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3581 Ashbury RdINSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: :, i rt',IIHIIG?'; F+f? '. Al:k41A41K (il E N :1411 PERMIT SUBTYPE: f, 1 Es 1?1?itk• APPLICANT: TYPE OF WORK: lski t 1 ri r Ncj q 30401 w7rt4/1,7 ?71t HAI?11 ! I - , ? tI N(I , , I I 1 +? fw Pertnk No. Pertnlt Holder Date Telephone # ELECTRIC PLUMBING HVAC Inspectlon Dete Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG Y Mg DECKFINAL ?OZ:??' ? w /J ?/? 2,W? ?0•S•g??? v - - • CITY OF EAGAN ? 3630 Pilot Knob Raad, P.O. 9ox 21-199, Eagan, MN 55121 ?•?'°j ' ?? ? PH O N E: 454-8100 ? BUILDING PERMIT Receipt # ? To be used for ?""t'«;A'' Est. Value $'45%000 Date '`.?v ry9 ,19 ? ? ASH$LTU RI1 Lot ° Block Sec/Sub. ?CKHAiir` Parcel No. J.- s Mame ,4ILLEiti COi+i51'RUCT2C?,', z Address ? Phone 431-i.!i!? k ¢ Name ` 0 o Q Address ? City Phone Address City _ I hereby acknowledge that I have read this application and stale that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee _- ? A Building Permit is issued to:_ .i0F on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. OFFICE USE ONLY ' -On 5ite Sewage Occupancy R"3 MA ! MWCC System •X Zoning K"; "I On Site We11 (Actual) Const Y-14 i City Water ? (Allowable) I y"+? 1 PRV Required # of Stories ? Booster Pump Length 34° ? Depth 35' ? S.F. Total ? Footprint S.F. ? APPROVALS FEES ] 72 L}•OC Engr.(Assess_ Permit Planner Surcharge 72.50 3 60'OiU Council Plan Review 61dg.Off. SAC,City Variance SAC, MWCC 55A.SK-1 Water Conn. r?J•l}0 I Water Meter 61 • l? Road Unit 335•00 L?t??•?1 TreatmentPt ? Parks TOTAL Permit No. Permit Halder Date Telephone # Plumbing (?? ??, „ ? ,:? / ? 9 F;.V.AC. `2 Electric Softener Inspection Date Insp. Cqmmetlts Footings I Footings II Foundation Framing Roofing RoughPlbg. G? C Rough Htg. / A M 17W Isul. /,og Fireplace z Final Htg. Final Plbg. Bldg. Final Cert Occ. Temp. LP Deck Ftg. Deck Final Well Pr. Disp. t • ? I CONTRACT PERMIT # MECHANICAL PERMIT CITY OF EAGAN RECEIPT # 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ?? PHONE: 454-8100 m Name i?. i Address c City ? Phone ' {- Name 3 Address O City t Phone 4 TYPE OF WORK Forced Air M BTU ' Boiler M BTU Unit Heater M BTU Air Cond. M BTU Vent CFM Gas Piping Outlets # Other FEE SlC: TOTAL• BLDG. TYPE/ WORK DESCFjIPTIO M Res. ?L- New Mult Add-on Comm. Repair Other FEES RES HVAC 0 100 M BTU $24 00 . - - ADDITIONAL 50 M BTU - . 6.00 r; (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTIOld) GAS OUTLETS MINIMUM 1 PER PEkMIT 1 5 EA r` - ) - ( COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES . . 0 TOWNHOUSE 8 CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE ALL ADD ON 8 - - REMODELS - 12.00 MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - (ADD $ 50 S/C IF PERMIT PRICE GOES .50 - . BEYOND $1,000) ' SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN PERMIT # PLUMBING PERMIT - CITY OF EAGAN RECEIPT ti 3830 PILOT KN08 ROAD, EAGAN, MN 55122 DATE: i` PHONE: 454-81 0O ? Addresp Block Name . . . a? m N c City , ;qAp"? ?`. <•?r Phone a? c 3 O Name Phone M/iND FEE - 1% OF CONTRACT FEE BLDGS - COMM RATE APPLIES NHOUSE 8 CONDO - RES. RATE APPLIES NUM - FiESIDENTIAL FEE - $12.00 NUM - COMM/IND FEE - $20.00 'E SURCHARGE PER PERMIT - .50 $.50 S/C IF PERMIT PRICE GDES OF GITY OF BLDG. TYPE WORK DESCRIPTION ?es. New ult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL. ---Z,Water Closet - $3.00 ?Bath Tubs - $3.00 - _$iLavatory - $3.00 ___4Shower - $3.00 2 ?Kitchen Sink - $3.00 ? Urinal/Bidet - 53.00 _4Laundry Tray - $3.00 S ? Floor Drains - $1.50 - -? ? _LWater Heater - $1.50 2? • / Whirlpool - $3.00 ? _-1Gas Piping Outiets - $1.50 ? (MINIMUM - 1 PEA PERMIn Softener= $5.00 Well - $10.00 Private Disp. - $10.00 _?._Rough Openings - $1.50 ? FEE: ` -? STATE SlC: GRAND TOTAL: BUILDING PERMIT To be used for 4-SEASOI+i PORCti Est. Value ;15,00 Site Address Lot Z$ Parcel No. 3581 IISHaURT RD Block 3 Sec/SubBLACKHAidlC CLEN 2W W Name RI?D J ?TII,S0?1 Addres s 3581 ASHBURY RD 0 City EA"N Phone $5"200 o Name SAHE ? Addres s ? City Phone uW Name ? x; Address i W City Phone I hereby acknowisge that I have read this application and state that the ? information is correct and agree to compty with: all applicable State ot on the express condition that all work shall be done in accordance with all . applicable State o( Minnesota Stalutes and City of Eagan Ordinances. Building Official ? , _. . ; ??? 4 - ? :agan, M N 55121 `}'' `? ` ? ? ? Receipt # ? ? •, ? OFFICE USE ONLY Occupancy R?-3 FEES Zoning - (Actual) Const _ Bldg. Permit 162.00 (Allowable) - Surcharge *50 # ot Stories Length 20, Plan Review 105.? ? DePth - SAC. City S.F. Total _ SAC, MCWCC S.F. Footprints - On Site Sewage _ Water Conn On Site Well - Water Meter MWCC System CAy Water _ Aoc _ t. Deposit PRV Required _ S!W Permit eooster Pump - S/yy Surcharge Treatment PI APPROVALS Road Unit Planner - Park Ded. Council ? 3.50 i C Blds Oif. _ op es 27$'? Variance - TO7AL Peimn No. Pem,n Hower oate reWpNor,e x WATER SEWER PLUMBING H.VAC. ELECTRIC Inspsction Oate Insp- Comments Footings I Foundalion Framing Roofing ?p f!J Rough Plbg. Rough Htg. isui. J Qi uJ Fireplace st . PI6g. Inspector - Notify Plumber ter L l Z-/? n?- /BQC 8'/p^ - C/?S S &3 l w en Pc Disp. -'- _ ; .- . e- PERMIT # PLUMBING PERMIT RECEIPT # CITY OF EAGAN C? 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE PHONE: 454-8100 Site Address ff"5H1bVPY , ? . Lot QIqFk Sec/Su n m Name ZT, a m Address y c Ciry tI Phone ?A(?A Name CHAKy Q ? Address p City EAGAO Phone ' FEES COMM/1ND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE 8 CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.00 MINIMUM - COMM/IND FEE - $20.00 STATE SURCHARGE PER PERMiT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) ? SIGNATUAE OF MI EE FOR: CITY OF EAGAN / _0 BLDG. TYPE WORK DESCRIPTION Res. New Mult. Add-on Comm. Repair Other L. ' RES. PLBG. ONLY - CO PLETE THE FOLLOWING: NO. FIXTURES TOTAL Water Closet - $3.00 $ Bath Tubs - $3.00 Lavatory - $3.00 Shower - $3.00 Kitchen Sink - $3.00 Urinal/Bidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - $1.50 Whiripool - $3.00 Gas Piping Outtets - $1.50 (MINiMUM - 1 PER PERMI7) Softener - $5.00 well - $10.00 Private Disp. - $10.00 Ro ings - $1.50 FEE: , Q f STATE S/C: GRAND TOTAL: ??? ? ? s . (ger#i#ira#r uf (Orrupanry titp ot (eagan arprfinetcf Lif luilding 3sprrti,mi Thu Cerr?frcate issued pursunnt ta rhe requiremenis of Section 306 of rhe Uniform Building Code certifying that at the time of issuance thi.r structure was in canpliance witA the various orrlinances of the City regu/ating building conrtructioR or use. For the following.• L,,, SF DWG/GAR o-„P--,, T,pe R3 /M 1 ?? Ditarict Owm of M7ding JOE MILLER CONST. ?dding Addv= 3581 ASHBURY ROAD Le? Bwlding e?ag. R,m;t No. 15918 R I Type Conn. VN ddrm 18133 CEDAR AVE, FARMINGTON _p,?: FEBRUARY 22, 1989 POST IN A CONSPICUOUS PLACE CITY Olf EAGAN - Permit No: 11282 Date: 12 /2/88 3830 PNotlCnob Road 8/P No: Date: ?11 2A 3t3 P.O. Box 21199 y Eagan, MN 55121 :,.•: - ' =: % Owner. -rQ° M1LL.ER CONST ' - SiteAddress: 3551 ASHBURF RD., L28, B3, BLACKHAWK GLF.N ND Plumber: pLk'MOUTH PLUMBING MWCC: ',550.00 pd City Chg: 100. aC pd Acct. Dep: 11 5.00 pd Permit Fee: 10.00 pd Surcharge: • 50 p'j R-1 No. of Units: 1 agree to comply with the City of Eagan Ordinances. Misc.: By - ' - . . !? SEWER SERVICE PERMIT CASH RECEIPT . CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 , DATE RECENEO / ' iaOrd k '? '?„ y' ( - /t?/? ' ( . V...? /? . ?. AMOUNT j 01 ii & DOLLARS ,ao O CASH [;] CHECK Fon BY Whfle--PaYers Co7Y Yallovr-POSUng Copy Pink-File Copy Thank You ? 01-3210 Bldg. Permit 01-3422 Plan Check 01-3445 Surch./Adm. 01-3446 SAC/Adm. 01-2155 Surcharge 75-3860 Road Unit 20-2275 SAC ?0-3865 Water Conn: 20-3868 Water Trmt. 20-3716 Water Meter 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. 28-3855 Park Ded. TOTAL ?' " -? CITY OF E'AG?1N,, Permit No: 10147 Date: 1" 3830 Pilv[Knob Ffoad Mete o: 95 Size: P.Q. Box 21199 ader No: ??? a?9s9 Date: a- b?? Eagan, MM 55121 ? ? e w-) Site Address:_35R1 ASHRi1RY L28 B3 BLA^'CHAWK CLEN 2N« Plumber. Pt.vM nttTH vLUMRiNC Conn. Chg: $.550 M?.d Zoning: k....7 Acct Dep: 1 5 _ n0 nd No. of Units: 1 Permit Fee: 1(1 _ (}(1 nd Surcharge: - sa nd 1 agree to comply with the City oi Eagan Tr. Plant2 04 .00 od Ordinances. Meter. _ 67 .00 od Misc.: BY 1;4 p WATER SERVICE PERMIT CITY OF EAGAN 3830 Pilot Knob Road P.O. Qox 21199 Esgan, MN 55121 Permit No: 10147 Meter No: _ Reader No: a2>2f?F' Date: Size: Date: Site Address:-3581 ASNAiIR'f RD. , I.'?:, . ',;? , .._.. "`-•:s ?L? ? ? ? ? - Plumber. P'LY-orTEi PL3??]PL:i?. Conn. Chg ° r Sn_nrt P'_ ACCt Oep: Permit Fee: Surcharge: ' Tr. Plant ' • Meter. Misc.: Zoning: _ No. of Units: I agree to comply with the City o1 Eagan Ordinances. WATER SERVECE PERMIT CITY OF EAGAN 3830 Pflot Knob Road P.O.j3ox 21199 Eagan, MN 55121 Permit No: 11282 Date: 12/2/8R B/P No: 89495 Date: 11J2?I °4 Owner. a4£ Fl1LLER CONS'I Site Address: - 1 • , L _ ., B3, Le?KHA •L •9 "D PI:iH4UTii PLUMBING nnwcc: ? 5 50. 100 City Chg: 10.00 pd 7 Acct Dep: .00 Fd ; 5 Permit Fee: C), pH Surcharge: Zoning• No. of Units: - I agree to comply with the Ctty of Eagan Ordinances. By SEWER SERVICE PERMIT CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt ? ?1 y`f"yy To be used for 5? DW?/GAj{ Est. Value • 145.OOC Date "QV xg ,lgna Site Address 3581 ASRBtfkY h.II Lot ?8 Block 3 SeclSub. KAiCKMWK GLZN 21 Parcel No a Name J8E KII.I,BR COlASTitUCTIOH = Address 18133 CEDA& A'V7- S ° City FARPlI1iMIV Phone 431-2001 , o Name SA:%E Address ? City Phone ?- ¢ Vj W Name y _ ? W ? Address u ? W City _ I hereby acknowledge that I have read this application and state that the information is correct and agree to comply wfth all applicable State of Minnespta Statutes and Ciry of Eagan Ordinances. Signature of Permittee A Building Permit is issued to: -J 0$ {II.1.$R C.C?NSTR C'i'I N on 1 he express condition that al I work shall be done in accordance with all applieable 5tate of Minnesota Statutes and City of Eagan Ordinances. Building Official OFFICE USE ONLY On Site Sewage Occupancy A 3 MWCC System XZoning R-1 On Site Well (Actual) Const V"N CityWater x (Allowable) Y4? PRV Required # of Stories Booster Pump Length ??•' Depth S.F. Total Footprint S.F. APPROVALS FEES ? "p' 00 Engr./Assess. _ Permit Planner Surcharge 72.50 Council Plan Review 360•00 BIdg.Off. SAC,City 100.00 Variance _ SAC, MWCC 550•00 Water Conn. 5?•Q0 WaterMeter bL100 RoadUnit 121" 204•00 Treatment P1 Parks rl48 30 TOTAL . tetfor aSystemsTM SAND FILTER SYSTEM Features • Corrosion-resistant pump, filter and base. Union-connected pump-to-fil- ter piping of flexible PVC. 3' power cord for electrical hook-up into GFCI circuit. Pumps with 3' twist lock cord also available. • Six model sizes available to accom- modate large and small pools (15", 17" or 20" tanks with 3/4,1 and 1-1 /2 HP). • Features the quiet-running JWP Series pump constructed of glass- reinforced thermoplastic. 5" strainer and vibration-dampening mounts. • Insulated motor shaft sleeve for Safety. • Uniform water distribution through filtration media maximizes efficiency and longer cycle times. Replaceable lower laterals and 3/4" drain port. • Simple cleaning with tap-mounted, 6-position multiport valve selector. • -03 models include pool-to- equipment plumbing package of (2) 1-1/2" MPT X 1-1/2" hose adapters, (1)1-1/2" MPT clear hose adapters, (2) b' x 1-1/2" hoses, (4) stainless steel clamps, (1) roll of Teflon tape. • Order -04 modeLs if no pool-to- equipment plumbing is required. • Order -08 models if no pool-to- equipment plumbing or union connectors are required. • Includes ten-year filter tank warranty. Materials and Design FILTER TANK • Tank Body One-piece molded polyethylene - available in 15",17" or 20" tank diameter. Top opening in tank accepts multiport valve. Black color for ultraviolet light protection. (Contrnued on 6ack) For outdoor use with above ground swimming pools. Low maintenance and simple installation make this system the choice for many applications. Professional Sta-Rite PooUSpa Group 6YX S. Jeff?rscn SL • WateriMJ, lNi 53185 N[xtr Arenca: 8Cti-752-0183 rAX: 8`Y'r582-2217 lnternalionai474-728-5551 FHX4i4-72&446r TELEX17T4970245 Oxna,d CA • Union Ciry. TN • Dela+.en. WI • Mississauga. Ont Easy-maintenance sand filter system with the rugged, quiet-running JWP Series pump. Designed for above-ground pool applications ranging from 10,000-26,000 gallon capacity. Materials and Design (co:rti::«eti) • Intentals PVC center manifold pipe and ABS collector hub for eight ABS slotted collector laterals. Laterals twrist out for easy senicing. External drain port for winterizing or sand removal. FILTER MEDIA • #20 quartz silica sand .40-.55 mm particle size. 15" tank -100 Ibs.,17" tank -150 lbs., 20" tank - 2001bs. VALVE • (rposition multiport selector valve of fiberglass-reinforced ABS. Valve posi- tions: filter, waste, closed, baclcwash, recirculate and rinse. Continuous air bleed 0-60 P5I pressure, gauge and sight glass. 1-1 /2" union connections on inlet, outlet and waste port. PUMP • Exceptionally quiet-running, ideally suited for above-ground applications. • Rugged thermoplastic construction in the time-proven Dura-Glas?' tradition. • Large capacity 5" trap with easy- open, see-thru lid. • 1-1 /2" FPT suction and 1-1/2" union-connected discharge; union- halt included. MOTOR • Continuous-duty rated 3/4, 1 or 1-1 /2 HP motors suitable for out- door installation. • Built-n1 thermal overload protection PLATFORM BASE • High-density black polyethylene. ELECTRICAL • Integrated 3` power cord for hookup into 115V/60 Hz GFCI circuit. Three-foot twist-lock also available - consult factory. MAXIMUM LIMITS • Working pressure - 40 PSI. • Continuous water temperature - 95°F. OPTIMUM FLOW RATE • 15 to 25 GPM per sq. ft. of filter azea. flufline Dimensions 9.0 t + O ? 11/2"NPT I 2.81 ?i ? RFNRII iD POOI NMION COiNECTI01h I I 1 /1" NPf WASiE C OUTIET lAM DIA. (UMION S CONNFRIOM) D 1 I/2' NPT A TO TAMK FlAN6E j SIK110N COlMECiiON _T DRAIN ? 7.00 10.% 21.50 Model No. A B C U E Model No. JSAL150-03. JSAL15E-03 JSAL170-03.JSAL17E-03,JSALI7F-03 JSAL20D-03. JSAL20E-03, JSAL20F-03 24.00 26.56 28.69 30.75 33.31 35.44 15.75 21 75 26.06 JSALI5D-04, JSAL15E-04 1775 24.25 27.06 JSALI7D-04.JSAU 7E-04,JSALI7F-04 20.75 26.38 28 56 JSAL20D-04, JSAL20E-04, JSAL20F-04 SWem Sizing & Ordering lnformation Accessory Ordering lnformation Model Filter Pump Pool Size Ship M. Catalog No, Description Number` Dia. (in.) HP (gallons) (Ibs.) JSALI5D-03 15 3/4 To12,000 61 - WC198-11D Two 6' x 1-112" hoses, sight glass. 2 bzrbed adapters, 4 hose clamps JSAL15E-03 15 1 To 14,000 64 JSALI7D-03 17 3/4 To 15.000 65 Forsystem options, consulf factoryat 1-800-752-0183. JSAU 1E-03 17 1 To 17,000 69 JSALI7F-03 17 1-112 Ta 19,000 70 JSAL20D-03 20 3/4 To 19,000 68 JSAL20E-03 20 1 To 21,000 72 JSAL20F-03 20 1-112 To 24.000 73 °Order -04 suifix models il no pool-[o-equipment plumbing is required. Order -DS suffis madels if no pool-lo-equipment plumbing or union connectors are requiretl. Based on flow rates ot 15-25 GPM per sq. ft. of filter area Form No. 415PS (Rev. 3197) OO 1997 S[a-Rite Industries, Inc Sta-Fitela WICOR company ? 'y° ? ,? :.: a ysv.•. ..:? ? ?'? ?.; ? ..??,;.,,. . . •..?,? ? ?, ?.;. 'Y m . . ,. ? . „? . ... -? _ ' ?.....:Y. . ,y. - ,. . ? . . - <., - - - „ ,y. el, ? I i ? Who says luxury is the sole province of the fat of wallet? Not the Newcastle pool from Outback- With an elegant wall and frame pattern and canstructi.on quality that is matched only by its stiuining looks, the Newcastle is sure to be a royal treat for you and your family. • Blow molded technology for superior shock and impact resistance • Resin crafting keeps the struchzre non-corrosive and maintenance free • Bottom wall channels are oversized for better support • Universal top seats and uprights are modular and easy to install • EZ-Lock interconnecting top seats mean no tooLs or screws needed • Na hardware far time-saving construction • 5/16" bolts and nuts made of stainless steel for carrosion resistant walls • Six-ply walls are made Mth 2-1/4" overlap for increased durability • Wall pattem in 3D for the most up-to-date look • Buttiess-free ovals require no unsightly additional brace support • 50-year warranty for the ultimate peace of mind 7,186 9,941 12,913 16,177 OulBack' Above Ground Pools aze manufactured exclusively for Fort Wayne Pools'. Inc. OutBackTM Above Gxound Pools is a trademazk of Fort Wayne Pools", Inc. DANGER: No jumping or diving. Above ground pools aze designed for swimming only. Neverleave clvldren unattended. NOT'ICE: The dealer/builder is an independent busuiess peison and not an agent or employee of the manufacturer or Fort Wayne Pools', Inc. We cannot and do not accept any responsi6ility for any representatlons, sta[ements or contracts made by any dealer/builder/contractor. All pool shapes are for illustration purposes only. The manufachuer reserves the right to change pool shape setections without notice. The National Spa & Pool InstiNte is a registered trademark of National Spa & Pool Institute. Used by petmission. All gallon capaaties are apprmdmate. ? ?rA?,OVE N uROUt P O O L S !rt's e lot teO?eP down under. 6930 Gettysburg Pike Fort Wayne, IN 46804 Phone: (219) 432-8731 Fax: (219) 436-2375 ITf 808-NEW-0 1 ? y 4 31 ? 3 8 , o00 Reqwst Da /? / Fire No. Rough-in Inspeefian R iretl9 ? Ready Now gWill NoOty Inspeclor / \ Ves ? No y,rtiqn Reedy? 10 licensed contractor owner hereby request inspeaion of above electrical work at: JoC Ma/ess (SVeeL Box or Route No.) Ciry 5B1 s u Y oA E66 Section M. Township Name a No. Range No. Coumy . Occupant (PFINT) 'rI ? P?? No. 1\ J ,V Power SuppliBr Pdtlress Eleclrical Convada COmpany NamB) Comractor§ Lioeree No. - w?Gr Mailiig AECress cOnbac[or or OxnBr Meking Installation) ? VV AuNoriz ' n r o ra /OwnerM ' n Wllatian? Phon9?iu?? - ? 4 NINNE50T4 STATE BOAN F EL CTRICITY THIS INSPECTION REOUEST WILL NOT Grlgpf-MWpay BMp. - Room BE ACCEPTED BV THE STATEBOAPD . 1lll UnWxsMy Rva., 51. Poul, MN $5104 UNLES$ PROPER INSPECTION iEE IS . . Phone (612) 6112-0800 ENCLOSED. 5?/?/ REQUEST FOR ELECTRICAL INSPECTION ? See inshuctions for completing th¢ form on back ol yellpw mpy. a 38431 •XIBefow Work Covered by This Request ee-ooom-oe e A.dtl Re Typeof6uilding AppliancesWired EquipmeniWired Home Range Temporery Service Duplez Water Heater Electric Heating ApL Building Dryer Other (Specity) Comm./Industrial Fumace Farm Air Conditioner OMer (specity) Coniractor5 Remarks: Compute Inspection Fee Below: # Other Fee # ServiceEniranceSize Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Trensformers Above 200 _ Amps 700 _ Amps SignS Inspectw5 Uae Only: / TOTAL S? Irrigalion Booms Special Inspection Aiarm/Communication TFiIS INSTALLATION MAY E ORDERED DISCONNECTED IF NOT 01her Fee COMPLETED WITHIN 18, T S ? I, the Electrical Inspecbr, here6y Rou9h in certity that the above inspection has been made. F??a? /? oere OFFICE USE ONLY This request voitl 18 monNS iram s ' CITY OF EAGAN ' Np 18990 , 3830 Pilot KnobRoad, P.O. Box 27-199, Eagan, MN 55121 .. . PHONE:454-8100 BUII:DING PERMIT Receipt # To be used tor 4-SEASON PORCH Est. Value $15, 000 Date 116Y 1 , 1911_ Site Address 3581 ASHBURY RD Lot 28 Biock 3 Sec/SubRLACKHAWK GLEN 2N OFFICE USE ONLY Paroel No. occupanq R-3 FEES 2oning _ w Name RICNARD J WILSON (ACtual) Consl Permit 7 69 _ nn Bld ; Address 3581 ASNBURY RD (Aliowable) - q. 7 50 ° Cjty EAGAN PhOnB 854-8200 xolSlones . Sumharqe 2 ' 00 Plan Review 105 lengih 0 . F Name SAME Depth 14' SAQ Cit y ?a ? Address S.F.TOtal _ ?C, MCWCC City Phone S.F. Footprints _ ? On Sice Sewage Water Conn W Name on sae wen _ ?- Address MWCC System - - Water Meter i W Clty PhOnB Ciry Water _ Acc1. Deposit PPV Required _ S/N Permit I hereby acknowlege Ihat I have reatl ihis applica[ion and state ihat lhe Booster Pump - SNJ Sumharge inlormalion is correct and agree to comply with al applicable State ol Minnesota Slatutes and Cit of E a inances 7reatmenl PI SignaNre ot Permilee . ?? APPROVALS Road Unit A Building Permit is issued to: RIC 2D J WILSON Planner - park Ded. on the express condition that all work shall be done in accordance with all Council applicable State ol Minnesota Statute s and Cit y of Eagan Ortlinances. Bldg. INf. 3.50 Copies 1 J Building Olficial .Ik111 1 ?A l?, Ll Variance - TOTAL 278.00 Request Dale ? Fi No. Rough-in In9pection y ? R tl N il 3 ?r 1- 4- 8 9 Rir¢A? ea y ow ? w hen ReadY?e Yes ? No I 0Jicensed contractor ? owner hereby request inspection of above electrical work at: Jab Atltlress (Sireet, Bax or Rwte No.) Ciry 3581 Ashbury Drive Eagan Sedion Na. Townslip Name or No. Range No. Counry I Dakota Occupant (PRIM) Phona No. Joe Miller Construction Co. 431-2001 Powar Supplier pdtlreee Dakota Electric Farmington, MN ElacMCal Convactor (COmpany Name) CoMracta5 License No. Midland Electric Inc. 041610 Mailing Aderess (COmractor or Owner Making Instellation) 14055 Grand Avenue So Suite E Burns ville MN 55337 Au[horizetl Signature (ConVacto40wne? Making Installation) Phane Number ?j I 892-6688 MINNESOTA STATE BOAflD OF ELECTFICITY THIS INSPECTION REOUEST WILL NOT Griggs-Mitlway Bltlg. - poam S173 BE ACCEPTED 8V THE STATE BOARD 1821 Universiry Ave., St. Vaul, MN 5510! UNLESS PROPER INSPECTION FEE IS VMM(612)862-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ? See inshuqions for completing this form on back of yellow copy T7 3 Q "JC" Below Work Covered by This Request M- E8,00001-07 43 70 e Add Rep. Typeofeuilding AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm ' Air Conditioner Other(specity) ConVactor5 Remerks: Compute Inspection Fee Below: # Other Fee # ServiCeEntranceSize Fee # Cirouits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Above 100 _ Amps SignS Irepecror5 Use Only: , TOTAL Irrigation Booms 7 Special Inspection Alarm/Communication Olher Fee I, the Electrical Inspector, hereby cert" thattheaboveinsPectionhas ? been made. RWgh-in ? Final _ oe?` 1 ? oate ? ? OFFICE USE ONLY This reque4 vaid 18 rtaNhs lrom ? APFLICATION 1=0R PERMIT SEWER AND/OR WATER CONNECTION 3tV o¦ ????yai n 1) PROPII2TY ADDRESS: 7.FY;AT DESCRIPTION; ,..A .,.........,_.. PAYMENf OF FEE AT TIlNE OF APPLICATION DOFS N(YP Q7N- * STSILTE APPR('Vp[, OF PERM1ffT. ? w INSPFILTIIXN OF SEWFR ALID/pR WATIIt ; xrisrnsa.aTxotis wzr.t rOr se sCMUi.m ; y[RTl'IL PFI7MIT HPS BEQJ APPROVfD. ? •x?sir»?rr?*xxtra++tt»r??<x?eerY?i??r IF EXISTING STRCCTLIRE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: PRESENT ZONING/PROPOSID OSE: Q C02^SIERCIAL/RETAZL/OFFICE Q IND['STRIAL Q INSTITf:'TIONAL/GOVERNMENT (_ R-1 SINC,'LE FAMILY (LMont Year ? R-2 DL'PLEX (3two Cnits) ? R-3 TOWNHOL?SE (Three + i;nits) ( Lnits) Q R-4 APAF2TMENT/CONDOMINIL'M ( Units) 2) ? N11ME: -roc. /olf llCi- d9 US I? ADDRESS: 1 k133 G?.Ow(.. eq .,c. CITY, STATE, ZIP: iq yyy? z o,,,? ¢-v ,,,,) PxorrE: Lt 3 3? • N:?: N71??E. For City Use -, y+ e u'?1? Plumbers License: Active ADDRESS: ?'ioZ?YO Xv4c.4W?1?, Expired CITY, STATE, ZIP: /Yl!q.n\S (?jyUv,v I Not recorde(f PxorE: </y 3- ;? 4 7q chaszEz LzcE[vsE # p? .? ?uS sta zn?i 4) NAME: ADDRESS: CITY, STATE, ZIP: PHONE: 5} Ej-C-60NNECTION 'IO CITY SEWII2 ?NNECTION TO CITY WATER O CPIIER 6) ?ejM VXw? P&A.u? ••?? Id-30 - 8'V .*****??#?**?.*??******???*******?*********??*?****:?«**?„???*?,?****?**********************?*******?. * * THE GOLD COPY OF 1HE PERMIT WILL BE SENP DIRECIT,Y 1C) PUBL,IC WORKS TO FACILITATE ME.ETIIt PICK-OP. i x PL?F.ASE ALTAW TWJ WI7RI(ZNG DAYS FOR PROCE.SSI[JG. SOMEDNE FROM TfIE CITY WILL CONl'ALT YOLl IF TFTERE i * ARE ANY PROBI?II?LS. ; ?????x+?+****??,?***??******t*?r+rxt*+***xs??x*??*:rr.+,rt?*??***+***,t*r?*t+****?**,r**,t**x*?*******?***; FOR CG1"Y USE ONLY I . PERMIT # ISSCED ? / L• 147 Pd w/Bldg. Permit r^EES: $ L $ &I SEWER PERMIT (INCLC'DE SCRCHARGE) $ $ WATER PERMIT (INCLCDE SC'RCHARGE) $ ? / ? $ WATER METER/COPPERHORN/OCTSIDE READER $ $ WATER TAP (INCLCDE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOL'NT DEPOSIT - SEWER $ $ ACCOUNT DEPOSIT - WATER $ WAC $ /S V $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRLNK SEWER $ $ LATERAL BEN°FIT/TR[:NK WATER $ $ WATER TREATMENT PLANT SLRCHARGE $ $ OTHER: $ I ? ? ! $ TOTAL L/ 9'S k? ?;7f1 RECEIPT i RECEIPT ik DOES tiTILITY CONNECTION REQUIRE EXCAVATION IN PL'BLIC RIGHT OF WAY? Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PL'BLIC ROADWAY" MUST BE ISSUED BY THE ENGINEERING ? ? NO DIVISION. LIST AS A CONDITION. SCBSECT TO THE FOLLOWING CONDITIONS: APPROVED BY: ,u Y TITLE: DATE: /?? b- December 2, 1988 PLYMOUTH PLIIMBING 9290 ZACHARY LN N 'Zy MAPLE GROVE, MN 55369 ? RE: 3581 ASHBURY RD., L28, B3v BLACKHAWK GLEN 2ND 4710 WILDWOOD ST., L4v B2, OAR CLIFF POND WARNINGs BEFORE DIGGING, CALL LOCAL DTILITIFS - TELEPHONEv ELECTRIC, G9S, ETC. - REQIIIRED 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 pieked up. BE 50RE TO CALL PIIBLIC WOR&S (454-5220) FOR YOIIR PERMANEIdT WATER TURN ON. ? Your Sewer and Water Permit for the above property cannot be completed for the following reasons: _ Your Sewer and Water Permit for the above property has been completed, however, the meter cannot be issued or oecupaney allowed until further notice. COh1MERCIAL PROJECTS ONLY _ Your Sewer and Water Permit for the above property has been completed. It will be held at the Publie Works Garage (3501 Coaehman Road) until the meter is picked up. Please come to City Hall to pay for whatever size meter you will need for this pro3ect. The size must be confirmed by either our Public Works Dept. (454-5220) or Bill Adams (Plumbing Inspector - 454-8100) before issuance. Sincerely, r? an Severson Secretary JS , 1991 BUILDING T PCATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: C. Valuation: ?$?d?^ Date: ?- Site Address 358! AsrlguRY P.D Lot 2u Block ? Parcel/Sub i-?L-A C-1<HAk G L.eN ZN1)iiD1>l? Owner IziCNAfZb :j,- W ?L?AlS Address E5581 f{Sf4eU City/Zip Code ER6AN??(r Mtil 55/Z? Phone 9? 7 -8 , z00 Contractor Qimmm nV.1 NEFK / Address City/Zip Code Phone Arch./Engr. _ Address City/Zip Code Phone # SArn Occupancy Zoning Actual Const Allowable # of stories Length Depth S.F. Total Footprint S.F. OFFICE USE ONLY )?-3 I`I' On site sewage On site well MWCC System City water PRV Booster Pump APPROVALS Planner Council Bldg. Of£. bS Y-3o_9/ Variance FEES Sldg. Permit Surcharge Plan Review SAC, City SAC, MWCC Water Conn. Water Meter Acct. Deposit S/w Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trail Ded. Copies SUSTOTAL Penalty Lot Change TOTAL /61Z, 00 7, 5n O/ 5• o0 ? l ? . agrees that all work shall be done in accordance with (Signat e f Contractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. ,.: . ? ?. ,. L/ S,EASOi kvo•+-. .' ? o )e DCD ? lVl s ?- l ?i l `4?f1 R r ? ? .3 N N? ON i ? i zale: 1" 8 : .• 1180.00 5 89°37'29G DESCRIPTION / HEREBY CERrJfY fHAT TN/S SU4V£Y Fk.AN OR REPA4T Wi1S PR£PARED BY ME ON UNAER MY O/RECt SYAoL'RV/S/QV AHD THAT I Adl A 0(/LY Ffu/SYfRFD LdtiD SURVft`A7 UNDVER TNE LAWS QF THE STATE QR' Al/NNfSOTA. CERT/f/CATE Of ,StA'PVEY 1?-s ?Ff3 U2Y ,? _83 4? 1 S3? P-DAD N ?9°37?2,4 ?W I 90, o0 , ? ' N 2o.3T 0 n?a,-av/ a, g ----?( ;<---? "Ic '34,00 3S.U 34 N ? M ` 4 -. Zo,oo 0 oo; 1834.3- ? K ? ? •? ? ?,. .? ? ? i.V l .t ?. i i.tt ?r? 'r•t?r-+ ?'?, E?SEM??T ) fAGA O 1 ?7s , sy? ? ? I i • ;-? r ? ?.. , ?I I ?I M ? I O, N 00 V1 , BY DATE Lot 28, Block 3,r ,BLACKEIA1"7K GLEN 2ND ADDITION " 'Dakota County, A9inr.esc*_a Plat bearings shown o Denotes iron moni.ment DAT£ 2(?i-& , REG N0. 8140 (Existing? Proposed ^ beandt anginaaring A turuaying Z'OS uioodl trofl burniviila, minnaiotea S5339 ? (biZ) 4351966 ? R ? ?s6o2? M 32-M -W Cities Diai itv 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. w CITY OF EAGAN EXTERIOR ENVELOPE AVERAGE 'U' COlIPUTATZON OFINER: - ?1GN W ??-S? tJ SITE ADDRESS: 3 5 SS? QS 1? ?uv •.?c ? CONTRACTOR: DATE: 40'? y PHONE: Determine rorking square footage of each: ;1. Total exposed wall area sq. ft. x.11 '2.i Total roof/ceiling area ., 0C3.sq, ft. x.026 + FwnYt An -a Total ezposed wall area above floor O Q a, Total wall window area ............................ 99.3 b. Total o r re?_ ... i • ' •••.•••••••••••••••••••••• -- c. Total g gass area • -d: -?'ota3 fireplace wall area......................... e. Total wall framing area (average 10%) ............. f. Total _net wall -area above floor ................... w rim joist area .............................. -r _" To£`al e'Xposed-.f dation area = • •- °?- `? h. Total foundation -windowarea .,:::? `?-,, ?:..?-=Tote3""S5"e'f-foundation area above grade..... ::.-...,_, Determine IUI value of each vall segment: WRLL a. ?J (o x fU' • C3 ? _ ?'j W 1 N AQ W b. x' U' 7joog? c. dca x 'U' ?.RC? 1o,ao d. e. X rut _ f. x fpt _ 9. x IU' - h. x TU' - i. x +pi - (3 .. .... ... . ... . .. .... ... .. .......... . .. .. ....... rotiei = (o . 3 If item 03 is the same as or less than item #1, you have met the intent of SBC 6006(c)2. Total ezposed roof/ceiling area = 56rQ, QQ j. Total skylight area ............................... -E FLa?k k. Tota1G'roof/ceiling framing area (average 10%) ..... SCp,oT? 4 F,,o,2 1. Total net insulated roof/ceiling area .............. OVER Determine.'U' value for each roof/ceiling segment: C,?IL1N"s J. x 'U' . a-z ;7L,oop. k. ?-? x lUt OZ5 _ ?OL7 1. x IU' - ? 4 . ................ !aTAL.-. .Z :8?......... ........ .. Total = Z. (7 If total of 04 is the same as or less than 92, you have met the intent of SBC 6006(c)1. Alternate Building Envelope Desiga To utilize the total envelope system method, trie values established by the sum of Items #3 and N4 shall not be greater than the sum of Items #1 and 02, + 2. C) . ?. ?. ?3. ?.3 + 4. Z. 8? = 8"l, SS aQ Js? ?. Za'7,z-9 -f- ?. + A L 3_ 37-9 `? + z, 4 1.- = 3z8, 39 - --------.? „ . 2: ?? = 38g, ?o 4F L* ?o$ 0• 4?, o 2 fr , . PfInIfN?t "U" l'ALUE A?\D F-FaCTOR AT ROOF, WALL, RIPf !u\D CO:iCRETE SLOCf; Provide insulation baf£les in every ra_te: s?ace. ?-J r«T A?Q =iL.rv. - . loS ' ? Pc" 01 93- ?us 'S SNs ??R.. . FL? wceA-::(Oz C=39,y U? - .o-z5 ? _Ra?F ? C? IL(NG (Y? Vf Q WTE.7lo?t Cc + : O 40 Sls" W RD. ? QQ INSULAjtON , ci 4 .OZ J tSTiLL? ''U" = I jtz = ?C- ToTAL?R)_ ? - 5•78 ? .._ ti.AtL ? (R? ti/Al Q ll? l?P-lof= AlR FIIM - .108 Q 'W WsULATIoN f 9:0 0 Z . a4 ?o ?M??oNITc s???r'(? -- , l07 ex;E, to? kt?? FlLr-I -, 17 ;0q3 7oTRL(R) _ \?1M - Z3,o I: ?t III lor ytir? Ft?ti . . ?3 S i f2_ " ? 2 Fl i- 1s 2.5/5 z ;:r7.- u- r?ITE. AIF- FiLM . ? . u U=+ = I??R To7P.L (R)= • Y' . ?3 tN j DIz- Auc FIL.f1 +Q . . C '' • 2i I2)1ACz,Tk1' O (0) A?rc FILM _- , ToTaL - (r<) = Floors ove; unhea[ed spaces inust have mininum R-facior of R-20 (tucl-under garages). Floors over ou[door air (overhanos) nust tiave a nininum P.-factor of R-33. 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 9 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. GUtD[Llr![ i0 (a) rhC7uRS frAti i.:urfi[ Hv.uUnL OF TYPI(ALLY USCD PROLUCTS Interior Air Film '(uolis) (R) 0.C8 GYOSam or olas,er boarC 3/8" (R) 032 Eate r ior Fir FIImI(ualls) I 0.1) GyDSUm or ylas[er Loard V2" 0 45 n?cricr Air fiim (Yen(cd CeMnq) 0.61 Gy05om or ploster board S/b" . 0 56 Exteria.r Air fllm (Ventcd Ccilln9) ' 0.61 Plw?? 3/8^ . ' 0 4J In?crior alr iiln Qicn vcntenl 0.61 Plpmoe 1/2" . 0 63 {xterior Air Fllm Non Vented) 0.17 Ply..cwd 3/4" . 0.93 ' Alu?inun Sidina Shea[hiny, re9. den5liY 1/2" 1.32 . Aiuminum dth 8acker 0.61 1 82 SAcathinn, re9. Oensi-tY 15/I3" N - " 3.06 R?u^ino? .?i[h Bockcr L FoileE . 2.96 ail base ShlA[hlOq 1/1 1.14 I12 x 8 lco Sidinn (1l000) .. O.BI Bvilt-up Rvafs 37 0 7116 a 12 IlnrObaalE Sidi-q o.67. asee,cos-ce"ot Shinalas . 0 21 4ebestos Sidinns 1/4 Wnocd 0.21 Aspnnlt roll rwling . 0.15 Scucm (Oro.,n and Finlsn Coa[) ' ". Fspahlt Shinglez 0.14 J%L^ t:ood SabfIwr or SheathIng " 0.94 Insulatfon: 2-2 3/4" fiberalass 7.00 I/7 Plyvoo0 .1-10thin, " 0.62 Insvla[ion: J 1/3" Fibergless 1/.00 I/I Parpiclc tlo.rd 0.66 Iniulation: b^ Fib<rglas5 19-00 VOCOS: BLOViuf. 40015 Iir, pinc L sI@iler soft 4ood5 I I/2" 1.89 Approz. ]' • . 9,00 2 1/2" 3.12 Aooros. 4 1/2' 13-00 ' 3 t/x^ 4.35 Ma•o.. 6 1/4^ 19.00 5 1/2" 6.81 Apvrax• 7 114" 24.00 ApDrox. 14" - 30.00 pvProa. IB" 40.00 AII atner insulation materials mu st be FI11ed veri/ietl (R Ppctor) - (A) Vermiculitc Concre[e Block (5 L G Reg.) 111 1.93 12" CGncr<t< Elotk (5 4 L Reg.) 1.28 1.15 ' ' 8" LiSnt :47yni 3.18 5.03 ti'• tvgnc i:eignc . 2.48 5.82 ?a-.ennere-r._en..:nn:.:oa.:aanex NOTE: (U) z Area Sauare FeCt -?u nii vinnow: no L^ Spaccl .SG . . . .. .. . . . Removal Dou01e Llozing (ROG) .55 - Tnerro er ..¢lacE 3/16" air spocc .69 1/4" air cpacc .65 - 1/2^ air soacc Sb . . (Other wfnaows specificaliy [estc0 can use be[cer racin9s) ... 1 3/4 SoUa wre aoor .46 - ' w/s[orn, rmod .yi ' w/scorm? ft tal .26 hase StcelDOO, Insl/r7/LL 7.45n .13 ' - Slidinq Gloss Ooor, Yood .65 Metsi .71$ CTTY riP r:AG,RN CASf1:l:[iT?: S 1"If::F'MTNAL. Nt)t 1.3 1:!A'It':r. 07/14/97 T'TASIE:a i4c5504 'S0 NAMC-^ I... `<'.i.,n„ 9001 3581 ASHBU1''tV k'Ji `;(:l„QO 205 9001 .3..`'Si (-1:iiFIBUh4' F;:1:i 0„50 4p T'oi:.,.a'.f. Ri;;cei.prt Am;:aun1;;; 50.50 CRf)78537 11;3EF: M N:1NC't' v? e,t:k ,C:y?kM'MXvkYnm,k?n??nR(?MNc%!%%>XaYY,:1n>?;X<1'::?;?; h",%{;Sc??##?: .r > CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: 3581 A5HBURY RD L07: 28 BLOCK: 3 BLRCKHAWK GLEN 2ND P.I.N.: 10-14351-280-03 DESCRIPTION: ermit Type k'krk T y p e ? ? PERMIT PERMIT TYPE: Permit Number: Date Issued: pECK NEW 494 AL7. RE5IDEN7TAL s? v??- $?`n:ga tg3 ?'ar's?`?f'? 's1A?$,a?? ? e ?^?r ?rv ?3ris "`? % '? BUILOING A91 030 07/14J97 REMARKS: FEE SUMMARY: Base Fes $50.00 Surcharge $.56 Total Fee $50.50 CONTRACTOR: 40 . I',hereb"y ackriawle.dtie . -inform:stion, is a'or* ed "'atj, St +?'?U8 ?r?.'?}j' ?i?# 6'? ?1= ? .., , . . ... ? . .? ,. _' ...? ', n, ?... . ?1'.? APPLIC W SPER 11TEE SIGNATURE OWNER: - Applicant - WZLgpN RICHARD 3581 ASHBURY RD EAGAN mN (612)454-1989 x .? ? . .....u:.,_7 ? ISSUED B S NATUR ?. ? a `10 l 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 5830 PILOT KNOB RD - 55122 681-4675 Lev Construction Reauirements RemodeVReoair Reouiremenh S a 0 ? 3 mgistered site surveys ? 2 oopies of plan - • 2 copies of plans (indude beam & window saea; poured fid. design; eta) ? 2 site surveys (exterlor addHiona & tleeks) • 1 energy calculations • 1 energy calwlatlons for heatetl additions • 3 copies of tree preservation plan'rf IM platted aRer 717193 required: _ Yea _ No ? ' DATE: /o - ? -9 7 CONS?RUCTION COST: DESCRIPTION OF WORK: 57REET ADDRESS: ? LOT °2 g BLOCK -1:2 EC,? ?3S5-3?? l 14S II #3 U PLY 127c^gA'h , -i;? SUBD./P.I.D. #: C;)- PROPERTY Name: _ (?-11 L?Sot1 hirG41 A Rb Phone #: s-? 8 OWNER Street Address: TKI:> City: EA[?AtJ Z ^ State: M ?1 Zip: ?SS 17- CONTRACTOR Company: Phone #: Street Address: License City: State: Zip: ARCHRECT/ Company: Phone ENGINEER Name: Registration #: Street Address: City: State: Zip: Sewer & water licer.ged plumber (new wnstruction onty): . Penalty applies when address change and iot change are requested once permR is issued. I hereby acknowledge that 1 have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: "C ---? OFPICE USE ONLY RECEIVED Ceriificates af Survey Received _ Yes _ No J U N 3 0 1997 Tree Preservation Plan Received - Yes _ No ! Not Required B? OFFICE USE ONLY BUILDING PERMIT TYPE 0 01 Foundation o 06 Duplex ? 02 SF Dwelling o 07 4-plex 0 03 SF Addition o 08 8-plex n 04 SF Porch ? 09 12-plex 0 05 SF Misc. ? 10 = plex WORK TYPE ,P41 New o 33 Alterations 0 32 Addition o 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning ? 11 Apt./Lodging ? 0 12 Multi Repair/Rem. o ? 43 Garage/Accessory ? 0 14 Fireplace n ,X'15 Deck 0 36 Move -- 0 37 Demolition r ?. 16 Basement Finish 17 Swim Pool 20 Pubtic Facility 21 Miscellaneous Basement sq. ft. , Main level "sq. ft. sq.ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building I vrt-:!?, Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit SIW Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies ? Total: , % SAG SAC Units MC/WS System .-? City Water _.-- Fire Sprinklered PRV Booster Pump Gensus Code. ?I3?f SAC Code ? Census Bldg i Census Unit o Engineering Valuation: $ Variance /VISL-1yl W .. :. !ti yf .? n M? ? N a- 0 i ON ;. ti i :ale: 1" CERT/f/CATE Of "VE)' ?S!-FBU2Y RDAD ,G;$34143] /J ?39°37?Z9"W _ 1 80. 00 - o ? ? I S .. ' N 20.37 ri ot--l2.00 12.6? o ---- r-??---e? 34,t? ? n I ? t„ ?aAR N . i . S. D? 62? ? 0- - - - N- - u 22,ou 14,00 ?1 -g / • ' I i• ; ? II S 7?EC K? t? 1v? ? ? ? ? EcK ??poRCrt . ; ) o? N P6 V ,'- - ',:',. ?j F.-... ;• , ,-i ?,•j rf'? I ? ? A o LAt?^.?.i:?i!.?i[f.:?'[? ..?.. ? Ue ItLI'f? / S S6 EAGAN ?4 IM ) $p?pp REVIEWE ~- . 5 89037`24"G BY DESCRIPTIOrI DATE / HERfBY CENnF'Y THAT TH/S SU4V£Y f1'.AN OV4 RfPQ4T Wi7S PREPAREO BY A/£ OR UNAER MY D/RECT Sw£RV/S/q# ANO THAr I,idl ,i pULY R£u1STfRFD L.RtiD SURYfS'qi UNAER THE L.4WS OP TNE STATE Q'' AI/NNESOTA, Lot 28, Block 3;' `BLACK[-IA19K GLEN 2ND ADDITION' ?Da}:ota County, Minneset2 Plat bearings shown u De,Lozes iron monwnenL oar£ 2 1 Sh4L-? maNo. 8140 (Existin,g? Proposed brondt anginaaring 'a ruruaying 2705 woodi trail bugnivilla, minnairota 55337 ? . (bIR) 4351966 ".. /fj ?2-141 -89 CITY OF EAGAN 3830 P'rlot Nnotr Road, P.O. Box 21-1 99, Eagan, MN 55121 ?T 1? 9 1591 S PHONE: 454•8100 Q'!?? /C7 ?-' BUILDING PERMIT Receipt # fl /-/ l Tobeusedfor SF DWG/GAR Est.Value $145,000 pate NOV 29 1988 Site Address 3581 ASHBORY RD OFFICE USE ONLY BLACKHAWK GLEN ZN Lot 28 Block 3 Sec/Sub On Sae sewage - Occupancy R-3 M-1 . MWCC System X Zoning R-1 Parcel No. V-N OnSiteWell _ (Actual)Const . c Name JOE MILLER CONSTRUCTION Citywater X (Allowable) V-N W z Address 18133 CEDAR AVE S PRV Required - # of Stories a City FARMINGTON Phone 431-2001 Baoster Pump _ Length 84' Depth 35, ,p Name $AME S.F.TOtal ? Q Address Footprint S.F. ? City Phone pppROVALS FEES l-, Ww Name Engr./Assess Permit 720.00 Planner Surcharge 72.50 z- Address u? Council PlanReview 360.00 Q W City Phone 81dg.Otf. SAC,City 100.00 I hereby acknowledge that I have reatl this application and sffite fhat ihe Variance SAC, MWCC 5$0.0o information is corract and agree to comply wilh all applicable State ol WaterCOna -51=00 Minnesota Statutes and y ol EaOan Ordi ek Waler Meter 67_ nn Signature of Permittee Road Unit 49 S_ fln A Building Permit is issued to:_ E_MII.I.E$_._f..QN$T$uCTIQN Treatmenl P1 204.00 onlheexpressconditionthatal work shall be done in accordance with all Parks applicable State ot Minnesota Statutes and Ciry of Eagan Ordinances. 948 50 2 Building _' . TOTAL L . 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. M[JLTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS U OF UNIT3 INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS CONIIMERCIAL 'NOV 2 3 1988, INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS N04 4 :.A8 To Be Used r^or:x/ ? Valuation? ? Date: ?J ?v0 Site Address OFFICE USE ONLY 000- Lot 4L Block ? A On site sewage_ Occupancy Parcel/Sub? Owner Address City/Zip Code Phone Contractor 01dL • Address / ?3? ( ".P?i1? Q// . ?Q • City/Zip Code ? Phone 4222 Areh./Engr. Address City/Zip Code M4ICC system t/ Zoning On site well Actual Const City water Allowable PRV required _ lf of stories Booster Pump _ Length Depth S.F. Total Footprint S.F. APPROVALS FEES V-N ? 35 Engr/Assess Permit r7 2 0, 0c Planner Sureharge t? 7 2.5 Council ??? Plan Aeview '? / 3(?O,OO Bldg. Off. y/k7 ZSSAC, City U J 100,0 Variance SAC, MWCC -55-0, c74 Water Conn 5,?O _? Water Meter bri, vo Road Unit S', t?a Treatment Pl 2rNl.vo Parks ' Copies TOTAL 4948. sa Phone Ik - ? VA?ua`-noN CA RAGW ----- aLix1z=z89 -26 k Zo? sza ? X ?;L $3Z X 14 = I I 64? P?sm-r. y7 x??= I2a2. I`6 X Z= 3 G 5X ?y ? r?° `IX 13? s? 13ci° x 13= Irl9 yo IsT FLnc>IL 13 t3?Ox4? - ?81/0 Zr.Sa ?LOOR !5K I Z = l?p ZZ ?C 30 - Cdo yX i3 ? s2 rXG?: ? --- _. - c(q`d Xyct= q&? t4s? I y L1l S4 T ? /VI3Z-N --88 CERT/F/CATE oF SWWr (h 1:?sN-t3UkY kOAD 408P /J 39°37'29 "W _ 190,60 M ? __ ??.oa? zn.3? I Cp}41?-" 6a4R SU4B I (,. $ N ?...836,Z 34 N ? lSl 43', z0,00 y o 1z,a - ??6? -- - -- l sL Q 180.0 0 5 ?9°37'29'G / MERFBY C£q77FY TNAT rM/S SG4YFY, PLAN AR REPOYPT WAS PNEPARED BY ME OR UHOFR MY O/RECT S7AwRY/S/pY AND THAT I AA/ A AULY RE!'i/STERED LAND SURVfWi ' GWD£R THE LAMS AF TNE STATE AF A//NAIESOlA. 0,1T£ 2 ( gI.2-Rm ma 8140 M .. 3 _ M -N ? Q NP ya-^] 1 J! ; : ?? ? . a „ DESCRIPTION_, Lot 28, r'Bloek:31,•;Z';p BLf1CKIlAPlK GLEN 2ND ADI3ITIOND2rl' Dakota County, Minnesota Plat bearings shown o Denotes iron monwnent (Fxistin? Proposed brondt anginaaiing a tuivaying 2705 uroodi trail buinivllia, niinnaioto 55339 (bIR) 435-1966 _3 I M? N o? ON ti 1tt a VI ? o 1 o ? 0 34. W ? i ? ? Yt2DFO5E'D +Wk)Sr. ? ? - ?--? 'I . , ,RE7 WAIL 3S. ? I 6 Z: ,• I M ?U i I i 1 I ?s . Eprs?,AeXT' / ? SS E ---? ? M 3z-1 Lrt -W , _. E7CiERIOR ENMOPE AVEHpQE "Ulf CORPUTpTION•'? ?u/ ! /J (To 6e eubml6ted tivith building permit applicatio.n) . ? one or Ttiob Family DNelling Owner All Otlier Sf te Addreee _ j„p''' 29 skC=0 ?P l ???c oc?svskG?,??a ? Contracbor Of I Date Phone LIHEAL FEET OF EXPO5ED YlALL tt• &bove grade a ZlYl I 179Q . TOTAL EXPOSED WALL AREA . FT. OPAQUE WALL CO[ISTRUCTIONt "Ull Val.ue x Area De r8si --?-?? $lull_ , 04 3 x sa. raterenae - ` IN?' ??U?I_ . D-?[O X SQ. , from x SQ attached "U" x SQ. sheote IOUti X SQ YII N DO {YS t linlte & n u n oooass x s@. "U" Yalue x Araa \ FT. I$77-11+' r'5 (U)(A) FT. G?5 = 677,L)j (U) (A) FT.= •? (u)(A) FT. - (p ??R? FT. _ (u) (n) FT. (U)(A)- TYPe IAI?I?: c.b4?,?nn'('i?pn u - n x Sq. FT. 'ZDII 7 S? 1w.4 M(A) n pn x 9q. FT. _ - (U) (A) n npu x S@. FT. _ ?A) x 3Q. FT. _ (U) (A) 11.Uto Yelue x Area Flalce & Type ri n ?? ? S nUn 4' x S@. FT. n n ? uUu x SQ. FT.._??_ yS?(p)U) ( (A) A) u u npu x 8Q. FT. (U) (A) - x 8e. FT. _ (U) (A) TOTHL9 7E) Se. F'T.__ C.V'_ri, ZI (U) (A) TOTAL (U)(A) VALUE5 /- AVERA4E IIUI; 2lY??ZI a .1?I Y DIVIDED BY TOTN, CIALL AREA ?•?IO?g AVE(2AQE "Uto .115 leoe for 1&2 familq dwe nge ROOF/CEILINUt TOTAL AREAt Detail reference ??? ? ???.,?7/? from ' x 9q. FT.-L:1.?-.-L=(U)(A) nttached elieeta. iiu is X SQ• FT• ft (U)(A) Deocribe oponingo nUii x gQ• FT' = (U)(A) in rooT, x 3Q. FT. u _ (p) (p p u--?_.x SQ. FT. = (U)(A) TOTAL (U)(A) VALUE9 DIVIllGD BY '? ? ToT?{l.?j -L ?j2p ?e?rr (v?> '•ro•rAL ROOE ?? 02/C?t?a nnEn AVERpaE 5 fo enEllnted roofe. ??? 49t3(o -7/ ',) `lv 1 X 5'Z4 yL?l-?Z7,s Z2+?G q-alq-d) _ I51=/D(0.53? Z C.? 11, 78 , 83x 2 ? ? ? ??4.?I ? 2+X l}-g - ? 4- w (.a - 1 ?- ZaXr? = f ?-Z4f Xc?L _ I 2- 24x3c? _ 47 X 4f x 2Z ? x ? ?. ' 2, (n- (a° ?-??b ?poo2? ,oo x? ?WD?ks 4 ! 1 I _ I? ? = 44-, a = 22, ? = ?3, a = 44-'zo = I ?? 2l?1?7S = 3I?s ,??,s = 2 I, o ^ ? ? • ?4-,0 ? Zx ? = 83? la?oss ?U-L eyAE-Ep 2+ollO8 c-oNL, I0L7o 2 -2 Zb I ? 75' i???s ? /g?2?ll . ?- i aavn-- ' Determining "0ll values at Roof, Wallg' Rim, and Conc. Block ROOF/CEILINa 1.) Interior Air r'ilm 2.) 5/81l (lyp. ea. 3.) Ineulation 4.J 5.) Exterior Air Film (STILL) R YALUE 0.61 . .56 44.co .61 opu a IIR= iOZJ 1bTAL (R)= WALL 6.) Interior Air Film 7.1 }" QYP• Hd. 8.) Insulation 9.) b0icT-g17-E 10.) Masonite Siding 11.) Exterior Air Film R VALU 0,68 .45 19•00 Z ??- .1? uptt z 1/R= .043 TOTAL (R)= Z3.0j .?- RIM 12.) Interior'Air Nilm 13.) Ineulation 14.) 211 Fir Rim Joiat 15.) gvItT- J?17-r--- 16.) Maeonite Siding 170 Exterior Air Film R VALUE 0.68 ' 19•00 1.88 2,0 .17 npu a 1/R? pq-D TOTAL (R)= 77•gT ? -?- , FOUNDATIOR 18.) Interior Air Film 19.) ` zo. ) STRIPr-ED 21,) 12" ConcreEe Block 22.) 23.) Exterior Air Film 11V11 s I/Ra -07to 1 R VALU 0.68 !l . r?7 1.28 .17 TDTAL (R)= )3.1e, 53g°i ) RESIDENTIAL BUILDINC PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Canstructlon Recuiremenh • 3 registered site surveys showing sq. R. of lot sq. R. of house; aM all roofed areas (20 % manimum lot coverage allowed) • 2 cropie5 0( plan showing 6eam 8 window s¢es; poured found design, elc.) • 1 set af Energy Calcula6ons • 3 wpies of Tree Presenation Plan if lot platted after 7/1193 • Rim Joist Detail Options selection sheet (61dgs with 3 orless unAs) DATE 24"`2-91 'O2- SITE ADDRESS ?J?? ?S???UC TYPE OF WO _ Water Softener _ Water Heater _ No. of Baths APPLICANT Catastrophe Restoration Services Inc. STREET ADDRESS 2489 Rice St Suite 70 CITY ROS2VIII2 STATE MN ZIP55113 TELEPHONE # 651-734-9433 CELL PHONE # FAX # 651-483-0219 PROPERTY OWNER ?R ? 0-harCL l-O t ?Sh'k? TELEPHONE# yL5y- lt9eD COMPLETE THIS SECTION POR KNEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNES01'A RULL•'S 7670 CA'CEGORY 1 MINNESOTA RULF.S 7672 (J submission type) • Residential Ventllation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Conhactor: ____ Plumbing syscem includes: Mechanical Contractor. Mechanical system includes: Sewer/Water Contractor: _ Air Conditioning Heat Recovery System Phone # Phone # Fee: $90.00 I'ee: $70.00 .?...._. . +._. ., ,a ----------------------------------------°--------------------------°---°----------------°----===-??-?-?-?-? I hereb acknowled e that I have read this a lication, state that the information is correct, n? a r?e to co with all applicable Sate of Minnesota Statutepand City of Eagan Ordinances. i' 2001 ?j J Signature of Appllcant \jP? ? __________._.._ ____ OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 1 ?j a ?-1z5-- RemodeUReoair Recuirements . 2 copies of plan • 1 set of Energy Cakulations for heated additians • 1 site survey for exterior additions & decks . Indicate if hmne urved 6y septk system for additions VALUATION - ? MULTI-FAMILY BLDG _Y SN FIREPLACE(S) ?L-0 _ 1 _ 2 Phone # _ Lawn Sprinkler _ No. of R.I. Baths OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 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 (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 Aiteration O 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bidgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings(new hldg) FinaUC.O. _ Footings (deck) FinaVNo C.O. _ Footings (addition) _ plumbing _ Foundarion HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs Air/Gas Tests Final _ Framing _ _ Siding Stucco Srone _ _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By 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 Building Inspector RESIDENTIAL BU[LDING Permit Application City Of Eagaa 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWCtion Reouirements 3 registered site surveys shaeing sq. ft of bt sq. ft of house; and all raofed areas (200/o maximum lot coverage allowed) 2 copies of plan showiig beam 8 window skes; poured tound design, eta 1 setof Eneqy CalcuWdons 3 copies of Tree Preserva6on Plan if lot platted after 1N193 Rim Joist Detail Options selection sheet (bldgs wiN 3 ar less unAs RemodeVReoair ReauiremenGs Office Use Onlv 2 copies ot plan _ Cerl of Survey Recd 1 set of Energy Calculafions for heated additions Tree Pres Plan Recd 7 site survey for additbns & decks Tree Pres Nol Reqd Add'rtion-irMicateilan-sftesep6'csystem Y v? -\-0 , _On-siteSepticSystem - V'?? Dateq / Z8 / 2_e2>o3 ConstructionCost A? I SiteAddress ?'JSg 1 AS(Af?.Uw RdqZ j UniUSte k Ei+ au Vyl N S z Description of Work fl?a?/ c. G 11 C_ ( zq? Multi-Family Bldg _ Y X N Fireplace(s) _ 0_L 1 _ 2 Praperty Owner 1?lGN A(Lb ?. ? I L Sn N Telephone #((o S I) (.p q q- C;-) I Contractor j Address City I State Zip Telephone # ( ) I COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672 Energy Code Category . Residential VentilaGon Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone # I hereby apply for a Residential Building Pernut and acknowledge that the?ormatinru.?trzmnlP ,tA and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of 1vN 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. ?c,HPQ-D ?, W ?LSorJ Applicant's Printed Name ApplicanYs Si e OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt- SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screeNgazebo) ? 36 Multi Misc. ? OS 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage ? 06 04-pleX ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneou5 Work Types 0 31 New ? 35 Int Improvement ? 38 Demoiish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement •Demolition (Entlre Bldg) - Give PCA handout ta appliwnt 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 _ Footings (new bldg) _ Footings(deck) _ Footings(addition) Foundation Drain Tile Roof Ice & Water Final _ Framing _ Fireplace _ R.I. _ Air Test _ Final Insularion Base Fee Surcharge Plan Review MGES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total REQUIRED INSPECTIONS _ FinaUC.O. _ FinaUNo C.O. _ Plumbing HVAC Other ? Pool _ Ftgs --,A Air/Gas Tests 0Final _ Siding Stucco Stone _ Windows (new/replacement) _ Retaining Wall Approved By?/ Building Inspector nDO ( (fl 0?• o? ,r • RESIDENT[AL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan bIn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reauiremenls RemoDeVReoair Reauiremenrs OMce Use OnM 3 registered sde surveys showing sq. ft of lot sq. R of house; and all mofed areas 2 copies of plan Cert of Survey Recd (20% ma:imum bt cwerage allrnved) 1 set of Energy Calalatlons br heated additions _ Tree Pres Pian Reed 2 copies of plan showing 6eam 8 wirWOw sizes: poured found design, etc. 1 site survey for additions 8 decks _ Tree Pres Not Reqd 1 set of Eneyy Calculatlons AddNwn - ind'uate if on•sde septic system _ On-sile Sepfic System 3 oopies of Tree Preserva6on Plan i( lot platted after 111193 Rim Joist Detail Options sekwtion sheet (bltlgs wdh 3 or less unRs Dateq / Z(6 / Zoo3 ConstructionCost :* ) SiteAddress ?'J5g ? ASoU9- Y RaAt , UaiVSte # EA u Vv1 N S Z2. Description of Work J ND 1 z`t ??`?Jz?? ? t G 4?? I Multi-Family Bldg _ Y? N Fireplace(s) _ 0_K 1 _ 2 I Property Owner i GN A(LD ?• ' \ W? L Sc ti I Telephone #((o S I) (y 9 9 i ? i Contractor I Address City ? State Zip Telephane # ( ) COMPLETE THIS AREA ONLY IF Energy Code Category - Minnesota Rules 7670 Cateeorv I • Residential Ventllation Category 1 Worksheet (J submission rype) Submitted • Energy Envelopa Calculations Submitted Licensed Plumber Mechanical Contractor Sewer/Water Contractor A NEW BUILDING Minnesota Rules 7672 • New Energy Code Worksheet Submitted Telephone # ( # I hereby apply for a Residential Building Permit and acknowledge that theLarmatinn__:1956mp1f&d and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of NtN- Statutes; I understand this is not a permit, but only an application for a permi[, and work is not to start without a permit; that the work will be in accordance wi[h the approved plan in the case of work which requires a review and approval of plans. ? ?cNP?D ?:Y. w 1 LJSoN Applicant's Printed Name Applicant's Si e /)132-141-$8 M i " n . 3 , , ;.. 1 It a CERT/F/CATE oF sr?vEr 1?-SI+RU2y P-OAD /J ?39°37?2.9'W 5 ? ? ?,?s o9i I M ?z.ud? zc.3; I ?34I 6' M it- 14.oo 3S, o I 6 2.' g 4 ?, io,oo , ?L fgj4 ? I .. _ .3/ • ? ?i ? b P ' Dec.K ?tlfTiMf PoR,cN $ ?cir ? I 4d SZ"H N ISao 1 ?s? ?I ?„? I Pcno L T I O? N `? Wo V1 I EA- AN Y RK77P _ W?'?"'?d ?ATE ,I $OLDING sNSPECTIONS ????().,L?? / pQ ?N?? jo i?s? w QSEM?NT' S S6 E EAGAN , eY ?T) m DESCRIPTION DATE I 1~ Z 3? g? '` Lot 28, Block 3;' `,BLACKEWV7K GLEN.2ND ADDITION' . 'Dal:ota County, D9innesa±a Plat bearings shown o Denotes iron monwnent g? Proposed (Existin ?4 ., .•QOO 18o,n v 5 8903712.9''G / HEREBY CEHT/fY THAT TH/S SG4V£Y P1.AN GVP REPGWT IY,4S PREPAR£D BY Mf OH UHAER AIY O/RECT S/A°ERV/S/OW AMO THAT ! AAl A OULY l4£G/STfNFD LAh%D SURYFWR UHAER TNE LAWS pf THE STAfE Qr M/NNESOTA. DASE 2 I ?--ma,y,p, 8140 . biandt anginaaring A outuaying R'OS woodr ttail buinivilla, minnaiota 55337 (612) 4351966 `:. M32-i9 ) -W RESIDENTIAL BUILDING Permit Application S City Of Eagau 1 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construaion ReauiremenLS RemodeVReuair Reauirements Office Use OnH 3 registered site surveys showirg sq, ft of lot sq. ft of hause; and all raofed areas 2 copies of plan _ Cert of Survey Real (20% maximum lot coverage albwed) t set of Energy CalcuWtlons for heated addilions Tree Pres Plan Recd 2 copies o( plan showing beam 8 window sizes; poured found design, etc. 1 site survey for addiuons 8 decks Tree Pres Not Reqd 7 set of Energy Calcula6ons AddN'on - indicate Non-sife sepfk sysfem _ Onsite Septlc System 3 copies of Tree Preservatlon Plan if lat pWtted after 711193 Rim Joist Detail Opfions selection sheet (bldgs with 3 or less units Date q / zd2, / Z ab3 Construction Cost {p I Z Od Site Address I N5 N FS U?`Z ?O{?D UniUSte # E SS?Z DescripUon of Work Multi-Family Bldg _ YX, N Fireplace(s) _ 0 j? 1 _ 2 Property Owner '[? 1 G1l A?D ?, tsJ 1?--So ? Telephone #(!05 I) (p?q ? O-7-71 Contractor Address City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Mirmesota Rules 7672 Energy Code Category . Residential VentllaUon Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted Licensed Piumber Mechanical Contractor Sewer/Water Contractor Telephone # ( ) Telephone #( J Telephone # `I ?i ii I I J, u I hereby apply for a Residential Building Permit and acknowledge that the inform ' n i¢ comn!ere_,and_2Turate; 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. F\lGF(A?p ? ?ILSo? - W Applicant's Printed Name Applicant's Sign kt OFFICE USE ONLY Sub Types ? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Att - SF ? 04 02-plex ? 10 08-plex ? 18 Deck O 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_Yor_N ? 25 Miscellaneous Work Types O 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition O 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)` 0 43 Reroof ? 46 Windows/Doors ? 34 ReplaCement 'Oemolition (Entire Bldg) - Give PCA handou[ to appliwnt Valuation Z?D-) a Occupancy 2-3 MClES System CensusCode r ? Zoning CityWater SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const v? Width REQUIRED INSPECTIONS Footings (new bldg) FinaVC.O. ? Footings (deck) j? FinaUNo C.O. ' _ Footings (addition) _ Plumbing Foundarion HVAC Drain Tile Other Roof _ Ice & Water _ F inal _ Pool _ Ftgs _ Air/Gas Tests _ Final . _ Framing _ Siding Swcco Stone _ F'ueplace _ 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 Pertnit & Surcharge Treatment Plant License Search Copies Other Total /1'132-1y1 -88 . ` CERT/F/CATE Of W4YEY !?-sN-RU2y P-DAD 6Y??, ? - - - - - 60 ,rI- -• . I . ? 'n[__?znd'j 20.37 0 M . .? 4 34,0o n GaRAee I 's, n 3s.? 62.' I ? , gr,?yy . 4d ( woz ON I ? i? V, I ? BY I DATE - I ??±,'!?????! I ?- :ale: 1" b 0'I ? ? 0 ?4 ., ..Q 11 ISO,pv 5 89°37'2.9''G / H£RfBY CEAr!'FY THAT TH/S SU4V£Y PLAH AR REPGWT WAS PRfPAREO BY AIE OR UNAER MY O/RECT StA°£RV/S/AM AND THAT f AM A OULY Rfv/STfREO LRND S(JRVfYq9 (/NAFR TNE LAWS AF TME STATE Qr AIlNNESOTA. oATE 2 I 41.?1.-??' RM ,yo 8140 • ?"? . ? 3 _ M O? N r?? O \11 e,r -2 'D M DESCRIPTION pATE ? 1? L 3??B ` Lot 28, Block 3;` _ `:BLACKFlAP1K GLEN 2ND ADDITION ' % Dal;ota County, Minnesata Plat bearings sliown o Deriotes iron monwnent (Facistin,g) Proposed brandt anginaadng 4ruruaying R70S woodir troil buinivilla, minnaiota 55339 . (biR) 4351966 Zy 1DiA 5 Z"HIG4 Pc1C1L\ n \ ; ? d I ?. 18A0 / • €i r„ 41,? , S :? ?f.? I ? IJipr.? aP?? ?soy,s w ?T ? ? S S6,-L? ERSEMG EAGA /4132-Iy1-P3 2006 RESIDENTIAL BUILDING rExnziT arrLicaTioN .? ?City OfEagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reouirements RemodeVReoair Reauirements Office Uss?Oniv 3 registered sde surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas V 2 copies of plan showing foolirgs, beams, joists Cedof Survey Recd _Y _ N (20% mmimum lot coverage allowed) 1 set of Eneigy Calwlalions for heated addi6ons SoilsRepoR Y _N 1 Soils Report 'rf pmposed building a to be placed on disNrbed soil 1 sde survey for addNOns 8 decks Tree PYes Plan Recd '_Y" _ N, 2 copies of plan showing beam & window sizes; poured fouM design, etc. Addifion - irMkate if on-sde septk system Tree Pres Required _ Y_ N 1 set of Energy Calculations On-site Septic System =Y _N 3 copies of Tree P2servation Plan if bt platted atter 711f93 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Minnegasco mechanipl venlilafion form Date I C> /j (,p_ / C4(o Cons[ructioo Cost rd O C> Site Address n it S 11 i?I, an,? ? o ill UniUSte # Description of Work [..,0 We-{Z LH1/rmL E1 N IS i1 Multi-FamilyBtdg _ Yy/ N Fireplace(s) 10 _ 1 _ 2 PropertyOwner l ZiG}(iiR.D ?. W1LSotJ Telephone#((o5() 4s`i `1qa9 Contractor Address City State _Zip - Telephone # ( ) cr 1 .6101 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worlcsheet (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: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone #( Telephone # ( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accutate; 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 wark will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ? I?tc.HA(LD ?, W??SaN _? ? f ? - Applicant's Printed Name ApplicanYs Signat DO NOT WRITE BELOW THIS LINE Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) ? 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 Tvpes ? 31 New ? 35 Int Impravement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair 33 Atteration ? 37 Demolish Building• ? 43 Reroof '? 46 ,Windows/Doors ? 34 Replacement 'Demolition (Entire Bld `g) - Giv? PCA handoutlo'applicant . DCSCI'iptI0I1: Water Damage _ Yes ? ? Valuation w Occupancy MCES System Plan Review ? 100% or _ 25% Census Cpde ?3q ' Zoning _ 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) _ Sheetrock _ Footings(deck) FinallC.O. Footings (addition) ? FinaUNo C.O. = Foundation HVAC Drain Tile Other Ice & Water Roof Final Pool Ftgs Air/Gas Tests Final _ ? _ Fruning = Siding _ Stucco Lath Stone Lath Brick Fireplace _ R.I. _ Air Test Final _ Windows ? Insulation _ Retaining Wall Approved By: , Building Inspector Base Fee v Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ,. i , :;. ... ?Sa. so 2006 RESIDENTIAL PLUMBING PERMir aPPUCa-rioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date 1r',? / l( _ / 0(o Site Street Address ?SIz, I AS(l?Of_y :QS Unit# Property Owner S LSQ N Telephone #(4+) ) 4S4 9 • ? ?9 Contractor Telephone # ( ) Address City State Zip 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 )L Add plumbing fixtures. This fee includes installation of a water softener andlor water heater at the same time. !f you are insta!ling onlv a water softener and/or water heater, do not complete this section; move to the next section and check the appliance(s) you are instaliing. _Septic System Abandonment _Water Turnaround (add $130.00 if a 5/8" meter is required) nCr 1 6 Z D 06 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 accordance with the approved plan in the event a plan is required to be reviewed a d approved. E'l C.i1 AR.D ApplicanYs Printed Name ApplicanYs ign r J °ll3q 2007 RESIDENTIAL PLUMBING PeRnniT aPPUCaTioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please com lete for modifications to existin residential dwellin s VC. 5?) Date ,?a 1 ? I c) -7 Site Street Address AS { j Q,li Unit # Telephone #((oG ) )q S -19 8 Property Owner Contractor Telephone # ( ) Address City State Zip i The Applicant is: ? Owner 8 Occupant _ 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 outfixtures, etc.) $ 90.00 This fee a lies when extensive lumbin re airs 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. !f you are insialling on! a water sofiener 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 $ 50 Total $ _ . .. --'- '- --' ---.......,..?.....?.. I hereby apply for a Residential Plumbing Nermit ana acknowieage mat cne inrormauun w UUIliNIU« al IV ?UI?, Li IV. 11 - 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 6e e?ie ed and pproved. ApplicanYs Printed Name ApplicanYs Sign ure Rlchard J. Wilson 1+48 3798 Lrc.-YV-42S=7$8-367- ` Y AsMbury R 8h. 612-454-1989 saasioieaa aga`J?E n`, n'35i22 oare S- ? -? Pay to the ? ? I $ [J? ? S O Orcfer oi C,-L? ? ? zDoflars . Nomrest 8ank MinnesoW, N.A. ppQpO ebomingron Oyice ' NOAWE578ANK5 7900 Xen= Amnue SoutIII/??? H4D8O Bloomingfan, MN 55437 ??? \ /n es?z$ 6tt-66]-93]H ? \ Memo L?-'----- w 1:09 L0000 i9i: 3489 LO i844u'03798 ?- ?- / ?,? `7 l b ? 2c, ?E?' ? ??o? ??4 -7 `7 _? ?,? -7 -7 kkUG r ??5? , PERMIT City of Eagan Permit Type:Building Permit Number:EA126133 Date Issued:08/14/2014 Permit Category:ePermit Site Address: 3581 Ashbury Rd Lot:28 Block: 3 Addition: Blackhawk Glen 2nd PID:10-14351-03-280 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . Richard Wilson Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Richard J Wilson 3581 Ashbury Rd Eagan MN 55122 Applicant/Permitee: Signature Issued By: Signature