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1572 Ashbury PlINSPECTION CITY OF EAGAN ? 3830 Pilot Knob Road ? Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: i PERMIT SUBTYPE: TYPE OF WORK: 14, . ; t : , i ?tri ti t) 1{ 41 1 1Mfi (? .' H'-? :?s 1S IOHN Ai TFiiAI lt?N M Vf( ?tFN Rr wntlEL INSPECTION . ?? D. . .. I ti ;,yO,r '. `-FI`AliAfF PFRMl'i`i itEQu.iRVII t 1?R ANY 1: 1 Er. fkft 111_ ON F'I U11141NOP 14010 ;CORD PERMIT TYPE: Permit Number: Date Issued: '1' 0,, o" APPLICANT: B1001 t!i 1: 1 4????•-St?H ? Permit No. Permit Holder Date Telephone N ELECTRIC PLUMBING 7 ? HVAC Inspeetlon Oab Ireap. Commenta FOOTINGS FOUND FRAMING ? ? y L / p ?O ROOFING ROUGH PLUMBING - ? PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOAfiD FIflEPLACE FIREPLACE AIR TEST FINAL PLBG FiNAL HTG ORSAT TEST BLDG FINAL GT? l BSMT R.I. BSMT FINAL DECK FTG DECK FlNAL CITY OF EAGAN WATER SERVICE PERMR 3830 Pilot Knob Road P. O. Bnx Z1199 PERMIT NO.: Eagan, MN 55121 DATE: Za+1ny: No. of UNts: Owrwr: " a. /lddross: Site llddross: ' `- % ? `z zwi; C Plumber. t-c?.t . •.,:?. ? : AAeter No.: Connectian Chorpe: 50'? Slze: Acoount Depoait: Reader No.: Pe?mit Fee: '• il , I yrw 1e ompyr wieb eM Ger oi Epw" Surchorpe: Of+IMAON. AAIfC. CF101+0lS: Total: By oon. Poid: Date of Irup.: Imp.: CITY OF EAGAN SEWER SERVICE PERMR 3830 Pilot Knob Road P. O. Bo)C 21199 PERMIT NO.: Esgsn, MN 55121 DATE: ZoninO: "i No. of Units: Owrnr, Addrcss: _ SIt! AddfE55: , c _... ^ . .- , .. , .. , . . . .. r+5 .. Plumber. . . i ?? •_,.?'.1 Nm h?awpip w1& fV CIlp oi is"a OrllOnser. By Date of Insp.: Connection CJwrpe: Atoount Deposit: Permk Fea: ?i ` +? •' Suroharps: Misc. Chorpes: Totol: Daft Pald: ? WIACT"iVATE F(lIt .I7d7CI: 4/21/III CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 •-• PHONE: 454-8100 BUILDING PERMIT Receipt # Tobeusedlor ?i li-1VG/-7a?: EstValue $89?D" Date P,I'i2IL 16 19db Site Address 1572 A5HBURY PLACE R3 Erect 0 X Occu anc 21 BLACIiFIA?r'dK GLE:J I R l ? d p y Zoni - Lot Block Sec/Sub. emo e i R ? ng T t C t J Parcel No. j$'j' r epa ype o ons Addition ? No. Stories Name BRUS LpYVSTdUI:TIOIl Move ? Length 4& l Demolish ? Depth ; Address 14 3 -`a 1= v:AY LATA BLVD tl O l Ft S ° :IiAYLA?' 473-1231 mpr. n q. . ' city ne Install O o SAFIE N Approvab F?ea ame foi¢ Address Assessment Permit 400• ? City Phone Water & Sew. Surcharge 44• ? Police Plan Review 200. ? W Name JL::il?st?! ETC Fire SAC ?7$ • ??-, Address - 5735 vUP?KIFiti Eng. Water Conn. 50d • i W City -'r•Y' lci[J'ftjone 559-2637 Planner Water Meter 63. Council Road Unit 290. I hereby acknowledge that I have read this application and state thatthe gldg. Off. '? ?1 ?? ?? Tr. PI. 15 G. information is correct and agree to comply with all applicable State of Minnesota Statutes and City ofEaqan Ordinances. APC Parks Signacure of Perminee I Var. Date Copies •. ? Total '? 2, 2 2 9. 00 A Building Permit is issued to:,`?- on the express condition that all work shall be done in accordance with all appli,gable State of, innesota Statutes and City of Eagan Ordinances. Building Official- I. • I P..mn Na I „Pwmn Haa.. I uaa ( TMSphoM M 1 s Plby. H19. Hty. Plbq. Finel OCC. Frmy. Dbp. ities Digital 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. ?, . . y .- PERMIT # 7 ^?_ - MECHANICAL PERMIT CITY OF EAGAN RECEIPT # ln 123 V 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: ?C) "CONTRACT PRICE PHONE: 454-8100 5fte Address - gLDG, n(pE WORK DESCRIPTION Lot ? Block ? Sec/Sub - Res. " New .? m Name Muft Add-on ? Address Comm. Repair c Clty Phone pther Name c Address O CitY TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent Gas Piping Outlets # Other NI BTU ' M BTU M BTU M BTU CFM FEES RES. HVAC 0-100 M BTU -$24.00 - ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 GA5 7UTLETS - 1.50 EA. COMM/IND FEE - 196 OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - 10.00 MINIMUM - COMMIIND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) FEE ' S/C: TOTAL• / SIGNATUfiE OF PERMITTEE FOR: CITY OF EAGAN . • PEFiM1T # ' PLUMBING PERMtT RECEIPT # CITY aF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: CONTRACT C PRI E: PHONE: 454-8100 Site Addr BLDG. TYPE WORK DESCRIPTION 10 ? Lot. Block ? Sec/Sub ---?C.? Res. %"'? New ? m Name Mult Add-on ?o Address Comm. Repeir c City -'- ` Phone', Other Name N.O. FU(TURES TOTAL W ter Clos t - $3 00 ? • ` a e . 3 Address Bath Tubs - $3.00 - 1. p City Phone ? ? Lavatory - $3.00 - TSh 3 ower - $ .00 /Kitchen Sink - $3.00 FEES COMM/INO FEE - 1% OF CONTRACT FEE . Urinal/Bidet - $3.00 Laundry Tray -$3.OU ' MINIMJM - RESIDENTIAL FEE -$10.00 i Floor Drains -$1.50 MINIMUM - COMM/fND FEE -20•00 =Water Heater -$1.50 STATE SURCHARGE PER PEAMIT - •50 . Whirlpool -$3.00 (ADD $.50 S/C IF PERMIT PRICE GOES ' Gas Piping Outlets - a1.50 BEYOND $1,000.00) Softener - $5.00 weu - $10 00 . / Private Disp. - $10.00 Rough Openings - $1.50 SIGNATURE OF PERMITTEE FEE STATE S/C: ` FOR: CITY OF EAGAN GRAND TOTAL• CITY OF EAGAN Remarks D 1? ?%(. a4 f Addition $??gkhatiJk Clen lct Lot at eik ? Parcel 10-14350-210-01 Owner Street 1572 Ashbury Place State R-agan pN 551.22 Improvement Date Amount Annuai Years Payment Receipt Date STREET SURF. 1076 1986 253.48 50.70 5 STREET RESTOR. GRADING SAN SEW TRUNK W 1970 6.70 25 Pd prior t division SEWERLATERAL Bn 1486 112.09 22.42 5 WATERMAIN Bn 1075 1985 92.80 18.56 5 WATER LATERAL WATER AREA 1072 1986 309.40 61.88 5 Storm Sew Trk 1073 1986 110.91 22.18 5 STpRMSEW TRK 732 198 488.55 32.57 1 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. 5AC PARK CITY OF EAGAN WATER SERVICE PERMIT 3830 il Knob Road , - ( P. O. Gwx 21199 ? ,` PERMIT NO.: ' EBgen, MN 55121 ? DATE: ?- ^ 7 Zoning: t No. of Units: ? Owner: ' lldd?ess: Sita Address: ' ? 1:'? -s ? • , ? , . ,. - . ?- _ - Plumbar. ^ Meter No.x3 10 I 73 6 3 iLlmwhon Chorpe: 5t311. UOpc: Size: "u 15.'JODcl Reader N,:6 4 f. 10.oopd I qme M aouO(p wtl6 Ifi? ? w ?Surcha ""a... REQUIRED ? Total: By ? 44, Dot?s Pcid: os Dote of (nsp.: Irap.: This repuest void C( ?./ ? 78 rnonffis from ( - 0 ?-f'? • C 15620 L,;Z l 3',3 i Ca ReqUest Oate Fire No. flouph-?n InsVecLOn Reqw?ed? ' ?ieatly Nuw ? Will NoLiy Inspec- ? ? Yes ?NO tor When fleatly Y Licensed Electncal Comracior 1 hereby repaest insoectmn ut ebova OWner electrical work mslalled at Sfreet Address, eox or Rovte No. C , ??? ? ecUOn o. Township Nama or No. R?nge No. C y , Occup (PflINT) hane No. P r Sup Address Elec al Con[racmr ICompa e) t o Ucen seNO. Cuntra c r's ' ! y / p / G v?L 2 Mailing AdJress (Contractor or O wner Makine Instailation) a Aut d SiBnature (C t clor wner M king Instajlav 1 Phone Number 6 -33 ?' MINNESOTq STATE BOAND OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT GriB9s-Midwey Bldg. - Roam N-191 9E ACCEPTED BV THE STqTE 80AHD 1821 Umve,srtV Ave., St Paul, MN 56104 UNLESS PNOPEH INSPECTION FEE IS nn....e IR121 297a1111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION k4rk Ee:oUMT-oa See instruetrons for complating this fwm on back of Yallow copy. [' 15620 "x" eeloW Work Covered by lhis Request AAtl N 0. TYOe ol BwIEmB APPliances Wirod EquiVmenl Wired Home Range Temporary Service Duplex Water Heater Lightin, Fixtures Apt. BwlAmg Dryer Electriu Heatui Commeraal Bidy. Furnace Silo Unloader. Industrial Bldg. Air Conditioner Bulk Milk Tenk Farm Otner Paci y Otherlsnrr:,ivl t er Succity ther Other ompute lnspection Fee 8elow p Fee ServiceEnhenee5iie tt Fee Feeders/5ubfeeders # Fne Crcurts U to 200 qm 5 0 to 30 Am 5 0 tn 30 Am s Above 200 qmps 31 to 100 Amps 31 to lU0 A Swimming Pool Above 100_Am s Above 100_Am?s Transformers Irngation 8oom5 Partial-Other Fee Signs Speaal inspection $ TO AL FEE l emarks C ? / 9 ? r flough-in / D;e ? I. th ricel ?. ( f InsDeclor, theraby 'cerhty thet the above Fmel msoeeUOn has been made. flila reaueal voiU 18 monihe from This re0uest witl f 1 nths from ? 0 9 9 6 3 6 L z i, d l, A&.f&.wA x /'%E'ela 3 Neqve«t DaN ?,,, Fire No. FouBh-?n InspecUOn H equrced> Ready Now ? WIII Nob1Y l?sper.- ? ? ?Yes No lor When Readv ?ri Lme.setl Electncal ConVactor I hereby request insoection of above j'J Owner electncel work installeE et Street Address, Box or Route G[ ection o. Tpwnship Nomo or No. ange No. Co Occ Oan[ IPRINTI Phone No. 6 7Z ?'? ? .?? Power SuDplier Address Q7 Elec ical ConVar.tor (Compa amel Con ra r,tor's Lic ense No. a l Ma in0 <.tldr ss lCOntmctor or Owner Makine lnstailabon) " /7 A tho z Sienawm 1 o a ?er Makinp Ins[alla n Phone Number 6 3 MINNESOTA STATE BOAND OF ELECTNICITY TNIS INSPECTION NEQVEST WILL NOT Griggs-M.dwey Blde. - Noom N-197 BE ACCEPTED BY THE STqTE BOAHD 1821 Unnversity Ave.. S[. Paul, MN 55104 UNLESS PflOPEN INSPECTION FEE IS Phone (672) 297-2111 ENCLOSEO. (l .-Z" / REQUEST FOR ELECTRICAL INSPECTION es-oaooi-oa L / , See inspvctrons lor completing this form on back of Yallow copy. p qq6 36 " X" Below Work Covered by 7his Request V OVdd Rep. Type at BwlEing Apoliancee WireE Equipment Wired Home Range Temporary Service Duplex Water Heater Lighhn,y Fiztures Apt. Buildmq Dryer Electnc Heahn Commercial 81dg. Furrujce Silo Unloader Industrial 81dg. Air Condrtioner 8ulk Milk Tank Farm otner oea y ther Isner.,iy) t er ueuty Offie. Other Compute lnspection Fee Below Fee SarviceEnhance5ize k• ?Fee Faeders/5ubfaednrs N Fen Circwts U to 200 Am s 0 to 30 Am u 0 to 30 Am s Above 200 qmps 31 to 100 qmps 31 to 100 Am Swimming Pool Above 100-Am s Above 700_P,mps Trans*ormers rrlgation Boorcis Partial,'Other Fee Signs SpeciallnspecLOn 5 TOTA Nemarks JE 'r 'D / cr" -/ Roueh-in Date ?, the le al InsPector, hereby ertify that the abave Final ?? /1 nspection hes been r ?d made. Thla requeal voiC 18 montM from • CITY OF EAGAN ? 3830 Pilot Knoh Road, P.O. Box 21-199, Eagan, MN 55121 N- 11805 BUILDING PERMIT PHONE: 454-8100 ? / ?(? Receipt # Tobeusedtor SF DWG/GAR EstValue $89.000 na}p APRIL 16 J6 SiteAddress 1572 ASHBURY PLACE lot 21 Block 1 Sec/sub. BLACKH Parcel No. 1ST w Name LUNDGREN BROS CONSTRUCTION 3 address 935 R WAY2•ATA BLVD ° C,ry WAYZAT?,a,e 473-1231 i o Name SAME oa Address c Ciry Phone ,w Name DESIGN ETC ?? Address 5735 DUNKTRK aw City PT.VMn[TTWone 559-2637 Iherebyacknowledgethatlh vereadthi applicationandSatethatthe information is correct and i to com? witl all app'Ea le State of Minnesota Statutes and C' agan OI di es. 1 Signature of Permittee Erect L7 Occupancy Remodel ? Zoning Repair . ? Type of Const. V Addition ? No. Stories Move ? length 46 Demolish ? Depth_3T Int Impc ? Sq. Ft. Install ? Approvals Fees Assessment Water 8 Sew. Police Fire _ Eng. Planner Council eldg. Ott. 4 11 86 Var. n euilding Permit is issued to: LUNDGREN BR S CONSTR all work shall be done m accordance w? pcable State of I innes?i ?Stai Building Official A' Permit 5 S ur h r 44.5C ge c a Plan Review ?.- O ? SAC 575.OC Water Conn. 500.0( waterMeter 63.5( RoadUnit 290.0C Tr. PI. 156.0( Parks Copies Total $2. 229•00 on the axpress candition that and Gty of Eagan Ordinances. 2 73?? O^ ? r ?+ ?FI? ?/?? Thrs request wid IB monfhs Gom validvfion dok pnmeQin Ihi „?p / ?? 1l7 PLEASE PRINT OR TYPE ?o2I ?I Reqwst Dak Yes ? No Inspectian O'her Than Rough-InQ Ready Now Wdl Call m Ras gh.in specnon reqmred2 <ollthemspeaorwhdy) DokReody. e rea fYaomusi I, ? licensed con}rador owner here6y request inspedion of ihe above eledrical work ot Jo6 Addnss (Street, Boa, or Routa N. ) 15-12 A t? hb Cdy Ca a0 2p Gode SSlz2 . .S Seclion No Tawnihip Name or No. Ranga N. Fir<Na Ca?,`nry` V a-)r,0+Z 1 /1 O apo m ? 1n/f Z " 1? ^2 D i° 1 ? Phone N. C a3 r??O' lZ- ( -7 . ? w4 tt? IJ 1?1 L 1•a - .IY1L? l 1. O 7 1 J 0 Po.erSopPliar y, !? ? ' diC•?l '1`. ?G.L?- AEdress Elecfiml Conhnclor (COmpany Name) 7 7777 Mazler Lc Nm (Plont ? Mailing Addmu (CommMr or Pmer Perforrmng Inslalloeon) A onzed nmur (Cont »rrorP miy Inswllabon) L. -?h Phone No. b-9 300-7 1 EB-00001A-10 6195 STATEBOABO(aPY-SEEINSTNUCTIONSONBACKOFYELIOWCOPV Ilil I?I II I I?I II I II I II II I f f I I II REQUEST FOR ELECTRICAL INSPECTION 6 5,-4 , I I I MinnewjotaState Board of Electric'ity F{ 1821 . Paul, MN 55104 Univer s 0 2 7 3 3 Q 4 6* Phone (612)s642ity m. -128, St 902 7 9li Home Duplex Apt. Bldg. Orher: ' New Addn Commercial Indusirial Form Remod Re av Air Cond. Htg. Eqwp. Woter H}c Load Mgmf. Other: Dryer Ran e Elec Heat Tem .$ervice "k' abave the work covered 6y fhis request. Enter remarks m fhis space and on the 6ack of the whife copy only. Colculate Inspec}ion Fee - This Inspedion Requesi wJl nof be accepfed wiffiout fhe corted fee: Olher Fee # Service EMronce Size Fee # Circvih/Feeders Fee Mobde Hame Pork Stall 0 fo 200 Amps 0 to 100 Amps Sfreef Ltg./(mHic Sig. Above 200 Amps Above 100 Amps Transformer/Generaior INSPECTOR'S USE ONLY TOTAL ? Sign/Oufline Ltg. Xfmr. Alarm/Remote Control $Wimming POOl I hereb cem Iharl in: ecbd ?h I Ilano cd herein on MedaW s led Irriyohon Boam Roogh-In D.k S ecial Ins ection p p Investigatrve Fee Finol ? Dote "L THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS. f Ilro S-- 7985 SUILDING PERHIT APPLTCATION - CITY OF EAGAN Site Address: OFFICE USE ONLY NOTE: ALL CONTRACTDRS MUST BE LICENSED MfZTH THE CITY OF EAGAN INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY ? 1 SET OF ENERGY CALCULATIONS To Be Used For: 7aluation: Date: LOL: •-- ? / _?_ Parcel It Owne Address B1ock ? Sect/Sub WErect emodel epair Enlarge a29,r/j d Move City/Zip Code Grade ish Phone 9PPROVALS Occupancy Zoning Type of Const 11 of Stories Length Depth Sq Ft Contractor,8??%??_?. Assessments Permit Water/Sewer Surcharge Addre ss 935 ?. f?y 9 i Police Plan fteview Fire SAC City/Zip Code ???y,,,.?? -? - Engr Water Conn ? Planner Water Meter Phone Council oad Unit ?.,w,- f • Bldg Off ?Parks Arch./Engr. APC Treatment P1 Variance Address TOTAL City/Zip Code Phane 1l R -3 ? ?5r- yo,?.s-0 a?o O S75 ? Seo-? 63? ?yv v is6-0-T- C;? a?91 OIvS1 RUC11014 - - - - I[ JC. ,"5-1131 47 r iA BOULEV/iRD • VJAYZl;TP•. tJ?It?t?ES07ti 5?o ??y1 . (p^i2) 9'5 EAST ?dAYZH' EY,7EP.IOP. EWVELOPE F.VEP.P•G U CO!'1PUT?-101d ? ?°? • Q Lot?/ ? Site Address B7 ock ? R & trs ppaque Walls YIal7 Frami ng Areas : Ceiling Insulation Area Ceiling Framing Area Rim Joist N?asonry 'r3a11 ?ii ndows Double Hung Casements Daors Patio Goors Sidelites 1) Lower Level (Basement) Total exoosed wall area Opaque Wall Area lJood Frame Area Rim Joist Exposed block . . Window Area Sliding Glass Door Door Area ?._ Casement Double Hung R U .058 .117 .023 .027 _04 .1C .2E - .4c .18 _46 .47 J?J?x - (U) .058 = Z' .?c2 'Ox (U) -117 = ? ? ?1 rX (U) .04 = _?- ?x (U) -14 ?x (U) -46 _x (U) -26 ____ X (U) .46 rx . (U) -18 = =?- ? ? 9 ? Total Totai er.oosed vrall area ? (u) .oss = ? ppaque ti•;a11 area ?4x (U) .117 = f----- blood frame area (U) 04 = 3? ??x • Rim joist ? (U) .46 ° ?--3 ;:indow P.rea Casements , l , x (?) .2 - ? e }'ung I Doub ( U ) .46 Sliding 61ass Door la ?. S = 3LX (U) - Door area ' Z?3 X (u) .47 = ??- t2s Sid°1i To taI ? CCOI?JSiRUCiION ? ,? . VJAYZHTA, NiIIJNESOTA SS391 • (6i2) 4?3"?231 935 EAST WAYZATF, GOULEVf-.RD p) 75t or mzin floor 3) 2nd floar if 2 s`Lory f-2J To-ual exposed waia area oss = ?. S ?yaoX cU) - ppaque wall area (u) 117 = ? S l?- ?X . Wood frame area Cas2ments }?;;ndcw area x ? (U) j ? •46 = 26 - - ?? DoubTe Nung --x (U) .46 5liding alass door - - x (U) .18 -- Door area ? ?L Total 4) Total ceiling area ??--? - - ov _ ? ?X (u) . Wood frame area ? = ?? ??x (u) -023 - Opaque ceiling area _ r- x ( U ) . 55 = ?.---- Skylight ?-' Total . J p ?CCOJCI RUC110N ----- 935 EAST V:/.YZA7N BOULEVhP,D •!VF+YZL.TA. ?.411JNESOTA 55391 •(612) 473-1231 o?'7 x 14inn. U Factors 7otal er.pesed Wall area I1inn_ U Factors Total exposed ceiling areaRa r. .026 (A) To-Lal Ii.em 1 ? + Item 2 /D} Item 3 ? + Item 4 0?0.3s - ? / ?' y 9?' If iotal of Items 1- 4 is less tnan Iiem (A), building complies with SBC 6006 (C)s C? SURVEYOR'S CER 1IFICA.TE SIENNA CORPORATION •. :. ?- DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON M.ONUMENT SET SCALE; 1 INCIi = 30 FEE7 6 DENOTES IRON MONUMENT FOUrdU PROPOSEO GARAGE FLOOR = 83 ¢¢ FEET X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR = Szd-G FEET (000.0) DEPIDTES PROPOSED ELEVA710N PROPOSED TOP OF 4LOCK = 8 39•7 FEET L1E HEREOY CER7IFY TO SIENNA CORPORATION THAT TNIS IS A TRU[ AND CORRECT f2EPRE5ENTATION OF A SURVEY OF ThiE 60UNDA(2IES OF: Lot 21.Block I, aLACY.IiAWK GLEN 1S7 FlDDITION, according to the recorded plat tliereof, Dakota County, Minnesota. IT DOES NOT PURPORT TO SH01q IMPROVEt1EN75 OR ENCROACHMENTS, 1F ANY. AS SURV[YED DY ME OR UNDER MY OIRECT SUPERVI5IOP1 THISf3 Ty DAY OF Na V. , 1985. SIGh1ED: JAMES R. IIILL, INC. REVISED 4-01-86 TO SHOW PROPOSED HOUSE 8Y LUNDGREN BROS. (3Y: -.I{Af OLO C. PETERSON, LAP1D SURVEYOR MINNESOTA LICENSE NUM[3ER 12294 SHEE7 I OF 2 SHEETS PRO,IECT N0. 800K / PAGE JAMES R. HILL, INC. 85618(86473) 161/I8 planners / Engineers / Surveyors FILE N0, p200 HumboFdt lAvenu• South FOLDER Bbominpton, Mn. 55431 812-084-3029 ? SURVEYOR'S CERT1FtCA.TE ; SIENNA CORPORATION I . ? ? ' (^) nena.a (S ? ? ? ?1 I ? 10 M ? - N A` E9pE? ? ?? 5?o ho6 9? ? y 0IL5 ? ? ? ? + `O I OD V ??, ? ? ?y> '?? ?•.?-'? `°)33S \ i ? \\ ? F 'ha \ 0 \ 0 \ ? b° \ m?? ?s ? 0335 ^, ry ?25° 0 s 03 ?o _p= ?%? o J / ?n i{ OGpN 3 ? 1 C- \ Y? 1? 5 2 1 J a 6 'o ij 20 -q 1 1 siAEEr z or z st-iEErs PROJECT NO. U00lt / PAGE • 85618 (86473) 161 /18 FILE NO, FOLDER JAi1fIES R. HILL, INC. Planners / Cnglneers / Surveyors [3200 liurnboldt Avonuo 6outh E110pInlnUton, MrL 656431 012-O04-3029 CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION *RYPF': PAYMF'NP OF FF.E AT TINJE pF nPriscaMoN ooFS Wm CONSrITUTE APPROVAL OF PIItIirT. IIdSSPlDLTION OF SE.SdR APID/O2 {+lAM Tusrars.amrONS FTQZ DiOT BE SCFIID- ULID []NPII. PII2MIT HAS BFEN APPR(7VID. P ease Print ^ ^ 1) PROPERTY ADDRESS: 15-71 4(,hs,ry /Ce.CQ •- LEGAL DESCRIPTION: ,6c*e,C/a„/4 ••- Lot Block Subdivision or Tax Parce ID 1 IF EXISTING STRCCiLRE, DATE OF ORIGINAL BUILDING PERMIT ISSf.`ANCE: yIBG PRESEDTf 7ANING/PROPOSID L'SE: (Month/Year) - ? COtiMERCIAL/*RETAIL/OFF ICE R-1 SINGLE FAMILY 177 IAIDL'STRIAI, Q R-2 DL`PLEX (2WO Units) G INSTI2L'TIONAL/GOVEMWT ? R-3 ZOWNhiOUSE (Three + Units) ( L?nits) . ? R-4 ApARTMENT/COAIDOMINIUM ( Units) 2) ? L?..i 40"0++ .X? ef: NA[?E: ?? - - O P,DORESS: Gl 3 C- A. -i CITY, STATE. ZIP: PHONE: q7.3 3) • u i: ?• NAME: u/,t/?q?'hf ?rOl. For City Dse . Plimibers License: AnDxEss: 93s? E. G+/?,z„+? Rrt..O ??ea cITY, srATE, zIP:_ Cv±42-.,,+4,, t*,, r?sy? rrot recoraea PxorE: y73 -/ z 3 i MASTER LICIIVSE# 27y 3- M -- s=Jnitiat 4) 07o« • • i?NAME: l?wp?rssr ,B-r.o1- l ,!?" -,T??C _ ?o?s: y3-J- e. 1w0, z&& ;&"wa.4 CITSt, srATE, zIP: War z.,JS+ PHONE: 'f 73 I Z 3/ 5) t ? v ? a: • ?• : a • o? - ?, -- ? CONNEC.'TION TO CITY SEWII2 [!T?CONNf7LTI0N 2o CZTY WATER Q OTHER ' 6) ° •-?'- PI.F,ASE HOLD ApPROVID p,ERI?IIT FOR PICK-UP BY 0[? OF ABOVE -' -'- -- PLEASE MAIL APPROVID pERhffT ZU 1, 2, 3, 4, ABOVE ? ? ? - (Circle one) 7) r ?. GS:wrmv /_ /-? FOR CITY USE ONLY ' PERMIT # ISSIIED 1-142- Pd w/Bldg, Permit FEES: $ $ ?L7S? SEWER PERMIT (INCLUDE SCRCHARGE) $ $ fe- WATER PERMIT (INCLUDE SC'RCHARGE) . $ $ WATER METER/COPPERHORN/OL'TSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ ? S'cr70 ACCOUNT DEPOSIT - SEWER $ $ / ?.CTU ACCOONT DEPOSIT - WATER $ 0-0 $ WAC $ o S sac $ $ TRONK WATER ASSESSMENT $ $ TRLNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRC'NK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $- $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ $ TOTAL ?? V?? ? ? RECEIPT RECEIPT DOES UTILITY CONNECTION REQCIRE EXCA VATION IN PUBLIC RIGHT OF WAY? Q YES IF YES, THEN A" PERMIT FOR WORK WITHI[V PLBLIC Q NO ROADWAY" MUST BE DIVISION LIST ISSOED BY THE ENGINEERING . AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY; TITLE: DATE: CITY USE ONLY ?' L BL RECEIPT#: S? ? DATE: 7 ` SUBD. 1996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? singie family dwellings ? townhomes and condos when permits are required for each unit FIXTURES EACH NQL TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 ;c = Lavatory 3.00 x = Kitchen Sink 3.00 :c = Laundry Tray 3.00 :c = Hot Tub/Spa 3.00 ;c = Water Heater 3.00 :< _ Floor Drain 3.00 :< _ Gas Piping Outlet ` minimum - 1 3.00 ;< _ Rough Openings 1.50 ;c = Water Softener 5.00 x = Ptivate Disposal ' Dekota Cty. license 65.00 = (new and refurbished systems) U.G. Sprinkler " home under const. 3.00 = Alterations ' to eristing 20.00 = Water Tum Around 20.00 7-O °-° STATE SURCHARGE .50 TOTAL 20$O SITE ?S u OWNER NAME: ?? ? M?=Z - Lt"'? ?lleti- ?'Vl?:.?2.2 INSTALLER NAME: STREET ADDRESS: CITY: c- a0.arJ STATE: rn (1) ZIp; J'`? 5l2Z PHONE #: (/d2 ? ySb- °i 38-7 Li, ?- Z51Z`RATQFtEUF'F ?^, ? OFFICE USE ONLY r/ L o?I BL / RECEIPT #: 6 51 b SUBD. ?,?'SK?GA,/11aI.Q,ttY/G lJXP?w DATE. 9???//^(o 1996 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN \ 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete DATE: `1I'M • all crommercial/industrial buiidings. • multi-family buildings when separate permits are 9pt required each dwelling \ unit. CONTRACT REPAIR WORK TYPE: _ NEW\CONSTRUCTION _ ADD ON DESCRIPTION OF WORK: IS WATER METER REQUIRED? YES 4NO. IF SO, PL SE PROVIDE THE FOLLOWING: WATER FLOW: GP . ARE FLUSHOMET S TO BE INSTALLED? _ YES _ NO. FAILURE TO PROVIDE THIS INFOR ATION /UTURE UL7' IN A DELAY OF METER ISSUANCE. WILL YOU BE INSTALLING A METER FO A 4 U.G. S PRINKLER SYSTEM7 _ YES _ NO. IF SO, YOU MUST APPLY FOR A SEPA U.G. SPRINYCLER PERMIT. FEE: $25.00 minimum fee or 1% conhact $1,000 of permit fee due o all permits. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL SITE Z TENANT whichever is greater. State surcharge of $.50 per Pt- # eRESS: Z : ST E: ZIP: S?Z 2 Z PHONE #: c73 2 I SIGNATURF: APPLICANT OFFICE USE ONLY L`?f nJ S'?2 Z METER SIZE: 11 DATE: INSPECTOR: PERMIT CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMITTYPE: auzLozNG Permit Number. 028930 Date Issued: 0 g/ 2 7/ 9 6 SITE ADDRESS: 1572 ASHBURY PL LQ7: 21 BLOCK: 1 BLACKWAWK GLEN P.I.N.e 10-14350-210-01 DESCRIPTION: KITCWEN Bu"3lding?_Permit Type ¢uilding,,Woxk Type -Census C;Qde r J \ .f-`--- ?ti REMODEL SF (MSSC.) ALTERATION 434 ALT. RESIDENTIAL • ?'?"^ m?'^ .. REMARKS: SEPARATE PERMITS REQUIRED FOR ANY ELECTRICAL OR PLUMBIN6 WORK FEE SUMMARY: vALuarioN $4,000 Base Fee $87.25 Surcharge $2.00 Total Fee $89.25 CONTRACTOR: I hereby acknowledge that I have read this application end state that informaCion is, correot and°agree-to qamply wi.th,all applicahle State Statutes and City of Eegan Ordf nanbee.' the of Mn. L:& ?.?? rn?- APPLICANT/PERMITEE SIGNATURE 'IS^OED BVI SIGNATURE k- OWNER: - Applicant - MERZ JOHN 1572 ASHBURY PL EAfiAN MN (612)456-9387 I -t •.. ';'(TY IJf` i.:(§i;f11v CASH [F' :,: 3 7ia:liM.i.NAI. NQ e 9:1 [,'Y'G>; 'ii . ) l. ?1I%_r ?>-•/.; . ??liiy T'rP:i:'" ??.. :I.4,?Fi:..,, ?._?o 7D;: NAr,4..;. 1.?i??t1?, i:E.lr; `'iriC;i. 1572 ASii'{UF?Y F9,. 87.25 2:!.'.6 'tfitl! 1."i'c! 6dSi?I.P.•IA;Y F'L.. 2.00 2211 9007. I57c.'. (a`il-iEiI..A?V I-'!. 40.00 F?lu.,'.:? 2'li! i 1`? i'%.: .`- iHBI. ?R`y ! A : L. D...`i' Q ` ?:;n.?i?l :`??(?.? '?rrlY4:? / 1- q Y'I..1?-?u??R?? r??.. /? n .?.Vl! Ji'M 900i tHP2 A:.YEMUR1/ !'U POXI-) ;».,:;S 9001 iUry rasHt{uRY rL U.,:;O i'rri;a!. i;',n{1i-tjG1; i7n:rdm1;: M,,i 5 G R(.765i.li`i l.7II:J;: :•.'D:; N(-1PdC*' Y,:W \'%k r?YF ?nP,:%kyF'MW ?Y'h,'?'.k?r?k:W?k>(?YSkA?`X•'Mk.?%l,?;k?k?k?m?k'M>k ? 93° RemodellFieoair Reauirements ? 3 registered sRe aurveys ? 2 eopies of plana (indude beam 8 window sizes; poured fnd. design; ete.) ? 1 energy calculations ? 3 copies of tree preservation plan H lol pleHed afler 7/1193 uired. Yes N ? T eopies of plan ? 2 sHe surveya (exterior additions 8 decks) ? 7 energy ealeulalions tor heated add@ions ?' ? a ?' rea _ _ o DATE: cd Z Z Q CONSTRUCTION COST: ?,-D C>C> DESCRIPTION OF WORK: A?(TC-f4 je? DC-Z'" STREET ADDRESS: LOT C? f BLOCK 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 1 SUBD./P.I.D. #: CITY OF EAGAN ?' ? ftuO 3830 PILOT KNOB RD - 55122 ?7 ?d3 L PROPERTY OWNER Name: ?'O? ^? Phone #: IIBT ? fIR6i Street P L CONTRACTOR ARCHITECT! ENGINEER Zip: S? t 2 'L_ City: C-AaAT-]l State: M "1 Company: Street Address: City: State: Company: Name: Phone #: License #: 45?? -4387 Zip: Phone #:- Registration Street Address* City: Sewer & water licensed plumber: change are requested once permit is issued. State: Zip: Penalty applies when address change and lot 1 hereby acknowledge that I have read this appiication and state that the i Lation irrec nd agree to comply with all applicable State of Minnesota Scatutes and City of Eagan Ordinances. Signature of Applicant: ` ? OFFICE USE ONLY ? Cs CC ? ?? [ ? Certificates of Survey Received _ Yes No 5 E P 2? 9gg6 Tree Preservation Plan Received Yes No --------- OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation o 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish 0 02 SF Dweliing ? 07 4-plex ? 12 Muiti Repair/Rem. ? 17 Swim Pool ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory o 20 Public Facility o 04 SF Porch ? 09 12-plex o 14 Fireplace ? 21 Miscellaneous ,d 05 SF Misc. 0 10 = plex o 15 Deck WORK TYPE ? 31 New ,er 33 Alterations ? 36 Move ? 32 Addition ? 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actuai) Basement sq. ft. MCNVS System ? (Allowable) Main level sq. ft. City Water ? UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump length sq. ft. Census Code. -f 3 Depth Footprint sq. ft. SAC Code 01 Census Bidg I Census Unit v APPROVALS Planning Buiiding ?43 Engineering Variance Permit Fee Valuation: $ N ? oyo u? - Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Pertnit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: °k SAC SAC Units MECHANICAL (RESIDENTIAL) Permit Applicatioa City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Please complete for: Single Family Dwellings Townhomes and Condos when pemuts are required for each unit -S, 3 0 . S? Date /-0 0,3 Site Address Unit # Property Owner _g (D V1r-) Telephone # 4S( contractor -?• STQNDAR9 N€ATING & AIR CONDITIONING 00 . : E5T LHnc wj,.-c i 10 WEgT LAKE STREE Street Address MINNEAPOLIS, MN 55408-2998 MINNEAPpLIS, MN 5-rMP-299B 612-824-2656 81Q-AP4=PR5H State Zip Telephone # ( ) The Appllcant is _ Owner ,\ Conhactor _ Other Add-on, modification or alteraGon to existing dwelling unit $ 30.00 x f rn l t u ace rep acemen air exchanger ? airconditioner r ?- ? i l? I other n ?I D I_ ?I 0^' t) 3 7C0? State Surcharge $ .50 T t l $ o a I hereby apply for a Residential Mechanical Pemut anci be in conformance with the ordinances and codes of thi peMA, but only an appl?atio ermit, and work app4o¢ed plan in the cas o k whi h requires a revii that the information is CiTy of Eagan and s not to start with t a N and approval o plans ;omplete and accurate; that the work will ical Codes• derstand this is not a the wor 1 be in ccordance with the Printed Name - ' Applicant's I2 RESIDENTIAL BUILDING L(' ?? J Z Permit Application City Of Eagan f 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Cons[ruction Reaui2menfs RemodellReoair Reauiremenls Office Use Onlv 3 registered site surveys showing sq. R. of lot, sq fl of house; and all roofed areas 2 copies af plan Cert of Survey Recd _ Y_ N (20°k maximum lol coverage allowed) 1 set of Energy Calwlations for heated addNons Tree Pres Plan Recd Y N 2 copies o( plan slwwing 6eam & window sizes; poured found design, elc. 1 sNe survey for additions & decks Tree Pres Reqd Y_ N 7setotEnergyCalcula6ons Addrtron - indicateitonsdesepficsystem On-siteSeptlcSystem _ Y _N 3 copies o( Tree Preservation Plan if lot platted after 7M193 Rim Joist Deteil Options selection sheet (bldgs with 3 or less unlGs Date _I Z/ / 03 Construction Cost Z9 E> f Site Address 7 Z ZjsdL,,(/ / Po eCU Unit/Ste # Descriptioo of Work //?J`/?LL ?J?? J ?C? Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 2 Properry Owner ? )ON J 0 Telephone # ((d` 7I ) ?? ??? `?! Contractor 3 40 J Cit Address W. r y State Zip f52;337 Telephone # ( }i L) L?? ?d?v? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Calegory 1 Worksheet • New Energy Code Worksheet (q Submi55ion type) Submitted Submitled • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. n '1n d ?? ?I,l'J ? Licensed Plumber Telephone #( ) Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone # ( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; 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 w' h requires a review and approval of plans. ? ?,?1-, 0 A` Applicant's Printed Name Applicant's Sign ture OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 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 08-plex ? 18 Deck 0 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/DOOrs ? 34 Replacement *Demolition (Entire Bldg) - 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 Width REQUIRED INSPECTIONS _ Footings (new bldg) FinallC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addiaon) _ Plumbing _ Foundation HVAC _ Drain Tile Other Roof _ Ice & W ater _ Final _ Pool Ftgs Au/Gas Tests Final _ Framing _ _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Building Inspector &S(M D???r ?? 15 ?12004 RESIDENTIAL SUILDING PERNIIT APPLICATION JUL 0 6 2004 City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ' ' Remedel62eoair Reoui2ments 3 regis red site surveys showing sq. ft. of lol, sq. fk of house; and all roofed areas 2 copies of plan (20% mazimum bt coverage albwed) 7 set of Energy Cakulations for heated addiGons 2 copies ot plan showing beam 8 window sizes; poured found desi9n, etc. i site survey for additions 8 decks 9 set of Energy Cakrlations Additbn - indicate lf onsite sep5c system 3 coVo of Tree Preservation Plan'rf lot platted after 711193 Rim Joist Detafl Optlons selection sheet (bldgs witti 3 or less units " ? -1Jsa.?9n(° -k ° .k -. ?.. 71 Date ? I 2 Construction Cost 6 3 7- *0, aa LE SiteAddress 1 1 572 A??b.? T UniUSte # Bescriptlon of Work ifta./ Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner 71O?? M? r z_ Telephoue #(?S'? G 1NC OOFIN' & L Contractor VD ;EI,AR Address 5? UISp?K, - M? 5541 tdl City State [D #000luo ZiP / Telephone #((s/'Z) ,PZ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code CategOry . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet submission type) Su6mitted Submitted • Energy Envelope Calculatlons Submitted Have you previously constructed a building in Eagan with a similar plan8 ^ Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone #( Telephone #( I hereby apply for a Residential Building Permit and aclrnowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; 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 Applic s Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 27 Porch (3-sea.) ? 31 Ext. Alt- Multi ? 03 0 7 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck O 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N O 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement , ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Ooors ? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinallC.O. _ Foorings (deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Ice & Water Roof Final Pool _ Ftgs _ Air/Gas Tests Final _ _ _ Framing _ _ Siding _ Stucco _ Stone _ Brick _ F'ueplace _ R.I. _ Air Test _ Final _ Windows Insulation _ Retaining Wall Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Building Inspector � ! Use BLUE or BLACK Ink �__��-�_-_��_�� I FOr Off CB USe � I � i ' j Permit#: � I Cit� of�a��Il � — � t Permit Fee: � 1 I � 3830 Pilot Knob Road � E�gan MN 55122 � Date Received: � Phone:(651)675-5675 I � Fax:(651)675-5694 i S�= � 1 -----------------� 2014 RESIDENTIAL BUILDING PERMIT APPLICATiON Date: Site Address: Unit#: ... ..-._ _ __._ __ __ _ __ __ _ _-._ __.�� A�„�,w[l.1 : < d n C �� Name: v�n � 1`►Ma�a Jwov v l a�a� Phone: C��o�' g7�J" O7 L9 � Resident/ � � Ow17�1' ':: Address/City/Zip: I�j 7 a 5L.1rx,�� oc� � � APPlicant is: Owner �Contractor _ _,_._ _._ ___ ------—�.....,.,� , _ _- ___ ... Type of Work � oescr�Rtion of work: � — �s�r ' � Construction Cost P�� (�(3L7 Multi-Family Buitding_(Yes /No ) � Company:�c�oe.��1oQ�� avQ.�i;e�S Contact:��4��c�c.v 'a��3 5�co� � g � i Contractor � Address: C9aao1 �`.r� C:«t� ��v� ciry: lYl:��..�a�k4 state: lY1IJ zip: 553�13 Phone: '��3�5�o�lGO EmaiL � K License#:�L�J9 �J`�5 Lead Certificate#: ��T ^ ��p 7- t � If the project is exempt from lead certification, please explain why: (see Page 3 far additional information) _ �� COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUiLDING In the last 12 months,has the City of Eagan issued a peRnit 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: NOTE:Plans and supporting documents that you submit are consJdered to be public information. Portions of the information may be ctass�ed as nan public if you provide specific reasons that wou/d 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. I hereby acknowledge that this inforrrtation is complete and accurate;that the work will be in confortnanee 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 whieh requires a review and approval of plans. E�cterior 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 !�cz r y \ 1�e c�K-tr' x �_/— l ApplicanYs Printed Name ApplicanYs Signature Page 1 of 3 Use BLUE or BLACK Ink r---�--------------� I For Office Use I � � Permit#: �� Clty of �� i . . bSa� i Permit Fee. 3830 Pilot Knob Road � � Eagan MN 55122 � Date Received: � Phone: (651)675-5675 � � Fax: (651) 675-5694 I Staff: � I I 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: � 5 �� 1/��r �L S 5�7� Unit#: ; � � Name: �.:''�/��J ,S cv Da� �2 �.sg-r�7i Pnone:lvS/- 7`� 7-v�/a��' Res�dentl .� : � =; Ovirner y =. aadress i c�ty i z�p: 1 S7� �s��nY �� - , =; Applicant is: Owner �Contractor Descriptionofwork: /�.�,��G� ,�,jCrS�r--ti ��t i4-S� �DO2 Type of�Work�� ,,� � 4a�, 4 s m ; Construction Cost:� � Multi-Family Building: (Yes /No ZC, � �r" �� t � �� . Company:�� vl��/2 �L C Contact: ��6L,7�/ , ��," . r� ,=--COt1tt'aCt01` "� �.� Address:��'j��0 Ct�,f�f=�Dt,e>�yZ GT- City: �i4- S ��✓ ��e ��= State:�Zip:�� Phone: ��Sl�3��/��7 Email:_ � , Qp�v,0 �� -5/;y� License#: (_�,L, � ��?�p � Lead Certificate#: �t/OW� If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) /UQ—.�i4��7- -l��`�v/z l�� GOMPLETE 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: NOTE:Plans and supporting docume`nts tha.t you submit are considered to be-public informat�on,°;Portions of. the informatian may�be class�fied as non public�f<you pro�ide specific reasons that would permit the.City to �: ., , ,. , �_ �. , „ � ` `` : co'nclude,;that#he ,are`fratle 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. vwvw�popherstateonecall.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. 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 f F�a`i--'% X Ap IicanYs Printed Name App canYs Sig ature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA139835 Date Issued:11/10/2016 Permit Category:ePermit Site Address: 1572 Ashbury Pl Lot:21 Block: 1 Addition: Blackhawk Glen PID:10-14350-01-210 Use: Description: Sub Type:Reroof Work Type:Replace Description:Includes flashing kits for 3 Skylighst 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 - John Swoverland 1572 Ashbury Pl Eagan MN 55122 Polar Builders Inc 1103 West Burnsville Parkway Suite 110 Burnsville MN 55337 (763) 370-0074 Applicant/Permitee: Signature Issued By: Signature - , Use BLUE or BLACK Ink I For Office Use I I 4t1i63 4111` City of Eaall1 Perrriit#: i 4(0..),SL Y I Permit Fee: " 21 i I 3830 Pilot Knob Road t 70 1 1.3.- Date Received: ''. '. 11 1' 2 I' ? Eagan MN 55122 Alt= I Phone:(651)675-5675 I Fax:(651)675-5694 I Staff: I I 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: —1 1 1 1 Site Address: 91 r 1 D 4:3>tii Le......, Unit#:11_ Name: LI" ,Slifki , iv / Phone: Le I )_21 011el 11 r ,9 Resident/ Vc 1/?\ Pi4V2tkiek) c)1 Owner Address I City/Zip: Applicant is: Owner y Contractor Type of Work Description of work; r_i__c, kkitzkropyri rtkrt-tddLA So Construction Cost: il,a • Multi-Family Building:(Yes /No Company: 1)65-\-1n, kt3-TYL•C& Contact Of-Fi Lk..., Contractor Address: NO( P, 4— )(2-- City: . )e---I' c)(tef-- , f-r-- State: Zip:\:--y. )(514 Phone. l ,.,,, l.< 1 ° 1 — Emai-* ciktcie— (5 f%-i-17rtA; -vtLot( a ?..( Dat. 1_49 License#: ,,...,——.S.— (VAI'''' ( 'J1'9 c3 Lead Certificate#: If the project is exempt from lead certification, please explain why: Q9 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:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be 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.000herstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances that dcodworkesw of theCityionf 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; thewill be 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 Min -sota -tate -uildin. Co. st be completed within 180 days of permit issuance. kol-i 1 A ik illtk Name _ Applicant's Printed C... Ap Mrant's ignature eir yip, y Page 1 of 3 " s /S7P, T4s b.,cy P/tee DO NOT WRITE BELOW THIS LINE le3 SUB TYPES _ Foundation — Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) 24 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 N 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 Ler 55 2 0• - Occupancy 2/212.G.—( MCES System Plan Review Code Edition pj,' 2°IS' SAC Units (25%_100% %) Zoning PI) City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction VB Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings(Addition) )( Final/No C.O.Required Foundation Foundation Before Backfill )C HVAC_Gas Service Test Gas Line Air Test Roof:_Ice&Water _Final Pool:_Footings Air/Gas Tests _Final 'O Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath Brick EFIS "0 Insulation Windows 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: t.i4 " in i It JY1i- , Building Inspector RESIDENTIAL FEES Base Fee ( Z` X Z 3 ` Z7 6 ' S$. F-1'- Surcharge 4 a 8,8 0 59 . ;+t` Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 e Amy Griffin `vyvt3 From: Destiny Homes Support <support@destiny-homes.com> Sent: Wednesday, July 19, 2017 1:16 PM To: Building Inspections Subject: Permit Application : 1572 Ashbury Place Attachments: 20170719132503159.pdf Attached are plans and application for a Kitchen and Mudroom Reno Questions about plans pls call Butch : 612-801-7244 PIs contact me in regards to questions on application or payment, Thank you, Tesia Shoberg Assistant 3 HOMES 2015 BATC REMODELER OF THE YEAR www.destiny-homes.com Work Cell : 612-554-5476 1 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA144393 Date Issued:07/25/2017 Permit Category:ePermit Site Address: 1572 Ashbury Pl Lot:21 Block: 1 Addition: Blackhawk Glen PID:10-14350-01-210 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 - John Swoverland 1572 Ashbury Pl Eagan MN 55122 Riverside Mechanical Inc 12460 Zinran Avenue Savage MN 55378 (952) 894-7600 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA151210 Date Issued:08/14/2018 Permit Category:ePermit Site Address: 1572 Ashbury Pl Lot:21 Block: 1 Addition: Blackhawk Glen PID:10-14350-01-210 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - John Swoverland 1572 Ashbury Pl Eagan MN 55122 (651) 797-2128 Standard Heating & Air Conditioning 130 Plymouth Ave. N Minneapolis MN 55411 (612) 824-2656 Applicant/Permitee: Signature Issued By: Signature