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1624 Ashbury Pl CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PH ON E: 454-8100 BUILDING PERMIT Receipt it To be used for ';F DMdGM Est Value ~1 t c; Date 'UL Site Address 1 f ?4 ASliBt'R' .-1., OFFICE USE ONLY Lot 113 Block j Sec/Sub.St".al ;--U'r; 2Nb On Site Sewage Occupancy MWCC System Zoning 1+-1 Parcel No. On Site Well (Actual) Const z Name tX.4rsGRC?,' BROS CUNSTRCc.'i t0 , ( City Water X (Allowable) V-N z Address 435 E 1, AYLATA BLVD PRV Required # of Stories a Booster Pump Length S8 r City %-;AY[:r'.TA Phone 73- Depth ¢0 Name SAME S.F. Total oo Address FootprintS.F. III- City Phone APPROVALS FEES Engr./Assess. Permit X42 . (10 W Name 60. 5U WW Planner _ Surcharge ~z Address 321.00 i W City Phone Council Plan Review Bldg. Off. _ SAC, City 100 . 00 Variance SAC, MWCC 550.00 I hereby acknowledge that 1 have read this application and state that the - 550.00 information is correct and agree to comply with all applicable State of Water Conn. Minnesota Statutes and City of Eagan Ordinances. Water Meter 67.w Signature of Permittee Road Unit 325.W A Building Permit is issued to: Lt. ' rK~ltt n I Treatment P1 104.0 on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks TOTAL Building Official 19' CITY OF EAGAN ` 3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121 PHO N E: 454-8100 BUILDING PERMIT Receipt To be used for Est. Value Date , 1.Y = ,19 Site Address OFFICE USE ONLY w~ • On Site Sewage Occupancy Lot Block Sec/Sub. MWCC System Zoning Parcel No. On Site Well (Actual) Const Name City Water (Allowable) = Address PRV Required of Stories ` c City Phone Booster Pump Length : p Depth Q 0 Name S.F. Total O u Address Footprint S.F. U< City Phone APPROVALS FEES c~ia Engr./Assess. Permit W W Name Planner Planner Surcharge Address t -C Council Plan Review i m City Phone _TMI Bldg. Off. SAC, City I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC 3_YC information is correct and agree to comply with all applicable State of Water Conn. Minnesota Statutes and City of Eagan Ordinances. Water Meter 0 Signature of Permittee Road Unit 315' f A Building Permit is issued to:_ _ f Treatment P1 204 on the express condition that all work shall be done in accordance with all Parks applicable State of Minnesota Statutes and City of Eagan Ordinances. TOTAL 2 ' ` " Building Official Permit No. Permit Holder Date Telephone Plumbing H.V.A.C. ~ SJ Electric ,41393& 9/1 ~ Softener Inspection Date Insp. Comments Footings Iy Footings II Foundation Framing Roofing Rough Plbg.- Rough Htg. Isul. Fireplace Final Htg. 07~ Final Plbg. Bldg. Final Cert. Occ. Temp. LP Deck Ftg. Deck Final Well Pr. Disp. PERMIT # MECHANICAL PERMIT CITY OF EAGAN RECEIPT # 3630 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE PHONE- 454-8100 Site Address BLDG. TYPE WORK DESCRIPTION Lot Block Sec/Sub _ Res. New M u It Add-on Name Comm. Repair ~o Address, c City Phone Other FEES Name RES. HVAC 0-100 M BTU -$24.00 c Address ADDITIONAL 50 M BTU - 6.00 p City Phone (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA. TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air r 't M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES 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 Vent CFM STATE SURCHARGE PER PERMIT - .50 DD $.50 Gas Piping Outlets BAEYOND $1 Opp} PERMIT PRICE GOES Other FEE: S/C: SIGNATURE OF PERMITTEE TOTAL FOR: CITY OF EAGAN Cities Digital uality Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. PERMIT # . PLUMBING PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Address BLDG. TYPE WORK DESCRIPTION Lot Block Sec/Su Res. New ~T' / Mull. Add-on Name Comm. Repair `g Address Other c City Phone ' RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Name =Water Closet - $3.00 $ Bath Tubs - $3.00 3 Address Lavatory - $3.00 O City Phone Shower - $3.00 Kitchen Sink - $3.00 FEES Urinal/Bidet - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE Laundry Tray - $3.00 APT. BLDGS - COMM RATE APPLIES --,Floor Drains - $1.50 TOWNHOUSE & CONDO - RES. RATE APPLIES Water Heater - $1.50 MINIMUM - RESIDENTIAL FEE -$12.00 / Whirlpool - $3.00 MINIMUM - COMM/IND FEE -$20.00 ! Gas Piping Outlets - $1.50 STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT) (ADD $.50 S/C IF PERMIT PRICE GOES Softener - $5.00 BEYOND $1,000.00) Well - $10.00 -Private Disp. - $10.00 Rough Openings - $1.50 SIGNATURE OF PERMITTEE FEE: STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL: mv; CITY OF EAGAN 17 J P 9 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for BASEMENT Est. Value ..41 " sw Date APR b tg 90 Site Address 1624 ASHBURY PL Lot 10 Block 3 Sec/Sub. BLACKHAWK GLEN 2 D OFFICE USE ONLY Parcel No. Occupancy FEES Zoning DANIEL J HOLBROOK 35,00 w Name (Actual) Const Bldg, Permit Address 1624 ASt1BURY PL ; 5ix~harge ~ (Allowable) 1.f30 o City EAGAN Phone 686--7543 # of Stories - Length Plan Review to Name SA14E Depth SAC, City 0~ Address S.F. Total SAC. MCWCC City Phone S.F. Footprints - On Site Sewage Water Conn W Name On Site Well Water Meter ,z, Address MWCC System - MCI Acct. Deposit < W City Phone city water PRV Required S/W Permit I hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge information is correct and agree to comply with all