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3644 Ashbury RdCITY OF EAGAN '- 3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55121 PH ON E: 454-8100 BUILDING PERMIT Receipt # To be used for Est. Value • ' Date,19 Site Address _ Lot Block Parcel No. Sec/Sub. uLl•.( ' , ... & ' 1 .. i,J OFFICE USE ONLY On S8e Sewage OCCUpancy M1NCC System Zoning On Site WeII (Actual) Const City Water (Ailowable) PRV Required # of Stories Booster Pump Length Depth S.F. Total Footprint S.F. fi- :. ,.- 1 Ii-J V--?; -•' -,. , rc Name • W 3 Address ° City Phone Address C+ty _ 3644 ,?sHr??uY Rr Phone I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicabie State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee , 1 . ? . A Buiiding Permit is issued to: q ;, ' on the express condition that al! work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official_ ? APPROVALS FEES ' Engr./Assess. Permit Planner Surcharge Council Plan Review Bldg. Off. SAC, CPty Variance SAC, MWCC Water Conn. Water Meter Road Unit Treatment P1 P arks TOTAL ? ' Permit No. Permit Holder Date Telephone # Plumbing H.V.A.C. Electric /?/ ? S::?Gr?e- Softener Inspection Date Insp. Comments Footings 1 Footings II Foundation Framing ?S- Roofing ? Rough Pibg. ?-p Rough Htg. ? Isul. ? Fireplace ?s? Final Htg. ? Final Plbg. ? Bldg. Final Cert.Occ. Temp. LP Deck Ftg. DeCk Final Well Pr. Disp. Cities Digi itv Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. • ? r . , • CONTRACT PRICE Site Address PERMIT # PLUMBING PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAO, EAGAN, MN 55122 DATE: PHONE: 454-9100 - Block Sec/Sub m Name ? Address - c City Phone' Name 3 Address O Ciry Phone FEES COMM/IND FEE - 1°rb OF CONTRACT FEE APT. BLDGS - COMM FiATE APPLIES TOWNHOUSE & CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.00 MINIMUM - COMM/IND FEE - $20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) Y --? SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN BLDG. TYPE WORK DE SCRIPTION Res. New " Mult. Add-on Comm. Repair Other ?- , RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Water Closet - $3.00 $ ? Bath Tubs - $3.00 ?Lavatory - $3.00 ' Shower - $3.00 Kf?chen Sink - $3.00 Urinal/Bidet - $3.00 Laundry Tray - S3.00 Floor Drains - $1.50 Water Heater - $1 50 Whiripool - 53.00 , Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMM Softener - $5.00 Well - 510.00 Private Disp. - $10.00 -' Rough Openings - $1.50 , FEE: STATE S/C: GRAND TOTAL: ? , PERMIT # ' MECHANICAL PERMIT RECEIPT # ? • ? ? ?l ? ? _? , CITY OF EAGAN 3830 PILOT KNQB RDAD, EA(iAN, MN 55122 DATE CONTRACT PRICE: - , ; ?; • ?V PHONE: 454-8100 4, Site Aless -?` -' ?? L t Bl k ?? • T"? " /S S t BLDG. TYPE WORK DESCRIPTION o - oc ' ? ? ec u ? ? ? ? b ?•".' , Res. New _ } ? ? Name ? • r_ _ Mutt Add-on Comm. Repair m Address c City .?1 Phone t J ' Other . ? _ Name FEES RES HVAC 0-100 M BTU - $24 QU " ? ' . . c '? Addreps ? 1-- • V '? ADDITIONAL 50 M BTU - 6.00 O City` ` Phone~ (RES. HVAC INCWDES A/C ON NEW , CONSTRUCTION) GAS OUTLETS MINIMUM • 1 50 EA 1 PER PERiIA111 . . ( - ) . TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE ; Forced Air M BTU yUV APT. BLDGS. - COMM. RATE APPLIES Boiler M BTU TOWNHOUSE & CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 Vent CFM STATE SURCHARGE PER PERMIT - .50 GOES PERMIT PRICE Gas Piping Outlets # BEYOND $1 00) Other a FEE: S/C: -?J SIGNATURE OF PERMITTEE TOTAL• R FOR: CITY OF EAGAN ? ? • ? CASH RECEIPT . ciTV oF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 nECerveo FFIOU AMOUNT & DOLLARS ? O CASH ? CHECK ? , FM . ?..,:, •??; ? . f . x . . . W _ :. : ;. - CASH RECEIPT r~> ? CI.TY OF EAGAN „ 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 ? DATE 19 I ? AMOUNT I $ & DOLIARS ioo ? CASH \U" CHECK I ? Fon Ll?I a < ki1ND OBJECT AMOUNT 3 Thank You ? BY ?. a White-PaYers CoPY Yellow--Postlng CoPY ? Plnk-file Copy , . % CITY OF,EAGAN Permit No: 1)564 Date: 6-14-'88 3830 Pilot Knob Road Meter No: Size: P.Q. Box 21199 Reader No: Eagan, MN 55121 ' Date: Owner. •?ethle Brne. 1 Site Address: ??. _. F .? ".