3942 Blackhawk CirRequest Date F?re No. ough-in Inspection
Required? ?(Fleady Now C Wiil Notify Inspector
V Yes _ No ?' When Ready?
Ilicensed contractor Downer hereby request inspection of above electrical work at:
Job Adaress (Street. Box or Route No I Gly
? ?/? 13?00-?/rC'r? ? ?.
Seci,on No, Township Name or No. Range No. COUnty
0,4/ea
Occupam PRINT) • Phone No.
_.SsL 6 97 ? tJ,(Y4(3-
PowerSuppuer l 'Adtlre/ss?'? ?
?/ ? ? '?%' f? (? .???h jM..t ?J" ? ? _
Eiectric ontracto (Company Name) Contractoi's License No.
e. j4_1 4C Q ll.e ?c
Mading qdtlress iConlractor or Owner MaKing Installaton)
27 ? _ ?T
Author ture IContrac wqer Ma nslaliaLOn, honeum°b?e? !? " /
.. ` . -? ?J V ? ?O 'T ? /
NBOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Grlggs-Midway Bldg. - iioom 5173 BE ACCEPTED BV THE STATE BOARD
1821 University Ave., St. Paul. MN 55704 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
REQUEST FOR ELECTRICAL lNSPECTION Ea-oooo,-oa
.?' ? See inshudions for completing this `orm on back o1 yellow copy.
"X" Below Work Covered by This Request
ew Add Rep. Type of Building AppliancesWired EquipmentWired I
THo me Range Temporary Service 1
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm.lindustrial Furnace
Farm Air Conditioner
?Other Ispecrfyl CoMraCtor's R marks:
Y?
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
ing Pool 0 to 200 Amps 0 to 100 Amps
F
ormer s iAbove 200 Amps 100 Amp
T,.
SIgnS Inspector's Use Only: TOTAL
Irrigation Booms
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rouyn•in Date
certify that the above inspection has
been made. Final { oat
?
OFFICE USE ONLY
Th s request void 18 mornhs trom
CITY OF EAGAN Remarks WtT' COri, pd. Ori 9-26-72
Addition Cedar Grove #8 Lot 8 eik 9 Parcel 10 16707 080 09
Owner C,ya.ic, street A2 Blackhawk Circle state Eagan,MN 55'22
Improvement Date Amount Annual Years Paymeni Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 1970 125.00 .OO 2 Patd
? SEWER LATERAL ,2-Z• 1974 1 .10 P23.C3.
WATERMAIN
# WATER LATERAL 1
WATER AREA
.)( STORM SEW TRK
.?. STORM SEW LAT 5
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 200•00 6516 -26- 2
BUILDING PER.
sac 170.00 6516 -2 -72
PARK
r
TOUN OF E.AGAN
3795 Pilot Yaiob P.oad
Eagaa, Minnesota 55121
PSIiMIT A10. 266
• The Board of Supervisors hereby -grants to Cedar Wavs Carlst.i'V+OtiQn Co. 10
of 7343 Cautox'd B1Y+d» $ut,, South St. Paul,, NK M5 '
a PLMXa Permit for: (Owner) 8mag
at t - -1?-9 . -?- ? ffiaokhaAdc •F . ,? .
, purauant to application dated
9/25/72 .
Fee Paidz W•00 Dated thia 26th_ day of 3epterabex'
1-50 C .
• ?
Building Inspector
?-
Ci . ? .
.
TOI:N 0F EAGAN
3795 Pilot Knob Road
Eagan, Yiinne:;ota 55121
PEMUT N0. ?61
The Board of Supervisors hereby gxants to n`Edar (h-cmn !!onat?rmtiM Co.
? r'
Of 7. ? ??.?.. L' T'd Il1trd Lsat - 320"th 3'-"-??.5?7 .
.? - ?
a Nr„AT7Vf'r. Permit for: (Owner) sama
1737 sartell 2-9-8, 3942 Blaakhawk 8-9-8,
'I t 1,-1l1 pursuant to application dated
9/2 5/'12 .
ree Paid: jo6o a 00 Dated this 26h day of SRtember ??%'?•
1.5U s/c
Building Inapector
EAGAN TOV1/N S H I P
E3U[LDING PERMIT
r. ,
Owner •-•-- c X-.
--?-•• --__.. ................••---••--...........------------•••-----------
Addsess (pxesent) .
............ .
............: ?...:.....:::.;_?----._..},?`!?=--••---------
Buildex -.------------------------------ •........................... •--.•-•••-•-•--------•
Address ----------- ................. .--••--------- --------- -.........................................
DESCRYPTION
?
