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3665 Ashbury RdCiTY OF EAGAN 3830 Pilot Knob Raad, P.O. Box 21-199, Eagan, MN 55121 N2 13155 BUILDING PERMIT PHONE: 454-Si00 , Receipt # To be used for SF nWG/GAR Est. Value $97,0Q0 -Date 1?-.'BRi1AnY 2; 19 ?7 SiteAddress 3665 ASFi33URY RD Erect Occupancy 123 L t •1 Bl k 2 BLACiCHAW K GLj,:t`j Remodel ? Zoning ul o oc secisub. Parcel No. Repair ? iti ? A Type of Const. i N St on dd or o. es - W. Name Lt3:3DGFtiEi3 BRO S C0' N5T Move ? Length _ 54 Z a 935 E WAYZaTA BLVD Address Demolish ? ? Depth 26 City :?A"A"Phone 47 3-1231 Int. Impr. Install ? 5q. Ft s o U ` m ? Assessment Water & Sew, Po4ice Fire Planner of Bidg. Var. A Building Permit is issued to: J-A"`'`v":cr iv r3nv") %..v+vo: on the express conditlon that all work shall be done in accordance with all applica6le State of Minnesota Statutes and City of Eagan Ordinances. Permit a 493.00 Surcharge 48.50 Plan Review 245 . 54 SAC 625.00 water Conn. 525 . 00 Water Meter 67 . 00 RoadUnit 30,ri.00 7r. PI. 180.00 Parks Copies I r„+.i 2, 9G.00 I • I Permlt No. I Permft Holder I Date I Telephone # I o(f) Ftg. Frmg. Dlap. PERMIT # MECHANICAL PERMIT RECEIPT # CITY OF EAGAN ? ry ?,? 3? 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: ?? 7 CONTRACT PRICE: PHONE: 454-8100 Site Address b r !-? • r? c0 BLDG. TYPE WORK DE3CRIPTION Lot BlOCk Sec/Sub /f' I ? / 1 , ' ' ` Lj ' f ? Res. New m Name ? -? Y • ? ^i c., . ? Muit Add-on ? Address << L ? ,. E -- l? ? Re air ? C ' omm. p c Cihr - Phone pther ? Name !? r r FEES 3 Address 57 ' -• ?• ? ?- ?• RES. HVAC 0-100 M BTU -$24.00 p City Phone ? ADDITIONAL 50 M BTU - 6.00 ? y-7 2 - /? ADD-ON AIR COND. 0-24 BTU - 12.00 TYPE OF WORK ADDITIONAL 6 M BTU - 6.00 GAS OUTLETS - 1.50 EA. Forced Air M BTU " , ? COMMIIND FEE - 1% OF CONTRACT FEE -? Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00 Unit Heater M BTU MINIMUM-P COMM/IND FEE - 20.00 Air Cond. M BTU STATE SURbHARGE PER PERMIT - .50 (ADD $50 SIC IF PERMIT PRICE GOES Vent CFM ?OND $1!0.00) B Gas Piping Outlets # Other FEE SlC: 0 SIGNATURE OF PERMITTEE ? - TOTAL: ? ? • [? ° ; FOR: CITY OF EAGAN i CONTRACT PRICE: Site Address ? ?. Lot Block ? S ? Name ' E' ? f a? ? Address ? c City 'Phone - ' ' , Name ? ? - n `' ` 3 Address p City Phone FEES COMM/IND FEE - 1?i6 OF CONTRACT FEE APT. BIDGS - 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) i.' .i . ., SIGNATURE OF PERMITTEE CITY OF EAGAN PERMIT # PLUMBING PERMIT CITY OF EAGAN RECEIPT # 3830 PILOT KNQB ROAO, EAGAN, MN 55122 DATE: PHONE: 454-8100 - BLDG. TYPE WORK DESCRIPTION ec/Sub Res. New t' Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL -3_Water Closet - $3.00 $ ? _J_ Bath Tubs - $3.00 ?.3 i Lavatory - $3.00 q --J-_Shower - $3.00 _?_Ki?chen Sink - $3.00 Urinal/Bidet - 5100 _L._Laundry Tray - $3.00 /_Floor Orains - $1.50 ? __?-Water Heater - $1.50 Whirlpool - $3.00 _LGas Piping Outlets - $1.50 f" ???? (MINIMUM - 1 PEfI PERMIT) Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE: STATE S/C: GRAND TOTAL: --' -'J` ?? INSPECTION iZECOIZD CITY OF EAGAN PERMIT TYPE: , 3830 Pilot Knob Road Permit Number: . Eagan, Minnesota 55122-1897 Date Issued: (651) 681-4675 SITE ADDRESS: '+? -? ? g-1 A 3E?N"- H 1 P! •. 4' APPUCANT: LO1 141 ftif-1 ?I:i; I I;LpcKtinwK cit } N ; c'611 :1 ? 11'.88- 0;1r:.U ? PERMIT SUBTYPE: TYPE OF WORK: INSPECTION .. . .. ( ? -- --------?------------------ ? Permit Holder Date Talephone i WER/ WATER PLUMBING HVAC Inepectlon Date Uap. Comments FOOTINGS ?l, I FOUND FRAMING - Z- 7 •i ROOFING FIOUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL ? C3YP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBO FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST ' BSMT R.I. BSMT FINAL DECK FfG DECK FINAL CASH RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DAT6 19 • ?. REGEIVED ??. • . PROM ' AMOUNT $ I & DOLLARS 7oo C3CASH [] CHECK White-Payers Copy Yellow-Posting Copy Pink-File Copy Thank You ?! . BY : .1 . BLDG. PERMI'T NQ. )t14 01-3210"' B?dg. P4rmi . 01-3422 Plan Check 01-3445 Surch./Adm. 01-3446 SAC/Adm. 01-2155 Surcharge 17-3860 Road Unit 20-2275 SAG 20-3865 Water Conn. 20-3868 Water Trmt. 20-3716 Water ?Meter 20-2252 Acct. Dep. 20-3713 Water Permi 20-3743 Sewer Permi 79-3866 Sewer Conn. 11-3855 Park Ded. TOTAL . 3 ' R (terfifiratit n# (Orrupttnry titp of (Cagan arpwftrttt u# Iueing jttspertintt This Certiflcate issued pursuant ro[he requirentents of Section 306 of the Uruform Building Code cerlijying that at the tinre ojissuance tlus structure xns in compliance with the mriaus ordinances of the Ciry regulating building con.struction or use. For 1he jollowing: - - , U. c7uai6aooo ?,• : Btag, Plrmit Nv. O-p-Y TYVe ZoninB Do= TYPe ConL °i(;i L • ..r >? f. . . Fi _ OWDEf Of Hwld111g .. .• ? 11 ./< ( ! 1 Add165 BIIYIdl111g Addm ' . C: _ t_'" , . ? } • . .. Locality n., !tIL 28. 19<_ suaaing offlo,l POST IN A CONSPICUOUS PLACE ? CITY OF EAGAN Permit No: '> ;1 Date: 3830 Pllol Knob Road Meter No: Size: P.O. Box 21199 Reader No: Date: ^ Eagan, MN 55121 Bros. Site r 1 r Conn. Chg: - • :?F?' Acct Dep: uOpJ Permit Fee: 1? • ???? Surcharge: . 50pu Meter. f.7 0,3.,Zoning: - Tr. Plant 1 ? ;7. OOvd No. of Units: ? 1 agree to comply wifh the Citr of Eagan Ordinances. Misc.: By WATER SERVICE PERMIT CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pllot Knob Road 9701 P.O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: .:. -1 3`87 Zoning: ?? 9- No. oi Unib: 1 Owner. Lund ,rQTi nros. ? Address: Site Address: 3665 ?.shburv Raad L2 32 P,Iack;aak C' en Plumber. Lunci4.1-en 13t-as. PlutabinFp I ayree to comply wlth Ihe Gty of Eagan Ordinances. By Date of Insp.: Insp.: Connection Charge: S2 S _ (]0pd_ Account Deposit: 1 S _ (ln ? Permit Fee: 10 - !)f1gJ Surcharge: Misc. Charges: Total: - Date Paid: CITY OF EAGAN Remarks ? 1 K ?# ??O a yy Addition $l- acjthaidk 121 -aA I--S* Lot 2 Blk 2 Parcel 10-14350?20-02 owner street 3665 Ashbury Road scate Improvement Date Amount Annual Years Payment Receipt Date? STREETSURF, 1076 1986 253.48 5.70 STREET RESTOR. GRADING SAN SEW TRUNK 1970 6.70 25 Pd rior to division SEWERLATERALBn1074 1986 11 . 22.42 5 WATERMAINBn 1075 1986 92.80 18.56 5 WATER LATERAL WATER AREA 1072 1986 309.40 61.88 5 Storm Sew Trk 1073 1986 110.91 22.18 5 STORM SEW TRK 732 1983 32. 57 15 STORM SEW LAT CURB & GUTTER ' SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK CiTY OF EAGAN Permit No: 8551 Oate: 3-13-87 3630 Pllot Kno6 Raad Meter No: -376 8 Size: ,Szt-/'? o ?/f P.O. Box 21199 Reader No: 0-3 Date: N- zY'- 87 Eagan, MN 55121 Owner. Lundgren Bros. Site Address: 3665 Ashburv Road L2 B2 Black hawk Glen Plumber. Lunderen Bros. Plumbing Conn. Chg: 525. OOnd Zoning: Acct Dep: 15. OOpd No. ot Units: 1 Permit Fee: 10. 00ud Surcharge: . SOpd - 1 agree to eompl y withthe City ol Eagan Tc Plan[ 180.00pd Ordinanees. Meter. 67 BEI II---- '' M,= p By , ? ? WATER SERVICE PERMIT •?-?. = >r This rnque5l void 707 % J /7?8 rtpnths Irom 4' ?8 4 0 9 4 Request Oate Fire No. RQQePetl7 nspection Reatly Nuw ? Will Notify. Insoec- p ? ' p ?yes o tor When Ready JKLicensetl Eleclrical Convactor I harebv requeat insoection of ebova ? Owner elec[ricel wark installad at: Sveet Adtlress, Box or Roufe Na. City Gs aK ? o ti??ry ection o. T wn or No. sAiO Name anea No. County Occupant (PPINT) Phone No. ???- c_??s? ?3 a3I Power Supplier Atltl•ess ' O j --c- , Elecvical Convactor IComDany Namel Contractor's license No. Standard Electric Co. 40837 MailinB Atldress IComractor or Owner MakinB installationl 2672 Maplewood Dr., Naplewood, Mn 55109 Authorized i ature uactor? r inp Installation) Phone Number 484-8044 MINNESOTA STATE BOAR6 OIrELECTRICITV THIS INSPECTION REQUEST WILL NOT Orippa-Midwey BIEB• -Room N•197 ' BE ACCEPTED BY THE STATE BOAflD 1921 Univereitv Ave.. St. Paul, MN 65104 UNLESS PqOPEN INSPECTION FEE IS Phone(81Y) 64]-OBOO ENCLOSED. ,?/j ?/gT HEQUEST FOR ELECTRICAL INSPECTION *Vft es.ooooi-os - 7 .?: 7'7Jc 0 See instructions for obmDlating this torm on Eaek oi yellow copY. 7r3 C 8,409 "X" Below Wwk Covered by This Request [Ni FAd Nep. Tyoe oi 6uiltline AOPliances WiraA Equipmenl Wire? Buik Mi q Fee Servica Entronce Size p Fea Faeders/SUbieeders N Fe Circiaits 0 to T00 qm s 0 to 30 qm s 0 to 30 Am s " Above 20 _qm ?s 37 to 100 qmps 31 to 100 A s Swimmin Pool Above 700_Am s Above 100_Amr16 TranSformer5 Irri tion Booms Pertial%Other Fee I Signs I I ISpeciallnspection ? ?' ?:1- Pemaks `" > ? TO7AL EEE TL "L/ S G?.2 G-l C.C 1'_ il' /3 / I, the EIecV4eal InsDectoq heraby cerfity thet the above 1 inapection has bean traaa. Thls mquest voiC ?./9?.g7 ?j/.SCs .?- ? mo from 47 5 - &// -Request Date / Fire No. FlouBh- in Insuection ?