1628 Ashbury PlCITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH O N E: 454-8100
BUILDING PERMIT Receipt#
Tobeusedfor "`r`('A'k Est.Value '4130, 0:.>C Date 90V lb
Site Address 1628 ASE:BURY PL
Lot ii BIOCk 3 Sec/Sub. ???Y11:`??? CLE?N1 21'
Parcel No.
m Name Li7XDQW BItDTHM CfltiB'IRUCTIEfI?II
z Address i1AYZATA BLYD
? City Phone 473--1231
a 0 ?ame_
? Q Address
?¢- City _
?
W W Name _
? W
_ z
Address
U
¢ W CitY-
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
Mirinesota Statutes and City of Ea9an Ordinances.
Signature of Permittee
A 8uildmg Permit is issued to
on theExpress condition that all work shall be done in accordance with all
applicable.State of Minnesota Statutes and City of Eagan Ordinances.
Building Officlal
OFFICE USE ONLY ?
On Ske Sewage Occupancy
MWCC System Zoning
On 5ite Well (Actuaq Const v- 11
Ciry Water X (Allowable)
PRV Required y # of Stories
Booster Pump Length
Depth 36'
S.F. Totai
Footprint S.F.
APPROVAIS FEES j
Engr./Assess. Permit 00
Planner Surcharge `? S • DO ,
Council Plan Review 336.00
Bidg. Off. SAG City A'? ? 00
Variance SAC,MWCC 550•00
Water Conn. 53o• Vo ;
Water Meter 6 7• oo .i
Road Unit 315.0 '.
Treatment P1 704•00 ,
Parks ?
TOTAL 861?' 00
?
?; , `? 1? ?8
CITY OF EAGAN Permit No: Date:
3830 Pilot Knob Road Meter No: giZe:
P.O. Boz 2t1,89 e6V iWader No: L Date: -
Eagan, MN-55121 ? c t..?
Site
B3
Plumber. LUNDGREN BROS PLB? •
Conn. Chg: $550.00 nd Zoning: `-'
Acct Dep: 15•00 vd No. of Units: 1
Permlt Fee: 10.00 i)c'
Surcharge: .5(: ??d
Tr. Plant-- 2(]4 01 :, i
F
I agree io comply with ihe City oi Eagan
Ordinances.
Meter. .7. .) , ,
Mlsc.:- REQU? h.:--"
ey ,,,
WATER SERVICE PERMIT
PERMIT #
• MECHANICAL PERMiT RECEIPT #
CITY OF EAGAN
3830 PIL07 KNOB ROAD, EAGAN, MN 55122 QATE:
NTRACT PRICE ; • PHONE: 454-8100
TYPE OF WORK
4
t r i_
v?
o? I 1
BI.DG. TYPE WORK DESCRIPTION
New
Muit Add-on
Comm. Repair
Other
FEES
RES. HVAC 0-104 M 9TU - $24.00
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM -1 PER PER7NI'n - 1.50 EA.
CQMM/IND FEE -1% OF CONTHACT FEE
Forced Air M BTU
Boiler M BTU
Unit Heater M BTU
Air Gond. M BTU
Vent CFM
Gas Piping Oudets
Other
FEE
S/C:
MINIMUM COMMERCIAL FEE
STATE SURCHARGE PER PERMIT
? (ADD $.50 S/C lF PERMIT PRtCE GOES
BEYONd $1,000)
.
.. r ?.
_ ; •_
SiCaNATURE aF PERMITTEE
FOR: CITY OF EAGAN
&
- 12.00
- 20.00
- .50
e 4..• ?i-3830 Pilot
BUILDING PERMIT
To be used for ?r it ','
Site Address 162f. .'1
Lot 11 Block 3
Parcel No.
°C
o Name _
,
? ? Address
? City _
Name
?b Road, P.O. Box 21 •199, Eagan, MN 55121
PHON E: 454-8100
Receipt #
Est. Value ". i'0. ??? Date ' '-? 1 C ,19 I hereby acknowledge that I have read thls 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 Permittee
A Building Permit is issued to: _
on the express condition that all work shall be done in accordance with all
applicable State ot Minnesota Statutes and City of Eagan Ordinances.
Building Official_ _-
On S8e Sewage Occupancy
MWCC System k Zoning
On Site Well (Actual) Const V"'H
City Water ?- (Allowable) V--N
PRV Required X # of Stories
Booster Pump Length c8v
Depth 36'
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit ' `?' • ?
Planner _ Surcharge 0•00
Council _ Plan Review 336.00
Bidg. Off. _ SAC. City 100.00
Variance SAC, MWCC 550.W
water Conn. 550.00
,
WaterMeter 67•00
Road Unit 325•?
Treatment P1 204•UO
Parks
P369'J0
'?
TOTAL ,
Permit No. Permit Holder Dato Telsphone *
Plumbing
H.V.A.C.
Electric f
Softener
Inspaction oate Insp. Comments
Footings I
Footings II
Foundation
Framing
Roofing S f re
Rough Plbg. 6 ?
Rough Htg. '
Isul.
Fireplace ?7 .
Final Htg. 1-13f5
Final Plbg.
Bldg. Final
Cert.Occ. ?
Temp. LP .
Deck Ftg.
Deck Final
Well
Pr. Disp.
? PERMIT #
PLUMBING PERMIT Y-- --? `
CITY OF EAGAN RECEIPT #
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ..4
' CONTRACT PRICE PHONE: 454-8100
Site Address ? - BIOG. TYPE WORK DESCRIPTION
Lot ? Block Sec/Su Res. New
Mult. Add-on
? Name T Comm. Repair
(a Address ?- ? • Other
c City Z:4 Phone -7- ?"' RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES T TAL
Name -?- -7--Water Closet - $3.00
.a--Bath Tubs - $3.00
` 3 Address --Lavatory - $3.00 `t
? p City Phone Shower - $3.00 ?
-TKi!chen Sink - $3.00 ?
FEES UrinaliBidet - $3.00
COMM/IND FEE - 196 OF CONTRACT FEE ? Laundry Tray -$3.00 ?
APT. BLDGS - COMM RATE APPLIES Floor Orains -$1.50 ?• ? G
TOWNHOUSE & CONDO - RES. RATE APPUES :?7_Water Heater -$1.50 ?• ?
MINIMUM - RE5IDENTIAL FEE - $12.00 Whirlpool - $3.00
MINIMUM - COMM/IND FEE - $20.00 Gas Piping Qutlets - $1.50
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
Rough Openings - $1.50
I SIGNATURE OF PERMITTEE FEE: 3J.
STATE S/C:
i
I FOR: CITY OF EAGAN GRAND TOTAL• ' 1.
l -
`??
a • CASH RECF-IPT ?
CITY OF EAGAN
3830 PILOT KNOB ROAD
RECENED
EAGAN, MINNESOTA 55122
oaTe 1e
CLN? $
8` oo DOLUFlS
CASH O CHECK
\1 ._ 4 y4 : , I.:J t':'
FUND OBJECT AMOUNT
Thank You
BY
: .?
" White--Payers Copy
Yello?osting Copy
PirNc-mle Copy
? CASH RECEIPT
CITY-OF EAGAN
3630 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
OATE 19
fEcervEO 1 ..
AMOUNT
& DOUARS
,oo
? CASH [J CHECK
?'_'4. ( '} I -
BY
- : ? 4Vhite--PaY- COPY
Ye4o-Postln9 CoPY
Pink-File Copy
Thank You
CITY OF EAGAN
3831) Pilot K*nola?Road
P.O. BoX $1199
Eagaq, MN 55121
Permit No: Date:
Meter No: Size:
Reader No: date:
111?9iP?
BRas cxONsT
Site Addi
Plumber.
Conn. Chg: $550•00 Zoning: _
Acct Dep: 15'0() No. oi Units:
Permit Fee: ° ?V
Surcharge: • "'
Tr. Plant -
Meter.
.. , f
Misc.:
I agree to comply with the City o1 Esgan
., _
Ordinances.
WATER SERVICE PERMIT
CITY OF EpGAN Permit No: 11271
3930 Pilot rCnob Road B/P No: jq I At
P.O. Box 21199
EaQan, MN 55121
LU?:D,REN $d?nTHF.R3
Site Address:
MWCC: S ` SO.OQ nd
City Chg: 100.M pc!
Acct Dep: 15.00 p``
Permit Fee: Ll - 1 c
Surcharge: L4.
.50 '
Misc :
Date: 11 l 2°/ 8 8
Date: ! 1 i i 51 a'!
Aiii
Zoning•
No. of Units: `
I agree to comply with the City ol Eagan
Ordinances.
SEWER SERVICE PERMIT
i
(ttr#ifira#t of (Orrupttrtry
titp of (Eagan
OppartmPttf 0f Iltdbtttg J.pPttiDtt
This Certicate issued pursuant to the requiremenu of Section 306 of the Uniforrn Building
Code certifying that at the time of issuance this structure was in campliance with the various
ordinances oJthe City regulating building corrstruction or use. For the jollowing.•
lhe CjaaiGcanw SF/GAR ` Bldg. Fbrmic No. 1?8
occupaocy 7ype ?'Arl1 7vmng Disvia RI 'I?vc Conat. VN
o„na or Maing UMMN BROS. OQWT. Add,,. 935 E. WAYZATA BLt1D. , wAY7ATA
???& Addrm 1628 M!M PIACE LoW;ty L 11, B3, &L4CKHM GEN ZtID
au: MMAfti' 23, 1989
Buildiug Offid . I
POST IN A CONSPICUOUS PLACE
i/a ?F'V
R 7 2 8 61 atJG;
Reque3l Date ` J Fire No.
/ //?dq Roughan Inspectian
Requiretl'+ ?
XfleadY Now ?lMll Nobiy Inspeclor
{ (! ? Ves o When Reat7y'!
IV4icensad contractor ? owner here6y request inspection of above elecfical work at:
Jop AdCress (SYreet,eox ot Route No.)
1da8 N.?,??u2?l ?CfFG? Ci?? ?
Section No Township Nama or No. Range No C
(,/?
1LId?
OccupeM (PRIN? '
Lvu?624"i Phoire No
Po r Supplier y?7
. AGdf??Jss?
?
(HV+T? (cl.?C i7elC? / ?7l8 -
rf}?M/
Elecincal Contracbr (Company Nflme) C1rector9 Licenae No
: Standard Electric Co. 40837
Mading Address (ConVaciOr or O.vner Makmg Installalion)
2672 Mapl wood Dr., Map wood, Mn 55109
Authorizetl $gn re rttracMVOwner Making In at )611
7 Phone.NUmber
484-8044
MINNES?OT TfRE BOARD OF ELECTRIdT9 _ V THIS INSPECTION REQUEST WILL NOT
Grigga-Mltlway 61Ug. - Room S-173 BE ACCEPTED BY THE STATE BOARO
1621 Univeniry Aw., SL Peul, MN 55104 IINLESS PROPEfl INSPECTION FEE IS
Phone (612) 64D0800 ENCLOSED
BLDG. PERMIT NO.
' 01-3270 Bldg. Permit
01-3422 Plan Check
J 013445 Surch./Adm
01-3446 .
SAC/Adm.
?
50
2
? 01-2155 Surcharge
? 75-3860 Road Unit 3ID S 00
? 20-2275 SAC ? ?? ?1 SO
?
20-3865
Water Conn. ?- t- ?
?
? 20-3868 Water Trmt.
20-3716 Water Meter ?? Cr
? 20-2252 Acct. Dep. Jo
? 20-3713 Water Permit C)n
20-3743 Sewer Permit no
79-3866 Sewer Conn. 10 0 C) 0
28-3855 Park Ded.
TOTAL 02,
C%
REQUEST FOR ELECTRICAL INSPECTION r: ee-oooo, m
Do. See insVUCtions ior completing fiis fOrm on back of yelbw copy
M .72861 -X° Below Work Covere7by This Request
e Add Rep. TypeofBuiltling AppliancesWired EquipmantWired
Home Range Temporary Service
Duplex Water Heater Elec[ric Heating
Apt. Buiiding Dryer Other (Specify)
Comm./Industrial Furnace
Farm • Air Conddioner
Ollrer (specAy) Conhactorffi Remarks
Compute Inspection Fee Be/ow:
# Other Fee # ServiceEnfrance5ize Fee # Circuits/Feeder5 Fee
Swimming Pool / 0 to 200 Amps 0 to 100 Amps
? Transformers Above 200 _ Amps Above 100 _ Amps
Slgns Inspww5 U. ony: TOTAL
l O
Inigation Booms ?d
Speciallnspection -e? ?
Alartn/Communication 1
Other Fee
I, the Electrical Inspector, hereby
certify that the above inspedion has
been made. Rough-in oa?e
F,,,ai a ?
OFFICE USE ONLY This request wM 18 moMhs from
? 7 2 9 0 5 ?.,&t,
Request Date Fire No. Rough-in Inepe0On
pequired?
? Ready Nav ?iWll Noliry InspecYOr
,
$LYee? ? No When Reatly
11404icensed contractor ? owner hereby request inspection of above electrical work at:
Job Atltlress (Siree[ 8ox or Route No )
/L.tB/?st1,ra?,e .cAc
s? Cly
?i+.?
Seceon No. To-xnship Name or No. Rarge No nry
?i4Xo974
pant (PFINT)
Z
4
£
? ?
J
c
W
'
?? Phone No
tG
UN.D
f ?
r
?rr?
C.
.
s s
Dower pber
? gilora ? ? qE ress
3a? _ 4za?? f O
srC? ?.,.?
Eleanpl Contractor (Cwnpany Name) Conlra r§ Licenrse No.
Standard Electric Co. 40837
Matling Address (ConVaclor w Oxrer Meking Installauon)
267 Ma ewood Dr. M le od Mn 55109
Aulhmiz re (COnlrector/Oxner Ma In " n Phone Number
-t-et' 484-8044
"liWESOTIS'TATE BOMO OF ELEC IC1TY
anggs-Midway Bltlg. - Noom &173
1821 UnNereiry Ave., St Paul, qN 55704
Phone (612) 642-0800
THIS INSPECTION REQUEST WILL NOT
BE ACCEPTEO BYTHE STATE BOARD
UNLESS PROPER INSPECTION FEE IS
ENCLOSED.
/ REQUEST FOR ELECTRIC?L INSPECTION ea000/01u7
I" See mShmctions far mmpletirg tMS form on beck oi yellav cnpy
?g+? 1-
L? 7 2 9 j a 5 "X" Below Work Covered by This Request
e Add Rep. Type of Building AppliancesWired Equipmen[Wirea
Home Range Temporary Service
Duplex Water Heaier Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm ' Air Conditioner
Other (speciy) Coniracror§ Remarks.
Compute Inspection Fee Below:
# Olher Fee # ServiceEntranceSrze Fee # Cimmts/Feeders Fe
Swimming Pool / 0 to 200 Amps - 0 to Amps
7ranstormers Above 200 _ Amps / Ahove ]Ri Amps
SiJfIS InspeGOrS Uea Only: `• TOTAL
/
Irrigation Booms ,
?
Special Inspection ?
Alartn/Communication
O[her Fee
I, the Elecirical Inspector, hereby
tif
h
h
b Rough-In Da[e /? p q
cer
y t
at t
e a
ove inspection has
been made. Finel Date
-c;?4
OFFlCE USE ONLY
This reauest voitl 18 momhs Irom
CITY OF EAGAN
' • 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N? lrjgs8
PHONE:454-8 100 ?q
i ysl
BUILDING PERMIT Receipt # I
To 6e used for SF/GAR Est. Value $130, 000 Date NOV 16 ,19 $$
Site Address 1628 ASHBURY PL OFFICE USE ONIV
BLACKHAWK GLEN QN
Lot 11 Block 3 Sec/Sub On Site Sewage _ Occupancy R-3 M-1
. MWCCSystem X Zoning R-1
Parcel No.
V
N
On Site Well _ (Actual) Const -
a Name_ LUNDGREN BROTHERS CONSTRUCTION CiryWater 7{ (Allowable) V-N
w
=
Address 935 E WAYZATA BLVD PRV Reqwretl X # of Stories
a City WAYZATA Phone 473-1231 Booster Pump _ Length _5.81
Depth 36,
p
Name SAME
S.F
.Total
,
? Q Addf@SS Footprint S.F.
: City Phone pppppVALS FEES
ww Name Engc/Assess. Permrt 672.00
?i Planner Surcharge 6$.00
i - Address
Council
PlanReview
336.00
aw City Phone Bldg. Off. SAC, City 100.00
I hereby acknowledge Ihat I have read Ihis aoPlicaLOn antl state that ihe Vanance SAC, MWCC 55-0-- a0
inlormation is correct and agree to comply wi?h all app S[ate
ol Water Conn. .??.?
Minnesota Statutes and Cdy oF Faoan Qrdm
es Water Meter 67.0
0
?
-
Signature ofPermittee_ RoadUnit 395_fl(1
A Bwldmg Permtl is issued lo.__ I+Ut1DGRE[`]_-DIZOTHE]j$ __ Treatment P7 204,0
?
on the ezpress wndition that all work shall be tlone m accordance wrth all
Parks
applicable State offM?innesota S
City of Eagan Ordinances.
tat
u'
tes. yayn?d 2
$69.00
-
•
a??
L
BuildingOt6cial JJ.?7J..?...?u!,
_ . 1 TOTAL e
1988 HUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS 15 $ 4 1
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENEftGY 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 RENTAL UNITS FOR SALE UNITS Ik OF 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
To Be Used For:
Site Address
/G P j::L
Lot // Block j e-4-' ,
Parcel/Sub
Owner
Address MEWAYIATAKYO.
WAYIATA, MN 66H
City/Zip Code pppmEsmim
Phone
Contractor
Address Luj?ww??? OL
City/21p Code wAYZATA. MN 563A1
PHURIE 1
Phone
Arch./Engr.
Address W?YHII? Mp{, ?Tr ium-m
936 E MIAYLITA ILYp.
City/Zip Code
Phone IF PHONE 473'1231
?-
Valuation:.?
t
130, Oc'z>? -
On site sewage_
MWCC system -k-?
On site well
City water ?
PRV required ?
Booster Pump _
Occupancy R- 3 M `)
Zoning R- I
Actual Const V-N
Allowable V-N
1l of stories
Length 5a ?
Depth 36 ,
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr/Assess Permit G'Moo
Planner Surcharge (o •OO
Council ??.?.? Plan Review ?,.?(r„DO
Bldg. Off. `y7f-J i1/9 SAC, City
C?
ino 00
Variance SAC, MWCC SO,Oo
Water Conn 5S0) OD
Water Meter r,
Road Unit 2.,-, vD
Treatment P1 0 va
Parks
Copies
TOTAL ?
;NoY o Pr 1988
Date: /? ?6
VALI,tAT'IOQ
-----,,.-----??-- --_?
zyxzz= 52g x/y:= T372
k,
?yxa?_88y
!L4 X 1LI = 19?
loBoX i3= Iyoyc)
2x? ? tM
?---
tv??i X y?? 53?ote
ZN'p r-4,-ovEq
aX?3= LC•
B5m7 = ! n ?So
I??G X49= 5qIgq
12 9 Z3 2
AM G7AIYA:7 ,"' ?,'?
t6i;Z V"9.AYAVAG
?
?suRVEYOR's.'
..
CERTIFlCATE . SIENNA CORPORATION .
' REVISED I I-2-BB TO SHOW '
• PROPOSED HOUSE FOR
LUNGREN BROS. CANST.
. i = - _ "-; v, •-r q r-n
. . . U/ i. {? A ^'-"a l
. ?V?
V:•J ? ??
Li_`PT
REQUMED
DENOTES•PROPOSED SURFACE DRAINAGE
-?-
0 .DENO7E5 IRON MONUMENT SET SCALE; 1 INCN - 30 fEE7
O DENOTES IRON MONUMENT FOUND. PROPOSED;'GARAGE FLOOR = sMs FEE7
X000.0 DENOTES EXlSTING ELEVATION ' PROPOSED LOWES'f FLOOR - 8iz,6 FEET
(000.0) DEtIOTES PROPOSER ELEVATION PROPOSED,TOP OF BLOCK - 6ZO.9 FEE7
4!E HEREBY CEftT1FY TO• SIENNA CORPORATION THAT THIS IS A TRUE AND CORRECT
REARESENTATION OF A SURVEY OF THE BOUNDARIES OF: '
Lot ll Block 3. BLACKHAWK GLEN 2ND ADD•ITION, accor•ding to the recorded plat
thereof, Dakota County, Mlnnesota.
_...__._., ...,___..._._ _.........? _..... ?_...... --- -__.,..
IT OOES NOT PURPOR7 . TO SH0I4 IMPROVEt1ENT5 OR ENCROACHMENT.S, IF ANY. AS SURVEYEO Bi
M;E OR UNDER MY DIRECT SUPERV1S10N THIS 30Tii DAY OF DECEPI6ER , 1986•
SIGPIED: JAM?SHILL, INC.
/
fiY: v?C??G?rGfiC, `? .(i?'•r/f/!'Y?'
11AROLD C. PE7ER50N, LANO SURVEYOR
MINNE5C7A LICENSE NUMBER 12294
SHEET 1 OF 2 SHEETS
PROJECT N0, eooK / PncE JAMES' R. H1LL, INC.
85618 (88774) planners / Englneers / Surveyors
FILE N0. 2e7i54 8200 Humboldt Avenu• South
FOLDER ' B1oomin9ton,Mn. 65431 012-884-3029
S-t7R?'1/EYOR'S CERTIFICATE
\\
z
SIENNA CORPORA710N
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L?L_/? ? I1\1 _1/IVYI\ ?JL_L_IV 1 I AL/L/f 1 1?/41
SI-IEET 2 OF 2 SHEETS
PROJECT NO. BOOK / PAGE JAMES R. HILL, INC.
85618 (88774 Planners / Engineers / Surveyors
FILE NO. 287/54 8200 Humboldt Avenue South
F O L D E R BlootningYon, Mn. 55431 612-884-3029
z
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/
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?s ? ,
/ ry i
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?CO,,.SI RUC1101?--- - - --- -- -
--- ,.,.. - z)
EA57 ?rJAY7_NTP. GOULCVRD
?E U CO!',PUT/+T ]
E7:lEf:10? EI;_ Y[t"E
_;? Lot k/ Gl oc{:,?_ " ?!-
S1i.e f-A-(iYC'SS?1? ' r
?Gaf G ? ? - R u
RBU Factors _p58
ppaque l4alls -117
Ylall Framing Nreas
;-
023
.
Ceiling lnsulation Area ,
, -'
.027
Ceiling Framing krea 04
P,in Joist te
I•Sasonry ldall -
_26
':lindor:s Double Hung - .46
Casenents
.18
_ Doors e6
Paiio Doors 47
Sideliies
1) Lower Level (Baserr2nt)
. 8
Total exoosed wall area
(
? ) 058 =
-
?
?x
Opaoue 14a11 Area (U) .117 = ?-
??2 x
1Jood Frame Area ` (U)
.04
?
-
X
Rim Joist ?9 (U) -14 = /3 8
X
L1-
Exposed block (U) 46 = in /?=
Casement aa
X
(u) _
.26
= ?--
Window Area Double Hung - 46
?x (U) -
Sliding Glass Door (u)
'
s x .
Door Area
._ Total
C
2)
O(CCO1,61RUCIION -
? ?4?AYZA IJL"SO fA SS391 •(612) 473--1231
g:;5 [/ S? ?•?'?•Y7?•1!-. ?OULEV!-.RD .
isL or ???:in ilnor
7otal e>:posed ';:zll area
ppaoue Wzll area
44ood frame area
Rim joist
? !;indow P.rea
Sliding Glass Door
Door area
Sidelites
Casements
Double Hung
,
3) 2nd ?loor if 2 sior}?
' Total exDosed ti•+all area
ppaque wall area :
Wood fram° area
Ilindow area
Sliding glass door
Door area
4) Total ceiling area
Wood frame area
ppaque ceiling area
Sky7ight
C?
Casements
Double Hung
z
?5 7-L -
, (U) .058 =
(U) .117 = />2 0 5
ly Lx (U) -04
X
(?) .46
.26 = -- '--?-
= ??-
?InX
3?x (U)
??
( .46
ia
. = ?2--?-
?, 8
2X
Total (U) .47
/ ? 3 a
?x
11x ?U)
(U) -058 =
-117 = 1v.5
-4
._X
?X U
?u ? •86
.26
= a
- x (U) -46 = ?---
? x
Total (u) .18
/CO" a
/Qa ?-
( U) .027 =
7?-x (u) -023 =
-. x ( U ) . 55 =
Total _ ?'?
?CO??l RUCI IOI?
r
YZl,1ti
1
f
IAIIJWCSOTN SS::?1 ' ----
(?'Z? 1231
935 Ek57 VJAYZNTA C' ,
OVL???i,RD .
.
.
r
.11 = ?i .? G • ?
I,?inn. U FacLors 7otal e>:posed wall area ?O ti2-x
a //`i'r. .026 = o??, a
11inn. U Factors 7otal er.posed ceilin9 are_. ?
(A) Total
?-
_ ,3 0 3
I t Item 2/o?D. + Ttem 310 .?? ? I?em a
+
e m 1.??,(a --
If total of Items 1- 4 is less than Item (A), buildin9
complies with SSC 6000 (C)s
<Z-,
APFLICATION 1=0R PERMIT
1) PROPEftTY ADDRFSS:
SEWER AND/OR WATER CONNECTION
oF eagan
T•FY;AT, DFSCRIPTION;
A-IG'f g 11' SZA"
Lo7-// eL?, 14-12
or
?
IF EXISTING STRDCTURE, DATE OF ORIGINAL BLILDING PII2MIT ISSOANCE:
Mont Year
PRESENT ZONING/PROPOSID USE:
Q ,COMMERCIAL/RETAIL/OFFICE
Q INDLSTRIAL
Q INSTI'iCTIONAL/GOVERNMENT
SINGLE FAMILY
? R-2 DL?PLEX (3two t'nits)
R-3 TOWNHOC'SE (Three + Units)
Q R-4 APARTMENT/CONIDOMINIL'•M
( Dnits)
( Lnits)
2) ? NAME:
ADDRESS:
CITY, STATE, ZIP:
PHONE: ?/ y7j`l,?,31
3) i .?• NF1ME:
ADDRESS:
CITY, STATE, ZIP: (?j,Q t? ,' ?j 5 Jy/
PHONE: ?93-1a31 MASTER LICENSE #
Ij Active
Expired
Not recorded
St Initia
4) s ., ? ?•.
NAME:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
5) STORM SEWER PERMIT - CONTACT ENGINEERING
CEICONNECTION TO CITY SE4VER CONNECTION TO CITY WATEE2 O TA?S
6)
?****+*?******??********??*******?,r+**x?*,r?***?:?****?***??**?**???**?********x**,r*??**:t************
*
* THE GOLD COPY OF 1IIE PERMIT WILL BE SENf DIRDCIZY 'PO PUBLIC WORKS TO FACIISTATE MEPER PICK-DP. ?
* PLEASE ALTAW 1W0 WORKING DAYS F'OR PROCFSSING. SONIDONE FROM Tm CITY WILL CONPALT Y00 IF THERE *
* ARE ANY PROSL,EMS.
4
?.N07'E• PAYI?&STf OF FEE AT TIME OF
.
?
APPLICATION DOES NOT CON- f
? SfIIOfG APPRCJAL OF PERPIIT. :
?
? INSPF7CPI(R7 OF SEWHi APID/OR FA1FR
t ICLSTFILLATIOIIS WII.L N01' BE crxrxncn ?
? [!Nf'IL PII26IIT FVS BEES] ApPRWID. :
•ft?f?ifw,e??t?i+fff:?et?+itta?a+ti?f.?+
FOR CITY USE ONLY
PERMIT # ISSUED
D 3
Pd w/Bldg. Permit FEES:
r S?
$ $ U SEWER PERMIT (INCLUDE SURCHARGE)
S ?
$ $ WATER PERMIT (INCLUDE SCRCHARGE)
$ $ WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (INCLODE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOLNT DEPOSIT - SEWER
$ $ACCOUNT DEPOSIT - WATER
$ g
WAC
$ ? S D - $
SAC
$ $ TRONK WATER ASSESSMENT
$ $ TRONK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRLNK SEWER
$ $ LATERAL BENEFIT/TRL'NK WATER
$ $ WATER TREATMENT PLANT SLRCHARGE
$ ? U
~
r $ OTHER:
$ $
TOTAL
5s H / K I ? ?9/?'/
RECEIPT
RECEIP
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN POBLIC RIGHT OF WAY?
Q -YES IF YES, THEN A"PERMIT FOR WORK SVITHIN PrIBLIC
Q
NO ROADWAY" MOST BE ISSUED BY THE ENGINEERING
DIVISION
. LIST AS A CONDITION.
SUBJECT TO THE FOL LOWING CONDITIO[VS:
APPROVED BY:
TITLE: '
DATE:
'
November 29, 1988
LUNDGREN BROS CONST & PLBG
935 E WAYZATA BLVD
WAYZATA, MN 55391
RE: 1628 ASHBURY PL., L11, B3, BLACBHAWK GLEN 2ND
WARNING: SEFORE DIGGIAtG, CALL LDCAL OTILITIES - TELEPHONE, ELECTRICl GASt
ETC. - REQUIRED BY LAW
-XX Your Sewer and Water Permit for the above property has been completed.
It will be held at the Public Works Garage (3507 Coaehman Road) until
the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR
YOUR PERMANENT WATER TURN ON.
Your Sewer and Water Permit for the above property cannot be completed
for the following reasons:
Your Sewer and Water Permit for the above property has been completed,
however, the meter cannot be issued or occupancy allowed until further
notice.
COMMERCIAL PROJECTS ONLY
Your Sewer and Water Permit for the above property has been completed.
It will be held at the Public Works Garage (3501 Coachman Road) until
the meter is picked up.
Please come to City Hall to pay for whatever size meter you will need
for this pro3ect. The size must be confirmed by either our Public Works
Dept. (454-5220) or Bill Adams (Plumbing Inspeetor - 454-8100) before
issuance.
Sincerely,
??,
Jan 5everson
Secretary
JS
.%Y,/? ?.?. -
?L")u
L}[-:rAtLFD F:EPnRr E=taR ENTZRr HQUSL:.
F'r espcr f;,cl Fc,r e F'r-eparF•d Ny:
Lundgren Hrothc_r-s Ccnst. Randy
Flarc Htg.F: A/C
Job PJnmee S?anbury I i
EXF'OSUF:F
GLASS NOE?TH SQU'TEI EAST WEST PJF_!fJW SE/SW tiC1RZ . TOTAL
AREA I
COOLING I
HEA; IhJC I
WALI_S
AF:EA I
COGLING I
H[cATINr 1
DOOFiS
AF: E A
-
----
GGCii 1 rdr,
HcflTTiJCi
F'tOOi-i
hiphTH
6581
6041
.4241
tJCiRTH
0: 0; 70; 2__,
q{ 01 3,2481 1U.8111
i>I 01 ,096; 10,3061
261
Gt6:
1,15f?1
261 i} 1 _S5 f
1,021p Ui 15,9001
3,150; 01 15,702I
-
-
--?E-LQ4
SEJSW GRFDE -- -
TOTAL
141 01 2,545i
i.: 01 `s'.,:' -
531 0: 9,606;
SUU'7H EAST WES'l' NE!NW
4461 .:;lia: 403l 141
4101 4681 ci:Sl 1=1
1,h9w 1,925; 3,4081 v_ i
SOUTH EAST WES? rac:iraw
-----------------------------
- -- - -- --- -- - - -
aREF
ii; 201 i;;
U1 278; ql
1,1451 p;
--------------------
CUOLING
----------------------
SE/,,w T6TFL
---------------------
ii1 OI
tal ?t
(_1 i ( 7 j
HEA7ING
, ?
-dc1 ? p '
---- ----------- ------- ?
--- --------------- --- ---- ----
--------
'
CEILIPJG AfiEH CC10LING I-IEATIMG
---------------------
i 20?
? 278?
1 1,14:;1
--°------------
-------------------
-•-, ? - --- ------? ----- ---
-._.,1 i 1,142 , 2.517
-----------------------------------------
Reople Sensible Load
t_igtwtG x: Rppl. Load
Ventilation Load
Uuct Hea;_ Gain
In+iltration Load
Sensibie SafEty B±ut-,
TOTi;L SFtJSIPt_E LOAC7
Sutnmer ACI-I
hIISCELLAPJEOUS
i COQLIlVG LOADS
z.02= Latenfi Load
1,195 Latent 5afet.y btuh
1,2E5
0
76ti
2,493.
27,397 lOT'AL LF,TE'hdl LDAI}
0•07 Temp, Sw1ng Mult.
1** Totcl Coola.ng Load 04.794 BTUH Or i.S'ti "fon> *H.*
MISCELLAtVE:f]US 4-IEA(INu LUABS
---------------------------
Infiltr-n±1c,n Load 6,449 'Jent.alation Load
Durt Heat L'v_:s? U Sa{ety Lit!ih
'riinter- flCH 0.1;
M"*Y -Ca±ci1 Hen'i.1nQ Losjii 44q8.^9 RTUH ?*)F
6.72.:;
672
I,.'97
1.iiii
5,335,
4,U7.`_
11-2:'-''c1c3
3.1
F'r-epared For-:
t._undgren Prothers Const.
SUhIMAR`f REF'l'JRT
--------------
Pr-Fpared B'y:
RandY
F1are Htg.& A/(w
Jub Name: Danhury II
DESiGPJ COP4llITI0PdS +or
UUTDOOR
SUMMER WINTER
Dry Bl.l1I7 95 -iJ
Wet F'ulb :5
I NDOCiI=h
SiJi1NIEFi 4JINTER
72 72
67
Briily Range 22
Latitude 44
Daily Swing 3.0
Elevation 822
Safety Factor (%) 16
La?.ent Fnctor {7J 27
*##?*?****??#**#?##*???#*#???#?#???***#????*#**?:k?***##*?#??###?#***???#X???
Sensible
Room Hea'ting Heating Cooling Cooling
IVame RTI!H CFM __PTL?H_ __CFM
_
Basement 11,014 -_
__
154 7,042 356
Frmily Room 2,697 38 2,399 121
f:.itchen 9.403 i.-32 5,421 274
Dining Room 1,739 24 1.=59 69
Living Room 2,023 28 2,062 104
FOYEF 3,924 55 1,659 84
IiASTF_R ''EDftiOUM 3,774 5: 2,04: 10:
Bathroom 2,7:;O 38 1,452 7,3
Pedroom 1 2,520 35 1,372 69
E+ed r-oum 2 2,422 34 1,269 64
Esedroom 3 ^ 584 'b 1,319 67
44,s324
--b=7
-
27,397
1,304
HEATING DEL'TA T 65.0 CUC7LING DELTA T 18.0
NOl"E: *%k* I,al,ulated Airflow is Gcsed upon laacl r'equiremEnis.
Verify th;t cZ1Y-TStJW calr_i_i:la.'ted .is compai=.ihle with
saleck.ed eq!iipment requir'emeri+_s. ***
CLAIPf VOUCIIF.R - REFUND REQUEST
CITY OF EAGAN
CLt1I_M[1NT * rrn*n?oca nonrvERS
ADDRES5935 EAST WAYZATA BLVD.
WAYZATA MN 55391
LoCatloR 1678 ASHRIIRV PT ACR r I 1g1, uT errruevu Gt FN 2Nn
Receipt No./Date 89462-II/28/88
Reason for Refund DUPLICATE PAYMENT ON SEWER & WATER PERMIT
Type oE Refund Electrical Permit 01-3211 $ _
Plumbing Permit 01-3212 $
rlechanical Permit 01-3213 $
?
Surcharge 01-2155 $
Water Connection Permit 20-3713 $ 10.00
Sewer Connection Permit 20-3743 , $ 10.00
Account Deposit 20-2252 $ 30.00
Otility Account Over-Payment 20-2250 $
Other: $
$
TOTAL $. 50•00
I decl.are under the penalties of law that this account, claim or demand is just and
tliat no part of it has been paid.
(L. MAY 2. 1989
Signature Date
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1628 Ashbury P1
Lot: 11 Block: 3 Addition: Blackhawk Glen 2nd
PID:10- 14351- 110 -03
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments: If there is no ice protection inspec
acceptable in lieu of inspections.
Fee Summary:
Valuation: 3,000.00
Contractor:
Property Claim Solutions LLC
4655 Nicols Rd, Suite 202
Eagan MN 55122
(651) 994 -2028
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Construction Type:
Occupancy:
on prior to final, you must meet inspector with ladder and flat bar. Pictures are not
Owner:
Eric D Bundlie
Susan Strandberg *Bundli
1628 Ashbury P1
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
$90.00
Issued By: Signature
Building
EA083735
06/23/2008
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA119800
Date Issued:12/19/2013
Permit Category:ePermit
Site Address: 1628 Ashbury Pl
Lot:11 Block: 3 Addition: Blackhawk Glen 2nd
PID:10-14351-03-110
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. 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 -
Eric D Bundlie
Susan Strandberg*bundli
1628 Ashbury Pl
Eagan MN 55122
Great Lakes Window & Siding
14690 Galaxie Ave
Apple Valley MN 55124
(952) 891-3400
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
�-----------------
� For Office Use �
� j Permit#: �' v���� I
���� af �a�a�. p � � ,
� Permit Fee: d o � I
3830 Pilot Knob Road
Eagan MN 55122 � Date Received: j
Phone:(651)675-5675 I I
Fax: (651)675-5694 I Staff: I
I I
`�������� ������_J
20�4 RESIDENTIAL BUILDING PERMIT APPLICATION
Date:1�-�� `� Site Address: ,�.t�� 1�}St��jl� '�j ��.��' c: Unit#:
�.a�. � �, �� ��7�� �� � Phone: t�
Name: �pv �- 1Q8rf��
� Resid�r�t/
��tn�r:. � � �� Aaaress�city�zp: ��_.��Iy;,Q-`� '��.C�" � ���,A t� 1"�N _`�.S 1� Z
�
� �,,m
Applicant is: Owner Contractor
� Description of work: --�p ( N ' � �—� SC� �(�
� T�►p� �f w���
�
' Construction Cost: � Multi-Family Building: (Yes /No
Company: p Contact: �t� � ��L�
� `+�
� Address: �.�,��7 � , �.1,1 � s�. City: ���-l�.sV \ �-L�
� CCiC1tC�Ct�C
� � State:I�Zip: j� Phone:("ps�-ZZZ�45�EmaiL• 4 .GpYV�
�
� � License#:����jqb�. Lead Certificate#:�_�`� '— ��g�--1 �
�.��,.�.,_, �.,,
� If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) �
�
�
�v
� 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:
s
� Licensed Plumber: Phone:
�
�
� Mechanical Contractor: Phone:
�
� Sewer&Water Contractor: Phone:
� ,.,��,P�.«�, �
NOTE;P�arts and stipporti�tg dQCUm�����t ya�r��ut�tt�re Cvnsider�#�`�F�er u#�J��ii��r��f�ar�'. .P�r!`�ea�s ot';
f�e�3t#vrr�aa#ic�r��m�,��S�l�,t�i�+d��rt�t�pvbfic�f ypu������a��vi s t#tat wo�rld p�rer�ft tft�GEty ta �
� ` evr��l�rde that#i�e �r�����r�t�
CALL BEFORE YDI,I 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.gooherstateonecail.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 wiil be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior w k authori d by a uii ing per 't issued in accordance with the Minnesota S te Buil Cod ust be mpleted within 180
days of p it iss e.
x x
anYs Printed Name ppli nt's Signature
° ���` , \��� Pagelof3
h�
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA173900
Date Issued:12/10/2021
Permit Category:ePermit
Site Address: 1628 Ashbury Pl
Lot:11 Block: 3 Addition: Blackhawk Glen 2nd
PID:10-14351-03-110
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
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 -
Eric D Bundlie
1628 Ashbury Pl
Saint Paul MN 55122--122
(612) 229-9821
North State Mechanical
1444 14th Street W
Hastings MN 55033
(612) 207-0345
Applicant/Permitee: Signature Issued By: Signature