3692 Ashbury RdSEWER & WATER PERMIT
cmr oF EAGnN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE ' i ? ? C) r
OFFlCE USE ONLY
METEA #???? 59 PERMIT DATE 4,/ R1$,y
CHIP ? a6 73 01 cZ 5:a2- PERMIT # 10876
METEii SIZE B.P. RECEIPT # 'C' 3728
ISSUE DATE, 49 B.P. RECEIPT DATE 9/6/89
xx
- PFiV - BOOSTER PUMP
SITE ADDRESS -) ?,"' I' L
LOT 2?S BLOCK /SEC/SUB
APPLICANT: ??/ ?
ADDRESS: 9? o CITY, STATE ?
PHONE: '/S 2 `
PLUMBER: ? _;1 r 'v/ & !•( to ?r
ADDRESS: z'f ,.?Il???•ri? ?:Ci-', .
CITY, STATE Al ?'"r,
PHONE:
OWNER: -
ADDRESS:_
CITY, STATE
PHONE: -
PERMIT REQUESTED
?- isJ ?
X SEWER
- COMMlIND AL RESIDENTIAL ,
X. WATER - TAPS I
ZiP 7?f _.? Z x- NEW - EXISTING
r.
ZIP
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meiers on Water Line.
,,_e_Credit WILL NOT be given'for Deduct Meters.
i
I i
1 AGREE TO COMPLY WlTH ClTY OF I
EA ORDINA CES
? ??
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERIYIITS, CONTACT ENGINEERING DEPT.
CITY OF EAGAId Remarks D f? 4- /li a'S( 9
Addition_Bla.--?_t-.--??k_5.len_}yt Lot °25 Rlk ? Parcel 34350=ry50n-- -
Owner Streec 1590 Ashbury Place State agan
3692 Ashbury Road
Improvement I Date I Amount I Annual I Years I Pavment I Receipt I Date
STREET SURF.
STREET RESTOR
GRADING
SAN SEW TRUNK
SEWER LATERAL
WATERMAIN Rn
WATER LATERAI
WATER AREA
Stnrm Cnw T
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
?
??
?t fj?.*
fEtr#ifirate uf (Orr??aurg
Citp ot Cagan
Erprtmrnt ,a# lufting Jtsprrtinn
This Certificate issued pursuant to the requirements of Secdon 306 of the Uniform Building
Code certifyiRg that at the tinre of issuance lhis structure was in compliance with the various '
ordtnances of the City regulaling buildirtg consi'ruction or use. Far the following:
u. ci.wr.ti.a SF AaG/GAR Bldg. Pern,;, No. 17031
pacuponcy lype R3/4) 2oning DWrict RI TYPe C- 'VN
Owner o( BuiWiag ?? ??M OCtM . Address 16y ??= DR• W , EW,&R
Buiiding Addnss 3692 MOM RDAD Loality W.5• BI + ILA(ZHAWK QM I ST
? - Date: ? ?, "89
Buildieg Offid0.7;
POST IN A CONSPICUOUS PLACE
DATE:
9/8/B9
RE: 3692 ASKDURY ROAD, L25, B1, BLACKHAWK GL6N lst
xx Your Sewer & Water Permit for the above property has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIG WORKS (4545220) FOR YOUR PERMANENT WATER TURN ON.
s
?
-?-
Y
Your Sewer & Water Permit for the above property cannot be completed for the following
reasons:
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 UTILITIES - TELEPHUNE, ELECTRIC, GAS, ETC.
- REOUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
DATE 9/S/$9
RE• 3692 ASHBURY ROAD, L25, B1, BLACKHAWK GLBN ls[
X Your Sewer & Water Permit for the above property has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
Your Sewer 8 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
pe 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 LOGAL UTIL+ITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REGIUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept. -?- ' ?
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
I METER SIZE
DATE ISSUE DATE
SITE ADDRESS
LOT BLOC
APPLICANT:
36 Yz
4eJ'"-
AQDRESS: -COMM/IND ?RESIDENTIAL
CITY, STATE " ZIP NEW
EXISTING
_
PHONE: ,
i .
Lawn Sprinkler Meters are to be Installed
PLUMBER: Ahead of Domestic Meters on Water Line.
ADDRESS: Credit WILL NOT be given for Deduct Meters.
CITY, STATE ' ZIP -- ?--
PHONE: '
OWNER: -
ADDRESS:_
CITY, STATE
PHONE: _
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES
METER #
CHIP #
ZIP
PERMIT RE(,UESTED
X SEWER X WATER - TAPS
?
SIGNATURE WHEM METER ISSUED
OFFICE USE ONLY
PERMITDATE g/a/R`>
PERMIT # 10876
B.P. RECEIPT # ? ? 7 28
B.P. RECEIPT DATE
][7[
_ PRV - BOOSTER PUMP
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM I
SEWER PERMITS, CONTACT ENGINEERING DEPT.
Y y
CASH RECEIPT j
CITY O'F EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE ? • ?/ ' 19 ?
r?rveo i . . '
caoN
AMOUNT $
?
& DOLLARS
iao
? CASH 0 CHECK
-?4
M+
/ ? J r J'. i (
T'
BY
C 3728 md--Pay- COPY
YoNow-Poshng Copy
Pink-Flle CopY
Thank You
? .: ?.
BUILDING PERMIT
To be used for SF c
CITY OF EAGAN 17031
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 - - - ??. ?
Fleceipt #
CAR Est. Value $87 s000 Date SEP 6 119aq
Site Address 3693 ASHEIJRY 1
Lot 25 Block t_ Sec/Sub.
Parcel No.
W Name WLL161M tEUTC!!C1[ 4Z7NVTKIl16-'rl(7P
; Address 960 KATER!'ORD DR i1
° City EA(;AN Phone 652-3088
=o Name sAM
V q Address
? City Phone
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 of Eagan Ordinances.
/.-?----
Signature of Permitee A Building Permit is issued to: WILLiM HUTTNEB MI+fST
on the express condition ihat all work shall be done in accordance wlth all
applicable State of Minnesota Statutes and City ol Eagan Ordinances.
Building Official -
OFFICE USE ONLY
Occupancy ??3 M-1 FEFS
Zoning A-Z
(Actual) Const Y=u Bldg. Permit 582'00
(Allowable) V-N
Surcharge 43. SO
k of Stories
4-7-'
Pl
R
i
241•00
Length an
ev
ew
Depih "I SAC. Cily 100,00
S.F. Total - SAC, MCWCC 375.00
S.F. Footprints - 3W•00
On Site Sewage _ Water Conn
On Sde Well Waler Meter 90•00
MWCC System xx ?.?
City Water ? Acct. Deposit
PRV Required xx S1W Permil 20•00
Booster Pump - S/W Surcharge 1•00
TreatmeM PI 228•00
APPpOVALS Road Urnt 340•00
Planner - Park Ded.
Council
BIdg.Off. _ Copies
Variance - TOTAL ? t 880.
?
Permit No. Permit Holder Date Telephone #
W/yTER
L
SEWER
PLUMBING , 09 -21 ???5 d /
H.V.A.C. 11651"9
ELECTRIC 4
Inspectfon Date Insp. Comments
Footings I j!
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul. tlA
Freplace
Final Htg.
r
Fnal Plbg.
Const. Meter Plbg. Inspector - Noiify Plumber
Engr.lPlan
Bldg. Fnai
Deck Ftg.
Deck Final
Well
Pr. Disp.
ities DiLyital Oualitv Control
The following image represents the best
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MECHANICAL PERMIT
CITY OF EAGAN
3830 PILOT KNOB RQAD, EAGAN, MN 55122
PRICE: PH4NE:454-8100
? Name L:?Llr h.:.. _
? Address -=-.---
c Ciry -?
? Name
Addsess L
O City • Phone
TYPE OF WORK
Forced Air M BTU
Boiler M 8TU
Unit Heater M BTU
Air Cond. M BTU $
Vent CFM $
Gas Piping Outlets # '• $
FEE:
S/C:
TOTAL•
BLDG.TYPE
Res. `
Mult
Comm.
Other
PERMIT #
,/.
RECEIPT #
DATE:
For Office Use Only:
WORK DESCRIPTION
New
Add-on
Repair
FEES ?
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00 3
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA.
COMM/IND FEE - 1?,6 OF CONTRACT FEE
,6 j
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
; I
SIGNATURE OF PERMITTEE , j
FOR: CITY OF EAGAN
.
r • ,
CONTRACT
PRICE
Site Addr .?
Lot
?,1k
? Name _
? Addre $?
c Cit)/ -
` Name-
cl Address
8 City _
PLUMBING PERMIT I
` CITY OF EAGAN PERMI
3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEI
PIiONE 4548100 DATE:
FEES
COMM./IND. FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APLLIES
MINIMUM - RESIDENTIAL FEE $12.04
M4NfMUM - COMM.IND.fFEE $20.00
STATE SURCHARGE PER PERMIT .50
(ADD $.50 S1C PER EACH $1,000 OF PERMIT FEE)
Res.. ?? New ,/'
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COAAPLETE THE FOLLOWING:
NO FIXTURES
a
$3
00 TOT L
$
Water Closet -
.
-r Bath Tubs - $3.00 ?-
? Lavatory - $3.00
- 4
Shower - $3.00
?
r Kitchen Sink - $3.00
Urinal/Bidet - $3.00
Laundry Tray - $3.00
?- ?
Floor Drains - $1.50
? Water Heatef - $1.50 ?
Whiripool - $3,00
? Gas Piping Oudets - $1.50
-?
(MINIMUM -1 PER PERMIT)
Cnfianar _ (tS Af)
Private Disp. -$10.a0
-? qough Openings - $1.50 ?
PERMIT FEE: 93. STATES S1C: ' L
GRAND TOTAL: ?-??
INSPECTION RECURD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: ' "
•'J. A:,NEitli' RR
ACkNAtd1i Fl F.N
I PERMIT SUBTYPE:
? ;;t 1? : I I ,, 1 ;1
APPLICANT:
, ,,l . i .
( n 1:) 1104 1- fr f, i. .!
TYPE OF WORK:
(lAitltf N
(itl 1 ( 0 i Mh
H:'y7'il
0v/ln/v/
IN
P
T
S
EC
ION .A . D•
?
I - ilARKS: 5t`F'AIiATt I'FF2 M1 i'• Ai11 NfljllTltEi1 1- r114 1'1 t31.? t. 1? I FfTWff:AI 11t1Rh
Pertnit No. Permlt Holder Data Telephone M
ELECTRIC
PLUMBING
HVAC
Inspection Dats Insp. Comments
FOOTINGS
FOUND
FRAMING Ail
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
?
GAS SVC
TEST
INSUL /cr-l?
GYP BOARD
FIREPLACE
FlfiEPLACE
AIR TEST 14r
FINAL PL6G
l io-
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS: :
PERMIT SUBTYPE:
I
PERMIT TYPE: 10) i 1 0 i "+
Permit Number:
Date Issued:
' "' `' 0 ' APPLICANT:
tti riA t .
F.'Y i)Af:}?ffV
TYPE OF WORK:
?
INSPECTION DA . ..
1
I
PermH No. Permk Holder Date Telephone k
ELECTRIC
PLUMBING
HVAC
Inapectfon Datf Inap. Commenta
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAI PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FlNAL
DECK FfG
DECK FfNAL
U y/
e/ 3a?yZ
,1165 9 5 4
L1 1 ? . ? '?t t/'5 oe
_
Requesl Date Fve No. Rough -inlnspection
Reqwretl?
-
?eatly Now C`Mill Notify Inspeclor
G ? _,ye5
-? When Reatly?
-
iicensed contractor p owner hereby request inspection of above
electrical work at
Job AOtlress (Streel. Box or Rome No ) Gtty
?-?
SecLOn No. Township Name or No. ange No. Counly_
Occuoam IPRI T) Pnone No.
/
C !? CZ iV- J --
Power Svppiier Aadress -
Eiacm?mracor iGompany Name) Con 's Llcense No.
Maein)g Atltlress IGolnador or ne? Makin Instailatianr_ /^y /q
s ?' ? ? /
Auchor 2W?e IConl Owner 1 dnq InSlaIlaLDnt
-- ? ? Pbone Numb¢: ?
??v_-7
?
MINNESOTA TE BOARD OF ELECTHICITY
Griggs-Mitlway BIAg. - Room S-173
1821 University Ave., SL Paul. MN 55100
PM1One (BtP) 642-0800
THIS INSPECTION REOUEST WILL NOT
8E ACCEPTED B'! i HE STATE BOARD
t1NLE5S PROPEF INSPECTION FEE IS
ENGI
,f/(pA/ REOUEST FOR ELECTRICAL INSPECTION
? See mslmct,ons lor compie)ing 11,6 fon, on bacR ol yenow copy
?n -j (i "X" Below Work Covered by This Request
eeooomae
}?
Y
»4.rw???" e Add Rep. TypeofBuilding AppliancesWiretl EquipmeniWired
Home qange Temporary Service
Duplex Water Heater Etectric Heating
I _ ApL Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
on
OtM1er?sVecify? tractor's Remarks: J
Compute Inspection Fee BelowAT 10141' "(1 /O C7)b?"
# Other ? Fee # ServiceEntranceSize Fee # Circui[slFeeders Fee
Swimming Pool 0 to 200 AmpS 0 to 100 Amps
Transformers A6ove 200 _ Amps Above 100 _ Amps
Signs irsoectors use oniy J
? TOTA
I
?
Irrigation Booms 1 /
/,j
Special Inspection ?
Alarm/COmmunication THIS INSTALLATION MAV 8E ORDERED DISCONNECTED IF NOT
Other Fee ? COMPLETED WITHIN 18 MONTHS.
1. the Elechical Inspector, hereby ROOq"-'" Date
cer[ifythatthe above inspection has Fhal oa? ?
been made. ??]
OFFICE USE ONLV
TNS requeWvoitl 18 monlNS Imm
y y?'/9
04464 gj &- ?
?
Request Date Fire No. Rough-In Inspedion
--. ? Req 'reE? ? Reatly Now ill Notity Inspecior
? es ? No When fieaOY!
'censed contractor ? owner hereby request inspection of above electrical work at:
Job Atltlress (SVeel, Box ar Poute No.) Cily
t
c, . r -??llz_
Secti . Tow ip Name w No. RangeNO. Coumy
l? ?
0ecuPa? (RFIINI) Ppone No.
?' ,..
Power Supplier Adtl?S
41
EIMrk Corpmctw mpeny ame) Comr w9 Lkensa No.
rr
Mailing 0 ss ( ractw ?a O+w/ner Making In letion) /
lJ -
AuNOnzed'Sig e(COntreclor/Ow?r Makirg Ins?allafion Pla?
Nu
mbe?
C
/
MINNES9TA'5LqiE BOAHD OF ELECi1iICRY THIS INSPECTION REQUEST WIIL NOT
Gdgga-Mitlway BMB. - poom S-173 BE ACCEPTED BV THE STATE BOARD
1821 IlnNersly Ave., St Paul, MN 55104 UNLES$ PROPER INSPECTION FEE IS
Phone (612) 642-O600 ENCLASED.
/,,?/8g
P 04464
REQUEST FOR ELECTRICAL INSPECTION
? See inshuctions br completing ihis (orgi on back o( yellow cnpy.
";l" Below Work Covered by This Request
E&00001-0]
" 9;'/1;79
ew Add. fiep: -$ypeofBuiltling AppliancesWiretl EquipmeniWrred
Home Range Temporary Service
?uplex Water Heater Electric Heating
Apt. 8uilding Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Olher (Specily) ConVeclor5 RemaMS:
Compute lnspection Fee Below:
# Other Fee # ServiceEnlranceSize Fee # Circuils/Feetlers Fee
Swimming Pool D to 200 Amps 1Sd o Amps 6 00
Transformers Above 200 _ Amps Above _ Amps
Signs Inspecror§ use Only: 70TAL
Irrigation Booms J-
O
Special Inspec[ion
AIarMCommunication S 3 '
Other Fee
I, the Electrical Inspector, hereby
i(
h Rough-in ? oade,d
cert
y t
at the above inspection has
6een made. Fnal oat? .??
OFFICE IISE ONLY .
This reque9t witl 16 months trom
,(gq -n q
2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
. CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
? JO
Date''IS / b5
Site Street Address ?Z- A5r?wY1-( 94
Unit #
Property Owner 9V(A
'r"?
Telephone #
((Iso W?-W&ko
Contractor WCvW5 AUN+bM 12iM S,Q;(L?(Q,S. -jW•,
Address City Telephone #
State
Zip
The ApplicaM is: _ Owner Y Contractor _Other
Alterations to existing dwelling
_ Add plumbing fiMures (excludes water softener and/or water heaterv-complete nex[
section if installing these appliances).
_Septic System Abandonment
_ Water Turnaround (add $725.00 if a 5/8" meter is required)
Other: $ 50.00
?Water Softener ? Water Heater
_ new ? replacement $ 15.00
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
Total $ 5 `$O
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete
and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved.
LnDniL r l-ew )am
ApplicanYs Printed Name
Applicant's
??L? «IC ?I I?I Ircl?
JUL 1 1 2005
i
;:A",
G[xY-
'CE'+?fl ?N'Fi!...N[}E i,"2,
•.4
;iR„Li 39ful ,:632 A4BUkN 50 ..C7t9
9 -A5yTeLfR?' , fil:M' ? 0.50
•' r ::
? ?? V , i:• .-..1
?I
.p . . ' .. ? ?. . ..
?- :
?Tf3tk}:???}t?6-2b} 50.5n
P1=t'"?i :151
JS,:R I?ia .HAPC"
.c ?.`' ' .. .
?. ?
I
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-14350-250-01
PERMIT
PERMIT TYPE: Bu z Lo z N G
Permit Number: 029731
Date Issued: 0 4/14 /g 7
3692 ASHBURY RD
LOT: 25 BLOCK: 1
BLACKHflWK GLEN
DESCRIPTION:
' fBui:ldifitg'`^permit Type
,, BuS lding Wb.rk Type
BASEMENT FINISH '
ALTERATTON
434 ALT. RESIDENTIAL
? --
,` ?I
3
REMARKS:
SEPARATE PERMTTS ARE REQUIRED FOR PLBG & ELECTRSCAL WORK
FEE SUMMARY:
Base Fee $50.00
Surcharge $.50
Total Fee $50.50
C?DNTRACTOR: OWNER: _ p,pplicant -
' PURSLEY DARREN
3692 ASHBURY RD
? EAGAN MN 55122
(612)941-6512
S hera6y acknowledge that I have read this 6pplioat5,6rr an:d state ttaat Che
infinrmation a,s eorrect and agree to cornply with all a,pplieabler 3tate af Mn.
? Statutos andCit pf eaga'kl Ordinarrg2s.
..:'c
APPLICANT/PEAMITEE SIGNATU ISSUED BY. SIGN RE
?#
?j?3 / 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL)
?/? ' , CITY OF EAGAN
3830 PILOT KNOB RD - 55122
681-4675
New Construetian Reouirements RemodellReoair Reauirements
? 3 registered afte surveys ? 2 copies M plan
• 2 coples oi plans (inclutle beam 8 window eizea; pouretl fid. Oesign; etcJ • 2 site survays (exterior adtlitiona 8 decks)
• 1 energy celalations ? t ene
rgy celwlatlons for heated edditlons
? 3 copies of tree presarvetlon plan if lot platted etter 7/1/93
required: _Yes _ No
DATE: 4`13`97 `/-1s17 CONSTRUCTION COST:
DESCRIPTION OF WORK:
STREET ADDRESS:
LOT .25 BLOCK
fIn1 i51.
3692
SUBD./,P.j,D. #: , 42- 143 s'O - -2So -
/? 68/-9S'S?l
PROPERTY Name: !?"?rs Phone #: " V/ " 6?12
OWNER ,,.,
92
3
/ ...,
i?
C A
Street Address:
f
p s
u?v
City: ?iv.V State: Zip: ??12 Z
cow7RAC7oR Company: Phone #:
Street Address: License #:
City: State: Zip:
ARCHITECT/ Company: Phone #:
ENGINEER
Name: Registration #:
Street Address:
City: State: Zip:
Sewer 8 water licensed plumber (new construction onty): . Penalty applies when address change
and lot change are requested once permft is issued.
I hereby acknowledge that I have read this application and state fhat the iMormation is correct and agree to comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY :U7
Certificatesof5urveyReceived Yes No Tree Preservation Plan Received Yes _ No Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 01 Foundation o 06 Duplex ? 11 Apt./Lodging ?
? 02 SF Dwelling ? 07 4-plex o 12 Multi RepaidRem. o
0 03 SF Addition o 08 8-plex n 13 Garage/Accessory o
0 04 SF Porch o 09 12-plex o 14 Fireplace n
o OS SF Misc. 0 10 _ plex o 15 Deck
WORK TYPE
0 31 New # 33 ARerations o 36 Move
n 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATlON
Const. (Actual)
(Aliowabie)
UBC Occupancy
2oning
# of Stories
Length
Depth
Basement sq. ft.
Main level sq. ft.
sq.ft.
sq.ft.
sq.ft.
sq.ft.
Footprint sq. ft.
APPROVALS
Planning
Building FM
?
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bidg
Census Unk
Engineering Variance
?
?-
?
Permit Fee Valuation:
Surcharge
Plan Review
License
MC/WS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unft
Park Ded.
Trails Ded.
Other
Copies
Totai:
$
°k SAC
SAC Units
, PERMIT
` CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 687-4675
Codo
PERMITTYPE:
Permit Number: Bul?niN?
0 2 5 5 8 2
Date issued: 05 J15 /95
SITE ADDRESS:
3692 ASWBURY RD
LOT: 25 BLQCK: 1
BLACKHAWK GLEN 1ST
P.I.N.: 10-14350-250-01
DESCRIPTION:
BUiltl'3ng'Rermit Type DECK
Bwilding Wor„k. 7ype NEW
r
l
,, -
REMARKS:
FEE SUMMARY:
Base Fee $30.00
5urcharge $.50
Total Fee $30.50
CONTRACTOR: OWNER: - pppYicant -
PURSLEY DARREN
3692 ASHBURY RD
EAGAN MN 55122
(612)941-6512
- T hereby acknowledge that T haue read.thas application and state that the
informati01d is correct and agree to comply with all applicable State of Mn_
L StatUtes ity ofi Eagan Ordinences. ?
-?cwn Rt,.? l,l I ,
ISSUED eV: IGNA 1RE
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 Yj O.n
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) f
681-4675 s'???-IIZ`?.r
New Conshuction Reauirements Ramodel/Reoair Reauiraments
? 3 registered ake surveys ? 2 mpies W plan
? 2 wpies of plans (inGude beam 8 window sizes; poured fid. design; etc.) ? 2 site surveys (ezterior edd"Riona 8 dedcs)
? 1 energy celculetlons ? 1 energy plwlations for heatad etldRions
? 3 copies of tree preservation plan if lot platted after 7!7l93
required: _ Yos No
Sl/
DATE: ?- ? ° ?IS CONSTRUCTION COST: ?ov9?• -5O,9, Dd
DESCRIPTION OF WORK: - AIec.i OecrE: L-6117 sAICIIbn)
STREET ADDRESS:
LOT 2-.57 BLOCK ?
/0u/1
SUBD./P.I.D. #:
O 6/ z - 9v1 -65?2
PROPERTY
OWNER
CONTRACTOR
Name: Rs?r iLLR'fv Phone#: 6 12- -69/
?. .wU
Street Add
City: State: /X^V- Zip: 5:57-2 Z-
Company: ? e /T Phone #:
Street Address:
City:
License #:
Zip.
State:
ARCHITECTI Company:
ENGINEER
Name:
Phone #-
Registration #-
Street Address-
City: State: Zip:
Sewer & water licensed plumber:
change are requested once permit is issued.
I hereby acknowledge that I have read this application and state that the
appiicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received Yes No
Penalty applies when address change and lot
is correct an agree to comply with all
•?
; ECEVVED
MAY 0 6 t994
OFFICE USE ONLY
BUILDING PERMIT TYPE
?" - .. •?i ... s.: ?,.M'q'"%p,
0 01 Foundation ? 06 Duplex o 11 Apt./Lodging o 16 Basement Finish
0 02 SF Dwelling o 07 4-plex o 12 Multi RepaidRem. 0 17 Swim Pool
0 03 SF Addition o 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
0 04 SF Porch o 09 12-piex o 14 Fireplace o 21 Miscellaneous
0 05 SF Misc. 0 10 _ plex o 15 Deck
WORK TYPE
0 31 New ? 33 ARerations ? 36 Move
0 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MClWS System
(Allowable) _ Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code.
Depth Footprint sq. ft. SAC Code
Census Bldg
Census Unit
APPROVALS
Planning Building Engineering Variance
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
7raiis Ded.
aner
Copies
Total:
Valuation: $
% SAC
SAC Units
89-123
! .
TRI-LAND C0.
S?ERVICES
1260 YANKEE DOODLE ROAD
FernN_ MINNESOTA 55126
SITE PLAN FOR?
HUTTNER CONST.
LEGAL DESCRIPTION' LOT25,81-OCK I , BLACKHAWK GLEN lat ADD.
ACCORDIN ?oKQTAE RECOC
THEREOF OUNTY,MINNESOTA
17isFRK? ?-Po w. e%c k-/o - 2 S-G't
N69°I2'05"W
3.64*1?\ i _
O
?
"• LOT Zb
e
c;I,GAN EN
P
. 1-l.!/
SCALE: 1"=30'
I.EGEN
o DENOTES IRON MONUMENT
o DENOTES WOOD HUB SET
03i.53 DENOTES EXISTING SPOT
ELEVATION
4g28A1DENOTES p
pNp07
T
I
EIEVA
DENOTES DRAINAGE DIRECTION
I hereby certlfy that thls survsy,plon or
rsport was praporlkd by ma or undar my
direet auparvision and ihat 1 am n duly
Reqistered Land Surveyor unNr ths
Lows of the Stata of Minnesota.
?. 4 W
?
PLP??
NVERT EIFVATIONAAT SERVICE EXTEPi510N= .
PROPOSED GARAGE FLOOR ELEVATION ¦. 83v? • ?Z
PROPOSED FIRST FLOOR ELEVATION = Z• 2?
PROPOSED BASEMENT FLOOR
ELEVATION
NOTE ? VERIFY ALL FLOOR HEIGHTS WITH
FINAL HOUSE PI.ANS
Bradlsy J. "ARO'n, Mn. Rep• No. Ib235
Date' 9 L--j -Z,D / 5 b'9'
?
0
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT
To be used for SF DWG/GAR Est. Value $87,000
Site AddreSS - 3692 ASHRTTRY Rn
Lot -25 Block 1 Sec/Sub. Bi.aCKHnWK (:L.EN 1
Parcel No.
W Name WILLIAM HUTTNER CONSTRUCTION
o Address 960 WATERFORD DR W
City EAGAN Phone 452-_3088
iF Name SAME
g? Address
? City Phone
?w Name
ME Address
iW City Phone
I hereby acknowlege lhal I have read this application and state that the
information is conect and agree to compl wit?licable Stale of
Minnesota Statules and City o gan Or '
Si9nature ol Permitee ?
n euilding Permit is issued to: WILLIAM HUTTNER CONST
on the eapress contlition ihat all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eaqan Ortlinances.
Building Official
OFFICE USE ONLY
OccuOancy R-3 M=1 FEFS
Zoning R--1-
(Actual) Const V-N BIdg.Permit 582.00
(Allowable) V-N
Surcharge 43.50
# of Stories
47'
Plan Review 291.00
Lenglh
Depth 44 L SAC, City 100.00
S.F.TOtal - SAC.MCWCC 575.00
S.F. Footprints _
On Site Sewage _ 'Nater Conn $80.00
On Site Well Water Meter 90.00
rnWCC System XX
Accl. Oeposit 30.00
City Water XYE-
PRV Required ? S/W Permil 20.00
Booster Pump - yyy SurCharge 1.0
0
TreatmentPl ??R-nn
APPROVALS Road Unit 340.00
Planner - Park Ded.
Council
BIdg.Oti. _ Copies
Variance _ TOTAL 2,880.3
?
N2 17031
Receipt # ?- M
Date SEP 6 , 1989
1989 BUII.DIBG PSffi!IT AYPLICATION - CIT? W EAGAN .
J
1 SINGLE FA!lILY Dli&LLING3
?
INCLODE 2 SETS OF PLANS, 3 CEATIFICATES OF SURVEY9 / SET OF ENERGY CALCQLATIONS
HOTEs ADDHESSffi FOfl CARNEfl LOl3 - CpbTEAClOA/80MEOW8S6 lIDSi D&4IGHATB IiHICH ADDRSBS
I3 D&SIHED. BO CAANGES UI[.L HE ALLOfiSD OIICS BIIILDING PEHMIIT I3 78SOED.
MQLiIPLS DWELLING3 SRfAL UBITS P09 SALS DBI'!3 •or IATITS
INCLODE 2 SEfS OF PLANS, CSATIFICATE 0!+ 3IIBYEY - tHEC[ iRTH HLDG. DSPT., 1 SET OF ENERGY
C6LCOLATIONS
COIMRCIAL
INCLODE 2 SETS OF ARCHITECTURAL & STRDCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF EDSERGY CALCOL9TIONS
To He IIsed For: J
3ite Addresa =3 6
Lot OLS- Bloek
Pareel/Sub 2uJ?' ? Ptii ?
Owner
Address
City/ZSp Code
Phone
7 ?J i(/ u u Uate: ?"-3v -? ?
?,??,?? vrriva w?
OQCUpaney
?'Zoning ?
Aetual Const V -N
Allowable V - N
# of storiea
Length
Depth k4
S.F. Total
Footprint S.F.
On site sewage
On aite rrell
MifCC System ?
City vater
PRV required `
Booster Punp _
Contractor / ? [Twff"41 (ie ?t--
Aaaregs gGo GtJai??oy-J ?r, ,
City/Zip Code ?y ?ti YfI" ys-/ZL
Phone `7? -309't 72--3 `Yl? /
Arch./Engr.
Address
City/Zip Code
Phone i
APP80YAIS
Planner -
Couacil
siaB. ofr.
Variance
Council
OHLY
Bldg. Permit 5C?,00
Surcharge 71S0
Plan Reviea oa
SAC, City 1 oo•OD
SAC, HWCC 5r)5. O?
Water Conn S90.?7J
Water Meter 0.00
Aect. Deposit 30,00
S/li Permit -'D, O'
S/W Surcharge ,oo
Treatment P1. 226,"
Aoad Dnit O.D0
Park Ded.
Copies
lOTAl.
HO't6: Sever & Water Permit fees end aceount deposit feea xill be iaeluded in the building
permit fee. Procesaing time for sever and rater permits is tvo days onae a lioensed
plumber haa appiled for a permit at City Hall.
,..
-• VA.Lt,t qT l (DKj
GARAGE ? ?
z 2 x z Z? 4IN)rs= 4t
6a.sE r.MENm
,------?--_ --
2Z x ZIr ? qzy
? `1 X ZS : 35D
5?c& Z:?
? x LI
1
I ZZ? X 14 = I'7080
Isr Fi.ooR
GSm? = 1220
???4.Xlo = I S
-
1?4? x ?o = ?Z?So
8 (-o 6cl0
ities Diizital 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.
1
, j ..
?
? .
?.
(Fo:?a Dcveloped by 2ic Sta:c of ifinneso[a :,uilcinF Code iilvis.on)
TD EE SU9:tITTcD I;ITii nUILDIi:G PER}fiT 1S'PLICATIO`1
MIVER:
FXTE.°.IOR FNVF.LOPE AVERACE "U" CCI:fPUTATION-
SITE ADDRESS:
zS
CONTRACfOR: CU ? hY4. XD? ?f? DATE:LIQLf_ P}IONE: ?SZ JO(fT
-2z3-
Determine working square footage of each
1. Total exoosed wall area......... Z U1z sQ•ft. x r?? ° ZZS.2S
2. Total roofJceiliag area......... 12, 72- sq.ft. xC 6 Z& ° 3Z? S
3.• Total exposed wall area ealculations:
Total exposed wall area above floor
a. Total wall vindoW area .............................. / 83Z
b:Total door area ..................................... 3,f_
c. Total sliding glass dooz area ....................... 5`0
d. Total fireplace wall area ........................... --
e. Total wall framing area (average 107.) ...............
f: Total net wall area above floor ..................... 13546
P. Total rici ioist azea ................................ //o
Total exposed foundation area
-
h. Tatal faundation window area ........................
i. Total net foundation area above grade ............... /D S
Determine "iT" value of each wall segment
8- g n(Jn ?`I I ? •? i 6 ?-
b. X
X
c.
flUes
,55 _ ,
z2. o
d ?. X
. loUn ---- ? - -
X $fU,l . 0 -7
X 12„91
g• x ",,,.
.
• h. .?___ g uUk.
g nUn
3.
• TOTAL
If item 03 is the same as, or less than item 01. you havc met the intent of
sBC 6e05(o)2. •
c!e-0
/Lt-
.`
L
,
d.
4. Total exposed roof/eciling ealculations:
Total exposed roof/cailiag area n 12f2-
j. Total skyligh[ area .................................
.. ! •
k.'Tota1 roof/ceiling framing area (averap,e 107,)....... 0-
1. Total ne[ insulated rooflceiling area .................
?•
Detera3ne "II" value for each roof/ceiling segaent
-L.. . X ffIIll
k. g uUll 2: ?4d
1. // 0?- x „U„ zz.3G
4. ' 'TOTAL
If total of $4 is the saae as, or- less than G2, you have net the intcnt
of SBC'6006(c)1.
A2ternate Eu3lding Envelope Aesign
''?t.., . . . . • - .
To uti23ze the total envelope system method, the values establfslied by the sum of Stens 03 and 04 shall not be greater than the sum af items bl
and #2.
1.
3.
+ 2. m
+ 4. w
C E R T I F I C A T I O N
I hereby certify that I have ealculated the "U" factors and R values
herein and that the building hera described meeta or exceeds the State Of
Minnesota Energy Conservation Act.
:
. . iJA].L 5i?'7':C::S
'SC 10': of nl-?yur ti•a11 a:ca for
eramc cou::tructiun
?rLL
?IUiiJ:1TZC".I
S7?_I.I:
F.RT.t:E EALL
Constrvctinn R-Valuc
1. ?Ilferior aiz Ii]m 0.68
2. ?l? `?
3, inct:es sofr <<ond
4•
5. 5'. „'' ' I.
6. Esterior air film : 0.17
Total
?J,A.
1. Intcrior air filn 0.68
,
3. f
?. 'r.• .., ... Y,
6. £x terior air Piln 0.1.7
Tota1 ;: = 21. 9 (
1. 7nterior eis film 0.68
2.
3. i'i'
4.
2?
'J
5. ?r-V: n<_
6. Er.terinr air film 0.17
TOtol. ?1, h?
1.
2.
' 3.
• 4.
5.
' G.
Interior air film 0.68
ExCerior air film 0.17
'Potal
U- ,)ta
SI,RS O:Q G?2.1ll;;
?IG. N3
o ?
? `•• , ? ?
. • u . ' ri •
-? , • •, ? ??' :
v . • ./• . b '
? a . r . ` . e.
? • ' ? . 1
• ???` ??r /II '.( . • ? ? a- ,. ? ` .. \ ?
- ,rr r = . , • .
V • ?
--- ? : • • . . ._ / ? ?
_?ri • • • i??^ .
FIG. #4 ` ? ?'? , • f ' `r" ??f
!fl S . p _
-- \
= Irr =. rn ?
NOTE: Indicatc Cync, "P." valun, dr.nth and
. placenent of insulation. .
TRi-LAND co.
SSERVICES
1260 YANKEE DpODLE ROAD
FeGnN_ MINNESQTA 55128
SITE PLAN FOR:
HUTTNER CONST
LEGAL DESCR I PT ION ? LOT 25 , BLOCK I, BLACKHAWK GLEN lat ADD.
ACCORDIN DA OTA RECOCOUNTY
THEREOF ,MINNESOTA
N89°I2'05"W
b
?
w
Ah
8
E.4GRN
G°'eG-°aVo R rr 7r'7')
SCALE: I"=30'
LEGEND
o DENOTES tRON MONUMENt
o DENO?ES WOOU HUB SET
A3?.`3 DENOTES EXISTIN(i SPOT
ELEVATION
(828X)RIE1dOTES P
T O pOT
N
Ei.EVA
le-^ DfNOTES DRAINA(iE DIRECTION
I her*b? certltY thatthis aurvsY,Plan or
rsport was pr8pond by ms or undar my
diract supervision and that I am a duly
Rsqi4lered Land Surv*yor undsr the
Laws of the 3tute of MinnesoSa.
WVERT ELEVATION AT SERVICE EXTENSION= .,.,
PROPOSED GARAGE FLOOR ELEVATION °• 83(, 2P-
PROPOSED FIRST FLOOR ELEVATION = 9ki
Z'.ZL
PROPOSEO BA8EiiAENT FLOOR
ELEVATION
NOTE'. VERIFY ALL FLOOR FIEIGHTS WITH
FINAL HOUSE PLANS
Bradley
Mn. Re9. No. 15235
Doto :1hall 3dt / 5 '?
?
i
Conetr.uction R-Valiie
1. Interior air filre 0.61
3.
9, rxtcrior air fiL? (s:r.ill) O.G
- 'total Q-j ?
' .?
l'eated
FIG. #5
s
! I:eat floci up
Eca[ ilw:
up
; vented
1. Intcrior air film f0.G1
2. ll,?'` _-
3. ?i'- __•-?7)/' -
4. Er.teriur air film stil NU.
R'otal =•<-_ =;Z U'?
I. InGide air fil.m 0.61
2.
"s.
4.
5. Outside air film .0.17
Total
Not•c: Use additional =:hects if more sF+arc is
needed far detai L and crtlculations.
.
RODI'/CE I LI 1: G
Hcat
flov up ?
Fir„ p7 ?
1.n?• J.t(V.:?'1e1'TPl^.s,-.?/A?..,'?}VJn?qiL?1
?--'_•=-`-=`-" _=?-=-__ __-=_?
- - L CITY USE ONLY RECEIPT#: /la1? ?
G? BL ?
SUBD.jl;?G.uJ ? RECEIPTDATE: 97
1997 PLUMBING PERMIT (RESIDENTIAL)
cirr oF Ee,cnN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for. . single family dwellings
. townhomes and condos when permits are required for each unit
? backflow preventer.for underground sprinkler system
FIXTURES EACH NO. TOTAL
Shower 3.00 x =
Water Cioset 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x =
Floor Drain 3.00 x =
Gas Piping OuUet " mmimum - i • 3.00 x =
Rough Openings 1.50 x =
Water Softener ' for dwellings under construdio n 5.00 x =
Water Softener ' for existing dwelling 20.00 x =
U.G. Sprinkler ' for dwelling under const. 3.00 =
U.G. Sprinkler `forexisUngdwelling 20.00 =
-v?
AltBrdtiOnS ' to existing residence 20.00
Water Turn Around 20.00 =
Private Disposai System ' Dak Cty lic. 75.00 =
(new and refur6ished systems)
Private Disposal Systems `a,eandonment 20.00 =
STATE SURCHARGE .50
TOTAL
I hereby adcnowledge that I have read this applicetion, state that Me information is cortec.t, and agree to.comply with all-appliwble City
of Eagan ordinances. It is the applipnYs responsibility to noti(y the property owner that ihe City ot Eagan assumes no liatiility for eny
damages caused by the City during ils nortnal operational and meiirtenance activitles to the facili[ies construded under this pertnk within
City propartyMghboi-way/easement.
A 4iJur G`
SITE ADDRESS:
14rg
OWNER NAME:
INSTALLERNAME: !422E,-? /'Sle )% TELEPHONE#:
STREET ADDRESS: -5& 7/- ?
CITY: EA9i9AI
65iZ
pkd ??'oR. ,
STATE: /W/V • ZI p; SS/2 2_
SIGNATURE OF PERMITTEE
CITY USE ONLY
LOT D5 BL ? PERM[T #: qz ?s g 5
SUBD. &PXVW? G I220 REceIPr a: 171 a 7 73
RECEIPTDATE: C' ) a't, U
2000 MECHANICAL PERMIT (RESIDENTIAL)
Date:
Complete this section on if you are installing HVAC in a single family dwelling, townhome or wndo under
constrvction and not owner/occupied.
• HVAC: 0-100 M B T U
ADDITIONAL 50 M BTU
• Gas outlets (minimum of one required @$3.00 ea.)
$ 30.00
6.00
State Surchazge .50
Total $
Complete this section on if you aze remodeline, addine to, or re airin an existing single-family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
,C New Alteration
Furnace
.
_ Air exchanger
Repair _ Other
? Air conditioning
Other
Fee $ 30.00
State Surchazge -50
Total 30.50
Reminder: Call fnr inspections
SITE ADDRESS:
U
OWNERNAME: ?1 ?ICIh _PHONE#: (njS_j
(AREA CODE)
INSTALLER NAME: ?Sl l(?(tC61A??c? ?2C1.."I1i Y1Pfl C_._ PHONE#: ??- g947002S
(AREA CODE)
STREETADDRESS: I?II'w rld Rt? S. -
C[TY:
_ STATE: ?_AN ZIP: 553_7S
? SIGNATURE OF PERMITTEE
CITY OF EAGAN
3830 PILOT IINOB RD
EAGAN AIIt 55122
651-681-4675
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA129059
Date Issued:01/05/2015
Permit Category:ePermit
Site Address: 3692 Ashbury Rd
Lot:25 Block: 1 Addition: Blackhawk Glen
PID:10-14350-01-250
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Jennie Wood
5720 International Pkwy
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 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 -
Stanley J Miller
3692 Ashbury Rd
Eagan MN 55122
(651) 274-0208
Blue Ox Heating & Air Llc
1428 3rd St N
Minneapolis MN 55411
(651) 288-0099
Applicant/Permitee: Signature Issued By: Signature