1600 Ashbury PlCITY OF EAGAN Permit No: 10020 Date: 10-88
3838 Pilot Knob Road Meter No: 7.53 y504 Size: 5?2 " Aac?C
T.O. Box 21199 Reader N o: Date: i Z-I 7--,t9-_
Eagan, MN 55121
Owner. T.untjgren $ros
Site Address: 1600 _ Ash`,iir-' P1 •ir e L4 B3 ` 13c L.ac•Ti- - ?
PIUf11bel: l.im.-vr F•n ?--- 1'1•1nLitn?
Conn. Chg: 5 50 _ a(h,r'
Acct Dep: ? 5 _ nflpo
Permit Fee: 1 r-?
SufCh8fg2: `^rl,,-?
Tr. Plant_
Zoning: _
No. of Units:
1 agree to comply with ihe City oi Eagan
Ordlnances.
Meter.
Misc.:
WATER SERVICE PERMIT
CiTY OF EAGAN
?-3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
' PHON E: 454-8100
BUILDING PERMIT
To be used for
Receipt #
Est. Value a10000M Date 0=7BER 19 ,19 L93
Site Address 1600 ASliSL'RY YL
Lot Block 3 Sec/Sub. ????jAWK GLER
zxu
Parcel No.
z Name L'Jll!)GREN BitOTFH3t8 GQ1!$TbtUCTIOl1
; Address 935 R '•-,1Y?ATh. BLYD
a City ?AAYZAjA Phone 673-1131
¢ Narr
o
? ` Add? City
., t
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
Minnesola Slatutes and City of Eagan Ordinances.
Signature of Permittee
A Building Permit is issued to: 1.U63DGkkV SW?n-RS r.GVsr
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City ot Eagan Ordinances.
Building OlfiCial_
OFFICE USE ONLY
On Site Sewage Occupency _R-3 11
MWCC System x Zoning R-1
On Site Well (ACtual) Const V-h
City Water x (Allowable) V-N
PRV Required x # of Stories
Booster Pump Length 4-6 1
Depth - ` ?
S.F. Total
Footprint S.F.
APPROVALS
Engr./Assess.
Planner
Council
BIdg.Off. _
Variance
FEES
?74' OQ
Permit 50' 00
Surcharge
Plan Review
SAC,City 1CWJ '00
SAC, MWCC 5-%'00
Water Conn_ 5 5rl' ou
Water Meter 6'1 ' OC`
Road Unit 325•OU
Treatment P1 204.00
Pi'Fyw- c*PY • SO
707.50
4
TOTAL 2
Permit No. Permit Holder Dato Telaphons it
Plumbing
H.V.A.C.
Electric e?O
4,-p
Softener
Inapection Date Insp. Comments
Foatings I ?
Footings II
Foundation
Framin9 '
Roofing
Rough Plbg. ? -
Rough Htg.
Isul. l ?b•S i,i%
Fireplace
Final Htg.
Final Plbg.
81dg. Final
Cert.Occ.
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
F_
- ' ' PERMIT #
MECHANICAL PERMIT
CITY OF EAGAN RECEIPT ?.
/I
f KMOB ROAO, EAGAN, MN 55122 DATE: _
PNANF• 454_p11fA
? Name
-ia Addre:
c City
Name '
Address
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping Outlets #
Other
M BTU
M BTU
M BTU
M BTU
CFM
FEE:
S/C:
TOTAL•
BLDG. TYPE WORK DESCRIPTION ?
Res. ' New Mult 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 PEkMIT) - 1.50 EA.
COMM/IND FEE - 196 OF CONTRACT FEE
` APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPUES
MINIMUM RESIQENTIAL FEE - ALL AOD-ON 8
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Tr? (ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,400)
,
SIGNATURE OF PERMITTEE
- - FqR: CITY OF EAGAN
Cities Dijzital 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.
Site
Lot
a?
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3
O
' PERMIT # _
PLUMBING PERMIT
CITY OF EAGAN RECEIPT fF 3830 PILOT KN48 ROAD, EAGAN, MN 55122 DATE:
Name '• Address
City
Name _
Address
C ity
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE 8 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
SIGNATURE OF PERMITTEE
BLDG. TYPE WORK DESCliIPTION
Res. ' New -
M u It. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
Water Closet - $3.00 $
i
? Bath Tubs - $3.00
Lavatory - $3.00
Shower - $3.00
Ki!chen Sink - $3.00
Urinal/Bidet - S3.00
Laundry Tray - $3.00
Floor Drains - $1.50 -
1-Water Heater - $1.50 `
Whirlpool - $3.00
...?Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIT)
Softener - $5.00
Well - S10.00
- Private Disp. - $10.00
Rough Openings - $1.50
FOR: CITY OF EAGAN
FEE:
STATE S/C:
GRAND TOTAL: -
. •? CASH RECEIPT 10
•
CITY OF EAGAN
_ ,3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
/-? I J- ?l
;
l - '- -? - ? DATE 79
x-cErveo ?
FR01A AMOUNT $
? CASH
8 DOLLARS
Im
C1^ CHECK
FUND 08JECT AMOUNT
- - ? . ?
Thank You
BY
wnne--Payers coPy
Yellow-Posting Copy
Pink-Mle Copy
? CASH RECEIPT
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
RECErrEO , .
Frrw
AMOUNT $
& DdLLARS
too
? CASH p CHECK
; ?- ?\-J
. •.? '? ? I ;?i, ? _ , ? ??, ??, . . ;?, . . _ ?
m,ne-Payars Copy
reeow-POating Covr
Pink-Flle Copy
Thank You
BY
CITY OF F,AGAN Permit No:_
3830 Pilot Knob Road Meter No: _
P.O. Box 21199 Reader iVo:
Eagan, MN 55121
Site
Date:
Sixe:
Date:
Plumber Bros. P2uali..
Conn. Chg: rr ,
Acct Dep:
Permit Fee: • '`??-'<'•
Surcharge:
Tr. Plant -
Meter.
Misc.:
Zoning: -
No. of Units:
I agree to comply with ihe City oi Eagan
Ordinances.
BY I
WATER SERVICE PERMIT
CITY OF EAGAN Permit No: Date: j r''? ?•` P
3850 Pilbt Knob Road B/P Na Date:
P.O. Box 21199
Eagan, MN 55121
Site Address:
Ten Broa.
:lshhnrv Flace r- 3? B
4'10. ?opCl
MWCC:
City Chg: f' p`
ACCt. DBp: ;..pr
. . y? .
Permit Fee:
Surcharge: -
I'RV
Zoning- Ri
No. oi Units:
I agres to cornply with the City of Eagan
Ordinances.
:EQUIP,? C; BY
SEWER SERVICE PERMIT
I t
Ter#tftratit uf (Otru?aury
titp of (Eagan llrpmtent a# ludhing Jnaprrtion
This Certificate issued pursuant to the requirements of Section 306 of the Urriform Buildrng
Code certifying that at the time of issuance this structure was in compliance wilh the various
ordinances ojrhe City regulating building conrlntction or use. For the following.•
use ciawsauon SF W/GAR mag. hmil rro. 15752
o-pancy,ya R'i/Ml zoning ouuicc R1 7Ya co-. VN
owriff or B,ikhng L[1rID(M &2DS ;JCtW Add,= 935 E. WAY7ATA EQ.VD., WAYZATA
ewwing Aaay= 1600 ASSEiJlrl' AAM Loc,i,lrL4, B3. ffi"lAW, QM 7rID
A p.te: IEMeM 22, 1988
-T-suaaing oirci.i;!'-`-
POST IN A CONSPICUOUS PLACE
? • ... p.
Q1-3210 " Bldg. Permit
01-3422 Plan Check
01-3445 Surch.lAdm.
01-3446 SAC/Adm.
01-2155 Surcharge
75-3860 Road Unit
20-2275 SAC
20-3865 Water Conn.
20-3868 Water Trmt.
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 SewerPermit
79-3866 Sewer Conn.
28-3855 Park Ded.
[y `lA`IC7
r
C?
TOTAL
This reauest void ? p, / C,U
18 months irom ? Y?
E 4 6 3 0 6 [_ ,41 A3 R0,, n; °
Heques• Date ?. ? iire No.? RReqauph-re,tln InsVecUan
w,
ffifleady Now ? W?II Notv InPeo-
U
s
^ ?Yes ?NO [orWhe
nRead
y
? licensed Electrical Contracror 1 hereby request inspectmn of above
? Owner alectrical work instelled aC
Slreet Address, Box or Route No.
1-6om As,sr.eu.ey G1y?
G?M?iR
ect?on o. Townsnip Name or No. RanBe No. County
Occyp
'
?
T Phone No.
NS7
?E
UN?6j
/GY?(/ /.?CS
? \
Power Supplier Atl
r
es
s f
d
4 ??lL
?r J
?
?
?
4
V^i
to?
) 3L
J/ / N
/
-
Electncal Comractor IComDany Namel C? mctor's License No.
