1584 Ashbury Pl4. . . . , . .. . - . - . ? .. . . . '. '
CITY OF EAGAN ?
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 127?6
BUILDING PERMIT PHONE. 454-8100
Rece ipt #
Sr DWG/t'AR $FJ9,000 86
OCTOBER 2
To be used for Est. value Date 19
Site Address 1584 ASHBURY PL Erect L? Occupancy R3
Lot 24 Black 1 Sec/Sub. B LACKHAWK GLL,J Remodel ? Zoning R1
Parcel No Repair ? Type of Const y.n
. Addition ? No. Stories
Name LUNDGREN BROS CONST Move ? Length 46
=
;
Address 935 E WAYZATA
BLVU Demolish
I
I ?
? Depth 35
S
Ft
0 Phone `i 7 3-
City '2 3-L n1.
mpr.
Install ? q.
--
= a Name SA'E
0 ? Address
City Phone
W W Name Jr S IGN ETC
? ; ,address 5735 DUNKIRK LN
<W Ciry PLYMOUTkne 559-2637
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
5ignature of Permittee • ..,,, ? -`"'
A Building Permit is issued to: UuNLU?
all work shall be done in accordance with all
Building Official
Water 8 5ew. Surcharge 44 . 50
Police Plan Review 2 U 0. 0 0
Fire SAC 575 . 40 •
Eng. Water Conn. 500 . 00 y
Planner Water Meter 63.501
Council
10/2/86 Road Unit 290.00 ?
156
00 !
Bldg. Off. Tr. PI. .
I
APC Parks ?
Var. Date Copies
Total $2 , 229 • 00 ?
on the express condition that
Statutes and Ciry of Eagan Ordinances. j
• PermH No. Pnmif Holder Dab TN*phone k
Plumbiny ?. ,
H.V.A.C.
1 ? (j 6
Elactric t-C 36 0 t D
sonen..
Inspectlon Date Insp. Comments
Footlnyil ? zlix
FooHnytll
Foundatbn
Fnminy
Roollny
Rouph Plbq. I ,. . !f IV . ' VSGiAL
Rouqh Mty. Z? •7? ?C? ?? ,
Insul. ri
Flreplace Aw.
Flnal Htg. ? u)
Final Plby. . • • ¦
&dy. Final 7 ?
Corl. Oec.
Deck Ftq.
Dsck Fm?q.
WeII
Pr. Dhp.
..R.?-.-
. .
Lot Block
m Name
? Addres
c City --L
? Name
c Addre
o Cih =
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent Gas Piping OuUets #
Other
MECHANICAL PERMIT RECEIPT # U/
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAQAN, MN 55121 DATE:
? M BTU
M BTU
M BTU
M BTU
CFM
?
PERMIT #
FEE
S/C:
TOTAL•
BLDG. TYPE WORK DESCRIPT'ION
Res: New ?
Mult Add-on
Comm. Repair
Other
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)
{,; r
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
PLUMBING PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122
PHONE: 454-8100
5ite Address f `i V -r
Lot _? " J Block
e
m Name = + +? ?-a ig- v
? Address .;?
? Ciry r1?:.,?, r?
m
c
3
O
Name _
Address
City _
COMM/IND FEE - 195 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 PEFiMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
FOR: CITY OF EAGAN
PERMIT q / 7 '`t I
RECEIPT # E f r +!L/
DATE: ?I - aJ6 - h
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 $ r',T
? Bath Tubs - $3.00
1 Lavatory - $3.00
?_Shower - $3.00
/ Ki?chen Sink - $3.00
Urinal/Bidet - 53.00
/ Laundry Tray - $3.00
-LFloor Drains - $1.50 , •J ?
Water Heater - $1.50 ?
Whirlpool - $3.00
=Gas Piping Outlets - $1.50 % • - ?
(MINIMUM - 1 PER PERMIT)
5oftener - $5.00
Well - $10.00
Private Oisp. - $10.00
--3_Rough Openings - $1.50 -?
FEE: -
STATE S/C:
GRAND TOTAL: /
CITY OF EAGAN INATER SERVICE PERMIT
3830 Pilol Knob Road
P.O. Box 21199 PERMIT NO.: ' i1l
Eagan, MN 55141 DATE: 10-2E-5 b
Zoning: __ 3`I No. of Units: 1
ren BrQS
i- ??g
Owner
,
.
Address:
Site Addess: 1594 Asa}?bury Plaep - .9-4 Rl 31ac1J-iazrk Clen
Plumber. mndgren Rraa_ P 2mhing
Meter No.: Connection Charge: 500 _[]0ad_
Size: Account Deposit: 1 S_ OQ:Pd_
Reader No.: Permit Fee: l? - OA; A
I agree to compty wNh the City ot Eagan Surcharge: _ 5tw?
Ordlnances. Misa Charges: l 56 _(1[lpA Tp
By Total:
63.59pd r
Date Paid:
Date of Insp.: Insp.:
CITY OF EAGAN SEWER SERVlCE PERMR
3830 Pilot Knob Raad
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
7cnin0: F:I No. of Units: -
Owner:
Address: -
Sits Addross: > >FL AsbburY °.Lar e L- : I
Plumber: i.ur??_;•r'?:? 7r?s.
...
I y/N tO 00111ph Nhh The Cky Of Boom C011?1SolGI1 C.p101gQ: -
- A
OraMom /looaxffl Deposit: ? S ?:?.'+?t
Pem'1M FM:
SIJ/Ch01'p!: ^i.
Br Misc. Chorfla:
Date of Insp.: Total:
Insp.: Date Pald:
BLDG. PERMIT N0.
Y='r_'•,:
01-3210 Bldg. Ptrmit
01-3422 PZan Check
01-3445 Surch./Adm.
01-3446 SAC/Adm.
01-2155 Surcharge
17-3860 Road Unit
20-2275 SAC
20-3865 Water Conn.
20-3868 Water Trmt.
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn.
11-3855 Park Ded.
TOTAL
:).
. ._!
