1604 Ashbury Pl
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• ` CITY OF EAGAN
r.
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PH ON E: 454-8100
BUILDING PERMIT Receipt #
To be used for W?=ff Esi. Value ''. Date ,19
Site Address i '? h6jij
Lot 8foek
Parcel No.
W N2n
; Add
° City
°C Nan
a
0 a Add
? City
Name
Q W I City Phone
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with aii applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permiftee
A Building Permit is issued to: •" on the express condition thal all work shal I be done i n accordance with al I
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
On Site Sewege OccupanCy
MWCC System Zoning
On Site Well (Actual) Const ?
City Water (Allowable)
PRV R9quired of Stories
Booster Pump Length '
Depth '
S.F. Total ?
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit
Planner Surcharge ?'? • `
Council Plan Review
Bldg. Off. SAC, City
Variance SAC, MWCC
Water Conn. ? ?"' ? •
Water Meter o7.
'
Road Unit ? ?? Is • (
TreatmentPl •?C04 't?
Parks
? '? -
TOTAL
Permit No. Permit Nolder Date Talephone #
Plumbing
H.V.A.C.
Electric
r-
Softener
Inapection Date Insp. Comment9
Footings I ?
Footings II
Foundation
Framing
M ii???
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg. s2ty? ? S
Final Plbg.
Bldg. Final A .
CBI't. OCC. ?7ty( '[ iifEn 4 •• d'
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
PERMIT # -?
• ' MECHANI 4AL PERMIT '
6
' RECEIPT #
CITY OF' EAGAN -•
3830 PILOT KNOB R OAD, EAGAN, MN 55122 DATE
i
CONTRACT PRICE: ' PHONE: 454-8100
Site Address
Lot - Block Sec/S
yp
BLDG. TYPE WORK DESCRIPTION .?
.;?
Res. New _
Mult Add-on
?
`
` Name
Address Comm. Repair
-4
c
Ciry Phone - Other
FEES I
? Name RES. HVAC 0-100 M BTU -$24.00
c Address ADDITIONAL 50 M BTU - 6•00 '
p Ciry Phone (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PEHMlT) - 1.50 EA.
TYPE OF WORK COMM/IND FEE - 19'o OF CONTRACT FEE
Forced Air M BTU 'L APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPUES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 ?
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 # $," ' BEYOND $1,000)
Other $
FEE: ;
S/C: SIGNATURE OF PERMITTEE li
TOTAL:
FOR: CITY OF EAGAN
.
Site
Lot.
PLUMBING PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122
PERMIT # -
RECEIPT #
DATE:
Name
d ?
m Address %'7
c Ciry<^ • c Phone,-/ J
m
c
3
O
Name °_
Address
Ciry
Phone
? FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00) l
I
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
BLDG. TYPE WORK DESCRIPTION
Res. - New `
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
'• Water Closet - $3.00 S
? Bath Tubs - $3.00
Lavatory - $3.00 ?
=Shower - $3.00
? Ki!chen Sink - $3.00 ?
Urinal/Bidet - $3.00
? Laundry Tray - $3.00
T-
Floor Drains - $1.50
/ Water Heater - $1.50
Whirlpool - $3.00
? Gas Piping Outlets - $7.50
'
(MINIMUM - 1 PER PERMin
Softener - $5.00
Well - S10.00
Private Disp. - $10.00
3 _
Rough Openings - $1.50
FEE:
sTarE s/c:
,-. -
GRAND TOTAL• •- ?
. .Y' "
? CONTRACT PRICE
CITY OF EAGAN
3830 PtLOT KNOB ROAO, EACaAN, MN 55122
PHONE: 454-8100
Site Address
l
Block Sec/Sub
Lot -
? Name
Address '
B
c City Phone -
Name
?
c Address ? = •
3
p
City Phone ?
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
{ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
SIGNATURE OF PEIjMITTEE
CITY OF EAGAN
PERMIT # -
DATE: _
BLOG. TYPE WORK DESCRIPTION
Res. ?New
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
Water Closet - $3.00 $
Bath Tubs - $3.00
Lavatory - 53.00
Shower - $3.00
Kitchen Sink - S3.00
Urinal/Bidet - 53.00
Laundry Tray - $3.00
Floor Orains - $1.50
Water Heater - S1.50
Whirlpool - $3.00
Gas Piping Outlets - $1.50
, (MINIMUM - 1 PER PERMIn .
v Saftener - $5.00 Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE:
.'
,
? ?
? CASII RECtIPT ?
CITY QF EAGAN
3830 PILOT KNOB ROAD
.
' EAGAN, MINNESOTA 55122
J 1
19
, r
t AMDUNT $ -T"
's .`?,1
? ?
7 C
& DOILARS
'ao
O CASH CHECK
r`
VYhit-PaYeB CoPY
1?4 8?.?7 ° Y???
Pink-File Copy
Thank You --?? ---?-?-?--?---?----
/ r ;
? , .
BY
• ? ' '? • ?
.
0
• BLDG. PERMIT N0. i?f C?r ?J `
PL
01-3210 B1dg.Permii
01-3422 Plan Check
Q1-3445 Surch./Adm.
01-3446 SAC/Adm.
U1-2155 Surcharge
- +-7=3860 Road Unit
20-2275
20-38b5
20-3868
20-3716
20-2252
20-3713
20-3743
79-38b6
L1-3855
SAC
Water Conn.
Water Trmt.
Water Meter
Acct. Dep.
Water Permi
Sewer Permi
Sewer Conn.
Park Ded.
TOTAL
CITY OF EAGAN Permit No: 9381
3830 Pibt Kinob Road Meter No:
P.O. Box 21199 Reader No:
Eagan, MN 55121
Owner. ..GFl,'.'>I'f.ll Br09.
Site Address: ` , ' ????hbt1rY p
Conn. Chg:
Acct. Dep: -?
Permit Fee: 10•
Surcharge: •
Tr. Plant 2'4 •
Meter. 67•
Date: 3 -. 7 --S:
Size:
Date:
Zoning: 11
No. of Units: --
1 sgree to comply with the City of Eagan
Ordinancea.
WATER SERVICE PERMIT
CITY OF EAGAN Permit No: j15 2 9 Date: 3-7-88
3830 Pllot?Cnob Road B/p No: ?!67P Date:
P.O. BQx 21199
Eayan, MN 55121
3ros. '
Plumber:
P,ros.
L5 83 Blacl:` ^? c:?: , -
Zoning-
No. of Units:
I agree to comply with the City of Eagan
Ordinancea.
By
MWCC: -
City Chg: : . ?. . ,
Acct Dep: 25.
Permit Fee: ?r.
Surcharge: '
SEWER SERVICE PERMIT
(Itr#ifira#t of (Orrupanry
titp of eagan
acvttrtmMi af liutlbmg jwrrtinn
This Cerfiftcate issued pursuanl to rhe requirenrents of Section 306 of the Uniform Building
Code certifying that at the time of isstrance thrs structure wu in compliance with 1he various
ordiriances of the City regulating burlding construction or use. For llte following:
- ?.
Ux Cin?sifinaon ryF Ew, Bldg. Pormit No. ?'•
OocqWncS' Type P" ZooinB pwaict 7)rpe CmR
OwoerotBuilding LUNDGRIN ?:,f',?•• TI`„"Ill. Add,,. -135 E. WAYZAl[1 MI._ `•'??`.:??4?.:`.
&;Wt„g,+aa= L15+^.+ A???J!<4 :'r;CF: to,uty az
am: ?`4A1' ?/+, 1988
. awUnj offio.i - .
POST IN A CONSPICUOUS PLACE
Th,ti request void // // ??/
18 momhs fmm '?? ?? d6 O q? o O
? ° 4 4 ,C ?
Requesl f}iete " Fi p No. Rouph-in InsPCr.imn
Req rteA? p.,.
?Aeady Now ?yW?ll Nou1y Insper.-
a-1-8a ?i,s ?No ?tDr When Ready
Licensed Electncal Contractor I hareby repuest msoecLOn oi aEOVe
? Owner afectncel work installed et
Street Address, eon or Raute No. Citv
1604 Ashbury Place Eagan
ectinn o. Townshi0 Name or No. Range No. C
ounty
kota
Da
OccupantlPfllNTI Phone No.
Ho en
Power Supplier AdAress
Dakota Electric 4300-220th St.W., Farmington 55024
Electncal ConVactor (Company Name) Cnnhac?or?s License No.
Standard Electric Co. 40837
MailmB AdJress IContractor or Owner Making Ins1ailavonl
2672 a wood Dr. M ew d Mn 55109
Authonze Si ture ICOntta tor O e a Installa?ionl Phone Number
•484-8044
MINNESOTA STATE BOARD E CT ICITY THIS INSPECTION NEQUEST WILL NOT
Griges•Midwey 81dg. - Hoom N-191 gE ACCEPTEO 6Y THE STqTE BOAXD
1821 Univarsitv Ava.. St. Pxul, MN 65104 UNLESS PROPER INSPECTION FEE IS
pti p (RI21 662 OepO ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION 10 es-oo```oo??,i-os
? i See instroctiens for com0:e4ng thi'4 fmm on back of vellow cnpy.
g4q.05"x, seloW Work Covered by 7hfs Request ?
0,--
Nah4 Addj aeo. Tvae of swlaine Aooliancen wrtee Equipment wned
Home ftange Temporary Service
Dupiex Weter Heater Ltghhny Fiztures
Apt. Bwldmg ?ryef Hectnc Heatin
Commercial Bldy. Fumace Silo Unloader
Industnal Bldg. Air Conditioner Bulk Milk Tank
Farm otnur Soecrrv einrr l5nrutvl
, Mr Sucufy ther Other
omouie lnsoectlon Fee Below
p Fee ServiceErt,enceS¢e H Fee Feetlers/Subieeders N Fe Cir urts
0 to 200 Am s D to 30 Am s - 0 m 30 Am s
P.bove 2?0 p?n??y 31 to 100 Amps ? 31 to 160 A s
Swimming Pool Above 100_Amps Above 10 mln
Transiortners Irrigation Booms U Per , Dther
Signs Special InspecUOn S? fp OTA /
/J
Remarks /
?vv
NouBh"^ r
i ' - 0 el'? . the EI ac cal
I , herebY
certdy Ihet the above
Final - q,1e
(4, ? inspeet?0il hes been
mede.
TTia requesl voltl iB monlhs Irom
Tn,s ,Far?esi ?ma 2/?,
18 months f mm
D 94376 .? .?
vs-
I 8/ 9GCA
inspec??on
nre rvo. noupn-in (K
3_?Q ? p y RequireA7 PeadY Now ? WiII NolrtY Inscec-
? ? ?Yes mjJO tor Whon qeady
51 Lir.ensed Eleclncal Convactor 1 heraby re uest ina
Q pecbon of above
? Owner electncal work mstalled at
Sueet Address, Box r Poute Nn.
/?si?Q?iey Gtv
ectron o. Township Nome m Na. flnngu No. Iy
? /T/C?v ??
Occvpa
n
(PRINT) Phune Nn.
j
f
/
'
?T
?J r'_.N
Power $uPplier
.DgKorA (:r4-?O-,? A dress p
ElecUical Con[ractor (COmpany Name) Cnn[ractor's Licnnse No,
Standard Electric Co. 40837
Madme /lddress IConiractor or Owner Makine lnstailationl
2 Mn 55109
tallaLOnl Phone Number
484-8044
4
MINNE$OTq?STATE BOANO OF ElECT0.iCITY THIS INSPECTION NEQUEST WILL NOT
C+r.gBa•Midwav Bldg. - floom N•191 E ACCEPTED eY THE STATE 60ARD
7821 Univei Ave.. St. Paul, MN 55104 U LESS PROPEP INSPECTION FEE 15
Phone 1612) 602-0600 ENC LOSED.
REQUEST FOR ELEC71iCAL -19SPECTION eeq-oooGot-os
0 See inslmcUOn% for camp nUng this lorm on back o1 Yellow wC, O I/ Ol//
D 9 4 3 7 6 'X ' BeloW Work Covered by 7his Request
Add 1160. Tyoe ui Bw1Eing Aoplmncea Wired Equiument Wirerl
Home Range Temporary Service
Duplyx Water Heater LighUny Fixtures
Apt. Bwlding Dryei Electrie Heatin
Commercial Bldy. Fumace Silo Unloader
Industnal Bldg. Air Condrtioner Bulk Milk Tank
Ferm OUr, Speci v tht•r ISper.ilyl
t.r SVeufy ?her Oth?;r
Compute Inspection fee Below
N Fee Service EntrencaSiza H Fee Feaders/SUhfeeders k Fee Cucurts
?.? 0 to 200 Am s 0 to 30 qm s ? °- 0 tn 30 Am>s
Above 200 Amps 31 to 100 Amps 31 to 100 Am s
Swimming Pool A6ove 700-Amps Above 100_Am{?s
Transfnrmers Irngation Booms IJ Partia6'Other Fee
Signs Special Inspecbon 5/g ?
TOT E
em?rks J
Rough?n Dmt I, the
Inspector, heroby
cer?dy thet the above
I Final ( J
?ae?/y,y
d' `?? inspection has Gean
mede.
Thb reQuest volG 18 montha irom
, CITY OF EAGAN No- 14 6 5 5
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE:454•8100 Receipt # <J c? 1 (-0-1 S
To be used for SFIGAR Est. Value $116, 000 Date MARCH 4 ,1988
SiteAddress - 1604 ASHBliRY PL
Lot 5 Biock_3 Sec/Sub. SLACKHAWK GLEN 2N
Parcel No
w Name LUNDGREN BROS CONSTRIiCTION I
3 Address 935 E WAYZATA BLVD
° City WAYZATA phone 473-1231
o Name_
?Q Address
m
i- CitY-
?
W w Name_
w
iz. Address
aw CitY_
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applica6le Stale of
Mmnesota Statutes and Ciry of Eagan Ortlinances.
Signature of Permittee
A Bwlding Permit is issued lo:__IdiII` D(i$$P] _$ CON$T-
on the express condi[ion lhat al I work shal I be done m accordance wtlh all
applicable State of Minnesota Statutes antl City ot Eagan Ordmances.
Bwlding OfficialI ?MA (?Jr/,fA,_I i ii L
OFFICE USE ONLY
On Site Sewage - Occupancy R-3
MWCC System X Zoning R-1
On Site Well _ (ACtuap Const V-N
Ciry Water x (Allowa6le) V-N
PRV Required _.lL # of Storiea
Booster Pump _ Length _if]!
Depth 351
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit 626.00
Planner Surcharge 58.00
Council Plan Review 3.1.3.00
Bldg. Off. SAC, City jm, 0.0
Variance SAC,MWCC -5$0-O0-
Water Conn. 5 50 _ 00
, Water Meter _67 -9Q
RoadUni[ 3 ZS..on
Treatment P7 204.00
Parks
TOTAL 2,793.00
1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIDNS
NOTE: ADDRESSES FOR CORNER LOT3 - CONTRACTORlHOMEOWNER MUST DESIGN9TE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RE[VTAL UNITS FOR SALE UNITS
U DF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH HLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMMERCI9L
INCLQDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
,
To Be Used For: Valuation: ? Date:
Site Address Locto
Lot b- Bloek _3
Parcel/Sub
Owner ??ay ??o?_ co<v5?
Address 9?; ?ASf ?.U,rvz,v/R ,?J4??
City/Zip Code M'y 65-39/
Phone y73-1231
Contractor
Address ez"r(
City/Zip Code
Phone Y?1-%Z31
Arch./Engr. _
Address
City/Zip Code
Phone #
116,000" --
On site sewage_
MWCC system ?
On site well
City water ?
PRV required _
Booster Pump _
Oceupancy IC-03
Zoning K- !
Actual Const V-N
Allowable V-N
Ik of stories
Length 54'
Depth 35'
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr/Assess Permit Z(.,OD
Planner Surcharge ,SS . 00
Council Plan Review ? ,O O
Bldg. Off. =-3 13 SAC, City 100,00
Variance SAC, MWCC $5D. Du
Water Conn 55D?00
Water Meter 67• o0
Road Unit ,O O
Treatment Pl - p?y, pD
Parks
Copies
TOTAL ?
VALUATION
GARAG?
ZOX27,.= yypX I14 = 6I6O
2;ASE.1? EKi"i'
------------ a? X3?- 93?
I?x y=
12x13= ?s?
114D X 13= ly$zv
I sr F?„? ?
L>SMT r 1141?
2k1 = I?I
1 I S 4X 49 e 5G5 q(o
2NO R-aniq-
y6x30 _ ?8ox 49=3822-o
II
• • ` + ' ?? ? ? ? ? 69K ? ? .
?CONSi RUCl IOIJ - --- --- -
. IIJC.
r.co( • i2) L7 .: '
1,
WAYZHIA BOULEVNRD • 4'?HYZATk. IIiIhJIJC-SOTl+ -???' i ?'G
935 EAST
EY.7EP.IOP. ENVELDPE P.VEP.kGE U CO!IPU7AT]ONLot SBl oc?3
,
5ite Addr ss /
??ti?G??/ R U
i
R & U Factors
.p58
ppaoue 4lalls . .117
bJall Framing Areas
; 023
_
Ceiling Insulation Area -
.027
Ceiling Framing Area -
_04
Rin Joist 1e
I;asonry Wall
.26
:•lindows Double run9 = .4E
Casenencs
_18
--- Doors : .46
Patio Dobrs 47
Sidelites
1) Lo«er Level (Baserrent)
??
Total exposed wall area
1 x (U) .058
ppaque Wall Area -
(
U)
117
_
X .
lJood Frame Area
(U)
.04
=
-
J x ?
Rim Joist
( ? )
.14
Exposed bl ock
=
? u
?
? .46 ?-
Window Area Casement
Double Hung -X u 26
- x (U) .46
= _----
Sliding Glass Door
_--x
` (U)
.18
= ?-
Door Area i q
'
?
C.
Total
___
?
Dno(rcol,ISIRUC110f?
J. IIJC.
. WAYZATl+, I?TA SS391 • (612) 573-1231
935 EAST vJNYZA7F• BOULEVNRD
2} Ist or nzin floor
?
Total er.posed rtall area
ppaque wa11 area
41ood frame area
Rim joist
? 1•lindow P.rea {
? •
Sliding Glass Door
Door area
Sidelites
Casements
Double Nung
3) 2nd floor if 2 s'Lory
' 7otal exoosed wal7 area
ppaque wall area
kbod frame area
14indow area
Sliding 91ass door
Door area
4) Total ceiling area
Wood frame area
ppaque ceiling area
5kylight
C`
Casements
Double Hung
9Ux (U) .058
/L4 x
1??Lx
?x
?Z-bx
-?LX
/3 x
Total
(U) .117 = Zf2, Y
(U) .04
(U) .46 = _?-
(ll) .26 = ??• ?
(U) •46 = ??--
(U) •13 = lo?
(U) -47
??yX (u) .058 = 1 ?-5j?
?X (u) -117 _
?X ?U? .26 = ?r2-
?X (U) .46 = - - - -_
- x
Total (U) -18
-yx (U) -027 = ..3• 0?-
(U) .023 =
?-x (U) .55 =
Total
8S? 3
c
iA
• • • ? ?
B ? ?`? ?COI Cl RUCI 10(? -
L-'?J
_-----• ? tAIiJW[SOTH 553-51 • (612) 473'1231
935 EAST VJ/,YZNTA BOIJLEVhftD ?JAYZkTH.
x
I1inn. U Factors Tota1 er.posed wall area
area_zz<x •020 = ? . Le
I;inn. IJ Factors Total exposed ceiling
(A) Total - ?2O
Item 1 a t Item 2/30,/'S?} Item 3 J.3 } Item 4
? --If total of Iteris 1- 4 is less than Item (A), building
complies with SBC 6006 (C)s
C-
SURVEYOR'S CERTIFICATE SIENNA CORPORATIOPJ
N ?o ?
9
m % p
fS? ZN 90
\
\?O/
?; .
s3?e ?5, 0
, e
0=4
06
0?ry,
i
?
nO'J `O? / 0n'?? ?A9b p \.? ? /. 9• F
` / J v ?S s c? Ra ? ?e?
\ Jv ? m ?G? 6' 'N?? ?jiS ?9 pF \
'0 _?,s'6. -? •m+ ,?? g`L' °•
/ S \ ?g? ya •' ?
?°' `L
LOT 5 ?h ?1s ,yh AINA ?? PER PLAT' ? uT1LlTY EASEMENT +?.-
o /
?V9 ,0%lJ•
O0"
pxa
Z \ r
N 450 45'14"W4` `° -b/
36.46 ? "
(gy3.?
r.? ?-?i r_-n
??_Hl.f\J?_L_i ?
i?? i H?'Ui I i',)iv ?
- DENOTES PROPOSEQ SURFACE DRAINAGE SCALE: 1 INCIi ? 30 FEET
,O DENOTES IRON NONUMENT SE7
• DENOTES IRON MONUMENT FOUt1D PROPOSED GARAGE FLOOR - 937.8 FEET
(000.0) DElOTES PROPOSED ELEVATION PROPOSED TOPEOF aLOCK = F38.2 FEET
41E IIEREBY CERTIFY TO SIENNA CORPORATION TIIAT 7HI5 IS A TRUE AND CORRECT
REPRESENTA7[ON OF A SURVEY DF 7fIE Ii0t1NDARIES OF:
Lot 5 Block 3 BLACKHAWK GLEN 2ND ADDI7ION, according to the recorded plat
tliereoP, Dakota County, Minnesota.
IT OOES NOT PURPORT *TO SI{Old IMPROVEf1ENT30OH ENCROACIIpECEMQERF AN19 8? S SURVEYED QY
hIE OR UNQER MY DIRECT SUPERVI510N THIS QAY OF
SIGNED:
REVISED 2-22-88 TO SHOW PROPOSED HOUSE
BY LUNDGREN BROS. CONSTRUCTION, INC, DY:
PROJECT NO
85618
(88154)
/ PA
JAM5S ?R. 111LL, INC.
,(D'-/1•-
IiAROLD C. PETERSON, LAIIO SURVEYOR
hllNNESOTA LICENSE NU1•iDER 12294
JAMCS R. HILL, INC,.
253/04 I Planners / Engineers / Surveyors
FILE N0.
FOLDER
Bloominalon, Mn. 55431 E12-884-3029
9401 JAMES AVENUE -SOUTH
APFLICATION 1=0R PERMIT
1) PROPERTY ADDRFSS:
7,FY;AT• DESCRIPTION:
SEWER AND/OR WATER CONNECTIQN
oF eagan ?
/G o
, , ,.
.
? Ndl'E: PAYhfrIdf OF FEE AT TIME OF x
; nrrLICATzoN DOEs Nar coN- ;
; srilcrre nrexaanr. oF rr.ruuT. ;
. .
; inisrrMaa oe sEWEe nNn/oa wnzat :
; xcisrnuariaas w¢a, taom se scmcn.m :
[R71'IL PERKET HAS BE@I ApPAGVID•
#t;rf++isa?+tesxf?????t++?ras++k??+*?*
or
IF EXISTING STRUCT[)RE, DATE i
PRESENP ZO[VING/PROPOSID USE:
Q COMMSRCIAL/RETAIL/OFFICE
Q IAIDLSTRIAL
Q INSTITUTIONAL/GOVERN+ENT
NAME:
ADDRESS:
CITY, STATE, ZIP:
PHONEE
)F ORIGINAL BUILDING PERMIT ISSUP.NCE:
Nbnt Year
R-1 SINGLE FAMILY _-
? R-2 DLPLEX (Tao Cnits)
q R-3 TOWM0U5E (Three + Opits) ( Lnits)
Q R-4 APARTMENT/CONDOMINICM ( C'nits)
3) M:?: NAME:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
4)
?s'i'?63?p e ?•
NAME:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
5-,
MASTER LICENSE #
5) s ci''W aa?• : e .
COD]NECTION TO CITY SEWER CONNECTION 'PO CITY WATER O OTHE2
6) 1115rftTkN-A?
Lse
?lumoers 1.icense:
ij Active
Expired
Not recorded
St Initia
*?**?*«**?*?***???*?*****?**?*****?*??******,r??:?*:r**+********?*******?******??**:?*??*****.*****??**y
* THE GOLD COPY QF THE PERMLT WB,L BE SENT DIRFI.TLY TO FUBLIC WORKS TO FACILITATE MEPF12 PICR-UP. .'A
* PLEASE ALi,OW 1W0 WORKING DAYS F0R PROCFSSING. SOMEONE FROM TfIE CZTY WILL CONi'AGT YOU IF TfERE y'
* ARE ANY PROBLEMS. +
?***,?+*+***?+r*******?**,r************?***+*******?**?****,r**?**??**+,r******?***?*,c??+***xx**,rr******;
PERMIT # ISSUED
Pd w/Bldg. Permit
C
FOR CITY USE ONLY
FEES:
s f? • sd
SEWER PERMIT (INCLUDE SUF2CHARGE)
$ $ 52) WATER PERMIT ( INCLODE SURCHARGE )
$ WATER METER/GOPPERHORN/OL'TSIDE READER
$ $ WATER TAP (INCLODE CORPORATION STOP)
$ $ SEWER TAP
$ $ / ? ?O D ACCOUNT DEPOSIT - SEWER
$ S /,5?.l1 c1 ACCO(!NT DEPOSIT - WATER
-?'
$ WAC
SAC
$ S TRONK WATER ASSESSMENT
$ S TRUNR SEWER ASSESSMENT
$ $ LATERAL BE6IEFIT/TRII[+IK SEWER
$ ? LATERAL BE[VEFIT/TRUNK WATER
o"Q`1"
$ WATER TREATMEN
P
S
_ T
LANT
URCAARGE
$ S -0THER :
$ U
TOTAL
?/ ?a7 d"
RECEIPT l lL go?
RECEIPT ,
DOES LTILITY CONNECTION REQLIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
E-1 YES IF YES, THEN A"PERMIT FOR WORK WITHIN PIIBLIC
Q
NO ROADWAY" MUST BE ISSUED BY THE ENGINEERING
DIVISION
. LIST AS A CONDITION.
SDBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY;
TITLE;
DATE ; ? f?
BUILDING
To be used for :
CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-81 QO
IMIT Receipt #
''G-, A R Est. Value ii;,.JQa Date 14"C=i 4 ,19 <,6
SiieAddress 1604 1?SHBURY P?
Lot 5 Block 3_ Sec/Sub.
Parcel No.
c Name 1.lND(;REN 8R05 COl18TR1TCT1ON
z Address 935 E WAY7.IITA BLVD
° City •'W'AYZATA Phone 473-1231
o IName SANN
oQ Address
P City Phone
Name _
Address
City _
Phone
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 ol Eagan Ordinances.
Signature of Permittee Y _-
-
A BuilQing Permit is issued to• LUN?RU4 $A8 Cm'Y
on the express condition that all work shall be done in accordance with all
applicable^State of Minnesota Statutea and City of Eagan Ordinances.
Building Official _-
On 51te Sewage Occupancy R-3-
MWCC System Y Zoning a--1
On Site Well (Actual) Const Y-t'1
City Water X_ (Allowable) V-Z1
PRV Required # of Stories
Booster Pump Length
Depth 3 '
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit 628•00
Planner Surcharge 5$•00
Councit Plan Review 313.00
Bldg. Off. SAC, City 100000
Variance SAC, MWCC 550.00
Water Conn. 550.00
Water Meter _ b 7. QU
Road Unit 325.00
Treatment P1 204*00
Parks
TOTAL 2'793'00
,.
L ? BL CITY USE ONLY ? S
RECEIPT #:
SUBD.,(,???a,(`.,?1oGaurC' DATE: rI S
1995 PLUMBING PERMtT (RESIDENTIAL) 172,Z
CITY OF EAGAN 3830 PILOT KNOB RD
EAGAN, MN 55122 .
(612) 681-1675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES
Shower
Water Cioset
Bath Tub
Lavatory
Kitchen Sink
Laundry Tray
Hot a
Wate a er rain
Gas Piping Outlet * minimum - 1
Rough Openings
Water Softener
Private Disposal " Dakota Cty. license
U.G. Sprinkler * home under const.
Alterations ` to existing
Water Turn Around
EACH NO.
3.00 x
3.00 x
3.00 x
3.00 x
3.00 x
3.00 x
3.00 x
3.00 x
3.00 x
3.00 x
1.50 x
5.00 x
20.00
3.00
20.00
20.00
STATE SURCHARGE
TOTaL
SITE ADDRESS:_
OWNER NAME:-
INSTALLI
STREET ADDRE%c
CI7Y:
PHONE #: (
? Z
11 TOTAL
-
.50
?. Sd
HGGRt9
ifiUd R;HBUR5' PLRrE
EFGFN , 55122
H 4 '4 -?:gC+ w
I:E•J I fl
STATE: ZIP: `
OFFICE USE ONLY
L _ BL _ RECEIPT #:
SUBD.
DATE:
1995 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? ali commercial/industrial buildings.
w multi-family buildings when separate permits are = required for each dweifing
unit.
DATE:
CONTRACT PRICE:
w[)RK TVPF: _ NEJV CONRTRUCTION _ AIID ON _ REPAIR
DESCRIPTION OF WORK:
IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING:
WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED? YES NO.
FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE.
WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? YES NO.
IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT.
FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per
$1,000 of permit fee due on all permits.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL
Sill R.^..^.RE85:
TENANT NAME:
OWNER NAME:
INSTALLER: _
ADDRESS: _
cirv:
OJ
PHONE #: HrtMi
"r --%
OFFICE USE ONLY
I METER SIZE: DATE:
STE. #
POPrTB+M ZIP:
APPLICANT
INSPECTOR:
,o6)o4 MECHAIVICAL (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete for: Single Family Dwellings
Townhomes and Condos when pertnits aze required for each unit
?W30 • sD
Date --\-\,/ vq?_ /k--) -3
Site Address Unit #
S
Property Owner Telephone # (LS?
Contractor - ? ?
Street Address City
State ?\v Zip Telephone #M S7-) ?? -
The Applicant is _ Owner Contractor _ Other
Add-on, moditicatiou or alteration to existing dwelling unit $ 30.00
V furnace replacement
air exchanger
air conditioner
other
State Surcharge $ 10
Total n
9
nr
? ?i ?
I hereby apply for a Residential Mechanical Permit and acknowledge that the information ? complete and accurate; that he work will
be in conformance with the ordinances and codes of the City of Eagan and with [he Mec 1 Co • this is not a
permit, but only an application for a permit, and work is not to start without a pemut; tha work will be in aceordance with the
approved plan in the case of work wluch requires a review and approval of plans. '(? N
ApplicanYs Printed Name Applicant's Signatw?e
MECHANICAL (COMMERCIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX 4 651-675-5674
Please completc for. commercial/industrial buildings
mul[i-family buildings when sepazate permits are not required for each dwelling unit
Date
Site Address Unit #
Tenant Name (if applicable) Previous Tenant Name
Property Owner Telephone # ( )
Contractor
Street Address City
State Zip Telephone tl ( )
The Applicant is Owner Conmactor Other
Work Type
_ Newconstruction UndergroundTank _Install _Remove
_ Interior Improvement Call for inspection during installation/removal of tank
Processed Piping
Nature of Work:
Permit Fee $50.50 Minimum Fee (includes Sinte Surcharge)
Conuxct Vaiue $ x Al% _ $ Pemut Fee
• Ifpermit fee is $1,000 or less, add $.50
If perntit Fee is over $1,000, add $.50 per =:tl $ State Surcharge
$1,000 Pemut Fee
$ Total Fee
i nereny appiy tor a Commercial Mechamcal 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 pertniy and work is not to start wikhout a pemut; that the work will be in accordance with
the approved plan in the case of work which requires a review and approval of plans.
Applicant's Printed Name Applican4s Signature
Approved By: ,Inspector Date:
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
TelepLone # 651-675-5675 FAX # 651-675-5694
*n. p0
New Comhuction Reauirements RemodeliRe air R uirements OiFCe IJse Onlv
3 registered site surveys showhg sq, ft. of lot, sq. @. of house; and all roofed areas 2 copies of plan Ced of Survey Recd _ Y_ N
(20% maximum lot coverage allowed) 1 set N Energy Calculations for heated additions Tree Pres Plan Reoi _ Y_ N,
2 copies of plan showing beam & window skes; poured found design, etc. 1 sRe survey for add'Nons S decks Tree Pres Required _ Y_ N
7 set of Energy Calculations AddBion -indicate iYon-sRe saptlc syslam On-site SepUc System _ Y_ N
3 copies of Tree Preservation Plan if lol plalfed after 711193
Rim Joist Defatl Options seleclion sheet (buildings with 3 orless unils)
Date ee
Constructian Cost "-
Site Address UnidSte #
Description of Work JGa df 3,. ? A?
Multi-Family Bldg _ Y 1C N Fireplace(s) _ 0 2
Property Owner Telephone # ( )
Contractar ? ar.t ..4w?
Address v 33& w- CUa,in, CirY b7/ptj
State tNL-_ Zip 5"S167 Telephone# (G7( ) aa? vpcF
COMPLETE THIS AREA ONLY IF CON8TRUCTING A NEW BUILDING
- Minnesota Rules 7670 CateeorV 1 _ Minnesota Rules 7672
Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 su6missiontype) Submitted Submitied
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone #(
Telephone #{
I here6y 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 without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
... .l-----_
approval of plans. r;-; 1 C?' ?- n?
I1 I II
lCao4VF?tLhc ?c.2?uza_ j'11_ ?3-erccacccf ?. .. n n ?nP.?
Applicant's Printed Name ApplicanYs Signature
?_???
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
? 02 SF Dwelling ? DB 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 6ct. Ait - SF
O 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) O 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Stortn Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolisti Inte'rior ? 44 Siding
0 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building" E 43 Reroof O 46 Windows/Doors
El 34 ReplaCement "Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation G oc?. ov Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings(new bldg) _ FinaUC.O.
_ Footings (deck) _ Final/No C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
RooF _ Ice & Water _ Final _ Pool _ Ftgs _ AidGas Tests Final
_ Framing _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
`?U, av
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA141688
Date Issued:03/24/2017
Permit Category:ePermit
Site Address: 1604 Ashbury Pl
Lot:5 Block: 3 Addition: Blackhawk Glen 2nd
PID:10-14351-03-050
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
James Meyer
1604 Ashbury Pl
Eagan MN 55122
(651) 454-3122
Jake The Plumber
255 Roselawn Ave E, #43
St Paul MN 55117
(651) 212-5253
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA150374
Date Issued:07/05/2018
Permit Category:ePermit
Site Address: 1604 Ashbury Pl
Lot:5 Block: 3 Addition: Blackhawk Glen 2nd
PID:10-14351-03-050
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
James Meyer
1604 Ashbury Pl
Eagan MN 55122
Bob Boldt Hvac
7300 Hudson Blvd N Ste 200
Oakdale MN 55128
(651) 454-7760
Applicant/Permitee: Signature Issued By: Signature
!
EAGAN
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-56461 TDD: (651) 454-85351 FAX: (651) 675-5694
engineering ( .citvofeagan.com
General Information
Permit Number:
Date Received:
FOR CITY USE ONLY
Applicant: P4 rtL 1 Gl1# M 6 W r GSOC Reg. #:
Address:lt�Pi� P�.Ift:5(7
City: ��/�G�i State: /t-rN Zip: 5 /a
Contact Person: /47- Title: /yv�nz G��1Nc�
Email r"eve`•iu-ze. j" C dtorm4 l , Cvm Phone:G 7-ysjy- 3/a Fax:
Contractor (if other than applicant): GSOC Reg. #:
Contact Person: Title:
Email: Phone: Fax:
Location: 14,r l A4 6&,,4 �'L �� . /N/N
(Street, property4i0ddress or legal, or distance and direction from nearest public street intersection)
Excavation Information
Start Date: Completion Date:
Purpose of Construction: New ra Repair ❑ Replacement ❑ Other ❑
Type of Excavation: Trench ❑ Hole Plowing ❑ Boring ❑ Other ❑
Joint Trench Construction: Yes ❑ No
Lane Closures Required: Yes ❑ No)d Detour Required: Yes ❑ No %
RNV Area being disturbed: Street Surface ❑ Curb/Gutter ❑ Sidewalk/Trail ❑ Boulevard ❑
Additional information: A;5 regktst is 4" o e J c,ZGG Lf/le Z -4y ,4 ,I, /7awle.et_`
I h sr __. -f- ---t- /7-W;') 11'?_1- - C — i+ V2 --f s�t of g? 44�-r r. I
The undersigned herewith accepts the terms and conditions of this permit by the City of Eagan as herein contained and
agrees to fully comply therewith to the satisfaction of the City of Eagan. The undersigned also declares that helshe will
comply with all relevant City Ordinances and all Right of Way Regulations.
Signed: (1c�'_�- �"` Title: 4x>1e 4Zo4et- Date: Y t 302
..................................................................................................................
FOR CITY USE ONLY A /,n
Financial Security Amount: $ /E/1✓ Type: Receipt No.
(Cash, Bond, LOC, etc.)
No.
R.E
ZATION OF PERMIT
APPROVARTMENT OF PUBLIC WORKS
BY: 9
DATE:
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for an email update on the City's website at www.cityofeagan.com/subscribe.