1592 Ashbury PlCFTY 8F EAGAN Permil No: 9969 Date: ?3830 Pilot Knob Road Meter No: qlN 753 7- -!!? Size:
? P.O. Box 21199 Reader No: f?? g? ? Date: /z -1 z'tl ?
Eagan, MN 55121
Site
Plumber_ Lunagre:, ;<rc:s.
Conn. Chg: 550.00pu Zoning: i?
Acct Dep: 15. 00p"d No. of Units: '
Permit Fee: 10, 00-psZ
Surchar e: • 5'?'P??
9 ? ?)?, ?}C,?r? I agree to comply with the City ol Eagan
Tr. PIanC Ordi.nancea.
Meier b? _ il(ln I ?
Misc.:_ -I,.V
WATER SERVICE PERMIT
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
BUILDING PERMIT
To be used for ?;x ak=C! '7AF? Est. Value 04 '(`i `c
Site Address 1592 AcMRtJ?2y p,..ACP,
Lot 2 Block 3 Sec/Sub. UACKIIAWK
GLEA 2
-
Parcel No.
? Name LUNDG REH BROli CONSTRi1CTI0N
3 Address 935 E HAY.ZATA sLvm
a City t•`A.X2!??!? Phone 473-1231
, o Name ? SA1•rE
? ? Address
? City Phone
W W
W Name
?
z Address
0
g W City Phone
I hereby ecknowledge 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.
Signature of Permittee
A Building Permit is issued to: :+?: h??GFE?'? Ux0 iCONaT
on the express cond ition that all work shall be done in accordance with al I
arpplicable State of Minnesqta Statutes and City ol Eagan Ordinances.
Building OHicial _
Receipt #
Date SEPTAUL.? ""
19 3.::
OFFICE USE ONLY
On Site Sewage Occupancy
MWCC System 4 Zoning
On Site Well (Actual) Const
City Water _ZL (Allowable)
PRV Fequired # of 3tories
Booster Pump Length 471
Depth 4r '
S.F. Total
Footprint S.F.
APPROVALS FEES I
i 542•??
Engr./Assess. Permit
Planner Surcharge ?d•??
Council Plan Review 231•00'
BIdg.Off. SAC.City '?•?,
Variance _ SAC, MWCC 5 50•00:
WaterConn. 550.00
Water Meter 6 7• 00
Road Unit 325.00
00
2?
Treatment P7 .
1
Parks
TOTAL ??, C-5 ?''00
CITIPOF EAGAN
3830 Pilot Knob Road
P.O. Box 21199 ,
Eagan, MN 55121
Site Addi
Plumber.
Permit No: 91M3
Meter No: _
Reader No:
Date:
Size:
Date:
Conn. Chg: n • 04pd
Acct Dep: 15. OCbd
Permit Fee:
Surcharge:
Tr. Plant
Meter.
Misc.:- , 7" F.? T?
Zoning: i1
No. of Units: ?
I agree to comply with the City of Eagan
Ordinances.
WATER SERYICE
CITY OF EAGAN Permit No: Date: 1?-S-SR
3830 Pilot Knob Road B/P No: Date: 1?l2 g-R?
' P.O. Box 21199 Eagan, MN 55121
Owner. j Lundpren ? ,- Site Addr
Plumber:
Bros. Plumb
MWCC: `S!1,OCir?'
City Chg:
Acct Dep: ? J
Permit Fee:
Surcharge:
Misc.:
Zoning•
No. of Units:
I agree to comply with the City oi Eagan
Ordinances.
SEWER SERVICE PERMIT
. ? CASH RECEIPT ?
? CITY QF EAGAN
, 3830 PILOT KNOB ROAp
EAGAN, MINNESOTA 55122
DATE 79
rZcervEo
AMOUNT $
& DOLLARS
?ao
O CASH ? CHECK
. f.
I , .
FUND pBJECT AMOUMT
I
Thank You
BY
. ?.
WnitePayers Copy
-
Yelbxr-POSting Copy
pink-Rle Copy
! CASH RECEIPT ?.
CITY OF EAGAN
3830 PJLOT KNOB ROAD
EAGAN, MINNESOTA 55122
' DATE --- ---- -19
RECEIYEO
AMOUNT $
8 DOLLARS
too
p CASH ? CHECK
? ?• `
BY
. White-Payera Copy
Yellow--Posting Copy
Pink-Rle Copy
Thank You
(gtr#ifiratit uf (Orrupanry
titp of tEagan
Erparttnrnt LTf ludbWg Inappcttnn
7his Certificate issued pursuant w tlee requiremenu of Seclion 306 of the Uniform Building
Code certifying that at the time of rssuance this smecture was rn compliance with the various
ordinances of lhe Ciry regulating building construction or use. For rhe following.•
use clatii6adm, `•:;? II+Ta'I?-??' Hldg- Flermit No. 15665
pccupancy Type R3?M . Zomng D"ntrict k? Type Crn?n ym
oWO«oraadmg TUKXEULy_:T;. Ad&m 9?T, r- 1;A,?AIA rUvo, wnVA ra
guikb4 pddrm lnulity RT 1,[k'kAlJK f-IFI+T 2M
Dats: Ig1mqm 19 - 198$
Bwkvng ommw..
POST IN A CONSPICUOUS PLACE
?. , 4... CITY OF EAGAN
.---• 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH ONE: 454-8100
BUILDING PERMIT
To be used for 'r rwC/Ga Est. Value ??? pOCA)
Site Address j Y' '2 AL%"r'RY PIJI-rt'-
Lot `Block 3 Sec/Sub. V~ACK''AWT GLEp 2
, p71nA? ?/1 - •
¢ Name _
.o
? ? Address
¢ City _
?Q
? W Name _
W y?
F
Address
u
Q W City _
1 hereby acknowledge tha
information is correct anc
Minnesota Statutes and C
5ignature of Permittee __
A Building Permit is issuet
I have read thls application and state that the
agree to comply with all applicable State of
Statutes and City of Eagan (
Receipt
Date _
1.5fiG' I
19 ti.
OFFICE USE ONLY
On Site Sewege OCCUpancy
- MWCC System ? Zoning r? •
On Site Well (Actual) Const Vr
City Watar (Allowable) V
PRV Required ? # of Stories '
Booster Pump Length 470
?
Depth 421
S.F. Total
Footprint S.F.
APPROVALS FEES
° '?2'?'
Engr./Assess. Permit ??'?'
Planner
Council Surcharge
Plan Review 271,00
BIdg.Off. SAGCity IOO•00
5!00
00
Variance _ SAC, MWCC •
,
550.04
water Conn.
Water Meter 67 • 11:0
325'0i)
Road Unit
Treatment P1 204000!
Parks
TOTAL
i' ?
r _ Permit No. Permit Holder Date T?lephone ?
Plumbing
H.V.AC.