?
y - "
,
u
TY OF EAGAN
3830 Pitat Knab Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITEADDRESS:` : 10-1430;0•-; 40.0 1
L0i t 24 NI.OrJ'
{ .. =; 4113"RY PL
H{ A1.YIIi?IJM: HI.FN
PERMIT SUBTYPE:
0c?1 (raiv.
i!!A 1
PERMIT TYPE:
Permit IVumber:
Date Issued:
APPLICANT:
L
f. t? ft Ft f' ! t
TYPE OF WORK:
i)F. 4? i r 1F" I t 0 iV
ttAT4I N tt
M t. t-1
i Nt 1 UItF `; tlf- ( IC
?
l ? LAN H'f_VlFWE () BY P (l I RI+AM°.
f A i! 4 4 1;. 1?940 RFOArtt?1 N!i ilrr r?1[1;A! PEtiNEff rthrll t N ,r'E'c:iI iir
Permit Holder Date Telephone #
PLUMBING
HVAC
Inspectfon Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
7EST
BLDG FINAL
pOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
coNOUCTwiTv
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG 10? nG
?1 Q
W
DECK FINAL
CITY OF EAGAN
a
Addition $laFkhaurk 6.?en. ist Loc °? )4 Rik / Parcel 10-14350-240-01
Owner Sveec 1584 Ashbury P1ace state 9-aga-•MN 55122
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 rior t division
SEWERLATERAL gn1074 1986 112.09 22.42 5
WATERMAIN $p 1075 1986 92.80 18.56 5
WATER LATERAL
WATER AREA 1072 1986 309.40 61.88 5
Storm Sew Trk 1073 1986 110. 22.18 5
STORM SEW TRK 732 1983 32.57 15
STORM SEW LAT
CURB & GUTTER '
SIDEWALK
STREET LIGHT
WATER CONN.
9UILDING PER.
SAC
PARK
CITY OF EAGAN
- 12726
3630 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 Np
BUILDING PERMIT PHONE: 454-8100 Receipt q ?71
SF DWG/GAR $89,000 OCTOBER 2 86
To be used for Est. Value Date
SiteAddress 1584 ASHBURY PL Erect L? Occupancy R3
Lot 2 4 elock 1 Sec/Sub. BLACKHAWK GLEN Remodel ? Zoning Rl
Repair ? Type of Const. Irn
Parcel No.
Addition ? Na. Stories
= Name LUNDGREN BROS CONST Move ? Length 46
3 Address 935 E WAYZATA BLVD Demolish ? Oepth ?S
° WAYZAT 473-1231 lnt Impr ? Sq. Ft.
City ?hone Install ?
z SAME APPror
o I Name
0 i Address A532ssm0flt _
?
Ciry Phone Water & Sew.
c
DESIGN ETC
_ W Name
2? Address 5735 DUNKIRK LN
aw c;ry PLYMOUT410fe 559-2637
Police -
Fire
Eng.
Planner
Council
Fees
Permit $ 400.00
Surcharge 44.50
Plan Review 200.00
SAC 575.00
Water Conn. 500. 00
Water Meter 63 . 50
Road Unit 290.00
Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe gld .Off. 10/2/86 Tr.PI. 156.00
in(ormation is correct and?gree to comply with all applicable State of 9
Minnesota Statutes,end Ci of Eagan OrdmancfaE;t APC Parks SignaW re of
A Bmlding Permit is issued to. LLPivuvi
all work shall be done in accordance with all
Building Official
Var. Date Copies
Total $2.229-00
v? ?v"o ? on the express condition that
State of Mi neso SVtutes and City of Eagan Ordinances.
?
cm oF eaGaN 7
,?. ? WATER SERVICE PERMIT
-
3830 Pflot Knob Road 8111
P.O. Box 27199 pERMiT NO.: 10-28-86
Eagan, MN 55121 . , DATE: 1 ,_ .
' Zoning: ?- ? No. ot Units: , . . , .
Owner. Lund ren Bros. , .
Address: . .
1584 Ashbur Place L24 Bl Blackhawk Glen
SiteAddess:
Lund ren Bros. Plumbin
Plumber.
a74 ????"a
Connection Charge: SOO.OOpd
Meter No.:
XiG. !j
oc/c
-AccountDeposit: -ZrJ.00pc1
Size:
n`7n '7 ?r.0 / y ' Permit Fee: 10.00pd
Reader No.: .SOnd
1 agree lo compty wlth 1ha City of Eagan Surcharge: 156.00 vd TP
Ordlnancea. ? ?Misa Charges:
FZ 5n a
:;
:r' Total: --
Y:?
, .
Date Paid:
Date of InsP, InsP. ,
/- i3- ?7
This request void
18 mnths fram ? b ? l 7? J (
60 351`_?N
Re uesSbaie 1 Fire No. Pough-in Inspectwn
d` -/ Pe?qwred? Ready Nuw ? Wtll Nouty InsPec-
7 6?o Yas o mr When Neady
Licens¢d Elgc[ncal ConVactor I hareb
v request insDection ot ebove
Owner elecvical work installed ar
Sv¢et Atldress, eoz or Rome No. Gt
S
ecuon o. Townsh Nama onNa, Hange No. Co
Occu IPRINTI PI,one No.
'
?a3 f
wer ppli Address
EIecV I Contract ICampany
`J
s Co tracmr's License No.
Mading Ad
re
ontractor ar Owner Ma king instailauonl
/ ? .?
Authori e SienaWre (Con tor? king InstallaLOn) Phone Number
?>J -33cl?
MINNEBpTp STATE BOARD OF ELECTRICITY THIS INSPECTION NEQUEST YYILL NOT
Grippa-Midwey Bldp• - Room N-191 BE ACGEPiED BY THE STATE BOARD
7821 Univeraitv Ava.. St. Peul, MN 55104 UNLESS PPOPEfl INSPECTION FEE IS
Phona (872) 642-0800 . ENClOSED.
REQUEST FOR ELECTRICP' INSPECTION ? Es-oaooi-as
' See inshri4itiona for comoL4* thi{ form on beck o/ yellow covY• ?) r SQ
ir "X" Below Wwk Covered by This Request
AOdT Neo. Yoe ol Bailtlme ACCLancee NV,mA EquiVmenl Wirad
ome Range Temporary Service
Duplex Water Heater Lightin, Fixtures
Apt. BmIAmg Oryer Electnc Heatin
Commercial Bldg. Fumace Silo Unloader
Industrial Bldg Air CorxJitioner Bulk Milk Tenk
Farm Othxr Deci v 0ther tSner,ilyl
1 er uecity ther Other
ompute Inspecfion fee Below
Fee ServieeEntreneeSize fl iee Fanders/Subfeedare a Foe Cvcuits
0-0 U tp 200 qm s 0 to 30 Am s 0 to 30 Am
Above 2 0 qm» 31 to 100 Ainps 31 to 100 Am
Swinttning Pool B Above 100_Am s
4 AAove 100_Amps
Transformers
- - 77gation Boorrrs ° Partial-'Other Fee
.
Si?s Speaal InspecLOn S
TOT
emerks ? Q FEE A.
/% Jd
flough-in Dnte ? ??e I .
Inspeclor, thereby
cerlily thet tha abova
Final ??e/? nspec[ian has been
<? mede.
