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1632 Ashbury Pl CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PH ON E: 454-8100 BUILDING PERMIT Receipt # To be used for z4 ll~ G{ ,A t Est. Value Date Site Address 1 ,'dt A6ABURY OFFICE USE ONLY Lot Block Sec/Sub. IfLAt.F:'" GLi-,N 2f1#On Site Sewage Occupancy MWCC System X Zoning t: l Parcel No. Vn On Site Well (Actual) Const x Name IXNDGRLaN BROS CC:%S'! City Water X (Allowable) VN 3 Address "35 k WAYZ A fA LLVI i PRV Required # of Stories o City -7 ~-AT=~ Phone Booster Pump Length wa Depth 4-v p Name. 1'w S.F. Total o < Address Footprint S. F. ~M- City • Phone APPROVALS FEES U Engr./Assess. Permit ' L►r • 541 W = Name Planner Surcharge E►4• lh7 Address Cit Phone Council Plan Review 230.75 W y C Bldg. Off. SAC, City i UO . U Variance SAC, M WCC S Z 5 • fiQ 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 Water Conn. 525. UO Minnesota Statutes and City of Eagan Ordinances. Water Meter 67.00 Signature of-Permittee 305.00 i-UNI RhN BROS Wk.gT Road Unit U A Building Permit is issued to: Treatment P1 on the express condition that all work shall be done in accordance with all parks applicable State of Minnesota Statutes and City of Eagan Ordinances. - ?t 5 TOTAL Building Official _ CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for Est. Value Date ,19 Site Address OFFICE USE ONLY Lot Block Sec/Sub. On Site Sewage Occupancy MWCC System Zoning Parcel No. On Site Well (Actual) Const a Name City Water (Allowable) W PRV Required # of Stories = Address C City Phone ty } - ` .3'L Booster Pump Length Depth p Name S.F. Total o i Address Footprint S.F. P City Phone APPROVALS FEES Name Engr./Assess. Permit ~ W yU F Planner Surcharge ~ o Address i W City Phone Council Plan Review Bldg. Off. SAC, City I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC information is correct and agree to comply with all applicable State of Water Conn, Minnesota Statutes and City of Eagan Ordinances. _ Water Meter Signature of Permittee - Road Unit A Building Permit is issued to: Treatment P1 on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks TOTAL Building Official Permit No. Permit Holder Date Telephone Plumbing _ 10, H.V.A. C Y L- Electric W Softener 1 Inspection Date Insp. Comments Footings I Footings II Foundation Framing Roofing Rough Plbg_ Rough Htg_ Isul. . Fireplace Final Htg. Ffkl' Final Pl bg. -/Q CLAPy AA k Bldg. Final Cert. Occ. Temp. LP Deck Ftg. Deck Final Well Pr. Disp. ,IS C r~ • PERMIT q PLUMBING PERMIT RECEIPT # 1 LIP 2- CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454.8100 Site Address BLDG. TYPE WORK DESCRIPTION Lot Block Sec/Sub Res. New g -0, Mult. Add-on Name _S f P ; 1 L Comm. Repair Address o(A (I I Other c city g_-_ C '6 Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING: j~10. FIXTURES 9TOTAL Name I Water Closet - $3.00 ` Bath Tubs - $3.00 Address -3-Lavatory - $3.00 O City Phone Shower - $3.00 3 Kitchen Sink - $3.00 FEES Urinal/Bidet - S3.00 COMM/IND FEE - 1% OF CONTRACT FEE _--4-Laundry Tray - $3.00 APT. BLDGS - COMM RATE APPLIES /Floor Drains - $1.50 •:1 TOWNHOUSE & CONDO - RES. RATE APPLIES / Water Heater - $1 50 % o MINIMUM - RESIDENTIAL FEE -$12.00 Whirlpool - $3.00 MINIMUM - COMM/IND FEE -$20.00 Gas Piping Outlets - $1.50 STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT) (ADD $.50 SIC IF PERMIT PRICE GOES Softener - $5.00 BEYOND $1,000.00) Well - 810.00 Private Disp. - $10.00 Rough Openings - $1.50 z ?'7 2 _gj;~ SIGNATURE OF PERMITTEE FEE: STATE SIC: 1f, FOR: CITY OF EAGAN GRAND TOTAL: PERMIT # 91 MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE CONTRACT PRICE: i ( PHONE: 454-8100 Site Address BLDG. TYPE WORK DESCRIPTION Lot Block Sec/Su4 Res. New X Name r Mult Add-on Comm. Repair Address C City Phone Other FEES Name RES. HVAC 0-100 M BTU -$24.00 W Address ADDITIONAL 50 M BTU - 6.00 p City Phone (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA. TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air = M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 Vent CFM (ADD $.50 SIC IF PERMIT PRICE GOES Gas Piping Outlets # BEYOND $1,000) Other FEE S/C: SIGNATURE OF PERMITTEE TOTAL: FOR: CITY OF EAGAN INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: ' (612) 681-4675 SITE ADDRESS: APPLICANT: rl s+ri Y E uii : I~ Its r i ~+r~ Pl, I PERMIT SUBTYPE: TYPE OF WORK: 1 1 ,t i r t t rl INSPECTION TYPE .DATE INSPTR, INSPECTION TYPE DATE INSPTR. i , r., r:W 01 V iF 111 !i It'; M I f ! I1!rr1 1 t 1 +11! I i; F 1 If 1 1 1►rHkt i tdi; 44 5 rr io I,r 1;.'7f,1 t 1 ?1 I i I t (''1 l i'' t { s i,11'. Permit No. Permit Holder Date Telephone # ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING 7 ROUGH PLUMBING ~/~j ~Z L-~•~~~ PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: t " Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: INSPECTION TYPE DATE INSPTR. INSPECTION TYPE .DATE INSPTR. F Permit No. Permit Holder Date Telephone M ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG ~///9~ uJ8 DECK FINAL 4 CASH RECEIPT CITY OF EAGAN • 3830 OILOt KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 RECEIVED t FROM AMOUNT $ E DOLLAR! loe CASH CHECK FOR f' FUND CODE AMOUNT f ~ f Thank BY White-Payers Copy Yeliow-Posting Copy Pink-File COPY BLDG. PERMIT N 0 . 01-3210 "c ~9fird.r permi L c.= 01-3422 Plan Check 01-3445 Surch./Adm. 01-3446 SAC/Adm. 01-2155 Surcharge 13-3860 Road Unit 20-2275 SAC 20t 3865 Water Conn..'' 20-3868 Water Trmt. 20-3716 Water Meter 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. L 11-3855 Park Ded. TOTAL b f ~ (Irrtifirotr of (Orrupaury Citp of Cagan This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: Vae Clataifintio >t JAW/V,,,;- Bldg. Rrmit No. Occupancy Type F,3 Zoning Diatriet Type Coat. Owner at Budding i~ BROS. 0CW1 Add= -~'IS kKf A'":1 Building Addres. Date: na ~y, Bolding 06iatl _ POST IN A CONSPICUOUS PLACE CITY OF EAGAN Permit No: IM " 114 Date: I ~ 1 ~ 7 3830 Pilot Knob Road Meter No: Size: P.O. Box 21199 Reader No: Date: Eagan, MN 55121 Owner. '-~ren 3ros. _ Site Address: 1632 Ashburv Place L12 E3 Blac!Uxawl: (1 I,- Plumber Lundgren Bros. P? ur.:b Conn. Chg: 525 `~1 Zoning: r 175. oup- Acct Dep: No. of Units: Permit Fee: Surcharge: ' I agree to comply with the City of Eagan Tr. Plant `t Ordinances. Meter. 67.Oi Ud Misc.: P7Q!-rrR7r BY WATER SERVICE PERMIT CITY OFEAGAN Permit No: 10264 Date: 1.0-1--87 3830 Pilot Knob Road B/P No: 77678 Date: 9_3t--87 P.O. Box 21.199 Eagan, MN 551@1 Owner. " Lundgren Bros. Site Address: 1632 Ashbury Place L12 .-:cVhawk Glen 11 Plumber. Lund Freik Bros. Plumbin` MWCC: Zoning-' City Chg: 10D.00~ No. of Units: j Acct. Dep: I agree to comply with the City of Eagan Permit Fee: 10 - Qly? i Ordinances. Surcharge: • `01)1 Misc.: By SEWER SERVICE PERMIT CITY OF EAGAN Permit No: Date: 10 1- ~ 3830 Pilot nob Road Meter No: ✓?ga- -S3 S7 Size: R flocc 6 P.O. Bq,C 8 99 Reader No: Lf R P 7 7 f „L9 Date: L I - ~J Eagdn, MN 55121 Owner. Lundgreii :bros. Site Address: 1632 Ashburn Place 1, 1. ~I,. r l u: 1'I Plumber Lund,~ren :4"'AWNS. Conn. Chg: 525 . ` g.jj` Fe digging cal( Ii1'~lee •'x Acct. De : 15 . c? , foti„ 1 Permit Fee: Surcharge: • IM31 HUD ""Wply with the City of Eagan Tr. Plant Ordinances. Meter. 67 _1)op'l Misc.: PPP! `JAT Ir?. nr ; ,T'r By WATER SERVICE PERMIT This recue% vord 117 9 18 months from RequeA't Date Fire No. Rouph-in Inspection R netl? ❑Rea dy Now ~.WHI Ne c Ify nInspec- ~ 11-9-87 ❑No [or When Ready Srcensed Electrical Contactor I hereby request inspection of above ❑ Owner electrical work installed at: Street Address, Box or Route No. City 1632 Ashbury Place Eagan ecUOn o. Township Name or No. Range No. County Dakota Occupant (PRINT) Phone No. Sargent (Lundgren Bros Constr) Power Supplier Address Dakota Electric 4300-220th St. W.Jarmington 55024 Electrical Contractor (Company Name) Contractor's License No. Standard Electric Co. 40837 Mailing Address (Contractor or Owner Making Installation) 2672 M pl ood Dr., Map oo Mn 55109 Authorized S re (Contra ctorlOwn M g X tall anon) Phone Number J 484-8044 THIS INSPECTION REQUEST WILL NOT MINN. ST TE BOARD OF N-191 BE ACCEPTED BY THE STATE BOARD Griggs-MidweV Bltlg. -Room N-1•191 eE ACCEPTED BV THE STATE BOAflD UNLESS PROPER INSPECTION FEE IS 1821 Univers rty Ave., St. Paul. MN 55104 Phone 161211 642-0800 ENCLOSED. 71,V 'J REQUEST FOR ELECTRICAL INSPECTION /EB-00001-06 0 See instructions for completing this form on back of yellow copy. / 5;1 0 . 6 5 7 6 8 "X' Below Work Covered by This Request Hdd Rep. Type of Building Appliances Wued Equipment Wired Home Range Temporary Service DuPlex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heatin Commercial Bldg. Furnace Silo lhtloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Dthrr peu V Otner (Sem ifyl t er Sunu V Other Other ompute Inspection Fee Below fl Fe Service En(rence Size a Fee Feeders/Subfeeders s Fu. Circuits 0 to 200 Amps 0 to 30 Amps 0 to 30 An Above 200 Amps 31 to 100 Amps 31 to 100'Amps Swimming Pool Above 100 Amos Above 100_Am)s Transtormers Irrigation Booms Partial, Oth ee Signs Special Inspection $p TOTAL E Remarks 777 e Rough-in Date the Ele tnc Inspector, eby certify roar the above Final ~ at! ~I y,nspection has been This request void 18 montne from This request void /d~ 18 months Irom • 9 ® .51354/ 1 4,k L Request Date Fre o. Fegguhred"ns Uectipn p~y Now Q Will Nnuty Inspec - f r E]Yes gphe Lam' „`°°•r°° for When Ready Fg-tr nsed Electrical Cq o ctor I hereby request msPac LOn of above ❑ Owner electrical work installed at Street Address. Box or Route No. lol'3,2 S1~f5v,~ e.