Electric ?0
Softener
Inspectfon Dats Insp. Comments
Footings I
Footings II •
Foundation
Framing J
Roofing
Rough Pibg.
Rough Htg. ?dj?
Isul.
Fireplace
FinalHtg. .
Final Plbg. 1
Bidg. Final
Cert Occ.
,? -32
Temp. LP
Deck Ftg.
Deck Final
wen
Pr. Disp.
` PERMIT #
.
, PLUMBING PEHMIT RECEIPT k
CITY OF EAGAN - - 3830 PILOT KNOB ROAO, EAGAN, MN 55122 DATE:
CONTRACT PRICE PHONE: 454-8100
Site Ad%ress
Lot. eIOtk ? Sec/Sub
,
? Name ?-
? Address `-2 U «- ,{? • 4 v
c City Phone 'a
? Name r., ? , H r
3 Address
p City Phone
FEES
COMM/1ND FEE - 1°rb OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE 8 CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00) • 41
SIGNATURE OF PERMITTEE
FOR CITY OF EAGAN
BLDG. TYPE WORK DESCRIPTION
Res. New
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
?Water Closet - $3.00
Bath Tubs - $3.00 ?
--Lavatory - $3.00 Shower - $3.00
1-KitChen Sink - $3.00 ?
Urinal/Bidet - 53.00
_LLaundry Tray - $3.00 ?
i Floor Drains - $1.50
Water Heater - $1 50 A ? U
Whirlpool - $3.00
? Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIn
Softener - $5.00
Well - 510.00
Private Oisp. - $10.00
Rough Openings - $1.50
FEE: 3 ' -
STATE S/C:
GRAND TOTAL: -- ? ?
PERMIT #
. . MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE _
IACT PRICE: PHONE: 454-8100
Site Address
Lot ?
? Nal
? Add
c Ciry
Name ? ?. '• ° ?+ 1 "
c Address
o c;ry
-?
T1fPE OF WORK
Forced Air ? C G M BTU
Boiler M BTU
Unit Heater M BTU
Air Cond. M BTU
Vent
G CFM
C1
^
as Piping Outlets # -
Other
FEE
S/C:
TOTAL•
BLDG
TYPE WORK DESCRIPTION
.
?
Res. New
Mult Add-on
Comm. Repair
Other
FEES
HVAC 0-100 M BTU -$24
00
RES
.
.
ADDITIONAL 50 M BTU - 6.00
, (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 pER PEkM1T) - 1
50 EA
I oG .
.
COMM/IND FEE - 1?i6 OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. FATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
50 S/C IF PERMIT PRICE GOES
(ADD $
- .
BEYOND $1,000)
OF
FOR: CIN OF EAG
? C:i I Y Vt tA(aA1V 1 QO
15
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 1 a?
1
PHONE:454-8100
BUILDlNG PERMIT Receipt #
"
To be used for DECK Est. Value i 1?000 Date MAY 6 , 199,
Site Address 1592 ASHSIMY PL
Lot .2_ Block 3_ Sec/Sudl
OFFIC
E USE ONLY
Parcel No. occuPar,cy -H--2 FEES
zoryng -
a
W Name JOH1 OfSHAlAf?ilisSSY
(Actuaq Const
Permit 25.00
Bldg
o AddfeSS 1599 ? ? Pl. (Allowable) _
- .
Surchar e
9 -!?
City ???1 Phone 681..0030 * ol Stories _
e Plan Review
Len th -W
Z p Name ?M HARTMINK COlOML_=7'tAq Depth SAC. Ciry
U Address Ll? BBA?OL'.t ? S.F. Total
? " SAC, nncwcc
City EA
•W Phone _ 687-4343 S.F. Footprints _
C
? On Sita 5ewage
- 1Nater
onn
W W Name on sice weu
? _ - Water Meter
Address MwCC system -
¢ z
<W
City Phone
citywater
_ Acct. Oeposit
PRV Required _ S/W Permil
1 hereby acknowlege that I have read this applicalion and state that the
i
f Booster Pump - Siyy Surcharge
n
ormation is correct and agree to comply with all applicable State ol
Minnesota Statutes and City of Eagan Oroinances. 7reatment PI
Signature ot Permitee APPROYALS Road Unil
A Building Permit is issued to: ??? HARMRZNK WHST Planner - Park Oed.
on the express condition that atl work shall be done in accordance with all Council
applicabla State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. _ Copies
, Building Official Variance - TOTAL 2 S•?Q
Pemdt No. Permit Holder Oate Tolaphone #
WATER
SEWER
PLUMBING
H.VAC.
ELECTRIC
Inspection Date Insp. Commenta
Footings I
Founda6on -
Framing
Roofing
Rough Pibg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Orstat Test
Finai Plbg. Pibg. Inspecior - NoNfy Plumber
Const. Meter
EngrJPlan
Bidg. Final
Dedc Ftg. s ?
Dedt Finel
weli
Pr. Disp.
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N? 15665
PHON E: 454-8100
BUILDING PERMIT Receipt u S,? -7 -79 To be used (or SF DWG/GAR Est. Value $92,000 Date SEPTEMBER 29 19 88
Site Address 1592 ASHBORY PLACE
Lot 2 Block 3 Sec/Sub. $LACKHAWK GLEN 2
Parcel No.
rc Name LUNDGREN BROS CONSTRUCTION
W Address 935 E WAYZATA BLVD
0 z
City WAYZATA Phone 473-1231
, o Name- SAUF
?a Address
,
i- City Phone
Name
City
I hereby acknowledge that I have read ihis applicahon and slate that ihe
intormahon is correct and gree to somply witlrell apphca6le State oi
Minnesota StaWtes antl C' y o? Eaga rdina ces
Signature of Permittee
B S CONST
A Buildmg Parmit is issuetl to._LUNRGREI4__
oniheexpressconditiontha Ilworkshallbe onei accordancewi[hall
applicable State of Minnes a Statutes and y o? Eapa O tlmances
BudAing Ofhcial ;--__-
OFFICE USE ONLY
On Site Sewege _ Occupancy R3 Ml
MWCC System _X Zoning Rl
On Site Well _ (ACtuap Conat Vtt
City Water __$_ (Allowable) Vn
PRV Required _$_ # ot Stories
Booster Pump _ Length 471
Depth 42 '
S.F Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permd $ 542.oc
Planner Surcharge 46.OC
Counca PianReview 271.012
BItlg.Off. SAC,Cdy LOO.OC
Vanance SAC,MWCC $SO.OC
Water Conn. 550.010
WaterMeter 67.0c
Road Unit 32$.OQ
Treatment P1 204.00
Parks
TOTAL $2,655.00
/
BLDG. PERMIT NO.
.-t
01-3210 Bldg. Permit 00
01-3422 - Plan Check CO
J 01-3445 Surch./Adm.
01-3446 SAC/Adm. -"?-? So
? 01-2155 Surcharge /I S Q. 3
? 75-3860 Road Unit 3aj cy-)
20-2275
SAC
6 ? L ,
SCj
a 20-3865 Water Conn. ; Jo CO
J 20-3868 Water Trmt ?
20-3716 Water Meter C?o
?
20-2252
Acct. Dep.
S
? 20-3713 Water Permit
? 20-3743 Sewer Permit
79-3866 SewerConn. I CC 0O
28-3855 Park Ded.
TOTAL ? C!-S?j C7L
This reuest voitl ` ?QCJ
18 monQhs Irom / ?'/?OZ/? r
E 45 2 8 3?..? 9 a.<.L4 2LL
Fequest Dare / --' p
?O rf0 Fire No . aeqphed" insuer,uon
? fteatly Nuw Q Wiil Noufy Inspec-
ior Wh
R
e
Dyas en
eatly
ycensed Elec[ncal Contractor I hereby request inspechon oi above
LJ Owner electrical work inslalle0 a[.
Sheet Atldress, Boz or Route No.
1117 Ciry
ectwn o. Tawnship Name or No. Nange No. Cow(,
P,4Ko'rA
Occupant IPflINTI F one No.
? `SrMU uni ss.4 Cun»42?,cJ s
Fower upPlier Adtlress rf
i4ft"r-4 t, srs?J
Elecvicel CnnVactor IComuany Name) Convactor's L?cense No.
Standard Electric Co. 40837
Mailmg AdJress IContrar.tor or Owner Makmg InsmilavoN
67 Maplewood Dr M plewood, Mn 55109
AuMor tl na?ure IConhacwr wn e a i
Installatmn)
ne
Phone Number
1 1 484-8044
v? THIS INSPECTION NEQUEST WILL NOT
O STATE BOAND?B£ CTPICITY BE ACCEPTEO BY THE STqTE BOAXD
Griggs-MitlweV Blde. - Room d97 IINLESS PPOPEN INSPECTION FEE IS
1821 UnrversirvAva.. St. Paul. MN 55104
Phone 16121 6420800 ENCLOSEO.
REQUEST FOR ELECTRICAL INSPECTION es-oooai-as
, See instructions br comOleting tNs form on beck of yellow coOY J(J ??
E 4 6 -?? `-- "X" Below Wvrk Covered by 7hrs Request
Nevi AA? Beo. Tvoe oi awiarne Aoolinncea wnetl Enuiament wved
Home Range Temporary Service
Duplez Water Heater Liyhhny fixtures
Apt. Bwldmg Dryer Electric HeaLn
Commercial Bldg. Fumace Silo Unloader
Industnal Bldg. Air Condinoner Bulk Milk Tenk
Farm ojnr, ue, v tn,,r (sne,Aivj
t nr succi y t cr Otner
O50?Ct1011 FPP Relnw
k Fea Sarvica EntmnceSIxa k Fee Fexders/SUhfeeders ? Fnn Circuits
Q.? 0 to 200 Am s 0[0 30 Am s 0 tn 30 Am s
A6ove 200 qinps 31 to 100 Amps 31 ro 100 qm s
Swinuning Pool Above 100-Amps Above 100_O.mps
Transiormers Irrigation Boorcs . p Partial."Other Fee
I L ?Signs 15pecial InspecLOn
Nei.ks TOTA EE
,?7
. aG )
1, the ElecTrTe?
Inspector, hereby
carldy that the above
fnspection has been
?Oisrequesivaltl
[? 7 2 8 3 5
R¢q?est Daie Fre M. Rwgh-in Inspedion
?
? RB uiretl? ? Reatly Ww
VJitl Notity Inspec?ar
4
R
tl
M?
Ves ? No m
ea
y
I Klicensed contractor ? owner hereby request inspection of a6ove electrical work at:
Jo0 Atltlress (Sireet, Box or Route No )
/5-9a 45#01hey Qly
??4A/
SecM1On No Township Name a No Ranga No nry
AA?o rA
Occupant(PRINn Phone No.
D?S A lfNf.SS C?(,uN? FtJ c3 4.vsTat
Power Suppbar
? ('/
r,(?7
Je
Adtlrss ?
?
/O ?
?'? ?Ki'
a7LV
d?
Eledncal Coniractor (Company Name)
Standard Electric Co. Co recror5 Ucense No.
40837
Maihng Address (Contractor or Uvner Meking Instellati0n)
2672 ap ewood Dr.,Maplewood, MN 55109
AuthoraBd $? a (COMractor/Oxner m n lion) Phone NumbOr
,?1,. 484-8044
MINNESO A STATE BOAflD OF EL ICrtY THIS INSPECTION REQUEST WILL NOT
Grigge-Mltlway eklg. - poom &173 BE ACCEPTED BV THE STATE BOARD
1827 Univeralry Ave., St. Paul, MN 55104 UNLESS PROPEP INSPECTION FEE IS
Phonel612)692-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ee oooo, o7
? ? See mstmctions for compleUnq Ihis form on back oi yellow copg
M 72K'rj X" Below Work CZ36ered Dy This Request
e Add Rep. Typeof8uiltling AppliancesWired EquipmeniWired
Home Range Temporary Service
Duplex Water Heater Electric HeaNng
Apt Builtling Dryer Other (Specify)
Comm./Industrial Fumace
Farm Air CondNioner
Other (spepty) ConVactor§ Remarks
Compute Inspection Fee 8elow:
# O[her Fee # ServiceEn[ranceSize Fee # ircuits/Feedare F a
Swimming Pool 0 to 200 Amps 0 to Amps .oo
Transformers Above 200 _ Amps f A6ove ! Amps ,j co
SignS Inspectors Use Onry TOTA
G
Imgation Booms S
Special Inspection
Alarm/COmmunication
Other Fee
I, the Electrical Inspector, hereby
certity that the above inspec[ion has
been made. Rough-in
Finel Dati(
oe _
OFFICE USE ONLV '
Thia request vrntl 18 inmvlle, from
BUILDING PERMIT
To be used lor DECK
Est. Value $1,000
Site Address 1592 ASHBURY PL
Lat 2 Block 3 SeGSubbLACHIiAWK GLEN 211
Parcel No.
wlName JOHN 0'SHAU HNE Y
o Address 1592 ASHBURY Pr
City EApAN Phone 681-00 O
IfFlName FRED HARTGERINK CONSTRUCTION I
g? Address 4194 BRADDOCK TR
City EAGAN Phone 687-9343
Ww Name
?? Address
iw City Phone
I hereby acknowlege that I have read Ihis application and stata that the
information is correcl and agree to comply wrth all app6cable Slate of
Minnesola Statutes antl C?/ ot Egan r i<n?ances.
