1625 Blackhawk Hills RdCITY GIFE?
Permit(No: 91?29`'_ . 0 10-8-87
3930, IhW KrM6 Hoad Metar Nu:
RFader Noc _ D` Sp .? ?/ (o peft „ ...: ..
Epgwk; illN,SJ'124 _
Owrter. - - * : S ?e h-an Hd?ea , Inc .
Si?e Addres? "1425 Blackhawk Hills Road T. B lac w ?-=
Plumbecwel Mechanical
Conn Ghg::; , 5.00pd WARM* ? RI
Acct-oep_ 1500ad,._,. a• 1N9c9t 4ltilt??- 1
uirr
Permn Feec
Surcharg? _ - 5 CI 1 to co-yrwd tH Eagau
r
Tr.Plant 1SO_0@it?11IIQFMeter. Misc.:F R V ?TAT,E?? RFC?IITRF.D 1MATER SERVICE PERMIT
This request void '
18 months from
I y .. r_J.? -
liequest Date '' Fire No. Rouph-in Inspection
Fequired?
?Ready Nuw QtWill Notify Inspec-
o No tor When Retldy
? Licensed Electrical Contractor I hereby request inspection of above
Ownar electrical work installed at:
Street Address, Box or Route No. City
/-)-- 4??7
Pction o. Township Name or No. Range No. County
h ??rt r.?
Occupant (PRINT)
r? ?.e ."f t AY .r ? t ! "`7 Q Phone No.
Power Sup lier
Nc !?!C
4 Address
Electrical Contractor (Company Name)
?? a?/.• '?c ? C ?' C ontractor's License No.
l ???.
L
MailiAp Address (Contractor or Owner Making Installatinn) ?
Authorized Si nature ( ont[actorl(,yp?ner aki ng Installationl
.
?
%??
? Phone Number
?
t1.?
,
?..
1I'liJ IIYJrCIi1 Illiv ncuvcui?? •?ai
MINNESOTA STATE BOARD OF ELECTRICITY BE ACCEPTE? BY THE STATE BOARD
Griggs-Midway Bldg. - Room N-191 UNLESS PROPER INSPECTION FEE IS
1821 Universitv Ave.. St. Paul, MN 55104 ENCLOSED.
Phone (612) 642-0800
REQUEST FOR ELECTRICAL INSPECTlON . es-ooooi-os ,
See instructions for campleting this form an hack of yellow copy.
"X" Below Work Covered by 7his Request
NLEOW Add Rep. Type of Building qpplinntea Wired Equipment Wi.ed
Home Range Temporary Service
Duplex Water Heater Lightin,y Fixtures
Apt. Buiiding Dryer Electrie Heatin
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm Other pecifY ihnr ISpecrfy;
ShP,f $Ue(;i(y Otf1Cf 7 11 Llih(;r
Compute /nspection Fee Be/ow
k Fee Service Entrance Size !t Fee Feeders/Subfenders # Fee Circutts
->.- 0 to200Am s 0 to30Am s t. 0 to3UAm s
Above 200 qm4s. 31 to 100 Amps 31 to 100 Amp,
Swimming Pool Above 100_Amps Above 100_Ampy
Transformers Irrigation Booms ` Partial. Other Fee
Signs Special Inspection
$
T
Rerru3rks OTA? E?
Rough-in ? Date ?? the Electrical
? ?^?r Inspector, haraby
certify that the abova
Final ? D?te inspection has been
made.
This reaueat void 18 months trom
This request void
16 months from
D ??ft IOJ 42
17 .• ?.; Lr.- L{,-
, ?
,.
fiequest pate ?
L a / Fire No. Rouph-in Inspection
Requj,red
?
y `
?
ReadY Now,?Wil? Notify InsPec-
[
Wh
?Nn
?
PS or
en Ready
Licensed Electrical Contractor I herebV request inspection of above
Owner electncal work installed at:
Street Address, 8ox or Route No. City
ect?on o. Township Name or No. Range No. Cowity
Occupant (PRINT) Phone No,
Power Suppti r Addre55
Electrical Contracmr ICompany Nam 1 Contrar,tor's License No.
e''c, c? f? Yl/ f?- s
Mailin A dress (Contractor or Owner Making Instailation)
U ?.01,
Auth ze Sienatur IContractorlOwn r Making Installatiun) Phone Number
i? -?J?? -le 3 - r1:3 J?
MINNESOTA STATE BOAR OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midwey Bidg. - Room N-191 BE ACCEPTED BY 7HE STATE BOARD
1821 Universitv Ave.. St. Peul, MN 55104 UNLESS PROPER INSPECTION FEE IS
ENCLOSED
.
Phane (612) 642-0800
REQUEST FOR ELECTRICAL INSPECTION EB-00001-06
? See instructions for completing this torm on hack ot yellow copy.
Dv10k-0 42 "X" Below Work Covered by This Request
Nim Add Rep. Type ot Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Lightin,y Fixtures
Apt. Building Dryer Electric Heatin
Commercial Bldy. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm oinNr SPecity o,ner isnocitYi
thar SUecify Other Other
Comnute lnspection Fee Below
M Fee ServiceEntranceSize p Fee FeederslSubteeders # Fee Circuits
U to 200 Amps 0 to 30 Am s 0 to 30 An s
Above 200 qmpS 31 to 100 Amps 31 to 100 Am s
Q ? Swimming Pool Above 100_Amps Above 100_Amps
Transformers Irrigation Booms Partial- Other Fee
Signs Special Inspection
5
TOTA
Rerrarks 3?? ?U ?-
r
Rough-in D?Jtfi I, the ical
Inspector, hereby
certify that the a6ove
Final ? %?1e? ? / inspection has been
made.
Thie request voftl 18 mon[ha trom
. " _.? .?.?r ' - T -•- r - . . r • .... ? . .
CITVO,FKtAGAN PermitNa 9120 .?. ? _
Date:' - . _ .
3830 Pilot Knob Road Meter No: gimi`,.
. P.O. Box 21199 Reader No: Date: _
Eagan, MN 55121 . .
Owner. 3tagh-gm Homs, 2Ae. .
`
Site Address: 1625 $1SCkhawk 8111s &astd L $3 i c , , .
Plumber. ?Weeaset IwChaafeSi
Conn. Chg: 52?,?d Zoning: ? ? .
Acct Dep: 15.00pd No. of Units: 1
Permit Fee: 1t?.f?f'1?sC"l ?
Surcharge: •50bd I agree to comply, with the C_
itY ofEagan .
Tr. Plant 180. 001?d Ordinances.
Meter. 67
Misc.: v R 4 VAT t1E ttROUT-?RD gy .
WATER SERVICE PERMIT
r.
;CITY` O ?'L?'AGAN
381i0;?Pilot Knob Road
P.O. Box 21199
Eagari; MN-55121
Permit No: 10279 Date: 14-8--87
B/P No: 7 Q1(L Date: 10..7-R7 ' -
Owner StRnh_ge_Rnm"_ Tn
?
Site Address: ??23 Blackhazrk fliLYs Road L7 B3 "g].&cichsswk. C1aAl
Plumber: ' ??t*l Xech&QiCA1
`-4
MWCC: S?5;Ahv:d Zoning• R1
5?
City Chg: _ It?D-OOnd No. of Units: i
Acct. Dep: 15.00vd
I agree to comply with the City of Eagan "
Permit Fee: I0.00vd
Ordinances.
Surcharge: . S4pd
Misc : gy
SEWER SERVICE PERMIT
/ V
? /?
??
FLH ' Cl)6.'$ MOUN?r. ?
,. . ? gd.i .
..
'
?
:
?
' *
... .
_ . ,.. s ?:
' . .
..
.
. . ... _ . _. .?
. .: ?P. ? .5
._ _ .
...
, ' .-`:. . . -: ia.: ,
R*s.rV??•.-! .iF. Y '.5'
3 ,#
• ?
i ' ?
.0.? , 4t'. ?G .? ?
?
t?
?
l. ?? ? .. .. ?... ? b':.t . ?'? r '??i• ? ?? .? .. . .. ..?s5n'?'`(??K;
- -? ? 4, ? ?-?• ?.
W?
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x?s
A k.?Q `, 4`?? N
S
?.
?y s
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q 1 ?
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'
i ?•
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y
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r
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m y ?
?F .?ra??
Y
p'
._ , .. _ ..?.. ? T
.. . ,..??.. s . ? , - ( . ?• ', - '1,?1rt.-«+? ?t•%..?Y
_, ? _ _
? ..
....... rr. .. ..... ?..Y. ..._._.
?
? t
..- .e4.. ,r?' .?,... . ?.y.?..
'?.? ..., _ .
.. . ? ' .. . . ? .?.a. ,4.. ?,. . .. ,. .. , w . . ,,. .. . s! _
. . '•F, ? .
? ? a? - - ,? - _?
* -
-
-
.. . „
._
.: . ..,_. , . ?:-,.-?.. . ... ?:. .,.. -.?.._ .
.' . . . ,
.«..,,_?... ...? ' , e
. . ..?. .., .... .. ?.,.. . .
. . . ?, . ' :'i"? . . ... . .. . ' ? . . .
SLDG.
r ?
(3I-32I0
01-3422
Q1-3445
{31-344b
D1-2155
17-38b0
20-2275
20-3865
20-3868
20-3716
20-2252
2b-3713
20-3743
79-3866
11-3855
PERMIT N0.
[J
?u
Bldg. Permit 0
Plan Check
5urch./Adm. f ?
?.
SAC/Adm.
Surcharge
Road Unit
SAC VWater Conn.
?
Water Trmt. -
tiater Meter
Acct. Dep.
Water Permit
Sewer Permit
Sewer Conn. ?
Park Ded.
TOTAL
CITY OF EAGAN , .
?. • 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-8100
BUILDING PERMIT Receipt #
To be used for Est. Value •' ' Date ;19
Site Address 'OfPlE USE dNLY
nn Site Sewage Occupancy.
'
Lot Block Sec/Sub.
, MWCC Svstem Zoning r-
Parcel No. l
A
t
C
t
On Site WeH ua
)
ons
(
c
? *'?+? ',"'"'? 3t,. ?; ,,a .?.,?;"r:r t t"' _, ".
n
?? City Water (Allowable)
Z ?. ?? ,? t: rT , t;?F• s r : n ?
*dress PRV Required # of Stories
ill:
o
6Y Pho"@
Booster Pump
Length .
. DePth .
, o
Name
To3al
S.F.
v ` Addfess Footprint S.F.
?°C- City Phone APPROVALS FEES
? W
Name Engr./Assess. Permit
W ?y
?
Planner
Surcharge
_?
¢ Z Address Council Plan Review
?W Cit PhOne
Y
Bldg. Off.
SAC, City
I hereby acknowledge that 1 have read this application a,nd state that the Variance SAC, MWCC
information is correct and agree to comply with ali applicable State of Water Conn. '
Minnesota-Stetutes and City of Eagan OrdinanGes. Water Meter
?j
5ignature of Permittee , -
- Road Unit
A Building Permit is issued to: "`i ` •• ''''?i.? TreatmentPl "
on the express condition that ali work shall be done in accordance with all parks
applicable State of Minnesota Statutes and City of Eagan Ordinances. -
"
TOTAL •
,
Building Official_ `
Prr?lt No. Prrwdt NokMr Dstr TolopAone 0
Ptdmbinp
H. C. 1no2 9? ??/.? ?'`?
Elactr6C ?' , /O? ey7
Softsner
tnsp"otlon osb lnsp• Comrnents
Footbps 1 -0 ?
fo6tinge 11
Foundatian
Framing
Roafing
Ftough Htg' - . ? a.
IsuL ?
FireplaCe
FFnal Htg.
Final Plbg.
e ldg. Fine?l c?r ?/e J co.r?? 14,r ? s- 8' C.W _
CerL lJ{i{i.
?
Temp. LP
Deck Ftg.
Deck Final
weu
Pr. Diep.
? ?
R.
aq
P
' . #
r ?a ., .."? • _ ??
PLLMOM'PEPt
pTY 0W EA6ANMff RECE1PT
- 3830 PILCT K1rdB R0,11D, EAOAN, MN 55111 DATE 1l¢
MITRACT PRICE: PHONE: 4544100 ??'? 5 &if ?Ac?J K Ad. sLoG. nrPe wORK D§SCMWntN
Lof BI k /Sub '
Res. X FJew 19
m Name UJ C iV ZC L. MeC' N #I C'A Mult Add-on
? Address0 e ? c? pk_Comm. Repair
c City ?AA/ Phone y59 '/Sr" 5, Other '
?. . FI)(TURi$ - - - ?
Name - o ? 5 Water Closet - $3.00
c Addr 423 O T OT" /UD 8? Tubs -$3•00 t
? C?y ?PP,(?. (/A f e / Phone Lavstory - $3.00 •
Shower - $3.00
Kkchen Sink - 13.00
FEES Urinal/Bidet - $3.00
_
CAMM/IND FEE - 1% OF CONTRACT FEE ?=aundry Tray - $3.00
MINNIAUM - RESIDENTIAL FEE -$10.00 1ppr Drains -$1.50
MINIMUM - COMM/IND FEE - 20•00 yyater Heeter -$1.30
STATE SURCHARGE PERPERMifi - .50 Wh?dpool _ $3,00
j1kDD $.50 S/C IF PERMIT PRICE GOES "? ? p?p?ng Ouiiets -$1.50
BEYOND $1,000.00) =Soibener - $5.00
' ' i ,1C•
iNATURE OF PE'
, FOFt CITY OF EAGAN
weli - $1o.oo
Private Disp. - $10.00
_Rough Openings - $1.50
F!E
STAT€ S/0
QRiRti1D TtiTAtz
s?V
Q
,' ; *%
CONTRACT PRICE:
Site Address `"
Lot ? Bloc
PERMIT #
MECHANICAL PERMIT RECEIP'f' #
CITY OF EAGAN Novesdoor 10; 1987
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
PH4NE: 454-8100
/Sub
1:,.i _ ,. : ,T, ; : ?
? Name Genr.-Rysn fieating
°-' 24I4 south Robert Trail
Address y CityRorsemount, MN phone 423+I1d4
55068 •
Name Steph-'7n Hasnea
c Address5186 - 1$4tt1 Stre9t G'est
a City Qple `, z'11eY.? Phone 423-3322
55124
TYPE OF WORK
Forced Air 180 M BTU $ 36 • ?
Boiler M BTU $.?
Unit Heater M BTU $_
Air Cond. M BTU
Vent. . CFM $ ?
Gas Piping Outlets # ? $_2?
Other $_
FEE 39'00
S/C: .50
39 ?+0
BLDG. TYPE WORK DESCRIPTION
Res. XyXxxKX:C ?L New xxx
Mult Add-on
Comm. Repair
Other
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
(RES. HYAC INCLUDES A/C ON NEW "
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER?PERiMf!) - 7.5U EA•. '
COMM/IND FEE - 1% OF CONTRAL'T FEE
APT. BLDGS. - COMM. RATE ARPL{ES
TQWNHOUSE & CONDOS - RES. Ri4TE APPLIES
MINIMUM RESIDENTIAI FEE - ALL ADD-ON &
REh+l(?DEL:S - 12.00
MINIMUNI COMMERCIAL FEE - 20.00.
STATESIJFG#dARGE-P01-PSRflMT; ..:. .: . . . ... : .Sp, , -
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
StGNATURE OF PERMITTEE
TOTAL•
FOR: CITY OF EAGAN
,
, . ,. .,. . ,: ?.:• w,.. ?.a, . . t, . . ?
-6? *-,
(Ur#itira#r of Orrupttury
QLitp of Cagatt
Erprhnrttt of lutlding JWprtum
This Certtf cate tssued pursuant to the requirernents of Sectaon 306 of the Uniform Buifding
Code certifying that at the time of tssuance thds structure was in complEance with the various
ardinances af the City regulating building construction or use. For the fodlowing:•
Use Clarei[cakon Mdg. Permit Na
OtcuQancy Type Zoaing DssVict Type Const
,.. , _ . : ; ?•.:
Owcer of Bu6lding . Address
Baildm Addnas I.ocality
Datc
Building Qtficial -
Pf?ST IfJ A COf+ISPICUOLPS PLAGE
CITY OF EAGAN Remarks Dj f -?? 1&.2 -41.2
Addition $la.ckhawk, 6l-esn 1st Lot 7 aik 3 Parcel 1.0-14350_070_03c/
Owner Street- 1695 R1a rkhasak u;llc Rnadtate E.a.ga;,MN 55.1-2-2-
Improvement Date Amount
Annual
Years
Payment
Receipt
Date
STREETSURF. 107
6
1986 l+g
2 3
50.70
S
STREET RESTOR.
GRADING
SANSEWTRUNK 124 1970 2.40 2$
SEWERLATERALB 74 1986 112.09 22.42 Jr
WATERMAIN gn 1075 1986 92.8CL 18.56 5
WATERL ft0hrea1072 1986 22.18 5
WATER AREA 339 197 6.6$ 15
1073 1986 110.91 22.18 5
STORMSEW TRK 732 1983 32.60 15
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
I • -1 CITY OF EAGAN No
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 -
? G1/
BUILDING PERMIT PHONE: 454-8100 Receipt # d
To be used for 5F DWG/GAR Est. Value $192,000 Date ? C-7 --
Site Address 1625 BLACKHAWK HILLS RD
Lot 7 Block 3 Sec/Sub. BLACKHAWK GLEN
1ST ADD
Parcei No.
m Name STEPH-AN HOMES
z Address 14340 PILOT KNOB RD
? City A.V. Phone 423-3322
°C
,o Name SAME
? Q Address
? City Phone
V W
WW Name
s z., Address
v
Z
aW
City
Phone
I hereby acknowledge that I have r ' appli nd state that the
information is correct and agree i ? p licable State of
Minnesota Statutes and City of Ordi n e.
5ignature of Permittee ??
A Building Permit is issued to:_S-TEPI3=AN -HOMES__ _
on the express Condition that ali work shall be done in accordance with all
appliCable State of Minnesota tutes and City f Eagan Ordinances.
Building Official_
-?
14269
,19
OFFICE USE ONLY
R3
On Site Sewage Occupancy _
MWCC 3ystem
X Zoning t(i
__
-
wn
On Site Well (Actuaq Const
? -
City Water (Allowable)
X
PRV Required _ X # of Stories
Booster Pump Length
_
84.5
Depth 60
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess._ _ Permit $ 779.50
Planner _ Surcharge _ 96.00
Council _ Plan Review 389.75
Bldg. Off. SAC, City 100.00
Variance _ SAC, MWCC 525.00
Water Conn. 525 . 00
Water Meter _ 67 . 00
Road Unit _ 305_.00
Treatment P1 _180.-00
Parks
TOTAL ,967.25
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
BUILDING PERMIT Receipt
To be used for SF jAC/GRR Est. Value "'?1 qt.LX)« Date
Site Address 14:65 IILAL'i?HAW& ls" 1LA.;s k!
Lot 7 Block 3 Sec/Sub. bLAC`"3AV't. G'T.t:;ti
S. "
Parcel No.
a Name
z Addless 14140 Pi LC9'T' ::NUB RFr
° City' • ?? Phone 42??"3?122
. o Name `,?1?E:
? ? Address
? City Phone
U0
W W Name
F W
? z. Address
¢
WZ City Phone
Q
t hereby acknowledge that 1 ttave read this applicatioh ?nd state that the
information is correct and agree to eomply,with all applicable 5tate of
Minnesota Statutes and City of Eagan Ordinan?es.'. I
Signature of Permittee
'
A Building Permit is issued to: yTEPH"'AN 60? ES
on the express condition that all work shall be done in accordance with all
ap5licable State of Minnesota Statutes and City of Eagan Ordinances.
Building OfficiaL .i --
OFFICE USE ONLY k3l
On Site Sewage Occupancy .
MWCC System ? Zoning x I
Vn_
On Site Well (Actual) Const
-VA -
City Water ? (Allowable)
PRV Required X # of Stories
64 `
8ooster Pump Length
Depth 60
S.F. Total
Footprint S.F.
APPROVALS
Engr./Assess. _
Planner _
Council _
BIdg.Off. _
Variance
FEES
_ Permit
_ Surcharge
_ Plan Revisw
_ SAC, City
_ SAC, MWCC
Water Conn.
Water Meter
Road Unit
Treatment P1
Parks
TOTAL
4, 779.50
96.00
389.75
1(k7.t7?J
- 52'S.0f3
S15•0D
{17.00
305.00
--- IBQi OO
$2,961,25
,. . CASH RECEIPT •
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
pRTE L 19
RECEI
FR VE (
?
AMOUNT s
- & OOLLARS
too
0 CASH [] CHECK
FOR
C' .
'f-i?
? C
I?a s" ? ?<< «?'
FUND CODE qMpUNT
n? c
Thank You r
B?
N2 White-Payer3 CoPY
Yellow-Posting Copy
Pink-File Copy
-?
? q2 1987 BQILDING PERrIIT IPPLICATIO - CITY OF EAGAN
SINGLE FAMILY DWELLINGS .
IHCLIIDE 2 SETS OF PLANS, 3 CERTIFICA?ES OF SORVEY, 1 SBT OF ENERGY CgLCOLATIONS
.
NOTE: hDDBESSES FO$ CORNEB LOTS - CONTRgCTOS/HOMEOTiNER MQST DESIGHATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BS ALLOWED ONCE BIIILDING PERMI? IS ISSQED.
MQLTIPLE DWELLINGS - RESIDSN'l7.AL RENTAL QAITS FOR Sli.E IIBIYS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVBY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COLMMRCIAI.
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For: Valuation: Date:
Site Address
Lot -2 Block
Pareel/Sub Owner
Address
City/Zip Code
Phone
/qZ 000 OFFICE USE ONLY
On Site Sewage
MWCC System
pn Site Well
City Water ?
tttlv ?
Occupancy P, -3
Zoning R-1
Type of Const
(Aetual) V-N
(Allowable) V-r1
# of Stories
Length
Depth
S.F. Total
Footprint S.F.
FSBS
Contractor
Address
City/Zip Code
?
Phone
Arch./Engr.
Address
City/Zip Code
Phone #
APPROYlLS
Assessments
Water/Sewer
Police
Fire
Engr
Planner
Council
Bldg Off
APC
Uariance
? 6?.25
Permit
Sureharge
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Road Unit
Treatment P1
Parks
Copies
TOTAL
?
GARRG?E
30xa(=, _ r78o )(iz= l3(,0
8S mT
SSX ZS ? 15y0
(Z X (17)
?
1 sz3 x iN. zi3zZ r
pu? ?
4zx3zr 4000"
gr Oa
S"S x2$ - ? ? y
(z X 4?'?z) (1-7)
Zx?y = _!K
*4q? b8Z4??
zt- ,? FL oari 15 oa o?
4yx 51136 ?
19 I 5? ?$
?
v
., •
.
? ?,?i
:., .. ?;
i ?v ?(, ??'' L•
. ? J j • ?? ?
G h o ,?,? ?
?-e}+
s
a
?.
?
?
?--
? ?? ? r `' .5-= ?0• p ?,3 ?. ?'~ ` , ` \ \
,0??9$
?.L ? ' ?} d? ? $ ?7 ,?-
C? ?, d' l .,?.- ?• c ? ,f,
., ?
CV
.
V ?°` ,
o ,
6 ?o
.
?•?k
r ?r
o? rC ?:•' ? Lc? i -7 ; ??._.c?_?. ?i
3?, 9?`? `` .-. l?i.-+\G.?? t..l- .:.r-? ??.. __... E.?-?
\
, ? ? ,_ Y •? ;? ? iA ta e -e 2 n ; ....
o D?? e T?5 fRa ?-? ?? t•l U 1.nExT
I hereby certify that this survey was prepared by me or
under my direct supervision and that I am a duly Registered
Land Surveyor under the laws of the State of Minnesota.
D at e:?ee??,,, (?,- z s? ?fo7 - •?
LeRoy H Bohlen
Registered Land Surveyor No._10795
? ? .
EXTERIOR ENYEL'QPE AVERAGE °U" CaMPUTATION
041NfR ,?lZ ? ? . ?1Z-? 4 Sfl
SITE AOORESS Y2Z5 `?ut,AGKhMu11?, ?t[LL
¦
caKTRAcTOR _ ftg:r? ,v ov r?Qm? DArE PHOwE YZ-1 7 3 z z
Determine working squere footage of each,
1. T4ta1 exposed wal l area . . . , , .?y_?. .?? sq. ft, x .1
2. Tota l roaf/ce ;1 i rg arEa ...... 0d sq. ft. x .0?;-
Total exposed k•rall area above floor •2Z3?_75"`
a. Tata1 wall window area,,,,,,,,,,,,,,,,,,,,,,,,,,, 03- .7.,
b?. Tata1 door area ,,,,,,,,,,,,,,,,,,,,,,,...,,..... ? z S/
c. Total sliding 9lass door area ................... a z.,
d, total fireplace wall area ...................,..., -
e. Tota1 wall framing area (average 10%)...,.,....,, .
f, Total net wall area above flaar ................? 2.2 G Z„L
g, Total rim joist ar•ea .................. .....,.... --4'-0 Z)
Totat exAosed foundation ai-•ea = bL6-1&-
h. Tot-ai faundation window area..................... '7_0>
i. Toai net foundat7 on area above gralQ , , . . . i 15.A.2 d
Determiae "U" value of each segment,
x"U" --
b. -7_ ? X "Uu 4-0/
a-o ?- z NuR • 5? •?.?: o?
?
d . -?"
z „u It __-- s
e.- X „V. 0 q,? t 14-40
-- - X ,lum 0 Cr, ; 92_74,
f , 22Z2. - t 4-
g., 26,W-d6 X"U° d? ¦ i a•14
h. X "U"
1, ?100 R 4' X "Un ??-ZS
3............ ?.1 .t -q ,-.i I& .............. Tata1 s
I f i tem 13 1 s the sarrre a s , or 1ess than i tern ft , you have met the f ntent
of sBC 6006(c)2. . .
?
7iotal exposed raof/ceil inq area = ZG 9?'.??
t
tal sky]iqht area . ................. ..,
Totat r0of./cei l ittg framjng area (average )0%)... Totat Ret`insutaked roof/ceiling area......,.... ZG??':`vo
Determine "U" value for each rooflcetlinq seqment.
j . K uuu s
1. ? ?S , o o X U
4 ..................Z:? Totai ? l ;z _j
If total af 14 Ss the same as, or less than 02, you have met the inten? of
S6C 6006(c)l,
Alternate Building Envelope Oesign
To uttillze the total envelope system methaci, the values established by #.m
sum of items #3 and 14 shall not be greater than the sumi of items 4,1_a-qc_02,
4 5, } ? ._..__.. ? Z- 3 7- °
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WEPJA CO, PLAN SERVICE
ED RNDERSQN
ARCMITHCTURAL DESlGNiNG ANO PLANNING
5397 Upper 147th S#reet
Apple Valley, Minnesota
Res iden ce:
423-5658
Off ite:
423-3775
i
913 .?6
C t T Y O F E A G A i? *? =': PAYMF:N?' OF FEE AT?;T?II?? Fo;
?? -• ? . ?. APPr_.zcATIoiv DoFS Wr . .
APPROVAL OF PERMIT_ '•:::?,?•'`,.-..,
, APPLICATtON FQR PERMIT
. ' • ? INSPEGTION OF SEWQ2 ADD/M'`M=
: .. . • ? ONS WIl'.Z NC7r . Fe-!kmED
nzTAu SEWER AND/OR WATER CONNECTION ? UIM UNrIL PII2MLT HAS BEEt_`-
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1J 'PROPERTY ADDRESS: P ease Print .;:????-•:., .
LEGAL DESCRT
? CO,%YjEFtCIAL/RETAIL/OFFICE
INIDC'STRIAI,
? INSTIZ'UTIONALjGOVERNMENT
PTION: :.
LotB ock Su ivision or Tax Parcel ID )
IF EXISTING STRL'C`wmE. DATE OF ORIGINAL BCJILDING PERMIT ISSL'ANCE: .., .- . . .
PRFSENT ZONING/PROPOSED LTSE: . {Mon Year .
?. R-1 SINGI,E FAhLTLY ? R-2 DLiPLEX (Two L?nits) ? R-3 20WNHptISE (Three + Units ) ( Chi.ts) •
R-4 APARTMEN'r/CONIDOMINIUM • .._.
UrLitS ) .
NAME: S?e-?/j f?a122 1
ADDRES S:_?
CITY. STATE, ZIP:_
PHONE:
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R HANIC?AL
ADDRFSS= 3600 KE-f1iVEuEC DRIVE, EAGAN, h11NN.55122
CITY. STATE, ZIP: . --• . . ? .
PHONE: _ MAsTER LICc-NSE# 001445M2 • a« • • i i?t- ? • ? .
NAME:
ADDRESS:
CITY. STATE. ZIP:
PHQNEE: ? . .
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For C1.ty-- Use .
Pltar,bers .License:
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C4NNIIC'I'ION M' CITY SE'WER
J? CONNDCrION M CITY WATER ? pQM
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6) t,? • y • i- (? PLEA.SE HOLD APPROVED ,_ .
PERMIT F'OR PICK-Ltp BY ONE OF A,Bp!UE
. . ? PLEA.SE MAIL APPROVEp PERMIT TO 1, 2,
. Q 4. ABOVE . .
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FOR C[TY USE ONLY
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, $ ?Q •?O SI:WER PERMIT S -- ---•- -.:" ,
$ WATER PERMIT ( T_NCZ.r':)=
$ WATER METER/COP?ER--
. $ 4v'ATER TAP (INCT_.,?:E
- $ SEWER TAP •
$ Ncco??NT DEPos?T -
4,5 rC C/ ACCOUyT DEPGS;T -
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- $ TRL'\?< WATER r,SS
. $ TiZUNi: SEWER ..5:,_S c-..`._._
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?? iF YES, T1-IEN A"PEP.MTT FOR !n'OF.K L•;i=..=.: __.?_=?
__ • :C)AD4JAY" MCST BE TSST-IED BY THE Er;G'l.,_._.._. ?
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MEMQ TO: DIANE DOWNS, OTILITY BxLLING CLERR
FROM: ED KIRBCHTr SR. ENGIl4TEERING TECHNICIAN
DATE: DECEMHER 14, 1989
SUBJECT: 8treet Liqht Enerqy Cost fcr Lo?* 4,5,6,?,8,9 aad
10, Bloak 3, Elaakhawk.Glen ist Additiom.
(Bee attached sketch)
This memo is to inform yaur department ta start to invoice the
energy costs far Lots 4,5,6,7,8,9 and 10, Block 3, Blackhawk Glen
lst Additian effective January 1, 1990.
Associated Families, the developer of these lats hacl Dakota
Electric install street lights recently along Blaclthawk HiTls i2aad
to furnish street laghting for the abave listed lots.
Lcyt 8, Block 3, Blackhawk Glen lst Addition is the only lot which
the reaords in the Building D€partment indicate is nat yet
develoged. Invoice the enexgy costs for Lat 8, Hlock 3 to Wayne
Windsor nf Associated Families, et ai, 4338 Highland Drive,
Shoreview, Mn. 55112. When the City of Eagan receives an
application for the uta,lity 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 developar will no longer be resgonsible for
said energx costs,
/1 A?'??
Edward Kirscht
5r. Engineering Technician
cc: Michael Foertsch, Assistant City Engineer
Wayne Windsor-Assveiated Families
EK/jf
05i16/2607 10:12 EFGRN ENG+COM DEU 4 96519051'745
,I a
aoo? RESIZlENTIAL BUYLbI-NG pnmr arpLIcAItvN
City t3f ?igilitn
pG? ?`J 3$30 Piiat Knob Rvacl, E4gaa IYiN 55122
0 ? Telepb oae # 651-675-5675 FAX # 651-675-5b94
New Conshucgon Reqpiiemenis
3 registered si18 sunieys showing sq. R. af bk sq. tt of Aouse; anu g maied a*aa
(2Q% maimu:m int cnverage eAawetl)
1 Soils Reprnt it praposed huitding 's to de piacad ort d'?stuftd soil t
2 capicq ol plen shawing bedfA $ wlnd9wskas; poured taund d
f 69l A1 FJYBIQy ?iQIGtbdW1S
3 capieC af Tree Paasenratron Plan rf loi platted after 7h193 Q C T
Rim Jolsl D?r ap5ons sele?tion sheet (buiidings wkfl 3 ar tess u
INinn? mzdsniral venWalion fomt
Ptans are cansidered ub(ic inforr#Wkw
' Date
3ite Address
Description af Work.
4lulti-Fam7y Bldg _ 'Y
Frnperty Owaer _('T?q 1) I S-e-
RemodeVRaRaL Reaohmenfc
2 tbpin of 31an showing fooGrgs, heams. Ots
ICUTA[Ipty6 fW heated eddi6ons
? 1 ?5 ? dltlons & decla
L? L1A on on-ae Oatlc syafem
0 5 200T
are trade
the reason.
:oast-uctron CosE 11 o
S (4 'fJnSUSte #
Freplace(s) , 0 ? 1 _ 2
m
Telephane # ((aS7 ) / o, I 0 ? '
Window Concepts of MN, Inc.
Cnntrsaor 990 Lone Oak Road Suite 114
Address Eagan, Minnesota 55121
state _ License # 20163493
www.windowconceptsmn.com
Cj'rY
Telephaoe # ( ) ?5/ - OS-
CDMPLETE THIS AREA ONL'Y IF GilNSTRUCTING A NEW BUILDING
- Minncsata l?ules 7670 Catenrv ] Minnesora Ttules 7672
?n??y ??e ????? • Resldeniial VendlaGon C 1 Warksh?ast .
(?I suhmission type) , ?D?Y New Energy Gode Worksheet
SubmlBed . . SubrnNted
+ Energy Enve?ope Calaulallons Submined
Iri ihe lost 12 months, has the City of Eogcm issued a permit for a sirtdarplan based on a moster plan?
_ Y _ N If yes, date and address of master plan:
licersed Plumber 1'elephone # f
Mechanical Cantractor
Sewer/4Vater Conrractar
Telephone #( j
Teleph4na # (
I nerapy apply xor a .Kesideiatial Buildiag Permit and acknowledge that the information is complete and accu,rate;
that the work will be in confornrance with the ordinances and c*des of the City of Ea,gan a,nd the State of MN
5tatu;es; I undezstand this is not a permit, bu.t onty au applicatioa for a permit, and work is not to start witliotit a
peirn:t; that the work will be in accordance w7th the approyed p6an in the cttse of wark which requires a revievv and
approval o lans.
N0.361 1702
?, eb
OIRme Usa M
Cen of 6urvey RCd _Y _N
Smls Repart _, Y _ N
Tree ?res ptan ReW _Y _N
Tree Pres ReQUfred _Y _N
Qn-911e SepUie spstem _Y _, N
Applican.t's Printed Name ' O Applicarat's Signature
888isooee 6
Aug 17 09 03:22p Lucas Brand Co. 8886008896 p.1
For OificeUse - - - - - - -
Permit
City of Eaau 1.
Permit Fee:
3830 Pilot Knob Road Cj
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 Fax: (651) 675-5694 1 staff:
2009 RESIDENTIAL BUILDING iPERMIT APPLICATION
k.
Date: 05 Site Address: It 2 Jr 171Cit-k t-Na
Tenant: Suite
RESIDENT /OWNER Name: 7i i bi'Se_ Phone:
Address I City/ Zip: f(e Z S Jj f ni jqi,l 15 .94 Applicant is: Owner Contractor
TYPE OF WORK Description of work: iC~ C~~ ^ ~-f Cif
Construction Cost: 2 Ii OOO Multi-Family Building: (Yes I No
CONTRACTOR Name: 5f/L1AI4rli1 &N r) 'k?i6V License#: 2O"S&M
Address: iISSIi/1D1f
City: drP~__il I t State: /IA L) zip: t Phone:-76,3 7' $K 1255'_ Contact Person: fJ1 e
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Category 1 Minnesota Rules 7672
Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
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, bu, only an application for a permit, and work is not to startwithout a permit; that the work will be in
accordance with the approved plan in tt}p'e case of work which requires a review and approval of lams.
Applicant's Printed Name Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA130664
Date Issued:05/07/2015
Permit Category:ePermit
Site Address: 1625 Blackhawk Hills Rd
Lot:7 Block: 3 Addition: Blackhawk Glen
PID:10-14350-03-070
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Gary Tste J Dise
1625 Blackhawk Hills Rd
Eagan MN 55122
All Sons Exteriors Inc
P.O. Box 146
Lakeville MN 55044
(952) 469-5221
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA130665
Date Issued:05/07/2015
Permit Category:ePermit
Site Address: 1625 Blackhawk Hills Rd
Lot:7 Block: 3 Addition: Blackhawk Glen
PID:10-14350-03-070
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
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 -
Gary Tste J Dise
1625 Blackhawk Hills Rd
Eagan MN 55122
All Sons Exteriors Inc
P.O. Box 146
Lakeville MN 55044
(952) 469-5221
Applicant/Permitee: Signature Issued By: Signature