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3664 Ashbury Rd r Tertif iratr of (Orrupaury Citp of eagan Tiers Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following. U, Cj,jfi anon Bldg. Permit No. OccuMaY T* 'j 7mm Dub= Type Cont. Owns of Building L i', r,l?i r•~'f, c' ' k^r 1i'r li. y, A&W= &rldim Address InaGty r 31, ~{1~C i i +~C i 1: I Date: Budding Official POST IN A CONSPICUOUS PLACE CITY OF EAGAN Permit No: ' 0204 Date: 3830 Pilot Knob Road Meter No: Size: P.O. Sox 21199 Reader No: Date: Eagan, MN 551?1 Owner. Site Address: !628 BL4;1 r71; V , . Plumber. . ,'.FN 3RB Conn. Chg: it f)• 00 Zoning: ? I Acct. Dep: 15. (X) No. of Units: Permit Fee: 10.00 Surcharge: • I agree to comply with the City of Eagan Tr. Plant 204. Ordinances. Meter. V Misc.: ,".vl)1Rg By WATER SERVICE PERMIT CITY OF EAGAN Permit No: Date: 3830 Puot•Knob'Road B/P No: Date: 1215/1?'' P.O. Box 21199 Eagan, MN 55127: Owner. i (31. ~ ° i A DR. BLA%o 4 Site Address: AWK Plumber: MWCC: r-50.00 pd Zoning, City Chg: 00. No. of Units: ~ . psi Acct. Dep: _ 1 agree to comply with the City of Eagan ~ P Permit t Fee: n Ordinances. Surcharge Misc.: By SEWER SERVICE PERMIT CITY OF EAGAN Permit No: `3~ 2'1 Date- 0--1 -"7 3830 Pilot Khob Road Meter No. Size: P.O.S& 21199 Reader No: Date: Eagan, MIN 55121 Owner. Yra:. , Site Address: -'6bk Ashb-urn; ~i ?lace ` ei. Plumber Lu:zdgrea °ros, i I Conn. Chg: ' • ~~F' Zoning: Acct Dep: ~5.OGpd No. of Units: Permit Fee: • 10. 00pd Surcharge: . 50pd I agree to comply with the City of Eagan Tr. Plant Ie0.00pa Ordinances. Meter. 7 -rl $ Misc.: By WATER SERVICE PERMIT CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road 3i59 P.O. Pox 21199 PERMIT NO.: Eagan, MN 55121 DATE:- Zoning: nI No. of Units: 1 Owner. Lundgren Bros. Address: Site Address: 3654 Asbbur} Road L3 BI RIac'lcYiawk Clen Plumber: Bund;~ren Pros Plumbing " 10-x; 'f7'~03 100.00pa I agree to comply with the City of Eagan Connection Charge: 5? 5 - 000 Ordinances. Account Deposit: 1 5 _ nflpti j Permit Fee: rt f'(lr^i? Surcharge: By Misc. Charges: Date of Insp.: Total: Insp.: Date Paid: ` f CITY OF EAGAN 1 6870 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 i PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for WE!E11 r Est. Value * 1 s 5CO Date 19 r Site Address 3664 A', B': "Y RU Lot Block I Sec/Sub. BLA KHAN K C -W' OFFICE USE ONLY Parcel No. Occupancy FEES Zoning S6•oo OH?9 DONNA Gl►LLINttl Name (Actual) Const Bldg. Permit Address 3661, A-1;FB `•'T 'RD (Allowable) Surcharge 1 X00 ° City L- AGAN, Phone 454-4715 # of Stories - Length Plan Review p Name '1E Depth SAC, City ou a Address S.F. Total SAC, MCWCC City Phone S.F. Footprints On Site Sewage Water Conn w W Name On Site Well Water Meter W 00 3 Address MWCC System Acct. Deposit ! <W City Phone City Water PRV Required S+W Permit I hereby acknowlege that I have read this application and state that the Booster Pump SSW Surcharge information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Treatment PI Signature of Permitee APPROVALS Road Unit A Building Permit is issued to: OR 'fib".I-A C.AL`..I NAf r Planner Park Ded. on the express condition that all work shall be done in accordance with all Council -50 applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. OR. Copies 37.'x) Building Official Variance TOTAL Permit No. Permit Holder Date Telephone # ATER SEWER D'S~O +1Cz yPLUMBING H.V.A.C. (gyp ELECTRIC 7~~ Inspection Date Insp. Comments Footings l ~-~T• mss/' Oo~C / ~r I, Foundation Framing Rooting Rough Plbg. W 0 2E~/~v(y 0) Rough Htg. ~G C. 44-we-n-) Isul. Fireplace Final Htg. Final Plbg. Const. Meter Plbg. Inspector - Notify Plumber Engr./Plan Bldg. Final Deck Ftg. Deck Final Well Pr. Disp. ` PERMIT It PLUMBING PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Address 5 e, < BLDG. TYPE WORK DESCRIPTION Lot BI ck_ Sec/Sub- Res. New 1~ Mult. Add-on Name Comm. Repair m Address T, Other c City Phone ' RES. PLBG. ONLY - COMPLETE THE FOLLOWING: - u NO. FIXTURES TOTAL Water Closet - $3.00 $ Name Bath Tubs - $3.00 3 Address - x, Lavatory $3.00 O City Phone Shower - $3.00 Kitchen Sink - $3.00 FEES Urinal/Bidet - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE Laundry Tray - $3.00 APT. BLDGS - COMM RATE APPLIES Floor Drains - $1.50 TOWNHOUSE & CONDO - RES. RATE APPLIES Water Heater - $1.50 MINIMUM - RESIDENTIAL FEE -$12.00 Whirlpool - $3.00 MINIMUM - COMMAND FEE -$20-00 Gas Piping Outlets - $1.50 STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT) (ADD $.50 S/C IF PERMIT PRICE GOES Softener - $5.00 BEYOND $1,000.00) Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 -s SIGNATURE OF PERMITTEE FEE: STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL: Asy DEa( PLAN i ,vr.~~aID 1~1L.T, X54--4715 CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt To be used for Est. Value Date 19 Site Address OFFICE USE ONLY Lot Block Sec/Sub. On Site Sewage _ Occupancy MWCC System - Zoning Parcel No. On Site Well Type of Const City Water (Actual) oc Name (Allowable) m ik of Stories 3 Address length o City Phone Depth S.F. Total p Name Footprint S_F. 0 i Address APPROVALS FEES City Phone Assessments - Permit Water/Sewer - Surcharge x W Police Plan Review Name i o Address Fire _ SAC, City ~ Engr. - SAC, MWCC = W City Phone Planner Water Conn. Council Water Meter I hereby acknowledge that I have read this application and state Bldg. Off. - Road Unit that the information is correct and agree to comply with all applicable APC _ Treatment P1 State of Minnesota Statutes and City of Eagan Ordinances. Variance Parks Copies Signature of Permittee TOTAL A Building Permit Is issued to: on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official Permit No. Permit Holder Date Telephone Plumbing i ~r 'iY.c1 c y~`/ S HMAC. Electric G/C it Softener Inspection Date Insp. Comments Footings I Footings II Foundation Framing 9'r,1 Roofing Rough Plbg. _ a Rough Htg. Isul. Fireplace e Final Htg. Final Plbg. p A 45 Bldg. Final Cert Occ. Temp. LP Deck Ftg. Deck Frmg. fOk" . Well Pr. Disp. ~L ,k K . PERMIT # 5/ G ' MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: 1 C CONTRACT PRICE: PHONE: 454-8100 Site Address BLDG. TYPE WORK DESCRIPTION Lot ' Block ec/Sub Res.- New x Name J. A Mult Add-on Comm. Repair m Address k ` . c City f ; 6Phone Other 4 k. J FEES Name AES. HVAC 0-100_ BTtJ -$24.00 c Address ADDITIONAL -5~BTU - 6.00 p City Phone (RES. HVAC INCLUDES A/C ON ~EW CONSTRUCT)bN) GAS OUTL.TS (MINIMUM - 1 R PERMIT) - 1.50 EA. TYPE OF WORK COMM/IND FEE - 1% OF CO FEE Forced Air M BTQ/ OT. BLDQS. - COMM. FIAT APPLIES TOWNHOUSE & C9NDOS -I ES. RATEEPLIES Boiler M BytJ MINIMUM_ RESIDENTIAL FEE- ALL AD[),ON & Unit Heater M STU $ REMODELS - 12.00 Air Cond._ • L M BTU MINIMUM COMMERCIAL FEE_ - 20.00 Vent ' CFM STATE SURCHARGE PER PERMIT - .50 $ (ADD $.50 S/C IF Gas Piping Outlets # $ BEYOND $1,000) PERMIT PRICE GOES Other FEE: S/C: SIGNATURE OF PERMITTEE TOTAL- ' FOR: CITY OF EAGAN PERMIT # 0 PLUMBING PERMIT RECEIPT # CITY OF EAGAN c~ 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Address ? BLDG. TYPE WORK DESCRIPTION Lot 3 Block / Sec/Sub Res. New Mult. Add-on ffi Name Comm. Repair Address Other S City Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING: t. FIXTURES T TAL . Water Closet - $3.00 Name Bath Tubs - $3.00 3 Address ~_Lavatory - $3.00 Oil O City Phone Shower - $3.00 -L Kitchen Sink - $3.00 3 FEES Urinal/Bidet - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE Laundry Tray - $3.00 APT. BLDGS - COMM RATE APPLIES Floor Drains $1.50 TOWNHOUSE & CONDO - RES. RATE APPLIES Water Heater - 51.50 s MINIMUM - RESIDENTIAL FEE -$12.00 Whirlpool - $3.00 MINIMUM - COMM/IND FEE -$20.00 ::~_Gas Piping Outlets - $1.50 STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT) (ADD $.50 S/C IF PERMIT PRICE GOES Softener - $5.00 BEYOND $1,000.00) Well - $10.00 Private Disp. - $10.00 -,?-Rough Openings - $1.50 SIGNATURE OF PE ITTEE FEE: STATE S/C: FOR CITY OF EAGAN GRAND TOTAL- I° f CASH, RECEIPT " • - CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 F*GEMG AMOUNT UUU & v DOLLARS wo ❑ CASH W CHECK r FUND OBJECT AMOUNT Thank You BY n~ While-Payen; Copy Yeibw-POsNng Copy Pink-File Copy BLDG. PERMIT NO. 01-3210 Bldg. Permit L 01-3422 Plan Check 01-3445 Surch./Adm. _ f 01-3446 SAC/Adm. 1-7 01-2155 Surcharge `y 75-3860 Road Unit ' J 20-2275 SAC s~ 1 20-3865 Water Conn. 20-3868 Water Trmt. r "'L 20-3716 Water Meter 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. 28-3855 Park Ded. TOTAL CASH RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 RECEIVED FROM i AMOUNT ` l _DOLLARS 100 ❑ CASH ❑ CHECK i FOR - FUND CODE AMOUNT Thank You BY I - White-Payers P COPY Yellow-Posting Copy Pink-File Copy BLDG. PERMIT NO. 01-3210 -'Bldg. Permit 01-3422 Plan Check 1'- 01-3445 Surch./Adm. 01-3446 SAC/Adm. ,J 01-2155 Surcharge L ~ U 17-3860 Road Unit 00 20-2275 SAC -7 j 20-3865 Water Conn. av Ct-' 20-3868 Water Trmt. / C,0 20-3716 Water Meter 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. i C) 11-3855 Park Ded. ' TOTAL CASH RECEIPT ' CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE ig RtC61 V CD FROM AMOUNT & DOLLARS loe CASH Q CHECK Foot 1 FUND CODE AMOUNT Thank You BY 76 R A-% White-Payers Copy Yellow-Posting Copy Pink-File Copy CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PH ON E: 454.8100 BUILDING PERMIT Receipt # ti 1 To be used for " Est. Value Date '-'Cc 5 ,19 ' Site Address 1626 !tLAC?: _ Ail OFFICE USE ONLY Lot ' Block 1 Sec/Sub. fSi.kClrJtAc'';'_ GLEN 311LI On Site Sewage Occupancy Parcel No. MWCC System Zoning On Site Well (Actual) Const pAH1STROM F3E I'"~G): ktG: City water n (Allowable) Y a Name i Address 4151 "OB DR #1(X, PRV Required of Stories C City PatG14t: Phone 254-•1;777 Booster Pump Length e Depth J ' o Name SAHZ S.F. Total 0 i Address Footprint S.F. City Phone i APPROVALS FEES ~ a Engr./Assess. Permit 682.00 W W Name 66.50 ~z Address Planner Surcharge 341.00 M W City Phone Council Plan Review l~:r~ Bldg. Off. SAC, City I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC X50.00 information is correct and agree to comply with all applicable State of Water Conn. 5500 Cr• Minnesota Statutes and City of Eagan Ordinances. 6 C•L / - Water Meter Signature of Permittee • Road Unit 12 -5. C, A Building Permit is issued to:. DAHLSTROM DESIGNER BOMB: Treatment P1 204.01 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. Parks Official_______ TOTAL ' CITY OF EAGAN Remarks Div #t' 2 '9 Addition Blackhawk Glen 1st Lot `3 BIk Parcel 10-14350-0_3t) 01 Owner Street 3664 Ashbury Road State Eagan MTV 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 1076 1986 253-4A 50-70 9 STREET RESTOR. GRADING SAN SEW TRUNK SEWER LATERAL RnI 074 1986 112-09 29-42 5 WATERMAIN Bn 1075 1986 92.80 18.56 5 WATER LATERAL WATER AREA STORM SEW TRK 712 19A 32.57 15 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN BUILDING PER. SAC PARK ~I CITY OF EAGAN Permit No: Date: '1- -F7 3830 Pilot Knob Road Meter No: Size: 6/ FE P.O. Box 21199 Reader No: O'k P 7 7 y q Date: t S " F Eagan, MN 55121 iunu.gren Bros. Owner. Site Address: 3664 Ashbury --.o:i,i - c Plumber .=tind,. ren Taros n ' ' Conn. Chg: 525.00pd gins. p' Acct Dep: Permit Fee: TR1C Surcharge: ~pretpiy with the City of Eagan Tr. Plant 1 Inances. Meter. r,7 01api. Misc.: By I t -f 1 2 t'4 V- ' S WATER SERVICE PERMIT • CASH RECEIPT • CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 555122 1 DATE 19- wc~jv _t5S6 V AMOUNT $ & DOLLARS Sao ❑ CASH ❑ CHECK / ~ ~4~Qr FUND OBJECT AMOUNT r- U ~ l D ''O Thank You BY N4 90289 While-Payers ropy Yello -posun9 Copy Pink-File Copy CITY OF EAGAN N°_ 14 0 3 3 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 Receipt #--I t c~G To be used for SF DWG/GAR Est. Value $96,000 Date AUGUST 11 19 87 Site Address 3664 ASHBURY ROAD OFFICE USE ONLY Lot 3 Block 1 Sec/Sub. BLACKHAWK GLEN 1S' on site MWCC Systeme ZZon ng noy R3 R1 Parcel No. On Site Well Type of Const V CityWater _ (Actual) o Name LUNDGREN BROS CONST (Allowable) i 935 E WAYZATA BLVD # n stories Address Length o City WAYZATA Phone 473-1231 Depth 3Q S.F. Total c Name SAME Footprint S.F. u< Address APPROVALS FEES City Phone Assessments Permit $ 489.50 Water/Sewer Surcharge ADO W m Name Police Plan Review 244.75 i Fire SAC, City 100.00 Address uz Engr. SAC, MWCC 995.n0 aw City Phone Planner Water Conn. 525, 0 Council Water Meter -----63-00 1 hereby acknowledge that I have read this application and state Bldg. Off. _ Road Unit 3D-5-00 thatthe information is correct and agree to comply 'h lapplicable APC _ Treatment Pt 1A0_O0 State of Minnesota Statut d City o ega 1 rd an ,es. Variance _ Parks Copies Signature of Permittee TOTAL 17-4Z4-2 5 A Building Permit is issued to: NDGREN BROS CONST on the express condition that all work shall be done in accordance with all appli le State of Minnesota Statutes and City of Eagan Ordinances. Building Official y/ad"/?l7 C~/ 7~.~ Request Date , Fire Na. Rough InsPMion e~ Re aired? ❑ Ready N- III Notify Inspector / Yes ❑ No hen fleetly? 10 licensed contractor owner hereby request inspection of above electrical work at: Job Address (Street, Box or Route No.) Section No. Township Name or No. Range No. County Occupant (PRINT) Phone No. 1/71so n/ C44LIVIll, Power - Supplier Address Electrical Contractor (Company Name) CoMrsclor§ License No. Mailing Address (Contractor or Owner Making Installation) p `iulG~ 4 7< Phone Number dm! MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Odggs-rAdway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., SL Paul, MN 55186 UNLESS PROPER INSPECTION FEE IS Phone (612) 612-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB-00001-07 ► See instmcfrons for completing this form on back of yellow copy. 9 5 917 X" Below Work Covered by This Request New Add Rep. Type-of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specify) Conhadw6 Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 100-Amps Signs Inspectors, Use Only: TOTAL s I Irrigation Booms Ore, Special Inspection Alarm/Communication Other Fee oate~- 1, the Electrical Inspector, hereby Rough-irt certify that the above inspection has Final Date been made. - OFFICE USE ONLY This request void 18 months from This request void 9//~/d/~J 18 munths from O/ ® - 51331 Request Data ire No. Haugh -in Inspection Renu redy Ready Now E4iMNI Notify, Inspec- ppe-~.,~~.~~ ~ ONo for When Read, F c . ensed Electrical Contractor 1 hereby request inspection of above ❑ Owner electrical woks ork installed at: Street Address, Box or Plate No. City 3~~5~ !h`SF/dv~2y ogti5r7~ action o. Township Name or No. Range No. ty yDYiy Occupant (PRINT/)J Phone No. offer 0,441 AI,4*/ P er Supplier Atldress ~ f o2 r4KovW 94E~7X'r ~3~- a2.2o °L W rr/iN4m Electrical Contractor (Company Nauru) Contrar, or's License No. Standard Electric Co. 40837 Mailing Address (Contractor or Owner Making Instailation) 2672 M 1 wood Dr., Mapl wood; Mn 55109 Authorized SI a e (Contractor/Owner a g tallation) Phone Number 484-8044 MINNE A STATE BOARD OF EL CITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone(612)642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION Ee-00001-06 Ii, See instructions for'completirig this form on beck of Yellow COPY. ® - 5113 3 1 "X" BeloW Work Covered by This Request NewLAddl Rep. Type of Building Appliances Wired Equipment Wired EHome Range Temporary Service Duplex Water Heatc`3' Liyhti ng Fixtures Apt. Building Dryer Electric Heatm Commercial Bldg. Furnace Silo llnloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other peci v thur Isne Try) 1 Suecify Other 01hur Rom ute inspection Fee Below s Fee Service Entrance Size a Fee Fesders/Subfeeders p Fen Circuits 0 to 200 Amps 0 to 30 Amts oZ 0 to 30 An s Above 200 Amps, 31 to 100 Amps f'°-° 31 to 100 Amps Swimming Pool Above 100-Amps Above 100-Am s Transtormer5 Irrigation Booms .f0 Fartial. Other Fee Signs Special Inspection p s TOTAL E Remarks Rough-in 1. the El tric 7 /a~(# I spec lor, hereby certify that the above Final /'{einspection hes been mode. This request void 18 months from This request void p.. / / p 0 v months from O/a';ff/,~~ LF' J ® 2501Q 0-0 Ren nest U6ie Fire No. Rouph-in Inspection Repuired? f48eady Nuw ❑Will Notifv.lnspec- o ❑yes lu, for When Ready ❑ Licensed Electrical ontractor 1 hereby request ins pectien of above ❑ Owner electrical work installed at: Street Address, Boxg~ Route No. Cit 344 /fsfl,Be y .4 „l actmn o. Township Name or No. flange No. County O at (PRINT) Phone No. Powe polieL Address /~j y/ aITQ .~lol ~ ~9 ~ J d.iJ Electrical Contractor IComproy Namel Contractor's License No. Standard Electric Co. 40837 Mailing Address (Contractor or Owner Making Installation) 672 lewood Dr. Ma lewood Mn 55109 Authorized ature (Contracto ne aking Installation) Phone Number 484-8044 MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB~-00001.06 See instructions for cempl9iirg this form on back of yellow copy. 0 7Cp p .10 ® 25010 "R" Below Work Cdvered by This Request Add Rep. Type of Building Appliances Wired Equipment Wired I r44 Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo llnloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm other (Specify) other lSpecltyl t er Specify, ther other Compute Inspection Fee Below H Fee Service Entrance Size H Fee Fenders/Subfeeders H Fee dE U to 200 Aors 0 to 30 Amps Above 200 Amps 31 to 100 Amps wimming Pool Ab ove 100AmpanBooms e Signs Special Inspection $ Remarks TOT FE Rough-in Date I I, the` pec tor, hereby tcertify that the above Final t 0 e - spection has been JJ J de. This requeat void 18 months Irom OR'S CERTIFILM.1 r. \ ON ~l IL W 81°02'46° IN g21.9 az~3 156. 07 / U 30 A r 0 . 29.550 ~ ~ ~ 10 m o X 27.56 t I / \ ° 0.5 ax8.o 1A n l-D p to 26.0 o ~tl ~CQC m V w :10 C' Z: rrI (,y (71 .Oi ^ PROP SED v r\ in c V V I r~' n HO E m ~ I Co 01 v' w r (Jl N I (Aj 1 no -30 - - 3.5 r m . /W 0 m r 10 D PROPOSt712''N"" GAR of of 10 'OfIIVEWAY.~~•~y 14 30 22.0 0283 i x N ~l 10 828.3 Y• IOA C) m 29.5 m i r\) ~2g6 158 61 W N O N 35.23 am N 80°3512 Im U 0 ro ° 01 m (8t5.:~ Lt I _ I 30 I I UEhurTES PROPOSED SURFACE DRAINAGE SCALE: 1 INCH 30 FEET p UEhIUTES IRON h:ONUt!ENT SET PROPOSED GARAGE FLOOR sza 3 FEET • DENOTES IRON MONUMENT FOUt1U Viz' S FEET X000.0 DENOTES EXISTING ELEVATION p PRROPOPOS[OSED D LOWEST TOPEST OF FLOLOOR R = i FEET (UOO.O) UENOTES PROPOSED ELEVATION VIE FY -1 IIEI'1lESENTAT101IIOF AOSUI VEYh10F 1~IE BOUNDARIES OF; 11147 THIS 1S A TRUE AN U CORRECT Lot 3. Dlock I. ULACKIIAVIK GLEN 1ST ADDITION, according to the recorded Plat thereof, UakoLa County, 1T DOES NOT PURPORT TO 511014 iMPROVEIIENTS Olt ENCROACill-VITS, IF ANY(. AS SURVEYED By HE Oil UNDER I.1Y DIRECT SUPERM1011 TIIIS 1"5T8 DAY OF lsn`1• ~ SIGNED: JAMCSZII/j~ILL, I'IIC. rrl . UY: IIAItOLO C. i,ETER5011, LAND SURVEYOR i•IINIIESOTA LICENSE NUMBER 12294 PROJECT 110. DMES IZ. HILL, INC. 85618 ( E5~43rs /Engineers Surveyors FILE 110. 200 Humboldt Avonue Goulh FOLDER inglon, Mn. 65431 012-304-3020 - ^ > CHECK LIST • ' 777 AMOUNT 3€399 El COMPRESSOR [:1 SUCTION PSI P.C. V)X 17127 , p HEAD PSI MINNEAPOLIS, El VOLTS AMPS MN 55417-0127 DATE p ELECTRICAL CONNECTIONS 052 894-7472 FAX (952) 451-6335 12 ❑ CONTACTS TIGHT & CLEAN p OIL LEVEL & CONDITION DATE ORDERED ❑ CONDENSER COIL El CLEAN COL&CHECK FIN COND. NAME DATE SCHEDULED E1ENT 'F WG_'F /O / SG C J ' (p / / ❑ REFRIGERANT STREET _ ; n 1 r PHONE F-1 LEAK ❑ CHARGE ' ❑ FAN AND MOTOR CITY STATE ZIP WK. PHONE p VOLTS -AMPS- ~iy G.~. f1-,rU ❑ ELECTRICAL CONNECTIONS MAKE_) - MODEL SERIALNUMBER p CONTACTS TIGHT & CLEAN ❑ WARRANTY ❑ FAN: PULLEYS (ADJUST BELT) ❑ CONTRACT El CHECK, LUB BEARINGS & MOTOR ❑ SERWDE CONTRACT p Cm ❑ NORMAL ❑ EVAPORATOR COIL JOB ❑ RES. ❑ COMM. p CLEAN COIL & CHECK FIN LOCATION ❑ENT DO -'F WO DB-F DESCRIPTION OF WORK p ENT WB_'FI LVG WB_T t:G,R!". ❑ CONDENSATE AREAS _^o a rl.yr p INSPECT& CLEAN DRAIN PAN p INSPECT& CLEAN ORAIN t~/GGy~OI /f/y(ti (y( a~l~_1-Nr ❑ AIR FILTERS CLEANED p REPLACED !~FT()i"f~.'.f'LIGU I L O/Ci ~l 5 a4 C _~U+ f L 61 FILTER SIZE HEATING ASSY. !J F-1 BURNER&HEAT EXCHANGER L~ liLC'.I p FUELSUPPLY& PRESSURE P,~=FHIG_. R,IACiIi !?.G ^ ❑ PILOT ASSEMBLY ❑ FLAMEADJUSTMENT p PRIMARY RELAY & FLUE p FAN & LIMIT SWITCH OPER. p BLOWER ASSEMBLY - TOTAL PARTS / /p,~ p RV VALVE I' I/ r✓1 µQ~ {N3Uv" /X10 L~ ✓'x'~ ❑ STRIP HEAT n WRITE OR CODE AMOUNT le-,41.,e p DEFROST CYCLE PARTS WARRANTY ❑ ELECTRICAL COMP-TS. All pads as recorded ere waral ae Par Mordecai o p RELAYS pCONTACTORS apeNwdanN B E7 OVERLOAD p PRESS. SWITCH LABOR GUARANTY a U <n- The labor charge as recorded here Native to the F TECH REGULAR 0 HRS. OVERTIME equlpm mMcedesnoW,4ge ntadfaapedodof R #1 HRS. 0 MR. = E 0 MR. = [:1 THERMOSTAT pD.K pREPLADE 30 drys. O R M ..D, Nncx.usaaE REGULAR T OVERTIME ED RELOCATE We do no%ot acrose, guaranty other peristhan those we • a TECH HRS.M MR.= a HR MR.= TRAVEL THE supply. H repelra later become necessary due to other E detective pate, they will becherged separately. L TOTAL TECHNICIAN'-- ) CERTK TOTAL W OTHER CHARGES $ SIGNATURE C_ r -~O 1 OTHER TIME CHANCES ARRIVED ENVIRONMENT CHECK LIST a • • SUB- CHANGED TOTAL E CODE TYPE SYSTEM E I HAVE THE AUTHORITY TO ORDER THE ABOVE WORK AND DO SO PARTED CODE "J O OUT (OR ORDER AS OUTLINED ABOVE. R IS AGREED THAT THE SELLER WILL R' REFRIG. DTY. _ U REPLACEDI? YES NO RETAIN TITLE TO ANY EQUIPMENT OR MATERIAL FURNISHED UNTIL THE EL E ❑ ❑ 4 I 'IS- ❑ ❑ FINAL & COMPLETE PAYMENT IS MADE, AND IF SETTLEMENT IS NOT TRIP , F O RECOVERED? yES NO OTY_o P MANTLED? MADE AS AGREED, THE SELLER SHALL HAVE THE RIGHT TO CHARGE MILEAGE W M YES NO REMOVE SAME AND THE SELLER WILL BE HELD HARMLESS FOR R E REFRIGERANT DISPOSAL ANY DAMAGES RESULTING FROM THE REMOVAL THEREOF. TAX ENDING D RECYCLED? D El OTY_ T f START- OUR PERSOxxEL C• ® RECLAIMED? 1~1 QTY. S RECOMMEND: o TOTALMILES RETURNEDTO NCI R THIS SYSTEM? u DTY - YES NO i % MR.= A O• DISPOSAL AUTHORIZED SIGNATURE S N ❑ ❑ OWNER'S INITIALS ABOVE ORDERED WORK HAS BEEN COMPLETED AND I ACKNOWLEDGE RECEIPT OF MV COPY. DATE H W m % lML. NON USFI BLE YES NO OTY_ ACCEPTED DECLWEO T E ® TRIP CHARGE $ ® DISPOSAL 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan NIN 55122 Telephone it 651-675-5675 FAX # 651-675-5694 New Construction Requirements Remodel/Repair Requirements Office Use Only 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Celt of Survey Recd _Y N , (20% maximum lot coverage allowed) t set of Energy Calculations for heated additions Tree Pros Plan Recd _Y _N 2 copies of plan showing beam & window sizes; poured found design, etc. I site survey for additions & decks Tree Pres Required _Y N 1 set of Energy Calculations Addition - indicate ff on-site septic system On-site Septic System _Y _N 3 copies of Tree Preservation Plan'rf tot platted after 711193 Rim Joist Detail options selection sheet (buildings with 3 or less units) Date S / /0 / 0 -S Construction Cost -34, ou a Site Address 3 (a4 )4sh b L V90a; Unit/Ste # rR[ Description of Work 4 Sec wv. POV C J~u Multi-Family Bldg -f Y X N Fireplace(s) x 0 2 Property Owner Jc)krx -bon v.,(,- (2a.-7IIIno._vi Telephone #((aSl) Q~z}- 4715 Contractor v O ~Or 1"z t~ t 0 (K I I vv C, d_ Address 4 3 Wood (O"^ ( r6L i city E~t~c., State M t1- zip Tj S 12 3 Telephone # (d lL ) E7 S ` 3 V7 3 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category I Worksheet New Energy Code Worksheet (4 submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a b ' ing in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. ~ F~ Licensed Plumber Telephone ) fJ(1 1 7 2005 Mechanical Contractor Telephone # ( J 'J Sewer/Water Contractor gym- 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. ,-Nui vn-lou+(2~f4- 1~ 214/VLL\_~ - Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03 01 of - plex ❑ 09 07-plex ❑ 17 Garage PC 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-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 Plbg_Y or _ N ❑ 25 Miscellaneous Work Types P 31 New ❑ 35 Int Improvement ❑ 38 Demolish Interior ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Building ❑ 42 Demolish Foundation ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish Building' ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant Valuation T~ Occupancy MCES System Census Code Zoning -P City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) _ FinaVC.O. _ Footings (deck) Final/No C.O. Footings (addition) _ Plumbing _ Foundation _ HVAC _ Drain Tile Other Roof 20 Ice & Water ) Final _ Pool _ Ftgs _ Air/Gas Tests _ Final 1 Framing _ Siding _ Stucco _ Stone _ Brick Fireplace _ R.I. _ Air Test _ Final _ Windows _p Insulation _ Retaining Wall Approved By: Building Inspector - - - - - - Base Fee Surcharge ffiQht Plan Review anu ~ ~/~/q f fO ® f/ ®c, MC/ES SAC C~ City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search L\ Copies Other Total 05:26/05 THU 15:14 F.4% 952445578T Richard F.rabs 2001 r permit Number REScheck Compliance Certificate Chocked By/Doe 2040 Minnesota Energy Code RESeheckSaRware Version 3.5 Reim-se 1 Dam filename: C.\ProgmmFiles\C6eek\MchecklDUTCHFR.rck COUNTY: Dakma STATE: Minnesota ZONE: 2 CONSTRUCTION TYPE: Single Family DATE: 05/26!05 PROJECT INFORMATION: 3664 Asbbury Rd Ewn COMPANY INFORMATION: Paul Dutcher Remodeling COMPLIANCE: Pastes Mamdmum UA - 345 Your Home UA = 327 5.216 Better Than Code (UA) Gross Glazing Area or Cavity Corn. or Door Perimeter R-Value R-Value U-Factor UA Ceiling 1: Flat Ceding or Scissor Trum 1040 40.0 0,0 30 Wall 1: Wood Frame, 16' o.c. 2396 19.0 0.0 116 Window 1: Above-Grade-Wood Frame:Douhle Pane 8 0.580 5 Window 2: Above-Grade:Wood Frame:Double Pane with Low-E 230 0.310 71 Window 3: Above-Grade: Wood Frame-Double Pane with Low-E 161 0.280 45 Door 1: Solid 38 0,130 5 Basemern Wall 1: Masonry Block with Empty Cella 947 11.0 0.0 55 Wall height: 8.2' Depth below grade: 7.5' Imulmion depth: 8.2' Propmeel and Manstrut U-FK%rAversges Propowd -Nadmum Average U -Factor Allowed U-Factor Above-GmdeWindowa and Glass Doors 0,303 0.370 Includes Foundation Windows % 5.6 fl:2 COMPLIANCE STATEMENT: The proposed building design dcscr'bed hero is consistent with the building plants. specifications, and other calculations submitted with the permit application The proposed building has been designed to raper the 2000 Minnesota 05/20/05 THU 15:14 FAY 9524455707 Richard Krebs [a 002 Energy Code requnrcmem9 in NF.S checkVersioo 3.5 Release I (formerly NEC 4mck) and to comply with the mandatory requirements fisted in check on Checirlist, Bnilder!Desigoer Datt_; a~~ RESIDENTIAL '5,50 BUILDING PERMIT APPLICATION o CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN NIN 55122 651-681-4675 New Construction Requirements Remodel/Repair Requirements 1 d- . 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas • 2 copies of plan (20% maximum lot coverage allowed) . i set of Energy Calculations for heated additions • 2 copies of plan showing beam & window saes; poured found design, etc.) . 1 site survey for exterior additions & decks • 1 set of Energy Calculations • Indicate if home served by septic system for additions • 3 copies of Tree Preservation Plan if lot platted after 7/1193 . Rim Joist Detail Options selection sheet (Ndgs with 3 or less units) r 2-(,,-7 DATE VALUATION 3tD SITE ADDRESS _ MULTI-FAMILY BLDG _Y APL TYPE OF WORK FIREPLACE(S) '_,Q_ 1 _ 2 APPLICANT Catastrophe Restoration 4ernrices Inc STREET ADDRESS 248A Rice Rt Suite 70 CITY-Roseville STATE nnNIZIP 55113 TELEPHONE # Rr,1-734_9434 CELL PHONE # FAX # 651 _du2_n219 PROPERTY OWNER TELEPHONE# 1a L} OI-'1 n CG ~ l l r1a r1 COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MINNESOTA RULES 7672 (4 submission type) . Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted . Energy Envelope Calculations Submitted Plumbing Contractor: Phone # _ _ - Plumbing system includes: Water Softener Lawn Sprinkler Fee: $90.00 Water Heater _ No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # Mechanical system includes: Air Conditioning ee.' i $710:00 Heat Recovery System VSEP 1 2 2002 Sewer/Water Contractor: PhoneJI IBy.- _-.-J I hereby acknowledge that I have read this application, state that the mation is c d agree to comply with all applicable State of Minnesota Statutes and CityrGgan r mans s. Signature of A OFFICE USE ONL 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 Accessary 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 08-plex ❑ 18 Deck ❑ 23 Porch (screened) ❑ 36 Multi ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg_Y or - N ❑ 25 Miscellaneous ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish (Interior) ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Bldg. ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish (Bldg)* ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS - Footings (new bldg) _ Final/C.O. - Footings (deck) _ Final/No C.O. - Footings (addition) _ Plumbing _ Foundation _ HVAC _ Drain Tile Other Roof - Ice & Water _ Final - Pool _ Ftgs _ Air/Gas Tests _ Final Framing - Siding _ Stucco _ Stone - Fireplace _ R.I. -Air Test -Final _ Windows (new/replacement) - Insulation _ Retaining Wall Approved By Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN 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 BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFIIC/C//ATIONNS AND 1 SET OF ENERGY CALCULATIONS y~l To Be Used For:' Valuation Date: Site Address OFFICE USE ONLY Lot Block Q On site sewage_ Occupancy NZ / aT,( MWCC system Zoning Parcel/Sub Y~.u On site well Actual Const City water Allowable Ownem ""/„N L/iiygni PRV required # of stories Booster Pump Length Address,_3 641 /gs~c~~„rv ice/ _ Depth S.F. Total City/Zip Code z A G a.✓ Footprint S.F. Phone 5~S5~ '/Z/-5- APPROVALS FEES Contractor u ~/d ~t-N fines Engr/Assess Permit N~G Planner Surcharge -7- Address Council Plan Review Bldg. Off. 4~Z1 SAC, City City/Zip Code. Variance SAC, MWCC Water Conn Phone Water Meter Road Unit Arch./Engr. Treatment P1 Parks Address Copies TOTAL- City/Zip Code Phone U P L4 n r Le Ger• 2" x /1" OYl. 2a F"Mc Of MAX. (3iFAA O~t~2NhWV ~ti~~~ 2-A1Z SE-AAA, on, ADD ONE A>I>m0N4- P05 t I SI) fOtj}S fist 64 y~iY~r~~ y~X`h .s be+h beaMs ii QlAw~ y„X)~" 7 NO, x•O.CJ Al.( f~ LtJitr w.tA ~.o_,tf ~wngt~S Lv;LL reS4- on C/o,bic beaniC - .Z• OFfr A4A4 - a(,L Woosf. ~G +rc.+e~ p,ric, - CoARosmi Penis ikir F-_Ae. 6x5 DccK_ WILL ~3e.I Spa +•1c w,fl. SAmIL At ti0Nt4L Fdoi,nG-s-- fo ~Z~ C1~4wtcfei` i,t O~oLe a.f /Jc~-- A e 7S. 7d' r 0 .D f I T - I i w 4 i A ~t kr r tz As ) t ( L BL /Q(p~ CITY USE ONLY RECEIPT#: SUBD.~ /vY~a~. / RECEIPTDATE: I-~~97 1997 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: . single family dwellings townhomes and condos when permits are required for each unit backflow preventer for underground sprinkler system FIXTURES EACH NO. TOTAL Shower 3.00 x = Water Closet 3.00 x Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = Water Heater 3.00 x _ tt? Floor Drain 3.00 x = Gas Piping Outlet ' minimum -1 3.00 x = Rough Openings 1.50 x = Water Softener ` for dwellings under construction 5.00 x = Water Softener ' for existing dwelling 20.00 x U.G. Sprinkler "fordwelling under const. 3.00 = U.G. Sprinkler "forexisting dwelling 20.00 = Alterations ' to existing residence 20.00 = Water Turn Around 20.00 = Private Disposal System ' Dak Cty lie. ° 75.00 = (new and refurbished systems) Private Disposal Systems " Abandonment 20.00 = STATE SURCHARGE .50 TOTAL ~~cb I hereby acknowledge that 1 have read this application, state that the information Is correct, and agree to comply with all applicable City of Eagan ordinances. It Is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during Its normal operational and maintenance activities to the facilities constructed under this permit within City propertyhightof-way/easem CALL I HFN JOHN _ X1564 H=HBUIRY ROAD SITE ADDRESS: ERGIAN , NN 55122 OWNER NAME: H 454-4; 15 to INSTALLER NAME: wanall-ou PLUMBING CO. TELEPHONE* STREET ADDRESS: CITY: mi NEAaeL S.MN 83WOE: ZIP: SI URE OF PERMITTEE WiL( .t if C. y'/)( `t OSf.f osl ri: ,H w er 14 PecK s S PP - a "xN"~ acrorr i ~olp p~' fIo3tt - V4fs ~vr Cog4 are 2y s r in A.Cf I I 1 el a•r~~ _ R4, N ~IA,LP•Q +o Made of dtct+ an „ LiAG hcrf/f 6t W" c C. DecK avc S-4e-pS - -Dowble, Rim 3o1ST AT %rAiR LoC&710Q li ,I MAX OMW/ 5r : MAIA, is tSa= / - MICI • LA III f4,ULJa PAILS @ 30,•~ 3#4 ~ A BO:~ Pl fJSIPo{'i I j I 1 i I III i i j I .T:> f 1 CITY OF EAGAN 11TQ 16374 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 Receipt # v /I iy~~ / To be used for BASEMENT Est. Value $1,500 Date ~41 , t 9 Site Address 3664 ASHBURY RD Lot 3 Block 1 Sec/Sub. BLACKHAWK GLEN OFFICE USE ONLY Parcel No. 1ST Occupancy FEES Zoning Z Name JOHN & DONNA CALLINAN (Actual) Const Bldg. Permit 36.00 o Address 3664 ASHBURY RD (Allowable) Surcharge 1.00 City EAGAN Phone 454-4715 #of Stories - Length Plan Review tr Name SAME Depth SAC, City Address S.F. Total SAC, MCWCC City Phone S.F. Footprints On Site Sewage Water Conn U~ Fw Name On Site Well Water Meter u~ Address MWCC System a W City Phone City Water Acct. Deposit PRV Required S!W Permit I hereby acknowlege that I have read this application and state that the Booster Pump SAa Surcharge information is correct and agree to comply with all applicable State of Minnesota Statutes and City agan Ordin crls Treatment PI Signature of Permites -A/'~ L- - APPROVALS Road Unit A Building Permit is issued to: JOHN OR DONNA CAT i TNAN Planner Park Ded. on the express condition that all work shall be done in accordance with all Council 50 applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg Off. Copies .50 Building Official B.1111 IA~JL Variance TOTAL 37.50 + 1989 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS I 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 BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS APR 2 b 1989 i=inr+5q 1!5-00 - To Be Used For afi~~krr Valuation: Date: 02 Site Address ~?66 V A 17e',42z OFFICE USE ONLY Lot Block Occupancy FEES l t rr~~ Parcel/Sub ,~l1,rft~thuw, ~,Qpm At Zoning Actual Const Bldg. Permit 3G~•OD Allowable Surcharge l,y o Ownery~rh,y Ogf&41-4 C,4 A/ 441 # of stories Plan Review Length SAC, City Address,YG 4 e/ 4V <64K / Depth SAC, MWCC S.F. Total Water Conn City/Zip Code / ,q(;;, /t/ Footprint S.F. Water Meter Acct. Deposit Phone T S S~ y / On site sewage- S/W Permit on site well S/W Surcharge Contractor's d- 2 ~lJ l3 MWCC System Treatment Pl. City water Road Unit Address PRV required Park Ded. Booster Pump Copies SO City/Zip Code TOTAL a APPROVALS Phone Planner Council Arch./Engr. Bldg- Off. 4-/Z7 Variance Address City/Zip Code Phone # NOTE: Sewer & Water Permit fees and account deposit fees will be included in the building permit fee. Processing time for sewer and water permits is two days once a licensed plumber has applied for a permit at City Hall. SURVEYOR"5 GtK < <rlilt-oM.i G C m i m z- 2 I t _ ~ m 02 ' 46 WQ 6 - 1 L' \ 1 m g1° N 827.9 a2~ 30 N 6 15.07 U . J 1 r - - W,• 2450 ) 10 m . 27.56 V N N ld I~~ u, n O / \ O 10 Q ' 10 1 - t 9.0 Q 4`~ Mn 1 l t II e° 2 6.0 0 ~ ~v~~ - n m W ID W it ni M ~C y U1 H W U1 M PROPOSED v 1 v m N C: :j N CO co MOUSE z y (13 Ul 7.s y - -30 GAR a JJ 710 n PROPOSEII v 22.0 828.3% r..-~ 8283 10A r X IDQ 29.50 ° ° N 96 158.61 N 35.27 N~ 9N 80°3512" W I~ V r rri I I L- I 30 I I UCNOTES PROPOSED SURFACE DRAINAGE SCALE: 1 INCA = 30 FEET 0 UENOrES IRON h'.ONUh'ENT SET PROPOSED GARAGE FLOOR = Szc 3 FEET 0 DENOTES IRON MONUMENT FOUHIJ PROPOSED L014EST FLOOR = -4 3 FEET XOOO.O DENOTES EXISTING ELEVATION PROI'OSEU TOP OF BLOCK = •`-1cB.l FEET (000.0) UCHOTES PROPOSED ELEVATION ME IIERERY CCItTIFY TO SIENNA CORPORATION MAT THIS IS A TRUE AND CORRECT REPRESEIITATION OF A SURVEY OF THE BOUNDARIES OF: Lot 3. Block I. OLACKIIAVIK GLEN 1ST ADDI'F10N, according to the recorded plat thereof, Dakota County, Minnesota. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACIR•IEIITS, IF AIIY. AS SURVEYED BY HE Olt UNDER MY DIRECT SUPERVISION Tills ~"5TH DAY OF Imv. SIGNED: JAM[S~f(. }111, INC. LZ BY: IIAROLII C. PETERSON, LAIIU SURVEYOR MINNESOTA LICENSE NUMBER 12294 PROJECT 110. DOOIC / PAGE JAMES R. HILL, INC. 85618 (ai43t3~ Planners / Engineers / Surveyors 22tolco FILE 1.10. 0200 Humboldt Avanue South FOLDER Bloomington, Mn. 65431 012-004-3020 APPLICATION FOR PERMIT iNOTE: PAYMENT OF FEE AT TIME OF ; PID APPLICATION DOES NOT CON- ~9S( STIIVIE APPRUOL OF PERMIT. SEWER AND/OR WATER CONNECTION : Y15=ION OF mm AND/OR WATER INSTAIIATIONS WILL NOT BE SCIDOIM [TOIL PERMIT HAS BEEN APPROVED. of czag an PLEASE PRINT 1) PROPERTY ADDRESS: Q f ae ~au//pk 1 wCX(!, p U'/~` f n\ LEGAL DESCRIPTION: , 4 / 0~t~C l7 lt~x.^ f-J• C 2 . J l- \ 1 Lot Block Su division or Tax Parcel ID IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: (month/year) PRESENT ZONING/PROPOSED USE: Q COMMERCIAL/RETAIL/OFFICE , r.. R-1 SINGLE FAMILY Q INDUSTRIAL F----]R-2 DUPLEX (Two Units) Q INSTITUTIONAL/GOVERNMENT R-3 TOWNHOUSE (Three + Units) ( Units) Q R-4 APARTMENT/CONDOMINIUM { Units) 2) NAME: Ct oo eS/ ' C - Oex c~ ADDRESS: ~IIS s/a CITY, STATE, ZIP: PHONE: s~ i- For City Use 3) NAME: M Plumbers License: ADDRESS:' Active 1408 NORM Alan Don w Expired CITY, STATE, ZIP: . SUITE 403 ot recorded PHONE: (77'(ofr7 LICENSE # 3570/Vt St Ia nitiar 4) e e e• NAME: ADDRESS: CITY, STATE, ZIP: PHONE: 5) e ' •N o e CONNECTION TO CITY SEWER TION TO CITY WATER O OTHER 6) T e•i lo~~~ **,t***,t***,r*:r*****,t*********:r***,t:t,t**x************,t***,t**,t*~t*******,t*******,t*,t********x********r**~ * THE GOLD COPY OF THE PERMIT WILL BE SENT DIRECTLY TO PUBLIC WORKS TO FACILITATE METER PICK-UP. *t PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. SOMEONE FROM THE CITY WILL CONTACT YOU IF THERE ' * ARE ANY PROBLEMS. i FOR CITY USE ONLY PERMIT # ISSUED Pd w/Bldg. Permit FEES: $ $ SEWER PERMIT (INCLUDE SURCHARGE) $ 7 $ WATER PERMIT (INCLUDE SURCHARGE) $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUNT DEPOSIT - SEWER $ $ ACCOUNT DEPOSIT - WATER $ $ WAC $ y' S $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEF,,T,T/TRUNK SEWER $ $ LATERAL^BBNhFl-T%TRUNK WATER $ r U / $ :'WATER++ TRE4 Tt~IEiVT'"PLANT SURCHARGE $ $ OTHER: $ E J / $ I1 t, / TOTAL RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC 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. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: , U TITLE: DATE : I a j a December 28, 1988 DAHLSTROM DESIGNER HOMES 4151 KNOB DRIVE `~V~ YW4 EAGAN, MN 55122 RE: 1628 BLACKHAWK LAKE DR., L3, B10 BLACKHAWK GLEN 3RD WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW XX Your Sewer and Water Permit for 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 CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. Your Sewer and Water Permit for the above property cannot be completed for the following reason: Your Sewer and Water Permit for the above property has been completed, however, the meter cannot be issued or occupancy allowed until further notice. Sincerely, Jan Severson Secretary is GOLD COPY PERMIT RELEASE FORM PERMIT it Al ADDRESS 3lyCvy' A3h bu rl,(,•~~ PICKED UP BY v~+'~~ *xxxxxxxxxxrrxxxxxxxxxxxxxxxxxxxxxxx# y* NOTT:: PA'"" OF FEE AT TIME OF CITY OF E A G A N * APPLICATION DOES NOT CONSTITUTE y* APPROVAL OF PERMIT. APPLICATION FOR PERMIT x* INSPECTION OF SEWER AND/aZ WATER *f iNsTa .LATTONS WILL NOT BE SCBED- SEWER AND/OR WATER CONNECTION DLED UNTIL PERMIT HAS BEEN APPROVED. * * * * * * *xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx (Please Print 1) PROPERTY ADDRESS: LEGAL DESCRIPTION: " Lot Block Subdivision or Tax Parcel ID IF EXISTING STRUM'RE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: - PRESENT ZONING/PROPOSED USE: (Mon Year) COIvERCLAL/RETAIL/OFFICE [ErR-1 SINGLE FAMILY INDUSTRIAL F-1 R-g DUPLEX (Two Units) 11 I f-I INSTITUTIONAL/GOVERNMENT' R 3 MwNiOUSE (Three + Units) ( Units) R-4 APARTMENT/CONDOMINIUM ( Units) 2) NAME: L VN Q E~SnI PaC1o ~i_~ ADDRESS:- raj C~ W t4Z0.5F~ PJt. CITY, STATE, ZIP:- (xJag}„Z~,}r` SS3~1 PHONE:-4-7 3- 1 L3 1 . 3) NAME. SAJd~~ For City Use Plumbers License: ADDRESS: Active Expired CITY, STATE,-ZIP: Not recorded PHONE: MASTER LICENSE# Staff Initral 4) as • • a,auix: 1 NAME: LV'~{ aJ$pS. L-PSI ADDRESS: CITY, STATE, ZIP: PHONE: CONNECTION TO CITY SEWER CONNECTION TO CITY WATER Q OTHER 6) • ® PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE - - PLEASE MAIL APPROVED PERMIT TO 1, 2, 3, 4, ABOVE (Circle one) L S2 FOR CITY USE ONLY PERMIT # ISSUED Gl Pd w/Bldg. Permit FEES: $ $ SEWER PERMIT (INCLUDE SURCHARGE) $ 5-2) WATER PERMIT (INCLUDE SURCHARGE) $ 7'o--o $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUNT DEPOSIT - SEWER $ $ ~•5'~ ACCOUNT DEPOSIT - WATER $ $ WAC $ Z~'C 0 $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ p $ LATERAL BENEFIT/TRUNK WATER ~0C $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: L $ l 3 Too $ X57- U- TOTAL 9V,3 RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC 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. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE: 9/2 7 . , O y . 19$7 BOILDING PERMIT APPLICATION - CITY OF EAGAN 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 BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS - RESIDENTIAL RENTAL UNITS FOR SALE UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND cc)o/ To Be Used For: GJ- a Valuation: Date: 6/3ler ~ Site Address ¢ ~ rz~ OFFICE USE ONLY Lot 9_ Block / On Site Sewage_ Occupancy ~Z 3 MWCC System ✓ Zoning 1 Parcel/Sub On Site Well Type of Const 4a 7 City Water ✓ (Actual) Owner (Allowable) - Address 3 # of Stories Length 54 sS3y/ Depth 30 City/Zip Code S.F. Total Footprint S.F. Phone APPROVALS FEES Contractor _ 6 d4-'~ Assessments Permit 42) Water/Sewer Surcharge Address Police Plan Review 2¢4 Z Fire SAC, City 00 . City/Zip Code Engr SAC, MWCC 52 5 Planner Water Conn S~ Phone Council Water Meter 67 Bldg Off Road Unit C)5 . Arch./Engr. APC Treatment P1 0. Variance Parks Address Copies TOTAL City/Zip Code Phone # 94 1 z 28c~ r.'2o k, Z2-- - 44a Ix ER 1 IFIC TE SIENNA CORPORATION . -SURVEYOR'S. CERTIFICATE' ~~X 11 = N\ ` 2 W 1 r ~ -I w I I ~J 02'46" E N 8279 a2 81156.07 _ 30 ~bo o t , w.- 29.50 27.56 Gf l 10 1 a w, 10 B 8.0 ID II tiOD 26.0 0n W _I n 2 W O° 01 PROPOSED o Y m H Ib 4 W" V " j n HOUSE ^ c v V ~w IT, 7.5 30 N avx r^ r co - 3.5 i D ~ R~ 10 10 PROPOSID ""N GA ai ro ~ Of~LVEWAY . ~ - 30 - iro -H5 2 ~ .v. r 1Y 22.0 -_~k ~ in ~V ID 828._3X. 6283 X8'3-57;77 10-0 I 0 D m N ti 29.5g2-g.6 158.61 m N 35.23 N " w m o N ° caZS.s) N 80°35'12 L N t N Rj I ~ 1 -1- 30 tl I DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET SCALE: 1 INCH = 30 FEET • DFNOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = 37-8 3 FEET X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR = 8-e- 13 FEET (000.0) DEMOTES PROPOSED ELEVATION PROPOSLD 'FOP OF BLOCK = ,3z:3._7 FEET WE HEREBY CERTIFY "1-0 SIENNA CORPORATION ]HAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 3. Block I. BLACKHAWK GLEN 1ST ADDIIION, according to the recorded plat thereof, Dakota County, Minnesota. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, IF ANY. AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS IaYH DAY OF tr0v. 19 ` SIGNED: JAMS ILL, INC. BY: HAROLD C. PETERSON, LAND SURVEYOR MINNESOTA LICENSE NUMBER 12294 PROJECT 140, BOOK / PAGE JAMES R. HILL, INC. 85618 (a7434 22Planners /Engineers /Surveyors FILE ND' 0200 Humboldt Avanue South FOLDER Bloornlnpton, Mm 65431 012-504-3029 s LUNDIGREn , I CTRUCTION BROS935 EAST WAYZATA BOULEVARD • WAYZATA, MINNESOTA 55391 • (612) 473-1231 EXTERIOR ENVELOPE AVERAGE U COMPUTATION f- - Site Address !of 3 alo¢'( I& U Factors R U Opaque !,!alls 05? Wall Framing Areas 12 Ceiling Insulation Area O a3 Ceiling Framinn Area '007 Rim Joist D ~q Masonry Wall W! ndows Doors Skylights 5S 1) Lower Level (Basement) Total exposed wall area Opaque Wall Area O x (U) Wood Frame Area / x (U) Rini Joist - x (U) Exposed block x (U) _ /A a Window Area ?a x (U) , = Sliding Glass Door - x (U) Door Area - x (U) 3 _ Total ~•3 LUDGREn Page 2 D R ®5CO CTRUCTION 935 EAST WAYZATA BOULEVARD • WAYZATA, MINNESOTA 55391 • (612) 473-1231 2) 1st or main floor Total exposed wall area Opaque wall area x (U) . O~~ _ ~/o Wood frame area ~x (U) . //7 = c~/ X77 G Rim joist 'D x (U) _ Window area ~CX (U) ,3~J= Sliding glass door ~_x (U) 5 = S S Door area =7 x (U)~~ _ Total /0 3) 2nd floor if 2 story Total exposed wall area C/I r 0 ? L: Opaque wall area 9C x (U) Wood frame area -ZeZLx (U) Window area 7 x (U) 2J = 1 y Sliding glass door - x (U) _ Door area ~x (U) ,.-,:F _ Total 4) Total ceiling area Mood frame area P~ x (U) , Dpi= 1 Z~ Opaque ceiling area Lx (U) O - Skylight X (U) Total 07z2, lO 1 Page 3 SCO CT(2UCTION B R O I 935 EAST WAYZATA BOULEVARD • WAYZATA, MINNESOTA 55391 • (612) 473-1231 Minn. U Factors Total exposed wall area x = 07~ ~~G Minn. U Factors Total exposed ceiling area x (A) Total Item 13 + Item 2 QG,3 + Item 34~ + Item 4,2Q, (o = 9 O IT total of Items 1 - o is less than Item (A), building complies with SBC 6006 (C)s 06/14/2006 16 13 FAX IA 001/002 06/1,4/2006 14:53 ERGRN ENG+COM DEV 4 99526463832 N0.882 p01 20Dl5 RESIL,c.NTIAL BUILDING PERlwnlz E,. rLICATION Sa City Of Eagan' 3830 Pilot Knob Road, Eagan MN 55122 111/// 'telephone # 661.675.5675 FAX # 651-675-3644 a`~e~~~eir 6eoulrg New caustindsill pAeassettents 3 rwp'ulered Ills 9UMys 41r0efnp gq, 1L of W4 sq. R of house; ands imred dread 2 coAtli of plan snosrlnl foo11rs6. Oeatr6, tee P it (4% mydmum lot arveass, allowed) IWofEneryy ulprledon4 tot hestee addldala •1}p„ cry,.-i,, tt team aaieWow alms: Wurad found design, eta 1 alto wrrvey for addllDne 6 deola Tv.~l4~..~q Y- )l z WON of plan saohra p I set olenewcaleaudons Add~on-hdlcefadwrsreWOOSyeum P.ns14.slvgg•S7gtam'.: Y-" 3 coples oiYRe Prasenalloa Pun 1 Id walled dryer 7111W Rh Jdut 000 aprons sele0on sheet (bu%lwee Wlyr 3 or 1954 units) MinnegaW meclunlwl mlladon fdm n~ pate-LV-/ -Lt-/ NO Construction Cost `f 1 0 Unit/Ste N Site Address CC, Description of Work , I Multi-FornliyBldg Y N Fireplace(s) - a X1 _ 2 Property Owaer Telephone # (Lsq -454 '4 Contractor City US Address (91d-) State Y-v Zip - Telephone # COMPLETE THIS AREA ON IF CONSTR jI GG A NEW BUILDING Minnesota 11196 767o ga Mory 1 Minnesota Rules 7672 Energy Coda Category . ReaWentlal venatadon Ca4egory I WOMeneet New Energy Code wot®hees (,4suhfnlealon tyde) svbmiesd• Submlmed • Energy Emtelope Calwiatlom auhmlried in the last 12 months, has the City of Eagan issued o peenlt for a sh-Aw plan based on o master plant' Y _ N It yes. date and address of master plan: Licensed Plumber nD E0 2 Telephone 41 ) Mechonicrd Controctor JUN i Telephone # ( ) . ) Sewer/Water Contractor Telephone #I I hereby apply for a Residential Building.Peunit and acknowledee 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 undtrrstand 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 one of work which requires a review and approval of plans, -L f, Arl N Y?%Alvveu ` Jul W~f rte v l~ v Applicant's Printed ame App s SAign e l~ r 06/14/2006 16:14 FAH IM 002/002 06/14/2006 14;53 EAGAN ENG+COM DEV 4 99526463632 N0,883 oat O NOT WRITE BELOW THIS LIP' Sub Types O 01 Foundation D 07 061p1ex 13 13 18-plex a 20 Pool Q 30 AccessoryBldg D 02 SF Dwelling O OB 08-plax O 16 Fireplace t7 21 Porch (3-sea.) O Si Ex4 At - Multi O 03 01 of_ plax O 09 07-plex O 17 Garage 4 22 Porch/Addn. (4-sea.) Q 33 Ext. At - 3F Q 04 02-plea O 10 08-plax D 18 Dock U 23 Porch (screen/gazebo) 0 38 Multi Mao, O OS 03-olex ❑ 11 10-plex O 19 lower Level EI 24 Storm Damage O 06 04-plex O 12 12-plea ❑ 25 Miscellaneous Work Tyaes D 31 Now ❑ 35 Int Improvement O 38 Demollsh interior ❑ 44 Siding O 32 Addition O 3B Move Building ❑ 42 Demolish Foundation D 45 Flra Repair D 33 Alteration Q 37 Demollan Building* O 43 Reroof O 46 Windows/Doom D 34 Rspla sment *Owncll8on (Entire Bldg) - elve FCA handar4 to applicant Descrlctlon: Wateroamays_Yea Value ion Occupancy MCES System Plan Review _ 100% or_,,, 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRY # of Bldgs Length Fire Sprlnklered Type of Const Width REQUIRED INSPECTIONS Footings (now bldg) _ Sheetrock - Footings (deck) Fiml/C.0, - Footings (addition) Final/No C.O. W Foundation HVAC - Drain Tile Other Roof _ Ice & Water _ Final Pool _ Fills Air/Oea Tests Final - FTannag siding _ Stpcc* Lath _ Stare Lath_ -BTick Fireplace ILL _Air Pest _ Ftoel Windows Lnsulalioa _ Retaining Wall Approved By: Building Inspector Bass Fee Surcharge Plan Review MC/ES SAC City SAC Ut81ty Connection Charge S&W Permit & surcharge Treatment Plant License Search Copies Other total 50 2006 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date I I O Site Street Address c F ` v k c<.2 ~n Unit # Property Owner Telephone # ( ) Contractor \ z_r/may c y / c Telephone # (7L,0j i'33 `?lC 45 e - State t p Address/ •_3~ Yea: "City The Applicant is: _ Owner (contractor -Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Alterations to existing dwelling $ 50.00 Add plumbing fixtures. This fee includes installation of a water softener and/or water heater at the same time. If you are installing only a water softener and/or water heater, do not complete this section; move to the next section and check the appliance(s) you are installing. -Septic System Abandonment -Water Turnaround (add $130.00 if a 5/8" meter is required) Other: Water Softener Water Heater $ 15.00 _ new _ replacement Lawn Irrigation _RPZ _PVB -new -repair -rebuild $ 30.00 State Surcharge $ .50 Total $ 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 ordance with the/approve,0 ~lan in the event a plan is required to a reed a/nd~appfove~. Applicant's Printed Name < ,.Applicant's Signature 2006 RESIDENTIAL BUILDING PERMIT APPLICATION 4 Z~ City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements RemodeVReoair Requirement Office use On 3 registered site surveys showing sq. ft. of lot, sq. ft of house; and all roofed areas 2 copies of plan shoving footings, beams, joists Cart of Survey Recd _Y _N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Soils Report, _Y N 1 Soils Report If proposed building is to be placed on disturbed soil 1 she survey for additions & decks Tree Pres Plan Reod ` Y. _ N. 2 copies of plan showing beam & window sizes; poured found design, etc. Adddim - indicate if on-ske septic system Tree Pres Required 'I Y 1:'N l set of Energy Calculations On-site Septic System `_Y_N 3 copies of Tree Preservation Plan if lot platted after 7/1193 Rim Joist Detail options selection sheet (buildings with 3 or less units) Minnegasco mechanical ventilation form ~i I °t & 006- Date Construction Cost ~ Site Address 514-5 UQ_"( ~ Unit/Ste # = ,,II Description of Work ~SL~~av ^4rE© t k~~~ 2~ 2/Li°utc Multi-Family Bldg _ Y ~Fireplace(s) _ 0 LJ ' Property Owner Telephone # ( ? 1 `t 1 S~ Contractor Address 6-31q (_/4gY'i1 ?--\g~rz~ City s~ Lov,3 lA-Q",c State Zip S 1' Telephone N (CI,5 `f6-38`►D COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Y _ N If yes, date and-address of-master plan;- , ~ - ~ - -.I Licensed Plumber Telephone ) Mechanical Contractor Telephone ) I (n/~ n Sewer/Water Contractor Telephone ) -J 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 pl case of work which requires a review and approval of plans. 4L < Applicant's Printed Name Applican s ignature DO NOT WRITE BELOW THIS LINE Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 AccessoryBldg X 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03 01 of_ plex ❑ 09 07-plex X 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screen/gazebo/perola) ❑ 36 Multi Misc. ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex ❑ 25 Miscellaneous Work Types ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish Interior ❑ 44 Siding ,111 32 Addition ❑ 36 Move Building ❑ 42 Demolish Foundation J- 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish Building' ❑ 43 Reroof 46 Windows/Doors ❑ 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant Description: Water Damage _ Yes np Valuation ~U Occupancy ✓C~3 MCES System Plan Review/U~100% or _ 25% Census Code L! 3~f Zoning Pp City Water SAC Units - Stories Booster Pump # of Units Sq. Ft. 5LI- 69m, .,w, PRV # of Bldgs Length 7..5 Fire Sprinklered Type of Constj_ Width ~p REQUIRED INSPECTIONS Footings (new bldg) _ Sheetrock Footings (deck) Final/C.O. Footings (addition) Final/No C.O. Foundation I-IVAC _ Drain Tile Other Roof k lee & Water j Final Pool _ Figs _ Air/Gas Tests _ Final Framing Siding - Stucco Lath -Stone Lath -Brick Fireplace _ R.I. -Air Test -Final Windows Insulation _ Retaining Wall Approved By: Building Inspector Base Fee Surcharge C2 Y CW Plan Review MC/ES SAC I A~gCN/Z~H/2/If L /!4A/!/ov °~!~(®(1 City SAC /s~ JST Utility Connection Charge S&W Permit & Surcharge Treatment Plant J I License Search Copies Other Total Cities Digital 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. I--rrr u w w W • Ww Wl.:u _ I n I I I Lt L l; 5 13°17'55' - ''y' 75. 76 11 xait It it 11 ¢836-3 t=- 14 U C O U 0 1 _ , = 0 0 0 ! T J J J o DAAlNAGE 8 U7JL1~ r w N C EASEMEIlT PER PLAT w C_ W J C J G G C O I I - U ~ J W w W to N N O 0 0 ~~1 n c c - I m O O O O m 3 w yy 0 N cps°aQ\ v o ep ? n - r O Ul T- ?,.y `y to 5828 Q] 7/ j C.- w u o ° O a. Uv err i 0 03 C« w w V, w \ 61 -1{111~o N - Zn W w w f XHQ~SE R H & S N L'~. P~ i ct O O Z W i 1 m N 6££ ~ t •OZ ~ J o _ r O_ `Op28 n ` G O O^ O _ J827.O3• ~ Br ( 1f/ ~_c%~'• N J - u - B 41 Q3... m N to vt Vl N ✓I r t O .g4j T5 n ~r rr - 1 O~ n O>?.. n v CDOCO N O -0.0 O •Id w"J LLIJ azs4 _ 57. 05 '17.82 ~sz6.a o ~ o c p~ 6,10°15'32" ~N19012'46"E oc aR= 318.60 azs 9 825.4 K°I o c x ASHBURY ROAD 6h~2~ I - - v 0 2 5, :5) MN License # 39o3 6314 Cambridge St St Louis Park, MN 55416 99577 Total Service Company Fax (952)928646- Restoration and Remodeling Contractor City Of Eagan 3830 Pilot Knob Road Eagan, Mn 55122 Re: Permit Application Fire damage repairs 3664 Ashbury Road Eagan, Mn 55122 General notes for above referenced property. 1) All windows to be replaced with Marvin double hungs made to fit existing openings. 2) All floor covering by others 3) We are proposing to exte4existing garage out 7'6 to be flush with the back of the house. (We would be taking out a cement patio currently in that area) Please call with any questions you may have. Total S i Company Mike e s n Pro ager Mike Sorensen Project Manager Total Service Company Restoration and Remodeling Contractor i MAY Lic #3903 Office: 952-646-3870 6314 Cambridge St Fax: 952-646-3832 St Louis Park MN 55416 i Ce8:612-24 - 3 _ww Aotaiservicemn.com SS S ~3O.so g 2006 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomesicondos when permits are required for each unit Date /0 l PV l 06 1 Site Address 3 v q /f 5~ KJ ~ Unit # Property Owner Telephone # ( ) Contractor O 1`~ ! U C Street Addressss~ b Z o ` ` 7 7"n -S/- City ~kC t,, //c ( 6/2 y~9 Sys State 1W Zip S-50 cY Telephone # Bond X51 q j y6 0 Expires: -zr- 2S5 -07 The Applicant is Owner X Contractor Other Add-on or alteration to existing dwelling unit $ 30.00 furnace Additional Replacement New air exchanger air conditioner _ heat pump other GZa,/•t lL,.ne.f1(a ~e- lY,oarr-.s~W~GS - a rlv~lo State Surcharge $ .50 Total $ So I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approve plan i e a, of work which requires a review and approval of plans. i iq 's lica s inted Name Applicant's Signature 30.E 2007 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Do not combine inside and outside plumbing on the same application; separate applications and ermits are re wired. Date I_ 1 6 1 Site Street Address \1`,` a k1-, Unit # Property Owner W Ul V~ ~ I to A~ Telephone #451 O U c~ Contractor ~~WI t Y ,1- I -I Lf l11 n I / 'mil Telephone # 6151) L) LDd '4 1 ID Address 62S q l a`4 11 jLo 61vX-City r l6Y ,'J d Ll State Zips The Applicant is: - Owner & Occupant X Licensed Plumbing Contractor Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Fire Repair (replace burned out fixtures, etc.) $ 90.00 This fee applies when extensive lumbin repairs are made to a buildin . Alterations to existing dwelling $ 50.00 Add plumbing fixtures to _ main level _ lower level. This fee includes installation of a water softener and/or water heater at the same time. If you are installing only a water softener and/or water heater, do not complete this section; move to the next section and place a checkmark next to the appliance(s) you are installing. -Septic System Abandonment -Water Turnaround (add $136.00 if a 5/8" meter is required) Other: Water Softener _ Water Heater $ 15.00 - new - replacement -Lawn Irrigation _RPZ PVB -new -repair -rebuild $ 30.00 State Surcharge $ fifi.50 Total $ ~lJ. 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 approved. Ja.r~,., ~urlrti Applicant's Printed Name ppli nt's Signature PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA076157 Eagan, MN 55122 . Date Issued: 12/12/2006 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 3664 Ashbury Rd Lot: 3 Block: 1 Addition: Blackhawk Glen PID 10-14350-030-01 Use Description: Sub Type: e-Fireplace Construction Type: Work Type: Gas Insert Description: Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: Chimney/flue must be inspected prior to concealing. Smoke detectors are requ ired in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard-wired detectors are required. Battery operated types are acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector. CHRISTA WEGWART 2700 N FAIRVIEW AVE R OSEVILLE, MN 55113 651-633-2561 WEGWARTC@BEARTHNHOME.COM Fee Summary: BL - Base Fee $2K $69.00 0801.4085 Surcharge - Based on Valuation $2K $1.00 9001.2195 Valuation: 2,000.00 Total: $70.00 Contractor: -Applicant - Owner: Fireside Hearth & Home John P Callihan 20802 Kensington Blvd 3664 Ashbury Rd Lakeville MN 55044 Eagan MN 55122 (952) 985-6675 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink I� . �________________� I I For Office Use � I I �0 ��� � Clty of Ea�ar� , Permit#: I II � ��� � 383D Pilot Knob Road � Permit Fee: Eagan MN 55122 � � Phone: (651)675-5675 � Date Received: � Fax: (651)675-5694 I � � Staff: I �-----------------I 2014 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. Date:_�'',�'�J�� y Site Address: _� �u�v� ����t-y q...� Tenant: Suite#: Resident/Owner Name: �O�►n �- ����✓►a- ��� �r�a.+� Phone: �� Address/City/Zip:�(�,�p'� �I��,,�.�r � Name: u���q� }�a�t.,`t'v+�, � �2 "�VtC�. License#: —, Contractor Address: Q ��• � r��u �� city: �.��U� ���., State:�� Zip: �� Phone:_��r,�i.� ` �"')��e�J Contact: ��-�f- �l,`.-, Email: .��'k.�.i.�.t..B�.,���,��'�e rti.r�.:� . OaF-7— New �Replacement Additional Alteration Demolition Type of Work Description of work: ` NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. RES/DENTIAL COMMERCIAL � �"Furnace New Construction _Interior Improvement f � Permit Type —A�r cor,d�t�o�e� Install Piping _Processed � ! _Air Exchanger Gas _Exterior NVAC Unit � � _Heat Pump _Under/Above ground Tank �Install/_Remove) � _Other � �.._. �. ._ . i RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit(includes$5.00 State Surcharge) $100.00 Residential New(includes$5.00 State Surcharge) _$ TOTAL FEE COMMERCIAL FEES � Contract Value$ x.01 � $55.00 Permit Fee Minimum � � $70.00 Underground tank installationlremoval = $ Permit Fee 'If contract value is LESS than $10,010, Surcharge=$5.00 =$ Surcharge" "'If contract value is GREATER than $10,010, Surcharge=Contract Value x$0.0005 "`�If the project valuation is over$1 million, please call for Surcharge `� TOTAL FEE ; 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. X C..0 �e....�-: � � � I�.-- X �.�.��a �--° _,_._._�_._.. ApplicanYs Printed Name ApplicanYs Signature FOR OFFICE USE _ Required Inspectionss Reviewed By: Date: : Und�rgr-0und Rough In Air Test Gas Service Test In-floor-hteat 3R�ir�al � - HVAC Screening