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3701 Ashbury Rd
SEWER & WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. , P.O. Box 21199 Eagan, MN 551-21 OfFICE USE ONLY PERMIT DATE '' VvATER PERMIT # METER # ?R??r' ? ? METER SIZE ISSUE DATE SEWER PERMIT # ? I 59q B.P. RECEIPT # '' ?"7 `• B.P. RECEIPT DATE X PRV - BOOSTER PUMP SITE ADDRESS -?- • LOT BLOCK SEGSUB i-ACktl.1"i: CLEPi 1S'', APPLICANT: :k-mC ur , ; o„ ADDRESS: 4 `' ; ,, 1-• , _ CITY, STATE ZIP PHONE: PLUMBER: ADDRESS: l?lu ?•??vr?ct ;,??i?.?. ? _? ? :::? CITY, STATE ZIP - PHONE: OWNER: PERIAIT REGlUESTED - SEWER - WATER - TAPS - COMAA/IND X NEW ^ RESIDENTIAL _ EXISTING I AGREE TU COMPLY WITH CITY OF EqGAN DRDINWES: f ?_ ADDRESS: SIGN URE WHE MET R ISSUED CITY, STATE ZIP PHONE: PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CO ACT ENGINEERING DEPT. -', CITY OF EAGAN Remarks,aVg 9 Addition R1 ar har.i [;l Pn 1qt Lot ? Blk 3 Parcel 10-14350-030-03 Owner Street 3701 Ashbury Road State 1591 Blackhawic Hills Road Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 1076 1986 253.48 50.70 5 STREET RESTOR, GRADING SAN SEW TRUNK 124 1970 6.70 25 Pd rior t division SEWERLATERAL Bn 107!? 1986 112.09 22.42 5 WATERMAIN Bn 1075 1986 92.80 18.56 5 ' WATER LATERAL ' WATER AREA STORM SEW TRK ??° • 1 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONIV. ? 8UILDING PER. SAC PAR K ! s,,-.... DATE: AUG 27, 1990 .. RE: 37019ASHBURY RD (COLLEGE CITY CONSTRUCTION) x Your Se+iYer & Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMAMENT WATER TURN ON. Your Sewer & Water Permit for the above property cannot 4e completed for the following reasons: Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. W1'VERB-WATER PERMIT CITY OF EAGAN • 3830 Pilot Knob Rd. - P.O. Box 21199 Eagan, MN 551'21 SITE ADDRESS ' •' ul LOT BLOCK SEC/SUB ??CKHAWK CLEN 1 ST APPLICANT: ?:.jllea Gity rym? n? _tinr: ADDRESS: '`??? 1515t 1t.. CITY, STATE le ?? a v ZIP PHONE: " - - PLUMBER: -rar ADDRESS: lulc; :1D1?L1' .. •...t:'c;._ :' ???d CITY, STATE :> 1 [xxld . ZIP PHONE: OWNER: _ ADDRESS:_ CITY, STATE PHONE: _ OFFICE USE ONLY PERMIT DATE WATER PERMIT # SEWER PERMIT # 1 1J9 9 METER # B.P. RECEIPT # ?9628 READER # B.P. RECEIPT OATE 12 4L' ' METER SIZE ISSUE DATE - PRV _ BOOSTER PUMP PERMIT REDUESTED - SEWER _ WATER _ TAPS - COMMlIND - RESIDENTIAL A NEW - EXISTING TO COMPLY WITH CITY OF ZIP SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. . (g.ex#tftra#t uf (Orxupartry Citp of Cagatt ]rpaxhnrd u# Nui[ding 3ttwrtimt M Certifuaale Lssuad pursuanllo 1he requiremew of Section 306 of !he Ilniform Brcilding Code cerh; jying that a1 the lime of issuarue this.struclure ww in compliance with the wrious ordiRanars of rhe City regulanng fiuilding ooxs&uctioa or use Fnr the jollowing: uz a.aks. - SF DWG4r'?tR ?% Nm 18295 OMW-T Tra R3/M! Zom6g nk,;a R) r,,acon„ VN D.. OCi'OBER 11, 1990 POST IN A COhISPICWUS PLACE ' CASH RECEIPT ? ? CITY OF EAGAN 3830 PILOT KNOB ROAO EAGAN, MINNESOTA 55122 DarE 19 ? V . ? ? . nECeWo FFtOM L AMOUNT `a .? & DOIIARS im D CASH X CHECK C 962 u w^ile--P•?? YeNo? Copy Pmk-File C,opy Thank You : BY ? L`- , .._ ..,. , BUILDING PERMIT To be used for SF C Site Address Lot 3 Block Parcel No. W Name o Addre; Clty _ CITY OF EAGAN 18295 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PNONE: 454-8100 Receipt # i " /GAR Est. Value =1Zis000 Date AuG 2 "' 19 ? AaHWRY jtD Phone OFFICE U5E ONLY ? Occupancy ??3 M-i FEES Zoning R- 1 ?N ?9f ??g?? (Actual)Consl BIdg.Permil j (Allowable) V-N 60.50 ? Surcharge 8 or stories W Plan Review 463.00 Length Deplh 409 SAC, City ? 100.00 ? S.F. Tolal - SAC,MCWCC 6??? S.F. Foolprints - Wate Conn ? 625•00 On Site Sewage _ r On Sile Well ? Water Meter 90'00 ? MWCC System 30.? ? City Water Y ACCt. Deposit ? ? ? PRV Required ? S/W Permit ? ? Booster Pump - g1W Surcharge • 50 ? 252. 00 Treatment PI ? APPROVALS Road Unit 355.00 ? Z? Name sAME Address City Phone ?, WW Name Address a W City Phone t hereby acknowlege that I have read this application and state that the intormation is correct and_agreQ to comply with all applicable State ot Minnesota Statutes and City}of Eaaan Qrdinances. ?...? r ? ( • , .. ?__.. 7'YL,,.y,?,,,?. 4 Signature of Permitee -? - A Buildin Permit is? ? CO?? CITY C4NST g ?asued to: Pianner _ I Park Ded an lhe express condition that alt work shall be done in accordance with all . Council ? applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Oif. _ Copies Building Official Variance - TOTAL 3,319.00 ? Permk No. Permit Holder Date Telephone # WATER 11599 g SEWER PLUMBING H.V.A.C. ELECTRIC Inspectlon Date Insp. Comments Footings I foundation Framiny - / C Qs Roofing Rough Plbg. ? - Rough Hlg. R ? Isul. Fireplace Fnal Hig. Final Plbg. ConsL Meter Plbg Inspector - Notify Plumber Engr.lPtan Bldg. Final Deck Ftg. Oedc Final Weil Pr. Disp. ? ?Y i f F +. . CONTRACT PRICE Site Address CRy `m c ? FEES COMM./IND. FEE -1% OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE $12.00 MINIMUM - COMM.IND./FEE $20.00 STATE SURCHARGE PER PERMIT .50 (ADD $.50 S/C,PER EACH $1,000 OF PERMIT FEE) ?Ja?_ PLUMBING PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 PHONE 4548100 ?.. Only Res. J1 New u 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 ?T_ SFlOwer - $3.00 ? . ? / Kitchen Sink - $3.00 UrinaUBidet - $3.00 -? Laundry Tray - $3.00 j_ Floor Drains - $1.50 ? _ 1_ Water Heater - $1.50 WhirFpooi -`$3.(30 T? / Gas Piping Outlets - $1.50 (MINIMUM -1 PER PERMI7) Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 ? PERMIT FEE: OF EAGAN STATES SIC: •..7?- v GRAND TOTAL: ? ? J ?s?vnanva? r?nn¦ , • . CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE ? /.;t (--/U ? pHONE 454-8100 Site Addre car lI ? TYPE OF WORK Forced Air . ?_ M BTU Boiler M BTU Unit Heater M BTU Air Cond. M BTU ? Vent CFM Gas Piping Outlets # ?- Other CommJlnd. Contract Prke x 1% PERMIT FEI PERMIT # BLDG. P'iY E WORK DESCRIPTiI Res. New Const.? MuR. Add-0n Comm. Repair Other FEES RFS. HVAC 0-100 M BTU - $24.00 ADDITIONAL 50 M BTU - 6.00 (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTKNV) - TOWNHOUSE & CONDOS - RES. RATE APPLIES IiAINIMUM RESIDENTIAL FEE - ALL ADD-ON 3 REMODELS (INCLUDES GAS PIPING) - 12.00 GAS OUTLETS (MINIMUM - 1 PER PERMIT- NEW CONST.) - 1.50EA. COMM/IMD FEE -1%OF CONTRACT FEE - COMM. RATE APPLIES BLDGS APT . . MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $50 S1C PER EACH $1000.00 OF PEFiMIT FEE) NcarvA i urtt vr rtnmi i i Ct - ? • FOR: CITY OF EAGAN CITY OF EAGAN Np 18295 . 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 / ?Q? BUILDING PERMIT PHONE:454-8100 Receipt # Q 1 `? /??o V 7obeusedtor SF DWG/GAR Est.Value $121,000 Date A11G 24 ,1g_Q0 Site Address 3701 ASHBURY RD Lot 3 Block 3 Sec/Sub-LACKHAWK GLEN 15 Parcel No. WlName COLLEGE CITY CONSTRUCTION 3 Address 6970 151ST ST ° city APPLE VALLEY phone 431-1211 o Name SAME $a Address ? City Phone r ww Name Address iw City Phone I hereby acknowlege that I have read this application and state that the inlormation is correct agre to com qilh all applicable State ot Minnesota StaWtes nd Cit of an inances. ^v SignaWre of Permitea OFFICE USE ONLV Occupancy R-3 M=1 FEES Zaning R_1 (ACtuap Const V-N Bldg. Permit 713 . 00 (Allowable) v?- Surcharge 60.50 # of Staries - 50' Plan Review 0 463.0 Lenqlh Deplh 491 SAGCiIy 100.0? S.F. Total - SAC, MCWCC finn _ nn S.F. Foolprints _ On Site Sewage _ Water Conn 69 5- f1(1 On Site Well - yyater Meler 90. 00 MWCC Systam x- AccL Daposit 30.00 Cily Waler _]L PRVRequired S/VJPermit 30.0? Booster Pump - SNJ Surcharge _ 5(] Treatment PI 0 252.0 APPRO4AL5 poad Unit 325-00 A Building Permi is' ued to: COLLEGE CITY CONST Planner on the express c dition Ihat all wo?k shall be done in accordance wifh all Councii applicable State ol Minnesota StaWtes Iand Ciry of Eagan Ordinances. BIdg.011. Building OBiCial '2;fA. Variance = Park oed. _ CoOies 0 - TOTAL 3,319.0 ?? 02668,4? Request Oate ?0 Fire No. Rough-in Inspection Required9 ? Reatly Now ?Will Notily Inspecmr When Ready? Yes G No I,&licensed coniractor ? owner hereby request inspection of above electrical work at: Job Atltlr?eu (S/Ve?el. Box or Ra,u/te ?Na{) /Y 7 ? City d V Section No. Towns?ip Name or No. Range No. County Occvpant (PRINT) i c G rl/ C T Phone No. 4,511-iwl , r e, r?xr Power Su lier Adtlress 7l 10fd ElecVicsl Contrector (COmpany Neme) a? ,f<«7.?-'? COnVactoYS License No. y Mailing Atlaress IGOnvactor or Owner aking Installation /?iC'' Amhorrsetl Sig (COnV e= t t n? Ph/o?n/e Numberc._ MINNESOTA STATE BOAREI OF ELECTPICITY THIS INSPECTION REOUEST WILL NOT GrIgga-Mldway Bltlq. - Room 5-1]3 BE AGGEPTED BY THE STATE BOAflO 1821 Unlvarslty Ave., 51. Paul, MN 55109 UNLESS PROPEF INSPECTION FEE IS Vlwna (612) 642-0900 ENCLOSED. 9/0/50 REQUEST FOR ELECTRICAL INSPECTION 1 See Instmclioos:laccampi2ling Lhis form on back ol yellow copy M 0 2 6 6 8 "X" Below Work Covered by This Request ee-oooo,-oa e FBd. Rep. Type oi Building AppliancesWired EquipmentWired Home Range Temporary Service Duplez Water Heater ElecVic Heating Apt Building Dryer Other (Specify) Comm.llndustrial ' FUmace Farm Air Conditioner Other (specity) ConuaIXOr's Remarks: Compute /nspection Fee Below: A Other Fee # ServiceEntranceSize Fee # Circuits/Feeders Fee Swimming Pooi 0 to 200 Amps 0 ta 100 Amps Transformers Above 200 _ Amps Above 100 _ Amps SignS lns0Ktor's Use Only: ? TOTAL A1 Irrigation Booms 7 /. ? 7 ? Special Inspection Alarm/Communication TNIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MO THS. I, the Electrical Inspector, here6y Rough-in certify that the above inspection has been made. F??ai oa?e OFFICE USE ONLY This request voitl 18 months imm This reouest void 515 18 h f rtpnt s rom A -079673 ' ? ? ov. )3 ,o .. ? ?.i. ?..... . - . Beques[ Date ?[^ Fire No. )ROUph-in Incceclion RequireA? #nReaAy Now Q Will Notify InsVec- - J ?Yes jjjN. . [w When fieadY Licensetl Electriral Contnctor I ?ep, request insoeclion of ebove Owner ? Q+?v aleetrical Yrmk uatalled at Street Adtlre? s, Box_or//bufe No.w L ;?? G CN? J"- B 3 , .? ction No. Township ame w No. Ranpe No. Cawuty or ? Occupant IRtINTI C Phone No. v/?O?l?G/v ?YO?S UIN 'T Powe. s.ooi+e. aaaress C OU?, I rical Concractw JCoaq#W Neme Con[r cwr's licen No. /?- ?o y?? Mailing A ress ICon[ractor a Owmer Making Iasp tioN Aut o izetl Si9. Wre 1 nUa a/ Yaki Insbl ?onl PM1O? Nwnber - 3 YIXNESOTA yTpTE BOARD OF ELEC7BICRY THIS INSPECTION flEQUE3T WILL NOT Grigps-Nidivey Bldg. - B. N-791 BE ACGEPTEO BY 7HE STA7E 90ARD 182t Universip Ave.. 8L Paul. YN 557M UNLE53 PROPER INSPECTION FEE 6 Plw're (8121 297.3111 ENCLOSED. ? REQUEST WR BECiRiCAL INSPECTION Es-o00D1-0 4 Sea :nstruetims tor eovpbting lhia tum on beck of vallow cooY: A 1M?1.1 ""X"' Below Work CoverEH by ThJs Request FIw4AddlReD•1 . Type ol Buildimr 1 Aovlieneea Niretl 1 Equioment Wired I Waeer M Fee SarviceEntmneeSiza N Pee Feeders/Subteedere M Fea Circuits C'E Oto? 0 tn30A U Oto30Am Above 200 qm ?. 31 to 100 Amps 31 to lOQ AIIM Swimmimg Pool A6ove 100_ Above 100_Aimps Transformers Irrigation Boorts . Q-'b Partial•`Other Fee SignS Special lnspec[ion 5` Remvrks T07AL f /rZ_ r 3•n Roueh-in {?? Date " ?, rhe ..ecu?effl Igurpee", heraby rtih thet ths above Final i,mpeetion Asa been 7marevueatYOfa1emmarvam ^ y??, s a- J 0 /OSf?7f 8320 3 2 ? Request De[e 2 /-77, 3- Fi No. RougAin Inspection Repuiretl? Reatly Now ? Wiil Notily Inspeclor tl ? Wh R 3 GYas A. en y ea I licensed contractor ? owner hereby request inspection of above electrical work at: Job Atltlre55lSVeeL Box r Poute No,) . o I c? Ciy EtcL n Seclion No. Township Name or No. Renge No. Coun i 0. OccuOan? PRINT? ? (? Phone No. usan , i Powar Su lier ? 1 Atltlreu r ?I 0 1'l /1'\9U EI al GonV ctor ?Company Nam ??r cc, ) ? ConVactor5 License No. c ?S Maihng Atltlress IConlrador or Owner Making Install tion) "5 ? ,0, cirr-nin + on. Aulnorizeo 5 ature (COnlra V W aking Inatallation) PM1One Numbet q (p3 - O MINNESOTA STATE 60ARD OF ELECTqICITY THIS INSPECTION REOUEST WILL NOT Griggs-M10way BIEg. - Raom Sd73 BE ACGEPTED BY TME STATE 80AP0 1821 UniversiTy Ave., St. Paul. MN 55I00 UNLESS PROPER INSPECTIDN FEE IS Vhone(612) 663-0800 ? ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ? See inslmaions for com lelln mis brm oa Oack oi elbw co ee-oaoo, os L? J O?? ? O p y py S "X" goelow Work Covered by This Request ew Ado ep, TypeoiBuiltling AppliancesWiretl EquipmenlWired Home Range Temporary Service Duplex Water Heater Electric Heating Apl. Building Dryer Other (Specity) Comm./Industrial Furnace [ Farm Air Conditioner OUer ?syecity? Contracror5 Remarks. Compute Mspection Fee Below: # Other Fee # Service Entrance5ize Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Am s TranSformers A6ove 200 _ Amps .100 _ mps Signs Inspecror's Use Only: {r TOT L Irrigation Booms , l! 1. ?? /S ?? Special Inspedion v Aiarm/COmmunication THIS INSTALLATION MAY 8E ORDER ISCONNECTED IF NOT Other Fee COMPIETED WITHIN 18 MONTHS. I, ihe Electrical Inspector, hereby certify that the above inspection has been made. Rouqn-m Finai oate oate OFFICE USE'JNLY ThIS rcquest witl 16 months Irom Address: 3701 dSHBURy RpAp Lot 3 Blk 3 5ec/Sub $I,AGaIAW q,IN These items were/were not complete at the time of the final inapection. 11, 1990 Yes No Final grade (6" from siding) ' Permanent steps - garage ? Permanent steps - main entry Permanent driveway (f Pexmanent gas Sod/seeded grass Trail/curb damage Porch Basement finish ? Deck Please verSfy with the builder the removal of roof test caps from tha plvmbing system and the shut-off of water supply to the outside lawn faucet bafore freeze potential exists. White - City copy Yellow - Resident copy Pink - Contractor copy _, .r:: RESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagao MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 ? I ?- ? • aJ'? New ConsWCtbn Reuuirements RemodeVReoairReauirements ON'rcz Use Oniv 3 registered site surveys showirg sq. R of lot sq. ft of house; and ali roofed areas 2 copies of plan Cert of Survey Recd _ Y_ N (20%maximum lotcoverage allowed) 7 setof Energy Calculatlons for heated additions Tree Pres Plan Recd _Y _N 2 copies of plan showing beam & windovr sizes; poured found design, etc. 1 site survey for addNans & decks Tree Pres Nai Reqd Y N 1 set of Energy CalcuWtlons Adddion - irMkafe iton-sile septic sysfem Onsite Septic System _ Y_ N 3 copies of Tree P2servation Plan if lot platted after 711/93 Rim Joist Oetail Options selection sheet (bldgs with 3 or less units Date ? / IV / 03 Site Address 3701 A5b6UY' 1/ ? Construction Cost ? `'?7 f?,cxxll Unit/Ste # - ? ? a, Description of Work 1?2- ICeO ? Multi-Family Bldg _ Y?G N Fireplace(s) _ 0_ 1 Property Owner T?yvi d- s(ASq n Telephone Contractor ? v ?<?nylpCo{F. ?fia{.p ??Y iP T., e d? p? ???a (K• Address 7_0ZZ ,-&,oz, ?-? City J!ln t-'aocRn State (N-LK) Zip S? 2 I') Telephone #((Lr`?. )- 41 `Yq `OC7 3 O COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv I Minnesota Rules 7672 Energy Code Category . Residential Ventllation Category 1 Worksheet • New Energy Code Worksheet (4 submission type) Submiked Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review tee applies. Licensed Plumber Telephone #( J Mechanical Contractor Sewer/Water Contractor Telephone #(,- Telephone #( IID I hereby apply for a Residential Building Percnit and acknowledge that the informa ?p is complete an?curate; that the work will be in conformance with the ordinances and codes of the City o-Eagan a-?Stat`e of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan tn case of work which requires a review and approval of plans. .,, . ?oT`t L MCYer Applicant's Printed Name OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 OSplex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Ait - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex 0 11 10-plex ? 19 Lower Level ? 24 Storm Damaga ? 06 04-plex ? 12 12-plex Plbg_Y Or_N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteratlon ? 37 Demolish (81dg)* ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement Memolition (Entire Bldg) - 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 Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addiuon) _ Plum6ing Founda6on HVAC Drain Tile Other Roof _ Ice & Warer _ 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 MCIES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total 19145 SINGLE FAMILY DWELLINGS 1990 BUILDING PERMIT APPLICATION CITY OF EAGAN MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PIANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (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 CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICN ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For:Sing12 famlly dwell.Valuation: 7'°°?- DateO /°Z10 - -? U -?- Site Address 3701 Ashburv Rd. Lot 3 siock 3 Parcel/Sub ZL-A?wKCtuP? ?1hdfJ Owner Address City/Zip Code Phone contractor College Ciry Constnlction Address 6970 151st Street City/zip Code Apple Valley 55124 Phone 431-1211 Arch./Engr. Address City/Zip Code ' Z)'000_ OFFICE USE ONLY FEES Occupancy R 3 tA'1 - Zoning ? h Actual Const \,/-Aj Bldg. Permit (/3,DD Allowable V. N1 Surcharge 60150 # of stories Plan Review y63,00 Length 5 SAC, City / D,DD Depth p SAC, MWCC 00 D S.F. Total Water Conn 25'0.7 Footprint S.F. Water Meter 90.00 Acct. Deposit 3D,po On site sewage_ S/W Permit 00 On site well S/W Surcharge 150 MWCC System -Z Treatment P1. ZSZ,o City water ? Road Unit 35$,Q? PRV _ Park Ded. Booster Pump _ Copies SUBTOTAL APPROVALS Penalty Planner TOTAL , ? . )? Council Sldg. Off. A L70?'L Variance Phone # u.a G,?._ rr A4vf a(VXzo = 52,0 x ,S= qwoo ????1 b - Z24 ?" 3ou2?, ?ga l0 14= 1405t. Isr FL-oop, QSrnT'= i0oq SxIyL- ?2 ?0X?? Po 2c.H Z = I 2t? X y o ? ?-I ?6Da ZNO ??oo(i. 30 X 825X51= 44201S ,. 1 Zd 54'1 . 061NER ? EY'`.RIOR _EV"'"LOPE AVEMGE "U" C010" ITATIOy , ---{- :.? ? ; -• , -. ._ l ? Vvt ? ? L.°*??i?.:`? . :~p1 ?'t'z ?rt?"C?° ? '?,: SITE ADURESS '1510? Y?=,?A 1O v CONTMCTOR eocc.CGS eoAl%?DATE PHONE i-ia l ,..., Determine workiag square foota9e of eacfi. 1. Total exposed wall area ...... Ze_,oA- sq. ft. x,1? ° Zzo. 2. Total roof/ceiling area ..... 18`/0 sq. ft. x,OZIo = Total exposed wall area above flour = a. Total wall window area ........................... 'Z 23 b. Total door area ......... ........................ e. Total sliding glass door area ................... O d. Total fireplace wall area ........................ O e. Total wall framinq area (average 10%)...:........ 1T O . f. Total net wall area above floor ................. 12_60 _ ?u-?• g. 7ota1 r1m joist area ............................ IG'Z. Total-ezposed foundation area e (0 4 , h. Total foundation window-area ............... ....... o 1. Toal net foundation area above grade ........:... 1 04• Determine "U" value of each wall segment. ? . ' a ? 'ZZ•?> X ;.Un .34(o = 77.{(0 . b. ? SS?' X "U" -7'Q4- c? C) . ,X "U" O o C d. 0 x °(J° ? a t7 e. STO X "U" ,02L ? la'F' f. i 2(e_,o x „u„ 043 F • S?.r? g. l? Z x Pull .04-1 = 7. a7 h. O' x Nu„ ? o ? o i. I o4- x soU,a , o-t n 8.z2 ? 3 ................................ .... . TOtal ° 10.1 If item 03 is the same as, or less than item B1. . you have met the intent of SIIC 6006(c)2. -• - •--•-- ---... _._ .----...-•-- ,?•-- . .. . ? ?..? 7atal..exposed roof/ceiling area = 17 S.G' J. Total skyliglit area .....:....................:.. O k. Totai roof/ceiling framing area (average IOX) ... 17g 1. 7ota1 net.insulated roof/teiling area..:........ I t,,?,-Z petermine "U" value for each roof/ceiling segment. ?. ? x aull o a o k. (18 x•u° =?Z1 z C) Z X"U" ,-- - - 4 ..................................Tota1 lf total of 14 is the same as, or less than :2, you have met the intent of SL'C GOOG(c)1. • Alternate Building Envelope Design To utilize the total envelope system method, the values established 6y the' sum af ltems A3 and Y4 shal.l rtot be greater than the sum of items al and 12. 1. + 2. _ 3. + 4. 9. .. 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':J " . i e L Y ??. 2e4 G +1 -[ : -7 ?., N iV 4 S?s iL Y ?rl .-?. - ty sY L i ?.r ' I4 7GTFtL fJLIdLOW' p RrtS SS 27 C:. . . 3 u.+^T. Pioneer Ensineerine ?* * i? p? 1? * @i'1gl Certificate at Survey s.09•46'8,76.; 0 1 I " 134.4/ ? ?r r Ma J ? . ?; r ? o - ?? . , ' Yo.33 -- g? 5 ? /38•aa - •?•ss•4? u°KI. T 'y h+zaY?? I ? 0 , I?j1,AGkNtlWK I41ttS . 900.0 pe? ?e?x sfinR ? no?S qpcr?io ? E ? : y o.o Denates propdged E/evat%on blenofas Orai?e Utill? Easemenf --?- Denofes Drdi t'Jow Arrows a Dertofes monumenf Bedrrrtl?5 ,5?7own ore asSUmEc? CJ 1(0 ? ? o h 6819488 Ir Go U ? ? 2422 Enterprise Drive Mendota Heights, MN 66120 le14 681.1914 --e? NoaT'H ? I? . --g-?....._._... EAG?1lT??E? I7EPT I?._M9POSLCD NOUSAF ELEVATIONS Lowest Flnnr Elevation sz9.G 7"?p ot Block flevafron w. & Ga S/ob FJevatian s37.3 o Deno ef Ott"tef Nub Su ?ecf fo Easem ents o`' Record L oT 3, BcoN 3, BcAcKHAwX QLcu IST l,14CM COUNTY,,M/NN$SpTA i nerebY cartify Msl this wrwy, plan or revort wes pr ny by ma w wWer my dlreat cupervifitln and that I am duly REqistered Land Surveyor undar tht IOwt ol the Stata p4 Minnawta. Deted this day of ? A.D. 78? - 9n ? oQ JCQ?1?: ? inC?f _ ? ?t C?Ze91 1?0 RESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot I{uob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 q? 3_)q- 7? New ConsWC6on Reouiremenls RemodaVReoair Reouirements ONice Use OnN 3 regislered site surveys showing sq. ft of lot, sq. ft of house; and all roofetl areas 2 copies of plan Cert of Survey Recd _ Y_ N (20%maximum lot coverage allaxed) 1 setof Energy Calculations for heated additions Tree Pres Plan Reoi _Y _ N 2 copies of plan showing beam 8windowsizes; poured found desgn, etc. t site surveyfor additions &decks Trce Pres Reqd _Y _N lsetofEnergyCalculations Atld'dlon-irMicateilonsdesepG'csystem On-si[eSepticSystem _Y _N 3 copies of Tree Preserva6on Plan rf lot platted aker 711193 Rim Joist Detail Options seleclion sheet (bldgs with 3 or less units Date 9 / l-' / _ 03 Construction Cost ?2_1? & (? SiteAddress mD/ J'iS? 6(J/t ki UniUSte # . an i Description of R'ork Ke-SI U Multi-Family Bldg _ Y_ N Fireplace(s) _ 0_ 1 _ 2 PropertyOwner Tlp ffia,? Telephone#(?c?8 Contractor ftnhes g P -+ Q n Address kGl City State /U Zip _S:5:.?f7_ Telephone # (957) '97q -DD 3 n COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (d submissian type) Submitted . Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor ??????Elk SCIP G 4 21003 Telephone # ( Sewer/Water Contractor Telephone # ( Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application permit; that the work will be in accordance with the approved plan approval ofplans. "? a permit, and work is not to start without a ie case of work which requires a review and < 1CE77V- Li y - `'e!y?.? Applicant's Printed ame 41,111' City of EaQall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Date:✓ 1-5v Use BLUE or BLACK Ink For Office Use Permit #: t (og Permit Fee: Date Received: 5 J ✓`-' / (3 Staff: INFLOW & INFILTRATIO PERMIT APPLICATION Plumbing / )( Sewer & Water — ( Site Address: Tenant: 7a( <'euy Address / City / Zip: J Suite #: Phone: ` ar a7© Name: f' .$ 'L_ //'(L �(� 1JS License #: Address: City: State: Zip: Phone: Contact: Email: PLUMBING (Within the building envelope) Sump Pump Repair Other: SEWER & WATER (Outside the building envelope) Repair g Other: 3U Y pet y 0 041S(.DE FEES $60.00 / Each (includes $5.00 State Surcharge) `to 04-1S/PL TOTAL FEE $ *Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit I/1 repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.citvofeaqan.com/inflow, or City Hall at 3830 Pilot Knob Rd. 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.00pherstateonecall.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 w)th the approved plan in the case of work which requires a review and approval of plans. x P- cS Applicant's Printed Name x v1 cji" A - icant's Signature 4,111° City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink r � For Office Use Permit #: /1 25V Permit Fee: 696, Date Received: Staff: 2013 RESIDENTIAL BUILDING/PERMIT APPLICATION Date: Z )/ Site Address: 3 7° �j� j(//`�I R Unit #: Name: Tom 5v Z i b (iv, 4-0 2-ilo 6 try- LI Address / City / Zip: Applicant is: Owner Description of work: Contractor vt¶ oo Phone: '") Construction Cost: J rj j (o v U Multi -Family Building: (Yes / No ) Company: `1441° X-f-(/ra'/- C GC / Contact: vi -i j- e.7 Address: 5c- 7 L 0 e X Ave, AI City: j,)6/' '-(( w State/'7 %1/ Zip: 61 C Phone: k s- i- 7S-3 — �� Z License #: IJ C b Li -7,0\ 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: 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 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 Sate Building Code must be completed within 180 days of permit issuance. Applicant's Print d Name x Applicant's Si ature Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA153352 Date Issued:12/12/2018 Permit Category:ePermit Site Address: 3701 Ashbury Rd Lot:3 Block: 3 Addition: Blackhawk Glen PID:10-14350-03-030 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 P Disanto 3701 Ashbury Rd Eagan MN 55122 (952) 913-8839 Apple Lake Heating & Air Conditioning 207 150th Street West Apple Valley MN 55124 (952) 431-4328 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA160331 Date Issued:03/03/2020 Permit Category:ePermit Site Address: 3701 Ashbury Rd Lot:3 Block: 3 Addition: Blackhawk Glen PID:10-14350-03-030 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard 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 - Mark Paske 3701 Ashbury Rd Eagan MN 55122 (612) 695-4503 Norblom Plumbing 1465 Selby Ave St Paul MN 55104 (612) 827-4033 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA178671 Date Issued:08/29/2022 Permit Category:ePermit Site Address: 3701 Ashbury Rd Lot:3 Block: 3 Addition: Blackhawk Glen PID:10-14350-03-030 Use: Description: Sub Type:Air Conditioner Work Type:Replace Description: Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 210-0754. 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: This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after started. 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 - Mark Paske 3701 Ashbury Rd Eagan MN 55122 Standard Heating & Air Conditioning 130 Plymouth Ave. N Minneapolis MN 55411 (612) 824-2656 Applicant/Permitee: Signature Issued By: Signature