1580 Ashbury CtCITY OF EAGAN Permit Na r' Date: ?' 7
, 3830 Pilot Knob Road Meter No: M -6--37 63zi Size:
'l P.O. Bcx 21199 Reader No: C) ???/ a 36 Date: -
i Eagan„MN 55121 7?
Owner. ` =1inbow 'rtomes
15`'J Ashburv Cuurt L16 32 `rLackhnwk Clen II
Site Address:
Conn. Chg: 525. OOr,: wA?RUty
Acct Dep: 15• 0'l?dn4nre dinrting ra"400ALftWtlBt
Permit Fee:
ECTRIC - GAS Etc.
Surchar e: ' I eret o???Y wRh the CII of
Y
Tr. Plan t ` REC? 1 JIREC??n? V?
Meter.
Misc.:
- ?
BY
WATER SERVICE PERMIT
CITY OF EAGAN t 4 0 7?
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH ON E: 454-8100
BUILDING PERMIT Receipt #
To be used for Est. Value Date ,19
Site Address ? ' ' ? `'• ? -
Lot Block ` Sec/Sub.
Parcel No.
2
OFFICE USE ONLY
On Site Sewage Occupancy
MWCC System _ Zoning
On Site Well Type of Const
City Water _ (ActuaD
(Allowable)
* oi Stories
Length
Depth
S.F. Total
Footprint S.F.
a Name
W
= Address
39
;'..1
0 CitY .. Phone 4.)
, o Name
? ? Address c
? City
Y
647-$584 (PAG£R)
I hereby acknowledge that I have read this application and state
that the information is coRect and agree to compiy with all applicable
State of Minneaote Statutes and City of Eagan Ordinences.
Signsture of Permittee .
APPROVALS FEES
Assessments Permit
Water/Sewer _
_ Surcharge
Police _ Plan Review
Fire _ SAC, City
Engc _ SAC, MWCC
Planner _ WaterConn.
Council _ Water Meter
Bldg. Off. _ Road Un)t
APC _ Treatment P1
Variance Parks
TOTAL
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.
Bulldfng Official
- • Permit No. Pormit Molder Data Tslsphone s
Plumbing ?[?' ?' ??. ,•?t? t? ?J' jo
H.V.A.G.
Electric 9,? A x.f/ ,.?c-f 9/v `?
Softener
Inspaction Date Inap. Comments
Footings I
Footings II
Foundation
Framing ? ?
C o r e?c. • J
Roofing
Rough Plbg.
Rough Htg. 9-/yr7 ?. J'. Low r? ,l rY ??? l7 ???
isul. -?y.g ?' • I?
Fireplace
Final Htg. 9 8 ?c. ?f
Final Plbg. p PRV
Bldg. Final
cert. occ. 9d ? • ? •
Temp. LP
Deck Ftg.
Deck Frmg.
Well
Pr. Disp.
MI
3830 PILOT N
cnNTaer_r pRir_F-
??? ?... m ? Name
Name
?
c Add
p ress
Ciry
P
hone
_
TYPE OF WORK
Forced Air M BTU
Boiler M BTU
Unit Heater
. Air Cond. M BTU
M BTU
Vent
Gas Piping Oudets # CFM
Other
FEE
?
I S/C:
TOTAL•
RECEIPT #
, MN 55122 DATE:
BLDG. TYPE WORK DESCRIPTION
Res. New Mult Add-on
Comm. Repair
Other
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PEHMITI - 1.50 EA.
COMM/IND FEE - 1% OF CONTRAGT FEE
APT. BLDGS. - COMM. RATE APPUES
TOWNHOUSE & CONDOS - RES. RATE APPUES
MINIMUM RESIDENTIAL FEE - ALL ADD-aN 8
AODELS - 12.00
- 20.00
- .50
BEYOND $1,000)
PERMIT #
. . . PLUMBING PERMIT RECEIPT #
CITY OF EAGAN
• 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ri ?I L ` r
Site Address
lot
- Name _
? Address
c City _
Name
3 Addre
O City -
Phone
- ,lf
FEES
COMM/IND FEE -1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PEFi PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
OF
FOR: CITY OF EAGAN
BLDG. TYPE WORK DESCFiIPTION
Res. New
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
Water Closet - $3.00 $
Bath Tubs - $3.40
Lavatory - $3.00
Shower - $3.00
Kitchen Sink - $3.00
Urinal/Bidet - $3.00
? Laundry Tray - $3.00
! Floor Drains - $1.50
` Water Heater - $1.50 '
Whirlpoal - $3.00
Gas Piping Outlets - $1.50 f •
(MINIMUM - 1 PER PERMIT)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00 .
Rough Openings - $1.50
FEE:
3TATE S/C: ? ? .
GRAND TOTAL: ? - `
(gtr#t#ira#t uf (Orrupanry
titp of (tagan
EP}i81'tl1ina 0d wwbiv jwP1'ttDti
77trs Certificate issued pursuanl to the requirements of Section 306 of the Uniform Building
Code certifying that at the time of issuance this structure was in canpliance with the various
ordinances of the Cily regulating building carrstruction or use. For the following:
UseGlassiCkation :='!, ac/u+r, Ndg.RrmitNo. 4075
O-P-T n'Pe R3 7nning Disuxx -,1 Type Cont.
OwneratHuildin6 RAINKU 031? Addrm
Balding Addrees LOCI*
o.k:
suakhng otria,l
POST IN A CONSPICUOUS PLACE
,
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
CTIaN REC4RD
PERMIT TYPE:
Permit Number.
Date Issued: ?*Alft 1:9A
SITE ADDRESS:
, . ??: .; ?, i? t f% ?'II•
PERMIT SUBT1lPE:
I I ' t Nli'..
to?,?{?.t r?H ?ru?. rr?
TYPE OF WORK:
PII 11
I I ht Fl i
?
Permit No. Permft Holder Date Telephone #
5NV
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Date Insp. Comments
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Fough Htg.
Isul.
Freplace
Final Htg.
Orsat Test
Final Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
Engr./Plan
Bldg. Final
Deck Fig. 5?5/L Q 7 ?U
Deck Final
Well
Pr. Disp.
