1631 Ashbury PlCITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
BUILDING PERMIT
To be used for
Est. Value 17679 000
Receipt
Date _
158321 .9
19.., :
Site Address 1631 A3NBlTitY PI.ACF OFFICE USE ONLY
?
B1.ACYu?aF't?; GLi:, ?.;la
Lot 5 Block 4 Sec/Sub
On Site Sewage
Occupancy
. MWCC System Zoning
Parcel No.
On Site Well (Actual) Const
cc Name LUICDGREN 3ROSHERS COHSi Cih' Water X (Allowable)
W
=
Address 935 E WAY7?A?A SLVD PRV Required ? # of Stories
0 Booster Pump Length
? City iIAYZATA Phone 473-1231
Depth -'?
o Name SAM S.F. Total
,
? i-
Address
Footprint S.F.
? City Phone AppROVALS FEES
L
F??'??
?¢
?W
Name Engr./Assess. Permit r
'
?
?
?
~ Z Planner Surcharge '
•
'
Add?ess ?
Z 2
L?Q
? Z Council Plan Review '
;
? W Cit Phone
Y_-
Bldg. Ott.
_ SAC, City 1 OC3 . .? i
I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC 550• 00
information is correct and agree to comply with all applicable Stale of Water Conn. 550•eo i
Minnesota Statutes and Ciry of Eagan Ordmances.
Water Meter ?j? ?? ?
Signature of Permittee RoadUnit 325"00
A Building Permit is issued to:__ Treatment P1 204.00
ortithe ezpress condition that all work shall be done in accordance with all
Parks
appUcable State of Minnesota Statutes and City ol Eagan Ordinances. 4} z
?`?
TOTAL . '
•
Build:ng Official
?-,-- _
v _ CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PH UN E: 454-8100
BUILDING PERMIT Receipt #
To be used for `::- Est. Value Date M3lP 4
Site Address ' i 3' ASS'$U'RY 11i.l1?GE
Lot 5 Block 4 Sec/Sub.?W144WK CI..EN 2111
Parcel No.
oc Name LS. i'+.A.r:i
W
z Address 'i 35, E 1
3
o City. '•`M`«AlA
, o Name ?
? ? Address
? City Phone
Address
City Phone
I hereby acknowledge that I have read this application and state that the
intormation is correct and agree to compfy with alt appticabfe State of
Minnesota Statutes and City o( Eagah Ordinances.
5ignature of Permittee
LiM"='?t,? l?r,t:'?'4',ri?5 GQ',srST
A Building Permit is issued to:-- ?"' _-
on the express condition that all work shall be done in aocordance with al I
appiicable State of Minnesota Stalutes and City of Eagan Ordinances.
Building Official
JI. 5 C" 14
Or+ S#e Sawage Occupancy R"3 t+n1
MWCC System Zoning
On 5ite Well (Actual) Const
City Water (Allowable) '+ ^?a
PRV Required # of Stories
Booster Pump Length ^1h
Oepth
S.F, Total
_ Footprint S.F.
APPROVALS- FEES
Engr./Assess. _ Permit
Pianner Surcharge J3 • J0
221'00
Council _
Off
BId Plah Review
SAC
City L`0•00 _
g.
. , 510•00
Variance SAC, MWCC 550.00
WaterConn.
Water Meter 67•oo
Road Unit 3,23•00
Treatment P1 204+0V
Parks
TOTAL
1
,
Permit No. Permlt Holdar Date Telsphone #
Plumbing
H.V.kC.
Electric
i?/ ? s1Y
Softener
Inspectlon Dste Insp. Comments
Footings I
Footings II
Foundation
Framing 1446 CovrecF.'a
Roofing
Rough Plbg. 12
Rough Htg. • ???
Isul.
Fireplace
Final Htg.
Final Pibg.
S4dg. Finat
Cert Occ.
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
CONTRACT PRICE:
Site Address • Lot - Bloc
? Nam
zi Address ?
? ciry -?
? Name
c Address i
O CitY '=t
TYPE OF WORK
Forced Air M BTU
Boiler M BTU
Unit Heater M BTU
Air Cond. M BTU
Vent. CFM
?-
? Y
cinr
3830 PILOT KNOB I
BLDG. TYPE WORK DESCRIPTION
Res. New
Mult Add-on
Comm. Repair
Other
PERMIT
PERMIT #
EAGAN, MN 55122 DATE:
FEES
RES
HVAC 0-100 M BTU -$24
00
.
.
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - t PER PEkMIT) - 1
50 EA
.
.
c-? COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
- STATE SURCHARGE PER PERMIT - .50
(ADD $
50 S/C IF PERMIT PRICE GOES
.
BEYOND $1.000)
SIGNATURE OF PERMITTEE
:.... .--?-:.L..,-._ Gas Piping OuUets #
Other
I
FEE
S/C:
TOTAL:
FOR: CITY OF EAGAN
PLUMBING PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122
PERMIT #
RECEIPT N
QATE: - ' ' Lot
+vame r
c Address
C) Ciry -
COMM/IND FE
APT. BLDGS -
TOWNHOUSE
14AINIhAl1M - R
ESURCHARGE
$.50 S/C IF PEF
OF PERMITTEE
Phone
Phone
)NTRACT FEE
APPLIES
;ES, RATE APPLIES
_E - $12.00
. - $20.Q0
CITY OF EAGAN
BLDG. TYPE WORK DESCRIPTION
Res. New
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
? Water Closet - $3.00 $
? Bath Tubs - $3.00
?Lavatory - $3.00
Shower - $3.00
? Kitchen Sink - $3.00 -
Urinal/Bidet - 33.00
_7?_Laundry Tray - $3.00
TFloor Drains - $1.50 "
j Water Heater - $1.50
Whiripool - $3.00
Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIT)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
.3_Rough Openings - $1.50
FEE
STATE SIC: GRAND TOTAL:
. . ? . .: ?._ ? ,
_ . .,
.. , , . . .. . . . . . .c. , '. . + . -
i,: . .:1 . , .. , ,
.. , . . ..
