1583 Ashbury CtCITY OF EAGAN -
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 Date "
19 '
Site Address • OFFICE USE ONLY
Lot Block SeC/Sub. On Site Sewage _ Occupancy "
MWCC System _ Zoning
ParCel No. On 5ite Well _ Type of Const
City Water _ (Actual) '
oc Name (Allowable)
W
z
Address # of Stories
?
City Phone Length
Depth
.,
S.F. Total
o Name Footprint S.F.
o ? Address
APPROVALS
FEES _-
r- City Phone Assessments _ Permit
. ?;
1- Q
? Water/Sewer _ Surcharge
W Neme Police Plan Review
'
? i Address Fire SAC, Ci
oq
`,
City Phone Engr.
Planner SAC, MWCC
_ WaterConn.
Council _ Water Meter
I hereby acknowledge that I have read this application and state Bidg Off. _ Road Unit
thattheinformationisCOrrectandagreetocomplywithallapplicable APC _ TreatmentPl
State of Minnesota Statutes and City of Eagan Ordinances, Variance _ Parks
Si
nature of Permitt Copies
g
ee 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. Parmit Holder flate Tetsphone ?t
Plumbing
N.V.AC. y? ? ? ,?y??/ yoZS ?f
Electric 2?O ?X-
Softener
Inepection Dats Insp. Comments
Footings I
Footings II
Foundation
Framing o ?_y
Roofing
Rough Plbg. ? Q.
Rough Htg. ?o_?_a
Isul. ?_?.j?
Fireplace
Final Htg.
Final Plbg. d?s
Btdg. Final ?
Cert. Occ.
Temp. LP
Deck Ftg. 7Z /?
Deck Frmg.
Well
Pr. Disp.
???r?e? ' ME CHANIC^EFiMIT
? RECEIPT #
CITY OF PA?AN
?830 P??Oilf I?N - ? ! ?
eY`?
OWAO/!P, EA(y?AN,??15?i122 DATE: ?L;'? -l
CONTRACT PRICE: P T
HONE: 454-8100 ?
Site Address BLDG. TYPE WORK DESCRIPTION
Lot _ r Block
?,
i ' Se /Sub
e
z Res. New
1 lz
uft Add-on
?Ni
°-' Name Comm.
Repair
?o
? Address
'1 n
C
` ??`?
k
.,1Other
_ , ,,
iry •_
Phone
-, - i.
FEES
?
c Name }
?
RES. HVAC 0-100 M BTU -$24.00
Address ADDITIONAL 50 M BTU - 6.00
p City 'r i' PhonA' (AES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION
)
GAS OUTLETS
MINIMUM
t PER PERMI
50 EA
1
-
(
n -
.
.
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air M BTU APT BLDGS. - COMM. RATE APPLIES '
TOWNHOUSE & CONDOS - RES. RATE APPLIES I
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater
Air Cond M BTU
? M BTU ? ? REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00 i
. STATE SURCHARGE PER PERMIT - .50
Vent g
CFM
PERMIT PRICE GOES
?
/
Gas Piping OuUets # BEYOND $1
000)
Other
-l
FEE:
,• ? •
> a i
'
?
1 f.? :'
41 ? ? • ?._
.
? S/C: SIGNATURE OF PER
EE
TOTAL:
FOR: CITY OF EAGAN
, , • MECHANICAL PERMIT
?7 7? 7
RECEIPT #
CITY OF EAGAN
??, f? ?
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: A
CONTRACT PRICE PHONE: 454-8100
Site Address ?
PORK D Cfi?IPTI
gLpG. W
ON
Lot ?_ Block ?
8dc/Sub
? Res. New
Mult Add-on
Name
m r' 1 Comm. Repair
S Address
c City ''? ? ' Phone
?
- ` Other
f FEES
Name ?
' RES. HVAC 0-100 M BTU -$24.00
c Addres ADDITIONAL 50 M BTU - 6.00
p City Phone ' (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIT) 50 EA
- 1
,
.
TYPE OF WORK COMM/IND FEE - 196 OF CONTRACT FEE ,
Forced Air Z2?M BTU a? APT. BLDGS. - COMM. RATE APPLIES ?
TOWNHOUSE & CONDOS - RES. RATE APPUES
Boiler
M BTU
MINIMUM RESIDENTIAL FEE - ALL ADD-ON & ?
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent CFM _ (ADO: $:5D S/C IF PERMIT PRICE GOES
Gas Piping Ouflets # BEXbND $1,000) ,• ?
Other -
FEE
S/C: SIGNATURE OF PERMITTE ?
TOTAL: G ?
FOR: CITY OF EAGAN
?
?_.......
I SIt@
a?
<3
N
c
Name
c Addre:
o ciryL,M
I
3830 PILOT I
COMM/IND FEE - i°r6 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 $1,006.00)
PERMIT # -?
MBING PERMIT RECEIPT
rll OF EAGAN
B ROAD, EAGAN, MN 56122 DATE: i?
Lur. AeA e4nn
FOR: CITY OF EAGAN
BIDG. TYPE WORK OESCRIPTION
Res. New X
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
f?0. FIXTURES TOTAI
? Water Closet - $3.00 s
( Bath Tubs - $3.00 LLavatory - $3.00 S ?
?-Shower - $3.00
-1-Kitchen Sink - $3.00 3 ?
Urinal/Bidet - $3.00
1_Laundry Tray - $3.00 ?
I Floor Drains - $1.50 -''?-
I Water Heater - $1.50 f- 6u
Whirlpool - $3.00
Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIn
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
-.1_Rough Openings - $1.50 • `? ??
FEE: -?`''
STATE S/C:
GRAND TOTAL: ? ? • -20
BUILDING PERMIT
To be used for DECK
Site Address ?
Lot 061 glock
Parcel No.
CITY OF EAGAN 18362
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 T' ?
Receipt # L
Name ??IS J SEiJ?W
W
? Address 1 S83 ASHBlJRY CT
0 City EAGAN Phone 688-8957
, o Name SJ1'iE
?a AddresS
I hereby acknowlege that I have read ihis application and state that thE
information is correct and agree to comply with all appiicable State o
Minnesota Statutes and City otlagan Ordinanc4s. ?
Signature of Permitee ?/
j J
A Building Permit is issued to: DENNISj .T $HAH
on the express condition that all work shall be dane in accordance with al
applicable State of Minnesota Statutes and City ot Eagan Ordinances.
Building Official
OFFICE USE ONLY
M-2
Permit No_ Permft Holder Date Telephone #
WATER
SEWER
PLUMBING
H.V.A.C.
ELECTRIC
Inspection Date Insp. Comments
Footings I
Foundation
Framing
Rooling
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Fnal Pibg.
Const. Meter Pibg. Inspector - Notify Plumber
Engr./Plan
Bidg. Final
Oeck Ftg.
Ddck Final
Well
Pr. Disp.
Eid I
(Itrti#irafe uf Orrupttnry
Citp of (tagan
EppMl'fpiMtt Df 14diatrig JttB}iPttiDn
This Certificate issued pursuant to the requiremertu of Section 306 of the Uniform Buildrng
Code certifying thal at the time of rssuance this structure was in compliance with 1he various
ordinances of the City regulating building conslruction or use. For the following.•
use a1dailicaom `'.,'' TJWGi G1F; sw& rermit rro. 14070
OccuwMr'?Yae R3 zooing n1su;a ,rype coau v
ownu orewwM PL?`rsCli }A.1IIdlEE;,=: Addmu 625 B;VIIlxE H,,?' r:, B'4'II.31
eWmng naarew L=Wfty IS, B2, EAIjM3AWK GZV-N
Date: CLI(.W 16,198i
Bw7ding Of(irial
POST IN A CONSPICUOU5 PLACE
CITY OF EAGAN Permit No: Date:
3830 Pi{oiRl" Road Meter Na?9a? 37 g1ze: QrF" I?ecK
P.O. Box 21199 Reader No: o p;2 ;ZDate: /0 -l3 • 8Z
Eagan, MN 55121
Owner. ''1_ets&
SiteAddresAshi"r'°uit L5 P,2 T.31ac(7 en T_I
Plumber =iattliek+
Conn. Chg: %? 5. 0 0 p:iw T'.I
S
Acct Dep: 1. II 10 iC - Q.A?
Permit F e e: .?A« c, Fc?iR ??
Surcharge: •? ?'+"`- "- y atqkWo ly with the City ol Eagan
Tr. Plant nCt'1l Ordinances
Meter. ?= 7 t ? t?.u4
Misc.: By
WATER SERVICE
,r,,...
CASH RECEIPT
CITY OF EAGAN
' 3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
RtCttYfD . ' F110M AMOUNT $ I
! OOLLARf
?e•
0 CA5H G] CHECK
I I
IOR ' . .
FYNO COOt AMOUNT ?Thank You
BY
whie.-P.v.n coav
YM1ow-Postin0 Copy
Pink-FiM Co01r
BLDG. PERMIT N0.
k,
' ? L.
01-3210 Bldg. Permit
01-3422 Plan Check
01-3445 Surch./Adm.
01-3446 SAC/Adm.
4?-
01-2155 Surcharge
17-3860 Road Uni t
20-2275 SAC
20-3865 Water Conn. -?'
20-3868 Water Trmt.
20-3716 Water Meter '?-
20-2252 Acct. Dep.
20-3713 Water Permit
,
20-3743 Sewer Permit ?
79-3866 Sewer Conn.
11-3855 Park Ded. ?
TOTAL
CITY OF EAGAN Permit No: 9010 Date: °- 1--F.7
3830 Pllot Knob Road Meter No: Size:
P.O. 8ox 21199 Reader No: Date:
Eagan, MN 55121
Owner.
Site Address: 15?3 As. ury Gaurt B._ E ac ?haw C en II
i:att ew nfe s
Conn. Chg: 525. 0k)pd
Acct Dep: ' 15.°)opd
Permit Fee: I J. OOpd
Surcharge: • S0n='
Tr.Plant ?L-`.22Pe
Meter. 67
Zoning:
No. of Units: 1
I agree to comply with the City of Eagan
Ordinances.
WATER SERVICE PERMIT
CITY OF EAGAN SEWER SERVICE PERMIT
3830 Pllol Knob Road ,:,1 F:;t7
P.O. Box 21199 PERMIT NO.;
Eayan, MN 551?i DATE:
Zoning."° ' " No. oi Units:
Owner. i ietsch Iildrs >
Address: I51813 Ashbur}Y 719 "lac?_`.izwk i'ien ?I
SkeAddress: ?Btthew L8nie2.s
Plumber. " -
??-;? ii -•"t27 7 5i,2 4
100.04pci
1 ayree to comply with the City ol Eagan Connection Charge: 525 _ OOpd _
Ordinances. Account Deposit: 15 _ 0012L_
Permit Fee: 10- Qopd-
Surcharge:
gy Misc. Charges:
Date oi Insp.: Total:
Insp.: Date Paid:
Thre request void
18 ?nths (rom ????&? .' •(?
D 4738 HenLJest'6at??? -
7 No. FouPh-in Insuer.LOn
Requrt
?
?Reatly Now ill NotitV ??spec-
t
es
N or Wh q d
icensed Electncal ConVactor I hereby requestinspactwn oi ebove
ri 0w.ef electrical work instelled at:
Strea[ AdAress, Box or Route No. C'ty
BK?
? "
ection o. Township Name or o. flanBe No. Counly
nO
Occu nt IPRINTI Ph41ry
No.
?
Sl:.
' l+ /'-De7eS
Power $uppher Atltlress
O" EL? Ssd? .C a.?6?n.J N
Electncal Contrac[or ( om
uany Name.l C??n ar.tor's Lroense No.
CKt?//G
?f?-1.- f ?j?-?? '
? ?1G
u 0/
Mailinq qdJress (Contractor or wn¢r Makine ?estatl t?on)
0
(FL
i AuMorize S-gnature wnr aking Installation) Phnne Number
O
MINNESOTp STATE 90ApD ELECTqiCITY THIS INSPECTION flEOUEST WILL NOT
GriB9s-Midwev BIdO• - Aoom N•191 BE ACCEPTEO BY THE STATE 90AHD
1821 Universiey Ave.. Sa. Paul. MN 65104 UNLESS PROPEft INSPECTION FEE IS
PhOne(612)642-0800 ENCLOSED.
REQUEST FOR EL,EC7RICAL INSPECTION . ee-ooooi-os
/
? ?3Q/?? See inshuchons for comDlebng Ihis form on hack ol Vellow mOK
"X" Below Work Covered by lhis Request
3?
4
A tl ReO`?YCe ot BuilCrn9 APOlmnces Wued Eqmpment WveA
Home Range Temporary Service
Duulex Watar Haater Linh[inu Fixturec
Commercial Bldy. 1 1 Fumace ? ? Silo Unloader I
Industnal Blda. Au Condrtioner BWk Milk Tank
N Fee Service EnlranceSize !1 Fee Fexders/5ubfexders N Fce C vcwts
p0 0 to 200 qm s 0 to 30 Am s O.OQ 0 tn 30 nm s
Above 200 qin??y, 31 to 700 Amps ?Li 31 to 100 Am s
Swimming Pool Above 100_Am
s Above 700_P,mps
Trensformers Irrigation Booms Q Partial."Other Fee
signs 5peciaiinspection S
Remarks ?, ? , _ TOTAL F /?~?
/ tJ
noueri, VO1e tPhea Eleclwwl?
I U? ? sctor. hereby
- cartdy thef the nbove
Final ? Dxte inspeedon has been
// , ,,, 12.y_ rai,aa.
NO PRV REQUIRED CITY OF EAGAN NO- - 14 O 7 O
• 3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55121
BUILDING PERMIT
To be used for SF DWG/GAR
Receipt # I ?-v QJDc:>' T
Est.Value $88,000 Date AliGUST 20 19 87
Site Address 1583 ASHBURY CT
Lot 5 Block Z Sec/Sub. BLACKHAWK GLEN 2
Parcel No
a Name PIETSCH BUILDERS
z Address 625 BtiRNSVILLE PKWY E
o City BURNSVILLE phone 688-0974
,o Name SAME
?a Address
l
i- City Phone
a
Fw Name
Addre
aw Clty_
I hereby acknowledge that I have read this application and state
that the informatlon is correct and agree To comply with all applica6le
State of Minnesota Statutes and City of Eagap Ordinaptes., /
Signature of Permittee L:
A Building Permit is issued to: PI TS(
all work shall be done in accordance with all
Building Official
OFFICE USE ONLY
On Site Sewage Occupancy R3
MWCCSystem ? Zoning R1
OnSiteWell TypeotConst
Cirywater ?
_ZL (ACtual)
(Allowable) V
7F OfStofiae
Length
Depth h.?.?._t
S.F. Total
Footprint S.F.
APPROYALS FEES
$ 461.50
qssessments
Water/Sewer Permit
_ Surcharge V4760
Police Plan Review 230.75
Fire _ SA0. City 100.00
Engc SAC,MWCC 525.00
Planner WaterConrt 575_00
Council _ WeterMeter 67.00
Bldg. Off. _ Road Unit 305 _(10
APC Treatment P7 1 80.00
aria e _ Parks
Copies 5
7pTAL ?
on th8 expr@SS COnditi011 th8t
of Min ota Btatut s and City of Eagan Ordinances
?`7`
PHON E: 454-8100
BUILDERS
This reque.st witl [1//
18 .pnlhs Irom J
E37963
neyues d e ? nre rvo. oupmin msVer,uon
4 ?/' (/' ?[? epwretl> Heatly Nnw Q WiII NnUfy InsOec-
/i /? /I nYes r9NO «r When ReaAY
D(Licensed Electncal Con[rar,mr I hareby request insDecbon ot above
? Owner elechical work inatallad at:
Sveet Addres.,, Box or oure No. City
5- /v/, - / +
ecLOn o. io n ip Name or No. flange No. n nly
Oc u ant (PpINT? Phon¢ No.
k /-) l5
Fower Supplier Address
l a Convactor (Comuanv Name)
e Conimr.tor's License No.
i
????
Maili g AdJress IConiractor or Owner Makm Installatmnl
Oe7 -?IZ
Av iz d S
gnature (Conhact dOwn r akin9 nstallation) Phone Number
r
MINNESOTA STATE BDAXD OF ELECTHICITV THIS INSPECTION NEQUEST WILL NOT
Grigea-Midway Bldg. - Room N•191 BE ACCEPTED BY THE STpTE BOAND
1821 lJnivarsicv Ave.. 51. Peul. MN 56104 UNLE55 PflOPEH INSPECTION FEE IS
Phonaf6121642OHOO ENCLOSED.
9//REQUEST FOH ELECTRICAL INSPECTION . ee-00001-96
, See inslrucbons lor completin9 Ihis lorm on beck ol ~
yellow CopV.
