3629 Ashbury Rd
DATE: 4126/89
RE: 3629 ASHBURY ROAD, L21, B3, BLACKHAWK GLEN 2nd
XX Your Sewer & Water Permit for the above property has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
FALL PUBLIC WORKS (4545220) FOR YOUR PERMANENT WATER TURN ON.
! our Sewer & Water Permit for the above property cannot be completed for the following
reasons:
_ Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
'I
Secretary, Building Inspections Dept.
DATE: 4126IR9
RE: 3629 ASHBURY ROAD, L21, B3, BLACKHAWK GLEN 2ND
_](x Your Sewer & Water Permit for the above property has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
Four Sewer & Water Permit for the above property cannot be completed for the following
~easons:
I
Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be Issued or occupancy allowed until further notice.
~r
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
i
Secretary, Building Inspections Dept.
w r A
(Urtifiratr of (10rrupaury
4Citp of (Eagan
arpart nM of luatng . wrttion
This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building
Code certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City regulating building construction or use. For the following.
u,,c,•n;r,,BdO. SF DWG?GAR 16363
O-war Type R3 /M2 zo" District R 1 rya c_ VN
C'-' "s~,7~~ DAHBE BRCS., INC. Addj304 LYNDALE AVES, BLMGTN
3629 ASHBURY ROAD L21, B3, BLACKHAWK GLEN 2ND
Midiog Address Loaxlity
AUGUST 30, 1989
'T) euaa g Of i
POST IN A CONSPICUOUS PLACE
SEWER & WATER PERMIT OFFICE USE ONLY
CITY OF EAGAN
PERMIT DATE '
3830 Pilot Knob Rd. WATER PERMIT # 103'1 SEWER PERMIT #
P.O. Box 21199 METER # B.P. RECEIPT # 1 u
Eagan, MN 55121 READER # B.P. RECEIPT DATE 4126L"
METER SIZE
ISSUE DATE - PRV - BOOSTER PUMP
SITE ADDRESS PERMIT REQUESTED
LOT BLOCK SEC/SUB A 4 4
APPLICANT: t N C - SEWER WATER _ TAPS
ADDRESS! A L- L A
COMMAND RESIDENTIAL
v
CITY, STATE 3 1 ' w, 'zip
PHONE:,._ NEW EXISTING
PLUMBER: f:
ADDRESS: I AGREE TO COMPLY WITH CITY OF
CITY, STATE ZIP i EAGAN OIRDIN_ANCES:
PHONE:
OWNER:
ADDRESS: SIGNATURE WHEN METER ISSUED
CITY, STATE ZIP
PHONE:
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT
ENGINEERING DEPT.
I
SEWER &-WATER PERMIT OFFICE USE ONLY
CITY OF EAGAN PERMIT DATE /
3830 Pilot Knob Rd. WATER PE . T SEWER PERMIT #
P.O. Box 21199 .f
Eagan, MN 55121 METER # B.P. RECEIPT #
READER # a a B.P. RECEIPT DATE
METER SIZE -S ~e 'i7tt.c--'
ISSUE DATE 2 8 " PRV _ BOOSTER PUMP
SITE ADDRESS Air 1._.-L` PERMIT REQUESTED
LOT LOCK SEC/SUB i' 1-1 C Kstt~ tL 64 Lt K! Df`~ bjr)
APPLICANT: ; i - ` L J`) I N C - SEWER WATER - TAPS
ADDRESS: * " `LA F --f - RESIDENTIAL
CITY, STATE ~ ~ I \il c t~ t Al" i ZIP J
PHONE: . ? 8l0(~? _ NEW - EXISTING
PLUMBER: FtL/~T
ADDRESS: I Q I ~~-i Lka(-)t i I AGREE TotQMP4Y WITH CITY_ OF
CITY, STATE Wt. ZIP EAGANJD" ES:
PHONE: ` -
OWNER: LEA H L_ L r P
ADDRESS:-'4 SIGNATURE WHEN METER ISSUED
CITY, STATE f:~LY )M A 1 N1 1-1 A ZIP ' o
PHONE:
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT
ENGINEERING DEPT.
