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1579 Ashbury Ct Use BLUE or BLACK Ink For Ilse `~Office 1 City of Ea *Y RE U I Permit '~j I E I Permit Fee: `-C? - 3830 Pilot Knob Road 1 1 Eagan MN 55122 1 Date Received: l Phone: (651) 675-5675 I I Fax: (651) 675-5694 Staff: 2010 2010 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: _~O D Site Address: js -M Tenant: Suite RESIDENT / OWNER Name: SCN~ Phone: (rQS ~o~ r1 C~S~ Address / City 1 Zip: Quy 4 C(-S~ exlci6 /vL - e CONTRACTOR Name: tt License Address: S a 1 U ( City: UlA J'\ State: - Zip: S5 3 S 9 Phone: lQ 1 a ~?b_g -~4I O o3 Contact: 6.JVS U Email TYPE OF WORK New _Replacement Repair -Rebuild - Modify Space Work in R.O.W. Desch tion of work: ' PERMIT TYPE RESIDENTIAL Water Heater Water Softener Lawn Irrigation Add Plumbing Fixtures RPZ / PVB) Main _ Lower Level) Septic System Water Turnaround -New Abandonment RESIDENTIAL 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 $166.00 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 CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Ca1148 hours before you intend to dig to receive locates of underground utilities. 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 fora and work is n to st ty permit, art witho t a permit; that the work will be in accordance with the a roved lan in the c s of pp p a e o work which requires a review and approvat of xx Applicant's Printed Name cant's nature FOR OFFICE USE Reviewed By: DaW. Required Inspections: Under Ground Rough-In Air Test Gas Test Final CITYQF EAGAN Permit No: ° i Date: j 3330 Pilot Knob Road Meter No: 0/ 1 Size df P.O. Box 21199 Reader No: 7 Date: Eagan, MN 55121 Owner. 4 0v !'.es l"T: Site Address:_ 15-79 Ashbiss:}- Cc rt 6 R1 -t hark f'1 nn Plumber 4 y1,ir h=„ Conn. Chg: =St)• nd Zoning: u Acct. Dep: _ 15. 0C) d No. of Units: Permit Fee: Oi)Dd Surcharge: 5:?nd 1 agree to comply the City of Eagan Tr. Plant 204. Ordinances. Meter: 67 n.-,~ Misc.:- '3RV RE TiTPFi- By WATER SERVICE PERMIT CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt To be used for Est. Value Date ,19 Site Address OFFICE USE ONLY On Site Sewage Occupancy Lot Block Sec/Sub. MWCC System Zoning Parcel No. On Site Well (Actual) Const a Name : City Water (Allowable) W Address PRV Required ^ of Stories o City Phone Booster Pump Length Depth ,0 Name S-F. Total 0 i Address Footprint S.F. ~ City Phone APPROVALS FEES ~ e Engr./Assess. Permit ~ W Name W z. Address Planner Surcharge M W City Phone Council Plan Review Bldg. Off. SAC, City I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC information is correct and agree to comply with all applicable State of Water Conn. Minnesota Statutes and City of Eagan Ordinances. Water Meter Signature of Permittee Road Unit A Building Permit is issued to: Treatment P1 on the express condition that all work shall be done in accordance with all t applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks Building Official TOTAL 1 Permit No. Permit Holder Date Telephone # Plumbing H.v.AC. q p' Electric Softener Inspection Date Insp. Comments Footings I Footings II Foundation Framing Roofing Rough