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1640 Ashbury PlCITY OF EAGAN • 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ,PFIONE: 454-8100 BUILDING PERMIT. Receipt # To be used for ='"?' 1 C>1"• Est. Value $1ic ,?00 Date Sit Add 1640 ASHEURY !L _. . ?_ F441 e re55 I ? G ?:?LAC':?;q?1''. CI.?::3 OFFICE USE ONLY Lot Block Sec/8ub. ? ? ? Parcel No. _ 2ND Occupancy FEES Zoning Name • ` =?i? '`v`?Su?TR11G?rIC`?? (ActuaqConst Address i??7r-?'j lLr?'I':' (Allowable) C'.ifii r.`'C_Jj;il Phnna ?s1:2-1:+:7f5 #ofStories Depth CIty Name _ Address Phone I hereby acknowlege that I have read this application and state that the intormation is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permitee ' A 8uilding Permit is issued to: ' on the express condition that all work shall be done in accordance with all appiicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official tV ?- Bldg. Permd ' Vfk--- Surcharge t 5 1 .00 541 Plan Review >> -a. aa 3A- SAC, City - SAC, MCWCC ??/y ri..J?W Water Conn 90 . 00 ? Water Meter J ?.i . +?Jt} 14 Acct. Deposit ? S/W Permit - S,'W Surcharge ' • ? 6.00 Treatment PI Road Ur+it - Park Ded. Copies - TOTAL o . ?y,, ` ? ' Well Permit No. PermR Holder Qate Telephone # WATER SEWER PLUMBING 67 H.V.A.C. Q? ,yr - ,? ELECT RIC ?a m Inspection Oate Insp. Comments Foocinys 1 S L[J Foundation Framing / o ? Roofing Rough Plbg. _-? Rough Htg. lsul. FIreplace Fnal Htg. Final Plbg. Const Meler In t otify Plumber Engr./Plan Bldg. Final ? z ? S ?/-r? S Ct•??•lc f"? Deck Ftg. Deck Final Well Pr. Disp. PERMIT # MECHANICAL PERMIT RECEIPT # ` CITY OF EAGAN 1989 3830 PILOT KNOB R OAD, EAGAN, MN 55122 DATE: ? CONTRACT PRICE: PHONE: 454-8100 / ? Site Address 1640 Ashbi2ry ace BLDG. TYPE WORK DESCRIPTION Lot 14 Block 2 Sec/Sub .;. D? X r a" Res. XX NeW --) [ A1aC ktiaw![ G1eA A.ddn• ? m Gerz Name ?-R Pltnabi & EIs?:iti Mult Add-on i 2 Address 14745 South Robert Trail Comm. Repair c Rasam City 1?[ wtutt, ?hone d23-1144 Other 5506 8 FEES ? ? c a Name 6703 r Construction - 168t h $lxQ9t W8nt RES. HVAC 0-100 M BTU -$24.00 00 RDDITIONAL 50 M BTU - 6 AddresS . . DES A/C ON NEW C CL p City czogeM0 M} jp rIN Phone 432-1878 (RES. HVA IN U CONSTRUCTION 5506 8 ) 50 EA GAS OUTLETS (MINIMUM - 1 PER PEfiilAln - 1 . . TYPE OF WORK f, ,' COMM/IND FEE - 1% OF CONTRACT FEE Forced Air M BTU ? APT. BLDGS. - COMM. RATE APPUES , TOWNHOUSE & CONDaS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU $ MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # z_ - BEYOND $1,000) Other $ FEE: - ' r' •?.? t' S/C: SIGNATURE OF PERMITTEE TOTAL• FOR: CITY OF EAGAN CITY OF EAGAN 454-8100 DEPT. OF BUILDING INSPECTIONS ` Correction Notice Located at F I have this day inspected fhis structure and these premises and have found the following violations _of city codes governing sam?`: - L_ A`'Q 9F 4 When corrections have been made, ptease call 454-8100 for inspection. Date ?`? " c `' Inspector City of Eagan DO NOT REMOVE THIS TAG PERMIT # . ' , PLUMBING PERMIT RECEIPT k 70Y??.?5-.?. CITY OF EAGAN may 0,1989 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ITRACT PRICE: PHONE: 454-8100 Site Adcless 1640 A,ethburv i Lot 14 Block 2 ? Name _ ? Address c City __RC Phone ? Name c Addre City Phone FEES COMM/IND FEE - 1% OF CONTRACT FEE APT. BIDGS - COMM RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.pp MINIMUM - COMM/IND FEE - $20.00 STATE SURCHARGE PER PEFiMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES SIGNATURE OF FOR: CITY OF EAGAN BLDG.TYPE Res. xxx Mult. Comm. Other RES. PLBG. ONLY - WORK DESCRIPTION New XXX Add-on FOLLOWING: I_Shower - $3.00 - C-'n -/--Kitchen Sink - $3.60 0C) Urinal/Bidet - $3.00 -?LLaundry Tray - $3.00 ?Floor Drains - $1.50 ?•.5?-' ?Water Heater - $1.50 C- Whirlpool - $3.00 Gas Piping Outlets - $1.50 /_j? (MINIMUM - 1 PER PERMII') SoRener - $5.00 Well - $10.00 Private Disp. - $10.00 __-kRough Openings - $1.50 FEE STATE S/C: GRANDTOTAL 'Jj9•}O CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100 BUILOING PERMIT Receipt # Site Address 1Mo._ASHNfaY Pt-' Lot s.i.__ Block A_ SeGSub Parcel No. W Name '?D 6 ?? ST[IQGEON ; Address 164?A LSH?i1QY PL ? City ?'•?1 Phone b89-7A21 _o Name SAME Phone City Phone I hereby acknowlege that 1 have read this application and state that the intormation is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permitee E =- ?-?-- . .- A Buiiding Permit is issued to: iVW VA JAKp ti11J1[4i.t711 on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City ol Eagan Ordinances. Building Official ?,• 3 t?0"3 -c c OFFICE U5E ONLY Occupancy 1s1 FEES Zoning $-4 (Actual) Const Bidg. Permit 117-00 (Allowable) Y=N Surcharge s-nn * or stories Length lolCh 12jW Plan Review . DePth 4& SAC, City S.F. Total - SAC, MCWCC S.F. Footprints - On Site Sewage _ Water Conn On Sife Well - Water Meter MWCC System - _ City Water Acc1_ DePosit PAV Required _ SIW Permit Booster Pump - S/W Surchar e APPHOVALS Planner - Council BIdg.Ofi. _ Variance - 9 Trealment PI Road Unit Park Ded. Copies 1100, TOTAL 123.00 Permit No. Permit Holder Date Telephone k WATER SEWER PLUMBING H.V.A.C. ELECTRIC Inspectlon pate Inap. Comments Footings I Foundatio? 1P &AJ Framing 4 f ? e tf ?JO -/°/ D.s Rooting Rough Plbg. Rough Htg. Isul. Freplace Final Htg. Orstat Test Final Plbg. Pibg. Inspector- Noti1y Plumber Const. Meter EngrJPlan Bidg. Finai -'Z _ 9 Deck Ftg. Dedc Rnal well Pr. Disp. CITY OF EAGQN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 oN RECORn PERMlT TYPE: Permit Number: Date Issued, k0' !'? F' i•a ? I SITE ADDRESS: PERMIT SUBTYPE: 14 111.ril I APPLICANT: f . . .. ??. TYPE OF WORK: I'li Af4'1 Ni, , ! ;i; ., ? i i ! . ; ? r i , , 1 ? ? ??? ? ? , •?ii ? i.;t „ ? -1 Permlt No. Permk Hoider Date Telephone # SNV PLUMBIIVG HVAC ELEC ??? ?3 PO ELECTRfC Inspection Date Insp. Com nts Footings I Foundation 'I c O /? /.7 Framing K? s srJ? - r.c1? Nrs Ta .B,oc'?,?iG?, Roofing Rough Plbg. Rough Htg. Isul. Fireplace Fnal Htg. Orsat Test Final Pibg. Plqg. Inspector - Notify Plumber Const. Meter EngrJPVan eldg. Final fgg ?v Deck Ftg. Deck Final weu Pr. Disp. . ? ca,S,?,RECEiPT. ? ? CITY QF EAGAN '. 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 f /DATE 19 4_?• ? /? ? ?"'_ • : FIEcEroeo J _fF1OR/- ? 71 AMOUNT s 8, DOLLARS Iao p CASH ? CHECK 1 . wr,ae--PaYers caPY ? venwv--Posting copy Pink--File Copy Thank You BY 01-3210 I?dg. Permit 01-3422 Plan Check 01-3445 Surch./Adm. 01-3446 SAC/Adm. 01-2155 Surcharge 75-3860 Road Unit 20-2275 SAC ' 20-3865 Water Conn. 20-3868 Water Trmt. , 20-3716 Water Meter 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. 