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3637 Ashbury Rd Use BLUE or BLACK Ink For Office Use Permit j City of Eatan ;o Permit Fee. I 3830 Pilot Knob Road Eagan MN 55122 i Date Received: Phone: (651) 675-5675 I Staff: I Fax: (651) 675-5694 I 1~/ - _ I L-------- ci ~ J 2010 RESIDENTIAL BUILDING PERMIT APPLICATION ` Date: Site Address: yVY 7 AShb"!j t~1X A 4A) 7 57/Az Suite i lvle Tenant: D C~ RESIDENT/ OWNER Name: -7-om d1~D i n A1-1k) Phone: Address / City / Zip: 7 9 Applicant is: Owner Contractor "114 '111~~ TYPE OF WORK Descripfi o word. +yl 1 1-3 Construction Cost: al3aL?, Multi-Family Building: (Yes / No V ) CONTRACTOR Name: 'fir License a3 Y7 Address: 10-7 10 1,LMAz o AOL 5 e City: '13ioo State: .J! 1LL Zip: 16- -qgo Phone: 5 Contact: &"L OJiL& "mail: ~to>It~~ , G'~/n COMPLETE TS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City 4Eagan 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 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 the 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.gopherstateonecall.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 w is not to sta wit permi th the work will be in accordance with the approved plan in the case of work which requires a review a a al pl s. x x Applicant's Printed Name r p cant's Signature Page 1 of 2 1 DO NOT WRITE BELOW THIS LINE 7q-o-- SUB TYPES Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) _ 01 of Plex _ Lower Level _ Pool Miscellaneous Accessory Building WORK TYPES New _ Interior Improvement _ Siding _ Demolish Building* _ Addition _ Move Building _ Reroof _ Demolish Interior Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION , Valuation 4~' ~ Occupancy MCES System Plan Review Code Edition 42 V"Ify SAC Units (25%_ 100%) Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction v_ Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In -Air Test -Final Windows Insulation Retaining Wall: _ Footings _ Backfill _ Final Meter Size: Radon Control Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review s MCES SAC,, City SAC f,1 Utility Connection Charge S&W Permit & Surcharge / V 01 L Treatment Plant Copies TOTAL Page 2 of 2 Tertifiratt of Mrrupa ry citp of Qlagan arpm-lmmt of lamg ,fin, ertwu ` This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following., u. cwmfiation SF DW3?CAR stag. Pbmit No. 16616 0--w ancy Type R3 /M I Zoning District R 1 Type Com VN Owner d Budding MCALLISim 0ONS1. Addrm 1960 C HARL.TCN ST., W. ST.PAUL F Buil~og Addrew 3637 A.%MM, ROAD L19, B3, BL.ACI AWK GM 2ND I Locality Hale: AUGUST 25, 1989 Building POST IN A CONSPICUOUS PUCE SEWER & WATER PERMIT OFFICE USE ONLY CITY OF EAGAN . 3830 Pilot Knob Rd. METER # PERMIT DATE Eagan, MN 55122d. CHIP # WATER PERMIT # 1 0 5514 METER SIZE B.P. RECEIPT # 2440 ISSUE DATE B.P. RECEIPT DATE - PRV _ BOOSTER PUMP SITE ADDRESS . t PERMIT REQUESTED - ~ ~ LOT -BLOCK SEC/SUB APPLICANT: f.. ~.''~EWER WATER TAPS ADDRESS: COMMAND -4-/'RESIDENTIAL CITY, STATE ZIP V i PHONE: 4;i -:iz °1GEW - EXISTING PLUMBER: ADDRESS: `4-2 I AGREE TO COMPLY WITH CITY OF CITY, STATE Zip EAGAN ORDINANCES: PHONE: ` OWNER: T}44a SIGNATURE WHEN METER ISSUED CITY, STATE - T ; ZIP PHONE: PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. APPLICANT AND PLUMBER WILL BE NOTIFIED WHEN PERMIT IS PROCESSED. CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BU,LDING PERMIT Receipt # To be used for r'•` f Est. Value Date 19 A:i.9RLn: 'D Site Address 37 + i 01 L,. CIYNAt~i, ~L=~t~ OFFICE USE ONLY Lot Block SeciSu~r Parcel No. Occupancy FEES Zoning R-1 W Dame "'r'.;~i ;':•'r r : K+lr'~ I4a; l(+ s (Actual) Const Y-N Bldg. Permit Address (Allowable) ').00 V'60 Surcharge City % ~ i ;-.1. Phone ' 1--t3i?T~J # of Stories 3'i 7.OiD Length 591 Plan Review do: Name w.~ fl. Depth 1 SAC, City 100.0c- z- 00 Q Address S.F. Total SAC, MCWCC 5 Y 5.1}0 City Phone S.F. Footprints 500 On Site Sewage Water Conn W W Name On Site Well Water Meter 90.0 j Address MWCC System ' ".0. 00 a W City Phone City Water X Acct. Deposit PRV Required" S/W Permit I hereby acknowlege that I have read this application and state that the Booster Pump 1.00 S.NJ Surcharge information is correct and agree to comply with all applicable State of Minnesota Statutes and Gity of Eagan Ordinances: Treatment PI 22e.00 Signature of Permitee APPROVALS Road Unit A Building Permit is issued to: 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 "r' Permit No. Permit Holder Date Telephone # WATER SEWER PLUMBING 7 7 H.V.A.C. CIO ELECTRIC Inspection Date Insp. Comments Footings I Foundation Y / p C Framing 17 Roofing Rough Plbg. - 06G 4% ;14= (A 7 Rough Htg. r4 ;s e r s re Isul. DD~ / G ~ - Fireplace > Final Htg. Final Plbg. Const. Meter Plbg. Inspector - Notify Plumber Engr./Plan Bldg. Final rZ Deck Ftg. Deck Final Well Pr. Disp- DATE: JUNE 13, 1989 40"3437 ASHBURY RD., L19, B3, BLACKHAWK GLEN 2ND xx Your ewer & Water Permit for the above property has been completed. It will be held at the PubJf'c Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CgX PUBLIC WORKS (454.5220) FOR YOUR PERMANENT WATER TURN ON. r 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 t 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 DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. Cities Dig _ ital 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. PERMIT # MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 For Office Use Only: Site Address BLDG. TYPE WORK DESCRIPTION Lot Block Sec/Sub Res. New Name Mult Add-on -°1 Comm. Repair Address Other S City Phone FEES L Name RES. HVAC 0-100 M BTU -$24.00 ID Address ADDITIONAL 50 M BTU - 6.00 p City Phone (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA. TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS - 12.00 Air Cond. - M BTU MINIMUM COMMERCIAL FEE - 20.00 Vent CFM STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # BEYOND $1,000) Other $ FEE S/C: SIGNATURE OF PERMITTEE TOTAL- FOR: CITY OF EAGAN PLUMBING PERMIT For Office Use Only CITY OF EAGAN PERMIT # 16 2 CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT # 1 PRICE PHONE 454-8100 DATE: Sfte Add sS AS we BLDG. TYPE WORK DESCRIPTION r 1. Sec/$jl17 Res. New Lot / k Muft. Add-on Name 11 C C_ Iz- Comm. Repair O iO r L Other m Addr o e s _ c City ~ c) S Phone a4 RES. PLBG. ONLY - COMPLETE THE FOLLOWING: N FIXTURES 9TOp SAL Water Closet - $3.00 $ Name < < ` o~ Bath Tubs - $3.00 T Address Lavatory - $3.00 ' Shower - $3.00 City Phone Kitchen Sink - $3.00 Urinal/Bidet - $3.00 FEES Laundry Tray - $3.00 COMMAND. FEE - 1% OF CONTRACT FEE ~ Floor Drains - $1.50 ~ APT. BLDGS. -COMM. RATE APPLIES _T Water Heater - $1.50 TOWNHOUSE & CONDO - RES. RATE APLLES Whirlpool - $3.00 MINIMUM - RESIDENTIAL FEE $12.00 7- Gas Piping Outlets - $1.50 MINIMUM - COMM.IND./FEE $20.00 (MINIMUM -1 PER PERMIT) STATE SURCHARGE PER PERMIT .50 Softener - $5.00 (ADD $.50 SIC PER EACH $1,000 OF PERMIT FEE) Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 SIGNATURE O RMITTEE PERMIT FEE: 3 50 STATES SIC: Jr FOR: CITY OF EAGAN GRAND TOTAL: SEWER & WATER PERMIT OFFICE USE ONLY CITY OF EAGAN i 3 / 89 METER # ya 4' 7J ~ 4 9 PERMIT DATE 3830 Eagan, Pilot MN Knob b Rd Rd. . 97 CHIP # 9a 6 5~ O WATER PERMIT # 10514 METER SIZE 6;$ R_ 616 B.P. RECEIPT # 2440 ISSUE DATE 2- Z-!??-- B.P. RECEIPT DATE vX PRV -BOOSTER PUMP SITE /~DpRESS A h / PERMIT REQUESTED LOT BLOCK SECJSUB 1~. / SEWER -~Z WATER TAPS APPLICANT: ADDRESS: _ COMMAND -4,-' RESIDENTIAL CITY, STATE ZIP.? PHONE: r- n 7 LIE y~ NEW - EXISTING PLUMBER: ADDRESS; I AGREE TO COMPLY WITH CITY OF CITY, STAVE + ZIP EAGAN ORDINANCES: PHONE: - ` OWNER: ADDRESS: SIGNATURE WHEN SSUED CITY, STATE ~.?M h74? ZIP r PHONE: PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. APPLICANT AND PLUMBER WILL BE NOTIFIED WHEN PERMIT IS PROCESSED. r DATE: JUNE 13, 1989 RE: 3637 ASHBURY RD., L19, B3, BLACKHAWK GLEN 2ND _ Your Sewer & Water Permit for the above property has been completed. It will be held at the Pub Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. Your Sewer & Water Permit for the above property cannot be completed for the following reasons: t 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. CONT'T COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. This request void Ll 18 n,ont7 Request Oate Fire No. Rough-in Insperlipn Repu d? Ready Nowt Notify Inspec- ~ ❑Nu tur When Ready P<rcensed Electrical Contractor 1 hereby request inspection of above ❑ Owner electrical work installed at: Street Address, Be. or Route No. City 3L3'1 fear ~U 4 ectron NO. Township Name or No. Range O. County j J.~, Occupant (PRINT) Phone No. CeA f PJJo~~w,,er Supplier yy//'' Address C- I Fl.chical Con/orrr I )Comp/any Name) ,Coontractor's License No. .9 Mailing Address (Contractor or Owner Making Insstt~ailation) J' Author ed Signature (Contractor/Owner Making Installation) Ph,na Number MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone 113121 842-OROO ENC LOSED- ~/~q REQUEST FOR ELECTRICAL INSPECTION EB-00001-os See instructions for completing this form on beck of yellow Copy- "x* ' Below Work Covered by This Request 7941 5 A d Rep n.-Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heatm Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm other peel v Ihe~ 15 vecilvl t pecity leer Othc, ompute Inspection Fee Below M Fee Service Entrance Size h Fee Faeders/Subfeeders p Fee Circuits 0 to 200 Amps 0 to 30 Am s to 30 Amos Above 200 Amps] 1 31 to 100 Amps 31 to 100 Amps Swimming Pool Above 100-Amps Above 100_Am-s Transformers Irrigation Booms Partial, Dth Signs Special htspection $ Berrvn rks r L FE ~A Hough-in a~lnsp e Electrical ector, h ereby ify that the above Finalection has been e. This request void 18 months from RESIDENTIAL S BUILDING PERMIT APPLICATION ~I CITY OF EAGAN 1 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction RegWremenri Remode lReoair Requirements • 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and 011 roofed areas • 2 copies of plan (20% maximum lot coverage allowed) . 1 set of Energy Calculations for heated additions • 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 site survey for exterior additions & decks 1 set of Energy Calculations . Indicate if home served by septic system for additions • 3 copies of Tree Preservation Plan if lot platted after 711193 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) qq DATE ":2 VALUATION,, 4 2_ -?J~!) SITE ADDRESS Shb MULTI-FAMILY BL~ Y "W TYPE OF WORK rf! FIREPLACE(S) 2 APPLICANT Catastrophe Restoration Services c STREET ADDRESS 2489 Rice St Suite 70 CITY Roseville STATE_UMZIP 55113 TELEPHONE # 65~1-7~34-94331-CELL PHONE # FAX # 651-483-0219 PROPERTY OWNER \t7'~t~ ` L l ti~ TELEPHONE# luc;5 16 COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I _ MINNESOTA RULES 7672 (J submission type) . Residential ventilation Category 1 Worksheet Submitted New Energy Code Worksheet Submitted . Energy Envelope Calculations Submitted Plumbing Contractor: Phone # r- Plumbing system includes: Water Softener _ lawn Sprinkler,, Q1 ~ ,i e II Es 0 Water Heater _ No. of R, 1. Batlrs p No. of Baths Iau OCT 2 5 2002 Mechanical Contractor: Phon f#j_ Mechanical system includes: Air Conditioning 00 Heat Recovery System Sewer/Water Contractor: Phone # 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 City of Eagan Ordina es. Signature of Appli - ------.W - - OFFICE USE ONLY - Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessary 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 EM. Alt - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screened) D 36 Mull] ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg_Y or _ N ❑ 25 Miscellaneous ❑ 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 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 - 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 Fireplace _ R.I. - Air Test _ Final - Windows (new/replacement) Insulation - 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 CITY OF EAGAN ND 16616 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # if, C~ 4 0 To be used for SF DWG/GAR Est. Value $104,000 Date h t 9 Site Address 3637 ASHBURY RD Lot 19 Block 3 Sec/Sub.BLACKHAWK GLEN 2 OFFICE USE ONLY Parcel No. occupancy R-3 MM1 FEES Zoning RR=1 X Name MCALLISTER CONSTRUCTION CO (Actual) Const -V -N Bldg. Permit 654.00 3 Address 1960 CHARLTON ST (Allowable) VVN 52.00 City W ST PAUL Phone 451-8070 a of Stones Surcharge Length 591 Plan Review 327.00 Name SAME Depth 411 SAC, City 100.00 0,04 Address S.F.Total SAC. MCWCC 575.00 City Phone S.F. Footprints - On Site Sewage Water Conn 580.00 u~ u;w Name On Site Well Water Meter 90-00 ua Address MWCC System ~ aw City Phone City Water X7C Acct.Deposil 30.00 PRV Required XX SW Permit 20.00 1 hereby acknowlege that 1 have rea55~I}}h' I=ron of stalete that the Booster Pump S/W Surcharge 1. 0 information is correct oft to y with all pli b Stale of Minnesota Statutes arid anc Treatment PI 228.00 Signature of Permitee APPROVALS Road Unit 340.00 A Building Permit is issued to: -MCA)' 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 gtol1f Eagan Ordinances. Bldg. Off, Copies Building Official 1). l1H 1A 04"k1 LL,/J Variance TOTAL 2,997.00 1989 BUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MDLT LE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - 6 STRUCTURAL PLANS 1 SET OF ENERGY CALCS. (CHECK WITH BLDG DIV.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCS. 1 SET OF ENERGY CALCS. !MULTIPLE DWELLINGS RENTAL UNITS FOR SALE BMITS 1 OF UNITS NOTEt ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MOST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.. SEWER A WATER PERMIT FEES AND ACCOUNT DEPOSIT FEES WILL BE INCLUDED WITH THE BUILDING PERMIT FEE. PROCESSING TIME FOR SEWER AND WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED INDICATING A LICENSED PLUMBER. PENALTY APPLIES WHENt PERMIT IS NOT PAID FOR IN SAME MONTH IT IS REQUESTED. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. G~ Q _y/_ JUN 0 7 +eA9 To Be Used For:7 , Valuation: / L nn Date: Site Address OFFICE USE ONLY /0gj000 Lot R- Block Occupancy 9,-3 M-1 FEES Zoning R-1 Parcel/Sub Actual Const Bldg. Permit 654,0 Jam, r Allowable V-Surcharge Owner / of stories Plan Review Q ,00 T Length SAC, City 100, 60 Address 4&a a¢t . Depth H11 SAC, MWCC ? ,00 S.F. Total Water Conn 0,00 City/Zip Code Footprint S.F. Water Meter '90100 Aect. Deposit 3o,0 J Phone Lf ~071> - .r6 5'~3F~ On site sewage S/W Permit 20,00 On site well Surcharge 1.00 Contractor i i i~ MWCC System r/ Treatment P1. 228,00 d ` City water Road Unit 34DIDo Address PRV required ✓ Park Ded. Booster Pump Copies City/Zip Code SUBTOTAL APPROVALS Penalty Phone 21s-l-r-d 7d C(.~m f'o36 Planner TOTAL. Council Arch./Engr. Zdp.Bldg. Off. Variance / s Address .an City/Zip Code S Phone 0 C/S/ -~D?d 0""" ato s~ 19~, 35'67y7 , ~ s~ X )5= T4Dv RSrnT I'Lx jcv= ZOO ZBxzs.7 `lub ~►o~ x = ~05~0 SST FLoor-L (oY- 2!'z = 2~I c STS L/(Oboo 42y. x t n3~32 CITY OF EAGAN EXTERIOR ENVELOPE AVERAGE 'U' COMPUTATION OWNER: 7 SITE ADDRESS: e CONTRACTOR: r_ DATE: PHONE: Determine working square footage of each: 1. Total exposed wall area 2 q 3 2 sq. ft. x .11 = 'I 2. Total roof/ceiling area sq. ft. x .026 ~d Total exposed wall area above floor = 2-9 3 '2-1 li a. Total wall window area \4'u 1 b. Total door area '-13 .S (e9 c. Total sliding glass area 20 d. Total fireplace wall area e. Total wall framing area (average 10%) .............2q f. Total net wall area above floor 2r~^IcD.53 g. Total rim joist area 7-2_f0. O O Total exposed foundation area = 1 (.o , al h. Total foundation window area i. Total net foundation area above grade l Determine 'U' value of each wall segment: a. ? tCt.~1'~ x 'U' 3'-E ~L4 Cm 2. b. L4 ~C x 'U' !3 = _[e(o c. ^'loi 2 Q x ' U' a. 2~1 3 2~1 x ' u' a L a = 2~1 f. ZO-70 1:i3 x 'U' a p = t7 g. 21-4n x 'U' .d°~ - °t SZ h. x ,U, - i. x 'U' 3 . Total ~C) (o If item 63 is the same as or less than item #1, you have met the intent of SBC 6006(e)2. Total exposed roof/ceiling area = ~a j. Total skylight area k. Total roof/ceiling framing area (average 10%) `7 1. Total net insulated roof/ceiling area 19-7 l0 3 OVER Determine 'U' value for each roof/ceiling segment: J x ful = k. x'U' 1. ~3 x 'U. 4 . Total If total of #4 is the same as or less than Ill, you have met the intent of SBC 6006(e)1. Alternate Building Envelope Design To utilize the total envelope system method, the values established by the sum of Items #3 and Ito shall not be greater than the sum of Items #1 and 112. 1. 3 2,56+2. 2t~,(Pt = -2)L13, 11 2 SINGLE & DOUBLE FAMILY HOMES 1984 ENERGY CODE REQUIREMENTS On or about March 1, 1984, the following energy code requirements should be calcula,ted,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. - GUIDELINE TO (R) I'ACTURS rBOn ASNRAC MANUAL OF TYPICALLY USED PRODUCTS (R) (R) Interior Air Film (WOlls) 0.68 Gypsum or plaster board 3/8" 0.32 Exterior Air Film (halls) 0.17 Gypsum or plaster board 1/2" 0.45 Interior Air Film (Vented Ceiling) 0.61 Gypsum or plaster board 5/8" 0.56 Eater N.r Air Flt. (Vented Ceiling) 0.61 Plywood 3/8" 0.47 Interior Air Film (MCA Vented) O.GI Plywood I/2" 0.62 Exterior Air Film (lion Vented) 0.17 Plywood 3/4" 0.93 Sheathing, reg, density 1/2" 1.32 Aluminum Sidinq 0.61 Sheathing, req. density 25/32" 2.06 Aluminum with Backer I.B2 Nail-haze sheathing 1/2" 1.14 Aluminum with Backer 6 Foiled 2.96 112 x 8 Lcp Sid)nn (Wood) 0.81 Built-up Roofs 0.33 7/16 x 12 Ilardhoard Siding 0.67 Asbestos-cement shingles 0.21 Asbestos Sidinns 1/4 Lapped 0.21 Asphalt roll roofing 0.15 Stucco (Oro:.n and Finish Coat) Aspahlt Shingles 0.44 3/4" Wood Subflcor or Sheathing 0.94 Insulation: 2-2 3/4" Fiberglass 7.00 1/2" Plywood .heathing 0.62 Insulation: 3 1/2" Fiberglass Ih.00 - 1/2" Particle B,.rd 0.66 Insulation: 6" Fiberglass 19.00 WOODS: BLOWIIIG WOOL_S_ Fir, pine c similar soft floods 11/2" 1.89 Approx. 3' 9.00 2 1/2" 3-12 Approx. 4 1/2" 13.00 3 112" 4,35 Approx. 6 1/4" 19 00 5 1/2" 637 Approx. 7 1/4" 24.00 Approx. 14" 30,00 . Approx. 18" 40.00 All other insulation materials most be Filled verified (R Factor) (R) Vermiculite 8" Concrete Block (S G G Req.) I.il 1.93 12" Concrete Block (S G G Req.) 1.28 3.15 - - 8" Light height 2.18 5.03 12" Light Veight 2.48 5.82 - ' ASi?RaR f.RRR:u.:i F.b a.:4 R'w f,RR} R,IR NOTE: (U) x Area Square Feet LA, All Windows - - - (w/Scorns I" to 4" Space) .56 . Removal Double Glazing (ROG) ,55 Thermo or welded 3/16" air space .69 1/4" air space .65 1/2" air space .58 - (Other windows specifically tested can use better ratings) 1 3/4 Solid core door .46 r ./store, wood ,31 w/storm, metal .26 - Pease SteelOcor Insl/tl/GL 7,4511 .13 Sliding Glass Door, Wood .65 Metal ,715 CITY OF FAGAN MINIMUM "U" VALUE AND R- FACTOR AT ROOF, WALL, RIN AND CONCRETE BLOCY, Provide insulation baffles in every' RoDF CcILINC, rafter space- (g) VAL O Sjs' GYP e~. - _ s ~ ~ Q INSULA jlo~ qq , 7 C4j w oc~ ra N.~ 35 ` _ O EXjE(~lo~ PtF FILM _ l i r~r = /Iz oZS T&TAL (R)= • ca f 5.el9 WALL . Is- LC 8 © IN IU-101L Alfz- FILM o 60 O '12' GYP 6D.• . . ~i 5 1NSUUATtoty SizJr ►~t to a eX ;E 1al` Arj?. F[U1 tl i, _ __21~~3 C1 = l j fz - , (j= TOTAL . a s VIM ~10 12 (R'~ ~;A~U iz 111TC-11oR Aiv~ FIL11 . G8. h > 13 li f'l INSULADOkN 3$10 ey 2 FI (Z I tV'j 7.SDIG [ i ! i39 . 15 55 2_51~Z ~OP~-N iG ° Gy d u r~I;~Zor'ITE sto1N6 , St 1 O ~XjERto(Z AlF- FILM ~o aUrr To-rAL C% , I a a. 0 00 fo;JN-DATi/ t ~3 tN-ei7 OQ VALUE is Q ► hip Atfc F[U-1 z.~ g ~ . 19 ) n 7~ ~i IL'X~cv~ic. SLh, 12~ (P~~ot4~iR5-0,W 50 E? jEP~lo c AIR FILM Floors over unheated spaces must have minimum R-factor of R-20 (tuck-under garages). Floors over outdoor air (overhangs) must Have a minimum R-factor of R-33. -DISTAIBUtED 8Y- TM ® INDEPENDENT MILLWORK, INC LC.(Mlle 9420 83rd Ave. No. • Mpls., MN 55445 • (612) 425-6600 O 0 ,Nc yud~ BILL ENRIGHT, Jr. "Service Is Our Key Word" Andersen ARCHITECTURAL REPRESENTATIVE DATE JOB (0 P-3 0 r t3 3 i ma~yy,, ;I 1 I ~2- .024 ea 3$ 1 . \Lt3°I. G> xa~ way l n U G1 rJ ^T+_M1 W I~ Ia Is &-A L,2- 4' a L4 -7 32'44 15 , a I DC)cl u'~>. SECxrJr~ iii ooa S C4}-3621 Lwla,;`~ ~D 16, + I1 4 , } I i i I , 1 • , ANDER$EN® PERMA-SHIELD® WINDOWS & PATIO DOORS TOR COMMERCIAL & INSTITUTIONAL !USE CITY OF EAGAN CASHIER: JS TERMINAL NO: 673 DATE: 05/02/00 TIME: 08:01:21 ID: NAME: TOM OR MARILEE MCLAUGHLIN 3210 9001 3637 ASHBURY RD 60.00 2155 9001 3637 ASHBURY RD 0.50 Total Receipt Amount: 60.50 CR128757 USER ID: JAN 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN l , 3830 PILOT KNOB RD - 55122 ~4 o 5 1 `T 651-681-4673 y ~L a5 New Corntnution Reguiremen Remodel/Repair Rea > 3 registered sffe surveys showing sq. R of lot, sq. M. of house 2 copies of plan and gi roofed areas 420% maximum lot coveroae allowed) I set of energy colculaflons for heated oddiflons > 2 copies of plans (show beam ✓k window sizes; poured Ind. design; etc.) 1 sfle survey for exterior oddiflons d decks > 1 set of energy calculations > 3 copies of free preservation plan If lot platted after 7/1/93 DATE: L/-,;o - O O CONSTRUCTION COST: DESCRIPTION OF WORK: 'WfV I V . STREET ADDRESS: RESS: 3 7 S h l U~ ~/l LOT: J! BLOCK: It) SUBD./P.I.D. a C V\ (i \ A l-' Name: Phone (,v -r/-y~~o - PROPERTY Last First / OWNER Sheet Address: -a 3> 7 /-S h h U e City ci State: Zip: Company: QE Phone 5 / z7,5-6 (area code) CONTRACTOR Street Address: License # EXP. City State: Zip: ARCHITECT/ ENGINEER Company Name: Telephone ( ) Sheet Address: Registration City State: Zip: Sewertwater licensed plumber (if installing sewertmter): Phone ( I hereby acknowledge that I have read this application, skate that Mfe Intognation is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant. OFFICE USE ONLY Certificates of Survey Received _ Yes _ No 2 $ -lu Tree Preservation Plan Received Yes No Not Required OFFICE USE ONLY BUILDING PERMIT SUBTYPES ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 21 Porch (3-sea.) ❑ 31 Ext. Aft - Mufti ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 03 01 of_ plex ❑ 09 07-plex ❑ 18 Deck ❑ 23 Porch (screened) ❑ 36 Mufti ❑ 04 02-plex ❑ 10 08-plex _)&J~ 19 Lower Level ❑ 24 Storm Damage ❑ 05 03-plex ❑ 11 10-plex P1bg yor.ZN ❑ 25 Miscellaneous ❑ 06 04-plex ❑ 12 12-plex ❑ 20 Pool ❑ 30 Accessory Bldg. WORK TYPE ❑ 31 New ❑ 36 Move Bldg. ❑ 43 Reroof ❑ 32 Addition ❑ 37 Demolish (Bldg)' ❑ 44 Siding X' 33 Alteration ❑ 38 Demolish (Interior) ❑ 45 Fire Repair ❑ 34 Repair ❑ 42 Demolish (Foundation) ❑ 46 Windows/Doors ` Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code l_ # of Stories sq. ft. No. of Units 0 Length sq. ft. No. of Buildings I Width Footprint sq. ft. Const. (Actual) Basement sq. ft. Census Code L/ 3 H (Allowable) Main level sq. ft. MC/ES System UBC Occupancy sq. ft. City Water Zoning sq. ft. Booster Pump PRV Fire Sprinklered MISCELLANEOUS INSPECTIONS ❑ Stucco/Stone APPROVALS Planning Building- Engineering Variance an Permit Fee J)(0 . S o Valuation: $-q-Lo Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: X60. 50 SAC Units % SAC PLUMBING (RESIDENTIAL) v~ Permit Application 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 permits are required for each unit Date 19- / V I, Site Address 3 / Y/ I unit y#/ Property Owner / Telephone # ( 75 LY `~iC~ 3 Contractor H Pi H F p1p~Fln~rnoi~3 3670 DO. _ 3670 DODD ROAD City Address EAar"N, MN v:ir: EAGAK PAN 551.n State (651) 365 1340 el) 365 1340 Telephone # ( ) The Applicant is - Owner Contractor Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPG license $ 100.00 Includes County fee. Additional consultant fees may apply. Alterations To Existing Dwelling Unit, Including $ 50.00 - Adding fixtures to lower levels or room additions, excluding water softener and water heater - Abandonment of septic system - Water turnaround 5/8" meter if needed - $121.00) Other: - RPZ _ new installation _ repair _ rebuild $ 30.00 - Lawn irrigation system Water softener Water heater 11 fl3 11 $ 15.00 placement _ additional ,D S[ P rJ 2~ U 1 State Surcharge $ .50 Total $ I hereby apply for a Residential Plumbing 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 with the Plumbing Codes; 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 se of work which requires a review and approval of plans. c Applicant's Pr' t d N A lican ' atur W-` ( MECHANICAL (RESIDENTIAL) V0,SD Permit Application 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 permits are required for each unit Date Qt-/ 09 / G ~ Site Address unit# Property Owner `~twdJ ` i Y,, Telephone # ( ~j 245(o-9833 Contractor Street Address 2Lp~p5 14-5 5 k W City ~ fm~t vG+L~~ r State f rN tJ Zip ✓ ) Telephone # ((Q S I ) 2 2 ^ CJ Q Z (jP The Applicant is Owner Contractor Other `Add-on, modification or alteration to existing dwelling unit $ 30.00 furnace replacement air exchanger air conditioner other State Surcharge y U $ .50 I Ep 2 3 20C3 j \ Total SV 3 X3.5 b I hereby apply for a Residential Mechanical 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 with the Mechanical Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name _ Applicant's Signature f' O ~SyBURY RORO ej8'v s Z9,, ra cv s,C~ E 'O~' B/6 6 ~7 / ~ ~O 6ox~,y ?S ~yO . ~ Lndii'a lcs 1?roposcJ / 0 ~ d.n,a9e ~ /!f ccatiun / z,t D Proposed: 'Cup Block - ~T/9' %I ~ r,.• . ~ ~ \ Garnpc Floor 0~ :~o~ ,•t :,d".~ li;rsamcnt I loot, AR I' oa 1 16 '19 A r ~ ~ 1 = 3 8/7.92 1V y, ft) 44 S CC) ; 40 z s ! SPt~o / o 1 F°a!Yti ~ ~ ` 6° a9 ZD' ty / it 0t'~ BenchMarl< .7oP nut of hydianf at N.E. co~nQl~ of Ball%c ave. mo( Ash6u, ave. (,ne~ / ELEV. = 819. 55 e Eas / / I,ryn r , i B- Date 49 µl EAGAN ENGINEERI G DEPT n ep2~ ~ P nd e .a n;OTL'c.u•rans Shaun arc un an .rssumcd basis. P.R.V. REQUIRED McA.I.I.I S'llil{ CONSCHI:("1 ION DESCK11"I'I0:A: Lot 19, Gluck 3, IiLACMiALVG GLL:X 2N1) AUUI'000A - 4ic herebY ccrtil;y that this is it true Lind ~orrcct rehresent.rrl.ion of a sur%'ey of Iha boundaries uC the land ahu\e Jescrihud and of the loentiun of all huiIdinBS, it' :un, theiuon, and all eisihle onuronrhments, iI' aln from or on snit Iand. UaCed this Ist dad of Jun( 1989. I( G A N I' 1 E 1. 1) E, V' 0 W A K i N C' Surveyors Litud Surveyors y41:i ltiuyrat.a Boulr; ~'a rd fir`--. r./"r r" ',7i nnc.ipoI is, MS 55.12r. (6 1^) 546-6837 Bruce K. Crivrna 3limicsuta I,rccnso No. 1'7253 Use BLUE or BLACK Ink r - - - - - - - - - - - - - - - - For Office Use Permit All 30 1 I I , City of EaEd I Permit Fee: 515 - 0 , 3830 Pilot Knob Road I Eagan MN 55122 I Date Received: Phone: (651) 675-5675 j Fax: (651) 675-5694 L Staff: -_c ----------I 2010 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: r l --7"~0/V Site Address: 3 6 3 -7 ~ Qyx~'I if , & ) . IiA A s ~J a D Tenant: Suite RESIDENT / OWNER Name: de 4 ,,)4 ii A) rPhone: Address / City / Zip: ~2 k~j~,JZJ~ CONTRACTOR Name: - 4 T 1 V C License 0 s` y~ P Address: 7 / S er~~g city: ~74 VA (rte State: M kJ Zip: 51 -5- 3 7 Phone: Contact: h (Z 0( C' ~1 e 6-(J- Email: TYPE OF WORK -New 'Sj- Replacement -Repair _Rebuild - Modify Space - Work in R.O.W. Description of work: fie S ow ,I- A I Ur PERMIT TYPE RESIDENTIAL Water Heater Water Softener Lawn Irrigation RPZ PVB) Add Plumbing Fixtures Main Lower Level) Septic System Water Turnaround _ New Abandonment RESIDENTIAL FEES: $55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $35.00 Lawn Irrigation (includes $5.00 State Surcharge) $55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) "Water Turnaround (add $166.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) $95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) TOTAL FEES $ 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.gopherstateonecall.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. x ce.4 e&6- x Applicant's Printed Name Applicant's Si at FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final Use BLUE or BLACK Ink sy` I City of Eayn I Permit#: I I ~ Permit Fee: % j 3830 Pilot Knob Road tg~` I p , Eagan MN 55122 1 Date Received: 0 2 Phone: (651) 675-5675 I Staff: , Fax:(651)675-5694 , - 18~4 I 2 2011 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Site Address: Tenant: Suite RESIDENT / OWNER Name: Phone: 27, Address / City / Zip: -4 CONTRACTOR Name: MILBERT COMPANY INC.dba C AN WATER Address: 1801 50TH ST EAST City: INVER GROVE HGTS State: MN Zip; 55077 phone: 651 .451.-2241 Contact: BILL. MILBERT'; Email: TYPE OF WORK _ New ~Q Replacement _Repair -Rebuild - Modify Space _ Work in,R.O.W. Description of work: - PERMIT TYPE RESIDENTIAL Water Heater Wafer Softener Lawn Irrigation RPZ PVB) Add Plumbing Fixtures L_ Main Lower Level) Septic System Water Turnaround -New Abandonment RESIDENTIAL FEES: $55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $35.00 Lawn Irrigation (includes $5.00 State Surcharge) $55.00 Add Plumbing .Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $166.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) $95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. Cali 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.oooherstateonecall.om 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 pl s. x U Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: -Date . ,:u w Required Inspections: Under Ground Rough 1p Air;Test Gas Test Fin al ; tuF "',r a. s PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA117760 Date Issued:10/23/2013 Permit Category:ePermit Site Address: 3637 Ashbury Rd Lot:19 Block: 3 Addition: Blackhawk Glen 2nd PID:10-14351-03-190 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. Tony Boerner 2090 County Road 42 W Burnsville, MN 55337 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 - Thomas J Mclaughlin 3637 Ashbury Rd Eagan MN 55122 Tony's Appliance 2090 County Road 42 West Burnsville MN 55337 (952) 435-2442 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA142475 Date Issued:05/04/2017 Permit Category:ePermit Site Address: 3637 Ashbury Rd Lot:19 Block: 3 Addition: Blackhawk Glen 2nd PID:10-14351-03-190 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) 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 - Thomas J Mclaughlin 3637 Ashbury Rd Eagan MN 55122 Craftsmen Home Improvements Inc 7455 France Avenue, #194 Edina MN 55435 (651) 430-1388 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA151265 Date Issued:08/15/2018 Permit Category:ePermit Site Address: 3637 Ashbury Rd Lot:19 Block: 3 Addition: Blackhawk Glen 2nd PID:10-14351-03-190 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 - Thomas J Mclaughlin 3637 Ashbury Rd Eagan MN 55122 Haley Comfort Systems 4320 Hwy 52 N West Frontage Rd Rochester MN 55901 (507) 281-0138 Applicant/Permitee: Signature Issued By: Signature alD'/ll For Office Use � • Permit#: �•�� ��•• RECEIVED Permit Fee: / 7c-.7" IC) ^� APR 19 2019 Date Received: 4.141 "/,;1 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff: buildinginspections( cityofeacian.com 2019 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: 3637 Ashbury Road Unit#: Name: Tom & Mari McLaughlin Phone: 651-485-8539 Residents 3637 Ashbury Road Owner Address/City/Zip: Applicant is: Owner ✓ Contractor Remove old deck and bud a new 17x15 deck w/4'x4'bump out and 4'wide stairs dtCk frttiV., composite dl( 1 ns Type of Work Description of work: Construction Cost: $19,800 Multi-Family Building:(Yes /No I/ ) Company: Dupont Construction and Remodeling Contact: Brooke Dupont Contractor Address: 7012 Humber Trail NE City: North Branch State: MN zip: 55056 Phone: 651-674-5699 Email: Dupontconstruction@msn.com License#: BC664025 Lead Certificate#: Nat-124114-2 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: NOTE:Plans and supporting documents that you submit are considered to be public infonnatlon. 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. 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.citvofeagan.comisubscribe. 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.gopherstateonecall.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 app • - •_•tans. yak Applicant's Printed Name Applican s Signature DO NOT WRITE BELOW THIS LINES67 A S, 16u,� l �� , /. -sz -D. .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 _ 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 4W Occupancy ✓ri1, MCES System Plan ReviewCode Edition ,or0,0[_( SAC Units (25%_ 100% y) Zoning City Water Census Code �` Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings(Addition) X 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 1 Hour Drain Tile Fireplace:_Rough In Air Test Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS 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: , 2i , Building Inspector RESIDENTIAL FEES Base Fee06YA''"" irM Surcharge { . Plan Review !� "` MCES SAC 5 City SAC Utility Connection Charge S&W Permit&Surchargelb s 2-5-6x ) �� Treatment Plant / ,?/ Y0 Radio Meter Read Copies TOTAL Page 2 of 3 O \o SNV OR y 7 RO' D/ O �'C.= 49„,": `o 2 N4 0 \, Siez 6700,6. r �V�b / / ' .Z9- ao , e • " Sf�,,p4E7 X 6.6 /' i .0 60,x__y 00 �--, Indicates Proposed / / �d�- a`: •- pa Elevation / , o \='E l�21'4e �� tR I fii fy fes..„ o •x8)7.4- Proposed: S --____\,...74*,, �, O -.:;‘,/ Top Block - 5l4' :jl / g 1 r. \ Garage Floor -8/ 1 rl .'-a.e '� c+• i r ' �'� \ Basement Floor -=�f'•33 ��\�5 -I, % I'/ „�,) f i �° I 1I 06. I , - ` oI 1 9 F_ -_ B"8.i ,-- K sr 1 ,=�¢ �.c., .i 8103 .7 011 L� ;� �q > ,- - f:' 42/7.92 7 F. 4; r °) ) / ' i ,.: iv (-,, you <; c (ik1))\ \; \ \ , - I /1 CI: it, i _ : — ._.", ;.,544."..., ,;,, , 7 N \D t:' Tei:-;6,-..._.: : (v) N . Yi 04 :1100.- v- / .• • i .g•6 (Y C� i _ _. •� W .kki NI i4US(1(di/ Pi '�'(4i der o N /. o) j co t s lii a • _ � I �0 ti i p0 I ` S a9X40 ,� 0(a'n i� / eos.sr i .r '',l'�� / ��� / Benchmark : Togo nut of hydianf z ; --' �; � / cove/ of BaCE%c eve. and Ash6ui)r R, end �` / ELEV. = 8/9. 55 .... / k ',.'„':::: ',„,, .-I E isii,.. :::- r • • , , ..... , _. ,i ....... „.,.. , . ‘ i B _ •' Datefr \� �. - EAGAN ENGINEERI G DEP' n d : go1� `� P - NOTE: Bearings shown are on an assumed bas 1 Pard .E., ( � C. 9 I 4D P.R.V. REQUIRED \ \ SURVEY FOR: McALLISTER CONSTRUCTION / • DESCRIPTION: Lot 19, Block 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 locat of all buildings, if any, thereon, and all visible encroachments, if a'. from or on said land. Dated this 1st day of June, 1989. E G A N , FIELD C N O. W A K , INC Surveyors EGAN, FIELD & NOWAK, INC. it Land Surveyors /�~\` 7415 Wayzata Boulevard `•' ' ' 7f/2/ ,J r . 2..fek, , ,4„,(.. -t't;3J1 Minneapolis, MN 55421 Bruce W. Grivna (612) 546-6837Minnesota License No. 17253 PERMIT City of Eagan Permit Type:Building Permit Number:EA161113 Date Issued:05/06/2020 Permit Category:ePermit Site Address: 3637 Ashbury Rd Lot:19 Block: 3 Addition: Blackhawk Glen 2nd PID:10-14351-03-190 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Thomas Tste J Mclaughlin 3637 Ashbury Rd Eagan MN 55122 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA173044 Date Issued:10/26/2021 Permit Category:ePermit Site Address: 3637 Ashbury Rd Lot:19 Block: 3 Addition: Blackhawk Glen 2nd PID:10-14351-03-190 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Thomas J Tste Mclaughlin 3637 Ashbury Rd Eagan MN 55122 Renewal Andersen 1920 County Road C West Roseville MN 55113 (641) 264-4088 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA175651 Date Issued:04/11/2022 Permit Category:ePermit Site Address: 3637 Ashbury Rd Lot:19 Block: 3 Addition: Blackhawk Glen 2nd PID:10-14351-03-190 Use: Description: Sub Type:Water Heater Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$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 - Thomas J Tste Mclaughlin 3637 Ashbury Rd Eagan MN 55122 Tony's Appliance Inc. 2090 County Road 42 West Burnsville MN 55337 (952) 435-2442 Applicant/Permitee: Signature Issued By: Signature