1625 Ashbury PlCITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Esgan, MN 35121
I PHON E: 454-8100
BUILDING PERMIT Receipt #
To be used for Est Value -'•``' Date Site Address • OFFICE USE ONLY
Lot Black Sec/Sub. ALK"yK On Site Sewape Occupancy
" 'MWCC System Zoning
Parcel No.
On Site Well
ac Name City water x
W PRVRequired J.
3 Address -
O f`itv `.` t; phnno 4! 3-il 3? Booster Pump
$A1s
Address
City Phone
I have read this application and state that the
agree to comply with all applicable State of
Signature of Permittee
Statutes
APPROVALS
Engr./Assess.
Planner
Council
Bldg. Off.
Variance
?.:..?
3 0
taccuei? conm
(Allowable)
# ot Stories
Length
Depth
S.F. Totai
Footprint S.F.
FEES
Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Road Unit
Treatment P1
Parks
TOTAL
it •
. :4
10
2-1-8-77-- I
, Permit No. Permit Holder Date Tslsphone i?
Pfumbing i
H.V.AC. ?C7 17 lf
Electric
??39l? 5'fa•µ-?Lo? tie.? ?Q.c ? 7-?s-?S ? y?, so
Softener
Inspection Date Insp. Comments
Footings I ?s
Footings II
Foundation
Framing
Roofing
Rough Plbg. -
Rough Htg. ?
Isul.
Fireplace
Final Htg.
,,.
Final Plbg.
Bldg. Final
Cert. Occ.
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
.
V? , .. n .
PERMIT #
. µ MECHANICAL PERMIT RECEIPT t#
: CITY OF EAGAN -
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE
GONTRACT PRICE: , PHONE: 454-8100
Site Address ' BLOG. TYPE WORK DESCAIPTION
Lot ?.' Block T _ Sec/Sup
••-? ,
?.` _
.
; n
Res. New
m
Name
' Mult Add-on
Addr?ss
4 ? , 7 '? , ( c` t
7 Comm. Repair
y ,
Ci?!_??.
Phone ?12C
_
Name FEES
$2
?
TU
c Address?' ADDITIO AL 50 M BT
U
-
6.00
O City Phone ? a (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS
MINIMUM
1 PER PEk
iAlT) - 1
50 EA
-
(
i
.
.
TYPE OF WORK COMMIIND FEE - 1% OF CONTRACT FEE
Forced Air U-' M BTU APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPIIES
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 PERNNT PRICE GOES
Gas Piping Outlets # '
;
5EYOND $1,000)
Other ,
FEE:
S/C: SIGNATURE OF PERMITTEE
ToraL:
I FOR: CITY OF EAGAN
, . .
PLUMBING PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122
ounuF• asa_ninn
PERMIT # ?
RECEIPT #
DATE: -
Name ?'10 1?'? GL S ?
m
AddreSS f • !
? City`i Phone
? Name
3 Address
p City Phone
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/1ND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S1C IF PERMIT PRICE GOES
FOR: CITY OF EAGAN
BLDG. TYPE WORK DESCRIPTION
Res. New ? -
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
Water Closet - $3.00 $
?
? Bath Tubs - $3.00
?_Lavatory - $3.00 '
_1-Shower - $3.00
/ Ki?chen Sink - $3.00
UrinallBidet - $3.00
Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - $1.50
Whirlpool - $3.00
i_Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIT)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE: -4 ? STATE S/C:
r
GRAND TOTAL• - ? ? "
A. , A .x. .. . z-? . ?
?CITY OF EAGAN
?. 16322 '
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
?
BUILDING PERMIT PHONE: 454-8100
Receipt # C 3025
To be used tor 3-SEA80l1 PORCi! Est. value 416t,000 Date .1ULY 19 19 89
Site Address 162S I13NSURY PL
Lot 6 Block 4 Sec/Sub. 31-ACNIIAWK
Parcel No.
W Name _
? Address
0 Clty -
Phone
Phone
Address
Phone
I hereby acknowlege that I have read this application and state that the
intormation is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
SignaWre oi Permitee
A 8uiiding Permit is issued to: t' j' MAM
on the express condition that all work shail be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Ofticiai
Occupancy
Zoning
(Aciual) Const
k ot stories
Length
Depth
S.F. Total
S.F. Footprints
On Site Sewage
On Site Well
Mwcc sysle„
Ciry Water
PRV Required
Boosler Pump
APPROVALS
Planner
Council
Bldg. Off.
Variance
OFFICE USE ONLY
16-3
FEES
82.00
3.00
_ Bldg. Permit
121
-no
Surcharge
Plan Review
SAC, City
SAC. MCWCC
Water Conn
Water Meter
aoot. oeposit
SrW Permil
5/1N Surcharge
Treatment PI
Road Unii
Park Ded.
Copies
T TAL
a.w
?.oo
Permit No. Permit Holder Date Telephone k
WATER
SEWER
PLUMBING
H.V.A.C.
ELECTRIC
Inspection Oate Insp. Comments
Footings I .f Adlt LLsQpQ
ortL? Qc?J
Foundation S' (
Framing y 4., ljlk,'Wf4 Cp /
ROOfing L Q eze"'t"af
Rough Plbg.
Fiough Htg.
Isul.
Freplace
Fnal Htg.
Fnal Plbg.
Const. Meter Plbg. Inspector - Notify Plumber
Engr.lPlan
Bidg. Final
Deck Ftg.
DeCk Final
Well
Pr.Oisp. ?/1 9/ ?? ?
zvzl
P4
CITY OF EAGAN Permit Na 9" `-"? Date:
3830.Pilot Knob Road Meter No: Size:
P.O. Box 21199 Reader No: Date:
Eagan, MN 55121
Site Addi
Plumber.
Conn. Chg:
Acct Dep:_
Permit Fee:
Surcharge:
Tr. Plant_
Meter. _
BY03 C.Olsst
Zoning: _
No. of Units:
R1
I agree to comply with the Clty oi Eagan
Ordlnances.
WATER SERVICE PERMIT
CITY OF EAGAN
3830 Phot Knob Road
P.O. Box 21'199
Eagan, MN 55121
Site Address:
PermitNo: 10836 Date: 6-20-88 ?
B/P No: Date: C-1-14
2'f.''.' 3'zOS COtlg r
Astzbi.iry P1 L6 B4 Blackhawk (3ien 2
rei: "Rros Plbr
MWCC: 550. Zoning• 1
City Chg: . No. of Units:
Acct Dep:
1 agree to comply with the City of Eagan
Permit Fee:
r) Ordinancee.
Surcharge: '
Misc.: Bl?
SEWER SERVICE PERMIT
CASH RECEIPT
? ? •
CITY OF EAGAN
3830 PILOT KNOB ROAQ
EAGAN, MINNESOTA 55122
r
oa,Te ? i 1s
st?cEtivso -
FRa.t
AMOUNT $
& DOLLARS
100
ri ? CASH C;7 CHECK
?
Fon ?
( v'?? F' i. i ? iJ 1 - 1)?,_ t i?
i ?
r
?
FUND OBJECT AMOUNT
c_ -
`.. I
_ , ?- -
1 + ? ?
Thank You
BY
?? ?479b
VJhite-Payers CopY
Yellow-Posiing Copy
Pink-File Copy
(Irrtiftrate uf Mrr?panry
titp of eagan
Eppnrirnpnt o# IuOing lnspprtinn
nis Cerrifreate issued pursuanr to lhe requirements af Section 306 of the Uniform Building
Code cerlifying that at the iime of issuance this structure was in compliance with the Parious
ordrnances of the Crty regulating building construction or use. For the following:
ux aL41sification •` ?! IJWG!GAR Mag. rermit rro. 180
OccoWncY TYPe R3M) Zonin8 Diurict RI Type Const, vn
Owner of 8uilding Mdreo 935 E. KIM. WAx' ?A?A
Building Addrma ??? i.fi, ?? ?
nate:
Building Officiil
POST IN A CONSPICUOUS PLACE
CITY OF EAGAN Permit Na: Date: 6- 20-'8;3
3830 Pflot KnoPf Road Meter No: aDl .S ? 7 9 9 Size:
P.O. 8ox 21199 Reader Date:
Eagan, MN 55121
Owner.
SiteAddress: Ashbu2y PI Lb e=i rlacki-,awk Cio-: ?
Plumber n dQr::i $roc P -Pt,: I
Conn. Chg: • ? Zoning: y
'
Acct Dep: No. of Units: ?
Permit Fee: i
Surcharge:
Tr. Plant
Meter.
Misc.:
I agree to comply with the Cfty ai Eagan
Ordinances.
By
WATER SERVICE PERMIT
• CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199
PHON E: 454•8100
BUILDING PERMIT
To be used for SF DWG/GAR Est. Value $123 , 000
Eagan, MN 55121 N! . 1 51 80
Receipt # g14 co g L4-
Date JUNE 13 ,19 88
Site Address 1625
Lot 6 Block 4
Parcel No
ASHBGRY PLACE
Sec/Sub.
a Name L1iNDGREN SROS
w
Address 935 E WAYZATA BLVD
? City WAYZATA Phone 473-1231
w0 I Name SAME
?a Address
: City Phone
a
"W Name_
? W
_ ? Address
aw CitY-
I hereby acknowledge that I have rea0 this application and state that the
information is correct and , grea to coi ply with all a p17Cable State of
Mmnesota Statutes and Ci f agan inan es.
Signature of Permdtee
A Building Permit is issued to: LliNDGREN BROS
ontheexpressconditi0nthfltallwOrkshallbedoneinaccord Cewithall
applicahle State of Minnesota Statutes and City of Eagari Ordinances.
Building Official
OF.PICE USE ONLY
On Site Sewege _ Occupancy R-3 M-1
MWCC System X Zoning R-1
On Site Well _ (ACtuap Const V-N
City Water X (Allowable) V-N
PRV Requiretl X # of Storiea
Booster Pump _ Length 60 '
oevtn 29'
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit 648.00
Planner Surcharge 61.5
0
Council Plan Review 324.00
BIdg.OH. SAQ City 100.00
Vanance SAC, MWCC 550.00
Water Conn. 550.00
Waternneter 67.00
RoadUnit _325_._4Q
Treatment P1 204.00
Parks
TOTAL 2,829.50
isimonQnsirom'a I-?5--?'O •, C?J /??o
E 13 91 f; L Cp , P? B.P.aek?'za,wee, G-? a-u-eQ ?.?? , o0
R?s?uest ?ate
I Fire No. Nouuh-?n Insuection
Re?iwretlI
Ready Nowll Novly Insoec-
?
?_??? Wes ?NO ?or When Peatly
E&bicensed Electncal ConVactor 1 hereby requast ins0ecbon ol above
? Owner electrical work installad et:
Slreet Address, Boz or Houte No. City
ectmo o. TownshiD Name or No. RanBe No. Counly
Z?Q.,eOT/Q.
Oc upant IPflINTi
?
vv,52zsA1 Phone Nn.
ve
Power Suuulier
Df+A-? f"c??e, Aadress ?
er u? 4,e.n.,v
Electncal CnnVactor (COmpany Name) ConVar.mr's License No.
Standard Electric Co. 40837
Mading AdJress IContractor or Owner MakmO lnslailatwnl
2672 Map wo d Dr., Maple od, Mn 55109
Authorized Sie i Contractm wner aki allabonl Phone Number
484-8044
MINNESO*STATE,BOAND OF ELECTRI TY THIS INSPECTION PEUUEST WIIL NOT
Griggs-Midway Bldg. - Noom N•791 BE ACCEPTED BY THE STATE BOAHO
1821 Ilnivereitv Ave.. Sl. Vnul. MN 55104 UNLESS PPOPEfl INSPECTION FEE IS
cn....e rwim aazrmnn ENCLOSED.
REQUEST FOR ELECTRIr.AL INSPECTION e?13/-0'0001-06
1 Sea msirucbons inr completuig this brm on bnck ot vellow co0v. O S?5 ?
E 13916 "X" BeJow Wnrk CoveredBy lhes Request
ina AAtl Rep. Type oi 9mltlrng Appl?unces WiraO EqaiVmanl W?red
Home Ranye iemporary Service
Duplex Water Heater LiyhLny Fixtwes
Apt. Bwldmg Dryei Electnc Heahn
Cortmiercial Bldy. Fumace Silu Unloadei
Industrial Bldg. Air Conditioner Buik Milk Tenk
Farm oinr, n.-,H mm ?sno?.?rv)
i ,r Suec?fy Orher Odie,
omuute lnsoection Fre Be/ow
p Fee ServmeEnheneeSize H Fae Fneders/Sublaxders k Fe,x Cimu'ts
m U to 200 qm ps 0 to 30 Am s dir m
Above 20D q?nps 31 to 100 qmps s'=° qm ?
Swimming Pool Above 100_Am s 0_Amps
%Above
Transto Irrigation Boon?s r Fee
Signs Speciallnsueaion
Nem?rks S? -S? `?
. ?
flough-in r >Date'Jp 1, tha al
(. ( ?f/ InSpeClor, I?ereby
. r c?ily that ihe above
Final ns0action has been
mede. _
Thla reQUest voiE 10 monfM irom
,ni.
s repuest void ?/??/?'?
18
?
qnths trom
E 13863 ? 124
Requea': Date
?
n/ ? 6 fe No. Houph-in Insuec?ion
Requrred'
eady Now Q WiII NoUtv Insuec-
Wh
R
119, to
- ?YOS o r
en
eaOY
P.L1?ensed Electrical Contractor 1 hereby ieQuest mspectfon of above
? Owner elactrical work instelled at:
Streec Atldress, B or Foute No. Gt
/L 4s s,e,,e ?
ection o. Townshi0 Name or No. Ranye o.
OcwVAnt IPqINT) `
L?ti?2? ?s Phone No.
Power Suppher A ress
? /
Q
P -
Electncal Convactor ICompany Namel Contra?nr's Lmense No.
Standard Electric Co. 40837
Mailing Address ICOmrxctor or Owner MakinB Instailetiunl
2672 lyLapl ood Dr
Map o
Mn 55109
., ,
Auffionee 5, [ure IComeactor/O er k Instaliavonl Phone Number
484-8044
MINNESOT STATE BOARD OF El pICITY TMIS INSPECTION PEQUEST WILI NOT
Gnggs•Midwav Bldg. - floom N491 BE ACGEPTEO BY THE STqTE BOAND
UNI.ESS PROPEH INSPECTION FEE IS
1821 Un,versitvAVa.. St. Paul. MN 55104
Phone (612) 642-0800 ENCLOSEO.
REQUEST FOR ELECTRLrpL IIUSPECTION e`s,-loo/ooi-os
1 See mshuc4ons for romple4ng this form on Eack ol yellow coon
E 1-3 8 0 3 "X BeloW W°rk Covered by Ihis Request
Nev4 Addj Peo. Tvoe of Bmlemg Aoalmncna Wned Eno.u.nent wnen
HOrt1P. Range Teniporary Servroe
Duplex Water Heater LiyhLny Fixtwes
Apt. Bwlding Dryei Electric Heaun
Commercial Bldg. Fumace Silo Unlonder
Industnal BIAy. Air Conditioner Bulk Milk Tenk
Farm tnr, soe':' v .mc, i5no??H?
t r.r ucuFy OUher pth¢r
ompute /nspecbon Fee Below
p Fee Service Ennanca5ize p Fea Fxedars/5ubieeders N Fae Grcwts
° 0 to 200 qm 5 0 to 30 qm ps 0 to 30 Am s
Above 200 Amps 31 to 100 Ainps 31 to 100 Am s
Swimming Pool Above 100_Amps Above 100_Amps
Transiormers Irrlgation Booms So ParLal- Other Fee
Signs SUecial Inspechnn
'` ?
TOTA
Hemarks ?
F
Robph-in Dane I. the ?
Inspectoq hereby
cert?ty thxt the above
^///??? inspect.on hes bean
Final /? / ? • - ? ^1 ?30?mede.
/ /?C
This reauest voiA 18 monVU from
1988 HDILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLING3 15' sO
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 RENTAL QNITS FOR SALE UNITS 4 OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
CONIIdERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STAUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY C9LCULATIONS
To Be Used
Site Address
Lot ?o Block c,-
Parcel/Sub *./-4444w?/??-iL-
Owner
Address 05 E WA1fZATA B.YO.
City/Zip Code PHOW 4134231
!on'-7?!Pa` Date:
L OFFICE USE ONLY
/Z3, o00 -
On site sewage_ Occupancy
MWCC system r/ Zoning R-1
On site well Actual Const V-N
City water Allowable v-N
PRV required # of stories
Booster Pump _ Length
Depth /O"
S.F. Total
Footprint S.F.
Phone
Contractor Lulawmaconmemm
Address 935 E WAYZATA BLVDo
City/Zip Code PHONE 4731231 J
Phone
Arch./Engr. _
Address
City/Zip Code
Phone 11
APPROVALS FEES
Engr/Assess Permit 6 S.a?
Planner Surcharge C9 /.SD
Council Plan Review 32-. 00
Bldg. Off. SAC, City /DO OC
Variance SAC, MWCC 55'0,6J
Water Conn S O,oo
Water Meter (01.00
Road Unit ?37,1;,OD
Treatment P1 2p ,a0
Parks
Copies
TOTAL
hj,a? u ?'T't
G_ ?
2 Zxz2-: ?84 x iy? lo??G
?
? 17 )l3 8 ? %b ZG
?%zX /'Z= lSl
?oYy x/</ =
! 2-,466d
31V .MaTat;n t 811c.i.1eAe 03MMtu
OYJBAtxSYA+A
Tm NM KTASYAW
1LSP t'i? 3vf)N4
dIN .Nfd i 3LR' ? ki ;.WRP 7F""MU!
'?'i J8 G . ?? .• ?p a }}'0
, e`,
SURVEYOR'Si CERTIFICATE
?
. ?
J?
i
z
,
\ e2p•?
? v? ry
?
o °
Bar.s9?? : ?
,
? ?<<8, ? ? Nl c ? ? ? ?
Mo 2g a
UOOK / P
F
qSye ? ` ?s o0
Y ?
?
4u
=2a'???('V?? ? ?C D
g
?y_
F ?
?
- DENOTES PROPOSED SURfACE ORAIFlAGE
O ,DENO7E5 IRON MONUF'.EN7 SE7
?0 DENOTES IRON MONUMENT FOUltD
X000.0 DENOTES ERISTING ELEVATION
(000.0) DEt107ES PROPOSED ELEVATION
I-IE IIEREEiY CERTIFY TO SIENNA CORPORATTON
REPRESEMTATION OF A Sl1RVEY OF TfIE OOUNQARIES OF:
SIENNA CORPORATION
i7i n^ ? In1nn• ?vi r-ni
L7L?I-\?.?K1 I/-\YVIL_L_IV
I(?Y n rN rNl'1-i? Nn 1
1?) 1 /-1LJL)i I I-,I V
ENGiNEERITdG DEPT.
poRoVo REQURED
SCALE; 1 1NCIi a 30 FEET
PROPOSED GARAGE FLOOR - 8.2 1 3 FEET
PROPOSED LOlJEST FLODR - S13. 6 FEET
PROPOSED TOP OF f3LOCK = 82-l 7 FEET
TIIAT TN1S IS A TRUE AMD CORREC7
Lot 6 Block 4 DLACKHAIdK GLEN 2ND ADDITION, accordlno to the recorded plat
tliereof, Dakota County, t4lnnesota.
I7 DOES NOT PURPORT *70 SIf01d IMPfi0VEf1ENTS OR ENCROACIIMENTS, 1F APlY. /15 SURVEYED DY
h1E OR UNDER MY DIRECT SUPERVIS10N Tt1I530T11 pAY OF DECEhiBER , 1986.
REVISED 6-04-88 TO SHOW PROPOSED HOUSE
BY LUNDGREN BROS.
PROJEC7 NO
85618
(88466)
FILE NO.
FOLDER
257/ 54
LAND SURVEYOR
Jt-Iaea 122e4
JAMCS R. !-IiLL, INC,.
Planners / Engineers / Surveyors
8200 hlumboldt Avanu• Soulh
Bloominplon, Mn. 55431 612-e&4-3029
?
T
s? ? ? 4• ?0
oezz,, 8zt•s?
/`• /--yDRAINAGE 8 UT7LlTY?,/ ? I \ \
EASEMENT PER PLAT'-- ?
? LOT - 6
? / n
l ?
e=0.9 I
J) \ /o
pR0 Jy,s?
? Hp pUSs
??5 ? ? 'QR'qGf
?•?2n?1 ,_ Q? /
S1GP![[]: JA14E5 R. H1LI., INC.
?
oY:
IIAROLD C. PETERSOIJ,
hI1NFIESOTA LICENSE N
%• ?
? I e
• LS3 ? I ? ? ` ? ? ??
?CONclrzuc11014 ---- - -
.i?
?JOTI JJJ??.I ? /G 17) (.I."i" 12
1
?35 cAS7 V+J/,?'ZA7P. 20ULCV1,RD • l'1hYZAif-., I!Jh:N
EY.TEP.IOP. ENVELOPE P.VEP.kGE U CD:IPUTAT]ON ?T
S O ?v _
Lot Blo(4,Site Nddress '-
u
Fac-uorS
.058
ppaque Yla]ls -
_.117
YJa17 Framing Areas -
_ 023
Ceiling Insulation Area -
. .027
Ceiling Framing Area
pc
Rim Joist -
biasonry Wall
',.li ndows
poors
Patio Doors ?
Dou61e Hung
Casenents
Sidelites
1) Lower Level (Sasemznt)
Total exposed wall area
Opaoue ldall Frea
1Jood Frame Area
Rim Joist
Exposed 61ock
Wi ndow Area
Sliding Glass Door
D:)or ; rea
<
?e
.26
- .4E
.18
."-6
_47
u /
- X (U) .058 = -_---
--x (u) - 117 = _?-
--X (u) .e4 _ _-
ZlX (U) .14
Casement -"x
x (U)
??? _46 =
"z6 ?.--
6ouble Hung ?
- x (U) -a6 - J -
_ X
_ ( U ) .18
= ------
Te t a 1 y
_ 1,-- ?--
. , •. ??U 0 6RC H
0 ?CO?CIRUCTIOIJ -
• 473-1231
7? ?OULEVARD • V:?.AYZk7P., I-'IUIJESOTA SS391 (612)
2) ISi Or r?cln 71GOr
7o?al exposed v+all area
ppE?oue t%a11 area
blood f,rame area
Rim joist
? i,'inoow P,rea
Casements
' Double Hung
Slidin9 Glass Door
Door area
Sidelites
g) 2nd filoor if 2 s'Lory
' 7ota1 2xoosed tirall area
' poaque wall area
Wood frame area
l;indow area
Sliding glass door
Door area
4) Total ceiling area
Wood frame area
onaGue ceiling area
Skyliant
C. -
Casements
Double Hung
/ / ? 0
(U) -058 =
, X (U) .117 =
(u) . 04 = - -??-
-x
?X (U)
( U ) .46
.26 = ?-
-?-
?cTix ( lJ ) _ 46 =
la = ?, 8
'?X (u) .
42- x (U) .47
TO Ldl ?
(U) .058 = 5 ?, <J
(U) -117 =
?
X
'-
??? 46
.26
- x ( U) . 46
---
? x (U) .18 =
- r
9
Total
?g_jX (u ) .027 _ ?2 -2---
x (U) -023
--x (U) -55 - __-_-
Tetal =?/ __
i
?COI?CI RUC 1 IOtJ -
?-- -?, ? N 55'c•i . (612) 473-1231
EOULEV:,P.D • ?'JL,YZ<7h. ..n:?? SOT
935 EkS7 vd/?YL/?7?
I"inn. U Factors Total er.posed Wall area z' x .11 =?
i ? x.OZo = ?? r
hlinn. U Factors Total er.posed ceiling area
(A) Total - ?
as-3.
+
Item 1±. Item 2 Item 3 71} Item 4
I; total of Iter^,s 1- 4 is less than Item (P,), building
complies witn SBC 6006 (C)s
<
APFLICATION FOR PERMIT - '$
1) PROPII2TY ADDRFSS:
SEWER AND/OR WATER CONNECTION
oF eagan
T,F1:AT, DESQ2IPTION;
or
IF EXISTING STRCCTORE, DATE i
PRESENT ZONING/PROPOSID LSE:
Q COhME2CIAL/RETAIL/OFFICE
Q INDCSTRIAL
Q INSTITC'TIONAL/GOVERNMENT
.'? NJPE: PAYP4•Nf OF FEE AT TIPE OF ?
i APPLICATION DOFS NUP CON- ,*k
? Sl'I1[T18 APPAGVAL OF PIItMIT.
w
•
? INSPFYTZON OF MM A!D/OR FF+18R *
; irmraia.a.TxoNS wnL rrOm eE scMLnm ?
? [!NCIL PII26ffT HAi BM APPROVm. ?
fM RlRt4lififfiAliYYitf4?4fk4ttf+#1ffYti#ie#t
)F ORIGINAL B[?ILDZNG PERMIT ISSTIANCE:
Mont Year
R-1 SINGLE FAMILY
? R-2 DLPLEX (Ttwo L'nits)
? R-3 TOWNHOUSE (Three + Units) ( Lnits)
Q R-4 APARTMENT/CODIDOMINIUM ( C'nits )
2) ? NaME: ZL6?/?rnv
ADDRESS: /?'j5??.tsf Gr/?? > %?r I?l d•
CITY. STATE, ZIP:
PHONE:
For City Lse
3) ' ?:?• NAME: Lc?`v?.C,9?r.v /lios /?k•, divs Pl ertmTLlcense:
-? Active
ADDRESS: Expired
CITY, STATE, ZIP: Gridyy1,g71q Not recordec
1
PHONE: 23-4?31
? MASTER LICENSE # St Initia
41 ?? ?•,
NAME:
ADDRFSS:
CITY, STATE, ZIP:
PHONE:
5) ? ? , m a?• • ?i .i a?
ff] CONNECTION TO CITY SEW7ER ED CONNECTZON TO CITY WATEE2 F-I OTfER
6)
*??***x**************?*****+*********************?****x**+***?****:r********r?*****,r**+*?*********?**?
* TIE GOLD COPY OF THE PERMIT WZLL BE SENf DIRDLTLY 7b PU9LIC WORKS 1U FACZLITATE MEI'ER PICK-LP. ?
* PLEASE AISAW 'IWO WORKING DAYS FOR PROCESSING. SOf9FANE EROM TM CITY WILL CONfACf YO[] IF Z€IERE
+
* ARE ANY PROBLENIS. ?
?*,r***********,?**?+****?:r****x,r******:r************,t+*?+*,e**+***+*,r*?????*****r***?*?*???*«***?*****,
FOR CITY USE ONLY
PERMIT # ISSOED
9i
Pd w/Bldg. Permit FEES:
$ $ 16. ? U SEWER PERMIT (INCLLDE SURCHARGE)
$ $ lD, WATER PERMIT (INCLUDE SC'RCHARGE )
$ v $ WATER METER/COPPERHORN/OC'TSIDE READER
$ $ WATER TAP (INCLDDE CORPORATION STOP)
$ $ SEWER TAP
$ $ IS.? d ACCOUNT DEPOSIT - SEWER
$ $ ACCOCNT DEPOSIT - WATER
$ ) 115. Tpn $ WAC
$ e? $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRL'NK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRONK SEWER
$ $ LATERAL SENEFIT/TRUNK WATER
$ i? d? D C? $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ OU $ TOTAL
?1-/
RECEIPT RECEIPTi?
DOES tiTILITY CONNECTION REQUIRE EXCAVATIOIV IN PUBLIC RIGHT OF WAY?
F--j YES IF YES, THEN A"PERMIT FOR WORK WITHIN POSLIC
ROADWAY" MUST BE ISSLED BY THE ENGINEERING
?O DIVISIO[V. LIST AS A CO[VDITION.
SDBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY;
TITLE:
DATE:
CITY OF EAGAN ?
3830 Pilot Knob Road, P.O. Box 21•198, Eagan, MN 55121
" PHON E: 454-8100
BUILDING PERMIT Receipt #
To t1e used for Est. Value Date ,19
SiteAddress A-'66L "?Y OFFICE USE ONLY
`* ??A??tiAh?•. i? ?d:Td ?;:!
Lot 6 BloCk Sec/Sub On Site 5ewa9e
? Occupancy
. MWCC System Zoning R-1
Parcel No. 4"N
On Site Well (Actual) Const
cc Name
City Water X
(Ailowabie)
V-fr
= Address = 3 5E WAYZATA BLVI.) PRV Required ?`- # of Stories
° City VAY ".'''4 Phone ''- 7 3-- l G., l Booster Pump Length
Depth
, o ??`.
Name
S.F. Total
0 4 AddresS Footprint S.F.
U
P
City Phone
APPROVALS
FEES
? ?
WW
Name Engr./Assess. Permit
=
Z Address Pianner Surcharge
L) Z City
Phone
Councii
PianReview
??4'•?fl
W
a
Bldg. O[f.
SAC, City
Zoii• 00
I hereby acknowledge that I have read this application and state that the
Variance
SAC, MWCC ?
550•0()
!
information is correct and agree to comply with all appiicable State of
Minnesota Statutes and Ci
an Qrdinan
f E Water Gonn. 5u•ot) ?
I
ry o
ces.
ag , Water Meter 67.00
i
Signatureof Permittee "` Road Unit 325•? i
A Building Permit is issued to: LC'A1N;ki:1;, B905 Treatment P1 Z04•00
on the express condition that all work shall be done in accordahce with ail
Parks
applicable State of Minnesota Statutes and City of Eagan Ordinances. ?'??
Building Official
TOTAL
I
Cities Di ital ualitv 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.
- &CASH RECEIPT
? CITY. Jr EAGAN
3830 PILOT KNOB ROAD '
EAGAN, MINNESOTA 55122
t-??? I 1 -?
DNTE / 19 J
I
PECEIVFO t
anM ?? L- ? , A L_i
? AMOUNT $
v ?
8 DOLLARS ?/ ?m
? CASH ?7 CHECK -
/`
?
c '
FUNO OBJECT -r-T AMOUNT
? V- . ?
Thank I
,. .
sv = r , ; ? r
' wnn?rerm Cmr
114?? M84 Yellov-POSling Cqpy ' ' ..
- Pink--FlleCapY
BLDG. PERMIT NO. ? ?
(,--O'f' C c ) '8?
1ct.elzkacJt2
01-3210 Bldg. Permit _ ? oo
, 01-3422 PlanCh2ck 15a41 00
01-3445 Surch./Adm. I Z,5
J 01-3446 SAC/Adm. ? v
?
01-2155 Surcharge
?75-3860 Road Unit ? c?-5 oO
5 ?l ?I 50
3 2a2275 sAC
20-3865 Water Conn. 5 S O O d
? 20-3868 Water Trmt. 4 c)O
v 20-3716 Water Meter L0--? Cd
? 20-2252 AcCt. Dep.
N 20-3713 Water Permit
? 20-3743 Sewer Permit
? 79-3866 Sewer Conn. 1 00 cc
283855 Park Ded.
TOTAL Z Sa ci C60
h- (e) 1 J317) JL,. 4h% ?1De 1 3.
----' • HEAT IOSS CAtCUTATION -5-0-0YEMP. DIFF. Cuttomw Wma, yA -4C rn in r?ym Coorsibuction ?r i n +Orf ? a. 5+°r+n?
Cky _ ? Window? Stwm SM
UwW Name - Y Walk . Ins.
Sn«1 ---- Gilieq Inr.
City -• AFF
Flw FI.l $?y„?„4 Roomllerqth 38 WidM a1 w.d.. 19 FI.I k: ?_??..11?I?..ywti I 1 Wu.e 1? M.a??
WinQows and Ooon-Gackap ond Mr
NO WNe?
nl M M??n No ol ? L?MNh.
L ?? LIK? A.
.?.
_
1 ,? 8
Cwf. Btu
Inhltratwn r10 -'2 6
Giau v
Eao. wall 130 x 10
Not exp. wall
IM. wall •
c.irng 3 x? t 2 aosC?-
Fbw IUe? D
ToUI81u.
S FI.? I L??;n RoomlLm tA 13 Width ? L( Ibi t
WinOOw and Duors -Guk ap wid 11?n
ws wie?w N?yn?
N M O/ M No. a
16 h L?wW h.
N Aw
fI.
.
a a a? 2z- b
Cod. Btu
Inhtewtion
Gwo 3 00
E¦p. wall .r]>cff
Nut aao. wall I P 1)-
IM. wall
Cnnng I 3 hey / Z (o
?w. ?- 3(0
Ooort-dsdus and Nea
Ns. pW W? H?I?lit N? N? ?IMM ,. ??M .
? Coof. 9tu
Intilt??tbn Ip
Glm
Exp. wslr >c
Nrl exp. wall ?
Int. wall
Gilinp X 'Z (o
Fwa a
TotalBtu. ? Ja-LL
??FI.I ar?q k?SAoom I Lwq[IF7. 5- Width t 3 Meigitt
Windowc and Ooon-Cndcpal md Arr I-
Ne. w1,111MI.
N N?M? Me M
L L1?1 h MN
Cod. etu
Iniihwtion O • b0
G1a+a ? R D-0
ExP.vwll .Sxff rJ
N" .ro.w+ll 3 3
Int. wall
c.iurq . k 13 a ?
Floor
Taui etu. 1 I Tou l 8tu. RoomILNgM ((,S Yllideh IMNd`?FI.I Ce.„;Ih Rowe I lmgth WidU I`- Wo rwkKvi anA Doors-Gackao? ?nd Arr Windom Ooaa-Cnekmpe wd Arw
M.. W?mn w?yp? Me N
..? .un. n1 L b
M irM MM
N.
21 1 2- 23
CoO. Btu
Inhltolnn 9.3 r)_
G4,s ' 00
Eap. wdl 2+5-X?K
Ne •.a. wall
185
Inl. wall
Coi?in9 X I 1?6 L 30 0
Floew 150 z 300
ieul9tu. 1 32 (O 0
Ms. N w1k I = `,. M M p ? h.
Z ?-
34 Z? Z
Cw1. ?tu
Inftllratan O
Glar ?U 9d0
Eip.vnll
IWt nP. wall 1 l52-
Int. wall
aa:q 13 x I I 8? z
Fbw 3 to
toul9eu. I 5 a loo
?a?e a of' 3_ .
. '• HEAT LOSS CAICULATION -22-vo YEMP. DIFF.
CitY r--
Tvw Catdnutbn - Ri' i nCfon
DMNr N?me. Window? StwT SM ?
StrMt Walb . Ins.
City Giliep In?.
Fkp
WidM f'Z w.:.r.,
wuKpws ?1tl Door s-Gackap? and Iuq
Me ware w.r.?
OI ? we e? ? L~ n.
l b OIiIKt wn.
M-N.
Coa1. Btu
Inhltnuon
Glass
Exp. wall 12xe
I S
Not eap wall 13
Int. wali •
Ceilmg ?
Fba Z
/
7oul 8tu,
' o 12
FI.
v Roomllon h ]_ Wi?h Moi t
Winddhs andDuors -Guk aye andAr m
Ns O? ?M OIeN.y ie W
n LiMM t1.
w n An?
h,
v tv j c?
0 3 377-
c4d. ecu
In(iltntbn ? ?D
ck.u S Sa ?- ?o
Eap. wall x ?
NeN exp. wall ? l b
IM. wall .
aiilrbg !-Tk i r?t 336
F1O`" b Z 33fo
.iw.? YIV.
Ne. wN1?
°? 11?yM Ne N
s LIwr1 n.
ar? An?
h
_?. a
ccd. ero
Infikrstion Zo O G!7
Gws Ite d Op
Exp. rwll ? y WR?
a
Not •¦y. wau ?
Int. wdl
Giliny / r
12- I ?f
F
1 `f`f
2?
.2 S8
I oul e[u. I 30oZS?
,Z? I.??-(,? Noom I LuqtA $ Width HNight Q
WmdDwi anC DoOn-Grxe rd Arr
Ne. N ?tn MMM? `?. a LWN p. MH
1
Cpf. !tu
Inlilanbn 11D O
Gii° !o 0 3oa
E.o. w.o ? x
Not oxa. wau 23
Int. wall
C.iicrq x al i?
fbor
tltV•
WIMi1IWf aIMd D00/i-Clidcam rrllrr
N. M.
6
?pf. Btu
Inidtration O ?
Gy.s ' ?' /!ao tJ
Exp. wd1 (a x -
Not emp. wall
In1. wa11 $
ceilin9 II ki5 65
Fbnr
!0 2-
nmIl-trldms l,d Afr
ww
Ma. ? ? M ? `?. ? LMrI ?1. • N
,? 1 a
Oo?f.
0 atu
Intillruan r?0
G4r /p
Exp. wall
Not ht0. wall O!? eZ
Int. wdl
c•inng 3
floor (.?, -2
?vwi sw. 1 47ol9
I vwl a[u. 1011 (c C 1F
i
pq?e 3 a-r- 3
HEAT LOSS CALCULATIO
.uaoew NWr
cit !-u r-?ras
Y-
DMNr Nom.
8t?MI -----
cky --
N qo ° YrEMP. DIFF. ' TvpCenouucWn ( o'i
Window 5tone 8M r-?-?
IMdb . • Ing.
Gilirq ?
Fba
NO
Era. wall
No1 txv. wall
IM. wall
Windows wd Doon-GaekKp and Arw
NO W?? M?yn?
M
M el M? N
L 1? LI?MIN.
1?L ??Y
N.
?. } y
?
07 E I
Cql. BfY
Inlittratbn ZU O O
Glan (o Sb O
Eap. wall K
Nel exP. wall
?
Inl. wall ?
Lenny 14 ?c I Z$
?arr ' ?SL SO
rW Doat-GYKkM rW ArN
Ms. M? w? M M LIw114 A n .
. ?r.
?w
Inf ikntfon
Gl?r
Ex0• well
NM exP. wall
IM.rwll
CNlirp
Fbar
Toul Btu. ? -
FI.I Rwm Lwqth MIfddA
Window? and Doon-0radMP Md A?r .
IN. N LYr? h?
?
lefilb?tfon
G1nt
ERp. wNl
N?t nxP. wNl
t
IM.w41
Gili?q
Floor
Toul Btu. ?
FI.I A?I WAdth
WWAera uW Daers-Cn*AW wd Arr
?
l11f1hfit1on
G4r
E¦p. vrNl
Not axP. rMll
Int. wall
CNIfq
Fbor
II Total ltu.
C.onnlc+-*J- 104? 1?f
Vwt (o v r
s i ? 3 W, -fefSF?
70+r,
TotN etu. l 3.1
--?? -
BUILDING PERMIT
To be used for 3-SEASON PORCH Est
000
Site Address 1625 ASHBURY PL
Lot 6 Block 4 Sec/Sub. gLACKHAWK GLEN
Parcel No. ND
w Name L L SRADY
o Address 1625 ASHBURY PL
City EAGAN Phone 733-9856
o Name SAAiF
g? Address
City Phone
0 Name
Address
City Phone
I hereby acknowlege that I have read this application and state ihat ihe
inbrmation is correct and agree to comply wilh all apphca6le State ol
Minnesola StaNtes antl Crty of Eagan Ordinances.
Signature ot Permitee
A Bwidinq Permit is issued to: L L BRADY
on ihe express condition that all work shail be done in accordance wdh all
applicable State of Mmnesota Stawtes and Ciry of Eagan Ordmances.
Buildmg Oflicial
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55127
PHONE: 454-8100
N° 16822
Receipt #
Date C 30
.7IILY 25
19
, 1989
OFFICE USE ONLY
Occupancy FEFS
Zoning _
(Actuap Const - Bldg. Permn 82 • 00
(A1lowable) - Surcharge 3.00
# ofStones _
Length 12 ' Plan Review
Depih 12 1 SAC, Ciry
S.F.TOtal - SAC,MCWCC
S.F. Poolpnnls _
On SRe Sewage _ water Conn
On Ste Well - Water Meter
MWCCSystem _
Acct Deposil
Qry Water _
PRV Reqmrpd _ S/W Permit
Boosfer Pump - SIVJ Surcharge
7reatment PI
APPflOVAL$ Road Unil
PlannBr - park Ded.
CouncA
1
00
BIdg.Off _ Copies .
Variance - TOTAL 86.00
1969 BIIILDIBG PEHMIT lPPLICITION
CITY OF EAGAN
I (o I
3INGLE FAMILY DSiELLIAGS QG4l41LiIPLE Dti1ELLINGS
FRcoPAnN(v 04tao-°
'2 SETS OF PLANS"?- Fa.e,.c?z P-4c1 2 3ETS OF PLAN3
3REGISTEAED SITE SIIRYEYS 6EGISTfiAED 3ITE 3DA9E13 -
?itGY--EALC3. (C?CS WITH BLDG DIV,)
"? 1 SET OF EIiEAGI CILCS.
COM@'lERCIAL
2 SfiTS OF lACH13ECfUAAL
8 STSDCTQftAL PLlNS
1 3ET OF SPECIFIC9TIOHS
1 SET OF EBEAGS CA1.C3.
lIIJLTIPL6 DHELLINGS AENTAL DNTT3 FOA SALE DBTIS ? OF DHITS
10TEt ADDRES3E4 FOfl CORNER LO?3 - CORTAACTOA/HOt+E01iNER !lUST DF.4IGNAlE ii82CH iDDRESS
IS DESIRED. HO CSAIiGFS iiII.L BE lL1AiTED ONCE HIIII.DIAG PERMIT I3 I33IIED..
SEWER 6 W1TER PEFRMIT FEF.S APD 1CC00PT DEPOSIT FM iiII.L BE INCLIIDED WITH iHE BOILDINQ
PEFGSIT FEE. PAOCFSSING iIME FOA SEWEA lND WATEA PERMIIS IS Ti10 DAYS ONCE ! PERMTT H?S
BEEA COMPLETED INDICATING A LICENSED PLOlBEA.
PENALTY IPPLIFS NHENs PEAMIT IS NOT PAID FOR IN SAME MONTA IT IS REGIIESTED.
LOT CAANGE IS REQUESTED ONCE PERMIT IS ISSITED(? 1 Q 1989
To Be Used Fors J- S;zzmw iLeffValuation: Za-,?0Cr6-0 Dates 7//8/O?
Site Address /? 2?
Lot (P Sloek 4
9ZAGk11,1wi--
Parcel/Sub 2ND AVD/TioA/
Owner / . 4 .
Address /6 Z ? /l.fffr3t(?J ?L
City/Zip Code z z
Yhone 7 9o c,( ?0
Contraetor
Address
City/2ip Code
Phone
lreh./Engr.
& GnC `^ vrri?n we
Oceupancy
Zoning
Actual Const
Allowable
# of stories
Length 1 Z'
Depth !L'
S.F. Total
Footprint S.F.
On site aewage
On aite well _
HWCC Syatem _
City vater _
PRY required _
Booster Pump _
lPPR0VAL3
Planner
Council
Bldg. Off.
Yerianee
`. :7/1a
P'EFS
Bldg. Permit OZ.S'll
Surcharge 3,r0
Plan Reviev
SAC, City
SAC, HWCC
Nater Conn
Nater Meter
deet. DeposiL
S/W Permit
S/W Surcharge
Treatment Y1.
Aoad Onit
Park Ded.
Copies ?
SQBiOTAL
Penalty
SOlAL
Address
Citq/Zip Code
Phone #
. • '
APATC,.?
I Z Q, ? 1. ? 4?l x c.l? _,S 7? o ??6 o ov
./ •
? SURVEYOR'S: CERTIFICATE sIENNA CORPORATION
• ? ? i n^?'/ ? I ni a n. ?i rn i
! (? ? L_L_I V
' V
?8.O /80 1 (`Y n rN r??n'I ?n I
? / B?@O ?20/11 1?7 1 /-1L/Lli 1 I??•IV
IAI
z ?
AM
?•
?
/
/
/ ??,
?} o°•
^,
?
n w M l
^. ?
?
O`V N/ VO pROp ggs? .
eE1.ag?0
C/l p ?a p?5 ? .? .l ARqCf
?
? ?ra
o)
?8?•., a ? B=as
e ? \ ? ? ' y3e ?:
M°3 /V24 \ o??'` /?
\ ?O$
qsye\ \ ? Ts oo - ?
?Y \ as
p , ?o s
\
z(.s)
?
/
?
/
/
^
/
//;?AP P?V ED
?y ?
Date L/?e/GG
Aiv E:dGIr:EE£tIi•?G DEPT.
.?
,
P.R.V. REQUIRED
' DENOTES PROPOSED SURFACE DRAIPIAGE .
.O DENOTES lRON h!ONt1MENT SET SCALE; 1 INCIi a 3o FEET
0
X000,0 DENOTES
DENOTES IRON MONUMENT FOU14D
EXISTINf ELEVATION PROPOSED GARlIGE
PRDPpSED LOIJEST FLOOR
FLOOR - 821.3
- 813
6 FEET
FEET
(000.0) DE?lOTES PROPOSED ELEVATION PROPOSED 70P OF pLOCK •
= 8z! 7 FEET
IdE FIEREBY CERTIFY TO SIENNA CORPORATTON 711AT 711JS IS A TRUE AND CORRECT
REPRESEN7ATION OF A SURVEY OF TlIE [iOUNDARIES OF:
Lot 6 Block 4 BLACKl1A14K GLEN 2ND ADDITION, accordlnp to the recorded plat
tliereof, Dakota County, fdinnesota.
tT OOES NOT PURPORT -TO SIf01d 1MPROVEt1ENT5 OR ENCROACIfMENTS, IF APIY. AS SURVEYED OY
hIE OR UNDER MY DIREC7 SUPERVISIOIJ TtfIS30Tli pAY OF DECEh16ER , 1986.
J?
i
5/?
? o
ORAlNAGE 8 UtIUTY? ?
EASEMENr PER PLA7''? -
LOT 6
SIGPIED: JAIdES_,R./}IILL, INC.
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 7
# yb? y'Z 651-6814675
New ConeWetion Reauirementx RemodellReoair ReauiremeMs T ?I
• 3 2gistered sile surveys showing sq. 8. of lat, sq. ft oF house; and all roofed areas • 2 capies of plan
(20% mauimum lot coverage allowed) . 1 set of Energy Calculations for heated additions
• 2 coples of plan showing beam & window sizes; poured found design, etc.) . 1 site survey for exterior additions & decks
• 1 set oF Energy Calculatbns . Indicale if home served by sep6c system for additions
• 3 copies of Tree Preservatbn Plan if lot platted aNer 711/93
• RimJolslDetailOptionsselectionsheet(bldgswilh3orlessunits)
DATE -7/5/b 1 VALUATION Zc) ( U 6 b
JOB SITE ADDRESS 16a5 Y?SHIM2y Q L g
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY
TYPE OF WORK 61CSf=lYI
APPLICANT
ADDRESS
PAGER #
PHONE#
ZIP CODE
FAX #(oa 1-7 I'{ L-4 lo 50
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor. _
Plumbing System Includes:
Mechanical Contractor. _
Mechanical System Includes:
Sewer/Water Contractor.
_ Air Conditioning
Heat Recovery System
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the
with all applicable State of Minnesota Statutes and City of Eagan Orc
Signature of Appltcant
I , l le.7
_ Water Softener
_ Water Heater
_ No. of Baths
Phone #:
Lawn Sprinkler
No. of R.I. Baths
1-
PHONE# (o5"1 -i ly S11Sq
FIREPLACE(S) _ 0 X 1 _ 2
Phone #
Phone
Fee: $90.00
ree: $70.00
? ?-? l ?. 1
correct, anc?pgr?,e 103or
Certificates of Survey Received _ Tree Preservation Plan Receiffed' _ Not Required _
7 Updated 1101
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Eut. Alt - Multi
? 03 07 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-ptex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ?X 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex PIbg_?fY or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
?
33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 WindowslDoors
? 34 Replacemen t "Demolition (Entire Bldg only) - Give PCA handout to applicanf
Valuation 21000. 00 Occupancy le MC/ES System
Census Code =13 y Znning 10 City Water
SAC Units ol Stories Booster Pump
Nbr. of Units
0
Sq. Ft. S?:;? i.,a•1? "tN
PFtV
„
r ?.?
i
?
Nbr. of Bldgs 1 Length F% Sprinlil,ered ,?
Type of Const 7V--A?
Width "' ^ ' ? "?•
REQUIRED INSPECTIONS
_ Footings (new bldg)
_ Footings(deck) FinaUNo C.O.
_ Footings (addirion) Pl
Foundation HVAC
Drain Tile
Roof _ Ice & Water _ Final _ Other
? Framing _ Pool _ Ftgs _ Air/Gas Tesu _ Final
? Fireplace ? R.I. r Air Test T Final _ Siding Stucco Stone
? Insulation _ Windows (newheplacement)
Approved By
Building Inspector
Base Fee
Surcharg2
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Final/C.O.
?
? umbing
?
ToWI
PERMIT #
RECEIPT DATE:
R£SIDi1VT1AL PLUM$INfi PERM1T APPLICATION
crrY og EAewx
saso Pv.oT icxos itn
8R8kP, MN Bbt E8
851-881-4875
Please complete for:
SITE ADDRESS:
OWNER NAME: :
INSTALLER NAME:
STREET ADDRESS:
ciTV: Lq)<Q v; lI P STATE:
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ZIP:
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New residential dwelling unit under construction and not ownerloccupied $ 90.00
Add-on, modification or alteration to existina dwelling unit, including: $ 50.00
• abandonment of septic system
• new installation/repair/rebuild of RPZ
. lawn irrigation system
• waterturnaround
P
S e h'1Q L?l
a
Nature of work:
Septic System, new/refurbished - $ 225.00
. includes County & Consuking Inspector fees
• requires MPC license
Water turnaround - existing dwelling unit, including: f--? $ 50.00
- `
• 5/8" meter
?
115.00
$ 165.00
State Surcharge $ -50
Total
Reminder. Schedule inspecHons of alterations, I.e. water neaters, wa[er soneners, waier.umalvmlw E•U.
I herebyacknowledge that I heve read thia application, state ttiat Ihe information is cortect, and agree to complywith all appliqble Ciryof Eagan ordinances. It
is the applicanYs responsibility to notity the property owner that the City of Eagan assumes no liability for any damages caused by the City during its nortnal
operalional and maintenance activi4es to the facilities constmcted under Mis pertnit wilhi " rope ?ht- f- i y/easeme
SIGNATURE OF PER TTEE p ated s/ot
? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for irrigation system
i
(o Z S S?, ?wY 1kcc
TELEPHONE #:
nf?
I LEPHONE#: SL -C1O?/V
ti, 71 (AREA CODE)
'7 '? ? Gl Cl ? ? „(J r.
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1625 Ashbury P1
Lot: 6 Block: 4 Addition: Blackhawk Glen 2nd
PID:10- 14351- 060 -04
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:
Levi Brady
1625 Ashbury Pl
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
$90.00
Building
EA086871
10/14/2008
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
Issued By: Signature
Use BLUE or BLACK Ink
r
I For Office Use
I I
City EaV Permit o9 I
I j _I
I Permit Fee: lD 0,
3830 Pilot Knob Road I
Eagan MN 55122 I Date Received: 3 I
Phone: (651) 675-5675 I
Fax: (651) 675-5694 I Staff:
L -----------I
INFLOW & INFILTRATION PERMIT APPLICATION
Plumbing / Sewer & Water
Date: L 1Site Address:
Tenant: Suite
Resident/Owner Name: ZE"V' 11 2 ,4Dy Phone: C~J l ' 7 ?'0_
Address / City / Zip: 5iff~/ Tom.`
Name: License
Contractor Address: City:
State: Zip: Phone:
Contact: Email:
PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope)
Type of Work Sump Pump Repair Repair
Other: Other:
s
/~4-C i'U~yQ ~Orir~2rS~'~r~2c c~1 .5~
Description Description of work:
FEES
$60.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $
*Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit 1/I repair costs for
reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors
can be found by visiting www.cityofeacian.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.ciopherstateonecall.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 requireesyaa review and approval of plans.
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: -Under Ground -Rough-In -Final
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA117557
Date Issued:10/21/2013
Permit Category:ePermit
Site Address: 1625 Ashbury Pl
Lot:6 Block: 4 Addition: Blackhawk Glen 2nd
PID:10-14351-04-060
Use:
Description:
Sub Type:Reroof & Windows/Doors
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.
Windows/Doors: If altering the opening size, a framing inspection is required.
Valuation: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 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 -
Levi Brady
1625 Ashbury Pl
Eagan MN 55122
All Craftsmen Exteriors Llc
1020 East 146th St
Ste 226
Burnsville MN 55337
(952) 898-4680
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA173047
Date Issued:10/26/2021
Permit Category:ePermit
Site Address: 1625 Ashbury Pl
Lot:6 Block: 4 Addition: Blackhawk Glen 2nd
PID:10-14351-04-060
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
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 -
Levi L & Yvonne M Brady
1625 Ashbury Pl
Saint Paul MN 55122--122
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(641) 264-4088
Applicant/Permitee: Signature Issued By: Signature