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3645 Ashbury RdDATE: 7/10/89 RF. 3645 ASHHURY ROAD. L17, B3, BLACICHAWK GLEN 2ND ._zz. lbur Sewer & Water Permit for the above property has been completed. It will be held at the J;ublic 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: 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 L.AW. CONTACT COMMUNITY DEVELOPMENT QEPARTMENT FOR WATER TURN aN POLICY. =r??„? : Secretary, Building Inspections Dept. DATE: 7/10/89 Rl?.3645 ASHBURif ROAD, L17, B3, BLACKHAWK GLBN 2ND I YOur Sewer & Water Permit for the above property has been completed. It wili be held at the . ic Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO kbli_ PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. '?Your Sewer $ Water Permit for the above property cannot be completed for the following vreasons: Your Sewer 8 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 U7'ILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. ' BLDG. PERMIT NO. l , 01-3210 Bidg. Permit ' 01-3422 Plan Check ? ? 01-3445 Surch./Adm. ? , 01-3446 SAC/Adm. 01-2155 Surcharge 75-3860 Road Unit ? 20-2275 SAC T 20-3865 Water Corm. `l ? . 20-3868 Water Trmt. _ 20-3716 Water Meter 20-2252 Acct. Dep. - ? ` 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. !28-3855 Park Ded. : ?r- ? _ TOTAL SEWER & WATER PERMIT CITY OF EAGAN 3630 Pilot Knob Rd. Eagan, MN 55122-1897 DATE r- MEfER # USE ONLY PERMIT DATE 7/10/89 CHIP # PERMIT # 10615 METER SIZE B.P. RECEIPT # C 2$30 ISSUE DATE B.P. RECEIPT DATE 7 I7_/ '? PRV - BOOSTER PUMP SITE ADDRESS I LOT ?BLOCK -- SEC/SUB APPLICA4f: ADORE§S: .• - - ?r,e..? :.?. '...c...? ' 2.? ?- CITY, STATE 21-?.--_ ZIP - PHONE: ? PLUMBER: ' ADDRESS: 77 I CITY, STATE . ZIP -`" rt PHONE: , l OWNER: - ? ADDRESS: CITY, STATE ZIp j PFiONE: - - ' .1 ? PERMI7 REQUESTED X SEWER WATER _ TAPS - COMM/1ND 1L NEW X_ RESIDENTIAL _ EXISTING Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. Credit WILL NOT be given for Deduct Meters. 1 AGREE TO COMPLY WITH CITY OF EAGAN ORDINANCES SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM , SEWER PERMITS, CONTACT ENGINEERING DEPT. W .- . ", (ger#i#irate uf Orrupanrg titp of eagan Eppl"w[PttY of ilitjdtttg 3wPt#1DIt This Cerrifecate essued pursuant t01he requiremenls of Sectron 306 oJthe Uneform Building Code certifying lhat at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the foQawing: Ux Claaifiation $F ?'?I(AR Bldg. hrmit No. 16758 om,a-r rrw R3?4 I - z,ooing nWAtt R 1 '?ypC Cnn9a VN Owner of BuildinHam p?? 14600 ?OTH AVE. S. 8 B'Vn I '.? s.Mi.g aea. 3645 ASZMIRY PDM 1,=htyL17, B3. ffi.AffiRASK GLE?+i 2ND NdVHM 24, 1989 Bwlding Otficiat.=POST IN A CONSPICUOUS PU4CE SEWER 8 WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. Eagan, MN 55122-1897 DATE D ? ?F?CE SE ONLY *ErEA # C? PFRMIT DATE 7/ 10/89 C # PERMIT # 10615 METER SIZE ? B.P. RECEIPT # C 2830 ISSUE DATE B.P. RECEIPT DATE 7/ 7 / 89 ? PRV _ BOOSTER PUMP f SITE ADDRESS PERMIT REQUESTED LOT '? BLOCK ??SEC/SUg t3?ae i! `'? X SEWER ? WATER - TAPS APPUCAM'f: ADDRESS: s ? CITY, STATE PHONE: ZIP -;7!/ L? PLUMBER: ADDRESS: CITY, STATE PHONE: ?f' ? - r x 7:Y ZIP OWNER: ADDRESS: CITY, STATE PHONE: ? ZIP •?--' "? PLEASE ALLOW SEINER PERMITS - COMM/IIVD 1L NEW X_ RESIDENTIAL - EXISTING Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. Credit WILL NOT be given for Deduct Meters. ? f I AGREE TO COMPLY WRH CITY OF EAGAN ORDINANCES SIG,{IKTURE WHEN METER ISSUED DAYS FOR PROCESSING. CALL 4545220 FOR INSPECTIONS. FOR STORM INEERING DEPT. ( _ .. . !. . . ' . . Y ? CASH RECEIPT CITY OF EAGQN` - 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 --? ? , OATE 19 ?CEiVEO ' . ? ( J Fppy ?f / r _ . ., AMOUNT $ ? & DOlLAR3 ioo ? CASH Y CHECK FOR , ?? - BY C ` White--Paysrs CoPY YeNow-Pos^9 CoPf' Pink-Flle Copy Thank You CITY OF EAGAN r' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # for sF DuG/GA: Est. Value $147 SiteAddress Sl,'+5 ASt.F?t°h:Y RL Lot 17 Block SeciSubb.L.AGKHAWK _Et; 22 Parcel No. W Name WAG??ER IfOMES 3 Address 1461.'j0 TBIdTEi AVT: S SUITH 3UU 0 City BUFNSVILI.E Phone 431-7557 Name _ Address Phone I hereby acknowlege 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 ol Eagan Ordinances. Signature of Permitee A Building Permit is issued to: `' i' •?• :- ?? '?13: ?i' on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City ot Eagan Ordinances. Building Ofiicial OFFICE USE ONLY !f75P 198:_ Occupancy FEES Zaning (Actual) Const v"r, Bldg. Permd G'C'4• OV (Albwable) v_.N Surcharge 73 _ SL # of Siorfes - Len th 9 fi ' Plan Review ?Z-??0 Deptn 411 SAC, City 100• W S.F.TOtal - SAC,MCWCC 575•v%' S.F. Footpnnts On Site Sewage _ Water Conn 5$0•=' ` On Site Well - Water Meter ?•?- ? MWCC System •t)f :Q City Water ,?X • ??!? AccL Deposit PRV Required XX S.'W Permit Booster Pump - SM/ Surcharge ?•?`' TreatmentPl 226•' ' APPROVALS Road Unit 340- `- - Planner Park Ded. Council ? ? • ? Copies BIdg.OH. _ Variance - TOTAL 3 . 244. 5G Permit No. Permit Holder Date Telephone # WI(fER x 7 SEWER PLUMBING H.V.A.C. ELECTRIC ??? ? - c?• ?/ ?189 $?C en Inepectlon Dete Insp. Comments Footingsl a - Gl/ /^?9?5 Q? ?f foo C?- Foundation Framing Roofing Rough Plbg. Rough Hig. -? - isui. G ? ? ?cuL -t?2 Freplace Fnal Hlg. Final Plbg. Const. Meter _ Plbg. InspeCtor Notify P ber Engr./Plan Bldg. Final Deck Ftg. Qeck Final Well Pr. Disp. Cities Digital Qualitv 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. . ?Y CONTRACT PRICE: . .,. ... . _ . . .. ? . _„?., " PERMIT # `?7"tL? L/ , PLUM8ING PERMIT RECEIPT #1 ? ?? ?? CITY OF EAGAN r 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ?! 0 PHONIE: 454-8100 Site Address Lot Block -? - Sec/Sub ' ? Name T Address . c Ciry Phone Name ? 3 Address p Ciy Phone ? FEES COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE & CONDO - RES. RATE 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 BEYOND $1,000.00) ; %" - ...?- SIGNATURE OF PERMITTEE CITY OF BLDG. TYP j-' WORK DESCRIPTION Res. New V' Mult. Add-on Comm. Repair Other RES. PLBG. ONIY - COMPLETE THE FOLLOWING: ?Q FIXTU RES TOTAL •`Z-Water Closet - $3.00 S ? Bath Tubs - $3.00 ? Lavatory - $3.00 Shower - $3.00 -L_Kitchen Sink - $3.00 Urinal/Bidet - $100 , ZLaundry Tray - $3.00 -LFloor Orains - $1.50 ( Water Heater - $1.50 Whirlpool - $3.00 Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIT) Softener - $5.00 Weil - $10.00 Private Disp. - $10.00 -`j Rough Openings - $1.50 FEE STATE S/C: ? GRAND TOTAL: , ... ? . m• Name ? Addre c City _ ? Name c Addre p3 CitY - I TYPE OF WORK Forced Air I Boiler I Unit Heater Air Cond. ? Gas Piping Outlets # Other PERMIT # MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: PHONE: 454-8100 For Office Use Only: BLDG. TYPE WORK DESCRIPTION Sec/SubRes. New r ? Mult Add-on . ?- ? Comm. Repair ? Other - Phone ' ` Phone a r ?M BTU M BTU M BTU -"-? M BTU CFM FEE: S/C: TOTAL• FEES RES. HVAC 0-100 M 8TU -$ ADDITIONAL 50 M BTU - (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIn - COMM/IND FEE - 196 OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLJES TOWNNOUSE & CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON & REMODELS - 4.00 6.00 1.50 EA. , 12.00 MINIMUM COMMERCIAL FEE - 20.00 ? 57ATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000) ? , SIGNATURE OF PERMITTEE JI FOR: CiTY OF EAGAN . Renewal By Andersen RESIDENTIAL 350-73rdAve.NE MILDING PERMfTAPPLICATION Fridley, MN 55432 CITY OF EAGAN 763-502-4777 ? ????? 3830 PILOT KNOB RD -55122 I_ 651-681-4675 New ConsWCtion Reauirementa RemodePReoair Reauirements •, 3 registered slle suneys showing sq. ft. of lol, sq. ft. of house; and all roofed areas • 2 coples af plan (2096 mazimvm lol coverape allowed) . 1 set of Eneyy CakulaUons for heated additians • 2 capies of plan show4g beam 8 window s¢es; poured found design, etc.) • 7 site survey for exlerior additions & decks • 1 set af Energy Calculationa . Indlpte if homa served by septic system for additlons • 3 copies of Tree Preservation Plan'rf IM qaried after 717/93 • Rim Joist Detail Optlans seledion sheel (bldgs with 3 or less units) DATE 1 • JOB SITE If MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWN R C7Y1 O ckA TYPE OF WORK?e?..s _ cin}'_,. .. K: •?,e. mo,?„i ? FIREPLACE(S) _ 0_ 1_ 2 APPUCANT SCrvs n PHONE# %a-AS•WN 7- ADDRESS ZIPCODE 55-zI590 PAGER # CELL PHONE # FAX # NIEY RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculatlons Submitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing CoMractor. _ P1umUing System Includes: Mechanical Contractor: _ Mechanical System Includes: Sewer/Water Contractor. Air Conditioning Heat Recovery System All above information must be su6mitted prior to processing of application. Phone # Fce: $70.00 PhoneJD I hereby acknowledge that I have read this application, state that the information is correct, and'bgree#¢comply with all applicable State of Minnesota Statutes and City of Eagan inances. Sfgnature ofApplica??? /ty _ Waler Softener _ Water Heater _ _ No. of Baths VALUATION 1%2tb()2? Phone #: Lawn Spruilcler Fee: $90.00 No. of R.I. Baths Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 1/01 OFFICE USE ONLY ? ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool 0 30 Accessory Bldg 13 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (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 O 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addfion • ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? ?. . 33 Alteration - fl 37 Demolish (Bldg)' ? 43 Reroof ? ' 46' Windows/Doors ? 34 Replacement •Demolition (Entire Bidg only) - Give.P.CA handoutto applicant Valuation _ Census Code _ SAC Vnits _ Nbcof UniGs Nbr: of Bldgs _ Type of Const _ Occupancy Zoning . +1 Stories Sq. Ft. • ' Length W idth REQUIRED INSPECTIONS Footings(new bldg) Footings (deck) FinaUNo C.O. Footings (addition) Plwnbing Foundation Drain Tile Roof Ice & Water Final Framing Fireplace _ R.I. _ Air Test _ Final Insulation ,. MClES System . City Water • ° Booster P'ump ` PRV Fire Sprinklered Other _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Siding Stucco Stone _ Windows (new/replacement) Approved By Base Fee Surcharge Plan Review MC/ES SAC ciry sa,c Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanicai Permit license Search. Copies Other Total FinallC.O. HVAC Building Inspector V-° 4 3 8 9 &3 Requasl Dete ? n?? `" Fre No. Rouph-in Inspectlon Requiretl? / .HJ Ready Naw ? Will Nofily Inspector R 0 7 ?? Wh d es ?No en ea y Iicensed contractor ? owner hereby request inspectan of above electrical work at: Job Mtlress (Sireet, Baz or RoNe No.) Ciry Seccion No. Township Name or No. Range No. Counry ? J Occupent (PRINTj Pppne No. ? Powet S ier ? Adtlress ? . EIBGncal CoMrectar iCampany Name) contrai orS License No. Mailing AdtlreSA (C oMruYOra Owner Malting InsUlletion) ? y " AuMar¢etl naWre (COntractor/Owrrer Maklrg In alion) o Number S MINNESOTA STA7E BOAND OF ELECTpICffV THIS INSPECTION REDUEST WILL NOT GrlggaMitlwey 61d9. - Room S773 BE ACCEPTED BV THE STATE BOARD 1821 UniveBiy Ave., SL Paul, NN 55106 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCL0.SED. J/5lf?9 REQUEST FOR ELECTRICAL INSPECTION ? See insYiuctioire la completing Ihis brm on beck al yelbw copy. P.40389 'X" Below Work Covered by This Request r E&00001-0? 9?Pa- ew Add Rep. 7ypeofeuilding AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Buildinq Dryer O[her (Specify) Comm./Industrial Fumace Farm Air CondRioner Olher (specily) ConVaciork Femarks: Compute Inspection Fee Below: # Other Fee # Sarvice Emrence5ize Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 13 0 to 700 Amps 52 - 7rensformer5 Above 200 _ Amps 00 Amps Signs Inspecror§ Use Only: 7p7p? s? Irrigation Booms 76 •O ? "- Special Inspeaion Alarm/Communication Other Fee I, the Electriral Inspector, hereby ceAify thatthe above inspection has been made. pO°gn-'" Fnal 4/2 .- ' ? OFFICE USE ONLY This request voitl 18 monihs hom PERMIT # 1 V7q " RECEIPT DATE: SOOE M$SID£NTIAL f'LUM$IN6 PEItM1T APPLICAT10N crrY og EAeM 3830 Pu.or invos Rn Bs?sR1V, 61N batEE 851-881-4876 Please complete for: single family dwellings, townhomes snd condos when partnits are required for each unfl, backflow preventer for irrigation system SITE ADDRESS: J;? 4 - OWNERNAME:: a %?, TELEPHONE#: oS'i (AREA CODE) ? INSTALLER NAME: TELEPHONE #: lo/? - 2/ 7 ?E (AREA COD?) ' STREET ADDRESS: /d? 7 Vie, CITY: L?w?.,_.GLC ? STATE: _ ZIP: _ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00 includes $40.00 County fee Note: Additional consultant fees may apply • MODIFICATIONIALTERATION TO EXISTING DWELLING UNIT, INCLUDING: _ Adding fixtures to lower levels or room additions, excluding water softeners and water heatere. $ 50.00 _ Abandonment of septic system. _ Water tumaround - existing dwelling unit (+ 5I8" meter if needed -$118) Other: _ RPZ: new installationlrepair/rebuild $ 30.00 _ lawn irrigation system Replacement/additional: ? water softener _ water heater $ 15.00 State Surcharge $ .50 Total $ /a ,- I herebyacknowledge that I have read this application, state that the iMormation is correct, and agree to complywith all applipble City o/Eagan ordinances. It is the applicani's responsi6ility to natify tha property owner Nat the Cily o1 Eagan assumes no Iiabv for any damages caus?Qby Yhe City during ite normal i operational and maintenance activities to the hacilities constructad under this permit wkhin City. /right-of-wa !ea erg?nt. , ? ?1_i' S ?NATl1RE OF PERMITTEE 1102 ?•? ?..?.i iuv ss.ov rn..> ?oo orl 9@0? BT,iVr;ttAL t3Y,ylVLC1tJGLY . rE' al SY9NDBA5R;' ,Tl1iSB-7, 2001 City of Eagan 3836 Pilat Knob Road Eagan, MN 55122 To Whom Ie May Concern: Elder Jones is authorized to puil building permits for Renewal by Andersen_ Please allow Elder Jones to provide this service for us in Eagan. This authorization is valid fvr any date beyond 616101; untiI aWenawal by Andersen manager expressly ravokes it in writing to the City_ wi UUL/UUZ I reqnESt this authorization be accegted expediriously, as to not delay in the prveassing of our building pcmvts any furthcr. Plcasc cail mc if thcac arc any questions. I can Ua ? contacted az 763-5024706. Yaur immcdiate attention to this mattcr is appreciated. Sincerely, 0ust ino nd R. Rau allation Manager Itenewal by A,uders,en Corporatian Ce_ Kara-F.7der.Tnnes 12 M. ?! C,qpnAL 01311-ADA M9COmmnsionFspue NM n ?offi? lJaaat, 200.5 Received Time Jun. 7. 1:01PM ' CITY OF EAGAN N? 16758 E MN 55121 3830 Pilot Knob Road, P.O. Box 21-199, agan, PHONE: 454-8100 BUILDING PERMIT Receipt # v v Tobeusedfor SF DWG/GAR Est.Value $147,000 Date .IIILY 7 , 19$2__ Site Address 3645 ASHBURY RD Lot 17 Block 3 SeGSub.BLACKHAWK GLEN 26 Parcel No. w Name WAGNER HOMES z Address 14600 TENTH AVE S SUITE 300 ° CitY BIJRNSVILLE phone 431-7557 , o Name SAME ?¢ Address ? City Phone ?w Name 'R? Address aw City Phone I hereby acknowlege that I have read this applicaiion and state that the information is correct and agree to comply with all applicable State of Minnesota Statuies and City of Eagan Ordinances. Signature of Permitee A Builtling Permit is issued to: WAC.NER HOMF.S on the ezpre55 condition ihat all work shall be done in accordance with all applica6le State of Minnesota S[atules and City of Eagan Ordinances. BuiWing Official OFFICE USE ONLY Occupancy R-3 -ti--L FEES Zoning R-1 (AcWal) Consl V-N 81dg. Permit 804.00 (Ailowa6le) V-N Surcharge 73.50 # af Stories Langth 63 ' Plan Review 402.0 D Depih 49' SAC,City 100•00 S.F.Total - SAC,MCWCC 575.00 S.F. Footprinis - Water Conn 580.00 On Site Sewage _ On Site Well - Water Meter 0 90.0 MWCC System X-Y` XX ,q?cl. Oeposil 30.00 Cey Water PRV Required xx S/VJ Permit 20.00 Booster Pump - S7W Surcharge 1.00 Treatmen[ PI 228.00 APPROVALS Road Uni[ Planner - park Ded. Council - 1.00 BIdg.Oif. _ CopieS Variance 0 TOTAL 3,244.5 ., 1989 BDILDIAG PEAMTT APPLICATIOH CITY ar%mEAGAN ? ILPI I 1 D 3 1989 SINGLE FIMILY DWELLIAGS TIPLE DiiELLINGS 2 3ETS OF PLANS 2 SETS OF PLiNS 3 8EGI3TERED STTE 3DAPEYS REGISTSRED 32TE 3DRVEI3 - 1 SET OF SNERGY ClLC3. (CHECE WTfH HLDG DIV.) 1 SET OF F.BERGT CALCS. MULTIPLE DWELLINOS 9EHTAL OIiITS FOA SALE 46ITS COIMRCIAL 2 3ETS OF lRCHIlECTURAL 8 STEOCfQft1L PL?NS 1 SS!' OF SPECIFICATIONS 1 SET OF ENERGI CALC3. f OF DBIT3 30'!'Et iDDEIESSFS FOH CDRAER LDTS - CDATAlCTOA/HOI+EQWNEB MSS tMIGR9TE iiflICH 1DDRFSS IS DESIRED. NO CHlNGES WII.L BE iLLOiiED ONCE BDILDIWG PEAKIT IS I35DED.. 3EfiER i AlTfiR PERMIT FEES tND lCCOUNT DEPDSIT TSE3 i1ILL BS IPCLBDED iTlT9 TBE BUILDIH6 PERMIT FEE, PHOCFS3ING TITTIE FDR SEWER AND iTATEA PERMTI3 IS THO DAYS ONCE A PERMIT HAS BEEP COhPLETED IHDIC9TIRG d LICENSED PLDlBER. % PENALTY APPLIES NHENt PEHMIT IS NOT PAID FOR IN 3AME MONTH IT IS REQUESTED. LOT CAANGE IS REpUESTED ONCE PERMIT I3 ISSIIED. To Be Used For: .Ll//. v?J?,. L Valuation: OOO? Date: .te Address ? OFFICE DS6 Lot /-? Block 3 Psreel/Sub Owner Address City/Zip Code Ee?.? Phone 15'3 ContracEor 6ddress City/Zip Code Phone `[ -3l 7"?-s 7 Arch./Engr. lddress Oceupaney 1:?-3 M -( Zoning R-I 9etual Const V - N Allouable V - N I of storiea Length (?3 Depth 42 S.F. Total Footprint S.F. On aite aewage On eite well MWCC System J City tnaLer ? PAV required -7 Hooster Pump _ iPPAOVILS Planner Council Bldg. Off. '7/6 Variance Sp JUL ; 1989 P'EF.S Bldg. Permit " Sureharge 9115A Plan Review H02,? 3AC, Citq !o n.oo 3AC, MWCC 5'7 5,00 Nater Conn o. oo Water Meter `fo,pn Acet. Deposit 30,00 S/W Permit Ao,oo 5/i7 3urcharge 1.00 Yreatment Pl. 229.ao Road Unit 340.aD Park Ded. Copiea (,(M SUBTOTAL Penalty TOTIL ? ?-. CitylZip Code 2,e?y? S) 1-11? Phone # VA L u A-T f C)I.i GA?AG? ._-•---------- ?3n2q 31Z (o K 2 = I 2 20 x22' 4yo ?164 x 15 = T?y?p ?SmT r? 30 X Z(o ? `1 gS D i14o )oy= t5?6v 1 s-r FL0,2 35 X2 : 72. 13-SAT -Z7 1140 ?- i212 XSt)=&b(vOv Z?JT? ?LOO?2__ _--?- 3c)xab= rpSo I X 1z :.:: 12, ?9, \t )Z =.2? 4 ? $ X ao = 360 1??6 xso= 5SB03 I H 6s zo ? aw* ?? SURVEYOR'S CERTIFICATE/ 30 ?4() P SIENNA CORPORATIOPI REVISED 6-19-89 70 SFpW PROPOSED HOUSE FOR MARK BROWN cn ?-_ (?) ?i _ J / O % °?a 4 A V!? / C?', y?1?`P y ,p? 30 4 ? ?O , /? 2857 \ ?? / / ?? ?-- / ? p` -l `V \qi M ? 3 ? ^? `a J R.?' y!? ?h Ql O /SO ? B I10 43 a Pp , Q?y ? , , I i V GP \?? I ?4,? 0 0 g2 / ? I7 F ' 46?6? i ? DAAfNAGE & b71LlTYL? . FJISEMF.NT PER PLAT \ ? I ? I io ? ? . / ? 1`-? OD -' w M i 0 ?-- to O Lf) co ? , 1 c?? REmE ?rl) Bv -( Date -?- DENOTES PROPOSED SURFACE DRAINAGE NA:uA?jj' ?yd?T 1 RIN INCH ? UEP? 30 FEET ,O ep DENOTES DENOTE5 IRON MONU?sEN7 SET IRON FIONUMEFI7 FOUNO PROPOSED Il X000.0 DENDTES ERISTJNf ELEVAT]ON ROPOSEfI p PROPOSEd EST LD TOP OF FLOOR - BLOCK = 811r3 FEET 91'+•4 f`EET (000.0) bEdOTES hROPOSED ELEUATION h1E IIEAEOY CERTIPY TO SIENNA CORPORATION TIIAT TI fIS IS A 7RUE ANp CORRECT 12EPRESEN7A7IUN OF A SURVEY OF 711E DOUNOARIES OF: Lot 17 Olock 3 BLACKHAWK GLEN 2ND AQDITION, according to 1:tie recorded plat tliereof, UakoCa County, hitnnesota. !T DOES NOT PURPORT 'TO S14014 iMPROVEt9ENT5 OR ENCROACIIh1EN75, Ir ANY. A5 SURVEYED UY FIE OR UNOEI2 MY DIIIEC7 SUPERU1510N TII1S 30TI1 DAY OF DECEMBER , 1986• 51GFIED: JAI4FSlRP1§qaIJI(C. i;-???uMED /?Jr,{G?G(.•?li i BY: IIAROID C. PETERSOW, LAND SUItVEYOR PIINIIESOTA UCEPISE h1U1•IUER 12294 PflOJECT Nd. AOOK / PAGE ' JAMES R. HILL, INC,. s56ia (89271) Planners / Englneers / 5urveyors FILE NO. 8200 Flumboldt Avenu• &oulli FOLDER Bloornlnpton, Mn. 55431 012-884-3020 ities Di ig tal Qualitv 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. AIZI/4 MiNNESOTA STATE ENERGY CODE CALCULATIONS ' BASED ON CHAPTER 5 OF THE ' MDDEL EMERGY CaDE - 1983 EDITION • Adoptlon Effective 1 /84 ' . Owner ft ' q__ ? ?G?CI '' IG ??? • Phone . Date' Slte Address L oT ?7 .?Lbt k 3 'Btqc}q 44qWK GL K zNn A T' r Contractor. euliding Classlflcatlon: Type A1 (Single Famtly G Duplex) NOTE: Complete pages 3 and 4 first. (Other)_ GENERAL INFORMATION . y 1. Building PerimetersEe VVpF-K ?Wl' ft. 2. Wall height (ground to eave) ? ft. . 2 3• I. x 2. (above) gross wall•area J7Z /? , 1 ft. Phone ?- ; Type A2(Resldentlal) 0 storles or less ? • (Over 3 stortes) t 4. Buildtng dimensions (L) ?-- X(W) ft:Z roof b floor area 5.- Square foot area of rim Joist - Floor jolst slze (2 x ) L?L X Pe `imeter = Rim o st area ? I Z(l1 ?(tJ ft2 ? ?> Zl 6. Ooors - AFea lhickness • in. U factor r ?4_7 Type oF Construct on Perimeter ft. Manufacturer . 7• To[al door's perlmeter ft. ' 8. Windows: Manufacturer ???j?J(J, (J,??rnT State appraved U factor -- TYPE SIZE AREA (Ft.2) NUMfiER DF ' " EACH UNITS 9. Tota) ft.2 Glass 345, -75 ' t0. Fireplace area; W(dth X helght = X = 11. Exposed foundatlon: Height X PerimeterA ?QX (S_F _? (? COMPLETION OF THIS FORM IS REQUIRED fOR ALl CO STRUCfTO , MAJOR REMI HOVED WHERE ENERGY, OTHER TNAN THE MINIMAL COUE ALLOWANCE, IS USED. TOTAL FEET 2 t.Z t.Z BEINI 12. •F.r.aming area = 10% of gross wall area. H. Gross wall area ? ft.2 Window area A ft.2 U windows ? i?J(O U x A= ? z? ? Rim ,jolst area A I Z(37', ??Q ft.Z U rim Jo1st = U x A= 15 v' ^} Door area A' '6(0,O • ft. 2 U door area uU x A= 7r Pntno Dp; . 'btp?pjYacg area A ci[7 ft.? U.€t'aee, = r ? U x A= '3 Exposed faundation A 1 p l i ft.2 U foundation 14- U x A= 1,41 z?D Framing area A,L?70 ft.?, .,, U framing area =+?15 U x A - 2j1 17J Net wal l area A ?Z ',.?'' 41 1 .r ft. U wall U x A, _ (p, ? _ (138), 70TAL . . . . . . . . U x A wk, ? --- ? 14. Gross wall area z 0.11 (A-1 single family & duplex = allowable U x A/Code (13. above) . ? ? x'0.23 (A-2 other resldential) ' • x .23 (Other buildings) •.. , . x .28 (Over 3 stories) . • • BTUN Must be larger than A J?Z? ? 1 al x U Code,,_LI -°F. 136 above 15. Ceiling framing area (Af) equals 10% of ceiling area ?, or the. same as) ? 15A. Gross ce111ng area =(L) x(W) ft.2 156 Joist area (Af) = 10» ceiling area = IZ( ft.2 , 15C. Net ceiling area (Ac) (15A - 158) -. 109 -7 ft.2 . U ceiling x A c_ ! OZ? ' x- (091 _• Z?j? D ., ; ' U framing x A f= i Oz,?j' • x 2? ?• . 15D. TOTAL'U x A ....................................... ZS ? . 16. Ceiling area (15A) x 0.026 (A-1 single family 8 duplex - code allowable U x A • . x 0.033 (9-2 other residential)p x 0.06 (other) • i OZlO ?~ BaUN Must be larger than •150 (above) A(15A) I Z? ? x U(eod_e I ?l F (or the same as ) NOTE: Use U and A values obtalned From pages 1,•3 and 4.'. CERTIFICATION: I hereby certlfy that I'have calculated the "U" factors and "R" values here n and that the buliding here descrlbed meets or exceeds the State of Mlnnesota Energy Conservatton Act. • ,i ? Date S gnature . . ,.. , .. , , . 2. #g1- zzZ -------11 -------------? --- __? I __ r ! ?"T/? ` ?C7 1 ?? I . "6' zO) _. ?,B3X (_ 48f? z9+ z9 ) = 13 5?, Qz ..... -- - ___ -- __. ..__- --. ___..___-- __:.. _ 3 z? `7.• ? - ____ _ _ _ . _ - ?F ? Iz Ig ? ??-s - ...... _ .. _ __.. _ - . _ 90, v .<<r?SXZ= Z2r5. _. . __--- Z4x3? _ = _ ???sx l = 8175 _ _ __ 3-d4X?o733, 75X 2= (s7, 5 ' `ZoXvo I II,0 X-5= 5G)d ' - -7zXW_- _33x1 .:?n3 a z-ZOX3co =_ 14x I = o Z-Z?XCpo =.Z7r5X I = Z?15 _ , (oaw = Z71 5x.1 =__.Ll 15 . _- < ----------___-_ I?, o . - -- - _ _ . . ___ . . • ..• , uALL ? • St?ttoll `?. .... . .... . . ..__. ..._. ......... ._._._. r •?.?.a4 j-?------. WUIda slt •I I110 '?6? • . Id'terlnc vall ? 041j; ?• . 11lall) •U . ?? r . I? ----.y .l0UUla?ln0 . . tri,a) j ??d?„s .. , • ,??? ? " .-? ?? • ?. lnelda-alt lllm ? ..60 ? luketloc v41l •?.??- ' ? t Ati ?eud (6") n' .4+la'/?,?salreamintl u . ?. „ aha?qhlnA . ?? . 9LJIng ' ?? .G;l •. '? edw i Uut?id? itlr Lllna.: .lt rti., r--- , , . ? • , . , 0.1u[A4. ? ? . Ituld? ?lr Lllm 11a .69 ' ' ? • .? , • ? LIIr?tLtl[ NR?? . • • • . . , . . q- Ln?VL?CId?t ?' ' .(N?11 ) U r ? ? ? txe ? j? . . ? . ? . ? . :' . S1UU . scctinn ? :lOu uAtL s ta t ton , ., . • ' 11ll1• Ju (9 C . 4r ot val Zn 1 , C tld . Eae?rlor xLr ! • ll ' . . m . R •.l-? . ` lUt.1L , --j -?,? lutetlnr slr lllm Il• +64 ? ? • [naulatlnu ' hob ' . ? . • ?'.1-• ' ly Luclt,tn[t•uuud IIsI'Qtl (qlm ? r n-• , ? 91te?N?lug • . Z,,O?s ' 5J ? CxEetlnC uall enretlug ,?o"j '? . ' '? 1 .. Exletlaf alt lltm ?. ?l ' ' ? • , • ' r . ? ? _ • • . .' . . R 1UfA4 •'k"?.'i(o . ? - ? . . . . . . ? ___,_ , ,. , , , lu?eitor alt tllm Il* .60 ' . •, ? ' ' ? _.?„_,_ , Insulatlnn ? ', l;b • . • . , O- ?- " ..1 . . ? raundaEln?1 ? ? Ir?? Fdll ) ? • u•¦ ? • . Extatle ?llm, n ? r ?Ir •??/ . . . ' ? R tu[A4 ?-l.?'? • ' ' 1?`I' ?? . [:Wn?eJ 8luck • ? ., • ? ? 1 ??? , . : • ' • ` . • . . . .., . •? ' ? ? CEILING WITH 4EPITED ATTIC SPACE ABOVE R YALUE R VkLUE ? FRAMIPI6 CEIIII4G . ? . . ? 0.61 Air Film 0.61 ' ? r ?t7 Insulation ?1 Joist ? / 9C0 Ceiling / ?f?D 0.61 Air Film 0.61 Zl ( (0 Total R 4 (Pi 79) 1 . ? ?oz3 u=R . Ozl FL,4T ROOF OR CATNEDRAL CEILING R Value R 'JALUE FRAFIING CEILIP?G 0.61 0.17 Inside air film 0.61 Ceiling _ aoist (stua) - -- - Insulation Air space Roof decking Insulation euilt-up roaf Outside air film 0.17 Total R I R =U Jindow infiltration .5 cfm/lineal foot of crack tesidential door infiltration 0.5 tfm/square foot or door and minimum code requirement lon-residential door infiltration 11.0 cfm/lineal foot of crack Jb 12" concrete block no insulation = .47 R 2.1 Jb 12" concrete 61ock insulated cores = .26 R 3.8 1b 12" ligfitweight block = .32 R 3.1 Jb 12" lightrieight hlock insulated'cores = .12 R 8.3 J single glass = 1.13; J double glass = .55 1 triple glass = .41 with storm window .54 A11 exterior walls and ceilings must have a vapor barrier (0.10 perm max.). .'apor barrier must be on the inside (heated side) of wall. japor barriers of the polyethelene thin film have no R value. 4. 1-1 SUBD. BL ? CITY USE ONLY 21«'r.L0L.)K Gle,n ? rd_ RECEIPT#: f;)dS RECEIPT DATE: / d50G PERMIT# 3Ctq0W 2000 PLUMBING PERMIT (RESIDENTIAL) CITY OF.&AGAN 3830 PILOT KNOB RD EAGP.N, MN 55122 651-681-4675 Please complete for: D single family dwellings ? townhomes and condos when permits are required for each unit D backflow preventer Tor underground sprinkler sysiem FIXTURES EACH # fuCAi:L Alterations to existing dweiling - minimum fee Describe: $ 30.00 Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ Gas iping outlet * minimum - 1 3.00 x = $ Hot tub/spa 3.00 x = $ lGtchen sink 3;00 x = $ Laundry tray 3;00 x = $ Lavatory 3S00 x = $ Septic S stem newlrefur6ished • requires Mac fic. 75:00 x = $ Septic S sterlt abandonmant 30r00 x = $ RPZ rrewinatallatioNrepaidrebuild 30.00 X = $ Rou h opening 1:50 x = $ Shower 3:00 x = $ Underground sprinkler iFdwalling is underconstrudion 3.00 x = $ Underground sprinkler ifexisting dwelling 30:00 x = $ Water closet 3:00 x = $ Water heater 3:00 x = $ . ?? Water softener if dwelling under construction 500 x = $ Water softener If exisGng dwelling 3000 x = $ Water turnaround 30.00 x $ State Surcharge :50 -> -> -> $ .50 TOtal > $ Reminder. Cail for Inspections of aiterations, i.e. water heaters, water softeners, etc. I Aereby edcnawledge that I have read Ch? epplication, stste that the inforrnation Is correct, and agree to compy widi all eppliceble Ciry of Eegan ord'inanoes. tt is the applicanPs responsibility to notiry lhe property owner that the City of Eagan assumes no Ilebiliry for any damages caused by the City tluring its nortnel aperational and C---"-'"'- " -" -ler this parmft within City property/nght-of-way/easement. SITE ADDRESS: OWNER NAME: : INSTALLER NAME: STREET ADDRESS: ciTr: HEMMINGSON, STU 3645 ASHBURY ROAD EAGAN, MN 55122 (651) 688-6534 ? TELEPHONE #: TELEPHONE #: (AREA CODE) (AREA CODE) STATE: ZIP: "y/Or? n7A. . E OF PERMITTEE - RESIDENTIAL BUILDING PERMIT APPLICATION CITY OP EAGAN t5 3830 PILOT KNOB RD, FJ4GAN MN 55122 651-681-4675 NewCoasWdion Reauirementa . 3 registereA sde surveys showing sq, fl. of lot, sq. fl. of house; and all ruofed areas (20% mscimum bt coverage allowed) • 2 copies of plan showing beam &windaxs¢es; poured found desgn, etc.) • i set of Energy Calculations • 3 wpies of Tree Preservatlon Plan'rf lot platled after 711/93 • Rim Jaist Detail Optiom seleciion sheet (bldgs with 3 orless unils) t--I ? .-1 1=5- RemoGeUReoair ReouiremeMa . 2 copies of pian .1 5et of Energy CalcWattons for healed additions • 1 site survey for extenor additmns & decks . Indicate if home served by septic system for adddions DATE _ VALUATION ?- SITE ADDRESS `s' Loy?_ c3?hti. ?r? a Oet-1) MULTI-FAMILY BLDG _Y L/-N TYPE OF WORK FIREPLACE(S) _L?-0" _ 1_ 2 \AJ APPLICANT Catastrophe Restoration Services Inc. STREET ADDRESS 2489 Rice St Suite 70 CITy ROSeVllle STATE MNZIp 55113 TELEPHONE # 651-734-9433 Cell PHONe # FAx # 651-483-0219 PROPERTYOWNER=?3`????'aG_'?'?c??w,?p?-? TELEPHONE# ----------------------------------------------°----------------°-------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MIIv'NESOTA. RIILES 7672 (V submission type) • Residential Vendlation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted , Plumbing Contractor: Plumbing system includes: Mechanical Contractor: Mechaiucal system includes: Sewer/Water Conhactor: Water Softener _ _ Water Heater ? No. of Baths Air Conditioning Hea[ Recovery System Phone # Fee: $70.00 ------°---------------------------°-------°°°-°--------------....--°---------------------------°------°-...------ I hereby acknowledge ihat I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. ? Sfgnature of Appl nt iu?i12ooz.'; ------------------- ------ ------.-_ -_ ---- ? OFFICE USE ONLY BY Certificates of Survey Received _ Tree Preservation Plan Received _ Noc Require _ . Updated 4102 _ Phone # Iawn Sprinkler No. of R.I. Baths Phone # Fee: $90.00 So So Permit City of Eaffall r I 3830 Pilot Knob Road I Permit Fee: III Eagan MN 55122 Phone: (651) 675-5675 Date Received. Fax: (651) 675-5694 Staff: 2009 MECHANICAL PERMIT APPLICATION Date: o 9 Site Address: Tenant: Suite RESIDENT / OWNER Name: ~ Z6q /A/65aN Phone:,57-~,3 -(,5 Address/ City / Zip: IFS 45 H 13 Q,--, RD CONTRACTOR Name: ~,v~y'/o.Q ~Lturt8,vV5 E yyi~r. License # 5 Vtp 2 Address: Z OA) 57- city: . s>~ yg3 State: ll~N Zip:S 33 Phone: S/" . 3`7 4" -27 Contact Person: TYPE OF WORK New -xReplacement Additional Alteration Demolition Description of work: _~~r~LA c~ 7~u ~Q N~} GE 1C CS (OEN TI 14L NOTE 6q# "roof ~tt'bunf~# dd to be.screened by ffY o~Cle %Wmals cc nfact`i` he e , ttfe Planners or ifforrn f' non ermit eor c're a ` PERMIT TYPE RESIDENTIAL COMMERCIAL -XFurnace New Construction Interior Improvement Air Conditioner Install Piping Processed _ Air Exchanger Gas Exterior HVAC Unit - Heat Pump Under / Above ground Tank L. Install Remove) When installing/removing tank(s), call for inspection by Fire Other RESIDENTIAL FEES: Marshal and Plumbing Inspector $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) SO TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ x 1% $50.50 Minimum (includes State Surcharge) - If P rmi Fgg is less than $1,000, surcharge is $.50. ° $ Permit Fee - If P nni M is > $1,000, surcharge increases by $.50 for each State Surcharge $1,000 Permit Fee (i.e. a $1,00142,000 Permit Fee requires a.$1.00 surcharge). $ TOTAL FEE I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and odes 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. QN~ Nc~cc..E ~~s1`r /1V7 F 4R . D LL x Applicant's Printed Name Applicant's Signature di ~OFFICE'USE Rev1ewed°B, Date Required In.$pectiotts; -Under Ground RoLrgh In - Air hest Gas Servile Te"$t_ Tln floor Head} Final; -Exterior HVAC S 'seen ng inspection ì ý ï þýüýû ÿþþ ýüû ûúù øýýþþ üþ÷ ý ý ýóÝ ÿ ÿþõ úù ø÷ öó é á ùø÷ öø÷ öó é ô óéï ÷ý õù á ù íù÷ýø Üü úÞùý ì ÷â Þù ý æðý üóó÷ ü ûýððýü þ ÷ æáýððý ÷ ýð ýýæ áý ä ý Þù øýó ü ðýø æ ý çååæ åæå ôø úù ýü ý çæ ãæã Ûýùýûæ óò õñð ÷÷ý ï óý úùýõ ü ãáùøïýáö ùøï ï þýüýòô ë è øýó ü ý ýâ ý ý÷÷ýý ý ý ðý ýýü ÷øó ýý÷÷ý úý ðò ýúýù ýáøðþýüýíý æ ÷÷ýé úüýù ù øúüýù PERMIT City of Eagan Permit Type:Building Permit Number:EA115529 Date Issued:09/26/2013 Permit Category:ePermit Site Address: 3645 Ashbury Rd Lot:17 Block: 3 Addition: Blackhawk Glen 2nd PID:10-14351-03-170 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes . Luanne Yang 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 - Stuart A Hemmingson 3645 Ashbury Rd Eagan MN 55122 New Life Contracting Inc. 814 Grand Avenue St. Paul MN 55105 (651) 224-3442 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA136160 Date Issued:04/27/2016 Permit Category:ePermit Site Address: 3645 Ashbury Rd Lot:17 Block: 3 Addition: Blackhawk Glen 2nd PID:10-14351-03-170 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - Stuart A Hemmingson 3645 Ashbury Rd Eagan MN 55122 (651) 270-5190 Benjamin Franklin Plumbing 5718 International Parkway New Hope MN 55428 (612) 238-9709 Applicant/Permitee: Signature Issued By: Signature