1636 Ashbury PlCITY OF EAGAN
,
3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55 121
PH O N E: 454-8100
BUILDING PERMIT Reeeipt #
To be used for . :`1,'('JGA;: Est. Value ? ? ? ? . +?'•:; Date !"? . . .. •- ,19 ?r
Site Address 1635 PSN$[l°Y e'!,A." OFFICE USE ONLY
}???
Lot j -1 Block 3 (•L
Sec/Sub
On Site 5ewage
Occupancy
. MWCC System y Zoning
Parcel No. On Site Well (Actuap Const v -
Z?;
r;n]?3TRUCT10M
??REN BROS City Water y (Allowable) V`14
oc .
,
Name
Address 935 E. WA?'ZA"CA. SL?P!?. PRV Required _x # of Stories
?•
3
0 City ?' '+?TA Phone a71--123! ?oster Pump Length ??+
Depth 34
¢
.o
Name ?hrS3
S.F.Total
? ? Address Footprint S.F.
? City Phone APPROVAI.S FEES
?A=
w W
Name Engr./Assess. Permit ? t' 'Is 'K
Planner
Surcharge 6C.50
_? Address
?= Council Plan Review 341,00
i W City Phone ?
00
?
1C'
BIdg.Off. _ SAC,City .
•
1 hereby acknowledge that I have read this application and state that the Variance SAC, MWCC S 0.0{1
1
?
inforrwation is correct and agree to comply with all applicable State o1 WaterConn. 10•00
5
Minnesota Statutes and City of Eagan Ordinances. Water Meter f 7•00
Signature of Permittee Road Unit 34 5•07
A Buildinf Permit is issued ta- Treatment P1 404.00
on the express condition that all work shall be done in accordance with all
Parks
applicable State of Minnesota Statutes and City of Eagan Ordinances. 50
s2M5
BufldingOfficial-_-_-_-
TOTAI
'
CITY OF EAGAPJ, Permit No: - Date:
3830 Pi131 KnoblRoad Meter N• Size: ? o
P.O. Box 21199 No:
er Date: ar g-? F
Eagan, MN 55121 ? e w
Owner.
SiteAddress: ]Aa'- .?^-•''nlm-; i=1._, L. 13 B3tii.A?:Kili1?IK GLEAI 2-NP
Plumber xRn% P? l;('
Conn. Chg: $5 5n _0n n 1
Acct Dep: t 5_ nn P0
.
Permit Fee: t n- o0 ;:11
Surcharge: 5n nci
Tr. Plant90A_nri ;,s?
Meter. _ ',7 00 k,?
Misc.: ???u - I 7En
Zoning: _
No. of Units:
I agree to comply wifh the Cit oi Eag n
Ordinances.
.
R-1
WATER SERVICE PERMIT
... -----? CITY OF EAGAN .? „- r? F.?
•= ` r 3830 Pflqt Knob Road, P.O. Box 21 •199, Eagan, MN 55121 • '.? -
PH O N E: 454-8100
BUILDING PERMIT Receipt #
To be used tor `'+F ' !('1e Est. Value sn-?'.titX3 Date 0E'v'&ZE11 ; p 19 3 Sec/Sub. ???? GLIRN 11
-r
Name !,:!?W*€tEti B"!S. ItA.
4 ,_ :
Phone
Phone
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 Permittee
.
MWCC System
On Site Well
City Water
PRV Required
Booster Pump
APPROVALS
Engr./Assess. _
Planner _
Council _
BIdg.Off. _
Variance _
?
?
Occupancy
Zoning
(Actuai) Const
(Allowabie)
# of Stories
Length
Depth
S.F. Total
Footprint S.F.
FEES
Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Road Unit
Treatment P1
R--3/M-f
R-7
V- IN
V-Pt
?a 4
34
1 682.00
f
- E?6. 5?. •?
?'?CfrWV ?+
1GO.JO ?
?
550.00
#: "
700 I
3t 3.m i
.
204.00
-83.54 '
. Permit No. Permit Holder Date Tslephone #
Pi'umbing /G',??? ?????G?,, / /C?
Ffi.V.A.C. 0
I19015
Electric Cv
119199
Softener
Inspection Dete Insp. Comments
Footings I
Footings II
Foundation
Framing
Roofing
Rough Plbg. p a, ) /- 3?- iT'?' fi(? • .A -
Rough Htg.
isui. ? - ,op ????.? {J rT ?-a
Fireplace Klm O' ?,--
Final Htg.
Final Plbg. ,00
Bldg. Final
cen. occ. zL8 ,? '' `
C?Para»? p?-
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
?,? ? ?'? . . • ,,: PERMIT#
• MECHANICAL PERMIT RECEIPT 4
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: _
ANTRACT PRICE: PHONE: 454-8100
BLDCi. TYPE
Fles.
Mult
Comm.
Other
m name Ir4
? Address
c City ?
Name '
?
c Address
p City Phone Ts
TYPE OF WORK
Forced Air M BTU
Boiler M BTU
Unit Heater M BTU
Air Cond. M BTU
Verrt. CFM
Gas Piping Outlets #
Other
FEE
3/C:
TOTAL•
WORK DESCRIPTION
New
Add-on
Repair
FEES
0-100 M BTU
GAS OUTLETS (MINIMUM - 1
COMM/IND FEE - 1% OF CO
APT. BLDGS. - COMM. RATE
TOWNHOUSE & CONDOS -
MINIMUM RESIDENTIAL FEE
BEYVND $1,000,
SlGNATURE OF F
FOR: CITY OF E
=RMIT '
iICE GOES
- a2a.oo
- 6.00
1.50 EA.
J. _ .
- 12.00
- 20.00
- .50
t - -_...?: . - ... . ? ....- T _ __ _ . .,. . _. r . . .
.. ... . ' - ' .. . . _. - l.. . ..
• PERMIT #
' PLUMBING PERMIT ;'?'j--La(>
? CITY OF EAGAN RECEIPT #
3830 PILOT KNOB ROAD, E/1GAN, MN 55122 DATE: /- ,? - ?? Y 1
CONTRACT PRICE: PHONE: 454-8100
?
I Res. ? New L-?