E S"3 79 6 3- "X'Below Work Covered by This Request
Add 8ep Type ol Bmltling aooiLancea wiroa Enmument Wired
Home Range Tem[rorery Servtce
Duplex Water Heater Liyhnnp FixtureS
Apt. Bwlding Dryei Electnc Heatin
Commercial Bldy. Furnace Silo Unlonder
Industnal Bldg. Air Condrtioner Bulk Milk Tenk
Farm tnei oe,fv 1n, lSUni ityl
t?r SVmeify Other Othcr
Compute Inspection Fee Below
M Fea ServiceEntrenee5rsa H Fee FeeEers/Subtenders N Frze Cucuits
U to 200 qm ps 0 to 30 Am s 0 tn 30 Am s
Above 200 qmps 31 to 100 Amps 31 to 100 Am s
Swimming Pool
[
r= Above 700_Anips Above 100_f+mPs
Transiormers 7r,,qt,.n Booms Pertial'Other Fee
Signs SpeciallnspecUOn S b
TOT L F?E
pertN r ks ?O`
RouBh-m
1, tha Elecvicnl
^^ I pectaq heraby
er6fy that the above
Final
7/ insoection has been
.
1 mede.
Thia reQUest voia 18 monihe 1mm
• CASH RECEIPT •
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122 ?
owre
aece? ?
c LL.?.i.<,F?7
AMOUNT $ cr'-i ( Uc?
J ?
RUNO CODE pMOUNT
J G? n ?
C 5 d'
o1`c o ?
Thank You C;? ?
?
J
N? 76922 White-PayeroCoOY
Vallow-Posting Copy
Pink-File Copy
& DOLLARS
' CITY OF EAGAN NO 18362
' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ?
?'/1?'
PHONE:454-8100 /???0 ?
BUILDING PERMIT Receipt # ?-?
To be used for DECK _ Est. Value $1, 000 Date GFp 17 , 1999--
Site Address 1583 = ASHBURY CT
Lot 061 Block _2 Sec/SubBLP,CKHAWK GLEN 2T
Parcel No.
w Name DENNIS J SHAW
o Address 1583 ASHBURY CT
City EAGAN Phone 688-8957
I}olName SAME I
?p AddfBSS
? Ciry Phone
Fu Name
Address
City Phone
I hereby acknowlege that I have reatl ihis application and state that the
mtormation is correct and aqree to comply with all applicable Stale of
Minnesota Statules antl Ciry qKagan OrdinanQes. n A
Siqnature of Permitee - -`'^1
A euilding Permit is issued to: DENNI S J SHAW
on the express contlilion that all work shall ba done in accordance wrth all
applicable State of Minnesola Stalules and City ?o)f Eagan Ordinances
Building Oflicial _?(?1.? ?,Qi1; I n7,Xk
Occupancy
Zonmg
(Actual) Const
(Allowable)
# al Sfones
Length
Depth
S.F. Tolal
5 F Foolpnnts
On Sita Sewage
On Ste Well
MWCC Syslem
Cdy Waler
PRV Requued
Booster Pump
APPROVALS
Planner
Council
Bldg. Otf.
Variance
OFFICE USE ONLY
M=2 FEFS
23'
23'
Bldg. Permit
Surcharge
Plan Review
SAq Cdy
SAC,MCWCC
Waler Conn
Wa[er Meter
Acct. Deposn
S/W Permit
SIW Suroharge
Treatment PI
Road Unit
Park Dad.
Copies
TOTAL
25.00
.50
1.00
26.50
0
1987 BDILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
INCLIIDE 2 SEfS OF PLANS, 3 CfiRTIFICATSS OF SQROEY, 1 SST OF ENfiRGY CALCOLATIOHS
NOTE: ADDRESSES FOR COENER LOTS - CONTRACTOR/HOMEOANfiR MQST DESIGHATfi WHICH ADDRBSS
IS DESIRED. NO CHANGBS WILL BE ALLOWED ONCE BQILDING PfiRMIT IS ISSIIED.
MOLTIPLE DWELLINGS - RFSIDENTI9L RfidTAL UNITS FOR SALE OHITS
INCLUDE 2 SETS OF PLANS, CERTIEICATE OF SDRVEY - CHECg WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COPMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 7 SET OF
- ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For: 160$!? Valuation:
Site Address
Lot I< Block aZ'
Parcel/Sub
f.?/ac?.? G'? r o
On Site Sewage`
MWCC System i/
On Site Well
City Water
Date:
9-3
R-I
Owner
Address
City/Zip Code
Phone
Contractor 230/ dlrRS
Addresslp.,cs Ame,v5jl/??' /? , ?1/ti4l?•
City/Zip Code
Phone
Arch./Engr.
Address
City/Zip Code
6PPROVALS
Assessments
Water/Sewer
Police
Fire
Engr
Planner
Council
Bldg Off (^ za
APC
Varianee
Oecupaney
Zoning
Type of Const
(Actual)
(Allowable)
S of Stories
Length
Depth
S.F. Total
Footprint S.F.
FESS
q.Y_Q_
y7, S
Permit y61.50
Sureharge yy,op
Plan Review 23D.'1S'
SAC, City 100,00
SAC, MWCC 525,00
Water Conn Z .00
Water Meter G?,00
Road Unit 1305,00
Treatment P1 15?0. OD
Parks
Copies
TOTAL
Phone #
?,ax?= 4k?1 X, lZ ,?Bd9
_"r°<X.?`??= I07/
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4aKa7= 1139 '
1q. 3 x1.? (aa)
?bx,z? 3iz,
-
?
ly??iny'1=
, rm _ PIE7CN A6014CkEK5
ENG?NE??ING PIAFINEAS ond LAHO !?5, UAVEYOCOMPANY, INC.
COHSlllTiH6 EHaIHEf N432-3000
1000 E,15T I46th STREET, BUFNSVILLE s uINHES0T,1 5S337 Z.?? al o2ian: LOr 5, BtACK 2, BLACKyAWK 6[.45N 2ND ADD/TioA/,
DAKoTA COVN7Y, MINNESOTA
C??3?57 DEnlO-TES EXlSTlN6 E1-8Vq7loN L
C823,5) DEN07E5 PROP05E0 ELEI/fiT/ON ,
?.? lNP/CATES D/lZECT/ON OF SURFACE OR41NA66
Bz3.,93 > FINlSNEV 64RA6E FLOOR ELEliAT/ON
S 89° 37' 29
, 2/.57 .
?g¢Io> Z ?838,0.
DKA11\JA6E AND ?
/^ ° (838.07
UTlLITY EA,?'i6MOq/ /
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30' FRoNT BUILDIN6
SETSAGk L INE
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lo
10
I heriby cnrtify that thia ia ![ t:ue and corract rnpraeentation of a tract of
land as shoxn'and deacribed hernon,• As prapared by me on this _Z81 daY at
JUc??/_, 19 S7 . .
,?EV/SED 8-/8-B7 01MN6Ep P?Qo?SED EGE?A770NS .
0??C' Hinn. ?es. Na. /GofS
I ?
- ' ? Page 1, CI
..
'000000,40 CITY OF $WOL
i / 7
F.XTERIOR ENVELOPE AVERAGE "U" COMPUTATION I ?lN
k:.
?CA?C',/ '? ( ?j •
lwne r EE/L-Addreas??25- ???rhon
egal DescripLion of Property: Lot .5 B1ock_.2- Additiong/Al 680.4 Date
ite Address
• r
AVERAGE LINEAL FEET OF EXPOSED WALL AREA ABOVE GRAAE PERMIT N0.
ain level p ?
Lineal ft. of framed wall above grai.,:13/_" x height of wall
im joist arma
Lineal ft. of rim -39 x height of rim
,ower level U ?j5 6 y?3
Lineal ft. of framed wall above grade_ 9/. x height of wall
Lineal ft. of masonry wall above grade??9 x height ahove grade ,?-
TOTAL wall area above grade including windows and doora m?/.?•5,s
]INDOWS: Area.x "U" ve7uP
lake 6 tyPe Ka//u:WhA /',a5&n.lE..+t;--- •?• ft. . x nUll e ,. (U) (A)
„ ,z-as:?tt a0 ., . sq. fr._ /v X llU., (u) (A)
11 " y /'a(J,r 6 0 /• ? ? eQ• ft._ P.33 X vUn (U) (A)
u /-2ox4U fr eq. ft._C.' x nU., Y6? ?m ,3 (U)(A)
i 2_AUJf /. 0 !i 8Q• ft.?X IIU,(U)(A)
01 3-1AY,e (40 __. " sq. ft. 3o x"U"_•v4 (U)(A)
°
11 ft. /q x aDn ?d?. u?l:. .(U)(A)
11 •-• q• _. ^ ?? " ? r-''G e .?-Y (U)(?'•)
1. 3 z - - 2si2v.r ?/2 sq. ft._. X x 'UU.??(U)(A)
x ?G sq. ft. /
11 ;vY? 34• ? sq. ft. ia X ,fUll (U)(A)
10 z3? .i eq. ft. x nUl l? S,q_ ?(U)(A)
.1 - ea, ft. x nUu a (U) (A)
11
56OF //c.C+ /-/SZX6O Sq. ft. 6,0 -x ::U?.,?? 3.03 (U) (A)
Z sq. ft. x nU?r o (U) (A)
sq. ft. X uU1. (U) (A)
n u sq. ft. ? % nUa ° (U)(A)
sq. ft:.. .... x nUn . . . ? . . (U)(A)
n aq, f? X????? n (U) (A)
/'l3•??- ? 9S .
)OOAS: Area x "0" value
Nake & tYPe P&KV921 P.?f,b a,o- L XGF sq. ft 39P6 X$lU" ,p646 263 (u)(A)
n ° -9nr.0dafr.n 171e?t?? p.o2 ?°X/s 89 I't x "U ' . ° 9 3S (U) (A)
i. 11 „ aaX5r sq f.t.A x ??U:. ?3a. (U)(A)
? ?aq ft. X IOUu_ n (U)(A)
??•5? av?
DPAQUE WALL CONSTRUCTION; Area x"U" value ?6T-"- • '????
FRAMED WALL (total area lesa - • - •
opening, framiug membatb tn
Detail refer- wall, rim joist area 6 mggottry) ' ence from ? ? ? - - sq. ft. ... _-X llU". a (U) (A)
attached ` FraminR members in wall C/Xir7'eQ• 4t•x"U"-°y =?,-st_S( (U)(A)
sheets Rim ioist area sq. ft. x"U",GX/ s S=3 (U)(A)
x "II" /b ??U) CA)
Masonrv area above ?ad2 s9• ft: '
TOTAL Wall Area IACluding
Windows & Doora 3?•SS ?TOTAL (U)(A)
? ?„
l'OTAL VIDED U BY A TOTAL UWALL AREA m ?,V.G..ffU"
I
AVERAGE "U" Minimum ? r lese for 1& 2 family dwellinge "
Minimum ?r lese for all other buildinge
NOTE: If average "U" values as calculated ab6ve do not meet the Energy Code requirementa. the .
"Alernate Envelope Deaign" as indicated,on Page 5 may'be uaed.
.
,
i I??i •,?, ? .
_ Outaide air film
Insulation
V Drywall
Interior air film .61 TOTAL R . -
2:.
U ? lIR U . • .L?Zl ...:..-
Outaide air film •61 ?
Ineulation
Y" prywall
Interior air film
U - 1/R
.45 .
.61
Outaide air film •1?
33?_._' ..
Inaulation . . -- --u.
Wood decking
Interior sir film ,61
? ' ? - --- --- ----- - ---- .
TOTAL R
l?
U- 1/R U=
300F/CEILIN(;:
COTAL AREA: aq, ft. _- j
)etail reference .U?-l x eq, fC. ? 3?d (U)(A)
Ero[n above. _ 1.pn x eq. ft.°-T-(U) (A) :
)escribe opunings FyQAW '"Ux aq. ft. _ (u)(A) in roof ? "U" x aq, ft. (U)(A) .
IIU!l ? x eq. ft. (>>) (A) -`r <
"U" x eq, ft. (U)(A)
x aq. ft. (U) (A)
TOTALS ' sa._ft.-' (U)(A)
COTAL (U) (A) VALUES
7IVIDGU BY 'COTAL RODF/ ?I+?? AVG. "U" ;:EILINC ARI•;A ?y7j ? , ' •
4VERACE "U" .OS fur ventilated roofs `
._ ,...,:
.10 for all other construction
?10't'F, ' jrk-ragu "I'" values as calculated above do not meet the Engerp,y Code requirementa, the''
'I '"ate Fnvelope Deaign" as indicated on Yage 5 toay be.peed. -
. { ROOF CSILING
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER ANDlOR WATER CONNECT{ON
*RYPF': PAYMFTTP OF FEE AT TIIME pF
ArriscalzoN DoFS Nor ooNszzTUTE
APPROVAL OF PERNIIT.
I[vsPF7Criort oF sEWEt Arro/OR vPNMTt
IPSSTAiT.ATTONS WILi+ NCYI' BE S(.iIF+D-
UIED UNPII, PIItMLT E3A5 B@1
APPROVID.
--- --- - - - -
P ease Print
1) PROPERTY AflDRESS: JSd 3 19SA6GIo, GT "
LEGAL DESCRIPTION:
Lot Block Subdivision or Tax Parcel ID )
IF E}ISTING STRCCZ9RE, DATE OF ORIGINAL P[!ILpING pERMIT ISSL'ANCE:
- -
(Month/Year)
PRFSENT ZONING/pROPOSID USE:
COPRMERCIAI./RErAIL/OFFI(E R-1 SINGLE FAMILY '
? INIDL'STRIAL 9 R-2 DL'PLEX (1wo Lnits)
INSTIZS)TIONAL/GOVEE2NMENp C"l R-3 TOWN[i0U5E (Three + I]nits) ( Units)
, p R-4 APARTMENT/CODIDOMINIUNI ( Units )
2) NADE: CESco ( S+
.1wDREss: /025 i3'u?Nti Dkw?=. ?
cixY/sraTE, zzP:
PHONE: ?S S4S?
3) ' i: M,• For City (Jse .
NAME=gov/4G5 ri-L Plumbers License:
ADDRESS: Active
Hcpired
CITY. STATE, ZIP: Not recoYded
PHONE:q23- 3j rPsTEa rIcErrss# 304R 14
st?Initial
4) •• • i?•
NANE:_ C" Z
ADDRESS: .
CITY, STATE, ZIP:
PHONE:
•5) N0 d• • ?• : a • o? ??
F;M CONNECTION TO' CITY SEWEE2 Zwl CONNFC'pION ZU CITY WATER ? piI'HER '-
6) PLEASE HOLD APPROVID PERMIT F'bR PICK-[JP BY ONE OF ABOVE ----- ---
? PI.EA?E MAIL APPROVED PERMIT TO 1, 2r ? 4r ?1HOVE .' , .
??? (Circle one)
7)
TOR ,CITY USE ONLY
PERMIT # ISSUED
rG?D
Pd w/Bldg. Permit FEES: ?' •
$ $ SEWER PERMIT (INCLUDE SLRCIiARGE)
$ $ WATER PERMIT (INCLIIDE SURCHARGE)
$ $ WATER METER/COPPERHORN/OCTSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOUNT DEPOSIT - SEWER
$ $ ACCOUNT DEPOSIT - WATER
$ $ WAC
$ $ SAC
$ $ TRC!NK WATER ASSESSMENT
$ ' $ TRONK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER `
$ $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ " $ TOTAL
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQLIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
? YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
Q ROADWAY" MOST SE ISSDED BY THE ENGINEERING
NO DIVSSION. LIST AS A CONDITION.
SDBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE:
4
8Gs7s9
EASEAENT
THIS EASEMENT, made this -2?& day of _C,11i90b0 , 1988,
between DENNIS J. SHAW and KAREN A. PIGHLER-SHAW, husband and wife,
herein referred to as "LANDOWNER" and the CITY OF EAGAN, a municipal
corporation, organized under the laws of the State of Minnesota,
hereinafter referred to as the "CITY".
WITNESSETH:
That the Landowner, in consideration of the sum of One Dollar
($1.00) and other yood anc] valuable consideration, the receipt ancl
sufficiency of which is hereby acknowledged, does hereby grant and
convey unto the City, its successors and assigns, a permanent
easement for drainage and utility purposes, over, across and under
the following described premises, situated within Dakota County,
Minnesota, to-wit:
That part of Lot 5, Block 2, Blackhawk Glen 2nd Addition, which
lies within 5.0 feet of the following described line:
Commencing at the northeasterly corner ot Lot 5, Block 2,
Blackhawk Glen 2nd nddition, according to the recorded plat
thereof, thence 5 89037129" E a distance of 8.35 feet to
the point o£ beginning, thence S 9005120" E a distance of
158.99 feet and there terminating.
The grant of the foregoing permanent easement for drainaqe and
utility purposes includes the right of the City, its contractors,
agents and servants to enter upon the premises at all reasonable
times to construct, reconstruct, inspect, repair and maintain pipes,
conduits, mains or ponds and the further right t•o remove trees,
brush, undergrowth and other obstructions. After completion o£ such
construction, maintenance, repair or removal, the City shall restore
the premises to the condition in which it was found prior to the
commencement of such actions, save only for the necessary removal oL
trees, brush, undergrowth and other obstructions.
The Landowner, its heirs and assigns, does covenant with the
City, its successors and assigns, that it is tkie owner of the
premises aforesaid and has good right to grant and convey the
easement herein to the City.
r
IN TESTIMONY WHEREOF,
be executed as of the day
the Landowner has caused this easement to
and year first above written.
?QN
DENNIS J. H1147
KA GN A. PIEHLER-SHAW
STATE OP MINNESOTA
COUNTY OP DAKOTA
SS
The for,?9o in instrument was acknowled ed before me this
??A day of ?"cl`G( , 1988, by DENNIS J. SHAW and KAREN A.
PIEHLER-SHAW, husband and wife.
THIS INSTRUMENT WA5 DRAFTGD BY:
McMENOMY & SGVERSON, P.A.
7300 West 147th Street
P.O. Box 24329
Apple Valley, MN 55124
(612) 432-3136
JPE
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CITY OF EAGAN
SUBJECT: WAIVER OF PLAT
APPLICANT: DENNIS J SHAW
LOCATION: LOTS 5& 6, BLACKHAWK GLEN 2ND ADDITION
(SW 1/4 OF SECTION 16)
EXISTING ZONING; R-1 (SINGLE-FAMILY)
DATE OF PUBLIC HEARING: SEPTEMBER 27, 1988
DATE OF REPORT: SEPTEMBBR 19, 1988
REPORTED $Y: PLANNING AND ENGINEERING DEPARTMENTS
APPLICATION SUMMARY
An application has been submitted requesting a Waiver of Plat in
order to relocate the property line between lots 5 and 6,
block 2, Blackhawk Glen 2nd Addition. Currently there are homes
on both lots and the one on lot 5 does not meet the 10-foot side
yard setback due to an error in the constructian process. This
Waiver of Plat will rectify that situation by shifting the lot
line slightly to the east.
If approved, this Waiver of Plat shall be subject to:
1. The vacation of the existing drainage and utility easement
and the rededication af one along the newly created property
line (5 feet on each side).
2. All other applicable Ordinances.
•- ?'
3 MP ON
EIGH S
Y
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CERTIFICIATE OF SURVEY
,
,
t
E%ISTING TOPOCRAPHY
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BE ' ?...... _..... ?....» ? ?
INEfPIN6 "' ?
>MPflNY, INC.
......, ........ .....,..._.?..?. un.
[???/ .
vn[rAn[o Fwc ^. '•a. ?e. /(KBS
CERTiFICATE OF SURVEY -fa FIE75CHBUILDERS K
KuL : P .fY
; I
? LEGAL DESCRIPTION
?.? r.Mu A
inst.« i, ?ucouv a?a »e ano.nw, ..w.el.y u u. r.te.ar
F? p.e m.net. rw.ae.. .,u u.s rn .t n. 4. u-- ?. rtxsaaR
?m vn .m?le.. ..o.af, u u...e..d. p.c m...ee, ftw uu
, ...a.?ir .e u. ?.u..in. .....ur un.i
. ?.aiM?w :? u. ...u.... ?e..?...e ..ia ma ?r u.?...m..i?
? te . NUt m N? wrt! 11e. .[ ..1d bt ? ?l?unt ?.]t f??t
. /."i` •. i ...?..it .e m. .evu..rt ......r ., ..u me ? .u
.eeu Il-. .M 0 .u 4nl-tiM.
• 1? • ?n}n i Y?u nl bN.
? ' . , ?A11C4 ? .? bt ?. Nect f. ?YCMYI GID i?O lMli?011. 100eN1p ts N. fwefdtl
Olat Uo-eL Z-pt Nnt pn sf paP Yt 6 reW 11es rubrlY O! N0
. ?eL?IM rl>.C ile..
..el?in .a U. .wen...a .e:..e .a ..'a me u u.?v. wswar
? . te . ro,nc en u? ner4 LLn. e! ub bt 1Ol.[-t 0.38 fut
' -t-Il a! !n. nertL... t mT- ef .." {u[ .. .. u..ufY .leq
. - ? ..1. netU tl-, aM N- [.nlvtln.
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I.M . e.m . a a..crfe.a >r .• %01. /C M aq ?e
1990 BUILDING PERMIT APPLICATION
CITY OF EAGAN
STNGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
I SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIDNS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
_# OF RENTAL UNITS
_# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER. 41
To Be Used For:•? EcK, Valuation:
Site Address ff8"'AsHemRY ? ?.
Loc alook 21
Parcel/sub `('?L,ACKHAU=,C GLOJ Zja
Owner Oic?jors f. TH?w
Address (573 AfNRU,RS'' <-r
City/2ip Code EA6-11A.' Sf / 2 2
Phone 6??? ?01 r
Contractor
Address
City/Zip Code
Phone
Arch./Engr.
Address
City/Zip Code
Phone #
i C)O C Date:
i1SE ONLY
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
hf-L
a?5 1
23 '
On site sewage_
On site well _
MWCC System _
City water _
PRV _
Booster Pump _
APPROVALS
Planner _
Council
Bldg. Off.
Variance
FEES
Bldg. Permit 25 Go
Surcharge , sZ0
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Acct. Deposit
S/W Permit
5/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Copies
SUBTOTAL
Penalty
TOTAL
• 4:NGINCfil1NG
, COMPANY, INC.
