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3696 Ashbury RdCITY OF EAGAN Permit No: 9060 Date: ''? 3830 Pilot Knob Road Meter No: 3 g . 5 3 s Size: P.O. Boe21199 Reader No: 1 3 P t! O 3 Date: (1 _ S 4f 7 Eagan, MN 55121 Owner.Lundgren Bros Const Site Address: 3696 Ashbury Road L26 B1 Ilac .hawk Clen Conn. Chg: (JUVd Aff a NVMR: P1 Acct Dep: 15.00 d U @?ftC 1. Permit Fee: 10.0 dt glttg nAS qtr Surcharge: 5?}r?. ! KC11?E G agree to grrlply with the City of Eagan Tr. Plant _ d, Oioa , Meter Misc.: PT'17 'TATArr By S WATER SERVICE PERMIT CITY OF EAGAN 3830 Pilot Knob Road P.0 Vox 21199 Eagan, MN 55121 Site Permit No: 9060 Date: 4-16-67 Meter No: - Reader No: Size: Date: iawk Conn. Chg: 525.00pc'. Acct. Dep: 1,S . OOpd Permit Fee: . ` I0.OOpd Surcharge: . 50pd Tr. Plant 1--0.002d Meter. 67-rOop Misc.:_'<DS PP VA- ' Zoning: No. of Units: I agree to comply with the City of Eagan Ordinances. By WATER SERVICE PERMIT CITY OF EAGAN 3830 Pilot Knob Road P.O.' x21199 Eagan, MN 55121 Zoning: ?1 Owner: Lund Address: Bros. SEWER SERVICE PERMIT PERMIT NO.: DATE: No. of Units: 1 Plumber: L.LMULvj1. L aLUs r 9-15- 37 77333 I agree to compff *161 the City of Eagan Ordinances. By Date of Insp.: Insp.: 100.0Opd Connection Charge: S - 00pc Account Deposit: 1 S - QOpd Permit Fee: 1 0 - OOpd Surcharge: - Misc. Charges: Total: Date Paid:- (Urtifiratt of (!rru ianrj Citp of eagan i9martmpnt of vuildt" iugwrtinn 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 Claeeifiatioo • • MC/GAR Bldg. Permit No. Occupancy Type R3 Zoning District Type Cow Jr. A fRfR}rAR tXfnt .-. .._ .. /.?1C t IYISfl k •'rttm r r1t ...?. A i 24 1967 POST IN A CONSPICUOUS PLACE BLDG. PERM 01-3210 O1-342201-3445 01-3446 b1-2155 17-3860 20-2275 20-3865 20-3868 20-3716 20-2252 20-3713 20-3743 79-3866 11-3855 NO. ( `,I( Bldg. Permit Plan Check Surch./Adm. SAC/Adm. Surcharge Road Unit SAC Water Conn. Water Trmt. Water Meter Acct. Dep. Water Permit Sewer Permit Sewer Conn. Park Ded. TOTAL (, - 1"c JAL ???i 77, L S t ' Q X11 czJ mac, 00 3 C ac; CASH RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE / ^ 19 RECEIVED AMOUNT $/ [? '7 G) ? CASH FU NO., Thank You BY 77R?3 DOLLARS goo CHECK CODE AMOUNT White-Payers Copy Yellow-Posting Copy Pink-File Copy CITY OF EAGAN $372 1 3830 Pilot Knob Road, P.O. Box 2 1-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # }[ - To be used for DECK Est. Value $1,000 Date SEP 14 , 19 90 Site Address 3696 ASHBURY RD OFFICE USE ONLY Lot 26 Block 1 Sec/Sub.ELACKHAWK GLEN 1 Parcel No. Occupancy FEES a Name MARK BANNASSI Zoning (Actual) Const ,. Bldg. Permit 25.00 z Address 3696 ASHBURY RD (Allowable) g0 S h • urc arge City EAGAN Phone 681-9158 # of Stories' 121 Plan Review Length it Name- DAKOTA DECKWORKS Depth 12 1 City SAC . g4 Address 9570 W 178TH ST S.F. Total , SAC, MCWCC ?• 1+AICEVILLE 435-6980 City Phone S.F. Footprints Water Conn Name On Site Sewage On Site Well Water Meter Address MWCC System X z au+ City Phone City Water Acct. Deposit S/W P i PRV Required erm t I hereby aeknowlege that I have read this application d state that the Booster Pump S;W Surcharge information is correct and agree to comply with all plicable State of Minnesota Statutes and City of Eagan Ordinance Treatment Pt Signature of Permitee APPROVALS Road Unit A Building Permit is issued to: DAKOTA DECKtJORKS Planner Park Ded. on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances Council Off Copies . Building Official . Bldg. Variance TOTAL 2 5 • Permit No. Permit Holder Date Telephone # WATER SEWER PLUMBING H.V.A.C. ELECTRIC Inspection Date Insp. Comments Footings I Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Final Plbg. Const. Meter Plbg, Inspector - Notify Plumber Engr.IPlan Bldg. Final Deck Ftg. ' ? J SiD Deck Final s a Gr Well Pr. Disp, CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 L BUI DING PERMIT Receipt # To be used for Est Value Date ' r I I. Site Address OFFICE USE ONLY A;,"-' i `. Lot Block Sec/Sub On Site Sewage Occupancy . MWCC System Zoning Parcel No. On Site Well City water Type of Const r- (Actual) m Name (Allowable) _ # of Stories Address Len th City Phone g Depth S F Total . . c Name Footprint S.F. u ` Address APPROVALS FEES City Phone Assessments Permit ?_ cc Water/Sewer Surcharge V W Name Police Plan Review = z Address Fire SAC, City u z cit Ph ne Engr. SAC, MWCC m y o Planner Water Conn. Council Water Meter I hereby acknowledge that I have read this application and state Bldg. Off. Road Unit that the information Is correct and agree to comply with all applicable APC Treatment P1 State of Minnesota Statutes and City of Eagan Ordinances. Variance Parks Copies Signature of Permlttee TOTAL A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable State of M innesota Statutes and City of Eagan Ordinances. Building Official Permit No. Permit Holder Date Telephone Plumbing H.V.AC. Electric Softener Inspection Data Insp. Comments Footings I Footings II Foundation Framing ! 7 7?D 2+DT l0- 3`f 1--1a Roofing GENT 2. O X /? ?a-d Rough Plbg. p !1 Rough Htg. l lop /,i6 2S Ar Flo/-- 04 io a0 Isul. 6 Fireplace Co-+r /C L 7 ?% "?