28-3855 Parfc Ded. TOTAL . -? . -: - ? (Itr#ifirat.e nf COrrupanry Citp of (tagatt EpvartlriPltt Af NltQittg JwFt'tIDI'[ This Certi, ficale rssued pursuant to the requiremenrs of Section 306 of the Unijorm Building Code cerlifying that at the linre of rssuance this structure was m compliance wiPu bJte various ordirrunces of the GYly regulating building corrstruction or use. For the following.• use Clamentioo EF ?'sLl'? HWg, Ilrmit No. 16443 pccuMcy Type R3 Zomng pfstria Rl Type Cnnst. VN Owncr of Building wm OMMMON Addrm 6703 168TR Sr W+ lrl?? euda;ng nearm 1640 ASOM Pt.ACE LDWity L 14, B3, BLAMiAjdC CNN ZDID Daw- AUo.tST 1, 1?$ POST IN A CONSPICUOUS PU1CE SEWER & WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. Eagan, MN 55122-1897 SITE ADDFO?ESS , ':: - ` ? ;''? - . ? i - ? . • '?- ?? ( u '?' -?- LOT %` BLOCK = SEC/SUB `., ? c?l Li K..y? ??-1... .. • ? i . . • APPLICANT: =J ADDRFxSS: ? ?_ ? T.:.> ? Ir?' y -- CITIf, STATE Z!P ' PHONE: J PLUMBER: -s:? u ADDRESS: CITY, STATE - ? '- ZIP - PHONE: y OWNER: -a- -?? ADDRESS: CITY, STATE ZIP - PHONE: OFFICE USE ONLY METER # PERMIT DATE CHIP # WATER PERMIT #4 ? ?- 9 5 METER SIZE B.P. RECEIPT #?- 1°17 {SSUE DATE B.P. RECEIPT DATE _ PRV _ BODSTER PUMP PERMIT REQUESTED / ? SEWER ?/ WATER - 7APS ? CO M/IND - RESIDENTIAL NEW - EXISTING 1 AGREE TO COMPLY WITH CITY OF EAGAN ORDINANCES: SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STaRM SEWER PERMITS, CONTACT ENGINEERING DEPT. APPLICANT AND PLUMBER WILL BE NOTIFIED WHEN PERMIT IS PROCESSED. SEWER & WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. Eagan, MN 55122-1897 SITE ADDR5SS LOT L-` BLOC ? APPLICANT: r_- ADDRESS: +-- CITY, STATE ?1. ZIP PHONE: W7B PLUMBER: 4,: ADDRESS: CITY, STATE 'ZIP -'?? - PHONE: OWNER: ADDRESS: 4- CITY, STATE E?. . ??-t , ?•-- ?' . H :+ . ZIP PHONE: 4' PERMIT REGIUESTED . ? SEWER -{ WAT ER - TAPS S? - COMMiIND %• RESIDENTIAL ? fVEW EXISTING 1 AGREE TO COMPLY WITH CITY OF EAGAN ORDINANCES: I / ' .,I.-` -ot [- _ SIGNATURE WHEN METER ISSUED n1 ur- P-14- PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. APPLICANT AND PLUMBER WILL BE NOTIFlED WHEN PERMIT IS PROCESSED. OFFICE USE ONLY METER # yON Q7D4 5?? PERMIT DATE CHIP #??l WATER PERMIT #11L4T 5 METER SIZE /?OCX g P. RECEIPT #" f 31 7 J ISSUE DATE B.P. RECEIPT DATE / 1 l/:iy X ?.PRV BOOSTER PUMP /l.'7o ;A -z- 1, - .. (P Ig G K :5 SEClSUB316 -A 1 . ""' ;4), ?? DATE: 3/i3/89 RE: 1640 A3HBUR't PLACE, L14, B3, BLACKHAkIK GLEN 2nd , , Xx Yfur Sewer & Water Permit for the above property has been completed. It will be held at the P,ublic Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO P$ALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. i -? Your Sewer & Water Permid, for the above property cannot be completed for the following reasons: ? A - Your Sewer & Water Permit for the above prqperthas been completed, but the meter cannot be issued or occupancy allowed until further ?otice. - COMMERCIAL PROJECTS ONIY: Please pay for meter at City Half. Meter size mus[ be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REUUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. r Secretary, Building Inspections Dept. ? DATE: RE: 1640 ARfiRLtRY P1,ACf?, 1.141 B3, BLAC[iAALi:C Csl.@N 2A1D Y$ Yoer Sewer & Water Permit fo} the above property has 6een completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO iCALL PUBWC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. A. •,, Your Sewer & Water Permit for the'above property cannot be completed for the following reasons: ` Your Sewer & Water Permii for the above property hasbeen completed, but the meMr cannot be issued or oxupancy ellowed until furthe! notice.- - COMMERCIAL PROJECTS ONLY: Please pay for meter at Qity Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 4548700) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - 7ELEPHONE, ELECTRIC, GAS, ETC. - REDUIRED BV LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. \ Secretary, Building Inspections Dept. ? ' CITY OF EAGAN N? 16443 3630 Pilot Knob Road, P.O. Box 27-1 99, Eagan, MN 55121 PHONE:454-8100 ? /FJ! BUILDING PERMIT Receipt # 17? Tobeusedfor SF DWG/GAR Est Value $118,000 Date Site Address 1640 ASHBURY PL Lot 14 Block 3 SeGSub. BLACKIAWK GLEN oFFicE USE oNLY Parcel No. Nn Occupancy R-3 FEES 1 702 00 Zoning g . $ w Name SPEAR CONSTRUCTION (Actuap const yR- eldg. Permrt o Address 6703 168TH ST W (Allowable) ?- 59.00 SurCharge City ROSEMOITNT Phone 432-1878 x oi stories - 351.00 54' Plan Review Length 100.00 o Name SAI1E Depth 3(' SAqCiry i $ AddreSS s.F rotai - 575.00 ¢ SAC,MCWCC ,- rliY Phone S.F. Footprinls - 580 00 Water Conn . On Sire Sewage ww Name on site well water Meter 90.00 ? z? a Address mWCCSystem 30.00 u aw City Phone Cnywater X Acct Deposil 20 00 X SIW Permil . PRV Requirad I hereby acknowlege that I have read this applica0on and slate that the Booster Pump - SPN Surcharge 1.00 information is correct and agree to comply wrth all applicable State of 2z$ 00 Minnesota StaWtes an ty 1 Eagan Ordinypc?. n ? Treatment PI , 340 00 Signature of Permitee d^+-?S1 J?¢Ld?t-.? AFPROVALS Road Unit . A emlding Permrt is issued ro: SPE CONST Planner - park Ded. on the express condition that all work shall be done in accordance with all Councii apphcable State of MiWesota taWtes and Qfy of gan Ordinances. BidgAH. _ ?Pies BuddingONiCial _? Variance - TOTAL ;3,076.00 0/ /Sy ; 2 ? ca?c? s ? 1 ? 112284, .? ? ?- ?.. Fequest Date ' j?416? FreNo FougMn Inspection qg?gtl? ? Ready Now 241ril Noey Insyechar When Ready+ a 0 m I L7Yncensed contractor ? owner hereby request inspedion of above electrical work at: Job Address (Slreet, Box or Route No ) 16 y? Cily S 4 Seclion No. Township Name or No Range No Counry y/ ?Q 4 ar OccupaM (PRINT) ^^ Plrone N. Power Supp6er AOtlress Eleclncal Conlraqar (COmpsrry Name) 6;?r S E???-?s". G Co ractor4 License No. oYl Mailing Address (COnirac[or or Owne. Maltin InsWllaUOn) 7 if O ?i..?r? ° ANhorizetl Signature (COrtlract lOwner Meking InetallaG ] Phone NumO/er '°? ??7 / /O MINNESOTA STATE BOARD OF FLECTHICI7Y v "fH15 INSPECTON REQUEST WILL NOT Orlgga-Mitlxzy &dg. - Raom &173 BE ACCEPTED BV THE ST.4TE BOARD 1821 UnlveraHy Are., SL Paul, MN 55104 UNLESS PHOPER INSPECTION FEE IS Phbne (812) 602-Ogpp ENCLOSED. &88' H P 11228 REDUEST FOR ELECTRICAL INSPECTION ?$ee InsVUCirons fw comPletin9 IM1is fortn on back of yelbw wpy. JC" Below Work Covered by This Request ? E&uAiv??... e d Rep. Typeof8uiltling AppliancesWiretl EquipmentWired Home Range Temporary Service Duplex Water Heater Electnc Heating Apt. Building Dryer Other (Specity) Comm.llndustnal Furnace Farm Air Condihoner Other (spetity) Convacrork Remarks. Compute Inspectian Fee Be/ow: # Other Fee # ServiceEnfrance5ize Fee # Circwis/Feeders Fee Swimming Pool 010200 Amps / (( 0 l0 100 Amps tl Transformers Above 200 _ Amps Above 700 _ Amps SIgfIS Inspecfor5 Use Only. TOTAL tj Iniganon eooms Special Inspection ? Alarm/Communication OMer Fee ? I, the Electrical Inspector, hereby RougMn oa?a certity that the above inspection has been made. F,,,ai OFFICE USE ONLY This requast witl 18 months hom 1989 SIIII.DI61G PSII+IIT APPLICATION - CITY OF EAGAN " SIAGLE FAMILY DWELLIAG3 IVV3 INCLUDE 2 SETS OF PLANSp 3 CERTIFICATES OF SORVEYt 1 SET OF ENERGY CALCUI.ATIONS SOTEs ADD9ESSES FOE CORRER LOTS - CO&TRACTOR/HOMEOWNBR ti11ST DESIGNATE WHICH ADDEESS IS DESIRED. AO CHANGES WILL BE ALLOiIED OBCE BIIII.DIliG PSRMIT IS IS3DED. MULTIPLE DTiELLINGS HBNTAL QNIT3 FOH S9LS DHITS ? OF DBIT3 INCLIIDE 2 SETS OF PLANS, CERTIFICATE OF SDHOfiY - CHECS iiITH BLDG. DSPT., 1 SET OF ENERGY CALCULATIONS - COP4MERCI6L INCLUDE 2 SETS OF ARCHITECTURAL & STRDCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS M M AY 91985 To Be Used For: S,r?.)e, ?•?..; IT_ Valuation: Date: Site Address 1G i'D A sh? C",?1?-• " Lot _L:? Block 3 Pareel/Sub--13?ec.u6ak Cyje... ?"`?udol;l?o,,. OWIlBl' ?Gdv C.ONI?.y-.rnL'. Address 67D?; City/Zip Code?r-!5,c?ou,L, Mn. 6S-4,6g Phone a - 1$?$ Contractor &s abnoe-_ Address City/Zip Code Phone Arch./Engr. _ Address City/Zip Code Phone 0 OFFICE U3: 4 Oceupaney R 3 M_ I Zoning R-I Actual Const V' N Allowable V- N # of stories Length 5• ' Depth 36' S.F. Total Footprint S.F. On site sewage_ On site xell _ MWCC System v City water v PRV required ? Booster Pump _ APPaOVAiS Plaaner _ Couneil sia8. orr. ? s/i i Variance FfiCrS Bldg. Permit ?Oz'Ov Sureharge ?.o c Plan Review /; v? SAC, City 1pp;Oo SAC, MWCC 5r) S. 0 0 Water Conn S$O,oa Water Meter 90,00 Acet. Deposit 3 00 S/W Permit 20.00 S/W Sureharge 1.00 Treatment Pl. Zaa,°v Road Unit 40, on Park Ded. Copies TOTAL O ?. NOTE: 3ewer & Kater Permit fees and account deposit fees irill be ineluded in the building permit fee. Processing time For sewer and mater permits is txo days onoe a licenaed plumber has applied Por a permit at City Hall. VALuA7rIoN 6ARt??? <A` ti .\C 1 t A ?r ?e. ? Z X Z2 = t.t 5l X/S fS Sm ? _---- 2S y, 32 = Soo 2 y 3Z 14y 1?= z`- ps` x i,q = 1 y??N IS? F'L?orZ, 6SmT _ ?05? LXr1 ? ?y _?-- ( o? v k 50 = 53So ? Z r?a F'i?2 3 Z x 2 t? _?s 32x 5'v = cl t? o u I I?1 ?yy o??e t I t?o?Q . ..; . ? ? . Certaficate For: Spear Construction Book Yage 6703 168th Street Rosemount, Minnesota 55068 DELMAR H. SCHWANZ V1ND BURVEYORB. INC. PpbbnC UnMr l? W Tlw gulx, pf Mlnnwou ' 11760 SOUTH ROBERT TRAIL R08EMOUNT, MINNESOTA 55088 812/4231789 SURVEYOR'S CERTIFICATE _ Proposed garage floor elevation - 818.5 N ScaJ.e: 1 Inch = 30 Feet O Denotes iron monument ' ? Denotes set wood hub AQ Denotes existing elevations yD? Denotes proposed elevations ? SJ 03"E . BM: Topo mit hydrant Ashbury Lane & Ashbury Court = 820.76 Sb9 vOO B - - S?Da`a Drainage & Utility AN ENGIRI' E'RII`o°.',z T7E1'.. Easements 0 6? \ ? S , ? \ aY \ > s?B.G9 . a2 ?s < ? GAR. 6> '?• ?i S rf•y PfbPoSEp` ` ?? ?,'' 8?d-y CP\ , g FFO?SE ? ? R 3 \?(' ? / grs8/ Description: LOL 14,BLOCIC 3, )0 . BLACKHAWiC GLEN SEWZID ADDITION, according to the recorded plat thereof, Dakota County, Minnesota. Q ? 0? Al 8isyz Q- J ?J//1 II??I?I1IIIIIfIII??.$ ?J ?fI????? ? ? I heraby certiry that this survey, plan, or report wae Po ? 0 1! o RL'? R,196n repsred D me or unAer U P Y my tlireet eupervialon and thet I em a Euly Registered LanA Surveyor under ? the lewn of tM State ol Minnesota. 05-05-89 - Delmar H. Sc?wenz OstW Minneaots Rsplatrotlon No. 8625 EXTERiOR ENVELOPE AVERAGE ."U"_ COMi`UTAfION ---`--- SiTE A7DRESS: C0N7RACTO,R: PF;OME: PLAN # Determine working square foota9e of each sq. ft. r. .11 = ?'3v?? 1. To.al exposed wall area..... sq. ft. x.026 ?. Total roof/ceiling area..... Total exposed wall area ahnve floor=2A'Z? 2?3 a. Total wall window area ....................................... .......... .... 3? .... b. Total door area ............ ...................... 2 c. Total slidir?g glass door area ................................ .... c. Total `ireplace wall area .................................... .... ZZ S A Total wall framing area (average 10% . . . . . . . . . . . . . .••.•••.•.• .••• - -ota1 rim joist area ......................................... .... Z ; net wall area above floor ................................. .... . h wall area a6ove f?oor ................................. ' .... . i. .................. wall area above floor ............... .... • ... Trzme wall arza at =ounoat=on............................ .... Total exposed foundation ai°ea= 8 1 k, 7oca1 roundation window area ....................... 1. ?ctzl net ioundation area above grade .............. ?? Determine I:u value of each wall segment (e,g. tiaindow, cloor, each separate wail section) z.? a3 x 'lul, .?30 = e0 °1 X „u,l ,? ? = 1?.SS X 'lu„ .?3 = C? °?3 ?. - X 'lull _ e. e. X r' X . ?- g. X ,lu,l .o) _ uUu U„ n X liuii x ?,ull ;. X u„ j. X u r.. _ 1?J - X ???„ ?I?t . ? . .................................Total = Zo 8 If item ;;3 is the same as, or less than item rl, you have met the intent of SBC 6006 (c; E::terior Envelope Average "U" Computation . rage e or 4 Total exposed roof/ceiling area m. Zbtal skyli.ght area ............................ ? n. Tota1 roof/ceiling framing arra (civcraqc 10%)... \?- o. Total nct insulated roof/ceiling nrea........... Determine "U" value foi each roof/ceiling segment m. 8 X ??uH r.. x ..U" .CfL?--- 2 g?i^ 0. \011°? x -U'. 4 ........................... Total -= total cf -4 is the sam< as, or less than , you have met the intent of SHC 5026 ;r,l 1 Alternate Buildinq Enve;.ope Design Zb utiiizz the total envelope system method, the values established by the s:ua of i.tems r3 and =4 shall not be 9reater than the sum of itens 01 and W. 1 . + 2. _ 3. + 4. _ PLSN # * LINEAL F'EE,T fXPOSID WALL BLOCK' Z9-` 7-Y 3-?5, 5? 3.f (?•s fi-/?, ? r/4?- zr??- /`? ?'" Z9 5 s q; 5 r-ij/ ?-<-?f, S? Z3 = KNEE:3-q.6 i9,?zr-3? =j; 7 w. o. : -- FULL 1 : Z9 ? Z ? ?'.? J`" • `? ° ?' s- Zz, 5 ?'- /a -e- ss.-3r/,5 Ftn..L £IREPLACE: - RIPI : ? 7 ° SQUARE FEET EXPOSID WALL ARF.A BIACK: S x KNEE : 3 7 x 5= W.O.: --- x 8 = - FULL 1: /?p3 x 8 ° FtTI.L 2: /Z? x 8= q9Z FIREPLACE: -- x = ---- RIN: Z07 x 1 = z?j "7 TOTAL Z8 g'? ' * SQUARE FEET EXPOSED CEILZNG ?? 