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3669 Ashbury RdCITY OF EAGAN Remark???? Addition Rlackha?r?Len 1st Lot 3 sik Z Parcel 70_14350_030_02 Owner Street 3669 Ashbury Road 5tate n Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 1076 1986 253.48 50.70 5 STREET RESTOR. GRADING SANSEWTRUNK SIM 1970 6.70 25 Pd prior to division SEWERLATERAL$n1074 1986 112.09 22.42 5 WATERMAINBTI 1075 1986 92.80 18.56 5 WATER LATERAL WATER AREA 1072 1586 309.40 61.88 S gtorm Sew Trk 1073 1985 110.91 22.18 5 STOFM SEW TRK 732 1983 32.57 15 STORM SEW LAT CURB & GUTTER ' SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK CITY OF EAGAN Permit No: 3830 PIIqI Knob Road Meter No: 3 22 --5-.3 5? 9J? P.O. Box 21199 Reader No: 0!7 1?? 7 a S S E&gan, MN 55121 Date: 7. 20-&7 Size: o C/ Date: i o - la2- g7 ? Owner. Lundgren i3ros. 669 f?l::ury 1:oa' 2:?!_r?c!":a;.rc G en ? SiteAddress: Plumber --ur_c;;ren Bros. r:Lu;n :i.i? ? Conn. Chg: '''' ? Zoning: ? Acct Dep: ?-r •' 0 u?yf&Units: ' i Permit Fee: .? E3C. Surcharge: ??v - FLEC ? a ro comply with the City af Eagan Tr. Plant ??•? ces. 6.431 1 Mater. iKr-v Misc.: WATER SERVICE PERMIT GTY OF EAGAN Permit No: 8900 Date: 3830 Pllot Kneb poad Veter No: Size: P.O. Box 21199 Reader No: Date: Eagan, MN 55121 I Owner. Lundgret Bros. Site Address: ' ''? ?? ' Conn. Chg: 525.00r-? Acct Dep: 15. JOpd Permit Fee_ 10. (?Opc? Surcharge: • 5 0 pu Tr. Plant 1 ` . 00 p(' Meter. Zoning: ? No. of Units: 1- I agree to comply with the CNy of Eagan Ordinances. By WATER SERVICE PERMIT CITY OF EAGAN SEWER SERVICE PERMIT 3830 PNot Knob 4lwd '+A,3 ,? ?4 P.O. Box 21199 PERMIT NO.: - I,-r, i Eagan; MN 55121 DATE: Zoning: Rl No. of Units: Owner. TjundF ren B ro s. Address: Site Addr Plumber. I agree to comply wlth fhe City of Eayan Ordinances. " By Date of Insp.: Insp.: ConnectionCharge: 525•0011d Account Deposit: 15. 0()pd Permit Fee: 1.0. OOpd Surcharge: • 50pd Misc. Charges: Total: Date Paid:- +--- . ? , . (tertifira#p uf (Orrupariry titp ot Cagan arpartrnmt of Suilding 3wrrtinn Thu Certificate issued pursuant to the requirementr of Sectron 306 of the Uniform Building Code certifying that at the time of issuance this struclure was in coruplionce with the various ordinances of the City regulating building conrtruction or use. For the following.• 7 ? Dfn1G/CAR Uae Qasei6atian B4. Rcmit iVo. ?.; =.. .: acuWaY Tw M Zorrinp Dislrict ?Typt (`onn Ownerofewlding ':.l:?iN ? ?r??Al:j? Bm7diogAddreas ?lity i i, 1'•L., 1?.h?;?k.t'?t?l'u'? '.? i?i,j I Datc Bwldmg Offinal POST IN A CONSPICUOUS PLACE CASH RECEIPT , . 4 " CITY OF EAGAN ` 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 . DATE 19 RQCPJVCD FROM/? w'LL/ l...l aMOUNr $ - - , . 'f? ? & DOLLARS 7aa ? CASH ? CHECK - , i roR ._G ? F ? ''/ 4 1 - '?I L?l.u/.24sG /! i ?-~cv . ?? - ? • i40 , -L. FUNC COOE AMOLIMT Thank You B Y 1'1.iA ? . White-Payers CoPY Yellow-Posting Copy Pink-File Copy , $LDG. ? PERMIT N0. 1c? ? ?_•? ? ?G' ?'?! ???, • fi' ??. ! ? ? ?i ? Lr??/r' ,t:?? , ? _.?j?+!C.E,?' " 01-3210' Bldg. Permit 01-3422 Plan Check 01-3445 Surch./Adm. 01-3446 SAC/Adm. ? ? 01-2155 Surcharge ?'? ? 1F-3860 Road Unit 20-2275 SAC ? r 20-3865 Water Conn. 20-3868 Water Trmt. 20-3716 Water Meter 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. 11-3855 Park Ded. TOTAL -,7, -?? CITY OF EAGAN .?. 64 3830 Pilot Knob Road, P.O. Box 21 -199, Eagan, MN 55121 . PHONE: 454-8 100 BUILDING PERMIT Receipt # To be used for °?L01' Est. Value ? 1, r co Date MAY 1$ 19 84 5ite Address 1639 A54$L'°Y Lot 3 Block 2 SeciSub. 81 G?I'y - OFFICE USE ONLY P8fC21 N0. IZT Occupancy FEES ? W Name BR?-LE & 'S?'?Ei, Zoning (ActuaqConst Bidg.Permit ? fj C? ? • o Address 3669 A=+4$?Fr' =4% (Allowable) - Surcharge ? City EAGAN Phone ? 7Q-65U1 # or scories - Plan Review Length _ Zlo' Name 5AME DePin - sAC, ciry LO)Q Address S.F. Total - SAC, MCwcC ? City Phone S.F. Footprints - ?Nater Conn On Site Sewage _ ? W Lu' Name On Site Well - Water Meter W i? Addf@SS MWCC System - ? UZ Acct. Deposit a W City Phone City Water _ PRV Required _ S'W Permit I hereby acknowlege that I have read this application and state that the Booscer Pump - S/W Surchacge information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Treatment PI ? Signature of Permitee APPROVALS Road Unit ? BRl1CE C!'. FL7ti K:;1,vEL A Building Permit is issued to: 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. EMdg pry, _ Copies ''4' ? Building Official Variance - TOTAL a ? Permk No. Permit Holder date Telephone # WATER SEWER PLUMBING H.V.A.C. ELECTRIC Inspsction Date Insp. Comments Footingsl Foundation Framing Roofing Rough Plbg. Rough Htg. lsul. Fireplace Final Htg. Fnal Plbg. Const. Meter Plbg. Inspector - Notify Plumber Engr.lPlan Bidg. Final Deck F19. Deck Final weu Pr. Disp. ? iL CITY OF EAGAN •? ,? ?? ? .?? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100 . BUILDING PERMIT Receipt To be used for Est. Value Date ,1 g ' Site Address ' Lot Block Sec/Sub. •.:L?, ,. 1 N o. c Name ; Address ? 0 City Phone 1,731 , o Name " ? 1 Addrias P City Phone City Phone that 1 have read this application and st8te of Signature of A Building Permit is issued to: all work shall be done in accordance with Building Official OFFIC E USE ONLY On Site Sewage , Occupancy ?_ MWCC System _ Zoning On Site Well Type of Conffi I, C(ty Water = (ActuaQ (Allowable) * of StoriBs L th eng Depth _ S.F. Total Footprint S.F. APPROVALS FEES A, ' J12.54 Assessments Permit Water/Sewer _ Surcharge ?-?'? Police _ Pian Review •= 5 Fire _ SAC, City `F Engr. _ SAC, MWCC Plenner _ Water Conn. Council _ Water Meter 81dg, aft. _ Road Unit APC _ Treatment Pt Veriance Parka V.UNiaa 3 i TOTAL on the express condition that Minnesota Statutes and City of Eagan Ordinances. M a Permit No. Permit Holder Dats TeISphone ?t Plumbing .?v? ? H.V.AG Electric Softener Inapaetion Dats Insp. Comments Footings I Footings II Foundation Framing Roofing Rough Plbg. Rough Htg. ? Isul. Fireplace Final Htg Final Plbg. Bldg. Final Cerk Oca Temp. LP Deck Ftg. Deck Frmg. Well Pr. Disp. CONTRACT PRICE: Site Address tot -? . Block m Name -ii c Address Cit ?= y -- - ? Name c Address ? p City ' ?,ti .+ _ MECHANICAL PERMIT RECEIPT # 71!' lo ??' CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ?/8 7 'UQ PHONE: 454-8100 0 Phone - TYPE OF WQRK Forced Air M BTU Boiler M BTU Unit Heater M BTl7 ! Air Cond: M BTU ' Vent. CFM IGas Piping Outlets # ? FEE: S/C: TOTAL• BLDG. Tl(PE WOAK DESCRIPTION x Res. New ? Mult Add-on Comm. Repair Other FEES RES HVAC 0 100 M BT $24 00 . - U - . ADdITIONAL 50 M BTU - 6.40 , (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS O TL T INI UM PER PERMI 0 EA <?•:_ S (M n - 1.5 . ? U E M -1 COMM/IND FEE - 1a/o OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES - j TOWNHOUSE 8 CONDOS - RES. RATE APPLIES ? MINIMUM RESIDENTIAL FEE ALL ADD-ON 8 i - REMODELS - 12.00 ? MINIMUM GOMMERCIAL FEE - 20.00 ? STATE St1RCHARGE PER PERMIT - .50 ? (ADb $ 50 S/C IF PERMIT PRICE GOES { . aFVntin iti nnrn y ;'- ' ? SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN : ? .? • .t .. . ? , . . y. . ._... , . . ...,ti . _ , "" . • , __ - ., , . « . . .. . . .. _ , . . . ;ai , . PERMIT # kX?? PLUMBING PERMIT RECEIPT # 2 L''D c2-1 CITY OF EAGAN l ) 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ?r? CONTRACT PRICE PHONE: 454-8100 Site Address lot Block; ? Sec Sub 7 , i m Name S f C T ? Address c Ciry f ?. Phone fit , Name 3 Address p City Phone FEES COMM /IND FEE - 1% aF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE 8 CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.00 MINIMUM - COMM/IND FEE - $20.40 STATE SURCHqRGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) '? / ..? ?f' i ??A? ?/??. '? I a / SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN BLDG. TYPE WORK DESCRIPTION ; Res. i--- New " - ? ? Mult Add-on ?j Comm. Repair ' j Other ? RES. PLBG. ONLY - COMPL.ETE THE FOLLOWING: ? NO. FIXTURES _I-Water Closet - $100 TOTAL ? -a2--Bath Tubs - $3.00 -,,L-Lavatory - $3.00 y `?1 ?5hower - $3.00 _LKitchen Sink - $3.00 -? UrinaliBidet - $3.00 / Laundry Tray - $3.00 ? Floor Drains - $1 50 • JG ?Water Heater - $1.50 Whirlpool - $3.00 ? ? Gas Piping Outiets -$1.50 (MINIMUM - 1 PER PERMIT) Softener - $5.00 • r Well - 510.00 ? Private Disp. - $10.00 Rough Openings - $1.50 FEE: STATE S/C: , 5 0 GRAND TOTAL: 3 g q,cj J ? Name m Address N C Cilry Name t ?a ? 3 Address O CitY I. TYPE OF WORK Forced Air , Boiler Unit Heafer. - - MECHANICAL PERMIT CITY OF EAGAN REGEIPT # 1?9998 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: • PHONE: 454-8100 BLDG. TYP?. WORK DESCRIPTION J /Sub Res. ? "'New ? 74-75- Mult. %Add-on Comm. j / Repair Other FEES RES. HyAC 0-100 M BTU ' +' 7 r- La ADDITfONAL 50 M BTU ?Irone (R HVAC WCLUDES A/C ON NEW NSTAUCTION) 'GAS OUl'1,?ETS (MINIMUM - 1 PER PE , COMM/IN[j,FEE - 1% OF CONTRACT M BTU 'L APT. BLDGS. =,GOMM. RATE APPLIE M BTU TOWNHOUSE & GONDOS - RES. RA MINIMUM RESIDENTIAL FEE - ALL ? - %A ori A e? ncu Vent. CFM Gas Piping Outiets # -4_ / Dther 0FEE: S/C: TOTAL: IF PERMIT PFi1CE GOES 0) - $24.00 - 6.00 - 1.50 EA. ? ,a 51GNATURE OF PERMITTEE . ?.?,> This revuest voitl p 18 mpnths Irom O/W/p O 7 7691L D 2 5.0 2 5 1.3 4/v Aequesf Dale ?J??I? Fire No. Houph-in InSVec?lon Raquiratll ? - ?Reatly Nuw e!FV{NI NoGfV Insper.- to Wh R [ }M?. ?ryo r en eadY '(*'Gcensed Eleo[rical Contraclor I Fereby reOuesl inspection of above ? Owner aleclrical work installed at: Street AdAress, Box Rome No. 3G6ry s.v?u.ey ?o?D C ?? '.4g'q.? ecUOn o. Township Name or No. Ranpe No. 'ow"tY ?-i A-60`J? DccuVent (PpINT) N LBwisr ° G ? /?1 ? d Phone Nn. os , ` c52s . . t?,rJ Power SupDlier 'A/ddress p ? Elecbical Con[ractor ICompany Namel Canha,toFs License No. Standard Electric Co. 40837 MailinB AdJress IConhacmr or Owner Makine Installationl 2672 wood Dr. Ma w , Mn 55109 Authorized S- n re IConNactor/ wn a- n allationl Phone Number 484-8044 MIN ATE BOAND OF ELEC NICITY TMIS INSPECTION FEQUEST WILI NOT Griggs•Midwev Bldg. - Poom N•191 BE ACCEPTED BY TME STqTE BOAflU 1827 Universitv Ave.. St. Paul, MN 56104 VNLESS PHOPEP INSPECTION FEE IS Phone(612?642-0600 ENCLOSED. 81-311Y 7 ?; SQUESTuFOfl.ELECTRo eA^L? INSP?ECT?IONck ol yellaw coov. EB-00001 -O6 ?Co 9/v D'Z 11?0 2 5 "X" Below i4eck Covered by Thrs Requesf NM ,Add Nep. Tyoe of OuilUine Apvlionces Wiretl Equipmenl Wired Home Fange Temporary Service Duplex Water Heater Lightiny Fintures Apt. BuilAinq Dryer Electric Heabn Commercial Bidg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tenk Farm OmH. oe,tv in,,, Isnc?:?rvl L P,! IIC[:IIV O1hC! nlhll Compute lnspection fee Below N Pee ServiceEnManceSize tt Fee Fanders/Svbtextlers N Fn Circuits 0 to 200 qm s 0 to 30 qm s ? 0 tn 30 Anip?j A6ove 200 Amps 31 ta 700 Ainps / 'O 31 to 100 Am s Swimming Pool Above 100_Am s Above 100_P.m s Transtormer5 Irrigation Booms o Pertial.'Other Fee Signs Special Inspection $,/'/`p T E pemqrks ????? OTAL FE ) ?(/ /. J i?i • Rooph-in / D'1yy./?-br I, Me Elect ' cat/ ' saeclor. herabY certifV that Ne xbove I Final ins0ectim, hes been ? maee. ? Tliis rapuest roid 18 montM Irom This reauest void 18 monlhs Irom 0 66225??3. Request Daie /L,t1o ?- ? Fire No. Rouph-in Inyueciinn RequireA? ?Reatlv Nam"?,Will Notify Inspee- O O ` J ?Yes ? lor When NeadY ?&licensea EIecVeCal CunltaclOr I her0 Y ?BquBSt inspa ion of abov0 ? ? Owner electrical work instal d aY Street AtlAress, Boa or Route No. 36 S' City -/ ? y ecUOn o. Townshi0 N;ame o No. panfle Nn. Counly Occupant (PflINT) a ' Phone Nn. -ea S/e /.s 6 Power Supplier Addeess 00 220 .a v Du o ? «?„?? . ? Ele 1 ConVactor ICOmpany Namel Cnntractor's l.icense No. r < ?e L° i77 / 4 !` l i /h .C C G / /h li i1 {..i 7 v'- Mailing Address ICOntractor or Owner Makine Ins1aila1io I / Authorized i nature IConVactor/Owner Making Insullationl Phone Number WINNESOTA STATE BOARD OF ELECTRICITV ? THIS INSPECTION pEQUEST WILL NOT GrigBS-Mitlwey 91tlg. - floom N•191 ? BE ACCEPTED BV THE STATE BOAflO 1821 Universitv Ave.. 51. Peul, MN 66104 UNLESS PHOPEH INSPECTION fEE IS oi....... m-m uo nonn FNCI OSFl1 REQUEST FOR'ELECTRICAL INSPECTION . ea-ooooi-os ? , See inatruct ions tor complet ing [his form on beck ol yellow copy. U'b 2 2 5 X-" Below Work Covered by 7his Request q? y? 3 add Rep. Type ti awmine nuanoncae wi,ee Equiumem Wired Home Range . Temporary Service Duplax Water Heater Lighfiny Fixtures ApL BuilAing Oryer Etectric Heatin Cominercial Bldy. Furnace Silo Unloader InAustrial Bldg. Air Conditioner Bulk Mllk Tank fgrm Othnr 77P y ther ISUnrifvl t .r Syecify thnr Other Compute lnspection Fee Below p Fea SelvicaEntrenca5i¢e k Fae Feeders/Subfeeders N fee Cirwits 0 to 200 qm s 0 tu 30 qm s 0 to 30 C.n >s Above 200 qinps 37 to 100 Amps 31 to 100 'Am s Swinming Pool Abave 100_Am s Above 700_Amps Transiormers Irrigation Booms Partial."Other Fee Signs Special Inspection S q,? '?J ? ro emarks pt,(?r ,?? Gd N Foueh-in ZF ?te I, vhe "?. Inspector, hereby ? Fin l cartily that the above a inspecllon hes Eeen made. fhiereyuest voitl/Bmonlhalrom - To,u?/ T (J ! This requesl voitl 18 monlhs (mm 7/'?.'r//g' D-24952 i :? A_-.2 ?coOc) l ;Z?/ .? O'[7 - Hequest Date _ . Fife No. ?,,,' ., RouAh-in InspeUion' ?J? A/J?l7/f ? Q Requiretl? / ?, eady Now [] Will Nntity Insaec- / ? ?yes ?Np tnr When ReadV ?censed Elecvwal Contractor 1 herahy repaest ingpection ol ebove DOwner electricBl wark insuliwA wt? Svget Address, Bos or RoWe No. - 3?? ..s?.ov.e ??i ecLOn o. Township Name or No. Hange No. 101 Upant PqINTI Pho ne No, E , '7'J?} ?+d ress ',kV.. S7- EleGtncal ConVador (COmpany Name) Contractor's License No. Standard Electric Co., Inc. 40837 Mailine.4dJress (Contrac[or or Own¢r Making InStailation) 2672 Ma lewood Dr. Ma lewood, Mn 55109 Authorized 5n ure IConhactor/Ow Ins[allation? Phone Numr 484-8044 MINNESOTq STATE BOAflD OF EL GTRICITY THIS INSPECTION REQU[ST WILL NOT Griggs-Miawey Bltlg. - Noom N•197 BE ACCEPTED BY TME STATE BOAHD 1827 Universitv qve.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone 1612) 642-0800 ENCIpSEU. ' REQUEST FOR ELECTRICAL INSPECTION ee-ooooi-os 1 See instructlons tor completing this lorm on beck o/ Vellow copy. D 24 qS? "X" 8elow Work Coveied by 7his Request pve4pnaj neo.l ryoe of Buuaine 1 P.aolinncea wirea 1 Euuiumant wiree I ectriC umaCe Fi # Fee Service Enhance5ixa b Fee Fextlers/Subleeders fee. Circuifs °O ...? 0 to 200 qm s 0 to 30 Am s ? 0 tn 30 Am A6ove 200 q?»p5 31 to 100 qmps h 31 to 100 Am s Swimming Pool Above 100_Amps Above 100_Amps Transiormers Irrigation Booms O Partia6Other Fee L I ? Signs ? ? - Special Inspection jS J? q'0 Me?+arks /?] e?. TOTA ? ' '? / certilv that tM1e abov inSpBCt ion has bean meAB. 0// 2 va- io.sess J 260884,5, ? -k 1184 s ril° Raquest0ale ?J / M r Q Fire No. Rough-inlnapac?ion equi ?' R y? Notty /?Ready Now Q Wilh dyT?or R R 7 L '/ L G Ves o en ea IXicensed conhactor ? owner hereby request inspection ot above electrical work at: Joa Atldress iSlr9et Box or Route No.) City 36 6 9 AsN a EA(eAAJ Setlion No. Township Name or No. Rarge No. County Occupant(PFINT) T B 1 Plipne No. 7 ? q q, i? c 11l +?c . -7yo Power $upplier AOEress Electncal Conlractor (COmpany Name) Conhactor's License No. A ETA FcEC, i cqo0 ' Mailing AEtlress ICoMractor or O.vner Making Installalion) 7zy.rc-4 Ni « v EE sdH s o?? Awnonzetl SignaWre IComr oe?Owner Making Installa n? Phone NumDer .+7?..?.-?- yJ:f -7d1 MINNESOTA STATLBOAHO OF ELECTRICITY THIS INSPEGTION REQUEST WILL NOT Griggg-Midway Bltlg. - Room S173 BE NCCEPTEO BY TME STATE 80ARp 1821 Unlversity Ave., St. Paul. MN 5510G UNLESS PROPER INSPECTION FEE IS PFwne (612) 862-0900 ENCLOSED. J/? 69088 REQUEST FOR ELECTRICAL INSPECTION ? See Insimctions for completing ihis form on bdck ol yellow copy. X" Below Work Covered by This Request s'?'?'aEe.oooo,-0e ?+Y yJ ew dOtl Rep. TypeofBUilding AppliancesWiretl EpuipmenlWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Fumace Farm Air Conditioner Other(sVecily) Contractor5 Remarks: 04 7-p pa*e?CC" G/oKIC Compute Inspection Fee Below: # ' Olher Fee # ServiceEnlranceSiza Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps / 0 to 100 Amps Translormers Above 200 _ Amps Above 100 _ Amps Signs Inspecror5 U. Onry: TOTAL ? - Irrigation 8ooms (J . S Special Inspection Alarm/Gommunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Elechical Inspector, hereby certify that the above inspedion has been made. Rough-in Final oate OFFlCE USE 3NLY This request voitl 18 months irom 2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION L?1 N C) City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for. single family dwellings & townhomeslcondos when permits aze required'for each uni[ 13 3U,?? Date-za/-/-q--/ c20M 3 D,-- L ? Site Address tC1 1 v I(iU V?JO? Unit # Property Owner (6 rxf ? Telephone #(?..71 )(?Oo -!,3,3) Contractor AQ I ha - Y:h Sr ' Ci StreetAddress ,,.) . w tY State Zip sCS.5 0Q Telephane # ( ?! ) / Bond #: Expires: The Applicant is _ Owner -V---eontractor _ Other Add-on or alteration to existing dwelling unit $ 30.00 ? furnace _Additional _k-ITeplacement air exchanger lr- air conditioner _New eplacement other State Surcharge $ .50 Total NOV 1 j 2004 L ?J I hereby apply for a Residential Mechanical Permit and acknowledge that be in conformance with the ordinances and codes of the City of Eagan ax , ut only an applicarion foi a pemut, and work is not to start wif res review and approval d ap ov plan in the case o?rygrk vluh 7,6 t .?? ? 1 z is Y complete and accurate; that the work will ;hanica] Codes; that I understand this is not a that the worieq11 be i# accord4ce vtiith the ApplicanYs Printed Name 2004 COMMERCIAL MECHAIVICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: commerciallindustrial buildings mul[i-family buildings when separate permits aze not required for each dwelling unit Date Site Street Address Unit # Tenant Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) Confractor Street Address City State Zip Telephone # ( ) Bond #: Expires: The Applicant is _ Owner _ Contractor _ Other Work Type New Construction , Underground Tank _ Install _Remove'*see below Interiorlmprovement ` InstallPiping _ Processed _Gas Nature of Work: "`When installing/removing underground tank, call for inspection by Fire Marshal and Plumbing lnspector Permit Fees: 570.50 Underground tank installatioNremoval . 550.50 Miximum (includes State Sumharge) or Contract Value $ x 1% _ $ Permit Fee • If permit fee is $1,000 or less, add $50 ? $ State Surcharge If Rtrmit fee is over $1,000, add $.50 for every $1,000 permit fee $ Total Fee I hereby apply for a Commercial Mechanical Permit and acknowledge that the information is complete and accurate; tha[ the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; 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 accortlance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name ApplicanYs Signature Approved By: , Inspector Daze:, CITY OF EAGAN N? 16491 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE:454-81QQ l1 BUILDING PERMIT Receipt # ?? ti? a Tobeusedfor DECK Est.Value $1,000 Date MAY 18 , 19 $9 Site Address 3669 ASHHURY RD Lot 3 Block Z SeGSub. BLACKHAWK GLEN OFFICE USE ONLY Parcel No. iST Occupancy - FEES Zoning - w Name BRUCE & RUTH HEi.SF.i. (qcmai) cor,sc BIdg.Permit 26.00 o pddreSS 3669 ASHBURY RD (Anowable) - S 5n h City EAGAN Phone 870-6601 # of Smries urc arge ,- - Plan Review Length _ F Name SAME Depth SAC City z 0 ¢ Address S.F.TOtal , - , ? City Phone S.F. Footprints SAC,MCWCC Water Conn On Site Sewage _ ? w Name On Site weu - water Meter F z Address MWCCSystem - ¢ aW City Phone cirywater qcct.Deposit SMf Permit PRV RequiTed _ I hereby acknowlege that I have read this application and state that Ihe eooster Pump - SM! Surcharge information is correct and agree ro compty with all appiica6le State of Minnesota StaWtes and Ciy f Eag?n O?an s. Treatment PI . L ?? ?1 1- /?J SignaNre of Permitee l L ?f. V APPROVALS Roatl Unit A 8uiiding Permit is issuetl to: BRUCE OR RUTH HF.L.SEL Planner - park Ded. on the express condition that all work shall be done in accordance with all Council applicable State of Minnesola StaWtes and City of Eagan Ordinances. gidg. pry, _ Copies .. Building OfliCial Variance TOTAL 26. 50 _ 1989 BUILDING PERMIT APPLICATION - CITY OF EAG6N SIlIGLE FAMILY DWELLINGS I (..qGI INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTEs ADDRFSSE4 F08 CORNER LOTS - CONTR9CTOR/HOMEOWDIER MDST DESIGNATE iiHICH ADDRESS IS DESIRED. NO CHANGES WILL BE AL,LOWED ONCE BIIILDING PERMIT IS ISSOED. MQLTIPLE DWELLINGS RENTAL DNITS FOR SALE UBITS • OF ONIT3 INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SUR4EY - CHECg WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS CObAERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET_ OF SPECIFICAT70NS AND 7 SET_ OF ENERGy CaLCULATIONS - ;;i???op AIAY 1 5 1989 ( ?ieti 14-u) S/1 S ?8? To Be Osed For: j? p_ Valuation? te: Site Address 36b? f}S?l?vv? iec-I OFFICE OSE ON[.Y Lot ? Block I Parcel/Sub ?1 w'"04 ??,?f- --- Owner Vvl2 d' 1?iJ? 4P/4P l Address 3b6? /i S Zr ?'vi ?fU , City/Zip Code SqGQ 0 Phone Contra Addres ^,ity/Z Phone `i S S-3S?Z7 Arch./Engr. Address City/Zip Code Phone # Occupaney Zoning Actual Const Allowable # of stories Length Depth S.F. Total Footprint S.F. On site-sewage_ On site well _ MWCC System _ City water _ PRV required _ Booster Pump _ WLIA. Bldg. Permit Sureharge Plan Review SAC, City SAC, MWCC Water Conn Water Meter Acet. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Copies TO'!'AL 26, , S-d APPROVALS Planner _ Council Bldg. Off. tiLS//fLn Varianee NOTE: Sewer & Water Permit fees and aecount deposit fees will be included in the building permit Pee. Processing time for sewer and siater permits is tvo days onoe a licenaed plumber has applied for a permit at City Iiall. ?????'hul ('evyoi'l- ?vwbPj,' i3q36 l;VEYOR'S' CERT1FICATE sIENN}i CORPORATION . . . 6.6 _- ASH UB?jq'y R ADB X.e ?M i .$ 827.1 828.6 ??gZa.oj d=?36`20" ?R 71 ? R`620.69 \-?l B 2 9.56 Z j' o EklSTI `? HOUgEG 0 ? ? ^ t-I 1 S-I n - g f?- ? M 83l. J-) 1M ? ? 7 1?--_ PROpOSED P 20.0 MbUSE /G41R ( 8 3 l.4 -? (8?l. ? )6 LOT 3 ,ieao.c?l , 8302 5 ? ? ,? N ? T ? B33,fi V c 0 O N \ ! N M ljj m EXISTING ? Aq x HOUSE s I `` III1I I \ J I ? I \ v) s ? ORA/NAG ?EryT p?'Uf'!„q? TT ` -? 82e 1 ? N a? ? n V, 1? 1 ` J 7 S 1 B?22 • 01•, -+- DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET SCALE: 1 INCI1 = 30 FEET 0 UENOTES IRON MONUMENT FOUtaD PROPOSED GARAGE FLOOR = 1331,3 FEE7 X000.0 DENOTES EXl5T1NG ELEVATION PROPOSED LOWEST FLOOR = 9'23•6 FEET (000.0) DEPIOTES PROPOSED ELEVATION PROP05ED TOP OF BLOCK = 3347 FEET 41E IIEREBY CERTIFY TO SIENNA CORPORATION TtiAT THIS 15 A TRUE AND CORRECT REPRESENTA7ION Of A SURVEY OF T}iE ROl1NDA(IIES OF: Lot 3.91ock 2. BLACKNAWK GLEN 15T ADDITION, according to the recordetl plat thereof, Dakota County, hlinnesota. IT DOES NOT PURPORT TO SfIOb! IMPROVEt1ENTS OR ENCROAC}Ih1ENTS, IF ANY. AS SURV[YED 6Y ME OR UNDER MY DIRECT SUPERVISION THISi'"rN DAY Df N oV. , 19857 REVISED 7-7-e7 ro sr+ow SI?P?ED A PROPOSED HOUSE FOR LUNDGREN SROS. CONST, DY PROJECT 140. BOOK / PAGE ,IAMES-R/HILI, INC. ? /rri?.??;r?r?j ? , ? ;-? ? IIAROLD C. PETERSON, LANQ SUItVEYOR MlNfa[SOTA LICENSE NUh14ER 12294 Pianners / Engineers / Surveyors JAPViES R. HILL, INC. 8200 }lumboldt Avanue Soutli Bbominelorti Mn, 55431 012-Bt34-3029 85618(973ay) FILE NO, FOLDER CITY OF EAGAN N° 13 9 3 6 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PH ON E: 454-8100 / BUILDING PERMIT Receipt# 5- To be used for SF DWG/GAR Est.Value $105,000 Date JliLY 17 19 87 SiteAddress 3669 ASHBliRY RD Lot 3 Block 2 Sec/Sub. BLACKHAWK GLEN 1 OnSiteSewage MWCC System Parcel No. On Slte Well Giry Water a Name LUNDGREN BROS CONST w Address 935 E WAYZATA BLVD ° City WAYZATA phone 473-1231 a 0 Name ?Q Addre ' CitY- f¢ w W Name f x? Addre U aW City_ I hereby ecknowledge that I hav? read thia applicalion d state thaltheinformationiscortect?ndr'e,greetoco ply,Cvitha applicable State ot Minnesota Statutes a? 6itv of E ?rdin ces. Signature of Permittee ''?-?. ? LUNDGR^N BROS CONST A Building Permit is issued to: all work shall be done in accordance with all applicable St t?;qf M Building Official 6?'?' APPROVALS Assessmen[s WateUSewer Police Fire Engr. Planner Council BICg. Olf. APC Variance OFFICE USE ONLY ?_. Occupency _ Zoning Type ot Const X_ (ACtuan (Allowable) # of Stories Length Depih S.F. Total Footprint S.F. FEES R3 RL ? ?- $ 512.50 _ Permit _ Surcharge _ Plan Review _ SAQ City _ SAC, MWCC _ WaterConn. _ Waler Meter _ Road Unit _ Treatment P1 _ Parks Copies TOTAI 51.50 75Fi_95 100.00 525.00 575_00 67_?0 3(15 _ (lQ 1R0.00 ?T? 52?2 5 on the express condition that f City of Eagan Ordinances. . 1987 BDILDING PERMIT 6PPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLIIDE 2 SETS OF PLANS, 3 CERTIFICATES OF SOHVEY, 1 SET OF ENERGY CALCOLATIOHS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOiiNER MQST DESIGHATE WHICH ADDRESS IS DESIRED. NO CHANGES NILL BE ALLOWED ONCE BOILDING PERMIT IS ISSIIED. MOLTIPLE DWELLINGS - RFSIDENTIAI. RENTAL OAITS FOR SALE i111ITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SIIRVEY - CHECK iIITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COPM6RCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, t SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: 5"14)6 V/a?luation:?-? Site Address 3?06 /""?"_" ?i v` OFFI Lot ? Block ""2-- On Site Sewage_ MWCC System ? Pareel/Sub On Site Well Owner City Water ? ???• / ?- Address City/Zip CodeS/1'9'`f? Phone 473"Iz 9PPROYAI.S Contractor Assessments Water/Sewer Address Police Fire City/Zip Code Engr Planner Phone Council Bldg Off Arch./Engr. APC Varianee Address City/Zip Code Date: 17 ?Sr 4? Oceupaney l< ?5 Zoning 12 • ( Type of Const (Actual) IZ (Allowable) 1/ of Stories Length S 4 Depth 3Z S.F. Total Footprint S.F. FEES Permit Sureharge Plan Review Z5(o ?? SAC, City ?fx). SAC, MWCC 5Z5 Water Conn 52S" Water Meter (D'( . Road Unit 305 Treatment P1 1E30. Parks Copies ? TOTAL ?' , >„! ,_,1 4S`-- Phone # ?; ? X 20 -?o f rO ? J c? - ?S `7 2 P? 20 ?, 2Z = q.qo x ?Z =?Z? ? 2? ? 3 q- ' ?3 g? x q-,I- = S 3 g?0 io2 (76 ?SURVEYOR'S , . CERTIFICMTE SIENNA CORPORATION 6? AS BH URY?- 82X.8 - - ? M ROqD s.s 827.i ! 828.6 ,(8"L9.6) 4=6°3620° ? c 82' 7 f ao =620.89 o s a "' ° , (1 I - ? 'i=?p , . aMD/ \-829.56 M83/.o? ' .83 Z eH0sT1NG \? Q)i, 3. N? N /21.17 PROPOSED p 20.0 i 15 HOUSE /GAR.O ? 8 N N ? -' x830.8 54.0 e ? ry ?831.0? 63?/.J n ~ LOT 3 Z I 1 I I . f g ? ORA/NACE' a L ? `?'S?? 82a.T 5 , 1lJ'? ?? i? ?- BB Q i . 63 S 1B°22'01., W -- -i- UENOTES PROPOSED SURfACE DRAINAGE O DENOTES IRON MONUMENT SET • UENOTES IRON MONUMENT fOUtID X000.0 DENOTES EXISTING ELEVATION (000.0) DE!IOTES PROPOSED ELEVATION 41E HEREBY CERTIFY TO SIENNA CORPORATION IiEPRESENTATION OF A SURVEY OF TFIE 40UNDARIES OF: - - ? ? I 833.11 CV i ? V a O ? N \ M ? EXISTING N x HOUSE ? . CD m N ^ ^ ? I •?g?? - ? ? SCALE: 1 INCH = 30 FEET PROPOSED GARAGE FLOOR = P,30 FEET PROPOSED LOWEST FLOOR = 9'23.G FEET PROPOSED TOP OF BLOCK = 331.7 FEET TfiAT TfIIS IS A TRUE AND CORRECT Lot 3,81ock 2, BLACKHAWK GLEN 15T AUDITION, according to tlie recorded plat thereof, Dakota County, Minnesota. JAMES R. HILL, INC. ( ;I :??,??4.9?? IIAROLD C. PETERSON, LAPID SURVEYOR h1INN[SOTA LICENSE NUFIBER 12294 JAPViES R. HILL, INC. Planners / Engineers / Surveyors 8200 tlumboldt Avonue South Bbominelort, Mn. 55431 012-084-3029 IT OOES NOT PURPORT 70 SHOW. IMPROVEP1ENTS OR ENCROACHMENTS, IF ANY. AS SURVEYED 4Y ME OR UNDER MY DIRECT SUPERVISION THIS i3TN pAY OF NoV. , 1985? REVISED 7-7-87 TO SHOW SIGNED: A PROPOSED HOUSE FOR LUNDGREN BROS. CONST, [3Y: PROJECT NO. BOOK / PAGE 85618(9739y) F1LE N0. FOLDER Cities Di ital uality Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. ••'• +? ???.,' S • . ??? ?? ? ? ? ? ?`? ? CONSlRUC1101?--__-- ---- . IIJC. EOULEVkRD • ?VhYZATA, rrndr,!ESOTl; 55391 ` (012) <7=%?1231 935 EAS7 ?•VNYZHTA Ey,1EP.I0P, EIIVELOPE F.VEP.kGE U C0:'?PUTATI0f4 ?/?, LG? Lot -? Bloch') Site Addres 3GG j? ? . R u R & - _058 ppaoue 4lalls _ .117 41a11 Framing Freas 023 ; Ceiling Insulation Area - .027 Ceiling Framing Area , _04 Rim Joist - _le 1•Sasonry Wall .26 ;lindows Double Hung = ,4E Doors ? Patio Goors 1! Sidelites 1) Lo«er Level (Sasement) 7ota7 exoosed wall area Opaoue IJall Area IJood Frame Area Rim Joist Exposed block . Window Area $liding Glass Door Door Area C CzsemenLs .18 _46 _47 ? ?x (u) -058 = _?- - x _ (U) -117 = ?- - X (U) .04 = - ?- io x (u) .14 = ? . 4 6 Casement ?-X ??? .26 Double Hung -x (U) -46 = = -- . ? x ' . (U) -18 -- /?" ? ? Total - 2) L 6 c, oJCT RUC110IJ ---- . VJNYZNTl,, t?INN[SOTA 5S391 • (6?2) 473-1231 9'?5 EAST vJHYZAT<. BOUIEVkRO lst or r,ain floor Total ex.posed wall area ppaoue 1:4all area biood frame area Rim joist ldindow P•rea ; Sliding Glass Door Door area Casements Double Nung Sidelites ;3) 2nd ?loor if 2 s'?ory ' lotal exposed wall area ' Ooaoue wall area I wood frame area I•lindow area Sliding glass door Door area 4) Total ceiling area Wood frame area ppaque ceiling area Skylight C Casements Double Hung /a L-:? 8?2X (u) -oss = ?8 OS! ?X (u) .iv = 04 (u) . (U) _46 -26 = ax ,?O x (U) •46 L = ,.3Y_.x (U) .la 1-3x (U) .47 = ?-?-- - m? 2, Total i ?8a ?X 9 (u) .ass (u) -117 ? X ? ?X ? ?U3 . 4 6 .26 = = ? fX (U) _46 = ?- _x (U) -18 = ?- Total ax (u) _027 = _7 ?iLL-x ?u) .023 = P D ---x (u) -55 =.- --- Total ? ? ? iA -r ? - COJCIRUCIIOIJ - ? , I!iUJI?FSOTA 5539; • (612) 473-1231 ?- - °_35 EH57 VJl,YZNTA EOULEVARD • l?Jf,YZhTN. X ?-5 O_ Hinn. U Factors Total er.posed viall zrea y, .020 = a-s hinn. U Factors iotal expos°d ceiling area??- (A) Total ,?,+ Item 2J?O+ Item 3 ?'" I?em 4o?a I tem 1?1,Se? --If total of I-Lems 1- 4 is less than Item (A), building comolies witn SBC o006 (C)s ? GOLD COPY-PERPIIT RELEASE FORM PERMIT ll ?c-o cc?q ADDRESS PICKED UF ? ?, ? CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION *UTr,: PAYMEKS OF FEE AT TIME pF APriscAMorr noEs Nor CONSMMM APPR(7f71,i. OF PERMIIT. INSPFXTION OF SM'I2 ADID/O2 FiATIIt Tni.STAiSATTpN$ WIIL NOP BE SQ'lED- ULID [JDTFIL PII2MLT HAS BEHg APPROVID. ?. P ease Print 1) FROPERTY ADDRESS: '- ---?R,? LEGAL DESCRIPTION: Lot Block Subdivision or Tax Parce ID ) IE' E}QSTING S1RLMME, DATE OF ORIGINAL BC'ILDING PII2MZT ISSOANCE: '7 B? PRFSENr ZONING/PROPOSID LSE: (Nbnt eaz 0 COhW[2CIAL/REfAIL/OFFICE F7 IbIIK.'STRIAL n INS"I'I=ONAL/GOVERDA= 2) ? NAME: ADDRESS: ? R-1 SINGLE FAPIILY ? R-2 DOPLEX (24,o Units) ? R-3 'IOWNHOUSE (Three + Units) ? R-4 APARTMENP/COAIDOMINILTM CITY, S'!'p.TE. ZIP: pxoNE: 'f 73 - /2 3 / 3) • i: m• rAME: ALIDRFSS : CITY. STATE, ZIP: PHONE: q2? - /2 3 ! ru+sTER isCEvsE# ( Units) ( Units) rlumoers liicense: ? Active Expired Not recorded st?' initia]. 41 NAPE: _ ADDRESS: CITY, STp,TE, ZIP: PHONE: . , 5) . i? a• • ?• : a • • • ?? ? CONNEC.TION S0 CITY SEHM ? CpNNIDC,'TION M CITY WATII2 ? OTIm '. . 6) P7,F1ASE HOID APPROVID PEREIIT FC)R PICK-UP BY ONE OF ABOVE ? PLEASE MAIL APPROVID PERWT TO 1. 2. 3. 4. ABCnIE . ? e ? A / ? (Circle one) ' - : FOR :CITY USE ONLY ' PERMIT # ISSLED ?a Pd w/Bldg. Permit FEES: $ $ SEWER PERMIT (INCLLDE SURCHARG?:) $ WATER PERMIT (INCLUDE SL'RCHARGE) $ 67$ WATER METER/COPPERHORN/OL'TSIDE READER $ $ WATER TAP (INCLL'DE CORPORATION STOP) $ $ SEWER TAP $ ACCOUNT DEPOSIT - SEWER $ $ / $'o-o ACCOUNT DEPOSIT - WATER ? $ WAC $ 1= ZSa? s sAC' $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRLNK WATER $ I X ?'?Ta $ WATER TREATMENT PLANT SORCHARGE $ $ OTHER: $ --7?5 139 2??C7 S TOTAL -7',SZ 7 ? RECEIPT IRECEIPT DOES UTILITY CONNECTTON REQUZRE EXCAVATION IN PUBLIC RIGHT OF WAY? ? YES VIF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MLST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CO[VDITION. SUB.7ECT TO THE FOLLOWING CONDITIONS: APPROVED BY: ZL_? PA? TITLE: DATE : ( /2? Z 07 CLAIpf VOUCHER - REFIIND REQUEST CITY OF EAGAN CLAI14ANT FT.ARF. HF.ATTNG ADDRESS 664 MENDELSSOHN AVENUE NORTH GOLDEN VALLEY MN 55427 Location Receipt No./Date Reason for Refund Type of Refund 3669 ASHBIIRY ROAiI LA R9 RT.ACKHASdK EN 1 - Z999R?19-IR-R7 DUPLICATE PERMIT Electrical Permit Plumbing Permit Mechanical Permit Surcharge Water Connection Permit Sewer Connection Permit Account Deposit Utility Account Over-Payment Other: 01-3211 $ 01-3212 $ 01-3213 $ 25.50 01-2155 $ 20-3713 $ 20-3743 $ 20-2252 $ 20-2250 $ $ $ TOTAL $ 25.50 I declare under the penalties of law that this account, claim or demand is 3ust and that no part of it has been paid. i *SignDECEMBER 22. 1987 ature Date /3 y/3 1? L 3 BL 2? GITY USE ONLY RECEIPT #: I SUBD. wALLCwW lc am RECEIPTDATE: 00 PERMIT # "1 I 1 O 7 2000 PLUMBING PERMIT (RESIDENTIAL) CITY OE EA6AN 3830 PILOT IQNOH RD EPaGPN, TSi 55122 651-661-4675 Please complete for: D single family dwellings ? townhomes and condos when permits are required for each unit ? 6ackflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Alterations to existing dwelling - minimum fee Describe: $ 30.00 Bath tub ? $ 3.00 x = $ Floor drain 3.00 x = $ Gas iping outlet ' minimum - 1 3.00 x = $ Hot tub/spa 3.00 x = $ Kitchen sink 3.00 x = $ Laundry tray 3.00 x = $ Lavatory 3.00 x = $ Septic System newireturtisned " requlres MPC lie. 75.00 x = $ Septic System abandonment 30.00 x = $ RPZ new installation/repaidrebuild 30.00 X = $ Rough o ening 1.50 x = $ Shower 3.00 x = $ Underground sprinkler if dwelling is under wnstruction 3.00 x = $ Under round sprinkler if axisting dwelling 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x = $ Water softener If dwelling under consVUCtlon 5.00 x = $ Water softener if existing dvrelling 30.00 x = $ Water turnaround 30.00 x $ State Surcharge 50 --> --> -> $ .50 TOtal --> --? --? ---? $ Reminder: Caii for inspections of alterations, i.e. water heaters, water softeners, etc. -------------------------------- -------------------------d ----------------- compty with -- all - a-----------------• -------------- - - appli - cation - , - sGte - that the iMOrmation is wrtect, an agree to ppliwble Ciry of Eagan ordinances. I hereby- ------- acknowiedge - - that I - have - - read - this - It is the applicant's responsibility to notity the property owner that the City of Eagan assumes no lia6ility for any damages caused by the City during its nortnal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement. SITE ADDRESS: OWNER NAME: :TPYPQa EJIC?? v TELEPHONE #: L.9CJ I 0 O` (AREA CODE) INSTALLER NAME: 1" 1r ?VUI?.f TELEPHONE #: STREET ADDRESS: ` LO 1, ) l LL Y Y"1 1f?1? 1.i) L-r ?J?_>-` 3 v *T t v ?, CITY: ST TE: ZIP: ff::? It . . -q.;^. SIGNATURE OF RMITTEE 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWctian Reouiremenfs 3 registered site surveys showing sq. ft. d lot, sq. tt. of house; and all roMed areas (2D%maximum lot coverage allowed) 1 Soils Report if proposed buildirg is lo be placed an disWr6ed sal 2 wpies of plan showing bemn 6 vnndow sizes; pouretl found desi9n, Nc. 15etMEneryyCalculations 3 copies N Tree Preservation Plan if lat plattad after 711793 Rim Jast Deqil Options selectian sheet (buildings with 3 or less units) Minnegasco medianical ventilation foim RemodeVReoair Reauirements 2 copies of plan showing fmtlngs, beams,joists i set N Energy Calalations fa heated additions 1 site survey far additions & tlecks AddN'on -irMicata if an-site septic system Dffice?UseOnlv CeM1OfSurveyRecd _Y N SoilsReport _Y _N Tree PTes Plan Rectl _Y _ N. 7ree Pres Required, Y 'N Ortsde Sep6c System Y '. N Plans are considered nuhiic information unless vou stafe thev are trade secret and the reason. Date 10 / 22 SiteAddress 3U(pc( AS4-,? kx)rtA ?-6 Construction Cost Ucx-iig] Unit/Ste # Description of Work I bK>tZ d?F t ?- ??oc-? (7 Multi-Family Bldg _ Y- '2( N Fireplace(s) _ 0 _ 1 ^ 2 Property Owner }os?l {4 p P. 1 T Telephone #(U IZ) E?L72 4 N 30 Contractor w?,?TE}? yL Gv C'? ?2?'j C o -SYfivC t`?i?a?J Address '5(-9 H-1 lYl ?-M ?l (Li r'?1? State MN f?Aj. lQ • City 5{-+ I,LVnl F4 T??'- Zip 55c??fZ. Telephone#(los{) '-l39 '-437=o COMP4ETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING -- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Enefgy COde Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submisslan 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 Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone # ( Telephone # ( I hereby apply for a Residential Building Permit and acknowledge that the information is wmplete 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. CAssyan; D 244 Wi?-,ict lc- Applicant's Printed Name ApplicanYs Signatu er Cllyof Eaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675=5694 Use BLUE or BLACK Ink Permit 1r: Permit Fee: I Date Received: CiI I�a'�� J r� 2011 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 12 ✓ 1 � t)- SIta Address: Qj 1 Wou f Gin �l -s-3----/Da Tenant �1i0`�J G Suiten: RESIDENT / OWNER CONTRACTOR Name: Phone: / D ,2 - ) m Addiees / City /Zip: Name; MILBERT COMPANY INC.dba GAN W_A Address: 1801 50Th ST EAST City: '. • INVER GROVE 'IGTS State: • MN • Zip; 55077.Phone: 65.1 •;:45]:-2241 • Contact BILL.MILBE` j , TYPE OF WORK PERMIT TYPE Email: __New Replacement — Repair _ Rebuild _ Modify Space Work In.R.O.W. Description of Work: RESIDENTIAL • • Water Heater ' Lawn hrlgatl n (.__ RPZ/PVB) Septic System _ New • —Abandonment ,[Water Softener Add Plumbing Fixtures L. Main / Lower Level) Water Tumaround RESIDENTIAL FEES: 355.00 MlntmumWater Heater, Water Softener, or Water Heater Softener (Includes 35.00 State Surcharge) $35.00 Lawn Irrigation (nclddes 35.00 State Surcharge) 355.00 Add Plumbing Flxtutes, Septic System Abandonment. Water Turnaround* (Includes 35.00 State Surcharge) 'Water Turnaround (add 5166.001fa 5/8' meter Is required) • 3105.00 Septic System liele (310.00 per as built) (Includes County fee and 35.00 State Surcharge) 385.00 Flre Repair (replace burned out appliances, ductwork, etc.) (Includes 35.00 Stats Surcharge) TOTAL. FEES CALL BEFOREYOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utiltty damage. Call 48 hours before you intend to dig to recelva locates of underground utilities: yrww.000herstateonecall.orhi ' 1 hereby acknowledge that this Inti matron N comphte and accurate; that the work will be In conformance with the ordinances and codes of the alit d Eagan; that I understand this N a penult, buy •an application fora permit, and work b rtot to start without a permit: that the watt WIbe It accordance with pproved pia In the ca d work which requires a raNew and approval • ans. • X f 111-144_ 14( lif-.7— 11 ./(1 Appllcan s • Applicant's Printed Name • Cit of Eaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: 1/(01q5 - Permit I(Vg9. Permit Fee: 10 has Date Received: 10 hit T /'L Staff: _IV 2013 RESIDENTIAL BUILDING PERMIT APPLICATION J Date: /D //q J i 3 Site Address: 36,6 y hsA .&4 r yged Unit #: Resident/ Owner Name: Te.' -c 14 n Sen Phone: 65/ - 22. 4 - 7V sks- Address / City / Zip: 3664 A s A 4 w r, I?d Applicant is: Owner Contractor Type of Work`' Description of work: R e ra o 11 Construction Cost: _j d 0 0, oh Multi -Family Building: (Yes / No tom) Contractor Company: _ Dr e a m s c' 4/ , .1 :Til G Contact Ce r y 6 A o j Address: 9/ O a ,i/ 6J 66#4* S f O -S. /41 ,e0#1,4 -f,../ 2 City: f State: /4/ 1/ Zip: S50yel Phone: SO 7 --‘ ys6 -/d g 1 License #: eC - th03.5'(0 0 Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) In the last 12 months, Yes _No If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE: Plans and supporting documents that you submit are, considered to be public information. Portions of the information may be classified as non-public if you provide speck reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. CaII 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.ora 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 1 understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x oAr'y Cool Applicantl Printed Name Appiicant'Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA178570 Date Issued:08/24/2022 Permit Category:ePermit Site Address: 3669 Ashbury Rd Lot:3 Block: 2 Addition: Blackhawk Glen PID:10-14350-02-030 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: 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 - Ava Teresa Pait 3669 Ashbury Rd Eagan MN 55122--125 (612) 802-9430 Builders & Remodelers Inc 5301 East River Road Suite 110 Fridley MN 55421 (612) 827-5481 Applicant/Permitee: Signature Issued By: Signature