3936 Blackhawk CirCITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
BUILDING PERMIT
To be used for Est. Value
Receipt # (.
Date
{p I
? t;V +I : .
,19 "
---
;?=.su #l..:,C?? ???•,h ,: iitC;l.?.
Site Address
Lot I i Block r' Sec/Sub. :• `~t-`?' `-' 2`?" `; 1 ?"
Parcel No.
. Name
W
z Address
0 452._' t:;
City Phone
.o Name A1:1/??'':-i.','
ti
UoQ Address
'?C- CitY Ikone
1- Q
0
W W Name I w
_? Address
Q W City Phone
I hereby acknowledge that I have read this application and state thai the
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee ? ----
o rw : .
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.
OFFICE USE ONLY
On Site Sewage Occupancy
MWCC System Zoning
On Site Well (Actual) Const
Ciry Water (Allowable)
PRV Required # of Stories
Booster Pump Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit
' 'r4
Planner Surcharge
Council Plan Review
Bidg. Off. SAC, City
Variance SAC, MWCC
Water Conn.
Water Meter
Road Unit
Treatment P1
Parks
TOTAI ? i' 3 • (, ?<
Building Official
Pannlt No. hrtnlt Hofdu Mft TNkphoM ?
Plumbing
H.Y.AC.
EAactric
softener
Inspeetion Dats Insp. Commsnh
Footings I
Footinps II
Foundation
Framing
Roafln0
Rough Plbg?
Rough Htg.
Isul.
Fireplace
Finai Htfl.
Final Plbg.
Bldg. Final
Cert Occ.
Temp. LP
Deck Ftg.
Dack Final
Well
Pr. Diap.
CITY OF EAGAN Remarks - Sew C411 1]d. on 12-29-72 Wf,r COI7,. }d. OIl 3-20-73
Addition Cedar CrT'OVe #$ Lot 11 Blk 9 Pdree! 10 16707 110 a}
Owner
Street 3936 Blackhawk Ca.rcle
Swi, ESgai3.,MN
55122
Improvernent Date Amount Annual Years Payment Fieceipt Date
STREETSURF. /pZ 1971 1414.96 141.50 10 Paid
STREET RESI"OR.
GRADING
sAr?sEwrR u+vK 1970 12 .00 .00 2 Paid
3? SEWER LATERAL 1 774 '? 3.'? Q 307.82 P3;LC?.
WATERMAIN
3E WA7ER LATERAL
WATER AREA
? STORM SEW TRK
-? STORM SEW LAT M19974 5
CURB & GUTTER
SIDEWALK
STREE7 LIGHT
WATER CONN. 300,00 7613 3-20-73
BUaLDING PER.
5AC ? 0,,00 7613 3-20-0
PAR K
.?
m -
rILLAGE QF SAGAN .
3195 Pilot Knob Roed
EaBal', 1'innesota 55122
PEIiDlIT N0. : `321
The Village of Eagati hereb --~?
y grants to Cedar Grone Canstruatiori
of 7343 Ccncord Blvd. F., 94. St. Paul
8 HEkTING Permit for:
(Owner) SSMe
at eea attaohed 1ist
, pursuant to application dated 3119173
Fee Paid; $200.0p dated this 20th
. aay of Merah , 19 73 __._.
--
ilding Inspector
Mechanical Permits: Bu
z?id Total;
? .
s- vzLLAGE oF EAGaN
3795 Pilot Knob ftoad '
Eagan, Minnesota 55122
PERI4IT N0. : -- '33 5
?
The Village of Eagan hereby grants to Cedar Gxsove Canstructioa Cp.
of _ 7343 Cangard &lvd. E., So. St. pml 55075
a Permit fore (Owner) game
3y3 ? ???&?r?-.
a? -R,AO-,,,?Q?,?,?i?,f , pursuant to application dated 3/19/73 .
Fee Paid: ?qnn ann_ dated this 20th day of _ Ma,roh , 19 73'_.
k27"
5.00 S/a
Building Inspector
iAechanical Permits:
Bid Total:
9
CITY OF EAGAN N°_ 14 4 7 7
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
54_810o
PHONE:4
10
BUILDING PERMIT Receipt#
FIREPLACE INSEIT DECEMBER 9 87
To be used for
st. Value Date 1 8
Site Address 3936 BLACKHAWK CIRCLE OFFICE USE ONLY
Lot 11 Block 9 Sec/Sub. CEDAR GROVE 8TH On Site Sewage Occupancy
MWCC System Zoning
ParCel No.
On Site Well (Actual) Const
rc Name GUTH City Water (Allowable)
W
z
Address PRV Required # of Stories
° City Phone 452-3588 Booster Pump Length
Depth
, o Name ACT/SUMMIT ENERGY s.F.rotai
? Q Address 7242 WASHINGTON AVE SO Footprint S.F.
? City EDEN PRAIRIighone 944-6647 pppROVALS FEES
?- m
V En r/Assess.
9? Permit $ 20. 50
y
j W Name SO
Planner Surcharge .
_? AddfeSS
Z
w
W Cit Phone
Y Council Plan Review
4 Bldg. Off. SAC, City
I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC
information is correct and agree to comply with sil applicable State of Water Conn.
Minnesota Statutes and? of Eag? rdipances.
_f Water Meter _
Signature of Permittee `I Road Unit
A Building Permit is issued to: ACT/SUMIlMIT ENERGY Treatment P1 _
on the express condition that work shall be done in accordance with ali
Parks
applicable State of Minnes t tatutes and City Eaga?Ordinances.
TOTAL ?21 .00
Building OHicial
YILL'It3E OEAGAN 5EWER SERV2?? PERMIT
3795'Pilot Knob Road PERMIT NO.:
12/29I72 3 20 73
DATE
Eagan. MN SS122 :
R-1
Zonin¢:
No. of Units: 1
Own
Addr
Site
Plumber: Stein t
I agrao to complr wlth tha Villoga of Eagan Connection Chazge:260.00 pd L/20/:
Ordinonces. Account Deposit: -
By:
Date of Insp.:
Insp.
Permit Fee: 10.00 pd 12 29 72
Surchazge: • 0 pd 12 29 72
Misc. Chargea:
Total: 270.50
Date Paid:
EAGAN TOWNSHIP
BUILDING PERMIT
OWner ....... ?--- .''-,?r----•-?-•-.................
Addsess (Presen2) ....... iv......................................
Builder .......................................
Address ............
DESCRIPTION
N° 2963
Eagan Township
Town Hall
D a!e _1' (' " 7?3
••--•••--••---•-•
Slories To Be Used For Front Depth Height Est. Cosf Permi! Fee Remarks
? 0
3 7, ac+
/o ? ac..?Q ??` .?--•?
sA,
«J "`"J LOCATION ?AL6.'rtJ
Street, Road or othes Description of Location I Lo! Block Addition or T:act
ee 3 x /o ,4J¢ .3J I
?.,a.. ??'?P y ? i 7 j3? i o, i? aa-e g1 /1 • 'j
?
3
-1° i( •J '?(e;Y "!? tF./S[D%._? JZS le7' ?-,.`? -- -
is zmif°fa oes o sulhorue e- use of'streets, ro alleys or sidewalka nor does it give the ovanes os his agsnt
the righi !o create aap :ituation which is a nuisaace or which psesents a basard io the heaith, safety, convenience sad
gsaeral welfare to anyone fn the community.
THIS PERMIT MUST BE KEPT ON ITt,..HE PREMISE WHILE THE WORK IS IN PRO(iR SS.
Tbis is !o eer3ify. !ha!.... .....................has permission to erect a...?. ?---.. upoa
._............. ?
e2'•--••---... ....
the abOve described premise subject !o the provisions of the Suilding Ordinance for Eagan Township adopted April 11.
1955.
' -?.-.Qc
-•------.._............. •-•-•-••••--........-•••?--•--•???-.._. Per ...••-...-............. /.Sl-•-• ..............................._._.,.:;-?-?.••..._......---.......__..._.
Chairman of Tnwn 8oard 43 BuildinQ Inspecior 48
-Sl? vh&C
? -EAGAN TOWNSHIP
BUILDING PERMiT
owner ---.-------------------------------..........----I ............................................
Address (Precent) ...... ?...?- .
--------------------- ...........................
Buildes ...........................•---•.............._..__.....•--•-•.....---••.........--•---.........
Addrets ..--•----• .....................•---.......-•-••........---...-•••••-......._._................
DESCRIPTION
?s - ?p
,
L
x? 2930
Eagan Township
Town Hall
-7 Z--
•--------------
52osie To Bs Used For Fron! Depih Heigb! Est. Cos! Permi! Fee Remasks
. '7 2 4• -
LOCATION 7-9-S-4: y'°
5treet, tloaa os omes Descrtption of Locaiion I Lot Block Addiiion os Tzaet
;
This permit does not suthorise the use ot stseels, :oads, allsys or sidewalks no: does it give the ownsr os his ageat
the righ! !o creata aap aituatfon which is a auisance or which psesents a haaard to the health, snfety, eonvenieace and
qsnaral welfa:e !o anyoae in the community.
THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGRS. ,
This is !o certifp, lhat..... t-4.4?-...... ................. has permissioa to erect a....... i?... -- •--•.. ..`? --•--...?upon
the above desc:ibed premise subjec! 3o the provisions of the Suilding Ordinance for Eagan To ship adopted April 11.
1955.
............. -• -•-• ................. --• ... ....... •... ..... ..?--.....Y.?? Per ......................... ................• 'dinQ p
•-. •---•• ........................
C7?a' o nw oas HUor ?
'
,C?
. EAGAN TOWNSI-IIP
BUILDINC PERMIT
OWABr ...?t..?..,c .N.......?. ...........
Address (present) _4 -----•,J--•••.......••-•-----
Suilder ..................................
•••------••-••••---•?-•-•----?..........-•- -
Addrets ......--• ...............•••••-------......-••-•...-----.........----•--•-••-•---•-•-••-----••-
D£SCRIP'f'IaH
N° 2374
Eagan Township
Town Hall
Dale _...?l...?_:?.r7/.----•-•-.._........
Storia To Se UAed For Fsont Depfh Height Est. Cost ' ermii Fee Remaaks
.r ? °??
? r/ } /?d{ f?-d ?,?S,ao t? •?( ? G?o-?-t..(?
tr? ?? ? 7r
1
I.OCATION
St:eet. Road or otKer Deaeripsian of Locafion I• Lo! }3lock Addition o: Tract
7 - $'
.3 ?
9?
_ G, , ?..?
This parmit daee not au#korise the nss of atieete. =oads, alleys or`Mewalks nor does it give !he owne: or h'ss ageat
the s'sght to create anp situation which is a nuiaanee or which presents a hasard fo the health, safety, convenienca and
general welfara to anyane ia 3he communitp.
THIS PEAMIT MUST HE I{EPT ON THE PREMISE WHILE THE WOAK IS IN PROGAESS
This i; to certifp. thal...-?- ?p-?^_-e.-••.?:.-"".?---•.has permission to erect a.. S•- ---•---• - ..^,'??.......... -ugom
3he above destribed premise subiett 3o the pronisiona af !he Suitding Osdinance for Eagan ownchip edoptad April 11,
1955. ?
........... ...h.. .,?.e..?`. .......... .--.......... Per .... ................/?`?:.•-••--................................
_....••••-.............._..
.........?-.- " Ca3rnF[an of Tnwn Soar4,Z Bu[3dinQ Inspecfor
n '
f ti ?
1
- ? CITY of EAGAN
BUILDIN[3 PERMIT
Oaao= .... ETER S.TIAI:IF.IF.L ..................................................
Address (psesen!) ........ 3936 B 1 a c k h a w k C i r c 1 e
...........................................................
Builder ...... i.l e s .... G a r aae,s ....................................................
Addreu ... 45 0 0„_ . Ly,n d?.1,?.,, Av e,;,,., No .
.................................
DESCRIPTION
m M
N2 4091
3795 Pilot Kaob Road
Eagan, Minneso3a 55142
454-6100
Delo ................ ?1..?.?1..7. ............
5tories To Be Used For Froa! Depth Hsight Eel. Cost srmi! Fea Remasks
Garage
18'
20'
3,000 1.50
12.00 s/c
LOCATION
Street, Road or olher Description oi Location I Lo! Block Addilioa os 1raet
3936 Rlackhawk-Circle I 11 9 CG #8
This permit doas not auihorize the use of streets, roads, alleys or aidewalks aos does it give the owner os hts aqen!
the righ! !o ereale any situalion which is a nssisaace or which preseats a hasard to the health, snfetp. conwaieace aad
gsnesal welfare to anyone in the community.
THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGAESS.
This is io certify, thal...e13.1.?s....G.ax.a.c}es .......................has pormission to erect a.......g,3S.A.qQ.................................... _upoa
the above describe premise subject to the provisions of all applicable es for the .?y f Eagaa.
;
.
........... ............. ......... ._.?y. ........................................ Pe __.... _ . ... . _ ?.'... . . . .....................................
Mayor BuildinQ Inapet3os
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan 1L -70 ? 0
4 3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reauirements RemodellRepair Requirements ?tce?Use'C7?1?f
3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Ce?of Scuue? Reed Y Al
(20°,6 maximum lot coverage allowed) 1 set of Energy Calculations for heated addifions Tree ?Ces Pfan ?ieod
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tr?? p??5 Reqt3icEd ` Y N
1 sei of Energy Calculations Addition - indicate if on?ite septic system ?r?s3te:Sept?? &qstetn _;.
3 copies of Tree Preservation Plan ff lot platted after 7/1/93
Rim Joist Detail Options selec6on sheet (buildings with 3 or less units)
Date Cj3 I/T l a?
_ Construction Cost '
F
5ite Address J%Z ?i'`?CXA1,1X `" 'fCl Unit/Ste #
Description of Work
Multi-Family Bldg _ Y ` 1T Fireplace(s) _ 0 Ifo 1 _ 2
Property Owner ee? xol z Telephone # (65l ??o aJ??orS'
Contractor
Address City
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Categor? Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted 5ubmitted
. Energy Envelope Calculations Submitted
Have you previously constn.icted a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Telephone # (
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone # (
I hereby apply for a Residential Building Permit and acknowledge that the informa ion is.? r mmni . ancLaic4urate;
that the work will be in conformance with the ordinances and codes of the City o'Eagan and the State 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 in the case of hich requires a review and
approval of plans.
Applicant's Printed Name App icant's Sig re
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 OS-plex O 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 0 17 Garage ? 22 Porch/Addn. (4-sea. ) ? 33 Ext. Alt - SF
O 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 Pibg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New
O 32 Addition
O 33 Alteration
? 34 Replacement
Valuation
Census Code
SAC Units
# of Units
# of Bldgs
Type of Const
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addiUon)
Foundation
Drain Tile
Roof Ice & Water Final
_ Framing
_ Fireplace _ R.I. _ Air Test _ Final
Insulation
Occupancy
Zoning
Stories
Sq. Ft.
Length
Width
MCES System
City Water
Booster Pump
PRV
Fire Sprinklered
REQUIRED INSPECTIONS
_ FinaUC.O.
_ Fina]/No C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests Final
_ Siding _ Stucco _ Stone _ Brick
_ Windaws
_ Retaining Wall
Approved By: , Building Inspector
Base Fee
Surcharge
Plan Review
MClES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
? 35 Int Improvement O 38 Demolish Interior ? 44 Siding
? 36 Move Building ? 42 Demolish Foundation O 45 Fire Repair
? 37 Demolish Building" ? 43 Reroof ? 46 WindowslDaors
'Demolition (Entire Bldg) - Give PCA handout to applicarrt
I ' # `
/ (,eL /?
-7
19$7 BiRLDING PERMIT 1PPLIGIlTION - CITY OF EAGAN
SINGLE FAMILY DWELLII3GS -
INCLITDE 2 SETS OF PLANS, 3 CERTIFICATSS OF SURVEY, 1 SET OF ENERGY CAI.CDLATIONS
NQTE: ADDRESSES FOR CORNER LOTS - CONTRICTOR/HOMEOUiNER MUST DESIGBATE idHICH ADDRESS
I3 DE3IRED. NQ CEANGES WILL BE AI.LOWED ONCS BDILDING FERMIT IS ISSUED.
MULTIFLE DWELLINGS - RSSIDEAITIAL RENTAL UMTS FUR SgLLS UNITS
INCLt1DE 2 SETS OF PLANS, CERTIFICATE pF SURVEY - CHECK WITH BLDG. DEPT. t
1 SET OF ENERGY CALCULATIONS
CONJMERCIAL
INCLUDE 2 SETS OF AftCHITECTURAL & STRUCTURAL PLANS,
1 SET DF SPECIFICATI4NS AND l 5ET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
J) bC??a ?` ?P ``? ?'?''vr ? d?-?? ? ?--(?-?''?
?15 n N
To Be Used For. Valuation: Date:
't?
Site Address 3 J 3 Ii(
? A,. ?,1?. (?c? OFFICE IISE ONLY ?
Lot ) ` Block q Qn Site Sewage Occupancy I
,Ct?- MWCC System Zoning
Pareel/Sub A". On Site Well Type of Const
City Water (Aetual)
Owner ? U T/? (Allowable)
?
'?? A?,?1?r?JI? C /
Address s?.
# of
gStories
Lenth
Depth
City/Zip Cade LG.?iv S.F. Total
4?SvZ ?3?9 i? Footprint S.F.
FEES
Phone gPPROVIALS
Contractor ?.?LN? Assessments Permit
Water/Sewer 5ureharge
Address 7??a. Lvi?i`?`??GT????S Poliee Plan Review
Fire SAC, City
?
City/Zip Code ?? _S Engr SAC, MWCC
' Planner Water Conn
Phone ? Gouneil Water Meter
Bldg Off Road Unit
Areh./Engr. APC Treatment P1
Variance Parks
Address Copies
T[3TlI. ?
CitylZip Code Phane #
?? ? M
3) Pr??"Deo q'l
? . e.
EAG13,N TfJWNSSIP
3795 i'ilot Knab Road
St. Paul, Minnesota 55111
Telephone 454-5242
PBitMT FDR WA'i'ER SERVICE CQNNECTI4N
DaCe: 3/20f'j.5 (12 j22/72 ) Nutnber: 1128
?
Cedar Grove Canstruction Site Address:?' J??`e Bi].Iing NBme• . - 3936 Bl?kh? Cr.
„
thvner; 5ame Billing Address
Flvmber: Ste:in's
Location of Connection MeCer Size Gonnec
?
M,eter No.Permit Fee 10.00 d 12 29/72
Meter Readitg iMeter Dep. .50 Pd 12/29/72
Meter Sea].ed: Yes lAdd' 1 Chg.
lq0 [Total CIg.
Bui ld i.ng is a.
Residetsce Xx
14ultigle No. Uxtits
COmmexCia1
Industriai
fltlter
Tnspected by
Date
Remerks:
... _ ... _, . ? _ . . _. ..... _. ..'4,,..
Hp:
Chief Inspector
In consic3erati.on o€ the isaue and delivery to me o£ the above permit, I
hereby agree to da the praposed work in accordamce with the rul.es and
regulatiaus of Sagan Towmship, Dakata Countp, Mictctesvta.
By:
St?in I s
3
P1.ease aotffy the above office when ready far inspeation and connectian.
MASTER CARD
LOCATION AZ.-,"Pumorp (A, R77_JL
OWNER
STRUCTURE AND
lAND USED AS
Permit
No.
Issued Issued To
Contractor Owner
BUIlDING
Pi.UM81NG
CESSPOOL - 5EPT1C TANK
WELL
ELECTRICAL ?
MEATING
GAS INSTALLING
5ANITARY SEWER l?
OTHER
OTHER
Approved
Ifems (Initial) Date Remarks Qistance From Well
FOOTING SEPTIC
FOUNDATIOid 7J CESSPOOL
FRAMING s_;7 F, - TILE FIELD FT.
FINAL
ELECTRICAL
DEPTH
HEATING ? _.2 OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PEUMBING
WELL
SANITARY SEWER h
? 13;-- 7
COMMENTS:
Viplations Noied
on Back
COMPLIANCE INSPECTION REPaRTS
i0 BE IISEp GF[LY IM EVENY GF 06SERVEd VIGWTIOl+15
PERMIT TIO.
CONDITIONS OF C4N5TRUCTION AT THIS IhtSPECTION
n NO EVIDENCE OF NON-COMPLIANCE
OBSERVED.
? ACCEPTABLE SUBSTITUTlON15 OR
DEVIATIONS.
DATE OF IIVSPECTION
? NON-COMPLIANCE. BUILBER WILL CaMPLY
Wt7HOEJT DELAY.
ITEMIZED AND pESCRIBED AS FOLLOWS:
NlON-COMPLiANCE. BUILDER DOES NOT
INTEND TO COMPLY.
? C4MPLETION OF CERTAIN lMPRQVEMENTS
WILL BE DELAYED BY CONDfTIONS BEYOND
CONTR4L.
17 REiNSPECTION REQUlRED
REIh15PKTIOIV REVEALEQ
DATE OF REfNSPEGTION
CERTI FICATI ON - I certify that I have carefully inspeeted the ahove in which i have no interest present or praspectiva, and that I have reported herein
all significant condit9ans o#;served to he at variance with ordinances af the Town of Eagan, approved pfans and spectficacions, and any speciiic require-
menis for off-site improvements relating t4 the property inspected.
F ALL IMPROVEMENTS ACCERTABLY COMPLETED
conaMENrs:
BUILDING INSPECTOR
DATE
23
.01100.
rr -,
1 . .
s
Date:
BUILT3Il7u PERMTT fiPPI,ICATIQN
IDr 1 i BLOCx ADDiTIalq PARCEL & 5ECTZpN r]tJA1sER IF UYJPLATTED
ADC7RESS dF PARCEL _!?7
7,013ING e ? ' OCCUPANCY
USE ' ., _.
ENTTPIlATE] COS"t' c..Q?%?-?
-?
TELEPHC? TvO. ?f
ADDTiE3S COlUT TELEPFIONF rTO. --=`? ? ;1 ... . ? .? ,:? •°'
1?CTOR.?,? ??'
ADDRESS
Hote ; Include site pLan o bua.lda.ng plans, and energy calcuiations viith thzs
apg3ication ./ 11
1
Signed
OFF'ICE USE
VALUATIOI? ? oQo
5AC
WATEzt eoLqNEcTzoFa
lrTATER METEa
BLTTLATNG PERMIT FEE
SiJRCHARGE FEE
PLAra c?cx FEE
PARK DEDICATIOTd FEE
OTHER
s
TQTAL* ' P`-
i?
APPRCWAI.S :
ASSESSMENT CLERK BUILDING DEPT. PD3.,ICE DEFT.
WATER & 5L'tdER DEPT. E'IRE DEP't'. PARK DEPT.
r
,? ?
v
??,v?
U
' ,. . ; . '
? ? ? ? ,/? ??
?3 ?
? ?
?
?
:
.
MASTER CARD
LOCATION 3936 Blackhawk Circle T,11 Rq rr, #S
OWNER Peter Stanfiel
STRUCTURE AND
LAND USED AS garage
Permit
No. Issved Issued To
Contractor Owner
BUIIDItvG 4091 9/28`76 Miles Garages
PLUMBING
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
HEATING
GAS INSTAILING
SANITARY SEWER
OTHER
OTHER
FOOTING
FOUNDATION
FRAMING
FINAL
ELECTflICAL _
HEATING
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING
WELL
SANITARY SEWER
Violations Noted
on Back
COMMENTS:
Approved I
i (Initial) D e Remarks Distance From Well
? SEPTIC
CESSPDOL
TILE FIELD FT.
DEPTH
OF WELL
Items
:
. `
COMPLIANCE INSPECTION REPURTS
TO BE USED ONLY IN 6VENT OF OBSERVED VIOLATIONS
PERMIT NO. DATE OF INSPECTION
CONDITIONS OF CONSTRUCTION AT THIS INSPECTION
a NO EVIDENCE OF NON-COMPIIANCE
OBSERVED.
? ACCEPTABLE SUBSTITUTIONS OR
DEVIATIONS.
? NON-COMPLIANCE. BUILDER WILL COMPLY
WITHOUT DELAY.
ITEMIZED AND DESCRIBED AS FOLLOWS:
? REIhSPECTION REGZUIRED
REINSPECTION REVEALED
NON-COMPLIANCE. BUILDER DOES NOT
INTEND TO COMPLY.
? COMPLETION OF CERTAIN IMPROVEMENTS
WILL BE DELAYEO BY CONDITIONS BEYOND
CONTROL.
DATE OP REINSPECTION
CERTI FICATION - I certify that I have carefuliy inspected the a6ove in which i have no interest present or prospective, and that I have reported herein
all significant conditions observed to be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require-
ments for off-site improvements relating to the property inspected,
F-I ALL IMPROVEMENTS ACCEPTABLY COMPLETED
BUILDING INSPECTOR
COMAAENTS:
DATE
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THE KELLER CORPORATION
1350 WEST COUNTY ROAD B
SAINT PAUL, MINNESOTA 55113
PNONE 637 •2121
REAI.TORS
MULTiPLE LISTING SERVICE
MORTGAGE BANKERS
PROPERTV OEVELOPMENT
AND MANAGEMENT
Date April 26, 1978
City of Eagan
, 3795 Pilot Knob Road
St. Paul, Minnesota 55122
We have listed for sale the following property located in your city.
Owner's Name Peter Stansfiel
Address of Property 3936 Blackhawk Circle
Tax Code Number 10-16707-110-09
Legal Description Lot 11 Block 9 Cedar Grove No. 8
Please furnish as the following pending assessment information re-
garding the above described property:
KIND OF IMPROVEME NT APPROXIMATE DATE & COS T
NONE
I certify that according to the records of said office, the above im-
provemonts are contemplated or pending after having been approved
and are now in the process of planning or completion.
Date:
By:
ASSESSMENT CLERK
Payment in the amount of $5.00 is enclosed for this pend,m???s? ?
ment report. Thank you. ?? ?"- ??.?•
Sincerely,
? --I hFZ `?`S 19?$ -
.Mary Ellen Smith
Sales Associate
* J?hWllg gt. -Pad Q.#A JUbU11bl JUU'•Pi 1%6 -
73a 7,,?- -
2006 RESIDEN?IAL BitJILDINCi FERMIT APPLICATION
City af Eagan
3$30 Pilat Kno6 Road, Eagan NIN 55122
Telephone # 651-675-5675 FAX # 651-575-5694
New ConstrucUon Reauiremenis
3 regisiered site surveys shoving sq. ft. af lot sq, fl. of house; and all roofed areas
(200% maximum lot coverage ailoured)
2 copies of plan showing beam & window sizes; poured found design, etc.
