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1568 Ashbury Ct
INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR. h • ; ! 1'f".; Pt ! i t ~ I`E F f41'~'' I t ,tlral, ~~t c u q i Permit No. Permit Holder Date Telephone I< ELECTRIC PLUMBIN .t.vrit LC. /9 !ss' l!~/ HVAC Inspection Data Insp. Comments FOOTINGS FOUND FRAMING ,/J(1 ROOFING !J~ ROUGH PLUMBING PL BG AIR TEST ROUGH / _ , HEATING GAS SVC TEST INSUL ! ✓,1a"f GYP BOARD k7 TT FIREPLACE FREPLACE AIR TEST FINAL PLBG n /e FINAL HTG IV 'f ORSAT TEST BLDG FINAL r, .r»7 BSMT R.I. FYI Y BSMT FINAL DECK FTG DECK FINAL _ r I CITY OF EAGAN r 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 .i. PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for DZCK Est. Value $1.ow Date im 7 is 91 Site Address 1566 ABHDURY C"T OFFICE USE ONLY Lot 13 Block 2 Sec/Sub. D1.11CrHAHK Git.BN 2 Parcel No. Occupancy FEES VIC SPADACCINI zoning - 3 25.00 W Name (Actual) Const Bldg. Permit f Address SAM (Allowable) .50 City Phone 456-5642 r of Stories Surcharge Length Plan Review Zp Name SANS Depth 12_ SAC, City _ OU14 Address S.F. Total SAC, MCWCC City Phone S.F. Footprints F On Site Sewage Water Conn W Name On site Well W I Water Meter ~o Address MWCC System - z Acct. Deposit -Cu City Phone city water - PRV Required S/W Permit I hereby acknowlege that I hav read thistVapplication and state that the Booster Pump S/W Surcharge information is correct and agr to comp with all applicable State of Minnesota Statutes and City o an Ordi ances. Treatment Pt Signature of Permitee ` APPROVALS Road Unit A Building Permit is issued to: VIC . ADACZ1LNI Planner Park Dad. on the express condition that all work shall be done in accordance with all Council applicable State of Minn ota Statutes and City of Eagan Ordinances. Bldg_ Off. Copies Building Official Variance TOTAL = 25. Permit No. Permit Holder Date Telephone k WATER SEWER PLUMBING H.V.A.C. ELECTRIC Inspection Date Insp. Comments Footings I Foundation Framing Rooting Rough Plbg- Rough Htg. Isul. Fireplace Final Htg. Orstat Test Final Plbg. Plbg. Inspector - Notify Plumber Const. Meter Engr.JPlan Bldg. Final Deck Ftg. ~O 9 Deck Final S well Pr. Disp. CASH RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 RECEIVED PROM AMOUNT $ , I I et DOLLARS lee ❑ CASH CHECK POR POND CODE AMOUNT Thank You BY White-Payers COPY Yeilow-Posting Copy Pink-File Copy BLDG. PERMIT N0. 01-3210 Bldg. Permit 01-3422 Plan Check 2 01-3445 Surch./Adm. 01-3446 SAC/Adm. -s j 01-2155 Surcharge c 17-3860 Road Unit `d 00 20-2275 SAC , 20-3865 Water Conn. a O v 20-3868 Water Trmt. o 0 I 20-3716 Water Meter 00 20-2252 Acct. Dep. a a 00 20-3713 Water Permit 20-3743 Sewer Permit I 79-3866 Sewer Conn. ~G 0 a 11-3855 Park Ded. ITOTAL ? !~b ' i 0 CASH RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 l DATE 19 _j wcctrvKo FwoM AMOUNT $ I & COLLARS C] CASH R CHECK FOR FUND CODE AMOUNT Thank You BY i White-Payers Copy Yellow-Posting Copy Pink-File Copy CITY OF EAGArI Permit No: Date: 7 1 r 3830 Pilot Knob Road Meter No: f /4' 7 -7 Size: rr c!( P.O. Bo)f21199 Reader No. Date F-ZW-,Q 7 Eagan, MN 55121 Owner. ogporate C, ~s~bury L13 B2 Blackhawk Clen TI Site Address: Plumber. ~`a rnoac. B.{'<<. t 'lv::tbi-ng Acct Dep: diaaina CAWS 4 l Permit Fee: It ` " =1 EPHONE ELECTRIC - tC. Surcharge: 1 0 W ' with the City of Eagan Tr. Plant 1 , I^ la a Meter. 67-( i~ , Misc.: WATER SERVICE PERMIT CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt To be used for Est. Value Date ,19 Site Address OFFICE USE ONLY Lot Block Sec/Sub. On Site Sewage _ Occupancy ---77,,,,; MWCC System - Zoning Parcel No. On Site We[I Type of Const City Watfr.'Y 1° (ActuaQ a Name (Allowable) Z # of Stories v 3 Address Length City Phone Depth S.F. Total ,o Name Footprint S.F. U ` Address APPROVALS FEES City Phone Assessments Permit Water/Sewer Surcharge wt W Name Police Plan Review z Address Fire SAC, City -z - v i Engr. SAC, MWCC g W City Phone Planner _ Water Conn. Council Water Meter 1 hereby acknowledge that I have read this application and state Bldg. Off. - Road Unit that the information is correct and agree to comply with all applicable APC Treatment PI State of Minnesota Statutes and City of Eagan Ordinances. Variance Parks Copies Signature of Permittee TOTAL A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official Permit No. Permit Holder Date Telephone Plumbing i - f HM A.C. Electric a , ;i Softener Inspection Date Insp. Comments Footings l Footings II Foundation Framing Roofing Rough Plbg. Rough Ht g. 7S~S7 ~L1/ Isul. Fireplace O war Final Htg. Final Plbg. Bldg. Final Cert Occ. J! Temp. LP Deck Ftg. Deck Frmg. Well Pr. Disp. PERMIT# ~7-3-eD PLUMBING PERMIT RECEIPT # v 1 CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 1 Site Address Cj BLDG. TYPE WORK DESCR N Lot Block Sec/Sub Res. New _ Mult. Add-on m Name ' Comm. Repair Address Other c city Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Name f :1 -IS..2Water Closet - $3.00 ` -LBath Tubs - $3.00 3 Address_Lavatory - $3.00 L'2 " O City Phone - I ; f Shower - $3.00 3 " (Kitchen Sink - $3.00 3 FEES Urinal/Bidet - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE I Laundry Tray - $3.00 3 APT. BLDGS - COMM RATE APPLIES I Floor Drains - $1.50 V TOWNHOUSE & CONDO - RES. RATE APPLIES I Water Heater - $1.50 1 U MINIMUM - RESIDENTIAL FEE -$12.00 Whirlpool - $3.00 MINIMUM - COMM/IND FEE -$20-00 -1 -Gas Piping Outlets - $1.50 STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT) (ADD $.50 S/C IF PERMIT PRICE GOES Softener - $5.00 BEYOND $1,000.00) Well - $10.00 Private Disp. - $10.00 S __~i_Rough Openings - $1.50 1 ATUR9 pF PERMI EE ~ FEE: ~ I J STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL t 4 PERMIT # y s MECHANICAL PERMIT CITY OF EAGAN RECEIPT # ! r ,I 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ` my = CONTRACT PRICE: $ PHONE: 454-8100 Site Address BLDG. TYPE WORK DESCRIPTION I F Lot Block c/Sub Res. New ~ 11 Name Mult Add-on Address 13075 Pioneer Trail Comm. Repair c City Eden Prairie Phone 541-4211 Other 9 ~ Name CozpQrate Construction FEES RES. HVAC 0-100 M BTU -$24.00 3 Address 4466 d ADDITIONAL 50 M BTU - 6.00 p City E,igan Phone 454-0644 (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA. TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE ~ APT. BLDGS. - COMM. RATE APPLIES Forced Air L~ n~iof 3QI~A BTU 24,()( TOWNHOUSE 8 CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU $ MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 Vent. CFM (ADD $.50 S/C IF PERMIT PRICE-GOES Gas Piping Outlets # -n,~ 0211,; $----l,,5( BEYOND $1,000) Other FEE: `5.5 S/C: SIGNATURE OF PERMITTEE , _ c U • G ~ I TOTAL FOR: CITY OF EAGAN I Tutif irate of Orrupaury Ctp of (Eagan Mp}121Tbi1Pltt of l> nwg . ettion This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following..- use classification s:- MS. Fe mit No. L4849 Occup-y Type R3 Zoning District f rya Const. V oswer of Building(XIMMAM CXIqSITS -13A&ess V- EAr:kSti Budding Adam. 1.568 ASMW OUM Locality i . i a 0 M it lf' 7-N 21,', ; Dote: AMUST 28, Building Olficud POST IN A CONSPICUOUS PLACE REQUEST FOR ELECTRICAL INSPECTION EB--00001-06 Ilr See instructions for completing this form on back of yellow copy. 7G ® 3 3 3 7 5 "X" Below Work Covered by This Request ev4pddl Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater ighbng Fixtures Apt Butldmg Dryer Electric Heating Commeraal Bldg. urnrice Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other neri v 1her ISDUr~fy) t Fin r SVecriY Other Other Compote Inspection Fee Below a Fee Service Entrance Size h Fee Feoders/Subfeeders q Fee Circuits 0 to 200 Am 5 0 to 30 Amps FGU . 0 -to 30 Amos Above 200 Amps 31 to 100 Amps 31 to 100 Am s Swimming Pool Above 100Am s Above 100_Amps ~ Transtormers Irrigation Booms artial,'Other Fee Signs Special Inspection Remarks r.eh r , 60 Rough-in Mile, 1. the lectnc Inspecto , tireby certilV that the above Final me inspection has been made. This request void 18 months from This request void 1B mon the from 33375 Req st Pat Fire No. Rough-m Insperuon Requ rted~ []Ready Now []}WMI Notify Insper.- s ❑No Ior When Ready ❑.L+L^ensed Electrical Contractor I hereby request inspection of above ❑ Owner electrical work installed at 5/ et dress. Box or Rout No. Cite iI-~/ ecUOn No. os Township Name or No. Range No. Comity' I •IV/ Po No. cupant (PRINT) hp t S Pp Buppli r Address Electrical Contractor (Company Name) Contrartor's Lrcunse No. Mailing Atla1 ora to r w~^~ i ila UOnl 145400 Auth , 4 1r IaUOnI Phone Number e MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griaos-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 Univers itv Ave.. St Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS ENCLOSED- phone (612) 642.0000 CITY OF EAGAN N0 13 8 4 9 3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 Receipt # --I J S3 To be used for SF DWG/GAR Est. Value $86,000 Date JULY 1 19 87 Site Address 1568 ASHBURY CT OFFICE USE ONLY Lot -]Block 2 Sec/Sub. BLACKHAWK GLEN 2 On MWCC Site system Sewaa - zoning Occupancy R3 R1 Parcel No. On Site Well Type of Const City Water X (Actual) a Name CORPORATE CONSTRUCTION INC (Allowable) W # of Stories z Address 4466 WEDGWOOD DR o EAGAN 454-0644 Length 46 City Phone Depth _ 52 S.F. Total , c Name SAME Footprint S.F. 0< Address APPROVALS FEES f i- City Phone Assessments Permit $ 454.50 Water/Sewer Surcharge 43.00 OW W Name Police Plan Review 977 - 9 5 z Address Fire SAO, City I no 0000 x - ~o Engr. SAC, MWCC S?S 0000 aw City Phone Planner Water Conn. 995.00 n Council Water Meter 67-0 1 hereby acknowledge that I have read this application and state Bldg. Off. Road Unit 305.00 that the information is correct andagree to comply with allapplicable APC _ Treatment P1 190.00 State of Minnesota Statutes an ' oDiEa an Ordinances. Variance Parks Copies Signature of Per lttee TOTAL fit, 476.75 A Building Permit is issued to: CORPORATE CONSTRUCTION INC on the express condition that all work shall be done in accordance with all ~ppl State of nne~ota Statutes and City of Eagan Ordinances, Building Official - niG ble CITY OF EAGAN Np 922 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 Receipt # C I M 3l To be used for DECK Est. Value $1,000 Date JUNE 119 91 Site Address 1568 ASHBURY COURT Lot 13 Block 2 Sec/Sub. BLACKHAWK CLEW -2 OFFICE USE ONLY Parcel No. Occupancy FEES Name VIC SPADACCINI Zoning $ 25.00 w (Actual) Const Bldg. Permit Address SAME (Allowable) .50 o City Phone 456-5602 # of stores Surcharge Length Z0- Plan Review i~ Name SANE Depth SAC, City u°< Address S.F. Total SAC, MCWCC City Phone S.F. Footprints - On Site Sewage Water Conn Gw Name On Site Well Water Meter u~ Address MWCC System <W City Phone City Water Acct. Depose PRV Required S/W Permit I hereby acknowlege that I hav read thi application and state that the Booster Pump SAW Surcharge information is correct and agr a to nom with all applicabl9 State of Minnesota Statutes and Cdy o gan Ord antes. \ Treatment PI Signature of Permitee APPROVALS Road Unit A Building Permit is issued to: VIC ADACCINI Planner Park Ded, on the express condition tat all work shall be done in accordance with all Council _ applicable State of Minn o a statutes and C of Eag Ordinances Bldg Off Copies Variance TOTAL 25.50 Building Official - S f 1987 BUILDING PERMIT APPLICATION - ( EAGAN SINGLE FAMILY DWELLINGS 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 - RESIDENTIAL RENTAL UNITS FOR SALE UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, > e $2,000 LANDSCAPE BOND To Be Used For:` / Valuation: 8~r Date: D J4 Y ` Site Address OFFICE USE ONLY Lot 1'3 Block On Site Sewage Occupancy 3 1S571 / ~j MWCC System ✓ Zoning fZ-I Parcel/Sub