1-NM,ews -Dooxs g - ' zf PATIO DOORS BASEMENNT tJNITS Ges - j 7- C z5 -/ 15 .z C w /?35 - /// 18.0 Z?3 `~ y?uU- Jc?.1 r.? u ,V_?: ?kse : td? C? ?Paque Nb l 4 mr'c.?a EA`_ =`- 1Aa LL C T 6. 'd- pRAMe wR LL 1 i v +?y rr'?i RT: CJA) WALL ?----?----- n5 .?.?_. n ? ? ; .;.... ? _Q ? ? •CT. Q - ,_.' __.___... ___._.O ` ._....,._. ..__."__.__.? ?? ?. - y . ;'-s- • corrsTRucTZON - FRAMIrrr, 1. INTERIOR AIP, FIII°? R- VALUE - - 0.68 2. 17-21 GYPBD .45 3. 5 1 2' SOFf WOOD 6.87 4. 5. SIDING •6 6. n<TERIOR AZR FIIM 0.17 TOT AL R= 10. U= :09 NET 1: INI'ERTOR AIR FILM 0.68 4. 1 2 GYPBD .45 3. bT INSUL. 19.00 4. 2 32 SHEATFiING 2.06 5. SIDING .6 6, F?2E 6R AIR ILM • U= .04 1. INTER.IOR AIR FIIM 0.68 2. U-MINSUL. 19.00 3. xl JO 4. 25/32 G 2.06 5. SIDIN6 .62 6. EXTERIOR AIR FILM 0.17 U= .04 BIACK 1. INTERIOR AIR FII3d 0.68 2. B . 8 3. STYRO 5.00 4. PROTECTIVE BARRIER 5. .1 6. =RIOR A R FILM TOTAL R= 7.13 U= .14 BLAB ON GRADE . , , .-c; 43 ?'. c ? 1 --- ? :{t ?f ? u4 (i.L ;h • ? ?? : f i ? 1 < ?G-?- ? , • ° ' lll , • ? , ?ij '`? NOTE: INDZCATE TYPE, "R" VAIJJE. DEfrSH AND PLACEhff'.NT OF INSULATION. ` ,' f?AT FL0??1 I ? UP ?? FIG. #5 CONSTRUCTIOId N"!,AT F-1-JW UP :IG. kE z3-O ?... ? .. r. • _ • ?.. ?i_. .• ?• i • •?? ??. ? '4 .? NON-VENTED HFAT FIAW UP rrG. #7 CONSTRUCTION ' R-VAIJTE 1, INTERIOR AIR FIIM 0.61 3. ---4qq4-.DUTU - 4. TOTAL 457 T(F U _ .02 F'RftME 1, INT'EFtIOR AIR FILM 0.61 2. 4. U = 0.024 1. 2. 3. 4. 5. INSIDE AIR FILM .+ TOTAI U = 0.61 FRAME 1. INSIDE AIR FILM • 0.61 2. , 3. 4. " 5. OUT TO'?'PL U = VEN'PED ? ? 1. INSIDE AIR FIIM 2. _?- ? 3. ) S 0.61 4. , 5 . ,I,OTAL V - NOTE: USE PDDITIONAL SHEETS IF t".ORE Tpo S?S TIEEDED FOR DEPAILS AND CA1..C'[A-f'•-- . ROOF-CEILING CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N°- -19079 ' BUILDING PERMIT PHONE: 454-8100 Receiptu l'? ?! N DECK & To be used for 3-SEASON PORCH Est. Value $10, 000 Date MA1t 17 , 19 91 Site Address 1640 ASHBURY PL Lot 14 Block _3 SeGSubBIACKHAWK GLEN 21 Parcel No. w Name TODD & BARB STURGEON o Address 1640 ASHBURY PL City EAGAN Phone 688-7811 o Name 5AME I ;k. Address U? ? City Phone ?? uw Name ???-, Address a W City Phone I here6y acknowlege ihat I have read this application and state that the informauon is cortect and agree to compty with all applicable Slate of Minnesota Statutes and Cit?ol Ea?q/a rdi ances. Siqnatuw of Permitee ?? y? A euilding Permit is issued to: TODD OR ARB STURGEON on the express condition that all work shall be done in accordance with all applicable State ol Minnesota Statutes an.d? C,ity ? of Eagan Ordinances. Building ONicial _ ?i firR?1t ilf (?1J? ? OFFICE USE ONLY Occupancy ?3. Zoning R-1 FEES 117.00 5.00 IACtuap Consl V-N Bldq. Permit (Allowa6le) V=N # ol stories Lenqth POrCh 121C20 oepm Deck 14x20 S.F.7otal _ S F. Footprints _ On Sda Sewage _ On Site Well _ MWCCSystem _ Ciry Water - PRV Reqwred - Boos[ar Pump _ APPROVALS Planner - Councd Bldg. Off. _ varience - Surcharge Plan Reviaw sac, cicy SAC,MCWCC Water Conn Waler Meter Acct. Deposit ShV Parmil SM/ Suroharge Treelment PI Road Unit Park Ded. Copies TOTAL i nn 123.00 i?? 1991 BUILDING PERMIT APPLIGATION -` ? (?? CITY OF EAGAN ? ? SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BiIT NOT PICKED UP BY LAST WDRKING DAY OF MONTH IN WHICH REQUEST IS MADE. IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/NOMEOWNER MUST DESIGNATE WIiICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: 35vtsL,?N F1:(CtA/}ECK Valuation: ? Date: 5- //? A / Site Address i(i,yo 4St}glF(LI P(,.xE tAC 1'-4 slock 3 Parcel/Sub QL1FC1Ltr'A?'L (??IEU 2"L I}D())170,tl Owner ( D?S [) '} gfi\?_Q STl.! (L???lU Address i('110 ASifgl.lf-i fLilCE City/Zip Code F-/t(--AN j S/ZZ Phone (o'? Y --7 ? i I Contractor Address City/Zip Code Phone Arch./EngY. _ Address City/Zip Code Phone # rOFFICE USE ONLY Occupancy R-3 Zoning P.-I Actual Const V_N Allowable V-N # of stories Length po?z cF{ Depth S.F. Total Footprint S.F. On site sewage_ On site well _ MWCC System _ City water _ PRV _ Booster Pump _ APPROVALS Planner _ Council Bldg. Off. S-/')-?'jQS Variance FEES Bldg. Permit ,0 c) Surcharge ,UO Plan Review SAC, City SAC, MWCC Water Conn. Water Meter Acct. Deposit S/w Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trail Ded. Copies /, p0 SUSTOTAL Penalty Lat Change ? TOTAL agrees that all work shall be done in accordance with (Signature of ntractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. V,q . ? ??-- -2,o X l2: a? q i x?( 4) - 16 vv --- ?..o < /vvL,) '' ,. ? -, ? .firate F,or: Spear Construction Book ?3J Page 4?? +6703 168th Street Rosemomit, klinnesota 55068 ` DELMAR H. SCHWANZ LANO BURVFlORB. INC. RpblwW UnMr Lam of TM 6Ub ol MlnnMOU " 14750 SOUTH flOBERT TRAIL ROSEMOUNT, MINNESOTA 55068 812/4231789 ? SURVEYOR'S CERTIFICATE Proposed garage floor elevatiou = 818.5 N - , ? Scale: 1 Inch = 30 Feet O Denotes iron monument ' ? Denotes set wood hub ? Denotes existing elevations q/?q Denotes proposed elevations /g ` BM: Topo mit hydrant Ashbury Lane & Ash6ury Court = 020.76 b ? ---- ? x_ 9 36 5? • ,? . iEv D? 1'k ? BLo?_?? r3 - -- 3 Drainaqe & otility `--? \ I?aAN ENGIN F.RfIlt; ? Easements ? 0 H ? >6 / `aL yu 3 ` \ . a'. Ai? . ? ? S`o \ ' I s? . S?fy %/ Description: Lot 14,&lock 3, N,,a . BLACKFIASiK GLEN SECOLID ADDITION, according to the recorded plat thereof, Dakota County, Minnesota. 1 hereDy certlfy thet thia survey, plsn, or repoh was ? prepereC by me or un0er my dlreet aupervbloo and thsl I em s duly Rsplstered 1an0 Sunsyor under tha laws ol tM Slate of Minnssots. Deted 05-05-89 N a`BR.d I 3 ?. io O ? 8/f,yz ?Q-- ?b P.R.V. REQUI Delmar H. Schwanz Minneama Mpbtnpon No. 88Y8 ?.CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55723 (612) 681-4675 PERMIT PERMIT TYPE: Permit Numher: Date Issued: SITE ADDRESS: 1640 ASH@URY PL 107: 14 BLOCK: 3 BLACKHAWK 6LEN 2N0 P.I.N.: 10-14351-140-03 DESCRIPTION: B„u"ll??irr?r.. Permit Type RuYl,din?}' I%kqtirk Type i ? r'? 1 {?Tf ?r ? ., N GARAGEjACCESSORY ADDITIDN ( `? l*'? 61 !i?=°;.r y ?°y=-" REMARKS SEPARATE ELECTRICAL pEftMST REQUIREp FEE SUMMARY: VALUATION $3,000 Base Fee $54.00 Surcharge $1.50 Tota1 Fee $55.50 CONTRACTOR: BUILpING 022324 10/25/93 OWNER: - APPiicant - STURGEON TODD 1640 ASNBURY PL EAGAN MN (612)688-7811 ? T hereby acknowledgo 'Ghat T have eead €-His ap.pli.citicrrr ond '>tata 1;h6t th# infarmatiQn is carreet and agree to campl,y w2,ttt a1.l ap#3l7.cdbBe Sxkite Of NFn. Statutes and City of E,agan Oedinanees. APPLICANTlpEFMITEE SIGNATURE ISSUED BY: 5 NATUAE REALTiVATE C.''EGV E D CITY OF EAGAN •PER.