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1615 Blackhawk Hills Rd 1 6 6 1 Request a e , 1 C Fire No. RInspecl'an Required? C7 Ready Now "*III Notity Inspectar 0 No When Ready? I licensed contractor O owner hereby request inspection of above electrical work at: Job Address (Street, Box or Route No.) " 111,0 l5 ?ic? ? ??- Ciry SX1.1 &oov,.. Sec6on No. Township Name or No. Range No. Counry ? Occupanl(PRINT) Phone No. l' *-'? J6 Power Supplier Address Elec I Contror (Compaay a e) Conhact??n? Mading Address (Contractor or Owner Making 1 slaliatbn) L? ?r eill Vv Auth ure (C ntractor/ ner Making Installation) Phone Number M ?.? a MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs•Midway Bidg. - Room 5-773 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Peul, MN 55106 UNLESS PROPER INSPECTION FEE IS Phone (812) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION lo, See instructions for completing this fortn on back of yellow copy. 7?1 F? .r?j "X" Be/ow Work Covered by This Request es-ooooi-os 1O/323 e Add Rep. TypeofBuilding AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Eiectric Heating Apt. Building Dr er Other (Specify) Comm./lndustrial ' urnace Farm Air Conditioner Other (specity) Contractor's Remarks:j K c Compute Inspection Fee Below: # Other Fee # ServiceEntranceSize Fee # Circuits/Feeders Fee 5wimming Pool 0 to 200 Amps r 0 to 100 Amps 4.9 Transformers Above 200 Amps bove 100 Amps 5igns Inspector+s use Onty: TOTAL Irrigation Booms ?U Special Inspection Alarm/Communication THIS INSTALLATION MAY B RDER SCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 HS. I, the Electrical Inspector, hereby Rough-in certify ihat the above inspection has been made. Final oa? -. OFFICE USE ONLY This request void 18 moMhs from „"- ?-..,t--' ----^ W- . . ..,. . .; i:c er, Vy. ? 3830 RikO"Kfivb pm?y Q. 04t 97-f ?, ??1+ ih?l ffi'? Pttc3NE: 4i*4i-00' ,. To be UBeti.fio?- .1K..9111mumn: EAY.'. VBtue 626- QlW ? t7a1a._....- A $1'Ita AdClr9&S .?.?.. $?I.tA an:--. Lot Block; ;:;._:11 , Sec/Sub. ? Gt.?11 Parce! No. 1BT ? N8Rte. 11A? ?1 Address S City Phone 8?3••412i? , o,ofMf+9 -._-? /?1ddCB? : . City Phane. N81t1@ ` ? A??i . . P?10n9. 1 hereby aCknowlege ihat 1 have read this appHcation and state that the informetion is cx9rrect and agree, to ,gomply with all applicable State of MinnqsoEe Statutes andl C?r ot #gan Ordanances. Signature ot Permitee A Buitd'eng Permit is issued'ie: ?* '9E on thGescpress candition ihat all work shaU be dd e ifi'i6cordanca with a!I applicable Stata of Minnes0ft Siaiutes and Cky of Lagan Ordinancws. Building OffiCia? 1A ;?. ? rv } d 1 r ( ?? ? ? s A, Y FEE8 : Ndg. PVrM 3u[Charge Plan FZwiew • : 5Re4C, Ciry SAC. WICWCC - - watBF ?'i011R 1Nat6r Me?qi ?a Aa.t. Depook :.a...:+o..._?. . ,,.? S/W Permit « S!W SUrcharg9 FrestmeM P1 ` ' : - .: •; ? Ftoad UINt ?,???•'y,_. ''y`:: Park DMd, Copiea ....?. ,_,,.,.F.,. TOtAL f ` o=upanoy " ?1 zaniny (Actual) Const (Allowable) ? ' . # oi stories Lenglh Depth ?f S.F. Total ? S.F. Footprirds ? On Site Sewage - a, site wen MWCC Syatern ? Ci1y Wa18r PRY Flequired Boos4er Pump APPROYALS Piarmer ? Cfwncit Bidg. OH. Varwce . ? . M?n? !b. Parmk iWt?Mr DaN Tekphan? # V&ra+ ? w.tmww ?, H.V.A.C. ELECrM UJI V& l.P ) EI/ I'spl'lFon Dale insP- CoAwWOenh FooUngs i Foundetion FrpnNng Roofing Rmqh PM9. 6 ? F'i0W9h Hi9• 7 Aq1 b? Firepteoe AA orsea Ti"w • - ? FYW Pft. . Ptbg. ln - Notify Ph+mber Const. Meter EnprJPlen Bldg. Final Oedc Fte. Dsck Final 1Me11 Pr. Disp. 1? i • ? ?, ,?' ,?, ' CITY OF EAGbM +?73?- . 3830 Pilot KnoB Road, P.O: B" 21-19?, r*4lga6, tm St'? . r, P?H0IVCE: ?454-81 QO , ?, BWL: DFNt3 PERMIT ? „?..?.?... `• Receipt # TobeusedfoV ?Y DUG/GAR Est. Value sZ549000 Dat? ' ` 4. . , _ Site Address -161S ?C HZLLS up y Lot 6._ Block _3 Sec/Sub. -?tJr4NAill[ Ct22 OFFICE USE ONIY , Parcel No. iST Occupancy R^3 ?j"I FEES : "i Zoning . W J Name ??? (ACtu81) Const Bidg. Peimil ? Address ????????XWI"T PT (Allowable) • •{? SurChar e 88+73?i Cily RtiaN Phane ? # of Slories ; g 73; Ptan Review ? . _h1AYY1@ .:M K Length Depih ? SAC Ciy . ? - ~ , , 10.G&E'S6 - r ? - S.F. TOtal - j ? l , r SF Fool inls 3AC. NFCWCC r ty PhOtl@ . pr - a W l r 6 r - On Site Sewage _ a e a m, r " NF11718 On Site We11 :1M1t r M AMrm ? MWCC System ? , ate Bter- City Ph011O City Water xx Acd. Dept>6+t xx PRV Required SNY Permit i hereby acknowlege tria1 I have read this application and state that the Booster Pump - ?y Surchar?e iMbrrnation is correct q nd re e #ti'._ comply with all appjicable State of Minnesota Statutes ani?Ci ?agAn Ordinances, ` ? 7reemwnt pi Signatu2 of Permitee ApPROVALS dt Fb d U a r A Building Permit is issued to: Planner --- Park Oed c?„ y on fhe express condition fhat all work shall be dcme frt 3 e?ance with all ?? d Council a . i appliCable State of Minnesota 3tatute5 and City of Eagan O?lnances. Bldg. Off. _ < : copi" ' Building OffiCial Vanance 7ppAt, . Panok Mo. Parmit lioiier Oaft Telephone # I?,?ER SEWEfl PL{1MBING H.V.A.C. ELECTRiC in9PecUon Date Insp. Commenis Footings 1 3 ? / Foundation . Fratning °t?a Q? Q Rwfing Rou9h PIb9 Fioiigh Hlg. i Ise?L ? Flnat Htg. Fmel Plbg. " Const. Me4er Plbg. Inspector - Notity Plumber Engr./Pian LJ-30 -9 Bldg. Final T-H IS pE RM1!` H A S EX ;>1 I2ED -- Oeck Ftg. WCP-K H AS BEBt4 A aQ Deck Final Ixl p c' A I`d b DA ? D weli Pr. Disp. SEWERy&NATER PERMIT CI7Y OF-EAGAN 3830 Pilot Knob Rd. Eagan, MN 55122-1897 DATE ' MAY 1. 1991 OFFICE USE ONLY METER # PERMIT DATE0S/02/91 CHIP # PERMIT # = 11968 METER SIZE B.P. RECEIPT #C4935 a' C13174 ISSUE DATE B.P. RECEIPT DATEI a' i ?- PRV _ BOOSTER PUMP SITE ADDRESS 1615 ??CKHAWK 1=9 RD PERMIT REGfUESTED LOT ? BLOCK 3 5EC/SUB B?CKHAWK GLEIi 1ST APPLICANT: ADDRESS:_ CITY, STATE PHONE: _ PLUMBER: BURNSVZLLE ELIWMECH ADDRESS: 117 BFI,140I4'C lp CITY, STATE APFI,E YALLEY 1+NU ZiP 53124 PHONE: 688-6002 OWNER: WAYNE BREKKEN ADDRESS: 3636 HARRIET 5 CITY, STATE ?41NIdEAPQLIS I41h ZIP 55409 PHONE: 823-9126 X SEWER X WATER - TAPS - COMM/IND x RESIDENTIAL ZIP X NEW _ EXISTING Lawn. Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. Credit WILL IVOT be given for Deduct Meters. , I AGREE TO COMPLY WITH CITY OF EAGAN ORDINANCES SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORW SEWER PERMITS, CONTACT ENGINEERING DEPT. - . ., -.. . . -.w -e-.s:'q•-;'1 CASH RECEIPT CITY OF EAGAN\ 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 , a?rE /? ?.??a O ? =:?,,•'. L, AMoUNT $ 3 -00 6'? 3 &?.? ? ? ?. ? CASH ?CHECK Jl "0 .. . . . I A TI?? :-:5 v OBJECT AIiAOUNT kiil a?-.. ,_m...? . . ?7 ., ? . ; ? y,? ? ?Fx a , CITY OF EAGAN Remarks vtV#' ?6 '2• ?? Addition_$l,gCkhaydic Gl-gn.-lSt Loc- 6 eik 3 Parcel J0-114350-060-03 Owner Street 1615 R1 ackhawk Tii 1 1 s Roa(itate F.agan MN 551 99 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 1076 1986 253.48 50.70 5 STREET RESTOR. GRADI,NG SAN SEW TRUNK 124 197 2.40 25 SEWERLATERAL 137 1972 106.12 20 Sew Lateral Bn 1074 1986 112.09 22.42 5 WATERMAIAI Bn 1075 1986 92.80 18.56 S WATER LATERAL WATER AREA 339 1977 6.68 15 Water Area 1072 1986 309.4 61.88 5 STORM SEW TRK 732 1983 32.60 15 STORM SEW LAT Storm Sewer Tr 1073 198 110.91 22.18 5 CURB & GUTTER 51DEWALK ? STFiEET LIGHT WATER COfVN. 13UILDING PER. SAC PAR K *M)?OQT?ARiED UMER PMIIT #17356 CITY OF EAGAN ND 18985 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ? PHONE: 454 BUILDING PF?Z? ?, -8100 Receipt # To be used for SF IxJG/GAR Est. Value $20, 000 Date MAY 1 , 1991 Site Address 1615 BLACKHAWK HILLS RD Lot 6 Block 3 Sec/Sub. BLACKHAWK GLEN Parcel No. 1 ST W Name WAYNE BREICI?N ; Address 3836 HARRIET S ? City MPLS Phone 823-9128 ? Name SAME Address 9 City Phone ? W Name Address a W City Phone I hereby acknowlege that I have read this application and state that the information is correct and agree to comply with ail pplicable State of Minnesota Statutes and C' ot agan Ordinances. Signature of Permitee A Building Permit is issued to: AYNE BREKKEN on the express condition that all work shall be done in accordance with all appiicable State of Minnesota Statutes and City of Eagan Ordinances. Building Officiai OFFICE USE ONLY Occupancy R-3 M-1 FEES Zoning R-1 (actuaq consc V-N Bidg. Permit 207 . 00 (Allowable) V-N Surcharge 10.00 # ol Stories length 75' Plan Review oePm 41 sAC, cicy S.F. Total - SAC, MCWCC S.F. Footprints - On Sile Sewage _ Water Conn On Site Well - Water Meter MWCC System X City Water _ x ct. Deposit Ac PRV Required x SIW Permit 8ooster Pump - S/W Surcharge Treatment PI APPROVAIS Road Unit Planner - Park Ded. Council BIdg.Off. _ Copies Variance - TOTAL 217.00 -" • CITY OF EAGAN N2 17 3 5 6 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 /1(? BUILDING PERMIT Receipt # ??' rl To be used for SF DWG/GAR Est. value $154, 000 Date DEC 4 Site Address 1615 RI.ACaWK H RD Lot 6 Block -3_ Sec/Sub. BT.ACKHAWK _ . .N Parcel No. iST W Name J RANDY IVERSON ? Address 1571 CENTURY PT ° City EAGAN Phone 688-7384 Z? Name S? 0¢ Address ? City Phone ? WW Name ? ; Address a W City Phone I hereby acknowlege that I have read this application and state that the information is correct and a ree to comply with all applicable State of Minnesota Statutes and C' E n Ordinances. Signature of Permitee A Buiiding Permit is issued to: J RANDY IVERSON on the express condition that all work shall be done in accordance with ail appiicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official OFFICE USE ONLY Occupancy R-3 M=1 FEFS Zoning R=1 (Actual) Const V-N Bldg. Permit 828.00 (Allowable) V=N Surcharge 77.00 # ol Stories - ' 414 00 Length 75 Plan Review . Depth 40' SAC, City 100.00 S.F. Total - SAC, MCWCC 575.00 S.F. Fooiprints - On Site Sewage _ Water Conn 5R _ n^ On Site Well - Water Meter 90.00 MWCC System xx City Waler XX Acct. Deposit 30.00 PFV Required XX 51W Permit 20.00 Booster Pump - S/W Surcharge I- nn Treatmenl PI 228 • 00 APPROVALS Road Unit 340.00 Planner - Park Ded. Council _ BIdg.Off. _ Copies Variance - TOTAL 31283.0 ? SEVIER dTlf OR&EAW+R?? R PERMIT sM Pilot Krrob Aa. . ? - Eagan, AAN 551?2-1897 4 DATE + MAY 1. 1992 . .. _ . . * -. tl&`d( !: Y ;-?+,?, :.?:';i•. i , ',?A ?. " ?. ,. , dFR" llft'OK11 METER#, peAwr ?? I-- PFRMfF # CHIP # - Z MEi'ER SRE ?sQl?u S B.P. Frt?;EIPT ?OW35_A??I ? ISSUE DATE B.P. fiMFIPT DAt7E SITE AQDRES3 -1615 BLACICHA[iK KILL& RD LOt 6 BLOCK 3.SECISUB al.l?CRHAi1IC GLEN iST APPLICANT: ADDRESS: - CITY, STATE 21p PHONE: PLUAABER: - $tJBNSVILLS BLBC/MBCH AODRES5: 117 HEIMfJN? RD CITY, STATE APPLE VALLEY MN ZIp 35124 PFIONE: 688-6002 . 01AINER: WAYlB BRBRCEN EAGAM ORDIN1AfWCES ` AdDRESS: 3836 HARRIET S CITY, STATE AlZNNF.AFOLIS MIP ZIP 5409 PHOVE: 823-9138 1111A .. WNW:MET11*1? PI.E"-4, D-'A-1fS??OR P''H)CESSRML CAI;L 4544Wi SEtiYER PERMITS;E ? a? ?•? Lci+..-?' ?-'?. .._ ? ._ .. ? ?. Address: 1615 BLACKHAWK HILL3.ot $ Blk 3Sec/Sub BLAVKHAWK GLEN 1ST These items wereJwere not cornplete at Che time of the final inspection. D t : Yes No • ? - ? Fina1 grade (6" £rom siding) ? Permanent steps - garage Permanent steps - main enGry V-11, Permanent driveway ? Permanent gas a? Sad/seeded grass Y? Trail/curb damage Porch Basemant finish Deck ? Piease verify wi.th the builder the removal of roof test caps fram the plumbing system and the shut-aff of water supply ta the outside lawn faueet before freeze potenrial sxists. ? eccxieo nwEa White - City copy Xellaw - Resident copy Pink - Contractor eopy ? ? (8rx#t#trate of (Or.rupau?y (titp of (tagan Erpartottt of luildutg imvrrtiua Tkis Certtfrcate issaed pursuant to the i'quirmertls ojSedion 306 of 1he Uniform Building Code cerlifying that at rhe tinre of issuanae tliisslructure wers in conrpliance with the viarious ordinancer of !he (Y1y negulatin8 building conouedoa or use 1'rvr the faUowing: the CIROTCRtion SF DWG/GAR OW-PamkN,,, ],A985 p-V.a,y Tj.pe R- 3 M_ 1 ymiqDisaia R-I Type Comt ?p pY,,,erorowwwg WAYNE BREKKEN A&km 3836 HARRIET S., M7NNRApQL1S, MN 161!? B1.A:;KHAWK H1LL$,.Q L6. B3. BLACKHAWK GLEN 1ST MARCH 27. ] 992 Posr rca A coNSwcuous Puce 2004 RESIi3ENTIAL PLUMBING PERMiT APPLICATIt31V ? ca cITr aF EACaN 3830 P{LaT KNUB RI)AD= EAGAW AAN 55122 661-675-5676 Rlease complete for modifications to existing residentiai dwellings. oWe?r?i Oy Site Street Address 1(015 Z1o,cl??)a.vJ K ywls Ro a?A Urrit # P'roperty Owner 8Mce, Tetephone Contractar Telephone # ? y Address CiEy State Ylp.? The Applicant is: X Owmer _ Gontracter _,_,,,4ther _ Alterations to existing dwelling $ 50.04 X Add flxtures to rooms, excluding water softener and water heater _Septic Systern AbandonmeRt , _Water Tumaround add $921.00 if a 518" meter is required) Other: OLAQ.,YIfV[-K-k"- 4--f vl:, ? Water 3oftener Water HeaEer $ 15•04 _ replacement additional _ Lawn Irrigation System RPZ_ new _ repair rebuiid ' $ 30.00 State Surcharge $ .50 Total $.' t hereby apply for a Residentiat Plumbing Permit and acknowledge that the infiQrmati?n is complete and accurate; that the wark will be in conformanoe with the vrdinances and crodes Q# the Cityr afi Eagan and the plumbing cades; that I understand this is not a permit, but Qnty an appli+cativn inr a permit, work is nofi to start without a permit and work wilE be in accordance with the approved plan in the event a plan is required ta be reviewed and approved. _ ,YeAn ? 4",- ?.-?4eC`S Appficant's Printed Name Dfl? ? 1T ? ocr 19 2004 2004 RESIDENTIAL SUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knab Road, Eagan 11ZN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construclian Reguiremenls RemadellReoair Reauirements 3 regisiered site suroeys showing sq. fl. of lot, sq. ft. of house; and all roofed areas 2 cop+es of plan {24% maximum kot coverage allowed} 1 set of Energy Calculations 1or heafed addifion5 2 copies af pfan sirowing beam & window sizes; poured found design, etc. , 1 site sunrey for additions & deeks 1 set af Energy Ca4culations Addition - indicats if on site sepfic system 3 copies af Tree PreservaGon Plan if lol platted after 7l1/93 Rim Jasl Detail Options seleclion sheet roldgs wilfi 3 or less units c l ... (31?si#e 3ep?? ,???Sterit <:#? ?' C" ? (o // Date lo Construction Cost Site.Address g\ o,GK V-?n,w ?i ? i I 1S goo.a UnitlSte # Descripfian of Work C... o V42..i` ? C0 e- l -4:?i v\ ?5 Muiti-Ramily Sldg _ Y? N Fireplace(s) _ a,& 1 _ Z Property [?wner ?jg, ce_ f' nir l e- 7`eX5 Telephone # ( b S6 <"66- Sy70 (Q) S - a S?a?I? RnACC Contractor Address City State Zip Telephane # ( ) GQMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category 1 ? Muulesota Rules 7672 E?Iergy Code Categtiry Residenfial Venti]ation Category 1 Worlcssheet • New Energy Code Worksheet (4 submissian type) Submitted Submifted • Energy Envelope Calculations Submitted Have you previovsly constructed a building in Eagan with a similar plan? _ Y _.._ N If so, 25?'o plan review fee applies. Licensed Plumber Mechanieal Cantractar Sewer/Watsr Contractar Telephor?e # ( ) Telephone # rj Telephone # ( F ? I hereby apply for a Residential Building Permit and acknowledge tha.t the infarm b4i is camplr?t°?d' ac urate; that the work will be in canformance with the ordina.nces and codes af the City ??a an f MN Statutes; I und.erstand this is nat a permit, but anly an application far a pemut, az?d wor is not to start without a permit; that the work will be in accordance with the appraved plan in th.e case of work wtuch requires a review and agpraval of plans. .. - ?• _ ,. c.. - - . , -,.. .._ Applicant's Printed Name Applicant`'s 5ig re C OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-piex ? 20 Pool ? 30 AccessoryBldg ? 02 SF Dwelling C] 08 05-plex ? 16 Fireplaoe 0 21 Parch (3-sea.) ? 31 Ext. Alt- Multi O 03 01 of _ plex ED 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4sea,) O 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-pfex 0 18 Deck Cl 23 Porch (screen/gazebo) ? 36 IMulti Misc. ? 05 03-plex ? 11 10-plsx eg 19 Lower Level ? 24 Storm Damage 0 06 04-plex 0 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous 5,9-171W Work Types 2-w S/W ? 31 New 0 35 Int Improvement ? 38 Demolish Interior 0 44 Siding Ct 32 Addition ? 35 MoVe Building ? 42 Demolish Foundation ? 45 Fire Repair C] 33 Alteration ? 37 Demalish BUilding" ? 43 Reroof ? 46 WindowslDoors E] 34 Replacement 'DemoliEion (Entire Bldg) - C:ive POA handout to appFicant Valuation oD 00. Occupancy Z- MCES Sysfiem Gensus Gode ?f Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of B1dgs Length Fire Sprinklered Type of Const 1Nrcith REQUIltED INSPECTIONS ` Footings (new bldg) ? FinaUC.O. Footings (declc) Final/No C.O. ? ? Footings (addition) Plumbing Fountlation HVAG Drain Tile Other Raof Ice & Water Final Pool _ Ftgs _ AirlGas Tests Final _ ? Framitig _ ? ? Sid.ing _ Stucca _ Stone _ Brick ,Kj Fireplace E RI. 4Air Test 1L,4 Final _ VVindaws _LO Insulation s _ Retaining Wall Approved By. f'A , Building Inspecfar Base Fee Surcharge Plan Rediew f MClES SAC City SAC Utility Connection Charge S&W Petrnit & Surcharge Treatment Plant License Search Copies Other Totat 2004 RESIDENTIAL BUILDING PERNIIT AFPLICATION f City Of Eagan 3830 Pi1ot Knab Raad, Eagaa MN 55122 Tetephone # 651-675-5675 FAX # 651-675-5694 New Canstruction Reauiremenis RemodellRepair Raauiremenis 3 registered siie surveys showing sq. ft. of kot, sq. ft of house; and ali roofed are-as 2 copies of plan (20% ma)dmum lot caverage allowed) 1 set of Energy Galeulations for heated additions 2 copie.s of plan showing heam & wirniow sizes; poured found tlesign, etc. 1 site survey for addrffions & decks 1 set of Energy CalculaSons Addition - indicate rf on-sife sepfic system 3 coples of Tree Preserva6on Plan N lot platted after 711N93 Rim Joist Detail Op6ons sefection sheet (bkdgs with 3 or fess uniYs N't? Ilx4 ? Date / t3 /=- Cost _ Const 7 ? Site Address (o L ,' AE.L???- 7 UnitlSte # ?L(.L J .. Description of Work P- 2 ?! /Q j-.J' J Multi-Family Bldg r Y_ N Fireplace(s) _ 0 _ 1 r 2 Property Owner ? ?v c- ?r_'j-4j Telephone # (? S( ) 1? - ?? ° Contractor ? ? e j Address s73? -53 ? ? ? 