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1595 Ashbury Pl CITY Or t~;'1v 162" 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for Est. Value 1 C , 0(v % Date " 19 Site Address r `14- FL Lot I Block Sec/Sub. EiLA!: .HAWK %;i.E.1 OFFICE USE ONLY Parcel No. Occupancy-3 «-1 FEES Zoning' X W Name " i~t'• I"~~ (Actual) Const Bldg. Permits-O7 o Address (Allowable) V 14 Surcharge City Phone 454,8737 # of Stories Length V Plan Review • 00 =F Name Depth 281 SAC, City 0 a Address S.F.Total 575OQ SAC. MCWCC • City Phone S.F. Footprints On Site Sewage Water Conn W Name On Site Well Water Meter • C 4= Address MWCC System XX ¢ Z Acct. Deposit ; • (41) Qur City Phone City Water PRV Required XX S/W Permit 20r • 00 I hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge 1-W information is correct and agree to comply with all applicable State of <^28.00 Minnesota Statutes and City of Eagan Ordinances. Treatment PI Signature of Permitee APPROVALS Road Unit 340100 F~AI,L, t; iC ? F? Planner A Building Permit is issued to: Park Ded. on the express condition that all work shall be done in accordance with all Council 1,600 applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies Building Official Variance TOTAL .,y • t i Permit No. Permit Holder _ Date Telephone # WATER • SEWER PLUMBING l/ H.V.A.C. ELECTRIC Inspection Date Insp. Comments FootingsI Foundation yA Framing 1 S Roofing Rough Plbg. O 71J Rough Htg. S rIff Ad Isul. FT/Ty Fireplace o~ Final Htg. Final Plbg. Const. Meter Plbg. Inspector - Notify Plumber Engr./Plan Bldg. Final Deck Ftg. Deck Final Well Pr. Disp. Tertifiraft of (Orruvaury Citp of eagan Erpabrnt of ludbing JWnrtion This Certificate issued pursuant to the requirements of Section 306 of the Uniform Br ding Code certifying that at the time of issuance this structure was in compliance with the rious ordinances of the City regulating building construction or use. For the following.- a Use Classification ST MG Bldg. Ferrait No. 16287 Occupancy Type R3h41 Zoning District R) TyPe Coast, VN Owner of Bw7ding DAH[SM i IWGNM HUES Addreae 4151 iM DRIVE, EW" srdlai Address 159 Loeali y L 11, B4, BLAMME QM 2ND '4 =,-.4 e~rading o~i,t . POST IN A CONSPICUOUS PLACE r INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 1 Date Issued: (612) 681-4675 r SITE ADDRESS: 1 1 111 I c9 04 APPLICANT: I .i'I ~ I ~;1 IIr h 1 I. •il1!!!r•' 1 I +••,i.l i f! Ism 111 11,N1 1+ FII+Mh : I ilnl!1 1.I I N .'Nit PERMIT SUBTYPE: TYPE OF WORK: r I 1 III r4 INSPECTION TYPE .DATE INSPTR. INSPECTION DATE INSPTR. 1 1 PJr~ ; i ! F! I I i r'i I ~ r 1 t t•I ;i.1' .Ff'hRFrir t 11 21 ++t r INI11+1 .,.Nil vIUMIl Wit 1•ilf.► I 11 Permit No. Permit Holder Date Telephone # ELECTRIC I PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS ~~~146 FOUND / FRAMING ROOFING LLLL ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD 1 FIREPLACE FIREPLACE f ~r AR TEST F INAL PLBG FINAL HTG ORS AT TEST BLDG FINAL I _ IZ ~7 43 BSMT R.I. BSMT FINAL DECK FTG SEWER & WATER PERMIT OFFICE USE ONLY CITY OF EAGAN a 3830 Pilot Knob Rd. PERMIT DATE , 383 Box 21199 WATER PERMIT # SEWER PERMIT # METER y 7 Tq B.P. RECEIPT 1522 Eagan, MN 55121 # !~ioi6 6 Z3 B.P. RECEIPT DATE 4/131L%; METER SIZE 04 ISSUE DATE 1_ - 9 1-Ff9 xx PRV -BOOSTER PUMP SITE ADDRESS PERMIT REQUESTED LOT BLOCK `Y SEC/SUB APPLICANT: % /`%'t ( i 1 i C.✓,r~t c'« r~ SEWER WATER -TAPS ADDRESS: COMM/IND RESIDENTIAL CITY, STATE Zip PHONE: Ty - = NEW _ EXISTING PLUMBER: 7"4~.~ r ct= % ,''c . , ADDRESS: I AGREE TO COMPLY WITH CITY OF CITY, STATE <i A- ZIP EAGAN ORDINANCES: PHONE: OWNER: ADDRESS: SIGNAT~RE WK" METER SSUED CITY, STATE ZIP PHONE: PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. CITY OF EAGAN N? 16287 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 Receipt# 0- 1 S Z y To be used for SF DWG/GAR Est. Value $116,000 Date APR 13 1g 89 Site Address ~1 95 ASHBURY PL Lot 11 Block 4 Sec/Sub. R ACKHAWK G'T.RN OFFICE USE ONLY Parcel No. 2ND Occupancy R-3 M-1 FEES Zoning R-1 Name DAHLSTROM DESIGNER HOMES (Actual) Const -Y--N Bldg. Permit 691 Address 4151 KNOB DR. #100 (Allowable) V-N Surcharge SR_(Tfl City EAGAN Phone 454-8737 # of Stories _ Length 69, Plan Review 348.00 o Name SAME Depth 78, SAC, City 100.00 Address S F Total SAC, MCWCC 575.00 City Phone S.F. Footprints On Site Sewage water Conn 580.00 0Qz Name On Site Well Water Meter 90.00 Address MWCC System Acct Deposit 30.00 City Phone City Water XX PRV Required S/W Permit 70.00 I hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge 1.00 information is correct and agree to comply with all applicable Stale of Minnesota Statutes and City of Eagan Ortlm nces. Treatment PI 228, O0 Signature of Permitee ~ APPROVALS _ Road Unit 340-00 A Building Permit is issued to DAHT.STROM DRSTCNRR Planner Park Ded. on the express condition that all work shall be done in accordance with all Council 1.00 applicable State of ~Minnesota Statutes and City,/of Eagan Ordinances. Bldg Off. Copies Building Official ~1 1~-~1 rn U Variance TOTAL 3-067.00 1989 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS I 204% ! INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER !LUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS To Be Used For: Valuation: 116,0017'- Date: APR i 9 1969 Site Address JFq_6 lh✓u~ OFFICE USE ONLY Lot !l Block 4-/- Occupancy R-3 M-I FEES Zoning r7 Parcel/Sub 864e 2'4 M4_ Actual Const V-N Bldg. Permit G?6.0(7 Allowable V-N Surcharge 00 Owner ,as l~L4~~5 # of stories Plan Review C~ /~3.oo Length fv SAC, city 100, 00 Address Depth ZS' SAC, MWCC ",oo S.F. Total Water Conn 'S 00 City/Zip Code Footprint S.F. Water Meter 470, Co Acot. Deposit 3o, co Phone On site sewage S/W Permit 20,0%.> On site well S/W Surcharge ,00 Contractor MWCC System - Treatment Pl. SZ5,00 City water ✓ Road Unit 34o, 00 Address //L2 Arwd'41 1)'e-' -`:V/D"F> PRV required Park Ded. Booster Pump Copies City/Zip Code z- _ C 'VN TOTAL APPROVALS Phone L/a-/7 '/7 Planner Council Arch./Engr. Bldg. Off. 31 ¢~I Variance Address City/Zip Code Phone # NOTE: Sewer & Water Permit fees and account deposit fees will be included in the building permit fee. Processing time for sewer and water permits is two days once a licensed plumber has applied for a permit at City Hall. VA L(,t Ate" C~ Z14 yu, 528 x/5'~ ~~t 2~ f I S 4 (_~a e7r~. 4x i2 H8 Z r ( 38 = 106Y s x s'/z = (.2K ) I 0 x' 6 (4 = 9 S9 2Nn FL 3 Z-)( z." -x ~1 i, x Sb 3~ 40~ IIs61 SURVEYOR'S CERTIFICATE SIENNA CORPORATION DLI' L-I 10, -.DRAINAGE I UTILITY \ ` EASEMENT PER PLATd I / I5 Q o/ LOT 11 N 40 Nry 0,A /4g 90 oO ' / O 1 / ~ 2q ~ / /'ROp /P2,0 I ~Lo 6:' ro NO oSFo o o ~~~)h L 3eo .~0 3Q ry::>y . v 1 10 o °~4 \ s CV REVISED 3-23-69 TO SHOW A PROPOSED HOUSE FOR DAHLSTROM r;_ q• DESIGNER (-~~E..C ~.x.....,: AGAN EP~,C IYI~ ' rIZ~'~~ fly? `"'I' DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET SCALE; 1 INCI( - 30 FEET 0 DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR d g=°IS FEET XOOO.O DENOTES EXISTING, ELEVATION PROPOSED L014EST FLOOR a g~ 7•I FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK - FEET WE HEREBY CERTIFY TO SIENNA CORPORATION THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF; Lot II Block 4 BLACKHAWK GLEN 2ND ADDITIO~N~ according to the recorded plat thereof, Dakota County, Minnesota. rIfs. . REQUIRED IT DOES NOT PURPORT'TO SUOb! IMIPROVEMENTS OR ENCROACHMENTS IF ANY. AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 30TH DAY OF DECEN(BER , 1986. SIGNED; JAMES R HILL, INC. THE LEGAL DESCRIPTIdN USED Oil THIS SURVEY WILL BECOME VALID UPON FILING THE PLAT OF BLACK- p / r HAWK GLEN 2ND ADDITION., BY; u ~ y .Y~(~~ ~./1'•'~ HAROLD C. PETERSON, LAND SURVEYOR MINNESOTA LICENSE NUMBER 12294 PROJECT NO. BOOK PAGE JAMES R. HILL, INC,. (89103) Planners / Engineers / Surveyors FILE NO. 0200 Humboldt Avenue South ,FOLDER 8loominpton, Mn. 55431 612-804-3029 u~;««crass ra~,~;a. D C D E i SITE ADDRESS-.L ..dt~K.........,.r.........i. 2 3 CUt~RACTOk.-DAitI STFaiM DESIGNEP: HGMES 4 lCALCULATIUM D014E BY-STEVE VIETOk 11111.111.7)71.7 ).)1. __.1.1.1.1.]1.1.L.l.l7ll.71]1.ll1I11111.].7.1]. Y 5 TIFF OF IiUILDIN~* STORY :1.1.11.11.1.1..).7.].].).7.7.]..11.1.111.1.1.':.].1.].].77. _ - . 6 ...xn r 8737 - .....111111.1 Li17 ].1ll.11.1.i.111.i11.s.11.].) 7 LATE- yibJe?..... 1.1.1.1.1.1.1.1.:).).).7.7.].7.).;.1.1.1.1.1.1.1.1.;.).7.).].).7. $ 9 .7..11.7.) 7.].7.7.]..1..17.7.7.1.7 7 7.1.]..1.1.7.7.].7.7.7.7.11.1.7.7.).7.7.7.7..1.7.7.7.].7.1.7.7.7....:.1.1.1.1.1.1.1.1.:).).7.).].7.].).«1.1.1.1.1.11.1.1.]x.].7.1.7. 11 CEIL XG!ROOF .....................................................:.1.1.1.1.].1.11:.7.7.17.).71.].;.111.1.1.11.1.:.7.7.7.7.).1. 12 ?!=.=EfI.... AIULHTIC+NS_._ON,WOFISHEET)........ AREA.SF.:..U-..... ..---UxA.......i.7.7.7].I.I. 13 90'a OF TOTAL CLG. (INSULATED)FIG 1 1203.30; .021 2$.80;]7]]]] _t A.......EAREA:...... . 0. 14 107 .OF . . TOTAL CL6 AREA (FRAtIING AREA)FIG 2 133.70: 0.03: 3- ...._.O............ ............................6........... _6.0 15 SFYLIGHTS(.: FI1M WU: HEET..d7 0 o0********. 1.7.].].7.]. 16 OTHEk- 0:_04......_....O:.G.. ...].7.).7.). 17 `1337.00:***** = 32.77: 1 ..7TOTALS Is .................._......7.7.7.7.7.7. ****a**= 1S 2jAVER GE [f_VALUE,([IxA)/~~.).,_FROt1 LINE _ 1 S_ .0 ......:1.].1.. 19 3 REQUIkED U_VALUE 20 EZPOSED ■ALL 1.1.1.1.111.1..7.ll)1.111.111.1.llilia.).717.]. a 21 90a TOTAL WALL (LESS VD/DR AREA)FIG.3 1719.:N............. U.Ai._......74...-1.7.7.7.7.1.7. 22 1U:a..TOTAL .WkLL (FRAtlING AREA)FIG............................. .d............ € 191.06 -(1_12 22:51:.717.7.1.7 23 4tIiiDOM1S':(FR t1 FZQ..:#) E 284.16;***t****€...._147:_76.:.7.7.7.7.7.). 24 DOUF.S: i FF.UtS FI1.:.#7.)_ :........_55:25 ******tr . .3.-.. 9.5: 1] 71. . 25 kStl JOIST AREA: (SEE FIG:_5.) ..............................................................................._26'~.....:.............._.._~.:_~:... 10:_71€7.].7.).7.7. 26 FIkEFLACE WALL: 0.00: 0.00: 0.00;1111!] ....................a....... 27 FDT. WALL: (AEOVE i,'rADE.....LESS...PtDS)FIG:....e ................._.............._..255..00..............0: 07 -16.:~s.7.7.].7.1.7. 2$ FOU1?DATION WINDOWS FROM FICl. #7 U.00:******** 0.00: :.7.1.7.... . ........._._a...._....... 29 i,THER- D. oo . oo: o. 00:1].7.).7.] 3o G.T.xEk- o. oo:- o. oo€ o. Da711111 31 4jTOTALS 0-0. i * 277.0 a..........................._... 32 SjAVEk1~GE_U-VALUE.(UsA)i~:n}...FROM LINE.._.._ 1 *****111.71.7. - 33 6 REUULRED U-VALUE 11:********: 1 .....................................................................................................;.........................:................:................................:x.7.).7. 7.). 34 35 IF LINE 113 IS LESS THEN LINE 19 1......... iND ........LINE 32 ...a 36 LESS TBdN LINE 33 PROPOSED aSSEtiBLIES_._tt.. .............................a............_............_...._............................... 37 .CODE REODZ.REt~XTS. IF Lim is IS sREarEx . 38 THU LINE 14_'6R LISE.._32.*4 AiER..THAH.LI1fE_33. 39 COt1PLETE THE FOLLIH& TO DETERtffNE aLTER 40 NdTI1E Q ■ALQE FUR TOT~1 EITERIOR EH~ELOPE x11.1.1.1.7.1.1.:.1.).].7.7.7.7.].;1.11111.1.1:.].77.]7.7 41 .7.7.1.7..].7.1.7.1.7.).7.].7.7.1.7.1.1.1.7.7.1.1.7.1.7.7.7.7.7.7.7.71].1.17 7.1.].7.7.1.7.7.7.7.]....;.1.11.1.1.1.1.1...11.).7.7.711,.1.1.1.1.1.1.1.1.:.7.].7.7.).7. 42 43 7jUyk(LINEE 1 )+UxA (LINE 4.) ;ANSWER- 309 44 £JhREAUINEI )xU-VALUE(LINE._f)..........._ A1~S4rER-......_... 34_76 .11.1.Lll.l.s.7.7.].].7.1. 45 9jAREA(LIHE 4jx TS-VALUE..]L €ANSWE~........._3ua.::3 .1.1.1.1.1.1.1.1.:.7.7.7.7.7.7. . 4b IU7k[R+GET_LIRE S+LINE 9 EANSWEk- 339.13:11111111'1.7.7.711 47 .7.7.7.7.7.7.7.7.7.7.7.1.7..1.7.x.7.7 7.7.).7.7.7.7.7.).7.).7.7.7.7.7.7.7.7.7 7.].7.7.7.7.7.7.7.7.).)....<.1.1.1.1.1.1.1.1.;.7.7.7.7.).17.1.,.1.1.1.1.1.1.1.1.:.7.7.7.7.7.7. 48 .1.7.1.7 ].].1.].1.7.].].]_7.].].] ....:.11.11.1.111.:.] ]1.].1.7 ].7:.11.111111.J.).711 ] 49 IF LINE 43 IS GRUTER TNSN LINE 46 bLTER 1.1.1.1.1.1.1.1.;.].7.7.7.7.77.7.«1.1.1.11.11.1;.7.7.7.7.7.7. so asSitIBLIES kS REQHIRED so-LIHE_43 DoES_ NOT _ 1.1.1.1.1.1.LL:.71.7.7.ll11~.1.111.11.11.:1.17.771. . . ..L ._r.F si EICEFD 'LIRE 96- IF 1I1E43 ISESS THAN SEDASSEMBLIES .KEES.. CODE _ ............._.............__:.1.11.11.1.1.1.;.71.71.7.1).).:111.1111.1;1).7.7.77. H12 144i 53 ElEITS. Page 1 HEATLOSS CALCS. a D C D E 54 .x.1.1.311 A-A ).x.).71.3.1-1.,.1 J 113 55 FIGURE .1.... . - 1.1 ..1.1.1.1.1.11s.1.)1.J.1.3.).1:-1-1.1.1.1.111.Aa.1.A.11. s6 zi~rEUuk ±_FIL I..._-_ x.:6111-1-7.7-1.).).).;.1.1.1.1.1.1.1.1.:.).1.].1.1.1. o. 57 INSULATION .....40_001.J.I.J1111.; . . 1.111111 VAF'Ufi -1.1x.7.7.1 58 CUNTINLi0U5 fiAkRIEk 0. o0s 11.1.1-1.1.11 11111111' J) ] 11.1. ; 59 INTEFIOk FINISH U .581 ] ] ] ] 7 jl ];11j1111-I-I.I I.I.I.]. 6o INTEFSUkk FILtI 4..:61: 61 TUTrS AS..EMILY k-~ALItE ......._?...:_dill-I.l.l.J.71.1.11.1.1.1.1.11.1.1-1111. 62 ASSEt11sLY.u-v ...itE.r 9. .1. . :k) - - 63 ..-._:.1.1.1.1.1.1.1.1.;.3.3.111.11-1:1.1.1.11.1.11.7.3.3.3.3.1. 64 CLG. iRDiF INS... AREA FRITH ATTZC. AREAi 1337. 00 So, 65 .a.l.l.l.~.i 1.11.1 ].1.11].].].].].3.1.1.1.11.1.].l.].ll.].1.71.).l.l.l.]-17.1.].]-111-1_. 1.1.1.1.1.1.1.1..3.7.1.11111.1.11.1.1.1.11i.1.J1.1.11 66 FIGURE 2 ._-..>..._.._.._4.:.61.1.11.1 111:11.1.1.1.1.1.1.:.1.].3.71.1. 67 INTERSOR PIF FILt1 68 INSUATION 27 50€I.1.1.1.7J.J.1:.11.1.1.1.1.1.1:1.1.7-1.7-J. 69 WOOD MEtifiEF; - 3717.) J.J11.11..1.1111111..1.) J.J.J.1. - ao r.IT£Fluk FI:SSH € o.StJ.).1.31.11.1.;.11-1.1.11.1.1.;.1.1.3.11.3. _ _ al I1iTEISUF- aIF. MA . - 0. . 61 J.J.U.711.1 111.1.1.1.1.113.1.31]. 72 TOTAL ASSEIffLY R-VALUE 33.6517.J.).1.11.]-1.;.1.1.1.1.1.1.1.1:.].1.].1.1.7. 73 AS SE?1BLr 11-VALUE 1 fPa 0.031 7 7) 7 )1).1.:11111.11-1-11111.1. _ 7¢ 11.11 a 1.1 ].117 3.17.7 7.1.7-J .J.J..}.3.a.11.1.7.J.J.7.7.1.7...... 75 CL_;- ?FLiUF Iid•iLATEL AREA: i WITH ATTIC AREA) 137, OU;$Q;FT ......__.....1.11111.1.1:.1-7.1.7.1.]. 77 FIGURE s 11111111 1111.).).11..11.11.11.1-1.7-11.11.) . 78 I1iTEkIUR AZR FILi1 ...........4, 1111.71.).11.;.1.111.1-1-1.1:.7-7.7.1.1.1. 79 INTEFSUR_FIxISH ......°.:¢51171117.71;.1.111111-1..3.]1]17. 8 o coltTlltuous VisFUR EAidcIER € 0.00:1) J J 117 7 J INSULATION ¢ 19.ooili1.11-111:1111111.111.1171 . a2 SHEATHING ?.:46 83 EXTERIOR FINISH i 0.61 i )1J.J.J.1.J.1.1.11-11.1-11;.1. 1.,1.1 84 Er.T£FIaF. ALk FILM 0. . . . . 85 TOTAL ASSErrFLY 'k4 ALUE 22.97 17.171.111 71 AI _ s6 r~ss rI r u-vALU£ J 1.+R) &7.].].3].3].11.1.3.3.1.1.I.31.1111.1.).._...L254.:.ODS[.:r :11111111.1:1).1.1.17. 88 EXPOSED WALL INSLZAT£D AREA 1910.58 SRI! _ 69 .1.1.1.1.] ] .711...11111ll1.7.3.3.3 31-3.].ll111111.313.].13. 90 FIGURE 4 ..1111-1-1.1.1.:.3.1.7.1.1.].7.). 1.1.1.1.1.1.1.1.7.).7.l.J.A. 91 INTERIOR, kIk FILfI 92 INTERIOR FIxISH .........._4.:51.1-1 _.-.....d. 93 CONTINUOUS VAPOR BARRIER 0.001.11.1)1.J.J.11111.1.1.1.1.;.).J.J.3.71 .........._.....--...__....__............__....................__.._.._.-.4......................-.. 94 RvUD tgrlb£R 9s SHEATHING ................................................................................._........_....._.....---........._?:_~6..1.1.1-]11.11.:1.111.11.111-1.1.117.7. 96 £XTEFSUR FINISH ..........._4.:_61 .1111 97 ExTEF'IUk AIF FILt1 ........_....-.--...........4.:_1?1-3.1.].7.3.71.7' 1.1.1.1.;.).].].11.3. 9s TUTisL A5 Y R-PAtuE ' 6 H01 As...... Y u-VALUE . r 11R: C 4:_12111.7Ill.11.;11111.1.1.1..J.l.l.).J.1 ................................................................................._......_.........a. 1171.].1..} 11.}.3.11.11111.} 11.1.7 225 EXPOSED WALL FFJZMYG AREA 1910.58iSQ-FT :11.1-11.111.:.11.11.31 _ no -,'.i 1_I A A J..J A.A.A J a.A.J.7 A I.A J.A.JJ-J.A.J.J.J.A.].A.J.A.J.I.J.A.J.A J-A.J.J.J.J.J.3.J.J... ius FlbuxE 5 11 '1 ] 1;131.11111:1]].11). - ......................._............-............_..__....__..__......_......_......-----____...._..__......___1.111.1 .1_.1.1.1.7.1. l 04 In~rEAIOfi.fi FILtt 0 6s..l.J.J.1.1.7.7.1-;111.1.1.11.1:.1.11.11.7. 105 INSULATION .._--__19.:_44..1.3.].71111111.1111.1.].).J.J.1.]. 106 CUxTINU0U5 VAPOR fiAFkSER 0-00; F'iq? 2 xEATLOSS CALCS. b B C B E 107 0.70n tri Ek . .._......a..........._ 108 SHEAT1ffNG 0............2..06:.]a a. a.a.aa.a..aa.l.j1111...aaa.la.). 109 EYTEkIGk FIHI3H 110 EXTEBIOR AIR FILM 0.17a.aa.].lJaaa1111111..1].1]al 111 TOTAL ASSE[ircL'1 k-FALUE € 24.40; a.]a.].a.].J.a. 11.1.1.1.1.1.1.: J., j]. 112 1 . . ASSE[9 L`L U-VALUE (1 JF:] ..__...._U.:. ~ .a.]aa.].)a.1:1)11.1111_.] Jaa.].1 113 114 EXPOSED WALL FIM :JOIST AREA ..._.-262.:.0OS..__F.T....__...11.11.1111.].Ja.a.].]. ils a.).).7.)a.J.J....1.1 116 FIGURE 6 117 INTERIOR, idk FILl4 118 IHSULATIGH 1 19 CUHTI2tUOLtS VAPUk 120 FOLRIDATIC4 TALL 1.28: J a 1]0.11] ;1.1.11.1111;.].)0 )a.a. . 121 ERTEkIGR AIk FILPI 0.:_lei.].].].).J.].].a..l.l.l.l.l.ll.la.).].J.].). 122 TOTAL.._A"c,EtSLY..k-Q...?L.C...................................................................... 123 ASSEt1SL'1 U-VALUE (1 rR) 124 .).l l.].1.l.].].].l.).].J.].].].l.].]a.].].).].a.J.a.J.J.a.a.].1.J.a.J.J.J.J.].aa.a.).I.J.J.J.a.1....11.1.1.11.1.1..).1.).].)a.J.J.l.l.l 1.1 l.l.l..J ).a.laa. 125 EXPOSED FOUNTiATIOH HALL AREA f 55.00SQ.._.....FT ~................i 126 ]a.a]].].].].la.].].].].a.1.J.].i.1.1l 127 wIiCOOQS-SEtico CaS1 tO RTS SASH AMR-VALUE U-VALUE: UxA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : . . . . . . . _ . . . . . . . . . . . . . . . . . . . . . . 1281'-k=4 2 28_84......---.--1_900_5._14_997 - 129 CCit2i:5 3 : 55.26 1.90: 0.52:28.735 130 CVA-9U4 € 63.00 1.90: 0.52:..32:76 131 CPUti t.._42._OU........ 1.90`: 052 21..84 132 CCA1413 ...._.i............_l_900 0.52;5:-0232 i33 : 1a. 00 1.90. 0.52: 8.32 134 CCA2X6 .--...._44:~_..._ 19Q _-_U.:......i23.:. 17 135 CCA12t5 4 24.56 1.90: 0.52:12.771 ._._....a........................._...... 136 0.00 1.90: 0.52:0 . _ 137 CCP44 16.00 1.90: 0.52: 8.32 a........................ i.__..__......_.....-.._.................... 138 C4A1H6..._ 14.90 1.9 ..4.__._........_.._......_.... 0:: 8 _ _ . € 0: 0.52E 7.748 139 CCA1X4 € 7.21 = 1.90: 0.52:3.7492 . _ _ ..y._ ~:.52b:s 140 IIL I?AUHU 41U 13.50 i 1.90:. . 141 ......a...... -----......1..:9 ..........._~:.52.`....... 142 TOTAL SO.FT.i `284.16 'jj]a.jjjj:a TUTAI U 147.70 143 1 a 144 DOORS.-idILOR :HO. USED; AREA : MALTZ UxA J145 3-ENTRAHCE 1 .00 37:.02: 14..00: 2:6443 . 2-8 x6-8 SERVICE 1.00 18.`24€ 14. D01.3029 ................_............................................._....2x6-8 SERVICE € U.00 0.00: 14.00; 0 :TOTAL AM 55.26: TOTAL U 3.9471 Page 3 i9s 13 Req est Date Fire No Ro gn-In Inspection Required Inspection Other Than Rough-In 7 d 6 16 (you must cell Inspector when ready) ❑ Ready Now 9Will Notify Inspector Ves ❑ No Dale Reatl 1 19 licensed contractor ❑ owner hereby request inspection of above electrical work at: Job Address (Street. Box or Route No) n City / S % 5 E Section No 1 Township Name or No Range No County - {0 li-tT~'O~ Occupant (PRINT) p Phone No. U Power Supplier Address Electncal Contractor (Company Name) Contractor's License No Akl-T (~-r Ci4o a y3 g Mailing Address (Contractor or Owner Making Installation) / o ( b 4 G(~ ~ .T C. H . )Vftl-) . S"So 77 Authorized Signature (ContractodOwner Making Installation) 0 Phone Number C) ~4 (f 'Y.57/ - o o yr MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-128 I ~I III II III ~I II I I II I II I I II BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 lU UNLESS PROPER INSPECTION FEE IS Phone (612) 6420800 ENCLOSED OZ- ° REQUEST FOR ELECTRICAL INSPECTION EB-00001-09 ~ See instructions for completing this farm on back of yellow copy a / 2 dV A "X" Below Work Covered by This Request New Add Rep. Type of Building Appfiances Wired Equipment Wired Home Range Temporary Service Duplex Water Healer Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner Other (specify) Contractor's Remarks 1 Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200-Amps Above 1 Amps Signs inspectors Use Only TAL Irrigation Booms ~(s O • S O Special Inspection Alarm/Communication THIS INSTAL j10N MAY BE ORDERE SCONNECTED IF NOT Other Fee COM I 18 M TH . 10 I, the Electrical Inspector, hereby Ro Date certify that the above inspection has Fina Date been made. OFFICE USE ONLY ' This request void 1a months from PERMIT - CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number. 0 2 7 6 6 4 (612) 681-4675 Date Issued: 06/07/96 SITE ADDRESS: 1595 ASHBURY PL LOT: 11 BLOCK: 4 BLACKHAWK GLEN 2ND P.I.N.: 10-14351-110-04 DESCRIPTION: i. "11ii;,. ermit Type SF ADDITION ~uildtt5 rak Type ADDITION G 'rf si Tide , 434 ALT. RESIDENTIAL (1 zr~ si`'F'yA Ra, ex RL II ~ 5r ,ng ~ ? L,f k na a5 REMARKS: SEPARATE PERMITS REQUIRED FOR ELECTRICAL AND PLUMBING WORK FEE SUMMARY: VALUATION $40,000 Base Fee $484.75 Plan Review $242.38 Surcharge $20.00 Total Fee $747.13 CONTRACTOR: - Applicant - ST. LIC.OWNER: DAHLSTROM DESIGNER HOMES 14552245 0003508 URBAN TOM 10525 AKRON AVE 1595 ASHBURY PL INVER GROVE HTS MN 55077 EAGAN MN (612) 455-2245 (612)454-0183 I Inereby ad-kn¢wledg4 tbit' I tta-e" e~dF "this app&iadtztrn~ aail sb > e f1 tMe in Farmatii,.n-isaarrci ari=d agr Go camply,!h't'71Siio~be:tale of Z APPLICA ERMITEE SIGNATURE ISSUED BY WATU _r I CITY OF EAGAN 7 <~7, a 8 3830 PILOT KNOB RD - 55122 11 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 6814675 12- * New Construction Requirements Remodel/Recair Reauirements 3 registered site surveys ♦ 2 copies of plan ♦ 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ♦ 2 site surveys (exterior additions & decks) ♦ 1 energy calculations ♦ 1 energy calculations for heated additions ♦ 3 copies of tree preservation plan if lot platted after 7/11/93 required: _ Yes _ No DATE: CONSTRUCTION COST: eVo h' rGy /~ia/n SFr ~34~K 6~ ~~in/c, DESCRIPTION OF WORK: /460 z-&,tz-b STREET ADDRESS: LOT BLOCK 7'_ SUBD./P.I.D. PROPERTY Name: Lf/z5 4~j Phone !64'1)"g~ OWNER uST FIRST Street Address- ILIEL A - City: /rr~1~Can9~tJ State: ^171J Zip: ~ A-74- CONTRACTOR Company: ~J'41~~~ /1o5/&'L)°s'4-/hone ~J z Z y~✓' Street Address: /d5 z~, ~~j1n,,J~r License 35o City: State:/ilit/-z-j zip: ,SJ X77 ARCHITECT/ Company: Phone ENGINEER Name: Registration Street Address- City: State: Zip: Sewer & water licensed plumber: WA A Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this application and state that the in rmation is correct and agree to c ply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. AS of Applicant- OFFICE lc f OFFICE USE ONLY RIE-CENED i Certificates of Survey Received Yes No i'iAY 2 1° 99~C I Tree Preservation Plan Received Yes No OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish ❑ 02 SF Dwelling ❑ 07 4-plex ❑ 12 Multi Repair/Rem. ❑ 17 Swim Pool ,,0"03 SF Addition ❑ 08 8-plex ❑ 13 Garage/Accessory ❑ 20 Public Facility ❑ 04 SF Porch ❑ 09 12-plex ❑ 14 Fireplace ❑ 21 Miscellaneous ❑ 05 SF Misc. ❑ 10 = plex ❑ 15 Deck WORK TYPE ❑ 31 New ❑ 33 Alterations ❑ 36 Move ,,,VA2 Addition ❑ 34 Repair ❑ 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water oL UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. `f- Depth Footprint sq. ft. SAC Code a/ Census Bldg Census Unit D APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ L/~ O c o Surcharge Plan Review License MC/WS SAC City SAC Water Conn. AfC Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. K J Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units SURVEYOR'S CERTIFICATE ~ SIENNA CORPORATION B \ lni /1/ GI r`nl 6 i 1 /aL/L11 I I11\41 N / ? os~ 40 /e 0 +DRAINAGE 9 UTILITY r-- EA5EMENr PER PLArd l / LOT 11 N L0) NN G4R//~~93 / f ~llmo ,5 ~ •H;~I`^~,M 5'so Hp~$ SFO o t M~ to G 4~ Q• U` r Z 02l ;a 4,49„ J m!q Rz N r 4 9,5 TS An^` K J p\ M° z 10~ 4..A 2 s j -q Z h v' l ~~7 01 REVISED 3-29-09 TO SHOW A PROPOSED HOUSE FOR DAHLSTROM ' DESIGNER DENOTES PROPOSED SURFACE DRAINAGE d DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 FEET •6 DENOTES IRON FIONUTAENT FOUND PROPOSED GARAGE FLOOR - r3;,;.a 23 FEET X000,0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - .'r•I FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK - d FEET WE HEREBY CERTIFY TO SIENNA CORPORATION THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot II Block 4 BLACKHAWK GLEN 2ND ADDITION, accordln0 to the recorded plat thereof, Dakota County, Minnesota. IT DOES NOT PURPORT TO SNOW IMPROVEMENTS OR ENCROACHMENTS IF ANY. AS SURVEYED BY I•IC OR UNDER MY DIRECT SUPERVISION THIS 30TH DAY OF DECEg8ER 1986. THE LEGAL DESCRIPTIdN USED ON SIGNED: MILL INC. THIS SURVEY WILL BECOME VALID UPON FILING THE PLAT OF BLACK- I HAWK GLEN 2ND ADDITION. BY; L'I,• Yi HAROLD C. PETERSON, LAND SURVEYOR 'MINNESOTA LICENSE NUMDER 12294 PROJ E 18 NO. BOOK / PAGE JAMES R. HILL, INC,. 856 (89103) Planners / Engineers / Surveyors FILE NO. 8200 Humboldt Avonu• Soulh FOLDER Bloominflton,Mm 55431 012-804-3029 . / CITY USE ONLY L 1L BL RECEIPT SUBD.QA~ tbQLL. 7C (~a RECEIPT DATE: 1998 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ➢ single family dwellings ➢ townhomes and condos when permits are required for each unit ➢ backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = Water Heater 3.00 x = Floor Drain 3.00 x = Gas Piping Outlet ` minimum - 1 3.00 x = Rough Openings 1.50 x = Water Softener * for dwellings under construction 5.00 x = Water Softener * for existing dwelling 20.00 x = U.G. Sprinkler * for dwelling under const. 3.00 = U.G. Sprinkler * for existing dwelling 20.00 = Alterations * to existing residence 20.00 = Z~ Water Turn Around 20.00 = Private Disposal System * MPC lic. 75.00 = (new and refurbished systems) Private Disposal Systems * Abandonment 20.00 = RPZ (new installation only) 20.00 = STATE SURCHARGE .50 TOTAL 2?p..5-0 - - - I hereby acknowledge that I have read thi% s application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this rm within City property/right-of-wayleasement. SITE ADDRESS: 15-95 g 54yr!:~ face OWNER NAME: To vv-N i A r-,oa 1/--~ _ INSTALLER NAME: Ac C^ Q , k M J~f in TELEPHONE cir - STREET ADDRESS- ' ) (052 D 'l QVAq U CITY: lie STATE: V v, ZIP: YLV SIGNATURE OF RMITTEE 7~ CD/PERMIT FORMS/RPLBG PERMIT (RES) - 1998 d~ / RESIDENTIAL BUILDINGQ o» Permit Application City Of Eagan l/Yt 4~ «O~c 3830 Pilot Knob Road, Eagan MN 55122 0 `lam /~3 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements Remode6Reoair Requirements Office Use OnN 3 registered site surveys showing sq. R of lot, sq. ft of house; and all rooted areas 2 copies of plan Cert of Survey Recd -Y -N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd -Y -N 2 copies of plan showing beam & window sizes; poured found design, eta 1 site survey for additions & decks Tree Pres Not Recd -Y -N l set of Energy Calculations Addition - indicate don-site septic system On-site Septic System _Y _N 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail Options selection sheet (bkfgs with 3 or less unite Date / / 3 / / 0-,27 Construction Cost Site Address 45-'W , s jal2 44 UnWSte # Description of Work r/A,9 jj4 Multi-Family Bldg _ Y 1/N J Fireplace(s) - 01 - 2 f Property Owner oYl2 0 Q&4-aA~ Telephone # (6,4'1) T d/ ~3 Contractor Address City State Ah- Zip 5)-'b77 Telephone # (l ~j} 7 J J Zt ~S~ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet . New Energy Code Worksheet (J submission type) Submitted Submitted . Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone ) Mechanical Contractor Telephone D Sewer/Water Contractor Telephone ) SEP 0 3 2003 IJ I hereby apply for a Residential Building Permit and acknowledge that the information-is-c-omipb ete-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 permit, and work is not to start without a permit; that the work will be in accordance with the approved pIan i the case of work which requires a review and approval of plans. /C 1~J /ia~C Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ❑ 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 Ext. Alt - Multi ❑ 03 01 of - plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 EM. Alt - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screen/gazebo) ❑ 36 Multi Misc. ❑ 05 03-plex ❑ 11 10-plex K 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg-Yor-N ❑ 25 Miscellaneous Work Types ❑ 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) - 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 Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) _ Final/C.O. Footings (deck) Final/No C.O. Footings (addition) _ Plumbing Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ Final - Pool _ Ftgs _ Air/Gas Tests _ Final Framing Siding _ Stucco _ Stone Fireplace R.I. ~ Air Test ~ Final Windows (new/replacement) Insulation 7 Retaining Wall Approved By Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC' ~v Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total PLUMBING (RESIDENTIAL) *SbS-a Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Please complete for: Single Family Dwellings Townhomes and Condos when permits are required for each unit Date /40 /I / Site Address 4-1115- Unit # Property Owner d-Ae ~J- Telephone # iw• '018'3 Contractor W_diLi Address /13 p t 4 i~ e11 y City nr . State Zip zza48f Telephone # (661 i63 • 14Md The Applicant is owner ✓ Contractor Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00 Includes County fee. Additional consultant fees may apply. Alterations To Existing Dwelling Unit, Including $ 50.00 ✓ Adding fixtures to lower levels or room additions, excluding water softener and water heater Abandonment of septic system Water turnaround 5/8" meter if needed - $1201.00) Other: II~IG ~i.. ~ Irv 11V ~._l ~ a 8 2C03 'j RPZ _ new installation -repair -rebuidt i $ 30.00 Lawn irrigation system u Water softener _ Water heater $ 15.00 replacement _ additional State Surcharge $ 50 Total $ -O•.TO 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 with the Plumbing Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in abcordance with the approved plan in the case of work which requires a review and approval of planes. JrAye;C. M . "aJiez- 7I . Applicant's Printed Name App tcl is Signature" rW3 7 9~, 00 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements Remodei/Reoair Requirements office Use NY 3 registered site surveys showing sq it of lot, sq. fL of house; and gll roofed areas 2 copies of plan showing footings, beams, louts Can of Survey Recd - Y N (20% maximum lot coverage allowed) 1 set of Energy calculations for heated additions Soils Report _ Y _ N 1 Soils Report it proposed building is to be placed on disturbed soil 1 site survey for additions 8 decks Tree Pres Plan Recd! _Y _ N, 2 copies of plan shoving beam & window sizes; poured found design, etc. Addition - indicated onsife septic system ,Tree Pres Required ~7Y2 u N I set of Energy Calculations Onsitg Septc_System 3 copies of Tree Preservation Plan if lot plabed after 7/1193 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Minnegasco mechanical ventilation form Plans are considered public information unless you state the are trade ssecret and the reason. Date 7 /o_ Construction Cost (,f J-( I Site Address t PT A /1,-3 ~2 Y ~ Unit/Ste # Description of Work 12- zo " - Multi-Family Bldg _ Y -I/NS} Fireplace(s) / 0 22 Property Owner I~ > f (/A..,.., U45A Teleptione # hv5 y5 - C /F 3 Contractor 61-Je Y C Z o2S D Address CI PP PP Xa City State /H Zip Telephone # (b S-0 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Y _ N If yes, date and address of master plan: p i Licensed Plumber l 0• Telephone Mechanical Contractor Telephone Sewer/Water Contractor Telephone # ( ) I hereby apply for a Residential Building 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 State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work w ich requires a review and approval of plans. D N7 6 r.wti ~ ll Applicant's Printed Name Ap t re By 76 4)3 A,6.-D-D 2007 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. Date 1 Z I 07 ~j Site Street Address I `i5 ~st,lavr T ~~C~ Unit# Property Owner Tp~, yYbGt ~ Telephone # (e I 4-t5+ 01'83 Contractor Pra i" Pro plii ob'" Telephone # (q54 wo,l .6 `t i q Address 8815 20T+L, S-E City Layev die StateMtA Zip ,5504- The Applicant is: - Owner X Contractor -Other 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 Alterations to existing dwelling $ 50.00 Add plumbing fixtures. This fee includes installation of a water softener and/or water heater at the same time. If you are installing only a water softener and/or water heater, do not complete this section; move to the next section and check the appliance(s) you are installing. -Septic System Abandonment -Water Turnaround (add $136.00 if a 5/8" meter is required) Other: Water Softener Water Heater $ 15.00 - new replacement _ Lawn Irrigation _RPZ _PVB -new -repair -rebuild $ 30.00 State Surcharge $ .50 Total $ (5,50 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 lumbin codes; that I understand this is not a permit, but only an application for a permit. work is not to start without a ~f X4 ~rfl i t4 (I F§ i~ accordance /with the ap ved plan in the event a plan is required to be reviewed and approved. ~ebfoi~ -7, 2-,D-7 JUL 0 3 euul ant's Print d N e y50 Applicant's Signature For Office UP C1 F, I Permit v City of Evan I Permit Fee: 60 3830 Pilot Knob Road Eagan MN 55122 Date Received: l~ Phone: (651) 675.5675 I I Fax: (651) 675-5694 Staff: I c/ / 2008 MECHANICAL PERMIT APPLICATION Date: ! Site Address: J J 7 A. A Tenant: Suite 6~~ RESIDENT/OWNER Name: -/-O„,>, v) hg h -Phone: Address / City Zip: CONTRACTOR Name: ~yt~-t ' r 4yPc~ License Address: City 1r /'b r h R /I- P State: 0,1/- Zip: 75 5-3 2,) Phone: ~~o( So k ~ O - y3"2(?ntact Person: 401 TYPE OF WORK New / Replacement _ Additional _ Alteration _ Demolition Description of work: NOTE: Both roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector or one of the Planners for information on permitted screening methods. RESIDENTIAL COMMERCIAL PERMIT TYPE New Construction - Interior Improvement Furnace _ Air Conditioner - Install Piping _ Processed Exterior HVAC Unit _ Air Exchanger _ Gas HVAC units must be screened Heat Pump -Under / Above ground Tank Install / _ Remove) Other " When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 Slate Surcharge) $ , d . J TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ x 1% $50.50 Minimum (includes State Surcharge) Permit Fee If Permit Fee is less than $1,000, surcharge is $.50. - If Permit iu is > $1,000, surcharge increases by $.50 for each = $ State Surcharge $1,000 Permit Fee (i.e. a $1,00142,000 Permit Fee requires a $1.00 surcharge). TOTALFEE I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with th rdinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a.permit, and work is not to start without a permit; t the work in accordance with the approved plan in the case of work which requires a review and approval of plans. X Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough In Air Test _Gas Service Test In-floor Heat Final PERMIT City of Eagan Permit Type: Building Eagan, Permit Number: EA104378 Date Issued: 05/17/2012 OR Permit Category: ePermit 41 it~ of E3 E Site Address: 1595 Ashbury P1 Lot: I I Block: 4 Addition: Blackhawk Glen 2nd PID: 10-14351-04-110 Use: Description: Sub Type: e-Sidina & Windows Doors Construction Type: Work Type: Siding & Windows doors Description: House Census Code: 434- Occupancy : Zoning: Square Feet: 0 Comments: When installing ventilated soffit material, remove existina material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing Fee Summary: BL - Base Fee S8K $162.25 0801.4085 Valuation: 30.000.00 Surcharge - Based on Valuation S8K $4.00 9001.2195 Total: $166.25 Contractor: - Applicant - Owner: Craftsmen Home Improvements Inc Thomas H Urban 7455 Fiance Avenue, =194 1595 Ashburn PI Edina NIN 55435 Eagan NIN 55122 (651) 430-1388 I hereby aeknowledae 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 Cite of Eaaan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature PERMIT City of Eagan Permit Type: Building Permit Number: EA106428 Date Issued: 0812212012 ~it~ of 11QR Permit Category: ePermit Site Address: 1595 Ashbury P1 Lot: I I Block: 4 Addition: Blackhawk Glen 2nd PID: 10-14351-04-110 Use: Description: Sub Type: e-Windows/Doors Construction Type: Work Type: Windows/Doors-New/Replacement Description: House Census Code: 434 - Occupancy: Zoning: Square Feet: 0 Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: BL - Base Fee $4K $103.25 0801.4085 Valuation: 4,000.00 Surcharge - Based on Valuation $4K $2.00 9001.2195 Total: $105.25 Contractor: - Applicant - Owner: Craftsmen Home Improvements Inc Thomas H Urban 7455 France Avenue, #194 1595 Ashbury Pl Edina MN 55435 Eagan MN 55122 (651) 430-1388 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 PERMIT City of Eagan Permit Type:Building Permit Number:EA114685 Date Issued:09/18/2013 Permit Category:ePermit Site Address: 1595 Ashbury Pl Lot:11 Block: 4 Addition: Blackhawk Glen 2nd PID:10-14351-04-110 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes . Jackie Terrell 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 - Thomas H Urban 1595 Ashbury Pl Eagan MN 55122 Walker Roofing Company 2274 Capp Rd St Paul MN 55114 (651) 251-0910 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA148566 Date Issued:04/06/2018 Permit Category:ePermit Site Address: 1595 Ashbury Pl Lot:11 Block: 4 Addition: Blackhawk Glen 2nd PID:10-14351-04-110 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - Thomas H Urban 1595 Ashbury Pl Eagan MN 55122 (651) 454-0183 Craftsmen Home Improvements Inc 7455 France Avenue, #194 Edina MN 55435 (952) 930-3777 Applicant/Permitee: Signature Issued By: Signature