Site Address
? • L
1 ? ?.__ Block Sec / S?b
Lot
? Name '7 ? ! r G u r l 2k.
?
g
e Address 1.? a • ? c
? 1
A
c City Phone 4
- 6JQ
Name -. c r ? S f
? Address
p City Phone
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT, BLDGS - COMM RATE 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
L< i
BLDG. TYPE WORK DESCRIPTION
SIGNATURE OF PERMITTEE
CITY OF EAGAN
Mult. Add-on
Comm. Repair
ather
RES. PLBG. ONLY - COMPLETE THE FOLIOWING:
0. FIXTURES T TAL
Water Closet - $3.00
Bath Tubs - $3.00 ?
Lavatory - $3.00
Shower - $3.00 3
Ki?chen Sink - $3.00 ?
Urinal/Bidet - S3.00
-LLaundry Tray - $3.00
_1Floor Drains - $1.50 ?• -? -?
/ Water Heater - $1 50 ?• 5 o
Whirlpool - $3.00
e Gas Piping Outlets -$1.50 ?• SU
(MINIMUM - 1 PER PERMIT)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE: 3L/s G
STATE S/C:
GRAND TOTAL: 3 S-. J J
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS: "' 'i `
i ?r ? ? .: ?? ? ????.
is1 AF:*k ttAtiah t,t EP :'1411
PERMIT SUBTYPE:
PERMIT TYPE
Permit Number:
Date Issued:
APPLICANT:
5?1s1, n't4 1 aV r i,A rai
TYPE OF 1N4RK:
INSPECTION .. . ..
I iL ?
?ti '. ?s ,?_?
?-=---------=-__ __-;_;?-?.? s .
-------------------
Permit No. Permit Holder Rate Telephone •
ELECTRIC
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FfG / Aw
DECK FINAL ,? l •?
? - CASH?RECE1pT ?
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
?
DATE 1B -
1
FECENED (/' 1r? ` II /??
FH0M
AMOUNT & DOLLARS
iao
? ? CASH CS?CHECK
FOR yA 'J/
J
-?
i
ev
' wnae--aarm Coor
. Yellow-POStlng Copy
PirYc--Fde Gopy
Thank You
01-32110 Bldg. Permit - (rU
01-3422 Plan Check
01-3445
Surch./Adm.
? r
1-'3446 SACIAdm.
c)ti Surcharge
5-3860 Road Unit
20-2275 SAC
20-3865 Water Conn.
20-3868 Water Trmt.
20-3716
Water Meter
ti LL)
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit 79-3866 Sewer Conn.
28-3855 Park Ded.
?
TOTAL IP
?3 ?o ar 7J
cl?/
CITY OF EAGAN Permit No: 10166 Date:
3830 Pilot KnobRoad Meter No- Size:
P.O. Bof 21199 Reader No: Date:
Eagan, MN 55111
Site
Conn. Chg: S550•00 P. Zonin
9:
Acct Dep: 15•00 No. oi Units:
Permil Fee:
Surcharge: •'^ 1 agree to comply with the Clty of Eagan
Tr. Plant 2 04 • Ordinances.
Meter. . 00
Misc.: ;1JIttED BY
WATER SERVICE PERMIT
12345
j
CITYOFEAGAN PermitNo:
?- 3830 Pilot Knob Road B/P No: ?48 B i Date:
Date: 12 13 S;
' P.O. Box 21199
Eagan, MN 55121
?
Owner.
IMAWK
I Site Address: ? ? . ? a? ? . ... .
...
TW;
5 ?1
.
{ _.., , - .
? Plumber.
MWCC: ?5 50. 00 nd
City Chg; 1:)0.00
Acct. Dep: 1
Permit Fee:
Surchar p
.
_ .?
Zoning•
i
No. of Units:
I agree to cornply with the City of Eagan
Ordinancea.
By
SEWER SERVICE PERMIT
. -w
(gtxfi#iratt af (Orrupanry
titp of (tagan
Vrparbmt of luiid'mg JnWtr#inn
This Cenrfieate issued pursuant to the requirements of Section 306 of the Uniform Building
Code certifying tltat at the tinre o, f issuance tlrrs strrecture was in complrance with tlte various
ordinances of 1he Ciiy regulaiing building canstruction or use- For the following.•
u. ak.&aw.SF M/GAK ewg. Nnii;c rro. 15962
Occ„pa„q T,pe R31M I ,mM DWxxi Rl T,,a Cowt VN
Owner of Building ?3MM SM 0CM7 Add. 935 E. WMEA $L?? ?
?lding Addtm 1636 ASFMiJ_RY PLA? ??ity L13, B3, ffiUR&fC (M II
?, 1 a,?: Ml?i 22. 1989
Bwldiog OfLcial 1?
POST IN A CONSPICUOUS PtACE
ia/i???l?" 11
Saira
M 7288 7
3 -3
RequeSi Date Fire N0. Raugh-inlnspec4on
Required?
?fleatly Now ? Will NoLy Inspeclor
Wt
R
d
9
? Ves Na ien
ea
y
I p licensed contractor ? owner hereby request inspsction of above electrical work at:
Job Aderess (Sfraet, 9ox or Rou1e No )
? Crty
1
1634 ASH a,.2 1i
? .4
Seclbn No. Township Neme or N0. Range No Cou
OcwpaM (P?RI7Nn ? ? ?
e 1:,4?CT/•f ti Phow W.
?
Power Supplier p n
`
'
) Address
)
21 S
(
tSS
4
5 4KorR 1 T 6!
i i
ke -
5
Electricel ComraGar (COmparry Name)
Standard Electric Co. Corrhacl License No.
40837
Mailing Atltlress (COMrectar a Owner Meking Inslallatwn)
2672 Ma lewood Dr., pl wood, Mn 55109
Authonzetl S" awre ntraclor/Onrier Makin Poorre Number
484-8044
O E BOAPU OF EL p CITY THIS INSPECTION REQUEST WILL NOT
itlwey BItlB- poomm, g173 BE ACCEPTED BVTHE STATE 60ARD
ieRt UnWersity Ave., St Paul, MN 5510C UNLESS PROPER INSPECTION FEE IS
Phmre (812) 642-0800 ENCLOSEO
REQUEST FOR ELECTRICAL INSPECTION y. ?e ooom-m
? See insVUdions for cumplaLnw Nis form on back W yellow copy Q?? U
:J•
C? 7 2 8 8 7 JC" Befow Work Cavered by This Request
e Add Rep' TypeofBuiltling AppliancesWired EquipmeniWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt Bwltling Dryer Other (Specity)
Comm./Industrial Furnace
Farm ' Air Conditioner
Olher (speaty) Conlredor4 Remarks
Compute Inspection Fee Below:
# Other Fee # ServiceEnlranceSize Fee # Cirouits/Feedere Fee
Swimming Pool 0 to 200 Amps .°? / 0 to 0 Amps
TranSformers Above 200 _ Amps Above 100 _ Amps
SignS Inspeclar9Useonly: TOTA% /?
Irrigation Booms m-
Special Inspection
Alarm/Communication
Olher Fee p
I, the Electrical Inspector, hereby
certiry Matthe above inspec[ion has
been made. Rou9n;n
Ai,
F?n? 112
V/ Data
oa
oFFIce use otiLr
Tiii9 requesf vaitl 18 months trom
, CITY OF EAGAN 15962
3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 ?T 1?? BUILDING PERMIT PHONE: 454-8100 Receipt n dL7p 4?
C7 /
lS !O
Tobeusedfor SF DWG/GAR Est.Value $133,000 Date DECEMBER 13 ,19 88
SiteAddress 1636 ASHBURY PLACE
Lot 13 ebck 3 Sec/Sub. BLACKIIAWK GLEN 11
Parcel No.
. Name LUNDGREN BROS. :.ONSTRUCTION, INC.
; Address 935 E. WAYZATA BLVD.
° City WAYZATA Phone 473-1231
,o Name SAME
? a Address
? City Phone
?a
wW Name_
W
zz. Address
aW City_
1 hereby acknowledge [hat I have read this application and state that the
informatwn is correct and agree to comply with all apphcable Sta[e of
Minnesota Statutes and City of ?EOagan Ordinances
SignaWre of Permtltee
A Building Permrt is issued to. LUNDGREN BRQ ._c9NS`T.-,II
on the express condihon that all work shall be done m accordance wrth all
apphwble State of Mi n ota Stat?u-aqL?d Cnrty?o/f ?Eagan Ordinances
Bwlding OfliaaL ? ' ? /?
/ ?
OFFICE USE ONLY
On Site Sewage _ Occupancy R-3/M-1
MWCCSystem __$ Zoning R-1
OnSiteWell _ (AcWapCons[ V-N
CiryWater x_ (Allowable) V-N
PRV Required -x # of Stories
Booster Pump _ Length 54
Depth 34
S.F. Total
Footprint S F.
APPROVALS FEES
Engr./Assess. Permil 682.?0
Planner Surcharge 66.50
Councd Plan Rewew 341.00
Bldg. Off _ SAG City 10000
Vanance _ SAC, MWCC ---5r$4190
WaterConn _550.00
Water Meter _ 67.00
Road Unit _312._00
TrealmentP7' 204.00
Parks .
TOTAL 2885.S0
.
7988 BUZLDING PERMIT APPLICATION - CITY OF E6GAN
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE HUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS
4 OF UNITS
INCLUDE 2 SE2S OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COhMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
- :D?G Q 7 19A&
To Be Used For:,5F'D/ GAP, :Valuation: ap? Date: /a 7 O?
Site Address
Lat 15 Block ? V
Parcel/Sub
Owner
nddress OP E• WAYLITA 6LYQ,
City/Zip Code pM4W= A
Phone
wMneaEN exos. coMarMucM gL
Contractor _M5 E W
Address WAYZATA. MN SM
J
City/Zip Code
Phone
Areh./Engj{IN8BpEMAft COMMMnUM -_
Address sas E. warzara eLvn,
City/Zip Code ?ONE 473-1231 J
- OFFICE USE ONLY
on site sewag e_ Oceupancy F-3 M-1
MFICC system Zoning ?-/
On site well Actual Const y-N
City water Allowable
PRV required ? # of stories
Booster Pump Length
_
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr/Assess Permit ('$ D O
Planner Surcharge 66,5?0
Council Plan Review 34 I,00
Bldg. Off. SAC, City OC? Ol?
Variance SAC, MWCC
Water Conn 50.oO
Water Meter o?
Road Unit 3? ,W
Treatment P1 ,a>
Parks
Copies
TOTAL r,f
Phone #
V'fiL UA7 1ol4
6A [Z A ?E
Zo XZ2 = y?0 XI 1-I = 6l?,v
E&riTT-
3dx I y d I v2C
?? X I 2= 13z
I ? 52 }C
IS`T ?Icl cR?
`[?SrnT ? 11 S?
13= 14`17(,
z,? ? ? I N
_-----?
11bG?X?9? S?i3y
2 ND ?Luo?
?q X3b = )3zo
I J12 Xy9%Syy8s3
?
J 3Z`15`S
5W AMrAUZEc.?.M Z:3 e':*_ .??9
C'!18 AMWO L ?
te.01 r? AWSvC•J?
t'?J<sw ?;:?:?3
J.,
.. ?'i 1
-,?r---? ,
_'
?SURVEYOR'S; CERTIFICATE '
•,
SIENNA CORPORATION
aEViseo iz-s-ee To srww
PROPOSED HOUSE FOR
LUNOGREN BROS. CONSTRUCTION,
,
`tl
. . . R?A? W s o
. . gY ?3?p? ? A
• DATE.? .
-?- DENOTES,PROPOSEp SURfACE DRAINA6E SCALE: 1 INCH a 30 FEET
O DENOTES IRON MONUMENT SET
q DEN07ES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = gZo,o FEET
X000.0 DENOTES EXISTING EI.EVATION ' PROPOSEO LOWEST FLOOR ? giZ.3 FEET
(000.0) DENOTES PROPOSEO ELEVATION ' PROP05ED TOP OF BLOCK = a204FEET
Y!E HEREBY CERTIFY TO •SIENNA CORPORA7ION THAT THIS TS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF TIiE BOUNDARIES OF: '
Lot 13 Block 3, BLACKHAWK GLEN 2ND AQD•ITION, according to the recorded plat
thereof, Dakota County, Minnesota. -
1T DOES NOT Pl1RPOR7 70 SliDld IMPROVEt1ENTS OR ENCROACHMENT.S, IF ANY. AS SUR4EYED UY
• ME OR UNDER MY DIRECT SUPERVISIDN THIS 30TIi pAY OF DECEf'BER , 1986.
, - . SIGNECi:
[iY: ?
NAfiOLD C. PETERSON, LAND SURVEYOR
M1NNE50TA L1CEN5E NUMBER 12294
?pi;zi?'•' SHEET I OF 2 SHEETS
P S?83oj"o. soo?c ? PAGE JAMES' R. HILL, INC.
85618 '
2?r5/5Q Ptanners / Engineers / Surveyors
FILE N0. 8200 Humboldt Avenu• Soulh
FOLqER Bbominglan. Mn. 65431 012-884-3029
? . ? , .. ' . .
?
,
SURVEYOR'S CERTIFICATE ' SIENNA CORPORATION
REVISED 12-6-88 TO'SHOW PROPOSED
HOUSE FOR LUN6GREN BROS
' CONSTRUCTION.
8157,
-- - ?"? e • 9 !
m? J ?BVR Ais.S PLACE
p=10°54'II"
*jtrzo o'i 99.06-N . .? `
7.5
W
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--
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rt, o _
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- i5 ?
e.veiA.-Y 1
h
6? ??!
f ?i GAR. I /?
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(?j nai
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9•33 __
? PROPOSED r? I
l K
? 4
i
I ? O
? HOUS/ I
o
Ble {,Bie.O
-1-
- 44.67
. T
??
818A R
(gIZ-O)
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--?
r-
eio.a.
BIB.9I
i `
?
t a.
' et49
? LOT 13 ?
I ?
DRA/NAGE B UTlLRY I5 '
7,5I• EstSEMENT PER PL?Cf
---1.?-
i(go93) ? i
m I
N
?qh
0
061
?qo?
S
9?. I
?Y
/
, :?:.?:,?, ?/??-tl I _.
`ic::-?:.::1 i.,?:.c.:;:_,_>.:<<i:•.,d; <
SHEET 2 OF 2 SHEETS ?
PROJEC7 NO. BOOK / P/1GE
(BSb3b)
85618 2R5 /So
FILE NO.
FOLDEft
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po?aM
JAMES R. HILL, INC.
Planners / Engineers / Surveyors
8200 Fiumboldt Avenue South
Bbotnington, Mn, 55431 012-II84-3029
?
I
?
i
i
?
a1ro --\
` OROS? ONSTRUCTION WC.
. (e12) 473-1231
, T(? E30ULE?VitRD • \VAY7ATl?. ?11NNES0T/? 55391
35 ElaST V'dAY?F ,
EXTERIOR EPiV[LOPE AVERAGE U coj'?'UTATIOid v
/,? Dlockf_
? Site P,ddress_
U
R --
-
R & u FactOrs
? y-
OpaqUe 41a115
p_2 3
Wall Framin9 Areas ?
? Ceiling Insulation Area
? ? U
Ceiling Framin_ Area
Rim Joist
? 1'
? Masonry VIall
? ^,
??
? windows
- s
.=
ooors ?
? Skyli9hts
Basem°nt)
1) Lower Level
Total exposed wall area (U)
J .!
Opaque 'r!all Area X
( U ) '-?- ?-
ldood Frzme Area x
Rim
. (u) _?-
i_XDOSC'(1 ?)l pCF; j / X
i i
(U) 35 = ?-
?r;indoa; Area x _"-
? Glass Door
Slidin9 x
I -- _?
Door Area Total ?
LUhDGDC-H Page 2
BROSCO CTRUCTION
935 EASi WAYZATA BOULEVAFiD • WAYZATn, MINNESOTA 55391 0 (612) 473-1231
; 2) lst or main floor
? Total exposed wall area
ix
? ? U ) . o `?.3 = ="' ,•'?-'
Opayuc ???all area _
- -
x ??)
l;'ood frame area
-
X (U) /- '-?=
Rim joist `? ?
x (U)
4Jindow area 5
Sliding glass door x (U) 3 ,
-5? x (U) 3
.
Door area
_
Total
3) 2nd floor if 2 story
Total exposed wall area
//?X (U)
Opaque wall area ,
x (U) 109
47ood frame area
x ?U) 3S
Wi ndow area
x (U) 3S =
Sliding glass door
x (L) ,y3/ _
Door ai-ea
Total
4) Toial ceiling area
?ood frame area x (U) .0,2 _
Opaque r.ci 1 i ne area (U)
x ?u)
54:y1i91it
Total
Page 3
. ? ? ? cC ONSTRUCTION
J INC.
935 EAST WAYZATA BOULEVARD • WAYZAlA, h41NNESOTA 55397 •(612) 473-1231
1
'Minn. ll Factors
Minn. U Factors
i/ fl
Total exposed wall area
Total exposed ceiling area
(,4) Total
Item 1?? + Item 2121-2G% + Item 3Item 4
x - /? _ ?.: ? ??
x -?-
_ 31
If total o` Items 1- 4 is less than Item (A), building
complies with S6C 6006 (C)s
? ?? c'?'
/'j, ,?3Ya.c?cu ' '?
Uk_'TAILFD F;EF=tiF;T FOft EN77F;E HQL!SF ?
(?.?
F'r-eptiY-cid Fore F'reparcrl Eyg
I. t!ncicn-ern hrn+ hers Gonst, Randy
f=:tar-e's Hi_y. 8: A/G
, Jot, tJan'ic•: Tfre Wnoibridqc.
GI.ASS
AFiEfl COOL.IhJr 1
F;FATING 1
WflLLS
FF.Efi COCILING i
HF_HTINIi I
EXROSURE
NOF:TH PJE/PJW EAS7 SOUTH SE/Sw WC:ST
----}-ai-' -------- f------ c)1 92: 161
2,752i fi! QI 2jl.i:ii blli
6,611 : 0: 01 2.E;341 493:
NOhTH fJf:.lhlW EAST
891 1 01 :'O8f
740 ; (> I 590 1
:g/TJ: 01 r.IgfJvJi
SCiU"fH SE/S't{t
___ 8tY' '21
6801, 271
3y JJ6i 1 1 J i
----------------
wESr
HOF.'7.. TOTAL.
nl i): :'89:
Q? 0? ?,4921
0; 9,9571
BL=:LC7W
GfFL7E TU'i AL
------------------
72ti1 nl 3,173;
6017 0: 2,6341
=,0091 0: 13.440;
-----------------------
DOO?'tS NORTH NFiraW EAST SOSJTf; SF/SW WL_S'T
------------------------------ T07AL
-------------
------------------------
F7 {Z. f H i ( i i -------
(. i i -
(l i 3 Q i I 7 i (./ : y L i
r_.QC)LIhdf: 0; si: t>I ]'E.,: CJI p: 1=6„
HEATING 1 t?l OI GI 587, I nt oI Sa.:f
FLOOR A,<FA COC7LS.hJ6 NEATINf:3
! .. _ J J
--------------------------- i
---------- i. i
---------------- L.?_i .J
---------------------
---
CEIL_ING (=,REA COOL..IhJG HEHTI1+1f3
_'____,_._'_ - _ __'_ _'JLI - .?' 41J ' i 3, _24
M1scELL aNEOu.a r,oai._zwc t...UAs>i
- ------- ---r--------- -- -------
F'enp1E SYnS'..rJl4? Load ..sO.GJ Lat.r:ll{;. LCl-1'd Jna9.-
L.yqnt=; K, Appl.. Load 4,556 l..ntent Safe:ty Btuh 874
Vent.iiatic:,n Load 7,850
Iiuc.t Heat Lain 0
fnfa:lt-rai_inn Load l,i5.3
Sen=_>.itile Sa,=e±y Etuh _,ncti
T{ilAL SENSIRLE LO:;D 2 0.46•7 TQTFdI.. Lf-1"fFPJT LOi1D 6.775
Fi1Y' CFiLy!lq(pciHfiuY. 0,27 TBmp. SWl.flq Mul't. 1.01
*1* rotal coo7ang i.o«<, 30,139 BTUH fir z.°ii. Tt_,ns
h1FSi'[:LL F;Nf-:OUS HE.ATING I_Or"jf)';
Ir?f.?lr_r:?ti;-?n Load f --
4„_`?-
--------- Vent.il
atian Lc,etd
24,200
I,uct Hc-•a;t Lo=<_ (a Safrt.;: Estuhi lii, :1 :
%K4A To±al. HcGr`.inc Lnc..d 70,114 ft7t!H *T*
UPIMt1HV ,:f-:Pnr-r
.=)
Prep;red Fr,r:
I_u"dgren F.rother-s Gonst.
F'raE,,ared nv:
Rzndv
Fi=ire Htg, R. A/C
dQY.i P1aiTie; ff'i!_ Woodbridqe
?XM??#?k**??k?k?,??k*:k?:XA??***#??#*?####**?*#??C??k?*Nc*M?#?k?k%k?'???*?*?*??Mc:K?:k?x8:x:k#?
UESIt,N COIVL7ITIl7NS
------------------
OU"fUOOft
StJI`iI°iL-:R W T hJ I"CFt
DYY F'llL`u 92 -1E1
We t xiu1 b 75
Daily f=:ingr= 22
Latitude 44
iranoaR
SIPubMER Wtl'J'fEfi
J19 7.
07
Paaly Swiriy 1.0
Elevation 82:'
Sc7fE'tv f=Eictur (%) ]`i
LaFPrit FclC'rfJY" 11 ) .'?
*?HtY?#hYk':?C##A?***?'F:?kk?ksk*?'.?:##M?Kk##?KW.fk**8i:k#*??ViHc*?#????k#%k??#?.n%k##?kBcAc?:#?C?B??*#?#
h'ur_rn Heatiny He,atii7y C:uol.ing Ceoliny
hJame RTUH CFM bTi!H
------- CFM
------
----
O<r.sement ------
24.E;t3O -------
042 ,4E35 18:
Dininq Rnoin 7,905 tti 2,727 144
Lai.tndry R: Mud 1.661 23 661 35
k;i±chen 7,114 99 2,751 145
Nr-ea4:.fast 1,622 54) 1.064 _ 56
F_,mily Fioom 2,996 4:' 332 125
Livina Room 0,791 53 2,409 1:0
Foycr 2,210 31 911 48
hl=sster Pedruom 4,211? °r'? 1,275 67
Wi;astar Pathr-oorn 8,072 112 1,751 92
Bat.hroom 6,013 64 1,202 6"_
bE(jrIJo(II i 2,567 06 945 44
Bf.:'Ljf DUm 2,440 34 9W4 JL
Hcdroom 4 1,065 ,'b 85£3
------- 4;",
-------
-------
79.114 -------
1,10p 21,764 1.2=0
HEArIIVG DEL.'T'A 'f 55.4
C[JfJt_:[iJG DELTA T 17,3
IVOi'L: *K* t,alculaL-e.d r,.LrFLc;w As based upr,n 1o«d requ.irrrnents.
Yreri{y Chat <:urtinu calculated is campat.sGle witYi
selectr=ci ecauiNmeni: r-r=qu.iremF>n+::s. ***
5" ° c' Y u
Request Oate
/
¢ Fire No Hough?in Inspeclion
0
e wretl7
? Ready Now Will Notdy Inspector
/?/
?
?
b O V¢s ? No When Reatly7
Ilicensed contractor ? owner hereby request inspection of ahove electrical work at:
Jab Atldress (SVee4 Boz or Route No )
z City
ZA4
+V
6 a 6 s m,e P .
ction No 7ownship Name or N. Renge No. Coun
fJ'K07?1'
Occupanl(PRINT) Phone No.
Power Suppiier
RKoy-R ?? lWtlr9ss
fec, -
4
?4
. iC -
Eleancal Convectrn (Company Name) Corit2ctar "cense No.
Standard Electric Co. ??flX 40837
Mailing Address (Cwtraclor or Owner Making InsWletan)
2672 Ma lewood Dr., Mapl ood, Mn 55109
AutMnzetl Sig u ntractor/Owner Making a Lon
_ ?
--- Phone Number
484-8044
MINNESQfA BfAfE BOARD OF El'ECTFMCRY THIS INSPECTION REQUEST WILL NOT
Grigge-Mltlway eltlg. - Raom 5173 BE ACCEPTED BV THE STATE BOARD
1821 Univenity Ava., St. Paul, MN 55106 UNLE55 PROPER INSPECTION FEE IS
Phane(812) 892-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION 9 ee ?Po01,07-
/ ? See mstrucpons Por completing thrs farm on back of yellow copy.
72919 JC" Bel¢w Work CSvered 6y This Request
e Add Aep TypeofBuildmg AppliancesWired EqmpmentWired
Home qange Temporary Service
Duplex Water Heater Electric Heating
Apt. Budding Dryer Other (Specity)
Comm./Industrial Furnace
Farm ' Air Conddioner
Other (sPecity) ConVeclor9 Remarka.
Compute Inspection Fee Below:
# Other Fee # ServiceEntranceSize Fae # ClrcuRS/Feedere Fae
Swimming Pool 0 to 200 Amps J?' 1 ,9 o to o Amps
Transfortners Above 200 _ Amps Ahove Amps
Signs Inepactar§ Use Onty. -tpT
Irtigation Booms i/!L
j ?-
Special Inspection
Alarm/Communication ?
Other Fee p
I, the Electrical Inspector, hereby Rougmm • a C
Q
-
certify that the ahove inspection has
been made. F,,,ai
OFFICE USE ONLY
This repuas[ witl 18 monMS fmm
APFLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTIQN
........... , .. , ,.
•
* NO'fE: PAYP4NP OF £ff8 AT TIME OF .
-
? APPLICATION DOfS N(7f CON- ?
? STSNIE APPRGVAL OF PER[-IIT.
. .*R
:
i Intsotx-rrON OF SEMR MD/Oit FA1II2 ?
i I[1STALLATIONS WIIL AVI' BE SCEDULID ?
?[TR'IL PIItPIIT HAS HEFN APPROVm.
dtV are++::fs?rrtrwkt33?,?wyrrw?tkia?+?+::x++.
OF (zcicjC8P9
' (PLEASE PRINT
1) PROPEftTY ADDRFSS:
i,FY;AT, DESCE2IPTION;
IF EXISTING STRCCTURE, DATE OF ORIGINAL BUILDING P..RMIT ISSUANCE:
Nbnt Year
PRESENT ZONING/PROPOSID LSE:
Q COfM?EE2CIAL/RETAIL/OFFICE
Q IAIDUSTRIAL
Q INSTI7UTIONAL/GOVE[RrA9ENT
IZJ R-1 SINGLE FAMILY
F----]R-2 DDPLEX (3two L?nits)
? R-3 TOWNHOL?SE (Three + Units) ( Lnits)
Q R-4 APARTMENP/CONIDOMINILM ( L?nits )
2) ? NAME:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
For City Lse
3) NAME: Pl risn es I,iTcense:
Active
ADDRESS:
Expired
CITY, STATE, ZIP: ,u $Si3y/ I Not recorded
PHONE: Z2 MASTEE2 LICENSE # Sta Initia
4) NAME:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
5) s ??3T' a•?• •ao 1 99
CONNECTION TO CITY SEWER CON[ECPION TO CITY WATER M OTfER
6)
*?***********?*******?+*****?+******?**+*+************,r?.**********************??*********+*?*?*,r??r
,t
* 7M GOLD ODPY OF 1HE PERNIIT WZLI, BE SENI' DZRDLTLY TO PUBLIC WORKS 'PD FACILITATE MEPIIt PICK-OP.
? PLF,ASE AISAW 140 WORKING DAYS EOR PROCFSSZNG. SOMEDM FROM TM CITY WILL CONTALT YOU IF TfiQtE *
* ARE ANY PROBLENIS. +
?*++,??******?+**?***?,r**?:*«,r****?**+****+?*****++,t***,r*+****,r,r«***,e*,t*?«**??*?*?***+?*+**?*?**?*?*>
FOR CITY USE ONLY
PERMIT # ISSUED
Pd w/Bldg. Permit FEES:
$ /0 S-D $
$ /0 Sa $
$ $
$ $
$ $
$ ? A $
$ $
$ $
$ 10 .S Z) $
$ $
$ $
$ $
$ $
$ ao? $
$ $
$ $
SEWER PERMIT (INCLL'DE SURCHARGE)
WATER PERMIT (INCLL'DE SC'RCHARGE)
WATER METER/COPPERHORN/OC'TSIDE READER
WATER TAP (INCLUDE CORPORATION STOP)
SEWER TAP
ACCOONT DEPOSIT - SEWER
ACCO[,'NT DEPOSIT - WATER
WAC
SAC
TRUNK WATER ASSESSMENT
TRUNK SEWER ASSESSMENT
LATERAL BENEFIT/TRONK SEWER
LATERAL BENEFIT/TR[!NK WATER
WATER TREATMENT PLANT SLRCHARGE
OTHER:
TOTAL
U / t1 0 l
RECEIPTV - RECEIPT
DOES OTILITY CONNECTION REQUIRE EXCAVATION IN PC'BLIC RIGHT OF WAY?
Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SOBJECT TO THE FOLLOWING CONDITIO[VS:
APPROVED BY:
TITLE: v
DATE : ?? I.3 0 O
December 14, 1988
LUNDGREN BROS CONST & PLBG
935 E WAYZATA BLVD
WAYZATA, MN 55391
RE: 1636 9S6BURY PL.t L13, B3, BLACKfi9WK GLEN 2ND
WARNING: BEFORE DIGGING9 CALL LOCAL UTILITIFS - TELEPHONEp ELECTRICt (i95p
ETC. - REQUIRED BY LAW
}IX_ Your Sewer and Water Permit for the above property has been completed.
It will be held at the Public Works Garage (3501 Coaehman Road) until
the meter is pieked up. BE SORE TO CALL POBLIC WORKS (454-5220) FOR
YOIIR PERMANENT WATER TORN ON.
_ Your Sewer and Water Permit for the above property cannot be completed
for the following reason:
i Your Sewer and Water Permit for the above property has been completed,
however, the meter cannot be issued or oceupancy allowed until further
notice.
Sincerely,
? Gt„2. ?-??-o'?-?
Jan Severson
Seeretary
JS
' C?TY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT TYPE:
Permit Number:
Date Issued:
c;R4 0q3z
BUILDING
025557
05/11/95
SITE ADDRESS:
1636 ASHBURY PL
LOT: 13 BLOCK: 3
BLACKHAWK GLEN 2ND
P.I.N.: 10-14351-130-03
DESCRIPTION:
Building
Building
.'
PERMIT
R.ermit Type DECK
Work\ Type NEW
?
?
,r
REMARKS:
FEE SUMMARY:
Base Fee $30.00
Surcharge $.50
Total Fee $30.50
CONTRACTOR: OWNER: - Applicant -
SERRATORE FRANK
1636 FlSHBURY PL
EAGAN MN 55122
(612)686-6535
I hereby acknowledge that I have read this
information is corrsct and agres to comply
Statut and Citr? afi an Ordinances.
?
IC PERMITE ATUFE
application and state that the
with°all applicable State of Mn.
c
ISSUE URE
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
11995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
68111675
4iozo
{
?
? 3 registered site surveys ? 2 copiea of plen
? 2 copias of plans (include beam 8 window sizes; poured fid. design; etc.) ? 2 atte surveys (erzterior edddions & decks)
? 1 energy wkulations ? 1 errergy ealwlations for heated edditions
? 3 copies ot tree preservation plan H lot plaqed after 711/93
required: _YRs _ No
DATE:
S
DESCRIPTION OF WORK:
STREET ADDRESS:
CONSTRUCTION COST:
LOT ? BLOCK A? SIJBD./P.I.D. #:r..,? ?L11-h Qb) h - 2d4
PROPERTY Name: SF-(KTtAri-aYL? rIZA"Y" Phone #:
nta, o 0 03 ?
oWNER Street Address- 163?' R'???`'?'L`' ?A? 9.1 - 3300 (w)
City: . CH-CA-A) State: A N Zip:
CONTRACTOR Company: _PAqene #:
Street Address: License
City: i5^'fl,>" State: Zip,
ARCHITECTI Company: , • (fAu - a ,c.J Phone #•
EN(iINEER
Name: Registration #•
Street Address,
City: State: Zip:
Sewer & water licensed plumber: . Penalty applies when address change and lot
change are requested once permit is issued.
I hereby acknowledge that I have read this application and state that the in " n i d ee to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of ApplipnC
Jti??i?tl?'??'`??'?I)
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No MAY o Z 1995
Tree Preservation Plan Received _ Yes - No - --"""'---
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
? 02 SF Dwelling ? 07 4-plex
? 03 SF Addition o 08 8-plex
? 04 SF Porch ? 09 12-plex
? 05 SF Misc. ? 10 = plex
WORK TYPE
,,:7,?31 New ? 33 Afterations
0 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actuai)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
OFFICE USE ONLY
? 11 Apt./Lodging o
? 12 Multi Repair/Rem. ?
? 13 Garage/Accessory ?
? 14 Fireplace ?
09?-15 Deck
0 36 Move
? 37 Demolition
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Planning Building
.40
.- ?....
.,
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
MClWS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code. V?Y
SAC Code ?
Census Bldg i
Census Unit d
Engineering Variance
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
5/W Surcharge
Treatment PI.
Road Unit
Par1c Ded.
Trails Ded.
Other
Copies
Total:
Valuation:
°k SAC
SAC Units
.
.oURVEYOR'S CERTIFICATE SIENNA CORPORATION
, pEVISED 12-6-98 TO'SHOW PROPOSED
• HOUSE FOR LUNOGREN BROS
' CONSTRUCTIOi'
? BIS.7 - - " 66 s _
0
?4SHBURY„ PLACE?
` e15.s L =10°54'.II"-- °B
? -
-eri? _ 'Ztao e'i F,9.06-. r
918.2
?
t0
d"
NM
?
?
016.0
c1-
I-_
i
?J
\
?
L?
eio.e
LLJ
0)
M
V.
to
0
N
L0
(0
0 ? I
0 ---ig
i ?I( N GAR? ? 33.33
?l 9•33 ? PROPOSED i
G , a HOUSE
/.
e1ep
n W
M \F? 3z,
? LOT 13
I
. ?
eir.o -N
,
l
?
?
? ema
r
M I In
? BIQ9
I
?
!.? naaNacE e urrurr ? g
7,5 ' EASEMENT PER Pld1T
-
•
? (SoY3) \ t6°?A1 i
m I
N I
? w
0
0 m
s
69o N d'
(D
S9,? cn
1
/
.
??.
_.,.._..
SHEET 2 OF 2 SHEETS
PROJECT NO. BOOK / PAGE
(8mb)
85618 2y? /$p
FILE NO.
FOLDER
? V
?--
C?
_J
/
_. ,
?1y(0.o)
1 ?E?
p.R,v. RE ?
JAMES R. HILL, tNC.
Planners / Engineers / Surveyors
8200 Humboldt Avenus South
Bbotnlnpton, Mn. 66431 012-804-3029
I
? .
' - ? • ?
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telep6one # 651-675-5675 FAX # 651-675-5694
00
New Consimction Reamrements RemodeVReoair ReamremeMS Office F1se Onfv
3 registered vte surveys showing sq, fl. of lot, sq fl of house, and all roofed areas 2 copies of plan Cerf of Surcey Recd "- " • Y_ N
(20% maimum lot coverage allowed) 1 sel oF Energy Calculations for heated adddions TTee PreSPIBh R9ctl V _N
2 copies of plan showing beam & window sizes, poured found design, etc 1 sde survey for additions & decks T[ee PresRequired : Y N
isetofEnergyCalala6ons Addifron - indirateifonsitesepficsysfem 0¢-sile5apticSyslem ; _Y:_,N
3 copies of Tree Preservatan Plan if lot platted after 711/93
Rim Joist Detail Ophons selechon sheet (bmldmgs wdh 3 or less units)
Date 3 / Z?
SiteAddress ??n3? / O5
o ASHC?A?? ?L ConstructionCost ??-? 000
?C,Z Unit/Ste #
Description of Work N\ SA Lc,?2. L-EvrL-
Multi-Family Bldg _ Y? N Fireplace(s) ? 0 _
Property Ow¢er LJ-a q kp ?N vY? A--k, Ns,?'v Telephone #( bSj )903 ?R,'?At
Contractor TEWA)k WC __ (?"AUL FJE 1lJEI
Address ?1\\2
State 1MN ??Fivi.NH?w C1R-?-l.lJ City ?A6?Af`1 I
Zip SS12,3 Telephone #( 6S) ) *!r
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minncsota Rules 7670 Cateeorv 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 plan6 _ Y _ N If so, 257o plan review
fee applies.
Licensed Plumber i,f3 li' I? «h Telephone #( ?
Mechanical Confractor jj t, 27 7nn17 I ll// Telephone #(
Sewer/Water Contractor Ip„ "1 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 which requires a review and
approval of plans.
t'I?us- ?t i??IL ,
Applicant's Printed Name Applicant's Sign re
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 Ext. Alt - SF
? 04 02-plex 0 10 OB-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 PlbgAYor_N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
x 33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors
0 34 ReplaCement •Demolition (Entire Bidg) -Give PCA handout to applicant
Valuation uco('G Occupancy ??- -I MCES System !
Census Code /z 3!v Zoning fDD City Water
SAC Units Stories - Booster Pump -
# of Units Sq. Ft. PRV
# of Bldgs ' Length - Fire Sprinklered -
Type ot Const ? Width -
REQUIItED INSPECTIONS
_ Footings(new bldg) FinaUC.O.
_ Footings (deck) ? FinaVNo C.O.
_ Footings (addition) Plumbing
_ Foundalion ? HVAC
_ Drain Tile ptheL
Roof _ Ice & Wa[er Final Pool Ftgs tUr/Cras Tests Final
? FrNmI'g _ Siding Stucco Stone Brick
Fireplace _ R.I. Air Test Final Windows
jE Insulation Retaining Wall
Appraved By: , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
?g355
2005 RESIDENTIAL PLUMBING PERMITAPPLICATION
. CITY OF EAGAN
, 3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
? SO.So
Date Q_ v? l, Z,J I O5-
,p
Site Street Address / Unit #
Property Owner /3.2 2a,., Telephone #(?-1Z ) 97
Contractor h
Telephane #K, 5 A ZY-b
/
Address _ e ?.' T 6? City _rG1-1 5tatez%, zi SO
The Applicant is: _ Owner Contractor _Other
Alterations to existing dwelling L/L $ 50.00
? Add plumbing fxtures (excludes water softener and/or water heater--compiete next
section if installing these appliances).
_Septic System Abandonment
_ Water Turnaround (add $125.00 if a 5/8" m
eter is required)
r
Other: ras
Water Softener _ Water Heater $ 15.00
_ new _ replacement
Lawn Irrigation _RP2 _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
Total O
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 approv d.
pplicant's rinted Namec ApplicanYs Signature
I?I
APR d? 1 2005
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1636 Ashbury P1
Lot: 13 Block: 3 Addition: Blackhawk Glen 2nd
PID:10- 14351- 130 -03
Use:
Description:
Sub Type: e- Reroof
Work Type: Repair
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments: If there is no ice protection inspec
acceptable in lieu of inspections.
Fee Summary:
Valuation: 3,000.00
Contractor:
Walker Roofing
2274 Capp Rd
St Paul MN 55114
(651) 251 -0910
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Construction Type:
Occupancy:
on prior to final, you must meet inspector with ladder and flat bar. Pictures are not
Owner:
Daniel C Johnson
1636 Ashbury Pl
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
$90.00
Issued By: Signature
Building
EA081263
11/28/2007
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1636 Ashbury P1
Lot: 13 Block: 3 Addition: Blackhawk Glen 2nd
PID:10- 14351- 130 -03
Use:
Description:
Sub Type: e- Windows/Doors
Work Type: Windows/Doors - New/Replacement
Description: House SEE COMMENTS
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 6,000.00
Contractor:
Harmony Homes
3158 Viking Blvd NE
Wyoming MN 55092
(763) 413 -1100
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
Construction Type:
Occupancy:
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Expired Permit - Closed w/o Required Inspections. Letter sent to homeowner & contractor 1 -16 -09 pf
4/15/08 In error customer pulled permit as a reroof &
Harmony Homes. pf
BL - Base Fee $6K
Surcharge - Based on Valuation $6K
- Applicant -
$132.75
$3.00
$135.75
Owner:
Daniel C Johnson
1636 Ashbury Pl
Eagan MN 55122
0801
9001
Issued By: Signature
Building
EA081963
02/14/2008
ePermit
ndow permit. It is only for windows, not a reroof per Brian at
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Use BLUE or BLACK Ink
r-----------------
I For Office Use
_ Permit 1121 0
City of EaEd I Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675
I I
Fax: (651) 675-5694 I Staff: I
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: o? /.0'6/ Site Address: Unit
~..y
Name: jodw r' / < < Phone: 6IR 743- fnS/
Resident/
j Owner Address / City / Zip: 3
Applicant is: Owner Contractor
Type of Work Description of work:
Construction Cost: ZJ4 '0A6 Multi-Family Building: (Yes /No
r
Company: g CrZAV'4tS Contact: ZAw4ed SAOd~L~'~_
Address: /81✓D -zaa 'AVF '0Vq City: filf59' Z?WE,L
Contractor i
State:A(Zip: R0 Phone: //Email: LAA/LEL~IIItAr!OGD.woffNYa!<f. L'ovy
License B~ ~3?l0D Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
_
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit is ance.
6~;lcant's Printed Name A cant's Signa
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA132223
Date Issued:07/30/2015
Permit Category:ePermit
Site Address: 1636 Ashbury Pl
Lot:13 Block: 3 Addition: Blackhawk Glen 2nd
PID:10-14351-03-130
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Daniel C Johnson
1636 Ashbury Pl
Eagan MN 55122
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature