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3661 Ashbury RdCITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: ' t! i. +? t; K N«4J P, (e 1. E. N I'. 1 PERMIT SUBTYPE: . 1.,:, i , ';. XoRD PERMIT TYPE: Permit Number: ' Date fssued: - ' *" vi w ? t fj1 (l i APPLICANT: 4if 4 0 q TYPE OF WORK: INSPECTION ., • DA i lilN PermR No. Psrmk Hoidsr Date Telephone S ELECTRIC PLUMBING HVAC Inspection Date Inap. Comments FOOTINGS 7 FOUND FRAMING ?,2 llq ?r•? ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL ?l GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAI HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL , -? ._.r-r.....?.?.- INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: . ? . „?1{?t?Ft'?' 1?1? ; I r??. ?,+' ? ? 10 i ?l A? Y?IAbJ! (.I 1 PI I'oI r f, l.' 1 F'.dy <,n,.-., . PERMIT SUBTYPE: TYPE OF WORK: ki r1:raAt ruw ! Icl)N f 1.100u fa wnI i M INSPECTION .. . .. I ! A V r. '. . n :.t- i•n rhtI A i EIII Hr ?? ? ? Pertnft No. Permh Holdsr Date TeIephone M ELECTRIC PLUMBIN(3 HVAC Inspectlon Da» Insp. CommsMs FOOTINGS FOUND FRAMING 241 ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATiNG GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BIDG FlNAL BSMT R.I. BSMT FINAL DECK FTG OECK FINAL Y OF EAGAN 830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: PERMlT SUBTYPE: i I I r)() 1 1mw-; -?o I I t iNAi ON RECORD PERMIT TYPE: Permit Number: • Date Issued: "• ?. ' `" APPLICANT: <<,?k r 4 0 - yyH+l TYPE OF WORK: r'F n M 7 Ni, N E' GJ tPRON1 i tic t?lH? ? ? va Ax- ? Permit No. Permit Holder Date Telephone # ELECTRIC PLUMBING HVAC Inspectton Date Insp. Comments FOOTiNGS G" FOUND FRAMING AOOFiNG ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG OpSAT TEST BLDG FINAL 85sAT R.I. BSMT FINAL DEGK FTG DECK FINAL ? ? ?I L?- - K?. ' - '! • BUILDING PERMIT To be used for SF R?/CAR Site Address 3661 ?HBM RD Lot 1 Block 2 Sec/Sub. -1 Parcel No. Value W Name wAGNEa HOl?S f Address 14600 T8NTH AVE S 0 City sURNSVYLLE Phone 431-7357 o Name S? ;? Address City Phone WW Name U ; Address ? W City Phone I hereby acknowlege that I have read this application and state that the information is correct and agree to compiy with all applicable State of Minnesota Statutes and City oi Eagan Ordinances. Signature oi Permitee A Building Permit is issued to: VA04U HOM 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 Official CITY OF EAGAN Np 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 Receipt # . 1. OFFICE USE ONLY Occupancy R-3 -Hrl FEFS Zoning R-1 (Actual) Const V? Bldg. Permit Ss6.? (lUlowable) - Surcharge 40.50 ` # oi Stories -O PlanReview 277*00 Length Depih ? - SAC, City 100000 S.F. Total - SAC, MCWCC 575•00 S.F. Footprints - t W C s?•? On Site Sewage _ a er onn On Site Weil Water Meter 90•00 MwCC System xx xu Acct. Deposit 30,00 Cdy Water ? ? M PRV Required S!W Permit Booster Pump - S/W Surcharge 1.00 228.00 Treatment PI APPROVALS Road Unit 340•00 Planner - Park Ded. Council ^. Bkig.Ot1. _ Copies Variance - TOTAL Z t 83S•50 Permit No. Permit Holder Date Telephone # VATER InW? C, 2` /el 3 n SENiER i PLUM6ING N.V.A.C. ELECTRIC Inspectlon Date tnsp. Comments Footings I Foundation Framing ?24 -f?- ? Roofing Rough Plbg. Rough Htg. $ ? 1 /S S ?• ?r ,t-+.? S ?ll ' 3??• Isul. fireplace ? i 3 Final Ht9• Final PIb9 - `? Const Meter Pibg. Inspector tify Piumber EngrlPlan Bldg. Final Deck Ftg. Deck Final Well Pr. Disp. ? , (gertifirate of (Orrupanry Citp of Cagatt iorparwmd ,rf Ikiibing JMpprtinn This Certifrcate rssued pursuant 1a the requirements of Section 306 of the Uniform Building Code certifying that at 1ke time of issuance this structure was in compliance with the various ordinances of rhe City regulaling building construction or use. For the foUowing.? u. cwrK,tiou SF DWG/GAR a,, ,,.6t „b. 17178 O-UP-Y Tya R3/14I zon;ng n;,d;a Rl TyQe corat VN o.o«o(ada;m wA(M HM 14600 10'IIi AVE S.. B'V= RWkh- AM, 366 ! URY EmAD Lo,,ky L I, ffi, ffi,ACMW (T,IIN` i " ? •=? n.w: DECEMER 18 1989 - ; ddi Bu POST IN A CONSPICUOUS PLACE SEWER & WATER PERMIT CITY OF EAGAN 3830 Pibt Knob Rd. Eagan, MN 55122-1897 I DATE cctoGen 11, 1989 &%- PRV - BOOSTER PUMP ' OFFlCE USE ONLY METER # A 6 pERMIT DATE 10/24/89 CHIP # Do Z3 ld 3S? PERMIT # =; 048 METER SIZE o? B.P. RECEIPT # , 4304 ISSUE DATE ? B.P. RECEIPT DATE 10/23f 89 f SITE ADDRESS LOT ! BLOCK - SEC/SUB'`-Lau',•;'rc-;; S.L". 1/1c. APPUCANT: ?L??? ?me-4 I ADDRESS: CITY, STATE l?'??rt,?,•1.1.'<-. . -,;.-_c ZIP 5537;7 PHONE: ` PLUMBER: Jz'?'z RC!uliL>1124 - ;3lad.te/i ADDRESS: 18 l ervtace CIIY, STATE ZIP ?;.'. PHONE: OWNER: -. ADDRESS:_ CITY, STATE PHONE: _ ZIP PERMIT REQUESTEO K SEWER '• WATER _ TAPS - COMM/IND ? RESIDENTIAL x NEW _ EXISTING Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. Credit WILL NOT be given for Deduct Meters. - I AGREE TO COMPb WITH CITY OF METERISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCE3SING. CALL 454-5220 F R INS PECTIONS. FOR STORM SEWER PERMITS} CQNTACT ENGINEERING DEPT. , ,- - CITY OF EAGAN Remarks Addition Blackhaxak Glen lst Lot1- Bik Z Parcel 1 n_1 Sn n1g. 02 Dwner Street 366.1 Ashbury Roa.d State Eagan p? 55122 Improvement Date Amount Annual Years Payment Receipt Oate STREET SURF. 1076 1986 253.48 50.70 5 STREET RESTOR. GRADING SAN SEW TRUNK 1970 167.44 6.70 25 Pd prior to division SEwERLATERALBn1074 1986 112 .09 22.42 5 wATERMAINBn 1075 1986 42.80 18.56 5 WATER LATERAL WATERAREA 1072 1986 309.40 61.88 5 Storm Sew Trk 1073 1986 110.91 22.18 5 STORM SEW TRK 732 1983 32 . 57 15 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK 983 Q!' ? i?