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3624 Ashbury RdCiTY OF EAGAN Permit Na 9061" Date: '-' -16-- ° 7 3830 PJiot Kncb Road Meter No: 3? 7 -r Size:?? ? oc? P.O. Box 21199 Reader No: 0 S. za ? Date: Eagan, MN 55121 n,.,.,p.- aner iio,:es Site Address: '`'Z4 Ashbury Road L2 B1 B:lackhawk Glen IT Conn. Chg: Oupu 91 res..2dAi?- Acct. Dep: 15 . 00 C?t?? . !15 ? Permit Fee: Z? • o?' ,?(?f • GAS EX. Surcharge: •????a??t c? with tha Ctty of Eagan Tr. Plant U?ami iiR V'.a? Meter. '• 7 p r n ?? WATER SERYICE PERMIT CITY OF EAGAN SEWER SERVICE PERMIT 38* Bilot Ifnob Road P.O. ?ox 21199 PERMIT NO.: = `' ? ? ? Eagan, MN 55121 DATE: Zoning: r? No. of Units: Z ,'?? ? c:r ?Ic?re s Owner. Address: . ,_ 1_'-V I / ..1111.0 J. 1 agree to comply with the Citp of Eagan Ordinances. By Date of Insp.: Insp.: 100.00pd Connection Charge: 525.410pd Account Deposit: 1- a o4:Pd Permit Fee: 10-.Oopd Surcharge: r50pd Misc. Charges: Total: Date INSPECTIUN RECQRD CITY OF EAGAN PERMIT TYPE: 3830 Pitot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: LO1 ; 3 .h.'rt ASNf3UFtY RO 81 AI:KHAWK fil EW 2Mll PERMIT SUBTYPE: ?, f' f'ORi" N APPLICANT: F IE+ST CNOICE E ltT (617) K63--1918 TYPE OF WORK: Control No. 0601 BUII OIttR 000769 06/ie/e2 ?i EW INSPECTION FQnti116 .• • r ?;aMjN6 .A INSUI.Ai'iON F"TNAL ? R}MAltKSo itFCEIPT # SEpARATE E1FCi'RICAI 9ERM11 RLqUlitrti J PermR No. PwnR Hoidsr Dde TWephone r SI1N PLUMBING HVAC EIECTRIC ELECTRIC InspacUon Dste Insp. Commwnfs Footings t Foundalion Framing 7/0 oZ ?s, Roofing Rough Plhg. II Ra?9h Ht9- Isul. Fireplace ' Fnal ktp. I Orset Teat Ffnal Pibg. Plbg. Inepedor - NotNy Plumber Corrat. Meter ErqrJPlan Bldg. Final Deck Ftg. Deck Fnal weli Pc Disp. ? (Itrfif iratt uf (Orrupanry titp of (Eagan Erpar#atn.t ,a# ]RtrQittg Jttapprtimt This Certifcate issued pursuani to !he requirernents of Section 306 of the Uniform Building Code certijying tllar at the time of issuance this structure was in compliarrce witk the various ordinances of the City regulating building construction or use. For the following.• u,e ca,mr,mdw SF M/(:AR sk ftm,ic rro. i29s C. s ?ua^?S' TYae ? zon;og nisvin R,c rrve co?. J Owrcr of BuLkbog ?(•?'•? WW-S Add= 1li900 QeMv"U 1El-R. :S ?' - . :_ ? B1, .?a.??K it7.1?.,. . Building Addrem ?t .?i - Lapyty Daw: - ? t'-• - i . Bw7ding ORicasl POST IN A CONSPICUOUS PLACE s': ? (gerti#tra#it uf (Orrupttnry titp of (tagan aPpM1'#21tm1 IIf sltdbiltg jmwptfWtt This Certificate tssued pursuant to the requirements of Section 306 of the Uniform Building Code cenifying that at the tfine of issuance this structure ??aas in compliance with the various ordinances of tlre City regulaling building construcdon or use. For the follawing., SF DiJG/Gfi:'. u.e claeifintion BMg. ppm Na omro.ar TM o ' RA1NBOW ti?.)'•c ?m n'°vicc f;1 1. n 7 7 ?. T2P; ` ?' _ ` ,'1L ' . . . . ? or ?,aa - nem?, , Huildiog Addrcst 3628 A H$GRY ,.. IppLry I, , B , BLACK _N,`% ? NOVEMIiER 13, 198 gW* oe'ww Date: POST tN A CONSPICUOUS PUCE CITY OF EAPAN 383Q Pliot Knob Road P.O. Box 21199 Eagan, MN 55121 Owner. Site Address: Permit No: 90 6a' Date: 9-16-87 Meter No: _ Reader No: Size: Date: Conn. Chg: 525.00pd Acct Dep: 15. 04pd Permit Fee: lll. OOpt_' Surcharge: • 5on' Tr. Plant 180.00pd Meter r,7 00prj Zoning: No. of Units_ 1 I agree to comply with the City of Eagan Ordinances. WATER SERVICE PERMIT BLDG. PERMIT N0. ? L- , r':._ l w- 4 . 01-3210 Bldg. Permit 01-3422 Plan Check CC' 01-3445 Surch./Adm, -7 ? 01-3446 SAC/Adm. 01-2155 Surcharge 17-3$60 Road Unit 20-2275 SAC -715 20-3865 Water Conn. 20-3868 Water Trmt. od 20-3716 Water Meter CCJ 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. ? 11-3855 Park Ded. TOTAL CASH RECEIPT ?CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 ? , D,01TE ? • 19 RECE(yED . \ AMOUNT $ + I ? ooLLwRs ,oo ? CASH [JCHECK IGR „f { White-Payers CoPY Yellow-Posting Copy Pink-File Copy Thank You , 8Y CASH RECEIPT ? CITY OF EAGAN t 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 7 R[ClIV6D ? - ' ReoM r i-L4G(. a AMOUNT ? /x 4_ ?. i C ?i• & OOL4ARS ?oo ? CASH M CHECK ??,( / '?/ 1,4T l FYND CODE . AMdUMT /e J , i .1V Thank You ,: . ,_?F4 N7?'? B v k. _41? White-Payers Copy Yellow-Posting Copy Pink-File Copy ? BUILDING PERMIT To be used for "`%R Est. Value Date Receipt JIiLY 22 I-S 4.riQ 19 Site Address Lot Block 5ec/Sub Paroel No. _ a Name W = Address ' 1 ,.' 0 ._ , City Phone ' ' ¢ o Name . ? ? Address ? City Phone Name w,?.,_..,... • . , . , , 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 5tatutes and Ciry of Eagan Ordinances. Signature of Permittee --? A Building Permit is issued to: all work shall be done in accordance with all applicable State of I Building Official RQ OFFIC E USE ONLY On Site Sewage _ Occupancy MWCC System_ Zoning On 5ite Well Type of Const City Water _ (Actuah (Allowable) * O} $tOf19S n L th g e _ Depth S.F. Total Footprint S.F. APPROVALS FEES Assessments _ Permit ' Water/Sewer _ Surcharge Police Fire _ Plan Review _ SAC, City Engr. _ SAC, MWCC Planner _ Water Conn. Council _ Water Meter Bldg. Off. _ Road Unit APC _ Treatment P1 Variance _ Parks Copies TOTAL on the express condition that nnesota Statutes and City of Eagan Ordinancea CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PH ON E: 454-8100 Permit No. Permit Hoider Datis Tslephone * Plumbing H.V.A.C. Electric ? Softener `"0 Inspsetion Date Insp. Commsnb Footings 1 ?' Footings II Foundation _jy f ?? ?f . Framing ? cc C-oc 11 Gcf, o't c 121 ILI- c-- Roofing UG? ?.G 7-v6 Rough Plbg. - Y- Rough Htg. I sul. Fireplace Finai Htg. Final Plbg. ?. Bldg. Finai cgn. occ. Temp. LP Deck Ftg. Deck Frmg. Well Pr. Disp. PERMIT# ?"?i =?? PLUMBING PERMIT - r ? '?•` RECEIPT #?? ' CITY OF EAGAN ? " 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHQNE• 454-8100 Site Address ' BLDG. TYPE WORK DESCRIPTION Lot ,L_ Block / Sec/Sub Res. . New Mult. Add-on m Name Comm. Repair ? Address Other ?_ c City l/?i Phone RES. PL?9G. ONLY - COMPLETE THE FOLLOWING: NQ. FlXTURES TOTAL , Name ?Water Closet - $3.00 $ -? m 3 Address _LBath Tubs - $3.00 t $3 00 LL . _ _ - . - ava ory ? _p City Phon? Shower = $3A0 - _?_Kitchen Sink - $3.00 ' FEES Urinal/Bidet - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE -LLaundry Tray -$3.00 % APT. BLDGS - COMM RATE APPLIES ?Floor Drains -$1.50 TOWNHOUSE 8 CONDO - RES. RATE APPLIES Water Heater -$1.50 ? MINIMUM - RESIDENTIAL FEE - $12.00 Whiripool - $3.00 MINIMUM - COMM/IND FEE - $20.00 Gas Piping Outlets - $1.50 'J STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT) (ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00 BEYOND_$1,000.00) Well - $10.00 - '? Private Disp. - $10.00 R h O i 50 oug pen ngs - $1. --z- ?- iSIGNATURE OF PERMITTEE' ? FEE: ? STATE S/C: '- l FOR: CITY OF EAGAN \l GRAND TOTAL• ' ! . , . .. I ' CONTRACT PRICE • Site Address 3624 Ashbu , Lot ?T Biock _? . . m Name FREDRIC?CSOTT ?o Address 4030 I3eau c City _F-tigan MECHANICAL PEHMIT CITY OF EAGAN RECEIPT # 9 4- 9 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: 8 3* Ojt PHONE: 454-8100 Rd' BLDG. TYPE WORK DESCRIPTION ? /Sub Res. x New X ni & A C ? Mult Add-on : e Dr. Comm. Repair ine 452-2775 Other , L 3 p Name w Address - City Hurn AMF.R HnMEs TNr 14900 Chestnu* QV; 71 H Phone _ TYPE OF WORK Forced Air 75 - nnIM BTU Boiler M BTU Unit Heater M BTU Air Cond . M BTU Vent CFM Gas Piping Outlets # FEE: S/C: TOTAL: FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL _50 M BTU - 6.00 .277 5 (RES. HVAC INCLUDES A/C ON NEW . CONSTRUCTION) " GAS OUTLETS (MINIMUM - 1 PER PERMI'n - 1.50 EA COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON & REMODELS - 12.00 MINIMUM COMMERCIAL FEE - 20.00 - STATE SURCHARGE PER PERMIT - .50 I (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000) 25.5 ; . 