959 Waterford Dr WCity of Eaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
AY28En
Use BLUE or BLACK Ink
1
For Office Use
QZ-Aa
Permit #:
Permit Fee: 30 -
Date Received:
Staff:
2010 RESIDENTIAL PLUMBING�1,.PERMIT APPLICATION
Date: `� /?U/) O Site Address: q 59 L&,�l t�C I a 1d r• V V
Tenant:
Suite #:
RESIDENT / OWNER
Name: gtL,t . t(A5r Phone: 11251 b2sW 8 3 1.S.
Address / City / Zip: SCU"IAQ, &; a
CONTRACTOR
Name: 9 S 'P L License #: Olaf �®92
� uxvtio t
1
�(V®I
Address: S, Sl.,(ikp_ City: c )C5i (01 CUI/1
State: I tL i Zip: SC35Phone: 10P glog 'i l a,
Contact: LJ CM Email:
TYPE OF WORK
X' New — ReplacementRepair Rebuild Modify SpaceWork in R.O.W.
_
(�_�
`trit
Description of work: OiLer141)frlDi T6 ' ( l .it3 A
Ql.,l C Y�PERMIT
TYPE
RESIDENTIAL
Water Heater Water Softener
Lawn Irrigation Add Plumbing Fixtures
( RPZ / PVB) ( Main Lower Level)
(`, _
Septic System Water Turnaround
New
_
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation
$50.50 Add Plumbing
*Water Turnaround
$100.50 Septic System
$90.50 Fire Repair (replace
(includes $.50 State Surcharge)
Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge)
(add $166.00 if a 5/8" meter is required)
New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $
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.
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 o start withgut 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
Applicants Printed Name
FOR OFFICE USE
Reviewed
ignature
Date:
Required Inspections: _Under Ground _Rough -In Air Test Gas Test Final
CITY OF EAGAN WATER SERVICE PERMIT
~ 3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.: -
Eagan, MN 55 ti1 DATE:
~ Zoninp: No. of Units:
Ownsr, l'lY3llt .AvUS : t)Tls*
Addrcss:
Site Addrcss: ~~59 Watc:rfordl i)R 'i Llt) lst
Plumber. : T' :^tC ' 5 i 1b:'.
Meter No.: Connection Qwr9e:
' Size: Actount Deposit:
Reoder No.: PeRnit Fee: - ~ , -
1agm to aonqly rfi6 Ka Cify of Emyon Surcharge:
a+itw.sa.. Misc. Chorpes: 60.00 ^d )netcr
Total:
' By Dote Paid:
Date of Insp.: Inap.:
~
CITY OF EAGAN SEWER SEIty1CE PERMIT
5330 Pilut Knob Road -
P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 D^TE: 19 - 3
Zoninp: R 1 No. of Units: 1
p,,,,,,ar; Y1Yant BrOS Const
Address:
s;te Add,ess• 959 waterford fTr ?ti L10 i:Z Wedgwood ist
Plumber. }'romo's Plb:,~ 3-3-:,3 IUT. P
1myrN h eamPip willi 11N Citi of Eagae Connection CFwrpa: 42S.00 pd
Ordingwas. Account Depotit:
Pemiit FN: i,' . J .
Sur+dhorpe: ;
ey Mtsc. Choroa:
Dote of Insp.: Total:
I nsp.: DoM Pdd:
c .r " _ ~ ~ r•~
cIrr oF E?GAN
, 3795 ?ilet Knob Raaa Eo9en, MN 55122
' PHONE: 454-6100
QUILDING PERMIT Receipt # ~ f
Te b. w.d for 5F DWC-/CAR, Est Value a66,000 Date Sentemher 3 19 03
Site Addrcu 959 Waterford Prive '+egt Erea O F-,Z
Lot lo Blotk 2 Sec/Sub. 'v;edgt+ood lst I~Iter Zoning ccuponcy ``y
p
Pa~l # 10--33550-100-02 Repoir ? Fire Zone 'y
!Iivant Bros. Construction Enlorye p Type of Const.
0: orne Mova
p # Storiq
~ Address 2420 1(`5th Ft. East ~
Dernoliah p Length
G Ir!t 55+~75 Phone 451- 34:?3 Grode Q Depth Sq. Ft.
C)T,m a r Approvob F.es
Nome
C~ Address /lssessment Permit
UF C~ Phone Woter & Sew. Surchar9e '7
Police Plon checl
a
~Z N0^''a Fire SAC ~
~a Address Enp. Woter Conn. 450. 00
~ W Cj ph~ Plonner Woter Meter ~
Councii Rood Unit
I hereby acknowledge that I have read this application and state that Bldp. Off,
fhe informotion is wrrect and agree to comply )elth oll applicoble ~,~Q~ .5'~
Stafe of Minnesoto Statutes Qnd City of Eogd{~ drdinonces.
Sipnoture of Permittee ~ \-v---~.T0,ar.E
~COTTS'LTtic t ion
A Bullding Permlt fs issued to: on the expreu condition lhnr
all work sholl be done in accordorca with oll epplicoble Stote of Minnesofa Statutes and City oi Eayen Ordirwnces.
Buildinp Offklol - '
Psrmit No. Permit Holder Mise. Permit No. Holder
Plumbin9 ~ ~ ~ -7,87
H.V.A.C. ~ D 0_1
WeII
Water
Disp.
S~w~r
Electric IV DWSIp7Z eA6:5pkN SoK !O -13'U
Irqpection Date Insp. Other
Footingc
Foundstion
Framinp
Aouph Plb¢ O - Sf
Rouph HVA ~
Inwlation ~j
Flnal Plbg
F{nal HVAC
Final
Waur Descri6e Location:
YWII .
Sawsr
Pr. DisP.
-
Receipt (27 CD PLUMBING PERMIT Permit No. .~~i
CITY OF EAGAN F~ ~ ; _
Fili in numbered spaces S/C Type or Prini /egi6ty -
Tot. v~C~ 1. Date ) C~ -)'S~ ~ 2, Installation Cost
3. Job Address JLot~n Blk. Tract
~s~
4. Owner 5. Contractor g-, Phone
~
. ~
6. Address ~ `;K -7
7. City State 2ip
8. Building Type: Residential 'e'-- Commercial ? Institutional O
8. Work Description: New ? Add ? Alter ? Repair ?
10. Describe
11. No, Fixtures No. Fixtures
Z__ Water Closet Cesspool/Drainfield
_L Bath tubs Septic Tank
_ Lavatory Softner
Shower Well -
/ Kitchen Sink _
Urinal/Bidet ~t er
Laundry Tray ' - tFloor Drains
Drinking Ftn.
Slop Sink ~
Gas Piping Outlets
12. I hereby aertify that the above information is true and correct, and 1 agree to
comply witlt all ordinances and codes governing this type of work.
Signed:
_ for
Rough . , Final
Inspections: Date Insp. Date Insp.
This is yourpermit when numbered and approved.
Approved ~ . - • - ~ CITY OF EAGAN 464$100
' -
Receipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN -
Fee
Fill in numbered spaces S/C
Type or Prini /egiWy Tot. '
1. Date 2. Installation Cost
3. Job Address Lot Blk. Tract
4. Owner
5. Contractor Phone
6. Address
~
7. City State Zip '
8. Building Type: Residential ~ Commercial ? Institutional ?
9. Work Description: New 0 Add ? Alter ? Repair ?
10. Describe `FuelType •
11. No, Equ,ipment BTU - M. Ea. No. Equipment CFM
' Forced Air Air Handling:
Mfg.
Boilers Mech. Exhaust
Mfg.
Unit Heater
Mf9• Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. I hereby csrtify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CITY OF EAGAN Remarks
Addition INEDGW00D 1ST ADDN. Lot 10 elk 2 Parcel 10-83550-100-02
owner street 959 Waterford Drive West State EAGAN AN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. SQ 1981 58.69 2.93 20 46.97 a013432 1-11-84
STREET RESTOR.
GRADING r 1981 186.48 12.43 15 136.76 A013432 1-11-84
Sewer Lateral 1981 313.16 20.88 15 229.68
SANSEW TRUNK
1981 198.50 13.23 15 145.58
21
SEWERLATERAL 1981 197.54 9.$7 20 i 8,Q6 er
Sewer Lateral 1982 133.17 8.87 15 106.56
WATERMAIN
WATERLATERAL Trk 1981 262.18 17.48 S 192.30 A013432 1-11-84
WATER AREA I981 190.50 13.23 1$ 145.58 tt It
*Water Lateral 1982 98.57 6.57 15 78.86 of of
STORM SEW TRK
STORM SEW LAT
*Powerline Relocatio 1982 S
CURB & GUTTER
SIDEWALK
STREET LIGHT
ROAD IT 250.00 38490 9-8-83
WATER CONN, 450.00 ft tt
BUILDING PER.
u 1t
SAC 575-00
PARK
This request void t g~ ~f D0a 39 ZS' z
18 monlhs frop l
UQ-85672 ~ 36•od
Request Da[e Fire No. Pough-in Insvection
Reqwm~, E]Reatly Nuw ~II Notify InsOec-
. W~ ~No tor When Ready
mensed Electrical Convactor 1 hereby request inspection oi above
? Owner elec4ical work installed eL
Str et Address, Box or Foute No. CitV
a l~v,~T~~>o~t~ D2, c~ ~~ar,~ti
ctmn o. Township Name ur No. Range No. Covi '
Occu nnt (PflINT~ Phune No.
/~sA.vr 3k4s, ~o...sr Z/S/-.j ~3
Powpe~r $uUPlier Adtlre
C/ X/KG~ T/4 ~f~/L/~/ le ~ r
_F.{a ical Conha5 tor (ComDeny Name) C.ntrar.ior's License No.
~ 10 CJU l'F /J' Sr :t: - LGrC: r ~ yO//9
MailinB AdJress iContractor or Owner Makiny stailatioN
L E'/~o
Auffio '.ed g m e(C nt ctor wner MakinB Installation) Phone Number
MINNESOTq STAT BO OF ELECTNICITY THIS INSPECTION pEQUEST WILL NO7
Griggs•Midway BI Paom N-791 BE ACCEPTED BY THE STATE BOAHD
'+i Universiry Ave., St. Peul, MN 55104 UNLESS PROPER INSPECTION FEE IS
.o ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION N, EB-00001-04
o , Sea instructions for comOletiny this torm on back of Vallow copy.
U6 08562
'"X'" Below Work overed by This Request 7jQZ. `'J Z.
R.P. Type of Buildinp APPIianCes Wiretl Equ4pm0nt Wired
Home Range Temporary Service
Duplex Water Heater Ligh[ing Fixtures
Apt. Building Dryer Electric Heann
Commercial Bidg. Furnace Silo llnloader
InAustrial Bldg. Air Conditioner Bulk Milk Tank
Farm Oiner oeci v Mtherfsocr.~ryl
~ er ueci y ther Other
ompute lnspection Fee Below
p Fee ServiceEntrance5iae k Fae FAeders/SuAfeetlers Fee Circuits
O. 0 to 200 Am s 0 to 30 Am s 0 m 30 Am )s
Above 200 qm ~s~~ 37 to 100 qinps ~ 31 to 100 qm s
Swimming Pool Above 100_uomsAmps Above 100_Am s
Transrormers Irrigation B j' Pdrtial-'Other Fee
Signs Special Inspection
Rem3rks S ~.s L E
8 -~i
Rough-in Dnt
e
I rical
spector, ~eraby
3
C' ~ rtify that the above
Final inspection has been
maOe.
ThiareGUesivoldl8monllrefrom - ~ c'
_ CITY OF EAGAN N° 8461
' 9795 Wlot Knob Rood Eegen, MN 55123 .
PHONF: 454-8100
BUILDING ,PERMIT Receipf
To be wed fo. SF DW6/GAR Est. Volue $66,000 p,te September 8_ 1 y 83
Sire Address 959 Waterford Drive West Erecr g,K Occuponcy R-3
Lot 10 Blxk Z $eWSub. WedQ,wood lst Alter ? Zoning R-1
Parcel # 10-83550-100-02 Repolr ? Flre Zone NA
Enlurge ? Type of Cansf. V
W Name Vivant Bros. Construction Move p # Sfories
Z Address 2420 lOSth St. East Demolish ? Length 52
~ G IGH 55075 phom 451-3483 Grode ? Depth 44 Sq. Ft.-
p Name Owner Avwovals Feas
•
o~ Address Assessment Permit 33100
u~ Ci Phone Water & Sew. Surchorge 33.00
Police Plan check 165.50
WW Name Fire SAC 525.00
Fw
~zAddress Enc. Woter Conn. 450-00
L
iW Ci Phone Plonner WaterMeter 60•40
Council Road Unil 250.00
1 hereby acknowladge thot 1 have read ihis apPlication ond stote ihat gldg. Off.
the inlormolion is correct ond ogree to comply wy'th al~ opplicable APC Total $1814.50 ,
State of Minnesoto Statutes and City of Ea 6rdirwnces.
Signofure of Permitt ee
an
A Building Permif is issu t Bpes. Construction
ed to: on tMe expreu condifion thnt
oll work sholl be done in uccordonce with oll applicoble State of Minnesa(~~a~S)t,o,~tut,e,s ond Cit(y~~qf Eagan Ordinances.
Building OfHciol
t~
¢
CITY OF EI~GAN ~"o ude 2 sets of plans,
• ,.v n a 1 site plan w/elevations &
- ~-D, UI %~BUILDING PERMIT APPLICATION 1 set of_ energy calculations.
/ -
To Be Used For ~ n Valunation (~j , ooo Date
Site Adclress: 0.~F~r~nr-~ DT• W~S~- OFFICE iJSE ONLY
Lot ~ Bloc]c~t Sec./Suki, Wi:~ w4 .0~7-~Erect Occupancy 3
Parcel 40- Sy j S J C) " I D C) 0 L Al.ter Zoni.ng
Repair Fire Zone _Al
Q,mer: Enlarge _ 7ype of Co t. ~ -
Nbve # S ries~~
Address: Demolish Fro J- P2 ft.
City/Zip Cocie: Grade De q ft.
kfi/
Phone # : APPRdUAI6 FEE'S
Contractor: U Yi' VLT Iu Y a 5. C ohS-r, _ Asses Pezmit
Address: D.Nao IoST~'Sr F4Si Water/ Surcharge S
. ~
Poli ~ Kan Check r~-
City/Zip Cocle: $WLvGrov. lyTf, 5-ca75 punr
K SAC
Water Conn.
Phone '~1Jlr,~ Water Meter O
Arcn./~q•: p}~illc~l 9/19A S-c~'v~Ee xoaa onit
-r- Bldg. Off.