0 CASH RECEIPT 16
CITY OF EAGAN
? 3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE
19
R[CEIVED #'71VIOUNT $ I
a ooLLAws
oo
7
? CASH CHECK
rOR
l
FUND CODE AMOUNT
1 ?.
?
Thank You
?T 76701
White-Payera Copy
Yellow-Posting CopY
Pink-File Copy
BLDG. PE$M'IT N0. l
, _..?.
01-3210 Bldg. Permit
01-3422 Plan Check
r
01-3445 Surch./Adm.
01-3446 SAC/Adm. ;
,
01-2155 Surcharge
17-3860 Road Unit `
20-2275 SAC
20-3865 Water Conn.
20-3868 Water Trmt.
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permi
20-3743 Sewer Permi
79-3866 Sewer Conn.
11-3855 Park Ded.
TOTAL
? CASH RECEIPT ?
' CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
FROM
AMOUNT
& DOLLARf
?oa
[]CASH ? CHECK
` " ?'? • ?:-?I
?,JJll
? i , :• i iat??f
RUND COOE AMOUNT
?
Thank You
BY
? 77;2 1.6
YVhite-Payer3 CoDY
Yellow-Posting Copy
Pink-File Copy
CITY OF EAGAN Permit No: 9035
3830 Pilot Knob Hoad Meter No:
P.O. Box 21199 Reader No:
Eagan, MN 55121
Owner. ?'3inbow? ::ouUs
SiteAddress: 15"-:O AsFjbuYy Court :.16 B2 B:
Conn. Chg: 525
Acct Dep: 15
Permit Fee: V
Surcharge:
Tr. PlantIST
Meter.
Date: 9 - ]. .', ? 7
Size:
Date:
Zoning: - ?
No. of Units: ?
I agree to comply with the City of Eagan
Ordlnances.
Misc. m:Ens pAr vALaE By
WATER SERVICE PERMIT
CITY OF EAGAN SEWER SERVICE PERMIT
3830 Pilot Knob Road
P.O. Box 21i99 PERMIT NO.:
Eaqqt,'MN 55121 ? DATE:
Zoning: No. of Units:
Owner:
Address:
iz
I agrse to comply w8h tha Gty of Eegan
Ordlnancas.
BY
Date of Insp.:
Insp.:
Connection Charge: 525.00pd.
Account Deposft: 15, doPd
Permit Fce: 1'3 • 00Pa
Surcharge: . 50pd
Misc. Charges:
Total:
Date
GOLD COPY PERMIT RELEASE FORM
?
PERMIT #
ADDREss bu
PICKED UP BY
?,hiz rn9uest void 9 r4:' u au 77a??-
18 months fmm ?1
D Q."? q 2 •_ / /ln /?Z !I /°S n?nnk r? 1M., ?(? ?L. ?J?o?°"
Reques[ a? ir¢ No. v Rough-in?lnspecl.on
Peqwretl Ready Nuw
? ? Wi11 Nntify Insoe?--
g
I p
p ? N.
? ?es ? lor When Ready
LncNased'Elecvical Contraclor 1 hareby reYUest inspacUOn ot abova
? Owner electncal work iristelled at.
Street Address, Bax or /Ro?ute No.
ls$O USh6urn C'ty
ecuon o. Townshio Name or No. Ran9e o. C nly V
?G
lo ?4
.
OccuDant (%iINTI U Phone N
?
Urti
Power Supplier
??•.?? k4tc,? Atldress
4r..x?n
n
Elec/t?n?cal Cpontracmr ICOmpany Namel
- _ Comrar,lors License No.
?
5
(Pc.4-N , G l? -?
Ma?l?np Ad ess ICOn[ractor or Ow.er Ma aInstailaL nl
Audon ed Sig^atura IC hactor/ wner Making Installationl Phone li?ber
l?
MINNESOTA STqTE BOARD OF EupC-NICITY i^.. "viarcCinvi. AE....wT .i.L •...
gE
Griqys•Midwey 91dg. - Noom N-19'I ACCEPTED BY THE STATE BOARO
1821 Universitv Ava.. St. Peul, MN 56104 VNLESS PNOPEH INSPECTION FEE IS
Phone(612) 642-0800 ENCLOSE?.
HEQUEST POR ELECTRICAL INSPECTION ee-ooooi-as
0 See mstrucLOns for compleUn9 this form on bxck ol Yellow copV.
?
D 4?. 92-3 "X" Below Work Covered by 7his Request
1 pdd Reo. Tvoe o1 8m1e.no? aool?oncea WireE Equiument WveH 1
tino F
?.ommerciai tlitlg. rumace anu ?inioaoer
Industrial Bidg. Air COndrtioner Bulk Milk T&nk
Fn.... ?hNe Peci y .ihp, ISt?ea.ilyl
p Fee ServicaEMrenceSiie tt Fee Fexders/5ublepde1s N Fee Crtcwts
0 to 200 qm s 0 to 30 qm s IU 41? 0 tn 30 Fam s
Above 200 qmps 31 to 100 Amps a f(? 31 to 100 Am s
Swimming Pool Above 700_Amps Above 100_P,mps
Transtormer5 IrngaUOn Booms ,g ParLal.Other Fee
Signs SUecial Inspection S _ l,
Pemerks ?? ? (.. ? 5'a,?0 TOTAL FEE i/? 4??
nougn-in ?('Je I. the Elacblp?a?
/??Inspector, heraby
?r cerLfy that the ahove
Flnal /?¢ insoection has baen
t I /0-11 mede.
rttv xFQuzxED CITY OF EAGAN
No_ 14075
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE: 454-8100 Receipt # - QI09Q l
Tobeusedfor SF DWG/GAR Est.Value $65,000 Date AUGUST 21 19 87
Site Address 1580 ASHSliRY CT
Lot 16 Block z Sec/Sub. BLACKHAWK GLEN 2
Parcel No
a Name RAINBOW HOMES
= Address
° City I.G.H. Phone 450-1724
,o Name SAME 647-8584 (PAGER)
? Q Address
? City Phone
Name
City
OFFICE USE ONLY
On site Sewage Occuvancy R3
MWCC System ? Zoning Rl
On Site Well Type of Const
City Water X (qctual) _
?