5 SIGNATU OF PERMITTEE ? FOR: CITY OF EAGAN CITY OF EAGAN 18513 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 " PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for FIREgLACE Est. value si+000 Date NOy 6 , 19 90 Site Address 3624 ASHaURY RD Lot 2 Btock 1 SeclSub. BLACKHAWK GLKN Parcel No. Aniv W Name JOHN PELLICCI 3 Address ???Y RD 0 City EACM Phone 452- S 1 , o Name ,sr.n.-n-?u? ?? Address w }? 1 Ux City BURNSVILLE Phone 890-0758 Name _ Address Clty _ Phone I hereby acknowlege that I have read this application and state that the information fs correct and agree to comply with all applicable State of Minnesota Statutes and City ot Eagan Ordinances. Signature of Permitee HFlIT-N-CLO ?. A Building Permit is issued to: on the express condition that all work shali be done in accordance with all applicable State of Minnesota Statutes and City ot Eagan Ordinances. Building Official OFFICE USE ONLY Occupancy _ FEES Zoning _ 25'00 (Actual) Const - Bldg. Permit (Allowable) - Surcharge • 50 # ot Stories - Length _ Plan Review Depih - SAG City S.F. Totai - SAC, MCWCC S.F. Footprints - On Site Sewage _ Water Conn On Site Well - Water Meter MWCC System _ _ City Water Acct. Deposit PRV Fequired _ S1W Permit Booster Pump - S/W Surcharge Treatment PI APPROVALS qpyd Unit Planner - Park Ded. Council Bldg.Off. _ Copies 25? ? Vanance - TOTAL Permit No. Permit Holda Date Telephone ? WATER SEWER PLUMBING H.V.A.C. ELECTRIC Inspection Date Insp. Comments Footings I Foundation Framing Rooting acx,yn Plbg. Rough Fltg. Isul. Fireplace ! l Fnal Htg. Fnal Plbg. Const. Meter Plbg. Inspector - Notify Plumber EngrJPlan Bldg. Final Deck Ftg. DeCk Final Weli Pr. Disp. CITY OF EAGAN %? --??'• 3830 Pilot Knob Road, P.O. Box 21 -199, Eagan, MN 55121 PHON E: 454-8100 B UILDING PERMIT Receipt# To be used for Est Value Date ,19 ` SlteAddress '"? OFFICE USE ONLY LOt Block ' Sec/Sub. `'` `"'' 'I` ' ?'???' • OnSiteSewage , Occupancy ' MWCC System _ Zoning E Parcel Na On Site Well Type of Const - Cit Water ? (Actuaq y rc N8f11A (Allowable) W 3 Address ? Of SfOfleS Len tn ° citY Phone ' ? g Depth F Total S . O Name . . Footprint S.F. ? ? Address APPROVALS FEES t- City PhOn@ Assessments _ Permit ? ? V Water/Sewer _ Surcharge y j W Name Police _ Pian Review ~ Z Fi _- Address re SAC, City - vZ `w CitY Phone Engc SAC, MWCC Planner _ WaterConn. Council _ Water Meter I hereby acknowledge that I have read this applicatian and state Bldg. Off. _ Road Unit that the information is conect and agree to comply with all applicable State of Minn t St t APC Variance _ Treatment P1 P rk eso a a utes and City of Eagan Ordinances. _ a s Signature oF Permittee Copies TOTAL A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable State of M innesata Statutes and City of Eagan Ordinancea Building Official Permit No. Parmlt Holdsr Date Telephone ft Plumbing yg - 97,42 H.V.A.C. 9670 y ? S /? Electric Softener Inspectlon Dato Insp. Commenta - r Footings I Footings It Foundation Framing Roofing Rough Plbg. fiough Htg. ,/`j s . ISUI. LC>--7- Fireplace Finat Htg. O Final Plbg. PRV Bldg. Final e CBrt. OCC. /P ? t • .4 Temp. LP Deck Ftg. Deck Frmg. Well Pr. Disp. Cities Diizital Oualitv 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. ? : ?/, ? MECHANICAL PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 CT PRICE: PHONE: 454.9100 ? Nart ?n Add c City ? Name 3 Addrq o City _ Forced Air Boiler Unit Heater Air Cond. PERMIT # XRECEIPT DATE: BLDG. TYPE WORK DESCRIPTION J? Sec/Sub „r?,? • Res. New Mult Add-on Comm. Repair Phone?' Other FEES RES HVAC 0-100 M BTU -$24 00 . . ADDITIQNAL 50 M BTU - 6.00 Phone (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM 1 PER PEkMIT) - 1 50 V M BTU M BTU - . COMMIIND FEE - 1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE 8 CONDOS - RES. RATE APPUES MINIMUM RESIDENTIAL FEE - ALL ADD-ON R M BTU M BTU REMODELS - 12.00 MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (AOD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000) SIGNATURE OF PERMITTEE II FOR:-CI-TY OF-EAE'iAN PERMIT # PLUMBING PERMIT RECElPT # CiT1f OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: m Name ?u Address _ c Ciry _ Phone - ? Name ? Address p City Phone COMM/IND 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 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 R Bath Tubs - $3.00 Lavatory - $3.00 -f Shower - $3.00 Kitchen Sink - $100 = UsinallBidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 ? • ? Water Heater - $1.50 ? - Whirlpool - $3.00 Gas Piping Outlets - $1.50 ? (MINIMUM - 1 PER PERMIT) Softener - $5.00 Weil - $10.00 Private Disp. - S10.00 _ Rough Openings - $1.50 `- FEE: ?. I STATE S/C: JC? , FOR: CITY OF EAGAN GRANO TOTAL: ??` r?` This requesl voidp GiF -7- 18 months from D 3344 0.e st - Dat? r r' yi ?1 Fire No. 'POeqamPh-idi?Insper,tion flre RCady Nuw 0 ? Will NotitY Insvec- ior When P d ? ?yes ?NO ea y ^? y?`Ice .sed ElecVical Contractor I hereby requast inspection ot above ? Owner electrical work insta lled et: Sveet Address, Houte No. a Bxor Cify ectmn o. T wnshlp Name or No. 0.ange No. CoontY L Occupam (PflINT) sN 4.D (2vA)sf Phane Nn. -75-GC, Pawer S DI?er 6 Atltlress ElecVical Convactor (COmpany Name) C nVactor's L/i7cense No. MFIICj( FT Et~?Tn 0 ? L MailintyAd ?ess Contrec or o ingInstailation) L.M ? ' 1Z = ?-Y Au e r r snsi 0?lA?1?Y11?Jryllationl ? c» 6.Y h? e umber MINNESOTA STATE BOAflD OF ELECT111CITY THIS INSPECTION NEQUEST WILL NOi Griggs-Midwey Bide• - poom N-191 BE ACCEPTED BY THE STATE BOAHD 1821 Universitv Ava.. St. Peul. MN 65100 UNLESS PNOPEF INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION . Ee-ooooi-os p N ? 1 See instrvctiens i4 com0leling this form on beck of yel low copV. ?I/p D 3 3 4 4 3 "x' BeloW Work Covered by lhis Request Add Rap. Tyoa ol Building Aaaliancea WireE Equiunient Wi.eA Home Ranye iporary Service Duplex Water Heater Lightiny Fiztures Apt. Building Oryer Electrie Heatin Commercial Bldy. Fumace Silo Unlonder Industrial BIAg. Air Conditioner Bulk Milk Tank FBrm Otner SoeO y Oche, ISUCr.ityl ? ?? SVecify Other Other Compute lnspection Fee Below ?? t.??r,[J N Fee ServiceEniranca5ize b Fee I Fand s/Suble ers N Fep Gir Swi na to 7 TOTALtE?, a,) I, the Electrical Inspector, hereby certify thet the above ,'?spection has baen fBqueat Thi,q request void 9/ 18 months (rom D 416 2 5 ? ,61 Rnque' Dete ? I ? Fire No. RNouph-in Inspection equiretl? ?HeaAy Now [(?'Will Notily Insper [?es ?No ?or W?en Ready [gticensed Elechical Convactor 1 herebv reauestinsDacllon of above ? Owner elecVical work installed at Stre tld ess, Bo: or u?e Citv ec n o. Townsbip Nama or No. Ran o. Covn? Oc-uuant (PHINT) ? 2 Phon No. -?s- -a?¢4 Powe uppli ? Atldress Electrical Contractor ICOmpany Namel KENDRiC`r> c,l:.F.CTR.IC Cnntractor"s License Na. .?,c19 Mailin9 9 _ a tionl kgho Phnne Nurnber MINNESOTA STATE BOARD OF ELECTNICITV THIS INSPECTION NEQUEST WILI NOT Gtig9s-Midway Blde. - Aoom N•181 BE ACCEPTED BY THE STATE BOpND 1811 Universitv Ave.. St. Paul, MN 66100 UNLESS PROPEN INSPECTION FEE IS Phone(612) 642-0800 ENCIOSED. REQUEST FOR ELECTRICAL INSPECTION ea-ooooi-os ? See instmctions Iqr.FOmpletirp this fprm on beck of yellow copy. D 41U,25 %" Below Work Covered by Ihrs Request FVBl AddT Rap.I Type ol Building I Appliances Wirad I EqulVru,nc Wired I E12C2fiC I I I I Industrial BIAp. I I Air Conditioner I I Buik Milk Tank I # Fee Service Enhance5ixe M Fae Fee.dersI5ubleeders b Fne Cir uits Oto200Am s 0 to30qm s 0 tWiOd Otn30M±ps A6ove 200 qmps. 31 to 100 Amps " 31 to 700 Am s Swimming Pool A6ove 100_Amps Above 100_.4m{» Transformers Irrigation Booms Partia6Othe e Signs Special InsUection gTOTAL F E lJ flemarks - r) /?,?pl the Ele nical ae. ? certity that the above Fina? ^?e inspecHOn has been /!'3d ? ?ae. mia repueal voia ^ ' CITY OF EAGAN N? 13 9 5 9 3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55121 PHONE: 454-8100 ? 5.?? ? BUILDING PERMIT Receipt# To be used for SF DWG/GAR Est Value ??9>??? Date JliLY 22 19 ? 87 SiteAddress- 3624 ASHBURY RD Lot Z Block 1 Parcel No Sec/Sub. BLACKHAWK GLEN a Name WAGNER HOMES = Address 14900 CHESTNUT DR o ???y B'VILLE phone 892-3373 o Name SAME ? a Address ? City phone a WW Name PLANCO ~W 3435 WASHINGTON DR xa Address aw City EAGAN Phone 452-0724 OFFICE USE ONLY ? On Site Sewage Occupancy R3 MWCCSystem X Zoning ?? On Site Well Type of Const _ Ciry Water ? (ACtuaq ? (Allowable) V # ot Stories Leng?h 44 Depth 30 S.F. Total Footprint S.F. APPROVALS FEES ? 430.00 Assessments _ Permit Water/Sewer Surcharge 3.9..,_ 0' Police - PlanRaview 0 215. 0? Fire _ SAQ City ? on _ no- Engc SAC,MWCC 575_00 Planner WaterCOna 525.00 Council _ WaterMetar 67_00? I hereby acknowledge that I have read this application and state 81dg.Off. _ Road Unit 305.00' thatlM1einformationiscovectandagreetocomplywithallappliceble APC _ TreatmentP7 iR0_OQ? State of Minnesota Statutes and City of Ea an Ordinances. Variance _ Parks Copies Signature of Permittea?, ? roTa? $2 386 _ 50 A Building Permit is issued to: WAGNER HOMES on the express condition that all work shall be done in accordance with all applic?bl @ ,? te f Minnesot atuteaa d City of Eagan Ordinance& / ? BuildingOfficial-- ?/ '? i ------------------ ? For'Oftice Use ? j Permit #: J ?S I i Permil Fee: `? ? ? ? Date Received: I I I StaB: I - _____ 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: 3 ? ?'7` ?(?tf'J[??'ti i n Tenant: Surie #: RESIDENT 1 OWNER Name: S Phone: Address / CRy / Zip: Applicant is: -W Owner X_ Contractor TYPE OF WORK Description of wark: Construction Cost: Multi-Family Building: (Yes _/ No ? 2,o S`6 -?2,2 y # CONTRACTOR : Name: License Address:? -?iQ ? Ciry: ??'i-r..... State: ?• ZIp: Phone: Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Ca[egory 1 Worksheet • New Energy Code Worksheel Category Submitled Su6mitted (q submission type) • Energy Envelope Calculations Submitled In the last 12 months, has the City af Eagan issu0d a permit tar a similar plan based on a master plan? _Yes _No If yes, date and address ot master plani Licensed Plumber: Phone: Mechanical Coniractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans?and supporting documents that you.submit areconsidered to be public informatlon. Portions of the iqformation may be elassified as non-pu6llc It you provlde speclfic reasons that wou/d permit the City to ` conclude that the are trade secrets. I hereby acknowledge that ihis informaiion is complete and accurate; that the work will he in contormance with the ordin c and codes f the City of Eagan; that I understand this is noi a permit, but only an applicalion tor a permiL and work not to start without a i; that the rk will be in accordance with ihe approved plan in [he case of work which requires a review and approval ipl ns. % /??r x Applic t's Printed Name Ap lica Signa ure ?rj Page 1 of 3 ...'''?. .' . SINGLE FAMILY DWELLINGS IHCLQDS 2 SETS OF PLANS9 3 C88TIFICATSS OF SORVEY, ? ?.xp". .. S ?4 0 f+ 'ION - r,TTy DF EAGAN ; '- •- r`? 1 SfiT OF ENERGY CALC'JL,AYIpPR NOTE: ADD@ESSES F09 C06HEH LOTS - COEIYR6CTOR/HOMEOMTNES KDST DESIGHAYS HHICH ADDHESS IS DESIRED. NO CSANGSS WILL BE ALLpHED Q!1CE BIIILDING PERMIT IS I.SSDSD. MOLTIP[.S DWELLINGS - RBSIDSNYIAL RHN'PAL [RNITS FOR SALIi OHIiS INCLUDE 2 SETS OF PLANS, CER?IFICATE OF SQECEY _ CFIECg ilI?H BLDG. DBPT., 1 SET OE ENERGY CALCULATIONS COMIlMBRCIAL INCLUDE 2 SETS OF ARCHIT^CTURAL & STR[ICTURAL PLANS, 1 SET OF SPECIFICATIONS 9ND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND --nr o00 . , To Be Used For: 5.i?x2le hwru,Ley Valuatlon: -9'? 2e?? de?zt?a.L Site Address 3624 44izGcucu Rd OFFI? Lot 2 Block 9 [On 1 Site Sewage_ WCC System ? Pareel/Sub 6.lachhcuuh S.Len 2nd Site Well ? City Water ? Owner Wagnen Home.? ? Address _ 14900 Cizejtrecct Ozive ,-- City/Zip Code 78u,??jvi.C.Ce, h1n. 55337 Phone 892-3373 Contractor w¢gae?+ Home4 Address 14900 Chejtruct 02ive City/Zip Code Quznjvi.LLe, hln. 55337 Phone 892-3373 Arch./Engr. ?'IQrtGO Address 3435 Wa-jh,ingtoa 02ive City/Zip Code EaQ°R, ma• 55122 Phone Il 452-0724 ?PPE.JVAI.3 i+ssessments Weter/Sewer Police ? Fire - Engr Planner ::?ancil Bld6 Off ? APC V:ir.tance Date: 7-17-87 .u uoa viri.z_ Oecupancy Zoning ? • ? Type of Const (Actual) ? (Allowable` 5, - # of Stor:.es Length _4-4- , Depth 1-50 S.F. Total Footprint S.F. FBES Permit ?-w Sureharge ,-t19 , So Plan Revlew 21E;. SAC, City . Itio: SAC, MWCC 52S Water Conu 525 Water MetG:r (p-7. Road Un..t 305. Treatment Pl 4 SD. Parks Copies TOTAL S (,J ,. , 2-2- o??Z) & ,< cr?, , , 7b?5q 6 C WAGNL? nOBc taHSUCTtt+o EH6iNEf55, NOMes ENGiNEfRING PLAHHEAS and LAHD Si1RVEY0!!S COMPANY? INC. 5'?.0! ? 10CQ EAST 146C1 57AEET, BUftHjV1Ll.E, YIHHE?OU SS83? P4i ?32'??OD C4e rZcczie o? ?Sz.?rYe r.? 07 2 L BLpCK I 6LACKI-AW14 GI.EN 2141) ADOtrIbN - L'AKO-rA COUN'TY , MtNNE-QOTA ORAINAGE ANU urtuTY EAsErnH-7N7 --? ? •? ? I / / F ? ?B< g?g ?J ` 1 ? (aiS?s) ,. . ? ° >? 629•, ? ? T ? o , _, ? 7S ? .. ; ' ? ? / 91a_5) l g2gJ, ? ? -... ?g26.2\ ? l a PRo 4g ac I ?0 # °?+5?°?O S,ao p),3 P? / _ ?boo ? 441 '- , r-, / m (s'z=. ? ) r;Erlo-rE=_ 6XI5rNG ECL.V?TtON (826.2 ) ;,ENOTc' FFC-oBEG E!_EVATtot INDICAT-Ec DIREC-7,I0N OF SURFACE DRAINAGE 82b.5o - GNISHEQ C-AR/\GE FLOOR _ EL& ViaT10N v° ° ?'Pqee 2C_? 30' FFiONT BUJLDING !:,6-7"EqG< LINE H ? - >p•?l 29 ?o ((a2?6 AV ? Rpq? (azi.-ie; SCALE = I"= 30' I hereby eartify that thia ia a t:ae and carrsct rapraaentatian o! a tract of land as shovn'and deacribed hernon.- An praparnd by tne on this .9n1 `dsY Ot Sw-Y Re?isEA - 7-/0- 87 FU,-WD NO06E ` JSian. lteE. No. :?S , CITY OF BUILDIN(i DEPARTI4ENT ' EXTERIOR ENVII,OPE AVERp(iE IIUII COMPUTATION ? (To be auLmitted with building permit application) One or Two Family Dwelling owner / 7( /.C All Other Contractor ,??ACaNER ?M? T,INEAL FEET OF E7(POSED WALL Sfte Address'-? ? l -(.t G3sY„? , Date Phone ?E ??IlIID21C51-IECT?? Yt, above grade = '?53-_?5 TOTAL EXPOSED 1VALL AREA Sq. FT, OPAQQE WALL CONSTRUCTION: "Ull Value x Area Detail NML liUll x s@, reference gonnk - glU°- •???? x SQ. from f?IM uUst .04(3 x Sq. ettached "Ull x sQ, sheeta "U" x sq. nUu X Sq. WINDOWSi IIUII Value x. Area , M ake & T?e llvax: «r „Uii S , n' nUn X X q. Sq. n n it nUn x ,SQ. nUu x SQ. DOORBS "Ulf Value x Area Make & TYPe ?2S nU?? • I4 u. u Tn nUn ? s@. ,? ?? • 47 x Sq. nUu n ' n nUu X Sq. x SQ. TOTALS 14'tS?."lS Sq. AVERAC3E "U" FT. - !5R.59 ( U ) ( A) FT. '[n. s - 7_33 (U)(A) FT. FT. •?sz = y-7? (U) (A) - (U) (A) FT. _ (U) (A) FT. _ (U)(A) FT, ICoC). S _ -1?i.94 (U)(A) - (U) (A) FT. _ (U) (A) FT. _ (U) (A) FT. 19-0 = (a.`d( (U)(A) ?: Z.U = 19.'I (U)(A) (U)(A) FT. _ (U)(A) E'T._ I27.-M (U) (A) TOTAL (II) (A) VALUES DIVIDED BY TOTAL WpI,L AREp '?-2- AVERA(}E "Ull 15 ° 7,eBa for 1&2 family dwellinga ROOF/CEILINC3s TOTAL AREA; IZCo1? i Datail reference from ilUto .UZI x Sq. FT. ?T1o`t5 = ZC o .! 7(U)(A) . tt I'Ufl x SQ, FT. . (U) (A) a ached aheeta. isUll . D x SQ. FT, = (U)( ) escribe openings nUu A itt roof. uun X sQ. FT. _ (U)(A) x SQ. FT. _ (U)( A) TOTAL M(A) VALUES DIVIDED BY Z? TTAtLb IZ(.P?_ N.ft Z(e.(cZ ( ufA> TOTAL ROOF/0EI11, AREA 125oC. _ UZI . AVERAf3E I'Q? 25 Y r ventilated roofe. ?? -#,9 ? - 32? r . (?? x 1?4 = 9?•4a w- ; ?. i ,- - 4-?----? ?.?..? _ ? ? • °a3 x 14? . _. '. ?I 19=5z ?• - - _ _ ;.: : „ -z4X3cQ a s xZ= 35_o ^?... ?.?: -Z9x3C? = Z(?.zSxl = Zc,-z5 t. , ?. ?,- jf- _.._ ? - . .. . , . _ , Zl 5rc- U? tnlu. a Z 1-? ..? ? s 9? ? ? _ i.'... - . ". : ,? [ _-'....,"'^*` ?..?. . . ._........ ... .. . _._ ;....... _ . .. Gi7.L155 \nlAC.cv ?.xPOSED 1?s3-?s L?J"?J ?C?1IG ?La??I( . ?,M ?l9.sz 1n/an/s L,a_-)s ities Di2ital Oualitv 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. --wA.L sEC_ TIOH-- . Determining "Ulf vsluee at Roof$ Wallp' Aimp and Cono. Blook ROOF/CEILIN4 , R VALllE 1.) Interior Air r'i1m 0.61 2.) 5/800 ayp. Sd. .56 3.) Ineulation 44co 4.l 50 Exterior Air Film .61 (BTILL) uUn a IIR= ?02J i'OTAL (R)= ?-7g . i. WALL R VALU 66) Interior Air Film 0.68 7.) 111 aYY. ga. .k5 89) Ineulation l9.00 9. ) P?UILT-?tTE Z•oQ- l0.) MASOnite Siding .67 11.) Exterior Air Film .17 -?- upn a 1/R= • p43> TOTAL ? _- (R)= 23.Of RIM R VALUE 12.) Interior Air Film 0.68 13.) Ineulstion 19•00 14.) 211 Fir Rim Joiet 1.88 15.) Px0lLT-,2ITG ? 2, oQ? 16.) Maeonite slding .67 170 Exterior Air Film 017 IOU" a IIRa ?04p TOTAL (R)= FOUNDATION `? H VALU 18.) Interior Air Film 0.68 19.) zo. ) 21.) 12" Oottcrele Block 1.28 22.) 230 Exterior Air Film .17 IlUll a ?' na -07(o .? - ToTat. (x)= 13.?z? ? CITY OF EAGAN Nn ? g513 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 . BUILDING PERMIT Receipt # Cl, 10 ?1 lz,?5 Tobeusedfor FIREPLACE Est.vaWe $1,000 Date NOV 6 ,1g90 Site Address 3624 ASHBURY RD Lot 2 Block 1 SeGSub. SLACKHAWK GLEN Parcel No. 2ND w Name JOHN PELLICCI o Address 3624 ASHBURY RD City EAGAN Phone 452-9551 io IName HEAT-N-GLO g¢ Address 3850 W HWY 13 ? City BURNSVILLE phone 890-0758 Name Address 11City Phone I hereby acknowlege Ihat I have read this application and state that the intormation is correct and agree to comply ith all applicable State ol Minnesota Statutes and C,?N¢p ?aqap Ardinanc . i ii d. SignaWre of Pertnitea ??? tii/Gl..% / _ A Building Permit is issued to: _ HEAT-N-GLO on the express contlition that all work shall be done in accordance with all applicable State of Minnesota StaWtes and City of Eagan Ordinances. Buildinq Olficial OFFICE USE ONLV Occupancy _ FEES Zoning - (ACtual)Const _ BIdg.Permit 2$.00 (Allowabte) - Surcharge _ 50 R of Slories - Length _ Plan Review Depih - SAQ Cily S.F.7oiai - SAC, MCWCC S.F. Foolprinis - On Sile Sewage _ Waler Conn On Sile Well - Waler Meter MWCC System _ Acct. Deposit Ciry Water _ PRV Requir¢d - SNJ Permil Booster Pump - 5/W Surcharge Trealment PI APPROVALS Road Unit Planner - Park Detl. Council Bltlg. Off. _ CoPies Variance - TOTAL 25.50 : SINGLE FAMILY DWELLINGS MULTIPLE DWELLINCS 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS _# OF RENTAL UNITS _# OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF FERMIT 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 LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED_ PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used Foi Site Address Lot 1- Block I ///,0 .OD tion: ggwl _ COMMERCIAL Date: //- /-!o FEES Occupancy Zoning Actual Const Bldg. Permit Allowable Surcharge r1 # of stories Plan Review Length SAC, Gity Depth SAC, MWCC S.F. Total Water Conn Footprint S.F. Water Meter Acct. Deposit On site sewage_ S/W Permit On site well _ S/W Surcharge MWCC System _ Treatment P1. City water _ Road Unit" PRV _ Park ?ed. Booster Pump _ Copies SUBTOTAL APPROVALS Penalty Planner _ TOTAL ? Parcel/Sub yn[.hh? „a ?Qh? ,?? Owner G' e-G Address AXI1//'G/ ?? Gity/2 Phone Contrs Address City/Zip Code??/?/???.(/j, Phone Q /G,- z??J[? Arch./Engr. Address Gity/Zip Code 14515 1990 HUILDING PERMIT APPLICATIQN CITY OF EAGAN Phone # GOLD COPY PERMIT RELEASE FORM PERMIT 4l 1 V( fl?l t ADDRESS ? cc PICKED iIP BY ?? : CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION t!aOrF: PAnmENT aF ETE xr TDE oF F APpt,zcAMoN noEs rxrr cMErnvM : APPROVAL OF PII2NNUT. t rNGnnEc-rrorr oF sEWEt r,ero/ox WxIIt : INSrALLUIONS wnr. xar sE scHEn-- : ULFI1 UN'FII, PERMIT AAS BF,E?I : APPROVID. P ease Prznt ? 1) PROPERTY ADDRESS; LEGAL DE5CRIPTION: IF EXISTING STRL'C![)RE, DATE OF ORIGINAL B[?ILDING PERMIT ISSCANCE: i (Mon Year PRESENT ZONING/PROPOSID C'SE: COMNEItCIAL/RETAIL/OFFICE [] IPIDC'STRIAL n INSTI'IL'TTONAL/GOVMU+,'NT 2) ? • 3) u . ?• - NAME: ADDRESS: i CITY, STATE, 2IP: PHONE: ? R-1 SINGLE FAMILY Q R-2 DL'PLEX (1wo Units) R-3 ROWNHOC?SE (Three + [7nits) ( Lnits) ? R-4 APAR7MENT/COAU]OMINILfi1 ( Units ) MASTER LICENSE# r 4) NAP'JE: ADDRESS: cixY, sraTE, zIP: 01 A. u pxoNE_Sr 4 2 ?? 7 2 ?? NAME: ADDRE.SS• CITY. STATE, ZIP: PHONE: rlumoers ricense: Active Ebcpised Not recarded Sta Znltial •g) u ?? ? r• ?• : ? • o• - ?? ? CONNEC.TION T0 CITY SEF7II2 [ff"CONNEC'tION TO CITY WATER Q pZ'HEIt '. . 6) "'?• ??` PLEASE HOLD APPROVID PERMIT F'nR PICK-DP SY ONE OF ABOVE ----- '- -- PLEASE MAIL APP OVID PERMIT ZU 1, 2, 3, 4. ABOVE . (Circle one) ' » SaQ? /C?Ix5 =8 9 . F4R CITY USE ONLY ? PERMIT # ISSDED Pd w/Bldg. Permit FEES: $ $ r0•? SEWER PERMIT (INCLODE SURCHARGE) $ $ WATER PERMIT (INCLUDE SORCHARGE) $ (f? 7NO $ WATER METER/COPPERAORN/OOTSIDE READER $ $ WATER TAP (INCLC'DE CORPORATION STOP) $ $ SEWER TAP $ $ ?S??rEU ACCOUNT DEPOSIT - SEWER $ $ t--v ACCOUNT DEPOSIT - WATER $ $ wAc $ !v ?r•l? $ SAC $ $ TRUNTC WATER ASSESSMENT $ $ TRONK SEWER ASSESSMENT ? $ ` LATERAL BENEFIT/TRONK SEWER $ $ LATERAL BENEFIT/TRCNK WATER $ WATER TREATMENT PLANT SLRCHARGE $ ?$ OTHER: S ?o TOTAL RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? ? YES IF YES, THEN A"PERMIT FOR WORK WITHIN PLBLIC Q NO RQADWAY" MUST BE ISSOED BY THE ENGINEERING DIVISION LIST S O . A A CONDITI N. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE: /,??p ? 6 7 PERMIT City of Eagan Permit Type:Building Permit Number:EA127680 Date Issued:10/10/2014 Permit Category:ePermit Site Address: 3624 Ashbury Rd Lot:2 Block: 1 Addition: Blackhawk Glen 2nd PID:10-14351-01-020 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 . Barbara Bessent Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Mark A Smeltzly 3624 Ashbury Rd Eagan MN 55122 Minnesota Exteriors 8600 Jefferson Hwy Osseo MN 55369 (763) 391-5514 Applicant/Permitee: Signature Issued By: Signature