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1577 Ashbury PlCITY OF EAGAN Remarks D I? #:L- 1(o = 4 g Addition Rlackhawk Glen11--st Lot 9 Blk ? Parcel 1-.0- 1-4?50 090 (?-. Owner Street 1577 AGhhur?4 Place 5tate Eagan M1T 5519? Improvement Date Amount Annuai Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER ' SIDEWALK STREET LIGHT Road Unit $280.00 57658 11 19 85 WATER CONN, 500.00 of BUILDING PER. 131 SAC 525.00 PARK Reaipt 1. Daw 11 -. Z. Installi 3. Job Addreu :::`1r .r- _L 4. Owrwr 6. Contraetor ? 8. Addrou 7. City 8. Buildin9 Type: Residential 0 G 9. Work Description: New D Add 10. Describe ? - ,+. : ti. _. t 11• PERMIT Pennit No. aAN FM d? S/C ep?ay Tpj, -?•--- CDSt BI Trsct Phone Zip `54f?r/ mercial O Institutional 0 Alter ? Repair ? Fuel Type . No, 4 9TU • M. Ea. o. EQUiament CFM Ai H dli r an ng: 7 Mech. Exhaust Mfg. ther Air Cond. ? Mfg. Gas, Piping Outle ts 12. 1 hereby certify that the above information is true and correct, and I agree to complY with all ardinances and codes governing this type of work. Signed : for Rough F inal InspeCtions: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CtTY OF EAGAN 454-8100 a?........ . ?,?„-.......,s. 16: ^S ? 30 Pilot Knob Road, P.O. Box 21-199, Eagan, MN_55121 ?. -??? PHONE:454-8100 BUILDING PERMIT Receipt # V To be used for "-'DWGr ??A ?•: Est Value $8 3, 0 Q,` Date NOVFN'B}JR 11" , 19 85 Site Address 1'77 AS H f3U -Z Y.' i., Erect Cf' Occupancy R 3 Lot Block 1 Sec/Sub. 1:iLA.CKHAWY GLFNRemodel ? Zoning Parcel No. 1ST Repair ? Type of Const. V Addition ? No. Stories ? Name ??' ??'•i R t;N $,IOS CCiNST ZNC Move ? Length 4 b Demolish ? De th d?, o Address y c? ??? dtiAYZA''A bLVri P YrA Y Z?1`"r Int. Impr. ? Sq. Ft. City ?f1'dne 473-1231 Install ? = F Nart ? ¢ Add 1- Ciry o ?- ¢ W W r= U93 x= t W SAME Phone I hereby acknowledge that I hav iniormation is correct and agre Minnesota Statutes and City of Signature of Permittee A Building Permit is issued to: all work shall be done in accordance Building Official Assessment Water & Sew. Police Fire Eng. Planner Council I LIVI 1 a„u ?La,V LIIa, «IV Bidg. all applicable State of _ _ Permit ' 00 Surcharge • 50 Plan Review -gr' 0 0 SAC 575' fl 0 Water Cann. • 0 0 Water Meter ? O Road Unit ' 5fr. PI. --- =. 0 0 Var. Date Copie Total .. ° BROS C(7[tiSTRUCTIC'N an the express condition that ate of Minnesota Statutes and Cityr of Eagan Ordinances. PsrmN No. PwmMt HoldK Date TNsphons # Plumbing I - `7 C - . ? ? - - H.V.A. . Eleetrfc l,7) ? r A 5 v ,n( 1 600/ff / 12- IntpscNon Date Insp. CommeMs Footings 1 Footinya 11 FoundaNon Freming RooNng Aough Plby. --6 Rough Hty. ??/-?G ?•b! . O?/ in.ul. Firopiaee ? Final Hty. ? Final Plby. Bldp. Final Cert.Occ. Oeck Ftg. Deek FrmQ. Well D scribe Loca Pr. Dhp. 1-108gy PERMIT # CITY OF EAGAN 4?, MECHANICAL PERMIT RECEIPT # 454-8100 MINIMUM RESIDENTIAL FEE - $70.00 * $•50 DATE MINIMUM COMMERCIAL FEE `5200 + $.50 F ? 1. Bldg. Type: Res ? Comm Inst 2. New _/ - Add - S ? --, ??`:?? ? 3. Tota1 Bid Price 4. Job Address Lot? Block ? Sec VL 1''5. Owner Y l( ? F- 6. CoMractor t- «f ` -k- tA4q (Name) 7. Contractor Phone #?? FEE ? s/c - ?-? TOTAL Alter lQ Repair ?C L?_ , i?,'..?. I:r? (zip) SSet 2 r 1 RESIDENTIAL HEATING - 01-100,000 BTU's -$24.00. Each additional 50,000 BTU's or fraction -$6.00 RESIDENTIAL COOLING - 01-24,000 BTU's -$12.00. Each additional 6,000 BTU's or fraction -$6.00 = MODIFICATIONS/ALTERATIONS -$10.00 minimum fee ' HEATING VENTILATING HOT WATER STEAM AIR COND. TAIR PIPING PROCESSED PIPING AIR HAND. EQUIP. RtFRIG. RES. GAS PIPING OUTLE7S -$1.50 TANKS: - L.P. UNDERGROUND OTHER PERMIT #? ? CITY OF EAGAN FEE . ,, PLUMBING PERMIT ? RECEIPT # 454-8100 S/C MINIMUM RESIDENTIAL FEE - $70.00 + $.50 TOTAL 35 C U DATE MINIMUM COMMERCIAL FEE - $20.00 + $.50 1. Bidg. Type: Res ? Comm Inst 2. New ? Add Alter Repair 3. Total Bid Price 4. Job Address / 5,7 Lot ? Block ? Sec4' Qy ?- Gw ?G1c-fj J 5. Owner 6. Contractor . ? lrJ?l/'<iTr,' 7. (Name) Contractor Phone # y7.3- (? 3 / ( Street) ( itY) (ziP) NO. FIXTURES ? Water Closet - $3.00 ? Bath Tubs - $3.00 4- Lavatory - $3.00 ? Shower - $3.00 ?Kitchen Sink - $3.00 -.Urinal/Bidet - $3.00 NO. FIXTURES _LLaundry Tray - $3.00 ?Ffoor Drains - $1.50 _Water Heater - $1.50 Whiripool - $3.00 =Gas Piping Outlets - $1.50 -Softener - $5.00 NO. FIXTURES -Wetl - $10.00 -Private Disp Syst - $10.00 -Rough Openings w/o Fixtures - $1.50 COMM./IND. RATE - 1% OF TOTAL BID PRICE PLUS $.50 STATE SURCHARGE FOR EACH $1,000 OF FEE. Signed: for ?-' Approved Inspections: Date Rough Insp. Date Final Insp. PLUMBING PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 Site Address m Name ?o Addre c CityiL Name 3 Address / T 2 1 0 City '?•??_ ? -.,? Phone COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE & CONOO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - a12•00 MINIMUM - COMM/IND FEE - $20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) PERMIT q l ?v -2 RECEIPT # 7 7// k DATE: y /'F A 7 FOR CITY OF EAGAN BLDG. TYPE WORK DESCRIPTION Res. New Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Water Closet - $3.00 $ Bath Tubs - $3.00 Lavatory - $3.40 Shower - $3.00 Kitchen Sink - $3.00 Urinal/Bidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - $1.50 Whiripool - $3.00 Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIT) ? Softener - $5.00 - - Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE: s a ?' STATE S/C: GRAND TOTAL• -5 r 5-0 y,Z Site Address m Name _ ? Address c City _ MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: _ - PHONE: 454-9100 ? Name 3 Address ? - O CitY Phone TYPE OF WORK Forced Air Boiler Unit Heater Air Cond Vent Gas Piping Outlets # Other M BTU M BTU M BTU ? M BTU CFM BLDG.TYPE Res. Muft Comm. Other WORK DESCRIPTION New Add-on X Repair FEES RES, HVAC 0-100 M BTU -$24.00 ADDIT{QNAL 50 M dTU . 6.00 (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTiON) GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA. COMM/IND FEE - 196 OF CONTRACT FEE APT BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPUES MINIMUM RESIDENTIAL FEE - ALL ADD-ON & REMODELS MINIMUM COMMERCIAL FEE - 12.00 - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000) FEE: ' .A _ ?.', _ • , - r --.? S/C: StGNATURE OF PERMITTEE ` f TOTAI; 'FOR: CITY OF EAGAN CONTRACT PRICE PERMIT # PLUMBING PERMIT CITY OF EAGAN RECEIPT # 3330 PILOT KNOB ROAO, EAGAN, MN 55122 dATE: PHONE: 454-8100 Site Addrqss Lot ? Block .? Sec/Sub _ r ?. • ? ?- m r Name ? Address 1?. 7 A•y l. ? l,._ . . c City Phone 7 :. ? Name b(.D Address O Ciry Phone FEES COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE & CONDO - RES. FiATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.00 MINIMUM - COMM/IND FEE - $20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BE _$1,000.00) SIGNA URE OF E --? e FOR: CITY OF EAGAN 'D BLDG. TYPE WORK DESCRIPTION Res. - _.Nevr-=T'' Mult. Add-on _)S_ Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO FIXTURES TOTAL Water Closet - $3.00 $ Bath Tubs - $3.00 Lavatory - $3.00 ? Shower - $3.00 Kitchen Sink - $3.00 Urinal/Bidet - $3.00 Laundry Tray - $100 Floor Drains - $1.50 Water Heater - $1.50 Whirlpool - $3.00 Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMiT) Softener - $5.00 Well - 3t0.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE: STATE S/C: P!12AL111 TATA1 CITY OF EAG N A WATER SERVICE PERMIT 3830 P?i?ot Knob Rosd -- J3 z J P.P.. 6ox 21199 PERMIT NQ.: Eayen, MN 55121 D/1TE: Zoniny:. . No. of Units: O wner: Address: Sib /lddress: Plumber. 1?Aeftr No.: Connection Q+orye: Sine: Account Deposit: Reoder No.: Ptrmit Fee: 1 Nrw N aeopol wilb !ia Gty of lmpw Surchorpe: OrdtMmem . AAitc. Charpes: Total: By Dats Poid: Date of (nsp.: Insp.: CITY OF EAGAN SEWER SBtVia PERMIT 3830 ?Sktt Knob Road P.O. Box 21199 PERMIT NO.: , Eagan, MN 55121 DAI'E: Ioninp: ?z ? No. of Units: - Owner: undizre*1 ros. Addross: Site Addross: 1577 -a ul'y aGe ,. ?. Piumber -`.!.`-?.t, _ Ye^ LroB . P ' ??rn . i[tr t yiw fs assplp wNh 1W Cify ef !ep¦ ConneCtFon Ciwrpe: Of,iNwaM. ACOO1int DepOiit: Penrdt Fee: Surcharqa: By Misc Choroes: . Date of Inap.: Totol: Insp.: Daft Poid: --.?. • ?? . , •.4 (Itrtifiratit uf (Orrupanry titp of (eagan gppwtmPtlt Af lUdbwg hmPtflDtt This Certificate issued pursuant to the requiremenu of Section 306 of the Uniform Building Code certifying that at dte time of issuance this srructure was in coinpliance with the various ordinances of the City reguladng building carrstruct[on or use. For the fo!lowing: uee (]asa6auoe M./CAR Bldg. Porwit No. OWUPIayTYPe R3 ZoaW Ust^ct Type C"mt ?` f '1?;"? - 1! '??5 R. u..w..?„I:?- -- a'' OwoerofBuildine p??y Bum7dug Add= , ,7 AF7T7" L=1ity 19, Bl• DaeC "FtLl Bw'1&n6 Olficial POST IN A CONSPICUOUS PLACE CITY OF EAGAN INATER SERVICE PERMIT 3830 PiO Knob Road 73 ? 7 P. D. Box 21199 , PERMIT NO.: Eagan, MN 551p ;; -- ,_ DATE: ? ?ing' ' No. of Unots: un gr n o. Ownsr; /lddress: S1377 lts Address: .s urq a ,. . .? ec ias.?: s, .? gr . Plumber. • Meter No.: ,3l0 7.'1rs/ .1r C???; ''. p'' S`r h'o?L ?lfOt? t?II illE 0?l?, t: ..?p?? rteade¦ No.:OJN6S7 jELt?lONf ' -FlFG?ir?t ?S. i . `p: 5?'' n . 1 m 1o wiH? ??° O?mas. ? IVI? Qi rpeb ' `s: By Dote of I rtsp.: Total. S . Uup meter Date Paid: I mp.. Li - a? -K(,. ihis re4uest vo?Q?(? , / ' ? '? ? -?? 