`'• ".-??? / j r? g?3rr' J Plumber ? Conn. Chg: Acct Dep: ?- ? Permit Fee: Surcharge: Tr. Plant Meter. Misc.: Zoning: _ No. of Units: 1 agree to comply with the City ot Eagan ? Ordinances. WATER SERVICE PERMIT CITY bF;EAGAN Permit No: Date: r-1 4 ? s• ? 3830 Pilot Knob Road B/P No: ? f?Date: P.0. Box 21199 Eagan, MN 55121 ^---- -•::?:` _ _ Broe. Site Address: MWCC: ?50.00pd City Chg: 100.00pd ,.?. Acct Dep: , Permit Fee: - Surcharge: Zoning• ? No. of Units: I agree to comply with the City o1 Eagan Ordinances. By SEWER SERVICE PERMIT (gextifiratr of Mrrupanry Citp of qlagan 1Dr;Mrtmrni uf ]Wbing 3wprtwn This Certifccate issued pursuart 1o the requirements of Section 306 of the Uruform Building Code certifying that at the tirne of usuance this structure was in compliance with the various ordiriances of the City reguJaling building consuuction or use. For the foUowing.• Ute Claraifplioa '7•' DW Bldt. Rmtit No. •?10$ Occ ?, T? ft3/M 1 zo. "q,abtri.t tM` c°M Vn 'i?1ffZ BEi(ilit:.r'?`=; )N., AVE, BUMINGIUN o»n« or suddmg naares I , , 'A?c'r . "? AR? &oldinW Addrese ?+fitY 2ND .?;Dati: Bwlding OffieW POST IN A CONSPICUOUS PLACE CITY QF EAGAN 3830 Pllot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PH O N E: 454-8100 BUILDING PERMIT ' To be used for S'' ?C Site Address _ Lot ' Block Parcel No 2 Sec/Sub. Bl,ACIfIiAWK GI'EN 2r o? Name nA}1LF B[tOTHERB, INC; z Address °"304 L1frSnAI.E AVE o eity ii1,00-41FiGTOf}Phone 888"686c;: 6 Nam?? 0 V 4 Address ? City _ a W Name_ Z Address cs W CitY- I hereby acknowledge that I have read this application and state that the information is correct and agree to compiy with all appiicable State of Minnesota 5tatutes and City ofan Ordinances. , + . Signature of Permittee - --?1------ A Buiiding Permit is issued to: DAfll.c Bki?'tE{Es+'> , INC on the express condition that all work shail be done in flccordance with all applicafble State of Minnesota Statutes and City of Eagan Ordinances. Est. Value `? 7 + tk't) Date Receipt JUNE i5105 19 ASH.KI RY RD OFFICE USE ONLY On Site Sewage Occupancy 11-3 M-1 MWCC System Zoning R-1 On Site well (Actual) Const V-N City Water X (Allowable) v`N PRV Required # of Stories Booster Pump Length 489 Depth S.F. Total Footprint S.F. APPROVALS FEES Engr./Assess. Permit '12•00 Planner Surcharge ` `•%• 30 Council Plan Review 281,00 BIdg.Off. SAC,Ciry 2W•00 Variance SAC, MWCC 550•00 Water Conn. 5 50• W WaterMeter 67•00 Road unit 325.00 Treatment P1 04'00 Parks TOTAL Building CITY OF EAGAN Permit No: 9664 Date: F" '- ,` 3830 ?ilot Knob Road Meter No: Z160 /a0 32 g1Ze: P.O. Box 21199 Reader No: AS P/3?/ I Date: Eagan, MN 55121 Owner. SiteAddress: > Aahhi?r: . ,.? "jI i'.I 3C?"}13WK G1.=ri zI Plumber. 'i'n- 73171mhinjz Conn. Chg: 'o- n11nd Acct Dep: Permit Fee: in a Surcharge: Tr. Plant ?: . Q!Jpi Zoning: _ No. of Units: I agree io comply with the City ot Eagan Ordinances, Meter. Misc.: R1 WATER SERVICE PERMIT CITY OF EAGAN N° 1510 5 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100 BUILDING PERMIT To be used for SF DWG Est. Value $97,000 SiteAddress 3644 ASHBURY RD Lot 3 Block 2 Sec/Sub. BParcel No s Name DAHLE BROTHERS. INC = Address 9304 LYNDALE AVE 3 ° City BLOOMINGTON phone 888-6866 a Name 0 ?a Addre a City_ Address City _ I hereby acknowledge that I have re 7his application and ? that the inbrmation is correct antl agree cy ? 5[ate of Minnesota S[atutes and City ol ggfn Ordina ces. Signature of Permittee r A Building Permit is issuetl to: DAHLE BROTHERS. INC_ on the express condition that all work Shall be done in accordance with all applicable State of/?M?in?n?e?so?ta St.aJtutes and City of Eagan Ordinances. Building OfliciaL?\?l? Receipt # Date - JUNE 1 ,ig 88 OFFICE USE ONLY On Site Sewage - Occupancy R-3 M-1 MWCC System X Zoning R-1 On Site Well (Actuap Conat v-N Ciry Water X (Allowable) V-N PRV Required X # of Storles Booster Pump _ Length 48, Depth SS' S.F. Total Footprint S.F. APPROVALS FEES Engr./ASSess. Permit $62.00 Planner Surcharge 48.50 Council Plan Review 281.00 Bldg. Off. SAC, City 100.00 Vadance SAC, MWCC 550.00 WaterConn. -55_0.00 WaterMeter 6.7._0 Q Road Unit 0 125-0 - Treatment Pi 204.00 Parks TOTAL 2,687.50 BLDG. PERMIT NO. 01-3210 Bldg. Permit LC) ? ? 01-3422 01-3445 PlanCheck Surch./Adm, c c-, ai 01-3446 SAC/Adm. ?7 S L ? 01-2755 Surcharge 1 5 3 ? 75-3860 Road Unit ? 20-2275 SAC 20-3865 WaterConn 00 ? 20-3868 . Water Trmt. ? 20-3716 Water Meter L ? Cc-) ? 20-2252 Acct. Dep. v 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. C? O C 28-3855 Park Ded. TOTAL Cities Digital Qualitv Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. 2007 RESIDENTIAL PLUMBING PeRMiT aPPLicarioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 I;zl C? Please complete for modifications to existing residential dwellings. Do nof combine inside and ouislde nlumbina nn fhe same annlir.atinnsenarate annli-atinns and necmits are r2ouirec. ? Date / / y ? ? Site Street Address Unit # ?• ?1- `Y? Owner Telephone #(\?-)l Pro ert p y Appliance Cannections Inc Contractor 1513 Danita Cr Telephone #( ? Address SheltiDpA@, MN 55379;ity state zip The Applicant is: _ Owner & Occupant _ Licensed Plumbing Contractor Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Fire Repair (replace burned out fixtures, etc.) $ 90.00 This fee a lies when extensive lumbin re airs are made to a buildin . Alterations to existing dwelling $ 50.00 _ Add plumbing fixtures to main level lower level. This fee includes installation of a water softener and/or water heater at the same time. !( you are installing onlv a water so/tener and/or water heafer, do not complete this section; move to the next section and place a checkmark next to the appliance(s) you are installing. _Septic System Abandonment ? _Water Tumaround (add $136.00 if a 5/8" meter is required) ther: _ Water Softener _ Water Heater /?r g ---- ?,r , , _ new replacement ? Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge ' $ 50 Total . I hereby apply for a Residential Plumbing Permit and acknowledge that the information is corfipfete antl accurate; tnat Ihe worK vnll be in conformance with the ordinances and codes of the City of Eagan and the'plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a pertnit and work will be in accordance with Ihe approved plan in the evenl a plan is required to be reviewed and approved 4 2004 RESIDENTIAL BUII.DING PERNIIT APPLICATION City Of Eagan 3830 Pilot Knob Koad, Eagan MN 55122 - - --- --Telephone # 651-675-5675 FAX # 651-675-5694 't`7().66 New ConsWCtion Reauirements RemodellReoair Reouiremenis 3 registered site surveys showing sq. fl. of lot, sq. ft of house; and ail roofed areas 2 copies of pWn (20% maximum lot coverege allowed) 1 set of Energy Calculafians for heated additlons 2 coPies of plan sWmg beam & window sizes; poured (ound design, etc. 1 site survey for additions & decks 1 set of Energy Calculations Addition - indicafe ffon-site septic system 3 copies of Tree Preservation Plan if lot platted afler 711/93 mm Rfm Joist Defail OpGOns selection sheet (61dgs with 3 or less units Date Construction Cost Site Address ? '? ??o?{y As?bUru Rd . uo;uste # Descriptian of Work LA?Ar[SnlA_)s U)[, IIU _lLf1(' -'(lCn 0?9 rJ, 4 Multi-Family Bldg _ Y _ N Fireplace(s) _ 0_ 1 _ 2 Property Owner Telephone #(?$ V)3D5-6'000 RMA HOME SERVICES, INC. Contractor - Home Deopt Installed Sales Address _ 3200 Cobb Galleria Pkwy.5te. #200 city State Atlanta, GA 30339 Telephane #( ) 763-542-8826 BG20268257 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Energy Code Category - M'n°esota Rules 7670 Cateeorv 1 ` Minnesota Rules 7672 (J submisslon type) .• Residential Ventllation Category 1 Workshaet , . New Energy Code Worksheet 5ubmitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a buildin< fee applies. -?- Licensed Plumber F Mechanical Sewer/Water in Eagan with a similar plan? _ Y Telephone # ( Telephone #( Telephone #( N If so, 25% plan review I hereby apply for a Residential Building Pemut and acknowledge that the informaUon is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a pemut, and work is not to start without a pemvt; that the work will be in accordance with the approved plan in the case of work which requires a review and approval ofplans. , ?«b-co-So,::) ApplicanYs Printed Name ApplicanYs Signature ! OFFTCE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex - O, 13 16-plex ? 20 Pool ---- 0 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF O 04 02-pleac ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demalish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 WindowslDoors ? 34 ROplacement 'Demolition (Entire Bldg ) - GWe PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bidgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinallC.O. _ Footings (deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other ? Roof Ice & W ater Final Pool _ Ftgs _ Air/Gas Tests Final _ _ Framing _ _ Siding _ Stucco _ Stone _ Br ick _ Fireplace _ R.I. Air Test _ Final _ W indows _ _ Insulation _ Retaining Wall ApproVed By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge . S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Building Inspector Installed Siding and Windows ? LIMITED POWER OF ATTORNEY CuuN i Y ur c:OBB STATE OF GEORGIA KNOW ALL PEOPLE BY THESE PRESENTS: THAT I, David N. Katz, a resident of Montgomery County, Pennsylvania ("Principal"), and a licensed contractor of RMA Home Services, Inc., DBA Home Depot Installed Sales loca?ed at 6E0 Mendelssoh.n Avenue North, Gol.den Valley, rrINT 55427, having a license number of BG 20268257, do hereby appoint, name and constitute Elder-Jones Building Permit Service, Inc. ("AgenY') as my true and lawful attorney-in-fact and do authorize and grant said attorney-in-fact for me and in my name, place and stead the power to execute, acknowledge, sign and deliver (in such form as may be required by the municipality) a permit application, or any other instrument(s) which may be necessary and appropriate, in order to obtain the proper permit(s) from the City of Eagan, Minnesota for the installation, maintenance and repair of windows and siding (the "yVork"). The powers conveyed to the Agent by this Limited Power of Attemey are limited solely to the express powers delineated herein and apply solely to the Work. This Limited Power of Attomey shall expire and automatically be revoked on the 21st day of Tvlay, 2004, which date is one year from the execution hereo£ Further, the powers conveyed by this Limited Power of Attorney may be revoked by Principal at alry time by express revocation and shall also be revoked by the Principal's death, disability, incapacity or incompetence. N Wi_"I'NF_SS WHEREOF this Limited Povver efAttorne-y is e.xecirtcd th:s 21st day of May, 2003 David N. Katz SWORN TO AND SUBSCRIBED BEFOAE ME by David N. Katz on this 21 st day of May, 2003. Notary P ic in for the State o eorgia My Commission Expires: Januazy 21, 2006 396816.v3 - Proudly sold, furnished and installed by RMA Home Services, Inc., a Home Depot authorized contractor. 3200 Cobb Galleria Parkway, Suite 200 • Atlanta, GA 30339 • Phone (770) 779-1300 • Fax (770) 984-0709 • Toll free (800) 79-DEPOT ,Sq11 I MECHANICAL (RESIDENTIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Please complete £or: Single Family Dwellings Townhomes and Condos when permits are required for each unit Date?_// (f) J Site Address Unit # Property Owner Telephone#(fo?j J ) 3?'? •c1,??n Contractor y- ? Street Address h u? City ? State m? Zip ? Telephone #66) ) 7 O 30 The Applicant is _ Owner ? Conhactor _ Other Add-on, modification or alteraHon to existiug dwelling unit $ 30.00 furnace replacement air exchanger ? airconditioner otner li.j !':% ; 2 ?cr? ?'? . State Surcharge $ .50 Total $ ? I hereby apply for a Residenrial Mechanical Pernnt and acknowledge that the information is complete and accurate; that the woik will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a permit, but only an applicarion for a pemut, and work is not ro start without a permit; that the ork will be in accordance with the approved plan in the case of work wMch requires a review and approval of pl ? n c4u\c?a c? r1 ?? '? Applicant' inted Name plicant's gnature '. MECHAIVICAL (COMMERCIAL) Permit Application City Of Eagan 3830 Pilot Knoh Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Please complete for: commercial/industrial buildings multi-family huildings when separate permits aze not required for each dwelling unit Date Site Addresa Unit # Tenant Naroe (if applicable) Previous Tenant Name Property Owner Telephone # ( ) Contractor SYreet Addresa City State Zip TelepLone # ( ) The Applicant is _ Owner Conhactor Other Work Type _ Newconstruction UndergroundTank _Install _Remove _ Interior Improvement Call for inspection during installation/removal of tank _ Processed Piping Nature of Work: Permit Fee $50.50 Minimum Fce (inclUdes Siate Surcliarge) Contract Value $ x .Ol% _ $ Permit Fee • If permi[ fee is $1,000 or less, add $.50 If permit fee is over $1,000, add $.50 per => $ State Surcharge $1,000 Permit Fee $ Total Fee . uo.ouy nyy,y I- a ?ommerciai rviecnamcai remut and acknowledge that the infbrmation is complete and accurate; [hat [he work will be in conforntance with the ordinances and codes of the City of Eagan and with the Mechaaical Codes; that I understand this is not a pemut, but only an application for a pemut, and work is not to start without a pemut; that the work will be in accordance with ihe approved plan in the case of work wluch requires a review and approval of plans. ApplicanPs Printed Name ApplicanPs SignaNre ApproyedBv:_ . . . _.. *......_,..,.r. nntP-_ . 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN , I., . (::LINGLE FAMILY DWELLINGS 'SI ON INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 7 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTR9CTOR/HOMEOWNER MOST DESIGNATE WfiICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BIIILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL QNITS FOR SALE UNITS # OF IINITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OE SURVEY - CHECK WITH BLDG. DEPT., 1 SET OE ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS To Be Used ror: S•ieLr Daluation: {=a?? Site Address .?:3W Lot ? Block _? ?? bN hY ? I Parcel/Sub RLQ(',C 4A49 WWA K I Owner ha, b 2 'E ZAR? f.() /G.S £ naaress J 5$(0 0 (2o? AW?'cLC "A/? City/Zip Code ?{E3Se ?/OrG.?y',///n • Phone Contractor .2) 4?V/ E 610l05: ?'- Address ?3?J z ??f'?.o t?t•e r•-? City/Zip Code Phone ?JP/ Arch./Engr. Address City/Zip Code RECD MA.Y 2 /6 ?ggg Date: .J/c?/o g orrlcb usn VWLI ' On site sewag e_ Occupaney 3 M- I ?• MWCC system Zoning I7-I On site well Actual Const V•KI City water ? Allowable V-N PRV required ? # of stories Booster Pump Length _ Depth S.F. Total Footprint S.F. APPROVALS FEES Engr/Assess Permit .S 2.00 Planner Surcharge UR .. Council Plan Review 291.00 Hldg. Off. SAC, City 10o,00 Variance SAC, MWCC 550,00 Water Conn U 1 O Water Meter 9.OU Road Unit 5.00 I Treatment Pl 2oy(ou Parks Copies TOTAL ? SO Phone # .- . VALUAT?oN GARAGE ? •d ? ? 7,14 X"Z7 - 528 ' ? ?- y96 x?4 - ??yu g?m T 3 y x ?4 - z,? i g2Bx 1,?= I076y NOw,t 13Xy2 /I x 32 1( XZ? ' /vK3o ' SU? . 3s Z ? Zy ? y?o __---- 1G02 X ?{q ? r)?y98 `J(. 2bG . , CERTIFICATE OF SURVEY xiwx?` T ,...? , IAND SURVEYORS k? Survey for: • z" R. Coutunc, ;)w. 8713 DUPONT AVENUE SOUTH ? BIOOMINGTON, MINN. 56420 888-2084 DAHLE BROS., INC. lmi E-. '; ? Pu RaVo ? ss > \O ?. /o . AU?p \ ?^^, , kv i •9 ? c ?? ?0?er? t > ? ? Scale: 1"=30' s h DESCRIPTION: Lot 3, Block 2, BLACKHAWK GLEN 2ND ADDITION ? \ Y??• Ro Dat Proposed Grades: EA(aAN EItTGI1VEERIIVG DBPT Top of Blocks Bz0° Garage floor 819S Basement floor 8/6 S We hereby certify that this is a true and correct representation of a survey of the boundaries of the land above described and of the location of all buildings, if any, thereon and all visible encroachments, if any, from or on said?and. Dated this 24th day of MaY , 1988 . /V \ ? ,?oy • ?. ,. , EXTERibR ENYELOPE AVERAGf "U" COMPUTATION t1WtILR: SITE aonRess: LOT ?21??' K 2 11???I?lkG1??l CONTRACTDR: ?a-?,..? ??os -?-?•- DATE : PHONE : S8S-?o8?o(a DfTERMINE NORKINf, SOUARE FOOTAGE OF fACH: 1. TOTAL EXPOSED uALL AREA, ,,,,,,. Sq ft x"U" 2. TOTAL ROOFICEILING AREA,,,_,,.. 12?p sq ft x"ll" /? ?/ I_ . _ e l/ 33.z8 3. TOTAL EXPOSED NALL AREA CALCULATIONS: Total exposed wall area above floor,,.,,,,, - Zy sq ft --????- a) Tota) Nall aindow area: 3 glazed...... sq ft x "U" . S glazed,,,,,, Sq ft x "U" b) Total door area ,,,,,,,,, aJ gj sq ft x "U" •?, c) Total sliding glass door area: ' 9lazed...... y0 sq ft x "U" _(oS Glazed...... sq ft x "U" d} Total fireplace wall area - sq ft x "U" e) Tota) wall framing area {Average )0`!).... ...... . `?02 f) Total net wall area above floor (Insulated)....... g) Total rim Joist erea...... Total foundatlon . area (Exposed).......... ?OS h) Total foundation window area............. - I) Total net foundation area above grade........ ?D S sq ft x "U" • 0`1 sq ft x "U" . 0'1 sq ft x "U" • a`A sq ft sq ft x "U" - sq fc x „u" TOTAL a) thru 1) • 1?S.So ? a '-i . 1 g Q 2? . 00 e ? - = 50.12 ? - . If ltem N3 is the sane as, or less than item pl , you have met the intent of 2 11CAR 1.16008 A and 0. Page 1 TOTAL EX705ED RQOF/CEILINf, CALCULATIONS: Total exposed ` roof/ceilinq area........ ?(08 sq ft j) Total skylfoht area....... 8 sq ft x "U" •`? ? ?`,8 k) Total roof/cellinq framing area (Averaae 1n9,)...... sq ft x "U" . oZ ? 2.3y 1) Total net insulated roof/cellinq area....... sq ft x "U" -oZ o Z1-oZ 4. 7o7AL j) thru 1) 2-1 •8`I If total of p4 Is the same as, or less than 02, you have met the intent of 2 MCAR 1 .16008 A and 0. ALTERNATE BUILDIfIG ENVELOPE AESIr,N To utilize the total envelope system method, the values established by the sum of items p3 and N4 shall not be greater than the sum of items Fl and #2. 1. + 2. - 3. . + 4. _ ? • , ? No c' 4 rior air R VALUE TOTAL R - lo.9 I U ? 1/R f1,hR .A5 t'C l4,oc 2.OL . b`1 n.i7 OTAL ? 23.05 U - 1/R a .04 RIM J015T SECT10N: ---?) Interlor air film ? ? D E USTRUC? I ON AMING SECTION: Interior air f11m sott . txterior air WALL SELTION (INSULATED) (1 Interlor eTr fl 3 1'Iz" S.rz«+e?c 4 25A1 4F'MS.'1?1t.1L. 4.0(. 5 Na.abe:?d S ?a; i 6 fxterior atr ftl ?.17 TOTAL R s 24 .4 Iv FOUNDATION INSULATIOtI REQUIRED: Min. R-5 on entire wall DR U- 1/R e .Uy p.;• a• Min. R-10 down to frost depth Q , A,• FOUNDATION SECTION: °%?"• 1 interior air fllm n,fi8 'P . ? • Z .? b ? s?,a• =• 3 y?' tor:c• ^, lK "'-"A 4 fxterinr air film Q.17 'a- .• p ' '• (5 a 0; a• ::.e 4 ? TOTAL R° 1325 SLAR ON GRADE `? °?:?L;, •°? ?a? :> , q ? ? •' '? Heated Slabs: Minimum R = 8:5 Unheated Slabs: ,•'Q 'v . mum R = 6.2 '?•, ! o ',. . q` ,:, A ?"• '• . j ° :' .. Q'••a'Q,1 ?q Ll , d' ? . `'•q.?..4? . rc' Yq; ,q? • '? . ??; , , 44:, ? Q;V''•9• q . .' , . 4 , a ., ; •, . , . . ?? Page •3 . u G H VENTED CONSTRUCTION A VALUC ? tEILINf, SECTION (INSULATED):`• 1 Interior alr fttm ft.hl 2 f.L :? 4r.' . o0 4 Exterior air film stili n.F1 TOTAL R ? 45?t - U? \ CEILINf FRAMING SELTION: a 1 Intertor air film 0.61 2 Vt-'r `' F r. L V 3 Ct.F. lrk, b?-e-a 4d-.o'J 4 Intertor air fi m still O.F+1 S 51/2 inches soft wood gG. TOTAL R = 51•bb U a 1/R . D?L / CEILING SEf,TIUN (INSULATED):. , . 1' Intertor air film 0•61 2 SI ° G. ov..A .5. 3 C? ??Js 6tewr? ?4 oc 4 F.xterior air film stillj 0.61 TOTAL R = l15: I g U - 1/R = -?'Z \ CEILINr, FRAMINn SECTIOtl: ? 1 Interior air film 1 0.61 2 Sfs" S?n ? Oh/4 .CJ?O 3 1..1G t,.r-N _ 4 Exterlor air filn still ?• I 5 11I2, inches soft wood I.f9 TOTAL R U = 1/R = .02- Inside alr film o•Al 2 3 4 5 Outside air film n,17 TOTAL R U- I/Ra_ Page 4 APFLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION oF eagcan 1) PROPII2TSt ADDRESS: T,FY:Ai• DESCRIPTIONS. ? ............................. .. -: iN(7PE: PAYhIINf OF FfE AT TIME OF ? APPLICATiON DOFS NDT CON- : ? STIN1'E APPRUJAL OF PIIthIIT. ? ? INSPt7CPION OF SEFIIR APD/OR WATIIt :. i IIISTALiATZO[5 WILL Npf BE SCSDIR,FD ? ? L'Nl'LL PII7hffT HAS BFEN APPROVED. i*. ff.e??faratff?rtx?a+frf?,?a++????fw+i+3wx IF EXISTING STRL'CTURE, DATE OF ORIGINAL HUILDING PERMIT ISSLANCE: Nbnt Year PRESENT ZONING/PROPOSID OSE: Q .CONMERCIAL/RETAIL/OFFICE Q INDL?STRIAL Q INSTITUTIONAL/GOVERNNENT 2) NANIE: ADDFtESS: CIT3t, STATE, ZIP: PHONE: 3) NarE: ? ADDRESS: _0,/'e '..tq CITY, STATE, ZIP: PHoNE: .?? 4) Wlkn?'f? F31? e ?• I_ R-1 SINGLE FAMILY DUPLEX ('IWO T-inits ) ? R-3 TOWN-IOOSE (Three + Units) ( Lnits) Q R-4 APARTMENT/COPIDOMINILM ( Units) ` "0L, .?_ r l r -MASTER LICENSE a N11ME: _ ? 12P-Fn ? ADDRESS: CITY, STATE, ZIP: PHONE: P1 rum es License: Active Expired ij Not recorded Sta InF__ - ... 5) ?- o d?' :a •o'o- ??e CONNECfION TO CITY SEWER Dg-1?6NNECTION TO CITY WATER a OTfER 6) **t****x?***********?**?rz?***??**?*?*?***++*????*******?,r********+r*,r***,r*,rx***,e*****??,e**??**?**???? * THE GOID COPY OF 1HE PERNIIT WILL BE SENf DIRECPLY TD PLm,IC WORKS TO FACILITATE METER PIQC-UP. * ,,*t PLF,ASE ALI,OW TWU WpRKING DAYS FOR PROCFSSING. SOMIDONE EROM TfIE CITY WILL CONfAGT YOU IF TfIERE * * P.RE ANY PROBLII•1S. ; FOR CITY USE ONLY PERMIT # ISSUED Pd w/Bldg. Permit FEES: • $ $ SEWER PERMIT (INCLUDE SURCHARGE ) $ $ /o• S-2) WATER PERMIT (INCLUDE SURCHARGE) $ ? 7'0 n $ WATER METER/COPPERHORN/OOTSIDE READER $ $ WATER TAP (INCLLDE CORPORATION STOP) $ $ SEWER TAP $ $ Ly ? ACCOUNT DEPOSIT - SEWER $ $ L-e ACCOUNT DEPOSIT - WATER $ $ WAC $ $ SAC $ $ TRUNK WATER ASSESSME[VT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERA L BENEFIT/TRCNK WATER' $-- 6? C) $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ X711 on $ ,S/• O U TOTAL ,yy?, 7 D 1. Pl(l V ? RECEIPT RECEIPT DOES UTILITY CONNECTION REQDIRE EXCAVATION IN POBLIC RIGHT OF WAY? Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PLBLIC Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE : (G / / ?/ ?J UNDERGROUND SPRINKLER SYSTEM PLUMBING PERMIT Date: Permit # Date 7a5/9/ Receipt # _ Commercial: $25.50 + water tap if required. (City installs all taps up to 1"). If adding new service, a water permit will be required, as well. ? EbstinQ residential: $15.50 (Plumbing permit not required if bacldlow preventor was previously installed). _ Residential developments: Fee to be determined by building inspections department. May require payment of water permit, plumbi g permit, WAC, and water treatment plant fees. ? ,316„21 ??? ,i (Address to be sp ' ered) Homeowner/Plumber: ?cc •7 r?..., /??K sef'v Phone #: 213^ Street Address: 17 GU e, Ciry, State, Zip: Y 3 Owner Name: ?l?U1 j l< e GJ e, tj',s Street Address: 310 `lY Wd M" Phone #: v v c U' ° r(<? Irrigation Contractor: 14 e?? a %ry Phone #: Li / y l I hereby acknowledge that I have read this application and state that the information is correct an ee to comply with all applicable City of Eagan Ordinances cc: Engineering Department 7 -2r-9r ? ? ? s3as 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. ? ? sa Date 07 ? 07 / 04 Site Street Address 3644 ASHBURY RoAD Unit # Property Owner JOY PICCOLINO -R6AB Telephone #( 651) 365-0200 Contractor RICHFIELD PLUMSING COMPANY Telephone #e52 ? Address 8640 HARRIET AVE.S. Ii100 City HLOOMINGTON State Mn' 881-3355 Zip 55420 The Applicant is: _ Owner XContractor _Other Alterations to existing dwelling _Add fixtures to rooms, excluding water softener and water heater _Septic System Abandonment _Water Turnaround (add $121.00 if a 5/8" meter is required) Other: $ 50.00 Water Softener _ Water Heater _ replacement _ additional $ 15.00 Lawn Irrigation System RPZ_ new _ repair X rebuild $ 30.00 State Surcharge $ .50 Total $ 30.50 I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. DAVID F. ADELMANN ApplicanYs Printed Name ?r/ t( . AdaY-r?c?L2't._. ApplicanYs Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA119096 Date Issued:11/14/2013 Permit Category:ePermit Site Address: 3644 Ashbury Rd Lot:3 Block: 2 Addition: Blackhawk Glen 2nd PID:10-14351-02-030 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 . Marcial Obregon 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 - Sirathy T Ky 3644 Ashbury Rd Eagan MN 55122 (651) 454-8791 Taylor Brock Corp 6565 City West Pkwy Eden Prairie MN 55344 (952) 888-2000 Applicant/Permitee: Signature Issued By: Signature