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3944 Blackhawk Cir PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA079490 Eagan, MN 55122 . Date Issued: 08/28/2007 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 3944 Blackhawk Cir Lot: 7 Block: 9 Addition: Cedar Grove 8th PID 10-16707-070-09 Use Description: Sub Type: e-Reroof Construction Type: Work Type: Replace Description: House & Garage Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: Pictures are not acceptable in lieu of inspections. Fee Summary: BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 Valuation: 3,000.00 Total: $90.00 Contractor: -Applicant - Owner: Girtz Construction Chad Odonnel 16138 Goodview Cir 3944 Blackhawk Cir Lakeville MN 55044 Eagan MN 55122 (952) 891-4208 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. Applicant/Permitee: Signature Issued By: Signature F *Z _RVc CITY OF EAGAN ,w 3830 Pilot Knob-Road twrmntftt Eagan, Minnesota 55122-1897 ~aia~q a (612) 681-4W75 _ i 61TE ADDRESS: AP" CtUWT: - ! u 1 I tttocK : 9 .3144 !-t!. A1. "AIJI VIP ItuuH I ONNY r yam. UFDAH GROW HIH (612) 68710966 ' PERIIlT SUBTYPE: TYPE OF IN400ANNO 00 fltAMlNq 771 [NAt.:' r.~ REMARK S . A F t' A R A t t' N Al I T 11 R F" Q li t It E: !3 FUR ANY t'. k EX"1' #tIC AL kin R lwnlt Mo. FwmR Melds Dar TdWI9 M. # ELEC. BRIG PUJMBM. hPt~iy4. two 6006 COMMON 46- &A Fi3U~!! Mn. fwum Hvffm Dam a"BOAM r PEW FBIAI_FLES FWALHTt3 Of *AT TEST BSmT R.1. SSW FINAL DECK FTQ DECK FINAL d,' a r` CITY OF EAGAN- 3830 Pilot Knob Road 02~:1 Eagan, Minnesota 55"1224897 - "t f a $ (612) 681-4675 8ft ADDRESS: r F4 L 04., APPU 1>t~lrlrl.V I944 I+I.AVHAW( 4:118 0000 (r€:DA14 6kOVI 81H (612) .(1Y l td: PERMIT SUBTYPE: TYPE: ~ J A it I .I. 11 ()4 NEW N's 1) k A I 1 fV 14.1t f' 6' I.. A F` i i'NAC - - - - - - - - - - - - - - Itt 04(g19-;;; `:V PAPlG1-TF- PI`.RNI T '1REQU-I'.-lit-A) rO(k AM P.-I'#►p1(.i~.1106 Oft. (:~TIt.Yr,* ~ rs` TM4? i~ f ;4 riff i # rr}e } i 1 ~ ` ~ i melt P&L Ill mdt Nomw D # E!_EMM . 4/f 3'0 I 116 Wt~i I GVPBOAFAD FOOPLACE FNM1.1°!I ORSAT TE6T OLDS FINAL OWT ki. DOW FINAL DEC FTG DECK FINAL CITY OF EAGAN Remarks Sew con pd. on 12-29-72 Wtr con. pd. On 2-13-73 Addition Cedar Grove #8 Lot 7 R,k 9 Pare, 10 16707 070 09 Ovvner✓~ C( Street- 3944 Blackhawk Circle State Eagan,MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK rLS 1 125.00. 00 2 Paid # SEWER LATERAL 1 1539.10 Paid WATERMAIN # WATER LATERAL 1974 WATER AREA * STORM SEW TRK # STORM SEW LAT 1974 5 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 300.00 7421 2-12-73 BUILDING PER. SAC 260 00 7421 2-12-7 PARK 0-6-95 , o Q Reque Date Fire No. ough- pection Required Inspection Other Than Rough-In (You u t call inspector when ready) ❑ Ready Now ❑ Will Notify Inspector p4q ZZ Yes ❑ No Dale Rea Xicensed contractor ❑owner hereby request inspection of above electrical work at: Job Address (Street, Box orrRRRooute No.) City el- Xfw Ole e, Ac Al SSectiorf No- Township Name or No. Range No. County 0AA - Occu t (PRINT) Phone No. 704"n tc~'~7~ ~eu6 /,f 7`-840,` Power Supplier Address Electrical pCractor (Company Name) Contractor's License No. #1610 .r Ce , C"o- eo 99s Mailing Address (Co actor or Owner Making Installation) Authorized Signature (Con or wner Making Inst IPhorANumber o s- , t/~ Q MINNESOTA IverrsItty Ave., Sa