>aJr r?3 a 1993 BUILDING PERMIT APPLICATION T 0 8 1993 681-4675 SINGLE & MULTI-fAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural 5 structural plans, l set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month- 1n which request is made, 2) address is changed or 3) lot thange is requested once permit is issued. Date S?0-?)2er/ 23 / i 3 Yaluation of work 42Svo,o6 Site Address: 1 `4 D lk5 HQufLY PL fFQL- YTREEi i11lTE 1 Tenant Name: (cortmercial only) IAT ? I IACK 8?-kl+?iC GLr? ° SUBD. .I.D. N NQ A-D4t naAj ? R 1-1 S A'G ^_ e ' - Descri tion of work: The applicant is: Eg Owner ? Contractor 0 Other (o.s«ie.) Name STUf- ??`?t? Phone Property LAST F1RST Owner Address /?`r`V A--sOgujr-y' /'t- STREET ilE Y City State f'"ti Zip 55-/ZZ Compan rn ? Phone Contra ctor Address License # Exp. City State Z?P ?y, _ Phone Architect/ Registration 1' Name Engtneer Address City State ? ZiP Sewer & water licensed plumber . Processing time for sewer Q v+ater permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is licable State of Minnesota Statutes and City of h ll app a correct and agree to comply wit fagan Ordinances. Stgnature of Applicant: ??'" OFFICE USE ONLY BUILDING PERMIT TYPE O 01 Foundation ? 06 Duplex ? 11 Apt./Lodging O 02 SF Dwg. 0 07 4-Plex ? 12 Multi. Misc. ? 03 SF Additinn ? 08 B-Plex 1Zf I3 6arage/Accessory ? 04 5F Porch ? 09 12-Plex ? 14 Fireplace ? 05 Sf Misc. C] 10 Multi. Add'1. O 15 Deck WORK TYPE ? 31 New `?32 Addition / ? 33 Alterations ? 35 Tenant Finish ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. (Allowa6le) lst F1. sq. ft. UBC Occupancy ? 2nd F1. sq. ft. 2onin9 Sq. Ft. totai 1" of 5tories Footprint Sq. ft. Length On-site we11 Depth ?zfz On-site sewage APPROVALS Planning Building .Engineering Yariance REGlUIRED INSPECTIONS ? Site ? footing O Wallboard ? Final O Framing ? Draintile ?- 1 ? ? ? Insulation ? Fireplace Permit Fee .?? 1 00 3urcharge ? c> Plan Review license MWCC 5AC City 5AC Water Conn. Water Meter Acct. Depnsit S/W Permit 5/W Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Copies Other Total: v.lmtion: g =?0 o tj 1? 1? 2 2?2 = l?U n ?6 = Z?cS b`--? , :. ? 16 Basement Finish 0 17 5wim Pool 0 18 Coam./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility O 21 Niscellaneous ? 37 Demalish MWCC System City Mater PRY Kequired Booster Pump Fire Sprinkler Census Code SAC Code Assessments SAC % SAC Units . J • 1 ti l _ficate For: Spear Construction Book I'a9e_??-R ?6703 168th Street Rosemount, Minnesota 55068 19 DELRAAR H. SCF6W14,P1Z UNO 9VRVEYOR4, INC napWWM UnNr lew. ol TM Sub al Mlnnewte 11750 SOUTH ROBERT TRAIL ROSEMOUNT, MINNESOTA 55008 812/123-1709 ? SURVEYOR'S CERTIFICATE Yrnposed qarage Iloor elevatiuii = _818.5_ 1 \? ScaJ.e: 1 Inch = 30 Geet. O Denotes iron monument ' , ? Denotes set wood hub ?Denotes existiny elevations Denotes pcoposed elevalions BM: Topo nut hydrant Ash6ury Lane & Ashbury Court = 020.76 ??? g v / Ai1 EAIGIH,F.t?f!;?? Drairia e 6 Utilit , ? Easements ? NIo 14 kB S , 3?' ^ QY.? ?.? 4 •.•? ??\ 5 ??.r, \?: bld_G7 <? 6AR. ? PFloPoSEp ?\ . S o? \glfy ??OU$? 2 ?' ? SX: ?%i Description: Lot 14,Uluck 3, , BLACKIIASiK GLEN SECOND ADDITION, according to the recorded plat theeeof, Dakota County, Minnesota. A?y S?syt ?? ? ' I heroDy cerllly ihat IAIa survey, plan, or report wee P••??, • RE?Xu I? ¦ ?? ' prepered by me or under my diroct supervielon end ihat 1 em e tluly Regislerad Land SurveyDr under ? the lews of Ihe Stete ol Minne.ots. A 21 ?f 05-05-69 Dnlmar H. Schwenz Daled 6F ->saota Rspielrellaa No. 9625 ?? 3 REQUEST FOR ELECTRICAL INSPECTION 1 °"e7a, E80?00/01?-0e ? ? I See insVUCtions tor compleMg ihis torm on back o1 yellow copy ?"?"4?¢:?//,' ]?y q f ?y ?•? i ?? / ??16 - "X" Below Work Covered by This Request ?.,?• ev? A?a Rep 7ypeofBwldmg AppliancesWired EqwpmenlWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt Bmldmg Dryer Load Management Comm./Industrial Furnace Other (SpeciTy) Farm Air CondNOner OtM1er (syecity) Contrnaor's Remarks Compute Inspectian Fee Below: # Other Fee # Serwce Entrance Srze Fee # Circuits/Feeders Fee Swimminq Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Above 100 _ Amps S19n5 Inspactor'sUSeOnly TOTA S? IrngaUon Booms ?Q • ?'? O ? Speaal Inspection AlarmlCommunication THIS INSTAI.LATION MAY BE ORDEflED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 78 HS. I, ihe Electrical Inspector, hereby Rou9n.in Q certity that the above mspection has been made. Final ( Da?e OfFICE USE ONLY Tlns requast voitl 18 months tmm 11 o ?. ? t n? 2 51 C ? / ? o ReQuast Oa?e 3 ?1? C Frte No Pough-ln Inpsernon ReqmreE (VOU mus? II in5pec[or whan rea0y) Inspecbon Otner han ugM1-In 0 ReaCy Now Will NotHy Inspeclor Ves ? No Date Reetly 10 hcensed contractor 04wner hereby request inspection of above electrical work at: Joh AoCress ISireeL Box o ouref o)' ' Cey 1 C v ?0 ? S/ • Seqion No Township Name or No Ranga N. Counry Occupaw+f9 MT ? S?li Phone No od -f eo Pawer Supvber Atltlress Eiecv¢ai Gomracror ICompany Name) Contrector's L¢ense No ornpo Mailmg A tlres onvaoror or Owner Meking Installauon) bo?? Author2etl Spp?Wre act?n 5Makmg InstallaLOn) . ? Phon???=? MINNESOTA STATE BOARO OF ELEyTiiICITY £ TNIS INSPECTION REQUEST WILL NOT Griggs-Mitlwey BIOg - Haom 5-113 ? ' z BE AGCEPTED BY THE STATE BOARO 1821 UNVerslly Ave_ 5t Peul, MN 55104 - UNLESS PROPER INSPECTION FEE IS Phone (612) 692-OBW ENCLOSED RESIDENTIAL BUILDINC PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55722 651-681-4675 New Construdlon Reauirsmeob RemodallReoair Reauiremenb • 3 registered site surveys showirg sq. ft. of lok sq. M. of hause; and all roofed areas • 2 copies of plan (20% maximum lot coverage allawed) . 1 set of Eneigy Calculefions for heated additbris • 2 copies ot plan showirg beam & window s¢es; poured touM desgn, etc.) . 1 sile survey for exterbr add'Abns & decks • 1 sel of Energy Calculations . Irdicale H hame served by septic syslem for additions • 3 copies of Tree Preservation Plan i( lot plaHed after 717/93 . Rim Joist Defal Options selection sheet (bldgs wilh 3 w less unils) DATE SITE ADC TYPE OF APPLICANT Catastrophe Restoration Seroices Inc. STREET ADDRESS 2489 Rice St Suite 70 CITY ROSBVIIIe STATE MfyZIP55113 TELEPHONE # 651-734-9433 CELL PHONE # PROPERTY Energy Code Category (J submission type) VALUATION ??9 ?i• ?--Lo ,ULTI-FAMILYBLDG _Y q,N FIREPLACE(S) ?"u _ 1 _ 2 FAX # 651-48 -0 1A TELEPHONE# COMPLETE FOR °NEW" RESIDENTIAL BUILDINGS ONLY - MINNFSOTA RULES 7670 CA'CF.GORY 1 MINNESOTA RULES 7672 . ResidenUal Ventilation Category 1 Warksheet Submitted • Energy Envelope Calculatlons Submitted Plumbing Contractor: Plumbing system includes: Phone # _ Water Softener _ Water Heater _ No. oFBaths • New Energy Code Worksheet Submitted _ Lawn Sprinkler Fee: $90.00 _ No. of R.I. Baths Mechanical Contractor. Phone # Mechanical systcm includes: _ Air Conditioning Fee: $70.00 Heat Recovery System FF-- Sewer/Water Confractor. Phone # •• ? 2 ? II i hereby acknowiedge that I have read this application, state that the informatiAs=c¢eet; and agre? comply with all appiicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant • ? ??Q? 11?ti OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4f02 OFFICE USE ONLY ? 01 Foundatlon 0 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg ? 02 SF Owelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. AR - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) O 36 Muld ? OS 03-plex ? 71 10.plex ? 19 Lower Level ? 24 Stortn Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition O. 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)• 0 43 Reroof ? 46 Windows/Doors ? 34 Replacement "Demolition (Entlre Bldg only) - Give PCA handout to applicant Valuatlon Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nhr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaVC.O. _ Footings (deck) FinaVNo C.O. _ Footings (addition) _ Piumbing _ Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ Futal _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ A'u Test _ Final Windows (new/replacement) _ InsulaHon _ _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Piant Plumbing Permit Mechanical Permit License Search Copies Other Building Inspector Total RESIDENTIAL BUILDING Permit Application ?? a O? City Of Eagan I 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 --:!f> `??} K-i S ca-?-? ce 110163 New Constnuiion Reaui2ments RemodeVRenair Reauirements Office Use Onlv 3 registeretl sile surveys showing sq. ft. of lot sq. ft. of house; and all mofed areas 2 copies of plan Ceh of Survey Recd (20% maximum lot coverage albwed) 1 set of Energy Calculations for healed addNOns Tree Pres Plan Recd 2 copies of plan showing 6eam & window sizes; poured found design, elc 1 site survey for additions & decks Tree Pres Not Reqd 1 set of Energy Calculalions Add'Non - indicafe if on-srfe sephc system _ On-site Septic System 3 copies of Tree P2servation Plan if lot platted after 711/93 Rim Joist Defail Options seleciion sheet (bldgs wAh 3 or less units ? Date _+,_/ _t?/ ? Site Address ? ??? 9L? ConstruMion Cost ? l ?(2cr ?PokcE Unit/Ste # Bescriptica of WorSc KeFU'cC(n.IL ? E1( (S'i)^1? W it.? Lil I"R-f u(sI ("i- Multi-Famity Bldg _ Y ?ri Fireplace(s) _ 0 V__?l _ 2 PropertyOwner J TLvE f M VIF-`/ "L'Coy Telep6one#((0131) ConVactor MCI.Uy Address ? Z(7-V (_,t:: State KA KS :7a -5? I , Zip"J' S(22 CiTy r-{Y???1V(a S Telephone #(02) 1?6T 2.375 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateaorv 1 Mimiesota Rules 7672 Energy COde Category . Residential Ventilation Category 1 Worksheet • New Energy Cotle Worksheet (Jsu6missiontype) Submitted Submitted • Energy Envelope Calculations Submitted Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone #( Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand tlus is not a permit, but only an application for a permit, and work is not to start without a permit; that the wark will be in accordance with the approved p* in the case of work Nyhich requires a review and approvalofps. J dt?cC?? ?v? ? Applicant's Printed Name -Ap61icant's Sigttfature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 02 SF Dwelling ? 08 06-plex ? 03 01 of _ plex ? 09 07-plex ? 04 02-plex ? 10 08-plex ? 05 03-plex ? 11 10-plex ? 06 04-plex ? 12 12-plex Wo rk Types A 31 New ? 35 ? 32 Addition ? 36 ? 33 Alteration ? 37 ? 34 Replacement Valuation 31 d ° -o Census Code Y S" ? SAC Units NBr. of Units Nbr. of Bldgs Type of Const v A ? 13 16-plex ? 20 Pool ? 16 Fireplace ? 21 Porch (3-sea.) ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 18 Deck ? 23 Porch (screen/gazebo) ? 19 Lower Level ? 24 Storm Damage Plbg_Y or _ N N 25 Miscellaneous /9ry7 Wtn -->a --) ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Eut. Alt - SF ? 36 Multi Misc. Int Improvement ? 38 Demolish (Interior) ? 44 Siding Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors 'Demolition (Entire Bldg) - Give PCA handout to applicant Occupancy MGES System Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered W idth _ Footings (new bldg) _ Footings (deck) _ Footings (addition) _ Foundation _ Drain Tile Roof Ice& Watei Final Framing _ Fireplace _ R.I. _ Air Test Final Insulation REQUIRED INSPECTIONS FinaUC.O. FinaUNo C.O. _ Plumbing HVAC Other _ Pool _ Ftgs _ AulGas Tests _ Final Siding Stucco Stone 20 Windows (new/replacexnent) _ Retaining Wall . Approved By V" / , Building Inspectar Base Fee Surcharge Plan Review MGES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Permit Number REScheck Compliance Certificate Checkcd By/Date 2000 Minnesota Energy Code REScheckSofhvare Version 3.5 Release 1 d Data filename: C:\Program Riles\Chcek\REScheck\20030620 FAMILY ROOM W[NDOW.rck PROJECT TITLE: 20030620 FAMILY ROOM W W DOW COUNTY: Dakota STATC: Minnesota ZONE: 2 CONST2UCTlON Tl'YE: Smgle Family DATE: 06/20/03 COMPLIANCE: Passes Maximum UA = 371 Your Home UA = 362 2.4% Better Than Code (UA) Ceiltng 1: Flat Cciling or Scissor Truss Skylight l: Wood Frame:Double Pane Ceiling 2: Flat Ceiling or Scissor Truss Wa]I 1: Wood Frame, 16" o.c. W indow I: Above-Grade: W ood Prame:Double Pane Door l: Solid Basement Wall 1: Masonry Block with Inlegral Insula[ion Wall height: 8.0' Depth below grade: 7.0' Lisulation depth: 8.0' Floor 1: Slab-On-Grade:UnUeated Insulation depth: 3.0' Proposed and Muximum U-Factor Averages Above-Grade Windows and Glass Doors Includes Foundation Windows> 5.6 ft2 SkylighGs Gross Glazing Area or Cavity Cunt. or poor Perimeter R-Value R-Value U-Factor UA 832 13.0 31.0 18 8 0370 3 224 13.0 3 LO 5 2681 19.0 0.0 139 306 0.370 113 25 0.800 20 688 5.0 13.0 28 48 5.0 36 Proposed Averagc U-Factor 0.370 0370 Maximum Allowed U-Factor 0370 0.550 COMPLIANCE STATHMGNT: The proposed Uuildmg design described here is consistent wich the building plans, specifications, and other calcidations submitted with the pernut application. The proposed 6uilding has been designed to meet the 2000 Minneso[a Energy Code requirements in RESchec/cVersion 3.5 Release I d(formerly MECcheckl and to comply with the mandatory requirements listcd in the RLS checkInspection Checkhst. Builder/Designer ? ?1Q,C Date &- 2.0 ?-6-, ZO530/ 2004 RESIDENTIAL BUII.DING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX 4 651-675-5694 New ConsWcfion Reauirements RenodeVReoair Reauiremenls 3 registered site surveys showing sq. ft of lot sq. ft W house; and all roofed areas 2 wpies of plan ?„ ?•''. , (ZO% mazimum lot wverege alWwed) 1 set of Energy Caiculations for heafed add'Nons 2 copies of plen showing beam & window sizes; poured bund design, etc. i site survey for additions & decks 7 set of Energy Calculations Addfion - indicate iton-sAe sap5c system 3 copies of Tree Preservation Plen if bt pmtted after 711l93 Rim Joist Defail Op6ons selection sheet (61dgs w8h 3 or less uni(s Date??_/ Site Address I??-( O 64Ci-1??.R ? (? Construc[ionCost ?5l? ? Y /2Af E- UniUSte # Description of Work bD1/.fkl?•l P-62td?CC-,b16U'r 6 Ck7 CtiLC?Z'-Ct" Multi-Family Bldg _ Y ? N Fireptace(s) _ 0_ 1 _ 2 Property Owner <l [?? ? MC l.a L( Telephone #((05 I)(o R B Q[e S I Contractor fh27?}EAiYi C ??I STQUGTioal Address Z?rQ.4 ?1 ?.Y State /i r C- . City cl'T &J L Zip ssl pS Telephone #(6S1 ) o2d 8 R(O,2- COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEYY BUILDING - Tvlinnesota Rules 7670 Catep-ory 1 _ Minnesoh Rules 7672 Energy Code CategOry . Residential Ventilation Category 1 Worksheet • New Energy Code Wwksheet (4 submiutontype) 5ubmitted Submftted • Energy Envelope Calculations Submftted Have you previously constructed a building in Eagan with a similar plan2 _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( Telephone # ( I hereby apply for a Residential Building Permit and aclrnowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a pemut, but only an application for a permit, and work is not to start without a pemvt; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. 'PU L 9P6t Ga4L-o Applicant's Printed Name ?L 6?= - - ApplicanYs Signahue OFFICE USE ONLY Sub Types ? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 AccessoryBidg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 Ext. Alt - SF O 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Poroh (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10.plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Pibg Y or _ N ? 25 Miscelianeous Work Types ? 31 New ? 35 Int Improvement 0 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Aiteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors ? 34 RepleCement `Demolition (Entlre Bldg) - GWe PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new 61dg) _ FinaUC.O. _ Footings (deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool Ftgs _ AirJGas Tests Final _ Framing _ Siding _ Stucco ^ Stone _ Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows _ Insulation _ Retaining Wall Approved By: , Building Inspector 8ase Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total 2006 RESIDENTIAL MECHANICAL rERnziT arri,ica.TioN 50 City Of Eagan 3830 Pilot ICnob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complere for: single family dwellings & townhomesJcondos when permits are required for each unit DateA //? /0/'??/_ Site Address ( ly ?/ U r/?? ?CJ l Unit k Proper[y Owner Telephone tk ( ) Contractor Street Address CitY State bAf Zip Telephone # 69<?) Bond#: Expires: The AppGcant is _ Owner ?ontractor _ Other Add-on or alteration [o existing dwelling unit $ 30.00 fumace Additional Replacement _ New ? airexchanger air conditioner heat pump other State Surcharge $ .50 Tatal C? C Dd[? N7 D 1 0 7R??? FEB 1 hereby apply for a Residen[ial Mechanical Permit and acknowtedge that [he information is complete and accurate; that Ihe work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; [hat 1 understand this is not a permit, but only an application for a pertnit, and work is not [o star[ without a permit; tha[ the work will be in accordance with [he approv d an in the case work which requi es a review and approval of plans. % l? EI'?UI ? , Applicant's Printed Name App t s Signatur City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 1640 Ashbury P1 Lot: 14 Block: 3 Addition: Blackhawk Glen 2nd PID:10- 14351- 140 -03 Use: Description: Sub Type: e- Siding Work Type: Siding Description: House & Garage Census Code: 434 - Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Total: Applicant/Permitee: Signature PERMIT City of Eaan When installing ventilated soffit material, remove existing soffit mate take steps to ensure maximum ventilation into attic space. BL - Base Fee $3K Surcharge - Based on Valuation $3K Construction Type: Occupancy: $88.50 0801.4085 $1.50 9001.2195 $90.00 Owner: Mary K Mccoy 1640 Ashbury Pl Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: Issued By: Signature Building EA079448 08/23/2007 ePermit al (i.e. debris that could block vent openings) and - Applicant - I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA119984 Date Issued:01/08/2014 Permit Category:ePermit Site Address: 1640 Ashbury Pl Lot:14 Block: 3 Addition: Blackhawk Glen 2nd PID:10-14351-03-140 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Diane Moyer Home Energy Center Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Mary K Mccoy 1640 Ashbury Pl Eagan MN 55122 Home Energy Center 2415 Annapolis Lane N #170 Plymouth MN 55441 (651) 766-6763 Applicant/Permitee: Signature Issued By: Signature From: 07/02/2074 17:57 �903 P.003/007 . ! i Use BLUE or BLACK Ink I �----------------- i � For Office Use � �I UlU �1 �� RECEIVED j Permit#: �( 1��/� � j � y � ' � �. � ' � � Permit Fee: � 3830 Pilot Knob Road JUL � 3 �p�� i °�� i ' Eagan MN 55122 � Date Received: � Phone:(651)675•5675 I � I Fax:(651)675-5694 I Staff; 1 I I 1��`��J 2 14 RESIDENTIAL BUILDING PERMIT APPLICATION . . �'� ' C,/ v�/ ,/ � � �� Date: � , Site Address: ��✓ ��i� ��J!� Unit#: /�'� , Name:,�� i��//�LG�/ Phone � �I II Res�dent/ '�-� , owner Add�ess i aty i zP: /6.�4s �1�3i,r�/�r..��". �'�'� /l•�i✓ ..s�zz '� Applicant is: �Owner Contractor ' Description ofwork: G�//�� L�yEZ �lir�/,�.�� I, Type of Work � Construction Cost:��s� Multi-Family Building:(Yes_/No� I ` Company: %�/f� �� Contact: �� COI1tr1CtQ1'._ , Address: City: ' State: Zip: Phone: Emaii: ` License#: Lead Certificate#: If the projeat is exempt from lead certification, please explain why: (see Page 3 for additional information) 1�5� CG�riS�ca�� i��- ��8 � COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes +No If yes,date and address of master pla�: Licensed Plumber: Phone: Mecbanical Contracto�: Phone: i Sewer$Water Contracto�: Phone: a._,....�...�...�, e.w..�.,_��....�..�..,...�.�..a.�.._.. NO:TE:Plans and supporfing documents thaf you submit a�e�considered fo':be public information:' Portions of ' th�:informabon may be ctassified as non publ�c it you provide spec�fic reasons that would permit tMe City to � �� ccnclutle that the�r a�e trade secrets �� CALL BEFORE YOU DIG. Call GopherState One Call at(651)454A002 for protection against underground utility damage. Call 48 hours before you i�tend to dig to receive Iocates of underground utilifies. www.aooherstateonecall.orq I hereby acknowledge that this infortnation is complete and accurate;that the work will be in conformance with the ordinances and todes 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 Mionesota S te Building Code must be completed within 180 days f permit issuance. X � �.' ' �e� x � ApplicanYs Printed Name Applicant's gnature Page 1 of 3 �(Ji' � From: 07/02/2074 17:57 #903 P.004/007 /C�� 1`�-SG�l�G�� 7� /�� DO NOT WRITE BELOW THIS LINE SUB TYPES _ Foundation _ Firepiace _ Porch(3-Season) _ ExteriorAlteration(Single Family) _ Single Family _ Garage _ Porch(4-Season) _ ExteriorAlteration(Multi) _ Multi Deck _ Porch(ScreenlGazeboiPergola) _ Miscellaneous _ 01 of_Plex � Lower Level _ Pool _ Accessory Building WORK TYPES _ New _ Inte�ior Improvement _ Siding _ Demolish Building* Addition Move Building Reroof Demolish Interior � Alteration _ Fire Repair _ Windows _ Demolish Foundation _ Replace _ Repair _ Egress Window _ Water Damage _ Retaining Wall •Demotition of entire building—give PCA handout to applicant DESCRIPTION Valuation � Occupancy � MCES System Pian Review Code Edition �� SAC Units (25%_100%�) Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Sprinklers Type of Construction � Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings (Deck) Final I C.O. Required Footings (Addition) � Final/No C.O. Required Foundation � HVAC Gas Service Test ' Gas Line Air Test Roof;_Ice&Water _Final Pool:_Footings _Air/Gas Tests _Final �, Framing Drain Tile Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick � Insulation � Windows Sheathing Retaining Walt:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Erosion Control Braced Walls � Other: Reviewed By: ,Building Inspector RESIDENTIAL FEES Base Fee �� , Surcharge �� Plan Review � MCES SAC �� Cit SAC � Y Utility Connection Charge � v, Y ��_ t�` " �� V V S&W Permit&Surcharge � �� ( Treatment Plant ( Copies `_ ,� �� TOTAL U" 1�,3 (�`� ��"""'� � ��` P�� Ffom: 07/02/2014 77:51 #903 P.007/007 . . . �� To: City of Eagan Inspections and Permitting Facsimile (651) 675-5694 From:Steve and Mary McCoy 1640 Ashbury Place Eagan, MN 55122 (651) 688-9681 Following please find the required application and two copies of the plans for the lower level finish at the address as noted above. In addition we offer the notes below regarding the fiinishing of the lower fevel. Please provide required fee when calculated and we will pay when picking up the permit paperwork. We can be contacted with any questions at (651) 688-9681 or(651) 269-9078. Thank you in advance. Steve and Mary McCoy Lower Level Finish Permit Notes 1. Six-inch recessed lights replaced with four-inch recessed lights a. 18 locations b. IC rated fixtures 2. Newly constructed closets with bypass doors a. Four locations i. Fluorescent lights with ceiling-mounted, mot+on-sensing switches 3. Relocated single-duplex outlets a. Six locations 4. New single-duplex outlets a. Five locations S. Relocated light switches a. One location � �� From: � 07/02/2014 17:57 #903 P.002/007 , , . . �� 6. New light switches a. Two locations 7. Newly constructed closet under stairs a. Ceiling light with wall-mounted, motion-sensing switches 8. Newly constructed soffit in bedroom a. Two new lights 9. Newly constructed bedroom wall a. One, 60 inch double French door 10. Existing double-hung window replaced with egress compliant casement window a. No structural changes to rough opening 11. Double hung window from#10 relocated to newly constructed 53.5 inch H X 89.5 inch W rough opening a. Triple 9.75 inch X 1.75 inch LVL header i. 97 inch overall length supported 3.675 inches each end 12. Newly constructed soffit concealing HVAC ductwork. 13. Existing, hard-wired,smoke detector relocated and replaced a. One location 14. New, hard-wired smoke detectors installed a. Two locations 15. New, hard-wired smoke and carbon monoxide detector installed a. One location 16. All walls existing unless noted, including rough framing, insulation and vapor barrier where applicable. Z� � , Jan. 30.2018 09:26 AM Majeski P&H 6514370369 PAGE. 3/ 4 For Office use � % % , Permit#: ��" / c E AGA IN Permit Fee: (e0-(5` Date Received: /- 0 3830 PILOT KNOB ROAD l EAGAN,MN 55122-1810 (651)676.5675 I TDD:(651)4544535 I FAX:(651)675-5694 Staff: gultaginsoectionsatclivofeacian,pom L 2018 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: H est Site Address: I logo lis h btv t e c., Tenant: < `Q. �� Suite#: _r Resident/Owner Name: - �'CC`�. Phone: Addrese/City/Zip:/1161(-) - h •or ria „a ad 171 & 831 Name: fYi 4i efjk) P<h t b i 1'1 License#: Contractor Address: 0 �5 S t%u) B\4 . City; 4 7r 5711�•� State: 1111\' Zip: 3 Phone: t oS/ L/ ✓ Contact: 0000)0 CL Email: rhej , Q/ynLW1,,., c'1 Co Type of Work _New _Replacement _I, Repair Rebuild .Modify Space Work In R.O.W. Description of work:(edc� �� Str (:5trir.jtbny RESIDENTIAL Water Heater Water Softener Permit Type Lawn Irrigation c__RPZ/r PVB) Septic System ...y_Add Plumbing Fixtures L.Main I„Lower level) New Water Turnaround _Abandonment RESIDENTIAL FEES: $60.00 Water Heater,Water Softener,or Water Heater And Softener(Includes State Surcharge) $60.00 Lawn Irrigation(Includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround'(includes State Surcharge) "Water Turnaround(add$280.00 If a 3/4"meter is required) $115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES$ CALLUEFORE YOU OIG. Cell Gopher state One Call at(851)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aoohcrstateonecail.grq You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's wobslte at www.citvafoaaan.00mlaubscrlbe. I hereby acknowledge that this Information Is complete and eccurato;that the work will be In conformance with the ordinances and codes of the City of Eagan; that I understand this le not a permit, but only en application for a permit, end work Is not to start without a •rmlt; that the Work will be In accordance with the approved plan In the case of work which requires a review and approval•. plans e � h Applicant's Prin ed Na • cant's Signature FOR OFFICE USE Reviewed By: . Date: Required Inspections: Under Ground Rough-In Air Test Gee Test Final Meter Related Items: Meter Size Radio Read— Manometer Staff: