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3573 Ashbury Rd e s CASH RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE _J' / 18 RECEIVED FROM AMOUNT $ & DOLLARS 100 ❑ CASH CHECK wn 1 FUND OBJECT AMOUNT Thank You BY White-Payers Copy ` Yello - ostinp Copy Pink--FAe Copy BLDG. PERMIT NO. 01-3210 Bldg. Permit J 'l C 01-3422 Plan Check ` 01-3445 Surch./Adm. 01-3446 SAC/Adm. 47" Surcharge 75-3860 Road Unit J 20-2275 SAC 20-3865 Water Conn. ' 0 Do 20-3868 Water Trmt. CC 20-3716 Water Meter 20-2252 Acct. Dep. 20-3713 Water Permit CO 20-3743 Sewer Permit 79-3866 Sewer Conn. " r 28-3855 Park Ded. .J - TOTAL SEWER & WATER PERMIT OFFICE USE ONLY CITY OF EAGAN 3830 Pilot Knob Rd. PERMIT DATE ` WATER PERMIT # ` 9 SEWER PERMIT # P.O. BOX 21199 METER # L11 Q7, 3 '-3 B.P. RECEIPT # )t st? r Eagan, MN 55121 ER # 8 6 -'3 91 B.P. RECEIPT DATE 2 ' METER SIZE Rob ISSUE DATE x ` PRV -BOOSTER PUMP SITE ADDRESS PERMIT REQUESTED LOTBLOCK --':SEC/SUB ,!ti_ 'SEWER WATER -TAPS APPLICANT: ADDRESS: ~ Z- x ,x;~xx.kje( ;c 19 b0 CY AR L'FO NCOMM/IND -ZRESIDENTIAL CITY, STATE ZIP m S T PHONE: V ST PAUL, 55118 NEW - EXISTING n PLUMBER: ADDRESS: r~ I AGREE TO COMPLY WITH CITY OF CITY, STATE Zip S ' GAN OR)DINANCES: PHONE: `2 OWNER: " f t d l~r . ADDRESS: SIG UR H N METER ISSUED CITY, STATE / r ZIP PHONE: PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWE ERMITS, CONTA T ENGINEERING DEPT, INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: " tee Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: f i P40 PERMIT SUBTYPE: TYPE OF WORK: INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR. L I Permit No. - Permit Holder Date Telephone # ELECTRIC (~,~a(o U/~ pO PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS l / -lee FOUND J FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST , r t r , ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL SEWER & WATER PERMIT OFFICE USE ONLY CITY OF EAGAN PERMIT DATE 3830 P.O. Box Y x Knob Rd. WATER PERMIT # IO?] SEWER PERMIT # 21199 P.O. METER # B.P. RECEIPT # 90~ Eagan, MN N 551 55121 READER # B.P. RECEIPT DATE METER SIZE ISSUE DATE XX PRV - BOOSTER PUMP SITE ADDRESS PERMIT REQUESTED LOT BLOCK SEC/SUB ! " ) ti✓l~n J' SEWER -WATER -TAPS APPLICANT: ADDRESS: cx x 1964 ':'!A?l.T0 &MM/IND _ RESIDENTIAL CITY, s;wii ZIP ` PHONE: - D w ST r' "L 55118 _ NEW - EXISTING PLUMBER: ADDRESS: I AGREE TO COMPLY WITH CITY OF E . AN OR INAN ES: Q P CITY, STATE '11JZIP Q 72 ZZ' PHONE: OWNER: ADDRESS: 7i SIGNATURE WHEN METER ISSUED CITY, STATE ~ ZIP PHONE: PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. CITY OF EAGAN j r 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # dy To be used for S1= DWG/GAR Est. Value Date t` .BRUAR l , 19 Site Address 3573 ASHBURY ROAD Lot G Block 1 Sec/Sub. RLACKhAvWY L ` Z t: OFFICE USE ONLY Parcel No. Occupancy 3 ! ? -1 FEES Zoning -jL=:1 W Name ;51'~ iAl--L MCA J.ISTLR (Actual) Const V-N Bldg. Permit S 874•u6 Address 1960 CLARLTOK ST (Allowable) V-N Surcharge 83.50 ° pity 5T PAUL Phone 452-8070 # of Stories 437.00 Length 7 i Plan Review to Narse 1LLISTEk: CONSTRUCTION GO Depth SAC, City 1t;C-00 pO 'Address i ?-~,0 CHAKLWN ST S.F. Total 575.00 UM .City ST PAUL Phone 451-6070 S.F. Footprints SAC. MCWCC 580200 On Site Sewage Water Conn W W Name On Site Well Water Meter 90.00 'Address MWCC System X 3 0 . QO C)a CZ z Acct. Deposit <01 City Phone City Water 20.00 PRV Required _]L S/W Permit I hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge 2 information is correct and agree to comply with all applicable State of Z8. Minnesota Statutes and City of Eagan Ordinances. Treatment PI Signature of Permitee APPROVALS Road Unit 3 40 . C; V, A Building Permit is issued to: H JkLLISTU CONSTRUCTION Planner Park Ded. on the express condition that all work shall be done in accordance with all Council - applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies Building Official Variance TOTAL DATE: 219189 RE: 3573 ASHBURY RD., L29, B3, BI.ACKRAWK GLEN 2ND AFTER 2/15 - NO FURTHER PERMITS WILL BE ISSUED UNTIL LICENSE RBNEWED xx Your Sewer & Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (4545220) FOR YOUR PERMANENT WATER TURN ON. Your Sewer & Water Permit for the above property cannot be completed for the following reasons: Your Sewer & Water Permit for the above property has been completed, but the meter cannot ' be issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVEMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. DATE: 2/3/89 RE: 3573 ASHBURY RD., L29, B3, BLACKHAWKK GLEN 2ND xx Your Sewer & Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (4545220) FOR YOUR PERMANENT WATER TURN ON. Your Sewer & Water Permit for the above property cannot be completed for the following reasons: . Your Sewer & Water Permit for the above property has been completed, but the meter cannot • lbe issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. CITY OF EAGAN 11TY 16094 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 Receipt # G To be used for SF DWG/GAR Est. Value $167,000 Date FEBRUARY 1 , 19_89 Site Address 3573 ASHBURY ROAD OFFICE USE ONLY Lot 99 Block _3- Sec/Sub. BLACKHAWK GLEN 24D Parcel No. Occupancy R-3/M-1 FEES Zoning -t-1 W Name MICHAEL MCALLISTER (Actual) Comet V-N Bldg. Permit $ 874.00 e Address 1960 CHARLTON ST (Allowable) --31-N Surcharge 83.50 City W ST PAUL Phone 451-8070 # of Stories Length 77 Plan Review 437.00 o Name MCALLISTER CONSTRUCTION CO Depth --33 SAC, City 100.00 uQ Address1960 CHARLTON ST S.F.Total SAC. MCWCC 575.00 City W ST PAUL Phone 451-8070 S.F. Footprints On Site Sewage Water Conn 580.00 r rw Name On Site Well Water Meter 90.00 F3 Address MWCC System X ,a Acct. De sit 30-00 aW City Phone City Water X pO PRV Required -X- SrW Permit 90-DO I hereby acknowlege that I have read this application and state that the Booster Pump S[W Surcharge 1.00 information is correct and agree to comply with all applicable State of Minnesota Statutes and i/of Ea an Ordmanc Treatment PI 228.00 Signature of Permitee~'Af1t'~1Z..u16'Le; APPROVALS Road Unit 340.00 A Building Permit is issued to: MCATITSTRR CONSTRUCTTON Planner Park Ded. on the express condition that all work shall be done in accordance with all Council Copies applicable State of Min esota Statutes- nd City of Eagan Ordinances. Bldg. Off. Building Official d!' ~`C 1 ti[J Variance TOTAL $3,358_00 This request void 18 months from y / P" t•E 7931 n, Red/goes Date Fire No. Re~uPh-in Inspection /i Raq ea' ❑Ready Now ill Notify Inspec- l' 1I/ / 7 ❑ No for When Ready [jQLicensed EI ctn,tll Contractor 1 hereby request inspection of above ❑ Owner electrical work installed at: Street Address. Be. or Route No. City Section No. Township ame r No. Range No. Cover 044 Ocelrmmt (PRINT) Phone No. Power Supplier Address D~ k4 /-Z /tom 1 _rA, sV w , , 4 Y m, h 4 Electrical Cont acto/r )Compa/ny Name) Contractor's License o. ~<i7 6/ctAL sH. C- Mailing Address (Contractor or Owner Making Instailatimr) 73 4l aNA /~ve_ & j ~ ~r4v~ 1q Auth isd Signs fore IContractpr/Own Making Ins tallaUOn) Phone Number ys~-o ~37~ MINNESOTA STATE BOARD OF ELECTRICITY THIS ICNSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N•191 BE ACEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone(612)642-0800 ENCLOSED. y .V REQUEST FOR ELECTRICAL INSPECTION EB-00001-06 II, See instructions for completing this form on beck of yellow copy. Sao// LS 7931 "X" Below Work Covered by This Request Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Healing Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm they oecu v Other Is ne r.i hvl MUM rSpeoly trier Other ompute Inspection Fee Below . 11 If Fee Service Entrance Size H Fee Feaders/SUbfeeders a Fee Circuits 0 to 200 Amps 0 to 30 Amps Ito 30 Am S Above 200 Amps 31 to 100 Amps 31 to 100 Am s Swimming Pool Above 100Amps Above 1 00_A trips Transformers Irrigation Booms Partial.'Other Fee- Signs Special Inspection m0 $ TOTAL FE S Berrr~rks Bough-in Dn to ,/~j 11 1, the Electrical O 4'(7 Inspectoq hereby Final t 1e certify that the above Aq AL. J1 Sys inspection has been P/J'f made. Thb request void 18 mordba from OFFlCE USE ONLY This request void IB months from validation dale printed in this box. IIIIIIIII IIIIIIII/III VIII II IIII I III III ~s~ 0 4 7 6 4 0 6 4* PLEASE PRINT OR TYPE ~D Request Dale Rougbin inspection required? ❑ Yes ❑ Na Inspection Other Th.. Rougbin: ❑ Ready Now Will Coll (You must call the inspector when ready) Dote Revdy: I, [licensed contractor ❑ owner hereby request inspection of the above electrical work at: Job Address (Streot, Box, or oute No.) City Zip Code 3573 GAS 12oC &y/a.Z? Section No. Township Nome or No. Range No. Fire No. County Occupant „e / Phone No. A kw t; O~ OY V0 5-07 1 Power Supplier ss Elechi onhocror ny Name Cantmdor License No. Master Lic. No. IPIorl Elea. Only) - GG~i'iL C~9o Mailing Address )Contractor or Owner Pe ng Immlhfionl sN s do , %9.:Q 30J~7 Author SignaNre onnac « wn« Ped«ming Insmllation) Phajne'Ngo. ~J(/ E&0 -11 0/96 STATE BOARD COPY - SEE INSTRUCTIONS ON BACK OF YELLOW COPY _REQUEST FOR ELECTRICAL INSPECTION~76J, 476-406- /8Minnesota Universty Ave-, Rm. S-1 28, St. Paul, MN 55104 ty~ 7 Phone (612) 642-0800 Home Duplex Apt. Bldg. Other: New Addn Commercial Industrial Form Re ad Re it Air Cond. Htg. Equip. Water Htr. Load Mgmt Other. Dryer Range Elec. Heat Temp. Service _I _I W above the work covered by this request. Enter remarks in this space and on the back of the white copy only. Calculate Inspection Fee - This Inspection Request will not be accepted without the correct fee: Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps Street Ltg./Traffi< Sig. Above 200-Amps Above 100 Amps Transformer/Generator INSPECTOR'S USE ONLY TOTAL Sign/Outline Ltg. Xfmr. r Alarm/Remote Control Swimming Pool hereby cent *al ins red the a edrrcal ~sTallonoryde.Ad d here n on the dares staled Irrigation Boom Raeghan Dom Special Inspection - Investigative Fee Final Da THIS INSTALLATION MAY BE ORDERED DISCO CTED IF NhT COMPLETED WITHIN 8 MO THS. 1989 BUILDING PERMIT APPLICATION - CITY OF EAGAN R SINGLE FAMILY DWELLINGS ( ~ 1 q INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS f OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND I SET OF ENERGY CALCULATIONS To Be Used For: aluation: ~ 292 Date: Site Address OFFICE USE NLY 1(o, 000- Lot Block 3 Occupancy R-3 M-I FEES ! Zoning-1 Parcel/Sub Actual Const V- N Bldg. Permit ~4 00 n ~~y Allowable V-n Surcharge Q~3,50 Owner ~~~typ!/~ # of stories Plan Review 00 L Length SAC, City I pO,CO Address /&o Depth SAC, MWCC S~l~ , OD { S.F. Total Water Conn rB~,Ot~ City/Zip Code// Footprint S.F. Water Meter Acet. p Phone 41Y-/46 On site sewage- S/WPermitsit O-o0 On site well S/W Surcharge ,0 Contractor /li~~ Q may` MWCC System Treatment Pl. Z 28,17) City water Road Unit 3 O.CO Address PRV required ? Park Ded. Booster Pump Copies City/Zip Code d / APPROVALS Q Phone ;76 Planner 33 S~ / Council S f F Areh./Engr. ~ yiarle_~ i ~L Bldg. Off. t!±7-/( / Variance Address ffld Council City/Zip Code J~ . Phone u 70 NOTE: Sewer & Water Permit fees and account deposit fees will be included in the building permit fee. Processing time for sewer and water permits is two days once a licensed plumber has applied for a permit at City Hall. IA~u~ 1 GA IZAUr=' 24 x 12 = 288 zy u as = 608 Sx5= 40 'SSG x l~f = 1198y ~ASEM NT" 15 x 15- ; 225 29 x 2 r '7 83 W y 3Y = y L4 814 xi3= 19292 3C->OT7 = I y 8 V SAYS y 2 152 x y9= ~y r)94 3 ~~~~a~cH IZxILl= l68 Xyo = W7ZO . 7-ND FLO(p', 141 X3o= IZ3o ~ X;►y ~ Ciz~) I I 014Y49. 5yo9 6 16G 8~6 CITY OF EAGAN EXTERIOR ENVELOPE AVERAGE 'U' COMPUTATION OWNER SITE ADDRESS: ~j~ CONTRACTOR: s ~~L44Z DATE: PHONE: 7STY~~ Determine working square footage of each: 1. Total exposed wall area 3430 sq. ft. x .11 2. Total roof/ceiling area sq. ft, x .026 = 7~ ~J Total exposed wall area above floor = a. Total wall window area 30 3 (q b. Total door area C. Total sliding glass area 39, fo d. Total fireplace wall area e. Total wall framing area (average 10%) f. Total net wall area above floor 23 ~t~- ~{3 g. Total rim joist area a > 'S~ Total exposed foundation area = h. Total foundation window area i. Total net foundation area above grade Determine 'U' value of each wall segment: a. 30LI 3L x 'U' .~bo b. D, L4 x 'U' yt _ , d, x 'U' e. ~I 3 x 'U, . t o o = 3S -7 f. 1 "I ~3 x ' U' /D 7• aS g. ~l I,SIo X 'U' >0-5 • _ /o•S4^_ h. x 'U' - i. x 'U' 3 . Total If item #3 is the same as or less than item #1, you have met the intent of SBC 6006(c)2. Total exposed roof/ceiling area = J. Total skylight area _ k. Total roof/ceiling framing area (average 10%) 1. Total net insulated roof/ceiling area OVER Determine *us value for each roof/ceiling segment: j. x ' u' k. x fu' _O19 1. 1313 2- x fu+ m0 - aq as p 4 . Total If total of 04 is the same as or less than $2, you have met the intent of SBC 6006(01. Alternate Building Envelope Design To utilize the total envelope system method, the values established by the sum of Items #3 and #4 shall not be greater than the sum of Items #1 and #2. 1. ~11 i~0 + 2. - ~S 3. 03 + 4. 2 SINGLE & DOUBLE FAMILY HOMES 1984 ENERGY CODE REQUIREMENTS On or about March 1, 1984, the following energy code requirements should be calculated and included with a building permit application. 1. Roof - ceiling assemblies - R-38 U = 0.025 Average 2. Exterior walls & rim joists - R-20 U = 0.11 Average 3. Floors over unheated spaces - R-20 U = 0.05 Average 4. Exterior overhangs will be considered as exterior wall. 5. Foundations (all exterior walls) - Minimum of R-5 insulation. 6. All insulated areas must be separated from the heated space by a well-lapped or sealed vapor barrier with a minimum perm rating of 0.1. A 4 mil. polyethlene sheet or equivalent meets this requirement. A Kraft face R-19 type insulation will be accepted in the rim joist areas. Air chute baffles are to be placed in every rafter space. Cities Digital Quality Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. GUIDCLIIIE TO (R) FACTORS FPOU ISIIRA[ MMILIAL OF TYPICALLY USED PRODUCTS Interior Air Film (Va 1Is) (R) (R) E 0.68 Gypsum or plaster board 3/8" Exterior Air Film (Vents) 0.32 In to lar Air Film (Vented Ce ilinn) 0'17 Gypsum or Plaster board I/2^ 0.5$ Ex teflr Air film 0.61 Gypsum or Plaster board 5/8" 0.56 (Vented Ccilinq) 0.61 Plywood 3/8" Interioor Air film (Item Vcn t<d) 0.47 Exterior Air Film (UOU vented) 0.61 Plywood I/2" 0.62 0.17 Plywpod 1/4^ D.93 Sheathinq• reg. densit 1/2" Aluminam Sidina Y 1.32 0.61 Shtathinn. req. density 25/32•' 2.06 Aluminum with Backer 1.82 Nail-hale shea[hinq 1/2" 1.14 Aluminum with Backer L Failed 2.96 ' 1/2 x 8 Lap Sidinn (Wood) 0.81 Built-up Roofs 7/16 x 12 Ilardbaard Sidinq 0.33 0.67 Asbestos-cement shins lsz 0.21 Asbestos Sidings I/4 Lappea 0.21 Asphalt roll r00lin9 0.15 - " Stucco (011,.,n and Finish Coat) Aspahlt Shingles 0.44 3/4" flood Subfloor or Sheathing 0.94 Insulation: 2-2 3/4" Fiberalass 7.00 1/2" Plywood heathinq 0.62 Insulation: 3 1/2" Fiberglass IKOO 1/2" Particle 111,d 0.66 Insulation: 6" fiberglass 19.00 WOOS: BLOWIIIG WOOLS Fir, One L similar soft Woods 1 1/2" 1.89 Approx. 3"' 9.00 2 1/2" 3.12 Approx. 4 1/2" 13.00 3 1/2' 4.35 Approx. 6 1/4" 19.00 . 5 I/2" 6.87 Approx. 7 1/4" 24.00 - - Approx. 14" - 30.00- Approx. IV 40.00 All other insulation materials must be Filled verified (R Factor) (R) 8" Concrete Black IS Vermiculi tc L G Req.) 1-11 1.93 12•• Ccn ere to Block IS L G Reg.) 1.28 7.15 - 8" Light Vcight 2.18 5.03 12" Light height 2.48 5.82 ne9 ataf. f.3dei ~atOh1'?O fe{a NOTE: (U) x Area Square Fect All windows (w/S[o rms 1" [0 4" Space) .5L - - Ren0v31 Double Glazing (ROC) .55 Thermo or welded 3/16" air space .69 ' 1/4" air :pace .65 1/2" air space .58 _ (Other windows specifically tested. can use better ratings) 1 3/4 Solid core door .46 w/storm, wood .31 - - w/storm, metal .26 Pease StcelOOor Insi/1:/GL 7.4511 .13 - Sliding Glass Door, wood .65 - Agtal ,715 MINIMUM "U" VALUE AND R-FACTOR AT ROOF, WALL, RIM AND CONCRETE BLOCK Provide insulation baffles in every RQOF ' e =1LIN[, rafter space. ~ VAL V) 5 !Q 111TE1 iD(~ Pap- FIum e !a 5/8:' GYP ED, Sfo - , Q3 lhSULA 1101`1 ~s~ y L` O EXjE[~io(c A19 FILM - -GI tI ~ ~ I (STILL) { fS. 7($ tt~,l = (/tz ;f TOTAL (R)-S0 73 ! 'WALL (R) I/AL i 8 ® ily IC lob= AIR FILM a ~ 1 y © 112.11 GYP.' BD.' . L{ S . - ~ • 55~ ~ INSULAT{oN Siz,r !9, o • I io •~(r1~ONIjc S1DlN(z _ 8I to a eX;-, lot` Arl~ FMi ,cot Wl TOTAL (R) -OLI~S } t2 W Vr~Lv t f {3 ,z 111TEt'-lor. AM FILr[ Q~t. ,3 S l~i' INSUU,TIC1~ 3 ~S 1~ I~t 2 FIIZ '91MI joleT ~-6`I• . U 1s 15 uJ7z 5017-iT~ . © .1`TP-'IZ1nR Ale FILM at_` 11 U - TDTAL (R)= b~`I 0 °p fQJIADATIoi-t i3 10 10-1Z Altc FILI_1 (IQ VFlLU o° C n A „ P'x~cl, IG. 3L' I ,Z~ 5-0, 10 Q. E\-l E C,10 AIR FILM bl e = 8°.. null = 73` J 133 Floors over unheated spaces must have mininum R-factor of R-20 (tuck-under garages). Floors over outdoor air (overhangs) must Have a mininum R-factor of R-33. L BL CITY OF EAGAN CITY USE ONLY PLUMBING PERMIT SUBD. (612) 681-4675 RECEIPT #0_Q__)( _::?)41 DATE RESIDENTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION COMPLETE THE FOLLOWING: NO. FIXTURES EA. TOTAL NEW CONST REPAIR/ADD ON 15.00 ADD ON SHOWER 3.00 REPAIR WATER CLOSET 3.00 _ BATH TUB 3.00 LAVATORY 3.00 OWNER NAME: KITCHEN SINK 3.00 3.00 SITE ADDRESS : k Y OT LAUNDRY TRAY 3.00 _ WATER HEATER 3.00 FLOOR DRAIN 3.00 GAS-PIPING INSTALLER: Q GI e C_LG;L OUT. _ (MINIMUM - 1) 3.00 _ ROUGH OPENINGS 1.50 ADDRESS: OTHER _ WATER SOFTENER 5.00 CITY: ZIP: PRIVATE DISP. 15.00 PHONE W.GTURNAROUNDD 15.00 7 STATE SURCHARGE .50 SIGNATURE OE(~~ITTEE TOTAL: ~S Jv ~S ~rtie ~ lql~ ~o COMMELLCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL:/INDUSITRRIIAL BUILDINGS. ALSO FOR MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: - OWNER NAME: CONTRACT PRICE: SITE ADDRESS: 1% OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR TENANT NAME: EACH $1,000 OF PERMIT FEE. SUITE: $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 1% $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE: FOR: (SIGNATURE) CITY OF EAGAN CITY OF EAGAN CASHIER: S TERMINAL NO: Iii DATE: 06/02/97 TIME, 15.56:58 ID: NAME: YALI._EY FOOLS INC 3210 9001 3573 ASHBURY RD i74•.75 8155 9001 3573 A SHBURY RD 5.50 3210 9001 3573 ASHPURY RD 174.75 ?1.55 9001 3573 ASHBURY RD 5.50 N. l i Total Receipt Amount: 360.50 CR0746Q FUSER ID: NANCY CITY OF EAGAN PERMIT PERMIT TYPE: 3830 Pilot Knob Road B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 3 0 0 9 2 (612) 681-4675 Date Issued: 06/02/97 SITE ADDRESS: 3573 ASHBURY RD LOT: 29 BLOCK: 3 BLACKHAWK GLEN 2ND P.I.N.: 10-14351-290-03 DESCRIPTION: - INGROUND POOL B-611ding--perm.i.t Type SWIM POOL building 4J ( Type NEW Cons-us Dtsde~'_ 329 NONBLOG STRUCT. f` tqM1 5 _ ^Y l 2 r l~ Y'( x s f I REMARKS: SEPARATE PERMIT REQUIRED FOR ELECTRICAL WORK FEE SUMMARY: VALUATION $11,000 Base Fee $174.75 Surcharge 50 Total Fee $180.25 CONTRACTOR: - Applicant - OWNER: VALLEY POOLS INC 18941480 ORGAS MIKE cr51 CLIFF RD 3573 ASHBURY RD B"JRNSVILLE MN 55337 EAGAN MN (612) 894-1480 (612)405-0791. I' hereby acknowledge that I`hive'read 'this ~tppiicat%on and state that the information is correct and agree to comply with all applicable state Of'Mn. Statutes and City of Eagan Ordirani~es` ` Nw p3 . APPLICANT/PERMITEE SIGNATURE ISSUED V SIG T RE S O S 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) / / CITY OF EAGAN 3830 PILOT KNOB RD - 56122 ssl~s7s Now Construction Reouirements Remodel/Repair Reouirements # 3 registered site surveys # 2 copies of plan # 2 copies of plans (Include beam & window sizes; poured Md. design; etc.) # 2 site surveys (exterior additions & decks) # 1 energy calculations # 1 energy calculations for heated additions # 3 copies of tree preservation plan if lot platted after 7/1193 required: _Yes _ No 67400 DATE: CONSTRUCTION COST: DESCRIPTION OF WORK ~A M <S`tJ• it, i» n 5~ Q~'~ STREET ADDRESS: 573 2 LOT BLOCK SUBD./P.I.D. ~ a PROPERTY Name: ~QQ,9-6 Phone ~ - ° -2 9 OWNER Street Address: City: Stater Zip: Sf~o2 2. CONTRACTOR: Company: / '1~ Phone f44"-140 Street Address: /,-5-/ U,ll 4C 1- License City: - 44WS0, %/-e State: /r/ h Zip: ARCHITECT/ Company: Phone ENGINEER Name: Registration Street Address: City: State: Zip: Sewer & water licensed plumber (new construction only): Penalty applies when address change and lot change are requested once permit is issued. 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 Applicant: OFFICE USE ONLY =BY.- Certificates of Survey Received _Yes No MAY Tree Preservation Plan Received - Yes - No _ Not Required r- OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex o 11 Apt./Lodging ❑ 16 Basement Finish ❑ 02 SF Dwelling ❑ 07 4-plex ❑ 12 Multi Repair/Rem. >f, 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-plex n 13 Garage/Accessory ❑ 20 Public Facility ❑ 04 SF Porch ❑ 09 12-plex ❑ 14 Fireplace n 21 Miscellaneous ❑ 05 SF Misc. ❑ 10 = plex ❑ 15 Deck WORK TYPE 31 New ❑ 33 Alterations ❑ 36 Move ❑ 32 Addition ❑ 34 Repair ❑ 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS 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. ✓Z Depth Footprint sq. ft. SAC Code Census Bldg I Census Unit APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit SNV Permit S/w Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units Cities 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. *0321 ,N. LINE, SW 1/4 SEC. 16 T. 27, R.23 6 8324 pt :-CONC. CURB F tP~,~, I oe3 4 t,0 ,37 ~~r.}ase 69.29 e .PN89'3T29"W , 0s". 89,82 --85.00- Fo•` e 00 o o ""'''UTILITY ESM'T. o_ p. a to 4; 01 to ELEC. BC 4 q to ~ 3 ~f fE.64 _ _e - --~+653.0 Ir 14.67.. 4.00 t;•,1z.33. 'Bird a '00 p g f o 1 y~ ~~~^^^^IIII \N OTELE nl ~ ~ . .fi-,N A r of ~O 0 df •y Box p da~ .3 g'Sta. 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UILDIN SURVEY FOR: PAcALLISI-Llt CONSTI"%UCTION Me R ILLscl<ipTION: LEI 29, Bionk BLACKIIAWK GLEN 2ND ADDITION We hereby tcertify That 11m I5 a 'true and correct representation of a survey of the boun above de,(.ribed and of the k)cation of all buildings, if any, thereon, and all visible enc fl-OM Or On Shcd 130(1 1 Y r A r1' w'1 1~a\ 2005 RESIDENTIAL BUILDING PERMIT APPLICATION 00 City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX 4 651-675-5694 New Construction Requirements RemodellReoair Requirements office lke OnW 3 registered site surveys showing sq. ft. of lot, sq. ft. of house. and all roofed areas 2 copies of plan Ced df Surrey Rectl Y N, (20% maximum lot coverage allowed) 1 set of Energy Calculations for healed additions TraaPres Pian Recd 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks V66.0 . r . e y kegWred 99 N l set of Energy Calculations Addition - indicate if on-sde septic system Rn-site:$ephc System _Y _N 3 copies of Tree Preservation Plan if lot platted after 7!1!93 Rim Joist Detail Options selection sheet (buildings with 3 or less units) ~y ~r Date h /-3/~~ 1 Construction Cost ,r 3~S 1 its Site Address -JJ~-izs S~ 1D O ~f RAI Unit/Ste # 6 ~Cf } Description of Work kit on C - J e,qy"00-P (A& Multi-Family Bldg - Y K N Fireplace(s) - 0 V/1 - 2 Property Owner _)~r i ah + C, 41 &Y l t`il ct", Telephone # (&T ) 9 Tk -cl V a Contractor L a \P(--cc- J NCO t 1 kema l ` ~r5 - Lc , p6 Address MCI ~a l_a0« Lq & e City J') ti State 4N1 4 Zip S~j 1~ Telephone # (b$1 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category • _ Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? - Y - N If yes, date and address of master plan: Licensed Plumber Telephone Mechanical Contractor Telephone Sewer/Water Contractor 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 which requires a review and approval of plans. L k~Jr4_v1ce:. T- SCa~ Applicants Printed Name pplicants Signa OFFICE USE ONLY Sub Types ❑ 01 Foundation ❑ 07 05-plex O 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 ❑ 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 Building ❑ 42 Demolish Foundation ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish Building" ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement 'Demolition (Entire Bldg) -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) _ Final/C.O. Footings (deck) _ Final/No C.O. Footings (addition) _ Plumbing _ Foundation _ HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final Framing _ Siding _ Stucco _ Stone _ Brick Fireplace - R.I. _Air Test -Final _ Windows Insulation _ Retaining Wall Approved By: 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 2005 RESIDENTIAL BUILDING PERNDT APPLICATION VCS City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 'v Telephone 9 651-675-5675 FAX 9 651-675-5694\ 1t~ New Construction Reouirements RemodeiReoair Requirements Office Use Only 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cad of Survey Recd _Y _N (20% maximum lot coverage allowed) I set of Energy Calculations for heated additions Tree Pres Plan Recd _Y _N, 2 copies of plan showing beam & window saes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required , _Y _N I set of Energy Calculations Addition -indicate If on-site septic system On-site Septic System _Y _N 3 copies of Tree Preservation Plan I lot platted after 711193 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Date t6 - / a1 Construction Cost 00 Site Address 3S--73 Ashy CLo( ' Unit/Ste # +64nV. 5'S' 17-3 Description of Work Dzc_ k , a- X S~so.,~ Pa~LL . SLreehl~ Multi-Family Bldg - Y - N Fireplace(s) - 0 - 1 _ 2 Property Owner Telephone #(¢jtf) ~1att -9447 Contractor Z-T t~o sE`CC.,a Address 17cf) 0 (Z~s~ Mom ~,c City Q Lml State e1 M r" Zip SS 3@~ Telephone # 65-2_) 20 0 z l2 (d COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (Jsubmlesion type) Submitted Submitted . 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. Licensed Plumber Telephone ) Mechanical Contractor Telephone # ( ) Sewer/Water Contractor 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 which.requires a.review-and approval of plans. ( i~ V h 0 e-- J s ~JN Applicant's Printed Name Applicant's Signature Ey_ 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 Aft - Multi ❑ 03 01 of _ plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Aft - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck 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 Building ❑ 42 Demolish Foundation ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish Building" ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement 'Demolition (Entire Bldg) - Glve PCA handout to applicant i Valuation Occupancy MCES System Census Code Zoning City Water SAC Units ~~~TTT Stories Booster Pump # of Units Sq. Ft. PRV # of Bidgs Length Fire Sprinklered Type of Const J("_ Width REQUIRED INSPECTIONS Footings (new bldg) _ Final/C.O. Footings (deck) T' Final/No C.O. Footings (addition) _ Plumbing _ Foundation _ HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final Framing - Siding _ Stucco _ Stone _ Brick Fireplace _ R.I. -Air Test -Final - Windows Insulation _ Retaining Wall Approved By: Building Inspector Base Fee Surcharge - Plan Review ~l~GG 21 C-9 cs~ MC/ES SAC l City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies V Other Total Cities 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. r N. LINE, SW 1/4 SEC. 16 t. 27, R.23 1b. e 40b A C 1..1 Q' J My ~gyA +y2A 9 3S ;-CONC. CURB Fp s A\ I 269.p906,3e'9 e~~'0 NB9"3729 W... 0 ^CID 4) t,soos's9::., 82 --85.00 fD-' A: ke ;Vv o 5 .....................:..UTILITY ESM*T. O O _ O. - - pt__.I - o o Q 2', ELEC. 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CURB 3 6 ~~0 T~ I f t6 3` 19'06' o 3 oi~O SO2 'R=269.29 X3998 aXb. N89°37'29°W.... Bea ~fyON91 M ny W' I`, s,oo ss::., 2 --85.00-- fo1936. { , ey o UTILITY ES M'7. O fi p O _ v o - _ ~ 'L- - ~ \ ""ELEC. BOX °n \II f + ELEC. BC X_.._ 0 1 M ? ~ A', 5 m 1 Q O F \ a 3 A y. I =30 r 15.64 t, r `•`------~------r - #0'_53.00-- ' 4f f .24:00 C~~ Irr \ + p7•. I 14.67.5,, j6.00/ o/ 1233 ° n. op HOUSE p A a7ELE:- M 'h\ rbPO1T O *1b +0 % O I may. 0 ~ O ro 58.54 ...--$77.0 _ -.o,}----'- 53.00 O `~R7QCH - 1 h / 0'0 Deck 2 /o. 0'7 0- 1 7 0 02 N' } } y ° W D O, 1 - m 1 V sl M N O fV ° rJ n 2 Z 29 ~I Z c_ o CID\ m n~ z p a \ m e2~ o` r m x826 \ ~ V V m N n c~ e n ih,4car: ^ m l/•uv ~ tir 62 ~ o'c/ 'sr O 2\ + m 41 1 m ; \9,o b'\ p 0 ~f0. 16 ` O 0tim o ~ 1-- --139.53-- g } ?m S 89°37'29" E \'b k0` }g2 "-CATCH BASIN ( 807.361 NOTE: Bear gs shop^an are on ~J an assumed basis. SURVEY FOR: McALLISTER CONSTRUCTION Ne REQUIRED DESCRIPTION: Lot 29, B lock 3, BLACKHAWK GLEN 2ND ADDITION We hereby certify that this is a True and correct representation of a survey of the boundaries of the land above described and of the location of all buildings, if any, thereon, and all visible encroachments, if any, from or on said land. ~ F)AfEn Dated this 26th day of January, 1989.\\V// l~ s EG AN, F I E LD & NOW AK, INC. By r Surveyors Date I-~ '3G w.. EAGAN ENG~~IV FIELD a NOWAK INC. by: LAND SURVEYORS 1 11 Bruce W. Grivna 7415 WAYZATA BOULEVARD Minnesota License No. 17253 MINNEAPOLIS MN 55426 SEDGWICK HEATING & AIR CONDITIONING CO. TEST HEANG RECORD JOBNO.~ 8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 • (952) 881-7739 ADDRESS CITY OCCUPANT OWNER V SOLD BY INSTALLED BY 4Q0 9 MAKE ! MODEL / SERIAL NO. INPUT lQx 4200 THERMOSTAT VENT SIZE VALVE b` ` TYPE OF LINER LIMIT /''XPII`-7 LINER SIZE Q LIMIT SETTING' / yj - FILTERS: SIZES NUMBER / FAN SETTING WIRING PILOT TYPE TEST TAG IGNITION MODEL •~1a+~J LIGHTING INST. PILOT TIMING DATE TESTED PRESSURE PERCENT CO2 7 ~p INPUT CFH PERCENT 02 -,57 v COMPANY TESTING L- is y.~ STACK TEMP. 4~ PERCENT CO NAME OF TESTER / FORM 235 (REV. 6/08) FORM DISTRIBUTION: WHITE COPY - JOB FILE YELLOW COPY - CITY PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA082595 Eagan, MN 55122 . Date Issued: 04/15/2008 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 3573 Ashbury Rd Lot: 29 Block: 3 Addition: Blackhawk Glen 2nd PID 10-14351-290-03 Use Description: Sub Type: e-Fireplace Construction Type: Work Type: Gas Fireplace (new) Description: Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: Chimney/flue must be inspected prior to concealing. Smoke detectors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard-wired detectors are required. Battery operated types are acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector. Andrew Hoffman Fee Summary: BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 Valuation: 3,000.00 Total: $90.00 Contractor: -Applicant - Owner: Fireside Hearth & Home Brian Sullivan 20802 Kensington Blvd 3573 Ashbury Rd Lakeville MN 55044 Eagan MN 55122 (952) 985-6675 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. Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type: Mechanical 3830 Pilot Knob Rd Permit Number: EA091538 Eagan, MN 55122 . Date Issued: 10/09/2009 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 3573 Ashbury Rd Lot: 29 Block: 3 Addition: Blackhawk Glen 2nd PID 10-14351-290-03 Use Description: Sub Type: e - Furnace & Air Conditioner Work Type: New Description: Furnace & Air Conditioner Comments: Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, (952) 445-2840 Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088 Surcharge-Fixed $0.50 9001.2195 Total: $50.50 Contractor: -Applicant - Owner: Sedgwick Heating & Air Brian Sullivan 8910 Wentworth Ave S 3573 Ashbury Rd Minneapolis MN 55420 Eagan MN 55122 (952) 881-7739 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. Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA114986 Date Issued:09/20/2013 Permit Category:ePermit Site Address: 3573 Ashbury Rd Lot:29 Block: 3 Addition: Blackhawk Glen 2nd PID:10-14351-03-290 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes . Eric Lee 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 - Brian Sullivan 3573 Ashbury Rd Eagan MN 55122 Elite Restoration Pro 2202 Fremont Ave S Minneapolis MN 55405 (763) 443-4867 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink r � For Office Use Permit#:City of l � Permit Feer" P) 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651)675-5675 buildinginspectionsOcityofeagan.com Staff: 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 1I ` 7' 17 Site Address: S c� S 5 h h 0 i^/ iG/ , .&j an Unit#: cti Name: L /y S-U//6 i Phone: � / ��?o! Resident/ - ..� � U owner Address/City/Zip: 3 � � l�(� 'r n. qra Applicant is: Owner Contractor Type of Work Description of work: 'x(` r 00 C.'ice Roo` eiNA Or% Construction Costes Multi-Family Building: (Yes /No ) rr Company: j0.1/4.1.1rN Contact:-CIrt\-t-S Contractor Address: 1 ?6 \O c�M�YNttiw1"l. 1 i S City: -"c"\orN State: MN Zip: SSc)c)/ Phone:(( i7-)76S b rNni,.),, 1 enw)\ 'Cc) License#: Lead Certificate#: �r If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: roe NOTE:Plans and supporting documents;that you submit are considered to be public information. Portions of the information maybe classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. 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.cityofeagan.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.qopherstateonecall.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. x )M W 'M2S x Applicant's Printed Name Applicant's Signature Page 1 of 3 E AGA N Permit Permit Fee: Oci 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 cEivl Date Received: (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: M .r. A buildinginspectionst@cityofeagan.com : R 13 2020 ... ilk Ar •i 2020 RESIDENTIAL BUlt 6 ' *6' . . ' I — APPLICATION Date: 4/13/2020 Site Address: 3573 Ashbury Rd. Unit#: N/A . _ , - - 3 I Name: Brian & Cindy Sullivan Phone: 651-354-3124 Resident/ i OiAmer I Address i City/Zip: 3573 Ashbury Rd. „„...„ ; 1 Applicant is: Owner V Contractor er) .616ii 114; I Remodel, Wd. & Dr. Replacements, Int. Finishes, Relocate F.P. Type of Work Description of work: , ' $34,000.00 V Construction Cost Multi-Family Building: (Yes /No 1 , ! Company: Avid Builders Inc. Contact Lamont _ 1688 Cliff Rd. E. Burnsville Cit : Contractor . Address: y - 1 State: MN Zip: Phone: Email:55337 612-366-4110 Iamont©avidbuildersmn.com LE!cense42ms_ .3C637702 Lead Certificate If the project is exempt from lead certification, please explain why: Built after 1978 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 L classified as non-public if you provide specific reasons that would permit the 91t to conclude that they are trade secrets. 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.cityofeaqan.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.qopherstatecnecall.org I hereby acknowledge that this information is complete and accurate: that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit. and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. _._ xTerry Everson x Applicant's Printed Name Applicant's Si ture DO NOT WRITE BELOW THIS LINE S .7 As D-Lt - /‘,°' 7 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_Plex Lower Level Pool Accessory Building WORK TYPES New 2< Interior Improvement Siding Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior Alteration — Fire Repair _ Windows _ Demolish Foundation Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation '1, cam.oc-) Occupancy Ti2C^1._ MCES System Plan Review X Code Edition .2 CI�til56 (/ SAC Units (25%_ 100%, ) Zoning PD City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction V-13 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 HVAC_Service Test Gas Line Air Test_Hood Roof:_Ice &Water _Final Pool:_Footings _Air/Gas Tests _Final Framing 30 Minutes X 1 Hour Drain Tile x Fireplace: X Rough In ) Air Test xFinal Siding: _Stucco Lath _Stone Lath _Brick_ EFIS )G Insulation X 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: /��-' , Building Inspector RESIDENTIAL FEES Base Fee * Ivy�. lcc v el e-l a'V c+..>•. k9; J v 4 TSB aC`, Surcharge — WA/ - 1,3..z 3 N X Si'Zc Uv Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit& Surcharge Treatment Plant Radio Meter Read Copies TOTAL Page 2 of 3 Derek Qualle From: Lamont Steinwand <lamont@avidbuildersmn.com> Sent: Wednesday, May 27, 2020 12:03 PM To: Derek Qualle Cc: Terry Everson I_ n(� Subject: Permit Number EA160987 !t .U\.hh 3 5 73 Ac ►�J U.r• (21 J. � J 5 Hi Derek, EA /6/001 P1�,,.10 �c� �v.�. After starting this project the owners requested a change order which added the refinishing of the second floor bathroom. SCOPE OF WORK ADDED TO PROJECT INCLUDED: Remove tub and sheetrock around tub to make room for new cast iron Kohler tub and duro rock and ceramic tile surround to ceiling, re-texture ceiling, remove and replace vanity, millwork, mirror, flooring, plumbing fixtures, countertop and repaint all walls. Lamor t Remodel & New Construction Sales Representative Avid Builders, Inc. 612-366-4110 Cell lamont@avidbuildersmn.com "Quality is remembered long after price is forgotten." PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA161001 Date Issued:04/29/2020 Permit Category:ePermit Site Address: 3573 Ashbury Rd Lot:29 Block: 3 Addition: Blackhawk Glen 2nd PID:10-14351-03-290 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 Sullivan 3573 Ashbury Rd Eagan MN 55122 Aqueduct Plumbing Company 10418 235th Street W Lakeville MN 55044 (952) 432-3719 Applicant/Permitee: Signature Issued By: Signature