Loading...
3621 Ashbury RdZtEACT?VATED FOR BSMT 6/1 J89 CITY OF EAGAN 45•?'I71?'I'?? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100 BUILDING PERMIT Receipt # I K 7 ".' 1 used for Sf Est. Value Site Address ? `: 1 =+41:?; + •? r{? Lot Block •3 Sec/Sub. FiA?''JiAuk GLEts 40? ¢ Name .o V q Address > ? City Phone Name Address City Phone I hereby acknowledge that I have read thls application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit is issued to:-"G???FN on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Officia O FFIC E USE ONLY ; On Site Sewage Occupancy MWCC System 2oning On Sne Well (Actuaq Const 4--:? City Water h (Allowable) PRV Required X # of Stories Booster Pump Length Depth 35' S.F. 7otal Footprint S.F. APPROVALS FEES ? Engr./Assess. Permit Planner Surcharge Council Pian Review - 3 1 ' ? ( L' Bldg. Off. SAC, City Variance SAC, M WCC ?50•00 ? 554.00 WaterConn. ? Water Meter b 7• C4 RoadUnit ? J.2 5 °00 TreatmentPl 204.00 Parks r?? TOTAL ' Permit No. Permit Holder Dats TNephone ?t Plumning ??•? ?',%-? ;. ,;/?'-CL-c,C? ? vr z ? Electric °0 'Sett@Res Inspection Date Insp. Comments Footings I Footings II Foundation Framing /- P (9'g ?? (?S•?•f 19S Roofing Rough Plbg. - , - ' - "?<'- ,?,/ . ? Rough Htg. ?_gY IsuL Fireplace f-p /?G. '" vuT sis?c???.?t- • 1- l??y -A Final Htg. •?:? ., ?? Final PIb9• '?rl Bldg. Final _ _ `• Cert.Occ. Temp. LP Deck Ftg. Deck Final Well _ i_ ;,4-31- 4;, Pr. Disp. ?i2? ?1•?Sif?LL- j?.-7-??I- !? Cities Di ital ualitv 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. PERMfT # '- ` . ' . , ` MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PIL OT KNOB ROAD, EA(iAM, MN 55122 DATE CONTRACT PRICE ' ,' ; _- "• PROkE 454-8100 Site Ad?lrqss 777 BIDG TYPE WORK DESCRIPTI ON Lot ? Block Sec/Sub ? . ' ? a New Rea. Mult Add-on ? Name Comm. Repair Address C+tY --ColdAA ?aU9y?MIP.h§6d22 : Other •?.'`' = Name ? ? ? ? ?, FEES HVAC 0-100 M BTU RES - $24 00 ? c Addr9S8 ? ." i • . ; 7 - ' - I ' ? ? ?' . ADDfTIONAL 50 M BTU . - 1100 p City - ' Phone? ' ' ? (RE3. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM -1 PER PERiVlIn 50 EA - 1 . TYPE OF WORK COMM/IND FEE - 196 OF CONTRACT FEE Forced Air M BTU - APT. BLDGS. - COMM. RATE APPUES TOWNHOUSE 8 COMDOS - RES. RATE APPLJES Bo118r 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 Vern. G P O CFM (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1 000 as iping utlets M , ) Otlter FEE: ? S/C: SI NATURE OF PERMITTEE TOTAL: % -? FOR: CITY OF EAGAN . PERMIT # Site Address Lot ? Name _ ? Address c City f, ? Name a 3 Address 0 C'ry - PLUMBING PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ? PHONE: 454-8100 Phone FEES COMM/IND FEE - 1% 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 CITY OF EAGAN BLDG. TYPE WORK DESCRIPTION Res. New Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES T TAL 3 Water Closet - $3 00 I Bath Tubs - $3.00 -It Lavatory - $3.00 Shower - $3.00 ? /Ki?chen Sink - $3.00 ?- Urinal/Bidet - $3.00 _?.Laundry Tray - $3.00 ?Floor Drains - $1.50 /. 5 v Water Heater - $1.50 f 15 r) Whirlpool - $3.00 _I Gas Piping Outlets - $1.50 'J (MINIMUM - 1 PER PERMIn Softener - $5.00 We11 - S 10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE: • S STATE S/C: GRAND TOTAL: 3 ? ? J ?- M • r -7 F I (gtr#i#iratit orf (Orrupanry titp of (Eagari lorpttxfimpnx a# suilbwg jap.emm T7irs Cern'ftcale tssued pursuant to lhe requirentents of Section 306 of ilte Uniform BuiJding Code certifying that at the time of issuance this structure was iR compliance with the various ordinances of lhe City regulaling building construc[ivn or use- Fas the following.• ux oca. SF DWG/GAR Mg. Pefmit rro. 15927 oaUw-7 Trw R3/)41 zoning nLsa;d R? T?a c,,? VN ' o.« oc B.kbs IIIAIDGM BFtl7Ms CCN.ST. ,qam. 935 E WAYZATA SL.VD 1 1?ATA aw,aing naarm 3621 A9B[Jfd RL1AD ,o,";ty I.23. B3, ffiAGU11WC Q.EN ZrID n.k: M?Q?30. 1989' POST IN A CONSPICUOUS PLACE CITY OF EAGAN Permit No:_ 3830 Pilot Knob Road Meter No: _ P.O. Box 21199 Reader No: Eagan, MN 55121 Owner. (-' "?DGR" -^'aROS Site Address: 3621 ASI?EQRY 1014! CONST 1NC Conn. Chg: +550.0?, , " Acct Dep: 15. r. Permit Fea ? ?` • `?'? , =' Surcharge: • 5C? 21' Tr.Plant ;)O :: Meter. r . ) ? -s Misc.: ?• '' ?:? . , '. . t?r;,• , . Date: Size: Date: Zoning: No. of Units: ? I agree to comply with the City oi Eagan ardinances. WATER SERVICE PERMIT CITY OF F-AGAN Permit No: 11280 383tl Pilot KnokRoad g/p No: 59583 P.O. Pox 21 a 99" Eagan, MN 55121 Date: 12/2 1R a Date: Z 2/ 1 j86 Owner. LUNK$EN BRQS CONS? IAK; Site Address: 3621 ASHBURY RD., L23, B3, $L,ACKNAWK GLEN 2ND STE1F7RRAUS PLBf:. t550.00 pd MWCC: City Chg: 100.00 R Acct. Dep: 15.00 ? ? ' Permit Fee: 1.Ot1 nc: ( No. of Units: R-1 I agree to cornply with the City of Eagan Ordinances. SurchargA, .I Misc.: ? By SEWER SERVICE PERMIT CITY OF EAGAN Permit No: 10145 Date: 12/2I SS 3830 oilot Kno`b Hoad Meter N:6f3 Size: S Oc P.O. Box 21199 ?Seaiffer o: Date: Eapan, MN 55121 u? Owner._ SiteAddress: =691 ecuAifRY Rn ? 121, 113. BLACiCHA~? 1'LET3 Plumber._ 21?-LU?ruLr'c i>I N(` Conn. Chg Acct Dep: 1 S? nn nd Permit Fea - 1 p p-n.i ? Surcharge: Tr. Plant Meter. - 67600 0d Misc.: PRV RF', ?;)1 R?D Zoning: _ No. 01 Units: 1 agree to comply with ihe Clt ol 7Ean Ordinances. B WATER SERVICE PERMIT CASH RECEIPT - • :CITY OF EAGAN 3530 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 1s pECFVF.D AMOUNT $ 8 DOLIARS ,oo ? CASH LJ CHECK BY White-PaY- CoPY Yelbw-POSti^9 CoPY Pink-File Copy Thank You 4 BLDG. PERMIT NO. ' 01-3210 Bldg. Permit - - ' 01-3422 Plan Check - ? ? 01-3445 Surch./Adm. 01-3446 SAC/Adm. 01-2155 Surcharge 75-3860 Road Unit - ? ; , 20-2275 SAC 20-3865 Water Conn. 20-3868 Water Trmt f--' 1 . 20-3716 Water Meter 20-2252 Acct. Dep. - 20-3713 Water Permit ?"? 20-3743 Sewer Permit , ; • ?, I 79-3866 Sewer Conn. 1`-- i 28-3855 Park Ded. j TOTAL BUILDING PERMIT To be used for ?F ifyG/GAR Est. value 5127,000 Site Address 3621 ASMBlJBX RD Lot 2-1 810Ck 3 SeC/Sub. $LAeKHAW't? -;;i,Li". Parcel No. 1 a Name i.UC+TDGBEN BR.?:THBRS CON37`RIJCTIOIV z Address 935 L+ tiiAYZATA aLVD ? City `-JAYZATA Phone 473-1231 a .O Name S.AM ? ? Address ? City Phone ?Q "W W Name W Address u s W City Phone I herehy acknowledge that I have read thls application and state that the inlormalion is correct and agree to comply with all applicable State of MinnesUta Statutes and City of Eagan Ordinances, Signature of Permittee A BuildingWermit is issued to: I.iTNfJ(aicEi'1 BK(7tHE$8 on the express condition that all work shall be done in accordance with all appliyable'State of Minnesota Statutes and City of Eagan Ordinances. BuildingOfficial CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PH O N E: 454-8100 Receipt # Date DEC 1 OFFICE USE ONLY On Site Sewage Occupancy MWCC System ? Zoning On Site Well (Actual) Const City Water (Allowable) PRV Required X # of Storias Booster Pump Length Depth S.F. Total Footprint S.F. APPROYALS FEES Engr./Assess. Permit Planner Surcharge Council Plan Review Bldg. Off. SAC, City Variance SAC, MWCC Water Conn. Water Meter Road Unit Treatment P1 Parks TOTAL (P / ig If y 1510A4- G 9 8113 a3 gj JLJA , , Request Date ire No. Rought-in Inspection 5-- qD _ ?? J ?rea7 ?ReatlyNOw?WiIlNOtlrylnspector R d 7 Yes ? No When ea y IXlicensed contractor ? owner hereby request inspection of above electrical work at: Job 3G(5?? ?,?:s,?y -P?- `irye054.s•9-4/ Secdon No. Townahlp Name or No. fiange No. Cou n ry f ' OccuPent (PRINT) T oy /1'J Phon Na. 71 ? PowerSUppller .- Address Eleclrical Conireclar (COmpeny Nama) Contrador§ License No. Standard Electric Co., Inc. 40837 Mailing Address (COntrxlor or Owrrer Mekirg Inslallation) 267 M lewood Dr.,, ewaod, MN 55109 Authonz Si re (COniraclorrownar M' s Gon) Phone NumOer r ? 1 484-8044 MINNESOTkSTATE BOARDOF eCECTpICITV THIS INSPECTION REQUEST WILL NOT Grlggs-Midway 61Ag. - qoom S173 BE ACCEPTED BVTHE STATE BOARD 7821 Unlverelry Ave., St. Poul, MN 55109 UNLESS PROPER INSPECTION FEE IS Phane (612) 6424BW ENCLOSEO. REQUEST FOR ELECTRICAL INSPECTION . esuoomo7q p ? See insWpions lor compietng ihis brm on back af yelbw copg ? 98113 'X' Below Work CcFiered py This Request e Add Rep. TypeofBuilding AppliancesWired EquipmentWired Home Range Temporary Servtce uple z Water Heater Eleciric Heating t Building Dryer Other (Specify) I omm./lndustrial Furnace rm ' Air Conditioner Ot er (spedty) ContraIXarS Rema.ks: Comptrte Inspecfion Fee Below: # Other Fee # ServiceEntranceSize Fee # Circuifs/Feeders Fee Swimming Pool 0 to 200 Amps o to foo Amps Transformers Above 200 _ Amps Above 100 _ Amps Sigf15 ln%pector5 Use Only: 70TAL Irngation Booms Special Inspection AIarMCommunication Other Fee i, the Electriral Inspector, hereby certify thatMe above inspection has been made. AW9h-in oa?e OFFlCE USE ONLY ti ThIS requeat wid 18 rtwnMS Imm ///9/,Y y yo590 n? E 72920/?3 c'21 Reques[ Date / ciQ ? ? ? Fire No. Rough-In Inspeclion F uired? ? Ready Now ?Will Notify Irepector - IO 0/ Ves ? No W?en Ready7 IKlicensed contractor ? owner hereby request inspection of above electrical work at: Jab Addrew (SVeat, Boz or Roule No.) Ciry j / 3? a s ox o Gsr Section W. Township Neme or No. Range No. CouN? Occupent(PFINl) 02c.I.v A'J S/,eA,fE Phorie Na. . Power Supplier Agko 4,6 Eleclrieal Cqnlraclor (COmpeny Name) Contraqar License No. Standard Electric Co. 40837 Mailing Addresa (COntractor or Owner Makiig Instellation) 2672 ap wood Dr ., Maplewood, Mn 55109 Authonzed Sqn e trectodOw akin io Phone Number Z 484-8044 MINNESOTRSTATE BOARD OF ELECTFlICRY ? THIS INSPECTION flEOUE$T WILL NOT GtlggsMitlvrey Bkg. - qoom S173 BE ACCEPTED 9V THE STATE BOARD 7821 Unlvarelry Ave., SI. Peul, MN 55104 l1NLES5 PFOPER INSPECTION FEE IS Phano (612) 642-0B00 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION M eaooom-m 9/?, li? See inslmctions for mmpleting ihis lorm on back ofyellow mpy. ? 7 2 9 2 0 `X" Below Work Covered by This Request w Add Rep_ TypeofBuilding AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt Building Dryer Other (Specify) Comm./Indusirial Furnace Fartn ' Air Conditioner Other(specify) ConVactar5 Remarks: Compute Inspection Fee Below: /f Other Fee # ServiceEntranceSi?e Fee # Cireuits/Feeders Fee Swimming Pool 0 to 200 Amps .°-" oto mps Tfansformers Above 200 _ Amps Abo Amps Signs Inapectork Uae Onry: TAL Irriga[ion Booms Special Inspection Alarm/Communication t Other Fee . SG I, the Electrical Inspector, here6y tif th h b i i R°°9n-m KJ y cer atf ea ove nspect onhas been made. Final ? OFFICE IISE ONLY This requgyt vpid 18 moMhs imm ? 72 ,8 2 Repuesl Date n Fre No. Rough.in Inspection ReqWred7 xReatly N. ? WIII Notity Inspector ? Yes No When Rexdy'! I Ilicensad contractor ? owner hereby request inspection of above eiectrical work at: Job Atltlress (Street, B. or Rou1e No.) 3l .a1 Asq avR y Ciry Seclion No. Township Name or No. Range No. uMy Oc M (PRINn ?Rt-rn) AIV/L<.! E ?UivD?2? ?UR?s Phone No. P r Suppliar- ? ? Ad ¢ss a d - ? ? ? ` L o o_ 20 - ,. 60 ?. ElecMCal Contrecmr (Company Neme) CoMrad License o. Standard Electric Co. 40837 Maillrg Adtliess (COntrador or Owrier AAalting InsfallaUOn) 2672 Ma lewood Dr., lewood, Mn 55109 AuMonzeE Sign traclor/Owiter Making I allati Phone NumOer 484-80 44 MIN TA STAiE BOANU OF ELECTNICRV I THIS INSPECTION REQUES7 WILL NOT GrlgBS-Mitlway Bltlg. - Room S7]3 BE ACCEPTEO BV THE STATE BOAFiD 1811 Universlly Ave., SL Paul, MN 65104 UNLESS PROPER INSPECTION FEE IS Phone (612) 612-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ? See insVUCilons kr campletiig this }ortn on back of yellow wpy. ? ' 7 2$ 8 2 X" Below Work Covered byThis Request M E}B-W001-0] y /X V /yn ej- c9- ew Add Rep. Type of Building AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm,/Industrial Furnace Farm ' Air Conditioner Other (apecify) ContraIXorS Remarks: Compute Inspection Fee Below,- # Other Fee # ServiceEniranceSize Fee # CircuitsiFeetlere Fee Swimming Pool / 0 to 200 Amps ? 0 ta 100 Amps 1.5 Transformers Above 200 _ Amps ve Amps Signs Inspectors use ony: ? 7pL ?,? Irrigafion Booms /? QQ ' fJ ^-- Special Inspection Alartn/Communicalion Other Fee I, the Electrical Inspector, hereby certify that the above inspection has been made. RougMin F;nai - oete oe?e l/7_ OFFICE USE ONLY - This request vdd 18 rtwnihs Irom r. • CITY OF EAGAN 1592? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ?r 1?? PH ON E: 454•8100 BUILDING PERMIT Receipt * OI 5 U?..; Tobeusedfor SF DWG/GAR EstValue $127,000 Date DEC 1 ,1988 Site Address 3621 ASHS[IRY R Lot 23 Block 3 Sec/Sub. BLACKHAWK GLEN ZNI) Parcel No. s NameL-VN?GREN BROTHERS CONSTRUCTION = Address__935 E y]A7C_ZATA BLVD ? City WAYZATA Phone 473-1231 a0 Name SAMF. I ? a Address ? City Phone OFFICE USE ONLY On Sile Sewage _ Occupancy MWCC System X Zoning On Site Well _ (ACtuapConst Ciry Water _X- (Allowable) PRV Repuired X # of Stories Booster Pump _ Length Dapth S.F. Total Footprint S.F. R-3 M-1 R-1 V-N V-N 59' 35, Name City I hereby acknowledge ihat I have read this application antl state that ihe information is correct and agree lo comply with all applicable State of Minnesota Statutes antl City of Ea9oan Ordina/ncs Signature of Permittee )?_ A Building Permit is issued to:_LUNRGEEN_ B THERS.. on the eapress conditiOn t hat all work shall be tlone i n aCCOrdanCe with all applicable Siate of Minnesota S[atutes and City of Eagan Ordinances. Building Oflicial .jJ ?/y? ?p !1_LS!__ __'-- APPROVALS Engr./ASSess. Planner Council BIdg.ON. Variance FEES Permit Surcharge Plan Review snc, cny SAC, MWCC Water Conn. Water Meter Road Unit Treatment P 1 Parks TOTAL 662.00 63.50 331.00 100.00 550.00 550.00 67.00 -325.QO 204.00 2? BS2. SO 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS ljqzl INCLUDE 2 SETS OF PLANS, 3 CERTIEICATES OE SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL HE ALLOWED ONCE HUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL IINITS FOR SALE UNITS U OF UNITS INCL[IDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS CON]MERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS To Be Used For: S? 6?1 Valuation: --??- Date: Site Address ,?Ga / ?'??-•a. ,?-,s?( Lot -?j Block 3 Pareel/Sub rb'?w-L Owner UMBBREN BROS. CO TR Address 935 E. r? BLVD. WAYZA7A, MN 55381 City/Zip Code INDNE 41M231 , Phone Contractor LUND6REN BRMB. EO . Address 935 E. WAYZATA BLVD, WAYZATA. MN 55391 City/Zip Code pHONEAZ3-129f y Phone Arch./Engr. Address LUND6REN BROS. CONSTRUCTION. IMC. BtVD, ? City/Zip CodeWAYZATN, iVlN 55391 Phone # OFFICE USE ONLY On site sewage Occupancy R3 M-I MWCC system ? Zoning ? On site well Actual Const V- City water ? Allowable ? - N PRV required 1/ li of stories Booster Pump _ Length T Depth S.E. Total Footprint S.F. APPROVALS FEES Engr/Assess Permit 62,0 O Planner Surcharge 63,50 Council Plan Review 33,oD Hldg. Off. /z9 SAC, City 00.op Variance SAC, MWCC j-15p,po Water Conn Water Meter (07.00 Road Unit ??;57-5, OD Treatment Pl 20 '-I, U Parks Copies TOTAL ? v,4Lua i IoN GARqG? °2 3X 35 = e 05 13%z 1??13 x ly = 9ooz T?ASErn? N ?-- -?,(-X 3C = 93(" 4x1?.= z4e Izx r6z lly? x ?3= I?{&9S ?jM I = ???{L a?g -f I I ?Z ?C ?f9= s?q 3? Z riv rL, o o/L ZCV X3br- 93c, xyI_ y586y 1 ?----__ ?.•„ ?._. _..,.,? ...... ....... ?.?...._.,- __.....??. ?.t, ? _. Cities Di f 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. ? cOJCIRUC1101J - ---- . 935 EAST WkYZH7H BOUL[VNRD • ?:?tiYZl?7A. 1l?II?l?'C50 ,7H 39i •(6i2) G7;;-t)3t EY.7EP.lOP, EI?VELOPE A.VEP.G.GE U CO;?PUTl?TlO14 .. . _ D?oto23 aio?? 3 Site Address _ 3GZ/ _ R U R & U Factors 058 ppaque 4lalls . _ .117 YJall Framing Areas -" .023 Ceiling Insulation Area .. , , . .027 Ce5ling Framing Area - -- Rin Joist _04 ie liasonry Wall - .26 !•lindows Double Hung - qE , . Casements - .18 Doors ; ---- : _ 46 patio Doors 1; ? - .47 5idelites 1) Lotiaer Level (Basement) Total exposed wall area ? X (U) .058 = Opaque Wa71 Area - ?. x ( U ) .117 = Idood Frame Area - - x (U) -04 = _?- Rim Joist . /?x ? ?) • 14 . _ Exposed bl ock 8- ' Window Area Casement _Z--X ??? -46 = 26 - _?- -Double Hung x (U) -46 -- 5liding Glass Door - ---x (U) -1 S Door Area , ? = To tal ?COh6iRUC110N 935 EAS7 VJNYZHTA BOUI.[Vl?RO • VJAYZN7k, IJII:NESO7A SS391 • IEi21 G73"'Z31 2} Ist or nain f7oor Total exQosed wall area ??X ?U) 058 - 5? -? Qpaque i•ial l area x (U ) .117 = _1?-- 11ood frame area . (U) .04 = 4?, Rim joist Casements - x (U) .46 ? 1•11indow P,rea { ? x (U) •26 a- `?-?- Double Hung `?L- ;: ?x (u) -46 - ? Sliding Glass Door ? jr?x (u) .18 = Door area , ?.3x (U) -47 = _?s--- Si del i tes 3) 2nd floor if 2 siory Tota7 exoosed wall area ,,.. ? ., . ppaque wal l area ? , k'ood frame area ' l-lindow area Sliding glass door Door area 4) Total ceiling area • Wood frame area Opaque ceiling area Skylight . C? Total lD0 f?` " gSyX (u) .osa = 2, ?-J ?x ?X Casements ?X Double Hung (U) (U) (u ? .117 = .46 .26 = = ??- ?.x (U) :46 = _---- - x Total (U) .18 = (U) .027 = (U) .023 = a_ -?'?- ? x ( U ) .55 = ?--- - Tota7 sr r ?. . ? ? i?l CCOI Cl RUC110N - - ? t!?IIjNGS07N 55391 • (612) 473-t7.31 ----- IJ I 935 EAS7 VJAYZNTN BOULEVARD • NYZ/?.7H. 14inn. U Factors Total er.posed viall.area x area Total exposed ceiling 020 I•iinn. U Factors _ ?,,.? 2? " {A} 7ota7 ?? ?. , o? 2+ Item 3 J.? + Item 4'???_?g Item 1?.t_ .Item ?- If to-al of IteMS 1- 4- is less tnan Item (A), building ? 6 (C) complies with SBC b00s `.. (+ .- ?t- , ?. .'. -. ,. ? . i, . 1f ..: , . it?..? ?. . ?. ? _, . . ? 1989 HOII.DIBG PERIiIT APPLICATIOH CITY OF EAGAN I 3INGLE F9MILY DWELLIBGS lATLTIPLE DiiELLINGS COl9MEACIlL 2 SETS OF PLANS 2 3Sf3 OF PLANS 2 3ETS OF IACHIiECTURAL 3 EEGI3TERED SITE SORVEYS REGISTSRED 3ITB 30AVE23 - 8 ST80CTSJRAL PLANS 1 3ET OF ENEAGY CALCS. (CHECB WITH BLDG DIY.) 1 SLR OF SPECIFIC6TIDN5 1 SET OF F1iEHGI CALCS. 1 SET OF EAERGT CALC3. MULTIPLE DiiELLINGS AENTAL ONITS FOA S9LE IINITS / OF 06ITS BOTEr 1DDRE53F5 FOA CORNER LOTS - COtiTRACTOR/HOMEOfiNER !l03T DESIGNASE iiHICH IDDRESS IS DESIRED. HO CHINGFS FII.L BE ALLOflED ONCE HIIILDING PERHIT I3 I3SUED.. SENER 8 N9TER PEl69IT FEES AND ACCOONT DEPOSIT FE83 iiII.L Bfi INCLDDED WITH THE HUILDAQQ PERMIT FEE. PAOCFSSING YIME FOA SEHER AAD WATER PEffiiIT3 23 Ti10 DAYS ONCE l PfiAMIT Hl3 BEEN CONIPLETED INDICATING A LICENSED PLOFIDER. PENALTY APPLIES HHENt PERMIT IS NOT PAID FOR IN SAME MONTH IT IS REQUESTED. LOT CH&NGE IS REDOESTED ONCE PERMIT IS ISSIIED. C$SwIT. r-ONI5P7) To Be Used For:l ?y-rm Valuation: n.? Site Address ,3c,>ai i?shb«?cv Rcl Lot ? ? Bloek t Parcel/Sub Otmer Orkin 4-??A14, Vhyr1,e Address 3(?4I ks40bw r.a ? City/Zip Code (h !?J 13? Phone 4164 -71 Coatraetor Address City/Zip Code Phone Arch./Engr. Address City/Zip Code Yhone 9 Date: 5--'4 i - B i Oecupancy FEFS 2oning Nl Aetual Const Bldg. Permit e Allowable Surcharge I of stories Plan Review Length SAC, City Depth SACO MWCC S.F. Total Nater Conn Footprint S.F. ilater Meter - lcet. Deposit On aite aewage S/W Permit On aite well S/W Surcharge MSiCC System _ Treatment P1. City rrater _ Aoad Unit PRV required _ Park Ded. Hooster Pump Copies _ SOBTOTAL APPROYALS Penalty Planner _ TOT9I. ? Council Bldg. Off. Variance APFLIC?ATION FOR PERMIT SEWER ANQ/OR WATER CONNECTION OF eC'0gC8P1 1) PROPII2TY ADDRFSS: 7GZ (1?1? LEGAL DESQ22PTION` ?- 3 J •-TLot B ock ivision orTax F IF EXISTING STRL'CTURE, DATE OF ORIGINAL SLILDING PERMIT ISSUANCE: Mont Year PRESENT ZONING/PROPOSID LSE: Q CONII?mCIAL/RETAIL/OFFICE Q INDDSTRTAT• Q INSTITC'TIONAL/GOVERN[&NT I =,-rR-1 SINGLE FAMILY ? R-2 DUPLEX (TWO Ljnits) ? R-3 TOWN30LSE (Three +,Units) ( Lnits) Q R-4 APARTMENT/COAIDOMINIUM ( Lnits) 2) tvaME: LVNUBntm ?n?ss: ' ?? CITY, STATE, ZIP: PHONE: 3) NAME: ADDRESS: CITY, STATE, ZIP: 7 7/ PHONE: MASTII2 LICENSE # ? s ? i?- 4) NAME` UINU6m anes. cUM8Ti ADDREss: g35 E. WAYZATA CITY, STATE, ZIP: PHONE: 5) 6) ? CONNECTION TO CITY SEWEE2 /i /a l/o'd' **?*?***+******?***?* **********?*****,r?*******?*****?+*****?**+***********+**+****??****+*****?+**y ,r * THE GOID COPY OF TM PERNIIT WILL BE SENf DIRECPLY TO PUffi,IC WORKS TD FACILITATE ME.TII2 PICK-LP. i ?*. Pf,EASE ALTAW TFA FARKIIVG DAYS FOR PROCFSSING. SOMEONE F720M TfM CITY WZLL CONTACf YO[J IF RHERE i * ARE ANY PROBLEMS. y ?***?*********?***+e*?***?********,r*?+****,r*****?r*****,r,e*******,e**+*****??*****?**?*******?*,e«+****; , ?@ril'E: PAYHFTJP OF FEE AT TIME OF ? APPLICATIOIV DOFS NOT CON- t STI1771E AFPft(TJAL OF PIIt6IIT. .'w ? t INSPPl,.TICN OF SEFffit ADD/OR WATER F i. ? I[1STALiATIOCLS WIIL NOT SE SCF9ULID ? ? LR7PIL PIIiPffT HAS B@] APPROVID. ? +:a?ii+vr?r+++ewx?e??r:aa:e?R:»??+.3*a+ ?liunbers Llcense: I? Active Expired Not recordec St Initia CONNECTION TO CITY WATER a O'PfEEt FOR CITY USE ONLY PERMIT # ISSUED Pd w/Bldg. Permit FEES: $ / C? -?; -6 $ $ $ $ $ $ ? S $ $ $ G ?-a S $ $ S aoyC $ $ $ RECEIPT SEWER PERMIT (INCLODE SURCHARGE) $ WATER PERMIT (INCLUDE SURCHARGE) $ WATER METER/COPPERHOR[V/OL'TSIDE READER $ WATER TAP (INCLUDE CORPORATION STOP) $ SEWER TAP $ ACCOUNT DEPOSIT - SEWER $ ACCOLNT DEPOSIT - WATER $ WAC $ Qi_4(ATAIY^,?? ? NM.ATAS9'RW $ TftbNVWMM ASSESSMENT $ TR[)NK SEWER ASSESSMENT $ LATERAL BENEFIT/TRUNK SEWER $ LATERAL BEN°FIT/TRONK WATER $ WATER TREATMENT PLANT SURCHARGE $ OTHER: $ +`N*AZfYQTAL. -- <Q1ii8 /l44SYA'7A RECEIPT 'M ?AT?AW NM?+- " p., . ._ , DOES UTILITY CONNECTION REQUIRE EXCAVATION IN P[)BLIC RIGHT OF WAY? F--j YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SDBJECT TO THE FOLLOWING CONDITIO[VS: APPROVED BY: TITLE: DATE : December 2, 1988 LUNDGREN BROTHERS CONST 935 E WAYZATA BLVD WAYZATA, MN 55391 L REs 3627 ASHBURY RD.9 L23, B39 BLACKHAY7B GLEN 2ND WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES -'TELEPHONE9 ELECTAIC9 G959 ETC. - REQDIRED BY LAW XX` Your Sewer and Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is pieked up. BE SURE TO CALL PDBLIC WORKS (454-5220) FOR YOUR PEAMANENT WATER TURN ON. _ Your Sewer and Water Permit for the above property cannot be completed for the following reasons: _ Your Sewer and Water Permit for the above property has been completed, however, the meter cannot be issued or oecupancy allowed until further notice. COMMERCIAL PRDJECT3 ONLY _ Your Sewer and Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. Please come to City Hall to pay for whatever size meter you will need for this pro3eet. The size must be confirmed by either our Public Works Dept. (454-5220) or Bill Adams (Plumbing Inspector - 454-8100) before issuance. Sincerely, 'Jan Severson Secretary JS Cities DiLyital 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. MINNESOTA DEPARTMENT OF HUMAN SERVICES `" oHS-zaza (6-e51 i ._/ . . . PZ-02424 02 ckh3?? P/n',2 REQUEST FOR FIRE INSPECTION BY STATE FIRE MARSHAL'S OFFICE 8Y LOCAL-FIRE DEPARTMEN7 . Market House Bldg. ft?71(Municipality must be on State ? 289 E. 5th ST. Fire Marshal approved IistJ ? St. Paui. MN 55101 ,•?,?3,`,? (.? 6 'r Date . Rcyue.stetl by -. : 1) , fi I l UT 1 ' >s lcounry ageq°Yl? :k „ Applicant's by: . •.: ? :.: . . r ?' : .. A ? ?,'.; ` D?censing exar?qe . ! ? ? ? ? ?GeRS,ing exartnne/5 phone number. n1?' ! r1 ??^! ? i.?.. .. and Counry (in which inspection is to 6e made) ... r '.- ' /? . ... . .... .. .... .. .... _ Phone? ? City ' I (residenceito be inspected) REASON FOR REQUEST ?Inspection flequired Because: ? Mobile Home ?Mixed Occupancy Building • ? New Group Pumily Day Care. q Multiple Occupancy 8uilding ? Care in Basement ? Requesled for Reasonable ? Care above Second Floor Cause by Ayency. EXISTING USE: jkSingle Fumily Residence ? Multiple Occupancy Building ? Duplex ? Townhouse ? Fyianment with 3 or more units ? Mobile Home AREAS TO BE USED: X82sen,en[ 4lst Floa 2nd Floor ? Third Floor and akwve ? Family Day Care. Class - ?1 XGroup Family Day Care, Class ? Licensed Capacity, r (numbnr) , ? i j ? j i ? , .. I <an W `I ? .??• ?'?I ? f ? I i ,.. M i ? ? M+ /.. ? Date I . . . . . ,_ . -._ I The atwve residence was inspected on The followiny are the results of thut inspection , . (daie) ?Meets fhe minimum reyuirements of Minnesota Uniform Fire Code as Indicated below. Wlyj" ? Initial Inspection ? FWlow up Inspection . ' ? Owner's/Operaror's lener s[ating compliance dated (date) ? Does not meot the minimuin requirements of Minnesota Unifam Fire Code. (see attached aders/exit interview). ? In process ol complia n c e: t i m e e x t e n s i o n g r a n t e d unt i l R? C?, ?! .. • „ ? invalid request. (sou conununts.) (datel W . ^ , . . . .. 's ? . •?' Comments _ . ?. . ... ? . . . ,.. ?. .. ' ' . / HEAT LOSS.CA r,uaom. wm. C r ev rc?. ? - ci?Y ? o..i. N.m.. chr eom I L.nocn U ;; wranI S- H-milki ? wfnpowi me DoorrGadc ap ond ArM Me =ti % = Le. sl 11. w. 3g, ! 3 a 7 i o ?. Btu Inldngtwn u c; G4u E¦o. wau No fKp. wall . ? Int. wall Gilinp 419 Floor Toui ew. I I 5aL F? J Room I Lr?yM wiem IMiab, W indovn wid Ouwt-GwJcpw rd Arr wo twrm h. Am. , ElE 111f11InLWn 360 Glm 50 lei Eap. wll ? .37 !kY gap. wll . . at. w.a c.iliM I ? 6Z twm Typ CKNnUgtisn wwddwm n" Soft wWa . In. c.?ik, M.. iloar Daon-dodim wd Arr IN. M Mw? IM. M LY-Wh. M?. _a ? O 3 ? • etu IMikr?tion !/G 0 Ghw -b Exp. wll MR eaP. wll ' Int. wll CNlinO ? Floer ? Tobl stu. O , FI.I ' Yt • IIOanllo NNdtA IM t wWAbm.,e ooo..-a.ea ae w.. ? F ? ? 1111iMntiOn ? Gw ?f ? OG Eap. wNI ( ? No ..v...n r lm. We" c.iiino 50 Fra ? o Tot., st. __ 6o ToW hu. F? oZ - QjH.I RoomlL h 17 MridtA , t FI.I }qdA IlaanI LwWh wN1A W urkwvs uM Ooort-Gak wd A?se rllMdowt ind Dsert--Odm rd Arr ? 1YNI1? . MN?1?? +? nw M w? 1?. M L? Lllr? ?I. i ftu IelJirilron G4.r E ¦n. •wu -4 t NM otp. wall ? Inl. wr11 CoilNM p O Fbrn t 5oc" roui iw. I ;?, Igri L?ULATIN??d? ?1'EMP. DIFf.. „w w? M wyft w. a K i 7 ? Inlihratqn Glo Eso. wll f 8 Nw ao. wu C ?p ? 11M. rYdl Crlinl H Fbe. ?3 ..2 ei TpN Btu. 7 .:wtomw N.rrw tv, ckY Drbr Nurw . 5hM ckY - wd Me N H rti fte. N LMYI h. <1Y? ? Z I 2 ?e 5?v ? In?dtralion 2 (4O p 16 O GNa 2 Eap, wall P( ? No exp. wNll ? Int. wall Gilirg ? a Floor ? I vul ew. b O 1 f?.l out° ?- Roomll«qM 1 wied, N.I/+t S WinOowi uW d+a?-Gadsas ard ?rr Me ?'°h' MMw? M?.M lYrl/1. ^ ?. . e O O CW* Stu 7M11t f?t10Q 0 p G11° Q 5a E¦p.wNl Nri no. wall om. wn C?Irtp ? ?? f 1on 1 1 Z -R'- qv ° YEMP. DIFF, )aJ?4 3 Typ Cwwrwawn wadowt Storrn suh M1a16 . Iry. Giliq Fber _ br. I"'i_^'1 IftMo M. M 1 h L q Is- COO. i111 Infihr?tion p Gba Sb 175-0 E:p. Owi . ? S 8 NR a0. wNl p InM. wMl CNlirq / Fim 6 9 ToLI Stu. 4-/3 7 FI.I 77-Roen+ILwah 1-3 wiftn 13 1MwtA - wwdm«w ooo?.-c.er. .na w.. N?. M Iwu N. .! LI,00L ? IMiltmion p Ghr 6 Eio. wNI Na oxo..+n ALI lnt. wNl - Gitirp Fra J ? 3 Tonl hu. I Fl.I ?.Gs'^. rr?an f Nlyd i.W413 namluno 13 wieA tT1?e g wvrkMws rM Doors-Gadk wnd Arr .r n.__ ??- ._. ..` h. y- 3G G &U In1?Itlilqn ?, ? ? G4.s -2 r? O E,p. wu ? Mo d+P. wall Inl. wall c«?.?, ilax 't TOUI ?lu. HEAT LOSS CALCULATION W. M'no aM/n M,M R 3 ? Inliw.tqn 3 cr. 5 / ERp. vmi o NM 1uP. MII j IM.wNI Gilin1 I 2 >(13 ? Flear ToW Btu. 1 Lf24I HEAT LOSS CALCULATION .ustorner wm. re4, Bror, . CY- DrNr Mame . StrN1 citY - Wiryfows Md AfY Me ' w?nn nr 1h ? ? er 1M L U we. 40 O - 75 . .? Inldn.twn ? G4u e Esp. wall No fRp. wall Int. wall Gilinq cf F loor 5 Toul Btu. FI.1 RoomlLwqlh Wydth Windowt and Duort-Gadcsam and A?r Me w'?' M?'MI M w? f w? Me M 41. ' Codj ftu 111111fI?liOf1 Gyn E:a..wll Nrl saP. vWll . . Im, wall Gilnq f lonr TotN Btu. RowntL Mfid1A WiMnws wl0oors-daeksM Md Arr e,;, w? •?w?? ?...? ?..r n. I stY ?11?1?1fi?lOf1 G4.s Eap. wau Nrt eaP. will Inl. WII Gi?n+i Fbrx Toul Diu. ?° TEMP. DIFF.. TVpS CadOuplon NI'indoM YrNk . Gilfey Fbw ff3 4 3 Stonn tNA Mt. br. La A yfdh 1iO w. .., «,d oom«w a.. 1N. 11*110414 IM. M LMM h. Y?i. . .w GMa f ¦p. wll NR pP. wNl UM. wMl Gilino Fbw Tenl Stu. ? fM IloanI Loob NIfdM wWgbm «,e ooo..-a.auMOe A?. M?. ? M? M. M ?Yrl K A&M ? IMiltntion GIN Eav wNl IM KO• rNl CNluq ' Fbw 1op1 Stu. - fl.l Iloeinl M?1dq? wMdm we oeen-a.ennoe ?w M. 0.0M M M?I?1?1 Mw M ?rM K ? In/ironwn GYs Enp. wNI Nq wt0. MII IM. wdl Giliq Fbw ToW pu. I -7s ? ? 9 Sio ?°'' '7 etal 14 ea4, (at5 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 ? Lfa • ? ? New Conatructfon Reauirements • 3 registered site surveys showing sq. iL of lot, sq. ft of house; and all roofed areas (20%mazimum lot coverege allowed) • 2 copies of plan shovnng 6eam 6 windovr sizes; poured found design, etc.) • 7 set of Energy Calculations • 3 cropies of Tree Preservation Plan'rf bl platted after 7!1193 • Rim Joist Detail Options selectbn sheel (bldgs wtlh 3 ar less units) DATE f?` o?(P ' D Z RemodeUReoair Reauirements • 2 copies of plan • t sel of Energy Calculations for heated additions . 7 site survey for exlerior additions 8 decks • Indicate if tame served by septic sysiem for additions VALUATION ,r+ n , /? - SITEADDRESS 195fl-13LC.GCk MULTI-FAMILYBLDG _Y -CND TYPE OF APPLICANT ()R-U Ad ? J(-+bi Tt-f STREETADDRESS ???? f"IS?l3?tK }? erC TELEPHONE # (0S( "`F? 71767 CELL PHONE # PROPERTYOWNER TELEPHONE# 10S?-'t-SU-7ac1 COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESO'1'A RULES 7670 CATEGORY 1 MINNESOTA RULES 7672 (J submission typa) . Rasidential Ventilation Category 1 Worksheet Submit[ed • New Enargy Code Worksheat Submitted • Energy Envelope Calculations Submitted Plumbtng Conhactor: ____ Plumbing system includes: Mechanfcal Contractor: Mechanical systcm includes: Sewer/Water Contractor: Air Conditioning _ Heat Recovery Systcm FAX # Phone Phone Fee: $90.00 I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan fO,r?dinances. Signature of Applicant ------------------------------------------_------------__.-___---------------------°-- OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 _ Watcr Softencr Watcr Heater 1Vo. of Baths _ Phone # . I,awn Sprinkler No. of R.I. Baths FIREPLACE(S) _ 0 _ 1 _ 2 E., Ab Po1) STATE W ZI P SSl a- D-- OFFICE USE ONLY ? Ot Foundation ? 07 OSplex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 70-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Additlon ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)` ? 43 Reroof ? 46 Windows/DOOrs ? 34 Replacement *Demolition (Entire Bldg onl» - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS _ Footings (new bldg) _ FirtallC.O. _ Footings (deck) Final/No C.O. _ Footings (addirion) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tesu _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insularion _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC Ciry SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total euilding Inspector - i�, =' � For Office Us .ti,� Bozo --.,„.\ �i 90 7 . Permit it / I . t 1Permit Fee: / ._ I Date Received -) - 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 TDD:(651)454-8535 FAX 651 675-5694 ` r •..- 1 (651)675.5675 I I ( ) "' 'I'`staff: I buiidinainspectionstcitvofeaaan:cord L .4_ 2020 RESIDENTIAL BUILDING PERMIT APPLICATION x, `t .- ' Date: Site Address: Unit ti: Orlin Myrlie 95 26574380 ,, � -� Name: Phone "Resident! ..+ *° 3621 Ashbury Road, , . . 7 e . Address/City/Zip: �. j, , ' ' Appticattt7s:" t = Owner Contractor z. <, .; t 3 season Addition: 12-* 18 ,' .%, . "44, r. 4• ` Description of work: r _ 11Pe of W01'II 7000 " T 0 Construction Cost: .- s: `'Mull-Family Building:(Yes I No )' ' a4 -qot -1Owner �; : ,4s* Company Contact: , contractor . Address: City: ` State: Zip: Phone: Email: wee .,n r. , „” !' J N met . ,, License# Lead Certificate* " If the project is exempt from lead certification, please explain why: , , , , . :, ,, 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? r3{ Yes No If yes,date and address of master plan: Licensed Plumber. Phone: Mechanical Contractor: Phone:_ ._ .... Sewer&Water Contractor. - -- Phone: ' ° Fire Suppression Contractor. �� Phone: NOTE•'Plans and supporting documents that you submit we considered to"be public nformatlolP%. ,,ons ot>b lnfordratlon anal/be classified as non-public If you pnoylda'specMe reasons Chit would pencil the avec,conduct tlret they ant tredelacred�. t' You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an small update on the Cltys website at www.citvofeajian.comIsubscrtbe. Exterior work authorized bya building permit issued In acconiance with the Minnesota State Building Code must be completed within 180 days of permit issuance. 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.aopherstateonecall.orsl ,f -' ' I hereby acknowledge that this information is complete and accurate;that the work will be in eonfor a..«= with the ordinances and codes of the City of Erman; that I understand this is not a permit, but only an appifcation for a permit, and work is art witho the work will be in accordance with the approved plan in the case of work which requires a review and approval • =- , Orlin Myrlie x Applicanrs Printed Name Ap• s Signature o=i z6,a / h.shbu,gv / / / 9C 7 DO NOT WRITE BELOW THIS LINE • SUB TYPES — Foundation _ Fireplace ` Porch(3-Season) _ Exterior Alteration(Single Family) Single Family Garage — Porch(4-Season) _, Exterior Alteration(Multi) _ Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of Piex — Lower Level — Pool — Accessory Building WORK TYPES New _ Interior Improvement _ Siding Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior _ Alteration _ Fire Repair Windows _ Demolish Foundation _ Replace _ Repair _ Egress Window Water Damage _ Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation /3c 'O Occupancy 7,,/&-I MCES System Plan Review / Code Edition PAC) SAC Units % (2510096 rte/ Zoning PD City Water — - Census Code if 3t Stories I Booster Pump — #of Units I Square Feet' A& PRV #of Buildings I Length /R Fire Suppression Required _ — Type of Construction .T8 Width /4' REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O.Required 1 Footings(Addition) ite' Final/No C.O.Required Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood .1 Roof:.'Ice&Water .,Final Pool:_Footings _Air/Gas Tests Final W Framing A 30 Minutes 1 Hour Drain Tile Fireplace: Rough In _Air Test Final Siding:_Stucco Lath Stone Lath Brick EFIS Insulation Windows i_ Sheathing Retaining Wall:_,Footings_Backfill Final Sheetrock Radon Control, Fire Walls Fire Suppression:_Rough In Final Braced Walls Erosion Control — Shower Pan Other: Reviewed By: ,Building Inspector RESIDENTIAL FEES 92 A/O/ 0 3 / ( (, " /X90$ . ; Base Fee co Surcharge Plan Review /53 Vp- MCES SAC City SAC • Utility Connection Charge SSW Permit&Surcharge Treatment Plant Radio Meter Read . ' Copies TOTAL Page 2 of 3