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1565 Ashbury Pl1. ? ;v (Etr#ifira#p uf Mrrupanry titp ot 4Eagan appttrtntmf of Iuab'tng jwprtinn This Certifrcate issued pursuant to the requiremenu of Section 306 of the Uniform Building Code certrfying 11iat at the time of issuance this structure was in compliance with the various ordinanees of the City regulating building construction or use. For 1he following.• [ Uae C1s?fnuon ` . .! I. - A"' Bldg. Rrmit No. -/) OceupRncy Type r? Zooing Diavict ? ? `,r•?,, Type Const. owwr oc sdai,g aaa? i I5b5 .?s.55?a?; . , ,'.. , . - st khrkg,warm Locality ;P,. !9688 ?te: euMng officW POST IN A CONSPICUOUS PLACE BLDG. PERMIT N0. ? ?w ol _° 01-3210 Bldg. Permi ? 01-3422 I 01-3445 01-3446 01-2155 ?46860 20-2275 20-3865 20-3868 20-3716 20-2252 20-3713 20-3743 79-3866 ,I 9?3855 Plan Check Surch./Adm. SAC/Adm. Surcharge Road Unit SAC Water Conn. ktater Trmt. Water Meter Acct. Dep. Water Permi Sewer Permi Sewer Conn. Park Ded. TOTAL CASH RECEIPT s CITY OF EAGAN • '' 3830 PILOT KNOB ROAD ?- ' EAGAN, MINNESOTA 55122 DATE 19 xtEnm FROM i - - ' ?- . aMOUHr a ? F & DOLLARS ,ao ? CASH CHECK r? FM t _ I L FUNO OBJECT AMOUNT i / Thank You BY WhRe-Payers Capy ?* w-9 816F ? PirYc-F?--W C?PY • ? CASW!"':.'^-EIPT ? CITY OF4AGAN ' 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 •' , RECENED FRO,, ,_.l c + AMOUNT $ 8 DOLLARS loo ? CASH ? CHECK 1 FM --j ? ? .v: c • ' t r. ',? I _. , __ I `- ? ? /•_? ?-- FUND I OBJECT I e ? 06?? Thank You . BY N • ? ? ? -Y ? White-Payers Copy Yaikm-Posnns Copr Pink-Fi1e Capy I BUILDING PERMIT ? T„ ,--a ,,,. DEC1C Lot " BIoCk Parcel No. ' W Name 0 Address - . . City 60 Name Address - Name _ Address r`ilv Phone I have read this app agree to comply w I state that the cable State of Signature ot Permitee ' JI!! lfIELING A Building Permit is issUad to: on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. . ..' .? .r , .. . ' . ; - , . . . 1 . . CITY OF EAGAN ?tf 18862 , 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-$100 ? Receipt # ' Est. Value i1' ? Date ? 9 . 19 91 j Sec/Sub. Phone Phone OFFICE USE ONLY Occupancy - FEES Zoning - 25.00 (Actual) Const - 81dg. Permit (Allawable) - Surcharge .50 # ot stories Length Plan Review Depth SAC, City S.F. Total - SAC, MCWCC S.F. Footprints - On Site Sewage _ SNater Conn On Site Well - Water Meler MWCC System _ _ Ciry Water Accl • DePosit PRV Required _ S/W Permit Booster Purtp - 5NV Surcharge Treatment PI APPROYALS Road Unit Planner - Park Ded. Council 1.00 BIdg.Off. - Copies 26.30 Variance - TOTAL Date WATEFi $EWER PLUMBING H.V.A.C. ELECTRIC Mapsction Uate Footings 1 Foundation Meter weli Pr. BUILDING PERMIT To be used for j..Spj Site Address 1565 Lot 12 Block _ Parcel No. W Name JIM r 3 Address 1565 0 C11Y EAGO ? 0 Name SAME 0? Address ? Citv yVj W Name Address a W C11Y I hereby acknowlege that I iniormation is correct and ? Minnesota Statutes and Ciry Signature of Permitee A Buiiding Permit is issued 1i on the express condition fha applicable State of Minnesot Building Ofticial _ . . { :. CITY OF EAGAN ;;fl 15o O 3834 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 ? Receipt # pQW= Est. Valuet $49000 Date wUG 1 , 19 89 IUtX PL Sec/Sub. $LACKRAWK GLRb MG CRY PL _ Phone - Phone - Phone read this application and state that the to comply with all appiicable State o1 gan Ordinances. , ? w 3YH NEILING ork shall be done in accordance with all utes and City of Eaqan Ordinances. OFFICE USE ONLY Occupancy R-3 FEES 2oning - - 4 (Actual) Consi _ Bldg. Permit 6 • oo (Allowable) - Surcharge 2.00 # of Stories - Length 14 9 Plan Review 49 Depth 1 SAC. City S.F. Total _ SAC,MCWCC S.F. Foolprints - On Site Sewage _ Water Conn On Site Well - Water Meter MWCC System - Ciry Water _ acct. Deposit PRV Required _ S/W Permit Booster Pump - S,W SurCharge Treatment Pt APPROVALS Road Unit Planner - park Ded. c«,ncii - 3.00 BIdg.O(f. _ Copies Variance - TOTAL _ Permit No. Permit Holder Date Telephone # WATER SEWER PLUMBING H.V.A.C. ELECTRIC Inspection Date Insp. Commenls Footirgs I Foundalion Framing ?7 yQ ' v / i ceiQ/t/fi N?S+ Roofing ' q0ugh Plbg. fiou9h Htg. Isul. Fireplace Final Htg. Fnal Plbg. Consf. Meter Plbg. Inspector - Notify Plumber Engr./Plan Bldg. Final Detk Ftg. Deck Final ? - Well G?? Q f Pr. Disp. ? 2-?o v s ? re s Pp?cl? ?;he 1--- y-S- 9/ p,s' -/(/? Sf?)rs tc+I aP f niloc k cGor I CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100 BUILDING PERMIT Receipt ? To be used for Est. Value Date ,19 1565 f ':Y Lot ' Block ' Parcel No. oc rvan 3 Add a City ¢ =o U< ¢ ? Name C Ity _ Name _ Address 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. Signature of Permittee A Building Permit is issued to:_ ' - on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official On Sfte Sewaye OccupanCy MWCC System Zoning On Site Well (Actual) Conat City Water •' (Allowable) PRV Required ik of Stories Booster Pump Length Depth S.F. Total Footprint S.F. APPROVALS Engr./Assess. Planner Council Bldg. Off. Variance FEES Surcharge Plan Feview SAC, City SAC, MWCC Water Conn. Water Meter Road Unit Treatment P1 TOTAL _ Permit No- Parmit Holder Date Tslephone ?e Plumbing H.V.A.C. Electric ? 14 ' I ,? - Softener Inspectfon Dste Insp. Comments Footings I 37 j Footings II Foundation Framing Roofing v Rough Plbg. y S'? /? J Rough Htg. Isul. Fireplace ? Final Htg. Final Plbg. . Bldg. Final CBrt OCa ? ,S ?lv !?LIt Temp. LP Deck Ftg. Deck Final Well Pr. Disp. PERMIT # % ? ' • . ? , MECHANI(*?L PERMIT RECEIPT # , CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ? CONTRACT PRICE: PHONE: 454-8100 Site Addrgss LotBIQCk ! fSec/Sub BLDG. TYPE WORK DESCRIPTION ? . New Res. m Name Mult Add-on i R C 16 Address r epa omm. Other c Ciry ' Phone Name FEES RES. HVAC 0-100 M BTU -$24.00 c Address " i ADDITIONAL 50 M BTU - 6.00 p City -" 'Phone (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) 50 EA GAS OUTLETS (MINIMUM - 1 PER PEkMIn - 1 . . ? TYPE OF WORK COMM/IND FEE - 1% OF CaNTRACT FEE ForCed Air M BTU APT. BLDGS. - COMM. RATE APPIJES i 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 I STATE SURCHARGE PER PERMIT - .50 Vent I CFM (ADD $.50 S/C IF PERMIT PRICE GOES i Gas Piping Outlets # BEYOND $1,000) ? Other ? FEE S/C: SIGNATURE OF PERMITTEE TOTAL: I FOR: CITY OF EAGAN ? CONTRACT PRICE PERMIT ii PLUMBING PERMIT RECEIPT 1i - CITY OF EAGAN ? 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: PHONE: 454-8100 Site Address , Lot ZB19ck SeciSub , ? Name.- m Address - - c City - - Phone ? Name - ? 3 Address p Ciry Phone FEES COMM/IND FEE - t% 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 BEYOND $1,000.00) ?/? / 1.. a SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN BLDG. TYPE WORK DESCRIPTION Res. 'r New - Muit. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TQTAL Q :3 Water Closet - $3.00 $ F ? Bath Tubs - $3.00 : ? lavatory - $3.00 -_ 1 7 Shower - $3.00 = ' KitChen Sink - $3.00 Urinal/Bidet - $3.00 Laundry Tray - $3.00 ? Floor Drains - $L50 Water Heater - $1.50 Whirlpool - $3.00 ' =Gas Piping Outlets - $1.50 / • (MINIMUM - 1 PER PERMI'n Softener - $5.00 Well - $10.00 -,,,-Private Disp. - $10.00 _ Rough Openings - $1.50 -t FEE: ' STATE S/C: ' ?J GRAND TOTAL: `; CITY OF E,4GAN Permit No: 93F0 Date: 3830 Pilot Knob Road Meter No: Size: P.Oy l3ox 21199 Reader No: Date: Eagan, MN 551' , Owner.?..'>xo,^ . SiteAddress: ISnS Astibiiry Dlace L12 B1 31ackZuewk (-,lei; lst o,,,mko,. Lund, ren Bros. Plumbing Conn. Chg: 550• 00PL Zoning: Acct Dep: I5 . QGp" No, of Units: = Permit Fee: 1 ?? • '? ?) -p r: Surcharge: •5?ja'o I agree to comply with the City of Eayan Tr. Plant 204• 00v% Ordlnancea. Meter. - Misc.: BY WATER SERVICE PERMIT CITY OF EACAN 3830 Pf18t Knob Road P.Q. Box 21199 Eegan, MN 55121 4. Owner. 5ite Address: MWCC: City Chg: 1'! 0 . i:i; Acct Dep; ?-S • ?`' ??? Permit Fee: , Surcharge: Misc.: ` By Permit No: B/P No: $rOB. Date: I Date: - :Bt Zoning• No. of Units: y 1 agree to compty with the City oi Eagan Ordinances. • SEWER SERVICE PERMIT CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100 BUILDING PERMIT Receipt # To be used for S1/G" Est. Value $ 1922, Ow Date MMGN 4 ,1914__ Site Address 1565 ASHDL'RY ?'L Lot 12 Block 1 Sec/Sub. $?ACYXAWK GLEN 15' Parcel No. Q Name IXrJl)Git6lt StOS C(1T18TA{3CT'i0ti z Address 935 B 6IAYZIITA HLYD o qity, FIAY?..ATA Phone 473-1231 OFFICE USE ONLY On Ske Sewage Occupancy R"3 MWCC System X 2onfng R-t On Site Well (Actual) Const Y-N City Water (Allowable) Y^'b PRV Required X * of Stories Booster Pump Length 64 ' Depth 27 ' S.F. Total Footprint S.F. ¢ ~ , o Name_ z?- ? Q Ao?iress 9 P City _ ?¢ U Uy W W ~2 sa UZ ¢ W a Name _ Address cIry_ I hereby acknqwledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minneso[a Statufes and City of Eagan Ordinances. ---.?:. Signature of Permittee AEruilding Permit is issued to: 1'?NL"EN BRQ5 COt1ST on th8 express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official APPROVALS FEES Engr./Assess. Permit 646•00 Planner Surcharge 61s00 Council Plan Review 323.00 Bidg. Off. SAC, City 100-00 Variance SAC, MWCC 550.40 Water Conn. 550.00 WaterMeter 67.00 Road Unit 1211.00 Treatment P1 W4•oo Parks ' - TOTAL 2,826.06 CITY OF EAGAN Addition $laskhasak 6len Ist: -- Lot I ;-'- si Owner Street 1565 Ashbury Place k ? Parcel 1.0-1 G S(1-1190, g1 State F.agan MA1 95179 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF, 1076 1986 253.48 50.70 S STREET RESTOR. GRADING ? SANSEWTRUNK 1970 6.70 25 Pd prior t division SEWERLATERAL Bn1074 1986 112.09 22.42 5 WATERMAIN Bn 1075 1986 92.80 18.56 5 WATER LATERAL WATER AREA 1072 1986 309.40 61.88 5 STORM S R 73 2 1983 . 32 57 15 - -- STORM SEW LAT ? . CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK CITY OF EAGAN 3830 Pilot Knob Road P.O. Box 21199 Eagan, MN 55121 Owner. ? ?•'' `Site Address: Permit No: Meter No: 7 Reader No: Bras. Lunderen Date: ? - r -• S fi Size: Date: Ef ? ? Conn. Chg: :!Qp(; Acct Dep: ,?C???1????iC. .l Permit Fee: G Ln , :1?? (??jQat? _ Surcharge: i$ree lerbWly with ihe City oi Eagan Tr. Plant ? _. Ordin ces. Mefer. Misc.: B y WATER SERVICE PERMIT This reque5t void ?? 16 nwnNs tmm D 944 4 ,lia O ?`O 6 ;,// ; W? "."° `•°`•••"• ?°•••'°•.•°' 1 herebV re9uesi mspecUOn of ebove ? Owner elactricnl work mslallad at' Street Atldress, Box or Poute No. Crty 1565 Ashbury Place Eagan ecuon o. Township Name or No. Range No. Covmy Da kota Occvuan[ IPHINTI Phone No. Nieling Power Sup0lier A?dress Dakota Electric 4300-220th St.W., Farmington 55024 Electncal ConVactor (Company Name) Cnntrar.tor's Lir,ense No. Standard Electric Co. 40837 Mailinp AdJress (Contractor or Owner Mab nB InstallaLOn) 2672 le od Dr., Ma o, Mn 55109 r n re ICOnttactor?Ow r y nstallationl Phone Number --L. 11 484-8044 MINN?A'STATE 90ARD OF ELECTHICITY THIS INSPECTION FEQUEST WILL NOT Griggs-Midway Blde• - poom N-191 BE ACGEPTED BY THE STATE BOAPD 7821 Universitv Ave.. St. Paul. MN 55100 UNlESS PqOPEF INSPECTION FEE IS Phone(612) 642-OBOO ENCLOSED. nEQUEST FOR ELECTRICAL INSPECTION es-oo,o/oi-o?e/ ?? Sae instrucLens br comolepng Ihis form on baek ot yellow coFV, ?'9/? ?} 4} ',! 4 "X" Below Work C`overed by 7his Request I AAd AaO. Type o16urlEmg Aooliancea WireA Equiymenl Wved Home Range Temporary Service flunl.,,, WarPr Hnaro. Liahhnu Fixtures industnal Bldg. Air Conditioner Bulk Milk Tenk I n-? Fafm Other75pei.i V ? O?her ISi?nutVl _? p Fee ServiceEnirence5ixa n Fee Fexders/SuhleeAers N F. Qrcaits U to 200 Am ?s 0 to 30 qm s ' 0 tn 30 Am Above 200 Amps 31 to 100 Amps ? 31 to 100 A s Swinxnfng Pool Above 700-Amps Above 100_Amps Transtormers Irrigauon BoonS U Parual'Ot e apeciaiinspecuon IHOUBh.ro ?? r " ? I. seha cV? eraby I ec < ? ? cartify that the abave IFinal •.? -,?n (I UYt 1 msPect?on has been made. Irom C? 3 3 5 5 8 Request Oate Fve No Rou Rm Inspecbon Peqoii ? Ves XNo O Reetly NowZWill Notdy Inspetlor Wnen Reatly9 10 licensed coniractor vowner hereby request inspection of above electrical work aC Jab Address (Slreet. Box ar Route ) 4 4 /C `- ,. L-.r /CiC Qty ,i G c? Sxtion No Townshp Name or No Ranqe No County-..? ! \ ? OccuDam (P T? O C Phone No _'7-?/ Jl ??, Power Supplier Atltlress Elenncal Conlractor (COmpany Neme) ConVadors License No Mailing Address (GOn[raclor or Owner Making Installation) Au Sgna re (COmrac?onOwner km IlaDOn l Ppone Number MIN 50 STATE BOAflO OF ELECTPICITV THIS INSPECTION REQUEST WILL NOT Grl m way Bltlg. - Room &173 BE ACCEPTED BV THE STqTE 60AR0 1821 nlversity Ava.. SI. Paal, MN 5510A UNLESS PFOPER WSPECTION FEE IS Phane(61Y)602?OBOD ENCLOSED f/?/SV REQUEST FOR,ELECTRICAL INSPECTION p ? See mstmclions lor compleiing Ihrs fortn on Oack ol yellow copy @ .33,r1.5 p 'X' Below Work Covered by 7his Request EB-OOW1.07 ) ew Add Fiep TypeofBwidin9 ApphancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Buildmg Dryer er (Specdy) raa Comm.llndustnal Furnace / M pv?c Farm Air Condilloner Olher (spacJy) Coniredoe§ Remarks Compute Inspectron Fee 6elow: # Othef Fee # SermceEnlranceS¢e Fee # Crtcuits/Feeders Fee Swimming Pool 0 io 200 Amps 0 to 700 Amps Transformers Above200_Amps A Amps SignS Inspecroh Use Only. ? TOTAL C Irrigatlon Booms 'J /s S Special Inspection Alarm/Communicauon THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Olher Fee COMPLETED WITHIN 78 MONTHS. ' I, the Electrical Inspector, hereby Rouyn-in oaie Certify that the above in5pection has been made. F,,,al . ? pat O OFFICE USE OHLY This request voitl 18 months irom ' I CITY OF EAGAN Na 14 6 5 6 3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55127 --? C? BUILDING PERMIT PFiONE: 454•8100 Receipt # ? ?/ /C ? To6eusedfor SF/GAR Est.Value $122,000 Date MARCH 4 ,1988 SiteAddress 1565 ASHBURY PL Lot 12 Block 1 SeGSub.BLACKHAWK GLEN 1S' Parcel No : Name LUNDGREN BROS CONSTRUCTION ; Address 935 E WAYZATA BLVD ° City WAYZATA Phone 473-1231 p Name_ o a Address ? Ciry_ •? Uiy W?y FZ aZ Q W Name _ Address CitY- I hereby acknowledge Ihat I have read this application and state that the informahon is correct and agree lo comply with all applicable State of Minnesota Statutes and City of Eagan Ordinaniggs. , , Signature of Permittee A eudding Permit is issued to _L7NASzREN 0S-_CDNS2- on Ihe eapress contldion that all work shall 6e tlone in accordance with all applicable State of Minnesota StIatutes and City of Eagan Ordinances. BwldingOfficial OFFICE USE ONLY On Site Sewage - Occupancy R-3 MWCC System X 2oning R-1 On Site Well _ (Actuap Const V-N Ciry Water X (Allowable) V-N PRV Required X # o( 5[ones BoosterPump _ Length 641 Depth 27' S.F. Total Footprint S.F. APPROVALS FEES Engr./Assess. Permit 646.00 Planner Surcharge _ 7.1 • 00 Council Plan Feview 323..00 Bldg. Off. SAC, City 1_QI1.._QD_ Variance SAC, MWCC -UQ-90- Water Conn. Water Meter -6.7--02 Roatl Unit 325..-0O- Treatment Pt 204.00 Parks TO7AL 2e826.00 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTEs ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE FTHICH ADDRESS IS DESIRED. NO CHANGES WILL BE 9LLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENT9L QNITS FOR SALE UNITS 0 OF ONITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMIIMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS To Be Used For: ?i i... Valuation: Date: Site Address Lot ? Bloek Parcel/Sub Owner ???P,v l9?05 ?orXSi. Address ZE City/Zip Code Gaor,?ely Phone /,X?3/ Contractor Address / ?S'E- /.(iMV2y-?rg Yw?* City/Zip Code Phone 5123 /o?31 Areh./Engr. Address City/Zip Code 122000-- On site sewage_ MWCC system jr? On site well City water ? PRV required _ Booster Pump _ APPROVALS Occupancy K-3 Zoning 9-1 Actual Const V'N Allowable V-N Il of stories Length Depth S.F. Total Footprint S.F. FEES Engr/Assess Planner Council Bldg. Off. Variance Permit .Oo Sureharge 6! . DO Plan Review 3Z3, 0 O SAC, City 0 )00.0 SAC, MWCC SSD, ? Water Conn 550, W Water Meter 6'7 .DO Road Unit ;y S, 00 Treatment Pl Z, p y, 00 Parks Copies TOTAL ? Phone !1 GA va Lua'7 + o_N 'R Ac?-E zU x'2Z = S?2 X!?f = SooB HouSE 3?X'Z1 = (OZ( x?rr = II'3?s?s? rz1 gRy -SUFi1lEYOR'S' CERTIFRCe4'1'E' i i) 1- I ? L^ I i i ? i i ? ? LQ O ? V ? m r ? - i ?_?/ ? 6 E 1 S /fqUSE / 048.4 L / S 77°55'56 E 171 . 03 8°' i? 845 io I O ? ?- VA. C N ? ? x ? LDRAlivAGE @ l1r/U7-y v? 10 L_!S£MFNT PER P/_qT?\ 890.4X ? 