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1605 Blackhawk Hills Rd This request void / ~C I rnonthslrom T -98063 Request ate Fire No. Rough-in Inspection Req red? Ready NAv~~-, ll Notify Inspec- Yes E] No r WhenReady Lice sed Electrical Contractor I hereby request inspection of above ❑ Owner electrical work installed at: Street Address, Box or Route No. City / & 6 S- 6 14 c- K, Aq P a - . ection No. Towns ip Name or No. Range No. County 0 Be6agid- (PRINT) Phcne No. Power Supplier Address # 1 ! !1 YJ Ele rical Contractor (Company Name) Contractor's License No. o rsK -0/ 40 n/ ! 6 r✓ - C C Z~~ Mail Address (Contpanr or Ow er Making 4taiation) l /J 411 Author' d Si nature ( ontr ctor/Owner Making Installation) Phone//Number Z L' y.i~$yva L O Z MINNESOTA ATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Mi ay Bldg. -Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 Uni rsity Ave.. St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Ph..., 16121 297_2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION .r« EB-00001-03 T See instructions for completing this form on back of yellow copy. "T" Bela'bv Work Covered by This Request New Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm other pecirv other (Specityl Other I pecify Ot er Other Compute Inspection Fee Below # Fee Service Entrance Size # Fee Feeders/Subfeeders # Fee Circuits 0to100Amps 9,0 0,6 0to30Amps 0to30Amps C 101 to 200 Amps 31 to 100 Amps 31 to 100 Amps Above 200 Amps Above 100 -Amps Above 10o_Amps Transformers Remote Control Circ. Partial."Other Signs Special Inspection 9 Remarks TOTA (7-f r Rough-in Date - the E Inspector, hereby certify that the above Finalj~ inspection has been made. This request void 18 months from SEWER & WATER PERMIT OFFICE USE ONLY CITY OFEAGAN PERMIT DATE 10/13/89 3830 Pilot Knob Rd. WATER PERMIT # ''~T SEWER PERMIT # P.O. BOX 21199 METER # B.P. RECEIPT # 2416 Eagan, MN 55121 READER # B.P. RECEIPT DATE 6/28/89 METER SIZE ISSUE DATE -XX PRV~ BOOSTER PUMP SITE ADDRESS PERMIT REQUESTED LOT BLOCK ) SEC/SUB -SEWER WATER _ TAPS APPLICANT: ADDRESS: t i.I Ue r i' -COMM/IND. ! RESIDENTIAL CITY, STATE c C. ZIP PHONE: o < ' ' NEW - EXISTING' PLUMBER:,, F r ADDRESS:° 4, 1-P7t I AGREE TO COMPLY WITH CITY OF CITY, STATE A- 16 °r' • ZIP ~ 9 ~ r < EAGAN ORDINANCES: PHONE: OWNER: ADDRESS: t ! ~R r SIGNATURE WHEN METER ISSUED CITY, STATE , t t C t C: i1 ' .`S ZIP PHONE: 3 rJ-(, -o 4 r-)ck PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. ~ 'S BLDG. PERMIT NO 4~ /d/Z4 (-q'jf1f,6( icy 01-3210 Bldg. Permit 8 a 01-3422 Plan Check 01-3445 Surch./Adm. 01-3446 SAC/Adm. 01-2155 Surcharge 75-3860 Road Unit 20-2275 SAC 4461 20-3865 Water Conn. p 0 ,0. 20-3868 Water Trmt. g Do 20-3716 Water Meter Q~ 20-2252 Acct. Dep. 20-3713 Water Permit 6 6 20-3743 Sewer Permit a .79-3866 Sewer Conn: 28-3855 Park Ded. TOTAL CASH F E60 - CITY 3M PIL01,10 J,,Wj.'F-SOTA 95' c } D1T= ilj p~Q 18 AMOM (i CASH U: + CHECK LL. g [ 7,4 it" I. _ 17• 110 qr I YA /S 7' . • ,iw, p ~ 'C Y~ c f ~ p 77 44, i T~j ~ ik ~ Fem... ~ ~~7~~• x ~ + -ds. . K t a , 4 z t . :42- k ~.•~:F _ _ 9 ' `fin ~•.nT. CITY OF EAGAN 3830 Pilot Knob Road, P. 0. Box 21-199, Eagan, MW SM21 PHONE: 454-8100 , BUILDING PERMIT Receipt # . ; i (2- To be used for ah :DWG/GAit Est. Value $174,(14X3 Date JWM 27 194SL_ Site Address 1609# BL Cr-.; !*,:K HZLI.,s Rp Lot . dock _ I Sec/Sub. w1c O LEN OFFICE ~lSE ONLY Parcel No. IST Occupancy 8-3 -*4 FEES Zoning J&--1 Name Tft tr'OL1" (Actual) Const Bldg. Permit Address 7~iC i i3t. {/F.Ift (Allowable) Surcharge $7• City 1 °%i~ " ILLi3 Phone # of stories _ Length 1M Plan Review g o Name Depth 42' SAC, City 1 100. v Address S.F. Total SAC, Mcwcc -1+ s City Phone S.F. Footprints On Site Sewage Water Conn 'SAO 'L L~u W Name On Site Well Water Meter H 02 Address MWCC System acct. Deposit w '9W City Phone City Water PRV Required xx S/W Permit I hereby acknowlige that I have read this application and state that the Booster Pump S/W Surcharge 1.t~0 information is correct and agree to comply with all applicable State ofZ$oOQ Minnesota Statutes and City of Eagan Ordinances. Treatment PI Signature of Permitee APPROVALS Road Unit A Building Permit is issued to: TO" kOLLA" " 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, cO~ Building Official Variance TOTAL 3,"111.00 r Permit No. Permit Holder Date Telephone # WATER ~~Da ~j d 7 SEWER PLUMBING ~O 0 S H.V.A.C. 115942- ELECTRIC ~S Inspection Date Insp. Comments Footings I 7 Foundation 7/2449. f /f e 9" Framing an '1 p Roofing Rough Plug. O d6 Rough Htg• 0 / - Isul. Fireplace Final Hig. .Z / Lf Final Plbg. Const. Meter Plbg. Inspector- Notity Plumber EngrJPlan Bldg. Final 144 Deck Ftg. Deck Final Well Pr. Disp. r PLUMBING PERMIT For Office USDA* CITY OF EAGAN PERMIT& CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT t$ PRICE PHONE 454-81 t? DATE: Site Ad s c O W BLDG. WORK W=MPTION L Bloc eSub Res. New Mutt. Acid-an E jr 4A P~ AD it Comm _ Repair Name Other Address es ° IS - RES. PLBG. ONLY - COMPLETE THE FOLLOWING, c City A* ost ' Phone 797-7- FIXTURES TA 1 a, Water Closet - $3.00 $ CJ Name^. at Bath Tubs - $3.00 t.00 I -it Addre c 7 e Lavatory $3.00 . Ciiy i c re t Phone ~ Shower - $3.00 i Kitchen Sink - $3.00 3. V ) UrinaUBldet - $3.00 FEES Laundry Tray - $3.00 COMMAND. FEE -1% OF CONTRACT FEE Floor Drains - $1.50 -4 V 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 {ADD .50 SIC PER EACH $1,000 OF PERMIT FEE) Well - $10.00 - ~j Private Disp. - $10.00 Rough Operangs - $1.50 SIGNATURE ERMfTTEE PERMIT FEI[=: STATES SfC: FOR: CITY OF EAGAN GRAND TOTAL: . PERMIT # MECHANICAL PERMIT RECEIPT # CITY OF EAGAN DATE: 3830 PILOT KNOB ROAD, EAGAN, MN 55122 CONTRACT PRICE: PHONE: 454-8100 For Office Use Only: Site Address 0BLACKHA LI, RD, BLDG. TYPE WORK DESCRIPTION Lot r BI )C y Sec/Su x -,7 ' Res. x New c ~ " - Name URN V' L LE Mult Add-on , HEATING Comm. Repair Address 12481 RT .TOD, ISLAND Other c City ,A~ Phone Name O?' yOLLARD RES. HVAC 0-100 M BTUEES -$24.00 c Address 750i CLIVER AVE - ;i ADDITIONAL 50 M BTU - 6.00 39 p City Phone= (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM -1 PER PERMIT) - 1.50 EA. TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE APT BLDGS._ -COMM. RATE APPUE ' Forced Air M BTU = TIIINHOUSE & 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 STATE SURCHARGE PER PERMIT .50 Vent CFM $ (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # • 50 BEYOND $1,000) Other FEE: SIC: SIGNATURE OF PERMITTEE ' TOTAL: b FOR: CITY OF EAGAN `PLUMBING P FtMIT For Office U ` o My ' CITY OF EAGAN PERMIT # CONTRACT 3830 PILOT KNOB ROA% EAGAN, MN 55122 RECEIPT# x PRICE PHONE 454$100 C?ATE: 7/,--PO Site Address BLDG. TYPE WORK DESCRIPTION Now Lat Black .-Sec/Su r t Add-on d mm. Repair -E L Name r" Addresses bi A,A_b1l Other w RES. PLBG. ONLY - COMPLETE THE FOLLOWING: C'Fr f~ 119`? Phone No. FIXTURES TOTAL Water Closet - $3.00 $ AME P1ame - Bath Tubs - $3.00 Add rasa Lavatory - $3.00 City Phone ' Shower - $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 APPLES 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 - ",(ADD $.50 S/C PER EACH 000 OF PERMIT F ) Well - $10.00. Private Disp. -$10.00 Rough. Openings - $1.50 U. G. Spdnkler System - $12.00 SIGNATU OF PERMITTEE Pf RMIT FEE: STATES S/C: • FOR:. CITY OF EAGAN GRAND T4TAL t ~ ! x Textifirotr of (Orrupaury Citp of (eagan ErVartmna of Nufting Jnprrtion This Certificate issued pursuant to they ru-iiements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following.• Use classification SF DWG / GAR aldg. Permit No 16723 Occupancy Type R-3 M-1 Zoning District R-1 Type Cont. V-N Owner of Building TOM POLLARD Address 7601 OLIVER BWilclingAdd= 1605 BLACKHAWK HILTS ]RD L' 5, B3, BLACKHAWK GLEN 1ST 1. ' Date: 2~ 1990 Building Official POST IN A CONSPICUOUS PLACE t CITY OF EAGAN N~ 16723 ' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 'C3 f /7 BUILDING PERMIT Receipt # /./L To be used for SF DWG/GAR Est. Value $174,000 Date JUNE 27 Site Address 1605 BLACKHAWK HILLS RD OFFICE USE ONLY Lot 5 Block 3 Sec/Sub. BLACKHAWK GLEN Parcel No. 1ST Occupancy R-3 M-1 FEES W Name TOM POLLARD Zoning =R1 (Actual) Const -N Bldg. Permit $98.00 o Address 7601 OLIVER (Allowable) VVN Surcharge 87.00 City RICHFIELD Phone 866-0109 # of stories Length 100, Plan Review 449.00 ZF Name SAME Depth 421 SAC, City 1 no _ nn 8s Address S.F. Total 575.00 I City Phone S.F. Footprints SAC, MCWCC On Site Sewage Water Conn 580.00 w W Name On Site Well Water Meter 90.00 ~Z MWCCS System XX uZ Address y Acct. Deposit 30.00 aw City Phone City Water PRV Required %X . S!W Permit 20.00 1 hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge 1.00 information is correct and agree to comply with all applicable ate of 22$,00 Minnesota Statutes and City of Eagan O as. Treatment PI Signature of Permitee APPROVALS Road Unit 340.00 A Building Permit is issued to: TOM POLLARD 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 ALW &114, 1~ Variance TOTAL 3,398,00 CITY OF EAGAN Remarks k, f6 9 Addition f++- k wk Glen !at Lot - Rik.3 Parcel 10-1435n-OL50-nl V/ Owner Street 1605 glaeki.a;* Hills Re dtate Eagan MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 1076 1986 SO-7() 5 STREET RESTOR. GRADING SAN SEW TRUNK 194 197 2.40 25 SEWER LATERAL 1,17 1979 106 12 90 WATERMAIN -g, 1079 1 gtq6[ 92,80 JA-96 5 WATER LATERAL WATER AREA 339 1977 6-68 1 S Wafpr Area 1079 1QA6I -109,40 61-88 5 STORM SEW TRK 732 1 gs -,1 32.60 15 STORM SEW LAT Storm Spwpr Tr 1073 199 110,91. 29.18 5 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK aI DATE: 10/ 13/89 i~ RE: 1605 BLACKHAWK 111LLS ROAD, L5, B3, BLACKHAWK GLEN lat xx Your Sewer & Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. Your Sewer & Water Permit for the above property cannot be completed for the following reasons: ur Sewer & Water Permit for the above property has been completed, but the metier cannot be issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. .a Secretary, Building Inspections Dept. F' DATE: 10/13/89 to Oil RE: 1605 BLACKHAWK H1LLS ROAD, L5, B3, BLACII WK GLEN 1st ---Nx Your Sewer & Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. Your Sewer & Water Permit for the above property cannot be completed for the following reasons: A f s Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until: further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. SEWER & WATER PERMIT OFFICE USE ONLY CITY OF EAGAN PERMIT DATE 1.0/ 13 / 89 3830 Pilot Knob Rd. WATER P M I # SEWER PERMIT P.Q. BOX 21199 METER B.P. RECEIPT # 2726 Eagan, MN 55121 READER # 1 3 B.P. RECEIPT DAT,E;.. , 28 89 METER SIZ 'mod ISSUE DATE U' g JPRvBOOSTER PUMP r y SITE ADDRESS ` 1~, y ACKILL l~i _ ` t1 LLS U • PERMIT REQUESTED LOT El BLOCK SEC/SUB r U K) 41t Q K, Gam! L 1\ t `'X APPLICANT: ~ ,~rv, P4J" V9P-o SEWER WATER TAPS ADDRESS: ^ t C_; L t U E t? V L ~ CITY; STATE itiI C_Fa kL - c -D COMM/IND ZRESIDENTIAL VY\ LU _ ZIP PHONE: NEW _ EXISTING PLUMBER: ~i't r ut ADDRESS: 4. ~ X / 92 1 AGREE TO COMPLY WITH CITY OF CITY, STATE Cam? , .5 . ZIP ty I S EAGAN ORDINANCES: o~ PHONE: 114 - 74-- o? H -77 OWNER::Ii4 vim -'n( .L.11'(2f) ADDRESS:._ c~ l 0 L- I U C'iZ 1AUE S $IG TORE WHEN METER)OUIED CITY, STATE C :1 C..N F t e L-o r'1 k) ZIP PHONE: (-Ca Q i 0 ICJ PLEASE ALLOW TWO WORKING DAYS FqR PROCESSING. FOR 1'QRlil SEWER PERMITS, CONTACT i ENGINEERING DEPT.,,, MVEMIN. PLUMS M''PeRM& Mott" Please complete for modift tai' W I ~ l ;d w Daft 1. 1 1 R t 14 S Street AWre rYa Property Ow r.w T pL, NORM- iol. Address F ~yt r H~ is The AppUcant 9e: Owner Ions ft"flamwnrw ~~+y~rw{ Add fixtures to moms ~ Wt snd v*W-Septic System A nfthment i Water Tumaround (add $121.40 Wmt4w is req ) Other: a _tzK Wetter softener. ~ tl~tar _ k ' Lawn Irrigation RI now ►ii State Surcharge: z TOW 6 i I hereby apply fbr a Re ler l: p"kanbi g rmlt , a . : ' and accurate; that the work, will be ,in +cw*wrnMQ6 Val [ "►w- Eagan and the bing codes; O wt l° understand thts is n a P Pon* - permit, work is not to start without a pm* end VM* ~will'bo the event a plan is t+ cad to W rovkwW and Applicant's Printed Name 2004 RESIDENTIAL BUILDING PERMIT APPLICATION 6 C~3~ City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements RemodellR=ir Reauirements ~t 3 registered site surveys showing sq. ft. of lot, sq. 0. of house; and all roofed areas 2 copies of plan (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Treef retflnlti 1E: 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks l ree ireslprr 1s1 1 set of Energy calculations Addition - indicate if on-site septic system ( #te eptrE ~rstt r . 4 3 copies of Tree Preservation Plan if lot platted after 7/1193 Rim Joist Detail Options selection sheet (bldgs with 3 or less units , ~~r c Date 0 / Construction Cost '02 Site Address Unit/Ste # Description of Work )6~k5uwi t cam, 5 Multi-Family Bldg _ Y N Fireplace(s) 0 1 _ 2 Property Owner -T-OA J vim' ~y~~J Telephone # (S7 ) _ lv5 - ~/~i Contractor 171-'- Address rc r7u '70-5 C2 j~ r 4 So City State /f f Zip 5`20 Telephone # (7Q,) 2-co--747.<- COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category I - Minnesota Rules 7672 Energy Code Category Residential Ventilation Category 1 Worksheet New Energy Code Worksheet 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% plan review fee applies. ) Licensed Plumber Telephone Mechanical Contractor Telephone # Sewer/Water Contractor Telephone I hereby apply for a Residential Building Permit and acknowledge that the informat on is complete d ac ate; that the work will be in conformance with the ordinances and codes of the City o , _ 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. Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 AccessoryBldg © 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Fact. Alt - Multi ❑ 03 01 of_ plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-piex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screen/gazebo) ❑ 36 Multi Misc. ❑ 05 03-plex ❑ 11 10-plea ) 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plea ❑ 12 12-plex Plbg_Y or N ❑ 25 Miscellaneous Work Types 13 e7?7' v> aA ❑ 31 New t0 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 '21 D ° LD- ° C Occupancy 2 r3 MCES System Census Code q Zonings City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIItED INSPECTIONS Footings (new bldg) _ Final/C.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 Franaing^ _ Siding Stucco Stone -Brick ~o Fireplace RI. 9 Air Test _'L Final Windows )0- Insulation Retaining Wall -I-a2 agn. Approved By: , Building Inspector Base Fee Surcharge Fc `e- Plan Review MCIES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies - Other Total - k7f . i Of ftgan, 380 not, Knob 'Ir f P cmVIeW for: Si to F .yUvre7l3 s' Coa~9xi a r 'o t s Dab F!/_! AlFF 1 !She .r Address t Property Owner , Contractor !ttc p " - Street Address Lim Ralik -Y T j Zip -cc h t Bind #fs 0 A0 Win, modueatfon or ni tiou 44 , R a fumace repbmommt °y } r i air exchanger 7 { # s K air ccmdFicmal _ NOW other f3archarge ; , ~y W, 2 TOW 260.€yt' I hereby:sffly for a. Rr,.~ ;d bbdmical P # kww : t b:In c+atfcrrma€nce witbi d alb of Boa s cad Pffmit W Oily MPOmfift Im 4:PM* 40 ,,yM is` not to ~ a ~rm*; .r Jr, + - e Plam conVleW for: boft ' a Este / / , _ - lake Street Ad.~drea Tit Nmu (lf VpHuble) ~ { I 11 L - Skeet Addren fete zip Td* liq # DOW - 3 r .7:~ i;q d~ srr w,ry .p,. 48 btu ~trlp d 1 ortrlnrm j)`Ptar*, of Work. t ]Poe Ma M§ftM fee (inei w if pest fie is ft or l l .SQ OPP lf' t is Over '1s", $&'$s sIlow Permit Pee T M 40, .,-art far a -is ` o"Oft 9~. wW be-in cooftmme vn* the of *.a Qwy 1 a >s a pairk but cti iy m~ agplic fi r e a *01 !*im 4 AWH= is Pi nW Name Awimm A►pppvved]By: RESIDENTIAL 3q3W BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 -4 Now Construction Requirements RemodeEl Air Reauiremer-ft ■ 3 registered site surveys showing sq. ft. of lot. sq. ft. of (rouse: and aR roofed areas • 2 copies of plan (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions 2 copies of plan showing beam & window sizes; poured found design. etc.) t site survey for exterior additions & decks 1 set of Energy Calculations c~ Indicate if home served by septic system for additions Q • 3 copies of Tree Preservation Plan if lot platted after 711193 Z 1 f a 6 1 Z _ O to R - (t 7 -7 f V 6 . Rim Joist Detail Options selection sheet (bldgs with 3 or less units) 15 DATE 7-? -6 7Z:,. VALUATION z_~ 32 SITE ADDRESS _ p 0;S tc3- MULTI-FAMILY BLDG _ Y N TYPE OF WORK_`T-r o, -t t P- FIREPLACE(S) - 0 - 1 _ 2 APPLICANT STREET ADDRESS CITY STATED ZIP TELEPHONE # 1 &77 CELL PHONE # Zfc>` S/Z FAX # g(? 4/1'2"'7 4~ L ~,e c tz PROPERTY OWNER,G~~~/,~ TELEPHONE# r°'I~I n7f.~ y COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ M[N E:S01'A RULES 7670 C.-V17 •:GORY I NIIti~ ' (J submission type) . Residential Ventiladon Category 1 Worksheet Submitted New I C. _ rk th t d Energy Envelope Calculations Submitted ~ AUG 2 7 20oZ Plumbing Contractor: Phone # _ Plumbing system includes: Water Softener _ Lawn Sprinkler Y Water Hcater No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # Nlec kuncal svstetn includes: :fir Conditionin; Fee: $70.00 Heat Recoven' System Sewer/Water Contractor: Phone # I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant -------------_---_------------__----------------------------------------------------------------....----l-l~ -1r . OFFICE USE ONLY Certificates of Survey Received Tree Preservation Plan Received Not Required _ updated 4102 OFFICE USE ONLY ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-plea ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03 01 of _ plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 PorchlAddn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screened) ❑ 36 Multi ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg_Y or - N ❑ 25 Miscellaneous ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish (Interior) ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Bldg. ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish (Bldg)' ❑ 43 Reroof ❑ 46 WindowslDoors ❑ 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MCIES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS - Footings (new bldg) FinaliC.O. Footings (deck) FinaDNo C.O. Footings (addition) _ Plumbing _ Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool Ftgs _ Air/Gas Tests _ Final Framing _ Siding _ Stucco - Stone Fireplace , R.1. -Air Test -Final _ Windows (new/replacement) T Insulation Retaining Wall Approved By , Building Inspector - - - - - - - - - - - Base Fee Surcharge Plan Review MCIES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total c S 1989 BUILDING PERMIT APPLICATION CITY OF EAGAN t , (0 11 ot 3 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 CALCS. (CHECK WITH BLDG DIV.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCS. i SET OF ENERGY CALLS. MULTIPLE DWELLINGS RENTAL UN FOB SALE 1NIITS 0 OF UNITS NOTE= ADDRESSES FOR CORNER LOTS - CDNMC70R/9OME0V5E1 MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.. SEWER A MATER PERMIT FEES AND ACCOUNT DEPOSIT FEES WILL BE INCLUDED WITH THE BUILDING PERMIT FEE. PROCESSING TIME FOR SETTER AND WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED INDICATING A LICENSED PLUMBER. PENALTY APPLIES WHEN: PERMIT IS NOT PAID FOR IN SAME MONTH IT IS REQUESTED. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. To Be Used For: s9F' G A K Valuation: 1-7 04)0 Date: Site Address y oa t',~car }rA~, X111 Ste. OFFICE USE ONLY Lot, Block Occupancy FEES Zoning Parcel/Sub LL►~NK~t, ( i"` E~~ Actual 44- Bldg. Permit Allowable V-Nj Surcharge r2 Owner # of stories Plan Review Length 1 Oc- SAC, City Address jC„ Q p u v Depth 4 t SAC, MWCC S.F. Total Water Conn City/Zip Code V,~~~~ )%y() 5~NFootprint S.F. Water Meter Acct. Deposit Phone `•5 C,)G - L Q On site sewage S/W Permit On site well S/W Surcharge ! Contractor 't(3 ~ ~t7t,MWCC System 411" Treatment Pl. ~ City water ✓ Road Unit Address `Go , U V L PRV required ✓ Park Ded. Booster Pump Copies City/Zip Code ILUD3 SUBTOTAL APPROVALS Penalty Phone 9 b G Q 1CY-A Planner TOTAL Council- Arch./Engr, L- ~ .,~71 C~OA 4-4()r~FS Bldg. Off. ;''3 Variance F PLAL-c- Address X1300.-S. 4 oy T City/Zip Code SE1Pr"[^ U, B, 9$/2U Phone # a0b •725 Ogou VA L Lk A 2 t-\ (i s ► ! ts, t I y ~c tot) ? 1)3 72 ?2 ~-l 3oiO f73 1 ? •S U R'Y E Y o R'S: dERTI.FICATE SIENNA CORPORATION REVJSED 6-5-89 10 SHOW - PR~POSED HOUSE FOR TOM POLLARD • REVISED 6-19-89 TO SHOW NEW HOUSE LOCATION DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET SCALE: 1 INCH = 30 FEET e DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - 838.7 FEET X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR = 830,7 FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK = 84o.o FEET VIE HEREBY CERTIFY TO SIENNA CORPORATION THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 5, Block 3, BLACKHAWK GLEN 1ST ADDITION, according to the recorded plat thereof, Dakota County, Minnesota. IT DOES NOT PURPORT TO SH014 IMPROVEMENTS OR ENCROACHMENTS, IF ANY. AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 13TF1 DAY OF Ill 6V. , 19p,5 SIGNED: JAMES 'ILL, INC. BY: HAROLD C. PETERSON, LAND SURVEYOR MINNESOTA LICENSE NUMBER 12294 SHEET I OF 2 SHEETS PROJECT NO. BOOK / PAGE JAMES R. HILL, INC. 85618 (89252) Planners / Engineers / Surveyors FILE NO. 31 1 /56 6200 .Humboldt Avenue South FOLDER Bloomington, Mn. 55431 612-884-3029 SURVEYOR'S' CERTIFICATE SIENNA CORPORATION REVISED 6-5 -89 TO SHOW PROPOSED HOUSE FOR TOM POLLARD REVISED 6-19-89 TO SHOW NEW HOUSE LOCATION / r84~~ S 63 ° ~ l s 0.1. 123 11 ~ A~'41b~r ~ `83 ~n 5 c+- v O ti LOT 5 n (0 838.2 ~~a4 30.37 l13&.~ 837.7 fO (3) M - 83a 93 ,3) 0 27.0 c -30.00 l 41.17 Q 26.17 ~ PROPOSED b' m co ARAG ' HOUSE M i C9i / 33.75` m .t G 1.38 d!-V Y / 42_58 -_637.9 `-$322.24 1230 rn _-Ce39,3J83~4 I I -55 s,0 A m• ed.'in+a ~ PROPOSED o a o. DRIVEWAY r'. - l-- S BENCH MARK » TOP nF IRON 5 ELEKsH37.23 nil 36 A V 0 137.25 49.751 If bez 20°58'48" I N89°46 21 0 Q 9a4.9 R-w 3 74.82 9 ~ 434 h L gCkHAw j` M R4 AD HILLS A RNe R E OUR E® SHEET 2 OF 2 SHEETS PROJECT NO, DOOK / PAGE JAMES R. HILL, INC. 85618(89252) Planners / Engineers / Surveyors FILE NO. 3l 1 / 56 0200 Humboldt Avenue South FOLDED 311/73 Bloomington, Mn. 55431 012-004-3020 MINNESOTA STATE ENERGY CODE CALCULATIONS ' BASED ON CHAPTER 5 OF THE MODEL ENERGY CODE - 1983 EDITION' Adoption Effective 1/1/84 Owner ~ L,,,; _ Phone Date' Site Address_ G ej__.% Contractor BLANc.,I( GLiKnL_ h T Aba`N. Phone Building Classification: Type Al (Single Family Ir Duplex) ype A2(Resldential) NOTE: Complete (3 stories or less) pa es 3 and 4 first. (other) i (Over 3 stories) GENERAL INFORMATION 1. Building Perimeter .7f e. t.~5yTi. t 2. Wall height (ground to eave)__,cam t, 2 3. 1. x 2. (above) gross wall area 0' ft. b. Building dimensions (L) X (W) ft.2 roof & floor area 5.• Square foot area of rim joist Floor joist size (2 x Z ) X $ISO perimeter n Rim joist area-- ft2 12 .6. Doors • Area Th I ckness In. U factor . 4 , Type of Construct on Perimeter ft. Manufacturer 7. Total door's perimeter ft. : 6. Windows: Manufa turer State approved U factor TYPE SIZE AREA (Ft.2) NUMBER OF TOTAL FEET 2 EACH UNITS 9. Total ft.2 Glass `10. Fireplace area; Width X height X a Ft.2 11. Exposed foundation: Height X Perimeter Ft.2 COMPLETION OF THIS FORM IS REQUIRED FOR ALL NEW CO CT ON, JOORREMODELING AND BUILDINGS BEINI MOVED WHERE ENERGY, OTHER THAN THE MINIMAL CODE ALLOWANCE, IS USED. IZ. Framing area s 10% of gross wall area. t _ , 13. Gross wall area - J f t.2 Window area A ft.2 U windows U x A = Rim Joist area A ~i ft.2 U rim Joist = U x A s .2 Door area A ppi J~#9? ,ft. U door area _ U X A = ' tU area A , ft.2 U fireplace = , L U x A = a Exposed foundation A ft.2 U foundation U x A = -10 Framing area A s(,) Ili ft.? U framing area a ,Ga9~ U x A = 2C~ Net wall-area A ft. U wall = 104 ~5 U x A, ~i M r (130), TOTAL . . . . . . . U x = • 14. Gross wall area A 0.11 ,(A-1 single family & duplex = allowable U x A/Code (13. above) x'0.23 (A-2 other residential) x .23 (Other buildings) x .28.(Over 3 stories) • A BTUH Must be larger than x U ~4d4',.•d~I 3.~5 '01F. 13B above 15. Ceiling framing area (Af) equals 10% of ceiling area or the same as) 15A. Gross ceiling area s SL) x (4l) ft. i • e 156 Joist area (Af) = 10% ceiling area = ft.2 15C. Net ceiling area (Ac) (15A - 15B) ft.z , U ceiling x A C° CJ7~ X U framing x A f' 1Uri ~ x _ ~ ' 150. TOTAL'U x A r 16. Ceiling area (15A) x 0.026 (A-1 single family & duplex - code allowable U x A x 0.033 (4-2 other residential). x 0.06 (other) If acv j BaUH Must be larger than •150 (above) 15A I -l 3 x U (code)z 7a~ F (or the same as) MOTE: Use U and A values obtained from pages 1,•3 and 4.' . CERTIFICATION: I hereby certify-that I'have calculated the "U" factors and "R" values herein anathat the building here described meets or exceeds the State of Minnesota Energy Conservation Act. i Date •l gna to re , e4 $0(14 A 14,o lti t~ l4lt - - ~~w1~w7 ~oxx _ g, z 7)t iox Opp. _ A J Z r fhb kAl.L ~•~f L~ltarlar asti. • tl~ll S.Ftull E U w 5 Ld ing • 16,1 . •UuCltda jitr lllm ,1T • • IL lumt. ' lItalda~slr 51U11 films SCCFLOfI . • f-- , Ad 4tud n~ •4'r ~.5o(ttstaln=1 u • Sheathing 9idtng ~ ' .fvl *~c~5' • uut• Ida jilt llls~.l Al •"a., IL MAL • • • • pt ina lde slr IL lm na .65 , Diu uALt• . ' latat Lar vall , S LC 1 Lull tnauiaClae~ Avalll 1 U 91~iaE1lln~ Z • ~ ~ItattarE yuti~'Zn • l; !rig Exter tnr wit film'. ~l • .1 T,~ • • 1MAL I • _ ~ tntet tar sit (Lin n" ~5t1 ElLil• hilutstAvis JU 191' ~'ob 1,110-11, dntt•uuud 11~I ~t1 IRIM Joists M . ' , J ~ txterlor xaii caTacluy ,4.`~ L.*ttet lot air I tips • • c - intaf Lair air !Lira n" •.68 ' • lr~~uiatlart '~~Ub ' ' Euundatlun t9t4kxinr alt 6 blunk s :1I7H VENT-0 ;'TC SPACE ASOVS fftt * !S LrTF ~ LUE . FRi MII:S CE:LING . ~ Air Film €3.57 7; 0,M Insulation 39,~b Joist ,'ra Ceiling • ' 0. El Air Fi Im 0.61 ?fo ll~_ Total R~• -78 . b Z v .s . x. P- A ROOF OR CA74EORAL CETi< MG , R value R VALUE FRAPTi14 G CEILING O Inside air film 0.61 Ceiling Joist (stud) w Insulation Air space Rccf decting Insulation i Built-up roof _ 0.17 Outside air ,film 0.17 Total R ' - 1 R U window infiltration .5 cfm/l i neal -foot of crack residential door infiltration 0.5 cfm/square foot or door and minimum code requirement !an residential dear infiltration 11.0 cfm/lineal fact of crack Jb 12" concrete block no insulation = .47 R 2.1 "b 12" concrete block insulated cores = .25 a 3.8 - 15 12" l i;htweight block = .32 R 3.1 lb 12" lightweight block insulated cores - .12 R 8.3 I single glass = 1.13; with storm mindow .54 r I double glass = .55 I-triple glass = .4I Sit P-xterior walls and ceilings must have a vapor barrier (0,10 perm max.); :apor barrier must be on the inside (heatad side) of wall. ,apor barriers of the polyethelene thin film have no R value. MEMO TO: DIANE DOWNS, UTILITY BILLING CLERK FROM: ED KIRSCHT, SR. ENGINEERING TECHNICIAN DATE: DECEMBER 14, 1989 SUBJECT: Street Light Energy Cost for Late 4,*06,7,8,9 and 10, Block 3, Blackhawk.Men 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 Kir'scht Sr. Engineering Technician cc: Michael Foertsch, Assistant City Engineer Wayne Windsor-Associated Families EK/jf Se Wo 1/4 S E C. 16,9 T. 2 7 R. 23 YrY w,q■1 Naa n ri +'rauy ~ r ..a4 1 .u■ ' DN■ a IM la..• :i 1 ; MA ,Ii~fGH : _ , a • r ~ m B - ACK AM r YT all 81 ~a r!~ ; 'ar D s , 'GL6 '"'T I s 22 ! 71 YO l0 R ` , A DIT ..n. 2 ND OL x ~ N ID e M N ' • aK* `I+ art +r K~ I D L `w 1 ll ' -~a►M' a t u~~~ifff 10 ~ff 4. `j ti '7gJrb ~D .,.i t' 3 p ~ i ~ ■riyut` ~ J ~~uHi.l,i ~ ID i a • 1 ~yi k +r s~ so!* 4 qtr ..s*oo• L` p +■*•qt y ~t 6 t It t• p ~ r.r~ / dL i q F. f i 440 r 10* • ~ ~ mod. ~ 4 i fe ■~Wr.1' .I+ ~~+°~',~~,ll~ +~,F ► ,t -=errs • i S l ~ is ~ ~ p . ~Hw ■ ~ rparw A + 27 26 HILLS ROAD-- •ryr • -w 7 1 pl. t t ~ s f . lie 1 o « i V Mi.n AC A WK, WK 'Q G C4*y 11~+ to A , MINNESOTA STATE ENERGY CODE CALCULATIONS NSW , ' BASED ON CHAPTER 5 OF THE MODEL ENERGY CODE - 1983 EDITION ' Adoption Effective 1 I 4' ' -Ito :-Z? Owner Phone Date' Site Address Contractor Phone Building Classification: Type Al (Single Family 6 Duplex) Type A2(Residential) NOTE; Complete (3 stories or less) pages 3 and 4 first. . (other) 1 (Over 3 stories) GENERAL INFORMATION 1. Building Perimeter Irt 4 2. Wall height (ground to eave) ► c,}~ ft. 3. 1. x 2. above 2 ( ) gross wall area _ft. 4. Building dimensions (L) X (W) a P ft.2 roof 6 floor area 5.• Square foot area of rim joist - Floor Joist size (2 x ~ ? ) X Perimeter a Rim o st area ft2 12 ~0 tor Doors - Aped ' Thickness In. U Factor Type of Construction Perimeter ft. Manufacturer 7• Total door's perimeter ft. 8. Windows: Manufa tuner State approved U factor TYPE SIZE AREA (Ft.2) NUMBER OF TOTAL FEET 2 ' EACH UNITS 9• Total Ft.2 Glass 10. Fireplace area; Width X height X Q Ft.2 It. Exposed foundation: Height X Perimeter •G( x ;p f Ft.2 COMPLETION OF THIS FORM IS REQUIRED FOR ALL N C0 R CT ON, AJOR REMODELING AND BUILDINGS BEINI MOVED WHERE ENERGY. OTHER THAN THE MINIMAL CODE ALLOWANCES IS USED. . ~ ~~L v: I:2. Framing area = 10% of gross wall area. 13. Gross wall area ft.2 2 Window area A 7 ft. U windows = U x A= Rim joist area A ft.2 U rim joist = f> U x A or- T'Z- 2 . 1_ Door area A P. 14~ ft. U door area = .'iii- U x A = 5A Ao ATICI WV-3 2 E we area A Z.44 71 ft. U fireplace = U x A = loo<Z(o Exposed foundation A /3?5 ft.2 U foundation = ,DCP U x A =Aao Framing area A a74? j f't.2 U framing area = #015 U x A a 341 to Net wall area .A U wall = .043 U x A = 0 (13B) TOTAL . . . . . . . . . . U x A = s . 14. Gross wall area x 0.11 (A-1 single family & duplex = allowable U x A/Code (13. above) x 0.23,(A-2 other residential) x .23 (Other buildings) x 2S (Over 3 stories) BTUH Must be larger thar A . ~d 5 x U Code- ._t = ✓ F. 13B above 15. Ceiling framing area (Af) equals 10% of ceiling area (orc the same as) 15A. Gross ceiling area = (L) x (W) _ ~73E ft.2 158 Joist area (Af) = 10% ceiling area = l f `T ft.2 15C. Net ceiling area (Ac) (15A - 15B) = ft.2 U ceiling x A c= x 1744 &0 U framing x A f= x_• 15D. TOTAL'U x A 16. Ceiling area (15A) x 0.026 (A-1 single family & duplex - code allowable U x A x 0.033 (9-2 other residential) x 0.06 (other) S~3g dZlo BTUH Must be larger than-15D (above) A (15.4) x U (code), 50039 F (or the same as) NOTE: Use U and A values obtained from pages 1,-3 and 4. CERTIFICATION: I hereby certify that I have,calculated the "U" factors and "R" values herein and that the building here described meets or exceeds the State of Minnesota Energy Conservation Act. Date Signature (oo qf ezl)- UoAga 5,5 waLv. A. 5A t1l. ?P-4 - AOVr-- SAD 4- &V 14-o ~607)t9oX~)-t (5~k Z (Z"k 57) =t93~ PQP-- - -izCA Of ATPV#i • ~ T ~ , ' lttalde air UALL •11114 •a6A • • • • , ' ' itllatlnr Mall' ' • ' • 1Na11~ •U ~ ~ M sl:cilvll ! ' ltreulattlnlt ~ ' • ' • Uutllda air [Ilia .11 • • 1 Q 101AL ' ' i ' ' 11141de • tit I Um sluu 69 ltttetlnc vall •1~.~' ! sLCtloll • . stud 0") na -t-vw~• 5ptrtLnltttl U's A: • ,Itaaehing 9ldlttg ' ' Outside sir Lllta.~ •l~ .•'1. • 0. MAL (1.1; ~ aC: , ltt.lda air U to • :Jtu uALL n~ .69 • ' ~ ' lntac Lat wall s CC t loll , tll~tilatlvtt • Nall l U ~ ~ • 9it:alitla~ ' ~ • ' . . ~ E~ttatlnr ,talj~t!b tlttg Extarlnr sir tLlm' E ;t • • 1 MAL t ltttatlnr sir film Ili t6d • a ii►• Juis f 4~~ ttuulatlntt hr~ • ' t-• 1't tacit, 4n { i • tt•wbud n~i.an 1RIM A. • Jnisli ~ . 8ltaatltlltg ' x,~(,~ .ol ( . Extatlar wail t:ararlttg ,~7 txtetlol alt film 111W tat air [lino Ili •.68 ' • a. 1tt4ulatlntr • ~ Exte • ' ~~dll.~ U a.ll a • ttot air Jllm, il'_ ~T Lapaiad slunk • \ ice` ~ • + ~~:Li;tii :1I'H "!E~lT?7 A; ; iC SPACE ABOVE FRAMING CEILING -Air Film 0.5T aim Insulation Joist PP0 Ceiling S~ca Atr Film X7.61 1&. (to Total R u FLAT RcOF OR c HECIRAL CETLING R '!a 1 ue R VALUE FRA+,14i4 CEILING k 0.6T Inside air film 0.61 Caning Joist (stud) Insulation. oneei w- - Air space Roof decking Insulation t ' Built-up roof I 0.17 Outside air.filR 0.17 Total R I =U R • .1indow infiltration .5 cfm/lineal .fact of crack iesidential door inf'iitracian 0.5 cfrn/square foot or door and minimum code requirement ,cn-residential door infiltration 11.0 (:fm/lineal foot of crack Jb 12" concrete block ao insulation a .47 R 2.1 lb 12" concrete block insulated cares = .26 R 3.8 1b 12" light--weight block = .32 R'3.1 ;b T2'• lightweight block insulated cores = .12 R 8.3 1 single gTass- = 1.13; with storm.windox .54 - J double glass = .55 , I-triple glass - .4I 411 exterior walls and ceilings must have a vapor harrier (0.10 perm r.,ax,)'. ,apor barrier must be an the Inside (hea4ad side) of wall. ,apor barriers of the polyethelene thin film have no R value. KM W.T. (Mac) McCalla, PE. 6600 751/2 Avenue North, Brooklyn Park, MN 55428 (612) 560-7446 August 17, 1989 Mr. Dale Schoeppner Building Inspector City of Eagan 3830 Pilot Knob Road Eagan, MN 55122-1897 re: Residence 1 605 Blackhawk Hills Road 44 3- - 3 gMckA-. k 6/e, SA WTM Project No. 141 Dear Mr. Schoeppner: The problem at the front of the house, which I will call the south, can be remedied as discussed at the site with you and Mr. Tom Dowd. A treated 2x4 bolted at 24 inch centers to the vertical 2x6 on top of the plate. It may be desirable to drop the 2x4 back to a 1x4 (treated) near the east end, as the masonry wall approaches its planned location. Lag screws at 24 inch centers in lieu of bolts would be satisfactory, 3 inch minimum length. Please call if there is any question. I hereby certify that this plan, specification, or report was prepared by me or under my direct Very truly yours, supervision and that I am it duly Registered Professional Engineer under the laws of the State of Minnesota. + s r W. T. McCalla, P. E. ,/7'0 Date eg. Na. 10540 Copy: Mr. Tom Pollard, Northern Lights Cedar Homes. Structural Consultant Bridges • Structural Concrete • Expert Testimony Use BLUE or BLACK Ink r For Office Use I City Permit of EaI Permit Fee: ii a I I~ 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 ► Staff: I I 2013 RESIDENTIAL BUILDING P . MIT APPLICATION Date: Site Address: _16_a-5--// 6--/ G~~ ~ Unit M Name: 1571~_IC2 52*~ it Phone: Resident/ / Owner Address/ City /Zip: Applicant is: Owner Contractor a v^ a / %ZS a Type of Work Description of work:L~ID d Construction Cost: UP b Multi-Family Building: (Yes / No9-) Company: lri~ /0/-Z ~xo~e✓!ew, 5 Contact: P 4_/c,k I' uS Address: l` ruc,C~1 A k City: - .ter R. Contractor State: '241tl Zip: Phone: S el q License #`G~~ 7 7 7/ Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) I 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 L 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. & Applicant's Printed Name Applicant's Signature Page 1 of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c566586V&"#.$%N.C%&_*##;&E) 2#@M=N&TZ&&VVGG9Y.J.+&TZ&&VV5''775'6 S98H\\&HVV75H66S85'\\&!6V79866 3&N-/->@&.$%+C#-)J-&N.&3&N.1-&/-.)&N*;&.AA#*$.*+&.+)&;.-&N.&N-&*+P/M.*+&*;&$//-$&.+)&.J/--&&$MA#@&C*N&.##&.AA#*$.>#-&<.-& P&T*++-;.&<.=-;&.+)&,*@&P&Y.J.+&F/)*+.+$-;O (AA#*$.+D2-/M*-- &<*J+.=/-3;;=-)&"@ &<*J+.=/- 41,111 C!tyofEaaali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use cc Permit #: Permit Fee: �®( - 0 C Date Received: Staff: 2015 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: (o/!)a®lc, Site Address: %,05- 6/0"1.(1-1ar,k `<<5 120 Tenant: Suite #: Reside ; e Name: 3f2 eJ1<k PA SM 1 4-k Phone: Address/City/Zip: /bos- A, k/ ,k 7Irf(f !fid .max Cori tr" r Name: C r R f 4, 1 ,,'N. LLL License #: ISM o c, s 7 S. Address: 6 2 9 0 44.1 w.. A . City: 51 7? -c-, State: /k4 Af Zip: S`S I (i Phone: 6/2 - 7 0 3— 7 0 Z Ca Contact: •---Sb5(fp I, 13-cr,-1R i Email: -''.,rs )o"P1,�c 4WA-7.1 raAn New /!Replacement Repair Rebuild odify Space Work in R.O.W. Description of work: e .c cc ..-v/44w, Tf c- ures it , , /� al " : t Permit T • _ RESIDENTIAL Water Heater Uc1 '1- lotf; 4 l sr'' Water Softener Lawn Irrigation (— RPZ / PVB) Add Plumbing Fixtures ( Main / Lower Level) — Septic System Water Tumaround New - - Abandonment RESIDENTIAL FEES: $60.00 Water Heater, $60.00 Lawn Irrigation $60.00 Add Plumbing *Water Turnaround $115.00 Septic System Water Softener, or Water Heater and Softener (includes State Surcharge) Turnaround* (includes State Surcharge) TOTAL FEES $ (includes State Surcharge) Fixtures, Septic System Abandonment, Water (add $280.00 if a 3/4" meter is required) New (includes County fee and State Surcharge) 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.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance ith 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 i. of to a 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 la s. x Sep Li 5 Applicant's Printed Name x Applicant's % ignature 'MS City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RECEIVED MAY 272016 r Use BLUE or BLACK Ink For Office Use �' Permit#: /1:36q70' I /6 Permit Fee: /r.,42' 7CI 0" Date Received: Staff: 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit #: Name: j , k -,r1 Phone: (o t 7G,enc, Address / City / Zip: 6 ON- ' N- Applicant is: Owner Contactor Description of work: Construction Cost: t Multi -Family Building: (Yes / No ) Company: tr6E'_t-->-2.L ' 2 4 ✓W. Contact: 1,47 S Address: 7x,, Z—i City: & t State: Z1 t� VIA", Zip: S � (t C^7 Phone: (s7 Email: J 0.(e (-e s ,rrct •arcS, License #: C 6d93'Z, Lad Certificate #: If the project is exempt from lead certification, please explain why: "?:) L, ,4f' /3vit. i /./ tP. O7 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: Fire Suppression Contractor: Pborae: NOTE: Plans and supporting documents that you submit are considered to be public informationPortions .ofd the information may be classified as non public if you provide specific reasons that would permit the City to conclude that the 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.4opherstateonecall.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. 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. Applicant's Printed Namment's Signature Page 1 of 3 // le- r` DOS NOT W TE BELOW THIS LINE /.6r6-> 7 SUB TYPES Foundation Single Family Multi 01 of _ Plex WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review V. (25% i%) _ 100% Census Code #of Units # of Buildings Type of Construction Fireplace Garage Deck Lower Level Interior Improvement Move Building Fire Repair Repair 34 Porch (3 -Season) Porch (4 -Season) 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 Zr26 -/ MCES System Code Edition 20/5" SAC Units Zoning %),D City Water Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Roof: Ice & Water _Final Framing 30 Minutes 1 Hour Fireplace: _Rough In Air Test Final Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan Reviewed By: Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required t Final / No C.O. Required ,t 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: , Building Inspector RESIDENTIAL FEES V Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Ai 7 It 3 047-0 Page 2 of 3 Date: CityofEaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink f For Office Use f �� Permit#: /3c/11(1/10' 7- I �q� Permit Fee: �f Date Received: Staff: 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Z `"'/ yite Address: !'(o b f-3 \ n �tc \�� t L — Unit #: Name: i ,/� ,,,.. , --r1 Phone: Cy J� `�Oj 7( Address / City / Zip: Applicant is: Owner l/Contractor Description of work: Construction Cost: 1 Multi -Family Building: (Yes / No eij-- Company: Ler„,-.4....o ,Azi,b Contact:P Address: ze, Zo ,% oto City:!'-' GcJ�L_ State:4 vVZip.Lj'j1 (b Phone: 751 +0Z -2-7m1:1 �� e3 Q t.e. cf <CS )--)\License #: 479 54- FEZ._ Lead Certificate #: 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: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: Fire Suppression Contrac Phone: .onclude bmilt are considered to Abe ubllc nformeltlen Por ?u provide specific reasons that would permit t e ey ere tFrad . 'efs.", e se 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.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; .ihat4heework will be in Exterior work authorized bya buildingpermit issued in accordance with the Minnesota State Bui Code must accordance with the approved plan in the case of work which requires a review and approval of plans. g be completed within 0 days of permit issuance. e�- Applicant's Printed Name x Ap icant's Si ature Page 1 of 3 SUB TYPES Foundation 2C Single Family / _ Multi 01 of _ Plex WORK TYPES New Addition )! Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100% ) Census Code # of Units # of Buildings Type of Construction C • DO NOT WRITE BELOW THIS LINE Fireplace Garage Deck Lower Level Interior Improvement Move Building Fire Repair Repair 2,4 REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Roof: Ice & Water Final Framing )K 30 Minutes 1 Hour Fireplace: _Rough In _Air Test Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan Porch (3 -Season) Porch (4 -Season) _ Porch (Screen/Gazebo/Pergola) _ Pool Occupancy Code Edition Zoning Stories Square Feet Length Width Final Siding Reroof Windows Egress Window /g 7 2g Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building _ Demolish Building* Demolish Interior Demolish Foundation Water Damage a a *Demolition of entire building — give PCA handout to applicant MCES System IN 7-4'11 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 s7c) ty r,ti),'t Retaining Wall: _ Footings Backfill _ Final Radon Control Fire Suppression: _Rough In _Final Erosion Control Other: Reviewed By: ") C , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL y) PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA176258 Date Issued:05/09/2022 Permit Category:ePermit Site Address: 1605 Blackhawk Hills Rd Lot:5 Block: 3 Addition: Blackhawk Glen PID:10-14350-03-050 Use: Description: Sub Type:Air Conditioner Work Type:Replace Description: Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 210-0754. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 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 - Steven M Smith 1605 Blackhawk Hills Rd Eagan MN 55122--120 Bonfes Plumbing Heating & Air Service Inc 455 Hardman Ave South St. Paul MN 55075 (651) 228-7140 Applicant/Permitee: Signature Issued By: Signature