OF t Paul, MN 510041CrrY II III II (I~ I~ III I~ III (I hI II III II III I) III I IIII L INSPECTION REQUEST WILL NO RO ACCEPTED P ER INSPECTION FEE IS III II III Phone (6121642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB-00001-09 ' Sec instructions for comoleting this form on back of yellow copy VV `r "X° Below ered by This Request Ne Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner Other (specify) Contractor's Remarks: Ar r CQ V ~s W~~r Compute inspection Fee Below: It /ve Ar"" 'K rTr"`r'e- # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 100 Amps Signs Inspector's U, my / Z TOTAL` 57 Irrigation Booms C!wt. ~O(Z 4~ Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED I S THS. I, the Electrical Inspector, hereby Rough-in / Date C/7 F l certify that the above inspection has Finals Date • been made. OFFICE USE ONLY This request void 18 months from VILLAGE OF.FAGAN,- SEWER SERVIC9 PERMIT 3795 Pilot Knob Road PERMIT NO.: _ Eagan, MH 55122 DATE: 1 2/29/72X2/13/73) Zoning: R-1 No. of Units: 1 Owner: Cedar Grove Construction Co. Address: Site Address: 77-9-8 39_ Blaokhawk Circle Plumber: -St e1- n I s 1 agree to comply with the Village of Eagan Connection Charge: 260.00 pd 2/1 Ordinances, Account Deposit: Permit Fee: 10.00 pd 12 29 72 Surcharge: .50 pd 12/29/72 By: Misc. Charges:, Date of Insp.: Total: Insp.: Date Paid: EAGAN TOWNSHIP - y BUILDING PERMIT N? 2930 ` Owner -•-I...................... .L//~ ' Eagan Township Address (present) - v C"".. Town Hall Builder 7 Address - Date DESCRIPTION Stories To Be Used For Front Depth Height Est. Cost Permit Fee Remarks LOCATION Street, Road or other Description of Location I Lot Block Addition or Tract This permit does not authorise the use of streets, roads, alleys or sidewalks nor does it give the owner or his agent the right to create any situation which is a nuisance or which presents a hazard to the health, safety, convenience and general welfare to anyone in the community. THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROORS. This is to cerfsfp, that..-•-4c ",w--_...-r.-w-4 .................has permission to erect a the '-••-----gpoa the above described premise subject to the provisions of the Building Ordinance for Eagan To ship adopted April 1L 1955. - 4..:..._-t --4;C ..........Yhr"-! Per K7`"` • P'•• CAairmsel -1 nw oar a Building Inspector 4 EAGAN TOWNSHIP BUILDING PERMIT 2374 Owner Eagan Township Address (present) -,,$V..... Town Hall Builder / Date l.~.s..~7/ Address DESCRIPTION Stories To Be Used For Front Depth Height Est. Cost Frmit Fee u Remarks /aa/ 71 LOCATION Street, Road or other Description of Location I Lot Block Addition or Tract This permit does not authorise the use of streets, roads, alleys or"~ewalks nor does it give the owner or his agent the right to create any situation which is a nuisance or which presents a hazard to the health, safety, convenience and general welfare to anyone in the community. THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS This is to certify, that p- -_4.... .....has permission to erect a.. S~.. ~...........upon the above described premise subject to the provisions of the Building Ordinance for Enship adopted April 11, 1955. O x..