J1~~(/ tµ/~ a( j On Site Well Type of Const City Water (Actual) Owner j 1110 ~.t (Allowable) o"6"0 # of Stories Address Y n IN r~ Olt- Length ~i Depth SZ City/Zip Code _nq ✓ ~J~1 7 S.F. Total ~ %J Footprint S.F. Phone _ APPROVALS FEES 50 Contractor Assessments. Permit ' Water/Sewer Surcharge ¢3. Address -Police Plan Review Z2- '7.zs Fire SAC, City bCb City/Zip Code Engr SAC, MWCC 5 2S Planner Water Conn S 2 S. Phone Council Water Meter (fl"]. Bldg Off Road Unit 305. Arch./Engr. APC Treatment Pl Ij- Variance Parks Address Copies TOTAL City/Zip Code - Phone # SURVEYOR'S', CERTIFICATE SIENNA CORPORATION . REVISED 6-10-87 TO SHOW A PROPOSED HOUSE FOR CORPORATE CONSTRLCTION. r DENOTES-PROPOSED SURFACE DRAINAGE SCALE: 1 INCH 30 FEET O DENOTES IRON MONUMENT SET PROPOSED GARAGE FLOOR ■ 9y1,1 FEET O DENOTES IRON MONUMENT FOUND, PROPOSED LOWEST FLOOR & y y,5 FEET X000,0 DENOTES EXISTING ELEVATION (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK 1%4-1.-7 FEET THAT THIS IS A TRUE AND CORRECT WE HEREBY CERTIFY O -SIENNA COORATION THE BOUNDARIES OF; REPRESENTATION OF A SURVEY OF Lot 13 Block 2 , BLACKHAWK GLEN END ADDITION, according to the recorded plat thereof Dakota County, Minnesota. (THIS LEGAL DESCRIPTION WILL BECOME VALID UOON FILING OF.THE PLAT BLACKHAWK GLEN 2ND ADDITION) 86 S SURVEYED BY THIS T 30T111 DAY ENCROACHMNTS, PECENBER F ANY, DOES RDIRECT SUPERVISION IMPROVEMENTS ME OR UNDER MY APPROVED FOR SIENNA SIGNED: JAM ,LL, INC. CORPORATION BY' BY. LAND SURVEYOR HAROLD C. PETERSON, DATED THIS -DAY OF MINNESOTA LICENSE NUMBER 12294 Ig SHEET I OF 2 SHEETS PROJECT NO. BOOK i PAGE JAMES' R. HILL, INC. 85618 (8-'3516) Planners / Engineers / Surveyors FILE NO. 6200 Humboldt Avenue South FOLDER Bloomington, Mn. 55431 612-884-3020 SURVEYOR'S CERTIFICATE SIENNA CORPORATION ASHBURY / \ COURT R=60.00 4 "5/003'4d' 5 .47 N 0 ,.,'o _ ~ v" /ry 7 tiI~N : 9 ~ lp M ',,O i~l~ f1 20.00 O I_ (~~f ~ i a GAR. N / J I N IN i ° \ `T.a A J co z.o• / a 14.67 _ M h PROPOSED \ HOUSE N 99 27.54 44.0 I _ 4- - 0 (O = 94~,~) \ Old d a LOT 13 \ Uttun' \ \ DRAINA(;C PER PL-0 - JgAS f r- p ~ M!n f 187.4'8 M^ ,o oS goo 22, 411 W Z _ 65.0 ~nl 1 I J'I~ r r 1^ IL/~V REVISED 6-10-87 TO SHOW A PROPOSED HOUSE FOR CORPORATE CONSTRUCTION. SHEET 2 OF 2 SHEETS PROJECT NO. BOOK PAGE JAMES R. HILL, INC. 85618 (13-73!58 1 Planners / Engineers / Surveyors FILE NO. 8200 Humboldt Avenue South FOLDER Bloomington, Mn. 55431 812-884-3020 -ENERGY COOK R:~UI%Tt UrU - N - M o 1/1104 •~,C:•Gl^ Cwlp opClun ~CCivR Phone ^AIPa/i ;its Address :ontractor Cr~C` 7 o N~~ C o c~ c ~c~. " r,hone r' luilding Classification: Type Al (Single Family b Duplex) ✓ Type A2 (Residential) f - - (3 stories arTe, (Other) (Over 3 stories) 3ENERAL INFORMATION , 1. Building Perimeter ~(e ft. I. Wall height (ground to eave) ~D c s ft. 2. 1. 1. x 2. .(above) gross wall ores 7, ?O F2 ft. C+9Q.!S 2 1. Building dimensions (L)am X (W) 3f`~ 1 9 4.5 ft. roof S floor area ) i. Square fcot area of rim joist - Floor foist size (2 x l 0? ib? x Perimeter - Rim o St area - \~O ft2 }I• -f 6. Doors - Area 3 'I i \ 3 Thic nest n. actor Type of Construction ~~erimeterj(p 3~~-\5 9 8 ft: Manufacturer- F} Q s e 7. Total door's perimeter 3 Z . Z $ ft 8. Windows: Manufacturer mot`- CO State approved N\l111)_ U factor 5 C~ " TYPE SIZE AREA (F:.2) NUMBER OF TOTAL FEET 2 EACH UNITS -7 cpn 4 ~0 3Cn \ 5 4 _ Z S9 i 3030 n Gl~, x Ca~Q, 'e4~. O ~ ~e0 . OQ 9. Total ft.2 Glass Z \\-2!"_ 101. Fireplace area: Width x heiaht ~3- x Ft.2 2 11. Exposed foundation: Height x Perimeter `a. x ' S Ft. :1MPLETION OF THIS FORM IS REQUIRED FOR ALL NEW CONSTRUCTION, MAJOR REMODELING AND BUILD11GS iJVEO WHERE ENERGY. OTHER THAN THE MINIMAL CODE ALLOWANCE, IS USED. wall area 7 aindow area A - .1y~ (t 2 I; windows • S CD U x A .w Rim Joist area A \3 p 2 o ft. U rim Joist • - - _40 U x A Door area A -3 1 ~t ft•` J door area - , J x A■ q, I Fireplace area A EE) f` 2 U Fireplace - ~9- U x A Exposed foundation Aa $ f*.= U foundation U x A`■ Framing area A Z J framing area , 09 U x A Q Net wall area A 1 Ka0.0\`t. U wall OC3 U x A 4L Gross wall area x 0.11 (A-1 single family S J6;,;zx allowable U x A/Code (13. above) x 0.23 (A-2 other residentia" x .23 (Other building;; x .2E (Over 3 stori-;,) A 8 x V Ccde UH Must be larger that 13B above Ceiling framing area (Af) aquals 10': of ceilino erea~` _ or the same as kSA. Gross ceiling area - (L) ~p ) y38 Joist area (Af) - 10" ceiling area 2 Net ceiling area (.4c) (15A - 156) ~(og O 5 f 2 s.:. t U ceiling x A c' o ~k iU x irk U framing x A fe d Z ie x_ \ Q= TOTAL U x A ayt,~ . s¢,G. Ceiling area (15A) x 0,026 (A-1 single family S duplex - code allowable U x A x O:C33 (A-2 other residential) ~4pR, x O.C6 (other) a; q 0 5•Al q x a BTUH Must be larger than 150 (above) F (or the same as) x,-. ~o Flo "A• t• NOTE: Use U and A values obtained f-orn nps 1, 3 and 4. i(• i• C (nteriet wW (Wall) V{~, . • SECTfQK G' x'nsu:att..n b0 `kh~arhini e Siding C)4t • 1 ;,ltsidp air film .17 R TOTAL a~ f 'f •i,; Inside air film •68 •g 6.•45 *1. STUD V. C, interior wait ~ SECTION *i? a"Ud R= (Framing) U'• P ■ Iheath ing Z o .a~+ Sidins • jl OUCalda air iilm 11 •~o` r J TOTAL fJ . CN, O Inside air film R• .68 2ND WALL Interior wall (Wall) "a 1 I' insulation \c.t7o SCCTI N: ZY. Sheathing Z IS X, Exterior wAll .:overing 51 Exterior air EILr. n ..I % • Oft.' '+i•R TOTAL Z3 . Q3 At ..r- ' Interior air (ilT is •63 ` 3 81N ~I G' 'r.sulo'.>on ♦`i.°O i• RtAi a, JOIST lk inch Sufr •+uud R=1.88 ' Joist) •f She a ch l ng E`. r, ~-tx L error wall Lovering •°-7 } Exterior air Elim R■ .17 o4 a TOTAL ZQ _'4b qr Interior air films R■ •66 + insulation. -rO • cb ~ Foundation (Fdn.) U • ■ ~b7::~-Xxterior air film - ~,I a TOTAL ' -I i I ~fxpoaed Muck ; «....i~ . it °,y n rrade 's. ....:,....ti?fiw'lv+~y4cxia•L~Rw Yi.-, . . . '•M Ar IJ E Ji1'!. I ti ~•f^..cr 1. I,.