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
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