Loading...
3641 Ashbury Rd Use BLUE or BLACK Ink r -For- O-ff-ice-- Use I /y I --7 City ~ Eap j Permit nn rr-~~ I Permit Fee: ~ I o I 3830 Pilot Knob Road `!~v Eagan MN 55122 j Date Received: ✓ ` j Phone: (651) 675-5675 1 I I Staff: I Fax: (651) 675-5694 13 a.~ I I 2011 RESIDENTIAL BUILDING PERMIT APPLICATION GA Date: Site Address: Unit Name: 042r-Met- la 0 e4c Phone: RESIDENT/ OWNER Address /City /Zip: ~A Applicant is: Owner Contractor Description of work: w~ '17 / TYPE OF WORK Construction Cost Multi-Family Building: (Yes / No Company: t I T 1 E Contact:~Ul~ J 7~~~~7I~ CONTRACTOR Address: I~ C ee 4r City: ~~rh S y/(l State: ~D J Zip: Phone: License #436 lt'9 C_? Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY 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 they 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. o herstateonecall.or I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approv of plans. x Cruet 10A x Applicant's Printed Name Applicant's Sig ature Page 1 of 3 Ok DO NOT WRITE BELOW THIS LINE OO. SUB TYPES `36,41 Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage Single Family - Garage T Porch (4-Season) _ Exterior Alteration (Single Family) Multi Deck _ Porch (Screen/Gazebo/Pergola) T Exterior Alteration (Multi) _ 01 of _ Plex _ Lower Level Pool Miscellaneous Accessory Building WORK TYPES New Interior Improvement _ Siding T Demolish Building* _ Addition _ Move Building - Reroof _ Demolish Interior Alteration _ Fire Repair T Windows Demolish Foundation - Replace T Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation Occupancy MCES System Plan Review Code Edition SAC Units (25%,100%JL-)," - Zoning /9//~ - City Water Census Code 41311 Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/ C.O. Required Footings (Addition) Final / No C.O. Required FoundationL HVAC _ Gas Service Test Gas Line Air Test Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In Air Test -Final Windows Insulation Retaining Wall: _ Footings _ Backfill _ Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: , Building Inspector RESIDENTIAL F Base Fee 73 Surcharge Plan Review 9y MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 Use BLUE or BLACK Ink I For Office Use l I My of n~ i Permit ! 1 111 jan I Permit Fee: I 3830 Pilot Knob Road Eagan MN 55122 i Date Received: I Phone: (651) 675-5675 W I F D i 1 Fax: (651) 6754694 I staff: ----__-~--~_--I U 2011 2011 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: G a~ Site Address: Ce / ,*.j k?Al. r Tenant: Suite RESIDENT t OWNER Name: Phone: r s'rl Address /City /Zip: - u CONTRACTOR Name: License Address: City: State: Zip: Phone: Contact: Email: TYPE OF WORK New Replacement Repair XD -Rebuild/ Modify Space -Work in R.O.W. Description of work: ~a fZur3, K ~o~tc~ PERMIT TYPE RESIDENTIAL Water Softener Water Heater Lawn Irrigation ( RPZ / PVB) - Add Plumbing Fixtures (?<Main / Lower Level) Septic System Water Turnaround New Abandonment RESIDENTIAL FEES: $55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $35.00 Lawn Irrigation (includes $5,00 State Surcharge) $55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $166.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) $95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) TOTAL FEES $ 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.gopherstateonecall.orq 1 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 worts is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x x2 S'. Ae-11 //L x pe--~i Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final Use BLUE or BLACK Ink I For Office Use~f j Permit ` [ l GIty of Eap I t I Permit Fee: t 3830 Pilot Knob Road j Date Received: Eagan MN 55122 I X.! E GE Phone: (651) 675-5675 Fax: (651) 675-5694 , ran 1 Stat i~$ a ta111 .r---..---_---- 201 1 RESIDENTIAL BUILDING PERMIT APPLICATION &Ar*-J, An "Unit Date: Site Address: 41 I 40, Name: c c ! Phone: X43 -537--,293 RESIDENT I G`1 ~j'1 rl oZ OWNER Address/ City/Zip: Applicant is: Z Owner Contractor I i TYPE OF WORK Description of work: ~,~;5: ~ Construction Cost: Multi-Family Building: (Yes / No Company: Contact: CONTRACTOR Address: City: State: Zip: Phone: License* Lead Certificate M If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY 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 maybe 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.gopherstateonecall.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 worts which requires a review and approval of plans. X 2 c 5;_7 . f`'o c 't x Applicant's Printed Name Applicants Signature Page 1 of 3 s ~f DO NOT RITE BELOW THIS LINE COl ~ l' 6~a' SUBTYPES Foundation ` Fireplace _ Porch (3-Season) Storm Damage r Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) Multi Deck Porch (Scmen/Gazebo/Pergola) Exterior Alteration (Multi) _ 01 of Plex _ Lower Level T Pool Miscellaneous _ Accessory Building WORK TYPES 11) ' ipv Gpo° 1,5A-1,911, 4-SffV1'`-A4--, _ New Interior Improvement ^ Siding _ Demolish Building* T Addition _ Move Building Reroof Demolish Interior Alteration Fire Repair Windows _ Demolish Foundation _ Replace Repair Egress Window Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation (9 v Occupancy L MCES System Plan Review Code Edition ~7 SAC Unite 0 (25 /oi 100%--)1,) Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC Gas Service Test Gas Line Air Test Drain Tile Other: Roof: `foe & Water .,_,,,Final ~ Pool: ,Footings Air/Gas Tests -Final Framing Siding: _ -Stucco Lath Stone Lath Brick Fireplace: -Rough In Air Test Final Windows Insulation Retaining Wall: Footings ` Backfill Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: Building Inspector RESIDENTIAL FEES Base Fee L 4), C UW Surcharge Plan Review 61trf MCES SAC City SAC Utility Connection Charge 0&9 S&W Permit & Surcharge l Treatment Plant Copies TOTAL Page 2 of 3 CASH RECEIPTS v CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE QQ 19 'f FPA)M t.c AMOUNT $ i r & DOLLARS 100 i O CASH _f_7JCHECK FOR < < k ~~us C~.t r i r _ C LJ 1 i 1, k.c FUND OBJECT AMOUNT Thank You By vane--Payem Cop, vmow--Posting Copy Pink-Re Copy BLDG. PERMIT NO. /0C le Ato-ck~ P - Sh6~cY 01-3210 Bldg. Permit 01-3422 Plan Check C) L7U 01-3445 Surch./Adm. 01-3446 SAC/Adm. 05 r01-2155 Surcharge 75-3860 Road Unit 3 O .20-2275 SAC 20-3865 Water Conn. J~8C9 20-3868 Water Trmt. o? 20-3716 Water Meter C-0 20-2252 Acct. Dep. 20-3713 Water Permit / 20-3743 Sewer Permit U 79-3866 Sewer Conn. U~ `28-3855 Park Dad. TOTAL - ' CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for F 1 CA k Est. Value $92 , COX Date `-Ay 23 19 8 Site Address 3A4 ASHISURY try Lot 15 Block Sec/Sub. BS;,Af:1 }3AH. OFFICE USE ONLY Parcel No. 7 p Occupancy R-3 ''`rte FEES Zoning R-1 Name (Actual) Const V Bldg. Permit 7G4. Do o Address 7 T P P (Allowable) i-AN 46.00 Surcharge City ' ` Phone 4 S # of stories 30'2.00 Length 5ti Plan Review p Name 'Rr Depth SAC, City 100. Address S.F. Total SAC, MCWCC 575•OQ City Phone S.F. Footprints S ~.t.00 On Site Sewage Water Conn W Name On Site Well Water Meter • Address MWCC System i__ U Q XR Acct. Deposit 30000 aru City Phone City Water PRV Required XX srw Permit X0400 1 hereby acknowlege that I have read this application and state that the Booster Pump S ,W Surcharge 1.00 information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Treatment PI 22!1.00 Signature of Permitee APPROVALS .i=,.._ Road Unit 340.00 A Building Permit is issued to: Planner Park Ded. on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies Building Official Variance TOTAL 2,916.00 Permit No. Permit Holder Date Telephone # WATER ~ /SC/' ~ C~7cR~' ~ SEWER q PLUMBING K: L H.V.A.C. ELECTRIC ~iIrJL'p (4' 9 it t<76~ ? 4 a D OU Inspection Date Insp. Comments Footings I S LLJ/~ Foundation Framing (O-z~ Q.i' E©irPr+' m Roofing Rough Plbg. 6 ,L- Rough Htg. l+ f 3 7lu/ Isul. 6 $7 Fireplace Final Hig. FinalPibg. Const. Meter Ibg. Ins ctor - Notify Plumber Engr.IPlan C>H e e Bldg. Final .g e e a ; Deck Ftg. Deck Final Well Pr. Disp. rl a PERMIT # MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE CONTRACT PRICE: PHONE: 454-8100 For Office Use Only: Site Address 0A BLDG. TYPE WORK DESCRIPTION Lot - Block Sec/Sub Res. New m Name • AT : NCB Mult Add-on L ll ISLAND t1 V F: Comm. Repair Address C City Phone ')0 0 - Other FEES Name < < ; • - . F, RES. HVAC 0-100 M BTU -$24.00 Address ADDITIONAL 50 M BTU - 6.00 C) City Phone (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA. TYPE OF WORK COMMAND FEE - 1% OF CONTRACT FEE Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES 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: SIGNATURE OF PERMITTEE SIC: TOTAL: FOR: CITY OF EAGAN PERMIT # PLUMBING PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Address - 4ZM'0A V, BLDG. TYPE WORK DE CRIPTION Lot Blo A " S /Su Res. New w~k. Mull. Add-on m Name Comm. Repair m Address Other C City/_ W' ,G ft S t~+OPhone ' ? ry` RES. PLBG. ONLY -COMPLETE THE FOLLOWING: ? k: NP. FIXTURES TOTAL Name Water Closet - $3.00 S r m Bath Tubs - $3.00 c Address 1-2 b4 _Lavatory - 5100 p City Phone • t SShower - $3.00 ^ Kitchen Sink - $3.00 " FEES -Urinal/ Bidet - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE _-Z--Laundry Tray - $100 APT. BLDGS - COMM RATE APPLIES Floor Drains - $1.50 TOWNHOUSE & CONDO - RES_ RATE APPLIES Water Heater - 51 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 - 510.00 Private Disp. - $10.00 ' Rough Openings - $1.50 S ATURE OF PERMITTEE FEE: { STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL: Trrtif trott of Orrupaurg Citp of (Eagan M,?pWWMd of lwh) o 3wertion This Certificate Issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating budding construction or use. For the following.. u. cj.,&.0. SF DW/GAR Bldg. Flermit No. 16511 O-paaY True R3/r112 zoning niuria R l Type cDn$c. VN Owner of Bwlding KMMAM NURMS Address 785 SUNSET DRIVE. EWAN B ;tom 3641 ASE~J1tY SAD miry L 18; B3, HL6CRlAW GLB 2[~ID f - r . ' . _ Date: i[ Y 280 1489 Bull POST IN A CONSPICUOUS PLACE SEWER & WATER PERMIT OFFICE USE ONLY CITY OF EAGAN ' - METER # PERMIT DATE 3830 Pilot Knob Rd. CHIP # WATER PERMIT # 10451) Eagan, MN 55122-1897 METER SIZE B.P. RECEIPT # 1: 2130 ISSUE DATE B.P. RECEIPT DATE 5f 24f a,n PRV -BOOSTER PUMP SITE ADDRESS PERMIT REQUESTED LOT BLOCK SEC/SUB k!'•~ a SEWER -WATER TAPS APPLIGANT: ADDRESS:- , ' I-2 /T Li _ COMM/IND y RESIDENTIAL CITY, STATE ZIP PHONE: i i " V~ NEW - EXISTING PLUMBER: ADDRESS: I AGREE TO COMPLY WITH CITY OF CITY, STATE ZIP, i EAGAN ORDINANCES: 3 -f PHONE: <<-~- OWNER: ' ADDRESS: SIGNATURE WHEN METER ISSUED CITY, STATE ZIP PHONE: PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS CONTACT ENGINEERING DEPT. APPLICANT AND PLUMBER WILL BE NOTIFIED WHEN PERMIT IS PROCESSED. DATE: 5/25/89 RE: 3641 ASHBIRY ROAD, L18•_ B3, BLACKHAWK GLENN 2ND r xx Your Sewer & Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. _4 Your Sewer & Water Permit for the above property cannot be completed for the following reasons: Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES -TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. r r Secretary, Building Inspections Dept. DATE: 3/25/89 RE: 3641 ASHBURY ROAD, L18, B3, BLACKRAWK GLENN 2ND v ~X Your Sewer & Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. lour Sewer & Water Permit for the above property cannot be completed for the following rbasons: Your Sewer & Water Permit for the above property has been completed, but the meter cannot be Issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. SEWER & WATER PERMIT OFFICE USE ONLY CITY OF EAGAN METER # QV PERMIT DATE 5/24/89 3830 Pilot Knob 2Rd. -1897 CHIP* y`a 8 / Slo WATER PERMIT # '0456 Eagan, MN 55122-1 METER SIZE S28 B.P. RECEIPT # 2230 ISSUE DATE - ?S' B.P. RECEIPT DATE 5/ 24% 8 XX PRY -BOOSTER PUMP SITE ADDRESS PERMIT REQUESTED LOTBLOCK ~_SEC/SUB s~+-/~G Ii'r~~Fc✓rl [~~LE,--.~1 `1 i 1116- SEWER ~ WATER -TAPS APPLICANT: ~~r <ST~I.~ t'- ~~ltS . t d~J:► T ~ ADDRESS: c S S u ~S Cl h4. V COMMAND _ RESIDENTIAL CITY, STATE ZIP 1- PHONE: 4 SC. yl AZNEW -EXISTING PLUMBER: U~ 1 ~c M(~~~'-'G ADDRESS: L I AGREE TO COMPLY WITH CITY OF CITY, STATE Lrl . ~ty~i.LE Zip EAGAN ORDINANCES: PHONE: i4 _ :5 3 3 3 OWNER: %1t1 77 ADDRESS: SIGNATURE WHEN M E I UED CITY, STATE ZIP PHONE: el~ 4 / V 'V' / PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER ERMITS, CONTACT ENGINEERING DEPT. APPLICANT AND PLUMBER WILL BE NOTIFIED WHEN PERMIT IS PROCESSED. 5 ul-9 0 08-6//j so Request Date Fire No. Rough-in Inspection - 7 Required? ❑ Ready Now If Notify Inspector j s ❑ NO when Ready? I licensed contractor ❑ owner hereby request inspection of above electrical work at: Job Address (Street, Box or Route No.) City Section No. Township Name or No. Range No. County Occupem (PRINT) Phone No. Power Supplier Address , ror L c ' crtJ Electrical Contractor (Company Name) lComractoft License No. a ~L ~ 4 Mailing Ack ress (Cor tractor or Owner Making Installation) - S Authoriz ( ntraMOdOwner Making Install ion) Phone Number d- CJ~ MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT GrlggrMitlway Bldg. - Room 5-173 BE ACCEPTED BYTHE STATE BOARD 1821 Unlvenefty Ave., St. Paul, MN 55106 UNLESS PROPER INSPECTION FEE IS mane (612) 602-0 600 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION - Ee-aa001-07 ► See instructions for completing this form on back of yellow copy. 0,5086 W" Below Work Covered by This Request e Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specify) C"rnroclor5 Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # CircuiWFeeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Above 100 Amps Signs Inspectors Use Only: TOTAL Irrigation Booms Special Inspection Alarm/Communication Other Fee f I, the Electrical Inspector, hereby RO1sn-in certify that the above inspection has Final cep /~t been made. OFFICE USE ONLY This request void 18 months from CITY OF EAGAN N~ 16511 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # C ~ 13C~ To be used for SF DWG/GAR Est. Value $92,000 Date MAY 23 1g$~ Site Address 3641 ASHBURY RD Lot 18 Block 3 Sec/Sub. BLACKHAWK GLEN OFFICE USE ONLY Parcel No. 2ND Occupancy R-3 -1-1 FEES Zoning RR=1 M Name MITTELSTAEDT BROTHERS (Actual) Const VN Bldg. Permit 604.00 Address 785 SUNSET DR (Allowable) V=N Surcharge 46.00 ° City EAGAN Phone 456-9125 aofstories Length 56- Plan Review 3D2 . oO iF Name SAME Depth 3/4, SAC, City 100.00 uQ Address S.F.Total SAC, MCWCC 575.00 City Phone S.F. Footprints On Site Sewage Water Conn 580.00 ~w Name On Site Well Water Meter 90.00 ME5 Address Mwcc system x~ Accl. Deposit 30.00 aw City Phone City Water XX PRV Required XX SAa Permit 20.00 1 hereby acknowlege that I have read this application and stale that the Booster Pump SM Surcharge 1-0 O information is correct and ree to comply with all applicable State of Minnesota Statutes and Y11 Eagan Ordinances. _ Treatment PI 998-0 0 Signature of Permitee 3 X f ~ APPROVALS Road Unit 340.00 - 44 A Building Permit is issued to: MITTELSTAEDT BROTHERS Planner Park Ded. on the express condition that all work shall be done in accordance with all Council applicable Slate of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies 0 Building Official r ! 1 C~ 111 Variance TOTAL 2,916.0 2oo6 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Tease complete for modifications to existing residential dwellings. ]ate site street Address unit # >roperty Owner ! r/*//LP.L Telephone # es A} 6 ~3 C~p ,"ontractar lankm 6 Telephone # ) 4ddress city State Zip -7 a; the Applicant is: _ Owner contractor -Other Septic System New _ Refurbished Submit 2 sets of plans and MPC license includes County fee $ 100.00 Peras-built $ 10.00 4lterations to existing dwelling $ 50.00 Add plumbing fixtures. This fee includes installation of a water softener and/or water heater at the same time. If you are installing only a water softener and/or water heater, do not complete this section; move to the next section and check the appliance(s) you are installing, -Septic System Abandonment -Water Turnaround (add $130.00 if a 518" meter is required) -Other: i 1 = Ii \'i I Water Softener _ Water Heater $ 15.00 _ new replacement j _ Lawn Irrigation _RPZ -PV6 `new -repair -rebuild $ 30.00 itate Surcharge $ 50 rotal hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the vork will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I inderstand 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 iccorda with the appro ved pl n in the event a plan is required to be eviewed and approved . ppl ca is rinted Name Ap Ica is Signature 2005 RESIDENTIAL BUILDING PERMIT APPLICATION V " City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone 4 651-675-5675 FAX # 651-675-5694 New Construction Requirements Remodel/Repair Requirements Office Use Only 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cad of Survey Recd _Y N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pies Plan Recd _Y _N, 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & docks Tree Pres Required _Y N I set of Energy Calculations Addition -indicate if on-site septic system On-site Septic System _Y _N 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail Options selection sheet (buildings with 3 orless units) Date / (0 / Q go pp~ c~ n n Construction Cost Z/ ,o Site Address 36`y` /7,~~!/✓_/ < X~ unit/Ste # 6 Description of Work Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 S I - 2 Property Owner L.4110 Telephone # Contractor Address L-) City S r ✓~(~fjs State Zip Telephone # (~'2) c°lsd ~7 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cate og_rv 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 Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone Mechanical Contractor Telephone ) Sewer/Water Contractor Telephone I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan ' the ca e w rk which requires a, reviez~ approval of p ans. i~ lirl f 4 ' ~ 2005 ~ Applicant's rinted Name Appli ant's Signature i. OFFICE USE ONLY Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03 01 of-plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 PorchlAddn.(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 Building ❑ 42 Demolish Foundation ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish Building` ❑ 43 Reroof ❑ 46 Windows/Doors ❑ , 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System Census Code 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) _ 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 - Brick Fireplace _ R.I. -Air Test -Final _ Windows 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 15.50 2(.104 REeI'-ENTIAL r1LUMBING PERMIT; APPLICATION CITY OF EAGA\ 3_JG PI'._07 KNOB ROAD. EAGAN MN 55122 65'2 -675-5675 Please complete fcr rcodifications to existing residential dwellings. Date S 28 CAHN, MICHAEL - - E 3641 ASHBURY ROAD Site Street Address _ EAGAN, MN 55122 Unit # . - - _--.--J (651) 688-3557 JI Property Owner _ Telephone # { ) -T40RBUW-PtA13!NG CO. Contractor Telephone # { ) Address City State yip The Applicant k: _ C;rn rc x_ Contractor -Other Alterations to exist -,g dv.j•,iling $ 50.00 -Add fir;ures eXcit:ding water softener and water heater -Septic Systram r. r.1,:,onrnent -Water T. •nan; d Ladd "'121.00 ii a 5r8" meter is required) Other- WW ater Sof".ener Water Heater $ 15.00 X reo:ecerr ent additional Lawn Irrigation: E °LL>rr RnL_ new _ repair .rebuild $ 30.00 State Curch i ~U ~D DV JUid 2 4 Total $ l S. SO I hereby apply fo r. ..la 7-:ambitig Permit and acknowledge that the information is complete and accurate; that the ,vork will be in conformance with the ordinances and codes of the City of Eagan and the pi-rn. ing ccaes; that I understand this is not a permit, but only an application for a permit, work is not to a 1 wirhout a permit and work will be in accordance with the approved plan in the event a plan i( > ,wire+a tc ' ra ieviewed and approved. V'- t Applicant's ar f D t saw 0 r a I RESIDENTIAL b BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Requirements RemodellRegafr Requirements . 3 registered site surveys showing sq. ft. of lot, sq. R. of house; and all roofed areas . 2. copies of plan (20% maximum lot coverage allowed) . 1' set of Energy Calculations for heated additions . 2 copies of plan showing beam & window sizes; poured found design, etc.) . I site survey for exterior additions & decks . i set of Energy Calculations . Indicate if home served by septic system for additions . 3 copies of Tree Preservation Plan If lot platted after 711193 . Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE ,O - C2- 007 VALUATION Z J Z SITE ADDRESS b~ EI ~Sh~Uv MULTI-FAMILY BLDG _Y ! (N TYPE OF WORK'~- °4- FIREPLACE(S) I _ 2 APPLICANT STREET ADDRESS 94Rq RiaP St Suite 70 CITY RnseV a STATE_MNZIP RR 11 TELEPHONE # 651-734-9433- CELL PHONE # FAX # 651-483-0219 PROPERTYOWNER Ml~tt_ K~ TELEPHONE# low\-b`` ~SS~ COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I _ MINNESOTA RULES 7672 (V submission type) . Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted . Energy Envelope Calculations Submitted Plumbing Contractor: Phone # Plumbing system includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00 _ Water Heater Na. of R.I. Baths No. of Baths Mechanical Contractor: Phone # Mechanical system includes: _ Air Conditioning Fee: $70.00 Heat Recovery System = Sewer/Water Contractor: Phone # I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan .rdinon_cesF Signature of App - - OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required Updated 4102 OFFICE USE ONLY ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 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 Pibg_Y or _ N ❑ 25 Miscellaneous ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish (Interior) ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Bldg. ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish (Bldg)* ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS - Footings (new bldg) _ Final/C.O. - Footings (deck) _ Final/No C.O. - Footings (addition) _ Plumbing _ Foundation _ HVAC _ Drain Tile Other Roof - Ice & Water _ Final - Pool _ Ftgs _ Air/Gas Tests -Final Framing _ Siding _ Stucco _ Stone Fireplace - R.I. -Air Test -Final - Windows (new/replacement) - Insulation - Retaining Wall Approved By Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total 1989 BUILDING PERMIT APPLICATION 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 CALCS. (CHECK WITH BLDG DIV.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCS. 1 SET OF ENERGY CALCS. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS 0 OF UNITS NOTEi ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.. SEWER & WATER PERMIT FEES AND ACCOUNT DEPOSIT FEES WILL BE INCLUDED WITS THE BUILDING PERMIT FEE. PROCESSING TIME FOR SEWER AND WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED INDICATING A LICENSED PLUMBER. PENALTY APPLIES WHEN: PERMIT IS NOT PAID FOR IN SAME MONTH IT IS REQUESTED. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. MAY 17 `1989 To Be Used For: ~tz- L I~/Li Valuation: Date: SZ 71e7 Site Address : As-. of OFFICE USE ONLY Lot IT Block 7_ Occupancy Q-3 M-1 FEES Zoning R-1 Parcel/Sub ,Qc~,c/,y ~w,J z Actual Const v N~ Bldg. Permit 6014,00 Allowable V-rl Surcharge q6,0 o Owner //'T,¢r7- 61,1lC. # of stories Plan Review _3o Z, o0 Length SAC, City 1 oa , 00 Address Depth 34' SAC, MWCC 595,00 S.F. Total Water Conn 580,00 City/Zip Code Footprint S.F. Water Meter o ao Acct. Deposit fl oo Phone On site sewage S/W Permit a0.e0 On site well S/W Surcharge 1,00 Contractor __~IIJ~ELSTAFOTi ✓lD~ MWCC System Treatment Pl. 228.o0 City water Road Unit 3 a ac Address `xl~JSFr CYG PRV required = Park Ded. Booster Pump Copies City/Zip Code ggl-14A1 AL. 6:12-2 3 SUBTOTAL APPROVALS Penalty Phone Zf 56 9/ ~ 5 Planner TOTAL Council Arch./Engr. Bldg. Off. S/" /s Variance Address City/Zip Code Phone # C3ta12 a~ E c, * a ZZxzz= '/8 L/ X rsr 726, h X 3 y' lose I~~h x ~y = !sore s7 ~c.~,on ~tir1T--_ t 'L 87 lX)_ 7 a X~ +y ~byOo SURVEYOR'S CERTIFICATE SIENNA CORPORATION REVISED 5-8 -89 TO SHOW PROPOSED HOUSE FOR AS / MITTELSTAEDT BROS.CONST. S>QD, aIT.O vNev s2g ~ R y- ~ \ 3. i4 F 069% \ROq p p p~p ~ ~ 616.T ~r 4=8D~ ' 616.5 10 ~Ery~H /~i 5 p O 09 F<fV.F,goRk , / r 61B.b \ e,e a O p ~/g s, 7 ~~o 0 ~MP/tl' M G~~ BENCH MARK :,RO A7 TOP OF IRON I' O~~ hO~SFp ^7 N / ELEV.-61T.61 ~ S /Se M W m/ 07 / IC V T ~'Q4/,y • O Qf X9.7/.' p 15.00 FIT, / ~(8U~ _L J V -~c§8 50 \ r~ 551031IE 67.12 ' DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET SCALE, 1 INCA a 30 FEET ® DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - dlg_8 FEET X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR a 911,1 FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK A '819.2 FEET WE HEREBY CERTIFY TO SIENNA CORPORATION THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 18 Block 3 BLACKHAWK GLEN 2ND ADDITION, according to the recorded plat thereof, Dakota County, Minnesota. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, IF ANY. AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 30Th DAY OF DECEMBER 1986. SIGNED: JAI4~S R. HILL, INC. 2p p n2 HAROLD C. PETERSON, LAND SURVEYOR ~0 a~~ IUJQUl1LS~ MINNESOTA LICENSE NUMBER 12294 PROJECT NO. BOOK / PAGE JAMES R. 85618 HILL, INQ. (891 314/25 Planners / Engineers / Surveyors FILE NO. . 8200 Flumboldt Avenue South FOLDER Bloomington, Mn. 55431 612-884-3020 i Page 2 of 2 Total exposed roof/ceiling area m / 3 2 Q J. Total skylight area k. Total roof/ceiling framing area (average 109.).. 1. Total net insulated roof/ceiling area 12 -A 7, 5 Determine "U" value for each roof/ceiling segment. J. - X fluff - a k. "70 ..5 X flu„ . 02 58 2 . 1. 2 37. 5 X "U'l ♦ O ~ s ~L, . Q 4 ..........................................Total If total of U4 is the same as, or less than P2, you have met the intent of SBC 6006(c)1. Alternate Building Envelope Design To utilize the total envelope system method, the values established by the sum of items 43 and 04 shall not be greater than the sum of items Al and #2. , 1• + 2. _ 3. +4.. -2- i DATE EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION OWNER / { 1 T cl- I'~E TH ~~L/L Bao [3 O A ~t SITE ADDRESS ,3 6 Lit A 5N Aq /L., CONTRACTOR (iTTEL STAE~T Q/L(~S l~,~sT I ~t ADDRESS 7 S'fi 4, tJ„cr ~n I HONE q5&ry12.1 DETERMINE WORKING SQUARE FOOTAGE OF EACH. 1. Total exposed wall area 2p-7,q sq. ft. x .11 tT.1l 2. Total roof/ceiling area ► 20 sq. ft. x •026 ° Total exposed wall area above floor ° 96 a. Total wall window area b. Total door area c. Total sliding glass door area 14--3 d. Total fireplace wall area PJ e. Total wall framing area (average 10%) L f. Total net wall area above floor g. Total rim joist area 17 9 Total exposed foundation area = 1 7/i h. Total foundation window area t7 i. Total net foundation area above grade 17ee Determine "U" value of each wall segment. a. '2 lo x "v" .352. _ 7 3.9 b. 39 x fluff -07 ° 12.7 C. Y3 R l1ttf* I y2 ° l Si, d, b- x ,full e. X "U" Q0, S f. 4'2t)& x Tfv„ , o3 `f = 52.3 g, /79 x flu„ , ON y ° '7.9 h. - g nU" 1. 1 ?/a x full , 082 ~ q. !V 3 . ...............................Total ° '947, 9 If item #3 is the same as, or less that item (11, you have met the intent of SSC 6006 (c)2. -1- 01 yPtw HEAT LOSS CALCULATION ° TEMP. DIFF. 3 vE'`' Customer Name ~IYL~~J~ f iJ Typo Conanution Clry Windows storm sash Daalar Name. Walla. Ins. Strait JI>L_r`_. ; Ceiling Im. City Floor FI, C oomlLength Width Height FI.6 Room ILim h Width Hai t Windows and Doors-Crackaga and Ara Windows and Doors-Crackaga and Arso N, ArM NO W.OIOtn0 Neg"In. NO.nqOI LI01MH ItrlltY- A," w10111 HUr01 NO. 01 L~ nl o el N L~ f0h. He, 01 W h L N Of crytY q. 4. I O s a4- 1 L s4 a a - Cow. Btu Coef. Btu Ins Jtration (y ami-I-- Infiltration Glas LLbk Glass ~ ()Exp. wall Exp. wall -07 Net exp. wall COS Not exp, wall f Int. wall Int. wall Coiling Ceiling I 0 39'J Floor a7 Flow ' Total Stu. a Total Btu, FIWiiv+~ oomlLength 17 Width ~OHeight FI. pd Room ILength Width~~ Hai t ndows and Duws-Crackage and as Windows and Doors-Galduga and Area b0. WMIn HbOn1 NO. 01 Liwrl n. A. NO, wNNO ".WA NO. e1 NOON n. Alm 11. OI M OI OM 4 N Of tIMY t0. 1\. O/ Or OM L tl Of iIKY M. 4 4D 6$ -L Coal. Btu Cosnf. Btu Infiltration y Infiltration 171 _11.71 Glass q0y Glass O ~ i..~ Exp. wall Exp. "1 ~ 7 =)q to Net exp. wall I Net exp. wall Int. wall Int. wall Ceiling 17t Coiling 14x 13 18~ 3 _ F ktw +1122 Floor Total Btu. (o/ Total Btu. 7 FI. i4 i birl Rooml Len h Width Height FI. _ BP 1 Length ( , Width 1-3 Flt - i ~2 WlndrnNs and Doors-Crackage and Mea _ Windows w;d Crackop and Area Nr. W.mP w.qM NO. el L1.1 It. AIY Ne, wM\O H0711\ IM. 01 LII~OI it AIOY nl n~nt L tt Of cMilk A. It. N el cry L A Of tf0lY O. f1. 24 Coal. Btu Cost. Btu Infiltration S_S2_ Infiltration .471 Glatt O a _ Gi S Exp. wall a Exp. wail No amp. wall (1L~ Not exp. wall / a Int. wall Int. wall Ceiling a :173.3 191 Coiling 1 5x 13 3 47 r Flow Floor Total Btu. Total Btu. SD, y39 - ,,ca r d HEAT LOSS CALCULATION ° TEMP. RIFF. Customer Name Type Construction City Q m Windows Storm Sash Dealer Name. •1JIf I~ Walls his. Straw Coiling Ina. City - Floor Fl,goi_tb RoomjLength 3 Width $ Height FIJ RoomI Length Width Height Windows and Dows-Crackage and Arse Windows and Doors-Crackapa and Arm Weln Me9n\ Nn el LIIWII\, AIY Wq\N NYIOn\ NO. 01 U.'11. AIY HO nl OOnY a1 PI^e L, nU 01 NKY Y. 1\, NO' el N L M1 0/ CIKY p. ll. 1 3 I Coat. Btu ccedi Btu Inf Iltrat ion Inf iltratiort Glass GIan _ F_xp. wall gJC• $ Exp, wall Net exp. wail Net asp. wall Int. wall Int, wall Ceiling 3 Ceiling Floor Floor Total Btu. Total Btu. Fi.1 Roorn Length Width Height FI1 RownI Length Width Haight Windows and Doors-Crackage and Arm Windows and Doss-Crackape and Aran ~ w.mn Nq^\ Ne. 01 4wY1 N. Aw wb\n Npan\ Ne. N Lingl h. AIeO Ne N pYM 01 4 np OI uYY q, le. NO' N N Olw l N N snKY q. 1\, coat. Btu Coot. Btu Infiltration Infiltration Glans Glen Exp. wall Exp. well MLt exp. wall Not exp• well Int. wall Int. wolf Calling Ceiling F lour Fleur Tnral Btu. Total Btu. FI_1 Rooml Length Width Hal et F1.1 Room ~Length Width Height Wlminws and Doors-Crackage and Area Windows and Dows-Crw*age and Arm I..yn1 Ne al Luvl ft. AIY NO Wbin NYIYwI Ns. N 41Hri IL AI- nl n.^f 4 U 01 c1-Y yIw N L U N t/KY q. r\. Cold. Btu Coot. Btu Infiltration Infiltration Glau Glass Exp. wall Exp. well No aao. wall Not asp, wail Int. well Int. wail Ceiling Ceiling Flom Flow Tots! Blu. Total Btu. S7 I)- = Los - X 1.fs g11Ra~ 443 Lafayette Road N. MINNESOTA DEPARTMENT OF (800-DAL-DLI St. Paul, Minnesota 55155 1 r r www.dii.mn.gov tAlk ABOR INDV i RY TTY: (651) 297-4198 10/6/2011 APPROVED FOR USE ERIC POEHLER 3641 ASHBURY RD EAGAN, MN 55122 RE: ULIC PASSENGER`-`-- . Elevator ID# ELV-1005447 S' Eric Poehler 3641 ASHBURY RD EA - Dear Sir/Madam: Minnesota Statutes Chapter 326B provides that the Department of Labor and Industry, Construction Codes & Licensing Unit, Elevator Safety Section, inspect and approve elevators and manlifts (endless belt lifts) before they can be legally used in Minnesota. An Inspector from the Elevator Safety Section recently inspected your facility and determined it meets requirements of the Minnesota Elevator Safety Code. NOTE: Compliance with Minnesota Rules and the ANSI/ASME A17.1, Safety Code for Elevators and Escalators does not necessarily assure compliance with the Americans With th Disabilities Act of 1990. ALL ELEVATOR RELATED EQUIPMENT IS SUBJECT TO ANNUAL RENEWAL OF THE OPERATING PERMIT: It is the owner's responsibility to maintain and keep current with all tests in accordance with the ASME A17.1 and the ASME A17.3. Frequencies for the required tests can be found in Chapter 1307 of the Minnesota State Building Code. Failure to maintain and perform the required tests may result in revocation of the annual operating permit. Operation of an elevator related device without a valid operating permit may result in an issuance of a "stop order" from the department and possible penalty of up to $10,000. For more information see our website at: http://www.dli.mn.gov/CCLD/Elevator.asp Sincerely, CONSTRUCTION CODES & LICENSING Tim Warren State Elevator Inspector c: ABILITY SOLUTIONS Dale Schoeppner, City of Eagan Building Official ElFormCE2 This information can be provided to you in alternative formats (Braille, large print or audio). An Equal Opportunity Employer PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA111384 Date Issued:06/20/2013 Permit Category:ePermit Site Address: 3641 Ashbury Rd Lot:18 Block: 3 Addition: Blackhawk Glen 2nd PID:10-14351-03-180 Use: Description: Sub Type:Residential Work Type:Underground Sprinkler System Description:PVB Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Jason Larson 25 S Sutton Lake Blvd Jordan, MN 55352 Fee Summary:PL - RPZ/PVB/Lawn Irrigation $55.00 0801.4087 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Eric S Poehler 3641 Ashbury Rd Eagan MN 55122 Jay's Plumbing 25 South Sutton Lake Blvd. Jordan MN 55352 (612) 868-4102 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK ink �----------------- � For Office Use � ' C jI �� � Permit#: � I Cl�� 0� ����Il R�,.�`����"� I Permit Fee: �` �li ' ` I 3830 Pilot Knob Road � 5 �p"� I ���/ I Eagan MN 55122 �t�G a � Date Received: � Phone:(651)675-5675 � � Fax:(651)675-5694 I Staff: � I I 2014 RESIDENTIAL BUILDING PERMIT APPLICATION � �/�� Date: '� '��'��`'7 Site Address: "�1 � t�`�'�1 � Unit#: � ,� , �� Name: �1 ( ���L�- �Lf C��'}-�u/��� Phone:(�;�I,����� F��sld�ntf � / {�Wt1g�' � ;., Address/City/Zip: ��( /'��-�.�4�`°� � � y.,� ;; ' Applicant is: Owner �Contractor � -: Description of work: ��� ���� ��� �"`fd ��' Type.Qf;WOrt��a: � � -� �vv, = Construction Cost: Multi-Family Building: (Yes /No� � �, ��� � �� Company `Ul��� �� ���C�•�ti� Contact: �'�-i�'�L��� �Oti�Ca��Oi' `, Address: -I Z���LC�L��T/�/ City: /�f L� ' Statel���Zip�_��� Phone:��r��7�`l"i,��Email: 1�v+��LLv��LLt-E�S� � Csy� : License#: �,.(Y�X���C� Lead Certificate#: �f~.3���(�`l f�"'d l��- If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 1�Ui�.r ��� �'q �� COMPLETE THIS AREA ONLY 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: Nt�TE`xI?i��s artd�si�pp�c�rtrn�;doc�r»�ints thaf yc�u su�mrf:�r��o►rs�d�r��l fo:�e publi�it�f�r�ntafiort.;Pat��rt�s of ,, ,, � , th+�rnformatror�rr�,ay�e�lass�e�t as nr�m�ublic i��y�o�r pr�vitle.�sp�cifiE r��sctrr,�#�t�,�would permrt#he�tty i'� -,,.,,.'' �;,,, , c+��+�t�deQth��:,ti�� are tr�d'e�se�re.,f�„ ":� �� � ��w CALL BEFORE YOU DIG. Call Gopher State One Cail at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. ww�v.qopherstateonecalf.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minn ta tate Building Code must be completed within 180 days of permit issuance. � x /� Ap icanYs Printed Name ApplicanYs nature Page 7 of 3 . . :���/ �hG���- /��' �,� :` DO NOT WRITE BELOW THIS LINE ��� ��� U k� SUB TYPES �4` Foundation Fireplace � Porch(3-Season) Exterior Alteration (Single Family) _ Single Family _ Garage _ Porch(4-Season) Exterior Alteration (Multi) _ Multi _ Deck _ Porch(Screen/GazebolPergola) Miscellaneous _ 01 of_Plex _ Lower Level _ Pool Accessory Building WORK TYPES New _ Interior Improvement _ Siding _ Demolish Building* � Addition _ Move Buitding Reroof Demolish Interior _ Alteration _ Fire Repair Windows Demolish Foundation _ Replace _ Repair _ Egress Window _ Water Damage _ Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation �� Occupancy .,T�L �- � MCES System -- Plan Review Code Edition �� SAC Units -- (25%_100%� Zoning p,c7 City Water .....- Census Code /�3�/ Stories / Booster Pump -- # of Units j Square Feet �� PRV —' #of Buildings ! Length � Fire Sprinklers �' Type of Construction � Width � REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required _ ei�� Footings�Addition) _ Final I No C.O Re uired � � � � �� � _._ ��.�-�._ .e.�� . ,� .�.,. �__p ___ _ .__ ._. . .._ __._ � Foundation HVAC Gas Service Test Gas Line Air Test � Roof:_Ice &Water �Final Pool: _Footings _Air/Gas Tests _Final � Framing Drain Tile Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick Insulation Windows Sheathing Retaining WaIL• _Footings_ Backfill_Final Sheetrock Radon Control Fire Walls � Erosion Control Braced Walls Other: Reviewed By: , Building Inspector RESIDENTIAL FEES � ��, � S��l�"v �C � GB �7��� ase ee ° Surcharge K ., Plan Review �7✓ " °�' g�� ��G� � ��� ���� MCES SAC City SAC �1�!I�'� �T G�U � �j;��� Utility Connection Charge ✓ S&W Permit& Surcharge Treatment Plant Copies TOTAL Page 2 of 3 �� SURV�Y�F�'�� C��`�'I�IGATE sIENNA CORPQRATI4N • REVISE(} 5-8 -89 TO SkOW PROP05�D NOUSE FOR s�on����� o���,p� � A� ' M{TTE L STAEDT BROS.CONST. d �oo��, ��.o yQUR ,/Y1�X. �.��� �rfP�CR1ll vg � j4�,.��\6�l� � Y �� s U,i r-Ace �.� � �vv� ,� �•.�� �'�� qp A � � � � �\� �\ �� . 91s.r . v F�/7,3, � '- � , fr��� O ` a��p � B16.5 h y� � /O O II �FN�M l�' S� � ° � 9 � � ` F��.`oa,�4R,� � � e�B,a � e�B.�- �� '����M Q�,���► � .` �436� ,�o p , „--- ,g ° \ a . /i�° ` ?�f$'S-� .,�m � �� ° ' �� � �: � m / ,,•^� ; �8\ m ° ` � ��. �fi`�f` �,��QR, �i .,���g � � � �� 8J�`. .-. �r" � ; ���r� O,� ������. / ryl �\ . ��� a .,' �4'�~� � �' "`�. �'�HENCH MAAK ,�,:,� pRQ �w Aj�� � � TOPOFIRON � + �' 6�� /y��SEQ n^'� ,�� I1. £L EV.■817.91 /A� ,� S M'S,� �• `/ �V �y � �/� � �� (�J �`/ "�' -vL � U� l ��to 0� `�, ti'Y I � . M � /G�� qJ\�'=D h} / .� � , o�v �._, 1� � � � � � ��� ��.� �` � , � / �'�' - 'o ���N ���� / .� ������- ����D ti � ��a.�,� 11' � . ..� A � �, ,� __.�✓� � �e°9• `�'�'��'*�F�'$� � / . � , � .�*vr A r�v� �.nY Q" � . � Q -�Fi�i �-�~'/s ,,C "e�' _D.���.�� - °' . ��r,�. �� ���_^ir�N°�:? ° ���� -��TlONS Q�lVt�lON r �� � 809.� ! - i �`!� s �j / pp'C `%:%a��� �.,�i� �j�-.;,,~ 15. � / � -,�� l s � �(2���� `, �$U� �� . � � .. ��-.�� V �;:� ,.�' �-�C�S��'j5'03"E \ �� _ . ' ------ � �� . ' Zr..^ -�" 67:�2 - , _ \ � V s�_'�:_.�.._._ .�.� � . L_ \% J I�,.'i � F�'1 +�' !,.''-- ... �..�{'-�; ..;;-.�1 ,., �} � 1� \�� \J ! Jr��+w.7S-;1ti: a_� 'i 4.i_li�� 'La s..�,w.�1�`+� .3-/i'.rY3� ' fI�NOTES PROPOSEt? SURFACE �RA1lVAGE ' � ,O .�ENOT�S fR(�N NONUIaENT S�T SCALE: 1 INGlf � 30 FEET � DENQT�S IRON MONUMEP�T FL1Ut1U pRdPOSED GARAC� FLO�R � ��g.g F'EE7' XOOO.0 DEN07'ES FXISTJNG �l.EVAT'ION PROPOS�'A I,OW�S1' FLOOR � 8t1�� F�ET' (000.0) nEd107ES PROPOS�D �LEVATlON � PRAPUSEb 70P OF QLOCK p '8�q.z. FFET E�1E II�REBY CERTIFY i"0 •S1EhlNA CORPORATION 7lIAT Tlt1S 1S A TRU� ANti CORRECT t�EPRESENTATION dF A SURV�Y QF 1'?iE aQUNDARIES OF; Lot 18 Block 3 gLACKNAWK GLEN 2ND ADbFTION, according to the recorded pIat thereof, Dakata County� Mlnnesota. , , . TT f�OES NOT PiIRP01�T �TD SlIUI�! TI�+PROV�f4ENTS �!t �NCROACI{hIENT5, l� ANY. AS SUttVEY�D �3Y hiE OR UNDER 1�Y D1REC7 SUf�E�VJ5I0N TEi15 3�71� DAY 0� f7ECEh1B�R , 1g Fi6. SIGPIEOt J1ll�l�5 tt. tltl.k.� INC. . . . • �f� . � �;r�'�����`i i ,l•d'�3.-.� . : .�°.�.o_�o.....��_�.`J���,.1 � �.• tIAROl.O C. PE1'�ltSON� LA1�0 SU�tVEYUf� � � � � AIINNESOTA L 1 CENSE Nf1!•lQ�R 12�94 . PAO$5618 Np E30t]�t / PAGE � . . �„rAMES �. ����1..�� ���i,. c es�90 � �14��5 p�anners / En�fneers / Surveyors F��� Mo. . • � 82U0 Humbnlc�t Ilvenu• 6outt� ,F�LDER ��oomtn�ton, Mn. ssast a��-aa�-�ozo ZO�--�I ��-}� ��� �� Use BLUE or BLACK Ink �-----------------� � For Oftice Use � � K���^° * " � 1� 7�T� I , � �lt� 0���Q�Il �:.�r,� .� .TS. . . � � �� i Permit#: I ° `� �l.1 2 � 2��'T ; j Permit Fee. �� '� � I 3830 Pilot Knob Road � Eagan MN 55122 � „, �� �,4 � �L Phone:(651)675-5675 �w;,,r. � Date Received: r� ���' J .( ..,.._____.___.___._.__.___.__.�_ � Fax:(651)675-5694 � I � Staff: ' � L-----------------I 2014 MECHANICAL PERMIT APPLICATION ❑ Please sub�r it two (2)sets of plans with all commercial applications. Date: � � �� Site Address: �Jl.(�� ��`�(��V� Tenant: Suite#: ¥ ��� x � � t 5�'�- k r. 4.5 � �` Name: Phone: � �'�� Address/City/Zip: � � �� �� � � � � Name: License#:� �� �.� F.xi�� ^� 1°...J������'�� � ��b Address: City: � �� `` ��' State: Zip: � � Phone: `�E��� �D� �,�,,�� ,�a� � ;�; Contact: Email: Y Y 6 � + � New Replacement �Additional Alteration Demolition �. �� . � � �� , � � � 7yp@ Of W ' Description of work: � � � , �:� � N1�?E �e�rf�O ,. � �, �_�� � � Cod�:"x � _ �„ �,�, x RESIDENTIAL COMMERCIAL _Furnace New Construction Interior Improvement �� �`" �� '� Air Conditioner `°� �;. ;, _ _Install Piping _Processed Air Exchanger Gas Exterior HVAC Unit °,� �:�' — — �;��� <r c �Heat Pump _Under/Above ground Tank �install/_Remove) Other RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit(includes$5.00 State Surcharge) $100.00 Residential New(includes$5.00 State Surcharge) _$ TOTAL FEE COMMERCIAL FEES Contract Value$ x.01 $55.00 Permit Fee Minimum $70.00 Underground tank installation/removal =$ Permit Fee *If contract value is LESS than$10,010,Surcharge=$5.00 =$ Surcharge* **If contract value is GREATER than$10,010,Surcharge=Contract Value x$0.0005 ***If the project valuation is over$1 million,please call for Surcharge _$ TOTAL FEE I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordina s and codes of the City of Eagan;that I understand this is not a permit,but only an appiication for a permit,and work' ot to start without a permit;th the rk will be in accordance with the approved plan in the case of work which requires a review and approval of plan . X C=3�� �! � S[� x Applicant's Printed Name pplic i n ture ��.fOROFF„ � �iE �� �� ` ��< �°'� _'` Requi� � �� �ctio ��� ;� � � ��� ��te�l � ��� � � ` � �� � , �3� � ��� ��.� �rx; � � �;�,��� � °�F �_.. �: � �tf tllnd� rounct C1' 3"�a'�tVICB`I�@�E� �� �� k ��� � . � l�zl(���td_ SUF�iV�Y�F���� ���TIFICATE� sIEPJNA CORPQRATION . � � aEVis�c� s-s -e9 To sr�ow PROPOSEd NOUSE FOR S�on����� o���,p�y � A� � ' M{TTE L STAEDT BR05.CONST. S�oo, , �TO y v f►'1�1X. �.��� Ir�A�R1l���P 629+� �� � �}' , ��4 E�,6�, � , - � � �a ; ���� � o� ��q � S U,z rA c � ..� ^ 1? N -, ,� . a�6.7 . Fr�/7,3. � `- � • . � , �� ~� ` a� p a� o � � � sie.s h � 0� ,� bfy�N f �+f J~ ,�� �._��. � �• F��`O���oR¢ � � �3 � et6.3 � . e�s.�- � e � � �,�,�, � 43� o !3�-r 3Z� J wh�� N � - r,����� , ;� ,,� Q o� �. � o � u�- �9f o . � 3� rA��► �o�J,c � ,� /� 2�. ��- ,�� �. ti . � � °' '/ ��5'i� ?�A%��.�%YS 10 0' 1.�D �f` ^� � ` a �,��qR `' g ^j� �...�\� �� r � ,�' ;��2���'o��s,��,�� ��/ R ��,j �� . 4 - ^�4,���'�-� ;- � � \ ��"'�9ENCH MAAK �i(ls� ��� ���` `` J pRp �� Aj� � � TOPQFIRON . �[ + �1•'�. �T h�$�0 n^'� , fo� /1,• £LEY.•817.81 ..,� � �5,� ry N �v _` � �% � ` ~•�� � �8 U '� � Q4�/ a�\ �t�; 8 �R � tiy �� ` 3' � � o,,. `�+ .,cV � /G� �� �''� , 4� � �`� .IE �• � ��U�-Sr a � /i�,��,, ��'' `'` . , � � � , �l Ail�.vA��+�1�#h� TU � � � �-p� � rAN �n�, #� ���.�� g �� / .� �����.����p P, T � f��� `� �� � � � n `' I /�G�� �� q. �R�Q/�� �—`—v/1�/��A / �`'a'�'': _-_- e�a„t, �'�S',cN'��E'� �� �� t� • ✓ � t�� • �. C� -� ,��. .��i���� l �� °�.-�. // � ���.°� � �`� �s ���tr_�sr� .� ' ::f�.TfONS DlVI�lON . , �� �....��y .. ;� � ;'�������QSVi��o� �� � }��j�_�,� {/fJ(!�� �:� '•..��n �1�� r.g.���// ���;'ST�;�la � ���r! rs S �; { ,;: ($u� s ��"�c�5°5�'03"E � ___�_ -- .S� � _ . rl _ 67�2. ���.�,1��'''` r � � ��''�w j ' � �� �' , !�r— _„_ � w.,,.�.,.,..�;..� f � t:.=i `7. �_ `� �tl• \\�'— �� Jr��.a.'`.�=ai�! �t��e{.3Si4ir'"sa:i�#�,:e �'s.,�,. � U�NOTES FROPOSE�? SURFACE bitA1NAGE ' � ,O .��NOT�S 1RaN MONUtaENT S�T SCALE: 1 f NClf � 3C? FEET � DENOT�S IRON MONUMEP�T FUUt1� pRdPOSED GARAC� FLOOR � p�g.g F'EE7' x000,a a�rior�s Fx�sTrr�c� ���varTOh pnopas�n �aw�sr ��oon � e��,� ���r {000.0) b�l107�S pltOPOS�� �LEVA7lON � PRQPOSEb TUP OF QLQCK p '8�q,t. FF�7 � ��1E I�I�R�BY CERTIFY TO •SIEFlNA CORPORATION TlIAT T1�1S 1S A TRU� RNU CORRECT li�PRESENTATION OF A SURV�Y QF 7?iE l3QUNDARIES OF; ' Lot 18 81ock 3 HLACKNAWK GLEN 2ND A�DFT'IOPJ, accordfng to the recorded �lat � tliereof, Dakota Caunty� Mlnnesota. . . - 1T �OES NOT Pt/RPORT �TO SNOId 1h�PROVEf4EN1'S �!t �NCROAC1fI�I�NT5, l� ANY. AS SUltV�Y�D i3Y 11E OR UNDER 1�fY D1nECT SUPERVJSION TH15 307H pqy p� DECEP1BER , �g Fi6. S1GrIE0: JAf��l�5 . it.iLL� INC. . � (/ � �'��L�� i .G�'�"/1.-.a . : U—"a f�o�o ���.Lv.J��L�D �.. tlAROLO C. PEi'�ltSQN� LA1�0 SUitUEY0t2 � � ' AfiNNESOTA I.10ENSE Nf1!•lR�R 12294 � PRO$5fi g N4. E300K / PAQE ' JAM�� �. �-itL.L', tNG,. , ` a9�901 314/25 planners / Engfneers / Surveyors F)1.� N0. . . ' � 82�0 Humbalctt Jlvenu� 8oplt� ,F�LDER Hfoatr�inpton„ Mn, ss4at at�-ae�-�ozo PERMIT City of Eagan Permit Type:Building Permit Number:EA128618 Date Issued:11/24/2014 Permit Category:ePermit Site Address: 3641 Ashbury Rd Lot:18 Block: 3 Addition: Blackhawk Glen 2nd PID:10-14351-03-180 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the 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. 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 - Eric S Poehler 3641 Ashbury Rd Eagan MN 55122 (651) 600-3050 Legacy Restoration Llc 14000 25th Ave N Suite 110 Plymouth MN 55447 (763) 354-7660 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA139527 Date Issued:10/26/2016 Permit Category:ePermit Site Address: 3641 Ashbury Rd Lot:18 Block: 3 Addition: Blackhawk Glen 2nd PID:10-14351-03-180 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Eric S Poehler 3641 Ashbury Rd Eagan MN 55122 Allstar Construction Residential Llc 5145 Industrial St #103 Maple Plain MN 55359 (763) 479-8700 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA155387 Date Issued:05/14/2019 Permit Category:ePermit Site Address: 3641 Ashbury Rd Lot:18 Block: 3 Addition: Blackhawk Glen 2nd PID:10-14351-03-180 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Eric S Poehler 3641 Ashbury Rd Eagan MN 55122 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature