1620 Ashbury Pl
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
•
BUILDING PERMIT Receipts
To be used for Est Value 1 1 (j{1t? Date 19$7
Site Address 1620 ASIiWkY PLi rll, OFFICE USE ONLY
Lot Block 3 Sec/Sub. 1SLyAt. ":Alai L : On Site Sewage Occupancy
ti 1
Parcel No. MWCC System Zoning Vn
On Site Well (Actual) Const
Vn
Q Name 1.1 NF.CBEN BROS C ONST City Water (Allowable)
Z Address 435 WAYZ;t2 k! BLVD PRV Required # of Stories
o city -~A `7ATA Phone 473-4231 Booster Pump Length 35
. Depth
p Name CAME S.F. Total
0 a Address Footprint S.F.
0. City Phone APPROVALS FEES
U w Name Engr./Assess. Permit ' 345.50
i Planner Surcharge 37.00
~za Address 272.75
Q m City Phone Council Plan Review
a Bldg. Off. SAC, City 10U.00
I hereby acknowledge that k have read this application and state that the Variance SAC, MWCC 525.00
information is correct and agree to comply with all applicable State of Water Conn. 525.00
Minnesota Statutes and City of Eagan Ordinances. Water Meter 67.00
Signature of Permittee
Road Unit 305.00
A Builling Permit is issued to:_ 8.1-;, l XST Treatment P1 180.(?0
on the express condition that all work shall be done in accordance with all Parks
applicable State of Minnesota Statutes and City of Eagan Ordinances. $7-,57777 5
Building Off icial TOTAL
CITY OF EAGAN 1 4 2 2' v
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 OFFICE USE ONLY
Lot Block Sec/Sub. :;dtir.k On Site Sewage QAcupancy -
MWCC System Ang
Parcel No. On Site Well octual) Const n
City Water (Allowable)
cc Name
PRV Required # of Stories
G Cd~ress Phone rr d'3 I Booster Pump Length
Depth ' S
Name S.F. Total
p
o i Address Footprint S.F.
P City Phone APPROVALS FEES'
jr WEngr./Assess. Permit
Name S7.Oi)
W
~ Planner Surcharge
uz Address X72.75
Council Plan Review
i W City Phone Bldg. Off. SAC, City 1 a 1J ' 00
S • Ut?
I hereby acknowledge that I have read this application and state that the Variance $AC, MWCC
S•~ 1
information is correct and agree to comply with all applicable State of Water Conn.
Minnesota Statutes and City of Eagan Ordinances. Water Meter 67
Signature of Permittee - - Road Unit 305.00
A Building Permit is issued to:__ Treatment P1 ;$O•
on the express condition that all work shall be done in accordance with all Parks
applicable State of Minnesota Statutes and City of Eagan Ordinances.
TOTAL
Building Official
Permit No. Permit Holder Date Telephone #
Plumbing
H.V.A.C.
Electric/fib
I
Softener
Inspection Date Insp. Comments
Footings I
Footings II
Foundation
Framing /-/;,j -7C. N ,
Roofing
Rough Plbg.
Ad, Awkw--Yz;L
Rough Htg.
Isul. Il.' a f
Fireplace
Final Htg. G
Final Plbg. S
Bldg. Final
ert Oca -
Temp. LP
Deck Fig.
CDeck Final
Well
Pr. Disp.
7-4;`; PERMIT # c
MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
j 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: < < PHONE: 454-8100
Site Address 1 1' -2 C, 171- 1 JA -
BLDG. TYPE WORK DESCRIPTION
Lot ' Blpck Sec/Sub Res. New ll~~
Name rj L Mult Add-on
A? Comm. Repair
Address L-4-14 Lu
Other
c City Phone. yj a A,
FEES ~
Name AS'A RES. HVAC 0-100 M BTU -$24.00
Address ADDITIONAL 50 M BTU - 6.00
: City phone - ? (RES. HVAC INCLUDES A/C ON NEW
j Y CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA.
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air J t~ zM 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 BTIJ $ MINIMUM COMMERCIAL FEE - 20.00
Vent. CFM $ STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # 1 1 BEYOND $1,000)
Other
i
FEE:
S/C: SIG ATURE OF PERMITTEE
r.
TOTAL
FOR: CITY OF EAGAN
PERMIT #
PLUMBING PERMIT RECEIPT # 1 ?'G
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-9100
Site Address BLDG. TYPE WORK DESCRIPTION
Lot Block l Sic/Sub Res. New L
Mult. Add-on
Name f 7 Comm. Repair
m Address Other
c City Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES , OTAL
Name 1-Water Closet - $3.00 y
y Bath Tubs - $3.00
3 Address Lavatory - $3.00
p City Phone Shower - $3.00
Kitchen Sink - $3.00
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 & CONDO - RES. RATE APPLIES -1-Water Heater - $1.50 0)
MINIMUM - RESIDENTIAL FEE -$12.00 Whirlpool - $3.00
MINIMUM - COMM/IND FEE -$20.00 -1 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) ~I Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50 _
SIGNATURE OF PERMITTE FEE:
STATE S/C: ~1 tJ
FOR: CITY OF EAGAN GRAND TOTAL: °
CITY OF EAGAN 1624
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 ,
BUILDING PERMIT Receipt #
To be used for iEst. Value t 1 r0 Date APB, 19 S9
Site Address 1520 A.ShB1.TY P1.
Lot " Block 3 SeclSub. BLACV.'A "Y, GLEN OFFICE USE ONLY
Parcel No. " Occupancy FEES
Zoning '
(Actual) Const Bldg. Permit W Name 26.00
Address 1620 ASi;BUF;Y 'L (Allowable)
Surcharge •
City EAGAN Phone # of Stories
Length Plan Review
o Name DUNDEP " Depth SAC. City
o~ Address 422 S CCU?• ry 42 S.F. Total SAC, Mcwcc
Ua
F City SAVAGE Phone 894-8740 S.F. Footprints
On Site Sewage Water Conn
U¢
m W Name On Site Well Water Meter
~z Address MWCC System Acct. Deposit
a W City Phone City Water
PRV Required SrW Permit
I hereby acknowlege that I have read this application and state that the Booster Pump Snly Surcharge
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances. Treatment PI
Signature of Permitee APPROVALS Road Unit
A Building Permit is issued to: DUNDEE 311JRS U Y Planner Park Ded
on the express condition that all work shall be done in accordance with all Council 1 00
applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies ^ `
Building Official Variance TOTAL
Permit No. Permit Holder Date Telephone #
WATER
SEWER
PLUMBING
H.V.A.C.
ELECTRIC i
Inspection Date Insp. Comments
Footings l
1
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
[Sul.
Fireplace
Final Htg.
Final Plbg.
Const. Meter Plbg. Inspector - Notify Plumber
Engr./Plan
Bldg, Final
Deck Fig.
Deck Final
Well
Pr. Disp.
(Urtifiratt of (Orrupaury
citp of eagan
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:
Use CI&"&eauon i .~v% Bldg. Pa rmit No. ` J' 't
O-PWXY TY)e R3 Zoning Dow Type r- X71
Owner or Budding 'U~~7c~tM G;: ` ,:,15 WAYAZTA 1' VD, Addrew
Budding Address ;:,20 ASL'TI F4 r LoaGry R3, 3"iX.F T
DM:
Building OfrWW
POST IN A CONSPICUOUS PUCE
CASH RECEIPT 0
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
RQCEI V ED
FROM / 'Jl (J (.1.~r, f
AMOUNT $
& DOLLARS
ioo
E]CASH CHECK
FOR t. C. LL. /V .J YG~ //~,f✓
FUND CROtEf '
/AMOUNT
%7` /
71
Thank You
BY~/ <
White-Payers COPY
Yellow-Posting COPY
Pink-File Copy
I
CASH RECEIPT
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
R<CjMvED '
FROM
AMOUNT $
& DOLLARS
goo
E)GASH Q CHECK
FOR'. J%
1.
FUND CODE AMOUNT
1
Thank Yc
BY -
White-Payers Copy
~ f Yellow-Posting Copy
Pink-File Copy
j` CS C`"LJ
BLDG. PERMIT N 0 .
01-3210 Bldg. Permit G: ` d
01-3422 Plan Check
01-3445 Surch./Adm.
01-3446 SAC/Adm.,
01-2155 Surcharge
r17-3860 Road Unit
20-2275 SAC 7f
20-3865 Water Conn.
20-3868 Water Trmt.
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn.
11-3855 Park Ded.
TOTAL ' '
CITY OF EAGAN Permit No. 23 12 Date: 10-1--f7
3830 Pilot Knob Road Meter No: Size:
P.O: Box 21199 Reader No: Date:
Eagan, MN 55121
Owner. Lundgren Bros.
Site Address: 1620 Ashbu" Place L9 B3 Blackhawk len II
Plumber_ Lundgren. Bros . P1smbiij~-
Conn. Chg: ]"S„tT1~p i Zoning:
Acct Dep: 15.0Op` No. of Units:
Permit Fee: 10.0Dt"-
Surcharge: • 50pr' I agree to comply with the Ctty of Eagan
Tr. Plant ISM •,)Opd Ordinances.
Meter. 67 - onpA
Misc.: P R V VA V RLQ{ J T! By
WATER SERVICE PERMIT
11-1
CITY OF EAGAN Permit No: 1 Date: 1- F7
3830 Pilot Knob Road Meter No:. 3 9 a S`~ S _5 Size: "Rum(
P.O. Box 21199 Reader No:77T ✓T7 Date:
Eagan, MN 55121
Owner. U Bros.
Site Address: 1620 t.shhury P1acr
Plumber. Lundgren Bros. Pl.ull: ir. ,
Conn. Chg: S , t f!p a WARS
Acct Dep: 15 . 00« NOL
Permit Fee: 1` 0 j 6e Ore diggiOg 011
EPHOK gCTK • Etc.
Surcharge: nc; TEL
agree to com I with the City of Eagan
Tr. Plant 1 c 41..; ~,l d
Ite-eni
ad a4A
Meter. A7
Misc.:-
V V!
WATER SERVICE PERMIT
CITY OF EAGAN Permit No: 1 t?~ Date: 1 I-"
3830 Pilot Knob Road B/P No: 77 Date: 7
P.O.:Box 21199
Ei3gan, MN 55121
Owner. Lu:ui>reiL -'r,713
r
Site Address: 116?0 ils' jury Place L~- (Je:11 IT
Plumber: Ltmdgren Rrc•a. ,.lr
MWCC: 5248 f-ODc Zoning-
City Chg: 100.00pd No. of Units:
Acct Dep: I agree to comply with the City of Eagan
Permit Fee:
Ordinances.
Surcharge:
Misc.: By
SEWER SERVICE PERMIT
This request void /U i3 O~ /78~~
18 months from
® 513.82 3
Request Date Rre No. flouP h-m lespertmn
Requ'red~ ~1 ~qdy Now ❑ Will Net
ff" Inspec-
3 ❑Yes for When Ready
4~"censed Electrical Contractor 1 hereby request inspection of above
❑ Owner electrical work installed at:
Street Address, Bon or Route No, City
1602.0 •4s~'L,ey 1,4c.'-, and
ectme o. Township Name or No. qa nge No, unty
.9A,0,7;9-
Occupant (PRINT) Phone No.
ioe F_ Sc'4f_/t
P er SPpPher A dress
Ko7?1 ~rE42-7el~ v n/
Electrical Contractor (Cou'Dany Name) Cnn[ ctor's License N'..
Standard Electric Co. 40837
Marling AAJress (Contractor or Owner Making Instal lotion)
2672 Maplewood Dr., Maplewood, Mn 55109
Author ed ignature ICon tra or/ wrier Making Installation) Phune Number
484-8044
MI ESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room N•191 BE ACCEPTED BY THE STATE BOARD
1921 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0600 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION 0 Ell-110001-06
See instructions for completing this form on back of Yellow copY~O c~ J
® -5 1 a 8 2 "X" Below Work Covered by This Request
Add Rap. Type o1 8mldiug App Lances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Lighting Fixtures
Apt. Building Dryer Electric Heatn
Commercial Bldg. Furnace Silo Llnloader
Industrial Bldg Air Conditioner Bulk Milk Tank
Farm other aped V Other ISpm-i ryi
Ulm, pocify Other Other
Compute Inspection Fee Below
p Fee Service EntrenoeSae tt Fee Faeders/Subfeeders g Fee Cncmts
0 to 200 Am s 0 to 30 Amps 0 to 30 Amps
Above 200 Amps 31 to 100 Anips 31 to 100 Amps
Swimming Pool Above 100-Amps Above 100_Am s
Transformers Irrigation Booms . Partial/Other Fee
Signs Special Inspection TOTA FED,,
Remarks Rough-in Date I, the EI al
Inspector, hereby
ran ly that the above
has ( We O / inspect on been
IJ~ / rr,
ade
Thra reguesI void 18 months from
I nis request vv1
19 months from / phJ
6576645 13 -u-
Re uph-m Ins VOClion Notiiy Insp
m:-
Fire No. Rea y Now B~
Request D ate gequuetl? d
❑ or When Ready
to,
1't-9-$~ es No
mensod Electrical Contractor 1 hereby request inspection of above
owner electrical work nest. Had at:
City
Sheet Address, Box or Route No.
1620 Ashbury Place Eagan
action o. Township Name or No. anpc No. Cowry
Dakota
Phone No.
Occupant (PRINT)
Geor a Scalia (Lund ren Bros Constr)
Power Supplier =43 Dakcd Electric ,W.,Farmington 55024
cut, rtor's License No.
Electrical Contractor (Company Namel 40837
Standard Electric Co.
Mailing Address (Contmctor or Owner Making Instailavon)
2672 M 1 od Dr., Maplewood, Mn 55109
Installavon) Phone Number
Authorized a re IContractor~Ow p 484-8044
THIS INSPECTION REQUEST WILL NOT
MINNESOTA STATE BOARD O EL CTRICITY BE ACCEPTED BY THE STATE BOARD
G,Iggs•MldwBy Bldg. - Room N•191 UNLESS PROPER INSPECTION FEE IS
1821 University Ave.. St. Paul. MN 55104 ENCLOSED.
Phone 16121 642-0800
21YV REQUEST FOR ELECTRICAL INSPECTION EBB-000001-06
IF See instructions for compietug this form on back of yellow copy
0 6 5 7 6 6 "X" Below Work Covered by This Bequest
Add Rep. 'Type-.1 Building Applmncen Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Lighting Fixtures
Apt Building Dryer Electric Heating
Commercial Bldg Furnace Silo llnloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm Other pemfy Othly ISnoclfyl
t er Soeci fy Other olho,
ompute Inspection Fee Below
p Fee Service Entrance Size a Fee F eedersrSubieeders N Fe Circuits
U to 200 Amps 0 to 30 Amps 0 to 30 An tips
Above 200 Amps 31 to 100 Amps 31 to 100A s
Swimming Pool Above 100-Amps Above 100_Am s
Transformers Irrigation Booms O Partial. Other e
Signs Special Inspection sLL.A 10
Remarks jr-I . TOTAL FE 614-
Rough-in Rough-jg Date / Ll'n ects /,~r, b y
hFinal Dale eThis request void is months from
rt
CITY OF EAGAN *APPLICATION MOTE~- PA)RIENT OF FEE 10 TIME OF
APPROVAL OF PERMIT.
APPLICATION FOR PERMIT
• INSPECTION OF SEWER AND/OR WATER
*1 INSTALLATIONS WILL NOT BE SCHED-
SEWER AND/OR WATER CONNECTION ULm UNTIL PERMIT HAS BEEN
» APPROVED. +
(Please Print
1) PROPERTY ADDRESS-
LEGAL fg~j PLc•z~ -
DESCRIPTION: G- B 3
(LOt Block Subdivision or Tax Parcel ID
IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: '9' g7
PRESENT ZONING/PROPOSED USE: (Month/Year)
❑ CmMrIALARETAIL/OFFICE R-1 SINGLE FAMILY "
0 INDUSTRIAL ❑ R-2 DUPLEX (Two Units)
❑ INSTITUTIONAL/GOVERNME,TpP ❑ R-3 TOWNHOUSE (Three + Units) ( Units)
❑ R-4 APARTMMT/CONDOMINI M ( Units)
2) I
NAME:_f ~z ,
ADDRESS: c/~s /,v." z.aA aC
CITY, STATE, ZIP: (i(/~_u~.~ SS39~
PHONE: ~73 -/z3
3) NAME. For City Use
Plumbers License:
ADDRESS: Active
CITY, STATE, ZIP: Expired
Not recorded
PHONE: 9?3 -/23 / MASTER LICENSE#
Stoma f-Initial
4) • I:1• /
NAME: ~✓n. O!C/Y4y7 g > cS .S f. ZrJ c
ADDRESS:
CITY, STATE, ZIP:
PHONE:
CONNECTION 70 CITY SEWER ~ CONNECTION TO CITY WATER Q OTHER
6) / • PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE -
PLEASE MAIL APPROVED PERMIT TO 1, 2, 3, 4, ABOVE
(Circle one)
7) "
ON.