16 munths Irom ? p y flepue-t Date J Fre No. Rnunh- in Insper,UOn _? S Re ?qvired> ? ?fteatly Now ? NJill Nntily Inspec- Yeti o tor When floadY ? Licensed Elettncal Contmctor 1 hereby repuest inspection oi above Owner electncal work installed eY Sveet Address, Boz or Rovte o. /S7 ) a Ca til? ecuon o. Townsh?p Name or No. Range Nn. Couni Occupdnt(PFINT) P one No. Power Supplier ? Address Elecincal ConVac[or (CO p ny Name) Conharmr's Lia:nse No. Ma ImH AdJress ICOntmcmr or Owner MakinB lnslailatioN ` V 4 Auth ri ed Signa[ure I o h 1 Owner Makon Install onl P umber MINNESOTA STATE BOARD OF ELECTHICITV THIS INSPECTION HEQUEST WILL NOT GriB9s•Midwey BIdB• - Room N-191 BE ACCEPTED BY THE STATE BOAHD 1827 UmversstV Ave., St Peul. MN 55104 UNI.ESS PFOPEN INSPECTION FEE IS Phona (612) 29]-2711 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ee-uuw,-ua • ? ?? ' Sae instrucbuns for campleting this torm on back of yellow co0v. ? ? ???n`X'" Below Work Covered by 7his Requesf New lFddl liep.j Typa of 9uiltling ApOlioncesWReA Equipment Wired Home Range Temjwrary Service Duplez Water Heater Lighhny Fiztures Apt. 8uilding Dryer Electnc HeaLn Commercial BIAy. Furnace Silo Unloader industnal Bldg. Air Condiboner BWk Milk Tenk Farm Othei pe?i v ther ISner.ifyl the? SVeci y thCr Othpr ComDu[e /nsDecUOn Fee Selow p Fee ServiceEntrence$ize p Fee Ferders/5ubfexders rt Fee Crtr.wts O• C 0 to 200 Am 5 0 to 30 qm s 0 to 30 An± s Above 200 qmps 31 to 100 qmps 31 ta 100 Am s Swimminy Poal Abwe 100_-Am s Above 100_ARIPS Transiormers Irngdtion Boorc?s Partial- Othei Fee Signs Special Inspectron cO - TO TAL FEE I ` aem3.ks . ? G, ?J ? Rough-in ? Dale I Elecincal Inspector, he,oby ce fy that tha above Final ? (t! mspecnon has bean mnda. This requeat vold 18 months iro. This montnhs Irom'd ?q! 7 a" I , t ° 075038 L?1(?F ?16de-kQo{c.Gle...f 6-2 ftequest Da?te Fire No. Rouph-in Inspectinn , ? ? Reqwred? ?'fleady Now *Vill NoLty InsPec- / ? ?.? ?'es ?No ?or When Ready c EP?icereed Electncal Con[nctor 1 hereby reques[ mspeclion of above ? Owner elechmal work installed at' - Sireet Ad^dress, 9oz or Route No. /? i GtY eclion o. Township ame or No. Fange No. Cm 44 Dcc am (PHINT ? one No. Pow Su? er AAdress Ele tncal Cn Vacmr IC o Namel C lrmtor"s License No. "* %0 YC 7 Mailing AAdress (C tractor or Owner Makinp InstailaLOn) Au h ¢ C SiBcaIDre I nv odOwner Makiny Ins Ilauon Phnne Number 63 - 3 Y? MINNESOTA STATE BOAHD OF ELECTRICIiV 7H15 INSPECTION FEQUEST WILL NOT Griggs-Midway 91dg. - Noom N-197 BE ACCEPTED HY THE STATE BOARD 1821 Iln.vareiiy Ave., St. Paul, MN 55100 UNLESS PROPER INSPECTION PEE IS Phona (fi12) 297-2111 ENCLOSED. This rnQUesl votd iP,. nrti?i- v/? O ??757 D 51243kc / : " k o°-° -n.e i Faques? I]at ? ? / Fire No. Rough-in Inspectwn Re ulretl? eadY Nuw C]WtII NoblY Inspeo ?3 ?? O Ves o tor When Ready icensetl Electrical CunVactor I hereby request in50ecUOn of ebove Owne.r eleclrical work instelled et: Sheet Adtlress, Box or Raote No. C rty /S'? /3Sr+8uR Pc.racE ?6,4ko ecuon o. Township Name or No. Hange No. County Ocr.uoant IPNINTI ri c,(_?N Phone No. cvs-? Power $up0lier Atldress Electncal Contractor (COmDany Name) CnnVactor's License No. (vF)l.Aicr? Ci?iC JNC, Mailine ?+dJrecs (Cm[raccor or Own Makinp Installauon) Y ? Rro6E ?ri?fh.; l?io? Ss/aa Author ed SAgna re Co ct Owner Makinq InsLL+llation) Phpne Number ? ys?-3 ?. MINNESOTA STATE BOARD OF ELECiNICIiV Grnggs-MitlwaY Blde. - Aoom N•191 1821 Universitv Ave., St. Paul. MN 55104 PhOne (612) 642-0800 THIS INSPECTION ftEQVEST WILL NOT 6E ACCEPTED BY THE STATE BOARD UNLESS PROPEN INSPECTION FEE IS ENCLOSED. REQUEST FOR ELECTRICAL INSPECTlON ee-ooooi-oe 8' ? / Sae inshuc4ans br'completi,q this form on baek of yellow copy. -2 ?l '5124-3' •'X'" Be/ow Work Covered by Ms Request M Pee ServicaEnbance5ize 4 Fee Fexders/Subfeeders N Fex Crtcuits fO to 200 qmps 0 to 30 qm s 0 to 30 An s A6ove 200 Amps 31 to 100 Amps 31 to 100 Am s Swimmin Pool Above 100_Amps Above 100_Am1s Tranyrormer5 S Irrigation 8ooms „$'U Partial.'Other Fee igns Speciallnspection em?rks S10,S!?) TOT F?E nal I, the EF41MTT-..Ti In3pBCbq hBrBOy cer4fy thet the above inspecUOn hes been mede. Thlereduest This requesi voitl ??Q1C(j 16 mon[hs Irom v??0 0 66215ic, C] Livensed I \-g I ` l a O ical Convactor ? \ eVL '? ? ? iph-in Inspecunn Iwred> ?AOatlv Now Q W,11 Nolifv ]VOs ? No Insoec- 1or When ReadY I hereby requast inspection of above electncel work mslalled aY Owner 5lreet Address, Box or Route No. CLIV s-) ecLOn o. Townshi0 Name or 4*041, Ra?Be No. Couory Dc, V- e?a- o,,?uu r(PRINT) - - ?o„3sz r A1kc r?. b ? ,?.. Power Suu0lier AAdress mel "s License No. Cnnttactor Electrical Convacmr IComVanv Maihng AdJress ICon[ractor or Ov?/?r Making Instatlavonl N r A on d S?enaWr ac dOwn tallat?onl Phone Number -L ).&- <,- rw i5 iNSPFCTION HEQUEST WILI NOT MINNESOTA STATeroo?wPD OF ELEGTNICITV BE ACCEPTED BY THE STATE BOARD Griggs•Mldwey Blde• - Room N-197 UNLESS PNOPEH INSPECTION FEE IS 1827 Universrtv Ava.. Si. Peul. MN 65704 ENCLOSED. vhona I6721 642-0e00 _. REQUEST FOR ELECTRICAL INSPECTION es-ooaoi-os / Sae instr»hons for comolelmg fhis lorm on back ol vellow coDY. ? "X" Selow Work Covered by 7his Request ? C?' f?f 215 ' Ada xeo. Tvoa oi 13.0dnne APOlioncea Wirea Eauiurinent wi.ed Home Range Temporary Service Duplex Water Heater Lightiny Fixtures Apt. BmIAmg Dryei Electric HeaUn Commerciai Bldy Fum2ce Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm omrr oeulv Oihe•r 15ncr.ifvl < nr suoutv otncr nin,?r Compu[e fnspection Fee Below p Fee Service Enhance$ize H iee Fexders/Subfeedars # Fee Circwts 0 to 200 Am s 0 to 30 Am s 0 m 30 An ? 20 Above 0 Lnps 31 to 100 qmps 31 to 100 'Am s Swimmi ng Pool Above 100_Amps Above 700_AmPs Transiormers Irrigation Buoms Pertial/Other ee Signs Special inspection TOTA Aemnrks < ( 77 o, Rau9h" ? a . :ue I, th Elactnc inspet reba ceri?fy thqt tne bova Final ? ? ?'tSe?- .nsoection has been meda. Thle requeat voiA 18 monttu imm . CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 N2 11311 BUILDING PERMIT PHONE: 454-8100 Receiptk .J / .^?y/? 6 59 SF DWG/GAR Est.value $83.000 SiteAddress 1577 ASHSURY PL Lot 9 elock 1 sec/Sub. BLACKHAWK GLEN Parcel No. 1ST W Name LUNDGREN BROS CONST INC 3 nddress 935 E WAYZATA SLVD ° city WAYZATAone 473-1231 o Name SAME $ a Address ? City Phane Fw Name DESIGN ETC ¢? Address 5735 DUNKIRK LN aw c;ty PLYMOIngle 559-2637 Iherebyacknowledgethatlhav readthisapplicationandstatethatthe information is correct and ry r t?mply with all apphcable State of Minnesota Statutes and Ci o Ea Or es. Signature of Permittee 19 79 85 R3 Erect [J Occupancy Remodel ? Zoning R Repair ? Type of Const V Addition ? No. Storias Move ? Lengih 4 ? Demolish ? Depth dn Int. Impr. ? Sq. Ft. Insiall ? Appfovels Feee Assessment Water & Sew. Police Fire Eng. Planner Council Bldg. on. 11/18/8 Var. Permit Y JV ?V V Surcharge 41.50 Plan Review 191 . 00 SAC 525.00 Water Conn. 500.00 water Meter 63.00 RoadUnit 280•00 Tr. PI. 132.00 Parks Copies Total $2.114.50 Aeuildin9 Permit is issued ta: LUNDGREN BROS CONSTRUCTION on the express condition that all work shall be done in accordance with all appli I ate of Minn ota ?tatutes and City oi Eagan Ordinances. Building Otticial 1985 BUILDING PERHIT APPLICATION - CITY OF E,AGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WZTH THE CITY OF EAGAN INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OE SURVEY p 1 SET OF oon To Be Used For: ENERGY CALCUL ATIONS aluation: Date: Site Address: OEFICE USE ONLY Lot: ? B1ock ? Sect/Sub rect x Occupancy r: 3 Remodel Zaning (?,I Parcel Il Repair Type of Cons t _ i @nlarge fl of Stories Owner Move Length ? _ Demolish Depth ? Address Grade Sq Ft CityfZip Code??.n --------------- ------------- ------- Phone A23 ? APPROYALS Contractor Assessments Permit Water/Sewer Address Surcharge s' Police Plan Review Fire 5AC ??. City/Zip Code Engr Water Conn S Planner Sdater Meter ?.,3. Phone Council Road Unit 2?. -zZ--y? B1dg Offr (_ • Parks , Arch,/Engr. ??.. APC Treatment P1 1'32. Variance Address TOTAL S O City/Zip Code??,??r?? ?s"c1U/ Phone !{ ,s 27 2 A 4 40 iK- S?U = C-) 'L cD K 2Z - q q d n f = 52_$ o ? ?? 2 G?'?. 3.Z -.SURVEYOR'S'CERTIFICA?'E ' .. / . t` ? ,-_ l? 3 ? p ? o) N 2 NI ml p? ? ! N 6B.3?,58" ?sq?FHT '949? ? LOT 3? l ? f ? (kzs8) (?t5•8? e?vor.-15.8 25.50 GAR mze.axi[y?28?6)eze.sx o/ .29 _-? -- _eee.s x - 20.50 _ 9tr?t4:.L - it roi p? N 1 SIENNA CORPORATION ? ? ` I rj B27q ? --, N ? 0 U Ln W ? ` 03 m i e2e.si - r? 75 m ? ? w ' o y 3 ?, ,i p e2?sx 1. ? o ?P r.? 826.7 34.87 -•? ,. 0 4 = 6,6o 53 i 75. 63 y ze "'R= ? d ,234 94 . o =11 ?04'07" e g26 . 0? R= 391. 50 e:s.9, c.e. M? ? ? URY H?8 PLACE -- 1 -- 25 -' _ .? _ BE6.B _ ._ . 6 DfNOTES PROPOSED Sl1RFACE DRAINAGE SCALE: 1 INCH = 30 FEET O DENOTES IRON MONUMENT SET 0 DENOTES IRON MONUMENT FOUNO PROPOSED GARAC,E FLOOR =$Z 3.9 FEET 0 DENOTES EXIS7ING ELEVATION X000 PROPOSED LOWEST F100R = g 2&•I FEET . (000.0) DE"IDTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK = Sz9-3 FEET 41E HEREBY CERTIFY TO SIENNA CDRPORATION THAT THIS IS A TRU[ AND CORRECT REPRESENTATION OF A SURVEY OF 7FIE DOUNDARIES OF: Lot 9,Block I, 4LACKHAWK GLEN tst ADDITION, according to the recorded piat thereof, Dakota County, Minnesota. IT DOES NO7 PURPORT TO SHOb! IMPROVEtIENTS OR ENCROACHMENTS, IF ANY. AS SURVEYED 6Y ME OR UNDER MY DIRECT SUPERVISION TNIS 4-Tu OAY OF NovEmBEi!?, 1985. SIGNED: JAME . HILL, INC. REVISED 10-04-85 TO SHOW PROPOSED pY : HOUSE FOR LUNDGREN BROS. IIAR I.D C. PETER$ON, LAND SURVEYOR MINNESOTA LICENSE NUM6ER 12294 PROJECT NO. IIOOK / PAGE JAME.7 R. HILL, INC. 85618 (85949) 151 planners / Engineers / Surveyors FILE NO. ? 27 8200 Humboklt Avenue South FOLDER e?oomingion,Mr. 55431 612-804-3o29 • ?Y Y• 4. ??????? V?? ?CO c1 {?UC110?J ---- --- - - ' 935 EAST WAYZH7k BOUL[VNRD • VdAYZATN, IJJNNES07A 55391 '(61,2) 4731-1231 EY.7EP.]OP. ENVELOPE A.VEP.P.GE U COMPUTATIOW ? Site Address Z) LoQ- Block-?- ,7,? 7 ? R ? R&U_ F_?S _Q58 ppaque Walls -' ..117 41a11 Framing Areas - ' .023 Ceiling Insulation Area - - , _027 Ceiling Framing Area _04 Rim Joist - - Masonry Wa1l !ii ndows Doors Patio Dobrs Sidelites Double Hung Casements 1) Lower Level (Basement) Total exposed wall area Opaque Wall Area idood rrame Area Rim Joist Exposed block Window Area Sliding 61ass Door Door Area ? _le .26 - .4E .18 _46 .47 ?%2 a?x (u) .058 = .5. ? _5,5 x (U) -117 = 3•5? _ - x (U) -04 = IAX (U) .14 = Casement a2X (U) •46 = Dou61e Hung _x (U) .26 = _?- ?-x (U) .46 = _ =- _x ' (U) .18 = Total ? ?COJC1 RUCT ION 935 EAST VJAYZ/+Th BOULEVNRD ? WHYZHTf`, f?IIJNESOTA 55397 •(612) 473-1231 Z) lst or mzin floor 7ota1 exposed v+all area 2- ?03' x (U) .058 = -?9 ( ) .117 = ppaoue v;all area ??- Ylood frame area ??x Rim joist (U) .04 Casements - x (U) .46 = ?- ? i•:indow Area ; 21, (U) -26 Double Hung i " = `-- =x ( U ) .46 Sliding Glass Door ' ?38 x (u) -13 = Door area - zX (U) -47 = ?a9 _ Sidelites 7ota1 3) 2nd filoor if 2 s-Lory ' Total exoosed wali area ? x (u) -058 = ?- Dpaque wall zrea - x (U) .117 = _?- Wood frame area - Casements x (U) .46 = ?- Flindow area Double Hung X ?U? '26 _?--- Sliding glass door x (U) .46 = ?- x (U) -18 Door area - Total ?---- 4) Total ceilin9 area /30 3 ?20x (U) .027 = Wood frame area Aax -023 = dG. 0? Opaque cei7ing area . ____X (U) .55 = = -- Skylight - ?- Total 3 4r' iA ?coJ?i ?zucT 1or? 9?5 ENST VJAYZNTN BOULEVARD • VJAYZATH, tl?INI?ESOTA 55391 •(612) 473-1231 /90 X .11 = ac . 11inn. U Factors Total er.posed vrall area ?2 x .026 FSinn. U Factors Total exposed ceiling area / 3? (A) Total `-- + Item 4 Item Item 2//8•?S + Item 3 If total of Items 1- 4 is less than Item (A), building complies with SBC 6006 (C)s C J / CITY OF EAGAi1I APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION r*******************#****?***f##*** *?A??T}'?:/???PA{/Y?M?E?N y T? OF' yF? ?y/ ?L'U11AT ?TIME pF ' i9CC?••?.l1L1VlY W? IYVl Wum APPROVAL OF PE?tMIITe INSPDLTION OF SESM APID/Ot WA'lER TnSrar.r.aTTONS SVIIS, NC7T BE SQHED-- ULFD UNTIL PEEtMIT HAS BEL'T1 APPFtOVID. P ease Prznt) ^^ ^ : 1) PROPERTY AODRESS: •- LEGAL DESCRIPTION: GOT'- 9 ?, 5 ? ?(?? //? •' Lot Block Subdiv sion or Tax Parcel rn #1 IF EXISTING STRL'C1VRE, DATE OF ORIGINAL BI)ILDING PERMIT ISSCANCE: /? PRESENT 7ANING/PROP0.SED L'SE: ll?bn Year) ? CO4MCIAL/REPAIL/OFFICE ? IAIDCSTRIAi, ? INSTITf,'TIONAL/GOVEZUIIMENT 2) ? tvP,rE: /`.luve?Ss+. ? R-1 SINGLE FAhffLY Q R-2 DUPLEX (1two L?nits) ? R-3 TDWN30DSE (Three + Units) ( Onits) ? R-4 APARTriIEN'I'/CODIDUMINIUM ( Units ) . tDDREss: CITY. STATE, rs--3G3 PHONE:I 6'7S •. 'J't-? Q 3) u i: ?• NAhIE: ADDRESS: CITY. STATE, ZIP:_ ?? 7,O/jq , j/N PHONE: 473 -/1- / MASTER LIG'EP]SE# Z7y3 - n'L 4) w• ? NAME: !?J ?? ?"?r. /?Y•1. ?efl? _ ADDRFSS: CIT3t. STATE, ZIP: Zsr, f+! fNA? PxorE:_ c f'7 3-12 3/ Plumbers License; Active Ekpired Not recorded S?yl •5) ? «• , ? r• • ?• : ? • s. - ?? ? CONNECTION T0 CITY SEWII2 ? CpNNEC,TION 1U CITY WATER ? p'I'HER '. 6) ?• r PLEASE HOLD APPROVID PERMIT EOR PICK-0P BY ONE OF ABDVE -- -- PLE'?ASE MAIL APPROVID ?ERMIT TO 1, 2, 3, 4, ABOVE I ?? (Circle one) ?-•rt Cr- i _. 7) FOR CITY USE ONLY PERMIT # ISSC'ED 73y Pd w/Bldg. Permit FEES: $ $ $ $ ?Cl • S? • •> ? SEWER PERMIT (INCLODE SURCHARGE) WATER PERMIT (INCLUDE SURCHARGE) . $ 6.3 C°-:` $ WATER METER/COPPERAORNJOL'TSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ IS'Q-? ACCOUNT DEPOSIT - SEWER $ $ / j-, ACCOONT DEPOSIT - WATER $ .S 0 C - f1 e-) $ WAC $ $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ $ .rJ ? O o TOTAL :7 ,7,? / 61,57 RECEIPT RECEIPT DOES OTILITY CONNECTION REQOIRE EXCAVATION IN PIIBLIC RIGHT OF WAY? Q YES IF YES, THEN A" PERMIT FOR WpRK WITHIN PLBLIC Q NO ROADWAY" MT-IST BE DIVISION LIST ISSDED BY THE ENGINEERING CO D , AS A N ITION. SUBJECT TO THE FOLLOWING eONDITIO[VS: APPROVED BY: T2TLE: DATE : L111!p /e,? 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN 3INGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OE SURVEYt 1 SET OF ENERGY CALCULATIONS NOTEt ADDRESSES FOA CORNER LOTS - CONTRACTOR/$OMEOWNER MUST DESIGNATE WHICH ADDAESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE SIIILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL ONITS FOR SALE UNITS # OF UNIT3 INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.P 1 SET OF ENERGY CALCULATIONS COFIIMERCIAL INCL[IDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 7 SET OF SPECIFICATIONS AND t SET OF ENERGY CALCULATIONS \b1-?-9'? To Be Used For: i? Valuation: / SOb "- Date; 's/lQ Site Address I577 AO.L•' V lsX_el OFFICE USE ONLY Lot Block Parce1/Sub?(0-Aln..L G(9,., Owner ?t?a T/ J-?t Address City/Zip Code Phone Contraetor Address City/21p Code Phone 9rch./Engr. _ Address City/2ip Code Phone If On site sewage_ MWCC system ` On site well _ City water _ PRV required _ Booster Pump _ APPROVALS Oecupancy Zoning Actual Const Allowable # of stories Length Depth S.F. Total Footprint S.F. FEES Permit Sureharge Plan Review SAC, City SAC, MWCC Water Conn Water Meter Road Unit Treatment P1 Parks Copies TOTAL Engr/Assess Planner Couneil Bldg. OfP. ?17 Variance 34.00 J,oO -? ?? • I - - - :?."'s'' ??_ , ' . - - ? ? - ? - - - - - --? f p - ---- - -? '`? 'L Sp? r - --- - ?- -------- _ ? ,ca 04? 4 .?? FUTURE RECREATION ? i ? ROON ? i N a S3R F R5 ? .;? I NAEI?. :? - \•. ? 'l? ?? . ?" 14 ' ? . MEGH ? _ - - - r - - - - ? - - - - - ? oP T? ? • ?1` ... 14 ? L, - ` _ L{kUNDf2Y - oI ' ?c?q- ? ON ? ' W'd? _,F i ? • i i STs r3??' --- -- -- - - ------ - ---- - -.- ° ,rvo[t?? ' ? ? ? wN?c?c?Pi.sA"CE? ??„ ?voZ?w?t?-s , N ? 5caov.tp.5G1 8"OtAC?•. , . , . . S•? . ??v .73s?T ? ?,R. ?-I,4cQ v x ,; ..'. ?(2-5 FOUN D,n-neN I.vSuL ? 5E'PER4-s CLa7'f le'L4M.73 ?oNrg ?.- - - - ? . . c???-?-- 3S.,-, - ) ?,,? ?-- ??,?[,? ?,? ?V ?a-- RESIDENTIAL BUILDING PERMIT APPLICATION 3830 PILOT KN B RD, EAGAN MN 55122 651-681-4675 New Conatructian Reauirements RemodallReoair ReaulremeMs • 3 registered site surveys shovring sq. R. of lot, sq. R. af house; and all roofed areas • 2 copies of plan (20% mauimum bt coverage allowed) . t set of Energy Calculations kr heated additians • 2 copies of qan showing beam & window saes; poured found design, elc.) • 1 sRe survey for e#enor addifarce 8 decks • 1 set of Eneqy Calculations . Indicate H home served by septic system for additions • 3 coples oF Tree Preservation Plan H lot platled atter 711193 • Rim Joist DelaB OpGons selechan sheet (bidgs vnth 3 or less unils) DATE SITE ADC TYPE OF -c(- d2 IULTI-fAMILYBLDG _Y _N FIREPLACE(S) _ 0 _ 1 _ 2 APPLICANT SELA ROOFING & REMODELING, INC. STREET ADDRESS RT 101 11S PARK. MN 55416 CITY STATE ZIP TELEPHONE #64(2-fS23-66?(o CAU960E # FAX # PROPERTY TELEPHONE# Co%O - ?a?0g?o ---------- -------------------------------- -----------------------------------------------°---- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RiJLES 7670 CATEGORY 1 (4 submission lype) . Residential Venlilation Category 1 Worksheet Submitted • Energy Envelope Calculatlons Submitted Plumbing Contractor: Plumbing systcm includes: Mechanical Conhactor: Mechanical systcm includes: Sewer/Water Contractor: Air Condilioning Heat Recovcry Syslcm Phone # Phone # OCT 0 4 2002 ?? ? Fee: $90..00? Fee: $70.00 I hereby acknowledge that I have read this application, state that the information is corr t, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant OFFICE USE ONLY Water SoFtener _ Water Hcater _ No. of Baths VALUATION ? e?K?i 0-0 MINNr:SOTA RUI.ES 7672 . New Energy Code Worksheet Phone # L,awn Sprinklcr No. of R.I. Baths Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updaled 4/02 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 09 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt • Multi ? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF ? 03 02-plex ? 10 08-plex 0 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage ? 06 04-plex ? 12 12-plex PI6g_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Additlon ,? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair Q 33 AlteraGon ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors O 34 Replacement •Demolition (Entfre Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning Ciry Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const W idth REQUIRED IN SPECTIONS _ Footings(new bldg) _ FinallC.O. _ Footings(deck) FinaUNo C.O. _ Footings (addition) _ Plumbing Foundarion HVAC Drain i'Ae Other Roof _ Ice & Warer _ F inal _ Pool _ Ftgs _ AiriGas Tes[s _ Final _ Framing _ Siding SNCCO Stane _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By Base Fee Surcharge Plan Review MClES SAC City SAC Water Supply & Storage S&W Permit 8 Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Building Inspector f 6r913-? RESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 $ `7 0 -sa ? t ,``- New Construction Reauirements RemodeVReoair Reauirements Office Use OnN 3 registered site surveys showing sq. iL of l04 sq. R of house; and all roofed areas 2 copies of plan Cert of Survey Recd (20% maximum lot coverage allowed) i set ot Energy Calalations for heated addifions Tree Pres Plan Recd 2 copies of pWn slwwing beam 8 window sius; poured found design, etc. 7 site survey for additions 8 detks Tree Pres Not Reqd lsetofEneryyCakulations Add'rtion-irMkafeifon-sitesepticsystem _On-siteSepticSysfem 3 copies oF Tree PreservaUOn Plan if lot platted afkr 711193 Rim Jotst Defail Optlons selecGon sheet (bldgs wHh 3 ar less unifs 1RID ] Date Construction Cost . SiteAddress /75kA r)rt/ UniUSte# Description of Work Multi-Family Bldg _ YX N Fireplace(s) _ 0?x 1 _ 2 Property Owner Telephone # Contractor Address City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submisslon [ype) Suhmitted Submitted • Energy Envelop r lations Submitted Licensed Plumber Telephone #( Mechanical Contractor Sewer/Water Contractor L6 ?0III? 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 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 appro 1 of 5. A licant's Prin ame ApplicanYs Signature OFFICE USE ONLY Sub Types ? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 03 01 of_piex 0 09 07-plex O 17 Garage ? 22 Porch/Addn. (4-sea.) ? 04 02-plex ? 10 08-plex X 18 Deck ? 23 Porch (screen/gazebo) ? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Ping_Yor_ N ? 25 Miscellaneous Work Types ? 31 New ? ? 32 Addition ? ? 33 Alteration ? ? 34 Replacement Vaiuation 420 Census Code ? SAC Units Nbr. of Units Nbr. of Bidgs Type of Const _vti Footings (new bldg) Footings(deck) Footings(addition) Foundation Drain Tile Roof Ice & Water Final _ Framing _ Fireplace _ R.I. _ Air Test _ Final Insularion Occupancy Zoning W idth 13 f C. -ML, Stories Sq. Ft. Length MC/ES System City Water Booster Pump PRV Fire Sprinklered REQUIRED INSPECTIONS FinaUC.O. ? Final/No C.O. _ Plumbing HVAC Other _ Pool _ Ftgs _ Au/Gas Tests _ Final _ Siding Stucco Srone _ Windows (new/replacement) _ Retaining Wail Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Tota I ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding 36 Move Bldg. ? 42 Demolish (FOUndadon) ? 45 Fire Repair 37 Demolish (Bldg)` ? 43 Reroof ? 46 Windows/Doors •Demolition (Entire Bldg) - Give PCA handout to applicant 17 u ? '-SURVEYOR'S: CER'TIFICATE ' .. . .. r --?. N sB 3? 'Se ,. ?- .4vJ) 3 M, . ? ? h Z 1 ? ,-_ \i s f ? \ V ?AR/Nq?F 1 ? LOT (% t/w, t A7!o : (4zse / pROPO5E0 ° HOdSE a axeAx «z 2g•ga GAR.' $i6)B:a.ex Q/ / , 26.29 I - .,..._.. - 6qSIENNA CORPORATION . ., eee.e ? 20.5f 7 i • E ? ? r.sx ?-- \ 1 1 17.° ? XBE7A ?._ tn .h. a w ?n M e rn I rI 5 j ? ?J o D. N ` 'N ? ` ?`? M N.i? rl{? r?75 N? 11 ezr ax '24.er -• . ?r..M•r ? Y, aZe., o'4'sz03'S3u 75.63 BR=234.94--1.?.4°11 -04'07" BP6.5 ? m? R=39I.50 825.9, c.?' 8Y6,g? " IeLURY._ PLACE -? " ... -----. ?BY5.7 ?- DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET • DENOTES IRON MONUMENT FOUND X000.0 DENOTES EXISTING ELEVATION (000.0) DEPIOTES PROPOSED ELEVATION 41E HEREBY CERTIFY TO SIENNA CORPORATION REPRESENTATION OF A SUR4EY OF THE DOUNDARIES OF: SCALE: 1 INCH = 30 FEET PROPOSED 6ARAGE FLOOR = $2g.g FEET PROPOSED LOWEST FLOOR = g 2fo•I FEET PROPOSED TOP OF BLOCK = 82 9-3 FEET THAT THIS IS A 7RUE AND CORRECT Lot 9.Block I. BLACKHAWK GLEN tst ADDITION, according to the recorded plat thereof, Dakota County, Minnesota. IT OOES NOT PURPORT'TO SH014 IMPROVEf1ENTS OR ENCROACHMENTS, IF ANY. AS SURVEYED DY ME OR UNDER MY DIRECT SUPERVISION THIS 4-TN DAY OF NovEr-tgEi!?, 1985. SIGPIED: JAME . HILL, INC. REVISEDIO-04-8STOSHOWPROPOSED 4Y: ? ..... House PoR LuNncaEN eROS. HAR lD C. PETERSON, LAND SURVEYOR MINNESOTA LICENSE NUMDER 12294 PROJECT NO. BOOK / PAGE ' JAMES R. HILL, INC. 85618 (85949) • . 151 ? Planners / Engineers / Surveyors FILE NO, 27 8200 Humbo}dt Avenue Soulh FOLDER 13bornlneton, hen. 65431 812-884-3029 ?-? ? -152? ?y zooe RESIDENTIAL PLUMBING PeRnnir aPaucaTioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date q _l M l 06 {? - Site Street Address 1'rJI ?) j Unit # Property Owner Telephone # ( (p5D Contractor Telephone # (0 ) 3?6 ? J.34 u ? Address 0 City C(M SWte.i Zip,39t,93 The Applicant is: _ Owner ?ontractor _Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Alterations to existing dwelling $ 50.00 _ Add plumbing fixtures. This fee includes installation of a water softener andlor water heater at the same time. !f you are lnsta!ling onlv a water sofrener and/or watei heater, do not complete this section; move to the next section and check the appliance(s) you are installing. _Septic System Abandonment _ Water Turnaround (add $130.00 if a 5/8" meter is required) _Other. n_ Water Softener ?Nlater Heater new replacement $ 15.00 Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ .50 Total $ l5 5,b I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a ermit, but onl an a I' tiR 1 f? it, work is not to start without a Permit and work will be in accordance with the approved plan 1? ?I?nV'#z to be reviewed and approved. U Applicant's Printed Name S???? Appiicant's Signatu?? ? REQUEST FOR ELECTRICAL INSPECTION EB-?10007-04 ? ' Sae instruchens for complebng this torm on beck of vel low cooY. ? 67qniR "X" Relow Work Covered by This Request AAd HeO. Type of BuiltlmA .loolmnces Wvad . Eqwpelem Wved Home Range Temporary Scrvice Duplex Water Heater Liyhtiny Fiztures Apt. BuilAmq DryPr Electric Heatin Comineraal Bidy. FurnacB S,lo UnloaUer Industnal Bldy. qir Condinoner Bulk Milk Tank FTrm OThr, I Pecrtv Other ISUw.ifvl ... ....... ., i.._ lhPr S"".'fv '"_"__ piher Othqr P.P BP.IOW M F¢e ServiceEntranceSae k Fee FeaJers/SuhfeeAers # Fae Cvcmts 0 to 200 qmps 0(0 30 qm s Z 0 to 30 Am s Above 200 qin ps 31 to 100 qmps 31 m 100 qm y Swmiming Pool Above 100_Amps Above 100_Amps Trenstormers IrngyLon &o on,s Partial, Other Fee Signs Specialinspaction Flerrvarks TOT rFEFy ? (?? flouBh-in 1 , ?, ? '???? ? ? I, th Elacvic Insoec ieny F?nal rLfy that the abave D'° insuectw? has been I Thie request voitl 18 monlhs imm õìõ þ ÿþ ýüü ûÿûúþ ùüüþ÷÷ üì ôéö ôó ô ýüõ ýüûúùøüÝõ ÷úùãé ùøüÝõ Üüÿÿùïñüïüûåþý ùþá à ü ôôô å ç í íô ôù ýüÿøêçí í ó÷÷ò õñð ùù ýÿéäÿÝõÿèï ô ãîþýüó ßûü åäÿåã ÿåã á à ûéÿ îùùëïÿïùéùùûý ëåýüõë ÿðí ùùì üýÿü City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use Permit* l (22 l Permit Fee: 7-f3 Date Received: Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit #: Resident/ Owner Phone: 4,47--.514/74.75---362 Address / City / Zip: Applicant is: Owner Contractor Description of work: Multi -Family Building: (Yes / No ) Company: r7 j% �®zW:_ f Contact: Address: /2)? A //`1_;L// City: State: "MV Zip: ;T577 Phone: License #: Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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 plan: Licensed Plumber: Phone: Phone: Sewer & Water Contractor: Phone: Mechanical Contractor: NOTE: Plans and supporting, documents that you submit are;considered to be publ the information may be classified as non:public if you, provide specific reasons tha conclude that they are trade secret rmatton. Portions: of Id per 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.00pherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. xeY ei21=;--� Applicant's Printed Name x Ap• icant's Signature Page 1 of 3 Use BLUE or BLACK Ink ~ For Office Use Q' Z I I '~U ~J I City of Eapn 1 Permit I Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 Date Received: j Phone: (651) 675-5675 I I Fax: (651) 675-5694 1 Staff: I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit I Name: Phone: Resident/ , Owner Address / City / Zip: 2 :2 ~ti r✓~ T Applicant is: Owner Contractor k Type of Work Description of work: Construction Cost: 7 _ L6V Multi-Family Building: (Yes / No Company: ' _1~ Contact: i Contractor ' Address: Z":X' GG r City: h State: Zip: '552 Phone: License Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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 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 j the information may be classified as non-public if you provide specific reasons that would permit the City to~ conclude that they are trade secrets. - 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.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 I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Co must be completed within 180 days of permit issuance x Appl' ant's Printed Name Applica s Signa ure Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA173868 Date Issued:12/09/2021 Permit Category:ePermit Site Address: 1577 Ashbury Pl Lot:9 Block: 1 Addition: Blackhawk Glen PID:10-14350-01-090 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner 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: 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 - Sharon K Lawyer 1577 Ashbury Pl Eagan MN 55122 Appliance Connections Inc 12850 Louisville Road Shakopee MN 55379 (952) 445-4803 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA173872 Date Issued:12/09/2021 Permit Category:ePermit Site Address: 1577 Ashbury Pl Lot:9 Block: 1 Addition: Blackhawk Glen PID:10-14350-01-090 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 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 - Sharon K Lawyer 1577 Ashbury Pl Eagan MN 55122 (612) 251-8162 Appliance Connections Inc 12850 Louisville Road Shakopee MN 55379 (952) 445-4803 Applicant/Permitee: Signature Issued By: Signature