/9 0- , a? dv . Repues Date ' I Z_ 27_q ??_ Fir o. ough-In Inspection Required (VOU u call inspector when ready) Inspection O[her TheR,ough-In Wi? Notiy?spe?or ? Ready Now ?7?{ ' Yes ? No / Z Y Y Date Reatl ar I? licensed contractor Nowner hereby request inspection of above electrical work at: Job Adtlress (Streel, Box or Roum No.I 3??1 R ?b Cily ?) s ?, Seclion No. Township Name or No. Range No- Counry p 1/ ? ?p ??SUCJ?•l Occupant(PRINT) A Phone No. 4sa - 7 sqs - Power Supplier ACdress OPk.o A-w ELc- Eleclrical Cont2IXOr (COmpen Name) Conhactor's Llcense No- N J, Mailing Atldress (Con[rac[ r or Ownet Making Insfella[ion) N Authonzetl $ignalura (COnlraclo Owner -ng Inslallafion) Phone Number - aJA_? 7s-Y5- MINNESOTA STATE BOARD Oi ELECTi11CITV I THI$ INSPECTION REQLIEST WILL NOT Gflggs-Mitlwey Bltlg. - Room 5728 I II I I I I ? I I I I I I II II BE ACCEPTED BV THE STATE BOARD 1821 Unlversity Ave., SL Paul, MN 55104 I UNLESS PROPEfl INSPECTION FEE IS Phone(612)642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ?6"Mitl' ?es-aooot-os ? lo. See instmcllons lor complelinq Ws rorm on back ol yellow copy. j "X" Below Vknrk-Covered by This Request Ne Adtl Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building d Dryer Load Management Comm./Indusirial Fumace Other (Specify) Farm Air Conditioner Other (specily) Contnctors Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 100 -Amps SIgnS inspecl« s Use Oniy: TOT L Irrigation Booms UU ?j? O I?O Special Inspection 1 / V AlarmlCommunication TNIS INSTALLATION MAY BE ORD D DISCONNECTED IF NOT Other Fee COMPLETED WI7HIN 18 MONT S. I, the Electrical Inspector, hereby eKif that the b i ti h RougM1-in oa?e y c a ove nspec on as been made. Finai ? Date OFflCE USE ONLY Tnis request voitl te months from \ 7, RESIDENTIAL BUILDINC PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 851•881-4675 New Canstruction Reauiremenu • 3 regislered site surveys shmWng sq, ft, of lof, sq. R of iwuse; and afl rooted areas (20% max'unum lol covemge allowed) • 2 mpies of Olan showing beam & window sizes; poured found design, etc.) • 1 set of Eneyy Calculatiore • 3 copies of Tree Preservation Plan'rf lot platted 2fter 711/93 • Rim Joist Detad Options selectlon sheel (61dgs wifh 3 or less unils) DATE CDZ SITE ADDRESS TYPE OF MULTI-FAMILY BLDG _ Y _ FIREPLACE(S)`_'-6? _ 1 _ 2 APPUCANT Catastroohe Rest?ation Serviceklnc? STREET ADDRESS 2489 Rice St Suite 70 CITY Roseville STATE_LIQNZIP 55113 TELEPHONE # 651-734-9433 CELL PHONE # FAX # 651-483-091 A PROPERTYOWNER %??v? TELEPHONE#?'S2 COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNrSOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672 (J submission [ype) • Residentlal Ventilation Category 1 Worksheet Submitted • New Energy Code Woricsheet Submitted • Energy Envelope Calculadans Submitted . Plumhing Contractor: __ Plumbing system includes: Mechanical Contractor: Mechanical system includes: Sewer/Water Contractor. _ Air Conditioning _ Heat Recovery System Fee: $90.00 Phone # -Fee- $70.00 a "IC . ,r....? Phone # I hereby acknowledge that I have read this application, state that the information is corre - d agree to comply with all applicable State of Minnesota Statutes and City of Ea Ordin ?Signafure of Applicant ??? OFFICE USE ONLY _ Water Softener _ Water Heater _ No. of Baths Phone # Iawn Sprinkler No. of R.I. Baths RamodellReaair Reauiremanm • 2 copies of plan .1 sel of Energy CelctAation,a for healed aAditloris •?? t sRe survey for ezterior additions 8 decks hMicate if home served by sepdc system ior addiGors VALUATION Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY ? 01 Foundatlon ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex ? 07 05-plex ? 13 1 Eplex ? 08 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garage O 10 08-plex ? 18 Deck O 11 10.plex ? 19 Lower Level ? 12 12-plex Plbg_Y or_ N ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) ? 23 Porch (screened) ? 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) 0 45 Fire Repair O 33 Alteration ? 37 Demolish (Bidg)• ? 43 Reroof ? 46 WindowslDoors O 34 Replacement •Demolltion (Entire Bldg only) - 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) _ FinallC.O. _ Footings(deck) FinaVNo C.O. _ Footings (addirion) _ Plumbing Foundation HVAC Drain Tile pther Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tesu _ Final _ Framing ? Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Buiiding Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other ToWI i; ' .+i:i;F':[?"!?:c L':tf1f[r. IJ0/01197 r.? ,. ... At, c!L_rii?3 :ii:ir, . ? . . ., ., ?......... . .71 -_• 3113Ci Qrii]t 3r:f_,.';. i,";'JGt`,' f-;r-i M' T'irt?.:... ;; .'.tar k CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT TYPE: Permit Number: Date Issued: BUILDING 030867 10/01/97 SITE ADDRESS: 3661 ASHBURY RD LOT: 1 BLOCK: 2 BLACKHAWK GLEN P.I.N.: 10-14350-010-02 DESCRIPTION: (FRONT) 6, uild3nqL--P.ermit Type 5F PORCH Building WoT-k Type NEW r? Cennsus Lpde 434 ALT. RESIDENTIAL .0!..; < C3r. ? A ?.,'?r s> ..»_::f REMARKS: FEE SUMMARY: Base Fee Surcharge L3c. 3earch Fee Total Fee PERMIT VALUATION $74.75 $1.50 $5.00 $81.25 $3,000 CONTRACTOR: - ppplicant - sT. LIC OWNER: FLAG BUILDERS 15409404 0008565 BANE TOM 70,15 FLORIDA S 3661 ASHBURY RD GOLDEN VALIEY MN 55426 EAGAN MN (612) 540-9404 (612)452-7545 I Fr'ereby acknowledge that ,I hiave= read thie,.apipli,,q.dtAg,n ,and,state. that the infiormation is corrsct apd agree'to comply.with all applicable 5tate`of Mn. ? ?Ststut'es andi Cit`y d'f Eagen Orti3r#,,-Inciis.