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1568 Ashbury Pl Use BLUE or BLACK Ink ;`Y For Office Use I c~' / I City of Eap I Permit ~ ! Y ~ a® ~ ~ Permit Fee: '5S 00 1 3830 Pilot Knob Road Eagan MN 55122 j Date Received: 7 -1 b I I I Phone: (651) 675-5675 Fax: (651) 675-5694 I staff: /Yi C~ 2010 MECHANICAL PERMIT APPLICATION Date: Site Address: Tenant: Suite RESIDENT / OWNER Name: J_.A 161 1> a Phone: S('l9 - ~b VL( Address / City / Zip: Q -4- 1 a'a s> CONTRACTOR Name: BURNSVILLE HEATING & A/C, INC. License Y I f~5 E (LX~ 3 3451 W. umsvi e Parkway Address: Suite 190 City: State:msVllle, MN 55337 Phone: Contact: Email: TYPE OF WORK New Replacement Additional Alteration Demolition Description of work: , Cr NOTE`. Roof mounted and'ground mounted mechanical equipment is required- be seij~ened byCity Code. Pleaset ontact the Mechanical Inspector for inf6xmatlo!) oft p~Yrt~ifted svebenihd neth6ds. PERMIT TYPE RESIDENTIAL COMMERCIAL Furnace _ New Construction _ Interior Improvement X Air Conditioner _ Install Piping _ Processed Air Exchanger Gas _ Exterior HVAC Unit Heat Pump _ Under / Above ground Tank L_ Install / _ Remove) When installing/removing tank(s), call for inspection by Fire Other Q) l~ Marshal and Plumbing Inspector RESIDENTIAL FEES: t A $50.50 Minimum Add-on or alteration to an existing unit (includes $0 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ x1% $50.50 Minimum (includes State Surcharge) Permit Fee - If Permit Fee is less than $1,000, surcharge is $.50. - If Permit Fee is > $1,000, surcharge increases by $.50 for each Surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). TOTAL FEE- CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plan .1 I Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date Required„In§pections: Under Ground Rough In Air Test Gas Service Test In-floor Heat Final Exterior HVAC Screening Inspection CITY OF EAGANI Remarks D I V 1 G? 5l 9 Addition R12ak-hawk Clan ls>= Lot .20 elk Parcel 22aA Ol Owner Street 1568 Ashbury Place State Fagan MN ~ 122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 1076 1986 253.48 50.70 5 STREET RESTOR. GRADING SAN SEW TRUNK 1970 .44! 6.70 25 Pd prior t division SEWER LATERAL Bn1074 1986 112.09 22.42 5 WATERMAIN $n 1075 1986 92.80 18.56 5 WATER LATERAL WATER AREA 1072 1986 309.40 61.88 5 Storm Sew Trk 1073 1986 110.91 22.18 5 STORM SEW TRK 732 198 S.` . 32.57 1 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR. 3 ~ ~S u Permit No. Permit Holder Date Telephone 8 ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING 12 „ e/I ROOFING ~"U T O FLUKv ROUGH PLUMBING PLBG A IR TEST / ROUGH HEATING GAS SVC TEST [Q INSUL L! GYP BOARD two FIREPLACE d/`T FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG + I DECK FINAL _ I L2~ L ''dt4av _43E'FOR DECK-PLAN REVMM 7/13/88 aNUZ lft 894_8740 CITY OF EAGAN STEVE LEWIS-00M 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PH ON E: 454-8100 BUILDING PERMIT Receipt # To be used for Est. Value t Date ,19 Site Address OFFICE USE ONLY Lot Block Sec/Sub. On Site Sewage _ Occupancy MWCC System Zoning Parcel No. On Site Well - Type of Const City Water (Actual) Name (Allowable) W # of Stories 3 Address Length o City Phone 1 ` Depth S.F. Total Name - I Footprint SF. 0 0 Address APPROVALS FEES City Phone Assessments Permit ~ ¢ Water/Sewer Surcharge F W Name Police Plan Review z Fire SAC, City s z Address - U i Engr. SAC, MWCC `w City Phone Planner Water Conn. Council Water Meter I hereby acknowledge that I have read this application and state Bldg. Off. Road Unit that the information is correct and agree to comply with all applicable APC Treatment P1 State of Minnesota Statutes and City of Eagan Ordinances. Variance Parks Copies Signature of Permittee TOTAL A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official Permit No. Permit Holder Date Telephone ae Plumbing H.V.AC.000P~ ~CLiYe 4,187 Electric &7&'L(~C Softener CP S71Y7 Inspection Date Insp. Comments Footings I Footings II Foundation Framing ~y Roofing Rough Plbg- , J,7 j Rough Htg- Isul. Fireplace Final Htg. Final Plbg. X~ ✓ l ~f _17_Q7 'I -I Bldg. Final Cert.Occ. Temp. LP Deck Ftg. t? D S Deck Frmg. ~o Well Pr. Disp. F~ ~0 PERMIT # MECHANICAL PERMIT CITY OF EAGAN RECEIPT # - / 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE PHONE: 454-8100 Site Address 1.-1. 11 ' BLDG. TYPE WORK DESCRIPTION Lot Block Se '/Sub Res. New Name Mult Add-on Address - - r Comm. Repair c City : J Phone Other FEES Name RES. HVAC 0-100 M BTU -$24.00 c Address ADDITIONAL 50 M BTU - 6.00 p City Phone (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) . GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA. TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES Boiler M BTU It MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 Vent. CFM $ STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # $ i ' - BEYOND $1,000) Other FEE ' S/C: SIGNATURE OF PERMITTEE f TOTAL: FOR: CITY OF EAGAN - - '+v a r. _ _ M. _ - • PERMIT # PLUMBING PERMIT RECEIPT # 2L/_V 77 CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE PHONE: 454-8100 Site Address kz( j@ BLDG. TYPE WORK DESCRIPTION Lot ~.1 Block Sec/Sub Res. y New L-- Mult. Add-on y Name f Comm. Repair m Address C Y Other c City Phone ILI - RES. PLBG. ONLY - COMPLETE THE FOLLOWING: * r NO. FIXTURES TOTAL Name e} Water Closet - $3.00 $ 1 Bath Tubs - $3.00 3 Address Lavatory - $3.00 1 p City Phone Shower - $3.00 Kitchen Sink - $3.00 FEES Urinal/Bidet - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE Laundry Tray - $3.00 APT. BLDGS - COMM RATE APPLIES Floor Drains - $1.50 1 TOWNHOUSE & CONDO - RES. RATE APPLIES L-Water Heater - $1.50 MINIMUM - RESIDENTIAL FEE -$12.00 Whirlpool - $3.00 MINIMUM - COMM/IND FEE -$20-00 s~Gas Piping Outlets - $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 SIGNATURE OF PERMITTEE FEE: STATE S/C: 5 FOR: CITY OF EAGAN GRAND TOTAL: . ~ CASH RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 RECEIVED FROM AMOUNT a DOLLARS loo CASH DICHECK FOR 1 r~ y; FUND CODE AMOUNT Thank You White-Pavers COPY Yellow-Posting Copy Pink-File Copy BLDG. PERMIT NO. `,•~~]j f 01-3210. Bldg. Pe it 01-3422 Plan Check 01-3445 Surch./Adm. 01-3446 SAC/Adm. -T 01-2155 Surcharge < . 17-3860 Road Unit . 20-2275 SAC 20-3865 Water Conn. '20-3868 Water Trmt. 20-3716 Water Meter 20-2252 Acct. Dep. I 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. '~?c 11-3855 Park Ded. i I I TOTAL - CASH RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 RECEIVED ` FROM ♦ r AMOUNT & DOLLARS ,00 ❑ CASH ❑-CHECK FOR FUND CODE AMOUNT Thank You BY White-Payers Copy Yellow-Posting Copy Pink-File Copy CITY OF EAGAN SEWER SERVICE PERMIT 3830 Plat Knob Road 4 P.O. Box 21199 PERMIT NO.: Gaglan, MN 55121 DATE: 5-5- 37 Zoning: No. of Units: Owner. T.und g reu E ro a . Address: a "j iawk Olen Site Address: ~~'~At~hburq Place L- _ :lac'• :i Plumber. I=unc'.Eren Bros. Plumb ins, =+--2 -87 72924 100.00pd I agree to comply with the City of Eagan Connection Charge: 4? 4 _ (l~lyd Ordinances. Account Deposit: 15 4Td Permit Fee: 1 QPd Surcharge: Snpd BY Misc. Charges: Date of Insp.: Total: Insp.: Date Paid: CITY OF EAGAN Permit No: 6699 Date. 5-S--_ i 3630 Pilot Knob Road Meter No: Size: P.O. Box 21199 Reader No: Date: Eagan, MN 55121 Owner. r~u ro s . Site Address: Ashbury Place L20 B1 Blaclrh.iv rZen Plumber laindrrer. Bros. Conn. Chg: • pC}pd Zoning: Acct. Dep: 1'3 ~001XI No. of Units: ? Permit Fee: Surcharge: I agree to comply with the City of Eagan Tr. Plant ` Ordinances. Meter. Misc.: By WATER SERVICE PERMIT r- (UrtifirotP of (Orrupattry Citp of (Eagan Ervarb at of ludbing jWnrtion This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure mu in compliance with the various ordinances of the City regulating building construction or use. For the following: Use Cludliarioa Q~T Bldg. Flarmic No. Occ%-,y TAX Znoiog DiMW Type Comas Owner of Budding i i "yDGN Mos Oc e5T Address ` Z 5 E . W!'Y°.AiA K AT, Building Address ;'68 PJBW PTA, Locality -20, B1, RIA-1~ Date. . 30, 19M! Building Official POST IN A CONSPICUOUS PLACE CITY OF EAGAN Permit No: 8659 Date: 5-5-87 3830 Pilot Knob Road Meter No: -3g7 /u 4 3S Size: S/X "ns~ P.O. Box 21199 Reader No. n;_ a 7 7 3 Date 17 g1 Eagan, MN 55121 Owner. Lundgren Bros Site Address: 1568 Ashburv Place L20 B1 Blachhawk Glen Plumber Lundgren Bros Plumbing 1 525.00pd Zoning: Conn. Chg: Acct Dep: 15.00pd No. of Units: 1 Permit Fee: 10.00pd Surcharge: • 50Rd I agree to comply with the City of Eagan Tr. Plant 180.00pd Ordinances. - Meter. A7 Misc.: B WATER,SERVICE PERMIT This request Vold /G/8'~ 1S nionths from O D, 7963 Request-pate Fire No. Rough-m InspecUnn ~J Regmr > E]Readv Now ~I Nouty Inspeo- ~y~ ~~~8 es ❑No for Whon Ready 19 ~ censed Electrical Contractor 1 hereby request inspection of above ❑ Owner electncel work installed at: Street 1r%g Address, 80 Route No. Ci v44'4/ ecu on o. Township Name or No. Range No. my Occ ant (PRINT) & Phone No. UN04R~.tJ /.-'SOS ~NS~ Po er Supplier Address f 2, Electrical Contractor Com any Name) Contr~pty{ 'cense No. StandardEiec~ric Co. UUO0b3~, Madmg Address (Contractor or Owner Making Instailalion) 267,2 plewood Dr., pl Ood, Mn 55109 Authonz nature ICOntractor/ ner n Ins tallauonI Phone Number 484-8044 M SOTA STATE BOARD OF E CTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-M-dwey Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St- Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone(612)642-0800 ENCLOSED. 1y~8~~1 REQUEST FOR ELECTRICAL INSPECTION EB-00001-06 i See instructions for completing this form OT pack of yellow copy. D - 79 6 3 "X"' Below Work Coveted by This Request Fdd Rep. Type of'Budding Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting FiztureS Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloede., Industrial Bldy. Air Conditioner Bulk Milk Tank Farm Otne, peci y .ih,.r IS U,±,a lyI .r vo,fy Other OthL'r ompute Inspection Fee Below M Fee Service Entrance Size n Fee Feeders/Subfeedere N Fe Circuits 0 to 200 Amps 0 to 30 Amps 0 to 30 Am s Above 200 Amps 31 to 100 Antps 31 to 100 Amps Swmvning Pool Above 100 -Amps Above 100-Amps Transformers Irrigation Booms Partial Other Fee Signs Special Inspection G envt,ks s~~t TOTAL F GX~u G 2t, # ~ ~ f Rough-in Oa[e I, the Electrical Inspector. Hereby iiii' 111[[[/// cerLfy 'bet the above Final ms pectic., has been made. This request void 18 months from This request vold 5111le7 SO ~9h&5 2 5 Request Dat Fire No. Rouoh-m InsDecnon A/~ ~I Requned? []Ready Now ill Notrty, Inspec- ^~7 []Yes ❑No [or When Ready icensed Electrical Contractor 1 hereby request inspection of above ❑ Owner electrical work installed at_ Street Address, Bony/ Route No. Ci /S~~l / srl BueV •G~9C~ .4~AnJ action No. Township Name or No. Range No. County 1 /~tA/ ~.QKO D Phone NO. Occupamt (PRINT) wer Supplier Adpress J'sozll Electrical Contractor ICompany Name) Contractor's License No. Standard Electric Co. 40837 Malmo Address IContractor or Owner Making Installation) 2672 Ma lewood Dr., Maplewood, Mn 55109 Autho, z S nature IContractor O Ma g Installation) 1 Phone Number 484-8044 MINNESO A STATE BOARD CTRICITY THIS INSPECTION REQUEST WILL NOT Grio9s•Midwav Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS 1321 University Ave.. St. Paul, MN 69104 Phone (6121662-IX700 ENCLOSED. -1/1S7 REQUEST FOR ELECTRICAL INSPECTION EB-00001-05 Il, See ins Cruet ions fof comp letiml this form on back of yellow copy. 7~0 S0 r "X." BeloW Work Covered by This Request Nw4AddI Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other r,eu y Other (Scec,fvi t er peci y ter 01her Compute Inspection Fee Below N Fee Service Entrance Size a Fee Feeders/Subfeeders a Fee CGrcurts /10 4V 0 to 200 Am s 0 to 30 Amos 0 to 30 Amps -ar Above 200 Am>s 31 to 100 Amps 31 to 100 Amps Swinxnin Pocl Above 100_Am s Above 100_Am s Transtormers Irn ation Booms VZ Partial.Other Fee Signs Spec is I Inspect ion Rerrerks TOTAL FE ,:O Rough-m Dale I, the Electrical In9peC,or. hereby certify that the above Final D inspection has been r made. This request void 18 months from CITY OF JAGAN NO- 13 5 2 2 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 7a 9a BUILDING PERMIT Receipt* Iwo Tobeusedfor SF DWG/GAR Est.Value $110,000 Date APRIL 27 _19 87 Site Address 1568 ASHBURY PLACE OFFICE USE ONLY 20 1 BLACKHAWK GLEN On Site Sewage Occupancy R3 Lot Block Sec/Sub. MWCC System X Zoning R1 Parcel No. On Site Well Type of Const V City Water (Actual) a Name LUNDGREN BROS CONST (Allowable) V Stories * of i Address Len 935 E WAYZATA BLVD gth 48 c City WAYZATA Phone 473-1231 Depth 36 S.F. Total p Name SAME Footprint S.F. u< Address APPROVALS FEES i City Phone Assessments Permit 533.50 i-, Water/Sewer Surcharge 55.00 ww Name Police Plan Review 266.75 z Address Fire SAC, City 1100.00 x - ue Engr. SAC.MWCC X00 aw City Phone Planner Water Conn. 575.00 Council Water Meter 67.00 1 hereby acknowledge that I have read this application and state Bldg. Off. Road Unit -In S _ 00 thatthe information is corractanciagree to complywith all applicable APC Treatment Pl 1An_n0 State of Minnesota Statut d City of Eagan inances. Variance Parks Copies Signature of Permitte TOTAL $2.557.25 A Building Permit is issued to. LUNDGREN "BRO CONST on the express condition that all work shall be done in accordance with all app"' b State of Minn/eJota Statutes and City of Eagan Ordinances. Building Official 19$7 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR /HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS - RESIDENTIAL RENTAL UNITS FOR SALE UNITS X INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND 1 df Ono To Be Used For: ation: /0~ Date: Site Address 1.5"6 OFFICE USE ONLY Lot 7K/ Block On Site Sewage Occupancy 3 MWCC System ✓ Zoning Parcel/Sub On Site Well Type of Const ,o City Water ✓ (Actual) YL Owner (Allowable) # of Stories Address Length 48, Depth 3K. City/Zip Code S.F. Total 'f 7~-~z 3 Footprint S.F. Phone APPROVALS FEES <o Contractor Assessments Permit Water/Sewer Surcharge Address Police Plan Review Z(o(o.7s Fire SAC, City IOU. City/Zip Code Engr SAC, MWCC 52S. Planner Water Conn SZS. Phone Council Water Meter (D"7. Bldg Off Road Unit S Arch./Engr. APC Treatment P1 I g0. Variance Parks Address Copies rlCr}i S- TOTAL City/Zip Code Phone U -SURVEYOR'S CERTIFICATE' SIENNA CORPORATION . REVISED 4-16-87 TO SHOW PROPOSED HOUSE 8 EXISTING ELEV•S. FOR LUNDGREN BROS, DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET SCALE: 1 INCH = 30 FEET 0 DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = P,393 FEET X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR = 83Z.-3 FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK = 839.1 FEET WE HEREBY CERTIFY TO SIENNA CORPORATION THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 20, Block I, BLACKHAWK GLEN 1ST ADDITION, according to the recorded plat thereof, Dakota County, Minnesota. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, IF ANY. AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS)3'r"li DAY OF i1ov. 1965. SIGNED: JAMES-R, fjIILL, INC. / l QY; HAROLD C. PETERSON, LAND SURVEYOR MINNESOTA LICENSE NUMBER 12294 SHEET I OF 2 SHEETS PROJECT NO. BOOK / PAGE JAMES R. HILL, INC. 85618(87227) 206/18 Planners / Engineers / Surveyors FILE NO. 8200 Humboldt Avenue South FOLDER Bloomington, Mn. 65431 612-884-3029 SURVEYOR'S' CERTIFICATE SIENNA CORPORATION 83,7 4SHBURY PLACEr-- 833.4 2 O ®18334 R=451.50 6366 ~f 6 36.6 (834,0) A°8°54'00" 70.13 X839.3~- g38.5 ) M I .:)dr'±Q~A I M m I_ - - - 640.49 X846.4 834.T X833.6 63-9%, 3 ' 'r 0 20.50 3 ~ I (839.0 n 3 tw 27.50 GAR. ~ I - h) C6 1n~ M N PROPOSED J Q) w 1 o HOUSE I It 1641.0 D) i o '834.9 16.29. 48pp.0 - 16.361 2 X I x631.1 CO Z%.~ X839.2 m n ` / Im Z m I y/./ . III I 690.1 X 840.2 I I 1 X&14.1 1 I I I ~ J I 1 1 T I ~ J ~ I I N I LOT 20 II ~ 3 I I` J5 \ 1 \ ~ DRAINAGE & UTILITY 1 (g45.0~ \0 EASEMENT PER PLAT <z \ / o `sup. \ Q~ o \o~o ?1969~`~N J 0 9 SHEET 2 OF 2 SHEETS PROJECT NO. BOOK / PAGE JAMES R. HILL, INC. 85618(87227) 206/18 Planners / Engineers / Surveyors FILE NO. 0200 Humboldt Avenue South FOLDER Bloomington, Mm 65431 012-004-3028 0 Sro!,JSIRUCIIOIJ ~ INC. 2) 7 11 3 1 - /".V,. thll:tdLS07/ 553` ~ 935 EAST VJAYZAT7• BOULCV!{R LINELOPI F.1'ERAGE U CO,',PUTAT)OI' Lot Zr Block Site Address R 84 Factors R 058 opaque Walls "117 Wall Framing Areas 023 Ceiling 3nsulation Area 027 Ceiling "Framing Area "04 Rim Joist 0 4 I.Sasonry Wall 26 .46 1.1i ndows Double Hung Casements .18 Doors _ .46 Patio Doors 47 Sidelites 1) Lower Level (Basement) Total exposed wall area ~4 x (U) p58 = Opaque Wall Area a~x (U) _117 = ~ s Z- Wood Frame Area X (U) .04 = Rim Joist Exposed block as x ( U) .46 = Window Area Casement -x (U) 26 = • Double Hung - Sliding Glas . s Door x (U) 46 - - r -~x (U) "18 - Door Area ~ - Total 0 CC0I,61RUCl10)J IIJC. 1 3 . (612) 47:5-7231 oJ5~ T V"J'Y7/,TF dOULEV/ RD • tiYZNT/1. I✓IIJIJ[SO7A S 2) 1st or main floor Total exposed )rall area p58 = 3, 5~ Opaque v;all area 5 )15_X ( U ) .117 = 0 Wood frame area ly7 x (u) .04 = S 9 Rim joist _X (U) .46 = r Casements u .26 = Window Area Double Hung $2x ( ) Sliding Glass Door 8 ZLx (U) -18 = Door area 2x (U) .47 Sidelites ao• 9 Total 3) 2nd floor if 2 story ~3a Total exposed ;all area x (U) .058 = 5 Opaque wall area 7_I (u) .117 Wood frame area --x ( U.46 = Window area Casements ( .26 = ?O Double Hung ~x --x (u) .46 = Sliding glass door x (U) -18 = Door area a Total 4) Total ceiling area ~~x (u) -027 = Wood frame area D 9'~x (U) .023 = Opaque ceiling area x (U) .55 = skylight a2✓ S Total CCOINC1RUClIO1J - 473-1231 EAST vJAYZATp BOULEVhPD ~'JAYZATA. i!II NESOTA 55391 (612) 1231 19inn. U Factors Total e>:posed wall area area_~f~g__7 .026 = v?~, a 11inn. U Factors Total exposed ceiling y,Q(A) Total x3.59 = ~ 3 Item 1S(a,6 + Item 2/o?O. }Item 31p - + Item 4 If total of Items 1 - 4 is less than Item (A), building complies with SBC 6006 (C)s C GOLD COPY PERMIT RELEASE FORM PERMIT It I ADDRESS b),n PICKED UP BY T f do I ~ ~ ~C n * CITY O F E A G A ICI * WUrw3• P?k)W f OF FW AT TIME OF *APPLICATION DOES NOT CDNSTITOTE APPROVAL OF PERMIT. C APPLICATION FOR PERMIT * INSPECTION OF SEWER AND/OR WATER *1 INsu r.ramioNS wim NOT BE SCHED- SEWER AND/OR WATER CONNECTION * ULFD UNTIL PERMIT HAS BEEN x* APPROVED. * * (Please Print 1) PROPERTY ADDRESS: S~ `j Cce . LEGAL DESCRIPTION: " Lot Block Subdivision or Tax Parcel ID IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: 1 PRESENT ZONING/PROPOSED USE: (Mon Year) - ❑ CMERCIAL/REPAIL/OFFICE R-1 SINGLE FAMILY F-7 INDUSTRIAL R-2 DUPLEX (Two Units) INSTIICTIONAL/GOVERNMMT R-3 TOWNHOUSE (Three + Units) ( Units) R-4 APARTMENT/CONDOMINIUM ( Units) 2) NAME: LGuG/ lroT /T ~c ADDRESS: 7X-.' /~gc 2 c ~7 1 CITY, STATE, ZIP:j PHONE: 3) r.:• /J For City Use MME' •z i'a Plumbers License: ADDRESS: 2~ fV Active CITY, STATE, ZIP: S ~3 P Not recorded PHONE: MASTER LICENSE# Staff Initial ~f NAME: Z16 ADDRESS: fp e CITY, STATE, ZIP: , PHONE: CONNECTION TO CITY SEWER CONNECTION TO CITY WATER OTHER 6) '1 • r ( PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE PLEASE MAIL APPROVED PERMIT TO 1, 2, 3, 4, ABOVE (Circle one) 7) r. 1 u LT-- ' • 7C • Y •i: M 1 • • / • P 7 I~ 1 / Y7~ 91 p • Z• 1 • 1 NO .FOR CITY USE ONLY PERMIT # ISSUED 1 Pd w/Bldg. Permit FEES: $ $ SEWER PERMIT (INCLUDE SURCHARGE) $ $ /C S WATER PERMIT (INCLUDE SURCHARGE) $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ /,S • < ACCOUNT DEPOSIT - SEWER $ ? $ ACCOUNT DEPOSIT - WATER $ $ WAC $ $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ I c Z) $ c= L TOTAL .3/Z7 RECEIPT RECEIPT 'It DOES UTIIJTY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE : /s- I 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS p OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL Q/ INCLUDE 2 SETS OF ARCHITECTURAL A STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS To Be Used For: Valuation: Q 9 Date: Site Address ~(p OFFICE USE ONLY Lot c-, Block On site sewage_ Occupancy MNCC system Zoning Parcel/Sub On site well Actual Const ~J City water Allowable Owner s~ O1tX 2 PRV required # of stories Booster Pump Length Address .561ML Depth S.F. Total City/Zip Code 5 5 /a a Footprint S.F. Phone APPROVALS FEES Contractor Vvy1d'p-e V¢SQZY Engr/Assess Permit / Planner Surcharge Address A-&1 5 6O. ~ P. I z Council Plan Review Bldg. Off. 7~12SAC, City City/Zip CodevG, Ap ea53 Variance SAC, MWCC Water Conn Phone i~)54- 8740 SM~ Water Meter Road Unit Arch./Engr. Treatment P1 Parks Address Copies TOTAL City/Zip Code Phone # SURVEYOR°S CIERTI~~CATE SIENNA CORPORATION I} ;r ,i i` 833,q 1 a ~ F 8334 R=451.50 836.0 (834.0) d ° 8°54 `00° 030.6 _033.6 - 70.13 ,839 5 ) /~rl O ~t O i \ w. ;aka. 514,? 8341 6 :1~39.d1 840,49 843.4 ,r - - 20.50 '3 I- ~ 0 2750 GAR. 2 b t 4 L m 1 ~VA PROPOSED W Du...~~~~+ w 1 HOUSE 3B4to 1e~ co 1T` 116_.29 48.0 ..163•- F '834,9 ? ~3 3B 311 9. 3839.2 q V m I DE_GK IW I t~FAitipc,E LvNS i'VT'JI c~E P¢u ~CGL-T~ , 3840.2 puI, ne~/~ I 840.1 I ~ I ~ 3844.1 ~1 J• f3 I E 7 I r LL I ll J I ~ ~~I ~I ff ; I 1AGAN I I N REVIEWED !I S " I 1 I LOT 20 121 I I DATE I 1 \ ! AWAlNAGE 9 UTlUTY J I{ Cg45.o { ~O EASEMENT PO4 r°L.A7 ~T c~ 0 Q6 / e9 r P' ~I (tI 1{ i SHEET 2 OF 2 SHEETS f.. PROJECT NO. BOOK / PAGE AMEEo7LLa INC. 85618(87227) 19 206/18 Planners / Engineers / Surveyors i FILE NO, 8200 0#umboldt Avenue South ii FOLDER Bloomington, Mn. 65431 0'12-804-3029 r ~~a it MEMO TO: HONORABLE MAYOR AND CITY COUNCMMEEMBERS FROM: CITY ADMINISTRATOR HEDGES DATE: JULY 13, 1990 SUBJECT: AGENDA INFORMATION FOR JULY 17, 1990 CITY COUNCIL MEETING PT AGE1rTi?4#tI'PR© MMUTES The minutes for the July 10, 1990 regular City Council meeting are in the process of transcription and if they are ready they will be included with the Administrative packet on Monday. After approval is given to the July 17, 1990 City Council agenda the following items are in order for consideration: >.IIEPARTMENT.;E[EAD,BUSINESS. A. DIRECTOR OF PUBLIC WORKS Item 1. Review Drainage Concern (Lot 20, Block 1, Blackhawk Glen 1st Addition - Lynn Lewis)--Enclosed on pages _ and _ is a letter the City received from the above- referenced property owner expressing concerns pertaining to the drainage associated with the recent development of the Stoney Pointe Addition adjacent to and east of the above- referenced property. Also enclosed on page _ is a composite grading and drainage map of the general area in question which was previously reviewed and discussed with the City Council at the June 19 Council meeting. Staffs review of these concerns and a response will be provided with the Administrative Packet. ACTION TO BE CONSIDERED ON THIS ITEM: To provide appropriate direction regarding a response to these drainage concerns. Agenda Information Memo July 17, 1990 City Council Meeting "CONSENT AOTNDA There are seventeen (17) items on the agenda referred to as Consent Items requiring one (1) motion by the City Council. If the City Council wishes to discuss any of the items in further detail, those items should be removed from the Consent Agenda and placed under Additional Items unless the discussion required is brief. PERSONNEL ITEMS A. PERSONNEL ITEMS: Item 1. Flex Spending Plan/Police Officers and Investigators-At this time, it would be appropriate for the Council to take official action approving the inclusion of members of the Police Officer/Investigator collective bargaining unit in the City's flex spending account program. ACTION TO BE CONSIDERED ON THIS ITEM: To approve the inclusion of members of the Police Officers/Investigators collective bargaining unit in the City of Eagan's flexible spending account plan which will become effective July 29, 1990. PLUMBERS LICENSES B. Plumbers Licenses-City Code regulations require that plumbers licenses be renewed on an annual basis. Enclosed on page are those companies that are performing plumbing services in the City of Eagan whose license application is in order for consideration at this Council meeting. ACTION TO BE CONSIDERED ON THIS ITEM: To approve the plumbers licenses as presented. r t. ~ ~ u ¢ _ i. ' -mf~: ~ - ~ ~ ~ ~ ~ ~ ~ ~ t \ 1_ `K a _ Y ~ ~ . • ~ Y ` y Y ~r}rs~'.` . ;i' t . ,f+, 1 r a .ui r~; r ~ c ~ ~ ti f i ~ it K ~'r"~. 'i:Tl`}) f.:., ~ ~ ~ fns' ~ ~r C ~ .s ii t~~t i~ ~ Y y -f~. ~ t. A ' I / _ f e ~ . t _ ri ~ ,y. b.~ 4 AO ~ ~rLrs ~ i. s , pa ,Y _ _ +F I l~ ~:y1~ T" Rµ ~ , •L£f~' x ihif s,wnf„_'Li 1/.{ Addnw r•' Plan# _..I.•~..2.tt1.12. `I!•-o.a..L-.(}`~_ L- ,,Z,f4/~'.:i • "EAT L=CALCULATIONS Tejai at Loss I 6 f ~Tota) Btu Input I All Wt dowf s fioon an w.nhwnripp{e /FI. Room Loth ' 'Wth_ Ht. Fl. H!d Rao1n Leh..1 "Witt. lot ~ L0w1h + Wool, 0,40. NO. 01 Llm.lll A,.. W.014 1Mto t NO ot NO. al , d M. 11 41I Ol rr.c. i 11. Na, d .N 010.0. d vwL M N jc.L •Q As 4 1 /GOON I ~ IaaON cwt. BTU. °*v w1JU«fon w,neow. 30 177% I.Illlfwbn Pit 38 ' .hhrnbn WfDow. 118 Inllltmbn W/DO.n Its ~I,IUrtf.n f/OroO 71 IMIItNIbn BIOaw1 71 w W W ZXV -W6 Etlf• WWI 7 '.:..{D. , a Olw•Dow. girt {r. 7 -1C NN Em, WWI 1 ..JIM Q) (8 =a Gllip ti 7 7310 f Nw 7 1 toW hu, TOW Bw. O In Room LSth. "Wth, /0' " Ht. Ft. JAJ Roam L°III. "Wth. O .w4 ylt NO.OI L.owtitt. AN. WWI N.b41 Ne.a Unrllt. ' o} .n0 d m 11 b d ww! q. h. NO. d d of Or.c! p, h. No. 2P,0 t7 /r) ^ /dow. ~ laoa. _ /abon con. BTU /Opon COW. BTU ,.IJU«lon WlOoow 30 In1111r..W. wlna.w. 2 i ••hnnrwn w/DOwO 118 Inllhrniw W/DOan 11{ .IJUnbn {/DooN 71 Innnrnbn{/DO.N 71 w WW ' E.O.WNI !-D !1 10.08 D., O,O Ilia G4Na Dewl I , Q ,0r/W.W«I T °S7 Nrt EW.W.B r`\t -1-9 A ;.uiM O 2a 6 Q.OIr.9 (1 3a. .IOp _ 7 10 fbw 7 10 1oW Bw TotN Btu. .1-7 IFI. ' _ Room Lath. "Wth. " Ht. Ft. - Ft I Loth. IO "Wth. WE1n Wy1t NO.OI LI h n. Wbm N.IN.I NO.01 LIMf1. Ar.. NO. pl aM. d M.. If 1. OI Cr k .t N NO. O} a} 1{ OI Cr.[i C.'t a )I 22,0 ^ _ Imw. ,JOMO _ /GOOD cw, BTU / ~N Cwl. BTU .muNwn WOmw. 117,7 InIllurtiOn Wlr.dw. i 11 -dnu.oan wlDoerl 170 Inliltr.bon W/Dow. ..In}.N.or. f/lbw. 71 InlllUnfon 3/DOOn 71 •o WNI 4 EW.WNI 38 0" 6 Dow. , i O • .101 f fro. W«I Y °7 NW ate. WNI ' ~S ° 10.0 7 10 floor 7 1 a • oul Bw. Ta« Bw. Q (1~ ~a _ Addnq~_ Pon #-j wh, 3 _ L3 86 Heat DsL { HEAT LOSS CALCULATIONS Total Btu Input I All wlrtdowa• door Bn wr,Bthnrtrlppd FI. _ r1 Room Loth. Wth. ~mt. Ft. Room r; Warn N•plrt l n.N Lf "WM Na. No. eLI It no . a a 1 n acrgL q 1f. No. WwIR With, Na.a LIn.NII. Ara• 01 of u of nak q. h. _ k i 9 - `i /doe.. Cw BTU COO. BTU IMavnw. wlrwow. + -..311 InlN.ntbn Wlndsq r IMlbrnpn w/Don. t le Inllhr•Iwe Wlops. 111 ' IMMrn.en ElDeeN 71 Inlxvnwn o/Dear. 71 It e. WW1 E•p. WNI 04. B Dew• 3640 GRr B Dann 3644 . 1•.1 (.o. WNr e 7 ' B !L o Mn fap.WNl 4 Cdrlq Q _345 .L n GIIIM ----4 It 79706 7; 10 1 TetN ue' rem Ow. Fl. f .r. Room Loth. "Wth. Ht. Ft. Roo Lfth. "Wth. Nt. ' No. wal t No.a LiftiAll. a aW.atB a•yrt Xe. Lln t. r•• a pooom a of <ncL M q, N. No. an•eR q.ll. i 77r- -77-77- /seen r c /deon d r0 Co . BTU /does CM. BTU rwvlvnbn WlryeW. _ 38 IMllunwn Wlemw• i Invlvnbn W/Depa t18 Innlttnbn W/Daon tt; IMdtrnbn a/Den. 71 IMRUWn SIDeer. )t f V, WNI fo 11.1 Gt•s o Doer XwE.y.wp ) Nn fsi.WW1~~ { 6 { f GIIiM 4 CNllp { Ho 3 B fbor 3 f row aw. q Tet.1 Btu. FI~ Roam Loth.? "Wth, Ht. _ Ft. Roan Loth. " Wth. " Nt. XO. ww.n Nu•nr N.. of 4n.M1 n• TTWW,h r.lant No. of Lir lc A, n e•rr a~M. Opt. o* CIKY It, No, a •q a n• N aAYY q rt ,ape„ ~y v d /doon Cwl BTU coN. sri r.irrngn wrrmW. 38 Inixrntbn Window. 3e - Mwnnron wlDoon Ile Wliv tloe W/Doan its ,btrmron BfGas. ~,O 71 71 Inlihmion S/Doen •o Wrr - O E.e.WNI ':Iq f Doll - 38 GtX. B D. 3FY .w Eq.ww a I { Net E.e• WNI ~ { e ..arry _ 3 Gltiry j roe. /0 fwn '730 r dN Pw. Tam owl :OOLING LOAD SHEET Dew, 1-L3- lame , rtr-Af I Address ,Ian T ~r.vnd ~/i Time: 4PM lesipn Conditions: Outside : Dry Bulb 88; Wet Bulb 76 Inside: Dry Bulb 78; Wet Bulb 88 AREA SENSIBLE LATENT ITEM DIMENSIONS SQ. FT. U TD HEAT HEAT CONDUCTION HEAT GAINS xUrior wall, prow - - :xterior plats ,66 11 xterior wall, net .08 11 otal walls and windows ,17 11 loor .08 11 eilinp or roof 112- 2- OB 11 EXCESS SOLAR GAINS WALLS (direction faced) Nest .OB 28 :oof .06 54 Q GLASS (direction faced) Nest .66 17~ 17 622 krllots .66 118 BODY HEAT GAINS ensible No. of People x 226 Kent No. of people x 230 EQUIPMENT HEAT GAINS lectric motors HP x et u ifiltration • Sensible 1.086 x CFM x 11 I 3,r7 ifiltration • Latent CMF x .87x30 - t) OTAL HEAT GAIN (SENSIBLE) OTAL HEAT GAIN (LATENT) TOTAL HEAT GAIN BTU PER H' 737- Td v t,4 77 o,eN o ONNAGE EQUIVALENT OF COOLING LOAD . 3. Toni jzl,~ J'` II i ~1 L oZO BL CITY USE ONLY RECEIPT* 7490/ ~V ~y,_~ SUED. t( .UX.Q~1~i.Q..tv~C C )/D RECEIPT DATE: 7 Sr 1998 PLUMBING PERMIT (RESIDENTIAL) CITY OF KAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ➢ single family dwellings ➢ townhomes and condos when permits are required for each unit D backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 = Laundry Tray 3.00 x _ Hot Tub/Spa 3.0 = Water Heater 3.00 x = Floor Drain 3.00 x = Gas Piping Outlet * minimum -1 3.00 x Rough Openings 1.50 x = Water Softener * for dwellings under construction 5.00 X = Water Softener *for existing dwelling 20.00 x = U.G. Sprinkler * for dwelling under const. 3.00 = U.G. Sprinkler * for existing dwelling 20.00 = Alterations * tr existing residence 20 00 = Water Turn Around 20.00 = p~ Private Disposal System * MPC lic. 75.00 = (new and refurbished systems) Private Disposal Systems * Abandonment 20.00 = RPZ (new installation only) 20.00 = STATE SURCHARGE 50e TOTAL t~ c----------e -------have- I hereby aknowledg that 1 read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. 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 dudng its normal operational and maintenance activities to the facilities constructed under this permit within City property/right- of-way/easement-SITE ADDRESS: S OWNER NAME: GiCs u! , S1yie%r Ff INSTALLER NAME: VVA TELEPHONE#: .73/` ,-?71I -,104V .4,57A 0 r: 21', STREET ADDRESS: CITY: STATE: ZIP: ss h~/ 3 SIGNATUR F PERMITTEE CD/PERMIT FORMS/RPLBG PERMIT (RES) - 1998 CLAIM VOUCHER- REFUND REQUEST CITY OF EAGAN MAKE CHECK PAYABLE TO: CEDAR VALLEY HEATING ADDRESS: 9601 JEFFERSON TRAIL INVER GROVE HEIGHTS MN 55077 LOCATION: 1568 ASHBURY PLACE ~ i &AJpa,a,4 'd~ P.I.D. RECEIPT #/DATE: 88551- 3/31/98 VALUATION: REASON FOR REFUND: PERMIT NOT REQUIRED FOR WORK BEING DONE PERMIT TYPE OF REFUND: Electrical Permit 3211-9001 $ Plumbing Permit 3212-9001 $ Mechanical Permit 3213-9001 $ 20.00 Building Permit Fee 3210-9001 $ Plan Review Fee 3422-9001 $ SAC (MC/WS) 2275-9220 $ SAC (City) 3866-9379 $ SAC (Admin) 3446-9001 $ Water Connection 3865-9220 $ Sewer Permit 3743-9220 $ Water Permit 3713-9220 $ Account Deposit 2252-9220 $ Water Meter 3716-9220 $ Road Unit 3860-9375 $ Water Treatment 3868-9220 $ Surcharge 2155-9001 $ Utility Acct Overpayment 2250-9220 $ Curb Box Deposit Refund 2253-9220 $ Construction Meter Dep Refund 2254-9220 $ Water Usage Charge 3711-9220 $ TOTAL $ 20.00 dnt, claim, or demand is just and that no part of it has been paid. Date: April 1, 1998 CITY USE ONLY /~y LOT BL RECEIPT n p les p/ SUBD. RECEIPT DATE: 'SO 9 O 1998 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN Jar 55122 (612) 681-4675 Date: Complete this section only if you are installing HVAC in single y, townhomes or condos under construction and not owner /occupied • HVAC: 0-100 M B T U $ 24.00 ADDITIONAL 50 M BTU 6.00 • Gas outlets (minimum of one required @ $3.00 ea.) i • State Surcharge: .50 • TOTAL: Complete this section only if you are remodeling, adding to, or rep ring existing single f ily dwellings, townhomes, or condos. Note: Mechanical permit is not required for alteration/add-on to ductwork in existing residential units; but is required for the following: Install furnace Install air conditioning Install air exchanger, i.e. Vanee system, etc. Other R o vrr " Minimum fee applies to all remodel or add-ons of existing residences $ 20.00 State Surcharge .50 Total: $ 20. SITE ADDRESS: 15 bid ~1 S~ r to . OWNERNAME: : ✓pfi~ ~Ie vt, PHONE INSTALLER NAME: I CKuf I/k tU..4 ~ J:r:l PHONE W6 Lt- it G-L STREET ADDRESS: ~~r/ O ( ~T 7-~5 ~1.~ J`li, I I J • CITY: V4V& - W ✓'r7 ✓G t S STATE: W,. ZIP: 7 -7 At SIGNATURE OF PERMI E JS/FORMS BLD/MECH PERMIT (RES) - 1998 CITY USE ONLY L _ BL RECEIPT#: SUBD. RECEIPT DATE: 1998 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete all commercial/industrial buildings multi family buildings when separate permits are not required for each dwelling unit DATE: CONTRACT PRICE: WORK TYPE: NEW UCTION L//IN RIOR R VEMENT DESCRIPTION OF WORK: vr> FEES: 1% of contract price OR $25.00 minimum fee, whichever is greater. Processed piping - $25.00 CONTRACT PRICE x 1% PROCESSED PIPING PERMIT FEE STATE SURCHARGE ($.50 per $1,000 of yennit fee due on all permits.) TOTAL SITE ADDRESS: OWNER NAME: PHONE TENANT NAME "RovEMENTs ONLY): INSTALLER: ADDRESS: PHONE CITY: STATE: ZIP: SIGNATURE OF PERMITTEE CITY INSPECTOR #7Y'F.MMXt'M.%YYt:*Xt:dt%:XtYFY(>,','Pik:k:>YY,C'.~Nt~ktXtk(YFkFXt%k:$iK~t~k%~ ktkt MY OF EAGAN CASHIER: M TE-RMINAl_ NO,., 786 DATE: 03/20/98 TTME:: 'P5:29:23 TD;; NAM. ENE:RIAC CC1N9TRUCTION 1:MC 3210 9001 ME ASHRURY PL. 349.75 3422 9001 1560 AS1- B RY PI. es?7..34 M55 9001 068 ASHPURY Pt_ 12.50 i 1 r Total Receipt AQrt7vY." 58903 USER TIC: MARL.YNN %FYF$tMY,('kYFXt>X ~>K~k`k~t>K%R>kBtYF~kBt%<N RA~~k X<~ ?k%Y>%%X Yn%k.~Y Y,tXok&t 31~_-CITY OF EAGAN PERMIT 3830 Pilot Knob Road PERMIT TYPE: BUILDING Eagan, Minnesota 55122-1897 Permit Number: 031554 (612) 681-4675 Date Issued: 03/20/98 SITE ADDRESS: 1568 ASHBURY PL LOT: 20 BLOCK: 1 BLACKHAWK GLEN P.I.N.: 10-14350-200-01 DESCRIPTION: ult'an ermit Type SF ADDITION u:'t3`n`gw_i1),t<k Type NEW a'434 ALT. RESIDENTIAL aG m_W i r. ~atA 4 YL gwny A - t x` 4'a P}Il W ra tk~~sw rid :+;,,;.p•~;;~~~~: V j a v6 Y S'OioiC',',$n1At: xx ryg m vA4H4a.^t9'+•d_dt5'eg.Xk REMARKS: MUD ROOM AND LAUNDRY ROOM PLAN REVIEWED BY MIKE BARCK FEE SUMMARY: VALUATION $25,000 Base Fee $349.75 Plan Review $227.34 Surcharge $12.50 Total Fee $589.59 CONTRACTOR: - Applicant - ST. LIC.OWNER: ENERJAC CONST INC 14368517 0002473 LEWIS STEPHAN 11688 STRAWBERRY HILL RD 1568 ASHBURY PL iAFTON MN 55001 EAGAN MN 55122 4(612) 436-8517 (612)688-8804 _s i' Mks rem : sy,+ a aw.i fic r.'i°'ay 1- ' 7 i.- + r t L £ n s e' . us uw m £cc, Y to rte. ;.q ~e Ato g e n e+y° `~~r rs sH e s i4er xn~'xtalixda "#~'et'y, I lrIeeAi ry, aeknt>w sdg rttt~~ ' ~ + + a+~~ r h ~s' p kF s afr ~ ;~s { ' n f4 r11}jj i QTT _ l mss-; G"X1 r $ `.t fES:~ .7y~-Cf t` ffi i a~[ "~'r l +z~` wy "'t~i .y~.x` +s k t q -'+e ~,a~-',mw' a ra r s e r,,,} s s x'a~-ts x rg r EA`~ r`'~va efiz p e s'"~m~u ac,y w,% e a o- + aRd- = un Ra'~ gym ! APPLICANT! MITEE SI ATURE sSUED B SIGNATURE C - 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN • 3830 PILOT KNOB RD - 55122 ° 681-4675 New Construction Requirements RemodeUReoarr Reouirements ~ ♦ 3 registered site surveys ♦ 2 copies of plan ♦ 2 copies of plans (include beam 8 window saes; poured fnd. design; etc.) ♦ 2 site surveys (exterior additions & decks) ♦ 1 energy calculations ♦ 1 energy calculations for heated additions ♦ 3 copies of tree preservation plan Slot platted after 7/1193 required: _Yes _ No DATE: 3W 19 CONSTRUCTION COST: l Sit DESCRIPTION OF WORK: 10 x i(o om C~c~~ko~ New mv~,-~Oorl i Lev c~r l oo STREET ADDRESS: IS(D A°>hbur a~ LOT a0 BLOCK I SUBD./P.I.D. PROPERTY Name: L-cL, :s Si~cn t LLnn Phone OWNER u. Street Address: 15106 Ashbvrv ~loce City: L4-in State: m N Zip: SS I Z - • CONTRACTOR Company: Ene op- Con5~ruc !-nor ~r-\c Phone JL!) 6 IS 1 7 Street Address: I~D%% fro-ubecry N111 2d License mn~ Z`1- City: AF-4c~n State: MN Zip: S""SOU I ARCHITECT/ Company: Phone ENGINEER Name: Registration Street Address: City: State: Zip: Sewer & water licerned plumber (new construction only): Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. is Signature of Applicant: R OFFICE USE ONLY 0 Certificates of Survey Received Yes No I~Vii, Tree Preservation Plan Received Yes No Not R e d*"' OFFICE USE ONLY BUILDING PERMIT TYPE • ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish ❑ 02 SF Dwelling ❑ 07 4-plex ❑ 12 Multi Repair/Rem. ❑ 17 Swim Pool 3~ 03 SF Addition ❑ 08 8-plex ❑ 13 Garage/Accessory ❑ 20 Public Facility ❑ 04 SF Porch ❑ 09 12-plex ❑ 14 Fireplace ❑ 21 Miscellaneous ❑ 05 SF Misc. ❑ 10 --plex ❑ 15 Deck WORK TYPE a-0b)rr0i✓ Iq cTawaWTIOA1 ❑ 31 New* ❑ 33 Alterations ❑ 36 Move 32 Addition ❑ 34 Repair ❑ 37 Demolition GENERAL INFORMATION Cbnst. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. ?~41 Depth Footprint sq. ft. SAC Code n i Census Bldg T • APPROVALS Census Unit Planning Building 114rz Engineering Variance Permit Fee Valuation: $ S- vo v, - Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit SIW Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies • r, `,t.cll• Total: = _ c % SAC SAC Units+ 1 +);I Mar-'q5-98 09:25A P.02 P.1 MNCheck COMPLIANCE REPORT Minnesota Energy Code Permit i# MNcheck Software Version 2.0 Minnesota Department of Public Service 1-612-296-5175 1-800-657-3710 Checked by Date COUNTY: Dakota STATE: Minnesota ZONE: 2 CONSTRUCTION TYPE: Single Family DATE: 3-5-1998 DATE OF PLANS: TITLE: PROJECT INFORMATION: EAGAN ADDITION 10x16 COMPANY INFORMATION; ENERJAC CONSTRUCTION INC. COMPLIANCE: PASSES Required UA = 40 Your Rome = 40 Area or Insul Sheath Glazing/Door Perimeter R-Value R-Value U-Value UA CEILINGS: Raised Truss 160 44.0 010 4 WALLS: Wood Frame, 16" O.C. 222 19.0 2.0 11 GLAZING: windows or Doors 66 0.310 20 FLOORS: Over Outside Air 160 30.0 5 COMPLIANCE STATEMENT. The proposed building design represented in these documents is consistent with the building plans, specifications, and other calculations submitted with the permit application, The proposed building has been designed to meet the requirements of the Minnesota Energy Code. Builder/Designer Date l E y S ENNA CORPORATION p ASHBURY PLACg___ i; 813.4 G; ° i~_d7S-~.~~r~' i4~t.50 B.'b6 B38b 11 A n 8°54'00 70.1 J t 839.3. l B sd. ~ ~ WWO a•(b ~ mi r, rG ~~5`r; ~ it $ I A' t b ,833.6 - •C039:0 20.50 1 8393 Bs97 I_ 64049 a 6.4 ° ~I~ ; IN' I Ca39.0~ ° I r 3 i {Gi = l M 27.50 l OAR. rn y yg 4, \F I / Nf I X C III` ~o 0 / L ~o Cl' W .o PROPOSED I m 0 x ^ o~ a HOUSE ' ~t w l ~ x64i.o 1 o 36I•. 4134.9 41 116.29 , 46.0 . 16. ~ 1 ~T I aB 371 339. b,39.21 q w o . p~.GKT~ }ID ~lP, t I i. ~ ~ bcrelNn~,E i`vNS c+i,r..loE ('e~PvGP R -840.2 PGG I< AL'EA I •e40 .1 f I .844.1 G 1' h I I s N R VI1 b'1GD I '~l GATE \ 3 I 4 DRAINAGE 9 f/Tll1TY (gq S.oJ?r ~0 FiL£MENT PER FY11T II~ I' i Sao ` / / 1 71- 0 to S1O I ~q,6y' h / SHFET 2 OF 2 SHEETS PROJECT NO. BOOK / PAGE NC. 85618(87227) i ; 1 206/18 Planners / Engineers / Surveyors r!LE NO. d ; 0200 Humboldt Avenue South F701 DER Bloomington, Mn. 55431 012-884-30211 CITY OF cA(;PP CAS'T'. r=i° 5 :(4a AL Nfh Tr' :I . NAME: 4EL..A ROOFING A R MCBLIING INC 300 3001 068 ASHDLR`! R" 126„2C 2:55 9CQ1. 1568 ASHBURY R._ 3..07 r Total Receipt Amoy ntr 128 2'_' CRUABE?7 " SE:R i'7' KANU -XX;~tak%riS>X~c%kntsk%;b ~>k!kii X<:a:1:;d::: g<,n.,ti;^Xi(:;'~$C:oA{~:i'. X>X f 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN J / t I / 3830 PMOT ~75 55122 ) I ~ ~ - - 651) KNOB New Construction Requirements Remodel/Repair Requirements ♦ 3 registered site surveys ♦ 2 copies of plan ♦ 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ♦ 1 site surveys (exterior additions & decks) ♦ 1 energy calculations ♦ 1 energy calculations for heated additions ♦ 3 copies of tree preservation plan if lot platted after 7/1/93 required: _ Yes _ Noy DATE: t` 9:; ! I CONSTRUCTION COST: • DESCRIPTION OF WORK: tee O~ rC°rCPgC hVt4-,,5G 156'l dl- 6s%s-C io&A- ~lod~ STREET ADDRESS: 6 0j-Sk6Vr'y ~j~r~cn~ II LOT: a-U BLOCK: ( SUBD./P.LD. Ca (~ULQ I ~f h Name: LP1^~~ ✓ J / Phone D 2( ~S -~0 PROPERTY Last First OWNER ce? . Street Address: City State: Zip: 6ELA ROOFING & REMODELING, INC. ? Company: ~0 ~EL~9LT . Phone ~1 CONTRACTOR ST. LOUIS PARK, MN 55416 Street Address: 11) #^nn' 050 License # 006 ~C Exp. City State: Zip: ARCHITECT/ ENGINEER Company: Phone Name: Registration Street Address: City State: Zip: Sewer & water licensed plumber (new construction only): Penalty applies when address change and lot change is requested once permit is issued. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: C~J OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No Not equired OFFICE USE ONLY BUILDING PERMIT TYPE I ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish ❑ 02 SF Dwelling ❑ 07 4-plex ❑ 12 Multi Repair/Rem. ❑ 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-plex ❑ 13 Garage/Accessory ❑ 20 Public Facility ❑ 04 SF Porch ❑ 09 12-plex ❑ 14 Fireplace ❑ 21 Miscellaneous ❑ 05 SF Misc. ❑ 10 _-plex ❑ 15 Deck WORK TYPE ❑ 31 New ❑ 33 Alterations ❑ 36 Move ❑ 32 Addition ❑ 34 Repair ❑ 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. SAC Code UBC Occupancy sq. ft. Census Units Zoning sq. ft. Census Bldg # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Park Ded. Trails Ded. Other Copies ` Total: % SAC SAC Units 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION O~D CITY OF EAGAN rcD 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date I2-1 7 / ©S Site Street Address (0g A'g1~r .q pkwe' Unit# Property Owner U y 1A Telephone ) ' T;s 4 6 Contractor We J &1j ~ IS O~~'W , T,0C. Telephone # (7(3) t Address 3 (7 I~ilW f t h) • City Pl"o"441i State The Applicant is: _ Owner )j,Contractor -Other Alterations to existing dwelling $ 50.00 Add plumbing fixtures (excludes water softener and/or water heater--complete next section if installing these appliances). -Septic System Abandonment -Water Turnaround (add $125.00 if a 5/8" meter is required) Other: Water Softener Water Heater $ 15.00 new _ replacement Lawn Irrigation _RPZ _PVB -new -repair -rebuild $ 30.00 State Surcharge $ .50 Total $ 5-0.50 I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be. in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. ; lam 5-0(0, Applicants Printed Name Applicant's Signature S~ / I 2005 RESIDENTIAL BUILDING PERMIT APPLICATION 9 a City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements RemodegReoair Requirements Office Use OnN 3 registered site surveys showing sq. R of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cad of Survey Recd _Y _N (20% maximum lot coverage allowed) 1 set of Energy Calculations for healed additions Tree Pres Plan Reed _Y _N , 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pros Required -Y -4 1 set of Energy Calculations Addition - indicate if on-site septic system On-Ae Septic System _Y _N 3 copies of Tree Preservation Plan N lot platted after 711/33 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Date Construction Cost Site Address f 5b9 !S lx J. wy P/ei ec Unit/Ste # ~ r.~, ICI n1 5 ~ f Zz, ' I-J r ncw' cs~~,+~'f s/ a~ I s e Description of Work k f<- rl.-vae~ v 5~rw~tu•~r alp fly r p ,o u car. Multi-Family Bldg - Y ✓ N Fireplace(s) L/ 0 - 1 - 2 Property Owner :S-r< w °t l7N~v Telephone # ( G )Z) '7 '3 - S 345_ Contractor - 6r)-ik e~ 2w 5c l~ Address l7d0 4,c,/~_ f ,,c- N , 's i5o city k- C4 State M4 Zip Sim 8 Telephone#((,51) 735-~3~7 -4 b-Sf-z48"3+43 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Y .4 N If yes, date and address of master plan: Licensed Plumber (.w/d -i- S Telephone #(763) f75 - oZ~ 6 Mechanical Contractor Telephone #(6s1) 4 7 - 23 7S) Sewer/Water Contractor Telephone # ( ) I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start wpout a permit; that the work will be in accordance with the approved plan in the case of work which req)ir s1-S ✓iew and approval of plans. \`S ~.e77" L.7~n. ~l c,r nC._. ~ 11 P"O cl-~ lqY• ~ - , - Applicant's Printed Name AF~cafits Signature OFFICE USE ONLY Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg X- 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03 01 of- plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screen/gazebo) ❑ 36 Multi Misc. ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg-Yor-N ❑ 25 Miscellaneous Work Types ❑ 31 New / ❑ 35 Int Improvement ❑ 38 Demolish Interior ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Building ❑ 42 Demolish Foundation ❑ 45 Fire Repair 33 Alteration ❑ 37 Demolish Building' ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement / 'Demolition (Entire Bldg) - Give PCA handout to applicant Valuation , ozkv Occupancy MCES System Plan Review 100% or 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bidgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS - Footings (new bldg) _ Final/C.O. Footings (deck) Final/No C.O. Footings (addition) _ Plumbing _ Foundation _ l-IVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Figs _ Air/Gas Tests -Final - Framing _ Siding _ Stucco _ Stone _ Brick Fireplace - R.I. -Air Test -Final _ Windows Insulation _ Retaining Wall Approved By: Building Inspector - - - - Base Fee Surcharge Plan Review MC/ES SAC /f City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant T~1)o,9n License Search I G L ~Ly~ Copies Other Total ~13Z~ 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for single family dwellings & townhomes/condos when permits are required for each unit Date~_/r, l/~ff 1 r, ,n Site Address /7 d Y'4~ I hyr 41(L t.f Unit # Property Owner LyY1(,{ t l I l l I 1 l f)CU r fN J Telephone # ~~ri-~~7 Contractor BINDER HEATING & A/C, ING 222 Hardman Ave. N, Street Address Ra Rt Eaill MN 55075 City State 655--457 8781 Zip Telephone # ( ) Bond / Expires: The Applicant is Owner ✓ Contractor Other Add-on or alteration to existing dwelling unit $ 30.00 furnace -Additional -Replacement air exchanger air conditioner -New Replacement ' I other -Fa.n a-YfA~LW 4 YY ianyy ye, amer~ J State Surcharge $ .50 Total $ LLD I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes, 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 A OA Applicant's Printed Name Applicant's Signature ! ;i(. ) ~ III I _I PERMIT City of Eagan Permit Type: Building Eagan. Permit Number: EA096110 Date Issued: 09/27/2010 OR Permit Category: ePermit 41~ it~ of E3 E Site Address: 1568 Ashbury P1 Lot: 20 Block: I Addition: Blackhawk Glen PID:10-14350-200-01 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: Renewal Andersen Stephen J LeNvis Tste 1920 County Road C West 168 Ashburn Pl Roseville MN 55113 Eagan MN 55122--122 (61)264-4777 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 PERMIT City of Eagan Permit Type:Building Permit Number:EA114448 Date Issued:09/16/2013 Permit Category:ePermit Site Address: 1568 Ashbury Pl Lot:20 Block: 1 Addition: Blackhawk Glen PID:10-14350-01-200 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes . Joan Ciesler Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Stephen J Lewis Tste 1568 Ashbury Pl Eagan MN 55122--122 Craftsmen Home Improvements Inc 7455 France Avenue, #194 Edina MN 55435 (651) 430-1388 Applicant/Permitee: Signature Issued By: Signature M� � / . : t . �'G�-/�fG l y,��(� _ , . �o -C3CC.�— �' � : _ �. ` �:_.� �, c ��:�� c�n� , �.�_�_�.__.�,___�-�___._� . � , �. � �.� � �far�Cl�u� : � � `�� . , . �� :�,;�� 1._,_�� ,�� :; �e�,��. � ��„��:�� . �� ,��s�� :� , �� ,�,; �n��;��s��s�r�-�� ., , � ` � .� � � ,� �� , �a�.��-�s�a ��,�" � � ,�� - �...�_ _ .�� ____�,� ,� __ . . . . . . . � �. . .. ... . � . . .. . .. . .. ..�.�E . .. . .` . ... . ... .n.:�.., . . . . .. .�.. :...r . .`. . �..� ..:. . ..� - . . . � � ��.:� �� R��.�� L��Yl��l�i f-.� . . ..'�` . .. ��:.. t�atla. �Addres�' t°' � 11ru�#: `�� V Narne: `Phcrne• ��"" � �<� '� , � � r � � ,/' F !tl _ � , �'� Address!�ity f�ip:' ! �� : � � W �� ... . �� . . � i-:. . . j��.�.� {�,�„,� /+� .. . , . ��.. � � L j�a '-`c``Cf��t�t1T if'?: V e+rs98i �S�VR�"`ic C�Cf� � . : ' - , , �\ �y�.. . � � �BSGtt�'}�(t?tl,�}f1�4tt51'k:" �� 1 � ��1� �� .., T�.',�.� „�� _ � �rrstrt.r�trc�n�t: Mutti-�aenil�+H�ui�l��g:{'s'es 7 t�tq �� Fr � .�� eimparry: C» �4st�tat� „�"�`.�" �' ;,�''`•�� , � ' � � ��y �� Address: � �'� �'" �w d �ity; ��. , . �� j �: f �., y5 � 3. �w�E�.��1�}. � �ItiA�$: _ �{d. I .-��. � f `�` .. sa�'�` ... � . �, ��... E.Ece�#�: ►..�ad�erti��'�; �."",.L'"��,��`_`��„�,�,�� If the project is,�xernptfr�am I��d�erfificat��xr�,.piease�acpta�n v,�h�: ` C�AfIPLE'��TH!*��A C?C�L.'�'1��i�#��U�T1N��i��f'��,ll��i In fhr,�last 12 r�t+canths,l�as#he�ity uf��n it�su�t!a p�t�nnit f�sr a�rr�il�r p��rt l�ed ar�a � �'�#�n S l'es P(c� if y�:�,dat�anci add�ess t�#master pl�n: ; ; ticensed Pturrt��r: � + �"�+�e. � � �Mec�a�#�1 Ccrn�#ra�tor� � � �� . l�its�; � �� I , ; : Seurer&SNa#er Gortt�a+�r. Ph�sr�e: '. . , ° I Fire�up�srss�f�sn Gont�actors ` #�l�se: � �� y � � , � F � ��.� z�� f�,f� _ . �,�" � �2�°r ,.0 � �' '�'.i<, � � �; .. .. , r ,� � ..�. . ��: -� , ,� b , i _ '" " V^'>'.$ �\ `�, . .; .�- ,,,, ,,,.. � . ,,^' , „. . ' .. . r �,,,,.itm .,: , ro„« M�d,.e.� :: ,,�';> ; . . :.-, CA�.4.. ��,Ft�!'��xfC?ll Dl�. C�lE iopl�sr S1�Clstaa GaM�t{6�1}4�4-t�3#��'fr�r protec�ri ' t u+�ds�rcaund at�I�ty:t4�mage. Gaf6�48 f�ttur$ " t�fore yt��'ini�rid tcs d�g tu rc�i�t�tes tr�uztitiergrtwnd utiliti�. ` ��p��#� 'stec�t.ar� , i h+�reby acknc�wledg�e that fhis inforrr��tic;n is comptete and accura�e;that ti�vrcrric v,rf�1 be in confurmanae w�th t#�e c�rc.lintzncs��i�c�#�th�Citgr.of E�gan;that�urxlss•sfZ�t#�!s ts t�at a p�rmtt�buf a�1y an ap{�licaticsts ft�r a pemm�it,ar�i wcsrk is nc�t to�rt+,�itP3ou#�{�r�mit:that 21t��+t�tk wii!k�in - acCotdarrttEe wiUt fh8 approu�6 gSan in tkte Case Q€strOr4c whi�tr i�uit'es a revi6�v�nd��pCava[flf'pi�ns; ' , .�XY@flOf WOCk�UI�BfYX�d�,t�/�.SR�t4�tIIfIIlt�JJBkTtIIt�SS47�{k1 dCCOlY��t1�WIfFE�F!@ GACt'i1,1iESlMi'Y�8 S1�t'�B�#tII�Rfl�`C�enust be�rnpteted w�thin�Bt#�... ..� . . . ,.. . da3ts af pcaresfiit iss�a�nce. x /�� .�"/�» X { � .��......_. _� , Applicar1Ys Arinted IVame 4�pltcsrtf'�Si�r�#aar�a � .� , F�t,i�3 , ; , ___...___ ._...,..�::..:.�.��...�..�� . .. , . :.., .�� .. ..;, . . � '_3 '.�.� � �. " � ��..��...h,..... ......�. ...... . ., , a . .:�z�.. � s., /SC�8 /�.s��l�c,i ,�'1r�� /`31 Co�.3� � � � ; , ° . , t��t�oz v�rt��.c�r�tcs�.�� , , su��r��s + . : . , _ F+�undation � Firg�tace _____ Pc�ch�3-��c�r�j ;�.�r�Al�r�tiar�:��ingie,�amity}, " � �ir�gle Fam��jr Garage � P�r�h(�t-�easort; ,�ri�sr�er�i+�n:�A�zl#i�" _ �ut1� � D+�ck Por�h{Scr�erUGaz+�ba��a�la) � 14�tsce�lar��c�us U1 of„_,P#ex � kovaer Lev�t � Pa�►1 ` Acc+��sory Bu1[ding `k�f41RK TYPE„� lVew int�tr��r Irr�proverr�ent ��ding G'fernoli��uttdin�* , ` ;" Addifian � t�ave Buiiding : � Re�f � D�tncs�i�h t�rter�orr" � ACt�at�ort � FIr�Ete�pait � Wintitsn�s �- C?e�r![�h�Gur��d�t�c�n � . ` � Re�slac� � Repair � �g��iAtirt�+r '1�la�r' l�etaining W�11 � x�7emoii,�e�n+�t e�stir�k�u�lding—gtve P�f�ruissut to�ppMic�►nt � ° { '- ..; _: , t�E�GRIP7'!C}IRi c� r � . '4/atuatitstt `�_��fl� t��cupar��y ..�R-c" � l4�G�3�tem Plan ReYiew �€�de�cl�ti+�n �/!"j!1 2��,� SAG'lfn�ts (25°l0_�,,10Q°I�} Zttt3ing _..�._.�.,.._. •. 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