1561 Ashbury Pl
PERMIT
City of Eagan Permit Type: Mechanical
Eagan. Permit Number: EA102192
Date Issued: 11/22/2011
OR Permit Category: ePermit
40~ it~ of E3
E
Site Address: 1561 Ashbury P1
Lot: 13 Block: I Addition: Blackhawk Glen
PID: 10-14350-01-130
Use:
Description:
Sub Type: e - Furnace & Air Conditioner
Work Type: New
Description: Furnace & Air Conditioner
Comments: Questions regarding electrical permit requirements should be directed to Mark Anderson. State Electrical Inspector. (952)
445-2840
Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088
Surcharge-Fixed $5.00 9001.2195
Total: $».00
Contractor: - Applicant - Owner:
Pronto Heating & Air Conditioning Scott A Hersei"
7588 Washington Avenue South 1561 Ashburv PI
Eden Prairie NIN 55344 Eagan NIN 55122
(952) 835-7777
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 Cite of Eagan Ordinances.
ApplicantiPermitee: Signature Issued Bv: Signature
-REACTIVATE L DECK-PLAN RE'!IE47ED 61TY V~F EAGAN 0 12731
DIE`iER SCiiTLLI NG 1 T F
=►5 =0734 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used for SF Dl'JG/GAR Est. Value $60,000 Date OCTOBER 6 9 86
Site Address 1561 ASHBURY PLACE Erect Y7 Occupancy R3
Lot 13 Block 1 Sec/Sub. BLACKHAWK GLEN Remodel ❑ Zoning R
Parcel No. Repair ❑ Type of Const. V
Addition ❑ No. Stories
cc Name LUNDGREN BROS CONST, Move ❑ Length 46
W Demolish 13 Depth 49
3 Address 935 E WAY ZATA BLVD Int Impr. El SaFt
° City V,AYZATAPhone 473-1231 Install El
cc SAME Approvals Fees
C Name
00
Address Assessment Permit S 313.00
F City Phone Water & Sew. Surcharge 30.00
Police Plan Review 156.50
W W Name DESIGN' ETC Fire SAC 575.00
s3 Address 5735 DQNKIRK 500.00
Eng. Water Conn.
W City PLYMOUT*one 559-2637 Planner Water Meter 63.50
Council Road Unit 290. 0
I hereby acknowledge that I have read this application and state that the Bldg. Off. 10/2/$6 Tr. Pl. 156.00
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances. APC Parks
' Var. Date copies
Signature of Permittee Total 0
A Building Permit is issued to: LUNDGREN $ROS CONS'' on the express condition that
all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
Permit No. Permit Holder Date Telephone #
Plumbing
H.V.A.C. 7 ~I Z' ~~:c G~ I I
Electric
25411
Softener
Inspection Date Insp. Comments
Footings 1
Footings II
Foundation
Framing
Rooitng
Rough Plbg.
11-2e -ee;
Rough Htg. ~
Insul.
Fireplace l~
Final Hill. f
Final Plbg.
Bldg. Final
Cert. Occ.
Deck Ftg. L
DeckFrmg. rr~7,c~ /0-/-87 e.A,
Well
Pr. Disp.
n PERMIT # 7 ,
* 1 MECHANICAL PERMIT RECEIPT # 6 3 5
} CITY OF EAGAN /
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE
COACT PRICE: J ' PHONE: 454-8100
Site Address A -J C' G. TXPE WORK DESCRIPTION
Lot Block Sec/Sub ~c T'i' - 1~.
Res. New
Name MUIt Add-on
Address r Comm. Repair
c City Phone Other
Name r r- FEES
c Address t v RES. HVAC 0-100 M BTU -$24.00
p City- : -I Phon6 1 ,2 ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
TYPE OF WORK ADDITIONAL 6 M BTU - 6.00
7 GAS OUTLETS - 1.50 EA
,t
Forced Air T_ M BTU COMM/IND FEE - 1% OF CONTRACT FEE
Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00
Unit Heater M BTU MINIMUM - COMMAND FEE - 20.00
Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50
Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
Gas Piping Outlets #
Other
FEE:
S/C: i SIGNATURE OF PERMITTEE
TOTAL-
FOR: CITY OF EAGAN
PERMIT # 7 J,
PLUMBING PERMIT RECEIPT # ~`1 y y
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-8100
Site Address 1 BLDG. TYPE WORK DESCRIPTION
Lot f Block J 'Sec/Sub Res. T New _
Mult. Add-on
Name Comm. Repair
Addresses Other
C City "";4 t Phone ? RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
Name L 4- -A-Water Closet - $3.00 $ 1/1,
m -L_Bath Tubs - $3.00 3
C Address Lavatory - $3.00
O City Phone Shower - $3.00
-1 _Kitchen Sink - $3.00 3
FEES Urinal/Bidet - $3.00
I COMM/IND FEE - 1% OF CONTRACT FEE ---/--Laundry Tray - $3.00
APT. BLDGS - COMM RATE APPLIES _J-Floor Drains - $1.50
TOWNHOUSE & CONDO - RES. RATE APPLIES -Water Heater - $1 50
MINIMUM - RESIDENTIAL FEE -$12.00 -Whirlpool - $3.00
MINIMUM - COMM/IND FEE -$20.00 -L_Gas Piping Outlets - $1.50
STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT)
(ADD $.50 S/C IF PERMIT PRICE GOES Softener - $5.00
BEYOND $1,000.00) Well - $10.00
Private Disp. - $10.00
f; !.j_jAl~n Rough Openings - $1.50
SIGNATURE OF PERMITTEE FEE:
STATE S/C: ~n
FOR: CITY OF EAGAN GRAND TOTAL -,y
CASH RECEIPT
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
RECEIVED
FROM
AMOUNT
e DOLuws
Ion
❑ CASH p CHECK
rcQlyi f
d:
FUND CODE AMOUNT
Thank You
By
1
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
4LDG. PERMIT NO.
01-3210 Bldg. Permit
01-3422 Plan Check
01-3445 Surch./Adm. V52
01-3446 SAC/Adm.
01-2155 Surcharge
T-
17-3860 Road Unit I«r.-
20-2275 SAC
20-3865 Water Cann. j vc f"
20-3868 Water Trmt.
20-3716 Water Meter f
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn.
11-3855 Park Ded.
TOTAL
CASH RECEIPT
. CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19,4 (.1
RECEIVED
FROM
AMOUNT $
& DOLLARS
toe
CASH ❑ CHECK
POR , / 1
FUND CODE AMOUNT
~ v
f
Thank You
BY
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
r
CITY OF EAGAN Remarks OlV *6 t a 9
Addition Blackhawk Glen 1St Lot a Blk f Parcel
Owner Street - 1561 Ashbury Place State- Eagan NN 57122
1 t~
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 1076 1986 253.48 50.70 5
STREET RESTOR.
GRADING
SAN SEW TRUNK 1970 6.70 25 Pd prior t division
SEWER LATERAL Bn1074 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 1073 1986 110-91 22.18 5
STORM SEW TRK 732 1983 32.57 15
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER,
SAC
PARK
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Road
P.O. Box 21199 PERMIT NO.: 1 1
Eagan, MN 55121 DATE: 1 sl d s €i E
Zoning: "L No. of Units:
Owner. L.un: rcn ?ror.
Address:
SiteAddess: 1561 As}.hury Place L1' 1 ' ? rc'' :~T..k C-len
Plumber. Lund,^.rcn Bros. Plumbing
Meter No.: Connection Charge: 00. Size: Account Deposit: 15.00nd
Reader No.: Permit Fee: 10.0024
1 agree to comply with the City of Eagan Surcharge: .502d
Ordinances. Misc. Charges: S~' • i~ ~Dd TP
Total: r ` d r,=t4,.
By Date Paid:
Date of Insp.: Insp.:
CITY OF EAGAN SEWER SERVICE PERMIT
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
Zoning: No. of Units:
Owner:
Address:
Site Address: s [1 i) a'" l -
Plumber: ^ ; r1TGbL.1
I some to eeft* WIA the City of awn Connection Charge: 5. JJRd
Or hWeeee. Account Deposit:
Permit Fee:
Surcharge:
By Misc. Charges:
Dote of Insp.: Total:
Insp.: Dote Paid:
~1
This request void to/ O2
18 months from { v ~e J
~C60352 Kl Qty _hia.~o
Req~t Dat Fire No. neq..rm Inspection r.-ut
b egmed7 M~neatlY Nuw ❑ Will NoGty Inspec-
❑yes WrNO l for When Ready
Licensed Electrical Contractor 1 hereby request inspection of above
❑ Owner electrical work installed at:
Street Address, Box or Route city
X45 O
1v
77 77 Tow iD Name or No. Range No.
Occup (PRINT) Phone No. -
Y 73- 42 3
Paw Su ier Address
r
Eta at con actor ICO Name) IContractor-s License No.
Il) jK Y~ 1 7
Mag AtlJress (Contractor or Owner Making Instailati nl
30 41-
Audi i Signature (Con for eking Installati 01 Phone Number
rC+r.J
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Origga-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD
MN 55104 UNLESS PROPER INSPECTION FEE IS
1621 University Ave.. St. Paul,
E
Phone (612) 642.0800 NCLOSED;
ill/~6 REQUEST FOR ELECTRICAL INSPECTION bs-oooot-Ds
Il, See instructions for co~sbng_this form on beck of yellow copy.
Below Work Covered by This Bequest l-
New d 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 pea v 11h, ISpeci fy)
t r peci y Other Other
P.Ompute inspection Fee Below
p Fee Service Entnence Size n Fee Feeders/Subteeders k Fee circuits
U to 200 Amps 0 to 30 Amps 0 to 30 Am
Above 200 Amps 31 to 100 Amps 31 to 100 Amps
Swimming Pool Above 100-Amps Above 100_Am '
Transformers Irrigation Booms Partial 'Other Fee
Signs Special Inspection $ S7-0 TOTA E,
Remarks
Rough-in Date t, the E ctnc
t Inspect., rebv
certify that the above
Final Oute inspection has been
to _0 made.
This regusat Vold 18 months from
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Road 8110
P.O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE: 10-28-86
Zoning. R1 No. of Units:
Owner. Lundgren Bros.
Address:
Site Addess: As ury Place L11 B B ac hawk Glen
Plumber. u~gren Bros. P um ing
Meter No.: 7 4 G Connection Charge: _~0 pd
Size: oc Account Deposit: p
Readar Nc ~ 0;707 q613 Permit Fee: 0 00pd
I agree to comply with the City Eagan Surcharge: 0pd
67 'Af'.
TP
Ordinances. Misc. Charges: 1 .OOpd
Total: 3.50pd meter
B ate Paid:
Date Wimp, Insp.:
This request void g/fJ(p y T
18 months from
C 67559 ~i3 Qi ~~s~ca
Request Date 1 Fire No. Rpugh-in Inspeclron
Cy / R gma ❑Ready No- 11 Non lily RInspec-
d O as ❑NO for When Ready
ALicansed Electrical Contractor 1 hereby request inspection of above
❑ Owner electrical work installed at:
Street Address, Soz or Route No. City
5G S ~v~r Z-G 1AI
ecUon No. Township ame or o. Range NO. County
Occupant (PRINT) Phone No.
SC ~~/N G lJc,e~ro
Power Supplier Address
UGC--o7~Z[ C
,"z~l TA
L ')A
Electrcal Contractor (Company Namal Contractor's License No.
Standard Electric Co. 40837
Mailing Address (Contractor or Owner Making Installation(
2672 M lewood Dr. Maplewood, Mn 55109
Author¢ d gnature (Contractor/Ow Mg Installationl Phone Number
484-8044
MINNESO A STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room N-131 BE ACCEPTED BY THE STATE BOARD
1821 University Ave.. St. Paul. MN 66104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
1111,Ve<, REQUEST FOR ELECTRICAL INSPECTION Es-00001-05
Sea instructions for Sompletigg this form on beck of Yellow copy.
C " 7►rA X" Be/ow Work Covered by This Request
F 'ti. 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 they (Specify) Other (Sped W)
t ,r peel y Other Other
Compute Inspection fee Below
p Fee Service Entrance Size a Fee Feeders/Subfeeders p Fee Circuits
S 0to 200 Amps 0to 30 Amps 0tn 30 Am
Above 2 -Amps 31 to 100 Amps 31 to 100 Amps
SWinvnm Pool Above 100-Am s Above 100-Am -
Transtormer5 Irrigation Booms r Partlai.'Other Fee
Signs Special Inspection
emerks
TOTAL F EI~"Y tL
Dme
Bough-in th
` Eectrical
P:. tor, hereby
e rt,fy that the above
Final Dpte ,n - inspection has been
• r"' ii made.
This request vold 18 months from
3830 Pilot Knob Road! P.O. Box 21-199, Eagan, MN 55121'v O 1 y
PHONE: 454-8100
BUILDING PERMIT Receipik ~2/20
Tobeusedfor SF DWG/GAR Est. Value $60,000 Date OCTOBER 6 to 86
Site Address 1561 ASHBURY PLACE Erect? Occupancy R3
BLACKHAWK GLEN Remodel ❑ Zoning R
Lot 13 Block 1 Sec/Sub.
Parcel No. Repair ❑ Type of Const V
Addition 0 No Stories
$ Name LUNDGREN BROS CONST Move El Length 46
Demolish 11 Depth 49
c Address 935 E WAYZATA BLVD
Int. Impr. ❑ Sq. Ft.
City WAYZATAPhone 473-1231 Install ❑
M SAME Approvals Fees
o Name
Address Assessment Permit $ 313.00
City Phone Water &Sew. Surcharge 30.00
Police Plan Review 156, 50
Gw Name DESIGN ETC Fire SAC 575.00
Address5735 DUNKIRK Eng. Water Conn. 500.00
<w City PLYMOUTWone 559-2637 Planner Water Meter 63.50
Council Road Unit 290.00
I hereby acknowledge that l have read this application and state that the 81dg.Off. 10/2/86 Tr. PI. 156.00
information is correct and agree to comply with all applicable State of
Minnesota Statutes an ohEaggn Ordinances APC Parks
s
Signature of Permiftee Var. Date Copies Total $2,084.00
A Building Permit is issue to: LUNDGREN OS CONST on the express condition that
all work shall be done in ccordance with all a plir• ble State of
Building nneto Statutes and City of Eagan Ordinances.
Official
7
CITY O F E A G A iV * NATF. Pimwr OF FEE AT TIME OF
* APPLICATION DOES PAT CON'`TI=
APPROVAL OF PERMIT.
APPLICATION FOR PERMIT
* INSPECTION OF SEWM AND/OR WATER
nsm mAm cm WILL NOT BE scm-
SEWER AND/OR WATER CONNECTION DLED um PST HAS BEEN
APPROVED.
* *
*
(Please Print)
1) PROPERTY ADDRESS:
LEGAL DESCRIPTION: 18 f f~ {j~ ~/e~
(Lot/Block/Subdivision or Tax Parcel ID
IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE:
PRESENT ZONING/PROPOSED USE: (Month/Year)
C5 COMMERCIAL/RETAIL/OFFICE ar R-1 SINGLE FAMILY
rl INDUSTRIAL R-2 DUPLEX (Two Units)
In INSTITUTIONAL/GOVMUIMENT R-3 TOWNHOUSE (Three + Units) ( Units)
R-4 APARTMENT/CONX)mINIUM ( Units)
2) s
NAME: 1 .✓~%J lf/aS``~ ff _ lii•~
ADDRESS: 93S ~RTf~ ~{iy~
CITY, STATE, ZIP:
PHONE: 473 ! a- -3
/
3) u I: r• NAME: 41w For City Use
Plumbers License:
ADDRESS: Active
CITY, STATE, ZIP: Expired
~ Not recorded
PHONE: MASTER LICENSE# SEaFF
4) KIA-601 VIA,) • i~•
NAME: /41-A14
ADDRESS:
CITY, STATE, ZIP:
PHONE:
.5) • i r: •a• o•
CONNECTION TO CITY SEWER CONNECTION TO CITY WATER ~ OI!HER '
6) • I` PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE -
PLEASE MAIL APPR PERMIT TO 1, 2, 3, 4, ABOVE
(Circle one)
7) r to`~86
' 7C • Y' 1: • • • • I• • ] 101' i• 4~1' .:I• ••:I• • D• ~ ~
-FOR CITY USE ONLY
PERMIT # ISSUED
Pd w/Bldg. Permit FEES:
$ $ /,0 7 V SEWER PERMIT (INCLUDE SURCHARGE)
$ / $ 16- WATER PERMIT (INCLUDE SURCHARGE)
WATER METER/COPPERHORN/OUTSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ $ / S !f~ ACCOUNT DEPOSIT - SEWER
$ $ fS ACCOUNT DEPOSIT - WATER
$ $ WAC
$ \J 7 S $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ WATER TREATMENT PLANT SURCHARGE
$ Cf $ / OTHER:
TOTAL
- fib l X66
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 CbNDITIONS:
APPROVED BY: Ay_t r3~4e~ u~
TITLE-
DATE- Z
1986 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
MULTIPLE DWELLINGS - RESIDENTIAL RENTAL UNITS FOR SALE UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For: luation: Date:
Site Address j lD OFFICE USE ONLY
Lot 2,a_ Block Erect ✓ Occupancy ~•3
Remodel Zoning R I
Parcel/Sub Repair Type of Const
/y Addition # of Stories
OwneMove Length ¢(D
_ Demolish Depth
Address 5 Int.Impr. Sq Ft
Install
City/Zip CodeZzpt ~j 3 J
Phone APPROVALS FEES
Contractor Assessments Permit ~J13.
Water/Sewer Surcharge 50.
Address ~S Police Plan Review I zo.
y , Fire SAC ST-
City/Zip Code Engr Water Conn 500,
Planner Water Meter -7 7
Phone 7 - o? 3 Council Road Unit 2q 0.
Bldg Off/ Treatment Pl 5(0.
Arch./Engr. APC Parks
Variance Copies
Address TOTAL
City/Zip Code 7-1
Phone #
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR /HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
ERTIEICA TE SIENNA CORPORATION
-SURVEYOR'S' CERTIFICATE'
' N
I h O
V
°(838 5~ S 77°5556 E CB480~s J
rt, 140.4
u 84`7. 4B-00 - - f4.03. X Q7
10 I oi~ '~1 w \ 0` .A J
m p ~i i W lT~ \ / N
(xj I 2 O ~ 2s0 Ql
-iy(\ W $ / In
m LU as 1
V y w o y
V7 I me "~/o o/` w Q
ct) m
(L LA
H 0
75.5 ,J~
p0p p
pp(~j ~~nn W
dDRIVEWdY-'..''r_''.:;a!. i W Ox -
10 g4 B o 22.
8 C\1
0,00
_ u ' 8 7.7
38. ~>I0. f O l N
4H.00~ . U• ( .1x30
171.03 846. z3 - - 43.00 - _ 2 I b
sl N 77°55'56" W (84S0A-N° °
°
REVISED 9-24-86 TO SHOW PROPOSED II
HOUSE FOR LUNDGREN BROS-CONST
+ DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET SCALE: 1 INCH = 30 FEET
v DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = X4.8 FEET
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR = 64C.o FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK. = 849.2 FEET
WE HEREBY CERTIFY TO SIENNA CORPORATION THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 13.Block I, BLACKHAWK GLEN 15T 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 13TH DAY OF Nov. 19@5
SIGNED: DAME FILL, INC.
BY:
HAROLD C. PETERSON, LAND SURVEYOR
MINNESOTA LICENSE NUMBER 12294
PROJECT NO. BOOK / PAGE JAMES R. HILL, INC.
85618 ~g6973
Planners /Engineers /Surveyors
FILE NO.
8200 Humboldt Avenue South
FOLDER Bloomington, Mn. 55431 012-084-3029
0Sc0:,JS-IRUCIIOIJ -
IIJC.
• W/,YZ/,TA. IAII:I:LSUT! 2) 47'- 1231
LOULC
u35 EAS7 'JAYZA7p, 'V/iRD
E):1[R]OP, ENVELOPE '.vERA.GE 0!'IE'UThT 01'
3 Loth Ql ock-/ /l? vim/
Site Address
R U
R& U Factors
508
Opaque Walls
.117
Wall Framing Areas
.023
Ceiling Insulation Area
.027
Ceiling Framing Area
-04
Rim Joist
.14
F)asonry Wall
.26
I-Ii ndows Double Hung 46
Casements -
.18
Doors
- .46
Patio Doors
47
Si del ites
1) Lower Level (Basement)
Total exposed wall area 3go.8'Ix (U) .058 =
da.o 7
Opaque Wall Area
S O
4ax (U) -117 =
1Jood Frame Area
X. (U) -04
Rim Joist = lam-
gg,71 x (u) .14
Exposed block 5 ~ x (U) .46 Ad--1
Casement
Window Area Double Hung =x (U) .26
X (U) .46
- =
sliding Glass Door
. x , (U) .18 =
Door Area
Total ~O~'
RO(CCOIORUCIIOI'~ IIgC.
_ 1231
r • \A'AYZAT/' IJJI~'IJES07l. I
035 [l,ST \'d%,YZhT! SOUL[\!-.,zD
2) )St or main floor _ ll9_ 7
Total exposed ,;all area 058
815.3/ x (D) .
Opaque %zll area x (U) /0,57
.117 =
5.3a
blOod frame area 133 x ( ) .04 =
Rim joist aq,SSx (U) .46
Casements L j) = /off
hJindow Area f Double Hung `~/~x ( )
AfO X (U) .46
Sliding Glass Door
(U) .18 - 30
• 39r7$x
Door area 47
,dq x (U)
si deli tes 7/8~=
Total
13) 2nd floor if 2 story
Total ex6osed wall area
x (U) OS8 =
Opaque wall area -
i x (U) .117 =
Wood frame area x U 46 =
Casements =x ~U3 .26 =
Window area Double Hung
X (U) :46 =
Sliding glass door
Door area 1
Total
9~9
4) Total ceiling area
~/,9~ x (U) -027 = ~a-
Wood frame area ~o zto
$ (U) =
WO x .023
opaque ceiling area X (u) .55
Skylight aa~
Total
1,WIDUlKiA
l ~CONSIRUCIION - -
612I .73-1231
935 EAST \4'AYZl;T/, BOUI[VTnD 1^.i YZ/-TA IhIIJId[SOTl; 55 5 1
ISinn. U Factors Total exposed wall area 17,77 X 11 = /9-
Total exposed ceiling area 97_ 9~ •02 6 - a S
(Sinn- U Factors
(A) Total
Item 1 Item 2 ~IS•~a + Item 3-
+ Item 4 aa• 9O = ao_ If total of items 1 - 4 is less than Item (A), building
complies with SBC 6006 (C)s
Cl
CITY USE ONLY
LOT BL I RECEIPT ( (P
SUBD. RECEIPT DATE:
J
1996 MECHANICAL PERMIT (RESIDENTIAL)
crrY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
Date: --7/a+ CIE (612) 681-4675
Complete this section only if you are installing HVAC in single family, townhomes or condos under
construction and not owner /occupied'
• HVAC: 0-100 M B T U $ 24.00
ADDITIONAL 50 M BTU 6.00
• Gas outlets (minimum of one required @ $3.00 ea.)
