800 Quail Ridge Rd.?
-. ,? .
Wertificate nf cccupanc?
ccttv Df CfRgRIi
Tepartmcnt of 13uilbiag 3ai?occtiaa
?
This Certificate issued pursuant to the requirements of the Uniform Building Code
certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City regulating building construction or use. For the fo[Lowing:
SF DW 403
Use Classification: Bldg. Permit No.
Occupancy Type Zoning District
V )
Owner of Buildin Address ?
- f f
Byiiding Address
Date: Locality
/ 12/l7/92
?
Building OfFicial
POST IN A CONSPICUOUS PLACE
. C°ntr°' "°
INSPECTION RECORD I . -
`CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: 00040
Eagan, Minnesota 55123 Date Issued: O'`' / 0 4 j`' 2
(612) 681-4675
SITE ADDRESS: APPLICANT:
ti 0 0 OI?n t:, R. I r,Q P. R c, k t, t woNrS Ft a
TNlE; tJAk',? Of BRXt,1fit'.WA110 2Nt? t6121 607-9513
PERMIT BTYPE:
? ?zt.? t?
TYPE OF WORK:
?EW
INSPECTION .. .
i` fy 0 r I N (3 ..
i t;'AMlN4i 1NSULACI'ON
!'1?iRL FYREP! AGE
t
RFMakk.,,. RIEct iP't t S&W PlSA. _.. MA'r"t"!#fW-•t)ANtElS Ni.BII.
Permit No. Permit Holder Date Telephone #
SNV
PLUMBING V1 9? A;3790
HVAC
ELECTRI
?
ELECT
Inspection Date Insp. Comments
Footingsl
Foundation
Framing
Roofing
Rough Plbg.
aougn H?g. &79. AIc7-
[sul.
? .4 ? //?J- Sl ?! LJ - lle??lBrr ?-
G -2 y -9
Fireplace
( -16-fl
W
1 a O$?_
Final Htg. I Limz(
orsatTest
Final Plbg.
??.. Plbg. Inspector- NotiTy Plumber
Const. Meter
EngrJPlan
Bidg. Final 71pZ
Deck Ftg. /
Deck Final
!
Well
Pr. Disp.
?
z
V-
?
.
INS-PECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
1 F; t I:1 I.iC tl[1
y I11 ()f1?• `l 01 N 1 Y' } MAl-1 A1 i I4 i' P! t+ ( h j;'. )93i H N F'i
PERMIT SUBTYPE:
TYPE OF WORK:
1 s1lrr I?thl6
0 , c. / ?.
o 11 j.1 i J.?4
riS'r1t I f t rIPa
iNSPECTION DA • DA
Permit No. Permit Hoider Date Telephone #
S/W
PLUMBIfvG
HVAC
ELECTRIC
ELECTRIC
Inspection Date Inap. Comments
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Orsat Test
Final Plbg. Plbg. Inspector - NotiTy Plumber
Const. Meter
Engr./Plan
Bldg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
T T
? s ??--
:J6 130
REDUEST FOR ELECTRICAL INSPECTION
? See instructions for completing this form on back of yeliow copy.
"X" Below Work Covered by This Request
Ea_00001 -08
?-
ew ABd' Rep. ? TypeofBuifding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Other (specify) Contractor5 Remarks:
Compute lnspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
3wimming Pool 0 to 200 Amps t? 0 to 100 Amps
Transformers Above 200 Amps Ab 100 Amps
Signs Inspector's Use Only: TOTAL ?
Irrigation Booms ?
?C1 gz5
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDE DISCONNECTED IF NOT
Other Fee ,?'j('? COMPLETED WITHIN 18 MOf?ITHS.
I, the Electrical Inspector, hereby
tif
th
t th
b Rough-in ogte
l
cer
y
a
e a
ove inspection has
been made. Final "
? Date
•??(-
OFFICE USE ONLY
. ? ? ?,+ -.??'`???_.3
This request void 18 months from
Fjl 41 ? ?? 3 ?_ 0 ,
? D G ?y?
4 ?
&
/
?
8a
Request Date Fire No. R Inspe i
R uired?
? Ready Now t4,Will Notify Inspector
9!?.Xes O No When Ready?
I O licensed contractor I] owner hereby request inspection of above electrical work at:
Job Address (Street. Box or Route No.)
?
66 City ?
?? lls U414 .? iOC- ?-•qG.4
Section No. Township Name or No. Range No. County?
07?
Occupant(PRINT) ?
// Phone No.
% 1 ar ?Ioy-nE !oQ'? -?15 t 3
Power Supplier Address ,--
=4, 4cc.
Electricaactor (Company Name)
r's License No.
Ftwtrto
;p O 3
Malling Address (Contract or Owner Making InstallatioA)
us4G7ar1 YYWl.
SS1.ZZ
Authorized Si Wre (CoMractor/O
r
akieg Insta
llation)
Phone Number
7 1
? 83-D33z
MINNESOTA STATE 80ARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room 5-173 BE ACCEPTED BYTHE STATE BOARD
1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
'
L -
?/ ?.ZO 9_
Req est Date Fire No. RInsp on
Required?
0 Ready Now XWill NotiTy Inspector
-23 - 9z 5?yes G No When Ready?
IK licensed contractor p owner hereby request inspection of above electrical work at:
Job Address (Street. Box or Route No.)
. City
80o Q l o& a. L Ar-a
Section No. Township Name or No. Range No. County
Md c7T+4
Occupant(PRINT) Phone No.
W.A. o'T dYri 91-qS l
Power Suppli
.4 4o74 Zli5Cr-erL Address ?
t-,a ern 1r)CXT0V-\
Electrical Con Company Name) Contractor's License No.
4 04se I-ECMCIC T CA o r.?
Mailing Address (Contractor r Owner Making Installation)
86 , ynr) .
Authorized Sig ure (Contractor/Owner Mng Installation) Phone Number
?O'83 -o-53z.
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room 5-173 BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
%REGIUEST FOR ELECTRICAL INSPECTION ee-oooo,-oa
? 10- See instructions for completing this form on back of yellow copy. ???3; >O P? ?2
a` 05812
"X" Below Work Covered by This Request ??? ! o
ew Add Rep. Type of Building AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other-(Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Other (specity) Contractor's Remarks: CGI?
w.e ? sc a.O?r? ?p
Cornpute Inspection Fee Below: Fin/ m TtvD xoon'IS irl gow+EL
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 Amps Above 100 Amps
Signs Inspector's Use Only: TOTAL
?
' Irrigation Booms ?j
-?a- S
yz-
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee p COMPLETED WITHIN 18 MON 7 (
t, the Electrical Inspector, hereby Rough-in o t?e?g
certify that the above inspection has
been made. Final r Date
OFFICE USE ONLY ? .
This request void 18 months irom
7c REGIUEST FOR ELECTRICAL INSPECTION /eB-oo o,-oa//
? See instructions for completing [his form on back ot yellow copy. ?A?.? ? y
? 8 L
1 ' ??? ? `X" Below Work t;overed bY This Request '111x Z o?
ew ?dd Rep. Type of Building AppliancesWired EquipmentWired
Home Range Temporary Service
Dupiex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Other (sNecify) Contractor's Remarks:
Compute Inspection Fee Below: 100 C"l J v•?• cJ ? j°V ?cx, VY?p vYGt V
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 Amps Amps
SignS Inspector's Use Only: TOTAL
Irrigation Booms /1 15 6
?
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
if
h Rough-in Date
cert
y t
at the above inspection has
been made. Final
, '?- Date!5?
v`
OFFICE USE ONLY
This request void 18 months from
.. V /S'h
.? -Z- p - , r 7
2' J ? ? ro?i
Request Date Fire Nc's T ough-in Inspe i n
equired?
? Ready Now ?Will Notity Inspector
Wh
R
d
?
?
Yes No
G
en
ea
y
I licensed contractor p owner hereby request inspection of above electrical work at:
Job Address (Street, Box or Route No.) Ciry
C
a
Section No. Township Name or No. Range No. County
OccupaM (PRINT)
r,havbcs Op Phone No.
Power Suppli r
?/6 V 1 ?I ?1'c Ass
?.L
ti„?7 C
Electrical Contractor (Company Name)
e ??s Co Contractor's License No.
? ? .4 -Z
Mailing Address (Contrador or Owner, Making Installafon)
2? t-a k s.? 1- .?? 5 t2 1 oi
Authorized Signature (Contractor/Owner Making Installation) Phone Number
33
`224 -zs
x -
MtNNESOTA STATE BOARD OF ELECTRICITY ? THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room 5-173 G l?q Q? BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 C-a?) Oj, O ENCLOSED.
Addre$s:860 (XJAIL ROAD Lot 1 Blk 2 Sec/SubUE OAKS OF BRIDGEWATER 2ND
These items were/were not complete at the tima of the final inspection.
Date: 12/17/92 Yes No
Final grade (6" from siding)
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 tast caps from the plwabing
system and the shut-off of water supply to the outside lawn faucet before
freeze potential exists. ?
w' o.K.
White - City copy Yellow - Resident copy Pink - Contractor copy
(.C? Co ? 7? ?• ` ?Y 7D 00
2004 RESIDENTIAL BUII.,DING PERMIT APPLICATION
? City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
---- __----?-- --- - ---- -- -- - -- _--Telephone # 651-675-5675----FAX # 651-675 5694--- -- - --- - -------- - - -
New Construction Reauirements RemodellRepair Repuirements
3 registered site surveys showing sq. ft of lot, sq. ft. of house; and all roofed areas 2 copies of plan
(20% ma3cimum lot coverage allowed) 1 set of Energy Calcufations for heated additions
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks
1 set of Energy Calculations Add'dion - indicate if on-site septic sysfem
3 copies of Tree Preservation Pian if lot plafted after 7/1I93 -°
Rim Joist Detail Options selection sheet (bldgs with 3 or less units
Date Co struction Cost $ 3l . oo
Site Address Q Unit/Ste #
Description of Wor `
Multi-Family Bldg _ Y? N Fireplace(s) _ 0 _ 1 _ 2
Property Owner ?&LA n Cl- Telephone #(CQg1) L4SL4 ^ 4.r6-7CD
%KNIA HOME-SEKVl(:ES, 1NC;. ?
Contractor Home Depot Installed Sales
Address 3200 Cobb Galleria Pkwy.Ste. #200 City
State Atlanta, GA 30339 -
- 763-542-8826 BC-20268257 Zip Telephone # ( )
? ? .
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Ene?gy Code Category '- Minnesota Rules 7670 Cateory 1 _ Minnesota Ru1es 7672
(? submission type) • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Submitted Submitted
• Energy Envelope Caiculations Submitted
Have you previously constructed a building in Eagan with a similar plan? Y N If so, 25% plan review
fee applies. - -
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # ( )
Telephone # ( - ,
L?
Telephone #
f? ?flfl?-! : ,`
I hereby apply, for a Residential Building Pertnit and aclnowledge that the informatikX ' aecurate;
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
pernut; that the work will be in accordance with the approved p?an in the case of work which requires a review and
apt(oval of plar)s,, (
Applicant's Printed Naxne -`? Applicant's Signature
y OF`FICE USE ONLY
Sub Types
?-
01 - -- -
Foundation ---
- 0-
-07
05=plez--
`--?,
13-
16=plex----`--
---- ?
--20-
Poot-
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? . 03 01 of _ plex' ? 09 07-piex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 04. 02-plex : ? 10 08-plex ? 18 . Deck ? 23 Porch (screen/gazebo)
? 05 03-plex 0 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Pibg Y or _ N ? 25 Miscellaneous
Work Types .
? 31.New
? 32 Addition
? 33. Alteration
O 34 Replacement
Type of Const ?r ? 35 Int Improvemenf , _0 38 Demolish Interior ?
Valuation
Census Code
SAC U n its }
# of Units
# af Bldgs
? 36 Move Building ? 42 Demolish Foundation
?. 37 Demolish Building* ? 43 - Reroof
' *Demolition (Entire Bldg) - Give PCA handout to applicant
0- 30 - Accessory Bidg --
? .31 Ext. Alt - Multi
? 33 Ext. Alt = SF
? 36 Multi Misc.
? ? 44 Siding
? 45 Fire Repair
? 46 Windows/Doors
Occupancy MCES System
Zoning City Water
,
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) _ FinaUNo C.O.
Footings (additi.on) Plumbmg
, .:. . :
Foundation : :: . ;, . . ? . . HVAG , . ., .
Drain Tile Other
Roof Ice & Water, :Final Pool ' Ftgs _ Air/Gas Tests Final
_ Framing _ Siding _ Sivcco _ Stone _ Brick?
Fireplace _ R.I. Air Test Final Windows
_ Insulation _ Retainirig Wall"
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge ,
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
.g unp awil paniaaad
Pella Wi?dows 8c I?oors - Twin Cities, Inc. 15300 25TH AVE. N. STE. #lOQ
. PLYMOUTH, MN 55447
. 763t745-1400 WATS 1-80(} 462-5359
' FAX 763l745-1401
3une 8, 2001
City of Eagan
3836 Pilot Knob Road
Eagan, MN 55122
Dear Jan:
Elder Jones Corparation is authorized to pull building permits for Pella Windaws &
Doors - Twixi Cities, Inc. Please allow their representative to provide that service for us
in Eagan. This authorization shall be valid untii such time as the division manager
expressly revokes it, in writing ta the City. I rec}uest that this authorizarion be accepted experlitiously, so a.s to not delay the
processing of our building permits any fiirther. Please call me if there axe any questions,
I can-be cantacted at 763-745-1432.
Your iiiunediate attention to this matter ts appreciated.
'
.
__i ? -
Bryan . May.
Replacerrient Saies Manager
W*caw EiTEW. SMSB?
?
bnFxo?rin.st.QOCs
c;c: Kaza - Eldcr Jones ?n? ?-4?i+'l??-?.?
Denna Kxafly - Replacement Sales Process Coordinator ?
Windows, I?oors,
& Skyiights
7°nM crJrrrrl ATTAkT-_-ri" f,l'fT-r cT71 7TO vy.r JT!er Tus rniQnian
-s
CTTY OF EAGAN
L_,/ B ? MECHANICAL PERMIT
SUBD. (612) 681-4675
RESIDENTIAL
RECEIPT #
DATE
PLFA.SE COMPLETE UPpER PORTTON ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, COMPLETE FOR
TOWNHOMES/CONDUS WHEN SEPARATE PERMITS ARE REQUIRED FOR EACH DWELLING UNTT.
NER: FEES
E ADD?I? :?
[ ADD ON/REMODEL (E?IISTTNG
CONSTRUCTION ONLI) $ 15.00
INSTALLER.-
HVAC:
0.100 M BTU
24.00
ONE #: ADDITTONAL SO M BTU 6.00 ?
ADDRESS: H I ?, - C I GAS OUTLETS - MINIMUM 1@$3 EA.
CITi': ?I`? ZIP `1 SURCHARGE: $ ,50
SIGNATURE: TOTAL: $ ? ? -S v
COMMERCIAL
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAIJINDUSTRIAL BUILDINGS. ALSO COMPLETE FOR
APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR
EACH DWELLING UNIT.
GITY OF FACAN 'FOR CITY USE UNLY
3830 PILUT KNOB 1t0AD
EACAN, t,^.: 55122 PERMIT 0
Pt10NE: (612) 454-8100 RECEIPT M
...... . .. .... .. .. .... .......
?I.UZi$ZNG: ,PE?tMI2 DATE:
,.
RESIDENI'IA. U PLEASE COHPLETE UPPER PORTION ONLY FOR SINCLE FA?fILY D4IELLINCS , &
T04TNHOMES/CONDOS HHEN PERMITS ARE REQUIRED FOR EACH UNIT.
--- -------------------------- ------
WORK DESCRIPTION COMPLETE THE FOLIAWING:
N0. FIXTURES EA. TOTAL
NEW CONST ADD-ON MINIMUM 15.00
I
ADD SHOWER 3.00 ON 3.00
o
REPAIR 3 WATER CIASET 3.00
a BAT11'TUB 3.00 6'00
-- ?, lAVATORY 3.00 F15• o v
OWNER NAME: KITCNEN SINK 3.00 0 p
o
? LAUNDRY TRAY 3.00 3?0
S1TE ADDRESS • 80C) NOT Tl1B/SPA 3.00
? WATER NEATER 3.00 3•o a
LOT: $LOCK -,.?- SUBQ„_to? FLOOR DRAIN 3.00
? CAS PIPING OUT. o ;
Matthew Daniels ( (MINIMUM - 1) 3.00 3•0
INSTALLER;
5 ROUGH OPENINGS 1.50 ?
ADDRESS; 15185 Carousel Way OTNER
WATER SOFTENER 5.00
. '
CITY: ?Se ??t ZIp; 55068 PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
q; ' 423-3730
SIGN
RE OF PERMITTEE
SU ISTOTAL
ST. SURCHARGE
TOTAL:
$ 5z- s()
.50
s r
> 3'Dc)
,
GpliMERCIAL:%INDUSTRYAL: PLEASE COMPLETE TNZS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINCS AND
?? MULTI-FAHILY BUILDINCS W11EN SEPARATE PERMITS ARE NOT REQUIRED FOR EACki
DWELLING UNIT.
CONTP.ACT PRTCE:
OWNER NAME:
SITE ADDRESS:
LOT: BLOCK SUED.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FOR :
CI1'Y OF, EACAN
, • ?.
FEES
1$ OF CONTRACT FEE. '
STATE SURGtiARGE - $ . 50 FOR
EAC}I $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18 $
STATE SURCHARGE, $
TOTAL: $
(SIGNATURE)
i
? ,
INSPECTION RECORD
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS: Lo T:
800 QuRxL RIDGE
THE OAKS QF BRICIGEWATER
PERMIT SUBTYPE:
DECK
PERMIT TYPE: Bu ILDING
Permit Number: 023276
Date Issued: 0 4 f 11 / 9 A
I sLa c K: 2 APPLICANT:
Rq CORNELIUS, MIKE
2NCl (612) 933-0813
TYPE OF WORK:
ApDITION
INSPECTION .A . ..
FOO7INGS FINAL
.
,.
a
?.
??
C:ITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
e? ???A
4f?4IQq
BuxLoxNG
023276
04,r1s j94
SITE ADDRESS:
800 QUAIL RxQGE RD
I.OT: 1 BLqCK: 2
THE OAKS 0F BRIC)GEWATER 2ND
P.I.PI. e 10-75836-010--02
DESCRIPTION:
pECK
ADnITIOPI
tV oF czagan
REMARKS:
FEE SUMMARY:
Base Fee
Swrcharge
Lic. Search Fee
rotai Fee
$30.00
$ . 5 0
5.00
$35.50
CONTRACTOR: - Applicant - 5T. Lzc< QWNER:
CpF;IVELIUS, MIKE 19330813 0005718 P9CLEAN DAVID
3911 MERF2IAM RD 800 QUAIL RIqGE Rp
MINNETONKA MfU 55345 EAGAN MN
(612) 933-0813 (612)454--4876
?.
AP ICANT/ ERMITEE SIGNATURE ISSUED BY• SIG ATURE
CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION
681-4675
_r?
$,3.? . S 0
APR 0 1 1994
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
ralcs.
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 iast working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date =-I /; S I_ / Valuation of work pr o4,
Site Address: O A\L_ ??? ? • ?A L. 2 11 - I rJ I-Ag?
STREET SUITE #
Tenant Name: (commercial only)
LOT BLOCK r_ SUBD
I P. I. D. #
U
J?l.
e
Descri tion of work: ILZI
The appl i cant i s: ? Owner ? Contractor ? Other (Describe)
Name hC.Lt-zAw3 l?QNL? Phone 4,?->"'48'7 (v
Property LaST FIRST
Owner Address &0 v??L- ?-??? ? • ?
STREET STE #
City R_?LVA-2? State Zip
Company C_oQt3 O('1 V„S Phone
C011tC8Ct01' Address 'le1II VNU4Z-1k'"\ Q-L, License Exp.
City State Zip
Company Phone 4U? ? C:z'C61;Q0
Archfteet/
?.?g.?.e.r
Name .?ao Registration #
3?t, toP Address o.
Ci ty {-?f2i, 02- I.-JA.?. . State Zi p
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 pplicable State of Minnesota Statutes and City of
Eagan Ordinances.
?
LL ure of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation
? OZ SF Dwg.
? 03 SF Addition
? 04 SF Porch
? 05 SF Misc.
woRK rrPE
D 31 New
[?7 32 Addition
? 06 Duplex
0 07 4-Plex
? 08 8-Plex
? 09 12-Plex
0 10 Multi. Add'1.
11 33 Alterations
Cl 34 Repair
GENERAL INFORMATION
? r. N i .e I' .. .
?.
? 11 Apt./Lodging
? 12 Mu1ti. Misc.
? 13 Garage/Accessory
O ?ireplace
???15 Deck
? 35 Tenant Finish
? 36 Move
?
?. ,.? ?,,,?
O 16 ??sement? Finish
C] 17 Swim Pool
? 18 Corom./Ind.
? 19 Comm./Ind. Misc.
[7 20 Public Facility
E3 21 Miscellaneous
O 37 Demolish
Const. (Actual) Basement sq. ft. MWCG System
(Allowable) lst F1. sq. ft. City Water
UBC Occupancy 2nd F1. sq. ft. PRV Required
Zoning Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well , Census Code :!Z4_
Depth On-site sewage SAC Code
Census Bldg /
APPROVALS Census Unit
P1anning Building Assessments
Engineering Variance
REQUiRED INS PECTIONS
? _Site CJ'Footing O Framing ? Insulation
? Wallboard ET'71 nal ? Draintile ? 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 %
SAC Units
,DX,iL
vatuatian: $
,. ,- i , , ,e-
SUAVEYOR'S CER7'IFICAtE
. 4? R4'?? 8A3.7
i'
???
?? i ?
?- ?
? ?- .,,
os.8) %o
? . / ?.
BENCH MARK
tOP OF PIPE ?
EtEV.=8S3.17
R. A. KOT NOMES
REvIsea HausE
LOCATION 4-27-92
,
BENCH M4RK
TOP OF PIPE
ELLRt s B91.e9
? ? i-
4
tl77.9 ?
t8??,9 )
DENOTES PROP08LD SURFACE DHAtNAQE
o DENOTES IpON MQNUMENT SET .
r DENOTES (RON MONUMENT FOUND
X000.0 DENOTES tXIStING ELENATION
(000.0) DENOTES pROpOSEO P-LEVATION .
(B 7G, 0?'¢ .00
? NoYt: OUp.oiNO biMdrs+oNt 84owN ARE
,
• . ?IdN oR ?tA!lCW ONLY. iEE
AacNngcruru. Kuus Mn euILcINa
A frOl1NDATtO14 Ot1AEWI0NS. '
SCALrt; 1 INCH - 30 FEET
PROpOSED QARAQE PLOOR - d9t.7 FEET
PRdPOSED LOWFST FLOOFt ¦- 684-3 FEET
PROPOSED TOp OF gLOCK - gy;, I FEET
WE HEpEBY CER7IFY TO R. A. KOT NpMES TNAT tH1313 A 1'AUE ANO CORRECT
REPRESENTATION OF A SURVEY C?F THE 80UNDARIES OF:
Lot 0 Block
?
suba.;,t ak ,?--
UNDERGROUND SI'RIN?R SYSTEM
PLUMBINt; PERMIT
Date ? ? /,r 1 f k
Receipt D?l(-f]-
_ Commercial: $25.50 + water tap if rf quired. (City installs all taps up to 1"). If
adding new service, a water permix :-.-, J be required, as well.
X Existing residential: $15.50 (Plumbing,,?ermit not required if backflow preventor was
? previously installed).
_ Residential develonments: Fee to be df:termined by building inspections department.
May require paymznt of water permit, nlumbing permit, WAC, and water treatment
plant fees.
f(g
(Address to b,; sprinklered)
i tomeowner/Plumber: 14 e?`? ac,'- cr." l?
Phone #:
Street Address: P4 14-e_ X-) d '
?
City, State, Zip: CC
Owner Name: ? 46'?-
Street Address: <:V,
-1,
Phone #: /- C-) 7 - 3
s
Irrigation Contraetar:
Phone #: --???
? / Lt,?,?/? 7 2
I hereby knawled e that I have read this iipplicatio ? d state that the
correct n agree t c mply with all applicable City of Eagan Ordinances
?
cc: Engineering Department .
.r
Aor .
.t ..
information is
.
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
Control No. 0366
BUZLDING
000463 M1.'
05/04j92
SITE ADDRESS: Lor : 1 B L OC K: 2
8@0 QUAIL RIDGE RD
TNE OAKS OF BRIDGEWATER 2NQ
PERMIT SUBTYPE:
SF DWG
TYPE OF WORK:
NEW
INSPECTION
SITE . .
FOOTING .
FRAMING INSULATION
FIIVAL FIREPLACE
APPLICANT:
KOT HOh1ES R A
(612) 687-9513
R.EMARKS: RECEIPT N S&W PLBG. - MATTHEW-DANIELS PLBG.
F. ,
PERMIT
-? CITY OF.EAGi4N
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT TYPE:
Permit Number:
Date Issued:
Control No. 0366
BUILDTN6
000403
05/04/92
SITE ADDRESS:
800 QUAIL RIDGE RD
IQT: 1 BLOCK: 2
THE OAKS qF BRIDGEWATER 2MD.
DESCRIPTION:
PW .., _.
Permit Type
?rk Type
P
v e
S F DWG
NEW
R-3 M-1
VN
PD R-1
76
, ,.. .
. 55,
q,
SEE
'aff
REMARKS:
RECEIPT # S&W PLBG. - MA77HEW-DANIELS PLBG.
FEE SUMMARY:
Base Fee
Plan Revisw
5urcharge
5AC
SAG %
SAC Units
Subtntal
VALUATION $201.000
$993.00 MISC FEES
$645.45 Tatal Fee
$1@@.50
$700.0@
1@e
1
$2,438.95
$1.610.50
$4,049.45
CONTRACTOR: - Applicant - ST. I.IC. OWNER:
KOT HOMES R A 16879513 0001506 KOT HpME5 R A
7901 UPPER HAMLET CT 7901 UPPER NAMLET CT
APPLE VALLEY MN 55124 APPLE VALLEY MN 55124
(612) 687-9513 (612)687-9513
?aHIro b ,i.
4 S ED : GNATU E
CITY OF EAGAN
' 1992 BUILDING PERMIT APPLICATION
? 681-4675
??_..
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
of month in which re uest is made or lot chan e is re uested once ermit is issued.
Date & J6 /qJ-- Val uati on of work
Site Location: 8 0-6
STREET ' STE #
Tenant Name: ?16T ,??r?ti.c_.s s??
LOT BLOCK O'?-- St18D. Da),-s °-7e P.I.D. #
a "k ?G z
Descri tion of work:
The applicant is: Owner Contractor ? Other (Describe)
Name /<aT , R • A • /l a -i *?s Phone
Property LAST FIRST
OWIT@t' qddress '790 ( V j2 it 7t c7e
STREET STE 0
City ze '?4LZ?, State WA) Zip
Company Phone
Contractor Addre Li cense #
City State Zip
Company ?• f6 Phone
Architect/ ? ?
I
Eng
a ? ?z
Name Registration #
Address 3?Z l q9-ecva4erL b,'-' "'e-
City Eal State Itt A) Z i p S`S-l Z
Sewer & water licensed plumber ?J a??cls? w?,??. 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. ?
Z
4
71
Signature of Applicant: '
-7 ri
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 01 Foundation
Er02 Single Family
O 03 Two-family
? 04 Multi-fam. T.H.
? 05 Apt. Bldg.
WORK TYPE
JU 90 New
? 91 Addition
? 92 Alterations
? 06 Garage/Accessory
? 07 Fireplace
0 08 Deck
? 09 Basement Finish
O 10 Swim Pool
? 93 Remodel
? 94 Repair
? 95 Tenant
? 11 Res. Add./Porch
O 12 Comm./Ind. New
? 13 Comm./Ind. Add
? 14 Cormn./Ind. Rem.
13 15 Public Fac.
? 96 Move
? 97 Oemolish
Finish ? 99 Undefined
GENERAL tNFORMATION
Occupancy
Zon i ng pp R-1
Const. (Actual) V- N
(Allowable) v-N
# of Stories
Length ?-
Depth g ?
APPROVALS
Planning
Engineering
REQUIRED INSPECTIONS
O Site
? Wallboard
Basement sq. ft.
lst F1. sq. ft.
2nd F1. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Variance
? Footing
? Final
Permit Fee q??oL,)
Surcharge
Plan Review 1100 ; _0
ys
License
MWCC SAC , Qp , z, o
c; ty sac 1-00, 00
Water Conn. 6175, 0-0
Water Meter qg,Q o
Road Uni t 30;00
Treatment Pl. ?0D,,9D
Reed? . 3:0#ov
P.a?=1?--Bed -%&A? 3-0.070
??w
Copies °?
Other
Total : ? 49, ?
SAC % I c? ?
SAC Units
vatuation:
? f rami ng
? Draintile
$ 0,,z 01 D oo ,
C? ?' 3 2
a z ? ?
367 K 11,3qp y`4
W1z\,eH ft= 695
l3X /2 :
zxs- ?a
Assessments
MwCC System YE'S
City Water YS5
PRV Required
Booster Purop
Fire Sprinkler
Census Code pa
SAC Code ' a(
O 16 Agricultural
? 17 Building Move
0 18 Demolition
0 20 Miscellaneous
? Insulation
0 Fireplace
?
1'5 i P7?,ao 0-
?`-
t??LlxS"3?.
3 x.3111z. = it 3 E?' ?- -
?2
3? ?c ? ? 32?a r3A ?1 °
?z?a) Uz -; _-530
a X tb = ;Lo 14Y+4 X.S= (a)
?
'
Q
X
sy W
k= IS
2a
?
? ?? tz? .zq
,-l ?c ?, .? 2 W
/ e2 v ab,;Nbf
z,?.
?
? ? ??s<rX ?s :?
139
y 5"3
T7 '1'?'7
oo 2yI,
?
.?_,..
SURVEVOR'S CERfiIFICAtE
d•5???'?'4 ees.r
??? ? ,`?•
?? ?
\?' ?•.
.,.
? \ \
R. A. KOT MOMES
eENcH iMARK
?°E v°. = eP+s?17 -? j ?s
? i ? , ,?' ??• ?r j `?
.
+?? 2 ; ?'' y?g ??-? , ??
as?.?
i
p 3?.C?
/
ti
? c,•?Q ? / f, r?,$ ;??.
lly 887.
??Gc
?
p? u:
-?M.
t
? 16 7(,. ,cp4.Q P4
q?.? /
EAG N 0
V9Eo`
BY
?
DATE ?.
#----- DENOTES PRt7POSLD SURFACE DRAINAGE
O C7ENt7TES iFiQN MQNUMF-NT SET
6 bENpTE$ lRON IvIONUMENT FOUND
XO()O.U DENOTES EXiSTING ELEVATIQN
(U00.4) beNOTEs PROpOSED ELEVATIUN
..-
890.
'ply
REvISED H0.1SE
L0C14TION 4-27-92
,g
/s*,
sea
x ?
r4? 9 ? I
C
8s??.e
?
r
?
s
?2• <l
BEIVCFI MARK
TOP OF Plf'E
ELE1[ = 891.69
\ ?.?GAX `f- '
aaTE: SviLoiNo 01MEN51OW66HowN.A?R.g. .
? M!OR f1dR1tdM'RW?VlE ., Y. s c, "AL
A710N ?iF'.. $t
d?RFCN1MNbd1Tl0i? ??"101U.1tlAINr
SGk?: i iNCN = 30 FEET
PROPpSED C3ARAGE OLt70A ?li-I FEE't
PROPOStD LdWEST PLO?OR = 394S FEET
PRQPpSP-p TOP OP BLOCK j89;, jFEET
1NE NEREBY CERTIFY TO R. A. KOT HOMES TNAT TNIS IS A 1'FtiJE AND CORkECT
REPRESENTATIfSN t7F A$l1RVtY C?F TFIE Bt7UN[7ARIES OF:
Lof i, block 2, tFiE pAKS OF" 13RIDGEWATEft 2ND ADbiTION; acaardlng to fhe
recotddd pldi thertof; Dakofe County ; Minnesotn. .
IT DOES NOt OEJRPUkT TO 5H01?V IMPRQVEMIENTS OR ENCFtOACHIViEIVTS, EXCEPT AS SHl7WN. AS
SURVE'YEd 13Y ME OR UNpE*Ft MY DIFtECT SUPERVISION TFiI$ 14T H [7AY OF APRI L ; 1992.
NQTe: NQ SP
„ eCIhC , 9t3{LS, IWV?ESTIGIKT'ION
Iid3 BEtN OpM?ED,;bN tHIS
LOY. 13Y Twt §U"YOii. , THE . ..
$lifl'A00TY OF. $Qll.§,„1C1 S?JPP?'
Ti+E .s?c?ic>?No,itsE. P?POSEO 19 NOT,tFit Fi? .SPpNSI?1LITY OF
TNE 3U?'NEY014.
i?
?
Q?
r"
? 0
?
?
?5?
p
a
u)
= r-
?
S
W> cn
-?
o ? z Z W
_ Q m
.
?.
R. HILL, INC.
JOHN C. LApSO1J, LAIVD SUF#1lEYOR
MINNE5C1Tll LICEN3t NUMgEFi 19628
R?
? f ? in, c,,
ameH4
It
;
PLANNERS / EfVGiNEERS l 8UAiIEYOFtS
2600w. cnr. $40. 42 6 evRwsvilU, MN. 55331 '161§490-6044
?
L»*°r Bt.C:'&k 2 ? 7-h e 04 ks o F
• EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION
OWNER R.A. KOT HOMES, INC. PLAN N0._9-1316-2
SITE ADDRES5 Bridgewater
CONTRACTOR R.A. KOT HOMES, INC. DATE 03/14/92 PHONE 687-9513
DETERMIME WORKING SQUARE FOOTAGE
4880.42
1. Total exposed wall area 4940.72 sq.ft. x.11 543.4792
2. Total roof/ceiling area 1950 sq.ft x.026 00:5, 50.7 ?
3. Total f loor cant. area 149 sq. ft . x ¢r8-?8 ??•Li5
(over unheated enclosed areas)
4. Total floor cant. area 53 sq.ft. x ??
4
(over unheated exposed areas) rp ? 1
3 1
5. Total exposed wall area above the floor. 4494.42
a. Total wall window area ....................764.0136
b. Total door area ...........:............... 37.8189
c. Total slicling glass door area ............. 71.1022
d. Total fireplace area ...................... 0
e. Total wall framing area (ave. 10%)........ 449.442
f. Total net wall area above the floor....... 3172.043
g. Total rim joist area ...................... 386
TOTAL EXPOSED FOUNDATION AREA ................ 60.3
h. Total foundation window area .............. 0
i. Total net foundation area ................. 60.3
Determine "U" value of each wall segment.
a. 764.0136 x "U" 0.25 = 191.0034
b. 37.8189 x "U" 0.06 = 2.269134
0. 71.1022 x "U" 0.25 = 17.77555
d. 0 x "U" 0= 0
e. 449.442 x "U" 0.090334 = 40.6
f. 3172.043 x "U" 0.043215 = 137.0805
9. 386 x "U" 0.040683 = 15.70382
h. 0 x "U" 0.25 = 0
i. 60.3 x "U" 0.076161 = 4.592536
6 ............ ................ .........Tota1 409.025 -11,
If item #6 is the same as or less than item #1 you h.ave met the current
energy codes. 2 MCAR 1.16008 A AND O.
TOTAL EXPaSED ROOF/CEILING AREA 1950
j. Total skylight area ............. .......... 0
k. Total flat roof /ceiling framing area...... 195
l. Total net flat roof/ceiling area .....,.... 1755
Determine "U" valu e for ea ch roof/clg. segment
j. 0 x"U" 0= 0
k. 195 x"U" 0.026925 = 5.250404
1. 1755 x"U" 0.022795 = 40.00456
7 ...................................Total 45.25496 ?
If item #7 is the same as or less than item #2 you have met the
eneroy code. 2 MCAR 1.16008 A AND 0.
TOTAL FLOOR CANT. AREA (enclosed). 14?
• o. Total floor cant. framing area (ave. 10%). 14.9
p. Total net insulated floor/cant. area...... 134.1
Determine "U" value for each floor/cant. segment.
0. 14.9 x"U" 0.043879 = 0.653796
p. 134.1 x"U" 0.024254 = 3.252486
5 ...................................Total 3.906282 ..
If item #8 is the same as or less than item #3 you have met the
energy code. 2 MCAR 1.16008 A AND 0.
TOTAL FLOOR/CANT. AREA (expased) 53
q. Total floor/cant. f raming area (ave. 10%). 5.3
r. Total net insulated floor/cant. area...... 47.7
Determine "U" value for e ach floor/cant. segment.
q. 5.3 x"U" 0.057438 = 0.304423
r. 47.7 x"U" 0.027894 = 1.330544
9 ...................................Tota1 1.634967 e
If item #9 is the same as or less than item #4 you have met the
energy code. 2 MCAR 1.16008 A AND 0.
I HEREBY CERTIFY THAT I HAVE CA ULATED TH "U" FACTORS AND "
VALUES HEREIN AND THAT THE BUI DING HER CRIBED MEETS OR CEEDS
THE STATE OF MINNESOTA ENERGY CONSERV ION CT. ? _
(signature) U
(date)
DETERMINE "U" VALUES"
THRU STUD WITH SIDING & S.R.
Interior Air...... 0.68
Sheet Rock........ 0.45
Thermo-Break...... 0
Stud .............. 5.93
Sheathing......... 2.06
Siding............ 0.7$
Exterior Air...... 0.17
Total "R" Value..... ....... 11.07
1/R = "U" Value..... ....... 0.090334
THRU INSULATION WITH SIDING & S.R.
Interior Air...... 0.68
Sheet Rock........ 0.45
Thermo-Break...... 0
Insulation........ 19
Sheathing......... 2.06
Siding............ 0.78
Exterior Air...... 0.17
Total "R" Value............ 23.14
{ iAR = "U" Value............ 0.043215
THRU CEILING MEr1BER
Interior Air...... 0.68
Sheet Rock........ 0.58
Ceiling Member.... 4.35
Insulation........ 30.92
Still Air......... 0.61
Total "R" Value............ 37.14
1/R = "U" Value............ 0.026925
THRU CEILING INSULATION
Interior Air...... 0.68
Sheet Rock........ 0.58
Insulation........ 42
Still Air......... 0.61
Total "R" Value............ 43.87
1/R = "U" Value............ 0.022795
THRU CONCRETE BLOCK
Interior Air...... 0.68
conc. Blk......... 1.28
Insulation........ 11
Sheet Rk. (opt.). 0
Exterior Air...... 0.17
Total "R" Value............ 13.13
1/R = "U................... 0.076161
THRU RIM JOIST
Interior Air...... 0.68
Insulation........ 19
Rim Joist......... 1.89
Sheathing......... 2.06
Siding.... ........ 0.78
Exterior Air...... 0.17
Total "R" Value......,..... 24.58
1/R = "U................. 0.040683
tJ" value for window........ 0.25
U" value for doors......... 0.06
U" value for Patio Drs..... 0.25
THRU CANT. @ MEMBER (enclosed)
Interior air...... 0.68
Finish Flooring... 1.23
Sheathing......... 7.2
Plywood........... 0.93
JO1SZ ............. 11.0d
Sheet Rock........ 0.58
• Swill Air......... 0,61
Total "R" Value............ 22.79
1/R - „U................... 0.043879
THRU CANT. @ INSULATION (enclosed)
Interior Air......
Finish Flooring...
Sheathing.........
Plywood...........
Insulation........
Sheet Rock,.......
Still Air.........
0.68
1.23
7.2
0.93
30
0.58
0.61
Total "R" Value............ 41.23
1/R = "U................... 0.024254
THRU CANT. @ MEMBER (exposed)
Interior Air...... 0.68
Finish Flooring... 1.23
Underlayment...... 0
Plywood........... 0.93
Joist ............. 11.56
Sheathing......... 2.06
Soffit............ 0.7$
Exterior Air...... 0.17
Total "R" Value..., ........ 17.41
1/R = "U................... 0.057438
THRU CANT. @ INSULATION (exposed)
Interior Air...... 0.68
Finish Flooring... 1.23
Underlayment...... 0
Plywood........... 0.93
Insulation........ 30
Sheathing......... 2.06
Soffit............ 0.78
Exterior Air...... 0.17
Total "R" Value............ 35.85
i/R = „U................... 0.027894
,? ..-!.:f ? r. ?....,in.•l \.I. 1 . ? ii `??. ??t i . ? ? ? . e .
'}S: / r-?h;.`G
. ... ' I:.I'!.::Y'f
C., i ?
?r_!?.
..y 1.?.?....yt. .. .. . . .?r;! ;"'?:"..t° p;i•,.'i^,!(.;'... ?:l?;' C....
. . .. .
. ?
C''V?::;i ?.i....:i.
_ ?.
::;t?
"=1.;?. ?'f- .?.t't.:r?• ?r".? ...?....,?....4
?. +r,..? .? .i. e " .. .
?.. , . t .. .}: . ?, .... : ,.y.... .? .: ?.
T ?•,
t" ??"1'.
. t;:...,?•'?.? 1:??,!' .???ri.:.t.. ...
..:?..t_... ?_e _t ,.. ?.?. ., C;•
3210
M5 1201 }:iR.! 913M. F?.r_, rti, ?_0 _..?.11 ,1 "? .1.
.... , _ _ . .. .. .
?.. . ?:t:'C''?:'t'i_p,,.
731 . ':'J W.! ,
t •r? ..._ •? ,
.. .... ?. . .i??:.
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
-? CITY OF EAGAN
3830 PILOT KNOB RD - 55122 A ?' o _
651-681-4675 ?Q (1 I - ?, ?'
New Constructton Reauirements
? 3 registered sNe surveys showing sq. ff. of lot, sq. ff. of house
and all roofed areas (20% maximum lot coveraae allowed)
? 2 copies of plans (show beam d. window sizes; poured fnd. design; etc.)
? 1 set of energy caiculations
? 3 copies of free preservation plan ff lot platted cffer 7/1/93
DATE:
T T7 r ? ? _
DESCRIPTION OF WORK:
STREET ADDRESS:
LOT: ? BLOCK: ?' SUBD./P.I.D. #: _
?_g 1-1 - ?- j
Remodel/Reoair Reauirements
(4'copies of pian
J set of energy calculations for heated addittons
Ne survey for exterior addffions 3 decks '
CONSTRUCTION COST:
?Z' O
?
Name: Phone #: S 7
PROPERTY last ' Pirst
OWNER
Street Address: S???A
City
State:
Zip:
Company: Phone #:
(area code)
CONTRACTOR
Street Address: license #2012&73 Exp.
City State.A//l/ Zip: -5?573/
ARCHITECT/
ENGINEER Company: Name:
Telephone #: area code ( )
Streel Address: Registrotion #:
City
Sewer & water Iicensed plumber (reauired for new construttton onlv):
State:
P*nalty applies when address change and lot change ts requested once permit ts issued.
Zip:
I hereby acknowledge thct I have read this oppllcatton, state that the informatt ?Is and a re o compiy with all applicabl
??tate of Minnesota Statutes and City of Eagan Ordinances.
Stgnature of Applicant: ?
OFFICE USE ONLY
Certificates of Survey Received /,------Yes No
. ,
Tree Preservation Plan Received Yes No Not Required SEP 2 0 (9gg
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
0 02 SF Dwelling ? 07 5-piex ? 12 12-plex O 17 Garage ? 22 Porch/Addn. (4sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 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 ? 20 Pool ? 25 Miscetlaneous
WORK TYPE
31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg." 0 41 Wood Stove ? 45 Fire Repair
O 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
* Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Census Code
SAC Code
No. of Units C'
No. of Bldgs
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $2 -6
Surcharge ? `
Plan Review
License
MC/ES SAC ;
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PL
Park Ded.
Trails Ded.
Other
Copies
Total:
SAC Uni#s
% SAC
I SURVEYOR'S CENTIFICAlrE R.A. KOT HOMES
REvISEO MWSE
/Q LOCATION 4-27-92
, 4•S?i ?2Q ee3.71 ,
?°0
qt
1.? ` e83.?
-?? q ???3.81 %o
?
.?
117 Q
EOl.?E V = ? 9
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WE HEFiEBY CERtIFY TO R. A. KOT HpMES TNA7 tHl3 13 A?pUE AND CORRECT
REPRESENtATION OF A SURVEY OF THE 80UNDARIES OF:
MECHANICAL (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122 ?,
Telephone # 651-675-5675 FAX # 651-675-5674 ? ?? ,`??V
Please complete for: Single Family Dwellings
Townhomes and Condos when pernuts are required for each unit
Date
Site Address ?v C) i? Unit #
Property Owner L?AAA'r6 Telephone #( )
Contractor
?
12481 Rhode Isiand Ave. S0.
Street Address
S ??ni 553752_11'?') Clt3'
?
State Zip
Telephone #
The Applicant is Owner Ll Contractor Other
Add-on, modification or alteration to existing dwelling unit $ 30.00
furnace replacement
air exchanger
v air conditioner
other
State Surcharge __
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$ .50
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Total
_ $ oe
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I hereby apply for a Residenrial Mechanical Pernut and aclaiowledge 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 with the Mechanical Codes; that I understand this is not a
pernut, but only an applicarion for a perxnit, and work is not to start without a pernut; that the ork will be in accordance with the
approved plan in the case of work w'ch requires a review and approval of pl .
Applicant's Printed Name p licant's Sign t re
MECHANICAL (COMMERCIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete for: commerciaUindustrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
Date
Site Address Unit #
Tenant Name (if applicable) Previous Tenant Name
Property Owner Telephone # ( )
Contractor
Street Address City
State Zip Telephone # ( )
The Applicant is Owner Contractor Other
Work Type
New construction Underground Tank _Install _Remove
Interior Improvement Call for inspection during installation/removal of tank
Processed Piping
Nature of Work:
Permit Fee $50.50 Minimum Fee (includes State Surcharge)
Contract Value $ x .01% _ $ Permit Fee
• If permit fee is $1,000 or less, add $.50 ? $ State Surcharge
If pernut fee is over $1,000, add $.50 per
$1,000 Pernut Fee
$ Total Fee
I hereby apply for a Commercial Mechanical 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 with the Mechanical Codes; that I understand this is
not a permit, but only an application for a pernut, and work is not to start without a pernut; that the wark will be in accordance with
the approved plan in the case of work which requires a review and approval of plans.
Applicant's Printed Name
Applicant's Signature
Approved By: , Inspectar Date:
2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomes/condos when permits are required for each unit
Date ? / _1 / Oq
Site Address
2cx) Unit #
Property Owner J_f8 11 fYi / Q? Telephone # ((CLR)
Contractor
, LLe
12481 Rhaie island Ave. SO.
Street Address
Savage City
,
State Zip
Telephone # (?S2) ? Q (! -(JC6s-
Bond #:?? ??(? ? Ex
ires:
p
The Applicant is Owner ? Contractor Other
Add-on or alteration to existing dwelling unit $ 30.00
? furnace _Additional ?Replacement
? air exchanger
air conditioner _New _Replacement
other
State Surcharge $ .50
T
l rr?
7 T U U ?
?
$ ?V , _1
)
ota lv
N ..
MAY 1 7 2004
O
uu ?
I hereby apply for a Residential Mechanical Perxnit and acknowledge that information is complete a d accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and , that I understand this is not a
pernut, but only an applicarion for a pernut, and work is not to start without a pernut; that the work will be in accordance with the
app ued plan in the case of work which requires a review and approval of plans ?
.
A /esi'IC??Cc?'1 ?
Applicant's Printed Name Ap`plicant's Signature
2004 COMMERCIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
Date / /
Site Street Address Unit #
Tenant Name (if applicable) Previous Tenant Name
Property Owner Telephone # ( )
Contractor
Street Address City
State Zip Telephone # ( )
Bond #: Expires:
The Applicant is Owner Contractor Other
Work Type
New Construction _ Underground Tank _ Install _ Remove **see below
Interior Improvement _ Install Piping _ Processed _Gas
Nature of Work:
**When installing/removing underground tank, call for inspection by Fire Marshal and Plumbing Inspector
Permlt Fees: $70.50 Underground tank installation/remova]
$50.50 A:h¢:n:um (inc:udes State $urcha*ge)
or
Contract Value $ x 1% _ $ Pernut Fee
• If nernut fee is $1,000 or less, add $.50 ? $ State Surcharge
If en rmit fee is over $1,000, add $.50 for
every $1,000 pernut fee $ Total Fee
I hereby apply for a Commercial Mechanical Permit and aclrnowledge 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 with the Mechanical Codes; that I understand this is
not a pemut, but only an application for a permit, and work is not to start without a pernut; that the work will be in accordance with
the approved plan in the case of work which requires a review and approval of plans.
Applicant's Printed Name
Applicant's Signature
Approved By: , Inspector Date:
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 800 Quail Ridge Rd
Lot: 1 Block: 2 Addition: The Oaks of Bridgewater 2nd
PID:10- 75836- 010 -02
Use:
Description:
Sub Type:
Work Type:
Description:
e - Water Heater
Replace
Water Heater
Meter Size Meter Type
Comments:
Fee Summary:
Contractor:
Gavic & Sons Plumbing & Water Special
12725 Nightengale St NW
Coon Rapids MN 55448
(763) 755 -6468
Manufacturer
Paul Gavic
1424 3rd St N
Minneapolis, MN 55411
PL - Permit Fee (WS & /or WH)
Surcharge -Fixed
Total:
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Serial Number Remote Number
Owner:
David J Mclean
800 Quail Ridge Rd
Eagan MN 55122
$50.00 0801.4087
$0.50 9001.2195
$50.50
Issued By: Signature
Plumbing
EA087671
12/05/2008
ePermit
Line Size
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
PERMIT
City of Eaan
Site Address: 800 Quail Ridge Rd
Lot: 1 Block: 2 Addition: The Oaks of Bridgewater 2nd
PID:10- 75836- 010 -02
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments: If there is no ice protection inspec
acceptable in lieu of inspections.
Fee Summary:
Valuation: 3,000.00
Contractor:
Hometown Restoration
7308 Aspen Ln N #110
Brooklyn Park MN 55428
(763) 494 -8695
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
Applicant/Permitee: Signature
- Applicant -
Construction Type:
Occupancy:
on prior to final, you must meet inspector with ladder and flat bar. Pictures are not
Owner:
David J Mclean
800 Quail Ridge Rd
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
$90.00
Issued By: Signature
Building
EA083616
06/17/2008
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA130926
Date Issued:05/21/2015
Permit Category:ePermit
Site Address: 800 Quail Ridge Rd
Lot:1 Block: 2 Addition: The Oaks Of Bridgewater 2nd
PID:10-75836-02-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Todd Lind
800 Quail Ridge Rd
Eagan MN 55123
Golden Valley Heating & Air
5182 West Broadway
Crystal MN 55429
(763) 535-2000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA163938
Date Issued:09/16/2020
Permit Category:ePermit
Site Address: 800 Quail Ridge Rd
Lot:1 Block: 2 Addition: The Oaks Of Bridgewater 2nd
PID:10-75836-02-010
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Thomas Werner
800 Quail Ridge Rd
Eagan MN 55123
(651) 248-8098
Minnesota Exteriors Inc
8600 Jefferson Hwy
Osseo MN 55369
(763) 391-5514
Applicant/Permitee: Signature Issued By: Signature