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1610 Blackhawk Hills Rd CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N 2 12071 PHONE: 454-+8100 BUILDING PERMIT Receipt # To be used for SF DWG/GAR Est Value $161,000 Date JUNE 6 1986 1610'BLACKHAWK HILLS RD R3 Site Address _ Erect ~ Occupancy Loth-Block 1 Sec/Sub. BLACKHAWK HILLSRemodel ❑ Zoning R Parcel No. Repair ❑ Type of Const. Vn Addition ❑ No. Stories W Name J . R . UZ ZELL BLDRS Move 11 Length 64 Demolish 11 Depth 48 c Address EVE _ Int. Impr. El Sq. Ft. City PLYMOUTAne Install ❑ a SAME Approvals Fees SAME c Name 00 Address Assessment Permit 0 City Phone Water & Sew. Surcharge 80.50 ~cc Police Plan Review 292.75 W W Name Fire SAC 575.00 ua Address Eng. Water Conn. 500.00 a W City Phone Planner Water Meter 63.50 Council Road Unit 290.00 1 hereby acknowledge that I have read this application and state thatthe Bldg. Off. 6/2/86 Tr. PI. 156.00 information is correct and agree to comply with all applicable State of Minnesota Statutes and f Eagan Ordina es. APC Parks Var. Date Copies 5 Signature of Permittee Total ' . A Building Permit is issu J UZZELL BLDRS to: on the express condition that all work shall be done in accordance with all appl S f Minnesota S utes Ea Ci of Eagan Ordinances. Building Official i - ~~i'`~ CITY OF~EAGAI 3830' Puot;cnob Road WATER SERVICE PERMIT 4 P. `O Box 21199... ;PERMIT: NO Eagan, MN ^155121_; DATE-' b, Zoni s { ; Address _ fey 3 i11 1' IJ 4-IL Site' Addre , Plumber: ssae.- .4 Mew "No:: Connection Charge: Account DeposJt: ~ ~ t1C1~+~ § ' She Reeder. No. PeFmit Fee. 1 agar to spy with l6a C#~ of • .4 gos. SurchOrge I~r 3 Oidinenerr.: Misc.. Charges: T Rfi _ t]t'i«rt 'f~ By Dote- Pbid; Date of insp.: A CITY OF EAGAN : `s -ER,SERYICE; PERMIT m 3830 Pilot Knob Road" P.. O. Box 21199 PERMIT NO Eagan, MN --65121 r Zoning 'gI' NO of"Units 1 Owner IIzze2 Rl.slrs.y Address: ,t z Site Address: l 61 Q t~ t~c7cl~asrk i l lit R~ t i Bt STl sta. ~l -cV Plumber. liilckcs P] "Ohissa Fs. 6-6-86 43k 20 ice L 1 pree M amply wk6 tre qM/ of Easea Connection" Chorgs: p~diueAea. /1~ pepaait 1 ' Pennif 'Fee: TA '..t Surcharge: BY Misc , "Ct+argese. . Date of Insp.: Total: Insp,: Dote Paid: Cif AIP I y o- CITY ~ ~ 3.70SPILOT`KNC 'i Cl t l: M r EAGAN, MILAN -ESOT.A 55922 AMOUNT DOLLARS-. too Q GASH HECK FOR FUND - CODE AMOUNT f C 3713, 37 3 e ~ o " Thank You: a. '6 4 White-Payers Copy Yellow--Posting Copy Pink-File Copy CITY OR EAGAN 3830 PBot Knob Road, P.O. Box 21-109, Es9aR, MN 55121 N2 .12071 PHONE: 454-8100 " 13UMLOING PERMIT Receipt # To be used for SF DWG/GAR Est. Value $161,000 Date JUNE 6 19 86 SiteAddrees_ 1610 BLACKHAWK HILLS RD Erect ~C Occupancy R3 Lot_$-Block 1c/Sub. BLACKHAWR Hli,j,9iemodel L7 Zoning R Parcel No. Repair ❑ Type of Const VA Addition ❑ No. Stories W Name J • R• UZZELL BLDRS Move ❑ Length 64 Z 9 & Demolish ❑ Depth 4-9- Add resp~Y Int. Impr. ❑ Sq. Ft. C' &e 476-0461 install ❑ Nan+fe SANZ Approvals raw,, Address Assessment Permit City Phone Water & Sew. S,tWoharge Police Plan Review Name Fire SAC Sg Address Eng. Vftter Comm 500609 aril City Phone Planner Water Mater Council Road unit 2. p . W Ihereby acknowledgethatIhave read this application andstatethatthe Bldg. Off. 6/2/8 6 Tr. PI. 1~~+ information is correct and agree to comply with all applicable State of Minnesota Statutes and Cl Eagan Ordinances. APC Parks Var. Date Copie t Signature of Permittee Total A Building Permit is issue to. UZS FJL EWRS on the express condition that all work shall be done in accordance with all applicable ,State Minnesota Statifts a i of Eagan Ordinances Building Official ~1~-~ Prank He. PIN Helder Dow Tdwmm M Ma"M -,214 - o 44/ hispecdon Datr commrnis F"Mw If ndatlrn randnp W Pt "h PDO. team. r"Isce F" Htg. Final Plbq. 111". Final ~e . Corl. Dec. Deck FftW Deft Fang. Drronbe Location. WON . Olsp. O - PERMIT # f? 3 MECHANICAL PERMIT j RECEIPT # 60 y CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: Julyg'"~~ 1986 CONTRACT PRICE PHONE: 454.8100 N Site Ad ess DG. TYPE, WORK DE7kw Lot Block _ Sec/Su Res: New Name Kleye^H@at g & Air Cond. In Address 13075 Pioneer Trail Mult Add-on Comm. Repair c City Eder_ Prairie Phone 941-4211 55344 Ocher Name Jerry uzzell FEES E_ Address 2920 EVereat Lane RES. HVAC 0-100 MBTU - 00 0 City p lMouth, 55447 Phone 476-0461 ADDITIONAL 50 M BTU . ADD-ON AIR COND. 0-24 BTU TYPE OF WORK ADDITIONAL 6 M BTU - 6.00 f. , GAS OUTLETS - 1.50 EA. Forced Air ILO ( M BTU s 1" COMM/IND FEE - 1% OF CONTRACT FEE Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00 Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00 Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF -PERMIT PRICE GOES Vey' - - CFM BEYOND $1,000.00) Gas Piping Outlets # Other F d. V SIGNATURE OF Pr. MI frfEE FEE M"~5 TOTAL: 3(. FOR. CITY OF EAGAN MW ~7 V PERMIT # PLUMBING PERMIT CD c~ 3 CITY OF EAGAN RECEIPT # PILOT KNOB ROAD, EAGAN, MN 55121 DATE: CC;N-TF(AC'T PRICE PHONE: 4544100 rt Site Adcss DG. TYPE WORK DESCRNPFM 15 91 lll~ Lot Block Sec/Sub Res. New m Name L Mult Add-on k rasa 11-501 A_ Comm. Repair c C: e P one Other tEBMh FIXTURES Name ter Closet - $3.00 Ad Tubs - $3.00 p CiL 4 Phone atory - $3.00 ower - $3.00 chen Sink - $3.00 =z FEES Urinal/Bidet - $3.00 ' COMMAND FEE - I% OF CONTRACT FEE ndry Tray - MIMMUM - RESIDENTIAL FEE -$10.00 Floor Drains - $1.50 MINIMUM - COMMAND FEE - 20.00 yI► Heater - $150 STATE SURCHARGE PER PERMIT - .50 _-T-Whidpool- $3.00 {ADD $:50 S/C IF PERMIT PRICE GOES Gas Piping Outlels - $1.50 BEYOND $1,000.00) Softener - $5.00 ` WON - $10.00 Private Disp. - $10.00 Rough Openings .$1.50 ATURE RMITTEE FEE G STATE W(k , s OWN FOR CITY OF EAGAN GRAND T10TA ll; 1. I CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 GATE 1 / J ,9 I RKCRITKO MNOM Ob it yf I- - I~ AMOUNT Is IJ 6 36 & _DOLLARS o~ CASH FrICHECK FOR FUND CODE AMOUNT ~V Lao- le +t - ;7- ~lo a e a.. .W: Th k y an tu-- BY NQ 67497 CITY OF EAGAN Remarks to I 2U& 94 C c, Addition Blackhawk Hills Addn. Lot 8 Blk 1 Parcel 10 14380 080 01 Owner ' Street State Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 6 jT 1976 3,082-33 308-313- STREET RESTOR. GRADING SAN SEW TRUNK 1970 300.70 12.02 a,Sf * SEWER LATERAL 1972 5,291-20 201-5 20 WATERMAIN * WATER LATERAL 1972, 20 WATER AREA LLL 1977 16 10.66 1 * STORM SEW IM lat. 1972 20 STORM SEW LAT STM SEW TRK - 1983 950.00 3.33 15 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK This r void rr% r - CI-J 16 mo m - C 376 Request Date Fire No. Rough-in Inspect,dn Required? Ready Now Will Notify. Insoec- l ❑Yes M<. for When Ready Licensed Electrical Contractor 1 hereby request inspection of above ❑ Own r ~ /l - electrical work installed at: Street Ad City :act ~j action o. ow"s e 1-45. County &A, kot~- Occupant (PRINT) Phone No. U 2 Q_ l l ~r t.. z, 4)S- fr L, e- -e~'O1 J O Power Supplier Address ~iG~ k n f P r t. ra r ram Electri 1 Contractor iC mpany Name) ,j Contractor's License No. ~G cyl .t2 Y` IL Mailing Address (Contractor or Owner Making Installation) u« alt tV;/L.). s-s-yy~ Authorized Signature (Contractor/Owner Making Inst Ilation) Phone Number 40S MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul. MN 65104 UNLESS PROPER INSPECTION FEE IS EN Phone 1612) 297-2111 CLOSED. REQUEST FOR ELECTRICAL INSPECTION EB-00001.04 See instructions for completing this form on back of yellow copy. "'X" Below Work Covered by This Request C 23765` 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 peel y ther lspecify) Other Speci y Other Other Compute Inspection Fee Below # Fee Service Entrance Size n Fee Feeders /Subfeeders # Fee Circuits 0to200Amps 0to30Amps 0to30Amos Above 200 Amps 31 to 100 Amps 31 to 100 Amps Swimming Pool Above 100- Amps Above 100_Amps Transformers Irrigation Booms 'O Partial-` r Fee Signs Special Inspection $ 12.3-6 TOT L; Remarks 10, AA 5A rru Q. Rough-in ' Date I, the Inspector, hereby Final Dat certify that the above y~ pection hes been a de. This request void 18 months from This request void 1B months from •.8688 1 Y5 Request Date Fire No. Rough- inI nspection Required? Ready NowgWill Notify. InsPec- Vr .Yes ❑No for When Ready Licensed ectrical Contractor r 1 hereby request inspection of above ❑ Dwne yr electrical work installed at: Street Addr City ecU Township Name or No. Range No. County A -T-I's, Occupant (PRINT) Phone No. Power Supplier Address Lam- C, F 19 4441 Electrical Contractor (Company Name) Contractor's License No. 0 m 1/Y1 e Z Lac r y QN Mailing Address (Contractor or Owner Making Instail tion) Authorized Signature tirontrector/Owner Making Installation) Phone Num r kJ . -loos MINNESOTA STATE BOARD OF ELECTRICIT THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1621 University Ave., St. Paul, MN 65104 UNLESS PROPER INSPECTION FEE IS cti....e 16171 797.9111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION Eta-00001.04 L ' See instructions for completing this form on back of yellow copy. A688 "X" Below Work Cowered by This Request Now 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 15pecifV) Other ISper,00 t er peel y Other Other ompute Inspection Fee Below ff Fee Service Entrance Size # Fee Feeders/Subfeeders 4 Fee Circuits 0to200Am s 0to30A s 0to30Amps Above 200 Amps 31 to 100 Amps 31 to 100 A s Swimming Pool Above 100 -Amps Above 100-Amps Transformers Irrigation Booms Partial/Other Fee Signs Special I nspection Remarks S YS,-5 TOT FEE ( - 031 Rough-in O to 1rr I, the ectricaI „~'~ptR+ Inspector, hereby certify that the above Final lkc % T inspection has been 6r T inane. This request void IS months from RESIDENTIAL 'Z3 BUILDING PERMIT APPLICATION CITY OF EAGAN I 3830 PILOT KNOB RD, EAGAN MN 55122 7 c ~S l ' 651-681-4675 New Const action Regulremu to RemodeURWir Reauhments • 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and.L11 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.) • 1 site survey for exterior addMDns & decks 1 set of Energy Calculations • Indicate I home served by septic system for additions • 3 copies of Tree Preservation Plan R lot platted after 711193 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE VALUATION S J 3 -7 SITE ADDRESS G1 C' A-4~ IC MULTI-FAMILY BLDG _ Y ZN TYPE OF WORK k- roc, p- FIREPLACE(S) _ 0 _ 1 _ 2 APPLICANT (it k ~~-y`r a r5 STREET ADDRESS ✓I' S S CITY L~Cde4~ fpt""re_ STATE /at) ZIP TELEPHONE # qL -"l- V23ZCELL PHONE # FAX # PROPERTY OWNER / C / TELEPHONE # SOS ~Z 7S COMPLETE THIS SECTION FOR -NEWn RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I _ MINNESOTA RULES 7672 (q submission type) • Residential Ventilation Category 1 Worksheet Submitted New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Phone # Plumbing system includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00 _ Water Heater _ No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # Mechanical system includes: _ Air Conditioning n Heat Recovery System IN ('G I I12UR Sewer/Water Contractor. Phone # JUN 0 6 I hereby acknowledge that I have read this application, state that the infor S riec with all applicable State of Minnesota Statutes and City of Ea Or es Signature of Appli OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY ❑ 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 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 (screened) ❑ 36 Mufti ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Pibg_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 Windows/Doors ❑ 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES 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) _ 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 Framing _ Siding _ Stucco _ Stone Fireplace _ ILL -Air Test -Final _ Windows (new/replacement) Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total or ,t . 3830 PRO Kkob Remy JIiW* W 010 T ae # 651-675-5673: . - - - ~ o ~ Y a p i 17! c ete far: Sisgie Fmm~,1y D"d,11aµ~s Tov es Md Cw~ pnvft a* nquhvd its each unit T, ire A.ddres8 i ~.r• S owner -'1,N Ste:' 3 46 N T t g/per/ ~ rye ~ "7,t °Cartraetor V! ///yyy r West A&Irem [ v i 4w.~. t I _ Sts" 1 } ZIP 4 p' A"Hevat is ~ Owner { 3 Aot~., madirficatfon or:ma#m to . . I.x fi7rnam replaoiwot A0 - A` i ~ °~~y<~~` is ,u ~ ~ t ~sR; a1r exchanger air conditioner other Ems. ~r ' V$'a'~'1lrell~l'~B - -:2~~~~ ~ i ' VE F4 i a U4 -7 r L [yya(~j~~rJ~ y 'I gm Y TOW r 8'Y Y hemby apply for a Reside" Modbaniml Fit"atfd. with tl ardiaa and codes of the Cam :of Eats ' m conformance but only,go splidiromfion fv a pelt; and woikis wt to stsi~t a 1 ► " appmved A- -me-of Work n*&a a mievmd awohms- § 3 s t Fp r a; F +~s P1~y~y.,~~~~.1114Vd No= p ~yy/1y lr " j~ .ta :s ~.s t: A ff Ucint - i~IWM J ' .1 - Y, 1 yr 7 - x• y 4 % 4 C~ 0 0 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 'l New Construction Requirements Remodel/Repair Requirements U On 3 registered site surveys showing sq. ft of lot, sq. ft. of house; and all roofed areas 2 copies of plan eert of Survey Real _ Y -N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Reed _ Y -h 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Requlmd ^ 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 'rf lot platted after 711!93 Rim Joist Detail Options selection sheet (bldgs with 3 or less units -f' Date ,S l ,Z3 / 20o 9l Construction Cost 4K2e o00 Site Address /6 /O QfGLCk ~x ~~s al Unit/Ste # Description of Work ,8asee7,)cn lqni Multi-Family Bldg - Y ✓ N Fireplace(s) - 0 _ 1 - 2 Property Owner /odd ! t pnn,e Ke id Telephone # (6S/ ) 61B -2a 7J' Contractor ScfF Address City State Zip Telephone # ( ) 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 (q 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 # ( M M~ I rknl M AY 2 4 7004 I hereby apply for a Residential Building Permit and acknowledge that the informati Lnis and accu te; that the work will be in conformance with the ordinances and codes of the City of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. 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 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 Plbgj~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 Occupancy !t ` MCES System Census Code 41341 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) 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 Framing - Siding _ Stucco _ Stone - Brick Fireplace _ R.I. _ Air Test _ Final _ Windows Insulation _ Retaining Wall Approved By: , Building Inspector Base Fee _ 2 Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total 2004 RESDOM1Al. PLUMOM PER MT A MY OF SArsAN 3030 PILOT KB ROAD, Eft OM j Please complete for moidifications to existing residential dw61Vngs4 r Dow 4::;7_ 1 D r 69 ,~Sits St wt Address Property Owner T .11 zj i4ol ContractorW Address { S L!! + -IT The Applicant Is: _ Owner \afflorm tier 01 Alterations to existing dwelling ` dd fixtures to roams, excluding war bolSner and waiW heater,' x -Septic System Abandonment za ' ' Water Turnaround (add $12'lM #e SM" Motdr is required) , -Other: • ~ ,~t~.; , ~ Water Softener Welier i ivMer . replacement Lawn hT4pUon System fh$, MW _ rater ttiate Surcharge TP t{4'i JUN 14 nO4 Total 4 } r Srt~ 1 hereby apply for a Residential Plumbing Permit M'KI and accurate; that the work will be., in confi mance with Eagan and the plumbing codes; #mt.l understant tills s permit, work is not to start without a. permit and weCk Will be+ the event a plan is requked to be reviewed and app Yes , JA)M )Va I kt Applicant's Printed Name ~ A `fix , 4 4 r i S } F - lJ f F , l 41 1986 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS 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 To Be Used For: G;,V Lr 6L"14149 Valuation: Date: o Site Address NAMte ICE OFFICE USE ONLY Lot -d`~-= Block Erect 1 Occupancy Remodel Zoning Parcel/Sub ~Q Q Repair Type of Const Addition # of Stories Owner _A0 41 viJ ~uJ ~d c~ Move Length Demolish Depth Address -7~) t96'yo' j5?t/L 570 Int.Impr. Sq Ft p Install City/Zip Code ,c c4"'r- f l ' Phone ~4 9 06/7 APPROVALS FEES Contractor 1q 144~r Assessments Permit Water/Sewer Surcharge Address eve res L- we JUJ Police Plan Review Fire SAC City/Zip Code _e js*gyyg YS q4 7 Engr Water Conn /7 f Planner Water Meter Phone Council Road Unit ` . 0 Bldg Off •,2 _fL Treatment Pl Arch. /Engr. 6",Q 4 1S APC Parks Address g L Variance Copies TOTAL City/Zip Code V t `lqf A)i) ssDZr3 Phone # ZS(o~. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. 2 Lli- L ! - 9794947 r n~ ~ w~•r w... oa... d.•. se.u or s credit b wodetee, fne.P&,*rchiUwdWur*1 } r i EXTERIOR MUM AVERAGE "U" COMPUTATION ows~ off ; # KrLtg;) JO tAut; ti. PLAN so. o~ o t L SITE ADDRESS DATE Mme. , ~ 7~ I 1 ~ CONTRACTOR PHONE Determine working square footage of each l e Total exposed wall area.. •._r7sq.ft• x s _ r10 ,a 2• Total roof/ceiling area...... 15 sQ•ft x 30 Total floor/canto area....... sq.ft. x _ Total exposed wall area above floor I'M +j a. Total wall window areas be Total door area o. Total sliding glass door area _ A2Qt d• Total fireplace wall area-.6969999990099 e. Total wall framing area (average 10%)....••.e f. Total net wall area above floor•••••••••••••• ZZ, ' g• Total rim joist area r Total exposed foundation area- i h. Total foundation window area 1. Total net foundation area above grade........ d Determine "U" value of each wall segment a. 3 x "U" -105 7' b. x "U" ~ _ ..r t C. sD x "Uo 0 d. x "U" e• x .0 ° f . x "U" _ ge rd x "U" he h • x "U" i. x "U" O Subtotal = 40 *sees so** ......................Totall ~ • If item #4 is the same as, or less than item .#I* _b not the intent of BBC 6006(0)2. Total exposed roof/ceiling area }5G~'..>' .0 ja Total skylight area*... k. Total roof/ceiling framing area (aver. (.10016"o/c)..... (.0625424"o/c) 1. Total net insulated roof/ceiling area Determine "U" value for each roof/ceiling segment 3, x "D" a k. x "U" D 11-5 1. X "U" #02.1 = t J 50 •.a.••...•►..a..••.•a.a.a .....................a.• Total If total of is the same as, or less than #29 you have mat - y~ #5 intent of sBc 6o06(c)i. Total exposed floor/cant, area m. Total floor/cant. framin area =averag$ •10~i)..•a...••• n. Total not insulted floant. area............a.....a• Determine "U" value for each floor/cant. segment m. x "U" n. x "U" ■ 6. Total If total of #6 is the same as" or less than #3, you have met the intent of SBC 6006CO3. ALTERNATE BUILDING EMLOPE DESK To utilize the total envelops system methodq the values established by the sum of items #4, #5 and #6 shall ad be greater than the s!jqL of items #1: #2 and #3. Prepared Date ' THRU STUD Int. Air .68 THRU INS. WALL Int. Air .68 w/ S.R. & SIDING 112" S.R. .45- w/ SR. & SIDING 1/2" S.R. .45 Stud (o , i Co " Ins. 1900 25/32" Bild. 2.06 25/32" Bild. 2•o6 Siding 811p Suing Ext. Air -17 Ext. Aar .17 j Total "R" _ t07i . , Total "R" _ 21j1 14- 1/R = "U" = 1/R = "U" _ •G~j IF- THRU RIM Int. Air .68 THRU CONC- BLOCK Init. Air .68 JOIST (v Ins. ~qt0 C.B. 12, I Z$ Opt. Styro. Opt. Ins.r0 1 1/2" Wood 1.89 Ext. Air .17 25/32" Bild. 2.o6 % d Opt. S.R. Siding t1~ / G Opt. Sid. Est. Air .17 A Total "R" = i Opt. Brick 1 /R = OUR = D . 1 i' i Total "R" "U" - ,0 1 1 i THRU CLG. Int. Air .61 THRU CLG. Int. Air .61 MEMBER S.R. (-SJgv) .5(0 INSULATION S.R. (o i Clg. Moab. 41 Ius. ( +Soo Ins. O Still Air .61 Still Air .61 Total "R" Total "R" = t, 02 1 /R = "U" = =0F i /R = OUR = .D t CALVIN H. H E D L U N D 9201 East Bloorninown Freeway Land Surveyor Civil Engineer 8"Ming,tan,L nneaoto 55420 Phone: $$$-OZ89 Su~rat'`seert~ate JOB NO. 8 o `I SURVEY FOR: Jerry Uzzell DESCRIBED AS: Lot Block 1, BLACKHAWK HILLS ADDITION, City of Eagan, Dakota County, Minnesota and reserving easements of record. ~M ~ ~mm ROAD X3594 A 8=436.0883 0. 54 64 7~ , 0 I 3a 1U0 q cPF Q o y~ D~ fit/ W w w s rn arl V lfl rc o r 0 I V I 1 ~z TOP OF FOUNDATION = 84 6.6 GARAGE FLOOR = 044.8 BASEMENT FLOOR = 83 B .5 (12 c r = 1_ SEWER SERVICE ELEV. _ / r~C PROPOSED ELEVATIONS :C= V EXISTING ELEVATIONS DRAINAGE DI ECTIONS / DENOTES LOT CORNERS :o DENOTES OFF I ET STAKE : o la~0'A / 042 ~Q Oi`EiTIFICATE OF SURVEY_ I hereby certify that on S /ZL/$ 6 I surveyed the property described above and that the above plat is a correct representation of said survey. ~s< ~ 5/ t7 !$fe (grates) ~ ~'J / / f f1 , Caivin• H, Hedlund, Minn. Req. Na. 5942 CITY OF E A G A N micmcw DoEs wrr ME AT rl= APPROVAL OF P0Uy=. s APPLICATION FOR PERMIT INSPEMON OF SEWER AND/CR R rnn'': MIJA'1'rONS WILL N= BE SCSED-- SEWER AND/OR WATER CONNECTION tm UNTIL PERMIT HAS APPROVED. ; r (Pleas Print 1) PROPERTY ADDRESS: % LEGAL DESCRIPTION: (Lot/Block/Subdivision or Tax Parcel ID ) IF EXISTING STRCCTCRE, DATE OF ORIGINAL BUILDING PERMIT ISSCTANCE: Wn Year PRESENT ZO ING/PROPOSED USE: C3 MMMERC IAL/RETAIL/OFFICE R-1 SINGLE FAMILY Q INDUSTRIAL R-2 DUPLEX (Two Units) Q INSTI IONAL/GOVERIZ= R-3 TOWNHOUSE (Three + Units) ( Units) Q R-4 APARTMENT/CONDOMINIUM ( Units) NAME: All p T m C? DRESS: ! CITY, STATE, ZIP: 0A) - s- PHONE:- / 222_L:_ 3} to : NAME• For City Use Plumbers License: ADDRESS: Active Expired CITY, STA , ZIP: Not recorded PHONE: MASTER LICENSE# ~ Staff Initial = ~a r] e DRESS: CITY. , ZIP: PHONE: of-03,11whalga.013101 ELM NNECTION TO CITY SEWER CONNECTION TO CITY WATER Q OTHER 6) 1 • PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE PLEASE MAIL APPROVED PERMIT TO 1,Q 3, 4, ABOVE 7) F1 MGM (Circle one) f 2 FOR CITY USE ONLY PERMIT # ISSUED 7h Pd w/Bldg. Permit FEES: $ $ f~; SEWER PERMIT (INCLUDE SURCHARGE) $ WATER PERMIT (INCLUDE SURCHARGE) $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ C` t, ACCOUNT DEPOSIT - SEWER $ 6 ACCOUNT DEPOSIT - WATER 7 $ 3 C~ `Cc c $ WAC $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: Z, TOTAL 2-7 R ECEIPT 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 ; 3 G P~ 9-13 Use BLUE or BLACK Ink r————————————————� I For Office Use � ' � Permit#: v`� I Clty of �a�a� � � � Permit Fee: � 3830 Pilot Knob Road I I Eagan MN 55122 � Date Received: � Phone: (651)675-5675 I I Fax: (651)675-5694 I Staff: I I I 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: �'�� i� � �: ,,l � ��`� ,� � Name -�.��i� �� ,�e t (il Phone: Residenti / , ��O1N11@I` ' �,� Address/City/Zip: /�0 1(J /�G��-///�.5 ��, ��1�� ; � �� "'�� Applicant is: Owner �Contractor �� ' � � ��. Description of work: j�e5/D�� 2p�1�-�� Gv t`�l(�JOu�. ��r� � ��T'ype of Work� � � � ,�� , Construction Cost: C� Multi-Family Buiiding:(Yes /No�) � ; s` ' �� `�� Company: ��'1`7�61 LS7�T�j�SLLJ Contact:;(/P_�h P�/ � �'� Sj�/1¢/cp PE� � ��' �" Address: ��!?2 �vc.u•rTy�Q . CO/ 5"4i�i'Zc� City: Confracto � '�� . � �-� ' State:�t�Zip: �33�g Phone:�� q"��mail: G(�ff�'A4�2G'�E'�'lTl�i��1/1'9f�vL?LD� r, ��.r�r � s ��` � , � � `� � � �; 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? I' _Yes _No If yes,date and address of master plan: II Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: .��IVQTE P/ans antl su�port►ng tla��'inents#hat jro�u�ubmcf ar��oci,sraleretl t'be pub/tc�nfa,rr�af�on �Pa�trans o� `*� � � �` ��.=.� �'� �, �i»t`r,.�' ��....; � `^ z,�,�. �,i �a' ,: � � �: '�� -s . � ,� -��'€ ..... r �.''��` �� '� s: �tl�e�nfarmat►on ma �ie class��ed as��ea��pub/�c�tf�ou;pro��dQ spe�fG r�aso s a czcrl�p�e,�eit��h��G��#y�#�o , � '� � �� ca clu �th t�t�e re rade secrets � � � -� �� ,�. �1. ?. ��_� �. ��, � 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.qopherstateonecall.orp 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 ��iM�2�l��d'Trt'�"IT x .� Applicant's Print d Name A lican ignature Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA136834 Date Issued:06/01/2016 Permit Category:ePermit Site Address: 1610 Blackhawk Hills Rd Lot:8 Block: 1 Addition: Blackhawk Hills PID:10-14380-01-080 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. 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 - Todd M Reid 1610 Blackhawk Hills Rd Eagan MN 55122 Angell Aire 12253 Nicollet Ave S Burnsville MN 55337 (952) 746-5200 Applicant/Permitee: Signature Issued By: Signature