% 4.61 R~r 0.6i ~yaf, / , 3\ 5 Insulation Q. Joist Y r' 5$ Ceiling 5Q> 1 , r l / O.E1 Air Film 0.61 37.9 Total R FLAT ROOF_ OR CATHEQa% C IL 14G -4'~ u1 - R VALU FRAMING CEILIi~i ~k 0.61 Inside air film 0.61 Ceiling 1 Joist (stud) I Insulation c' Air space Roof dockinq r a Insulation / Built-up roof 0. 7 Outside air film O /A Total R 1 I s U is ..,iindow infiltration .5 cfm/lineal foot of crack `,Iosidential door infiltration 0.5 cfm/square foot or door and mininur. code requIresiRt E.*n-residential door infiltration 11.0 cfm/lineal foot of crack lb 12" concrete block no insulation - .47 R 2.1 `s)b .12" concrete block insulated cores • .26 R 3.8 J6 12" 1ightweighp block - .32 R 3.1 ;p 12" lightweight block 1alsuiated cores - .12 4 8.3 J single glass ■ 1.13; with stori, window .54 F•double glass ■ .95 J triple glass • .41 ; x x.111 exterior walls and ceilings must have a vapor barrier (C.10 perm wax.). ~.:spor barrier mst be on the inside (heated side) of wall. ;H~or barriers of the pgTyethblene thin film have no R value. F .i 4. 1'y% i?F?~'.' 7-Gc CITY OF EAGAN Permit No: Date L 7 3830 Pilot Knob Road Meter No. Size: P.Ca. Box 21159 Reader No: Date: Eagan, MN 55121 Owner. Gogporatc ..0.1 Site Address: 5~ u=" r7 rte:: ; T7 Plumber :aynon A:. 1sa P um Conn. Chg: ' 00pe Zoning: ' Acct Dep: 00pd No. of Units: Permit Fee P Surcharge: I agree to comply with the City of Eagan Tr. Plant u 00 pd Ordinances. Meter. 7.Ofl~ Misc.: By WATER SERVICE PERMIT CITY OF EAGAN 3830 Piiot,Knob Road SEWER SERVICE PERMIT : P C! : d P.n. Bax X1199 PERMIT NO. _ Etgan, MN 55121y DATE: ' Zoning: )I ~Vo. of Units: Owner. Corporate Congt)ar r Address: ('e c ''r m Site Address: Ashbyry Puree L, , 3 n2?aci ,:aw;;. len II Plumber fisy~6&xrd to aer ? lumb Lnj -1--!~7 7 5 Y ;1., 100.60pd ' 1 agree to comply with the City of Eagan Connection Charge: 595-00 Ordinances. Account Deposit: 15 - 00pd Permit Fee: 10 Surcharge:' By Misc. Charges: Date of Insp.: Total: j Insp.: Date Paid-. CITY OF E A G A N NOTQ APPLICTalrZI DO NOT CONSTITUTE * APPROVAL OF PERMIT. APPLICATION FOR PERMIT INSPECTION OF SEWER AND/OR WATER * INSTALLATIONS WILL NOT BE SCiIlM>- SEWER AND/OR WATER CONNECTION ULED UNTIL PERMIT HAS BEEN ,*1 APPROVED. * ,1 >t ,*F (Please Print 1) PROPERTY ADDRESS: jann- / ` 6 G LEGAL DESCRIPTION: - Lot Block Su ivision or Tax Parcel ID ) IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: PRESENT ZONING/PROPOSED USE: (Mon Year) ❑ COMMERCIAL/RETAIL/OFFICE 1124-1 SINGLE FAMILY ❑ INDUSTRIAL ❑ R-2 DUPLEX (Two Units) ❑ INSTITUTIONAL/GOVERNMENT ❑ R-3 ZOWNHOUSE (Three + Units) ( Units) ❑ R-4 APARTMENT/CONDOMINIUM ( Units) 2) NAME: WAY__M__OND _ 41AEG PLRG [NI • ADDRESS: 7226 Cedar Ave So` _ CITY, STATE, ZIP: Richfield. MN• 55423 PHONE: L{(a (a oof 3) - NAME: RAYMOND E. HAEG PLBG. INC.' Plumbers License: ADDRESS: 7225 ear Ave. So. 0 Active a CITY, STATE, ZIP: 5.5423 Expired Not recorded PHONE: C&L, ]yygT~ LICENSE# ( gt~a { Tn~ tyal 7.1 NAME: t09tn ey, _ ADDRESS: CITY, STATE, ZIP: (Z~L Q~~ 1 PHONE: Q c4 5) I •:I :7 • 71 MrA CONNECTION TO CITY SEWER ANNECTION TO CITY WATER ❑ OTHER 6) U • PLEASE-HOLD APPROVED PERMIT FOR'PICK- BY ONE OF ABOVE PLEASE MAIL APPROVED PERMIT TO 1. 3 ABOVE (Circ one) • JURm6laNg ) ..1. • 1: • • I• • A 171• II q. • •11 .FOR -.CITY USE ONLY PERMIT # ISSUED Pd w/Bldg. Permit FEES: $ $ /i9' S7D SEWER PERMIT (INCLUDE SURCHARGE) $ $ h') WATER PERMIT (INCLUDE SURCHARGE) $ ~7-7- -0 $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ 15'10 o $ ACCOUNT DEPOSIT - SEWER $ $ ACCOUNT DEPOSIT - WATER $ o-0 $ WAC $ z S $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ h $ LATERAL BENEFIT/TRUNK WATER $ 0-o o $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ !663 7 TOTAL RECE PTA- RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? Q YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: v~ DATE: T~ BUILDING PERMIT APPLICATION CITY OF EAGAN '^Y SINGLE FAMILY DWELLINGS 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 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 WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. T 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: ykC/G ( Valuation: -T Date: Site Address 1,51,8 /g5~, 4, ry C r . OFFICE USE ONLY Lot Block o2- FEES 1S Occupancy Bldg. Permit 1 Zoning Surcharge Parcel/Sub Actual Const Plan Review Allowable SAC, City Owner V1 ( 'el 50/i ©f}(ZiC- # of stories SAC, MWCC lb ( A65~,b Length _..0 Water Conn. Address b Depth /2' Water Meter S.F. Total Acct. Deposit City/Zip Codel~/rpA^JT$/2 Footprint S.F. S/w Permit S/W Surcharge Phone 56 -.ebb 2i On site sewage- Treatment Pl. On site well Road Unit Contractor 5 'Or)1 MWCC System Park Ded. City water Trail Ded. Address PRV Copies Booster Pump City/Zip Code SUBTOTAL APPROVALS Penalty Phone Planner Lot Change Council TOTAL Arch./Engr. Bldg. Off. " E $,i Variance Address City/Zip Code Phone # ? J"~ agrees that all work shall be done in accordance with (Signatur of Contractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. JRVEYOR'S CEh fIFICATE ENNA CORPORATION ASHBURY / COURT \ R=60.00 / \8yy. 53.47 4 z510 03140 / o g': o !ry 7g~- 8a, lop 1 \ 1 co 1 t /GAR. N N ~ IG °9.0/ 14.67 ~I OYoP / 1 \ IT /r3'ra PROPOSED r- ~ HOUSE N 1 I r9' i J6 44.99 ~1T0 N _ Q 44.0 (D - -7_54-' - ?~~1 /y lT,• O 2 7gl ~~s (o P LOT 13 DRAINAGE rPER P t BASEMEN 0 Su C9v o) 0 10 X 87 48 d- o 2 65.00 s 800 22' 4\" 1 r_ w ~ n`A1I~ ~ r 1~ IL/Iv 1 REVISED 6-10-67 R1 SHOW w .en Vnccn unircP FOR BATE:: U /RB197 TIME; i., D155 eta . R is DAlli_t:+fI -S)m TE':SIGfER is IRS INC WiD 9001 1569 ASHBURY CT 50.00 900i 062 ;',sFlispy Cl 0.50 Total Rer _lp an,uint. 50.90 CRPORAll TYi•I+i!~Y(,VI~.~...'il~l~v*.:T'~'.i"~MR.T~~:/nR+~1~MiM1 if. i`~~'.`I '1'. i(~I`i'f i~~`n. )Y~MTT~ CITY OF EAGAN PERMIT 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G 'Eagan, Minnesota 55122-1897 Permit Number: 031004 (612) 681-4675 Date Issued: 10/28/97 SITE ADDRESS: 1568 ASHBURY CT LOT: 13 BLOCK: 2 BLACKHAWK GLEN 2N P.T.N.: 10-14351-130-02 DESCRIPTION: (NO BEDROOMS) )e41-rjg`!.~,Permit Type BASEMENT FINISH Ldor~S Type ALTERATION B~€fj:8a 04 0;C611,.ki.at,_~,.;~`I m 434 ALT. RESIDENTIAL St`v u _ _ iEev d ~f. C - =>ie~YF te'a' 7b. 'lt L 1 "t4 P-SI~tt t is C S4+m¢.. t n u :m' .siaz REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK FEE SUMMARY: Base Fee $50.00 Surcharge $.50 Total Fee $50.50 CONTRACTOR: - Applicant - ST. LIC OWNER: DAHLSTROM DESIGNER HOMES 14552245 0003508 SPADACCINI VIC 10525 AKRON AVE 1568 ASHBURY CT INVER GROVE HTS MN 55077 EAGAN MN (612) 455-2245 herebw, ackn;"leds Nr~ ' h~ Y tv ~ 1~.1i s~ apisC z # ~ C k 4 Va, Z, ' _$nFgrm,a; zon is carrest s fC ` agn #Ir ifl~k y C 1~' r ~'~p `ere dS hF,rc ,re E S tt W hi a€ t H i'iC F pL (IF!' Iv`i~fii HBPft Oar N'T nLIR imvi A 4ki ~_„_sta,ut,$ a dEa air A',..a~ is. a;b A APPLICA ERMITEE IGNATURE ISSUED 9r. TUNA RE o41997 BUILDING PERMIT APPLICATION (RESIDENTIAL) sio CITY OF EAGAN 3830 PILOT KNOB RD - 55122 681-4675 New Construction Requirements Remodel/Repair Requirements ♦ 3 registered site surveys ♦ 2 copies of plan ♦ 2 copies of plans (include beam & window saes; poured fnd. design; etc.) ♦ 2 site surveys (exterior additions & decks) ♦ 1 energy calculations ♦ 1 energy calculations for heated additions ♦ 3 copies of tree preservation plan if lot platted after 711/93 _ required: _ Yes DATE: CONSTRUCTION COST: DESCRIPTION OF WORK: STREET ADDRESS: I LOT _ BLOCK SUBDJP.I.D. c 0LI11114, All PROPERTY Name: j/`e'erec roc?/ /C Phone OWNER Street Address: City: State: Zip: CONTRACTOR Company: Phone /lcDL ~5~8 Street Address: License City: 4952vy~/e7 State: Zip: M-b ARCHITECT/ Company: A44~~ Phone ENGINEER Name: Registration Street Address: City: State: Zip: Sewer & water licerned plumber (new construction only): Penalty applies when address change and lot change are equested once permit is issued. I hereby acknowledge that I have read this application and state that the inform is co7ec and agree corWy with I pplicablq State of Minnesota Statutes and City of Eagan Ordinances. ! Signature of Applicant: p ~h OFFICE USE ONLY Certificates of Survey Received _ Yes No OCT T 1991 Tree Preservation Plan Received - Yes No Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging 16 Basement Finish ❑ 02 SF Dwelling ❑ 07 4-plex ❑ 12 Multi Repair/Rem. ❑ 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-plex ❑ 13 Garage/Accessory ❑ 20 Public Facility ❑ 04 SF Porch ❑ 09 12-plex ❑ 14 Fireplace ❑ 21 Miscellaneous ❑ 05 SF Misc. ❑ 10 _-plex ❑ 15 Deck WORK TYPE ❑ 31 New X 33 Alterations ❑ 36 Move ❑ 32 Addition ❑ 34 Repair ❑ 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MCNVS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code S I Census Bldg _I APPROVALS Census Unit Planning Building Fm Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit SNV Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units CITY USE ONLY L ~'j BL ~ RECEIPT SUBD. l ULZr - RECEIPT DATE: 9 q 1997 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3630 PILOT KNOB ftD EAGAN, BtN 55122 (612) 661-4675 Please complete for. ➢ single family dwellings ➢ townhomes and condos when permits are required for each unit ➢ backflow preventer for underground sprinkler system FIXTURES EACH # TOTA Shower 3.00 x = Water Closet 3.00 x Bath Tub 3.00 x = Lavatory 3.00 x_ Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = Water Heater 3.00 x = Floor Drain 3.00 x = Gas Piping Outlet ' minimum -1 3.00 x = Rough Openings 1.50 x = Water Softener *for dwellings under construction 5.00 x = Water Softener *for existing dwelling 20.00 x = U.G. Sprinkler ' for dwelling under const. 3.00 = U.G. Sprinkler `forexisting dwelling 20.00 = lPdteratl nos to existing restdence 20.00 = -5 Water Turn Arouno 20.00 = Private Disposal System ' Dak Cry lic. 75.00 = (new and refurbished systems) Private Disposal Systems' Abandonment 20.00 = STATE SURCHARGE -~n.50 TOTAL✓ I hereby acknowledge that I have read this application, state that the Infortnaticn is coned, and agree to compty wkh all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement. SITE ADDRESS: J o fl~-, ~ a, r OWNER NAME: is cv, L-- 0 9. C 1 S f r a r l q INSTALLER NAME: r~1Lf- " V- P ~'Zt TELEPHONE#: STREET ADDRESS: 7 ( (j w / `u-- CITY: We- S~ J f- ct--~1 •1 STATE' ZIP: ~J^ SIGNATURE OF PERMITTEE CD/FORMS/PLBG PERMIT (RESIDENTIAL) 1997 I :<:< r ~WY„SRS'~Ckt:~tkt~X~YN:%~>k:FAY,;Y;:t:;:;~9c~f>n7k`.',ok>4'W,.~>Ii~~k,~~K3,c CITY OF EAGA ASf .I:ES. ,15 TERMINAL NO: 7:39 DAS'_^ 09/22/99 t`1 ME- 1410.1.3 TTd 'I VAME: DAHLSTROM DESIGNER HOMESy INC. 3210 9001 156E ASHTURY Cr 1,11.25 205 900, 1568 aSHBURY CT W0 I TQ;al 'Rac:eiFl4 k c.jnt, 111;v1 C'R I P31:''.3 USE? Tip: JAN .;g:'.;~''.c;'°,:{'",:•^X~i:d;I,fF`:: k:t .:.d.rrt ;:~Y:fa;., ;:~t 8:~~";W 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1 S j 651.681-4675 l yQp pf(I ~/~J New Construction Reauiremenh Remodel/Repair ReauRenllfS _ _•-L > 3 registered site surveys showing sq. ft. of lot, sq. h. of house 2 copies of plan and all roofed areas (20% maximum lot coverage allowed) 1 set of energy calculations for heated additions ➢ 2 copies of Mans (show beam & window sizes: poured tnd. design; etc.) 1 site survey for exterior additions 8 decks ➢ 1 set of energy calculations ➢ 3 copiess. of tree Preservation plan R lot platted after 7/1/93 DATE: CONSTRUCTION COST: DESCRIPTION OF WORK: .SC.~ ems' i ~~v STREET ADDRESS: LOT: D BLOCK. SUBD./P.I.D. C Vl(X ln, K b I Z° "~'J Name: Phone [~v PROPERTY Last First OWNER Street Address:- city State: Zip: ,1-k- Company: Y 1J^~LZ~S (area code) CONTRACTOR Street Address:, Ff O~/4 rse # Exp. City l - - State: i'Gt Zip: S~ ~7J ARCHITECT/ ENGINEER Company: s¢~L' Name: Telephone area code ( ) Street Address: Registration City State: Zip: Sewer S water licensed plumber (required f r new construction only): PeAcity applies when address change and lot change Is requested once permit Is issued. I hereby acknowledge that 1 have read this application, state that the Inform ot Is ag o comply w applicab State of Minnesota Statutes and City of Eagan Ordinances. / Signature of Applicant: 445g zr=;;- ~7r OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 4-plex ❑ 11 10-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 02 SF Dwelling ❑ 07 5-plex ❑ 12 12-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea. ❑ 03 1 of _ plex ❑ 08 6-plex ❑ 13 16-plex ❑ 18 Deck X 23 Porch (screened) ❑ 04 2-plex ❑ 09 7-plex ❑ 14 Apartments ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 05 3-plex ❑ 10 8-plex ❑ 15 Lodging ❑ 20 Pool ❑ 25 Miscellaneous WORK TYPE ❑ 31 New ❑ 35 Tenant Impr ❑ 39 Gas Line Only ❑ 43 Siding/Soffits/Fascia ❑ 32 Addition ❑ 36 Move Bldg. ❑ 40 Gas Insert ❑ 44 Windows/Doors 33 Alteration ❑ 37 Demolish Bldg.' ❑ 41 Wood Stove ❑ 45 Fire Repair ❑ 34 Repair ❑ 38 Demolish (Interior) ❑ 42 Reroof Give PCA handout to applicant for demolition permit GENERAL INFORMATION / Const. (Actual) Basement sq. ft. Census Code q3`i (Allowable) Main level sq. ft. SAC Code _1 UBC Occupancy 2.3 F- H.G sq. ft. 13PP No. of Units I Zonings sq. ft . No. of Bldgs a # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Building Engineering Variance CA r Permit Fee L l l . }SS Valuation: $ Surcharge a sC Plan Review License /0"Cw /38'K50 MC/ES SAC . City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails [)ad. Other Copies Total: 11 3 5 SAC Units % SAC %EYOR'S CERTIFICATE SIENNA CORPORATION ASHBURY \ COURT R=60.00 5 ~8yy, 4& 53.47 51 03'4d' N O o 5 w M co GA 'Q cv, Pi C, 9, 1941 0 0. i ` I 14.67 h / PROPOSED II HOUSE _ s I _ 44.99_ ~ (D _127_34_ O~ 44.0 O / s (D 1 I~.YrSPs b J~rst~ ~ \ ~ LOT 13 \ 1 \ ORAINA0-r PER PLIA EpSEM 0 - 10) hj fy)-(() , o Ct o~ )5.00 S goo ry2' 41" W Z c ~ nl (9VO.O~r- f~L ,i,Iv l~v cj REVISED 6-10-87 R0 SHOW A PROPOSED HOUSE FOR CORPORATE CONSTRUCTION. ~,Iirr~ r 2 z 7rrr'I~ rti PROJECT 110. BOOK / PAGE JAMES R. HILL, INC. 88618 (0-7:S' 58) / Engineers / Surveyors FILE NO. 8200 Humboldt Avenue South FOLDER Bloomington, Mn. 55431 812-884-3029 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN ^ \ (e % AI to C> 3830 PILOT KNOB ROAD, EAGAN MN 55122 I S S v 651-675-5675 Please complete for modifications to existing residential dwellings. 1~9_! O' Date Site Street Address Unit # Property Owner cc, Telephone # (6-5-4, Contractor Y2'&Z4 l ~~y _141A Telephone # r ~ Addressl,1;z,~o-<>- city StateZVrJ Zip The Applicant is: _ Owner Z Contractor -Other Alterations to existing dwelling $ 50.00 Add fixtures to rooms, excluding water softener and water heater Septic System Abandonment -Water Turnaround (add $121.00 if a 518" meter is required) Other: Y, Water Softener - Water Heater $ 15.00 replacement - additional Lawn Irrigation System RPZ_ new - repair -rebuild E.50 State Surcharge Total $ I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event- n is required to be reviewed and approved. - i , Applicant's Printed Nam Ap licant's Si ature n IJI 21 2004 ii,. 0 I L For Office Us yFr,, Lam/ City of Eap I Permit # Permit Fee: 1150 O 3830 Pilot Knob Road Eagan MN 55122 j Date Received: g~ ^ n ^ n nn~ Phone: (651) 675-5675 Ua Lt~ Fax: (651) 675-5694 j staff: 77 2009 MECHANIC/AL PERMIT APPLICATION Date:." 01-11 Site Address: 1[~ J 6R7 t'P~jbu(u ca( 4 Tenant: 1 G Suite RESIDENT/OWNER Name: AIL S~c rGIAI` Phone Address / City / Zip: h CONTRACTOR Name &41 91.- 1r~J License # Address: la ~GvM I'flf.~>ni ~itfi City: 014 State: m-ff -zip. Phone 5 - 5 ~ Contact Person 00,1 TYPE OF WORK ^ New ?CY1 Replacement Additional -Alteration _ Demolition Description of work: ns .fl r + roo ~e NOTE: $r#h "roof nio6ntell and-g ouh# mdunfedimechsinical equipment Is"required to tie scraened'by City,~Cdde. PteaSq sdntaet.'ttie Mechanical inspector or one of the p'Isnners.for infor'M6116n on ~ermitted screening methods. PERMIT TYPE RESIDENTIAL COMMERCIAL New Construction Interior Improvement urnace 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 Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ ~0 x1% $50.50 Minimum (includes State Surcharge) Permit Fee - If Permit Fee is less than $1,000, surcharge is $.50. - If Permit Fee is > $1,000, surcharge increases by $.50 for each = $ ~]d State Surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). $ qd TOTAL FEE 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 '¢permit, that the work will be in accordance with be approved plan in the case of work which requires a review and approval of plans. x :7 X Applin`'s Printed Name App aht's gnature FOR OFFICE USE Reviewed By: Date: Required Inspections*, -Under Ground, Rough In Air Test -Gas Service Test _In-floor Heat -Final Exterior, HVAC Screening Inspection, Use BLUE or BLACK Ink - For Office Use C~-~-2------ My"xx ; Permit t O j City of Eajan I Permit Fee: ` 3830 Pilot Knob Road I i Eagan MN 55122 ; Date Received: - ; Phone: (651) 675-5675 Fax: (651) 675-5694 ; Staff: 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: of Site Address: C~ Tenant: Suite M RESIDENT / OWNER Name: V ~7L~~ SPl"~C~ t--T Phone: V-11,0 V Address / City / Zip: 15' o6e Applicant is: Owner e~'_ Contractor TYPE OF WORK Description of work: WT/"OLt~s Construction Cost: 91000,00 Multi-Family Building: (Yes / Noe_lc~ CONTRACTOR Name: ovY~ C 0,` A1 2(i) C01,1 License 03 7Z 7a Address: / ~0 1~ ti ~Z City: ro4/'L State: /VV Zip: M) Phone: Contact: &I y Email COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit fora similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and 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 p s. X ?AA S/~-9n r 1A) X Applicant's Printed Name plicant's Signature Page '1 of 2 1 F(W office use • i i PeFmit #F Ct of Ealan 3830 Pilot Knob Road i Date Received: Eagan MN 55122 L-.-------_------_-- Phone: (651) 675-5685 Email: Dian ninst eitvofeagan.com 2011 ZONING PERMIT APPLICATION ✓ Please submit a set of scaled drawings with the application. PROPERTY I Site Address: 1568 Ashbury Court I Name: Dakota Unlimited, Inc phone: 651-423-3995 CONTACT Address: 15953 Biscayne Avenue W City/State/Zip: Rosemount, MN 55068 Y'OV~ , ry" V' t~ vkt,t i vv, r ewe; Applicant Signature: ❑ Retaining Wall <4 feet O Driveway 13 Other: TYPE OF 13 Patio ❑ Sport Court WORK ❑ Sidewalk 13 Fence Description ofwork: Install 480 feet of 4 foot 8 gauge black vinyl chain link L g PLANNING JSetbacks, hard surface coverage, shoreland zoning, bluff zone/setbacks, etc. Approved: LY I o Date of Approval: Staff: Notes U E c~ ~.,c -Vvu- - s2. ` ~ l ~o 1 r :4 l Red Plans - Approved: Yes / No Date of Approval: Staff: ENGINEERING Grading, drainage, utility easements, wetlands, erosion control, improvements in the Right-of-Way, etc. Approved: ( No Date of Approval: I cif 71;2 a / t staff.. 4,, Notes: f~n~e.o de 77! ~,r~va tv~ 5 nec'4 55 a-rty /h l✓ S e..T,~ o ~n~cm rti / u~r p%~'~?~ ~o,~c e wi it T4"'xD✓V'd wrkl' JW j1QpltiGPiYns1.~f c?f CCJm d~S<c~ii~ 7~'' f~ lst.alitcsd} GY Mk. C, Revised Plans Approved: Yes / No Date of Approval: Staff COMMENTS. GABuilding (raped iomxPERMtT APPUCATiONSl201IN2011 Permit Applications EST. 1986 _ Work Order # Office: 651 23-3995 Fax: 51 23-3996 DAKoTA©Ni*wo - - WWW.d ota nlimited.com FENCE. GATE. RAIL. IRON. CUSTOM. Mid Lic se BC-20131577 15953 Biscayne Avenue West Estimate Date Rosemount, MN 55068 Order Date INSTALLATION ADDRESS: BILLING ADDRESS IF IFFERENT 1 Name Name Address Address /Dys sS 'Ale State Zip;: City d State I>IV Zip.j~/d Phone H d a{ W Contact: Cross ( ) Hudson Page/Grid Street Phone: ( ) Fax: - ~3 CHAIN LINK: Residential: Commercial: Wt. WOOD: Cedar Redwood Treated Height: Galvanized Aluminized Black Brown Green Style: Footage: Height: Gauge: Footage: Posts: _ Post Tops: Terminal Size Line Posts r . r Top Rail `'f Support Rails: Boards: Walk Gates Weldedel?'~ N Board Milling: Walk Gates: Drive Gates: Welded: Y N Drive Gates: Trim Boards PLEASE CHECK ALL THAT APPLY Special Install Date: ❑ Combination Job ❑ Prop. Pins Visible Survey Needed ❑ Private Gas or Elec. ❑ New Development ❑ Pool ❑ Haul Dirt $ ❑ Tear Out $ ❑ Dumpster ❑ Sprinkler System* ❑ Latch Type ❑ .Yard Condition Side of Street N S E W Side of Cross Street N S E W Permit Responsibility: ❑ Customer ❑ Dakota Unlimited (Not Needed La out Dia ram • Installation to begin ASAP. Call ahead. s~ • Customer to see back of contract for terms/conditions of sale. • Customer agrees to assume all financial responsibility for repairsto damaged sprinkler system. a A . f r ,69. 1 -Al i i s~ Customer assumes responsibility of reading contract terms and conditions listed on reverse side of contract. Current retail prices will -1 apply to all additional material and/or labor furnished by Dakota Unlimited, Inc. resulting from customer changes to this agreement. i PLEASE TAKE NOTICE: (A) ANY PERSON OR COMPANY SUPPLYING LABOR OR MATERIALS FOR THIS IMPROVEMENT TO YOUR PROPERTY MAY FILE A LIEN AGAINST YOUR PROPERTY IF THAT PERSON OR COMPANY IS NOT PAID FOR THE CONTRIBUTIONS (B) UNDER MINNESOTA LAW, YOU HAVE THE RIGHT TO PAY PERSONS WHO SUPPLIED LABOR OR MATERIALS FOR THIS IMPROVEMENT DIRECTLY AND DEDUCT THIS AMOUNT FROM OUR CONTRACT PRICE, OR WITHHOLD THE AMOUNTS DUE THEM FROM US UNTIL 120 DAYS AFTER COMPLETION OF THE IMPROVEMENT UNLESS WE GIVE YOU A LIEN WAIVER SIGNED BY PERSONS WHO SUPPLIED ANY LABOR OR MATERIAL FOR THE IMPROVEMENT AND WHO GAVE YOU TIMELY NOTICE. Dakota Unlimited proposes to furnish and install in accordance with the above Acceptance of Proposal ' The rice and specifications are satisfactory and acceptable: i specifications for the sum of Ilwe hereby authorize you to proceed with the work as ~ specified. Vwe agree to all terms as outlined. DEPOSIT: Date Accepted Progress Payment: by comp(e~ion:'~ Authorized r Card one) Representatives Visa Card Master Card one) Representative Credit Care oposal valid for days.{ BALANCES L-. Ia DAYS WILL NAVE A FINANCE CHARGE OF 1.5% PER MON (18% I BUYER AGREES THAT ALL WARRANTIES ARE. VOID IF jflE ANNUAL) OR $2.00 MINIMUM CHARGE. 4EREOF ARE NOT MET. `S White - Seller . . _ - Y6 CERTIFICATE SIENNA CORPORATION %EYOR ASHBURY I \ COURT M RL60.00 53.47 4'Sp031AO N 16 co i A 14. y C1 / PROPOSED tp ~~1 $ f ►IOIJSEi i ` V NY !k4-V_ 0 10 V ~>ras~d J~~s+ti1 to \ \ LOT 15 t t x M ~t o Z e ~ r r 1~~ ~4 1 J T ! f> REYf9ED 6-10-e7 7b SFIOSY A PROPOSED HOUSE FOR CCRFMMTE CONSTRUCTION. PROJECT EEO. BOOK 1 PA JAMES R. HILL:, INC. 87 X58 Planners ! Engineers /Surveyors FILE: NO.. 8240 Humboldt Avenue South FOLDER %looM%glo%Mn. 55431 812-B84-3020 Use BLUE or BLACK Ink For Office Use j Permit ZJQ City of Eap I lq7,6ue ® I Permit Fee: 3830 Pilot Knob Road ~,~~1`~~ -Z j Eagan MN 55122 I Date Received: Phone: (651) 675-5675py 151011 I E- Fax: (651) 675-5694 i Staff: 2012 RESIDENTIAL BUILDING PERMIT APPLICATION 07A W p., Date: 56-5~ a a l Site Address: 15 ~6 MA ~u H LA, EILSht•( 551 ;L-1- Unit Name: A Nt Phone: 651 RESIDENT J OWNER Address / City / Zip: 151$ ASR&Lk E j cl, CAA ?h'i`t Applicant is: -Y Owner Contractor 10W - TYPE OF WORK Description ofwork: W~,~e,1~ tr.S~a{,~SZ 6. Q~-e ~XtSk S tn~ Construction Cost: ~ 4 coo Multi-Family Building: (Yes / No Company: Contact: 3 Address: City: CONTRACTOR State: Zip: Phone: License M Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) IM4{ l,~ I e)r~ d xtit a - eA SV-U 0111 r 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 ~ a submit are considered to o 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.aopherstateonecall.ora 