The URL can be used to link to this page

3680 Ashbury RdCITY OF EAGAN 3830 Pilot-,Cnob Raad P. O. Box 21199 Eagan, MN 551R WATER SERVICE, PERMIT PERMIT NO.: 73 Zq -+ - , - , DNTE: Zoni^D: Na of Units: ??r: ?n rren ro s . Addren: ._ Sits /lddres:: Pfumbsr. ? MeterNo.:- Slu__ ?:1 I .,m to m, pi,,,.uh tb*LCNYAf?EC o?..a.. By , ?? . " ? ,• -` ? ? Dote of I rup.: khawk Glen I Misc. Charges: Tp Totul: l,3 , c•?,nd -^eter Dob. Pord: ImP.: _Zg- gg CITY OF EAGAN Remarks Addition 1-11--ackhawk GlQF! I-6t: Lot 7 Blk ? Parcel 10-14.350-070_01 Owner 5treet - 3680 Ashbury Road Scate Eagan MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREETSUFiF. 1076 1986 253.48 50.70 5 STREET RESTOR. GRADING SANSEWTRUNK IAM 1970 aiii" 6.70 25 Pd prior t division SEWERLATERAL Bn1074 1986 112.09 22.42 5 WATERMAIN gn 1075 1986 92.80 18.56 5 WATER I.ATERAL WATERAREA 1072 1986 304.40 61.88 5 Storm Sew Trk 1073 1986 110.91 22.18 5 STORM SEW TRK 732 1983 32 . 57 15 STDRM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER, SAC PARK k CiTY OF EAGAN WATER SERVICE PERNUT 3830 Pilot Knob Rosd P. O. Box21199 PERMIT NO.: i Eaga:., MN 55121 DATE: ZanlnD: No. of Units: ? k Ow,..: . . ??a?. Address: Sih Addreas: . : e3 r • , ? . - - i, : Plumber. Mefer Na.: Connactlon Charpa: ` ?•.< Slze: lloopurt peppslt; 15 Reoda No.: Permit Fee: 1G/m Io eowply wqb fM Cify of fqpw Surcharps: •' '???'• 0nsemoom Misc. Cho?pts: 7P Totol: BY Dote Poid: Dats of Inap.: Irup.: CITY OF EAGAN SEWR SERVICE P ERMR 3830 Pilot Knob Rosd P. O. Box 21`199 PERMIT NO.: Eagan, MN 55121 DA7'E: Zorino: . _? No. of Unlts: OWrIOR AddIeSS: _ SIY! AddMm: Plumber. -- - 1 Nm b eeoWl wMh !w C'Jhr of 4p. CorwNdion Owrpe. . Oea1wMe?s. Aoeotxit pepptit; PNmit FN: Surcharpe: BY Mist. Chorpes: Dote of Irup.: Total: Irop.: Dote Pold: L- CITY OF EAUN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MFF 55121 PHONE: 454-8100 BUILDING PERMIT Receipt tt /- . To be used for SP DWC /VAR Est. Value $ 7 3,0 0 G Date MMCH 2 0 SiteAddress 36$0 ASHBURY ROAD Erect ? X Lot 7 Block Y 5ec/sub. BLACKFfAfdK GLENRemodel ? Parcel No. 1ST Repair ? Addition ? Z Name a.i11•aC?GRE[? BROS CO?ISTl2UCTIOI?! MOYe ? 93 5 E. idA Y ZATA BLVD Demolish ? o Address Int Impr. ? Ciry WAY2A'Rkone 473-1231 Instau ? ? SAME APprow Z o Name ? ¢ ,4ddress Assessment _ City Phone Water 8 Sew. a I" W Name u 3 Address i z W City Phone 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 Ciry of Ea4an Ordinarl?pes. Police Fire Planner Bldg. Off. -1/ "'/' APC Var. Date 1M51 19 86 Type of Const V No. Stories Length 4 $ Depth 4 8 Sq. Ft. Permit 52.00 Surcharge 36.50 Plan Review 76.00 sAC 575.00 Water Conn. 500 .00 Water Meter 63 . 50 Road Unit 290-04 ' jTr. PI. 156.00 COpies ' Total 42, .00 j A Building Permit is issued to: {" ??•??•w.. ---T."- `"'? ""y? + v•. on the express condition that all work shall be done in accordance with all applicable Spate ol Minne#ota Statutes and City of Eagan Ordinances. - Penmlt Na PNmN Holddr Dato TeIephone N Plumbinp y ? H.?.A.C. 7? R Elkmc ??F, san«w InspscNon Date Insp. Cammenb Footlnys I Footings 11 Foundatbn Framiny RooNny Rouyh PI6q. Rouyh Hty. MsuL ? Fkeplace j. ? Final Hty. Flnd Plbp. Bldy. Fkial 2 S-4 Cor1.0cc. . zj- ?!• ? 14ddsc vaN, Gej Dock Ft9. Doek Frmy. rDiep. PLUMBING PERMIT CITY OF EAGAM 3830 PILOT KNOB ROAD, EAGAN Site Address 6 & Lot Block m Name ?:????-r•c-:c c ,?_ ? Address c bity PERMIT # RECEIPT # MN 55121 DATE: WORK DESCRIPTION Sec/Sub . C? ? es. New Mult Add-on Comm. Repair one' - ' Other Name 3 Address p City Pho FEES COMM/IND FEE - 1% OF CONTRACT FEE MINIMiJM - RESIDENTIAL FEE MINIMUM - COMM/IND FEE STATE SURCHARGE PER PERMIT (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) ? -Q, PERMITTEE - $10.00 - 20.00 - .50 FOR CITY OF EAGAN I NO. FIXTURES TOTAL Water Closet - $3.00 ? Bath Tubs - $3 00 S - . 2?i01-Lavatory - $3.00 ' Shower - $3.00 77 Kitchen Sink - $3.00 " Urinal/Bidet - $3.00 Laundry Tray - $3.00 ?• ? °? Floor Drains - $1.50 ' !/ Water Heater - $1.50 • 5 _TWhirlpool - $3.00 ? Gas Piping Outlets - $1.50 Softener - $5.00 Well - $t0.00 Private Disp. - $10.00 = Rough Openings - $1.50 FEE -:51' STATE S/C: • ? ? GRAND TOTAL• J? ? ?' PERMIT # 7 ? r D RECEIPI ,# ? ` ? ? DATE ' CITY OF EAGAN MECHANICAL PERMIT 454-8100 MINIMUM RESIDENTIAL FEE - $10.00 + $.50 MINIMUM COMMERCIAL FEE - $20.00 + $-50 FEE ? S/C TOTAL 1 1. Bldg. Type: Res Comm Inst 2. New Add Alter Repair 3. Total Bid Price 4. Job Address - Lot ? Block ? Sec C-W--ner 6. Contractor (Name) (Slreet) (Ciry} 7. Contractor Phone # - (zip) ? RESIDENTIAL HEATING - 01-100,000 BTU's -$24.00. Each additional 50,000 BTU's or fraction -$6.00 RESIDENTIAL COOLING - 01-24,000 BTU's -$12.00. Each additional 6,000 BTU's or fraction -$6.00 MODIFiCATIONS/ALTERATIONS -$10.00 minimum fee HEATING VENTILATING HOT WATER STEAM AIR COND. --7-7-AIR PIPING PROCE3SED PIPING RiR HAND. EQUIR _ RtFRIG. RES. GAS PIPING OUTLETS -$1.50 TANKS: L.P. UNDERGROUND OTHER COMM./IND. RATE - 1% OF TOTAL BID PRICE PLUS $.50 STATE SURCNARGE FOR EACH $1,000 OF FEE. Signed: for Approved Inspeotions: Date Rough Insp. Date Final Insp. m BUILDING PERMIT To be used tor DECK CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, PHONE: 454-8100 Esl. Value Site Address 3680 ASHHURY RD Lot 7 Block 1 Sec/SubR%ACKHAbifC GLEN 1: Parcel No. W Name J0HII KEW14 ? Address 3680 ASliBURY RD -(11A ? CitY "GAJW Phone r " 2 / 23 o Name JOSSPN R MILLEx 86 Address 17400 VERGtJS AVE y?j W Name ?? Address a W City Phone I hereby acknowlege that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota 5tatutes and City oi,Eaganprdinat)ces, , AI on t aA R i? M :agan, MN 55121 ' " i '' ) 7 3 Receipt # OFFICE USE ONLY Occupancy - FEES Zoning _ (Actuaq Const _ Bldg. Permit Z S•W (Allowable) - gurcharge - ? # of Stories Length 17 ? Plan Review DePlh SAC, City S.F. Total S.F. Footprints - SAC, MCWCC - On Site Sewage _ Water Conn On Site Well - Water Meler MWCC System _ City Water Aec _ t. Deposit PRV Required _ S/W Permit Booster Pump - g/yH Surcharge Treatment PI APPROVAIS Road Unit Planner Council - park D9d. , BIdg.Off. ^ _ Copes Variance - TOTAL ZS' ? Permit No. Permit Holder Date Telephone N WATER SEWER PLUMBING H.V.A.C. ELECTRIC kqpeetfon Date Insp_ CommeMs Footings I FoundaUon Framing Roofing Rough Plbg. Rough Htg. Isul. FireplaCe Final Htg. Orstat Test Final Pibg. Plbg. Inspector- Notify Plumber Const. Meter Engr./Plan Bldg. Final Deck Ftg. a•23- Ds Qy" ?[?f (?a71 !//"/"? oedk Firiai -5 weli Pr. Disp. ,. . . . , , . . . y . . . . CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE BUILOING PERMIT Site Address 3680 I?S Lot 7 Block I- Parcel No. W Name JOHN !lELE ? Address 3b80 ASitBIiRY PL 0 City 4GAX Phone , o Name 1.11liDGRE1t EIIO'riElt3 t"? IrC ?? Address 933 E YAYZIITA BLYD City WATiAt'w Phone 473-1231 W W Name r- ? ; Address a W City Phone I hereby acknowlege 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 Permitee A Building Permit is issued to: an the express condition that II work shall be done in accordance with all applicable State o( Minnesota Statutes and City oi Eagan Ordinances. Building OMicial • ? 1 ?? a L • w .+ 0r . 454-8100 Receipt # OFFICE USE ONLY Occupancy - FEES Zoning _ (Actual) Const _ Bldg. Permii 43•00 (Albwable) - Surcharge lAQD k ot Stones - Length _ Plan Review Deplh - SAC, City S.F. Total _ SAC,MCWCC S.F. Footprints - On Site Sewage _ Water Conn On Sile Well - Water Melar MWCC System _ City Water _ Acct. Depcuit PRV Required _ S/W Permil Booster Pump - S/W Surcharge Treatment PI APPFOVALS Road Unit Planner - park Ded. Council BIdg.Off. -- ? • ? _ Copies Vanance - TOTAL permit No. PermM Holder Date Telaphone N WATER SEWER PLUMBING H.VAC. ELECTRIC Inspection Dale Insp. Comments Footings I Foundation • Framing Rooling Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Orstat Test Final Plbg. Plbg. Inspector - Notify Plumber Const. Meter EnyrJPlan Bldg. Final Dedc Ftg. Dedc Finel weli Pr. Disp. MECHANICAL PERMIT ? 9?'// r CITY OF EpGAN RECEIPT # '7' 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ?Site Address - U ? F - - ,? ' gLpG. TYPE WORK DESCRIPTION Lotlock Sc/Sub ? Res. New X Mult Add-on ? Name 1 ? ' < ' • Comm. Repair < Address _ c City - Phone ? , _ -? Other FEES Name RES HVAC 0 100 M BTU $24 00 m . - - . Address - - ADDITIONAL 50 M BTU - 6.00 ? O CitY Phone 4-+?w (AES. HVAC INCLUDES A!C ON NEW CdNSTRUCTION) GAS OUTLETS MINIMUM 1 PER PERMIT 5 E A - ( ) - 1. 0 . . TYPE OF WORK COMM/IND FEE - 196 OF CONTRACT FEE Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES Boiler M BTU TOWNHOUSE & CONDOS - RES. RATE APPUES Unit Heater M BTU MINIMUM RESIDENTIAL FEE - ALL AOD-ON & REMODELS - 12.00 Air Cond. T` J. ?U M BTU I MINIMUM COMMERCIAL FEE - 20.00 Vent CFM STATE SURCHARGE PEF PERMIT - .50 , . (ADD $.50 S/C IF PERMIT PRICE GOES + Gas Piping Outlets # BEYOND $1,000) Other FEE: ? ? - S/C: • SIGNATURE OF PERMInEE TOTAL• I • t??) FOR: CITY OF EAGAN ? INSPECTION REC4RD GITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Numher: ' Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: 3680 A'AU+URY ftp OIACIcHaWK G1.EN 1ST PERI?AIT. ?SI?BTYPE: tn':4 N I 1 1 N C 5N Control Na 0990 Ruiin.T?+a 001300 s8/2r/9: APPLICANT: I NLLlRq C014S7 SPECIALTIES (61? ) 693..6275 TYPE OF WORK: A1.7ERA7IOM INSPECTION .. . , FRlIM1Nts F XNAL ? ? . ? Pisrmlt No. ParmR Hokfor pote llNsphone i 8/IN PLUMBING 3 9? ( .•39/ HVAC ELECTRI l?Q;f j?' ? ? ??59 ? ELECTRIC heapectlon Detie Insp. CommeMs Footfngs 1 Fpundation Freming Roorm9 Rough Plbg. ii # RouBh Htg. . Isul. Fireplece Flnal Htg. Orsat Test Fu?ai Pibg. 2e ? Plbp. InspeCtor - Nartiry Piumbet ConsL Meter EngrJPlan BkJg. Flnal 1/ Dedc fig. Dedc FGna1 Well Pr. Disp. This reduesl void h ? 18 mon'hs from ??'? ? • i D 15587 -7 ,q/ ??9 sS Pequest D le Fire No. Rouph-in InsUertian Renwred? ,,,...fff INReadY Nuw ? Will Nntify Insaec- ? ` ?Yes Na ?, to, When Feady Licensed ElecVical ConVac[or I hereby requast inspectian 01 above Owner electrical wark installed at: Screet AtldresS. Box or Route No. City ('FSO q-afoop'? R D E N ecbon o. . Township Name or o. RanBe No. Cou n[Y ^ Y ?4 Occ antlPqINT) Phone Ne. J--( 5 Power Supolier Address ElecVical CnnVactor (ComOanY yme) Cnntrnr.tor's License ? No. i,tj ? ?, la o ? Mail/in/g AA ress IContractor or Owner Making Instai ationl 5,6? Y!0 , O19 ? Aut z Signature (COntract wner Makine In tallationl Phone NumDer 4 3 THIS INSPECTION flEQUEST WILL NOT MINNES STATE B D OF ELECTNICITV BE ACCEPTED eV THE STATE BOAflD Griggs -idwey Bitlg. - Hoom N•191 UNLES$ PflOPEN INSPECTION FEE IS 1821 Universitv Ave., St Pxul, MN 551U4 Phone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION . ?E/B-?00J0?0]1-06 , See insbuctions br completing this torm on back ot Yellow coOV. ~ / T J.Sf D 1 5' 5) 8 7 "X" Be/ow Work Covered by This Request FAcI Pe . Type of Builtling AOPliancee Wirad Equipmanl Wire!1 Nome Range Tempmrary Service OUplex Water Heater Lightiny Fixtures Apt. BuilAing Dryer Electric Heatin Commercial Bldg Fumace Silo Unloader Industrial BIAg. Air Conditioner Bulk Milk Tank Farm omer oeci v ome, Isnnnirvl I P.f SUC[:I?y OlhC! n111,.! 6"omputelnspecbon fee Below p Fee Serv ice EnhenceSize B Fee Faede,s/SVbiaeaers N Fa¢ Circulta U ro 200 qmps 0 to 30 qm s 0 tn 30 Am s Above 200 qnnps 31 to 100 Amps 31 to 700 p 5 Swimming Pool Above 100_Ampy Above 700_Amps Transiormers Irrfgation Boons Partial-Other Fee Signs Special Inspection S Pemarks ? TOTAL F? ,n• flauBh-fn Dnte I, the Ele ri Inspector, hereby certify that tha abova Final t ?..> D'te -nspeedon hea been ?J meda. fhiereQuesivoiAlBmonlhafrom , • . 8 19 07 Reque?a? I? Fire No. Ro gh-In Inspecfion Requirea (YOU mOust call inspector w? reaDy) Yes No Inspe n Other Than Rovgh-In Reatly Now ? Will Noiity Inspeclm a[e Peatl I licensed contractor ? owner hereby request inspection of above electrical work at: JaD Atldress (Sheel $ox or Route No.) Gity Seqion No- Township Name or No. Fange No. Counry Hennepin Occupanl(PRINT) 7&e Phone o. I PowerSUpplier Adtlress Elecirical Convactor (COmpany Name) Conlractors license No. rrison Electric, Inc. CA 00808 Mailing AdOress (COnVactor or Owner Making Inslalla[ion) 525 Nevada Ave. N. 301 lden V le 55427 Authorixetl Signal re(COnVactorlOwn ? king Installation) Phon¢ Number 544-3300 MINNES A STATE BOA D OP ELECTRICITV Griggs-Mitlway Bldg. - Haam 5128 I) II I I I ? I I I I I I I I I I I II THIS INSPECTION REQUEST WILL NOT BE ACCEPTE? BY THE STATE BOAFO 1821 Unlverslly Ave., SL Paul, MN 55109 Phone(612?642-0800 . ? [ UNLES$ PROPEfl INSPECTION FEE IS ENCLOSED. v? r f,.? ry REQUEST FOR ELECTRICAL INSPECTION &Eg-000915 09 IN. See insiruclions loi completingihis form on back of yellow copy. 9.T "X" Below Wbrk Covered by This Request Ne Add Rep'. Type of Building Appiiances Wiretl Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building ryer Load Management Comm.llntlustrial Furnace Other (Specify) Farm Air Conditioner Otner (specify) Conlrador's Remarks: ???? Campule Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feetlers Fee Swimming Pool 0 to 200 Amps 0 to 700 Amps &, Transtormers Above 200 Amps 100 _Amps SignS inspector's Use Oniy: 1 T Irrigation Booms ? - V? d S ecial Inspection ? AIarMCommunication THIS INSTALLATION MAY BE ORD RED DISCONNECT?F NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, ihe Elecirical Inspector, hereby tit ih Rough-In oaie y cer at the above inspection has been matle. Final oa?e?_? ? ? OFFICE USE ONLY This request voltl 18 momhs from J ? Os5?17 7? Request0ale Fire No. ? ? Rougn-inlnspection Re9 'retl? ???_/// eatlY Naw ?4Vill Noti(y Inspector . R G ? ? '?'h ? Ves G No en ea y licensed contraclor p owner hereby request inspection of a6ove electrical work at: Jo0 Atltlress ($ireet. Box or Route Noj Ciry 2 ? - Seclion No. Township Name or No. Range No. Couny Occupant (PRINT) Phpne N o. K 14d ^ W5 Power Suppl r Atlaress ElecVical ConVactor (Company Name) ConUactor5license No. Ort D 9 Mailing Atltlres COmraclororOwner Makinq Installation, {14 qoS i ? 'ff_ Authorizetl Siqnatura onVa wner Makin InsGll on7 PM1One NomDer 4176 MINNESOTA STATE BOAPU OF ELECTRICFFY THIS INSPECTION REDUEST WILL NOT Griggs-MlEway Bltlg. - Foom 5-173 , BE AGGEPTEO BY THE STATE BOARD 1821 Univarsity Ave.. SL Paul, MN 55106 UNLE55 PROPER INSPECTION FEE IS Pponc (612) 642-O800 ENCLOSEp. REQUESTFOR ELECTRICAL INSPECTION es-ooom-oe -? [ `/? ? See inslruqions lor completiog ihis lormQn back oi yellow copy. J4_-?J-1 9?J s2'X" Below Work Covered by This Request e Add Rep. TypeofBUilding AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Intlustrial Furnace Farm Air Conditioner ' Olner (speciry) Comreclor's Remra?rks:,,`° ?/ • gr*?//1Q41Jt avitla? ?NIS? Compute lnspecfion Fee 8elow.' 8 ' Other Fee # Service Entrance Size Fee # CimuiGS/Feedere Fee Swimming Pool 0 to 200 AmpS 0 to 100 Amps Transiormers Above 200 _ Amps Abo Amps Sig05 inspector's Use O nly: n p rO ' T TA IrrigationBOOms L r / 30 T'e-? Special lnspection ? ? Alarm/Communication / THIS INSTALLATION MM BE OADERE D DISCONNECTED IF NOT Olher Fee COMPLETED WITHIN 18 MONTHS. s+ I, the Electrical Inspector, hereby aouqn-m P oa? i ?? certify that the above inspection has been made. F;nai - e Q' OFFICE USE ONLY Thls repuest wb 18 monihs irom ? This request voitl (/ ? JC.07 1 months irom l? ? tUO) 0996 L Reque 7pate Fire No, Poueh-in Inspection /? Required? ReatlY Now ? Will Notify Insper.- 3'-Q2 ?- ? N? ? Yes No lor When Peadv K Licensetl Electrical Conhactor I hereby request inspaction oi ebove Owner . . electricel wo.k installed et Sheet Address, eox or floute No. . CiI 5 & ?S/i,l3 ecimn o. Townsnip Name ur No. HanBe Nn. Cou ][./ ,#X0 Occ nt IPRI TI Phone No. ' ?..? v' ower Supplier Address . J ? dsi ?''=7C Electrical Coniracto C a Namel ntractor's License No. ? /! ? nYl Mail B/atldress ICOn[racmr or Owner Making Instailatfonl ? i A h rized Slgna[ure C ractor/Own r aking Insta ation) Phone Number 3 MINNESOTA STATE BOA0.D OF ELECTRICITY THIS INSPECTION flEQUEST WILL NOT Gri99s-Mitlway Bltlg. - Noom N•191 gE ACCEPTED BY TME STATE BOAflD 1821 UniversitV Ave., St. Paul. MN 56104 UNLESS PXOPEP INSPECTION FEE IS . Vhona 16121 297-2111 _ ENCLOSED. [/"a'?6 REQUEST FOR ELECTRICAL INSPECTION ? es-ooooi:oa 7 ?See instructions for.comDlecieD this lorm on baek ol yellaw copy. u?// 07 cl ° bF "X" Below Work Covered by Ihis Request Aa"f -flBD- TYVa oi BuilCin9 APOliantes Wirqtl - E9ui0ment WireA Home Range Temporary Service ; f Duplez Water Heater Lightiny FixNres Apt. 8uilding Dryer Electric Heatin Commercial Bldy. Furnace Silo Unloader Industrial 01dg. Air Conditioner Bulk Milk Tank Fafm Other ueu y thcr l5neciNl t>r Suoc, y thar Other - Compute lnspection Fee Below # iee SarviceEnfreneeSiie p eders/5ubieeders p Fee Circuits, Uto200qm s O30qm s 0 to30 An! Above 200 Arnps io 100 qmps 31 to 100 Am s Swinmin Pool J ove 100_Amps A Above700_Amps Transformers ation Boort?s Partial%Otber Fee Signs cial Inspection a7.0" - TOTA P /? l Nerrarks 72 L EE ?. / f 1 l+ / I Rough-in D ?1e I, the Elecbi Inspector, hereby cerlify thai the abave Final 0'te? ? insoaetion has been r r ? d meae. thin racuest vold 18 montha irom This repuest void 18 mpnth5 from Dc) 0 9 9R 11 C9, ReqJest Date-- - Fire No. flouen-in Ins?er.tion flequired? ?oady Now ? WiII NotifY Inspec- ? ? es ?NO tor When Ready ? Licensod ElecVical Contractor d heraby requast ins0ection af abova Owner electncal work installedat Street Address. Box or Houte No. . CitV ctm . Township Name or No. ange No. C q5Xy Occu nt (PRINT :Z2 Phone No. ' '? /Z ower $upplier Address - d ?E(L Eleoa Vactor IC ??any Name) Comractor's License No. ? ? ? YoY?? Ma ing A Jress (COntracmr or Owoer Makfne Installatio? 1 ' o A M rized ignamre IC nvac /Ownor Makiny In Ilationl Phone N umber y 7? L ? ? / / THIS INSPECTION qEQUEST WILL NOT MINNESOTA STAT BOAPD OF ELECTflICITY gE ACCEPTEO BY THE STATE BOAHD Gtie9s-Mitlway Bidg. - Room N-191 ' . UNLESS PNOPEH INSPECTION FEE IS 1821 Univarsity Ave., St. Paul, MN 55106 Phone (612) 2972111 ENCLOSED. . y od -P & REQUEST FOR ELECTRICAL WSPECTION I ee-owovoa ' See instruetiens fojcamulel'ng this torm on beck of Yellow copY. ' 0901 J(" Be/ow Work Covered by This Request naa Reo.F Type oi euiltling Applientee Wired Equiument Wired Heater Air (:onditioner ee M Fea ServiceEnVanceSize fr Fee feetlers/5ubloetlers N Fee Circuits U to 200 qmps dd 010 30 Am s 0 to 30 Am A6ove 200 Amps 31 to 100 Amps 31 to 100 Am s Swimmfng Pool A6ove 100_Amps A6ove 100 _Amps Transiormer5 Irrigation E3ooms a Partial- Other F SignS Speciallnspection 1 ? TOTAL Rem?rks ? flough-in D?ay-? ? Ihe ecVical • ?f` / ??SDecto , eby _ cerUty thet the above Finai ?// insoecUOn has baen r? .de. 2 1 3- 2 4 4? OFFICE USE ONLY This reqoest wid 18 momhs hom validorian dah pnnled In th' box. ,?"?S?Xv ? . 5? ? D? PLEASE PRINT OR TYPE ? (LUNG Rryvesl Dok Rou9h-in inspecnon requved2 ?'Yes ? N. Inspecllon OtherThan Raugh?ln: ? Reody Now' Will Call (You mosf mll ihe inspedor when rndy? Date kcvdy: I, ? licensed <onNador ? owner hereby request inspedian o( fhe obove-elech ical work af: Jo6 Addresa (Slreel, Boe, or Ravle No.) I? 12 f31 a CL1v?? L LJ? iJ GN E? c-A r? r-M ti Zip Code 5.S ? zz SMion No. Township Name ar Na. Range No. Ftre No. Counry j? p ?J L.C? T f ? Oaupant Phone No. ?t+i L P a'A 2?ti iI.?.t?. 4c s o? ! PowerSupplier Address Eietldml Canlmcbr (Company Name) Conkatlor Licrose Na. Maslei Lic. No. (Plont Elec1. Only) Mailinq Addnes (Commtlor or Owner Pehortning Inamllotion) AuM ed Signowre (CanvaMr or O»ner PeAormi ImMllatmn) ?lC?,? ???? °t-?- Phone No. Ll 0s C) -;t y 1 EB-OWUlA-10 6/95 STATEBOAROCOVY-SEEINSTRUCTIONSONBACKOFVELLOWCOW IIIIIIIII * 0 I I 7 I ?) I I III II REQUEST FOR ELECTRICAL INSPECTION ?L? Minnesota S`tate Board of Electricity 1821 Universfty 4* Phone (612) 642 Vm. S-128 St. Paul, MN 55104 41W? Home uplcv Apt. Bidg. Oifier. New Addn Commercial Indushial fartn ??X? Remod Re oir Air Cond_ Hig. Equip. Water H}r. Lo Mgmt ad Ofher: D er Ran e Elec. Heat Tem p. Service "X" above the work covered by this request Enter remarks in ihis space and on the ba<k of the white mpy only. G'itl2 af?7 .ua- oc-C Calculate Inspecfion Fee - 7his Inspecfion Requesf will not be accepted withouf fhe correcf Iee: OlFier Fee S Service Enhance Size Fee # Circuils/Feeders Fee Mobile Home Park $fall 0 to 200 Amps 0 to 700 Amps Sfreef Ltg./TroHic Sig. Above 200 Amps bove 100 Amps TransformedGenem}or ItispEC7oa'5U3EONLV TOTAL Sign/Outline Lig. Xfmr. Alorm/Remote Control Swimming Pool I hweb cerll that I ins ecied 1h e ' sallafon descnbed herein on Ihe dore bted Irrigotion Boom Rough-In ?o $pecial Inspedion Investiga}ive Fee Fin ?Dy // THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF N COMPLETED WITHIN 18 MONTHS. RESIDENTIAL J '2_ BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MIV 55122 651-881-4675 New Construction Reauirementa • 3 registered site surveys showing sq. N. of lot, sq. ft. of house; and all roofed areas (20°k maximum lol coverage allmved) • 2 copies o( plan showing heam & window sizes; poured (uund design, etc.) • 1 sel of Energy Calculatiore • 3 copies of Tree Preservation Plan'rf lot platted after 711193 • Rim Joist Detail Options selection sheet (bidgs with 3 or less unfls) DATE SITE ADDRESS TYPE OF WOR APPLICANT ?'o, 7 r o 2 / -71, 73 RemodellReoair Renuirements • 2 copies of plan • 1 sel of Energy Calculations for heated additions • isilesurveyforeMedoraddNions&decks • Indlcale if home served by septk syslem Por addiGons VALUATION MULTI-FAMILY BLDG _Y _Y?N _ FIREPLACE(S) t?t _ 1 _ 2 STREETADDRESS 2489 Ril'iz St SuifP ZD CITY R0SeVIIIB STATE__UN ZIPS511 TELEPHONE # 651-734-9433 CELL PHONE # FAX# 6- 5- 1 -a8_ 3- -e=19 PROPERTYOWNER TELEPHONE# to5\'?5Z"?s??l- COMPLETE FOR °NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Cate9ory _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672 (4 submission type) • Residential Ventilation Category 1 Worksheet Submitted • New l Energy CodejWorksheeNSubmitted • Energy Envelope Calculations Submitted L ? ri 5 _? ( ! ZCJZ ;I Plumbing Contracfor: Plmnbing system includes: Mechanical Contractor: Mechanical system includes: Sewer/Water Contractor: Water Softener _ _ Water Heater _ No. of Baths Air Conditioning Heat Recovery System Phone # Phone # ree: $70.00 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 Ordinances. Signature of OFFICE USE ONLY _ Phone # Lawn Sprinkler No. of R.I. Baths ; - - Fec: -$9Q:00 Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ llpdaled 4f02 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling O 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt- SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 38 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 0 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement 'Demolition (Entlre 81dg 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 W idth REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Fouadation 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) _ Insularion _ _ Retaining Wall Approved By Base Fee Surcharge Plan Review MGES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Building Inspector CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: DESCRIPTION: PEIZMIT 3680 ASHBURY RD LOT: 7 BLOCK: 1 BLACKHAWK GLEN iST 'Building Permit Type Building'Work Type UBC Occupancy ? ,. ? Control No. 0990 PERMIT TYPE: Permit Number: Date Issued: BUILDING 001300 08/27/92 BASEMENT FINISH ALTERATION R-3 yiTt?';r ?. \ , . 11 REMARKS: C FEE SUMMARY: Base Fee Surcharge Lic. 3earch Total Fee $35.00 $.50 Fee $5.00 $40.50 CONTRACTOR: - Applicant - ST. Lz pWNER: ENDURA CQNST SPECIRLTI ES 15935275 000226 MELOM JOHN 636 MENDELSSOHN AVE N 3680 ASHBURY RD GpLDEN VALLEY MN 55427 EAGAN MN 55122 (612) 593-5275 (612)456-0151 ? I hereby acknowledge that I have read this applicativn and state that the information is correct end agree to comply with all applicable State of Iqn. Statutes and City nf Eagan Ordirtances. I eJ?, d g AP C T/ R EE IGNATURE aig-4 4 ai' d I rn? I SUED S G ATIFTE ? PERMIT # REACTIVATE ? 1300 0.ff0 ^!"?;;rf `? -.?0 SINGLE 8 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, i copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re uest is made or tot chan e is re uested once ermit is fissued. Date R /17_ ? 9z Valuation of work oZ0-I?8(? ? Site Address: 3?8U R5NQURy (ZaAA SIREET • W17E * . Tonan±. Namo- .(rnmmnrri3l only) ' . . IAT I BIACK ? SUBD. 8 P.I.D. 0 Descrl tjon of work: ),jjsH A-LK- v'r LGV1L aF aassnit,ir The applicant is: O Owner ;5Contractor ? Other (Describe) Name Nowi,sNa Pe .y -t- 1'nECOr, J61+N Phone 2S6-?l16'1 Property T FIRST Owner qddress 36$D Asyisupty Qo,4p STREET STE M City 5AGAN State Zip 45)? 2 Company ff.JGUrt.4 eo.J3t'RVvC14n1 ,SNEcir??'rc-,? Phone S4a3-.T,27.5 Contractor Address --?!36 /a7&n141545504N f}uQ /Uo License # 226y Exp. - I-9 City roe.AW VRLL6q State (Y) r? Zip Company Phone Arohitect/ Engineer Name Registration # Address City 5tate Zip Sewer & water licensed plumber 441+ 4ff3l30-1'7 . Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct aRd agree to comply with a71 appllcable State of Minnesota Statutes and City of Eagan Ordinances. ? Signature of Applicant: CITY OF EAGAN 1992 BUILDING PERMIT APPLICATION 681-4675 OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 02 5F Dwg. ? 03 SF Addition ? 04 SF Porch ? 05 SF Misc. WORK TYPE )R 31 New ? 32 Addition ? Ofi Duplex 0 07 4-Plex ? 08 8-Plex ? 09 12-Plex ? 10 Multi. Add'1 ? 33 Alterations ? 34 Repair GENERAL INFORMATION ? 11 Apt./Lodging ? 12 Multi. Misc. ? 13 Garage/Accessnry ? 14 Fireplace ? 15 Deck O 35 Tenant Finish ? 36 Move Const. (Actual) ? Basement sq. ft. (Allowable) - . lst F1. sq. ft. UBC bccupancy ? 2nd F1. sq. ft. Zonin9 Sq. Ft. total # of Stories Footprlnt Sq. ft. Length On-site well Depth On-site sewage APPROVALS Planning Building C 159? Engineering _ Yariance REGIUIRED INSPECTIONS D Site ? Wallboard ? footing XFinal 2KFraming ? Oraintile ? Insulation 0 Fireplace Permit Fee ? o 0 Surcharge„ , S-b Plan Review ?M?I*ee-SAr- -?- City SAC Mater Conn. Mater Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % SAC Units vetLmt;a.r. $ ? X16 Basement Finish ? 17 Swim Pool ? 18 Comn./Ind. O 19 Comm./Ind. Misc. O 20 Public facility 021 Miscellaneous ? 37 Demalish MWCC System City Water - -- PRV Required ? Booster Pump Fire Sprinkler Census Code SAC Code Assessments L7_ BL CITY OF EAGAN PLUMBING PERMIT SUBD.??'4.C.Q.r'f4u3'yC ?- (612) 681-4675 REBIDENTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. --------------------------- - WORK DESCRIPTION N0. NEW CONST ADD ON ? ' ?!I }C REPAIR OWNER NAME: go,?? SITE ADDRESS: INSTALLER: _ ?d't ? l?Ti.7???? ADDRESS : M? CITY: ZIP: ..?S, y? ? PHONE CITY USE ONLY RECEIPT # L D ? DATE ALSO, FOR TOWNHOMES AND CONDOS COMPLETE THE FOLLOWING: FIXTURES EA. TOTAL REPAIR/ADD ON 15.00 SHOWER 3.00 WATER CIASET 3.00 BATH TUB 3.00 IAVATORY 3.00 KITCHEN SINK 3.00 IAUNDRY TRAY 3.00 HOT TUB/SPA 3.00 WATER HEATER 3.00 FLOOR DRAIN 3.00 GAS PIPING OUT. (MINIMUM - 1) 3.00 ROUGH OPENINGS 1.50 OTHER WATER SOFTENER 5.00 PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 W. TURNAROUND 15.00 STATE SURCHARGE .50 TOTAL: S l S, SQ ` COMMBRCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. AL50 FOR MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: OWNER NAME: SITE ADDRESS: TENANT NAME: SUITE #: INSTALLER: ADDRESS: CITY: PHONE FOR: ZIP: CONTRACT PRICE: 1% OF CONTRACT FEE. . STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 1% $ STATE SURCHARGE $ TOTAL: (SIGNATURE) CITY OF EAGAN CITY USE ONLY L ? BL ? RECEIPT #: h`J SUBD. st DATE: 7 ? 9S 1995 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681?4675 / Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES EACH NO. TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = Water Heater 3.00 x Floor Drain 3.00 x = C'ias Ftping OuII2[ ' minimum - 1 3.00 x = Rough Openings 1.50 x = Water Softener 5.00 x = Private Disposal ` Dakota Cty. license 20.00 = U.G. Sprinkler ' home under const. 3.00 = Alterations * to existing 20.00 = Water Turn Around 20.00 STATE SURCHARGE .50 TOTAL (?? SITE ADDRESS: 7Lp 5 U J OWNER INSTALLER STREET ADDRESS: :2 ??a o- -{'? , CITY: ? STATE:MAI ZIP: PHONE #: ( ) R?Lo - ?a?9 a--, 3`TG?RAT EE u 7 L BL SUBD. OFFICE USE ONLY 1995 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55722 (612) 681-4675 Please complete for: . all commerciaVindustrial buildings. P muiti-family buildings when separate permits are II4t required for each dwelling unit. DATE: CONTRACT PRICE:_-_-_. WORK TYPE: NEW CONSTRUCTION ADD ON REPAIR DESCRIPTION OF WORK: IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING: WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED? _ YES _ NO. FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE. WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? _ YES _ NO. IF SO, YOU MUST APPLY FOR p SEPARATE U.G. SPRINKLER PERMIT. FEE: $25.00 minimum fee or 1% of cantract price, whichever is greater. State surcharge of $.50 per $1,000 of permit fee due on all permits. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: OWNER NAME: INSTALLER: - ADDRESS: - cirr: RECEIPT #: DATE: STE. # STATE: ZIP: PHONE #: SIGNATURE: OFFICE USE ONLY APPLICANT METER SIZE: __ _ ' DATE: INSPECTOR: a L BL CIT: 11sr ;JNLY RECEIPT#: ?l?/Sg3 3- / "p /? SUBD.L&?1x.uT.f?[J?? /?[,?? r ? DATE: ?o? J'r Date: 7-01b -4S 1995 MECHANICAL PERMlT (RE5IDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit New construction ?? Add-on fumace _ Add-on air conditioning Fireplace conversion (to existing fireplace) ?D- o)13 - 70 ? Minimum Fee: Add-on/Remodei (existing residence oniy) ? HVAC: 0-100 M BTU Additional 50 M BTU ? Gas Outlets (minimum of 1 required @$3.00 each) ? State Surcharge TOTAL FEES $ 20.00 24.00 6.00 .50 ,h) •.?D SITE OWNER y PHONE #: ?- 7Se INSTALLER HEAiiNG & AIR CONDlTIONING C0. STREET ADDRESS: uotn WcNpy,qoru evc gg MINNEAPOIiS, MN 55420-2853 CITY: 881•9WATE: ZIP: PHONE #: ( ) "LlI>DD _ ? . -7rayr- 95 ,6e cmOrwc. JNLY L BL suao. RECEIPT #: DATE: 1995 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681 -4675 Please complete for: ? all commercial/industrial buildings. ? multi-family buildings when separate permits are not required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: _ NEW CONSTRUCTION DESCRIPTION OF WORK: FEES: ? $25.00 minimum fee Qr 1% of contract price, whichever is greater. ? Processed piping - $25.00 ? State surcharge of $.50 per $7,000 of permit fee due on all permits. CONTRACT PRICE x 1% PROCESSED PIPING STATE SURCHARGE TOTAL SITE ADDRESS: OWNER NAME: TELEPHONE #: TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER:. ADDRESS:_ CITY: PHONE #: SIGNATURE STATE: ZIP: SIGNATURE OF PERMITTEE INTERIOR IMPROVEMENT CITY INSPECTOR CITY OF EAGAN No . 1 g084 3830 Pilot Knob Road, P.O. Box 27-199, Eagan, MN 55121 PHONE: 454-8100 BUIL 0 ? s LP ? DING PERMIT Receipt # - _ ; 1 J To be used for ROOF Est. Value $z, OOD pate MAY 20 , ?g 91 Site Address 3680 ASHBURY RD Lot 7 Block 1 SeGSub$LACKHAWK GLEN 1S OFFICE USE ONLY P8fC81 NO. Occupancy - FEES Zoning _ w Name JOHN MELOM (Actual) Consl Bldg. Permit 45.00 3 Address 3680 ASHBURY PL - (Allowable) - 1 00 ° Surcharge _ City EAGAN Phone x of sbries _ Plan Review Length _ o Name LUNDGREN BROTHERS CONST INC Depth SAQCiI ? Address 935 E WAYZATA BLVD - S.F.rotal y u¢ City WAYZATA Phone 473-1231 S.F.POOtprints _ SAC,MCWCC W C On Sile Sewage ater onn ? W N8m0 On Site Well W t M t - a er a er 1 ?O AddfBSS MWCCSysiem _ , aw City Phane City Water _ Acct Oeposit PRV Required _ SNJ Permil I hereby acknowlege that I have read this application and state that the Booster Pump - Sryy Surcharge intormation is correcl and agree lo comply with all applicable Slate of Minnesola Statutes and Ciry ot Eagan Ordinances. Treatment PI Signature of Permitee TCT TN('. Z APPROVALS Road Unit , A Building Permit is issued to) •/'f & Planner - Park Ded. on the express condition thal all work shall be done in accordance with all Council 46 00 applicaGle State oi Minnesota Statutes and ICity of Eagan Ordinances. Bldg. Olf. Copies . ? 1 Building Oflicial ?1.(?? rnQ Variance - TOTAL 1991 BUILDING PERMIT APPLSCATION ? ?' . C Y OF _&AGAV, ?? ??y ,? „$INGLE FAMILY DWELLINGS 14ULTI LE D LING COMMERCIAL S" ? > . ?xR;;2 $ETS OF PI.ANS ? 2 5ETS OF PIANS 2 SETS OF ARCHITECTQRAL 3'REGISTERED.SITE SURVEYS REGISTER ED S I T E S U R V E Y S - & S T R U C T U R A L P I N S 1 SET`-OF7ENERGY CALCULATIONS (CHECK WITH HI.DG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS OF RENTAL UNITS _# OF FOR SALE UNITS ,;,`PENALTY'APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY "•'•' OF MONTH IN WHICH REQUEST IS MADE. + LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. ? NOTE ADDRESSES FOR,'CORNER IATS - CONTRAGTOR/HOMEOWNER MUST DESIGNATE.:WHICH ADDRESS IS; , y?w ;;=DESIRED. 0`CHANGE WI E ALLOWED ONCE BTJILDING E T 01, ? ??mmm lrcel%Sub'? Actual Const Allowable _ PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE PERMIT;MUST SHOW A LICENSED PLUMBER. tluation; Dte?'Address OFFZCE USE ::Block ccupancy Zoning ? Owiier # of stories ?d'` ? d Length dress A440 A a ? Depth S.F. Totai _ ? yF,City/Zip Code 2 Footprint S.F._ .. , Phone, On site sewage_ i , LIIN09NE On site we11 ? Contractor 935 E: WAYZATA BLVD, MWCC System _ ''' ' WAYZATA, MN 55391 C1ty water rxv ? "'• Boostar Pump - City/Zip Code 3 APPROVALS n Phone Planner _ Council Arch./Engr. Bldg. Off. / OS " ` Variance LION08REN not COOI$;WUC7lOM. MC Address -?' 935 E. WAYZATA BLVDo WAY ! 4199b. ? . ? 1 y, -- FEES Bldg. Permit 415,0 0 Surcharge r,v u Plan Review SAC, City SAC, MWCC -:' Water Conn, Water Meter Acct.,Deposit ' S%w Permit 5/W Surcharge Treatment P1. Road Unit Park Ded. Trail Ded. Copies SUBTOTAL Penalty ' Lot Change TOTAL PHQNE 473-1231 ? one .#? '. ?a.rs?/? agrees that all work shall be Wdone' in accordance with :.4+. ra,,(Szgnature,ofContractor) x? , al;applic,able State of Minnesota Statutes and Ci.ty of Eagan Ordinances. h p :. ' . , .. .. . . " CITY OF EAGAN No _ t g573 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 4548100 BUILDING PERMIT Receipt # CI c,?' O 15 To be used tor DECK Est. Value Date AllG 20 , 1991 ? Site Address 3680 ASHBURY RD Lot 7 Block 1 SeGSubaLACKHAWK GLEN lE Parcel No. w Name JOHN MELOM ? Address 3680 ASHBURY RD 0 City EAGAN Phone o Name JOSEPH R MILLER ?a Address 17900 VERGUS AVE 9 City JORDAN Phone 440-6625 J?Umlj Name ?? Address aw City Phone I hereby acknowlege that I have read this application and state that the intormalion is correct and agree to comply with all ap fcable State of Minnesota SWlutes and City Eagan rdir7??ce; Signalura of Permitee A Builtling Permit is issued : JOSEPH R MILLER on the express condition that all work shall be done in accordance with all applicable State of Minnesma Statutes and Ciry of Eagan Ordinances. 6uilding Oflicial Occupancy Zoning (ACtual) Consl (Allowable) F or s[ories lengih Depih S.F. Tolal S.F. Footprints On Site Sewage On Sita wen MWCC Syslem ciry waiar PRV Required Booster Pump APPROVALS Planner CounCil Bldg. ON. Variance OFFICE USE ONLY 17' ?.? Bldg. Permit SurCharge Plen Review SAC, City SAC,MCWCC Water Conn Water Meter AcCI. Deposit S/W Permil S/W Surcharge Treatment PI Road Unit Park Ded. Copies TOTAL FEES L5.50 ~ a 1991 BUI LDING PERM APPLICATION CITY OF EACAN SINGLE FAMILY DWELLINGS 2 SETS OF PLANS 3 REGISTERED SITE SURVEYS 1 SET OF ENERGY CALCUTATIONS M[TLTIPLE DWELLINGS COMMERCIAL ? 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL REGISTERED SITE SURVEYS - & 5TRUCTURAL PIANS (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 WFIEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY IAST WORKING DAY OF MONTH IN WHICN REQUEST IS MADE. TAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLAWED ONCE BUILDING PERMIT IS ISSUED PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PEI2MIT MUST SHOW A LICENSED PLUMBER. To Be Used For Site Address Valuation? F- Lot -? Block I Parcel/Sub gLAQC,NAWti GWp( Owner sTAh Address 3 ?v'" 45?{ City/Zip Code ??qq q M N5572 % J Phone Contractor Address Z%Ve y ? City/Zip Code U OY as1 Jm/e Yhone ( ( d pp 7-!?L Arch./Engr. Address City/Zip Code Phone # ? Date; OFFICE QSE ONLY Occupancy Zoning Actual Const Allowable # of stories Length i? Depth S.F. Total Footprint S.F. FEES Bldg. Permit .60 Surcharge •50 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 SIIBTOTAL Penalty Lot Change TOTAL ? U On site sewage_ On site well _ MWCC System _ City water _ PRV _ Booster Pump _ APPROVALS Planner Council Bldg. Off. 8.19 S Variance Sewer/Water Licensed Contr. ex/ k agrees that all woCk shall be done in accordance with (/ ( gnature of Contractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. CITY OE EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, nnN 55121N-0 11651 PHONE: 454-8100 BUI j ? ?? LDING PERMIT Receiptu ?? ?;; Le To 6e used lor SF DWG/GAR Est Value $73,000 Date mARCH 20 19 86 Sitenddress 3680 ASHBURY ROAD Erect C? Occupancy R3 Lot 7 Block 1 Sec/SubBLACKHAWK GLEN . Remodel ? Zoning Rl Parcel No. IST Repair ? Type of Const. 17 Adtlifion ? No. Stories w Name LUNDGREN BROS CONSTRUCTION Move ? Length 48 = o 935 E. WAYZATA SLVD Address Oemolish ? I I ? Depth F S •g City WAYZAT41,hone 473-1231 nt mpr. Install ? t q. .0 Name SAME Approvals Fees $? Address Assessment. ? City Phone Water & Sew. . ? Police - F = Name Fi re a Address E a ng. aw Ciry Phone ' Planner- Council - Ihere6yacknowledgethatlhave eadthisap licationandstatethatthe 3 information is correct and agre to comply B?dg.Ofl. 'th all ate of Minnesota Statutes and City o a Ordi es . a APC ...?r. Date- Signature of Perm ittee r Permit "''°."- Surcharge 36.50 Plan Review 176.00 SnC 575.00 Water Conn. 500. 00 Water Meter 63 . 50 RoadUnit 290.00 Tr. PI. 156.00 Parks Copies p A Building Permit is issued to: LUNDGREN BROS CO TRUCTION on the express condition that all work shall be done in accordance with all ap(p??\ab,le/?/$tate of Minn sota atutes and Ciry of Eagan Ordinances. Building Ofticial 1 YK_A ? / ? f 7985 Bl7ILDING PERMIT APPLICATZON - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EACAN INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OE SURVEY 1 SET OF ENERGY CALCULATIONS ?tisr. yu. To Be Used Eor: r ? ?uation: 7?'?',CX7U Date: Site Address: Lot: _Z B1ock ? Sect/Sub Parcel /1 Owner lu" Address 1 3,? City/Zip Code ?11-/ OFFICE USE ONLY ylErect X Occupancy Remadel Zoning Repair Type of Const Enlarge lf of Stories 4_1Move ? Length Demolish Depth ?Grade Sq Ft Phone X :23 = ? a 3 / APPROVALS V Contractor p Wsessments Permit , Water/Sewer Surcharge Address Police P1an Review Cit /Zi C d J Fire SAC y p o e /,(/a tl? jf Engr Water Conn ? Planner Water ?leter Phone :21--23 Council Road Unit Bldg Off 3-Zo.2v5t8 Parks Arch./Engr. APC Treatment P1 Variance Address TOTAL City/Zip Code Phone /k 12•3 ? I ? 48 46 35?, ??. m 5 ?75. SaO. 29n, I 5G, ????? . 2o? ?2 - ?09 z K ?76 2 rt?x. lK. ? ?1 I " q&q- ?c (z = S?3c) a ZZx 22 -7 Zo? Cities Di it? al Qualitv 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. ?COJC1 RUC110N - - - . 935 EAST WNYZNTA BOULEVARD • V?NYZkTA. IiIIJNESOTA 55391 •(612) 47",-1731 EY.7EP.I OR ENVELOPE AVEP.kGE U CD! iPUTATIOId Site AdGress ?'? ?+ ,?o?loQ- Lot2- 67ock? R U R & U Factors - . .058 ppaque Walls -- - _ ..117 41a11 Framing Areas -- ' .023 Ceiling Insulation Area - .927 Ceiling Framing Area - .D4 Rim ,loist - - _14 liasonry Wall - - ;.li nd ows Double Hung - "26 .4E Casenents - _18 Doors ' , - --- _ 46 Patio Goors ; , - - .47 Sideli -Les , . - - 1) Lower Level (Bas2m2nt) Total exposed wall area ??x (U) .058 = ? Opaque L4all Area 117 = ? g2 x (U) . IJood Frame Area - , _X (U) .04 = ?_- Rim Joist 14 3 = ? 2Lx (U) - . Exposed block_ 46 a Casement Window Area 2X (U? ' ( .26 = - ?- - Double Hung _ - ?x (U) .46 5liding Glass Door ? (U) 18 -' Door Area - - ? ?. 0 9 ? Total 0 ?COIdSi RUC110N ?. IIJC. 935 EAST VJAYZN7F. BOULEVARD • VJAYZATA, IAIIJIJESOTA 55391 • (612) 473-1231 2} lst or main floor 7ota1 exposed wall area ppaoue Wall area Ytood frame area Rim joist ? 1•:indow P,rea . { . ? ; ? Sliding Glass Door Door area Sidelites Casements Double Hung /,3 "I- ` _ 2Gj_X (u) oss = ?02 ? /a:2_X (U) -iv /ffX (u) .04 = S9? o?X (U) .46 = ID?- &5-_x ( U ) .26 = .? / -`?-- ,tj x ( U) -46 - 125- Z 3? X (u) -ia = ? -- x (U) .47 = _------- Total ?°2 _ ;3) 2nd floor if 2 story ' Total exoosed wa13 area x (U) .058 = - ? Opaque wall area ' . x (u) •117 = . Wood frame area - Casements t•lindow area x X (U) ?U? .46 ° _26 Double Hung x (U) :46 = lass door Sliding g x (U) .18 = Door area - Total 4) Total ceiling area ,? 027 3?- I?x (u) Wood frame area Opaque ceiling area (U) .023 Skylight -X (U) .55 - <:- Total ? ?' ?z- . ._ G 1y //I G??7,( 6 Py V 4 ¦ p ()CCO(NCl RUCl ION - - ? y35 EAST VJkYZATH BOULEVhRD • VJhYZtiTH, ?AINNESOTA 55391 •(612) 473-1231 /5 X .11 = ? .O 11inn. U Factors 7ota1 exposed orall area area_Ze??X -026 Mlinn. U Factors 7ota1 exposed ceiling (A) Total Item 1/9 .D ?.Item 2g,5? Item 3?-' + Item 4a7,7/ SO? If total of Items 1- 4 is less than Ii,em (A), 6uilding complies witn SBC 6006 (C)s SURVEYOR'S'. CERTIFICA'fE ' ..? ? ? 4-l? 7- ? ? i B2z I "D i ? J i ? J W / l S / ? I / 0 6`22 'SQ???Ii 1 ' 13 ?Y ?o o? O ? e OI ~ OD 2 SIENNA CORPORATION REVISEO 3-3-86 TO SHOW A PROPOSED HOUSE FOR LUNDGREN BROS. CONS7RUCTION. 0 z s??? b o r? LOT ? ? 57 W ? 7 n • ', zs.o l?Y 22.0 v M t?1'W -_ o • ' r ? GAR. a\??o a \?1 "? ? 2 z o a = a n '?ow _-% ? 1835 p) o \ 4; ? .? I o,' NN"N p io.o X. `. ? y x. ?A 5 0 L , q 1m 5 N y1;ot?w::?`_= io ? o _, . 4726 gx '- 55.74 833,5/ .1C. Nso31'34uW a Qa50 41X9" ? R=560.89 i° - aaa s _ ASHB? _ R? - --? -+-- DENOTES PROPOSED SURFACE DRAINAGE SCALE: 1 INCfi = 30 FEET O DENOTES IRON MONUMENT SET fEET • DENOTES IRON MONUMENT FOUfJD PROPOSED GARAGE FLOOR = 835,3 X000.0 DENOTES EXISTING ELEVATION pPROPOSED aOPOSED TOPEOF BLOCK = 835•? FEET (000.0) DE,IOTES PROPOSED ELEVATION l•IE HEREBY CERTIFY TO SIENNA CORPORATION TfiA7 THIS IS A TRUE AND CORRECT IZEPRESENTATION OF A SURVEY OF THE DOUNDARIES OF: Lot 7,Block I. BLACKHAWK GLEN 1ST 11DD.ITION, according to the recorded piat thereof, Dakota County, Minnesota. IT DOES NOT PIJRPORT TO SfIOb! IMPROVEf1ENT5 OR ENCROACfIMENTS, IF ANY. AS SURVEYED [3Y ME OR UNDER MY DIRECT SUPERVISION THIS 13TN DAY OF N OV. , 1985. REVISED 3-11-86 PAOJECT N0. 85618 16631 ? FII.E N0. FOLDER SIGPIED: JAMES- . ILL, INC. 4Y : ?=- HAROLO C. PETERSON, LAPID SURVEYOR MINN[SOTA LICENSE NUM6ER 12294 HOOK / PAGE I JAMES R. HILL, 1NC. i5440 planners / Engineers / Surveyors 8200 HumboFdt Avenus South Bloominpton, Mn. 55431 012-884-3029 . CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION *AYlIE: PAYM!ff OF FEE AT TIME OF APPIJCAMON DOES NOr CONSI== APPROVAL OF PII2ICT. nNsPncrIorr oF sEM arm/ox tuAM IIISTAT.TATTQjQ$ y7ILL [dOp HE $(}HED- ULID CINFIL PERMIT AAS BEIN APPR(7VID. P ease Print) ^ 1) PROPERTY ADDRESS: 1340?? Ar&k r-% ?, ' •» LEGAL DESCRIPTION: Cpf 7 QypO.'e / •- %.uoLiuiocx/subaivision or Tax Parcel ID #) IF EXISTING STRCCiL'RE, DATE OF ORIGINAL B[.'III7ING PII2[?LiT ISSL'ANCE: PRFSIIPf 7ANING/PROPOSID LSE: (ilbn Year ? COMMERCIAI'/RETAII,/OFFICE ? R-1 SINGLE FAPffLY r7 IDIDC'STRIAL f-I R-2 DC'PLEX (Zt,o Onits) 1-1 INSTIISJTIONAL/GOVII2IAg,1VT ? R-3 IUWNHOL?SE (Three + Units) ( Units) " . ? R-4 APARTMENT/CODIDOMINIUM ( Units} 2) '-r, ?,? NANE: ADDRESS:?'j} CITY. STATE. ZIP: ?Lj yK f jy /Lei A4 w PHONE: /. 675' 'yZaQ 3) u ?: a• NAME.-y/?•??y+ ADDRESS: f?'3S ?• (i(J?7? /??ro?. CITY. STATE, ZIP:_ Gff?t1L? 144.-? PHONE:_ - /L!p / MASTER LICENSE# 271/3 - Mq ? Active EScpired Not recorded Staff initial 4) ?e-• • ? NAb]E: 6" tf. - anDxFSS:_ 9as' E, r.a?'.oya?,.?. • ,?,,,.?. -- CIT1'. STATE. ZIP:_ /i//.f+! 24+.1ca? A'1." PHONE: 73-/7-) / 5) ? v ? r. • a?• 3: o • o? - a? COiVNEC.TION 7t7 CITY SEU7IIt ? CpNNECTION 'IU CITY WATEIt ? 07,'fER PLEASE MAIL ApPROVID PFRMIT TO 1. 2. 3. 4. AHOVE ? ? /I (Circle one) 6) '? •'??- ? pI.EASE HOLD APPROVfa PERMIT EC)R PICK-C'P BY ONE OF AHQVE FOR CITY USE ONLY 4.- PERMIT # ISSLED Pd w/Bldg. Permit FEES: $ $ /l S G SEWER PERMIT (INCLUDE SURCHARGE) $ $ WATER PERMIT (ZNCLODE SC'RCHARGE) $ (t 3- J o $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLL'DE CORPORATION STOP) $ $ SEWER TAP $ $ ?`J Cr C? ACCODNT DEPOSIT - SEWER $ $ `n ACCOL'NT DEPOSIT - WATER $ .?J DO G? C9 $ WAC $ ,?j ?.5?• DID $ SAC $ $ TRC'NK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRC'NK SEWER $ $ LATERAL BENEFIT/TRC'NK WATER $ / 5?•?? C', $ WATER TREATMENT PLANT SLRCHARGE $ $ OTHER: $ $ ?/. P lJ TOTAL L l=/,3 ?7 RECEIPT RECEIPT DOES UTILITY CONNEC TION REQUIRE EXCA VATION IN PUBLIC RIGHT OF WAY? Q YES IF YES, THEN A" PERMIT FOR WORK 4VITHIN PLBLIC Q NO ROADWAY" MLST BE DIVISION LIST ISSUED BY THE ENGINEERING AS CONDI ON . . A TI SUBJECT TO THE FOLL OWING CONDITIONS: APPROVED BY: TITLE: DATE: t // / 6 / fID -SUR1/EYOR'S', CERT1FlCA+.Ti E ..4 7_ = B z?? S 22 " 42, ?? ? 62•?34n?? i SI?ENNA CO1R?Pa'ft'AFI'0'N . . . REVISED 3-3-66 TO SHOW A PROPOSED' HOUSE `FOR LUND6REN BR'05. C'ONSTR'UCTI30'M. 0' `Z 'o LOT w ? W : 7, M 9 Ul C?JN R1c) i •° ° ?. ?' - - x cB3z. z ?'-','?;?'$35 o O 26.0 22:0 e ? . o. z r- . QT1 Ff _? N GAR. `05n \ 0 D<?KatT W ?D N\ \ x0 N ? A?\i Z p /? 22.0 = a w -?\ 1T?t (B3f7 ?? ? O e?ry. ' p.'E. 1 IO.OX 5.5{t5.9-'(8'34J?)_ _ 29.06 - 4;M O l \; o oY" '? ?, x 632.3 4 7.26 s3a.gx -- 55.74 fr33,5- r,1c' 'N6°31'34"W o d=5°41x?9" ?< M M R=560.89 ?M ASHBU_ R1' i _ R?j - - B - - -? DENO7E5 PROPOSED SURFACE DRAIfJAGE SCALE: 1]NCIt = 30 FEET O DENflTES IRON MONUMENT SE7 FEET • D'NOTES IROf? MCNUh+ENT FOUt?D PRDPOSED" GARA'GE FL00'f2 = 83S•3 X000.0 DENOTES EXIS7tNG ELEVATIO'N . PRO!'OSED LOVEST FLOOR = 932.5 FEET (000.0) OEPIOTES PROPOSED ELEVATIO'N P9OP'05ED TO'P 0'F BLOCN = 635-1 FEET l•I'E NEREBY CERTIFY TO SIENNA CORPORFlTION TH'AT THI'S I'S -A TPtU'E A'ND CORRECT R'EPftESENTAT10ty Or" A SURVEY OF TIIE DOUNDARIES OF: Lot 7.Block I. 4LACY.HAWK'GLEN iST AUDITPa'M, ac`cording to tlie recorJed plat thzreof, Dakota County, hlinnesota. IT DOfS NOT PURPORT TO SHOId IMPROVEt1ENT5 OR ENCR011CHM'ENTS, 1F ANY. AS SU'RV[YED DY M'E OR UNDER IdY DIRECT SUPERVISIQN TH1S 13TH UAY aF NOV. SIGPIED: JAMES . ILt, IMC. n UY: Hl1ROLD C. PE7ER50'N, LANU SUI'2VEY012 REVISED3-II-86 P1INNESOTA LtCEMS'E NUM4fR 12294 _ PAOJEC7 140. 800K / PAGE JANIES R. HILL; INC. 85618 663q 7 /a-o planners f Engin'eers / 5urveyors i 5 4 FILE 120. 0700 F9uimboFdt Avonu'e' &'oulh FOLDER Blootninpidn, ti+n. 65431 012=II04-3029 City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 3680 Ashbury Rd Lot: 7 Block: 1 Addition: Blackhawk Glen PID:10- 14350- 070 -01 Use: Description: Sub Type: e - Air Conditioner Work Type: Replacement Description: Air Conditioner Comments: Questions regarding electrical perm 952- 445 -2840. Fee Summary: Contractor: Sedgwick Heating & Air 8910 Wentworth Ave S Minneapolis MN 55420 (952) 881 -7739 Crystal Gemuenden ME - Permit Fee (Replacements) Surcharge -Fixed Total: I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - $50.50 Owner: Cameron A Johnson 3680 Ashbury Rd Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: Mechanical EA078974 07/24/2007 ePermit equirements should be directed to Mark Anderson, State Electrical Inspector, $50.00 0801.4088 $0.50 9001.2195 Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA118120 Date Issued:10/28/2013 Permit Category:ePermit Site Address: 3680 Ashbury Rd Lot:7 Block: 1 Addition: Blackhawk Glen PID:10-14350-01-070 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 . Chris Olson 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 - Seth Ressie 1111 Northpoint Dr Ste 100 Coppell TX 75019 Berkeshire Exteriors Llc 1371 148th Lane NW Andover MN 55304 (763) 746-4913 Applicant/Permitee: Signature Issued By: Signature