3649 Ashbury Rd` CITY OF EAGAN ? L?r ?? ?"?
`+ ??' 383d Pilot Knob Road, P.O. Box 21- 199, Eagan, MN 55121
PHONE: 454-81
? ` 0U
'
BUILDING PERMIT Receipt #
To be used for c i' :; .?,/?_?? ?? r,
Est. Value vZ +?????
Date
3???
1n
, 19??
Site Address `sb44 l?,:'??RU':'Y t:Il
Lot ??? Block ? Sec/Sub. ?;•?•=?? -?:°i•b7r: f:L? ;? OFFICE USE ONLY
Parcel No. ?'?*'' Occupancy k? %?"-- ? FEES
?' ?
2oning
W Name ?L!i?L'?G' i.l %???'? ?(??i:: ?i iaL1??I??? i? (ACtuaq Const ?"-? Bldg. Permit :'?i .'Jt'?
; Address ? ?? ? ? ? ? 1 ?> ?? • ? (Allowable) y'N
S 56 ? OQ
? urcharge
City ?' 3';?I.f YA UL#??' Phone ?'? Z" 11? 1 1 ? ot Stories Q?
?41
4`? ? Plan Review •
Length
p Name SA?'? Depth 3? ? SAC
City !??`?
= ,
?Q Address S.F. Total - ?'? ?
?
SAC. MCWCC "
?' CItY Phone S.F. Footprints - J;r? ??
Water Conn
On Site Sewage
?
? W Name On Site Well - Water Meter ?s ?} •?
_? Address MWCC System ?
? v
?
? Z
a?++ City Phone Ciry water ? Accl. Depo5it '
?
?
? S
'W P
f ?'
_ PRV Required erm
?
t
I hereby acknowlege that I have read this application and state that the Booster Pump S!W Surcharge i•?
information is coRect and agree to comply with all applicable State of
Mi
St
d Ci
t
t
t
f E ?28
'
?
nneso
ty o
a
a
u
es an
agan Ordinances. Treatment PI •
Signature ot Permitee APPHOVALS ?ad Unit j?`?? •?+
A Building Permit is issued to: ?'u???+? v?T? ???'+'? =?? Planner Park Ded.
on the express condition that all work shall be done in accorda?ce with all Council -_
applicable State of Minnesota Statutes and Ciry of Eagan Ordinances. g?d9. pry. _ Copies
Building Official Variance TOTAL ' `t'??'? ` ??1 ?
Permit No. Permit Holder Date Telephone #
WATER
. L
j
sEwER
PLUMBING
H.V.A.C. (L
ELECTRIC :C?'.
ktspsctlon Oate Insp. Comments
Footings I
Foundation
framing
Roo(ing
Rough Plbg.
Rough Htg. • - ?
Isul.
Fireplace
Final Htg.
Final Plbg.
Const. Meter Pibg. Inspector - Notity Plumber
Engr./Plan
Bldg. Final
peclc Ftg.
peck Final
Well
Pr. Disp.
ities Diizital Oualitv Control
The following image represents the best
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Every effort was made to capture the content
from the original page.
6
I Site
?
I Lot ' ?- Block
I m Name
c Address
C
ity
? Name
c Address
? p City
PERMIT # _
PLUMBING PERMIT RECEIPT # _
CITY OF EAGAN
3830 PILOT KNOB ROAO, EAGAN, MN 55122 DATE: "
PHONE: 454-8100
Sec/Sub
Phone
{
Phone
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
1.
SIGNATURE OF PERMITTEE
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 $
Bath Tubs - $3.00
Lavatory - $3.00
Shower - $3.00
Ktchen Sink - $3.00
Urinal18idet - $3.00
Laundry Tray - $3.00
' Floor Orains - $1.50
Water Heater - $1.50
Whirlpool - $3.00
-Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIT)
Softener - $5.00
Well - $10.00 ?
Private Disp. - $10.00
Rough Openings - $1.50
FEE: ! I
MECHANICAL PERMIT
CITY OF EAGAN
, 3830 PILOT KNOB ROAD, EAGAN, MN 55122
rRACT PRICE PHONE: 454-8100
Lot
? Name
? Address
c City Phone
Name _
c Address
O CitY -=-
Phone
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping OuUets #
Other
- M BTU
M BTU
M BTU
M BTU
CFM
I
FEE:
S/C:
TOTAL•
#
r#
For Office Use Onl
BLDG. TYPF? WORK DESCRIPTION
Res. New
Mult Add-on
Comm.
Other Repair
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION
)
GAS OUTLETS (MINIMUM - 1 PER PERMIT)
- 1.50 EA.
COMM/IND FEE - 196 OF CONTRACT FEE
APT. 6LDGS. - COMM. RATE APPLIES
TOWNHOUSE 8 CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
CASH RECEIPT
CITY OF.EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
? .
onre ' is -?
nECeivEO f-
f ? ,.
`?
s
AMOUNT $ ? `?--
i
& DOILARS
Ioo
? CASH CHECK
?K
BY 1
Whoo-Payers Copy
C
velk)%--POSOng covy
wnk--Fle covy
Thank You
~ j • a I,/
(Itrti#ira#r uf (Orrupanry
titp of (Eagari
Ep,pMrt111Ptit rid ladiitg jwPtftDti
This Certificate issued pursuant w the requirenrenu of Section 306 of the Uniform Building
Code certifying that at rhe time of issuance lhis strucrure was in compliance wrth 1he various
ordirlances of the City regulating burlding conslructian or use. For the faJlowing.useclaureationSF DWG/GAR eWg, Permit No. 16679
O-WX7 Type R3/t'11 zoa119 nua;a RI rym cam. VN
Ovnwo(B,,;,ding 001.T? CTTY 02M. Address 6970 1515T ST, APRE VALTM
e??dt Addre? 3649 ASHM RC1AD Loubty L 16 9 $3 , ffi1QMW QEDT 2ND
Dare: AI=ST 29, 1989
-
M oai
POST IN A CONSPICUOUS PLACE
SEWER & WATER PERMIT OFFICE USE ONLY
CITY OF EAGAN
3830 PIIOt KI10b Rd. PERMIT D ATE
105S ?
P
O
BOX 21199 WATER PERMIT # SEWER PERMIT #
.
.
Eagan, MN 55121 METER # B.P. RECEIPT # C 2600
READER # B.P. RECEIPT DATE 612G1 Ry
METER 51ZE
ISSUE DATE PRV _ BOOSTER PUMP
SITE DDRES ? -1 tJ r PERMIT REDUESTED
LOT ?2 LOCK SEC/SUB c 7?r t? t? r? ?7 ?? ?
APPLICANT•? --)ZSEWER _4?WATER - TAPS
ADDRESS: o A 5 > > ? _ COMM/IND ? RESIDENTIAL
CITY, STATE ZIP
PHONE: _?(NEW - EXISTING
?_.1. s '? )
ADDRESS:/ U ? h -),? I AGREE TO COMPLY WITH CITY OF
Zip J-5 J:--: EAGAN ORDINANCES:
i
PHONE: 1/
-}'
J
OWNER: _./ " '• ? ?1 ?r , c1'??r r?
ADDRESS: " ? 47 " '% SIGNATURE WHEN METER ISSUED
CITY, STATE{?(.: ZIP
PHONE: i '
PLEASE ALLOW TWO WORKING OAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT
ENGINEERING DEPT.
DATE: 6/22/89
RE: 3649 ASHBURY BOAD, L16, B3, SLACKHAMK GLBN 2ND
xx Your Sewer & Water Permit for the above properly has been campleted. It will be held at
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
Your Sewer & Water Permit for the above property cannot be completed for the following
rAsons:
ti*our Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupartcy altowed until further notice.
COMMERCIAL PROJECTS UNLY: Piease pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REOUIRED BY LAW.
CONTACT COMMUNITY DEVELOpMEMT DEPARTMENT FOR WATER TURN ON POLICY.
Building Inspections Dept.
DATE: 6722/89
3649 ASHBLTRY BOAD, L16, B3, BLACRHAWK GLSH 2ND
-xx- Your Sewer & Water Permit for the above property has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TUFiN ON.
Your Sewer 8 Water Permit for the above property cannot be completed for the following
rOasons:
4
7our Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or ocxupancy allowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
canfirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
SEWER 8 WATER PERMIT OFFICE USE ONLY
CITY OF EAGAN PERMIT DATE 6 / 2'/ 81)
3830 Pilot KnOb Rd. WATER PERMIT 10537 SEWER PERMIT #
P.O. Box 21199 METER # ? 991040 B.P. RECEIPT # " 2600
Eagan, MN 55121 # ? B.P. RECEIPT DATE 61201A
9
METER SIZE ?