CITY OF EAGAN 17984
Nj
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PE ??MI? T ?i •? Receipt # Jun 1
To be Lsed for Est. Value Date a.
_
1
, 19
Site Ac?dress 1631 ? plim
?
Lot Block Sec/Sub, MACKRM 4
OFFICE USE ONLY
Parcel No. occupancy - FeEs
Z
i $25
00
on
ng - ,
cc Name (Actuaq Const - Bldg. Permit
-
Address
(Al???) - 30
Surchar
e
Ltw g
o City Phone # oi stories -
Plan Review
o
Name SAM _
Length
Depth -
5AC, City +
0
¢
Address
S.F. T°?l -
wcc
SA
M
u
? Clty PhOne S.F. Footprints - C,
C
?
Water Conn
Name On Site 5ewage _
On Site Wetl - Water Meter
W W
_? Address MWCC 5ystem
U=
<W
City Phone
cilywater -
PRV R
i
d Acct. Deposil
S/W Permit
re
-
equ
I hereby acknowiege 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 Permitee Booster Pump -
APPROYALS gNV Surcharge
7reatment PI
Rcad Unit
A Building Permit is issued to: LIPPS Pianner - park Ded. ?.?
on the express condition that all work shall be done in accordance with all
a licable State of Minnesota St utes and Ci of Ea an prdinances.
PP tY 9 Council
_
&dg.Off.
Copies
$26.00
?:.
Building Off?iCiai Variance - TOTAL
? . .:
- - - -:.?
Permit No. Permit Holder Date Tebphone #
WATER
SEWER
PLUMBING
H.V.A.C.
ELECTRIC
Inspection 6ate Insp. Comments
Footings I
FoundaGon '
Framing
Rpqling
Rough Pibg.
Rou9h Ht9-
Isul.
Firepiace
Final Htg.
Final P".
Const. Meler Plbg. Inspecror - NotiFy Plumber
Engr./Plan
Bldg. Final
Deck Flg.
oecicfinal
YVett
Pc Disp.
'CITY OF EAGAN
3830 PAot Knob Road
f O. Boz 21199
Eagan, MN 35121
Permit No: 10075
Meter Na _
Reader No:
Date:
Size:
Date:
Owner. T?n(lprdn Aroq.
Site Address: urq LZ.) B4 lilac-:hawk en _
c1„m1- .,w<<grea raa, ur.r g
Cann. Chg: S 50. Gope..
Acct Dep: 15. 00pd
Permit Fee:
Surcharge:
Tr. Plant I? . 0{)r<1
???? •
Meter r7 1ci?
Misc.: 4:1 7 v9:,zrrN^1,
Zoning: _
No. of Units:
I agree to comply with the Clty? ol Eayan
Ordinancea.
ey
WATER SERVICE PERMIT
1 I •-?-BE
CITY QF EAGAN Permit No: 11215 Date:
3$30 Oilot Knob Road B/P No: Date:
' y 1 ?_. Q
" P.O. Box 21199
Eagan, MN 55121
Owner:
Site Address:
PI u m ber:_
`SG.OOr,d
MWCC:
City Chg: ?
Acct Dep; , ?
Permit Fee:
Surcharge:
.. REQUIRED
Eroe.
L5 S4 Ba.:,( C` - -
.. g
Zoning* ?
No. of Units:
I agree to camply with the City of Eagan
Ordinances.
SEWER SERVICE PERMIT
(Etx#iftra#t af (Orrupttnry
titp of (tagan
19Ppa1't1I1Pltt of fIIdbing J1tApPt'ttm
This CerkJcate issued pursuant to the requirementr of Secdon 306 of the Uniform Building
Code certifying that at the dme of issuance this structure was in compliance with the various
ordrnances of the City regulating buiTding construction or use. For the jo!lowing.•
use amucuoSF DWG/BAR Blag. renni( rro. 15832
Oocup-y Typt R3/141 Zoning I7isiricl Ri 7ype Caasl VN
OwnerofBw7dingi,u?vwnrlr nitu??•,•.R? uar7t. qAd= 2.?.J c, nru?.rius ax?ru.' ru.c?n
e.ai.g naa,,. 1631 AS[BiJRY Pi.11CE L,.w;ty L5, B4 ,NAIMAWK (3EN ZrID
oere: .TAN[ RY 27, 1959
r?
POST IN A CONSPICUOUS PLACE
? CITY OF tAGAN Permit No: 1 '`17 5 Date: ZI -3`8F
38a0 Pilol Knob Road Meter No: V13621 5-3 Size: 6lg ??OcX
P.O. Box 21199 Reacrgr- No: Date:
Eagan, MN 55121"
Owner. '.';; 1t'";-ur, P>rn;; .
SiteAddress: T'. _pci _> ]34 _ ac•.1c hnw rllnn
Plumber. Lun gren .: ro s. P um ing
Conn. Chg: 550• OOpd Zoning: P1
Acct. Dep: 15•00Fd No. of Units:
1
'
Permit Fea 10. OOnd
Surcharge: . 50nd I agree to comply wllh !he City of Eagan
Tr. Plant 04. 00n d Ordlnances.
Meter. Q. pg%rd
Misc.:
?? j ' WATER S ERVICE PERMIT
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Ea9an, MN 55121 N? 15832
PHO N E: 454-8100
?l
?? ?
s?
BUILDINGPERMIT .
i
aeceipt#
To be usedtor SF DWG/GAR Est Value $67,000 Date NOV 4 ,19$?
Site Address 1631 ASHBURY PLACE OFFICE USE ONLY
Lot 5 elock 4 SeGSub.BLACKHAWK GLEN 2ND On Sire Sewage _ Occupancy R-3 M-1
MWCC System X Zoning R-1
ParcelNO. i
ll
W A
t
C
t V-N
OnS
te
e _ (
C
uaq
ons
a Name LUNDGREN BROTHERS CONST Citywater X (Allowable) V-N
W PFV Reqwred _X # of Srories
z Address 935 E WAYZATA BLVD
,
o City WAYZATA Phone 473-1231 BoosterPump _ Length 46
Depth 521
p Name SAME S.F.7otal
,
?a AddrOSS FootprintS.F.
: City Phone ppPROVALS FEES
? W Engr./ASSess _ Permil 442.00
W Name 33
50
W
?
z Planner Surcharge .
?
. Address
Council Plan Review 221.00
a W City Phone gld9 Off. SAG City
100.00
I here0y aCknOwledge that I have reatl ihis applicahon antl state that the Vanance SAC, MWCC 550.00
information is correct and r e to mply wi II appLCable State of WaterConn. $$O.DO
Minnesota Statutes and Cit aga dinan e
Water Meter
67.00
Signature ol Permittee Road Unit 125_-00
A eudtling Permit is issuetl to:_LIJNDGRE THEB$__CON$T Treatment P7 204.00
on [he express condihOn that all work shall be done in accordance wrth all
Parks
apphwble State ot Minnesota Slatutes and City of Eagan Ortlinances. 492.50
2
Bwlding ONicial _ I MAO?,QA?Ar,
_? __l TOTAL ,
/u??lc?8'? ??/ l0 8 r
? 72874 e0
Reques Oale-
ia _a ? a? Fre M. Rough-In Inspectqn
mred?
?
? Ready Now II NoM1ty Inspenw
h
p
d
l
yys ? No en
ea
y
Igf-lieensed contractor O owner hereby request inspection of a6ove eledrical work at:
Job Address (Streat, B?oxIa? Roule No )
/?3/ Qly
.4c5i9-nI
$eclwn No. Tawnship Name or No. Range W. County ?
y?
?
?
G • i
/4/
T
OPRIIJn
4 1PPS'
s
J ?i2
? Pho
na N
N
v,5,L) o
uN?e?
Power Suppliar
7?
K
e' PEtlress
C f ?
o rA
4.Et7R1C
J/R
Eleqrical Conhfldor (Company Name)
Standard Electric Co. Corit aclWS License No.
98XX 40837
MaLrg Atldresa (COnVacror or Owmr MeWng Installauon)
2672 Ma lewoodDr., M lewood, Mn 55109
ANfronzBtl Si a ConVac[or/Oun Makin nst Plione Number
484-8044
MINNE A 914TE BOAND OF ELECii11C THIS INSPECTION REQUEST WILL NOT
GrlggaMidway BWg. - poom S773 BE ACCEPTEO BV THE STATE BOARD
1821 Unlvdaity Aw., SL Peul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phom (812) 842-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ^- ea-00001-07?
p ? Sce msimclions Iw completing this Mrm on back ol yelbw copy
?= 7 2,i) 7 4 'X" 8elow Work Covered'by7his Request
ew Add Rep. TypeolBmlding AppliancesWired EqmpmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm.Andustrial Furnace
Farm ' Air Conditionar
Olher(specdy) ConVaclor5 Remarks'
Compute Inspection Fee Below:
# Other Fee # ServiceEMranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 l0 100 Amps .1110-
Transformers Above200_Amps AboveSlt.36' Amps ,S'-
Signs Inspectorg U. Ony. TOTAL
Irtigation Booms
Special Inspection v
Alarm/Communicahon U
-
Other Fee f?
I, the Etectrical Inspector, hereby
i
h
h Rough-in o e
cen
ry t
at t
e above inspection has
been made. oa e
?
OFFlCE USE ONLY
This repuest void 18 mornhs irom
111?18-K
7 2 8 3 8.:?
Request Date
?i _ a-?t? Flre No. Roughin Inspecbon
Reqmred? ?/
}areadY Now ? Will NobIY InspecWr
+
? Ves No M. Reatly
Ixlicensed contractor ? owner hereby request inspection of above electrical work at:
,bb Htldress (SVaet, Boa ar Roule No.)
/?3/ ?
? Ciry /
?
SH3uR L-/?C? A?-SR??
Seclion No Township Neme or No Renge No Coun4
(
J
?
OcoupaM (PflINT) // J e No.
Power Suppller
D.?rtcrA Atldresa f ?Q
Elecmcel Contracior (COmparry Neme) Con r5 License No.
Standard Electric Co. 40837
Mailing Adtlress (COnlractor or Owrer Making Inslalla4on)
2672 apl wood Dr., Ma ew od, Mn 55109
AuNonzed Sg u nhacNOrlOwner MaWng tal ) PMna Number
484-8044
NINN 5 BOAND OF ELECTflIC THIS INSPECTION REOUEST WILL NOT
Griggs-MlOway Bltlg. - Noom 5193 BE ACCEPTED BY THE STATE BOARO
1821 Ilnlverairy pve., St. Poul, MN 55100 UNlESS PROPER INSPECTION FEE IS
Phone (612) 602-0800 ENCLOSED
1?,i2j$'? REQUEST FOR ELECTRICAL INSPECTION esaoom m
? 1. $ee insNIDlions for completing ihls form On back oi yelbw mpy
p /
M' 72-8 3 p 'X" Below Work Covered'Sy This Request
e Add Rep. Typeofewlding AppliancesWired EqulpmentWired
Home Range Temporary Service
Duplex Water Heater Eleciric Heating
Apt Building Dryer Other (Specify)
Comm./Indusirial Furnace
Farm ' Air Conditioner
Ottier (speciry) ConVxlor5 Remarks:
Campute Inspection Fee Below:
# Oiher Fee # ServweEnUanceSize Fee # CimuitslFeeders Fee
Swimming Pool 0 to 200 Amps /?- / 0 to 700 Amps °-
Transformers Above 200 _ Amps Above 100 _ Amps
Signs Inspector§ Use Ony: TOTAL
Irrigation Booms
Special Inspectton
Alarm/Communication
Other Fee ?
