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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? ? ? c d c 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. N Lti ; ? ; t; I ?J 838 5 / . 1?. , °` r?\ X V M mw, G , , S a\ Ny?? 0 6 ? 4\`/?O?66e3s rLAi 2 ? ' e3???/`" „a aP \ ? ?? . g3T ? ?o,o ? Ry0GSFFO? s3 'o` ,3i eas.ej ? / / 4v a ? f/ ovo? L4T 4 Y,?OJ ?---?r DRAINAGE 8 UTILITY EASEMENT ?PER PLAf \ ?O 2 0 o . `? RS \\ \ \ \ N6300I'1 l"W?-` ?o ? 27.65 ? ,s A? ?B343 B3q? ? -?154°45?38E Gv.vv49 . ?° ? C&.? s ? -' a vR- r/ ? L3ate _.4.a 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 E l i 7 v R R S F AN , CI p?yRO SURVEYED DY 30T 1 IS TfI SUP?RVISIUl ECT 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