- Qf l ??! Final Htg. /Y Final Plbg. PRV Bldg. Final Cert Occ. Temp. LP Deck Ftg. Deck Frmg. Well Pr. Disp. PERMIT #''?r"? PLUMBING PERMIT RECEIPT # -- I i CITY OF EAGAN _-? 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: 1 C- ( CONTRACT PRICE PHONE: 454-8100 Site Address :3 Z' G LotB(Opk Sec/Sub 2, ?, Name Address C City Phone Name ?-L 13"1 -3 3 Address O City Phone FEES COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE -$12.00 MINIMUM - COMM/IND FEE - $20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1, 00.00) 0 SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN BLDG. TYPE WORK DESCRJPTION Res. C New Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO FIXTURES TOTAL Water Closet - $3.00 Bath Tubs - $3.00 4 Lavatory - $3.00 Shower - $3.00 __L Kitchen Sink - $3.00 Urinal/Bidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 - Water Heater - $1.50 I Whirlpool - $3.00 7 Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIT) Softener - $5.00 Well - $10.00 Private Disp. - $10.00 _ Rough Openings - $1.50 `J FEE: i .OCR' STATE S/C: GRAND TOTAL: Site Address Lot =i rrnrvn i it ?7-. MECHANICAL. PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: / La PHONE: 454-8100 Name 1 ?.. Address .?, City Phone Name i. (i c Address L. O City 0hone TYPE OF WORK Forced Air > >, f f=Lj M BTU a' `= U Boiler M BTU Unit Heater M BTU Air Cond. M BTU Vent CFM Gas Piping Outlets # $ FEE: S/C: TOTAL- BLDG. TYPE WORK DESCRIPTION Res. New % Mutt Add-on Comm. Repair Other FEES RES. HVAC 0-100 M BTU - $24.00 ADDITIONAL 50 M BTU - 6.00 (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA. COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON & REMODELS - 12.00 MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000) ,.) ( 1, ;t SIGNATURE OF PERMITTEE OR: CITY OF EAGAN CITY OF EAGAN Remarks 'boa 9 Addition Blackhawk Glen is Lot .Q 6 Rik / Parcel 10_ _ _ Owner Street 3696 Ashbury Road State Eagan MN J5122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 1076 1986 253.48 50.70 5 STREET RESTOR. GRADING SAN SEW TRUNK 11!1V 1970 6.70 25 Pd prior t division SEWER LATERAL Bn 074 1986 112.09 22.42 5 WATERMAIN Bn 1075 1986 92.80 18.56 5 WATER LATERAL WATER AREA 1072 1986 309.40 61.88 5 STORM SEW TRK 732 1983 32.57 15 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK Ines request void c// 18 months from 9// /r7 / 5133331?/ Request Data Fi a No. Rough-in Inspection 9 / Required? C3peedy Now ? Will Notify Inspec- _ ? ?.?f'?wr ?Yes9 for When R ody mensed Electrical Contractor I hereby request inspection of above ? Owner electrical work installed at: Street Address. Boxj] r Footeo. /? 3 SNN 4 u e y /?.9b Cit ,q..? ection o. Township Name or No. Range No. my )y1_ Oc?x?ant (PRINT) / 4 / Phone No. j( ,Usn 4SS? / l4 Power Supplie?r e?..? A dress ?I V^c (r J gY p )*ie r ry / ^ , j ? •X6 . Electrical Contractor (Company Namel Contract is License No. Standard Electric Co. 40837 Mailing Address (Contractor or Owner Making Installation) 2672 Maplewood Dr. Maplewood, Mn 55109 Authoriz gnature (I eiiac / ne Making ITs tal lotion) Phone Number 484-8044 MI SOTA STATE BOARD O ELECTRICIT THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. 91117187 REQUEST FOR ELECTRICAL INSPECTION EB-00001-06 See instructions for completing ibis form on bock of yellow copy. D 513-'3 3 "X" Below Work Covered by This Request Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other peal v Other ISnomfyl ter Spocufy other Other Compute Inspection Fee Below If Fee Service EntranceSize h Fee Feeders/Subfeeders H Fee Circuits O to 200 Amps O to 30 Amps 0 to 30 An Above 200 Amps 31 to 100 Amps 31 to 100 Am Swimming Pool Above 100_Amps Above 100_Amn Transformers Irrigation Booms Partial Other Fee Signs Special Inspection qso OTAL FE 6' Remarks ? / 2 Rough-in Date I, the Electra Inspector, hereby ? certify that the above Final ! tote p/1 inspection has been Y 0 roads. This request void 18 months from This This request void swaths from ® 51378z,96 A'/ / 1 1 A Y nJ,} Yo / OC)S?7 aye C-D Request Data g ? ire o. Rough-in Inspection Required? Ready Now.W,ll Notify Inspec- ? "S!6 , [I No for When Ready 421-Licensed Electrical Contractor I hereby request inspection of above ? Owner electrical work installed at: Street Address. Box o Route No. J694 As gvaq 2FJ-D C- Section No. Township Name or No. Range u. Co ny 4/c cr4 Occu ant IPRINTI ?7 Phone No. I4RK Power pplier n S Ad rress ?I /02 h `I A-Ko rn c ?ccr e/C cv - 0220 e? Electrical Contractor (Company Name) Contract s License No. Standard Electric Co. 40837 Mailing Address (Contractor or Owner Making Insta i lotion) 2672 Mapi wood Dr., Ma ewood, Mn 55107 Authorized i Lure (COgh ctor/O e a g Installation) Phone Number 484-8044 MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N•191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB-00001-06 See instructions for comulati n9 this form on back of yellow copy. s,?7 0 5 1 3 7 8 "X" Below Work Covered by This Request Add lisp. Type of Building Appliances, d Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other peel v Other (50c, fyi Other pecify they Other Compute Inspection Fee Below p Fee Service EntraneeSize a Fee Fenders/Subfeeders k Fae Circuits O to200Am s Oto30 Amps _ Oto30An s Above 200 Amps 31 to 100 Amps 31 to 100 Amps s Swimming Pool Above 100_ Amps Above 100_Amps Transformers Irrigation Booms I O Partial, Other F Signs Special Inspection S SO TOTAL F / Remarks /` ? n -y _ If _ -- 1-77 / Rpugh-in Date 1 the Elec . Q?73 Inspector, heroby certify that the above Final Q Dte / inspection has been 1. ? made. This request void 18 months from ?- ??7 CITY USE ONLY PERMIT #: "? _? _ --_ `-' RECEIPT DATE: 2002 RESIDENTIAL MECHANICAL PERMIT APPLICATION CITY or EABAN 3830 PILOT KNOB RD EABAN MN 55122 651-681-4675 Please complete for: > -,"single family dwellings townhomes and condos when permits are required for each unit Date: / a -2 " D o7- SITE ADDRESS: -10 7&, OWNER NAME: (dal-,., TELEPHONE #: - a a -7 INSTALLER NAME: ? ??i TELEPHONE #: 9.?0 7-Z STREET ADDRESS: /05 (IV - CITY: ?isw STATE: k ZIP: S 3? Place a check mark next to the permit work type _ Add-on, modification or alteration to existing dwelling unit ?IJI? `J SEP " 0 20 furnace replacement Z $ I I 30.00 • air exchanger • air conditioner 3 y • other Nature of work: State Surcharge $ .50 Total $ _36dSb SI4T 4 'og OF PERMITTV, 1/02 toy HOUSE HEATING TEST RECORD ADDRESS 6 2CL,' 8 f?\L1 APT. _ FLOOR 1 k CITY SUBURB OCCUPANT t -. > W i,- h P r OW a A M. , NER HEAT LOSS - DATE HTG. INST. ???? ???? ?.r S IJ OLD BY _5aLM. ti t J kI C., ? INSTALLED By El.cr.icai Work By y Gas Lin. By sdv ? -- . "'.. t C TYPE OF HEAT GA . fn _6 FA HW -STEAM -SPACE MTR. -UNIT M T R. -OTHER ?f GAS DESIGN CONVERSION M p MAKE M.d.1 U G o MAKE OF BURNER E- (.l . S..ial Et CD.2o F37o2y0 Z Mod.i INPUT :5.000 Mo.. BTU Rari.q MAKE OF FURNACE " .. ref i Model .? (\ ?-? wU) :}lERi145: 1T CONTROLS ` }teat Ping Vest l:. Val" rL `"? KIND Dg L'N o 517<VO.V? Llmit ,? • „• - : c r }l m ?_ " LSdt Siting f %? a F /6 XLOX _ 1 Filter. Sl:. Vum6er . //? o F= S.ttlaa F Calms L all I l? T7pw " " " aa Cry?aO Csaalde _ Plies Y.i. Film model :"lie 3._a tf4lap Pllat .Zdap Draft :as L.W. C.. On t. Dear ?nwre 1, shat. last. S P:.uur. 3 w. G ` Parcaoi q., 9 Dar. eased 2z- ` Input OH? Percaat. O? Q! < Gm a ; a l y oy e t ap Smca Temp6 3s0 F Pwnat C` n :fame .C tIi r T Farms r3 o .u.r - CITY OF EAGAN NO 18372 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 /, BUILDING PERMIT Receipt # _Ll? _ I I J To be used for DECK Est. Value $1,000 Date SEP 1 4 1910 Site Address 3696 ASHBURY RD Lot 26 Block 1 Sec/SubBI ACKHAWK GLEN 15 OFFICE USE ONLY Parcel No. Occupancy M_ .. FE ES Zoning _ M Name MARK BANNASSI (Actual) Cons! Bldg Permit 25.00 o Address 3696 ASHBURY RD (Allowable) . 50 City EAGAN Phone 681-9158 # of Stories Surcharge . 121 Plan Review Length Name DAKOTA DECKWORKS Depth 12, Cit SAC Address 9570 W 178TH ST S.F. Total , y o SAC, MCWCC f City T.AKRVTT.T.F. Phone 435-6980 S.F. Footprints t C W On Site Sewage a er onn ¢ w Name On Site Well u3 u3 Address MWCC System Meter Water 55. City Phone City Water Acct. Deposit PRV Required S/W Permit I hereby acknowlege that I have read this application and state that the Booster Pump SMr Surcharge information is correct and agree to comply with all pplicable State of Minnesota Statutes and Ci of Eagan Ordinan cs. Treatment PI Signature of Permit APPROVALS Road Unit A Building Permit i3' sued to: DAKOTA DRCKWORKS Planner Park Dec. on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Ott. Copies Building Official il `Nliq Ai 111.j 11111 Variance TOTAL 25.50 X1372 1990 BUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS _# OF RENTAL UNITS _# OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. SEP 12 REM /, To Be Used For: Valuation: Date: 9-42- gy Site Address QC((Q RRS4+ w C j n, n-. Lot Block _I - Parcel/Sub Ct ohm AA Owner Thkrzic 3nnrc ss t Address City/Zip Code L Yy7 ____?0?? ??JX Phone Contractor Address City/Zip Code L/?IGEri Phone [??j- (c???d CUy Arch./Engr. _ Address City/Zip Code Phone # /poa Occupancy Zoning Actual Const Allowable # of stories Length Depth S.F. Total Footprint S.F. OFFICE USE ONLY FEES M--2- On site sewage_ On site well MWCC System City water PRV Booster Pump APPROVALS Planner _ Council Bldg. Off. Variance Bldg. Permit O0 Surcharge SD Plan Review SAC, City SAC, MWCC Water Conn Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit" Park Ded. Copies SUBTOTAL Penalty TOTAL __, L RVEYOR'S CERTIFICATE SIENNA CORPORATION 0? °2?IA `gigs 00 `L6 \ `' I m 'Vf o,Q\ - i s . F q?\ 5F.lygcx Fes, Cv> \ x630.8 I (? Lu by%,y 5 \\V NI LOT 26(fl ?,2L N ) x 829.3 F)33,-7) 830, 630.7 16,5Y 3 6.0 1a -I700 3 PROPOSED M N' N KII N HOUSE I M O X836,9 26,0 aB36.9 q X8369 857.1x 10.0 ei GAR. t0 ifrr.. N N J N/ ? ? 1 635.95 837.0 a 20.0 17.0 \ J _ _ f}5(3,1a? 03 6.8 836.24 D p 1+) LD W 2 Q N I t N 5 W 0? 5 Jt M 5\ ?? ?,.r? NI Op 835.33 ` ae33.5 5J . 48 1.80 Zt}•57 ' 45" 1 N0°i3'39"E N6°31'34 w 8 6 -_ I, - o e_ I453.69 ASHBURY ROAD ?? 83T REVISED 9- I -87 TO SHOW PROPOSED HOUSE BY LUNDGREN BROS. CONST., INC. SHEET 2 OF 2 SHEETS PROJECT 140. BOOK / PAGE JAMES R. HILL, INC. 85618 (514? ) 34 Planners / Engineers / Surveyors FILE NO. 0200 Humboldt Avenue South FOLDER Bloomington, Mn. 55431 612-804-3029 PRV REQUIRED CITY OF EAGAN N° 1 4 1 4 8 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 Receipt #77J13?3 To be used for SF DWG/GAR Est Value $85,000 Date SEPTEMBER 10 19 87 Site Address 3696 ASHBURY ROAD jot 26 Block 1 Sec/Sub. BLACKHAWK GLEN 1 Parcel No. Name LUNDGREN BROS CONST z Address 935 E WAYZATA BLVD ° City WAYZATA Phone 473-1231 j ,o Name SAME 0. Address OFFICE USE ONLY On Site Sewage Occupancy R3 MWCC System Zoning R1 On Site Well Type of Const _n City Water X (ActuaQ (Allowable) Vn * of Stories Length 46 Depth 'IS S.F. Total Footprint S.F. APPROVALS FEES P City Phone Assessments Permit $ 451.00 42.50 ? m Water/Sewer Surcharge - ' w w ' Name Police Plan Review 21 5.50 0 Address Fire SAC, City 5 Engr. SAC, MWCC .00 52 aw City Phone Planner WaterConn. 52 .00 Council Water Meter 67 f10 I hereby acknowledge that I have read this application and state Bldg. Off. Road Unit 305.00 that the information is correctand agree to comply with all applicable AP9 Treatment P1 180.00 State of Minnesota Statutes and City of Ea an Ordinances. V iance Parks Copies Signature of Permittee TOTAL +2 . 0 A Building Permit is issued to: LUNDGREN BROS CONST on the express condition that all work shall be done in accordance with all applicable St%p of Minnes%a Statutes and City of Eagan Ordinances. Building Official i1987 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 INCLUDE 2 SETS OF PLANS, CER 1 SET OF ENERGY CALCULATIONS COMMERCIAL RENTAL UNITS FOR SALE UNITS OF SURVEY - CHECK WITH BLDG. DEPT., 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: :N n aw ArValuation: Date: Site Address :34 Lot A(, Block I Parcel/Sub ?5f ( 6Zc Owner Address g31.4lag_ (o`"T City/Zip Code-1a4 (5000 ^n OFFICE USE ONLY On Site Sewage_ Occupancy MWCC System i/ Zoning On Site Well Type of Const City Water (Actual) (Allowable) # of Stories Length Depth S.F. Total Footprint S.F. FEES Phone 1'3 /Z 3 / I APPROVALS Contractor rY Address City/Zip Code Phone Arch./Engr. Address City/Zip Code Phone # Assessments Water/Sewer Police Fire Engr Planner Council Bldg Off APC Variance 46,00 4013-3 Permit /{S/, 00 Surcharge 42.50 Plan Review ZZS, co SAC, City /OO, Ou SAC, MWCC S-S.Cc Water Conn 595,00 Water Meter &'?. co Road Unit 3c).5,00 Treatment P1 I90,ov Parks Copies TOTAL ZZx2o. L4 q(-) k114`. GIloO. ?1 ou.SE 3'6X 39 S = i5i xs8='1 3oo gyy6o j i / -SURVEYOR'S CERTIFICATE SIENNA CORPORATION REVISED 9-1-87 TO SHOW PROPOSED HOUSE BY LUNDGREN BROS. -* DENOTES PROPOSED SURFACE DRAINAGE SCALE: 1 INCH = 30 FEET O G DENOTES DENOTES IRON MONUMENT SET IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = S 3(o.f5 FEET X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST ED TOP OF FLOOR BLOCK =3 ;:Q o 2 = S3- FEET FEET (000.0) DENOTES PROPOSED ELEVATION PROPOS . WE HEREBY CERTIFY TO SIENNA CORPORATION THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 26, Block I, BLACKHAWK GLEN 1ST ADDITION, according to the recorded plat thereof, Dakota County, Minnesota. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, IF ANY. AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS f3 TNDAY OF /00v, , 19& SIGNED: JAMES R. HILL, INC. , j BY: HAROLD C. PETERSON, LAND SURVEYOR MINNESOTA LICENSE NUMBER 12294 SHEET I OF 2 SHEETS PROJECT NO. BOOK / PAGE JAMES R. HILL, INC. 8 5618 (c,3-j4° --) 34A Planners / Engineers / Surveyors FILE NO. 8200 Humboldt Avenuo South FOLDER Bloomington, Mn. 55431 612-E384-3029 SURVEYOR'S CERTIFICATE SIENNA CORPORATION J3 6 - I?? \ x l0 O0155 S7 fix. q _ l,9T \ \O x830.8 1 t I(? ll.l 5 N 7 LOT 26 N N 829.3 830.0, Y, 3.7 830.7 N ; • 16.55'• 36.0 -17.o PROPOSED D ^ I 1 ., 11 o ?-I N/ N n O (U +n1 M I M Vl M 8x 26,0 ?x 836.9 m ' 36.9 6371- 10.0 y Q 8355 6; 8372 `J x 83624 1D,t?? 636.8 -J .- J O o; r, 10 15 1 O x835.3 _- ` 6 -24.57-1 -- 53.48 1 I`N00113'39°E N°31134!1 4=6 45 33 _ = 453.69 1 635.3 M 833.2 II I ASHBURY ROAD I, 835.3 833 2 - w REVISED 9- I -87 TO SHOW PROPOSED HOUSE BY LUNDGREN BROS. CONST., INC. SHEET 2 OF 2 SHEETS PROJECT NO, BOOK / PAGE JAMES R. HILL, INC. 85618 (Ri#3 Q34/6 Planners / Engineers / Surveyors FILE NO. 0200 Humboldt Avenue South FOLDER Bloomington, ?An. 65431 012-004-3020 Cities Digital Quality Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. s c- 11. coo l EAST ?'dkYL 473-1231 _A7P, BOULEVARD . V AYZh,TA, IJ?INNESOIA. (612) 93; EyiEP.]OR. ENVELOPE AVERkGE U C0144PUTAT]01r' #, 3j-0 _ Lot gd BlocL. Site Address l)orfal 36 ?? ?u? ??azC u R R &U Factors .058 Opaque Walls .117 Wall Framing Ar'.eas .023 Ceiling Insulation Area - . .027 Ceiling-'Framing Area _ .04 Rim Joist .14 Masonry Wall .26 Windows Double Hung 46 Casements .18 Doors .46 Patio Doors 47 Sidelites 1) Lower Level (Basement) Total exposed wall area 3gp,8lx (U) -058 = aa'?? - Opaque Wall Area 4t.`?Ax (U) -117 = SD Wood Frame Area x (U) .04 Rim Joist .14 = la?- gg,71 x (U) Exposed block Casement •5q x (U) .46 = a?- Window Area _x (U) .26 = Double Hung Sliding Glass Door X (U) .46 X (U) .18 = __- Door Area ?- Total ?O?'' 0 (CCONSI RUC11O1J LlG IIJC. _ JINNESOTA SS3°1 935 EAS7 473-1231 . V?AYZATA, VJAYZAT/. 20ULEV/-.RD 2) 1st or rain floor 99 Total exposed wall area Opaque wall area wood frame area Rim joist window Area Sliding Glass Door Door area Sidelites Casements Double Hung I , 3) 2nd floor if 2 story Total exposed wall area 1 3 Opaque will area Wood frame area window area Sliding glass door Door area 4) Total ceiling area Wood frame area opaque ceiling area Skylight C Casements Double Hung 11 8!3.31 x (U) .058 = --- yp.3?x (U) .117 = 133x (U) .04 = a9,sSx (U) .46 = fa_-- x (U) .26 = /ate ? <{U x (U) .46 . _ /8 •_ ?? 39,9?6x (U) .18 = , g 13,34 x (U) .47 Total x (U) .058 = x (U) .117 x (U) .46 = ?-- X (l1) .26 = __-- x (U) :46 = x (U) = _?- At Total 9?9 9D x (U) .027 = a?--- ggL10x (U) .023 ?--- x (U) .55 = ---- - Total aa 0C0IJ51 RUC1 ION INC. -1231 MINNESOTA 55391 • (612) 47" BOULEVARD 1JAYZF.TA. 9135 EAST vJAYZATA x .11 = /9S ?7 Flinn. U Factors Total exposed wall area 7 aS U Factors Total exposed ceiling area 91 r .026 Minn. ago, 9 (A) Total Item item 2 119-OA + Item 3- + Item 4 aa.9o = ao73o If total of items 1 - 4 is less than Item (A), building complies with SBC 6006 (C)s C GOLD COPY PERMIT RELEASE FORM PERMIT ?l ci O C_p Q ADDRESS q(-o A-t>k JU rN hL PICKED UP BY 1! G?LtC?/'- La? 1 CITY OF EAGAN .APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION (Please Print) 1) PROPERTY ADDRESS: LEGAL DESCRIPTION: IF EXISTING STRL'CIURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: (Pbn ear) PRESENT ZONING/PROPOSED USE: - COMMERCIAL/RETAIL/OFFICE Q INDUSTRIAL o INSTITUTIONAL/GOVERDAnnTT 2) ® R-1 SINGLE FAMILY Q R7,2 DUPLEX (Two Units) ? R-3 TOWNHOUSE (Three + Units) ( Units) R-4 APARTMENT/CONDOMINIUM ( Units) NAME: &/NQ6,,,'as•r f'. A ADDRESS: 931' ?• ?? Bi..s? CITY, STATE, ZIP: U? 2.e? .rr31 PHONE: q 7 3 - / Z3 / 3) NAME: For city use Plumbers License: ADDRESS: Active CITY, STATE, ZIP: Expired Not recorded PHONE: MASTER LICENSE# StEInitial 4) • • • i:+• NAME: ADDRESS: CITY, STATE, ZIP: PHONE: MOTE: PAYMFNP OF FEE AT TIME OF APPLICATION DOES NOTTITOTE APPROVAL OF PERMIT. INSPECTION OF SEWER AND/OR WATER INSTALLATIONS WILL NOT BE SCHED- ULED UNTIL PERMIT HAS BEEN APPROVED. 5) a • s• : a a• ?? CONNECTION TO CITY SEWERNNECTION TO CITY WATER OTHER 6) • PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE PLE?SE MAIL APPROVED PERMIT TO 1, 2, 3, 4, ABOVE (Circle one) 7) Lte r - B -97 O FOR CITY USE ONLY PERMIT # ISSUED G/GIoD Pd w/Bldg. Permit $ $ L9)-G7i S FEES: $ S--?) SEWER PERMIT (INCLUDE SURCHARGE) $ ?D S WATER PERMIT (INCLUDE SURCHARGE) $ WATER METER/COPPERHORN/OUTSIDE READER $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP - $ $ /5.O -O ACCOUNT DEPOSIT - SEWER $ $ a--t) ACCOUNT DEPOSIT - WATER $ S2C(ro $ WAC $ $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ ?1 O 0- -o $ WATER TREATMENT PLANT SURCHARGE $ . $ OTHER: $ ) 7' TOTAL 7/3 53 RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES .IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE: ?/ ?? /f- 7 PLUMBING (RESIDENTIAL) Lo q-.4-qd Permit Application S 1?• City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Please complete for: Single Family Dwellings Townhomes and Condos when permits are required for each unit Date / !! .?/-?y Sit Add ! i' # e ress Unit Property Owner Telephone # (?/ Contractor Address 3670 DODD ROgp City (651)'365MN155123 St t 340 Z T l h # a e e ep one ip The Applicant is Owner ontractor Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00 Includes County fee. Additional consultant fees may apply. Alterations To Existing Dwelling Unit, Including $ 50.00 Adding fixtures to lower levels or room additions, excluding water softener and water heater - Abandonment of septic system - Water turnaround (+ 5/8" meter if needed - $121.00) Other: - RPZ _ new installation _ repair _ rebuild $ 30.00 Lawn irrigation system - Water softener L Water heater $ 15.00 22 (? replacement additional FC ![ 9 ! L, J W. State Surcharge $ .50 Total $ I hereby apply for a Residential Plumbing 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 Plumbing 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 worl will be in accordance with the approved plan in the c se of work which requires a review and approval of plans. A i ant's nted KMWL? Applicant's S ?e I2- 4U.db 2006 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 3 registered site surveys showing sq. ft of lot, sq. ft of house; and all roofed areas (20% maximum lot coverage allowed) 1 Soils Report if proposed building is to be placed on disturbed soil 2 copies of plan showing beam & window sizes; poured found design, etc. I set of Energy Calculations 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 RemodellReoair Requirements 2 copies of plan showing footings, beams, joists 1 set of Energy Calculations for heated additions 1 site survey for additions & decks Addition - indicate if on-site septic system 224-7y 4`-10.06 07 ckzd-c? Otft `Useonly Certol Survey Ree " Y_ _t3 Soils Report Yt N TO Pies Plan Recd x V ?N. Tree Pres Required Y =N f gsiteSeptic,System_ , Y"._'M Date g / / 61 Site Address 56'')6 fS1khkr`7 Construction Cost ?) o (00 f cf. Unit/Ste # Description of Work 114 r 0 i L`2 r 60 Multi-Family Bldg - Y _ N Fireplace(s) _ 0 - I - 2 Property Owner I?l ?-h 1A1 L - 11 i &r Telephone # (6 51) 3C 3 - 10619 LCCtd'Gr Contractor l?'?CC /?,G /L f/Gl/7 ?0? ? ? Address r1 r W "/ j7 vV' JDr' . /1 State /-n Jul Zip L5672d??2 City '11&ja-e? Telephone # (b67) V. ? r 7 J O 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 Mechanical Contractor Sewer/Water Contractor Telephone #{ Telephone # ( Telephone # ( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. kA (IA OR le Applicant's Printed Name Applicant' ignature PERMIT City of Eagan Permit Type:Building Permit Number:EA107522 Date Issued:10/16/2012 Permit Category:ePermit Site Address: 3696 Ashbury Rd Lot:26 Block: 1 Addition: Blackhawk Glen PID:10-14350-01-260 Use: Description: Sub Type:e-Windows/Doors Work Type:Windows/Doors Description:House Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . 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 - Douglas A Wozniak 3696 Ashbury Rd Eagan MN 55122 Home Depot At Home Services 656 Mendelssohn Ave. N Golden Valley MN 55427 (763) 542-8826 Applicant/Permitee: Signature Issued By: Signature 4111,11 City of Bain Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: D QOQ 8 o5.a5 Permit Fee: Date Received: Staff: !2014 RESIDENTIAL BUILDING PERMIT APPLICATION I 14 Site Address: 3(0'6, 'k 'c e Tel Unit #: J Resident/ Owner Name: L, -Q l......)o E n • ay._ Phone: 661 X03 • &et (IT Address I City / Zip: 3Lock• t,%\c,„„1 Applicant is: Owner 10 Contractor Type of Work Descriptionof work: 1Z -Cc. Construction Cost: 'r/0 / Ili (JUS) Multi -Family Building: (Yes I No '0 ) Contrao ctr , Company: JC..1"+Otnce.Lk/ rloVe4A-:01.11 Contact:tary k 32c ic.e Address: L�aa. -sl..,t C % bt.JC City: 011';011'; nnCkronT-a p��cL CLM State: Mk) Zip: 5`0344 3 Phone: c) D.-3415-a9cs0 -7473-a Zg - `oKo\ License #:-C 5(95 YS Lead Certificate #: A) AT - 007 . I If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) In the last 12 months, Yes If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit fora similar plan based on a master plan? yes, date and address of master plan: _No Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE: Plans and supporting documents that you submit are considered to be public ln' don. Portion cif the information maybe classified as non-public if you provide specific rs /"rat would permit lea conclude that they are trade secrets, CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.000herstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x�� Applicant's Printed Name x \— l Applicant's Signature Page 1 of 3 � t��. �v�- 3� �. � �e. �,�r�;-�;.: Use BLUE or BLACK Ink �� !a ��:;..•`� �-----------------i � For Office Use �� AUG 2 6 � I Permit#: I Cl�� 4f��l�Il � 20� , � 3830 Pilot Knob Road � Permit Fee: � Eagan MN 55122 �Y` -�� Phone:(651)675-5675 � Date Received: I � I Fax:(657)675-5694 � Staff: � I ��J 2014 MECHANICAL PERMIT APPLICATION ❑ Please submit two(2)sets of plans with all commerciai applications. Date: Site Address: Tenant• �� "�:S Suite#• ResidenffOvvner �� Name: }�C�� .��1 � Pnone: �� {— �,�, '�� _ Address/City/Zip: � LO Name: � '� d- License#: � i � � `��J ` C�On�I'aCto1' ' Address �� .'�� 1 l"'� � �� City: � � � 1 �".� � State: V�� Zip: � �`'"��Phone: �� ' y �� 1 Ii -� : Contact: Email: t� G�.U'C�1�1� C(�`j'1,� II New � Replacement Additional Alteration Demolition �� T,yp��bf�IUQ�k : Description of work: NOTE:Roo�mounted�nd,ground ntounted'`mechanical equipmen��s requir�d to b�screened by��fy ; Code Please con�act the,Mechanical lnspector`for ir�fa�r►►ation on perir►itted screenipg methads. `�` RESIDENTIAL COMMERC/AL _Fumace New Construction Interior Improvement ,� � — — j� �Air Conditioner Install Pi in � P��I'Tlit Typ� � — p� 9 _Processed _Air Exchanger Gas Exterior HVAC Unit _Heat Pump Under/Above ground Tank �Install/_Remove) Other RESlDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit(includes$5.00 State Surcharge) �u $100.00 Residential New(includes$5.00 State Surcharge) _$ �� TOTAL FEE COMMERCIAL FEES Contract Value$ x.01 $55.00 Permit Fee Minimum $70.00 Underground tank installation/removal =$ 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 millfon, 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 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 approvai of plans. x X Applicant's Printed ame Applicant's Signatu �� ,.„ ..�. ;rnvrr ��«��a� ,�x ��" ^�..�..� ,��c��a�w r �.�" sl F,QR OFF4GE�SE�' .' „�° _ � Requiretl lnspecUons $ , Rev�e�etl By : a �Qate � � .�-:�-�.� �. �„„"" x„+�•r i;.� �,«� , .c �� ,� ,° �, f: . s p �,t.�� aR Unclerground,,, Raug�'lrs` %��r'l'"es�,; ,_�Gas�ers�fceTesf„ ��i-fiCooc�ea� �,��naf `. ��,.�V�C��:reer�rng.: ��r PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA126387 Date Issued:08/22/2014 Permit Category:ePermit Site Address: 3696 Ashbury Rd Lot:26 Block: 1 Addition: Blackhawk Glen PID:10-14350-01-260 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Jennie Wood 1424 3rd St N Minneapolis, MN 55411 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Robert Lewis 3696 Ashbury Rd Eagan MN 55122 (414) 238-3187 Benjamin Franklin Plumbing 1424 N 3rd St. Minneapolis MN 55411 (612) 604-4285 X61 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA147266 Date Issued:12/21/2017 Permit Category:ePermit Site Address: 3696 Ashbury Rd Lot:26 Block: 1 Addition: Blackhawk Glen PID:10-14350-01-260 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Robert Lewis 3696 Ashbury Rd Eagan MN 55122 (414) 238-3187 One Hour Heating & Air 11825 Point Douglas Rd S Hastings MN 55033 (651) 437-4177 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA149027 Date Issued:05/02/2018 Permit Category:ePermit Site Address: 3696 Ashbury Rd Lot:26 Block: 1 Addition: Blackhawk Glen PID:10-14350-01-260 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 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Robert Lewis 3696 Ashbury Rd Eagan MN 55122 Home Depot USA dba The Home Depot 2455 Paces Ferry Rd Atlanta GA 30339 (763) 852-1044 Applicant/Permitee: Signature Issued By: Signature For Office Use •• t f 0 4/ eito 7 ::::t:, E AGA N 1Z/1 gp• a r--‘ ,rM Date Received:/cc 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 F L L. v s;. (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: iRI buildinginspectionsCa�cityofeagan.com JUN 05 2018 L a1 1 2018 RESIDENTIAL BUILDING PERMIT APPLICATION �ty ��'� Pi' Date:kj nne. 2i i '14 k Site Address: 5i1 bit Ea.-, JI' . ', 55122- Unit#: ame: f[o111 S 21.1t Lea Phone:5-61—29$ 1.24'.3. Resident! Owner Address/City/Zip: MMI Pl ant St. x'209 L derr (e, MM s,�, I o Applicant is: X Owner Contractor 1l' t Type of Work Description of work: k +Cl/1en lottettv1�,> VO4—beargt. WARreatOlia(, vec 1 eMpti -fikSli t Construction Cost: Multi-Family Building: (Yes /No ) Company: Contact: I Contractor Address: City: State: Zip: Phone: Email: f License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: 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: 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 maybe classified as non-• blic if •u • ovide s•ecific reasons that would •ennit the Cl 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.gopherstateonecall.orq 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 accords with the approv plan in the case of work which requires a review and approval of plans. x ._ sem_ 11-AN sou NC x -I 'LgE Applicant's Printed Name Applicant's Signature DO NOT WRITE BELOW THIS LINE (0 s/ hyo /� % `7 l0 b SUB TYPES / /l �Ji Foundation Fireplace _ Porch (3-Season) `/ Exterior Alteration(Single Family) Single Family Garage Porch(4-Season) Exterior Alteration (Multi) Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex _ Lower Level _ Pool Accessory Building _ WORK TYPES New _ Interior Improvement _ Siding Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace _ Repair Egress Window _ Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation ( ' Occupancy vMCES System Plan Review Code Edition 41 � LSAC Units (25% 100% ) Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction v0 Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) r Final/No C.O. Required Foundation Foundation Before Backfill `'r HVAC_Gas Service Test Gas Line Air Test Roof:_Ice &Water _Final J Pool:_Footings _Air/Gas Tests _Final 1, Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS Insulation Windows Sheathing Retaining Wall: _ Footings_ Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: _Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: - Building Inspector RESIDENTIAL FEES �•,;, \Coil:L/ Base Fee �" i .<. Surcharge Plan Review MCES SAC City SAC Utility Connection Charge A J0 � S&W Permit& Surcharge 1 / el° -.- Treatment Plant Copies 1-1/6101(1\18.\ , o 0 0 TOTAL Page 2 of 3 T ♦ ♦ , For Office Use j` , +:*. .° ,e ::::ee: .... o 6,0 -0 C 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 Date Received: (651)675-5675 I TDD:(651)4.54-8535 I FAX:(651)675-5694 1" Jt Email: buildinoinspections a(�citvofeagan.com Er V � Staff: '� Commercial Plan Submittal: eplans(@.citvofeaoan.com L JUN 0 5 2018 2018 RESIDENTIAL MECHANICAL PERMIT APPLICATION Date: fine etal' Site Address: 5- .6 Pic l uty f-61 Tivc RN S� ZZ Tenant: J Suite#: >�; . r � s(32:--295--qt--3 Name: Cyt L Phone: Resit en j p �l J , _ p fir Address/City/Zip: l6 f T ' j JJ- � yAMd 'dR , �N S5()D Name: License#: Cont 1 ® Address: City: State: Zip: Phone: Contact: Email: ' RESIDENTIAL w Furnace Air Conditioner . 4# „ it Ty ..� Air Exchanger # 44 Heat Pump 1 x Other New Replacement )c, Additional Alteration Demolition Type c A Description of work: �io�e he iei, /NPI_i Ccv6 p huff a RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit, includes State Surcharge $100.00 Residential New, includes State Surcharge =$ TOTAL FEE 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. I hereby acknowledge that this information is complete and accurate;that the work will be ini 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. t X Applicant's Printed Name Applicant's Signature . � = 14.4: PterrDae • x Revil"' ewed By: v "z404004,44 XRi .Inspectid� ta # kms. - o e t equU` r6 fie' ' h I ;* , #I St .r ` f,, . ndeg nWICE USE � " ''j vih5( For Office Use /��D�� I ::::: : Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildinginspections(c�cityofeagan.com L 2018 RESIDENTIAL PLUMBING PERMIT APPLICATION Date:)3 L...7./162. 2 ('')? Site Address: lt A51/1Pd I'lt Tenant: Suite#: Name: 110 'V 5a—.27g:— �! 