(Allowable)
# af5tories
Length 39
DeDth 46
S.F. Total
Footprint S.F.
APPROVALS FEES
Assessments _ Permit 381.00
Water/Sewer _ Surcharge 32-50
Police _ Plan Review 190 _ SQ
Fire _ SA0.Ci[y tn0_n0
Engr. _ SAC,MWCC 575_00
Planner _ WaterConn. 525.00
Council _ WaterMeter 67.00
I hereby acknowledge that I have read this application and state Bltlg. Off. _ Road Unit -30-S-00
thattheinformationiscorcectandagreetocomplywithallapplicable APC _ TreatmentPt _ ?_?n np
Siate of Minnesota Statutes?ndfdiry o?agan i cee nan s. Varlance _ Parks
SignaWreofPermittee ,1 atn • ??tic? Copies
TOTAI Z 30 .00
A Building Permit is issued to: RAINBOW HOMES on the express condition that
all work shall be done in accordance with all applic e State of 'nnesota tatutes and Ciry of Eegan Ordinancea
Building OHicial
?
7
1987 BOILDING PERFIIS APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
IACLQDE 2 SEfS OF PLANS, 3
OF SU9VEY, 1 SET OF ENERGY CAI.COL9iI0HS
NOTE: 9DDRESSES FOR CORNER LOTS - CONTRACTOR/HOHEOWNER MOST DESIGHAiE A9ICH 9DDRESS
IS DFSIRED. NO CH9NGES i1ZLL BE ALLOYED ONCE BOILDING PERhIIT IS ISSOED.
HULTIPLE DiiEC.LINGS - RFSIDENTIAL RENTAL OHITS FOR SALE OBIiS
INCL[1DE 2 SETS 0F PLANS, CERTIFICATE OF SORYEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMRERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STROCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
> o $2,000 LANDSCAPE BOND
To Be IIsed For:`'51?*g;;?M.264 Valuatioa:
City/Zip Code (Amim ss1 za
Phone (pD 1°917 1?
Contractor 12s'dAbow f6w s_
Address 47 (D - l1
City/2ip Code
Phone ??? ? I-IZ4
Arch./Engr. 677, S? 9 g`/ ? (J
Address
City/Zip Code
Date: Q' /B/87
OFFICE DSE ONLY
On Site Sewage _ Occupancy R.-3
MfdCC System ? Zoning ?-1
On Site Well Type of Const
C1ty Water ? (Actual) S(
(Allowable) u
0 of Stories
Length 39.v
Depth 416.0
S.F. Total
Footprint S.F .
APfROVALS FEFS
Assessments
Water/Sewer
Police
Fire
Emgr
Planner
Council
Eldg Off ?Y20
APC
Variance
Pet'mit 38/. o0
Surcharge 3 2. S"
Plan Review /q0, so
SAC, City /OD,oo
SAC, MWCC 1?2 S• _'
Water Conn 525.00
Water Meter 69,es
Road Unit 30 5 . °"
Treatment P1 1q0,e2
Parks
Copies
TOTAL --23 D 6.
Phone #
z: xzi-
lS-r/7%sm 7-
17X 1.2= d-oy
a 4 X 3y = ?l16
/ bao x sif = 59 /6O
?y968
. I-l-fd
TRI-LAND C0.
SURVEYING
SERVICES
SITE PLAN FOR: _
RAiivaaW yonliEs
1260 YANKEE DDODLE ROAD
EAGAN, MINNESOTA 55122
LEGAL DESCRIPTION: LOT ? ,BLOCK z,?LAGKNAw?C G4drlv z^o
ACCORDING TO TNE RECORDED PLAT
THEREOF DA/te,rA COUNTY,MINNESOTA
C oUR? _ _- - --?
/ ASN gU?'
t'17•;N/13'? 8?9
73 ?
02
os ?? ? i I
,
. ?
.
\
Z \
C ?
w?o \
N
SCAL. E: /'A30'
LEGEND
o DENOTES IRON MONUMENT
o DENOTES WOOD HUB SET
$L/,Y DENOTES EXISTING SPOT
ELEYATION
DENOTES PROPOSED SPOT
ELEVATION
? DENOTES DRAINAGE DIRECTION
? I
Q Z4x8 I
i2 ' i
r . ? ?
/ I
q' 1
?
L OT /6 I
I
\?---- -l?
s ? yo y" w
(A
?
0
:;E
IS
INVERT ELEVATION AT SERVICE EXTENSION=
PROPOSED GARAGE FLOOR ELEVATION = 27?
PROPOSED FIRST =LOQR ELEVATION = SZSXS
PROPOSED BASEMENT FLOOR -
ELEVATION
NOTE * VERIFY ALL FLOOR HEIGHTS WITH
FINAL HOUSE PLANS
I hareDy csrtity that this survey,plan or
report was prepared by me or under my
direct supervision and ihat I am a duly
Reyistered Land Surveyor undor fhe
Laws oi the State of Minnesota.
Bradley <d(?'Swenson, Mn. Rey. No. 18236
Date - iR/2ler)
? ? • ? -fa?-*r'...::_. . ' _ ?• .' :' -"" ' ,i,?£.?' . L??' aS?
_suamin; . mw?
'. Ab?
.:?.; .1?A?30R =Y31,OP8 AVER4Q8 '!p„ OOIIPOTA'TIOII
;i?i??ttte =vitb bui3din6 -p3rmit. `
. •. . ,;??.;, ;.. ": . „ ..,., :.. , A##13onf3onT----- :;----- -
; One r Twi? leu?ly :`Direlliaa Omer
...r..,.
All Other Site Addreee,__?f??--?5kb?r4
Contraolor Daye 9&/27. . phoas
j5 LINEAL FSET OF Af ' q p
r4?OS?'D ?? ? ? tti.dZfOY9 grade a GZ 1?•Dt7?