(, Q He?qurt? d? ?Reatly Nuw CE-Will Nntitv lnspec- 3' /-a ?Is ?NO lor When Neady Licensed Electrical Contractor I hereby request insDaclion ot above ? Owner electrical wark inafalled et: Street Address, Bax or Poure No. 3b6s 4s,??u?e,/ ?A> City eciion o. TownshiD Neme or No. B?nBe o. ounty /Y'??u`?R" Ocq' Onnt (PitINT) ?h /?, Phone No. Power S`uOUlier n n ress n ??Q Adtl /?J/ WV? Qr M1 ??? ?V Electrical Contrecmr ICompanv Namel Convact 's Licen e No. Standard Electric Co. 40837 MailinB Address IConvector or Owner MekinB InstailatloN 2672 Ma lewood Dr., Maplewood, Mn 55109 Authorized Si ar?Owner aking Installationl ?one Number 484-8044 MINNESOTA STATE BOA/ip OF ELECT111CITY THIS INSPECTION NEQUEST WILL NOT Oriqaa-MiAway BIAS. - Room N-181 BE ACCEPTED BY THE STATE BOAHD 1821 UniversltyAva.. &t. Poul, MN 55104 UNLESS PROPEP INSPECTION FEE IS Phone 16721 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB-00007-075 I -+ 1 Sae ins4uctione tor completinp [his form on beck oi yellow copy. 7/?? •1 ?C p/? 7c ? 1(" 8elow Work Covered by This Request - ?.? ?. ry?patl e?.Tk TypB ot Builtling I ' Appliancen Wieed EquiVmanl Wired I I I I Industrial Blda. I I Air Conditioner 1 I Bulk Milk Twnk I N Fee ServieaEntrenea5ize tt Fee Fewdars/SUbfeedars N Fee Circuits ? U to 2?0 qm s 0 to 30 qm s oZ ' 0 to 30 Am s Above 200 qmp5 31 to 100 Amps ? 31 to 100 AMD, Swimnin Pool Above 100_Am s Above 100_Am s Transiormers Irngation Booms O Partial.'Othor F I I___ LSigns I I ISpecial Inspection 15??J ,?p I TOTAL F ry?t E/ (_ d?Remsrks T flouBh-in Dale I, the Elecvical ? ?'??? InsPaclor, hereby Final Dxte certifY thel the abova 'napection haa Eeen ? -? aa. Mis reQUeei wi018 monihn Irom 411? City of Eap i ?---?CI i i ? ? Permit #: ? I I Pertnit Fee: I ? ? Date Received: i I I ? ? Staff: ? L ----------------- 2008 RESIDENTIAL PLUMBING PERMIT APPLICATfON Date: ! -3 ?t Site Adtlress: Tenant: Suite #: ?? ? ??? Phone: RESIDENTIOWNER Name: Address / City / Zip: CONTRACTOR Name: License#: ? Addregs: Chappjn - 651-365-1340 City: 3670 5tate: Zip: - Eagan, MN 55123-'? ?n$act Person: Phone: TYPE OF WORK Y New IZReplac ment _ Repair Rebuild Modify Space _ Work in R.O.W. Description of work: Q PERMIT TYPE RESID NTIAL - Water Heater Water Softener Lawn Irrigation -Add Plumbing Fixtures ' - , L RPZ /_ PVB) ? Main _ Lower Level) SepticSystem _WaterTurnaround New Abandonment RES/DENTIAL FEES $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (indudes $.50 State Surcharge) - . E $50.50 Add Plumbing Fixtures, Septic System Abando nmerf,'."Jater Turnaround` (includes $.50 State Surchargel 'Water Tumaround (add $136.00 if a 518" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace bumed out appliances, ductwork, etc.) (includes $.50 State Surcharge) ?? TO7AL FEES $ I hereby acknowledge that this information is complete and accu2te; fhat the woAc wili be in conformance wNh the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an applicatlon for a pertnit, and work is not lo sYart withou[ a permit, that the work will be In accordance wlth the approved plan in the case of work which requires a review and approval of plans. - X i? a,y?s ApplicanYs Printed Name ?- Applicant's?"? ur 3'jLb7rj`- 5 S q -7 55 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OP EAGAN 3830 PILOT KNOB RD, EACAN MN 55122 651-681-4675 New ConsWelion ReaulremeMs • 3 iegistered sAe surveys showing sq. ft of lot, sq, k. of house; and all roofed ereas eg (20°h maximum lat coverage allowed) • 2 copies of plan showing 6eam 8 window sizes; poured found design, etc.) • 1 set of Energy Calctdations • 3 copies of Tree Preservation Plan'rf lot platted after 7/1193 • Rim Joist DelaB Opfions seledion sheel (bldgs wBh 3 or less uniGs) DATE RemodellReoairReouirements . 2 copies of plan • 1 set M Eneigy Calculations for heated additions • isitesurveyforezlenoraddNOns&decks . Indicate rf hane served by septic system for additions VALUATION • l09 SITEADDRESS ?J1a?" c3.Shhizr?l Kr9._, MULTI-FAMILYBLDG _Y LCN TYPE OF WORK FIREPLACE(S) _V- 0_ 1_ 2 APPLICANT Gatastrophe R toration Serymces In STREEf ADDRESS 9489 Rir.P St Siiite 70 CITY RnsPVIIIP STATE MNZIP S5113 TELEPHONE # 6,51 _73d_9d3-3 CELL PHONE # FAX # 651_48_0219 PROPERTYOWNER TELEPHONE# COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RUI.FS 7670 CATEGORY 1 MINNESOTA RULFS 7672 (J submission lype) • Residential Ventilatlon Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contraetor: __ Phone # __------- ___ Plumbing system includes: Waler Soflener _ L.awn Sprinkler Fce $90.00 Water Heater No. of R.I. Balhs No. of Baths Mechanical Contractor: Phone # Mechanical system includes: _ Air Cociditioning D I-2? (Fz?:, i$T'Q•00 , Heat Recovery System ?. Sewer/Water Contractor: Phone # SEP 12 2002 r I I I" I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all appiicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 72-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bidgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) FinaVNo C.O. _ Footings (addition) _ Plumbing Foundarion HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Frazning _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC W ater Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total CITY OF EAGAN 3830 Pllot Knob Road Eagan, Minnesota 55122-1897 (651) 681-4675 SITE ADDRESS: P.7:.N.o 10-14350-020-02 DESCRIPTION: PERMIT PERMIT TYPE: Permit Number: B U S L Ll I N G 033938 Date Issued: 11. / 2 3/ 9 8 3665 pSMBUP.Y Rf] LQTa 2 BIOCK: ? BLHCKHAWK GLEN Fr,mr?v HooM 3Gildinq}?ermit Type SF FlOOITION Buildinq Work. Type NEW Census Gnde /434 ALT. t2E5IDENTSAL 'l / , , , ;. ._. . . , . REMARKS: PLAN REVI[WED BY 6TLL ADAMS.. SFPARATE PL"RMIT REQU:CRE'0 FOR ANY PLUMBZN(3 1„IORK. 6,^, 4 :S 2840 i2C6t1f;8TN6 EEEETf;1F.RE PER. ., , ,.., ., . . FEE SUMMARY: VALUflT]:ON $20,000 f3ase Fee 12$7?25 Surclia rqe ?1(?.@?D _ ----. Tqtal Fee $297.25 ? PT" ? •1Q.(-t.N N' . L - /uYU'?fry? CJ? %?it`[.E.K;?` C RACTOR: _A In p'l gc Gnt: - s7. LIC. OWNER: DUTCHER RC-MOOELING 16880758 20035998 BER6UUIS7 JOHN 3643 WpODLANO TR 3665 HSHBURY i2D EFlOAq MN 55123 EAGAN MN 55123 (612) 688-0758 (651)688-6970 I hereby acknowledqe that I have read this application arid state that the information is correct and ar.lree to cnnipJ.v wiT.h a.1.1 appl3catr1e -otate nY Mn. ? Statutes and Ci.ty of Eaqan Ordinances. ? A o, M1-l/.y7J(/ ' APPLICANT/P? MITEE SIGNATURE SUED BY: SIGNATUR? ,111 ..l; n( .? .i.. ...F...r .. ..A..:?.J..:.I.. ?.h.F??......M...'iM1 ...: q<.,P $...,, . Y...,..:. :;. ,.,,,.. qp?- a nCi 1? , f ..:g# ,N, r?:l$a C.1.7'I (i"e" I"Af;RN TiF' TF i.' /'r13/9Ei i'fl":.y i71:1 3,?.ip 'JC!Ci:l '36EI:? r. ;; s;? c_ ?r: . .. . . . ... .. ..? ?:I.`i`i .`-)l..'f.l'. :i3{iEiS F7!?;F'!L:I..II{'Y` I?:I}. .'?{'.,(?I) t t I F{eCi?:;.I'_? Alir::>lliii;.: i">'i`i C:'; 0'?`:)r:,/.E:e >', 'K"?;kY:k In7(3i;Yn44:?kM$<$:9i,:;.y„ yn>n?f W%'($<.Y>F,::iki!'?i::S:?Fig:'Y.i:Yn'MYF:k 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) _ CITY OF EAGAN • -.° 3830 PII.OT KN08 RD - 55122 J 681.4675 New Construdion Reauirements RemodeVReoair Reauirements ? 3 registeretl site survays ? 2 copies oT plans (inUuEe beam 8 window saes; poured fid. design; etc.) ? 1 energy caleulations ? 3 copies of tree preservation plan 'rf lot platted after 7/1l93 required: _ Yes _ No DATE: V I I_ SI g ? ? 2 copies of plan ? 2 sile surveys (axterior addkions 8 deGcs) ? 1 energy calcuiations for hoated addkions CONSTRUCTION COST; ? 0,0Oc) DESCRIPTION OF WORK: ru-w? i STREET ADDRESS: ?(o (o S 1 l y ?tSL`tr-. ?t?ldc f"7o1?- qSh6u'?- 120?. ?, _ LOT BLOCK ? SUBD : : ./P.I.D. Name: ?eVq qv e 5-E- jz)n? Phone #: 10 U - b 1 7D PROPERTY ? L t First OWNER Street Address: c (:? ( 5 195 hLlV U ? kot-rs cicy S'c-A a, V. srace: w-\ ,? . ziP: S S? Z 3 Company: Phone#: L???-O7S? CONTRACTOR p StreetAddrass: 3L 4-?S a)DU?1)Lwid Llc-t I License# aQQ35?qp City ? ? State; (M ?, . Zip: ARCHITECT/ ENGINEER Company: Street City Sewer 8 water licensed plumber (new construction only): and lot change is requested onCe permit is issued. Phone #: Registration #: _ State: Zip: I hereby acknowledge that I have read this application and state that the State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates af Survey Received ? Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Penatty applies when address chang is correct and agree to comply with all applicabl OFFICE USE ONLY BUILDING PERMIT TYPE fJ 01 Foundation 0 06 Duplex ? 02 SF Dwelling ? 07 4-plex X 03 SF Addition ? 08 8-plex A 04 SF Porch O 09 12-plex ? 05 SF Misc. ? 10 = plex WORK TYPE 31 New ? 33 Afterations 32 Addition O 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy 2oning # of Stories Length Depth APPROVALS Planning ? 11 Apt./Lodging ? ? 12 Mufti RepaidRem. ? ? 13 Garage/Accessory ? ? 14 Fireptace ? ? 15 Deck ? 36 Move ? 37 Demolition Basement sq. ft. Main level sq. ft. sq.ft. sq.ft. sq.ft. sq. ft. Footprint sq. ft. Building ?? Engineering Variance ? ? Permit Fee Surcharge Plan Review License MCNVS SAC cay sAc Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pi. Park Ded. Trails Ded. Other Copies Total a% -+ --)- 10_OO Valuation: Main Z3X/H= 32Z S? Xyy =l7j 3Tr? G/<ttJ? 23Yi?- 3zz 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Misoellaneous MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. 5AC Code Census Bldg Census Unit ., 1923 /t32v % SAC SAC Units ( SURVEY0R9S.. CERTIFIC/ATE SIENNA CORPORATION . . ? i ? N I j? L- ?i 1r ? r OQ n / tv co 2 ? N 71 °31 '55" W H A I ow ? 135 . B m Z & v ?? xe:3. 2 u A .. s.oo •. _ 30.75 [a2 4 ?? .9 i ' I0.O0.'-' ?'?9 625.0 y y? !p/ m o aza.a x ? 2s.o ? xaze.i fo ? 30 D ?Q j?nry a ? I V Y 2 ? r x .?lE O e41.9 ' 0 a = 00 A'1 ^ ? ?If j ? Z I "? . O N c m m W 01 o ?C m ? ? • m C e2a.7x . ?.. - . A' a o o ? 6-4 -n ?V ? N (A Q? I 4.0 a ?C ro . 7 . ? A ? t 0) v , G) ? n oN SED ° a ;?RIVEWAY n 22 eze.i m O 1 .0 828.3 ? U .1 . '!..? 10.87 i 29.0 .. IXB28J ? 10 10 9 i 30 ' - ? Q I 11 ry . \ ? . ? S 145. 01 7 ° ' " .9 B3o.] N B27.7 26.00 •-m.. .zs.ez - - ' :? e?88 - e=6.? . , 1 16 38 E ° ? ? cnp I L_ ? I r U ? ()J II NN OW ?D - OSED SURFACE DRAINAGE -?- DENOTES PROP SCALE: 1 INCiI = 30 FEET 0 .UENO7CS DENOTES IRON MONUMENT SET IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = gz9•3 FEET • X000.0 DENOTES EXISTING ELEVATION pPROPOSED ROPOSED TOPEOF dLO?K 829 ? FEET (OOO.Q) DE,IOTES PROPOSED ELEVATION WE IIERE6Y CERTIFY TO SIENNA CORPORFlTION THAT Tt115 IS A TRUE AND CORRECT REPRESENTA7ION OF A SURVEY OF TtIE ROUNDARIES OF: Lot 2,dlock 2, aLACKHAWK GLEN 157 FlUDiTION, according to the recorded plat tiiereof, Dakota County, Minnesota. IT DOES NOT PURPOR7 T0 SHOW IMPROVEMENTS OR ENCROACHPIEPITS, IF ANY. AS SURVEYEU (lY h1E OR UNDER MY DIREC7 SUPER4ISION 7H15 137-ff OAY OF NDV. , 1985. SIGPIED REVISED I-20-87 TO SHOW PROPOSED HOVSE BY LUNUGR'tN B^nGa. UY PROJECT N0. BOOK / PAGE N JIiILL, INCP(;,9 '??? ? 0: +) HAROLD C. PETERSOIJ, LAPID SURVEYOR MINNESOTA LICE145E NUh1aER 12294 JAi111ES R. HfLL, INC. 85618(87029) 132/73 FIIE N0. FOLDER Planners / Engineers / Surveyors 13200 Numboldt Avonue South Bloominqtort, Mn. 65431 012-004-3029 i MNcheck COMPLIANCE REPORT Minnesota Energy Code MNcheck Software Version 2.0 Minnesota Department of Public Service 1-612-296-5175 1-800-657-3710 COLINTY: Dakota STATE: Minnesota ZONE: 2 CONSTRUCTION TYPE: Single Family DAT'E: 11-5-1998 DATE OF PLANS: November 5, 1998 TITLE: Plan #98-149 PROJECT INFORMATION: Bergqwst AddiYion COMPANY INFORMATION: Dutcher Remodeling, Inc. COMPLIANCE:PASSES Required UA = 353 Your Home = 303 ?. Permit # I 1 ? Checked by/DateI Area or Insul Sheath GlazingJDoor Perimeter R-Value R-Value U-Value UA CEILINGS: Raised Truss WALLS: Wood Frame, ] 6" O.C. WAI,I,S: Wood Frame, 16" O.C. GLAZING:1Vindows or poors GLAZING: Windows or poors DOORS 38 BSMT: 73' hU6.7' bg/7.3' insul. BSMT: 32' hU2.5' bg/3.2' insul. 1206 44.0 OA 27 225 19.0 3.9 ] 1 1801 19.0 2.0 93 16 0.580 9 339 0.310 105 0.130 5 760 11.0 42 161 11.0 11 COMPLIANCE STATEMENT: The propased building design represented in these documents is consistent with the building plans, specifications, and other calculations submitted with the pernvt application. The proposed building has been designed to meetthe recLuirements of the Minnesota Energy Code. Builder/Designer_ \ 5??77°?- Date ? J NEW HOME FIELD INSPECTION ENERGY CHECKLIST MINIMUMREQUIREMENTS I OPTIONAL (CATEGORY 2) ? (CATEGORY 1) ? FOUNDATION: ? I [ ] Exterior foundation wall ? insulation installed: ? R- I [ ] Slab-on-grade insulation ? installed: R- ? [] Ducts in slabs have R-5 ? insulation bottom and sides ? ? ? PENETRATIONS: ? ? [) Window and door frames sealed J [] Foundation rim joist sealed I airtight [] Framed wall openings into attic I [] Upper story band joists sealed I sealed airtight [] Otherjoints in wall sealed I [] Dropped ceiling air-blocked ?[] Ceiling poly sealed to top ? of interior partition walls ? [ ] Plumbing penetrations sealed ? [] Exterior walis behind tub ? and shower sealed ? (] Plumbing vent stack sealed ? [] Chimney flues sealed at ceiling ? [] Perimeters of all grills and ? registers sealed to vapor ? barrier ? ? [ ] Electrical service sealed ? [] Recessed light Sxtures sealed ? [] Wire penetrations into attic ?[] Electrical boxes sealed to sealed ? vapor barrier [ ] Telephone, cable TV ? penetrauans sealed ? [] Fans sealed where vapor barrier Fan housings air sealed penetrated I NEW HOME FIELD INSPECTION ENERGY CHECKLIST PAGE 2 MINIIvfUM REQUIItEMENTS I OPT[ONAL (CATEGORY 2) 1 (CATEGORY 1) INSULATION: ? ? [ ) Vapor barrier installed ? I [ ) Interior foundation wall: ? ( ) Vapor barrier installed ? ( ) Insulation ins[alled: R- ( ) Moisture barrier installed ? I [ ] Attic insulation instalted: ? R- I [) Attic card posted with proof of ? bags installed ? [ ] Floor uvsulation installed: ? R- ? [ ] Wall insulation installed: ? OR-19 OR-21 O R-_ ? I WIND WASH BARRIERS: ? [] Wind wash barrier installed at ?[] All exterior joints in attic edge I building envelope sealed [ ] Overhangs (cantilevered floors I and bay windows)have wind wash ? barriers I MECHANICAL: ? ? [] Ducts running outside conditioned I[] Residential mechanical space sealed and insulated ? ventilation system with minimum of R-8 ? installed (Mandatory if one [] Rehirns in same space as fumace ? or more item in this column sealed I is checked) [ 7 Ductsin uvheated spaces I [] Water heater has pipe insulation I or heat traps installed ? j ] Furnace AFLTE: ? [ ] Central Air SEER:_ ? ----N01'ES TO FIELD (Building Department Use Only)------------------------- ?* ROX ik %X •,'f'X M Yn?%M Xi $i %i ,: M ti<,,:K %<;?t;;c>,l'>,<>,", a? ik?; Y,t ?: n' ?" i;: N'.,°,<Y<Ya?q CT7'd C11= ;=AG;1N {_;ASHi.'!=.fC:; S IEFi1f.15N{tiI_ Nl,)-. 709 DArE:: 04/27;99 rzMr; WOWe ';D. WiFc Dtl'iCi-lE:R (i1=.M0AEL'C4(; ThlC 215; 9001 3666 wool:rri•ah:usw 8.50 3422 7001 3666 HflfliiTi-iRU51'I 1E31 ,:-51. :i21.0 9001 3r;4:;.'S HOn*rTHr:Usii i?i 9af:l 205 9001 3665 ASHHl.)!i1'' Fil? 0.5(:) 3210 90(]1 3665 ASF•l131tr1y !iD 6D,.00 R 7ota:f. Ftecei.pE Ainr,unt: 529,16 Cfi 1 C]i 4.`:i?3 lff>["R :CD;: Nf§PdCY )"n** * mY,+):V" "k, A:?K"f,:** ?Y.>X* * %w?n nv JX:'F.Y,{Yr?''nH:2KYiCrc;YF:;:7R 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) " CITY OF EAGAN ? 3830 PILOT KNOB RD - 55122 ; ,? J 651-681•4675 New ConsfrocTlon Reaufremenh RemodeVReoair Reauirements ? 3 registered s%e surveys showing sq. ft. of lof, sq. R. oF house and all rooled areas (20% maxfmum loi coveraae allowed) ? 2 copies of plans (show beam 3 wtndow sixes; poured fod. desiga; etc.) > 1 seT of energy calculatlons ? 3 copies of tree preservation plan H lot platted afler 7/7/93 DATE: _ 41 2,3 I q I ' DESCRIPTION OF WORK: 1?C L STREET ADDRESS: 2 coptes of plan 7 set of energy ealculotlons for heafed addHions t sNe survey tor exteriot additbns a decks .?. ou CONSTRUCTION COST: I 1ODO "J Q LOT: Z BLOCK: -2- SUBD.JP.I.D. #: 'Awk Name: ??r4o6v ?6??- V6? v` Phone #: C t? K-617O PROPERTY La Firn OWNER _ , r 1 n Street CONTRACTOR ARCHITECT/ ENGINEER , City ?Gt?1.a.v? v State: Vvlv? Zip: S 5 123 City Lu-cl GU+n M tti State: Company:'--??C? Phone #: S( 6g0 bn (areacode) 3 Street Address: 3(.4'3 W O?3lJl ll" l?r License # Zab 3 S99 Exp. T- Company: Name: Telephone #: area code ( ) Sheet City Sewer 8 woter licensed plumber (reauired for new conshuction onlvJ: State: Penalty applfes when address change and lof change Is requested once permit Is issued. I hereby acknowledge thaf I have read this appllcatlon, state that the State of Minnesota Statutes and City of Eagan Ordinances. Signafure of Appllcant: OFFICE USE ONLY Registration #: zip: ? '?SI Z `i Zip: Is co¢kcf, and agree to comply with cll applicable Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required V' Lr ` L'- 11 _=-_ ??? 2 3 ,,??.. OFFICE USE ONLY $UILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 ? 03 1 of _ plex ? 08 6-plex ? 13 16-plex 18 Deck ? 23 ? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 ? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 WORK TYPE ? 31 New ? 35 ? 32 Addition ? 36 ? 33 Alteration d 37 Q 34 Repair ? 38 GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy 2oning # of Stories Length Width APPROVALS Planning Permit Fee Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit SNV Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: SAC Units Porch (3-sea.) Porch/Addn. (4-sea.) Porch (screened) Storm Damage Miscellaneous Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia Move Bldg. ? 40 Gas Insert ? 44 WindowsiDoors Demolish Bldg.' ? 41 Wood Stove ? 45 Fire Repair Demolish (Interior) ? 42 Reroof ? ' Give PCA handout to applicant for demolition permit _ Basement sq. ft. Census Code 'Il -2Fq _ Main level sq. ft. SAC Code _ sq. ft. No. of Units ? _ sq. ft. No. of Bldgs _ sq. ft. MClES System _ sq. ft. City Water _ Footprint sq. ft. Booster Pump PRV Fire Sprinklered Building v`(-- Engineering Variance valuation: $ / 70D % SAC IVRVEYOR'S? CERTIFICA'fE ? ? . `.? ?.? ? z ? N 0 m / b/ .? TV N 71 °31 '55" {y ? ?v a O:?'a I ~m ? ? • a y .:a.txN : 10 ?J JAM R. IiILL, INC. ?Q ? l7 J IIAROLD C. PETERSON, LAND SURVEYOR MINNE50TA L]CEtySE NUMBER 12294 ? ,1 a^o ?0.87,?i - 145. 01 4.•a? S 714016'38 E I N ? DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SE7 • DENOTES IRON MONUMENT FOUNU X000.0 DENOTES EXISTING ELEVATION (000.0) DEt10TES PROPOSED ELEVA7ION t•lE NEREBY CERTIFY TO SIENNA CORPORATION REPRESENTATION OF A SURVEY OF TF{E DOUNDARIES OF: SIENNA CORPORATION . . . 9 ; :: r ? D N ? ? I l? A I N . a ? W ? ? p j A' 30. 5 9p 8249 825.0 ' za 8.1 ro? so ' D 2 = ? m v I to ? o C A ?'?; ; .,• o i ?pROP SED i ? ;;. Ewar 828,1 m ? O fB29,1 o ? D 10.99 N , .?,_.. , ' _ _ T0 - ? 0 u ) ? JI W v) N Q ? b26.6 SCALE: 1 INCIi = 30 FEE7 PROPOSED GARAGE FLOOR = g 7- 1 .3 FEET PROPOSED LOWEST FLOOR = g zI,V FEET PROPOSED TOP OF EiLOCK = FEET TfIAT TNIS IS A TRUE AND CORRECT Lot 2,Block 2, 4LACKHAWK GLEN 1S7 ADD.ITION, according to the recorded plat thereof, Dakota County, Minnesota. IT [IOES NOT PURPORT TO SHOW IMPROVEF9ENTS OR ENCROACHMENTS, IF ANY. A5 SURUCYEU BY htE OR UNDER MY DIRECT SUPER4ISIDN TFIIS 137-//DAY OF Nav. , 1995. REVISED I-20-87 TO SHOW PROPOSED SI6hIED HOUSE BY LUNDGREN BROS. 6Y PAOJECT N0. 800K / AAGE 85618(87029) 132/73 F1lE NO, FOLDER ° v\ \ 4 \ ?n N a ?o JAMES R. H1LL, INC. Pianners / Engineers / Surveyors 8200 Fiumbold! Aronus Souftl Bbomfnpton, Mn. 65431 012-004-3029 ?.?..:.:. ,_.. .? , ; ., CITY OF EAGAN N 0 1315 ? • 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 5512 PHONE:454-8100 ? BUILDING PERMIT Receipt# TobeusetlFOr SF DWG/GAR Est.Value $97,000 Date FEBRUARY 2 ?g87 SiteAddress 3665 ASHBURY RD Erect L? Occupancy R3 Lat 2 Block Z Sec/Sub. BLACKHAWK GLEN Remodel ? Zoning Rl Parcel No Repair ? Type of Const y . Addition 0 No. Stories a LUNDGREN BROS CONST Name Move ? Length 54 z 3 Address 935 E WAYZATA BLVD Demolish ? ? Depth Z6 ° City iVAYZAT.?hone 473-1231 Int. lm r Ins?allP ? S Ft Q ? SAME F Name APProvals Fees i ?Q Address Assessment Permit $ 493.00 " Ciry Phone Water & Sew. Surcharge 4$• 54 Police Plan Review 246.513 ? W Name DESIGN ETC Fire SAC 625.010 ¢? nddress 5735 DUNKIRK LN Eng Water Conn. 525.00 aw C;ty PLYNOUWone 559-2637 . Planner WaterMeter-SZ.Oo Council Road Unit 305.00 Iherebyacknowledget atl avereadthisa plicatio andstatethatthe ' gldg Off 180.04 Tr PI information is corr t nd gree to c mply with al a plica6le State of . . . . Minnesota Statu[es d Eaga rdi ance . APC Perk3 Var. Date Copies Signature ot Perm i ee Total $ 2. 4 9 0. 0 0 A Building Permit is sued to: LUNDGREN B OS CONST on the express condition ihat ail work shall be do e in accordance with all applica6le of Minnesota tutes and C ity of Eagan Ordinances. Building Official ,., ,? ? ?ss 7986 BOILDING PERMIT APPLICATIOH - CITY OF EAGAN D10TS: 9Id. COPTRACTOHS MIT3T BE LICERSBD WITfi THE CITY OF SAGAN SINGLE F9lIILY DiiELLIBGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SIIRVEY, 1 SET OF ENERGY CALCULATIONS MOLTIPLE DiiSLLIAGS - HSSIDSNTIAL RENTAL U9ITS FOR SALB ONITS INCLUDE 2 SETS OF PLANS, CERTIFICATB OF SIIRYSY - CHECg WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: ?Valuation: Date: Site Address OFFICE IISB ONLY Lot oZ Block o? Erect ? Occupaney J2 3 ? ? ? ? ? Remodel Zoning ? I - Parcel/Sub,? ? ?C-?7C/ Repair Type of Const ? Addition # of Stories Owner zo, Move _ I,ength S¢ p Demolish Depth ? Address Sq Et City/Zip Code Phone L2 3 -L? 3 / Contraetor6& Address ? City/Zip Code Phone o??3 Arch./Engr. Address,S City/Zip Code Phone # Install APPROVAIS FSES Assessments Permit 493, Water/Sewer Surcharge 45• Police Plan Review Z4(D•s° Fire SAC 625 , Engr Water Conn S?S, Planner Water Meter (ol. Couneil Road Unit 3C)s, Bldg Off Treatment P1 I90, APC Parks Variance Copies TOTAL ?l NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOHfi0i1NER MDST DESIGH9RE RSICH ADDRfiSS IS DFSIRED. NO CHANGES 1iILL BE ALLOiIED ONCE SQZLDING PERMIY IS ISSIIED. 26 x 3 ¢ ? 10 ?j O?D 4 27.Z , Q-Qc? ? (2 - SZ8 a q(c)o 9&,er08 , -SURVEYOR'S. CERTIFIC/ATE SIENNA CORPDRATION • . . . . . / ? r Op W,p ? ' r?f_ N 71°31'55" W o.7s (n ?24.8 823.0 / --?IO.O 82I? eze.ex' Ixaze.i 1o 30 26.0 21.9 ? 0 ' N8° C ? aze.7x o ? a ° 826.1 O Y 7? X829.1!O Y i I1 ry 10.87 ' B30.3 10.99 cn e27.7 C)Q ? 145.01 ;-" 26.00 -w-. 29.82 _ ? 8:8.6 a26.6 .'^., S 71 °16'3B" E ° -'^ cnp L I W I ?) vl ?N a1 'ID N pW . ? a ? -?--- DENOTES PROPOSED SURFACE DRAINAGE SCALE: 1 INCH = 30 FEE7 O • DENO7ES DENOTES IRON MONUMENT SET IRON MONUMENT FOUWU PROPOSED GARAGE FLOOR = $z9-3 FEET X000.0 DENOTES EXISTING ELEVATION pPROPOSED ROPOSED TOPEOF aLO?K = $29 ? FEET (000.0) DE.IOTES PROPOSED ELEVATION I•lE HEREBY CERTIFY TO SIENNFl CORPORATION THAT TNIS IS A TRUE AND CORRECT REPRfSENTA7I0N OF A SURVEY OF THE 60UNDARIES OF: Lot 2.81ock 2,f3LACKHAWK GLEN 157 AUDITION, according to the recorded plat thereof, Dakota County, Minnesota. IT DOES NOT PURPORT TO SHOb! IMPROVEt1ENTS OR ENCRDACHMEPITS, IF ANY. AS SURV[YED 6Y 14E OR UNDER MY DIRECT SUPERVISIDN TFIIS 137-IfpAY OF Nbv. , 198-5 SIGNED REVISED I-20-87 TO SHOW PROPOSED HOUSE BY LUNDGREN BROS. DY PROJECT N0. 900K / PAGE T HILL, INC. NAROLD C. PETERSON, LAND 5UI2VEYOR MINNESOTA LICE145E NUMDER 12294 JAt1111ES R. HILL, lNC. 85618(87029) 132/73 FILE ND. FOLDER Planners / Engineers / Surveyors 8200 Numboldt Avanua South 8bomingtori, Mn. 55431 012-884-3029 I> ? R ??CO CTRUCTION 935 EAST WAYZATA BOULEVARD • WAYZATA, MINNESOTA 55397 0 (612) 473-7231 EXTERIOR ENVELOPE AVERAGE U COMPUTATION? i 36 ?,/ s' ? Si te Address ?oi,? -ii?) p/-70 Lotalock Z -??- R & U Factors Opaque Walls 41a11 Framing Areas Ceilina Insulation Area Ceiling Framing Area Rim Joist hiasonry 41a11 l•;i ndows Doors Skyliahts R U .OS$ . // 12 •0?3 . oa7 DY ? , .3-5 . S25' 1) Lower Level (Basement) Total exposed wall area Ooaque blall Area IJood Frame Area Rim Joist Exoosed block Window Area Sliding Glass Door Door Area a(. F ?X (u) .os8= ? zL x `U) =LL - ? -x (U) 3a X ( u) , - x (u) - x (u) Tota, a.3 , y ?, . • , L k] 'Ill D 6 R El "I Page 2 BPOS? O ?TRUCTION 935 EAST 1,NAYZATA BOULEVARD * WAYZATA, MINNESOTA 55397 0 (612) 473-1231 2) lst or main floor Total exposed o-ial l area Opaque wal l area =x (U) 4Jood frame area ?x (U) Rim joist apx (U) ,0?/ Window area (U) Sliding glass door ,51 x (U) Door area JF x (U) Total 3) 2nd floor if 2 story Tota; exposed wall area J0 (? o Opaque wall area zx (U) .? _ 5? , (0[ bJood frame area ?x (U) 4findow area (U) , 3-!) Sliding glass door -- x (U) ,?5 = Door area ?x (U) Total 0 , (?3 4) Total ceiling area FRZ _ 47ood frame area ZLx (U) , O,?'J= o?. 3A Opaque ceiling area ?x (U) ,0--? Skylight -- x (U) rotal ao, ? 9 P L?? ? DO age 3 ' B Ro cC0 CTRUCTION J 935 EAST WAYZATA BOULEVARD . bVAYZATA, MINNESOTA 55391 0 (612) 473-1231 Minn. U Factors Total exposed wall area x,// = o0 hiinn. U Factors Total exposed ceiling area x,pa6 (A) Total = 079?.0(0 Item 13a3q + Item 2 06 ,3 + Item 3 9,13+ Item 4aa,6 If total of Items 1- 4 is less than Item (A), building complies with S6C 6006 (C)s GOLD COPY-PERFiET RELEASE FORM v? PERNfIT 11 X ._SS ADDRESS ?61 PICKED UP BY l CITY OF EAGAiV APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION N)7RE: PAIT7ENI' OF FEE AT TIlM OF r,PPscAMoN DoES rOr cON5=T= APPROVAL OF PERMIIT. . . . ***** ? ****:r * t,e,?* **«,r***?******t*** ?r* /' P ease Print) ? 1) PROPERTY ADDRESS : 3,y (? S LEGAL DESCRIPTION: Lot Slock Subdivision or Tax Parcel ID ) IF E:{ISTING STRCCZURE, DpTE OF ORIGINAL BL'ILDING PERMIT ISSL'ANCE: . i PRESENr ZONING/PROPOSID C'SE: lI"bn Year} ? Ca`?NERCIAL/RETAIL/OFFICE ? INpC'SIRIAL n INSTI'IL;TIONAI,/GOVEI2DAg,'NT 2) 1?? ? R-1 SINGLE FAMILY ? R-2 D[!PLEX (Zt,.o Dnits) CD R-3 70WNHOC?SE (Three + Units) ( Lfiits) R-4 APARZM1T/coNIDOM2NICT7 ( units ) ruAc.E: a( r God-r If; AoDxESS: ?`-- G ciTr, sxATE, ziP:1?1c??.. PHONE: 3) u c?• NAME: ADDRESS: CITY, STATE, ZIP: PHONE: MASTER LICENSE# Pltmibers License: Active ExAired Not recorded StaTF Inltial q) ?a y•:.? •:i.i'r? _ NP,ME: ., . ADDRFSS: . . CITY. STATE, ZIP: PFiONE: •5) ug-1 v Ma?? • 7* -?? ?CONNECTION 7b CITY SEWER ? CpNNECTION M CITY WATIIt Q PLE'.ASE MAIL APPROVEU PERMIT 10 1, 2, 3, 4, ABOVE ' nn d •/] .I (Circle one) ImsPnCrzotu oF sEWM Arro/ox VAMa IlZS2arTaTrONS WIIS. NOT BE SCIID- UI.ID UNrB. PERIYffT HAS BEEN APPROVID. 6) ?? Qf- PLEASE HOLD APPROVfD PFRMZT FY)R PICK-L?P BY 0NE OF ABOVE FOR CITY USE ONLY PERMIT # ISSUED Pd w/Bldg. Permit FEES: $ $_T? - ? s $ /n S $ $ $ $ $ $ S /S-o U $ $ S loZ S •crr? . S $ $ $ $ , ?SEWER PERMIT (INCLC'DE SDRCHARGE) WATER PERMIT (INCLODE SL'RCHARGE) WATER METER/COPPERHORN/OL'TSIDE READER WATER TAP (INCL['DE CORPORATION STOP) SEWER TAP ACCOUNT DEPOSIT - SEWER ACCOL'NT DEPOSIT - WATER WAC SAC TRUNK WATER ASSESSMENT TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BEN°FIT/TRCNK WATER °s /P6,Uv $ WATER TREATMENT PLANT SLRCAARGE $ $ OTHER: $ 00 $ ?Lli L/'-d TOTAL =7D 3 6 3 RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN POBLIC Q NO ROADWAY" MOST BE ISSL?ED BY THE ENGINEERING DIVISION LIS . T AS A CONDITION. SDBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: /3/? 7 DATE: 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA111467 Date Issued:06/25/2013 Permit Category:ePermit Site Address: 3665 Ashbury Rd Lot:2 Block: 2 Addition: Blackhawk Glen PID:10-14350-02-020 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. Andrea Preusse 4145 Sibley Memorial Hwy Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 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 - John E Bergquist 3665 Ashbury Rd Eagan MN 55122 (651) 688-6970 Wenzel Heating & Air Conditioning 4145 Sibley Memorial Hwy Eagan MN 55122 (651) 894-9898 Applicant/Permitee: Signature Issued By: Signature