3628 Ashbury RdINSPECTION RECORD ?
CITY OF EAGAN PERMiT TYPE: `"""`'
3830 Pilot Knob Road Permit Number: ,,???. •t ;
Eagan, Minnesota 55122-1897 Date Issued: "
(612) 681-4675
SITE ADDRESS:
•. ,, •ItHllfrY E;I
! ei ? kl4 fillk fil f P! 1V{?
PERMIT SUBTYPE:
i „ ; i r: 'li
APPLICANT:
INSPECTION D • D
? I ; M aFt X s: I.r PaRn I i
1tMi1', 1:1:1!!lifi t•It f illt AN
TYPE OF WORK:
I i{'FtA{ Iii1i
I14Mtt IM(t iOIt t 1 4 i l k T i A1 1441IRl
?
?
Permit No. Permit Holder Uate Tetephone #
rzLECTRIC D- 3 3 pf.?. q? --
PLUMBtIVG
HVAC
Inspection Date Inep. Comments
FOOTINGS
FOUND
FRAMING
ls
ROOFING
ROUGH
PLUMBING
PLBG
AIA TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIFEPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FiNAL HTG
ORSAT
TEST
BLDG FfNAL `? Z9'?j 7 F7?'? i1f0f7F??D d. T? litt5
S P. A6C.tr-XAJqt-
BSMT R.I_
BSMT FINAL
DECK FTG
: -- r-? ?- ?- 111?171Fy11
?/r, , Ip???cwn?e 70 f1+0w r? & AC:;IAIAY-
? - ?----- ! - -?-- - - - -- ?
?''•, CASH RECEIPT
CITY OF EAGAN
. ' ' 3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19 , i
R[CtIVlD
FRwn G<_I
? ?T-
AMOUNT
f
at DOLLARS
toe
o CASH 0 CHECIC
I ?
OR
?i ? i. L
_ ?"r "a• .,y `?? White-PsYera CoPY
-Y Yellow-Postiny CopY
Pink-File Capy
Thank You . .
;
BY
? L-
BLDG. PERMIT N0. 1 I IL?'
.? ?
01-3210 , Bldg. Permit
01-3422 Plan Check
01-3445 Surch. /Adm. -"?-?-
01-3446 SAC/Ad:n.
01-J155 Surcharge ? ?--LD
17-3860 Road Unit
20-1275 SAC
20-3865 Water Conn.
20-3868 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.
TOTAL
?
CITY OF EAGAN SEWER SERVICE PERMIT
3830 Pibt Knob Road r
? P.O. Box 21199 PERMIT NO.:
Esgan, MN.A121 DATE:
' Zonin„g: - No. of Unlts:
i Owner:
Address:
Site Addi
i 1 agree to compy wifh Lhe CHy of Eagan
' Ordlnances. . "
BY
Date oT Insp.:
Insp.:
Connection Charge: 525.00pd
Account Deposit: 15 . OOpd
Permit Fee: I0• 00po
Surcharge: • 5Gpd'
Misc. Charges:
Total:
Date
CITY OF EAGAN
3830 Pilot Knob Road
P.O. Box 21199
Eagan, MN 5'5121
1036
Permit No:
Meter No: _
Reader No:
Owner. ? `A I-nboW
SiteAddress: 362? A&
tner
Conn. Chg: 525 • 0dAd
Acct. Dep: 15. ooLe
Permit Fee: i . QOpe.
Surcharge: ` • SUp(!
Tr. Plant •00Rd
Meter. 7 _ Ot?:,•'
Misc.:
Zoning: _
No. of Units:
Date: 9' Z 1-87
Siae:
Date:
I agree to comply with lhe City of Eagan
Ordinances.
By
WATER SERVICE PERMIT
CITY OF EAGAN Permit No: Datec 9-1 1 '
3830 Pilot Knob Raad Meter No: 9 O 3 3a? Size: ??
P.O. Box 21199 * Reader No: A 72 3 a Date: ^
Eagan, MtI 55121
Owner. :Iainbow Homes
r,shbury l:na
Site Address:-
i; !=t1c-r Pi iirhin,-,
Conn. Chg: SZS. 0Opc ¦V r'•s` 7onin T'1
Acct Dep: ] 5 Xaa'tnQ CQ{
1
Permit Fee:
- ??
EC7RlC - R.
Surcharge:
" Laarr ttpq?*y with the Ciq? of Ea an
QU
Tr. Plant DRE nances.
Meter.
Misc.: BY
WATER SERVICE PERMIT
; PRV,REQtiIRED CITY OF EAGAN N2 14116
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
r ?'T ?
BUILDING PERMIT PHON E: 454-8100 Receipt n ? 7OL ,?
To be used for
SF DWG/GAR EstValue $64,000 Date SEPTEMSER 2 1987
SiteAddress 362
Lot 3 Block 1
Parcel No.
ASHBliRY ROAD
Sec/3ub. BLACKHAWK GLEN
rc Name RAINBOW HOMES
; Address 2367 78TH ST E
0 City I.G.H. Phone 450-1724
j Name SAME 647-8584 (PAGER)
Address
,
P CitV- Phone
u?
WW Name
F, w
s? Addre
u
aw City_
I here6y acknowledge that I have read this application and state
thattheintormationiscorrect agree complywithallapplicable
State W Minnesota Statute a d City f i 'nances.