1--- -_ ? _ - 169.24 J,.I N 68 033 ' 1 . w B3o.7 L_ ll 1 DEt40TES PROPOSED SURFACE ORIIINAGE -*- O DENOTES IRON MONUMENT SE'i • DENOTES IRON t40NUM[NT FOUND X000.0 DENOTES EXISTtNG EL[VATION (000.0) DEfIDTES PROPOSED ELEVATION b!E I1EREdY CERTIfY TO SIENNA CORPORATION REPRESENTATION OF A SURVEY OF TIiE 40UNDARIES OF: SCALE: 1 I1yCH = 30 FEET PROPOSEU GARAGE FLOOR =B?I-b,3 FEET PROP05ED LOWEST FLOOR = S 38,to FEET I'ROPOSED TOP OF EiLOCY. = SQdc•1 FEET THAT THIS IS A TRUE AND CORRECT Lot 12.Block I, 4LACKFIAWK GLEN 1ST AUDITION, according to the recorded plat thereof, Dakota County, Minnesota. IT OOES P?OT PURPORT TO SIIOb! IMPROVEPIENTS OR [NCROACI1h1ENTS, IF ANY. AS SURU[YED DY t•tE OR UNDEft I?Y DIRECT SUPERVIS1oP1 THIS 137NDAY OF NnU. , 198? SIGPIED REVISEO 2-/9_88 TO SHOW PROPOSED HOUSE BY LUNDGREN BROS. CONST., INC. PAOJECT NO. 85618 (88148) FILE N0. FOLDER E300tC / PAGE Z3o?S3 aY JAMES?R, V?,ILL, INC. . , ! ??ZO dc VIA tOLD C. PETER501?, LAP1D SURVEYOR h1IPINESOTA LICE??SE NUt•tOER 12294 SIENNA CORPORATION T P i o I m a ?1 n f o ? m I ?. ? 5 _ 1 I I 5.19 9.= 10 22.0 \ l.l ^.,:=PROP OSED v ? D . n'? w?eo?r.. ?.. , T ?-io.oo?' 10 ? 27,00 --m -- 33.15 ? _- m I l w.s 30 = m C w T 30 r? n m ? EX?S7-!ryG j se? / j JANIES R. HILL, INC. Planners / Engineers / Surveyors 8200 Flumboldt Avonuo South 64oominpton, Mn. 65431 tS12-004-3029 ?cOI?SIRUC1101J ----- --- _ " ? . IIJC. °539i • (ci2) t7:; 93 12.°?1 5 EAS7 WAYZA7<+ EDULC-??{RD D. ?'`'?+YZATA• ?J?IfJIJGSOTA ., EY.7EP.IOP. EI!VELOPE F.UEP.'r.GE U CO"PUTA7]OIJ Lot /LBlock / Site Addres.?? R U R 8? S .058 ppaque bJalls - _.117 Ylall Framing Areas - i .023 Ceiling Insul_ation Area - . .027 Ceiling Framin9 Area - _04 Rim Joist 14 1Sasonry Wall .26 !lindows Double Hung - .40' Czsenents - _18 Doors : 46 Patio Dobrs _47 Sidelites 1) Lower Level (8aserrent) Total exposed wall area ?A21 ? x (U) .058 = __- Opaque Wall Area - -- x (U) -117 = ___-- IJood Frame Area - - x (u) - 04 = ?--- Rim Joist /?X (U) .14 Exposed block • Casement ? x (U) _46 Window Area _x (U) •26 ---? - Double Hung - x (U) . 4 6 = _-- Sliding Glass Door , - --x '. (U) -18 = __?--- poor Area Total -?? °-?- , ? - -_-- 0 ?CO?CiRUCiIOtJ - 135 EAST VJAYZHT'', BOULEV/.RD • VJAYZN7A, IvIIdNES07A 55391 •(E12) 473' ?231 2) lst or r?ain floor Total er.posed wall area ppaoue ti•;zll area b;ood frame area Rim joist ? 1•:indow P.rea { ? • Sliding Glass Door ' Door area Sidelites Casements Double Hung 3) 2nd floor if 2 s'tory ' 7ota1 exposed wall area ? ppaque wall area ' • Wood frame area 1•lindow area Sliding glass door Door area 4) Total ceiling area Wood frame area ppaque ceiling area 5kylight C` Casements Double Hung (U) .058 = 5?S S /D,X (U) .117 = ?• 1 (U) .04 = 4e, e2_ - x ?X (U) (U) -46 .26 ?- = T, 2_ ?x (U) .46 = 3?ryX (u) _ia = 6, ? /3x (U) .47 = lo?-- Total ? lUor g5yx ( u) = .058 ?s"= ?X ( U ) .117 = Z-X ?Uj .26 = .?/ ? X (U) .46 = ?-- ? X -rotal (U) .18 = _?- /-/IL/x (u) -027 = 3•?- (U ) . 0 23 = ?• -3, °-- ?x (U) .55 °?(O ? 7otal ? - `•, ..- G ??J ?Y??CONSIRUC110?? ? ? l IIJC. --? ? IliINW[SOTA 55291 • (612) 473-1731 935 EHST VJAYZA7N BOULEVARD • ?JhYZk1A, f4inn. U Factors Total er,Posed wall area ?,?o?y X.11 Total exposed ceiling area_1/??Y •020 1•?inn. U Factors (A) Total - Item +.Item 2/ D,d} Item 3 J?+ Itiem 4?? If total of Iter:s 1- 4 is less than Item (A), building complies with SBC 6006 (C)s ? `. APFLICATION FOR PERMIT 1) PROPERTY ADDRFSS: SEWER AND/OR WATER CONNECTIQN OF CC9gt8n i.Ff:AT' DESCE2IPTION; .. .. ...... - ey . `- ; ?NOTE: PA1T¢NP OF £EE AT TSME OF ? ; nrrLiCAazoN ooFS rM coN- ; .'? 31'I1i1PL' APPA6JAL OF PIItMffT. r e ? Z[1SPEClI(RI OF S54E1i APD/OR FP17II2 ? INSTALIA1ZIX15 WII.L NDT HE S'EDUran ,*k lR7lIL PIIi[AT HPS B@! APPftOVID. ?*. •i>ti?i+??t+f??ww?ktt??t?i??t?k?eriki? or IF EXISTI[QG STRL'CTtIRE, DATE OF ORIGINAL BUILDING P?',.RMiT ISSUANCE: Nbnt Year PRESENT ZOPtING/PROPOSID LSE: Q COrM7EE2CIAL/RETAIL/OFFICE Q IIa7L?S1RIAL Q INSTIT[JTIONAL/GOVFS2NMENT ADDRFSS: CITY, STATE, ZSP: PHONE: 't7jj R-1 SINGLE FAMILY ? R-2 DLPLEX (3tva C'nits) Q R-3 TOWNHOL?SE (Three + Onits) ( Units) Q R-4 APARTME.T7P/CODIDOMINILM ( L'nits) 3) ? NAME: ADDRESS: CITY, STATE, ZIP: PHONE: MASTII2 LICENSE # 4) N71ME: ADDRFSS: CITY, STATE, ZIP: PHONE: r , - 5) Ef CONNECTION TO CITY SSWER ED-C-ONNECTION_TO CITY WATER M OTHER 6) ?ttuwers License: Active Expired Not recorded St T-I-n-it-laT- -;Fg *?********?*+******?*+*******************:?*?*?*??********+:r?*********+?****************??***?**,r*?? * * 1YIE GOID COPY OF '1HE PII2MIT WILL BE SENf DIF2DLTLY 'PD PUBLIC WORKS TD FACZLITATE MN.?:TII2 PIQC-OP. * * PLEASE ALLOW 1NA int7RKING DAYS FOR PROCFSSING. SOMIDONE EROM TIIE CITY WZLL CONfALT YOD IF TEIERE * * ARE ANY PROBIEZ,1S. ? ?*??+.***?********+******************+*,r*********+r*?**,e****+**+e**?r****?***?*+*****?*?******,t**?***?; FOR CITIf USE ONLY PERMIT # ISSUED Pd w/Bldg. Permit FEES: $ - S lD ,O' d SEWER PERMIT (INCLUDE SURCHARGE ) $ $ 10 '5-Z) WATER PERMIT (INCLUDE SL'RCHARGE) $ 67`oo $ WATER METER/COPPERHORN/OC'TSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ ?•1Jl G°t'J jaCCOUNT DEPOSIT - SEWER $ $ ACCOUNT DEPOSIT - WATER S ?J' ?i O• v U $ WAC $ ?, 5b' C d $ SAC $ $ TRLNK WATER ASSESSMENT $ $ TRL'NK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $- $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ S 57, G"?JJ TOTAL l 7 ?4 IP Z RECEIPT RECEIPT , DOES UTILITY CONNECTION REQUIRE.EXCAVATION IN POBLIC RIGHT OF WAY? F--j YES - IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MOST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE : -31 7 /P ,S/ BUILDING PERMIT CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 Est Value $4.000 N2 16870 Receipt # C 3Q?50 Date AUG 1 19 89 Site Address 1565 ASHBIIRY PL Lot 12 Block 1 SeGSub. BLACKHAWK GLEN P3fC21 NO. 1ST Occupancy Zaning w Name JIM NEILING (ACtual) Const 3 Address 1565 ASHBURY PL (Allowable) ° City EAGAN Phone 738-5080 xolStories Length o Name SAME Deplh z g¢ Address S.F.7oWl ? City PhOnB S P Footpnnts F On Sne Sewage ww Name onsdeweo ?? AddfBSS MWCCSystem a W City Phone cny water PRV Reqwred I hereby acknowlege iha[ I have read this application and state ihat the Boosler Pump mformation is correct and agree to comply with all applicabl Minnesota StaWtes and City o Ordinances ? V Signature ot Permitae APPROVALS A BuAding Permit is issued t: JIM NEILING Pianner on ihe express condNOn tha all work shall 6e done in accordance with all Counni apphcable State ol Mmnesota St atutes antl ?C f d y / Eagan Ordmances. o Bldg. Off ? ? y y ? Building ONicial b ,/ 1,.?1? jI?. L) Variance OFFICE VSE ONLV R=3 FEFS 64.00 9.00 Bldq. Permit 14' 141 Surcharge Plan Review SAC, Cny SAC,MCWCC Water Conn Water Meter Acct Deposit S/W Permit 5/W Surcharge Treatmenl PI Road Unit Park Ded. Copies TOTAL 3.00 69.00 1989 BSIILDIl1l3 PERMTT APPLICATION CITY OF EAGAN SINGLE FAMILY Di1ELLIHGS 2 3ETS OF PLANS ° 77:013TERED STTE SOAYEYS .'i OF EIiEAGI CALCS. r ?o )LTIPLEc,? D INGS COl4ERCIAL 2 38T5 OF P1.dNS ffiGISTSRfiD SIlS SQBVE?S - (CHECB NITH BLDG DIV.) 1 3Ef OF EAEAGZ CALCS. 2 SETS OF lRCHITECTURAL 8 Si80CTORAL PL?NS i SST OF SPECIFICATIONS 1 SET OF SBERG! CALCS. lIULTIPLE DWELLINGS AENTAL ONITS FDH SELE DAITS 1 OF OBITS iOTEt lDDRFSSFS FOH CORNER LOTS - COAT'RACfOA/80[+EOiiNEA MOST MIGASiE i1HIC6 IDDRFSS IS DFSIRED. BO CHANGFS AII.L HE ?LLOiiED ONCE SDILDIIiG PERMIT IS IS30ED.. 3EilER 8 ii?TER YEAMIT FEFS 1HD ACCOUPT DfiPOSIT FEES UTII.L Bfi INCLDDED IiITH SHE BOILDINQ PERhIIT FEE. PAOCFSSING TIME FOR SEWER AAD 1iAT£A PERHIlS IS TiTO DIYS 031CE ! PERMIT BAS SEEP (DMPLETED INDIC9TING A LICEN3ED PLUMffiER. PENALTY APPLIES iifENs PERMIT IS NOT PAID FOR IN SAME MONTH IT IS REpUESTED. LOT C9ANGE IS REQUESTED ONCE PERMIT IS ISSUED. To Be Used For: Site Address ScreevA- oYCln Valuation: ?'?OUO Dates llu 6,dh,PuUUi 'P OFFICE [)SS Lot 1i Block I_ Parcel/Sub -1? 9 nr?l),G Ormer Address 451? p?v ? a.e 2 City/Zip Code ? CA / S ZZ Ph0 em 7 70 :Sa p0 Coatractor C?-S A6vQ Address City/Zip Code Phone Arch./Engr. eaare99 Citq/Zip Code u U L 2 8 198a Occupancy 2oning Aetual Const Allorrable # of atories Length 1?1 Depth I?l S.F. Total Footprint S.F. On site eeWage On aite well _ MWCC System _ Citq vater _ PRV required _ Booster Pump _ lPFAOVAIS Planner Council , Bldg. Off. =-1/31 Variance FSF.S Bldg. Permit E1-4,00 Sureharge vo Plan Review SAC, City SAC, MiiCC Hater Conn Water Meter 6cet. Deposit S/N Permit S/ii Surcharge Treatment P1. Aoad Onit Park Ded. Copies 3, v a 3IIBTDTAL Penalty SOTAL Phone # ? F ? n -? • ?. , '?:• . ? r. in 4. I ? w o Q) ?a ? V ? . t?] tJ1 CJl a, ? a: ? ma I le l -1 - L _\J I f- I -,- ?_ r % •?? / EXtST?N? USE ' 56a, Xt 77° 55 E 66 A /1 .03 r.? ?.--1 - ?- BaS ?- ?-- K D ? 10 C) °_A V N DRA/NAGF p UTIL17-}, ? 10 ? ?SEME'NT PER PL,q7- ?-_ , --------------- i'4 1, --? _ ? T C ? n O ? p m 2 ? ? 8 4 O. 837.5 159. 2, "? N 33° W 830.T? ?P ?m m -o ? I .,7 rm ' 848.5 1 ? e4s.e4 24,43 -• x .. 27.37 - 75.19 9,J 65 I? 10 22.0 r-J •., •..P.ROP SEO GX N ? v 0 I = ' •?.?;f ??? ' : ? y? ? 5.0 Xea5. x:0 0 \ = > m N W ^ ? 8 W G ? 27 0 ,842.1 _ ?-10.00?= - Z7,oo --,- d m _ ?0 Ln 33.15 -` L~ '?' ? ? a r /,?lS?Ep?IG l r o _ I 1 CITY OF EAGAN ?p ? 5862 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55127 PHONE: 454-8100 ( I I Z'32 -z BUILDING PERMIT Receipt p - - To be used for DECK Esc Value $1, 000 Date APR 9 , 1991 Site Address 1565 ASHBURY PL Lot 12 Block 1 SeGSub$LACKHAWK GLEN 1S OFFICE USE ONLY P2fC01 N0. Occupancy - FEES 2oning - m Name JIM NIELING (ACluaq Const - Bld9. Permit 95-00 W ? 1565 ASHBURY PL AddfeSS (Allowable) - e .50 Sumhar ° Cit EAGAN Phone 223-3908 y s of stones g - N L 221 Plan Review eng a Name SAME Deplh 19-1 SAQ City , ?a Address S F. rotai - nnCwCC SAC , i- CIlY Phone S.F. FootDrints - l S O S Waler COnn ewage f1 e i _ ?w Name On Sile wen - Water Meter x? Address MwcCSystem ?a Acct. Deposit eW City Phone arywater - i d PRV R S/W Permit equ re _ I hereby acknowlege that I have reatl this apphcation and scate that the Bonster Pump - SnN Surcharge informahon is correct and agree lo comply?m applicabl State ot Minnesota Stalutes and Crty. t Eagan Ordi an s. Trealment PI Signalure of Permitee -• APPHOVALS qoad Unit A Buildin9 Permit is is to: JIM NIEL NG Plannar - park Dad. on ihe express condition that all work shall be tlone m accordance with al1 Council -- 1 00 City ol Eagan Ordmances. apphca6le State of Minnesota Statutes a n d Bldg. OII. _ . Copies y y ? BuiltlingOHicial 01I7AU.t I ?I1JJ Variance - TOTAL 26.50 , 1991 BULIGERM T AP LICATION CITY OF EAGAN SINGLE FAMZLY DWELLINGS 2 SETS OF PLANS 3 REGISTERED SITE SURVEYS 1 SET OF ENERGY CALCULATIONS MULTZPLE DWELLINGS C0MMERCIAL 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL REGISTERED SITE SURVEYS - & STRUCTURAL PLANS (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. IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MIJST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUTLDING 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: Valuation: Site Address ? F Lot J,I Block Parcel/Sub 41"i •,fi Owner °? Address ` City/Zip Code -v 00 Phone ?2- Contractor Address City/Zip Code Phone Arch./Engr. Address City/Zip Code Phone # ignature of Contradtor) Date: 7 S S? OFFICE USE ONLY Occupancy Zoning Actual Const Allowable # of stories ' Length ? Depth S.F. Total ? Footprint S.F. On site sewage_ On site well MWCC System _ City water _ PRV _ Booster Pump _ APPROVALS Planner _ Council Bldg. Off. y- ?R/ ?g Variance FEES Bldg. Permit ??.00 Surcharge so Plan Review SAC, City SAC, MWCC Water Conn. Water Meter Acct. Deposit S/w Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trail Ded. Copies ,oo SUBTOTAL Penalty Lot Change TOTAL agrees that all work shall be done in accordance with applicable State of Minnesota Statutes and City of Eagan Ordinances. . d ?lY 1 "I •? ??? ?., . FyJf• '?YK { ;..., , ?:. StJ r,R"EvO(lp'S' ?+CGR""IFI?'A E SIEhItdR CORPORATIUN Z! d 'V :` . .,..1 _ V I r ? r-- ? ? . ? ?-a ~ ?l LO ? ? o V ? V (31 m , r ? XIS?/ E vz ?USE ; 848.4 ? S 770.55156E 171.03 e"e6 849A LA 10 ? Z. O I . ? ? ?aA v? .?,. ? 043 Qw oc? Lio ?ORA/NAGE Q (!T/Li?SEMENT PER PL,qr , 1 ? 840.4X 1 `r J L_LJ ? ? ?? I ' I • I rnQ ? ? 30 f 1 ? rm 5 e46.e,? 24.43 ?- N e44.9 t . - .27.37 - •,5.19 9.?,_?r? ?? W? ?? 22.0 \ ?I.•.P.ROP SED V 30 ? c? ro °o ? :.>;;tS :. ? \ t?•:pM' EWAY ? 5.0 xaaS.s 30 ? Z) ro ? (A o me w? (.v? v0 ?I ? 27.0 a42.? ? t'- 0 10 rn 1 j 169. 24 - 27,00 --u -- 33.15 m' ? N 68 33 ? 63 o.7 oQi v eX1S7-1NG m 1 30 , ?' . V 'q4.00 2006 RESIDENTIAL BUILDING rEx2vIlT arrLtcaTroN City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWctlan Reauirements 3 registered sita surveys showing sq. ft of IoL sq. R oi house; and Lli rooted areas 120% maximum bt coverage atlowed) 1 Soils RepoA if proposed building is to be placed an disNrbed soil 2 mpies of plan showing beam & window s¢es; poured found design, eta 1 set of Energy Calalations 3 copies of Tree Preservation Plan'rf lot platted afler 711193 Rim JoBt DetaH Oplions seledion sheet (buildings wAh 3 w less uni5) Minnegasco mechanical venGlation form ' RemodellReoair Reauirements 2 wpies of plan shovring footings, beams, joisfs t set ol Eneigy Cakulations Por heated addAions 1 sde survey fir additions & deGcs AddiHOn • Indicate Honsife septic system 22--? 34 qo.bo 0 N,1 6c9_r?t'9f SGNCqY': _ ry - T7ee Prw PJin;fiiepiF_`,,c; ••,r'";y- :? N +?. r:#!,...?N 7iee;F,'res'?,R`eqw" ?`.-; ?/'_ - On aite Septic Systerrt!.,:""?_Yr °'_ N Date "I / J D / ol Construction Cost ' Site Address A-?? Y/ uv' y 1 Y ?Q u UnidSte # DescripNon of Work J Q a l? t F? ? i,.Q vy L'+" Multi-Family Bidg _ Y_ N Fireplace(s) _ 0 2 Property Owner ?vl IV ' t I ? v,q Telephone #( S 2-?J ??J O % d- G? ?D/75?u e- //7 d?q qi1 a - Contractor Address S/A907 %iv- IU City State /7) A? Zip 0-6-31 Telephooe # ((P57) ' 3 C;f- COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Code Category . Residential VenGlation Category t Worksheet • New Energy Code Worksheet (Jsubmissiontype) Submitted Submitted • Energy Envelope Calculations SuCmittetl In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan8 _ 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 Residential Building 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 State of MN Statutes; 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 ofplans. ? k yk Dx lf ??`i-i"S9",t / Applicant's rinted Name Applicant's gnature PERMIT City of Eagan Permit Type:Building Permit Number:EA117007 Date Issued:10/14/2013 Permit Category:ePermit Site Address: 1565 Ashbury Pl Lot:12 Block: 1 Addition: Blackhawk Glen PID:10-14350-01-120 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 . Bjorn Bang 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 - James R Nieling 1565 Ashbury Pl Eagan MN 55122 Hartland Builders Corporation 2000 Old West Main St, Suite 346 Red Wing MN 55066 (651) 327-2071 Applicant/Permitee: Signature Issued By: Signature • I For Office Use I .00 EAGAN TE ermit#: ``�• •�� Permit Fee: • APR 052019 Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD:(651)454-8535 I FAX: (651)675-5694 Staff: buildinginspections(a citvofeagan.com L 7 .74 2019 RESIDENTIAL BUILDING PERMIT APPLICATION qJ'aci- Date: "//�l/? Site Address: �� /15-116/Z-/A" Unit#: Name: 1/1-44 Phone:�s7-2./m X99 s-- Resident/ Owner Address/City/Zip: /575r- %/7..&li"y ,/'L/fl 5'37 7-z, Applicant is: Owner Contractor Type of Work Description of work:t//l� �� o� i7 y �j�li /\/te~ A/�,/�G 49-J-07 Construction Cost: Multi-Family Building:(Yes /No ) Company: Contact: Contractor Address: City: State: Zip: Phone: Email: License#: 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 may be classified as non-public 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.citvofeagan.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.00pherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with t - • dinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and • s not to stay. out a •-rmit; th. the work will be in accordance with the approved plan in the case of work which requires a review and ap• •val o plans. x �.�j //Y1�r S /4 / / t/ .— x /LAI _—.110111, Applicant's Printed Name • ' lic.nts Signature p � iso Ash bo sy P / DO NOT WRITE BELOW THIS LINE I C 3 3 SUB TYPES Foundation _ Fireplace Porch (3-Season) Exterior Alteration(Single Family) ie'_ Single Family Garage Porch (4-Season) Exterior Alteration(Multi) _ Multi Deck Porch (Screen/Gazebo/Pergola) Miscellaneous 01 of Plex Lower Level Pool Accessory Building WORK TYPES New Interior Improvement Siding Demolish Building* Addition Move Building Reroof Demolish Interior �F3�// 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 ‘01, Occupancy -70i.) MCES System Plan Review / Code Edition X0,4- SAC Units (;25%_ 100% /4 ) Zoning Pp City Water Census Code 4311 Stories — Booster Pump #of Units / Square Feet PRV #{ of Buildings / Length Fire Suppression Required Type of Construction Width -- REQUIRED INSPECTIONS Footings (New Building) Meter Size: __ Footings (Deck) Final/C.O. Required Footings (Addition) yFinal /No C.O. Required -- Line Air est 1497) Backfill HVAC Gas Service Test Gas __ Foundation Foundation Before ac _ _ _ Pool: Footings Air/Gas Tests Final _ Roof: Ice&Water Final 9 it Framing 30 Minutes 1 Hour Drain Tile LFireplace: Rough In _Air Test Final Siding:_Stucco Lath Stone Lath Brick_EFIS Insulation Windows Sheathing Retaining Wall:—Footings Backfill Final -- -- Sheetrock Radon Control __ Fire Walls Fire Suppression: _Rough In Final __ Braced Walls Erosion Control Shower Pan Other: -- Reviewed By: F/ , Building Inspector RESIDENTIAL FEES A 9� 0 x 9p � h" W Base Fee 93A 7 4' v Surcharge Plan Review e"G. -" MCES SAC City SAC Utility Connection Charge S&W Permit& Surcharge Treatment Plant Copies 5 £,2s /.3- TOTAL Page 2 of 3 . I c`i 3 EXHAUST SYSTEMS X~mss A� 1367 ,4Ay&z/ p 1? t p,aa Ts edwillursr.44 • ,5144 Pnis4 To 194'/ M TABLE 501.4.3(2) "M PROCEDURE TO DETERMINE MAKEUP AIR QUANTITY FOR EXHAUST APPLIANCES IN EXISTING DWELUNG UNITS N (Refer to Item 5 In Section 501.4.3 to determine applicability of this table) M N MULTIPLE APPLIANCES THAT N ONE OR MULTIPLE POWER ONE OR MULTIPLE FAN- ONE ATMOSPHERICALLY ARE ATMOSPHERICALLY N VENT OR DIRECT VENT ASSISTED APPLIANCES VENTED GAS OR OIL VENTED GAS OR OIL " APPLIANCES OR NO AND POWER VENT OR APPLIANCE OR ONE APPLIANCES OR SOLID FUEL N N COMBUSTION APPLIANCES" DIRECT VENT APPLIANCES° SOLID FUEL APPLIANCE` APPLIANCES° F4 1.Use the appropriate column to estimate house infiltration N a)pressure factor M (cfm/sf) 0.25 0.15 0.10 0.05 N N b)conditioned _ _ 0-7 _ N M floor area(sf) !y N (including unfinished basements) N Estimated House MInfiltration 307 g N — — — M (cfm):[lax lb] M N Or M Alternative calculation M (by using blower NA N door test)a a c)conversion factor 0.75 0.45 0.30 0.15 M d)CFM50 value N (from blower door — — — — M M test) M Estimated House ry N Infiltration — — 307' b — M M (cfm):[lc x ld] N 2.Exhaust Capacity M 442 N 80%of exhaust 3 go N rating=exhaust — — — — d�' N capacity(cfm): t;l ip It3. (not applicable if recirculating system or if powered makeup air is electrically interlocked and matched to exhaust) (./(op: 3.Makeup air requirement i a)Exhaust capacity — — ?X,a — N (from above) M N b)Estimated House 0 7. N Infiltration(from — — — — M N above) N Makeup air quality /24_ _ N (cfm):[3a-3b] fir'M M N (if value is negative,no makeup air is needed) N 4.For makeup air opening sizing,refer to Table 501.4.2 M M A. Use this column if there are other than fan-assisted or atmospherically vented gas or oil appliances or if there are no combustion appliances. N B. Use this column if there is one fan-assisted appliance per venting system.Other than atmospherically vented appliances may also be included. • N C. Use this column if there is one atmospherically vented(other than fan-assisted)gas or oil appliance per venting system or one solid fuel appliance. N D. Use this column if there are multiple atmospherically vented gas or oil'appliaices using a common vent or if there are atmospherically vented gas or oil M appliances and solid fuel appliances. M E. As an alternative,the Estimated House Infiltration may be calculated by performing a blower door test and multiplying the conversion factor by the CFM50 1 N value. 40 2015 MINNESOTA MECHANICAL CODE F__. TABLE 501.4.2 N MAKEUP AIR OPENING SIZING TABLE FOR NEW AND EXISTING DWELLING UNITS N M ONE MULTIPLE APPLIANCESN ONE OR MULTIPLE POWER ONE OR MULTIPLE FAN- ATMOSPHERICALLY THAT . N VENT OR DIRECT VENT ASSISTED APPLIANCES VENTED GAS OR OIL ARE ATMOSPHERICALLY M APPLIANCES OR NO AND POWER VENT OR APPLIANCE OR ONE VENTED GAS OR OIL PASSIVE MAKEUP AIR M COMBUSTION DIRECT VENT SOLID FUEL APPLIANCES OR SOLID OPENING DUCT N TYPE OF OPENING APPLIANCES" APPLIANCES" APPLIANCE` FUEL APPLIANCES° DIAMETERE.F•G N OR SYSTEM (cfm) (cfm) (elm) (cfm) (inches) N Passive opening 1-36 1-22 1-15 1-9 3 - N Passive opening 37-66 23-41 16-28 10-17 4 N .. Passive opening 67-109 42-66 29-46 18-28 5 N Passive opening 110-163 67-100 47-69 29-42 6 N Passive opening 164-232 101-143 70-99 43-61 7 : Passive opening 233-317 144-195 100-135 62-83 8 M N Passive opening M • with motorized 318-419 196-258 136-179 84-110 9 M damper u • ' Passive opening M N ,r with motorized 420-539 259-332 180-230 111-142 10 N 1 damper M Passive opening — M N with motorized 540-679 333-419 231-290 143-179 11 N EE damper M t...,.`` _ N Powered makeup >679 >419 >290 > 179 Not M air" applicable N M + A. Use this column if there are other than fan-assisted or atmospherically vented gas or oil appliances or if there are no combustion appliances. M B. Use this column if there is one fan-assisted appliance per venting system.Other than atmospherically vented appliances may also be included. N C. Use this column if there is one atmospherically vented(other than fan-assisted)gas or oil appliance per venting system or one solid fuel appliance. N D. Use this column if there are multiple atmospherically vented gas or oil appliances using a common vent or if there are atmospherically vented gas or oil M appliances and solid fuel appliances. N E. An equivalent length of 100 feet of round smooth metal duct is assumed.Subtract 40 feet for the exterior hood and ten feet for each 90-degree elbow to N determine the remaining length of straight duct allowable. M F. If flexible duct is used,increase the duct diameter by one inch.Flexible duct shall be stretched with minimal sags. M G. Barometric dampers are prohibited in passive makeup air openings when any atmospherically vented appliance is installed. M H.Powered makeup air shall be electrically interlocked with the largest exhaust system. N M 2015 MINNESOTA MECHANICAL CODE 37 I- For Office Use ; :::e. T-� s. MINTED. Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651) 675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 APR 0 5 2019 Staff: buildinginspectionsCuu)cityofeagan.com 2 . 19 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: / Site Address: 't 5 (ir� C�.CC', Tenant: Suite#: Resident/Owner Name: L �-lrr► P� I P , i Phone: S ( 1 6 -S9 %5 Address/city/zip: el7.)-6�� , L �i, Y ('P Name: License#: Contractor Address: City: State: Zip: Phone: Contact: Email: Type of Work —New > Replacement —Repair —Rebuild —Modify Space —Work in R.O.W. Description of work: Water Heater Lawn Irrigation ( RPZ/—PVB) Water Softener DeSCrI tlOn Add Plumbing Fixtures ( Main/—Lower Level) p Septic System Description: New Abandonment Connection to City Water from Well RESIDENTIAL FEES $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation (includes State Surcharge) $60.00 New fixtures, adding or removing piping (includes State Surcharge) $60.00 Septic System Abandonment $100.00 New Residential (fee collected with Building Permit) $115.00 New Septic System (includes County fee and State Surcharge) $60.00 Connecting to City Water from Well*+ $290 for Meter and $190 for Radio Read =$540 *Sewer&Water Permit also required for connection charges TOTAL FEES $ 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.00pherstateonecall.orq You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on t City's website at www.cityofeagan.com/subscribe. I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the .�•inances and codes of e City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start wit'•: a pe it; that the wor will be in accordance with the approved plan in he case of work which requires a review and approval • •ans. Applicant's Printed Name Ap• ca'is Signature ��JJ Page 1 of 2 FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test _ Final Meter Related Items: Meter Size Radio Read Manometer Staff: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 TDD: (651)454-8535 FAX: (651)675-5694 buildinoinspectionsecityofeagan.com Page 2 of 2 PERMIT City of Eagan Permit Type:Building Permit Number:EA154912 Date Issued:04/18/2019 Permit Category:ePermit Site Address: 1565 Ashbury Pl Lot:12 Block: 1 Addition: Blackhawk Glen PID:10-14350-01-120 Use: Description: Sub Type:Fireplace Work Type:Gas Insert 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 - James R Nieling 1565 Ashbury Pl Eagan MN 55122 Fireside Hearth & Home 2700 Fairview Ave N Roseville MN 55113 (651) 633-2561 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA158981 Date Issued:11/13/2019 Permit Category:ePermit Site Address: 1565 Ashbury Pl Lot:12 Block: 1 Addition: Blackhawk Glen PID:10-14350-01-120 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 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 - James R Nieling 1565 Ashbury Pl Eagan MN 55122 Homeworks Services Co Dba Homeworks Plumbing Htg 1230 Eagan Industrial Rd, Suite 117 Eagan MN 55121 (612) 400-9020 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA163086 Date Issued:08/14/2020 Permit Category:ePermit Site Address: 1565 Ashbury Pl Lot:12 Block: 1 Addition: Blackhawk Glen PID:10-14350-01-120 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, Mark Anderson at (952) 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 - James R Nieling 1565 Ashbury Pl Eagan MN 55122 (651) 216-5995 Homeworks Services Co Dba Homeworks Plumbing Htg 1230 Eagan Industrial Rd, Suite 117 Eagan MN 55121 (612) 400-9020 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA176801 Date Issued:06/02/2022 Permit Category:ePermit Site Address: 1565 Ashbury Pl Lot:12 Block: 1 Addition: Blackhawk Glen PID:10-14350-01-120 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 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 - James R & Diane Nieling 1565 Ashbury Pl Saint Paul MN 55122--122 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-7052 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA179131 Date Issued:09/20/2022 Permit Category:ePermit Site Address: 1565 Ashbury Pl Lot:12 Block: 1 Addition: Blackhawk Glen PID:10-14350-01-120 Use: Description: Sub Type:Fixtures Work Type:Alteration Description:Bathroom and water softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. All tiled shower bases require a water test. Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after started. 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 - James R & Diane Nieling 1565 Ashbury Pl Saint Paul MN 55122--122 (651) 216-5988 Bruckmueller Plumbing Inc 3992 Pennsylvania Ave Eagan MN 55123 (651) 686-6696 Applicant/Permitee: Signature Issued By: Signature