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
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(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