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3697 Ashbury RdCITY OF EAGAN Remarks ? /y AdditionB}aek}-,-;;wk Lot ? eik ? Parcel 1 0-1 43 50-0 2 0-03 Owner Street 1697 G ?hbury R_g aA State - Eggaa--pN 5.5122 Improvement Date Amount Annual Years Payment Receipt Oace STREET SURF. 1076 1986 253.48 50.70 5 STREET RESTOR. GRADING 5AN SEW TRUNK 197 6.70 25 Pd prior division SEWERLATERAL gn1074 198 112.09 22.42 5 WATERMAIN Bn 1075 198 92.80 18.56 WATER LATERAL WATER AREA 1072 198 309.40 61.88 Storm w Trk 1073 198 110.91 22.18 STORM SEW TRK 732 198 32.5 7 1 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 9UILDING PER. SAC PARK CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Rosd P. O. Box 21199 PERMIT NO.: Eagan,. MN 55121 DATE: ZoninD: No. of Units: - OWf1lr: , AddrQSx Sita Addrcss: 1697 A.ghbur. -_ Plumber. .rY.Yi 3TG3. P; u°ii"_ _ Mebr Na.. Connestion Char9e: Size: Ilccount Deposit: ? r Reader No.: Permit Fee: I yew h aae* rrM6 1w Ciry of Eppe Surcharpe: OrJiMnor. Mix. Charyes: Total: BY Dote Paid: Date of Insp.: Irup.: CITY OF EAGAN SEWER SERVlCE PERMIT 3830 Pilot Knoh Road P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: -. L zonin0: No. of Units: Owner. L-a-m= ; ?•• :>? . . _ Address: Site Addi Plumber. 1 pne to oae* wUb tIN Cily ef ie'ew Ordirswau. By Date of Irup.: Conneccia, ChoMs: 47 5. 00rd AtCOtxlt Deppsit: Permk Fee: Surcharpe: Mise. CFwrpss: Totol: _ Dob Pafd: CITY OF EAGAN WATER SERVICE PERMR 3830 Pilot Knob Rosd P. O. Boz 21199 7770 PERMIT NO.: Epan. MN 55121 ?ATE: 8-6-86 Zonlrg: Rl pwn.r; LundQren Bro No. of Unlts: 1 s. Addnm Sin Addreu; _3647 Ashbury Road L2 B3 Blackhawk Glen plun,ber. Lundgren Bro s Plumbine Meftr No.: _ ?f % ? Sf (o / ? ? CA,w,Kfian Chonpe: Slze: - 'I Aooount Deposit: _ Reods? No.: - D? Permit Fee: 1 Mm ft ?1 wNU !M Cifp .i l.p. Su.charye; . 50vd a?....... ? M,x, a„r,,,; 156 . ooPa TP Tpral; 61_ 5(1pd meter Dntr Poid: Date of Insp.: _ f- h' Insq.: ...?.?...t . . .....-- . CASH RECEIPT -?- ? , CITY 4F EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 o,nYE 1s RfiC6IVED FROM AMOUNT ? , } L ? GASH ? CHECK DOLLARS 100 ROR f FUND CoC6 pMOUNT : ? . ? ? Thank You BY ? . .. 5636 J ` White-Payers Copy Yellow-Posting CopY Pink-File Copy CITY OF EAGAN N2 ' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 . ??`A t ? PHONE• 454 8100 BUILDING PERMIT . Receipt # ? To be used ior •'JWC/GA- est. value a 96, 004 Date AUGUST 5 19 86 RD W ?a? LUNDGREttiT SROS CONST 3 Address 95 E WAYZATA BLVD 473-1231 Q City ?Vm?hone = o Name SA14E ? ? Address ~ City Phone u a Name JES IGiJ ETC W W Erect L'j Remodel ? Zoning Hi Repair ? Type of Const. Vn Addition ? No. Stories 54 Move ? Demolish ? Length ?? Depth Int. Impr. ? Sq. Ft Install ? Assessment Water & Sew. Police Fire 48 Surcharge -21 u' SQ Plan Review?? o 0 SAC ? 00M Water Conn.54 . Water Meter ---2 U 0 Road Unit ' Tr. P I. ? ? Parks . Copies ;0Q Total ' tfie express condition that Council Bldg. 01 Signature of A Building Perrr all work shail be Buiiding Official with all ---- Var. I I PermN No. I PermR Moldar I neee I Telephone M I `7 "70 1o?' Final Occ. Frmg. Dkp. ? 