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3636 Ashbury Rd CITY OF EAGAN Permit No: 9227 Date: l 1- IL"' 7 3830 Pilot Knob Road Meter No: Size: P.O. Box 21199 Reader No: Date: Eagan, MN 55121 Owner. urc Bldrs. Site Address: 353 AshDnrg I,j~:UT 7L:.%.hawk r1en TT Plumber. I. ~`';'SZTT. PLLMI:i,- Conn. Chg: 525.00 Zoning: I Acct Dep: 15, 00120 No. of Units: 1 Permit Fee: 10.00pc: Surcharge: .502f, I agree to comply with the City of Eagan Tr. Plant wo,00yil Ordinances. Meter. 67 00- Misc.: By WATER SERVICE PERMIT r CITY OF EAGAN Permit No: I Date: - 3P30 Pilot, Knob Road B/P No: Date: P.O. eox 21199 Eagan, MN 55121 Owner. 'purr •jak Bldrs. Site Address: Ashbur Rop- ! Plumber:__- T. : 13u tPLUTSINC MWCC: 5 2 9.00 d Zoning- City Chg: `0` - T ' No. of Units: Acct Dep: Permit Fee: I agree to comply with the City of Eagan Surcharge Ordinances. Misc.: By SEWER SERVICE PERMIT CITY OF EAGAN Permit No: Date: 3830 Pilot Knob Road Meter No. 3 S s -3 a. 7 g Size: S g ITO c /t P.O. Box 2;i9 ,9 Reader No. O 3 `12 9 y Date: LL Eagan, Nl 55121 Owner purr O~ii< 're. Site Address: 3636 Ashbur;r 'o~,r'• T,T n1~r<}; nk Flan TT Plumber LH79IETI g: 525. .)OpU, v 9,0 m Conn. Ch Acct Dep: 1 .E1g rliEging call l~lol UgAi Permit Fee. ' rri'c Nf: _ FI Fl'.TRI . G^,S Dc, Surcharge: Jan ply with the City of Eagan Tr. Plant Meter. Misc.: V BY WATER SERVIC PERMIT Trrtif iratt of (Orrupattry Citp of (Eagan ]DrvarhnM of Virg JmWrrhan This Certificate issued pursuant to the requirements of Section 306 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 following., u, Ghna am Bldg. Permit No. O-p--Y TYIN t ' Toning Dow Type Coca. 'i it Owner of Bmlding KM OAK ` IM Address 11,473 GOLMM) :71 NV, (D-" Building Address i oality L1, B2, fl"' - Date: Building O6utin1 POST IN A CONSPICUOUS PLACE CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454.8100 BUILDING PERMIT Receipt To be used for Est. Value Date ,19 Site Address OFFICE USE ONLY On Site Sewage Occupancy Lot Block Sec/Sub. MWCC System Zoning Parcel No. On Site Well (Actual) Const Name City Water (Allowable) W PRV Required # of Stories z Address City Phone CTj Booster Pump Length Depth i o Name S.F. Total o ` Address Footprint S.F. City Phone APPROVALS FEES W w Name Engr./Assess. Permit F W u Address Planner Surcharge 6 W City Phone Council Plan Review Bldg. Off. SAC, City I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC information is correct and agree to comply with all applicable State of Water Conn. Minnesota Statutes and City of Eagan Ordinances. Water Meter Signature of Permittee Road Unit A Building Permit is issued to:_ Treatment P1 on the express condition that all work shat I be done in accordance with all Parks applicable State of Minnesota Statutes and City of Eagan Ordinances. TOTAL Building Official------- Permit No. Permit Holder Date Telephone # Plumbing Electric r - / G - j Softener Inspection Date Insp. Comments Footings I Footings II Foundation Framing Roofing ~L Rough Plbg-F Rough Htg. Isul. Fireplace Final Htg. Final Plbg. 2 g Bldg. Final Cert. Occ. Temp. LP Deck Ftg. Deck Final Well Pr. Disp. PERMIT # evq PLUMBING PERMIT CITY OF;EAGAN RECEIPT # 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Address ' s1 BLDG. TYPE WORK DES_C~tIPTION Lot Block Sec/Sub Res. _ New i Mult. Add-on m Name Comm. Repair co Address I Other C City Phone « •RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Name AV, -L Water Closet - $3.00 I Bath Tubs - $3.00 3 Address Lavatory - $3.00 O City Phone Shower - $3.00 `-Kitchen Sink - $3.00 FEES Urinal/Bidet - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE _/-Laundry Tray - $3.00 APT. BLDGS - COMM RATE APPLIES - / Floor Drains - $1.50 TOWNHOUSE & CONDO - RES. RATE APPLIES '---/--Water Heater - $1.50 MINIMUM - RESIDENTIAL FEE _$12.00 Whirlpool - $3.00 MINIMUM - COMM/IND FEE -$20.00 __J_Gas Piping Outlets - $1.50 ~.Iy STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT) (ADD $.50 S/C IF PERMIT PRICE GOES Softener - $5.00 BEYOND $1,000.00) Well - $10.00 Private Disp. - $10.00 J Rough Openings - $1.50 S 7~ FEE: ~y SIGtSA. RE OFF PERMITTIEE STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL: PERMIT # C? 77 MECHANICAL PERMIT RECEIPT # y LI Z aL CITY OF EAGAN k_ 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Address f BLDG. TYPE WORK DESCRIPTION ' Lot Block Sec/Sub Res._ New X i Mutt Add-on m Name r ' _ Comm. Repair Address - Other Z E City Phone .4 7 5 rl. f , y FEES Name RES. HVAC. 0-100 M BTU -$24.00 C Address > ADDITIONAL 50 M BTU - 6.00 3 £rYr:x/y (RES. HVAC INCLUDES-A/C ON-NEW p City - Phone CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA. TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air /y M BTU APT. BLDGS. -COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU $ MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 Vent CFM $ (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # BEYOND $1,000) Other $ FEE: p S/C: SIGNATURE OF PERMITTEE TOTAL- FOR: CITY OF EAGAN Cities Digital Quality Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. PERMIT # PLUMBING PERMIT CITY OF EAGAN RECEIPT # 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: - " ' CONTRACT PRICE: PHONE: 454-8100 Site Address BLDG. TYPE WORK DESCRIPTION Lot Block $ec/Sub Res. ` New Mult. Add-on a5 Name Comm. Repair Address Other a` c City 11 ~ Phone/ RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Name Water Closet - $3.00 $ m Bath Tubs - $3.00 3 Address Lavatory - $3.00 O City Phone` f r~~ r 1 Shower - $3.00 Kitchen Sink - $3.00 FEES Urinal/Bidet - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE Laundry Tray - $3"00 ` a APT. BLDGS - COMM RATE APPLIES Floor Drains - $1.50 TOWNHOUSE & CONDO - RES. RATE APPLIES Water Heater - S1 50 MINIMUM - RESIDENTIAL FEE -$12.00 Whirlpool - $3.00 MINIMUM - COMM/IND FEE -$20.00 Gas Piping Outlets - $1.50 STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT) (ADD $.50 SIC IF PERMIT PRICE GOES X Softener - $5.00 BEYOND $1,000.00) Well - $10.00 ! Private Disp. - $10.00 Rough Openings - $1.50 SIGNATURE OF PERMITTEE FEE: l STATE SIC: I' FOR: CITY OF EAGAN GRAND TOTAL: PERMIT # MECHANICAL PERMIT RECEIPT # CITY OF EAGAN DATE: 3830 PILOT KNOB ROAD, EAGAN, MN 55122 CONTRACT PRICE: PHONE: 454-8100 For Office Use Only: Site Address BLDG, TYPE WORK DESCRIPTION Lot Block - Sec/Sub Res. New Name Mutt Add-on m Address ' Comm. Repair c City Phone Other FEES Name RES. HVAC 0-100 M BTU -$24.00 c Address ADDITIONAL 50 M BTU - 6.00 p City Phone (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA. TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS - 1200 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 Vent CFM STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # BEYOND $1,000) Other ' FEE: /J/~EJpp/~ S/C: SIM /.l~GaC MI EE TOTAL FOR: CITY OF EAGAN CASH RECEIPT CITY OF.EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55922 DATE 19 i RiC HIVED FROM AMOUNT $ DOLLARS goo CASH Q_CHECK FOR FUND CODE AMOUNT Thank You BY White-Payers Copy ' Yellow-Posting Copy Pink-File Copy BLDG. PERMIT NO.~~G 01-3210 Bldg. Permit 4J(~y~ y 01-3422 Plan Check 7 01-3445 Surch./Adm. i' 01-3446 SAC/Adm. 01-2155 Surcharge r 17-3860 Road Unit 20-275 SAC 20-3865 Water Conn. 20-3868 Water Trmt. JAG' L- 20-3716 Water Meter 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. 11-3855 Park Ded. n TOTAL a INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 1 1 11 1 fill, 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: t i (612) 681-4675 SITE ADDRESS:' 1 11 ' APPLICANT: 1 it i { 1;1 111 H'.111+I1Ir'i I;tl nrl+ t. 1 1 µ14 1e1 MOM 1 l "I. I N4 „i ,:1 ►.11A1.1► r,t 1 ►a rall _ :r~j.~:.~ PERMIT SUBTYPE: TYPE OF WORK: INSPECTION TYPE .DATE INSPTR INSPECTION TYPE DATE INSPTR. i Ii4 I~ 11111 ~Illi.11 { (d F:I~ (IIII,H IN H i l, i i NAI F ~I Permit No. Permit Holder Date Telephone N ELECTRIC PLUMBING HVAC Inspection Dow ~R Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: ! 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: Vow t i (612) 681-4675 SITE ADDRESS: APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: INSPECTION • TYPE DATE INSPTR. !4 ~1 I; I I .1•tR1 I I ~ ~ ,,Iti! ,I' It I111•il:{rJl, Iii P ~ 11E'!i ..I i!„! II Permit No. Permit Holder Date Telephone # ELECTRIC f~lif7Q4 9' "'D PLUMBING ✓ry~~~, HVAC Inspection Dots Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING A RETEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG a /9 FINAL HTG ORSAT TEST BLDG FINAL _Z BSMT R.I. BSMT FINAL DECK FTG DECK FINAL J CITY OF EAGAN A ` 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PH ON E: 454-8100 , BUILDING PERMIT Receipt # SE dWG/(;Ate 09,Uck.I !"00.'!8 ,R 1J 7 To be used for Est. Value Date ,19 Site Address 153b ASIlBURY ROAV OFFICE USE ONLY Lot 1 Block 7 Sec/Sub. LL.~.,!iA+r l: .di•, i On Site Sewage _ Occupancy R 1 MWCC System Zoning Parcel No. On Site Well (Actual) Const Va cc Name BURR OAK BLURS INC City Water X (Allowable) Vn ul Address 11473 LCOLVENROD NW PRV Required X # of Stories City {'S t Sj' RA 105Phone 452-2906 Booster Pump Length 4r' Depth 4"_i p Name SA'-,L S.F. Total X- 0 a Address Footprint S.F. City Phone APPROVALS FEES Engr./Assess. Permit ' j 3yS.Ulf yi W Name . SU i Planner Surcharge =5 Address 197.5(7 cc w City Phone Council Plan Review < Bldg. Off. SAC. City 100.00 I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC 52 5 - UO information is correct and agree to comply with all applicable State of Water Conn. 525.00. Minnesota Statutes and City of Eagan Ordinances. Water Meter 67.00 Signature of Permittee Road Unit A Building Permit is issued to: BL 'ii k Ot K PUPS i'fG 180.00 I 9 Treatment P1 on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. ) y ~ -50 1 Building Official s TOTAL ¢ 2 , 329. 50 i CASH RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 ATE 1 9 RCCEI D `./A , FR "C•~(~ LJ AMOUNT $ DOLLARS /oe CASH O iE _7 '.%7'~/To V v FU NO COD AMOUNT D 0 Thank You BY Na _ 79 1 1 6 White-Payers Copy Yellow-Posting COPY Pink-File Copy This request void - 18 rtgnths from ~s/ / 8~6 n s ;Request ate ~.~l:L Fire No, Rough-in?Ins pennon Regu Ted ❑Ready Nuw I~[will Nntify, Inspec- o es ❑Nn ^(or When Peady License Electrical Contractor Owner I hereby rap uest inspection of above ❑ electrical work installed et: Street Address, Box or Rou No. City 3G3G- ettion u. Towns in Name or Nn. County nge o. Occu ant (PRINT) Phone Nu. - D r ysa2 _ °l0 Power Supplier Address Electrical C tr for I mPa nY N me) r ~N °1 Cnntra ctor's license No. Mailing Ad re.. (Contractor or Owner Making Installation) GAO Aut oriz ed Signature ICOpim ctor/Owner Making hts talla[ion) Phone Number moo, NNESOT TATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT figgs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1621 University Aye., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 6420800 ENCLOSED. lo2/~g REQUEST FOR ELECTRICAL INSPECTION Es-00001.06 Ii, See instructions for completing this form on back of yellow copy. 0,-H634 -"X" Below Work Covered by This Request 7"7 4evi Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm me, peel v .ihnr (Spaufy) t ,r peClfY the, Othor ompute Inspection Fee Below N Fee Service Entrance Size a Fee Feeders/Subfeedeur p Fee Circuits g7 0 to 200 Amts 0 to 30 Amps 0 7 e. U 0 to 30 Amos Above 200 Amps 31 to 100 Amps 31 to 100 Amos Swimming Pool Above 100_Am s Above 100_Am ' Transformers Irrigation Booms j0 Partial Other Fee Signs Special Inspection y TOTAL Remarks ( ` Hough-in Date the Ele C ( nspecto hereby e rpec that the above Final :'te inspection has been c j`-) made. This request void 18 months from (31.2-195 1 R&; o~ ge Req est Date Fire No. R ugh-In Inspection Required Ins action Other Than Rough in 3 (You must call Inspector when ready) Ready Now [g Will Notify inspector S Yes ❑ No Date Read I ❑ licensed contractor ®owner hereby request inspection of above electrical work at: Jab Address (Street, Boa or Rome No.) City 3 3 sl.~ ~c o c~ Section No. Township Name or No Range No. County `F C Occupant (PRINT) Phone No. S L . c_ ~Z G -7 -O 33 Power Supplier Address a~1 D'C- ` .tr-. c- I Electrical Contractor (Company Name) Contractors License No. Mailing Address (Contractor or Owner Making Installation) Authorizetl SI nature (Contrac ar Installation) Phone Number -v 633 MINNESOTA STATE BOA F ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Mldway Bldg. - Room 5-128 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55100 UNLESS PROPER INSPECTION FEE IS Phone(612)602-0800 _ ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION (rl yee oaoot-os See instructions for completing this tone on back of yellow copy. 3 r G7o 9S "X" Below Work Covered by This Request =gyp: Ne Add Re'p. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner Other (specify) Contractor's Remarks: Compute Inspection Fee Below., # Other Fee # Service Entrance Size Fea # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200-Amps ova 100 -Amps Signs Inspectors use only: I} TOTA~L1 Irrigation Booms 4 Special Inspection (p Alarm/Communication THIS INSTALLATION MAY BE ORDERFD DISCONNECTED IF NOT Other Fee COMPLETED WIT 18 MON H . I, the Electrical Inspector, hereby Rough-In 11 -3 - certify certify that the above inspection has Final ' Date, been made. OFFICE USE ONLY This request void 1s months from 'qa. ~s 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 Reauirements Remodel/Repair Requirements 0trwe Lrse Onfy 3 registered site surveys showing sq. ft, of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cedoe survey Recd _ X tJ (20°A maximum lot coverage allowed) 1 set of Energy Calculations for healed additions Tree Pres Plsn Rectl _ X _ tJ: 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Regttued Y N I set of Energy Calculations Addition - indicate if on-site septic system On-site Septiq System ._Y 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Qetail Options selection sheet (buildings with 3 or less units) Date Construction Cost 00 ~ C Site Address a1 H 1 N t l Unit/Ste # Description of Work' Multi-Family Bldg _ Y - N Fireplace(s) - 0 - 1 - 2 Property Owner Telephone # (6 6'1) Contractor Address a -I L4 City q- State f Zi s f Telephone # (to 5(1 7g ~ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category , Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (J 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 Telephone ) Mechanical Contractor Telephone 1 Sewer/Water Contractor Telephone 1 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 whi rp~ approval of plans. ' LI 1 2 2005 A Q'-CL V ~0 Applicant' Printed Name Applica ' Si ature By 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 01of_plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn.(4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 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 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 Bldg) - Give PCA handoutto applicant Valuation Occupancy MCES System Census Code 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) _ Final/C.O. Footings (deck) _ Final/No C.O. - Footings (addition) _ Plumbing Foundation _ IIVAC _ Drain Tile Other _ Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final Framing - Siding _ Stucco - Stone - Brick Fireplace _ R.I. -Air Test -Final _ Windows 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 2004 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 RemodeVReoalr Requirements Otfiaa 0se. 3 registered site surveys showing sq. ft. of lot, sq. fL of house; and all roofed areas 2 copies of plan Celt of Survey Recd Y:'_' N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plar Recd _ Y,,,~ 4 N. 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Treef-ies Req0p6d Y1:c N l set of Energy Calculations Addition - indicate if on-ste septic system Ort-*,Sepiic System. N 3 copies of Tree Preservation Plan if lot platted after 7/1193 Rim Joist Detail Options selection sheeett~(lbbl ldgs wilh 3 or less units Date / P I V/r_ Q 7 A Construction Cost Site Address L3 T I L~ (<(y 6qC(J1 /nlrl 65/J unit/Ste # Description of Work Multi-Family Bldg Y/-l- N Fireplace(s) X 0 _ 1 - 2 Property Owner r'AQher lrd_L~rl l? m&n Telephone # (46 ) JD -58 Elm pI - Contractor [ Address City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Code Category • Residential ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted 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 Telephone # ( J Mechanical Contractor Telephone Sewer/Water Contractor Telephone LAPR I here by apply for a Residential Building Permit and acknowledge that the info is Itate urate; that the work will be in conformance with the ordinances and codes of the Cigan an ;te- f NIN S tatutes; 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. .Lunn W-O&(n Ap icant's Printed Name Ap cant's 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 0 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 Work Types flUbicty O✓1T~ E, 4 S7`: C 14 ❑ 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 Bldg) - Give PCA handout to applicant Valuation Z1 ° Occupancy MCES System Census Code 4 314 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) _ Final/C.O. 0 Footings (deck) Final/No C.O. Footings (addition) _ Plumbing _ Foundation _ HVAC _ Drain Tile Other Roof - Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final Framing _ Siding _ Stucco - Stone - Brick Fireplace _ R.I. -Air Test -Final _ Windows Insulation _ Retaining Wall Approved By: I U 1I~k - Building Inspector Base Fee _ Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies-5 Other Total aAK. 1 rio u cotIS01.71" e1+o~HEeas j3vl` AL ENGINEERING PIANNEAS add AHU fUAVEYOft 425.01 COMPANY, INC. 1000 EAST 1461h STREET, 6uRNSVILLE, UINNESOTA '53337 PH A32'3000 Ce~-~ }'Z cad ~J , MINNE50TA ~a41 .tk scrf~,eZton: AU ITION, L AKO-M 00A/7 ND (8LIE, C j UEIJOTES EXISTIMC~ ELEUATIUN UAI70P,l ~i 1NDlcATE5 1?IREC7-11 J OF 90,CFA6E DRAINAGE 9L6-33 = FIAJISHED GARAGE FLOOR ELeVATION EACH- - EV r BY DRA)NA6E AND DA UTILITY EASEMEIJT r4E BUILDING INSPECTIONS DEPT. ti 25.110 N 870 37' 29'. W Rsr 7B /CO. 00 i6 i op . tL 5CALG P=311 a I 1J L 1 LOT o a1 Val ` v ~ ro Ho~SE. ~ tra~ 83 ~.B J 3 I ~ /yQ~6ig 69r1 - , V .33 ~ ~ p fr2o.° f N ~O° 6s 89 3a' FRONT 90ILDIN6 C&7~ 5ETAW-K LINE ~~090 p ' representation of a tract of correct rere en is _ qnl f day of 1 hereby certify that this is a true and correct rapresen land as shovn'and described hereon.. As prepared thi S~~c ~ 19~• Minn. Rego No. /1,,, Of5- RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGA AGAN MN 55122 651-681-4675 New Construction Requirements RemodellReuair Requirements 5J ~L _o . 3 registered site surveys showing sq. ft. of lot sq. ft. of house; and all roofed areas • 2 copies of plan (20% maximum lot coverage allowed) . I 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 • l set of Energy Calculations . Indicate if home served by septic system for additions • 3 copies of Tree Preservation Plan if lot platted after 711193 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE S 2- 2- VALUATION SITE ADDRESS 1tD CQ_ MULTI-FAMILY BLDG _Y V-N TYPE OF WORK-~T_aY cam ' °E V e- O FIREPLACE(S) lt!~i 0 _ 1 _ 2 APPLICANT Caf~S~t c~t1h-rz ~SC'Cc~L3~ ~~iyc STREET ADDRESS Zti~9 P:.vCQ- SC CITY PQFr_ \A M STATE YYIj_7UPESS it TELEPHONE # 151-~~`('9I CELL PHONE # FAX # 1o, I-yE?> -UZI `72- PROPERTYOWNER~~_'~ ~c O~So c.J TELEPHONE#kob-~-qcyl~--C)(4SZ COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I _ MINNESOTA RULES 7672 (4 submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Phone # Plumbing system includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00 Water Heater No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # Mechanical system includes: Air Conditioning Fee: $70.00 Heat Recovery System Sewer/Water Contractor. Phone # I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of A~ptic n I'" U + 6 L OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Req ' ?d •--•----irBaTed°~iS2 OFFICE USE ONLY ❑ 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 ❑ 18 Deck ❑ 23 Porch (screened) ❑ 36 Multi ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg_Y or- N ❑ 25 Miscellaneous ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish (Interior) ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Bldg. ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish (Bldg)* ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS - Footings (new bldg) _ Final/C.O. - Footings (deck) Final/No C.O. Footings (addition) _ plumbing - Foundation _ HVAC - Drain Tile Other Roof _ Ice & Water _ Final - Pool _ Ftgs _ Air/Gas Tests _ Final - Framing _ Siding _ Stucco _ Stone - Fireplace - R.I. -Air Test -Final - Windows (new/replacement) - Insulation _ Retaining Wall Approved By 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 PERMIT GPO 1151 V~5 --tCITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: Eagan, Minnesota 55122-1897 Permit Number: BUILDING (612) 681-4675 Date Issued: 026013 071207/12/95 SITE ADDRESS: 3636 ASHBURY RD LOT: 1 BLOCK: 2 BLACKHAWK GLEN 2ND P.I.N.: 10-14351-010-02 DESCRIPTION: I' RESIDING B,uilding`t"Permit Type SF (MISC.) Building Work-,Type REPAIR REMARKS: FEE SUMMARY: VALUATION $9,000 Base Fee $149.75 Surcharge $4.50 Total Fee $154.25 CONTRACTOR: - Applicant - ST. LIC. OWNER: AMERICAN REMODELING INC 15530020 0002406 CHIN AMOS 3700 ANNAPOLIS LN 3636 ASHBURY RD PLYMOUTH MN 55447 EAGAN MN (612) 553-0020 (612)405-9145 I hereby acknowledge that S have read this application and state that the information is correct and agree to comply with all applicable State of Mn. L Statutes and City of Eagan Ordinances. APPLICANT MITEE SIGNATURE -ISSUED BY: 51 TUR REACTIVATE _ CITY OF EAGAN a~ PERMIT # ~ch 8 BUILDING PERMIT APPLICATION S Sq 681-0675 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, I 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. ~ / Valuation of work Date Site Addre 01,34- 6 A'5A i rn mac( STREET V SUITE Tenant Name: (commercial only) > y LOT 1 BLACK ~ SUBD. &P_d ~-ctJ"" P.I.D. N Description of work: A-e-j. The applicant is: ❑ Owner Contractor ❑ Other (Describe) Name ✓h Phone yOS--9iys Property LAST FIRST - 01-caner Address-3636 A5/i/3us-W .eg(. STREET STE 0 City ~KF State /,V /42 Zip Company Phone, 3-6o.;?a Contractor Address X77 /4rvti~o/. s 'Jr License #r76a.2y66 Exp. City State /Yj/il, Zip.~s-tiy7 Company Phone Architect/ Engineer Name Registration # Address City State Zip or Sewer & water licensed plumber roc AV~ sewer & water permits is two days once area has been approved. 0 b t9Qi I hereby acknowledge that I have read this application and State that - rmatanD_ts correct and agree to comply with all applicable State of Minnesota Statutes an it Eagan Ordinances. Signature -of Applicant: c2gwfga- OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑'11 Apt./Lodging ❑ 16 Basement Finish ❑ 02 SF Dwg. ❑ 07 4-Plex ❑ 12 Multi. Misc. ❑ 17 Swim Pool ❑ 03 SF Addition ❑ 08 B-Plex ❑ 13 Garage/Accessory ❑ 18 Comm./Ind. ❑ 04 SF Porch ❑ 09 12-Flex ❑ 14 Fireplace ❑ 19 Comm./Ind. Misc. ❑ 05 SF Misc. ❑ 10 Multi. Add11. ❑ 15 Deck ❑ 20 Public Facility ❑ 21 Miscellaneous WORK TYPE ❑ 31 New 01.33 Alterations ❑ 3S Tenant Finish ❑ 37 Napoi i sh ❑ 32 Addition ❑ 34 Repair ❑ 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System (Allowable) 1st Fl. sq. ft. City Water UBC Occupancy 2nd F1. sq. ft. PRV Required Zoning Sq. Ft. total Booster Pump N of Stories Footprint Sq. ft. Fire Sprinkler Length. On-site well Census Code Depth On-site sewage SAC Code APPROVALS Planning Building Assessments Cnninoorin~ Variance REQUIRED INSPECTIONS ❑ Site ❑ Footing ❑ Framing ❑ Insulation ❑ Wallboard ❑ Final ❑ Draintile ❑ Fireplace Permit Fee valuation: g oiv Surcharge Plan Review License 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 Other Total: y, SAC % SAC Units CITY OF EAGAN N°_ 1 4 4 0 2 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PH ONE: 454.8100 BUILDING PERMIT Receipt # 7 9 % (c% To be used for SF DWG/GAR Est. Value $69,000 Date NOVEMBER 10 19 87 Site Address 3636 ASHBURY ROAD OFFICE USE ONLY R3 Lot -l Block 2 Sec/Sub. BLACKHAWK GLEN 2 On Site Sewage Occupancy MWCC System X Zoning i Parcel No. On Site Well (Actual) Const Vn a Name BURR OAK BURS INC City Water X (Allowable) Vn i Address 11473 GOLDENROD ST NW PRV Required X # of Stories City COON RAPIDSPhone 452-2906 Booster Pump Length 48 Depth 40 p Name SAME S.F. Total oa Address Footprint S.F. City Phone APPROVALS FEES c~ia Engr./Assess. Permit $ 39$.00 W Name w z Planner Surcharge 34.50 x Address E City Phone Council Plan Review 197.50 a W Bldg. Off. SAC, City 100.00 I hereby acknowledge that I have read this application and state that the Variance SAC, M WCC 525.00 information is correct and agree to comply with all applicable State of Water Conn. 525.00 Minnesota Statutes and City of Eagan Ordinances. Water Meter 67.00 Signature of Permittee~L Road Unit 395,00 A Building Permit is issued to: BURR OAK__ R5 INC Treatment P1 180.00 on the express condition that all work shall be done in accordance with all applicable State of Minnesot tatutes and City {p Eagan Ordinances. rtaffd copy ..50 Building Official~2 TOTAL 2,329.50 J pAKcEna 1987 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE; ADDRESSES FOR CORNER LOTS - CONTRACTOR /HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS - RESIDENTIAL RENTAL UNITS FOR SALE UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: Valuation: p- Date: ~J 'e-7 Site Address As )&.JrAv k.0 bc7o 000 - OFFICE USE ONLY X Lot Block On Site Sewage_ Occupancy 3 MWCC System L/ Zoning 1 Parcel/Sub p ~/ycdr~RwK C~~N On Site Well Type of Const .pp 'n City Water (Actual) V-N M Owner DG2 AR oAm'(Allowable) l y Address _I/q)3 G # of Stories o~d~+./y w, Length yB Depth 41O, City/Zip Code No 59/3 S.F. Total Footprint S.F. Phone 45-2-d9o6 APPROVALS FEES Contractor 5/46nF Assessments Permit 39500 Water/Sewer Surcharge Address Police Plan Review $O Fire SAC, City /00.00 City/Zip Code Engr SAC, MWCC ZS $,00 Planner Water Conn 52S.00 Phone Council Water Meter 6r7, 00 nBldg Off Road Unit 305,00 Arch./Engr. _1 455~t~ ~ SiU^/ APC Treatment PI I80,00 Z) Variance Parks Address 1//0 01 k/J Y, Copies 50 l TOTAL ~ S Q City/Zip Code ~dt nu Phone # 7Q ROBE EOHSULTIHG 4ko NeiRs ENGINEERING PLRNNlBS add ~RND ~URVE90COMPANY, INC. 01 KOOO 1000 EAST 1461h STREET, BURNSVILLE, MINNESOTA 53337 CerZ : ~e o~ S trz-e c_ f ~g4at .Uedcr4,e2ion • LvT / BLOCK 2, BLACKNAINI< 6VIV 2ND AUDITION, I AKOT/) 00UN7'Y, M lNNE50TA dL`E' -D DE LJOTES EX I S-r l f\]G ELEVATION ('a19.G j I-Q, 1 II li_VA77UA.1 r.~ INDIC'ATE5 0IREc2TMVV OF S'URFAC'E Dk41A1Are $Z6'33 = FINISHED GARAGE FLOOR ELEVAT/Dill DRAINAGE AND UTILITY EASEN)E"T 25, o~ -L Al 89° 37' 29" W (ess.o3yz9gJ (82.-.7_P) /00- CIO i6 ~9 , SCALE l" = 30' M !o' I c i LOT 1 l I o A / i / 4o.op rA/3.9a) V ti M I~/ n, ~0 p ( d /A1 hOn 2 0 X20, ' ~ 8, ( j gl?S~ ~0' I e / 30' FKONT OVILDIN6 'L' wI 2a ( 5ET04CK LINE ~s `/Burr l a8 , °'9p o m°I hereby certify that this is a true and correct representation of a tract of land as shown* and described hereon. As prepared by me on this 9nd day of SJ,JE , 19 SL. Res, No. /GoBs- Cities Digital Quality Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. I~~ 97W647 Yq' IL~ ~y 91 'i ondll 6 saw lobs, Inc. '.rchlnelyr.l d..lyn.n 01 su4dn n EiTARIOR ENVLWP£ AVEME'l-"Q" COMPOTATIODI PL4 PLAN 90.OwtiJ l.#,,\) SITE ADDRESS L nT / R L o F ` Z BLAe>~FI Wk DATE Z ° CONTRACTOR_ EVf-AQ- AV- -SVILDU-5 PHONE Determine working square footage of each 1. Total exposed wall area....sq.ft. x,L a I~ 2. Total roof/ceiling area...:.. 1O r7 sq.ft, x-VkIM 3. Total floor/cant. area....... sq.ft. x .1. _ Total exposed wall area above floor 11400 a. Total wall window area.,***.., -910,4:5 b. Total door area J r c. Total sliding glass door area................p d. Total fireplace 'wall area* o... , ,@* . e.' Total wall framing area (average 10,$).......~ f. Total not wall area above floor 'Total rim joist area.... Total exposed foundation area _ n,'7_ ';.h. Total foundation window area i. Total net foundation area above grade........ } 3r Determine "II" value of each wall segment M 7~s"lqY ~x, 8. (P. 415, x "U" = 3I p79 '~Q b. r s x "U" t1 , sYr 0. ♦CIx "U" r e .O k x nun MX. d. Mr ;I t 4 _ x "U" 0 = f. x nun-- g. x "U" _ h. x nun : 1. x "U" _ 10AS r 4+e Total ° po r '?4cIf'.item°f4 is the same as or less than item $1p you have met the~intant:of SBC 6006(0)2. _ f -------------q ST9D 14. Air 68 THRU INS. WALL Into Ain .68 r/'9.29 6 SIDING 1/2" S.R. .45 r/ SR. a SIDING 1/2" SIR. .45 Stud L0'001s " Ina. IC(•00 25/32" Bild. 2.06 25/32" Bald. 2.06 Siding , (off Siding , Ext. Air •17 Ext. Air .17 Total "R" . Total "R" a 7.5r02j 1/Ra "U"= O~Z 1/R=" U" .O THRU RIM Into Air .68 THRU CONC BLOCK Into Air .68 JOIST Ina C.B. ( 1. -4v Opt. Styro. Opt. Ina. cjrO 1 1/2" Wood 1.89 Ert. Air i 25/32" Bild. 2.06 I ' Opt. S.R. Siding (O`I 6 . Opt. Sid.. Ext. Air .17 Total "R" = 7 3 Opt. Briok 1/R.= "U" ~7!• o Total "R" _ 1/R "U" _ -a THRU Ciao Into Air .61 THRU CLG. into Air .61 ' MEMBER SIR. S-~o INSULATION S.R. Clg. Memb. 4. ~S Ina. ( O Ins. 11 i i R f ( 4j4j. ~b Still Air a6_ /y I %i Still Air l Total "R" _ _1_ Total "R" _ ?j j • rf ZL Total exposed roof/ceiling area J. Total skylight area.e....e k. Total roof/oeiling framing area (aver. (.10016"o/o),,.,. .0625024"0/0)... 1. Total net insulated YOOf/0911ing area .......e.......... ~ Determine "U" value for each roof/ceiling segment is x ODD = k. x "U" p _ , (Pss` 1. x "U" low = 5. Total ° If total of f5 is the same as, or less than ¢20 you have not the intent of SBC 6006(o)1. Total exposed floor/cant. area m. Total floor/cant. framing area (average .10%).......... n. Total net insulted floor/oant. area Determine "U" value for each floor/cant. segment M. x "U" n, x "U" 6, Total " If total of K is the same as, or less than #3, you have met the intent of SBC 6006('o)3* r+LTMNATE BUILDING ENVELOPE DESIGN To utilize the total envelope system method, the values established by the sum of items $4, #5 and, #6 shall IL91 be greater than the sum of items #19 f2 and $3. Is. ~ b. T5 2. Z-2-17 3. _ , Q 4. 5. 21~Z2 6. Prepared by Date Nr P. *101 JIM 1 49 WWsqf4F1MPWTW.M~ L BL CITY USE ONLY RECEIPT ~1` ~R'95 QQ SUBD- ~A&,Y);uj A:j, DATE: '0 0/0067<0 1995 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: single family dwellings ► townhomes and condos when permits are required for each unit FIXTURES EACH NO. TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 1 3.00 x = Laundry Tray "^YJ 3.00 x = Hot Tub/Spa 3.00 x = Water Heater 3.00 x = Floor Drain 3.00 x = Gas Piping Ouiiet * minimum - 1 33.00 x = Rough Openings 1.50 x = Water Softener 5.00 x = Private Disposal * Dakota Cty. license 20.00 = U.G. Sprinkler * home under const. 3.00 = Alterations * to existing 20.00 = Water Turn Around 20.00 STATE SURCHARGE .50 TOTAL y~ SITE ADDRESS: 3 G IIIA&rV OWNER NAME: V INSTALLER NAME: i V ~ Vh 1 /1 C h C STREET ADD ESS:/~ ~~l U~ J yl CITY: I/ P STATE: ZIP: PHONE ( ) 8I tH, zn12 SIGNATURE OFTTRMITTEE CITY USE ONLY L _ BL RECEIPT M SUBD. DATE: 1995 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ► all commercial/industrial buildings. multi-family buildings when separate permits are l14S required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION ADD ON REPAIR DESCRIPTION OF WORK: FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per $1,000 of pSmd fee due on all permits. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: STE. # OWNER NAME: INSTALLER: ADDRESS: CITY: STATE: ZIP: PHONE SIGNATURE: APPLICANT CITY OF EAGAN PERMIT 2 ge y73 CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 025193 -(612) 681-4675 Date Issued: 03/21/95 SITE ADDRESS: 3636 ASHBURY RD LOT: 1 BLOCK: 2 BLACKHAWK GLEN 2ND P.I.N.: 10-14351-010-02 DESCRIPTION: (BATHROOM) B°Uilding-Permit Type BASEMENT FINISH wilding Work Type ALTERATION REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK FEE SUMMARY- Base Fee $35.00 Surcharge $.50 Total Fee $35.50 CONTRACTOR: OWNER: - Applicant - HAGLIND STEVE 3636 ASHBURY RD EAGAN MN 55122 (612)687-0633 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 Mn. Statutes and City of Eagan ordinances. J E APPLICANT/PERMITEE SIGNATURE ISS DBY: SIUNAT ' CITY OF EAGAN~ 3830 PILOT KNOB RD - 55122 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 'I- ~J 681-4675 New construction Reouirements Remodel/Repair Reouirements ♦ 3 registered site surveys ♦ 2 copies of plan ♦ 2 copies of plans (Indude beam & window saes; poured frid. design; etc.) ♦ 2 site surveys (exterior additions & decks) ♦ 1 energy calculations ♦ 1 energy calculations for heated additions ♦ 3 copies of tree preservation plan If lot platted after 7/1/93 required: _Yes _ No DATE: I9S CONSTRUCTION COST: 90- P ox 42 UOO.Oa DESCRIPTION OF WORK: F'• 5`+ w c r L e~ c c c v v v STREET ADDRESS: 3 Cp 3,4 Pis w (~~2 o c~ Z LOT _L BLOCK SUBD./P.I.D. - 1 QG/R~~ • ^ ~h/X PROPERTY Name: 14 c_G \ . ~Z S -Ir-e_o e- Phone ~ g -7 -6 (e33 OWNER .MSr Street Address 3 (a 3 s b r tZ o ~-Z City: G c. 4 State: vvt N Zip: 5 I CONTRACTOR Company: S e z k4 c-4.1 - Phone G - o X33 Street Address: 36,3 io A . 5 ~c` 22 License City: C State: Y" M Zip. S s l 2Z ARCHITECT/ Company: Phone ENGINEER Name: Registration Street Address- City: State: Zip: Sewer & water licensed plumber: Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that i have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances Signature of Applicant: OFFICE USE ONLY rECEOVED Certificates of Survey Received _ Yes _ No PEAR a 1 t999 Tree Preservation Plan Received Yes No o OFFICE USE ONLY. BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging 16 Basement Finish ❑ 02 SF Dwelling ❑ 07 4-plex ❑ 12 Multi Repair/Rem. ❑ 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-plex ❑ 13 Garage/Accessory ❑ 20 Public Facility ❑ 04 SF Porch ❑ 09 12-plex ❑ 14 Fireplace ❑ 21 Miscellaneous ❑ 05 SF Misc. ❑ 10 = plex ❑ 15 Deck WORK TYPE ❑ 31 New G5Z~33 Alterations ❑ 36 Move ❑ 32 Addition ❑ 34 Repair ❑ 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MCNVS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. vsy Depth Footprint sq. ft. SAC Code o/ Census Bldg Census Unit O APPROVALS Planning Building Engineering Variance Q1 Permit Fee Valuation: $ /SOo Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit SAW Permit SAW Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units CITY O F E A G A i~3 * *10Tv.: PAT*-rrr of FEE AT ME c - * APPLICATION DOES RIOT CaNSTI3VTE *F APPROVAL OF PERMIT. APPLICATION FOR PERMIT x * INSPECTION OF SEWER Aid)/M Yg1TE. *F nzsrArrAmoNS w= NOT BE s qm SEWER AND/OR WATER CONNECTION ULID UNTIL PERMIT HAS BEEN APPROVED. - P ease Print) 1) PROPERTY ADDRESS: 3L I45~ Gam; ` ~p ~y~7 LEGAL DESCRIPTION: (Lot/Block/Subdivision or Tax Parcel ID ) IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: (Mon /Year) PRESENT ZONILZ/PROPOSED USE: CC%,SMERCIAL/R.ETA1L/OFFICE R-1 SIWLE FAMILY Q INDUSTRIAL Q R-2 DUPLEX (Two Units) INSTITUTIONAL/GOV,L >EN'r R-3 Tl7;vMOUSE (Three + Units) ( Units) R-4 APARTMENT/CON'DCMINIUM ( Units) 2) ACr• / NAND: [ r~ C S'i /L~ SC C Jl~e h -Z-i C ADDRESS: 1--241Zc 2 yin ~Z~G CITY, STATE, ZIP: JS37iY PHONE: ;V1G>% - -W1 O U 3) .,fu -15, For City Use Plumbers License: ADDRESS: Active Expired CITY, STATE, ZIP: [ i Not recorded PHONE: MASTER LICENSE4 Star Initial 4) oea~1 •,ia~;~ NAME: ~L ti r k / i l am. ADDRESS: z? CITY, STATE, ZIP:,f~, .15 n g y i r? 7 ae/ r~ r f j PHONE: 5) rollrv~ ' ':ud: • a I lu a:le laa a yaa/ CON IECTION TO CITY SEwE.R NIvZXTIGN TO CITY WATER OTHER 6) ,um_ o:,i ❑ PLEASE HOLD APPROVED PERMIT FCR PICK-UP BY ONE OF ABOVE PLEASE MAIL APPROVED PERMIT TO 1, 2,( 4, ABOVE T J~J /7. (Circle one) WNW • Ago off .a i~ oor o~- - i.-'~'i~ ~ tia `~TS'.l u:~• ..y.i lai.> ~:n• _o. • as y• e . 1 . S4Yiu;r~ ,gall"'• ~IAf •1'• m- •aa -Y'. a~ l1; :i.+b o Ye•r-• USE DNL'~ •i~MIT $ ISSUED Y2 Z "3 w/Bldg. Permit S: Y , - a_ SEWER PERMIT NCLUDE U'?CH3e_tGE ) WATER PERMIT (INCLUDE SURCHARGE) Lf Zi TlA.-_:R METER/COPPE:::ti.;:? /OUTSIDE RE?:PER $ ~i-TER T'? (INCLTJD% STOP) SEWER TAP ACCOUNT DEr SEWI?F - - - C l 'ot ACCOUNT DEi'C)SIT - Wi,'-FWAC TRUNK +.,.;'SSMENT $ TRUNK SEWER -11 > LATERAL BENEF ER 5 LATERAL Br:`t•IEFI' %'I' <L'?..( W': Xc Ci b WATER TRE-'I'•i_''::'i. OTHER: TOTAL -IT Y COND:E:-'_'Uel L 1 PL' L.IC R GHT YES T_' 'P'.':[i•!i_ lUR v.l'. _i: I~:SUED BY N::' ._"G, -r L.! NO L :;S A CONDIT ..:;CT THL PROVED SY: " TITLE. / PERMIT City of Eagan Permit Type: Mechanical Eagan. Permit Number: EA099428 Date Issued: 06/07/2011 OR Permit Category: ePermit 41 it~ of E3 E Site Address: 3636 Ashbury Rd Lot: I Block: 2 Addition: Blackhawk Glen 2nd PID: 10-14351-02-010 Use: Description: Sub Type: e - Furnace & Air Conditioner Work Type: New 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) $50.00 0801.4088 Surcharge-Fixed $5.00 9001.2195 Total: $».00 Contractor: - Applicant - Owner: Genz Rvan Plumbing & Heating Robert P Raleigh 2200 West Highway 13 3636 Ashburn Rd Bumsville NIN 55337 Eagan MN 55122--124 (92)767-1000 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 Cite of Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature Use BLUE or BLACK Ink 1 For Office Use I ; Permit City of Ealan 1 2,3~ 1 Permit Fee: n 3830 Pilot Knob Road ~,I r Eagan MN 55122 j Date Received: /G? -/'"'f Phone: (651) 675-5675 1 1(4t,,l[q Fax: (651) 675-5W4 1 Staff: 41L I l -----r 2012 RESIDENTIAL BUILDING PERMIT APPLICATION V Date: l 02 0/.-7, site Address: 3 (Ph bvrj- Road- Unit Name: RO6 rf ~+~►'t 11t PGkin ~ Phone:&&_1-2-0V-2_ 7~~ RESIDENT I ~ MtJ `S / Z 7- OWNER Address 1 City / Zip: & 115~ ~J ('v,. I d/ U Applicant is: Owner Contractor TYPE OF WORK Description of work: W e b_A~ Construction t, 4-14 7 Multi-Family Building: (Yes ! No Company.. & t)o o r LO ✓le am~ Contact: JO kJ S e- t vict -e- r" a- CONTRACTOR Address:q ~ 1.0 0 1_67 ST 5T(4l , sV4e- / O 0 City: V 4 _ State: Mki Zip: 5~ / Z Phone: License 0 J Lead certificate AIM-- 9'1 e) If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? -Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor. Phone: Sewer $ Water Contractor: Phone: NOTE; Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they 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.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that i understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. 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. Applicant's Printed Name 0 pp can 's gnature Page 1 of 3 DO NOT WRITE BELOW THIS LINE l SUB TYPES 343 (o f~S~i b✓~ _ Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage _ Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) _ Multi Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) 01 of Plex _ Lower Level _ Pool _ Miscellaneous _ Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building _ Reroof Demolish Interior Alteration _ Fire Repair _ Windows _ Demolish Foundation _ Replace T Repair _ Egress Window _ Water Damage _ Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation dD0 Occupancy - MCES System Plan Review Code Edition ,Zcv? SAC Units (25%___ 100%_Ier Zoning City Water Census Code 31Y Stories Booster Pump # of Units / Square Feet JD PRV # of Buildings / Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC _ Gas Service Test Gas Line Air Test Drain Tile Other: Roof: --ice & Water --Final Pool: --Footings ___Air/Gas Tests --Final Framing Siding: ---Stucco Lath --Stone Lath --Brick Fireplace: --Rough In ___Air Test ---Final Windows Insulation Retaining Wall: Footings Backfill Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By; Building Inspector 75 RESIDENTIAL FEES Base Fee /y 3 Surcharge Plan Review ~p 7r- MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 ROBE A CONSULTING MO RS vAVEYOAS c~v~GL PS PI NGINCERING PIANN46S ndd lAN COMPRNY, INC. -~5.0+ 1000 EAST 1461h STREET. BURNSVILLE, MINNESOTA 55337 PH 4432-3000 D7 2~6 U-aaz 'an: 1.07" BLOCK 2, BLACKNAINK 6LZIV 2ND ,Ov rwO AgKO-rA C00AJ7'K M IAINE50TA CR D DEK10-FES EXISTINJG ELEVATION) ~r~.G j l~I r.N7l 1~ f-r~c>I~l.rf-Vi~I INDI :A7-C5 v1kECT10V OF 909FACE ORAIAIA69 8Z6.33 = FINISHEV GA;"GE FLOOR 51-EVA-rlo" EAGAN RE'VE -QED BY:_ g/ DRA I lVA6E AND E",TEL_..~ -1_~- UTILITY EA6EM1~1V7" 25. o~ /V 89° 37' e9" W y RRo ts~<~~~,:o,i t (ez'- z0) /00- 00 Ci op a o 9401 . M ~o ScALrr l" = 30` M lam" l l / till a LOT 1 S / a e f~ ~ 4o,oU ) V N M Ir~ V\ ,"h ra~ / . l ~ o ~ ~o0 6S, 8~ / 29- 14. 30' FRONT 6VILDIA16 ,,.~5 wI 28 ° 5ETOACK LINE f m°I hereby certify that this is a true and correct representation of a tract of land as shown' and described hereon. As prepared by the on this ~9„ ni day of 19LL. Minn. Not. No. /l0'05- *City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: \ 1 O'51 Permit Fee: (00 •()3 Date Received: f5(1 113 Staff: INFLOW & INFILTRATION PERMIT APPLICATION Y Plumbing / Sewer & Water J Date: ./ / t/ ‘-' Site Address: 36 Y- C Act,Lr y Pci Tenant: Suite #: Name: � (,/-4--- ,/ 4 - 2 w Address / City / Zip: '16,76' .45 j c / 1- & jc Phone: 6(7- zvq(- 2 7c( ,ti's Al S572 2_ Name: %L, License #: Address: State: Zip: Phone: Contact: Email: PLUMBING (Within the building envelope) Sump Pump Repair Other: SEWER & WATER (Outside the building envelope) Repair Other: Description of work: 6"( re,;-* Svd"? c-1••Sc/we L. FEES $60.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $ a, GG' *Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit VI repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.citvofeagan.com/inflow, or City Hall at 3830 Pilot Knob Rd. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.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. x 1201)4-- (ak it;c k Applicant's Printed Name x Applicant's Signature Reviewed By: Di Under Ground _, Rough-ln Final PERMIT City of Eagan Permit Type:Building Permit Number:EA118852 Date Issued:11/08/2013 Permit Category:ePermit Site Address: 3636 Ashbury Rd Lot:1 Block: 2 Addition: Blackhawk Glen 2nd PID:10-14351-02-010 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . 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 - Robert P Raleigh 3636 Ashbury Rd Eagan MN 55122--124 Iron River Construction Llc 7540 Shoreline Dr W Waconia MN 55387 (952) 442-1762 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA122436 Date Issued:05/07/2014 Permit Category:ePermit Site Address: 3636 Ashbury Rd Lot:1 Block: 2 Addition: Blackhawk Glen 2nd PID:10-14351-02-010 Use: Description: Sub Type:Residential Work Type:Replace Description: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. Troy Good 3670 Dodd Rd Eagan, MN 55123 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 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 - Robert P Raleigh 3636 Ashbury Rd Eagan MN 55122--124 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA166332 Date Issued:12/30/2020 Permit Category:ePermit Site Address: 3636 Ashbury Rd Lot:1 Block: 2 Addition: Blackhawk Glen 2nd PID:10-14351-02-010 Use: Description: Sub Type:Residential Work Type:Alteration Description:Fixtures 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (miscellaneous)$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 - Abdiqadir Hassan Daud 3636 Ashbury Rd Eagan MN 55122 Mad City Home Improvement 5020 Voges Road Madison WI 53718 (651) 500-0514 Applicant/Permitee: Signature Issued By: Signature