Plbg. Rough Mg. Q Isul. Fireplace Final Htg. Final Plbg. Bldg. Final Cert Occ. Temp. LP Deck Ftg. Deck Final Well Pr. Disp. Cities Digital 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. PERMIT # PLUMBING PERMIT ~J CITY OF EAGAN RECEIPT # ` 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Address BLDG. TYPE WORK DESCRIPTION Lot Block Sec/Sub Res. New Mult. Add-on Name Comm. Repair m Address / Other c City Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Name Water Closet - $3.00 S I Bath Tubs - $3.00 Address -Lavatory - $3.00 p f City Phone - Shower - $3.00 Kitchen Sink - $100 FEES Urinal/Bidet - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE Laundry Tray - $3.00 APT. BLDGS - COMM RATE APPLIES Floor Drains - $1.50 TOWNHOUSE A CONDO - RES. RATE APPLIES Water Heater - $1.50 MINIMUM - RESIDENTIAL FEE -$12.00 -Whirlpool - $3.00 MINIMUM - COMM/IND FEE -$20.00 Gas Piping Outlets - $1.50 STATE SURCHARGE PER PERMIT - 50 (MINIMUM - 1 PER PERMIT) (ADD $.50 S/C IF PERMIT PRICE GOES Softener - $5.00 BEYOND $1.000.00) , Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 Y SIGNATURE OF PERMITTEE FEE: STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL: b PERMIT # i 1 Y i z MECHANI PERMIT RECEIPT # CITY O GAN (1 3830 PILOT KNOB RO , EAGAN, MN 55122 DATE: ; CONTRACT PRICE: PHONE: -8100 Site Address LDG. TYPE WORK DESCRIPTION Lot Block Sec/Sub es. New i Name ult Add-on m omm. Repair m Address ther c City Phone FEES ; Name "RES. HVAC 0-100 M BTU -$24.00 3 Address ADDITIONAL 50 M BTU - 6.00 p City Phone (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA. TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES 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 STATE SURCHARGE PER PERMIT - .50 Vent M CFM B (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # BEYOND $1,000) Other FEE S/C: SIGNATURE OF PERMITTEE TOTAL k;1, ^ FOR: CITY OF EAGAN i ~itp of eagan 10tVwft ti<t of fug. mo trtwu This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following.- UN cua fiction ST M?W. Bldg. Permit No. 15(k l Occupancy Type R3/M I Zoning Dnt~riet ~ I'.1 Ty x conc. VN Owner of Building DAEE11~...SI" DESIGNER 'T jddr 10525 KqM AVE, DN R GUY ~1.7,.v.. Building Adden 1579 ASHB J_l OURT P I T f. I.oalrty , 132, W. JULY 29, 1988 BuMing Official 11 POST IN A CONSPICUOUS PLACE CASH RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE I I 19 i RECEIVED , _ - R1ou r ✓ ; AMOUNT $ L~ a DOLLARS 100 O CASH CHECK - I i FUND OBJECT AMOUNT I¢' 1 Thank You BY While-Payels Copy b YelkPosting Copy Pink-File Copy CASH RECEIPT • CITY OF EAGAN 3830 PILOT KNOB ROAD IrAGAN, MINNESOTA 55122 t i DATE Z>r 19 ~Ls RECENM FROM AMOUNT l l C. 8 DOLLARS 10D ❑ CASH [A, CHECK FOR Ai& FUND OBJECT AMOUNT Thank You BY Whhe-Payers Copy d : 5 ? PiMc-Fne Copy CITY OF EAGAN Permit No: Date: 7 -1" " 3830 Pilot Knob Road B/P No: 'i617 Date: c'- P.O.. Box 21199 Eagan, MN 55121 Owner. Stsom Site Address: Q Avl,hifrv fnnri T f Plumber: MWCC: '?~`r•' Zoning City Chg: No. of Units: 7 Acct Dep: I agree to comply with the City of Eagan Permit Fee: Ordinances. Surcharge: Misc.: By SEWER SERVICE PERMIT CITY OF EAGAN Permit No: Date: T 3830 Pilot Knob Road Meter No: Size: P.Q. Box 21199 Reader No: Date: Eagan, MN 55121 Owner. Site Address: 1 S7a s.!:t-tzrv t'n-r 3",ac- hnv f Y!T Plumber ?knr plgm 'L~-2 5 S(3. r Conn. Chg: ooh c, Zoning: Acct Dep: 25•~~~ i No. of Units: Permit Fee: ? • Surcharge: • 50~ 1 agree to comply with the City of Eagan Tr. Plant ? 04 • 0C, Ordinances. _ t~n.- Meter. 1)7 Misc.: By WATER SERVICE PERMIT CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for Sl_ `)1y(:/GAR Est. Value $78,W ) Date ' AY I1 19 $d Site Address 1574 ASHBVRY CT OFFICE USE ONLY Lot 6 Block 2 Sec/Sub.RLACKHAWK GLEN 2T: On Site Sewage Occupancy R`3 W-I MWCC System X Zoning R`I Parcel No. On Site Well (Actual) Const V-:4 = Name DAHLSTROM DESIGNER HOMES City Water X (Allowable) V-N W Address 10525 AKRON AVE PRV Required X # of Stories 3 Booster Pump Length 42 { o Gi~y INNER GROVE: Phone k 5l--~669 ~ Depth 50, a0 dame SAME S.F. Total o a Address Footprint S.F. P City Phone APPROVALS FEES ~ ¢ Engr./Assess. Permit "15.00 uU,w Name 39.00 z Address Planner Surcharge 243.00 W City Phone Council Plan Review Z - a Bldg. Off. SAC, City 100.00 I hereby acknowled a that I have read this application and state that the Variance SAC, MWCC 550.00 information is corre and agree to comply with all applicable State of Water Conn. 550, Minnesota Statutes and City of Eagan Ordinances. Water Meter 47'00 Signature of Permittee Road Unit 125, A Building Permit is issued to: DAHLSTROM DE5IGNU !i,51; i:,S Treatment P1 204-00 onthe express condition that all work shall be done in accordancewith all applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks TOTAL 2 Building Official " CITY OF EAGAN N° 15 0 01 3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121 PHONE: 454.8100 BUILDING PERMIT Receipt # ~ 3 To be used for SF DWG/GAR Est. Value $78,000 Date MAY 11 1g 88 Site Address 1579 ASHBURY CT OFFICE USE ONLY Lot 6 Block 2 Sec/Sub.BLACKHAWK GLEN 2N On site Sewage Occupancy R-3 M-1 MWCC System X Zoning R-1 Parcel No. V-N On Site Well (Actual) Const a Name DAHi STROM DFSICNER HOMES City Water . X (Allowable) V-N z Address 10525 AKRON AVE PRV Required X * of Stories o Booster Pump Length 421 City TNVER [:ROVE. Phone 451-8669 Depth 50' p Name SAME S.F. Total Z~ Address Footprint S.F. oa U w~ City Phone APPROVALS FEES U Engr./Assess. Permit 486.00 ww Name 0 i Planner Surcharge 39.0 z- - Address aw City Phone Council Plan Review 243.00 Bldg. Off. SAC, City _1000 I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC -550 O information is correct and agree to comply with all applicable State of Water Conn _55Q,00 Minnesota Statutes and Ca f Ea n nee/sue- - Water Meter x]-00 Signature of Permrttee Road Unit -32%...00 A Building Permit is issued to: DAHLSTROM DESIGNER HOMES Treatment P1 204.00 on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks ,,,,,eAlt TOTAL 2,564.00 Building Official- This request void -Yell 5 18 months from (L O n ;5- E 19506 1. 4 n` ' 00 Request Data - Fire No. RouPh-m Ins Vection 1~.,~ / Regy ned~ ❑Ready Nuw ylsWlll Notrty Insper.- w Yes ❑No l for When Ready kkLicensed Electrical Contractor I hereby request inspection of above ❑ Owner electrical work installed et: Street Address. Box or Route No. city /4 - 19d a 1% A-1, action No. Township Name or No. Range No. County x Occupant (PRINT) Phone No. Power Supplier Address 7` CLEC` 2c C' i ~`t9.UJ Electrical Contractor (Company Name) Co tractor's License No. ~v.~uay,•iT C-~~r17~e~ ~ ~ ~~ll 3 ~ ~ Mailing Address (Contract., or Owner eking InslailaUOn) A ,zed Sig ire (Contract o /Owner Making In,lallalronl Phone Number MI ESOTA STATE BOA OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Gr,69s-Midway Bldg. - om N•191 BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS 1821 University Ave., Paul. MN 66t O4 ENCLOSED. Phone f612) 642-0800 REQUEST FOR ELECTRICAL.INSPECTION EB-000001-06 See instructions for completing this form on back of yellow copy. 1 9 506, -X- Below Work Covered by this Request add Pao. Type of Building Applmncea Weed Equiument caned Home nge Temporary Service Duplex Water Heater Lighting Fixtures Apt. But lding Dryer Electric Hefting Commercial Bldg. Furnace Silo Uoloader Industrial Bldg. it Conditioner BUlk Milk Tank Farm other peel v Othor ISnpulyi t .r SuKi V Other Other oFee Below e Fee Service Entrance Size ft Fee Fenders/Subteeders fl Fen Grcwts dm 0 to 200 Amps 0 to 30 Amps 10 X1111 0 to 30 Amps Above 200 Amps 31 to 100 Amps SrSr 31 1o_' 00 Amps Swmnml ng Pool Above 100 Amps Above I00_Amps Transformers Irrigation Booms .SO Partial. O Fee Signs Special Inspection s emarks ~r,i'~ TO L F Rough-in /Date the Ele Ily.1 r Inspector, hereby V/ certify that the above Final ?a/) inspection hes been d 7 / J made. This request void 1S months from 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN / ~ SINGLE FAMILY DWELLINGS 15001 INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS U OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS moo, To Be Used For: SF's "XI Valuation: DateJ D MAY 6_ i Site Address /5 J / ~5/f~UR C% 78'O~ OFFICE USE ONLY Lot 1z:7 Block Z On site sewage_ Occupancy R'3 h1-I l MCC system ~ Zoning R-1 Parcel/Sub 2`cPA.1,/n! On site well Actual Const V-N City water J~ Allowable y- M Owner rlWP?L& A4j1"4-4-11c;wo4d PRV required ✓ U of stories Booster Pump Length` Address /US~2~/¢K~+>Nd~f c • Depth Hq`-6" S.F. Total City/Zip Code iwr Footprint S.F. Phone APPROVALS FEES Contractor Engr/Assess Permit X8(0 • oo Planner Surcharge 10 Address Council Plan Review 243.L1~ Bldg. Off. S/lo SAC, City 1 00,00 City/Zip Code Variance SAC, MWCC ,D O Water Conn 5501 Gb Phone Road Unit Arch./Engr. Treatment P1 Z O y,OO Parks Address Copies TOTAL City/Zip Code Phone 0 I GARAGE .22x2/z S/7 1 X 14= 6946 H ousr ZGX4Z = lOC, ~l xis = yy l ~ ~ C~Z= ~70y3z `~72ZS/ 8 TO SHOWOPR POS DTHOUSEBY SURVEYOR'S CERTIFICATE REVISED 4-28 8SIENNA DAHLSTROM DESIGNER HOMES L~L(\~\/\/n ~J(/~\/~1.)f rniL%UiI AI U oNo(((\~~~ V o RRIMUou ED <g3g•<.j S 89037'29"E 99.72 (PS`!.o) 0 0 1 51 -15 I M LOT DRAINAGE 9 UT2/Tr = 0D EASEMENT PER PLAT I_ a 1 I x ~J I'\~, WOOD RETAINING WALL m1 I N 'A -f.7() 1 I w3o.T ,p N l 828oX 6' . -j P (2 l o % } X027.1 42.0 N m 48.0 I 8.4 / x i M PROPOSED HOUSE t7 W eo u o In N v Loo Wx l_> o 20.0 < - = 3; c Xe27.2 / N I o CBY~ 5) 1- S M Z N Mj /GAR N M - X032.6 N M N N 001. I m M x O O 1,1 1 22.0 , . / 0 20.24 192- r ~NONV. SETe~N m. Q x NI ;18 N ELEV.~824.31 I M I)IjL\~\~/ m z , fW U 'Jg o0 0 ED O ~~~Z 41)' ; I 10 45 02 e 'g229X 17 A2TC~! / e22.1 86337.27 ENOINEERING DEPT. in UY _ COURT _ R ASH 13 DENOTES PROPOSED SURFACE DRAINAGE SCALE: 1 INCA 30 FEET O DENOTES IRON MONUMENT SET 0 DENOTES IRON PROPOSED GARAGE FLOOR - 927.8 FEET X000,0 DENOTES EXISTINGUELEVATIIOND PROPOSED LOWEST FLOOR . 82510 FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK o 828.2 FEET WE HEREBY CERTIFY TO SIENNA CORPORATION THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot & Block z BLACKHAWK GLEN 2ND ADDITION, according to the recorded plat thereof, Dakota County, Minnesota. 1986A5 SURVEYED BY DOES RDIIRECT O SUSHOW PERVISION IMPROVEMENTS THIS 30TIl DAY ENCROACHMENTS, OF CII DECEMBER F ANY. ME OR UNDER MY SIGNED: JAMS LL, INC.. r% BY. HAROLD C. PETERSON, LAND SURVEYOR MINNESOTA LICENSE NUMBER 12294 PROJECT NO. BOOK / PAGE JAMES R. HILL, INQ. 8rJ(o /cg (88340) 259/76 Planners / Engineers / Surveyors FILE NO. 8200 Humboldt Avenue Soulh FOLDER Blootnington,Mn, 55431 012-884-3029 CITY OF EAGAN EXTERIOR ENVELOPE AVERAGE 'U' COMPUTATION OWNER: YVVr+tkS- SITE ADDRESS: `'0 7- fo«' Z Zd CONTRACTOR: IJ~fGLS%M1,4i~,iP DATE: PHONE: S ~,9 Determine working square footage of each: 1. Total exposed wall area LL~ sq. ft. x .11 = ZS%, Zcy~ 2. Total roof/ceiling area sq. ft, x .026 2f, 7f Total exposed wall area above floor a, Total wall window area b. Total door area 3S• SS c. Total sliding glass area 79-1-8 d. Total fireplace wall area e. Total wall framing area (average 10%) f. Total net wall area above floor 105 7 g. Total rim joist area ~,3 Total exposed foundation area = /~~r D h. Total foundation window area / 77-'-7 .v7 i. Total net foundation area above grade /Lo Determine 'U' value of each wall segment: a. /qy, b," x ,U, Y-3 b. 3Y, 123 x IU' c. -2r- x 'U' 73 - 31. ~G d. X 'U' - e. 117, 19 x PUT f. Into 7 x 'U' "7 = UL,r h. BS © x 'U' =G,s~-~ i. x 'U' .i/ = 13.20 3 . Total = 7-/.2- If item e3 is the same as or less than item 111, you have met the intent of SBC 6006(c)2. Total exposed roof/ceiling area j. Total skylight area k. Total roof/ceiling framing area (average 10%) /r .7v 1. Total net insulated roof/ceiling area / 0 3/,`/o OVER Determine 'U' value for each roof/ceiling segment: j. x 'u' - k. x f U? V3 4 . Total If total of 04 is the same as or less than #2, you have met the intent of SBC 6006(c)1. Alternate Building Envelope Design To utilize the total envelope system method, the values established by the sum of Items #3 and #4 shall not be greater than the sum of Items #1 and P2. 1. ZS/, L~ + 2. 2-9 V 3. Z! 2~, s~ + 4. 2- 7/7 2 APPLICATION FOR PERMIT :NOTE= PAYMM OF FEE AT TIME OF APPLICATION DOES NOT CON- iL STITM APPWVAL OF PEPMET. C~ SEWER AND/OR WATER CONNECTION INSPEmON OF SEWER AND/OR WATER f INSTALLATIONS WIU NOP BE SCEDUUIM MML PERMIT HAS BEEN APPROVED. \ rt+r+r+fff++tt»frrrrtt+»+rrfrrrrrrr+ city of cz ag an A (PL/EA/SE PRINT 1) PROPERTY ADDRESS: !-5-75 LEGAL DESCRIPTION: (Lot/Block/Subdivision or Tax Parcel ID IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: (Month/Year) PRESENT ZONING/PROPOSED USE: Q COMYMCIAL/RETAIL/OFFICE I7i~2-1 SINGLE FAMILY Q INDUSTRIAL R-2 DUPLEX (Two Units) Q INSTITUTIONAL/GOVERNMENT R-3 TOWNHOUSE (Three + Units) ( Units) Q R-4 APARTMENT/CONDOMINIUM ( Units) 2) NAME: ADDRESS: CITY, STATE, ZIP: PHONE: J For City Use 3) - NAME: 1, (2 Pk Al Al 61 A/G Plumbers License: Active ADDRESS: 1q09 AARI LA/~d R y~ Expired hfS i/Vni Jr3~ I Not recorder CITY, STATE, ZIP: _0/ (E/(nfJ9 ye/! //l PHONE: MASTER LICENSE # St -Initial 4) ~i'~nTISi 31Ta .i~ wall NAME: ADDRESS: CITY, STATE, ZIP: PHONE: 5) n w au a~ F1 CONNECTION TO CITY SEWER a CONNECTION TO CITY WATER OTHER 6) oeaLA o-- r THE GOLD COPY OF THE PERMIT WILL BE SENT DIRECIT,Y TO PUBLIC WORKS TO FACILITATE METER PICK-LIP. x i* PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. SOMEONE FROM THE CITY WILL CONTACT YOU IF THERE x * ARE ANY PROBLa1S. + .FOR CITY USE ONLY PERMIT # ISSUED Pd w/Bldg. Permit FEES: . $ $ le -5-,D SEWER PERMIT (INCLUDE SURCHARGE) $ / $ /rJ-Y) WATER PERMIT (INCLUDE SURCHARGE) $ G 7.0 C $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ Ct ACCOUNT DEPOSIT - SEWER $ $ ~ J~~o t~ ACCOUNT DEPOSIT - WATER $ 7) C~Z) $ WAC $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ O `t 7 Oda $ _ `J-/• O~ TOTAL F_3 6 s s 3 RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: C lLt e ~~FJ~~~ TITLE: DATE: BLDG. PERMIT NO. C~ t 1 f si t 01-3210 Bldg. Permit it ki ec- ' 01-3422 Plan Check On 01-3445 Surch./Adm. -7?~ 01-3446 SAC/Adm. S SG 01-2155 Surcharge 75-3860 Road Unit :~s 00- 20-2275 SAC 20.3865 Water Conn. CY> 20-3868 Water Trmt. 20-3716 Water Meter nn 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. O(` (SU 28-3855 Park Ded. TOTAL J r 7 b~' 8457(,o EASEMENT THIS EASEMENT, made this 11- day of 1988, between RONDELL W. BARNES and THERESE A. BARNES, husband and wife, herein referred to as "LANDOWNER" and the CITY OF EAGAN, a municipal corporation, organized under the laws of the State of Minnesota, hereinafter referred to as the "CITY". WITNESSETH: That the Landowner, in consideration of the sum of One Dollar ($1.00) and other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, does hereby grant and convey unto the City, its successors and assigns, a permanent easement for drainage and utility purposes, over, across and under the following described premises, situated within Dakota County, Minnesota, to-wit: That part of Lot 6, Block 2, Blackhawk Glen 2nd Addition, which lies within 5.0 feet of the following described line: Commencing at the northeasterly corner of Lot 6, Block 2, Blackhawk Glen 2nd Addition, according to the recorded plat thereof, thence S 89037129" E a distance of 8.35 feet to the point of beginning, thence S 9005120" E a distance of 158.99 feet and there terminating. The grant of the foregoing permanent easement for drainage and utility purposes includes the right of the City, its contractors, agents and servants to enter upon the premises at all reasonable times to construct, reconstruct, inspect, repair and maintain pipes, conduits, mains or ponds and the further right to remove trees, brush, undergrowth and other obstructions. After completion of such construction, maintenance, repair or removal, the City shall restore the premises to the condition in which it was found prior to the commencement of such actions, save only for the necessary removal of trees, brush, undergrowth and other obstructions. The Landowner, its heirs and assigns, does covenant with the City, its successors and assigns, that it is the owner of the premises aforesaid and has good right to grant and convey the easement herein to the City. IN TESTIMONY WHEREOF, the Landowner has caused this easement to be executed as of the day and year first above written. RONDELL W. BARNES Aaw 0 Za THERESE A. BARNES STATE OF MINNESOTA ) SS COUNTY OF DAKOTA ) The for go g instrument was acknowledged before me this day of ~z , 1988, by RONDEL W. BARNES and THERESE A. IZZ5 BARNES, husband and wife. ?Jl~ Notary Public THIS INSTRUMENT WAS DRAFTED BY: ®m"AMf11.1~~IN1 1, -IM x-80 McMENOMY & SEVERSON, P.A. 7300 West 147th Street P.O. Box 24329 Apple Valley, MN 55124 (612) 432-3136 J PE -2- 9 92 ss- 1 2ro,no7e aid C/~~fy s r? EaSFmen/ (/er re[eided P/.0 l LOT 5 ~'1 LOT G "a PARCEL B ~W PARCEL A 1 s I CO m o / 4z.z° OUSE cn EXISTING H 1 M 1 M / 3 EXISTING HOUSE a`' 1 q o - i99u ino 1 d°~ r t° 1 GARAGE I r ;M1 x h +'90.6 °S GARAGE r5.30 h ni 1 1 Ito ,Z zz. r5 l 5 1' - . (824.46 11 ~ w Ora,m y and (11,0,v EaPPrnen (prr ?co°ded '0109 \N\ ~ ~~°a,5 OLD s \ aQ-33~. Z~ Soa~veSf Co'nrr s ~o ^a S 5~r Lal 6 ~D614. -p~Q CoUR~ ~ CITY OF EAGAN SUBJECT: WAIVER OF PLAT #~lo GJ'l APPLICANT: DENNIS J SHAW LOCATION: LOTS 5 & 6, BLACKHAWK GLEN 2ND ADDITION (SW 1/4 OF SECTION 16) EXISTING ZONING: R-1 (SINGLE-FAMILY) . DATE OF PUBLIC HEARING: SEPTEMBER 27, 1988 DATE OF REPORT: SEPTEMBER 19, 1988 REPORTED BY: PLANNING AND ENGINEERING DEPARTMENTS APPLICATION SUMMARY An application has been submitted requesting a Waiver of Plat in order to relocate the property line between lots 5 and 6, block 2, Blackhawk Glen 2nd Addition. Currently there are homes on both lots and the one on lot 5 does not meet the 10-foot side yard setback due to an error in the construction process. This Waiver of Plat will rectify that situation by shifting the lot line slightly to the east. If approved, this Waiver of Plat shall be subject to: 1. The vacation of the existing drainage and utility easement and the rededication of one along the newly created property line (5 feet on each side). 2. All other applicable ordinances. `y !!mm pNN +I AM ON EIGH S i,ew e.n ns n>, ne: N P iRea~rrn t `T scam lo°"°.~ , ',•'~~~e'. •.x COURT r - Q f css.°u c I r` O as q Y °E*l I p] Firr Boa' r v ~ s ivs i., P 1 _ '~"'Aw ror ' 4.~` di°tr W^! t ~ ~v ~ / >uss - -.1 ~ x ~ w'sserc 3: it rw. a - I . b I RESIDENTIAL ~C\ BUILDING PERMIT APPLICATION PAID AUO 0 P, 2662 CITY OF EAGAN 3830 PILOT KNOB RD - 55122 S 651.681-4675 New Construction Requirements RemodefRteoair Requirements • 3 registered site surveys showing sq. R of lot sq. ft. of house; and ajl mated areas • 2 copies of plan _ (20% maximum lot coverage allowed) . 1 set of Energy Calculations for heated additions • 2 copies of plan showing beam & window saes; poured found design, etc.) 1 site survey for exterior additions & decks • 1 set of Energy Calculations . Indicate If home served by septic system for additions • 3 copies of Tree Preservation Plan If lot platted after 711193 • Rim Joist Detail Optlons (nselection sheetet~(bidgs with 3 or less units) DATE ~ A~ i7i `AOO A VALUATION JOB SITERES-~ - ~~l C { IF MULTI-FAMILY BUILDING, HOW MANY UNI S? SF PROPERTYOWNER `-tQk10.X1JSs~lt~ SC~tu>cyt}~ TYPE OF WORK Ald&Pc 3 LULndou).S 68 APPLICANT i INNNEGOTA ferrewn INC PHONE# ADDRESS 555B &mbm Ddye ZIP CODE PAGER # Mh MtMk% MN 55343 FAX # F8x NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Cade Category _ MINNESOTA RULES 7670 CATEGORY I (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor. Phone Plumbing System Includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00 Water Heater _ No. of R.I. Baths No. of Baths Mechanical Contractor. Phone # Mechanical System Includes: _ Air Conditioning Fee: $70.00 Heat Recovery System Sewer /Water Contractor. Phone # All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. , Signature of Applicant Certificates of Survey Received _ Tree Preservation Plan Received Not quired _ Updated 2002 OFFICE USE ONLY ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06•plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03 01 of- plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screened) ❑ 36 Multi ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg_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 ❑ 46 Windows/Doors ❑ 34 Replacement `Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories T - --7777-a Booster Pump --7777-a Nbr. of Units Sq. Ft. aq, ~ro PRV Nbr. of Bldgs Length -tFire Sprinklered Type of Const Width :i„•G,P REQUIRED INSPECTIONS Footings (new bldg) _ Final/C.O. - Footings (deck) Final/No C.O. Footings (addition) _ Plumbing - Foundation _ HVAC _ Drain Tile Roof _ Ice & Water _ Final _ Other - Framing - Pool _ Ftgs _ Air/Gas Tests _ Final Fireplace _ R.I. _ Air Test _ Final - Siding _ Stucco _ Stone - Insulation _ Windows (new/replacement) 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 Total PERMIT City of Eagan Permit Type:Building Permit Number:EA118282 Date Issued:10/30/2013 Permit Category:ePermit Site Address: 1579 Ashbury Ct Lot:062 Block: 2 Addition: Blackhawk Glen 2nd PID:10-14351-02-062 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 . Elizabeth Hess 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 - Gregory G Anderson 1579 Ashbury Ct Eagan MN 55122 Sela Roofing Remodeling 4100 Excelsior Blvd St. Louis Park MN 55416 (612) 823-8046 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA136473 Date Issued:05/16/2016 Permit Category:ePermit Site Address: 1579 Ashbury Ct Lot:062 Block: 2 Addition: Blackhawk Glen 2nd PID:10-14351-02-062 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 - Hud 2401 - 23rd St Nw Ste 1d Oklahoma City OK 73107 Heating & Cooling Design 1010 118th Avenue NE Blaine MN 55434 (763) 291-8519 Applicant/Permitee: Signature Issued By: Signature