applicable State of i Minnesota Statutes an ty of Eagan Ordinaris ' Treatment PI Signature of Permitee 4l/ - 4 r APPROVAL Road Unit A Building Permit is issued to: DANIEL J HOLBROOK Planner Park Ded. J on the express condition that all work shall be done in accordance with all Council .50 applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off Copies Building Official Variance TOTAL 36.50 Permit No. Permit Holder Date Telephone # WATER SEWER PLUMBING H.V.A.C. ELECTRIC lj 6 c1'o Inspection Date Insp. Comments Footings I L ` s- - / u iro o Foundation Framing Rooting Rough Plbg. Q S/ 1/I Rough Hlg. Isul. Fireplace r ~Z~Z Final Htg. ~U / v S a2 R - /L{~ Final Plbg. L214 0V PY Const. Meter Plbg. Inspector - Notity Plumber Engr./Plan Bldg. Final Deck Ftg. Deck Final Well Pr. 0isp. INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (651) 681-4675 SITE ADDRESS: APPLICANT: 1. 0 t 10 I .f 1 LI I i iJ:it; , st PERMIT SUBTYPE: TYPE OF WORK: INSPECTION TYPE DATE INSPTR. INSPECTION TYPE .DATE INSPTR. 1P Al f7 J•f'J'Mfi f'V IIliTJyf'I1 fret` Ati1'.•' f'IIJiRIF411 L111J:t, i Permit Holder Date Telephone # SEWER/ WATER PLUMBING 94M HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING n G ROOFING ROUGH PLUMBING -21) 10 PLBG AIR TEST ROUGH HEATING --G GAS SVC TEST INSUL ~Iuol~ d4 GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG - C, c J FINAL HTG ORSAT TEST BLDG FINAL y DOMESTIC l METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I_ BSMT FINAL DECK FTG DECK FINAL INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: 1 APPLICANT: ~ it 1' . f of c? I ~ p 1.1 ;~i } I;,.,L~7 r.l 1 0 4D OA?) 4361- 4019 PERMIT SUBTYPE: TYPE OF WORK: , :;rln t t t nw Ir! 11! 11 opi I !it I INSPECTION DATE INSPTR. • TYPE DATE INSPTR. I I tlx: ,~r~E I H ! i ht fi 1 I F„ ~I Permit No. Permit Holder Date Telephone # ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST l INSUL GYP BOARD FIREPLACE FIREPLACE AR TEST FINAL PLBG FINAL HTG ORSAT 1 TEST BLDG FINAL BSMT R.I. I.1SMT FINAL DECK FTG 7~1Q~ ECK FINAL I CASH RECEIPT CITY OF -PAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE f 19 a~rveo r AMOUNT r r / a DOLLARS ❑ CASH CHECK 140 J FUND OBJECT AMOUNT Thank You BY L!L! White-Payers Copy Yellow.-Posting Copy Pink-File Copy CASH RECEIPT CITY OF EAGAN 3836 PILOT KNOB ROAD PAGAN, MINNESOTA 55122 r' "C' DATE ig RECEWED FROM-" i ~I V AMOUNT $ f & DOLLARS too ❑ CASH I~CHECK FOR FUND OBJECT AMOUNT G c~ Thank You C' White•-Payers Copy Yellvw osting Copy Pink--File Copy CITY OF EAGAN Permit No: Date: 3030.-Pilot Knob Road Meter No: Size: P.O. Box 21199 Reader No: Date: Eagan, MN 55121 Owner. r(j a . Site Address ? ' hr3rt P1flcis L.10 !3 :ark s. IT Plumber a-n'~!a'r ;r''j ca~!,• Conn. Chg: 55n Zoning: Acct Dep:_ CIO- No. of Units: Permit Fee: Surcharge: `n. I agree to comply with the City of Eagan Tr. Plant ')"F Ordinances. Meter. ! ql-r Misc.: By WATER SERVICE PERMIT CITY OF EAGAN Permit No: 1 967 Date: 3830 Pilot Knob Road B/P No:Date: -?L -t P.O. Box 21199 Eagan, MN 55121 'It Owner. ,nc, zp Bl:os Site Address: U-4 eXahbur,7!DLar ti Tj Plumber: MWCC: - ' Zoning- City Chg: 100. co r No. of Units: Acct. Dep: 15. f)0pd i ;ern , 1 agree to comply with the City of Eagan Permit Fee: Ordinances. Surcharge: Misc.: By SEWER SERVICE PERMIT Tertif irate of (Orruponry citp of eagan flepadmmt of 'fiuiibng InprrtWu This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: Uw awdicatkm Perak No. Oxup-cy Type Zoeiog District Type Coop OWMofBumiue rd)S. tMw. Addm 935 E. WAYZATA BLVD., NI.AY7~:~'. Btdldieg Address r Locality .10, 83, BI.AC1{F~ V, CM 2W, Data 0MUM 16, Mi B"n Offic.I POST IN A CONSPICUOUS PUCE CITY OF EAGAN N! 15 3 9 5 3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121 PH ONE: 454.8100 BUILDING PERMIT Receipt# 'F(J To be used for SF DWG/GAR Est. Value $121,000 Date JULY 28 ,19-as-- Site Address 1 624 ASHBURY PL OFFICE USE ONLY Lot 10 Block 3 Sec/Sub.BLACKHAWK GLEN 2ND On Site Sewage - Occupancy R-3/M-1 MWCC System X Zoning R-1 Parcel No. On Site Well (Actual) Const V-N X Name LUNDGREN BROS CONSTRUCTION, INC City Water X (Allowable) V-N W PRV Required # of Stories z Address 935 E WAYZATA BLVD 3 Booster Pump Length 58' o City WAYZATA Phone 473-1231 Depth 27' Name SAME S.F. Total .o ou Address Footprint S.F. ~i- City Phone APPROVALS FEES Engr (Assess Permit 642.00 uW Name 60.50 1: i Planner Surcharge X3 Address Plan Review 321.00 of City Phone Council 'W Bldg. Off SAC, City 100.00 I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC 550.00 information is correct and agree to comply with all applicable State of Water Conn. 550.00 Minnesota Statutes and City of Eagan Ordinanc - 67.00 Water Meter Signature of Permittee l4y~ _ Road Unit 325.00 A Building Permit is issued to LUNDG _ N ROS ONST Treatment Pi 204.00 on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances Parks p TOTAL 2,819.50 Building Official I `d/~_~ This request vold C /Il Vl ig Y 18 months from / Y o" E 4.624.4 a 52W41' Request Date Fine No. Rough-~n Inspec Upn 9- ~ ~Q Regjnetl ❑fleatly Now ll Inspec- , q Yes ❑Nn tnr When n R Ready 04 icensed Electrical Contractor I hereby request inspection of above ❑ Owner electrical work installed at: Street Address. Bo~j or Rte No. ou city ll 1~ 2 Pf ; eU6z e On o. Township Name or No. Ranee