The URL can be used to link to this page

1601 Ashbury PlLYSY IDTVE3TMEtiTS 454-5 19 I5+1 IT Vr GALaA1Y • -; 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 Site Address Lot Block Parcel No. bLAC;KHAWK (?Li.N Z c Name 3 Address ° City Phone ' a .O z? U< ? ? Name I hereby acknowledge that I have read this application and state that the infortnation is correct and agree to comply with all applicable State of Minnesota 5tatutes 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. O FFICE USE ONLY On Site Sewage Occupancy MWCC System Zoning On Site Well (Actual) Const City Weter (AllowaWe) PRV Required * of Stories Booster Pump Length Oepth S.F. Total Footprint S.F. APPROVALS FEES Engr./Assess. Permit Planner Surcharge • ?' 1 Council Plan Review • ?5. Bldg. Off. SAC, City k??, Variance SAC, MWCC ' Water Conn. ` Water Meter , Road Unit Treatment P1 Narks -roraL . 15? Permit No. • Psrmit Holdsr Dats Tdephone ?t Plumbing r.. ?? „ -?? H.V.A`C. ? . f S Eieccric ?-7 , .f'/,?/ ?'? ? ?J ?':, ? , ?i /Z,• ' A ?-?'??a ? f i??C2.' Softener Inspection Date Insp. CoMments Footings I Footings II Foundation Framing Roofing Rough Pibg. Rough Htg. 7 Isul. Fireplace _ - ? Final Htg. Final Plbg. Bldg. Finai Cert.Occ. Temp. LP Deck Ftg. Dock Final Ss Well Pr. Disp. PLUMBING PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 NTRACT PRICE: PHONE: 4548100 Site Address Lot m Name a Address 1?'' ?J Q L c?'? C N ;'` c City:y c• Phone Name - ? ? . ? ? _ r , ?S ? . c Address ? p Ciry Phone COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE 8 CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.00 MINIMUM - COMM/IND FEE - $20.Q0 STATE SURCHARGE PER PEFiMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) OF FOR: CITY OF EAGAN PERMIT # RECEIPT ti / I Le ° °k- DATE: BLDG. TYPE WORK DESCRIPTION Res. ? New ,--- Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL _L-Water Closet - $3.00 S Bath Tubs - $3.00 - "? ?Lavatory - $3.00 ?Shower - $3.00 - -LKitchen Sink - $3.40 ' Urinal/Bidet - $3.00 ? Laundry Tray - $3.00 ' ? Floor Drains - $1.50 ? Water Heater - $1.50 ? • ? ?' Whirlpoal - $3.00 I_Gas Piping Outlets - $1.50 ? •? (MINIMUM - 1 PER PERMIT) Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE: STATE S/C: GRAND TOTAL• `? J . MECHANiCAL PERMIT CITY OF EAGAN RECEIPT # ? 3830 PILOT KN08 ROAD, EAGAN, MN 55122 DATE rE;:? 12- N7RACT PRICE: ... ?:- ?- ?PHANF• 454-R1M 'i Site Address m Name m Addre c City ? BLDG. TYPE Res. X Mult. Comm. Other WORK DESCRIPTION New Add-on Repair l f Name _ ?` r?' ?•? FEES RES HVAC 0-100 M 6TU -$24 00 ? c Address - '` i . ADDITIONAL 50 M BTU . - 6.00 p City ??t (? L 4 "?C3 Phone - % L 1 (RES. HVAC INCLUDES A/C ON NEW , CONSTRUCTION) GAS OUTLETS MINIMUM 1 PER PERMIT 1 50 EA ( - ) - . . TYPE OF WORK COMM/IND FEE - 146 OF CONTRACT FEE Forced Air M BTU APT. BLDGS, - COMM. RATE APPLIES TOWNHOUSE 8 CONDOS - RES. RATE APPUES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 Unit Heater M BTU REMODELS - 12.00 ' Air Cond M B7U ? MINIMUM C(NidMEMCtAL FEE -- - 20.00 . STATE SURCHARGE PER PERMIT - .50 Vent. CFM $ (ADD $.50 S/C IF PERMIT PRICE GOES ? , Gas Piping Outlets # BEYOND $1,000) ? Other FEE: S/C: 51GNATURE OF PERMITTEE TOTAL: FOR: CITY OF EAGAN rCnW I if oL (r -rrc ' M ? n i?? ??,.- ECHANICAL RAAfT CITY OF EAGAN RECEIPT # '?? - 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: 4 I1AI tic- CONTRACT PRICE PHONE: 454•8100 Site Address ' BLDG. TYPE WORK DESCRIPTION Lot Block le{ $ec/Sub ' _ , 77 -; Res. New ? ? - ? Mult Add-on - m Name :Lu n e i ?.echLni„ .,al r ` ? nc Comm. Repair ? Address -Lzit ? aher c Ciry =:hakonGe Phone 445- ? FEES ? c Name Jo 16 A hn 01 i hbu k RES. HVAC 0-100 M BTU -$24.00 OD ddress -s r A ITIONAL 50 M BTU - 6.00 ? p Ciry ?<. Tl Phone - (RES. HVAC INCLUDES A/C ON NEW ? CONSTRUCTION) GAS OUTLETS MINIMUM 1 PER PERMIT ( - ) - 1.50 EA. i TYPE OF WORK COMM/IND FEE - 146 OF CONTRACT FEE Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES ! Boiler M BTU TOWNHOUSE & CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE ALL ADD ON & Unit Heater M BTU - - REMODELS - 12.00 ; ? Air Cond. - ?-+• ?? M BTU MINIMUM COMMERCIAL FEE - 20.00 I Vent. CFM STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES , Gas Piping Outlets # $ BEYOND $1,000) Other FEE: S/C: SIGN EE TOTAL: FOR: CITY OF EAGAN CITY OF EACAN 3630 Pilot Knob Road P.O. Box 21199 ,. Esgan, MN 55,1AJ Owner. Site Address: 1601 Permit No: ' Date: 10 -2'J-? 7 B/PNo: Date: L10 B 71 d??ns= Zoning• ? No. of Units: ? I agree to comply with the City of Eeyan Ordinances. Bll MWCC: 525.0^p?, : f.f' j?••i '. Ciry Chg: 100. Acct Dep: Permit Fee: 00p` Surcharge: ' PC7 Misc.: r -I SEWER SERVICE PERMIT ? . . _ ,d. CITY OF EAGAN 3830 Pilot Knob Road P.O. Box 21199 • Eagan, MN 55121 Site Address: Plumber LAna8ren tros. • Yl Conn. Chg: 525• JO pIL } Acct Dep: - • ? ? d Permit Fee: lfl, 00 pd Surcharge: . 50 pd Tr. Plant 1 0• u0 pd Meter. 67 _ (]i nA MISC: PR rT E'AT.V'R P.-Qj'j2"-? Permit No: 9 l ,A Meter No: Reader No: ('AnBt . Zoning: - No. of Units: Date: _87 -=-'•? Size: Date: c kP awk Gl e n 11 u , I agree to complr with the City o( Eagan Ordinances. WATER SERVICE PERMIT ? CASH RECEIPT , CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MIIVNESOTA 55122 DATE 19 _ wcccrveo FROM ' AMOUNT $ I . Ec DOLLARS 1 on 0 CASH ? CHECK Tha CODE AMOUNT ? BY rers CoPY xting CopY CoPY BLDG. PERMIT N0. i ? . 01-3210 Bldg. Permi 801-3422 Plan Check 01-3445 Surch./Adm. 01-3446 .SAC/Adm. 01-2155 Surcharge 17-3860 Road Unit 20-2275 SAC 20-3865 Water Conn. 20-3868 Water Trmt. 20-3716 Water Meter 20-2252 Acct. Dep. 20-3713 Water Permi 20-3743 Sewer Permi 79-3866 Sewer Conn. 11-3855 Park Ded. TOTAL Np.1 ? CASH RECEIPT ? CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNE50TA 55122 DqtE 19 r? RCG EI V ED FROM AMQUNT • ? ? , , . & DDLLARS ? CASH `p ?oo CHECK ,. . ! _ . FOw _ ? ' ? i FUNO CODE AMOUNT ,? 1 J f 4- r? ? •?,1? t?? Thank You BY White-PaYers CoPY Yellow-Posting CopY Pink-File CopY Cities Di it? a1 Quality Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. ? GASH RECEIPT ?CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE RECEIVEO 0 1s AMOUNT $ I a ooLLARs I ao E]CASH [:]CNECK 9Y White-Payera Copy , Yellow-PostinD CoPY Pink-File CoDY Thank You . •. Ttr#i#iratit of (Orrupttnry titp of (Eagan Eppal"ttiFt[f Df Nltdbing lmwPtliDri Thrs Certifrcate issaed pursuant to the requiremerrts of Section 306 of the tlniform Building Code certrfying that ai the dme of issuance this structure was in complia+rce wirh tfre various ordinances of the City regularing building constsuction or Wse. For the following: Uae (hkW6auon SF'/Gk? Hldg. Fbrmit No. ! t; j09 00-PNar Trae R3 zodM Douict P. I rype CMSL owouoFeaimig liMMIN. FW, i:C7t6I pddrm 5 GJKiAin 'MW. W;itii;CY. Dam 1968 euaaing offici.? POST IN A CONSPICUOUS PLACE ihis request void J 18 pnths from D 5 14 17.?/D. Renuest Uato Fir€ No. Rouph"in Inspecvon ? 2? fleyu ed, OReatly Nuw Sg.Will Nouty Inspec- ' ffl?- ?NO I.r When fleutlV °[?"[rcensed ElecVical ontractor 1 hereby request mspection ol ebove ? Owner elechicel wark mstallad at. Street Address, eot or Foute No. J R ? [ /1 G ?= ecuon o. ownship Name m Nn. RxnBe o. Or.cuVantlPplNT) Phune No. a/2 E,u ?uNDgR?,e? Pow4erSupOher Atldress / .?r19' Eler.lncal Convactor ICompany Namel C??nt r,mr's Lwense No. Standard Electric Co. 40837 Mailmg Address (Conbactor or Owner Makin0lnstailationl 2672 Maplewood Dr., M 1 ood, Mn 55109 AuMor¢ed Bn ure (Convacfor/O e i y Installa[ionl Vhnne Numb¢r 484-8044 MINN ? A STATE BOAPD E CTNICITV THIS INSPECTION REQUEST WILL NOT Grigga•Midwey Bldg. - Raom N-191 BE ACCEPTED BY THE STATE BOAPU 1821 Universitv Ave.. St. Paul, MN 65104 UNLESS PNOPEfl INSPECTION FEE IS Phone (612) 642-0800 ENCLOSEO. This repuest vmtl 18 rtqnchs from D 51400/./D . / p ? T ? Reques[ D.I. F(ro No. Rough-iilnsuer,uon Required? tly Now ? WiII Notlly InsOec- /Q ?Yes VMv tor When ReatlV Zjj.l?censed ElecGic Coninctor I hereby request inspection ot above n Owner electnwl work installed et Streei Atldress, /g/px or Roule No. ? fy1y//? CCP Q? 444U-- 140 / ! JE?.G7ap- / /r`y ecunn o. Township Name or No. RanAe No. Co my I OccvpantlPPINTI "ii Phone No. P wer Supobar AdAress O?A Elecincal Contracmr ICOmpany Name) Cnntr:y,ior's Lmense No. 40837 Standard Electric Co. Mailmg Address ICOntrocmr or Ownor Makiny Instailetmnl 2672 Map ewood Dr., Ma ewo d, Mn 55109 Authonze Si ure ICOnvacwr. Ow r n stallauonl Phone Number 484-8044 MINNESOTJ?STATE BOAB? OF ELECTqICITY '^l. ncu..ca7 vi ?? ?.?s Gr? Midwey Blda. - Moom N-191 BE ACCEPTED BY THE STATE 90ARD 99s- UNlESS PROPEN INSPECTION FEE IS 1821 Univarsitv Ave.. St. Peul. MN 55706 ENCLOSED. Pn.,.> 16121642 .oeaa REQUEST FOR ELECTRICAL INSPECTION ee-oaooi-os 1 See insUUCtwns bY camplating this form on beck ot Vellow coDV. D • 5 1 4 00 "X" Be/ow Woik Covered by This Hequest Add Hep. 7ype ol Buileung ApolianceaWirnJ Equiument Wired Home Range Temporary Service Dupiex Water Neater Ligh[iny Fixtures Apt BmlAing Dryei Electnc Heatm Commercial 81dy. Fumace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tenk Farm Otne. veci v oth,•r (snecifvj 01 . ueuty [her Oiher Cnmuute /nsaec[ion Fee Belaw M Fee Service Entrence5iza tl Fea Faxders/Subfeeders . Fne C111u11s Aal, 0 to200qm s 0 to30qm s ?- 0 to30An>s Above 200 qmp5 31 to 100 Amps 31 to 700'Am s Swimming Pool Above 100_Amps Above 100_AmPs Transrormers Irrigatwn Booms ? Partial."Other Fee Signs Special Inspection S?3ro TOTAL F NertNrks ? I Rough-in O` 1e 1, the Electrwnl Inspector, he?aby ?ertily t?et the above I F.nal ? nte D ?,,22,5 msoacNOn has been mede. Thle reQUesl volE /8 montin from -;7 REQUEST FOR ELECTRICAL INSPECTION ee-ooooi-oe 'Y It See mstruebons lor compleeing [his brm on baek of vellow eoov. ? 5141 7 "X" 8eloWtlUorii'C,overed by This Request Np. HdJ Reo. Tvoe o1 BwlGine Apal.nncea Wirod Equiument Wrted Home Range 7emporary Service Duplex Water Heater Lightiny Fixtures Apt. Bwldmg Dryei Electric Heatrn Commeraal Bidy. Fumace Si1o Unloader InAustrial Bldg Av Conditioner Bulk MiIk Tank Farm in?r Pec' v einor 15pcr.iryl 1 >r ucufy Other OthL.i Compute Mspectmn Fee Below p Fee ServmeEn[rence5ize b Fee Feadans/5ubfeeders k fn Cvcmts 0 ro 200 Am 5 0 to 30 qm 5 0 tn 30 An >s Above 200 qmps 31 to 100 Amps / 31 to 100 'Am s Swinmung Pool Above 100 -Amps Ahove 100_Am{n Tranytormers IvigaLOn Boorris p Parnal-'Other Fee Signs Spe cial Inspectwn S'/?(s? - TOTAL FEE marks A T7 ? ? r e ? 1 r .? Rough-in DatA I, the ElecVic ? A7 Inspector, M1ereby ? certdy that the abov e Final Oaiep ?/ ? inspaction hes been I ? r. / a mede. Thle repuest voiA 18 montlu Irom CITY OF EACaAI( Permit No: 16 Date: 3830 Pila4Knob Road Meter No: 32-2, -3>?? Size: P.O. Bax 21199 Reader No: 2-7Date: Eagan, MN 55121 Site ros. Const. aawk Gl en Conn. Chg: Acct Dep:_ R1 Permit Fee: Surcharge: ?" aW ?a to comply wRh the Ctty of Eagan Tr. Plant ' 9rdinances. Meter. MiSC.: nT)z z t7 A -_- -a a../7l'?ir9 _ _., WATER SERVICE PERMIT IE' EXISTING SiRL'CiURE, DATE pF ORIGINAL BC'ILDING pERMIT ISSL'ANCE: to 1927 PRESENT ZONING/PROPOSID t!SE: (Mbnt ear CONAERCIAL/RETAIL/OFFICE ? R-1 SINGLE FAMILY ? IDIDL'STRIAI, Q R-2 DLPLEX (Tr,o C?nits) ? INSTITUTIONAL/GOVERIag,'NT R-3 TDWNiOL?SE (Three + Units) ( Units) . [? R-4 APARTMENT/CONDOMINTLM ( Units) *T()PF': PAYMENfl' OF kEE AT TIME pg ArrrIcr.miCv ooFS Nom oCNsTzIUTE P,rrizovar. oF PERMIT. iNSrBMIorr oF sENM ArID/oR MM j[yS'LAi7ATTpN$ WILI. NOp gg SCHED- [7r.,m orTT'a, PERMIT xas sEEN ArPxovED. ease Print .._.?x,.,. ..........Ff=F,.....___..._ ,.. _..F,.x- P 1) PROPERTY ADDRESS: & 6? LEGAL DESCRIPTION: L&f.I p L- ision or 2) CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION NAM: Lw kru' PeY.s. Ce...s4 lwoREss: ? z..l? 9t,.,A• CITY. STATE, ZIP: WAy244. yH ,?, 5 S3 ? 1 PHONE: 4l3 - tI 3) • ?:?• 1VAME: PHONE: MASTII2 LI(ENSE# 4) 0• • • ? - rArE: ('a,re, 5 - ?.a•.??, ADDRESS: CITY, S'1'ATE, ZIP: G PHONE: . Plisnbers License: Active E7cpi Ted Not recorded St 7nitial ? CONND?x.'TION 70 CITY SEWII2 I'?1 OoNNECTION RO, CITY WATER ? OTlIER '. . PI,EASE MAIL APPROVID PERMIT TO 1. ', 2. 3. 4. ABC3VE I",% I ? (Circle one) ADDRESS: I CITY, STATE, ZIP: 6) '? : • r ? PIEASE HOLD APPROVID PEFtbffT FM PICK-OP BY OD]E OF ABpVE FOR -CITY USE ONLY PERMIT # ISSUED Pd w/Bldg. Permit FEES: $ $ r, v $ $ /D •S6 SEWER PERMIT (INCLDDE SURCHARGE) WATER PERMIT (INCLUDE SURCHARGE) $ $ WATER METER/COPPERHOR[V/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUNT DEPOSIT - SEWER $ $ e?`J ACCOIINT DEPOSIT - WATERS 7B 3e, a $ .5 7 ,s O-To $ WAC 2 s' O?z) $ t v $ SAC $ $ TRLNK WATER ASSESSMENT $ $ TRLNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: _ $ 7 TOTAL _ ?Y 3?v i13347 fl RECEIPT RECEIPT ' DOES LTILITY CONNEC TION REQpIRE EXCA VATION IN PDBLIC RIGHT OF WAY? Q YES IF YES, THEN A" PERMIT FOR WORK WITHIN POSLIC Q NO ROADWAY" MUST BE DIVISION LIST ISSUED BY THE ENGINEERING . AS A CONDZTION. SUBJECT TO THE FOLL OWING CONDITIONS: APPROVED BY: TITLE: DATE : ' CITY OF EAGAN N! 14 3 0 9 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 - BUILDING PERMIT PHONE:454•8100 Receipt # -? 13 To be used for SF DWG/GAR Est Value $113, 000 Date OCTOBER 16 ? 9 87 SiteAddress Lb01 ASHbURY PLACE Lat 10 Block 4 Sec/Sub. BLACKHAWK GLEN 2 Parcel No. : Name LGNDGREN BROS CONST ? Address 935 E WAYZATA BLUD ? City WAYZATA phone 473-1231 ,o Name SAME ?a Address ? City Phone w W Name i g Address a W City Phone I hereby acknowledge that have read t s applicatio nd state that the mformetion is correct and ??to ith all p?hcable State of Minnesota Sta[utes and C y Eagan rtli nCes. Signature oi Permittee _ n euilding Permit is issued to. LGNDGREN BROS CONST on the express condition that all work shall be done i n accordance wdh all applicable State of Mmnesota St utes and Ciyg of Eagan Ordmances. Bwlding Otfiaal OFFICE USE ONLY On Site Sewage _ Occupancy R3 MWCCSyatem X Zoning Rl OnSiteWell (AC[uapConst Vn City Water X (Allowable) Vn PRV Required X # of Stories Booster Pump _ Length 54 oepth 36 S.F.Total Footprint S.F. APPROVALS FEES Engr./ASSess. Permit $ 542. SC Planner SurChaf9e 56.5C Council PlanReview 271.25 Bldg Off SAC,City LOO.OC " $25 OC Veriance SAC, MWCG . Water Conn. 525. OC Water Meter 67.OC aoad Unit 305.00 Treatment P7 180.OC Parks ? 1 , $-7 -Z. Z ` TOTAL . lq3 a . 7987 BOILDZNG PERMIT APPLICATION - CITY OF EAG9N SIVGLE FAMILY DidELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SUAVEY, 1 SET OF ENERGY C9LCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOiINER MOST DESIGNATE WHICH ADDRESS IS DESIRED. NO CH9NGES WILL BE ALLOWED ONCE BIIILDING PERMIT IS ISSQED. MULTIPLE DNELLINGS - RFSIDENTIAL RENTAL U?iITS FOR SALE [TSIYS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SIIRVEY - CHECK WZTH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COIMMRCI9L INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used ror:5i ?C'0 OCT 13 1961, tion: If Date: Site Address /(oU/ /??L?t-••c<f //.e..r? Lot Block `71 Parcel/Subvs ? Owner. Address ,1 City/Zip Code Phone ?1?7j/Z 3 / Contractor Address City/Zio Code Phone Arch./Engr. Address City/Zip Code 113, ovv - On Site Sewage Occupancy R- 3 _ MWCC System ? Zoning R- I On Site Well ? Type of Const City Sdater ? (Aetual) V-hl (Allowable) V- Q 4 of Stories Length Depth 36 ' S.F. Total Faotprint S.F. APPROVALS FEFS Assessments Permit 5Lf2•50 Water/Sewer Surcharge 112150 Police Plan Review 2`7f.2 5- rire SAC, City 100.00 Engr SAC, MWCC 525.00 Planner Water Conn 525 • O C Council Water Meter (o'7,00 Bldg Off `,lo/f4 Road Unit 305,ao APC Treatment Pl I$O, OD Varianee Parks Copies TOTAL -25 7d,? Phone # ,ZUXZZ= 13synT- ? 2 6 x 3?+ l14 44C) x12= SZ8U sr FLook 19? I oeo X 58 = ?Z?40 2"D Fk-oo2 ! 4 g0 26x28= '72S IooaxLi?l = 42- I I 22-7 a A t I I SURVEYOR'S CERTIFICATE ' SIENNA CORPORATION ni n••i??_in?nii ? Lni ?1 L)L_/^\??(\I I/-\4J?\ l7?_L_IV I C??' ^ f?r???- ( ? I nl .. I V N 0M1'9ti ? O s- pc? N ? ?\ F r; r LOT 10 'k M0 ? lb /??,-, ' '-`?IDRAINAGE 8 UTILlTY a a EAS£MENT PER PLAT? ? o M? ?aI o ?S} .. ? ? ? y ??'/ fL , h4P 60 4 N g0 22' (b • ?? ryry• \ AR s) ?°, // ? • o ? `q0 'o ??'h_ A=2057'42" ?• W / ?• ??. ? : Ra2n26.66??? tv ' I.7G M'^? J N 54°45'38"W''? ' 20.55 0 m?? ? \?x 0ta,?o?R4.,? qs g?S 2 ?S {0 : / ? O ? A<q? 4a ?F\ \ -r DENOTES PROPOSED SURFACE ORAINAGE O pENOTES IRON HONUMENT SET ?0 DENOTES IRON MONUMENT FOUt1D X000.0 pENOTES EXISTINC ELEVATION (000.0) DEtiOTES PROPOSED ELEVA710N bJE IIEREBY CERTIFY TO SIENNA CORPORAT70N fiEPRESENTATION OF A SURVEY OF THE OOl1NDARIES OF: ? ai? N \ {--- ,-. REVISED 10/05/87 TO SHdW PROPOSED HOUSE BY LUNDGREN BROS, SCALE; 1 INCIi = 30 FEET PROPOSEO GARAGE FLOOR = 83+0,8 FEET PROPOSED LOWEST FLOOR - 829-1 FEET PRDPOSED 70P OF BLOCK = 837.2 FEET 711AT TNIS 1S A TRl1E AND CORRECT Lot 10 Block 4 BLACKIIAWK GLEN 2ND A[IDITION, according to the recorded plet tliereof, Dakota County, Minnesota. IT OOES NOT PURPOR7*T0 SHOb! IMPROVEIIENTS OR ENCROACHMENTS 1F ANY. AS SURVEYED DY hIE OR l1N[lER MY DIRECT SUPERVISION TH1S 30TH pAY OF DECEM?ER , 1986. SiGPlED: JAMES R. IIILL, INC. TNE LEGAL DESCRIPTIdN USED ON THIS SURVEY WILL BECOME VALID UPON FILING 7HE PLAT OF BLACK- i/ IIAWK GLEN 2ND ADD ITION, py; HAROL(1 C. PETERSON, LAN[l 5111tVEY0R PIINPIESOTA LICENSE NUI-IQER 12294 AOJECT Nd. 85618 (87567) FILE N0. FOLDER BOOK / PAG 200/16 JAMES R. HILL, INC,. 8200 Hum6oidt Avenu• Soulh Bfoominpton, Mn, 55431 512-884-3020 Planners / Engineers / Surveyors ?r0,•.51RUC110N ----- --- , -- - . rNc. -- . \':/,YZ/.T!•.. I1?1::i:ES•07/-. G?'r:} . (v12) ?7.C 17?1 ?-- ?35 E"+SI ?';kYLATl?. E?OUI_CVARU L11 ?E U C0:'1 P 1" E):IE?IOR EI;1'ELO"E ? ? Lot G1 ocl: Site 1;ddr'eSS 1,,Zg--,?- /GO/ R - R g U Faciors ppaoue 4lalls bJall Framing Areas - ? Ceiling Insulation Area , - Ceilina.framing krea Rin Joist I,id50nr}' 14dll !•!i noov+s Doors Patio Doors ? . Double Hung Casements ?-?- u .p58 . 117 023 .027 04 14 .26 - .4E .is .G6 _e7 Sideliies 1) Lower Level (Basemznt) 7otal exoosed wall area ?F ??X (U) .058 = Opaque 14a11 Area a?2x (U) .117 _ ood Frame Area ? 1J - x (U) - 04 - _---- Rim Joist X (?) .14 = /3 8 23- Exposed block aaX ??) -46 = ' Window Area Casement -X t?? .26 = ?-- -- Doubl e Hung (U) -46 Sliding Glass Door f "- -?X i (U) .18 -- Door Rrea Total ? ? __ 2) OCCONSIRUC]ION _ ---- ?lG --- :?.; 473,zs1 g?5 E/,Sl 1'J/,YZ/^1G• 20ULEV/-.RD '\4'AYZATA, Illl?'fJ[SO (/• SL.,'°1 '(b12) J5t or r,ain fioor iotal exS?osed '++a11 orea ppaoue ,jall area Y1ood fi-ome area Rim joist ;;indow P•rea , Sliding Glass Door Door area Sidelites Casements Double Hung . 3) 2nd f1laor if 2 s'Lory ' Total exoosed wal7 area ppaque wall zrea : Wood frame area llindow area Sliding glass door Door area 4) Total ceiling area Wood frame area ppaque ceiling area Skylight ? J Casements Double Hung ? ^ - x ?? ? U) ? s = o ? q 5 '- ? ?U) .117 = ?? 5 Iy Lx (U) .04 = :!E? 2 62_ ?x (U) .26 ?-- ?X (U) .46 3 (u) .la = ?, 8 (u) .47 = 3, a - 2X o?D• ? iotal / ?? x (u) (u) .058 = .117 ?.S •. x ?-x U l?l 26 c6 = - x ( U) : 46 = -?- r-x -rotal (u) -18 = _?- /QZ-X (U) -027 = 7?x (U) -023 "?- = ?---- - x ( U ) . 55 Total D G OCCOI'Sl RUCI IOI? J? ?. IIJC. _ f-? - -- - -?-- ? I!,IIJIJCSO7N 55::91 • ??i2) 473-1231 935 EA57 v;/.YZABOULEVl,P.D ? 1'.f.YZF.TI-.. Factors 7ota1 e>:posed ?•;all ziez -Z2 x . I•iinn. U iotal er.posed ceiling ar'ea /?'_Y -026 = aG, a liinn. U Factors _ ??? ? (A) To -Lal j a `/ ? aD. } Item 3lC .P? r Item 4 a,3•5 + Item 2 I t 1.5?•?_ ? em . , I{ to'tal of Items 1- 4 is less than Item (A), building complies v+ith SBC 6006 (C)s C .. I" 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 OE SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTR9CTOR/HOMEOWNER MOST DESIGNATE WHZCH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BOILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL QNITS FOR SALE UNIT3 0 OF UNIT3 INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.t 1 SET OF ENERGY CALCULATIONS ?Tl- COHRdERCIAL ?e INCL[IDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS T B U d F CK ? e o se or: Valuat ion: Date: 6 Sit Add ? P e ress b I OFF ID?o- ICE USE ONLY Lot Block ? On site sewage Oecupancy n L Q,p n?? MWCC system _ Zoning Parcel/Sub On site well Actual Const ? - /? City water Allowable / Owner, /(?ffTJ (???? ?p" bl40,hQIi &E.0 PRV required _ U of stories Hooster Pump Length ? Address _ Depth I S.F. Total ,, City/Zip Code Footprint S.F. Phone ' APPROVALS FEES oo Contractor ngr/Assess Permit ? ` ?7 VS Planner Sureharge ,SD Address Couneil Plan Review ? I Bldg. OfF. SAC, City " ? City/Zip Code ?}{p *?.J Variance SAC, MWCC Water Conn Phone Water Meter Road Unit Arch./Engr. Treatment P1 Parks Address Copies TOTAL City/21p Code Phone # CITY OF EAGAN 3830 Pilot Kno6 Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454•8100 BUILDING PERMIT Receipt# To be used for SF E.•r:?G/GAei Est. Value $1' Date UC'iC)l...: 1?? SiteAddress sov Lot 10 Block 4 Parcel SeclSub. BLACitItAiJK Gt.F:h 2 ? Name 1-UND,6kfiN $ROS C(?NS1 z Address L 1Y:RY7,°.TA 8LVI7 ' o City "'r': '•A ` ? PhOn2 ??73-1 i :?.? 3 ¢ o Name 5ANZ oQ Address t F'- City Phone U¢ W W W + Name F Address "z ` City Phone W I her6by acknowledge that I have read this application and state that the informetion is correct and agree to comply with all applicable Stale of Minnesota Sfatutes and City of Eagan Ordinances. Signature of Permittee A Building Permit is issued to: CONS7 on the express condition that all work shall be done in accordancewith ali applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official i4309 19 67 l1SHBt;RY PL11Cli OFFICE USE ONLY On Slte Sewage Occupancy R3 MWCC System ^ Zoning f: l On Site Well (Actual) Const V r City Water x (Allowable) Vn PRV Required ; # of Stories Booster Pump Length J4 Depth 30 S.F. Total Footprint S.F. APPROVALS FEES Engr./Assess. Permit s 342.50 Planner 5urcharge 56.50 Council Plan Review 271.25 Bldg. Off. SAC, City V? 00 Variance . SAC. MWCC 525sk water Conn. 32 S,{U Water Meter 07•W Road Unit _30.00 Treatment Pt 180•00 Parks TOTAL '" ' '2c ? ? • . ? , ,t ?- 10 -- ?off?J rpntT?NUDuS ?«-'`}G?-Sr??ES /tNC S7Sr'S ?X4 R,it1 Y-?XG. /Zui : OP ;F,i=•/G. 3e?' Min1, h'T. ? MA-X SPAcIE ?X ? ST? ? C T?u.iF ?ftP - YarF, crtr l,irG L? ?OLT' 7D/?vas.? arel?v I ' So1'6 7- }1AnA:5Eas I +? ii2,rn/,+''b5t5 i i,AAt?oe i ?<<- OMtT ?A7'7t?M ; I a2N? R,cJ'??c'K i H7', .5"'Rt?ouE ? CP-ouND ?? r - ---------- - ... . ? _. . .....R. ...? • .- ... _ _ . ... ..-.. , . . . , . . ,,. . . ' , yr p•. _ .??._..?, . . CITY OF EAGAN 17450 3830 Pitat Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100 BUILDING PERMIT Receipt # ' To be used for B"EMENT Est. Value #t*soo Date JAN 19 1990 Site Address 1602 A588iJRY PL Lot lg Block 4 Sec/Sub. BLACKHAWlC GUH OFFICE USE QNLY Parcel NQ. occuPancy - FFEs Zoning ? Name MMx FER1"AN (Actual) Const - Bldg. Permit 35•00 ; r'isg1bI.ii 'r ,QQ??S ?"" . . (Allowable) - 1000 0 Surchar 9e 8M Phone 4?429 ry ?C" # ot stories - Plan Review ' Length a I EC Ei0!!G IMPRO NTS o Name Depth - SAC City ?Q Address 1966 EEAR PA1'H TR s.f.Tntai , ? City EAGAN Phone 436-5867 S.F. Faotprinis - sAC, Mcwcc Water Conn On Site Sewage _ ? ? W Name On Site Wall - Wate i r M r e e _? Addf@SS MWCC Sysiem - a W City PhOne Gty water ^ ?t. aeposit W P PFV Required - Sr ermit I hereby acknowlege that I have read ihis apptication and state that the Sooster Pump - S/W Surcharge information is correct and agree to comply with all applicable State of Minnesota StaWtes and City of Eagan Ordinances. Treatment PI '? Signature ot Permitee ' . ' APPROVALS Road Unit TEC HOME i??OIUNTS Planner - A Building Permit is issued to: - - park Ded. on the express condition that ail work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. Bidg. Oft. ? Copies gd ?? Buildinn Ofliciaf Variance - TOTAL Permit No. Permit Holder Date Telephone # WATER SEWER PLUMBING H.V.A.C. ELECTRIC • 4 _ ?=?. % 5G' ? .? Inspection Date Insp_ Comments Footings I Foundation Framing Roofing Rough Pibg. Rough Htg. Isul. Fireplace Finai Htg. Fnal Plbg. Const. Meter Plbg. Inspector - Natify Plumber Engr.lPlan Bldg. Final 'z • ?.?Q (?S Deck Ftg. Deck Final Well Pr. Disp. INSPECTION RECORD CITY OF EAGAN PERMITTYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: . ??r????v E?? ? , , , , , ? , f:.. , PERMIT SUBTYPE: TYPE OF WORK: ? INSPECTION .. . .. ? ? , i i?? .? ur ri i?A M ,<<??: F ? L Psrmit Holder Date Telephone M PLUMBING HVAC Mspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING 1 9114?v ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLOG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS ? CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FfG DECK FINAL 0 P '7 2 2 3 1 ? ?? 4 y, C's ??s-- J(/ D , ? / Request Date 2 Flre No. Rough-in Inspection Raqartea7 ? Ready Now 1B Will Notiy Inspector YJM1 F tl ? „ o x(IVes ? No en ea y I5(licensed contractor ? owner hereby request inspection of above electricalwork at: .bb Adtlress (Sbeet, Boz or RoWe No.) 1 &01 i?sl?b?,- ?1? ?e City ? ?? SecM1On No. Township Name a No. Raige No County / 1 O 7 -CI 00 K Occupent(PRINT) NI Rrt Fr?/c? ? Phone Na. ys6 ' a 9 Power Supplier /1 Ka 7,4 Atltlress ? Elecirical CoMr pw (COmpany Name) . /??K l ¢? ? Contrasor9 Lkenae No. yA6 ec , ? Mailirg Ftltlre9s (COnVactor or Owner Making Installatmn) , D r/ Y n e1r,17 AuOiorizetl S na (COn orNvm Meking In n) ? Phone Number ?,?5 =31z? hUNNES A 5fATE BOARO OF ELECii11CRY THIS INSPECTION REOUEST WILL NOT Griggs-Mitlway BMg - Room S113 BE ACCEPTEU eV THE STATE BOARD 1821 UnWersHy Ave., SL Vau4 MN 55104 UNLE55 PROPER INSPECTION FEE IS Phone (612) 642-0800 ENClOSED. z2 REQUEST FOR ELECTRICAL INSPECTION ? _/ ? ? See mslrucbons br co'?pleLng IMe?brm on_Wok ol yellaw copy. ?!'2„ 17 2 2 3 ?(" Below Work Covered by This Requesf E&00001-0] 14ew l Adtl Rep. TypeofBwldmg AppliancesWired EqmpmentWired Home Range Temporery Service Duplex Water Heater Electric Heahng Apt. 8mldmg Dryer Other (Specity) Comm.Antlustnal Furnace Farm Air Conditioner Other (specdy) Contrdcmr5 Remarks. ? T'rnA roor., » base:?e+,f Compute Inspection Fee Selow: # Other Fee # ServiceEnirance 5iza Fee # Circurts/Feeders Fea Swimming Pool 0 to 200 Amps 0 to 700 Amps Trensformers Above 200 _ Amps Above 700 _ Amps SIgOS Inspeckor5 U. Only: TOTAL Irrigation BOOms 3-u Special Inspection Alarm/Communication Other Fee I, the Electrical Inspector, hereby if h Rou9n-m G, oate cert y t at the above inspection has been made. F,nai ie ?7 iG. .- OFFICE USE ONLY TTis requast wq 16 mmMS Imm BUILDING PERMIT To be used for SASEMENT Value $1,500 Site Address 1601 ASHBURY PL Lot 10 Block 4 SeGSub. BLACKHAWK GLEN Parcel No. 2ND w Name MARY FENLAN I ; AgNlrjss 1601 ASHBURY PL ° tit y EAGAN Phone 456-0429 }r Name TEC HOME IMPROAENTS $? Address 1900 BEAR PATH TR Ciry EAGAN Phone 456-5867 Name _ Address City - Phone I hereby acknowiege that I have read Ihis applicacion and state that the inbrmation is correct and agree to comply wnh all applicable State ol Minnesota Statutes and City ?of ?E?a?g,an? Oro?an - Signature of Permitee 7 -G- A Bwlding Peimit is issued to: TEC HOME IMPROvMENTS on the express cOndition that all work shall be done in acCOrdance wdh all apphcabla State ol Minnesota Statutes and Crty ol Eagan Ordinances. Builtling Official CITY OF EAGAN N2 17450 1 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 551260W PHONE: 454-5100 Receipt # OFFICE USE ONLY OccuOancy Zomng (AClual) Cons1 (allowable) 8 orstones Length Depih S.F. 7otal S.R Footprints On Site Sewage On Site Well MWCC Syslem City Water PRVReqmred Boosier Pump APPROVALS Planner CAUncil eld9 Off. Vanance Bltlg Parmrt Surcharge Plan Review SAC, City SAC,MCWCC Water Conn Water Meter Acc[ OepOSit S/W Permil SM! Sumharge Treatmenl PI Road Unn Park Detl. Copies 70TAL FEES 36.00 . 174sp 1990 BUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGI CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYpING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BLTILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COPIPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: 64;Valuation; Date: 1^19-9n Site Address 1,(p/ &J,{9t p?,&GJ I OFFICE USE ONLY Lot I D Block Parcel/Sub I 6AL11A liw InlA, Ocaner ? F47I9-tt Address W City/Zip Code fi3/2/21 g'Sj2 ? ? Phone Lf Sb ' ?2 !/2 q Contractor TE[ /TnitQ ?,uar?j_+yRyv?r;%3 Address e-&"Oe&A;r? , City/Zip Code -79-, Phone 7 Arch./Engr. Address City/Zip Code Occupancy Zoning Actual Const Allowable # of stories Length Depth S.F. Total Footprint S.F. FEES Bldg. Permit Surcharge Plan Review SAC, City SAC, MWCC Water Conn Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Copies SUBTOTAL Penalty TOTAL 3?0 C) .00 gt?. N3 On site sewage_ On site well _ MWCC System _ City water _ PRV Booster Pump _ APPROVALS Planner _ Council Bldg. Off. Variance Phone -- 3 0 4- 1 2 5 ? OF/FIC? USE ONLY This requesl void I8 man?hs irom voLdafion dofe pnnted in Mis boa O ? s??. ? , % ? ? ??O PLEASE PRINT OR TYPE O r?j Reqoesr k '? 6 Rough.n mspMio reqwred2 ? Yes No ll h h d InspeUion Other Thon Rough-Im 0 Ready Now Will Call t O R d <n rea IYoo muat m e inspedor w t Y) a a ea y I, icensed confrador Q owner hereby request inspecfion of 1he obove electrical work af: Je?Pddresz (SVeet o.. or,Ro?te No) ?CJ V7 v:??t fi ? ? Gry? ZiP ?ed? SS12Z Section No Townahip Nome or No Range No. Fir<No. Coanry lF71?+/rr ? Mu?b Phone No Powei Sapplier Pddrezs Elecrci,I onh/nc?lor Com nyName // ? l 1 1.44 ' Y 6' Con/vo'crorli enseNO. y? Masterlic No (PlomElee Only) Mading se (Conha or ar Ownar Pedorming Inst?al/lo?lion) ? V' • /???]/? ) Y i ? ( ANhon gnaNre (C nhaclor or Own Insrollanon) Ptane No. / 10. 5 'S 8 OPY-SEEINSTNUCTIONSONBACKOFYELLOWCOPV ?dinries Un' e?Ave., Rm? ER1I 8A O?'PaulP, MNT55104-? I II I?I II I II I II II) III I?I ??MI ??I - 821QO s 0 3 0 4 7 2 5 5 ?-?a?z? eaaoeoo// )? - Home Duplez Apt. Bldg. Other. New Addn Commercial Indusfrial Form Remod Re air Air Cond. Htg. Equip. Water Hir. Load Mgmf. Ofher. D er Ran e Elec. Heat Tem . Service "R' above }he work mvered by this request Enter remarks m Ihis spore 02d on ihe back of the white copy only. /T?p?? . ?v/ (? Calculafe Inspeciion Fee - T6is Inspecfion Requesf wdl not be accepted wifhouf the correcF e 1 Onher Fee # Service EMrance $rse Fee # Circvih/Feeders Fce Mobile Home Park Stall 0 to 200 Ampa 0 to 100 Amps Street Ltg /I'raffic Sig. Above 200 Amps Above 100 Amps Transformer/Cianera}or INSPECTON'SUSEON Sign/Outline Lig. Xfmr. Alarm/Remofe Confrol ? Swimming Pool i hereb cern ihm I ms ecied ihe eleddcal ns?ullaeon demibed herem an the doks shkd Irciga}ion Boom Ra,h-In Dare $peciol Inspedion Investigative Fee Finol Data' THIS INSTALLATION MAY BE ORDERED DISC ECTED IF NOT COMPLETED WITHI 1 M NTHS. FERMIT CITY OF EAGAN 3q30 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMITTYPE: suiLoxNG PermitNumber: 032860 Date Issued: 0 8/ 10 ( 9 S SITE ADDRESS: 1601 ASHBURY F'L lQ7a 100 BLOCKc 4 BLACKHAWK GLEN 2ND P.I.N.: 10-14351-100-04 DESCRIPTION: T.O. & Bq'f3d"`?ij,?,,,Permit Type ?tti1°d-i,[tt?. i4'tkrk Type U? 3? REROOF STORM DAMAGE REPAIR 434 ALT. RESII7ENTIAL ? ?. g ? - - - ? -_ -?x V W* ?FIq ;? L? SI t£ ' 6 ?PYc ?Y? £?+3_u arvgS "£amv l ?Yi . REMARKS: 7EAR OF'F AND REROOF CIUE TO STORM DflMAGE. p{w. Bn.jNS zc i?v' FEE SUMMARY: CONTRACTOR: - Applicant - s`r. LxC. OWNER: SELA ROUFTNG & REMQDELING 18238946 0001050 MURDOCK BRRD 4100 EXCELSIOR BLVD 1601 ASHBURY PL ST LOUIS PRRK MN 55416 EAGAN MN 55122 (612) 823-8046 (651)452-4565 ';. _ ° I- Yrer-.eby ?ae_knau7.s,d?g°e, Ghat;? ?, haue ]; eppll?ab?e,,?,????? infarmat3?n.n ?e co?r'??c? anri agreet to- aampi'? ,ws?h ?'I ? 5t??ut?s +?t?da?a?y _.?tEag?rr Drdfnarrces,.` ` __- ? I APPLICANTlPERMVTEE SIGNATURE - -:? 155UEO BV: SIGNATUR 1998 BUILDING 1'ERMIT APPLICATION (RESIDENTIAL) cirsr oF Eaaax ?i ? 3830 PIIAT KNOB RD - 55122 (0 '? 6 681-4675 New Construdion Reauirements RemodeVReoair Reauirements ? 3 registered sile aurveys ? 2 wpies of plan ? 2 wpies of plans (inGude beam 8 window saes; poured fid. deafgn; etc.) ? 2 aite surveys (exterior add'Rions & decks) • 1 eneigy ceiwlations ? 1 energy calwlations for heated additions ? 3 copies of tree preservation plan'rf IM p{aUed efter 717193 required; _ Yes _ No A ? DATE: DESCRIPTION OF WORK: STREET ADDRESS: LOT: 1 O C) BLOCK: q ?? r ONSTR CTIO ? 4m .?fi?"1 n.? kYin .r? U d SUSD./P.I.D. #: a- V• U' Name: M (n V k ?i Swv( Phone #: PROPERTY 1.ast First OWNER StreetAddress: ) (nU I &AYduo P1ae-t CrtY TTt?YlU.1?.?? ? Sffite: kt ?CJ Zip: Company: n ? Phone ?i`' ? CONTRACTOR Street AddresA?? 9-)/C&(UY l JK)j I V'JU ? License # City <':?[, L'CA ?S IDA. Vk_? State: A_ Zip: ARCHITECT/ ENGINEER Company: Phone #: Registration #: Street Address: City Sewer & water licensed piumber (new construction only): and lot change is requested once permit is issued. Zip: Penalty applies when address chang icortect and a ree to comply with all appliabi 1 hereby acknowledge that I have read this application and state that the in77-7m State of Minnesota Statutes and City of Eagan Ordinances. Sign ature of Applicant: OFFICE USE ONLY Certifirates of Survey Received r, Yes _ No Tree Preservation Plan Received Yes No Not Ssate: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 SF Dwelling ? 07 4-plex O 03 SF Addition ? 08 8-plex ? 04 SF Porch ? 09 12-plex O 05 SF Misc. ? 10 = plex WORK TYPE ? 31 New ? 33 Aiterations ? 32 Addition ? 34 Repair GENERAL iNFORMATION Const. (ACtual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning ? 11 Apt./Lodging ? E3 12 Multi Repair/Rem. 0 ? 13 GaragelAccessory ? ? 14 Fireplace ? ? 15 Deck ? 36 Move ? 37 Demolition Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq, ft. Footprint sq. ft. Building Engineering Variance Permit Fee Surcharge Plan Review License MCMlS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Pertnit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: • . . % SAC t, SAC Units Vaiuation: $ 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscelianeous MCNVS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit 2005 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 V I .7_ I .05^ ? Site Sireet Address /60/ Unit # Property Owner 7L1i11, 4 ('L"J Telephone # ((6-1) 1456- Contractor `fitgtt L. Telephone # V'61) Address / City Statetp_ Zip 556G,57 / The Applicant is: _ Owner Contractor _Other Alterations to existing dwelling $ 50.00 ? Add plumbing fixtures (excludes water softener andlor water heater--complete next section if installing these appliances). _Septic System Abandonment _Water Turnaround (add $125.00 if a 5/8" meter is required) . Other: Water 5oftener Water Heater $ 15.00 _ new _ replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ 50 j Total $ 3L.5d 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 pian in the event a plan is required to be reviewed and approved. t F/4-\1/72 i`'I • "tJiC'X_.) ApplicanYs Printed Name 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construchon ReauiremenGs 3 registered site surveys showing sq N ot 101, sq ft of house, and all roofed areas (ZO% maimum lot coverege allaxed) 2 copies of pian showing 6eem & windaw srzes, poured found design, etc t sei of Energy Calculahons 3 copies of Tree Presenration Plan sf lot platted after 711193 Rim Jast Detail Ophons selection sheet (bmldmgs wtlh 3 or less uniGs) Remodel/Repair Reauirements 2 copies of plan 1 set of Energy Cakulalions for heated adddions 1 site survey (or adCtlions & decks Adddron - mdicafe i£ orr-site sepbb systam S '? 0 (J ? ?9-rli?a Le„3Vv?.-? CeatafSurceyRecd `Y._N Tree PresPknRer.d _Y._,.N T2ePresRequired ,,,,Y ,,_M Oo-siieSeAGcSa'stem' _Y _N Date O 3 lie?;:5' Construction Cost Site Addreas _ /6dZ ?j/f??!? ?? • Uni USte # Description of Work f=i??l <S/f ?.¢? O? C? 1??? ?'z f'/r L_ ?' ?(.f ?j?' Multi-Family Bldg _ Y_ N? Fireplace(s) _ 0 -(Cl)_ .rAa.J Property Owner f111- L-- ?? 4/LLIa EA) s46 LC./ ve¢,.Ef 111 Telephone #(Air ) //?? Contractor Address City State ? Zip ?) S 0 77 Telephone #(?f? COMPLETE THIS AREA ONLY IF CONSTRUGTING A NEW BUILDING - Miimesota Rules 7670 Cateeorv 1 Minnesota Rxiles 7672 Energy Code CategOry , Residential Vantilation Cstegory 1 Worksheet • New Energy Code Worksheet (d submission type) Su6mitted Submitted . Energy Enveiope Galculations Submitted Have you previously constructed a building in Eagan with a similar plan2 _ Y _ N If so, 257o plan review fee applies. Licensed Plumber Mechanical Contractor 3ewer/Water Conhactor Telephone #( Telephone #( Telephone #( I hereby apply for a Residential Building 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 of plans. ppl!?t, p N met'?`q?'?7 f- f"7 7_ i? ? 1 n n I .?.,?: . Peimit-a?d-acknowdedg >Applicant's Signature yx? OFFICE USE ONLY Sub Types ? 01 Foundation O 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 AccessoryBldg ? 02 SF Dwell ing ? 08 06-plex ? 16 Firepiace ? 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 (screenlgazebo) ? 36 Multi Misc. ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04plex ? 12 12-plex P16g_Y or_ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Irrterior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ?d[ 33 Alteration l ' ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolition (Entire Bldg) - Give PC A handout to applicant Valuation t? Lp 1) Occupancy MCES System Census Code `'{ Zoning City Water SAC Uni[s Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const ? Width _ Footings (new bldg) _ Footings (deck) _ Footings (addition) _ Foundation Drain Tile Roof Ice & Water Final Framing ? Fireplace 4 R.I. ]$ Air Tes[ _X Final ? Insulation REQUIRED INSPECTIONS FinaUC.O. ? FinaUNo C.O. Plumbing ? HVAC Other _ Pool _ F[gs _ Air/Gas Tests Final _ Siding _ S[ucco _ Sione _ Brick Windows _ Retamutg Wall Approved By: , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Perrnit & Surcharge Treatment Plant License Search Copies Other Total r / ?W`4 2007 RESIDENTIAL PLUMBING PeRnnir aPPUCArioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55722 651-675-5675 /49ZD Please complete for modifications to existing residential dwellings. Do not combine inside and outside plumbinct on the same aonlication: seoarate aoolications and permits are required. Date 1 / IH / 01 51te Street Address ? O( 7 Unit # Property Owner VVI ?1% aY? Sw i't v`Ct_.-, Telephone# (bSI) Lf SN't-G,OQj Champion Contractor 851-385-1340 Telephone # ( ) Address 3670 Dodd Rd. Ciry SWte 2ip The Applicant is: _ Owner 8 Occupant ? Licensed Plumbing Contractor Refurbished Su6mit 2 sets of plans and MPC license Septic System New Includes County fee _ _ $ 100.00 Per as-built $ 10.00 Fire Repair (replace burned out fixtures, etc.) $ 90.00 This fee a lies when extensive lumbin re airs are made to a buildin . AlteraUons to existing dwelling $ 50.00 _ Add plumbing fixtures to main level lower level. This fee includes installation of a water softener and/or water heater at the same time. If you are installing on/v a water softener and/or water heater, do not complete this section; move to the next section and place a checkmark next to the appliance(s) you are installing. _Septic System Abandonment _Water Turnaround (add $136.00 if a 5/8" meter is required) Other: Water Softener ? ? /Water Heater _ new !/ replacement $ 15.00 Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ •50 Totai $ 15.50 I hereby apply for a Residential Plumbing Permit and acknowledge that the infortnation is complete ana accurete; tnat tne wonc Hnu oe in confortnance with the ordinances and codes of the Cdy 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 reviewed and approved. ?Ubgt 5A01P ApplicanYs Printed Name ApplicanYs Signature ? ??? r _ - ' _ -`-? - _ _ _ - _ ? ?DP_OffICE;„?{5? ? Permrt #: I ? I permit Fee: I ? ? Date Received: I I I Staff: L---_________. 2009 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Tenant: Site Address: / (o D / ur c-e- Suite #: RESIDENT / OWNER Name: S Ct ? I [ v Q l'L Phone: Address 1 City 1 Zip: CONTRACTOR Name: ?7;-t1i ?e c-iG Y I O L ? S License#: Address. City: State. Zip: Phone Contact Person: / TYPE OF WORK Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W. _ New \;?- Description of work: YPE l`e - JCJ PERMIT T RESIDENTlAL Water Heater Water Softener cv?j _ Lawn Irrigation _ Add Plumbing Fixtures ? RPZ /_ PVB) C_ Main _ Lower Level) 0 _ Septic System _ Water Turnaround New Abandonment RESIDENT/AL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge) "Water Turnaround (add $165.00 if a 5/8" meter is required) $100.50 SeptiC System NeW ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ I hereby acknowletlge that this informahon is wmplete antl accutate; that the worK wtll be m coniormance wim me ommances ana cooes oi me ,-ny ui Eagan; that I underetand this is not a permit, but only an application for a permit, and work is not to start without a pertnit; that the work will be in accordanc e approved plan in the case of wo k which requires a rewew and approval of len X v? ?]euC ? X Applica ' rinted Na e Applican s Si ature FOR OFFICE USE: = Reviewed By: Date Required Inspections ,, _Under.Ground` Rough-In Air Test _Gas Test : _Final City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 1601 Ashbury P1 Lot: 10 Block: 4 Addition: Blackhawk Glen 2nd PID:10- 14351- 100 -04 Use: Description: Sub Type: Work Type: Gas Fireplace (new) Description: Census Code: 434 - Occupancy: Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Fireside Hearth & Home 20802 Kensington Blvd Lakeville MN 55044 (952) 985 -6675 e- Fireplace Construction Type: Chimney /flue must be inspected prior to concealing. Smoke detectors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector. Andrew Hoffman BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: $90.00 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. Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Owner: William G Sullivan 1601 Ashbury Pl Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: $88.50 0801.4085 $1.50 9001.2195 Issued By: Signature Building EA087830 12/19/2008 ePermit ÷þ÷þ ÿþ ýüü ûúøûúþ ùüüþÿþüì ôéö ôó ô ýüõ ýüûúù÷éìõüúù ÷úù÷éìãéìÞùï ùäü õüõôóôðüù òÿ ýñüø ïùîïïñüïûïí ëÿééùÿþëëïÿ ü ùíõëëùëí õûïêñüûéÿëïïí øçóæçí íô ôù ýüÿèüçóæçí í èüóþ í óò õñð ùù ÷ïöýüî ó îãÚ ûü ÿåã áßóàßôô ûéÿ îùùëïÿïùéùùûý ëåýüõë ÿðí ùùì üýÿü PERMIT Permit Type: Mechanical City of Eagan Permit Number: EA105872 Date Issued: 08/01/2012 Permit Category: ePermit Site Address: 1601 Ashbury Pl Lot: 10 Block: 4 Addition: Blackhawk Glen 2nd PID: 10-14351-04-100 Use: Description: Sub Type: e - Furnace & Air Conditioner Work Type: New Description: Furnace & Air Conditioner Questions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, (952) Comments: 445-2840 ME - Permit Fee (Replacements) $55.00 0801.4088 Fee Summary: Surcharge-Fixed $5.00 9001.2195 Total: $60.00 Contractor: Owner: - Applicant - Wenzel Heating & Air Conditioning William G Sullivan 4145 Sibley Memorial Hwy 1601 Ashbury Pl Eagan MN 55122 Eagan MN 55122 (651) 894-9898 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. Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink r For Office Use I V I Permit l , City of Eanan I I I Permit Fee: _ I 3830 Pilot Knob Road Eagan MN 55122 Date Received: 3 I Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 9 - ~p Site Address: 0 Unit Name: - ; `1 i u yy~, LA t 1 V CJ V\ Phone: Resident/ Owner Address / City / zip: ( N r P L Applicant is: Owner Contractor Type of Work Description of work: Ike- - to c,'~_ Construction Cost: UD Crv Multi-Family Building: (Yes / No I Company: - Nw:~ (rJ,~ s {-r z cam,' 6,~ GAL. • Contact: 1 I Address: _(3.432 G e.-Le_~c~ ut/~,A City: ~L. Ytu Contractor State: /q/►' zip: 5512 Phone: &Q - 70 3 -"5'-0 A License 4 L 2),93(_Q17 Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 1 /9 79' COMPLETE THIS AREA ONLY IF CONSTRUCTING ANEW 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: I Licensed Plumber: Phone: Mechanical Contractor: Phone: I k Sewer & Water Contractor: Phone: NOTE: Plans and supporting documenfs that you submit are considered to be public information. Portions of a E the information may be classified as non-public if you provide specific reasons that would permit the City to 6 conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance.. x c~.✓~ N v,_. k,_. S x Applicant's Printed Name Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA122512 Date Issued:05/09/2014 Permit Category:ePermit Site Address: 1601 Ashbury Pl Lot:10 Block: 4 Addition: Blackhawk Glen 2nd PID:10-14351-04-100 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - 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 by law in ALL single family homes . 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 - William G Sullivan 1601 Ashbury Pl Eagan MN 55122 (651) 454-6608 Pella Northland 15300 25th Ave N #100 Plymouth MN 55447 (763) 355-1300 Applicant/Permitee: Signature Issued By: Signature r For Office Use 4b41--) i � * • • #i Permit#: •� a� .„ �i EAGAN Permit Fee: Date Received: 2l t'; f in 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: lo bu ildinoi nspectionsRcitvofeaaan.com 2019 RESIDENTIAL PLUMBING PERMIT APPLICATION Date:(2/-3" Site Address: /(-b / Tenant: Suite#: 2 Resident ' Name:]�4�t r/Z-Y7 Phone: 57 Address/City/Zip: 1 b 0/ �r—t f l y /1 Name: �� License#: Address: / Se/`Gc C-2 Pr <—e City: Pi' o � State: Zip:-5-7.5- d Phone: Contact:00,-2— Email: ` e-arer TYPe ©rk _New l Replacement Repair _Rebuild _Modify Space _Work in R.O.W. ofDescription of work:KC)()a_.Gli7 1' ' fdLtJ�� lLJ?r? r Water Heater Lawn Irrigation(_RPZ/_PVB) Water Softener Add Plumbing Fixtures L Main/_Lower Level) Description 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.aopherstateonecall.orq 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.citvofeauan.com/subscribe. I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approvaal . plan xv �/ `7- GF f e�z-�2�, t • Applicants Printed Name Applicant's Signa Page 1 of 2