N? 2859
Eagan Towaship
Town Hall
Date .-?••-•..7.?-==-------------•.
Siorie To Be Used For Fron3 Depila Height Est. Cos! ' ezmi# Fae Retmarks
,?."1•%, - '? `??;;:?? _
'C/,'?.,.? ? /`? ? 4`_c
? ? ?,_ ( . ' •?_ ;L.- L?..-r i-r'•:.-,
JG
LOCATIQIQ f l{
Stre2l. Road or o2her Description af Location I Lo! Slock Addition ar Traet
Th'ss pe:mit doea not aathosize the use of slree3s, rcads, alleys or aidewalks nar does it give the owner or his agent
the right to creafe aap situation which is a nuisance or which prssents a hazard to the health, safetp, eanvenience aad
geaeral melfaxe to anyone in the eommunity.
THIS PEAMIIT MUST BE KEP'T ON 1'HE pREMISE WHIY.E THE WORK IS YN PROGRE55.
_.. .. . ._..._..has??::=-=-- --°'.
This is fo cerfifY, 3hat--•!4•`•
........................................ . ? . permission 3o erect a...--- ' --°..°---°•-f--,/ •......-•--........upoA
the above deacribed pssmise subject #a the provisions of the Building Ordinance for Eagan ?ownship adopled April 11,
1955.
.................... ................... Per .? .: ? .......... ........ Per .•••• ..............f ' ::.:.:.:....... :
. ..........•-•---..........
.. ... .... ....... ................................ C1+airxnsx? of 'Y'nwa 8o rd Suilding I?pector
' ;c :
I EAGAN TOW'IV S H1 P
BUILDING PERMIT
Owner _........ •••-•??-r-.°•-?.--...........
--
Address (presen!) _„e?.....,?!....?.............. -...............
-
Builder •••••• .................•--------.._....
Addrass ._.... ................•••--•-•
.............. --....................................
DESCFLIP3'IQN
N° 2374
Eagan 'Fownship
Towa Hall
Ddte .... l.? ..........
Btorie _ 'to Be Used Far Froni Depth Heighf 8st. Cost ' ermi! Fee Remarlcs
W,?.--1-7
• LOCATION
Street. Road or alher Deacription of Lacaiion I Lot _ Blork Addition or Txact
6-7-
.? y"'V; .?"ff
. ??
, 3 9,&
This permit does aot authoxise the nsa of slreata, raada. alleys or?tdewatks noz does it giva the ownes or hia agent
the xight fo create anp situafion which is a nuisance or which presents a hazard fo the health, saietp, conveaience and
general wetfare to aayone in the commun'sty.
THIS PERMIT MUST BE KEPT ON THE PItEMISE WHILE THE WdRK I3 IN PROGRE5S
Thia i; to ce=tity, thal.... F-4 ..?. ?:?--?.... permisaion fo ereci a-- :S-• •...... .......... . upon
the above descrihed pxemise subject to the provisions of the Building OrdinBnce for Eagan ownship adopled Apri] 11,
1955.
?/p? ? 'p ? p_ ?/-^C?-c_s?a-a??'
. .... . .e._?`-"?'.`. :?^?:: ......•••............ Per ............. ......./.!`. "`?:_.........................................
Chair?{fan of Tnwn Soarc? . ? Suildinq Iinspector
4
401?MV oF eagan
PAT GEAGAN
Mayor
PEGGY CARL50N November 7, 2003
CYNDEE FIELDS
MIKE MAGUIRE
MEG TILLEY
Mr. Brian Strain
Council Members 3942 Blackhawk Circle
Eagan MN 55122
THOMAS HEDGES
Dear Mr. Strain:
City Adminiscrator
Thank you for taking the time to provide public input at the Eagan City Council
meeting, which took action to continue the variance request for the property at
1745 Sartell Avenue.
Municipal Center.
3830 Pilot Knob Road As directed by the City Council, city staff will work with Mr. Todd Wagner to
Eagan, MN 55122-1897 minimize the impact of the proposed structure in the neighborhood. A revised
Phone: 651.675.5000 proposal will be heazd at the City Council meeting on November 18, 2003.
Fax: 651.675.5012 Prior to the next City Council meeting, we will contact you about the proposal. If
TDD: 651.454.6535 you should have any questions in the meantime, please contact me at 651-675-
5699.
Maintenance Facility: S1IICeIely,
3501 Coachman Poinr
Eagan, MN 55122 ?
• z
Phone: 651.675.5300 Dale Schoeppn
Fau: 651.675.5360 Chief Building Official
TDD:651.454.8535 ' DS/ld
www.cityofeapn.com
THE LONE OAK TREE
The symbol of screngch
and growch in our
communiry
? ? .
EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Mitutesota 55111
Telephone 454-5242
PERMIT FOR WATER SERVICE CONNECTION
Date• Nvimber: 997
Bill.ing Name: L ' .?Site Address:c_ / Nrs&""
?
Owner: Billing Addressl:a , Ons??sk
Plumber;
Location of Connection
Meter Size
Connectioa Chg
/26/72
Meter No. Permit Fee 10 00 pd 9/26/72
:p`?/72 s/c
Meter ReadingiMeter Dep.
Meter Sealed: Yea I Add'1 Chg.
ND lTotal Chg.
Suilding is a:
Residence Nx
Multiple hlo. Units
Commercial ?
Indus tria 1
Other
Inspected by
Date
Remarks:
By:
Chiet Inspector
ia consideratioa of the 3asue acul delivery to me of the above permi.t, I
hereby agree to dv the groposed work in accordance with the rules and
regulations of 8agan Township, Dakota unty, Minnes ta.
By:,?I&A_A EA_t,,N4)
Please aotify the above office whea ready for inspecCion and conxtection.
?? ?- 3,
y . •.
EAGAN TOWNSHIP
3795 Pi1oe ICnob Road
St. Paul, Minnesata 55111
Telephane 454-5242
PERMIT FOR SEr1ER SBRVICE CONi?IBCTION
nATE • ?` - NUMBER 11 54
, si I '--? ' OWNER• ?dress ' ""'U4 `PLETMBER - ' ` TXPE OF PZPE ,/?..?;?
DESCAIPTiO OF BUILDING
Industirial { Commerci.al l Residential
Locatian of Cannections;
N[u].tiple Dwelixng e No. of urtits
ConnectioA Charge 260.00 pd 9/26/72
Percnit Fee T a.00 pd 9/26/72
. p S G
Street Repairs
Tota 1
xn5pectea by:
De te
Remarks:
By
Chief Inspectvr
In consideratiott af the issue and delivery ta me of the abave permit, I
hereby agree to do the pxopased wartc in accordance with the xules aad
regulatiores of Eagaa Tcnmship, Dakata Cauntca;'?l MMinuesa a
"St-L\Lt. ezcA
By
,
F
lease notifp when ready fcr fnspection and connection aad befoxe anp poxtioa
of the wark is cavered.
MASTER CARD
PermiY
IVo.
Issued Issued To
Contractor Owner
BUILDING
PLUMBlNG
?
CESSPOOL - SEPTIC FAIVK
WELL
ELECTRICAL
HEATIAlG
GAS iNSTALLING
SANITARY SEWfR
--??-
OTHER g9
07HER
Approved
Items (Initial)
FOOTING
FOUIVDATION
FRAMING
FINAL
ELECTRICAL
HEATING
GAS INSTALEATION
SEPTIC TANK
CESSPOOL
DRAI NFIELD
PLUM6ING
WELL
SANITARY SEWER ,
Date
-?
_ ny _ ?
ll- ?t - ?
- 1, `7°y IrI - l3 -710' CA.t
Remarks Distance From Welf
SEPTIC
CESSPpOL
?L ';Z° 7 7/
/ Z ?- r; •' , Z-
COMMENTS:
.-,2 c: ;}
TflE FIELD FT.
DEPTH
OF WELL
Violations Noted
on Back
OWNER e44??
STRUCTURE AND ?
LAND USED AS ? 1 y? ?
COMPLIANCE INSPECTION REPURTS
TO 8E USED ONlLY IN EYENT OF OBSERVED VIOLAt10NS
PERhhIT NQ. DATE 4F INSPECTI4N
COPEDITI4N5 OF CONSTRUCTION AT THIS INSPECTlON
NO EVIDENCE OF NON-COMPLIANCE
06SERVED.
1:1 ACCEPTABLE SUBS7ITUTIONS OR
DEVIATIONS.
? NON-COMPLIANCE. BUfLDER WtLL COMPLY
WITHOUT DELAY.
ITEMIZED AND dESCRIBED AS FOLLOWS:
? NON-CdMPL1ANCE. BUILDER DOES NOT
INTE1dD TO COMPLY.
? COMPLETIaN OF CERTAIN IMPROVEMENTS
Wi1! BE DELAYED BY CONDITIONS BEYOND
CONTROL. ? REfNSPECTION REQUIREp
REINSPECTION REVEALED
DATE OF REINSPEC7IQN
CERTI FICATIDN - I certify that I have carefully inspected the above in which I have no interest present or praspective, and that I have reparted herein
all significam canditions ot;served to 6e ai variance w+th ordinances of the Town of Eagan, approved plans and specifications, and any speeific require-
ments for off-site improvements relating to the property inspeeted.
? AL! IMPROVEMENTS ACCEPYABLY COMPLETED
COMhhEPiT5:
BuILO[NG INSPEGT4R
DATE
/
2 a
2005 RESIDENTL4L MECBANICAI. PERNIIT APPLICATIt}N
Ce#y Of Eagan
3830 Pilot Knob liaad, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings 8c townhames/caados vvhen penmits are tequired for ewh ueit DSte /0_ f 19 /o?005
Site Address a49-4e. ?1
??QC bawk 4:... ir
IInit #
PropertyUwner?f't?
?---?-
Cl?'j
•
Tdephane#((??? ) -
Contractor A? U; IQ
StreetAddress ?Er w. CEtY ?? ?'../'?!.?0?f.f
..? '
State . MN T.ip ? b Telephane # { &5I ) ?'?+?, • ?ii?:?_ . ___ _
Bond #• Expires:
T6e Applicant is Uwner ? Cvntractor Ottter
Add-an or alteration to eaisting dwelling unit ? 30.00
? furnace _Additional X Replaoement New
air excfianger
air condifioner
heat pump
other
State Surcharge $ .50
Total s J0• SD
I hereby apply for a Reside7ntial Mechanical Pernut and ackuoruledge #hat tt?e informatian is camplete and accumte, dW xhe work will
be in canformance with the ordinances and codes af the City of Eagan and with the Mectrm*al Codes; t.hat I undersoxi tttis is no`t a
permit, but only an applicatian for apermil, and work is nat to start without a peamit;. that the wark will be in acoDrdace. vwi#h itie
approved plan in the case of work which requires a rmew and appraval
. ,.. . . A .. I ?-
Applicdnt's Printed Naine App " 's ignatu.re
Date 1 r : -
" ;? ???''r'• ? t? ? Sife Strvet Adadren ? • ?
• 4r cumt Ji
Terasnt Name (ii`spplicable) ?TAMMM Wast-.' .
Fraperty Owner?'?
Contrsctor
. ?
&reet Addre.q% CupV,'-.
:
?- ,
State
Bond
ne Appficant is Chwner _ 'G+mbactor Otber
"Work Type '
New CvnstrKftn U-ndergmundTanlc. 1nsM _Romm "°'see bWm
_..., Interic3r lmprovemeit . ,.,r,. 1n$Wt Pipbq -Prvoessed _,,,rG"
Mature af Woric: "When inst`eiNrWrormWng mxkWomW W* ° c*1l *w JVrupwtow by Fho OMW:Ond1??s Avpsoftr
Pennit FtCS: S'Ta.Se Uwdeojgrms,d imk
S5tl.50
Oe
CQLttl'B.Ct V8I11C $ 1% , ? • ? ? ?? _.. ??`? ,
• ?? ? is 10ss *aa $1,66k am$-%,
?1f ?-filtismerre ffiRn ??; ?e •
i9 $:50 for ove.ty-s1,ow.;awlt
$ Ttwne
I ]?erebY aplt[Y far a C?nertal Mwhandc?.l P+?' ?' ?? ? #? ??. 16
Zaft- ?d ? ? ?e ?r.k.
witl be in aanfor=ce with fto' nd toft o?*t Cit? ? ROSM od'Va ft' Ctift, thK Jt ft is.
nat a pamit,-but o,ly an mpficadan fvr it .:md vm&fs wt to am W a pav* *a ft ?wffl be in , vi&
theapprovecl platt in the cae- of work Wl? ?% ToVkW Md: ? Vjg Of PUM•
- },.
Applicaai's Pritftd
'? •
Approved BY: Im.
ReqWred Inspections: _ iCT.G. _ RI. ?,, Aii'tsst ? Cn gavice TW _ Inf1ar*Hm _ Fina1 °.
r]??q ?
- •?
2006 RESIDENTIAL BUILDING FERMIT APPLICATION
City af Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephane 4 651-675-5675 FAX # 651-675-5694
New Construction Requiremenls
3 registered site surveys showirn3 sq. R of lot, sq. R. of hause; and all roofed areas
(26%maxirnum Iol ooverage allowed)
2 copies of plan showing beam R window sizes; poured found design, etc.
1 set of Energy Calaila6ais
3 capies of Tree Preservdbon Plan if lot platted aRer 711 W
Rim Joist Delail Op#ions sekection sheet (buildings with 3 or less units)
Minnegasco n?echanical ventilation form
f-j a, Do
RamodellRq!air Requirements O(fica llse Or?hr
2 capies of plan showing faobngs, beams, joists Cert of Snrvey Rea! ? Y- N
1 set oi Fnergy Calculafions for heaEed additions Tree Pres Plan Recd Y_ N.
1 site survey fur additiais & decks Tres Pras Required Y_ N
Addi6ort - in&cate if on-sifa sepfiC system Ort-site 5ep6c 5ystem _ Y_ N
Date ? / .:? / 1 ?% ?•' ? ? Construction Cost
h
Site Address il-?--???t': UniElSte #
5
G---µ, / f .1 ???f ? r"?C L±??r" ;?(l??I f/ ? G', L?Lr?.??•
Descriptivn of Work 146?zs-,
Multi-Fam'rly Btdg _ Y_ N Fireplace(s) _ 0 ? 1 _ 2
Property Owaer 1.?! ?14?;?n # V
z'?=f Telephone # (1'?la?) ? ?
Contractor The Gopher Company License # 8617
Address 2701 - 36th Avenue South CityMinneapolis
State MN Zip 55406 Telephone #(612 ) 3 3 2-15 5 5
COMPLETE THIS AREA ONLY IF CONSTRUCTlNG A NEW BUILdING
-- Minnesata Itules 7670 Categorv 1 Minnesota Ru1es 7672
Energy Code Category
• ResideRtial VeMilation Category 1 Worksheet • New Energy Code Workaheet
(4 submission type) 5ubrnitted Submitted
. Energy EnveEope Calcula6ons Submitted
In the last 12 months, has the Cit}r of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plon:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone # (
Tefephone # {
1 hereby apply for a ResidentiaD Building Permit and acknowledge that the infarmatian is complete and accurate;
that the wariz wiil be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Sta#utes; I understand this is not a permit, but only an applieation for a permit, and work is not to start without a
permit; that the work will be in accardance with the approvedl plan in the case of work which requires a review and .4 4
approval of plans.
Ax?e-! /Z/4
Applicant's rinted arne ppli nt' ign ture
._ ?
DO NOT WRITE BELOW THIS LINE
Sub Tvves
0 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-ptex
? 05 Q3-plex
? 06 Q4-plex
Work Tvpes
? 31 New
? 32 Addition
? 33 Arteration
? 34 Replacement
? 07 05-plex 0 13 16-plex
? 08 06-pfex 0 16 Fireplace
? 09 07-piex ? 17 Garage
0 10 08-piex ? 18 Deck
? 11 10-plex 0 19 Lawer L.evel
0 12 12-plex
D@SC17DtlOn: Water Damage
ValuatiOn
Rian RevEew 900% or
Census Code
SAC Units
# of Units
# of Bldgs
Type o# Const
0 20 Poo[
? 21 Porch (3-sea.)
0 22 ParchlAddn_ (4-sea.)
? 23 Poreh (screenlgazebo)
? 24 Storm Ramaga
0 25 Misceilaneous
0 30 Accessory Bidg
0 31 Ext. Alt - Muiti
11 33 Ext. Alt - SF
? 36 Mulii Misc.
Ci 35 Int Improvement ? 38 Demolish Enterior 0 44 5id'ong
? 36 Move Building ? 42 demolish Foundation ?45 Fire Repair
0 37 C?emolish Buildingr 043 Reroof ? 46 WindowslDoors
'Demolition (Entire Bldg) - Give PCA handaut to applicant
Yes
Oecupancy
25%
Zoning
Stories
5q. Ft.
Length
Width
MCES System
City Water
Booster Pump
PRV
Fire Sprinklered
REQUiRED INSPECTIONS
_ Footings (new bldg) ? Sheetrock
_ Footings (deck) FinallC.O.
- Footings (addition) FinaUNo C.O.
Foundation HVAC
? Urain Tile ? Other
Roof _ Ice & Water _ Final _ Pool Ftgs ` Air/Gas Tests Final
_ Framing _ Siding _ Stucco Lath - Stone Lath -Brick
_ Firepface _ R.I. _ Air Test _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By: . Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Perrnit & Sureharge
Treatment Plant
License Search
Copies
Other
Total
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA118994
Date Issued:11/13/2013
Permit Category:ePermit
Site Address: 3942 Blackhawk Cir
Lot:8 Block: 9 Addition: Cedar Grove 8th
PID:10-16707-09-080
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Carol Foss
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 -
Bryan Strain
3942 Blackhawk Cir
Eagan MN 55122
(651) 687-0443
New Exteriors By Sma Inc
10701 93rd Avenue North, Suite E
Maple Grove MN 55369
(763) 315-8900
Applicant/Permitee: Signature Issued By: Signature