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3660 Ashbury Rdc,m? oF EAGAN WATER SERVICE PERMIT 3830 PYot Knob Road 8112 P.O. Box 21199 PERMIT NO.: Esgan, MN 55121 . DATE 10-28-86 Zoning: R1 No. of Units: 1 Owner. LundQren BroG Addresg: 3660 As bury Road L2 B Blac w G en Site Addess: - • -- ^--- - ,,, .._,. ;.,,. Meter No.: -? 76 ? 5 3'/ % Connectlon Charge: ? v. OOpd Size: Account Depasit: 10 . 00pd Reader No.: ;:2??? ? Permit Fee:. . 0pd 1 agne to complr wilh tha Gty of Es?a Surcharge: 156. DOpd TY Ordinances. ? Misc. Charges: Total: 63.50 pd meter Date Paid: Date ot tnsp.: InSP•: 3830 Pilot Knob Ro dl P.O. Box 2GA 9, Eagan, MN 55121 N ? 1? v O? PHONE 454-8100 BUILDING PERMIT Receipt # To be used tor S=' UWG/GA.R Est Value $11110 0 U Date UCTOBER 23 19 d 6 3660 ASHBURY RD R3 Site Address Erect ff Occupancy Lot Z Block I Sec/Sub. BLACKHAWK G;.EN Remodel ? Zoning R 1 Parcel No. Repair ? Type of Const. y Addition ? No. Stories Q LUNDGREN H120S CONST IiVC Move 11 l.ength `Jd i Ng? 935 E WAYZATA BLVD Demolish ? Oepm 36 o Address Int Impr. ? Sq. Ft ciy WAYZAT4%one 473-1231 Install 0 o Name 5AME ApprOW u a Address Assessment _ ~ City Phone WBter & Sew. F W Name TFiO:?iAS A kT;ITLOCK Foece ? ? Address 13402 AVJiV COURT E ng. <W CityEDr:": P?one 934-0665 Planner CounGii I hereby acknowledge that I ha e read this application and state that the gldg. ( information is correct and agrO Idga, to comp with all applicable State of APC_ Minnesota Statutes and Ciryq? OnFes. r. D? Signature of Permittee r a t A Building Permit is issued ta LUPJDGREN $ROS , OCJS T I;.VC all work shall be done in accordance with all applicable State ot Minnesota Statute Permit $ 460. 50' Surcharge 55.50 ' Plan Review 230.25 SAC 575.00 Water Conn. 500 . l'1 U ? Water Meter 63 . 50 Road Unit 290.00 -r, o, 156.001 Copies . 75 Total ? the express conditlon that Ordinances. Building - PermH No. PermH Holdw Dde TNaphons N Plumbiny Electft C?„o3C- f)i D' ±e e 44,2 cs 0 / L. C?. t 1-?Alldc? ? . $011enM InapacNon Dab Inap. Commenh Footinys I Footlnys II Foundadon Fnminy Roolinq Rouph Piby. Rouph Hty. j ? Imul. Fkeplace Flnal Hf¢ Final Plbp. I D*cfi 4 Frmg. .. . . J " . . .. . . . . . . . . .. . . . - . •-..e . .. . . . , . = PERMIT # PLUMBING PERMIT RECEIPT # ? ?? ?? ? CiTY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Address ' ' / - Lot ? Block I Sec/ ub J ' m Name ? Address c City Phone ? Name ? C Address O City Phone FEES COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE 8 CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.00 MINIMUM - COMM/IND FEE - $20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYONO $1,000.00) SIGNATURE OF PERMITTEE I. FOR: CITY OF EAGAN BLDG. TYPE WORK DESCRIPTION Res. k New K Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TO?TAL _:3 Water Closet - $3 00 ? / Bath Tubs - $3.00 'L--Lavatory - $3.00 ?Shower - $3.00 ?Kitchen Sink - $3.00 Urinal/Bidet - 53.00 -L_Laundry Tray - $3.00 ?Floor Drains - $1.50 ?Water Heater - $1.50 f• ? Whirlpool - $300 _LGas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIT) Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE: ? J STATE S/C: - , .? GRAND TOTAL• -? ' PERMIT # <- I CHANICAL MECITY OF E/IGAH IT FiECEIPT # L? ?697 ? 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: ou z- ? CONTRACT PRICE: PHONE: 454-8100 ; Site Address BLDG. TYPE WORK DESCRIPTION G Kl o Lot •? Block ? Sec/Sub ' Res. ? New m Name Mult Add-on '? m Address Comm. Repair f c Citp',:1,-, rL ? Phone x , - , ? ? -, ' Other Name ? - , ?c v ? _ i ; r , FEES v c 0 « <' Address ? y ' i'`l• RES. HVAC 0-100 M BTU - $24.00 4 - p 1 Ciry Phon0 _? ADDITIONAL 50 M BTU - 6.00 ,L ?ej) ADD-ON AIR COND. 0-24 BTU - 12.00 TYPE OF WORK ADDITIONAL 6 M BTU - 6.00 . ? ?? GAS OUTLETS - 1.50 EA. ?) Forced Air ?x ? ??' ?v M BTU ' COMM/IND FEE - 196 OF CONTRACT FEE Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00 Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00 AirCond. 1L',M BTU STATE SURCHARGE PER PERMIT - .50 Vent CFM (ADD $.50 S/C IF PERMIT PRICE GUES BEYOND $1 ,000.00) Gas Piping Outlets # Other FEE: ' c., ? ?. !..1 i r_? • SIGNATURE OF PERMITTEE S/C: TOTAL• ?"? ?? FOR: CITY OF EAGAN ? CASH RECEIPT N , CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 RECEIVED FROM AMOUNT $ I & DOLLARS ?ee E]CASH FJGHECK BY i77 White-Payers Copy Yellow-Posting Copy Pink-File Copy Thank You BLD.G•. PERMIT ti0. • , ? _. 01-3210 Bldg. Permi 01-3422 + Plan Check 01-3445 Surch. /Adn:. 01-3446 SAC/Adm. 01-2155 Surcharge 17-3860 Road Unit 20-2275 SAC 20-3865 Water Conn. 20-3$68 Water Trmt. 20-3716 Water Meter 20-2252 Acct. Dep. 20-3713 Water Permi 20-3743 Sewer Permi 79-3866 Sewer Conn. 11-3855 Park Ded. TOTAL ? ? . I : ? l, CITY OF EAGAN WATER SERVICE PERMIT 3830 Pibt Knob Road P.O. Box 21199 PERMIT NO.: 211" Eagaa, MM 55121 DATE: 10?-Z8-a6 Zoning: RI: No. of Units: 3- Owner. ` • Address: Site Addess: 3660 aahbury Ftoad L2 B1 El.ackhawk Glen Plumber: L.Lnd2ren Bms. Pl »+bing Meter No.: Connection Charge: 500• 00Dd Size: Account Deposit: 15• QQFd Reader No.: Permit Fee: 10. OOnc: I agree to compfy with the Gty of Eagan Surcharge: . 50pi' Ordfnances. Misa Charges: I56.00nd T?' Total By Date Dete of Insp.: Insp. CITY OF EAGAN 3830 Pilot Knob Road P. O. Box 21199 Esgan, MN 551.21 Zoninp: . SEWER SERVECE PERMIT PERMIT NO.: DATE: No. of Units: Ownsr. LuuaqreB nros. llddrcu: Site /lddi Plum6er. 1 ym M ee -phr wuh 110 CMy ef ype OrdIMnaL By Date of Inap.: CwwNdian Charpe: 47 Aooourt Depoalt: 1 S ?. Pamit Fer 01012o SIJ1'ChQrQ0: Misc. Charpes: Tatal: _ boM Pold: CITY OF EAGAN Addition $ 1 nr;.;k filell Owner Improvement Date Amount Annual Years Payment Receipt Date STRE T SURF. 1076 253.48 50.70 5 STREET RESTOR. GRADING SANSEwTRUNK 1970 6.70 25 Pd rior t division SEUVER LATEF7AL LF 1986 11 Z. 09 22 . 42 5 WATERMAIN Bn 1075 1986 92.80 18.56 5 WA7ER LATERAL WATER AREA 1072 1986 309.40 5 I STGRM SEW TRK 732 1993 - 32 57 STORM SEW LAT CtJRB & GUTTER ' SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK „ RESIDENTIAL - BUILDING PERMIT APPLICATION CITY OF EAGAN 651-681-4675 11 1? 3830 PILOT KNOB RD - 55122 NewConstruetion RaouiremeMs • 3 registered sde surveys showing sq. R. of lok sq. ft. of Muse; and all roofed areas (20% maximwn lot coverage allowed) • 2 coDies W dan showiri9 beam 6 windon srzes; poured found design, etc.) • iselofEnergyCalcWatlons • 3 copies of Tree Preservatlon Plan H lot platted aRer 717/93 • Rim Joist Defail Options selection sheet (bldgs with 3 or less unifs) DATE _ JOB SITE IF MULTI-FAMILY BUILDING, HOW MANY PROPERTY OWN TYPE OF WO APPLICANT ADDRESS PAGER # CELL PHONE FIREPLACE(S) _ 0 _ NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category (check one) Plumbing Coniractor: ? Plumbing Systcm Includes: Mechanical Contractor: Vlechanical System Includes: Sewer/Water Contractor: _ Air Conditioning HeaC Recovery System Phone # Phone # /-r- I? L. Fee: $70.00 All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that with all applicable State of Minnesota Statutes and City of Eagan Signature of Applicant Certificates of Survey Received _ _ MINNESOTA R 670 CATEGORY 1 ? Residential Ve ' ion Category 1 Worksheet Submitted - Energy E ope Calculations Submitted ^????? I y I LS ? MINNFSOTA RULES 7672 I?I - New Energy Code Worksheet Submitted Water Softener Water Heater _ No. of Baths RemodellReoairReauirements ?G ???-? ? ?? • 2 copies of plan • 7 set M Energy Calalations for heated additions • lsitesuneyforerterioradditbns&decks . Indicate if home served 6y septic system far additions VALUATION Phone #: Lawn Sp[•inkler No. of R.I. Baths Tree Preservation Plan Received '??. OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex # 31 New ? 32 Addition ? 33 Alteration ? 34 Replacement ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) V 23 Parch (screened) ? 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bidg ? 31 6d. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 36 Move Bldg. ? 42 Demolish (Foundation) O 45 Fire Repair ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 Windows/Doors •Demolltion (Entire Bidg only) - Give PCA handout to applicant Valuation r9i ? Occupancy Census Code Zoning SAC Units Stories Nbr. of Units ? Sq. Ft. Nbr. of Bldgs Length Type of Const J? Width ? --3 MC/ES System 10"4 City Water Booster Pump PRV ? Fire Sprinklered ;rI2, REQUIRED INSPECTIONS _ Footings (new bldg) Footings (deck) FinaUNo C.O. Footings (addition) Plumbing Foundarion Drain Tile Roof Ice & Water Final Framing - -{ Fireplace _ R.I. _ Air Test _ Final Insulation Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Pertnit License Search Copies Other Total ? 07 OSplex ? 13 16-plex 0 08 06-plex ? 16 Fireplace ? 09 07-plex O 17 Garage ? 10 08-plex ? 18 Deck ? 11 10-plex ? 19 Lower Level ? 12 12-plex Plbg_Y or_ N ,a FinaUC.O. ? HVAC Other _ Pool Ftgs Air/Gas Tests _ Final _ Siding Stucco Stone _ Windows (new/replacement) Approved By t,14e , Building Inspector - ---------------- ---------?--/------------------------------------ S'C ? ??? ?O h C?L / d? r6 ?cit? G`Ia 7c--'VU ??(Gl uest 18imonths Immie c 6035 9 Nequ st Dete fire No. Pough-in InsVemion AO ??etl7 fleatly Now QWill Nalily Insoec- Yes No tor Whan Reedy FIL icnnsed Elaciripal Canlrxctor 1 hareby request insnection o1 ebova Owner elactrieel work inatelled et: Sireat Address. Box or floute N City a elvl? ec ion o. owna p ame or o. Bnpe o. C tly Occu tIPflINT lFhone No. Y 1z.3> Po $up r Addiess Elect ' I Contrec or ICO a nme) Cnntracmr's License No. a Mai n AtlJress IContrector ar Owner Makinp Instetlaiionl Q Autho z ign ur IConu r ner Maki lnstal ionl Phone NumEer -.33 MINNESOTA gTpTE BOARO OP ELECTIIICITY T/{YS INSPECTION AEaUEST WILL NOT Orippc•Mitlwey Bltlq. - Room N•187 BE ACCEPTED BY iHE STATE BOAflD 1821 Unlvanitv Ave.. 81, Peui, MN 66104 UNLESS PROVER INSPECTION FEE IS Phona 1612) 842-OBOO ENCLOSED. (y/ REQUEST FOR ELECTRICAL INSPECTION ea-ooooi-oe 6ae indructione for enn0letin0 thia torm on beak ol yellow cupv. FK b , r, n Q'r Q "X".Below Work Covered by 7his Request Equipmenl Wlred M fee SarvlceEntrenceSlz• A Fee feedara/SUb/eeders b Fee Circuib U to 200 Am s 0 ta 30 Am s 0 to 30 Am Above 200 to 700 Amps 31 to 100 Am s Swinvnin Pool Above 100_Am s Above 700 Am 5 Transformers rri ation Booms Partial-"Other-fee ame?ka Signs Special Inspection g TOTAL I, the Elactricel Inapector, hereEy certily thet tha a0ove Inapectlon hse baen ma.. This red.est voitl 18 rronths trom . e 4 7 3 s 7?„2 Request Date / Fire No. RouPh-in InsuecIion R q kedt ?Ready Nuw ?Will NoGty.lnsoec- ^ 9 d? O Yes ?No lor When Ready iicensetl Elechical Coniractor I heroby request inspection of above Owner . electrical work instelleE ar . Street Address, eoz or Poute No. Citv 666 s i3v,e ? CA ecuon o. Townshi0 Name or o. Nange No. County v fp/l Y Occupent (PflINT) Phone No. '/? 3 '23 PoVV¢r $uOPlier Address o 7- L-L ?GL/Z,CL Elect ical Con[rar.[or ICOmpany Namel Contracmr's License No. Standard Electric Co. 40837 Mailing Address IConvactor or Ownar Making Insiailaiionl 2672 Maplewood Dr., Maplewood, Mn 55109 Authoriz igna[ure IConbeclor/O er Making Installationl Phone Number 484-8044 MINNESOTA STATE BOAND OF ELECTflICIiV THIS INSPECTION REQUEST WILL NOT Grie9s-Midwey Bldg. - floom Nd91 BE ACCEPTED BY THE STpTE BOARD 7821 University Ava., Sl. Paul, MN 65104 UNLESS PROPEH INSPECTION FEE IS Phona (612) 297•2111 ENCLOSED. EB REQUEST FOR ELECTRICaL INSPECTION ' -OU001-O4 Iir See instractions lor Comoletirigthls form on back of yellow copy. 4, 7 3 6 7 X" Below Work Coveied by lhis Request New aea R Type oi eunatne nooliancas w+rae Equiument WireA Home Range Temporary Service Duplex Water Heater Liyhtiny Fiztures Apt. Building Dryer Elec[rie Heatin Commercial Bidg. Fumace Silo Unloader industrial BIAg. Air Conditioner Bulk Milk Tank Farm Otne.r peci y thev ISncufyl t .r ueu y ther Oth¢r Campute lnspection fee 8e/nw N Fee ServiceEnvenea5ize H Fae Faxders/5ubfaxdars N Pae Circuits $ U to 200 qm s 0 to 30 Am s 0 to 30 Am s Above 200 qrnps 31 to 700 Amps 31 to tU0 Am s Swinmin Pool Above 100_Am s Abave 700_Am s Transrormers Irrigation tboms e Q Partiat.OtheLFee Signs Speciallnspection So V/ TOT F erturks R E G? L ? ! I / I ? Rouph-in •- Dnte the Electrifnl , a spector, heraby artliy that fhe nbova I Finei 0nsoection has bean ?I rrede. TNa reouest mitl 18 manlhe Irom RESIDENTIAL BUILDING Permit Apptication ? City Of Eagan ?- 1?e( 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWCtion Reouirements RemodellReoair Reauirements Office Use Onlv 3 registered site surveys showing sq. il. of lot, sq. ft. of house; and all mofed areas 2 oopies of pian Cert of Survey Recd (20% maximum lotcoverage albwed) 1 set of Energy Calculations for heated addifions Tree P2s Plan Reod 2 cnpies W plan showing beam & wintlow sizes; poured found desgn, etc. 1 site survey for additions 8 decks Tree Pres Not Reqd lsetofEnergyCalculations AddRion-indicafei/onsrtesepBcsystem _On3iteSeplicSystem 3 copies of Tree Preservafion Plan if lot platted after 717193 Rim Joist De4il Op6ons selec6on sheet (bldgs with 3 or less units Date Site Address 3660 ?h p n N Construction Cost b aUC) ? Unit/Ste # Description of Work - FeR r pT? ? ('4-- Y c-o ? Multi-Family Bldg _ Y? N Fireplace(s) _ 0 _ 1 _ 2 Property Owner ?? all Telephone # (4S1 Contractor r e k• Address State SG_ City ZipsS ?/0 G Telephone#(G/L 2,g g' d?y COMPLETE THIS AREA ONLY IF Energy Code Category - Minnesota Rules 7670 Cateeorv 1 . Residential Ventilation Category 1 Worksheet (J submission type) Submitted • Energy Envelope Calculations Submitted Licensed Plumber Mechanical Contractor Sewer/Water Contractor A NEW BUILDING Minnesota Rules 7672 • New Energy Code Worksheet Submitted Telephone #( Telephone #( Telephone I hereby apply for a Residential Building Permit and acknowledge that the info ?' tion is_complete an?daccurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN 5tatutes; 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. Ap icanYs Printed Name Applicant's gnature OFFICE USE ONLY Su6 Types ? 01 Foundatlon ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 AccessoryBldg ? 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 O 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement - •Damolition (Entire Bltlg) - 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 REQUIREDINSPECTIONS _ Footings(new bldg) FinaUC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain TIle Other Roof _ Ice & WaTer _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fueplace _ R.I. _ A'u Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By Base Fee Surcharge Plan Review MGES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Piant License Search Copies Other Total Building Inspector RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 ?-a. 651-681-4675 J J NewConsWClionReauiremaMe • 3 registered site surreys ShOwing Sq. ft W IoL sq. ft. af house; and all roofed areas (20% mazimum lot coverage allowed) • 2 copies of plan showing beam 8 windax sizes; poured fouM design, etc.) • 1 set of Energy CalculaGoro • 3 copies of Tree P25ervation Plan rf lot platted aRa 711l93 • Rim Joist Delail Optians selectlon sheet (bldgs wRh 3 or less unitg) DATE JOB SITE ADDRESS? IF MULTI-FAMILY BUILDI PROPERTY OWNER__.? TYPE OF WORK?I'X,6' vr HOW MANY UNITS? -S Tla,as RemodaVReoeir Reauiremenb . 2 copies of plan `? v • 1 set of Energy Calculatrons fir heated additiore • 1 site survey fw exterior addNaes & decks • Indicate if hpme served 6y septic system toradditiore VALUATION ???9 l PIREPLACcrc. 9-° , APPUCANT Biek RebTS Remadelmg lns, "-J PHONE# ADDRESS 7208 James Avenue South ZIP CODE IC PAGER # CELL PHONE # /n'/? FAX 5 T .?-- ?- NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category MINNESOTA RIJLES 7670 CATEGORY 11I? - , -, r? rJ N (check one) - Residential Ventilation Category 1 Worksheet Subrr??t?,id AUG 2 7 2002 - Energy Envelope Calculations Submitted ? . _ MINNESOTA RULES 7672 New Energy Code Worksheet Submitted Plumbing Contractor. Plumbing System Includes: Mechanical Contracfor: Mechanical System Includes: Sewer/Water Contractor: _ Water Softener _ _ Water Heater _ No. oE Baths _ Air Conditioning _ Heat Recovery System Phone # Fee: $70.00 Phone # All above information must be submitted prior to processing of application. 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 Ordinances. SignWure of Applicant 42.4?4' Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required Phone #: Iawn Sprinkler Fee: $90.00 No. of R.I. Baths Updated 2002 OFFICE USE ONLY ? 01 Founda5on ? 07 05-plex ? 13 16plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex O 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - MuIG ? 03 01 of _ plex ? 09 07-plex O 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex Ird( 18 Deck. ? 23 Porch (sueened) ? 36 Multi ? 05 03-plex ? 17 70-plex ? 19 Lower Level ? 24 Storm Damage ? 06 '04-plex O 12 12-plex PI6g_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding X 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) O 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 Z13? zoning P? City water - SAC Units Stories Booster Pump ? Nbr. of Units - Sq. Ft. ?PRV ? Nbr. of Bldgs Length Fire Sprinklered -- Type af Const ? Width I'L ? Other Pool _ Ftgs , Air/Gas Tests _ Final _ Siding Stucco Srone _ Windows (new/replacement) Approved By REQUIRED INSPECTIONS Footings (new bldg) Footings (deck) FinalMo C.O. Footings (addition) Plumbing Founda[ion Drain Tile Roof Ice & Water Final Framing Fireplace _ RI. _ Air Test _ Final Insulation FinaVCA. ? HVAC 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 Building Inspector i? %SURVEYOR'S, CERTIFICAYE SIENN]( CORPORATION \ ? 3 5 ? a?' , 3 fi 4 9 at2. d "? c ? to ? A ? .,;. _ ? 11qu? fl? im ' C: -C O ? rn N co 0 S 30 I ? 11 ? y, ? 38 ?? io ? ° `t 6 ?, ? g;o.9 1?5 • _ ? bz?'JS- j654 'f' L? ? •.. _ Zo.o?o '? \? 1 \ ? b ? o? o\ \ ? ? ? N N\ ? J p\ ? Q i ` ? ??A2?.5 26 ID ?I0.00 ZS.S 32.50 '6xe.i1 36.5 'Zy z? L_ ? m2 m? I -A ? m I t b? % I 1J 10 =?13.92 ?- ?1 N PT41%J N 81°02'46" W N J? ` ? „ t??k= ? ; r . ., Q o U1 ?' v r' G __1 ? -4-, / i36.t? -?-- DENOTES PROPOSED SURFACE DRAINAGE O DENOT'ES IRON MONUMENT SET SCALE: 1 INCIi = 30 FEET • DENOTES IRON MONUMENT FOUtJD PROPOSED G/1RAGE FLOOR = SZ7_3 FEET X000 0 DENOTES EXiSTING ELEVAT]ON PROPOSED LOWEST fLQOR = 8to.3 FEET . (000.0) DEtIOTES PR01'OSED ELEUA710N PftOPOSED TOP OF DLOCY. = gz-1 7 FEET 41E IIEREE3Y CERTIFY TO SIENNA CORPORATION THA7 TNIS IS A TRLIE APIO CORRECT fiEPRESENTATI0P1 OF A SURUEY OF THE 60UhJDARIES OF; Lot 2,alock I, 4LACKHAWK GLEN iST AUDITION, according to the recorded plat thereof, Dakota County, Minnesota. IT DOES PIOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACfII•i[NTS, IF FlNY. AS SURVCYED DY 11E OR UP10ER MY DIRECT SUPERVISIOPI TFIIS 13TN DAY-0F NaV. , 1985. SiGPlED: , INC. ? ; REVISED 10-10-86 TO SHOW PROPOSED HOUSE RY : 6??.? • BYLUNDGRENBROS.CONST.,.INC, HAROLD C. PETERSON, LANU SURVEYOR MINNESOTA LICEWSE NUhiDER 12294 PAOJECT NO. BOOK / PAGE JAMES R. HILL, INC. 85618 (86290) 133?s?? Planners / Engineers / Surveyors FiLE NO, 6200 Humboldt Avonue Soulb FOLDER 6{oominplon, Mn. 55431 012-E184-3029 ' • CITY OF EAGAN NO 1280? 3830 Pflot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ? PHONE: 454-8100 BUILDING P ERMIT Receiptu 7obeueedtor SF DWG/GAR est.value $111,000 oate OCTOBER 23 1y86 SiteAddress 3660 ASHBURY RD Erect ? Occupancy R3 Lot 2 Block 1 Sec/Sub. BLACKAAWK GLEN Remodel ? Zoning Rl Parce l No Repair ? Type of Const. IL . Addition ? No. Stories a LUNDGREN BROS CONST INC Move ? Length 58 Name Demolish ? Depth Ir 3 nddress 935 E WAYZATA BLVD Int. Impr. ? Sq. Ft ° Ci WAYZAT ry Aehone 473-1231 ?nstall ? a o Name SAME Approvals Fees i ?? Address ASSeSSrtl6nt PCrmit $ 460.50 ? ciry phone Water&Sew. Surcharge 55.50 2 Police 5 Plan Review 230 • t= I Name THOMAS A WH7 .O -K Fire SAC 575.04 ?= Address 18402 AVON COURT Eng. WaterConn. 500.00 aw cityRDEN PRbhone 934-0665 Planner WaterMeter 63.50 Council Iherebyacknbwledgethatlhaereadthisapplicationa setethatthe B?dg. Of information is correct and ag t comp ' i i all Ie St te f Road Unit 290.OC TcPI. 156.OC ? w Minnesota Statutes and City, f gan O ap ica a o a ces, APC Parks Signatureof Permittee Date Copies Total $2,330. 7E A Building Permit is issue to: LUNDGREN BROS ONST INC on ihe express condition that all work shall be done in accordance with all applicable Sta ? Mi ne ota Sta tes an i i Eagan Ordinances. Building Official 1986 BOZLDING PERIU'P APPLICATIOH - CITY OF EAGAN NOTS: ALL CANTRACTOES M[TST BS LICENSSD iiITH THS CITY OF EAGAA SINGLE FAMIILY DiiELL=TxGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS l4UI.TIPLS DiiEI.LIHG3 - RSSIDSNTIAL RENTAL IINITS FOE SALH DNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SORYEY - CHECg WITH BLDG. DSPT., 1 SET OF ENERGY CALCQLATIONS C044ERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OE SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND ? (r r, boo. To Be U sed For: Date: Site Address 3 O OFEICE DSfi ONLY Lot ? Block ? Erect ? Occupaney 2 3 /f /? Remodel Zoning (Z I Parcel/Sub ?G?,??,??r,?.,?,p? Repair _ Type of Const Addition ll of Stories Owner Move Length `a3 Demolish Depth 2('0 Address Int.Impr. Sq Ft City/Zip Code e" ? Phone X-23 - ContractorG 0 Address City/Zip Code ? Install 9PPROVAIS FEfiS 50 Assessments Permit Water/Sewer Surcharge -5_S,SO ? Poliee Plan Review 23t?. ? Fire SAC 575. Engr Water Conn Soo• Planner Water Meter 63. i Phone Council Road Unit Z9 O, Bldg Off Jo.2i.ec,-A#Treatment Pl l5?• Arch./Engr.AA/4&41? APC Parks "' ? ?-' Variance Copies ? Address 2p-zt?ci TOTAL (,Ja f-_ City/Zip Code, la? Aedz-???..?"S'3 f? y Phone # HOTE: 9DDHESSfiS FOR CORHER LOTS - CONTRACTOR/HOHEOiiNEE MIIST DfiSIGNATS WHICH ADDRESS IS DESIRED. NO CHANGFS iIILL BE ALLOiiED ONCE BQILDING PBRMIT IS ISSIIED. ZB?c 2? ° ?ZZ?-?s?= ?2ZZ4 1? x Z2 ? 4i?x?z = So?? 12 x 2o = 24o x?2 = Zof? Z& x2(a - ? 2& x ¢q- " 3Zo3Z 20x 14 " Z80 x4¢' I2-320 v 11 o 7 (Z SURVEYOR'S CER 1 IFIC6"+TE SIENN3( CORPORATION . 4 1 \ ? -? ?- bZ?.ls ? ?, S4tN r0313 ? ?6" io B'°8 35 44 , ? g'w`? 3?• .4 T - ? e ? 10 4 ? fl r ? R? ? ?no M , ..URl . C dDN.m QW (3) ? m ? D io '. su e3.3 -- ?i 30 I I I zo.o',o . N O i1.33 ? ? t N 5.0 A\' .a J ?P m A ? $ED .u, ?$ ? 0-- , ;NlAY,ec*.,_..:- IOA i o ? ? ^ o I ? ? ? c cA i ? ? 26.33 I ?Yet?-s . 19' ? ? • 13.92 0 N ?a I n, 2 2 ? rn I bm A? I I _j io ? ,n 73c.t sz.so -81zg,-n 36.54 5B.O7 Z? N 81°02'46" W >> ? --' ? ?- , ? H? W W ?11 ? i n rt? 6•Z? ? DENOTES PROPOSED SURFACE DRAINAGE SCALE: 1 INCH = 30 fEE7 O • DENOTES DENOTES IRON MONUMENT SET IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = 8273 fEET X000 0 DENOTES EXISTING ELEVATION PROPOSED LOWES7 fL00R = 82a•3 FEET . (000.0) DEPlOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCY. = g z-1 7 FEET llE IIEREBY CERT1(Y TO SIENNA CORPORATION REPRESENTATIOP{ OF A SURVEY OF THE BOUNDARIES OF; TNAT THIS IS A TRUE AND CORRECT Lot 2,Block I, 4LACKHAWK GLEN 1S7 ADDITION, according to the recorded plat thereof, Dakota County, Minnesota. IT [10E5 NOT PURPORT TO 51101%1 IMPROVEMENTS OR ENCROACt(I•1ENTS, IF ANY. AS SURVCYED 6Y IIE OR UNDER MY DIRECT SUPERVISION Th115 13rH DAY OF NoV. , 1985 SIGNED: JAMES1. )1I?/L, INC. REVISED 10-10-86 TO SHOW PROPOSEDHOUSE QY: BY WNDGREN BROS.CONST.,JNC. HAROLD C. PETERSON, LAhIU SUItVEYOR MINNESOTA LICENSE NUPiDER 12294 PAOJECT NO. BooIc / PaGE JAMES R. H(LL, INC. 85618 (86290) ' 133?5?? Planners / Engineers / Surveyors FILE N0. 8200 tiumhoidt Avonue South FOLDER B{oominpton, Mn. 55431 012-t3F34-3029 ?- ? ies Digital itv Contro The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. 0 5-.- OIJS1RUClIOIJ _ _ 1IJC. --- YZH7l. EOUL[VARD • ?';/,YZl-.TR, IJIIJl;CSU7/. ????'? ' ?j 5 EAST ' EY.7Ef'.70R EI;VELOPE P.NEP,F.GE U C0;'jPUTAT]Ol: ? i ? Lot? alock?_ ' Site AdGress-L? ' ?- -- 36GQ?r.? R u R & U Factors ppaoue 4lalls Ylall Framing Areas : Ceiling Tnsulation Area , Ceiling Framing Area Rim Joist Fjasonry Wall 1•li ndorrs Doubl e Hung Casements Doors • Paiio Doors Sidelites 1) Lower Level (Basement) Total exoos ed wall area Opaque Wall Area ldood Frame Area Rim Joist Exposed block ' Window Area Sliding Glass Door Door Area c- .058 .117 .023 .027 .04 .le _26 - .4E _18 .46 _47 Casement Dou61e Nung -- v - y (u) - 058 = ,;7ax (u) -117 = ? S _ x (U) .04 = ._ ?x (U) -14 o?ax (U) -46 = A9_?o2 - x (U) - 26 = ?----- ?x (U) -46 s x ` . (U) -18 r--- To ta 1 3 ) ? 0 C?COIJSTRUCTIOI? - J. 11?c. . -, c. 4 7 3- 1'231 EI5l ?vr;yZ/,76. BOUL[V/-.RD •%'dAl'ZATA• IJ?IIJNLSOTA 5....?i (6)2) 2) 7st or ir?ain floor Tot a l e>:Posed ?+zll area Opaoue %.jall area Iqood firame area Rim joist ? 1-.19ndow P,rea . ; i ? Sliding Glass Door , Door area Sidelites Casements Dou61e Hung , L 9x ? (U) .o5a = ?3,.5 (U) .117 = /0S X ( U ) .04 = ?- ?X (U ) .46 .26 ?X (U) .46 = ?X (U) .la = G, 8 2x (U) -47 o?O• 9 Total 3) 2nd Tloor if 2 siory ' Total exoosed wall area ? Opaque wall area . Wood frame area l-lindow area Sliding 91ass door Door area 4) Total ceiling area Wood frame area Opaque ceiling area Sl:ylight ?.3 3a .?9X (u) .055 = la5 °`-f- 4?6-X (U) .117 = Casements '-X Double Hung ?X -x - x Total .46 = ?- M -26 = (U) :46 = ? (U) .18 = ?- /DO, a /ODf?' /QLx (u) -027 = ?- 9X (u) -023 = ao ?? - X (U) .55 = ?- Total ?`3 S L '?JCCOI C1RUCilON ^ ?Y? _ ---- -- - , 41NIJESO7A 55::51 • (612) /47-%-1231 935 EAS7 VdNYZATA BOULEV/-,P,D \JhYZ!-.TN. x .11 = .3 G.az Nlinn. U Factors Total er.posed wall area area__Q_ __r. •026 = 02?. a Minn. U Factors Total er.posed ceiling (A) Tota7 + Item 4 a3-59 = 3? . 3 IL en 15?.(? + Item 2/aD. + Item 31p .a --' . ? If total of Items 1- 4 is less than Item (A), building complies with SBC 6006 (C)s ? CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION xxxxxxxxxxxxxxxxxxxxwxxwwxxxxxxxxx? F*AT6: PAYMfiKP' OF kEE AT TIIM OF ? ;APrisca2zoN DOEs Nom comsrrnUTE: * ` APrxovrw oF pERMIT. * ? `. INSPF7CTION OF SEWER ABID/OR F&L'M *f ? IIaSTALLa1'IONS WIIS, NOT BE 5CHED-- ? : tII.ID O[7FII. PFd2MIT APyS BEQI * ? APPRaVID. : --------------------------------- , P ease Print ^^ ?1) PROPERTY ADDRESS: LEGAL DESCRIPTION: g EXISfING STRCtMME, DATE OF ORIGINAL BL'ILDING PERNLiT ISSi'ANCE: Nbnt Year} PRESEDR' ZONING/pROPOSID CSE: ? COMMERCIAL/RETAIL/OFFICE 0 IPIDL'S2'RIAI, ? INSTITL'TIONAL/GOVERNMENT ? R-1 SINGLE FAMILY ' Q R-2 DUPLEX (Rtoo Onits) ? R-3 TOWNHOC?SE (Three + Units) ( Onits) ? R-4 APARTmgNT/CODIDOMINI[JM ( Units) 2) -' . '-r' NAME: ADDRESS: CI'I'1'r STATE. ZIP: PHoNE:_ 73 _/13 % 3) • u ?: ?• NAME:????Y? For City Cjse .. Plumbers License: anDxFSS: .3•S`" : Ld.f?yitafa A-l+t- Active CITY, STATE, ZIP: Expired - fl*? ? ?tt,.sJ 3??7 f Not recorded PHONE: 47.3 - / 2 3 % MASTER LICE[VVSE# St 7nitial i 4) ??• • • ?,, u?m NANIE: f ?}' +i) _ ADDRESS: • CITY, $Tp,TE, ZIP: PHONE: - •5) ? vt r: • ?• : o • a? - ?? ? CONbE.TION TO CITY SEWII2 ? CprIIVFx.TION TO CITY WATER ? pTHER '. . 6) 00,11)(60AM5071M I'?( PLEASE HOLD ApPROVID PERMIT FOR PICK-UP BY ONE OF AHQVE ----- -- -- PI,EASE MAIL APP pVID PII2MIT TO 1, 2, 3, 4, AHOVE . (Circle one) 7] r r. u• - ? ?v/Z? ?" C J a 9c . ?.v. . .... ._ _ . FOR CITY USE ONLY PERMZT # ISSUED P'll Z Pd w/Bldg. Permit S SEWER PERMIT (I[VCLUDE SURCHARGE) $ $ WATER PERMIT (INCLODE SL'RCHARGE) $ 1C 3? $ WATER METER/COPPERHORN/OL'TSIDE READER $ $ WATER TAP (INCLL'DE CORPORATION STOP) $ $ SEWER TAP $ $ /.S'C' o ACCOUNT DEPOSIT - SEWER $ $ /S • ACCOONT DEPOSIT - WATER $ Oo $ WAC $ .`J ?Sid (7 $ SAC $ $ TRONK WATER ASSESSMENT - $ $ TRLNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRCNK SEWER $ $ LATERAL BEN°FIT/TRIINK WATER $ oc-) $ WATER TREATMENT PLANT SLRCHARGE $ $ OTHER: $ $ lj I(?G TOTAL ?.7 Vf 7 ?? d RECEIPT RECEI PT DOES UTILITY CONNECTION REQLIRE EXCAVATION IN POBLIC RIGHT OF WAY? Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE ENGINEERING Q NO DIVISION. LIST AS A CONDITIOl3. SUBJECT TO THE FOLLOWING CbNDITIONS: APPROVED BY: s TITLE: DATE : FEES: lr. S 6 ...?? / HEAT LOSS CAICULATlON .3Q-0 rEMP. DIFF. CuuomrWnw Ltivvle.r= n Rros. I TVM MMnwtMn bav,b1A ru - %'FEV -- OaNr N? ?rwt _ City Doort-Gadua Ne w?s?? ?? ?M ?Nye? M?M Na. 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Z 2.4 y CaM. ttu Infiltntien fP o { O Guu 2 U Exa. wslf °Yy' ? 2Z NaT exp. wall 179 lnt. wall Gil+^g ?(o x iz- 9 s7 Fao. z?- 3 S' I ouiutu_ I ?IcSS'4 F?.I Lwvth yykkh Nsioht Winebws and dwrs-GKkaw and Arr ne w'^?" ?.?^? 01 M OI M r+e. a L 1? ?rN n. ?? •I(? .(?, Cmf. YlV Infihr?tan Glaq Exp, wall PIL4 emD. wall . lnt. rqll Gifirg F loor Teqi atu. ? _ i?.l -- Roomf luqth yyldM - MN?? WirwMws arM Doors-dackaM wd Arr w? w?M..'??i. ne•?? ?. ar ??wN M. aM? w f1. cmt. Atu In/dtranon G4,s E ap. wall -- No Orp. wall . Int. wll - Clilqg Flon ToUI Btu. 1 ? Iv3, '7 Typ. Conmn,abn DR h bv nn Windpw? Stlwm $wA Wslh . IM. Gil" Im. Floa Ns. N 1.1? Wyl?? Ms. N LWYI fl. 44, N. GoN. 6tu Infinraeien G4u Eap. rr111 ? No ncp. Yqll lnt. rwll c.iiing Floor Toul Btu. I FI.1 RoomI Lrqth Width INqht W indom and Doon-Cnek sp and Aro Ms. a? wVi Me. N LN 1 f1. 1. Infihntbn Glm Exp. vnll No t:p. wNl lnt. wall Gilirq Floor Toul Stu. f I.I Roan I LrS h M/idM HNwt W krbwt Wd Dom -CrKkaw and Arr Ow. Stu Intihr?tqn GW Eap. wmll NN qP. will lnt. wll Gilirq Fbp y° C6hheC'?[G? (OkC{ P7a ?rt nc ?? v i??1-r, K P RVEYOR'S' CERTIFICATE ' SIENNA CORPORATION , \ . fi y, ? io R : Q? W N Q1 , ' G m4a?' l11 .? a) 0 v ` L3. .4? 30 _- 11 6°9??6 io 838 1.5 75 QA -_ ? bZ77s ?..w 6gw ? ' , 21 I mo? r M2 O m? I -A. ym ro r y ?? ?V1 J -- ? I I 10 N ? i \? ?A\ ).? ? J p\ "j? ? 26 AL?.S ?•'" ' ? ? IQOO 10 az=5 U i ? 32.50 'SZe:?l 36.: ?24• z} I I (1 i (._ \l I I N 81°02'46" W N ? ., 041: --? , ;- ,. (, En O ° w U?i --? n / z) 4 DENOTES PROPOSED Sl1RFACE DRAINAGE O DENOTES IRON MDNl1MENT SET SCALE: 1 INCIi = 30 FEET • DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOIt ° S273 FEET 0 XD00 DENOTES EXISTING EIEVATION PROPOSED LOWEST FLOOR = 8to•3 fEET . (000.0) DE!lOTES PRO!'OSED ELEUA7ION PROPOSED TOP OF BLOCK = $ z-17 FEET I•lE IIEREE3Y CERTIPY TO SIENNA CORPORATION THAT 7HIS IS A TRUE AND CORRECT 12EPfiESENTATION OF A SURVEY OF 7FIE DOUNDARIES OF: Lot 2,olock I, BLACKFIAWK GLEN iST AUDITION, according to the recorded plat Lliereof, Dakota County, Minnesota. iT DOES NOT PURPORT TO 5110W IMPROVEPIENTS OR ENCROACIiI•tENTS, IF ANY, AS SURVEYED DY IdE OR UNDER MY DIRECT SUPERVISION THIS 13TH DAY OF xoV. 1 1985 SIGtIED: JAME3?9. )iI?/L, INC. REVISED 10-10-86 TO SHOW PROPOSED HOUSE 6Y : va/?-"" ?v BY LUNDGREN BROS.CONST.,.INC, I{AROLD C. PETERSON, LAPIU SURVEYOR MINNESOTA LICE145E NUFI6ER 12294 PROJECT NO. BOOK / PAGE JAMES R. HILL, INC. 85618 (86290) 133?Sy? Planners / Engineers ! 5urveyors FILE NO, 8200 Humboldt avenue South FOLDER B{oominpton, Mn, 55431 012-304-3029 03i12.2007 10:21 ERGRN ENG+COM DEV -) 96464532 N0.056 901 -? 7 9 ZZ etc for 2007 RESIDENTTAL 1VIECHANICAL PERMTT ArPLTCATION City Of Esgan 3830 Pilot Knob Rosd, Eagan MN 55122 Telephone # 651-675-5675 single family du'ellitlgs & townhontes?candos tvheTi peiltli[5 are reyuircd for esch unit Daie 5 / ?\ i ?? Si[e Address U nit p Property Owner Telephpne # ( ) n Contraeror n?!(? / Street AOdress ? City JlT J-2W StAte mf? ? Zip ?H/ 6? Telephoneif (bS I 1??Iy -IqIO Bondll: !;)`1Expires: I ? The Applicant is ? pwiler ? Concractor ? pkher Fire repaYr (rnplace burned out applianees, ductwork, etc.) S 90.00 Tnis fee appiies when extensive mechanical repairs are made W a bufiding. Add-on or alter8tiun to existing dwelliog unit $ 50-00 ? furnace _Adqitional ?Replacament ? New _ air excharger ? air contlitioner heat pump other Stute 3urcharge S SO rotal MAY 1 4 2007 i g??<? .? r heieby appIy for a Resicieatial Meolianical Peanit and acknowledge [h3t the informanon is compiete and accurate; tLat the wo[k will be in conformance with the ordinances and codes aL We City oP Eagan and wich che MeChanical f'ades; tUat i undersmd this is not s pemuc, but ooly an applicatipn for z permiS 3nd work is pot to staxt without a permit; that the wock wal be in accflrdance with the approved plan in [he case of work x•liich xequues a review snd approval of plsns. 'E.Q>'> ApplicturPs Printed ?lame Applieant's Signa e ÿ ÿ þýý üû ûúú ùýýÿøøý÷ þýö þýüûúù ø÷ öòöýûúù øöûúù ø÷ öõ ÷ô ù ó öùþòñððõûþ ò ýò ñýùú ï þîýö í ôþòñûûòìð ñõøõ òõòûìôð ûûûì þ ôþþõ þûì þõðôíñôì þõëû ý ôñêòûþø ôþþþéþòñûûèçæçé í äãäââéâéâ õù þýöö åýäãäéæéæ åýÿé ôó öòñ ùù òóùøòóùúàðùôöøê ìøßçæõÿÞççüýöúô õ ìù ðõâ ðõ ÝèçÜè ö üú á ö ùù àöóöö ö óùúùùü þ àð þý òúà ñö é ùù÷ öó þ ýö ý úþ ýö PERMIT City of Eagan Permit Type:Building Permit Number:EA111262 Date Issued:06/17/2013 Permit Category:ePermit Site Address: 3660 Ashbury Rd Lot:2 Block: 1 Addition: Blackhawk Glen PID:10-14350-01-020 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . 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 - Richard W Jents 3660 Ashbury Rd Eagan MN 55122 (651) 688-0135 Home Depot At Home Services 656 Mendelssohn Ave N Golden Valley MN 55427 (763) 542-8826 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA123638 Date Issued:06/12/2014 Permit Category:ePermit Site Address: 3660 Ashbury Rd Lot:2 Block: 1 Addition: Blackhawk Glen PID:10-14350-01-020 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - 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 by law in ALL single family homes . 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 - Richard W Jents 3660 Ashbury Rd Eagan MN 55122 (651) 688-0135 Home Depot At Home Services 656 Mendelssohn Ave N Golden Valley MN 55427 (763) 542-8826 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink . � r-----------------� I For Office Use � I �� I C�} 0� nn n� i Permit#: ��i by ;��d � Permit Fee: j �� I 3830 Pilot Knob Road � � Eagan MN 55122 � Date Received: � Phone: (651)675-5675 I I Fax: (651)675-5694 I Staff: I I I 2014 RESIDENTIAL BUILDING PERMIT APPLICATION � ° �� .��b � Date: � (r / Site Address: �"��- Unit#: '� Name: � ��Y�- V�M,� Phone: Resld'entl / �}yy��;� . �"�� Address/City/Zip: �� ` � ;�'� ��o� : Applicant is: Owner Contractor Description ofwork: �''—��'�� Type of Wark Construction Cost��, ��5� Multi-Family Building: (Yes /No X) , . ..;. ,,. ° '� Company:�ns�+ �-lc��.,5�s D�� /t�� (�v�`�i�,C�ib"Contact: �-�;c �ns� �� ,,�r Address: � �� 'K `�� City: ��'�'��"� � �ontracta�l � � �,� �� ' State: �'� Zip: �3�� Phone: �� - v�lJ��11 EmaiL License#: �� O3U�� Lead Certificate#: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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: ', � N�TE:Plans and suppdrfrn��d�c'�rt��ents t��t�Yd�su�r��are�onsi�leredxf��e pubf��r�fc�mt�t�nr�. Pc�rfions��pf � �� the infc�rr�atfon�may�e��ss��'ed�s rtb�ir pub��t��+�prc�v�de�sp,�cr�tc rea�c�ns�ti�at.would��rmit the City tt� �� :, �� " � r� �,��' ��+�oqc��ud'�#l`�at�h� ��xe�tr�de�s��ref�.. : 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. wvuw.qopherstateonecall.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 ��--- �-�� ,�,�----- �'� X ApplicanYs Printed Name Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA150337 Date Issued:07/02/2018 Permit Category:ePermit Site Address: 3660 Ashbury Rd Lot:2 Block: 1 Addition: Blackhawk Glen PID:10-14350-01-020 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. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). 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 - Richard W Jents 3660 Ashbury Rd Eagan MN 55122 (651) 688-0135 Bonfe's Plumbing & Heating 455 Hardman Ave South St. Paul MN 55075 (651) 228-7140 Applicant/Permitee: Signature Issued By: Signature