ISSUE DATE - xXPRV _ BOOSTER PUMP
SITE ?DDRES L-, v r PERMIT REaUESTED
LOT,4?BLOCK SEGSUB {Q u- r
ANT,(f < < ?f ?
APPLI _2SEWER _AWATER -TAPS
C
ADDAESS: b 0 COMM/IND L? RESIDENTIAL
CITY, STA; E v v t- 21P
PHONE: -. '21 .3 L I a ) I _XNEW - EXISTING
J
PLUMBER
ADDRESS? ? Ll^ s ? :7°'-r'9c.? . I AGREE TO COMPLY WfTH CITY OF
CITY, STATE ?'?'? ?Y7 Zip ?-€NCAN ORDINANCES:
PHONE:
owNER:
ADDRESS: ??-? A r' o r ?-• S
WHEN METER I
SUED
SIG ATURE
CITY, STATE ZIP n
PHONE: ? - ?^. ? ? G
JC/dP?1-
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT
ENGINEERIMG DEPT.
01-3210 Bldg. Permit
01-3422 Plan Check
01-3445 Surch./Adm.
. 01-3446 SAC/Adm.
01-2155 Surcharge
75-3860 Road Unit
20-2275 SAC
20-3865 Water Conn.
20-3868 Water Trtnt.
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 SewerPermit
79-3866 SewerConn.
28-3855 Park Ded.
90k, D
/
0
TOTAL
7//-7/Y Y C <31y-7r
G? 14992
Y
Fequesl Date Fre No. RougRin Inspeclion
Required?
? Ready Now .j}WIII Notity Inspedor
?
Wh
R
tl
ArYes ? No en
ee
Y
I,W licensed contractor ? owner hereby request inspection of above electrical work at:
Job AOtlress (Strea4 ? o Roufe NoJ
36?/4 ?s,Ut3v.2 Ciry
Section No. Township Name or No. Range No. Counly
Ocwpent (PflINT)
?Z Plqna No.
Power Supplier '
V,dif'OT qtlye?
1NdI'?/t/
Electrical Contractor (C«npeny Name) CoMractor5 License No.
Qq?390
Melling Adtlress COniraaor Or Owrrer AAelting InstellaGOnJ
IV22 13ax 41/?.?"
AuNOrized Sgne Contra n In tbn) Phona N/umber v'h
?b?
/
O 7
MINNESOTA STATE BOAHO OF ELECTRICITV THIS INSPECTION HEQUEST WILL NOT
Griggs-Nldway &tlg. - qoom St]3 BE ACCEPTED BY THE ST.4TE BOARD
1821 Unlveraiy qve., SL Paul, NN 55100 UNLESS PPOPER INSPECTION FEE IS
Phace(61Y) fi42-0800 ENCLOSED.
-7// 7/8' 9 REQUEST FOR ELECTRICAL INSPECTION
ll? Sae inslmcibns tor completing ihis larm an b9ck o/ yellow copy.
P,14992 X" Below Work Covered by This Request
%. ea ??'
Add Rep. TypeofBuiMing AppliancesWired EquipmeniWired
Home Range Temporary Service
Duplez Water Heater Electric Heating
Apt. Building ?ryer Other (Speci(y)
Comm./Industrial Furnace
Farm Air Conditioner
Other (spBdty) Contrador5 flemarks:
Compute lnspection Fee Below:
# Other Fee # ServiceEntrenceSize Fee !F CircuitsiFaetlers Fee
Swimming Pool 0 to 200 Amps 0 to 700 Amps
Transformers A6ove 200 _ Amps Above 100 _ Amps
Signs InsOectoB Usa Only: TpTAL J???
ryryry
IRIJ8tl0t1 BOORIS ?
? i
SpeCial Inspeclion V
Alarm/Communication
Olher Fee S ?
1, the Electrical Inspector, hereby
tif
t th
th
b
i
h ?ugh-in
cer
y
a
e a
ove
nspection
as
been made. F„at p
OFFICE USE ONLY - '
This request void 18 rtwnths irom
WIL CiTY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT ? Receipt #
To be used for SF DWG/GAR Est. Value $112,000 Date JU
Site Address 3649 ASHBURY RD
Lot 16 Block 3 SeclSub. BLACKHAWK GLEN
Parcel No. 2ND
w Name COLLEGE CITY CONSTRUCTION
3 Address 6970 151ST ST
0 City APPLE VALLEY Phone 431-1211
Name _
Address
City -
Phone
Name _
Address
Clry _
I hereby acknowlege thal 1 have reatl
informalion is correct and agree to 9
Minnesota Stawtes antl CiN otFaonb?
5[ate that the
able State of
Signature of Permitee `?
A Builtling Permit is iss nd m? C LEGE CITY CONST
on the express condilion that al ork shall be done in accordance with all
applicable State of Minnesota SiaWtes antl Ciry of Eagan Ordinances.
Building Ofticial
NQ 16679
-) 4%06?
19$9--
OFFICE USE ONLY
Occupancy R- 3 -K-_L FEES
Zoning R-1
(ACtuaq Const V-N Bldg. Permit 682.00
(AllOwa6le) ?!-N
Surcharge 56.00
# ot Stories -
341
00
Length 49' Plan Review .
Depih 3$' SAQCiry 100.00
S.F.7otal - SAC,MCWCC $7$.00
S.F. Footprints - 580.00
On Sire Sewage _ Water Conn
On Site well - Water Meter 90. 00
MWCC System _%2L 30
00
City Water '? Acct. Deposil .
PRVRequired xx SiWParmit 20.00
Boosrer Pump - gryy Surcharge 1.00
TreatmenlPl 228•00
APPROVALS qoatl Unit 940_ np
Planner - park Ded.
CounCil -
Bld9 OiL Copies
variance - 7orAL 3,043.00
&S-7Sq
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date 7_ I _s3 I b Ll
Site Street Address g &0,?":L Unit #
Property Owner Telephone # (/?'t) 1fcT'6 -9VI,5?
contractorko?A?e,e?r-k. ?t1? relepnone u(4 143L5-1.3 [!Q
Address <3 (
o 'J O lP??-d(?Q. ?
ed City G
Statel d- Zip J_ ?/_2J
The Applicant is: _ Owner _YContractor _Other
Alterations to existing dwelling $ 50.00
_Add fixtures to rooms, exciuding water softener and water heater
_Septic System Abandonment
_Water Turnaround (add $121.00 i f a 5/8" meter is required)
Other:
Water Softener ?Water Heater $ 15.00
_1.-?replacement _ additional
Lawn Irrigation System RPZ_ new _ repair _ rebuild $ 30.00
State Surcharge $ .50
Total $ .SJ,?Z1
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete
and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewq? and approved.
ul
ApplicanYs Printed ' e 2004
n AUG 1 1
ApplicanYs Sig ature
oi 'IT" s?j
SIIiGLE FlMILY DiIELLIHGS
2 3EfS OF PLANS
3 AEGISTERED STTE SDRPEYS
1 SET OF EFERGY C?LCS.
1989 BUILDING PERMIT IPPLICATIOR
CITY OF EACAN
I
!lDLTIPLE DWELLINGS
2 3ETS OF PLANS
BEGISTfiRED SIiE 30RVEIS -
(CHECB iTTPH BLDG DIV. )
1 SET OF EBEH61 CiLCS.
CON@'IERCIAL
2 SETS OF IRCHISECTURAI.
6 STEDCTIJAAL PLANS
1 SET OF SPECIFIC9TION5
1 SET OF LNERGI CALC3.
!lULTIPLE DHELLSNf35 AENTAL DNITS FOA SILE 06TTS 1 OF DNTTS
pOTEt IDDRFSSffi FOH CORNEA L.CJi5 - COD1fAALTDAfHOMEOWNEB MDST DE4IGNbTE WHICB iDDRESS
IS DFSIRED. 80 CHIN(3FS WII.L BE lLLOVED OACE HIIILDING PERMIT I3 IS3QED..
SEi1ER 8 iiATER PEAMIY FEES l1iD lCCOUNT MP03IT F6ffi iiILL 158 lNCLQDED iRTH THE HUILDIN6
YEfMTT fEE. PAOCFSSIIiG TIME FOR SEWER ?AD WITER PERFII75 IS Ti10 DIYS ONCE l PEAMIT HAS
HEEB COlPLETED INDICATING d LICENSED PLOlGEA.
PENALTY APPLIES WfENt PERHIT IS NOT PAID FOR IN SAME MONTH IT IS REQUESTED.
LOT CHANGE IS REQOESTED ONCE PERMIT IS ISSUED.
JUN 1 g 1989
To Be Used For49 /, / qm Yaluation^? I. ,ate: 8
Site Address 7 I)V 9 OFFICE OSfi ONLY
ut ) ?7 Block 3
Parcel/Sub -9.14CJA4w/C
Ormer i-P ? P S/7 C!' i 64 +'1
Addresso.2l-2 ve.
Clty/Zip CodeS?,
Yhone 6 99- G7o3
ContraetorGf 0//ec4
Address b y 7 0 /.S-) ..!' ) J? ,
City/Zip Code 0->'mR)? ?F??e•i SS)?y
Phone
?reh./Engr . ?g "n e /yJ ` o
Address
City/Zip Code
IIA0Z70'
Occupaney R 3 M_?
Zoning R -1
Actual Const ?
Allowable
/ of atories
Length ? 9
Depth 38'
S.F. Total
Footprint S.F.
On aite aewage
On aite well
MWCC Syatem L,."
City vater
PRV required ?
Hooster Pump _
lPPROVdLS
Planner
Couneil
Bldg. Off. G/19
varsanoe
FEES
Bldg. Permit •SZ -
Sureharge ,54? - I
Plan Aeview 4 i -
3ACP Citq lo e -
SAC, !lHCC 6-915_
iiater Conn 5-,Sy -
Nater Meter Cr -
Acct. Deposit
-
30
S/A Permit ? -
S/il Surcharge ?
Treatment P1. 227 -
Aoad Onib 3vo -
Park Ded.
Copies
SDBTOTAL
Penalty
TOTAL ?
Phone 11
. . UALuArt?OKJ
G,?as?a ?E
2vka.?? \ye-.
y2p xlS= f?3ou
?x3?a rySoxl1l= 1o92v
lsT Fwoi2
(9-6 x3o? r? Su
Iy
? X le= Lo
lnGy k Sro = a32oo
Z tiD F?ooR
3
?n'/2x u = $?S x.sb- tii25?
1i167p
, . EY"`.RIOR EJ'LOPE IIVERAGE "U" COV 1TATIO0..,_
061NER ?? T T ?? ? Y ??;?? ?;.::. . = - • k?,.,
SITE AUDRE55
C? c e.--
CDNTMC70R ( .acL.TGT1 L!T"y ec, ^(ifr DATE ? - b '89 PNONE 'I -?I'Ial I
?...
Determine working square footage of each. .
. \?
1. Total exposed vrall area .... .7,?-04- sq. ft. x_1?
2. Total roof/ceiling area ..... l$70 sq. ft. x,021v
Total exposed wall area above flour =
a. Total wall window area ........................... Z Z 3
.•..................•.....•
b. Total door area ...•..
e. Total sliding glass door?area ................... O
d, Total fireplace wall area ........................ o
• e. Total wall framing area (average lOx)...:........ -'i? O
.......... !Z u0 _
f. Total net wall area above floor ....... '
g. 7ota1 rim 3oist area ............................ IG Z.
1a ' .
Total- ekposed foundation area = (O Q- .
h. Total foundation window-area ..................... o
1. Toal net fvundation area above grade ...... ..:... to 4-
Determine "U" value of each wall segment.
,
a. ' '22X "U"
.
b? X liuli
C. 46 - - X uU„
, 7.1(0
, .34fo ? `7
?.oL
o n C)
E. O X "U"
e. 170 X"U" , oU, R f 5. ia4-
f. 12(0?0 X "U" '
y. lq 2. x „ul,
n. o ? x Pu„
i. 1,0A- x ltu°
.o4-1 = 7. g7
'p = O
.Qrl e 8:G--
iuc,
3 .....................................Tota1
If item 63 is the same as, or less tlian item 91, you have met the intent
of 5QC 6006(c)2.
. _ ?. ?
7otal..exposed roof/ceiling area = 17 S.?
J. Total skyligfit area .....:....................... C)
k. 7otai roof/ceiling framing arca (average 10X)... ? 19,
1. Total net.insulated roof/ceiling area..:........ ?t, e,-Z?
Oetermine `U" value for each roof/ceiling segment.
0 ' x „u,l a 12 o
k. (18 z °uN._ .04- = 7.1
z
'I?OZ x uUll .'24-
4 ..................................Tota1 ? Z•??c?
If total of #4 is the same as. or less than :2, you have met the intent of
SUC GOQb(c)l.
Alternate Bullding Envelape Design
7o utilize the total envelope system method, the values established by the'
sum of items #3 and #4 shal.l not be qreater than the sum of items ;l and 12.
" 1. + 2. _
3. + 4. . 3. • ..
---- Ll?J? SEGT'?v?V?
-
• ' ? ,?-AND vA?u.; AWALYZtS oF,?11 ?--r'G/?...fE1-."
?..6 ?
. _ ,._ -...
JoIST/ FV,,M,,,,<, AQu,%,
•R•. vaLuE
....__?_. .(aI j?gRioR AI(i FiLM
4 3/S 'alz- soFrwcoc
.:S`2J ?"d ?GYP5•1.M N/ALt,poA4D
q ?ASJ??
; •??- I N7ER iOR, AiR FIL-M
? TO T A L" RM.? ?ALU.E
i.4?? : 1 / a...? a 1 / ._ . _' _ •L_._-`'?---1
,. L7:73S '
'roTAl. FoorAGt
zN5uLA7?? AREA pCrW[GN TNF. f015T5
•R,- ? dncu.c
tIAl7ERiO? AiR `fLM
I A b?'w?NSU.l.A7ioN CR-?"?
,j(J __.XC4YPS11M WA"D0q(t0
"- . yAao2. enRrzi&,&L , 1NTEK1oR AiR fiLM
I ? I (
4,:!?3&roTWP??' yALLLL
w..t, , I ht,,y = I/ 4-5.3(c• = ?
DRM1?1 io/M7LIt,
'fbTAl. Faor44& ?/ ?
pAfl/7"? "?14i/(D_-SI---_'_.
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AND l4 VALI?' ANALYSlS OF NqI.L SE.GTipNS
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2422 Enterprise Drive
Mendota Heights, MN 55120
(612) 681-1914
Certificate of Survey for: ll OLL E?y Z Cl TV C0/V,.J T
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EN T?EER I3G EPT
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Lowest Floor
Top o; 8/aclC
Garae Slab
E(evat'ion 0012-Z6
Elevalion 819.63
f/evatron is.
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Su?ed fo Easemenfs of'Record
LOT 16 , BLOCI<1 3, BLACWNAWk GL EN 2 ND ADDI TION
I he.ebY certity thet this is a vue and coneet representelion of a survey of the bounAaries of the e6ove d cribed lan)d? and? ol rhe Ivcation a1 ell
buildings, tlhereon, and all visible encroachments, iF any, from or on ?id land. As surveyed by me this?{day ofd Vl/d?A.D. 194,
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Scale :1 ??'z 40f e , i .
U?? OLy, OI . ' ROBERT B. SIKI H 1_.5. AEG. NO. IA 9A
. _4
City of Ea
3830 Pilot Knob Road
-Ethan MN 56122
Phone: (651) 675-5675
Fax: (651) 675-5694
JAN 02l
Use BLUE or BLACK Ink
11CNrcil
For Office Use
Permit rir:
Permit Fee:
Date Received:
Staff:
INFLOW & INFILTRATION PERMIT APPLICATION
X Plumbing / Sewer & Water
ite Address: 3 (4, l) 1 s
Tenant Suite 6:
/ -31-i3
Address / City / zip: Li 1 I
Address: P. u . B e y
License #: PC (
City:
FEES
SLp,r. A -e. Ole t✓r -1 .i
Each (includes $5.00 State Surcharge) C { £
a, TOTAL FEE $ (oQ 1 U 0
*Permit fees will NOT be reimbursed by the City of Eagan. if you pian to submit IA repair costs for
reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors
can be found by visiting www.citvofeauan.comllnfiow, or City Hail at 3830 Pilot Knob Rd.
CALL BEFORE YOU DIG. Can Gopher State One CaU 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.stooherstateonecan.orc
1 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.
APptica
Kt, SC�i)
s Printed Name
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA169810
Date Issued:06/10/2021
Permit Category:ePermit
Site Address: 3649 Ashbury Rd
Lot:16 Block: 3 Addition: Blackhawk Glen 2nd
PID:10-14351-03-160
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Includes Skylight
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Austin J Kane
3649 Ashbury Rd
Eagan MN 55122
Minnesota Restoration Contractors Inc
12252 Nicollet Ave
Burnsville MN 55337
(612) 280-4807
Applicant/Permitee: Signature Issued By: Signature