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1612 Ashbury Pl..?- 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 SF UWG/GAR Est. Value " t 12, OCiU Date 'tC?N 2 Site Address 1612 A9HnUR'.' P4.,kCE Lot ? Block 3 Sec/Sub.BL,ACICAANK uLbbi ZN1 Parcel No W Namg i?$p B80ZEIER.S COtiSTRilCTIO?i z Add•pss 935 9 VAYZATA B1.VD ? City - WAYZATA Phone 473-1231 ¢ .o Name SAMF ? ? Address ? City Phone Name _ Address City _ 1 hereby acknowledge that I have read this application and state that the intormation is correct and agree to comply with all applicable State oF Minnesota Statutes and City of Eagan Ordinances. .., Signature of Permittee A Building Permit is issued to: Uv?vwr.c a Dl'EVi6IEi::a on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. 8uildingO?icial OFFICE USE ONLY On Site Sewage Occupancy MWCC System ? Zoning ?-1 On Site Well (Actual) Const CityWater (Allowable) PRV Required # of Stories Booster Pump Length Depth S.F. Total Footprint S.F. APPROVALS FEES Engr./Assess. _ Permit r16•00 Planner Surcharge 36.00 Council _ Plan Review 307•00 Bidg. Off. _ SAG City ivV• 00 Variance - SAC,MWCC 550•00 WaterConn. 55o•oo WaterMeter 67.00 Road Unit 325.00 Treatment P1 204•00 Parks 773'00 2 TOTAL , CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ? PH ON E: 454-8100 BUILDING PERMIT To be used for r` 1i W Est. Value 014000 ? 7 'Ny?p I Receipt # Date !!1+j Y 2 Site Address 1612 ASiiEt;I?' :'Ll.C : 0Inn4 3 ce,.i--ati $1.d;CKYAWk Gt.F.N 291 Parcel No. ac Name LL'#TbGREAt SRilZHERS C'diAS'Cnt?Cr*-0?t z Address %35 E UAYiATA $Z,VT9 9 City 'JAYZA'i:F: Phone 47:3-1231 Phone Name City Phone 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. Signature of Permittee A Building Permit is issued to: L??,? PCBRUT'?LRS on the express condition that all workshall be done in accordancewith all applicable State ot Minnesota Statutes and City of Eagan Ordinances. Building Official-- OFFICE USE ONLY On Site Sewage Occupancy R"3 MWCCSystem X Zoning A^Z On Site Well (Actual) Const City Water ? (Aliowable) PRV Required ? # of 5tories 8ooster Pump Length Depth S.F. Total Footprint S_F. _ APPROVALS FEES Engr./Assess._ Permit ?1'?•?''?: SG.CN Planner Surcharge ?''1c` Council Pian Review Bidg. Off. SAC, City ? 00' U10 Variance SAC, MWCC 550.00 Water Conn. 550.00 Water Meter f'7• M" Road Unit 325.00 Treatment P1 !Ob•iiD Parks 2 ' TTY.-OO- TOTAL - Permit No. Permit Holder Date Telephone it PIJ'inbing H.V:A.C. Electric ? aSBI Softener Inspection Date Insp. Comments Footings I ? /,?? Footings II ' Foundation Framing ? j?? Roofing Rough Plbg. - .? 3?''' 97 Rough Htg. Isul. Fireplace Final Htg. Final Plbg. ? r ? - , - , ? Bldg. Final . ?? cerc occ. Temp. LP Deck Ftg. Deck Final Well Pr. Disp. -?r-° -? f ? I cinr 3830 PILOT KNOB I d Nal"Kt . . ? Addres9 ? ? c'ty (Mden il?attEy?M1t Name c Address p City • A 7` ,t ` Phone _4 TYPE OF WORK Forced Air M BTU Boiler M BTU Unit Heater M BTU Air Cond. M BTU Vent CFM Gas Piping Outlets # 'i Other FEE: S/C: TOTAL: ? d; _?. , Pti. rr.nmi 1 RECEIPT # n //'1 " 17` EAGAN ID, EAGAN, MN 55122 DATE: `? ??'/ 154-8100 BLDG. TYPE WORK DESCRIPTION Res. ? New Mult Add-on Comm. Repair Other FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 8.00 (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM -1 PER PEFiMIT) - 1.50 EA. COMM/IND FEE - 14'o OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDQS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON & REMODELS - 12.00 MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000) SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN " . ' PLUMBING PERMIT • CITY OF EAGAN 3830 PILOT KN08 ROAD, EACiAN, MN 55122 ;ONTRACT PRICE PHONE: 454-9106 # c 3 O I ? Name,L_ Address Ciry - IM/IND FEE - 1% BLDGS - COMM 'NHOUSE & COND MUM - RESIDENI tini iPLA - r.nKAKA iin $.50 S/C IF OF Phone L e :ONTRACT FEE : APPLIES RES. RATE APPLIES =EE - $12.00 :E - $20.00 ERMIT - .50 CITY OF EAGAN BLDG. TYPE WORK DESCRIPTION Res. New '-? Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL ?Water Closet - $3.00 $ ? TBath Tubs - $3.00 - ?Lavatory - $3.00 Shower - $3.00 Kitchen Sink - $3.00 Urinal/Bidet - $3.00 -L?Laundry Tray - $3.00 ? I Floor Drains - $1.50 7-Water Heater - $1.50 Whiripool - $3.00 1 Gas Piping Outlets - $1.50 ? • (MINIMUM - 1 PER PERMIT) Softener - $5.00 Well - $t0.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE STATE S/C: GRAND TOTAL: NT ? BUILDING PERMIT To be used for PORCH Site Address 1611 ASNaURY lot 7 Block 3 Sec/Sub. Parcel No. Address Phone Name s"° """`''^" Address Ciry L Phone 731-3240 that I have read and agrae to c Signature ot Permitee A Buifding Permit is is: on the express conditi of with all CITY OF 3830 Pilot Knob Raad, P.O. B PHONE: d Phone this application and state that . imply with all applicable State aAN ' 1-199, Eagan, MN 55121 ? 100 ' Receipt # a ?ate JUlIE 7 91 i OFFICE USE ONLY OcCUpancy _ FEES Zoning ? 99r00 ; (Actual) Const _ Bldg. Permit (Allowable) - 4`00 Surcharge # ol Stones Length Uy5 Plan Review DePm snc, cicy S.F. Total _ SAC, MCWCC ? S.F. Footprints - On Site Sewage _ Water Conn On Site Well - Water Meter MWCC System - _ City Water ACCt. Deposit PRV Required _ S/W Permit Booster Pump - g/yy Surcharge Treatment PI APPROVALS ppad Unit Planner - COUf1Gil Park Ded. _ BIdg.Otf. _ Copies • Variance - TOTAL Permk No. PermH Holder Date Telephone # WATER SEWER PLUM8ING H.VAC. ELECTRIC Inspeetion Date Insp. Comments Footings I Foundation Framing Roofing Rough Plbg. Rough Htg. ISUL Fireplace Final Htg. Orstat Test Final Plbg. Plbg. Inspector - Notify Plumber Const. Meter EngrJPlan Bldg. Final 8' / S!? l!J Dedc Ftg. Oeck Final weu Pr. Disp. I Site ? Name ? Addre c Ciry - ? . 3 ? PERMIT # X' v MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: P41AWF• A5d_A1f?f1 ? Name c Address p City Phone ? TYPE OF WORK Forced Air ????• M BTU Boiler M BTU Unit Heater M BTU ' Air Cond. : • ? M BTU Vent CFM Gas Piping Outlets # Other FEE S/C: WORK DESCRIPTION I BLDG. TYPE ' ? New Res. " Mutt Add-on - Com m. Repair Other FEES HVAC 0-100 M BTU RES -$24 00 . ADDITIONAL 50 M BTU . - 6.00 (F1ES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PEkMIn 50 EA - 1 COMM/IND FEE - 1% OF CONTRACT FEE APT BLDGS. - COMM. RATE APPLIES . . TOWNHOUSE 8 CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON & I V REMODELS - 12.00 MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT 50 S/C IF PERMIT PRICE GOES ADD $ - .50 . ( BEYOND $1,000) SIGNATUSE OF PERMLTTEFi I , ?. ? t- ? FOR: CITY ?/j ? lgf -/- 9, 0 ? RECEMEO FROM 19 - ' ' AMOUNT I $ ? ? CASH & DOLLARS i o0 CHECK k- CASH RECEIPT ? CITY OF EAGAN 3830 PILOT IFNOR PaAD EAGAN, MINNESOTA 55122 wnee-aayers cAcr Yelbw--Posiing Copy Pink-Fde Copy 111anK You ev - i?L : CITY OF EAGAN 3830 Ppot Knob Road P.O. Box 21199 Eagan, MN 55121 Permit No: _ 0u 64 Meter Na _ Reader No: Owner. . ` SiteAddress: '1,•ct. '..: ". _ , . ' r?_c?n II_ Conn. Chg: 5 -5 0• ?i ()p d Acct. Dep: 1 ?• Ol?rt?, Permit Fee: l? •'???^`' Surcharge: • '?F"-` Tr. Plant - Meter. - MISC.: ?._..._ Zoning: - No. of Units: Date: Size: Date: T'1 I agree to comply with the Clty ol Eagan Ordinances. WATER SERVICE PERMIT CITY OF EAGAN 3830 f)ilot Knob Road P.OoBox 21199 .6gan, MN 55121 Owner. Site Address: Permit Na ` Date: B/P No: , ? Date: R $ro&i .Q ,7 B3 1,31rtc`-.1 .F-.;;1- ClE.. 7? ; MWCC: Zoning• City Chg: -", o ?No. of Units: ? Acct. Dep: I agree to comply wiih ihe City of Eagan Permit Fee: Ordinances. Surcharge: MISC.: -, ?, ? ; •,'s"T rFr? BY SEWER SERVICE PERRAIT (Ctrtiftrafit uf (Orrupanry Citp of (Eagan Mp}ial"bnFt[t of lldibtilg JWPtfiDYT This Cer[ificate issued pursuant w the requiremenu of Section 306 of the Uniform Building Code certrfying that at the time of rsseeance this sttucture was in compliance with the various ordinances af the City regulating building constructian or use. For the folJowing.• Use ClatisificaGOO SF DXlCAR Bldg. PErmit No. 15817 o«up„-y r„a R3/MI zon;ug nisaic, Rl TYx cwm. VN Owner of Bw7ding uNDGM MUM OaWr. Addreu 935 E. WAYZ?IA BLVDf sWAYZATA Building Addreas 1612 ASH[JRX PI,AiE LxalityT'7? ?? NAMM9 Q'EN 2ND Date: JAHlAff 25, 1989 Baildin oiwafiel- POST IN A CONSPICUOUS PLACE ? ClTY OF EAGAN Permit Na 10064 pate; 1_ 1- '? 3830 Pilot Knob Road Meter No: 34 2? s5 giZe: g P.OY Box 2'1199 ;? ,?r No: Date: ZO- $? `] Eagan, MN 55121 ?N''?? Owner._ Tc,•: 'ros SiteAddress: j] 1'1eP i? Plumber. -.,lnrlf-rp„ 'Rrns pl t- 71? ??t - Conn.Chg: ACCt. Dep: Permit Fee: • 'on (I Surcharge: Zoning: _ No. of Units: R] I agree to compiy with the City of Eagan Tr. Plant Ordinances. Meter. Misc.: - gy ??l? WATER SERVICE PERMIT o?o??- p Fequesl Da?e Fre No RougMn Ins0ecl n ? I ? Reqmretl"+ ? Reatly Now `. ill Notity InspWor R tl Wh ' - Yes ? en ea y I licensetl contractor ] owner hereby request inspechon of above electncal work at Jots Aetlress ISiree1 Bor or Roma No 1 Pry j;, u p r¢ c n/ Sectwn No Tonnship Name or No Range No Gounty ?9Kafird- OccuOarv JPRINT) Phone No M;i -?- CA+fi G o p-rvr wri 4\9- d PowerSuppher N G' qdoress E1eC""' °°"„,"°` "°m°a"Y "eANDR ' Gonhactors Lsense No E S EUCTRiC Q ? .. ?? ? Maiiinq 4atlress IConvaclor or Owner BI?IL? Wbke Bw Ile -?? nvlbonzec S?ynaWre iCOnlraa nqauon Phone Number ] ?j (.f MINNESOTA STATE BOARD OF FLECTflICITY THIS INSPEGTION REQUEST WILL NOT Griggg-MlCway Bltlg. - Room S173 BE ACCEPTED 8Y THE STATE BOAqD 1821 pmverslly qve. 5[. Paul. MN 55106 UNLESS PROPER MSPECTION FEE IS PM1One(61Y) 6E2-0800 ENCLOSED 7 REQUEST FOR ELECTRICAL INSPECTION ee-aooowe ji, Bee ms;mcoons lor oompleting mis kxrn on baok ol yellow copy I4? u "X" Below Work Covered by This Aequest ?•?•« ew AcFd Rep- TypeofBUiltling AppliancesWved EquipmeniWired Home Range Temporary Service Duplex Water Heater Electnc Heating Apt Bwlding Dryer Other (Specify) I Comm./Industnal Furnace Farm Air Conditioner Other (specily) ConlracloB Remarks w i 2 po6t E1-t , Compute Inspectron Fee Below' ?# I Olher Fee # ServiwEntrance5ize Fee # Cirwits/Feetlers Fee I Swimming Poal 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps e 100 _ Amps SignS Inspector's Use Oniy TOTAL ?b IrrigationBooms Special Inspection Alarm/Communiwtion THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electncal Inspector, hereby RO09n-'" o81e cerhfy that the above inspechon has been made F,,,ai Da? y? O' OFFICE USE ONLY ' Tms request voitl t8 mon!M1S irom ? BUILDING PERMIT 7o be used for rORCH CITY OF EAGAN 3830 Pflot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 Receipt # Est. Value $8+000 Site Address 1611 ASHBURY PLACE Lot 7 Block 3 Sec/Su6. BLACKHAWK GLEN Parcel No. 2ND ADD. w IName MIKE 8. PATTI GORMAN z 3: Address SAMA 0 City Phone 687-0719 a o Name JOE GORMAN Address 2217 BONNIELA U¢ City ST PAUL phone 731-3240 Name _ Address Phone I hereby acknowlege that I have read this application and state Ihat ihe inlormation is correct and agree to comply with all applicable State of Minnesola Statutes and City of Eagan Or inan Signature of Permnee A Building Permit is is d to: JOE GORMAN on the express condrtion that all work shall be Cone in accordance with all applicable State of Minnes ia Statutes and Gty Eaaan Ortlmances. Bwlding Ottwial S N°_ .19201 JUNE 7 91 Occupancy Zoning (AcNaq Consl (plloweble) 8 0l stones Length Depth S.F. Totel S F. FootpnnLs On Site Sewaga on sne wen MWCC System Cdy Water PRV RBquirBd Baoster Pump APPROVALS Planner Cauncil BIdg.Olf Variance OFPICE USE ONLY t2?5 lfi- Bldg. Permit Surcharge Plan Review SAC, Cily SAC.MCWCC Water Conn Water Mater Acct. Deposil SNJ Permil S/VJ Surcharge Treatmenl PI Road Urnt Park Ded. Copies TOTAL FEES $ 99.00 4.00 -VTD3-.zn BLDG. PERMIT NO. _ ?-?+ -1 ?1oc,G - 013210 01-3422 01-3445 ?I 013446 ?V 01-2155 ? 75-3860 ?0-2275 n 20-3665 ? ? 20-3868 20-3716 V 20-2252 20-3713 ? 20-3743 79-3866 28-3855 Bldg. Permit Plan Check Surch./Adm. SAC/Adm. Surcharge Road Unit SAC Water Conn. Water Trmt. Water Meter Acct. Dep. Water Permit i--I :_?>•?`? ICO cC) CY--) Sewer Permit (v ?A z Sewer Conn. ? ?-?`-C ? Park Ded. TOTAL ? ? N ? ? I i CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55121 N? 15817 PHONE: 454-8100 l? -7 BUILDING PERMIT Receipt # c To be used for SF DWG/GAR Est. Value $112, 000 Date NOV 2 ,19$$- Srte Address 1612 ASHBURY PLACE OFFICE USE ONLY Lot 7 elock 3 Sac/Sub.B1,ACKHAWK GLEN 2N On Site Sewege - Occupancy R-3 M-1 MWCCSystem _X Zoning R-1 Parcel No. V N On Site Well _ (ACtual) Const - a Name LUNDGREN BROTHERS CONSTRUCTION Cirywater x (Allowable) V-N z W Address 935 E WAYZATA BLVD PRV Required ? u of Stories o City WAYZATA phone 473-1231 Booster Pump _ Length Sfi 1 Depth 191 p Name SAMF. S.F.To[al , ?a AddfeSS FootprinlS.F. : City Phone ppPROVALS FEES W W Name Engr./AsSess. Permit 614.00 00 $6 ? Z Planner Surcharge . i- Address 7 3 0? CouncJ PlanReview .00 0 aw a CitY Phone Bldg. Olf. SAC, City 100.00 I hereby acknowledge that I have read Ihis applicaUOn and sfate that lhe Vanance SAC, MWCC 550.00 mformation is correct and agree to comply with all apphcable Stale oi Water Conn. 55Q. Minnesota Statutes antl Ci y of Eagan Ordinance/. Water Metar 67.00 Srgnature of Permdtee qoad Unit 325-00- A euilding Permit is issued to: LUNDGREN BRO HERS Treatment P1 204.00 on the express condilion ihat all workshall 6e done m accordancewith all Parks applicable State of Minnesota Stalutes and City of Eagan Ordinances (? TAL 2 T ,773.00 . _?? , ,? i?r Budding Oflicial?L_k? O ? 72842 Requea? Date ? f/ Fre No. Rough-in Inspeclwn Reqwretl? AHeatly Now ? WAI NoYy InspeGa Wh R d ? ? d ? Yes o e n ea y I El licensed contractor ? owner hereby request inspection of above electrical work at: Jab AtlEresa (Streat, B. or Route No ) Qty ??ia .9s,?r.Sue? ? c•?£ ? Seclbn No Township Name Or N. Range No 1 2KO779 Occu ant (PPINn • /Gf1fl'£,L ? liC.liN? ? ?3 Phone N. .c1S1.C. Power uppher Atldress f O O T^ ElecVical CoMradw (COmparry Name) Corilracto ?cense No. Standard Electric Co. 40837 Matling AtlAreas (COnheclor or O.mer Makmg Installation) 2672 Ma le ood Dr., M lewood, Mn 55109 AuHwdzed Signa e( emoUQwner Meki msta ti Phone Number ' 484-8044 biINNE eOAfiO OF ELECTf11CITY THIS INSPECTION REQUEST WILL NOT Grigga-Midwey Bltlg. - qoom 5-173 BE ACCEPTED 9Y THE STATE 60ARD 7821 Univemiry Ave., SL Peul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone(812) 862-0800 ENCLOSED. ////Q/REQUEST FOR ELECTRICAL INSPECTION ee-ooam-m ? See msVUCTions for comDleNg ihis fOW back oi yelbw ropy. R. ?7 2 8 4 2 `X" Below Work Covered by This Request ~ ew AdE Rep. TypeaiBwlding AppliancesWirad EquipmeniWVed Homa Range Temporary Service Ouplex Water Heater Electric Heaung Apt. Building Dryer Other (Specity) Comm.llndusirial Furnace Farm ' Air Conditioner ORier (speafy) ConVaclor§ Remarks: Compute Inspection Fee Below: # Other Fee # ServiceEmranceSize Fee # CimwWFeeders Fee Swimming Pool 0 to 200 Amps O to i00 Amps TransfOrmere Above 200 _ Amps Above 700 _ Amps SignS Inspacmr§ Use Onry. TOTAL Irrigation Booms ? Special Inspection Alarm/Commumcation Other Fee I, the Electrical Inspector, here6y Rough-in certify that the above inspection has been made. Finai ? o OFFlCE USE ONLY This requesl wid 18 months hom .. i.?e . vi o e n ,?.f'2a?? 1. . ?, a , a?? Requesl Dele / n n? O<i oc / O d Fme No Rough-in Inspetti0n equ?retl? G Ready Now Wtll Notdy Inspecl0r h R tl ? s ? No en ea y 1Y,licensed contractor ? owner hereby request inspection oi above electrical work at: Job Adtlress (SYreef, Box or Route No.) /6ia2 ?savizy ?c,? Qry ?,4° yAAj Sedion No Township Name or No. Range No. County, s AKoT-a Occupant (PRIPfT) 1 ?IGI?{/¢'?+ ?°/Y{.?N 1.L1//VF?r2?-&"$ Phone No Powe+?/ u?pplier Xn ys q O z;0( ) - dcCf? ..ti t [C Eleclrical Canhactor (COmpeny Neme) Co dor5 Ucensa No Standard Electric Co. 40837 Maiing Atltlress (COntractp w Ownrer Makmg Installalron) 2672 pl ood Dr., P1a wood, Mn 55109 Authonzed S)gnaWr r or/Ovmer Makng Ins at?on Pirorre Numbar 484-8044 MINNE6TtS'TAT¢pAR6 OF ELECTNICITi' Griggs-Mldway BWg. - Fioom S173 782f Unhersiry Ave., St. Pnu4 MN 55104 Phone(812)64Y-0800 THIS INSPECTION REQUEST WILL NOT BE ACCEPTED BYTHE STATE BOARD UNLESS PROPER INSPECTION FEE IS ENCLOSED. REDUEST FOR ELECTRICAL INSPECTION E8-00,91-07? ? See instruc0ons for cortNleLng tnis Ja4pn beck of yellow cnpy. d? 9 - 7 2$ 81 "7C" Below Work Cove ed by This Request e Add Rep TypeofBUiltling AppliancesWrtetl EqwpmentWired Home Range Temporary Service Duplex Water Heater Electnc Heating Apt. Building Dryer Other (Specify) Comm.Jlndustrial Furnace Farm ' Air Conditioner Other (speaty) ConVacbrS flemark4 Compute Inspection Fee Below: # Other Fee # ServiceEniranceSize Fae # Circuits/Feeders Fe Swimming Pool 0 to 200 AmpS / 0 to 100 Amps Transformers Above 200 _ Amps / Above tES o Amps Slgns irispeclorle use Onry. TOTAL ?.?,?0 Irtigation Booms T/O O ff' t"' Special Inspection Alarm/Communicaiion t OiherFee 7p I, the Electrical Inspecror, hereby certirythattheaboveinspectionhas been made. Rou9n,n Fimi . oa?e oal OFFICE USE ONLV TTis request witl 1B monNS from APFLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION Ry oF eagan 1) PROPII2TSt ADDRE55: T•FY;AT• DESQ2IPTION: } .NCTE: PAYFIINf OF FEE AT TIME OP ; nerrscaTTON ooFS Nar cota- ; : STIN1'E APPR('iJAL OF PEFMIT. : • w ; iNsrncrxcea oa sEWat arm/oa wnaER :. ? icsrnccnrxocs waa. Nar sE scmULeo ; ? [1M'IL PFRPffT ERLS EEEN ApPRWm. : •fitlllkktlYt4i4/yi*/llftifltil#h'kY4ik*Y IF EXISTING STRL'CTURE, DATE OF ORIGINAL BUILDING P° IT ISSLANCE: Mont Year PRESENT ZONING/PROPOSID USE: Q CONAIE[2CIAL/REPAIL/OFFICE I R-1 SINGLE FAMILY Q INDL?STRIAL [--?]R-2 DUPLEX (Two C'nits) a INSTIZUTIONAL/GOVERNPENT ? R-3 TOWNHOL?SE (Three + Dnits) ( Units) Q R-4 APARTNEN'P/CONIDONIINIUM ( Units) 2) ? NAME: . GuNAle_,,? A,o, t ADDREss: 3 ? f cv ?r /?L y CITY, STATE, ZIP: PHONE: ?f73-1,?3 ? ,gFor City Lse 3) NAME: Pl re: ADDRESS: Active Expired CITY, STATE, 2IP: 2 f Mx Not recorded PHONE: _ MASTER LICENSE # Sta IniaT ?e'.?s?T3[?'a ? .i? ?• 4) NAME: ADDRESS: CITY, STATE, ZIP: PHONE: 5) STORM SEWER PERMIT - CONTACT ENGINEERING CU'CONNECTION TO CITY SEWER CONNECTION TO CITY WATER O TA?S 6) **+?*********.*+******+***,r**?*?******,?*****:r***:r*****?***?**?****?*+*?***************,r****?***,??**% * ZHE GOLD COPY OF RHE PERMIT WILL BE SIIJP DII2Fx`I'LY TO PLBLIC WOI2KS 7O FACILITATE MEPER PICX-OP. ? * PLEIISE ALiAW 1WD WORKING DAYS FOR PROCFSSING. SOPIDONE FROM TM CITY WILL CONTAGT YOU IF THERE * * P,F2E ANY PROBLENIS. ?**********,?******?**?******?*:?****+*****?***********r?*************+*******+**?***?**++***+******y FOR CITY USE ONLY PERMIT # ISSL'ED , Pd w/Bldq. Permit FEES: $ $ SEWER PERMIT (INCLODE SURCHARGE) $ $ WATER PERMIT (INCLUDE SC'RCHARGE) $ $ WATER METER/COPPERHORN/OL'TSIDE READER $ $ WATER TAP (INCLC'DE CORPORATION STOP) $ $ SEWER TAP $ IS `a--o $ ACCOUNT DEPOSIT - SEWER $ $ ACCOONT DEPOSIT - WATER $ $ WAC S?_`? D. tr ? $ sAC $ $ TRUNK WATER ASSESSMENT $ $ TRONK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ $ WATER TREATMENT PLANT SL'RCHARGE $ $ OTHER: $ ??-Z ZO U $ TOTAL R CEIPT RE CEIPT DOES UTILITY CONNEC TION REQOIRE EXCA VATION IN PUBLIC RIGHT OF WAY? ED YES IF YES, THEN A" PERMIT FOR WORK WITHIN PLBLIC ROADWAY" MLST BE ISSLED BY THE ENGINEERING Q NO DIVISION. LIST AS A CONDITION. S[iBJECT TO THE FOLL OWING CONDITIONS: APPROVED BY: TITLE: DATE: 1988 BIIILDING PERNIIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS 16 S Iri INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WfiICH ADDRESS IS DESIRED. NO CHANGES WILL HE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTZPLE DWELLZNGS RENTAL IINITS FOR SALE UNITS # OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITA BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COI+II+IERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS To Be Used For: SFD/ GA{L. ,,-jaluation: Date: Site Address ?Gi •? .?. Lot -z- Bloek ? 11210000? On site sewage OFFICE USE ONLY _ Occupaney ? ?j NP CC system ?! Zoning 2-? Parcel/Sub %? Z On site well Actual Const v- N City water /v Allowable Owner PRV required lF of stories Booster Pump Length ? AddressLUNDBREM 0808. COMiTQUCTIOM. INC. w., ? ........... ..r City/Zip CodINAYZATA, MN 56991 FH Phone 9PPROVALS Contractor AddressUMO88EN BR08. COM8TNUCT?M. NM. W City/Zip CocMAYZATA, MN 5M Phone Arch./Engr. Address LUNOBREN BR08. CONSTRUCTION. IMC. 935 E. WAYZATA BLYDe City/Zip CodeWAyZATA, Ai1N 5M Phone # PHONE 4731251 . Depth 32' S.F. Total Footprint S.F. Engr/Assess Planner Council Bldg. Off. I II Z Variance FEES Permit Iy,du Surcharge 15cn ,00 Plan Review ,aQ2,00 S9C, City 100,0C SAC, MWCC O? O0 Water Conn S SQ o 00 Water Meter 6 00 Road Unit 0? Treatment Pl Zt?y, Oo Parks Copies TOTAL ? ? VAL l.t AT I ON 6ARA6-C' ? ? •-? zz xz.z= ti8? X ly r]'?? Dy k 32 = /cs?g z / u y'?z = ? 4) 5?y X?2: dl?ze 2? X 3? i gg4 X ti9 = 433/?. 111qZo ?iq i d •; t4srxvr : .r . f2? NM AtAaYFP' s°' Co. `t+fl;ri J..'' .Ai . , s. .-,a ry:?ui•.'i:..-n?. , , N4 . ? . .. L a ' ?. ? ? , SURVEYOR'S CERTIFICATE \\\ \ EXISTING ASHBURY Q ? 5 p 831.6 o R_2g6.66 ? _ <<;2 6702 ??830.7 6?,,9 ?p_`3?3 a33 (gL`?.?) - eza,t a, O , 8 5I o z OD O 1267 ?` g21 .3''/ VT ? N m ? UI n? I W PRpP?p? !3/ NOUSE , HOUSE ? ? 829.8 ? 6300 ? ? J ? (11 O \ O I m x I 831.9 I I I ? I 1 O ? z ???---` / / N / GAR b i6. / 632.s LOT 7 DRAfNAGE 6 UTILITY EASfMEN'f PER PLAT? 5i ? o ?p?5.5 e.s 6,t .29 tc .a. ,2 N 12°42 r A i?Fi R?', A ? ?_in?nn i ,-,?: r, „-,VJr c??_ L__ n i' - (?1 _ J %?(/. /????. ? . ???r\a' tF?.?i:y?ai?jd.iS -? DEND7ES PROPOSED SURPACE DR{11MIIGE SCALE; 1 iNCll ? 30 FEET O m .[1ENOTFS DEfJOTES IRON F"ONll7?'EIIT SET IROPI hIONUMEPlT FOUtID PRpPOSEO GARAGE FLOOR - 0.33,9 FEET ` X000,0 DENOTES EXISTINCi ELEVA7ION PROPOSED LOWEST PROPOSEU TOP OF FLOOR QLOCK =e,26. i FEET = 8 34.3 FEET (000.0) DEf107ES PROP05ED ELEVA710N 1lE IIEREl3Y CER7IPY 70 SIENNA CORPORATION TIIAT TI115 IS A TRUE ANO CORRECT ItEPRESENTA7IUN OF A SURVEY DF THE 80UNDAIt1E5 OF: Lot 7 Block 3 E3LACKIIAWK GLEFI2ND ADDITfON, according to the recorded plat thereof, Uakota County, Mlnnesota. IT DOES PI07 PURPORT-70 SIf01d iMPROVEf1ENT5 OR EPICROACI114EfJT5, IF ANY, AS SURVEYEQ OY !•IC Ofi UNDEIl hil' b11lECT SUI'CRVISlDP1 71115 30Tf1 onr or- DECFM[3ER , 19P6. STGN[[l: JAF1f5?R. IIILL, C ? j (?o o?Io C?Q uaG?G? nv: ? G'f?mi?: r? ,G?'? •? iIAROLD C. PE7[RSDIJ, LANf) SIUtVEY01i PIIIJPILSOTA LICEPISE NUMUER 12294 pno,tEcr tio. aoo?c ? PACE JAMES R. f-fiLL, WC,. 85618 C88-75 7 i.; P[anners / Engir+eers / Surveyors FILE ND. 8200 Flum6oldt Jlvanue 6outii FOLDER ploominplon,Mn. 55431 612-004-3029 . ? ?k N SIENNA CORPORATIOP! REVISED 10-26-88 TO SFpW PROPOSED HWSE FOR WNDGREN BROS. CONST. z r EGP?P?E , 1 ` ` \ \ 5 \ ` COIqSI RUC1101q _? ? ? , ???lC ---- ----- --- - .`>jo?-i • (i.i2) I.7J?1"l.',1 - pCl `•'L.\' 7_r, i ? ,---01 i.VELOPc F.VEP.1-.GE U C0."iPUThT10iJ E. i ?,.. OR ?-?----- Lot? Dl ock ? - Sl i.o nGCire55?_y?/ • u R 8f .058 ppaque 4lalls , 117 Llall Framing Freas - ; .023 Ceiling Insulation Area - . .027 Ceilino.Framing Area - pq Flm JOlS-L ' lQ hiasonry Wall 26 I,i n6o??+s Doubl e Hung = .46 Doors Fa -i o Goors ?. S1421 l i.25 - 1 2ili Lower Level (Bzser To'tal exoosed wall area 0"auue )"1a11 Area 1!OOG ?1 ?:iP2 nred R;m jo;st Fxposed block 4lindow Area GlaS s Door Casen2ntis _18 n? .47 Casement Double Hung /az ?X --Y -X 162-x -I-Lx =x -x I Ota I (U) - ?-? .058 (U) = ?- .117 ?u? _-- (U) -1? - --? ? (?2 (U) .46 = J ? (U) -26 = ?- (U) •?6 ?---- ( --- ?".. 0 (CCOI,:S1RUCl10IJ ---- sorn (c,2) e?s •?zs?? :..; i is? er r,:in flo?r 2) io-Lal e>:posed ?+all area Cr,cue %;all area 1.j00d i l cm2 nt ed RliTi JO1S'u ? !;indow P.rea ? Sliding 61ass Door Door area S;deii'Les Casements Double Hung 3) 2nd fioor if 2 sLcry iozal 2x:)esed wal?i srea Opeeu2 v;all zrea 'n'ooG iram2 area IJindow area Slirine glass dcor i,oor crea 4) Total ceiling area ldood frame area G?zc?_?e ceiling area C': • j !: il C ? Casemenis Double Hung ?2X (u)' oDs ?•? ' (U) ?u) -177 .04 = 5 / ?X Zlx ?D x x (u? (U) (U) (U) 46 - 26 -46 -13 = ? 0 7 1-3 ; io-ual (U) -47 = ??-- =%^;?x ( U) .058 = .-, ??- ( u ) . 117 = 2 ? ?X ? ?U3 .46 26 = r = o?, ' % ?-? . ?J (U) .46 = _-?- _-x (U) .18 ? ?- Total -- ?? (?) .027 = _2 / . u) .023 = ,,.- - I O i.l , - . ? • ?-? ? ?? ? - Occoj,'SIWCIION ?? Ly ?. IIJC. --- - ---- ' :c12) c73, 123 1 E?ULFV/,PD •\JhYZG. r. ----- , i U osed ?:all arez I?inn. Fzctors Tetal er.p / y .020 cactors io?al 2r.posed c??licc area Fii nn. U (q) Total ? = ?=? ? °??/? ? ?..? --- ??/? + Iiem 2l °, V+ Item 3 Item 4 Item 1?-?'"`s -- , building If total of I -er:s 1- 4 i s 1 ess tnan I -Em ( ?•) complies s+itn SSC 6006 (C)s ? ? 1991 JLDC AIT APPLATION CITY OF EAGAN SINGLE FAMILY DWELLINGS M[TLTIPLE DWEIS.INGS ? ? COMSERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIDNS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCUTATIONS 1 SET OF ENERGY CALCS _# OF RENTAL UNITS _# OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY DF MONTH IN WHICH REQUEST IS MADE. IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRE5SE5 FOR CORNER LOTS - CONTRACTOR/HOMEDWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT NAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED YLUMBER. To Be Used For: Valuation: 'A-?c*rf7' Date: lk ql -? Site Address 1 ? g v? p? OFFICE USE ONLY Lot ? Block ? Parcel/Sub fsl?h*Uy' G??'7.A Ocmer 1 Ul? ?-J/POt4 4n, Address City/Zip Code ??4,,?. V S 5' ? a a Phone ? Contractor -, Address City/Zip Code T-4- Occupancy 2oning Actual Const Allowable # of stories Length Depth S.F. Total Footprint S.F. SZ- 3 1 h• On site sewage On site well MWCC System City water PRV Booster Pump ? 7J APPROVALS - Phone Planner ,Q/ Council Arch./Engr. y( pt?, Bldg. Off. 175 r a5,' Address F3? 3> Wa?tY?CJ Variance - City/Zip Code c? 5-5-1 2 Z. Phone # ] s- 2 - O '7 -) <J FEES Bldg. Permit 77•Oa Surcharge ,oo Plan Review SAC, City SAC, MWCC Water Conn. Water Meter Acct. Deposit S/w Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trail Ded. Copies SIIBTOTAL Penalty Lot Change TOTAL ???IVVL? agrees that all work shall be done in accordance with (Sig atur of Contractor} all applicable State of Minnesota Statutes and City of Eagan Ordinances. V ?w?,:- . , J? x ? 2??z Z av? ??d =??z? -- SURVEYOR'S CER i''IFiCATIE ASHBURY a ? 5 p 831.6 0 672g6•66 e 30.7 az7.9 30 2?' , \\? \ E%ISTING HOUSE ri-11 f - --? DENOTES PROPDSED SURFACE DR/IINAGE • SChLE; 1 INCII - 30 FEET O 0 ,PENOTES DENOTES fRON h!ONUI?ENT SET IIt01J h10NUMENT FOUND PROPOSED GARAGE FLOOR - &.33.9 FEET X000.0 DENO7E5 EXISTIN6 ELEVATION PROPOSEO LOWESI' ED TOP OF O FLOOR • DLOCK - Z26•1 3 834 FEET FEET (000.0) DEtI0TE5 PROPOSEp ELEVATION S PROP , {•lE IIEftEDY CERTIFY TO SIENNA CORPORATION TIIAT TIIIS IS A TRUE ANQ CORRECT HEPRESENTATION OF A SURVEY Of TIIE UOUNDA(t1E5 0F: Lot 7 Block 3 aLACKIIAWK GLEN 2ND AQpITION, according to the recorded plat thereof, Uakota County, hitnnesota. IT DOES NOT PURPORT 'TO SIIOIJ IMPROVE14ENT5 OR ENCROACIIMEWTS, IF ANY. A5 SURVEYED UY I-IE OIt UNDER h1Y b11iEC7 SUPERVISION 71115 30TH []AY OF DECEM4ER , 1986. SIGhIED: ,lAhiES R, fIILL, INC. QY: ? ?.?'l?f:?l? i.C?(•J'?."`? IIAROLf) C. PE7ER50N, LAtID SUftVEYOR hi1NPIE50TA L1CEFl5E NUI•tUER 12294 rno,tEcr 110. DO01C / PAGE ' JAMES R. t-(ILL, INC,. 85618 (89-757' 2?b /7C3 Planners / Engineers / Surveyors FILE FlO. 8200 }tumboldt Avenus Soulli FOL DEft Bloominpion, Mn. 55431 612-BU4-3029 W NB2B.8 0) W O :o . W a? i '\ t{:'t N;?' `P ? O o L ? ? ?.:.1 B31A^r .1 1?1 ? ? m Ir a I? i,.A.i,.'=j `.? ? ` LO 7 I ` 22 jN N \1 ? N N PHO??? / AR. '0 , fr 5 •o 832.6 C?;33.6 y? ?s B 31.9 'l ? DRAiNAGV uTi r? PER ? 0 l05'S0 ? 9.? 6„ w 42? 2 N ?20 ?L L?i_!-\..f\i U-\vJ(\ ?7_Lr__rl I?l IJ I /-\L/L11 i I?:..IV SIENNA CORPORATION REVISED 10-26-88 TO SHOW PROPOSED HIX1SE FUR WNDGREN BROS. CANST. z i ?, ? EGP?PGE ? j K,..e 8 37. 5 ` 1 l? ?. ? EASEMENT 1 . ? .? _i? ? 8 4.' RESIDENTIAL ? q, r>o BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 /7/ 73 651-681-4675 New Conetrucdon Reauiremente • 3 registered site surveys showing sq. ft. of lot sq. ft ol house; and all roofed areas (20°h mazhnum lot coverage allanved) • 2 copies ot plan showirig beam 8 vnndow saes; poure0 found design, etc.) • 1 sel of Energy Calculahons • 3 copies of Tree Preservation Plan if IM platted after 711193 . Rim Joist DeWd Opliora selection sheef (bldgs wiN 3 ar less unAS) DATE ? -d (? _ O ;?`' RamadeURemir RaauiremeMa . 2 copies of plan • 1 set ot Energy CalcWations for heated additlons • 1 site survey for ezleriw additiors & decks . Indicate d home served by septic system tor additions VAWATION g l'S3`Uo SITE ADDRESS MULTI-FAMILY BLDG _ Y TYPE OF WORK ?<-?-?' O?? ? ?e 5?.?4- FIREPLACE(S) _ 0_ 1_ 2 APPLICANT I-e5 STREET ADDRESS q`4I W • g 6? S? TELEPHO&V PSI -aa? ? CELL PHONE # USTATE -)M?IP 5 S4'4b qe'5:'1 - gg/_ 706 9 PROPERTYOWNERI a?r'r(. "+ )50"' ef"-e- CV-&-""" TELEPHONE# &5??- ?vY?--??1.3(0 COMPLETE FOR "NEW" RESIDENTIAL BUILDING Rl„ I? O?? r? Ir AUG 2 8 7007 Energy Code Category _ MINNESOTA RULL.S 7670 CATEGORY t Mi' ?INFSOTA RULk,S 7ff721 (^1 suhmission type) • Residential Ventilation Category t Worksheet Submitted New Energy Code Worksheet Submittad • Energy Envelope Calculatlons Submitted ?v _---- Plumbing Contractor: Phone # Plumbing system includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00 _ Water Heater _ No. of R.I. Baths _ No. of Baths Mechanical Contractor. Mechanical system includes: Sewer/Water Coniractor. _ Air Conclitioning HeaL Recovery System Phone # Phone # Fec: $70.00 I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and Ciry of Eagan Or n ces. Signa}ure of Appllcant (2) wz"? OFFICE USE ONLY Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY ? Ot Foundation ? 07 OSplex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-piex ? 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 Ect. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New 0 35 Int Improvement ? 38 Demolish (Interior) O 44 Siding ? 32 Addition ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Altaration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement roemolition (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 Bidgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Foorings(new bldg) FinaUC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addiHon) _ Plumbing _ Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Fmming _ Siding Smcco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ InsulaHon _ Retaining Wall Approved By Building 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 Total 2005 RESIDENTIAL BUILDING PERMIT APPLICATION ? . City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 41o . P-?> New ConsWCtion Reouirements RemodeVRenair Reauirements Offoe Use Onlv 3 registe2d site surveys shaving sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cert of Survey Recd _ Y_ N (20°b mazimum lof cove2ge allowed) 7 set of Energy CalculaUons for heated additlons Tree Pres Plan Recd _Y _ N, 2 copies of plan sMwmg beam & vrindow s¢es; poured (ound design, elc. 1 site survey for addihons 8 decks Tree Pres Required _ Y_ N lsetofEnergyCalculatans Addifion - indicateHarsdesepticsystem On-sdeSepticSyslem _Y _N 3 copies of Tree Preserva['ron Plan if lot platted after 711193 Rim Joist Detal Oplians selection sheet (6uildings with 3 or less unBs) ? / -/ l DJ D t Construc 'on Cost k Xt a e G Site Address Unit/Ste # Description of Work Multi-Family Bldg _ Y N Fireplace(s) _ 0 _ 1 _ 2 PropertyOwner f? `i"' / U&I Telephone#(/)(% /wv Contrac[or Address ' / State Y? ?/V Zip CitY Telephone # (???) ?'"0 d COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Code Category , Residenlial Ventilation Category 1 Worksheet • New Energy Code Worksheet submissiontype) Submitled Su6mitted • Energy Envelope Calculations Submitted In the last 12 monihs, has the City of Eagan issued a permit far a similar plan based on a master plan$ _ Y _ N If yes, dote and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( 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 an in the case of wor whi ¢c?t?e? I r appr val of plans. S 4 zoos Applicant's Printed Name Applicant's Signature ?O' OFFICE USE ONLY Sub Types ? Ot Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi O 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 ? 23 Porch (screen/gazebo) ? 36 Mufti Misc. ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 08 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 Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement •Demolkion (Entire Bidg) - Give PCA handout to applicant Valuation Occupancy MCES System Plan Review 100% or 25% 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) FinaUC.O. _ Footings(deck) FinaVNo C.O. _ Footings (addition) _ Plumbing _ Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final _ Framing _ Siding _ Smcco _ Stone _ Brick _ Fireplace _ 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 ? 4 ? ? ?04 RESIDENTIALBUILDING= City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWCtlon Reaui2ments 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas (20% maximum lot coverage allowed) 2 copies of plan showing heam 8 window sizes; poured found design, etc. 1 set of Energy Calcula6ons 3 copes of Tree Preservahon Plan tt iot platted after 111193 Rim Joist DeFail Options selection sheet (buildings wiN 3 0r less unils) Minnegasco mechanipl ventilation form $ Ad.pb RemodeUReoair Reauirements Office Use Onlv V 2 copies oi plan showing footings, beams, joists Cert of Survey RerA _Y _N 1 set of Energy Calculations for heated addilions Trce P25 Plan Recd _ Y_ N, 1 srte survey for atlditlons & decks 7ree Pres Required _Y _N Addfion - indicate Bon-s8e septic system On-site Sep6c Sysfsm _ Y_ N 51a3 -Cn?? 1? ?A Date ?a / A? / C;n>ce Construction Cost SiteAddress i UniUSte # DescriptionotWork lJt?-'A MAY Multi-Family Bldg _ Yx N Fireplace(s) _ 0 _ 1 _ 2 ProperTy Owner ? !J(' ? Telephone # ( ) Contractor I ? Address f? 1 ? C'tS ? State 04 Zip e?,` Telephone # oS';2) 08 ?? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cate¢orv I _ Minnesota Rules 7692 Ene?gy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Suhmitted • Energy Envelope Calculations Submitted In ihe last 12 months, has the City of Eagan issued a perrnit for a similar plan based on a masTer plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( Telephone # ( I hereby apply for a Residential Building Permit and acknowledge that the infoimation 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, 6ut only an application for a permit, and work is not to start without a permit; that the work wi11 be in accordance writh the approved plan in the case of work which requires a review and ap,proval of plans. 4 ? Applicant's Printe Name Ap icant's Signature DO NOT WRITE BELOW THIS LINE Sub Tvpes ? 01 Foundation ? 02 SF Dwelling ? 03 01 of_plex ? 04 D2-plex ? 05 03-plex ? 06 04-plex Work Tvpes ? 31 New 32 Addition rO 33 Alteration ? 34 Replacement ? 07 05-plex ? 13 16-plex ? 20 Pool ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 10 OS-plex OK 18 Deck ? 23 Porch(screen/gazebo) O 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 12 12-piex ? 25 PAiscellaneous ? 30 Accessory Bldg ? 31 EM. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors `Demolition (Entire Bldg) - Give PCA handout to applicant DCSCrIptiOn: Water Damage _ Yes Valuation Occupancy MCES System Plan Review 100% or 25% Census Code ? Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const ? Width Footings(new bidg) ,4C Footings (deck) _ Footings (addition) Foundation Drain Tile Roof Ice & Water Final _ Framing _ Fireplace _ R.I. Air Test Final Insulation REQUIRED INSPECTIONS _ Sheetrock FinallC.O. ? Pinal/No C.O. HVAC Other _ Pool Ftgs Air/Gas Tests Final _ Siding _ Stucco LaCh _ Stone Lath _Brick W indows _ Retaining Wall Approved By: 7L , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total YOR'S CER :fIFICATE ASHBURY PI.Ac"- ? 58 6 a3?.e W 67'28?,6' ?i830.7 ? azx.s p?13°30 24 83, n. . .? Ig z \\? \ EXISTING FIOUSE cr) i f' \ I ? DRA7NAGE 9 UT71 P£R PLAT,, sl ? ? 0 _'_`SIENNA CORPORATION REVISED 10-26- 8B TO SHOW PflOPaSED HWSE FOR WNDGREN BFmS. CONST. Z ? r 2 ? */? ' , / / W O `.n' 37 .5 01& 0? 17' \043'sx EASEM£NT 105'S0 e28.3 6H W ;` N 120 n ir c? 'E31_4?.,r?-?,-, ?-?? i ?'v? IL.?_?? ?.? ?= r I i t`?- -4- DENOTES PROPOSED SURFACE ORAINAGE SCALE: 1 INCII a 30 FEET ,O • pENO7ES DENOTES 1RON MONUMENT SET IItON h10NUMENT FOUtID PROPOSED GARAGE FLOOR - ?.33.9 FEET XOOO.O N PROPOSED TOPEOF BI.OCK = 834.3 FEET (000.0) OTES DE PROPOSEfI ELEVATION I-IE IIEIlEBY CERTIFY TO •SIENNA CORPORATION TIIAT 711I5 IS A TRUE AND CORRECT REPRESENTA7IUN OF A SURVEY OF TIIE DOl1NDA1lIES OF: Lot 7 Block 3 BLACKFIAWK GLEN 2ND ADDITION, according to the recorded plat tliereof, Dakota County, hllnnesota. IT (10E5 NOT PURPORT . TO SIIOW. 114PR0VE11ENT5 OR ENCROACIiFiElyTS, IF ANY. AS SURVEYEO OY b1E Of! UNpER hIY OIIiEC7 SUPERVI5101V THIS 30TH pAY OF DECEMBER , 1986. '^? OD V, V• ? N? ? esaa ? No P NO? / ! 7??J eai.91 ? . ? ? LO 7 ? CIP ? W :is 0 r SIGNED: JAI•tES1R.1IIILL, IPIC. W!"AN ' ?7Lo I Permit #: j Permit Fee: Date Received: I , ? StaH: ----------- ----- 2008 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: ?lw D Site Address: Tenant: Suite #: RESIDENT/OWNER Name: I ATrV a'w s Phone:IDSI 10'vp[I'I O, Address / City / Zip: ;?n.wM Q 0? A(} 10 ftP? OtPI 333 ?) OU CONTRACTOR Name: c 1 A S AYU'Ji?V1 License k: Address:a a ?`,? ?.C?. L"SIk1(I - ss3sg I/1 S ?GA a V)N Zi ' tate: p: City: . , Phone: tQ lia DW "1 109 Contact Person: TYPE OF WORK )? New _ Replacement _ Repair _ Rebuild _ Modi(y Space _ Work in R.O.W. Descri tion of work: PERMIT TYPE RESIDENTfAL Water Heater _ Water Softener Lawn irrigation _Add Plumbing Fixtures C- RPZ /?[ PVB) - Main _ Lower Level) /` Septic 5ystem _ Water Turnaround New A6andonment RESIDENTfAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System A6andonment, Water Turnaround" (includes $.50 State Surcharge) 'Water Turnaround (add $136.00 if a 5/8" meter is required) $100.50 Septic System New ($70.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES I hereby ack ledge that this information is complete and accurate; that the work will be in Eagan; t I nderstan is is not a permit, but only an application for a permit, and woi accor ce ith the oved plan in the case of work which requires a review and approva Printed Name with the ordinances and codes of the City of inyv'fFiout a permit; that the vrodc will be in / A.n ? PERMIT City of Eagan Permit Type:Building Permit Number:EA122041 Date Issued:04/23/2014 Permit Category:ePermit Site Address: 1612 Ashbury Pl Lot:7 Block: 3 Addition: Blackhawk Glen 2nd PID:10-14351-03-070 Use: Description: Sub Type:Reroof & Windows/Doors 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. Windows/Doors: If altering the opening size, a framing inspection is required. Valuation: 8,000.00 Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 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 - Lawrence Adams 1612 Ashbury Pl Eagan MN 55122 Les Jones Roofing Inc 941 W 80th St Bloomington MN 55420 (952) 881-2241 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA129821 Date Issued:03/16/2015 Permit Category:ePermit Site Address: 1612 Ashbury Pl Lot:7 Block: 3 Addition: Blackhawk Glen 2nd PID:10-14351-03-070 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater 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. Applicant: Jennie Wood 5720 International Pkwy New Hope, MN 55428 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 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 - Lawrence Adams 1612 Ashbury Pl Eagan MN 55122 (651) 686-0936 Benjamin Franklin Plumbing 5720 International Parkway New Hope MN 55428 (612) 604-4285 X61 Applicant/Permitee: Signature Issued By: Signature