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1580 Ashbury PlBUILDING PERMIT To be used for DBM Site A2d?ress j ; Lot Block Parcel No. W Name ? ? Address 1 ? o _.. 41 CITY 4F EAGAN , 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, PHONE: 454-8100 Sec/Sub. Phone F City rKa?R LARC Phone 496-OZ67 ¢ WUW Name ? ? ; Address <W City Phone I hereby acknowlege that I have read this applicalion and state that the infamation is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Or Tnanc . ? i ,• Signature of Permitee ` ? ? ? • ?"f ? A Building Permit is issued to: D NYGR" I*' on the express condition that all work shall be done in accordance with all applicable State ol Minnesota Statutes and City of Eagan Ordinances, Building Ofticial Occupancy Zoning (Actual) Const # of Stories Length Depth S.F. Total S.F. Footprints On Sile Sewage 00.51t9 WBll MWCC System City Water PRV Required Booster Pump APPROYALS Planner Council Bldg. Oif. Variance uccio, f4? 13?`??J FEES _ Bldg. Permit 25•00 - Surcharge • ? 26' Plan Review ?_1 SAC, City - SAC, MCWCC Water Conn - Water Meter Acct. Deposit S/W Permit - S/W Surcharge Treatment PI Hoad Unit - Park Ded. Copies - TOTAL Zs' 50 permk No. Permit Holder Date TNephone # WATER SEWER PIUMBING H.V.A.C. ELECTRIC hqpeedon Date Insp. Comments Footirgs I F ndation ming hng j ghPlbg. Rough Hlg. Isul. Rreplace Final Htg. Orstat Test Final Wbp. Plbg. Inspecta - Noti(y Plumber Const. Meter EngrJPlan Bldg. Final Dedc Ftg. Dw* Fnal S we+i Pr. Disp. J CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100 • BUILDING PERMIT Recefpt ? To be used for Est. Value ? Date ? ,19 Site Address Lot Block Sec/Sub. ?Par.cel No. SAIL City Name Address City Phone I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable 5tate of Minnesota Statutes and City of Eagan Ordinances. Building Official On Site Sewage Occupancy MWCC System Zoning On Site Well (Actual) Const City Water ? (Allowable) ' PHV Required 4C of Stories Booster Pump Length Depth S.F. Total Footprint S.F. APPROYALS FEES EngrJAssess. Permit Planner Surcharge CounCil Plan Review Bidg. Off. SAC, City Variance SAC, MWCC Water Conn. Water Meter Road Unit Treetment P1 Parks TOTAL , Permit No. Permit Holder Date Telephone Plumbing C?.?,-1 ?.1 CLc 7!3???? H.V.A.C. Electric 1 4 1,391,1 Softener Inspection Dste Insp. Comment6 Footings 1 ? Footings II Foundation Framing Roofing Rough Plbg. f Rough Htg. Isul. 35 Fireplace ,;?if: Final Htg. 9 ? 47 Final Plbg. Bldg. Final CErt.OCC. Temp. LP Deck Ftg. Deck Final Well Pr. Disp. CI'T.Y 4 EAGAN 3830 Pilot Knob Road P.O. 66x 21 t99 Eagan, MN 55121 Site Address: MWCC: Surcharge: ' . Permit Nol 0335 City Chg: i i?`.' . 20 Acct Dep: 3 y '11 Permit Fee: 8!P No: 8 4 b^.i .J -e:' 't;.o3 ''ors'. Date: - Date: s ti ; ? :1.:S.qawi; , I %?,l J ?i Zoning- No. of Units: ' 1 agree to comply wfih the City of Eagan Ordinances. By SEWER SERVICE PERMIT O- R..? (Ur#ifirate uf Mrrupanry tttp of (fagan Mpptt1't11tPtl# 11f l11i1bt1tQ JttSpP1'ttOtt This Cene'ficate rssued pursuant to the requiremenu of Section 306 of the Uniform Building Code cenifying t7rat at the time af issuance this structure was in complrance with the mrious ordinances of the City reguTating building carrstruction ar use. For the following.• use Clsmfiration bT DWG%GNt B1dg. Permit No. 15179 pppipaocy Type R3 /tl E Tuniog District Type Const vIi owoaoesuila??LUUM FRO'ffaadress °3!% L. WAl.?l.tlHrA E31.vti.. WA171ii',^, 8m7ding Address. 15'8f I N97>??]EY i'UO', L.WL23, B? . MAQQ,%WQM I.ti'E Dats: SWIDM- 8, 1988 Building Dlfirirl ? POST IN A CONSPICUOUS PLACE CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: • ,IItiU1;Y I•1 : ;s? i II?l1? l I N I PERMIT SUBTYPE: ,' :t f.t 1. [ i I f. PERNIIT TYPE: Permit Number: Date Issued: i iiNiif,RF N KRuvti C?:?N t r; ):' 1 F1 f 3-- '.) r? A 0 TYPE OF WORK: ?at?- 14 [1? ir':Ia I No mt W if (r AM, tY R0014) INSPECTION D. . D• ,? .??i ;? ? ? ??ra ? i t s t•c ,,? : F L , rf? 7? 'F J Permit No. PertnR Holdar Date Telaphone N ELECTRIC 3 PLUMBING HVAC Inspsction W» Insp. Comments FOOTINGS FQUND FRAMING JlrD? '¢'r&;q L f?IZ/?9S G?•,y/ h-pB ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTO DECK FINAL i• ? &1wti I CI'MOF EAGAN Permit No: "? L, 9 " Date: F1020 - 3£3 3830 Pilot ;?ob Road Meter ivo: 4/43 SiZe: c P.O. Box 21199 Reader Date: Eagan, MN 55121 Owner. Site Addtess: 1: $i? ASh7iti`;. n2 L23 Bi 81 Glen 1 Conn. Chg: 550• no Acct Dep: 1e • 00 Permit Fee: I ? • ?'= Surcharge: • ='?? Tr. Plant ?'!? • ??n Meter. Misc.: Zoning: lt1 No. of Units: ? I agree to comply with the City ol Eagan Ordinances. BaG? WATER SERVICE PERMIT CITY OF EAGAN Remarks ? I? Ai 1d-247 . AdditionBl khgwk 6l eR-z^* Lot a13 elk ? Parcel 10-14350-230-01 a e Owner Street 1580 A shbur y Place State Ea an MN 55122 - 6 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF, 1076 1986 253.48 50.70 STREE7 RESTOR. GRADiNG SAN SEW TRUNK 1970 6.70 25 P ' r t division SEWER LATERAL 1 WATERMAIN Bn 1075 1986 92.80 18.56 5 WATER LATERAL WATER AREA 1072 1986 309.40 61.98 STORM 5EW TRK 732 1983 32.57 15 STORM SEW LAT CURB & GUT7ER ' SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK . CITY OF EAGAN M_ 1517 9 3830 Pllot Knob Road, P.O. Box 21-199, Ea3an, MN 55121 BUILDING PERMIT PHONE: 454•8100 Receipt#gy 6o 7o be used for SF DWG/GAR Est. Value $107,000 Date JliNE 13 ,1g$? Site Address 1580 ASHBURY PLACE OFFICE USE ONLY Lot 23 Block 1 Sec/SubBLACKHAWK GLEN 15 OnSlteSewage _ Occupancy g-3 M-1 . MWCC System X Zoning R-1 Parcel No. On Site Well _ (ACtual) Const V-N a LUNDGREN SROS Name Ciry Water X (Allowable) V-N ? Address 935 E WAYZATA BLVD pRV Required X # ot stones ? City WAYZATA Phone 473-1231 Booster Pump _ Length 60' Depth 26' • . o Name SAME S.F.7otal , ? a AddrOSS Footprint 5 F. ? City Phone pppROVALS FEES W w Name EngrJASSess Permit 596.00 ? = Planner Surcharge 53.50 i - Address Council Plan Review 298.00 a W City Phone Bltlg Off. SAC,City 100•00 Owereby ecknowledge that I have ead this application a dstate that the r informa4on is correct and agre j? ty it all a pli ?able State of Variance SAC, MWCC Water Conn 550.00 550.00 Minnesota Statutes antl C ty of? a 42 Water Meter 67.00 Signature of Permittee _ Road Unif __325-AD A Building Permit is issued to LUNDGREN BROS Treatment P1 204.00 oniheexpresscondihonthatallworkshallbedoneinaco dancewithall applicable State of Minnesota Statutes and Ciry of Eagan Ordmances Parks 2,743.50 Building OffiGal I?