~` Per 6p ~ Chain)[ n of Town Boar" -46 Building Inspector r i PB1 T ,v- 2104 RESIDEMIAL MMW .jPLU 3 PILOT KNOB IUD, EAG-M 60 'r h ~r s ~ Please complete for m ications to;existing resldatrial dw llttgs Sits StMW AWr 4 L'. P L r' -Property Owner L.l fl " ri Contractor , 155, Address CRY , . ~s I 9 The Applicant is: owner wen" r -Other 'Aft m to exi"no " d k'jyi Tx~M1Yy •i' . e S 3r-7~ # rN _ ~ F 6Ks ,~1 Add Mums t© morns, mduding rys{RN soft and **w heider -Septic Systam Pbandonffmt { t Water Tumeround (add 12i w if a aw mdw Is required) -Other: 7 i a , ; Water Softener i WMer star repisc:ernent addittonarf _ h 'J slim, /,,e 1~~ii .04 16, Lawn Urig"on System RPZ- w State Surcharge Tolai ; I hereby apply fora Residential Plumbing~Pamik 841, iil In conkirm*F166 and accurate; that the -work waif be ' w h ft , Eogan and the pkmTbng oo s; tlx:I unstand :1S n permit, work is not to stat wlthout a .pem* and Wes: iIt Wow the event a plan Is required to be reviavo*d.lhd a Applicant`s Printed Nart W 5-7 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan S ,-7 CjU q 3830 Pilot Knob Road, Eagan MN (p /I 55122 Telephone # 651-675-5675 FAX# 651-675-5694 New Construction Requirements Remodel/Reoair Requirements r 6MOn 3 registered site surveys showing sq. fL of lot, sq. ft of house; and all roofed areas 2 copies of plan Cert of -Survey Recd _ Y N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pies Plan Recd Y - N. 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks free Pres Required' _ Y N 1 set of Energy Calculations Addition - indicate if on-site septic system _ rF-5ge c hem T Y f1 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Q 0 Date Construction Cost 4Q L 0 Site Address 39 y Lf Ck C ULA./ ~C C i rC E Unit/Ste # CG a M>v Description of Work G1 { r C~ L' f e V,-\Cd e ( L Multi-Family Bldg - Y ✓ N Fireplace(s) Y' 0 - 1 - 2 PropertyOwner L htA(~J 4 ) a VIeE 0 1 Do n nC ( Telephone # (6 Sl) 32-Y -86 27 Contractor f_ Pau/ I Address Cih' State M Zip 5S/~ L Telephone # (6s/) 29 L -960S- COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category 1 - Minnesota Rules 7672 Energy Code Category . Residential ventilation Category 1 Worksheet New Energy Code Worksheet (4 submission type) Submitted Submitted Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? - Y _ N If so, 25%v plan review fee applies. Licensed Plumber Telephone # ( ) C~- Mechanical Contractor Telephone # ( ) Telephone # ( ) 1 Sewer/Water Contractor I hereby apply for a Residential Buildin it and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application 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. T ~ fir; Applicant's Printed Name Applicant's i ature X CITY OF EAGAN PERMIT C am e o 5 0 0 9 ~ 1 - 3 8 3 0 Pilo Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 2 6 7 3 6 (612) 681-4675 Date Issued: 11/20/95 k SITE ADDRESS: 3944 BLACKHAWK CIR LOT: 7 BLOCK: 9 CEDAR GROVE 8TH P.I.N.: 10-16707-070-09 DESCRIPTION: Building Permit Type SF ADDITION Building Work Type NEW Square Feet 2.568 REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK FEE SUMMARY: VALUATION $27,000 Base Fee $367.75 Plan Review $128.71 Surcharge $13.50 Total Fee $509.96 CONTRACTOR: OWNER: - Applicant - DOUB LONNY 3944 BLACKHAWK CIR EAGAN MN 55122 (612)687-0006 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 Mn. Statutes and City of Eagan Ordinances. L d PLIC /PERMITEE SIGN RE ISS D B : S NA E INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 026736 Eagan, Minnesota 55122-1697 Date Issued: 11/20/95 (612) 681-4675 SITE ADDRESS: P'I'N': 10-16707-070-09 APPLICANT: LOT: 7 BLOCK: 9 3944 BLACKHAWK CIR DOUB LONNY CEDAR GROVE 8TH (612) 687-0006 PERMIT SUBTYPE: TYPE OF WORK: SF ADDITION NEW INSPECTION . DATE INSPTR. FOOTINGS FRAMING INSULATION FIREPLACE FINAL REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK F t CITY OF EAGAN 3830 PILOT KNOB RD - 561222 4995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 ♦ 3 mobb MW sit V"Ip ♦ 2 Copra of phn ♦ 2 copin of plans (include beam & window sits; poumd tnd. design; etc.) ♦ 2 of ~urms (eoderiar additions d dodos) ♦ 1 www o bAdions ♦ 1 www oelauMons for liM! eddkions ♦ 3 copin of bee pru wabon pion if lot ptatlad alter 711193 1 mquh d: _ Yes _ No , AJ- COv DATE: l~ X15'' CONSTRUCTION COST: DESCRIPTION OF WORK: Aaa ~1 STREET ADDRESS: Q . LOT _ BLOCK 7 SUBD./P.LD. PROPERTY Name: o Phone _1~.~ OWNER ~e7' y 1~~~ ~ ~1,e . Street Addressr ~-.----t' City: State: Zip• 'Jr/~ CONTRACTOR Company: Phone Street Address: Lioense City: State: Zip. ARCHITECT/ Company: Phone ENGINEER Name: Registration Street Address• - City: State: Zip. Sewer E wafter licensed plumber P~Ity applies when a change and lot change are fequested once permit is issued. I hereby e0wMedge that I have read this application acid state that the intmmtian is =VW and a~ee to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY ~.;w'~ % 1 Certificates of Survey Received Yes No O C T 2 7 ig% Tree Preservation Plan Received Yes No - - - - - - - - - - - - - - - OFFICE USE ONLY BUILDING PERMIT TYPE': a 01 Foundation a 06 Duplex a 11 Apt.A odging a 16 Basement Finish a 02 SF Dwelling o 07 4-plex a 12 Mufti Repair/Rem. a 17 Swim Pool 03 SF Addition o 08 8-plex a 13 Gara*Ac cessory a 20 Public Facility a 04 SF Porch a 09 12-piex a 14 Fireplace a 21 Miscellaneous a 05 SF Misc. a 10 _ plex a 15 Deck WORK TYPE a 31 New a 33 Alterations a 36 Move X32 Addition a 34 Repair a 37, Demolition GENERAL INFORMATION Cahst. (Actual) Basement sq. ft. MCNVS System (Allowable) Main level sq. ft. Y7- City Water UBC, Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV 0 of Stories sq. ft. Booster Pump length sq. ft._ Census Code. Depth Footprint sq. ft. , Z I s&Z SAC Code fJ,( _ Census Bldg .Z a:s l fr<K~ Census Unit ADD i sraNs 0 APPROVALS ' Planning i Building Engineering Variance 1 ...~I lyq. YL/L! 1 Yr. Permit Fee Valuation: 2 7 D Surcharge Plan Review License MCNVS SAC GZ~ City SAC Water Conn. J Z o, Water Meter ~~p kZ '~t~ 3 7 x Acct. Deposit Sm Permit SIW Surcharge Treatment Pl. f~ ~o aDec Trails Ded. Other Copies p +1 Total: I S~ 3 a►~ ~f~~ % SAC S Aa r A~ ~4~ i SAC Units o ~V~ CIS 1 4% $%,a ffb 7 , NO 1". 0' M r sop +~i v ad 40010 It 00 00' lop 112.0 .10 o~' ~ ~ ~s4 ~ ~ ~ 140. .0• o0 CD N . 14 ~i ~ • ~y~~` ~ ~K ~ ~ ~4. ~ ~ S~, ~i~+ ~~`~1►~ ~ alIga 140 •X14' 1162- E + t~ A4.16r..)4 • 7 T . r 41, cl; 10 1 0,4 7.10 04` ZV E. 140. i M.2.' 