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1595 Blackhawk Hills Rd This request vcid 18 months from , Request Date Fire No. &equired?lnspection ;3%ady Now 'Will Notify. InSPec- e'7 []Yes No for When Ready Licensed Electrical Contractor I hereby request inspection of above ❑ Owner electrical work installed at: Street Address, Box or Route No. City ecti o. Township a e or No. Range No. Cou y Occupant (PRINT) Phone No. lV e le-z- Power S pl i r Address Electrical Contractor (Company Uame) Contractor's License No. ,5c,'710 D d7 Mailing Address (Contractor or Owner Making Installation) j Au orized Signature (Contr for Owner Makin- Installation) Phone Number THIS INSPECTION REQUEST WILL NOT INN STATE B RD OF ELECTRICITY BE ACCEPTED BY THE STATE BOARD 1 821 Griggs-Midway University Ave.. Bldg.St. PsRoomui, MN MN 56104 UNLESS PROPER INSPECTION FEE IS Phone (8121 842-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION Eye-00001`-_05 ~416-jg~ 6 See instructions for comoletinpthis form on back of yellow copy. "X" Below Work Covered by This Request Nsv4Addj Rap. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lightiny Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other (Specify) Cher (Sper.ifyl t -r peel y Other Other Compute Inspection Fee Below M Fee Service Entrance Size # Fee pAbovel aaders # Fee Circuits 0to2 Am s Amps 0 Above 20 _Amps ps 31 to 100 Amps Swimming Pool Am s Above 100_Am s Transformers ms Partial,"Oth er Fee Signs ction emarks TOTA Rough-in Date 1. the Electrical inspector. hereby _q on certify that the above Final ter spection has been made. This request void 18 months from This request void 1188 months from B • Request Date re No. Rough- inI nspection Req red? []Ready NowoWill Notify Inspec- L - r ? yes ❑ No for When Ready Licensed Electrical Contractor I hereby request inspection of above ❑ Owner electrical work installed at: Street Address, Box or Route No. C ity ection No. Township Name or No. Range No. Count Occupant (PRINT) Phone No. Power Supplier - --*Address Electrical Contractor (Company ame) Contra or's L' ense No. i Mailing Address (Contractor or Owner MakiKing ~tai l ation) 46" zz A orized Signature (Co actor/Owner M stalla tion) Phone Number, - INNES A STAT OARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway B Room N-191 BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS 1621 University Ave., St. Paul, MN 55104 Phone (612) 297-2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION fl% EB-00001-04 `See instructions for c^letingQhis form on beck of yellow copy. l 7 ~ -'X" Below Work Covered by This Request 2 3 A see Now Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Y Lighting Fixtures Apt. Building X Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other (Specify) Other (Soecify) Other -(Specify) Other Other Compute Inspection Fee Below # Fee Service Entrance Size # Fee Feeders/Subfeeders # Fee circuits -it . / .Z 0 to 200 Amps 0 to 30 Amps 0 to 30 Amos Above 200 Amps 31 to 100 Amps s 31 to 100 Amps Swimming Pool Above 100_Amps Above 100_Amps Transformers Irrigation Booms Partial-'Other Fee Signs Special Inspection Remarks TOTAL FE Rough-in jr~$? 1. the Electrical d II inspector. hereby certify that the above Final: o~ inspection has been made. This request void 18 months from CASH RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 .S DATE 19 RRCBIV6D ff'-4f{ s pvtom AMOUNT r I , P, t 8e DOLLARS ioo ❑ CASH [CHECK t r FOR L~`o-`jr o~_ff Z_. .Ail i..t~t. i • jy a.. i_ 1_1 FUND CODE AMOUNT Thank You BY SJ White-Payers COPY Yellow-Posting Copy Pink-File COPY x n 'r ~ r W, "t !77x i,174-460 Roa4. UiAt! 20-2275 SAC .1Z rz 20-3#6 ,Vster Cam, C.~ y 20-3968 ' Water Trot., 4 ° 4 20-3716 Wter Meter . , or 20.2252 tr o. Dep. 20-3713 Wkir Permit 213743 -£ewe P t • . 7~r38 6 Sew r , 0c n a d .2 , 1-30,5 Park r 1 TOTAL CASH RECEIPT m... CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 y DATE 19 RECEIVED FROM AMOUNT $ ! l I & DOLLARS loo CASH [CHECK FOR _.M r FUND CODE AMOUNT Thank You BY _j I White-Payers Copy Yellow-Posting Copy Pink-File Copy . .fir.. ~ e 'T' DATE 10 w: AMOUNT a DOLLAAS too O CASH HECK FUND GODS AMOUNT la-z ,b Thank You T BY White-Payers Copy Yellow-Posting Copy Fink-File Copy i ' ,f 64 N., PLFME CA" ExGAt.LEDTQSEEYOU WILL CALL AGAIN VJANTS 110 WE YC"i Meemage ;w. ` t t v~ _ _ &~-'r'x"Tw'~`•'~'~~".~.~}`.t.'L-'~r - •.~-+g"':--gyp CITY OF EAGAN Permit No. 8798 Dater 3830 Pilot Knob Road Meter No: Size: P.O. Box211;990-' Reader No: Date, Eagan, M 55121 Scott J. Stroseer Owner. Site Address: 1595 Elac~k Hills -Road L4 H3 ElmLekhawk Cleo Plumber. Robert C. Wyllie P1naRbinx Conn. Chg: 5254600W Zoning: Ri . Acct Dep:.01?pd No. of Units: ; Permit Fee: 1Q • 013od Surcharge. . 50bd I agree to comply with the City of Eagan 'Tr. Plant 180.00od ' Ordinances. Meter. 87 Misc.: By WATER SERVICE PERMIT CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road 9952 P.O. Box 27yi~° PERMIT NO.: EaganJMN. $5121 DATE: Zoning: Rl No. of Units: 1 Owner. Scott J. Stromtimer Address: Site Address: 1595 Blackhawk Hills Road 14 B3 Blackhawk Cleo„ Plumber. Robert C. Wyllie Plumbing )f~;,2 -87 727,50 I00.00gd 1 agree to comply with4he City of Eagan Connection Charge: MAW Ordinances. Account Deposit: 15. Qbd Permit Fee: 10.00 Surcharge: . SflPd By Misc. Charges: Date of Insp.: Total: Insp.: Data Paid: = y Citp of e, "gall, mt: of ludbtuo 3apiertinYC of Section 306 of the Uniform Building , This Ceitiflcate issued pursuant to the requirements • Code certifying that at the time iof issuance this structure. was in compliance with the various ordinances of the City regulating building construction. or use. Forthe following Uso cumffiication V /G(i Bldg Permit No. ~ 9 . Occupancy Type. ! ,Zoning District Type Const 'BMW Owner of Bugding • 0MIR't %'f'TM Address MR 1171 GM 310 A -`Ag SLRf 14'f Bwkl* Address kma k "Ms ~A, nrality ~a R~ g t~ At ~{EatliAt' 1 7 r f Date. Q21~ X987 Budding Offic idt? POST IN A CONSPICUOUS PLACE . CITY OF EAGAN 16502 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 C" BUILDING PERMIT Receipt # To be used for D= Est. Value $1 r000 Date MAY 22 19 84 Site Address 159!l SLACKllhWK N11" RD OFFICE USE ONLY Lot 4, Block 3 Sec/Sub.31AC YK GLO Parcel No. IST Zoning W Name DAVID EVARS *01) (Actual) Const - Bldg. Permit c . -Address 1595 KI.ACK"AAWK NIL" RD (Allowable) Surcharge City KACii'i Phone 452-3203 # of Stories Length Plan Review p Name sme DepthA SAC, City c~ Address S.F. Total ua City Phone S.F. Footprints SAC, MCWCC - On Site Sewage Water Conn W' Name On Site Well Water Meter Z T_ FEZ Address MWCC system Acct. Deposit M Z City Phone City Water - PRV Required S/W Permit I hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Treatment PI Signature of Permitee APPROVALS Road Unit VID ZV Planner Park Ded. A Building Permit is issued to: 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 TOTAL '4~1~ PermN No. Permit Holder Date Telephone # WATER SEWER PLUMBING H.V.A.C. ELECTRIC Inspection Date Insp. Comments Footings I Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Final Pibg. Const. Meter Plbg. Inspector - Notify Plumber Engr./Plan Bldg. Final Deck Ftg. j yr d4 O Peck Final well 6j} Pr. Disp. ,q ,y. S CITY OF EAGAN _ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454.8100 t r -j -I BUILDING PERMIT Receipt To be used for Est Value 140 , 0(:,,1 Date -APRIL ZU 11 " / Site Address , .;,~l.n ~.L.a RD OFFICE USE ONLY Lot` Block SecJSub. -:,r>C:itkiAW GLEN 1 'JpnSiteSewage Occupancy R - System __T Zoning " Pa . I Na On Site Well Type of Const City water (Actual) it Name (Allowable) V W i,a , A f L e of Stories 3 Address Length o City Phone or Depth_ S.F. Total Name ~F~ti-f; ? I LZ Footprint S.F. = Address ~ APPROVALS. FEES City Phone Assessments Permit g ~~~''sJ Water/Sewer Surcharge 1 we Name Police Plan Review --x =v Address Fire SAC. City 3-~=--- Engr. SAC, MWCC City Phone 1 ` ' b 40 Planner Water Conn. Council water motor 1 hereby acknowledge that 1 have read this application and state Bldg Off. Road Unit thatthsfrdcnnaflonleccirectandagree tocomplywithallappl,cable APC Treatment P1 ° State of Minnesota SNitutes and City of Eagad Ordinances. Variance Parke Cotes --r srf- Signature of Permitlee TOTAL A Building Permit is issued to: on the express cond119m that all work stall be done in, accordance with all applicable State of Minnesota Statutes and City of Eagan Oidi Building Official Permit No. Permit HoWor Date TelapAone 4t Plumbing (p~~ (P,~'7 6L H.V.A.C. 8 Electric ~(~~/(F ~`~~Ff /A} Softener D X07 Ct~7~~ ~ >116,5 ~ Inspection Data Insp. Comments Footings I / ~rJ 8 Footings II Foundation Framing 01.1.1i prim I& Roofing Rough Pibg. _ Rough Htg Isul. Try Fireplace -DNA Final Htg. Final Plbg. 7/10 qm4, v e QPBldg. Final Cart Occ. 2 Temp. LP Deck Ftg. Deck Frmg. Well Pr. Disp. - -..,tr- .r'-~. -.«..._..,~.a ~,.F _ _ - -.-.a.~issr+~^e. ■+:r~:R~7rR•.-s7san-+-.~ PLUMBING PERMIT CITY OF EAGAN RECEIPT 3830 PILOT KNOB ROAD,AAGAN, MIN $5122 DATE: CONTRACT PRICE: PHONE: 454.8100 Site Address _ n=.'J BLDG. TYPE WORK DESCJi1Pi'ItiM Lot _ Bloc c/Sub Rea _2{_ New Mutt. Add-on Name R', ( _ • Comm. Repair w Address j 4' l ,G i ry~ Other c city c -1 /-Phone r RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO FIXTURES AL Name AWater Closet - $3.00 ` Bath Tubs - $3.00 Address 3 - Lavatory - $3.00 ~t 3 p City Phone _ J_Shower - $3.00 --J-Kitchen Sink - $3.00 , FEES Urinal/Bidet - $3A0 COMM/IND FEE -1% OF CONTRACT FEE 2 Laundry Tray - $$.00 APT. BLDGS - COMM RATE APPLIES -1-Floor Drains - $1.50 1.5 TOWNHOUSE & CONDO - RES. RATE APPLIES -Water Heater - $1.50 1.15 MINIMUM - RESIDENTIAL FEE -$12.00 -Whirlpool - $3.00 MINIMUM - COMM/IND FEE -$20.00 __~_Gas Piping Outlets - $1.50 STATE SURCHARGE PER PERMIT - .50 (MINIMUM -1 PER PERMIT) + (ADD $.50 S/C IF PERMIT PRICE GOES Softener - $5.00 BEYOND $1,000.00) Well $10.04 / Private.Disp..,- $10.00 Rough OpenkW $1.50 SI N TURE OF PERMITTE FEE: STATE FOR: CITY OF EACAN~ MECHANICAL PERMIT RECEIPT # CITY OF EAGAN .~0 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: Z Z/ CONTRACT PRICE: , CI) • PHONE: 454-8100 Site Addre BLDG. TYPE WORK DESCRIPTION Lot BI c/Sub Res. X Newt" ¢ L Name I _w <'cr ri' Mult Add-on Address Comm. Repair Other c city Phone i FEES Name RES. HVAC 0-100 M BTU C Address r'/h ADDITIONAL 50 M BTU - 8.00 p city Phone (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM -1 PER PERMIT) - 1.50 EA., TYPE OR WORK COMM/IND FEE - 1% OF CONTRACT FEE ; Forced Air a M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 Vent CFM STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE:COES Gas Piping Outlets # - :5 BEYOND $1,000) f? Other FEE: 3 5 S/C: • 5 SIGNATURE OF PERWTTEE TOTAL:''>'J' t; 3 .tl R. CI F GAN # CITY OF EAGAN Remarks21 iV 44 Addition B1 ackhawk G1 Pn 1 ct Lot /4 Blk ____j Parcel 10-14150-(7140-03 V/ Owner Street 1 595 B1 ackhawk Hi 1 1 a Rna(itate Eagan MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 1076 1986 253.48 50.70 5 STREET RESTOR. GRADING SAN SEW TRUNK 124 19 2.40 25 SEWER LATERAL 1 106.12 Sew Lateral Bn 1074 ___fW .0 22. WATERMAIN Bn 107.5 --T9-96 - 18.56 WATER LATERAL WATER AREA STORM SEW TRK 719 1983 '19-60 15 STORM SEW LAT [tozm Sewer Tr In73 19U lin-91 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK CITY OF EAGAN Nc 13 4 9 0 3830 Pilot Knob Road, P.O. Box 21-1 98, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # 7;2 7L 0 To be used for SF DWG/GAR Est. Value $140,000 Date APRIL 20 87 Site Address 1595 BLACKHAWK HILLS RD OFFICE USE ONLY 4 3 BLACKHAWK GLEN 1 ZOn Site Sewage _ Occupancy R3 Lot Block Sec/Sub. MWCC System X Zoning R! Parcel No. On Site Well Type of Const city water (ActuaQ ao Name STROMMEN CONST (Allowable) V m # of Stories z Address 1981B GOLD TRAIL o City EAGAN Phone 881-0483 or Lepghh 75 - 40 S.F. Total c Name SAME 688-6886 Footprint S.F. a Address APPROVALS FEES City Phone Assessments Permit $ 623.50 Water/Sewer Surcharge /U.00 W m Name EDWARD MARKS Police Plan Review 311.75 _ 435 W FULLERTON AVE Fire SAC, City 100. QO ~ z Address - 0 En r SAC, MWCC 525.00 aW City ELMHURST Phone 1/312/833-0640 Planner Water Conn. 5~5_(1Q Council _ Water Meter 67.nQ I hereby acknowledge that I have read this application and state Bldg. Off. _ Road Unit 305. 0 that the information is correct and agree to comply with all applicable APC Treatment PI 1 0.00 State of Minnesota Statute an ity f Ea Ordinances. Variance Parks Signature of Permittee Copies pjia TOTAL ~ 5 A Building Permit is issued to: ROMMEN CONST on the express condition that all work shall be done in accordan with all appli abl State of MinnesoAStatutes and City of Eagan Ordinances. Building Official 5'e-p-~ - r/ P ~7 CITY OF EAGAN Permit No:_- 8798 Date: 6-4-87. 3830~ Road, Meter Na. ~ S .0 Size: P.O..t~1119~ Reader No: 7 7 G 1 Date: 2 Eagan,-MN 121 Scott J.-Strommer Owner. Site Address: .1595 Blackhawk Hills load L4 8 Blackhawk en Plumber Robert C. W VVAKI'VMV Conn. Chg: 5 5 Z n at Acct Dep: 15.00n,6e re digging 1100 11 t . Permit Fee: 1Q.obaFLUBONE-ELECTRIC - Eft. Surcharge: _ 0p g BIN dw qty of Eagan Tr. Plant 180.O0 n EQUIREqrd a Meter. Misc.: By WATER SERVICE PERMIT CITY OF EAGAN N~ 16502 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # c... To be used for DECK Est. Value $1,000 Date MAY 22 19 89 Site Address 1595 BLACKHAWK HILLS RD Lot _4 Block -3 Sec/Sub. A HAWK XN OFFICE USE ONLY Parcel No. 1ST Occupancy FEES Zoning W Name DAVID EVANS (Actual) Const Bldg. Permit 26.00 3 Address 1595 BLACKHAWK HILLS RD (Allowable) Surcharge •50 City EAGAN Phone 452-3208 # of Stories - 4;4 4900 Length 2894 Plan Review o Name SAME Depth 14x14 SAC, City 0< Address S.F. Total SAC, MCWCC City Phone S.F. Footprints On Site Sewage Water Conn F Cw Name On Site Well Water Meter Z Address MWCC System 00 Acct. Deposit a W City Phone City Water PRV Required S/W Permit I hereby acknowlege that I have read this application and state that the Booster Pump S,W Surcharge information is correct and agr to comply with all applicable State of Minnesota Statutes and Cittfiyf agan,Qrdinfrces. Treatment PI Signature of Permitee APPROVALS Road Unit A Building Permit is issued to: DAVID EVANS Planner Park Ded. on the express condition that all work shall be done in accordance with all Council - applicable State of Minnesota {Statutes and-yCity of Eagan Ordinances. Bldg. Off. Copies Building Official! ~Q~~ 1 A Variance TOTAL 26.50 2006 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Dated 2`j 1 Site Street Address f 59~ ~~J~ rf Unit # Property Owner pll reii Telephone # &5-/ Contractor 4°_0 AP__ F/,P(~- Telephone # (743) -~1s,3-3461t Address Zq4(sklr_~M NU-5 Nl"7 City 6-Ct7O''- State 019- Zip 4C Y The Applicant is: _ Owner Contractor -Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Alterations to existing dwelling $ 50.00 Add plumbing fixtures. This fee includes installation of a water softener and/or water heater at the same time. 1f you are installing only a water softener and/or water heater, do not complete this section; move to the next section and check the appliance(s) you are installing. -Septic System Abandonment -Water Turnaround (add $130.00 if a 5/8" meter is required) Other: Water Softener Water Heater $ 15.00 new _ replacement Lawn Irrigation _RPZ ~PV13 new -repair -rebuild $ 30.00 State Surcharge $ .50 Total $ ` I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is require to be eviewed and approved. Applicant's Printed Name Applicant's Signature 2006 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 l Q~ Date / Al Site Address /S'.~~,Ei..~. Unit # Property Owner Telephone # (4S'/ ) J96C6~- /93S /-3- F Contractor f.G /llG Street Address (S' X I5 /121 City State ~YJ~I Zip Telephone # (6,r/ ) ~tS'!1- x'93 F Bond Expires: The Applicant is Owner Contractor Other Add-on or alteration to existing dwelling unit / $ 30.00 furnace -Additional Replacement New air exchanger air conditioner heat pump other 4LiL/•~. State Surcharge $ .50 Total $ _20 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 o s. Applicant's Printed Name Applic is Signature 2006 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: commerciallindustrial buildings multi-family buildings when separate permits are not required for each dwelling unit Date Site Street Address Unit # Tenant Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) Contractor Street Address City State Zip Telephone # ( ) Bond Expires: The Applicant is Owner Contractor Other Work Type New Construction _ Underground Tank _ Install -Remove **see below Interior Improvement Install Piping Processed -Gas Nature of Work: **When installing/removing underground tank, call for inspection by Fire Marshal and Plumbing Inspector Permit Fees: S70S0 Underground tank installationlremoval $50.50 Minimum (includes State Surcharge) or Contract Value $ x 1% _ $ Permit Fee $ State Surcharge If e~ rmit fee is less than $1,000, add $.50 If permit fee is more than $1,000, surcharge is $.50 for every $1,000 owed. $ Total Fee I hereby apply for a Commercial 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 plans. Applicant's Printed Name Applicant's Signature Approved By: , Inspector Date: Required Inspections: - U.G. _ R.I. - Air Test - Gas Service Test - Infloor Heat - Final ! r p >~i a Pi~a&e ct~iplete far. ~rck~•~ w~ ' " ! ~ rte 4 y t [ S I- a~ 1 l1 a } _ Prop O wn r~d% x~d` ;r a Ql d t Add-on`~r : 4 a; xi ~l fir " a he't puma 1 I r r ` I hereby ly .for a R=Wm W dais l Flit aid ~l * iei~fiva b$ in ifammc ardh~ wW of Ctty of : " a i q d ' permit, but amiy g lid fay' a ~3~ ark w is vital tp a P ~ ~ ~ ~ ~t apprcwei. 'lair ft a~~at mid dal of•ple~ t r . Atpplicanfs t - RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EA4AN, 3830 PILOT KNOB: RD - 5343 651-481-467& o[ en 3 mota and site servals showing sq. t of K sq. t of hquw and d mchd uses • 2 co* CA% maximum bt coverage eNowed) A 1 eel of Eniigy t;ftA*&% fereleleed a • 2 o*n of plan showing team & wk* w sites: poured find dselga, ee.) • 1 sib e»rwy for Dior addlMorr. +d9ddl • 1 sei of Energy taiauWais • Indicetc 9 baser eared awlgc s~elanr iM t • 3 copies of Tree PnsavAm Plan K bt plabd der 111193 film Jost Deed Options aelec w shed 1 with 3 or leas urft) DATE 1.2 q ~12 VALUATION q L5 30B SITE ADDR 5S IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER to TYPE OF WORK CA's ~1t1 PIREPtACI(S). 20 1 ~ 2 _ APPLICANT ' f 00 r7) Piill uff-- _54 ~ 42, 1 ADDRESS PAGER # CELL PHONE # VAX # -9=5 1- GSI - ID NTIAL BUI DI FILL OUT COMPLETE Energy Code Category _ ML 41MMA RULES 7674 CATEGORY 1 (check one) Residential Ventilation Category 1 Work$Neigt 1ltted Energy Envelope Calculations Submitted MINNESOTA RULES 767 New Enemy Code Worksheet Subnnitlea Plumbing Contractor. Phone Plumbing System Includes- Water Softener Lawn Sprinkler Free: Water Heater No. of R.I. Baths No. of Baths Mechanical Contractor, hone # Mechanical System Includes: _ Air Condition* Fee•70.00 Heat Recovery System Sewer/Water Contractor: Phone # q AN above information must be submitted prior to processing of awkstion By I hereby acknowiedge that I have read this application. state that the it a mmationh CarreCt,*d. toeoMOY with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant Certificates of Survey Received Tree Preservation Plan Reoelved ~ , Deed tlai SIGMA House Certificate For SURVEYING SERVICES INC. E730 Plot KnOb Od STROMMEN ~ CONST. CO. DRAfNASB AND urfUrr EAsgxcxrs ARE SHOWN TMUS r ~Je~!R?3 f~N /q ~.JIff1, awf~.e efAerrf~• feefef S eslelnfnS Lee times, and to 0 feet G r(Ilh, lose efA.rvl.• wfewel, 4I1e1nfn* street fnnes, es #A*" on obt prof. a e 3 T8°484080 /85.53 a AI 2 `'fines s 01 LOT 4 I Zg, 1 yI xly o ( a~ X INV / ~ i/i.O .r N I Propose Re d i/~/R r 3t No us A ' 40 f ~ 59.0 /-'B6 t 01 ~ F1 ! ...o - x.11.0% 5='=---- +•.o' I 00 oti. ~ . .v f't) ~ ,•r,, \ N ~ . it 0 I fA `I M V Vj ~ vI . i S( i o J r ac t LI - I g + 197.00 AL • N 69°46'211'W t3.~2 O CUPP 0) - - @LACKHAWK HILLS ROAD % ~ p 4n . M. H. -N- SCALE: 1SI=40' Aisuen&A E%tv.=-100.00 trot.-7 ►j+ PROPOSED GARAGE FLOOR ELEVATION' l~ A F ND - o Denotes Iron A/orxu►nent PROPOSED Top of Block ELEVA r Ibi4- - Denotes Wood Hub Set PROPOSED BASEMENT FLOOR ELEVATION- K ,o:.o Denotes Existing Spot Elevation MOTE: Verify all floor heights with Final House Plan. sommun~ r•+ Denotes proposed Spot Elevation ',---Denotes Drainage Direction -xgj YK CERTIFICATION-1 hereby certify that this survey, plan or report under my direct supervision -PROPERTY DESCR I PT 1 aV - was prepared by or i s tried Land Serve and that 1 am a duly Reg \``~t~(ti►ilUUlrli1111: LOT ,B((, 3 - er the laws o/f1 the State of Mifineso jNES0 B< AcK Ft Aw t~ G t_ E U 1ST A 00. % I.I+F~f~~•..•• ' according to the recorded plat thereof, Date: IVayne D. Cordes, Minn. Reg. No. 17.5j COROES _ oo tcoN County, Minnesota 14 yURR;t»~~r, 13 1987 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS . INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR /HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS - RESIDENTIAL RENTAL UNITS FOR SALE UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND qVti[l Valuation: Date: I ` To Be Used For: 5j F Site Address OFFICE USE ONLY Lot 14 Block 3 On Site Sewage Occupancy ~J 1J MWCC System ✓ Zoning R I Parcel/Sub bla o-A qu.~< U- ~ t j On Site Well Type of Const City Water ✓ (Actual) Owner S &4v w G (Allowable) # of Stories Address )9y-/-g o N d Length "t S Depth q-O City/Zip Code E-q q qn f~ a S.F. Total Footprint S.F. Phone or ~y APPROVALS FEES Contractor S-~rarAtAek\ 0(4KN+. Assessments Permit l Water/Sewer Surcharge -70- Address I q T~a+ Police Plan Review '7 Fire SAC, City I GY), City/Zip Code Fc, 1 a Engr SAC, MWCC 2 Planner Water Conn ZS Phone 8q 0'~04W3 or, (Council Water Meter (e-7, Bldg Off Road Unit 50S' Arch. /Engr . „a va rj Q 0-k' APC Treatment P1 78>0. V49 Variance Parks Address tt3S silt J Rmn ie- Copies TOTAL City/Zip Code (Irk kvrc,4-. L ~M~l Z1 77T Phone # - d - Q ~o _ y f OcJ /00 r v SIGMA House Certificate For SURVEYING SERVICES INC. 3730 Eagan It *)O ~ otass122 STROMMEN CONST. CO. (612)452- 3077 DRAINAGE AND UrmirT EASSUCArS ARE SHOWN THUS 0 0 Maine S tool In wrath, unless 0herwlso Indicated, adjoining Lot line:, and 1`0 feet lie width, unless athKwlso Indicated, adjoining street lines, as shown ♦otiy on the Plat. S 78° E a 4000 i t' /85.53 s 'lt' ~ - we n ,neg i O! 1 ~ LOT 4 M 60.0 / =K X ~ros rP4 ~i 1 d~ / 0) CV I aIH O U S r= ; /cA~ 3 o X1 0 - / we' t0 / - ' '/~59.0 Z yp.o - ~.16a/ S9.0 .,g.o ♦g I n o2p _ )oA 1• 0 ~ ay'e ••y`-- ~ 'oi, 248 0 1 I 0 0 n ♦ 3 0 1„ e y s I N O ,I, - - 13.32 N 89°46/21 °W 197.00 Cenpr ctt Cur♦w ~p ~Jt to 'vYam o.ob ° A. m ~Lw 00" ow. ♦o Son. M.H. n sa4' ej 6LACKHAWK HILLS ROAD ~4 e- nc , t Al -N- SCALE: I"=40' A su A E1ly. =100.00 O' PROPOSED GARAGE FLOOR ELEVATION= - LEGEND O Denotes Iran Morxrnent PROPOSED Top of 81 ock ELEVATION- ~02 -0 PROPOSED BASEMENT FLOOR ELEVATION= _ c *-O m Denotes Wood Hub Set x%cx.o Denotes Existing Spot Elevation NOTE: Verify all floor heights with Final House Plans. (x -'+e..,., ) Denotes Proposed Spot Elevation Denotes Drainage Direction SUAVEM (ERTIFICNl pY- I hereby certify that this survey, plan or report -PRYER1Y DESCRIPfICN- was prepared by me or under my direct supervision LOT I+ , 8I.0CK 3 aid that I am a duty Registered Lard Surve~q~•, P~~.AcK1tAWl~ G~eu ZsT A00. order the laws of the State of Minneso , y1 15t according to the recorded plat thereof,Q 0- Date: Dwlco~o\ County, Minnesota Wayne D. Cordes, Minn. Reg. No. If CORDcS t_ 14 `'f~~~•-`tee 1 i . 1 CITY OF EAGAN EXTERIOR ENVELOPE AVERAGE 'U' COMPUTATION OWNER: 'Sr-"0++ M SITE ADDRESS: j -s L 1 a w 0- J /s CONTRACTOR: YYj W &n n l ,OVISV~DATE:'I ` PHONE: 83 Determine working square footage of each: 1. Total exposed wall area s 1 sq. ft. x .11 = J7 2. Total roof /ceiling area % 6 0 O sq. ft. x .026 = :2L 60 Total exposed wall area above floor = ~Zl E•2 a. Total wall window area 9Z_24" b. Total door area c. Total sliding glass area mow. d. Total fireplace wall area e. Total wall framing area (average 10%) f. Total net wall area above floor / , g. Total rim joist area Total exposed foundation area = h. Total foundation window area / D i. Total net foundation area above grade. Determine 'U' value of each wall segment: a.'_ x 'U' d. x 'U' _ f. d x'U'_.......~ ' h, Y c VU? i. x ' U' 4 L7 cc = 7 g, Sk 3 . Total = ......E' If item 03 is the same as or less than item #1, you have met the intent of SBC 6006(c)2. Total exposed roof/ceiling area j. Total skylight area k. Total roof/ceiling framing area (average 10%) 16 0 1. Total net insulated roof/ceiling area s6/1~ U OVER RV of aagan 3830 PILOT KNOB ROAD, P.O. BOX 21199 BEA BLOMQUIST EAGAN, MINNESOTA 55121 Mayor PHONE: (612) 454-8100 THOMAS EGAN JAMES A. SMITH MC ELLISON THEODORE WACHTER Couned Members THOMAS HEDGES City Administrator EUGENE VAN OVERBEKE City Clerk June 23, 1987 Scott Strommer 1981B Gold Trail Eagan, MN 55122 Dear Mr. Strommer: I am writing to inform you that the water and sewer taps being done this morning at 1595 Blackhawk Hills Road have not been paid for. It is usual procedure to pay for this service before it is done. As this has not been done in this case, the meter for this property will not be issued and the water will not be turned on until the $150.00 charge has been paid. If you have any questions about this, you can reach me at City Hall, Sincerely, ' _0'e Susan Sheridan, B'l g Jerk THE LONE OAK TREE ..THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY CITY OF EAGAN ~ p`cm °Omn AT MME W Comnum x* APPROVAL OF PERMIT. APPLICATION FOR PERMIT * INSPECTION OF SEWER MU/CR WATER r.r. oNS WILL NOT BE scHm- ,*f SEWER AND/OR WATER CONNECTION tLM LNTZL PERMIT HAS BEEN APPROVED. * * * (Please Print) 1) PROPERTY ADDRESS : ctlz' LEGAL DESCRIPTION: (Lot/Block/Subdivision or Tax Parcel ID U IF EXISTING STRUC'T'URE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: (Non Year PRESENT ZONING/PROPOSED USE: COMERCIAL/ WAIL/OFFICE R-1 SINGLE FAMILY Q INDUSTRIAL Q R-2 DUPLEX (Two Units) INSTITUTIONAL/GOVMDENT R-3 TOWNHOUSE (Three + Units) ( Units) R-4 APARTMENT/CONDOMINIUM ( Units) 2) MUNIMONE NAME:-« ADDRESS: CITY, STATE, ZIP: PHONE: 3) NAME: For City Use . . -0-6,0" z-~ Plumbers License: ADDRESS: f G G ( ? -Active Expired CITY, STATE, ZIP: Not recorded PHONE: Gf I °j MASTER LICENSE# SUa Ini.tlaI _ff NAME: ADDRESS: CITY, STATE, ZIP: PHONE: © CONNECTION TD CITY SEWER ® CONNECTION TO CITY WATER a OTHER ' 6) • I' PLEASE HOLD APPROVED PERMIT FCR PICK-UP BY ONE OF ABOVE c, \ PLEASE MAIL APPROVED PERMIT ZO 1, 2, 3, 4, ABOVE ' ✓ (Circle one) 7) n(yo-voy-REM. 4y -7 'I' • I. t • • • • 1' . t• • • ' mr-r% WT I• / ~I' • 31• ' DI• • 0 24 • • -FOR .CITY USE ONLY j PERMIT # ISSUED Pd w/Bldg. Permit FEES: l $ $ SEWER PERMIT (INCLUDE SURCHARGE) $ $ < < WATER PERMIT (INCLUDE SURCHARGE) $ $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ T ACCOUNT DEPOSIT - SEWER $ $ C' CI ACCOUNT DEPOSIT - WATER $ WAC $ 1 c r $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ -c $ TOTAL 7 2 -7~7 2- J" -7 V RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE: _ MEMO TO: DIANE DOWNS, UTILITY BILLING CLERK FROM: ED KIRSCHT, SR. ENGINEERING TECHNICIAN DATE: DECEMBER 14, 1989 SUBJECT: Street Light Energy Cost for Lots 4,5,6,7,8,9 and 10, Block 3, Blackhavk.Glen 1st Addition. (See attached sketch) This memo is to inform your department to start to invoice the energy costs for Lots 4,5,6,7,8,9 and 10, Block 3, Blackhawk Glen 1st Addition effective January 1, 1990. Associated Families, the developer of these lots had Dakota Electric install street lights recently along Blackhawk Hills Road to furnish street lighting for the above listed lots. Lot 8, Block 3, Blackhawk Glen 1st Addition is the only lot which the records in the Building Department indicate is not yet developed. Invoice the energy costs for Lot 8, Block 3 to Wayne Windsor of Associated Families, et al, 4338 Highland Drive, Shoreview, Mn. 55112. When the City of Eagan receives an application for the utility hook up permit For Lot 8, the builder and/or owner will then be billed for its share of street lighting energy costs, and the developer will no longer be responsible for said energy costs. Edward Kirscht Sr. Engineering Technician cc: Michael Foertsch, Assistant City Engineer Wayne Windsor-Associated Families EK/jf S*W* 1/4 SEC. 16,T. 27t Ro23 r.~ ttr ~ 'a a W- MP IGH VON --_JJMrtt .n.r:rti--- +J'°~:y . N ♦ 8: t ~ E/4' , y e - B -A C K AM 14 4 J GYLE . ~K Aw s a• X as • r 41 sl :c R 1. w , A IT 2 ND \ w Is 4- s • w x 1. 'd` \ Y r r' K I 13 D _ w+ •.rr LAY = J. yt D7 v , 12 40 a: IG 4 • I 10 y y L • X q + Z ~ 14D J I jp1 r• a a°irwn ♦ ► xag t` ~i1 ' ,aa /,'r ik .iy±a eft . r G t i ►wt.ri" Vk#O IS 0 14 -1 4-0 1p Nil, ~,i ' ~yfr ` iE ♦ `{Med.. + ~ • ~~v♦ 1 - 2 NNN 9 'fib y _'s` *Y ' • i 4. •k '`i t • • 'eve` i ~y~ ~1. - . . .MM .wei• Z • t~ Q`yZ J4' lip ~ ' tlral k _ Y. ~ B~ t ~ 2t c r~ ROAD 5 11 eu 6 LAC AWK G . _ ' MOMMOMMIL- s i h war 1989 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS 1(060 INCLUDEM2 SETS OF PLANS, CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS 01 , Z 19x9 To Be Used For: v't-~-lam Valuation: - Date: Site Address ms -&Cr<'t1'41Wk tTitcS / b04'' OFFICE USE ONLY Lot Block -3 Occupancy FEES Gcc:,~ 4R Zv7 of Zoning Parcel/Sub Actual Const Bldg. Permit ~ 00 Allowable Surcharge So Owner tr # of stories Plan Review Length .2$ xlq SAC, City Address Depth SAC, MWCC S.F. Total Water Conn City/Zip Code Footprint S.F. Water Meter Acct. Deposit Phone _ <7' On site sewage S/W Permit On site well S/W Surcharge Contractor MWCC System Treatment P1. City water Road Unit Address PRV required Park Ded. Booster Pump Copies City/Zip Code I TOTAL "'APPROVALS Phone lanner Council Arch./Engr. Bldg. Off. Variance Address Council City/Zip Code Phone # NOTE: Sewer & Water Permit fees and account deposit fees will be included in the building permit fee. Processing time for sewer and water permits is two days once a licensed plumber has applied for a permit at City Hall. " SIGMA, House Certificate For . SURVEYING SERVICES INC. 3730 Plot KWb DOW (612] 452 -3077 -0#04'r' -F EvA ki s tS4s alt~cx++4rn, ;1~ ~.c~► CIJ ss,, DRAMASC AND urlUrr frwsrxcxrs ARC SHOWN rHUS s~ s } !Sa$!? S fpse pg L, lines and indicated 0 rt~el nln Lot Uses ~ ■ed to test Is width, unless e181erwres hw1cofed, et)slnln! Street firm, fe shews en the plot. r' - Q 8 T8~do 40"E ti 0) I LOT 4 M O ro pposedi~i NCH 4 u SE iGAft 1 / f n~ Dv = v C4 s 0 , h r } 1~i % . `t 1 ~ ~ j c ~ p~ Jl N 0 t 13 -32 N 89°46'x21 "I+V Isr.ov - ; ch.fit O Csf~CTeti CvPD ~(/`pfi1'~ ~ a a~ 'e~y y~ Aw Ssn. M.M. 1wr. Z w BLACKHAWK HILLS ROAD e4 an. M.H. -N- SCALE- 1"=40' Assumed Elev. =100.00 -1 Ft^F PROPOSED GARAGE FLOOR ELEVATION= ~.~rru~..rea 0 Denotes Iron Moramnt PROPOSED Top of Block ELEVAT I bk= PROPOSED BASEMENT FLOOR ELEVA T ION - Al Denotes Wood Hub Set x ,os.o Denotes Existing Spot Elevation NOTE: Verify all floor heights with FinaI House Plans. ) Denotes Proposed Spot Elevation Denotes Drainage Direction WMM (ART IF I CAT ION - ri I hereby certify that this survey, plan or report ~ E ~SCRIPTIG I- was prepared by me or under my direct supervision LaT K 3 aid that I am a duly Registered Lard Servey er the laws of the State of Minneso BLAGK►i AW K 1r LE N 5.5T A W. p ~•••»~„~~►~~ff: accord irg to the recorded plat thereof. Date: " oako~0. County, Mimesota Wayne D. Cordes. Minn. Reg. No. 1.4i74 CORDES 14 V ti~~.1 "I''tel, rr'ru~F1 PERMIT City of Eagan Permit Type:Building Permit Number:EA119222 Date Issued:11/19/2013 Permit Category:ePermit Site Address: 1595 Blackhawk Hills Rd Lot:4 Block: 3 Addition: Blackhawk Glen PID:10-14350-03-040 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 . Kurt Jusczak 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 - Andrew Hastings 1595 Blackhawk Hills Rd Eagan MN 55122 (651) 454-1935 Capstone Bros Contracting Inc 216 North River Ridge Cirle Burnsville MN 55337 (952) 882-8888 Applicant/Permitee: Signature Issued By: Signature