'f • __ City ? St t 1 J?J 2ip3? l° Telephone #Z a e CQMPLETE THIS AREA ONLY IF CONSTRUCTlNG A NEW BUILDING -- Minnesota Rules 7670 Cateeorv 1 _ M??p? Rules 7672 Energy Code Category • Res+dential VentiEation Category 1 Worksheet • New Energy Code Warksheet (4 subrnission type) gubmitted Submitted . Energy Envelope Calculations Submitted Have you previously constructed a buildin,qin E=sYn-w#k+a,simi1ar plan8 _ Y _ N If so, 25% plpn review fee applies. ; = ' Licensed Plumber Mechanical Contractor Sewer/Water Confiractar Telephone #( Telephone # ( I hereby apply far a Residential Building Permit and acknowledge that the infozmation is complete and accurate; that the work wi11 be in cvnforma.nce with tha ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for e it, and work is not ta start without a permit; that the work will be in accordance with the approved m the c e of work which requires a review an.d approval of plans. ; ;. 11 r- `.^. Telephone #( Applic ted Name .'0 's Pri? OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex 0 13 16-plex ? 20 PooE ? 30 Accessory Bfdg )( 02 SF flvvelling ? 0$ 0£-piex 0 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi 0 03 41 of _ plex ? 09 07-plex ? il Garage ? 22 PorchlAddn. (4-sea.) 0 33 Ext, Aft - SF ? 04 02-plex ? 10 08-plex ? 1$ Deck ? 23 Porch {screen/gazebo} ? 36 Multi Misc. ? 05 03-piex ?'} 1 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex 0 12 12-plex Plbg_Y or - N ? 25 Miscellaneaus Wark Types 13 31 IVew ? 35 int Emprovement ? 38 Demolish Interior 0 44 5iding L] 32 Addition ? 36 Move Building 0 42 Qemolish Faundation ? 45 Fire Repair '0 33 Alteration ? 37 Demolish Building* ? 43 Reroof 46 r Windows/Doors ? 34 Replacement "Demolition (Entire 91dg) - Give PCA handout to applicarrt Valuatian Occupancy MCES System Census Code Zoning City Water SAC Units Staries Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklsred Type of Const Width _ Footings (new bldg) T Footings (deck) _ Footangs (addition) Foundation Drain Tile Roof Ice & Water Final ? Framing ? Fireplace _ A.I. _ Air Test _ Final Insulation REQUIRED INSPECTIONS FinaUC.O. FinaUNo C.O. ? Plumbing HVAC ? Other _ Paol _ Ftgs _ Air/Gas Tests Final Siding Stucco Stane - Brick ? Windows _ Retaixiing Wall Approved 8y: Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permi# & Surcharge Treatment Plant License Search Copies Other Tota[ ? & ??S S? ?P,00 ? 1 s "` ? 1991 BUILDIN P I LICATION CITY OF EAGAN SINGLE FAMII.Y DWELLINGS MtJLTIPLE DWEI,I.IN'GS COIMERC I?AL 2 SETS OF PLANS 2 SETS QF PLAI+TS 2 SETS OF ARCHITECTURAL 3 REGZSTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PI.ANS 1 SET QF ENERGY CALCUiATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS # OF REZiTAL UN'ITS # OF FQR SALE UNITS PENALTY APPLIEB WHEN: TYPiNG OF PERMIT IS REQUESTEI?, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED OHCE PERMIT IS I5SUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE AI.L(}WED ONCE BUII.i)ING PERMIT IS ISSUEA. PROCESSING TIME FaR SEWER & WATER PERMTTS IS TWO DAYS ONCE A PERMIT HAS BEEN CQMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. CT-E ti???t??ISi-??D DtA.-EL0N? -k 401" . To Se Usad For : -!7Q-fp- Valuation: Date : Yo - ?/ Site Address Lot 6 Block 3 ,644d10X&u&1 G-'c. F,41 J?Ies7- AoVA'. Parcel/Sub Owne r ?????tf ?' /??i?'? ?*J Address City/Zip Cade 4"1-5' Phone Contractor Address ZZA City/Zip Code Phone ?J 03 Arch./Engr. Address City/Zip Code Phone # OFFICE U5E ONLY FEES Occupancy Sldg. Permit Zoning ? - ; Surcharge ct: Actual Const 'v ?-r-{ Plan Review ? Allowable v - ?L4 SAC, City # of stories SAC, MWCC Length Water Cann.. Depth r-!D' Water Meter S.F. Tota1 Acct, beposit Footprint S.F. S/w Permit S/W Surcharge On site sewage_ Treatment Pl. On site well , Road Unit MWCC System Fark Ded. City water ? Trail Ded. pRV ? Copies Booster Pump _ SUBTOTAL AFPROVALS Penalty Planner Lot Change Council TOTAL Bldg. Off. ?S ?/ ?f3/ Variance -? FCf -? T H e #??'LN r; F -K S i Ai?AF-'D ?1 N ??, 1 u. r? ?crs ?? ? t w?7c ? P2?; n? ?7" agrees that aI1 work shall be done in accordance wi th (5' nature of Contractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. 0 r??l -5( ? ? r ? / ? ,?... ? ? ? .? >?, ? i F V. OL , SINGLB FhMILY DWELLINGS 2 3ETS OF P'LANS 3 aEGISTERED SI',CE SIIRVElS 1 SET OF ENERGY CALCS. MULTIPLE DWEI.LINGS 1989 HIIILDIAG PEAMIT APPLICITION CI`PY OF FAGAN lis MULTIFLE I3WELI.INGB 2 SETS OF PLlN5 REGISTEEtED 3ITE SQRYEYS - {CHECg iiITH BLDG DIY. ) 1 8ET OF ENERGY CALCS. COMNIERCIAY, , Z SETS OF kRCHI?ECTURAL & STRUCTURAI. PLANS 1 SET @F SPECIFICATIONS 1 SET OF ENERGY CALCS. RENTAL tJNITS FOR 3ALE Ub1ITS # OF ONITS gOTEs tBDRESSBS FQg CARNER LQTS - CONTBACTQR/HOI''lEflWHER MQST DESIGNATE TiTHICH iDDRESS IS DffiiRED. ND CHIATGES WILL BE ALLOidEED ONCE BDILDING PERMIT I3 IS5UED.- SEWEB 8 WATER PERMIT R'EES AND ACCOM DEPOSIT FEES WS.L 8E INCLUDED WITEi TSE HUILDIli1G PEM'!IT FEE, PROCESSING TINlE FOR SEWER Ai+iD iIATEA PERMT'TS L5 TWO DAYS dNCE g PERMIT IIAS HEEN COMPLETED INAICATING A LICENSED PLUMBER. PENAI.TY gPPLIM WHEN: PERMIT IS NOT PAID FOR IN 3ANlE MONTH TT IS REQUE3TED. L4T CHANGE IS REQIIESTED QNCE PERMTf IS ISSUED, To Be Used For: j rA-.-c' 3ite Addreas I&I S Lot ? Biacx 3' r..-. Parcel/Sub B ?-? c?? t41aw t< t Owner J. (? s? NaDy 111? ?S E^^? lddress 1 S? I C?t?`TuA.? CitylZip Code Phone Ce ?? - ? 731? Vc Canfi?ractor -- Address l5 I i CE t?'t`c? cityizip coae E u??-• - -- Phone ' Areh./Ezlgx'. ?teG? 2c?-c fA,y Address ??1?? S • ? - f`?` lb D ?- City/Zip Cc?de ?:c,P.?.i? `?v?Oh Phone # ?, ? 3 - L-? ' ?SS l Valuation: bate : / Nd J ( 1 ?'f ? sz? C)040.. -- - --- -- Oeeupaney w-?.' N - ( Zoning % -I Aetual Const ??- N Allowable # of stories Length 91 Depth l(!i S.F. Tatal Footgrint S.F. 4n site sewage 4n site we].l MWCC System ? City water PRV required Baoster Pump AFFRDYALS Planner Caune3.1 Bldg. Off. Varianoe Y FEES Sldg. Permit Sureharge Plan Review SAC, City SACi MWCC Water Conn Water Meter Aeet. Deposit S/W Permit S/W Sureharge Treatment P1. Road Unit Park Aed. Copies sU$ToTAL Penazty TOTdL A V? 3 t>,? . At' ? ?????,-_ ? 410 ? . j Z23x??1? C?kA'? L YPAeC , r, e., d.. ... .. . ? .. .« /p y ...?-- ??, "71 X ? ? ?ym7? 4 ??l?C 1? Y x Ios 1 K5o ?A-MAC-+,cb SN =-w7-- F?> (k.. ?1ALu? 4P???R??9?b ff a?SG' RA" . ,. ct'2- =-- 17/ , ? UA 1_,t.A A"R 0 It) (--, A(k AGG ^ Z- o4 32- ? 09 4c }C /?'j'!` z8 x ?? ? 1 d6v . _.?-------- ? ? Z. o )c 1 ?f = ? ? ?, g t? 'IST ?'c.ra41? 14I-) 1 3 Z a y. LiS?-?? ? I f 2._.? 4 X ! q = ??? a ?? ?? = 5 a 8o /? 3?lZ..u nR.. 1 SLi1 ob? s? ` ? I.l(T1:111(1!I I:IiV1:1.1f1'I. A0,IIR1,1: 'ir" i,rn1i-1nnIMu . fJNNE:Ii': ?COT ??? i rl?.' ? • ' ? I"', ? . ? 51TE AbDIiF:5S. / lP ? ? r . + I'IIONF.:i;- ?•.,?', , ? , ; . Dnri J ? .. . R CONTRACTOR: Dctcrminc uorkfing squart fooCagc vt caah: fJ?/ I- ` ? ) iA ? ?l ?I?J ? 4'/W ?4•x.??? ?9• 1. Total exposed wall area ... 1 :?? 2. Total roof/ceiling arca ... sq. ft. x.026 Total expased HaII arca abave fJ.oor ....... d ?'??, l3 G oa area ..................... a. Total waJ.l win b. Total donr areo ............ :...................... ' ^ ? e. Total sJ.idi.ng glass area .......................... d. Total fireplace wall area ............ ............ 1D ) ;?. rr"S ............. 7? e. Total aali Craming arca (average . f, Total net wall area ab4ve Cloor ................... . ?-a . S. Total rim joist area ........... ................. Total exposed foundation area = ?fl, a?? h. Totai CoUndatian Windaw area...................... ?•?"'?' i. Total net fovndatian area abovc grade .............. Dctermine 'UT va2ue af each wall segment: a. i 9?, d 0 x -U'31 ?= f C, Ib.. x lu? c . ? ,? +l ?• x ' U' d. x! U' e. ?•,a d, 8 d? x' U' i. rJ x 'U' h . ,• , ", t x + u t d, i. .., o x ru, 3 . ................. ............................... Total If item 43 is the same as or less than item 91, you have met the intent o: S8C 6006(c)2. / , Total exposed roof/ceiling are5 = f?v ?j J. Total skyl ight area ............................... _ k. Total raof/ceiling Craming area (average 10a) .?... ???? 1. Total net i:nsulated roof/cezling arca .............. 1 f•'`'?,G C) Detcrminc IU' value fer e:sch rooftccil3ng scgment: J. ,..?._....... x , ut k. x 'u' x -u- . ,? ot I 4 . ...................................................... Total If total aC llU is the same as or less than p2, you have met the intent oC SBG bao6(c) I . Altarnit:r. Miil(tlnt; I:nvc7rspr, pc;ir!n To utflize the total envol4pe :,ysLcm mcLhod, t.hc waiucn, esL•7blishr.d Uy the sum "or Rens 03 nnci pla aholl not ba Grc,111;cr Whon L17r, :,um n!' iGr,mn ql inc! M 3 + • - CITY 4F EAGAN FOR CITY USE ONLY x 3830 PILAT KNOB ROAD EAGAN, MN 55122 PERMIT # &217Z PHONE: (612) 454-8100 RECEZPT # f :?........ ,? DATEs : PLEASE COMPLETE IIPkE3tt YORTI4N 9NLY FOR SI*?? LE FAMTLY DWELLINGS & ?.:?"I TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ------------------------- ---------... ___ W4RK DESGRIPTION COMPI.ETE THE FOLL4WING; ? AiO. FIX":'iTRES EA. TDTAL NEW CQNST ADD••4N MTNIMUM 15.00 ADD ON SHOWER 3.00 REPAIR ? WATER GLQSET 3.00 ? BATII TUB 3.00 A ? LAVATORY 3.00 OWNER NAME: KITCHEN SINK 3.00 k4Bo LAUIJD1tY TRAY 3.00 SITE ADDRESS: '? S?IL- ?? H0T TLTB/SPA 3.00 ? GTATT:R HEATER 3.00 LOT:.,__?_ BIACK .3 SUBD. FIAUR DRAIN 3.00 ? GAS PaPzrtc oUT. INSTALLER: 1) 3.00 ROUGH OPENINGS 1.50 J_'Sa ADDRESS : ??`?,_ ? Y?+`??? ?• ? OTHER WATER SOFTENER 5,40 CITY: ZIP: PRIIIATE DISP. 15,00 U , «, Q` ??,,? ? FJ . G. S PRINl{LER 3.00 PHQNE #: ?O b 3UB'£OTAL ? ? S • ST. SURCHARGE ?g lp .50 SIGNATiIRE DF PERMITTEE TQTAL: ?tPLEASE COMPLETE THIS P4RTIOId F4R ALL COMMERCIA.Lf INDUSTRIAL BUILDTNGS ANll ? :,_:.,,...::.. ....:..:... .,...,..::.,.. ., : ...... .. MUZTI-FAMILY BUILDINGS TrTHEA3 SEPARATE PERMITS ARE NOT REQUIRED FOR EA AWELLING UNIT. CONTRACT PRICE: 0G7NER NAME : aiTE ADDRESS: LOT: BLOCK SUBD. INSTALLER: ADI?RES S : CITY: ZIP: PHONE #: FEES 1$ OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR EACH $1, 000 OF PRR.MIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 1$ $ STATE SURCHARGE $ TflTAL : $ (STGNATURE) FOR: CITY OF EAGAN . !?'r???.,. ? #i?, -axi:ai:.::::??._......-.,?....'_'.. Usrx ur LAUscv run Uirz ubL vNLz 3830 PIIAT RNOB ROAD EAGAN. IYN 55122 PERMIT ?F PHONE: (612) 454-8100 RECEIPT ? O DATE : PLFASE CD2rIPLETE UPPER PORTIBN ONLY FOR SrNGLE FAMILX DVELLINGS & TaWNHOMES/C4NDOS VHEH PERHiTS ARE REQUIRED FOR EEICH UNIT. ------------------------ --------------------------------------------------..------ WORK DESCRIPTION C0MPLETE THE FOLLOWING: N0. FIXTT3RES EA. TOTAL NEW CONST ADD-ON. MINIMUM 15 . 00 AAD Q13 5HQWER 3.00 REPAIR WATER CLflSET 3.00 S N' ? BATli TUB 3,00 IAVATORY 3,04 DWNER NAME: +! nf ?rPcll?Y, ? KITCHEN SINK 3.00 -1 J p ? LAITNDRY TRAY 3.00 SITE ADDRESS; 1?/_? HOT TUB/SPA 3.00 WATER HEATER 3.00 IAT:40 BL(}CIK ? SUBD. /All ? F7AOR DRAIN 3.00 GAS FIPING OiTT. Y?$T??; „ f/? ? (MINIMUM - 1) 3.00 RflUGH OPENINGS 1.50 ADDRESS : iz0o OTHER WATER SOFTENER 5.00 CITY: ZI?: PRIVATE AISP. 15.00 .5?.?`f1Si.S d U.G. SPRINKLER 3.00 PHONE S[TBTOTAL 5 I ? ? r?fl ' ST. SURCIiARGE .5(} SI TURE OF PERMITTEE ToTAL; S f ` S , ,50 .ltGZAi.?'?NDUSTRTA2.;:: PLEASE COMPLETE THIS PQRTI(3H FOR ALL Ca2?4ERCIAL/INDUSTBIAL BUILDINGS AND ,. . , ? . :... ... ,«?,,>.r .?..?. ?.,....,.._a...?..,..:.::...»-. ..,_..:., MULTT-FAMTLY SUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUFRED F4R EACH DWELLING UNIT. GONTRACT PRICE: FEES OWI3EFt NAME : SITE AIaDAESS : IAT• $LOCK 5U$D. INSTALLER: ADDRESS: CITY: PHONE # : ZIP: 18 OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CANTRACT PRICE x 1$ $ STATE SURCHARGE $ TQTAL: $ t s icNATTnzEj FOR: CITY QF EAGAN MEMO T4; DIANE DOWldS, UTILITY B2LLTNG CLERK FROM: ED RIRSCHT, SR. ENGINEERING TSCHNICIAI+i DATE: DEGEMBER 14, 1989 SUBJECT: Street Light Enerqy Cost for Lot8 4,5.6,7,8,9 and 10, Biock 3, Hlackbaak,Giea lst Iddition. (Bee attached sketch) This memo is to inforrn your department to start to invoice the energy costs for Lots 4,5,6,7,8,9 and 10, Block 3, Slaekhawk Glen lst Addition effective January 1, 3990. Associated Families, the developex of these lots had Dakota Electric insta3l street lights recently along Blackhawk Hills Raad to furnish street lighting for the abave listed lots. Lot 8, Block 3, Blackhawk Glen 1st Addition is the only lat which the records in the Building Department indicate is riot yet developed. Invoice the energy costs for Lat 8, B1ock 3 to Wayne Windsor of Associated Families, et a1, 4338 Highland Drive, Shoreview, Mn. 55112. When the City of Eagan receives an application for the utility haak up permit For Lat S, the builder and/or owner will then be billed for its share vf street lighting energy costs, and the developer will no longer be responsible for said energy costs. Edward Kirscht Sr. Engineesing Technician cc; Michael Faertsch, Assistant City Engineer Wayne Windsor-Associated Families EK/jf ? SeWo 1/4 SEC* 16, Tiv 279 R.23 t ?a??! ?'a ?,_..,..., .i ••?M ? ?a .... . . G?CI !v:• ?u?rli ? ur k ?y..