Thif roaueat voltl 18 montlp irom
This request voitl/?/?/3%(0 (P ?( v 5
78 monchs from C 6 7 5 6 5.? ;-? ,?i. AL=?,1.?1f "??. ??/?! c?a
Request Oete ? ure No. HouAh-in Inspection
Redu red7
01feady NowA WiII Nouty Inspec-
rp /
'" Yes ?No tor Wh¢n Heady
&I icenseA Elecvical Convactor I hereby request inapection ol ebove
? Owner electrical work installed at:
Sveei AdCress. Box or Nouta No. C ny
513,41 A 5// ??,?y n?6? t?r6 ,V
ection o. Township Name or No. ange o. County
XI-loT
OcCUOant IPPINTI Phone No.
c o.ys,-, 4'r7 3
Power SupOlier Adtlress
O r?A E L C-74 G
Electncal Connactor IComoany Namel Comractoe's License No.
Standard Electric Co. 40837
Mailinp Atldress (COntractor or Owner Meking instailalion)
2672 Ma lewood Dr., Maplewood, Mn 55109
AuMor¢ d ignaWre (ConVacmr wn Makinp InstallatioN Phone Number
484-5044
MINNESOTA STpTE BOARD OF ELECTqICITY THIS INSPECTION flEQUEST WILL NOT
Grippe•Midwey Bidg. - Room N-191 BE ACCEPTED BY THE STpTE BOARD
7821 University Ave.. St. Veul, MN 66704 UNLESS PNOPEX INSPECTION FEE IS
Phonwf61216A20900 ENCIOSED.
REQUEST FOR ELECTRICAL INSPECTION Ee-pooryooi-o?.
See inatracbans for co'cpletinp this form on bnek of ? v ( G`?
' yellow copy.
PilwiiI C fl 7;) 0 5 - X" Below Work Covered by Ihis Requesf Add Ppo. TYOe ol Budtlmg Apoliancea Wired EqviVment Wired
Lna F
Bulk Mi
p Fee Sarvice EntranceSize p Fee Faedera/Subieeders k Fea C vcurts
- U to 200 qm s 0 to 30 Am s 0 tn 30 Aml)s
Ahove 200 qin??y 31 to 100 Amps 31 to 100 Amps
Swummin Pool Above 100_Amps Above 100_Am s
7ranstormer5 Irn tion Booms O Partiab Other
Signs
S0 I TO7AL
.° I 7'J^ "/6,?] I, the Elec?r'? I
F? ? ? rl?nsoactoq he?aby
0 ? certify thel fhe abova
?final ?j?? D%"ie??- inspecpon has bean
s ! maCe.
,
7c;?? - :
1986 BDILDING PEHlIIY APPLICATI09 - CITY OF HAG9N
80TE: ALL CANTRACTOES M[TST HE LICENSSD UITH THE CITY OF EAG9A1
3IPGLE FAMIILY DiiELLIBGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
MOLTIPLS DiiE[.LINGS - RfiSIDENTIAI, RENTgI, pgITS FOR SALB QNZTS
INCLUDE 2 SETS OF PLANS, CfiRTIFZCATE OF SOR9EY - CHECK TiITH BLDG. DSPT.,
1 SET OF SNERGY CALCULATIONS
C0M4lERCIAL
INCLUDE 2 SETS OF ARCBITECTURAL & STRQCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
' ?, oo v
To Be Used For: ? aluation: *-r----- Date:
Site Address 15'34/?
Lot ?' Block _J--
Parcel/Sub????ae'?
Owner
Address 2135 G. GC/U
City/Zip Code
Phone
Contraetor
Address
City/Zip Code I/,/,/,
v
Phone 3 - 73
0
Areh./Engr.
Address
City/Zip Code
Phone #
Erect ? Oceupaney R-3
Remodel _ Zoning R-i
Aepair _ Type of Const -7_
Addition # of Stories
_
Move _ Length 4(0
Demolish _ Depth 35
Int.Impr. _ Sq Ft
Install
APPROVAIS FEES
Assessments Permit 40O•
Water/Sewer Surcharge 44,$O
Police Plan Review 200
Fire SAC . 5"1 S
Engr Water Conn Sw •
Planner Water Meter &3.
Council Road Unit 2-°10,
Bldg Off Treatment P1 t 5(0.
APC Parks
Varianee Copies
iOTAL 7-
Y'6
$OTE: ADDEfiSSS3 FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MQST DESIGNATE i1HICH ADDRfiSS
IS D&SIRED. NO CHANGFS fiILL BE ALLOiIED OIiCE BUILDING PERMIT IS ISS[TED.
.SURVEYOR'SCERTIFICATE SIENNA CORPORATION .
?xezzz
---?._
? Asye-UR--_Y_ 4
ez? , PLACE
? 94.94 Mi 826.3T.C. M
? R?2
43 ' 08-7rT-R= 1.50--
: 1B i a=2°!8'l5u
5 w'.
1 ? ---
?
? 3
,,
i?-
?
?J
\
I
t ??v
? J
e28.7ex
'- 20.50 h
(82 ,
o/ //m 2?50
v? GAR
N
? o //
i
^ M r 5.0PHOU?SE? N
? i
41.0
N "-?y- ,; (8z9.5) faz9s ;iaoo-
Q
? ti m M m
2
I
LOT 24
oRarNaGs e unurr r
EASEMENT PER PLAr ? g
? 5 L
4 0 ?83o.ox
V
W
NI^ ?
VI ?
M ?
.y °
?
? J
?
?
? 500 o w
2v ,53
v 1 _ _ J
l
URFACE DRAINAGE
-+---- DENOTES PROPOSED S SCALE: 1 INCIi = 30 FEET
O
• UENOTES IRON h!ONUMENT SET
DENOTES IRON MONUMENT FOUrIU
PROPOSED GARAGE
FLOOIZ =
829.8
FEET
X000.0 DENO7ES EXISTING ELEVATION pROPOSED TOPEOF 6LO?Y. c 63a•?- FEET
(000.0) DE,IDTES PROPDSED ELEVA710N
41E HEREBY CERTIFY TO SIENNA CORPORATION THAT THIS IS.A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF TFIE 60UNDARIES OF:
Lot 24,81ock I. aLACKHAWK GLEN 1SY AUDITION, aCCOrding to tlie recorded plat
thereof, Dakota County, Minnesota.
IT DOES NOT PURPOR7 TO SHOW. IMPROVEPIEPlTS OR ENCROACHh1ENTS, IF ANY. AS SURVEYED DY
14E 0(t UNUER MY DIRECT SUPERVIS10Pa THIS I3rN UAY OF Nav. , 1985
SIGPIED:
REVISED 9-05-86 TO SHOW PF
BY LUNDGREN BROTHERS CON:
PROJECT N0.
85618 ( 86943)
FILE N0.
FOLDER
DY:
'OSED HOUSE
INC.
IIOOK / PAGE
150/64
.IAMES- . HILL, IPlC.
?
C v??
HAROL[) C. PETERSDN, LAPIU SURVEYOR
MINNESOTA LICENSE NUh1DER 12294
JAMES R. H1LL, INC.
Planners / Engineers / 5urveyors
8200 HumboFdt ,9vanue South
B}oom(npton, Mn. 65431 012-E304-3029
?COJCiRUC1101J ?
11
? VJAYZkTA BOUI_EVkRD • VJAYZ/;T!-.. ILIIJIJ[SOTA 5529i •(012) <7'S1'l31
y3? [AST
EY.iEP.IOP. EWVELD?AVEP,/.GE U CD!,iPUT/171IJ
r
Si te Nddress ti•, ?-_ .,?'??- Lot4 Bl ock?
R & Fa?t°rs
ppaque Walls
Ylall FramSng Areas
?
Ceiling Insulation Area
Ceiling Framing Area
Rim Joist
I'iasonry Wall
!!i ndov,,s Doubl e Hung
Casements
Doors
Patio Doors ?
Sideliies
1) Lower Level (Bzsem2nt)
Total exoosed wall area
Opaque ldall Area
IJood Frame Area
Rim Joist
Exposed block
Window Area
Sliding Glass Door
Door Area
?
Casernent
Double Hung
R U
_058
.117
.023
.027
.04
.14
.26
- .4E
.18
.46
.47
x ( U ) . 058 = 5a
?oX (U) .117 = a 3?
- x (U) .04
ZlX ( U ) . 14 = /Z /
ilLX (U) .46
- X (U) .26 = -
_.-x (U) .46
--x _ (U) .18 = -
? 3 9 ?
7otal
•i.' "5^ ? ? - .
Y?? CCOI?CI RUC1101J - -
------- -- ? 1• n:s- -12s 1
9;5 EA57 VJNYZ/.TE• LOULEVl,RD • VdhYZN7A, t?IIJI?ESOTA ?5.,91 (612)
2) ]st or rain floor
Total e>;posed v+all orea
ppaoue wall area
b;ood frame area
Rim joist
? 4Ji ndow P.rea
I
Sliding Glass Door
Door area
_Sidelites
Casements
Double Hung
3) 2nd floor if 2 s'Lory
' Total er.oosed r:al7 area
' Opaque wall area
Wood frame area
ilindow area
Sliding glass door
Door area
q) Total ceiling area
Wood frame area
ppaque ceiling area
Skylight
C-
Casements
Double Hung
---- --
8?a X ( u) . osa =
? x (U) -117 = ?O S
??x (U) .04 3?
?
?x (U)
(U) .46
-26 = a?. 3
?x (U) -46 = /09-
.3F?X (u) _ia = ?.8
3 X (U) .47 = e? zz -
To -ual /O 9 6 -
Cr ? n
/
FEOx (U) .058 = 7. S
?Lx ( U ) . 117 = ??-
-x
- U
?U? .46
26 =
x
Z7 .
- x (U) .46 = ? -
-x (U) .18 = ?-
Total
,?X (U) .027 = 3S
(U) .023 = ?S63
f x (U) .55 = __-
Total '?F
--
_ . - ? ' _ _ - . ... - ' -._ - . I' i,)?•'-'?' '
?COIJST RUCI ION
?, ' d IIJC.
9?5 EkS7 VJAYLN7N BOULEVAP,D • t'J/,YZl,TA. IliIIdNESOTN 55391 •(b12) 47:;-t23?
Kinn. U Factors 7otal er.Posed wall area aZ9'7 x
0 26 = aZ?, ? S
ISinn. U Factors Total er.posed ceiling area
(A) Total
7tem 1?a 2 + Item 2/O9? + Item 3?D2+ Item 4?0.38
? -
If total of Ttems 1- 4 is less than Item (A), building
complies with SBC 6006 (C)s
`
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
*iOT?': PAYMENT OF FEE AT 7DO OF
APrzrcaTIoN ooES Wr oorsMMM
APPROVAL OF PERNIIT.
INSPDLTION OF SE,TdR ArID/OR M7II2
Tntcmnr.r.nmrONS WILL NOT BE SCRED--
UI.ID UNI'II. PERFffT HAS BEM
APPROVID.
? - --- - - -- --- --
P ease Pr1nt)
1) PROPERTY ADDRESS:
LEGAL DESCRIPTION:
IF EXI3TING STRCY.'ILME, DATE OF ORIG2NAL B[IILDING PERMIT ISSL'ANCE:
?
PRE'SENl' 7ANING/PROPOSID L?SE: ( Mn Year
M COMIIv1ERCIAL/REl'AIL/OFFICE
Q IAIDCSTRIAL
n INSTIIS.'TIONAL/GOVII2IZE7P
2) NAN1E:
ADDRESS:
CE? R-1 SINGLE FAMILY
Q R-2 DCPLEX (RWo Units)
?j R-3 TOWNiOUSE (Three + Units) ( Pnits)
R-4 APAR1MENr/COAIDOMINICTi ( Units)
CITY, STATE, 2IP:
PxorE:_ r 73 -~/ :7, i i
3) u c ?•
NAME:_
ADDRESS: •
i CITY. STATE, ZIP: . , '
PHONE: MASTER LICQdSE#
riimioers t,icense:
ACtiVe
Expired
Not recorded
St?a fInitial
41 IM6k4J9:/Y7LO kl lN • .
NArE:
ADDRESS: '
CITY, STATE, ZIP:
PHONE:
-5} ? v a: • ?• : o • aa - ?i --
? ODNNECTION TO CITSC SE47ER 9(CONbIDCrION TO CITY WATER (YTFIER_-
6) u - • r
I
rXf PLF.ME $OID APPRCJVfD PERMIT FOR PICK-Cm BY ObM OF ABOVE ---' -- ._
? PI.EASE MAIL APP PFRMIT TU 1, 2, 3, 4, AHOVE
h (Circle one) "
?? jg-gm I e)l"
? G
FOR CITY USE ONLY
PERMIT # ISSUED '
Y///
Pd w/Bldg. Permit FEES:
$ $ lL - 5-Z% SEWER PERMIT (INCLUDE SURCHARGE)
$ $ /O - Sb WATER PERMIT ( INCLLDE SURCHARGE)
$ $ WATER METER/COPPERHORN/OC'TSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOUNT DEPOSIT - SEWER
$ $ ?S^ e`-? ACCOIINT DEPOSIT - WATER
$ ?i() , (o C)
$
WAC
$_ 5 7.S^'0 12 $ SAC
$ $ TRONK WATER ASSESSMENT
$ $ TRLNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRCNK SEWER
$ $ LATERAL BENEFIT/TRC'NK WATER
$_ 4/ $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ I`?-GI y•
TOTAL
RECEIPT RECEIPT
DOES UTILITY CONNEC TION REQLIRE EXCAVATION IN PIIBLIC RIGHT OF WAY?
ED YES IF YES, THEN A"PERMIT FOR WORK S9ZTHIN PUBLIC
Q
NO ROADWAY" MUST BE ISSOED BY THE ENGINEERING
DIVISION
S
. LI
T AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE : ?d 2-a J ? l
' ? 1 Of S
? i
-Y--
? HEAT LOSS CALCULATION 22-0 TEMP. DIFF.
rrv.c:w..mion Nan4ps h I'Vt
cnv - w;?aow. sro.m s.h
Oarlor Name - MhIN . Im.
SbM Gilirq In4
City Fbw
.I Dey-\ RoomlLWqth Ile WidM
Wincbws and Ooora-Gut.es .M A...
»o w,a,n
n? PeM w.qn?
OI nIM Ne er I lxw??lt
L \. N LIKY NY
N.
3U G o
Cwf. Etu
In}ih?nien ZG yo
Glss Zo aoo
E¦p. wau g K ? u
Nm e:p. wail zo 81 lo
Int. wall
Gilcnq I b x 1 Z 3 g
Fbor 192-1 3 S
R FI.I g'.°r.%a?.Aooml L.notn R wwftn
Windowa " Doort-GWcpr rd Ara
01
N M W. N
L LIwN I?. An?
11.
Caf. Btu
Inhnntion
GlM
Ezp.wall Z'7x$' ?
No1 bp. wrtll
IM. wNl
C.ilinq I 3 x 2 Z 3(.
FlO°' ISL S"`f
iotn o[u. I 3 81 (o 11 Topl Btu. 1 1`7q y
FI.I cc. Roomll h 2S WidM 1N' t I31 1Or„ ?qc RoomI Larigth I a.S Widthl3.$ ' t?
Windows and Doort-Gdcqp sM Arw
Windows and Duon -Gaek aqe and A rM
Ma OWntM ?M^ l? 1~i OI*M. A M.
? L 4O y'Z
a ao ? ?
CaM. !tu
Intihntan D 26
Glass (oi Sv 31 0
Exp. wall 38 y` e?f
Net exP. wall zy Z ?i b 00
Inl.wsll hir[ P/4cP (oOd
Cnlmg j$ 1 ? 2 f. S'O
?i°'" tlz 3 '375_
Ns N? ?M ?e 4 N Ih. A'Y
?.
2 - fo q
(0 2 0 2 U
I 2 2 I IU !p
Z z 8'U 1 3 Y 3y CoN• Btu
Infiltntion S3 0 332 0
Guw S gJ 39 0c)
Exp. watl 2(o x 2oQ'
Not otp. vpll 13o SZU
Int. vwll
Gilinp i 3 x 13 I b 2- 33g
Floor (b z 3 3
7en19tu. ? q S 3 g Toul Btu.
SY I a
6 p?ai;' qoom ilm h I 3 WidM 13 Hon$_ I srFl.l L i ?' RoomlLwvgh i 3 Width {`f Hold
B'
WmMwc d Doors-Gaeka4e Md A?N Windowt jkd Ooon-Gsdnw md Ikr
w? wnm H.hn? Ne ar
•.? wr el MK l b ?xrl h.
?/ ON? Arr
. h.
CoM. !tu
lef iIrration
G4as
EaP.w111 zVK z0?1
Nw srup. wali 93
Int wall
Ceilinq 4 3
Floiw ! 0
Nn. N?? M = `?. M LMr11?. Zh.
zb z2
Z ?- 3b I 2 i4
Oe?f. !tu
IMiMmon c?v o aa
Glr? v o 2 0 0 0
Eap.w?n Z g a?ie
NN nD. wsll
1 y
o
r/
Int. wNl
Gile4 J 6 S
FWa 1 gZ_ z- 36
roul etu. I( 4g 77 11 roul stu. 1 s& / 111-1
P-- g, ? v .- .a
NEAT LOSS CALCULATION 20 ° rEMP. DIFF.
'r N?nr _ Lur? dgye n_ 13 roq ? TYV? OonRniatbn hF?t vn P S h i,r .?
•Nr Nam?
City
Wmdows anN Dee•e_h..+.?.....w ?.?
we nw?wM I ni?: i°'mo I s?i'.:e ?. . M h.
? 3 z z-I z
CeM. Btu
Infderanon I `10
Gla° 14 Sd 'jo O
Exp.wafl
Net eap. wall It, ;L ? 4 8
Int. wNl
Ceiling ? o Izo 3Lo
Floor 12C1 2 2 D
Windom Stam SM
Walh . In?.
Gili^0 bN.
Floa
Qoera-Gadus rd ALrr
Na, wMM? M? N LMW N, Arr
u.
2- 2 z Z 3 g z 8
CoN. BW
Infikration a 8 yo t S"z?
GIM z8 SO 1 0 0
Exp.vqll 2. Sh8' 340
Nwno.w+ii 3iz ? zYg
IM.rplt
Coiling IS x4z. S i Su z
?
37
Fba 19F _- 37(-
I,2 74 8' roul em. q9 z v
sT FI.I hi ,IRoomlUn h `I Width 1Z INi t 8 z^' 1.1?wulti ? Room?Lwqth l?o Width INOt
Windows and Doors-Gadeap and Arm '---
wo M.
01 M Y/
M Me N
L ti Liw?M ry,
?1 fIN? Aw
. M.
I n
ZS I6 ? IS O
Co?/. !tu
Infdtwtwn ? S Yo bo?,
Gwa 1° $p o0
Eep. wall q X &
tkl lrP. wall 2Y ?
Inl. wall
Ceilm9 9X l 2_ g 2 i
F1O1` a8 2r
??nn oIu. ' / 7 Ayu
i
I-R.10i ne Ne Room lLwqth '7 WidM 1 Z m.;ehe k''
WmAnws anA Ooort-G?ck p? and A?r
. H.'". Ne sl
n? i..?. ni ?uwe L n loml n.
N w?n ?.N
. H.
2 3
CoN. Ptu
lehitrstan Z y e)
r
Gi+,4
3'-/
SJ _
17C
E¦p..wn '1? fi S(o '-
Nof rmp. wall Z L
Inf wsll ?
Cailng r L 8 Z- !(e 4
Fien, y z- (o
ToUI Btu.
No. w?
N ?n? mW.
N Me.d LIYph. An
!b 2o Z r
Caf. Stu
Infihntion 13 L{O 52 0
Glw 7 ? 3 v
Exp. wall L 8 K 7 22y
No KP, vwll zl 8b 8'
Int. wrill
Giliny f(c XrL q 3 Sq
Faa r9 z 8
1 Opl tl1Y. - ,
Raan lL1pth I z Wifth I S MMot $'
Windowi wW Doon-Crrtar rw Mr
Mw. N r1n N?t `a N LM
AI1 tl.
of~
• N.
2 3z .2 8 Z 20
!tu
Intilqnion 2 J ?{o 00
Glns 1 So 200
Erp.wNl 2'1xe z1le
No htP. wNl Z Oo $O Cl
Int. wNl
ceiIwY 12 x I S sro
Fwo. ? 6o z 3
roar
paa+ 3 a 4' 3
+?N? Mund?rPn _i3ro5,
iMr Narw
it?M ?
Cny
Winfipw
we wmm
HEAT LOSS CALCULATION 96 ° fEMP. DIFF.
Z
Zo
Exp. wallZ , s .
Net exp. wall
In1. wall 1 71 b
Gmuny I i ? Y 3 ? K 7
Flow
Total Btu.
1.1--t 3 P'4 Room I Lwmh 14. S
WidM 1
5' 111
FNi
Windows and Ooas-Gackapr rW A?m . t
Ma eW??tw Nqm No N lMYlh.
M OI M L h ?? ?M? A?Y
it
Z V `? Z No Z
cod. Btu
In(ihration u
410
I boo
,
Glow 32 (ZW l6 oa
E¦p. wdl 29 x8' z 32
Net e.p.wall z?? y o a
Inl. wall
Gilinl 1 S K t 210 3 /0 30
f loor
Z!U
Z
Y2d
TotalBw
_ _ SoSO
FI.I Room?L ? y? .
_ WIrnM?ws sM Doors-Gatkase ud Arr t
N?? wra,?r nl ?i?e Le 01 1?11t.
N ? ArY
It
CoM.
-
Btu
Inedtrar1on
G 4,?
Eap. w?p -
to amD. wsll
nt. wrll
:aihrg
loor
otal Blu. II Toyl Stu.
5'7,yQ8y1 Con•?/P?+e (0y4?4
q $10 g%J FreS? Qt? Iti?Y1?e
LZIa1 01
snd Oaws-G+ckap? and Mr
TYp Cbroni+etien _R3v3n s N. i.P
Windowt Stonn Soh
Walb. IM.
Gilirq In&
Floa
and Deon-trr*mr ..w &...
Ne, a? ??1 Me M {,?? n,
1 ?r?
11.
CoN. Btu
In}ihntion
Gl?r
Exp, ws11
? ?D. wall
Im. ¦qll
Gilinp
Fbor
.vm olu. I
FI.I Room?Lw?th Width Floidn
Window? And ?oora-Gaekar ww A.
Ma aM' ? ? Ls. N LN?YI `, ?.
Co?f. Btu
In/Ihntion
Gl?r
Eap. wsll
No ox0, wdl
InL rwll
CWIirg
Fbor
I aur oTU. I
FI.I RaomI Lwoth width Hokht
Window and Doors-drdamig rd A...
Me M?n? 11?1/?t IN. N L?:. • h.
Oo?f. Stu
Infihntwn
GMr
Exp. rrell
NM erP. wa11
Int. wall
Gilap
Floor
****#??????????A H???????&
CHTV oF cPIcAri
4:A:iH:f.l_Ci: °i TERMI:N1L ND? 738
?A7E? 09!22/`:?f3 T7ME: 15:40:27
NANF? RRNDAI_ B. L'ORNELL
3i? IA 3001 1584 FiSNE:Uf:V F'L 1.24.75
Ei'S°; 9001. 3584 ASHI{URY F'1._ 3.50
j
70{ial RE'relpt lvnllll..mt: 128i.25
CRD'3"r'6i2
USC:R TU: NANC;Y
-? CITY OF EAGAN
3'830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-14350-240-01
DESCRIPTION:
B
€„i:I d5,
a [t ?ta s
FERMIT
PERMIT TYPE
Permit Num6er:
Date Issued:
1584 flSHBURY PL
L07a 24 BLOCKc 1
BLflCKHAWK GI.EN
TNCLUDrS CIECK
1111'epermit Type SF PORCH
n g °Gl;a
,„rk T y p e N E W
'0;ct,44e7;?*k" 434 ALT. FiESIDENTTAL
• ?:
?,d?^
,.
?• v ' ? ' ? ? • ? ,a?;'
•-'9k,'?? ? ? ,: ?S?d ???
3 ?_ >^
? m
Ttr ?'D
? ??„ mf?
rzlai??
BUILDING
@33293
09f2a/9S
„??e•, ce??:ad ??H( ?aW?;rzg+r
3i?d".14y 31i ?j95 btn xi ?i 34f? PM &{ ffi[(
44wmi ?a % Si'a 4? wa a.," ,u? Eu
l4EjR
REMAW:REvIEwEo BY 6ILL flDAMS.
CALL 445-2840 RE64RDIN6 ELECTRICAL PERMTT RND INSPECTION5.
FEESUMMARY: vaLuaTrnN g7,e0e
BasP Fee $124.75
Surcharge
Total Fee $128.25
CONTRACTOR:
/
OWNER: - wPPaicant -
CORNELL F2ANDAL
1584 RSHBURY PL
EAGAN MN 55122
(612)906- 7457
h?r?by ?eY?nawl??s?? that:T h?ay?e'`??ad`?axs ?nd e tate,. th??
inF9rmaG??n-:?s _eo-r:r?*c?._ant3? agre,e'.,.?cr _?nrrvpl? ??Y=?h -apP?io,a b 1e- State o
, 'f 44rf.
StaL'u?`as ?a r)z9-,:,,C, 1.tSBa.?? f?rdlnap???,..
?,..a
APPLICANT/PEPMITEE SIGNATURE - 1SNUED BN SIGNATURE
- 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
? 3830 PII.OT KNOB RD - 55122 ? , ?g • ??
681_4675
New Construction Reauiremenb RemodeVRepair Reqwrements
? 3 registered srte surveys
? Z copies of plans (inUude Eeam 8 window sizes; poured fid. design;
• t energy calculations
• 3 coptes of Vee preservation Olan if lot platted after 7l1/93
required: _ Yes _ No
DATE: {C? Se-PT 9a
COST;
DESCRIPTION O'F WORK: DEC-V, 5if- C"olzG.H (.5-5ekk-jn7,(I tTC?
STREET ADDRESS:
LOT: ? BLOCK: SUBD./P.I.D. #:
Name: Phone#: 4,r,2--?48 f CFbM??
PROPERTY Last F'rst 9?- -c 4-5-? Cwo?z-cc>
OWNER
StreetAddress: I5g-+ PL-64-LE
ciry Fg&,? state: M/-1 , zip: ?5 ( 22
Company: (fD 1q NPhone #:
CONTRACTOR
ARCHITECT/
ENGINEER
Sveet
City
? 2 eopies of plan
? 2 site surveys (exterior add@ions S decks)
? 1 energy ealculations for heated addifians
State:
Zip:
ComPanY: Phone iE:
?-
Street
City
Registration #: _
State: Zip:
Sewer 8 water licensed plumber (new construction only): N4-- . Penalty applies when address chan
and lot change is requested once permit is issued.
I hereby acknowledge that I have read this application and state that the intormation is correct and agree to comply with ail applical
State of Minnesota Statutes and City of Eagan Ordinances. /J
Signature of Applicank "A ?
OFFICE USE ONLY
Certificates of Survey Received !! Yes _ No
Tree Preservation Plan Received _ Yes - No _ Not
License #
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
? 02 SF Dwelling ? 07 4-plex
0 03 SF Addition ? 08 8-plex
jk 04 SF Porch ? 09 12-plex
? 05 SF Misc. ? 10 = plex
WORK TYPE
?( 31 New ? 33 Alterations
???32 Addition 0 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
? 36 Move
? 37 Demolition
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft,
sq. ft.
Footprint sq. ft.
APPROVALS
Pianning
Building -&
? 16 Basement Finish
? 17 Swim Pool
? 20 Pubiic Facility
? 21 Miscellaneous
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
5AC Code
Census Bldg
Census Unit
Engineering Variance
?
?
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
? 11 Apt./Lodging
? 12 Multi Repair/Rem.
? 13 Garage/Accessory
? 14 Fireplace
A 15 Deck
Valuation: $
°k SAC
SAC Units
,SUR?IEYOR'S., CERTIFIC?i?ATE SIENNA CORPORATION . . .
;.,- --- - - -- = - - =-
p? \
_ f-a'c(w-?^ ?xexzz _ ???7?T ?`T?[C_PUC=L-, _L??_'O?-'_"
AS?l?'?UR-y ? ..f, .,B26.3_ .
44??
?? ? PLACE
\ _ . eztr R;g?s.7r.c I
. ` 4 4 gg M, %826.3T.C, M
c?0 ? 4.3 ' 08-7T R= 451.50--
, x S$, 1e ? I4=?2+°f8'I5rr
B27.q
O id.il y, •' (B.?V •:
1 J ? ?ai a??• ?2T.IX ;
m 5 a 1
n ^?ar.?? , o --
V 0?
828.78 m
e2e.02 ?l I
p/ m?' (82 , %
' Cp?-SLpF?aO.L? u? GAR
a// ZS.SO
. . 3 ? 5.0 PROPOSED m 0 ui
HOUSE M ?
^ N/
' O Z'1 (V / N M ~
. . : _} 41.0 ' 4) +~
? ?y
2 S?"-._? xl •x ?
.. O`1 V N Q-11 _ T q? V
? ? 4 K) __ __ m N? O
?
i 2 N kt4 ?--
\? I \? \
\J
. \ LOT 24 -?
EASEMEM PER PLA \ \ ? S ?
• .. ` i`\v ' S L? s- ?r ? o
g30.0X
? O
eZ9.e 6.91 ,.
,
28 53 W
f,;? 5 50
DFNOTES PROP05ED SURFACE DRAINAGE ??,,,?? _ - ,? T
O DENO7ES IRON MONUMENT SE7 "nL': I """' °"
0 DENO7ES IRON MONUMENT FOUtID PROPOSED GARAGE FL0012 = 829,8 FEE7
X000.0 DENOTES EXI57ING ELEVATION ??flpOSED TOPEOF E3LOOY. v?o•2- FEET
(000.0) DE.IOTES PROPOSED ELEVATION
4!E HEREBY CERTIFY TD SIENNA CORPORATION THAT THIS IS A TRUE AND CORRECT
REPftESENTATION OF A SURVEY OF TFIE 40UNDARIES OF:
Lot`24.Block I, BLACKNAWK GLEN 157 AUDITION, according to the recorded plat
thereof, Dakota County, Minnesota. ,
IT DOES NOT PURPORT TO SI10I4 IMPROVEMENTS OR ENCROACHh1ENTS, IF ANY. AS SURUEYED DY
t•tE OR U.11DER,MY D'.RECT SUPER4?SION THIS 13TN DAY OF NoV. , 1985.
. SIGNED: JAM?S . IiILL, INC.
/
c ?
DY:
HAROLD C. PETERSON, LAhID SURVEYOR
MINN[50TA LICENSE NUMBER 12294 REVISED 9-05-86 TO SHOW PROPOSED HOUSE I?? ???r ""
BY LUNDGREN BRO7HERS CONST., INC.
PROJEC7;0. E3001C / PAGE JAMES R. HILL, INC.
85618(86943) 150/64 Planners / Engineers / Surveyors
FILE N0. ?- 8200 Humbo{dt Avonua South
FOLDER s{oominpton,Mn. 65431 012-004`3029
r
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAPI
?4`? 3830 PILOT KNOB RD • 55122
651-681-4675
NewConsWdion Reauirements RemodeilRenalrReauiremenls
• 3 registered site surveys showirg sq. ft ot bL sq. R of house; an?ll roofed areas • 2 copies of plan
(20%maximum bt coverege albwed) . 1 sel of Energy Calculatbns far heated additlons
• 2 copies of plan showing beam 8 window sizes; poured found design, etc.) . 1 site survey for exterior additions & decks
• i set af Energy CalculaUons . Indicate if home served by sep6c system for addNOns
• 3 oopies of Tree Preservation Plan M lot platled atler 711/93
• Rim Joisf Detail Options selection sheet (bMgs wilh 3 or less units)
DATE .No ?ember l, )-00 / VALUQION
JOB SITE ADDRESS /J r46hh11Y? Pld C&
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER V61d//ld}L 6. L?DY/JL/l
TYPE OF WORK PDRn.h AolwwicSl,i FIREPLACE(S) /f 0_ 1_ 2
APPLICANT jeAJ10%! /
40/`/W // PHONE# 651-YSd
ADDRESS lS?y A?jtbdry loldl'e, ZIPCODE SSI??-
I
PAGER #
CELL PHONE #
NIEV RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY
Energy Code Category
(check one)
Plumbing Conhactor: _
Plumbing System Includes:
Mechanical Conhactor:
Mechanical System Includes:
Sewer/Water Contractor.
Phone #
Hn aoove inrormacion musi oe suomiccea pnor co processing or appncanon.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Ea/gAn-O?dIur9 es.
Signature of ApplicopL
MINNESOTA RUI.ES 7670 CATEGORY 1
- Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calcula6ons Submitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Phone #:
_ Water Softener _ Lawn Sprinkler
_ Water Heater _ No. of R.I. Baths
No. of Baths
Phone #
FAX #
Fee: $90.00
Air Conditioning Tee: $70.00
Hcat Recovery System - - -?-- -- ?
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 1101
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
? 31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
Valuation
Census Code
SAC Units
Nbr. of Units
Nbr. of Bldgs
Type of Const
W idth
REQUIRED INSPECTIONS
Footings (new bldg)
Footings (deck)
Footings (addirion)
Foundation
Drain Tile
Roof Ice & Water Final Other
Fcami¢g _ Pool _ Ftgs _ Air/Gas Tests _ Final
Fueplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone
Tnsularion _ Windows (new/replacement)
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S8W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
ToWI
? 07 OS-plex O 13 16-plex
? 08 06-plex ? 16 Fireplaca
? 09 07-plex ? 17 Garege
? 10 08-plex ? 18 Deck
? 11 10-plex ? 19 LowerLevel
? 12 12-plex Plbg_Y or _ N
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn. (4-sea.)
