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1560 Ashbury Pl Use BLUE or BLACK Ink r - - - - - - - - - - - - - - - For Office Use /`V1 vo City ~1 n Permit#: ~~5-'1 ~Q\ a b oof ~ F Permit Fee. -k 0 3830 Pilot Knob Road I I Eagan MN 55122 I Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I I I 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: A Q\. 1 ON10 NO Site Address: , s (D a S ~u. P a► Tenant: Suite RESIDENT / OWNER Name: -3;10,.(-. -4 V\ wqm 'txyn 5rq,: rs Phone: (e S 1- H 5a -LS 96 Address / City / Zip: )l S LoO ~1Sh~%xruA P Applicant is: Owner ~ Contractor TYPE OF WORK Description of work: fkL- r ,p at Construction Cost: rJ a cyzl, Multi-Family Building: (Yes / No~?<_) CONTRACTOR Name: "iA t ~ zl 440,0 in.-I j (,atT_ License Address: a..3 ci !R W ova S f• City: + ` t~( Qwcam, 5 State: An ~ Zip: rj 5a~ 0 Phone:-1 01' 4~) ll `t' L Contact: 3 t( Li C~*64.f Email: 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.aopherstateonecall.org 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 Sac cj N . 4bAer c , X Applicant's Printed Name Applicant's Signature Page 1 of 2 CITY OF EAGAN Permit No: Date: 3830 Pilot Knob Road Meter No: Size: P.O. Box 21199 Reader No: Date: Eagan, MN 55121 -,wid,,;r,LnL "ro. s. Gonst. Owner. Site Address: Plumber.- wnJ ren Bros. ^lu~}:i Conn. Chg: 500.00pd Zoning: Acct Dep: No. of Units: Permit Fee: Surcharge: `'pc I agree to comply with the City of Eagan Tr. Plant P~ Ordinances. Meter. Misc.: By WATER SERVICE PERMIT J CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road gygg P.O. Box 21199 PERMIT NO.: Eagan, MN 551211 DATE: Zoning: No. of Units: Owner. Lundgren Bros. Const. Address: Site Address: s¢ 1 afi Ashbury Place LIF B ac aw. Glen Plumber. Lundgren tiros. P umbini~ 12-15-816 69055 100. )OP(1 I agree to comply with the City of Eagan Connection Charge: 4 7 5.00o Ordinances. Account Deposit: 15.00pa Permit Fee: 101 dflpd Surcharge: . 5 Q pd By Misc. Charges: Date of Insp- Total: Insp.: Date Paid: CITY OF EAGAN Remarks D 1 V IQ(i ~ 4 G/ Addition Lot / U Blk 1 Parcel 10-14350-180-01 owner Street 1560 Ashbury Place State Eagan MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 1076 1986 253.48 50.70 5 STREET RESTOR. GRADING SAN SEW TRUNK 1970 6.70 25 Pd prior t division SEWER LATERAL 74 1986 112.0 22.42 5 WATERMAIN Bn 1075 1986 92.80 18.56 5 WATER LATERAL WATER AREA 1072 1986 309.40 61.88 5 Sfnrm Sew Trk 073 1986 110.91 22.18 5 STORM SEW TRK 732 19$ 32.57 15 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK 0 CASH RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE I9 RtCE1VED FROM AMOUNT $ & DOLLARS loo ❑ CASH ❑ CHECK FOR FUND CODE AMOUNT Thank You BY White-Payers Copy Yellow-Posting Copy Pink-File Copy BLDG. PERMIT NO. 01-3210 J Bldg. Permit 01-3422 Plan Check 01-3445 Surch./Adm. _ A& 01-3446 SAC/Adm. <f< S 01-2155 Surcharge _ v 7 17-3860 Road Unit 20-2275 SAC 20-3865 Water Conn. 20-3868 Water Trmt. 20-3716 Water Meter 20-2252 Acct. Dep. I 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. 11-3855 Park Ded. i TOTAL ~2 y C- ? CASH RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE _ 19 RECEIVED ' FROM AMOUNT I' e DOLLARS too CASH 0 CHECK FOR f FUND CODE AMOUNT \ c_ Thank You BY J.-- White-Payers Copy Yellow-Posting Copy Pink-File Copy ,f 3830 Pilot Knob CITY OF EAGAN N2 12967 I ob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for SF DWG/GAR Est. Value $103,000 Date DECFMRFR 15 igafi- Site Address 1560 ASHBURY PLACE Erect Occupancy R3 Lot 18 Block 1 Sec/Sub. BLACKHAWK GLEN Remodel ❑ Zoning ~I Parcel No. Repair ❑ Type of Const. Addition ❑ No. Stories LUNDGREN BROS CONST Move F-1 Length 54 i Name Demolish ❑ Depth 2 o Address 935 E WAYZATA BLVD Int. Impr. 13 Sq. Ft City WAYZATAhone 473-1231 Install ❑ Approvals Fees SAME c Name 0a Address Assessment Permit $ 440.50 city Phone Water & Sew. Surcharge 51.50 Police Plan Review 220.25 LU W Name THOMAS A WHITLOCK Fire SAC 575.00 R 3 Address 18402 AVON COURT Eng. Water Conn. 500. 40 < W city EDEN PRa~IE 934-0665 Planner Water Meter 63.50 Council Road Unit 290.00 1 hereby acknowledge that I have read this application and state that the 2 $ 156.00 information is correct and agree to com ly with all applicable State of Bldg. Off. Tr. PI. Minnesota Statutes and City bf Eagan (:NNjnances. APC Parks ' Var_ Date Copies 296. 5 Signature of Permittee Total $2,,296. A Building Permit is issued to: LUNDGREN BROS CONST on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official Perm" No. Permit Holder Date Telephone # Plombfngp'~~ L1 UC/Y/~l GAL y~ll 7 HN.A.C. O I C Cry - I Electric: r Softener Inspection Date Insp. Comments Footings I Footings II Foundation Framing % Z Al Roofing Rough Plbg. -~9--,f 7 Rough Hig. _ -F7 'LAI Insul. Fireplace '3 7 Ll~~ Final Htg. Z Final Plbg. 17- Bldg. Final Cert.occ. Deck Fig. Deck Frmg. Well Pr. Disp. I i 1 CITY OF EAGAN 113 d 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for DECK Est. Value $1 #000 Date JUN 10 91 Site Address 1560 ASlt>dtTRY PL Lot --16- Block 1 Sec/SuAACKHAt±IK GL61i 18 OFFICE USE ONLY Parcel No. Occupancy FEES 1 Zoning 7 W Name JOHN i tlAR'tY tOURVILLE (Actual) Const Bldg. Permit. ~ Address 1560 A81g RY PL (Allowable) - City X .AM Phone 45"122 # of Stories Surcharge 5 Length 220 Plan Review 8p Name H01= HOES - - Depth 16' SAC, City Address 1260 Y,wlll~>g b00DI.8 RD S.F. Total SAC, MCWCC City FAr-AK Phone 4%-9021 S.F. Footprints On Site Sewage Water Conn W Name On Site Well W w Water Meter _ = Address MWCC System ~ Acct <W city Phone City Water . Deposit PRV Required S/W Permit I hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge information is correct and agree to comply wi , all applicable State of Minnesota Statutes and City of E Ordin(an s. Treatment PI Signature of Permitee APPROVALS Road Unit A Building Permit is issued lo: I110M Hews Planner Park Ded. on the express condition that all work shall be done in accordance with all Council 1.00 applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies Building Official _ i i I ! Variance TOTAL 26.50 Permit No. Permit Holder Date Telephone # WATER SEWER PLUMBING H.VA.C. ELECTRIC Irtspection Date Insp. Comments Footings I Foundation Framing Roofing Rough Plbg. Rough Htg. ISUI. Fireplace Final Htg. Orstat Test Final Plbg. Plbg. Inspector- Notify Plumber Const. Meter EngrJPlan Bldg. Final Deck Fig. - g/ S Deck Final Disp. F l • PERMIT # X " MECHANICAL PERMIT RECEIPT y >7 ) Y CITY OF EAGAN ' r,0 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Address ` BLDG. TYPE WORK DESCRIPTION Lot Block ~ Sep/Sub Res. New Name f Mult Add-on Address~•' Comm. Repair c City Phone 71 Other J_. _ Name FEES c Address RES. HVAC 0-100 M BTU -$24.00 p City Phone ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 TYPE OF WORK ADDITIONAL 6 M BTU - 6.00 GAS OUTLETS - 1.50 EA. Forced Air M BTU COMM/IND FEE - 1% OF CONTRACT FEE Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00 Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00 Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50 Vent CFM (ADD $.50 SIC IF PERMIT PRICE GOES BEYOND $1,000.00) Gas Piping Outlets # Other FEE: f . ` 1 S/C: SIG MATURE OF PERMITTEE TOTAL: FOR: CITY OF EAGAN PERMIT # L ti' PLUMBING PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Address ` f' i BLDG. TYPE WORK DESCRIPTION LotBlock Sec/Sub Res. x New Mult. Add-on I y Name s Comm. Repair Address -2 Z2 4 71 Other c City 4 `Phone S RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Name Lfin-f S -3-Water Closet - $3.00 S m Bath Tubs - $3.00 3 Address Lavatory - $3.00 O City Phone e _Shower - $3.00 I Kitchen Sink - $3.00 FEES Urinal/Bidet - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE Laundry Tray - $3.00 APT. BLDGS - COMM RATE APPLIES -LFloor Drains - $1.50 TOWNHOUSE & CONDO - RES. RATE APPLIES Water Heater - $1.50 MINIMUM - RESIDENTIAL FEE -$12.00 Whirlpool - $3.00 MINIMUM - COMM/IND FEE -$20.00 Gas Piping Outlets - $1.50 STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT) (ADD $.50 S/C IF PERMIT PRICE GOES Softener - $5.00 BEYOND $1,000.00) Well - $10.00 Private Disp. $10.00 ? Rough Openings - $1.50 SIGNATURE OF PERMITTEE FEE: STATE S/C: L FOR: CITY OF EAGAN GRAND TOTAL: PERMIT # Z12 ff'V PLUMBING PERMIT RECEIPT # SG a CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE PHONE: 454-8100 Site Address - BLDG. TYPE WORK DESCRIPTION Lot- J4 Block Sec/ ub Res. New Mult. Add-on Name 1 Comm. Repair Address ` u ! t Other C Ciry one - o RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Name Water Closet - $3.00 $ C Addre Bath Tubs - $3.00 3 Lavatory - $3.00 p City Phone Shower - $3.00 Kitchen Sink - $3-00 FEES Urinal/Bidet - $3.00 COMMAND FEE -1% OF CONTRACT FEE Laundry Tray - $3.00 APT. BLDGS - COMM RATE APPLIES Floor Drains - $1.50 TOWNHOUSE & CONDO - RES. RATE APPLIES Water Heater - $1.50 MINIMUM - RESIDENTIAL FEE -$12.00 Whirlpool - $3.00 MINIMUM - COMM/IND FEE -$20-00 Gas Piping Outlets - $1.50 STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT) {ADD $.50 S/C IF PERMIT PRICE GOES ) Softener - $5.00 BEYOND $1,000.00) Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 SIGNATURE OF PERMITTEE FEE: STATE SIC: FOR: CITY OF EAGAN GRAND TOTAL: (9rr#if iratr of Mrruvanry Citp of Cagan 11nttrtmmt of Wuilbing Im Wertinn 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. Use CIL%i6cauon ; J d1c Bldg. Permit No. Occupancy Type Zoning Diatricl Type Coast. V Owner of Building ~•i1~ Add. Budding Address i 560 ASf Vff Locality Dare: JULY 2,10., Building Official POST IN A CONSPICUOUS PLACE CITY OF EAGAN Permit No: 8548 Date: 3-13-87 3830 Pilot Knob Road Meter No: .396 Size: c P.O. Box 21199 Reader No: 0 R_ Date: !p' Eagan, MN 55121 Owner. Lundgren Bros. Const. B B ac aw Gen Site Address:- 1560 ury Place L18 Plumber. Lindgren Rrns Plumbing Conn. Chg: 500.00pd Zoning: R1 Acct Dep: 15. 00pd No. of Units: 1 Permit Fee: 10.00pd Surcharge: .SOpd _ IagreetocomplywiththeCit otEaga Tr. Plant 156.00pd Ordinances. Meter. 63 g-- ` Misc.: WATER SERVICE PERMIT This request void 1/Q1/O 7 18 months from _ 657691-1 !i ~G,, '~s`slcv Request Date Fire No. Roouug~h,.d Inspection X1,p 7-p Re~LJ't'ee' ❑No ❑Readv Nuw ill Notify Inpec- tor When Read, Licensed Electrical Contractor I hereby request inspection of above ❑ Owner electrical work installed at: Street Address, Bo. or Route No. city 15K0 Sp Name or N IE744A-A) Section No. T wnshi Range No. ouAnty,'- n Occupant (PRINT) Phone No. tomimeu) 205 - Po er Supplier Address - -4" bG S%, u~ rn. ~Koy A- L,11- ei '13,50 Electrical Contractor (Company Name) Contractor's License No. Standard Electric Co. 40837 Mailing Address (Contractor or Owner Making Installation) 2672 Maplewood Dr., Maplewood, Mn 55109 Authoriz d ignature (Contractor O mg InstallaLon) 1 Phone Number 484-8044 NNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT MI MNNESOTA T Bldg. - Room LE BE ACCEPTED BY THE STATE BOARD Grigg-Mid N-191 1821 Universitv Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone(612)642-0800 ENCLOSED. 7 REQUEST FOR ELECTRICAL INSPECTION EB-00001-0e See milrocliootr for completing this form on beck of yellow copy. yC~O X" Below Work Covered by This Request Adtl Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Si to Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other Pecs v the, ISpefyl _0_t, Spec, y the, Other ontpute Inspection Fee Below p Fee Service Entrence SUe a Fee Feade,s/S.bfeeder. B F Cncu,ts 0 to 200 Amps 0 to 30 Amps .a 0 to 30 Amos Above 20 -Amps 31 to 100 Amps 31 to 100 Am Swimming Pool Above 100-Amps Above 100_Amps Transformers Irrigation Booms Partial. Other Fee Signs Special Inspection $ "r® TOTAb E Remarks ~ Rough-in e Dateyy w~ I, the EI to _ O JW Inspector, ereby `r certify that the above Final ie~ inspection has been / /c~ i~L~ 1'~~' tom! made. tbis request told is months from CITY OF EAGAN No .19214 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 & 1 ~ ~ LI BUILDING PERMIT Receipt # To be used for DECK Est.Value $1,000 Date JUN 10 1991 Site Address 1560 ASHBURY PL Lot 18 Block 1 Sec/SuFBLACKHAWK GLEN 1S OFFICE USE ONLY Parcel No. Occupancy FEES Zoning - w Name JOHN & MARTY TOURVILLE (Actual) Const Bldg. Permit 25.00 o Address 1560 ASHBURY PL (Allowable) Surcharge .50 City EAGAN Phone 454-8122 s of stones Length 22' Plan Review f e' Name HOUGE HOMES Depth 16 r SAC, City °u¢ Address 1260 YANKEE DOODI F RD S.F. Total SAC, MCWCC City RAGAN Phone 456-9021 SF. Footprints On Site Sewage Water Conn 2. Name on site Well ww Water Meter iN Address MWCC System _ aw City Phone City Water Acct. Deposit PRV Required SAN Permit I hereby acknowlege that I have read this apple "tion and state that the Booster Pump S/W Surcharge information is correct and agree to com ly wi all applicable State of Minnesota Statutes and City of r s. Treatment PI Signature of Permitee lezry APPROVALS Road Unit A Building Permit is issued to: HOUGE S Planner Park Ded. on the express condition that all work shall be done in accordance with all Cound 1.00 applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. On Copies lftvlq A4,ik!1Variance TOTAL 26.50 Building Official 3830 Pilot Knob Ro d! P.O. Box 2G-199, Eagan, MN 55121 N 12 9 6 7 BUILDING PERMIT PHONE: 454-8100 Receipt p to l C) 5S To be used for SP DWG/GAR Est. Value $103,000 Date DFCF.MRF.R 1 5 , 1986., Site Address 1560 ASHBURY PLACE Erect Occupancy R3 Lot 18 Block 1 Sec/Sub. BLACKHAWK GLEN Remodel ❑ Zoning R1 Parcel No. Repair ❑ Type of Const.I Addition ❑ No. Stories w Name LUNDGREN BROS CONST Move ❑ Length 54 Demolish 11 Depth 935 E WAYZATA BLVD c Address Int. Impr. ❑ Sq. Ft. Oily WAYZAT~hone 473-1231 Install ❑ a Name SAME Approvals Fees o i• u4 Address Assessment Permit $ 440'. SO Cary Phone Water & Sew. Surcharge 51.50 Ponce Plan Review 220.25 W Name THOMAS A WHITLOCK Fire SAC 575.00 Address 18402 AVON COURT 500.00 uu Eng. Water Conn. g3 city EDEN PRAQ~JE 934-0665 Planner Water Meter 63.50 Council Road Unit 290.00 I hereby acknowledge that l have read this application an statethatthe Bldg. Off. 12/12/8 Tr. Pt. 156.00 information is correct aPzro. as to co ly ith all a i able State of Minnesota Statagan r i s. APC Parks Signature ofPermVar. Date Copies Total $2r296.75 A Building Permit is issued to: LUNDGREN S CONST on the express condition that all work shall be done in accordance with all applicable St f Minnesota Sta tes City of Eagan Ordina es. Building Official Y This request void & 944~s 1S months from 65827 i nr ~C 7~ co Request Date Fire No. Dough-in Inspection p P¢qu ned7 I Ready Now Will Notify Inspec- r1. _ J 8 b Oyes No or When Ready Licensed Electrical Contractor I hereby request inspection of above O Owner electrical work installed at: Street Address, Box or Route No. City 5,616 :Q 3iJ/2 No. ~+L f{ G 47 L~ G Al pion No. Township Name or Range No. County Occupant (PRINT( Phone No. b) Q6,ezA) C®/)7T' x/73 /V-7 Power Supplier Address Electrical Contractor (Company Name) Contractor's License No. Standard Electric Co. 40837 Mailing Address (Contractor or Owner Making InstailatroM 2672 Up~ewood Dr. Ma lewo d, Mn 55109 Authorized tore (ContractodOwn kin ns tallaboN Phone Number _ ,rL- 484-8044 MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Grigga-Midway Bldg. - Room NA91 BE ACCEPTED BY THE STATE BOARD 1921 Umveraity Ave.. St. Paul. MN 66104 UNLESS PROPER INSPECTION FEE IS Phone 16121642-MOO ENCLOSED: REQUEST FOR ELECTRICAL INSPECTION EB-00001-05 r See instructions for completing this form on back of Yellow copy. ~ ~ 3 "'X"' 8elow Work Covered by This Request Ne4Addl Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heatin Commercial Bldg. Furnace Silo llnloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm thrr peel v ethee (Spenfy) t er poofv Other Other ompute Inspection Fee Below 0 Fee Service Entrance Size g Fee Feeders/Subteeders a F Circuits 0 to 200 Amps 0to 30 Ams 0to 30 Am' Above 200 Amps 31 to 100 Amps 31 to 100 Amps Swimming Pool Above 100_Amps Above 100_Am Transformers Irrigation Booms Partial 'OtheV Fee Signs Special Inspection s Remo TOTAL E SC2t11c°" 7 6-A-7 /I Rough•in Date I, the Elec rical Inapectpr, hereby certa, that the above Final Dale spection has been / made. This request void 18 months from 1986 BBILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS MULTIPLE DWELLINGS - RESIDENTIAL RENTAL UNITS FOR SALE UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECE WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND ~ (O~j,C~OC7 /z d~6 To Be Used For: Valuation: Date: Site Address OFFICE USE ONLY Lot Block _L Erect ✓ Occupancy 1Z 3 Remodel Zoning ~•1 Parcel/Sub p V Z Repair o Type of Const Addition # of Stories Owner Move _ Length 5q- Demolish Depth 3Z Address 3 Int.Impr. Sq Ft Install _ City/Zip Code S~3 Phone '/7 7~ - A -'5 APPROVALS FEES Contractor Assessments Permit 'Water/Sewer Surcharge 5i. s° Address S Police Plan Review Z yO,zs Fire SAC 5 S City/Zip Code S-15,3 Engr Water Conn SaO, Planner Water Meter o3. 5D Phone 2 - 1,,22 / Council Road Unit Zq 0. ~ss Bldg Offjv / Treatment P1 SS(o. Arch./Engr. ~ ~ 14 APC Parks Variance Copies Address i/.yY3s J ~~',,A ~ TOTAL City/Zip Code Phone # NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR /HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. Y C) &00 K S~ I S~ c~ fez 33(~, sue- I~¢a~ 20 ~ 22 = 4~o x- (2 - S 280 3~ x 2c5> g4 x ~i 30~~0 ~ C) l . SURVEYOR'S. CERTIFIC o.TE,1g„ E SIENNA CORPORATION x o S 73.93 0 Z 852.0) xe5o ~ l_r1~5 5 UTILITY n pRAINAGEr PER PLAT 17 EASEMEN x LOT IS w m EXISTING` HOUSE / Q 41.5 In NN • m t'I x848.0 (8 y$•0 847.2x _ N 154.0 o 2 o I N GAR. 1 PROPOSED 0, J O N a N HOUSE m O p N 20.0 1 / ro ro I~ .21.17 n I, 1 840.75 7'- :Y"_ _ ~12.83%~_ 84A27 • hI. a : ~J ~ 5 e ~ 1 1 m 041 4* 36.47 Sr8O~0 AI' N12004'04" 044.0 ~ 23a- % o O n i` x847,2 ASHBURY PLACE 543.9 DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET SCALE: 1 INCH = 30 FEET FEET • DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR . gad G FEET X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR (000.0) DENOTES PROPOSED ELEVATION' PROPOSED TOP OF BLOCK = 848.7 FEET WE HEREBY CERTIFY TO SIENNA CORPORATION THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 18,Block I. BLACKHAWK GLEN 1sT ADDITION, according to the recorded plat thereof, Dakota County, Minnesota, IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, IF ANY. AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION TH1S24TI4 DAY OF /V0 v. 1985, SIGNED: 'JA R HILL, INC. REVISED 11-24-86 TO SHOW PROPOSED HOUSE BY LUNDGREN BROS., CONST, INC. BY H ROLD C. PETERSON, LAND SURVEYOR MINNESOTA LICENSE NUMBER 12294 PROJECT NO. BOOK / PAGE JAMES R. HILL, INC. 85618(86193) 117/63 Planners / Engineers / Surveyors FILE NO. 8200 Humboldt Avenue South FOLDER Bloomington, Mm 55431 812-884-3029 ~gCON51RUC11014 d. INC. _ 935 EAST WAYZATA BOULEVARD WAYZATA. ,/7,41~[SOTA [ (612) 47' 1'131 EY,TERIOR EWVE 0PEA~jERAGE U CO:,!PUTATION Lot Block C Site Address R U RR &-U Eacors .058 Opaque Walls -117 YJall Framing Areas 023 Ceiling Insulation Area 027 Ceiling Framing Area .04 Rim Joist 1e MasonrY Wall ' .26 1-1indows Double Hung 46 Casements .18 - Doors .46 patio Doors -47 Sidelites 1) Lower Level (Basement) Total exposed wall area J X (U) .058 = Opaque Wall Area -x (U) .117=~- lJood Frame Area _ x (U) .04 = Rim Joist ~x ( U) Exposed block - J 46 - Window Area Casement ~X ~u~ 26 = Double Hung X (U) .46 = r - Sliding Glass Door X (U) -18 = Door Area Total ORE H _ 0 ~`.OIIJCTRUCIIOIJ - 935 EAST VJNYZATL• BOULEVNRD VJAYZNTN, i✓JtJNESOTA SS391 (E 12) 473.7231 2) 1st or main floor Total exposed v/all area x (U) 058 Opaque ':;all area ULx (U) .117 Wood frame area ~~z (U) .04 = S Rim joist Casements - x (U) .46 Window Area x (U) .26 - / Couble Hung f0 x (U) -46 = Sliding Glass Door - - D ,3 L x (U) -18 / Door area 13x (U) -47 Sidelites Total 3) 2nd floor i." 2 story Tonal exposed gall area C~.. (U) .058 Opaque ':;all area 7' fiJ (U) 117 f~- Wood frame area x (UU) .46 - 4!indow area Casements -7--x 26 = ~I Double Hung ~x (U) .46 = Sliding al ass door - _x (U) .18 = - Door area Total 4) Total ceiling area 2 p X (U) .027 = a Wood frame area opaque ceiling area S21x ( U ) .023 = -x (U) -55 = Skyllght Total ~CONSl RUCI ION !IjIJIJCSOTA 55351 • (612) 473"1231 X35 EAST VJhYZ/17h BOULEVl,RD llhYZH. A. x 11inn. U Factors Total exposed wall area 11= area Factors Total exposed ceiling 026 Minn. U (A) Total Iten 3Item 4~.L? - Item I Item 2l/ If total of Items I - 4 is less than Item (.4), building complies with SBC 6006 (C)s C- GOLD COPY PERMIT RELEASE FORM PERMIT # ADDRESS ~S 0 rl /J PICKED UP BY I G i YI KY GCJ 3 pd-, CITY O F E A G A i~ NOTE. PAYMFM OF FEE AT TIME OF x* APPLICATION DOES NOT CONSTI= APPROVAL OF PERMIT. .APPLICATION FOR PERMIT ; * INSPECTION OF SEWER AND/OR WATER * * Tnicm uz am ow wnL NOT BE SCHED- SEWER AND/OR WATER CONNECTION U[m UNTIL PERMIT HAS BEEN * APPROVED. * * * _ **x*xxxx#*xxxxxx*xxxxxx*x*xx*#:**#xx ease Print) (Please- 1) PROPERTY ADDRESS: _n (JS ~j r Rt a c- P LEGAL DESCRIPTION: (Lot/Block/Subdivision or Tax Parcel ID ) IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: PRESENT ZONING/PROPOSED USE: (Mon Year) ❑ CMVERCIAL/RETAIL/OFFICE R-1 SINGLE FAMILY Q INDUSTRIAL ❑ R-2 DUPLEX (Twu Units) INSTITUTIONAL/GOVERNMENT r7 R-3 TOWNHOUSE (Three + Units) ( Units) ❑ R-4 APARTMENT/CONDOMINIUM ( Units) 2) ® NAME: L C- o(7,c ADDRESS: c CITY, STATE, ZIP: 1*14 A/ PHONE:-t7-L- a :a• For City Use 3) NAME: ` At eA Plumbers License: ADDRESS: ~3 0 Active CITY, STATE, ZIP:- h Expired M !vim[ S c3 Not recorded PHONE:41173 _ /z 3 MASTER LICENSE# gt Initial 4) •a♦ a ra NAME: `A' ADDRESS: CITY, STATE, ZIP: PHONE: CONNECTION TO CITY SEWER CONNECTION TO CITY WATER a OTHER ' 6) 01,116) is-m . a • ® PLEASE HOLD APPROVED PERMIT ,FCXR PICK-UP BY ONE OF ABOVE ❑ E APPROVFDT TO 1, 2, 3, 4, ABOVE (Circle one) 7) a r. `3 - l -2---97 • v r w a r a r as • a a is • r NO ;4. a as 57. TOR CITY USE ONLY ~PERMIT ISSUED Pd w/Bldg. Permit FEES: $ /L)-S -D SEWER PERMIT (INCLUDE SURCHARGE) $ $ WATER PERMIT (INCLUDE SURCHARGE) $ 63 " S~ $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUNT DEPOSIT - SEWER $ $ ACCOUNT DEPOSIT - WATER 6760 " C-~ $ WAC $ ~7~ ~a $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ l5~'G O $ WATER TREATMENT PLANT SURCHARGE $ $ ` OTHER: $ 7 S?~ $ J f UZ TOTAL RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CbNDITIONS: APPROVED BY: J rCJ7tio TITLE: DATE: 3 /if { H~ATILOSSCA CULA IONe Z -2-2-° TEMP. DIFF.9~e ! e A cuwenvarNary bAn 1•Pn /os Ttroaoenrnrotbvt t1Gof{~,rd /-,x - -s S 4-o CIW- wkdawa Sta►■v Saav omw Monte. VA". Ift ~ ~ In. - F1.1 411 Roan 14.0noth 34 Waal a - $ 1 TFI,I ~a K, i NOW L■ h 12 • Ywr h 19 Mod" Wirybwt one Doert-aecka a and Ar« WW 0M doW Dann-aaah MW Ara Mw ,N ,Nw ww.M1 Nw M L1NM UN. tl N. of m 11. I to 2 2. 3 Coal. hu coo.] SW InvIltration $ D Infiltration -/77,C) aim 50 3 so Glow Exp. wall' o Exp. wes Z . $ K 23(, No east. well 7 Znzr~ No tap. Wiwi vro 1 Int. wall IM. ON Ceiling 3'/ XLy Collins Root 8 3 Floor zl3 Z L Tout Stu. / Tow Stu. fl.i A 11 Roomllav■tA IMidtA b INI t8 1611.1 vreK/u Now ILan 9. wall /b S iNig111P Windows and Duort-aaclu" and Am windcwa ■td Dovtn-0r■dl a &W Ara M• w,ww rM/nt Nw. N 4iww h. 4 N ~ wIM =40 44 ~.r ~i i -lY Intiltmion ~Infduration D o e aim Gyr Z r o J Eap. wall Z S x 8 Zoo Eap, well 9.37 X~ No cap. wall Zoo 00 No esp. WWI Lo Inv. wall Int. well CNlwy I X Co 7 2 (m Coiling o, S , r 1 10 Z 240 ► 31 Floor 110 z tv Total Stu. 2 (of Total Stu. ~s 117 = Roos Le h 12. S Width / Mall" 1S'FI.I lire Ralnt La /Z wa /S IN Wwwkym A Dons-Crack and Ar« wkdowa aM Dean-aedu ad M« LWAM wn w,w~l, N. N 12e h. ! Nw. we* IMMr Nw. N N N a 3 ~ l 3 (n 2'f 1 Z- la. Jo~v I I Stu Mw Infiltration yp Z Infiltration Glaze a ? rOV aim 2 1350 E tap. wall 3 3. K 6 Esp. well z 17 x F z Net tap. well z 2 o v 41 Net ao. wen 1 B`/ 75~ Int well Int. wall (:eilwy S ' 2. Caning /7' F0 ! Z Fbvr Z Z- 7C. FIM / U Y Taal Stu. 2 Tow Slu. r Pq y 2 0 -r c- HEAT LOSS CALCULATION -_,22_0 TEMP. DIFF. Cuw~Nttrnw an t2- Tv'conauaitn H,:tV-t4--ef !2 to MY - window. Btwrm ledt on* Ntatte. WMIt. hta. Strom Coiling Ire CNV - Floor (fTFl.l RowmlL /o Wldth Jv'L 2 1.1M~Sa<. Rwwm Wlrtpawa Dawn-Create w end Ara Wirtdewa erd Owora-Coati acrd Area h~ M'i'lt " ~t he. N L MCI "y . Va. me. p L Z Cowl. Btu Cow. Btu Infiltration Z -q6E Infiltration Goods =.21 9 Sa aim boo Exp. WMl' 121 k'r Eap.wwd I 's, 5 No sap. wall Nat np. well 8 S Int. WWI Int.-well Ceilirp X 1'1-- HA I Z a s Cwlwrg . S 7-77~ ! r~ S Flow /y 2 T-2& K- Flow i 7- `f3 ToW Btu. 3p T Ietu. 5c3aS NIPPON Fl 17 4 v Room I Lan A 5-Width NM I.I Roan I La / g W40 8 window. and Duort-Crodlpo.nd Arm Witldowa dole Doorw-Gwokw Sole Am h~ NAM Mrrl h.. N Ln. WON" r M. N L Na. 1 <2 r v ASSS. z z 3 aY cow. 2 -7- Btu " ski Infiltration (p v O Infiltration Glw S 2 aim ! 2 to 0 Exp. WWI x Exp. WWI No np• wool 2 2~ g Y Not tip. wool 22 / ant. well Int. call Cerluq S x I 13 Zoo Co Coiling x I 3 flow 13 2-Floor a - 31 1 2- Total Btu. Ar) Taal Btu. Z FI.F'# Raam L 2i. Sggldth o'Z IMi ~ fl.l RestilLsigO 12_ Wider l wxrMwr NM Dawn-Guts nil And wwam ww Ooaa-Cwdt title Arn wn M Mw.: N L+r h. • hw. 01a hN/~r ow N ax~r w mom 3 c~ 2 ~f za I 3 fo 2- 1hu Btu InfduNxrrr 2v Iwiltratroe Glaze co O Gr. Exp, frail .S 8 Sap. wall ZZJo n e NM esp• well ZCsr~ /a a Nat welt. well Int. well Int, wall Carlrq 2z, a 3 lo_ Calling J-2- X / lr $4 Floor 27D 17-- 1 ;~9/0 Floor 3 Tour Btu. Tow au. 3 12 ./~rP$A cs i i- ; t= k e 1441 BUILDING IC ON CITY OF EAGAN 32 SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS OF RENTAL UNITS OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. RECD G.NwA To Be Used For: ` Valluation: Date: C/.? 7 Site Address 15-&'q Uw OFFICE USE ONLY --c Lot $ Block FEES _ Occupancy Bldg. Permit 2 S• Zoning Surcharge Parcel/Subo?~LAe-k1-fA4JY C;L „w IsT,A`w,- Actual Const Plan Review / Allowable SAC, City Owner Soh/l °E ~Y so-01-1,4# of stories SAC, MWCC /J n Length 22 Water Conn. Address J 4 ~ al-l 7-1 Depth Water Meter / S.F. Total Acct. Deposit City/Zip Code LG7~~ - Ss/aj Footprint S.F. S/w Permit S/W Surcharge Phone Y - gl,?a2 On site sewage_ Treatment Pl. On site well Road Unit Contractor C? fo /n MWCC System Park Ded. ~ City water Trail Ded. Address/. Y.q lee L 4-.4 D~ PRV Copies . o • _ Booster Pump _ City/Zip Code SUBTOTAL c~APPROVALS Penalty Phone S(g /D o2 Planner Lot Change Council TOTAL Arch./Engr. Bldg. Off. ~ S Variance Address City/Zip Code Phone # agrees that all work shall be done in accordance with (Signature of Co actor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. „ E SIENNA CORPORATION . -SURVEYOR'S CERTIFICATE' 019,19 S 0 79.93. o } x070 f I / 5 5 F~ pRA1NAGEr PER I Pmt I o 17 gASEME x LOT 18 I a 970.5 x 3 EXISTING HOUSE ..1 CD I 2 ?N9 Q1 x; X948.7 (B yq I-- M 1'54 O -III/ 2 oo rvI a GAR. I PROPOSED a HOUSE o 0 V M 20.0 I,M/ M N„ 1 P1 t 2r I r{'. ' LJ e4e.r9 _ _ ~12.83x '84a27 I m ~J 64 42~e~\ V'kUO I In p Ir~ a 2 o = ,cgkh,. 3p 23 - 36.47 4ig8o ~0 f1 N12004'04" E 844.0 / p o M i M 9447.2 ASHBURY PLACE.84S•, -t-- DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET SCALE: I INCH = 30 FEET • DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = 8 48.4 FEET XOOO.O DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR = 846.4 FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK = 9497 FEET 14E HEREBY CERTIFY TO SIENNA CORPORATION THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 18.61ock I. BLACKHAWK GLEN 1ST ADDITION, according to the recorded plat thereof, Dakota County, Minnesota. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, IF ANY. AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION TH1S2f.T/4 DAY OF No V. 1985. SIGPIED: a)R, HILL, INC. RE USED I1 24-:"B TO SHOW PROPOSED HOUSE ! ~•,.a1/)•~> BY LUNDGREN BROS., CONST., INC. BY li ROLD C. PETERSON, LAND SURVEYOR MINNESOTA LICENSE NUMBER 12294 PROJECT NO. BOOK of PAGE JAMES R. HILL, INC. 85618(86193) 117 / 63 Planners / Engineers / Surveyors FILE NO. 8200 Humboldt Avonue South FOLDER Bloomington, Mm 55431 012-084-3029 PERMIT City of Eagan Permit Type:Building Permit Number:EA117405 Date Issued:10/17/2013 Permit Category:ePermit Site Address: 1560 Ashbury Pl Lot:18 Block: 1 Addition: Blackhawk Glen PID:10-14350-01-180 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . James Hunter 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 - Nancy E Blumstein 1560 Ashbury Pl Eagan MN 55122 (651) 454-2596 Hoffman Weber Construction Inc 3515 48th Ave N Brooklyn Center MN 55429 (866) 970-1133 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA149442 Date Issued:05/22/2018 Permit Category:ePermit Site Address: 1560 Ashbury Pl Lot:18 Block: 1 Addition: Blackhawk Glen PID:10-14350-01-180 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. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Nancy E Blumstein 1560 Ashbury Pl Eagan MN 55122 (651) 454-2596 Standard Heating & Air Conditioning 130 Plymouth Ave. N Minneapolis MN 55411 (612) 824-2656 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA174779 Date Issued:02/22/2022 Permit Category:ePermit Site Address: 1560 Ashbury Pl Lot:18 Block: 1 Addition: Blackhawk Glen PID:10-14350-01-180 Use: Description: Sub Type:Water Heater 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 - Nancy E Blumstein 1560 Ashbury Place Saint Paul MN 55122--122 Tony's Appliance Inc. 2090 County Road 42 West Burnsville MN 55337 (952) 435-2442 Applicant/Permitee: Signature Issued By: Signature