1552 Ashbury PlCITY OF EAGAN Remarks ?i? ?f (o .2 4- q
Add$ion Bl.ac.k.hazak Glen lst Loc 1(o eik I Parcel 10-14350-160-01
Owner streec 1.552 Asiib.ury-Pl.ac. state Eagan MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 97 6.70 25 P rior division
SEWER LATERAL
. a
WATERMAIN 075 19$6 92.50 18.56 S O121
? WATER LATERAL
? WATER AREA
0/7049
STORM SEW TRK 1983 pgq
STORM SEW LAT
CURB & GUTTER '
SIDEWALK
STREET LIGHT
Road Unit $280.00 56873 10 23 85
WATER CONN. 500.00 It
BUILDING PER. 111
sc,c 525.00
PARK
Receipt PLUMBiNG PERMIT
CITY OF EAGAN
Fill in numbered spaces
Type or Print /egib/y
Permit No.
Fea
S/C
Tot >
r
1. Date ?2. Installation Cost
3. Job Address Lot Bik. Tract
4. Owner , •
5. Contractor-. -? ??' Phone
6. Address 7' 7. CitY State Zip
8. Building Type: Residential Commercial ? Institutionel O
9. Work Description: New O Add ? Alter O Repair ?
I 10. Describe
1 11.
No,
3 Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
, Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
% Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes goyerning this type of work.
Signed :
for
Rouyh F inal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Reaipt MECHANICAL PERMIT Pormit No,
CITY OF EAGAN FM
Fill in nambered apeca S/C •'?
Type or Prfnt legibly Tot
1. Date 2. Installation Cost
3. Job Addreas Lot Blk. Trect
4. Owner
S. Contractor R. '' `' Phone 325-(W-,'7
8. Address C'37 ChiCB.go VE?.
7, City 't'13• State _
zip
8. Building Type: Residential Q Commercial O Institutional ?
9. Work Description: New Q Add ? Alter ? Repair 0
10. Describe - Fuel Type
11.
No.
? Epu'upment BTU - M. Ea.
Forced Air 1(;83i??'? ` No. Eauiament CFM
Air Handlin
:
Mfg. g
Boilers
Mfg. Mech. Exhaust
Unit Fleater
Mfg. Other
'
.
Air Cond. 30
,,. n'1:t Btf2
J
Mfg.
' Gas, Pipiny Qutleta
12. I hereby certify 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
Rouqh Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464$100
Cities Diizital Qualitv Control
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
K - - MECHANICAL PERMIT
CITY OF EAGAN
' fill in numbersd Vaces
Typa w Print Jegibly. 1. Daie 2, Installation Cost r7
3. Job Addresa f :+ Lot Bik, _
4. Owner
%
?
FN -
S/C
Tot -
k
Tract _
b. Contractor ? Phone
8. Addreu - '
7. City State 2ip ` S. Building Type: Residential 01, Commercial ? Institutional O
9. Work Description: New ? Add ? Alter ? Repair ?
10. Describe t -' FuelType i _
f 11•
No.
' Eauioment BTU - M. Ea.
Forced Air , No. Equipment CFM
Air Handlin
:
Mfg. g
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg. /
Gas, Piping Outlexs
12. I hereby certify that the above information is true and correct, and 1 agree to
comply with all ordinances and codes governing this type of work.
Signed : for Rough Final
Inspections: Date Insp. Date Insp.
This is your permit yvhen numbered and approved.
Approved CITY OF EAGAN 454-8100
BUILDING PERMIT
Te V uud i"
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
Receipt
Site Address
Lot Block ? Sec/Sub. ? • ? `. +u Parcel No.
? Name
W
Z
? Address
City Phone
A Name
oU
u Address
F City Phone
Address `
•2'- ;;•p
City Phone
C .; Date ? q -
Erect ? Occupancy
Remadel ? Zoning
Repalr ? Type of Const.
Addition ? No. Stories
Move ? Length _
Demollsh ? Depth
Int Impr. ? Sq. Ft.
Assessmenf Permit
Woter 8 Sew. SurCharqe
Police Plan Review Q t_ 5O
Firo SAC
Enp. Water Conn.
Plenner Water Meter '• '%
Council Road Unit • ?? ?'
I hereby acknowfedge rhat I have raod rhis application ond stare thct gydy, pp{, T?. PL
the information 4s tarrect and agree to comply with oll applicuble APC
State of Minnesotc Stotutes cnd Ciry of Eagan Ordinontes. P9rk$
Var. Date C???
Sipnuture of Pem+ittea
?.?['•?dU(,.. Total
h Building Permit Is issued to: on ths exprcss condition thoi
oll work shnll be done in occordorxe with oll opplicable Stote of Minnesoto Statutes end Ciry of Ec9an Qrdinontes.
Buildirq Offtciol
??? 1T157
PKmit No. Permit Holder Date Telephone #
Plumbinq `t l34d- 31
H.VA.C.
Ekceric 1 . ? ? f ! ' ?} f ?' _ l/ t ? - •??
Softsnwr
L
Inspection Data Insp. Other
Footings I ?
Footings II
Foundatlon
Framing
,
T2Z ?Y .? .:i?:' • r. ..? ..?
Rooflny
Azgz
Rough Plbg.
Rough Htg.
Insul.
Firoplace
Final Htg.
Final Plbg. 411
Final
Cort/OCC. .
C ? = i
Wat?r
D ?
Wecribe Loca ' dn,
WeII
Seyver
Pr. Disp.
citv oF E-AGAru WATER SERVICE PERMIT
3839. PBFotVhab Road
P. O. Box 21199 PERMIT NO.:
Eagan, MN 5?,'?21 DATE:
Zanirg: _ No. of Unln:
Ltin gren r(-;
Owrnr.
Addross:
Site llddress: urY ? , a=? w , en s?
???r
i,oren _7ro
Metar No
:
.
;yj
?
r
R
eode. No.: ? ?
-• . p
? a" tO OOw1pI/ NMh
'
?'
`
'
U` s• c D
LC;:
o.?...o.. Ml
Ch
r r3 z. ,??
TiT
. ? a
gm
Totaf: 637JUP7 ae er
BY Dote Poid.
of Insp.: Inap,;
CITY OF EAGAN WATER SERVICE P ERMIT
? 3830 Pilot Knob Road
i P. O. Bpx 21199 PERMIT NO.:
? Eaqan, MN 55121
? DATE:
? Zonir+0: - No. of Unlts:
I VAnfr: . ? . ..'r.r,-,n
? AWrom
Ate lWdro{: ? ' . . . .
? Plunbsr.
j Mator No.: C.onneetion Chorye:
' Slu: Acaount Depoait:
?
Reade. No.:
Permit Fee:
' 1 Mm h aowpiy wMh !Iw Cihr oi f.m"w SurcF+orye:
?i Or??oa. Mlx. CFarpes:
TotoL "T
By Date Poid:
Dote of Insp.: Inap.:
CITY OF EAGAN SEVYER SERVKE PERMIT
3830 Pilot Knob Road
P. O. Box 21199 PERINIT NO.:
Eagsn, MN 55121 pqTE;
Zo^i^0: ' No. of Units: `
pwry,r; LundgreII P,ro
Addross:
Site /wd?ess: 1552 Ashbury Lih 31 C1ea ZsL
Pluxr?ber: _ i xL+w: u .
'. - 115 ?. _-. ? n
? _7 (: " . . ? t
I M!N 10 00mely rift Kf C*y Of waa¦ Cd1RlCfiOrl C}1QIv: ?` •), n?C3r1
"MROM. AGODUflf QlposIt: POm* FOO:
BY
Date of Insp.;
SYKh0/Q0: _
MiiC. ChOIgQi:
Totoi:
Dats Poid:
?nis reques[ voitl G Y O? O
18 nwnffis fmm J ? O
8 'i "'M?
Reques[ Oatc
'/ Fre No. Rnuph-ui Insuection
RCquued?
eady Nuw ? WiII Nobfy InspeC-
? \
4L ?eti ?N? tor When ReadY
?LicenseA Electncal ConVactor I hereby request inspaction of above
Owner electncal work installad et
SVeet Address, Box or flout G
/ ? ?
ecuon o. Township Namn or No RaneF No. Co y
OccuGant (PqINTI Phone No. .
j? c o3 C a.? s? 'f '7-3- 42- 3/
Po r Sup er I Address
Elecvical Contractor ;Comp N
e) Co rcacmr's Lmense No.
? ? qo y?7
Mailinp Ad ress ( onv tnr or Own¢r Makinp Ins[allauon)
-a
Autho a Signawre ICOmr mr ? Install ionJ Ph?ne Nurnber
MINNESOTA STATE BOAND OF ELECTPIGTV ? THIS INSPECTIDN HEQUEST WILL NOT
Grigps-Midway Bldg. - Noom N-191 BE ACCEPTED BV THE STATE BOAPD
1821 UnivarsitV Ave.. St. Paul, MN 55104 UNLESS PNOPER INSPECTION FEE IS
Phone (672) 297-2111 ENCLOSED.
5 g3?? ;EQUEST FOR,ELECTRICAL INSPECTION ea-uuuu,-.,a
See instructiens foI completing ihis torm on back of yellow copV. UO 14(()167e
7 ?8 "X"' Be/ow Work C vered This Request ?
p
T AA?I Reo.1 nl Hwldma Aooliancxs Wved Equinment Wired
ndustrial
Electnc
M Fee ServiceEntrenceSize it Fee fexders/Sabieaders N Fee Circwts
UD'O 0 to 200 qm s 0 to 30 Am s tn 30 Am s
Above 200 Amps 31 to 100 Amps 31 to 100 A 5
Swimming Pool Above 100_Am s Above 100_/>m 5
Transiormers IrrigaLOn &ooms Partial.'Other Fee
Signs Special Inspection $
m3rks TOTAL F,E
Re E
it^`f ? / i
Final
soac o?hereb
cerlily thAt the , bove
II15pECfi0?1 hd5 b0¢n
i
1 ? mede.
request void 18 monihe trom
CITYOFEAGAN N° 11157
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 4548100
BUILDING PERMIT RKe1pt # 3
Te M mad hr SF DWG/GAR Est. Value $90,000 pate OCTOBER 23 ?0 85
SiteAddreu 1552 ASHBURY PL
Lot16_.Block 1 Sec/sub. BLACKHAWK GLEN
Parcel No. _ 1ST ADD
Name LUNDGREN BROS CONST
Address 935 E WAYZATA BLVD
City WAYZATA pnone 473-1231
3u
?
f
Name SAME
Address
Phone
g%= I Name DESIGN ETC
x? Addresa 5735 DUNKIRK
iW City PLYMOUTH phone 559-2637
I hereby atknowledge thaf I ho e reed this opplicotion ond stote tirof
the inlormation is corcect and o9re to omply wifh oll opplicoble
Stute of Minnewta Storut s o d 1 gon Ordirwnces.
Sipnafure of PermiMes A ?'V
A euilding Vermit Is issued to: LUNDGREN BROS COt
oll wark sholl 6e done in acwrdonce with oll aooHwble State of mir
ereot M ouuPencY R3
Remodel ? 2oning RZ
Repair ? Type of Const. v
Addftion ? No. Stories
Move ? Length 46-
Demoliah ? Depth 35
Int Impr. ? Sq. Ft.
Inatall ?
Approvalt Faea
Assessment _
Water & Sew.
Police -
Fire -
Eng. _
Plonner _
Countil _
Bldg. Off.
APC
Ver. Date
Permlt 5 4U3.UU
Sureharge 35.00
Plan Review 201, 0
sac 525.00
Water Conn. 500.00
WaterMeter 63.00
Roadllnit 280.00
Tr.PI. 132.00
Perka
Copiea
Totai 2,139•50
_ on the axpress cordiNOn Ihot
ond City of Eaqon Ordironcea.
Buildinp pffidol
w y
57
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICAT'cS OF SURVEY
p 1 SET OF ENERGY CALCULATIONS
?ru°te 7Y?m?/ ?Jt?,COD
To Be lJsed For: Valuation: Date:
Site Address?? OFFZCE USE ONLY
Lot: 16 Block L Sect/Sub Erect
??- Remodel
Parcel /I Repair
"' ' g e
Owner
Addres
City/Z
ish
? Occupancy
_ Zoning
_ Type of Const
I! of Stories
Length
Depth
Sq Ft
Phone X ? gppROVALS
Cont
racto
Assessments Permit
v
'? ?
ater/Sewer _
Surcharge
Address 9?? ?AI ? P
olice P1an Review
? r
City/Zi
Code Fire SAC
p Engr Water Conn
Planner Water Neter
Phone Council Road Unit
Bldg Off Parks
Arch./Engr. APC Treatment P1
Variance
Address 5`73 TOTAL
City/Zip Code
Phone # SS g - J/ 3 '2
?
4(1-
35
3s ,
701. "?
52 S ,
Se?.
28C?.
?2.
?/3l
5C)
s
?
(C-7 ?K
IS x 13T ? 1?5 X ?? ? ii 310
2( x °
23 4 c?3 X I 2 ` 5-79 lo
72p?-,K 4-4 32o37-
8 C6 -?? 4G
IC) x (2 ? f2(--?5 'r b ? 1? C,?:, C-)
SURVEYOR'S CERTIIFICATE SIENNA CORPORA7ION
? DENOTES PP.OPOSED SURFACE DRAINAGE
O DEN01E5 IRON MONUMEN7 SET SCALE: 1 INCH = 30 FEET
• DENOTES IP,ON MONUMENT FOUND PROPGSED GARAGE FLOOR = S 5o,3 FEET
X000.0 DENOTES EXISTING ELEVATIQN PP.OPOSED LClJEST FLOOR = 647-•6 FEET
(000.0) DENOTES PROPOSED ELEVA7ION PROPOSED TOP OF [3LOCK = 8 S0.9 FEET
1 HERE[3Y CERTIFY TO SIENNA CORPORATION TfIAT THIS iS A TRUE AND CORRECT REPRESENTATION
OF A SURVEY OF THE E30UNDARIES Of:
Lot 16 ,[31ock i, 6LACKHAWK GLEN 1ST ADDITION, accordin9 to the recorded
plat thereof, Carver County, Minnesoca.
AND OF THE LOCATION OF ALL QUILDINGS, THEP.EON, AND FlLL VISIE3L[ ENCROACHMENTS, IF ANY,
FROM OR ON SAID LAND. AS SURVEYED f3Y ME THIS I4-1N DAY OF 4eTOt3r-- YL i 1?185 .
APPROVED FOR SIENNA CDRPORA7ION
BY
SIGNED: JP,MES R. HILL, INC.
DATED TfIIS DAY OF BY
19 REVISED I0-12-85 TO SHOW A PROPOSED HOUSE
FOR LUNDGREN BROS. CONST.INC.
NAROLD C. P[7ERSON, LAND SURVEYOR
MINNE507A LICENSE N0. 12294
SHEET I OF 2 SHEETS
PROJECT NO. DODK / PAGE JAM[S R. MILL, INC.
85618 85901 (
1511g Planners / Engineers / Surveyors
FILE NO, 8200 Hum6oldt Avanu• &outh
FOLDER p?oominoton, Mn. 55431 812-884-3020
SURVEYOR'S CERTiFICAYE '
,- .
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N 80°22141IIE
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9
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LOT' 16
I
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25?? I Ql
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70', O
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;`?d
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34
A'S'?G S?' io N _
a15T3op?}?gp
F
?8 ¢(,. z I
1
I PROJECT NO.
8590!
' I FILE N0.
FOLDER
R g49,4
_ I3o19
? 10
? xas¢9
$51.?
I N.
SCALE' I 30'
SNEET 2 OF 2 SHEETS
E300K / PAGE JAMES R. HILL, INC.
151/9 Planners / Engineers / Surveyors
8200 Humbotdt Avenu• 6outh .
Bbotnln0ton, Mn, 55431 812-884-3029
? pINC1RUCil0N ------- -
I.
'5291 • (6i2) 47"S-t231
935 EAST W?+YZA7A eOULEVARD • VJAYZATA. t?IhJtJ
EY,7EP.IOR ENVELOPE AVEP.AGE U COMPUTATlO1J
' Q Lot? Block
Site Address- v ????
/S,5 a? GLO?r-e -
R ?
R &_U Factors
.058
ppaque Walls -
_ _ 117
. 41a11 Framing Areas -
; .023
Ceilin9 2nsulation Area -
' 027
Ceiling Framing Area _ - _
.04
Rim Joist -
_14
Masonry Wall -
_26
!•lindows Double Hun9 - 4E
Casements -
.18
Doors '
.46
' patio Doors ? -
.47
Sidelites ? -
1) Lower level (Bzsement)
Total exposed wal7 area
/?IBx (U) -058 =
Opaque Wall Area
iJood Frame Area o?O x (U) .117 =?
- x (U) .04 =
Rim Joist
Exposed block SIx (U) .14 =
Window Area --?'??-
- ?
Casement ?-'LX (U) .46 .26 =
?-
•- Double Hung
. - x (U) .46 = _- =
Sliding Glass Door
r X (U) .1H = ?-
Door Area - ?
` - 7ota1
??: , •
Z}
? ROCCONSIRUC110N
935 EAS7 WHYZATF. BOULEVhRD • VJAYZATA, ?JiItJNESOTA SS39112) 473-1231
lst or main fioor
Tptal exposed wa11 area
ppaaue wall area
4lood frame area
Rim joist
? 1•:indow P.rea
Sliding Glass Door
Door area
Sidelites
Casements
Double Nung
3) 2nd floor if 2 si.ory
' Total exoosed wall area
ppaque wall area .
Wood frame area
l•lindow area
Sliding glass door
Door area
4) Total ceiling area
Wood frame area
ppaque ceiling area
Skyli9ht
C l
Casements
Double Hung
Z/ 9__2_.-
???x ?u) .058 = ?
Lx (u) -117 =
(U) .04 =
(?x (U) -26
?x (U) -46 --
ia = ?- S
.:YX (u) .
?x {U} .47
Total
o?OX (U) .058 = ?, S
?x (U) .117
X
T- U
?U? .46
26 =
= / S.(
X
L .
?X (U) .46 = -; --
-x (U) -18 = ?-
Total
F?2--Z--'-
?X (u) _ov = ?
? =sS
-7L-Y-X (U ) . 023 = 63 -
rx (U) .55 = _?-
To ta 1
,.
• .. - ? ?... . • . ? -s ? ? l ? `?? MA
P", O SKONS C11tUCTON
IN.
935 ENST VJl1YZ!{7H BOULEVARD • V1f.YZF,7A, IliIIJNG50TA 55391 •{612) 473-1731
11inn. U Factors Total er.Posed orall area a?19-2 x.11
- ?
11inn. U Factors Total exposed ceiling area 2-2/ x.026 = o??S
(A) Total
Item 1 + Item Z/ [,S2_ + Item 3? t I tem 4
?? -•
If total of Items 1- 4 is less tnan Item (A), building
complies with SBC 6006 (C)s
= a 8, 0.3
C
• :? ? • • • ? • i ? • e ?? • u r• ?- • p•
•?• ? •y •?? ? ? •• ? ?? ? ? ?i ? • ? ;
CITY OF EAGAN
APPLICATION FOR PERMiT SEWER P.bID/OR WATER CONNECTZON
1) PROPERTY ADDRFSS:
- ti.oL/rslocx/?:)iwaivision or -rax rarcel l.ll. LVl9
IF EXISTING STRLCTORE, DATE OF ORIGINAL BUILDING PE2MIT ISSL'71NCE:
(M)3nth Year)
PRESENT ZONING/PROPOSID OSE: R-1 SINGLE FAMILY
R-2 DCPLEX ('IWo L'nits)
R-3 'IOWNHOUSE (Three + Onits) ( Units)
R-4 APARTMFNT/CObIDOMINICM ( Units)
CONA4ERCIAL/RETAIL/OFFICE
INIDCSTRIAL
INS7I'IL'TIONAL/GOVERbII,IENT
?
2)
CITY, STATE, 7rYP:
PHONE:
3) • r?-
CITY, STATE, ZIP:
PHONE:
4)
I
MASTII2 LICEDISE # Z? /
CITY, STATE, ZIP:
PHONE:
Recor,
5)
ja CONNECfION TO CITY SEWER ($" CONNECTION TO CITY WATEE2
? OTHER (Please Describe)
6) u • • i
7)
PLEASE HOLD APPROVED PEE2NIIT FOR PICK-tiP BY ONE OF AEOVE
U.EASE MAIL APPROVID PERMiT Z17 1, 2, 3, 4, ABOVE
(Circle one)
For City Cse
Pliuribers Licensc
" _i
FOR C I T Y U SE ON:,Y
PE?2^1IT '-` ISSUED
F°ES : $ 16 S G
$ /o s-v
$
S
$
$ / ) LU
$
?S'C U
$ ?GV c G
$
$
$
$
$
S r?; . ??
$
.$
SE:':LR nE3j1rT (2`ICLI:CE SURC.`i?RGc)
F1ATE? PERP4IT (ITICL'uDE SuRC::ARGc.)
WATER METER/COPPEBHORN/OUTSIDE READER
WATER TAP (INCLUDE COR?ORATIOV STOP)
SE:iE4 : A?
? rCvU_._ .?..dJ.C.= -
ACCOiiNT DEPCISIT - PIAT°2
WAC
SPC
TRu?;{ WAT°R ASSESS:?E::T
TRli:7K SE:•iER ?,SSESS:•?A_:iT
LATE3f,L BENEFIT/TRUNK Sc:, 7= R
LATE:2aL BEVEFIT/TRUNiC WAT°R
WATER TREATMENT PLANT SURCHARGE
OTHER:
TOTAL
AI•SOL":T PAZD/REC°IPT 3
DOES UTILZTY CONNECTION REQUZRE EXCaVATION IN PUBLIC RIG.'IT OF WAY?
Q YES IF YES, THEN A"PERMIT FOR *rlORK WZTHIN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
? NO ENGINEERING DIVZSION. LZST AS A CONDI-
TION.
SUBJECT TO THE FOI.LOL4ING CONDZTIONS:
APPROVED BY:
TI;LE:
DATE:
9
.
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN -j
r 3830 PILOT KNOB ROAD, EAGAN MN 55122 ?I ? S?
651-675-5675
Please complete for modifications to existing residential dwellings.
Date 1
Site Street Address ?9--
Unit #
Property Owner ? Telephone# ((p5) L? -14 35
Contractor \J'co / '? Uu1v v \?
Address \ `? ciYy `T+elephone #
v,- yl.e Siate ( 9Sa ) '?lo - ?
fn?3 Zip
The Applicant is: _ Owner ? Contractor _Other
Alterations to existing dwelling $ 50.00
_Add fixtures to rooms, excluding water softener and water heater
_Septic System Abandonment
_Water Turnaround (add $121.00 if a 5/8" meter is required)
Other.
Water Softener ? Water Heater $ 15.00
X replacement _ additional
Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00
State Surcharge $ 50
Total $J ?! ?
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, 6ut 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.
SVW
ApplicanYs rinted Name ApplicanYs gnat e ? ?
? J uL
15 2ooa
75.3DU
2006 RESIDENTIAL MECHANICAL rExMiT aPrLicaTiort
City Of Eagan
3830 Pitot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Pleese compkte for: single family dwellings & townhomes/condos when permits ate required for each unit
30 2C!P
Date I_ / U / 06
SiteAddress ?SrJ? rISYIYJUIVV I"??1Cli
i Unit#
PropertyOwner davie Kvuvv Telephoned(USI
Contractor _
O'CONNOR ONE HOUR
City
Street Addras 1904 VERMILLION STREET
HASTINGS, MN 55033 TelePhone #( tp S I )? 3??? ???
SWte
Bond #• Expires:
The Applicaot is _ Owner V/ Contractor _ Other
Add-on or alteretion ro existing dwelling unit $ 30.00
furnace _Additional v Replacement _ New
air exchanger
? air wnditioner
heat pump ,
other
State Surcharge S .SO
RD?
roml SEP 2 R?O0fi a ?-?-"-
I hereby apply for a Residen[ial Mechanical Permit and acknowledge [hat the information is complete and accurate; that the work will
be in conformance with [he ordinances and codes of the City of Eagan and with the Mechanical Codes; that 1 understand this is not a
permit, but only an application for a permit, and work is not ro start without a permit; that the work ill be in accordance with the
approved plan in the case of work which requires a review and approval of plans.n
Jtssy ?0wvence Uvz?
'
Appli?s Printed Name Appli nt's Si ature
2007 RESIDENTIAL BUILDING PERMIT APPLICATION 96 o0
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsUUCtion Reowremenfs RemotlellRewir Reauirements QIPce Use OMv
3 regisiered stle surveys shovnng sq. ft. of IoL sq, ft M haise; and all roofed areas 2 copies d plan shovreng foaings, 6eans, joisls Cat of Survey ReCQ „Y _ N
(20%mapmumlotcovwageaibwed) iselofEriergyCalala6onsforheetedaddAions SalsRepoR -Y _N
1 Sods Repat if pruposed bwiding is to be placed on dislur6ed soil i sAe survey for additl= & decks 7rae pres Plan Reoi _ Y_ N,
2 copies ot plan showing beam & vrindow sizes; poured found design, etc Add'Aion - ind'rcate i(ar-stte seµMc system Tree Pres Requirep Y N
1 sel of Energy CakulaVons On•yile Septic System ?Y _ N
3 copies ol Tree Preservatpn Plan'rf lol pWtted afler 711193
Wm Joist Detail Optlons selec6on sheet (bundings anth 3 or less unBS)
Minnegasm medanir2l venAlafion form
Pians are considered public information unless vou sQa4e thev are 4rade secre4 and the reason.
Date ?7T'I l? l Ci } Construction Cost
q
Site Address ]!; S y /?sb?o., ? ??? ?C?2a h M N UnidSte #
Description of Work
Multi-Family Bldg _ Y? N Ftireplace(s) _ 0 1 1 _ 2
Property Owner ?? Telephone#((.Q ) qs :?f
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Contractor
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Address 36`7 ? ?? . L
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COMPI,ETE T111S AREA ONLY If
Energy Code Category - Minnesota Rules 7670 Cateeorv 1
(J submission typeJ • Residen4al Ventilation Category 1 Worksheel
Submitted
• Energy Emelope Calculatlons Su6mitted
A NEW SUILDING
Minnesota Rules 7672
. New Energy Code Worksheet
Submifled
In the last 12 months, has the City of Epgan issued a permit for a similar plan based on a masTer plan2
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Conirnctor
Telephone #(
Telephone #(
Telephone #(
I hereby apply for a Residential Building Pemiit and acknowledge that the information is complete and accurate;
that the work wili be in conformance with the ordinances and codes of the Ciry of Eagan and the State of MN
Statutes, I understand this is not a pernut, but only an applicaGon for a pernut, 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 wluch requires a review and
approval of plans.
Applicant's Printed Name
Applicant's Signature
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA117004
Date Issued:10/14/2013
Permit Category:ePermit
Site Address: 1552 Ashbury Pl
Lot:16 Block: 1 Addition: Blackhawk Glen
PID:10-14350-01-160
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 .
Bjorn Bang
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 -
Kyle D Lyngstad
1552 Ashbury Pl
Eagan MN 55122
Hartland Builders Corporation
2000 Old West Main St, Suite 346
Red Wing MN 55066
(651) 327-2071
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA142727
Date Issued:05/16/2017
Permit Category:ePermit
Site Address: 1552 Ashbury Pl
Lot:16 Block: 1 Addition: Blackhawk Glen
PID:10-14350-01-160
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Fireplace (new)
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Kyle D Lyngstad
1552 Ashbury Pl
Eagan MN 55122
Fireside Hearth & Home
2700 Fairview Ave N
Roseville MN 55113
(952) 985-6675
Applicant/Permitee: Signature Issued By: Signature
EAGA
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-5675 I TDD: (651) 454-8535 I FAX: (651) 675-5
husidinuinspections(cvcityofeagan.cor
ECEIVE
r For Office Us/e G� ' c
Permit #:/o 3 ( �7
Permit Fee: 3 (/ • 0"
Date Received:
Staff:
2020 RESIDENTIAL BIiriaMIG-PERMIT APPLICATION
Date: Vll /7a Site Address: 15 5 Z / ht % c c_ Unit #:
IName: V t °t' O iew S$
Type of Work
Construction Cost: OCO Mufti -Family Building: (Yes / No )
Company: �U Tz yte.Y f2f.W► p� l l a.fnc,. Contact: Pi4v i IJ+)IUi tom
Contractor Address: 3 3 Wood ((M44 I L City: FGCli/{1
I44 State: 4 Zip: 5SI Z 3 Phone: (0IL. ? 7S 3g73 Email: O j 0 S (' 1� Cf WWI i dOWI
e� License #: - o 3 5 qq $ A �µ Y Lead Certificate #: V
If the project is exempt from lead certification, please explain why:
CCc)e. Of YlEn4e.
Phone: 70/ ZOO — (O2c7S
Resident/
Owner Address / City / Zip: /SS 2 Kish t yr y Plate
IApplicant is: tir Owner is Contractor
Description of work: L ow- v Lew) Fl i 1$ 1
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:
m
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
Fire Suppression Contractor. Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information Portions of the information maybe
,,clasailfett as nate:blic if you provide saecific reasons dud would permit the Cityto conclude that they are trade secretsa w w uy
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.cityofeagan.com/subscribe.
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.
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. ivvo__gc p e 1. a t; n c rIg
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 1P144.1 1 vpl
v I. )U 1z4-t x
Applicant's Printed Name Applicant's Signature
•
/ba /27
ei
DO NOT WRITE BELOW THIS LINE
SUB TYPES
_ Foundation _ Fireplace
_ Single Family _ Garage
_ Mufti Deck
01 of Piex y Lower Level
WORK TYPES
New
Addition
Alteration
_ Porch (3-Season) _
_ Porch (4-Season) _
_ Porch (Screen/Gazebo/Pergola) _
Pool
Interior Improvement
_ Move Building
Fire Repair
_ Replace _ Repair
_ Retaining Wall
DESCRIPTION
Valuation 1 1 I/ o1"J
_ Siding
Reroof
Windows
2( Egress Window
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
Demolish Building*
_ Demolish Interior
_ Demolish Foundation
_ Water Damage
*Demolition of entire building - give PCA handout to applicant
Occupancy 3
Plan Review Code Edition /02 c 9e9
(25%_ 100% )() Zoning
Census Code Stories
# of Units Square Feet
# of Buildings Length
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation Foundation Before Backfill
Roof: _Ice & Water _Final
Framing 30 Minutes 1 Hour
Fireplace: _Rough In _Air Test Final
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
Reviewed By:
5 $
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Suppression Required
Meter Size:
Final / C.O. Required
Final / No C.O. Required
y HVAC _ Service Test Gas Line Air Test _ Hood
Pool: _Footings _Air/Gas Tests _Final
Drain Tile
Siding: _Stucco Lath Stone Lath _Brick _ EFIS
Windows
Retaining Wall: _ Footings _ Backfill _ Final
Radon Control
Fire Suppression: _Rough In _Final
Erosion Control
Other:
, Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Radio Meter Read
Copies
TOTAL
(f 7"
Page 2 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA164093
Date Issued:09/18/2020
Permit Category:ePermit
Site Address: 1552 Ashbury Pl
Lot:16 Block: 1 Addition: Blackhawk Glen
PID:10-14350-01-160
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Basement 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 -
Jeffrey C Blaufuss
1552 Ashbury Pl
Eagan MN 55122
Hessian Plumbing Services
Box 22172
Eagan MN 55122
(651) 681-8252
Applicant/Permitee: Signature Issued By: Signature