• State Surcharge: .50
• TOTAL:
Complete this section on if you are remodeling, adding to, or repairing existing single family dwellings,
townhomes, or condos. Note: Mechanical permit is not required for alteration/add-on to ductwork in
existing residential units; but is required for the following:
Install furnace Install air conditioning
Install air exchanger, i.e. Vanee system, etc. Other
Minimum fee applies to all remodel or add-ons of existing residences $ 20.00
State Surcharge
Total: $ 20.50
SITE ADDRESS: 549/ ~FSti btt Tpl ct c (f,
OWNERNAME: 6GGCI 4 CKDK PHONE 150- 7
INSTALLER NAME: WOh(ee-S SOU+'~;i Ce 4+q J- C, PHONE 43) - -7
STREET ADDRESS: I4 J?e h n U GK r V e
CITY: 4p l P vO l i e y STATE: MN ZIP: 55),
tyalh u 0 P-.
SIGNATURE OF PERMITTEE
JS/FORMS BLD/MECH PERMIT (RES) - 1998
CITY USE ONLY
L BL RECEIPT*
SUED. RECEIPT DATE:
APPROVED BY: ,INSPECTOR
199$ MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: all commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE: CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: 1% of contract price OR $25.00 minimum fee, whichever is greater.
Processed piping - $25.00
CONTRACT PRICE x I%
PROCESSED PIPING
PERMIT FEE
STATE SURCHARGE ($.50 per $1,000 of permit fee due on all permits.)
TOTAL
SITE ADDRESS:
OWNER NAME: PHONE
TENANT NAME (IMPROVEMENTS ONLY):
INSTALLER:
ADDRESS: PHONE
• i
CITY: STATE: ZIP:
SIGNATURE OF PERMITTEE
7 ~ ~9 rJC 1 OT G~
HEAT LOSS CALCULATION TEMP. DIFF.
Cuatortier News _ L UN~ y~f ~ Tye Nor I lc
City - Wi dowa storm Sol
Daalar Name. wall . Int.
Street Collins Inc
Citv - Floor
Pi Ft.l a~n Room lLw h 01, S Width Height S F1.141 jed Ilootnllen h ( a Width 2. S Nei t
Windows e d Daort-Gackap and Ara Windows and Doors- GWtap end Area
w.ar• w NL•. N LMMN it. N
wrrx Na Llw•1 n. an•
NO nl p•M el M O 1 h it N•' N n
12A_ 3 12
Coal. Btu Coat. Btu
Infiltration Infiltration 0
Goan Glen i re
Exp. wall d. s 1 Exp. well 72, S k Ito
Net exp. wall Net exp. wall 2 114?
Int. wall Int. wall
Coiling °I, S x l( 0 2 Calling a 17- S 2 L LSi~
Floor 3 1 Floor I L 5 3r(
Total Btu. 1 i $ Total Btu. 13 3
FLI p RoomlLen h Zo Width 16 Nei t 8 FLIP RoomlLan h Width 13,51H-eight 8
Windows and Doors-Crm*ap and Area Windows and Doors-Cradap end Area
No W,Mn limp. No N Lfwol n. awNNn M•IaM Ns. N L h.
N M M L N N•rM r. N•. t,
..'`I 3 (0 3 V 3 6
D 3110 _33 1.2 1
Coaf. Btu Coal. Btu
Infiltration Infiltration 3 4c. V6 1 19 L40
Glen Gls 5D 13 SO
Exp. wall R(a Y- V 1221- Exp, well 2 S. Sh 2 0
Net exp. wall Not exp. well 11 00,
Inf. wall IM. wall
Coiling O )c I 1, 3.70 3 too Coiling 2 c l3. 1 bL 2 3 2-
I loot App ';x (-ya Flaor ( 8
Total Btu. _ Total Btu. o
t3 F t.l tic}~ Room l Length (D Width 14 Height?' F 1.1 MeLL Room I Lan h . S Width z Haight
W mrlows aril Doors-Gadcap and Area Windows and Door-Gadusp and An.
W gyn.. ra.•M No e/ L'NN~ h. MN w.FO N•Ip1 040. 40 Lx•w h. tars.
N^ nr .,.M N L N N . N N° N ati N L h.
Ceaf. BfY C.OeI. Btu
Infiltration Inf-4 aUOn
Gla•s GIa s
ENo.wall lax 142 1 Exp. well SK8
No exp. wall 1 Net exp. wall
Int wall Int. well
Ceiling (0)< I S 3 2 Z Coilwq (o. S x I `z. n8 Z 1 S
Fbrx 8-4 Y rb Floor r 1Y1 23
Total Btu, (017 Total Btu. ^ r7
1 90 z ~4- Z
HEAT LOSS CALCULATION 20 ° TEMP. DIFF.
nmtx Nnr,rt Lunc( ~r f t s .
.ty _ T, Construction N04.1
Gaeb Name. Windewt Storm Sash
knell walls. Iris.
.ity Flow Int.
bor
S FLI 15 00m 111 en h Width I ihi t 8 I FI.I 1 L
WifKlows and Donn-Gackaga and Area R I «r A Width . 5100 t
w,e.n Windows and Doors-Cradcaga and Area
Ne 1 MM e r 1 M M ft o0 of t•Nen.
31 7r' Ne. a l IlManf we NM1 L~ h. lte
Z r . h.
Infiltration Chef. Btu Coaf. Btu
Glau Infiltration
Exp. wall K g ~ O G4r
ON exp. wall Exp. wall 1 O
Z No exp. vigil
nt. wall
:filing f Int. wall
:fir k I 2 ceiling 5 X t $O 3 Z
'foal Btu. ly g (o Floor Z
Room I Lan th Wifhh s oal Btu. ~ O
f 3 Nei t 8 I F1.Ifu„+cv Room IL 3~- Width t t ff
Windows and Doors-Gacits" and Arw
ep ewin.M efN.M~ No w Lintel n. •w Windom and ~f0/1-(~.IaG~faOa avid Arm
/ 1 N . h' Na. ewwrn NtynM `e N IN 1 h. a7.
(0 Y 2 3 2 g n
3
- 3
Cod. Btu
dihration CAM. Btu
lass Infiltration Y--P- O I
■p. well Glfr 3
2 2 7C $ -Exp. wa11 S c7
Z 9_ K Z3
W exp. wan 3 8 Net exp. well
AM wall
/ r ( IM. well
nhrg L?rt
on Coiling r i 9 5 ~
rr 7 r2 Flow 1 3 $
nee Beu.
/ Total Btu. 549Q
-1.1 2 Room I L 10, S Width f 5.5 g I FLI Raom L
WimMws aril Doors-Ga6aw and Area I Width t b t
wm.n ...ion. Ne er LM1eel n. br _ W alld a- Up said Arm
' ...n, n1 vine L M1 N . h. Nn M ./.n fNlelrl.l tile. M LMrI h. Art.
3 s a - 9s a 2
Z_ z
Icow. Btu
ia Coe. ft
lrrloan Infiltration
`s a ( 5C~ O U Glow ~3fe
1. well 1 - - Exp. well 3
to x Sr go
exp. well 3 Z S Z Not exp. wall Z
wall Im. vigil 17 K(P
Ifo Z Fbor / U Z- O
I Btu. Total Btu.
'-I 51 Lf (o Y Lo n c4 e- ct CA
4
3 X37 $6Jovtsh a;r j~ fclk~
q
® To fct ( flc~~ c~ s 3
CHECK
TECHNOLOGY
CORPORATION
DIETER P. SCHILLING
DIRECTOR, CUSTOMER SERVICE DIVISION
1284 Corporate Center Drive
St. Paul, Minnesota 55121-1203
612/4549300
1-800-328-6944
~I
lily
KNOX DECK PLANNING GRID
Scale: 1/4". The following steps will act as a guide in designing
your patio deck: !y
1. Establish the exact site of your deck. The location of doors and windows on 3. On the same grid, make a scale layout showing the exact location of your house,
telephone wires and easy access to electrical outlets are footings, beams (4x4s or 2 - 2x6s nailed together), and joists (2x6s).
important considerations in selecting this site. (Note: A window can be Remember that the joints run at right angles to the joists: the footings
replaced with a patio d6or.) support the beams, the beams support the joists, and the joists support the
C^
2. Make a scale layout of the top of your deck on this grid: decking itself. a
a. If the deck is going to abut your house, first draw the abutting wall of
4. With these layouts completed, you are ready to stake out the corners of
the house showing doors, windows and electrical outlets.
b. Draw the outside edges of the deck in relation to this wall. your future deck. Connect these stakes with string and use the string to
c. Indicate steps and the direction that the decking material (2x4s and/or locate the footings. `
2x6s) will run.
r S- XO I ' rn t
G s'-S to
c _ k , C r /
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KNOX LUMBER COMPANY
- - - --------ErTihtaTk~_h7~-fERt'~CS-LIST - ^ ----rqg; z
I
DA -
tl. !1_/15!87 ,
M:t PRICES AS OF: 05!15/IBTtiSUNECT TO CHANGE. +:w t
33
T7,
- - - - --OCEfi I CATTRR6RS. E SUBJEL I I L ttAE 1
r r+ DUE TO VARIOUS DUILDING TECHNIQUES? THESL
~ALEGIIAP"' c3 MATE RIALS ARE NOT GUARANTEED
1. AS COMPLETE
6 ,
_,T1;il[T!_I+.: LICCI; .!=.VGL; iI :)0 STS: IXi TPFATED 24" 1) C FACIA: 2X111 CEDAR SACKS: _ X1-__i_ D
-P STS-4X4- TRLA ~fTA7dIJrTC- S>TCFTT R- EP 1
TES--
Dt:Cl;i1-., X C 'D ?h, PEEP DEAMS; E•i ',,x10 TREATED BENCH: Li' CEDAR
R _ I6
_ - - - 1--/ X74 - ` T1
- - " - - -LSTTF~TED-C-ffST-TET=TNG'-TA-R7: E
r" Ia 4:'t'.11"1 .t}:'f'31't"'S :V :t d.1.1:3:1.:1'3 "111 4*1'3"33 1'3".t"E".P 1'i t.1 "131'3Y:31::CTA"'t'ItCl::t.V:YCf:1'A:Y::Y%.:1:$:,.41**8.:I:P'N:A:Y::V::1"3:30:3:31:40.*'*
3:3'.1 '4 '*3.4 Y 1:O 31.1 Ma, of :j: 4, 19 -
ITEM DESCRIPTION Q1Y ON HAND QTY UNIT SELL EXT. SELL 6
10_ ct);c, :I a12_E IG S4'= I;D TREAT SYF L _ EA 6.95 7, CI
^
1 121! LFT .87
9E:'llIS 7'I ^l, X'I U TREATED
- -
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e1 OO: _7 X10 TREATED-'---'----
'
JOISTS 71544 L 'X1 F1 12FT 32SBTR S4S KD TREAT P.P. 204 LFT' .87 17^.48
4 16
818 l FT 48 3 i 2 6
DE r NC 1527' I y; ° t CEDAR
t r. :I- c •a o-> L- I 6 i ~LI-T 1 6-'i
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nS r^TrnPIh:G) 15273 L 2X6 CEDAR 11.1 LFT 48 8.^t
31
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D~.!: 1, )s r I A 1 2 8 R 3 511 1_FT 91 5 5 4 4,61!
: '1 _ - 6H -
33
2X , --;CEDAR -_giT - "L1 T-- : Z9
r ° /2 L ^X2"4FT STD Q•BTR NPS-S4S WR CEDAR 165 EA 80 132'.:111 15
RAIL SPINDLES 1.1, CONCRETE CON ! t C T E 5 ? 9 ! L _u - - Cq r
1i MIX, 35 _ 3
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S_nl1
BEAM WAS, 111ER5 01577"09C! '••'S1N FLAT WAITERS -'Ti ,4C 8~ EFT 0' 1,
-
X 5 _ LAG SCREW ZIMC PLT ~ '16 EA .211
1'.115 J OSST BOi..T~ I
r IP d 4 v
I! `1 A 41 C1;,!'ERNL 16 EA 11'
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- - - - - - - - - - - - - - - - - -
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73
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1~17a~j 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION 1h.'~U
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date 0/9 30~F~
HERSEY,SCOTT
Site Street Address 1561 ASHBURY PLACE Unit #
EAGAN, MN 55122
(651) 452-0370
Property Owner Telephone # ( )
Contractor NORBLOM PLUMBING CO. Telephone # ( >
Address (612) 827--4033 City State Zip
MINNEAPOLIS, MNNP540q
The Applicant is: _ Owner ontrac or ,-Other
Alterations to existing dwelling $ 50.00
Add plumbing fixtures (excludes water softener and/or water heater--complete next
section if installing these appliances).
-Septic System Abandonment
-Water Turnaround (add $125.00 if a 5/8" meter is required)
Other-
Water Softener Water Heater $ 15.00
_ new replacement.
Lawn Irrigation _RPZ _PVB -new -repair -rebuild $ 30.00
State Surcharge $ .50
Total $ IS. SO
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 the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved.
Applicant's Printed Name Applicant's 34.1bnature
q
~q X66 3.
'1(~7 R~~~4)~:I! ~ Il,~~. ~~~~~_{~[R PjN,i~MFT sVU77~~nTFr eiV
City Of E,apan
3;t3,4 t':!::, k'"o h t nAel, lli"At as MN SSt LLG
'gi'n ES- :v a~- F} «4_ z tE."! $:~.E 4 ~ 7"aed 6
New Construction RenaremerAs Remodel/Repair Reauve tents office Use On
3 registered site surveys showing sq. R of lot sq. fl. of house; and all roofed areas 2 copies of plan showing foobnge, beams, lolsts Geri of Survey Recd _ Y _ N
(20% maximum lot coverage allowed) f set of Energy calaAations for heated addtions Soils Report _Y ^N
? Sods Report rt proposed budding is to be placed on disturbed soil f site survey for additions & locks Tree Pres Plan Recd _ V -N
lre' osv."-"xS;, pcas;tasrv st: AddiVon- mdisato Hmrsite septic system Tree Pres Required _Y _N
sat of Energy cwcu!atkns N-sits Septic System Y N
oo -31 0&
Plans are considered public information unless you state they are trade secret and the reason.
Ob
aiceAddress _lbJ_~1t~r_z14i F ac~LVr, M_5~?2_ri;t;etc # _
- - - - - - - - - - - - - - - - - - -
i
• A_ O r \ h Y l n 1
L`
~ Property tiw aet' d-1011'ilP- Telephone # t (~5),452- D
Contractor
Address _ City p®
State _ Zip_ Telephone#(/,,, 12)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING ~
_ I
Minnesota Rules 7u 70 Carl gory 1I 7672
Energy Code Category hzs entiar ilert4datlata Category t 'vYorxstrzz€ New Energy Cote Woiksneet
s:bmi.5siar: type) - - Subrinited
~aunnttec - _ _ -
I ~
- ~
in 1,~u ii-1s`, it mon'ns, nos me ~ J :.•r i:ug n lssoe; U pt~rRYt [Ora snTutkl' (]IC7tt d5laa Ono rnosl~, Plan?
~s ~ Iup~
ItyB5, dasa P\/ t' n:
1
tltenspd Plumber ] LS !S tLS III~IIn11I~Ii
IIJ1- TeiPphonB*t i
I AU'G 2-8 2007 I
echtr,r,lcai Cnnt.rccfur - - - CC; - i°+eK hene # I - -
t
Sr-.vPrlWntar C'nn<.r. Tala(~hnn.? !=f r
L -
1 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; 1 understand this is not a permit, but only an application for a hermit, and work is not to Start without a
remit= tn_t the wr?ru will be in as ordance with the approved plan in the case of work which requires a review and
^rrval nt nlar,
DO NOT WRITE BELOW THIS LINE
Sub Types
❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plea ❑ 20 Pool ❑ 30 Accessory Bldg
* 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 ExL Alt - Multi
❑ 03 01 of _ plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 6d. Alt - SF
❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screertlgazebolpergola) ❑ 36 Multi Misc.
❑ 05 03-p1ex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage
❑ 06 04-plex ❑ 12 12-plex ❑ 25 Miscellaneous
Work Types f✓M n"vn 1" X17 ~iV'h° / (N Q^/ ~vG(C
❑ 31 New / ❑ 35 Int Improvement ❑ 38 Demolish Interior ❑ 44 Siding
❑ 32 Addition / ❑ 36 Move Building ❑ 42 Demolish Foundation ❑ 45 Fire Repair
33 Alteration ❑ 37 Demolish Building" ❑ 43 Reroof ❑ 46 Windows/Doors
❑ 34 Replacement Memoirdon Ill Bldg) - Give PCA handout to applicant
Description; wator oamage 4 yes
Valuation Occupancy ,CAL~1!_ MCES System
Plan Rev€ew 100.% nr 25%
Census Corte Zoning _ City Water
SAG Units Stones Booster Pump
# of Units Sq. Ft PRV
# of Bldgs Lengtti Fire Sprinklered
Tyoeof Const Width ,
REQUIRE D INSPECTIONS
_ Footings (new bldg), Sheetreck
Fx1 ggs (~1-.) _ Flnauc.J.
Foctinds (wedition) Final" No CO.
Foundation / HVAC:
e Drain I ile Other _
Roof ice& Water Final Pool FYgs AirlGas'2'ests _ Final
Framing _ Sidiom Stucco Lath Stone Lath -Brick
_ Fireplace R.I. Air Iwt Final Windows
Insulation _ Retaining Wall
Approved By: Building Inspector
Base Fee
Surcharge
?lap Rnv;=;,nr
MCIES SAC:
Cit SAG - ~j/"O\,A 0 t7
Utility Connection Charge
DV~bvl~6Fi
SSW Permit & Surcharge
Tre=imFri PlAnf 2/ 0 (,1j
License Search Q J Lt/1V
Copies 0J
Other C~
Total
IERTIFICA TE SIENNA CORPORATION .
'SUR M E 1 OR'S' CERTIFICATE'
N
Ir f,\ \ JyW Y
oll
wS 77°5556" CO
k
140. 4 E J
l l u e47. as.0o - 14.0a - x
2 f0
V,a r Q0C 26A ~i 0p
H I 2 zit O O w PC \ \o ~cs_ 0// I (n
I9 \
0) CD
UI ~ My W 0/a C
co 4 CT C~ W
Q4v ta.o N 0 0 I
RI 7 ~ C 1 25.5 N?: 4&10 0
pip p En •o '"DR R WAY
00
to 15
u t - 8 7.7 ^ •
0 832.0) 171.03 846.23 - - 43.00 ~ - ~ I ~ KI
~I J N 77°55'56 W~li~l~'/yt(ogs,oA~on
rT1
REVISED 9-24-86 TO SHOW PROPOSED
HOUSE FOR LUNDGREN BROS. CONST.
- DENOTES PROPOSED SURFACE DRAINAGE SCALE: 1 INCH = 30 FEET
O DENOTES IRON MONUMENT SET
DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = 949,.B FEET
•
XOOO.O DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR = 946,o FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK = 8g9.2 FEET
WE HEREBY CERTIFY TO SIENNA CORPORATION THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 13,Block I, BLACKHAWK GLEN 157' ADDITION, according to the recorded plat
thereof, Dakota County, Minnesota.
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, IF ANY. AS S SURVEYED BY
ME OR UNDER MY DIRECT SUPERVISION THIS 13TH DAY OF NOV.
SIGNED: JAMS I,IILL, INC.
BY: vr~
x)&
HAROLD C. PETERSON, LAND SURVEYOR
MINNESOTA LICENSE NUMBER 12294
PROJECT NO. BOOK / PAGE JAMES' S. HILL, INC.
8561886973 Planners / Engineers / Surveyors
FILE NO. 0200 Humboldt Avanue South
FOLDER Bloominglon,Mm 65431 012-804-3029
PERMIT
City of Eagan Permit Type: Building
3830 Pilot Knob Rd Permit Number: EA074370
Eagan, MN 55122 . Date Issued: 07/20/2006
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 1561 Ashbury Pl
Lot: 013 Block: 001 Addition: Blackhawk Glen
PID 10-14350-130-01
Use
Description:
Sub Type: e-Windows/Doors Construction Type:
Work Type: Windows/Doors-New/Replacement
Description: House
Census Code: 434- Occupancy:
Zoning:
Square Feet: 0
Comments: If altering the opening size, a framing inspection is required. Smoke detec tors are required in all sleeping rooms prior to
final inspection. When wall studs or ceiling joists are exposed, hard-wired detectors are required Bat tery operated types
are acceptable if the wall/ceiling finish (i.e. sheetroc k) has to be removed to install a smoke detector. Kara Benson 1120
Eas t 80th Street, Ste. #211 Bloomington, MN 55420 952-345-6047 tims@elderjon es.com
Fee Summary: BL - Base Fee $2K $69.00 0801.4085
Surcharge - Based on Valuation $2K $1.00 9001.2195
Valuation: 2,000.00
Total: $70.00
Contractor: -Applicant - Owner:
Home Depot at Home Services, The Scott A Hersey
5169 Winnetka Avenue North 1561 Ashbury PI
New Hope MN 55428 Eagan MN 55122
(763) 367-9740
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type: Mechanical
Eagan. Permit Number: EA102192
Date Issued: 11/22/2011
OR Permit Category: ePermit
40~ it~ of E3
E
Site Address: 1561 Ashbury P1
Lot: 13 Block: I Addition: Blackhawk Glen
PID: 10-14350-01-130
Use:
Description:
Sub Type: e - Furnace & Air Conditioner
Work Type: New
Description: Furnace & Air Conditioner
Comments: Questions regarding electrical permit requirements should be directed to Mark Anderson. State Electrical Inspector. (952)
445-2840
Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088
Surcharge-Fixed $5.00 9001.2195
Total: $».00
Contractor: - Applicant - Owner:
Pronto Heating & Air Conditioning Scott A Hersei"
7588 Washington Avenue South 1561 Ashburv PI
Eden Prairie NIN 55344 Eagan NIN 55122
(952) 835-7777
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 Cite of Eagan Ordinances.
ApplicantiPermitee: Signature Issued Bv: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA139587
Date Issued:10/28/2016
Permit Category:ePermit
Site Address: 1561 Ashbury Pl
Lot:13 Block: 1 Addition: Blackhawk Glen
PID:10-14350-01-130
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Scott A Hersey
1561 Ashbury Pl
Eagan MN 55122
Polar Builders Inc
1103 West Burnsville Parkway
Suite 110
Burnsville MN 55337
(763) 370-0074
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA155537
Date Issued:05/20/2019
Permit Category:ePermit
Site Address: 1561 Ashbury Pl
Lot:13 Block: 1 Addition: Blackhawk Glen
PID:10-14350-01-130
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater & Water Softener
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.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
Scott A Hersey
1561 Ashbury Pl
Eagan MN 55122
Benjamin Franklin Plumbing
5718 International Parkway
New Hope MN 55428
(612) 238-9709
Applicant/Permitee: Signature Issued By: Signature