3 Resident/Owner �U11 C """ ZJ / i 'hone: Address/City/Zip `-'ker' l ],imey Pet. 1 (� Name: License#: Contractor Address: City: State: Zip: Phone: Contact: Email: Replacement Repair —Rebuild Modify Space Work in R.O.W. Type of Work —DescNew — .w�m ription of RESIDENTIAL work: Ki'�,�IP.tn tre{M odd Water Heater Lawn Irrigation ( RPZ/—PVB) Water Softener Permit Type Add Plumbing Fixtures( Main/—Lower Level) Septic System New Water Turnaround IAbandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation (includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround*(includes State Surcharge) *Water Turnaround (add$280.00 if a 3/4"meter is required) $115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES $ 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.gopherstateonecall.orq 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. 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. t-tan • r• Applicant's Printed Nit me Applicant's Signature Ili FOR OFFICE USE Reviewed By: Date:. Required Inspections: Under Ground Rough-In Air Test Gas Test Final Meter Related Items: Meter Size Radio Read Manometer Staff: For Office Use Permit#: Permit Fee: / 69 E C E I V E Date Received: c0 3830 PILOT KNOB ROAD EAGAN, MN 55122-1810 P1 (651)675-5675 I TDD:(651)454-8535 FAX:(651)675- APR 2 9 2020 Staff: buildinoinspections@cityofeagan.comBY: �- 20201 RESIDENTIAL BUILDING PERMIT APPLICATION Date:)q A?1°IL 202,0 Site Address: 36416 ASH D tig T RP_ Unit It: Name: H Atk ettV1 �-£? ' Phone: 5Q—27g — '1243 Resident! _( Owner Address/City/Zip: 3 Gel G A5 bt'tvy . �1 Applicant is: ?C. Owner Contractor P-D r ; _ / g. / _ ...il l Description of work: D .c k Rept/6 r Construction Cost: ' 000 „DO Multi-Family Building:(Yes /No 'V ) Company: Contact: Address: City: °' _ State: Zip: Phone: Email: License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: 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: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: 6y b 1107{ Plans arrd �t#fttg fllircum�rt2fr t�#+et,�stt s�llft ers', #sl� b�A' ittifttfot�n�i; rit � ,� ;' r ^` er� classified aft nonpublicif You.provtde,specific ns that theot conclude th a 4., 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.cityofeacan.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.gooherstateonecall.orq 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 Hai Se ��.j -2-1. x(--,•"k-C> Applicant's Printbli Name Applicant's Signature DO NOT WRITE BELOW THIS LINE 2 CD 9 (D / sit bLcl2Li /ZU ``p/is. l ' SUB TYPES '_ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) _ Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) — Multi X Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of Plex Lower Level Pool Accessory Building WORK TYPES _ New — Interior Improvement _ Siding _ Demolish Building* — Addition _ Move Building _ Reroof _ Demolish Interior _ Alteration — Fire Repair _ Windows _ Demolish Foundation Replace _ Repair _ Egress Window Water Damage Retaining Wall `Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation 0,0o Occupancy TRc-l MCES System Plan Review Code Edition 2 cc SAC Units (25%_100%_) Zoning Std City Water Census Code Stories Booster Pump #of Units J Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction irc Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings (Addition) j( Final/No C.O. Required Foundation Foundation Before Backfill HVAC Service Test Gas Line Air Test—Hood Roof: _Ice&Water _Final Pool: _Footings _Air/Gas Tests _Final X Framing 30 Minutes 1 Hour Drain Tile Fireplace: _Rough In _Air Test _Final Siding:_Stucco Lath Stone Lath Brick_EFIS Insulation Windows Sheathing Retaining Wall: Footings Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: `S.I•/e /cc-,._ , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Radio Meter Read Copies TOTAL Page 2 of 3 �� . CERTIFICATE A T E /6/A-5--- SIENNA CORPORATION SURVEYOR S. CERT1F /2-ci 2 APP, 2oZo 4aN, u • 2_(.....7.) • A 044 ` ` -y • a3 1,6. / • I 1 �0 / p•P . (r) / ti 5r- F.qs,�• • ,� 4� . ok O t 830.6 I if /k \ IC) to 5 1 ol %. ,e4 ; at N 'RI I LOT 26 o (8 33•l) s 829.3�y,53n) e3o.o 830.7 16.53 36.0 x 1 17�D0'' f I tO igM PROPOSED P- Deck! iS - orn N/ HOUSE fix,', O %-t cki26.0 ___.,�r836.9 PI Q • (/) a I 657.1= 10.0 Ia H R(636.9 C S3(o.S) N ~ CO r i GAR/ e N I-- N/ /N • J 66.5 835.450 5-; _ __ 37 8 .0, 20.0 /: I7—.'I-.,fea6. \-11 • , 511).5+�� 838.6 -.J 03 teVrt411 .14 1 ID tri y T• .836.3 -: a 0 .i.cr:. '/ %i .833.6 53. 48 • -- .a 1.80 ---- __- •-- -24.57.- , -- A i N 0°i 3'39t,E , . Ng�s!'34-W 6."6° 5 s 0 ° I � 53.fi9• I �'� �'°°�833.2 � A SHBUR Y RB ' 835.3 Han Seun6. L420 (x�ouj ih Jwn . . . • ' 36% AskLury Rd - • REVISED 9- I -87 TO SHOW PROPOSED HOUSE BY LUNDGREN BROS. CONST., INC. SHEET 2 OF 2 SHEETS PROJECT U . BOOK / PAGE JAMES R. HILL, INC. • 85618 (814435) �34i6 Planners / Engineers 1 Surveyors • ., FILE NO. 0200 Humboldt Avenue South FOLDERDloolnington, Mn. 65431 012-004-3029 PERMIT City of Eagan Permit Type:Building Permit Number:EA174501 Date Issued:02/01/2022 Permit Category:ePermit Site Address: 3696 Ashbury Rd Lot:26 Block: 1 Addition: Blackhawk Glen PID:10-14350-01-260 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: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Han Seung Lee 3696 Ashbury Rd Eagan MN 55122 Home Depot Usa Dba The Home Depot 2455 Paces Ferry Rd Atlanta GA 30339 (763) 852-1044 Applicant/Permitee: Signature Issued By: Signature