• CITY OF EAGAN~•.
y 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #
Date lF'4a:5 19 fib
To be used for - - Est. Value iF
Site Address 3529
OFFICE USE ONLY
1.Ar'• `1Ar'?: +^h
Lot Block Sec/Sub. r
Parcel No. Occupancy R"3 I FEES
Zoning t
W Name (Actual) Const V-%4 Bldg. Permit 606, • GO
Z y 1 1~ $ (Allowable)
o Address'-1`+ ti A v Surcharge • Sra
City PLOC'?M'VC,' Phone 896-A F' # of Stories
Length Plan Review
tF Name sue= Depth 35' SAC. City 100.oll
vQ Address S.F.Total 575'(m
City Phone S.F. Footprints SAC, McwCc
F On Site Sewage Water Conn 580 • 0(,
Name On Site Well 90
W L5 Water Meter •C
13 Address MWCC System t
a z City Phone City Water X.x Acct. Deposit 30. f.«,,
PRV Required XX SM1 Permit ^n•~'
I hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge i •
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances. Treatment PI 22b.00
Signature of Permitee APPROVALS
Road Unit 40 , ~o
A Building Permit is issued to: i i . C Planner Park Ded.
on the express condition that all work shall be done in accordance with all Council
applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg, Off- Copies
Building Official Variance TOTAL
Permit No. Permit Holder Date Telephone #
I
WATER
SEWER
PLUMBING ;J cC(! JGc c `
ELECTRIC l ! Ci."gYtt~1 4v(~ GT• r~y
Inspection Date Insp. Comments
Footings I
Foundation
Framing /v sr
Rooting
Rough PIBg.
Rough Htg. ~C
Isul. / 2 ¢ ~s
Fireplace f S
Final Htg.
Final Plbg.
Const. Meter Plbg. Inspector-Notify Plumber
Engr./Plan
Bldg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
.n,. For Office Use Only
f' PLUMBING PERMIT
CITY OF EAGAN PERMIT#'Z0
CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT #
PRICE PHONE 454-8100 DATE:
Site Address j ' BLDG. TYPE WORK DESCRIPTION
Lot Block jo ~ ec/Sub Res. New
Mutt. Add-on
Name CO~m. Repair
3 Address
c City Phone _ RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
42
ENO. FIXTURES TOTAL
_ Water Closet - $3.00 $ _
Name Bath Tubs - $3.00_
Address "I z1 Lavatory - $3.00_
City Phone Shower - $3.00
Kitchen Sink - $3.00 poL
Urinal/Bidet - $3.00
FEES Laundry Tray - $3.00 3 G
COMMAND. FEE - 1% OF CONTRACT FEE Floor Drains - $1.50 _
APT. BLDGS. - COMM. RATE APPLIES _L Water Heater - $1.50
TOWNHOUSE & CONDO - RES. RATE APLLIES Whirlpool - $3.00
MINIMUM - RESIDENTIAL FEE $12.00 Gas Piping Outlets - $1.50
MINIMUM - COMM.IND./FEE $20.00 (MINIMUM -1 PER PERMIT)
STATE SURCHARGE PER PERMIT .50 Softener- $5.00
(ADD $.50 SIC PER EACH $1,000 OF PERMIT FEE) Well - $10.00
Private Disp. -$10.00
w Rough Openings - $1.50 ITT:
SIGNATURE OF PERMITTEE PERMIT FEE: 2~?r_
STATES SIC: ?
FOR: CITY OF EAGAN GRAND TOTAL: 33 f2
PERMIT # MECHANICAL PERMIT RECEIPT # 222 71-~ 2
CITY OF EAGAN Q ! '
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: !
CONTRACT PRICE: PHONE: 454-8100 For Office Use Only:
Site Address BLDG. TYPE WORK DESCRIPTION
Lot Block Sec/Sub Res. New
Name Mult Add-on
Comm. Repair
T
m Address -
Other
c City Phone t,
FEES
Name RES. HVAC 0-100 M BTU -$24.00
C Address ADDITIONAL 50 M BTU - 6.00
3 r RES. HVAC INCLUDES A/C ON NEW
p City Phone 4 CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA.
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
Forced Aires M BTU . j APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
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 # r '-S BEYOND $1,000)
Other
FEE
- SIGNATURE OF PERMITTEE '
S/C:
TOTAL y" FOR: CITY OF EAGAN
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnbsota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
i
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION TYPE DATE INSPTR. INSPECTION TYPE .DATE INSPTIR.
Permit No. Permit Holder Date Telephone #
S/W
PLUMBING
HVAC
ELECTQtCji
/
ELECTRIC
Inspection Date Insp. Comments
FootingsI
Foundation
Framing
Roofing
Rough Plbg.
Rough Mg.
Isul.
Fireplace
Final Htg.
Orsat Test
Final Plbg. Pibg. Inspector - Notify Plumber
Const. Meter
Engr./Plan
Bldg. Final
Deck Ftg. 2 l / !l
Deck Final
Well
Pr. Disp.
9 681681,22/-/
Request Date Fire No. Rough-in Inspection
6 > Required? ❑ Ready Now Will Norty Inspector
Yes ❑ No When Ready?
I klicensed contractor ❑ owner hereby request inspection of above electrical work at:
Job Address (Street, Box or Route No.) City
Section No. Township Name or No. Range No. County
Occupant (PRINT) Phone No.
~o //V6
Power SUPPr Address
Electric tractor (Company Nam) Contradons License No.
Mailing Address (Contractor or Making Installation) Syr
/ , - Li 0. d /'/nom 3
Authorized Signatu (Coniredpcowner Making Installaton Phone Number
C O
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Gdgga-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St. Paul, MN 55100 UNLESS PROPER INSPECTION FEE IS
Phone (612) 842-0600 ENCLOSED.
I (D 4 S1L REQUEST FOR ELECTRICAL INSPECTION qEe-00001-07
/ ► See instructions,(-, completing this form on back of yellow copy. • l_ j ps'-~
6.8-16 8 -X` Below Work Covered by This Request
New Adtl Rep. Typeof Building Appliances Wired EquipmerdWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
COmm.Andustrial Furnace
Farm Air Conditioner
Other (specify) Comractork Remarks:
Compute Inspection Fee Below- „x'27
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool O to 200 Amps l.S:cta 1;) 0 to 100 Amps ir$Cea
Transformers Above 200 Amps Above 100 Amps
Signs Inspectors use Only: TOTAL
Irrigation Booms _
Special Inspection
Alarm/Communication
Other Fee
I, the Electrical Inspector, hereby Rough-In Date
certify that the above inspection has Fliul oataz~
been made. f
OFFICE USE ONLY
This request void 18 months from
C~ 6 4/6Z212/ I n, °v
Request Date Fire No. Rough-In Inpsection Required Inspection Other Than Rough-In
' ^ 3 (You must call inspector when ready) ❑ Reatly Now f~ WIII Noht, Inspector
T Yes ❑ No Date Reatl T~
I ❑ licensed contractor;s4owner hereby request inspection of above electrical work at: -
Job.Bpdrgse ($treet. Box or Route No.l
S l/O 2 4 ~S~INKi I~~"Q
Secoon No. Township Name or No. Range No. County
Occupxdl(PRINT) Phone No.
Z,46 S C~k ' 6 g j ?y7J
Power Suppler Address
Electrical Contractor (Company Name) Contractor's License No.
m~
Mailing Address (Contractor or Owner Making Installation)
Autnonzed Sig re ICOnvacto~nO.Insta n Phone Numbar
g z~- S YYl
MINNESOTA STATE B ARD OF ELECT CITY f1/ VI 1 l( THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room S-193 / 'O r (4 D BE ACCEPTED BY THE STATE BOARD
1621 University Ave.. St. Paul. MN 55100 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0600 ENCLOSED,
REQUEST FOR ELECTRICAL INSPECTION & coot-0e
sir cI s for completing this form on back of yellow copy. - T.'o3 57
6 4642"'80 13 Below Work Covered by This Request
ew o ep Typeoi Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Healing
Apt. Building Dryer Load Management
Comm./Industrial Furnace Other (Specify)
Farm Air Conditioner
Other lspecifyl Contractors Remarks:
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuiis/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps A0gVe i0Q _ Amps
Signs Inspectors use Only: OO TOTA S7[)
Irrigation Booms
Special Inspection A-NA ~l-
Alarm/Communication THIS INSTALLATION MAY 9 ORDE D I~CONNECTED IF NOT
Other Fee COMPLETED WITHIN 1 THS
I, the Electrical Inspector, hereby Rough-in ate/
certify that the above inspection has Final owe
been made. ~g
OFFICE USE ONLY
This request void 18 months from
PERMIT 3s~~~
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55123 Permit Number: 024913
(612) 681-4675 Date Issued: 12/01/94
SITE ADDRESS:
3629 ASHBURY RD
LOT: 21 BLOCK: 3
BLACKHAWK GLEN 2ND
P.I.N.: 10-14351-210-03
DESCRIPTION:
Building.-Permit Type DECK
Building Work Type NEW
i
\l
~i
REMARKS:
FEE SUMMARY:
Base Fee $30.00
Surcharge $.50
Total Fee $30.50
CONTRACTOR: - Applicant - ST. LIC. OWNER:
THE DECK & DOOR COMPANY 14513192 0005457 CASE BETSY
11632 AKRON AVE E 3629 ASHBURY RD
INVER GROVE HITS MN 55075 EAGAN MN
(612) 451-3192 (612)688-7471
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 Mn.
Statutes and City of Eagan Ordinances.
--J ocln~1 I Yh
APPLIGANT/PERMITEE SIGNATURE ISSUED B SIG TUREJ
CITY OF EAGAN
10 131994 BUILDING PERMIT APPLICATION 4j 0.
681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered s =plans, of energy
calcs. COMMERCIAL 2 sets of architectural & struc of
specifications, i copy of energ Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
- -
Date Valuation of work e)
Site Address: 36 I IaSH i3c,c&x, t4vAa
STREET SUITE #
Tenant Name: (commercial only)
LOT _ BLOCK _ SUED. P.I.D. #
~ I ~ dP
A
Description of work-'_~n
The applicant is: ❑ Owner Contractor ❑ Other (Describe)
Name C /'I S/Z /3r-""i S)" Phone 4 d& 7117/
Property LAST FIRST
Owner Address 34 2,1 A.s/-l13u111
STREET STE #
City /FA F4<10 State lain/ Zip
CompanyTHrz O/~cG! f ~h n 6 /tq Phone `~S/ 3iy L
Contractor Address //(o3.) 64tZtz.,N 4ai License # -5 YY7 Exp. Y'zl
City %hltrr ~vo/h Nf ~a//i~ / State /'iA Zip-5~
Architect/ Company Phone
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
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.
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish
❑ 02 SF Dwg. ❑ 07 4-Plex ❑ 12 Multi. Misc. ❑ 17 Swim Pool
❑ 03 SF Addition ❑ 08 8-Plex ❑ 13 Garage/Accessory ❑ 18 Comm./Ind.
❑ 04 SF Porch ❑ 09 12-Plex ❑ 14 Fireplace ❑ 19 Comm./Ind. Misc.
❑ 05 SF Misc. ❑ 10 Multi. Add'l. 15 Deck ❑ 20 Public Facility
❑ 21 Miscellaneous
WORK TYPE
R31 New ❑ 33 Alterations ❑ 35 Tenant Finish ❑ 37 Demolish
❑ 32 Addition ❑ 34 Repair ❑ 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) 1st F1. sq. ft. City Water
UBC Occupancy 2nd F1. sq. ft. PRV Required
Zoning Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code y3~
Depth On-site sewage SAC Code ~L
Census Bldg
APPROVALS Census Unit
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
❑ .Site Footing ❑ Framing ❑ Insulation
❑ Wallboard (IKFinal ❑ Draintile ❑ Fireplace
Permit Fee valuation: $ £c~
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC %
SAC Units
CFRTIFICATE OF SURVEY
Z4"v R, e6"&w';Pw4-
M7% c 8711 DUPONT AVENUE SOUTH
BLOOMINGTON. MINN. 55470
888-2084
LAND SURVEYORS
Survey for: Bzo a ~~Y
DAHLE BROS., INC. i~a e r ~Q
7 ~g
DESCRIPTION: X6.0 : zo ~N
Lot 21, Block 3
BLACKHAWK GLEN 2ND ADDITION Zi ar
n 6 9.
N 'S-
~
B/f 1 r~ys3 A4)
l ~ i N
eon
Il. ~ yn m
\ SB¢ Js ion,
8 c l
Scale: 1"=30' l Xi
, '10V
°2`E 1~ tF\ G -
E GAN ENGINEERIN
. DEPT
/`J l O ~ D
Proposed Grades:
I' Top of Blocks BZ/ S
o
r \ 59" VI Garage floor Bzl-
~ 69~ 3 2~}
( g9 Basement floor 8/3l~
P.R.V. REQUIRED
We hereby certify that this is a true and correct representation of a survey of the
boundaries of the land above described and of the location of all buildings, if any, thereon
and all visible encroachments, if any, from or on said nd. Dated this 18th day
of April , 19 89
Y ~cf cc.CU.Y~
Min esota Registration No. 9018
Z60-45
CITY OF EAGAN N4 16363
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
pl
PHONE: 454-8100 Receipt # l~ /'t 1 (J
BUILDING PERMIT 6
To be used for SF DWG Est. Value $93,000 Date APR 25 '19-89--
Site Address 3629 ASHBURY RD
Lot 21 Block 3 Sec/Sub. BLACKHAWK GLEN OFFICE USE ONLY
Parcel No. 2ND Occupancy R-3 M-1 FEES
Zoning R-1
W Name DAHLE BROTHERS INC (Actual) Const V-N Bldg. Permit 608.00
3 Address _ 9304 LYNDALE AVE S (Allowable) V-N
Surcharge 46.50
o City BLOOMINGTON Phone 888-6866 # of Stories
Length -f)2+ Plan Review 304.00
io Name SAME Depth 36' SAC. City 100.00
u< Address S.F.Total SAC, MCWCC 575.00
City Phone S.F. Footprints
On Site Sewage Water Conn 580.00
W w Name On Site Well Water Meter 90.00
ua Address MWCC System ~ Acct Deposit
30.00
City Phone City Water _CX
PRV Required XX SIW Permit 20.00
1 hereby acknowlege that I h ~~pd thisapplication and state that the Booster Pump S,W Surcharge 1.00
information is correct an gree 6 In applic d to of
Minnesota Statutes and ity of Treatment PI 228.00
Signature of Pennite APPROVALS Road Unit 340 - no
A Building Permit is issued to H Planner Park Ded.