1• j ?' . ?? ^tnt CONTRACT PRICE Site Address Lot ' Block y Name 9 Address. ;= `+ . c City y Neme c Address 0 City - TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. ' Vent Gas Piping Outlets # MECHANICAL PERMIT RECEIPT # CITY OF EAGAN r ,- 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: PHONE: 454-8100 r X? r(x M BTU M BTU M BTU M BTU CFM BLDG. TYPE ,;. Res. Mult Comm. Other WORK DESCRIPTION New ' ?- Add-on Repair FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M 8TU - 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 - 146 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) ,.I , _. ; . . , . , . ' PERMIT # PLUMBING PERMR RECEIPT # GTY OF EAGAN - • 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE CONTFiACT PRICE PHONE 454-8100 I Site Address ? s • , BLDG. TYPE WORK DESCRIPTION ? Lot Block Sec/Sub Res. New , m Name Mult Add-on ? co Address - ' , • Comm. Repair • I c City • - Phone Other f?0. FIXTURES T(;TAL ? Name ? • ? ? ? r Water Closet - $3.00 s 1 I 3 Address -TBath Tubs - $3.00 ? ? O Ciy Phone -? Lavatory -$3.00 T i ? Shower - $3.00 ' TKitchen Sink - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE -T-UrinallBidet -$3.00 ' Laundry Tray - $3.00 ? S i MINIMi1M - RESIDENTIAL FEE -$10.00 Floor Drains - $1.50 MINIMUM - COMMIIND FEE _ 20,00 _ Water Heater - $1.50 STATE SURCHARGE PER PERMIT - •50 Whiripool -$3.OU = (ADD $.50 S/C IF PERMIT PRICE GOES _T-Gas Piping Outlets - $1.50 BEYOND $1,000.00) Softener - $5.00 weu - $10.00 Private Disp. - $10.00 ?. ' ? ? . , ?'i. ,,'•` ` ? ?-f. ?Rough Openings - $1.50 SIGNATURE OF PERM(TTEE FEE STATE SlC: FOR CITY OF EAGAN GRAND TOTAL• °`7 ? RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 I I(J 657 -681-4675 t70, 0d New Constrvclion Renulrements • 3 registered sile surveys shovring sq. ft. of lol, sq. 8. of house; and II roofed areas (20% mazimum lot coverage allowed) • 2 copies of plan showing beam & wiMow s¢es; poured tound desgn, Mc.) • 1 set of Energy Calculations . 3 wDies af Tree Preservation Plan ii lot platted aRer 111/93 • Rim Joist Detail Oplions selection sheel (bldgs with 3 or less units) DATE - vC/ JOB SITE ADDRESS IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNERri j-" d-' /YI?T TYPE OF WORK? / APPLICANT 114 ac.?ac(S L ADDRESS 7/.SS a.Nill eQ al / PAGER # CELL PHONE #6E2 - 3b6 -412 ye FAX # 952-9ik'1-1166 NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Ener9Y Code Cateyory _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet SA - Energy Envelope Calculations Submitted II n MINNESOTA RULES 7672 New Energy Code Worksheet Submitted Plumbing Coniractor: _ Plumbing System Includes: Mechanfcal Conhactor: _ Mechanical System Includes: Sewer/Water Contractor. _ Air Conditioning _ Heat Recovery System Phone # Phone # $90.00 Fee: $70.00 All above information must be submitted prior to processing of application. I hereby acknowledge ihat I have read this application, state that the information is correct, and agree to comply with ail applicable State of Minnesota Statutes ond City of Eagan Ord' nce?? j? Signature of Applicant 7 ( _Ie2-Gl Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ . Updated 1101 _ Water Soflener _ _ Water Heater _ _ No. of Baths RemodeVReoairReauirements ,ry ? r? /n' . 2 copies W plan ??? ? 11 . 1 setof Eneqy CslcWatlons forheated additbns • 1 sile survey for ederior additions & decks ? • Indicate if home served by septic system for addilions VALUATION 12r cq:20 FIREPLACE(S) x 0 _ 1 _ 2 PHONE# 952 - 31111-98/g CODE S?S?/30 Phone Lawn Sprinkler No. of R.I. Baths OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? OS 03-plex O 06 04-plex O 31 New ? 32 Addition ? 33 Alteration t, A 34 RepiacemeM ? 20 Pool ? 21 Porch (3-sea.) ? 22 PorchlAddn. (4-sea.) ? 23 Porch(screened) ? 24 Storm Damage ? 25 Miscellaneous ? ? 30 Accessory Bldg ? 31 Ex[. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi ? 35 Int Improvement ? 38 Demolish (Interior) 0 44 Siding ? 36 Move Bidg. ? 42 Demolish (Foundadon) ? 45 Fire Repair ? 37 Demolish (Bidg)' ? 43 Reroof ? 46 WindowslDoors •Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Census Code SAC Units Nbr. of Units l Nbr. of Bldgs l Type of Const -? Occupancy - ? MGES System Zoning CityWater Stories Booster Pump Sq. Ft. PRV length Fire Sprinklered W idth REQUIRED INSPECTIONS Foatings (new bldg) ? Footings (deck) 0 FinallNo C.O. _ Footings (addition) Foundation Drain Tile Roof Ice & Water Final Other _ Framing _ Pool _ Ftgs _ Air/Gas Tesu _ Fina] _ Fireplace _ R.I. _ Air Test _ Final _ Siding Smcco Stone _ Insulation _ Windows (new/replacement) Approved By 11/z , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply 8 Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total ? 07 05-plex O 13 16-plex ? OS 06-plex ? 16 Fireplace ? 09 07-plex ? 77 Garage ? 10 08-plex JW 18 Deck ? 11 10-plex ? 19 LowerLevel ? 12 12-plex Plbg_Y or _ N FinaUC.O. _ Plumbing HVAC This request void /? /?, ?1 / ?? (-Y 18 nwnths from 7' 'L ? o C?' L , D 063,450 ?. ?. ?7 J?) n - kSe! G FequesLg Date ? 1 Fire No. . Rouan-m Inspeciion Raired? Ready Nuw,?Will Nolify Inspec- ? ' ?I?? / ;aYes ? No [ur When Ready PiLicenseA ElecVical Convac[or 1 hareby request inspection ol above ? Owner electrical work installed xt: Street Address, Box or Houle No. City 369 ?shb kd ? ?,J ecUOn u. l t 2 Township Nam or No. ? 3 ar? B/ R nqe No. ' k Cnu ty s o? . e Or,cupant IPflINTI ,C.k h d &pz, ,BcLed eA.a Phone No. 4173 -Iz3 wer Suppl Address ? 1 .Q'- ^- Elec[ ca Contractor (Compa?ny Name) E?2 _A/'?.[.;?-r Cun acmr' pLicense No. 2-0 O Maili Address (Contractor or Owner Making In? {allation) ? . 2 ,6 27/4 ?JASS?, r S53?S Au o ized Si9nam Con a oJOwner Ma ing Installa[ion? Phone Numbcr 96 MINN OTA STATE BOARD OF EL CTqICITY THIS INSPECTION flEQUEST WILL NOT Grigys.MitlwaV gidg. - Naom N-191 BE ACCEPTED 9Y THE STATE BOARD 1821 University Ave., St Paul, MN 55100 UNLESS PROPER INSPECTION FEE IS Phone (812) 297-2111 ENCIOSED. REQUEST FOR ELECTRICAL INSPECTION Ee-noooi-oa C?-/6 ? , See instructions far completing this torm on beek of Yellow copy. o ?191?1 "1 X" Be/ow Work Covered by 7his Request +ewAAdd flep. Type oi BuilEing Aooliances Wrred Equipment Wired Duplex Water Heater Lightinp Fixtures " -Apt. Building Dryer - Electric Heatin Commercial 81dg. Furnace Silo Unloader Industrial 81Aq. Air Conditioner Bulk Milk Tank w p- Fee ServiceEntranceSixe k Fee+ Fneders/Subfeatle,s k Fee Circuits U to 200 qm s 0 to 30 qm s ! ,3.O+u 0 to 30 Am s Ahove 200 qinpy 31 to 100 qmps , QO 31 to 100 A s Swimming Pool A6ove 700_Amps Above 100_AmPs Transrormers Irrigation Booms Partial-'Other Fee Signs Special Inspection S ?_isO Hemarks 5R i Final n r (a 11f'aU I, the Elec ri Inapectar, hereby certify that the above insDection has been This . ,. f 'CERTIFICATE LUNDGREN BROS. CONST.. INC. (THIS LEGAL DESCRIPTION WILL BE VALID UPON TIIE FILING OF 7NE PLA7, 6LACKfIAWK GLEN 1ST ADDITION.) N I L J I I" \J i o o (D I 12777 S89°46'21"E y+ ? d34? ? ? ' ? ? YSC.9 v -26.00 --?}?-' 2H80 r k?1.E v1 I\ :I l • --; ,-,z.os<; ?ao !a J,/ 30 W 1O 26.00 6 `lo a CV o I w LOT ? 'j/y N ? 2 0? ? ?? a ? fP12f1P4SEPw ?,. O2 R35.t 1 (b m J h : a) 22.00 ? ? I C W S3?.o x?.++? I 10 N m ? -J 10 30 I Oy - I 1/2.08< 0 '?' -- r ?-?,T- n b1s.3r ? <832 . tiT. ? q33s I.?, gio,G . - 26.00 " ?i'32,13 134.41 S89046'21"E? MI I Q Li .? I DENOTES PROPOSED SURFACE DRAINAGE T O DENOTES 1RON MUNUMENT SET SCALE: 1 INCH = '30 FEET • DENOTES IRON MONUMENT FOUND fROPOSED GARAGE FLOOR = 9 3-1•Y FEE7 X000.0 DENOTES EXISTING ELEVATION PRDPOSED LOIJEST FLOOR = 930.1 FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP. Of 6LOCK =FEET. I 11EREDY CERTIFY TO LUNDGREN BROS. CONST. Till1T TIi15 IS A TRUE AND CORRECT REPRESENTATIUN OF A SURVEY OF TIIE aOU14UAf21ES OF: Lot 2, Block 3, BLACKHAWK GLEN 1ST AODITIDN, according to the recorded plat thereof, Dakota County, t4innesota. 11FlD OF TIIE LOCATION OF A PROP05Ef) 4UILUING. 1T DOES NOT PURPURT TO SIIU4f IhIPROVEMEtJTS OR ENCROACHh1ENT5, IF ANY, THEREUtI. AS SURVEYED [3Y ME, OR UI4UER h1Y UIRECT SUPCRV1510N, TIIIS Z17H DAY OFAouc1usT , 1985. REVISED 7- II - B6 . SIGNEU: J M . HILL, INC. [3 Y : IAROLD C. PETER5014, LAIID SURVEYUR P11NtJE50TA LICENSE PIO. 12294 PROJECT N0. BOOK / Pl1GE JAMES R. H1LL9 INC. 85808 (%p(o) Planners / Engineers / Surveyors FILE NO, 8200 Humbofdt Avenue Soulh FOLDER BbotnlnBloti,Mi?. 65431 612-864-3029 . CITY QF EAGAN Np ' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 12 4 0 Z PHONE:454-8100 BUILDING PERMIT Receiptu ?p iobeusedfor SF DWG/GAR Estvawe $96,000 pate AUGUST 5 1986 SiteAddress 3697 ASHBURY RD Erect N Occupancy R3 Lot 2 Block 3 Sec/Sub. $LACKHAWK GLEN qemodel ? Zaning Rl Parcel No Repair ? Type of Const. Vn . Addition ? No. Stories ? LUNDGREN BROS CONST Move ? Length 54 Name 26 = 935 E WAYZATA BLVD Demolish ? Depth o Address I ? Ft S 473-1231 WAYZATAI Cit mpr. Int. ? . q. P ha.e y Install a Aoorerals Fees i o Name SAME $ a Address a ? Ciry Phone ? W W nlame DESIGN ETC . ox ; Address 5735 DUNKIRK aw City P r•YMOIT'RHione 559-2637 Iherebyacknowledgethatlhav readthisap iicationands f thatthe information is correct antl a to comply Vit - all appli bl State of Minnesota Statutes and Ci of an Or n es. Signature of Permittee -? Assessment Water 8 Sew. Police Fire Eng. Planner Council eid9.Ott. 7/24/86 APC Var. Date ? \ LUNbGkEN BR CONST A Building Permit is issue to: all work shall be done in accordance with all appiicable State? f esota S1 Building Official Permit - ? Surcharge 00 Plan Review 210.50 SAC 575.00 Water Conn. 500.00 Water Meter 63.50 Road Unit 290.00 Tr. PI. 156.00 Copies?0 0 Total ' on the ezpress condition that an Ordinances. 1046 1985 BUILDING PERHIT APPLICATIUN - CITY OF EAGAN NOTE: ALL CONTRACTORS KUST BE LICENSED NITN THE CITY OF EAGAN INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS 51Fp,n;l ? ? To Be Used For: ?esrnlPnr.?? Valuation: , Date: Site Address: u??v 97 45AL r- a/ OEFICE USE ONLY Lot: B1ock ? Sect/Sub d/etCKhC1cJt Erect ? Occupancy ? Parcel II C 12n Remad?l _ T ning p _ ype of Const U/ Enlarge I! of Stories owner Lundgren Bros. Construction, Inc. rtove _ Length 561 Demolish Depth ece_ address 935 East Wayzata Boulevard Grade Sq Ft City/Zip Code Wayzata, Minnesota 55391 ___________________________________ Phone 473-1231 APPROYALS Contractor Lundgren Bros. ConStruction, InCAssessments Permit Water/Sewer Surcharge Address 935 Edst Wdyzdtd Boulevard Police Pla.n Review Fire SAC City/Zip Code Wayzata, Minne50td 55391 Engr Water Conn Phone Planner Water Meter 473-1231 Council R ad Unit Bldg Off ?rks Arch,/Engr, ne Sicn .?P APC Treatment Pl Variance Address 6- 73.1- n<<n Kir ? TOTAL ? City/Zip Cade PIury)ni,zth 550(o Phone # 559- 1?v 5-D .?? .50 93. r6 S aa ? y% Zoa`33.? VA gtYl % S/Z 7Z- ??Ma? Wq ?4A%`w 3,589r, --Of 9s-S/vs. 00 1 SURVEYORrS CERTIFICAT? LUNDGREN BROS. CONST.. INC. (THIS LEGAL DESCRIPTION WILL BE VALID UPON THE FILING OF TFIE PLAT, BLACKHAWK GLEN 1ST ADQITIQN.) ? J I `J I r - i? ?J 1 , ti.s w 10 ? l? 1 I 12777 S89046'21"E , rs0v -26.00 -- v? i \ f7---- ---I 08<. .-- ? m ? W C? ? W I ?` ( a ? I ?- ?- \ \ ? 2a J 10 loa ? 83t.o In ( q3'?s I I ? 2 19 i ? L;i / o b3?.o . . . _ _na 3 l? p0 (D mLd.?? h 9ay.> x ."- ' 30 -30 -- w l io tf) r & ? 26.00 --"j 134.41 S89°46'21"E0. Li . W d ?SEO w' "` w?? W ? ro N a - v? 535,0 Z Z 13 -. N aI ? I I 1 o x34•? ? 835 Z 30 ? ti y?. 4T' //1 VJ ?Q DENOTES PROPOSED SURFACE DRAINAGE 30 O DENOTES IRON MQNUMENT SE7 SCALE: 1 _ INCH - Y -7 FEET • DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = 9 3 - FEET X000.0 DENDTES EXISTING ELEVATION PROPOSED LOIJEST FLOOR = 930.1 FEET (000.0) DENOTES PROPOSED ELEVFlTION PROPOSED TOP OF 6LOCK = 1 3g,-L FEE7 I NEREDY CERTIFY TO LUNDGREN BROS. CONST. THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE 60UNUARIES OF: Lot 2, 81ock 3, BLACKHAWK GLEN 1ST ADDITION, according to the recorded plat thereof, Dakota County, tlinnesota. AhID OF THE LOCATION OF !1 PROPOSED 4UILUING. IT DOES NOT PURPORT TO SIiDII 1PiPROVEMENTS OR ENCRUACHMENTS, If ANY, THEREUId, R5 SURVEYEU dY ME, UR UNUER MY DIRECT SUPERY1510N, TH15 Z17H DAY OFA-uclus-c , 1985. REVISED 7- II - 86 " - , SIGNEU: ?A1E?S f? HILL, 1NC. / dY: ({/1f?OLD C. PETERSON, IANU SURYEYUR PIINIVESOTA LICENSE PIO. 12294 PAOJECT NO. BOOK / PAGE JAMES R. HILL, INC. 85808Cg(,? Planners / En9ineers / Surveyors FILE NQ. ? 8200 Humboldt Avenue Sbuth FOLDER Bborriington,Mrt 55431 012-E384-3029 _ -, LUNDGREH BRO cC0 CTRUCTION J 935 EAST WavZATA BOUlEV.4FD • WAYZATA. MINNESOTA 55391 0 (612) 473-1237 EXTERiOR PIVELOPE Ab'ERAGE U C0t"?UTATION Si te Addr-ess ;'%:. ?j? Lot a_ 31ock ?97 TlS?bttirc?_ 7COC,?O / R& U Factors R U Opaque 4!alls . ().5$ 41a11 Framing Areas . // ';1 Ceiling Insulation Area .0 a3 Ceiling Framinn Area Rim Joist , O 7 Fiasonry 41a11 • y? ? I•;indows , 3? Doors , 3/ Skyiiahts ,5 S 1) loaier Level (Basement) Total e:<posed wal l area Opaque blall Area ?x (U) GSF= ?-/a ldood Frame Area -Z(,--x (U) Rim Joist - x (U) . G? Excosed bloc'< x (U) /A c2 'n'indo,4 F,rea x (U) ,3J = ? Sliding Glass Door - x (U) Coor Area -- x (U) = 31 - Total ??-.? A LtJ 11 D G RE H Paye 2 13 ? ?CO CTRUCTION 935 EAST 1NAYZnTA BOULEVARD • WAYZATA. MINNESOTA 55391 0 (612) 473-7237 2) lst or rnain flcor 7otal exposed wa11 area Opaque wall area x (U) ,0S7, = ldood frame area ?x (U) . // % _ Rim joist Ox (U) k'indow area x (U) -E Sliding glass door 3; x (U) Door area x (U) Total ? 3) 2nd floor if 2 story Tota' exposed wall area 1t? (? <??7 Opaque wall area 2zx (U) Wood frame area ?x (U) .// 4lindcw area 7 i X (U) ? a Sliding glass door -- x (U) Door area `-x (L,) Total 4) Total ceiling area 'rtood frarre area S?rQ x (U) Opaque ceiling area ?X (u) _G> ° /2•-?/ Skylight t. x (U) -- Total <,?6 ? . -, W h D G RE n Page 3 CO CTRUCTION BROS435 e%ST bb'AYZATA BOULEVARO • WF,YZATA, MINNESOTA 55397 9 (612) 473-1231 / , ; , Minn. U Factors Total exposed arall area ?V X.// - - Piinn. U Factors Total exposed ceiling area x.G?? - •?= (A) Total - Item 1??,?„=?+ Item 2 Iter? 3'?- Item 4?D.(c ?` to?al of Items 1- Q is less than Item (A), buildina comolies a+ith S6C 6006 (C)s CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION *TOTF: PAYMRNr OF FEE AT TIME OF APPLICATZON DOFS N[7P COIISTII[flL APPROVAL OF PERNIIT. ... . _°_°__°___.... P ease Pr1nt) 1) PROPERTY ADDRESS: LEGAL DESCRIPTION: IF EXISTING STRCCZS.'RE, DATE OF ORIGINAL BfJZLDING PERMiT ISSL'ANCE: 719P6 ? Fbn ear PRESEUP ZONING/PROPOSID L'SE: Q CAtiVEtCIAL/REPAII,/OFFICE Q IDIDCSTRZAL [I INSTI2L'TIONAL/GOVERAAg,'NT 2) $ R-1 SINGLE FAMILY r-i R-2 DL`PLEX (1two Units) ? R-3 70WNHOLSE (Three + Units) ( L?nits) Q R-4 APARTMEDIT/COPIDOMINIUM ( Units ) NAME: ADDRESS: CITY, $TATEr 2IP: PHorE: y!? 3- i z 3 i 3) u i: ?• NAME: i ? /6 -) ? - v s, ADDRESS: CITY, STATE, ZIP: PHONE: MASTER I.ICEDISE# 4) ??r • ? ia?• ?j „? NAPE:_.?/.??1?. [?7'm.C? ?x/= '• ADDRFSS: CITY, STATE, 2IP: PHONE: reLS 11C2iI5E: ACt1172 F?cpired Not recorded St Irutial 5) ? :? r ? a: • ?• : ? • os • ?? - ? CONNECI'ION T0 CITY SEWEE2 )?6 CO[VNECrION M CITY WATER El OTfM ' 6) PLEASE HOLD APPROVED PERh1IT FY)R PICK-UP BY ONE OF ABOVE PLFASq MAIL APPR PERMIT TO 1, 2, 3, 4, ABOVE (Circle one) 7) r i. u: • 1??? j?ei? _ 1? ,.J?L- w:sr..-,.. e/r `£1 > INSPF]CTION OF SEWIIt ArID/OR F7A1Qt IWI4LLATTONS WIId, NOT SE SQ3m- ULID [7N7.RI. PII2NffT.AAS BM APPIK7VF9. FOR CITY USE ONLY PERMIT # ISSL'ED ? 7 7 L2 Pd w/Bldg. Permit FEES: $ S /6-.S O $ $ /Lo • 5? $_ (3 $ $ $ $ $ $ $ l5? t Z) $ $ $ 06 $ $ S75.1}U $ $ $ $ $ $ ? . $ $ S l' S?o • f5 Z? $ SEWER PERMIT (INCLDDE SURCHARGE) WATER PERMIT (INCLUDE SL'RCHARGE) WATER METER/COPPERHOR[V/OL'TSIDE READER WATER TAP (INCLUDE CORPORATION STOP) SEWER TAP ACCOUNT DEPOSIT - SEWER ACCOUNT DEPOSIT - WATER WAC SAC TRL'NK WATER ASSESSMENT TRUNK SEWER ASSESSMENT LATERAL BENEFIT/TRCIVK SEWER LATERAL BENSFIT/TRONK WATER WATER TREATMENT PLANT SLRCHARGE $ $ OTHER: $ /,? / `7 S U $ TOTAL RE EIPT RECEIPT DOES UTILITY CONNECTION REQOIRE EXCAVATION IN PC'BLIC RIGHT OF WAY? 71 YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" ML?ST BE ISSLED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE : ? _ ? ? ? ? ??,?L.???_??...,-F.. _?E?,? • " HEAT LOSS CALCULATION qe) ° fEMP. DIFF, ? c.Ntomw Nwns uYl r ? rA3 c,tY - o.w N.m.. SI?M ckv -- winpo„w Me W'?n n? iY OI ?-M'r M Ne.e1 LWNM. L ? 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( ?a ?- GoN. 6tu Infihwtba GIm 7 ? E+p. wrell 7. S Xpl O tkl e.o. wan 5 2 L Int. wall C°'l'^9 f toor p ? Windowc and Daon-Ondcap and 210 Ne. a? MN?1?? Ms. M LMM h. M¦. h J 2 ?Z f Coo. !tu Inf iMntion -Z TA: Glat SD ERp. wall t IY? 8 Me oxP. wrll Z IM.wdl Gilinp 13. Sxl q FW« (v 39d' rottl Btu. p Teul 8tu. - Z? ov RoomrLOn h '1 Wid1A rj INi t " FI.I RoomI Logth , WWMr?:? t Windowt wd Doas-G?aa ?nd Arr Winwkiwn snA Oaors-Gadc pp ?nd A?M yry WMrn w?yl?? Me. N LiW h. ?Y. 2- CAnf. !tu lehhotion G4.c ? /-7170 Esp. wall Z 8 X8' u ww wo. wall 76 0 Int wall c«liny rano ?q s s s cbn. 2 3 0 Me. M? Il?yi? 1M . o1 Low" url N. AM ? Z Z. ZZ . Oo?l. Stu Ineilpation Z L o Grr Exp. wNl Vc a6 W.eno.wdl r9! tO Im. weu c•?iwo !-L- x It r b g sv F? Z 3(?v rot.l etu. ?j II Twl Stu. 1323Y kor-c4- cAs s RESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 110?? ce,? qlz?/? Neri Construction Reouirements RertadeVReoair Reaui2menls Olfice Use OnN 3 registered site surveys showirg sq. k. of lot, sq. ft. of house; and all roofed areas 2 oopies of plan CeA of Survey Recd (20°/a maximum lot coverage albwed) t set of Energy Calalallons for heated additions Tree Pres Plan Reed 2 copies of plan showing beam 8 wiMow sizes; poured found design, etc. 1 site survey for additbns & decks Tree Pres Not Reqd isetofEnergyCalculations Add'rtion-indicafeifon-sifeseptksystem _Dn-siteSepticSystem 3 copies of Tree Preservation Plan if bt platted after 7/1/93 Rim Joist Detail Oplions selection sheet (bldgs wiN 3 or less unifs Date - _? l 1,f l ??/J Site Address 52?12 f'/SB? /J Cons[ruction Cost e??o ,CpfpU?? ?71? Unif/Ste # Description of Work Property Owner ? Telephone # ?Ti?{oI?-rJ Contractor Address ? State City Telephone # ( %77} COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Enefgy Code Category . , Residential Ventllation Category 7 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted . Energy Envelope Calculations Submitted Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( Telephone I hereby apply for a Residential Building Permit and acknowledge that e i: that the work will be in conformance with the ordinances and codes o the Statutes; I understand tliis is not a permit, but only an application for a e perxnit; that the work will be in accordance with the approved plan in th?j asi approval of plans. Applicant` Printed Name ApplicanYs S E 2003 On is complete and accurate; Eaean-and-theSYatie of MN work is not to start without a k which requires a review and Sub Types OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous Work Types ? 31 New ? ? 32 Addition ? ?K 33 Alteration ? ? 34 Replacement Valuation 0 J Census Code p ti SAC Units Nbr. of Units Nbr. of Bldgs Type of Const 35 lnt Improvement ? 38 Demolish (Interior) ? 44 Siding 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors 'Demolition (Entire Bldg) - Give PCA handout to applicant Occupancy MC/ES System Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered W idth _ Footings (new bldg) _ Footings (deck) _ Footings (addition) Foundation Drain Tile Roof Ice & Water Final ? Framing - Fireplace _ R.I. Air Test Final ? Insulation REQUIRED INSPECTIONS FinaUC.O. ? FinaUNo C.O. _ Plumbing HVAC Other _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Siding Stucco Stone _ Windows (newheplacement) _ Retaining Wall Approved ByT -2- Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other ToWI Building Inspector ? 7c? . ? q)eef cdrA -T?v 2006 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telcphone # 651-675-5675 FAX # 651-675-5694 96, &?) New Conshudion Reouirements RemotlellReoair Reauirements DKce Use.OnlV 3 registered site surveys showinq sq. R. of lot, sq. il. oi house; antl ?II roofed areas 2 copies of plan showing foo6ngs, 6eams, joisis Cedof Survey Recd ' . Y _ N (20% mmimum bt coverage allowed) 1 set of Energy Calcula6ons for heated additions Tree Pres?Plan Recd _Y _ N 2 copies of plan showing beam & window sizes; poured found tlesign, etc. 1 site wrveyfor atlditions & decks Tree Pres Reguired:. .i ?:Y _ N isetofEnergyCalculaUons Addifion -indicateilon-sifesepficsystem On-SiteSeptlcSystem _Y _N 3 copies M Tree PreservaGon Plan iF lot platted afler 711193 Rim Joist Oetaii OpUOns selection sheet (buildings with 3 or less units) Minnegasco mechanical ventila[ion fortn Date C.J /(o / U 1 Construction Cost Site Address '3(0q1 UniUSte # Description of Work AfL..1 Q1v 1 lm roo F Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 PropeMy Owner Telephone #( ) Contractor IJICWI ???UrS nddress CityFO(r -M11'UG,1UN State M i N Zip 56Uo 4 TelepNOne #(iD61 ) 4 (p0'(o 18 1 COMPLETE THIS AREA ONLY IF Energy Code Category - Minneso[a Rules 7670 Cateeor_y1 Residential Ventilation Category 1 Worksheet (J submission rype) Submittetl • Energy Envelope Calculations Submitted A NEW BUILDING Minnesota Ru(es 7672 . New Energy Code Worksheet Submdted In ihe lasi 12 months, has ihe City of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( Telephone #( I hereby apply for a Residentiaf Building Pennit and acknowledge that the information is complete and accurate; tliat the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes, l understand this is not a permit, but only an application for a pennit, and work is not to start without a pennit that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Attafit-IA mclc,io.?a.i Avnjvg ? mc,c,c? Applicant's Printed Name Applicant's Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA118398 Date Issued:10/31/2013 Permit Category:ePermit Site Address: 3697 Ashbury Rd Lot:2 Block: 3 Addition: Blackhawk Glen PID:10-14350-03-020 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 . Eric Brehe 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 - Sean M Burns 3697 Ashbury Rd Eagan MN 55122--122 Aspen Contracting/asi 4651 Nicols Rd Eagan MN 55122 (952) 583-2641 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA127559 Date Issued:10/06/2014 Permit Category:ePermit Site Address: 3597 Ashbury Rd Lot:26 Block: 3 Addition: Blackhawk Glen 2nd PID:10-14351-03-260 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 . Amy Jilk 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 - Jeffrey L Dosh 3597 Ashbury Rd Eagan MN 55122 Lindus Construction 879 Hwy 63 Baldwin WI 54002 (715) 684-4647 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA169610 Date Issued:06/03/2021 Permit Category:ePermit Site Address: 3697 Ashbury Rd Lot:2 Block: 3 Addition: Blackhawk Glen PID:10-14350-03-020 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 - Jason & Kristin Narverud 3697 Ashbury Rd Eagan MN 55122 A & A Heating And Air Inc 1206 5th Avenue S Buffalo MN 55313 (763) 999-1872 Applicant/Permitee: Signature Issued By: Signature