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1635 Blackhawk Hills Rd w Use BLUE or BLACK Ink F For 0i ceUse ------T--`I lib c I City of Eap , Pennit 0. 61 I Permit Fee: ' l 3630 Pilot Knob Road I I Eagan MN 55122 Cate Received: j Phone: (651) 675-5675 RECEIVED Fax: (651) 675-5694 1 Staff- OCT 2 0 2010, 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ~`41; 7 Site Address v~~,Gl'~li✓~ /~%Gf Tenant (y"? ?I W T Suite RESIDENT 1 OWNER Name: Phone: 6/~ ' 113 K-. 6 17 Address / City J Zip: G IV Applicant is: Owner contractor TYPE OF WORK Description of work: - G G 71 e ~ W! hV Construction Cost: G70 Multi-Family Building: (Yes / Nolk:? CONTRACTOR Name: & ® W License Address: ~2~ ®c rJ ~o'O City: -q ~V S pS f~ State: '!Lj! Zip:Phone: 7~ Contact: U Email COMPLETE THIS A A ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes _No If yes, date and address of master plan: Licensed Plumber: Phone:, Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the Cit?, to C i conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordant ' h the approved plan in the case of work which requires a review and approval of plans. x .pplicanr Pri tedName Applican sSigna .?a age 9 of 2 PERMIT City of Eagan Permit Type: Plumbing 3830 Pilot Knob Rd Permit Number: EA082824 Eagan, MN 55122 . Date Issued: 05/01/2008 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 1635 Blackhawk Hills Rd Lot: 8 Block: 3 Addition: Blackhawk Glen PID 10-14350-080-03 Use Description: Sub Type: e - Water Heater Work Type: Replacement Description: Water Heater & Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Mike Skaja 2090 County Road 42 W. Burnsville, MN 55337 Fee Summary: PL - Permit Fee (WS &/or WH) $50.00 0801.4087 Surcharge-Fixed $0.50 9001.2195 Total: $50.50 Contractor: - Applicant - Owner: Tony's Appliance James W Hogan 2090 County Road 42 West 1635 Blackhawk Hills Rd Burnsville MN 55337 Eagan MN 55122 (952) 435-2442 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. Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type: Mechanical 3830 Pilot Knob Rd Permit Number: EA088572 Eagan, MN 55122 . Date Issued: 03/27/2009 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 1635 Blackhawk Hills Rd Lot: 8 Block: 3 Addition: Blackhawk Glen PID 10-14350-080-03 Use Description: Sub Type: e - Furnace & Air Conditioner Work Type: New Description: Furnace & Air Conditioner Comments: Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, (952) 445-2840 Permit expired without required inspections. 12/9/09 CE Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088 Surcharge-Fixed $0.50 9001.2195 Total: $50.50 Contractor: -Applicant - Owner: Pronto Heating & Air Conditioning James W Hogan 7501 Washington Ave. S 1635 Blackhawk Hills Rd Edina MN 55439 Eagan MN 55122 (952) 835-7777 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. Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type: Building Eaaan. Permit Number: EA093517 Date Issued: 04/19/2010 OR Permit Category: ePermit 41~ it~ of E3 E Site Address: 1635 Blackhawk Hills Rd Lot: 8 Block: 3 Addition: Blackhawk Glen PID:10-14350-080-03 Use: Description: Sub Type: e-Reroof Construction Type: Work Type: Replace Description: House & Garage Census Code: 434- Occupancy : Zonin,: Square Feet: 0 Comments: If there is no ice protection inspection prior to final, the contractor must meet the inspector Nva ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: BL - Base Fee S3K $88.50 0801.4085 Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195 Total: $90.00 Contractor: - Applicant - Owner: Capstone Bros Contracting Inc James W Hogan 216 North River Ridge Cirle 163 Blacldiawk Hills Rd Burnsville NIN 55337 Eagan NIN 55122 (92)882-8888 I hereby aeknowledae 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 Cite of Eaaan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature 4 CITY OF