1596 Ashbury Pl,.
, , .
. , PERMIT #
„,.,MECHANI
CITY Q C4 PEHMIT ,. . . ? t ?
F EAGAN RECEIP7?V ?'? ? ???? ??
?y-- ?
3830 PILOT KNaB RaAD, EAGAN, MN 55122 DATE:
CONTRACTPRICE: O,) PHbNE:454-8100 -
Site Address `` '• BLDG. TY
E WORK
?QRIPTION
Lot _?- Block ec/ Sub '?
? ,
- - !/
Res. New' .. .
? " Mult. Add-on
Name
? -01
? Address i " Comm. Repair
City '' Phone Other
;
FEES
? Name lhel it) ,.,g HVAC 0
RES
100 M 8TU
4
00
.
-
-$2
.
?
c Address '' - + • ADDITIONAL 50 M BTU - 6.00
' O C?tY Phone F;? (RES. HVAC INCLUDES A/C ON NEW
CQNSTRUCTION)
GAS OUTLETS
MINIMUM - 1 PER PERMIT
.
(
) - 1.50 EA.
?
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE ,
Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater M BTU REMODELS - 12.00
Air Cond.
, M BTU ?-=1 MINIMUM COMMERCIAL FEE - 20.00 ?
ST
ATE SURCHARGE PER PERMIT - .50
?Vent. CFM ? (ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # ? BEYOND $1,000)
Other
FEE
:
S/C: '7'J SIG E i E
TOTAL•
? FOR: CITY OF EAGAN
BUfLDING PERMIT
To be used for
Site Address 1596 A5+' p!; . T k'LA(_:.
Lot ' Block -' Sec/Sub.
Parcel No.
a Name LU-NDGKEN $RpS COlV5T
E ,?,T ,? aLVi)
z Address ' ? ?::` ' •
? City Phone ?473- i 231
? o Name
0 ` Address
? City Phone
Address
City Phone
I hereby acknowledge that I have read this applicatlon and state
that the information is correct and agree to camply with all epplicable
5tate of Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee
A Building Permit is issued to: ?PG '`?E
all work shall be done in accordance with all a
Bullding Official
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PNANF• dSd-R1f1[1
1%,
OFFICE USE ONLY
On Site Sewage _ OccupanCy
MWCC 5ystem _ Zoning
On Site Well _ Type of Const
city water (,accuai)
(Alloweble)
* of 5toriea
Length
Depth
S.F. Total
APPROVALS
Assessments
WateUSewer
Police
Fire
Engr.
Planner
Council
Bldg. Off.
APC
Variance
Receipt ?
Est. Value 00" Date ,19
.,? . t....y.. ??.,: ?
Footprint S.F
FEES
_ Permit
_ Surcharge
_ Plan Review
- SAC, City
_ SAC, MWCC
- Water Conn.
_ Water Meter
_ Road Unit
- Treatment P1
_ Parks
Copies
TOTAL
14149
d3.
i' 1
Un
Vn-
" ?
?V I
;U i
? i
,) 1
•1 ,
? ..u.l '
on the express condition that
I City of Eagan Ordinances.
Psrmlt No. Permit Holdsr Dab Telephona ?t
Plumbing ?' y , f , , /C%j/?'•?
H.V.A.C.
Etectric l?J?' 12
Softener A?'r.
?
Inspection Date Insp- COmments
Footings I ?/?
Footings II
Foundation
Framing e =
Roofing
Rough Plbg. a _7o _
?
ld6
Rough Htg.
Isul. ? ac ? E
Fireplace
Final Htg.
Final Plbg. PRV
Bldg. Final Aj=jb e, 4,
cert occ.
Temp_ LP
Deck Ftg.
Deck Frmg.
Well
Pr. Disp.
Cities Di itg al Qualit,y Control
The following image represents the best
available image from the original page.
Every effort was made ta capture the content
from the original page.
PEFiMIT #
'
' MECHANICAL PERMIT
-?
flECE1PT # ! 3 LI
i
C17Y OF EAGAN
3830 PILOT KN09 ROAD, EAGAN, MN 55122 DATE: Y? 1
, CONTRACT PRICE: PHONE: 454-8100
Site Address
Lot ? Blo
k ?
c/S
S
b BLDG. TYPE WORK DESCRIPTION
?
c
';
r
.' • e
u
' Res. New ?k
, ,: .
, 2
Mult Add-an
?
' Name
°-
?u
Address
' Comm. ? Repair
Other
E c Ciry Phone
E •
f
Name FEES
RES
HVAC 0
100 M BTU
f c
Address
+ .
-
-$24.00 ;
ADDITIONAL 50 M BTU - 6.00
p Ciiy Phone (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS O
TLETS
1 PE
MINIM
ERM
TYPE OF WORK (
U
UM -
R P
IT) - 1.50 EA.
COMM/INq FEE - 1% OF CONTRACT FEE
Forced Air --M BTU APT BLDGS. - COMM. RATE APPUES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
Boiler M BTU M1NIMUM flESIDENTIAL FEE - ALL ADD-ON &
Unit Heater M BTU ? REMODEL5 - 12.00
MINIMUM COMMERCIAL FEE - 20
00
Air Cond. M BTU $ ,
5TATE SURCHARGE PER PERMIT - .50
Vent CFM (ADD $.50 5/C IF PERMIT PRICE GOES
Gas Piping Outlets # ? BEYOND $1,000)
Other ?
FEE
5/C: $IGNATURE OF PERMITTEE j
? TOTAL .?
FOR: CITY OF EAGAN
, PERMIT #
• . PLUMBING PERMIT REGEIPT #
CITY OF EAOAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: _
*NTRACT PRICE PHONE: 454-8100
Site Address ? L- BIDG. TYPE
Lot Z_ Block Z_ Sec/Sub Res. V
Mult.
? Name "U L^ Comm.
'S Address Other
c City Phone RES. PLBG. ONLY -
WORK DESCRJpT10N
New ?
Add-on
Repair
? -+ vvcier ",iusei - ao.vU
? Name ' Tubs - $3.00
? Address *Bath
Lavatory - $3.00
p City Phone ? Shower - $3.00
Ki?chen Sink - $3.00
FEES Urinal /6
Z L
d
COMM/IND FEE - 146 OF CONTRACT FEE aun
ry
APT. BLDGS - COMM RATE APPLIES ? Floor Dr<
TOWNHOUSE & CONDO - RES. RATE APPLIES i Water HE
MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpoc
MINIMUM - COMM/IND FEE -$20.00 ? Gas Pipi
STATE SURCHARGE PER PERMIT - .50 (MINI!
(ADD $.50 S/C IF PERMIT PRICE GOES Softener
BEYOND $1,000.00) Well - St
Private C
Rough C
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
-$3A0
- $3.00
- $1.50
- $1.50
g Outlets - $1.50
JM - 1 PER PERMIn
$5.00
TOTAL
S
4a l
?
I'
$10.00 . ?
gs - $1.50
FEE:
STATE S/C: -
GRANO TOTAL• - ?- ?
CITIf OF EAGAN Permit No: Date: 4-. Ir 7
3830 Pilot Knob Road Meter No: Size:
4 P.O. Box 21199 Reader No: Date:
i Eagar, MN 55121
? Owner. Bros. ConsL.
SiteAddres5: 6 a-qhhurv P 1ncm T-: ' 1 L Iji' TT
Plumber.?-undrren Bro&
Conn. Chg: Zoning: t?-
Acct Dep: '- 5• bop`' No. of Units: j
Permit Fee: i.)• ?opd
Surcharge: • 5?'»`? I agree to compty wRh the Clty ol Eagan
Tr. Plant ? -` ?? • ?7??1?t- Ordinances.
Meter. - 7° p0pu
WATER SERVICE PERMIT
CITY OF EAGAN
3830 Pilot Knob Rosd
P.O. Box 21199
Eagan, MN 5,S121_
Owner. _
Address:
Site Addi
Plumber.
SEWER SERVICE PERMIT
PERMIT NO.: 10204
9-15-87
No. of Units:
I agroe to compiy wRh the City of Esgan
Ordinances.
n.,
Date of Insp.:
Insp.:
100. QOps'
Connection Charge: 525 00.pd
Account Deposit: 15 Q4d
Permit Fee: 10 un?^.ci
Surcharge; SAiZc:
Misc. Charges:
Total:
Date
BLDG. PERMIT N0.
01-3210 Bldg. Permit _
01-3422 Plan Check
?
-
01-3445- Surch./Adm.
01-3446 SAC/Ad-n.
01-2155 Surcharge _
17-3860 Road Unit ?
20-2275 SAC
20-3865 Water Conn. ?
20-386$ Water Trmt. ?
20-3716 Water Meter
20-2252 Acct. Dep. _
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn. ?
11-3855 Park Ded.
;.? ,T o
00
N.:v
TOTAL "r?'
? CASH RECEIPT ?
CITY OF EAGAN
` 3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
?_ -
DATE 19 _T
wscsrvcn • '
FROIM
AMOUNT $ _
DOLLARi
7oo
[]CASH CHECK
ROR ? . `
L,
PUND CODE AMpUNT
/
Y I '
Thank You
BY
? XS ; -? ,• White-PaYerc CoPY
b Yellow-Postinp CopY
Pink-File Copy
(lerfi#irafe uf Mrru?aury
Citp of (Eagart
arpttrimrttt o# irilbatg jmwrrtion
This Certicate rssued pursuant 1o rhe requirements of Section 306 of the Uniforrrr Building
Code certifyirrg that at the ume of issuance this structure wes in compliance wuh t/te various
ordinances of the City ieguladng building construcuon or use. For the following:
vsecIL-sifi.rioa bf !GA': ma`.PernutNo. 14149
Occ„paocy Type R3 zanino nisUicc `: ? rypc c.omt, vt,
Owner Of Bialding i71TYa?.?I F?X? ?'`?' - Addrcs ?5 ?' ?V"7'`n,:?b? ??'?, 54???1?
BUlblllg /??IW' ?,j 10MM LAWIIyj i, 111.
EIlIE: ,nCi'liWd\ .C5. 1367_
Bw7ding Of5cid
POST IN A CONSPICUOUS PLACE
CiTY OF EAGA11 Permit No: `-' 059 Date: `= -- 1 C'-'- 7
3830 Pifot Knob Road Meter Na: a- 3 Size: ? C"
P.O. Boz 21199 Reader No: Date: 1?7 _
Eagan, MN 55121
Owner. l.•undgren Liros. Const.
Site Address; 1: i c, ' (11 n T 7
Plumber.
Conn. Chg:
Acct. Dep:_
Permit Fee:
Surcharge
Tr. Plant-
Meter. _
525
VAIaVE
V1IATER SERVICE PERMIT
with the City ot Eagan
hs eqe, od 9??/??/
18 ?yqnths from /
? 513 2
Reques? Date
/ ?
^ Fv No. Rouph-in Insper,twn
RequireA,
?REadY Now Q WJI Nobty InsOeo-
3 ?Yes figilo mr When ReaAY
dY}iTCertsed Efectncaf Cmitractor 1 hereby reqaest inspecLOn of above
? Owner electncal work installeC at
Streel Atldress, 8 x or Route No. C?i /
/ss,yF,9u,e y e? ?/44.9n/
eci?on o. Tpwnship Name or No. ftange No,
.JJrI/CO Y14
Occ.u o (PpINT) Phone Np,
;
P°'' er $upplier ?p
J/firE'c7-4 Adtlress
- ffaff"
& 'O a
Electnral Con[raclor (COmpany Name) Coi actor's License No.
Standard Electric Co. 40837
Ma1lrop Atldress IConlractor or Owner Making InsiailatmN
2672 Ma lewood Dr., Ma ewo d, Mn 55109
Authonzed St at e (GOnttector?Own M in staliauon) Phone Number
484-8044
MINNEnrTrq gTqTE BOAPp OF ELECTqICITY TNIS INSPECTION REQUEST WILL NOT
Griggs-Midwey Bldg. - floom N•191 BE ACCEPTED BY THE STATE 60ARO
1821 Universilv Ava.. St Peu1, MN 55109 UNLESS PROPEN INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED
REQUEST FOR ELECTRICAL INSPECTlON rHea/-ooooi-os
, See ins[ructions for compleL,g this torm on back ol Vellow copV. ?
"X'" Below Woik"CovAed by 7his Request
0 ? 51332 ?
AAtl Rep. • Type oi Bwltlmg ApDlianceaWnetl EquiVment Wiretl
Home Range Teinporary Service
Duplex Water Heater Lighuny Fixtures
Apt Bmlding Dryer Electnc HeaUn
Commercial Bldy. Fumace Silo Unlodder
Industnal Bldy. Air Conditioner Bulk Milk Tank
Farm O?i??? pec?f? _mer Isnenivl
i er Sueu(y Other Oth.r
Comoute lnsaectian fee Below
p Fee ServmeEntrancaSue h Fee fAeders/Subleeders k Faa Crtcurts
?Ep 0 to 200 qm s 0 to 30 qm s 0 tn 30 An >s
Above 200 qmps 37 to 100 Amps 31 ta 100 , A s
Swimming Pool Above 100-Amps Ahove 100_.Amps
Transtormers Irngation Booms / p Partial'Other Fee
Signs Speual Inspection
`'
3fU
TOT
ema rks
/
A
? 2.6G_
i
Poueh-m Drte I. Th
Dee
??nsctor, hereby
cerlJy thet the above
Final ' Z ?? /(. C,A inspection has bean
l0 0/ 1 motle.
fhle reauest volE 18 months from
This request void
18 nwnths from
D 513 7 9
Request Date4? ire No. RRaqAhedn1InsVectwn
I
CjReaAy Now 1?JOIil1 Not?fy Inspec-
? O /S ??"? m,?r ? No tor When Heatly
4N.trCensed Electncal Con[rector I hereby reCUest inspection ot above
? Owner eleUncal work installed at
Streei Address. Bou o Route No.
? C?
sHQu,e t.
/,r74
ecuon o. Township Name or No. Ran9e No, ounty
iT/Cf//jT
Occupa tIPflINTI Phone No.
?T
P?ylv er SupDl?er A tlress
iR/ ?
Electncal ConVactor (Comuany Name) Cun[rar.t r's Lm?ense No.
40837
5tandard Electric Co.
Mailinq Address ICOntracror or Owner Makinu FstailavoN
2672 Map wood Dr., Maplewood, Mn 55109
Authonz 5 amre IConttac1or er kine Installauonl Phorie Number
484-8044
M ESOTA STATE BOARO O ELECTRIGITY THIS INSPECTION REQUEST WIIL NOT
Grip9s•Midwey 91dg. - Noom N-197 BE ACCEPTED BV THE STATE BOAND
1821 Universilv Ave.. St. Paul, MN 55104 UNLESS PHOPEN INSPECTION FEE IS
ow....e ra,m aeo.nvnn ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ee-ooooi-os
1 See instru<tions for complelmg this form on hack ot Vellow caOV. 0 ? g?/ ?
7(?,
? 5?1 3 (-J "X" Be/ow Work Covered by lhis Request
Ir+6,4anal aeo.1 Tvae oi suiimne I APOlioneea WrteC I eaunume.i
Water
ce
ice
I I I I InAustnal 61da. I I Air Conditioner I I Bulk Milk Tank . I
?P
k ? Fee ?SaraiceEntroncaS2a p Fee Feedefs/SublexAers N Fnx Circwts
0 to 200 Am ps 0 to 30 Am s 0 tn 30 An s
Above 200 qmps] 31 to 700 qmps 31 to 100 A s
Swimming Pool Above 100-Am s Above 100-Amps
Transrormers ?rrigation Boorts Partial. Ot Fee
i Signs Special Inspection 5.?,/?9
Hem??ks ?7'a? TOT a
I, the E?el
Inspectoq hereby
certdy that the above
inspeccioo nas eeeo
madB.
PRV REQGIRED CITY OF EAGAN N? 1414 9
1 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
??22
BUILDING PERMIT PHONE:454•8100 Receiptx %/
To be used for SF DWG/GAR Est. Value $99,000 Date SEPTEMBER 10 1987
Site Address 1596 ASHBURY PLACE
Lot 3 Block 3 Sec/Sub. BLACKHAWK GLEN 2
Parcel No
a Name LUNDGREN BROS CONST
z Address 935 E WAYZATA BLVD
o City WAYZATA Phone 473-1231
,p Name SAME
?Q Address
0? City Phone
Name
Address
City Phone
1 hereby acknowledge that I have read this application and state
that the intormation is conect and agree to comply with all applica6le
State of Minnesota Statutes and City of EagaryOrdipances. /
Signature of Permittee L • A/ -
A Building Permit is issued to: LUNDGREN BROS CONST
all work shall be done in accordance with all
Building Official
of
OFFICE USE ONLY
On Site Sewage Occupancy R3
-
MWCCSystem ?
Zomng R?
On Site Well Type of Const I7n
CityWater _
? (ACtueq V
ii
(Allowable)
# of Stories
._
?
Length
oepth 29.5
S.F. Totel
Footprint S.F.
APPROVALS FEES
Assessments _ Permit $ 500.00
WaterySewer _ Surcharge ?30
Police _ Plan Review 9 SO _ np
Fire _ SAC, City I nn _ np
Engr. _ SAC,MWCC 595 np
Planner _ WaterConn. 59S 00
Council _ WaterMeter F7 np
BIdg.Off. Road Unit ??5._pp
AP Treatment P7 7 un 00
ce
V -
Parks
? Copies
TOTAL ?2,501.50
on the express condition that
and City of Eagan Ordinances.
?* . . ? .
CASH RECEIPT - `?
.. ,;.
a CITY ' OF :.EAGAN
. • ' . 3830 PILOT. KNOB ROAD
EAGAN, MINNESOTA 551'22
DATE .• , • ?? ??' 1.9 ? '. ,
?.. ?.
nacnvso 'r, • ? ' ? .
.a? , r, , ,? ? ?? Lr?.
? AMOUNT $
(7 ??
? CASH 10 CNECK ji
?.
PA? j ?
Thank You----.-??<.
BY
77333 1Mhite-PaVers CoPY
, Vellow-Po#ing Copy
' . Pink-File Copy..
.?
???
/ qt
- CITY OF
SINGLE FAMILY DWELLINGS
INCLIIDE 2 SEfS OF PLANS, 3 CERTIFICATBS OF SUItVEY9 1 SET OF ENERGY CALCOI.ARIOHS
NOTE: ADDRESSES FOR CORNEE LOTS - CONTRACTOR/HOMEOWNER MQST DESIGHATE i1HICH ADDRESS
IS DfiSIRED. NO CH9NGfi5 iiILL SE ALLOWED ONCE BQILDING PERMIT IS ISSQED.
M[TLTIPLE DLiE[.LINGS - RFSIDENTIAL RBNTAL 09ITS FOR S9LE [JHITS
INCLUDE 2 SETS OF PLANS, CERTIFIC9TE OF SDRVSY - CfiECB idITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMMERCI9L
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For:slN6ljAY'Aj?V-tj,)eLAt.lt, Valuation: Date:
Site Address /5'r/& (';cr??oo OFFICE USE ONLY
7
Lot ? Block On Site Sewage_ Occupancy R-3
Parcel/SuV-e?v MWCC System
On Site Well Zoning 2-1
Type of Const
y? City Water ? (Actual) V-0
Owner ?• (Allowable) V-hJ
Address di of Stories
Length 60.0
City/Zip Code??? Depth 29. 1S
S.F. Total
' Footprint S.F.
Phone 1173-12 31 APPROYALS FESS
Contractor ??- Assessments Permit . 50J.Oo
Water/Sewer Surcharge
Address Police Plan Review ao
Fire SAC, City
City/Zip Code Engr ' SAC, MWCC ?cZS•00
Planner Water Conn ?OD
Phone Council Water Meter 6 OD
Bldg Off Road Unit 30500
Arch./Engr. APC
QU
Treatment P1 190,
Variance Parks
Address Copies
TOTAL S 01 SO
City/Zip Code
Phone 4k
26 x22 =.572 X ?y= ?gDOb'
House?
34 XZ6 = BgyX /oz= 90/68
:
981r)6
? SURVEYOR'S
CERTIFICATE, LUNDGItEN BROTHERS
83,.:
?--- - - 8J2D - ?--
M ASHBURY.
3
1
4
833
3 8 008 '03°? ?
.
R=507, 51 831.9
72
05
.
?
o}
,o 1 ?\
?
Op
83 M S
m
6.20' ' 5 5)
?
835.1
50 p ___'_'____
26 r?
?
"7:
.
i ut
o/ 33.50 a
?t7 fp ni GA
m _ B34.si
? / I
? \\V
C -?- /
N
0;
00
PROPOSED q
HOUS
25.67
iy ?
? 1 8 36.
BD6.4y IAa
36.3 ?
j
? N
?
? --
. T----'-
1 34.33 _ 'esaaW
? ? c`0v? 63%.5) .a
oi .. N
- _
? ?? I -d- ---?-
?m ?° ? -
?V? .-
2
?J I Z
I
LOT 3 I
I
5\?pRAfNAGE d UTILITY 5 J
EASEMENT P£R PLATr
-?- - ? '
o
?- 95.78
N 63°01'll"W
_in?n1i,/ /" I r=?I
LJLI/-lbdl`. \:L_L_I\j
dENOTES PROPOSED SURFACE DRAINAGE
- ? 7x 837.9
./
/r n ?
I..? I \L?LJI I I?JIV
-?--
O
DENOTES
lRON MONUMENT SET
SCALE: I
1NC{I
= 30
fEET
• DENOTES IRON MONUMENT FOUND fROPOSED GAR/1GE FLOUR = 53(o-8 FEET
X000.0 UENOTES EXISTING ELEVATION PROPOSEU LOWEST FLOOR = B29,g fEET
(000.0) DENU7ES PROPOSED ELEVIITION PROPOSED TOP OF BLOCK Q$ 51,2 FEET.
1 IIEREf3Y CERTtFY TO LUNDGP.EN BROTHEP.S THAT T1415 15 A TRUE AND CORRECT
REPRESENTATIUN OF A SURVEY OF THE UOUNDARIES OF: '
Lot 3, Block 3, BLACKHAI'K GLEN 2PlD ADDITIOPJ, according to the
recorded plat thereof, Dakota County, Minnesota.
AIIU OF TIIE LOCIITIUN OF A PROPOSE[7 BUfLUING. IT DOES NUT PURPORT TO SIIOI•I Ih1PRDVEIIENTS
OR EtJCRDAG11h1ENT5, IF ANY, THEREON. AS SURVEYEb UY ME, OR UWUER h1Y DIRECT SUPERV15101V,
TIIIS 2bii.! DAY Of' Auc,usT + 1987•
SIGNED: J 5 R. IIILL, INC.
i
UY:
IIA(?OLD C. PETERSUW, LAl1U 5UR4EYOR
P11N14ESOTA L1CE145E t10. 12294
PROJECT N0. , BOOK / PAGE
87491 JAMES R. HILL, INC.
234/ I Planners / Engineers / Surveyors
FILE N0. . 8200 Humboldt Avenue South
F O L D E R Bioomineton, Mn. 56431 812-884-3029
?
LUNDGREn
B ? ? ?:O CTRUCTION
935 EAST WAYZATA 80ULEVAFiD • WAYZATA. MINNESOTA 55391 •(612) 473-7231
EXTERiOR Ei'IVELOPE /1VERAGE U COt"PUTATION
Site Address
12'-0-? 3
R & U Factors
Opaque Walls
41a11 Framing Areas
Ceilina Insulation Area
Ceiling Framing Area
Rim Joist
hlasonry 4ta11
I•li ndows
Doors
Skyliahts
1) Lower Level (Basement)
Total expos2d wall area
OpaGue 41a11 Area
l,lood Frame Area
Rim Joist
Exoosed block
Windc;j Area
Sliding Glass Door
Door Area
31eck3 ' aNP
R U
• G ?3
, oa7
, 3/
. SS`
,2Gl
x (U)
??n X (U) =L1. - o
---- x ( U )
?x (u)
3a X (u) 11,2
- x (U)
-X (u) ,3 = --
7ota1 a- 3
Page 2
LWIDGPEn
? E; DO?CO CTRUCTION
935 EAST WAYZATA BOULEVARD 0 WAYZATA. MINNESOTA 55391 •(612) 473-1237
2) lst or main flcor
Total exposed arall area
Opaque wall area 21j x (U) , pY3
Wood frame area -x (U) -
Rim joist 2 D x (U)
Window area
-2?x
(U)
3S = i
o??-??J
Sliding glass door (U) •?S ° I/, SS
Door area x (U)
Total ?O(n,.3 ?
3) 2nd floor if 2 story
Total exposed wall area - AQ rL ?
Opaque wall area
- O7X (U)
4lood `rame area 2?2Lx (U)
4lindcw area 212-x (U)
Sliding glass door --' x (U) , ;5 =
Door area ? x (L) .? _ "?
3
?
G°
Total a
,
4) Total ceiling area
41ood frame area x (U) 2,
?
Dpaque ceiling area ?x (U) ,0?3= ?•-?
Skylight -?- x (U)
Tota, ao. ? 9
i
. , . Page 3
LUHDGP,,En
' • ? ? ? cC ONSTRUCTION
J INC.
935 EAST WAYZATA BOULEVAFD • wAYZATA. MINNESOTA 55391 0 (612) 473-1231
Minn. U Factors
i•iinn. U Fzctors
Total e:<posed o-ral 1 area ? X
Total exposed ceiling area L x_
(A) Total
i r>
Item 13a,?q + Item 2 06 ,3 + Item 3_9,0 + Item 4,,2Q,(0 =
If total of Items 1- 4 is less than Item (A), building
complies with S6C 6006 (C)s
GOLD COPY PERMIT RELEASE FORM
PERMIT #
ADDUss 1,5-9(-"
PICKED UP BY 7,r
CITY OF EAGAfV
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
NO'1.'': PA7MPW OF EEE AT TIM[: pF
: aPPLscrTIorr noEs Nom oMsxMre
APPROVAL OF PERNIIT.
INSPDCTICN OF SEFEl2 AND/0R FII,M
; ILZSTALL.ATSONS iJIIZ NOT BE SCIID?
: ULID p@IFII, PERNIIT AAS BFELV
APPROVID. ' ;.
--- - --
P ease Print
1) PROPERTY ADDRESS:
LEGAL DESCRIPTION:
IF E7CLSTING STRCLZL?RE, DATE OF ORIGINAL BLILDING PERMIT ISSI.'ANCE: ' .
(Mon Year
PRFGENf ZONING/PROPOSID LSE:
El CAmmE2CIAL/RETAIL/OF'F'ICE
Q INID[.'S"iRIAL
n INSTI2L"I'IONAL/GOVERNMENT
? R-1 SINGLE FAMILY "
Q R-? DOPLEX (4WO Units)
? R-3 70WPIIH0IISE (Three + Units) ( IInits)
? R-4 APARTMENf/CONIDOMINILTI ( ' Units)
2) ?
tuAME: A
ADDRESs: 93J-
CITY, STATE. ZIP: (,?Q-? Zq?q S?Sr3 S/
rxoNE: y73-1?3?
3)
For City Use
NAME0
- Plumbers License:
ADDRESS: Active ,.; .
EScpired
CITY, STATE, 2IP:
PHONE:
MASTE
R LICENSE# Not recorded
,StarY Imtial .
4) ?? • i?• ..
rAME:_ /?vwi&rA? ?.rf, . . .
,
_ AMREss: . . .
CITY. STATE, ZIP:
• PHONE:
'S) ?? d• ?• : o • a? ??
CON[=ON TO CITY SEWEE2 ciT CONNEC'pION TO CITY WATER a(yPfER '- •'
f?
6} ?? • • i ? P7EASE HOLD APPROt7ID PERMZT F'OR PICK-UP BY ONE OF ABOVE ---` `--,
Q PI,E.FISE MAIL APPROVID PERMIT TO 1, 2, 3, 4, AHOVE .
? (Circle one) .'
7)
_FOR CITY USE ONLY
PERMIT # ISSUED
??? /
Pd w/Bldg. Permit FEES: '
$ $ /0 -? 7' SEWER PERMIT (INCLODE SURCHARGE)
$ $ v WATER PERMIT ( INCLLtDE SURCHARGE )
$ $ WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (INCLL'DE CORPORATION STOP)
$ $ SEWER TAP
$ $ /S •?= U ACCOUNT DEPOSIT - SEWER
$ $ O ACCOL'NT DEPOSIT - WATER
$ t7 Z S G"-CJ $ WAC
$ $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRCNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRLNK WATER
$ IDU «ZJ $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ 1 2 1 $ TOTAL
-- 37?? GRECEIPT RECEIPT
DOES UTILITY CONNECTION REQLIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PL?BLIC
Q ROADWAY" MUST BE ISSCED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TD THE FOLLOWING CONDITIONS:
APPROVED BY:
?
TITLE:
DATE: ?/?(,?Zf 7
CITY USE ONLY 17
L ? gL RECEIPT #: '7
r??;%?
SUBD. DATE:
1996 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
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
FIXTURES EACH NSZ. TOTAL
Shower 3.00 x =
Water Closet 3.00 x
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 :c =
Laundry Tray 3.00 ;< _
Hot Tub/S 3.00 :c =
a er Heater 3.00 x
3.00 x =
Gas Piping Outlet " minimum - 1 3.00 :t =
Rough Openings 1.50 x =
Water Softener 5.00 x
Private Disposal ' Dakote Cty. license 65.00 =
(new and refurbished systems)
U. nkler ' home under const. 3.00 =
Alterations to existfng 20.00 = 7?- UO
a er urn Around 20.00
STATE SURCHARGE .50
TOTAL W• 5O
I tMTHEft KEVIN
SITE ADDRESS:_ 1596 ASHBIiRY PLACF
EMAN . 55122
OWNER NAME: H 688-8816 w
INSTALLER NAME: NORBLOhI PwMBING CO.
(872? 827-4033
STREET ADDRESS: ?? GARFi Lo Ave. souTH
CITY: STATE: ZIP:
PHONE #: ( )
??-
f
OFFICE USE ONLY
L _ BL _ RECEIPT #:
SUBD.
DATE'
1996 PLUMBING PERMIT (CQMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for. ? all commercialfindustrial buildings.
• mufti-family buildings when separate permits are pQi required for each dweiling
unit
DATE:
CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION ADD ON REPAIR
DESCRIPTION OF WORK:
IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING:
WATER FLOW: GPM. ARE FLUSHOMETER3 TO BE INSTALLED7 YES NO.
FAILURE TU PROVIDE THIS INFORMATION WILL RESULI' IN A DELAY OF METER ISSUANCE.
WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? YES NO.
IF 50, YOU MUST APPLY FOR A SEPARATE U.G. SPRINY.LER PERMIT.
FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per
$1,000 of paanft tee due on all permits.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL
SITE 4DDRE$S:
TENANT NAME:
OWNER NAME:
INSTALLER:
STE. #
ADURESS: 01 ANIe&SUJ9 M!i ',11frt
ri 7)Jh?.... -. 'J-, ? , • i _ / N '?t
CITY:_ tSTATE:.. 21P:
PHONE #: SIGNATURE:
APPLICANT
OFFICE USE ONLY
METER SIZE: DATE: INSPECTOR:
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA114684
Date Issued:09/18/2013
Permit Category:ePermit
Site Address: 1596 Ashbury Pl
Lot:3 Block: 3 Addition: Blackhawk Glen 2nd
PID:10-14351-03-030
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Window or Door:PATIO DOOR
Perry Firkus
Valuation: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 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 -
Andrew Dallmann
1596 Ashbury Pl
Eagan MN 55122
(715) 338-9248
Crew2 Inc
2650 Minnehaha Ave
Suite 100
Minneapolis MN 55406
(612) 276-1680
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA119372
Date Issued:11/26/2013
Permit Category:ePermit
Site Address: 1596 Ashbury Pl
Lot:3 Block: 3 Addition: Blackhawk Glen 2nd
PID:10-14351-03-030
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 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 -
Andrew Dallmann
1596 Ashbury Pl
Eagan MN 55122
(715) 338-9248
Crew2 Inc
2650 Minnehaha Ave
Suite 100
Minneapolis MN 55406
(612) 276-1680
Applicant/Permitee: Signature Issued By: Signature
II
Use BLUE or BLACK Ink
For Office Use
Permit
City of EaEdn
Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651) 675-5675
I I
Fax: (651) 675-5694 1 Staff:
2 014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: y + r Site Address: ) !5 4, 15 1 Unit
Name: Andrs,~v ► Phone: 715
Resident/
Owner Address / City / Zip: 151C AAktr~ f f
Applicant is: Owner X Contractor
Type of Work Description of work: Lr.1 46V, + Construction Cost: (:)~-o o Multi-Family Building: (Yes / No X )
Company: ckri5 Contact: l~yl
Contractor Address: City: `,s5ee,
State: AlN Zip; Phone: gSX 470'1.0G 1 41 / 2w L/ 910 -Ir
License QL OO.S 71 ~2-- Lead Certificate A)AT-7 r6 2-y - l
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you s.ibmit are considered to be public information. Portions of
the information maybe classified as non-public if you provide specific reasons that would permit the City to
conclude that theare`trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.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,
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x f`
y I 'e =i2
~Ut x
Applicant's Printed -Name Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA141698
Date Issued:03/27/2017
Permit Category:ePermit
Site Address: 1596 Ashbury Pl
Lot:3 Block: 3 Addition: Blackhawk Glen 2nd
PID:10-14351-03-030
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
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 within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Andrew Dallmann
1596 Ashbury Pl
Eagan MN 55122
Northern Exteriors Minnesota Inc
6677 Timber Ridge Lane South
Cottage Grove MN 55016
(651) 230-5103
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA143429
Date Issued:06/15/2017
Permit Category:ePermit
Site Address: 1596 Ashbury Pl
Lot:3 Block: 3 Addition: Blackhawk Glen 2nd
PID:10-14351-03-030
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 -
Andrew Dallmann
1596 Ashbury Pl
Eagan MN 55122
Silver Tree Plumbing & Heating Llc
3185 Terminal Drive - Suite 200
Eagan MN 55121
(651) 319-4200
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA143430
Date Issued:06/15/2017
Permit Category:ePermit
Site Address: 1596 Ashbury Pl
Lot:3 Block: 3 Addition: Blackhawk Glen 2nd
PID:10-14351-03-030
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Andrew Dallmann
1596 Ashbury Pl
Eagan MN 55122
Silver Tree Plumbing & Heating Llc
3185 Terminal Drive - Suite 200
Eagan MN 55121
(651) 319-4200
Applicant/Permitee: Signature Issued By: Signature