04' IV rr. I l33i.Oo 1-4 o l'K.z1 ~ . Q' 0 IF sip 21 12 Cb 143.0 14'Ao 144 BLACKHAWK ROAD_ DATE ~ ~ - ~S, F-KTERIOR ENVELOPE AVERAGE "U" C01-TUTATION LJ OWNER SITE ADDRESS `~~I ~~ac~ ho.,,,k i CONTRACTOR ADDRESS PHONE DETERMI-NE WORKING SOUARE FOOTAGE OF EACH. 1. Total exposed wall area Oq Q sq. ft. x *I/ m 2. Total roof/ceiling area D L) sq. ft. Total exposed wall area above floor ~j4 ! a. Total wall window area 00 b. Total door area Ift i C. Total sliding glass •door •area x(0,02 d. Total fireplace wall area e. Total wall framing area (average 10%) 441%0 f. Total net wall area above floor Z'77,0► g. Total rim joist area SO~17 Total exposed foundation area -h. Total foundation window area sz,oz 5 41 i. Total net foundation area above grade Determine "U" value of each wall segment. a. 36 X Ifull ) b. X Ifull U C. 2, X fluff d. \ X Ifult X fruit jj, f. 2~~1 .,0 I X fruit 3 Ll 7 g. Sp 1 X fluff p lJ ~ ~ a YS h.- X fluff A U 3 . .Total If item #3 is the same as, or less than item 01, you have met the intent of SBC 6006 (02. f 1 -1- . Page 2 of 2 Total exposed roof/ceiling area a 3 Total skylight area . k. Total roof/ceiling framing area (average 10%).. 3 140 1. Total net insulated roof/ceiling area ? 4S,Q p Determin "Urr value for each rcof/ceiling segment. J. X IrUrr 1 • X "U" ° 22 Q 716 4.. .........................................Total If total of #4 is the same as, or less-than #2, you have met the intent of sac 6006'(c)l. Alternate Building Envelope Design To utilize the total envelope system method, the values established by 1 the sum of items 13 and #4 shall not be greater than the sum of items #1 and #2. 1. -T = r + 2. • ! 1 I + 4. -2- 1 2, ;-.......w....:i T.a.vYt ia.'-a+W'-M._.._ ---..._J.. .~.,..._.........«r.....~..-.............-.--.r.e.Y wee l~..es.4':arr- - PERMIT 6'eo 50 c9511 CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 2 6 7 3 7 (612) 681-4675 Date Issued: 11/20/95 SITE ADDRESS: 3944 BLACKHAWK CIR LOT: 7 BLOCK: 9 CEDAR GROVE 8TH P.I.N.: 10-16707-070-09 DESCRIPTION: Building Permit Type GARAGE/ACCESSORY Building Work Type ADDITION Square Feet 2,568 REM~R%ARATE PERMIT IS REQUIRED FOR ANY ELECTRICAL WORK FEE SUMMARY: VALUATION $9,000 Base Fee $149.75 Surcharge $4.50 Total Fee $154.25 CONTRACTOR: OWNER: - Applicant - DOUB LONNY 3944 BLACKHAWK CIR EAGAN MN 55122 (612)687-0006 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 Mn. Statutes and City of Eagan Ordinances. c ' fyIR 11 PLICANT,IPERMITEE SI ATURE ISSUED BY SIG TURE INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: B U I L D I N G 3830 Pilot Knob Road Permit Number: 0 2 6 7 3 7 Eagan, Minnesota 55122-1897 Date Issued: 11 /20 /95 (612) 681-4675 N.: 101b/01-010-09 SITE ADDRESS: LOT:- OT 7 BLOCK: g APPLICANT: 3944 BLACKHAWK CIR DOUB LONNY CEDAR GROVE BTH (612) 687-0006 PERMIT SUBTYPE: TYPE OF WORK: GARAGE/ACCESSORY ADDITION INSPECTION TYPE .DATE INSPTR. INSPECTION TYPE DATE INSPTR. FOOTINGS FRAMING FINAL REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY ELECTRICAL WORK V CITY OF EAGAN 3830 PILOT KNOB RD - 55122 7 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 ♦ 3 registered aide surreys ♦ 2 copies of plan ♦ 3 copies of plans (dude boom & window sizes; poured *W. design: ow.) ♦ 2 albs surveys (exlsrior additions & decks) ♦ 1 energy abuwx= ♦ 1 energy alcuiotions for heeled dons ♦ 3 Copies of tree presenraWn plan if lot plated after 711193 nquired: _ Yes No DATE: l~ cp 49.s7- ONSTRUCTION COST: `~6049c0 DESCRIPTION OF WORK: 2lP" STREET ADDRESS: shy ~~1~ LOT BLOCK SUBD./P.I.D. PROPERTY Name: _.y Phone OWNER f C Street Address- - ~,re _S~a City: cc~ gh State: Zip. CONTRACTOR Company: Phone Street Address: License City: State: zip, ARCHITECT/ Company: Phone ENGINEER Name: Registration Street Address- City: State: zip, Sewer & water licensed plumber. Penalty applies when address change and lot change are requested once permit is issued. 1 hereby acknowledge that I have read this application and state that the ' mration is cared and to comply with all appNcabIs State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY C lfficates of Survey Received Yes No Tree Preservation Plan Received Yes No OFFICE USE ONLY , ~BUILDING PERMIT TYPE a 01 Foundation a 06 Duplex o 11 Apt./Lodging a 16 Basement Finish a 02 SF Dwelling a 07 4-piex o 12 Multi Repair/Rem. a 17 Swim Pool a 03 SF Addition a 08 8.plex ..•e~ 13 Garage/Acoessory n 20 Public Facility 0 04 SF Porch a 09 12-plex o 14 Fireplace a 21 Miscellaneous a 05 SF Misc. a 10 = plex a 15 Deck WORK TYPE n 31 New a 33 Alterations a 36 Move ,je-32 Addition a 34 Repair a 37 Demolition GENERAL INFORMATION Cont. (Actual) Basement sq. ft. MC/WS 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. a,56a SAC Code 1 ~N~~«ass £z~ar~~y Ciensus Bldg _ A~nors Census Unit APPROVALS Planning Building ErKorwering Variance Permit Fee Valuation: $ 041 Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit SJW Surcharge Treatment Pl. Road Unit Paris Ded. TO hies Ded. ~ ~ . 2 p Copies R y~ Total: r D rd~i ob. % SAC SAC Units 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) L 4 3 c CITY OF EACAN J d 3830 PILOT KNOB RD - 55122 651-681-4675 New Construction Reaulrements Remodel/Repair Re uire A 3 registered site surveys showing sq. ft. of lot, sq, ft. of house 2 cops o of plan and ail rooted areas (20% maximum lot coverage allowed) 1 set of nergy calculat ons F t heated additions p 2 copies of plans (show beam & window sizes; poured fnd. design; etc.) 1 sites rvey for exterior additions & decks 1 set of energy calculations ? 3 copies of tree preservation plan if lot platted after 7/1/93 DATE: CONSTRUCTION OST: 17-4 DESCRIPTION OF WORK: 'Z" STREET ADDRESS: cL_J-*'~'~/ V C t w /-7 ' LOT: BLOCK: _ I SUBD./P.I.D. U U Name: o v !a rI ~-t Phone Cy/ ' ~Q O~~Co PROPERTY LastFirst f I OWNER 1~a.C~C ~~--K Street Address: .rte City State: 1 • Zip: Company: Phone (area code) CONTRACTOR Street Address: License # Exp. City State: Zip: ARCHITECT/ ENGINEER Company: Name: Telephone area code ( ] Street Address: Registration City State: Zip: Sewer & water licensed plumber (reauired for new construction oniv): -Penalty applies when address change and lot change Is requested once permit is Issued. I hereby acknowledge that I have read this application, state that the Information is correct, and agree t comply Ith all plicable ,State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applica t: 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 ❑ 23 Porch (screened) ❑ 04 2-plex ❑ 09 7-plex ❑ 14 Apartments ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 05 3-plex ❑ 10 8-plea ❑ 15 Lodging ❑ 20 Pool - 25 Miscellaneous WORK TYPE IS(?iL4 WA-LA, W f )!L 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) 5A Basement sq. ft. Census Code (Allowable) Main level sq. ft. SAC Code 464 UBC Occupancy sq. ft. No. of Units Zoning sq. ft. No. of Bldgs _i # 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 Permit Fee Vall Surcharge Plan Review License MCIES SAC City SAC Water Conn. Water Meter Acct. Deposit S1W Permit SIW Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: SAC Units % SAC ~ L RAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR WATER SERVICE CONNECTION Date: Feb. 13, 1971 2 ~/72) Number: 111 Billing Name:Cedar Grove Construction Site Address: 3944 Blackhawk Circle Owner: same Billing Address Plumber: Stein's Location of Connection Meter Size- Connection Chg. 2/13/73 Meter No.Permit Fee 10.00 pd 12/29/72 Meter Reading Meter Dep. .50 pd 12/29/72 Meter Sealed: Yea Add'1 Chg. NO Total Chg. Inspected by Date Building is a: Remarks: Residence-___x Multiple No. Units Commercial Industrial By: Other Chief Inspector In consideration of the issue and delivery to me of the above permit, I hereby agree to do the proposed work in accordance with the rules and regulations of Ragan Township, Dakota County, Minnesota. By: Stein's Please notify the above office when ready for inspection and connection. MASTER CARD LOCATION Ap~ OWNER STRUCTURE AND LAND USED AS i Issued To Permit No. Issued Contractor Owner BUILDING PLUMBING 369 CESSPOOL - SEPTIC TANK WELL ELECTRICAL HEATING 311 GAS INSTALLING s SANITARY SEWER OTHER i OTHER Approved Items (Initial) Date Remarks Distance From Well SEPTIC FOOTING 75- FOUNDATION ' 2I CESSPOOL FRAMING TILE FIELD FT. FINAL ELECTRICAL DEPTH HEATING OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING 5 /S~ 7 WELL SANITARY SEWER d Violations Noted on Back COMMENTS: 2006 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Rgguirements emodal/Reyair Reauirements Office Use Only 3 registered site surveys showing sq. ft of lot, sq. ft. of house; and all roofed areas copies of plan showing footings, beams, joists Cert of Survey Recd Y . N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd _ Y R 2 copies of plan showing beam & window sizes; poured found design, etc. J 1 site survey for additions & decks 'Z"%aLeu*4 Tree Pres Required Y N 1 set of Energy Calculations Addition - indicate if on-site septic system s/z;. On-site septic system Y _ N 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail options selection sheet (buildings with 3 or less units) Minnegasco mechanical ventilation form 1 Date I 1-& Construction Cost 7l 0 Site Address c~ 9 y 31-AC KH 414 K C l Unit/Ste # j~ y~ 1 e Description of Work D K 1 X Multi-Family Bldg Y N Fireplace(s) 0 - 1 _ 2 Property Owner _C ~AC) ( J fl-t EF l.d t P0r J 4 LL Telephone it 2 _/0 (P a- S. Contractor 1 HIEL. F7 L ,c 2O5 39 -7 U0 Address 636 P 69-K City Ei46At) State /Vt t Zip S-SS 7-3 Telephone # (f Sj) S t~ - i COMPLETE THIS AREA ONLY IF CONSToMMa A 13'UILDING j i - Minnesota Rules 7670 Category 1 _ Mtnn so ~ Rules 7672 Energy Code Category • Residential Ventitation Category 1 Worksheet-/ Newergy Code Worksheet (q submission type) Submitted Submitted • Energy Envelope Calculations Submitted r In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Y N If yes, date and address of master plan: Licensed Plumber Telephone # ( J Mechanical Contractor Telephone # f ) Sewer/Water Contractor Telephone # I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application 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. Zfk~ 6QAvPM Applicant's Printed Name App '-s S~nattt e- _ i 4 ~L+kC. ~ ~ -_x 7~ ~qH~ ~ ~ ~ ~xr~t~►~ ~ ~ • }$a _ . ti`"•E~tS-~~ ? ' j a'`~'pk d ~.wr~ SM-(~~~, ,~°}S $ r s ! '~tN w~p' / tt t•F ~ ~rn~T ty l - 9 frx~~~-.~ r i', f t a,k~t e. i 4= far rYa A to eyd 114 { * t\~`4<•t a, r °L,: x •a r +`d , a t x f, 3-' # rkkk' K 5R( b '~f n s t•, x t r.SSt~*'! 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Q° 0 133. o - o 1U0.7-1 I 460 46 7 e t 4- - - - - - 1 L__ ,to ~ I 14,,E a ~ ~ o"I 14+ ROAD A wK 05/16/2007 10:12 EAGAN ENG+COM DEV 4 96519051"45 NO.361 1?02 '71 2oo7 RESIDENTIAL BUILDING P T APPLICAn0N City Of Eagan 3836 Pilot Knob Road, Eagan MN 55122 Telepboue # 651-675-5675 FAX # 651-675-5694 New Gans clan RMirements Re►hadeMank Raautrements Ofrio® Use only 3 regismw she sun~eys showing sq, ft. of bt, sq. % of house; ana au roofed areas 2 mples of )tan ShOWG footings, beams, joists Cert of Survey Read _Y _N (20%maximm rot coverage allowed) t set of Energy Celeulatlans for heated additions Salk Report _Y _N 1 UN Report If proposed triOng ' to be ptaceaf on d'eturbed soil 1 silo surm for aldltbns & dwJo Tree Pres Plan Recd -Y -N ' a copies of plan showing beans & window s0as; poured found design, etc. MOM - lridicelelfon-0 wok sydam Tree Pros Reculred ,Y -N I set of Energy Calculations C"Ile Septic sysW _Y _N 1 coDin of Tree Presentation Plan I lol platted after 711193 Rim dotal Detarl options selection sheet lbuildhW whh 3 of lees until Winnegasm mechanical ventilation form Plans are considered public information unless you state the are trade secret and the reason. Date4vvt ! I,,Z}`7 coast-uction Cost D4 660 Site Address 3944 81 akjL r1 `-L K- _ unittste # e& OLA- U2 S 2- 2- Description of Work Multi Fal nAy 111dg _ Y _GN-') Areplace(s) , 0 _ 1 _ 2 Property Owner lel-' Telephone # ( fc~( 6 Window Concepts of MN, Inc. Contractor 990 Lone Oak Road Suite 114 Address Eagan, Minnesota 55121 City state _ License # 20163493 Telephone # ( ) www.windowconceptsmn.com COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Energy Cade Category - Minnesota Mules 7676 Catego, rv ] _ Minnesota Mules 7672 l4 submission type) Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Submitted Submitted • Energy Envelope Calculations submitted In the lost 12 months, has the City of Eagan issued a permit for a similar pfar) based on o Mosier plan? - Y _ N If yes, date and address of master plan, licensed Plumber Telephone # ( } Mechanical Contractor , A I r- 4 2Q~}7 Telephone 0 1 Sewer/WaterContractor Telephone } I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statuses; 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 xith the approved pLan in the case of work which requires a review and approval plans, 4. ) / / ff Applicant's Printed Hanle Applicant's Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA114102 Date Issued:09/11/2013 Permit Category:ePermit Site Address: 3944 Blackhawk Cir Lot:7 Block: 9 Addition: Cedar Grove 8th PID:10-16707-09-070 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 . Natalie Velez 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 - Gregory G Saunders 3944 Blackhawk Cir Eagan MN 55122 Great Northern Builders 9419 Buckley Ct Inver Grove Heights MN 55077 (651) 436-5672 Applicant/Permitee: Signature Issued By: Signature