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3681 Ashbury Rd DATE: n a t an e RL 3681 ASHBURY ROAD. L6. B2, ELACKNANK GLEN is xx 0Your Sewer & Water Permit for the above property has been completed. will be held at the public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. tt- Your Sewer & Water Permit for the above property cannot be completed for the following reasons: e' Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. L r - - CITY OF EAGAN 42 17142 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # y' To be used for SF DW/"R Est. Value $96.000 Date MT 5 1989 Site Address 3681 ASKNURY RD OFFICE USE ONLY Lot 6 Block 2 Sec/Sub. BI.AC1a:NAWK GLEN Parcel No. tST Occupancy R-3 M-1 FEES Zoning F0-1 Name COIJAGE CITY CONST Y-" 622.00 w (Actual) Const Bldg. Permit o Address 6970 151ST ST W (Allowablei y"N Surcharge 48.00 City APPLE VA=Y Phone 431-1211 # of Stories y Length Plan Review 311.00 1 $ ame SAME Depth SAC, City 100000 z. o¢ Address S.F. Total SAC, MCWCC 575.00 City Phone S.F. Footprints 580.00 I.- On Site Sewage Water Conn U 40.00 wW Name on site Well Water Meter Address MWCC System 30.00 <W City Phone XX Acct. Deposit City Water 20.00 PRV Required SM Permit I hereby acknowlege that I have read this application and state that the Booster Pump SiW Surcharge 1000 information is correct and agree to comply with all applicable State of 228.00 Minnesota Statutes and City rEagan Ordinances., Treatment PI Signature of Permitee APPROVALS Road Unit 340.00 A Building Permit is issued to: COLLSCB CITY CONST Planner Park Dad. on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies Variance TOTAL 2,945.00 Burldrng Official Permit No. Permit Holder Date Telephone # WATER C 2I,LP SEWER PLUMBING Ql~IQ - gal, v Jr l H.V.A.C. ELECTRIC Inspection Date Insp. Comments Footings I Foundation Framing Roofing Rough Plbg. Q- Rough Htg. (o Isul. Fireplace Final Htg. ~J Final Plbg. X Const. Meter Plbg. Inspector - Notify Plumber Engr./Plan Bldg. Final Deck Ftg. Deck Final Well Pr. Disp. PERMIT # PLUMBING PERMIT CITY OF EAGAN RECEIPT # ~-J 3830 PILOT KNOB ROAD, EAGAN, MN S5122 DATE: CONTRACT PRICE: PHO : 454-8100 Site Addre s BLDG. TYPE WORK DESiPT10N Lot Block Sec/Sub Res. ✓ New Mult. Add-on m Name Comm. Repair n Address Other to City Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING: FIXTURES TAL Name ) Water Closet - $3.00 vO Bath Tubs - $3.00 100 3 Address Lavatory - $3.00 -o O City Phone Shower - $3.00 3'oo 4-Kitchen Sink - $3.00 -e>,- FEES Urinal/Bidet - $3.00 - COMM/IND FEE - 1% OF CONTRACT FEE =Laundry Tray - $3.00 APT. BLDGS - COMM RATE APPLIES Floor Drains - $1.50 r' TOWNHOUSE & CONDO - RES. RATE APPLIES Water Heater - $1.50 MINIMUM - RESIDENTIAL FEE -$12.00 Whirlpool - 5100 MINIMUM - COMM/IND FEE -$20.00 =Gas Piping Outlets - $1.50-~-~ STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT) (ADD $.50 S/C IF PERMIT PRICE GOES Softener - $5.00 BEYOND $1,000.00) Well - $10.00 -Private Disp. - $10.00 Rough Openings - $1.50 SIGNATURE PER'CNfLL FEE: (JCS STATE S/C: ' FOR: CITY OF EAGAN GRAND TOTAL- ' PERMIT # MECHANICAL PERMIT RECEIPT # CITY OF EAGAN DATE: 3830 PILOT KNOB ROAD, EAGAN, MN 55122 CONTRACT PRICE: PHONE: 454-8100 For Office Use Only: Site Address BLDG. TYPE WORK DESCRIPTION Lot Block Sec/Sub Res. New Name Mult. Add-on Address a 7 Comm. Repair C Ciry a L- Phone Other Ilt ~ f FEES Name I 1_4 RES. HVAC 0-100 M BTU _$24.00 i, c Address ` T ADDITIONAL 50 M BTU 6.00 p City Phone ' 1 (RES. HVAC INCLUDES A/C ON NEW - CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) 1.50 EA TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air J M BTU APT. BLDGS. - COMM. RATE APPLIES Boiler M BTU TOWNHOUSE & CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # y ' BEYOND $1,000) Other $ I FEE: S/C. SIGNATURE OF PERMITTEE TOTAL: -1 FOR: CITY OF EAGAN i T erti#iratt of (Orrupattry Cit of (Eagan DPptrtmnd of Wudlding JWn flon This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: Use Clan amwn SF DWG /GAR Bldg. Permit No. 17142 0-ups-y Type F#/Ml Zoning Dis i R1 Type Const. VN Owner of Building OOLTZM CITY CONST • Address 6970 151 ST ST. W. , APPLE VKM ' B,,M g Address 3681 AS EM ROAD Local;ryL6, B2, KAM]Ai,K GLEN IST Date: NM7DM 21, 1989 Building POST IN A CONSPICUOUS PLACE i CASH RECEIPT CITY OF EAGAN"' 3830 PILOT KNOB ROAD ' EAGAN, MINNESOTA 55122 DATE ~Q- L= 19 a[terveo r r ~ \ HOW ( 1- AMOUNT Ls. j; f & DOLLARS ,oo ❑ CASH ~j CHECK r 1. ~ 1 FUND OBJECT AMOUNT Thank You BY C 121 White-Payers Copy Yelk), osting Copy Pink--Fib Copy INSPECTION RECORD Control No. 1280 CITY OF EAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 401 7 46 Eagan, Minnesota 55123 Date Issued: 11/06/92 (612) 681-4675 SITE ADDRESS: LOT.- 6 s t uc t. APPLICANT: 3Kt31 AS"BURY RO WONG irlrl.FREC1 j HI AFRHAWK GLt N 1ST (612) 574--4711 PERMIT SUBTYPE: TYPE OF WORK: I1A'.I MI gar F tNT~H At IERATION INSPECTION DATE INSPTR. INSPECTION DATE INSPTA. iRAMIN6 FTNA1 I ~I i ~ I ~ I Permit NO. Permit Holder Date Telephoto S/W PLUMBING:' HVAC ELECTRIC ELECTRIC Inspection Date Insp. Comments Footings I Foundation Framing 3 Roofing Rough Plbg. 7 I) Rough Htg. taut. Fireplaos Final Htg. Orsat Test Final Plbg. PIN. Inspector - Notify Plumber Const. Meter En r1Plan R,-'I Deck Fig. Deck Final Well Pr. Disp. I SEWER & WATER PERMIT OFFICE USE ONLY CITY OF EAGAN PERMIT DATE ; • ' 3830 Pilot Knob Rd. WATER PERMIT # SEWER PERMIT # P.O. BOX 21199 METER # B.P. RECEIPT # 1 21 Eagan, MN 55121 READER # B.P. RECEIPT DATE / 51 METER SIZE ISSUE DATE xX PRV -BOOSTER PUMP SITE ADDRESS PERMIT REQUESTED LOT BLOCK - SEC/SUB ; APPLICANT:\SEWER =WATER -TAPS ADDRESS: _ COMM/IND -RESIDENTIAL CIi~Y, STATE ZIP PHONE: _ NEW - EXISTING PLUMBER: ADDRESS: I AGREE TO COMPLY WITH CITY OF CITY, STATE ZIP EAGAN ORDINANCES: PHONE: OWNER: 1 ADDRESS: 'SIGNATURE WHEN METER ISSUED CITY, STATE ' ZIP PHONE: PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. SEWER & WATER PERMIT OFFICE USE ONLY CITY OF EAGAN PERMIT DATE : C;` 1 ' 9 3P83.O.0 Box Pilot Knob Knob Rd. WATER PERMIT # SEWER PERMIT # Eagan, MN 559 METER # All B.P. RECEIPT # 1 SEABW# B.P. RECEIPT DATE I C) S I METER SIZE ISSUE DATE - xx PRV - BOOSTER PUMP SITE ADDRESS PERMIT REQUESTED LOT + BLOCK- SEC/SUB ° < < G APPLICANT; - n i }SEWER 1WATER -TAPS ADDRESS: COMMAND Z L RESIDENTIAL CITY, STATE 1 " ZIP PHONE: 1 NEW EXISTING PLUMBER:# ADDRESS: _ I AGREE TO COMPLY WITH CITY OF EAGAN ORDINANCES: CITY, STATE ZIP r PHONE: OWNER: _ ADDRESS: ? k'v~ SIGN -WHEN-M UED CITY, STATE + i -zip PHONE: PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. ~ ~ i / ; Ufa ~ f J l r CITY OF EAGAN Remarks DI Y- * 1 1/ 9 Addition Rlackhawk Glen 1st Lot b Blk Z Parcel 10-14350-060-02 Owner Street 3681 Ashbury Road State Hagen MIR 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 50.70 5 1076 1986 253.48 STREET RESTOR. GRADING SAN SEW TRUNK 1970 6.70 25 d prior to division SEWER LATERALBn 1074 1986 112.09 22.42 5 WATERMAINB 1075 1986 92.80 18.56 5 WATER LATERAL WATER AREA 1079 1986 309.40 61.88 5 Storm Sew Trk 1073 1986 110,91 22-18 5 STORM SEW TRK 732 11983 ` 7 15 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK This This request void ~29/9 -2 months Irom .X D 249 3' Request Date Fire No. Rough-in Inspection /J a flequiretl? ~I,ea dy Now El Will Notify Inspec- ❑Yes for Whcn Ready tTLicensed Electrical Contractor 1 hereby request inspection of above ❑ Owner electrical work installed at: Street Address; Ba r Route No. CiI I ecUDn o. Township Name or No. Range No. my RknT~i Ocy'pant (PRINT) y~ Phone No. ~C./1~/~ Power Supplier dQdres_s / ffp 14 4- ' 'Electrical Contractor (Company Neural Contractor's License No. Standard Electric Co., Inc. 40837 Mailing Address (Contractor or Owner Making Installation) 2672 a lewood Dr. Maplewood, Mn 55109 Authoriz - nature (Cpntracto tier along Installation) Phone Number 484-8044 MINNESOTA STATE BOARD O ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. -Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St, Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone(612)642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ~EJB-00001-os See instructions for comple4rg 1hisd n,n ..back of vello. copy. /60C)l ® 2 4 9r5 3 "X- Below Work Coveted by This Request Fdd Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer' Electric Floating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Ihri 0eci y thcr tSper.ifyl t er Specify Other Other ompute inspection Fee Below g Fee Service Entrance Size h Fee Feeders/Subteeders p Fee Circuits 0 to 200 Amps 0 to 30 Amps 0 to 30 An >s Above 200 Amps 31 to 100 Amps 31 to 100 Amps Swimming Pool Above 100_Amps Above I00_Amp Transrormers Irrigation Booms 1 .5 Partial 'Other Fee Signs Special Inspection / nq Sri v/ TOTAL F Remrks Rough-in Dnte I, the Electrical Inspector, hereby certify that the above Final r DR}e ~i~` ' d.. on has been G meas. This request void 18 months horn 149714& RequestDate cq Fire No. RRO~ugh~?nspectien ReatlY Notify Inspector la -l - 6 ( s ❑ No When Ready? 1jj~ licensed contractor ❑ owner hereby request inspection of above electrical work at: Job Address (Street, Box or outs No.) City Section No. Township Name or No. Range No. Counly~~ Occupant (PRIN Phone No. ~G'-'; 4 r- Power Supplier Aalmss 4iec7i 1r" llY ll/ Elear al Contrador (Company Name) Contractor9 License No. Mailing Atltlress Connactor or Owner Making Instellatb/n)n{ Authorized Signal (CO.ntr ner Making I let' ) ho Number MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-MWway Bldg. - Room S-In BE ACCEPTED BY THE STATE BOARD 1821 Unnni slty Ave., St. Paul, MN 55109 UNLESS PROPER INSPECTION FEE IS Phone (612) 692-08W ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION &VIN EM0001-07 ► See instructions for completing !his form onnback of yelidw copy C 7 [ 1.4 9.71 X' Below Work Covered by This Request ew Add Rep. Typeof Building Appliances Wired EquipmenlWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner ONer (seedy) Contactors Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool / 0 to 200 Amps / 0 to too Amps Transformers Above 200 _ Amps Above Amps Signs Inspectors Use Only: cy. TOT L Irrigation Booms Special Inspection Alarm/Communication Other Fee r I, the Electrical Inspector, hereby Rough-in Date certify that the above inspection has Final r Date been made. 4 OFFICE USE ONLY This requesl void 18 months from 9a (0 S /9 8 ~ 7 ;Qfo °y Rao eal Data e ire No. Rough-in inspection R wired? ❑ Ready NOwill Notify Inspector I/ Ves ❑ No When Ready? 1 ] licensed contractor (g owner hereby request inspection of above electrical work at: Job Address street. Box o outs yyo i City SU6Lit Section No. Township Name or No. Range No County Occupant lPpr e Phone No. fA \~/T'~~ a~fi/ n Power Supplier Address Electnc I C tractor (Company Name) Contractorrs License No. rnE0 w4<2e MaAd ,Contractor or Owner Making Installation) Authorized Signs IC Vic! ri Maki Instaila I Phone N nicer2 GJ MINNESOT S TE BOARD ELECTRICITY THIS INSPECTION REOUE WILL NOT Griggs-MI y Bldg. - R 5-113 CyxY~ BE ACCEPTED BY THE STATE BOARD 1821 Unf raity Ave., St. I. MN 55104 VV 1~~ UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 -(N ENCLOSED. y/'7 -REQUEST FOR ELECTRICAL INSPECTION, q q, e ~ ► y L39828 see instructions for completing this form on back of yellow copy. + X" Below Work Covered by This Request 15 ew Add Rep'. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specify) Conhactor9 Remarks; Compute Inspection Fee Below.: # Other Fee # Service Entrance Size Fee # Cirouns/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Above 100 Amps Signs Inspectors Use Only. 7pTAL Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY ORD E DISCONNECTED IF NOT Other Fee COMPLETED WITHIN NTH 'li I, the Electrical Inspector, hereby Rough-in cae - . certify that the above inspection has Final to been made. 12 OFFICE USE ONLY This request voi t 18 months from RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN 11155122 651-681-4675 New Construction Requirements Remodel/Repair Requirements D 3 registered site surveys showing sq. ft, of lot, sq, ft. of house; and all roofed areas • 2 copies of plan (20% maximum lot coverage allowed) . 1 set of Energy Calculations for heated additions • 2 copies of plan showing beam & window saes; poured found design, etc.) . 1 site survey for exterior additions & decks 1 set of Energy Calculations . Indicate If home served by septic system for additions 3 copies of Tree Preservation Plan if lot platted after 711193 . Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE !G~~-LZ VALUATION Z~"' Uo O SITE ADDRESS Coco / S 1j l_xtrV RD MULTI-FAMILY BLDG _ Y _ N TYPE OF WORK Qom- _(Zz,f t Sy Ora FIREPLACE(S) _ 0 _ 1 _ 2 APPLICANT ~y 7715 /y l/I~i i7rr~/ STREET ADDRESS 1771} /2 r-7 CITY liirlou64 STATE ZIP T TELEPHONE # CELL PHONE # FAX # PROPERTY OWNER ^ e, V 5 7- S TELEPHONE# COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Cade Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MINNESOTA RULES 7672 (V submission type) • Residential Ventilation Category 1 Worksheet Submitted New Energy Code Worksheet Submitted . Energy Envelope Calculations Submitted Plumbing Contractor: Phone # Plumbing system includes: Water Softener _ Lawn Sprinkler Fee: $90.00 _ Water Heater _ No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # Mcchamical system includes: - Air Conditioning Fee: $70:06 HeaL Recovery System Sewer/Water Contractor: Phone # i I hereby acknowledge that I have read this application, state that the information is co ect, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordi nces. Signature of Applicant OFFICE USE ON Y Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 EM. Alt - Multi ❑ 03 01 of _ plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screened) ❑ 36 Multi ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg_Y or- N ❑ 25 Miscellaneous ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish (Interior) ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Bldg. ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish (Bldg)' ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bidgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS - Footings (new bldg) _ Final/C.O. Footings (deck) _ Fin"o C.O. - Footings (addition) _ Plumbing _ Foundation _ HVAC _ Drain Tile Other Roof - Ice & Water _ Final _ Pool _ Figs - Air/Gas Tests _ Final Framing _ Siding _ Stucco _ Stone Fireplace - R.I. _ Air Test _ Final _ Windows (new/replacement) Insulation - Retaining Wall Approved By Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total PERMIT Control No. 1280 CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: BUILDING Eagan, Minnesota 55123 Permit Number: 0 01.7 4 6 (612) 681-4675 Date Issued: 7 1/ 0 6/ 9 2 SITE ADDRESS: 3681. ASHBURY RD LOTS 6 BLOCK: 2 BLACKHAWK GLEN IST DESCRIPTION: 'Buildi.nq Permit. Type BASEMENT FINISH Blailding`.,Work Type ALTERATION UBC Occupan~e.y R-3 I~ , I// ''tea REMARKS: C) FEE SUMMARY: Base Fee $35.00 Surcharge 50 Total Fee $35.60 CONTRACTOR: OWNER: - Applicant - WONG WILFRED 3681 ASHBURY RD EAGAN MN 551.22 (612)574-4741 I hereby acknowledge that S have read this application and state that the information is correct and agree to comply with all applicable State of Mn_ Statutes and City of Eagan Ordinances. L AAPLICANT/PERMITEE SIG,ATURE ISSUED Eff. IGNA RE PERMIT # CITY OF EAGAN REACTIVATE _ 1992 BUILDING PERMIT APPLICATION 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, I copy of energy talcs. COMMERCIAL 2 sets of architectural & structural plans, I set of specifications, I copy of energy talcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which request is made or lot change is requested once permit is issued. Date 11 / z / 72- Valuation of work Site Address: S 68 / Asr/c uR JZR. - )IklIV 1~'1 -Z, STREET SUITE / Tenant Name: (commercial only) LOT BLOCK P.I.D. k Description of work: The applicant is: P( Owner ❑ Contractor ❑ Other (Describe) Name VWDAJC,7 WzL,:I~xzr~ Phone Property LAST FIRST Owner Address Ng/ ) "Sw3 u n y 1 I STREET STE N City State Zip Z-- Company Phone Contractor Address License # Exp. City State Zip Architect/ Company Phone Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has -le- 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 City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE ' ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging )iiFl 6 Basement Finish ❑ 02 SF Dwg. ❑ 07 4-Plex ❑ 12 Multi. Misc. ❑ 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-Plex ❑ 13 Garage/Accessory ❑ 18 Comm./Ind. ❑ 04 SF Porch ❑ 09 12-Plex ❑ 14 Fireplace ❑ 19 Comm./Ind. Misc. ❑ 05 SF Misc. ❑ 10 Multi. Addl. ❑ 15 Deck ❑ 20 Public Facility ❑ 21 Miscellaneous WORK TYPE Z31 New ❑ 33 Alterations ❑ 35 Tenant Finish ❑ 37 Demolish 32 Addition ❑ 34 Repair ❑ 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System (Allowable) 1st Fl. sq. ft. City Water UBC Occupancy -M-75- 2nd Fl. sq. ft. PRV Required Zoning Sq. Ft. total Booster Pump / of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code ti3 Depth On-site sewage SAC Code APPROVALS 0.%Hs al Cp...tfjt.s uN,f ~f Planning Building l/ /-,z0s Assessments Engineering Variance REQUIRED INSPECTIONS ❑ Site ❑ Footing Framing ❑ Insulation ❑ Wallboard Final Draintile ❑ Fireplace Permit Fee 35, C, v.iustiom g Surcharge , sc> Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surchargge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % SAC Units L _ BL CITY OF EAGAN CITY USE ONLY SUBD. PLUMBING PERMIT G7/ dh lL~{hpuy~l ~Jw (612) 681-4675 RECEIPT # / 5 DATE_ RESIDENTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION COMPLETE THE FOLLOWING: NO. FIXTURES EA. TOTAL NEW CONST REPAIR/ADD ON 15.000Q ADD ON SHOWER 3.00 REPAIR WATER CLOSET 3.00 _ BATH TUB 3.00 LAVATORY 3.00 OWNER NAME: Y~ fS GdC lh~~q/ KITCHEN SINK 3.00 Q _ LAUNDRY TRAY 3.00 SITE ADDRESS : 4'6 81 A ng 9 KCC HOT TUB/SPA 3.00 Y)l / WATER HEATER 3.00 t~ FLOOR DRAIN 3.00 INSTALLER: CAN 7~ .i GAS PIPING OUT. (MINIMUM - 1) 3.00 ROUGH OPENINGS 1.50 ADDRESS: OTHER _ WATER SOFTENER 5.00 CITY: ZIP: PRIVATE DISP. 15.00 _ U.G. SPRINKLER 3.00 PHONE W. TURNAROUND 15.00 STATE SURCHARGE .50 S NA OF PE TEE TOTAL: S~~.6O COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: OWNER NAME: CONTRACT PRICE: SITE ADDRESS: 1% OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR TENANT NAME: EACH $1,000 OF PERMIT FEE. SUITE $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 1% $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE FOR: (SIGNATURE) CITY OF EAGAN • CITY OF EAGAN N2 17142 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 Receipt # ://4/ /f/~ To be used for SF DWG/GAR Est. Value $96,000 Date OCT 5 tg89 Site Address 3681 ASHBURY RD Lot 6 Block 2 Sec/SubBLACKHAWK GLEN OFFICE USE ONLY . Parcel No. occupancy R-3 14-1 FEES Zoning RR1 M Name COLLEGE CITY CONST (Actual) Consl V-N Bldg. Permit 622.00 o Address 6970 151ST ST W (Allowable) V-N Surcharge 48.00 City APPLE VALLEY Phone 431-1211 # of Stories Length 641 Plan Review 311, 0 ame SAME Depth 391 SAC. City 100.00 uQ Address S.F.Total SAC, MCWCC 575.00 City Phone S.F. Footprints Water Conn 580.00 On Site Sewage UQ w W Name On Site Well Water Meter 90.00 Address MWCc System XX gw City Phone City Water XX AccLDeposi[ 30.00 PRV Required XX S/W Permit 20.00 1 hereby acknowlege that I have ad tation and state that the Booster Pump S/W Surcharge 1.00 information is correct and agr to co all applicable State of Minnesota Statutes and agan Treatment PI 228. DO Signature of Perini[ APPROVALS Road Unit 340- n0 A Building Permit is t sued to: OLLEGE CITY CONST Planner Park Ded. on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes aInd City' Iq a7 /of Eagan Ordinances. Bldg, Oft, Copies Building Official r4IMIQ 8 eyl 1~ Variance TOTAL z, 945.00 1969 BUILDING PERMIT APPLICATION CITY OF EAGAN I SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 4 SET OF ENERGY CALLS. (CHECK WITH BLDG DIV.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALLS. 1 SET OF ENERGY CALCS. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS i OF UNITS NOTEt ADDRESSES FOR CORNER LOTS - CONTRACT011/30HEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. SEWER & WATER PERMIT FEES AND ACCOUNT DEPOSIT FEES WILL BE INCLUDED WITH ?BE BUILDING PERMIT FEE. PROCESSING TIME FOR SEWER AND WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED INDICATING A LICERSED PLUMBER. PENALTY APPLIES WHEN: PERMIT IS NOT PAID FOR IN SAME MONTH IT IS REQUESTED. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.) To Be Used For: )9 rr, Valuation: Date: / 0 Site Address '368/ 4I OFFICE USE ONLY Lot Bllocck cupancy R 3 M-1 FFs rr F,~zZonin 7.11-1 Parcel/Sub)Jj tual Const V-N Bldg. Permit 62Z.oo I J ( / ! Allowable l q_ rl Surcharge 48.00 Owner w , / i f moo/ 0 n a 1 of stories Plan Review 311,00 Length (.y ' SAC, City 00, Addressn0pA), Depth 9' SAC, MWCC 575,00 S.F. Total Water Conn 5$0'00 City/Zip Codef:c.A -53~yq~3 Footprint S.F. Water Meter O.oO Acct. Deposit o.oO Phone 6 6 On site sewage S/W Permit Zo•oo ) -,1 On site well S/W Surcharge J'a Contractor ~y C yry D MWCC System ✓ Treatment Pl. ZZB.Do City water Z.- Road Unit 340100 Address 6 97 4 /S-/ t PRV required Park Ded. Booster Pump Copies City/Zip Code Z SUBTOTAL APPROVALS Penalty Phone Planner TOTAL 1 f1 Council Arch./Engr. -504 .11 r 91 ~e r1 / , Bldg. Off. Variance Address City/Zip Code Phone # t R r~ i y Ga,rz~aGE k . m ZZxZZ= yg~ `1K 2 $5y►1T' z1$5 x15= 69'75 35~lZ2s '1~o x ~W= 108® Ho.~ ~ 3s''x ~z = 1 u'1d 2- Z S = Zx2- yy 1ZXZ `~XL IS 15 `3 X .sD = ~ g 1570 (Szl oG * 2422 Enterprise Drive * PIONEER Mendota Heights, MN 55120 LAND SURVEYORS. CIVIL ENGINEERS engineering.. LAND PLANNERS•LANDSCAPE ARCHITECT (612)681-1914 Certificate of Survey for: CO[LUGE ClTy' _0aus-r NORTH Q N&E°3y'17 c- z S ~s 30,0 O _14.92 O' Iz- - - 1 Ito 3~• Gp^~ lop I -P 4' 4 o O -°f- w N \ a .0 2 0 1 ti 66 \ ~ q ° ~ z.e I oy ~3 ~o ' i '0 I.8 I ~ 14.52 t b ~ O ° X4.0 ~IAd D^ \ I tV h i ~"JC- I N V. / Y / ZZA 10 .0 4-t Y A `x'' 63.1/ 33 ~!a p o 3 f y; . eX \ Z2 v _ L..... is 41to ~r .z' ~jp . soo,o Denotes ew in e a ion "P F ~E €VA71014 aoo.o Denotes prop ed Flevation Lowe; oor Elevation 83Z - it, Drnofes Uraina eeUfiliY Easement Top o,"Block Elevation 835.i(o Denotes Drain Flow Arrows Garae Slab Elevation 8s4,si O Denotes monument o Deno es Otnsel flub Bearin(~S shown are assumed $u~eCt to Easements D/nReeor Record LOT Gov, BLOCK 2 BLACY14AWAI GLEN ' ADDITlO OAkOTA COUNTY I hereby certify that this is a true and correct representation of a survey of the boundaries of the above ~ .d/q/scribed land, and of the location of all buildings, thereon, and all visible encroachments, if any, from or on said land. As surveyed by me this-LoAday of 7 A.D. 19. L74711: q-)0)-qq ! Sca/e 11Reh, 4oiAel 0'~, I l Qn^t Z) 8q0t(of oz, ROBERT 9. S1 ICH 1.5. RE(3. NO. 14891 i EXTERIOR ENVELOPE AVERAGE "U" C014PUlAfION OWNER LA., SITE ADDRESS /„~b 8/ ~l v CONTRACTOR ( ouEG~^"'rt DATE / -Z-c? PHONE Determine working square footage of each. . zzz 9 _ 1. Total exposed wall area sq. ft x 2. Total roof/ceiling area 1'~=3 _ sq• ft. x Total exposed wall area above floor = `L 011 a. Total wall window area b. Total door area s _4--4- _ t. Total sliding glass door area 40__ d. Total fireplace wall area ,c e. Total wall framing area (average l0%)............ f. Total net wall area above floor -J-13 Z- g. Total rim joist area 11 Total exposed foundation area = °ID h. Total foundation window area _ i. Toal net foundation area above grade Determine "U" value of each wall segment.p a. Z5-7 X ~uw .*.41o b. d- x "u" I-L p b C; 40 .X "u"_ . 3 d to a ~ A_ d. - X „u"' e. 155 X "U" .092 " f. l 3°I 2 X "u" .O Q 3 y, l 31 X "u" . o d l h. O X "U" i 9:) X "U" - 019 7 ......Total If item 13 is the same as, or less than item 11, you have met the intent of SBC 6006(c)2. Total.-exposed roof/cei 1 ing area t 33.3 J. Total skylight area - - k. Total roof/ceiling framing area (average 10X)... 1. Total net insulated roof/ceiling area ...........'G q Determine OUR value for each roof/ceiling segment. J• X "U" - o k. l d X .u„ d X Run 4 ..................................Total X1.7 If total of 64 is the same asp or less than :2. you have met the intent of SBC 6006(c)1. Alternate Building Envelope Design To utilize the total envelope system method, the values established by the sum of items p3 and 14 shall not be greater than the sum of items :1 and 02. 1. + 2. , 3. + 4. a . K NID l 1. Y/~1.ti ` Al l=Y315.._ ;.~r„•-" 04 NINDow AREA : TYPk or V JNZ)OW 1519" iHSvt. s;/AS5 •'Iff Wil"040 u"Ir's HAYL BrCn1 rjsrt'O Io* "12 ~VA4.~Ai~ 'f'illy AMtt AS I.1611P gpoJt qyo iaay 04 41siy440 .1A Prjf4N CJAfcl V*:..N-a- of "(i"• - - IaCj,WD1N4i AIA f1LM5 Llg1 =l/mil + I/ . ~f„q•, ♦fo.rAaa~~ FoUNDAT ION WmDo w AREA : TYPE of W0.40aw rNE- vvP.raoW UshM N+rL Bea.I rtSTL PPRV.++Agd rN6V ARC A>< Aa&VAL A" rn4y, ar A011gNLu A Daa+b#JVwf'lQ VAL"L 04 •q*M ~wc~wofN~/ AIR hL-M> . y L441: I/~~ • 1/ s~.J J~oatA4s i PoorA4~ ~ J`' LIDIM,y (I.A56 Door. AJ2LA TYPL OIL 00006 _ S/$ INSULr64• y9-0084q C~Lg9D 000,98 ►//.%OL rpt4GPf '4'f.>f7tD FoR"R=yAL•N~y TNLYAJU "a ua•sO ADovt ANo NlAy DO A44614NO60 A Dti14 )gC$Afl) VA-Kt olL'Ru0, z09 All? 9146045 Fwii4t Nil . V 164 Doorz AAA A Type op Dom 2 P rmt-A ^ -T-mu D601Z UIJI'YS HAVE. &LL►J rLsrtP Awo ROUL40 To NAV& AM 'R"-VAUU4 of -7, ~E3I 1N4 Ain 016m's, 5PECIAL5 ; TypL r-- wR„ ,.~~,~f>~ pars. s~lvcr, ^v60 %A. ♦r MIM ,/1•n•rr a: ~.~;y.. Or Jfy .~':fr.VlS f:+~.Jau._a Rim So,sT Atcrw "Fk:- VALUE •lot _I NiER101C A.IA IIL. M ff 19.0 6 105 LA LAT JO4 CR•/9 ) job 'Z-02-6,q CArI#j(q 1v7 1'AP SlGlrlfi.,/Zf/ _ SoF swoop f.L_.EIl7EK Io R A19- 1:I4.li 24.3 ToTA L 'q• ✓Af~1L v I '24.M z r' WALL- ' TorAL pm r^c, j FOUW D AT ION WALL- AREA CA9OVL yRAOX.."3 R•• VA LU G IIJrER)OQ AIR ht-►1 5 $ a Z R 4 fi.S F1Rjw.& ' r EXTR410ft ^I¢ /ILM 12.b3 'TOTAL. VALMS- TOTAL Ft92rAAL liknt•~ ~MLwI~ Wt[s 9~Wf~0~ K -XNG'LIL -PO EWL OK J> Y..A*4JL. SruD / F',A11 FN4 ARrLS " FZ"- VAL."I ._~`LIurzjooR A1R FIL" x,4.5 ' z ayp.jaM wgLLsoAaa . ~87~ J /'L sor r ~a•o ._....~b? SAP Slaiucl Z Y~ VAa~e OARAILR. ErttJLIOR AIIL P/4M) 0.9~ orAL., Rw; Aial- I/ti ! obs TorAL FMTA4c T-MbLLI-ATLo ARIA BrrwcaN 'STLADS "R". VALwL . bl rurealoa AjjL PILM ,I '45 Z- 4YPSwM WAL"OACO 19,0 ~r/ IHSiILAT ION '[0.+19 ) Z.o(o SNLATN/Nfi~U1L~'¢IT£ b 1/z s I o I W G !_~►P ~ VA vO R. q,Aw.R.i C Ie. ~Faria.IaTt I►IA. 1'4L.M. 22. O r A L. Nw+u VALLAG ~►.w.. t X22,96 . YOTA 4 roorAcA. M..1 IVAMFb L)Arlgi 5'4U&0„ PERMIT City of Eagan Permit Type: Plumbing 3830 Pilot Knob Rd Permit Number: EA074025 Eagan, MN 55122 . Date Issued: 06/26/2006 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 3681 Ashbury Rd Lot: 006 Block: 002 Addition: Blackhawk Glen PID 10-14350-060-02 Use Description: Sub Type: e - Underground Sprinklers Work Type: Backflow Preventer Description: New Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Amanda Church 1547 Hay Creek Valley Rd Red Wing, MN 55066 651-388-1510 a manda_ryanmech@yahoo.com Fee Summary: PL - Permit Fee (Res Modifications) $30.00 0801.4087 Surcharge - Fixed $0.50 9001.2195 Total: 530.50 Contractor: - Applicant - Owner: Ryan Mechanical Lev Stysis 1547 Hay Creek Valley Rd 3681 Ashbury Rd Red Wing MN 55066 Eagan MN 55122 (651) 388-1510 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. Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink I I For Office Use I) I Permit U 0 I City of Eali~d 411b~ Permit Fee: 3830 Pilot Knob Road ~.7 r Z_ Eagan MN 55122 I Date Received: Phone: (651) 675-5675 I I I Staff: ~cl Fax: (651) 675-5694 L-----------------I 20192 RESIDENTIAL PLUMBING PERMIT APPLICA ION Date: o~4/pZ Site Address: GC Tenant: Suite M RESIDENT / OWNER Name: Phone: Address / City / Zip: Name: License CONTRACTOR Address: f ~ollC1/~t City: e leClw- State: Zip: l Phone: Contact: Email:. replacement -Repair _Rebuild _ Modi Space _Work in R.O.W. TYPE OF WORK New Description of work: RESIDENTIAL Water Heater Water Softener Lawn Irrigation RPZ PVB) PERMIT TYPE Add Plumbing Fixtures Main Lower Level) Septic System New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) "Water Turnaround (add $189.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ 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.aoWWstateonecall.org I hereby acknowledge that this inf mation is complete and accurate; that the work will be in co or nce with the or ' ances and codes of the City of Eagan; that I understand s i not a permit, but only an application for a permit, and wor is to start witho a permit; that the work will be in accordance with the 71= in the case of work which requires a review and oval f s. x x Applicant's Minted Name pplic t' igna ure FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final PERMIT City of Eagan Permit Type:Building Permit Number:EA117302 Date Issued:10/17/2013 Permit Category:ePermit Site Address: 3681 Ashbury Rd Lot:6 Block: 2 Addition: Blackhawk Glen PID:10-14350-02-060 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 . Barbara Bessent 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 - Nonna Tolchinskaya 3681 Ashbury Rd Eagan MN 55122 Minnesota Exteriors 8600 Jefferson Hwy Osseo MN 55369 (763) 391-5514 Applicant/Permitee: Signature Issued By: Signature