3625 Ashbury RdCITY OF EAGAN
? 3830 Pilat Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used for =Y D'Nti,! GP,i'. Est_ Value Date Mi.?
SiteAddress 3??5 AfiHBilt''. RD
Lot ?? y Block ? SeGSub. AUA4KEAX? CLEN
Parcel No. 2 14`
W Name `'"LAkC fiORES
? Address 1•1-50 :;'jRNrSV T L,iZ }"Kkr%
° ?ity )'1SF;'?:,'.+.i ,..Gr. Phone F94-2616
, o Name `. A„?fk
??-
Address
City Phone
WW Name
_= Address
Phone
I hereby acknowlege 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 Permitee
A Building Permit is issued 10: KEYLAdBD 13W:S'
on the express condition that all work shall be done in accordance with all
applicahle State of Minnesota Statutes and City of Eagan Ordinances.
I Building Official
?t 16409 -??
"31
191"9_
OFFICE USE ONLY
Occupancy k?3 4-2 FEES
Zoning R-l
(Actuaq Const V"R Bldg. Permit =64. 00
(Albwable) Surcharge 41 • 50
# 01 Stories „
Length
Plan Review ?
i a
> Z .
Depth 48' SAC. City 100.00
S.F.Total - SAC,MCWCC ???•??
S.F. Footprints -
On Site Sewage _ Water Conn
On Site Well Water Meter 9G. ?. u
MWCC System 30
M
City Water ? AaL Deposil .
PRV Requfred X? SiW Permit MOO
Booster Pump - SiW Surcharge M.
Treatment PI =? • • OQ
APPROVALS Road Unit •'4i? • pk
Planner - park Ded.
Cauncil _
BIdg.ON. _ Copies
2
(' S 1' IID
Variance - TOTAL '
PermH No. Permit Holder Date Telephone #
WATER 7
SE4R
PLUMBING K?7 `
H.V.A.C.
ELECTRIC
Inspectlon Date Insp. Comments
footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg. V S
Isul.
Freplace
Fnal Htg. -??
Final Plbg.
Const. Metar Plbg. Inspector- Notify Plumber
Engr.lPlan
Bldg. Final ?? S ? Yvs
Deck Ftg.
Deck Final
Wall
Pr. Disp.
PERMIT #
PLUMBING PERMIT RECEIPT #
CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: 5//9 /g 9
' Site Address
m Name i I EC 11 c L
? Address ;'? S 3 w i`/c
c City SAv?+y -c Phone
Name ? • -?
3 Address
p Ciry Phone S ?/s' lG 31
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPUES
I 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)
OF
'6c-Mm. Repair
Other
RES. PLBG. ONIY =- COMPLETE THE FOLLDWING:
N FIXTURES
9 Water Closet -$3 00 TOTA4
3•?z
-LBath Tubs - $3.00 • °v
--A7-Lavatory - $3.00 '
?Shower - S3.00 3. c
?Kllchen Sink - $3.00 3. ?le,
Urinal/Bidet - $3.00
I Laundry Tray - $3.00 3• °
--/-Floor Orains - $1.50 ? } c.
Water Heater - $1.50 c
Whirlpool - $3.00
?Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIT)
Softener - $5.00
Well - $1Q.00
Private Disp. - $10.00
?R
50
ough Openings - $1.
FEE
I FOR: CITY OF EAGAN
I ....,_ __ ._ _.?_ ? ._ _.... ,. , .....
BLDG. TYPE WORK DESCFiIPTI
Res. x New ?-
M ult. Add-on
STATE S/C:
GRAND TOTAL•
PERMIT #
MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KMOB ROAD, EAGAN, MN 55122 DATE
?
j CONTRACT PRICE: PHONE: 454-8100 For Office Use Only: ?
' Site Adc?re?s } ^' ? ' n':•T 1?u r i-?`J PTION ?
O
ESCR
? BLDG. TYPE W
RK D
I
LOt Block „
) "; C ? .
t. r. Sec/SUb
r` v?
Res. New
A t Mult Add-on
Name ?
m ? ?H N
•1
J
I C
Z
Comm. Repair
AddreSS *.(
rx
O P
Other
c City rf a+ Phone
k+•
N ) i,t FEES
ame __ . RES. HVAC 0-100 M BTU - $24.00 ?
c Addr? (y y??! ., , N ADDITIONAL 50 M BTU - 6.00
p City r?-' , N1-?i VL Phone ?1'? ? ?? 3 ? (RES. HVAC INCLUDES A/C ON NEW ?
? CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA.
TYPE OF WORK RJ COMM/IND FEE - 1% OF CONTRACT FEE ?
Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONOOS - RES. RATE APPLIES
BOiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater M BTU REMODELS - 12.00
Air Cond M 8TU MINIMUM COMMERCIAL FEE - 20.00
. STATE SURCHARGE PER PERMI7 - .50
Vent CFM (ADD $50 S/C IF PERMIT PRICE GOES
Gas Piping OuUets # R ? B?YOND $1,000)
.
^
Other i
4 FEE J _L•
SIGNATURE OF PERMITTEE
S/C:
?6 ?
TOTAL• FOR: CITY OF EAGAN
? s
(gextif iratP of (Orrupttury
titp of Cagan
Mrvartmpnf a# lutlding jns.pprtinr[
This Certiftcate issued pursuant to the reguiremenls of Section 306 of the Uniform Building
Code certifying lhat at the time of issuance this strucuere was in complrance with the variou.r
ordinances of the City regulating building construction or use. For the following.•
Ux Cwsifcatioa SF BC/GAR Bldg. Rrnut rvo. 16409
oxuw-r 1Yve kR3/t`11 zoning Disu;M Ri rya c?e. ?
o,?,? ? euaa- I.UI?ID }??.S A? 14450 B'VILiE PKWY, B'VIIIE
Hui" Addreas 362-5 ASMJ-RY ROAD Lanlity?? ?, KAQQM Q& 2M
//
/ ly/'.,, D.w AD[?lS?' 9, 1989
-? ' B eg Off' " - -
POST IN A CONSPICUOUS PLACE
01-3210 Bldg. Permit
01-3422 Plan Check
01-3445 Surch./Adm.
01-3446 SAC/Adm.
01-2155 Surcharge
75-3860 Road Unit
20-2275 5AC
20-3865 Water Conn.
;?0-3868 Water Trmt.
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn.
28-3855 Park Ded.
/
/ r-11' 11-?;/
f_
TOTAL ?
BLDG. PERMIT NO.
01-3210 Bldg. Permit
01-3422 Plan Check
01-3445 Surch./Adm.
01 -3446 SAC/Adm.
01-2155 Surcharge
75-3860 Road Unit
20-2275 SAC
20-3865 Water Conn.
20-3868 Water Trmt.
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Wafer Permit
20-3743 Sewer Permit
79-3866 Sewer Conn.
28-3855 Park Ded.
.1 ., n
TOTAL
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
SITE
S
LOT ?BLOCK SEC/SUB
APPLICANT:
OFFICE USE ONLY
METER # PEFiM1T DATE 515/ 89
CHIP # WATER PERMIT # 1.043 Q
METER SIZE B.P. RECEIPT # C 1816
ISSUE DATE B.P. RECEIPT DATE
PRV :_ BOOSTER PUMP
CITY, STATE - -?--t?.t?'?? • ZIP
PHONE:
PIUMSER:
ADDRESS:
CITY, STATE • ? ? ?-?`y`-?"-?? ZIP
PHONE: • ;? c?. - `> 1 7 -, , _
OWNER:-?
?•
ADDRESS: ?
CITY, STATE Z1P
PHON E:
? ? PERMIT REQUESTEQ
? .SEWER AWATER -TAPS
- COMM/IND RESIDENTIAI.
NEW EXISTING
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES:
,
e'"
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT
ENGINEERING DEPT. APPLICANT AND PLUMBER WILL BE NOTIFIED WHEN PERMIT IS PROCESSED.
CASH RECEIPT ?
_?. .
CITYYoF EaGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
?
DATE 19
RECENEO
N (i' . ? ? ? - / ? ?' / L 1 /
-h ?
?
AMOUNT $ d /4
DOLLARS
ioo
? CASH p.CHECK
wH
C u f'; ?,`^ YVhile-Payers Copy
Yelbw-Postirg Copy
Pink-File Copy
Thank You ?
,.
sv
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 651-4675
SiTE ADDRESS: t oT :0p22 811.0r.K t??9#PPLICANT:
362S Ai11RURY RD StANKE t1ASONRY
At.ACKMAWh; 0I_FN 2NO (612) 646-7120
PERMIT SUBTYPE:
f I kr, 11 iac.E
Control No. 1367
H?? r 1 ri Y
12 /o13 /s2
TYPE OF WORK:
aFu
INSPECTION D. . ..
I- t ftk ?? 1 A(. k I
I
I
I
I?
,
??,-r' •. • :-- -,4 . ?. _ 1
ParmR No. Permlt Holder dete TNephono •
SNV
PLUMBING
NVAC '
ELECTRIG
ELECTRIC
Inspsction Date Inap. Comments
Footlngs I
Foundatlon
Framirtg
Roofing
Rough Pibg.
Rough Htg_
IsW.
Fireplace ?x?`??•a„ C??
Final Htg.
drsat Test
Fwal Plbg. Plbg. lnspector- Notify Plumtrer
Const. Meter
Ertgr./Plan
Bldg. Final
Deck Ftg.
Dedc Flnal
Well
Pr. Disp.
7
DATE:
S/s/89
RE: 3625 ASHBURY ROAD, L22, 113. ELACKHAid[C GLBN 2ND
xx 1427 CUTTERS I.ANB. I.6. B2. CUTTERS RIDGE 1ST
Your Sewer & Water Permit far the above property has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
6ALL PUBLIC WORKS (4545220) FOR YOUR PERMANENT WATER TURN ON.
Your Sewer & Water Permit for the above property cannot be completed for the following
'-reasons:
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.
- REOUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLIGY.
?
Secretary, Building Inspeciions Dept.
DATE: S/S/89
RE: 3625 ASRBURY ROAD¦ L22, B3, SLAvKIiAWK GLEN 2ND
1427 C-UTTERS I.ANE, L6, B2. CU'[TERS RIDGE 1ST
XX Your Sewer & Water Permit for the above property has been completed. It will be held at the
P)jbiic Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
9ALL PUBLIC WORKS (454-5220) FOR YOUR PERIVAANENT WATER TURN ON.
%?Pur Sewer & Water Permit for the above property cannot be completed for the following
14asons:
r
f
Your Sewer & Water Permit for the above property has besn 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 COMMUNfTY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building InsQections Dept.
SEWER & WATER PERMIT
CITY OF EAGAPI
3830 Pilot Knob Rd.
Eagan, MN 551 22-1 897
OFFICE USE ONLY
METER # %L 3T3 37 PERMIT DATE
CHIP # 5('74 47ee WATER PERMIT # 1 64 10
METER SIZE S 6-1( B.P. RECEIPT #
ISSUE DATE ? -,Zv - 1? 7 z?. ,.-
B.P. RECEIPT DATE XX PW:'- BOOSTER PUMP
SITE ADDRE5S
LOT,--- BLOCK ` SEC/SUB
i (/ _/ 11-1
APPLICANT: -
ADDRESS:
CITY, S1'ATE PHONE:
ZIP
VSE PERMITREDUESTED
?.WATER - TAPS
WER ?t `a.
- COIyIMlIND RESIDENTIAL
v.
NEW - EXISTING
PLUMBER:
?
71-4
ADDRESS: ? - CITY, STATE ZIP
PHONE:
OWNER: ..--
ADDRESS: CITY, STATE
PHONE: -
ZIP
TO COMPLY WITH CITY OF
)RDINANCES-
SIG ATU E WHEN METER IS ED
? ?-.
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT
ENGINEERING DEPT. APPLICANT AND PLUMBER WILL BE NOTIFIED WHEN PERMIT IS PROCESSED.
.,,.. .
CONTRACT PRICE
Site Address
Lot ` I " Bloc
d
m
N
c
? Name
c Addre
3
o I citv -
COMNN44B'17EE - 196 O
APT. BLDGS - COMM R)
TOWNHOUSE & CONDO
MINIMUM - RESIDENTIA
MINIMUM - COMM/IND
STATE SURCHARGE PFfF
(ADD $.50 S/C IF PERQNIT
PERMIT #
PWMBING PERMIT RECEIPT # ?} `? G??`, L?
CITY 4F EAGAN
3830 PI T KNOB ROAD, EAGAN, MN 55122 DATE: 6
PHONE: 454-8100
WORK DESCRIPTION
New X
Add-on
Repair
LY - COMPLETE THE
FIXTURES
;et - $3 00
- $3.00
$3.00
....?..........
TOTqL??,
•v
? -d0
.?
? ? CJ G
. ? -
- $3.00
- $12.pp ? hfr pool - 5 . Q
- .op Ga Pipin utlets - $1.50
_ MI UM - 1 PER PERMIn
. So er - $5.00
I FOR: CITY OF EAGAN
Well - $10.00
Private Disp. - $10.00
=Rough Openings - $1.50
FEE:
STATE S/C:
.: ,-
GRAND TOTAL:
x M ?
t PERMIT # ," '•'f'??7 ? y
? PLUMBING PERMIT
RECEIPT # - „?
i CITY OF eAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE PHONEIll : 451-8100 Site Address ?257,2 - u-? ? Ll BLDG. jYPE WORK DESCRIPTION
7City
Name
COMFh/JMD FEE - 1%
APT. BLDGS - COMM
TOWNHOUSE & COND
MINIMUM - RESIDENI
MINIMUM - COMM/IIN
STATE SURCHARGE P
(ADD $.50 S/C IF PERA,
- $12.00
- $20.00
_ 5i!
FOR: CITY OF EAGAN
New
lOfu?? Add-on •
Comm!Repair
pcn ?
RES. PLB NLY - COMPLETE THE FOLLOWING:
Mp ? FIXTURES TOTA Ll
L-Wde?,Closet - $3.00 5
Leacn ?utas - $s.oo o
?
lavatpry - $3.00
,
:::
:
Sf'teWter - $3.Q0
_-Z-Kitchen Sink - $3.00 r• ?' ?
_I lrinal/Qtdet - $3.00
Laundry Tray - $3.00
Floar
? Drains - $1.50
? • `?
?
?V?ater Heater - $1?.50 l• ?
?'
Whirlpool - $3b0
?Gas Piping Outlets - $1.50 `
(MINMAUM - 1 PER PERMIT)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
?Rough Openings - $1.50
FEE:
STATE S/C:
GRAND TOTAL:
*******,: ******,: * * * * * * * * * * * * ** * * * * * * * * * * i
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 256
DATE: 08/08/00 TIME: 15:54:58
ID:
NAME: PLEASANT VALLEY HOMES, INC
3210 9001 3625 ASHBURY R? 60.00
3430 9001,3625 ASHBURY RD 0.25
2155 9001'3625 ASHBURY RD 0.50
Total Receipt Amount: 60.75
CR135572
USER ID: JAN
.??++++??********?*****************?****
(G??%/6 / 7dd'??'
21223 ??
" &
?'
,
n?2
a_?
Requ¢st Date
6- 21- 8 9 Fire No. Rough-in InspecHOn
R°??d?
? Reatly NowWlll Notity Inspector
Yes ? N. When n Reatly7
I licensed contractor ? owner hereby request inspection ot above electrical work at:
Job Atltlress (Sireet, Box or Raute No.) Ciy
3625 Ashbury Road Eagan
Section No. Township Nama or No. Range No. County
Dakota
Occupant(PRIN'p Phone No.
Key Land Homes 894-2636
Power Supplier AGdress
Dakota Electric Farmington, MN 55024
Eleclncal Contrector (Comparry Name) CanVeclor5 License No.
Midland Electric Inc. 041610
Mailing Adtlress(COntraclor orOwnerMaki`g Installation)
14055 Grand Ave So, Suite E, Burnsville, MN 55337
Autlw' ure (Commctorlbxner Making I tallallon PFwne NumE¢r
892-6688
MINNESOTA STATE BOAqD OF EI.ECTpICT'
Griggs-Mi7way Bitlg. - Room 5173
1821 Univarclty Ava., SY. Paul, MN 53104
Plronre (612) 892-0800
r- THIS INSPECT70N REQUEST WILL NQT
BE ACCEPTED BV THE STATE BOARD
UNLESS PROPER INSPECTION FEE IS
ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
102 See insimcl?Lons lor compleling Ihls farm an back of yelbw copy.
It' 2122.3 X' Below Work Covered by This Request
EB-00001-0]
e Add Rep. TypeofBuilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplez Water Heater Electric Heating
ApL Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Other (speciry) ConUaclor5 Remarks:
Compute Inspection Fee Below:
# Other Fee # ServiceEntranceSize Fee # Cimuits/Feeders Fee
Swimming Pool 0[0 200 Amps 0 to 700 Amps
Trenstormers Above 200 _ Amps Above 0_ Amps
SIgnS inepec1or§ Use Only: TOTAL
IrngationBooms
Special Inspection
Alarm/Communiration
Other Fee ?
the Electrical Inspector, hereby
tif
h
h
b Rough-in 7
cer
yt
att
ea
oveinspectionhas
been made. F;nai Date ,??.
OFFICE USE ONLY p ? ?' -
This mquest witl 18 manihs iro.
/
? " CITY OF EAGAN N? 16409
? 3830 Pilot Knob Road, P.O. Box 21 -199, Eagan, MN 55121
PHONE: 454-8100 /Y / Q?/ j
BUILDING PERMIT
Receipt #
L J
U C?
Tobeusedfor SF DWG/GAR Est.Value $83,000 Date MAY 4 ?g89
,
Site Address 3625 ASHBORY RD
H
E OFFICE USE ONLY
AWK GL
N
LOt ZZ BIoCk 3 SeC/Sub. B?+CK
Parcel No. 2ND Occupancy R- 3_TL-1 FEES
R-1
zoninq
w Name ??'LAND HOMES (nctuaq Consi V-N a?dg. Parmit 564. 00
AddreSS 14450 BURNSVILLE PKWY (Allowa6le) V-N
Surcharge
41.50
? Cit BURNSVILLE phone 894-2636
y xofS?ories _
Leng?h 5$ ? Plan Review 282 • 00
o Name S? oepm 4$' snc.ciry 100.00
t
$Q Address s.F.rotal - SnC
MCWCC 575.00
? City Phone S.F. Footprints - .
t
C
'?' 580
00
On Site Sewage _ er
a
onn _
r
ww
Name
on Site Well
-
Water Meter
90.00
?? Address MWCCSystem XX
30
00
a?
aW
Oify Ph008
Cily Water
_]?[
Acct. Deposit
.
PRVRequired ?x S?WPermil 2?.??
I hereby acknowlege [hal I have read [his application and state that the eooster Pump - SNJ Surcharge 1.00
intormation is correct and ag?a ro comply with all applicable State of
?
edinanc s.
Minnesota StaWtes and City 1
gan O Treatment PI 228 - 00
q
Signatufe ot Permi?ee "•' ? ? APPHOVALS Road Unit 34n _ no
A Building Permit is issued [o: Planner - park Ded.
on the express condition that all work shall b done fn ac ordance with all Council _
applicable State ot M
inne
ota Statutes and Ciry
of Eagan Ordinances.
s Bldg. Off. _ ?oPles
/
?
?
,{
Building OHicial ?-?.t}u17 I ?DA.f,? •? I? Il l
?-?? Variance - TOTAL 2, 851 . SO
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) ???'?
CITY OP EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
New Canshuclion ReauiremeMs
Remodel/Reoalr ReaWremenh
? 9 registered slte wrveys showing sQ. ft. ot lot, aq. H. ol houae 2 copies of plan
ond QII roofed areas (20'X maximum lot coveraae allowed) 1 set of energy calculaHons for heatetl adClHOna
? 2 copies of plons (ahow Deam & wintlow sizes; poured fid. tlesipn; etc.) ' 1 aHe wney tor exlerior atltlitiwu & tlecka
? 1 sef ot energy calculaNOna
? 3 coples o1 hee preaervalion plan (1 bt plaNed atler 7/1193
o?
DATE: Z-'K- DU CONSTRUCTION COSi:
DESCRIPTION OF WORK: DC'C' K I( multl-tamily bldg., how many units?
STREET ADDRESS: 367-S Fq5Ha0?'t X TO.
LOT: 22 BLOCK: 3 SUBD./P.I.D. #: DlwAaW F GI'2h 2MQ
Name: Pe +EI'SOn Phone #: 4 5 ? - 1-/s6 ._ / /YS-
PROPERTY lasl '
OWNER ,/1
Sheet Address: ??2S r'?I S?f BO(Zy
ciri state: mru Zip: ssr zz.
L)
a: "7??-99? `?78rZ
(area code)
CONiRACTOR Sheet Addreu:2 Y3 ?LU E iW bjiv f? License #20131 S-Z EV, 3 3 i O!
ciy OH14 UPLI lt i s?are: M YU zip: 5S3 /6
ARCHITECT/
ENGINEER ; Compony: Name:
Telephone p: ( )
Sheef Address: ReglshaNOn Y: _
Ciy stare: zip:
SeweNwater licensed plumber (if installina sewerlwaterl: Phone #:
I hereby acknowledge lhaf I have read this opplication, atafe lhat fhe informa ' corteci, and as
of Minnesota Stafufes and Cily of Eagan Ordinances.
Signafure of Applicant
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
wNh atl appGcable Stale
/ / b
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 OS-plex
? 02 SF Dweliing ? OS 06-plex
? 03 01 of _ plex ? 09 07-plex
O 04 02-plex ? 10 08-plex
? 05 03-plex ? 11 10-plex
? 06 04-plex ? 12 12-plex
{N,ORK TYPE
,
p 31 New O 36
O 32 Addition 0 37
O 33 Alteration O 38
'D 34 Repair O 42
GENERAL INFORMATION
SAC Code
No. of Units
No. of Buildings
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
OFFICE USE ONLY
O 13 16-piex O 21 Porch (3-sea.)
p 17 Garage ? 22 Porch/Addn.(4-sea.)
_g 18 Deck O 23 Porch (screened)
'O 19 Lower Level O 24 Storm Damage
Pibg _Yor_N [3 25 Miscellaneous
? 20 Pooi [1 30 Accessory Bldg.
Move Bidg. ? 43 Reroof
Demolish (Bldg)' ? 44 Siding
Demolish (Interior) ? 45 Fire Repair
Demolish (Foundation) ? 46 Windows/Doors
' Give PCA handout to applicant for demolition permit
# of Stories
Length
Width
Basement sq. ft.
Main level sq. ft.
sq.ft.
sq. ft.
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
sq. ft.
sq. ft.
Footprint sq. ft.
Census Code
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
APPROVALS
'Planning Building Engineering Variance
Permit Fee Valuation: $?_
Surcharge
Plan Review
License
MC/ES SAC
City SAC '
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other ?
Copies
Total:
? 31 Ext Att - Mui6
? 33 Ext. AR - SF
? 36 Multi
SAC Units
% SAC
I?
1989 BOILDING PE9MIT APPLZCATION - CITY OF EAGAN
SINGLE FAMILY DWELLING3 16qoq
INCLUDE 2 SETS OF PLANS, 3 CERT3FICATES OF SURVEY$ 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRE4SFS FO& CORNER LOTS - CONTRACfOR/HOMEOWNER MUST D&SIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BIIILDING PERMIT I3 I330ED.
MULTIPLE DWELLINGS RENTAL DNITS FOR S6LE 0liITS # OF UNIT3
INCLUDE 2 SETS DF PLANS, CERTIFIC9TE OF SIIRVEY - CHECK WITfl BLDG. DEPT., 1 SET OF ENERGY
CALCULATIONS
COM41ERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
'l SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCUL9TIONS
To Be Used Fo
Site Address 3 S
Lot g?2Blo.ck J
Parcel/Sub
Owner
Address / SL?Sv
City/Zip Code 44-L?vj?-
Phone ? ( 3 (-,
Contraetor 0
Address
(?3 040 Date: ? - 2-7-Slf
Occupancy
Zoning R-7
Actual Const I//U
Allowable V/V
S of stories
Y.?ength ?
b??Eh y2 ?3
S.F. Total
Footprint S.F.
On site sewage
On site well
MWCC System ?
City water ?
PRV required _
Booster Pump _
Cfty/Zip Code
Phone
Arch./Engr.
Address ,
City/Zip Code
Phone # ?3.1 -- ,07_ c
$PPROVALS
Planner _
Council r
Bldg. Off. q3
Variance
Couneil
4
FEE3
Bldg. Permit s? y
Surcharge eIl/• So
Plan Review 2E' 2•
SAC, City /"?!
SAC, MWCC S%S
Water Conn S 20
Water Meter 90
Acet. Deposit 30
S/W Permit zo
S/W Surcharge /
Treatment P1.
Road Unit 3 O
Park Ded.
Copies
TOT9L
j, ,b tj
NOTEs Sexer & Water Permit fees and aceount deposit`VAee.-will be ineluded in the building
permit fee. Processing time for sewer and water permtts is two days once a liaense$ '" •
plumber has applied for a permit at Citq Hall.
Lawev .
?yk z6k ?y ?
( COf d/?s
ep ? a... ? ? '? ??? j
(, ao
38. ?
ities Di ig tal Quality Control
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
EXTERIOR ENVCLOPE_AVERAGE "U°_COMPUTA;F-iON
DATf::.
SITE ADDhE55: PHONE:
CONTRACTOR:?C? PLAN k
Determine worl:ing square foota9e of each _
z
1. Tota] exposed wall area..... ? Q 9 2 '!5- sy. ft. x.11 =
2$? 3
2. Toial roof/ceiling area..... ? O 9Z= _ S9• ft. x.026 = 9
Total exposed wall area above.floor=__ l$ Z r
f V S?ceB
a. Total wall window area .................. ...................
..............
?
b.. Total, door area ....................................
...... 'S L•y
c. Total sliding glass door area ..............................
...
:
d. Total .
fireplace wall area ....................... ............
...
...... ............
10%) ( zJ
e. Total .••••••
wall framing area (average
............ '-f
f. Total rim joist area.................................
...... 1co Z? .
g. net
..............
wall area a6ove floor .................
........
.
h. wall area above floor .............................
i,
...........
wall area a6ove floor ..........................
J•
...........
rrame wall area at ioL:ndation.......•••.••..•••.•••••
Total exposed foundation area= 7 Z-S`
k. Total foundation window area .......................
S`
7Z
1, Total I
net foundation area above grade ..............
Determine "u" value of each wall segment
il section)
t
e wa
(e,g, window, door, each separa
a X lull ! cf ] L( (c
lull
b.
? ,lu„ Ch
c. X
X lull d.
I$2?? x liutl v(n7 = IZ•Z7 _
e.
s- X l,ui,
?L
f.
i
9• X iiUii
JLe 41
h X ?lull _
. ------' .
X „U„
i.
J-
r..
1.
X "U"
x -
lluti
X "U" ? t
.°
=
If item 473 is the
as, or less than
nl, you have met
intent of SBC 600
3 .' .................................Total
• Total exnosed roof/cezlzng area
.. . .. . , . .
.? 'b ra)s).vli:ght zzea ........ ..................
--• -° al _oo`/cci'_i.^.g framing zrr_a (:rvcrayc 102) , l0 'Z- ' .
... o. _ote?l net i:snlatcd roof/ccilin9 area. . . . ... . . ? $ Z.
..
Determir.e "U" value for each roof/ceiling segnent .,?. X „ull
n. x „ul,
x"U" ....... ....... ..... ... ..... ?btal
__ =o_al c` -: is t?:e same as, or less t:han 142, you have met the intent of •
5-. =0i15 ic) ? , . . . J
Alter7=`e 9uilding Enve:.ope Design .
I i-e t:^.e t oczl e.^.velooe 'system method, the values estzblished by, the s'.ua o£ '
izems =3 z.d -4 shzll rot be 9reater than the sum of items #1 and n2. ..
1. Z2y 1C0 ?2$ + 2. z:Q',^..s?' = G T3, 0 J
'
3. ( ll l ?? ? + 4. 7-0-7 ?0:35,
.. Pim # R -?3ZS
* LnqEAL r-Eer EXPosID waLL
BLOCK: yZ r z. p-r yW +?-??.r ? S f- Z? _?`( ? : • ,
KNF.E : 4 7- + :. ? .?. r
W.O.
? .
FUL.L 1: y z+ z 4-+ Z ?? + c..+ c, fi ? s+ 2Co ? l y?
fULL 2:
FIREPLACE: .
RIM:
* SQUARE FEET FJPOSID WAI.L A REA
BLOCK: x .5 = 1 Z,IT
2QNEE: ?33 1x 5 = l? ?05
W.O.: x 8 =
FlTLL 1: x 8= 1 l Ce °.
. FULL 2: x 8 =
'. FIREPLACE: x -
RIM.
TOTAL
-
ZoLl2 S -
* SOUARE FEET EXPOSID CEILING \Ov?'L
l N DOvYS DOORS
' -7- q 3? = Co = 3 G? z% t7ir
Z 3 3 S _ c:•w ?: Z7 ,? S' * PATIO DOORS '.
1955
BASIIMM UNTTS
. WAL.L SErTIONS
?
NOTE USE'10$'0£ OPAQUE WALJ, AREA FOR
• £RP.ME CONSTRUCTION
i
,
I
STc l?
WALL i ?
i
FIG. #1 TOPVIEW OF
FRArE wtLL
i
? ? -? •
Il 2.
:i
FIG. #r2 3.
4.
!I O 6.
i _. (D
,
/ • u', o • ,
0 n'• '
I n • ? 'p'
-------? .
? . n , .
•
e ?`'/ i.
,
p
, ---'1
R-VALUE
?2aw•? . . ..
1. TNTERIOR AIR FILM .to8 ,
2. 1??v
gP}-LM
P ?Po?+(
3. _
p
' S/L SOFT WOOD !a . 8 7
4. ?.;. .:,c ?` wrr? ? (.o • 00
? 0
17
6. R AIR I .
TOTAL 9
1. INTERIOR AIR F'ILM. 0.68
2. R?C> ^F LM LL_Polai VA-?'S ..
3.
4. g?• -r,_•?.? _ /? .oo
5.
6. OR =l .
Zc,•9Z
] TTITFIRTnR ATR FTTM 0.68
.
1.. INTERIOR AIR FIIM 0.68
2. 7" o r.i CC 43 cAC? t 28
3. V?r • S:> l e-?StCL_ 5.O?
4. '
5.
6. RIOR AIR FIIM 0.1
TOTAL l 3
SLAB ON GRADE
i
I I ?
? U ? ? ' • .
? .. _'
I 0 I
' '• ? • , ` ? r f l! -?
l? ? r f {(a e ^. /`l
hd ' ?
FSG.
v,
??•? • ?' ::-=
U y
i
,
' -• ?tl ?-
?? i
?
Fzc. #4 _
?II I'
NOTE: INDICA TYPE
OP It3SULATION
' lrl,
yAIAJE; AEF'r!'H AAID PIACIIgNT
_ TOT'AL Z8.3fo
KW: -?.L1L1ivu
CONSTRUCTION ' R VALiJE
• %.
• /?,-
? ?
3.; ?:/
1.
2.
INT'ERIOR AIR FILM
578'?
o.s&
.
4
.
Vf2.'T u .02
PRA ME
I
?
' 1. INT'ERIOR AIR FILM 061
T FTYJ?rt
y?"-i
I
F?1
L-? I u UP 2
3. ST$T'-, .
X
4. txitiuur,
FIG. #5 U = 0.024
CONSTRUCTIOM
' I ?iEAT F-iAW UP
ll
FIG. 9E
VENI'ED
r @ r-o
1. INSIDE AIR FIIIf 0.61
2.
3.
4.
TO,PAL
U =
FRAME -
1. INSIDE AIR FI124 • 0.61
2.
3
4.
5. OUT
U
1. INSIDE AIR FILM 0.61
2. .
3.
4.
S. L
U.
NOTE: USE ADDITIONAL SHEETS IF FORE SPP.CE IS
NEEDED FOR DETAILS AND CALCULATT-aNS.
°IG. €7
NVN-Vtdvltu 1 1
u
HFAT FIAW
UP
GlTY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
PERMIT
Conlrol No. 1367
PERMIT TYPE:
Permit Number:
Date Issued:
EUILpING
001337
12/0S/92
36'?.'S liSHBiJh'Y RCi
I_Qi'n 00 22 8 LOCK: 0083
t?;LACKHAWK GLL-"N 2IVI]
DESCRIPTION:
t?ui.tdiri.g PermiC l"ype
Bu;i le#in?..,_UJor-k 7yc,c:
_- ,
.. ... . , . r l
.?
REMARKS:
L, 0 2 i q Ll_-?)
F1REPLHCk.
N 'r". 4J
t i ! r7
FEE SUMMARY:
[as2 Fee $25,00
Si.archa r,e
?
Total Fee 25.50
CONTRACTOR:
sraNKE Masnivav
710 w Isr
N oia'rH r- xF' L.o mni
(612) 645--7,120
-- App7.S.c:ant - OWNER:
154571.20 PE7ERSON t]OIIC;LA5
3625 ASHBUftY ftCJ
S5057 E:ncfln MN 55122
(612)4:6-9316
I nereby aGknoWledge tr,at s
informatzon 9.s carrer.t and
Statutes and Czty ofi Eagan
?
URE
have reaci this aPpiicatiori and state thar the
agres T.o cam{aXy with a11 app:Lica4le State af Mn,
Ordxrrances. ?
'ISSUED BV: SIGN T E
PERMIT f
REACTIYATE
_ . ... I
CITY OF EAGAN
1992 BUILDING PERMIT APPLICATION
681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, i copy of energy
calcs.
COMMERCIAL 2 sets of architectural 8 structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in whlch re uest is made or lot chan e is re uested once ermit is issued.
Date ?u.em h-.r /7 / / y Valuation of work
Site Address:_ ?CdS fl51fg04y ?o+p
$TREET SUITE /
Tenant Name: (commercial only)
IAT J t BIACK ._?_ SUBD. 61 7
w!t < P.I.D. k
Descri tion of work:
The appl i cant i s: Cl3? Owner ? Contractor ? OtFIQT' (Deseribe)
Name r6,mR?! vc,P.s Phone y5&"Q915'
Property LAST FIRST
Owner Address 9u 2`; 4.40
STREET STE F
City _ EA ciA14 State AJ Z i p SS?JY
Company 1144 kE NIf}sotJ? " -_Q, --4?g Phone7) (oy5-71a-
COntrBCtOt' Address '710 r,JcsT C'¢sT License # Exp.
City _AlOr711'ELD State /l%.a•J Zip ?55057
Company Phone
arcnitecu
Engineer Name Registratian #
Address
City State Zip
Sewer 6 water licensed plumber . Processing time for
sewer & water permits is two days once area as been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable 5tate of Minnesota Statutes and City of
Eagan Ordinances.
5ignature of Applicant:
BUlL01NG PERMIT TYPE
? 01 Foundation
? 02 Sf Dwg.
? 03 SF Addition
O 04 SF Porch
O 05 SF M1sc.
WORK TYPE
? 31 New
? 32 Addition
OFFICE USE ONLY
? 11 Apt./Lodging
? 12 Multi. Misc.
O 13 6arage/Accessory
? 14 Fireplace
? 15 Deck
0 06 Duplex
O 07 4-Plex
? 08 B-Plex
? 09 12-Plex
? 10 Multi. Add'1
? 33 Alterations
? 34 Repair
? 35 Tenant Finish
? 36 Move
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
i of Stories
Length
Depth
APPROVALS
Planning
Engineering
REGIUIRED INSPECTIONS
D Site
? Nallboard
Basement sq. ft.
lst Fl. sq. ft.
2nd F1. sq. ft.
5q. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Variance
? Footing
? Final
? Framing
? Draintile
? Insulation
? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Mater Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
Valuatim: $
44 "": 0
O 16 Basement Finish
? 17 Swim Pool
? 18 Comm./Ind.
O 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
MWCC System
City Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
Assessments
SAC %
SAC Units
CLAIM VOUCIIER - REFUND REqIIEST
CITY OF EAGAN
CLAIh1ANT D C MECHANICAL
ADDRESS4253 WEST 140TH STREET
SAVAGE MN 55337
Location 3625 ASHBURY R
179„_$3,_R ACKHAWK CLEN 2ND
Receipt No./Date
ReasOn foT Refund i1f1PT TrATF PFRMTT
'Cype of ReFund Electrical Permit 01-3211 $
Plumbing Permit 01-3212 $ 30.00
Mechanical Permit 01-3213 $
Surcharge 01-2155 $
Water Connection Fermit 20-3713 $
Sewer Connection Permit 20-3743 , $
Account lleposit 20-2252 $
Utility Account Over-payment 20-2250 $
Other: $
$
TOTAL $ 30.00
I declare under the penalties of law tliat Cliis account, claim or demand is just and
tliat no part of iC has been paid.
i ?
?JUNE S, 1989
Signature Date ?
Cities Di
ontrol
The following image represents the best
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from the original page.
HEAT LOSS CALCULA7IONS ?, ?
?
`' ?:as r+, h : • ??
'
?,
?
,
.- DEFARTMENT F
?
?tv.oN?
RNSVII
OF°BUILDINGS,?.' X
" ..es.he.mripa E• ; a
_
Gwde ConatrucUon No ?`•,"' ? .
" Insulatwn :
WindowL Doon Relcrence Oul Wall
Y
N I?
II Inl. Wsll Ceilmg r
Roof Floor
I'" Kmd How A
lied `
ee-
Yes-No 19
._ . pp
--r-
FI.I K.4- - FSTRoom Lengih / Width / Height` S FI.1 Lj '= Room Length Width Height
Windowe and Doors-Crackage and Aree
Line?l tl Windows an Doors--Craeksge end Area
. Arc?
IiRht• of er.ck I0
Ne, nf Dsne al p'ne
WI? IIe1?M: N.
Of -. Llmel tl. Are?
a! D?n? IIRb
et Done N '
f
Y
e
<rat
?0 ft
?
a ? ? a i98 k0?, f? r o? o o
,
y y
,
,
>
CoeL Bw
1n61tration ..
;.... ,.,
Coe(. Bt?
Gless ?
77-
Infillntion'
q
p. wall /+J 5?N
fa
O
O 1
.
Y' Clan '. 3.?? C
Net e=p. wall ,. Eap. wall
f.?la
{M„?„?u e/ ?? NN e:p. wall ? >
Ceiling . /
Required ?q. ft. E.D.R. or
p. ins. W.A. Leader ena
''; ''Tetal Bw.
Required Wit E.D.R
or
W im• W.A. L
eeder erea
.,
/S .1 1-'o Room Length JS- Widjh Height 0 .
.
Win dowe an d DoorF--
C
k
d . ? Fl. I Q?1? -lfid l1 R o o m I L e n61 h
L--.-. 9 Wi d t h /(p 'Heig h l S$
.
nc
age en
Area _ ..t?r.. y :
Glus
Fsp. wall
Net esp. wall
lotsl Blu. -
Requi-- ed (
Clsu
EllT
Net eap, .Ini..waR.
or
- winuows ana voorp-a,rues ge sna ntes
-
.?.N0. WIAth
O[pan? NoIMI,
09 pane ?a. ol
Ilfhb Llnetl fl.
[cf?Ck Ar?s
?a.ft.
•??,.•`j
.,. _ , '.N^ . .
.
.. . ?. ?4. .. .
. .. . . . . - ie? • ??
Infiltntion
ei::
,. Fsp. wall ? .. , 7
Net esp. wall
6d
` Ceiling
l1r k ? ? / a
„ Tm,l etu....
V.A. Leader srea?? : Required aq. fL E.D.R; ot tq. ins. W.A. Leader ana `
? aiath Heighe '
aad Area IR''L' Room l l.ength Io Width Heighi
gp"' ' Windowe and Door?-Cneka? and Aroa
nHl fl. Afea
ersCk NIl ; x Jl ,. y,x A' IAt?
•'. eIfhl Y' a of Llnn1. Arn '
Nw ? of yaM ' st poe? UfAU ef eruY q. tl. '
1.i I !7 1 \,
- .. ' ^ •"%'?" . . _. .. . .. ' .
.
Coef. - . Btu Coef. Bt,
`
yo' '•
!
Infiltralion ` ?
,
R?
bb
U /DO Gl?o
?sll ; Fsp. wall "
Net e:p. w.ll
? ~ ?1ne:?wd1 '
? ? - .
,... ceaine
UbdG Tot.IBen
q. (t E.D.R or q. ins W
p
( aader
,
.
arca
Reqmired p.
(t E.D R or
A
L
d
s
ms W
70.
`
r .
ea
9
.
er arca
. ».._,- ..
.
_ 5& 71
///ol -,
s
?
'`?
c, ... - --._ . ------- --?-uernec?Mr?rf OF°BUILDINCS -, ; ,<,,,: 5 • ,;-:='.CITYOF'6URNS
Vtt
?/. L I? e c u i
? Gmde Cons(ruclron No. ? ? c..,
ti Window? ' I
? _s I I Re(erena I I Out. Wall Int. Wall Cei6n8 Fl
Roof •,?f A '; nmlalion
' Ya- o Y?es-No oor I ` Kmd ` How Applied +
S L? , o iRoom Lenqth O Width 0
Windowe and Doon-Crackaee and Area Height F?•I ' Room Length " Width Height
,
Na wl'Ith
??•?Rn? r+?. er Llne?l fl. Are? F wiA?W1 and Doon---Cntkage and Area
aro.ne r ?<, '
. o p?ne p' Ilq?ln pf aseY p fl ' Wltllh ..Iblihl No. e! LIneH fl. Aru .
af pi ef pon* IIRhb et eracM p tt. .
' .+- ...'?. .. . . . , .
. : . , .. ,... . . .. . . . . . . .
. ' ., r'' . . .. .. ' . _
lnbliretion Coef. Btu ,
` Glass 0 Coef. Bt,
Infiltntion ' -
Fap. wsll p. b o' p i
' Glan "
., Net ezp, wall ?_ .• s s' Exp. wdl
Jn1.weH ' ,.
Net e:p: well
Ceiling . ? ? Int. wall
?Fleor ? .., .
, . Ceiling ;. . ; . -
Total Btu. Floor _;... ,..,. ,.
Required sq. Ft. E.D.R. or sq. im. W.A. L.esdcr srea Totsl Btu.
Fl•? m4Ruom Length ! RMTMed tq ft E.D.R. or sq. im. W.p. ?ader ares
? W?d?h M Height
Windows and Doora--Crsckage and Ares z_ Fl.? •Room ( Length ''' Width .' Height
w?.. ' Window? ?nd Doon--iCraekage snd Area
No. of O?ns ef pno tl 111? et uack
? ?V fl ?WIAtn H?ISn1 Ne. ef Llne?l fl. wna
of pam Of qn? IIIAU of cracM q- (t
y 6
? .'
In611rstion ?Oef. BW " . .
Glns Infil[ntion e • 1•
ExP. wall y+a b f?l a?016 ? ` Glau '
Net ap. waq ? Fap. wdl', .
"Avd4 Net e:p: wall `
Int. wall ,
Floor Ceiling .
Tolsl Btu. Flaor , ? . ., .
Required sq. ft. ED.R. or sq. inw W,p, (,eeder aros ., ` Totd Btu. `Fl. Raom ? Lenqeh ? W?d?h ' RMuired sq. fe E.D.R. or sq. ios. W.A. Le?der area
Heiehe ,?
Windows and De"arF-4-rackave and Ares ?alLengeh' " Width Height
Ietn x.irm ae. e ue.. IL Area Wmdow? a? Doon-Cneksse and Ares
40. a[ p?n? of pan? IIfMe ef er?eR q tt.
. t i.i WIAIh .ANfAI ,l. ae tnOal 4 An? . . - N0. ' e! Pam et tIU af tra<k p. tG
,.. _.' , ' r. i?,n..,, ..... .. .+.
,.ti f ... . . .. . .
nfillratioa Coef. ' BW ' ' , . .
;lan Infiltralron Coef. _Bh
,
itp. wall . , Glnt •.: .
lel eap. wsll Fap. wall '' ?
nt. wsll , ,•Net esp: w?lfr °+ . , _ ' .. :_ , . . .
'eiling Int. wdl "
?. . ?
r' CeJm
loor . _ e .
Flooi : . ,.
. .. . ... ..'5:. . .
'ofal BI
.-,
;equired sq. ft E.D.R. or ,. , . Toeal Btn.
sq ias. W.A 4ader aroa '- ? -
WA. Leader arca •...
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
?a g I ? 3830 PILOT KNOB RD, EACAN MN 55122
651-681-4675
New Constructfan ReauiremeMa
• 3 registe2d sRe wrveys showing sq. R of lot, sq. R. of house; and all roofed areas
(20% maximum lot coverage allaxed)
• 2 copies of plan showiig beam & windmv skes; poured found design, etc.)
• 1 set of Eneryy Calculalions
. 3 copies of Tree Preservatlon Plan 'rf lot platted after 7/1193
• Rim Joist De1ztl Options selecUOn sheet (bldgs wAh 3 or less unils)
DATE ---A- ' R7 - nZ
SiTE ADDRESS
TYPE OF
APPLICANT Catastrophe Restoration Serv
STREET ADDRESS 2489 Rice St Suite 70
TELEPHONE # 651-734-9433 CELI PHONE #
Roseville STATE MNiIp 55113
FAX # 651-483-0219
PROPERTYOWNER??,_-?,? TELEPHONE#li:Sl-L{?
----------------------------------------------------°------------------------°-----------°--
COMPLETE THIS SECTION FOR "NEW^ RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULFS 7670 CATEGORY 1 MINNESOTA RliLES 7672
(J submission type) . Residential Ventilation Category t Worksheet Submltted • New Energy Code Worksheet Submitted
. Energy Envelope Calculations Submitted
Plumbing Confractor.
Plumbing system includes:
Mechanical Contraetor:
Mechanical system includes:
Sewer/Water Conhactor:
Phone #
Phone #
Fee: $90.00
Fec: $70.00
-------------------------------------------------°-----°-------°-------------------°--°- -- -----2--- -to -
I hereby acknowledge that I have read this application, state that the information is corre ?_d?gte o ?
with all applicable State of Minnesota Statutes and City of Eagan Ordinances. .II II 0 8 2002
r
Signature of Applica
OFFICE USE ONLY -
Certificates of Survey Received Tree Preservation Plan Received _ Not Required _
- Updated 4102
Inc.
MULTI-FAMILY BLDG _Y VN
_ FIREPLACE(S) ? 1 _ 2
_ Water Softener
_ Water Heater
No. of Baths
_ Phone #
Lawn Sprinkler
No. of R.I. Baths
Air Conditioning
_ Heat Rccovery Systcm
I r:? T-1 .-:)- C:?_
RemodellReoalr ReauiremeMs
. 2 oopies of plan
• 1 set of Energy Calculations for heated additbns
. 1 site survey for extenor additions & decks
• Indicate if home served by septic system tor additions
VALUATION 9-7-25- -
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 Otof_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.) ? 33 EM.AIt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex p 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Pibg_Y or_ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 38 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration 0 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 Bldgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) FinallC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addition) _ Plumbing
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tesu _ Final
_ FrammB _ Siding Stucco S[one
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MGES SAC
ciry SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plum6ing Permit
Mechanical Permit
License Search
Copies
Other
Building Inspector
Total
655/3
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
/S 57)
Dateq- 1 1-1 / 04
Site Street Address t-Lb ur ?(} Unit#
Property Owner Telephone #(64 f)?
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Contractor
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Telephone #(4tL
Address -SQ fl A vin., C? r1vL ? City State_P/ (? Zip
The Applicant is: _ Owner V Contractor _Other
Alterations to existing dwelling $ 50.00
_Add fixtures to rooms, excluding water softener and water heater
_Septic System Abandonment
_Water Tumaround (add $121.00 if a 5/8" meter is required) JUL 2 g 2004
r;
Other:
W
S
f ? /'
V By
"
$ 15
00
ater
o
tener Water Heater .
Az?replacement _ additional
Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00
State Surcharge $ .50
Total $ [4?•5?
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 ac?dance with the approved plan in
the event a plan is required to be reviewed and,approvpd. ,?'_'Ra*L? ? " PA 2V/
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0,OENOTES IRON MONUMENT SET SCALE: 1 INCH = 30 FEET 10-20-86
~ DENOTES IRON MONUMEN7 FOUfJ~ PROPOSED GARAGE FLOOR FEET
XOaQ.O OEN~TES EXISTING ELE~lATION ~ PROPOSEI~ LOWEST FLOOR = ~7i ~ FEET ~ REVI S IONS
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~JE NERE6Y CERTIFY TO ' SIENNA CORPORATION THAT TH1S IS A TRUE AND CORRECT N~ ~ -
REPRESENTATIOt~ OF A SURUEY OF THE BOUNDARIES 0~: ~ ~ P,R~~o R~~~1 RED
1-- lot 2Z Block 3, BLACKHAWK GIEN 2ND A~D•ITION, according to the recorded plat ~ ~
thereof, Dakota County, Minnesata. ~ ~ ~ , ~ ~ ~ BOOK / PAGE
~ fMENTS OR ENCROACNMENT.S IF ANY. AS SURVEYED BY 314 /12 IT DOES NOT PURPORT TO SHOL IMPROU ~ ~
Mr no IfNf1Gp Mv nr~FrT ~iIPFRUtS1~N THIS3oTHDAY OF DECEMQER , 1986. ~ ~ ~ ~ - ~,~i ~
.IL VI\ VI\u1.1ill vai.~.w• • . . . ~ t PHOJECT •
51GPIED; JAM H L1., INC. ~~p ~ 8913 4
Dat„ _ ll~~ FILE N0.
EAGAN' E~IGI~EERI G ~Ep~ I-86-192
BY;
HAROtD C. PETERSON, LAND SURVEYOR SHEET i OF l MINNESOTA LICENSE NUMBER 12294
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DATE
-°a- DENOTES PROPOSED SURFACE DRAINAGE
0.DENOTES IRON MONUMENT 5ET SCALE: 1 INCH = 30 FEET IO-20-~6 • DEiVOTES IRON MONUMEyT FOUP~D PROP05ED GARAGE FLOOR = ~ FEET RED REVISIONS
X000.0 DENOTES EXISTING ELEVATION PROPOSED TOPEOF BLOCK ` FEET ~~U~
(OOO.Oj DE,lOTES PRD(~OSED ELE ~~R~v, R
4!E NEREBY CERTIFY TQ ' SIENNA CORPORATION THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF TNE BOllNDARIES OF: ~
Lot Zz Bloclc 3, BLACKNAWK GLEN 2ND ADD.ITIQN, according to the recorded plat L
thereof , Dakota County, Minnesota. BOOK / PAGE ~ ~ ~ ~ ,:JT: ~
~ , ~ ~ ~
IT DOES NOT FURPORT TO SHOW. IMPROVEP~ENTS QR ENCROACHMENTS, IF ANY. AS SURVEYED BY ~ '
dA~ ni0[~T c~~o~pvrcinN TutS ~nrNOAY OF r~ECEMQER . 1986. nnn irrr win
Mt UK UIYUCK i'II U1f%C~1 Jwwre.+8~. ..w~~.. . By •
SIGPIED; JAM N LL, INC. 8913 4
Daf~ ~
EAGA~' ENGTNEFRING DEP'~ FILE N0. uc'
~ I -86-192
4Y:
NAROLD C. PETERSON, LAPID SURVEYOR SHEET f OF 1
MINNESOTA LICENSE NUMBER 12294
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA122169
Date Issued:04/28/2014
Permit Category:ePermit
Site Address: 3625 Ashbury Rd
Lot:22 Block: 3 Addition: Blackhawk Glen 2nd
PID:10-14351-03-220
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
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 by law in ALL single family homes .
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 -
James A Wrobleski
3625 Ashbury Rd
Eagan MN 55122
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(130) 651-2644 X777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA142041
Date Issued:04/12/2017
Permit Category:ePermit
Site Address: 3625 Ashbury Rd
Lot:22 Block: 3 Addition: Blackhawk Glen 2nd
PID:10-14351-03-220
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Includes Skylight
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
James A Wrobleski
3625 Ashbury Rd
Eagan MN 55122
(218) 355-0586
Capital Siding & Windows
9673 Wynstone Dr
Woodbury MN 55125
(651) 578-9205
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA167976
Date Issued:04/05/2021
Permit Category:ePermit
Site Address: 3625 Ashbury Rd
Lot:22 Block: 3 Addition: Blackhawk Glen 2nd
PID:10-14351-03-220
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: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
James A Wrobleski
3625 Ashbury Rd
Eagan MN 55122
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(641) 264-4088
Applicant/Permitee: Signature Issued By: Signature