? 1000 Lt57 1461A 57AEET,
COHSULTlHO fN61NEEA5
PIflfIN(AS nnd lAHO '?llRVEVOfIS
BURN:VILLE, lllklHESOTJI 5!337 pFi 4:2-3000
CeY-Z Z
ACczze c S?v-e u
I
Z?s4a1 cr? ?ian: LoT 5, BLOCK 2, BLACJCHAWK 6[.45N 2ND ADD/TioN,
• DAKoTA CovNTY, MiNNESOTA
C?zz.-s) pEN0TE5 EX19TlN6 ELEUATlON '
W3,5) DENOTES PROPOSEO El,EI4qT/ON ,
?-? IND/CA7E9 D/RECT/ON OF SUKFACE DR41NA6E
823.83 = FINlSNieD 64Rfl6E FlOol2 ELEI/AT/ON
S 89° 37' 29'"E
2457 .
DRAI/?/A6E AND ?84??? o?'
-- (838,0)
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I heriby cartify thet thia Se \A?t:ue
land as ahom'and deecribed heraon.•
t)ucg , 19 87 . .
.fE?/SED 8-/B - 87 CNANbb> p,QARx6D ELE VAnpNS
SCALE : P= 30'
• 30' FRoNT BuILDIN6
SETQqGt' L /NE
L zz.") .
?
0
and cornct rnpraeentatian of t tract of
!le prnpared by me on thia 287''4day of
??-•f ?Sinn.
mes. No. /Gr?Bs
CIrY OF I Ai;AN
:AEiI-17:Ef;? .I.'-:i i'LfiMINRd_ N0,^, 692
qATE? r?z;i1.0/3(J 'T'!'Mi-: 9.3;0:3a24
Tl:i:
PlFlP4F'e I:'Ii,T.CF: N. F:ALL.I'_F'fUF'
:3210 9001 083 F1SF1$l!RY CT' 97.25
2155 9001 083 AS4IisURY C'1" 2.00
T'ota7. ;;eceipt Hmourit,• 990;
CF' Hi 34•3
USf:R 7:De :IAN!
sK$('?f.SX:!:# 'M?FK(:kY()X*?:$X?1FYFhc%X?#YF?>'FV' 1t'M?FM)XYF.YXh:ikR<M?X??:
- 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
? CITY OF EACAN
3830 PILOT
fi51-68/4675 55122 -J"c?
4l
New Construction Reavirements Remodel/Reoalr ReaulremeMs
? 3 regisiered sRe suneys showing sq. R. of bt, sq. N. ol house
and ?II roofed areas (40% maximum lot eoveraae allowed)
? 2 coples of plans (show beam & wlndow sizes; poured fnd. design; Mc.)
? 1 set of energy caiculaTions
? 3 copiea of hee prese ofion plan H loi piatted alfer 711143
DATE: _
DESCRIPTION OF WORK: ??CCLT ? V 1`I ///j
S C=/I c-c
STREETADDRESS: I ) ? } dl wlbu/`?'I ?
LOT: V? BLOCK: ? SUBD./P.I.D. #: ?
Name: ? / ? n 5 Phone #: ??/ ` ? ?`? 'y ?G C I
Lasf first
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Sheet
19
2 copfes ol plan
1 set ot energy calculaNons lor heafed addiHons
1 sile survey for exferior addNlon3 6 decks
CONSTRUCTION COST:
q-
?' Ct ei C?
J/
Cify E'-[ ' State: Zip:
C'lZ''
Company: L ? ? ?k j(C4 I ?r v ?2 G/I> l Phone #:
(area code)
Sheef Addreu:? j?-!J`? T7 Pv x? !C d - License #
City rli 7 k E} State: /E'l /0 '
? ?.
Telephone #: area code
Streel Address: /
City State:
Sewer 3 water Iteensed plumber (reauired for new conshucNon onlv):
Registration #:
Penaly applies when address change and lot change Is requesfed once permN is issued.
Zip:
I hereby acknowledge that 1 have read thls applleation, atate thaf the informatfon is cortect, and agree to eomply wRh all applicabl
Siiafe of Minnesota Statutes and Ctty of Eagan Ordlnances.
• Signature of Applicant:
Certificates of Survey Received _ Yes
OFFICE USE ONLY
_ No
Name:
6 0( ?"
7> Exp.O?
Zlp: ?? ?.? i 0,T
Tree Preservation Plan Received - Yes - No - Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10.plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.
? 03 1 of _ plex ? OS 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 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 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg.' ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
' Give PCA handout to appli cant for demolition permit
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Planning
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
Engineering
Census Code
SAC Code
No. of Units
No. of Bldgs
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Variance
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC •
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W 5urcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
:
SAC Units
% SAC
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Use BLUE or BLACK Ink
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For Office Use +
Permit 1D~~
City of Eagan
I Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 I Date Received:
Phone: (651) 675-5675 I V/ I
Fax: (651) 675-5694 I Staff: k T ) I
I I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ~~3 f Site Address: 13-Y2 f Unit
Name: olk 2 Q TV /I," 'M S G Phone: 6,22 - OeE F79 l
Resident/
Owner Address / City /Zip: 13-73
Applicant is: Owner Contractor
Type of Work Description of work:
Construction Cost: Multi-Family Building: (Yes / N )
Company: J lV'WVJAI G"4F4~:- a4d157- Contact:,
3S~S l 1 asv14/
!Address: City: k-
6v,14✓
Contractor '
I '
I State: 4 Zip: Phone:
E
License Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets. j
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 plans.
Exterior work authorized by a building permit issued in accordance with the Minnesot State Building Co a must be completed within 180
days of permit issuance.
x 1~a [+U*4/' x
App
licant's Printed Name Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA127305
Date Issued:09/26/2014
Permit Category:ePermit
Site Address: 1583 Ashbury Ct
Lot:061 Block: 2 Addition: Blackhawk Glen 2nd
PID:10-14351-02-061
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 -
Mark Vanasse
1583 Ashbury Ct
Eagan MN 55122
(651) 405-8701
Scherer Brothers Lumber Company
9401 73rd Ave. N
Suite 400
Brooklyn Park MN 55428
(952) 277-1600
Applicant/Permitee: Signature Issued By: Signature