EAGAN NO 1 8322 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for SF DWG/GAR Est. Value $155,000 Date SEP 4 1910 - Site Address 1635 BLACKHAWK HILLS RD Lot - 8 Block -3 Sec/SubBLACKHAWK GLEN 1S OFFICE USE ONLY Parcel No. Occupancy R-3 M-1 FEES Zoning R=1 W Name HOGAN HOME BUILDERS (Actual) Const V=N Bldg. Permit 832.00 o Address 16025 OAK SHORE DR (Allowable) V=N Surcharge 77.50 City BURNSVILLE Phone 435-5854 # of Stories _ Length 4~ Plan Review 541.00 Zp Name SAME Depth 56-' SAC, City 100.00 - Ua Address S.F. Total SAC, Mcwcc 600.00 City Phone S.F. Footprints On Site Sewage Water Conn 625.00 PW Name On Site Well Water Meter 90.00 x3 Address MWCC System X_ 02 CiryWater X Acct. Deposit 30.00 <W City Phone 0 PRV Required X_ S/W Permit 30-0 1 hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge -5 0 information is correct and agre t comply with al applicable State of Minnesota Statutes and City of a n Ord' TC4es Treatment Pf 252-0 0 Signature of Permitee ' APPROVALS Road Unit 15 9 _ 00 A Building Permit is issued to: HOGAN HOME BUILDERS Planner Park Ded. on the express condition that all work shall be done in accordance with all Council _ applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies 0 Building Official T > tPl I1.6 1r Variance TOTAL 3,533.0 F 14, , ? 2 ,aF Request Date Fire No. Rough-in Inspection Required? ❑ Ready Now Will Notify Inspector k :10 ❑ Yes ❑ No n Ready? 1Icensed contractor ❑ owner her by request inspection 21 above electrical work at: Job Address (Street, Box or R ute No.) '%j Sr: Abk i0/1 a 3 Section No. Township Name or No. Range No. County Otcupa ( INT) Phone No. A-194^ A er u her Address EI f r (Company Name) C173 dor's uccense No. Dalo C Mailing Address (Contra frowner Making Installation) tx- &M044,4-aL Z SS-3J Authorized Signature r /Own Mak' stall 'ory~ Phone Number W10 0 MINNESOTA STA OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room 5173 BE ACCEPTED 13Y THE STATE BOARD 1821 University Ave., SL Paul, MN 55184 UNLESS PROPER INSPECTION FEE IS Phone (612) 642.Mo ENCLOSED. O REQUEST FOR ELECTRICAL INSPECTION #0 N- EB-00001-07 C ~ See instructions for completing this form on hack of yellow copy. 4 r 7 < "X" Below Work Covered by This Request ' e Re Type of Building Appliances Wired Equipment Wired ■ .iome Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specify) Co emarks: Compute Inspection Fee Below:' # Other Fee # Servic Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 20 Amps 0 to 100 Amps Transformers Above 200 Amps Above 100 Amps Signs Inspectors Use Only: nzw Irrigation Booms J Special Inspection Alarm/Communication Other Fee I, the Electrical Inspector, hereby Rough-in Date certify that the above inspection has Final Date been made. OFFICE USE ONLY This request void 18 months from Request Date it-ire No. Rough-in Inspection Required? O Ready Now ll Notify Inspector ® J Yes ❑ No *111 an Ready? Xllicensed contractor O owner hereby request inspection of above electrical work at: Job Address (Street, Box or Route No.) City r t/ ..r Section No. `1Netn or N Range No. County Ocrupant P INT) Phone No. Sup liar Address EI cal Contra r (Company Name) C recto. License No. J, ~S 7 Mailing Address (Comr r or Owner Making Installation) LL Autho ' ed Sign ure ( ntractor r stallln) Phone Number v MINNESOT ATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB-OW01-07 0. See instructions for completing this form on back of yellow copy. F 1 4 7 7 4 "X" Below Work Covered by This Request e Aq0 ep.. „ Type of Building w Appliances Wired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial urnace Farm Air Conditioner Other (specify) Contractor's Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps 1W OV Transformers Above 200 Amps Above 100 Amps -D Signs Inspector's Use Only: TOTAL Irrigation Booms 3 2 Special Inspection Alarm/Communication Other Fee I, the