Signature of Permittee
A Building Permit is issued to: RAINBOW HOMES
all work shall be done in accordance with all applicable St e of I
Building Official
OFFICE U5E ONLY
Dn site Sewage Occupancy R3
_
-
MWCCSystem Zoning R1
R
On Site well Type of Const
Ciry Water X (ACtuaQ
(Allowable) V
# ot Stories
Length 38
Dapth /. ?
S.F. Total
Footprint S.F.
APPROVALS FEES
zli 377.50
assessments Permit
Water/Sewer _ Surcharge
Police _ PlanReview 188.75
Fire SAC, City 1 OO.OQ
Engr. _ SAC,MWCC 595_O0
Planner _ WaterConn. 925, Q
Councn _ waterMeter 67.00
BIdg.Off. _ RoadUni[ 305_n0
APC _ 7reatment Pt 1 ft0 _ O0
Variance _ Parks
Coples
TOTAL ?6. 5
on the express condition that
nnesoAStafutes and City of Eagan Ordinances.
REQUEST FOR ELECTRICAL INSPECTION . E13-00001-06
y' ?j
? See iastruc[ions br completin9 this lorm on beck of Vellow copY. /?/qpp/ (t> /
[Y 418.8 5 "X'" Below Work Covered by This Request Nei4Addj Rep. Type ol BuilEing APalioncea Wired Equiu.,ant Wired
Home Range Temporary Service
Duplex Water Heater Liyhtiny Fixtures
Apt. Building Dryer Electric HeaLn
Commercial BIAy. Fumace Silo Unloeder
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm Oiner aeci v
ISUCr.,ty1
0111e1
t wr Snecify Other nther
_amnure lnsaection Fee Below
p Fee ServiceEnbanceSiae b Fee Fentlers/Sublenders N iee Cucuits
oZ DO 0 to 200 qmps 0 to 30 Am s 0.00 0 tn 30 Am>s
Above 200 q?nps. 31 to 100 Amps 31 to 100 Am
Swimming Pool .4bove 100_Amps Above 100_Amps
Transformers Irngation Booms Partial-Other Fee
Signs SUeciallnspection
TOTAL
F
Xemarks il7.a.1?
Hough'in r Date
/
I, the Elactn
Inspecbq hereby
ce"iiV thnt the abova
Final , Dale ' spec[ian hes been
mede.
this roaueal voiA 18 months irom
320- 439 3
OFFlCE USE?ONLY This requesl void IB moniha !mm volidmlon dak pnnted in Ihis bor.
?????
PLEASE PRINT OR TVPE LYO
Reqcesl Dare Rmgh-in inspecfion reqolredd es ? No Impectian Olher Than Rough-In: ? Ready Now ill Call
g a? 9? lYoo mvr mll the Inspecbr when ready) Dare Reody
I, kicensed mnfrador ? owner hereby requesf inspedion of }he above elecfricol work ot:
lob Pd BO., or a?.) q ?
O ??x(/G Ciry __
L 9f.7 _
7?C? Zip Code
? ?
Se iian No. iownship Name or Na. Range No. Fire No. Counry
b40b-r-A
OccVpant ????
V? v? Phona _5 ?
PowerSupplier Address
1
Eletlnml Conkador (Campany Name) CoMmcmr License No. Moxhr lic. No. (Plant EIM.OnIy)
M,l - a a3
Mailing Addrtss (Conhacror or Orv\ner Pe?Aorming Imkllation) ?? \
`
V- ??toV
S t L F?
AmhoripeG S namn (Contracbror Owner PeAormirg Insmllafion)
_ ?,..?`d.'C_ ??- _ Phon No.
a -?95'to
EB-O(6Olklyay5 QfiP_Y-WiE
IIII
* IIIII
0 III
3 IIII
2 II
CI IIII
"i IIII
3 II.III
9 IiiI
3 Illi
*
REQUEST FOR ELECTRICAL INSPECTION +??
Minrresota State Board of Electricity
1821 University Ave., Rm. 5-728, St. Paul, MN 55104 ??+
Pnone (612) 642-0e00 6 4 G /'
ome Duplex Apt. Bldg. Other: New Addn
Commercial Indushial Farm emod Re air
Air Cond. H}g. Equip. Water Hir. Load Mgmt. Other:
D er Ran e Elec. Heat Tem . Service
"X" above the work rovered by this requesf. Enter remarks in this space and on the back of /he white <opy only.
W I R? &4S"64' \ R&tUYf.L
Colculote Inspectian Fee - This Inspection Requesl will not be occepied without the conect fee:
Olher Fee Ai`- Service EMrance 5¢e Fee # Circvih/Feeders Fee
Mo6ile Home Park Sfoll 0 to 200 Amps 0 fo 100 Amps .0t)
Sireet Ltg./Traffic Sig. Above 200 A ove 700 Amps
Transformer/Genemtor INSPECTOP'SIl NLv ? TOTAL
Sign/Outline Ltg. Xfmr. C ?
Alarm/Remofe Confrol
b
$Wimming Paol d l?orictinstallafion desaibed hereln on 1he dalm smled
h
etli
Irrigation Boom e c
)
.
Ro?g Dob
$peciol Inspecfion
'
Invesfigative Fee -?
?_ ??; a 3G
THIS INSTALLATION MAY BE ORDERED DISC ECTED IF NOT COMPLETED WITHIN 16 MONTHS.
z-
p 6 8`6G6 Z L 3? ?. Ate, a/06 71
Request Date
/ j _ lj Fire No. Rough-in Inspection
Required?
-? es C N.
? Reetly Now ?JI Nofify Inspeclor
When Ready?
I?K`licensed contrector C owner hereby requesi inspection of above electrical work at:
Joo Aadress (SVeet 6ax or Roule No., Ciry
B4.- Ad
Seqion No. Township Name or No. Fange No. County
?Q?4TC
OCLOpan11PRINT)
? G'l?U t!{ C c? 7?a r[?.., S PM1OnB No. 'J
5.?. j'_. 1! S
Po erSuppLer qtltlress
EleG?ncat Co?m/racror lcompany Name)
Cl0/?uS ?a-{. , Conirecior's License No.
('4 ? G
Maidmq Natlress (GonI? rdcbr or Owne/r Making Instellallon) ?,
y
(C/ ? / 7 ?J I/( 51 / f 2 ??vt ?/? Y ?? Cci '?C.?-P/ f"'z11-.
Adtlhonzea Signalur oh'ranorvOwner Ma'eing Installanon) Phone Number
MIN EN OTA STATE BDABD OF ELECTRICITY TI115 MSPECTION REOUEST WILL NOT
Grlggs-Mitlway Bldg. - Hoom 5-173 6E ACGEPTED BY THE STATE BOARD
1021 Univereily Ave., St. Peul. MN 55100 . UNLESS PROPER INSPECTION FEE IS
Firone(61P) 642-0B00 ENCLOSED
.
REQUEST FOR ELECTRICAL lNSPECTION ?" 5 ? es-ooom oa
'??aee nsruct ons Por ccmpJating tnis Iorm on bacx of yauow oopy. `?'-
`X" nelow Work'Covered by This Request
ew Atld Rep. rypeofBuilding AppliancesWired EquiOmentWired
I Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Builtling Dryer Other (Specity)
Comm.llndustrial Furnace
Farm Air Conditioner
Otner ?syecityl Gonnaclor5 FemaMe: -a
Compute Inspection Fee Below:
u Other Fee # ServiceEnfranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transtormers Above 200 _ Amps ove i00 _ Amps
SignS mspecmrs Use Oniy. TOTAL
S 6
Irrigation Booms ? 3Q
Special Inspection
AlarmiCommunica?ion D DISCONNECTED IF NOT
THIS INSTALLATION MAY BE OR RF
Other Fee ?
COMPLETED WITt1 MO
1. the Elechical Inspector, hereby Ropi
certify that the above inspection has
6een made. F;,,ai Date /
OFFIGE USE 9NLY ?
Tbis reQuest voitl 18 monihs Imm
•rt's reauest voitl
18 monlhs (rom
D 4].88.5
---Ommmm
12
? : /n GZ7
? ^ Req iretl? ?"?ecuon
p? 3? 7 ? ? [)Neatly Noll Notify In p -
,r EI t I N J? ?Zo Wh fl dY
C t t
Owner I hereby request inspecfion oi abova
electncal work instelled at
reet Atltlrass, Boz or Route Nn_
o.
Eleetrical Cnn?ra
LaAI _/ ja? / ` "' Convacmi's License No.
M Mg AdJress ctor IComoanv Namel
IContractor or Owner Makmg Insla?lation?
. .. 0. _ 4L.I
•^"•'•ebulq STqTE BOAqp OF ELECTRICITY THIS INSPECTION qEQUEST WILL NOT
Gripgs.MidwaV Bltla. - Boom Nd91 BE qCCEPTED BV TH
1821 Uniyersitv Ave.. SL Peul, MN 65109 E STATE BOAPD
Phone (612) 642-0800 UNIESS PNOPEN INSPECTION FEE IS
ENCLOSED.
x CITY OF'EAGAN PERMIT
`
3830 Pilot Knob Road PERMIT TYPE:
Eagan, Minnesota 55123 Permit Number:
(612) 681-4675 Date Issued:
Control No. 0601
suiLoxNc
000769
06/10/92
SITE ADDRESS:
DESCRIPTION:
3628 ASHBURY RD
LOT: 3 BLOCK:.1
BLACKHAWK GIEN 2ND
'BuildY:ng permit Type
; Building:Work Type
;
..'.' .?_'. . ..
SF PORCH
NEW.
il ?J
REMARKS:
RECEIPT ! lJ?l?q??p(l SEPARATE ELEtTRICAI. PERMZT REQUIRED
FEE SUMMARY:
VALUATION
Base Fee
Surcharge
Lic. Search Fee
Total Fee
$106.@0
$4.50
_ $5.00
;117.56
;9,eee
CONTRACTOR: - Applicant - ST. LI OWNER:
FIRST CHOICE EXT 15531918 000426 MIKULUKI MATT
6587 BERKSHIRE LN N 3628 ASHBURY RD
MAPLE GROVE 10N 65369 EAOAN MN
(612) 553-1918 (612)456-9505
I hereby acknowledge that I have read this application and state that the
infarmation is correct and agree to comply with all applicable Stete of Mn.
Statutes and C3ty of Eagan Ordinancee.
?
? / .
APP CA RMITEE SIGNATURE
,?_.??L<
ISSUED BY: 51 ATURE
?
PERMIT• N ?0? C17Y OF EAGAN
REACTIVA7E _' 1992 BUILDING PERMIT
681-4675
APPLICATION
0-UN
SINGLE 8 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAI 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re uest is"made or lot chan e is re uested once ermit is issued.
Date Cm / Pc? Valuation of wor
Site Address: J (6 a? 143? l?-
STREET SURE k
Tenant Name: (commercial only)
IAT SLOCR SUBD. P.I.D. #
Descri tion of work: sa, o,-c?
The applicant is: ? Owner ?Contractor ? Other (Describe)
Name 11?; kcJ`o ? i /Yc, f? Phone
Property LAst FfRST
Owner Aadress OD
STREET STE !
City ?sfih state Zip
Company f i rst (2kc,ii y E?ir-7' Phone ?5`3-'3 l5 4
Contractor Address Co.s?'? ?o?,?s?.?r L.. ?J License ?i /lc?66 '??'/
/ 0
City M4 ?(? State /4-14.i ip 5J 3&%
Company Phone
Archttect/
Engineer Name Registration #
Address
City State Zip
Sewer S water licensed plumber . Processing time for
sewer 8 water permits is two days once area has been approved.
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 C1ty of
Eagan Ordinances.
Signature of Applicant:
?
OFFICE, USE ONLY
BUILDING PERMIT TYPE
O 01 Foundation ? 06 Duplex ? 11 Apt./Lodging
? 02 5F Dwg. D 07 4-Plex ? 12 Multi. Misc.
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory
Q 04 SF Porch ? 09 12-Plex ? 14 Fireplace
0 05 SF Misc. ? 10 Multi. Add'1. O 15 Deck
WORK TYPE
0 31 New ? 33 Alterations ? 35 Tenant Finish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft.
(Allowable) ? lst Fl. sq. ft.
UBC Occupancy 2nd F1. sq. ft.
Zoning Sq. Ft. total
# of Stories footprint Sq. ft.
Length On-site well
Depth On-site sewage
APPROVALS
Planning Buildin
Engineering Variance
REGIUIRED INSPECTIONS
? Site
? Wallboard
,E1 Footing
ja Final
,0 Framing
? Draintile
:
El Insulation
? fireplace
Permit Fee /os ? vei?c?a,: g 4 Oe-?d
Surcharge ?- -?-
Plan Review ??DOO
License
MWCC SAC
City SAC
Itater Conn.
Water Meter .
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Cop ies
Other ?
Total:
SAC 9G
SAC Units
? 16 Basement Finish
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
MWCC System
City Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
Assessments
.,,
,
?i-LAND C0.
SURVEYING
?SERVICES
1260 YANKEE DOODLE ROAD
EAGAN, MINNESOTA 55122
SITE PLAN FOR:
RA /NB OW HoMEs
LEGAL DESCRIPTION: LOTJ__ ,BLocK! ,A44a<Nu wc._r CrIXv 200
ACCORDING TO THE RECORDED PLAT
THEREOF 0211407A COUNTY,MINNESOTA
l0'? f r-o.N L \y
_. \
L/
/?.
/uW30/
' LE_GEND
o DENOTES IRON MONUMENT
o DENOTES WO00 HUB SET
DENOTES EXISTING SPOT
ELEVATION
OENUTES PROPOSED SPOT
ELEVATION
? OENOTES DRAINAGE DIRECTION
INVERT ELEVATION AT SERVICE EXTENSION=
PROPOSED'GARAGE FLOOR ELEVATION= gl?
PROPOSED FIRST FLOOR ELEVATION-
PROPOSED BASEMENT FLOOR
ELEVATION
NOTE ? VERIFY ALL FLOOR HEIGHTS WITH
FINAL HOUSE Pl.ANS
t henby certify that this suuvey,plan or
report was preparsd Dy me or under my
diract suparvision and fhat I om a duly Bradlay J. snsa?, Mn. Req. No. 13235
? Repistered Land Survtyor under ihe
l.aws of the State of Minnesoto. _. Date ? B?iL?
Ex-rERaoR sNVEtOPe aVeezAtaE • u• cotac•u`ra-rzcua:
aorntER = ----
SITE ADE?FtESSz
C#?6lTRACT43!?:
I3A76:
3) TOTAL 6YP£)SED WALL RREA' ''•''' 510.720 SF r` U*
F HCINE :
0.110 = 5S. I79
23 TOTAL t2£tL7F/CE I t i PNa Ri2EA' '''''' 160. rr60 ^aF x• Ul ou. 026 = -4. 160
.i} TOTAL 6XF't78EI3 Lff}LL RE2ER CRLCULA"fIOPES:
TOTAL EY.Pi7SED WRLL. Ati6F!
RBCtVE Ft[tl7id . . . . . . . . . . . . . . . 458. 72:1 SF
R) "f'f3Tf'iL W€iLL 6JIMDQW flREFt:
LlDW {AS DRL GLA2ED.......... 73.767 9F x+U' 0.:r90 = 21. 33.°
HDW {B) DRL GLA2ET1.......... Et. CtC0 SF x' U` 0.000 ? ts. tyLZ0
E<) TOTAL DO£IR AREA . . . . . . . . . . . . . 0. EsCF? SF st • U` Cs. 3}0 m £r. 000
C) TOTAL SL£}@ GLASS DR ARELi:
SLD£s t A? I1PL GLA2ED. .'''''•' kCs. Es2Ls 3F rc ` Ul Ct. 23Cr m 11.606
SLI?G (P) E?EiL GLAi6I}' ''''•''' 0.000 SF r' U' 0.420 = 0.000
D1 TOTAL FIREPLRC6 WALt RREA... 0.000 SF x'tJl 0.370 = 0.000
E) TOTAL bi4iLL FRAP1tMG RREA
6RV6RRt3E 10x1 ............. 45.972 SF x'tll 4f.Ct'30 = 4.351
F'3 T£37f7t NET WRLt AREA fiEtOb'E
FL13t3R (IFl5ULATED) , . . . . . . . . 299.061 SF x vU• 0.043 = 12.907
GJ TC1TGkt l2IM JOIS3 AREA ........ 52.000 SF x' U' Cs. E},38 = 1.461
TCfTr'7L FQUNDATIfltJ
r'3REA 4E%POSED1............ C>,OEtC> 9F
h!} "fQTRL FQUtJDAT2QtJ
W I NLTQW AREA............... £ti. isC>is SF x ` U*
1) TOTAL hlET FOUPIE}#TStJN . .
ARER AE+OVE GRRDE' ' ' ' ' ' ' • • ' 0.000 SF .; ? U'
3}
0.510 = ir. CtUts
tl. 469 a f.l. c{a".1'.}
TOTAL G!-I = 53.539
IF ITEAi *3 IS TFfE SAME RS, (lR LE58 Ti-Ir'iPt IT6Pt 01, Y£It! !iR'v'E ME7 TI-4E
IPfFEPfF !3F S.B.C. SE'CTIQP! 6d`1CsEa {c} i.
4) TOTAL 6%fiCl5ED fOOFlCESLIN6 CAtCULATIQNS:
TOTAL EXF'OSED
Rt3QF lCE 1 L I PiG R(iER. •'•'••' 160.000 SF
33 TOTAL SKYLiTE Rf2EGS........ 0.000 SF r` t!' 0.000 = Cc, £t£ttt
K) TOTAL #3EIOPfCEiL3PiG FRRPtIPEI's
RRER tR{.'ERRGE SCiSLT'''..... 1ii.CtCf0 8P x'tl` Ci.{t23 = 0.353
tT TOTAL NET IPESUtf}TED
Raf3F r CH i L I Nt'.s flREA ......... 144. CrEWI SF x` t#' Ct. Es.^2 = 3.153
41
iF TOTAL OF d)fi I$ THE 9LIME A^o, CIR LE$3 3HAN 02, YC1U FfA4'E MET THE
IPlTEPfT C1F S. B. C. fiECTIOPJ 6006 ic} 3.
.
OF MINNESOTA.
T07Al.. .7-L = 3.516
S rya& ?i?? J?/?/
OF MINNESOTA ?
.
RLTERPEt3TE RU3LI1tNCs EPl4'ELEtPE DE3I£3Pt:
TEI UTIL.SZE THE 3133RL ENb'ELCIOE 8Y3T6Pt PfETHiJD. THE VCT#._LiES E37A.ELIBHEI} PY
THE St1h! f.?F ITEN48 *3 FlPtTi 04 Si-{RLL ?dQT L<6 GREA3EF2 TFEFkW THE Sf.iPE t7F I76PiS
dll GNdI1 #2.
1 J 56.179 + 21 4. 150 = 50. 333
3] 53.518 +- 4? 3.536 m 55.034
CEFtTIFiC#7TS[}#+!o
I tiSR6E<Y CERTIF'{ T#fRT I#iG1+.'6 CAE.C!lLRTHD THE 'U' FRCTL7R3
R4•tD ` R' VAL3JES 1-fER63Pi flN.A THAT 7F3E PUI!_Il2PEG F£ER6 DESCf7IItEd? PlEETS £)#2
E%CEEDS THE S7ATE £lF PtIPVPlES£3TA 6TfECiSY CEJPtSE#2VAT3QP! r'lCT.
S S I t3PiATElRE >
------= ?-? ?,?q?--------
Cities Di
itv Control
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GOLD COPY PERMIT RELEASE FORM
PERMIT
ADDUss
PI CKED UP BY
4 ?, / A ? ;( ???.
?
CITY OF EAGAiV
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
*1DT6: PAYMFNP OF FEE AT TIlE OF
nPPLIcAMoN noES Nom ooNSTITUTE
ApPROVAL OF PERNIIT.
nasPEMoN oF sUx Arro/? MTM
IM-TAr.ramrONS FTIId, NOT HE S[SHED-
UIED i]NFII. PII2NIIT AAS Bffid
APPR(]VID.
• tytease Prin ) --
1) PROPERTY ADDRESS: ••
LEGAL DESCRIPTION: "-
ot Block Subdiv sion or Tax Parcel ID )
IF E:CISTING STRC'CMME, DATE OF ORIGINAL BL'ILDING pERMiT ISSOANCE: '
(Nbn Year -
PRFSENf 7ANING/PROPOSID L'SE:
0 CONPIERCIAL/RETAIL/OFFICE
0 IAIDOS7RIAL
n INSTI7.SPfIONAL/GOVFRNA'ENP
2) ?
NAME:
ADDRESS:
CITY. STp,TE, ZIP:
PHONE:
? R-1 SINGLE FAMILY "
0 R-2 DL'PLEX (Tr,o Units)
R-3 7.C1WrIIi0L?5E (Three + Units) ( Units)
? R-4 APARTMENP/CONIDOMINiUM ( Units)
3) ' r.?'• NAME: `
ADDRESS : 4,'?L 0 [f
CITY. STATE, 2IP:
PHONE: MASTER LICENSE#
QJ N N,JU?I; /?/7' - / • .
NAME: Z .
_ ADDRESS: ?--
CITY, STATE, 2IP: t'v?
PHONEe_
Plumbers License:
Active
EScPired
Not recorded
StaTF Initial
'S) " ?• • 21' • --
CONNDCrION TD CITY SE4EE't IGt CpNNDG`rION TU CITY WATER OTIjgR '.
T- f?a _.
6) ?? • • i(?? ? PLEASE HOLD APPROVFD PEftMIT FYA2 PICK-[JP BY ONE OF ABOVE
r
? PLF'.ASE ?NAIL AP OVID PEE2MZT TO 1, 2, 3, 4, ABOVE
?-???? (Circl'owne)
7) n,•
TOR -CITY USE ONLY
PERMIT # ISSUED
y'o 3
Pd w/Bldg. Permit FEES:
$ SEWER PERMIT (INCLUDE SURCHARGE)-
$ WATER PERMIT (INCLUDE SC!RCHARGE)
$ (a 7U O $ WATER METER/COPPERHORN/OCTSIDE READER
$ $ WATER TAP (INCLLDE CORPORATION STOP)
$ $ SEWER TAP
$ $ /S GZ ACCOUNT DEPOSIT - SEWER
$ S /S ACCOUNT DEPOSIT - WATER
$ Cl Z.S?•? $ WAC
$ 2- 5- •G Z-) $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRCNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRONK WATER
$ O $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ 1'? ? "? • !J LJ '$ TOTAL
.JU / +. .. 7 7 /
RECEIPT RECEIPT
DOES UTILITY CONNEC TION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
? YES IF YES, THEN A"PERMIT FOR WORK WITHIN PLBLIC
Q
NO ROADWAY" MUST BE ISSUED BY THE ENGINEERING
DIVISION
LIST AS
O
. A C
NDITION.
SUBJECT TO THE FOLL OWING CONDITIONS:
APPROVED BY:
TITLE:
DATE: ?/?/ 4 7
,
SINGLE FAMILY DWELLINGS
/
fILDING PERAIIS 9PPLZCATION -
: .
IIYCLQDE 2 SEfS OF PLANS, 3 CERTIFICAiES OF SOBVEY, t SBT OF ENERGY CALCOL9iIDHS
HOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOHNER IiOST DESIG6dTE WHZCH ADDRESS
IS DFSIRED. NO CHANGES WZLL BE ALLOWED ONCE BOILDING PERMIT IS ISSIIED.
HULTIPLE Di1Ei,LINGS - RESIDENTIAI. RENTAL DAITS FOR S9LE OBISS
INCLUDE 2 SETS OF PLANS, CERTIFZCATE OF SORYEY - CHECK iiITH HLDG. D6PT.,
1 SET OF ENERGY CALCULATIONS
COPAIERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
> o $2,000 LANDSCAPE BOND
To Be Used For: St?,k?n• 1G?S• Valuat ion: Date:
/??
Site Address ??va ??b`OrJK!/• OFFICE OSE ONLY
r
Lot 7 Block ? Occupancy R_3
On Site Sewage
_
B1Zt? K/?N
Parcel/Sub 1 t? d ?l _
MWCC System Zoning R-I
On Site Well Type of Const
II City Water ? (Actual) '$t
Owner (Allowable) 71?
?+?+y
=Jk
+ # of Stories
t
r
Address r
- Length 38.0
Depth 46-0
City/Zip Code S.F. Total
Footprint S.F.
Phone APPROVALS FEFS
Contractor Assessments Permit 3 q?,so
a3 b '? S t
? Water/Sewer Surcharge 32,00
._
Address Police Plan Review J 88.75
Fire SACv City 100.00
City/Zip Code Engr SAC, MWCC 5a9•00
4
0
-I Z Planner Water Conn S?S,oO
5
A
-t
Phone Council Water Meter 6.00
/
? /?/? Bldg Off 5 Road Unit 05.?
Arch./Engr. APC Treatment Pl I00.00
Variance Parks
Address Copies
TOTgI.
City/Zip Code
Phone 0
GO?
22
? &»,r
gX1?= ?2g
`l rZ
?f814 XtZ= S`60 $
x sV =
G'?/0o0
r M ?
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? L ^
4
s
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TRI-LAND CO.
SURVEYING
SERVICES
SITE PLAN FOR:
RA/NBDW HOiVES
1260 YANKEE DOODLE ROAD
EAGAN, MINNESOTA 55122
LEGAL DESCRIPTION; LOTJ--,aLocK! , BdAQ?HAA2c.r G4" z°,o
ACCORDING TO THE RECORDED PLAT
THEREOF 0216607A COUNTY,MINNESOTA
6
_ N.
;
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a
\
/
\
.
LOT 3
s ?
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0
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0
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x
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LEGEND
o DENQTES IRON MONUMENT
* DENOTES WOOD HUB SET
DENOTES EXISTING SPOT
ELE VATION
DENOTES PROPOSED SPOT
ELEVATION
? DENOTES DRAINAGE DIRECTION
INVERT ELEVATION AT SEFtVICE EXTENSION=
PROPOSED"GARAGE FLOOR ELEVATION=.?
PROPOSED FIRST FLOOR ELEVATION = ?`
PROPOSED BASEMENT FLOOR
ELEVATION
NOTE ? VERIFY ALL FLOOR HEIGHTS W17H
FINAI HOUSE PLANS
1 hareby certify fhaT this aurvey,plan or
report wos prepared by ma or under my
direct supervision and that I am u duly
Repistered Land Surveyor under the
Laws ot tha Stcte of Minnesota • -
Brodley J. *ienson, Mn. Re9. No. 15233
Date - 8/i2ku1
2 . . .
=:--?c i?ettu?al comuko?nt: ?nc. _ _- - -. - - - --- -----
. st i?a. 0sse0.M. 1pM M. NW46647ft . - - - , . .
PIOn "
.I
Sffe Addrgaa= ` ` ""
i)TOTAL EXP08E0 1NALL AREA ft BNu"jlL
t)TOTAL EXPOSED ROOf/tEILINQ AREA 14c>Z? ° 94 fA a"U"Jeats
A CALCULATIONS:
wALL ARE
TOTAL WINDOW AREA
?.sf ?r GLA2ED
TOTAL DOOR AREA
TOTAL GLASS DOOR AREA
-c'm •m_ GLA2ED
TOTAL FIREPIACE MIALL AREA
TOTAL WALL FRAMINfi AREA
NET INSUI!?TED WALL AREA
TOTAL RIM JOIST AREA
TOTAL FOUNDATION AREA(EXPOSEC)
TOTAL FOUNOATION WINDOW AREA
I o3 ,o.??.:'u' . r s 4 z•Z'S
3$ sQ.ft.R?U°•O'i c?C
40 *q.fti'U°
!z $ °Is<-296
? ? 4' ? tq.twx?U??:?-= l f• Z?S
IZ4o4 w.n.:'u"?= ?•3S
I I''S .04 = Av
.'7C,.
ti
( ?
S) TOTAL
ll etem 3it fM samo oc,a less fAan /lan ls 1ro+r l+avt met Ms intent of
2 MCAR 1.16008 A ond O•
IIOOFAElLIN9 CAtCULA710N8.
70TAL SKYLIGMT AREA' ~/p' `a'fL%~-_/.A_1
TOTAL ROOF/GEILING FRAMING AREA 1?? "q.?+??•?Z?'= Z•?
NET INSULATED ROOF CEILING AREA 41Z3 ••.fii U"sBiZ= ?' ?
: .
. .. , . 4I TOtAI. ZZ q
? w,? i?..? y?
?? . . . ' .
+i Y e 'i.P& t .: :. ; ?N r ???A li?+, '}? ?• ??Y^'?T ? ?I??u ?
II ?? ?•N ? ??a' MYw N 7^ . . . .
Z MCAR 1.16008 A ond O.
ALTEApATE sUILD1N8 ENVELOPE pESlOlI
b? ?a ? tQM ?ow ii r 3? on ?. lM su?n d Mhn? 1 ond 2 d+sH
f) t? _
1 hMsbY CMM?Y Mof Hw DulMlnp Mn Oeicrfw mNMS aGX IM SfoM o/ A&Mto?o
EM?OY ConMrvetlon Act. ?
?
,?'. .
?.\ ? •.
. . :,?.s
• ' .•M' . .
? •. 11gq.Ni INECTION IINBULATE01
e.si
'? ' ?a ?,?.,??.."?'??,s '.o
Mlsftrlor eir 1tlm UfIJ13 0.61
totAu. R4S-Z?
.. u • 1/11
CgUMG FRAMNiC lECTION
? ? nfa? aAr flUn
.
? Ei• --' ' )r•?S
(4 MrtOr eIr /ihn
is MeMeA" ol SoH
,o
,TOTAL RDoq - I
y. I M-
CEILpIC KCTION (INSULATEDl
YnNr?lor a!r Hlm oA1
ob +run (sarl) om-
. _ TOTAI. R _._.-
y • i/R
VENTEC
CEILNIC FRAMINO aECTION -
? L?1or eN HUn ' DE?
?
(? ?aMrlor o!? HUn 0.61
?6 M'diu sf teff ?aef
. . .TOTA4 R.?-
y • 1/R
.
s 1
. .?.'y;. . . i ?
. ?.: .. :. ?. .
, :, .. .,. ,., • , i
?I
. . ??..? I
?
. ..
'' - -
Rwaro UcTaM
ECTION (IMSULATEO)
?
..
AIR
?
? . .
?'i.?Gb vd/ O%a e'.0+.
Mw JMar UcTaw
11.0
.
?? a
&a==P
?{
S
rator nir fibn OJi
?? ? 7tork p7? .
. Y •, 1/R
fi0YMAT1011 NCTION
--44 mztador .rr ram o-•i.
Diz
15
. . TOTAL R j
, • V !.;A . iI
.
' .::;s •;.• .:. }?_ .
, : f _... ., . .
. .. . . •
.?
? ;-
Y • 1/R 'G
„ t .. .
?FX???k:kY,c 4t# v:'?.'Y,t:,?'M 'M%??'MrF%X?kRCSk?X?W.'MR?%:4? 'Mfk*d`;'MX??'Y.cYr,?
rI'fV [!F I A(,F1N
I:A',iN7:Lli: S 7FiI:MINtII._ N0: 344
nArrr_;; 08/29/96 77:MG.n ih:43.58
IDa
RAMEi:;i MA'C71•IG:W T M.T.KIJI_s1:I
3El.U `JOO:L 3628 Afil-IFUF;Y FD 50.pp
205 SiOI:I:L 3628 A5!•IPl)ftY FiTi 0.50
Toi;a7. Ftecc.ipt Amour}i;: 50,,50
Cfi(J63 :']Q
USE::Ft '.I:S1a NAN.r,Y
'CITY . ,OF .EAGAN PERMIT
3830 Pilot Knob Road PERMITTYPE: auzLozNs
Eagan, Minnesota 55122-1897 Permit Number: 0 2 8 6 3 3
(612) 681-4675 Date Issued: 0 8/ 2 9( 9 6
SITE ADDRESS:
3628 ASHBURY RD
LOT: 3 BLOCK: 1
BLACKHAWK GLEN 2ND
P.I.N.: 10-14351-030-01
DESCRIPTION:
Buildirig,,Permit Type
r,Building Work Type
?` Gens?as Code ?%,
r•
:. . ? . .. . . . . . `?6
f
. ? ?. _ . - . . . . ?r?
'th 4 .rr
BASEMENT FINISH
ALTERATION
434 ALT. RE5IDENTIAL
REMARKS:
SEPARATE PERMITS REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK
FEE SUMMARY:
Base Fee $50.00
Surcharge $.50
Total Fee $50.50
CONTRACTOR: OWNER: - Applicant -
MIKULSKT MATT
3628 ASHBURY RD
EAGAN MN
(612)290-8755 •
I hereby acknawledge that I have read ;this applicatian and state ttiat the
informatfan'is carMect and agre;e ta comply with al.i applicable State of Mn.
' Statute an" y pf Eagan Ordinances. „
?U 1 I
PPLICANT/PERMITEE SIGNATURE IS BY: 5 GNATU
. ? : . CITY OP EAGAN
3830 PILOT KNOB RD - 55122
1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
RemodellReoair Reavirements
s o
?'la7
? 3 fegistered site surveys ? 2 coples of plan
? 2 cropies of plans (include beam 8 wlndow sizes; poured fid. design; etc.) ? 2 site surveys (ezterlor adddions & decks)
? 1 energy ealculations , ? 7 energy wlculations for heated addilions
? 3 copies of lree preservetion plan H bt platted afler 711193
required: _ Yea _ No
DATE: /4/--9(0 _ CONSTRUCTIONCOST:
/!_
DESCRIPTION OF WORK:
?
STR
T ADDRESS: naV?K? 7
LOT v BLOCK I SUBD./P.I.D.
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Name: I?ctAX.I IIAb#+
usi rixsr
Street
gSb s
Phone #: 'S 6
z9o_97s-?' w)
City: ? State: Ull? Zip:
Company: u ' Phone #:
Street Address:
City:
Company: _
Name:
Street Address:
City:
State:
Zip:
Sewer & water licensed plumber: Penalty applies when address change and lot
change are requested once permit is issued.
I hereby acknowledge that 1 have read this application and state that the info tio is c rect d agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONI.Y RIFICEUNIEDD
Certificates of Survey Received _ Yes _ No AUG 2 0 1996
----- ?Y-----
Tree Preservation Plan Received Yes No
License #:_
State: Zip:
Phone #:
ZZ
Registration #:
I
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 01 Foundation ? 06 Duplex
? 02 SF Dwelling ? 07 4-plex
0 03 SF Addition ? 08 8-plex
0 04 SF Porch ? 09 12-plex
? 05 SF Misc. ? 10 = plex
WORK TYPE
? 31 New ,0 33 Alterations
? 32 Addition o 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Atlowable) UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
. .
• '.
? 11 Apt./Lodging z"?'16 Basement Finish
? 12 Multi Repair/Rem. ? 17 Swim Pool
0 13 Garage/Accessory o 20 Public Facility
? 14 Fireplace ? 21 Misceilaneous
0 15 Deck
? 36 Move
? 37 Demolition
Basement sq.
ft. ?
MC/WS System
-
Main level sq. ft. City Water ?
sq. ft. Fire Sprinklered
sq. ft. PRV
sq. ft, Booster Pump
sq. ft, Census Code. LI"S4
Footprint sq. ft. SAC Code oi
Census Bldg ?
Census Unit a
Building lltif?-- Engineering
Variance
Permit Fee Valuation: $ 5. vcro.
Surcharge
Plan Review
License l '
MCNVS SAC ?BO [p zs ? y Spo. -
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Pertnit
S/W Surcharge
Treatment PI. •
Road Unit Park Ded.
Trails Ded.
Other
Copies
Toial:
.•
% SAC
SAC Units
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 3628 Ashbury Rd
Lot: 3 Block: 1 Addition: Blackhawk Glen 2nd
PID:10- 14351- 030 -01
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments: If there is no ice protection inspec
acceptable in lieu of inspections.
Fee Summary:
Valuation: 3,000.00
Contractor:
Craftsmen Home Improvements
7455 France Ave #194
Edina MN 55435
(651) 430 -3706
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Construction Type:
Occupancy:
on prior to final, you must meet inspector with ladder and flat bar. Pictures are not
Owner:
Richard J Baths Jr
3628 Ashbury Rd
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
$90.00
Issued By: Signature
Building
EA081297
11/30/2007
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
üø
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA130102
Date Issued:04/06/2015
Permit Category:ePermit
Site Address: 3628 Ashbury Rd
Lot:3 Block: 1 Addition: Blackhawk Glen 2nd
PID:10-14351-01-030
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Insert
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required by law in ALL single family homes .
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 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 -
Richard J Battis Jr
3628 Ashbury Rd
Eagan MN 55122
Hearth And Home Technologies
2700 N. Fairview Ave
Roseville MN 55113
(651) 638-3309
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA142320
Date Issued:04/25/2017
Permit Category:ePermit
Site Address: 3628 Ashbury Rd
Lot:3 Block: 1 Addition: Blackhawk Glen 2nd
PID:10-14351-01-030
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 -
Richard J Battis Jr
3628 Ashbury Rd
Eagan MN 55122
(651) 329-6866
Craftsmen Home Improvements Inc
7455 France Avenue, #194
Edina MN 55435
(651) 430-1388
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA147024
Date Issued:12/04/2017
Permit Category:ePermit
Site Address: 3628 Ashbury Rd
Lot:3 Block: 1 Addition: Blackhawk Glen 2nd
PID:10-14351-01-030
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.
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 -
Richard J Battis Jr
3628 Ashbury Rd
Eagan MN 55122
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature