3656 Ashbury Rd
CITY OF EAGANQ 16330
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt # C-.
To be used for SF DM/GAR Est. Value $82,000 Date JULY 21 , 19 89
Site Address 3656 ASHMIRY RD
OFFICE USE ONLY
Lot 1 Block 1' SeclSub.lsLACRHAIiK GLEN
Parcel No. Lax Occupancy &-3 11!11~4 FEES
Zoning B-1
W Name STURM HOl!!ES (Actual) Const Y "N Bldg. Permit 558.00
Address 14340 PILOT KNOB RD iAllowable) V -N
Surcharge 41.00
City APPLE VALLEY Phone 423-3322 r of stories
Length 480 Plan Review 279.00
c Name SAME Depth -Vol SAC, city 100.00
z~
Address S.F. Total SAC, MCWCC 573.00
City Phone S.F. Footprints -
On Site Sewage Water Conn S80•-
ul W Name On Site Well 90.00
P w Water Meter
W 3 Address MWCC System 30e00
a W City Phone City Water XX Acct. Deposit y PRV Required - S/W Permit 20.00
1 hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge 1.00
information is correct and agree to comply with al, applicable State of 228.00
Minnesota Statutes and City of Eagan Ordinances. Treatment PI
Signature of Permitee APPROVALS Road Unit 340.00
A Building Permit is issued to: STEPHAN ROSS Planner Park Ded.
on the express condition that all work shall be done in accordance with all Council -
applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Ott. Copies
Variance TOTAL 2 a 842 . 00
Building Official
Permit No. Permit Holder Date Telephone #
WATER
SEWER
PLUMBING / rif 7~
H.V.A.C.
ELECTRIC
Inspection Date Insp. Comments
Footings I 7.Zs
Foundation
Framing / ID S
Roofing
Rough Plbg. /s
Rough Htg. 1711 r
Isul. r 7 D a- / G s I t.7~ r dr~
Fireplace
Final Hig. CA
Final Plbg. ±-fi-
Cond. Meter Plbg. Inspector - Notify Plumber
Engr./Plan
Bldg. Final g , / S o / ether ;
Deck Ftg.
Deck Final
Well
Pr. Disp.
-TI
77, , +
PLUMBING PERMIT For Off Ice Um Only
CITY OF EAGAN PERMIT #
CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT # 3 O 7
PRICE PNO E N,4 48100 DATE: 8
.4 f4
Site
Lot Addfess SeG R sdG• TAPE Ne RK DESCRIPTION
aCZ << _ Mult. 7~ Add-on >C
Name e Comm. Repair
CC Other
175? 5hAWAI
Addres
c City t7- tij ti N/ Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
N FIXTURES TOTAL
='YCP~ -777V Water Closet - $3.00 $ ' 00
Name ~ MZ5 - Bath Tubs - $3.00 '
3c Address Lavatory - $3.00 O
O City Phone Shower - $3.00
Kitchen Sink - $3.00
Urinal/Bidet - $3.00
FEES Laundry Tray - $3.00
COMMAND. FEE -1% OF CONTRACT FEE Floor Drains - $1.50
APT. BLDGS. - COMM. RATE APPLIES Water Heater - $1.50
TOWNHOUSE & CONDO - RES. RATE APLLIES Whirlpool - $3.00_
MINIMUM - RESIDENTIAL FEE $12.00 Gas Piping Outlets - $1.50
MINIMUM - COMM.IND.IFEE $20.00 (MINIMUM -1 PER PERMIT)
STATE SURCHARGE PER PERMIT .50 Softener - $5.00
(ADD $.50 SIC PER EACH $1,000 OF PERMIT FEE) Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
SI TURE OF PE RMITTEE r PERMIT FEE: 3 t )Q
10 STATES SIC: 50
FOR: CITY OF EAGAN GRAND TOTAL: i 52
PERMIT #
MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-8100
Site Address asn0ur • :;os BLDG. TYPE WORK DESCRIPTION
Lot_ Block Sec/Sut Res. New
7_ 7' 7 Name - ; L , . Cane.• Mult Add-on _
~ - ~
Address L -'J75 '`'r i? A Comm. Repair h
city ?rairie Phone l_4 %11 Other
Name 7 tuNh-An !i ,~:r s , t ric. FEES
RES. HVAC 0-100 M BTU -$24.00
c Address 14340 Pilot :;nab xoaa ADDITIONAL 50 M BTU - 6.00 '
p City ''.'1 Jill > Phone 423-33- (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA.
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air M BTU •'j`~ APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
Boiler M BTU $ MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent. CFM $ (ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets #1 1 BEYOND $1,000) ,
Other
FEE:
S/C: SIGNATURE OF PERMITTEE
TOTAL
FOR: CITY OF EAGAN
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt # U G J
To be used for DECK Est. Value Date .11IL 92 199.L-
Site Address 3656 AISAIM RD
Lot 1 Block I Sec/SubILACKHAW GI.IU 1S OFFICE USE ONLY
Parcel No. Occupancy FEES
Zoning
W Name 8YL (Actual) Const Bldg. Permit Zs~00
o Address 3656 ASHMY RD (Allowable) - Surcharge • 30 t
City HAGA11 Phone 636-%69 "r of Stories
6 Plan Review
Length Vxj
. 0 Name SAM SRUBSIIAIRR Depth lacllS SAC, City
oa
Address 7306 CANDI.ICWOD jM S.F. Total
SAC, MCWCC
City BROOKLYN PARK Phone 423-8372 S.F. Footprints
On Site Sewage Water Conn
W W Name On Site Well -
W Water Meter
Address
MWCC System
Q Z City Phone City Water Acct. Deposit
PRV Required S/W Permit i
1 hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge
information is correct and agree to comply with„all applicable State of
Minnesota Statutes and City of Eagan OrdinVol. Treatment PI
Signature of Permitee '~/i • APPROVALS
Road Unit `
A Building Permit is issued to: CARRY SUMHAUR Planner Park Ded.
on the express condition that all work shall be done in accordance with all Council
applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies
f !'+'r r Variance TOTAL 23.50
Building Official
Permit No. Permit Holder Date Telephone #
WATER
SEWER
PLUMBING
H.VAC.
ELECTRIC
Inspection Date Insp. Comments
Footings I
Foundation
Framing
Rooting
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Orstat Test
Final Pibg. Plbg. Inspector - Notify Plumber
Const. Meter
EngrJPlan
Bldg. Final
Deck Ftg. 7/~ 3 ZZ
Deck Final
wail
Pr. Oisp.
CITY OF EAGAN
454-8100
DEPT. OF BUILDING INSPECTIONS
Correction Notice
Located at 3
I have this day inspected this structure and
these premises and have found the following
violations of city codes governing same:
L/I f ~47 ~J
~4-"T P co /'!G fOr Q 7~ Z~ a t' t
aw w~ A 2 r Jj s l0 4. P/` P s
S ~h rt .u / ~~i SCr t Nn Cro eu ~ ar
3a-7y
When corrections have been made, please
call 454-8100 for inspection.
Date
Inspector City of Eagan
DO NOT REMOVE THIS TAG
SEWER A WATER PERMIT OFFICE USE ONLY
CITY OF EAGAN METER # PERMIT DATE 7/'4/ "e
3830 Pilot Knob Rd. 10583
Eagan, MN 55122-1897 CHIP # PERMIT #
METER SIZE B.P. RECEIPT #
ISSUE DATE B.P. RECEIPT DATE
DATE
PRV - BOOSTER PUMP
SITE ADDRESS j~ PERMIT REQUESTED
LOT) BLOCK SEC/SUB
SEWER 1y WATER -TAPS
APPLICANT:
ADDRESS: COMM/IND- RESIDENTIAL
CITY, STATE ZIP NEW _ EXISTING
PHONE:"
Y
Lawn Sprinkler Meters are to be Installed
PLUMBER: Ahead of Domestic Meters on Water Line.
ADDRESS: Credit WILL NOT be given for Deduct Meters.
CITY, STATE ZIP `
PHONE: - ~J
I AGREE TO COMPLY WITH CITY OF
OWNER: EAGAN ORDINANCES
ADDRESS:
CITY, STATE ZIP
PHONE: SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
Trrtifirafr of (Orrupaury
Ctp of eagan
This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building
Code certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City regulating building construction or use. For the following.-
Ux Classifi d.. SF DWG/GAR Bldg. Rtmit No. 16830
Occupancy Type R3 Zoning D&Hct RI Typo cow. vD
OwwrofBtalding STEPHAN HOMES Address 14340 PILOT KNOB RD.. APPLE VALLEY,
. Bwldi 3656 ASHBURY RD amity L12 B1. BLACKHAWK GLEN IST
b~~ - Date: AUGUST 31. 1989
g Official
POST IN A CONSPICUOUS PLACE
DATE: 7/24/89
RE. 3656 ASHEURY ROAD. L1, B1, BLACKHAWK GLEN lat
'xx Your Sewer & 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. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
Your Sewer 8 Water Permit for the above property cannot be completed for the following
reasons:
s
•t
Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
DATE: 7/24/89
RE: 3656 ASHBURY ROAD, L1- B1, BLACKHAWK 1St
xx Your Sewer & 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. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
Your Sewer & Water Permit for the above property cannot be completed for the following
reasons:
T
-11+ Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
` CASH RECEIPT
CITY'bF: EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
RECEVED
FROM '
AMOUNT
& DOLLARS
r ,oo
❑ CASH C1 CHECK
FUND OBJECT AMOUNT
Thank You
BY ` F
C e ' Maw-Faye copy
Yello% - Posbng COPY
Pink-File Copy
SEWER & WATER PERMIT L' OFFICE USE ONLY
CITY OF EAGAN METER # 7 g Y 7D 12 yZ PERMIT DATE 7124/89
3830 Pilot Knob Rd. D ~ D t (10 10683
i Eagan, MN 55122-1897 CHIP ~ ~ PERMIT ~ v 3
METER SIZE IRA B.P. RECEIPT
- ISSUE DATE V z- B.P. RECEIPT DATE 7/2,1. 39
DATE
PRV - BOOSTER PUMP
i
SITE ADDRESS 1 Jf i PERMIT REQUESTED
LOT ' RLOCK-)-SEC/SUB YA''~w ~.SEWER ~ WATER _ TAPS
APPLICANT:
ADDRESS:` COMM/IND RESIDENTIAL
CITY, STATE - ZIP _ NEW - EXISTING
PHONE:
PLUMBER ' ; 1'u, , f,. ,1 Lawn Sprinkler Meters are to be Installed
,r Ahead of Domestic Meters on Water Line.
ADDRESS`. Credit WILL NOT be given for Deduct Meters.
CITY, STATE ~Z-r /fir ZIP
PHONE:
1 AGREE T O WITH CITY OF
OWNER: EAq"qR DI S
ADDRESS:
CITY, STATE ZIP
PHONE: IGNATUR WHEN METER ISSUED
I
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 4545220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
CITY OF EAGAN Remarks Oi~r~62_/
Addition Lot Blk Parcel 10-14350-010-0-1
Owner aC aw en S Street 3656 Ashbury Road state Eagan iKN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 1076 1986 253.48 50.70 5
STREET RESTOR.
GRADING
SAN SEW TRUNK 1970 6.70 25 Pd prior t division
SEWERLATERAL Bn 1074 1986 112.09 22.42 5
WATERMAIN Bn 1075 1986 92.80 18.56 5
WATER LATERAL
WATER AREA 1072 1986 309.40 61.88 5
Storm Sew Trk 1073 1986 110.011 22.18 5
STORM SEW TRK 732 1983 488.55 32.57
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
BLDG. PERMIT NO. f 3rC, - L_ I P I /0 I~rC IC E
" sl. - sf f u
01-3210 Bldg. Permit f
01-3422 Plan Check OZ3
01-3445 Surch./Adm.
01-3446 SAC/Adm. ?j
01-2155 Surcharge
75-3860 Road Unit 3 t OD
20-2275 SAC
20-3865 Water Conn.
20-3868 Water Trmt. R L U
20-3716 Water Meter Ci n, CM
20-2252 Acct. Dep. .-~11> :2>
20-3713 Water Permit C-Z?
20-3743 Sewer Permit a2'
79-3866 Sewer Conn. 6Z6 G-b
28-3855 Park Ded.
C 3
TOTAL - , (0
8/r/8' 9 9
7L4,gl &,I
Request Date Fire No. Rough-in Inspection
Required? ❑ Ready Now MWlll Notify Inspector
8/09/89 [*Yes ❑ No When Ready?
1X licensed contractor ❑ owner hereby request inspection of above electrical work at:
Job Address (Street, Box or Route No.) City
3656 Ashbury Eagan
Section No. I Township Name or No. Range No. County
Dakota
Occupant (PRINT) Puene No.
Steph-An Homes 423-3322
Power Supplier Address
Dakota Electric 4300 220 St. Farmington
Electrical Contractor (Company Name) Contractorls License No.
Foos Electric Co. 427298
Mailing Address (Contactor or Owner Making installation)
201 W. Travelers Trail, Burnsville, MN 55337
;MIES;OTAATE abuse (Contractor/Ow king Installation) Phone Number
895-8525
BOARD ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Mitlway Bldg. - R &173 BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St. Paul, MN 88186 UNLESS PROPER INSPECTION FEE IS
Phone(612) 862.0888 ENCLOSED.
I a ~9 REQUEST FOR ELECTRICAL INSPECTION EB.00001-07
O / ► See instructions for completing this form on back of yellow copy.
57 X" Below Work Covered by This Request
e A Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Other (spadfy) CaMractcrs Remarks:
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuita/Feeders Fee
Swimming Pool 0 to 200 Amps t 0 to 100 Amps
Transformers Above 200 _ Amps A 0 Amps
Signs Inspectors Use Only: TOTAL $74.50
Irrigation Booms 7
Special Inspection
Alarm/Communication
Other Fee r
I, the Electrical Inspector, hereby Rough-in Date _
certify that the above inspection has Final 7 Date ^(f 3
been made.
OFFICE USE ONLY
This request void 18 monft from
......,.nnnxxxxXXXXXXXXXX**************
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 014
DATE: 04/04/00 TIME: 13:45:06
ID:
NAME: MARK CHERNE
3210 9001 3656 ASHBURY RD 60.00
2155 9001 3656 ASHBURY RD 0.50
r
Total Receipt Amount: 60.50
CR125561
USER ID: JAN
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
1 3830 PILOT KNOB RD - 55122 G 0
-1 1 651.681-4675
'4-lq-cJ
menh
construction Reaulremenh Remodel/Repair Reauire
> 3 registered site surveys showing sq. of lot, sq. it. of house 2 copies of plan
and gp roofed areas (20% mmdmum lot coveroas allowed) 1 set of energy calculations for heated additions
> 2 copies of plans (show beam & wtndow sizes; poured Ind. design; etc.) 1 site survey for exterior additions a> decks
> 1 set of energy calculations
> 3 copies of free preservation plan If lot platted after 7/ 1 /93
DATE: CONSTRUCTION COST.
7 4-
DESCRIPTION OF WORK: s4 112 l CC e !27 f 67
STREET ADDRESS: 6 ~l6 A-1, X l l- r9 Z/j
LOT: BLOCK: SUBD./P.I.D. « ~(A \ ~ e U~
Name: Cl
1 /7 d fit Ma G A~ Phone
PROPERTY Last /First D
OWNER Street Address:
city State: zip: S jz 2
Company. Phone
(area code)
CONTRACTOR
Street Address: License # Exp.
city State: Zip:
ARCHITECT/
ENGINEER Company: Name:
Telephone ( )
Street Address: Registration
City state: Zip:
Sewer/water licensed plumber (if Installing sewertwaterPhone
I hereby acknowledge Mat I have read this application, state that the information is coned, and agree to comply with OR applicable State
of Minnesota Stolutes and City of Eagan Ordinances.
+ Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received Yes No
Tree Preservation Plan Received Yes No Not Required 3
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 21 Porch (3-sea.) ❑ 31 Ext. Aft - Multi
❑ 02 SF Dwelling ❑ 08 06-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. AN - SF
❑ 03 01 of _ plex ❑ 09 07-plex ❑ 18 Deck ❑ 23 Porch (screened) ❑ 36 Mufti
❑ 04 02-plex ❑ 10 08-plex 9 Lower Level Level ❑ 24 Storrs Damage
❑ 05 03-plex ❑ 11 10-plex Plbg or_ N ❑ 25 Miscellaneous
❑ 06 04-plex ❑ 12 12-plex ❑ 20 Pool ❑ 30 Accessory Bldg.
Wg!RK TYPE
;M 31 31 New ❑ 36 Move Bldg. ❑ 43 Reroof
❑ 32 Addition ❑ 37 Demolish (Bldg)* ❑ 44 Siding
❑ 33 Alteration ❑ 38 Demolish (Interior) ❑ 45 Fire Repair
❑ 34 Repair ❑ 42 Demolish (Foundation) ❑ 46 Windows/Doors
* Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code y 1 # of Stories sq. ft.
No. of Units o Length sq• ft.
No. of Buildings I Width Footprint sq. ft.
Const. (Actual) Basement sq. ft. Census Code 43y
(Allowable) Main level sq. ft. MC/ES System
UBC Occupancy sq. ft. City Water
Zoning sq. ft. Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
❑ Stucco/Stone
APPROVALS
Planning Building QCi Engineering Variance
Permit Fee 6D.5 0 Valuation: $ I a 60tJ
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total: 0, S 0
SAC Units
% SAC
CITY USE ONLY ' )5.'-&/
L LI RECEIPT#: SUED. ~ 1 -c RECEIPT DATE: I-q'00
PERMIT # L-I U a
2000 PLUMING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
651-681-4675
Please complete for: > single family dwellings
> townhomes and condos when permits are required for each unit
> backflow preventer for underground sprinkler system
FIXTURES EACH # TOTAL
Alterations to existing dwelling - minimum fee, r/1ov~ $ 30.00
Describe: f~¢JCw ~Gt;slr -
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas piping outlet ' minimum -1 3.00 x = $
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x = $
Laundry tray 3.00 x = $
Lavatory 3.00 x = $
Septic System new/refurbished • requires MPC lic. 75.00 x = $
Septic System abandonment 30.00 x = $
RPZ new installation/repair/rebuild 30.00 x = $
Rough opening 1.50 x = $
Shower 3.00 x = $
Underground sprinkler if dwelling is under construction 3.00 x = $
Underground sprinkler if existing dwelling 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener if dwelling under construction 5.00 x = $
Water softener if existing dwelling 30.00 x = $
Water turnaround 30.00 x $
State Surcharge .50 $ .50
Total $ -70.5-,9
Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc.
------------------have -read this ------applica -----tion s--tate ---tha---t -the i----nfo--rmation -------is correc --t,and ----agree -----to comply w8h all - •------appli--cable
C ---•-ity o ----fEagan ord i - n-an-- ce- s
I hereby acknowledge that I .
It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its
normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-wayleasement.
SITE ADDRESS: 3Z 5-6 ~fyi ~l~rry~ ~4
OWNER NAME:: Mxt^/2 TELEPHONE* 63-1 99y ` W2~
(AREA CODE)
INSTALLER NAME: TELEPHONE
(AREA CODE)
STREET ADDRESS:
CITY: STATE: ZIP:
SIGNATURE OF PERMITTEE
t CITY OF EAGAN N~ 19456
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt u ~ ~q 0-0
To be used for DECK Est. Value Date .11TI, 29 1991._
Site Address 3656 ASHBURY RD
Lot 1 Block 1 Sec/SubBLACKHAWK GLEN 1S OFFICE USE ONLY
Parcel No. Occupancy FEES
Zoning
M Name BYRON NELSON (Actual) Const Bldg. Permit 25.00
3 Address 3656 ASHBURY RD (Allowable) Surcharge .50
° City EAGAN Phone 456-5669 *ofStories
Length 11,1,4 Plan Review
Name (Y BRUESHABER F Depth 12x16 SAC, City
° Address 7308 CANDLEWOOD DR S.F. Total
City BROOKLYN PARK Phone 495-R379 S.F. Footprints SAC, MCWCC
On Site Sewage Water Conn
w Name On Site Well
I"ar - water Meter
Address MWCC System Acct. Deposit
ear City Phone City Water _
PRV Required S/W Permit
I hereby acknowlege that I have read this application and state that the Booster Pump SAN Surcharge
information is correct and agree to comply with II applicable State of
Minnesota Statutes and City of Eayen Ordina . Treatment PI
Signature of Permitee APPROVALS Road Unit
A Building Permit is issued to: CARRY BRUFSHARFR Planner Park Dad,
on the express condition that all work shall be done in accordance with all Council
applicable State of Minnesota Statutes and Cyiitty, of Eagan Ordinances. Bldg. Off. Copies
Building Official Variance TOTAL 25.50
1991 BUILDING PERM ATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL r
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
OF RENTAL UNITS
OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
S~
To Be Used For: Valuation: # Date: C
Site Address 3~/r6 Ar1A4'Vol- AN. OFFICE USE ONLY
Lot Block I FEES
Occupancy Bldg. Permit S,oo
Zoning Surcharge 5z
Parcel/Sub &-AcKMAWK GLeN IST ALAN, Actual Const Plan Review
Allowable SAC, City
Owner Pwe'v /~~CSoN # of stories SAC, MWCC
e Length Water Conn.
Address _36r~!/d~jyBljipy Depth 2X/6 Water Meter
S.F. Total Acct. Deposit
City/Zip Code Footprint S.F. S/w Permit
S/W Surcharge
~Se-
Phone On site sewage- Treatment Pl.
On site well Road Unit
Contractor [s9~P~Ff'e~.cvEfH~f~ MWCC System Park Ded.
City water Trail Ded.
Address PRV Copies
Booster Pump
City/Zip Code ~~'aoCLY~/~C. SUBTOTAL
r', f jr9U1.4' APPROVALS Penalty
Phone Planner Lot Change
Council TOTAL
Arch./Engr. Bldg. Off. D S J
Variance
Address
City/Zip Code
Phone
agrees that all work shall be done in accordance with
(S' nature of Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
P9
/ ~ ka~ o~r'~ JQ~y
q % Gq
pUUV44 \ 4 +
%C) 45'E u81029'
Na0
43 W
~
~.L~• " \c Vim" 325,E 30.x'„i Ex ~2 y ~7
9 24,
L Ps 0,0
Y _ O
< 3
5 *0
° yG jjo N 9 '14 o p;9.o C. tll 7
L
1 f
1-115.44
)YED f ,
N0~ 38 3(o tir
=-aiCt1N ENGIN DEPT
P.R.V. REQUIRED
L C_:
ALL ~EA12lNL5 A6~jUMED
~oC-rio7E5 IP~W Mor,WMEr•.1~ ~ l- L`.UC i i V Oti 1
MlNtics~ i A
'I hereby certify that this survey was prepared by me or
under my direct supervision and that I am a duly Registered
Land Surveyor under the laws of,, the State of Minnesota.
Date:
LeRoy H. ohlen
Registered Land '.Surveyor No. 10795
CITY OF EAGAN N2 16830
3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used for SF DWG/GAR Est. Value $82,000 Date JULY 21 tg 89
Site Address 3656 ASHBURY RD
1 Block 1 Sec/Sub.BLACKHAWK GLEN OFFICE USE ONLY
Lot
Parcel No. T Occupancy R-3 M-1 FEES
Zoning
STEPHAN HOMES V-N
w Name (Actual) Const Bldg. Permit 558.00
Address 14340 PILOT KNOB RD (Allowable) V-N
o Surcharge 41.00
City APPLE VALLEY phone 423-3322 of Stories -
Length th 4$r Plan Review 279.00
L
Name SAME Depth 40 SAC, City 100.00
0
0~ Address S.F.Total
City Phone S.F. Footprints SAC, MCWCC 575.00
On Site Sewage Water Conn 580.00
t W Name On Site well 90.00
l2w Water Meter
zg'i Address MWCC System
Acct. Deposit 30.00
aw City Phone City Water -M
PRV Required XX s/w Permit 20.00
I hereby acknowlege that yhave ad this ap li h and state that the Booster Pump SPN Surcharge 1.00
information is correct and c ply "th all pplicable State of
Minnesota Statutes and Cie . Treatment PI 228.00
Signature of Permitee APPROVALS Road Unit 340.00
A Building Permit is issued to: STEPHAN HOMER Planner Park Ded.
on the express condition that all work shall be done in accordance with all Council
applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg, Off. Copies
Building Official A{ P L Variance TOTAL 2,842.00
~~1 Alf 11l
1989 BUILDING PERMIT APPLICATION
CITY OF EAGAN
41430
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCS. (CHECK WITH BLDG DIV.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCS. 1 SET OF ENERGY CALCS.
MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS IF OF UNITS -
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT 23 ISSUED..
SEWER A WATER PERMIT FEES AND ACCOUNT DEPOSIT FM WILL BE INCLUDED WITH THE BUILDING
PERMIT FEE. PROCESSING TIME FOR SEWER AND WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS
BEEN COMPLETED INDICATING A LICENSED PLUMBER.
PENALTY APPLIES WHENt PERMIT IS NOT PAID FOR IN SAME MONTH IT IS REQUESTED.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
J U L 1 3 1989
To Be Used For: 1&e4 j Valuation: tzj Date: 2 if-7
Site Address `~~L rtah~uix l R.d. ~2'vaJ OFFICE USE ONLY
Lot Block Occupancy R-3 M-1 FEES
Zoning R-1
Parcel/Sub Actual Const y-nt Bldg. Permit 8.
Allowable V -1J Surcharge 41,od
Owner # of stories Plan Review a oo
Length SAC, City /1901x0
Address Depth 40' SAC, MWCC .5']5.00
S.F. Total Water Conn 10a
City/Zip Code Footprint S.F. Water Meter rya•eo
Acet. Deposit 3a,o~
Phone On site sewage S/W Permit 2o.00
~p On site well 5/W Surcharge I,i7a
Contractor f~✓ i~~i~i- ~~ion -5 14WCC System Treatment Pl. 2 .oo
n / City water ~f Road Unit AL4 o,oa
Address /~.3yU PJ16~' AP/2 PRV required ✓ Park Ded.
City/Zip Code Booster Pump Copies
U/✓/~~~ ,{,S/~ /f SUBTOTAL
APPROVALS Penalty
Phone Planner TOTAL
Council
Arch./Engr. Bldg. Off. ="114 /s
Variance V
Address
City/Zip Code
Phone 9
VALUAT/O0
G A r2~_! C
House
L4 x -40
a`~x~`6= ql2
12 oti X Z- =l 7' 0S6
8y 25(0
I Lt xr5 2lo XILI (2 40)
813Ifa
of
'>9 iv ~ 97
M v J.
pU Ng' `p p"i"E U~' u81°294
T _ ?o, q.s
v
to ~ ~ o G AQl.4e7 3O,0
p
'r
0 2,7
~o i ^
VO I .c~~ Q i i/ G x u 31.3 1771Q \ x
9 IS, LL; c,
L I° l
OIlL 5 %,1
szz v' 1-15.44
3o I N6~c°38'3(0 E ;
I f By
Qata 71
N~ pERT(~IKF, p p DEPT
P(au lloV, REQURED
DESCiZ.IPTIOtiI
L o7-
1~ =30' ~LRC.K.k\Aw~ CeLE~--~
ALL $E&9tMb5 Ah4UMEp
I ADDITION ~
o DCVO ; ~5 lentil Mor.IUMENT
D l~. ~-c9 j A GOJ IJT~~~
MI N N `so ~ P.
I hereby certify that this survey was prepared by me or
under my direct supervision and that I am a duly Registered
Land Surveyor under the laws of the State of Minnesota.
Date: J,/, i3;o9
' LeRoy H. ohlen
Registered Land ;purveyor No. 10795
Cities Digital Quality Control
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION
OWNER:
SITE ADDRESS:
CONTRACTOR:
DATE: PHONE:
DETERMINE WORKING SQUARE FOOTAGE OF EACH:
1. TOTAL EXPOSED WALL AREA 1P%e, sq ft x "U" .0 1gq,7(o
2. TOTAL ROOF/CEILING AREA _ 1,399 sq ft x "U" .oa(l - 33.-77
3. TOTAL EXPOSED UALL AREA CALCULATIONS:
Total exposed wall
area above floor. . . . }lpt{~ sq ft
a) Total wall window area: (t)
L glazed. . . //7 sq it x „U•, SS (05 c/
glazed. . - sq it x "U" - -
b) Total door area . . . . sq ft x "U" 7 y
c) Tottaal/ sliding glass door area:
glazed. . , yc) sq ft x "U" (Aj
glazed. sq ft x "U" r
d) Total f/place wall area sq ft x "U" -
e) Total wall framing area
(Average 10%) . . . sq ft x "U" 09 /L./, ] 7
f) Total net wall area above
floor (insulated) . . . /Z/J/i`.9 sq ft x "U" D~ s9 07
g) Total rim joist area. 175" sq ft x "U" Olf - 7 00
Total foundation area
(exposed) . . . . . . . 117 sq ft x „U•l ~/y/f1•
h) Total foundation
window area
' . - sq ft x "U" -
i) Total net foundation
area above grade. 217 sq ft x "U" Za,
TOTAL a) thru i)
If Item #3 is the same as, or less than Item #1, you have met the intent of 2 MCAR
1.16008 A and 0.
Page 1
TOTAL EXPOSED ROOF/CEILING CALCULATIONS:
Total exposed _
roof/ceiling area Ir~q~ sq ft
j) Total skylight area N~ sq ft x "U" NA
k) Total roof/ceiling framing
area (Average 10%). la9.1 sq ft x "U" 01
1) Total net insulated ~
roof/ceiling area 1114, - sq ft x "U"
TOTAL j) thru 1) o2(p. r
If total of Item #4 is the same as, or less than Item #2, you have met the intent of
2 MCAR 1-16008 A and 0.
ALTERNATE BUILDING ENVELOPE DESIGN
To utilize the total envelope system method, the values established by the sum of
Items #3 and #4 shall not be greater than the sum of Items #1 and #2.
I- !99.710 + 2. 33.77
2. + 4. _ alo. y9
C E R T I F I C A T I O N
I hereby certify that I have calculated the "U" factors and "R" values herein and
that the building here described meets or exceeds the State of Minnesota Energy
Conversation Act-
(Signat re)
(Date)
Page 2
J IF p Alldnu Plan #
/ D" otd
Total Heat Loss HEAT LOSS CALCULATIONS
' =Total Btu Input I All windows a Boon an wdnhdrFtrippdd
/Fl. LI V N Room I Lgth.I L/' Wth. Ht. 4' Fl. rV C 0 3 Room I Lpth. f1I "
No. widN Maipht NO. of LlnaYlt. A. WW* Hapht No. of Linlallt. A.
of qrH of W. I b of Onck p. ll. NO. of ptM of p•nr 'Who OI owk M. It.
a' 1,o 6e 1 a 23 z t 1,3 IL
1,o to8 I 3S 3
3 ' E• R~
Idoo 1,160,1
/'loon, COW. BTU ldoon COOT. BTU
Infiltration Window, _ 3 , IM11trolion Widow, a F 7 L
Mliltntion W/Door 111, In611nt100 W/Door 111,
IManINo S/boon 71 IMlluation S/coon 71 -
Eap. Wall 36 - L Ew. WWI
3v-8 ay0
Orla D. 3 dg+~ Gb„a DOO1 /0 7 ~-)~6 ~R
AN, EN,. WWI 9l6 41,87 Nn Ent. WWI B
'
" 'G/ $
call" if c_ /6 74 6 6 G Gllip `-a I l SJ
U c 7 Z
Fbd 310 Fbar 7310
Total Btu. 8 9 L Tout! Btu.
FI. ~jt/T2 Room I Lgth.IC~. "Wth. Ht./ 6- Fl. Err IIt.Du'A Room Lgth.' ~ "Wft 3 Hl.
NO. WMM • No.01 Linutt. Ana Width, Haiplt No-M LInIW It. A.
M Wp~n not" O/ Cock It. No. of np•na lights o/ bark M. ft.
a / a ~ a 3r, 1 z ~
tZ 1 1,o
r p noon
' 2- /dppro I p I / Coal. BTU dwn owll BTU
InflIMIcht Wirlppwl 1,a- 836 ronltmbn windrow
Inllllntbn W/Dap, 118 Infiltanlon W/Doll lie
In1il,m16n Moon, Z~ .1,16'1, Inllhrnlon 3/oap, 71
Em. WWI 3 y Ew Wan S6'g y O
GlmSe opal [y 3I 306 3 Q3Lf Goa,a Don. /S3 to
Nn Elp. WYI a l 4 1 L,Q 11 Nn Eao. WWI f / 16 b
Floor b,g lad =`3B 3 C1111np •
Fop 2
7 10 Floor 3 a 10 Tool S.u.
Tool Btu.
EE TIE
Fl. Room 11 Lgth, f Wth. 1 Ht.
kb 10 wieth H11Y11 No. of unwN. was I' t/t1tN (fi Rom Linsity• rWth.
Na / ••Ht.~'
' of ppy W prv 1' b of nrack No. wbth Hapht No. of LIrr1Y It AN
of who al pis li b o, Inack p. ft.
~1 .Y a 4I LI 0 1 G Z
1 aLt ~d I Y 0 L
1,N L4 2- f I L
a B i Vy 1
r'loWk
,eopn
!doer, Cal. BTU Alaoro Coal. BTU
Infe[nnbn WiMpw, Q InliltmNn wim I G 3B (,f~ ff~
Infilvatim W/Dope 11B
Inliltralion W/Do h, I la
Inlilvation SfDOOn 71
xpw 3/upon 71
Ev. WWI E
/'L~ D__ b w. Wall YI 2G'8 /b
GNNa 3 IIS' Gn1d ooda
_L Z 4H1 ~
Nn Frp.WWI WNI 3v 667 Nn EIO. WWI '8L 7 6 -461 a
Gilinp 4 1, , , p 4 8 ri
2 ceiling D G
Floor
7 3 p Flag ~7 l0
Total Btu. a Tptal Btu. O
c 1~. ~7~ 1r 1U~
. Nam Addreu Plan # Data
Total Heat LO55 HEAT LOBS CALCULATIONS
Total Btu Input I All windows a, door m wleatherstripped
` L ~ r rC. V CC.AJ Roam L9th. 15' " Win. C Ht. p FI. . I I Room I L9th..;) / , With. / a' • Ht.
No. WWth Height No. of Lineatt. Arss Wictk Hapht No. .l Linullt. An.
of aM. of We 11 htf of cock q, It. No. of p.M of pme i u of check M. it.
~ aK 3 ~ a3 L ! Na t 3 a7
a ( 7D
a K Lr r r if
6 A Naa. 3 a Yo 1 Idaen
/loon coN, BTU Noon cowl. );BTU /
Inliltntion Wiwow. 3 f~ Inllltretloo wihm,hi ;1;L
Infmtim W/Dawn 118 IMmotlon W/Dawn 116
thiltntlon 5/Deahe 3Z 22- 7 IMllovion Moore 71
Ew.WWI N^ 8 a Ew.well 33' a4 Ll
Gillette, Door. SI✓, 3eb cr.. n oaarf L( 9 6 8
Nn Ew. WNI 3~ 887 SC/ Na Exit. Well ay3 a 7, ~q,
Giailar", y0 Gt4'"B ) S Z S• 7 (J
7 10 Floor
Tout eta. 67pp3 Taul at..
76Ga
BFI. Room I LBthd "Wth. 13' Ht.i' FI. f£. Roan Lath. Z/Y' nWth.a~ Ht. Ff
WieM Ilalyfl No.M LI,rN ry. Arx
No. M W 1' of enek p, h. No. owpM u sN Nghts of crack q It,
I
G ' p r a Yo / boar.
/dean COW. BTU Ifsehe calf. BTU
InfihrXion winms 38 I"Hitrkdon windows 36
In11Ibnion W/Dawn 118 InfinMlon WlDoer. 118
I"IlluitIa"w°aa" 32_ 227 IMlltrello,,
3/DOan 77
EM. WWI r / J EM. W.11 . g (l 0
GIM&cloore se 79 _50 Dilen&o or. 364!
I1n EM.WNI 6 ¢ 3;F clif Nn Ew.WNI ~u s-6
Giling r3 O>( Z 5 6 3 GiII.N 8
Ebar 7310 Floor 7i•.4 1 B at>Lli
Taul Btu.
Total Bu. 9 S 0
1. /yl ^ £ Q Roan Lath./ Wth. / Z , Ht. FI. GQ/~'r^~~~ Roan 1.661.13. " Wth.1 ? Ht. L4'
No. WNtN H.iphl No.af Untillt. Am Www H.Ieht No.af LI"W1t. Am
of".-- oj~f/peoe lights of enek in. lt. No.
6 K r a ? a / r al p.n. of pww f n of pnk .a. N.
r~on
lemon
/anon Coed. BTU /coon co.f. BTU
InfilNtlbn Wincpws
p Q } Inithnt' WiiMow. 38
Inliuution W/Doer. I la In1ilVnign W/DOOn 178
Inf ihrsnion E/Dmn 71 IMiltr.tlon S/Door 71
EM. WNI }!7 L EM. Well y y /
cl..f a D..
a ( 3 (OV $ oaa . 3048
Nn EM-wNl ) 7 ^
/ ie 5 Net Ew. WNI / % fZ 6 7 / 3 L./
-7 81 4._
&o
GH{n9 4 B i
p S Q Gilinp 4 8
Floor v ^ p 9 8 B /
-7 `
7 D Poor /S'/3 'r S' 1 OH( O 3x86
Tanl Bta. I
Tanl Btu.
® Use BLUE or BLACK Ink
I-or Office Use Permit
City of Eakan j 1 9 61--7 1
3830 Pilot Knob Road Perms Fee: 1
Eagan MN 55122 1 Date Received: I'
Phone: (651) 675-5675
Fax: (651) 675-5694 1 staff: 1
I 1
_________________J
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: lQ
Tenant:
Suite
RESIDENT? OWNER Name: C1 Phone: Address / City / Zip: 57
Applicant is: 4 Lcawner Contractor
TYPE OF WORK Description of work:
Construction Cost: Multi-Family Building: (yes / o )
CONTRACTOR Name: O iicense~~#:(0~1
Address:t T
State/ Zipt~4 Phone: ~~-Y-~~5~
Contact Email:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone
Mechanical Contractor: Phone:
Sewer & Water Contractor. Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for, protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.om
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 nX
Applicant's Printed Name an s Signature
Page 1 of 2
PERMIT
City of Eagan Permit Type: Building
Eagan. Permit Number: EA100802
Date Issued: 08/31/2011
OR Permit Category: ePermit
41~ it~ of E3
E
Site Address: 3656 Ashbury Rd
Lot: 1 Block: 1 Addition: Blackhawk Glen
PID: 10-14350-01-010
Use:
Description:
Sub Type: e-Windows iDoors Construction Type:
Work Type: Windows Doors-New ; Replacement
Description: House
Census Code: 434- Occupancy :
Zonin,:
Square Feet: 0
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.
Fee Summary: BL - Base Fee S3K $88.50 0801.4085
Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195
Total: $90.00
Contractor: - Applicant - Owner:
Window Concepts NIN himberlv A Jones
990 Lone Oak Rd =114 3656 Ashbur Rd
Eagan NIN 55121 Eagan NIN 55122--125
(651)905-010
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and Cite of Eagan Ordinances.
ApplicantiPermitee: Signature Issued Bv: Signature
Use BLUE or BLACK Ink
1 For Office Use
L
fty of Eajan I ~s z~
Permit Fee: I
3830 Knob
Eagan tMN 551 2Road i pate Received: Z 3-I2'
Phone: (651) 675-5675
Fax: (651) 675-5694 i staff.
2012 RESIDENTIAL BUILDING PERMIT APPLICATION ,S-ra
Date: ✓ Site Address: ~Y a r Jl~ Unit N
Name: ciaa/ Phone:651- f -.5 8 -
RESIDENT /
OWNER Address / City / Zip: p. SS (
Applicant is: , Owner Contractor
TYPE OF WORK Description of work: T o
Construction Cast: 70 Multi-Family Building: (Yes ! No
Company: NILI Pa 'r I I A&~ it )-cAl J~ A-~,4 Contact: test -3 ...3 g6
%Of
Address: Fa City:
P
..CONTRACTOR
State: Zip: %ib Phonet5,
License 1 J Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
in the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE. Plans and supporting documents that you submit are considered to be public information. Porliorras of
the information may be classified as non-public if you provide specific reasons brat would permit Me City to
conclude that tbey are bade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Cap 48 hours
before you intend to dig to receive locates of underground utilities. www.goi)herstateonecall.ora
1 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 ns.
Exterior work authorized by a building permit issued In accordance with the Min Bull ' g Code must be complebsd within 180
days ftf permit issuance.
Ap s rrrn Ap ica 's nature
~f
Page 1 of 3
I
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA136549
Date Issued:05/19/2016
Permit Category:ePermit
Site Address: 3656 Ashbury Rd
Lot:1 Block: 1 Addition: Blackhawk Glen
PID:10-14350-01-010
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 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: 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 -
James W Schaffhausen
3656 Ashbury Rd
Eagan MN 55122
(651) 451-6835
Beissel Window & Siding Co
1635 Oakdale Ave
W St Paul MN 55118
(651) 451-6835
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA173348
Date Issued:11/08/2021
Permit Category:ePermit
Site Address: 3656 Ashbury Rd
Lot:1 Block: 1 Addition: Blackhawk Glen
PID:10-14350-01-010
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation. When a weather barrier is installed or
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 -
James W Schaffhausen
3656 Ashbury Rd
Eagan MN 55122--125
(651) 246-7423
Anchor Roofing And Exteriors
101 Bridgepoint Way, Suite 140
South St Paul MN 55075
(612) 363-7443
Applicant/Permitee: Signature Issued By: Signature