on the express condition that all works all be one in accordance with all Council
applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies
Building Official fluil 4!.(4R Variance TOTAL 2,922.50
1989 BUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS 14-5 4 5
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUEDe
MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS 0 OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY
CALCULATIONS
COMMERCIAL 19PR 2 i 198
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
"r
To Be Used For: ~~jj' Valuation- e~ Date:
Site Address -%Zc y3' J00 _ OFFICE USE ONLY
Lot h Block .3 Occupancy K5 M-1 FEES
fjU}}/r Zoning R -I
Parcel /Sub aLUI 2PDf}~ Actual Const U-N Bldg. Permit ~,OJ
+ Allowable _V-N Surcharge y6,5a
Owner ,f~} N(~~ # of stories Plan Review 30q, co SACt City
Address q?D4 AV t Depthh Z SAC, MWCC 5 S, C)o
S.F. Total 36 Water Conn . f3
City/Zip Code ~~al(J 7~►Z~ Footprint S.F. Water Meter O'Oo
QQQ"~~ Acct. Deposit ~0, 00
Phone )(~-CU/ C[~llr On site sewage_ S/W Permit 20,00
On site well S/W Surcharge 1'1C'0
Contractor F IJ.1C MWCC System 1/ Treatment P1. ZZcg,00
e City water Road Unit Z)g0,00
AL/
Address PRV required Park Ded.
I Booster Pump Copies
City/Zip Code VjT~ 155470 TOTAL 2.G97.6D
APPROVALS
Phone Planner Sy,(~
Council
Arch./Engr. Bldg. Off. 417-S
Variance
Address
City/Zip Code
Phone n
NOTE: Sewer & Water Permit fees and account deposit fees will be included in the building
permit fee: Processing time for sewer and water permits is two days once a lioensed
plumber has applied for a permit at City hall.
V, ~ A 71 -oiy
9
~U X24 2 Lq y0 l5= Zot~
X -2
~J )(23~ `1Z
,~(I o Ka x l~I - I S 12 a
~X Isl = I12 -2-o:::.- -Z Z C)
HUUSE
~ IYn7 I o % o
~KX12 _ 021(0
10%2 X u ~f
I0
6P ~000
e-----
9 25c~o
1
C RTIFICATE OF SURVEY
zap R. eoatw . tea.
.xiso.+ 8713 DUPONT AVENUE SOUTH
t euson ~xc BLOOMINGTON, MINN. 55420
T j~ 888-2084
LAND SURVEYORS
$~~Y
Survey for: e~ r
DAHLE BROS., INC.
o i6 Y'
V0
DESCRIPTION: ~s ~6.o zo ~A/ g
s
Lot 21, Block 3,
BLACKHAWK GLEN 2ND ADDITION =ir at ~3is- /,a
n 6 - y' 8/9`
N cf~ Z
ga 7r m~J
1^\ ~ , ~ ear, ,
-7 ,
T m
• •1
8 Scale: 1'I=30' r
62 /V ✓ ate; M~ k
~~se
~ GA1V EIVGIIVEERIIV
DEPT
Proposed Grades:
r I
{ Top of Blocks 9Z1 3F
i
r 59'y~ Garage floor 8i
69~j9?~ Basement floor 613 z
PAN. REQUMED-
We hereby certify that this is a true and correct representation of a survey of the
boundaries of the land above described and of the location of all buildings, if any, thereon
and all visible encroachments, if any, from or on said nd. Dated this 18th day
of April ~ lg 89
y
Min esota Registration No. 9018
ZGD- 45
Cities Digital Quality Control
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I y' I .
EXTERIOR ENVELOPE AVERAGE "U"'COMPUTATION
OWNER IZ7A N LE g R o S,
SITE ADDRESS
CONTRACTOR.a) DATE Zo PHONE g pj' i - (o S (o
Determine working square footage of each.
1. Total exposed wall area a 2Z sq. ft. X • 1 I - 20 O , 4 Z
2. Total roof/ceiling area 1 2 9 4' so. ft. X • O 2 ` - I 3 3.6 4
A. Total wall window area 0 8
B. Total door area 8 0
C. Total sliding glass door area................... 4 0
D. Total fireplace wall area
E. Total wall framing area (average 10%)......:.... ) 1 q
F. Total Rim joist area 1 G (e
G: Total Net wall area.above floor 1 0 6 q
Total exposed foundation area -
H. Total foundation window area
1. Total net foundation area above grade........... 2 ¢ o
i82 2
/Determine "U" value of each wall segment.
a. ad X' "U" 5 2 a
b. So X OUR .23 a 48.40
C. X "v" 53 a 2120
d. 1 X "Li" a
e. 1 1 9 X "U". I a 11 1 9 Q
f. I G, G X "Lr" , 6 a a 6,44-
g. 1049 X "o" 4211!0
h. X "U" a
i. 24 o X "u" . 1 0 24.00
3 ...................................Total I$ i.o
If item N3 is the same as,.or less than item ve met the intent of
SBC 6006(c)2.
Total exposed roof/ceiling area 7 2 Q 4--
J. Total skylight area
k. Total roof/ceiling framing area (average 10%)...... 12 9
1. Total net insulated roof/ceiling area { 1 G 5
i 2 KI+
Determine "U" value for each roof/ceiling segment.
J. X "U"
k. 12 9 X "U" •02.14 3r~~
1. tl(e5 X"U" .025 2
4 .....................................Total
If total of #4 is the same as, or less than #2, you have met the intent of
SBC 6006(c)l.
Alternate Building Envelope Design
To utilize the total envelope system method, the values 'established by the
sum of items #3 and #4 shall not be greater than the sum of items #1 and #2.
1. + 2.
3. + 4.
BALL --,rrTiONS
'urn 15* of opaque wall area for ,
fraine construction Construction R-Value
Interior air film 0.66
20 1/%,' y¢YWALL .45
3. 51/L inches soft wood C0.1 L
4SIc 5. !S IVIFIG ,61
aALL 6. Exterior air film r 0.17
Total I e.15
FIG. #1 TOPVIE11 OF
FRAM HALL 1. Interior air film 0.68
c, y 2•, .~/;L 17LYWOLL .45
3-
.4. -'SHEATH IN C4
2 OG
`R 6. -'Exterior air film 0.17
FIG. #2
- .,ia;.v Total Z;,03
" 1. Interior air film 0.68
2. 1 WtsIfL . 19,00
3. 11/4 "
I Qi wcoy 1.88
ScALE.~ 4. SHEATNII.IG oG
5era1 5. SIDI►J4 ,G1
5111,°•! 6. Exterior air film 0.17
L':~ I ~0 Total 24.4
' 1. Interior air film 0.68
ATION ti: • A a,. 3 2. IF13UL, Auc- URYW&LL 8,ore
L C A ' • 3. J2" GLOGt. Ilia.
4\ a 0 C 4.
r '1► 6. Exterior air film 0.17
Total 10.191
i.
Vs,IO
S ON GRADE
FIG. 04
.#3 - ItI
tit
/l( Z If(_ l/I
e - ' ~r~ NOTE: Indicate type, •'R" value, depth and
P-OOF'/CEILING
.'Construction (Use for Item L) K-Malue
14 'Interior air film 0.61
2. ' s 6 SHEECT"Cr- Sb
111i -3. W--IVL 3e.oo
(1 ` 4. Exterior air film (still 0.
Total 39.1
8
CLG. FRAMING(Use for Item K)
ented Heat flow
up Interior Air film
0.61
.2. 516" 54ME-,Tror-v-
3. Inches soft wood
FIG. #5
4. Inches insul above framing 30.C)O
' S. Air Film 0.61
'F'atal 36.14
1. interior air film 0.61
4111 2.
VORK
4. Exterior air film (still) 0.61
Total
Heat flow up. vented
..FIG. #6
3 5 u 1. Inside air film 0.61
2.
e~ 41 3.
,~1 •yy~ !1'' ' 4.
Is. Outside air film 0.17
J Total
- N0:1-pL~7pp0 Note: Use additional sheets if more spa cc is
needed for details and calculations.
Heat '
flow up
FT.1;. 07
12 p D 0 2006 RESIDENTIAL BUILDING PERMIT APPLICATION 12,2 q-73
City Of Eagan
C?/' 3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Requirements Remodel/Repair Requirements Office'Osa Oh
3 registered site surveys showing sq. ft. of lot, sq. R of house; and p-11 roofed areas 2 copies of plan showing footings, beams, joists Certof Sunley Rego Y N
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Sals Report } 'Y 'N
1 Soils Report it proposed building is to be placed on disturbed soil 1 site survey for additions & decks Tres Pres ~lanAecd~ 'Y <N
2 copies of plan sharing beam & window saes; poured found design, etc. Addition - indicate if on-site septic system Tree Pras Reggined =1t ;-T1
1 set of Energy Calculations DO-$lte;Septii Sysfem..
3 copies of Tree Preservation Plan ti lot platted after 711193 _
Rim Joist Detail Options selection sheet (buildings with 3 or less units)
Minnegasco mechanical ventilation form
Date "f l 2-7 1 D T Construction Cost / 2 3
Site Address 3 P 7q ~ lot r y 1 UnlVSte #
Description of Work A V r7 {f t a f
Multi-Family Bldg _ Y _ N Fireplace(s) - 0 - 1 _ 2
Property Owner U u 1- A e S jV t & 0 vie r w Telephone # 5- y S2' S9y,3
Contractor ~l» S~/lB~ QcCCYdG~ ~On S~6u ~~ib~7 /
Address 6f '17 L > -eh?6 i,a-l ZL /V City S~ ~~Cy(f rZf
State /7)/V Zip c350o'~ Telephone#(,i67) 3'r-, 4/3o~0
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
(J submission type) Submitted Submitted
. Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Y _ N If yes, date and address of master plan:
Licensed Plumber Telephone )
Mechanical Contractor Telephone
Sewer/Water Contractor Telephone # ( J
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
P A,' 0. D. i t i✓~-G~
Applicant's Printed Name Applicant's ignature
/ t D L~ U V ; For Oftttcet se
< I
; Permit
it of Eap J U L Y 1 q0. M;
I Permit Fee: 1
3830 Pilot Knob Road ; -7-31 1
Eagan MN 55122 i Date Received: I
Phone: (651) 675-5675
Staff: I
Fax: (651) 675-5694 1 _ _
- J
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: 3 (e Is Os~nm S S' Z 7
Tenant: ~ rh® c do S t' ern Suite
RESIDENT / OWNER Name: t B~J-Q- Phone: (DS(-
Address / City / Zip:
Applicant is: t✓ Owner Contractor
TYPE OF WORK Description of work: >7:Q LACAa: 1 W aKQOa+ J SL ID, & 000a eLocwoL La)Lh'. gCL
~l~li M6 c~sTt t+~l S X4--5 l It .
Construction Cosp . Multi-Family Building: (Yes / No )
CONTRACTOR Name: l 1rv~ at1~ ~~j_ License eC~ 0"2 j 3 Q'
Address: Vc`(- C liter"" X7 -
City: Sttatt-e f*w Zip:: - ads ~L
Phone: (DU (0 ` CtOG~ Contact Person: VVN-
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
Category Submitted Submitted
(4 submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
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.
xFK
Applicant's Printed Name Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type: Building
Eagan. Permit Number: EA099592
Date Issued: 06/16/2011
OR Permit Category: ePermit
41~ it~ of E3
E
Site Address: 3629 Ashbury Rd
Lot: 21 Block: 3 Addition: Blackhawk Glen 2nd
PID: 10-14351-03-210
Use:
Description:
Sub Type: e-Windows iDoors Construction Type:
Work Type: Windows Doors-New ; Replacement
Description: House
Census Code: 434- Occupancy :
Zonin,:
Square Feet: 0
Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openin,s, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes.
Fee Summary: BL - Base Fee S3K $88.50 0801.4085
Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195
Total: $90.00
Contractor: - Applicant - Owner:
New Windows for America Lourdes McGovern
609 W County Rd E 3629 Ashburn Rd
ShoreviewN1N 55126 EaganN1N 55122--125
(61)203-0149
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and Cite of Eagan Ordinances.
ApplicantiPermitee: Signature Issued Bv: Signature
PERMIT
City of Eagan Permit Type: Mechanical
Eagan. Permit Number: EA102333
Date Issued: 12/06/2011
OR Permit Category: ePermit
40~ it~ of E3
E
Site Address: 3629 Ashbury Rd
Lot: 21 Block: 3 Addition: Blackhawk Glen 2nd
PID: 10-14351-03-210
Use:
Description:
Sub Type: e - Furnace
Work Type: New
Description: Furnace
Comments: Questions regarding electrical permit requirements should be directed to Mark Anderson. State Electrical Inspector.
952-445-2840
Ashler Orman
130 Plymouth Ave N
Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088
Surcharge-Fixed $5.00 9001.2195
Total: $».00
Contractor: - Applicant - Owner:
Standard Heating & Air Conditioning Lourdes McGovern
130 PIN-mouth Ave. N 3629 Ashburn Rd
Minneapolis MN 55411 Eagan MN 55122--125
(612) 824-266
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and Cite of Eagan Ordinances.
ApplicantiPermitee: Signature Issued Bv: Signature
Use BLUE or BLACK Ink
r For Office Use
:::e: ,,City of '""` ,"`� /06)4`/
3830 Pilot Knob Road
Eagan MN 55122 Date Received: 3' )34
Phone: (651) 675-5675Staff:
Fax: (651) 675-5694 , �
2017 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 3/9/2017 site Address: 3629 Ashbury Rd
Tenant: Suite#:
Name: Lourdes McGovern Phone: 651452-5943
Resident/Owner
3629 ashburyrd. / ea an / 55122
Address/City/Zip:
g
Name: Uptown PHC License#: L098-50246
Contractor
Address: 3110 washington ave n city. minneapolis
State: mn Zip. 55411 Phone: 612-767-5029
josh herzog
Email: permits@calluptown.com
Type of Work
New ✓ Replacement _Repair _Rebuild _Modify Space Work in R.O.W.
re lace 40 natural draft water heater
Description of work: h g
RESIDENTIAL
i ✓ Water Heater
f t Water Softener
Lawn Irrigation( RPZ/ PVB)
Permit Type Add Plumbing Fixtures( Main/_Lower Level)
Septic System
New Water Turnaround
Abandonment
i RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge)
I $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$60
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.
xjoshua herzog x
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE Reviewed BY: , Date:
Required Inspections: Under Ground Rough-in Air Test Gas Test Final
Meter Related Items: Meter Size Radio Read Manometer Staff:
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA150532
Date Issued:07/13/2018
Permit Category:ePermit
Site Address: 3629 Ashbury Rd
Lot:21 Block: 3 Addition: Blackhawk Glen 2nd
PID:10-14351-03-210
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Lourdes Mcgovern
3629 Ashbury Rd
Eagan MN 55122--125
Scherer Brothers Lumber Company
9401 73rd Ave. N
Suite 400
Brooklyn Park MN 55428
(952) 277-1600
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA160868
Date Issued:04/21/2020
Permit Category:ePermit
Site Address: 3629 Ashbury Rd
Lot:21 Block: 3 Addition: Blackhawk Glen 2nd
PID:10-14351-03-210
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Lourdes Mcgovern
3629 Ashbury Rd
Eagan MN 55122--125
(651) 452-5943
Lindus Construction
879 Hwy 63
Baldwin WI 54002
(715) 684-4647
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA167904
Date Issued:04/01/2021
Permit Category:ePermit
Site Address: 3629 Ashbury Rd
Lot:21 Block: 3 Addition: Blackhawk Glen 2nd
PID:10-14351-03-210
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
*Roof permits issued between December and March will be inspected in the spring or when weather warms up.
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Lourdes Mcgovern
3629 Ashbury Rd
Saint Paul MN 55122--125
(651) 452-5943
Minnesota Restoration Contractors Inc
12252 Nicollet Ave
Burnsville MN 55337
(612) 280-4807
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA179458
Date Issued:10/05/2022
Permit Category:ePermit
Site Address: 3629 Ashbury Rd
Lot:21 Block: 3 Addition: Blackhawk Glen 2nd
PID:10-14351-03-210
Use:
Description:
Sub Type:Furnace
Work Type:Replace
Description:
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Lourdes Mcgovern
3629 Ashbury Rd
Saint Paul MN 55122--125
Hero Plumbing Heating & Cooling Inc
10900 Hampshire Ave S
Minneapolis MN 55438
(612) 827-4674
Applicant/Permitee: Signature Issued By: Signature