I, the Electrical Inspectoi, hereby
tif
th
t th
i
b AougNn oa?e
y
cer
a
ove
e a
nspection has
been made. Fn,ai oete P
OFFlCE U3E ONLY I
This request wid 18 rtwntha irom
.
.
1990 BUILDING PERMIT APPLICATION
CITY OF EAGAN
_-?---°= ----
INGLE FAMILY DWELLII3GS--- ?
MULTIPLE DWELLINGS
COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCUTATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
_# OF RENTAL UNITS
`# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR GORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT NAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
JUN 0 6 RECo
c?
!'e
U
d F t
T' D
i
'?` W /o
-
To Be
se
or:
Valuat a
e
on:
$° : 6
Site Address 16?pl !qJ'4iury P1- OFFICE USE ONLY
i
Lot -23- Block ?
FEES
Occupancy
f?-r`/
Parcel/Sub -`d?`'y1 Zoning
Actual Const
Bldg. Permit
z r
Allowable Surcharge .Sp
Owner # of stories Plan Review
/ / /
6
b
?L
4 Length SAC, City
5
1
ccvy
Address Depth SAC, MWCC
S.F. Total Water Conn
City/Zip Code d7cx 2'q S-r /.22 Footprint S.F. Water Meter
/ p \ 4/
99 Acct. Deposit
Phone On site sewage_ S/W Permit
.,/ On site well S/W Surcharge
Contractor !l? odic MWCC System _ Treatment P1.
City water _ Road Unit •
Address PRV Park Ded.
Booster Pump , Copies . 5 O
City/Zip Code SUBTOTAL
APYROVALS Penalty
Phone Planner _ TOTAL ?
Council
Arch./Engr. Bldg. Off. ?Owb
Variance
Address
City/Zip Code
Phone #
r ^
SUF3VEYOR'S? CERTIFICATE sIENNA CORPORATION
n"v sn? ?.
L7i_i:i v
?80 I.) I /-?L1L?1 I i???lv
Z
C'.i' n/
? • /
f"
?-.
? q .
? J 0
m
?
. / gO• ¢
('V
Nj
'
I^
\
vJ ? ,`-,`
5 Y'. `
p ?.
\<a,c d? ' ..
?816.9 O \ \
?N
i
mry ? ? O'
??\? '47??
DRAINAGE 9 !!TlC1T`?
EASEAf£NT P£R PLATL
LOT 5 j
/
/ ^.
b' O ?
,
o ;
.
i
O ?411
? o-
0 0/ ?N
)pf?Nry
,
?
i"Yn?`ny ?r O y?.l9J%
? /?
Q O ? .S'? /a5 `?J
'7 ejs
\ \ 400s /'" ,:,?;;?? o ??
Asye?" 1\ ?66 T S oO- ?\
` 817.3
f
_.?
----
.??; ?-
...a?;:.-•?-s:_::i;.?;
REVISED 10-28-68 TD SFpW
PROPOSED HDUSE FOR
LUNDGREN BROTHEAS CONST.
"f- D@NOTES PROPOSEO SURFACE DRAINAGE
,O DENOTES IRON MONUkENT SET SCALE: 1 INCN = 30 FEET
0 DENOTES IRON MONUMENT FOUNd PROPDSED GARAGE FLOOR - $ZO.Z FEET
X000.0 DEN07E5 EXISTING ELEVATION PROPOSED LOWEST FLOOR a 81Z,S FEE7
(000.0) dEtIOTES AROPOSED ELEVATION PROPOSED TOP OF pLOCK - g?p,,(? FEET
WE IiEREBY CER7IFY TO SIENNA CDRPORATION TNAT TIITS IS A TRl1E AND CORRECT
REPRESENTATION OF A SURVEY OF TlIE BOUNDARIES OF:
Lot 5 61ock 4 BLACKHAWK GLEN 2 ND ADDI7ION, accordlng to the recarded plat
tliereof, Dakota County, Minnesota. A?` /. R E Q U I R E D
?
IT OOES NOT PURPORT '70 511014 iMPROVEi9ENTS OR ENCROA ItMENTS, IF ANY. AS SURVEYED UY
FIE OR UNDER MY DIRECT SUPERVISJON 7N15 30TH pAY OF DECEMBER , 1986.
SiGNED; JAI4E5 R. }IILL, INC.
).? /?--
11Y:
NAhOLD C. PETERSON, LAND SURVEYOR
PfIWNESOTA L1CEN5E Nlll•1DER 12294
'AOJECT
85618
C88?(02
F1LE N0.
FOLDER
"""" r""` . JAMCS R. HtLL, 1NC,.
Planners / Engineers / Surveyors
z87? ?{c(
8200 Humboldt Avenue Souih
B1oomington,Mn, 55431 612-884-3020
APFLICATION 1=0R PERMIT
SEWER AfVQ/OR WATER CONNECTIQN
.
.*? NOTE: PAYhEITf OF FEE AT TIME OF *
; r,Priscazzort DOEs Nar mrr *
; sczsvre Arrxcvnr, oF reanur.
.
; xnSesrxau oe se,M ann/oa wnTEa ;
; xtasrrLurxais wnt. nvr ee scEDMEn ;
UNPIL PIIi6IIT HAS BEEN AppRCNID. :
f???xxxwf.i?aaa?ii?+ffiiai?:?ias+artf+r
oF (zcacjan
(PLEPSE PRINT
1) PROPERTY ADDRFSS:
LF]GAL DESCRIPTION;
IF EXISTING STRL'Ci'URE, DATE OF ORIGINAL BUILDING PERMIT ISSOANCE:
PRESENT ZONING/PROPOSID USE:
Q COMMERCIAL/RETAIL/OFFICE
Q INDLSTRIAL
Q INSTIZSJTIONAL/GOVII2NNENT
Mont Year
, =P R-1 SINGLE FAMILY
? R-2 DLPLEX (3Wo L'nits)
? R-3 TOWNHOLSE (Three + Dnits) ( Lnits}
Q R-4 APARTMENP/CODIDOMINIL'M ( Lnits)
21 NAME:
ADDRF55:
CITY, STATE, ZIP: &elN
PHONE:
p For City Use
3) ' ti:_P!: NAME: Pl erumLlcense:
ADDRESS: Tf
Gr/ry-
z
?7`st ?L? • Active
?
. Expired
CITY, STATE, ZIP: /iJ/0 Not recorded
PHONE: MASTEI2 LICETISE #
St Ia n?itiaT
4) ? •o ?•
NAME:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
5) s ?? a?• : u ?e STORM SEWER PERMIT - CONTACT ENGINEERING
? CONNECTIOY3 TO CITY SEWII2 CONNECTION TO CITY WATER O TA?S
6)
e??
?•P l?- ?1? - d0
*??*?*,?****?***+*?***?*?*******+********?+++**?**+*****?*????**:?+*****?*****?***?**?*******+**??.**?
*k THE GOLD COPY OF THE PER[•ffT WIId, BE SENi' DIRECTLY 7O PUBLIC WORKS 70 FACILITATE METII2 PICK-DP. ?
,,*t PLEASE P,LSAW 'IWO WORKING DAYS FOR PROCFSSING. SOAEONE FROM TFM CITY WILL CONTA(.T YOU IF 1Y-IERE *
* ARE ANY PROHIa1S. ?
?,?******?**?********?**+*?**?*********,r****?*????*********«*******?,t*?*,rx*x**************a**?+**?**:?
FOR CITY USE ONLY
PERMIT # ISSC'ED
G'D 7S
Pd w/Bldg. Permit FEES:
$ I0•!5-D $ SEWER PERMIT (INCLUDE SURCHARGE)
$ 461 S-b $ WATER PERMIT (INCLUDE SORCHARGE )
$ $ WATER METER/COPPERHORN/OCTSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOUNT DEPOSIT - SEWER
$ $ ACCOUNT DEPOSIT - WATER
$ d- S D D? $ WAC
$ $ SAC
$ $ TRLNK WATER ASSESSMENT
$ $ TRLNK SEWER ASSESSMENT
$ $ LATERA L BENEFIT/TRUNK SEWER
$ $ LATERA L BENBFIT/TRliNK WATER
$ $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ /?)TZZ 6 6) $ TOTAL
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PDBLIC RIGHT OF WAY?
? YES IF YES, THEN A"PERMIT FOR WORK SdITHIN PDBLIC
Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE:
- CITY OF EAGAN Np 17984
• 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55721
PHONE: 454-8100 L? a? 5
BUILDING PERMIT Receipt #
To be used for DECK Est. Value $1, 000 Date JUNE 11 19 90
Site Address 1631 ASHBURY PLACE
Lot 5 Block 4 SeGSub. BLA:KHAWK GLBN 2
OFFICE USE ONIY
0
PefCEI N0 Occupancy - FEES
.
a STEVEN S LIPPS
Name Zonin9 -
IAcluaq Consl -
Bldg. Permit $25.00
? Address 1631 ASHBURY PLACE (Allowable) _ Surchar
e .50
EAGt?
City Phone 688-2126
# ot smries - g
Plan Review
Length _
o Name SQN1F 939-5268 (W) Depth - SAQCiIy
,
?a Address S.F Total - SAC
MCWCC
? Clty PhOf18 S F. Foolpnnts _ ,
i
S Water Conn
ewage -
On S
te
r
w
Name
OnSdeWell -
WaterMeter
?
E
?
Address MWCCS stem
Y -
pcct. Deposit
<w City Phone cirywater _
d
PR
R S/N Pertnrt
_
V
equire
I hereby acknowlege that I have read this application and state that the Booster Pump - Srw Surcharge
m(ormation is correct antl agree to comply with all applicable State of
Minnesota S[atutes and City ol Eagan Ortlinances. Treatmem PI
SignaNre ot Permitee -.n AbG.n ` /• ?- APPROVALS Roatl Unit
A Building Permit is issued to: STEVEN S LIPPS Planner - park Dad.
on the ezpress condition that all work shall be done in accordance with all Council -- 50
applica6le Slate of Minnesota St tes and City of Eagan Ortlinances.
? glay, pfL _ Copies
26.00
Budding Otficial ?%? L7 Vanance - TOTAL '
?
Cities Digital
itv 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.
?.CASF:HECEIPT
CITY OF EAGAN
• 3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
OqTE
?s-
??trvEO I
rnau I.? ? n ?;• ? r,? Lr C, ?? •
AMoUNT
J? !
8 +m OOLIARS
? ? CASH ?63?CHECK
r
?
?
I
Y
n
?????
YOIWw-Pwong C4py
Pmk-Fb Copy
Thank You •
aY ?`!' 7 r c t'
BI,DG. PERMIT NO./--,'
?
01-3210 Bldg. Permit
01-3422 Plan Check
01-3445 Surch./Adm.
01-3446 SAC/Adm.
01-42155 Surcharge
75-3860 Road Unit
20-2275 SAC
20-3865 Water Conn.
20-3868 Water Trmt.
20-3716 Water Meter 17 ?
20-2252 Acct. Dep.
12
20-3713 Water Permit
20-3743 Sewer Permit
79-qRRR RPwar C:nnn
28-3855 Park Ded
TOTAL 1? ??J?
1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN
/?'SINGLE FAMILY DWELLINGS_----:)
r --
' 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 QNITS lP"OR SALE UNITS ? # OF UNITS
?
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH HLDG. DEPT.,
t SET OF ENERGY CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECZFICATIONS AND 1 SET OE ENERGY CALCULATIONS FIIOi/
- - ?f
fi 0 a 1988
To Be Used For: V uation: Date:
Site Address Il0 ?1 ?? ?? D?--0FFICE USE ONLY
i
Lot J Block On site sewage_ Occupaney - M-1
MWCC system _ke- Zoning Q-?
Parcel/Sub On site well Actual Const V-N
City water / Allowable \/-h}
Owner PRV required ?.? # of stories
Booster Pump _ Length
Address Depth S2'
-O5 AB1,w, S.F. Total
City/Zip Code WAIZITA.YN Eam Footprint S.F.
Phone APPROVALS FEES
Contractor Engr/Assess Permit
Planner Surcharge 3315a
Address Council , Plan Review 22-1.0
C7
SE,wAVIATAeLvDe Bldg. Off. L? 3 SAC, City 100,00
City/Zip Code Variance SAC, MWCC SSp, OD
Water Conn DU
Phone Water Meter , D O
Road IInit 26'.0 0
Arch./Engr. Treatment Pl 7-0 q,00
?? OM ? Parks
Address Copies
?A???? TOTAL ?,?• ?0
City/Zip Code
Phone al
VALC) ATio?J_
?ox22= 44e
q3bpY ? ?vfDy
rS
'?6xLi-, 2 = /?
? 13= I Zar)c.
k49.- 4r)cdZK
??3p4
Aio f^3B F-.•.?""`°_:?
CVIB t.mvW 2 E-2
8::a E'./:?'?1 .a»?Far'f?W
twIV ?? C?iliA
R,:;::Q
e9Y!]Fl
CJlI faTC414) .3, E,3
,--_ - ? 7 ,_.
ra;? i,_.7 !?•.? ;
SUF3VEYOR'S' CERTIFICATE sIENNA CORPORATION
? r-,? A e,l . ,?,?, I ?:??
u?_i-%k?f\??/-?4v?'? l7L_L_i
u 1-
7- r v
Il 1?1 I 41
/8p 1.1 I /-,,LJL?I I i?..?lV
Z
N
C4' 0• /
,
r•-
'- ?
_ J ?I
ry r
n/ e ? ?eS
O ry ?
m,
? ?.
\ ; I
'eie.e 0 ? ,
?.o W
mN Q ?a ?O' "?
ORA/NAGE d UTlL/TY
EASEMENT PER PLAT`
LOT 5 j
?
ZQ
?
? ?--
; -
?o ,4fj
?
a N -?
J y0 /
N ?. i
ON?kJ?
400 r-?
1o
T 0i ?
?-
Sh,e? oo.
8?66 ?
'41f Z,-
DF'
qc ? PT
? REVISED 10-28-98 TO SFqW
` 817.3 PROPOSED FqUSE FOR
LUNDGREN BROTHFAS CONST.
-?- DENOTES PROPOSED SURFACE DRAINAGE •
,O QENOTES IRON NONUh'EN7 SET SCALE: 1 INCII a 30 FEET
0 DENOTES'IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - $2p,Z FEET
X000.0 DENOTES EXISTINC ELEVATION PROPOSED LOWE57 FLOOR a$lZ,S FEET
(000.0) DEfIOTES Pf10PO5ED ELEUA710N PRDPOSED TOP OF RLOCK = g?p,r, FEET
l•lE IIEREE3Y CER7iFY TO SIENNA CORPORATION TlIAT TIIIS IS A TRUE ANO CORRECT
REPAESEN7A710N OF A SURVEY OF THE DOUNDARIES OF:
Lot 5 Block 4 BLACKHAIJK GLEN 2 ND ADDITiON, accordlng to the recorded plat
tliereof, Dakota County, Minnesota. ooG? 0 0
poMa G??QMOG?Eo
IT f10E5 NOT Pl1RPORT TO SI1014 IMPROVEt1ENTS OR ENCROACIiMENTS, IF ANY. AS S[JRVEYED f3Y
hIE OR UNDER MY DIREC7 SUPERVISION TtIIS 30TH pAY OF DECEMBER , 1986.
SIGNED: .IAMES R./IIILL, INC.
UY: ??J(d:l?G•'(..?li i ?(d%'./1•-?
HAROLD C. PETERSaN, LAND SURVEYOR
FIfNNESO7A LICENSE NUI•t4ER 12294
PROJECT NO. soox ? PaGE JAMCS R. HiLL', INC,.
85618
?Sg1('z) Planners / Engineers / Surveyors
FILE NO. z$7144 8200 Humboldt Avsnu• Soulh
FOLDER B1oominpton,Mn. 55431 612-804-3029
. ? ? . { rF ( I`
' 0f L? `.l\
CCi,I51RUC110IJ
II?'C
? ---------
---- ,?,-, • ??,?z, <;:,
- l, I!?IIJI;cSO?(i-. .,..--
-- '---30ULCVl.R?? T. .
Si
/l
? ?? t°'-5
ppaoue l+alls
YJall Framing Hreas
:
Ceiling 3nsulation Nrea „
Ceiling.rraming Area
Ri[-,] Joist
I•',asonr}' 4lall
!!i ndows Doubl e Nung
Doors •
' paiio Doors
SideliLes _ 1) Lo?+er Level (Basemznt)
Tota1 exposed wall area
ppaque Wall Frea
1lood Frane Area
Rim Joist
Exposed block
' 4lindow Area
Sliding Glass Door
Door Area
C-
?
Lot,? u?oc
E_ _u
_058
7
.023
_027
_04
? ?.
.26
_ .4E
_18
.?6
.47
?
3qo.2?X (u) -oss = aa_??
??'{2X (U) .117 = S.Q c
- 04 - ------
gg,71 X (U) -1?+ = ia?-
5!/ x ?)
( -46 = a??_ a--a
Casement
X (U) .26 = ?-
-
Double Nung
- x (U) . 46
= ?---
. ? X , (U) .18 = ----
?O?'"`
Total
?.
2)
I
. ?; ?j)? ?`coI??sTr?uc7Io??
4 ?.% IIJC. _ _--
?
[SOl/, z) :73 tz3?
--- i ? AT
i:OULC\?1?A1'Z
?35 [ ?
ist or ?r::in iloor
•'1? i:i-id -?L- _--- ?7???
