815 Quail Ridge Rdt
RBACTIVATE FOR DECR 05/ 13/Q3
`? -• JA!!ES GRBBN 686-7195
.1 ?
(Itx#i#tra#t uf (Orrupanry
Citp of (Eagatt
EP}tarbliPttt id NUab%, i1tB#iPtttDlt
Tltis Cernfiaale issued pursuant to the requrrements of Section 306 ojthe Uniform Building
Code certifying that at the tinre of issuance this structure was in compliance with the various
ordinances of the City regulating building constnxtion or use. For !he jollowing.
uK clewirK.aoe %"UC/GAR eas. Perudi rb. ?
? 1 PD VN
? ??r'..E1AR[?.S CU? rJO? ??=1802 WOO?AI?. I7R, 4itM& TRY
??815 Q?IAiL RIIIXM ROAD ?, L 11, B 1, I? QAKS ?' BRID(?JA1Fdt Z?ID
,
n.I. 7/23/42
s? oeba? ;
POST IN A CONSPICUOUS PLACE
s x ? w s
y ?!? ?' :?.,_ ? . . - ?''S¢ ?'i'?'?? •3
. . _ . 4 .. . ? .. . ..._? _ . _ ?. . _ ..? 4 ._.._...,n. ,m...?
C°"tr°'
INSPECTION RECORD I "°.
, G1T'f OF F-Ib?GAN REACTIVATE FOR DECK 05/ 13/93 pERMIT TYPE: l?;E 1.1 ii l 19l?
3830 Pilot Knob Road JAMES GRBEN 686-7795 Permit Number: uAt?lti?r.
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: LOTr 11 BLO„ CK. I APPLICANT:
oif. QuAxl RZUAE RD r.,utlp Co
THE aAKS OF= BRXb(3k:WATEIt 2NO (612) 731-9163
PERMIT SUBTYPE: TYPE OF WORK:
`: f f,Wtv Nrt W
INSPECTION
sIt!• DA •
t utll'IiiH ?ATE INSPTR.
F"N AM IMfi iNSUt.AT I4N
WAL I RqAl?1s fiAMAI.
F1Rti{'I At t
Pf`mAitKSs PULAR PLUMFB X NCi
Permit No. Permk HoWer Date Telephone #
SN11
PLUMBING
HVAC ??$ 9
ELECTRIC
ELECTRIC'
Mspection Date Insp. Comments
Footings I
<
Foundation
Framing s
Roafing
Rough Pibg.
Rough Htg.
?t! - S
Isul. '? J
L/ Q
?
Firepiace 5
Fnal Htg. -??T 9? 94
Orsat Test
Fnal Plbg. .?? Plbg. Inspector - Notify Plumber
Const. Meter
EngrJPlan
Bidg. Final
Deck Fcg.
Deck Final
Well
Pr. Disp.
?-7?2 ?? Z C /? ?. ? .?
.?
CASH RECEIPT
? CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE - ? 19
FIEcerveo
snoM 1_6 Lt
c
AMOUNT
/
8 DOLLARS ?
,oo
? CASH ? CHECK ?
wa ?J ? ? +•? ..!., (? ? _L.?=
L.. l ( . I??? I t .r? .i? .J i?-4i
BY ?
C' 0 17914 VV,tte-Payers Copy
Yelbw--Posfirg Copy ?
Pink--File Copy
Thank You
SE ER &YfATER PERMiT
CI OF .E,4GAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
METER #
CHIP #
I METER SIZE
DATE MAR 23 , 1992 ISSUE DATE
usE oNLY
PERMITDATE 03/24/92
PERMIT # 14629 r.-.
B.P. RECEIPT #?- CE7P"?
B.P. RECEIPT DATE 03/23 f q2
PRV - BOOSTER PUMP ?
SITE ADDRESS $15 QUAIL RIDGE RD PERMIT REQUESTED
LOT 11 BLOCK 1 SEGSUB THE OAKS Ck I3Y.IDGEWATER 2ND
_X SEWER X WATER _ TAPS
APPLICANT:
ADDRESS:
CITY, STATE ZIP
PHONE:
PLUMBER: POLAR PLBG
ADDRESS: 60$7 46TFI ST N
CITY, STATE dAKDALE N1I+1 Zip 55128
PHONE: 777-7525
OWNER: CliARLES CUDD CO
ADDRESS: 1802 WflODDALE DR
CITY, STATE WOOD$URY MN ZIP 55125
PHONE: 731-3153
COMM/IND
X NEW
X RESIDENTIAL
- EXISTING
Lawn Sprinkler Meters are to be Installed r
Ahead of Domestic Meters Water Line.
Credj.tWILL T be giv? ct Meters.
ftGREE TO COMPLY WITH CITY OF
AGAN ORDINANCES
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEP7.
r ,. . ., ,h v-^• .,. .--,,..,..?:n,..
\ SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE MAR 23, 1992
ICE USE ONLY
METER#??a 3I ?O 8 PERMITDATE 03/24/92
/
CHIP #6? ? 7 7? PERMIT # 14629
METER SIZE e su B.P. RECEIPT # ??`
ISSUE DATE ?? 3? ??? B.P. RECEIPT DATE 03123 192
_ PRV _ BOOSTER PUMP
SITE ADDRESS 815 QUAIL RIDGE RD
LOT 11 BLOCK 1 SEC/SUB THE OAKS OF BRIDGEWATER 2ND
APPLICANT:
ADDRESS:_
CITY, STATE
PHONE: -
ZIP
PLUMBER: POLAR PLBG
ADDRESS: 6087 46TH ST N
CITY, STATE OAKDALE MN ZIP 55128
PHONE: 777-7525
PERMIT REGIUESTED
X SEWER X WATER - TAPS
? COMM/IND
?
c X NEW
X RESIDENTIAL
- EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters ater Line.
Cre WILL T be giv ct Meters.
?
I REE TO COMPLY WITH CITY OF
OWNER: CHARLES CUDD CO AGAN ORDINANCES
/
'`'` " ,
ADDRESS: 1802 WOODDALE DR a-11-
CITY, STATE w?DBURY MN Z?P 55125 ?
PHO?IE: 731-3153 _ SIGNATURE WHEN METER ISSUED ?
,.?'?r..a
PLEASE?ALLOW TWO WORKING DAYS FOR PROCIESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT. ?
?f
ttESIDENTIAI
? BUtLDING PERMIT APPLICATION 4)_0O•
r 4777-1 CITY OF EAGAN
3830 PILOT KNOB RD - 55122 t
651-681-4675 CA",p? z
`?7 ? ;7 0 I
New Construction Reauirements RemodeilReoair Reauirements -
• 3 registered site surveys showing sq. ft of lot sg. ft. of house; and eli 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 & window sizes; poured found design, etc.) . 1 site survey for exterior additions & decks
• 1 set of Energy Calc?,iations
• 3 copies oE Tree Preseroadan Plan if lot platted after 711/93
. Rim Joist Detail Options selection sheet (bldgs with 3 or less units)
DATE VALUATION (EXCLUDING LAND) /D ?.-
.;JB SITE ADDRESS ,?`? ?ic?: L-l?T?? ??• ???- ? ?? ?Z?
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTYOWNER?li-f')
TYPE OF WORK a -0 Je<--71'7 `y' ' r'j" ?f°zrZ_ _ FIREPLACE(S) _0 -l _2 _3
APPLICANT W-l 5n6 PHONE # ? 33
ADDRESS -70 ? CLO r ZIPCODE ?r3 3 ?
PAGER # CELL PHONE # FAX #?Ss?'-
NIEV RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
MINNESOTA RULES 7672
Plumbing Contractor: Phone #:
Plumbing System Includes: _ `Vater Softener ? I.a-wn Sprinkler
Water Heater
? 1\TO. of R.I. Baths
No. of Baths
Mechanical Contractor: Phone #
Nlechanical System Includes: - Air Conditioning
- Heat Recovery System
Sewer/Water Contractor: Phone #
New Energy Code Worksheet Submitted
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the informati n is
all applicable State of Minnesota Statutes and Ciiy of Eogan Ordinances.
}
Stgnature of Applicant
Certificates of Survey Received
Tree Preservation Plan Received _
Fee: $90.00
Fee: $70.00
?a Yc?• ? ac?
By
a agre to comp y wi
Not Required _
Updated 1/01
OFFICE USE ONLY
13 01 Foundation
? 02 SF Dwelling
? 03 01 of _ ptex
? 04 02-plex
? 05 03-plex
0 06 04-plex
O 07 05-plex ? 13 16-piex
? OS 06-plex ? 16 Fireplace
? 09 07-plex O 17 Garage
? 10 08-piex ? 18 Deck
0 11 10-plex ? 19 Lower Levei
0 12 12-plex Plbg Y or _ N
,. o 20 Poo!
? 21 Porch (3-sea.)
? 22 Porch/Addn. (4-sea.)
0 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg '
? 31 Ext. Alt - Multi
0 33 Ext. Alt - SF
b 36 Multi
? 31 New
El 32 Addition
? 33 Alteration
0 34 Replacement
? 35 Int Improvement CJ 38 Demolish (Interior) C] 44 Siding
O 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 37 Demolish (Bldg)* ? 43 Reroof 0 46 Windows/Doors
•Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy IC -3 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
7'/(/
Type of Const Width
REQUIRED I NSPECTIONS
_ Footings (new bldg) _ FinayC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile
Roof Ice & Water Final Other
_ Framing~ ? Pool ?O Ftgs ? Air/Gas Tests _ Final
_ Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone
_ Insulation _ Windows (new/replacement)
Approved By t-y-? , Building Inspector
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
Address : 815" - ? ??? Lot 11 Blk 1 Sec/Sub? OAKS OF B?RIDCF
,WAM 2ND
These items were/were not complete at the time of the final inspection.
D t: 7/23/92 Yes No Ins
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 test caps from the plumbing
system and the shut-off of water supply to the outside lawn faucet before
freeze potential exists. &
RECYClE0R1PER
White - City copy Yellow - Resident copy Pink.- Contractor copy
? DATE: M1R 24, 1992
RE: 815 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 completed, but the meter cannot
be issued or occupancy allowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REGIUIRED BY LAW. ,
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
05 ?0 r
?
'IV
Request Date
_ n?+?n
4 Fire No. Rough-in . ection
R uir
Ready Now?ill Notify Inspector
?
Wh
R
d
7
G L?' es G No en
ea
y
IXlicensed contractor E) owner hereby request inspection of above electrical work at:
Job Address (Street, Box or Route No.)
IZ
d Ciry
c-
.
- , a. C4 ?
Section No.
a?• rnship Name or No. Range No. County
?? ?f-,q
Occupant(PRINT)
ka Wd.d CO • Phone No,
PowerSupplier
' ct ?r l-e c-y(c Address Yti" SGJO7d
4 ?o - 220?? .(,Ues ? T
Electr al Contredor (Company Name)
II 1 vi S ?I e-c4- . Q vt (2,-, Co - Contractor's License No.
A C)D Q
Mailing Address (Contractor or OwnerMaking Instal tion)
?
?
s ?
K.V I
V (J? C l I
s
Authorized Signature (Contrador/Owner Making Installatfon) 7
b W
4
e ne oNumber
2lo
V if "
MINNESOTA STATE BOARD OF ELECTRICITY ? THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room 5-173 Cj U BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St. Paul, MN 55104 ? UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 r-'6t 0) ct ki ENCLOSED.
?el?pP- REQUEST FOR ELECTRICAL INSPECTION ??e?' EB-00001-0?8)
? See instructions for completing this form on back of yellow copy.
291X" Be/dfv Work Covered by This Request
e 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 (specify) Contractor's Remarks:
Compute Inspection Fee Below: ?e? H o
y?' ?Qp ?
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps .? 0 to 100 Amps $(, DO
Transformers Above 200 Amps Above 100 Amps
Signs Inspector's Use Only: TOTAL
Irri ation Booms OQ
t
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDER ISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
f Rough-in oacey_y
certi
y that the above inspection has
been made. Final Dat r
OFPICE USE ONLY
This request void 18 months from
3 ?
4 ?? ?
i,C? (2
%d
? Ll
a
?
Request Date Fre No.
-/'Z )
? Rough-in Inspe i n
Required?
?Ready Now fl Will Notify Inspector
R
Wh
d
?
j G Yes No en
ea
y
I xlicensed contractor p owner hereby request inspection of above electrical work at:
Job lvfJdress (Street, Box or Route No.) City
?
j
e-t
Sectfon No. Township Name or No. Range No. County
/
Occupant'JPRINT) Phone No.
Power Sapplier Address
?.? A.
Electrical Contrector (Company Name) Contractor's License No.
C-140aol
MaiHng Address (CoMractor or Owner Making Installation)
Authorize Signaiure (Contractoi/Ow r Maki In tailation) Phone Number 41:7 v>
/ iV
MINNESOTA ST E BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Mid Idg. - Room 5-173 8E ACCEPTED BY.THE STATE BOQRD
1827 University Ave.,St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCIOSED.
REQUEST FOR ELECTRICAL INSPECTION es-oooo,-os
? See instructions for completing this form on back of yellow copy.
4 c/
J. 4 3 71,54? ? X" Below Work Covered by This Request
ew ljdd 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 (specify) Contractor's Remarks:
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Sdvimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 Amps A 0 Amps
Slgns Inspector's Use Only: ?- TOTAL
Irrigation Booms r J • ??
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORD SCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
if
h
h Rough-in ( Date
y t
cert
at t
e above inspection has
been made. Final 6
Q e - ,:? .?r
OFFICE USE ONLY
This request void 18 months trom
6 goyG
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
. City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Requirements Remodel/Repair Re4uiremenis Offrce Use-CJ? R
3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Ceri caf ?ifrvey Recd Y N.
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres P€an Recd ? N:
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks 7ree Pres Requited' ' Y ?1
1 set of Energy Calculations Addition - indicate if on-site septic system Qn-s.t#e.Septic SystQm ,?„ Y N
3 copies of Tree Preservation Plan if lot platted afier 7/1/93
Rim Joisi Detail Options selection sheet (buildings with 3 or less units)
Date
Site Address
Description of Work
Multi-Family Bldg _ Y _ N
Construction Cost
n.
Fireplace(s) _ 0 =? _ 2
Unit/Ste #
Property Owner ? b +/VL ?- ?'? ? ? Vd?2 ? ?? Telephone # (6?1) n ^ :772 S
?
Contractor
Address
State Zip ?4 ;1<-) Telephone # (7'5 d9
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Categorv 1 _ Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(,I submission type) Submitted Submitted
. Energy Envelope Calculations 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 # (
Telephone # (
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
approval of plans.
J?m 1
Applicant's Printed Name 4AlicantV'ss Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex O 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
?/761vb e
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building" ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement `Demolition (Entire Bidg) - Give PCA handout to applicant
R -3
Valuation MCES System
Occupancy
Census Code L? Zoning - ? City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) ?j FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof
Ice & Water Final _ Pool _ Ftgs _ Air/Gas Tests Final
_
ZO Framing _ _ Siding _ Stucco _ Stone _ Brick
Ld Fireplace )p R.I. )0 Air Test !? Final _ Windows
X Insulation Retaining Wall
Approved By: ` , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
-30, 15v
2005 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 pernuts are required for each unit
Date O?)
? I . h
I /?
? v
? ? ? ? •
it #
U
Site Address 1
J n
Property Owner 4),: nL, MN UY c V- Telephone #( )
Contractor
(Zulcull
I LI 9
Str
t Addr L) Gj ?? ? `"? +Vj• Cit
??? I Xn1 vlk
ee
ess .
y
State Zip 'Fa-X4 Telephone # ( ?? ) Aa J ! ! `7 `l
Bond #• ?'I " Expires:
The Applicant is Owner Contractor Other
Add-on or alteration to existing dwelling unit $ 30.00
_ furnace _Additional _ Replacement
air exchanger
air conditioner
other Llll2 New Replacement ,?
1 1? 1 ? S(.?.'`? ?,?6tit/1 '?i11
State Surcharge $ .50
$ ?
U
Total d-,/
I hereby apply for a Residential Mechanical Pernut 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
pernut, 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
approvAd plan in the case of work which requires a review and approval of pl s?
-? ?1?a??
Applicant's Printed Name Applicant's Signature ?
; P,1AR 2 3 2005
2005 COMMERCIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: commerciaUindustrial buildings
multi-family buildings when separate pernuts 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
PCt'mlt FeeS: $70.50 Underground ta:ilc instaliation/removal
$50.50 Minimum (includes State Surchazge)
OC
Contract Value $ x 1% _ $ Permit Fee
• If pernut fee is $1,000 or less, add $.50 => $ State Surcharge
If vermit fee is over $1,000, add $.50 for
every $1,000 ernutfee $ Total Fee
i nereny appiy ror a Commerciai Mechanical Pernut 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 pernut, 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:
2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
?10 -i;i
I I l
D
? l
?
?
ate
?
Site Street Address ?? `?erl l P "dc c R Ci ' Unit #
Property OwnerA (JDIC ?1111Ci.OlJ?- Telephone # ( )
Contractor Telephone #?? ?qy
?
N Zip
Address ?- ? L rD ? L V-? ? • City State
The Applicant is: Owner ? Contractor _Other
Alterations to existing dwelling $ 50.00
? Add plumbing fixtures (excludes water softener and/or water heater--complete next
section if installing these appliances).
_Septic System Abandonment
_Water Turnaround (add $125.00 if a 5/8" meter is required)
Other:
Water Softener Water Heater $ 15.00
_ new _ replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ . 30.00
State Surcharge $ .50
$
Total .
I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved.
Is
Applicant's Printed Name Applicant's Signature
PERMIT # RECEIPT DATE: 1-4 49=,
- I - C) Z_
8008 MIDENTIAL PLUHI$IN6? PERNIIT APPLICATION 15.56)
crrY oF EAeArr
3$30 PILOT KNOB RD
EAfiAv. Mx 551 E2
651-6$1-4675 pRTUTM
Please complete for: single family dwellings, townhomes and condos when permits are required for APR 2 9?002
backflow preventer for irrigation system ?
SITE ADDRESS: outur
I''" 1 IW ? By
OWNER NAME: : TELEPHONE #: 'KI "42,0-7
(AREA CODE)
????IVIRE & soNs 1-?'l?"lb
INSTALLER NAME: 605 12t?i ?1venUE South TELEPHONE #:
STREET ADDRESS: ilOaIUnS; lVIN 55343 (AREA CODE)
CITY: STATE: ZIP:
14. /r n r, "1'Yl
_ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00
includes $40.00 County fee
Note: Additional consultant fees may apply
• MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
_ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00
_ Abandonment of septic system.
_ Water turnaround - existing dwelling unit (+ 5/8" meter if needed -$118)
Other:
_ RPZ: new installation/repair/rebuild $ 30.00
_ lawn irrigation system
R_ water softener K/Water heater $ 15.00
State Surcharge $ .50
Total ?jOO
$
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It
is the applicanYs responsibility to notify the property owner that the City of Eagan assumes no liability or any damages caused by the City during its normal
operational and maintenance activities to the facilities constructed under this permit within Ci prop /right-of-way/easement.
SIGNATU E F PER iTEE 1/02
i t- ': e tkltu 11.1: 1_4u I u; .iFa1hL5 k HI Ll. 11JC TEL N0, 612 E90-6244 0083 POI
-.- ? ?
L1K)°53'37„ - 539°00'29E N
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QUAIL;,J? .?_ .. . _....RIDGE ._.?. NROAD
? . . • ?, • . , .. , ., . .? .. ?' ? ', _' r •?
?y pENO?ES PAOPOSED SURFACE dRAINAGE ??? ? ' •--._?,?c.s??' ? ? ,..
0 DENOTE5 IRON MONUMENT SET ,?, AtE'' •??.?... FEE1'
• dENOTES IRdN MONUMEN7 FOUND p?iOPOSEn GA??IGE f EE1'
X000,0 DENOTE5 EXI5TIN0 ELEVATION PROPOSED LOWEST FLOOR -96j,.yj -,FEE't
(000,0) DENOTES PROPOSED EI.EVATiON PROPO.SED TOP OF pI.OCK - e.477. i3 FEET
WE HEREBY CERTIFY TO CHARL.ES CUDD C0, 7HAT THIS IS A TRUE AND CORRECT
REPRESENTA7IUN UF A SURvEY OF THE BOUNDARIE5 OF;
l.ot 11, Bixk I, THE OAKS OF BRIOGEWAI'ER 2ND ADDITION, occordin9 to t he
recorded plot thereof, Dakdn County, Minnesota.
IT DOES NOT PUpPdH7 TO SHOW IMPROVEM?NT5 OR ENCROACHMENTS, EXCEPT AS SMOWN, AS
SUpVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 5T H DAY OF MARCN , 19w,
SIQNED( JA E R;.NILL,.IN.C. ?
'Ir
JONN C, LAASON, LAND SURVEYOR
MINNE507A LICENSE NUM6ER 19828
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PLANNERS / ENGINEERS / SURVE`rORS
2500 W. C'fY, RD. 42 • BURNSVILIE, MN, 553,17 9 Ri2,nn().604A
3RVEYCaR'$ CERTIFICATF. CHARLES cuaD co,
REAC?T,IYATE ?
PERhtiST # ----------=----
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? C661 0 l l1d W
CITY OF EAGAN
1993 BUILDING PERMIT APPLICATION
681-4675 ?-- '?
SINGLE & M - 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 Valuation of work
Site Address:_TIE 0-U-A? ? 8,106C 12 ?? ?A-4-A n1
STREET SUITE M
Tenant Name: (commercial only)
LOT BLOCK ? SUBD. w ATE-
?
P . i . D .
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Descri tion of work: e7G
The appl i cant i s: olOwner ? Contractor ? Other (oes??ibe)
Name ? p e- iE N ?TAmo_S' Phone tl:?
PrOpErty LAST FIRST
Owner Address GZLc Ot 1 L 9 1106-67 R?
,
STREET STE 0 ?
City State f''? ?'? Zip
Company d w Nc- 12 Phone
Co ntractor Address License # Exp.
City State Zip
Company N 16- Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber . Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this apPlication and state that the information is
correct and agree to comply wi h all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signatu.re of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? OI Foundation
? 02 SF Qwg.
El 03 SF Addition
0 04 SF Porch
? 05 SF Misc.
WORK TYPE
? 31 New
O 32 Addition
? 06 Duplex
? 07 4-Plex
? 08 8-Plex
0 09 12-Plex
? 10 Mu1ti. Add'1.
O 33 Alterations
[3 34 Repair
GENERAL INFORMATION
O 11 Apt./Lodging
0 12 Multi. Misc.
? 13 Garage/Accessory
O 14 Fireplace
A 15 Deck
O 35 Tenant Finish
? 36 Move
-? .
? 16 Basement?Finish
D 17 Swim Pool O 18 Cort?n./Ind.
rtn
0 19 Comm./Ind. Misc.
E3 20 Public Facility
E3 21 Miscellaneous
O 37 Demolish
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) lst F1. sq. ft. City Water
UBC Occupancy 1z 3 2nd F1. sq. ft. PRY Required
Zoning Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code 434
Depth On-site sewage SAC Code
APPROVALS
Planning Building Assessments
Engineering Variance
REQUIRED tN SPECTIONS
• Site ? Footing 0 Framing ? Insulation
• Wallbaard 1?1 Final O Draintile 0 Fireplace
Permi t Fee N G _ vetuac;«,:
Surcharge
Plan Review
iieense
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
Copies „v
Other
Total:
S
SAC %
SAC Units
? . .. .? . ?...
' r1AR-11-' Q2 IJEL? 10:04 I D: JAMES R H I LL I tJC
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SURVEYCaR'S GERTIFICATE
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TEL N0:612 890-6244 4083 P01
CHARLES CUDD CO.
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= DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRQN MONUMENT $ET FEET
• DENdTES IRON MONUMENT FOUND PROPOSED GAA C.ti15 FLpqr- ?gx 13 -€EET
X000.0 DENOTES EXISTING ELEVATION PROpaSED LOWEST FLOOR f' '?EET
(000.0) DENOTES PROPOSED ELEVATIpN PROPOSED TOP OF gL6CK - 8-77. 13 FEEiT
WE HEREBY CER71FY TO CNARLES CUDD C0. THAT TH15 IS A TRUE AND CORRECT
REPRESENTATION C7F A SURVEY OF THE BOUNDARIES OF:
l.ot 11, Block I, THE OAKS OF BRIDGEWATER 2ND ADDITION, according to the
reccrded piat thereof, pokc*a County, Minnesolo.
iT DOES NOT PUaPORT TO SHOW IMPROVEMENTS QR ENCROACHMENTS, EXCEPT AS SHOWN, AS
SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THtS 5T H bAY OF MARCH , 1992.
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R:.H1LL,.INC.
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J4HN C. LARSC7N; LAND SURVEYOR
MINNESOTA LICENSE NUMBER 19828
inc.
James R. f??. , PLANNERS / ENGINEERS / SURVEYORS
2500 W. CTY. RD. 42 • QURNSVILLE, MN. 55337 • 612•890-6044
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iw SMM 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. Var,Ov2rbeke :
Enclosed please find a check in the amount of $15,100.00 as pre-
payment of pending assessments for lot 11, 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 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.
P?ease sicrfl both copies and return orie to my azzention. Shou'Ld you
have any ?questions, please call me at 835-2808. Thank you for your
cooperation with this matter.
Sincerely,
Patti loehn
Acco tin Manager
?l
John Hankinson, Vice President Gen
D et Date
anOverbeke, City of Eagan
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Planners ¦ Developers ¦ Contractors
Z ?
HOUSE HEATING TEST RECORD
(Orsatt Test)
Address
Occupant
?-?-,
Floor City Suburb
Owner
Z--
Heat Loss
Sold By
Electrical Work By
Type o(•Heat GA
Date Heating Instailed ' o _
?
Instalied By 00
Gas Line By
FA _K, HW Steam Space Htr. Unit Htr. Other
`r,ec DESIGN CONVERSION
Make Make ot Burner .
Model C,o 20 rLModel
Serial Max. BTU Raiing
fnput f 2- S? (j Make of Fumace
Model
CpM'F?OLS
Thermostat ?) X T Uv Heat Plug
Valve A'?e??-?-1= Z
Limit ?
Limii Setting ? ? -
Fan Setting
Pilot Type
Pilot Make
Piloi Model
Vent Size
l?
Kind of Liner Size None
?
Draft Hood Regulator
Filters: Size ` Number ?
Chimney Location Inside Outside.
Chimney Construction
Smoke Bomb
Wiring
' 3v
Pilot Timing Drait /) x-?- Test Tag
?
L.W. Cut Off Door Pressure Lighting inst.
O?
? c --
Pressure Percent COZ Date Tested
Input CFH t Z's Percent 02 Company Testing
Stack Temp. Percent CO iAO L Name of Tester
r
INSPECTION RECORD I Control No. 0086
CITY OF EAGAN PERMIT TYPE: susL-QrNG -
3830 Pilot Knob Road Permit Number: 000066
Eagan, Minnesota 55123 Date Issued: 03 j23 /92
(612) 681-4675
SITE ADDRESS: APPLIGANT:
Lo r: 11 B L 0 C K: 1
815 qUAIL RIDGE R[? CUDD CO
THE OAKS OF BRIDG EWATER 2ND (612) 731-8153
PERMIT SUBTYPE:
SF DWG
TYPE OF WORK:
tVEW
INSPECTION
SITE .. .
F'OOTING .•
FRAMIMG INSULATYON
WALLBQARD FINAL
FIREPLAGE
REMARKS: POtAR pLUMBING
.
- ? PERMIT CITY OF' EAGAN P,ERMIT TYPE:
3830 Pilot Knob Road
Eagan, Minnesota 55123 Permit Number:
(612) 681-4675 Date Issued:
I Controi No. 0086
?
BuILoxMG
000066
03/23/92
SITE ADDRESS:
815 QUAIL RIOGE Rp
LOT: 11 BLOCK: 1
THE OAKS OF BRIDGEWATER 2ND
DESCRIPTION:
F?u3:ldirnig_,4
Permit T y p e SF DW6
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/?°u ?.:°t ?3 i n'q or k T y p e N E W
,' UBC qecup.ancik: R-3 M-1
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k? ,e C,on,st;ru.40 tia,n .7'yp e VN
Z o nin g?
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zding
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REMARKS: C01`741
POLAR PLUMBIPIG
FEE SUMMARY:
Base Fee
Plan Review
Surcharge
5AC
sac %
SAC Units
Subtotal
VRLUATION
$961.50
$624,.98
$96.00
$700.00
i00
1
$2,382.48
14,0
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$192,000
MISC FEES 11,610.50
Total Fee $3,992.98
CONTRACTOR: - Applicant - sT. DWNER:
CUQD CO 17313153 0003945 CUDD CO CHARLES
1802 WOODDALE DR 1802 WAODDALE qR
WOODBURY MIV 55125 WOODBURY MN 55125
(612) 731-3153 (612)731-3153
? ?
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UIREMENTS:
NGLE FAMILY
1992 BUILDING PERMIT APPLICATION
CITY OF EAGAN
2 SETS OF PLANS, 3 REGISTERED SITE SURVEYS, 1 SET ENERGY CALCS.
MULTIPLE DWELLINGS 2 SETS OF PLANS, 3 REGISTERED SITE SURVEYS, 1 SEf OF ENERGY CALCS.
# OF UNITS RENTAL FOR SALE
COMMERCIAL 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF
SPECIFICATIONS, 1 SET OF ENERGY CALCS.
PENALTY APPLIES WHEN TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING
DAY OF MONTH IN WHICH REQUEST IS MADE Q LOT CHANGE IS REQUESTED ONCE PERMIT IS
ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH
ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
0(?o
To Be Used For:Sl??GE ?i? Valuation j ? Date: z
ite Address 1R io c. E 2,!!7m??
Lot J? Block
I
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_
_
???, NP
? Occupancy
Parcel/Sul
G'A-kS af 131zi EcvA rrrz- 2-- Zoning
Actual Const
W n
er
Allowable
# of stories
Address olS?- Length
Depth
City/Zip -' S.F. Total
Footprint S.F.
Phone ?
On-site sewage
ContractorcH-Awc.as op ? On-site well
MWCC System
Address 16o2- 000bArLE t?ruve City water
City/Zip a/oa mu s s I'a 5"~ PRV
Booster Pump
Phone-73 1-3 1 S'3 UcenseO4 3,vy?, I APPROVALS
Planner
Council
Arch./Engr. Bldg. Off.
Variance
Address
City/Zip Code
Okone #
Sewer/Water Licensed Contr.
?E,L?2 ??,,...?i,•,-?'?
for sewer/ r r pe it is two ciays once area as een approve .
agrees that all work shall be done in accordance with
i ature o Permittee
all pplicable State of Minnesota Statutes and City of Eagan Ordinances.
Bldg Permit
Surcharge
Plan Review
License Fee
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trail Ded.
Copies
SUBTOTAL
Penalty
Lot Change
TOTAL
FEES
. Processingtime
A
BUILDING PERMIT TYPE
D 01 foundation
0`02 Single Family
D 03 Two-family
`El 04 Multi-fam. T.H.
0 05 Apt. Bldg.
WORK TYPE
E3 90 New
O 91 Addit9on
O 92 Alterations
OFFICE USE ONLY.
O 06 Garage/Accessory
O 07 Fireplace
O OS Deck
? 09 Basement Finish
? 10 Swim Pool
? 93 Remodel
? 94 Repair
? 95 Tenant Finish
GENERAL INFORMATION
O 11 Res. Add./Porch
? 12 Connn./Ind. New
? 13 Conan./Ind., Add
O 14 Conen./Ind. Rem.
O 15 Public Fac.
O 95 Move
0 97 Demolish
O 99 Undefined
(
. .,.,? ,
O 16 Agricultural
? 17 8uilding Move
0 18 Demolition
0 20 Miscellaneous
Occupancy R- 3 -/ Basement sq. ft. /3 )/ MWCC System
Zoning P-D lst F1. sq. ft. /3 pJ City Water
Const. (Actual) 2nd F1. sq. ft. PRV Required
(pllowable) Sq. Ft. total Booster Pump
# of Stories z Footprint Sq. ft. Fire Sprinkler
Length 9 -Z On-site well Census Code
Depth On-site sewage SAC Code
APPROVALS
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
19 S i te
01 Wallboard
[0 Footing
21 Final
W Framing
? Draintile
?
?
0/
R 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 %
SAC Units
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#O83 PO1
SURVEYt'aR'S CERTIFICATIE CHARLES CUDD CA.
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9.711-29
?4<M?37 "
R-6 2235
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S39000'.29"E N
NROAV
y DENOTES PROPOSED SURFACE dRAINAGE c? ?
Q DENOTES IRC3N MpNUMENT SET -14-? h>FEET
• DENOTES IRON MONUMENT FOUND PkOPOSED GA??G?'.??Q???R -- x 13?-FEE'r
XOOOA DENOTES EXISTING ELEVATION PROPUSED LOWEST FLOOFt?`??'96??rspfEET
(000.0) DENOTES PRdPOSED ELEVATION PaaPasEa ToP oF BLocK - 67? 1 3 FEI?T
WE HEREBY CER7IFY TO CHARI.ES CUDD CO. THAT THIS IS A TRUE AND CORRECT
REPRE$ENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot II, Block I, THE OAKS OF BRIDGEWATER 2ND ADDiT10N, occording to ttte
recorded plat thereof, Dakvtd County, Minnesolo.
IT DOES NOT PUpPOaT TO SHOW IMPROVEMENI'S OR ENCROACHMENTS, EXCEPT AS SHOWN. A5
SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION 1'HIS 5T H dAY OF MARCH , 19W.
SIGNE
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JOHN C. LARSON; LAND SURVEYQR
N1iNNE50TA L.ICENSE NUMBER 19828
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PLANNERS / ENGINEERS / SURVEYORS
2500 W. GTY. RD. 42 • BURNSVILLE, MN. 55337 • 612-$90-6044
ENER6Y LONSERYA'fION EVALUATION
i
Si te Address TZ? ? 4 E IYJA'70 , ?/?t'FS ? F •????f?C. {e-??4c1-?NL
Owner Gl-?1?2LE? l'?uA? Contractor 6H7r126ES GE/f?)i?
Calculations done hy( 4,,_ trLt,G(cSotiJ Phene-73!-3IS--? Jate?-7/-t -7-
7ype Of Duii:ingSlN?LC
Area (A)
Assembl .(Show calculations on Norksheets (SqFt) U-Value U x A
I ( 0I. of Total Ceiling rea, ess •y ig t
nsulated Area: Area, See Fi . 1)
02
,2 S?, 5^(0
Framin Area:(10% of Total Ceilin Area, See Fi . 2) 42
g Skyliahts: (From Pa e 7)
Other: (Oescribe)
c? 1 Totals I42p ****?* 029, 40
2 Avera e U-Value, (UxA)/(A) From Line 1 - ?'?' • O? `'?'?
3 Required U-Value (For one and two family dwelliags only) .026
('/ of Total Wall Area, Less Window and
Insulated Area: Door Area, See Fi . 3)
Framin Area (10'J oF Tota! Wall Area, See Fi . 4) 2 7L/ 30. I
indows: (From Pa e 7) 34?,?U
Doors (From Pa e 7) - '7G,G`?
im Joist Area: (See Fi .. 5) o4- %• L.
?
3
Fireplace Wall:
2 Foundation Wall=(Above Grade Less Windaw Area See Fi . 6)
X
LU
Foundation Windows: (From Pa e 7)
?
i
ther. (Describe)
? ther= (Describe)
4 Totals
5 Avera e U-Value, (UxA)/(A) from Line 4 ???* Q(? g ***?"''*
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 iine 2 is greater than line 3, or line 5 greater than line 6, complete the
following to determine atternatP U-Value for total exterior envelope.
z -
0
? 7 UxA (Line 1) + UxA (Line 4), +
?
0
8
Area (Line 1) x U-Value (Line 3) x =
*****}
?
W
9
Area (Line 4) x U-Valuz (Line 6) x =
**?'`•**
?
0
"Bud et", Line 8 t Line 9 ?
***y""'f
N
If Line 7 is greater than Line 10, alter assemblies as required so Line 1 does not ex--eed Line 10. ?
If Line 7 is less than Line 10, proposed assemblies meet code requirements.
1
Fi?ure 1 Ceiling/Roof Insulated Area: ?o2?g Sq. Ft. .
(with attic area)
R-Value
Interior Air Film .61
Insulation SO. pp
Continuous Vapor Barrier 0.00
Interior Finish s.?L
Interior Air Film .61
Total Assembly R-Value So?.3'?
Assembly II-Value (1/R) a O 2
Enter on Page 1
Figure 2 Ceiling/Roof Framing Area: Sq. Ft.
(with attic area)
R-Value
Interior Air Film .61
Insulation 3 9..06
: Wood Member y, 3 f?
Continuous Vapor Barri er 0.00
Interior Finish e52
Interior Air Film .61
Total Assembly R-Value ys./G
s
Assembly U-Value (1/R) .a ?
Enter on Page I
For additional roof assemblies, see pages 3 and 8.
. i_
2
Figure lA Ceiling/Roof Insulated Area: Sq. Ft. (without attic area) -
R-Value
Vented Air Space
Interlor Air Film .61
Insulation
Cantiauous Vapor Barrier 0.00
Interior Finish
Iaterior Air Film .61
Total Assembly R-Value
Assembly-II-Value (1/R)
Enter on Page 1
Figure 2A Ceiling/Roof Frami,ng Area: Sq. Ft.
_ (withaut attic area) .
R-Value
Exterior Air Film .17
Roofing
Roof Sheathing
Wood Member
Continuous Vapor Barrier 0.00
Interior Finish
Interior Air Fi1m .61
Total Assembly R-Value
i
Assembly U-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 ,68
Interior Finish e 17 1 S/
Continuous Vapor Barrier 0.00
Insulation j 9, od
Sheathing o G 2
-Exterior Finish ? 97
Exterior Air Film .I7
Total Assembly R-Value ? Ll
Assembly II-Value (1/R)
Enter on Page 1
?
Figure 4 Exnosed Wall Framing Area: Sq. Ft.
R-Valu2
Interior Air Film .68
Interior Finish
Continuous Vapor Barrier 0.00
Wood Member G •?ilr
Sheathing .G 2
Exterior Finish
Exterior Air Film .17
Total Assembly R-Value ?. '7- -7
t
Assembly U-Value (1/R)
Enger on Page 1
For additional wall assemblies, see page S.
,x
4
r
Figure S Exposed Wall Ri.m Joist Area: leO _Sq. Ft.
R-Value
Interior Air Film .68
Vapor Barrier 0.00
Insulation /°l . U O
Wood Member
Sheathing e G Z
Exterior Finish
Exterior Air Fil.m .17
Total Assembly R-Value 2 2
Assembly II-Value (1/R)
Eater on Page 1
Tdotes: 1) Floors over unheated 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 requirement as for roofs, II-Value of
0.04. •
,
2) Slab-on-grade floors. For slab-on-grade, the insulation
around the perimeter of the exposed floor shall have a
minimum R-Value of 6.4. The insulation must extend downward
i from the top of the slab a mi.nimum of 316" or downward
• to the bottom of the slab then horizontally beneath the
slab for an equivalent distance.
3) Vapor barriers. The maximiua perm rating for the vapor
barrier is 0.1. A minimum of 4 mil polyetheline, or equal,
is required to achieve this. The vapor barrier must be continucus with all joints overlapped and made over framing
members or blocking. -
4) For notes on foundation wall see page 6.
5) For additional assemblies not illustrated use worksheet
on page S.
,,? 5
Fiqure 5 Exposed Foundation Wall- Area
Concrete Block or Poured c?
Concrete Foundation Area: Sq. Ft.
R-Value
Wood Founda 'on Insulated
Area: Sg. Ft.
/'L _ _,-, 1
Interior Air Film -68
Continuous Vapor Barrier 0.00
Foundation Wall
Insulation s vv
Exterior Air Film - -_17
Total Assembly R-Value
Assembly U-Value (1/R)
Enter on Page 1
i
tJood Founda ' n Framed
Area: Sq. Ft.
R-Value
1) Only the above grade area of the foundation xall is
to be included ia Lhe energy calculations.
2) The Eaergy Code requires that, if the floor above the
buemeat or eraxl space is not iasulated, the fouada-
tion wall must be insulated. Either the foundation
must havr a miaimum R-10 insulatian applied irom the
top of the fouadation to the frost line or a minimum
R-5 insulaLioa applied over the entire foundation
vall. The R-Value spetified is for the insulation
materizl oaly.
3) I£ ridgid foam insulation is to be applied to the
ezterior of the foundation wall, the above grade
portioa must be protected from the sun, the veather
and physical abuse.
4) If ridgid foam insulation is to be anplied to the
interior. it must be protected by minimum 1/2" gyP.
board or eQual (as specified in section 1:12 of the
Uaiform Building Code).
S) Foundation wall insulation for wood foundations must
be installed as spetified by the Vational Forest
Products Association's Desi¢n Manual.
Interior Air Film -b$
Continuous Vapor Barrier 0.00
Foundation Wall (Plywood)
Wood Member =17
Exterior Air Film Total Assembly R-Value
Assembly U-Value (i/R)
Enter on Page 1
G
i
' SKYL1GtiT, WINOOW AND DOOR ASSEMBLIES •
I U-Va ue
Skviiafit I Manufac:vrel Manufacture No. No, Used I Totai Sash Area(A) R-Vaiue ? U=1/R I U x A
Windows Manufacturo Manufacturo No. No. Used Tatal Sash A?ea (A) ft-Yaiue U=I/R U x A
q.?'?
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ys-
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oia s Enter Paae
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4;69w;w4_ow Manuiacture
Manutacture No.
No. Used
Tatai Sash Arca (A)
R-Value - a ue
U=1/R
U x A
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C? !? 3 3?2,? ? ../
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ata s tmer age . XXXXXX I
7
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kssembly 2a ar U
ates+ aa? nicxsess - a ue
ncerior ir i m -Va ue et aae 5 I
erior ir ? m - atue t ee P-ace 7
ota Assembly T cma esistanca
ssemn -Va ut t Mtr on ane
ssemb ? aF
atena (UescriEN-J I t icxnessl - a ue
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etior ir i m -Va ue K aae 5
ata Assano v nrmt esistanca
ssemb v -Va ue ntc an Naae ?
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riterior Air Fi m -Value ( et a 1
erior ir , m
otal ASSttn
ssemo v -a ue -Vawe i ee P-ane » I
erma ezistanc= ?
tntes on aae ?
ssana Area lSartJ
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? I I
,
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Assemn v-Ya ue /) t
'
-mer on aae I
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
.50
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
------------------------ --------------------------------------------------------
WORK DESCRIPTION FEES
NEW CONST ` ADD-ON MINIMUM $15.00
AAD ON HVAC 0-100 M BTU 24.00
REPAIR ADDITIONAL 50 M BTU 6.00
GAS QUTLETS - MINIMUM. 3.00
OF 1 PER PERMIT
OWNER NAME:
STTE ADDRESS: X/<
--?--a,
LOT: I? BLOCK ? SUBD.
INSTALLER:
ADDRESS:--'
CITY:?
SUBTOTAL:
STATE SURCHARGE:
lln 6h. ,._. ? ,., , ,!/?cn., ??.? ?' TOTAL •
?&/L
ZIP:
PHONE #:
?
?
I NATU OF E EE
FOR CITY USE ONLY
PERMIT #
RECEIPT # V5 52 ?--
DATE :
Te N Dt?STRTAx.' PLEASE COMPLETE THIS PORTION FOR ALL COMMERC3f?L/INDUSTFtZAL BUILDINGS,
....: ........ .:...... . .. ..
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT,
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
LOT: BLOCK SUBD.
INSTALLER:
ADDRESS:
CITY:
ZIP:
PHONE #:
FEES
1$ OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING = $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 1% $
STATE SURCHARGE $.
TOTAL: $
(SIGNATURE)
FOR:
CITY OF EAGAN
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA107378
Date Issued:10/09/2012
Permit Category:ePermit
Site Address: 815 Quail Ridge Rd
Lot:11 Block: 1 Addition: The Oaks of Bridgewater 2nd
PID:10-75836-01-110
Use:
Description:
Sub Type:e - Furnace & Air Conditioner
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to Mark Anderson , State Electrical Inspector, (952)
445-2840
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 -
James J Green
815 Quail Ridge Rd
Eagan MN 55123
Standard Heating & Air Conditioning
130 Plymouth Ave. N
Minneapolis MN 55411
(612) 824-2656
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
r —
For Office Use
City of Eaaall Ju
Permit Fee: (t)J
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651)675-5675
Fax: (651)675-5694 Staff:
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
i I Name: 74/14 ��f (z---./1-- Phone: )Cp / W—( w
Resident/
Owner Address/City/Zip: `S & '( 4 'C "e- < ( /'7G'.!-`--''1/ f 47 Z
Applicant is: Owner C"--Contractor
— catDescription of work: ,e N
Type of Work 1
Construction Cost: (5f sow`Co. Multi-Family Building: (Yes /No )
Company: Cticfia i'f ''4' r Nc- Contact:r r(1`5 `
l
I Contractor Address: f o- K (( 'r / 4 City: �� (-
n/✓
State: /'/ Zip: 53--G7i Phone• 7l-fr7`((3Email:
'
i License#: /C6111166- Lead Certificate#:
If the project is exempt from lead certification, please explain why:
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:
i
Licensed Plumber: Phone:
I Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: __ _ Phone:
NOTE:Pfans and supporting documents that you submit are considered to be public information. Portions of 1
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets. '
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.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 . a building permit issued in accordance with the Minnesota State Buildin• Code must be completed within 180
days of permit issua
10,
x
x �
Appli— 'srinted Name App icant s Signature
cefl printed
skA/j/►iL�ll,9/7X 0 Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA159802
Date Issued:01/21/2020
Permit Category:ePermit
Site Address: 815 Quail Ridge Rd
Lot:11 Block: 1 Addition: The Oaks Of Bridgewater 2nd
PID:10-75836-01-110
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
James J Green
815 Quail Ridge Rd
Eagan MN 55123
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature