1571 Ashbury CtCITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS: , : r t
, . ?? . Cr
PERhAIT SUBTYPE:
ON
;C4RD
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
TYPE OF WORK:
II ,I.I N I, I I I ir4A I
i 11 j rat
ef's I tt«.?
Ha 1; q rOF
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, ;,. ?-o• ,{ , 1?U1?. M.?...a„s+?+o „m?
TE5T ~ . . - -"-
INSUL
GYPBOARD
FIREPLACE
FiREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FfG /-/
DECK FINAL
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, MinnesDta 56122-1897
(612) 681-4675
SITE ADDRESS:
;;S t?i t il{ylii +1 1 !t .'Nl?
' PERMIT SUBTYPE:
I I ,:1,,11a1a I N
CTION
F1 }ft tirK
;CORD
PERMIT TYPE:
Permit Number: • ??:? ?' D
Date Issued: /sF! y 7
APPLICANT:
(f..l,'1 t.ftH
TYPE OF 1NORK:
f'TNl1i
l93
11. N1`:!
,.
.
,
? ?
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Permit No. Permit Holder Dste Tolephone k
ELECTRIC
PLUMBING
HVAC
Inspactlon Date Inep. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
.?
FIREPLACE
?
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
6SMT R.I.
BSMT FINAL ,
DECK FTG
DECK FINAL
&W
? CASH RECEIPT ?
CITY OF EAGAN
3830 PILOT KNOB RDAD
EAGAN, MINNESOTA 55122
.
ATE - 19
RLG t W tD ?
F110M
AMOUNT ? I
& DOLLARf
?oe
[:]CASH ? CHECK
i •
?
FOR
f
10/
BY '
7 Whita-Payert Copy
Yellow-Postinp CoPY
Pink-File Copy
Thank You
BLDG. •PERMIT N0. I11
e . ? ? ' ? F -? e L.' ? ., •D' J
??c;?•) ? /d !f'/
? d??
T--T- ,
O1-3210 Bldg. Permit
01-3422
Plan Check --; ? :
01-3445 Surch./Adm.
01-3446 SAC/Adm.
01-2155 Surcharge
17-3860 Road Unit
J0-2275 SAC
7,E}-3865 Water Conn.
20-3868
Water Trmt. ?
dG
20-3716 tiater Meter
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
j
79-3866 Sewer Conn.
11-3855 Park Ded.
TOTAL a
. CASH RECEIPT ?
. CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
. -DATE 19 i
RriGtIYCD
FROM AMOUNT $
& OOLLARS
,?' ?eo
? CASH L] CHECK
i?
eew •'- • . , , . .
?J
FUND CODE AMOUNT
i
Thank You
BY ,
•"°' -." F-r .';'"? White-Pavers CoPY
? ` • Yellow-Postinq Copy
Pink-File CoPY
CITY OF EAGAN Permit No:_
3830 Pilot Knob Road Meter No: _
P.O. BoX 21199 ` RBader NO:
Eagan, MA 55121
Owr
Site
Plun
Conn. Chg:
Acct. Dep:
Permit Fee--10.
Surcharge: •
Tr. Plant
Meter. 67.
8971 Date: 8-24-')7
Size:
Date:
Zoning: _
No. of Units:
R1
1 agree to complr with the City of Eagan
Ordinances.
By
WATER SERVICE PERMtT
CITY OF EAGAN SEWER SERVICE PERMIT
3830 Pllot Knob Road
' 10121
P.O. Box 21199 PERMIT NO.:
Eayan, MN 55121 DATE: 4"24--"P7
Zoning: Y'A No. of Units: Z
Owner k?ylsnd :iomes
Address:
Site Addr
Plumber.
I agree to comply wllh the Clty oi Eagan
Ordfnances.
ey
Date of Insp.:
Insp.:
100. OQpr.l
Connection Charge: 575 nn.,,;
Account Deposit: 15 0!?r
Permit Fee: U}.-IIflgd
Surcharge: SQpci
Misc. Charges:
Total:
Date
KY . CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
BUILDING PERMIT Receipt#
To be used for 'Est. Value Date `
Site Address
lot B?ock Sec/Sub. ulaAC1:liAWR 2
Parcel No.
s Name ,
W V
= Address -
p ,
City Phone
. o Name
0 ` Address
P City Phone
W W Name
HW .
=a Address 2-W City Phone ?
345
OFFICE USE ONLY
On Site Sewage _ Occupancy '
MWCC System _ Zoning i
On Site Well _ Type of Const
City Water _ (Actual)
(Allowable)
? of Storles
Length
• Depth
S.F. Total
Footprint S.F.
APPROYALS FEES
Assessments _ Permit
Water/Sewer _ Surcharge
Police _ Plan Review
Fire SAC, City
Engr.
Planner SAC, MWCC
_ WeterConn.
CounCil Weter Meter
I hereby acknowledge thet I heve read this appllcetion and atate Bldg. Off. _ Road Unit
thettheintormatfonisconectandagreetooomplywithallapplicable APC - Treatment Pt
State of Minnesota Statutes and City of Eagan Ordinancea Variance _ Parks
Copies
Signature of Permittee TOTAL
A Building Permit is issued to: on the express condition that
all work shall be done in accordance with all applfcable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
Psrmit No. Psrmit Holdsr Date Teisphone ?
Plumbing
,
},,
H.V.A.C. 0
Electric
Softener
Inspection Date Insp. Comments
Footings I ?
Footings II
Foundation
Framing y ZT-,41_
Roofing
Rough Pibg.
Rough Htg. 47• ?• 9?St?l??C/
Isul. _ 4-
Fireplace
Final Htg. , n 6;7? ?!.
Final Plbg•
. PRV ?
Bldg. Final
Cert. Occ. ,,,, ?-. ? • / 4 23 -S 7 4/-?
Temp. LP
Deck Ftg.
Deck Frmg. 0 '
.
Well
Pr. Disp.
, . PERMIT #
PLUMBING PERMIT
CITY OF EAGAN RECEIPT #
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: !f ?
City
Name f ''? Arle`e f
3 Address
p City Phone Fys'- Z
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IMD FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S1C IF PERMIT PRICE GOES
' ??1=6sl/
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
1?0. FIXTURES TOTAL
??Water Closet - $3.00
_/--Bath Tubs - $3.00
?Lavatory - $3.00
?Shower - $3.00
?Kitchen Sink - $3.00
UrinallBidet - $3.00
?Laundry Tray - $3.00
?Floor Drains - $1.50
Water Heater - $1.50
Whirlpool - $3.00
_LGas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIT)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
7
FEE:
STATE S/C:
,. .
" GRAND TOTAL:
PERMIT #
. • , MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
3630 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: I
Site Address 19'11 ft'? r-1 c bu!` BLDG. TYPE WORK DESCRIPTION
Lot Block Sec/Sub
Res. New
? i ,• _
m Name , Mult Add-on
- .41 Address Comm. Repair
Other
c City Phone ;
FEES
Name r RES
HVAC 0-100 M BTU -$24
00
i
? . .
c Address ' -?! r`? ? •
- ADDITIONAL 50 M BTU - 6.00
3
p
Ciry E-L
Phone (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS
MINIMUM
1 PER PEkMl 1
50 EA
(
-
n -
.
.
TYPE OF WORK COMM/IND FEE - 1R?6 OF CONTRACT FEE
Forced Air ,,
? M BTU + APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPUES
Boiler 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
Vent CFM $; (ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # ? '~~ BEYOND $1,000)
Other
FEE
S/C: ? SIGNATURE OF PERMITTEE
G'
TOTAL•
FOR: CITY OF EAGAN
I
.. . ?
PERMIT # _
PWM8ING PERMIT
CITY OF EAGAN RECEIPT #.
? ??
3830
\ PILOT KNOB ROAD, EAGAN, MN 55122 DATE. 1 • 1
CONTRACT PRICE PHONE: 454-8100
Site Address BLDG. TYPE WORIC DESCRIPTION
Lot Block ? Sec a Res. •? ?? New "
Mult. Add-on
? Name J ? Comm./ Repair
y "
m Address 3 1 c ti Other
c City %" iihone qeS. PLBG. ONLY - COMPLETE THE FOLLOWING:
! NQ. FIXTURES T?T?1?;
Water Closet - $3
00 $
? . `
? Bath Tubs - $3.00
c Add ess . 3 L
S3
00
3 avatory -
.
p Ciry Phone Shower -$3
00 S. `;-
.
-LKitchen Sink - $3.00 yC
FEES
COMM/IND FEE - 146 OF CONTRACT F ? UrirtRl/Bidet - $3.00
-LLaundP}c 7ray -$3.00
%
a
G C
APT. BLDGS - COMM RATE APPLIES !
TOWNHOUSE & CONDO - RES. RA APPLIES
? Floor Dr
rus -$1.50
/ Water Heater?, $1.50 .
MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $3.00
MINIMUM - COMM/IND FEE r - $2o.00 -Z Gas Piping Outlets - $1.50 ?
STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT)
(ADD $.50 S/C IF PERMIT PF?E GOES Sohener -$5.00
BEYOND $1,000.00) / Well - $10.00
Prrvate Dis - $1000
H.
3 Rough Openings - $1.50
FOR: CITY OF EAGAN
FEE:
STATE S/C: ' ' -? ?GRAND TOTAL•
(ger#ifirafit uf Mrruvanry
titp of eagan
appal'fuTpltf of g1tTlbwg JwPrttDt't
Thrs Ceni3"icate tssued pursuant 1o the requirenrertts af Section 306 of ihe Unifonn Building
Code cernfying t/rat at 1he time of usuance this structure was in compliance wrth the various
ordinances ojthe City regulating buifding construction or use. For the followtng.•
.
vx ca.xirauoo S t? D W G/ G A R Bids. Parn;t No. 1404f,
o-v-Y T* R 3 zoning own« kI ?ya c- V
Bm7dingAddres Loajjty W.
Nu: OC
euamng offic,i i3L. ?LAl.1ll7A;'f.-. Ld??V .
TC>};E':
POST IN A CONSPICUOUS PLACE
CONTRACT PRICE:
PERMIT #
PLUMBING PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAO, EAGAN, MN 55122 DAT
PHONE: 454-8100
Site Address -5_ S (? o } ?
Lot Block Z- Sec a
Name 7? IJrCC%
? 3 -?,141
Address
?
c City S'00QG?? £ Z,2ff>hone
Name
?
3 Addres$
0 ciry Phone r yY " G:
FEES
COMMlIND FEE - 1% OF CONTRACT F E
APT. BIDGS - COMM RATE APPLIES/
TOWNHOUSE & CONDO - RES. R/?TE APPLIES
MINIMUM - RESIDENTIAL FEE ? - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PE IT - .50
(ADD $.50 S/C IF PERMIT P CE GOES
BEYOND $1,000.00)
/
.?.
`
SIGNATURE OF PER TTEE
FOR: CiTY OF EAGAN
BLOG. TYPE WORK DESCRIPTION
Res. New X
Mult. Add-on
Comm Repair
RIfS. PLBG. ONLY - COMPLETE THE FOLLOWING:
ry?. FIXTUiiES
s
t - $3
00 S
' W
t
Cl T?T???
.
er
o
e
-
a c U
? Bath Tubs - $3.00 ` .
Lavatory - $3.00
Shower - $3.00
? rchen Sink - $3.00 3• O
Uri I / Bidet - $3.00
I Laun Tray - $3.00
Floor Dr ' s - $
1.50
?
Water Heate - $1 50
;
:
Whirlpool - $1
? Gas Piping Outlet - $1.50
-
?
(MINIMUM - 1 PE ERMIT)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
'3 ?
Rough Openings - $1.50
FEE:
STATE SlC:
??
GRAND TOTAL•
Th.s request vmd
18 nwn[hs fmm
? 4735 / o ?
rire rvo. noopn-in insper,UOn
Requtr ? Ofle.ady Now ill Nnufv Inspec-
_ r?? ? 7 es ?Nn tor When ReatlY
Wicensed Electncal Contractor I hareby request inspactioa ol ebove
? Owner elecVical work installad a[:
Slreet Address, eoa or R te No. CrtY
Q Ad
I
ecuon o. To nsnip Name w o. Ran9e No. County
Occuuam (PqINT) Phone No.
r V ? ES
Power S plir,r Address
5korA , SSa? M??(9 GfilolJ
BeGncal ConVactor (Company Nnmel CnnV . tor's License No.
Ut'4 tZE? iG
a?ling Address I ontrac[or o Owner Makinfl I nstai bonl
cer- 1/ cr 5? ?
Authonz SiBnature IContr ctor or akiny Installabnn) Phnne Number
~7??
MINNESOTA STATE BOA OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griges-Midway Bldg. - Room N-791 BE ACCEPTED BY THE STATE eOAPD
1821 Univarsitv Ave.. St. Pxul. MN 55104 UNLESS PNOPER INSPECTION FEE IS
Phone(672) 642-OB00 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION EB-0000/1-06
Z 0 See instroctions for comolet,ng this lorm on Eeck ot Vellow coDV•
? 4 7 3 5 q1o.-* X" Be/ow Work Covered by Ihis Request
dcl ReO T+.tve ot BwltlmO Applmncea WireJ Equiu.,ent Wired
'iq Home Ranye Temporary Service
Duplex Water Neater' LighLny Rxtines
Apt Bwlding Dryer Electnc Heatin
Commercial Bldy Fumace Silo Unloader
Industrial 61dy. Air CondiLOner Bulk Milk T&nk
Farm tne. oeci y 1nt, ?snec?rvl
ther SueciFy Other Other
ompute /nspectian fee Below
N Fee ServmeEnttance5ae p Fae Fenders/Subieeders N Fee Grcaits
IZ, 0 to 200 qm s 0 to 30 qm s LO 0 0 0 tn 30 Am s
Above 200 qinps 31 to 100 qmps 31 to 100 Am s
Swimming Pool Above 100-Am s Above 700_Amps
Transformers Irnqation Booms O Partial/ Fee
Signs , Speciai inspection S
PerrNrks Z? TOT F
L
? v
Hough'in ? o ?rC I, e ElacVic
/'YJ Ins ?o raby
iinal ? P ? D te certily that the abova
?j ` II ? ???/ nsDection has saen
;? meda.
mis rOGUest voia 18 manlFm irom
PRV REQliIRED CITY OF EAGAN NO- 14 0 4 6
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
?7/ !Lp a
BUILDING PERMIT PHONE:4548100 Receipt # «P -To?!
Tobeusedfor SF DWG/GAR est.Value $96,000 oate AUGGST 13 19 87
Site Address 1571 ASHBURY CT
Lot 8 Block 2 Sec/Sub. BLACKHAWK GLEN 2
Parcel No,
a Name KEYLAND HOMES
z Address 14450 SURNSVILLE PKWY
o City B' VILLE phone 894-2636
p Name SAME
z
oQ
Address
P City Phone
"W
ww Name
l
?
Address
?w City Phone
OFPICE USE ONLY
On Site Sewage Occupancy R3
--
MWCCSystem Zoning R1
On Site Well Type of Gonst v
-
Cdy Water (ACtual) _
_
?
v
(Allowa6le)
# of Storiea
Leng[h 54
Depth 34
S.F. Total
Footprint S.F.
APPROVALS
Assessments
WateVSewer
Polwe
Fire
Engr.
Planner
Councl I
I hereby acknowledge that I have read this application and state Bitlg. Off. _
thattheinformetionisCOrreCta agfeeTOCOmpiywith IlappliCable I APC _
State of Minnesota Statute City f Ea Onc Variance -
Signature ot Permittee ? A ?..
A Building Permit is issued to: LAN HOMES
all work shall be done in accordance with all applicable te of Minnesota ,jStatl
Building Official
FEES
Permit $ 489.50
Surcharge 48.00
PlanReview 944-75
SA0.City 100-O0
SAG, MWGC 525,O0
Water Conn. 57 5_ 00
WaterMefer 67.00
Road Unit 305.00
Treatment P1 1 80.00
Parks
Co les
TOTAL $2_484.25
_ on the express wndition that
and City of Eagan Ordinances
Wp'
CITY OF EAGAN Permit No: 897_ Date: $-24-$7
3830 Pllot Knob Road Meter No: ?S 3_5 S Slze: -,W - -
P.O. Box 21199 Reader Na ? Dat? '? e
Eagaa, MN 55121
Owner. Kevland Homes
Site Address:- 1571 Ashburv Court L8 B2 Blackhawk Glen II
Plumber. D C Mechanical
Conn. Chg: 525.00pd Zoning: RI
Acct Dep: 15.00pd No. of Units; 1
Permit Fee: 10. OOpd
Surcharga .50pd I agree to comply wlth the Cfly of Eagan
Tr. Plant 180.00Pd Ordlnane
Meter. 67 _ ll?.,,?
Misc_ NEEDS PRV VALVE
WATER SERVICE PERMIT
1987 BIIILDING PERMIT APPLICATIDN - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
INCLDDE 2 SETS OF PLANS, 3
OF S[IBVEY, 1 SfiT OF ENERGY
. f
NOTE: ADDRESSES FOR CORNEH LOTS - COHTR9CTOR/HOMEOWNER MIIST DESIGAATE AHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWSD ONCE SIIILDING PERMIT IS ISSOED.
MULTIPLE DWELLZNGS - RFSIDENTIAL RENTAL UPITS FOR SALE i1NIRS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SIIRVEY - CHEC$ HITH BLDG. DfiPT.,
1 SET OF ENERGY CALCULATIONS
CONR4ERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
, ?? 96 otx?
?-
To Be Used For• ^?--c luation:
. t ,
Site Address /
Lot U Block CD-1 ?
Parcel/Subl?,?" LYCa4-.?
Owner ?c?!le?iyl¢4
Address
City/Zip ,5 S ,J?
Phone
Contractor
Address
City/Zip Code
Phone
Arch./Engr.
?
Address
City/Zip Code rG6??CB-?7?'?
Phane lF
On Site Sewage`
MWCC System ?
On Site Well
City Water ?
APPROVALS
Assessments
Water/Sewer
Police
Fire
Engr
Planner
Couneil
Bldg Off 27 B 1Z
APC
Variance
Date: ? 6 -J-7
Oecupancy R-3
Zoning ?
pl-
Type of Const
(Actual) 7Z-
(Allowable) ?
# of Stories
Length
Depth 34.33
S.F. Total
Footprint S.F.
FEES
Permit 4/8 9•S=
Surcharge yg,o_
Plan Review awy.7S'
SAC, City )pp,?.e
SAC, MWCC S;Z5•°--°
Water Conn 5,251 e-°
Water Meter 67. =°
Road Unit ,3o5`.
Treatment Pl r,-90• ?
Parks
Copies
-?- '?-
TOTAL ? v x?
S
(??r
._....? .
z?x z2 = 5?z
}I o us e..e_
4YX 12..--
/N?ZA =
2?aX Z? x14 u :
xrz : 6s Gy. _
S-7 G
39 2
968 x 59=
S(o I IN r.?
3;?b3-2.?
?
95n4n p•
SURVEYOR'S' CERTIFICATE
SIENNA CORPORATION
-.,, -,-??
?
i ?nnn(..)?V ?_? i? r- _ i i??i i ?
i It?ivI1 i 11 75.59
r5F 89?37 29 E APPROVED FOR SIENNA
«?°- CORPORATION
? I
? BY:
LOT 8 I DATED°
? yEASEM£NT PER PLAT
I I ?
N 0
LC?? ?- N
I ? i--
?- C)
,
-J
a3W.5?
48.0 -??
i ' W
_ J W
? /PROPOSEU m ?
ti
? = ? I o 5.33 HOUSE 1o, rMn
N
? m f? M/ GAR. / ? I ri N
' 27.33 ' M
N
p N
M 7 o (`a37.f?j?.? p
? 2E.00 Cd µ
Z ? ? ;g3e.5 ?------? I Z /
5
oL >.>... o
o, ?y? REVISED 6-29-87 TO SHOW
_ / A PROPOSED HOUSE fOR
KEYLAND HOMES.
T33.° S 82° 27 14 E 75.00
0
to
R
ASHBURY
COURT
-'+- DENOTES PROPOSED SURFACE DRAINAGE •
SCALE:
1 INC11 a
30
FEET
,O
• PENOTES
DENOTES IRON NONUMEN7 SET
IRON MONUMENT FOl114D PROPOSED GARAGE FLOOR - 837.8 FEET
%000,0 DENOTES EXISTINC ELEVATION PROPOSED LOWEST FLOOR - 83-1.?
()
°
z FEET
FEET
(000.0) DEtlOTES PROPOSEO ELEVATION PROPOSED TOP OF aLOCK = 8
i
•
t•!E IiEREBY CERTIFY TO -SIENNA CORPORATION TIIAT TII15 i5 A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF Tf1E DOUNDARIES OF:
Lot 8 Block 2 BLACKHAWK GLEN 2 ND ADDITiON, according to the recarded plat
thereof, Dakota County, Mlnnesota.
1T DOES NOT PIIRPORT 'TO SHOId 1MPROVEt1ENT5 OR ENCROACIIMENTS, iF ANY. AS SURVEYED DY
hIE OR UNQER MY DIRECT SUPERVISION TNIS ,30THpAY OF DECEMBER , 19 86.
: JAM?S R. IIILL,
THE LE6AL DESCRIPTI(SN USED ON SIGNED 1NC.
THIS SURVEY WILL BECOME VALID ?
UPON FILING THE PLAT OF BLACK- pLz?_,17y__.39
IIAWK GLEN 2ND AOOI7ION. • DY: IIA OI.D C. PETERSON, LAfIO Sl1RVEY0R
hI1NNE50TA L1CEN5E NUF1pER 12294
AROJECT NO. sooK / PnUF JAMES R. HtLL, INC,.
85618
(81580) Planners / Engineers / Surveyors
FILE NO. 8200 Humboldt Avenue Soulh
FOLDER Bloomineton,Mn, 55431 612-884-3020
?
• EXTERiOR ENVELQPF hVfRAU "tl" COMf iiTA'fTON 33l0S
*S Ae?PeM +
OWNER: ?l ?? t???JP NoM?`_? -- nnTr :___ 4-ZZ -
PnnNE:
SI,TE.,ADDRESS: 15
' CONTRACTOR: ,
,
Oetermine working square footage of each
1. Total exposed wall area.... ZOqZ sq. ft. x.11 = L3O,1
L7 (06 sy, ft. x.026 = Z J? Z
2. Total roof/ce111ng area..... -
, • Tatal exposed wall area above floor=__?`? L
3S
?w.
?s'=s
,
, a
`$ Total wall window area ..........................
.....
.
b `.
;
. Total. ...........
door areA ... ............................
..........
?o
;;?
y
,
;;Total'
!
c.?
sliding glass door area .....................:...:
.
?
?
d.'.' Total fireplace wall area ....... ... .........
......
.. Zoq ?'?
?
e. Total wall framing area (average l0N).............. ......
..
.. 'b 8
f. Total rim joist area .. ..........................
........
net wall area above floor .......... . . ..
......
. .......
h, wall area above floor........... .. . ... . .....
i' wall area above floor ....................
........ `i
j., .........
frame wall area at foundation ..................
;u
I12p •
Total exposed Poundation area=
:. ilrJe
k Total
..
foundation window area.....•...•••••••••••
.
Total
net foundation area above grade .............. ,. ,
? Determine "u" value of each wall segment
all section)
t
>
e w
(e.g. wlndow> door, each separa
"
e. x
3 I
38 X
--'
''°'"?
„ '
b ----
• • °
r??.?a;t,??
? 11u 1111
x
. C.
_ d' , X.
?
X
=I ,
e.
li
l.
04-
u
1
1OS X
f. ---- • ??
X l,u„ ,o £
y. ?5(?Z
X liuii
h. ---_'
X touli
x llui, __.---
? . -----
3-y--
k. 10.7 x ,.-_?-----
1. 1109,$ X
..Total
3 . ...............................
If item 13 is"
as, or less th
N1, you have m
intent of SBC.
......._..y.. .....?..?,. .. .. . a........ .... ? _ _
,iy;•
Total exposed roof/ceiling area
m. 1bta1 skyliqht area ............................
n. Total roof/ceiling framing arra (averaga %
o. Total net insulated roof/ceili.ng area........... ?
Determine "U" value for each roof/ceiling segment
' M.
,' : X
- - "U" _
-
x 'lull
O7_4 = Z . 3
n.
-' ,
•--
' o x 'lU,l
OZ = 17 •y-Z
. ,
4 ........ ................... 7btal
If'total of #4 is tho same as, or less t:han N2, you have met the intent of??
_SHr 6006 (c) 1.
Alternate Building Envelope Design
7b utiliie the total envelope'systen method, the values establishe$ by the,su
? i.tems 03 and q4 shall not be greater than thQ sum of items tll and H2.
`''f e L3C?
1
o
Z
S
Z'
+ z
Z5'S'.3 v ,.
;,:: i.
. .
. ?•
? 9) + 9
.
• , 3. . .
,
tg?
, j.
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f „
i
t:
4: ^
ul ?
'
v?
:
'
..
;'
^
iX?
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7;• `
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LOGIC ;
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Li&jF?AL
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``"'?,??Ft R.EI?I.AGE ?
t"3 ? ?d
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,
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10 8
FT, EcposED
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? ? `;, I TO'7'AL = ZORz
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?
?
; ?;
?
;•
WDWS
u
` 6 - z44o 40
; ?. -z444 94
Z4M A
?.:.
¦ DooP?S
,,,",,, `• !.i.
? _,•
A l,.L Ar?.EAi
pSC.j5OSED W
X , S = ??? ?,, t?,.;??,? ::
x 5
-
_
k ? -
Y, I = l08
N ?ATl O
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3° ^'u
Za. --?,lF
¦ ?js??-1? . U IJ (?+5 " ;i
PLAN .?? ?; 3?
WAL L . :???ry='? ?rl
vlwqua will nrca for
.aurtruclfun
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-
.... .........G.,
c . x G?,'t....6K1'C?. . .._... . ., ; .Z..al?
!;. !?.?D.1?.?l0...., .. .. .. ... ,. ..,,.?PZ
6. F:v,lvrii,r nli film ^ U.17
..._._.. ._
__.... ...
.
_.._ -• --__ .... .... . . ?
...
.
•?,>?:?t 1'l._ /c?. 85
V= .o°I.
1. inCrrli.t' a ii' :11ri _?If:Gll
z. y?,".?y.._....4,q.. ......_.....__.? ._?45,::
7. _4"_.._It?sul ..............---..__ -L°laQ. ?
4. 2.4?3?Z_. ?1'?br. . ....._..---.- •?Trt?V
s. .b)di _...._.._._._......,.?oZ.:
6. F:xl.oric?aii'
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6.
.?i??._S N?$V 4 ... -- ...._.... .....1°.?eQ ,
Z.tL.. ?S?...._12.? w. ..SO.?s.-l-- ........__ ..1..lf1
.ZS?3-Z--.'??f'C(o.....- - -• •-._.... __2.oy
.?-.?',J.',?y.. ... . .-• ---. .__ ..._._, ?e.Z
}:xtprl??r nir I i Im y _ iL 17
-•----•--..._____._....__T,oi:i? y2s?z1. 92
U = - °9
1. ?jL4GK
Ui i_i?nt nti'..?il"?. ._......
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e
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Const?ion R-Va 1 e.
Intcrior air Film
3. IAJSUL_,.__ ' ';,• ?;
k?r f?
;, £xtcrior ?zir film (still 0. '`•?
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Tota,. rr. 4ssa.? ??:
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Sca[ fl.ow ,r----
:nced ? . . 3. _?G? 3
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Uso additional sheets if moros,spaee,
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I ? • ' ., H0:1-VB.'R?. . . . ^-"' ' peeded for Jetails and{calcalatiian$
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CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
*R7i'PK: PAYMMS OF FEE AT 7ZME pF
nPPLICAMorr noEs Nar oIAOMTM
APPROVAL OF PER14PT.
INsrnMota oF sDmt arm/at WATEt
IIZSTA•?ATTONS WII+L NOT BE SCFE[>-
ULFS) UNi'IL PII2MIT IiAS BEM
APPROVID.
P ease! Pr1nt q
1) PROPERTY ADDRESS: •-
LEGAL DESCRIPTIDN:
Lot Block Sub ivision or Tax Parcel ID )
IF E7QSTING SiRL'CiS?RE, DATE OF ORIGINAL BPILDING pERN1iT ISSL'ANCE: "-
hbn Year -
PRESIIIr ZONING/PROPOSID LSE:
COf44ERCIAL/RETAIL/OFFICE [2?-R-1 SINGLE FAMILY '
QINDL'STRIAL Q R-7- DL?PLEX (74o Ltnits)
e
n INSTI7.i1TI0NAL/GOVERNNPg,g:t?PP ? R-3 7CJWNEIODSE (Three + Units) ( Units)
, Q R-4 APARTMM/CONIDOMINII,fi1 ( Units)
2) NAME:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
3) • ?:?• N7?N?: UC- ??ch`9a?'c•a-I . - For City Use .
_ Pltunbers License:
ADDRESS: vas3 ?? ?
ciTY, sTAxE. zzr: r??t rbt recoraea
PHorrE: Syy-977,?- MASTER LICENSE# _ 333 7 (/ r+ 7' St?tial
4) •• • i?• 11/ ??
NAME:
ADDRESS:
CITY. STATE. ZIP:
' PHONE:
'S) ?? a• • a?• : ? • 54 - a??
n CONNECPION TO CITY SEWER Ej CONICrION TO CITY WATII2 , a OTFM -. ,
6) " •' •?• [3 PI,EASE HOL[J APPROVffa PERMIT FY)R PICK-LtP BY ONE OF 11B0`lE -'•- ---
e?
PLEASE MAII, ApPROVED PERMIT TD 1. 2, 3, 4. AH(7VE
• (Circle one) ,
7) r r• ' .
?
FOR CITY USE ONLY
PERMIT # ISSUED
Pd w/Bldg. Permit FEES:
$ $ I? - ?z SEWER PERMIT (INCLUDE SORCHARGE)
$ $ WATER PERMIT (INCLUDE SURCHARGE)
$ $ WATER METER/COPPERHORN/OLTSIDE READER
$ $ WATER TAP (INCLC'DE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOUNT DEPOSIT - SEWER
$ $ ?? •?'-t% ACCOC'NT DEPOSIT - WATER
$
$ WAC
$ $ SAC
$ $ TRLNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRONK SEWER
$ $ LATERAL BENEFIT/TRONK WATER
$ 'o ? $ WATER TREATMENT PLANT SURCHARGE
$ - $ OTHER:
$ 7 /c? L
TOTAL
70 ?--
RECEIPT RECEIPT
DOES UTILITY CO NNECTION REQLIRE EXCA VATION IN POBLIC RIGHT OF WAY?
Q YES IF YES, THEN A" PERMIT FOR WORK WITHIN PUBLIC
Q
NO ROADWAY" MIIST BE
DIVISION
IS ISSUED BY THE ENGINEERING
. L
T AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY: ??i•?_f: _?,?_ ??.??-r . _ ?1 ?
TITLE:
DATE:
i
?.
?,??'
CLAIM VOUCHER - REF[JND REQUEST
CITY OF EAGAN
Cr.AZrtArrr n.c. ?r.HaNTrnT.
ADDRESS 4253 N0. 140TH STREET
C_ AvL MN 55378
Location 1571 ASHBQRY CQ[1RT
L8, B2, BLACKHAWK GLEN 2ND ?
Receipt No./Date 77302-9/14/87
Reason for Refund DUPLICATE PERMIT
Type of Refund Electrical Permit 01-3211 $
Plumbing Permit 01-3212 $ 40.50
Mechanical Permit 01-3213 $
Surcharge 01-2155 $
Water Connection Permit 20-3713 $
Sewer Connection Permit 20-3743 , $
Account Deposit 20-2252 $
IItility Account Over-Payment 20-2250 $
Other: $
$
TOTAL $ 40.50
I declare under the penalties of law that this account, claim or demand is just and
that no part of it has been paid.
? 9?1b?R7
Signature bate
C7:'rv .r.h= EM?AN
CFISFI:if:Rc .'.'i T'1=EiM7.PJAl... Nt[ls 343
rtarE „ 09/02/97 7:!'Mf_': I. ;efi2: M1•b
NAF1r 1)EM:CSE M E>CI-IFif:1ET_iEf;
:3"2.1b `)fifl'1 1:57:;. FaSIdFfUfiY C7 `.]O.UO
205 ^f;l(li 071 f1.il"Ilit.lRY C' 0.50
3
7u1;=.tl Rurn:l.i.4, Flmnur:'I:;: ?Sl).S<a
rR(:1f3U32i'
l.iSEf-: 7.Llf; i'R(`.t:Y
?**k %K* *9,K**W'00149d11;:0MMM Ni*'M*W****
.. _ ._,.
?CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-14351-080-02
DESCRIPTION:
PERMIT '
PERMITTYPE:
euzLo=NG
Permit Number. 030721
Date Issued: 09/0 z/9 7
1571 ASHBURY CT
LOT: S BLOCK: 2
BLACKHAWK GLEN 2Nfl
;
BuildinP.ermit Type
,?Builtling W6rk, Type
),Cens.us Code
;
E_ `Y:t`l%_?
4l Nr:' .. .y`"?`bt
1
FIREPLACE
N,EW
434 ALT. RESIDEN7IAL
5i' i{ xT: ? ?:-a }_•r
k 10
REMARKS:
FEE SUMMARY:
Base Fee $50.00
Surcharge $.50
Total Fee $50.50
CONTRACTOR: OWNER: _ Applicant -
i SCHROEDER DENISE
1571 ASWBURY CT
EAGAN MN 55122
? (612)688-2193
I harehy acknawledge that':T;have .rBatl?this.,a-PPlica?ican'and'state,th'8t the .
znformation ts correcC-and agr ee, to _c,ninply"_0Sth 'al lapplicable-SLateo? Xn..
? Statutes snd City ofi Eegan OrElinencee.
1 //n?.?.Q ?(tll? oir? ??IL
A PUCA PERMITEE SIGNATURE SSl1ED BriSIGNATURE
?fl1I
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
1997 FIREPLACE PERMIT APPLICATION
681-4675
DATE: 5P# l I 9? I
DESCRIPTION OF WORK: CONSTRUCT NEW FIREPLACE
_ INSTALL GAS INSERT ONLY
_ INSTALL GAS LINE ONLY
OTfER:
STREET ADDRESS: I - / f Ti?:D 1/1 v V
LOT ? BLOCK SUBD./P.I.D.
APPLICANT: (circle one only) OWNER
PERMIT FEE: $50.50
ALTERATIONS TO EXISTING
CONTRACTOR
I hereby acknowledge that I have read this application and state that the information is conect and agree to comply with
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
PROPERTY Name: ?A
OWNER ..m
Signature: _
Street Address: / (/ / I I
City: !Adel?,
FIREPLACE Company:
INSTALLER
Signature:
Street Address:
City: State:
GAS LINE Company:
INSTALLER
Name:
Signature: _
Street Address:
City:
Phone #:
License #:
Zip: _
Phone #: _
State:
Phone #: .1 ?9 ?/ " :;>41 -)
State: OMZ Zip:
Zip:
y ?.
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 14 Fireplace
WORK TYPE
? 31 New ? 33 Alterations
0 32 Addition o 34 Repair
GENERAL INFORMATION
Census Code. 434
SAC Code Ol
REMARKS
Chimney/flue must be inspected before concealing.
)YN(?5?????rv:y:YA)?iIC%(.?:'?Mh?MM+?????ht:?i?'?'t)?)?'1•1l,??iiT?M1/?.?i
LTTV CF i::OGAN..
CAStlllifP: ., 1'"I,t1INAL NO: 70)
AFiI'F.;' 0409/98 7TN1:-„ i.iO%°I;;:1.6
i1J;
300 `.i!rlQj. 071 A51IYt1.AiV f.:7 50.,00
2J55 9001 '1.5i'i. r"+S!-IY;n.hi`i f:7 i.-.5fl
?
?
ToW F:ei:P1pI, i?mrt',ut51;;; 50..5tJ
CRO'"'116,M
U;Irb: .I.!'!: NAfdCY
?,c?t;w„'r:?k':?'??,-:n:?Yn'4.;--hx'?k"k•w?;r?r?;?:rk;tS•;;,'4rY?+FBtM>??V:?FX? ?
?'6ITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
1571 ASHBURY CT
LOT: 8 BLOCK: 2
BLACKHAWK faLEN 2ND
P.I.N.: 10-14351-0$0-02
BUSLDING
031892
04/29/98
DESCRIPTION:
B?u'il"diii"c Permit Type
,?uildineg 1.1?drk Type
' '-`'Census Code
.
,a -
r
DECK
NEW
434 FILT. RESSDENTIAL
J..:? ? ? ? S"•q i?'z r'?ge? { ( ° !f'-.:'?'J
1J
?....'"{(?
`-? `=? ?... u` Li L?
a:nr
REMARKS:
PLpN REVIEWED BY MIKE BARCK
FEE SUMMARY:
Base Fee $50.00
5urcharge $.50
Total Fee $50.50
CONTRACTOR: OWNER: - Applicant -
SCHROEDER RICKI
' 1571 ASHBURY CT
? EA6AN MN 55122
(612)688-2193
I her-eby acknowled:ge =tha,t Thaus ?:PP?ic;?.t?tan; 4,nd„state „_that tt7e "
' '°r
-
in_formation is correct and agr.ee $o bomply'_.'wi.tlt ell ?ppiicable SC-at? o?F''Mn>
S'Catu-tes-- and CiCy of ?Eag?an 6-rdi,na,n aeo.
L APPLICANT/P MITEE SIGNATURE ??' ISSUED B' IGNATUR
?998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PII.OT KNOB RD - 55122
681-4675
New Construction Requirements
? 3 registered sde surveys
? 2 copies of plans (include beam & window sizes, poured fnd. design; etc.)
? 7 energy caleulations
? 3 wpies of tree preservation plan A lot platted after 711l93
required: _ Yes _ No
DATE: 412I111QJ
RemodeVReGair Reqwrements
? 2 copies af plan
? 2 site surveys (exterior additions d decks)
? 1 energy calculetions for heated additions
CONSTRUCTION COST; - + 156V
DESCRIPTION OF WORK: wn ,Df?
STREETADDRESS: 1511 A6?
,
LOT: BLOCK: SUBD./P.I.D. ?h,r,? wk, Z6- Ld
Name: `'??? A'/ i'?t,?* Phone #: e-ft r z? f 3
PROPERTY Lut First
OWNER Street Address:
City State: 'K4 Zip: SSr ZZ
Company: Phone #:
CONTRACTOR
Street Address: License #
City State: Zip:
ARCHITECTI
ENGINEER Company: Phone#:
Name: Registration #:
Street Address:
City State: Zip:
Sewer & water licensed plumber (new construction oniy): Penalty applies when address chang
and lot change is requested once permit is issued.
1 hereby acknowledge that I have read this application and state that the information is correct and ree to comply with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances. / z /_
Signature of Applicant:
OFFICE USE ONLY "
Certificates of Survey Received _ Yes _ No j
1
Tree Preservation Plan Received Yes No Not Require `°?"`"""??°'?•T ?
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11
? 02 SF Dwelling ? 07 4-plex ? 12
? 03 SF Addition ? OS 8-plex ? 13
? 04 SF Porch ? 09 12-plex ? 14
? 05 SF Misc. ? 10 = plex 015
Al/Prr .• `'''n`'R'i'
W ORK TYPE
8.1{•£lb -?) £Gr. ?JaL
31 New ? 33 Alterations ? 36
? 32 Addition ? 34 Repair ? 37
GENERAL INFORMATION
stiYCEL'G-4- F?ICY7?E
Const. (Actua
I p? 4+M SILZ
(AlloHn
UBC Occupanf
Zoning
# of Stories
Length F
Depth
APPROVALS
Planning
g, 0
I ?
n
Permit Fi _I/?e.
?'.I z-
? k?.CMk? rn
o . i?•, ???"?l` eRi?ao.-f fiwer r-
r .
r ?
i .. .. ? ?,
Apt./Lodging ?
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SIENNA CORPORATION
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A PROPOSED HOUSE FOR
KEYLAND HOMES
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ASHBURY couRr
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O DENOTES IRON MONUI?ENT SE7
?0 DENOTES IRON MONUMENT FOUtID
R000,0 DENOTES EXISTING ELEVA710N
(000.0) pEtlOTES PROPOSED ELEVATION
I•fE IiEREBY CERTIFY TO SIENNA CORPORATION
REPRESENTATION OF A SURVEY OF TlIE llOUNDARIES OF:
SCALE: 1 1NCH n 30 FEET
PROPOSEO GARAGE FLOOR - ts?7ti FEET
PROPOSED LOWE57 F100R - FEET
PROPOSEO TOP OF DLOCK = 2,0.2. FEE7
TIIAT TH15 IS A TRUE AND CORRECT
Lot B 81ock 2 BLACKHAWK GLEN 2 ND ADDITION, according to the recorded plat
tliereof, Dakota County, Mlnnesota.
,
1T OOES NOT PURPORT 'TO SNOId iMPROVEt1ENT5 DR ENCROACi1f4ENT5, iF ANY, AS SURVEYEQ fSY
I•1E OR UNDER MY OIRECT SUPERVISION TNIS ,30THpAY OF DECEM[3ER , 19 86.
SIGNED: ,lAMES R. IIILL, INC.
THE LEGAL DESCRIPTIdN USEQ ON '
THIS SURVEY WILL DECOME VALID ?
UPON FILING THE PLAT OF BLACK- ? ???.????I ? ????.•?
IIAIJK GLEN 2ND ADDITION., pY:
UAROLD C. PETER50N, LAND SUIIVEYOR
MINNESOTA LICENSE NUhigER 12294
PROJEC7 NO. aooK / PAUt JAMES R. H(LL, INC,.
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ce73 o Planners / Engineers / Surveyors
FILE NO. 8200 Humboldt Avenue 6oulh
FOLQER Bloominplon,Ma 55431 612-884-3020
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA116748
Date Issued:10/10/2013
Permit Category:ePermit
Site Address: 1571 Ashbury Ct
Lot:8 Block: 2 Addition: Blackhawk Glen 2nd
PID:10-14351-02-080
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Elizabeth Hess
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 -
Ricki Schroeder
1571 Ashbury Ct
Eagan MN 55122
Sela Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823-8046
Applicant/Permitee: Signature Issued By: Signature
r For Office Use
• • , :::t:e4
'•''
I C c E i v� Date Received:
3830 PILOT KNOB ROAD EAGAN, MN 55122-1810 C
(651)675-5675 I TDD: (651)454-8535 I FAX:(651)675-56 Staff:
buildinginspections@cityofeagan.com MAR 1 1 2020
2020 RESIDENTIAL BUM : ' : ►� T APPLICATION
Date: 3////ZO20 Site Address: /S7/ /�t/t �� Unit#:
Name: S(./i`ir.) /Ze / Svd-CodPhone: 6S7"1/O •2?S/
Resident/
owner Address/City/Zip: /S7/ "sit/L.4-7 t��/y d-4-7-- $6Fft1./1 /14v S-37 2 Z
Applicant is: Owner X Contractor
T Work Description of work: K/T I .d am orf FD g/ JMI4IA)J
Construction Cost: irS7 der Multi-Family Building:(Yes /No )
Company: 5UP _ ?E,t/r j/fte110/.0 A.5/6.Ad Contact: i. -
Address: /" 1.7 cf../urx )LefrF 'R.. City: /it./0Oh
Contractor
"77;ibt e
State; Zip: SS-12 Phone:C' 570?? 7 Email: i'w,4 cf -,at,wore,. /;:k x/ 4,
License#:k._ 6.3? 1?$" Lead Certificate#:/t/rf-j - .2 74S"-c-
If the project is exempt from lead certification, please explain why: ('u Z n 6
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 No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE:lis oani supporting documonts.that you submit ass considered to bei httonns#on. Porti ofortheintimmatonmayb.
classified#yt nonpublic Ifpsi provide specific reasons That would peesriit the City to conclude that they are trade SoCreft
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeaaan.com/subscribe.
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.
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.000herstateonecall.orq
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.
Applicant's Printed Name Appl;•< Signature
R
DO NOT WRITE BELOW THIS LINE /6 7 j i h .c. tit i C-f-- . /6.0/9 z
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—Flex _ 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 4.4D Occupancy JAZ 1 MCES System
Plan Review / Code Edition Pig SAC Units �_
(25% 100% v) Zoning /'j1) City Water
Census Code iif 34 Stories r Booster Pump
#of Units i Square Feet PRV
#of Buildings Length Fire Suppression Required .----
Type of Construction --VWidth
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) Final I C.O. Required
Footings(Addition) 1 Final I No C.O. Required
Foundation Foundation Before Backfill At HVAC—Service Test Gas Line Air Test 4 Hood
Roof:_Ice)4/ater _Final Pool:_Footings Air/Gas Tests _Final
9t Framing / 30 Minutes 1 Hour Drain Tile
Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS
'e Insulation Windows
Sheathing Retaining Wail:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression: Rough In Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By:
Vi/
, Building Inspector
RESIDENTIAL FEES 3 841/a 10 76V
Base Fee 1 9/ .%
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA162077
Date Issued:06/25/2020
Permit Category:ePermit
Site Address: 1571 Ashbury Ct
Lot:8 Block: 2 Addition: Blackhawk Glen 2nd
PID:10-14351-02-080
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Fixtures
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087
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 -
Brian K Sorenson
1571 Ashbury Ct
Eagan MN 55122
Sieben Plumbing
18605 Fischer Ave
Hastings MN 55033
(651) 343-6298
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA163382
Date Issued:08/28/2020
Permit Category:ePermit
Site Address: 1571 Ashbury Ct
Lot:8 Block: 2 Addition: Blackhawk Glen 2nd
PID:10-14351-02-080
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Brian K Sorenson
1571 Ashbury Ct
Eagan MN 55122
(651) 775-5285
BT Construction & Remodeling LLC
753 Greten Lane
Hastings MN 55033
(651) 775-5285
Applicant/Permitee: Signature Issued By: Signature