L'>IpOSL'G 'c I v
(U) .O7J - ?--_
ppaoue ?)a11 area i17
?p,.'? (U) _
41oed frame area 133 x (U) .04 = 5,3-
= ?a•?
{2im Joist
Case .4"0 ?
ax = /0 ments 4,5S (U) 1!indo`a Area + Double Hun9 (u) .26 y
<{D x (U) - 46 = /8 • 5??---
Sliain9 Glass Door ' ? ,la = ?•??
; 39,98X (u)
Cocr area 5? x ??) -47 ° ?°'?---
Sidelites
Total
3} 2nd Floor if 2 s'LoU
' io-,al exoosed Wal1 area
ppaque r;all area :
Wood frame area
;lindow area
Sliding glass door
Door area
4) Total ceiling area
Wood frame area
p?aque ceiling area
S};ylight
C?
Casements
Double Hung
x (U) .058 = __-
x (U) -117 = ?-
x (U) _46 = ?-
-X (u ) .26
x (u) : 4 6 = _---
x (U) .18
Total ?
9 v-_-
D x (U) -027 =
gg .l Iox (u) -02s = ??-
= __----
x (U ) .55
Total aa•--- g'-
--,,CCOI?Sl RUCI IOIJ ?
viC. _
--? -
g?'S [HST \';AY7_NT/, 30ULERD • 1V/,YZhTf•,. ?!iIIJIJESOTi> 55391 •(612) t?3-1231
yx
I'?inn. U Factors 7ota1 er.posed vrall area ?_ -J
iotal exposed ceiling area 97` y•026 - aS
1Sinn. U Factors
(q) Total
+ I tem 4 a07 30
/IS•0? + Item 3- aa.90 _ -
Item 1 Item 2
I{ total of Iiems 1- 4 is less than Item (A), building
complies with SBC 6006 (C)s
C-
?n 7/iF/Z/ ? ???--
? 20834. &6.A ?'- $/kffI
Repuest Dale Fre No Rou1M1+n Inspection
Reqwred>
? Ves X No
Aveady Now ? WAI Noby Inspector
Wnen ReaDYT
IAlicensed contractor ? owner hereby request inspection ot above electrical work at:
JaE Atlaress (Street. 8ox or Route No I
1d 3 / v?2 Y Cib
?
Seceon No Towns??p Name or No Range No, Counry
Occupam (PRINT)
sT??? < .?s Phone No
? ?-,y z6
PowerSUpplier Atltlress
Eleprical Qonhactor (Company Name) Conbactor's Lmense No
o/O F?
aiLn Aatlress (Conhatlor or Owner Makmg Inslallalion)
L 6 ls r n.?s /'.
Authonia ConVactoriOwner Ma ing In ir r?f I Phone Numbar ?
y?7--?d,c MINNESOTA STATE BOAPD OF CTRICITY THIS INSPECTION REOUEST WIIL NOT
Grigga-MlAway Bltlg. - Room?1)3 8E ACGEPTED 8Y THE STATE BOARD
1821 Univerelty Ave.. 51 Vaul, MN 55106 UNLESS PROPER INSPECTION FEE IS
PROne(612)6<I-0B00 ENCLOSEO
xl
l
r
,? REQUEST FOR ELECTRICAL INSPECTION EB-00001.0f8
?
7
?
i
l
l ? See mstmcLOns for completing this fortn on back oi yellow copy ??'N y
- •`X" Be/ow Work Covered by This Request ?u
ew Add Rep. Typeofeuiltling AppliancesWired EquipmenlWired
Home Range 7emporary Service
Duplex Water Heater Electric Healing
Apt. 8uilding Dryer Other (Specify)
Comm./Industrial ' Furnace
Farm Av Conditioner
OthBr (spttdy) ConVador's RemaMS'
Compute Inspection Fee Below
# Other Fee # ServiceEntranceSrze Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps %
Transformers Above 200 _ Amps AOOVe 100 _ Amps
Slgns Insvecmr's Use Only TOTAL?/ ? ?s
Irngation Booms
Special Inspection
AlarmlCommunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Elecirical Inspector, hereby Ro"qn-'" oace
cerUfy that the above inspection has
been made. F,nei
?
OFFICE USE ONLV
This request voitl 18 montns irom
O f
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
NCRMCAf::v;?'?tt?C?
FOR CITY IISE ONLY
PERMIT #
RECEIPT # /O
DATE:
PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
a.::. :.._....:>,:..,.:,.... .., <
TOWNHOMES/CONDOS WHEN PEk2SZTS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION
NEW CONST _
ADD ON _
REPAIR _
OWNER NAME: Sor-4v- ?{?./eJ
SITE ADDRESS: 16,7/ •
IAT:,5_ BIACK , //-/ SUSD. 1,Fa
INSTALLER:
ADDRES S : I ?-r-r J?????1'? •
CITY: ?v??Tii?-.'" ZIP:
PHONE #: 3 2- -7 66f
FEES
ADD-ON MINIMUM $15.00
HVAC 0-100 M BTU 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM 3.00
OF 1 PER PERMIT
SUBTOTAL: $/
STATE SURCHARGE: .50
TOTAL: $ /.?s o
?
/GtsYl+> ?
I N T E OF PERMITTEE
??G ?st0a'?C
?QtII4ERL',TAI.fTLIT3F7S.TIFIAT.: ?LEASE COMPLEiE THIS POicTION FOR ALL COMMERCIAL/IND"JSTRIAL BUILDINGS,
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
CONTRACT PRICE:
OWNER NAME: _
SITE ADDRESS
LOT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE a $.50 FOR
EACH $1,000 OF PERMIT FEE.
punrggecn pTrTNr. = g25,00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18
STATE SURCHARGE
TOTAL:
$
( S I GNAT[JRE )
FOR:
CITY OF EAGAN
Use BLUE or BLACK Ink
r-----------------
I For Office Usei
~ Permit* City of Ea I W5,3
I Permit Fee: I
3830 Pilot Knob Road /
Eagan MN 55122 Date Received: c~ 3
Phone: (651) 675-5675 I 1
Fax: (651) 675-5694 I Staff:
I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit M
Name: J ► t ey CI SSA Phone: 6S J,(600 ~ 5 a / Z
Resident/ ll
Owner Address / City / Zip: /631 A-Sk 6 cy~t -PL.. ek j,,- - /4-) JS~_
Applicant is: Owner Contractor
Description of work: 1?,e- (-9, ~ll~.✓
Type of Work `
Construction Cost: (6 Q Multi-Family Building: (Yes / No k,
Company: tfot `nX a- A141?lnGe- Contact:
Contractor Address: 41L' A) City: r+ `S'
State: Zip: SS V 12- Phone: 1 0~~ 70 ? 6 6 o
License -7 -71 a-- Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
I
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:
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
I conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.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.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
X -JoSlr~ t
Applicant's Printed Name Ap 'can re
Page 1 of 3
� � . ��
' "P � _� Use BLUE or BLACK Ink
y _ �� � ��
.
�-----------------i
I /
� � {Q I
� �' � Permit#: � J U � I
���y of�a�a� � �a� �
�
� Permit Fee: �
�3830 Pilot Knob Road
Ea an MN 55122 �
I
g � Date Received: �
Phone: (651)675-5675 . ,, � �
' Fax:`(651)675-5694 � Staff: j
. . .. _________________J
2010 MECHANICAL PERMIT APPLICATION
Date: "/ ��l Site Address: -� "
Tenant: 1 a` � Suite#:
/���
RESIDENT/OWNER Name: �l-����'l.�' Phone: �=-`J��—`��� �"��
Address/City/Zip: � j '�— '
CONTRACTOR Name: s � License#: �,�,��--f�!'L/�
,
Address: City:
�402 lNashirsgtc�n Avenue
State: Zip��en�rair��, MN ��ie:
952-94't-1044
Contact: Email:
TYPE OF WORK New placement Additional AI eration Demolition
Description of wo k: � � ��"G'� �J �
:NOTE;Roof mounted'and ground mounted mechanical equip ent is required to be screened,by City
Code: Please contact the Mechanical Inspector fo�information on permitted screening methods. ;, ;
RES/DENTIAL COMMERCIAL
PERMIT TYPE Fumace New Construction _Interior Improvement
Air Conditioner install Piping _Processed
Air Exchanger Gas _Exterior HVAC Unit
Heat Pump Under/Above ground Tank (_Install/ Remove)
'*When installing/removing tank(s),call for inspection by Fire
Other Marshal and Plumbin Inspector
RESIDENT/AL FEES:
$55.00 Minimum Add-on or alteration to an existing unit(includes$5.00 State Surcharge)
$95.00 Fire repair(replace burned out appliances,ductwork,etc.)(indudes$5.00 State Surcharge) $ � TOTAL FEE
COMMERCIAL FEES:
$75.00 Underground tank installation/removal OR Contract Value$ x 1%
$55.00 Minimum (includes State Surcharge)
_$ Permit Fee
-If the Permit Fee is less than$10,010,surcharge is$5.00
-If the Permit Fee is>$70,010,surcharge increases by$.50 for each$1,000 Permit Fee =$ Surcharge
(i.e.a$10,010-$11,010 Permit Fee requires a$5.50 surcharge)
_$ TOTAL FEE
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.poaherstateonecall.orct
I hereby acknowledge that this information is complete and accurate; that the work will be in confo nce ith 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' ot to art ith ermit;tha work will be in accordance
wit the approve plan in the case of work which requires a review and approval of plan -
x /� �f''�^e'�''._
x
Applicanfs Printed Name A ican ' Signature
FOR OFFICE USE '� eviewed�By: � �-���Date �°' .
Required Inspections: Uniier Ground ' Rough In;,_Air Te`st ' Gas Service Tesf,=1n-floor Heat ° Final::
Eicterior HVAG Screening Inspection :?
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA145850
Date Issued:09/26/2017
Permit Category:ePermit
Site Address: 1631 Ashbury Pl
Lot:5 Block: 4 Addition: Blackhawk Glen 2nd
PID:10-14351-04-050
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: 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 -
Sarah Jean Jalilpour Cissan
1631 Ashbury Pl
Eagan MN 55122
(651) 335-7911
Property Claim Solutions LLC
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA161189
Date Issued:05/11/2020
Permit Category:ePermit
Site Address: 1631 Ashbury Pl
Lot:5 Block: 4 Addition: Blackhawk Glen 2nd
PID:10-14351-04-050
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation. When a weather barrier is installed or
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 -
Christopher Baker
1631 Ashbury Pl
Eagan MN 55122
(651) 335-7911
Krech Exteriors Inc
5866 Blackshire Path
Inver Grove Heights MN 55076
(651) 688-6368
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA164644
Date Issued:10/05/2020
Permit Category:ePermit
Site Address: 1631 Ashbury Pl
Lot:5 Block: 4 Addition: Blackhawk Glen 2nd
PID:10-14351-04-050
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
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: 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 -
Christopher & Sarah Baker
1631 Ashbury Pl
Eagan MN 55122
(651) 335-7911
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA165421
Date Issued:10/30/2020
Permit Category:ePermit
Site Address: 1631 Ashbury Pl
Lot:5 Block: 4 Addition: Blackhawk Glen 2nd
PID:10-14351-04-050
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 -
Christopher & Sarah Baker
1631 Ashbury Pl
Eagan MN 55122
(651) 335-7911
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA170539
Date Issued:07/08/2021
Permit Category:ePermit
Site Address: 1631 Ashbury Pl
Lot:5 Block: 4 Addition: Blackhawk Glen 2nd
PID:10-14351-04-050
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
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 -
Christopher & Sarah Baker
1631 Ashbury Pl
Eagan MN 55122
Air Mechanical
16411 Aberdeen St NE
Ham Lake MN 55304
(763) 434-7747
Applicant/Permitee: Signature Issued By: Signature