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3605 Ashbury RdCITY OF EAGAN 3830 Pffot Knob Road P.O,Box 21199 Eagan, MN 55121 n,.,.,o.. _ Permit No: ` Meter No: 41,f) -:2 R Reader No: T,/_Q 9 3/ Q/ . Date: ` Size: c C Date: .+110 nuuiass:- :.?. •- nnnrv KQaQ fS '? '- Plumber. Conn. Chg: 's :n 0 (1 P'i Zoning: Acct Dep: 15 ,;Z(yDd No. af Units: ? Permit Fee: .SUfCf18f9e: - ?(lnrl ? 1 agree to comply with ihe City of Eagan Tr. Plant_;,>nL- rir):p,l r inances. Meter. _ 67 0 d MISC.: r' n - r., t C` r/t-- WATER SERVICE PERMIT Cv?? r?/' REQUEST FOR ELECTRICAL tNSPECTION ??? e S?e instructrons for compfotintilsthis,iform on back oi yellow copy. 2 4 '..X.. Eelow Work Co4red by 7hIs Request EB-D0001 ;O6 ewl Addl Rep. Type ol Building Applionces Wired Equiument Wired Home Range Temporary Service ' Duplex Water Hoater Liyliting FixtUnes Apt. Buildmg Dryer Electnc Hentin Commercial Bidy. Fumace Silu Unlo.ldr.r Industrial Bldy. Air Conditionc;r Bulk Milk Tank Farm 4ther uecl v .tne, 15u"..ifv1 t r.r {?e?ify ;• Ot G•r 01hor ? Compute InspecUon Fee Below M Pee ServiceEntrenCeSize h Fee Feeders/5ubleednrs 4 Pr,e Circuits ' U to 200 Am ps 0 to 30 qm s LB 0 tn 30 Am )s llbove 200_Amps 31 to 100 Amps 31 to 100 Am s Swimming Pool Above 100 Amps Ahave 1(10_Am ri Transformers Irnyation Boon.s 3 artial Other Fee Signs Special Inspection S y_ Rem arks TOTAL FEE Roueh-on b?ilr 1. the EleCtriCal ? • Insnector, hereby cerllly that th0 ibove Final Ynsp6ction has 6eBn made. Thb request void 18 montAS trom This requ¢st void (y/ /?G 1R months (rom D 6 b2 24 /, -9,::y gg'[Tcensed Elec[ncel Contractor 11 OWIiP.f No. HouAh-in Insper.liOn Required? 11Dlileadv Nuw Q Will Nolify Inspec;- Ry-eg ONo tor When Ready 1 heieby request inspection of e6ove electricnl work instAlled at: Street Addfess, 8ux or Route N. 1 Cil ' O? tron o. Township Niame or Nn T ange o. Or.cu ant (PRINTI : i Phone No, Pawer r uPl1 ? - Address ? i Ae i ? Electric; Co ctor ICOmpany N.im Cuntr;ictm's I ir.ense No. iling Address (Co rac .o wner Making Insi uon) Authort ed SonA ur o tractor wner Makinp Inste atiun) Phone Nurnber 'MINNESOTA STXTE BOARD OF ELEeRICITV Griggs.MidweY 81dg. - Foom N-791 1821 Universitv Ave.. St, Paul. MN 55104 Phone (672) 642-0800 THIS INSPECTION HEQUEST WILL NOT BE ACCEPTED BY THE STATE BOqRD UNLESS PROPER INSPECTION FEE IS ENCLOSED. . -,.,4.- -.e.,.,?. ...-_.,-_.,,.?.-.. ? .... T,..,:.?..._ CASH RECEIPT , CITY`OF EAGAN 3830 PILOT KNQB ROAD ? EAGAN, MINNESOTA 55122 ; .? DATE - 19 'YED AMOUNT $ & DOLLARS 100 ? CASH kCHECK FM - ? ?_ ? - ? .? ?.?. ? FUND OBJECT AMOUNT Thank You BY /- '? WhRe-Payers CoPY Yellow-Posting CoPY Pink-Flle Copy CASH RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE ? _.; ? 19 rtECerven FROM _r AMOUNT $ ? & DOILARS 100 ? CASH d CHECK Fan - -- ? ? - . . . , , .? ? . 1 c. ? FUND OBJECT AMOUNT C., (_ . G U ?. .? Thank You BY I\T'0. 84410 .?. VYhlte-PaYars CoPY Yelbw-PostlnH CoPY Pink--Flle CopY . _ . . . , . ?., x CITY QF EAGAN ? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100 BUILDING PERMIT Receipt # To be used for ; t t?w+:; !; •tt,ri Est. Value 414!i ,..'? Date HAx ZD ,19 = a SiteAddress 360 l1SFIBL'kY :i; Lot 25 Block 3 Sec/Sub. Kl-p?CKHAWK G1.EA1 2HI Parcel No m Name YETSR 6 LINDA SAYAGE ; Address 5304 41ND AVE ; ° City t'PS.S Phone , o Name '-jAME ? Q Address P Qity Phone yVj W W Name h Address ir = 'q W City Phone I hereby *knowledge that I have read this application and state that the information is correct and agree to comply with all applicabie State of Minnesota Statutes and City of Eagan Ordinances. Signature of PeRnittee ; - " A Building Permit is issued to- F!.TEF. 14 LI lvl?N 'iAYAGE ! on the express condition that all work shall be done in accordance with all aPpUcable State of Minnesota Statutes and City of Eagan Ordinances. Buildieg Official _ OFFICE USE ONLY On Site Sewage Occupancy MWCC System Zoning On Site Well (Acfual) Const City Water (Allowable) PFiV Required ? # of Stories Booster Pump Length Depth S.F. Total Footprint S.F. APPROVALS Engr./Assess. _ Planner _ Council _ BIdg.Off. _ Variance _ FEES Permit Surcharge Plan Review SAC, City SAC, MWCC Water Conn. Water Meter Road Unit Treatment P1 Parks TOTAL V-L V-[: 72' 381 726.00 73.50 363.00 1Q0.(w 550.00 550.00 67.00 2 o .oo 2 V58. St7 CONTRACT PRICE: 3830 Site Address :?' ` ? 1 I j ; LotBlock 1?Sec/Sub ? ??., . m Name i ; ? Address c City Phone Name + 3 Address p Ciiy Phone FEES COMMIIND FEE - 196 OF CONTRACT FEE MINIMJM - RESIDENTIAL FEE - $10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN PERMIT # / -.z (-' i PERNIR RECEIPT # EACaAN kD, EAGAN, MN 55121 DATE: 154-8100 BLDG. TYPE WORK DESCRIPTION Res. New Mult Add-on Comm. Repair omer FIXTURES TOTAL Water Closet - $3.00 ? - Bath Tubs - $3.00 =Lavatory - $3.00 J Shower - $3.00 ? Kitchen Sink - $3.00 Urinal/Bidet - $3.00 Laundry Tray - $3.00 ?- Floor Drains - $1.50 ' Water Heater - $1.50 Whirlpool - $3.00 ' Gas Piping Outlets - $1.50 ? Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE STATE S/C: GRAND TOTAL: PERMIT # ? • MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAM, MN 55122 DATE: - CONTRACT PRICE: P.KONE: 454-8100 For Office Use Site Address BLDG. TYP F-" WORK Lot Block SeclSu •? J - New _ 1 ? Mult Add-on m Name .?, ` ?' Comm. Repair . m Address c ? ~ ? : : /lt? -, 4•• ? ? Other c City A `• ?• Phone. I `' FEES • Name L ' RES HVAC 0-100 M BTU - . c Address . ADDITIONAL 50 M BTU p , Ciry Phone I? •(RES. HVAC 1NCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MiNIMUM - 1 PER PERMIT) TYPE pF WORK A47 COMM/IND FEE - 196 OF CONTRACT FEE Forced Air " M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHQUSE & CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU FiEMODELS Air Cond. M BTU g M1NIMUM COMMEACIAL FEE STATE SURCHARGE PER PERMIT Vent CFM 0) pERMIT PRICE GOES ( p Gas Piping Outlets # ? p BEYOND $1 Other ? FEE: vi f ? -? . SIGNATURE OF PEpMiTTEE ,-" S/C: f TOTAL: r? FOR: CITY OF EAGAN - $24.00 - 6,00 1.50 EA. A - 12.00 - 20,00 - .50 ?????11/9/89 4 CITY OF EAGAN ? O Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ' PHON E: 454-8100 BUILDING PERMIT Receipt # To be used for Est. Value - Date ,19 Site Address Lot Block Sec/Sub. Parcel No. a NflI1lB Y 3 Address 0 City a O Name . ? ? Address ? City Phone Address City_ I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit is issued to: on the express condition that all work shall be done in accordance wit h all applicable State of Minnesota Statutes and City of Eagan Ordinances. OFFICE USE ONLY On Slte Sewage Occupancy MWCC System Zoning On Site Well (ActuaQ Const Ciry Water X (Allowable) PRV Required # of Stories Booster Pump Length Depth S.F. Total Footprint S.F. APPROVALS Engr./Assess. _ Planner _ Council _ BIdg.Off. _ Variance _ FEES Permit Surcharge Plan Review SAC, City SAC, MWCC Water Conn. Water Meter Road Unit Treatment P1 Parks TOTAL i ' ?- Permit No. Pormit Holder Date Telephone Plumbing 757 ?: • ? C? H.v.ac. C' E v ??? , ? c, n 1 z P v-?= Softener Inspection Date Insp. Comments Footings I Footings II Foundation Framing 5 ? Roofing Rough Plbg. ?- Rough Htg. Isul. , Fireplace Final Htg. 10 Final Plbg. lo _ B Bldg. Final Cert. Occ. Temp. LP Deck Ftg. Deck Final fZ ! Well Pr. Disp. CITY OF EAGAN Permit No:_ 3830 Pilot Knob Road Meter No: _ ? P.O. Box 21199 Reader No: Eagan, MN 55121 Date: Size: Daie: Owner. ?r?I.inRA 5;avacy Site AddfBSS: ' c?'? •'"S' r?'? - . _?^'t'r:ar•'r Plumber. Conn. Ghg: - 0"j-d Acct Dep: ' Permit Fee: Surcharge: Tr. Plant Meter. Misc.: Zoning: - No. of Units: I agree io comply wlth 1he City of Eagan Ordinances. WATER SERVICE PERMIT CITY OF EAGAN Permit No: 107191 Date: 6-8-28 3830 PilO! Kr1ob Roed B/p No: 23959 Date: 5-=?'Q-R`' P.O. Box 21199 Eagan, MN 55121 Site Plumber: Pete= S$n?Z?- MWCC: ) - `? . 0(.''?`.j . . ? Zoning, City Chg: Z00•?-ce- I No. of Units: 7 Acct. Dep: ? 5. n{Npe ? n_ JtInt-1, I agree to compty with the City ot Eagan Permit Fee: , ,; Ordinances. Surcharge: . Misc.: By SEWER SERVICE PERMIT i ., . . ? . (texfiftrate uf (Orrupattry titp of (Eagan ; r,prarfimmi a# Iudbing Inaprr#inn T7cis Certifrcale issued pmrsuant 1o the requirements of Section 306 of the Uniform Burlding Code cerrifying tliat a1 the time of issuance this structure was ix complrance with the various ordinances of the City regulating building coristruction or use. For the follawing: uw cbmrmn. SF DWG/CATt mag. Panift nro. ! 5C?46 poc„p„Xy Type RIA11 zoeing amm TYve conu. Owoef Of BUildiOg ?E.T i r•R t?l ?= J304 4 29) ,r'' ?i: iS. g,M.m AM,= "iM5 I.aaliry :21FV 2M,; n,?: ?:)c,'IGM 21, t 9P V, Bwlding OBicial POST IN A CONSPICUOUS PLACE , BLDG. PERMIT p 01-3210 BIdg.Permit ? 01-3422 Plan Check 01-3445 Surch./Adm. 01-3446 SAC/Adm. 01-2155 Surcharge 75-3860 Road Unit 20-2275 SAC 20-3865 Water Conn. 20-3868 Water Trmt. 20-3716 Water Meter 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 SewerPermit 79-3866 Sewer Conn. 28-3855 Park Ded. TOTAL ? c Q D This reQUest void 78 monihs from ? ?` Q/?SI/FE' C 976731..Q.x P_q Raquest Date ? . J Fire No. Rouah-in InsOection R q etl7 Reatly Now ? WiII Notify. InsOCC' ? 8B ?es ?NO ior When qeedy censed Electrical Contramor . I hereby raauest ioaDection of ebove Owne, electricel work installed et: No. m ny n0 signawre lcontta t0r MekiOg InsldlldbON ? -P?Ontl Numba?r C ESOTA S A EBOAXD OF ELE Tfll 7MI5 INSPECTION flEQUEST WILL NOT Griype-Mitlwoy Bltly. - Room N•191 BE ACCEPTED BY TNE STqTE BOAHD 1821 Univaraity Ave.. St. Psul, MN 65104 ?1NLESS PNOPER INSPECTION FEE IS Phone(672) 642-0800 ENCLOSEU. REQUEST FOR ELECTRICAL INSPECTION pea/-.?oooai-o±s 1 See inatruclions tor complelin9 this }orm on back of yellow capY. ( (J 7 "X" Below Work Covered by lhis Request IN"Atldjflep-I TYpe ol BuiltlinB 1 Aoolioneee Wiree 1 Equiument Wired ? ce N Fee ServiceEnbenceSiza fl Fee Feaders/5ub(eetlers- # Fee Circuits 0 to200qm s Oto30Am s ? Ota 30Am Above 200 qm p5 37 to 100 Amps 31 to 100 A s Swimming Pool Above 100_Am s A6ave 700_Am s Transformers rngation Booms artial-'Other F ? L I Signs I I ISVecial Inspection 'S -? / Rerrerks ? TOTAL F cr ( NouBh-in ir .•??s° y_? 01.theElacViee ? Inspector. leraby Final '_; '? , ??f erlify thet fha above y inspaction has been ¦hla reQUast mltl 18 monlhe Irom This request void &/ /? r' 18 mpnlhs trom ' J 0 66224 L.-,?s ? ? _ --- -?- .,? Requrtetl? ?Aeady Nuw Q WtII Nolity. Inspec- ? ? ? ? ? ?NO tor Whr,n Reatly L?{"171-censed Electrical Convactor I herebV request inspection of above ? Owner elecVicel work inslalled at: Streec Atldress, Boz or Raute Cit O,S- cLOn o. Townshi0 Nnme or NrV - Rrnfle No. nty Occ pent IPflINT) Phone No. Power ppli ? AAtlress Electri Co? cin ICOmpanv Nam Contracmi's License No. 1 Aw ? Jing AdJress (C ra r wner MakinB lnstaflation) ? Auth ri ed 5' a ur trecto wner Makiny Installationl Phone Number MINNESOTq ST/{TE BOARD OF EL6CTRICITY THIS INSPECTION FEQUEST WILL NOT Grie9s-Midway Bide. - Aoom N-191 BE ACCEPTED BV THE STqTE BOAND 1821 Universitv Ave.. Si. Peul, MN 55106 UNLE55 PPOPEfl INSPECTION FEE IS Phone (612) 642-0800 , ENCLOSED. CP/.???0•? REQUEST FOR ELECTRICAL WSPECTION ee-ooooi-os ? St?a inshuctians for completinq this lorm on back ot Vellow copy. ..' ??it/ % 0- 6 6 2 2 4 "x" BeloW Work Covered by 7his Request Note tdn Reo. Tvae oi Buuding naoiiaoces wirea Eouiomeni Wired Home Range Temporary Service Duplex Water Heater Lightiny Fixtures Apt. Building Dryer Electric Heaun Commercial Bldg. Furnace Silo Unloader Industrial BIAg. Air Conditioner Bulk Milk iank Farm omr, a,, rv om?? ?sun??rv? t or Succity ther Other Comou[e lnsoection Fee Below N Fee Service EnNenceSize p Fea Feeders/Su6leeAers b F5rt Circuits 0 to 200 Am s 0 to 30 qm s 0 0 m 30 An s Above 200 qi»py, 31 to 100 AmPS /d ? 31 to 100'Am Swimming Pool A6ove 100_Am s Above 100_Am s Transformers Irrigation Booms S drtia6e Signs SUecial Inspeclion TO AL Rem?rks ?? y? ?.V flough-in Q. t' ??jj /JG? .,pectoq hereby Ffnal 'rertifV thet the above oection has baen I mnde. ..' _ ,• _"__- _ y _ This request voitl 18 montlis from WSI APFLICATION FOR PERMIT SEWER AND/OR WATER CONNECTIQN OFCC1gan ;,. ,._,.,-,_.,....,...,.x....,x..... ? N01'E: PA]R+IENf OF FEE AT TiME OF sx ^ _ ?, i APPLIGMON DOES NDT (.'ON- y* ? STI1[TfE APPI2UVAL OF PERMT. ? 2??SE=CN OF SEYIIIi A!ID/OR WATIIt w'. I[liTALIATI011S WIIS. N07' eE sCFD[R.[D .*, [1Nf'IL PERFIIT HAS BEHi ApPROVfD. ? lit4#44fff}iffYkRfifif#?!4!lffifrt?ifi# 1) PROPERTY ADDRESS: .. (--(pQ.. G ? T'FY;AT' DESCRIPTION: _61O C%G J`j4e t?15?cC/? -(Lot B ock 5 vlsion or Tax arcel ID IF EXISTING STRC'CT[JRE, DATE OF ORIGINAL BLILDING PF.E'iMZT ISSOANCE: mont Year PRESENT ZONING/PROPOSID LSE: Q COMP"1LRCIAL/RETAIL/OFFICS Q INDCSTRIAL Q INSTIZUTIONAL/GOVII2PIIMENT 2) NAME: ADDRESS: CITY, STATE, ZIP: _ PHONE: ?K'R-1 SINGLE FAMILY El R-2 DUPLEX (7ko Cnits) ? R-3 TOWNHODSE (Three +,Onits) ( L'nits) Q R-4 APARTMENT/CODIDOMINIUM ( L?nits) / -? 'S/,!I -?r?.•.- k-vgkJC MASTER LICENSE 0 r Or' V ?v ,liunwers License: P Active Expired Not recorded Staff Initia 5) CONNECTION TO CITY SEWER ONI?CTION TO CITY WATII2 ? OTHFS? Z 6) %/?Y- ********??.???***r?:r*:r***+**********+***?+*****?t:?:r**?***?****?***???************+**********•****?**,r* ZYIE GOID COPY OF THE PERPffT WILL BE SEPTf DIREX.'TLY TD Pi)HLIC WORKS 7U FFCILITATE ME.Z'ER PICK-UP. ? PLEASE ALIAW 'ISc WORKING DAYS FOR PROCESSING. SOmEONE FROM TfM CITY WILL CONrACf YO[) IF 7IIERE ? * ARE ANY PROBLEMS. *y '?*?*??*?*?**?******?:*****?*****?x***?******+*****?***«?+,*************+****,r*********************??; 3) NAME: %1DDRESS: (5, CITY, STATE, ZIP: r PHONE: ? 4) ??11 NAME: ADDRESS: CITY, STATE, ZIP: PHONE: FOR CITY USE 4NLY PERMIT # ISSL'ED Pd w/Bldg. Permit c $ $ (G7,r 0 $ FEES: $ /11D•SC $ ?(J • S?) S c SEWER PERMIT (INCLUDE SURCHARGE) WATER PERMIT (INCLUDE SORCHARGE) WATER METER/COPPERHORN/OL'TSIDE READER WATER TAP (INCLODE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUNT DEPOSIT - SEWER $ $ ACCOONT DEPOSIT - WATER $ 6 S-O -0--o $ WAC $ ? S (i • ?a $ SAC $ $ TRCNK WATER ASSESSMENT $ $ TRC'NK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRLNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER S o?G` ?f d7? $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: S 71 $ TOTAL g3 ci RECEIPT RECEIPT DOES LTILITY CONNEC TION REQOIRE EXCAVATION IN PC'BLIC RIGHT OF WAY? Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN POBLIC ROADWAY" MUST BE ISSUED BY THE ENGINEERING Q NO DIVISIOIV. LIST AS A CONDITION. SUBJECT TO THE FOLL OWING CONDITIONS: APPROVED BY: Z2,c-e_?? 14,? TITLE: DATE: 4 1 ?l /rA' . . CLAIrt VOUCHER - REFUND REQIIEST CITY OF EAGAN CLAIMP.NT FiFrTRT?AT MAINTENAN?E SERVICE ADDRESS 3548 IDAHO AVENUE NORTH ' (?RYSTAL MN 55427 Locatian 3605 ASHBURY ROAD - L25_ B3, BLACKHAWK GLEN 2ND Receipt No./Date 84449/6-22-88 Reason for Re£und _ HOMF. RiITi.DFR CHANGED ELECTAICAL CONTRACTORS Type of Refund Electrical Permit 01-3211 RS.pp $ Plumbing Permit 01-3212 $ Mechanical Permit 01-3213 $ Surcharge 01-2155 $ Water Connection Permit 20-3713 $ Sewer Connection Permit 20-3743 $ Account Deposit 20-2252 $ Utility Account Over-Payment 20-2250 $ Other: $ $ TOTAL $ 85.00 I declare under the penalties of law that this account, claim or demand is just and that no part of it has been paid. 4 ? ? l i t i n ature Datc ` J , CIT1( OF EAGAN No ? • 3830 Pilot Knob Road, P.O. Box 21 •7 99, Eagan, MN 55121 PHONE:454-8100 l'l BUILDING PERMiT Receipt #? s n To be used for SF DWG/GAR Est. Value $146,000 Date MAY 20 ,19 8S Site Address 3605 ASHBURY RD OFFICE USE ONLY Lot. ZS Block 3 SeGSub.BLACKHAWK GLEN ZN On Site Sewage _ Occupancy R-3 M-1 MwCCSystem X Zoning ParcelNo. V-N OnSiteWell _ (ActuaqConst s Name PETER & LINDA SAVAGE Cirywater ? (Allowable) V-N _ w = Address 5304 42ND AVE S PRV Required X # of Stories 1 0 City MPLS Phone 724- 8850 BoosterPumP - leng[h 72 oepm _ 38' o Name SAME S.F.Total _ , ?a Address FootprintS.F. ? City Phone APPROVALS FEES ?a Fw Name Engr./ASSess. Permit 726.00 73 50 planner surcharge . ? Address 363 00 ? Council PlanReview . _ Q W City Phone_ Bidg. Off. SAC, City 100.00 I hereby acknowiedge lhat I have read this application antl slate ihat the Variance SAC, MWCC _ 550.00 information is cOrrect and agree to comply with all a able State of Water Conn. , 550.00 Minnesota Statutes and City of an Ordinances. ' Water Meter 67.00 Signature of Permittee ? _ _ _ ----- ---- Road Unit ?.?5.Q4 A euilding Permit is Issued to: PETER & LINDA SA __GE Treatment Pt 20?+.00 on the express wndition Ihat all work shall be done in accordance with all Parks applicable State of Minnesota StaNres and City of Eagan Ordinances. _ 958.5n , 2 ????f p Buiiding Ofticial_LLl?1?___-___ roraL , ,. . 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN 1 Sa y?. SINGLE FAMILY DWELLING3 INCLUDE 2 SETS OF PLANS, 3 CERTZFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL ONITS FOR SALE UNITS # OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECS WITH HLDG. DEPT.t 1 SET OF ENERGY CALCULATIONS COPP'IERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY C9LCULATIONS i To Be Used For:-$jh ???Va7luation• (J Site Address r , f _? 1Gr00o? nateXT lylAY 18 ?' Lot OPD Block L_?3 On site sewage_ ?, 1NWCC system ? Pareel/Sut???/?gfC ?= 4flf bn site well I r City water Owner PAV required ? Addressvr3ov- V")`-0 HOOSter Pump - City/Zip Code-d?V-lS m'v 55//Z Phone 4gm _ APPROVALS Contractor(,-GxeW% 1-&-id AddresscS.3dY "Y? -? 6je S' City/Zip Code l A J / Phone ?-? ?/ ry i5?) Arch./Engr. PS/u Address Oceupancy ?:3/M-1 Zoning Actual Const Pr Allowable V-N # of stories Length Depth 38 S.F. Total Footprint S.F. FEES L{ngr/Assess Permit 7Z(e, vo Planner Surcharge „z O Couneil Plan Aeview 3?,.`?.00 Bldg. OPf. ?5[q SAC, City toA , OJ Variance SAC, MWCC ar S-Ci, op Water Conn 57sp, o0 Water Meter 60,00 Road Unit z2S.Oll Treatment P1 Zay.oo Parks Copies TOTAL City/Zip Code Phone fi ,,7? ? ?15-9,?J , . VA tuAMoN G/w2 A GE 3 `6 X ZZ = 836 y X Z; g 12X zZ: zby ?- 1108 X/y= I5512 '?S mT 1 u* 50 ? ?ZS I,11/2x 34 Vx/Y=112 f-- 13?6 X 13 = l?log t3srnr? 13?6 1? 3° ? N?i = 6S l 7 0 Z wl,:> FLoo< 3 y 2 / 'F I 2 = 1-2- 1-4 = `E /N5, ozG ?•? ? ?.? f . -, , i ex1•LRIor, ENVi:LO!'E r,ver,ncr "u" conru•rnTioN Ol•1N Lii -----?l?l?i?_?__???--?•q_t//?? . - SITE ADD1tESS ApDITJwj O . CONTItAC'TOR DAT'E PIIOAE - Determine uorY,ing square fao[age of cach. - 1. 'i'otal exposed vall area sq. ft. x_ll I ? I 2. Total ioof/ce:? inc area ..?-sc. f[. r. _02G = 3. Total floo: /car,t. area .. ? sy. . ? t. x ? .OS = - = -- ? rotizI E>:oo?e-- ;:all ..rez ;;5ovn Floa: -- a. Total we'_1 w ;ncou acea . • - - • ' ' ' ' ?[?. d? b_ iota? Door area . . . - • - - • • • • - - ---- --- ?Z? C- 1GLc.2 5l`_C1'i^_ slc'Sn (:OOC d:ea. _ ^---- ... iota? `;•e:,lace •rall area . . . . . . . t ? ? e. i'otal •.ai i f : ra.._,?;:c area {avera;e l0?) . ----- --- f. Total net walt arez above c. 3ota1 rim joist a:?'a . . . . _ : . . . . ^-- - i0id1 ... p'G°_EC FOL.:lcil0:1 ..CC=2 = -- h. Total `cu..ca.ion ?;ncow E.ea . _ . . . . - i. 1bta1 net •`_ountiaticn area ahove orade . - ' Uetermine "U" balue o` each wzll segment. a - --?Q?--- - x „U,. --??t_- b. - ---`??''? Y „U„ c. -- -?2',Q- 0 ;PL x ..U., as? d - - . --- -- ??QO--- - - X ., u ., --- , - x "U,. f_ Y „u„ o. - ----- x 'U' h. -- ? - x , u.. -- ? _ ?'----- i Y „U„ - ----- _ ---- ----! - SUBTOTAL 4 • TOTI+L " If item ;q is the same as, or ]ess than item tl, you have met the intent of SBC 6006 (c) 2_ 1'o.tal lr.posed Roo1/Ceiling Area j• 1'otal s}:yligh[ area Y.- 7bta1 Ila[ roofJceiliny framing area l. 7'otal net inslted flat roof/ceiling area . __ M. Tocal vault roof/ceiling fraining area-lOa n- Total net inslted vaul[ roof/ceiling acea - Ge[ermine "U" value for each roof/ceiling segmen[. ?. ? x „U„ X U ?? - X . u" - - _?z--- --- - _ - - -- - --???Q--- m . -- -- x 'U' ^ _ - n ?---- x U. --------- - _ ?-- ---? --- 5. 1'OTAL If icem r5 is the sane as, or less than iteia 2, you ha ve met the intent oi SEC 6006 (c) 1. - ibta? Er.posed Floor/ Cant. Areas o. Total :loor/cant, fc aminc area (avro. 10 c) p. Tota1 net insLla.ed looc%cant. area Deteriii ne "li" value :or each floor/cant. secment. O. Y. v U'. 1.I?(' - 1?L p' Y U ---??3 - - -- -=?--- -- 6. ? TOiAL = ? ------- -? If total o`_ ;:6 is the same as, or less than 113„ you have met tne intent of SeC 6006 (c) 3. ALTERI7ATE SUILDIIIG ENVELOPE DESIGt4 To utilize the total envelope system nethod, the values established by the sum of items '4, 45 and .6 shall not be greater than the sum of itens nl, ,'2.and ?3. 3 . _-1?- -- a . 6 • ?-'?-- - Prepared Sy Date _-q- -z- jq 7 vV.d • K ?q ToCal Eaposed t-7a11 nrea nbove Pioor ?a a. To[al wall uindov area . _ . . . . _ . . . (JQ b. Total door area . . . . . . . . . . . . . c. Total slidin9 glass door area .___. . d. Total fireplace wall area . . . . . . . . -- e. Total wall framing area (avrg. 10%) f. Total net wall area above floor . . • • • • ???? g. Total rim joist area _ . . . . . . . _ _ --- --- . Total Exposed Foundation Area _ 117.99 Total Foundation l•7indov Area - - _- ___ _ ToCal het roundation krea Above Grade Cetermine "U" vaTue of each wall segment_ a . - ---?-'?-_ - x "U " ---?'??-- -- ?O-y?-7---- b . Y U" c- - - -- ?LQ?? a ' U a_ - ,. W. _ -- a ., U -- ` Y . u „ . ay - /n. ? u ---- ---- - --- -- '? u" --?t?-__- SU3TOTA,L = L_ ???? _ a, --566 FLR Total Exposed t,tall Area Above Ploor a. 7'otal vall vindov area . . . . . . . . b. To[al door area . _ . . . . . . . . c. Total sliding qlass door area .... d. Total fireplace vall area ..._.. e. Total uall framing area (avrg. 100) . f. To[al net vall area above floor ... g. To[al rim joist area . . . . . . . . . - - ---1Q?S? -- ? --- --?.a2?-- ? ---?1?-L'-??--- ? ---???? -- Total Exposed Foundation Area Total Foundation Yiindow Area To[al Net Foundation Area AUove Grade ? Determine "U" value of each vall segment. a - ---? -?~-''?-- X .,U„ -- b. - - -------- X .u., - C - --- --- --- X . u ?? - ---_---- _ --- _ ----- o . _ -- - X ., u .? --------- _ --- P --- e - --? '?-- - " • u" -- '?J_- - - ? . - ---?1=??-- - Y . U., ------ - -----? '-?----- a. - ' ----L??? - p2 ,. - ?? „u„ _ ? Y----- - ---???--- h - - - - - ? ?? U i _--- - y. „U,. - --- ?. ---- _ - _ - SUBTOT::L = STt!n 7nt. Air .68 ^'i.'i:,t, rn!c. ir.t. A ir f? 5/S' T'.C. Stud 5/8" F.C. S.P. (Opt.) •`-''t?? S,R . qZT}? SI?'FS (OI:L.) S}1tp,. ji(1"'ii CTPF.S IT15, 5/8" S.R. .56 5/8" S.x• .56 ? „ . j I ?/S S.R. .56 i: 5'/8" ,_ S .R .56 I I ' ?l F.xt':?Air .17 Ext. Air .17 Tota1\r"R+1 TOt31 n72n = I I 1/R = I,tTII l /n i THRi! STUD Int. Air .68 THR11 TI!S. iv'ALL In*. Air 68 ? _...tS/O S.F. SLUp- ? W/O S.r.. IT?S. ?,=f sz_;T•?G sr.-Lr. ,. Wi srPT*;r- sr.tg. r Siding , S i d inj, i l Ext. ,Kir .17 Pxt. Air .17 a l' otal ???.?? T _ 'CHRU I•i=.1;M?;R A. CAt,,m. Int. Air .92 Carp.-Pad a•??` Vinyl - Lnd. PlV. qa Joist Depth y7 Ply. .-- E>;t. P,ir .17 , ., '"HR.II Ir's Aq' CP.t.i^. Snt. Air .92 Carp.-Pac? a•0?/ Vinyl ? 'i,nd, ' Ply. • ? ga Ins. ,3CJ.CX? Ply. -- Ext. Air .1? .,• ?. TNRU $'"UD w/ S.R. & SIDING ;I ,I ? Int. rir .68 S.R. 1 </3 Stud 6,9% sr,ts. ?.09 Siding Ext. Air .17 Total "R" 1/rt= "LJ^ T}1PU INS. 42NLL Int. Air .66 w/ S.R. & SIDING S.F. v3 • Ins. q? /.. _ sHTG. a.os' . Siding Ext. Air .17 , Total llKll = a340 ? 1/R = IIU" _ Floq TY,RU CLG. Int. Air .61 THRI? CLG. Int. Air .61 . 11 E113ER S.R. •6-4P INSULATI01; S.R. (9") • Cig. P;emb. Ins. ( ") CO Ins. ( ") ^0•60 Still Air .E1 Still Air .61 Total "R" = 1)1378 zl „R?, _ 3l<. la. 1/R = ??Ult - , /.. ? l Tc? ? ??.?\^nJ- J?.: ??1r? 1/R = ,iU„ _ 0 THRU COT1C BLOCK Iht. Air ,68 C.B. (/a") /d8 Opt. Sns. 13-•co Ext. Air .17 / . ° Opt. S.R. - ? Opt. Sid. ? Total "R" _ 15,1.3 . 1/R = $lUll _ ?i THRl) RIM JOIST Int. Air .68 Ins. /9oo 1Y" Wood •1.89 Shtg. cJ 69 Siding Ext. Air .17 Opt. Brick ' Total. "R" = o?yUy Ca ) ASHBUR-Y ROAD --- , e ' = - --- ?aF - -- - --- --- - - ° - ;7 ? _.. . (nY.?J k_]:) (9iDy'j f.'e2•? / I ....._._ 'S ?oo H?'d l'29 w Y L.?T .25 - --? .: b ? UflA1NAGEEASEAIENT? ? NYlL= 3D2? n ! tOMSYL11X0 EFOIX[(115 -1 1... ??i HRMNERS pM Lpryp ;VIIYlYOR3 i?. iIMEERING . ,..••°,M„ ., "'FRONT WKDINO SETBACK LME OqA1NAGE ANO UTRITY EASEMENf I ? . LEGAL DESCRIPTION SQALE:1'=30' ? LOT 25,BLOCK 3,BLACKHAWK GLEN 2nd ADDITION, ? ? ' - DAKOTA COUNTY,MINNESOTA I ' .. ,?, .,.. < _ . , ' 2A5_ ) OENOTES E%ISTIN6 ELEYATIOq DENOTES Pp0{qSED ELEVATION INOICATES DIRECTIOH OF SURFACE DBRMpGE FINISHED GqRACE fLOOF ELEYqT10N I i { ? 1 . =I I CERTIFICATE QF SURVEY APMpVED 9ota?--? EAGAN £NGINEEAING DEETP.R.V. REQUIRED PNEPARED Fpp: I51 . 1989 BIIILDIHG PERMIT APPLICATION CITY OF E9GAN t30? SINGLE F9MILY DWELLINGS PLE DWELLIN ? GS COMII7ERCIAL 2 3ETS OF PLINS 2 3STS OF PL6NS 2 SfiTS OF ARCHISECTURAL 3REGISTEAED STTE SORVEYS HEGISTfiRED 3ITE SiIAVEYS - 8 STHIICTQR6L PL6NS 1 SET OF ENERGY C9LCS. (CSECg iiITH BLDG DIO.) 1 SEf OF BPECIFICATIONS 1 SET OF EBERGY CALCS. 1 SET OF ENERGY CALC3. MULTIPLE DWELLINGS HENTAL ONTTS FOR SALE IINTTS f OF IIDTITS 60TEs ADDRESSFS FOS CORNER LOTS - CONPRACTOR/HOMEOSiNER M[TST DESIGN9TE WHICH ADDAFSS IS DFSIRED. NO CAANGFS i1Il.L BE ALLOHED ONCE BIIILDING PEAMIT I3 ISSOED.. SEWER b AATER PERMTT FEES 9ND ACCOONT DEPOSIT F6ES idILL BE INCLIIDED WITB THE BUILDINa PEAMIT FEE. PROCFSSING TIME FOA SEWER AND WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEH COMPLETED INDIC9TING 9 LICEN3ED PLUMHER. PENALTY APPLIF.S WfEN: PERMZT IS NOT P9ID FOR IN 36ME MONTH IT IS REQOESTED. LOT CHANGE IS EECIIESTED ONCE PEAMIT IS ISSIIED. To Be Used For (leLKa4 Valuation: Site 9ddress f.r&A??wl Lot _LL Block Pareel/Sub ? Owner ?7?'?-? ?-?`?l?c? ?•' Address 3(aO S d`^' / F-L City/Zip Code E&c Phone 'y 6 ?P ?,)- 7 & Contraetor (?5 e'/-P Address City/Zip Code Phone Arch./Engr. _ Address City/Zip Code Phone S Oecupancy Zoning Aetual Const Date: Allowable # of stories Length IM Depth ?q ti ?G S.F. Total Footprint S.F. On site sewage On site well _ MWCC System _ City rrater _ PRV required _ Booster Pump _ APPROVALS Planner _ Couneil Bldg. Off. Variance FEF.S Bldg. Permit NL_ Surcharge Plan Review SAC, City SAC, MWCC Water Conn Water Meter Aeet. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Copies 3IIBTOTAL Penalty TOTAL Cez3ul - ASHBURY ROAD < - - , ?or ----- -- - 1 7 6s?J OL]_. (9]a3'J I _._. ... ... ;PIEJ ?w.h.? .aa "" • ? ? tii i• II e , / ni"wc ? Iw ?dKi P ?0 I ? J A$?l54 / I lo? Y' ( II I ? , . --.se'o------- N9Y'J)1 ?' - 'y.. 25 `' .`do ? :. ...._. . , _ - ' . ..o '.. v? ` ? DRAMAGE EA%E?EM / ? Y ? NVIL = 9!f2 E N:.. (pfOtTlwO ?XOIMIIH. ?? )BE n?xxua w u?o svm?eu ?'?y: _•?'" :INEEIIIN6 , .,.,... - ••. aOFAONT WILDINO SET&lClf lWE -?? OPAWAGE IRA Vf0.1TY EASEMExf I . 1 ; LEGAL DESCRIPTION ?A??•?? i LOT 25,BLOCK 3,BLACKHAWK GLEN 2nd ADDITION, DAKOTA COUNTY,MINNESOTA i ? I i - .,. - .. . . _ a? -i 1 pENOTE4 E%I6TING ELEYATION OENOTESiNOPOSFDELEYIRWN INUICA7E5 OpiECT10N OF SUpFACE URAWJIOE FINISHED OARAGE FLOOp ELEVl1TlOtl Iv i ? ; i i ' CERTIFICATE OF SURVEY APPE:OVED Ey?? Date ?GAIi ENGICIEENN P.R.V. REQUIRED P1IEPAPEO FpR. ? 1 RESIDENTIAL BUELDING Permit Application City Of Eagan (0 Q3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 A NEW BUILDING New Construction Reaui2ments RemodellReoair ReauiremenLa Office Use Onlv 3 registeied sife surveys showirg sq. ft of lot sq. ft. of house; and all roofed areas 2 copies of plan Cert of Survey Recd (20% maximum lotaverage allowed) i setof Energy Calculations for heated additions Tree Pres Plan Recd 2 copies of plan showing beam & window sizes; poured fountl design, etc. 1 site survey tor addilions & decks Trae Pres Not Reqd lsetofEnergyCalculations Addlfion-IrMkafaHon•s8esepticsysfem _OnaiteSepficSystem 3 copies of Tree P25ervation Plan if lot plaHed after 711193 Rim Jaist Dehail Options seleclion sheet (bldgs with 3 ar less unifs Date -?, / ?o l d 3 Construction Cost v?9? m SiteAddress 3(ooS f? UnidSte # Description of Work Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner ,SQ,Jq ?. p Telephane # ( ) C0011'8CY01' AIIkE FkesMe dpaBreeye HaMry+Hpmp Address LleanyN200pp917 .... 2700 raFeuwawiwe. City aoernir, uN rsna State asireaa-zssi Zip Telep6one # ( ) COMPLETE THIS AREA ONLY IF Energy Code Category - Minnesota Rules 7670 Cateeorv 1 (?I submission type) • Residential Ventilation Category 1 Worksheet Submitled • Energy Envelope Calculations Submitted Licensed Plumber Mechanical Contractor Sewer/Water Contractor I hereby apply for a Residential Building Permit and acknowledge th the information_is co I plete and accurate; that the work will be in conformance with the ordinances and codes ;zGif?- aganand 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 appro;74,4&L9_ f plans. ' zsm App icanYs Printed Name ApplicanYs Signature Minnesota Rules 7672 • New Energy Code Worksheet Submitted Telephone #( -t rlO.dV Telephone #( ) OFFICE USE ONLY Sub Types ? Ot Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 E#. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. AIt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 MuIG 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 Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •DemoliUon (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 REQUIREDINSPECTIONS _ Footings (new bldg) FixtaUC.O. _ Footings(deck) FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Poo] _ Ftgs _ Air/Gas Tests _ Fina] _ Framing Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Building Inspector 6'3 ?r3 2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION City OfEagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwcllings & townhomes/condos whcn permits are required for each unit Date-Z / Site Address Unit # Property Owner /?? 1-ldll-? Telephone Contractor Street Address '54? City State Zip Telephone # ( ) Bond #: Expires: The Applicant is JL Owner _ Contractor _ 7--'? Other Add-on or alteration to existing dwelling unit $ 30.00 furnace _Additional _Replacement air exchanger air conditioner New Replacement ? other State Surcharge $ .50 Total v $ ?s I hereby apply for a Residential MecHanical Pemut 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 tlus is not a permit, but only an application for a permit, and work is not to start without a pemut; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of pla . Applicant's Printed Name App icant's Signahae q- Ia. 0° ?0 ??P$ 2006 RESIDENTIAL BUILDING PERMIT APPLICATION City OfEagan 3830 Pilot ICuob Road, Eagan MN 55122 Telephone 9 651-675-5675 FAX # 651-675-5694 New Construclion Renui2meMs 3 registered site surveys showing sq. R of iot, sq, ft. ot house; and ell roofed areas (20% maximum lot coverage allowed) 1 Soils Report K proposed buiWing is to be placed on disNrbed soil 2 copies of plan showing beam & window sizes; poured found design, efc. 1 setof Energy Celculations 3 copies of Tree Preserva4on Plan if lot platted after 711193 Rim Joist Detail Options selection sheet (buildiigs wilh 3 or less units) Minnegasco mechanipl ventilation form RemodeUFteoair Reauiraments 2 coples of plan showing foolings, beams, joisLs 1 set of Energy CalcuWtlons for heated additions 1 slte survey for additions & decks Addition -indicafe i(on-sfte septic system 23a 6 y e?7.z9f) ._.... _. - -... o? or?u ?er{oFSUCveyReW'",? Y? N $6 ilsRePod N TreePfesAW Recd Y -N. TreePrssAequired qn site Septic 5ystam,w Date -UL_ // 0-7 SiteAddress 366S A3 Construction Cast -7a w - kbh?y Kdz`Y UniUSte # Descriptionof Work ?PAv D?? c? ?? oa f Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner L i nd a S`a Telephone #( 6?I ) u s?9 - 92?1?p Contractor ?-(/.f G??/!' QGCC?6'C? ?G/J;S?/? @-??J/1 - Address -h(J4f`? ??e%Y1?Yt7?! /1/,, State 7rp ?50F,9 ?Cc?Ct.fP?' . City I Telephone#(/p57) COMPLETE THIS AREA ONLY {F Energy Code Category - Minnesota Rules 7674 Cateeorv I ResidenUal Ventilation Category 1 Worksheet (J submission rype) Su6mifted . Energy Envelope Calculatlons Submitted A NEW BUILDING Minnesota Rules 7672 • New Energy Code Worksheet Submitted In the last 12 months, has }he City of Eagan issued o permit for a similar plan based on a master plan? _ Y _ N If yes, date and address af 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 NIN 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 ofplans. pkya ApplicanYs Printed Name `A. Applicant` Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA145020 Date Issued:08/21/2017 Permit Category:ePermit Site Address: 3605 Ashbury Rd Lot:25 Block: 3 Addition: Blackhawk Glen 2nd PID:10-14351-03-250 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Linda L Savage 3605 Ashbury Rd Eagan MN 55122 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink r For Office e Use I (::OF Ec t% i : ;, y Permit#: /47 I . :.�4 _ , m o Permit Fee: �� sr 0 41.<ISHSd, Date Received: 3830 Pilot Knob Road I Eagan MN 55122 Staff: Phone: (651)675-5675 I Fax: (651)675-5694 bui ldinginspectionsacitvofeagan.com 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: Name: L, cA SAUAGe__ 6Phone:(05)- 39 i_ sd 3 Resident/ • Owner ', Address/City/Zip: 31005 R.5 b U12 �0.�t,,J Applicant is: Owner }C Contractor ' Description of work: i2AA,V-t t,-:- ICI ( NOo 1244) .;k Irve t `t S►4AA-A—S'i 2e LI-5, OC Type of Work )o poalto Ooorz-— ci-- D-f2--b1 01'4'3 �/ Construction Cost: ' Multi-Family Building: (Yes /No A ) w lees; C Company: cu�� 1.--\0,-- .3L......_ .�.m... S Cori+t2tac-t i'ISContact: 6 62-u c-Q--- 2 u Pa-i'\1I ; Contractor Address:; �� tH CR�oI t �„�,� (3 t City: FRAC)CZ- Lic lee_ , rAb �q� �- State:��N Zip: �J.`�3�� PhoneO)2-28 2-9 2 . Email: 1)2��v\I� i n'�aa • fuel License#: 1.5C- 6 5 2 0 7 Lead Certificate#: If the project is exempt from lead certification, please explain why: No L--e. 6 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: ( Licensed Plumber: Phone: IE Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-•ublic if ou •rovide s.eci#c reasons that would a ermit the Cit to conclude that the are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. 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. 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.qopherstateonecall.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. x .ta Cms. 2U pc\y0x Applicant's Printed Name Applicant's Sign Page 1 of 3