Standard Electric Co. 40837
Mailing AdJress (Contraclor or Owner MakmB Instailauon)
2672 a ewood Dr. le ood Mn 55109
Author¢ ature ICOntractor wi r ine Installal?on) Phone Number
? 484-8044
?? THIS INSPECTION FEQUEST WILL NOT
NESOTA STATE BOAR OFLECTRICITY
Grigga-Midway Bldg. - Room N•191 BE ACCEPTED eY THE STATE BOARD
UNlE55 PflOPEN INSPECTION FEE IS
1841 Universrtv Ave.. SI. Peul. MN 5510A
ow.......... v.nonn ENCLOSED.
REQUEST FOH ELECTRICAL INSPECTION ea-oooai-os
/ e 190
IP Sea instructions foS compleeins <his torm on baek oI vellow eopy.
E 46306 "X" Below Wwk Covered by 7his Aequest
Add R.P. TVDe oi Bwiain9 Aaulioncea Wrted Equtument WireA
Home Fiange Temporary Service
Duplex Water Heater Lightiny Fixwres
Apt. Bwidinq Dryer Electnc Heatsn
Commercial Bldy. Fumace Silu Unloader
InAustnal Bldg. Au Condrtioner Bulk Milk Tdnk
Farm 11,?, amr,. ?snu???vi
F ar uccifv Olhe, 01nur
Compute lnspectron Fee Below
N hanceSize tl Fee Fenders/Subleaders p Fee Grcvits
m s 0 to 30 Am s cb 0 m 30 Am>s
0 qmps 31 to 100Amps to 100 qm s
V
g Pool Above 700-Am s Above 100_A 5
ers Irngauon Booms o
Pertia
gns Speciallnspecvon 9 p
$ ?
TO AL F
nemarks d .r y?
6a'(J
flough-m D''da I, the Elecvical
Inspector. hereby
cerlity lhat the abave
Final r Usle ?{nspection has been
b.? meae.
thla reQueat voltl 18 montne trom ?
This repuest voiA /CI,/IEY? SY? ?a r---
18 'mnths Ir /
E 4_9 4om8 0! f? ?.? ,??m.,??.?,? ?r?,,,... .?' ?
? ?`'
Request Oate
? fire No. RouAh-? i InsVecuon
Hequ?redl
?Ready NuwXW?ll NoutY InsVec-
/
/? - Yes ?No lor When Ready
?Licensed Elecuical Contractor I hereby reqmst inspeclion ol above
? Owner electrical work inslalled aL
Sveet AAdress, Box or R ute No. ' C ny
.s ,dv N
ecIion o. Township Nama or Nu. R??Be No. Co
Oc an? IPRINT) /??
? L i"G? itJG? Phone No,
Powe uppl?er Atldre s
EI ncalContracwrlComOan Nel Cnnvar,wis Lmense No.
? v /?- s d 3 9 c? -
Matl ng AdJress IContractor or pwner MakinB InslailaUON
AWhonzed Si wr onhactor akine ? Ilalunnl Phone Number
MINNESpTA STATE BOAflD OF E NICITY THIS INSPECTION REQUEST WILL NpT
Griqgs-Midwey 91de• - Aoom 1 BE ACCEPTEO BY THE STqTE BOANO
1821 Univervtv Ave.. SL Paul. MN 66100 UNLESS PqOPEB INSPECTION FEE IS
on,...e rw»? aea_nvnn ENCLOSED.
REQUEST fOR ELECTRICAL INSPECTION ES-600001-06
? Sea ins4uctions for compMhng this lorm on back a1 yellow copy.
? p o7?02
E A4%-4 8 O "X" BeJow Work Covered by 7his Request
tind neo_ rvae oi euiimns nooliancex wi.ea Equiymanl WveA
Home Range Temporary Service
Duplex Water Heater LightinG Rxtures
Apt. Bwldmg Dryer Electric HeeUn
Commeraal Bldy. Fumace Silo Unloader
Industrial BIAg. Air Condrtioner Bulk Milk Tnnk
Farm om., oe, v e11n•,
t . ucofy thor Othm
Compute Mspecuon Fee Below _
p Fee ServiceEnirence5ue tt Fee Fexders/5ublexders ? Fee Circuits
0 ro200qms 0 to30Ams -?? Om30Am s
Above 200 AmpS 31 to 700 Amps b 1 to 100 A s
Swinmung Pool A6ove 100_Amps Above 100_Am s
Transiormers Irngation Boort's Partial.'Other Fea
Signs Special Inspection
TOTAL F
iii-? ? ?? ?c-??.? vva•L
NouOh-in 1. the Ele '. 1
r
f? Inspecbr, heroby
arUly that the abova
Final ? D'rte ? n?gpection hes been
? /` maae.
Titla repueat void 18 monMS trom ?
r'
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N? 15752
PHON E: 454-8100
BUILDING PERMIT Receipt x ? ? :5
To be used for SF DWG/GAR Est. Value $100,000 Date OCTOBER 19 ,1988
SiteAddress 1600 ASHBURY PL
Lot 4 elock 3 Sec/Suh BLACKHAWK GLEN
2ND
Parcel No.
m Name LUN?GREN SROTHERS CONSTRUCTION
? Address 935 E WAYZATA BLVD
3
° City WAYZATA Phone 473-1231
a Name SAME
0
?a Address
m
i- City Phone
a
W Name_
w
z Address
a
w CitY-
I hereby acknowletlge that I have reaA this applicaUOn and state that Ihe
inlormation is correct and agree to comply with all applicable State of
Mmnesota Statutes and City of Eagan Ordinances.
Signature of Permittee
A Building Permit is issued tm_L[TNIZ.GREI9_ RQTflERS- CONST
on the ezpress condition Ihat all work shall be done in accorda nce with all
applicable Sta[e oi Minnesota Statutes and Ciry of Eagan Ordinances.
OFFICE USE ONLY
On Site Sewage _ Occupancy R-3 M-1
MWCC Syslem X Zoning R-1
On Site Well _ (ACtuap Const V-N
Ciry Water X (Allowable) V-N
PflV Required -C_ # ot Storiea
Booster Pump _ Length 46'
Depth 15!
S.F. Total
FootDrint S.F.
APPROVALS
Engr./Assess.
Planner
Council
Bldg. ON.
Variance
Budding Offiaal-f-i?.Qj?
FEES
Permit 574.00
Surcharge 50.00
Plan Review 287 • 00
SAQ Ciry 100.00
SAC,MWCC 550.00
WaterConn 550.00
Water Merer 67.00
Road Unit 325.00
Treatment Pt 204.00
xwxac copy .54
TOTAL 2, 707.50
1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
16 1 5944.
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 7 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/Ii0ME0WNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BQILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL QNITS FOR SALE UNITS # OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIEICATE OF SURVEY - CHECK WITA BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENEFGY CALCULATIONS SCT 1 41988
To Be Used For: SFD/GA
Site Address
/G"
3 v
Lot 4- Block e?
Parcel/Sub Jel?
Owner WNOBIIEN N103. COUSTRItI!TMIr? Mi
835 E. WAYZATA BLVD.
Address WAYj,?? A44 SMI
City/Zip Code PHONE 473-1231
Phone
ContractorMMOIN SROS. CONST
E. WAYZATA BLVO.
Address WAY24TA p?y "o?+?_
City/Zip Code ?CNE 473-1291
Phone
Areh./Engr.
Address LmmEN YROS
City/Zip Code ? E wA?TA 8?,
Phone # MME 47'S'IM
tion: t? Date:
?DU?OOtY? --- -- --
On site sewage_ Oceupaney R-3 M-I
MWCC system ? Zoning 9-1
On site well Actual Const V-N
City water ? Allowable V -TI
PRV required ? # of stories
Booster Pump _ Length ??
Depth 35
S.F. Total
Footprint S.F.
APPROVALS
Engr/Assess
Planner
Couneil /?
Bldg. Off. -y Io i7
Variance
FEES
Permit $ L/, OD
Surcharge 0,00
Plan Review 00
SAC, City tlO+ov
SAC, MWCC D,b
Water Conn , D
Water Meter 000
Road Unit 325,00
Treatment P1 p .
Parks
Copies •So
TOTAL ;2 j 7
J
VA?.u,a? Io1.?
GARAGE' ..
'. '? ? k ..
2'0xzz=?l4ox114 = ?/4,a ?. ,
QAS?MEI?T? ? IST ?Wo12
? 3 )( LI fo = Sqg
13 X ?? = 33g
.r-
C, 36 x 61='SSo3z
ZN? ?l.C?l7Y?
2G X ZB -"128 x 4a = 35 &QZ
??-
? ? ?G,-4
jo ?MtM'?Mr^ ;I"11 M3lsoMIu
?n uN
L
Sf,:' -.u• .f!U*?
? 4 .. ? ?rAP k???
li?r ' , Ak;
t????} ??IVfll
?aa*e r?iMNt?
OY16 AiAI1lAW .3 tC4
Ma PA,ATAIYAIM
im« 3wyw
SlJRVEY4R'S CERTIFICATE SIENNA CORPORATION
? REVISED I0-4-88 TO SHOW
PROPOSED HOUSE FOR
1?j LUNDGREN BROS.CONST.
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Y,?OJ ?---?r DRAINAGE 8 UTILITY EASEMENT
?PER PLAf
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EAGATV ENGINEERYNG DEPT
r3IL _ ?-, ??? ? ?? ???Ki_i ??n ?-,JJ / r?l r-^' ?
v
? ?_L_i
IJ I /-??1U? I I.,IV
-?- DENOTES PROPOSED SURFACE DRAINAGE SCALE: 1 iNCit ? 30 FEET
O,DENOTES IRON MONU?•'EP?7 SET
» DENOTES IR?N MONUMENT FOUN? pROPOSEO GARAGE FLDDR = g3a,i PEET
FEET
X000.0 DENOTES EHISTJN(i ELEVA710N pROPOSED LOIJEST FLOOR
p?tpf'OSEO TOP OF [3LOCK a 830 .y
= s?3R.c FEET
(000.0) DENOTES PROPOSED LLEVATION
P1E HEREfiY CERTIFY TO SiENNA CORPORATIOP! TIIAT TI115 i5 A TRUE APID CORRECT
REPRESEN7ATIOPI OF- A SURVEY OF TIIE BOUNDARIC•S OF:
Lot 4 61ock 3 BLACKIIAWK GLEP! 2ND ADDITION, accordlng to the recorded plat
thereof, Dakota County, MinnesoLa.
M
O
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i
7
v
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F AN
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p?yRO SURVEYED DY
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1
IS
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SUP?RVISIUl
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D?
UNf]?R F1Y
IdE OR 193G.
?(
ER
DECEM6
SIGilED: JA11E5 R.'!IILL, ???C.
.
r.
av:
11Aft6L0 C. P£TER56H,
I•fINNESOTA L1CEPlSE Il
?ntin suiivEra?t
0I•fl3ER 12294
PROJECT NO. ?OOK / PAGE JAMCS R. l-t(LL; INC,.
85618
(e8714) Planners / Cnglneers / 5urveyors
FILE NO. 284/70
8200 )lumboidt Jlvenu• 6oulh
FOLQER B(oominpton,r.tn, 65431 612-804-3029
L;LTV C]F [dSGhfs
Gr"1`;6;:I:G:F6r. 'J`J I"ERM7NAI... t'Ox 871_1
DAl?=^ 08Ij.'iI99 T:i:MFCn 091i?H,,20
ID ;
NAI!I:_,: PbC-.p:ERM.CTS
300 9001 1600 tlSii'i;:t_II4;Y Ft i25.25
2iiT:i 0101 :I600 ASH7iiJR'; f'L WO
':sc_....
';?i
'!'? :_t.l:i1.
826
HUJ)EPd "il":AEi
C?
'.,3.2C5
21.s5 9Of1:1. !;f'.c, i17.DLq:.N Ml.:riLi 4af)f'I
::;ir.'.1.0 9001 40:4 MAd_.I._ARZi C;'i" 1.+..i.25.
2155 9001 44i';i 7!A!.I F1";:D r;p 2.56
\r
'ioi,.a'I liur:eipi: rnrouni;. 399015
Cii:l 15503
11^EI; :I'De tAN
YFKXfYFYr•?i?K?:W>XX??%W?X?k?F MWY,.''R>Xk:K+X'?.kWTi+IcN,$:7Khti??i'?8:??k
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55121
PH ON E: 454-8100 BUILDING PERMIT Receipt # '
To be used tor Sf*' 4'`?G,"aA" Est. Value $10090(X Date OCTOBEA 19 ,19±18
Site Address 1600 ASHBJRY PL
Lot Block 3 Sec/Sub. uACKHAWh CL£`d
Parcel No.
? Name Ll71iTDGREM SitOT88R5 CQl18TRUCTION
3 Address _ 935 EIWAYi,ATA BL4D
0 City, ti Phone 4?
¢
o Name LAW
.
? ? Adtlress
? City Phone
W
w
z
c?
z
w
Name _
Address
City-
I hereby acknow{edge 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 ol Eagan Ordinances.
5ignature of Permittee
?
A Building Permit is issued to:?_.Ur_WF.?_ _N_BA0r1l'-!-'RS CONST
( on the express condition that all work shall be done in accordance with all
i applicable 5tate ol Minnesota Statutes and City of Eagan Ordinances.
Building Official__._- _
? .? -- - -
OFFICE USE ONLY
On Site Sewape Occupancy R"3 M-1 '
MWCC System L Zoning R-1
On Site Well (Actual) Const _(1=N
City Water
X (AllowaMe) {
v-m
PRV Required o( Stories
Booster Pump Length 46'
Depth
S.F. Total .
Footprint S.F. ?
APPROVALS FEES
57{'00
Engr./Assess. Permit
Planner Surcharge 50'00
287'06
Councii Plan Review
Bidg. OII. SAC, city 100•00
Variance SAC, MWCC 550'00
Water Conn. 550.00
Water Meter 67.00
Road Unit 325•00
Treatment P1 204•00
?X CO??? . SO
TOTAL 2 ,707•50
.
? ? ?CO CTRUCTION
935 f,r,ST 1NAYZATA BOULE\/!'+f3D •WnYrnTn, h'iINNESOTA 55391 •(612) 473-1231
EY,TEf?V11OP'= A`lERAGC U C01'.PUTATIOH -'- • '>?' '? / ?. ??L o t_? Ci 1 o c}:?
? Si te Address lt6?? ? l
R -U
P. & U Factors
Opaque 41a11 s
-?
Wall Framing Areas
0?3
Ceiling Insulation Area
D2 ?
Ceiling Framing Area
Rim Joist -? ?
i
14asonry 41a11 ?
, .3.5
I•!i ndows
, 3/
Doors
5 S?
S4:yliahts
1) Lower Level ([3asement)
J?
Total exposed t•rall area ? . ,,-
'
! X ( U ) .0
3
Opaeue 41a11 Area ; -
?
? r (U)
l;ocd Frame Area .
-
x (u) •-? -
Rim JoIst
% X (u)
Er.oosed b?oc4; --- ? •?
--51 x
? J
( U )
l:'i ndow Area --
? ? ??
? x (U) _.3S =
Slidin9 Glass Door --
.v_.... X (u) ? -
Ooor Area • i Z,1-7
L('agc Z
; 2)
? ?CO CTRUCTION
935 F.l,ST WAY'ATA BOULEVnRD • WAY7ATA, N?,WNESOTA 55391 •(617) 473-1231
lst or main floor
Total exposed wall area
ppzque wzll area
Wood frame area
Rim joist
Window area
Sliding glass door
Door area
3) 2nd floor if 2 story
Total exposed wall area
Opaque wall area
4lood frame area
4:indow area
Sliding glass dooz-
Door ar?a
4) Total ceiling area
4!ood frame area
Opaque ceiling area
Skylight
?-
(U) .G`
X/// x (u) ,0?
x ? U ) • D ? = ?i ?a"
x (u)
.??x (U) 35-
-??x (U) 31
Total
x (U) 10,13 = ?6 3?
y?J X (U) .O?.
'
.".' ?x (U) .35- i
x (U) .3S =
x ?U) •3/ -
Total ?? ??'??
? 4?% 1-7
;
e
'/7? x (U) .0,2 = o! ?U
? ;?x (u )
x (U)
,-?
- --
?? 33
Tatal
f?age 3
WhDGRM CO CTRUCTION
BROS935 EnST 1'JAYZnTA BOULEVnIZD • wnYZnTA. MIhNES07A 55391 •(G12) 473-1231
l
' Minn. U Factors
Minn. U Factors
7ota1 exposed wall area x
Total exnosed Ceiiing ar'ca x
(/1) Total
Item 141 ?/ + Item 2r Iter.i 3%?.?-? * Item 4?Z3?7-3 =
If total of Items 1- 4 is less than Item (A), building
complies with S6C 6006 (C)s
APFLICATION FOR PERMIT
1) PROPERTSC ADDRFSS:
SEWER AND/OR WATER CONNECTION
oF ecagan
TF1:AT• DESQtIPTION; . ?a7' ?/ ??oc?r??
or
I?R-1 SINGLE FAMILY
IF EXISTING STRC'CT[.RtE, DATE OF ORIGINAL BUILDING PERMIT ISSOANCE:
PRESENT ZONING/PROPOSID USE:
Q COMNMIBRCIAL/RE'PAIL/OFFICE
Q INDDSTRIAL
Q INSTIT[)TIONAL/GOVERNNIENT
2)
't NOTE: PAYFIINf OF FM AT TIME OF
; aPPLxcaTTOCa ooFS riar coN- ;
; sriicrre nreix,vnr, oF rEanux. •
.
INSPDCTION OF SESffi2 AN7/Oii WATER
? INSTALLATiONS WILL NOP eE °,C7][R.fn t
[!NPIL PERMIT HAS BEHi APPROVm. :
ti++??at+?iftx>f+ekke<++efafs.+???i??e+r
Mont Year
? R-2 DLPLEX (Tao L?nits)
Q R-3 TOWNHOUSE (Three + Dnits) ( Lnits)
Q R-4 APARTMENT/CONIDOMINIUM ( Lnits)
ADDRESS: i
CZTY, STATE, ZIP: (N"g / /4142. S?3
PxorE: (/? 3 - 12.3/
3) NERAP tvAME:
ADDRESS : 93 SvF,u h f
CITY, STATE, ZIP:
PHONE:
MASTIIt LICENSE #
Active
Expired
Not recordec
St Init1
4) e.? ?•?a o,i?11
NAME:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
5) ?' w •a?T •a?? ,.t?? _
Cff?C'ONNECTION TO CITY SEWER 03-60-mmCTION TO CITY WATER O OT!-IER
6)
? /,?7'??? ?,?
******,t?**************x***?+*??*:r****?*??+t*,?+?**?*********?************:*:t******************?*?**?i
* THE GOip COPY OF THE PII2NIIT WILL BE SE[? DIREICPLY TO P()ffi.IC WORKS TD FACILITATE MEl'ER PICK-L?P. i
* PLEASE ALZrOW 7W0 WORKING DAYS FOR PROCESSING. SOMEONE FROM TfE CITY WILL CONi'ALT YOU IF THM i
* p,RE ANY PROBLFSIS. ?
?*?****+*******+***?***+**«*****?***+?***+*?**+*??*********+r*?***************,r**?**?**+*??*****+**?;
FOR CITY USE ONLY
PERMIT # ISSUED
Pd w/Bldg. Permit FEES:
$ SEWER PERMIT (INCLODE SURCHARGE)
$ $ WATER PERMIT (INCLUDE SURCHARGE)
$ WATER METER/COPPERHORN/OUTSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ $ AC
COUNT DEPOSIT - SEWER
$ $ ACCODNT DEPOSIT - WATER
$ 5-6•? $ W
AC
$- $ S
AC
$ $ TRUNK WATER ASSESSMENT
$ $ TRUNK S
EWER ASSESSMENT
$ $ LATERAL BENEFIT/TRU[VK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
r
?
, 0--o
$- $ WATER TREATMENT PLANT SIIRCHARGE
$ $
OTHER:
$ $
?
D
_ .
/• ?1 TOTAL
g?yq3 -3
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQLIRE EXCAVATION IN POBLIC RIGHT OF WAY?
Q YES IF YES, THE[V A" PERMIT FOR WORK WITHIN POBLIC
?
IVO ROADWAY" MLST BE
DIVIS ISSUED BY THE ENGINEERING
ION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED gy';
!l /i?-(l-?''•-i.-' ?1+7-L[/??7
TITLE:
O ??
DATE : 10112
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
3--7 `3r4 3830 PIL'OT KNOB RDN 55122
651-681-4675 New Gonahueflon Reaulremenh 4 4151
? 3 registered aMe surveya showing sq. tt. ol lof, sq. fl. of house
and all roofed areas f10% maximum lot eoveraae allowed)
? 2 coptes of plana (show beam 3 wlndow sizes; poured fnd. deslgn; etc.)
? i sef ol energy calculations
? 3 coples o( hee preservation plan H lot platfed cdter 7/1 /93
DATE: ? II-C15
DESCRIPiION OF 1
STREET ADDRESS:
LOT: _ - ' B
Remodel/Reoair Reaulrementa
2 coples of plan
1 set W energy calculaFions tor heWed addmons
1 aBe survey for exTerior addMions a decks
CONSTRUCTION COST:
Name: zi?-'N?X'? TcaaP Phone#: C?DS/? `/S2-Sr2?0
PROPERTY Lcd Finf
OWNER , t r -7? ?
Street
City
State: 14 /?) Zip: 17-?`12 y
Company: Phone #: C(Z /Z ?V? - SS?
(area code)
CONTRACTOR /?.?. Z.poO
StreetAddress: IZZV7 ?lJ? r•ndYl?{ ?r)a S license# '?16??3 Exp, -?-
City ?l .-AAZ vl? State: /-1 Ali Zip: 3' 3,37
ARCHITECT/
ENGINEER
Telephone #: area code ( )
Name:
Stree"t Address: Regishatlon #:
City
Sewer 3 water Iicensed plumber (reauired for new construcflon onivl:
State:
Penalty applies when address change and lot change is requested onee permif Is Issued.
Zip:
I hereby acknowledge that I have read thls applicatlon, state that the Informatlon ta cortect, and agree to comply wNh all applicabl
, State of Minnesota Statutes and City of Eagan Ordinances. e.1? '*9
Signalure of Applicardf??
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
? ----- ---'? ?I
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea.
? 03 1 of _ plex ? 08 6-plex O 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 .New ? 35
? 32 Addition ? 36
13 33 Alteration ? 37
? 34 Repair ? 38
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Planning
Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
Demolish Bldg.* ? 41 Wood Stove ? 45 Fire Repair
Demolish (Interior) ? 42 Reroof
' Give PCA handout to applicant for demolition permit
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
Engineering
Census Code
SAC Code
No. of Units
No. of Bldgs
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Variance
Permit Fee
Surcharge
Pian Review
License
MC/ES SAC •
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation:
SAC Units
% SAC
???? (o
2007 RESIDENTIAL PLUMBING PeRmiT aPPLicarioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
W,Q
1S.Sd
Date
SlteStreetAddress Unlt#
PropertyOvmer ()An Telephone #(?ry 1?•???
Contractor CHAMPION WATER SERVICE.S Telephone #
Add?ess ai imsville, MN "?37 Cliy State Zip
The Applicant is: _ Owner 8 Occupant V'OOOLicensed Plumbing CoMractor
Septlc System _ New _ Refurbished Submi[ 2 sets of plans and MPC license Includes Counly tee
$ 700.00
Peras-built $ 10.00
Fire Repair (replace bumed out fixtures, etc.) $ 90.00
This fee a lies when extensive lum6in re airs are made to a buiidin .
Alteratlons to existing dwelling $ 50.00
_ Add plumbing fixtures ta main level lower level. This fee includes
installation of a wffier softener and/or water heater at the same time. 1? you are
installing onlv a wafer softener anaVor water heater, do not wmplete this section;
move to the next seclion and place a checlanark next to the appliance(s) you are
installing.
_Septic System Ahandonmerit
_Water Tumaround (add $136.00 if a 5/8" meter is required)
Other:
_ Water SoRener _ Water Heater $ 15.00
_ new replacement
Lawn Irrigation _RP2 _PVB _new _repair _rebulld $ 30.00
State Surcharge $ 50
Total $
1 hereby apply for a ResideMiel Plumbing Permit antl aUcnowletlge mat the intormaaon is compiere ana acwraie; mai ule wulk +.ill -
in coniortnance with the ordinances end codes of the City of Eagan and the plumbing codes; that 1 understand this is not a permit, but
only an application for a pertnit, work is not M start without a permi[ and work will be in accordance wilh the approved plan in the eveM
a plan is reqnuire?,d? t,o, hIe-`?fewned and approved.
ti' "iY V IL7 ?' n!?_tln 1 w 1?
ApplicanYs Printed Name I AppiicanYs Signature
4 (1?: t5D
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA107978
Date Issued:11/08/2012
Permit Category:ePermit
Site Address: 1600 Ashbury Pl
Lot:4 Block: 3 Addition: Blackhawk Glen 2nd
PID:10-14351-03-040
Use:
Description:
Sub Type:e-Reroof
Work Type:Reroof
Description:House
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
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 -
John S Nelson
1600 Ashbury Pl
Eagan MN 55122
Blackwolf Exteriors, Inc
824 Yellowstone Dr.
River Falls WI 54022
(715) 426-4008
Applicant/Permitee: Signature Issued By: Signature
7S City of bin
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLA
For Office Use T
Permit#: ( " q )� { v
Permit Fee: 1 n 5. "
Date Received:
Staff:
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 1/8/2014 Site Address: 1600 Ashbury Place
Unit #:
J
Resident/
Owner
Name: John S Nelson Phone: 651-686-7052
Address / City / Zip: 1600 Ashbury Place, Eagan, MN 55122
Applicant is: Owner X Contractor
Type of Work
Description of work: Replacement of 7 windows and patio door
Construction Cost: $ 15,772.12 Multi -Family Building: (Yes / No X )
Contractor
Company: Modeen Company Contact: Greg Plasencia
Address: 6215 172nd Lane NW City: Ramsey
State: MN Zip: 55303 Phone: 763-425-3600 (0) 612-940-7663 (C)
License #: CR634540 Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
House was built in 1988
In the last 12 months,
_^Yes No If
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
NOTE: Plans and supporting docu t s Yin submit ar�+e consider�rat to � � i�ratll. Pans � ,
the information may be cuss !ied as non -pub cif you provid I►ec s ;gid if tl City lit .`:}
conclude that they ane trades+ rets.
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
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 Gregory Plasencia
Applicant's Printed Name
Page 1 of 3