."
f,..: ??'?:.•- • r1
r
(27-36) (37-40) (41-50) (51-60)
Paid Befoie Certification E] (77=4) Prepayment F] (77 - 5) Paid in Full [] (78 = 1) Partial Paid (78 = 2)
PREPARED BY NORMA B. MARSH, COUNTY AUDITOR gy: _
PREPARED BY MUNICIPALITY OF: ? BY:
0
If payment is made by check, this is not
' (NAME)
valid receipt until check is paid,
This Receipt does not include
the installment certified to pOSTED BY: DATE
the 19taxesd
AUDITOR'S COPY
_ ._ .?,. ..,? .??_..
?? 30 ooo?
7 5 ? ? 0,17,
?l
Request Date
,?? ?? w ?? Fire No. IRough-in Insp ion
Required?
Q Read w>jfVJill Notity Inspector
Wh
R
d
?
Yes ? No en
ea
y
I?licensed contractor 0 owner hereby request inspection of above electrical work at:
Job Adtlress (Stree[. Box or Route No.)
7 ` 4
?1 City
, a'V
Section No. Township Name or No. Range No. Counry
Occupant (PRINT) Phone No.
Power Supplier Address
W 7/
Electrical Contractor (Company Name)
` Contractor's License No.
?n 1
Mailiny Address (Coniractor or Owner Making Installation)
G'
Authorized Si nature (Contractor/Owner Making Mstallation) Phone Number
MINNESOTA STAUAOAHD OF ELECTRICITY ? THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
. ?
Addres.s: 796 QUAIL RIDGE RD Lot2 'Blk 2 Sec/Sub THE OAKS OF BRIDGEWATER
These items were/were not complete at the time of the final inspection.
D t: JUNE 18 1992 Yes No
?
Tnspprtnro
Final grade (6" from siding) jr
Permanent steps - garage ?
Permanent steps - main entry
Permanent driveway ?
Permanent gas
Sod/seeded grass ?
Trail/curb damage
Porch
Basement finish
Deck ?
Please verify with the builder the removal of roof test caps from the plumbing
system and the shut-off of water supply to the outside lawn faucet before
freeze potential exists. &
- PECYCIED V/iPEF
White - City copy Yellow - Resident copy Pink.- Contractor copy
CITY OF EAGAN ??Q O O 9 7
3830 Pilot Knob Road, P.O. Box. 21-199, Eagan, MN 55121
PHONE: 681 -4675
BUILDING PERMIT p
Recei t #
To be used for SF DWG/GAR Est. value $174, 000 Date FEB 11 , 1992
Site Address 796 QUAIL RIDGE RD
Lot 2 Block 2 Sec/Sub. THE OAKS OF OFFICE USE ONLY
FE
ES
Parcel No. BRIDGEWATER ND occupancy R-3 M-1
i
Z R-1 Bldg. Pertnit 899.00
on
ng
Napg CHARLES CUDD CO (Actuaq Const -L--N Surcharge 87.00
cr
w
Address 1802 WOODDALE DR (Allowable) V-N
Plan Review
584.0
p
Cify WOODBURY MN ZIp 55125 # of Stories
tn
L
70'
ucerue 5.00
? Phone 731-3153 eng
Depth 42' sAC, city 100.00
cr Name SAME S.F. Total - sac, nncwcc 700.00
?
AddC2SS S.F. Footprints
Sit
O
S
WaterConn
675.00
n
ewage
e _
? Cift/ Zip On Site Well - water Meter 95 . 00
Phone MWCC System X
Deposit
Acct 30.00
? City Water x_ .
License # 0003945 PRV Required _ S/W Permit 30. 00
I hereby acknowlege that I have read this pplication and state that the Booster Pump - S/W Surcharge
0
.5
intormation is correct a a ree to com y with all applicable State of
Minnesota Statutes an City f Eaga n Treatment PI 300. 00
Signature of Permitee APPROVALS Road Unit 380.00
A euilding Permit is issued to: CHARLES CUDD CO Pianner - park Ded.
on the express condition that all work shall be done in accordance with all Council
applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. _ Copies
Building Official &RID 1A 14if
. Variance - TOTAL . 3,885. 50
? FEB 19, 1992
, DATE:
796 QUAIL RIDGE RD (CHARLES CUDD CO)
X Your Sewer & Water Permit for the above property has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
Your Sewer & Water Permit for the above property cannot be completed for the following
reasons:
Your Sewer & Water Permit for the above property has been compieted, but the meter cannot
be issued or occupancy allowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
REQUEST FOR ELECTRICAL INSPECTION e6-ooo0 -oa
? See instructions for completing this form on back of yellow copy.
J 375? ?
"X" Be/ow Work Covered by This Request
ew Rdd R TypeofBuilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Other (specify) Contractor's Remarks:
Compute Inspection Fee Below:
# Other Fee # SeroiceEntranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps O 0 to 100 Amps .
Transformers Above 200 Amps Above 100 Amps
Signs Inspector's Use Only: OTAL
' Irrigation eooms
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE RED_ S NPECTED IF NOT
Other Fee COMPLETED WITHIN 18 M
I, the Electrical Inspector, hereby Rough-in
certify that the above inspection has
been made. Final a
c?
.?
OFFICE USE ONLY
This request void 18 months irom
";t CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-75836-020--02
PERMIT
796 QUAIL RIqGE Rp
LOTs 2 BLQCK, 2
THE. OAKS qF BRIDGEWAI"ER 2Np
PERMIT TYPE:
Permit Number:
Date Issued:
uo s79so
BUILI]ING
027674
@6/03/96
DESCRIPTION:
(oEcK)
Permit Type
OUk TY P e
?
ADDITIQN
434 ALTe RESICIENTIAL
/. ? ?«'y
?Y?h
??
??
?
? .,m e V
F e yy 5 ? ?
AF
H M,.n u« ,.?.e ca...
REMARKS:
.
FEE SUMMARY
Base Fee $45.00
5urcharge .50
Total F'ee $45e50
CONTRACTOR: - A p p 1 a. c a n t - S"f.LIC.OWNER:
MILL WqRKS CqNST 15447577 2006227 JEATF2AN gILL
2725 NATHAN LN 796 QUAIL RIt7GE Rp
PLYMpU7M MM 55441 EAGAN MN 55122
(612) 544-7577 (612)456-9908
i
(Will ISSUE BY: IGNA
CITY OF EAGAN
I-qtq4 3830 PILOT KNOB RD - 55122
1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
iJew Construction Reauirements
? 3 registered site surveys
? 2 copies of pians (include beam 8 window sizes; poured fnd. design; etc.)
? 1 energy cafculations
? 3 copies of tree preservation plan ff lot piatted afler 7/1193
RemodeliReoair Reauirements
???•r ? ?
f i ? 1? A i
? 2 copies of plan
? 2 site surveys (exterior additions & decks)
? 1 energy calculations for heated additions
required: _ Yes _ No
DATE: 0/6 CONSTRUCTION COST:
DESCRIPTION OF WORK: ???????'Pn.i
STREET ADDRESS: Qu 6\L" R 1 O & ca- "U LOT BLOCK SUBD./P.I.D. #: o?DA?J--'.(.? ?x'-? 4--) 6 -9qe?
PROPERTY Name: Phone
OWNER uS* FIRST
Street Address: (f?oql L'
CitY: E A b 14 /\.1 State: Zip: ? S t oZ oZ
CONTRACTOR Company: 1?` ? U r k`-:? (e) n S Phone #- 44 - 7 S 7
1
Street Address: Nct`??Akh LA. License
City: 9 State: 9?j Zip:
ARCHITECT!
ENGINEER
Company:
Phone #:
Name: /V /A Registration #:
Street Address
C ity:
Sewer & water licensed plumber:
change are requested once permit is issued.
State: Zip:
Penalty applies when address change and lot
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. -4x
Signature of Applicant: ICIA
FTE -E, V? V I E -nD7
OFFICE USE ONLY LMAY 2 0 1996
Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
0 02 SF Dwelling o 07 4-plex
? 03 SF Addition o 08 8-plex
0 04 SF Porch ? 09 12-plex
? 05 SF Misc. ? 10 = plex
WORK TYPE
0 31 New ? 33 Alterations
o 32 Addition ` ? 34 Repair
GENERAL INFORMATION
• `y
.µy , .
? 11 Apt./Lodging ? 16 Basement Finish
0 12 Multi RepairlRem. ? 17 Swim Pool
? 13 Garage/Accessory ? 20 Public Facility
? 14 Fireplace ? 21 Miscellaneous
thO 15 Deck
? 36 Move
? 37 Demolition
Cvnst. (Actual) Basement sq. ft. MC/WS System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
'
Length sq. ft. Census Code.
-?
Depth Footprint sq. ft. SAC Code .?
Census Sldg
Census Unit .J
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MCNVS SAC ..
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/VV Permit
SNV Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
P""W .,.. . ., ... ,: .. I'h.: ;:XIL, lU V I
iURVEYtJR'S
N oT Q: H V IL D 1 Nc3 DMAQ'181 O NS
PAA tiON12;WWAI., d
ATIpN OF iiTRUCT .
A1tt;F! fTLCTUIII_
Pi-
ft rOUNOATION bl
CEFtT1FIGATE
SHOYYIN ARIE
[1tT ICI?1- lAC-
L C? IiL.Y. 9 K It
tOR pU I Lp IN G•
41111iON3.
QU A I l,
, R- {32 149
??
' p• 17017 54
;?- 40.00 -_
R I DGE ? --
_ ? .
? R t 665. IEi
N 4 ?' 4° 28 ' 45 "
'- 52.00 _
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d 0
M
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to 1A ??o ?Ib?lcE ?
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16.0
L
DRAlNAG?
NT 81 U'rt LITY ?
rf EASEME PER pL A7- /
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L~
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. ? ?
EDw?.-?
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?
`V \
D
/.
:J 4lo(7jgiQgtl
DENOTES PROPOSED SURFACE DRAINAGE
p DENOTES IFiON MONUMENT SET
• DENOTES IRON MpNUMENT FOUND
X000.0 DENOTES EXISTING ELEVATION
(000.0) DENOTES PROPOSED ELEVATION
CHARLES CUDD
?-PPRax.? `
.
l"? '
_ •'?
?
/ < J
SCALE: 1 iNGH --
PROPOSEQ GARAC3E FLOOR --
PROPOSED LOWEST FLOOR --•
PROPOSED TQP OF BLOCK --
(
?.. _ ` ../ 1
L?.
30
&qq.o
gflZ .v
qw, I
WE HEREBY CERYIFY TO CF-IARLES CUOD TI-IAT Tf-11S IS A TRUE AND CORRECT
RF_PRESENTATION OF A SURVEY OF THE BOUNDARIES OF;
!_ot 2 B I ock 2, THE OAKS OF BRIDGEWA-t'ER 2 ND ADDIT lON , occord ( nq to t he
recorded plot ihereof, Dokato County, Minnesato.
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS C7R ENCROAGHMENTS, EXCEP
SUFtVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 30 TH DAY OF JAN -- "'
OTE: NO 3P£CIF1C SOp.S INVEST}GATION SIGNE :
HAS OEEN C:OM PLEI'ED O N T NiS
LoT *NY TNE SURVEYOR. THE
.. "TwMIL1TY o F 50ftS lv SLtPPCKr g;-
T"E !PEC iF7C H O U S E i'Ro POS£ b
tS NOT 7NE RESf'o NS1Bt_.ITY OF
TNE SURYEYoR.
,
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rn p m
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R. HILL, INC.
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FEET
FEET
FEET
FEET
JQHtJ C. LAFtSON, LAND SURVEYOR
MINNESC7TA LICENSE NUMBER 19828
•,.
James H-111', iric.
R.
PLAN N ERS / EN G I N EERS /SU RVEYQRS
2500 W. CTY. RD. 42 - BURNSVfLLE, MN. 55337 + 61:2-890-6044
a'
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RESIDENTIAL
S3 S'37-6 BUILDING PERMIT APPLICATION
CITY OF EACAN
3830 PILOT KNOB RD, EACAN MN 55122
651-681-4675
New Construction Reauirements RemodellReoair Reauirements
• 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas • 2 copies of plan
(20% maximum lot coverage allowed) • 1 set of Energy Calculations for heated additions •
• 2 copies of plan showing beam 8 window sizes; poured found design, etc.) • 1 site survey for extenor addi6ons & decks
• 1 set of Energy Calculations • Indicate if home served by septic system for additions
• 3 copies of Tree Preservation Plan if lot platted after 711/93
• Rim Joist Detail Options selection sheet (bldgs with 3 or less units)
DATE VALUATION
?
SITE ADDRESS ?/ Q U?< < d MULTI-FAMILY BLDG
? 5
TYPE OF WORK ?'P(S•rl? O? ? ?e, 610-? FIREPLACE(S) _
APPLICANT
CoY??'
STREET ADDRESS CITY i° STATE
TELEPHONE CELL PHONE # -???79 FAX #
PROPERTYOWNER TELEPHONE#
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672
(?1 submission rype) . Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor: Phone #
Plumbing system includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00
? Water Heater ? No. of R.I. Baths
_ No. of Baths
Mechan(cal Contractor:
Mechanical system includes:
Air Conditioning
Heat Recovery System
Phone #
Y N,N
0 ?0 _2
Fee: $70.00
Se r/Water Contractor: Phone #
--- ?Vv6 _? V0_ c _A-
--------------------- ---------?----------- -------------------------------------------------------------------------
i hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with ail applicable State of Minnesota Statutes and City of Eagan Ordinan,?pAs. I ('; ')
Signature of Applicant
OFFICE USE ONLY
?
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
? 02 SF Dwelling ? 08 06-plex 0 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-piex ? 17 Garage 0 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
0 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
Aa (::??+ (:?d-)
r
?a.?o a? ??ut?.??,Y... ?2?
CITY OF EAGAN
REQOEST FOR REVIEW OF
PUBLIC RECORDS
I/we, the undersigned, are requesting permission to review
the following government records held in the City of Eagan:
NAME .`-TU 911E? l.Z
ADDRESS V I% G'C> lJ'c- •
TELEPHONE NO. C/ qo I L"
GOVERNMENT RECORDS (specify) ??-z
M ry ?
Signature
FOR OFFICE USE ONLY
Designation of Requested Data: = ublic, /yPrivate,
Non-Publ' ,, _Confidential, _Protected Non-Public
Approved: ?
mploy?
Date:
Approval by the City Clerk is necessary for any data determined not
to be public.
Approved:
City Clerk
Date:
CITY'O?,EAGAN FOR CITY USE ONLY
383.?0 PILOT KNOB ROAD
EAGAN, MN 55122 PERMIT #
PHONE: (612) 454-8100 RECEIPT 01053
??1?DATE : ? 311 9j-
': PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
------------------------ -------------------------------------------------------
WORK DESCRIPTION FEES
NEW CONST ?
ADD ON
REPAIR
OWNER NAME : LAI?? (f'o
ADD-ON MINIMUM $15.00
HVAC 0-100 M BTU 24.00-
ADDITIONAL 50 M BTU 6.00'
GAS OUTLETS - MINIMUM 3.00 -
OF 1 PER PERMIT
SUBTOTAL: $?
SITE ADDRESS: ?ICI /?sJ STATE SURCHARGE: .50
. ?
LOT:-01-- BLOCK ? SUBD o ker ? TOTAL:
INSTALLER:
?!?
ADDRESS : HEAIIiJu & AIR COVOITInNINR ro„ SIGNATURE OF PERMITTE
8910 VJF_P;T6;'URiH AVE. S0.
CITY: NINiVEAFOLIS, MZM.
88i•9000
PHONE #:
?G;I?:S;
1ATPLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS,
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
LOT: BLOCK SUBD.
INSTALLER: ADDRESS; 'I
I
CITY: I ZIP:
PHONE #:
FEES
1% OF CONTRACT FEE.
STATE SURCHARGE - $.SO FOR
EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING = $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x l% $
STATE SURCHARGE $
TOTAL:
$
(SIGNATURE)
FOR
CITY OF EAGAN
SMNNA Suite 608 •.4940 Viking Drive • Minneapolis, Minnesota 55435 • 612-835-2808
CORPORATION
June 18, 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 2, block 2, Oaks of
Bridgewater 2nd Addition.
Sienna Corporation acknowledges that $15,100.00 is only an estimate
of the construction costs, and should the final costs be more than
$15,100.00, Sienna Corporation will pay the difference when the
assessments are levied. Should the assessments be less than this
amount, Sienna will anticipate a refund of the difference when the
assessments are levied. Sienna acknowledges that the City will not
pay interest to Sienna on this amount.
The City of Eagan acknowledges receipt of the $15,100.00 as pre-
payment of the pending assessments on lot 13, block 3, Oaks of
Bridgewater 2nd Addition. As this amount is only an estimate, should
the final costs be lower than $15,100.00, the City will refund the
difference to Sienna Corporation when the assessments are levied.
Should the final costs be more than this amount, the City will
anticipate payment of the difference when the assessments are levied.
The City will not pay interest to Sienna on this amount.
Please sign both copies and return one to my attention. Should you
have any questions, piease caZl me at 835-2808. Thank you for your
cooperation with this matter.
Sincerely,
Patti loehn
Acco tin anager
John Hankinson, Vice President
Date'
V
Ge Me VanOverbeke, City of Eagan
`
Date
Pianners ¦ Developers ¦ Contractors
?? 3lap??E
2, 315•5U+
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? 3j7J70
n? 8 11 ? 0 Li -E-
534-OU+
2, -? 1j°?J 'r
3, 3 :3?•50??
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1992 BUILDING PERMIT APPLICATION
a
cirr oF EAGaN
REQUIREMENTS: 10091
&GLE FAMILY 2 SETS OF PLANS, 3 REGISTE ED SITE SURVEYS, 1 SET ENERGY CALCS.
MULTIPLE DWELLINGS 2 SETS OF PLANS, 3 REGISTERED SITE SURVEYS, 1 SET OF ENERGY CALCS.
# OF UNITS RENTAL FOR SALE
COMMERCIAL 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF
SPECIFICATIONS, 1 SET OF ENERGY CALCS.
PENALTY APPLiES WHEN TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING
DAY OF MONTH tN WHICH REQUEST IS MADE QR LOT CHANGE IS REQUESTED ONCE PERMIT IS
fSSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH
ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
To Be Used For: F"tpeeijtq, Valuation: 'W22=0' Date: ?R 1 a ( 9'?2
Site Address -1q(o QllAtlL 1Zw&E. .-0Ad
Lot 2 Block '2?
Parcel/SubVt
Owner 6z. J ?
Address_+??`1s?
City/Zip
Phone
Contractor_
Address
City/Zip ??Q
2No Anem
Phone?f? License
,
Arch./Engr.
Address
City/Zip Code
1'l y oo?--
, ?. ...,? ?..? ?..?.
FEES
Occupancy R-a M-t Bldg Permit 9,77,00
Zoning .. I Surcharge &.1 oa
Actual Const V-tq Plan Review S , ao
Allowable V-r4 License Fee S ao
# of stories SAC, City Too,oo
Length v SAC, MWCC 0700 o0
Depth ? Water Conn. 615,00
S.F. Total Water Meter 95,00
Footprint S.F. Acct. Deposit 30,00
S/W Permit 30, u0
On-site sewage S/W Surcharge , so
On-site well Treatment PI. 300o0
MWCC System r/ Road Unit 3134,00
City water i/ Park Ded.
PRV Trail Ded.
Booster Pump Copies
SUBTOTAL
APPROVALS Penalty
Planner Lot Change
Council TOTAL
Bldg. Off. 2- 0 9z s .
Variance
:hone # .
5ewer/Water Licensed Contr. . Processing time
for sewer/water permits is two ays once area as een approve .
2hheh- agrees that all work shall be done in accordance with
i nature o Permittee
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
vaLuAT,oN
, : ?4??,,,,f? ??-s . y°n?? ?. • :
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41
1;Zy X 15= 10,86v
S?/? ? i r q
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3`1? 52
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1 t? -*A-w = ? . -.,364
14 I `f`=- 6 'Z.
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SURVEYQR'S CERTiFICATE CHARLES CUDD
NOTE: AVILDINC3 DMrtQMtONS $NOWN ,qRIE
IC?Rt_ tAC-
.M!! NORIIANTAI_ d Llcq
ATION OF XT'}?(,1CT >NL
Y, 3E?
A1?CN fTECTUAI_ R AV t1.DtNG •
A /"Ol1P1D/ITIQIV bt 0"3,
R lDGE ??-
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N 4 a RQ 665. 16
4 2$ 4511
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?* - DENQTES PRaPOSED SURFACE (DRAINAGE
O UENOTES IRON MUNUMENT SET
• DENOTES IRON MpNUMENfi FOUND
X000.0 DENOTES EXISTING ELEVATION
(000.0) DENpTES PROPOSED ELEVATION
1
_. -1
1
^'t
t7
?r .
.. y
< -1
L? l ? ?' ...
r --? -?-L_? ? ?
4
SCALE: 1 INGH - 30 FEET
PROPOSED GARAC3E FLOOR -- Mq,D FEET
PROPOSEb LOWEST FLOOR - MZ.o FEET
PROPUSED TQP OF BLOCK -- q6c, I FEET
WE HEREBY CERTIFY TC7 CNARLES CUOD THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 2 B I ock 2, THE OAKS OF BRiDGEWA-i'ER 2 ND ADDIT lON , accord I n9 f o t he recorc?ed plat thereof, Dakot o County, Minnexoto.
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, PHXCEP
SUFtVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 30'T'H DAY OF JAN
OTE: NO sP SIGNE?'1 J?i?{v1Eyj R. HiLL. INC. "`` --- -- -- -_ = - -
£ClF1C Spq? INVEST?G.ATION
!-tAS VJWN (7t:>M PLETEO p N T Hts WT 'INY TNE 3URVEYOR. T7tE
SVITIOIILtTIr o F S01[S 70 sVfpoRT
T"E i?R.'C iF'?C H O U S E i'RO PO SEU
!S NOT THE RESPONSiBiL.ITY OF
THE SVRVEYOR.
13 Nr: -
EASE'MENT ? U7"1 LfTY
PEI? PL.AT
gb
U-'
? 4r?0$1 09?! ?
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JOHN C. LARSON, I.AND SURVEYOR
MINNES(7TA I.ICENSE NUMBER 19828
Jarnes R. lrlc.
PLANNEFtS / ENGlNEERS / SURVEYQRS
2500 W. CTY. RD. 42 • BURNSVILI.E. MN. 65337 * 612-890-6044
61aPaeI5
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DRAINAG? /
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ENER6Y CDNSERYA'fION EVALUATION
?• •
Site Address
Owner. 'Contractor (,? ?Qr$ rj(I1Qo 602
Lalculations done by Phene n g Date Z+ 1b Z
i.ype or bui li; ing 9eS t,?,.r[ k10.?-
Area (A)
Assembl .(Sliow calculations on •worksheets (SqFt) U-Value U x A
(0% of Total Ceiliig rea, ess :y ight
'
Insulated Area: Area, See Fi . 1) 1 Z? ? ?
,(,)' 0)1?j
Framin Area:(10'/., of Total Ceilin Area, See Fi . 2)
o Sk li hts: (From Pa e 7)
Other. (Describe)
?
1
Tocais ,
2 Avera e U-Value, (UxA)/(A) from Line 1
.
3 Required U-Value (For one and txo family dwellings only) .026
(907. of Total Wall Area, Less Window and
Insulated Area: Door Area, See Fi . 3)
Framin Area (10'! of Total Wall Area, See Fi . 4) .? ,
indows: (From Pa e 7)
?
Doors (From Pa e 7)
, ?
'••?*??
'?,
_ im Joist Area: (See Fi ,.5)
R
z
Firenlace Wall:
°
X Foundation Wal1=(Above Grade Less Window Area See Fi , b) •23 . (Z•?/
W
Foundation Windows: (From Pa e 7) ?t
?
t
I
ther: (Describe)
ther:(Describe)
4 Totals
5 Avera e U-Value, (UxA)/(A) from Line 4
6 Required U-Value (For one and two family dwellings only)
*?-*
.11
**?**
If line 2 is less than line 3, and line 5 is less than line 6, proposed assemblies meet code
requirements. If line 2 is greater thah line 3, or iine 5 greater than line 6, complete the
followinq to determine aiternate U-Value for total exterior envelope.
-c
0 .
cu
7-
UxA (Line 1) + UxA (Line 4), +
d
o
8
Area (Line 1) x U-Value (Line 3) x
=
***??
?
'
w
9
Area (Line 4) x U-Valuz (Line 6) x
-
o "Bud et", Line 8 t Line 9 ?k
r-
If Line 7 is greater than Line 10, alter assemblies as required so Line 7 does not ezceed Line 10
If Line 7 is less than Line 10, proposed assemblies meet code requirements. '
1
FiQure 1 Ceiling/Roof Insulated Area: Sq. Ft.
(with attic area)
R-Value
Interior Air Film .6I
Insulation SO. DO
Continuous Vapor Barrier 0.00
Interior Finish s.?L
Interior Air Film .61
Total Assembly R-Va1ue = -S^0?1 3
Assembly II-Value (1/R) . O 2
Enter on Page 1
Figure'2 Ceiling/Roof Framing Area: Sq. Ft.
- (with attic area)
- R-Value
Interior Air Film " .6I
Insulation
Wood Member y 3
Continuous Vapor Barrier 0.00
Interior Finisb e SZ.
Interior Air Film 61
Total Assembly R-Value yS,/L
Assembly U-Value (1/R) .d.2
Eater on Page 1 For additional roof assemblies, see pages 3 and S.
2
Figure lA Ceiling/Roof Insulated Area: Sq. Ft.
(without attic area) •-
R-Value
Vented Air Space
Interior Air Film .61
Insulation
Cantinuous Vapor Barrier 0.00
Interior Finish
Interior Air Film .61
Total Assembly R-Value
Assembly II-Value (1/R)
Enter oa Page 1
Figure 2A Ceiliag/Roof Frami,ng Area: Sq. Ft.
, (withont attic area)
R-Value
Exterior Air Film .17
Roofing
Roof Sheathing
:Wood*Member
Cantinuovs Vapor Barrier 0.00
Interior Finish
Interior Air Film .61
Total Assembly R-Value
Asse.mbly II-Value (1/R)
Enter on Page 1
For additional roof assemblies, see pages 2 and 8.
3
) .. • ._ .
Figure 3 Exposed Wall Insulated Area: Sq. Ft.
R-Value
Interior Air Film ,($
Interior Fi.nish
Continuous Vapor Barrier 0.00
Insulation
Sheathing o G 2
Exterior Finish . ?l7
Eaterior Air Film - .17
Total Assembly R-Value 2=1. L/
Assembly II-Value (1/R)
Enter on Page 1
Figure 4 Exnosed Wall Framing Area.: Sq. Ft.
. . R•:Value
Interi.or Air Film .68 "
Interior Finish
Continuous Vapor Barrier 0.00
Wood Member G -?!S
Sheathing .G 2
Exterior Finish . ?l 7
Exterior Air Film .17
Total Assembly R-Value ?. 17- 7
Assembly II-Value (1/R) e 1 ?
Enger on Page 1
For additional wall assemblies, see page 8.
4
Figure S Exposed Wall Rim Joist Area: ???Q Sq. Ft.
. " R-Value
Znterior Air Film .68
Vapor Barrier 0.00
Insulation / °I. U O
Wood Member
Sheathing . G Z
Exterior Finish s Y'J
Exterior Air Film .17
Total Assembly R-Value 2 2,?-
Assembly II-Value (1/R) , Oy
Enter on Page 1
Notes: 1) Floors over nnheated spaces. For floors of heated or mechanically
cooled spaces over unheated spaces, the overall II-Value
for the floor shall not exceed 0.05.° For floors over outdoor
air, such-as-overhangs, the overall II-Value for the floor
shall meet the same requi=ement as for raofs, II-Value of
- 0.04.- . .
2) Slab-on-qrade floors. For slabroa-grade, the insulativn
around the perimeter of the exposed floor shall have a
m?nimum R-Valne of 6.4. The 3.nsnlation must extend dcwnward
from the top of the slab d minimum of 3'6" or downward
' to the bottom oE the slab then horizontally beneath the
slab for an equi.valeat distance.
3) Vapor barriers. The maYimvm perm rating for the vapor
banier is 0.1. A minimum of 4 mil polyetheline, or equal,
is rem,;red to achieve this. The vapcr barrier must be .•
conti.nuous wa.th all joints overlapped and lnade over framing
members or blocking. -
4) For notes oa foundation wall see page 6.
5) For additional assemblies not illustrated use worksheet
on page
5
Fi re 6 ExF.osed Foundation wall Area
Concrete Block or Poured
Concrete Foundation Area: t?l(jJ Sq. Ft.
Waod Founda 'on Insulated
Area: Sq_ Ft.
X - 'I-, .
R-Value
Interior Air Film .68
Continuous Vapor Barrier 0.00
Foundation Wall ?• ?`!
Insulation S vd
Exterior Air Fiim -17
lTotal Assembly R-Value
Assembly U-Value (1/R)
Enter on Page 1
es: I) Only the above grade area of the foundation vall is
- to be included in the energy caicuiations.
- 2) The Eaergy Code requires that. if thr floor above the
. basemeat or cravl space is not iasulated, the fouada-
tion wall must be insulated. Either the foundation
mvst have a miaimum A-10 insulation applied fzom Lhe
top of the foundation to the frost line or a miaimum
' R-5 insulatioa applied over the eatiie foundation
= vall. The A-Value specified is for the insulation
- maLerial oaly.
S) If ridgid foam insulation is =o be applied to the
_ ezserior of the foundation wall, the above grade
- portion musL be protected from the sun, the weather
aad p6ysical abuse. 4) If ridgid foam insulation is to be aaplied to the
interior, it must be protected by minimum 1/2^ M.
board or equal (as specified ia sec=ion 1:12 of the
Uniform Building Code).
- S) Fouadation uall insulation for woad foundations must
be installed as spetified by the Yatioaal Forest
ProducLS Associatioa's Desi¢n :4aaual.
tdood Founda ' n Framed
Area: Sq. Ft.
R-Value
Interior Air Film .68
Continuous Vapor Barrier 0.00
Foundation Wall (Plywood)
Wood Member
Exterior Air Film .17
Total Assembly R-Value
Assembly U-Value (1/R) _
Enter on Page 1
SKYUGNT, WINDOW ANO DOOR ASSEMBUES
Skviianc
Manufacture
Manufacture No.
No. Used I Tota1 Sash area (Ai I- U-Value
R-Value ? U=1/R
U x A
I I ?
I I
I
Tatais Errter Pace 1 XXXXXX XXXXXXXXXXX XXXXX) X XX XX XXXXX
W irtdows
Manufacture
Manufacture No.
No. Used
Tatai Sasfi Area (A)
R-Yalue - a ue
U=1/R
U x A
z`.,O. O .
G ?Z I (Z.O
CIA
II o•
2 •2?"°
- .? .
?z- tu -20• .?
ata s Enter Paae 1
aun iaa
Walt Windaw Manufactvre Manufacture No.
No. Used i
Tami Sasfi Area (A)
R-Value
- a ue
U=1JR
U x A
; ? d ?0. •2?
? 2 z•
,,
ata s zrmer age _ ' I
No. Used I Total Doar Area (A)
l l ? ?O• o-Z _
I i ??.0
R-Vafue I Stocm Oaor I Doar U-Value I
Ooor j (if Use? Ass_embi U=I/R UxA
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PF R CITY OF EAGAN FOR CITY USE ONLY
3830 PILOT KNOB ROAD
EAGAN, MN 55122 PERMIT #
PHONE: (612) 454-8100 RECEIPT
NG;xm
tmmx DATE : / 9
.
M?qM PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS
------ WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
------------------
WORK DESCRIPTION ----- --------------------- ----- --------------------
COMPLETE THE FOLLOWING: ------
NO. FIXTURES EA. TOTAL
NEW CONST ADD-ON MINIMUM 15.00
ADD ON I SHOWER 3.00
REPAIR ? WATER CLOSET 3.00
? BATH TUB 3.00 Ln , OD
IAVATORY
3.00
12
OWNER NAME ; A /\ fi,o . 00
3 ?_Up
? Y
N 3.00
:5 LO
SITE ADDRESS :iq ? C.? A G.c? ' TUB/SPA
HOT .00
3
0 WATER HEATER 3.00
e
LOT:BLOCK oZ SUBD. ?L
'1 1 FLOOR DRAIN 3.00 ?31?
INSTALLER?
-)
l GAS PIPING OUT.
3
00
?
j ro, \,ip (MINIMUM - 1) . Riop
? ROUGH OPENINGS 1.50 ??
ADDRESS :«('? 1 M?-I[ ri
Qj, , OTHER 4, oD
CITY
"
rl
A
kC
?cs WATER SOFTENER 5.00
.
i
ne
o n
.a ZIP: PRIVATE DISP. 15.00
t U.G. SPRINKLER 3.00
PHONE # : _T?)t) - -
SUBTOTAL S( p' 1.`-1t)
ST. SURCHARGE .50
SIGNATURE OF PERMITTEE
TOTAL: $ ? fl
??MMERC?AL?'.?NDUS;TRIAL:? PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
MULTI-FAMILY BUILDINGS WHEN SEPAR.ATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
---------------------------------------------------------------------------------
CONTRACT PRICE: FEES
OWNER NAME:
SITE ADDRESS:
LOT: BLOCK SUBD.
INSTALLER:
ADDRESS:
CITY: ZIp:
PHONE #:
FOR:
Z$ OF CQNTRACT FEE.
STATE SURCHARGE _ $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 1$ $
STATE SURCHARGE $
TOTAL:
$
(SIGNATURE)
CITY OF EAGAN
?-• 1' 1u m i G? i?-i ?X" `t`<:?,
C.vn rve.?
.
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ov Lo? Site Address: 7 `? ? ?Q/ PO
Tenant: Suite #:
RESIDENT / OWNER Name: i0elpi ftemnes Phone:
Address / City / Zip: q(.[c3a'( PlCCRP l<(l •
Applicant is: Owner _yContractor
TYPE OF WORK Description of work: n2p, &rt( G i'L n?'Cl? ? C' l4 1Q?G',klJ6u,V
?
Construction Cost: 75-06 Multi-Family Building:
CONTRACTOR Name: A12v7-A61Zl License #: ? G?oCI S?y?
Address: /) P /Z -a9[/? /elr'1
City: ! ct 4- (f UtlL State: ulav Zip:
Phone: Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Categorv 1 - Minnesota Rules 7672
Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
SubmissiOn type) • Energy Envelope Calculations Submitted
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:
??NOTF Plans and supporting?tlocuments fhat?yvu ?ubmit are?con$1dered to be publ?c rtfvrination ? Por#?ons?of? ;
fhe information may be classrfied?as no»=pub/rc,rf you?praylde specific reasons that would permit tfie Ci? to?? ?,
,. ,
4 ? that the . are trade se,crets ?-? ? ?? ? ? ? ? ?
Pev°iv..v,M?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 th will be in
accordance with the approved plan in fhe case of work which requires a review and rova oTpt'dn . ,
X X _
Applicant's Printed Name ApplicanYs Signature
Page 1 0
DO NOT WRITE BELOW THIS LINE
SUB TYPES
? Foundation ? 05-plex ? 16-plex ? Accessory Building ? Pool
? Single Family ? 06-plex ? Fireplace ? Porch (3-season) ? Ext. Alt. - Multi
? 01 of _ Plex ? 07-plex ? Garage ? Porch (4-season) ? Ext. Alt. - SF
? 02-Plex ? 08-plex ?K Deck ? Porch (screen/gazebo/pergola) ? Multi Misc.
? 03-Plex ? 10-plex ? Lower Level ? Storm Damage
? 04-Plex ? 12-plex ? Miscellaneous
WORK TYPES Uf 0 / "t d:?k f-)Ut.. 0A.I' 4;"r
? New ? Interior Improvement ? Siding El Demolish Building"
? Addition ? Move Build ing ? Reroof ? Demolish Interior
Alteration ? Fire Repair ? Windows ? Demolish Foundation
? Replacement ? Egress Window ? Water Damage
` Demolition (entire building) - give PCA handout to applicant
DESCRIPTION:
Valuation Occupancy
Plan Review Code Edition
(25% 100% _ Zoning
Ge.nsus Code Stories
# of Units Square Feet
# of Buildings Length
Type of Const. Width
REQUIRED INSPECTIONS
Footings (new bldg)
Footings (deck)
Footings (addition)
Foundation
Drain Tile
Roof: Ice & Water Final
Framing
Fireplace:_R.I. _Air Test _Final
Insulation
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Sheetrock
Final/C.O.
? Final/No C.O.
HVAC
Other:
Pool: _Footings _AidGas Tests _Final
Siding: _Stucco Lath _Stone Lath _Brick
Windows
Retaining Wall
Reviewed By: ?T ::z ':? , Building Inspector
---------------------------------------------------------------------------------------=-------------
RESIDENTIAL FEES:
Base Fee
h
S
0
urc
arge
Plan Review,
MC/ES SAC
?
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant ?
Copies 4
Total
oo?
Page 2 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA170079
Date Issued:06/18/2021
Permit Category:ePermit
Site Address: 796 Quail Ridge Rd
Lot:2 Block: 2 Addition: The Oaks Of Bridgewater 2nd
PID:10-75836-02-020
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
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 -
Daniel J Hennes
796 Quail Ridge Rd
Eagan MN 55123--252
(651) 456-5629
Krech Exteriors Inc
5866 Blackshire Path
Inver Grove Heights MN 55076
(651) 688-6368
Applicant/Permitee: Signature Issued By: Signature