No. ny Occyypant (PRINT) 1 /Q Phone No. /.v,v 7 c5 2F ' ~ ~~03 C.C.1JSTi~ q Pr r Supplier l.p Address Electrical Contractor (Company Name) Con tractof"s License No. Standard Electric Co. 40837 M.0mg Address (Contractor or Owner Making Instailation) 2672 aplewood Dr., Maplewood, Mn 55109 Authors d S nature (ContraMalung Installation) Phone Number '490 484-8044 MI EBOTA STATE 80 R F ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 Universitv Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-USOO ENCLOSED. I 9~~~88 REQUEST FOR ELECTRICAL INSPECTION 5E~ 0000011-os See instructions for com0lath, this form on back of ti r~ /✓-O / Yellow caPV. E 46 2 4 4 'X Below Work Covered by This Request Add Rao Type of B..Id..B Apotmnces Wired Equipment Wired Home Range Tem{xtrary Service Duplex Water Heater Lighting FtxtuheS Apt. Building Dryer Electric Hearn nIns Commercia l Bldg. Furnace Silo Unloader I ndustnat Bldg. Air Conditioner Bulk Milk Tank Farm Other peci v Orh, t er SPOUfy Other Other pecUon Fee Below p Fee Service Entrance Size ft Fee Fenders/Subfeaders q Fee Grcwts % o0 0 to 200 Amps 0 to 30 Amps 0 to 30 Am Above 200 Amps 31 to 100 Amps 31 to 100 Amps - z4 Swimming Pool Above 100_Amps Above 100_Amps Transformers Irrigation Booms 1.5-0 Partial,'Other Fee Signs Special Inspection TOTAL (E Remarks i flouBh-m the Electrical i1 a nspector. hereby ,3 -t dy that the above Final Is Ua`e inspection has been made. This request void IS months from ' , This request void IS moths from S /gy E 13936 3 &~4PLJ ~ngo Request Date Fire No. Rough-in InspeCb.n Y / Req.Yes ❑Ready Now b-Wall Nntily Inspec- ❑YeNo for When Ready ❑ Licensed Electrical Contractor 1 hereby request inspection of above ❑ Owner electrical work installed at: Street Address, Box or Route No. City )N S viz 1.RcC- 5AG[-~ ction No. Township Name or No. flange No. County fJ AKo7 Occ VA)ORe upant (PPRl NT) 6-A) CO AI ''1 Phone No. t Power Supplier Address p E4;-->:7;~z « Electrical Contractor (Company Name) C.n[rar.[.r's License No. Standard Electric Co. 40837 M.ih.g Address (Contract., or Owner Making Installation) 2672 M pl ood Dr., Mapl oo MN 55109 Author iced n re (Contractr/OwVl r tallaUOnl 1 Phone Number 484-8044 MIN A TATE BOARD OF ELE RICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Be., N-191 BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS 1821 University Ave.. St. Paul, MN 55100 Phone (612)642-0800 ENCLOSED. ®Jr/~~ REQUEST FOR ELECTRICAL INSPECTION EB-000001/-06 See instructions for compleLng this form on beck of yellow copy. (p Er 13 936 "X"" Below Work Covered by This Request Add Rep. ' Type of Rwldmg Appha nces Wrted Equipment Wired ini, Home Range Temporary Service Duplex water Heater Lighting Fixtures Apt Building Dryer Electric Heatm Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Omer SneCJy Oihn ISpecilvi 1 er peufy Other Other ompute Inspection Fee Below N Fee Service Entrance Site A, Fee Feeders/SUbfexders p Fee Circuits 770--- 0 to 200 Am s 0 to 30 Am s 0 to 30 Any s Above 200 Amps, 31 to 100 Amps 31 [0 100 Amps Swinamng Pool Above 100Amps Above I00_Amps Transformers Irrigation Booms r p Partial, Other Fee Signs Special Inspection 8 TOT F Renwrks LEMI S /w(G ~ r Rough-,n G Date I, t e Elect Ins pac or, nb e rtify that Final inspection e. This request void 18monlda trop) //L! /9 O REQUEST FOR ELECTRICAL INSPECTION FBOOOO1o7 4 / 11 See Instructions for completing this farm on back of yellow copy F 6 6 4 2 0 X» Below Work Covered by This Request e ,Add, Jjep, - Type of Building Appliances Wired Equipment Wired Nome Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specify) Conha.wrrr5 Remarks. Compute Inspection Fee Below. SA6-6MENT FIN 15.11 - pclumbi ONLY # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 700 Amps Transformers Above 200 Amps Above 100 Amps Signs Inspectors Use Only _ TOTAL Irrigation Booms l,~ 06 Special Inspection Alarm/Communication Other Fee I, the e Electrical Inspector, hereby Rough-m Date certify that the above inspection has Final r Oate been made OFFICE USE ONLY This request vok) 113 months fmm 0~ /y0 I/ ~ x/55 G~ 66420 u~ Request Date Fire No Rough-in Inspection Required? Ready Now g Will Notify Irepector ~es ❑ No an Re / _ When Ready I ❑ licensed contractor ,owner hereby request inspection of above electrical work at: City Job Address (Street, Box w Reu~m No.) PL, iwAq Y4~ Swine No. Township Name No. Range No. County OCCUpenl (PRIM) / Phone No tl\N\ I 413 ~ rti14.7G~ Power Supplier Atltlress Electrical Contmoor (Company Name) Contractors Ucense No Mailing Address (Contractor or Owner Maing Installason) l ~zu R-i nature no /Ow r Inslallatgn) Phone Number ~~l// r~ - 7 [ MINNESOTA STATE ARD OF ELECTRICrrY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 UnlveraBy Ave., St. Peel, MN 55186 UNLESS PROPER INSPECTION FEE IS Plana (812) 6124)BW ENCLOSED. BLDG. PERMIT NO. {`,oi- 10 ! oc_ 3 ctel~l~a~~ ~e 01-3210 Bldg. Permit 4 -3~ O 01-3422 Plan Check J 01-3445 Surch./Adm. Z 01-3446 SAC/Adm. S~ ~O 01-2155 Surcharge ci 3 75-3860 Road Unit 3 - J CiL S2 20-2275 SAC ,74 q S c1 S 20-3865 Water Conn. C O 20-3868 Water Trmt. 20-3716 Water Meter C, C-) V ~ 20-2252 Acct Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. O °C 28-3855 Park Ded. TOTAL 4,2 CITY OF.I:AGAN Permit No: Date: 7-29 "'r?'' _ 3830 pilot Knob Road Meter No: 4 D 3 9 8 Size: 64f - P.O. box 21199 Reader No: l~ Y/ e r Date: 1f Eagan, MN 55121 Owner. r : Rrnv _ Site Address: Place i.1 n HI L1 ac ~luawk 2' c_r Plumber T ~.-.~,rQjLgrAs P1,lo'i-ing Conn. Chg: 19 0- Zoning: Acct Dep: No. of Units: Permit Fee: a~~lfl i Surcharge: 1 agree to comply with the City of Eagan Tr. Plant _:;'rOrdinances. Meter. Misc.: By WATER SERVICE PERMIT 1988 BUILDING PERMIT APPLICATION - CITY OF FAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS a I - s• k~ ilk t Q ` I? l 7 C'ir 7 0 . To Be Used For: tiation:y 7Date: Site Address 000^ OFFICE USE ONLY Lot Block ite sewage_ Occupancy R-3 M-I system Zoning Parcel/Sub site well Aetual Const V water ✓ Allowable V -N Owner PRV required # of stories Booster Pump _ Length 5s Address UMMUNK!"MgLV& EMEL S.F. Total City/Zip Code WAYIATA " M" Footprint S.F. Phone APPROVALS FEES Contractor Engr/Assess Permit 6,fZ•co ML Planner Surcharge 60 - 50 Address MEWAYIATAKYD Council am,{. Plan Review 321,00 WAVATA, 0 S1 Bldg. Off. y/1 p 112(0 SAC, City 100,00 City/Zip Code Variance SAC, MWCC 550,00 T " Water Conn SO • O Phone Water Meter 6 ,00 Road Unit 32S.00 Arch./Engr. Treatment P1 2p4.00 Parks Address Copies TOTAL `(.58 City/Zip Code Phone # l/,gcuAT7~'~ f3,4R.dGF zo x Zz= 44o X 1y. = 6/~ a r~ r~ Z X- l oZ_G X ~~r ' 113"` r? o oy G =4030" .o .w1AmTm Am (IMNUJ MA ATAVAW 3 M 1 M ATAVAW tE4 411 p" -SURVEYOR'S, CERTIFICATE'. SIENNA CORPORATION . REVI$ED 7-14-88 TO SHOW PROPOSED HOUSE BY LUNDGREN BROS. CONST. hi=vii VVCD ~Y DENOTES-PROPOSED SURFACE DRAINAGE SCALE: 1 INCH 30 FEET ,O DENOTES IRON MONUMENT SET DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR ■ 8 Z 2.3 FEET XOOO.O DENOTES EXISTING ELEVATION PROPOSED LOW FLOOR g / 4,6 FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOPEOF BLOCK • 922. 7 FEET WE HEREBY CERTIFY TO SIENNA CORPORATION THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 10, Block 3 , BLACKHAWK GLEN END ADDITION, according to the recorded plat thereof Dakota County, Minnesota. (THIS LEGAL DESCRIPTION WILL BECOME VALID UOON FILING OF~THE PLAT BLACKHAWK GLEN 2ND ADDITION) 1985 S SURVEYED BY DOES RDIRECT SUPERVISION V THIS T 0 TN DAY ENCROACHMENTS, OF DECE BER IF ANY, ME OR UNDER MY SIGNED: JAM HALL, INC. HAROLD C. PETERSON, LAND SURVEYOR 'MINNESOTA LICENSE NUMBER 12294 SHEET I OF 2 SHEETS PROJECT NO. BOOK / PAGE JAMES R, HILL, INC. 85618(88551) 277/33 Planners / Engineers / Surveyors FILE No. 8200 Humboldt Avenue South FOLDER Bloomington, Mn. 66431 812-884-3020 SURVEYOR'S CERTIFICATE LUNDGREN BROS.CONST. 0„> eVRY CSR N g ~ 43 ry24pOS, a~ F ' ` x se c~ ` a ae f s JW 24 L_ l/ I I I N O 03833 / O &g.ok' ~ f ry pROAOS~ ~'aY 8jX ~ ~~GfNQ a! AN by / HOtsf e f xISryNO 0 k o, /p 3 y n7 Nag 3 z L_ I ,y g m } • 1 0 „F4`IG4VED BY 1 798.0 3449 56.11 - N 70 56 14 W N 2a 30` 06" W r, , . n n`A/I' 1L_L_IV IJ I ;-XLIL~I I 1~lly rl.,, OD p J o jam;,~s. inc. ko: rn;iz'•cn'-' iwD Z PLANNERS./ 3ENGI,NEERS /SURVEYORS ~~N} ,SLID` z SW'm < - +9401 JAMES AVE S •.BLOOMING,TON; MN,55431 • 612 864.3029, r. z P e • a r n CONSI RUC11ON IIJC. - - 35 [AST 'dhl'ZA7.. EXiEP.]OP, ENVELOPE 1. 'EP.l.GE U C0.''PUTATIOH Site Addres~s~~; Lo t Block 1A.;-4 R & U Factors R U - 1-~ 058 Opaque Walls - 117 Wall Framing Areas - .023 Ceiling Insulation Area - 027 Ceiling Framing Area - -04 Rim joist - 1/1 Masonry Wall 26 !di ndov,,s Double 'Hung ..26 Casements - .ls Doors - 4 6 Patio Doors I - -47 Sidelites - 1) Lower Level (Basement) Total exposed gall area - Opaque idall Area x (U) .053 = - - (U) .117 = Wood Frame Area x (U} Rim Joist -04 = Exposed block (FIX (U) .14 = / Window Area Casement - x (U) .46 = . = - Double Hung -x (U) 26 Sliding Glass Door C_or 1-.rci Tctil 1j CCOJCIRUCII0N - 11. A 5',301 ((,12) 47`3-1231 OULEv RC) [SOT. g35 E1.ST c' 2) lst'or main door Total exposed Wall area U x (U) -058 Opaque :;zll area - 'x (U) 117 - L1ood frame area Rim joist = - .46 Casements 7X ~U~ -26 / F!indow Area i Double Hung Z (U) -46 = a2 sliding Glass Door = ;lx (U .18 6 ) Door area = ~x (U) .47 Sideli tes Total 3) 2nd floor if 2 story "2 Total exposed ti,all area - 5 U (U) 058 Opaque wall area - (U) .117=- ood frame area / x lU~ e6 - -z~ Casements - = 2 - WindoW area Double Hung U 26 x (U) -q6 = Sliding glass door 3 X (U) Door area y Total X1(0 -27) 4) Total ceiling area (U) .027 = - ~03x Wood frame area (U) .023 = Y. area Opaque ceiling s = ;,;y l i gnt _ Total OJCI RUCl IOIJ ~c (b,2) 47°-1231 SOTk 5r3911 935 EkS7 vrhY"r_AT/. FOUL EVARD V.. T ' x Total exposed .all area , 11inn. U Factors Total er. osed ceiling area r. .026 Minn. U Factors P (A) Total Item 1/~./.~ Item 2 + Item 3 7/7 Item 4 - If total of Items 1 - 4 is less than Item (A), building complies with SBC 6006 (C)s I APPLICATION FOR PERMIT NOTE: PAYMENT OF FEE AT TIME OF ' APPLICATION DOES NOT CON- ; STITVTE APPROVAL OF PERMIT. + x SEWER AND/OR WATER CONNECTION * INSPECTION OF SEWER AM/OR WATER ; y E INSTALLATIOM WILL NOT BE SCEDULED UIML PERMIT HAS BEEN APPROVED. t+ttfet»ttttt»ftttfxfrtxtt+fft++ftxx s ty of eagmcm PLEASE PJRINT 1) PROPERTY ADDRESS: 1G7_11 ~ /4c ~/u1 ~L"-- LEGAL DESCRIPTION:. /..o A 16 e vc% 3 Lot B ock S ivision or Tax Parcel ID IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: ] $ $ (Month/Year) PRESENT ZONING/PROPOSED USE: Q COMMERCIAL/RETAIL/OFFICE r~R-1 SINGLE FAMILY Q INDUSTRIAL R-2 DUPLEX (T%m Units) Q INSTITUTIONAL/GOVERNMENT Q R-3 TOWNHOUSE (Three + Units) ( Units) Q R-4 APARTMENT/CONDOMINIUM ( Units) 2) NAME: Lvual'~r0p /3~~s. Gen S r (rte 2/ z tea' ADDRESS: _ 4,3-c CITY, STATE, ZIP: ~{/rgZq Zrr ULIN - S S 3 7 i PHONE: y75 -/y -3 For City Use 3) : NAME: /,f/iy q/ r! ~yra f , /'L f1- Plumhers License: Active ADDRESS: Expired CITY, STATE, ZIP: Not recorder PHONE: MASTER LICENSE # St Initia 4) NAME: LN c, ADDRESS: CITY, STATE, ZIP: ,-_M PHONE: CONNECTION TO CITY SEWER ® CONNECTION TO CITY WATER O OTHER 6) * * THE GOLD COPY OF THE PERMIT WILL BE SENT DIRECTLY TO PUBLIC WORKS TO FACILITATE METER PICK-UP. ~ PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. SOMEONE FROM TIM CITY WILL CONTACT YOU IF THERE * ARE ANY PROBLEMS. + FOR CITY USE ONLY PERMIT # ISSUED 1 .Z . Pd w/Bldg. Permit FEES: $ $ SEWER PERMIT (INCLUDE SURCHARGE) $ $ ~C~ Sal WATER PERMIT (INCLUDE SURCHARGE) $ 7 n 7~ $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ -S 'GZ ACCOUNT DEPOSIT - SEWER $ $ ACCOUNT DEPOSIT - WATER $ $ WAC $ S 7o • frZ) $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ C C $ WATER TREATMENT PLANT SURCHARGE $ $ << OTHER: $ i 7 ' O $ d Z> TOTAL o Cc~,p 9G / n RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: 7 C, DATE: l'~/ CITY OF EAGAN N0 1 7689 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for BASEMENT Est. Value $1,500 Date APR 6 1990 Site Address 1624 ASHBURY PL Lot 10 Block 3 Sec/SubBLACKHAWK GLEN 21D OFFICE USE ONLY . Parcel No. Occupancy FEES Zoning w Name DANIEL J HOLBROOK (Actual) Const Bldg. Permit 35.00 o Address 1624 ASHBURY PL (Allowable) Surcharge 1.00 City EAGAN Phone 688-7543 s of Stories - Length Plan Review iF Name SAME Depth SAC, City ~a Address S F. Total ~ SAC, MCWCC City Phone S F. Footprints On Site Sewage Water Conn 5 Name On Site Well Water Meter uF Address MWCC System a W City Phone City Water Acct. Deposit PRV Required _ Sna Permit I hereby acknowlege that I have read this application and state that the Booster Pump SrW Surcharge information is correct and agree to co ly with applicable State of Minnesota Statutes an o agan O in(/ny h Treatment PI Signature of Permitee APPROVALS Road Unit A Building Permit is issued to: DANIEL J HOLBROOK Planner Park Dad. on the express condition that all work shall be done in accordance with all Council 50 applicable State of ,,Minnesota Statutes and City of Eagan Ordinances. Bldg Off Copies .50 11()(,(,~ 11114 - Variance TOTAL 36.50 Building Official 1990 BUILDING PERMIT APPLICATION CITY OF EAGAN 117V S A SINGLE 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 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 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. To Be Used For: fi;x-%k(& *:1 W&-* "Valuation: 15't>o Date: Site Address (ww A46,nj PL. OFFICE USE ONLY Lot Block FEES Occupancy ff!~ Zoning Parcel/Sub Actual Const Bldg. Permit 3S. Uo Allowable Surcharge 1.0 Owner bAAAEL S. Holbrook # of stories Plan Review ~y Length SAC, City Address aa~ Ask6rl K. Depth SAC, MWCC S.F. Total Water Conn City/Zip Code [,.Q,t/ s'~51d'k Footprint S.F. Water Meter 1 Acct. Deposit Phone (OG% 7S~ J On site sewage- S/W Permit On site well S/W Surcharge 'Co^ nt ctor---, MWCC System Treatment Pl. City water Road Unit Address PRV Park Ded. Booster Pump _ Copies So City/Zip Code SUBTOTAL APPROVALS Penalty Phone Planner TOTAL Council ~ch_/Engr. Bldg. Off. Variance Address City/Zip Code Phone # PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: BUILDING Eagan, Minnesota 55122-1897 Permit Number: 028126 (612) 681-4675 Date Issued: 07/02/96 SITE ADDRESS: 1624 ASHBURY PL LOT: 10 BLOCK: 3 BLACKHAWK GLEN 2ND P.I.N.: 10-14351-100-03 DESCRIPTION: (INCL DOOR) Ruild~iig,, Permit Type DECK fib uilding l.k(inrk Type ADDITION !Census Code 434 ALT. RESIDENTIAL t REMARKS: FEE SUMMARY- Base Fee $45.00 .Surcharge $.50 Lic. Search Fee $5.00 Total Fee $50.50 CONTRACTOR: - Applicant - ST. LIC.OWNER: OL-BERG CONST 14329079 0004518 SHEAHAN MARK 6400 131ST ST CT 1624 ASHBURY PL APPLE VALLEY MN 55124 EAGAN MN 55122 (612) 432-9079 (612)454-7518 I hereby acknowledge that 2, have read this, application and state that the - infor'inatiori is 0°orrec't_ and "ggre'e`-to 6aMply, with all applicable St`a'te of Mn. Statu es and City of Eagan Ordinances. A LI NT MIT IGNATURE ISSUED B SIGNATURE? CITY OF EAGAN 3830 PILOT KNOB RD - 55122 4,~OZ 0 Islit 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Construction Requirements Remodel/Reosir Requirements ♦ 3 registered site surveys ♦ 2 copies of plan ♦ 2 copies of plans (include beam 8 window sizes; poured fnd. design; etc.) ♦ 2 site surveys (exterior additions & decks) ♦ 1 energy calculations ♦ 1 energy calculations for heated additions ♦ 3 copies of tree preservation plan if lot platted after 7/1/93 required: _Yes _ No q DATE: Q~~S 1 b CONSTRUCTION COST: DESCRIPTION OF WORK: t x --f;~-48 Slow STREET ADDRESS: C~~r rte~` LOT BLOCK SUBD./P.I.D. +5~a c~~ GIB 7"~" PROPERTY Name: S~~mann Phone#: OWNER WY FMIT ~ AS6.~vr~ Street Address: L City: oar State: r _ Zip: s~ 0 75,15 CONTRACTOR Company: C nr\~t Phone 3~- 9~-) S Street Address: License 5 d City: Ac))P),L- State:- Zip:5S 12,4- ARCHITECT/ Company: Phone ENGINEER Name: Registration - Street Address City: State: Zip: Sewer 8 water licensed plumber: Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this application and state t a the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY CE V CD Certificates of Survey Received _ Yes _ No 1tlld ty Tree Preservation Plan Received Yes No - RVEYOR'S CERTIFICATE LIJNDGREN 9ROS.CONST. M\ S ye~Rr N a R x°/+. 6843 C` i g 10 / 24e03~//a ~ ~o+ 9 ' 28 019.0 04 Q ~if,.T fN ^ N °se Ers~~r~~ /Yxto / e flp NO0 USE O o s A M f0 O ~F~•4r9l e0 '~s A F m \ di~ oe F 1 a~ rv ~ pD i V6 iF j Boe•o~ IjFVIEWED BYi 798 0 34A9 u 56. 1! `N ,fie ea 14 W N 2e 30' 06u W r_~ A r r~ i n 1/1_1 nNnfli (-I N I I 1 Li L11\I I/-\VVI\ L-L-1 %1J m T T Cn p James R. Hill, inc. `4 0 Orco2-~71 6 ~Jo0 D m m PLANNERS /ENGINEERS / SURVEYORS o. ~:'o z w z G) N O: a 9401 JAMES AVE. S. • BLOOMIIVCi70N. MN. 55431 612-884-3029 H e q PERMIT JQ CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G -Eagan, Minnesota 55122-1897 Permit Number: 0 3 3 9 3 6 (651) 681-4675 Date Issued: 1:L 10 9 8 SITE ADDRESS: 1.624 ASHBURY PL LOT: 10 BLOCK: 3 BLACKHAWK GLEN 2ND P.I.N.: 10-14351-100-09 DESCRIPTION: Building Permit Type BASEMENT FINISH Building Work Type ALTERATION Census Code \ 434 ALT. RESIDENTIAL REMARKS: PLAN REVIEWED BY BILL ADAMS. SEPARATE PERMIT REQUIRED FOR ANY PLUMBING WORK. FEE SUMMARY: Base Fee $50.00 S u r c h a r g e $ 5 Total. Fee $50.50 CONTRACTOR: - Applicant. - ST. LTC. OWNER: J.L. WAGEMAN HOMES INC. 16407595 20118701 SHEAHAN MARK 625 237TFI STREET E 1.624 ASHBURY PL KEVILLE MN 55044 EAGAN MN 55122 ,612) 640-7595 (6 Ea 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 Mn. Statutes and City of Eagan Ordinances. / PPLICANT/PERMI '~E SIGNATURE SUED eY: SIGNATURE 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN a 3830 PILOT KNOB RD - 55122 SU 1 ~J 681-4675 I New Construction Requirements Remodel/Repair Requirements ♦ 3 registered site surveys ♦ 2 copies of plan ♦ 2 copies of plans (include beam & window saes; poured fnd. design; etc.) ♦ 2 site surveys (exterior additions & decks) ♦ 1 energy calculations ♦ 1 energy calculations for heated additions ♦ 3 copies of tree preservation plan N lot platted after 711193 required: _Yes _ No DATE: t ~ 15 I CC,?--, CONSTRUCTION COST; _T DESCRIPTION OF WORK: A x SO 2 ~7f I~o~'rVy~ w~~1 ~~nill ~Wh_f t STREET ADDRESS: ~Zy {a~ihY~ t~ rv ~L LOT: 10 BLOCK: 3 SUBD.JP.LD. 1CJL- o>~_ C~ I C I a Name: ~~,2~ 4. ~h 1 1 1 Gv Phone PROPERTY Last First OWNER Street Address: City P~QY1 State: f Y\ Y\ Zip: ~S J0 Company ~ynd~c. m25 ~C~ Phone CONTRACTOR 3 I 1 9 IO~ Street Address: <r--;~~ZS Z?-)-) 5 License City ~a U ~a State: r\ Zip: ARCHITECT/ ENGINEER Company: Phone Name: Registration Street Address: City State: Zip: Sewer & water licensed plumber (new construction only): Penalty applies when address Chang and lot change is requested once permit is issued. I hereby. acknowledge that I have read this application and sta that th information is rrect d agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applican OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No Not Required mod, / L ID ? BL CITY USE ONLY RECEIPT#: SUBDL/u'X RECEIPT DATE: 1998 PLLTNMING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ➢ single family dwellings ➢ townhomes and condos when permits are required for each unit D backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Shower 3.00 x 1 _ 3. 12~ Water Closet 3.00 x 1 = Bath Tub 3.00 x = Lavatory 3.00 x_ = t? ° i 0 Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = Water Heater 3.00 x = Floor Drain 3.00 x = Gas Piping Outlet ' minimum - 1 3.00 X = Rough Openings 1.50 X = Water Softener ' for dwellings under construction 5.00 X = Water Softener ' for existing dwelling 20.00 x = U.G. Sprinkler 'fordwelling under const. 3.00 = U.G. Sprinkler ' for existing dwelling 20.00 = Alterations ' to existing residence 20.00 = Water Turn Around 20.00 = Private Disposal System ' MPC lie. 75.00 = (new and refurbished systems) Private Disposal Systems' Abandonment 20.00 = RPZ (new installation only) 20.00 = STATE SURCHARGE .50 TOTAL So hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement. SITE ADDRESS: / 0, ~S JI In 1-. C F OWNER NAME: IA)rA 61/7 MRS C ~~-,1 q g INSTALLER NAME: 0 L-,-) ~J Vb) Y~"td/,ls _ TELEPHONE ii STREETADDRESS: cg-o'D S C, -T CITY: 6~ P L V~ lX' W STATE: /h n/ ZIP:• J o~ , SIGNATURE OF PERMITTEE CD/PERMIT FORMS/RPLBG PERMIT (RES) - 1998 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 Qt (651) 681-4675 ~✓~Cl V DGA New Construction Requirements Remodel/Repair Requirements 4 3 registered site surveys 4 2 copies of plan 4 2 copies of plans (include beam & window sizes; poured Ind. design; etc.) ♦ 1 site surveys (exterior additions & decks) 4 1 energy calculations 4 1 energy calculations for heated additions 4 3 copies of tree preservation plan if lot platted after 7!1!93 required: Yes _ No DATE: CONSTRUCTION COST; l?C)CO DESCRIPTION OF WORK: -n•~9 A l,,,Qo~~ YlM 0.1~~ STREET ADDRESS: ko P om ` , 44111~ 'Q P L4j OT: I O BLOCK:- SUBD./P.LD. n , c X vlf~~ a[ I Ary& - -76 16 N.vuc:l~~Ji~n"'-""~-- _ Phone PROPERTY Lut First 0WtiLR Street Address:-S,~_- --,t-~ ----------t------------------ state: M~ zip: _651Z?- Company:---- Phone #:-SlA CONTIt-kCI'OR SELA ROOFING & REMODELING, INC. ~____Exp. Street Address:-___ _ City - License # ~cD ST. LOUIS PARK, MN 55416 state:- - lip: _ -iB'#000tI~fi------- - - ARCHITECT/ ENGINEER Company:---------------------------------------- Phone Namtc`- Registration Street Address:--- Cty State Zip: Sewer & water licensed plumber (new construction only): Penalty applies when address change and lot change is requested once permit is issued. I hereby acknowledge that I have read this application, state that the information is correct, a d agree to com ly with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No Not Required r Use BLUE or BLACK Ink r---.------- wl., i ror office Use Permit j City of Ea I Eel 1 Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 Date Receiv z Phone: (651) 675-5675 1 1 Fax: (651) 675-5694 I Staff: 1 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: lotG GLG Tenant: Suite RESIDENT/ OWNER Name: M <l V ~e~ ncr ~ Phone: 65-/-42 7cf -;)V Y 0 j Address / City / Zip: kc, T_~ Applicant is: Owner Contractor TYPE OF WORK Description of work: ~E',0,a r t rD /1 d P/ACA r0,0 ~F i f-QC ya r to Construction Cost: Do Multi-Family Building: (Yes /No sc CONTRACTOR Name: I1406 /7 aM CsnSf. CO..,t n C. License 2 oal1 7 7L- y Address: 174U a 30 x h S 7`. C City: I-a k e ✓ XE State: t1k Zip: 33 Dy1( Phone: Contact Person: l ✓ Vre-eye 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 the `are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org 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. XK / 5*60e9ey x L~~ Applic nt's Printed Name Ap lic 's Signature Page 1 of 3 _ yw DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) _ Multi _ Deck Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) 01 of Plex Lower Level _ Pool Miscellaneous Accessory Building WORK TYPES New _ Interior Improvement _ Siding _ Demolish Building* _ Addition Move Building _ Reroof _ Demolish Interior _ Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace - Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation 3 000 Occupancy 1'e c -1 MCES System Plan Review Code Edition? SAC Units (25%_ 100%JI-< Zoning R City Water Census Code Stories Booster Pump ' # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width_ REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition)k o4l~y Final / No C.O. Required Foundation ! HVAC Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In -Air Test -Final Windows Insulation Retaining Wall: _ Footings _ Backfill Final Meter Size: Radon Control Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review 5 `2 MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 C 116.4 R V E Y O R' S CERTIFICATE L UNDGREN BROS. CONST qS tiQV N - xoa 68.43 E / 8 o N24o Mo s MNr I ~ 1 -i I I jo - 5 wp ^g, oo`,. 3 ~ e2~•o~8~s6 L_ \ I I I I N o o 8,3 ~ s aia ox p Ao F Xa ~F . ,i •s? aprt,40 N ^ N* Yip <x 1. D REWMED BY- ' a gX~syoG 12 ' ~ ~ ✓ ~ O ~~a• NSF O 4r 7 h s M - (o o ~ 4w' _ , Fyr~rv~ 2 N A4r N~ss'or 30@y F ! ~(V . o d' fiFVIEWED BY, 79B•o oe 49 566. I! N 7 N 20 30, off„ W i r, I A I/ I_i n\ A / I, 001 ( i J I V 23 00 14 0 , James R. Hillinc.- Q 1Z .p O jOaDcaoi O m:O cn w a PLANNERS / ENGINEERS / SURVEYORS 4N) ol -M 9401 JAMES AVE, S. • BLOOMINGTON, MN. 55431 • 612-884-3029 , n t 119 Use BLUE or BLACK Ink r I For Office Use I Permit 1Igan 3 City of Ea 0 5 5 Permit Fee. I 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I 1 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: /3 Site Address: T z447 6LI ~Ge Unit Name: -1 .e.d Phone: Resident/ Owner Address /City / Zip: Applicant is: Owner Contractor Description of work: e,- -a )C a n c~ re Type of Work GG o~ Construction Cost: lQ~ Multi-Family Building: (Yes / No ) Company: L3T~7_ cru~~e Contact: /V e,-,4- Contractor Address:/ 6 L /J-Z, 4,ee_ City: V_A- State: ~Zip: 5.534.,,4 Phone: 0, ;Z Z2/ License &C S b 5LI S Lead Certificate A41 T'- 53'Q b?- ?X / 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 j the information may be classified as non-public if you provide specific reasons that would permit the City to 1 conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.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 Minnesota State Building Code must be completed within 180 days of permit issuance. X_ Al, Z k_ x Applicant's Printed Na a Applican s Signa '~~~~Pge 1 of 3 fep/oceiieirt 4-F etn -,y roof, Specs, ga.("tees- PIC ay"Ot, Gel (2) 2)4 /6.2.41s 06/ Ws/ alt Slie,-Ors 1ifn j aspAu/ r 4058 5heal�tn9 Cedar fast; p gppi ox. 81 cool/ APPROVED PLANS' MCI' T REMAIN ON J0 3 S BY: EAGA EV! 4/41 11 cola -p2 »Tj1+ lilagQ mss+: y l+s. .,g ren s DIMS id QA /� SEPARATE PERMITS ARE 9 t REQUIRED FOR ANY ELEC', OR PLUMBING WORK. 6x4 treale)'ovt NVCe, ar wrap Meehan 1c° / (astene/- .4.• 9IS36J E x'54 z. I ow se Ex/Pt:hi foo44;ta 4 4.94111€4 ;ori v,aMI-r 1 a153g E )(,s 4; n5 $•oO p i g -fo 604oin of foot 41s r. 1 l8„,block L too s- I” r City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit#: 230c 1 ((ate Permit Fee: Date Received: Staff: 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit #: Owner Name: / of /I1M.Ot(.JPhoneResidentlJ Address / City / Zip: I (4 a'‘( lit (Dvc) RA. c t t k q a,., Applicant is: Owner ontractor `// c Type of Work Description of work: 0,At 1 i .i+�ct Rtt S fat,vvs1 S 1-+.►I-vcCc.�3 es. A.' oury l Construction Cost: ((d) Multi -Family Building: (Yes / No -Y-) Contractor Company: We' Ak oh.# IrLI C 9-4.04.4 3 Contact: 44 I'M 91.E '10 ? 7 - ?s'- ? Address: / 04/1.1 dr4t c4«v(A., A tCity: 04 1 et, 6''^^'t- A t2-4 State: f4s/ Zip: 55-1(47 Phone: 7-43 H lar Email: License #: H5'd, SYKS- Lead Certificate #: UV f} 1 57 JO ^/ If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) In the last 12 months, _Yes ?(No If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets: CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. PP•4.0,.dto.., Applicant's Printed Name x Appl Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA125063 Date Issued:07/17/2014 Permit Category:ePermit Site Address: 1624 Ashbury Pl Lot:10 Block: 3 Addition: Blackhawk Glen 2nd PID:10-14351-03-100 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the 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: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Martin J Kennedy 1624 Ashbury Pl Eagan MN 55122 (651) 278-2046 Eagle Siding 1301 East Cliff Road Suite 117 Burnsville MN 55337 (952) 746-3046 Applicant/Permitee: Signature Issued By: Signature L (O I– , -1 VI For Office Use IS'if ,, EAGAN ‘..‘‘.1 ` �, :::e: /S7/ fi, 0.-- -- 11 '—~ Date Received: 7/ 1 I EAGAN,PILOT KNOB ROAD55122-1810 flECEIVE / I MN 55221810 �� (651)675-5675 I TDD:(651)454-8535 I FAX: (651)675-5694 JUL 2 4 2019 Staff: ',iv I buildinginspectionsecitvofeagan.com ..1 BY: 2019 RESIDENTIAL BUILDING APPLICATION Date: ILS ly . 11 D/qsite Address: s . ,: II or L `a Unit#: Name: (h r i$ 3 ?flb1 Phone: _76s-6.Tc)'�A.3 70 Resident/ 16?'1 )�Address/City/Zip: 1*n btiry r p l/€it Ea G IZ 55-119:3 o/ Applicant is: Owner x Contractor F.:1> ghir0A-alie.._ ( Description of work: fe/I@J'Y7J d ec t i ? ca,ti s S1 p$ dM etIeType of Workn / Construction Cost: 40. 50 Multi-Family Building: (Yes /No N ) Company: Nor til woods 0&k Co rylvsty tontact: 57LeVlt° Metj r" ContractorAddress: 'vas 11Th 4V c $c City: Bt1rYLSb'f r l L°. State: MA/Zip: 5517 7 Phone: 6/2'#/ 5.9kirmail: forth woods dee 5gypt4 .7 f cpwl License#: & to 7813 R Lead Certificate#: If the project is exempt from lead certification, please explain why: 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: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe classified as nonpublic if you provide specific reasons that would permit the City to conclude that they are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaoan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. 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.gooherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to .. without a-rmit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of pla>// x 5rIvE Mg77.6-EK x /1 Applicant's Printed Name Appli nt's Si; atur- rii /4 'D v 4-, i,-ik3(.,cir-c_LI --r f 1 / --.7/ -- - DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) _ Single Family Garage _ Porch(4-Season) _ Exterior Alteration(Multi) Multi x Deck _ Porch(Screen/Gazebo/Pergola) _ Misoelianeous 01 of Plex 1 _Lower Level Pool Acces$ory Building WORK TYPES New _ Interior Improvement _ Siding _ Demolish Building* _ Addition _ Move Building _ Reroof _ Demolish Interior Alteration _ Fire Repair _ Windows _ Demolish Foundation Repair Egress Window Water Damage Replace _ p _ 9 _ g Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION 1 LI Valuation 0 Occupancyp\-01-- MCES System Plan Review / Code Edition vvu2-O/' SAC Units (25% 100% ) Zoning --te-6City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction i Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final I C.O. Required Footings(Addition) Final I No C.O. Required Foundation Foundation Before Backfill HVAC Service Test Gas Line Air Test Hood Roof: Ice&Water Final Pool: Footings Air/Gas Tests Final Framing 30 Minutes 1 Hour Drain Tile Fireplace: Rough In Air Test Final Siding: Stucco Lath Stone Lath Brick EFTS Insulation Windows Sheathing Retaining Wall: FootingsBackfill Final Sheetrock Radon Control Fire Walls Fire Suppression: Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: ( , Building Inspector RESIDENTIAL FEES Base Fee {../d I r16,191,P ..,‘, I 1-1V,.s.I Surcharge ' Plan Review ),(ptic-Cr" a ,,,,, ,,,,,,,- MCES SAC ,,., City SAC Utility Connection Charge S&W Permit&Surcharge 3 0 (7.,s, 5: (--(0° Treatment Plant / Radio Meter Read Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA159551 Date Issued:12/30/2019 Permit Category:ePermit Site Address: 1624 Ashbury Pl Lot:10 Block: 3 Addition: Blackhawk Glen 2nd PID:10-14351-03-100 Use: Description: Sub Type:Fireplace Work Type:Gas Fireplace (new) Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Christos R Jensen 1624 Ashbury Pl Eagan MN 55122 Twin City Fireplace & Stone Company 6521 Cecilia Cir Minneapolis MN 55439 (952) 529-5797 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA174118 Date Issued:12/28/2021 Permit Category:ePermit Site Address: 1624 Ashbury Pl Lot:10 Block: 3 Addition: Blackhawk Glen 2nd PID:10-14351-03-100 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Christos R Jensen 1624 Ashbury Pl Eagan MN 55122 (763) 639-2370 Blue Ox Heating & Air Llc 5720 International Pkwy New Hope MN 55428 (612) 238-9709 Applicant/Permitee: Signature Issued By: Signature