Signature of Permitee -
'
n BuAding Permit is issued ro: FRED HARTGERINK CONST
on the ezpress condition Ihal all work shall be done in accordance wrth all
applicable State of Minneso[a StaWtes and ?Ciry ?)of Eagan Ordmances.
,
BwidingOlficial a7N'q .o1rl?,-T?
__??
T
GTY OF EAGAN
3830 Pflot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
Receipt #
Occupancy
Zoning
(ACtual) Const
(Allowable)
4 of 5tones
Lengih
Depih
S.F. 7otal
S.F. Foolpnnts
On Site Sewage
on sae wen
MVJCC System
CiTy Waler
PRV Required
Booster Pump
APPROVALS
Planner
Council
emy. ai.
Variance
19015
C i3Q 7?
OFFICE USE ONLV
M-2 FEES
_16,
14`
Bldg. Permit
SurCharge
Plan RevieW
SAQ Cny
SAC,MCWCC
Water Conn
WatBr Meter
Acct. Deposil
S/W Pertnit
ShN Surcharge
Treatment PI
Road Unit
Park DeO.
Copies
TOTAL
25.00
.50
25.50
1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN ?
SINGLE FAMILY DWELLINGS ?
INCLUDE 2 SETS OE PLANS, 3 CERTIFICATES OF SURVEY9 7 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BIIILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL ONITS FOR SALE UNITS # OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COINMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS 'EP 2 3 1688
? /
To Be Used For: SiNb.Fhh??wfta.\GAP? Valuation: Z¢? -z7- Date:
Site Address Z
Lot Y Block
Pareel/Sub
Owner W? ? emT?a OL
Address
City/Zip Code
OOt3'?urrl?e u?n unLx
y2
,
On site sewage_ Occupancy R 3 M'
MWCC system ? Zoning 1
On site well Actual Const \/-w
City water ? Allowable
PRV required ? # of stories
Booster Pump Length ?
_
Depth 42'
S.F. Total
Footprint S.F.
Phone
AFPROVALS FEES
Contraet Engr/Assess
035 E WAYIATA N.IIa Planner
Address Council
Bldg. Off.
City/Zip Code 1"Im?'?'? -? Variance
Phone
Arch./Engr.
LUMDaREN BI103. COUTWCiIOM. OL
Address =--,e- RAYdl1TA 11k110-
City/Zip Code WAMTA'00 M
pmmqmggsl
Permit 51V.00
Surcharge 41610o
0
Plan Review Z7/, 0
1 -4-?q A 7 SAC, City irjp,p0
SAC, MWCC 590,00
Water Conn SSD , 00
Water Meter 00
Road Unit 3 5 oa
Treatment Pl 2v4 , ou
Parks
Copies
TOT9L ?
Phone 11
VALt,I/?'TIC) N
rolA4R,4GE
-----?
z o x zz =L1 ?F o X1 '-I ;:!- 6 I b0
56mT- ? tS? ?`o??L
1'? Kl2 = /6g
30 u I 2= 3ev 0
19
X Z ?F = 31_
B?y x ?2,53s?g
Nl? FL, mnm.
z4 X z7 = 6y8 ? yq= 31-7S2-
--._---
9 1 ?1 Sso
.iN .NMMMRtMW.UM KgIIMMUI
QIIJIATAStlAM1.3 BO!
M INI AtUYNM
Mi1?INW
im1iwym .i0111 0311NINti
ANA AZAYrA11f 3 m
ly w1 AUILYRIM
!luip iM01N
a* JOIS3p1't aaGJ tiK/ a ";.uW
.Ome.SrAw 3atJ?
ly NM ,ATA1vi?w
,.. 1lSttn ?i18?+1
SURVEYOR'S CERTIFICATE SIENNA CORPORATION
, REVISEO 9-14-88 TO SHOW A PROPOSED
' q HOUSE FOR WNDOREN BROS.
. . .?'\RY . .
S
. . .. • ? \ e32o B3jT ?
? e 830 R. ps .. .` 94
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. . ? ORA/NA09'AUTILITYEASEMENT I I N-
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;
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PER PLAr, 1 . ` p
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83q,p
00
834z?
? n1-. q- r i-,- ?^?n i • .
?EQ UQ R E D
• 'f ?o?o?o
"+-- DENOTES PROP05ED SURFACE ORAINAGE ,O'.,DENOTES IRON MONUMENT SET SCALEt 1 INCN ¦ 30 FEET
' 0., ? DENOTES 1RON MONUMENT FOUNO PROPOSED (iARALiE FLOOR ¦ ?.9 fEE7
X000,0'' 'DENOTES EXISTJN(i ELEVATION PROPOSED LOWES'f FLOOfi •:°F?72 FEE7
(000.0); DEtlOTES PROPOSED ELEVA7ION PROPOSED TOP OF OLOCK •' j?,?S.:3.?EET
'4lEI1ERE9Y CERTIFY 70 •SIENNA CORPORATION TI{AT TI115 IS A TRUE ANpCORRECT
':REPRESENTATION OF A SURVEY OF 7NE 110UNDAflIES OF:
: Lat 2 Block 3 BLACKNAWK OLEN 2ND ADp7TI0N, accordlnp to the recorded plat '
; thereof, Dakota County, Mlnnesota.
. . 1T IlOES NOT PURPORT '70 SHOW 1MPROVE14ENTS OR ENCf10ACNMENTS, IF ANY. A5 SURVEYED OY
¢IE OR UNpER MY,DIRECT SUPERVI510N THIS 30TH DAY OF DECEMBER ,. 1986.
.%j'r?1 If_-S/dyGNED: JAMFS4. NILL, INC. --
i
.? ? 1??- ` ?h? •
RYyt '?• , ?? .
:;'.. ??..??? . IiA ULD C. PE7ER50?1`LANb 5URU6YOR:'",;.
'hIINNE507A L1CENSE?,NUhlpfn",12294
G DEPT. ---
.:,,
P0OJHC,T N0.
600K / PAaE -
• ' '" '
JAMCS ??R:t??l
5618
Planners Engin?er
>?-?
o.,;??-.`
283 / 59 ?
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LUNDUCH
13 ROS.CO CTRUCTION
935 EAST INAYZATA BOULEVARD • WAY7_ATA, ti91NN[SOTA 55391 •(672) 473-1231
EXTERIOR ENVCLOP[ AVERAG[ U C01•;PUTATION
? Site Address ot a Block?
R & U Factors R -u
Opaque Llalls ' 0?113
Wall Framing Areas n 9
Ceiling Insulation Area 0-2 3
Cei 1 i ng Frami nn Area -0 a ?
=
Rim Joist -
f
Masonry 41a11
I•!i ndows
-3
Doors
5 ?
Skyl i ghts '
1 ) Loi•+er Level (Basement
33?
Total eaposed wall area zj/
Opaque 41a11 Area ?/s x (U) O 3=
A
l (u) o
'
rea
u
ood Frame -
-
-
Rim Joist x (U) ,-ov- _
x (U)
[r.oosed 61ock
1•;indo;•. Area x
-- (U)
"'
Sliding Glass Door - x (U)
Door Area x (U)
:r
. ' 2,
i
r
Pa9c 2
L ?? '
D ? ?E?
rpos CO CTRUCTION
U
935 EAST WAYZATA BOULEVARD • WAYZATA, ?v11NNESOTA 55391 •(612) 473-1237
lst or main floor
Total exposed wall area
Opaque wall area
Wood frame area
Rim joist
41i ndow area
Sliding glass door
Door area
/v7 ¢ -2-
?Z? X
/Ag7 Y
/3Ex
x
, x
?%''?
3co x
(u) .o'/.? _ _4011A?
(U) 10? _ f 36
(U) -0? = ss'z
(U)
(U)
(U) ,3
Total
3) 2nd floor if 2 story
'Total exposed wall area
Opaque wall area
4Jood frame area
4lindow area
Sliding glass door
- Door area
4) Total ceiling area
t•lood frame area
Opaque ceiling area
Skylight
9i4,111
?p ?x
&x
? X
? x
Total
G' tOD
(U)
(U) 10 _
(U) .3s = 7J?
(U) .3S =
( 6 x
r x
Total
(u) oa = oZ3a
(U)
(U) .?O./d2.
•• . .. L ?h D 4?k?.C n ' Page 3
13 ? ?CO CTRUCTION
935 EAST WAYZATA f30ULEVARD • WnY7_ATl+. MINNESO7A 55397 •(612) 473-1231
?
:s
'Minn. U Factors
Minn. U Factors
Total exposed t•rall area 1? ¢416
Total eYposed ceiling ar2a A6 o
(A) Total
x
x
= d q?. 9z
Item 1 o?-S30 + Item 2 7??Z + Item 3.S 7??4 } Item 4o4'#-1y=
/7/ T2?
If total of Items 1- 4 is less than Item (A), 6uilding
complies with S6C 6006 (C)s
APFLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
.
t NOPE: PAYHENf OF FEE AT 2'IME OF
'
i APPLICATiOfI OOFS NOT CON- :
? STi1V1E APPRWAL OF PII7MIT.
;
t INSPfXTIIXN OF SESdM APD/O2 WATIIi k
?*.
; xrsTauATzors WUL Wr ee sCEDaLED :
?[!NPiL PFI2FIIT flkS BEQi APPRWID. w
•?wa+??+w::?wwi*,r+w??a+???s+r?w?t:tr+w
OF GC1gaPi
(PLEASE PRINT
1) PROPERTSt ADDRFSS:
I,EGAL DFSCRIPTION;
IF EXISTING STRC'CT[JRE, DATE OF ORIGINAL BUILDING PII2MIT ISSUANCE:
Mont Year
PRESENT ZONING/PROPOSID OSE:
Q COM,4ERCIAL/RETAIL/OFFICE
Q INDLSTRIAL
Q INSTIZVTIONAL/GOVERNMENT
2) ? NAME:
ADDRFSS:
CITY, STATE; ZIP:
&J R-1 SIIVGLE FAMILY
? R-2 DUPLEX ('lb.o Ljnits)
? R-3 TOWNHOUSE (Three + C'nits) ( Lnits)
Q R-4 APARTMENT/COAIDOMINIUM ( Lnits)
PHONE: Y y7.? ` xv1.3/
3) • ? :?' NAME: ?Ly.,,
ADDxESS: ,N
CITYr STATE, ZIP: (.C/auv.r?i! ?%.v
MASTER LICENSE #
PHONE: V:) 114,
Active
I E?cpired
Not recordec
St Zniti
4) e.?'? EMRl•,
NANE:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
5) s a ?• • au i??
? CONNECTION TO CITY SEWER 0 CONNECTION TO CITY WATEETt F-I OTHER
6)
- y-Xa
***?********?*+*r?*.****?****?*****«**?*****«?**********+****+?****?*:r*******?****+*?*,r.**:?*.******,
* ZYIE GOID COPY' OF TM PERNffT WILL BE SENP DIF2E)CTI,Y TO PUBLIC WORKS 'DD FACILITATE ME1M PICK-UP. ;
* PLF.ASE ALIi0S+7 '1417 WORKING DAYS FOR PROCFSSING. SOME0NE FROM TM CITSC WILL CONrAL`f YOL? IF THERE ;
,
* ARE ANY PROSLIIMIS. +
?*?****??***?********+,***:**r.?*+****?+.*****?***?*+***?**++***+e***+**+*?**??*?*****?+++*+*??****+**?;
. FOR CITY USE ONLY -
PERMIT # ISSC'ED
Pd w/Bldg. Permit FEES:
$ SEWER PERMIT (INCLIIDE SURCHARGE)
$ $ WATER PERMIT (INCLIIDE SIIRCHARGE)
$ 47 G'O $ WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (INCLL'DE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOLNT DEP
OSIT - SEWER
$ $ /S -C L ACCOUNT DE
POSIT - WATER
$
.S S?r, n z:
$
WAC
$ I S?C .. R a $
SAC
$ $ TRUNK WATER
ASSESSMENT
$ $ TRUNK SEWER
ASSESSMENT
$ $ LATERAL BE
NEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$
$
WATER TREATMENT PLANT SLRCHARGE
$ $
OTHER
:
$ G Z
TOTAL
?7 7>Zi f 7-/(//
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQLIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
? YES IF YES, THEN A" PERMIT FOR WORK WITHIN PUBLIC
?
NO ROADWAY" MUST BE
DIVISI ISSOED BY THE ENGINEERING
ON. LIST AS A COIVDITION.
SU BJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
Y ?
TITLE:
DATE : IfT
/? T I
HEAT LOSS CALCULIITION qd °'fEMP DI F??
G+storrw Nam@_L4 ?E' ?S'TVW Comfnxfion ? <-tc,4C •? `,?? i, ? \
City _ Windpw?
Drlw Name WNM
Strwl Gilirq
City __ Floor
FQF`??YRoomlLarqth In WidehlS.9- Maidit
Winqfows and Door c-Gaekap snd Ar p
Na W'O?n
n1 O?M M.pM
OI ??M Ne ol I 4nM111
L \, OI CIKa A?M
. ti
C{Jf,. BtV
IMiltration
G lass
Exp.wall .15.sx?, O
Net evp wall o?p ?. ?
Int wall
Ceiling /0 X IS•S 2 ? p
Floor 3 b?
"1Ya1l 1-
Windows and Deors-Gedco Wd Arw
Me. ar? m i° s ?N ? y' Arr.
Cosf. Btu
Inlinr,tan
Gleo
Exp.wall :cky 2ff0
Not exp. wall 2 8o i t Zo
IM. wall
Giliiq I 1 X I Z 20
2
D P
cloar ZoY 3 1 Z
Total Btu. roui Bw. I`"O
' t g
00
e FI.I J+;t indows ?nd Room Duorsl-L hCrukaip? and Widthl3 Mi t8 1"`FI.I Feyev RoomlL Ay•5 Width1.s H
WiMovw and Dows-Gwduot ard ArN
W A?M
Mo Wmn N?Nn?
e? ?.r o? uw Ne e1
4
n L??Nfl.
O? eMe? ??
M- h.
f
?
V4JV 2U
L-
E Caf. Btu
Intdtr?uon zo 4v o0
Giau Zc> ? COU
E.p.wau 220
Nel eto. wsll JpU gOd
Int. wall
ceainy iy X rs. S I Z- 3
F Ionr gl
Mo WbM
M M MayM
N M Me M
L L1w1".
of nM A.
ft
? a c? ao?,. z? a o
z ? z 60 3 34
Cwt. Btu
Infinr.tion 4o ZIlco
G4a K SJ Zri oo
Exv. vwll
Not nD. +»II 4 t $?
Int. will
Ceir^o 9-5 x. S ,io z zzo
Fioo. iro Z 2zv
TntalBtu. 35y ToulBtu. I S'38P
8
a FI.I F?e? Hoomjl hp?.S WidM I'1 ' t S l?Fl.? Lnwalv RoanI L Lo Widlhl 2.. moot
WinMws anA Doors-Gukaee aM Arr Windowt aW Doors-GadUp NW Arr
Nr. W'???
.?r r,.... ?nM??
M n.M NO OI
l? M• l??Wlll.
N?ne? ??M
w 1?
av 3c? ? ao
CaN. 91u
Infihrahon 3 $ `/o 1 zv
Gas 3v SO o0 _
EKP.wdl g?
Nawo wau 7ci( `
Int wall L
Ceibn9 93.5 x I
I
3a`
1
In
F
fiWB q
'3a I 3 ( Tobl Btu. I ! -n8 (
w? w.mn ti??? Me N LMr? N. ??
CoO. Btu
Intilvstwn t 0 n
Glas L I L D0
Erp.w,u ?i Xg °41
Not np. vwll ?2- Z&£(
Int. wall
CeIlirq (p K 12-
f ba ?'r ' t 1 y
TotalBtu. I[" 9 x L-
r
HEAT LOSS CALCUlAT10N ° TEMP. DIFF.
mmu Nsmt 1- "r `?`, t F4i •? ?r rY TVPG Cwtsuuction
nv - ?- Wirdow? Stam Smsh
Orlw Name.- _ Walk . I^e•
SMM Gilinp IA.
City Ftoor
Windows snd Doors-Gackao arwl Arp
MO W'Oln
n1 wn"nt
0I1??M No OI
l? 11ft I L?wNI h.
OIgHC! A?N
.1l.
a4
Cod. Btu
Infdtration Z (7
Glass IQ CO :co
EKa.wali Zc xQ 'aad
Net eyp wall JF? ?Ia
Im wall
Coiline x 1? ?5k z 3?z
FIOOr ? 2- '31]-
I ?ti 14 WidM i L
I' F1.1 Li
Windowr nd Doai-Gadcp? rvd Arr
Me NIOM
X ?M INW'?
01 ?M W. N
L' e, UwW f1.
NW". 4M
3 Pti zi 1 ?a ?8
-
Coof. Btu
Infiltration Z b A
Gim c7j zzS,*D
Exp. wall ?-12- x g S(a
Not oxD. wall 2.11
Int. wdl
coilino jv< i l(o u z = a?
Floor fto ?
r
Totel Btu 3? (6L Toul Btu. ti
1F1.1 1?5,v, lu Roomllrnqth f(o WidM HeqM" Z" I.IMas}•+ , RoomILM? h`i,S Width 12 Hei t7
w?...r,?.,.. rkv,n-Craeluee rd Arr - -- Windowt and Doon-Gatkap Nd Arr
rid Mo w.mn Wqnt No e1 I-wNN. Aw
OI ?M L \\ OI iNL\ A. f1
iF 2`t ? 3 Z
CaN. 9tu
Inlinnuon fo 3 `'J Z 520
Glau Z9oo
Exp. wall '/ x ( `30
Net etP wall Z1? v
Int. wall
ceiiirn i b i ZZ v
? loor 2z z- N
TnulBtu.
_---
I _, Room I Lnqth ( a wken+_ i 4 r+.id t 8
wuvfnun Omrs-Gackaee and Arr
Nr? W"??? ??Mwl NO OI 1??1r111. AIM
('pf. Btu
Infrltratron 2-Z. y0
Gia.c !?( ?[J
Exp wNl (c? i?U
Not am0. wsll lt 1 k
Int wall
ceil,ng I vo 9
?
lYO
v e
,
)
Total 81u. 1 ' b S Y
Me wwm
? ?y wyn.
N ?y we N
l ll.W h.
N Ai,eii
?ti
a 31
Cwt. Btu
I?ikntion 1 ?+ `?o !
Giw 2 ri SO /q G.J
E:D. wdl 77 S J?fr Z So
NotexD.rwll 2e-. q 83}
IM.wdl
Ceiiirp 17- S?c Z1o 3 ?03?
Fkd 210 2-
II ToulBtu.
j`' I I r k'•'jk n Room lUrylA lo. S WidM 150 Mel4ht
windr,w .ne emn-G.dc.aa and An.
'
Mn. w.stn
M w•y??
N Me. N
L A LI1+M n.
M MM? Ai,oin
h.
.L = 2-? 2 o I 2
CoO. Btu
IOfihrJtqn CU 6
cw 11 o
Eap. vall x? I?
Not eMP. wall 1?'0 9
Int. wdl
c.inno
Fbw
?`r
'?- ?
Zcf
Tot?l Btu. I %'S ' } _
HEAT LOSS CALCULATION o
eomer Narm n c? C. rP? v v S.
:ky -
OeaNr Nnm _ --
S1rNt --------
Ciry
.I'112 14,1 Room j Lmqth 1--). S WidM
WincWws and Doori-Gackan and Arr
No w?sen
?? w^? w???M
et ppy Me ol ? Lmrl h.
L b et enH Aw
p. h
2 3G ??f f
3G 3G 1 ? 8
Coef. Btu
Infilt?ation 5 v c, 2080
G4u
Exp.wall
N!t eMp wsll
Int wall
Ceiling 1-1 .? x I
Floor ?? f ? p
Total Btu.
"3pJ Room I L h 1 L s Wideh Hei t
W indows snd Duors -Craek ap and M n
No wmm w?Nm
o? ?n? e, ?H No el
l u L?wl N.
el ?nel AIr
q. ft.
2 3? 24 1 2`1 I
?i 3G ?S
CoN. 8tu
l11fiIL/i1100
G4u .D "'cE!>u
Effp. wsll 2, S X ? Zt 2_
Nel eYP. wall
Im. wall
ceiiiny r73 3 15I
F lo,. ? v sq
2
Btu.
F 1.1 vVWJ Room iLangtA lH Wid[h /0
WmAnws arM Doon-Gukape pd Arw I
M, W.nln MwMM NO OI
i. nu L1NfoIM.
10 eneh AIY
w. n
zI z aL
z 3 ? ,n z?- 2 g
.
? Cal. Btu
?nhlrranon :?
??a,s
N
E.P. w.u ; Yr. ? _.?, ..
Nff tnp. WaII
?
r' J•' ? .
Inl wall
Cedinq /?? y t e' r<?+,-, i
florw 'r.I ii- r;-)
i
IV
e
?
ToulBtu. I t 'h?ft_
Y t??„?;;crl 7<.Y-?
27 ? 1 ;h
?
° TEMP. DIFF.
r. V
TYW ConKrueNon
Wirdow? Stam Sinh
WaIM Im.
Gilirp Int.
Floor
Windowt and Dows-Gadcso and /km
Me. waM
W ?NyM
W M Na. a
L
fIl"Is LMmM n.
HYK? An?
.1?
? Cps(. Btu
1?(ihr?tan
Glm
___
Exp. well
No[ exp. wall
Int. vall
Gilirq
f loot
Totd Btu. I
FI.I RoomI L h Width H' t
Windows and Doon-GKluw aW Arr
Np' WNtn
01 ?M M11?1??
N M Ne al
l b L~ ll.
Nini?
•???
Cwf. Btu
i11f1l(!\LqI1
G Iw
Exp. vqll
Nn enp. wstl
Int, wall
CeiGrq
Fbor
Total Btu. I
FI.I Noo?nlL Width ~t
WiMowa ud Doori-Gadc" and ArN
r+n. N?m?
?1Y ?Nyq
?A Ls e?
b LNrw n. • n.
Coaf. 9tu
Inrinratan
G4r
Eap. wall
Not Orp. wsll
Int, wall
Gilirq
Fba
II Tobl Btu. ?
? •'? '-- ,i .: r . .
Ij. ?' .- l ?? ? , r.•? ,/ . . L
& y3 y-- T?.?/ ffeu? LeS?
, I
SINGLE FAMILY DWELLINGS
2 SETS OF PLANS
3 REGISTERED SITE SURVEYS
1 SET OF ENERGY CALCUL4TIONS
1991 BUIOG PERMj 5LICATION
CITY OF EAGAN
Mi[TLTIPLE DWELLINGS COI44ERCIAL
2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
(CHECK WITH BLDG. DEYT.) 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 iIP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLAWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For
Site Address
Cr.k Valuation: 74-?- Date: 5-a - / /
/S91- /{5h&xu
Pkice-
Lot ? Block
Parcel/Sub -1 bs
Owner Tokn 0'
Address z 59? .4-c27(jvey Plc;«
City/Zip Code Z5?q, 4/7
Phone 3(7
Contractor Frcl &rh(e-f IA ?.0/ISIf.
Address y/qy 1?l"Cf dGrOC`C TYrn r I
City/Zip Code Ee?* yo
Phone 93
Arch./Engr. ??'? 40
Address rn C
City/Zip Code <<
Phone # t(
OFFICE USE ONLY
Occupancy N?- 2
Zoning
Actual Const
Allowable
# of stories
Length )?1
Depth /41'
S.F. Total
Footprint S.F.
On site sewage_
On site well
MWCC System _
City water _
PRV _
Booster Pump _
AYPROVALS
Planner _
Council
Bldg. Off.
Variance
FEES
Bldg. Permit 25,00
Surcharge ? SD
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
SUBTOTAL
Penalty
Lot Change
TDTAL ?
agrees that all work shall be done in accordance with
? ( ignature of ntractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
r,RVEY OR'S` CERTIFICATE sIENNA CORPORATION
REVISED 9-14-86 TO SHO'Y! A PROF'OSED
? HWSE FOR WHDOREN BROS.
\?° . . .
\ 8303 R.ps ' ?? ?• , ,
. . ? d s8 00? s? ? \
/
. ..
>.
;f
''.
ex?
?'O? r?tic
w? SF .
. ?
?1 00
? J
08 -. 03 o ? .
s
I ^7/? r ``? ?? 6? ?l
. ?ry
o`O ? . LOT.
, .. = s/
oRaidince'9 unurr easEmen+r i
?P£R PLAT
O
?8o48,4p„w o
; . 100,00.-?.
?
! p
--
, ,
?.''f
??? _.;
, N
` O
(0
2
1 ?
_n
???n'? r?i ?
riN,i . ,
v?r< ,.?,._?_?v . .
.?? P:R.V. REQUIRED
DENOTES PROPOSEQ SURFACE DRAINAGE
O' UENOTES lRON MANUMENT SET SCAIEt 1 INCH ¦ SO FEET,
•, DENOTES IRON MONUMENT FOUND PROPOSED GAllAtiE FLOOR ¦.'?v19 FEET
%000.0' .'UENOTES E%ISTJNf ELEYATlON PROPOSED LOWE57 FLOOR ¦'P;1-T.Z FEE7
(000.0) UEtlOTES PROPOSEO ELEVATION • PROP05ED TOP OF DLOCK • p,;S..3FEET
, rr • , ,
YIE HEREBY CERTIFY 70 •SiENNA CORPORATION 7HA7 711IS 15 A TRUE AND CORRECT
'flEPRESENTA7I0N OF Q SURVEY DF THE IiOUNDARJES OF;
•' Lot 2. 81ock 3 6LACKHAWK GLEN2NDAD6IT10N, accordln0 to the recorded plat '
" thereof, Dakota County, Mlnnesota. "
. IT DOES NOT PURPOR7 OT0 SI{Oid IMPROVE14EN75 OR ENCROACHMENTS, IF ANY. AS SURVEYEp pY
:¢IE OR UNpER MY.DIRECT SUPERVISION THIS 30TH pAY OF DECEMBER , 1986.
? GHEQ: JAM? HILL? INC. .
'r
? • ? . .
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RESIDENTIAL
35I-7(11? BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Construction RenuiremenU
• 3 re9rstemd sne surveys showmg sq. ft. of !ot, sq. R. of house, and all mofed areas
(20 % maximum bt coverage albwed)
• 2 copies ol plan showrng beam 8 window sizes, poured found aesgn, etc.)
• 1 set ol Energy Caiculations
• 7 copies at Tree Presarva6on Plan if lot platted aRer 711193
. Rim Joist Detail Opbons selec6on sheet (bldgs vnth 3 or fess units)
DATE ? y oZ
SITE ADC
TYPE OF
APPLICANT
STREET ADDRESS
IULTI-PAMILY BLDG _Y 1(N
PIREPLACE(S) _ 0 d 1 _ 2
6?7 ?/STATE ?r/11 P S 3! L
TELEPHONE # 763- 3?-3-9258 CELL PHONE #?/?-??/-1 ?`{U FAX #
PROPERTYOWNER S<i?q ?SIIGC<?c?nY1zS51/ TELEPHONE#G5-/-dg8/-6%3G
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ kII\'\ 1S0"1'.1 RUI.t:S 7670 CA"11:GURY 1
su6mission type) . ResidenGal Ventilation Calegory 1 Workshee[ Submitted
. Energy Envelope Calculations Submitte0
Plumbing Contractor:
Plumbiiig systein iiicludes
Mechanical Contractor:
Mcch.mical svstciu indudr,:
Sewer/Water Contractor:
Air Condiuoning
Hcal Rccovcry Systcm
Phone #
Phone #
Pce: $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 Ordinan s
SignafureofApplicanf ?
OFFICE USE ONLY
Water Softener
Water Heater
No. oF Batlis
VALUATION 4/ zpo
SEP 0 9 2002
RemodellRemir Reauiremenls
. 2 copies of plan
• 1 set of Energy Calculatians for heated adddrons
• 1 site survey for eztenor adtlitans 8 tlecks
. Indicate d home served 6y sepnc system `or additions
Phonc # lB)
L.awn Sprinkler
No. of R.I. Baths
I13.7`5
Submitted
Fee: $90.00
Certificates of Survey Received - Tree Preservation Plan Recerved - Not Required _
Updated 4102
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 73 16-plex ? 20 Pooi ? 30 Accessory Bidg
? 02 SF Owelling ? OB 06-plex ? 16 Fireplace C3 21 Porch (3-sea.) ? 31 Ext. Alt - Multl
? 03 Ot 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 (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex O 12 12-plex Plbg_Y or_ N 0 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 appltcant
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 bidg) FinaVC.O.
_ Footings (deck) FinaVNo C.O.
_ Footings (addition) _ plumbing
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water _ F inal _ Pool
Ftgs
Air/Gas Tests Final
_ Flanvn8 _ _
_
Siding Stucco Stone _
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
(-09??? RESIDENT7AL BUILDING
Permit Application
City Of Eagan
3830 Pilot Kno6 Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
4-?v er?
New ConsWcfion Reauiremenk RemodelfReoair Reauirements Office Use OnN
3 registered site surveys showirg sq. R of lot sq. ft of house; and all roofed areas 2 copies of plan CeR of Survey Recd _ Y_ N
(20°k maximum bt coverage allowed) 1 set af Eneyy CalculaGOns for heated addNOns Tree Pies Plan ReW _ Y_ N
2 copies of plan shwring beem & window s¢es; poursd foond design, etc. 1 site suroey (or addiUons & decks Tree Pres Reqd _ Y_ N
lsetofEnergyCalculations Adddion-iim'kateilarsitesepUcsystem On-site Septic System _Y _N
3 copies of T2e Preservation PWn if bt platted after 711193
Rim Joist Defail Options selection sheet (bldgs with 3 or less uniCs
Date ?l, l Z 1 /o 3 Construction Cost 'f512%) J
Site Address /7 yli ' 7)4/ p41 `
p1/7 ?.{.? UniUSte #
Description of Work ?P-15711-L?L-
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 31 _ 2
Property Owner -'Q AuG JJL,JJS? Telep6one #(0> /) 01'693J
Contractor A-
Address _ 363D UJ. 66w"! /.J' City_X-ItfI5?itte
State Av-1 Zip 5'i 33? Telephone #(9N2) JYQ-07?°J
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 1670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residen8al Ventilation Category t Worksheet . New Energy Cade worksheet
(Jsubmissiontype) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan2
fee applies.
Licensed Plumber
Mechanical Coniractor
Sewer/Water Contractor
Telephone # (
Teiephone # (
Telephone # (
N If so. 25% plan review
IDEC 2 9 =:;3
I hereby apply for a Residential Building Permit and acknowledge that the information is complete arid'accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in ike case of woN which requires a review and
approval of plans. ,
Applicant's Printed Name Applicant's, ignature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-piex ? 20 Pool
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of_ plex O 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.)
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo)
? 05 03-plex O 11 10-plex ? 19 LowerLevel O 24 Storm Damage
? 06 04-plex O 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
. ?
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
? 31 New ? 35 Int Improvement ? 38 Demolish (fntedor) ? 44 Siding
? 32 Aqditlon ? 36 Move 81dg. ? 42 Demolish (FOUndation) ? 45 Fire Repair
? 33 AReration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) FinallNo C.O.
_ Footings (addition) _ phunbing
_ Foundation HVAC
_ Drain Tile pther
Roof _ Ice & Water _ Final Pool Ftgs Air/Gas Tests Final
- Framl'ng _ Siding Stucco Stone
_ FuepIace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MClES SAC
City SAC
Utility Connection Charge
5&W Permit 8 Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
Use BLUE or BLACK Ink
r________________�
I For Office Use I
� � Permit#: / � ���� �
clt ; of ����� ; . f,�^g [�. ��- �
Permit Fee: ! V >- I
3830 Pilot Knob Road � I
Eagan MN 55122 � Date Received: �� ( �
Phone: (651)675-5675 � �
Fax: (651) 675-5694 I Staff: �
I �
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: �-��-'��� SiteAddress: lS�fa S�, �u. /✓�b� � Unit#:
Name: �O�t� � ��F�r�i�e s sv� Phone: ��/- �Q/- c`1ca31�
Resident/
Owner Address I City/Zip: /S�la �S�i ��h ���c -(
Applicant is: Owner �Contractor
Type Of WOrk Description of work: `T e F� -o .-� `� S�i i r,v���
°' Construction Cost:_ �S-O D � Multi-Family Building: (Yes /No_)
Company:_ �o�� C��„��,� �� �� �/c�r Contact: �o�
: Address: ���.� frei`�w;�K ��.�-�.,�., City: fJ'�oo/�/ �-+�'�
Contractor'
State:�� Zip: S�`��/3 Phone:(`v/-2-y/,�-309� Email: —�o-�-, ya � '��c ��..-,G:��
License#: �G 6�'��(��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 thatyou 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 thaf 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.qopherstateonecall.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.
Exteriorwork authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
X �^o�. ��.-+�,"a ir �7 X -
ApplicanYs Printed Name plicanYs ignatur
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA136856
Date Issued:06/02/2016
Permit Category:ePermit
Site Address: 1592 Ashbury Pl
Lot:2 Block: 3 Addition: Blackhawk Glen 2nd
PID:10-14351-03-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 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 -
John M Oshaughnessy
Christine T Malensek
1592 Ashbury Place
Eagan MN 55122
(651) 402-2411
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature