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3597 Ashbury Rd
PERMIT City of Eagan Permit Type: Building Ea,an, Permit Number: EA098254 Date Issued: 03/15/2011 OR Permit Category: ePermit 41 it~ of E3 E Site Address: 3597 Ashbury Rd Lot: 26 Block: 3 Addition: Blackhawk Glen 2nd PID: 10-14351-260-03 Use: Description: Sub Type: e-Fireplace Construction Type: Work Type: Gas Fireplace (new) Description: Census Code: 434- Occupancy : Zoning: Square Feet: 0 Comments: Improvements to the home may require smoke detectors in all bedrooms. Chimnev ' flue must be inspected prior to concealing. 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: Heath and Home Technologies Jeffrey L Dosh 2700 N. Fairview Ave 3597 Ashbur Rd Roseville SIN 55113 Eagan SIN 55122 (61)633-261 1 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 Ea,an Ordinances. ApplicantPermitee: Signature Issued Bv: Signature I Use BLUE or BLACK 1 For Office Use ~ City of Eapn i Permit 11 I Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 I Date Received: I Phone: (651) 675.5675 I I Fax: (651) 675-5694 i Staff: I 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: a Site Address: 3597 A_,~Jjbi4r)~ Rd Tenant: Suite RESIDENT / OWNER Name: f b 6 h Phone: (o 12- - 3D% -7b7 1 Address / City / Zip: '15 2 7 A'S 1714 If U l ~C1 q a4-1 Applicant is: Owner Contractor -o-7i c L TYPE OF WORK Description of work: R rViDV~'F Y~p~~eL,e, de-c.1S j2prG11 FDV7Li.-7Q Construction Cost: 13 Cl 5 CI-° Multi-Family Building: (Yes /No i CONTRACTOR Name: T't rY) COAL rate a- WetterrvrioJi na License ~;Gzec t C~ Ifil eh , Address: 12C,--345 Qpdid tglyet City: RdSe_MDLtr)f- State: /'1'1 N Zip: LS 5 0&5 Phone: I r.1- 32a - -7 -7 4 Contact: Ma r k Sc_h rrae Ir Email: " c a D cb _j" Aev% 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 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. 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.goaherstateonecall.oro 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. x ~bGI V1 ~C~'1t^0~ ~>°-Y x Applicant's Printed Name nV licant's Signature U v ~ Page 1 of 2 9YI{~l 1 u 2010 DO NOT WRITE BELOW THIS LINE C1 SUB TYPES _ Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage Single Family - Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) - Multi _ Deck _ Porch (ScreerUGazebo/Pergola) _ Exterior Alteration (Multi) - 01 of _ Piex _ Lower Level _ Pool Miscellaneous - Accessory Building WORK TYPES - New _ Interior Improvement _ Siding _ Demolish Building* - Addition _ Move Building _ Reroof _ Demolish Interior _ Alteration _ Fire Repair _ Windows _ Demolish Foundation _ Replace Repair _ Egress Window _ Water Damage _ Retaining Wall "Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation ( Occupancy ZQC' MCES System Plan Review Code Edition oc~ ! SAC Units {25%____ 100% Y) Zoning PA City Water Census Code y 34 Stories - Booster Pump # of Units Square Feet - PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final I C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC Drain Tile Other: Roof: -Ice & Water -Final Pool: Footings Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In Air Test -Final Windows Insulation Retaining Wall: _ Footings _ Backfill _ Final Meter Size: Radon Control Erosion Control Reviewed By: . Building Inspector RESIDE TIAL FE Base Fee _ p 3 Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 2 RE ! E® ?.A22 Enterprise Drive - 'Y~ -R Mendota Heights, MN 55120 P101VIE * eng , eeritng-. Bye 681-1914 Tull M 'TONS DiVla~ON Certificate of Survey for: L~- r t~-_~R CPW STRIAC-T(Q1~1--..__W i /b2.vo 2 a 1 M 4.3i x Z4 (t sr•±aF f~.o V~ I I 34.47 r f%(?nf'~iSP i~l:J ~~ASC+~Ft'= M t" N avSC I I 1-4 M ` I M r+~ I M ti Q 3b • ~i3 `"o r- 141 I N ~'/~YtyS f M a fZ ~ P~.~GIGNI.L^/r { v. ®Hc.~ ~ to IV- Ki~E QaYSerYIPYI~ ~c~r P/qf~ { o tW L By EAGAN ENGI EEhIN DEPT 900.0 Denotes exWin Ereva4lior? - _Q SE rx U .109C K 0.o Dellole5 Prop ed F/evafiar - toweg -T-Fr-or E Ito ron r nof~~ t]rarl7a e (Ilili y Easement -ro n Bloch Elevation Denot-eS DraitIccY e flow ,grows (3vra e S/ah Bevation Uenof-es rnonumeof n Deno es Ot ~sef Yub 6?earlr~s shown ore assumed Sub ed to L-asemen s of vrd d DTZ6 , BLOCW 3_ , BLACyAUYI~ C I~ C1N I he..re)y r.rrtify that this is a tripe and correct representation of a survey of the boundaries of the above Rscrihed lap and of the location of all Imildings, thereon, and all visible enrroarhurrnta, if any, from Or on said land. As surveyed by me 1his/~ clay of -A.D, 19 - r c t RnBE1tt t3. SIKICIA L.S. nFG. NO. 14971 j t !CITY OF EAGAN 1 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ~~Z~ PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for 5F DVG/GAR Est. Value $1 S31:000 Date SEP b _.1 qt9 Site Address 3597 ASHBURY RD OFFICE USE ONLY Lot 26 Block 3 Sec/Sub. BLACKHAWK G1.EJi 2 Parcel No. Occupancy R-3 K1 FEES Zoning R-1 W Name MCALLi$TER 66NSTBUCTIOp (Actual) Const V-N Bldg. Permit 930.00 o Address 1460 CHARLTON 8T (Allowable) Y-N Surcharge 91.50 City W ST PAUL Phone 451-8070 # of Stories Length 711 Plan Review 465.00 io Name SAME Depth 43 sac, city 100.00 Address S.F. Total SAC, MCWCC 575•00 r City Phone S. F. Footprints F On Site Sewage Water Conn M0.00 Sj W Name On Site Well - Water Meter 90.00 R3 Address MWCC System 30.E W o City Phone City Water 7qt Acct. Deposit PRV Required S/W Permit 2 •00 I hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge 1.00 information is correct and agree to comply with all applicable State of 226.00 Minnesota Statutes and City of Eagan Ordinances. Treatment PI , , /I t Jt .:Clf .a.. APPROVALS 340.00 Signature of Permitee Zr ` Road Unit A building Permit is issued to: ISTER CONST Planner Park Dad. 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 3.450.50 Permit No. Permit Holder Date Telephone # WATER to O SEWER 6wr, PLUMBING H.V.A.C. p ID 0 ELECTRICa Inspection OO Date Insp. Comments Footings 1 Foundation Framing ff~ M AI ~ti6~ - G_ O Rooting Rough Plbg.. " Rough H1g. J f Isul. Fireplace L Final Htg. Final Plbg. Const. Meter Plbg. Inspector - Notify Plumber Engr./Plan Bldg. Final r Deck Ftg. Deck Final Well Pr. Disp. I Per Cities Digital Quality Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. PERMIT # J MECHANICAL PERMIT RECEIPT # ' CITY OF EAGAN 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 Address c City Phone FEES Name RES. HVAC 0-100 M BTU -$24.00 c Address ADDITIONAL 50 M BTU - 6.00 p City Phone (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM -1 PER PERMIT) - 1.50 EA TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air M BTU 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 , Vern M BTU $ STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # BEYOND $1,000) Other FEE: S/C: SIGNATURE OF PERMITTEE TOTAL FOR: CITY OF EAGAN t.~..~• ,.~HY- ;~.".'n>i .I. .i y~tv.~{Y.~~ 'M~Ii'l~' 3'd'l"'~.~.'~~~~' ~ PLUMBING PERMIT For Office Use Only CITY OF EAGAN PERMIT # ^ CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT# i PRICE PHONE 454-8100 DATE: 7-7 Site Ad ss BLDG. TYPE WORK DESCRIPTION Lot _a Blo Sub Res. New Mult. Add-on L Name ' Comm. Repair n , ; Other - Address c city Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING: y N FIXTURES TOTAL 67 Water Closet - $3.00 $ Name s 7.- Bath Tubs - $3.00 3c Address Lavatory - $3.00 O City Phone Shower - $3.00 Kitchen Sink - $3.00 Urinal/Bidet - $3.00 FEES Laundry Tray - $3.00 COMM./IND. FEE -1% OF CONTRACT FEE Floor Drains - $1.50 APT. BLDGS. - COMM. RATE APPLIES T 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 S!G PER EACH $1,000 OF PERMIT FEE) Well - $10.00 Private Disp. -$10.00 Rough Openings - $1.50 c SIGNATURE F PERMITTEE PERMIT FEE: f STATES S/C: FOR: CITY OF EAGAN GRAND TOTAL: L+ . CASH RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD , EAGAN, MINNESOTA 55122 DATE 19 Warm FROM AMOUNT $ & DOLLARS ioo ❑ CASH ❑ CHECK FW ~ FUND OBJECT AMOUNT Thank You BY 1 wnne--Parem copy vepow-Poetkg Copy Pw*-FRO Copy C SEWER & WATER PERMIT OFFICE USE ONLY CITY OF EAGAN METER # PERMIT DATE y' fib 89 3830 Pilot Knob Rd. 10875 Eagan, MN 55122-1897 CHIP # PERMIT # METER SIZE B.P_ RECEIPT # 3712 DATE a ISSUE DATE B.P. RECEIPT DATE r 1fi~ $G xx PRV -BOOSTER PUMP SITE ADDRESS PERMIT REQUESTED LOT -BLOCK SEC/SUB ~ SEWER WATER - TAPS APPLICANT:. ! ADDRESS: COMM/IND ~ RESIDENTIAL CITY, STATE ZIP - 3" ~ / • ~ ' 1 .f NEW -EXISTING PHONE: / Lawn Sprinkler Meters are to be Installed PLUMBER Ahead of Domestic Meters on Water Line. ADDRESS: - Credit WILL NOT be gig n for Deduct Meters. CITY, STATE Y s- ZIP PHONE: IAGREE TO COMPLY AGAN ORD NANCESWITH CITY OF OWNER: ADDRESS: J' CITY, STAT 1• ; ' ZIP PHONE: SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 4545220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. SEWER & WATER PERMIT OFFICE USE ONLY CITY OF EAGAN METER 4 ~ J PERMIT DATE 918189 3830 Pilot Knob Rd. CHIP # 10 i7_3 0 0 PERMIT # 10875 Eagan, MN 55122-1897 METER SIZE B.P. RECEIPT # C 3712 DATE ISSUE DATE - B.P. RECEIPT DATE 9/6/89 X PRV -BOOSTER PUMP SITE ADDRESS ~j < PERMIT REQUESTED LOT 3LOCK SEC/SUB Aw"d''~j " SEWER -LwATER -TAPS APPLICANT: ° tat ADDRESS: - COMMAND / ESIDENTIAL CITY, STATE ZIP~~yy ' EXISTING 0 70 PHONE: Lawn Sprinkler Meters are to be Installed PLUMBER: Ahead of Domestic Meters on Water Line. ADDRESS: J Credit WILL NOT be given for Deduct Meters. CITY, STAT ZIP PHONE: I AGREE TO COM WITH CITY OF OWNER: +f EAGAN ORDINANCES ADDRESS: $ CITY, STAT ZIP ~PHONE: G! ~1 SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. f~~xfi#ir~t~ ~f (~rru~~nr~ citp of If agan 18rpwbnmt of luilMng Jwrrtinn 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. uW ClIendicadw SF DWG/GAR Bldg Permit No 17029 RI VN COWL- O Tya MCALLI'MRT CON%T 1960 CRARLTON STREET, W. ST. PAUL ownffwner of of B Addresa 6, B3, N AaOVW GM ZD -!.5.1197 ARM= P40AD Buddfta Addtm Lo-fity nur DEMM 21, 1989 B.Uding Of dW POST IN A CONSPICUOUS PLACE DATE: 9J8/89 3597 ASHBURY ROAD, L26, B3, BLACKHAWK GLEN 2nd R~• xx ayYour 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 (4545220) FOR YOUR PERMANENT WATER TURN ON. Your Sewer & Water Permit for the above property cannot be completed for the following rsasons: 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. Secretary, Building Inspections Dept. 9/8/89 DATE: .,RE. 3597 ASHBURY ROAD, L26, 83, BLACKHAWK GLEO 2nd xx -i 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. Your Sewer & Water Permit for the above property cannot be completed for the following • reasons: Y I Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. i 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. Secretary, Building Inspections Dept. This request void 18 months from I IOOO E 7950 flea oast Da to Fire No. RouPh-in Ins Vartipn Re? ❑ROady Now lyr1i11 Notify. Inspec- LgYes ❑NO for When Ready (J icensed Electrical Contractor I hereby request inspection of above ❑ Owner electrical work installed at: Street Address, Be. or Route No. City 35--27 135A~uf- 1!51)1z -Aff action No. Township Name or No. Range No. Cnwtty oDW d T/6- Occupant(PRINT) Phone No. Power Supplier Address Mk-07,# E'Lec7F, e- W a3s yc f W, Aran%„ ,t , Electrical Contractor (Company Namel Contractor's n:ens No. ,eiFo l SAG 0Y2aoy Mailing Address (Contractor or Owner Making Installation) 73Si Y4'0A1Vd7 50`VC- Co //~G E ~~c IBC p n Authorized Signature (Contractor Owner Making Installation) Ph me Number MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (512) 642 0800 ENCLOSED- REQUEST FOR ELECTRICAL INSPECTION JV% EB-00001-0e See instructions for completing this form on back of Yellow Copy. 79 J 0 ""X"- Below Work Covered by This Request Add V. ' .vpe of Building Appliances Wired Equipment Wired ome Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm olhe, peel v inn, ISpec,fy) t ar Speofy Other Other Compote Inspection Fee Below p Fee service Entrance size ft Fee Feeders/Subfeeders # Fos Circuits /S 1 0 to 200 Amps 0 to 30 Amps / 0 to 30 Amps Above 200 Amps 31 to 100 Amps 31 to 100 Amps Sv` ing Pool Above 105_ Amps Above 100-Amps Transformers Irrigation Booms TDIPartial Other e Signs Special Inspection errvirks $ Y~G LW I TOTAL FEE Bough-in D:,te I"the Electrical U /a nspector, hereby artily that the above Final D/y~to G i apec tion has been rJ' L ~o• de. This request void 18 months from CITY OF EAGAN NO 17029 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 331Q Receipt # 4': Q, To be used for SF DWG/GAR Est. Value $183,000 Date SEP 6 g89 Site Address 3597 ASHBURY RD Lot 26 Block 3 SeGSubBLACKHAWK GLEN 21D OFFICE USE ONLY . Parcel No. Occupancy R-3 M1 FEES Zoning RR-1 W Name MCALLISTER CONSTRUCTION (Actual) Const V-1 Bldg. Permit 930.00 3 Address 1960 CHARLTON ST (Allowable) V-N City W ST PAUL Phone 451-8070 # of Stories Surcharge 91.50 945 2626 y Length 71' Plan Review 465.00 t~ Name SAME Depth 43' SAC, City 100.00 $a Address S.F. Total City Phone S.F. Footprints SAC, MCWCC 575.00 On Site Sewage Water Conn 580.00 W w Name On Site Well Water Meter 90.00 u Address MWCC System XX 30.00 iw City Phone City Water XX Acct. Deposit PRV Required XX- SM Permit 20.00 II hereby acknowlege that I have read this application and state that the Booster Pump 0 SiW Surcharge 1.0 information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Ea n Or i ances. Treatment PI 228.00 Signature of Permitee APPROVALS Road Unit 340.00 A Building Permit is issued to: PIQLLISTER CONST Planner Park Dad. 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 1!) mul I ~ , I M 'J Variance TOTAL 3,450.50 I FgrOffice°;Use I Permit ~ W I I City of Eap C 1 1 Permit Fee: i 3830 Pilot Knob Road Eagan MN 55122 Date Received: - f Phone: (651) 675-5675 L Fax: (651) 675-5694 Staff: L----------------- 2008 RESIDENTIAL PLUMBING PERMIT APPLICATION n /J/ c, n J Date: L- Site Address: 5)"1 i Tenant: f(Suite M RESIDENT 1 OWNER Name: Phone: Address I City / Zip: CONTRACTOR Name: X13. vnPCy~n ~a\ \rC. License#: n(D`Zq%b- ?M Address: ~rv\bev -Y n City: q,6-1116, c~ State: Zip: Phone: (0°J- Contact Person: TYPE OF WORK -New t Replacement _Repair _Rebuild _ Modify Space - Work in R.O.W. Description of work: PERMIT TYPE RESIDENTIAL Water Heater _ Water Softener _ Lawn Irrigation --'Add Plumbing Fixtures RPZ I_ PVB) Main _ Lower Level) Septic System _ Water Turnaround New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (includes $.50 State Surcharge) 'Water Turnaround (add $136.00 if a 518" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ 1 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 an~epprn al oY f plans. - Applicant's Printed Name Ap"ptlcant's nab FOR OFFICE USE Reviewed By Date:'. , Fin aI Required Inspections: Under Ground Rough-In Aiffest Gas Test ; 1989 BUILDING PERMIT APPLICATION CITY OF EAGAN 0, (i, MILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL SITE SURVEYS REGISTERED SITE SURVEYS - Q STRUCTURAL PLANS ENERGY CALCS. (CHECK WITH BLDG DIV.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCS. 1 SET OF ENERGY CALCS. XULTIPL.E DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/BOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. 50 CHANGES VILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.. SEWER 8 WATER PERMIT FEES AND ACCOUNT DEPOSIT FEES WILL BE INCLUDED WITH THE BUILDING PERMIT FEE. PROCESSING TIME FOR SEWER AND WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED INDICATING A LICENSED PLUMBER. PENALTY APPLIES WHEN: PERMIT IS NOT PAID FOR IN SAME MONTH IT IS REQUESTED. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. J - 3 1989 To Be Used For: near zia Valuation: Date: / Site Address OFFICE USE ONLY Lot Block 3 Occupancy M-1 FEES Zoning R-% Parcel/Sub ~/u Q?e Actual Const V- N Bldg. Permit Allowable V- N_ Surcharge _ f j,So Owner # of stories Plan Review 4b.5 D~ Length 11 SAC, City I00'0o Address Depth 95 SAC, MWCC 595.00 S.F. Total Water Conn 580,00 City/Zip Code GCe L; 55l/ 3 Footprint S.F. Water Meter 10,00 Acct. Deposit so,oo Phone On site sewage S/W Permit 2D.oo On site well S/W Surcharge 00 Contractor~li~{~y MWCC System -7 Treatment Pl. 7-zaoo City water V/ Road Unit 3g01 w Address PRV required Park Ded. Booster Pump Copies City/Zip Code S / SUBTOTAL APPROVALS Penalty Phone LtSl-O'b 7d 9~~596.36 Planner TOTAL S ' Council L" Arch./Engr. JJJi ®~✓s~li~ /e ~~li Bldg. Off. JQ6~ Address Variance / City/Zip /Code / 1~. /'i, sSll Phone # 7 76 ~lp ~d VAS L U AT I CN z 2 x zco - s A %dl S AsC Nt e N Z` 3~x3z r1~~( 18uz3 7 yr! I S98 x 11-f:: Z ZITL 1✓sm~. 1 spa 3K)x2 = X12 ~6 Q U-1 I Ll = r (08 x ~1 o= 67 2 -NT) 11 G~ x5%` 58300 I X29 Z * * 2422 Enterprise Drive * PIONEER Mendota Heights, MN 55120 engineering, ~r(612) 681-1914 ~ >F I Certificate of Survey for: _MAUL ER_ _ `RUC-T(mJ AsNguRy Rojo 2 0 ~ M 4,33 x 71 \4 R sp>~F /$ia.o VI .1 o22.n e•-_ YG pI 36.67 ro I I 3 ~ r (~ZAF~SF b ~~AR-a (T~ ~ p~ a 1-f o~Sr M` I M M M I o ~ --_3635 o N y _ _ _L ZZ1t . - 1. ?5.n V) I R2;.o I ~ pN I I Ito i ~ o/r+xi.7A~e QgsewPnt ~bPr P/p>< - - -I .o N By -N ~ L~ By r D EAGAN ENGI EEdl DEPT 90?.0 Denotes exisfi Elevation -PROPOSED HOUSE CLEV4T74N rtO.O~ Deitofe5 prof)(Yed Elevafiort Lowest floor 7eva toll~z2,6-1 Denotes DraillIe f (JI&Y Easernenf Top o; Block E-evafion 6so,61. - Denotes Drain je f7ow Arrows CaraOe Slah Elevation 830• Denotes rrtonumeof o Deno{es Dr'rsel Nub Bearir~s shown are assumed Sub ecd fo Easemen s o-') P ord IOTZ6 BLOCK 3 BLACIINAWAI MV 2No I hereby rmtiry Thal this is n rrne and corm.0 representation of n wrvny of the boundaries of the abo~'ve/7yscrihcd tar and of the location of all buildings, Ihm'enn, nud all visibly "INOnghmBnts, if any, from or on said land. As mirveyed by me thisday of A.D. 19 . 1 inch _ 40 f nn6EnT n. SIKICH I_. S. nEr. NO. 14891 Cities Di . . tgial Quality Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. CITY OF EAGAN EXTERIOR ENVELOPE AVERAGE 'U' COMPUTATION OWNER: _ LEPIIJSfC p SITE ADDRESS:SF 7_~~~ZL/~o/(~ ©~O P~Siu' CONTRACTOR: DATE:. PHONE. Determine working square footage of each: 1. Total exposed wall area (eQ . sq. ft. x .11 = 2. Total roof/ceiling area ~2 Z S q sq. ft. x .026 = Ll Total exposed wall area above floor a: Total wall window area 3 S S b. Total door area (m -7: '3 2. c. Total sliding glass area . 9 9r o d. Total fireplace wall area e. Total wall framing area (average 10%) J(o.9(r f. Total net wall area above floor 2300.0. g. Total rim joist area . ? 8 'F. k Total exposed foundation area = L' 3 h. Total foundation window area w .7 6 i. Total net foundation area above grade Determine 'U' value of each wall segment: a. 3.~ x ,Ut b. x'7.3'7- x ' U' L41 3 d. y x ,UI e• 1 x 'U' 9/0 f. S2 x 'U' a G, = 05. g. Ze>4.,,43 x 'U' . oz = 83 h• 1, "7L x 'U' .S6 i. A'SW x 'u, .iH = 3. Total = ZL 1 Z If item 83 is the same as or less than item 41, you have met the intent of SBC 6006(c)2. Total exposed roof/ceiling area f L 2 2 .S j. Total skylight area............................... k. Total roof/ceiling framing area (average ~7, 2.S' 1. Total net insulated roof/ceiling area............. /q& 0, zg OVER Determine 'u* value for each roof/ceiling segment: J. x rut k. x rur 1. ly6o,zy x lul , oi9 4. Total 3c"~. S If total of `i4 is the same as or less than ii2, you have met the intent of SBC 6oo6(c)1 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 lit and tit. + 2. 4Z.i~ - 39n; gS 4. ~o.SI 295',3 2 P guide insulation ba,`.fles in ever rafter space. ROOk : C(1_.I cP~ y its jE~iJ2 Atr~ Fl"l 6.$ G b 1111 v 7. i (,-T: LL) I~ I 11 ,I s all • 4 ----tom t~a~~ ~f {C ~ I to;~ G, P. ~~15V~~~kG .771.1 f c7 1 u E F~ t.~ 7 t1(ji1= l~fz = ;if TOTAL trQ kXI = faAn11 L, .loy ~1r1 k F u 1 t!~ i G Q t' NS CILU, i 1%t i 36 0 I , t~ j If )i1 15 :5 uJjz . I , tfi i'IYC SICING . . Ai FILE t . /-7 ae p fcJNPDAT~o; l CtZ) VAu ty.1E~7t~ AM? CD X11 r ° O ~XI it Ale FILM .17 it Ull Floors unheated spaces must have minir..uz R-factor of R-20 Floors ova (tuck-under garages). r outdoor air (overhangs) must Have a minimum P-factor of n-33. r r -DISTRIBUTED BY- TM ® INDEPENDENT MILLWORK, INC cam 9420 83rd Ave. No. • MPIS., MN 55445 111 (612) 425-6600 O quah~ w~. BILL ENRIGHT, Jr. "Service Is Our Key Word" mJokmen ARCHITECTURAL REPRESENTATIVE DATE JOB t.~e1.~ n: 83 LS~ I 11t r RIi(. faIS! x ?a.oq_ tlli t-Zo4o ZlnprlXt~-Orr $Iy~{ -32 ~purJ(J, K 011, !-lca o 2-o'!a<S!p~~ lo.xq- 4~ f I 1 ~ ~_~t3-CYi(i. _ lifi 2- ~o~$O~ ~r,Orl ~~C~6Qr 2°_xY = ga _ tr~ l 6,1 A ,.63 12y SS' _ J 2-1 s33S; 3' ~n x ~ln 1 ltSx ! = !i S 1, FirLi- 12) 3i `.1 3 '2°S° r l x 1 r P _g I 2-2040: 4r-OIIK r arr n~ 4,,/ - 70 ~j 2. ~ ~~-'ObR- Use sic IL19; ~f Y__ 46 t19S.a 1- 67~1-06Ga ~1xguX~lQ,r z 39,l0 cs ~121 SE - C T03 2a6~ ;8i1 x 9'-0 i1= 69CL, _ / ~~zQkJ-- 0069-S IXo {I X 1n$rl__._33 - /3ACr_ rDOCr~ 1X~rtR rx `r l.],1G i I I , 3 p ANpER$EN.° PERMA•SIfIELD® WINDOWS R PATIO DOORS FOR COMMERCIAL.& INSTITUTIONAL USE { INSTANT TESTING COMPANY - .CO 4000 BEAU D' RUE DRIVE INPLACE DENSITY EAGAN, MINNESOTA 55122 TEST REPORT Phone 454-3544 PROJECT: Blackhawk Glen 2d Addn FOR: MC ALLISTER CONSTRUCTION Lot 26, Block 3 (3597 Ashbury Road) McAllister Construction DATE TESTED: 23 September 1989 1960 Charlton Street @ 10:30 West St Paul, Minnesota 55118 REPORTED: 25 September 1989 Farmington, Minnesota 55024 AUTHORIZED BY: Mike INPLACE DENSITY RESULTS TEST NUMBER: 1 2 3 LOCATION: footing line 61' west of 98' west of 33' west of east property east property east property line, 20' south line at north- line of north foot- east corner ing line footing line DEPTH BELOW GRADE: 0' 0' 0' Top of Grade - Bottom of Footing Grade PROCTOR CURVE NUMBER: 89-01 89-01 89-01 VISUAL SOIL CLASS: Loamy Sand & Gravel-------------------- % MOISTURE: 4.1 5.4 5.2 OPTIMUM MOISTURE 9.2 9.2 9.2 RELATIVE MOISTURE, 45 59 57 FIELD DENSITY, PCF: 126.1 124.9 126.3 STANDARD MAXIMUM DRY DENSITY, PCF: 131.7 131.7 131.7 RELATIVE DENSITY, 96 95 96 REQUIRED MINIMUM: 95 95 95 REMARKS: Tests meet density requirements. Relative density results based on Standard Proctor. Proctor sampled w/field test #1, see attached sheet for results. Test. Technician: Bishop, ITCO COPIES TO: McAllister Construction CHARGE CODE 3 - #306 + -1 x 1.5 = 1.5 #601 Nz. -JJ> 5 - #612 mileage Signed J'-S`, ~2EU -li ti'C / y G. J. Kopacek Professional Engineer - Registration No. 7254 r I c INSTANT TESTING COMPANY _ CU 4000 BEAU D' RUE DRIVE EAGAN, MINNESOTA 55122 TEST REPORT Phone 454-3544 MOISTURE\DENSITY LAB NUMBER: 89-01 FOR: MC CALLISTER CONSTRUCTION PROJECT: Blackhawk Glen 2d Addition Lot 26, Block 3 (3597 Ashbury Road) DATE SAMPLED: 23 September 1989 REPORTED: 25 September 1989 SUBMITTED BY: Bishop, ITCO STANDARD PROCTOR CURVE NUMBER: 89-01 VISUAL SOIL CLASS: Loamy Sand STANDARD MAXIMUM DRY DENSITY: 131.7 pef OPTIMUM MOISTURE: 9.2% SAMPLE REPRESENTATIVE OF: Test #1 REMARKS: CHARGE CODE: 1 - #303, 1 - #302, Signed G. J. Kopacek Professional Engineer - Registration No. 7264 RESIDENTIAL BUILDING PERMIT APPLICATION ~S CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 a°\ 651-681-4675 New Construction Reaulrememe RemodeMeoair Reaulremeng • 3 registered she surveys showing sq. ri of lot, sq. ft. Of house; and LII rooted areas • 2 copies of plan (20% maximum lot coverage allowed) • l set of Energy Calculations for heated additions • 2 copies of plan growing beam & window sizes; poured found design, etc.) • 1 site survey for exterior additions & decks • 1 set of Energy Caloulatbns • Indicate if home served by septic system for additions • 3 copies of Tree Preservation Plan it lot platted after 7/1193 • Ron Joist Detail Options selection sheet (bldgs with 3 or less units) DATE VALUATION \22_5 -53 SITE ADDRESS ~i`79' }hh~ ,r~~ _ MULTI-FAMILY BLDG _ Y kN TYPE OF WORK -A FIREPLACE(S) _L0 _ 1 _ 2 Catastrophe Restoration Services Inc. APPLICANT MIN 551 TT__ 2489 Ice butte Roseville STREET ADDRESS CITY STATE ZIP TELEPHONE # 6 CELL PHONE # FAX # 651-0219 PROPERTY OWNER nt~ -----_-----TELEPHONE#(n -\=Z=Z~9Z COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MINNESOTA RULES 7672 (J submission type) • Residential Ventllation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: _ Phone # Plumbing system includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00 Water Heater _ No. of R.I. Baths No. of Baths Mechanical Contractor. Phone If Mechanical system includes: Air Conditioning Fee: $70.00 Heat Recovery System Sewer/Water Contractor. Phone # 4;1i. A4-20Q-- I hereby acknowledge that I have r this application, st that the information is correct, and agree to comply with all applicable State of Minneso Statutes and City of E an Ordinances By Signature of Applica OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt- Mufti ❑ 03 01 of _ plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screened) ❑ 36 Multi ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg-Yor-N ❑ 25 Miscellaneous ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish (Interior) ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Bldg. ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish (Bldg)" ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS - Footings (new bldg) _ Final/C.O. - Footings (deck) _ Final/No C.O. - Footings (addition) _ Plumbing _ Foundation _ HVAC _ Drain Tile Other Roof - Ice & Water _ Final - Pool - Ftgs - Air/Gas Tests - Final - Framing - Siding _ Stucco _ Stone Fireplace - R.I. -Air Test -Final - Windows (new/replacement) - Insulation - Retaining Wall Approved By Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Cities Digital Quality Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. ~a 2004 REg7DENTrdr IBU"ING PERMCT APPLICATION City Of Eagan 77~ 3830 Pilot Knob Road, Eagan R'IlV 55122 - ,____Telephone#.:652= 675-5675=--FAX-# 651-675 5694- - - New Constnrction R uirements 3 mgist_red site surveys showingsq. fL of lot, sq. R of house; and all roofed areas RembdeUReriair RP^ [20% 2 maximum lotcovemge allowed) 2copiesofptan - - copies.ofplan sfiOwing beam $ window sizes; poured found desigq et, 3 1 set of E e i I set of Ene n r9Y CalculaSons for heated additions Energy a 1sitesurveyfoiaddifionsBedecks copies of Tree Presreservago afion Rim Plan if lot platted after 7/1193 _ Addrfion -ind)cate ffon-site septic system Joist Detai70ptions selection sheet(bldgs with 3 or less units Date Site Address Construction Cost Clo(_,/ c Unit/Ste # Description of Work o al Multi-Family Bldg _ y V N Fireplace(s) 0 Property Owner PP P Telephone#(&50'JL2 _ L-1, Q{ Contractor Address 2U Raid C- State N Cityltk~AIU Zip DcE) II Telephone # (L(r l- Z (9 cl - t 1 1 COMPLETE THIS AREA ONRY IF CONSTRUCTING A NEW BUILDING Enetgy Code Category _ M=-Ota Rules 7670 Cate o 1 (4 submission type) Residential Ventiration Category Minn ~O~ RnIes-7672 ' Submitted 1 Worksheet • New Erie s Submitted rgy Code Worksheet • Energy Envelope Catculation Sub mitted Have You previously constructed fee applies a building in Eagan with a similar plan? _y -N If . D ~ 7- plan review '_icensed Plumber Telephone ) viechanical Contractor ewer/Wafer Contracfior Telephone 2004 Tefephone hereby apply, for a Residential Building P tat the work will be in conformance with the ordinance~soandd odeao the City of Eagan n and let the State accurate; :atntes; I understand this is not a permit but only an application for a permit, MN v that the work will be in accordance with the and work- is not to start Pro without a provaI ofpIans. approved plan in the case of work which requires a review and pplicant's Printed Name CA N Apph t s Signature . OFFICE USE ONLY Sub Types El- 30--Accessory Bldg 01 Foundation ❑ 07 05=p[ex ❑-13 15plex E120 Pool - ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ . 31 Ext. Alt- Multi ;03 01 of_piex O 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.)' ~3 E5d Alt-SF ❑ 04 02=plex c❑ 10 OS-plex ❑ 18 Deck ❑ 05 03-p[ex ❑ 23 Porch (screenlgazebo) El 36 Multi Misc.- ' ❑ 11. 10-piex O 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-p[ex ❑ 12 12-p[ex' Plbg_Y or_ N ❑ 25 Miscellaneous Work Types ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish Interior ❑ 44 Siding ❑ 32 Addition ❑ 36 Moue Building ❑ 42 Demolish Foundation ❑ 45 Fire Repair ❑ 33.Alteration ❑ 37 Demolish Building* ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement `Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bidgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ Final/C.O. _ Footings (deck) _ Final/No C.O. Footings (9ditlon). Plitmbmg _ Foundation _ brain Tile Other Roof Ice & Water: ' Final _ P,qo) _ Ftgs Air/Gas Tests Final _ Framing _ Siding - Stucco Stone _ Btlol[ _ Fireplace _ R.I.: "AirTest _ Final _ Windows. Insulation _ R fa i irig wii1P' - 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 Total rte. tea. sv...c :uu sF.. vv rna too o I 1 4460 1(L'1YL`ITAL If I- YfjMUW . IM UV re al rune 2001 - - City of Eagan 3836 Pilot Knob Road Eagan, MN 55122 To Whom it may Concern: Elder Jones is authorized to Ptz21 building Permits for Renewal by Andersm Please allow Eider Jones to provide tbis ker6ce for us in Eagmt. '!iris a nltodzation is valid for any date beyond 06101; until a r6nowal by Andersen managerexpressly revokes it in wining to the Clty_ i request this authorization be a our building P==t3 any further. Pdc can c xpeffitious7y delay in the processing of contacted at 763-502.4706_ Y gneulona.. Y can Ixi Your immediate attention to this matter is al Predated. OSincaiely, . d"R. Rau ation Manager Renewal by Andersen Corporation Ca. TCKarn_FTdsr T~nnn"- y Calf d . ~ X10 mil[" O Received Time Jun. 1'07PM 1J0 `I l5 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 30. ~ 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when permits arerequired for each unit Date (0 /_/3 105 Site Address 359 7 A6h 6 tt11 a k d Unit # Property Owner tJt c cf ~65 (1 Telephone # 4505 1 ) `f ✓ 2 `f 38 S Contractor j,(/J r i &t^,& ir,~~ cj r,yl{` _ b Street Address 16811 /4t~'~.-.Q/m all S-/ City f711/Y! C¢/of. State Zip S Telephone # (7(03 )'f34f -775e7 Bond Expires: The Applicant is Owner Contractor Other Add-on or alteration to existing dwelling unit $ 30.00 furnace -Additional -Replacement air exchanger _ air conditioner a~ -New -Replacement otheral,[ q p 76,- 1_7bV~~ ~/(LCn h ci! /2Ptit~ /y2Uict~w State Surcharge $ .50 Total - $ 30- 50 I hereby apply for a Residential Mechanical 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 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 accordance with the ap ved plan in the case of work which requires a review and approval of plans. ro Applicant's Printed atne Applicant's Signature L~ r 2M I J~ I IL , - _ - 2005 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit Date n' Site Street Address Unit # Tenant Nam Property Owner f- Telephone # (/O 61 't52 -437-5- Contractor Street Addres t f LQ~ f otf' --Qty riC PY1 ~2 State Bond Expires: The Applicant is Owner Contractor Other Work Type New Construction _ Underground Tank _ Install -Remove **see below Interior Improvement - Install Piping -Processed -Gas Nature of Work: **When installing/removing underground tank, call for inspection by Fire Marshal and Plumbing Inspector Permit Fees; $7050 Underground tank installationlremoval $50.50 Minimum (includes State Surcharge) or Contract Value $ x 1% _ $ Permit Fee If ep rmit fee is $1,000 or less, add $.50 $ State Surcharge If ep rmit fee is over $1,000, add $.50 for every $1,000 pe rmitfee $ Total Fee I hereby apply for a Commercial Mechanical 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 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 accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name Applicant's Signature Approved By: Inspector Date: r~ For Ofhce.use 7 City of EapIl j Permit#:~ ( ~J D I Permit Fee:-/ 7 7- 3830 Pilot Knob Road Eagan MN 55122 j Date Recel 15' j Phone: (651) 675-5675 I t Fax: (651) 675-5694 i Staff: 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Z6 Date: 1 5 FEt3 0'0' Site Address: J' J 4' 7 K$ t{ t3 Lt R t; Tenant: SE FE 1- OS 4 Suite RESIDENT / OWNER Name: ~E f 'D6 S R Phone: Address f City/ Zip: 3 S q-? A S H (3 U /2 Y ID? Applicant is: Owner ~ Contractor TYPE OF WORK Description of work: tJ~y A'TH R 66ri h h',O DC- t- Construction Cost: W se>o o ASS Multi-Family Building: (Yes _ / No CONTRACTOR Name: PATS API) &CIA7E S License#: 'QC b 2014 ?i -71 L10 Address: ~t I~I3.f 4 [LytLip p1VE City: AVIDLE (2ALL f:4S State: NA~) Zip: 55/2-L). Phone: 9SZ -Z92-JS e1 `4 Contact Person: E R RY 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 (^i 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 fora permit, and 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 app al plans. x'TE R0V,,e 3tEwrS Applicant's Printed Name A licant's Signature - - Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES ❑ Foundation ❑ 05-plex ❑ 16-plex ❑ Accessory Building ❑ Pool Single Family ❑ 06-plex ❑ Fireplace ❑ Porch (3-season) ❑ Ext. Alt. - Multi ❑ 01 of - Plex ❑ 07-plex ❑ Garage ❑ Porch (4-season) ❑ Ext. Alt. - SF ❑ 02-Plex ❑ 08-plex ❑ Deck ❑ Porch (screen/gazebo/pergola) ❑ Multi Misc. ❑ 03-Plex ❑ 10-plex ❑ Lower Level ❑ Storm Damage _ ❑ 04-Plex ❑ x'112-plex y~ y~^ ❑ Miscellaneous . . WORK TYPES f f9'1 1 /~.6 Aorzt, ~rh ❑ New ❑ Interior Improvement ❑ Siding ❑ Demolish Building' ❑ Addition ❑ Move Building ❑ Reroof ❑ Demolish Interior Alteration ❑ Fire Repair ❑ Windows ❑ Demolish Foundation ❑ Replacement ❑ Egress Window ❑ Water Damage Demolition (entire building) -give PCA handout to applicant DESCRIPTION: Valuation Occupancy MCES System Plan Review Code Edition - SAC Units (25% 100% Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Const. Width REQUIRED INSPECTIONS Footings (new bldg) Sheetrock Footings (deck) Final/C.O. Footings (addition) Final/No C.O. Foundation HVAC Drain Tile Other: Root: -Ice&Water -Final Pool: Footings -Air/Gas Tests -Final 5 Framing Siding:-Stucco Lath -Stone Lath -Brick Fireplace:-R.I. _AirTest -Final Windows Insulation Retaining Wall Reviewed By: i / Building Inspector RESIDENTIAL FEES: Base Fee Surcharge Plan Review f S p~ MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies Total Page 2 of 3 PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA073914 Eagan, MN 55122 . Date Issued: 06/19/2006 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 3597 Ashbury Rd Lot: 26 Block: 3 Addition: Blackhawk Glen 2nd PID 10-14351-260-03 Use Description: Sub Type: e-Windows/Doors Construction Type: Work Type: Windows/Doors-New/Replacement Description: House Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: If altering the opening size, a framing inspection is required. Smoke detec tors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard-wired detectors are required Bat tery operated types are acceptable if the wall/ceiling finish (i.e. sheetroc k) has to be removed to install a smoke detector. Kara Benson 1120 Eas t 80th Street, Ste. #211 Bloomington, MN 55420 952-345-6047 tims@elderjon es.com Fee Summary: Surcharge - Based on Valuation $2K $1.00 9001.2195 BL - Base Fee $2K $69.00 0801.4085 Valuation: 2,000.00 Total: $70.00 Contractor: -Applicant - Owner: Home Depot at Home Services, The Jeffrey L Dosh 5169 Winnetka Avenue North 3597 Ashbury Rd New Hope MN 55428 Eagan MN 55122 (763) 367-9740 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. Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type: Mechanical Eagan. Permit Number: EA101736 Date Issued: 10/24/2011 OR Permit Category: ePermit 40~ it~ of E3 E Site Address: 3597 Ashbury Rd Lot: 26 Block: 3 Addition: Blackhawk Glen 2nd PID: 10-14351-03-260 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 TINA NET TBAT TER 16411 ABERDEEN ST NE Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088 Surcharge-Fixed $5.00 9001.2195 Total: $».00 Contractor: - Applicant - Owner: Air Mechanical Jeffrei L Dosh 16411 Aberdeen St 397 Ashburn Rd Ham Lake NIN 55304 Eagan MN 55122 (763) 434-7747 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:Building Permit Number:EA111003 Date Issued:06/07/2013 Permit Category:ePermit Site Address: 3597 Ashbury Rd Lot:26 Block: 3 Addition: Blackhawk Glen 2nd PID:10-14351-03-260 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, 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 $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 - Jeffrey L Dosh 3597 Ashbury Rd Eagan MN 55122 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA131993 Date Issued:07/20/2015 Permit Category:ePermit Site Address: 3597 Ashbury Rd Lot:26 Block: 3 Addition: Blackhawk Glen 2nd PID:10-14351-03-260 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. 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 - Jeffrey L Dosh 3597 Ashbury Rd Eagan MN 55122 (651) 343-2702 Lindus Construction 879 Hwy 63 Baldwin WI 54002 (715) 684-4647 Applicant/Permitee: Signature Issued By: Signature Lindus Construction 9/1/15 City of Eagan: The below statement is for the property located at 3597 Ashbury Rd Eagan Mn. The window wraps have a drip cap that is incorporated as a one piece wrap that covers the window trim and extends up under the siding and house wrap as a drip cap would. This is custom made on site. The homeowner has stated that they will be putting up their own house numbers. The flashing on the deck that was questioned is a custom made deck/counter flashing that is tucked under the siding and house wrap.A siding J channel is installed on top of the this flashing with a piece of sill trim on the siding itself. Both of these are factor made accessories for any opening of the wa11s: Example would be doors and windows. R���,. C� �.��,��.5 C� . �o� s Use BLUE or BLACK Ink r"---------------- 1 For Office Use 3531 uit of Eakan Permit#:I 1 1 Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 � °"� Date Received: Phone:(661)Fax: (651)675-6694 75 0 1 I Staff: 1 i:--------------- 471 2016 RESIDENTIAL BUILDING PERMIT APPLICATION I-(CP - 7.-d0/ C� r" Date. 1 � Site Address: �� / 7 �S�i�t.�✓'�/ �ct� EGoD'i N� Unit#: Name: ��T-f ��l Phone: G�.Z': d�'JO�� I g Resident/ Owner .' Address/City/Zip: 359 7 ,5 khuN 4 R9 z6Qgta V 4--y 53-4,U t i Applicant is: Owner –X—Contractor Type of Work Description of work: /��S�tr �p GtP_�K , 1'J�°LVd�c./c51Ez/yS �lcx�c�:�tta/� Construction Cost. Multi-Family Building (Yes _/No Company: C IZ 7-I VE LAX 1'ER ICS Contact: 5,4P4 &Gf C✓' I Address: 3916 -45Ic4Cklitctwk PJ City: Contractor -a— I State:.41 N Zip: 5,5/o2g) Phone:y1S/-775'3 —9(Emaii: £ i I z License#: im � � Lead Certificate#: If the project is exempt from lead certification, please explain why: 1 i COMPLETE THIS AREA ONLY IF CONSTRUCTING ANEW BUILDING 1, 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, 2 r ; Licensed Plumber: Phone: Mechanical Contractor: Phone: f Sewer&Water Contractor: Phone: [ 3 i I' Fire Suppression Contractor: _ _ Phone: NOTE.Plans ands UPPolting documents that you submit are considered to be public information. Portions of the information may be classified as non pobfic if you provide specific reasons that would permit the City to conciuge that there 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.gophgrstateonecall.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 revisw 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. Applicant's Printed Name Applicant's Signature Page 1 of 3 DO NOT WRITE BELOW THIS LINE r SUB TYPES Foundation Fireplace T Porch (3-Season) _ Exterior Alteration(Single Family) _ Single Family _ Garage Porch(4-Season) Exterior Alteration (Multi) _ Multi Deck Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex Lower Level Pool Accessory Building WORK TYPES New Interior Improvement Siding Demolish Building* — Addition _ Move Building Reroof _ Demolish Interior Alteration _ Fire Repair Windows _ Demolish Foundation Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation 0 Occupancy MCES System Plan Review Code Edition '`` �` SAC Units (25%_100%l -3 Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction I�/ _ Width REQUIRED INSPECTIONS T Footings (New Building) Meter Size: Footings (Deck) Final l C.O. Required Footings (Addition) Final/No C.O. Required Foundation HVAC_Gas Service Test Gas Line Air Test Roof:_Ice&Water +Final Pool:_Footings :Air/Gas Tests Final Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In _,Air Test Final Siding:_Stucco Lath _Stone Lath Brick Insulation Windows Sheathing Retaining Wall: _Footings!Backfill Final Sheetrock Radon Control Fire Walls Fire Suppression: Rough In 4Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: " , Building Inspector RESIDENTIAL FEES Base Fee A" Surcharge, ` Plan Review fr 4 r F MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge I Treatment Plant Copies TOTAL Page 2 of 3 EAGAN R E VF '=_\ ED 2422 Enterprise Drive PIONEER "" Mendota Heights,MN 55120 engineering- ___ _-�;.-- - 981-1914 �y � "ONS DIVISION Certificate of Survey for._MCA LL I '?TFUCT(pN JUN 181016 4 .,, . (tea V D H l '�v i rirr 0 ONG,`1' , 10 L By s r / 'r gal a D .-�......�...... it E.A.G.AN ENGI EE IN AEPT OQ,O DPrto cis QXiAi Flevalion Q SE ,c ELEV47-ION goo-o Ce�tofr� r �ctedleacrtfor _ f lnwe Faor eva ran 1>rcringje e bViti� asernen� f) Of Block Elevafian a3o.6�. Deno pg Ctrl ir1 � r/ow orrows 6bra eSlah Ilevation s30"- Denotes monumernf o Deno es 0t'se¢ Ilub ge rlir 5 shown are c 5sumed Sub kf to Easemen S a DoT& $ BLOCS�_ , 9L4CA111AW L D CAN I herrhy rrtrtiry +has this ia:a tore nild corrnrt renresentmion of n survey of the boundaries of the above escrihad fas�,and of the location of all Ivril,lincs, rlrrrrnn, prof ail visit+lr encionrlimenta, if any, front at an said land. As silmyad by me this cfaY of�A.D. 19 . 1 40 r�'j t.)r ��• -_._..._ _._._._ RnflETt# A.SIt<ICf{ L.S. nEG.NO. 14891 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA164752 Date Issued:10/07/2020 Permit Category:ePermit Site Address: 3597 Ashbury Rd Lot:26 Block: 3 Addition: Blackhawk Glen 2nd PID:10-14351-03-260 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - Jeffrey L & Rebecca Dosh 3597 Ashbury Rd Saint Paul MN 55122--122 Air Mechanical 16411 Aberdeen St NE Ham Lake MN 55304 (763) 434-7747 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA168894 Date Issued:05/07/2021 Permit Category:ePermit Site Address: 3597 Ashbury Rd Lot:26 Block: 3 Addition: Blackhawk Glen 2nd PID:10-14351-03-260 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 - Jeffrey L & Rebecca Dosh 3597 Ashbury Rd Saint Paul MN 55122--122 (651) 343-2702 Air Mechanical 16411 Aberdeen St NE Ham Lake MN 55304 (763) 434-7747 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA169541 Date Issued:06/01/2021 Permit Category:ePermit Site Address: 3597 Ashbury Rd Lot:26 Block: 3 Addition: Blackhawk Glen 2nd PID:10-14351-03-260 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener 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 - Jeffrey L & Rebecca Dosh 3597 Ashbury Rd Saint Paul MN 55122--122 (651) 343-2702 Air Mechanical 16411 Aberdeen St NE Ham Lake MN 55304 (763) 434-7747 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA175506 Date Issued:04/07/2022 Permit Category:ePermit Site Address: 3597 Ashbury Rd Lot:26 Block: 3 Addition: Blackhawk Glen 2nd PID:10-14351-03-260 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door 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: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 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 - Jeffrey L & Rebecca Dosh 3597 Ashbury Rd Saint Paul MN 55122--122 (651) 343-2702 Lindus Construction 879 Hwy 63 Baldwin WI 54002 (715) 684-4647 Applicant/Permitee: Signature Issued By: Signature