-*G APPLICANT/PERMITEE SI NATURE --(SSllEO B SIG U 60ttf 97 BUILDING PERMIT APPLICATION (RESIDENTIAL) 4 CITY OF EAGAN 3830 PILOT KNOB RD - 55122 681-4675 ? New Construetion Reauirements ? ? 3 regfetered ske survays ? 2 wpies of plen ? 2 cople6 of pians (indutle beam & windovr saes; poured fid. design; ete.) ? 2 sito surveys (exterior additiona & deeks) ? 1 energy calculations ? 1 eneigy ealculatlona kr heated additions ? 3 eoples of tree preservation plan lf lot platted after 717/93 required: _Yes _ No = DATE: 91 I 7 ? / ? ?' CONSTRUCTION COST: DESCRIPTION Of WORK: STREET ADDRESS: I LOT -/- BLOCK PROPERTY OWNER CONTRACTOR 366/ , ? SUBD.lP.I.D. #: Name: _ 9Gt /'? 70?;, Phone #: qj z J 7sl? ? Street Address: City: RsmodeVReoair ReauiremeMs State: Zip: Company: txu.?as Phone #: S ? ci Street Address: jj?e ?o-r - City: State: ?1? ARCHITECT/ Company: ENGINEER Name: License #: Zr' Zip: M? Phone #: Registration #: Street Address: City: State: Zip: Sewer & water licer.qed plumber (new construction ony): . Penally applies when address change and lot change arc requested once permit is issued. I hereby acknowledge that I have read this application and state that the informaGon is correct and agree to comply with all applicable State of Minnesota Statutes and Ciry of Eagan Ordinances. ] Signature of Applicant: ? ?? C?•y`-? . OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required BUILDING PERMIT TYPE OFFICE USE ONLY 0 01 Foundation ? 06 Duplex o 11 Apt./Lodging o 0 02 SF Dwelling o 07 4-plex ? 12 Multi RepaidRem. o ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? ? 04 SF Porch ? 09 12-plex a 14 Fireplace a j( 05 SF Misc. 0 10 = plex o 15 Deck 0 31 New ? 33 Alterations o 36 Move A 32 Addition o 34 Repair o 37 Demolition GENERAL INFORMATION FfOt,47- f>op444 Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth Basement sq. ft. Main level sq. ft. sq.ft. sq.ft. sq. ft. sq. ft. Footprint sq. ft. ? ?r.,• „q?s, r? ;? `" `'? ... 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. ? SAC Code DI __ A'e-,?f, p,, Census Bldg ? o Census Unit L1»;101L•1k1 Planning Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies ,TotaL• 5AC ^ ?+{ ? ySAC ?. S i; . . Building F;W Engineering Variance Valuation: $ 3000•e?a 9 d x? = a, 700 .t'.0 /' . • • A-W-? •?W *? ? PIONE ? engine *4t ** Z N? pei/15/ayj °s ? N ? Certificate of Survey for: WQGNEI7 NOMES /?"W?? ? ?rt; ?? ? LC) .3-041 ? NOR7H ?X??qO? ?0T tftrft?- ftPOSO'D 70 /b -? ' 1e ?itiP%q `? / ? ?. % f ti1(? ? ? ? I ?F i • lANDSCAPE ARCHITECTS ,. A" I w ?P , Y ? ' i G'S1/° SB? G . , 3? SS B P.R.V. REQUIRED 8 . 0 2422 Entcrprise Drive Mendota Fleights, MN 55120 (612) 681-1914 t.Jrr' Si 2S ?ry N, 191O 5.r', r N ? ? o _a" J w . Q ? ?+ :, m r •; r?•._« ??3'???.?,,......_..._ l ???AGAi?,' LIN,.n,z=:wiERI2?,*G bEPT . soo.o Denofes exisfin? Elevalion • sno.o Denofes propct?ed E/evolion Denotes OrUina eeUtr(iy Ecrsemenf -?- Denofes OroincSe noW Qrrow.s 0 Denofes monumenf Bearins sftown are as5umed PgQPOSED NUUSE_EL.EVATION Lowesf Floor eva fton 8176G Top o+?8lock Elevafron__ g27.?? Garv e S/ob f/evatron 2z.33 o Deno?s Ot r'sef gu6 Su Jed fo Easemenfs ot"Record L OT 1, BL OCk 2 g(.4C1(1NA WA1 GtEN I ST ) ,qDDI TIO dAICOTA COUNTy ? I harebV ronOfy rhpi rLis is a t,ur inrI cmrect representqtinn of a smvey of ihn nonnrlaries nf ihn nbovr.sc, ih0 land, and nf thn location oqf nll bailAinqo, thrrenn, and nll vixihlp vncroar.hmem<, i( mny, frnm o, nn ?iid Iqnd. !?, ciirvcyed by me this ?? dov A.D. 19p?_. Sca/e :1 iRrh, 401eef , , ? • ? -- n /O :fEVl?jEO iD-/3-Pi9 p+oV¢o.? ?7ov36FJdeK aoRrnr a.SiKic" t.5. nrG. rin. 14911 Q ? ?C CPTY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMITTYPE: suzLorNG Permit Number: 026721 Date Issued: 11 J 2 0/ 9 5 SITE ADDRESS: P.I.N.: 10-14350-010-02 DESCRIPTION: PERMIT c kZW-? 3661 ASHBURY RD LOT: 1 BLOCK: 2 BLACKHAWK GLEN 1ST ,..._ BGild3ng1..Permit Type 6u3lding Wn.rk Type ` r`Square Feet , SF ADDITION NEW 504 z c.. REMARKS: FEE SUMMARY: Base Fee Plan Review Surcharge Total Fee VALUATION $376.75 $131.86 $19.00 $522.61 $28,000 CONTRACTOR: - Applicant - sT. Lzc. OWNER: FIAG BUZLDERS 15409404 0008565 BANE TOM 715 FLORIDA S 3661 ASHBURY RO GOLDEN VALLEY MN 65426 EAGAN MN 55123 (612) 540-9404 I hereby acknowlsdge that I heVe rea-d this epp2ication and state that th-e information is correaG and agree to comply with all app13ca61e State of Mn. Statutes and City of Eagan Ardinances. Cfl?v APPLICA T/PERMIURE ISS1 1 BIPISIG AT R I IC4 11 cmr oF E?GnN 3830 PILOT KNOB RD - 55122 ,p 4 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) t ?t 681 4675 C Naw Co st ction R i M - ? t n ru eau reme S ? 3 repiatered sito wrveYg RemodeVRauair Reauire ? 2 wpies oT plan meMs ? 2 copies of plans (inGude beam 8 wlndow saes; poured fntl. design; etc.) ? 2 sfte surveye (exterior additione 8 decks) ? t energy calalatlons ? 1 energy calculatlons tor Mated add'rtions ? 3 copies o( Vee proservation plan if lot platted after 7/1/93 required: _ Yas _ No pATE: CONSTRUCTION COST: DESCRIPTION OF WORK: X&;L,, STREET ADDRESS: LOT BLOCK 2-- SUBD./P.I.D.#: ?- PROPERTY Name: Phone #: OWNER Street Address- City: State: ??? Zip: S"T-/ Z3 CoNTRACTOR Company: ??? U-c" Phone#: Street Address: 7 License #: pS-07l Ciry: l/aV?r State: , ?N Zip- ?--J-YZ4/ ARCHITECT/ Company: Phone #• ENGINEER ? Name: Registration #• Street Address- City: State: Zip: Sewer & water licensed plumber: change are requested once permit is issued. Penalty applies when address change and lot I hereby acknowledge that I have read this application and state that the infortnation is wrrect and agree to comply with all applipble State of Minnesota Shatutes and City of Eagan Ordinances. Signature of Applicant: / 4T OFFICE USE ONLY Certificates of Survey Received Tree Preservation Plan Received _ Yes _ No _ Yes _ No N 0'J U 8 t995 OFFICE USE ONLY BUILDING PERMIT TYPE 0 01 Foundation ? 06 Duplex 0 02 SF Dwelling o 07 4-plex azz(-03 SF Addition ? 08 8-plex 0 04 SF Porch o 09 12-plex 0 05 SF Misc. 0 10 = plex WORK TYPE ,e31 New o 33 Alterations 0 32 Addition o 34 Repair GENERAL INFORMATION Const. (Actuai) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Pertnit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit SNV Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies ToW I: 0 11 Apt./Lodging o ? 12 Multi RepaidRem. ? 0 13 Garage/Accessory ? 0 14 Fireplace o 0 15 Deck ? 36 Move ? 37 Demolition rt, w ?o.•. .? 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous _ Basement sq. ft. MC/WS System _ Main level sq. ft. City Water _ sq. ft. Fire Sprinklered _ sq. ft. PRV _ sq. ft. Booster Pump ' y _ sq. ft. Census Code. _ Footprint sq. ft. SD?( SAC Code o ? Census Bldg ? Census Unit O Building Engineering Variance Valuation: $ g,, / 2 = ?(-, 3sz ZZ'` , ,rX zan G,s = --- ???Z? ? ?y, z7 z?6 % SAC SAC Units BUILDING PERMIT To be used for SF DWG/GAR Receipt # Est.Value $$1,000 Date OCT 13 , 19$9 Site Address 3661 ASHBURY RD Lot 1 Black 2 SeGSub. BLACKHAWK GLEN Parcel No. w IName WAGNER HOMES ? Address 14600 TENTH AVE S City BURNSVILLE Phone 431-7557 o Name SAME I Address ? City Phone J?Uxmj Name _ ; Address `aw City Phone I hereby acknowlege Ihat I have read this application and state Ihat the infortnation is correct and a t com ly with all applicable State of Minnasota Statutes and Cit 1 Ea n in?q,¢e.vs. . SignaWre of Permitee ?? `- A Building Permit is issued lo: WAGNER HOMES on the express wndilion tha[ all work shall be done in accordance with all applicable State oi M.(i?nnesola StatuteAs anWd ?C,ity of Eagan Ordinances. Builtlinq Official 0[?lA. CITY OF EAGAN NO 17178 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 /0 [ L? ? OFFICE USE ONLY Oaupancy R- 3 11-1 FEES Zoning R=1 (ACtuaqConsl V-N BIdg.Permit 554.00 (Allawable) V-N Surchar9e 40.50 A of stories 54' PlanReview 277.00 Len9th DePlh 46' SAC. CitY ZOO. O0 S.F. Total - SAC, MCWCC 575.00 S.F. Foolprints - On Site Sewage _ Water Conn 580 _ 00 On Site well Water Meter 90.00 MwcC System X}L 30 00 City Waler 7CX Acct. Deposit . PRV Required XX_ SNJ Parmit 20.00 Booster Pump - S/yy Surcharge 1. DO Trealment PI 2 2 S. DO APPROVALS Road Unil 340_00 Planner - park DeO. Council BIdg.0f1. _ Copies Variance - TOTAL 2.835.50 3IIiGLE FEMILI DiELLIAGS 1984 BUILDIIiG PERMTT lPPLICAlION CTTY OF EAGAN lEJL,SIPLE DNELLINGS COlPfERCIAL 2 SET3 OF PLiNS 2 SETS OF PLiNS 2 3ST3 OF lRCHITECTUR3L 3 BEGISTERED STTE 3QROEYS HEQISTBAED 3ITE 3IIRVEI3 - 3 ST80CTORAL PLiNS 'i SEf OF ENERGI CA1..CS. (CHEC[ RITB BLDG DIY.) 1 8ST OF $PECIPICATIONS 4 SET OF EMERGI CALC3. 1 SET OF EPES6T CALCS. IRTLTIPLE DIiELLINGS AENTAI. ONZTS FOR SiLE DHITS i OF OHITS iOTEs ADDRES3E5 POR CDANEA LOTS - COPTRACTOR/HOMOIiNEH !lOST D£5I6NAiE iiHICB IDDAFSS IS DESIRED. SO C9INGFS NII.L HE ALLOUiED ONCE BUILDIRG PESlfIR IS ISSUED.. 3Ef1ER 6 NATER PEAMIT FEES iFD 1CC00NT DEP03IT T66S liILL B$ INGLIIDED 1A'fH THE BUILDINa PEI9SIT FEE. PROCESSING TIME FOR SEWER lAD YATEA PERHIi3 IS Ti10 DAYS ONCE ¦ PEAMIT BLS BEEN COMPLEfED INDIC9TI1iG A LICER3ED PLDFIDER. PENALTY, APPLIES WHENs PERMIT IS NOT PAID FOA IN S9ME MONTH IT IS REqUESTED. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. DC7 1 : 1989 To Be Used For: Siirnrle FamiLg Valuation: °?,,-T,490- Date: OctaGec 99. 7989 (inc,ludej .Land) Slte Address 3661 AjhGurcV 2oact 7I,ODzn^ OFFICE USS ONL2 Lot ? Bloek 2 Parcel/Sub 6-CQchhawh 5,Ien 1?? ? Uner JJa_qrceic Homej 1[ddress 94600 90t/a Aveizcce Sou:ih City/Zip Code 3uz"vi.LLe, Minn. 55337 Phone 431-7557 Contraetor liczme Address Citq/Zip Code Phone irch./Engr. %.Carcco Addreas 3435 lJajiun2toa Dzive City/Zip Code EaQan, Miiuz. 55722 Phone # 452-0724. Oceupancy R-3 M -I FM 2oning R-1 6etual Const V-N Bldg. Permit Allorrable v-N 3ureharge 1 of stories Plan Review Length 5y; S9C, Citq Depth N6 SAC, MWCC S.F. Total Water Conn Footprint S.F. iiater Meter Acet. Deposit On aite aeaage S/iI Permit On aite well S/W 3urcharge lSNCC Syatem ? Treatment P1. City vaLer ? Aoad Onit PRV required ? Park Ded. Booster Pump Coptes _ SDB'tOTlL lYPAOVALS Penalty Planner _ TQTBL Cmmcil BYdg. Off. 4sciamce ? VA?ua-n?n)_ G.n r? 0, c? wJ^ _ ? ? ? ? 2o X?? _ 2„20 I`1x 22= 4?.8. U38 x I S r `l 5'70 135MT, 3Wk Z4= ?31? 8)t I? = ?o ?C9Z X 15 = r52-?e I sT Fi.6=oR 15Svt?7 = 1 o9 2 ...?-- I! O') X 50 :: SS ?S? C3 O 2?? ? ? . * PIONE * engine * ,? ** _ano LANOVLANNERS•LANDSCAPEARCHITECTS ? Ir 07' / Certificate of Survey for: WQGNEIF NOMES NOR7H 0 !v 8Z°4?' 02 E ?,?M' 7p Ib ti^N p 0 ? ?? y?ooya . / o ^ ? ? ln A ? ? i` s?j35 . ?? ?.? ? 41 o d i? ?0• h € S??6•? PaRe V a ?EOWMED ? - - 1lo ? ? ? . soo.o Denofes exisfi? Elevafion • .?o.o Oenafes prop ed F/evaliori - Denofes Dr-ainaie eUtifify fasemenf -•- Denofes Draind'J¢e low Wrrows 0 Denofes monumenf Bearins shown are assumed 3 " O 8 . O N ? ? N J' u r :,? 2422 Ente.rprise Drive Mendota Heights, MN 55120 (612) 681-1914 2 ,,)v PIE"is1/a7-j 14, ---- :=.?s'?Al ^d 73EPT PuovosEO Nousf EtEvqrrok lowesl Floar ETeva ian 819.66 Top o+f"8/ock Elevation g27,U6 Gara e S/ab flevation 27.33 o Denos Ot f sef flub 5u?ec'? fo Easements of 'Ree"d L.oTI _, BLOCW2 gLqch1yAW1,1 GcEIV r sr IAoofTlo DAICOTA COUNTy l I hprr.hy c2rtify Uiat Uiiy i s a Vue and correct representaNon of a survey ni the bounr,laries of theI bwe escrih?d land, an?i of the loco[lon of ail buildinns, thnreon, and all v{sibin encroachments, if Tny, from or on said land. As surveyed 6Y me this-J day of -A,D. 19-a. Scale -1,Rch_ ?-- ? Rnnrar R. siroc14 L.S. aec. rvo. 11891 I?5 0??7? /?evrSFn ro-i3-g9 n,av¢o/ ha?3m h??k Cities Di ig tal Quality 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. n r c . i I ' MINNESOTA STATE ENERGY CODE CALCULATIONS ?TI ? BASED ON CHAPTER 5 OF THE t MODEL ENERGY CODE - 1983 EDITION Adoption Effec tlve 1/I74- Owne r?l v? I? Phone Date 1 Slte Address Le^?T C.rl./ W Contractor 7a) 4=fj phone Building Llassificat(on: Type A1 (Stngle Family E Duplex) J Type A2(Residential) 0 stortes or less N07E: Complete pages 3 and 4 first. ( h ( l Ot er) Over 3 stor es) GENERAL INFORMATION 1. Bul Iding Perimeter?"? ft. 2. Wall height (ground to eave) y? ft. • z• 3. 1. x 2. (above) gross wall area C?j?7ift. 4. 8ullding dimensions (L) --- X(W) IIt?? ft.z roof 6 floor area 5. Square foot area of rim Jois[ - Floor )oist size (2 x'?'-7 10 X Perlmeter = Rlm oist area ftz 12 6. Doors - Area Thickness in. U factor ic 1 ?k `1'I Type af Construction Perimeter ft. Manufacturer 7. To[a) door's perimeter ft. 8. 4Jindows: Manufacturer 1N`.JV? ?i???-?}'}(•'? State approved ll fac[or TYPE SIZE N ??t? ?• ? ?4'-?= 5?? AREA (F[.2) NUHBER OF TOTAL FEET 2 EACH UNITS 9. Total ft.Z Glass I1-7 10. Fireplace area; Width X helght = X = 2 (I. Exposed foundatlon: Height X Perimeterdv l X I e) 61 , 110 Ft.Z COMPLETION OF THIS FORM IS REQUIRED fOR ALL A??ONSTRUCT DN, PIAJOR RE ODEL NG AND BUILDINGS BE MOVED WHERE EIdERGY, OTHER THAN TItE MINIMAL CODE ALLOWANCE, IS USED. •,iall area . ;oN erea ft,Z Joist area A f t.2 Uoor area A o ft.z _ al}?'? P(z`"? . ..0Ce01Bce area A 0 f t.2 Exposed foundation A ?l _tt.2 Framing area 74 ?ZCO? )S) ft?2, Net well area A? ? ?1-7 ?t. , . rc. Z , ,., # ?1= 37 3 ,.. ,, U wlndows ? (0 U x A¦ '`J<? U r.1m 'jolsk b 0 I U x A e ?j ?•OG}r Udorarea - 114 UxA¦ ? (Q U't.lripfete ° I / U x A? ? i U loundaNon x A? U framing ai ea O?t5 Il x A¦ Zo, 33 U wal) •_.?Y??"?j U x A,l, . -? ? 6ross wall atea Single fainily S duplex (1J. above) x 0.23 (A-2 otlier resldential) x .2J (Other bvlldings) •. , x .?8 (Uver 3 storles) . . ¦ allowable U x A/Code , .. •? . : ? . A ?;' ?t=?'?Z • ?I , ?j,.Bloll Flust be larger than x U •Z?,ir5 r. 136 ebave 5. ,Ceill.ng Iraming al-ea (Ar) eyuals lUx af celling area vr thc. seme es) j 5A. 6rvss ceiliny area •?L) - x(W) ? e ?O ft p ! 56 Jo1st aieA (A[) 4 lU? celllliy ar.ea n ft.Z ?C. Net celling area (Ac) I15A - 156) e?'1,`'? J ft.2 . ? : Vi ceil Iuy % n L.m x ?'' ?) e ' LI ??V7 . . ,• ? '•' ? U fraroiny x A f° x ? , . :5U. 101AL'U x A .................................. ?' . . ...... I 6. Ce111ny area (15A) x 0.026 (!1-] single famliy b duplex - code allowable U x A . x O,OJJ (/1-2 other residentlal x 0.06 (other) ' A fI5n1 I??? 1 0 L? _?? ? ?aUl? Ilust be larger than•150 (e6ove) x Ur,odel- G? v1 F (or !he same as) i01Ej Use U and A values obtalned from pages I,•) and 4,' , ?ERi1FICAilUl1: I liereby certlly 'tliat 1?iave calculated ttle facto?'s and "R" value! (ier'eIn an t?)at the bullding here descrlbed meets oY exceeds the State oF Hlnnesota Energy Conservatlon Act. . , .i ? iute - • . . . . ... , I1 ? , . Slgia[ure ? .?. .. . ? .? ? ?? . . . .? ?. ?. ?. ' 2. " •?. , ? ; , . . (13U), lotnL . ? . . . '. . . _. r, U. x A 1 v,q . O ? i t S?oX( + 54 x ( ?oi I Z I J? ,?Z ,?? ?I I 111 ? x3v_ X' r>xZ - ?X?? _ ??: ?X ?_ - I II ? ?? a ? ??, G5 . . I' 'I ?/ J ? ?`!? " .(/ I ??J ? L ' I ? 1 ? . . ?n?s _ V0 'X-( OQ !I coe ? ?V , . J=' .:?oc? I CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMIT TYPE Permit Number: Date Issued: Gza4wil !/a3/9s BUILDING 026537 10/20/95 SITE ADDRESS: 3661 ASHBURY RD LOT: 1 BLOCK: L BLACI<HflWK GLEN 1S1" P.I.N.e 10-19350-610-02 DESCRIPTiON: n..? ? (FRONT DOOR & WALL) Bnilditi'g°,,„Perm9.t Type SS? (MISC,) ?uili3iftg EJYTk Type ALTERATSON A. . '%IyAMY. % . . . . .. "?^?G. [ 3? £ ? < N^m ° Y L ? '? r .- W. aa ? y ?it S4 65b?? ? ? ??+ sE ? '? p6Ji:nao-r YaF_ N4 µw ?xk ?.. (( 9113 REMARKS: A SEPARATF PF..RMJ:T IS RE4UIFtEp FOft ANY ELECTftICAL WORK FEE SUMMARY: VpLUATTON $4,000 Base Fee $E37.25 5urchar9e $2.00 Lic, 5eerch Fee ?S.Oi Total Fee $94.25 CONTRACTOR: F4AG surLpeRs 715 FLORIDA S GOLDEN VALLEY MN (512) 540-9404 - Hppl.i.cant -- ST. LIC 15409404 0008565 55426 OWNER: BANE THOMRS 3661 ASHBURY RD EAGAN MN 55123 (612)452-7545 [ . '. . . . , .. - - S hsrotty, ackncswledqe that, T have infcsrmatian ts oorrect andl ?oOce -to coaripl-y. StatutA45"ar4d' GIty o-? ?4,q an Ltri3ln, a no a-s.' e-?-- C v -? - ' APPLICANT/PERMITE IGNATURE . u a . . nrI ia ??id'? ISS?f BY`: IGN RE ? '? : - cinr or eaGaN ?7- 3830 PILOT KNOB RD - 55122 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) r ?681-4675 (°?? New Conshuetion Reouirements RemodeUReneir ReouiromeMs ? 3 iapistored site wrveys ? 2 copies of plan ? 2 aopies of plans (indude beam 8 window s¢es; pomed fid. design; etc.) ? 2 sfte surveys (extertor addiUons 8 decks) ? 7 enerpy Ca1wlaGons ? t errergy plalations for hestetl aEditions ? 3 wpies o} Lee preaervation pfan if lot platted aRer 7l1/93 '. iequired: _ Yes No oATE: 1 a I z I f S' CONSTRUCTION COST: DESCRIPTION OF WORK: - ??k- -?? ?+ 3, 0°-r ?- u'4? V' ? STREETADDRESS: 3(o(al Rsk6"? F?• EMMN MN. 55ra3 LOT 1- BLOCK #: BLACKRAwK o2- SUBD /P I D GLEN 1 s-/- Acm i ?1 dN . . . . PROPERTY Name: NANe l?omAs Phone #: y 5154{5 OWNER Street Address- 3 (at° I As?? Ro City: E+'}L,pti state: rnN Z;p: SSIa-3 CONTRACTOR Company: F096 Kf )C1EP-5 Phone #: -57LEL0VO Street Address: E-c-o ? 13 A-- ? License #: City: State: Zip? ?? ARCHITECT! Company: - Phone #- ENGINEER Name: Registration #' Street Address, City: State: Zip: Sewer & water licensed piumber: /- /k . Penally applies when address change and lot change are requested once permit is issued. ? 1 hereby acknowledge that I have read this application and state that the information is corcect and agree to comply with ail applicable State of Minnesota Statutes and Ciry of Eagan Ordinances. Signature of Applipnt: OFFICE USE ONLY i oCT 1995 + Certifiptes of Survey Received _ Yes _ No v w?, -? Tree Preservadon Plan Received Yes No 1 BUILDING PERMIT TYPE OFFICE USE ONLY ?.?. I «, ex ? "• ?i ;.? a? s 0 01 Foundation o 06 Duplex o 11 Apt./Lodging o 16 Basement Finish 0 02 SF Dwelling o 07 4-plex ? 12 Multi Repair/Rem. 0 17 Swim Pool 0 03 SF Addition o 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility o 04 SF Porch o 09 12-plex ? 14 Fireplace ? 21 Miscellaneous 6ff`05 SF Misc. 0 10 = plex ? 15 Deck WORK TYPE n 31 New 0? 33 Alterations o 36 Move n 32 Addition o 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actuai) (Allowable) UBC Occupancy Zoning # af Stories Length Depth APPROVALS Planning Permft Fee Surcharge Plan Review License MC/WS SAC City 5AC Water Conn. Water Meter Acct. Deposit SNV Pertnit SIW Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: _ Basement sq. ft. MCNVS System _ Main level sq. ft. City Water _ sq. ft. Fire Sprinklered _ sq. ft. PRV _ sq, ft. Booster Pump _ sq. ft. Census Code. v3 y _ Footprint sq. ft. SAC Code 0/' Census Bldg ? Census Unit O Building Engineering Variance Valuation: $ - % SAC SAC Units CITY USE ONLY ? I ! I? LOT + BL ? PERMIT #: SUBD. PLhCK H_KWIC 66EN RECEIPT #: RECEIPT DATE: 3 ? 13 , C)?) 2000 MECHANICAL PERMIT (RESIDENTIAI,) Date: ? 1 jof 0c) Complete this section onlv if you are installing HVAC in a single family dwelling, townhome or condo under construction and not owner/occupied. • HVAC: 0-100 M B T U ADDITIONAL 50 M BTU • Gas outlets (minimum oFone required Q$3.00 ea.) $ 30.00 6.00 3O, o? State Surcharge .50 Totat $ 31).So Comptete this section onlv if you are remodeline, addine to. or re airin an existing single-family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or repair. 0 New Y- Alteration _ Furnace Air exchanger Reminder.• Call for inspections Repair _ Other _ Air conditioning ? Other TI'J -{'1L%)2 16^0tN-) /I"Cb? ?,?.i Fee $ 30.00 State Swcharge .50 Total $ 30.50 srM ADDREsS: 36&1 11hhbva,H 2o . 64-(.,kt?j s"sc z-z OWNERNAME: ?/??? l?wIJ? PHONE#: ?{SZ-7SYS c- L (AREA CODE) INSTALLER NAME: PHONE #: - ? (AREA CODE) STREET ADDRESS: CITY: STATE: ZIP: CITY OF EAGAN 3830 PIIAT FINOB RD EAGAN bSi 55122 651-681-6675 C v • ? 3`1°loc> ?Air?O SIGNANRE OF PERhIITTEE cirv use oNLv L BL SUBD. APPROVED BY: , INSPECTOR PERMIT #: RECEIPT#: RECEIPT DATE: 2000 MECHANICAL PERMZT (CODffd[;RCIAL) CITY OF &AGAN 3830 PILOT IQTOB RD EPaGAN, Nai 55122 651-681-4675 Please complete for. all commerciaUndustrial buildings multi-family buildings when separete pertnits are not required for each dwelling unit DATE WORK T'YPE: New construction Install U.G. Tank _ laterior Improvement _ Remove U.G. Tank _ Processed Piping When Installing/removing underground tank, call 65I-681-4675 for inspection by fire marshat and pleembing inspector. Descripdon of work: Fees: 1% of cantract price OR $30.00 miuimum fee, whichever is greater. Underground tank removaVinstallation = minimum fee Contract price: $ x 1%= $ (Base Fee) State surchazge calculate at 5.50 for each $1,000 Base Fee TOTAL SITE ADDRESS: $ OWNERNAME: PHONE#: - (AREA CODE) TENANT NAME (IIvIPROVEMENTS ONLI): WAS TI-IERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: ADDRESS: CITY: PHONE #: - (AREA CODE) STATE: ZIP: SIGNATURE OF PERMITTEE U . .. . ? - ?I . kdB7k;k?ni:%k?ItXt7KXnt?k `M?t1?t?:ak'?k?K't?cAC7K?,' 7t:?4.^YASS?:?*M?.%B7K'? k7K.% GI7Y T).>' FPG'FlV ? ? PI I ?N1:?=.F. 38 1F ??9,'.P•C,L f N? iE;' +cilA'YEe ,.99 ? ? ?NAh`[? ;=GFG ??J:.I_DET?Sa ?NC. ': ? ; '-a b 6E,i U} i?,' ? c' ? i 90.9 i 3 SF! 9 A ,p ( ]ryJ / l { ry 5y Yj ? % ' J ? rtLI .J?'l1?.1 ?FJJ J. F\SfI6L???\Y ?f 915101001. 3f61. 451i'?-'f'tY ft[? . G 'K r R . . ? n . I I .. ? ? I I RP ; j}3"?`? ? ' . . . ,iai? z u<??• r.r : . ? .f . . _ . . . . ?I 7?tl?Ic;;.9F`?m"yF.I'?l'k(.W:XV,1R7K?Y.YF'Y>?:?Kli??l'iYCi's'7K7K?k?i:qt?*W7R?F` t _ , ? . ? 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAOAN C ? - 3830 PILOT KNOB RD - 55722 :) nl 651-681-4675 O ? New Consfruetbn Reaulrements Remodel/Reoah Reaulremenh f 0 ` f G( -C? Q D S registered sHe surveys showing sq. H. of bi, sq. B. ot house and gll rooled areas (20% mmcimum bf coveraae allowed) > 2 eopies of plans (thow beam 3 window sizes; poured tnd. design; etc.) a 1 sei rn energy calculaNons D 3 copip of hee preserv on lan 8 bi plaHed alfer 7/1/93 DATE: 8 /7l? g DESCRIPTION OP WORK: STREET ADDRESS: LOT: --41_ BLOCK: Name: '?aVqe-- oXII, Phone #: 4 CZ - 7S`0? Last F4n PROPERTY OWNER Sfreet Cffy 2 copies W plan 1 fM W energy cdculaNOna for heated addlNons 7 sNe survey for exledw addlNons E decW CONSTRUCTION COST: 3k?Ol ?s???'y i2aP ?-' SUBD./P.I.D. k: ??GC c?y a w,(c.. 811 bc / StaFe: Zip: Company: Phone #41 r ?0 ?e (area code) CONTRACTOR ?p ? ?6r? ? Sheet Addresz: 71{ ?// ?YitY/ P Ucense # ? Exp. 3 uo City State: /?0' Zip: S:Z12 ?g ARCHITECT/ ENGINEER Telephone #: area code ( StreeR CNy Sewer 6 water Ilcensed plumber (reauired for new conshucflon onN): Name: Regisfiation #: _ State: Zip: PenalFy applies when oddress change and lot ehange Is requested once permM is isaued. I hereby acknowledge that I have read thb applicaHon, sta}e fhaf the inlormafion Is cortecf, and agree to comply wF1h all applicabl State oi Minnesota Statutes and City of Eagan Ordfnances. , Slgnature of Applicard: OFFICE USE ONLY Certificates of Survey Received )--- Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation 0 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) 0 02 SF Dwelling ? 07 5-piex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea. ? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? 05 3-plex ? 10 8-plex 0 15 Lodging ? 20 Pool .4? 25 Miscellaneous YVORK TYPE O 31 New ? 35 Tenant Impr ? 39 Gas Line On ly ? 43 Siding/Soffits/Fascia 11? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bidg.' ? 41 Wood Stove ? 45 Fire Repair O 34 Repair ? 38 Demolish (Interior) ? 42 Reroof . " Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) Basement sq. ft . Census Code L?3 (Allowable) Main level sq. ft . SAC Code UBC Occupancy sq. ft. No. of Units ? Zoning sq. ft. No. of Bldgs # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft . Booster Pump PRV Fire Sprinklered APPROVALS Planning Building ? Engineering Variance IU•S ?`? Permit Fee Valuation: $ Surcharge , OO Plan Review License MClES SAC ;. City SAC Water Conn. Water Meter Acct. Deposit S!W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: 13 ? I?' -?4 SAC Units % SAC ?• Trane Heat Load Calculation Form 1a Residential Thomas Bane LOT 1, BLOCK 2 BLACKH AWK GLEN 1 ST ADDITION 3661 Ashbury Rd. Eagan Mn. DAKOTA COUNTY 55122 Nursey Addition ASHRAE Design Data (minn.) Outside Inside Difference Winter ,-16 deg 70 deg. 86 de Summer 90 deg 70 deg. 20 deg DryBulb ? _ Wet Bulb Heat Gain/Loss Materials Values Heat Loss Ashrae (wall) R-Value IAF 0.68 OAF 0.17 Insulation 19 Wall board 1.05 Gyp. Board 0.56 Total 21.46 Heat Loss Ashrae (Roofl R-Value IAF 0.68 OAF 0.17 Insulation 46.5 Wall Board 2.1 Gyp. Board 0.56 Total 50 Heat Loss ASHRAE Item Area Sq. FT. Temp Diff. "U" Factor BTU HR. Exterior Wall (1) 110 86 0.0466 441 Exterior Wall (2) 224 86, 0.0466 898 Exterior Wall (3) 110 86 0.0466 441 Exterior Glass (1) 82 86 0.42 2962 Exterior Glass (2) 80 86 0.42 2890 Exterior Glass (3) 82 86 0.42 2962 Exterior poor n!a Exterior skylight n/a Exterior Floor n/a Total Btu.IHr. Los s 10,593 t Item Temp Diff. "U" Factor BTU HR. Exterior Wall (1) 20 0.0466 103 Exterior Wall (2) 20 0.0466 209 Exterior Wall (3) 110 20 0.0466 103 Exterior Glass (1) 82 20 0.42 689 Exterior Glass (2) 80 20 0.42 672 Exterior Glass (3) 82 20 0.42 689 Total Btu/Hr Heat Gain , 2,463 Trane Heat Load Calculation Form 1a Residential Thomas Bane LOT 1, BLOCK 2 BLACKHAWK GLEN 1 ST ADDITION 3661 Ashbury Rd. Eagan MiiNursey DAKOTA COUNTY Addition ASHRAE Design Data (minn.) Outside Inside Difference Winter ,-16 deg 70 deg. 86 deg Summer 90 deg 70 deg. 20 deg Dry Bulb i Wet Bulb Heat Gain/Loss Materiais Values Heat Loss Ashrae (wall) R-Value IAF OAF 0.68 0.17 Insulation 19 Wall board 1.05 G p. Board 0.56 Total 21.46 Heat Loss Ashrae (Roo? R-Value IAF 0.68 OAF 0.17 Insulation 46.5 Wall Board 2.1 Gy . Board 0.56 Total 50 Heat Loss ASHRAE l Item Area Sq. FT. Temp Diff. "U" Factor BTU HR. Exterior Wall (1) ? 110 86 0.0466 441 Exterior Wall (2) ? 224 86 0.0466 898 Exterior Wall (3) 110 86 0.0466 441 Exterior Glass (1) ? 82 86 0.42 2962 Exterior Glass (2) 80 86 0.42 2890 Exterior Glass (3) 82 86 0.42 2962 Exterior poor n/a Exteriorsk light n/a I Exterior Floor n/a - ? - Total Btu./Hr. Loss 10,593 s o so se si P e o Item Area Sq. FT. Temp Diff. "U" Factor BTU HR. Exterior Wall (1) 110 20 0.0466 103 Exterior Wall (2) 224 20 0.0466 209 Exterior Wall (3) 110 20 0.0466 103 _ Exterior Glass (1) 82 20 0.42 689 Exterior Glass (2) 80 20 0.42 672 Exterior Glass (3) 82 20 0.42 689 Total Btu/Hr Heat Gain 2,463 Trane Heat Load Calculation Form 1a Residential Thomas Bane LOT 1, BLOCK 2 BLACKHAWK GLEN 1STADDITION 3661 Ashbury Rd. Eagan Mn. DAKOTA COUNTY 55122 Nursey Addition ASHRAE ? Design Data (minn.) ?putside Inside Difference Winter ,-16 deg 70 deg. 86 deg Summer 90 deg 70 deg. 20 deg Dry Bulb Wet Bulh Heat GainlLoss Materials Values Heat Loss Ashree (wall) R-Value IAF 0.68 OAF 0.17I Insulation 19 Wall board 1.05 ? G p. Board 0.56 Total 21.46 Heat Loss Ashrae (Roof) R-Value IAF 0.68 OAF 0.17 Insulation 46.5 Wall Board 2.1 Gyp. Board 0.56 Total 50 Heat Loss ASHRAE Item Area Sq. FT. Temp Diff. "U" Factor BTU HR. Exterior Wail (1) 110 86 0.0466 441 Exterior Wall (2) 224 86 0.0466 898 Exterior Wall (3) 110 86 0.0466 441 Exterior Glass (t) Exterior Glass (2) Exterior Glass (3) Exterior poor 82 80 82 n/a 86 86 86? 0.42 0.42 0.42 2962 2890 2962 Exterior sk light n/a Exterior Floor n/a Total Btu./Hr. Loss 10,593 s o o e s e Item Area Sq. FT. Temp Diff. "U" Factor BTU HR. Exterior Wall (1) 110 20 0.0466 103 Exterior Wall (2) 224 20 0.0466 209 Exterior Wall (3) 110 20 0.0466 103 Exterior Glass (1) 82 20 0.42 689 Exterior Glass (2) 80 20 0.42 6721 Exterior Glass (3) 82 20 0.42 689 Total Btu/Hr Heat Gain 2,463 . ? ?..* ? 't PIONEER ? engineering.. ? * ?}* LANOSURVEYORS, GVILENGINCERS LHNOGLPNNER$•L4N05C4PEARCHITECTS Certificate oi Survey for: _.._ W.4GNER NOMES /? 7Qb1 00 D ,- .n ? v?7 ? ???'? ' `6. D?ry?k /n ? ? ?? / L ?l ,n ? ra r b ° Q oZr- 67 J ? I S73S B?+ 3/ SS E - I ? ,o I ?? ? ?i ?? ? LY) •5'1 ?i??% `?/ . soo.o Denofes exisfi? Elevafion r?oo.o Denofes prop ed E/evalion Uenofes Orainuie (UfrlA Easemer?f ---+- Denoles DrQiricyse E7oW Orrows 0 Denol-es monumenf Bearins shown are assumed 0 Is ? ? O N ? n N. Q 8 \ .O N J` 4 ? Q ? ? M 7422 Fn(rt(xisr Drivc Mr.udota flcights, MN 55120 (612) 687 1914 _':i? NORTH PBQPOSED NOC?sf FLEVATION Zowest Floor ETeva ion SIq.EC,. 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I ~ ~ ~ ~ ' ~ E ~ _ ~ , ~ Use BLUE or BLACK Ink For Office Use Permit City of Eaafl o o� Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 Staff: Fax: (651) 675-5694 2017 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 3/31/2017 Site Address: 3661 Ashbury Rd5N S SI -- Tenant: Suite#: Reside tt/Owner Name: Jordan Schuetzle Phone: 701-610-3843 mM ` Address/city/zip: 3661 Ashbury Rd, Eagan, 55122 apmagatnisittetNOVM Name: License#: .0.0tralcltr� -E Address: City: ,wgmxtlaao . a Vziezmaikte State: Zip: Phone: wzmagolistraaContact: Email: - MASMASIMOVEW itniva.WwwWNS$**Q _New —Replacement —Repair —Rebuild Modify Space —Work in R.O.W. p*ofoottesR � ` ✓ Description of work: Bathroom Remodel add additional shower and tub a -x RESIDENTIAL Water Heater Water Softener Lawn Irrigation(_RPZ/-PVB) eer 1 Pit T pe° / Add Plumbing Fixtures(/ Main/ Lower Level) imummovaNsup Septic System f A S E M LM a Water Turnaround New Atat..t ,,, f .. —Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation (includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround*(includes State Surcharge) *Water Turnaround(add$280.00 if a 3/4"meter is required) $115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES$60.00 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.ciopherstateonecalLorq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval ans. Jordan Schuetzle .�_ �,�,,__ Applicant's Printed Name ' Applicant,- 'ignature -"` FOR FFICE USI ✓ Revi wet .� *�.,!a : i e<qwsoiwd` fi`id' + - r✓"*`v.` P � R ✓ s da „ rz ,r-,,^ ` ' -w, ' " . ` ✓ 1xfti £ e , ✓ is -equiwe re io s < wUnde ro g fin D Ai ✓ -0 y1nk ' Z' , , 'ame `. r 'A � ` `„ I , �MeteRelatedIteleter izgi aio Rea rtal om eeta e Use BLUE or BLACK Ink r For Office Use� I #: 4gC ::: lty of EFee: / l it-'/ 3830 Pilot Knob Road LI')to 11 Eagan MN 55122 .''. '' t Date Received: Phone: (651)675-5675 Fax: (651)675-5694 Staff: 2017 RESIDENTIAL BUILDING PERMIT APPLICATION 4 Date: 1 - li•• '1 Site Address e 0). Unit Name: Jeri/LA 5 C AA1A (e-- Phone: '411 WO 3i 3 Resident/ , r , Owner Address/City/Zip: 1 Applicant is $— Owner Contractor Type of Work Description of work: �jv►Tlnreowl 0 ! I Construction Cost: 4- % .. 1 Q kr. Multi Family Building: (Yes /No ) ; in Company: Contact: l i Address: City:y' State: Zip: Phone: Email: t License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: ,w ,I COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes >4 No If yes,date and address of master plan: Licensed Plumber: Phone: , Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: , Fire Suppression Contractor: Phone: s NOTE Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe classified as non-public if you provide specific reasons that would permit the City to ` conclude that they are trade secrets__ CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.org I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x N-14 at,in SC)0044.6te— x diAtii A Applicant's Printed Name A'alicant's ''•nature ' Page 1 of 3 -S 6'.‘7/ hst) bbl-tZ i/J O NOT WRITE BELOW THIS LINE /4/. .(9&5 SUB TYPES _ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) g. Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) Multi _ Deck _ Porch(Screen/Gazebo/Pergola) Miscellaneous _ 01 of_Plex — 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 `1-l6 yn- ~= Occupancy .42.‹. - ( MCES System Plan Review Code Edition ✓ni 2.g.ic SAC Units (25% 100%1C) ) Zoning P.P City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction V a Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings(Addition) _ / Final/No C.O. Required Foundation >( HVAC Gas Service Test Gas Line Air Test Roof:_Ice&Water _Final Pool: Footings Air/Gas Tests _Final %, Framing Drain Tile Fireplace: Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick X Insulation Windows Sheathing Retaining Wall:_Footings_Backfill Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Other: Reviewed By: / 0114 .42 '/ /y/- , Building Inspector RESIDENTIAL FEES Base Fee .3 Oz 51)•f if" Surcharge ie,..-) 5 h 0►-De R, 5,90n.A, 2 week% Close' Plan Review MCES SAC x 2 o. o a 59 . d47• City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA144326 Date Issued:07/20/2017 Permit Category:ePermit Site Address: 3661 Ashbury Rd Lot:1 Block: 2 Addition: Blackhawk Glen PID:10-14350-02-010 Use: Description: Sub Type:Reroof Work Type:Replace Description:Includes Skylight 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 within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - Jordan Schuetzle 3661 Ashbury Rd Eagan MN 55122 (701) 610-3843 Lindus Construction 879 Hwy 63 Baldwin WI 54002 (715) 684-4647 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA170312 Date Issued:06/28/2021 Permit Category:ePermit Site Address: 3661 Ashbury Rd Lot:1 Block: 2 Addition: Blackhawk Glen PID:10-14350-02-010 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Jordan & Molly Schuetzle 3661 Ashbury Rd Eagan MN 55122 (320) 583-2268 Hero Plumbing Heating & Cooling Inc 10900 Hampshire Ave S Minneapolis MN 55438 (612) 827-4674 Applicant/Permitee: Signature Issued By: Signature