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1572 Ashbury Ct Use BLUE or BLACK Ink I I I For Office ~?q 7~ I Permit G City of Ea an a I ~ I 3830 Pilot Knob Road C d Permit Fee: Eagan MN 55122 1 t 1 I Date Received: Phone: (651) 675-5675 1 Fax: (651) 675-5694 I Staff: 1 2011 MECHANICAL PERMIT APPLICATION Date: 601Y l Site Address: /6ZZ ~2Z Tenant: Suite RESIDENT / OWNER Name: 1/.C(/~ ~~1 ^r~} L- Phone: eP7 00 / Address / City / Zip:Z6 72- (.(iZ I??-. -5 to Z Z CONTRACTOR Name: W 2 t5 L ~ Z_ license Address: / City: State: 1V Zip: Phone: :F, g Contact: ✓C EmailR5coet'41c6f ~L 1~ L TYPE OF WORK New Replacement Additional Alteration Demolition 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. RESIDENTIAL COMMERCIAL PERMIT TYPE ' \ Fumace _ New Construction _ Interior Improvement Air Conditioner Install Piping _ Processed Air Exchanger Gas _ Exterior HVAC Unit Heat Pump Under / Above ground Tank C__ Install / _ Remove) " When installing/removing tank(s), call for inspection by Fire Other Marshal and Plumbing Inspector RESIDENTIAL FEES: $55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $95.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $ TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal OR Contract Value $ x 1% $55.00 Minimum (includes State Surcharge) Permit Fee - If the Permit Fee is less than $10,010, surcharge is $ 5.00 If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee Surcharge (i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge) TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.orp 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 withpproved plan in, the cease of work which requires a review and approval of plans. Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground -Rough In -Air Test Gas Service Test -In-floor Heat -Final Exterior HIVAC Screening Inspection Use BLUE or BLACK Ink Ful' Qff ce LI j Permit #:(J~ I City of Eap I Permit Fee: C~ c- 0 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 1 I Fax: (651) 675-5694 1 Staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: / Unit/#: Name: Phone: Lf/ ~l l~J 1S ~S RESIDENT OWNER / Address / City / Zip: 7 2-2. Applicant is: Owner Contractor I~L TYPE OF WORK Description of work: Construction Cost: Multi-Family Building: (Yes / No ) Company: Contact: CONTRACTOR Address: City: State: Zip: Phone: License Lead Certificate Does this project require Lead Remediation? ❑ Yes ❑ No (see Page 3 for additional information) If no, please explain: L Q ET14 THIS AREA O LY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.ciopherstateonecall.org 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 wo which requires a review and approval of plans. x 6-.1._,-- 61~6 x App icant's Print d Name Applicant's Signature Page 1 of 3 CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PH ONE: 454-8100 ; BUILDING PERMIT Receipt# To be used for "SXICAR Est. Value 575,000 Date AUGUST 5 ,19 c38 Site Address 1 572 KS41MJR = OFFICE USE ONLY Lot 14 Block 2 Sec/Sub. PLAMRA'.,Ti{ "VL ! 2N On Site Sewage Occupancy R- M-1 MWCC System s; Zoning_ Parcel No. On Site Well (Actual) Const VN VN VALL.'i 1TN':MI?tt[S City Water (Allowable) i a Name z Address 3770 S. LEXINGTON PRV Required # of Stories I_ City LA ;AN Phone 4`'f>-5141 Booster Pump Length 64 Depth 29 1 Name SAME S.F. Total - o Address Footprint S.F. 19 ►°C- City Phone APPROVALS FEES Engr./Assess. Permit $ 47$•00 W 1 wW Name Planner Surcharge 38.00 = Z Address z City Phone Council Plan Review 239.00 W a Bldg. Off. SAC, City 100.00 I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC 550.00 information is correct and agree to comply with all applicable State of Water Conn. 550.0 Minnesota Statutes and City of Eagan Ordinances. Water Meter 67.00 Signature of Permittee i .r Road Unit 325•00 A Building Permit is issued to: VALLti-Y 7 NVZ:STiM' bM CONS 1 0 2{N.•00 on the express condition that al I work shall be done in accordance with all Treatment P1 applicable State of Minnesota Statutes and City of Eagan Ordinances. 'S 43 0 Building Official T T AL $2561 r.. r- r 2 CITY OF EAGAN Permit No: ~ ! Date: = 3 3830 Pilot Knob Road Meter No:4(dry ! 11O A 41O Size: ; U P.Q. Box 21199 Reader No: 3 ZA -?3 Date: /o `A C, 11 Eagan, MN 55121 Owner. Site Address: 1772 A.-thhtry hurt .14 B2 's ~c ~awk: GIN, Plumber_ T Rsxa r P tml , i, / t is + - ` cl~e7 Conn. Chg: 550.00,;1 Zoning: Acct Dep: 15.00i)d No. of Units: Permit Fee. 10.001-'0 Surcharge: c- 1 agree to comply with the City of Eagan Tr. Plant Ordi es. Meter. ?(lnd Misc.: _ y WATER SERVICE PERMIT CITY OF EAGAN ` u - 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PH ON E: 454-8100 BUILDING PERMIT Receipt # To be used for ` Est. Value Date '19 Site Address ` uk7 OFFICE USE ONLY 4 On Site Sewage Occupancy Lot Block ` Sec/Sub. TfLACK. 14"'t r; t,!', " MWCC System Zoning Parcel No. On Site Well (Actual) Const ¢ Name (O?157, ;7. City Water (Allowable) = Address ? 7 r.r. ~1 >cr 7~'" PRV Required of Stories C City Phone 4'" 1 Booster Pump Length Depth p Name f S.F. Total o i Address Footprint S.F. ~C- City Phone APPROVALS FEES m Name Engr./Assess. Permit W ~ i Planner Surcharge z, Address City Phone Council Plan Review W Bldg. Off. SAC, City Z C+C a . . I hereby acknowledge that I have read this application and state that the Variance SAC. MWCC information is correct and agree to comply with all applicable State of Water Conn. Minnesota Statutes and City of Eagan Ordinances. Water Meter Signature of Permittee - Road Unit A Building Permit is issued to:__ Treatment P1 on the express condition that all work shall be done in accordance with all P~rIcS applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official TOTAL Permit No. Permit Holder Date Telephone it Plumbing Electric Softener Inspection Date Insp. Comments Footings I / Footings 11 Foundation Framing Roofing !e 1d /Z2 Rough Plbg. Rough Htg. Isul. D~ Fireplace Final Htg. Final Plbg. Bldg. Final c.~r c-/~atir lC Z7 Q.f Temp. LP Deck Ftg. Deck Final Well Pr. Disp. Tertiftratr of (Orrupaury Citp of eagan Dep rb u>ettt of %flbing JWertim This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure mu in compliance with the various ordinances of the City regulating building construction or use. For the following..- Use Gaasifi.'. , Bldg. Permit No. Oxup-Y Type R3/M1 Tmmg DWsitt i .bra O,vner ar Building VAULY n-NESE-gN is cm-'TAderaa 3770 Lf :Erb.; P. , : suilipt Budding Addreaa 1572 ASOMY Loality L14, B2, 13I1,C~ : Dare: Building Official ' POST IN A CONSPICUOUS PUKE PERMIT # PLUMBING PERMIT CITY OF EAGAN RECEIPT # < s X .ham,/' 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE PHONE: 4S4-8100 Site Address ' c 17 BLDG. TYPE WORK DESCRIPTION f Lot Block_ Sec/Sub' Res. G' New Mult. Add-on m Name Comm. Repair Address ~ -22 r N 4-4- / t4 Other c City ` y /,c ti- F Phone 22 4 RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL ' Name Water Closet - $3.00 S c Address" t..- L A 7'/ iii A tr LBath Tubs $3.00 3 Lavatory - $3.00 p City Phone Shower - $3.00 .S i Kitchen Sink - $3.00 r 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 - 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 yc fi!~',•-s~~+y- --2=-Rough Openings - $1.50 FEE: SIGNATURE OF PERMITTEE STATE SIC: FOR: CITY OF EAGAN GRAND TOTAL: ' PERMIT # ' MECHANICAL PERMIT V CITY OF EAGAN RECEIPT # 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE- CONTRACT PRICE: PHONE: 454-8100 Site Addr ss ' ~ I. ` BLDG. TYPE WORK [DESCRIPTION Lots Block Sec/Sub Res. New . rf rlr~ ` Mutt Add-on Name m Comm. Repair Addres$ ( . 1 c'` City Z_lLfV) I) i!F Phone ( r ! Other FEES Name < < RES. HVAC 0-100 M BTU -$24.00 c Address t (t -J c5G ADDITIONAL 50 M BTU - 6.00 3 city b - Flu Phone - (RES. HVAC INCLUDES A/C ON NEW 9- CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA. TYPE OF WORK C MM/IND FEE - 1% OF COMM. RATE TRACES EE Forced Air M BTU TOWNHOUSE & CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # BEYOND $1,000) Other FEE: S/C: SIGNATURE OF PERMITTEE TOTAL FOR: CITY OF EAGAN I 1 CITY OF EAGAN Permit No: S 2 Date: 9 X-M .3830 Pilot Knob Road Meter No: Size: ` P.O. Box 21199 Reader No: Date: i Eagan, MN 55121 Owner. Site Address: 1572 Aabbu= -:art T.14 B2 31ac'khawk Clan 11 Plumber J 1,a.sr Pl a biz a,,:1s 3cher¢f Conn. Chg: 553.00pd Zoning: Acct. Dep: I.5 .)Op`, No. of Units: Permit Fee: Surcharge: I agree to comply with the City of Eagan Tr. Plant Ordinances. Meter. - Misc.: _ By WATER SERVICE PERMIT CITY OF EAGAN Permit No: Date: 3830 Pilot Knob Rpad B/P No: F Date: `P.O. Box 21199 . Eagan, MN 551,21 Owner. Va vc ;acr [ Site Address: 1"-R !'172 172 Ashburp Cct:r. t 1:,i4 32- B ac. Plumber. ~ . •~r .-t~;7'c,- =x~. "c~<<i: f i iMWCC: Zoning. City Chg: 0• UfIT No. of Units: Acct. Dep: S . 00} we I agree to comply with the City of Eagan Permit Fee: Ordinances. Surcharge: Misc.: BY SEWER SERVICE PERMIT I This request yoitl ~(0 18 oo.ths from © 82824% ~~~~'~auz pJ• N~ via= Bequest Date Frre No. qn ugh-~n Its pgUnn Q y~~) Requrredl p 7- 2 / • S / Ready Now KW Ill Nnufy InsPec- 1~E Yes C9 No for When Readv ICI Licensed Electrical Con Vacior fL'~J owner I hereby -.rq oast ins Dec,on of above electrical work insealled at. Street Address. Box or Route No~ ~ r 2 Crty IS17 5 >~a a.✓ ecl~on o. Township Name or No. Range No. C nvMy Z7,,,,-ko lw Occupant (PR T) 7e r a, /C / Phone No. 5- .50 d, Power SupPher C~ ee Atldress Elecln cal Contractor I DmPany Namel Contractors License No Madmp Address IContraclor or Owner Making I is tails t,onl 30 Dy` ff• S'o ~.vs i1 s /~J,.. SSo3 Au MOnzed ign a IContractor/ caner Makin tallationl Phone Nwnber 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 Y, 5'V REQUEST FOR ELECTRICAL INSPECTION EB/-0~0001-06 0 Sea instructions for completing this form on back of valley, copy nibs D -8.2,824 "X" Below Work Covered by This Request Hdd Rep. Type of Building Appliances Wued Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryel Electric Heating Commercial Bldg. Furnace Silo Onloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other peel V mer ISpncifyl t er S007r1 ter 0iher ompute Inspection Fee Below g Fee Service Entra nee Size a Fee Feedws/SubfAAmps p Fee cucuits 0 to 200 Amps 0 to 30 Am s 0 to 30 Amps Above 200 Amps 31 to 100 Am31 to 100 Am s Swinvning Pool Above 100__Above 100_Am Transformers Irn gat I on Boons Partial 'Ot eps Signs Special Inspection s .u Remarks /Z•S~ TOTA FQ Rough-in X112 1- the Elec/trical Inspector. hereby certify that the above Final Dr~t'.V inspection has been d" f made. This request void 18 months from 8 request void 1 %P-21W 18 This request from 11 O months © (32836Z/ Requrst Gate Fo No. _p Roouh-m In-pe Req rnon d uned/ Ready Now-,Will Notify Inspec- kkkxxx o ? I 19 Yes ❑No for When Ready KLicensed Electrical Contractor I hereby request inspection of above ❑ Owner electrical work installed at' Street Address, Box or R ute City 5 P7.2- n r L+ A-t%) Section No. Township Name or J. an9e No. County IW 1 A J T1 OCCUpaut(PRINT) Phone No. B(vT: a (I s-I tsSl Power supplier Address - 220 ~r w e Electrical Coo for )Company N mel Conuacim's Lmonse No. Mailing Address (Contractor or Owner Making In tai t on) J 3o n* + So 1+4t^ a~+r sc33 Authorized Sign (ContragrWOwner Maki l ustallation) Phone (lumber CS--" [l1 C77 (/(,t 5-6 t(/ 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 Phono oni2i Adg.nann ENCLOSED. y7 BLDG. PERMIT NO. L) L] 6 1, I- I l c e fe P I c~12 hzwk 01-3210 Bldg. Permit N ~~3 00 01-3422 Plan Check a 3 9 Go 01-3445 Surch./Adm. 01-3446 SAC/Adm. 01-2155 Surcharge 3-~ aq V 75-3860 Road Unit 3a5 00 ~ 20-2275 SAC '5-1114 .50 20-3865 Water Conn. 550 00 20-3868 Water Trmt. 20-3716 Water Meter OCR 20-2252 Acct. Dep. r 20-3713 Water Permit N 20-3743 Sewer Permit 79-3866 Sewer Conn. O C~ CQ 28-3855 Park Ded. ol -,54.go C~ TOTAL o~ j 5 S U CITY 8F EAGAN N_ 15 416 3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 Receipt # O S / lO c, To be used for SF DWG/GAR Est. Value $76,000 Date AUGUST 5 ,t g 88 Site Address 1572 ASHBURY COURT OFFICE USE ONLY Lot 14 Block 2 Sec/Sub.BLACKHAWK GLEN 2N On Site Sewage _ Occupancy R-3/M-1 MWCC System X Zoning R-1 Parcel No. On Site Well _ _ (Actual) Const VN ir Name VALLEY INVESTMENTS CONST. CO. Clty Water _X- (Allowable) VN z Address 3770 S. LEXINGTON PRV Required X not Stories 1 City EAGAN Phone 454-5191 Booster Pump Length 60 Depth 29 p Name SAME S.F. Total o a Address Footprint S.F. i City Phone APPROVALS FEES W m Name Engr./Assess. Permit 478.00 Address Planner Surcharge 38.00 i- a w City Phone Council Plan Review 239.00 Bldg. Off. SAC, City 100.00 I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC 5500.00 information is correc antl agree to comply ith all applicable State of Water Conn. 550.00 Minnesota Statutes an ity of Eagan Ordi e . Water Meter .7.00 Signature of Permitte Road Unit 325.00 A Building Permit is is u ta: T FV TNVFCTMFN" GO. Treatment P1 -2(14 00 on the express condition that all work shall be done in accordancewit Sal- Parkg applicable State of Minnes Statutes a rty of eEagan Ordinances. C ps - 50 Building Official l Ol h/~,~fC.CfC. TOTAL2-5cr~.1 x_50 REQUEST FOR ELECTRICAL INSPECTION qEB~-00001-06 ~ See instructions for completing this form on back of yellow copy- 8R836 D _ -X" Below Work Covered by This Request New Fdd Rep. Type of ewlding Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting FlXtllles Apt Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other peep y OMer Isar. ~o fy) [ or pgci y Other Other Compute Inspection Fee Below p Fee Service Entrance Size it Fee FeedersrSubleeders p Fee Circuits 0 to 200 Am s 0 to 30 Amps /L 0 to 30 An• s A.1) ve 200 Amps 31 to 100 Antps 2 31 to 100 Am Simming Pool Above 100Am s Above 100_Amps Transtormers Irrigation Booms Partial."Other Fee Signs Special Inspection Remarks $(0150 TOTA F.EEr .r Rough-in Oate I, the EI iceI ✓~kc:~/;!✓_' r ~ ~ F ~ Inspector, hereby certify that the above Final r 11e nspection has been / J i... . . /,/v( 4/ made. This largest void 18 months from 1• APPLICATION FOR PERMIT NOTE: PAYMENT OF FEE AT TIME OF i APPLICATION DOES NOT CCN- * S=J E APPRMIAL OF PERMIT. i SEWER AND/OR WATER CONNECTION s INSPECTION OF SEWER AND/OR WATER ; ,*t INSTALLATIONS WILL NOP BE SCEOMM •1 ONFIL PERMIT HAS HEEN APPROVED. i `ififflf1ft11fiiifiiltiilkfilffiiilfiiT dtV of czacjcen (PLEASE PRINT 1) PROPERTY ADDRESS: f S_ 7a l l7lzerle G, LEGAL DESCRIPTION: Lit l y II/~ 02 - C~~ r< N~ -(Lot Bloc-k S vision or Tax Parce ID IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: D~ (Month/Year) PRESENT ZONING/PROPOSED USE: Q COME2CIAL/RETAIL/OFFICE I R-1 SINGLE FAMILY Q INDUSTRIAL R-2 DUPLEX (TIED Units) Q INSTITUTIONAL/GOVERNMENT Q R-3 TOWNHOUSE (Three + Units) ( Units) Q R-4 APARTMENT/CONDOMINIUM ( Units) 2) NAME: zew(lr c~~7 FF ADDRESS: 10f"61 CITY, STATE, ZIP: .rA-oe~ (j f 0V'2 /,17 4'F r 12-2 S S ~ 7 T PHONE: ys/ 9~s"6 For City Use 3) NAME: U Pl eruns License: ADDRESS: 7fjy ,f4 k". <c 7'~'L Active Expired CITY, STATE, ZIP: LNve c, C °eaz 14+f A-, sra7f . I Not recordec PHONE: #S-5--1 q f MASTER LICENSE # 333 y A' 9 St -Initial- 4) NAME: ~i.v1✓ ~ (~i F S ADDRESS: CITY, STATE, ZIP: /ey;.,y{e P. f✓f~/f PHONE: 9r 5) fflrUll ' ' m CONNECTION TO CITY SEWER CONNECTION TO CITY WATER O OTHER 6) ugm * THE GOLD COPY OF THE PERMIT WILL BE SENT DIRECTLY TO PUBLIC WORKS TO FACILITATE METER PICK-UP. ; PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. SOMEONE FROM THE CITY WILL CONTACT YOU IF THERE * ARE ANY PROBLEMS. FOR CITY USE ONLY PERMIT # ISSUED V A2 I Pd w/Bldg. Permit FEES: $ $ /O-S-0 SEWER PERMIT (INCLUDE SURCHARGE) $ WATER PERMIT (INCLUDE SURCHARGE) $ / ? U $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ ACCOUNT DEPOSIT - SEWER $ ACCOUNT DEPOSIT - WATER $ yG WAC $ D CTZ1 $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER 20 $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER $ $-_'J TOTAL z~7 RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? Q YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BYcfLe CSLQ z~ TITLE: DATE: 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN Is SINGLE FAMILY DWELLINGS (0~ 2 INCLUDE 2 SETS OF PLANS,(~;RTIFICATES 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 U OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS; 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS To Be Used For: /1 E"&y Valuation Date: - 0 0 Site Address 5 Z f~S/s ~~5~ Ca 7G p p p OFFICE USE ONLY Lot L'L Block On site sewage_ Occupancy ~'3 M MCC system L-~ Zoning - Parcel /Sub&A-C~lLC~G~N On site w9ll Actual Const VAI City water Allowable A/ Owner ~If LY~S w /~t~!/f121 S PRV required # of stories J Booster Pump Length Address 3-77&Y- &Xe-A(9 ~CT/V Depth 2 9 S.F. Total City/Zip Code 194G,y-ry Footprint S.F. Phone -5-/ 9 APPROVALS FEES Contractor ~L J1c~SF/(UTS Engr/Assess Permit rs S. Planner Surcharge _e Address ? 78 S• lke44; -711 Council Plan Review 1 S9 / Bldg. Off. ~7/S SAC, City /GO City/Zip Code e-N Variance SAC, MWCC S Sf) Water Conn 5 Phone ~-f- ~ Water Meter 12 Road Unit 32 S_ Arch./Engr. Treatment P1 '4 oy Parks Address Copies S10 TOTAL ~ 5 City/Zip Code Phone A r Cjar. _~Z~Zy S z~k /Y 1391 ~S~2 zz CITY OF EAGAN EXTERIOR ENVELOPE AVERAGE 'U' COMPUTATION OWNER: f4n)R CArZCiU- ArL, SITE ADDRESS: LOT 14 T FL( '2- (aGIGF IP~I I4- 6AL EH1 I CONTRACTOR: VAUe` IMV. Go DATE:. In PHONE: A54. -n Determine working square footage of each: 1. Total exposed wall area 17(Z C( L0 sq. ft, x .K = 2. Total ,roof/ceiling area X140.00 sq. ft. x vet& = 23i(k Total exposed wall area above floor = IIn'l~22.4 a. Total wall window area -7 . Z b. Total door area S-7-b c. Total sliding glass area '77 , d. Total fireplace wall area e. Total wall framing area (average 10%) f. Total net wall area above floor g. Total rim joist area I/17 Total exposed foundation area = Cl 1.1'Z h. Total foundation window area i. Total net foundation area above grade Determine 'U' value of each wall segment: a. 112.2 x 'u, 143 = 'lit b. r.-7.16 x 'u' 13 = 1,61 c. 3yj,Z7 x 'U' d. - x 'U' - - e. 17~, x ' U' f.-~x'U' D b g. x 'll' _ h, yy x +u, - 1s i. x 1UI 3 . Total = D If item 113 is the same as or less than item 111, you have met the intent of SBC 6006(c)2. Total exposed roof/ceiling area j. Total skylight area k. Total roof/ceiling framing area (average 10%) 1. Total net insulated roof/ceiling area D OVER Determine 1U1 value for each roof/ceiling segment: ful J. x k. ~ l x f ul d = 2 1. 1 t 2?M x I UI 0t-d- = 27.140 4 . Total = ~,1 If total of 114 is the same as or less than 112, you have met the intent of SBC 6006(01. Alternate Building Envelope Design To utilize the total envelope system method, the values established by the sum of Items #3 and U4 shall not be greater than the sum of Items 111 and N2. 1. + 2. - 3. + 4. - 2 1 SINGLE & DOUBLE FAMILY HOMES 1984 ENERGY CODE REQUIREMENTS On or about March 1, 1984, the following energy code requirements should be calculated and included with a building permit application. 1. Roof - ceiling assemblies - R-38 U = 0.025 Average 2. Exterior walls & rim joists - R-20 U = 0.11 Average 3. Floors over unheated spaces - R-20 U = 0.05 Average 4. Exterior overhangs will be considered as exterior wall. 5. Foundations (all exterior walls) - Minimum of R-5 insulation. 6. All insulated areas must be separated from the heated space by a well-lapped or sealed vapor barrier with a minimum perm rating of 0.1. A 4 mil. polyethlene sheet or equivalent meets this requirement. A Kraft face R-19 type insulation will be accepted in the rim joist areas. Air chute baffles are to be placed in every rafter space. GUIDEL.IIiE TO (R) FACTORS FROM ASMOAC MANUAL OF TYPICALLY USED PRODUCTS (R) (R) Interior Air Film (Ila IIs) 0.68 Gypsum or plaster board 3/8" 0,32 Exterior Air Film (teal is) 0.17 Gypsum or plaster board 1/2" 0.45 Interior Air Film (Vented Ceiling) 0.61 Gypsum or plaster board 5/8" 0.56 Exterior Air Film (Vented Cell inq) 0.61 Plywood 3/8" 0.47 Interior Air Filn (Hen Vented) 0.61 Ply.00d 1/2" 0.62 Exterior Air Film (Hcui Vented) 0.17 Plywood 3/4" 0.93 Sheathlnq, reg. density 1/2" 1.32 Aluminum Siding 0.61 Sheathlnq, req, density 25132" 2.06 Aluminum with Backer 1.82 Nall-base sheathing 1/2" 1.14 Aluminum with Backer G Foiled 2.96 1/2 x 8 Lap Siding (Hood) 0.81 Built-up Roofs 0.33 7/16 x 12 Ilardbcard Siding 0.67 Asbestos-cement sh inglts 0.21 Asbestos Sidings 1/4 Lapped 0.21 Asphalt roll roofing 0.15 - Stucco (Ort..,n and Finish Coat) Aspahit Shingles 0.44 3/4•• Wood Subfloor or Sheathing 0.94 Insulation: 2-2 3/4" Fiberglass 7.00 1/2" Plywood heathinq 0.62 Insulation: 3 1/2" Fiberglass 1h00 1/2" Particle Bu..rd 0.66 Insulation: 6" Fiberglass 19.00 WOODS: BLOWING WOOLS _ Fir, pine 6 similar soft floods 1 1/2" 1.89 Approx. 3" 9,00 2 1/2" 3.12 Approx. 4 1/2" 13.00 3 1/2" 4.35 Approx. 6 1/4" 19.00 _ 5 1/2" 6.87 Approx. 7 1/4" 24.00 _ =i Approx. 14" 30.00 Approx. 18" 40.00 All other insulation materials must be Filled verified (R Factor) (R) Vermiculite 8" Concrete Block (S E G Reg.) 1.11 1.Sly— 12" Concrete Block IS L G Reg.) 1.28 3,15 8" Light Weight 2.18 5.03 12" Light Weight 2.48 5,82 m####rt#e##rt>a#eaee srta###-.ert NOTE: (U) x Area Square Feet All Windows _ ' (w/Storms 1" to 4" Space) ,56 Removal Double Glazing (RDG) ,55 Thermo or welded 3/16" air space .69 ' 1/4" air space .65 - 1/2" air space .58 . (Other windows specifically tested can use better ratings) 1 314 Solid core door •46 ' w/storm, wood -31 w/storm, metal .26 Pease Stcel0opr Insl/N/OL 7.458 -13 ' Sliding Glass Door, Wood .65 _ metal •715 ~~IMaV A"Tco- WIHI~7WS (fa) 1 ZOno °7,~ (I,to "7,c' 11.5 I Zt~`b p~,to 12, `b m I2, ~ 7 Z14b 10.3 I~,~ "]2, I q4~o 2P~4L~ (I.7 i4.2 Ito, p7 Cara, Q~ I~~•2 S%). o ~J 201E iq,3 4o a ~v,m 28 , 1~,4~ 16,E i~•~ I~•7 t 3" 4o,a Sa,a 4ao ~ a ( 2~ '~~•3 3D.0 ~T7 ~-a '7~j.~ lo2~D P a 5 RESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone 9 651-675-5675 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 L11 rooted areas 2 copies of plan _ Cart of Survey Real (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions -Tree Pros Plan Reod 2 copies of plan showing beam & window sizes; poured found design, etc 1 site survey for addrhons & decks -Tree Pres Not Reqd l set of Energy Calculations Addition - indicate if on-site septic system -On-site Septic System 3 copies of Tree Preservation Plan'rf lot platted after 7/1193 Rim Joist Detail Options selection sheet (bldgs with 3 or less units f Date ~37 Construction Cost Poe Site Address / 7,-~, {{~G//!f/e^(A UnitlSte # _j I Description of Work yy60 F ' ~ n.{5C r_ E Multi-Family Bldg _ Y N Fireplace(s) _ 0 - 1 _ 2 Property Owner S 7~~t C4-9-~/ rJ t4-(,,_ Telephone #(070 ZIR8 - 7S3 ?'j Contractor c N✓~S f~ Address S 5 L ILL City 26;q619-^ State Zip ,S S L,2-_-3 Telephone # 9 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 Licensed Plumber Telephone # Mechanical Contractor Telephone ) 1 d 3Cr.'.: Sewer/Water Contractor Telephone, # (~l ) J I Iv 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 plan/s. , Ul N Wt~LrR,~is GLAZe~ Applicant's Printed Name cant'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 EM. 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 (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 ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish (Interior) ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Bldg. ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish (Bldg)* ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS - Footings (new bldg) _ Final/C.O. Footings (deck) _ Final/No C.O. Footings (addition) _ Plumbing - Foundation _ HVAC - Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final Framing - Siding _ Stucco _ Stone - Fireplace - R.I. - Air Test _ Final - Windows (new/replacement) - Insulation - Retaining Wall Approved By Building Inspector - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total CITY OF FAGAN MINIMUM "U" VALUE AND R- FACTOR AT ROOF, WALL, RIM AND CONCRETE BLOCK Provide insulation baffles in every ROOF ! C~ILIN~ rafter space. V) VAS 5 Q WT -71DT AV. FlUl (D 51Y GYP- Pi), AA Q INSUtA~lor~ 4OtV ~l ? G EXTElzlar AIF FILM teI to (t I gUr~' ~jtZ = ozs ToTAt WALL C TALC 8 O lC~ lam( 1~t= AIfL FILM ~1b OO,'` INSULAT{o~St,1, Q 7S/~l~ gul%T '11 I to C`IAONt7c StD(r(z , 4d7 . ' ' I I ~o a ~x ;"Ifo~, AIr FILN► _ ' ~ 17 II au,t^ 1 f R = (f TOTAL (9) =23~ VIM 0~3 rL U'Tulov. Apt', Fluff - 0 511- WSUCATIOEa t~ 14 0 2 Fu z. 911', "'DIG[ i q • DO is -z 8 10 I w' r f sor'k~E slolr~ Le7 0 Z:)7 S- IDR AIR FILM u L~r - 1 R - D tOTA~ (lz) _ 24 4-7 • v° - o~ ~ ~cJ~DATtot~► • OQ VALU i3 1010-1Z AM. FILM v ~ D O °g rn s~ EX j ~l=lo;c AIR FILM r_ ( 7 o U t~{Z= ~J.j To[aL (Cc)= i3 -41 Floors over unheated spaces must have minimum R-factor of R-20 (tuck--under garages). Floors over outdoor air (overhangs) must have a minimum P,-factor of R-33. PERMIT City of Eagan Permit Type:Building Permit Number:EA114511 Date Issued:09/16/2013 Permit Category:ePermit Site Address: 1572 Ashbury Ct Lot:14 Block: 2 Addition: Blackhawk Glen 2nd PID:10-14351-02-140 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes . James Hunter Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Stephen P Cardingal 1572 Ashbury Ct Eagan MN 55123 (651) 668-7539 Hoffman Weber Construction Inc 3515 48th Ave N Brooklyn Center MN 55429 (866) 970-1133 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA119245 Date Issued:11/20/2013 Permit Category:ePermit Site Address: 1572 Ashbury Ct Lot:14 Block: 2 Addition: Blackhawk Glen 2nd PID:10-14351-02-140 Use: Description: Sub Type:Siding & Windows/Doors Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of house wrap and leave on site for final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Valuation: 8,000.00 Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Stephen P Cardingal 1572 Ashbury Ct Eagan MN 55123 (651) 688-7539 Hoffman Weber Construction Inc 3515 48th Ave N Brooklyn Center MN 55429 (866) 970-1133 Applicant/Permitee: Signature Issued By: Signature