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1586 Blackhawk Hills Rd
PERMIT City of Eagan Permit Type: Building Eagan. Permit Number: EA093498 Date Issued: 04/16/2010 OR Permit Category: ePermit 41 it~ of E3 E Site Address: 1586 Blackhawk Hills Rd Lot: 1 Block: 2 Addition: Blackhawk Glen 3rd PID:10-14352-010-02 Use: Description: Sub Type: e-Windows iDoors Construction Type: Work Type: Windows Doors-New ; Replacement Description: House Census Code: 434- Occupancy : Zonin,: Square Feet: 0 Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openin,s, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: BL - Base Fee S3K $88.50 0801.4085 Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195 Total: $90.00 Contractor: - Applicant - Owner: Home Depot At Home Services Rachel A McKinnon 656 Nlendelssolm Ave. N 1586 Blackhawk Hills Rd Golden Vallev N1N 55427 EaganN1N 55122--126 (763) 42-8826 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 Cite of Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature PLUMBING PERMIT DATE: 5/31/91 (U.G. SPRINKLER) RECEIPT: 101614 le SITE ADDRESS 1586 BL.ACKHAWK HTT.T.. ROAD Unit # Permit # 6 L 1 B 2 Sect/Sub. BLACKHAWK GLEN 3RD PLUMBER: B T.B. CC.-869-7531 IRRIGATION CONTRACTOR: UNDERGROUND WATER- INSPECTION DATE INSPECTOR OTHER WORKS-895-8016 FRAMING f z z q c. /ev-0 ROUGH PLBG. ROUGH NTB. INSUL FIREPLACE FINAL NTG. FINAL PLBG. UNIT FINAL CERT/0CC INSPECTION DATE INSPECTOR COMMENTS CITY OF EAGAN 8333 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 1 BUILDING PERMIT PHONE: 454-8100 0ogg ! Receipt # I tl To be used for SF DWG/GAR Est. Value $132,000 Date SEP 5 , t9-9.G--- Site Address _ 1586 BLACKHAWK HILLS ROAD Lot 1 Block 2 Sec/Sub. WK E OFFICE USE ONLY Parcel No. Occupancy R-3 I FEES Zoning R-A 0 tw Name CUSTOM ENERGY UDMS (Actual) Const V-N Bldg. Permit 752.0 c Address 12645 FLORIDA LN (Allowable) Y---N Surcharge 66 - 0D City APPLE VALLEY Phone 431-6116 # of Stories 70' Plan Review 488.0'0 Length D o Name SAME Depth 51' SAC, City 100.0 8~ Address S.F. Total - SAC, MCWCC 6nn - nn cc City Phone S.F. Footprints - On Site Sewage Water Conn 625 . QO W W Name On Site Well Water Meter 90.00 a= Address MWCC System __2- 00 Acct. Deposit 30.00 iw City Phone City Water X PRV Required S/W Permit 30 _ nn 0 hereby acknowlege that 1 have read this application and state that the Booster Pump S/W Surcharge .5 information is correct and agree o comply with all applicable State of Minnesota Statutes an qag, rdinanncces. Treatment PI 252.00 Signature of Permitee Y APPROVALS Road Unit 355.00 A Building Permit is issued to: CUSTOM ENERGY HOMES Planner Park Ded. on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies Building Official ~1(A1~ i~ "Aj AT ~ Variance TOTAL 3,388.50 Request Date ) Fire No. Rough-in Inspection ~L Req red? _i Ready Now Will Notify Inspector / ~~JJ 7 es - No When Ready? I = licensed contractor ,owner hereby request inspection of above electrical work at: Job Address (Street. Box or outs No ) City i k5lQc41iorwk, 4 y~ l 4. Section No. Township Name or No Range No. County t (PRINT) Phone No. Power Supplier Address Electr cal Cortractor ICompary Name) Contractor's License No. Ma Img Address (Contractor or Owner Making Installation) Authored Sig atur G ntracto own Ma~ong Installaho - Phone Number MINNESOTA TATE BOARhY6F ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room 5-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED REQUEST FOR ELECTRICAL INSPECTION EB-00001-08 ~ See instructions for completing this form on back of yellow copy. X" Below Work Covered by This Request ew Add Rep:l Type of Building Appliances Wired Equipment Wired -Home Range Temporary Service Duplex Water Heatei Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm IAIr Conditioner Other tspecty; Contractor's RemarKS Compute Inspection Fee Below: Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above o Amps Signs Inspectors Use Only: TOTAL Irrigation Booms Special Inspection +V Srn Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCO N'CTED IF NOT Other Fee COMPLETED WITHIN 18 MONT I, the Electrical Inspector, hereby Rough-in certify that the above inspection has Final- Date been made. OFFICE USE ONLY - This request voia 18 months from ` 9,/ 110 8 0 Request IFireNo. 114ough-inji;spe ion Requi ❑ Ready Now Notify Inspector es O No When Ready? I (tensed contractor ❑ owner hereby request inspection of above electrical work at: Job dd s (S Bo Route City Section o. T wn ip Name or o. Rang N County Caffmant INT) ~ Ph I /2G =V-6WQ P up lAddress r Ele ri I Contrac r (Cod pa Name) Uukic- MON Maih r ( tr or or r Making InStallati Auth - ed Si gnat (Corer t 1 r M king ins, Ii-ti MINNES A ATE BOARD OF ELECTRIC THIS INSPECTION REQUEST WILL NOT GrigWMidway Bldg. - Room 5-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB-00001-08 ► See r completing this form on back of yellow copy. n J f_jn r Below Work Covered by This Request ew Ad Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryjw Other (Specify) Comm./Industrial u-mace Farm Air Conditioner Other (specify) Contractor's Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size F e Circui s/Feeders Fee Swimming Pool 0 to 200 Amps R,CU 0 to 100 Amps Transformers Above 200 Amp Above 100 Amps Signs Inspector's Use Only: T TAL Irrigation Booms .7 V Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERE CPNNECTED IF NOT Other Fee COMPLETED WITHIN 18 S. I, the Electrical Inspector, hereby Rough-in 6 •.a GJ certify that the above inspection has Final ! r` been made. OFFICE USE ONLY This request void 18 months from C1T O I i NO `I 3.O ®P t'I b l4at1, P.O. Box 21AD4, Eagan,110#95 1 PHONE: 454-8100, A ~KmI QERW Receipt :4 Sir., IWV/"IL Ea . V I' alae ~l r bafef 19 TO si AddP®ss 1586 BLACKHAWK HILLS ROAD . CeE : 1 Bock 2 Sec/SubJ961991iiE f $ OFFWE USE N a ` P-WCel. NO. Occupancy X-3 K-1. ` FEES Zoning R"; t. Nt ditB.- - cyst= mawy Rom (Actual) Const V"* Bldg. Permit ! M"! $ 126 (Allowable) V Surcharg9' l E VA= Phone 431--6116 4 of stone "11.00 Review lS Ju P ~1 / iT ila~A i ` , City Length iQ~eivN -dp~o0 '1p771T ph SAC s~ S.F. Total_.. IwICWCC 600000 Phone S.F. Footprints - f On Site Sewage Water Conne `ftme , On Site Well ' Water fNeler ar ."dross MWCC System Acct. Deposit Phone City Water WPRV Required X S1W Permit ---T~ H~1gr Acknowlege that I have read this application and state that the Booster Pump S/W Surcharge .30 k r. Ion is correct and a rye S comply with all applicable State of a Statutes and C&ty` lE p,S rdinances. Treaprw# Pt e Signature of Perrnitee APPROVALS Road Unit WOOD , A Building Permit is issued to: CUSTM MR" Hom Planner Park tied. on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies Building Official Variance TOTA 39300~ `t' r Permit No. Permit Holder Date Telephone # Q / / 9Q 'AWATER t PLLWBING H.V.A.C. Gam' / 5'o ELECTRIC ✓ /0// S 90 ~a hupection Date to . Comments Footings i 91T~~ ~ Foundation l<~ S 6rnt~ Ci r Framing "o ~s C~ /Z° 1 S QUO R aze~ ` Rough Plbg. 6 - - jj Rough Htg. - - yo foul. •Z~~li N t_^ a-ir n~ iv Fireplace FwW Htg. 47 Fines Pibg. COW. Meter Pibg. Inspeclor - Notify Plumber EngrJPlan / Bldg. Final Deck Fig. Deck Final Wall i~/r/!► i Pr:Aisp. GASH RECEIRT CITY OF EAGAN' 3830 PILOT KNOB ROAD ` r EAGAN, MINNESOTA 55122 RATE w' 19 "Ecfrvco f AMOUNT $ & DOLLARS +ao 0 CASH CHECK ~ 1133 3 LA-1 C flop" S '"D OBJECT AMp. r t 8Y . SE ATER PERMIT OFFICE USE ONLY Q W-60.EAGAN METER # PERMtT DATED f 14f 3 `,3830 Piiot Knob Rd. 1IS~ai~ Eagan, MI~„~5'1.22=1.897 CHIP # _ PERMIT # METER SIZE RECEIPT # C 9513 ISSUE DATE B.P. RECEIPT DATE09/0 90 DATE SEP. 14, 1990.r -x- PRV BOOSTER PUMP SITE ADDRESS 1-586 BLAC AID HILLS RD 1PERMIT REQUESTED LOT 1 FLOCK 2 _ SEC/SUB BLAC?r'11t n GUN 3 SEWER X WATER TAPS APPLICANT: ADDRESS: COMM/IND RESIDENTIAL CITY, STATE ZIP NEW" EXISTING PHONE: Lawn Sprinkler Meters are to be Installed PLUMBER: RESSTAN 1'L13b1?,lm Ahead of-'Domestic Meters on Water Line.. ADDRESS: 121 REDWOOD, Dk Credit WILL N T b given forpeduct Meters.. CITY, STATE 1t Fib' ALi.EY, AN: ZIP '55124 PHONE: AGREE TO COMPLY WITH CITY OF OWNER: f~fJS C2i LNERCY HOMES EAGAN ORDINANCES ADDRESS: 1"2645 _ FU)RZDA L, I. CITY, STATE ATPL2 *VA1,LF . .Ls1 ZIP 24 PHONE:-' - t9 to SIGNATURE WHEN METER ISSUED PLEASE: ALLOW TWO WORKING DAYS.FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. r`~ e .are-~s. yi 7 fit' i irutf Of. up i. . :of. ~a are - , ~C tp ~ LL - - ~Prit~ti~ A~ ~11f1~Ut~ ~1tSppttiDtr This Cernfrcate iuued pursuant to the requirements of Section 306 of the Uniform Building various Code certifying that at the timeojissuance this structure woos in compliance with the ordinances of the City regulating building construction or use: For the following.' 33 i' U. c. SF DWI"/GAR; w ~a Dwg. pcMk rdo 18333 o« yrya R3/M1' Zooiag DWe- VN RI ~ COML - cst~.~trM RGSI S aaa 12645 FLUMA Imo, APP1E VATI Y _ owwr Gcs~a~s LI 82,. ~ ~ ~ RQAP. 1586._ QIAGJK HILLS r 101MIR4 1990 r Offidai - POST IN a GON$pjcuOUS PLACE - , .r ,r,.p~.', s-~~1►w-.. ~Yr,~si„'7fc•";:~•p,Ag:+fR.~ ~,...,yy^~ - • - _~,%y - ~ ~ ERAAIT # . . MECHANICAL.PERMIT RECEIPT # 1:77; / i.. CITY OF EAGAN 7.7 ~Q 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 For Office Use Only: Site Address $LDG. TYPE WORK DESCRIPTNNI Lot Block L" .Sec/So i` Res. New 1 `r- _l . n Name % + 1=; IVlult Add-on o Gomm: Repair Address Other c City Phone FEES Name r RES. HVAC 0-100 M BTU -$2400 C Address c b 1Y:~ ADDITIONAL 50 M BTU - 6.00 3 f.J (RES. HVAC INCLUDES A/C ON NEW p City i Phone - CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA. TYPE OF WORK COMMAND FEE - 1% OF CONTRACT FEE Forced Air M BTU ` s• ? APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES Baler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & 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 # BEYOND $1,000) Other FEE: SIGNATURE OF PERMITTEE S/C: J TOTAL: FOR: CITY OF EAGAN F ~:-L11H1~1N0 PERliaq" r fotOff ilse O c j CITY OF EAGAN PERMIT # ` CONTRACT 3830 PILOT KNOB ROAD, EAGANv MN 55122 RECEIPT PRICE PHONE 4548100 DATE: Site Address s BLDG. TYPE J WORK DESC ON Lot kick Se Res. f'' New Mult. Add-on Name le-Am Comm. Repair `m Other Address t Cit Phon -~.1 RES. PLBG. ONLY - COMPLETE THE FOLLOWING: P'AV NO FIXTURES TOT ryy~~ 0Water Closet - $3.00 $ Name Bath Tubs - $3.00 ~ Addre LAO/ Lavatory -$3.00 Shouter -$3,00 Kitchen Sink - $3.00 Urinal/Bidet - $3.00 FEES Laundry Tray - $3.00 COMMAND. FEE -1%OF CONTRACT FEE ~ Floor Drains - $1.50 APT. BLDGS. - COMM. RATE APPLIES Water Heater - $1.50 TOWNHOUSE & CONDO - RES. RATE APLLIES Whirlpool - $3.00 MINIMUM - RESIDENTIAL FEE $12.00 Gas Piping Outlets - $1.50 MINIMUM - COMM.IND./FEE $20.00 (MINIMUM -1 PER PERMIT) STATE SURCHARGE PER PERMIT .50 Softener - $5.00 r (ADD $.50 S/C PER EACH ,000 OF PERMIT FEE) Well - $10.00 s Private Disp. - $10.00 _ Rough Openings - $1.50 SIGNATURE OF PE tTTEE U. G. Sprinkler System - $12.00 PERMIT FEE: FOR: CITY OF EAGAN STATES S/C: GRAND TOTAL: CITY OF EAGAN 454-8100 DEPT. OF BUILDING INSPECTIONS Correction Notice Located at Z:rj.~, U1 RV. I have this day inspected this structure and these premises and have found the following violations of city codes governing same: w.`' It bVI) '4 In La ree " Pe 6 rar ° I/ GS . 6 / 6 ` 5! ~ cam., # le- A ~ ~ i - d. X/ When corrections have been made, please. call 454-8100 for in.spect,on. . 4ime ON DO NOT WJAWE T1I18 TAG, SEWER & WATER PERMIT OFFICE USE' ONLY CITY OF EAGAN METER # !ZVY_ PERMIT DATE 09/14/90 3830 Pilot. Knob Rd. :CHIP PERMIT # 11640 Eagan, MN 55122-1897 METER SIZE B.P. RECEIPT # C n 1. ISSUEDATE ~0 B.P. RECEIPT DATE09/06/90 DATE -.r 14, 1990 Y PRV - BOOSTER PUMP SITE ADDRESS 15,96 BLAC :11A&fl. HI LI S ,W PERMIT REQUESTED LOT -!BLOCK 2 SEC/SUB BLACKHAWK. GL€;N 3RD X SEWER WATER - TAPS APPLICANT: ADDRESS: COMMAND 'RESIDENTIAL'' CITY, STATE ZIP NEW EXISTING PHONE: Lawn Sprinkler Meters are to be Installed PLUMBER: IIESSa AN PLL' BIIvG Ahead of Domestic Meters on Water Line.. ADDRESS: 121 REDU'GOD OR # Credit ILL NOT given for Deduct. Meters. CITY, STATE APPi.E VALLEY, MN ZIP 55124. PHONE 432-689b AGREE TO COMPLY WITH CITY OF OWNER: CUSTOM ENERGY ROMES EA N ORDIN CES ADDRESS: 12.545 FLORIDA Ll f ~ CITY, STATE AP LE VALLEY. 1h ZIP _ _55124 PHONE: #3 t - r~ t I Ei SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 4545220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. I' Address : 1586 > r AWK HILLS R-=Lot I Blk 2 Sec/Sub HLAMM dM 3RD These items were/were not complete at the time of the final inspection. DATE: DEER 6, 1990 Yes No INSPECTOR: Final grade (6" from siding) Permanent steps - garage Permanent steps - main entry Permanent driveway Permanent gas Sod/seeded grass Trail/curb damage Porch Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. White - City copy Yellow - Resident copy Pink.- Contractor copy t r----------------- I I Permit City of Eap Permit Fee: 3830 Pilot Knob Road I Eagan MN 55122 Date Receled:(XC Phone: (651) 675-5675 I Fax: (651) 675-5694 I Staff: 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: ~ NAIrJK- {Hit-L6 9D 7 l Tenant: Suite RESIDENT / OWNER Name: 4 V 1P1 + )LA 0iE4t- Mc-PAINCN Phone: 405/ • ggLj ZSS Address/ City/Zip: )S6 & 11I L4--5 f-IS Applicant is: Owner -4 Contractor TYPE OF WORK Description of work: 1)1Cc K-, Construction Cost: 12-11006 Multi-Family Building: (Yes / No CONTRACTOR Name: SyL"TI C A] License #:i~~~ Address: ! 'FAKD t=-D City: ,1V0F-1Aj04J) Y004(a 401EAfCA State: M v Zip: Phone: 'f52- -48 if - 4Z_5 O Contact Person: J t 5_51= 6~fP_i.S7' )r ti5>=)✓ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted Submitted (4 submission type) • Energy Envelope Calculations Submitted 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 sm conskiered to be public InA meil n. °Portions of the lnformaYon may be clessbW as nonpublic !f you provide speclflc reasons that would permit go Coy to conclude that the are trade secrets. 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 E i21C- Di _ x Applicant's Printed Name Applicant's Signature Pagel of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES ❑ Foundation ❑ 05-plex ❑ 16-plex ❑ Accessory Building ❑ Pool ❑ Single Family ❑ 06-plex ❑ Fireplace ❑ Porch (3-season) ❑ Ext. Alt. - Multi ❑ 01 of - Plex ❑ 07-plex ❑ Garage ❑ Porch (4-season) ❑ Ext. Alt. - SF ❑ 02-Plex ❑ 08-plex ja Deck ❑ Porch (screen/gazebo/pergola) ❑ Multi Misc. ❑ 08-Plex ❑ 10-plex ❑ Lower Level ❑ Storm Damage ❑ 04Plex ❑ 12-plex ❑ Miscellaneous WORK TYPES 6S New ❑ Interior Improvement ❑ Siding ❑ Demolish Building' ❑ Addition ❑ Move Building ❑ Reroof ❑ Demolish Interior ❑ Alteration ❑ Fire Repair ❑ Windows ❑ Demolish Foundation ❑ Replacement ❑ Egress Window ❑ Water Damage Demolition (entire building) -give PCA handout to applicant DESCRIPTION: Valuation p00. Occupancy -T-Z C - \ MCES System Plan Review Code Edition 44A ?A00Z SAC Units (25% 100%~c[ Zoning ] City Water Census Code 3 t Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Const. Width REQUIRED INSPECTIONS Footings (new bldg) Sheetrock \ Footings (deck) Final/C.O. Footings (addition) )!ch~ Final/No C.O. Foundation HVAC Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace:-R.I. -Air Test -Final Windows Insulation Retaining Wall % Reviewed By: '01 AAA Building Inspector ---------a---------------------------------------------------------------------------------------------------------------- RESIDENTIAL FEES: Base Fee Surcharge Plan Review MCIES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies Total Page 2 of 3 4211 vl~ ~0tiv~r,'_ =r► o. N W4 to ~EVIE{~ io I BY: F'3l~•H DATIL- BU11,DING Jam- I ~ 1 P~A~~cl~nEz- u-r I DWI,- town I / t 1 _ 1 P ~1V A ~ ~Y ry I E RING DEPT 10 ENGI . ~ I Z I 11 ~ ~ , -t.n~ - a O~v~•-~~-~'ES tiF-oF.~ r~luwluN.~ ~t'l sLAD ~ rRoPog6o ~ 838. I 13.GY 6.° dESc.ct.tT~'Tlo til 32.E How,E n I 09 LOT I i~.33 q -4 ( f~l_A.i1~ElAW ti.. L ~E ~-I ~3~a 4''}~ I ( D"a.V~.~T11. Gt~JI.►Z'i'! 15,0 43 REQUIqe I'D L ,r~►~1=31 ,Sto o F N 06 g S~ L K\ y hereby c~`f~ify that this survey was prepared by the ox- under my direct supervision and that I am a duly Registered Land Surveyor under the laws of the State of Minnesota. Da • r - t e ~ex / ~'tyr..r, - LeRoy .Bohlen Registered Land Surveyor No. 10795 OIL) - MR__c1t%) OF aciga11 3830 PILOT KNOB ROAD THOMAS EGAN EAGAN, MINNESOTA 55122-1897 Wyor PHONE: (612) 454-8100 DAVID K. GUSTAFSON FAX: (612) 454.8363 PAMELA WCREA TIM PAWLENTY THEODORE WACHTFR February 13, 1991 Council Members THOMAS HEDGES City Administrator EUGENE VAN OVERBEKE City Clerk JIM KOESTERING 12645 FLORIDA LANE APPLE VALLEY, MN. 55124 RE: Lot Drainage for 1586 Blackhawk Hills Road Attention: The American Arbitration The grading plan for Blackhawk Glen 3rd Addition was approved 2-2- 88. The structure located at 1586 Blackhawk Hills Road or Lot 1, Block 2, is located within this platted property. It is a City requirement and the responsibility of the developer and home builder to adhere to the approved grading plan which includes having proper drainage away in all directions from the structure. No Certificate of occupancy will be issued until this requirement is completed. Sincerely yours, Stan Lexvold Sr. Engineering Technician-Construction SL/j f THE LONE OAK TREE ...THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY Equal Opportunity/Affirmative Actlon Employer UNDERGROUND SPRINKLER SYSTEM PLUMBING PERMIT Date: - Receipt #/x) Date Permit # Commercial: $25.50 + water tap if required. (City installs all taps up to 1"). If ng new service, a water permit will be required, as well. Existing residential: $15.50 (Plumbing permit not required if backflow preventor was previously installed). Residential developments: Fee to be determined by building inspections department. May require payment of water permit, Plumbing permit, WAC, and water treatment plant fees. kl,'j41 3 ~T g ek . (Address to be sprinklered) Installer Name: Phone 2 Street Address: 1731- " City, State, Zip: Owner Name: . Street Address: AS e6 4y--e-~ Phone Irrigation Contractor: Phone I hereby acknowledge that I have read this application and state that the information is correct and agree to comply all applicable City of Eagan Ordinances cc: Engineering Department (commercial only) 1 t 1990 BUILDING PERMIT APPLICATION CITY OF EAGAN 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. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. `A U 6 2 2 RECO To Be Used For: 14~4 Valuation: Date: a l~G~ 86 Site Address OFFICE USE ONLY Lot Block ow FEES Occupancy R 3 M" 3 Zoning Parcel/Sub _62~ZVaaoj Actual Const ~N Bldg. Permit 95Z.00 41 Allowable y-N Surcharge 4e,, DO Owner Gyy- # of stories Plan Review 'Y86.00 Length 70, SAC, City /00100 Address A; ^y~,ae.4 Depth ,5/. SAC, MWCC (000,00 S.F. Total Water Conn GQX5( 00 y City/Zip Code Footprint S.F. Water Meter 0,00 Acct. Deposit O.OQ Phone y3G//G On site sewage_ S/W Permit 3o po On site well S/W Surcharge .50 , Contractor &m MWCC System -7 Treatment P1. 2SZ.0-> City water Road Unit 35S,00 Address Jo?GyS~ PRV Park Ded. . Booster Pump Copies City/Zip Code SS/.7- SUBTOTAL APPROVALS Penalty Phone L/_, Planner TOTAL Council Arch./Engr...t Bldg. Off. Variance Address City/Zip Code Phone # VAW X~r'~o ~J GOW iS - ~J0(0C~ ~Srnr, ~~y= 8y XZ9 r15y 'a'4 Y -LS _ (0'72., Z X 13 cz- 8Y -Z, 2- x 13 = z I$6~f L1 2- 59 s~ ~SS FLOJ 3C rr~ T i ~ ~ ~ I/vl = t 2 i31, e14 C~ A- 0 Qom: t 157 -Tbir Fuoe-~~ 6L, J fig 4L N ~ / f / X54 p~. QE~c*ax t~,c~S A4 Fn~A {$.S- pip ~ 2q,S di „ > 'A g 1 O N •y~A© P+ZoPCI to) 4.00 6A I C ~ ; 'P$ ~ I h.33 q ~.p ~ I~LAc.ILNAW ~ G.t.E~.t 13 n r n 1 a. o* ~4 b ~1C Tl~. G n v t~ "L C! -rO ..3. f~KtJ o7- ~o ht~1r.11a~5~Tb IKCGC" ~o L fl EQ U ~►'d! _ 1.:31 • sec, p~ $1~. 1 t - ,ZZ - I ereby-c6-T~ify that this survey was prepared by me or under my direct supervision and that I am a duly Regiotnre(3 Land Surveyor under the laws of the State of Minnesota. Date7!/, Ind _ e_I LeRoy H Bohlen Registered Land Surveyor No. 10795 EXTERIOR ENVELOPE AVERAGE U COMPUTATION Owner: 501!> 61E FeV-t T--- P- Site Address: LOT BLOCK. L 31 Contractor: GU SJ-0H 4EEVAc~y A-{ot-tE~Sgate: 0- Z?:90 Phone: Determine working square footage of each. 1. Total exposed wall area ;z gs Sq. Ft. x .12 = 3 14.57 2. Total roof/ceiling area 19 0-7 Sq. Ft. .x .026 Cv a. Total wall window area b. Total door area [ l~ Z c. Total sliding glass door area d. Total fireplace wall.... . S- e. Total wall framing area (average 10%) !o f. Total net wall area above floor g. Total rim joist area Z3 ¢ Total exposed foundation area = 2 Z h. Total foundation window area..... i. Total net foundation area above grade.......... Z2T Determine " U Value of each wail segment. a. 3Lol X IN U a , 30 = 108, 3 b. 102 x a U a , I Zs = (Z, P C. n x a U a d. !r x a U a r( O = t G~- e. 28Co X U N 1 0 9 f. I t3 x N U a , 04 3 g. 23 x a u " , 0 41 (y h. - x N U. N i. ZZI x U 3. c ( TOTAL If item #3 is the same as, or less than item !1, you have met the intent of Sec. 6006 (c; Total exposed roof / ceiling area ( q p'7 J. Total skylight area.. . k. Total roof / ceiling framing area lOX.. 1. Total net insulated roof . " / ceiling area......... , Determine " U " value for each roof / ceiling segment. J. x U _ K. 14q d,7 x U L. 1"71(P x U 4. TOTAL If total of 4 is the same as, or less than #F2, you have met the intent of SBC 6006 (c) 1. To utilize the total envelope system method,'the values established by the sum of lines #E3 and #E4 shall not be greater than the sum of lines #E1 and #+2. +4. {rte . ~ ~ ; . 1 i ~r`,..~ 'y ♦ ~ . rt Ai • . 1 1 e r _ _ _ ~ Sh ~ t =1 ~3~T ~F ~bT~r ~t3aC'~3~Ti~. ~ ~ ~ . ~ Erb It . ~1' .'~'d.'~ ~ . ~ , ~ ~ ~ - ~ ~ ~ , .w ~ ~ ~ , y~ } , r~ 1.~rr ft~; ' y, v s _ k~ _ ~ .I~~eI/ a Acre., ~r _ , a., . . ~ yell ~ R~ ~ Li.w +r+~1--rw.++wr..~rl.+r+-~-I M - irl ~."""'"'r ~*+'~F~► Cam' j i ; - _ e . r+~its ti ' = - ~ i ~ _ h:,{'_ i r ~s3~''~~ i ,.ago- . _ k Y V11I ur ra%x" CURL 6x111 Y.7C. VaLll 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT DATE : / G ti.'isb:pY{ry}:-0t+li•:{::}::{i•]4:•%{jiJ N11M 1; PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS A TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION COMPLETE THE FOLLOWING: vJ 4,f NO. FIXTURES EA. TOTAL NEW CONST ADD-ON.MINIMUM 15.00 ADD ON SHOWER 3.00 REPAIR WATER CLOSET 3.00 BATH TUB 3.00 j I LAVATORY 3.00 ' 7 OWNER NAME: A7- KITCHEN SINK 3.00 / LAUNDRY TRAY 3.00 SITE ADDRESS: G(S r~ HOT TUB/SPA 3.00 WATER HEATER 3.00 LOT: BLOCK SUBD. 9,0,4-~ FLOOR DRAIN 3.00 GAS PIPING OUT. INSTALLER: (MINIMUM - 1) 3.00 ROUGH OPENINGS 1.50 ADDRESS: OTHER WATER SOFTENER 5.00 CITY: ZIP: PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 PHO SUBTOTAL S / ~ / ST. SURCHARGE .50 SIGN E OF FERMI EE TOTAL : S ~S MME#tCiAL NDt1STRIA'L PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: FEES OWNER NAME: 1% OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. LOT: BLOCK SUBD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 1% $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN 03 UV 2005 RESIDENTIAL BUILDING PERMIT APPLICATION I -Io `00 City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements Remodel/Repair Requirements Office Use Only 3 registered site surveys showing sq. ft. 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 Pres Plan Recd _ Y _ N. 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required _ Y _ N 1 set of Energy Calculations Addition - indicate /f on-site septic system On-site Septic System _ Y _ N 3 copies of Tree Preservation Plan if lot platted after 7/1193 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Date Construction Cost Site Address Unit/Ste # Description of Work Ora l ll~tK~- ! str J~ ~~ro a ~f/~ Multi-Family Bldg - Y~ Fireplace(s) - 0 - 1 _ 2 Property Owner ~ko~ i ~,11Le 1~ Telephone #~37 ) 211, 12/ j"/ Contractor r k Fu r akts4y-d 4~ h *k-11 Address 3-70 Z. " i _ &L City ,e 101 State Zip Z-72-3 Telephone # (612-) ? - g 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 (d submission type) Submitted Submitted • Energy Envelope Calculations Submitted 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 # ( ) Mechanical Contractor Telephone # ( ) 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 and approval of plans. - " ♦ ~ ~t,'i'ii' Applicant's P ' ed N e App is t Vign ture OFFICE USE ONLY Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03 01 of_ plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 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 Plbg_y or _ N ❑ 25 Miscellaneous Work Types ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish Interior ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Building ❑ 42 Demolish Foundation ❑ 45 Fire Repair / 33 Alteration ❑ 37 Demolish Building' ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement "Demolition (Entire Bldg) - Give PCA handout to applicant Valuation 200-0 Occupancy MCES System Plan Review 100% or 25% Census Code u Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) _ FinaUC.O. Footings (deck) Final/No C.O. Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final Framing _ Siding _ Stucco _ Stone _ Brick _ Fireplace _ R.I. - Air Test - Final _ Windows Insulation _ Retaining Wall Approved By: j , Building Inspector - - - - - - - - - - - - - - Base Fee Surcharge., Plan Review y~~! xM t1 MC/ES SAC J J 0 City SAC Utility Connection Charge S&W Permit & Surcharge F Treatment Plant License Search Copies Other Total 2007 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for single family dwellings & townhomes/condos when permits are required for each unit Date Site Address 1L ~ -l Unit # Property Owner, Telephone # . i ) Contractor Dan Wohlers Southside Htg. & A/C 6950 W. 146th St., #106 Street Address Apple Valley, MN 55124 city State (952) 431-7099 Telephone # ( ) Bond T2, L- --LOS q'_7 q a-7 Expires: 0E>- a~ d'7 The Applicant is Owner X Contractor Other Fire repair (replace burned out appliances, ductwork, etc.) $ 90.00 This fee applies when extensive mechanical repairs are made to a building. Add-on or alteration to existing dwelling unit $ 50.00 _4 fumace -Additional AReplacement New air exchanger air conditioner heat pump other State Surcharge $ 50 o r T Total $ ` J_ • } I hereby apply for a Residential Mechanical 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 with the Mechanical Codes; 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 plan-,,, Applicant's Printed Name Applicant's Signature ` Use BLUE or BLACK Ink For Qffice Use Permit Io City of Ea 1 ZZ ; u~ j Permit Fee: 3830 Pilot Knob Road 'RE'o+ I I Eagan MN 66122 221 ~ I 1 Date Received: ' Z Z 1 Phone: (651) 675-5675 Piy i staff: rl ~7 Fax: (651) 675-5694 t~ 1 1 - - - - - - - - - - - - - - - - - 2012 RESIDENTIAL BUILDING PERMIT APPLICATION CA Date: Site Address: Unit Name: Phone: 10S 6 RESIDENT / I OWNER Address/ City /Zip: Z7t0 ~l C ~i'2- Yy~ r I 3 Applicant is: Owner Contractor Description of work: 0 TYPE OF WORK ~ Construction Cost: I21z- Multi-Family Building: (Yes / NoV_/_J _I I Company: ' i 1 C'hv Contact: SL- Address. CONTRACTOR City: ity: State: Zip: Phone: _&!ELI A?Y -3 F e ' 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 m nths, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes N 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 their are trade secrets CALL BEFORE YOU DIG. Cali 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.gooherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and odes of the City of Eagan; that 1 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 . kneAAu 4C~✓~~ X. Applicant rlnted Name n s S gnature Page 1 of 3 DO NOT WRITE BELOW THIS LINE /0 V~2- SUB TYPES i 5-&Co f3lac~° h- `r~ IS Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage i Single Family _ Garage _ Porch (4-Season) Exterior Alteration (Single Family) Multi i 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 low Occupancy T - ~ MCES System Plan Review Code Edition 19? ? SAC Units (25%` 100%Z Zoning JP0 City Water Census Code ~34/- 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 -A4 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 23 Surcharge Plan Review y 7 9Y MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 Psi RM1 10 !y G ? FCEIVED AUG 0 82012 IX41PL CC>NSTRUCT140M L.L.C. Hi Jeff, Here is the work that I performed in the bathroom at the Mckinnon residence on 1586 Blackhawk Hills Dd. • Demoed the existing shower down to the studs • Removed the vapor barrier and insulation • Replaced the insulation with unfaced R-19 • Built the shower seat out of green treated lumber and sloped it V front to back • Created a 1" mudbed in the shower • Using.40 mil rubber I created a shower pan o Ran the rubber 18" up the 3 walls and over the curb o I folded the inside corners over (pig-eared) • 1 then installed dens shield in the shower area using square drive 15/8" the backer screws • 1 used fiberglass tape at all seams and inside corners • 1 used "Mapei Kerabond" mortar • Installed tiles • Installed CEG-Lite epoxy grout If you have any further questions, feel free to contact me at 763-614-4965 Thanks, Rick Nelson EIVED Addendum and description to Work done by Design build consultants at AUG 13 2011 1586 blackhawk bills read Eagan n 55122 Hallway and half bathroom Bathroom Demo floor Demo toilet Take out pedestal Take dawn wall for pocket door 28" and straighten bathroom (it was un-level) inside wall (this is not a structural wall.) sheet rock Y, Sheet rack patch ceiling 5/8 under 5 sq ft Install 30" vanity, countertop and new fixture Install new toilet Install new flooring Paint Done by home owner Electrical done New outlet gfi New switch 2 new recessed cans above vanity 1 recessed can by toilet area Hallway Remove door [take out door then open up the 2x4s to allow cabinet) v Take stud out non-structural on each side 6" then 4" [4" 2x4 taken out] Put custom cabinet in closet area trim out 3/r New linen cabinet in foyer Put new floor down Put old door in front area just reset door (Yes, existing frame just different door) Put new trim on Paint and new ceiling texture Electrical several recessed cans and switches in the area none existing Bathroom Demo floor corner tub and shower area Demo out cabinet Demo half wall. By cabinet Framing Add 18" for wall in tub area Frame in tub area across. Front instead of angle as it was. There was patching of sheet rock exterior walls because of this. [It was skim coating mostly but vapor barrier was sealed] Behind the tub we green boarded it after we poly it. [agreed that is why it was not done in those areas for poly. Behind the opened area for the tub deck it was green board. No poly after we tore out cabinet it was Y2, gypsum. This gees for half wall. This area was poly and sealed] Build bench in the shower area. We did use green treat in the shower area.. [fasteners used were rated for use with green treated lumber to prevent corrosion] Built top soffit area because of vent that was running back in that area [fireblocking was added to the adjacent walls at the bottom of the soffit framing] Plumbing New drain overflow. In general area I am not sure if this was moved. if it was it had to be with in 6" There were supply lines ran though because I am sure that he had to move them up by 12" for the New valve Drain same area in the shower Toilet had been moved by 6" [there was a stack moved for toilet, no reverting for toilet] The valve in the shower has been removed and new reinstalled. Electrical Nothing was moved to my knowledge but lights were taken down and put back up. Which according to state code does not need a permit. The area in Shower is the following Denshield and thin set dry mortar. Jonathan Honerbrink 8/12/2012 "ECEIVED AUG 13 2012 Jeffrey Wheeler From: RACHEL MCKINNON [krmckinnon@msn.com] Sent: Monday, August 13, 2012 12:07 PM To: Jeffrey Wheeler Subject: 1586 Blackhawk Hills Road Per our conversation last week and your request, here is what we did for the Design Build project in our home. We are coordinating the inspection with the state. Master Bathroom - raised lights 4" above mirrors - turned 1 outlet from vertical to horizontal Mud Room - Removed 2 lights - Added 3 cans - Added 2 small spot lights - Added switch Half Bathroom - Removed 2 lights - Moved switch and outlet to new wall - Added 1 can - Added 2 small spot lights Kevin McKinnon 651-216-2191 1 A RED lVED AUG 2 0 ?D17 ABLE PLUMBING NEW • REMODEL • COMMERCIAL • REPAIRS • SERVICE July 30, 2012 City of Eagan Re: 1586 Blackhawk Hills Rd. Attn. Jeff Wheeler The plumbing work that was done by our company was a fixture and faucet change out for a master bath. This included a Sower, Toilet, Bathtub and 2 Lavs .all fixtures were replaced in same locations. (Shower drain was replaced and toilet was moved approximately 6") We did ask the city if a permit was required and was told we did not need one as long as the locations for the fixtures did not change. If you have any questions please call Tim Dehn (A-Able Plumbing) 612-558-0210 ehn A-ABLE PLUMBING CO., INC. 612-558-0210 5816 Dupont Avenue North Brooklyn Center, MN 55430 (612) 561-0325 J?/C11/ 6ew//W7,t" 411G4 12.,wllj mrIlail" T Georgia-Pacific Ca.( 'i DensShield Technical Service Hotline 1.800.225.6119 or Tile Backer www.densshield.com Manufacturer 1/4" (6.4 mm) and 1/2" (12.7 mm) x 4' (1220 mm) wide DensShield Tile Backer Georgia-Pacific Gypsum LLC Georgia-Pacific Canada LP can be used as a substrate in floor tile applications for residential and light 133 Peachtree Street 7070 Mississauga Road, Unit 120 commercial use as defined in the Handbook for Ceramic Tile Installation Atlanta, GA 30303 Mississauga, ON L5M 7V9 published by the Tile Council of North America. Technical Service Hotline: 1-800-225-6119 Limitations Description Tiles should be applied on the grey coated side of DensShield Tile Backer. DensShield® Tile Backer is a substrate that, when properly installed, DensShield Tile Backer should not be used in commercial saunas, steam provides significant water and moisture resistance- making it excellent for rooms, around fireplaces or areas where prolonged exposure to heat exceeds protecting both tile installations and stud cavities. DensShield Tile Backer is 125° F (52° Q. composed of a water-resistant treated core that is covered front and back with fiberglass mats. The mats are permanently integrated with the core during DensShield Tile Backer panels should not be used as a shower pan base. manufacturing, preventing delamination problems that can occur with paper- DensShield Tile Backer should not be used for exterior installations. faced greenboard. On the tile side, DensShield Tile Backer's exclusive heat-cured DensShield Tile Backer panels should not be used as a base for nailing and acrylic coating stops surface water and retards moisture transmission, protecting mechanical fastening. the wall cavity. DensShield Tile Backer should not be used in conjunction with passive solar Unlike cementitious backer boards, DensShield Tile Backer has a built-in water heat systems. barrier. DensShield Tile Backer is 17 Ibs (7.7 kg) to 32 Ibs (15 kg). lighter per For floors, use floor grade tile, 2" x 2" (51 mm x 51 mm) or larger. panel, depending on panel size, than cement board, which makes installation easier. DensShield Tile Backer provides excellent dimensional stability and Use framing or furring when applying over concrete or masonry block. strength so it can be installed parallel or at right angles to framing in wall and Adhesives alone should not be used to install DensShield Tile Backer. Nails, ceiling applications. screws or staples may be used alone or in combination with adhesives. DensShield Tile Backer, with its fiberglass mat design, has been indepen- Since DensShield Tile Backer has a built-in moisture barrier; never install dently tested, as manufactured, in accordance with ASTM D 3273 and has vapor retarders directly behind DensShield Tile Backer panels. In retrofit scored the highest achievable rating (10 out of 10) for mold resistance. applications, some paints or other wall coverings may constitute a vapor DensShield Tile Backer has been shown to be excellent for tile and non-tile barrier; remove or effectively penetrate these coverings prior to installing installations in wet and non-wet applications, in areas of high humidity, and DensShield Tile Backer panels. in appropriate fire-rated wall assemblies. It is ideal for interior walls, ceilings, DensShield Tile Backer should not be used in shower floors. residential and light commercial floors and countertop applications in high moisture areas such as baths, showers, kitchens, laundries, swimming pool Technical Data areas and locker rooms. DensShield Tile Backer panels are mold-resistant, and have scored a 10, the Primary Uses highest level of performance for mold resistance under the ASTM D 3273 DensShield Tile Backer is the first and only tile backer listed as a GREENGUARD test method. microbial-resistant product by a leading third-party organization, GREENGUARD When tested in conformance with ASTM E 96, DensShield Tile Backer panels Environmental Institute. This listing means DensShield Tile Backer, which achieved a perm rating of less than 1.5 (42.9 ng/Pa - s • mz) alone, 1.0 (28.6) features fiberglass mats instead of the paper facings used on the surface with dry yset mortars'. of traditional tile backers, resists mold growth. The microbial-resistant test In a test by an independent testing laboratory, DensShield Tile Backer was is based on ASTM Standard D 6329, a testing standard set by ASTM subjected to a shower of water at 110°F (43.3°C), 12 minutes per hour, International, which develops testing guidelines and procedures for building 24 hours a day, 7 days a week for six months. The installation had no grout material, products, systems and services. between the tiles. No deterioration occurred to either the DensShield Tile DensShield Tile Backer provides an excellent backer for sidewalls and ceilings Backer board, the framing members or the wall cavity. in bathtub and shower installations, where it provides an even, solid substrate for tile. DensShield Tile Backer may also be finished with paint or wallpaper for non-tile areas that require superior fire and moisture resistance where its moisture barrier and water-repelling qualities are desirable. DensShield Tile Backer also adds stabilizing and fire resistant qualities to countertop installations. continued-0- Submittal Job Name Approvals Contractor Date Use BLUE or BLACK Ink r I For Office Use I Permit - I City of Ea~a~ I Permit Fee: Zo 5 3830 Pilot Knob Road Eagan MN 55122 Date Received: /0 l0 Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: MCI I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 0 P Site Address: 17~~ ~h h~ I^~ 5 72 l~ Unit Name: r CG-c a-(/ 1,e, ,e,V~ rv-1 i ° Phone: Resident/ L ~7 Owner Address / City / Zip: f S~ I~t `L'^'l` 5 S i Z Applicant is: Owner Contractor Type of Work Description of work: R- c- P oo-~ Construction Cost: L42 0y Multi-Family Building: (Yes / No ) Company: LL c- Contact: ~t Le S Contractor Address: 5,570 /V City: ~Ly e ✓',-e 0,~ State: M 4V Zip: ~S) Z li Phone: C~ Z - g'L( Z Cf 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.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x-Y` -s'( V',- -z x Applicant's Printed Name Applicant's i e Page 1 of 3 t F City of Earn 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit#: rl Lig 4 (o Permit Fee: r� 1 I Date Received: I 2 `I Le Staff: 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit #: Name: }fi t/(/t/ kfiD g Phone: V / �"{e Address / City / Zip: /(o l � G � �'k fL ,/ `GLS reA- t Applicant is: Owner x Contractor Description of work: V t a -4 -(Eft) 7791017•Ct-' Construction Cost: �,yc% ("% Z24)- Z49gb Multi -Family Building: (Yes / No K ) Company: (dt_L& C.,1'""�f-Pr-416-A% t 't 7.-e-/I.C.--11V/-1(45,5-G-/ Contact: i k Address: 7 6A-tes v! lt-(:t g LAID City: 144.k.,7 -1/1C -t --.E7 State: i'�1N Zip: 19-756W Phone: Si 2 i /'/68nail: ► 6-4 44.) i'i 6). coil's? toc_i dey t License #:3 6 4:,/-1 /3 Lead Certificate #: ✓- -(78 - (�- 6.7ii ° If the project is exempt from lead certification, please explain why: 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: Mechanical Contractor: Sewer & Water Contractor: Fire Suppression Contractor: Phone: Phone: Phone: Phone: NOTE: ocuments'tha as non-pu conclude. 4 4t are sono ►f you provide specrfie; hat,they"are traale secrets.' lis information Portiions atikOOktv, err»' CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. xn tdd Applicant's Print ame g klC4h/41/ I'd 831C r' DO NOT WRITE BELOW THIS LINE 391 SUB TYPES Foundation Fireplace Single Family Garage Multi Deck 01 of Plex Lower Level Porch (3 -Season) Porch (4 -Season) WORK TYPES New Interior Improvement Addition Move Building e Alteration Fire Repair Replace Repair Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100% ?®) Census Code # of Units # of Buildings Type of Construction 9780.— $ Porch (Screen/Gazebo/Pergola) Pool 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 Occupancy ::4.712,_C - Code j 'g _- Code Edition yyln 2c )S - Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Roof: Ice & Water Final ?o Framing Fireplace: _Rough In _Air Test _Final Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan P2 MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Pool: Footings _Air/Gas Tests _Final Drain Tile Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall: _ Footings _ Backfill _ Final Radon Control Fire Suppression: _Rough In _Final Erosion Control Other: Reviewed By: (0 /Y"- , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL �fc\AeA 1aewiocveI 1-j2c-S9•if- S%A.i2 WPr� ( 4 3 •14r y89s x 47p.- Page2 City of Eqpt 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: / 7 '/l e `+- Permit Fee: W ® 0 0 Date Received: Staff. 2016 RESIDENTIAL PLUMBING PERMIT APPLICATION Der: 2/1/2016 Site Address: 1586 Black Hawk Hilts Road Tenant: J 3 Resident/Owner Contractor Type of Work Permit Type RESIDENTIAL FEES: i $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes State Surcharge) $60.00 Lawn Irrigation (includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes State Surcharge) "Water Tumaround (add $260.00 if a 314" meter is required) $115.00 Septic System New (includes County fee and State Surcharge) Suite #: Name: Kevin McKinnon Phone: 6512162191 If 11 Address / City / Zip: Name: Sieben Plumbing LLC Address: 18605 Fischer Ave. License #: 067939 -PM City: Hastings state: MN Zip: 55033 Phone: 6513436298 Contact: Terry Email: siebenptumbing©Iive.com _ New Replacement Repair _ Rebuild 1_ Modify Space Work in RO.W. Description of work: Kitchen remodel replace bar fixture IDENTIAL Water Heater Lawn Irrigation ( RPZ /! PVB) Septic System New Abandonment Water Softener Add Plumbing Fixtures (1. Main / _ Lower Level) Water Turnaround TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. CaII 46 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.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 Terry Sieben Applicant's Printed Name FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough -In Air Test Gas Test Final Meter Related Items: Meter Size Radio Read Manometer Staff: 6'd 1765L-L£tr- 699 011 6ulgwnid uegeig