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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