TOTAL EXPOSED WALL ARr^.A SQ. FT.
iOPAQQE WALL CONSTRU:TION: "U" Value x Area
w
Detail $ ° (1hs54x-? ,OuVr 0 U4-3 x SQ. FT. .?00. . (U)(A)
gg& ' ?_Ilu° - ?? (n z SQ. FT. . ? . (U)(A)
reference
n rr D) (A)
x Sq.
irom U 9912
attached « ' P ???? X sQ• FT• = (U)(4)
eheeL6 n(Ju Y 8Q. FT• a (U)(A)
npn x $Q. FT. _ (Q)(A)
WINDOW3: "U" Value x Area
MBkB & Typ@ ? rif?Lr d6aR.nun rQ-' X$Q• FT• r0f.4Da4Z• 00)(A)
, ° n oan
- n n ??p?? x s@. FT. ? (0)(A)
n n trUn 7C l3Q. FT. a (U)(A)
X SQ. FT. a (U)(A)
? nooas: "roll vatue X uea
Make & Tro
n t?e ? 1LpL "Un x$Q. FT. 9.?1D a ?U)?A)
• ?t?2 _?(U) (A)
n npn
n n % SQ. !"P. - ?U? (A)
ToTat,S M(o.ao 3Q. rrx. ISZ.I_<7- (o) (a)
AVERABE "Ult
; 1bTAL (1I) ( A) VALUES ?SZ•?s =
,s DIVIDED BY TOTAL WALL AREA ZZ??o.AO ???L
AVERA(iE "1Tt? .11g r leBS for 1&2 familq nga
ROOF/CEILINas
: TOTAL ?REAs .
„ Detail rVarenae`J0? rv npn Oy
from l
aR ?±!pn .. „ ?
:;: ,teahed ? , .
1
in roo.f.
TOTAL (II)(w) YALIISS DIVIDSD B2
. ToTat. taooF/ a axsn ??-
AVU"B aU• 025 or ventilated roofe.
sq. gT.' _ •??a 3.?a(9I(A) ,..:,.,
SQ. ,PP.? "'?113??A? _
?,,;:•
.$Q. F'8.., .. ?
. a • ;.?9I(A) ,.<..:
`
tQ) (`)
..???.
Q
• ?. a
(9)(A)
?.?.5 -.l???r ?• s u??
. oz ?t
r . . -
?.
.? ,,..:
.r
30+ ° /Bt . o0
-096
- -- -- -?- -- JAL
ZL9l?.o0
Codc • - - ------- - -
.67X (34t34+40t¢o, - : 49.11p
4.00 X (lo+?? - = 4?_00
P,m TorsT
• 83 x (34+5?F t4?ar4b? -?. --- - /ZZ . Sq- ?
------------
ZaX3b=- S•v x Z- _--- Iv.oo --- _- ---
uFX3?O?' ?D.p x L m" fz•Gp
---
---
--
.fas'?
z*s?C.• 4F? ? L! • o o - - -- ,
(p?- P?4Tio ? - 42• oo-- ------- .
(?t A7Rh7y+'? .. = 42.oo
-- -
ti;,?? E?iAL.S?.?. _?--;::???'? °-?j??,.? ._._..__..___,_ ......
.?
T F'
o?oyf u-??i?-t..------... ---- Zzq(o.oo--=---- --- . L?X 34 g- ?oo
147- I Lp Is?c Il ?- ?j:oo
=
?i R,rrl 1n,g,q.
= bO.mo
1113.00
-?---i?.? --- _. ?
.[ ??. .. : . ?
...?? -?r?"". " .
; Detei??l.aing !!?1n?valaee at_Roois Wa11. Rim, and Ooao. Bloak------__---
_; - -- - I
i
,
ROOF/CffiING Y U
j 19) Interior Air !`ilm 0.61
' 2.) 518„ Qyp. Bd. .56
3.) insulation ???
4.1
1
59) Eaterior Air Fiim .61
_ (STILL)
"Uu = 1/Ra ,j?Z4 TOTAL (R)s 4j.7g
[ .'
li -
?, .
; .,
AW I,L R VALTI
S
q 60 Interior Air'Film 0.65
?.) }n dyp. Bd. .45
86) Insulstion 19.Gv
9• ) $vVT- r47E Z• C+
109) Masonite Siding .67
il
) S
t
i
Ai
l
1o .
x
er
oT
r Fi
m .17
l -
n0It a 1/Ra TDTAL
(R)=Z'1J.0l
?
R R VALU
-O ?.
120 Interior Air Film 0.68
130 Inaulation 19•aiD?
? 14.) 2" Fir Rim Jo1eE 1.88
n
e?
?
? Z
ae
o
it
ding
1
6.) M .67
, 17:) $xterior Air Film .17
, o
• d ' • _'
O° . itIfto. a 1/9n 'POTAL
- (R)e 2'?44
. pe
-D
FOUNDATION R YALU
• 18.) Interior Air Film 0.68
g
, .; b°
'
' ,d. ? ?d
: ,.. e
. • .
' ..:
??`-
8
<
?? ?
=•
.F'.ilk Y4(
k
• '.?t.?1N
.?
s
:
: ;_:? .3 j .?.
??«
I '4 M VF?. i'4"tA_'S.l n?y
.!'A'r:.H? .
?1a4l
x:s
?. ..sii .?-:t
i1,
'
li
.
?.f
:
„? " . .
r
i
i
?st
) '
23
• <.:::.
:1
"
o
er
r
A
•
. :
7
„v?l x2 I/xm . 07to TOTAL (R)= 13.13
t ?
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
1) PROPERTY ADDRESS:
LEGAL DESCRIPTION:
ase
;*RYPF: PAYMFTTP QF k'EE AT TIME OF
F APrracATzorr DOES Nor ooa071TUTE
; aPrxovAr. oF rERraT.
F INSPDCIZON OF SfiNM ADID/O2 WA1L'R
? IINSTAT LF.TIONS WIIZ N(YT BE SCfIID-
; UIED L7NfII. PII2NIIT AAS BEai
C APPROVID
?
lt,0t/b1ocx/5ub01vision or Tax Parcel ID #)
. .
IF EXISTING- STRL'CiVRE, DATE OF ORIGINAL BfJZLDING PIItMIT ISSL'ANCE: '
Mon YearY -
PRFSENT ZANING/PROPOSID L'SE:
? COin-ERCIAL/RETAIL/OFFICE
0 IAIDL?STRIAL
INSTIZi)TIONAL/GOVEEtNMENT
? R-1 SINGLE FAMILY "
? R -? DL'PLEX (7tao Onits)
? R-3 70WNHOL'SE (Three + Units) ( Onits)
? R-4 APARISIET]T/COAIDOMID7ILT1 ( Units)
2)
6UAhfE:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
3) • r ?• NAME.
ADDRESS:
C217, STATE, ZIP:
PHONE:
?- MASTER LICENSE# `s Sl n
Active
Exp1TEd
?in Not recorded
St?tial
4) 10*:QkN71.?
NAME'
_ ADDRF.SS:_ ?2
CITY, STATE. ZIP: 'IV
PHONE: ?f?o ? 72 SL
5) ?? r• • ?• : o ? w?
nCON[SIE.'TION Rq CITY SEWER Q CpNNDCpION ZU CITY WATER C3 di'HER
6)
pi PLEASE HOLD APPROVF9 PEf2NIIT FC)R PICK-UP BY ONE OF ABOVE
?3 PI.EASE MAIL PERMIT 7l? 1, 2, 3, 4, A&?IE
(Circle one)
_FOR CITY USE 4NLY
PERMIT # ISSUED
94) 3 s__
Pd w/Bldg. Permit FEES:
$
$
/ .
$ (o , • Gj ZJ
$
$ $
$ $
$ $ l.s fi D
$
$ ar2 S'D Z) $
s ?zs- a v $
$ $
$ $
$ $
$ $
$
$ $
SEWER PERMIT (INCLODE SURCHARGE)
WATER PERMIT (INCLUDE SDRCHARGE)
WATER METER/COPPERHORN/OLTSIDE READER
WATER TAP (INCLDDE CORPORATION STOP)
SEWER TAP
ACCOUNT DEPOSIT - SEWER
ACCOUNT DEPOSIT - WATER
WAC
SAC
TRLNK WATER ASSESSMENT
TRUNK SEWER ASSESSMENT
LATERAL BENEFIT/TRDNK SEWER
LATERAL BENEFIT/TRLNK WATER
WATER TREATMENT PLANT SURCHARGE
OTHER:
$_ TOTAL
- 7v i ??zllQ
RE EIPT RF„CEIPT
DOES UTILITY CO[VNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
? YES IF YES, THEN A"PERMIT FOR WORK WITHIN PDBLIC
Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE: ? ?? /p 7
? CITIf OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number.
Date Issued:
023134
03/25/94
SITE ADDRESS:
1580 ASHBURY CT
LOT: 16 BLOCK: 2
BLACKHAWK GLEN 2N0
P.I.N.: 10-14351-160-02
DESCRIPTION:
Beilding Permit Type
Building W?rk Type
43uilding lengG
Building Width?
\. G
REMARKS:
FEE SUMAAARY:
DECK
NEW
18
12
???? ?O (Magan
Base Fee $30.00 COPIES $2.00
Surcharge $.50 Total Fee $32.50
Su6total $30.50
CONTRACTOR:
OWNER: - Applicant -
ORSETH ROBYN
580 ASHBURY C7
AGAN MN 55122
612)681-9175
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with,all applicable 5tate of Mn.
Statutes and City of Eagen Ordinances.
?- - - --
?`=?1?,??;E??SZ?"t
AP LICANT/PERMIT E SIGNATURE
40, fi_I i7t?t?
ISLSU? SI A7UR
J
CITY OF EAGAN _-
1994 BUILDING PERMIT APPLICATION
681-4675 ?
1^ L
SINGLE & MUITI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specificat9ons, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of manth
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date Valuation of work
Site Address: /7shbLlJ1,(l
AR.I')
La-
STREET SUITE p
Tenant Name: (commercial only)
LOT BLOCK ? SUBD. (J, ? q
A P.I.D. #
l L
'
Descri tion of work: LJ'?
The applicant is: Owner 13 Contractor ? Other (Deseribe)
Name &r-5e U /0 Phone &(TI-?l 1714?,
Property LpST FIRST
Owner pddress / lvq ha.t-ca Gbl-A z-
STREET STE #
City 5tate Zip
Company Phone
Co ntractor Address License # Exp.
City State Zip
Company Phone
Architect/
Engineer Name Registration #
Address '
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comp ith all applicable State of Minnesota Statutes and City of
Eagan Ordinances. /
Signature of Applica ?
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation p 06 Duplex ? 11 Apt./Lodging
0 02 SF Dwg. 0 07 4-Plex ? 12 Multi. Misc.
? 03 SF Addition ? OS 8-Plex ? 13 6arage/Accessory
? 04 SF Parch ? 09 12-Plex ? 14 Fireplace
13 05 SF Misc. ? 10 Multi. Add'1. p-15 Deck
WORK TYPE
p 31 New ? 33 Alterations ? 35 Tenant Finish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Engineering
REQUIRED INSPECTIONS
? Si te
? Wallboard
Basement sq. ft.
lst F1. sq. ft.
2nd F1. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Variance
JO Footing
V3 final
? Framing
? Draintile
? Insulatian
? Fireplace
Permit Fee v,i„at;d,:
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies ?
Other
Total:
SAC %
SAC Units
+!? . ry? ` ,•
IN ft ,+ p 4%
+• ?, .
??i. ? "'? _.• s '+ _ -+.-1?'.
O 16 Basement Finish
O 17 Swim Pool
? 18 Comm./Ind. ,
? 19 Camm./Ind. Misc.
0 20 Public facility
? 21 Miscellaneous
? 37 Demolish
MWCC System
City Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code o/
Census Bldg /
Census Unit o
Assessments
1 1 1'v
I t ( V
TRI-LAND C0.
SURVEYING
SERVICES
SITE PL.AN FOR:
RA/NBGW yonWs
1260 YANKEE DOODLE ROAD
EAGAN, MINNESOTA 55122
LEGAL DESCRIPTION: LOT //- aLocK z,A9ZACKf1Aw.C G4441 zf
ACCORDING TU THE RECORDED PLAT
THEREOF 0•0?'oTA' COUNTY,MINNESOTA
C oU R? _ ?-- - -??_
5 BU?.
A y,
/ :R7? 3H?3f ? ?
"Z7.33.
c
rB
ap,
oS, >> ` l°• ? ? ? ? ' `\ ? ` I
°. "
G \ ?'
y = . • 1°l ?
o \ ,
W
t oT /6 I
, I
? J
?--
S?,y ,r,'
J?y~w
? 8
N
scA? ?: i"=3o?
LEGEND
o DENOTES IRON MONUMENT
o DENOTES WOOD HUB SET
?t/,Y DENOTES EXISTING SPOT
ELEVATION
DENOTES PROPOSED SPOT
ELEVATION
? DENOTES DRAINAGE DIRECTION
I hxsby csrtity fhat this survey,plan or
raport wns prepmed by me or undsr my
direct supa?vision and fhat I om a duly
Repistered LanA Surveyor under tAe
Laws o} fhe Stote of Minnesota.
a
?
0
1E
/5
INVERT ELEVATION AT SERVICE EXTENSION=
PROPOSED GARAGE FLOOR ELEVATION = 2?
PROPOSED FIRST rL00R ELEVATION = 408.8
PROPOSED BASEMENT FLOOR = -.
ELEVATION
NOTE ? VERIFY ALl FLOOR HEIGHTS WITH
FINAL HOUSE PLANS
8radley O(/Swensoo, Mn. Req. No. IS235
Dafe ? 8I12?8?
' PERMIT # _N'1I I`1 RECEIPT DATE: '7 -'0-U I
? RESIDEVTIkL PLUM$Ift? PEftMTf APPLiCATION
50 crrY oF EAsAN
3950 PILOT KNOB RD
£bkfiAN, D1ft 55122
651-6$1-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
9 backflow preventer for irrigalion system
SITE ADDRESS:
\
OW NER NAME: : TELEPHONE #:
(AREA CODE)
INSTALLER NAME: TELEPHONE #: c55Q- 9 31-9 cQD ?2
{Y(bF.??a
6?512th Aven?:? C`''.sh (AREACODE)
STREETADDRESS: nent r ?1'lu:
CITY:
STATE:
ZIP:
Place a check mark next to the ermit work t e
New residential dwelling unit under construction and not owner/occupied $ 90.00
? Add-on, modification or alteration to existinq dwelling unit, including: $ 50.00
• abandonment of septic system
• new installation/repair/rebuiid of RPZ
• lawn irrigation system
• water turnaround
Nature of work: Keonac f.+n?er
Septic System, new/refurbished - $ 225.00
• includes Ccurty & Consul!ir.g Inspector fees
• requires MPC license
State Surcharge $ .50
Total $?0 53
Reminder: Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc.
I hereby acknowledge that I have read this apphcaGon, state that the infortnation is correct, and agree to comply wrth all applica6le Giryof Eagan ordinances. It
is the applicanCs responsibilily to no6(y the property owner lhat lhe City of Eagan assumes no liabdity fp?any damages caused by the Qty during ds normal
operational and main[enance activities to the facilihes constructed under this permit wilhir?City prope? y?ightof-wayleasement.
OF
Updated 1101
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
H-?-o go
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
New Conahuction ReaWrements ? p? l7l.?A q
(%Il ? !J
> 3 reglatered sNe wneya ahowing sq. R. of lot, aq. H. of house c? p
and gl roo/ed areas (20% maxlmum lof coveraae allowed) 07' ?
a 2 coples d plans (shOw beam 8 wintlow slzes: Pouretl fid. dedgn; etcJ
> 1 aef of energy calculaHOns
Y 3 coples of tree preservatlon plan U lot WaHed atfer 7/1/93
/
3- a ?
2 copies of plan
1 sel of energy calculaflons for heated addiflons
1 sHe aurvey for exlerlor addiHOna & tlecks
DAiE: ? `;;, CONSTRUCTION COST:
/ /l ?
DESCRIPTION OF WORK: //-Y A? If mulH-tamlty bldg., how many units?
STREEf ADDRESS: J Uv / ? ?? C-- ?? *t ??'ti
LOT: -&- BLOCK: L SUBD./P.I.D. #: L
/7d ?
Name: Ptwne #: ?/ - 9
PROPERTY uut Flrst
OWNER
Sheet Address: ' c?
CHy 061f-e_'Y"' State: 14fZip:
Company: ???•'`{!J!'?/1?¢j ??ifi??2 ?? Phone ?: ej! 7c?J ? 2-2.j?d
/ (area code)
CONTRACTOR
c
Sheet Address: e v NZ License q 309 Exp. 9i 3/ 2t
Clfy z- -C" -.y. State:
,.-I2It?
ARCHIiECT/
ENGINEER Company: Name:
Telephone a: (
Street Addrass: Regishcflon #:
Cly
Stata:
Sewer/water licensed plumber (if installirw sewer/water): Phone #:
ZIP: 5fa7?
Zip:
I hereby acknowledge that I hwe read this applicaibn, slate fhaf ihe infortnaii niS cone . and agre o compy wlth all pplieable Sfale
of Minneaota Stalufes and CHy of Eagan Ordinances. 9 ,c,_ f?P-?
Signature of Applicant L
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ Na JUL 2 6
Tree Preservation Plan Received _ Yes _ No Not Required ,^
Min
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundatfon ? 07 Orrplex
? 02 SF Dwelling ? 08 06-piex
? 03 01 of _ plex ? 09 07-plex
? 04 02-plex O 10 08-plex
? 05 03-plex ? 11 10-plex
? 06 04-plex ? 12 12-plex
WORK TYPE
? 31 New
Of 32 Addition
? 33 Alteration
? 34 Repair
? 13 16-plex 0 21
? 17 Garage U 22
? 18 Deck ? 23
O 19 Lower Level ? 24
Plbg Y ot _ N ? 25
? 20 Pool ? 30
Porch (3-sea.)
Porch/Addn. (4-sea.)
Poroh (screened)
Storm Damage
Miscellaneous
Accessory Bidg.
0 36 Move Bldg. ? 43 Reroof
? 37 Demolish (Bldg)' ? 44 Siding
? 38 Demolish (Interior) ? 45 Fire Repair
? 42 Demolish (Foundation) ? 46 Windows/Doors
* Give PCA handout toapplicant for demolition permit
GENERAL INFORMATION
SAC Code C)t
No. of Units T
No. of Buiidings -7-7-
Const. (Actual) s -I/
(Allowable)
UBC Occupancy J4"Z
Zoning
# of Stories
Length
Width
Basement sq. ft.
Main level sq. ft.
sq.ft.
sq. ft.
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning Building
Permit Fee
Surcharge
Plan Review 2- ? 9
license
MClES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment Pi.
Park Ded.
Trails Ded.
Other
Copies
TotaL• -?-? , (, -(,?
sq. ft.
sq.ft.
Footprint sq. ft.
Census Code
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
/16? Engineering Variance
Valuation: v
Px 17= cr7
O 31 Ext Alt - Muki
? 33 Ext. Ak - SF
? 36 Muki
SAC Units
% SAC
------------------------------------------------------------------
'AWa-L1-20b0 16:36 SHRW LUPIBER 651 488 9779 P.02
-, ?. ,
r
EX7ERIQk ENYEIOPE AVERAGE "U" tOriPUTAT'IUN
,S
oui,LR: o .,?
st-rE aonaESS: /S?Bo i`fS??S?'.?y Gi • ??{?
LONTRAC70R: P S [_Gj?, ATE: Oa PHONE:.
. ,
DETERMINE NORKittf? SDUARE FOOTAGE Of EACH:
1. TOTAL EXPOSED uALL AREA,,,_,,,, sq ft x"U"
2. TOTAI. ROOF/CEiLING AREA,,,,,,,, sq ft z"U" •026 . ,?
3• TOTAL E%PDSEO NALL AREA CALLULATIONSc
Total cxposed wall (((??? •
srea above floor,,,,,
,, iq ft
: t
,A) Total wall wlndow area.
gleted,..... sq ft x ?????
glazed_,,,,, ? sq ft x "U"
$) Total doar area ,,,,,,, ,
?
sq
ft
x
"u"
C) Total slidinG glass door area:
. glazed...... .._ ----? s4 ft x ?,U,l
glazed...... sq ft x "U"
Total flreplaee wall arca sq ft x "U" w
E) Total aall treming area
e
(Av
r
10")
?
s
ft
"U"
? •
?'?
..........
e
a
e . q x
F) Total net wall area above
floor (insutated) ,..... sq ft x "U" ? v ! ? ? 2• 3?
G) Total rlm Joist srea..... . sq ft x "U" «_? • ??J'?
Tcte1 fot:nCation cl?
L
area (Exposed)......... sq fL
M? Tacal foundatlon
? --?---
ulndow cree............ . --? sq ft x "U"
Total net foundatton
.
? ?
f
"
"
area abovt grade....... . sq t x U
j, Ta7A L a) thru
{f item /3 {s the same as, or less tfian Item f!, yau have met the intent of
2 N.CP? 1.1600E A zsnd 0. .
QIJU-01-2000 1e:=7 SHHIJ LUh1BEF
?
, p? EXPDSEO ROOF/CEtUrir CALLULa71o??5:
7ota1 exposed , ?,..-
roof/CtS{tn9 erea........ ?? Sq ft
,J? Total skyltaht area......._ J?-_--_f9 ft x"'U"
651 488 9775
P.b3
----
t() Total roof/ceilinq ftaming tG? ?
area (Averaqe lnt)...... b L t sq ft x"U"
L) -Total net Insula[ed SS
sq ft z"U"
roof/tetling area....... 6 ?0
? T07AL J) ihru 1) 'I
1f tota) of i4 is the Same as, or less than 02, you have me[ the tntent of
2 MCA.'t 1.16008 A aad 0.
ALTEtU1ATE BUILbING ENVELOPE nE51GN
I To utillZe the total envelope System tnethod, the values establi5hed by Lhe 5um
of Items 03 and A shall not bc 9reater than the sum of Items P1 and 12.
1. +2. --w - -
3. 4 4. --- - ?
C F R T 1 F 1 C A T 1 D H
1 hereby cert(fy that I have ealculated efactor' and "R"
values herein and that [he bulldinq here descy?e?d aes or ece d5 t!?e State
of Hinnesota Energy Conservation Act. '?--
?
?
u f • •
i
; r
(Oar.I 'I TOTHL P.Uti
--- - --- ------------------------------------
" - , ,_,C
(" 1 1 U
TRI-LAND C0.
SURVEYING
SEFtVICES
1260 YANKEE DOODLE ROAD
EAGAN, MINNESOTA 55122
SITE PLA.N FOR:
RA1A1,50 YV 110i?1ES
LEGAL DESCRIPTION: LOT /6 ,BLOCK z,??ACKN.Qr[i?C G44V zf
ACCORDING TO THE RECORDED PLAT
THEREOF 012SE-7724 COUNTY,MINNESOTA
C oUR _ ?-- - ---,
l??RY r`
A5 B? ,?JZ?z7, ??• >eGe
/Ar L7??N? dZ9.9
?
r? C$?
C
. ?
?. ?
. ?
?td? ? R2e
a
;V \
W i?,?? \
\Q W?r` p•Q?t
?
IEGEND
o DENOTES IRON MONUMENT
a DENOTES WOOD HUB SET
8t/,Y DENOTES EXISTING SPOT
ELEVATION
DENOTES PROPOSED SPOT
ELEVATION
DENOTES DRAINAGE DIRECTION
? _ ----?
? ZG,B I
?.,
v ve Iza?
? ?
, L7?
. J
a
?'K ?L
I
$
\ ? I
?? LOT /6 i
s?? o-, "w
o. _
?.-?/o brS?{'Gq??•
:r .
N
?
'
-
INVERT ELEVATION AT SERVICE EXTENSION=
PROPOSED GARAGE FLOOR ELEVATION=
PROPOSED FIRST FLOOR ELEVATION = $.L.9-3?,_
pRppOSED BNSEMEIVT FLOOR =
ELEVATION
NOTE'. VERIFY ALL FLOOR HEIGHTS WITM
FINAL NOUSE PLANS
I harw0y cerfity that this survey,plan or
report wos praporad yy aw or undar my
0iracT suparvision and that 1 om a duly
Reyistered Land Surveyor under the
Laws ofthe State of Minnesota
Bradley
Mn. Re9. No. 18235
Date
,
ss S a? RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651•681-4675
New ConsWCtion Reauiremeirts
• 3 registered sfte surveys showirg sq. fl. of lol, sq. R. of house; and ?II mofed a2as
(20% maximum lol coverage allowed)
• 2 copies of pWn showing beam 8 vrindow srzes; poured found desgn, etc.)
• t set of Errergy Calculations
• 3 capies of Tree Preservation Plan if lol platted afler 711193
• Rim Joist Def2il Options seleclion sheel (61dgs wilh 3 or less unils)
DATE /oltg laa
SITE ADC
TYPE OF
APPUCANT
STREET ADDRESS 6)cSVQ W /H" -ZSr
TELEPHONE # Q?CS3S-0ELL PHONE #
FAX #
lysz/39
PROPERTY OWNER c W
'2?h Krb14 () 109S,Vb TELEPHONE # -9?2-S'
COMPLETE FOR "NEW° RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNrSOTA RULFS 7670 CA'I'EGORY 1 MINNESOTA RLR.FS 7672
(J submission type) • Residential VenUlatlon Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope CalculaUons Submitted
Plumbing Conhactor: ___
PlumUing system includes:
Mechanical Conhactor:
Mechanical system includes:
Sewer/Wafer Contractor:
Air Conditioning
_ Heat Recovery Systcm
Fee: $90.00
Phone #
- -.j r P -Fee•z $70.00
,
r
2002
Phone #
I vl
I hereby acknowledge that i have read this application, state that the informati n is c ecf - agree to comply
with all applicable State of Minnesota Statutes and City of Eagan 'n
Signature of Applicant
OFFICE USE ONLY
_ Water Softener _
Water Heater ?
_ No. of Baths
ULTI-FAMILY BLDG _Y _N
FIREPLACE(S) _ 0 _ 1 _ 2
RemodellReoair Reuulrementa
. 2 aDies ot plan
. 1 set of Energy CalcWetions tor heated addilions
. 1 site survey for enterior addilions 8 decks
• Indicate H home served 6y sepdc system for addiUom
VALUATION ?`4-7Q) 71 _ Phone #
Lawn Sptinkler
No. of R.I. Baths
Certificates of Survey Received - Tree Preservation Plan Received - Not Required _
Updaled 4102
OFFICE USE ONLY
? 01 Foundadon ? 07 OSplex ? 13 16-plex ? 20 Pool O 30 Accessory Bldg
? 02 SF Dweliing ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 6ct. Alt- Multi
O 03 01 of _ plex ? 09 07-plex ? 17 Garege 0 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) O 36 Multl
0 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof 0 46 Windows/Doors
? 34 Replacement •Demolttion (Entire Bldg only) - Gtve PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
. REQUIRED INSPECTIONS •
_ Footings (new bldg) FinaVC.O.
_ Footings (deck) FinaVNo C.O.
_ Footings (addirion) _ plumbing
_ Foundation FIyqC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool Ftgs
Ait/Gas Tesu Final
_ Framing _ _
Siding Stucco Stone
_ Fireplace _ R.I. _ A'u Test _ Final Windows (newheplacement)
_ Insularion _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
ToWI
�City afkali
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use -� ?
Permit #: ! IQ n t3
Permit Fee: LLkJ c D
Date Received:
1/-ZZI3
Staff: 0111
INFLOW & INFILTRATION PERMIT APPLICATION
Plumbing / Sewer & Water
Date: Site Address: 4
J
Tenant: Suite #:
Resident/Owner
Name: (�ok-.- i!
by --d-)K5 -\ Phone:4 (26s/(2Q� " l
Address I City I Zip:
Contractor
Name: c,.( `; fir, ) !-L ()ILA L17 License #: 047(-)93
Address: (orl 56 P n v1 A U �) City: %/ � !
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA122214
Date Issued:04/29/2014
Permit Category:ePermit
Site Address: 1580 Ashbury Ct
Lot:16 Block: 2 Addition: Blackhawk Glen 2nd
PID:10-14351-02-160
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 .
Nathanael Dahl
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 -
Nathanael E Dahl
1580 Ashbury Ct
Eagan MN 55122
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA150580
Date Issued:07/16/2018
Permit Category:ePermit
Site Address: 1580 Ashbury Ct
Lot:16 Block: 2 Addition: Blackhawk Glen 2nd
PID:10-14351-02-160
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Donald M Seemann
1580 Ashbury Ct
Eagan MN 55122
Homeworks Services Co Dba Homeworks Plumbing Htg
1230 Eagan Industrial Rd
Eagan MN 55121
(612) 400-9020
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA150827
Date Issued:07/25/2018
Permit Category:ePermit
Site Address: 1580 Ashbury Ct
Lot:16 Block: 2 Addition: Blackhawk Glen 2nd
PID:10-14351-02-160
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description: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 -
Donald M Seemann
1580 Ashbury Ct
Eagan MN 55122
Uptown Heating & Cooling
3110 Washington Ave N, Suite 100
Minneapolis MN 55411
(612) 827-4674
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA152983
Date Issued:11/13/2018
Permit Category:ePermit
Site Address: 1580 Ashbury Ct
Lot:16 Block: 2 Addition: Blackhawk Glen 2nd
PID:10-14351-02-160
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Donald M Seemann
1580 Ashbury Ct
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:Plumbing
Permit Number:EA169410
Date Issued:05/25/2021
Permit Category:ePermit
Site Address: 1580 Ashbury Ct
Lot:16 Block: 2 Addition: Blackhawk Glen 2nd
PID:10-14351-02-160
Use:
Description:
Sub Type:Residential
Work Type:Underground Sprinkler System
Description:PVB
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - RPZ/PVB/Lawn Irrigation $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 -
Donald M Seemann
1580 Ashbury Ct
Eagan MN 55122
Drain Pro Plumbing
8815 - 209th Street W
Lakeville MN 55044
(952) 469-6999
Applicant/Permitee: Signature Issued By: Signature