TOR -CITY USE ONLY
PERMIT # ISSUED
3
Pd w/Bldg. Permit FEES:
$ ~~,'S o SEWER PERMIT (INCLUDE SURCHARGE)
$ WATER PERMIT (INCLUDE SURCHARGE)
$%~'C $ WATER METER/COPPERHORN/OUTSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ $ /S C ACCOUNT DEPOSIT - SEWER
$ $ C~ ACCOUNT DEPOSIT - WATER
$ WAC
$ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ lXC' C' n $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ l 7.623 $ c Z% TOTAL
7 7 / 77,N
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
Q 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: /
TITLE:
DATE:
A
r
CITY OF EAGAN No_ 1 4 2 2 6
3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121
BUILDING PERMIT PHONE: 454-8100 Receipt #7 -7e y?
To be used for SF DWG/GAR Est. Value $114,000 Date SEPTEMBER 30 1987
Site Address 1620 ASHBURY PLACE OFFICE USE ONLY
Lot -9 Block 3 Sec/Sub. BLACKHAWK GLEN 2 on site Sewage Occupancy R3
Rl
MWCC System X Zoning
Parcel No. On Site Well (Actual) Const Vn
: Name LUNDGREN BROS CONST City Water X (Allowable) Vn
3 Address 935 E WAYZATA BLVD PRVRequirad X #otstones 56
o City WAYZATA Phone 473-1231 Booster Pump Length
Depth 35
o Name SAME S.F. Total
U0 a Address Footprint S.F.
City Phone APPROVALS FEES
c Engr./Assess. Permit $ 545.50
uw Name
Surcharge 57.00
Planner
=x- Address
aw City Phone Council Plan Review 272.75
Bldg. Off. SAC, City 100.00
I hereby acknowledge that I h v read this application and state that the Variance SAC, MWCC 525.00
information is correct and ag to com y w h all p icable State of Water Conn. _ 525.00
Minnesota Statutes and City n O a ces. lill Water Meter 67.00
Signature of Permntee Road Unit _05,94
A Building Permit is issued to:_L NfiT-_ Treatment P1 1 R0 "QO
on the express condition that all work shall be done in 4a.cd.ncewithall
applicable State of Mi ne to Statutes/aFffjb it f Eagan Ordinances. Parks 57 7 . 25
Building Official v ~ -e ~ TOTAL $2'
q22,
1987 BUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
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 - RESIDENTIAL RENTAL UNITS FOR SALE 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,
$2,000 LANDSCAPE BOND
To Be Used For:&mcAE FAmiLybvxyuNc, Valuation: y J Date: aJ;
Site Address /6a0~ few OFFICE USE ONLY
I I LI, boo
I I/ Lot --7- Block 3 On Site Sewage_ Occupancy R-3
MWCC System v Zoning R _1
Parcel/Sub yy On Site Well Type of Const
City Water V (Actual) V-N
Owner 4200 ~4LQ~T (Allowable) V-N
# of Stories
Address .3,l-re Length 56.0
Depth
City/Zip Code 35.0
S-y~9 S.F. Total
Footprint S.F.
Phone -417L /1.3 / APPROVALS FEES
Contractor Assessments Permit 55'5,50
Water/Sewer Surcharge 57100
Address Police Plan Review 29Z.1,5'
Fire SAC, City 100.00
City/Zip Code Engr SAC, MWCC 52S.00
Planner Water Conn 5Z 5100
Phone Council Water Meter G?. 60
Bldg Off 5 30 Road Unit 305.0a
Arch./Engr. APC Treatment Pl 180.06
Variance Parks
Address Copies
TOTAL
City/Zip Code
Phone #
CARA&G
z y8yx/2= SSoB
QSmT IST FLOOR
26 X 36
v xi2 = v8
i3 ~ 12- 1s~
IlyDx$8 661.20
Zv_ F~ooR
36x2 = 93( xXW= v) 1$4
1/3112
SURVEYOR'S CERTIFICATt- (9~ °2o IENNA CORPORATION
,SURVEYOR'S;
Q\
~ •~laz s R, S
/ /386 Ry y
ti s 30 24" B~3 3 Y q.p~ o
M
M
as / \ ~B,CsZS'O~
ti L g ~.j'" 5 N
Z I? I"
aR' a N ZusoFFO GAR
~ J ~ m.0' \ ~e ryry.
90
0~ o m a
'CO
17 -J
LOT 9
Q) / O REVISED 9-10-87 TO SHOW
0 PROPOSED HOUSE FOR
/ co LUNDGREN BROS. CONST.
5 f~
_ DRAINAGE' & UTILITY EASEMENT C~+y
PER PLAT ~ r
o ~k19 0)
23.22 -
qrl 1
1808,0 rN 7G_~I^Ini /-I r_-A x_129.52
r r ~)n l
,.J L_'-A \ It- 129-52
-4-- DENOTES PROPOSED SURFACE DRAINAGE SCALE: 1 INCI4 a 30 FEET
O DENOTES IRON MONUMENT SET PROPOSED GARAGE FLOOR - g2~.3 FEET
® . DENOTES IRON MONUMENT FOUND PROPOSED L014EST FLOOR - 8 1 9.3 FEET
X000.0 DENOTES EXISTING ELEVATION
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK = U;2(, •1 FEET
WE HEREBY CERTIFY TO SIENNA CORPORATION THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 9 Block 3 BLACKHAWK GLEN 2ND ADDITION, according to the recorded plat
thereof, Dakota County, Minnesota.
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS ~RIF ANY, 86AS SURVEYED BY
1.1E OR UNDER MY DIRECT SUPERVISION THIS DAY OF
SIGNED: JAMFS,R. MILL, INC.
THE LEGAL DESCRIPTIdN USED ON
THIS SURVEY WILL BECOME VALID
UPON FILING THE PLAT OF BLACK-
HAWK GLEN 2ND ADDITION. BY:
HAROLD C. PETERSON, LAND SURVEYOR
'MINNESOTA LICENSE NUMBER 12294
PROJECT NO. BOOK / PAGE JAMES R. HILL, INC,.
85618
(87505) Planners / Engineers / Surveyors
FILE NO. Z07 f I
8200 Humboldt Avsnus South
FOLDER Bloominfllon, Mn. 55431 512-884-3020
~c 1c RUCIIOiJ -
(C12)
• \':AY21-.7 f., I1IIJfdESOTI+ -`~5'c:} <i.% i"l. .°,i
9115 En ST \vnYZATA BOULEVARD
EXiEP.I DR ENVELOPE I'.%,EP.P.GE U 0-211- TA710f,
r J QLot Eloc'r.
Site Address
R U
U Factors .058
R $
Opaque Walls
.117
.
blall Framing Areas -
023
Ceiling Insulation Area
.027
Ceiling Framing Area
.0~
Rim joist
1e
Masonry Wall -
.20
di ndo,.,ls Double rung q6
C2semenzs
.18
Doors
- 46
patio Doors
P.7
Si del ites
t) Lower Level (Saser-ent)
Total exposed iaall area I-ZI2
x (U) -058 =
Opaque wall Area -
_ (U) .117 =
;,Iood r ai ie n--a --v^
X (U) -04 =
Rim Joist
(U) .14 = S
Exposed bl ocl: 3 L
U 46 =
,ljndor; Area Casement x (U) 26 =
Double Hung =x
- x
Sliding Glass Door
(U) .l8 =
Dogl '=.rea ~y 7 C/
- Total
1 0 (CCOI,.S1 RUCl IOIJ -
E 2) 1
yr/+yZ/.T!-. L'OULEV/.RD ~ vJgv7_ATl., i,511:NE50 `,laT S,nT 5 91 - ( e73-12
935 E/+ST
2) 1st or rain floor
Total exposed wall area
~~x (U) ..055 =
opaque :gall area
~C6x (U) .117 =
1•!ood frame area
~ ,x (U) .04
Rim joist -
-
Casements x (U) .46
26
i!i ndow Area Double Hungx (U )
~x (U) .46
Sliding Glass Door 8
31~x (U) .18 =
Door area (U) 47
Si del i tes ~n
Total
:3} 2nd floor if 2 story
Total exposed gall area
c~Syx (U) .058 = opaque area
wall area
x (U) .11% =
wood frame area
?x ~U) .46 =
Window area Casements Z,:" u .26 =
Double Hung /
r x (U) .46 =
Sliding glass door
NO .18 -
Door area ~
~S
Total
4) Total ceiling area O( ) 027
1!ood frame area i_
opaque telling area _
T x (U)
Skylight
~ - Total
R 0 'CO,CIRUCION -
CSOTA 55::51
9°5 EAST vJl.YZhTh EOUIEV:,P,D VIhYZJ.Th.
Minn. U Factors Total exposed wall area 4f 12 _x 11 =
Minn. U Factors Total exposed ceiling area .026
(A) Total
I tern 1 T Item 2 lo/Y+ Item 3 : ✓ _ Item 4
o?
If total of Iter:s 1 - 4 is less than Item (A), building
complies with SBC 6006 (C)s
CITY OF EAGAN 11TQ 16242
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PHONE: 454-8100 / ~0
PERMIT Receipt # /
To be used for DECK Est. Value $1,000 Date APR 3 19 89
Site Address 1620 ASHBURY PL
Lot 9 Block 3 Sec/Sub. BLACKHAWK GLEN OFFICE USE ONLY
Parcel No. ND Occupancy FEES
Zoning
M Name GEORGE SCALIA (Actual) Canal Bldg. Permit 26.00
Address 1620 ASHBURY PL (Allowable) Surcharge .50
0
City EAGAN Phone x of Stories
Length Plan Review
o Name DUNDEE NURSERY Depth SAC, City
u< Address 4225 COUNTY ROAD 42 SF Total SAC, MCWCC
City SAVAGE Phone 894-8740 S F. Footprints
On Site Sewage Water Conn
F I Name On Site Well Water Meter
MWCCSystem
M~ Address rAcct Deposit
City Water
aw City Phone
PRV Required SAV Permit
I hereby acknowlege that I have read this application and slate that the Booster Pump S/W Surcharge
information is correct and agree to comply with all applicable State of
Minnesota Statutes and Ci~XJof Eagan Ordinan/c/¢$~Treatment PI
Signature of Permltee APPROVALS Road Unit
A Building Permit is issued to: nUNDEE NURSERY Planner Park Dad
on the express condition that all work shall be done in accordance with all Council 1.00
applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg Off. Copies
Building Official n R.li 11! -6, 1.1 Variance TOTAL 27.50
1989 BUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS 1 4 lu I
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 # 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 OE SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
Le
Lev by')- yaR - a ,sss
To Be Used For: Valuation: Date:
Site Address /47,o -L4uj" 10~ • OFFICE USE ONLY
Lot Block 3 Occupancy FEES
Zoning
Parcel/Sub &L6-hJ ZNrz~ Actual Const Bldg. Permit e2G•oo
Allowable Surcharge so
Owner C*ieoau 4F S c ! i c, # of stories Plan Review
Length SAC, City
Address Depth SAC, MWCC
S.F. Total Water Conn
City/Zip Code Sla l Footprint S.F. Water Meter
Acct. Deposit
Phone On site sewage_ S/W Permit
On site well S/W Surcharge
Contractor MWCC System Treatment Pl.
City water Road Unit
Address 'fssc 4 (Zrp PRV required Park Ded.
~I. Booster Pump _ Copies /,00
City/Zip Code G,y,AI T/1N. TOTAL _ O
'T~ APPROVALS
Phone f29Y-E37Y0 Planner
Council
Arch./Engr. n~v Gem ~avs•n. C~ v lrlr~h Bldg. Off. ~3/Z-jj
Variance
Address 41)-
City/Zip Code ~y /Y/rn S~5 Y'1 g
Phone 0 fgiy-,Y7yp
NOTE: Sewer & Water Permit fees and account deposit fees will be included in the building
permit fee. Processing time for sewer and water permits is two days once a licensed
plumber has applied for a permit at City Hall.
/ _
1 _ _ ~r Ili ~I
11 '
TLOWER CRa d' T
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\ y=` WEICILP MV6 RED
_ L X55 Rt LL/L
5
T I-l °C_IE°IDENC
L"~, D`C_PE rT~1~y C
DUNDEE NURSERY
GEORGE AND LEANNE SCALY, L.A BRIAN SULLIVAN
1620 ASHBPP.Y PL, DECEMBER I7,198B
EAGAN. hIN 5 .CC
Lot L( RESIDENTIAL BUILDING ? Q 6D_
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Requirements RemodellReoairReguirements Office Use OnN
3 registered site surveys showing sq. ft of lot sq. fl of house: and all roofed areas 2 copies of plan Cart of Survey Reod -Y -N
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd -Y -N
2 copies of plan showing beam &window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Reqd _Y _N
l set of Energy Calculations Addition - indicate don-site septic system On-site Septic System _Y _N
3 copies of Tree Preservation Plan I lot platted after 7/1/93
Rim Joist Detail options selection sheet (bldgs with 3 or less units
Date y l A 3 / R Construction Cost y
Site Address '2 d 14 511130Ic't/ Unit/Ste #
Description of Work ~J Y1 ~A S C Fb 2 r t e. GE) A C-'e S
Multi-Family Bldg ,-kY _ N Fireplace(s) _ 0 k 1 - 2
Property Owner ' L" k-P 14-7 r Telephone # ( )
Contractor A S wa
Address (%Z S2 /Z City i~a ale l'~u I r
State 44 Zip SJ 35 Telephone it 6 7 /S
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
Energy Code Category • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber Telephone )
Mechanical Contractor Telephone )
Sewer/Water Contractor 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.
/A Ru riIn, 6r`
Appli ant's P 'nted Name Applicant' igna e
OFFICE USE ONLY
Sub Types
❑ 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 (screen/gazebo) ❑ 36 Multi Misc.
❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage
❑ 06 04-plex ❑ 12 12-plex Plbg-Y or- N ❑ 25 Miscellaneous
Work Types
❑ 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) - Give 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) _ Final/C.O.
Footings (deck) Final/No C.O.
Footings (addition) _ Plumbing
Foundation _ HVAC
Drain Tile Other
Roof - Ice & Water - Final - Pool _ Figs _ Air/Gas Tests - Final
Framing - Siding _ Stucco _ Stone
I Fireplace - R.I. L Air Test V Final - Windows (new/replacement)
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
Other
Total
p SIENNA CORPORATION
AVEYOR'S CERTIFICAT~~ IB2o2~sR, ASy\Za.
I (~a~ x a .,3es, ss eUR y,
30 ezg3
O C
ry ~ g~~ ez9., L• p
~~a lr~ R 10ry. sI~ 6?58 Cezs' M
j~ z a)
h !~BZ3.a sQo~ s N r
.0 v~' 20,33 4.40J
aR/ ti HOCSf GAq I Bz6.0
f., Cl/ m xa2j ryM.
~J e/ ~8rq? 9eo/ eo N
__j 1
..r i f
LOT 9
,M
sHOw
REVISED s-io-ar To
PROPOSED HOUSE FOR
LUNDGREN BROS. CONST.
/A&
DRAINAGE a UTILITY EASEMENT P£R PLAT 0 -
CBoB•~~ - N 7°~~r1~„ 129.52
r_~ r r rA W v .1I r:-r' 1 r).[ "
-A DENOTES PROPOSED SURFACE DRAINAGE ` rv
SCALE: 1 INCH ~ 30 FEET
O DENOTES IRON MONUMENT SET PROPOSED GARAGE FLOOR . 82c~.3 FEET
® DENOTES IRON MONUMENT FOUND
X000.0 DENOTES EXISTING ELEVATION PROPOSED 1-0l4EST FLOOR - Fil 9.3 FEET
9.3
(000.0) DEMOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK FEET
THAT THIS IS A TRUE AND CORRECT
WE HRERTIFY TO SIENNA ORE BOUNDARIES OF;
REPRESENTATION SURVEY T
Lot 9 Block 3 BLACKHAWinnes2 D ADDITION, accordtn0 to the recorded plat
thereof, Dakota County, M
IT DOES NOT PURPORT TO SHOD! IMPROVEMENTS OR ENCROACENTS, IF ANY. 86AS SURVEYED BY
ME OR UNDER MY DIRECT SUPERVISION THIS 30TH DAY OF DECEMBER
SIGNED: JAMFS R. MILL, INC.
THE LEGAL DESCRIPTIdN USED ON
THIS SURVEY WILL BECOME VALID
UPON FILING THE PLAT OF BLACK- r (~,1!~,~ Yi(J~•
HAWK GLEN 2ND ADDITION. BY: LAND SURVEYOR
HAROLD C, PETERSON,
,MINNESOTA LICENSE NUMBER 12294
PROJECT 140. 7-,7/,P1anners 85618 JAMCS R. HILL', WC,.
( 87505) / Engineers / Surveyors
FILE N0. 8200 Mumbo}dl Aycnuo South
FOLDER 91oom1nOlon,Mn. 55431 C12-884-3029
¢ RESIDENTIAL BUILDING
Q 0 Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reauirements RemodetReoair Requirements Office Use Only
3 registered site surveys showing sq. a of lot sq. ft. of house; and all roofed areas 2 copies of plan Cart of Survey Recd _ Y - N
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd _Y _ N
2 copies of plan showing beam & window saes; poured found design, etc. 1 site survey for additions & decks Tree Pres Recd _ Y -N
l set of Energy Calculations Addifion - indicate d on-site septic system On-site Septic System _Y _N
3 copies of Tree Preservation Plan if lot platted after 711/93
Rim Joist Detail Options selection sheet (bl?dgs with 3 or less units
Date Construction Cost o
Site Address (b ~3 A $r1 S V, y P Unit/Ste #
Description or Work 3X b tr%9~ G Ad rt%oT
Multi-Family Bldg - Y )4, N 1 Fireplace(s) _ 0 0 1 _ 2
Property Owner ,TO Li,1 My h E~ U 12 Telephone # ((-r 1 ) t{ b S - b q 3A
Contractor 04V "A ( Kttin1 14°'hc¢pcr1
Address Igj9o CG,Ia-Y e. Ave 5~,~~ *'IIb City J:?rlay uC-O"
State j ll N Zip SSI 1-`l Telephone # (Qss-a) G 3d - d ~fJ
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
Energy Code Category • Residential ventilation Category 1 Worksheet New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber Telephone )
r#{--~----
Mechanical Contractor Telephone
Sewer/Water Contractor Telephoned
AdG 2 6 2003
I hereby apply for a Residential Building Permit and acknowledge that the inf ation is com , to anaccurate;
that the work will be in conformance with the ordinances and codes of the Ci of Eagan=drill=lltt~tc 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 ase of work which requires a review and
approval of plans.
C~
Applicant's Printed Name Applicant's Signature
OFFICE USE ONLY
Sub Types
❑ 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 EM. Alt - Multi
❑ 03 01 of _ plex ❑ 09 07-plex ❑ 17 Garage x 22 Porch/Addn. (4-sea.) ❑ 33 EM. Alt - SF
❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screen/gazebo) ❑ 36 Multi Misc.
❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage
❑ 06 04-plex ❑ 12 12-plex Plbg_Y or_ N ❑ 25 Miscellaneous
Work Types
❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish (Interior) ❑ 44 Siding
X 32 Addition ❑ 36 Move Bldg. ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair
,P_k~33 Alteration ❑ 37 Demolish (Bldg)` ❑ 43 Reroof ❑ 46 Windows/Doors
❑ 34 Replacement `Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation 49D Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. 35 PRV
Nbr. of Bldgs Length 3 Fire Sprinklered
Type of Const Width 3
REQUIRED INSPECTIONS
_ Footings (new bldg) Final/C.O.
p Footings (deck) Final/No C.O.
Footings (addition) _ Plumbing
Foundation _ HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
Framing _ Siding _ Stucco _ Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
Insulation - Retaining Wall
Approved By Building Inspector
- -
Base Fee - - - -
O -
Surcharge 3% JY 0Z
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Carolyn Hedberg 952-432-6622 p.2
Permit Number
REScheck Compliance Certificate Checked By/Date
1995 MEC
REScheckSoBwam Version 3.5 Release 1
Data filename: Untitled.rck
TITLE: Munkelwitz
/ 4"~C' /,a,}
CITY: Eagan
STATE: Minnesota
HDD: 7981
CONSTRUCTION TYPE: Single Family
DATE: 09/03/03
DATE OF PLANS: 9-03-03
PROJECT INFORMATION:
Fireplace bump out
COMPANY INFORMATION:
Owens Corning HOMExperts
COMPLIANCE. Passes
Maximum UA = 16
Your Home UA = 12
25.0% Better Than Code (UA)
Gross Glazing
Area or Cavity Cont, or Door
Perimeter R-Value R-Value U-Factor UA
Ceiling 1: Flat Ceiling or Scissor Truss 39 19.0 X0.0 2
Wall 1: Wood Frame, 16" ox. 128 19.0 0.0 8
Floor 1: All-Wood JoisLTniss:Over Outside Air 39 194 0.0 2
COMPLIANCE STATEMENT: The proposed building design described hers consistent with the building plans, specifications,
and other calculations submitted with the permit pplication. The proposed building has been designed to meet the 1995 MEC
requirements in REScheckVersion .5 leas (fo ly MECchec/i1 and to comply with the mandatory requirements listed in the
REScheckInspection C
Builder/Designer Date 1 ~ - 3
IENNA CORPORATION
„-pVEYCR'S CERTIFICATE Q~
\2~ e2ps Ra ~l
4,- ss ye RY 2q~-
N ~ 30 ~g 823 3
.58, (823,
O
o.O~~~ Jr N t !
6. rq .6} y' 0
ry~~'/p N 033 0ryry /
/20
I/ MouSFFO OAR o !I/ :e26 0
\ J 0/ (8iai,2 980/ _ B,D
9, 6;F
r-` JJ }
/ "441
tl.
• s co
oO~O ' / o REVISED 9-10-87 TO SHOW
0 PROPOSED HOUSE FOR
- / CO LUNDGREN BROS. CONST.
i
C S
DRAINAGE a LMLlTY EASEMENT
0 1' ~jf PER PLAT
1
Pv 1S'_ J
I --O
23.22. ` O 419'0~ .
If 11 l
(BoSu -)IN/7~IAV, /-I r-nl I0.,_129.52„r)j)1-rll~nl
cl t_.~v \ i/-lv V1~ L7~_L_1 V~ I.l I /-AL )E), I Ivry
-6 DENOTES PROPOSED SURFACE DRAINAGE SCALE; 1 INCH - 3o FEET
O DENOTES IRON MONUMENT SET PROPOSED GARAGE FLOOR - g2ra.~ FEET
0 DENOTES IRON MONUMENT FOUND
X000.0 DENOTES EXISTING ELEVATION PROPOSED L014EST FLOOR - 8 1 9.3 FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK e Y>~ FEET
WE HEREBY CERTIFY TO SIENNA CORPORATION THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 9 Block 3 BLACKHAWK GLEN 2ND ADDITION, according to the recorded plat
thereof, Dakota County, Minnesota.
IT DOES NOT PURPORT TO S1i01d IMPROVEMENTS OR ENCROACHMENTS, RIF ANY. 86S SURVEYED BY
ME OR UNDER MY DIRECT SUPERVISION THIS ~OTH DAY OF
JAM(:5•R HILL,
THE LEGAL DESCRIPTIdN USED ON SIGNED: INC.
THIS SURVEY WILL BECOME VALID
UPON FILING THE PLAT OF BLACK-
HAWK GLEN 2ND ADDITION. BY.
-
HAROLD C. PETERSON, LAND SURVEYOR
MINNESOTA LICENSE NUMBER 12294
PROJECT NCI. BOOK PAGE JAMES R. HILL, INC,.
85618 '
(87505) Planners / Engineers / Surveyors
FILE: NO. 207/
8200 Humboldt Avenue South
FOLDER Bloominplon, Mn. 65431 a12-884-3020
RESIDENTIAL BUILDING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Requirements RemodellReoair Requirements Office Use Only
3 registered site surveys showing sq. ft. of lot sq ft of house; and all roofed areas 2 copies of plan Cart of Survey Reed _Y _N
(20% maximum lot coverage allowed) 1 set of Energy calculations for heated additions Tree Pres Plan Recd _Y _N
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Not Reqd _Y _N
I set of Energy Calculations Addition .indicate ifonsle septic system On-site Septic System _Y _N
3 copies of Tree Preservation Plan if lot platted after 71193
Rim Joist Detail Options selection sheet (bldgs with 3 or less units
Date -7 l_ Z e /o3 Construction Cost 7112 65_0
Site Addr ss 2 C2 -swz, Unit/Ste #
"S . y z-
i
Description of Work _T-~ - .Q~
Multi-Family Bldg _ Y Fireplace(s) 1 - 2
Property Owner Telephone #
Szl- rn e U
Contractor ' Lvz~
Address Ci '
State ip lephone # ( )
C}'
COMPLETE THIS AR ONLY IF CONSTR TING A NEW UILDING
esota Rules 7672
- Minnes a Rules 7670 Category I Minn
Energy Code Category
• Re denfial ventilation category -1•Wo kslieet • New Energy Code Worksheet
(J submission type) g miffed Submitted
• nergy Envelope Calculations Submitted
Have you previously construct /d a buildi gan withla similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber Telephone J
Mechanical Contractor Telephone # ( J
Sewer/Water Contractor Telephone # ( J
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.
Applicant's Punted Name pplicant's Sijnature
OFFICE USE ONLY
Sub Types
❑ 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 (screen/gazebo) ❑ 36 Multi Misc.
❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage
❑ 06 04-plex ❑ 12 12-plex Plbg-Yor-N ❑ 25 Miscellaneous
Work Types
❑ 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 (Bldgr ❑ 43 Reroof l7 46 Windows/Doors
❑ 34 Replacement *Demolition (Entire Bldg) - Give 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) _ Final/C.O.
Footings (deck) _ Final/No C.O.
- Footings (addition) _ Plumbing
Foundation _ HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final - Pool _ Figs _ Air/Gas Tests _ Final
Framing - Siding _ Stucco _ Stone
Fireplace - R.I. _ Au Test _ Final _ Windows (new/replacement)
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
Other
Total
2005 RESIDENTIAL BUILDING PERMIT APPLICATION J L~~
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Requirements Reran delfReoair Requirements Office Use OnN
3 registered site surveys showing sq. ft. of lot sq. ft. of house; and L11 roofed areas 2 copies of plan Can of Survey Recd _ y
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pros Plan Recd _Y
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pros Required -Y -~N
1 set of Energy Calculations Addition- indicate don-site septic system On-site Septic System _Y ZN
3 copies of Tree Preservation Plan it lot platted after 711193
Rim Joist Detail Opti rns selection sheet (buildings with 3 orle,s units)
7 '
Date 07 / ~ / 05 Construction Cost yP0.
Site Address 112-n & jJ e9 ~L✓9G~ Unit/Ste #
Description of Work ZO X ~lelF' S7oiQi9(3
Multi-Family Bldg _ Y-7 v -N Fireplace(s) ✓ _ I _ 2
(asr) ~Os~yr~~
Property Owner 2, 94~GK,4 Telephone If
Contractor ~~~L5-S
Address City
State Z71 Zip '5-~'/2-7 ldwhone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 1 Minnesota Rules 7672
Energy Code Category • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(+1 submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Y ✓TA If yes, date and address of master plan:
Licensed Plumber Telephone )
Mechanical Contractor Telephone j
Sewer/Water Contractor 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
approval of plans. i~1 i s t
Applicant's Printed Name A cant's Sigma a
OFFICE USE ONLY
Sub Types
❑ 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. Aft - 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 Mufti Misc.
❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage
❑ 06 04-plex ❑ 12 12-ptex Plbg_Y or_ N ❑ 25 Miscellaneous
Work Types
U-' 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 nn 'Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation v~r7 Occupancy MCES System
Plan Review _ 100% or 25%
Census Code ZV Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const V- Width
REQUIRED INSPECTIONS
- Footings (new bldg) _ Final/C.O.
Footings (deck) Final/No C.O.
Footings (addition) _ Plumbing
_ Foundation _ I-IVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests -Final
Framing _ Siding _ Stucco -Stone -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
Other
Total
,,(UEYOR'S CERTIFICATt` ~s a a?o
3o 6 66 Ry A~
Mry S / \ 30 2g ll L =3 3 B=4" O
V M
5CezSo)
~.o
(7j ' `BL a ` ` Msae Yoe, ti f
n1~~\
a(V
yo~SFFO GQR o ~i .a=6'oJ ~ ego (Xati,? 4B \ 9 Nry /O h
03
BE;g CB jni 0)0;r_ T I-_
LOT 9 / ~ ty)
Q~ / O REVISED 9-10-87 TO SNOW
0 PROPOSED HOUSE FOR
PER P co LUNDGREN BROS. CONST.
i' /S co
GJ _ GE 8 UTILITY EASEMENT ~~+y
0O -'/J' PER PLAT \ r
1 0 0 ~glq o)
23.22 - r
(sos.~~ N 705`! qII vI 129.52 f
I /l / ItJ hl n l(i /,1 r_-r, I I In r 1-r- I-in I
,.l L_ ~ \I Ir-Iv VI♦ l'-C-1V r.J I /-L)~~r I I~ijV
DENOTES PROPOSED SURFACE DRAINAGE SCALE: 1 INCH 30 FEET
O DENOTES IRON MONUMENT SET PROPOSED GARAGE FLOOR - g2~.3 FEET
® DENOTES IRON MONUMENT FOUND
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR e 8 1 9.3 FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK a Y,2to•1 FEET
WE HEREBY CERTIFY TO SIENNA CORPORATION THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 9 Block 3 BLACKHA14K GLEN 2ND ADDITION, according to the recorded plat
thereof, Dakota County, Minnesota.
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, IF ANY. 86AS SURVEYED BY
NE OR UNDER MY DIRECT SUPERVISION THIS
SIGNED: JAMES R. HILL, INC.
THE LEGAL DESCRIPT16N USED ON '
THIS SURVEY WILL BECOME VALID
UPON FILING THE PLAT OF BLACK- (j~•
HAWK GLEN 2ND ADDITION. BY.
HAROLD C. PETERSON, LAND SURVEYOR
MINNESOTA LICENSE NUMBER 12294
PROJECT 140. BOOK/ PAGE JAMES R. HILL, INC,.
85618
(87505) / Planners / Engineers / Surveyors
FILE NO. Z~~/) 7
(3200 Humboldt Avonue South
FOLDER Bloominglon,Mn, 65431 612-884-3020
A -1
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694 Co_l_U0
New Construction Requirements RemodeVReoair Requirements Office Use Onlv
3 registered site surveys showing sq. (t of lot, sq t of house; and all roofed areas 2 copies of plan Carl of Survey Recd _Y _N
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd _Y _N,
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required -Y _N
I set of Energy Calculations Addition - indicate if on-site septic system Onske Septic System _Y _N
3 copies of Tree Preservation Plan if lot platted after 71W3
Rim Joist Detail Options selection sheet (buldiNs with 3 or less units) n L/
Date q / C2g / (/7L Construction Cost 0 ao
Site Address QS~ de// ri lF/ Unit/Ste #
Lzya /7
Description of Work 0& 4-4 1?Y x'45/0 h
Multi-Family Bldg - Y Ik N Fireplace(s) -Y 0- 1 _ 2
Property Owner Jo h A Nun kel k,/4 Telephone # ( )
Contractor A4 rte(/ 1A Ca 4S 7-rUCXi'oA &),4 -Tb(I
Address 1 '0 230f Ai Sy., '15-, City Lg k ey , Ile
State Zip J O Telephone # c2 '714
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category I _ Minnesota Rules 7672
Energy Code Category • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
In the 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 Telephone )
Mechanical Contractor Telephone # ( )
Sewer/Water Contractor 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 out a
permit; that the work will be in accordance with the approved plan in the case of work which re s~ it and
approval of plans.
2p0~
Appl s Printed Name y Applicant's a \6~
RP
OFFICE USE ONLY
Sub Types
❑ 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 EM. 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 /11 18 Deck 13 23 Porch (screen/gazebo) ❑ 36 Multi Misc.
13 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage
❑ 06 04-plex ❑ 12 12-plex Plbg_Yor-N ❑ 25 Miscellaneous
Work Types
❑ 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 *Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation 91 cq&c-o Occupancy MCES System
Plan Review 100% or _ 25%
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const V42 Width
REQUIRED INSPECTIONS
Footings (new bldg) Final/C.O.
Footings (deck) ~L FinaVNo C.O.
Footings (addition) _ Plumbing
_ Foundation _ HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final - Pool _ Ftgs _ Air/Gas Tests _ Final
Framing _ Siding _ Stucco - Stone -Brick
Fireplace _ R.I. -Air Test -Final _ Windows
Insulation _ Retaining Wall
Approved By: q Building Inspector
Base Fee Oa-
Surcharge 2~ 0
Plan Review C
MC/ES SAC
City SAC 7,12
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
SIENNA CORPORATION
kVEYOR'S'CERTIFICATE <3 B~°
30 / 6 B23 J .
' ry` IJ• 2g 829. / °
/ fiB ~ Y: ° ~r . I 1
ry ~jb•~20 ?033 4 4#d
~~'p F 1 Q1'0 EG''D 04R I Sze. 0,
n/ m' ~ xB ~ ryry.
~J ['8icj2 aeo/ eo ro
a Y .M~
„r
2 / / „rod
B2/ 3
0 44,6
LOT 9
S
IV)
O - REVISED 9-0-87 TO SHOW
0~
A, 0 PROPOSED HOUSE FOR
GO LUNDGREN BROS. CONST.
DRAINAGE a UrILITY EASEMENT co
PER PLAT
23.22 _
l8og.ol `N 7O,?~'1/rrnlii 129.52' r r-,~)r\ ,
-IV
DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET SCALE: 1 INCH 30 FEET
® DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR E5, FEET
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - 8 1 9.3 FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK e Us2(.•-1 FEET
HE HEREBY CERTIFY TO -SIENNA CORPORATION THAT THIS i5 A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 9 Block 3 BLACKHAWK GLEN 2ND ADDITION, according to the recorded Plat
thereof, Dakota County, Minnesota.
IT DOES NOT PURPORT'TO 511014 IMPROVEMENTS OR ENCROACHMENTS, IF ANY. 86AS SURVEYED BY
ME OR UNDER MY DIRECT SUPERVISION THIS ~OTH DAY OF DECEMBER SIGNED: JAMES R. HILL. INC.
THE LEGAL DESCRIPTIdN USED ON
THIS SURVEY WILL BECOME VALID
UPON FILING THE PLAT OF BLACK- I r l!~~C P"6 jfj• J
HAWK GLEN 2ND ADDITION. BY:
HAROLD C. PETERSON, LAND SURVEYOR
MINNESOTA LICENSE NUMBER 12294
PROJECT 140. 900K / PAGE JAMES R. HILL, INQ.
85618
(87505) Planners / Engineers / Surveyors
Zo7/)
FILE NO,
/ 8200 Humboldt Avonuo South
L FOLDER Bloominfllon, Mn. 55431 812-884-3020
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122 q
Telephone # 651-675-5675 FAX # 651-675-5694 ~l
New Construction Requirements RemgdellReoair Requirements Office Use Only
3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies o- f planCarl of Survey Racd -Y _N
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd _ Y _ N,
2 copies of plan showing beam 8 window sizes; poured found design, etc. 1 site survey for additions & decks ✓ Tree Pres Required -Y _ N
1 set of Energy Calculations Addition • indicate tionske septic system On-slie Septic System _Y _N
3 copies of Tree Preservation Plan if lot platted after 711/93
Rim Joist Detall options selection sheet (buildings with 3 or less units)
Date 6 / 9 S- l ~ Construction Cost 'y7 /z ap0
Site Address (G .z o 4SXi 6arV Unit/Ste #
Description of Work 'COGr! SE4671) 10/t /t id,,-,o-ti?,g -af"OUHd a/eCO
Multi-Family Bldg _ Y N / Fireplace(s) X 0 - I - 2
Property Owner Toh n Y J,aVCv /~lph1k,/Ak- Telephone #y0 6q ~
Contractor Agfn4em COnS)"rM `Oh L
Address 9 & o SX „Fj City 4 •t B/~~r
State /Y /V Zip Z Telephone # ($0
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Category I - Minnesota Rules 7672
Energy Cade Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
In the 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 Telephone
Mechanical Contractor Telephone
Sewer/Water Contractor 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. f r^ ~p q M T
Kv/e /ti, SYr0 ~ f ~n 5 D
V
A6plicant's Printed Name APP icant's Signa 11
Hor 9106KS 1i3t-!,Yewr- Ba,a
OFFICE USE ONLY
Sub Types
❑ 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 X 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF
❑ 04 02-plex ❑ 10 08-plex A 18 Deck ❑ 23 Porch (screen/gazebo) ❑ 36 Multi Misc.
❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage
❑ 06 04-plex ❑ 12 12-plex Plbg_y or_ N ❑ 25 Miscellaneous
Work Types
❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish Interior ❑ 44 Siding
x 32 Addition ❑ 36 Move Building ❑ 42 Demolish Foundation ❑ 45 Fire Repair
❑ 33 Alteration ❑ 37 Demolish Building' ❑ 43 Reroof ❑ 46 Windows/Doors
❑ 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation 13x70 Occupancy /5-3 MCES System
Plan Review y 100% or _ 25%
Census Code 3y Zoning 1-119 City Water
SAC Units - Stories Booster Pump
# of Units r Sq. Ft. PRV
# of Bldgs -T7 Length /N Fire Sprinklered
Type of Const Width Al
REQUIRED INSPECTIONS
Footings (new bldg) _ Final/C.O.
_ Footings (deck) Final/No C.O.
Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
Framing _ Siding _ Stucco - Stone - Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
Insulation _ Retaining Wall
Approved By: Building Inspector
- -
Base Fee oZ z 3 ~L ~j y SiiAScrN ~~Y ~'/r /Oy
Surcharge
Plan Review I LIZ/ 40 U r C It-
MC/ES SAC / 7 Y
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Permit Number
MECcheck Compliance Report Checked By/Date
2000 Minnesota Energy Code
MECcheck Software Version 3.3 Release lc
Data filename: C:\Program Files\Check\MECcheck\munkelwitz heat calcs.cck
COUNTY: Scott
STATE: Minnesota
ZONE: 2
CONSTRUCTION TYPE: Single Family
DATE: 08/28105
COMPLIANCE: Passes
Maximum UA = 74
Your Home = 73
1.4% Better Than Code
Gross Glazing
Area or Cavity Cont. or Door
Perimeter R-Value R-Value U-Factor UA
Ceiling 1: Raised or Energy Truss 220 38.0 0.5 5
Skylight 1: Wood Frame, Double Pane with Low-E 8 0.300 2
Skylight 2: Wood Frame, Double Pane with Low-E 8 0.300 2
Wall 1: Wood Frame, 16" o.c. 460 19.0 0.5 20
Window 1: Above Grade, Wood Frame, Double Pane with Low-E 14 0.300 4
Window 2: Above Grade, Wood Frame, Double Pane with Low-E 10 0.300 3
Window 3: Above Grade, Wood Frame, Double Pane with Low-E 24 0300 7
Window 4: Above Grade, Wood Frame, Double Pane with Low-E 24 0.300 7
Window 5: Above Grade, Wood Frame, Double Pane with Low-E 10 0.300 3
Window 6: Above Grade, Wood Frame, Double Pane with Low-E 10 0.300 3
Window 7: Above Grade, Wood Frame, Double Pane with Low-E 20 0.300 6
Window 8: Above Grade, Wood Frame, Double Pane with Low-E 2 0.300 1
Window 9: Above Grade, Wood Frame, Double Pane with Low-E 2 0.300 1
Window 10:
Above Grade, Wood Frame, Double Pane with Low-E 6 0.300 2
Floor 1: All-Wood Joistrfmss, Over Outside Air 205 26.0 0.5 7
Furnace 1: Forced Hot Air, 92 AFUE
Proposed and Maximum U-Factor Averages
Proposed Maximum
Average U-Factor Allowed U-Factor
Above-Grade Windows and Glass Doors 0.300 0.370
Includes Foundation Windows > 5.6 ft2
Skylights 0.300 0.550
COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans,
specifications, and other calculations submitted with the permit application. The proposed building has been
designed to meet the 2000 Minnesota Energy Code requirements in MECcheck Version 3.3 Release le and to
comply with the mandatory requirements listed in the MECcheck Inspection Checklist.
4+ ~2- Date ~ a -9(0 5
Builder/Designer
2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION TI ~O , S~
13`~ City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomes/condos when permits are required for each unit
Date -l jk l r MQ
Site Address 11oX /"IS Y bu r1 Q GEC Unit #
Property Owner 3 -o Il l Z Telephone # (le5I) X105- ee f f?
Contractor A Q U t (Q
Street Address 071e 105 /41516 S+. W City Jose-Mo urrf
State ~l Zip 50 fl Telephone # ( (p 14
Bond Expires:
The Applicant is Owner Contractor Other
Add-on or alteration to existing dwelling unit $ 30.00
X furnace -Additional ~C Replacement _ New
air exchanger
air conditioner
heat pump
other
State Surcharge $ .50
Total $ 0
I hereby apply for a Residential Mechanical 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 with the Mechanical Codes; 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 lap6ne n)nnh/ Severson F~1(k ~o rt_f;n&;Z •~aQlu
A ppi is Printed Name Appignature
2005 COMMERCIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling taut
Date •
Site Street Address Unit #
Tenant Name (if applicable) Previous Tenant Name ,
Property Owner Telephond 3f(' )
Contractor
i
Street Address,. • r.
State. - Zip. Telephone #
( )
Bond Expires:
The Applicant is Owner Contractor Other
Work Type
- New Construction _ Underground Tank _ Install -Remove "see below
- Interior Improvement _ Install Piping -Processed -Gas
Nature of Work:
"When installing/removing underground tank, call for inspection by Fire Marshal and Plumbing Inspector
Permit Fees: $70.50 Underground tank installation/removal
$50.50 Minimum (includes State Surcharge)
or
Contract Value $ x 1% _ $ Permit Fee
$ State Surcharge
If Mlh fee is less than $1,000, add $.50
If permit fee is more than $1,000, surcharge
• 'a is $.50 for every $1,000 owed
$ Total Fee
I hereby apply for a Commercial Mechanical 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 with the Mechanical Codes; 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.
Applicant! s Printed Name j . .v Applitailft, Signature
Approved BY Inspector Date:
Required Inspections: _ U.G. _ RI. _ Air Test Gas Service Test Infloor Heat Final
73 93 70.E
2006 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan NIN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Requirements RemodelfReoair Requirements _
3 registered site surreys showing sq ft. of lot, sq. ft, of house; and all roofed areas 2 copies of plan showing footings, beams, joists
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions
2 copies of plan showing beam & window sizes; poured found design, etc- 1 site survey for additions & decks
1 set of Energy Calculations Addm'on - indicate if on-sife septic system
3 copies of Tree Preservation Plan if lot platted after 7/1/93
Rim Joist Detail Options selection sheet (buildings with 3 or less units)
Minnegasco mechanical ventilation form I,
Date _ / 0/62.,Q / 0I , ~J ,A, ' Construction Cost ho 1/0
Site Address ~ A1,W V DL"(O Unit/Ste #
Ca S 2
Description of Work
Multi-Family Bldg _ Y ✓N Fireplace(s) 2
Property Owner A ~ ki 4 r~L J1rP /yl UYI ]]Telephone # (695/) YCIT - 422,2 QRENEWAL BY ANDERSEN
Contractor 1920 COUNTY RD. "C" WEST
Address ROSEVILLE, MN 55113 . City
State 651-264-4777 _ Telephone # ( )
LICENSE #20130983
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
Energy Code Category • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
In the 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 Telephone J
Mechanical Contractor Telephone )
Sewer/Water Contractor 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.
i
Applicant's Printed Name Applicant's Signa re
DO NOT WRITE BELOW THIS LINE
Sub Types
❑ 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 (screen/gazebo) ❑ 36 Multi Misc.
❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage
❑ 06 04-plex ❑ 12 12-plex ❑ 25 Miscellaneous
Work Types
❑ 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 •Demolitlon (Entire Bldg) - Give PCA handout to applicant
Description: 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. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
- Footings (new bldg) _ Sheetrock
Footings (deck) _ Final/C.O.
Footings (addition) _ Final/No 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
Other
Tota I
PERMIT
City of Eagan Permit Type: Building
3830 Pilot Knob Rd Permit Number: EA073913
Eagan, MN 55122 . Date Issued: 06/16/2006
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 1620 Ashbury Pl
Lot: 9 Block: 3 Addition: Blackhawk Glen 2nd
PID 10-14351-090-03
Use
Description:
Sub Type: e-Windows/Doors Construction Type:
Work Type: Windows/Doors-New/Replacement
Description: House
Census Code: 434- Occupancy:
Zoning:
Square Feet: 0
Comments: Swapped by Elder Jones on 8/24/2006. CE
Fee Summary: BL - Base Fee $2K $69.00 0801.4085
Surcharge - Based on Valuation $2K $1.00 9001.2195
Valuation: 2,000.00
Total: $70.00
Contractor: -Applicant - Owner:
Renewal Andersen John L Munkelwitz
1920 County Road C West 1620 Ashbury PI
Roseville MN 55113 Eagan MN 55122
(651) 264-4777 (405) 693-8
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type: Building
Permit Number: EA105350
Date Issued: 0711012012
itj of 0n Permit Category: ePermit
R
Site Address: 1620 Ashbury P1
Lot: 9 Block: 3 Addition: Blackhawk Glen 2nd
PID: 10-14351-03-090
Use:
Description:
Sub Type: e-Reroof Construction Type:
Work Type: Replace
Description: House & Garage
Census Code: 434- Occupancy:
Zoning:
Square Feet: 0
Comments: If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are
not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes.
Fee Summary: BL - Base Fee $4K $103.25 0801.4085
Valuation: 4,000.00 Surcharge - Based on Valuation $4K $2.00 9001.2195
Total: $105.25
Contractor: - Applicant - Owner:
Greenguard Construction Inc John L Munkelwitz
2915 Waters Road, Suite 101 1620 Ashbury PI
Eagan MN 55121 Eagan MN 55122
(651) 289-7000
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA121485
Date Issued:04/03/2014
Permit Category:ePermit
Site Address: 1620 Ashbury Pl
Lot:9 Block: 3 Addition: Blackhawk Glen 2nd
PID:10-14351-03-090
Use:
Description:
Sub Type:Siding & Windows/Doors
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of house wrap and leave on site for final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 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 -
Brent L Wilson
1620 Ashbury Pl
Eagan MN 55122
Sela Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823-8046
Applicant/Permitee: Signature Issued By: Signature
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Use BLUE or BLACK Ink
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� Permit Fee: �
3830 Pilot Knob Road � v I
Eaaan MN 55122 ! �
Phone:(651)675-5675 � Date Received: �
Fax:(651)675-5694 � I
� Staff: �
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2014 MECHANICAL PERMIT APPLICATION
❑ Please submit two(2)sets of plans with all commercial applications.
Date: Site Address:
Tenant: Suite#:
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, � k�. < �. , Name: � W�11, U� Phone:_��:) 1" �`'t") ^ �".?l�Y
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��Type'�f�U��k � Description of work:
�NOTE:����oof moun e an ,grouncl moun#ei�nec a al�q pmen�is'requi�e�to be ieeneil by�ity u��
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'� �� � ��otle ��ease� �c the�echanical Ins�ecforfor�info�on on permi e sc�eenmg me otls ���'
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�'� � �"' � �"""` � ��'��" RESIDENi'IAL COMMERCIAL
.���� ��� � ~���� �" Fumace New Construction Interior Improvement �
���� � ���� — —
�� Per����y�e� —AirConditloner _Install Piping _Processed
"''�'��'�' �`�� Air Exchan er
— 9 Gas Exterior HVAC Unit
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_Heat Pump Under/Above ground Tank �Install/_Remove)
e��:��� Other �
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit(includes$5.00 State Surcharge) �v
$100.00 Residential New(includes$5.00 State Surcharge) _$ �� ° TOTAL FEE
COMMERCIAL FEES Contract Value$ x.01
$55.00 Permit Fee Minimum
$70.00 Underground tank instaliation/removal =$ Permit Fee �
*If contract value is LESS than$10,010,Surcharge=$5.00 =$ Surcharge*
"`*If contract value is GREATER than$10,010,Surcharge=Contract Value x$0.0005 _
*'`*If the project valuation is over$1 million, please call for Surcharge =$ �" TOTAL FEE
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the Gity 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.
x _ � X � �
App ica t s rin ed Name App icant's Signature
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FAR OFFICE USE' ` �'��,,,� ,�a, ���,��� ���v� � � � � � �
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Reqwred Ins�ect�ons � ��, � �°�.� Reviewe B,y t .�w � � � � � ' •�Date� � �
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