1 set of Energy Calculations
3 copies of Tree Preservation Plan if !ot platted atter 711193
Rim Joist Detafl pptions selection sheet (buildings with 3 or less units)
M6nnegasco mechanical venGlatron form
W . t-A:)
Date Construction Cost
Site Address ???.?G ??ExC'.?I??QGJ? C?tRC?? UnitlSte #
Deseription oi Work
Multi-Family Bldg ? Y YN Fireptace(s) _ 0 40 1 _ 2
Property Owner e.4w ej?"ym Telephnne # 6,?", 1
Contractor
Address City
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A WIEW. BUILDING
- M.innesota Rules 7670 Categorv 1 Minnesota Rules 7672
Energy CoClB Categpry . Residential Ventilation Category 1 Worlcshee# • New Energy Code Worksheet
(J submissian type) Submittecf Submitted
• Energy EnVelope Calculations Subm9tted
In 1he last 12 months, has the City of Eagan issued a permit for a similar plpn based on a master plan?
_ Y _ N If yes, date pnd addres5 af master plan:
LicenSed Plumber Telephone # ( )
Mechanical Contractor.
Sewer/Water Contractor
Telephone # (
Telephone # (
I hereby apply for a Residential Building Permit and acknowledge that the inforrnation is complete and accurate;
that the wark will be in confarmanee with the ardinances and cades of the City of Eagan and the State of MN
Statutes; I understand this is nat a pernait, but only an application foz a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
Applicant's Prirffed Name • Applicant's Sigii'e
DO NQT WRITE BELOW THIS LINE
Sub Types
? 01 Foundation ? 07 05-plex ?'13 16-plex ? 20 Poal CI 30 Accesso .ry Bfdg
? 02 SF Dwelling 0 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 37 Ext. AEt - Multi
? 43 01 of _ plex ? 09 07-plex C] 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 42-plex ? 10 QB-plex A< 18 Deck O 29 Pareh (screenlgazeho) ? 36 Mufti Misc.
? 05 03-plex ? 11 1 0-plex E] 19 Lower l.evel ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvpes
CJ 31 New 0 35 Int improvement ? 38 Demolish In#erior 0 44 Siding
? 32 Addition 0 36 Move Building ? 42 Demolish Foundation 0 45 Fire ?2epair
? 33 A#teration 13 37 Demolish Building* 0 43 Reroof, 0 46 Windows/Doors
? 34 Rep[acement "Dernolition (Entire Bldg) - Give PCA handout to applicant
DeSCrIpfIQ[l: Water Damage Yes , ,
Valuation ? ?. Occupancy MCES System
Plan Review 100% or 25%
Census Code` Zoning City Wa#er
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const 1 Width
,
REQUIRED INSPECTIONS
Faotings (new bldg) Sheetrock
? Faotings (deck) Final/C.O.
_ Fnotiings (additian) X FftxaUNo C.O.
Founda.#ian HVAC
Drain Tile Other
Roof ? Ice 8c Water ? Fsna] _ Pool Ftgs _ Aix/Gas Tests Finat
_ Framing _ Siding _ Stucaa T.ath _ 5tone Lath _8rick
_ Fireplace _ RI. _ Air Test _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By: ? -2- , Bui{ding Inspector
- - ---------- - - - -- - --------------------- - -------- - -- - ------- - - - ------- - - - --------------- - ------------- - ------------ - ----- -
Base Fee
Surcharge -r °
-0 4?.
Plan Review
MC/ES SAC ?? •?-'°`
City SAG
Utiiity Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other . . . . ,
Total
Use BLUE or BLACK Ink
r
For Office Use C
✓ ;
Permit _L1
City of Eano~un 10
Permit Fee.
3830 Pilot Knob Road I I
Eagan MN 55122 ; Date Received: la 1_3
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff:
I I
J2013 RESIDENTIAL BUILDING P RMIT AP LICATION
Date: Site Address C~ Unit
Name: Phone: (%~/rJG
Resident/ r>Z ~
Owner Address /City /Zip:
Applicant is: Owner Contractor
Type of Work Description of work. z~
Construction Cost: Multi-Family Building: (Yes / NoZ)
Company: Contact:
Contractor Address: City:
State: Zip: Phone:
License 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.ciopherstateonecall.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 Buildin m t be co pleted within 180
days of permit issuance.
x c~
x
Applicant's Printed Name( Applicant's Signatur
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