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 SAt~ ~'1 9- (M x Applicant's Printed Name Applicant's Signature Page 1 of 3 DO NOT WRITE BELOW THIS LINE O SUB TYPES Foundation _ Fireplace Porch (3-Season) _ Storm Damage Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) _ 01 of Plex _ Lower Level _ Pool _ Miscellaneous Accessory Building WORK TYPES New _ Interior Improvement _ Siding _ Demolish Building* _ Addition _ Move Building _ Reroof _ Demolish Interior Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation 3 ~iU Occupancy .Z/Z& -1 MCES System Plan Review Code Edition goo? SAC Units (25%_ 100% 1!) Zoning s City Water Census Code 4/341 Stories Booster Pump # of Units / Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction / Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC _ Gas Service Test Gas Line Air Test Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In -Air Test -Final Windows Insulation Retaining Wall: _ Footings _ Backfill _ Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review 5.2 MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 COURT 53 400 ~ c h ~~y ~ t 4* ,51003'4d' , N . o. \ 0 - - - - 22.33 1 0 co `r GAR. N ( /N 09. v'.a Q J 9'11. U v6 2.0•.. ` s~ I I^ a / 14.67 M PROPOSED t~ \ _-i =:k- / HOUSE N (\l : j 27-54 44.0 0 o (AD \ GN/.t• to 3 stASdv \ a \ LOT 13 5 LIrr 1 ~ e Ur PLAr AINAGE 6 1 \ 0 ASEME"r PrR o -luj 0 40 M n L0 7 48 8 1 l~ 0- p 65-00 o ^ 2' 41 w z S 8o 2 (9go.0) G, IL t_ 1 r~ l 1 ^`U Ij~ r r 1^ I~~Iv r~ 1 r~ 1~i"~ 1 J T EAGAN REV ED BY. _ REVISED 6-10-B7 7n- SHOW A PROPOSED HOUSE FOR ^ ^ "710NS DIVISION CCRPCRATE CONSTRUCTION. ~1-11.1. ( r (~l `7lli'1 1 `1 PERMIT City of Eagan Permit Type:Building Permit Number:EA113098 Date Issued:08/29/2013 Permit Category:ePermit Site Address: 1568 Ashbury Ct Lot:13 Block: 2 Addition: Blackhawk Glen 2nd PID:10-14351-02-130 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes . Amber Beard 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 - Sang B Kim 1568 Ashbury Ct Eagan MN 55122 (651) 341-3325 Craftsmans Choice Inc 26219 Fremont Drive Zimmerman MN 55398 (763) 633-1390 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA119514 Date Issued:12/03/2013 Permit Category:ePermit Site Address: 1568 Ashbury Ct Lot:13 Block: 2 Addition: Blackhawk Glen 2nd PID:10-14351-02-130 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - 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. 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 - Sang B Kim 1568 Ashbury Ct Eagan MN 55122 (651) 341-3325 Craftsmans Choice Inc 26219 Fremont Drive Zimmerman MN 55398 (763) 633-1390 Applicant/Permitee: Signature Issued By: Signature 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651) 675-5675 I TDD: (651) 454-8535 I FAX (651) 675-5694 JUL buildinginsoections a(citvofeagan.com Date: r For Office Use L{1\1° , I Permit #: /67?5 ;1 411 Permit Fee: /72.3(.. Date Received: -��- I Staff: BY. 2020 RESIDENTIAL BUILDRIVIIT APPLICATION 2. 20 Site Address: /f 8 4 [462-Y Coc-12T Unit #: Name:„- "M Phone:4;5 367 66 Address / City / Zip: l3-6e C'O =r Applicant is: Owner V Contractor et) eikovia, 6;1 /aye/'t'ttLfEi�i((( Description of work: k, it ier -/ R/1"10 k . W p0 LV Construction Cost: * `1 S1 Multi -Family Building: (Yes / No ✓ ) Company: a,4_,, Contact: -37 b"33 Address: (O / ! - ' City: ` StatePWZip: 3726 Phone: eV 7,37 Exa3 EmailjAC ,2I)r*Z License #:#-- 1 I te2-1 Lead Certificate #: 11/4)P 37EZ5-2 If the project is exempt from lead certification, please explain why: lbw i3ulert P4--t i' 7 13 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: Fire Suppression Contractor: Phone: 7 You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's webslte at www.citvofeaaan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit Issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x 0 pplicant's Printed Name icant's Signa ure DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Single Family Multi 01 of Plex WORK TYPES New Addition Alteration Replace _ Repair Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 1004 ) Census Code # of Units # of Buildings Type of Construction REQUIRED INSPECTIONS _ Footings (New Building) _ Footings (Deck) _ Footings (Addition) _ Foundation Foundation Before Backfill _ Roof: _Ice & Water _Final yFraming 30 Minutes 1 Hour Fireplace* In Air Test _Final Insulation Sheathing Sheetrock Fire Walls _ Braced Walls Shower Pan Reviewed By: RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Radio Meter Read Copies TOTAL n Fireplace Garage Deck Lower Level _ Porch (3-Season) Porch (4-Season) _ Porch (Screen/Gazebo/Pergola) Pool _ Interior Improvement Move Building Fire Repair Occupancy Code Edition Zoning Stories Square Feet Length Width Siding Reroof Windows Egress Window Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building Demolish Building* _ Demolish Interior Demolish Foundation Water Damage *Demolition of entire building — give PCA handout to applicant MCES System ® SAC Units City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required Final / No C.O. Required HVAC _ Service Test Gas Line Air Test _ Hood Pool: Footings Air/Gas Tests _Final Drain Tile Siding: _Stucco Lath _Stone Lath _Brick _ EFIS Windows Retaining Wall: _ Footings _ Backfill _ Final Radon Control Fire Suppression: _Rough In __Final Erosion Control Other: , Building Inspector 4TLI-1/40 V/r771- le-r)t)frt) V?tl 000, / 31CC(D Page 2 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA163011 Date Issued:08/11/2020 Permit Category:ePermit Site Address: 1568 Ashbury Ct Lot:13 Block: 2 Addition: Blackhawk Glen 2nd PID:10-14351-02-130 Use: Description: Sub Type:Residential Work Type:Alteration Description:Fixtures Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Sang B Kim 1568 Ashbury Ct Eagan MN 55122 Applicant/Permitee: Signature Issued By: Signature