• • r ? { * ? 'tr ,? H?. "??o".r - __7?.N ?.??uati°p-_9 ? ?'a\ . ? ? pS e ? r a? r • , YY 7t V AVK (?!`( `U? ? l'1• 1 \ `?"?r? ? y+f? V t ? ?Y?? Yi p3 r htif 22 T • ? QIT n ?7 • ? ?.. Rr.. ?.? Ot ? 1 Y D ??{? ? ? '•nu ??' i' q ?" ?\.4??' !' ? K r6 14 K I 13 ? D *? . 7 h L.t 1 . ' ia4°.i? J.r? •? ?? ; A a# ? w???wl _/ 'e? ,o r? Y • ? u ? ?? b? ?aAQ 10 i y' -. 3 y , 4V Yl?d ? ? L q,11, J r t ? ?.. 7"? .. ?r 5 ? ?• y? ? + I ? / ' X1,?f airy"a p ? /j a- ? a ?? • tp?M ii?+ '?p" ? I • ? 'w ? ? ?! ' . x?t • ? ',?? r • + ? a .? _ .l ??j"j+?(? 'n .? r •o'rr- ~ ? ? ? ?'???' ? v?- ? i?` ?' V ? z _ • t ' ? ? y1. +p? '?i' 'i ? ?4 `?-e?'i°v? , • " e ? e ? i is AD •?ii;r w ? ? • ??` + ; ? ?ti. ?'? . „r? „? r ?t \ ?? r ? ?? s '? . ? rt rr•? • ?, ? • S?j, ?•N 5 \ 1 a• ? ? J. ? ?? ? a , +?"? '?C r . ? w?A. ? - Vt, 1 y 10 ' 1i7? r .?•-•k-??A'^' ? ? ? •? "[' ? .s - 3 'Y1?Yf ,? r?? •' ? 6 1 ? • P ?a' ? ?; ? ? ? ? ? _ i3 ?m ? ?,??' ? a ?• j° ?i? u . r ?, ? e ? y, • k - ? ? ? ? 1 ? ?0' `'?* '6 t ? ?` ? ? x?h ? ?i i ? ? '? ?. / • ??.« _ ? ? . [i ili??l 'R - iY it ' w ? ? ? ?' '?4 ? - ? _._ . ' ?•' .. J11ii-iN U _ •1? f ? ? ? ? c p • v ? _ r Ji. ?? • ??` ? f ? ? ? • -? r,r+ ?/ ..? - ? ? ,,?.--- +` v *? r ? . . „ B L.AC- AWK .?•?, ?~ ? ?: ? ?, ,? ??? ? ? + {? 1 to 1 ? ?? ? ,? r ? 4 44 w ? y ; J. H. Dahlmeier Engineering Inc. Aprf 1 17, 1991 Board & Raom General Contractors 3836 Harriet Ave. So. Minneapolis, MN 55409 Attention: Wayne Brekken 3, G, Re: Residence Under Canstruction 1615 Blackhawk Hills Road Eagan, MN Carnmi ssi an No. 91025 Dear Mr. Brekken: The purpflse of tlais letter is to repart the findings of a structural engineering review of the existing foundation system at a residence under construction at 1615 Blackhawk Hills Road, Eagan, Minnesota. ASSIGNMENT J. H. Dahlmeier Engineering, Inc. has been directed to conduct a structural engineering review as requested by the City of Eagan of the existing foundation system for the residence under constructzon at 1615 Blackhawk Hills Road, Eagan, Minnesota as directed by Wayne Brekken of Board & Raom and provide a written report of the findings. BACKGRUUND This residence was partia7ly constructed about two years ago inctudtng the foundatian system, the f7oor framing system and woad framing. Construction was abandoned and exposed to the elements for two winters. The City of Eagan is requiring a review of the existing foundatian system by a professional engineer befare the cQmpletion of the structure can start. DESCRIPTIdN The structure is a partially completed residence with cast-in-place footings, 12" cancrete masonry foundation walls 13 courses high in partial basement with crawl space and attached garage. The plan of the basement is basically rectangular w7th a small L portian to the narthwest. The averall dimensians of the basement are 40' x 26'. The superstructure is wofld framed construction typical for residential type construction including wood floor jaists at top af faundation wall. Cvt?Grete slab has not been installed.in basement. 10650 County Road Sl, Suite 214 Maple Grove, MN 55369 612-424-8566 Fax 612-493-2292 , r Board & Room -2- April 17, 1991 OBSERVATIONS AND COMMENTS 1. A site visit was conducted by John H. Dahlmeier on April 19, 1991. The foundation wall was constructed of 12" concrete masonry 13 courses high using standard running bond. 2. Utilizing a four foot level and tape and string, observations were made with respect to the existing conditions as follows: a. The front (south) wall is essentially plumb full height with essentially no bowing (at most 1/2" at the center top of wall). The west wall is essentially plumb with no bowing. The east wall adjacent to the crawl space is essentially plumb with no bowing throughout. The walls in the "L" portion are essentially plumb full height. The bottom 7 caurses of the remaining north wall are essentia]ly plumb. The top 7 courses are bowed in and out of plumb as much as 3/4" in 4 feet. b. Some reinforcing placement and grouting at approximately 5'-4" spacing has been completed in the f ront (south) wall. c. The side wall adjacent to the crawl space has partial earth load. d. A horizontal crack appears one course down from top of the wall on the front wall. 3. Based on structural analysis, this foundation system is not structurally sound as constructed. The south, east, and west wa11s are within the construction tolerances with respect to plumbness and bowing. However, the north wall is not within acceptable tolerances. The top 6 courses are out of plumb excessively. 4. The following corrective measures are recommended in order to provide a structurally sound foundation system: a. Provide full height reinforcing and grout fill at spacing shown on attached sketch S-1. b. Remove top 6 courses at northeast portion of south wall and construct in accordance with good construction practices with reinforcing full height as described above. c. Provide floor joist to plate connections as detailed on S-1. d. Provide other items required on sketch S-1. e. Provide support to non-load bearing west wall as detailed in attached sketch S-2. f. Tuckpoint all cracks in mortar joints and replace all cracked blocks. g. Ensure that reinforcing extends full height and cores are filled to the top of the block. O • Board & Room -3- April 17, 1991 5. The crack in front wall ane course down in mortar is a result of an 8" block used to create a brick ledge an the exteriar. 6. Sy eopy of this letter to the City of Eagan, the Bui7ding inspections Depart- ment is requested to eonduct inspections as required to ensure compliance with this letter report. If you have any questions, please contact me. Sincere7y, r. J n H. Dahlmeier J H. Qahlmeier Engineering, Inc. JHfl: se cc: City of Eagan, Building Inspections Dept. I hereby certify that thfs plan, specification or report was prepared by me or under by direct supervision and that I am a duly registered professional engineer under the laws of the State of Minnesota. stration No. Ci.eaa %-r4C-r•,1%v;'uLA ? t?r+? P ti c..? Yh. b4 A",' c-'+ o%. bt?/ C7 eP? JC f"y N 4: r.4 N4 f.F! •e re. sr C ?oua `r SQ' Sr e- , V` oL? J q: er P 4 0?J Ma? ts Q'? l," O¢? r ? r 2 E-= E-O P4.A -- c . ?r- . mAi Spau ? q Q?-- ,??t3?..os. oY 3?303Zf ? ti che F.. ?. W- • . . `?` ep Q . 1 2.'? ?a. e t.. ?c K444 ?t?"'"''?? ?L 3 Z•v C, L :Pf 1' k ?g COMM. NO. ? J. H. Dablmeier - Residence 91025 1615 81 ackhawk Hi 11 s Road pqAw? ?' n&??g ?C. S- ? Eagan,. MN . i0dS0 Cc+unry Rd. 81, SuRs 214 612•42I-8366 CIiECKEO 6Y MapJe prove, MN 55360 Fax 612.493•2292 N)- , o J N p: 6_s 'TVp:c.dl .' c a t L 3n?"yi'Spac ? i Fl_-i uaavh t,% t ?i.-ooit. bA?' ;?'c? .?,?r??b ?-? , F1rCyb Z '! "C'???P? ?. ss: ?.. ? 4 Q?, rC t+l.?, {? t S Prac c5 S; rv%Rtio 0 A. 3$+ r?tta??+••t ?.t G p+???aort N??,Fb o? ??etK ,NP.,•.,. Tu Qi..A TE X 1?a.? ?U a: ?.. S ? T R ?S t?? ?. ?4 1 + (. C1 P- OC is c-d J R. a. e, $ ?• S f, w"CvkjT' w a? c-t- 'r't> F?•ooQ 3a?ST comM. Na ? J. H. Dahlmeier Residence 91025. 1615 Bl ackhawk Hi 11 s Road c wN ?r ?n???? ?n? Eagan, MN 106SO Councy Rd. 81, SuIK 214 612424-8566 CHECKED BY MApk Gnvve, MN 55369 FAx 612-493-2292 Ic .?,. v •,r ? - • ; ,. A34 \ Speed Prong Addad for Eester end Feslar 1nslallsilon A341A35 ?HORS ? The A35 snchor"b ezciusive berdinQ siot aNOws instant, eacurat$ fteld bends !or $11 two• Snd throe•way Cies. Sat$need, sompletely rever6ibte deslgn permRs tho A35 ia secure a greal variety ot connections. MATEFiIAL: 10 gaug9 sIeel FJNlSH: CialvanlzAd lNSTALLATIOH: ¦ A34-Uss O-Od x1'/4' • A35^-135e 12-8d x 1 01a" •'Use all Specilied faslerters. See Gsnetai Note 5, page 2, CODE AC6EFTANCE: A? ?a?ce ?nd Q onoA?S? n $erv?ce No. 1211. A35 FRAMI'MG "'4 TYPE OF DIRECTIM GONNEGTIQH dF l4RD A1 235 220 E Ct 170 170 Ax 755 324 EC 'I'?WN ?LLQWAaI.@ F r,, cz 255 315 LOADS ?p ?QAD NORM NIAX p 154 150 ? ? 500 5Q4 ? r 1 F 450 450 .? •?;,?. C@II{ng Jalsts 16 8eQm ds to PbaEe Ley Outsidr ness j?in? ?e vaed vReen t?aminp anch?? apes n?ta?ed cn saca side of sMe Jois1. 2. loads may not be inueased fir shorl-te?M durafan ai toad- . ? e y ?. ?,toEslsta boama 8esrns to Post6 •K° pod "B" i.eOt OaEeide ?SCr?LVWOaD sHEaarHrNGcirPS P/ywand Sheat6ing Clip Ovw Manufact4rret! frann steeJl MATERIAL: 18 gOugC steel FINISH: G6lvanixed INSTqt,LpTfpN: • Mstalts betwaen piywodd p9nels in sdzes W ? 7/s?I '?ss,' ?,' $?i; 9TId 1Yit ¦ pesammended upaclng: one behre8n each suppori exeept '' . 1wQ betweAn BUQPor16 46111Che5 i7n C6nler cRING [NFQRMATIdN: Speciiy Slta foltowed by i'&C. c coayr;yei ,ge? Sim" staoNc•ut GoWIur. IK. 47 ------------------?- __?_..-_---------------------"_'-"'--.._-__-- N[A MUDSILL AJYCHORS ? • Eliminii#e5 driAil7g the sAl ¦ Includes deplh pauges tor easy, pertect Instalialon • IVo speciaE toals tequirec! ' ¦ Can be install6d befol'e Sill pl&cement or attached ta si?I (see Illustratipn) * Arrawhead tSeslgn Li ldeal tpr InSerting inta scmeded suriace ? A law-labor, hlgh-value rRethGd !G secure mudsiqs to monOtllh IC 8f2Ds or tduAdati0r1 wdlls ? Replaces anchor poks snd wasAers _ ` ?s p p?pr PateM Na. 5,889.441 MATERiAL: 16 gauge Steel FINI$hl: GalvBnized 1N5TALLATION; ¦ USe ell specified iasteners. Seg Genqral Np48 S, page 2. ? ¦ End anchOrS Shelt npt be more Ihan 12" firam the end of each si4, Maulmum anchor spacing icsr tfia MA4 and MAa 4S 4' and 4%' on center respectlvely. ¦ Th8 mudS{li Wl7Crs are not oonsidered sat€stactary for use whera (a) a harizantal cald Jolrn exisls benveen the slab and f4un0aitpn walf pr fqoting beneath, Or (b) they are inSt9fted in siabs poured 4Yer lOundatian walls iotmed of concrete blodc. C4AE ACCEPTANCE: ICBA awepted: see Evaluatipra Service No. 7211. FA3TE NERS ALLdWABk.E L4AElSI MODEL SiLL UPB..?F7 " REAPEN- l?Ip. SI?E W $IpES ?p AYG U?LIFT PARALtEI ?ICiiLAR TOTAL IILT T+? PI,AYE 7Q pLATE 2x4 1 2-tOCIet IA 2•10dx1jT 2655 30 550 1780 MAd 3x4 3 ? d-lpdx ?h 10dsc1S?t - 1060 680 'I# 80 5 ? ! -S 11/? 4028 i? d 6$ MAO 3x6 5 ? 4-1 11h 4-1 1??'t #29E1 1160 1. Laads may nat be IncreaseC tor ahart term Ouraton af bad. MUDSrLi blABANCHORBLOCK NEW! Murfsiff-gl+dok Found'atioxe Anehard Vse tri¢ MAB b anchor 2x4 and 2x5 rtwdsilis io concrete biock or etab foundatipns. MATEAIAL: 18 gauge steel FlNISH: Galvanized INsTALL??rioH: 0 • tJ9e ail specified fasiertevs. 5ee Qenerat Note 5, Pa9e 2- • F'AOr to ins1G11ation ihe MAB teg5 must be Spread ta accommodate [he mudslEl. Immediately altar pouring and screeding, Insert the MA6 into the concrete or W. Attach Ehe mudotli to ihe anchw wfth 10d x 1W11afls after the ooncrete cures. ¦ For a cenien cOe ln aMaltalton, ddll A;Y," hole thr0ugh Ehe mudsill. Wrap the #iAAB straps around fhs mudsill so thet trie naltS C$n be ir?staMeti as BpeCNied in the table (see Mustretion). • Meximur: MAB spactng is Won center wben u8ed as a tep3acemenl for 6' on Center W aneW bob. ! CODE ACCEPYA'NCE: NER pending at time oi catslop publicetian. (NDB FAS N£ t?PLlf'I A?l A0L? LOAOS EL L ' AYti PAFIALLEL PEEiAENDIfUl/lli NO. BIDES I TOP ?? tiPUF? t0 PLATE TO PtlITE MA 13 1+ a 2-10clx7 i 4-1 ' t?'r7 565 ?i4t? 600 2 1 J? -1 7 13 ?•1ddx7 ?lj . ? as0b. SuyLine +. ,??, ,6 9r .a.?Co,4We. ,? / ?