~eGS action No. Township Name or No. Range No Aunty 0ccuUS3p IPRIIINTI .y-- Phone No. S;~ r Pere_r S,u ppller A9d_ess Electrical Contractor IComPany Name) Cony ctor"s License No. Standard Electric Co. 40837 Mailing Address (Contractor or Owner Making InstailaLOn) 2672 Maplewood Dr., Maplewood, Mn 55109 Authorize Si ature (Co n 111 nor w king Instzllat ionl Phone Number 484-8044 THIS INSPECTION REQUEST WILL NOT MIN SOTA STATE BOARD OF ELECTRICITY BE ACCEPTED BY THE STATE BOARD Griggs-Mldwey Bldg. - Room N-191 UNLESS PROPER INSPECTION FEE IS 1821 University Ave.. St. Paul. MN 55104 ENCLOSED. gr.....e 19191 842-MDG REQUEST FOR ELECTRICALLA INSPECTION EB-00001-06 , See instructions for corwaleli this form onbeck of yellow copy. ® -51-354 "X" Below Work Covered by This Request Add Rep. Type of Building Applmnces Wired Equipment Wired Home Range niporary Service Duplex Water Heater Lighting Fixtures Apt Building Dryer Electric Heating Commercial Bldg Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Other Peufy Other (5 nee-i lyl Farm t r.r Sueu y Other Othor lompute Inspection Fee Below If Fee Service Enhenca Srxa H Fee Feed ers~S uh feeders N Fee Circuits s U to 200 Amps 0 to 30 Am s 0 to 30 Amos Above 200 Amps 31 to 100 Amps 31 to 100 A s Swimming Pool Above 100Amos Above 100_Amps Transformers Irrigation Booms O Partial. Other Fee Signs Special inspection emsrks $/3 TOTA FC~l ~,yz p/L tt/tG/Q r / Rough-in Dale 1. the cal Inspector" hereby certify Chet the above Final Dnte C inspection has been ` v„r O made. This request void la months from w CITY OF. E A G A * NOTE- PAYMENT OF FEE AT TIME OF * APPLICATION DOES NOT CONSTITUTE y* APPROVAL OF PERMIT. APPLICATION FOR PERMIT * INSPECTION OF SEWER AND/OR WATER y* INSTALLATIONS wim NOT BE SCHED- SEWER AND/OR WATER CONNECTION U UNTIL PST HAS BEEN * APPROVED. P ease Print 1) PROPERTY ADDRESS: /6 3 .2- /fry Gr s /~LatrA - LEGAL DESCRIPTION: L /Z 6-3 (Lot/Block/Subdivision or Tax Parcel ID IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: Me, 7 PRESENT ZONING/PROPOSED USE: (Mont ear COMIJERCIAL/RETAIL/OFFICE R-1 SINGLE FAMILY Q INDUSTRIAL R-2 DUPLEX (Two Units) INSTITUTIONAL/GOVERNMEENT R-3 TOWNHOUSE (Three + Units) ( Units) R-4 APARTmau/CONDOMINIUM ( Units) 2) / NAME: _ ~i„iCygr'0 ADDRESS: 93S G✓iyv~- CITY, STATE, ZIP: fS 3-1/ PHONE: 1/73 - /Z3 / 3) 1;:• NAME: For City Use Plumbers License: ADDRESS: Active CITY, STATE, ZIP: Expired Not recorded PHONE: MASTER LICENSE# Staff NAME: e,W'ry ADDRESS: CITY, STATE, ZIP:' PHONE: CONNECTION TO CITY SEWER ~ CONNECTION TO CITY WATER ~ OTHER 6) 1 \ r PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE " - - PLEASE MAIL APPROVED PERMIT TO 1, 2, 3, 4, ABOVE (Circle one) 7) ~/36f9~ KktRt\ Y' 1: \ • • \ 1 • 1' ? 101• II 01' • 01• ' 01• \ • P\ 11 Bice r~m .FOR :CITY USE ONLY ` PERMIT # ISSUED Pd W/Bldg, Permit FEES: $ $ SEWER PERMIT (INCLUDE SURCHARGE) $ $ /G S WATER PERMIT (INCLUDE SURCHARGE) $ / OTC $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ `fir ACCOUNT DEPOSIT - SEWER $ ACCOUNT DEPOSIT - WATER $ J Z S E $ WAC $ C+ $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ l 3 cJ--n L' n TOTAL RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: c, yu rt i a v TITLE: DATE: lL% j J 7 CITY OF EAGAN N° 1 4 2 2 7 3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 Receipt # O / < 7 0` 7 !Id To be used for SF DWG/GAR Est. Value $88,000 Date SEPTEMBER 30 1987 Site Address 1632 ASHBURY PL OFFICE USE ONLY 12 3 BLACKHAWK GLEN 2 DOn Slte Sewage Occupancy R3 Lot Block Sec/Sub. MWCC System X Zoning Rl Parcel No. On Site well (Actual) Const Vn a Name LUNDGREN BROS CONST City water X (Allowable) VN Address 935 E WAYZATA BLVD PRV Required X # of Stories o City WAYZATA Phone 473-1231 Booster Pump Length 48 Depth 44 p Name SAME S.F.Total ou Address Footprint S.F. City Phone APPROVALS FEES c Engr /Assess. Permit $ 461.50 owj Name !z Planner Surcharge 44.00 x F Address -2-3D,7 5 as City Phone Council Plan Review 10 0 Bldg. Off. SAC, City Variance SAC,MWCC 525.00 I hereby acknowledge that I have rAthiapplication and to that the information is correct and a th all apca a State of Water Conn. 525.00 Minnesota Statutes and Cit as. Water Meter 67.00 Signature of Permittee Road Unit 305-•-00 00 A Building Permit is issue to: LUNDGREN BROS CON Treatment P1 on the express condition that all work shall be done in accordance with all parks applicable State of Minn ota Statutes andd ty of Eagan Ordinances. $2 438-25 Building Official-!L-°r ,l'11 z TOTAL Z 2 19$7 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, .j CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR /HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS - RESIDENTIAL RENTAL UNITS FOR SALE UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND ~r f/a~ To Be Used For: SIroGiE1"AMiLylik:E:.uNyValua ion: 7~ Date: 98 OFFICE USE ONLY Site Address /G 3a L-e Lot _a Block 3 On Site Sewage_ Occupancy 9-3 MWCC System Zoning R-I Parcel /Sub On Site Well Type of Const City Water L" (Actual) V-N Owner (Allowable) V-N 16 of Stories Address Length 5`f3.0 ~f Depth 4q.0 City/Zip Code,%4~ SSA / S.F. Total Footprint S.F. Phone -~73 -1,;2- 3 APPROVALS FEES Contractor Assessments Permit z/Q.5o Water/Sewer Surcharge 414.00 Address Police Plan Review 230.15 Fire SAC, City 100.00 City/Zip Code Engr SAC, MWCC 2$ 5.00 Planner Water Conn 525.00 Phone Council Water Meter E' ,OD Bldg Off 1 36 Road Unit 305.00 Arch./Engr. APC Treatment P1 1 0.00 Variance Parks Address Copies TOTAL of 7 7 S~ City/Zip Code Phone # 4;40 GE ZoX22=~f pX12=$280 /ST FlvpR zg X 26 = 728 IZ'/zX6 = ~S~ 1u%Z x Iz= 1-7y (797 y= yaass ZND FLoO>Z 28;K-Z4 = X28 )4%2xlz= 17y got x qy = 39688 87, 956 13,URVEYOR'S. CERTIFICATE SIENNA CORPORATION . • REVISED 9-21-87 M SHOW PROPOSED HOUSE 8 EXISTING ELEV S. FOR LUNDGREN BROS. CONST. DENOTES-PROPOSED SURFACE DRAINAGE SCALE: 1 INCH - 30 FEET O DENOTES IRON MONUMENT SET ® DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR o 81,9.3 FEET X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR o FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK e $19•~ FEET WE HEREBY CERTIFY TO SIENNA CORPORATION THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 12 Block 3, BLACKHAWK GLEN 2ND ADDITION, according to the recorded plat thereof Dakota County, Minnesota. (THIS LEGAL DESCRIPTION WILL BECOME VALID UPON FILING OF:THE PLAT BLACKHAWK GLEN 2ND ADDITION) IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR EDAY NCROACHMENTS, DECEMBER F ANY. AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS SIGNED: JAM H LL, INC. C By. HAROLD C. PETERSON, LAND SURVEYOR 'MINNESOTA LICENSE NUMBER 12294 SHEET I OF 2 SHEETS ES' R. HILL, INC. PROJECT NO. BOOK i PAGE FPlann g'1.5 2 3 856!8 ers / Surveyors a3~/51 Englne FILE NO. Humboldt Avenue South FOLDER Bloomington, Mn. 55431 812-884-3029 SURVEYORS CERTIFICATE SIENNA CORPORATION 813.9 qsy , Q 1 e 13.9 ~IQ,/~ ~ . 6=20061 )11NOW0 A R=362.94 a/60 13.30 819.86 • `0' >i~,¢0e ~TY"J ~ \ 816.3 is pp, / a Rry 04R X819, 0) J - m ' iq 33 ~ X26 s{e.9 / M x c f. Ro ' e19.06, y' 817. ~ x alas , iq s o 1313 ''/x ~ . ~ /L/ / x1314.2 Yj C Imo) \ O~G; 69 J F~ocF~_9 ^i I 0 I rl I 1 J I I \0ti p l tk i 0111) U1 co Q1 REVISED 9-21-87 TO SHOW 0 PROPO.SED HOUSE B EXISTING ELEVS FOR LUNDGFEN BROS. 1 W CONST. `N2°30106"W 66.22 yj,`_-_," Xi-11IN _._i v ;(;-I' PROJECT NO. BOOK / PAGE 51 s2-2, JAMES R. HILL, INC. 85Gi8 234/5 Planners /Engineers /Surveyors FILE NO, 8200 Humboldt Avenue South FOLDER Bloonilngton, Mn. 65431 1312-004-3029 - 71 ~coJCiRUCiIOIJ 935 EAST 1NHYZHTA. 80UL[VHRp • 1'JHYZHTk, IJJfJfJESOTH 55391 (6 i2) 47s-1231 EX-iEP,IOP, ENVELOPE AVERAGE U CO!VUTATIOFI aND - Site Address Loth Block /G 3 a R U RR & U Factors .058 Opaque Walls - .117 Wall Framing Areas - .023 Ceiling Insulation Area - ' .027 Ceiling Framing Area - 04 Rim Joist .14 Masonry Wall !fi ndows Double Hung .26 Casements .46 - .18 Doors - - _46 Patio Doors .47 Sidelites - 1) Lower Level (Basement) Total exposed wall area /1 6-0 = - Opaque Wall Area --x (U) -058 - - = 4Jood Frame Area X (U) .117 - Rim Joist -x (U) .04 = x (U) .14 = ~ Exposed block l c' X (U) .46 djr Arca Casement -x (U) -26 = Double Hung - Sliding Glass Door Door Area X (U) 18 Total I - - rz& CcoJC rruclioN _ - vJ,4YZHTk, t.Sil.'NESOTA 5 3°1 (6 12) Sid 23~ 035 EAST V•.'AYZ,,TF. BOULEVARD 2) jst or Main floor Total exposed wall area 3 (U) .058 = -~~opaque wall area (U) -117 = Wood frame area 7 ~x (U) -04 = Rim joist _ Casements - x (U) -46 - Window Area (U) 26 Double Hung $Lx _ ~x (U) .46 Sliding Glass Door a,Rx (U) -18 Door area x (U) -47 Sidelites a~ Total 3) 2nd floor if 2 story Total exposed wall area Ip03x (U) .058 = ' Opaque wall area / x (U) -117 = Wood frane area U x 46 = t;indow area Casements ~x ~U) -26 Double Hung -x (U) .46 = Sliding glass door - -x (U) -18 = Door area C Total Total c._iiine area - 27 = - x ( U ) 027 `r_:me area G Opaque ceiling area fx (U) .55 - skylight Total ~COJCIRUC110N y35 EH57 VJAYZ/+7H BOULEVHRD tNF,YZ!-.7H, I!iII4IJ[SOTA 55351 (012) 473-1731 Hinn. U Factors Total exposed wall area Total exposed ceiling area 9 x 020 S Finn. U Factors (A) Total Item + Item 2/c~o~ + Item 3 2 + Item 4 - 5 53 If total of Items 1 - 4 is less than Item (A), building (C) complies with SBC 6006 s CITY O FAGAN I:_TU 00/07/98 TIMEr MUM Sig:' NAME.- MOTMO 9210 :?00'x. 1632 A1SHBL.'•: Y PL 50.00 EJ 55 9001 US? ASI-IDURY F'._ 0„50 200 990 M32 d1S1°ix;iURY PL_ 50.00 WS Ml We ASHWAY PL 0. 501 3410 9091 MM ASHBUR ' F'L. 0.25 CROW i!4 '.ISi`R W o NANCY ~'rii:Y:'c t;F ~%>Ci:s.~kr, w ~.v r,:;:,`;••<0~r,.,:c: PERMIT - - VTY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 031931 (612) 681-4675 Date Issued: 05/06/98 SITE ADDRESS: 1632 ASHBURY PL LOT: 12 BLOCK: 3 BLACKHAWK GLEN 2ND P.T.N.: 10-14351-120-03 DESCRIPTION: BuildingT;,ermit Type DECK wilding =Welt Type NEW Census Code., _ 434 ALT. RESIDENTIAL :'its ( t~ i _ TM T`,"~;`~`"i'< f"(}~ I ±~/`c't, i ~ ~ s h ti°x`n , y'~+*a 3:5 i?. LY `vV ? REMARKS: PLAN REVIEWED BY MIKE BARCK. FEE SUMMARY: Base Fee $50.00 COPY $.25 Surcharge $.50 Total Fee $50.75 Subtotal $50.50 CONTRACTOR: - Applicant - ST. LIC OWNER: MOTZKO CONSTRUCTION INC 16522155 2006969 HILL DAN 8950 90TH CT W 1632 ASHBURY PL NORTHFIELD MN 55057 EAGAN MN 612) 652-2155 (612)905-8973 I-hereby acknowledge that I ha",.'rt'ad'this-a'pplz`cation' and state that the information is correct `and' aJ`re:e =to' _complywith' all app? icablei State of _Mn.. Statutes-,and City of Eagan 0rditiin6es - APPLI AN E EE SIGNATURE ISSUED 13Y. SIGNATURE *5--a Y,5- 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN N / 0. ( 3830 PTLOT KNOB B RD RD - 55122 /y~ r 681-4675 FR lCl F New Construction Requirements Remodel/Repair Requirements 5/5 G~y,~ycv.p~ ♦ 3 registered site surveys ♦ 2 copies of plan ♦ 2 copies of plans (Include beam & window sizes; poured fnd. design; etc.) ♦ 2 site surveys (exterior additions & decks) ♦ t energy calculations ♦ 1 energy calculations for heated additions ♦ 3 copies of tree preservation plan d lot platted after 7/1/93 required: _ Yee _ No 4/ DATE: `2'V~CONSTRUCTION COST; C),) oob DESCRIPTION OF WORK: T STREET ADDRESS: /4 ,32 Pl-ic LOT: Ia BLOCK: SUBD./P.I.D. 2 Name: Phone 17'OS - 73 PROPERTY Wt First OWNER rr n! Street Address: /0301 ~h 6V✓'~/ I/V)Ct3 City 'L e w State: /K`1 • Zip: Company: Y r o -ft-WJ (2o-ASi, ~Ar- Phone S `oZ/S S CONTRACTOR Street Address: `8 9 5a -707=h 0-7. 14J. License # C~006i:1690 City ~)od-Lk%t State: U0,1, zip; $-S ARCHITECT/ ENGINEER Company: Phone Name: Registration Street Address: City State: Zip: Sewer 8 water licensed plumber (new construction only): Penalty applies when address chang and lot change is requested once permit is issued. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: Q C~L~MC OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish ❑ 02 SF Dwelling ❑ 07 4-plex ❑ 12 Multi Repair/Rem. ❑ 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-plex ❑ 13 Garage/Accessory ❑ 20 Public Facility ❑ 04 SF Porch ❑ 09 12-plex ❑ 14 Fireplace ❑ 21 Miscellaneous ❑ 05 SF Misc. ❑ 10 = plex ~EK 15 Deck WORK TYPE P, 31 New ❑ 33 Alterations ❑ 36 Move ❑ 32 Addition ❑ 34 Repair ❑ 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. 1434 Depth Footprint sq. ft. SAC Code o I Census Bldg I Census Unit O APPROVALS Planning Building M.(?. Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MCA/VS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: % SAC 3' 11 ;SAC SURVEYOR'S CERTIFICATE SIENNA CORPORATION ' 818.9 qsy , 818.9 R,~ ~ L=20015`0~11~' 0/ R = 362.94 60 13.30 6 ,o F S 'q C'F ele.es ' ` p. a LR' CQq ~ ~819.0~~ J - / m /q y 616.9 /1p~6 ~8/9o H ' 812.2 ' M•// O~ 819.06 S 817. m'i SF~~ Mry j `ry ~ ~ 8 6183 /4 / b s OT 81.'j .1 • ~ / ~ / .619.2 / \ C t~ C) I F~~cF 0 ~O I I lV~ I I ~ f / O• J U) co REVISED 9-21-87 TO SHOW I W PROPOSED HOUSE B EXISTING o ELEV'S. R)R LUNDGREN BROS. t W •0 CONST. `N2030'06"W 66.22- /A PROJECT NO. BOOK / PAGE 5-7 JAMES R. HILL, INC. 856//B Z 3 4151 Planners /Engineers /Surveyors FILE NO. 8200 Humboldt Avenue South FOLDER Bloomington, Mn. 55431 812-004-3029 :$,,URVEYOR'S• CERTIFICATE , SIENNA CORPORATION . REVISED 9-21-87 70 SHOW PROPOSED HOUSE 8 EXISTING ELEV'S. FOR LUNDGREN BROS. CONST. DENOTES-PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 FEET 0 DENOTES IRON MONUMENT FOUND. PROPOSED GARAGE FLOOR - 81,9.3 FEET XOOO.O DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - S11,(a FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK - bf9•? FEET WE HEREBY CERTIFY TO SIENNA CORPORATION THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot12 Block 3. BLACKHAWK GLEN 2ND ADDITION, according to the recorded plat thereof Dakota County, Minnesota. (THIS LEGAL DESCRIPTION WILL BECOME VALID UPON FILING OF:THE PLAT BLACKHAWK GLEN 2ND ADDITION) IT DOES NOT PURPORT TO SHOW IMPROVEMENT S OIR ENCROACHMENTS, IF ANY. AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS DAY OF DECEMBER , 1986. SIGNED: MC. BY: HAROLD C. PETERSON, LAND SURVEYOR 'MINNESOTA LICENSE NUMBER 12294 SHEET I OF 2 SHEETS PROJECT NO. BOOK i PACE 8 -1 JAMES' R. HILL, INC. 5) 2 3 856(8 . a34/5I Planners / Engineers / Surveyors FILE NO. 8200 Humboldt Avenue South FOLDER Bloomington, Mn. 55431 812-084-3029 `;.c'';:mn(:n:;;",t:(,:{(.X'•~M1y:.',~(%FAW1, CITY OF FF14..AN CA4i9'CCEW „ TERMINAL N0: 753 PATEn 0'.,/07/33 TIMEN W0059 T'(? 3210 9001 163P ASHRUl'Y DL 50.00 21 15 9001 1.6$c ATHBURY PL. JU00 3BO 9001 02 ASHBURY PL 30„00 205 9001 91.,:32 ASI ;F l A; Y PL 0 50 =1 9001 IA32 ("Si IlUre'Y Pl. Q..5 W910/1 KSG4 19r NANC'✓ r:kk:Jy~ rF?XYr`+„76 $9J?:". 'Y)k YFr;'..x Jkk>7R: WIll CITY O EAGAN PERMIT PERMIT TYPE: 3830 Pilot Knob Road B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 031929 (612) 681-4675 Date Issued: 05/06/98 SITE ADDRESS: 1632 ASHBURY PL LOT: 12 BLOCK: 3 BLACKHAWK GLEN 2ND P.I.N.: 10-14351-120-03 DESCRIPTION: NO BEDROOMS uilding*,,Permit Type BASEMENT FINISH sPuilding"'Wo,k Type ALTERATION Census Cade,;','- 434 ALT. RESIDENTIAL 4-1 d3, l 5. n p/ ~ fA % "Ry;;q v% p •`r.,'Fd REMARKS: PLAN REVIEWED BY MIKE BARCK. SEPARATE PERMIT REQUIRED FOR PLUMBING WORK. CALL 445-2840 REGARDING ELECTRICAL PERMIT AND INSPECTIONS. FEE SUMMARY: Base Fee $50.00 Surcharge $.50 Total Fee $50.50 CONTRACTOR: - Applicant - ST. LIC OWNER: MOTZKO CONSTRUCTION INC 16522155 2006969 HILL DAN 8950 90TH CT W 1632 ASHBURY PL qORTHFIELD MN 55057 EAGAN MN (612) 652-2156 (612)905-8973 I hereby acknowledge that I lhaw.er-e°adthis aPpligation"an•d st4,te th;at the' infio'rmati I on is correct and ',,agreeto;;corifply va tx all applicable. S°tate_ of Mfiii Statutes and City of Eagan Ordin-antes. AP LIC NT/ ERMITEE SIGNATURE gSSUE Y: SIGNA UR 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB B RD RD - 55122 681-4675 New Construction Requirements Remodel/Repair Requirements ♦ 3 registered site surveys ♦ 2 copies of plan • 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ♦ 2 site surveys (exterior additions & decks) ♦ 1 energy calculations • 1 energy calculations for heated additions ♦ 3 copies of tree preservation plan if lot platted after 711193 required: Yes _ No DATE: CONSTRUCTION COST; DESCRIPTION OF WORK' w 7 i rt i 5 I- Luwe+2 LE`v~ L STREET ADDRESS: G-3 G1 LA Act- LOT: J BLOCK: SUBD./P.I.D. 2 ry Name: / f f l I✓J9 Phone 12 PROPERTY Last First OWNER Street Address: -3 Z Eve- City fd~en/ State: Zip: Company:M~~ G0 ray 5/. T--,Vo Phone ~o S o a~ CONTRACTOR Street Address: ^(`f: SD 9O ~ • W • License # ~ Q~ 6 q 6 9 6 City 0" ~d State: All Zip: $-S0s`1 ARCHITECT/ ENGINEER Company: Phone Name: Registration Street Address: City State: Zip: Sewer & water licensed plumber (new construction only): Penalty applies when address Chang and lot change is requested once permit is issued. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY D ~ 0M Certificates of Survey Received - Yes No ; 0 ; Tree Preservation Plan Received - Yes No Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging 12r, 16 Basement Finish ❑ 02 SF Dwelling ❑ 07 4-plex ❑ 12 Multi Repair/Rem. ❑ 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-plex ❑ 13 Garage/Accessory ❑ 20 Public Facility ❑ 04 SF Porch ❑ 09 12-plex ❑ 14 Fireplace ❑ 21 Miscellaneous ❑ 05 SF Misc. ❑ 10 _-plex ❑ 15 Deck WORK TYPE No 35~Q~a. ❑ 31 New 9 33 Alterations ❑ 36 Move ❑ 32 Addition ❑ 34 Repair ❑ 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. 3 y Depth Footprint sq. ft. SAC Code o Census Bldg / Census Unit o APPROVALS Planning Building P"S Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units ~OH 8k) cl 00 2007 RESIDENTIAL BUILDING PERMIT APPLICATION r L City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements Remodel/Repair Requirements office Use Onlv 3 registered site surveys showing sq. ft. of lot, sq ft, of house; and all roofed areas 2 copies of plan showing fo s, peaams, joists Cart of Survey Recd~~ Y N (20% maximum lot coverage allowed) 1 set of Energy Calculation Jte I I ^ nPr Y N 1 Soils Repod d proposed building is to be placed on disturbed soil 1 site survey for additions ks L Recd Y _ N 2 copies of plan shoving beam 8 window sizes; poured found design, etc Additi " a 'c system uimd _ Y N l set of Energy Calculations OCT i _System N 3 copies of Tree Preservation Plan it lot platted after 711193 26"'e Rim Joist Detail options selection sheet (buildings with 3 or less units) Minnegasco mechanical ventilation form Plans are considered public information unless you state the are trade secret and the reason. Date I~ 2_ Construction Cost ' o oo Site Address JGi 2- Airt /I- Y /4/IZL= Unit/Ste# Description of Work l 6 nYZ- Q r-? s4 La a Multi-Family Bldg Y 'CC"N Fireplace(s) 0 - 1 - 2 Property Owner O A A, J'11-0 7 f`j ' /r C ~ Telephone # (&S 1) !I 7 3 Contractor fdVqr_ fm's/L, /Cd U ~(v V Address ? -2 / /2, city S7 State -PI ti Zip L( Telephone # O 2 S ! - O 9/ 8 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Y N If yes, date and address of master plan: Licensed Plumber Telephone # ( ) Mechanical Contractor Telephone ) Sewer/Water Contractor Telephone ) I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; 1 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 ich re uires a review and approval of plans Applicant's Printed Name plic i at e _ _ _Us_e_B_LU_E_or B_L_A_C_K Ink For Office Use I t City of EaQpa j Permit#: 1 of I °i 3830 Pilot Knob Road Permit Fee_ Eagan MN 55122" Phone: (651) 675-5675 1 Date Received: 12° I Fax: (651) 675-5694 t VA, I Staff------------------ 2012 MECHANICAL PERMIT APPLICATION O L" Date: gq``~~yySiteAddress:1~-tl~za Lq l ~ J Lome ~'t\l,n i ~6I a~ Tenant: Im 1 Jl; ll Suite # RESIDENT I OWNER Name: Phone: Address I City I Zip: A Name: s # CONTRACTOR + Address: nEL11 IND k R" City: ;State: Zip: Phone: ~~93 ~j~1( (j~v j Contact: S 3[ 1 Ul 1 Email t )Ci 1t,tk~m'n i 1 f I P New Replacement Additional Alteration Demolition 1 c TYPE OF WORK j Description of work: T--p= AC. Y _ a NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City a Code. Please contact the Mechanical Inspector for Information on permitted screening methods. RESIDENTIAL COMMERCIAL r; Furnace New Construction - Interior Improvement , PERMIT TYPE aAirConditioner - - Install Piping Processed _Air Exchanger Gas Exterior HVAC Unit e J Heat Pump _ Under / Above ground Tank Install I _ Remove) Other ` i _ r I RESIDENTIAL FEES: ± ii e $60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $400.00 Fire repair (replace humeri out appliances, ductwork, etc.) (includes $5.00 State Surcharge) TOTAL FEE COMMERCIAL FEES: G I $76.00 Underground tank installationlremoval (includes $5.00 Stale Surcharge) OR Contract Value $ x1% it )tt( $60.00 Minimum (includes Stale Surcharge) _ $ Permit Fee - If the Permit Fee is less than $10,010, surcharge is $ 5.00 Surcharge - If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee (i.e. a $10,01 D$11,010 Permit Fee requires a$ 5.50 surcharge) = $ TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.-Qopherstateonecall.org 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. x___1 ~ it C_': I a - CM i a x Applicant's rimed Name Applicant's Signature FOR OFFICE USE Required Inspections: Reviewed By; Date: Underground Rough In Air Test Gas Service Test In-floor Heat Final HVAC Screening Z'd LZ99-ZZ9-£9L JIV pue 6ulle9H sjaoMjonO d95: Z0 Z 1, 90 6nV 10/1blay ofEkon 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: li-i e l q Date Received: 12'14 -) L. Staff: 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit #: RESIDENT ! OWNER Name: «Jr 1fJl hcf &' Phone: €iZ-7702-177e, Address / City / Zip: /4.5Z /17bi'/,,t( Applicant is: — Owner/x TYPE OF WORK /(�Contractor Description of work: /1 � ` 1 ,4 44 e t b Construction 9, I Multi -Family Building: (Yes / No -I' ) CONTRACTOR `Cost: Pair tlsn )S t:,t-C Contact: ,(kti Address: / Z_ 3'? .fu,� A6L. City: S' 4. / State: 4/ Zip:7/ Phone: /7'T%e ' "5,2) License #: l % 33(/ Z. Lead Certificate #: If the project is exempt �' Ax- ✓�:zr from lead certification, please explain why: (seePage3 for additional information) Y� i-sitcites i4ez ri/ec ' A( --/(e.,- l,%IIa fD `\k ` `\ %CbMPLETE In the last 12 months, If THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: _Yes _No Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe classified as non-public if you provide specific reasons that would permit the City to conclude that 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.000herstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Build days`' off permit once. Ca9it4 Applicant's Printed ITame 49\ 0',51161 Piaa_ DO NOT WRITE BELOW THIS LINE BI- og SUB TYPES Foundation Single Family Multi 01 of Plex _ Accessory Building WORK TYPES New Addition A Alteration Replace Retaining Wail Fireplace Garage Deck Lower Level _ Interior Improvement Move Building Fire Repair _ Repair DESCRIPTION Valuation eve Plan Review (25% 100% Census Code Y 39 # of Units # of Buildings Type of Construction REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice & Water _Final Framing Fireplace: _Rough In Air Test Final Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width Insulation Sheathing Sheetrock Reviewed By: RESIDENTIAL FEES` Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies / @ A TOTAL 1-17 " Siding Reroof Windows Egress Window _ Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Demolish Building* Demolish Interior _ Demolish Foundation Water Damage *Demoildon of entire building — give PCA handout to applicant Ate? PD MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required Final / No C.O. Required HVAC r„ Gas Service Test Gas Line Air Test Other: Pool: Footings Air/Gas Tests Final Siding: Stucco Lath Stone Lath Brick Windows Retaining Wall: * Footings Backfill Final Radon Control Erosion Control Building Inspector Page 2 of 3 If City of Eapll 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: Staff:l L 2012 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: /e:2, /,j c C/2 Site Address: /1K s>a% ASA SA is ✓5( %)/'w < Tenant: RESIDENT;/.;OWNER; Name: ke3rLac/cy Suite #: Phone: ‘",;7 - yc - /2 Address / City / Zip: Name: :54,A,.../ . /G/hlii; 7 License #: 0,S-7 /3/- f/77 Address: ./ .? - 9,2) L.4 ev r. iv 7,J City: Ca✓ 61.0 ,i State: A n% Zip: .SSCP / / Phone: 4 - %('• 513 '/—JS S"4 C -6i2 c1 - %>- 47'1/1( Contact: PAL/ j-,4,. ,,o, /I Email: New Replacement Repair _ Rebuild A/ Modify Space _ Work in R.O.W. Description of work: RESIDENTIAL Water Heater Lawn Irrigation (_ RPZ / PVB) Septic System New Abandonment Water Softener )( Add Plumbing Fixtures (_ Main / /Lower Level) Water Turnaround RESIDENTIAL FEES: $60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $189.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One CaII at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq 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 e work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. %ice- Applicants Pfinted Nani Appl nt's S.ierfiature 7 FOR OFFICE USE Required Inspections: Under Ground Rough -In Reviewed By: Date: Air Test Gas Test Final City of Eapli 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use J Permit #: �" u- Permit Fee: /606-) Date Received: Staff: 2014 RESIDENTIAL BUILDING �P%ERMIT APPLICATION Date: / �/ 1 — / Site Address: It 3l ASH2&'f Unit #: Phone: J Applicant is: Owner lei Contractor Description of work: � �>� �1 �1 �' ► t Construction Cost: I SO Multi -Family Building: (Yes / No') Company:AL-1--ST7 `t-"CContact: V4V\ - Address:5 (tic ar-)1 sPitoyu City: 114A X PLAlI" Lead Certificate #: Z3 0 e Y 7-1 If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING ' In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes _No If yes, date and address of master plan: • Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall,orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code st be completed within 180 days of permit issuance.itillaimb,„\ x VA, l :- W, Applicant's Printed Name Applicant's Signature x Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA128698 Date Issued:11/26/2014 Permit Category:ePermit Site Address: 1632 Ashbury Pl Lot:12 Block: 3 Addition: Blackhawk Glen 2nd PID:10-14351-03-120 Use: Description: Sub Type:Fireplace Work Type:Free-standing Stove (new) Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 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 - James S Westholder 1632 Ashbury Pl Eagan MN 55122--122 Hearth and Home Technologies 2700 N. Fairview Ave Roseville MN 55113 (651) 638-3309 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA174177 Date Issued:01/04/2022 Permit Category:ePermit Site Address: 1632 Ashbury Pl Lot:12 Block: 3 Addition: Blackhawk Glen 2nd PID:10-14351-03-120 Use: Description: Sub Type:Residential Work Type:Alteration Description:Fixtures 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. All tiled shower bases require a water test. Fee Summary:PL - Permit Fee (miscellaneous)$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 - James S & Crista Westholder 1632 Ashbury Pl Saint Paul MN 55122--122 Plumbing Restoration And Services 889 Pierce Butler Rt, Unit D St. Paul MN 55104 (651) 528-8834 Applicant/Permitee: Signature Issued By: Signature