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3673 Ashbury RdCITY OF EAGAN Remarks 0 / V ?a 5? 9 Addition Blackhawk Glan ist Lot b Bik 2 Parcel 10 14350 040 02 Owner Street 3673 Ashbury Road State Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 1076 1986 253.48 50.70 5 STREET RESTOR. GRADING SAN SEW TRUNK 1970 6.70 25 Pd prior to division SEWERLATERALBn 07 1R86 22.42 S WATERMAINBn 1075 1486 92.80 18.55 5 WATER LATERAL WATER AREA 1072 1986 309.40 61.88 5 Storm Sew Trk 1073 1986 110.91 22.18 5 STORMSEW TRK 732 1983 32.57 15 STORM SEW LAT CUFIB & GUTTER SIDEWALK STREET LIGHT WATER CONN, BUILDING PER. SAC PARK W21EAGAN nob Road 199 Eegan, MN 55121 Zoniny: Owner. ?s r: ?t 13ros. llddross: Stte Mdress: ? Plumbar. 1 NWw N, 6 83D 5 ?ze; -_:,..,elio4til WATRR SERVICE PERMIT PERMIT NO.: DATE: No. of Units: aQ L4 tS"l rilac I qn. ie .oWAPy wkb !w 0t? .i ona...e... REQU??D ??: Totci: By Dot. Pald: _ Daha of Irnp.: Irop.: 50nd CITY OF EAGAN 3830 Pilot Knob Road P. O. Box 21199 Eagari, MN 55121 Zaninp: Ownsr: Addren WATER SERVICE PERMIT PERMIT NO.: . DATE: . No. of Untts: SK'! /+dd/fSS: !g8?,.,;•l?U? :?_Y . nOa-, -? . f.j PlLwnber. l _ MeMr No.: Connetfian Cho?fle: Size: Acaount Deposit: ?l Reoder No.: Pertnit Fee: - 1 qrw Io ?Pyr MriNi tw Cifr of Ea"¦ Sur+dwrpe: OrltwMOar. Misc. Charpas: ToRal• BY Dote Poid: Date of Insp.: Intp.: CITY OF EAGAN SEWR SERVICE PERMR 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: Eagen, MN 55121 pATE; Zo?+inD: No. of Units: Ownsr. - Addrou: _ Site /lddress: Plumber: _ 5-19--86 62581 A7 R1 100. 1elm [e eewb wMr !iw G!p of iqp• Conrnctlon aapr. Or/IMweM. Auarrt Deposit: Pomdt FN: BY Dote of Irop.: Surcharpr Misc. Chorpss: Totol: Dah Pioid: 452-6102 DUILDING PERMIT I9IED 6/29/37 CITY OF EAGAN Pibt Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 Receipt # Qoo 1 r n 11975 Site Address 3673 A.S11BURY RD Erect 0X Occupancy 3 Lot 4 Block 2 Sec/sub. BLACK 1fAWK GLEN Remodel ? Zoning L Parcel No Repair ? Type of Const!VE.; . Addition ? No. Stories W Name Z'U`?DGRLiy B}tO..' COy ST Move ? Length 45 ; 935 1"' V+AYGA"TA IiLV Demolish D ? Depth ° Address Int Impr. ? Sq. Ft. City itiAY2:1TPphone 473-I23 1 Install ? = o Name ?°y 0 Address ?- ?:.., ??,...,. U? W W ? W v? ¢z Q W Signature of Perm A Building Permit is issued to: all work shall be done in accordance Building Official Police Fire _ 37 Eng. Water Conn. z, u v. u u Planner Water Meter 63.50 Council Road Unit 29U. 00 3tion and statethatthe Bld Off. 5/14/8 Tr. PI. 156 •?% u all applicable State of g' es. APC Parks Var. Date Copies Totai 52,29 6.75 P3 HROS CUNST on the express condition that :able State of Minnesota Statutes and City of Eagan Ordinances. ' PermN No. Permlt Holder Date Telephons # IElectric ? / 5 Ip ILi'fr 6 1 x/CJ' ? C! ?-?9,-)C:;) Comments I 11 Plbg. Finsl PIb9. Bldg. Final Grt. Oec. ' Dack Ftp. 7b ? . ., INTRACT PRICE ? Site BloCk W PERMIT # PLUMBING PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: _ ,,. l PHONE 454-8100 TYPE WORK DESCRIPTION ?y Name .q Address c City Phone .. Name --2'6us?,1- 3 Address p City Phone FEES COMM/IND FEE - 196 OF CONTRACT FEE MINIMiJM - RESIDENTIAL FEE MINIMUM - COMM/IND FEE STATE SURCHARGE PER PERMIT (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) OF - $10.00 - 20.00 - .50 ' FOR: CITY OF EAGAN Res. New Mult Add-on Comm. Repair Other FIXTURES TOTAL -1--Water Closet - $3.00 $ Bath Tubs - $3.00 Lavatory - $3.00 ? Shower - $3.00 LKitchen Sink - $3.00 Urinal/Bidet - $3.00 Laundry Tray - $3.00 ? Floor Drains - $1.50 Water Heater - $1.50 Whirlpool - $3.00 / Gas Piping OuUets - $1.50 Softener - $5.00 Well - $10.00 Private Disp. - $10.00 O 3 _Rough penings - $1.50 FEE STATE S/C: GRAND TOTAL: ities Digital Oualitv Contro The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. ? . . ? • '.5 /, SCG. PERMIT # MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: _ oWnuF- eGe_aInn Site A d ess Lot Block m Name ? Address c City P Name L c p Address Cit ? Ph y one _ TYPE OF WORK Forced Air ?-1 M BTU Boiler M BTU Unft Heater M BTU Air Cond. M BTU Vent CFM Ga.s Piping Outlets# Other f BLDG. TYPE WORK DESCRIPTION ? Res. ? New Mult Add-on Comm. Repeir Other ? ?- ? ?- ? ? FEE ? J7 S/C: TOTAL: " FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 GAS OUTLETS - 1•50 EA. COMM/IND FEE - 1% OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - 10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $50 S!C IF PERMIT PRICE GOES BEYOND $1,000.00) ? , •. GC. I_-2 _J' 1 II SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN . CI7'Y OF EAGAN , .. 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, M A? N 55121 ?`1 2 11A?7c J 1 J PHONE: 454-8100 ? BUILDING PERMIT 62- (P? I Rece ipt p To be usetl for SF DWG/GAR Est. Value $103 , 0 0 0 Date MAY 19 1s 86 3673 ASHBURY RD $ite Address Erect ?` R3 Occupancy Lot 4 Block 2 Sec/Sub. BLACKHAWR GLEN Remodel ? Zoning Rl Parcel No. Repair ? Type of Const Uil . Atldition ? No. Stories w Name LUNDGREN BROS CONST Move ? Lengih 45 3 Address 935 E WAYZP.TA BL\7D Demalish I I ? ? Depth ?? F S ° nt mpr. ?i WAYZATA ry Pnone 473-1231 Install ? q. t. o Name- ? a Address ? Phone ? W Name DESIGN ETC Address 5735 DONKIRK LN `w c;ry PLYMOUWA,e 559-2637 Iherebyacknowledgethatlh ereatlthis information is correct and a ee?to compl Minnasota Statutes antl Ci f?6gan Orc Assessmeni Water 8 Sew. Police Fire Eng. Planner Council andstaje{hatthe ?plica?lle $tete of gld9. Permit a eev.?v Surcharge 51.50 Plan Review 220. Z 5 SAC 575.00 Water Conn. 5 0 0. 0 0 WaterMeter 63.50 Road Unit 290.00 rr. PI. 156.00 ??- Var. Date Copies $ Z? z 9 6. 7 5 Signature of Permitte Total A Buildin Permit is issuetl to: LUNDGRE i BROS f ONST 9 on the express contlition that all work shall be done in accordance v ith all ' a61e S ate of inne tatutes and City of Eagan Ordinances. Building Oflicial ? ^/ 181mon hs trom 1d ? 3 C15621 z-q, poa:??? Request Uaie Pire No: Fough-in InspecUOn Hequired7 ,?Reatly Now Q Wiil Noiifv Insoec- ? ? ?Ves AVNO tur When Reatly ?Licensed Eleclrical ConVncmr I hereby reQUest insoaction ot ebove Ownei eleclricel work installed aC Streei AGdress, Boc or floute N Ci 6 ecvon o. 7owns ip Nama or No. fianBe No. Coo Occ ent IPflI TI Phone Na. ower Sup Address El I l Con actor om amel owN Contrar.mr'sLicse No. l 77 14 C o C MailmO AdJre ss ( nvactor or Owner MakinB Ins[aila ionl / Aut riz d Signa[ure ICO uactor ne! MakinB ?nstallatio Phone Number -3 MINNESOTA STATEVOARD OF ELECTPICITY T„IK INSPECTION REQUEST WILL NOT Griggs-Midwey Rldg. - Noom N-791 BE ACCEPTED BV THE STATE BOAND 1827 Universitv Ave-. SL Paui, MN 65704 UNLESS PNOPEN INSPECTION FEE IS pl,,,,e 16121 297?111 ENCIOSED. ?; SQUESTVFOR E LEC ?TR?ICA? INSPEC TIONck oi vaiiow covv. UJ N" Below Wak Covered 6y 7his Request ee-ooooi-oa N-T A.O TR.p TTy.. of Builtling Applioncea WimE Equiumanl WireA Home Range Temporary Service Duplex Water Heater Lightin,y Fixtures Apt. BuilAing Dryer Electric HeaLn Commercial Bldy. Fumace Silo Unloader. Industrial Bidg. Air Conditioner Bulk Milk Tenk Farm Other peci y 11,er ISn,'ifyl ? e? ucu y i er Oth.r Compute Inspection Fee Below M Fee ServiceEMmnceSiza tl Fea Feaders/Subieetlers # Fae Circuits / 0 to 200 Am s 0 to 30 Am s 0 to 30 Am Above 200 qinpy 31 to 700 qmps 31 to 100 A 5 Swinvning Pool Above 100_Am s Above 100_Ampa Transtormers Irrigation Booms Partial.Other Fee Signs Special Inspection $ no emarks ? g o?? , ?-- HouBh-in Da[e I, emrical Insvecbq hereby ? certify thxt Me abova Final ingpection hes Eeen made. Mie reouesl voiE 18 monihe trom This request void ? - '3 0 _Si( .., 18 months Imm ?? ?l ( 29202 L-1-r D1 /-O (O censed Electrical Conlractor Owner ? ?. - Yes ?No 5 NuwjjjrWill Notily Inspeo- tor When ReaOy I I hereby requast insoection ol ebove electrical werk installad at: Sveet Atltlress, Box or Floute o. Cit ectioii o. Township Name or No. RanBe No. o y C / -? N Ocw tfPRINT) Phane No. vJ,3-4213/ wer Sup 'ee Atldress l Coraclor (C a ec amel Cnnna(Aor's License No. l Mai m0 /ldtlress (CmVactor or O wner Making InStallatioN ? Auth iz Sig^aWre I ractoJ wnar Making Insta ation) Phone Number ? MINNESpTq STATE BOAND OF ELECTNICITY Grie9s-Midwey Blde. - Room N-791 7821 University Ave., SL Paul, MN 55700 Phone (612) 297-2111 THIS INSPECTION NEnUEST WILL NOT BE ACCEPTED eY TME STATE BOARO UNLE55 PflOPER INSPECTION FEE IS ENCLOSED. REQUEST FOR ELEC7RICAL INSPECTION ? ee-oooot.oa oSeo inslructiona lor comple<ing this twm on back of vellow eooY. C 2,9202 "x" Below Work Covered by 7his Request ? yr?7 (p AAtl fleD. Type of Builtline Aooliancea Wired Equipma.t WireA Home Range Temporary Service Duqir,x Water Heater Liyhtiny Fiztures Apt. BuilAing Dryer Electric Heatln Commereial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Otner oeci y Otbnr 15nociry) t,r Succi y ther Other Compute lnspection Fee Below p Fae ServiceEntrence5iie tt Fee Feeders/5obtaeders # Fee Circuits 0[0 200 qm s 0 to 30 qm s 0 tn 30 Am A bove 200 Amjr? ?. 31 to 100 Amps 31 to 700 q 4 ming Pool Above 100_Am s Above 100_P,m s iormers Irrigation 8oorcis Partial.'Other Fee . SpeCial InSpeCtion S TOTA emarks EE ^ ? - W V PouBh-in / _ , Di> G(p? I, the lecvic U (p ??? Inspectaq ereby certily thet the above Final D?jA? inspection hes baen / . ? b k-kof mede. TMa request.roiC 18 montlu Irom -TS"; 13 soos RESIDENTIAL PLUMBING PeRMtr apPLIcaTIoN CITY OF EAGAN 3830 PILoT KNOB ROAD, EAGAN_MN 55122 651-675-5675 Please complefe for modifications to exis#ing residenfial dweliings. ?,s so Date 092306 / D _ 673 ASHBURY ROAD Site Street Address EAGAN, MN 55122 Utllt # (651) 454-0680 Property Owner Telephone # { ) Con{rac4or NprDtL`YY1 Puyj'j'l,b[ r Gi 7elephone# ((0l2) 827-?10?3 Address 2`lO5 elQ;f-f? e(,d }-/, 4j CityTS State ZipE6q og The Applicant is: _ Owner Y Corrtractor _Other Sept3c System _ New _ Refurbished Submit 2 sets of plans and M?C license Inckudes County fee $ 100.00 " Per as-built $ 10.00 Alterations to existing dweliing $ 50.00 _ Add plumbing fixtures. This fee inciudes installation of a water softener and/or water heater at the same time. If you are lnsfalling onlv a water softener artd/or Water heafer, do not compiete this section; move to the neut section and check the appiiance(s) you are installing. _Septic System Abandonment " _Water Turnaround (add $130.00 if a 5!8" meter is required) Other: _ Water Softener YWater Heater $ 15.00 ? _ new replacement • _ Cawn Irrigation _RPZ _PVB -new _repair ,rebuiid $ 30.00 State Surcharge $ .50 Totai $ , rj 5n 1 IICIGtIY appry iur a rteswennai riumoing rermrc ana acXnowledge that the information Is campiete and aCCUrate; that the work wiii 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 n t to siart without a permit and work wili be in accordance with the approved pian in the event a plan is required"to be vi ed apd approved. jefl--reV L_ N o rt?l orri, ApplicanYs Prin d vame ApplicanYs Signature v' CITY USE ONLY PERMIT #: ??Zl6 ?3.(/ RECEIPT DATE: USIDENMALL 1VIECfiANICA1. PEgM1T APPI1CFtTION crrY oF EAsax ssso Paor KNos au EALsMixx 88isQ 651-681-4675 Please complete for: ? single family dwellings townhomes and condos when permits are required for each unit Date: gl WI b, SITEADDRESS: 1'I 5(--) 6U T OWNER NAME: TELEPHONE#: 06V `" (AREA CODE) TELEPHONE #: INSTALLER NAME: .. ? i?„i :E: M;vN cr.r;: ? i !s, M ti 554c3-2998 STREETADDRESS: u'''`JZ4'23,56 CITY: STATE: DlIninc a n6n,4 ri?ar4 ncv} }. }Ma ncrmi# wnrlr 4vnn ZIP:. New residential dwelling unit under constructionand not owner/occupied $ 70.00 ? Add-on, modification or alteration to existinq dwelling unit $ 50.00 . furnace replacement . air exchanger . air conditioner • other Nature of work: Giif( State Surchar e $ .50 Total $-50- 4-;E) Reminder: Call for irispections. (AREA CODE) CITY USE ONLY PERMIT #: RECEIPT DATE: APPROVED BY: , INSPECTOR COMbiERCIlkL M£CH4NICi4I. P£$M1T ?PPLICATiON CI'CY oF £AiH14N S$SO PILOT KftOB iiD E48lk16, bIA 55122 651-6$1-4615 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: SITE ADDRESS: OWNER NAME: PHONE #: (AREA CODE) TENANT NAME (IMPftOVEMENTS ONLY): WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: ADDRESS: PHONE#: - (AREA CODE) CITY: STATE: ZIP: WORK TYf'E: New construction Install U.G. Tank _ Interior Improvement Remove U.G. Tank _ Processed Piping Specify Nature of Work: When installing/rernoving underground tank, cal! 651-681-4675 for inspection by Fire Marshal and Plumbing Iinspector. Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater. Underground tank removaUinstallarion = munimum Fee Contractprice: $ x 1%= $ (Base Fee) State surcharge calculate at $.50 for each $1,000 Base Fee TOTAL $ SIGNATURE OF PERMITTEE Updated 1/Ol ? + S 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED MITH THE CITY OF EAGAN INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY ?e,?? ?op =?Aluation: SET OF ENERGY CALCUONS To Se Used For: ???,? Date: LAT/I e & Site Address: ?J,'3 ?j? ' ?/??, , OFFICE USE ONLY Lot: -y- Block a Sect/Sub ? Erect ? Occupancy .? Remodel Zoning Parcel N Repair _ Type of Const Enlarge - I! of Stories ? owner Lundgren Bros. Construction, Inc. Move Length Demolish Depth Address 935 East Wayzata 6oulevard Grade Sq Pt City/Zip Code Wayzata, Minnesota 55391 Phone 473-1231 APPROVALS Contractor Lundgren Bros. Construct1on, InCAssessments Permit Water/Sewer Surcharge Address 935 East Wayzata Boulevard Police Plan Review Fire SAC City/Zip Code Wayzatd, Minnesota 55391 Engr Water Conn Planner Water Meter Phone 473-1231 Council oad Unit L-r -c?n+ Bldg Of? Parks Arch./Engr. APC Treatment Pi Variance Address ? TOTAL City/2ip Code r Phone Il S?? - a(o 3 7 ?? ,?b LI17-D 4LV•Z? 75.? ?oa cv -d ?ao Crs a a ?6. 7s_ 26 62 - jGr?' ? 1*/= ? 2037- ? . -aSURVEYOF?'S , CERTIFICRITE SIENN]l CORPORATION • • . -493Z.o_ ? J ASHBURY ROAD Q=6036'20" R=620.89 - ? 71. 58 e3t.?? ----- ? oy ? M g? M i?r 0' 5 p, 4 ?'183v:?'j? 1 ? p?r,973.33 ? --i-r---- - 834.ai -- ? , '•15.00' ; r 20.50 14.12' ? -? I •'(834,0) ?/ o ? o /? / GAR.?cJ N Z o M PROPOSED HOUSE ? N p = wi 0/ w O / N ? M ' LI) 10.0 5 22.50 ? • IZ37S34y 533.i "Z 16.26 ^ ?N .-? Q. 2 co LOT 4 ? ?-- \. ? _ ? 1? ORA/NAGE I r . -+ I 5 fAS£,y??.NT AER PL9T ?\ \ J. ?' ?' S I 1 ? -? yo.91 se 22'o.r „ w -- ?:..--? - ED SURfACE DIdAINAGE -? UENOTES PROPOS SCALE: 1 INCIi = 30 FEE7 O • DENOTES UENOTES IRON MONUMENT SET IRON MONUMEN7 FOUNU pROPOSED GARACE FLOOit = 831,3 FEE7 X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST PItOP05ED 70P OF fL00R = BLOCK = 8Z7.3 834•1 FEET FEET (000.0) DE!IOTES PROPOSED ELEVATION b1E FIEREBY CERTIFY TO SIENNA CORPORATION IZEPRESENTATION OF A SURVEY OF TIIE BOUNDARIES OF: TFIAT THIS IS A TRUE AND CORRECT Lot 4,Block 2. BLACKHAWK GLEN 1ST FlUDITION, according to the recorded plat thereof, Uakota County, Minnesota. IT OOES NOT PURPOR7 TO SHDW IMPROVEMENTS OR ENCROACHMENTS, IF ANY. AS SURVEYED 4Y IIE Oft UNDER MY DIRECT SUPERVI5IUN TfI1S 13rk DAY OF Nav. , 1985. SIGPiED: J)R H1LL, INC. REVISED 4-30-66 TO SHOW PROPOSED HOUSE 6Y LUNOGREN BROS. DY: ,>_??1? IIAROLD C. PETERSON, LANU SURVEYOR . MINNESOTA LICENSE NUMaER 12294 PROJECT N0. I BOOK / PAGE 85618 (86588) I /67/2z-z3 FILE N0. FOLDER JP?iUIES R. HIL.L, INC. Planners / Engineers / 5urveyors 8200 Flumboldt AvanuO &oulh Bbornlnpton, Ma 65431 012-1384-3028 Cities Digital ? 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. ?CONSIRUCTION • V?NYZAT!'.. I?JhJlJES07P. 55351 • (6i2) 47,'S'1J,°il 935 EAST vJAYZH7A EOULEVNRD EY.7EP.IOP. ENVELOPE P.VEP.r.GE IJ COmPUTF?T ON 3? ?3 • ? B1 ock? - Site Address ; R 8 ppaque Walls Ylall Framin9 Areas ?. Ceiling Insulation Area Ceiling-Framing krea Rim Joist hSasonry Wall !dindows Double Hung Casements Doors patio Doors i Sidelites • 1) Lower Level (8asement) Total exposed wall area Opaque Wall Area lJood Frame Area R u .058 .117 .023 .027 .04 Rim Joist Exposed block Window Area Casement ` Double Hung Sliding Glass Door Door Area C .14 .26 - .46 .18 .46 _47 ,??o?O /?Sx (U) -058 = __zo •=99L ??oX (u) -iv = a 3` - x (U) -04 = __- ?X ( U ) .14 = ?-1--l?- ?ILx (U) .46 =x (U) -26 -X (U) .46 _x , l (U) -18 = ? Tota - BRO(CCONSIRUCIION ------- . VJNYZNTA, NINIJESOTA SS391 • (612} 473-i231 ?35 EAST ?'dqyZ/?7!-. EOULEVf+RD 2) ist or rain floor Total exposed wall area ppaque %•;alti area l•tood frame area Rim joist i l•:indow P,rea . ; ? ? Sliding Glass Door Door area Sidelites Casements Double Nung 3) 2nd floor if 2 s- Lory ' Total exoosed wall area ' Opaque wall area I Wood frame area t•Jindow area Sliding 91ass door Door area C -Casements 4) Total ceiling area Wood frame area Opaque ceilin9 area Skylight Double Hung i/9 -;2 F'Z2 x ( U ) . 0?8 = - ?x (U) .117 = ??_(O 5 (U) .04 = 5 •_?-?2 26 = X . (U) . ?X (U) .46 = /?- 3FSX (U) -la = ?.8 /3x ' (U) .47 -- To tal /24;'z 20X (U) .058 = ?• 6 ?X (U) .117 = /D ?5 _x U ?U? .46 26 = ?X . -- x ( U ) . 46 = =---- - x (U) .18 = _ =- - Total F-2 / 2x (u) -027 = -"-- 7?x (U) -023 = /63_ ?x (U) .55 = __- - -? Total -- =- -. ? yr', ?:_{`C1 H D 6 R 05C.- OJC1RUCilON I l/ 935 ENST VJ/;YZ77A BOULEVF,P,D • kYZl,1k. 1-hINIJFSOTA 15391 •(612} 473-1231 14inn. U Factors 7otal er,Pesed tirall area eZdf ?'2 x y, _020 Iiinn. U Factors Total exposed ceiling area R21/ (A) Total Ite /09 + Item 3?+ Item 4?0.3? m 1 + Iiem 2 ? If total of Items 1- 4 is less tnan I-Lem (A), building comolies with SBC 6006 (C)s ?- C:CI'`t' C);- :i:Ai;AN (:;r>;s;:i:i-:r:, 39 ni... i:il;' ipi13 PAT': a 09/02,"95 'C'7.f?..... 12:22236 IO:: n!ANiEr, 320 9001 C673 RciPiE;U12Y RD 6f).00 ^c!.";3 9001 367:3 Fl'3FIRL!itY F;:.r.:i 0 .;;0 3030 9001 3673 i;':.iliI;IJRY Ri? C.;.i`i J Y Tol;.?". R@coi,pll KnUi5'`. 60..75 l.. i :I.'.6"i 6 ,:. l'SE:i 15, •i.•i C°_Tir CF ZA^RA PE':MT 3832) PI_OY lCh:03 RD t.Av:?ya :?,;`: JG?.22 651-S31-4517 FlTrJi: 023 c'A'L'E'S D?T 7',STM ?.,_,....-,. Cn'$ n NE, GI:'A TR i4rE: FC.Tm 1::1: 37631 C3Tf:• SEP 02, 99 12:02:21 r , TvTSiL 5,60, T CF',`"; 3.:.°t 6L,;;%Ma UMPT Cf C:D& f'),?2 c_°i7ICt,i It; IF? F::_;$ L' 1FL 6i Oct TO 6Fto-C:ii1 - :.ir'_aTM'3 o F;;7N fiP TfC =,T _'IP,I TI: In,M',i4 Fu2 (iai;:5 VISH €]TfClC!?7-WC:Z 1999 BUILDINC PERMIT APPLICATION (RESIDENTIA460a-7 5 CITY OF EAGAN 3830 PILOT KNOB RD • 55122 851-681-4675 New ConshucHon Reaulremen}s Bemodel/Reoair Reauiremenh ? 3 regfstercd sRe surveys showing sq.8. oT lot, sq. R. of house and Q roofed areas (20% maximum loT coveraae allowed) ? 2 copies ot ptans (show beam i window stzes; poured ind. design; ete.) ? t set W energy calculations ? 3 copies oQ hee preservalion pian B bt plaMed d}er 7/1/93 Z? #: ? Z a??- ?4 ?? (area code) license # 2011^? ?01 ?xp. 3I31 ?Z6trJ DATE: LE ? I I CONSTRUCTION COST: DESCRIPTION OF WORK: STREET ADDRESS: LOT: A- BLOCK: City State: ?N Zip: Zo Name: C,' G S ?J?+4 ? Phone PROPERfl Last --j ? FIM OWNER ? Street Address: ,31 ?nL v v 1? d Ciiy State: Zip: CONTRACTOR 8 O1? Sheet Address: a ARCHITECT/ ENGINEER Telephone #: area code ( L? 3??-? , 2 copiea of plan 1 fef of energy calculaliona for heated addiNona 1 aMe survey for exlerior addlNons 3 decks Name: Shee't Address: Registration #: City Sewer 8 wafer Iicensed plumber (reautred for new conshucFion onlvl: Stafe: PenalFy applles when address change and lot ehange is requested once permR Is Issued. Zip: 1 hereby ocknowledge thot I have read this appllcation, sfate thaF fhe iMormaflon h correct, and agree to comply wifh all applicabl Sfate W Minnesota Statutes and CHy of Eagan Ordinances. Signoture of Applicanf: OFFICE USE QNLY U Certificates of Survey Received _ Yes _ No Ifft Tree Preservation Plan Received _ Yes _ No _ Not Required OFFICE USE ONLY BtIILDtNG PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex q 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea. ? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments ,? 19 Lower Level ? 24 5torm Damage ? OS 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE ? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 WindowslDoors )d 33 Alteration ? 37 Demolish Bldg.' ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Inte(or) ? 42 Reroof ' Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) ? Basement sq. ft. Census Code (Allowable) Main level sq. ft. SAC Code UBC Occupancy ? sq. ft. No. of Units / Zoning sq. ft. No. of Bldgs D # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Pfanning Building Engineering Variance ? Permit Fee Valuation: $ 1700 Surcharge . Plan Review t 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: SAC Unfts %'SAC C? _ n CITY USE ONLY jo L ? B,QLp*??? RECEIPT #: 1 / SUBD. RECEIPTDATE: I D?( S PERMIT # 1999 nUMSINfi PERMIT (RESIDENTIihL) crrY oF EAsAiv 3$30 P1LOT KNO$ itD HA&AN, MN 55122 (651) 6$1-4675 Please complete for: ? single family dwellings 9 townhomes and condos when permits are required for each unit • backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ Gas i in outlet ' minimum -1 3.00 x = $ Hot tub/s a 3.00 x = $ Kitchen sink 3.00 x = $ Laund tra 3.00 x = $ Lavato 3.00 x = $ Minimum fee alterations to existin dwellin 30.00 x = $ O. Private Dis osal S stem new/refurbished ' re uires MPC rc. 75.00 x = $ Private Dis osal S stem abandonment 30.00 x = $ RPZ new installation/re air 30.00 x = $ Rou h o enin 1.50 x = $ Shower 3.00 x = $ Under round s rinkler if dwellin is under construction 3.00 x = $ Under round s rinkler if existin dwellin 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x = $ Watef Softenef if dwelling under construction 5.00 x = $ Water softener if existin dwellin 30.00 x = $ Water turnaround 30.00 x ---- _ $ State Surchar e .50 --> ----> ----> $ 50 Total --> --? ----> --..> $ 30. 56 Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc. --------------------- -------._.... _...---------------- -----_. ._.. Ihereby acknowledge that I have 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 }he 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 propertylright-of-way/easement. SITE ADDRESS: OWNER NAME: : 4i(,F/1 4 (22V TELEPHONE #: (?16-1 nd (AREA CODE) INSTALLER NAME: CLt TELEPHONE #: (a /a / (AREA CODE) STREETADDRE S: ?7? a/s 7`P_f^ .? CITY: GC('' o-e-z- Gy-Q STATE: ZIP: SS,3 ^ / ) A I .. i PERMITTEE :LD 55E22 o51-68 a-z: S7 : r.iT"U? S-Y -C-& T 7'S'r3':S M:i[.. ::;a?1 _::2 ::?u9~ C;i' 13, :i 14:0121 iQY;L :M.5E E' ?u . !T i --?? r'7' :ECM fiE1aIPT C' f:;,J.i P 7- t:', 1a' TO f" s:Tii , ---'T!';11?;=IS, 7 , G:"- ? air:fl EJ1U."; CC?Y-Quf 3 {,. . C...?.::.x;..,. . ?;.,...:' ...:i..,. _.. .... . _.... ..??„?? . (:ia..;;'li;'..?..;; ,:<; if':.•ti`i.?. .. i;__;? t±:.!.J -„ ..:,_ ,. . : . . ... .„r..? ,,,?.....,.,.?,.?..i . .... 6'?`'.:Hj:;l..l^:`i .n.? ?r, :: ....... .. ..... e.,,? ??? ?r. ? . _....i,.? `.;i1?1:?. t?P:?i`? ..?"?:..u•.':' ?2".I `..r,:.i?.) . _ ,. .. . ... . , . .r,i?..? ?;7Ki'?"r1..:i :i(.a li(••:.f. .I..?.?G .lr":": . . CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION AIOT?': PAYMF'Nf QF FEE AT TIME pF APPLICATION DOES NOr CONSTITUTE APPROVAL OF PERNIIT. IMPncriorr oF sEWEt r,rro/ox MTER TTLS'f`Ai7.ATTONS WIZd. NO'1' BE 5(HID- ULID UNPII. PEE2MIT HAS BEIN APPROVFF'D. Please Print ^^^ ^ ^ .1) PROPERTY ADDRESS: 3573 &4 6w•-y /gjw O' .- LEGAL DESCRIPTION: 6144CxJ,?p,?? •- Lot Blpck Subdivision or Tax Parcel ID IF EXISTING STRCCIURE, DATE OF ORIGINAL HL?ILDING pERMIT ISSL'ANCE: ?-? i C 2dr) PRFSENP 7ANING/pROPOSID L'SE: q co11Z1EacxAL/xErpsL/0FFxce [= IPIDL'STRIAL ? INSTI2L'TIONAL/GOVERNZg,'NT 2) ? E!I'R-1 SINGLE FAMILY ? R-2 DL'PLEX (Tao L?nits) ? R-3 MWDHOC?SE (Three + Units) ( Units) x-4 APAxzT,=/corroorurnUM ( vnits) NAm: t/)? r?ss ??'6f. ??? ADDxESS: csxY, srAxE, zIP:_ 6-'C?w•z z,? S..r3si PHoNE: 3) u r?• For G.t U NAME. se tel'C6 Plumbers License: anoREss: y?f ? G?,?*? Bcrd rictive FScpirea i CITY. STATE, ZIP:EL* Z? ?.yj? .?'f'3 q/ 1+IOt recorded PHONE: "3 -/7,3 i MASTER LICENSE# a 7`/ 3-/L/ - stair In1t1a1 4) •a • i?- tuAME: L,,tv?yr.... - ADDRESS:- .ic: /?'.we ?•?.f?st ? /Si..oQ CITY. STATE, 2IP: PHONE; -5) n v? ? a: •?• : a • oa - a? 211?CONNE(,'TION T0 CITY SEWII2 [!fcONNDCfION TU CITY WATEE2 ri OTFIER_. 6) '? •'- ??• ? PLEASE HOLD APPROVID PEf2MIT FOR PICK-PP BY ONE OF ABOVE PLF.ASE MAIL APPROVEp pERMIT 2C) 1, 2, 3, 4, ABOVE ? (Circle one) 7) n r. . . 6?(.A.? . - 6 A4r FOR CITY USE ONLY L PERMIT # ISSUED 6z? z7,? Pd w/Bldg. Permit FEES: $ $ 5-n SEWER PERMIT (INCLODE SURCHARGE) $ $ WATER PERMIT (INCLUDE SORCHARGE) . $ $ WATER METER/COPPERHORN/OL'TSIDE READER $ $ WATER TAP (INCLL'DE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUNT DEPOSIT - SEWER $ $ ACCOONT DEPOSIT - WATER $ Sd C?. c2 $ WAC $ S'.? ?%7> $ SAC $ $ TRLNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRONK SEWER $ $ LATERAL BENEFIT/TRL'NK WATER $_ $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ $ l ?lr? TOTAL %?_ ? RECEIPT RECEIPT DOES LTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? 71 YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MLST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWZNG CONDITIONS: APPROVED BY: TITLE: DATE: 612- - / HEAT LOSS CALCULATION 2Q-0YEMP. DIM cwt«?« wT. ? u n ?_ Trp. aawa„cYb„ Ha,M e Q f1 ivt CNV Windowt rUr Plamw. . Stnnn SMh D . YMa1N . IM. S1rMt Gilhq In?. . City Flaa •1 L)2v\ RoomIlenpth /(e Wi Windowt and Doon-Gackaem, .M A. Ne w?srry ? oi4:nj le. a, lUl n. a ene? An? h 3U 6 0 Co?f. Btu Info ltntion Z G O GUn Zo ? oco Exp. wall- ZZ Net exo. rwll _ Zo 9' ! b Int, wall Gilin9 I b4 .3$ Fbor ? S I orn ntu. 3$1 b FI.) Rcc. Raoml laqeh 2 S WidM f 3 Windowc a?d Duw:-G&ekap and Arw No L=0 ?. I 6 4o 4 Z a- 3 0 2 ci 20 1 Ood. 0tu Infilintion V o 2? y.v Giou 3?0 E¦p. wHl 38 ri f e Nei eap. wall zy i °I 6 91. im.wall F;.t PIGcP aa GiGng 1 S I Z - ?'°"` 3 175 In}ihntion GIn Ezp. wa11 ;Z*1x Ne nxP, wHl (m.vwll Giluq I 3 X Floor Toal Btu. 01d w aiaow? aa ooon -ww?k ? ? ans wr ... w . , Mo. wwl. . IM. M . k 2- b 0 20 1 2 2 1 O Z z 8'a 1 3`f 39 Cod. Btu Inf ihrnion $3 3320.. Glm 8 39 0 C) E¦p. woll 2(o x ? o __, NM oxp. wNl 130 . ^.r, v Int, wN Gi1in0 ? 8 xi3 I 6 1 ?338 Fbor b L 4 ; - -s 1 Otal tllu. oJ S j Z II TOLI sh1. ' . b FI. RoomtLwtPh 13 wwkn I .$ I Fi.l rtoanll..? i wi,?, Aid e_a.era.?.?a?... WmAnws Doo. -Gacka e and s Arr w.. Wmrn m n?r H.?r Ne. e1 nl we l lx?Yl M. N Ary? . N. CaN. B1u Inhltnlwn Gia" E=n. w.u T K 2 ab No tMp. vWll In1. rqU ca1ny c ? Fb"' f 3 tMt? 4 . 1 3? 3'b l ?-2.b z.Z ? • ew Intihrstion v p? . . ..? _o. . Glar o 000 ENP. wtll Z ? . zl ?o. ... .. .. . . .. NofaeeP.well Int. Wsll . . . . c„Irq r. a x l? - Fber Tuul esu. I tjig"7v ?? roa au. V-- a° L V T ? HEAT LOSS CJ?LCULATION 90 ° TEMP. DIFF, N. I_?nc?A-ve r? _ 1? rc? DwNr Nam StrMt City _ TrwC„aauatbn f }amP s h; VAndow. srorm s111h Walh . Ins: Gi1Gq hK. Floor poort-Gaekao and Arr we w?sm M M hnM? pf ?M we. er Unw n. L 1? M LI/CY ? 3 Z ?`! 2 114 CoN. oN 9tu Infiltration ? o ? Gbu l`I SO Zo O E¦p. waHr zz x8 I Nat exp. wall Int. wall Coiling l o x? 7 2.0 G.o Floa 126 x c Ns. M?wM 1N. -, t#bW0h. I&M ' . l 2g . CoN. Mu Infihr?Non 38 `/o tSzc.? Glu? u? a8 S0 / o O- Exp.vwN z, s ir 340 AMt nxp. Vall 31 ? I z g Int. wNl Coiling 1 S X I?. S 1%Sf z 7(a Fbo. ?d :- 39r? 1A1 a"' I,? ?a ? rm01 ea. 4 z?o 1S'r FI.I RoomlLwvth 9 Wideh / 8 e 1.1 M RoanlLrnMh 1(o Widlh 'Z ?,t Dnors-GMKIc1i? ?nd W indowt ?nd Dua rGad up and Arr wa. w?eM ,yNm a al Ne. N LInW 11. ? ? 1?n?. A ? z 8 lB I S o CoN. Btu Infiltration 15 `fo too G4r ?o $b o0 Etp. wall 9X g IYei eMO. wall ?o.t Z?f g IM. wall Coiling Cl X! L 8 2. Fww. op 72-- YYbiderw wd Aiw xr Mo. M?MIM? ?NI ? IN. I.bMM . lb 2o Z 1-3 7 coal. &u Infiltrnion I"S c7 Sz o Glw 7 3 S? Exp:wsll 28X T 22?{ . .. ... . rr .e.?cp, wdl Z1 Sto H Int, wrNl Coiling r? X{? 127- 3 17 1 Floor ( V-- g 10101nw. I 17 R'0 11 ToW Btu. ? 7F-1 -ID i ne Ne Room I Lwqth '7 I z &'' . Noan I Lowth I z YWd1A I S NNIIM 9* _Wkith Wmdnwn srM Ooas-Gaekap and Arw MfWddnwt Od Doort-Qadrr rd Arw w?, wn.n H.yM I ILM III ?N we. el L ?1 ?wN? n. N w . N. 1 S ?? tw? 2 CaN. Btu Inliltralion Z y p G4`s ?`l $v I 7 O Q. ExP.wall 'ixF{ S!n No erP. wall Z ?- Inl. wall Ceibnq r 8 - L ! ? Flonr y ? (a Mn. M'?M e. • Lorl h. 2 3a .?8 Z 20 . !lu IMiMqqn Z d0- . .. G1M ? 50 900 E{cp. wal Z h xg z 14a - Not oxP. wall ? 2W O G) Im. waU Coiling i t x I S Sto Fbor I BO ? 3 Tocablw. II Tmd Stu. ? 3 3 0 0 Pav ; 3 0 + 3 HEAT LOSS CALCULATION Py" LVYid RrPn _JroS. OrMr Name Strwt _ City d Noom I Lugthl 3. S Wi ind Doors-Gmdcap ?nd ArM n wo wa?e n1 py ?•ron? o/ ?n? wa. a? ? uw? ?.. Li ?u W?? A". . . / yo z z_ 2o i? coN. ear Inf dtration Z o yo SO cl G4u 1-7 gso E¦p. wan,jY. 5^k Net ero. wall - 1 71 Im.vw11 Gilin9 1 k I 1 ,`( 3 `! `{ 7 Floor 1'f9 Z. Z'.°I 20° YEMP. DIFF, TY" canlliir1101b11 +7.M A Sk i -0 - Windom Starm $mh Wtlb . la. Gi14p IM. Floa Mw Me. aNWM M?yM M?.M LWM11. OoN. Intikration (31a? Exp. wall NM ao. wNl IM. wNl C?iliny f loor ToUI BN. ToW 9tu. 2" I.I^ f it 3 g4 ? RoomlLupeh WidM?Ir_FMid?t d? FI.I RoanrI : Me w?mn ' w?yw? 01 t p1 11 - Ne. N Lwh% lNrl X. 7- fi 1 2- °/ 'L Ho z CoN. 0tu Inliltntion ? u qe) ? 1(000 GNa ^ 32 ? lb a? EMp well.- .. Z°f?x8? 2?32. . • . . Nel eKP. wall 7lud ' 8,J ?j_... Inl. wdl Gibng 1 y x r z I o 3 (0 30 F lonr ],_j p 2- `t? Zd Tmal Btu. ? SoSO F1.1 -- Room I lon A Wid1h HWK _ WmAnwsmA Dows-Gaclu and Aro Nn ?w?y?w?i ' M?ei l0. OI n LTYI N. f ¦ A/M M. cow. 91Y lef dtutwn G4:s Exp. wall NM ttiV. wHl Int. wall Gihrg Fiprw Toul Blu, S'7, N81 Y B9 8' +nz, 4 "l1 W M?dowr and Coon-CraCr?tMd Ar M BW Glo Exa. wall Nn a0. wdl , IM.wNI Ctilinp Floa Tepl Btu. . ? "dim . f1.1 RaanI Wkith Whrlom and Ooon-Cmkqp wd Arm Mn. M?/M M 1N1?1?? IM. N LI?Y h. I Mr. h ?41 Inf it[ntion ' Gl?r Exp. wNl . Not piP. wall ? . . . IM.rwll wiiq Flea TeW hu. ? ConrP/??+e? (o?t - ?°10 FreS?, 4:r Iti-?-e RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EACAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681•4675 New Constructian Reauiremanb • 3 registere0 site surveys showing sq. R. o( lot, sq. ft. of house; and all roofed areas (20% manimum Iot cwerage alloweC) • 2 copies of plan showing beam 8 vnndow s¢es; poured found desgn, etc.) • 1 set ot Energy Calculalions • 3 copies o( Tree Preservation Plan rf lot pWded afler 711193 • Rim Joist Delail OpUons selection sheet (61dgs with 3 or less units) DATE r7[-?-OZ SITE ADDRESS Qi- MULTI-FAINILY BLDG _Y D?- N TYPE OF WORK ZX?(?Ej-. FIREPLACE(S) &Y 1_ 2 APPLICANT Catastrophe Restoration Servidts` Inc. STREET ADDRESS 2489 Rice St Suite 70 Cffy Roseville STATE MNkIP 55113 TELEPHONE # 651-734-9433 CELL PHONE # FAX # 651-483-0219 PROPERTY OWNER??`r TELEPHONE # b5 ?-?t D?O -------------------------------- ----------------------------------------------------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RliLES 7670 CATEGORY 1 MINNESOTA RULTS 7672 submission type) . Residen[ial Ventilation Calegory t Worksheet Submitted • New Energy Code Worksheet Submittetl • Energy Envelope Calculations Submitted Plumbing Contractor: Plumbing systcm includes: Mechanical Contractor: Mechanical system includes: Sewer/Water Contractor: _ Air Conditioning _ Heat Recovery System Phone # Phone # Fee: $70.00 I hereby acknowledge that I have read this application, state that the information is c? cf; and agree t$?, with all applicable State of Minnesota Statutes and City of Eagan Ordinances. 111I Q$ 20u Slgnature ofApplicanf l " ------------------- _..----- _......__------------"_---- -----------------------""-_' ............. OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Water Softener _ _ Water Heater _ No. of Baths RemodeUReoairReauirements ' • 2 copies of qan • i set of Ene[gy Calculations for heated additions • t sile survey farexterioradditions 8 decks . Indipte if home served by septlc sysiem for additions _ Phone # Lawn Sprinkler No. of R.I. Baths VALUATION 5L01C_)4 - 2,?S Fee: $90.00 Updated 4102 OFFICE USE ONLY ? Ot Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 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 (screened) ? 36 Multi ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const W idth 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 _ Air/Gas Tests _ Final _ Frammg _ Siding Stucco Stone _ Fueplace _ R.I. _ Air Test _ Final _ Wiudows (new/replacement) _ Insularion _ Retaining Wall Appraved By Base Fee Surcharge Plan Review MGES SAC City SAC Water Supply &'Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Tota I Building Inspector      ö÷ö    üøð  ÿ ÿþþ  ýùýü      úþþ îûîþ÷         ÿþö  þýüûúù  îýö øöûúù õ  öùîýö Ûý  ö ö   öù öóö ïýö ó ýü ö  ãö öÿþ  ö ù öÿ  þ äå  úíöó  úóýì õ ã çëåëåå õú  þýöö îé çëäëä  ôùùó ö òñ ùù þöò  Ýöñ  þö ö  áÞüýöúô ã ùãõ ãõ àáßåáá  ö üú    ì ö ùù  êöóöö  ö óùú ùùü þ  êã þý ñúê íö ë ùù÷ ý úþ ýö PERMIT City of Eagan Permit Type:Building Permit Number:EA108495 Date Issued:12/11/2012 Permit Category:ePermit Site Address: 3673 Ashbury Rd Lot:4 Block: 2 Addition: Blackhawk Glen PID:10-14350-02-040 Use: Description: Sub Type:e-Windows/Doors Work Type:Windows/Doors Description:House Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Anne Strasser 3673 Ashbury Rd Eagan MN 55122 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK ink For Office Use AQfl j Permit ~w City of Eap Permit Fee: 3630 Pilot Knob Road l l Eagan MN 55122 Date Received: Phone: (651) 675-5675 i 3 Fax, (651) 675-5694 i Staff: ! - l l 2013 RESIDENTIAL BUILDING PERMIT APPLICATION t7ata ! I /to Site address # Name: _ ~,4e_ r V , la Phone; ~c 11 ~J 7t-i 7 Resident( 1 Owner Address i City' yip: b 1 '1 h Y~ 1.- a S '2. Applicant is: Owner ~c Contractor Type of 1 exit Description of work: Construction Cost i ? 14- Multi Family Building: {Yes I No } ~.v._...., r,.._, F Company. r,3 * ti. s 3~ . 1 a ` contact f < r Address: _ 2 c, i C r s t City. Contractor Li Li State: Z, p: Phone. License Lead Certificate If the project is exempt from toad certification, please explain why: (see Page 3 for additional information) ~ COMPLETE THIS AREA ONLY IF CONSTRUCTINGbA NEW BUILDING N v ~ a ^ 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. Flans 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 then are tree secrets. , CALL BEFORE YQU DIG. Call Gopher State One Cali at (661) 464.0002 for protection against underground utility damage. Cali 48 hogs before you intend to dig to receive locates of underground utilities. LA.rtif ~t fief ~Ri.~ r I hereby acknowledge that this information is compiete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that ! 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 wilt be in accordance with the approved plan in the case of work which requires a review and approval of p:ans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit Issuance. x _ C d r_~' X Applicant's Printed Name - Applicant`s Slgnature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA120503 Date Issued:02/14/2014 Permit Category:ePermit Site Address: 3673 Ashbury Rd Lot:4 Block: 2 Addition: Blackhawk Glen PID:10-14350-02-040 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 by law in ALL single family homes . Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Anne Strasser 3673 Ashbury Rd Eagan MN 55122 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink r -, FOfficUse Perormeit#: C��d �f Eaaall Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651)675-5675 Fax: (651)675-5694 Staff: 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: J 1°1!7 Site Address: " tf:7 3 �- L Unit#: Name: �Erd-�r...,, � �� ,_..µ�� .._a . � Phone Resident/ 3(073 Owner Address/City/Zip: 3 $ i Applicant is: Owner O' Contractor Description of work: �U. © J m _z, S / Type of Work % (J �?fIS Construction Cost: Zd iL___ Multi-Family Building: (Yes /No 4` ) Company: ( kt 62. a vit<f crS Contact: c Contractor Address: 20 (pS Cf- City: - . 5-St)411 406-1 State: Zip. Phone: 73-1-4-1-Y Email: Cia 4. License#: G c 76 01 ? Lead Certificate#: If the project is exempt from lead certification, please explain why: 99o ; Ca-r1/ 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: is 1 Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: E Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are-considered to be public inforr ration. Portions of the information maybe'classified as non-public ifprovide specific reasons that would youA permit the City to conclude that theme 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.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. Applicant's Printed Name Applicant's • . - Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA165175 Date Issued:10/21/2020 Permit Category:ePermit Site Address: 3673 Ashbury Rd Lot:4 Block: 2 Addition: Blackhawk Glen PID:10-14350-02-040 Use: Description: Sub Type:Residential Work Type:Alteration Description:Fixtures 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 (miscellaneous)$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 - Anne Tste Strasser 3673 Ashbury Rd Eagan MN 55122 (612) 298-4302 Carlson Plumbing 16440 7th Street Lane South Lakeland MN 55043 (651) 291-7788 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA168881 Date Issued:05/06/2021 Permit Category:ePermit Site Address: 3673 Ashbury Rd Lot:4 Block: 2 Addition: Blackhawk Glen PID:10-14350-02-040 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Anne Tste Strasser 3673 Ashbury Rd Eagan MN 55122 Renewal Andersen 1920 County Road C West Roseville MN 55113 (641) 264-4088 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA175109 Date Issued:03/14/2022 Permit Category:ePermit Site Address: 3673 Ashbury Rd Lot:4 Block: 2 Addition: Blackhawk Glen PID:10-14350-02-040 Use: Description: Sub Type:Fixtures Work Type:Alteration Description:Kitchen 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. All tiled shower bases require a water test. Fee Summary:PL - Permit Fee (miscellaneous)$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 - Anne Tste Strasser 3673 Ashbury Rd Eagan MN 55122 Diversified Plumbing & Heating Inc 125 E Railroad St Norwood Young Americ MN 55368 (952) 583-9646 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA175215 Date Issued:03/21/2022 Permit Category:ePermit Site Address: 3673 Ashbury Rd Lot:4 Block: 2 Addition: Blackhawk Glen PID:10-14350-02-040 Use: Description: Sub Type:Fireplace Work Type:Gas Insert Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 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 - Anne Tste Strasser 3673 Ashbury Rd Eagan MN 55122 Fireside Hearth & Home 2700 Fairview Ave N Roseville MN 55113 (651) 633-2561 Applicant/Permitee: Signature Issued By: Signature