laddress: Lr,Y h l~ ~~'Ilt APC
City/Zip Code-
Phone # : TOI'AL 1S0
I
Sq RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EACAN
3830 PIlOT KNOB RD, EAGAN MN 55122
651-681-4675
New Construdian Reuuiremenn RemodeUReoair Reuuirements
. 3 registered site surveys showing sq. ft. of bt sq, fl. uf house; and all rooled areas • 2 ccpies of plan
(20 % rnaximum Iot coverage alloweC) . 1 set of Eneryy Calculations lor neated aCdilions
. 2 copies of plan showing Ceam 3 window ;iz_s; pouretl found desgn, etc.) . i site survey for extenor adtlitions 8 decks
• 1 set of Energy Calculations • Indiwte if home serveE by seplic system for additlons
• 7 copies of Tree Preservation ?Ian if lot platted afler I11193
. Rim Joist De[ail Options selection sheet (6lags with 3 or less uniLe)
DATE 0- --c-- O~ VALUATION 4 7qz io
SITE ADDRESS PP~ MULTI-FAMILY BLDG _ Y _ N
TYPE OF WORK FIREPLACE(S) _ 0_ 1_ 2
APPLICANT C,
STREET ADDRESS c4i 'T* CITYSTATEf1AI ZIP,_5~713)
TELEPHONE # t~l5a1T~ CEII PHONE # P X# S;2l (06 &4
PROPERTYOWNER'-Irpn+ IS ipQ A iELEPHONE#
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category JIIV\h:SC)'t'_1 RUL1:S 7670 CA"t'EGORY 1 MIN\'ESOT:1 " LS-Ni99
~ I (ldNbrksheet S 6, ed
submission type) • ResidenGal Ventilatlon Category 1 Worksheet Submitted • Ne -~€~jyl -
• Energy Envelope Calculations Submitted I'
AUG 2 8 2002 U
Plumbing Contractor. Phone n
Pluinbing systein includes: _ lVa[er SoCtcner _ Laim Spdnl:ler By~ Fe
4Vater Heater No. of R.I. Baths y
No. of' Badis
Mechanical Contractor: Phone #
NIcch.micil systcm includr,: _ Air Condiuonin~; Fcc: y70.00
_ Hcal Rccovcry' Systc~ri
Sewer/Water Contractor: Phone #
I hereby acknowledge thai I have read this application, state that the information is conect, and agree to comply
with all applicable State of Minnesota Statutes and City of E ;7inances.
Signature of Applicanf
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Uptlated 4102
~
7'7 5~q ffiIS,S"d
PLUMBING (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete for. Single Fanuly Dwellings
Townhomes and Condos when pernvts are requued for each unit
Date 0
Site Address Unit k
Property Owner (7NC ~ Nt_[ Telephone #
(A
Contrac[or "'7T ~C'11 jp~I.( 7F~0kT`,~-"C._t`~
Address City A[ I)10 ~
State \ 9~ ` Zip Telephone # ~ ~ `~Jj ~ -!~lSiC11~
The Applicant is _ Owner \)L Contractor _ Other
Septic System New Refurbished Submit 2 sets of plans and MPC license $ 100.00
InGudes County fee. Atlditional consultant fees may apply.
Alterations To Existing Dwelling Unit, Including $ 50.00
_ Adding fixtures to lower levels or room additions, excluding water softener and water heater
_ Abandonment of septlc system
_ Water turnaround 5!8" meter if needed -$121.00)
Other:
_ RPZ _ new installation _ repair _ rebuild $ 30.00
_ Lawn irrigation system
y Water softener _ Water heater $ 15.00
replacement _ addiGOnal
State Surcharge $ .50
ri
Tota,
I hereby apply for a Residenrial Plumbing Pemvt and acknowledge that the informat is o' lete an accurata; [l~at the work will
be in conformance with the ordinances and codes of the Ciry of Eagan and with the ~ bing Codes; that I unde~'stand this is not a
pernut, but only an applicarion for a permit, and work is not to start without a pe • that the work will be in ac~cordance with the
approved plan in the case of work wluch requires a review and approval ofpla .IBy_
Applicant's Printed Name Appli ant's Signature
RESIDENTIAL BUILDIYG ~
Permit Application
(o U City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephoue # 651-675-5675 FAX # 651-675-5694
New Construction Reauirements RemodeUFteaairReauirements Office Use Onlv
3 registered site surveys showirg sq. ft. o( lot sq. ft of house; and all roafed areas 2 cnpies of plan CeA of Survey Recd
(20 % maximum lot coverage allowed) 1 set of Energy CakulaGons kr heated additions Tree Pres Plan Recd
2 copies of plan showing beam & window sizes; poured found desigq etc. 1 site survey for addi6ons 8 decks Tree Pres Nol Reqd
7 set of Energy CalculaGons Addi6on -indicate ilon-sfte sepGbsysfem _ On-site Seplic System
3 copies of Trce Preservafion Plan if lot platted affer 711193
Rim Joist Delail Optlons selection sheet (bklgs wBh 3 or less unAs
Construction Co
Date I /-a/ 03 rI )
Site Address ~ Sl `A~ FG'~ r(l Q rl, ~ UniUS[e #
Description of Work S l f N'C/1
Multi-Family Bldg _ Y2~,,N Fireplace(s) _ 0X 1 _ 2
Property Owner Q r2ij } R, Lo.~/G(, 2 ll j6)l2 Telep6one )
Con[raCtor L C ~bi?
Address !5- ~t^~ A'0-4' :5. City .
State B~~ Zip sS~37 Telephone#(~~~ ' I~U
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Enargy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Licensed Plumber v" 1~\ Telephone ~
Mechanical Contractor D I I 24~'3 1• Telephone )
t
Sewer/WaterContractor I-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 MiN
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 e work will be in accordance with the approved plan i h ase of work which requires a review and
approva plans.
plicant's Printe ame plicant's gnature
CD ?SIO-o-I
Fee - ~?b
City Ea n ~ Permit#:
y ~ Ra~~ ~ ~ ;
I Pertnit Fee:
3830 Pilot Knob Road
Eagan MN 55122 ~ Date Recelved: ~
Phone: (651) 675-5675 Fax: (651) 675-5694 i Stan: ~
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
oale: '/I-I I 08 SiteAddress: ~'59 W"'2XYOY0 4rive
Tenam: U1"efl~ p 7,h0n(,iq 'l.,id,jaj Suiteri:
RESIDENT/OWNER Name: 1;YP YlA°+ Y5h0fV1Gt 1;;~a Phone:lo51-Co`6$'83q S
nddre55 i City i ziP: 95 9 Waier-k)r C Qri ve/ f~/ 5S ~ a 3
Applicant is: _ Owner V Contracfor
TYPE OF WORK Description ot work: J~P Q OLf~' (a.)LD 1(J(XJ-)'s LJti
Construction Cost J4 151 Multi-Family Building: (Yes No
CONTRACTOR Name: AC(1Ri S;,CQ.YIL' l' C9ckr,!'?f S License 0q0-13jOa-g5
Address: 1351 Lo-nt N tr" 1,30
City:Mck4)lt UrD'e State: 1~1 Zip:553LD'i
Phone:`1 Uv--I$U'oZGCO Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code . Residential Venlilation Category t Worksheet • New Energy Code Worksheet
Category Submitted Submitted
(4 Submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master pian?
_Yes No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
~u, „
~ lJC1TE: Plans `and supporti~tg docwdents lhat-you sUbtnlt are aans/de/ed toi, e puhlrC~lnform~tlon ,'i#'dCtPonsfta{ i-;;
' the infarmaNon rriay be classified as non pubBc If you pro,vide spedi/ic reasons tbat wouldpermfYtA~e Cityto
~x, c9nc ude that~he ar~'rade secrets.
I hereby acknowledge that this information is complete and accurale; ihat Ihe work vrill be in conformance wilh the ordinances and wdes ot the City of
Eagan; ihat I understand this is not a pertnil, but only an application for a permit, and work is not to start without a permit; ihat the work will be in
accordance vrith the approved plan in the case ol work which requires a review and approval of plans.
,
x A1{' ~JI C~ Ia~F. XLJ~
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Date:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
0175S
Permit Fee: / 47, ' 63
Permit #:
VX/ Date
Received:
staff:
p5l"—dill— 41i.ow vry
c-
--
2011 RESIDENTIAL
A 14PLICATIO
N
Site Address:
Name: /3401•7- giant/
Address / City / Zip: 95Y J,► 7zftx4 „,e . Pt
Applicant is: Owner )( Contractor
Phone:k�57 /`0 et 2
lo�Cs?S
TYPE, OF WORK
Description of work: r�
Construction Cost: �} " 3-.52/0
Multi -Family Building: (Yes / No VI
Company:
/-42....14.4.1,d ti 11tley /efakt
Address: 1 315 3 Evpid, a(
roGf • Contact: �n y 6t /°i /4-$2-0/4t n
1
✓ fZ City: i r
State: /14/V Zip: 5 -SD y Phone: 65-7 / 6- G3 7
License #: 06 3 ?O Gt S Lead Certificate #: A174
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
j-7uSe&dR—/3
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
n
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions o
the information may be classified as non-public if you provide specbc reasons that; would permit the City to
conclude that th ey are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
Applicbnt's Printed Name Applic nt's Signature
Page 1 of 3
Ot
NOT ITE BELOW THIS LINE
/x/7
SUB TYPES
Foundation
Single Family
Multi
01 of _ Plex
Accessory Building
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_ 1009i)
Census Code `t
#of Units
# of Buildings
Type of Construction
Fireplace
Garage
y Deck
Lower Level
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
Interior Improvement
Move Building
Fire Repair
Repair
0
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: Ice & Water Final
Framing
Fireplace: Rough In Air Test
Insulation
Sheathing
Sheetrock
Reviewed By:
Siding
Reroof
Windows
Egress Window
Storm Damage
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Demolish Building*
_ Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building - give PCA handout to applicant
Occupancy
Code Edition Wirsti
Zoning
Stories
Square Feet
Length
Width
Final
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC Gas Service Test Gas Line Air Test
Other:
Pool: _Footings _Air/Gas Tests
Siding: _Stucco Lath Stone Lath -
Windows
Retaining Wall: _ Footings Backfill
Radon Control
Erosion Control
, Building Inspector
Final
Brick
Final
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
/G9r xi'-
5'9(›
Page 2 of 3
.26046,36„ 31 Wit-t-c-v-kci DAL td, /67 76,,
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City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675-5675
www.ci.eagan.mn.us
PERMIT
City of Eaan
Permit Type: Building
Permit Number: EA101763
Date Issued: 11/07/2011
Site Address: 959 Waterford Dr W
Lot: 010 Block: 002 Addition: Wedgewood 1st
PID: 10-83550-02-100
Use:
Description:
Sub Type: Deck
Work Type: Addition
Description:
Census Code: 434 -
Zoning:
Square Feet: 0
Construction Type:
Occupancy:
Comments:
Fee Summary:
Valuation: 2,520.00
(BL) Plan Review
BL - Base Fee
Surcharge - Based on Valuation
$57.53
$88.50
$1.50
0720.4222
0801.4085
9001.2195
Total: $147.53
Contractor:
Hedlund Building & Remodeling LLC
19863 Everhill Avenue
Farmington MN 55204
(651) 216-9454
- Applicant -
Owner:
Brent V Bidjou
959 Waterford Dr W
Eagan MN 55123
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature
Issued By: Signature
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675-5675
www.ci.eagan.mn.us
INSPECTION RECORD
Permit Type: Building
Permit Number: EA101763
Date Issued: 11/7/2011
Site Address: 959 Waterford Dr W
Lot: 010 Block: 002 Addition: Wedgewood 1st
PID: 10-83550-02-100
Use:
Sub Type: Deck
Work Type: Addition
Description:
Hedlund Building & Remodeling LLC
(651) 216-9454
Ryan Hedlund
Inspection Type Inspector
Final - No C.O. Required
Footings
* Contractor is responsible for erosion control.
* House #s required for final inspection.
* 4 -hour notice for permanent water turn -on for new building: 651-675-5200.
Date:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
0175S
Permit Fee: / 47, ' 63
Permit #:
VX/ Date
Received:
staff:
p5l"—dill— 41i.ow vry
c-
--
2011 RESIDENTIAL
A 14PLICATIO
N
Site Address:
Name: /3401•7- giant/
Address / City / Zip: 95Y J,► 7zftx4 „,e . Pt
Applicant is: Owner )( Contractor
Phone:k�57 /`0 et 2
lo�Cs?S
TYPE, OF WORK
Description of work: r�
Construction Cost: �} " 3-.52/0
Multi -Family Building: (Yes / No VI
Company:
/-42....14.4.1,d ti 11tley /efakt
Address: 1 315 3 Evpid, a(
roGf • Contact: �n y 6t /°i /4-$2-0/4t n
1
✓ fZ City: i r
State: /14/V Zip: 5 -SD y Phone: 65-7 / 6- G3 7
License #: 06 3 ?O Gt S Lead Certificate #: A174
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
j-7uSe&dR—/3
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
n
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions o
the information may be classified as non-public if you provide specbc reasons that; would permit the City to
conclude that th ey are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
Applicbnt's Printed Name Applic nt's Signature
Page 1 of 3
Ot
NOT ITE BELOW THIS LINE
/x/7
SUB TYPES
Foundation
Single Family
Multi
01 of _ Plex
Accessory Building
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_ 1009i)
Census Code `t
#of Units
# of Buildings
Type of Construction
Fireplace
Garage
y Deck
Lower Level
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
Interior Improvement
Move Building
Fire Repair
Repair
0
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: Ice & Water Final
Framing
Fireplace: Rough In Air Test
Insulation
Sheathing
Sheetrock
Reviewed By:
Siding
Reroof
Windows
Egress Window
Storm Damage
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Demolish Building*
_ Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building - give PCA handout to applicant
Occupancy
Code Edition Wirsti
Zoning
Stories
Square Feet
Length
Width
Final
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC Gas Service Test Gas Line Air Test
Other:
Pool: _Footings _Air/Gas Tests
Siding: _Stucco Lath Stone Lath -
Windows
Retaining Wall: _ Footings Backfill
Radon Control
Erosion Control
, Building Inspector
Final
Brick
Final
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
/G9r xi'-
5'9(›
Page 2 of 3
.26046,36„ 31 Wit-t-c-v-kci DAL td, /67 76,,
317
c.
1
7
« e(IPI‘
ii
.0
76.18
di AP
0
k
ti
_ 1.1 J.
�1
/1)/763
q69 Z1)/9.1-eizio)id
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA126485
Date Issued:08/26/2014
Permit Category:ePermit
Site Address: 959 Waterford Dr W
Lot:010 Block: 002 Addition: Wedgewood 1st
PID:10-83550-02-100
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
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 by law in ALL single family homes .
Matt Pudas
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Brent V Bidjou
959 Waterford Dr W
Eagan MN 55123
Pudas Landscape And Construction Llc
19150 Pheasant Cir
Eden Prairie MN 55346
(612) 423-2227
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA144750
Date Issued:08/08/2017
Permit Category:ePermit
Site Address: 959 Waterford Dr W
Lot:010 Block: 002 Addition: Wedgewood 1st
PID:10-83550-02-100
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)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Brent V Bidjou
959 Waterford Dr W
Eagan MN 55123
Haley Comfort Systems
4320 Hwy 52 N
West Frontage Rd
Rochester MN 55901
(507) 281-0138
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA158100
Date Issued:09/25/2019
Permit Category:ePermit
Site Address: 959 Waterford Dr W
Lot:010 Block: 002 Addition: Wedgewood 1st
PID:10-83550-02-100
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
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 -
Brent V Bidjou
959 Waterford Dr W
Eagan MN 55123
(651) 214-0688
Mn Plumbing & Home Services Inc
14105 Rutgers St NE
Prior Lake MN 55372
(952) 469-8341
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA174365
Date Issued:01/20/2022
Permit Category:ePermit
Site Address: 959 Waterford Dr W
Lot:010 Block: 002 Addition: Wedgewood 1st
PID:10-83550-02-100
Use:
Description:
Sub Type:Furnace
Work Type:Replace
Description:
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Brent V & Rhonda K Bidjou
959 Waterford Dr W
Saint Paul MN 55123--198
(651) 387-0395
North State Mechanical
1444 14th Street W
Hastings MN 55033
(612) 207-0345
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA178857
Date Issued:09/07/2022
Permit Category:ePermit
Site Address: 959 Waterford Dr W
Lot:010 Block: 002 Addition: Wedgewood 1st
PID:10-83550-02-100
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.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
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:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Brent V & Rhonda K Bidjou
959 Waterford Dr W
Saint Paul MN 55123--198
Pure Home Restoration Llc
20384 Hampton Ave
Lakeville MN 55044
(952) 955-9011
Applicant/Permitee: Signature Issued By: Signature