-" J. H. Dahlmeier Engineering Inc. May 3, 1991 Baard and Roam General Contractors 3836 Harriet Avenue South Minneapolis, MN ATTN: Mr. Wayne Srekken Subject: Residence under construction 1615 Blackhills Road Eagan, MN JHD Comm. #9125 Dear Mr. Brekken: The purpose of this letter is to amend the J.H. Dahlmeier Engineering, Inc. report dated April 17, 1991. Please revise Item 4b under Observations and Camments as follows: One method for repair of the north wall is to remove the top six (6) courses at the northeast portion of the wall and install new block with reinforcing steel and grouted cores in accardanee with good canstruction practices. A second option . is to remove the exterior backfill, push the top six (6) courses back into a plumb condition, install reinforcing steel and grout the cores full height. It is the understanding of this writer that the aption of pushing the wall back in place has been selected. The wall has been plumbed and no longer has a bow at midspan. The wa3.1 has been reviewecl by the City Inspector. Reinfarca.ng steel and grauted cores will be installed in accardance with Sketch S-1 which was attached ta the report dated Apri3. 17, 1991. If you have any questions, p3.ease cal.l. ` .oot.-S incerely, ? ? ? 4 4,40ohn H. Dahlmeier 4M17 J. H. Dahlmeier Engineera.ng, Inc. JHD/t1m c: City flf Eagan Inspections Dept. 10650 Caunty Road $1, Suite 214 Maple Grave, MN 55369 612-424-8566 Fax 612-493-2292 W(? Zoos RESIDENTIAL PLUMBING PERMIT aPPLicATtoN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. 3o,s0 Date / / S- / Site Street Address Unit # Property Owner v1 rr Telephone #(VI) Contractor /01/.V" 4'11 ti Telephone #{?l? )cAW- Address _a S' SO c.el& City , tcQaState Nlrri Zip 53-35'-L The Applicant is: _ Owner Contractor _Other Septic 5ystem _ New _ Refurbished Submit 2 sets of plans and MPC license InGudes County fee $ 100.00 Per as-built $ 10.00 Atterations to existing dwelling $ 50.00 _ Add plumbing fixtures. This fee includes installation of a water softener and/or water heater at the same time. If you are installing onlv a water soffener and/or water heater, do not complete this section; move to the next section and check the appliance(s) you are installing. _Septic System Abandonrnent _Water Turnaround (add $130.00 if a 5/8" meter is required) Other: Water Softener Water Heater $ 15.00 _ new _ replacement ? Lawn Irrigation _RPZ ly PVB new _repair _rebuild $ 30.00 State Surcharge $ .50 Total $ 30- ?"? I hereby apply for a Residential Plumbing Permit and acknowledge that the inforrnation 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 1 understand this is not a permit, but only an application for a permit, rk is not to start without a permit and work will be in accordance with the approved plan in the event a plan is require obe re?ed and approved. Applicant's Printed Name Signature Certificate For: Randy Iversan DELMAR H. scHwawZ ' wro aunvErOqs, INC. Mpi?t?nd IMdM lFw of TM Slete M Uftnroh 1I750 SOUTH ROBEFiT TRAIL ROSEMOUIYT, MiMNESOTA 55{184 SURVEYOR'3 CERTIFICATE Descriptionr Lat 6, B1ock 3, BLACKHAW GLEN FIRST ADDITION, according to the recorded plat thereaf,Dakota Countyr Minnesota. Top Foundation E].evation Garage Fl.oor E].evation Lowest I,evel El.evation REVISEA 12-01-89 Changed house plan and locati.on! ?` - ? ? ? ? 6?:N 7 3 ' <. ?#vNaB \ 4p- ? ? ??•? . ?? ? ? O ? \ . ? . ? .. I hsreby certify that lhis suroey, plan, or rspo?t wes propereA bg me or undsr my dbrscl supsnision and thai I am a duty Rsqistsrsd Land Surrayor undor the Izwa af ths StaM ol AAinnftMa. o.W /l- /7-89 e0?/-5 D 12-01-89 ? Hook I40 Page 04 s d121423-17$9 N ? Scele : i InCh = 30 Feet 0 Denotes iron manUment ? Denotes set wovd hub 9 benotes existing elevations 910? Denotes proposed elevations fr_om development plan. ?? . S ?. y1 DtImaF H. 8chwurz .,`w", • , /? MlneosooAa Rpblration NO. SW 1t , .? « > . 4 Certificate For; Fcandy Iverson DELMAR H. SCHWANZ LAND lURYEYOABi. INC. MpMMatl IMAu lewa M TM ftN of MineMft 14750 50UTH H08ERT tRA1L iiOSEMpIlNT, MINNESOTA 550ds SURVEYOR'S CEATIFICATE Descr.iption! Lot 6, Biock 3, BLACKHAWIC GI.BN FIRST ADDITXUN, aecording to the recorded plat thereof,Dakota County, Mi.nnesata. Top Foundation Elevation Garage Floor E].evatiorr Lawest Level Elevation , ?1 a ?- ? RSVISED 12-01-$9 Changed house plan and location! ? .-?•a r ? s 3. ? a ? ? ?< < ? . ? t h4rsby Gsrtify thrl this survey, plan, or repoA wes propsrsd by me or under mp direct suparvisfnn and that 1 eA1 a dufy Reyistsrod Lmd 5urvsyor under tha trwl ot ths StNe af pAinnesotR. o.t.d /1- 17-89 eC?/fWn IZ-o/ 89 ?G-w!?D 05---17-fo ? ?a fra \ ? 8", 7 f . Book /40 Fage0?4 - 612/423-1709 ? I Scale : 1 InCh = 30 Feet Q Denotes iran monument [3 Denotes seG woad hub 9 Denotes existing elevations 40 Denotes proposed elevations €rom development plan. $4'L • `? Y ? ? . ? aq o.lm.r H. sehwanx Minmsbts Rpirtration PtO. a(i25 B43 • ? ïü ÷ þýýü û úûù øüüýý ú öï ê ðêëýü âã õÛ ìãâã þý ÿþýüûëùæ÷ùþüû ùüûëû ùûßþøÛ ù ÷þ÷ìãìåþû ü Þ ÿòþ ùú æùûùûûùùæ ù ùóþóûùõà ù æ ý ùé ý þù ù û ýþæûé ÷ ùýóèù ùùòþùýü õæ óüóé úêãÜêééì ôø ÿþù ù Ý þ êãÜêéïéîï Ý þ î é óò ñð ûû ëù ùþ ù îîîúùóçÿâ õßë ñ ûñöì ñöîî ðâãíììãìâ ùýü õ çù ûû æùó ùù ùóûüõ ûû ýÿ æñ ÿ þ ÷üæ åù é ûû à þüÿ þù PERMIT City of Eagan Permit Type:Building Permit Number:EA115778 Date Issued:09/30/2013 Permit Category:ePermit Site Address: 1615 Blackhawk Hills Rd Lot:6 Block: 3 Addition: Blackhawk Glen PID:10-14350-03-060 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes . Eric Lee 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 - Bruce A Peters 1615 Blackhawk Hills Rd Eagan MN 55122 Elite Restoration Pro 2202 Fremont Ave S Minneapolis MN 55405 (763) 443-4867 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA178424 Date Issued:08/16/2022 Permit Category:ePermit Site Address: 1615 Blackhawk Hills Rd Lot:6 Block: 3 Addition: Blackhawk Glen PID:10-14350-03-060 Use: Description: Sub Type:Water Heater & Water Softener Work Type:Replace Description:Standard Water Heater & Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 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 - Bruce A & Jennifer J Peters 1615 Blackhawk Hills Rd Saint Paul MN 55122--120 Homeworks Services Co Dba Homeworks Plumbing Htg 1230 Eagan Industrial Rd, Suite 117 Eagan MN 55121 (612) 400-9020 Applicant/Permitee: Signature Issued By: Signature