? 23 Porch (screened)
? 24 Stortn Damage
O 25 Miscellaneous
O 30 Accessory 81dg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
O 37 Demolish (Bldg)* ? 43 Reroaf 0 46 Windows/Doors
•Demolitlon (Entire Bldg only) - Give PCA handout to applicant
Occupancy MC/ES System
Zoning Ciry Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
_ FinaUC.O.
_ FinaUNo C.O.
_ Plumbing
HVAC
Building Inspector
CiTy of Eagan
3830 PILOT KNOB RD
EAGAN, MN 55122
(651) 681-4675
PERMIT
UBC Occupancy:
Construction Type:
Zoning:
Square Feet:
Site Address: 1584 ASHBURY PL
Lot: 0024 Block: 0001 Addition: BLACKHAWK GLEN
PID: 10-14350-240-01
Use:
Description:
Sub Type: 02-plex
Work Type: New
Description: INCLUDES DECK
Census Code: 434
Remarks. ' PL`'N REVIEWED BY BILL ADAMS.
CALL 445-2840 REGARDING ELECTRICAL PERMIT AND INSPECTIONS.
Fee Summary:
Valuation: $7,000.00
??
1
c??---?
D e??o
-
Contractor:
St. Lic.:
Permit Type: Building
PeimitNumber: EA033293
Date Issued: 09/28/1998
ov\_0 `J
J
Owner: - Applicant -
RANDAL CORNELL
I hereby acknowledge that I have read this applicarion and state that the information is correct and agree to comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances.
ApplicanUPermitee: Signature
Issued By: Signature
Ab? City of Eapn
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax:(651)675•5694
------------------
? F,.or Ottice Use I
j Permitq: 1S
? Permit Fee: ? I
? Date Receiv
i i
I Staft: I
I
-----------------
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
oate: Site Address: ! S? y 45 b vY' y P1G «
Tenant: Suite #:
RESIDENT/OWNER Name: d ? Vft r)1 f?/I Phone:
Address / Ciry / Zip: 15 ? y /45j%h v Y y P114C t fu,5' uY)
Applicant is: _ Owner _ Contractor
TYPE OF WORK Description of work:
Construction Cost: 8,5 C- n _ Multi-Family Building: (Yes _/ No ___)
CONTRACTOR Name: L(/CSJUXn I300fl?1,5 c,»d SidIVLicense#: `05SS bE
?00 13 ?A 4V C A/
Address:
-
cty: PlYroovll, state: /7A/ ziP: SSy`//
Phone: 76 3 551103 0/ Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheel • New Energy Code Worksheel
Category Submitled Submitted
(4 Submi5Si0n type) • Energy Envelope Calculations Submitled
In the last 72 monihs, has the City of Eagan issued a permit for a simliar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer 8 Waier Contractor: Phone:
NOTE: Plans and supporting documents that you submlt are considered to be public information. 'Portlons of
the information may be class!/led as non-public if you provide specfflc reasons that would permit the Cfry to
conclude that the are frade secrets.
I hereby acknowledge that lhis iniormation is complete and accurate, thai the work will be in conformance with the ordinances and codes ot the City of
Eagan; that I understand ihis is not a permit, but only an application ior a permil, and work is no1 to start without a permit; that the work will be in
accordance with ihe approved plan in the case ot work which requires a review and approval ot plans.
x J v"GY1 4 yG?q x
Applicant's Printed Name Applfcant's Signature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES
? Foundation ? OS-plex ? 16-plex ? Accessory Building ? Pool
? Single Family ? 06-plex ? Fireplace ? Porch (3-season) ? Ext. Alt. - Multi
O 01 of _ Plex ? 07-plex ? Garage ? Porch (4-season) ? Ext. Alt. - SF
? 02-Plex ? OB-plex ? Deck ? Porch (screen/gazebo/pergola) ? Multi Misc.
O 03-Plex ? 10-plex ? LowerLevel ? Storm Damage
? 04PIex ? 12-piex ? Miscellaneous
WORK TYPES
? New ? Interior Improvement ? Siding ? Demolish Building•
0 Add(tion ? Move Building ? Reroof ? Demolish Interior
? Alteration ? Fire Repair ? Windows ? Demolish Foundation
? Replacement ? Egress Window ? Water Damage
' Demoi%ion (enhre building) - give PCA handoul ta applicant
Valuation Occupancy MCES System
Plan Review Code Edition SAC Units
(25%_ 700/ Zoning City Water
Census Code Storles Booster Pump
ri af Units Square Feet PRV
# of Buildings Length Ffre Sprinklers
Type of Const. Width
REQUIRED INSPECTIONS
Footings (new bldg) Sheeirock
Footings (deck) FinallC.O.
Footings (addition) Final/NO C.O.
Foundation HVAC
Drain Tile Other:
Roof: _Ice & Water _Final PooL• _Footings _AidGas Tests _Final
Framing Siding: _Stucco Lath _Stone lath _Brick
Fireplace:_R.I. _AirTest _Final Windows
_ Insulation Retaining Wall
Reviewed By:
RES/DENTIAL FEES:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
Total
Building Inspector
Page 2 oi 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA116699
Date Issued:10/10/2013
Permit Category:ePermit
Site Address: 1584 Ashbury Pl
Lot:24 Block: 1 Addition: Blackhawk Glen
PID:10-14350-01-240
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
James Hunter
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 -
Randall Cornell
1584 Ashbury Pl
Eagan MN 55122
(651) 353-4358
Hoffman Weber Construction Inc
3515 48th Ave N
Brooklyn Center MN 55429
(866) 970-1133
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA128183
Date Issued:10/29/2014
Permit Category:ePermit
Site Address: 1584 Ashbury Pl
Lot:24 Block: 1 Addition: Blackhawk Glen
PID:10-14350-01-240
Use:
Description:
Sub Type:Siding & Windows/Doors
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of house wrap and leave on site for final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 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 -
Randall Cornell
1584 Ashbury Pl
Eagan MN 55122
(651) 452-4481
Hoffman Weber Construction Inc
3515 48th Ave N
Brooklyn Center MN 55429
(866) 970-1133
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA127928
Date Issued:10/20/2014
Permit Category:ePermit
Site Address: 1584 Ashbury Pl
Lot:24 Block: 1 Addition: Blackhawk Glen
PID:10-14350-01-240
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.
Tina Rykiss
6510 Hwy 36 Blvd. N.
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 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 -
Randall Cornell
1584 Ashbury Pl
Eagan MN 55122
(651) 452-4881
Apollo Heating (aka Affordable Comfort Mechanical)
6510 Hwy 36 Blvd N
Oakdale MN 55128
(651) 770-0603
Applicant/Permitee: Signature Issued By: Signature