- ? TOTAL I ? 1988 BUILDING PERMIT APPLICATION - CITY OE EAGAN SINGLE FAMILY DWELLINGS 15 " ol • INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WiiICH ADDRESS IS DESIRED. NO CAANGES WILL BE ALLOWED DNCE BIIILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL IINITS FOR SALE UNITS # OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS DF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIEICATIONS AND 1 SET OF ENERGY CALCULATIONS l To Be Used For: ? Valuation: Site Address ?5d a ? OFFII ?d7? Obv Lot ? 3, Block / Parcel/Sub Owner Address =40?Y City/Zip Code vA1i111vuYM7m aa'Mw OseNm Phone Contraetor wwwp? slim 191111IFFIRIMp [m Adaress 896 E WAYIATA BLVD. TA, MM 55391 City/Zip Code FNM 4n193j Phone Areh./Engr. _ Address City/Zip Code Phone # Date: 1? On site sewage, MWCC system ? On site well City water f/ PRV required _ Booster Pump _ ;E USE ONLY Occupancy }?.'?? ??I Zoning (2- 1 Actual Const V-N Allowable V^IJ # of stories Length ? Depth S.F. Total Footprint S.F. 9PPROOALS FEES Engr/Assess Permit 5%'00 Planner Surcharge S .SO Council Bldg. Off. Plan Review 3SAC, City ?&/1 7-98. 00 100,0a Variance . SAC, MWCC 5S 0,40 Water Conn O,oo, Water Meter 9' Oo Road Unit .?25 Ob Treatment P1 p ,o0 Parks Copies TOTAL V,A??AT.o?? Z?. x zz = 5? 2 X lLl = A'aae 35Ixz? ; ?l x u? ? qar2y /06132- umow? NNXKW ir ? WE irAMiVM'rYB rnMoln1l MIY° tM1111CSt11r ME' u ? A1ATrAiN .3 V r: aM .ATAI1'AW '?'? ? e I-SURVEYOR'S, CERTIFICATE SIENNA CORPORATION •? . REVISED 5 -04-88 TO SHOW PROPOSED HOUSE 81" IUNDGREN BROS. CONST., INC. ASHB RY PLACE 82S g_ . , 0 ? 26.3 e26.1 R= 45/.50 M =9 °30 ' 58 ° 825.' „ ?.? k 74. 9_4 _ 2' 2.'`? ?/ C w Q V O?j O m 5 > y&s?':? p' / 1 . , Ip ' ? y ?J k? W T ? h i ? ^ 0 TN N •'J ci? (824.?)?? S 50 ° 28 ' 53"B? - " C. r 7 tAGA1V 6-dNEER7N6 AEPT ? G°' AMo REQMMED -?- DENOTES PROPOSED SURfACE DRAINAGE O DENOTES IRON M.ONUMENT SET SCAL[: 1 INCIi = 30 FEET • DENOTES IRON MONU MENT FOUtJD PROPOSED GARAGE FLOOR = 828.8 FEET XOOD.O DENOTES EHISTING ELLVATIUN PROPDSE[7 LOWEST f100R = s2?•1 FEET (000.0) OEP{OTES PR01'OSED ELEVA7ION PROPOSED TOP OF BLOCK =$29.2 FEET l•lE FIEREBY CERTIFY TO SIENNA CORPORATION REPRESENTATION OF A SURVEY DF T}IE 40UNDARIES OF: THAT THIS IS A TRUE AND CORRECT Lot 23,Block I, 4LllCKHAWK GLEN 15T ADDITION, according to the recorded plat tiiereof, Uakota County, MinnesoCa. ?T [10E5 NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACNM[NTS, IF ANY. AS SURVEYED DY ME OR UNDER MY D]RECT SUPERVISION TH1S13rN UAY OF NaV. , 1985; SIGPlED BY o) m ` I «28.5) ( I ? V JAPViES R. HILL, INC. Planners / Engineers / Surveyors 0200 Flumboldt Avanue South Bloornlnpton, Mn. 155431 012-084-3020 PROJECT N0. 8 5618 (88363) FILE NO. FOLDER JA?S-R. HILL, INC. , H ROLD C. PETERS0I4, LANU SURVEYOR MINN[SOTA LICENSE NUh14ER 12294 ? 1 827.94 l tj 1 i 'U O N Z N ` N ? W x (Q ? ? M \J l?? ORAlNAGE & UTILITY n? I? EflSEMENT PER PL4T ? J o ! A lo-i BOOK / PAGE ? O• co.0! I ? / PROPOSED o ? cd N GARAGE HOUSE N N ? I j x ?xaze.a 60.0 82e.0x\ i? ? o N - N ? LOT 23 # ; LUNDGREN O CTRUCTION BROS? 935 EAST WAYZATA BOULEVARD • WAYZATA, MINNESOTA 55391 0 (612) 473-1231 EXTERiOR EPlVELOPE AVERAGE U COt^,Pl1TATI0N ?_. // . 7 i ? 13 5' S te Address ,?? , . f 31ock jZOLo?. R& U Factors R U Opaque 4lzl ls . US$ 4lall Framing Areas , 119 Ceiling Insulation Area .Q 03 Ceiline Framinn Area . 00? Rim Joist , D Y -r hlasonry 4fa11 • a / l•li ndows , 3? Doors . 3/ Skyliahts .525 1 ) Lower Level (Basement) 7otal exposed wall area ? Ooaque Wall Area zyo x (U) ',}'ood Frame Area z(n x (U) _11-2 _ Z, L;2 Rim Joist --- x (U) . D? _ - Excosed bloc!< ?x (U) ,-zy _ //' C2 'h'indow Area x (U) ,3s = 1J, o? Sliding Glass Door - x (U) Door Area '-' x (U) '31 _ -- Tota, a.3 • LU? ? R ? ?CO CTRUC710N Page 2 935 EAST WAYZATA BOULEVAftD • WAYZATA. MINNESOTA 55391 •(612) 473-12 31 2) lst or main floor Total exposed viall area J? ??7 • Opaque wall area (U) Wood frame area ?x (U) Rim joist ?D x (U) Window area ?x (U) Sliding glass door (u) Door area ? x (u) _? _ // •? ?' --LL-=`- Total ?o 6 - ?? 3) 2nd floor if 2 story Total exposed wall area Opaque wall area 41ood frame area 4lindcw area Sliding glass door Door area M r O %G?,x (U) 2?ZLx (u) 2,r2. Y. (U ) - x (u) `.5 = ---" x ( U ) rotal 4) Total ceiling area 4lood frame area Opaque ceiling area Skylight ? z L)x (u) , Cxi= ? ?ln ( U ) _0 >1 = 2. .? x (u) . ? ? ._- ? - Total a??P g ? ?'age 3 •, : ,?:.', ' LtJ h D ?ad i'?v- H • ? ? cC0 CTRUCTION J 935 EAST WAYZATA BOULEVARO o bNAYZATA, MINNESOTA 55391 0 (612) 473-1231 Minn. U Factors Total exposed wall area ?/c2? x,// hiirn. U Factors Total exposed ceiling area x.G?? (A) Total = o?9D• O?n + Iter? 3?,9,0+ Item 4?2.6 Item 13a'?3q + Item 2 206,37 I` total o` Items 1- 4 is less than Item (A), building complies with S6C 6006 (C)s BUILDING PERMIT To be used for DECK CITY OF EAGAN NQ 19046 3830 Pilot Kno6 Road, P.O. Box 21-199, Eagan, MN 55127 PHONE:454-8100 ? Receipl # ? ? ?j -? L ) _ Est.Value $1,000 Date MAY 10 , 19 _91_ Site Address 1580 ASHBURY PL Lot 23 Block 1 Sec/Sub. BLACKHAWK GLEN OFFICE USE ONLY Parcel No. T Occupancy M-2 FEES Zomng w Name MARK & ANN DETORRE (ACNUaI) Consl Permil 25.00 Bldg ; Address 1580 ASHBIIRY PL (Allowable) _ - . 50 ° Surcharge . City EAGAN Phone 688-6865 x ol Stones ' Plan Review Leng[h --26 o Name DI( NYGREN CONTRACTING pepm 22' Snc a ga Address 14054 RUTGER ST NE s.F.rotai - , ry ? City PRIOR LAKE Phone 496-0247 S.F. FootpnnLs _ SAC, MCWCC W t C On Sile Sewage a er onn ?w Name on sne wen M W ?w - ater eter AddfeSS MWCC System - qccL Deposit aW Ciry Phone cnywaier - PRV Fequirad - SNJ Partnit I hereby acknowlege that I have reatl [his application and state that the Booster Pump - 5/W Surcharge infortna6on is correct and agree to comply with all applicable State of Mmnesota Statutes and City an Or In" nc . v? Treatmem PI Siqnature of Permitee ' APPROVALS Road Umt A Building Permit is issued to: DJO NYGR ONTRACTING Planner - pyrk Ded on the ezpress condition that all work shall be done in accordance with all Coumil -- applicable State of Minnesota Statutes and City of Eagan Ordinances. BIdg.OfL _ Copies ?) 8mldingOflicial fiiml Od? 1149 Variance _ TOTAL ??•?V 1991 BIII! 11014(p PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS M[TLTIPLE 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 ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLZES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQllEST IS MADE. IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MilST DESIGNATE WfiICH ADDRESS IS DESIRED. -NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. MAY O 8 RECD To Be Used For: 2(fm?cz- Valuation: -?" Date: ?5rg / Site Address 16-;4g'6 U lf OFFICE USE ONLY Lot 9-3 Block J FEES _ Occupancy M '2- Bldg. Permit 25,00 Zoning Surcharge n Parcel/Sub Actual Const Plan Review Allowable SAC, City Owner # of stories SAC, MWCC ?/ Length ZG ? Water Conn. /6gO ? Ur ? Address f? y /ie? Depth ZT Water Meter S.F. Total Acct. Deposit City/Zip Code Footprint S.F. S/w Permit S/W Surcharge Phone On site sewage_ Treatment Pl. / On site well Road Unit Contractor MWCC System _ Park Ded. ` ?? City water Trail Ded. Address Os7 r•? s7 ' . PRV _ Copies / Booster Pump _ City/Zip Code NO?'U1? 7? SUBTOTAL APPROVALS Penalty Phone YR6 - 02 V7 Planner Lot Change Council TOTAL ? / _ Arch./Engr. [ D 7'L TY?? Bldg. Off. pS -T49/ Uariance Address 15? City/Zip Code Phone # agrees that all work shall be done in accordance with (Signature oof tractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. ti ? -SURVEYOR'S CERTIFICdroTE SIENNn CORPORATION . . . . REVISEO 5-04-88 TO SHOW PROPOSED HOUSE BY' LUNDGREN BROS. CONST., INC. i ASHBURY PLACE 8259 . 0 ? ezs a R=451.50 ° exe.i _9030 '58 " ezz.? m ?z?2x '"vaPA9 c? V ? ` \ I !n1 I`0 , 828.16' z W / ?3 ° ? J k O r k ? = N W H l i ? ? x ^ H ro 0 ? ~ I ? w k ?'?'}?•? o --? OI <HZ?.s? ? ? Y0.6 / I ? GARAGE ? PROPOSE? HOUSE i / I ? _fifl,p ? 3.3 ?8 ?a.:? ? B?? ?Z? ? ?_ 828.0 LOT 23 N ? ?- 1 V , 827.94 l V i1 i 2 u7 J ^+ ? N 1 N ? ? Q W U a y ? m ? \ J ORAlNAGE A UTIi1TY ' ?. EASEMENT PFR PLAT ? ? o (829,7 i_ ii) I ? ? i 1 5 I ? J ? so . ss S 50°28'53"Bl ?at L- ?AGAN EIZIGINEERING DEP'I' ? P.R.V. REQUIRED ? DENOTES PROPOSED SURFIICE ORAINAGE O DENOTES IRON MONUMENT SET SCAL[: 1 INCfi = 30 FEET 0 DENOTES IRaN.MDNUMENT FOUND PROPOSED GARAGE fL00R = 828.8 FEET XOOD.O DENOTES EXISTING ELEVATIUN PROPOSEO LOWEST FLOOR = a2i.1 FEET (000.0) DE"IOTES PROP05ED ELEVATION PROPQSED TOP OF f3LOCY. = az9.2 FEET 41E HEREBY CERTIFY TO SIENNA CORPORATION THAT THIS 1S A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF TIIE DOUNDARIES OF: Lot 23,Block I, aLACKHAWK GLEN 157 ADDITION, according to the recorded plat thereof, Uakotd County, MinnesoCa. IT OOES NO7 PURPOR7 7D 51101d IMPROVEMENTS OR ENCROACHhiGWTS, IP ANY. AS SURV[YED DY t•fE OR UNDER MY D]REC7 SUPERV1510N TH1513Yf1 pAY OF riov. , 1985" SIGNED: JAt?1? R. IILL, INC. UY: H ROLD C. PETERS0N, LANU SUI2VEYaR F1IPINESOTA LICEWSE NUI•iBER 12294 PROJECT N0. BOOIC / PAGE JAMES R. HILL, INC. 85618 (88363 ) Planners / Engineers / Surveyors FILE NO, 0200 Humboldt Avanue South FOLDER gloominflton,ti+r. 55431 atz-ooa-aose 2 3 9-1. 5 4_. ? OFFlCE E ON This reqvesl void I B monlhs from validmion dafe pnnted in fiis box i? o? Q 533'7 o I PLEASE PRINT E R Raugh.m mspecnon reqmredB I& Yez ? No Inspechon Olher Thon Raugh-In? Ready Naw? Will Coll N ? (Yau musf call the Inspenar when ready) Dok Ready ensed contmcior ? owner hereby requesf inspection of flie above eledrical work at: Job Addre$s (Sheet, Bm or Raule No ) qry ? Zip Cade Sedion N. Township ame o. Na Ron9e No Fre No Cowry o?, `?? ? ?R Ocwpanl ?' ? Phone No ???- r1 1 1 I` ? ? U ) ly ! PowerSopplier Pddress EI«Inwl Convaclor (Compom Nama) , ontmcmr Lcrose N. Mashr Lc. N. (Plam EIM Only) ? ec cr / ?3, c7? / rfo?ming Insbllaeon? Moiling Aad Irocror ?O A5051 V AvNwnzed5ignature etlraclarorOwnarPedorminginsroJlo w Y! tirl^-?I'lA.,.?G- PMneNo EMOOJIA- 6/95 STA BOAROCOPY•SEEINSTNUCTIONSONBACKOPYEI.LOWCOPV IIIII I IIIIIII?II) IIIII IIIII IIII III I III IIII REOUEST FOR ELECTRICAL INSPECTION ..??/ Minnesota State 8oard of Electricity s-? 1921 University Ave., Rm. S4 8, S'L Paul, MN 55104 * 0 2 3 9 1 5 4 8* Phone (612) 642-0800 ?y??O??j',f Home Duplez Apt. Bldg. Ot'ner: New 1 Addn Commerciol Indushial Farm Remod Re air Air Cond. Htg. Equip. Wafer Hir. Load Mgmt. Other D er Ran e Elec. Heof Tem .$ervice "X" above ihe work covered by fhis request. Enter remarks in this spoce ond on the back of ihe whife mpy only Calculote Inspection Fee - ihis Inspedion Request will not be accepted without ihe corcect fee: Oiher Fee S $ervice EnhaMe $ize Fee # Cirwih/Feeders ? Fee Mobile Home Park Stall 0 to 200 Amps 0 fo 100 Amps Sireet Ltg./TraHic $ig Above 200 Amps Above 100 Amps Tronsformer/Generator INSPECTOP'SUSEONLV TOT/ A/L ? Sign/Ouiline Ltg. Xfmr. , Alarm/Remote Confrol Swimming Pool I hem cem ?hat I ins ecled fha ele lollano d res smkd r Ifli9afion BoDm Rough-In Special Inspedion ?Q^ ? ? ? Inygstigefive Fee Final ? THIS INSTALLATION MAV 8E ORDERED DISCONNECTEO IF NOT COMPLETED WITHIN 78 MONTH . ? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT TYPE: Permit Number: Date Issued: cR.qqGlO BUILDING 026648 11/15/95 SITE ADDRESS: 1580 ASHBURY PL LQT: 23 BLOCK: 1 BLACKHAWK GLEN P.I.N.: 10-14350-230-01 DESCRIPTION: idin+3-=. k d i'tig (FAMILY ROOM) ermit Type ts:rk 7ype SF ADOITION NEW 4 3.. ? 2? ra 1 ^1?, PERMIT Jp;C L q. :,?.4 ?Gtrc% ?.R?iu?q aJ: REMARKS: 9.hti?4?A ?}k?4R 5 ?1?1??.v3s[.. FEE SUMMARY: Base Fee Plan Review Surcharge Total Fee VALUATION $484.75 $169.66 $20.06 $674.41 $40,000 CONTRACTOR: - Applicant - sr. Lrc. OWNER: LUNDGREN BROS CONS7 INC 14739640 0001413 DE70RRE MARK 825 E WAYZA7A BLVD 1580 ASHBURY pL WAYZA7A MN 55391 EAGAN MN 55112 (812) 473-9640 I her.e6p.aoknow2ad9e that`l`haue'readthzs ir?formation is' qorrecL and ag`r:ee, tsf' ?a;mP1.Y Statutes enc! City -of Eagan UriiinarR??s, ` `?? A P ICAN? S G? E -? .. . .,.,.., ,.,,, ? . aP'Pl?eat3arv arx? staC? Ct?a't` tF?1 t?ri?th; _ pp.pli'ch3._i'- Ste?? E : SI ATUR?E! I - EAGA 3830 PILIOT KNOB RDN 55122 ? ?` ? ? 4? ?1 1995 BUILDING PERMITAPPLICATION (RESIDENTIAL) 68114675 New Cormtruetlon ReauiremerHS RemodeVReoair Reaulrertxnts ? 3 registerod site wrveys ? 2 copies ot plan ? 2 eoPies of Dlerm (indude beam & windam saes; poured fid. design; ete.) ? 2 aite surveys (enterbr adddrons & dedcs) ? 1 energy plalatfom ? 1 energy calculationa for heated addRions ? 3 eopbe of tree prcssrvaUon plen if bt platted aRer 7I1l93 mquired: _ Yes No DATE: 10-Z3-q5 CONSTRUCTION COST: :?O-m ?DESCRIPTION OF WORK:?b??D I 4%,`?FY ? STREETADDRESS: t'M - 110NI, f?yP(TIDN LOT 11 BLOCK SUBD./P.I.D. # PROPERTY Name:J?QIC Phone #: ? OWNER w' "a* (ft 'PP Street Address• f City: State: ? Zip: CONTRACTOR Company: LL?I?1 G?a?lv ?1?5 l-ra-urPaikne #: q 73-qi>1U X,3 Street Address: ?575 J-' WAyZATA MVRicense M 1? 13 City:lM]m t - State: MO Zip• ??6391 ARCHITECTI Company: 6 pt-045?- Phone #- ENGINEER Name: Registration #• Street Address- City: State: Zip: Sewer 8 water licensed plumber: . Penalty applies when address change and lot change are requested once pertnit is issued. I hereby acknowledge that I have read this application and state that the infortnation is correct and agree to compiy with all applicable State of Minnesota Sfatutes and City of Eagan Ordinances. Signature of Appiipnt: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No f.;; Z 31??5 Tree Preserva6on Plan Received Yes No OFFICE USE ONLY BUILDING PERMIT TYPE 0 01 Founda6on o 06 Duplex o 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwelling o 07 4-plex o 12 Multi Repair/Rem. 0 17 Swim Pool ,,,'-03 SF Addition ? 08 8-plex o 13 Garage/Accessory o 20 Public Facility 0 04 SF Porch o 09 12-plex o 14 Fireplace ? 21 Miscellaneous 0 05 SF Misc. 0 10 _-plex o 15 Deck WORK TYPE Ae-31 New o 33 Alterations o 36 Move 0 32 Addition o 34 Repair o 37 Demolition CsENERAL INFORMATION Const. (Actuat) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning _ Basement sq. ft. MC/WS System _ Main level sq. ft. City Water _ sq. ft. Fire Sprinklered _ sq. ft. PRV _ sq. ft. Booster Pump _ sq. ft. Census Code. ? _ Footprint sq. ft. SAC Code o/ Census Bldg Census Unit R Building Engineering Variance Permit Fee Valuation: $ O e2o ? Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S!W Permit SNV Surcharge Treatment PI. Road Unit Park Ded. Traiis Ded. Other Copies Total: °k SAC SAC Units 6125591646 • 01/05/1996 09:34 6125591546 '?,ec t`?UIL4 - ,IAF1N ENOIN6BRING.INC. CONSULTlNG ENG/NEEAlNG 6516 Valley View Roed Carcoran, Minnesota 55340 OHicelFaz: (612) 478-6386 Y'Om b?hf i n B£ r .(?dµs' ld?ew?? 6(?d(K. liit3 4S UA4 VISION OF GLORV CHUR PAGE 02 ,oa SHEET NO. -- OF CALCULA"CED BY DATE-Z??-/471- 3- 13j G V G- r ? s-4?; 4, om S?r ?ls j ? ?-l2 `4 ?----?, ,? ?1 "/a / ?. ?/ r: l.. !u (L) i-ct r/ r p , ? F-4n.., f? r ?+._.. ??lls+ I hereby cartify fhal rh1s plan, spacificetion or .eDorl was prepared by me or undar my dircct supsrvision ond tFat I am a duly R¢giste.ed Proyl yp nal Enyin?er undar the laWisef iha Stare of nbNfi ?4y.I No. T- ? rgt L A? JAN b4-96 THU 08:08 JANi+i ENGlNEEqING, lNC. CONSULTING ENGINEERING 6576 velley View Rosd Corcoren, Minnesota 55340 OifiteiFax: (612) 478-8386 ?t IGAyeD 6rALr: -?r' orh LU7re, e erts + ? B c ot?5, 24 , 3 - 134 x `i ?4-- G , ?-xr a i? FRX N0. 6124739713 P. 02 JOB SHEET NQ _.__..,,„,.........___?....L? ?_._ UF CALCULATED BY t3A"CE ? "?- 6124739713 LUNDGREN BROS ? ? /G ? ?•-u .'/S r ?. T?.1. rr? ?,c? ¢P U> .L, GJ 7: Q,?-?".? Crfl, ,,(-- ? RESIDENTIAL BUILDING PERMIT APPLICATION ? EACAN MN 55122 3830 PILOT KNOB RD 651-681-4675 New Constructlon ReaWrements RemadellReoair Reauiremenk • 3 registered site suneys showing sq. k of lot, sq. ft. of house; and all roofed areas • 2 capies of plan (20% manimum lot coverage allowed) • 1 set of Energy Calculatbns for heated additbns • 2 copies of plan shaxing heam & vnndow srzes; poured found desgn, etc.) • 7 site survey for exterior additbns 8 decks • 1 set ol Energy Calculatwns . Indirate d home served by septic sysMm tor addiGons • 3 cropies of Tree Preservation Plan if lol platted after 711/93 • Rim Joist Detail OpGons selectbn sheet (bidgs wilh 3 or less unifs) DATE lyCN 6 I Q Z- VALUATION -0 ) `&70 SITE ADDRESS /Sn?^A-'LC.?fiL5?? ?- 04-?`?"' MULTI-FAMILY BLDG _Y > N TY E OF WOR ITC.f RU1') `' ?'!/}23I?'t2lC?erJ -2SfV12lA FIREPLACE(S) _ 0 t/f _ 2 ej/a-,1 aw/1y-4-1 Ce4vY?/?f rr? Nc? ?..14 - APPLICANT OR/YO/9- "t- J buta? STREETADDRESS ?s?S r7?Yt?/f!/1'i-GGG!%C LaLdZ. CITYSTATV) !?ZZIP TELEPHONE #?o ZZ ?:?-2-Slf-66' CELL PHONE # 61 Z ZZI ZZ i-u FAX #CO1L 922kk3_? PROPERTYOWNER p` n&LK- 0eTB+'? TELEPHONE# b( l??tT 'Od?E? COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINVESO"fA RULL.S 7670 GITECORY 1 MINNLSOTA It[iLES 7672 (J submission Type) . Residential Ventilation Category 1 Workshee[ Submitted • New Energy Code Worksheet Submitted . Energy Envelope Calculations Submitted Plumbing Contractor: ??_''"??o •`T?? Phone # + Plumbing system includcs: _ L?Vater Softencr _ Lawn Sprinkler Fce: $90.00 bVater Heater 10. bf R.I. Baths ? No. of Baths Mechanical Contractor: #_,?-6 3SyZ /l 64C Mcchanicil systcm includcs: Air CondiuoiO Pcc: $70.00 -` Hcat Recovcry Systccn ?? o Sew/WatUr?p?trQ,?#or Lu?' ? I hereby acknowledge that'I have read this application, state thot The withFall-app7cdbie State of Minnesota Statutes ond City of Eagan Ay Signature of OFFICE USE ONLY Phone # is correct, and agree to comply Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _ UOdated 4102 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex 13 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling O 08 06-plex ? 16 Fireplace O 21 Porch (3-sea.) ? 31 EM. Alt • Multi O 03 01 of _ plex ? 09 07-plex 14 17 Garage ti 22 Porch/Addn. (4-sea.) ? 33 6ct. 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 Stortn Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ADJr.19 -n -CrNalFbE- AnD tlo?a RM?e(yReHtS ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding %P 32 Additlon ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolitlon (EnUre Bidg only) - Give PCA handout to applicant Valuation 6u0 Occupancy T2 -3 MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bidgs Length Fire Sprinklered Type of Const 1/ /l W idth REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) e12 FinaUNo C.O. ? Footings (addition) Plumbing ? Foundation Ld HVAC _ Drain Tile Other Roof to Ice & Water l{'J Final _ Poot _ Figs _ Air/Gas Tesu _ Finsl / Framing Siding Stucco Stone ?y Fireplace 4'Q? RI. 'e Au TestO Final _ Windows (new/replacement) ? Insulation _ 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 Total l '7 `I '? - -,,s 5 a SURVEYOR'S. CERTIFIC/ATE SIENNA CORPORATION . . , "? • REVISEO 3-04-88 TO SHOW PROPOSED HOUSE BY LUNDGREN BROS. CONST., INC. ' i ASHB RY PLACE 0 ?e2s.a R=451.50 M B2e'? 9 30 58 BZyT ?azzax 74.9_9 -._ ....?? CV 1126.16 , (D W N3 N ? k x o a ? h n Q. ' e n M ?-, PROPOSED HOUSE / I/ r'o ?z8.o? Ne?" ? LOT 23 i? ? ? I ? I ? 1 ?829.7 ) ?-? DRAfNAGE d f/72/Ty ? s £sISEMENT PEAPLqT . i_i)i : ?i NI Ln Js >> C\j 7 9 `,Ij . 4 W C ? N M O M ? ` J , IJ ? 90.36 ° ? re-+? S 50°28'53"u- & ?'AG1LN ? i?INEI:RtNC DEPT ? P.R.V. REQUIRED ' DENOTES PROPOSED SURFACE DR1lINAGE O DENOTES IRON MONUMENT SET • DENOTES IRON MONUMENT FOUND X000.0 DENOTES EXISTING ELEVATION (000.0) DE°10TES PRO('OSED ELEVA710N b!E NEREBY CERTIFY TO SIENNA CORPORATION REPRESENTATION OF A SURVEY OF TfIE DOUNDARIES OF: SCALE: 1 INCH = 30 fEET PROPOSED GARAGE FLOOR = 828.8 FEET PROPOSED LOWEST FLOOR = ezi.l FEET PROPOSED TOP OF f3LOCK = 829.2 FEET THAT TNIS iS A TRUE AND CORRECT Lot 23, Block I, BLACKHIIWK GLEN 15f'ADDITION, according to the recorded plat thereof, Uakota County, MinnesoCa. IT DOES NOT PURPORT 70 SIIOW. IMPROUEt1ENTS OR ENCR011CIIh1C•IJTS, IF ANY. AS SURVEYED [tY IdE OR UNDER MY DIRECT SUPERV1510N TH1S IsrN UAY OF NoV. , 1985: SIGPIED PROJECT NO. 85618 (88363) FiLE NO. FOLQER BOOK / PAGE DY: JA?S?R. ?ILL, INC. / Z{).:% l_i .r' yJ li ROLO C. PETERSOtq, LANU SUItVEYOR MINN[50TA LICEtJSE NUh1DER 12294 JANIES R. HILL, INC. f'lanners / Engineers / Surveyors 0200 Fiumboldt Avonue South Bloornfnplon, Mn. 65431 012-804-3029 PLUMBING (RESIDENTIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone 4 651-675-5675 FAX # 651-675-5674 Please complete for: Single Family Dwellings Townhomes and Condos when pemuts aze required for each uoit Date ; / ._/ / 03 Site Address ?.S O h Ur Unit # Property Owner Telephone # ( ) , Contractor u,,,, b? ,.-?{ Address L/ 3 ?/ i) p,, c? ? City State V vl n Zip .?S3y?s Telephone #(9S'? 2 i 1 r6sS / The Applican[ is _ Owner r conuactor _ Orher Septic System New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00 Includes County fee. Additional consultant fees may apply. Alterations To Exisdng Dwelling Unit, Induding ' $ 50 00 _W,- Adding fixtures to lower levels or room additions, excluding water softener and water heater . _ Abandonment of septic system _ Water turnaround (+ 5/8" m ter if ne eded -$121.00) ` _ Other. .?? '1"? C) ? _ RPZ _ new installation _ repair _ rebuild $ 30.00 _ Lawn irrigation system _ Water softener _ Water heater $ 15.00 _ replacement _ additional L D so State Surcharge JA?I 2 1 7003 I II il T l ? Sd ' ? ota I hereby apply for a Residential Plumbing Permit and acknowledge that the inFormatidn is complete and accurate; that the work will be in conformance with the ordinances and codes of the Ciry of Eagan and with the Plumbing Codes; that I understand tlris is not a pemut, but only an application for a pemut, and work is not to start without a pernut; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ApplicanYs Printed Name Ap ' ant's Signature ?q5V MECHANICAL (RESIDENTIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Please complete for: Single Family Dwellings Townhomes and Condos when pemvts are required for each umt Date I / 15 / (D?J Site Address 151C?(:) A S 1-l ISDCL?j Pl- A Unit # :': aperty Owoe: U°L?O CLCl ? S I? ?S . Telephone #! 1 _ Coniractor FLAazC. Vlt.A-T lYU (, StreetAddress _q3C73 \JL?/(?'??(?I I-1 Y?V`L N City Oh1 State 1 11 T\)1'3°t,?7Tfi Zip Telephone #(?(93 ) 5 y Z.- I i Zo Cp The Applieant is _ Owner X Contractor _ Other Add-on, modification or alteration to existing dwelling unit $ 30.00 X furnace replacement air exchanger air conditioner X other ? 0 Cr-T [,oO State Sorchazge $ .50 Total I I $ 30•`_JO p J L- I? 1 I hereby apply for a Residential Mechanical Pemut and acknowledge that thr be in conformance with the ordinances and codes of the City of Eagan and %J permit, but only an application for a permit, and work is not to start without approved plan in the case of work wluch requires a review and approval of??la NtvIs ??aor?pso N; \ .. , u 1 /IJuj I I' II arion is complete?ati? accurate; that the work will Mechanical Codes; that I understand this is not a ffit=tkia ll be in aecordance with the Applicant's Printed Name Ap`l MECHANICAL (COMMERCIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Please complete for: commercial(indumial buildings multi-family buildings when sepazate permits are not reqwred for each dwelhng umt Date Site Address Unit # Tenant Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) Contractor Street Address City State Zip Telephone # ( ) The Applicant is _ Ownet _ Contractor _ Other Work Type Newconstruction UndergroundTank _Install _Remove Interior Improvemeni Call for inspection during instatlationlremovaf of tank Processed Piping Nature of Work: Permit Fee S50.50 Minimum Fee (includes State Sureharee) Contract Value $ x .Ol% _ $ Permit Fee • If pemut fee is $1,000 or less, add $.50 => $ State Surcharge If pernvt Fee is over $1,000, add $.50 per $1,000 Permit Fee $ Total Fee I hereby apply for a Commercial Mechanical Permit and acknowledge that the informarion is complete and accurate; that the work will be in conFormance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; ttiat I understand this is not a permit, but only an application for a pernvt, and work is not to start without a pernut; that the work will be in aceordance with the approved plan in the case of work which requires a review and approval of plans. ApplicanYs Printed Name ApplicanPs Signature 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan / 3830 Pilot Knob Road, Eagan MN 55122 c? L'} Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWCtion Reaui2menb RemodeVRenair Reoulrements 3 registered site suneys showirg sq. ft o( IoL sq. R ot house; and all roofed areas 2 wpies of plan Ged oCSi['vey R?tl??` `"•?'!,l"= "_' 6? (20°h maximum lot coverage alla?ned) 1 set o( Energy Calculations for heated additions hee Pfes?_Plan Reqa;'... <-?=Yq`„_, N 2 copies of plan showing 6eam & window sizes; poured found desgn, etc. 1 site survey (or addiGons ffi decks Tree,P ?F'?ie,qyi2?9?;?"r<4 ..'L^ 1 set of Enertgy Calculatbns Addifion • irMicate ifon-site sepNc system 6'41te, tid 45m' i __K 3 copies of T2e Preservation PWn if lot plafled afler 711193 Rim Joist Detail Options seleclion sheet (bldgswiUi 3 or less units Date D?_ l? l 2QO?F Site Address /S?Q 1?S Construction Cost I1, 00 O AIBu v.t.r_1,. A14'r- 0, UniVSte # Description of Work ? Q,??- MEl? i' Mu1H-Family Bldg _ Y_ N Fireplace(s) _ 0 2 Property Owner /.,PZ &_ya,pQG Telephone # ( dj7 ) /? ?? 60 e Contractor Address State a12 Y?- Ad./• City Zip 03-3°37 Telephone #(?) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy CAde CategOry , Residential Ventilatlon Category 1 Worksheet • New Energy Code Worksheet (J submission type) Su6mitted Submitted • Energy Envelope Calculations Submitlad Have you previously constructed a building in,Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone # ( ) iJu Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone # ( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicai t's Printea Name ApplicanYs Jignatur??c OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 OS-plex ? 13 16-plex X 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 (screen/gazebo) ? 36 Multi Misc. ? OS 03-plex ? 11 10-plex ? 19 Lower Levei ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Pibg_YOr_ N ? 25 Miscellaneous Work Types )il- 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building"` ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement `DemoliUon (Entire Bldg) - Give PCA handout to applicant m P MCES S t `?? Valuation Occupancy ys e f Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const ? ?? W idth REQUIRED INSPECTIONS _ Footings(new bldg) _ FinaUC.O. _ Footings (deck) _ FinallNo C.O. _ Footings (addirion) _ Plumbing Foundarion HVAC Drain Tile Other Roof Ice & Water Final ? Pool Ftgs ? Air/Gas Tesu Final Bri _ Framing _ Siding _ Stucco _ Stone _ c _ Fireplace _ R.I. _ Air Test _ Final _ Windows _ Insulation _ Retaining Wall Approved By: _T2, , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit 8 Surcharge Treatment Plant License Search Copies Other Total POOL PERMIT - APPLICATION SUBMITTAL REQUlREMENTS ? m ? GENERAL INFORMATION o z ? ¢ A 0 ? Applicant - name, address, phone & faac numbers, signature kFgr ? ? Property owner name ? ? Legal description and address of property ? ? North azrow, scale (P' = 30' or 40') and date ,U ? ? Location and name of all streets adjacent to property ? ? ,p Site Plan drawn to scale showing location of house, pool and other existing or pror?sed i'tiCtuies (1t a " ?u y - ? ? OR Directional drainage arrows (existing and proposed)i„15 ELEVATION5 Existina ? ? @0? House corners pcaf ? ? ? Property corners ?0 4& On property tines at poini of ineasured dimension to pool (see below) ?21 ? If applicable, ground elevation at each end of retaining walls and at wall's greatest height Procosed ??4W Finished pool dec omers ? c?' ?Z 0 Top of retaining walls (if any) and at each different elevation (if it changes) ?? Pool bottom (or max. depth) DIMENSlONS Exi tin ti ? ? All property/lot lines Prooosed V ? tw rooi ??otss,a?-,? 40 s«??)? ? ? ? Poo1 plus integrated deck/patio ?? hortest distance from outside edge of pool deck to lot lines and house(im isslaoF?) X4 Reviewed: G:/I'ECH/7R 2002lPool Pmnit Checklist Narne Date S Y- A'y -41k` ?sA,6&4P y Pi.. Scale: 1"=20' Revised 4/29/04 -----___ ? 10 Easement Driveway t Garage Detorte House ?. No Change In Lot Line Elevation 828.4 P i 5' 5' ' Addition g'g %9 828.8 N ?I ?- 828_8 I ? / ? ? I6L8.1 I iNo r ? ? 260 ? 19'7 1T3!Lot ii ? Fence, I (827_9) 828.5) &77.9 1 <? 6 (828.5 i ? (828 ? .14 1 ? 11 18x40 4 x 8282) •] I I ?__`?-? dffp 1? 1 ' (828.1) (829. ----5 _' j ; , --- --- ----------- , ? - ---- ---------? - --?-:?..--------'- -- t ' -- -? - 302)?' - -= Easemen 10 - _ _?. ( ?aao:s ?'?0.3&j V!rE,, ? j?? ?- •.? ??:, ' < . ?ge In Elevation ? 2006 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Consimdian Reauirements 3 registered site surveys showing sq K o( lol, sq. ft. of house; and all roofed areas (20% maximum lot coverage allowed) 1 Soils Report if proposed building is to 6e placed on disNr6ed soil 2 copies of plan showing beam & window sizes; poured found design, etc. 1 setof Energy Calculaiions 3 copies of Tree Preserva4on Plan rf lot platled after 711193 Rim Joist Detail Opfions seleclion sheet (buildings with 3 or less unds) Minnegasco mechanical ventilation fortn RemodellReoair Requi2ments 2 copies of plan showing footings, beams, joists 1 set o( Energy Calculations for heated addiGons 1 site survey foradditions & decks AddBion - indicafe if on-site sephc sysfem g l ?0) ?JU Office Use Onlv CedofSurveyRecd - _Y _N SoilsRepoft _Y?_N TreePresPlanRecd -' _Y._N T s?t Y _N On S??tc?l U L? u n ?j JAN 1 7 ?pp? I ? Z 7 ? ti C t J`? ` C Date __? onstru ? ? ? ?? ?' ? on os c SiteAddress J ? ? , 'l? (J? VT UniUSte # Description ot Work JJ1?) Fi J Mutti-Family Bldg _ Y_ N Fireplace(s) _ 0 _?/ 1 _ 2 Own r P t /"W I?L / ?PL?' Tele hone#'(F) roper y e p HeeM 8 Home T? Con[ractor d6m FlrHid?llONtl18 Address p1pP N. PWMMW AM. City State 4*11436-M Zip Telephooe # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Enefgy COde Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted In ihe last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( Telephone # ( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan 'n the cof work which requires a review and approval of plans. \ A?,V,, 1 ? 1 J ?l.h Applicant's Printed Name DO NOT WRITE BELOW THIS LINE Sub Tvpes ? 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 6ct. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo/perola) ? 36 Multi Misc. ? 05 03-piex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Tvpes ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding -? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 AlteraGon ? 37 Demolish Building* ? 43 Reroof ? 46 WindowslDoors ? 34 ReplaCement 'Demolifion (Entire Bldg) - Give PCA handout ta applicant D6SCflptl00: Water Damage _ Yes Valuation Occupancy MCES System Plan Review 100% or 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. aro aevaRYOOT a nhbow # of Bldgs Length FAire 'i nm?j Type of Const Width .4wl woi~ ,0 EM gry$g ?,? REQUIRED INSPECTIONS _ Footings(new bldg) Sheetrock _ Footings (deck) FinaUC.O. _ Footings (addition) FinaUNo C.O. Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final Pool Ftgs Air/Gas Tests Final _ Framing _ _ Siding _ Stucco Lath _ Stone Lath _Brick _ Fireplace _ R.I. _ Air Test _ Final Windows _ Insulation _ _ Retaining Wall Approved By: , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Ofher Total .? D3 g I ?,A,c?,? .?- /-u-??" ? ??%' ? - o • - • ? _ '. HEAT LOSS CALCULATION 20 ° TEMP. DIFF. CuKOmw wm. u v1tl? r6? CvL !? iS;vl `? I Trw oonWrwxion cny o..* r?. S!?wl _ Chy and Doo.?-Gadcpp ad Arw yo w?W? n? wti ?hNnl er ?1r Ma.& UwrIH. L u N enN A ?. 3o zv za ?. Btu Intileratwn 24. 1 o p Gun Zo (oor? Exp. wali 78. S K 8 227 Nat ewp. wall 208 ! 2? Int. wall cN?ing Ib.sx2- !98 t 39? Floo, Totd 8tu. -19 , fL ? FI.I- y?-f? v, oom l L.n tn I7. 5 Width 2 INI t Windows md Doars-Gaekapard ArM we e?'m? a?.w ie ef A.h 3 30 3 cod. en, In}illwtion p I S Gim o u f SO 0 EKp.wall 29.5X $ 23 Ne4 etp. wsll 20(0 l?2?} In1. well C«u^y 1?.5 k z Plo r. 210 f 1Of' zlv 3 ? Wbdeft sta.n snn 1NaIN . Ins. GilMq InIL Fbor «w oow.-a.auO.&a M. Ns. a? ?NM? 1N M ?M4 /1. • N CoN. Btu Infiltntion G4r Ezp. well S X Q o Not wP. wa11 (D IM. well Giluq I'f s rl o Z FbOf '1 d L I v ToulBtu. ( FI.IV},Ii+-j RaanlL«qth IS MHdeh i4 Meidn N? Window? o+d Ooon-Gadmpand Mw ma. N UM?M h. Mr (?o?f. Stu Inliltntion Gla Exp.wall Zqxff 237- Not np. well 2 2 '4 `I 28 Int. wall CoilinY ISX 1 zio z Zo Fbor Zlp /w. _ I ?F93Y II ,ouienu. 19 8' -T c ? l3 Fi.1 z f?e? t Raom lLm A 1 WidtA Iy FNio? g 1 FI.I k?+chev, RoomllWNth !D Wfd1At k.5 INldht w miNwc nwl0oors-Goek aa wed Arr W. ?r t `a et ArN CoN. 8tu - Inidllahon ? . E,p.wNl 28x ZZY No arP. well t24 b Inl wall Ceilm9 I') 1 Z 39Z Fb'" 3 8 Whidom and Doon--CwKkM md Arr Me. M? ?M? IN. ?1 LFrI h. ?. 1 231 1 i8 b ?- ?o Oo?f. etu Intinration 1 0 G4r Z'7 Sc? ?3 Exp. wMll 21 • S!? iriz- Not exo• wall 14 S S `d0 Inl. wall cei1wo I o x I l. S ? S z 2 0 Fkpcw I I S -7- Z Toul liu. 1? 11 Total ltu. I 3 7`} O 1 v HEAT LOSS CALCULATION qo ° rtEMP. DIFF, c?i?. wm. _?avPh 3ra? City _ OwNr N?me . StrMt City Tra Co,Ar„etb„ v q vrl?es 'iouu winmw, Stwm s.fi IMNb . Ing. Gi1Gp Inr. Fba FI.I pl nt 44t Room I L"A `t WidM 1"3 MINdrt Win{Iowt and Daor s-Gwkmp " Iu r Ne w.w? ? Y?M M.qn? O? M we er unw? 1t. L ry O? ilMll wrw .?1. z 3 Cw1. !tu Intdtrauon 2 o I { Ga" '34 5-0 000 e.o.W,u q X g Nat eap. wall g ? S 1nt. wall C.ilirg ?j' x( 3 i z 3 Floor f 1 2r Z roul etu. I 3 4 8d IS FI.?1 f=qm; RoomlLm h!S WidM (Tj Ibi t g Windows d Daort-Gackap and Ar? Ho W'n?? w?yn? e? ry N N Me N l n Lw?1?1, N ?tiH AIY ??. 2 Z a CaN. 9a 1/6 )600 GLn ? o0 E¦p.wsll ?23 x Zz N?ti eMo. wall °!z /7 ?v A Int. wall Cailrtg Sh / $ L F Iww 5' t 3? l«qtn fD wwn? 1_:?- ?ow!e wme Fwwe ooon-a.cr.o. «w A.« Ne. N MM 1y1?1?? fN. M l1wM h. Aw I 3- Lo L z ? ( I CoN. Btu I/IfIhqtlOfl o Glw $ SO Exp. wall D fip Nw nv. wall ? 7 Z-- Int. well c•ilinY a 13 3o Z z(oo Floor 0 30 -z- Z(vo Total Btu. 1 41OZ Z- f rFlj Room I LwqtA f l. S WIdtA / H. t,:; FNipn . W inOOws #lW popn -G?ekp? wid Arr Ns WNM N w INym Me. W ll Llwlh A,i U 2. I a ?o ` CoM. Btu Infikrnion 28' o IIZO Gbw 1( 00 EMp. wall z (? zog No1 exP. w+ll jt(p ?J ?f IM.wNI aiu,q ! t n I z aJ? <- F? 1 ?o£f Z- 33 Toul Btu. TotN 8tu. b LwWh 12,S Wkh:h 13 9 FQ RoqnI Logo WidtA "Mot ws d Doai-Gdcsoomand Arr w vwfn t Ooa -Gadc pr and ArM n ?r1r n? n? MO OI l b 1MY111. N?rM AlY . Ie r t ? r ? I 3G I + r? lnriu.,lbn -el ? Gia.s 2 -- Exp. wall 2 S. ?? 2 NA ox0. wall lRy r/ Int wall Gilm9 /.'t. I 1 /63 2 2 clo» I6 3 y 11 Windo & TaulBw. 13(000 Ne. N ?n No. M LMrI h. AN. aa. ea? intim.ean Gls Eap. wdl ' Nof neP. vwll Int. weil Gilkq Flea / Tonl Btu. ? M r?U HEAT LOSS CALCULATIO cw??.wm. ?vnd9r? p,? ?,3ros cIe+' - o.w. wm.. sv..e ____ oov c., City N 20 ° YEMP. DIFF. Tyn.oonww..i,,, Tqwxes-4-o? .1 wweow. Stom snn Walk. Ins. Gilirq In?. Floor Z and Doon-Crackap and Arr wMeom waa ooa.-aammm ?« Mo ^Wie'"? a?•?+. iO'ei? ei'nei. ? h. 2 Z 13 cost. Btu Inidrratian Q 8D Gax f SD fi S Exp. wsll Z? x 20 Net exp. wall r7 O Inf. wdl Ceiling (/a n I 0 bo Floor_ 60 ? 32c7 Me. a?' ?N?? Na M LMM n. ':Y.. 22- 1 CoN. Btu Iniikratbn 2 L 4110 9740 GlM S Exp.wall 21 )'T? ? 4M oxp. well IM. rwll Gilinq I 2 jk I S 1 F? O Floor ?$O Z 3(ot7 -"-" C 1 O II 7oq1 Btu. 2 FI.I Q ? Room I len h jg WidM f N?i t FI.1 RoomlLwptA W{Mh INpht Windowa and D?wrs-Gackp? snd Arw m:_y.__ --' ^---- ---- - _ - • - ' Ne Wnt? M M N ? ot•?iw Na e1 L ? NMNM• A!Y CoM. 9tu Inliltr?tbn 40 s26 G4r ? Eap.wall },S ?S' Zb0 Mel exp. well sp ? Z O Int, wall ??lws ! 8. S X i 4 2 3 ? wor 2 Z S 1$ Tmsi ntu. I S 23 '5: LJowt-ZM ?RoomI LwWh Z2. 5- Wid1h ! 2 Hoimht g' Wuwkwn anA Doort-Gukaor Od A?r Nr. W? ' M?M • L? b 1.0=0. N. z L zo r ? ?{v x 4 y y ? CaM. Btu Inldtrahon ,1. U b8O ??? 33 ?Sa E Mp. wall 3 Y. 5 k n.e•.v.w,u ?Y1 y IM. wlll Ceang 22. S x! Z 70 3 ?rlo Fk„ 2 70 roui etu. 5 Z II 5 3, 5 3 H z 8 ; r w•. awr?M ?M? `e .t ?ww N. ?..?. t. CoN. !tu InfilhaH011 Gllr Exp. well Ne sKp. wall Int. vall Cwfinp F loa Toul Btu. FI.I Lwq* WidM Heisht WMdom rd Daors-Cradcm rd Arr Mn. ?./11r NMM? I`N. N N 11. • M OoN. ?tu Infihntwn Glar Eap. well ' Not nip. well Int. wall Gilirq Fbar TOfaI Ot11. cQoqc1nec?i-?e lai o/O '/1'Yt SV1 41v 1 h'}4 K'P 5 71 O ZL O4aI 6GG4j- W SS ' V HEAT LOSS CALCULATION 10° TEMP. DIFF. cuomm NNM ?-und !?veh ?c . Gcy - DuIer 1imi . $trNl Z -- . 00? ?-- City _ Typr Cawauabn vG, w+PS '1'o v7 r? Window? S1am Smh YMalb . IM. Gilirq IrN. F bor and Doon-Gaclup wd ArM No W'tl7h M"M ?qnt a1 on Nu. e/ Lliwl lt Li M1 Nf1MY AM N. Cia0. Btu ?11}1?Sfa11011 (I () GI? T DO Ezp. ws11 1 (i !? o}?! t Nm axp. wau f°I ??o /7 Int. wrall c.iicny t(A x 1 o roo 3 Y(r? fba iw L 3ZA windnw?.ne ooon-aadwO..na Me. M NM INI?1?, Mo o1 LIwM M. A?N • MI?,. Btu Infikntion Z Z G4r 1 Exp. wa11 Not am0. well Int. rwll Gilinq z I80 .3 Floar / Z T tH Btu. ??? 3! (e Toul Btu. I 3?/LL ZW FI.I r.) RoornIlwqth L$.S WidM I`+ ~l 6 FI.I RoomI Lawth WId1h Windows uW Ouas-GKkap and Arr Windowt md Doon-Cradcpe wd Iur Ne N^? OIWWOI?M ?M Ne. ? IIhef L Yrltl 'O??IMII. ?. (v Z41 Z 30 CaN. Btu lnrdtn?bn 38 -yo 0 G4a 3v SO O Evp. wall 3a. S x N.N exp, wall 23O Z D Int. wrdl C.ilNn !S. S x 3 7 fwo. 2S?] z S/8' ?T?ntal Btu. 52 35 ?.NNFI,?*Wq??,c' RoomfLm h 2 z. S Wwth 1-2- Hoi t 8 WtMnws anA DoorrGKksp and An? w? w.n.n •?? r.?+? . w.qn? nl ?w? Ne .r L n ?rM h. N eM Aw .to. ? 34o i z 20 r Ho 24 z zz I Cwf. 9tu Inhltratan [,Z 0 6$O Ga.. 3 I?SD _ E¦p.?ll 34. 8 2% NeI *xP. wall 213 Int. wall Gihnq Z . S X l2- 270 5 10 Flm+. z?o 5 a To111 Blu. I S(o 53,°t ?FS N3l ? Me. N N?I? M?y1?1 `a. al L40r1.,. CpI. e1Y In}ihntion Glw Exa. wll Not ot0. "ll Int. rnll Gitinp Fbor Totd Btu. ? fl.l Roanl Lanob WidM t Windowt and Doon-6r#po nd ArN r.e. ww?? N M?? ? w M.. u Lw?l h. ?.wh. ? Cwf. Btu ?11?1?[f?tqfl G4s Exp. wNl ' No erP. vall IM. wNl Gilirp Floor Toul ltu. I c0hn-e,4rd Lt?ti,o? <976 4wsL, °; ? i„'k,??P Tcrk+l he,,f- c.usS QwL? T ? OT ? ' (/ I ' HEAT LOSS CALCULA c??.. wm. ? - ?i o..i. N.m.. sn..c Ciry TION _2;?_° YEMP. DIFF. T„p.COnMucHma wtes7nvJtt wuwow. Sto.m s.A w.iK . in.. c«nno In.. Fba L_ 13. S widen 11. S N.M1 Win0own ind Door t-Gack ap? uW a we wwa m.. N.,?n? e? .?. we.er ? ?. Lwun. a mm ?i. 0 Ca0. Btu Infiltratron Z D Gbu ? Exp. wall 260 Nat eYp. wall rr IM. wall Citiunq I`/ x I S b 7? Floor / ?i 30 wd Arr Me, w? M Ma M lM,1111,l N. ww ry. 2Z I CoN. 9tu InfiHr?tion 22- o $'fSd G4r I'1 Erp. wall Zv x& o No eMP. wall I J "i ::1-- Int. wall Gilnq I i L9 Fk« 47 Z 19 I viu olu. Taul Btu. Z 7°f 2 f I.I Room I Laqth'/, Wideh / ?Nqht Z FI. y Room I l i 3. $ Mfldtb I 1 ' t g Windows ad Ouors-Gackaorwd Arr Ne ?yNn? wrn??M p1 M No er L N LMrl 11. A?Y . II. ? ?a y Co?f. Btu Inhhwtion G4a 1? E¦p. wall 7. SX ? O Nnl erv. wall $ 2 L Int. wall ? f o z 2/0 TeTal 8tu. z?"o5" a? i ?.?en 13 Mr?n I S m+?n $ W enAnws arM Doors-Gxkpr and Aro wn ,w r?.^i. nl'Mn `a al ??. ArM. n </0 : 2 OoN. Bw Inhltratan O /?j G4sc Q) E.p. wall Z 8 xB? u N?t wp. wall 76 D Int, wa11 caaony lan? ?9 s 5 s c1oM ? 3 0 W indow? md Doors-Cr?ay? ?nd Arr Ne. a? 1MVolP Ne.N N Ih, y n. J 2 ZZ Cnf. Btu Inf ikntion 2 2 0 Gla ?j 5 D Exp.well flKB 8$ NM fxp. wall Z IM. wall Giliny ? 3• Sxl y Flow LtF 39?' Toul Btu. "' F1.1 =j had noomI L.vth ) 1, f widenr4. s rWWtY wI?em,.wia ooa.-a.eno.wie A... Me. N?M M M? IM. ?1 L= •m o Z z,. Z z . CoM. !tu InfilbHbn Z 2. p cw. E?p. rwll Z(/ vc Zo? IWf etP. wdl (9 7 ?p Int, wrdl ?linw l?-XlIf rb% sn cw« Z- 33<v Teu1 sw. 5 ?) Toal stu. 1323Y 5?? 3Yo ?q ti .?}-to{ loq ?FSY'1 870 eza'1 4a- inte+l?. `!?? ju4c,I hs•d- C.oS S ? Use BLUE or BLACK Ink For Office Use Permit City of Ea I I Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 I Date Received: d ~G I Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: D - D~ Z~l 6 J/ Site Address: S YO ASl6 v/_G Unit Name: (~l V~t/\ (J~ ✓r e Phone: 0 Resident/ ! _ Owner Address / City / Zip: iI-~ ~ZZ -4 eQ Applicant is: Owner Contractor Type of work Description of work: k Q Ca0-C7 cJi /\Q ,,JS Construction Cost: Z4Z 00 a Multi-Family Building: (Yes No 4-) Company: 1}C ✓'Q SSe Contact: i a C2 Address: 6 7~ r City: Contractor - State: LA\ tJ Zip: Z / Phone: Z~ _ 6 7 y License B~ l7 8 5~ f Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) µCOMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING 3 In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: I Mechanical Contractor: Phone: i Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of z the information may be classified as non-public if you provide specific reasons that would permit the City to E 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.aopherstateonecall.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 AL i 1 ~~'eS S x Applicant's Printed Name Applicant's Signature Page 1 of 3 . � - " , ,� � � � � �r j � �'� �4;.��.��,►�f y�f�c.�c� �-�r�� l l �7�7 �s�-�a7s � �rast w�aery,a��t�a a�,�Tr�sr�a ��e s af CEIVED TAB 1—GAF SHINGLES—PR�L1i1GT DESCRIPTiONS AND MANiJFACTURiNCs L.00ATiONS SEP � � 1Ui4 "� MAXIMUM DIMENSIONS LOCATIdN OF ..,�� HINGLE PI..ANT EXPt�SURE � SHINGLE (height z widthj NRIL LINE G SS ,ff TYPE LOCATtt3N TO THE VYEATHEIt (inches� ;in�hes) {€nches} ��, � Rayai Sovereign� hree—tab Fantana,GA 13'/,x 3818 551e 6 A5T'M d3461, ' lats F ASTM D7158, Gtass H ��,,. Dal(as;7X 12 x 36 5 5/e ASTM D3161 Minneapolis,MN ""°""" Mabile,RC ASTM D715$, Mt.Vernan,IN Class H Nlyerstown,PA Savannah,GA � Tampa,FL Tuscaloosa,AL Marquis WeatherMax� Three—tab Mi.Vernon;Ih! 12 x 3S 5 5'/a ASTM D3161, Class F AS7M C77158, Ciass H Sentinel� Three—fab dallas;TX 12 x 36 5 5 f� ASTM D3161, Motaile,A!. Giass F Mt�Vernon,]N ASTM D7158, Savannah,GA Class H Tuscalansa,A€. Fo�tana,CA 13'!a x 39/e 5 J8 6 RSTM D3161 Gless F ASTM D715$, Class H Slateline� Five—tab Mt.Vernon,1N 17 x 40 7'/2 9 RSTM D31B1, Ckass f RSTM D715$, Class M - Camelot� Laminated Mt.Vernon,IN 17 x 34'/z 7/� 8'Jz AST'M D3i61, Gamelat`�II C1ass� ASTM D7158, Class H Country Mansion� l..aminated Mt.Vernon,ITt 17 x 40 7'!a 8 ASTM fl3161, Country Mansion�ll Ciass F ASTM D7i58, Glass H Grand Canyon Laminateci Fontana,CA 17 x 4fl 5 i 1 ASTM D31B1, Mt.Vernon,IN Class F � ASTM D7158, Giass H Grand St�ieT'" Laminated Mt.Vernon,tN 17 x 4D 7'Jz 8 ASTM D3167, Grand 5Iat�T"'0 � Class F � j � ASTM D71�58, Class H G�and 5equoia Laminated Fontana,CA 37 x 44 5 �11 � ASTM 03161, Mt.Verno�,1N� � Ciass�F � � ASTM D71�58, � Ciass WI For 81: 1 inch=25.4 mm,1 Ibl3�0 tt�=O.fl488 kglrrtZ �� "�'-... ��^,.�..r:7�i�.�3 . . ---.._.. �. �6� � jI �L w..,..�..�C/s� - � . � C%Gti��`Ce.._l. i' ��`/'�C%6`f "` /�� j�f'E''S � (= � � - �� t _ � �� _ 1�1 