Electrical Inspector, hereby Rough-in Date 01 certify that the above inspection has Final Date been made. OFFICE USE ONLY This request void 18 months from CASH RECEIPT r. CITY.OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 r, OAT= Wc"40 AMOUNT S y, 8 DOLLARS 10D O CASH J~ CHECK f wn o, ~g OBJECT Z OUNT t" Yo, I . sv 4 40, -to / B_ r,L SEW~f~~ WATER PERMIT :OFFICE USE ONLY CITY OF EAGAN 3830 Pilot Knob Rd METER # PERMIT DATE . Eagan, M"5122-1897 CHIP # PERMIT # 11617 METER SIZE B.P. RECEIPT # C C C " ISSUE DATE B.P. RECEIPT DATE 09/051 DATE 4' . SE P 4s 100 A PRV -:BOOSTER PUMP SITE ADDRESS 1335 BLACI:1iA al ILLS . RD PERMIT REQUESTED LOT 8 BLOCK 3 SEC/SUB BLw4,0MAWt.K GLEN 1ST X SEWER X WATER - TAPS APPLICANT: COMM/IND A RESIDENTIAL ADDRESS: CITY, STATE ZIP NEW - EXISTING PHONE: Lawn Sprinkler Meters are to be Installed PLUMBER: HRUCK!I~IZLLER 2Ll,fMIKG Ahead of Domestic Meters on Water Line. ADDRESS: 3750 101OLL RIDGE DR Credit WILL NOT be given for Deduct Meters. CITY, STATE c.ACY", MN ZIP 55122 PHONE: 688-6250 E TO COMPLY WIT11-f TY OF OWNER: 40GAN ROME BUELDERS EAGAN. ORDINANCES ADDRESS: 16025 OAK SHGPE 'DR CITY, STATE' BBRM'[LLE x YN ' ZIP 551177 PHONE: X035-5854 SIGNATURE WHEN; METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR .INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. TM-MR1111111141111w,"", -77.' 7--i .7n CITY OF EAGAN 3830 Pibt Knob Road, P.O. Box 21-199, Eagan, MN 55121 " PHONE: 454-8100* BUILDING PERMIT Receipt # .r~ To be used for W VA/"R Est. Value 415300W Date. , _ 19 Site Address 1035 III C RILLS RD Lot 8 Block Y Sec/Sub,ILIICICNM COM Ifir FICE USE ONLY Parcel No. Occupancy R-S U-1 FEES Zoning a1~~ W Na1716 R" RW WiLiR (Actual) Cons[ Bldg. Permit 3 Address 1~'3 ~ MW OR (Allowable) y"R Mso o City LU Phone 435-3934 # of Stories Surcharge Length Plan Review o Name SAM Depth SAC, City % Address S.F. Total 6000 City Phone S.F. Footprints SAC, MCWCC "3000 On Site Sewage Water Conn W Name On Site Well. Water Meter "w00 Address MWCC System Acct. Deposit 3040 . ew City Phone City Water - PRV Required / SNV Permit 30000 hereby acknowlege that I have read this application and state that the Booster Pump - S/W Surcharge - information is correct and agree 10; comply with all applicable State of mom Minnesota Statutes and City, of~agan Ordinances., Treatment P1 .x w w~w••+' APPROVALS Signature of Permitee • Road Unit ~~5~~ A Building Perms is issued to: 1 RIB WILMU Park Ded. on the express Condition that all work shall be done in accordance with all Council applicable Stale of Minnesota_ Statutes and City of Eagan Ordinances. Bldg, pry. Copies TOTAL~j Building Official i ~ r Variance e Paredt No. PermN Hotdw Date Telephone # MAR M&12 .P • SEWER PLUMBING 7 96 r /P WO O H.V.A.C. ( ry( cj 0 ELECTRIC Inapection Date Imp. Comments Footings I Foundation Framing - Roofing Rough Plbg. Q Rough Hfg. Isul. l ~ q FKep~ O Final Htg. / -~I t2 Final Plbg. -l(-fo Const. Meter P 9g. Inspector - Notify Plumber Engr./Plan Bldg. Final `T./?IIAMI:2 441)19 Deck Ftg. Deak Final well Pr. Disp. 1131 PERIYI#T 7 '7 P. l For'Off co Use Qnly CITY OF EACAN.. PERMIT # /4! 760 q ,.CONTRACT 3830 P.ILOT.KNOI$. ROAD, EAGAN, MN 55122 FMCEIPT# - PRICE PHONE 4548100 DATE: Site Address rAa' rJ ~~r BLDG. TYP WORK D01- - N Lot_ lock Sec/Sub Res. New Mult Add-on Name r ~ Comm. Repair .v Address Q Other c Gity Phone l , RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES JOT AL Water Closet - $3.00 $ Name op T Bath Tubs - $3.00 ~ Address Lavatory - $3.00 City Phone r13 Shower - $3.Do t7 J Kitchen Sink - $3.00 Urinal/Bidet - $3.00 FEES- Laundry Tray - $3.00 COMMAND. FEE - 196 OF CONTRACT FEE Floor Drains - $1.50 APT. BLDGS. - COMM. RATE APPLIES Water Heater - $1.50 TOWNHOUSE a CONDO RES. RATE APLLIES T Whirlpool - $3.00 Q MINIMUM - RESIDENTIAL FEE $12.00 ~ Gas Piping Outlets - $1.50 MINIMUM - COMM.IND./FEE $20.00 (MINIMUM -1 PIER PERMIT) STATE SURCHARGE PER PERMIT .50 Softener - $5.00 (ADD $.50 S/C PER EACH $1,000 OF PERMIT FEE) Well - $10.00 Private Disp. -$10,00 Rough Openings - $1.50 SIGNATURE OF PERMITTEE U. G Sprinkler System - $12.00 PERMIT FEE: . STATES SIC: FOR: CITY OF EAGAN GRAND TOTAL: PERMIT r-, - ' MECHANICAL PERMIT RECEIPT # CITY OF EAGAN DATE 3830 PILOT KNOB ROAD, EAGAN, MN 55122 CONTRACT PRICE: PHONE: 454-8100 For Office Use Only: Site Address + ,~tX MA «l. BLDG. TYPE WORK DESCRIPTION Lot , Block t~ Sec/S1 Res. Ll New r So ',~i ~1 I>ir Mult Add-on Name Comm. Repair Other Addr -Aa 20 City N Cr Oc Lb Phone (c+ t S lo FEES Name r• A RES. HVAC 0-100 M BTU -$24.00 c Address ~~SO 1 S k' 54akC «C ADDITIONAL 50 M BTU - 6.00 39 p City i_" uklJ~t/~c t Phone (RES- HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA. TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air M BTU 4O APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS - 12.00 Air Cond. MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - - .50 Vent (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # BEYGM $1,000) i Other FEE: r (y S GNATURE OF PERMITTEE SIC: TOTAL 3 a FOR: CITY OF EAfMl. DATE: SEP 6, 1990 RE: 1635 BLACK AWK HILLS RD (HOGAN HOME BUILDERS) X Sewer & Water Permit for the above property has been completed. It will be held at the rP6blic Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO A CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT "TER TURN ON. Your Sewer & Water Permit for the above property cannot be colpleted for the following reasons: Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 4548100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. Address : 1635 BLACKHAWK HIIIS RD Lot 8 Blk 3 Sec/Sub BLAGR4MK GLEN 1ST These items were/were not complete at the time of the final inspection. Date: DECEMBER 20, 1990 Yes No Inspector: Final grade (6" from siding) Permanent steps - garage t/ Permanent steps - main entry Permanent driveway Permanent gas V' Sod/seeded grass Trail/curb damage /f Porch Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. White - City copy Yellow - Resident copy Pink - Contractor copy (Urtifiratt of (Orrupaury Citp of Cagan arpWbund of iiui bwo .Jwrru m This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use For the following.- use classification SF DWG/GAR stdg. permit No. 18322 Occupancy Type R-3 M-1 2omng District R 1 Type Coast. V-N Owner of Bonding HOGAN HOME BLDRS Address 16025 OAK SHORE DR i Building Address 1635 BIa4CIQMIK HI1l.S RD 1,.w;ty L$. ffi, RACKRMK QFld iST ~ ~ m@, I ` Date: DECEMBER 20, 1990 POST IN A CONSPICUOUS PLACE SEWER-& WATER PERMIT OFFICE USE ONLY CITY OF EAGAN METER # qqtjt_ 310_~p PERMIT DATE 109/06/90 1 .1 3830 Pilot Knob Rd.5 `i $-p RMIT # 11617 -35 - Eagan, 14N.55122-1897 Py K s« I/ N 7E A- 0 B.P. RECEIPT # C 9789 PATE U ' qd B.P. RECEIPT DATE 09 /05190 DATE S EP 4, 100, XPRV -BOOSTER PUMP SITE ADDRESS 1635 BLACKHAWK HILLS RD PERMIT REGIUESTM LOT S BLOCK 3 SEC/SUB BLACKHAWK GLEN 1ST X SEWER XWATER, TAPS APPLICANT: X' RESIDENTIAL ADDRESS: - COMMAND CITY, STATE ZIP x X NEW EXISTING PHONE: Lawn Sprinkler Meters are to be Installed' PLUMBER: t3RUCIC1~ftTEL1.ER PLUMBING Ahead of Domestic Meters on Water Line. ADDRESS: 3750 VNOLL RIDGE DR Credit W NOT be given for Deduct MBtars. CITY, STATE EAGAF, MIS ZIP 55122 f PHONE: 388-62150 A -49 ` s i AGREE TO COMPLY W OF OWNER: 110GAN HOME BUILDERS EAGAN ORDINANCES ADDRESS: 16025 OAK SHORE DR CITY, STATE bURNSVILLE, MN ZIP 55317 PHONE: 435-5854 SIGNATURE WHEN METER ISSUED— PLEASE ALLOW TWO WORKING DAY5 FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. CITY OF EAGAN Remarks Pf r. * 16.241? Addition B1askhatrk, 61e 1Rt: Lot $ elk 3 Parcel J-0-1-43-50-020-03 Owner Street 1635 1 a khawk Hills Roadtate Fagan MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 1076 1986 3.4 STREET RESTOR. GRADING SAN SEW TRUNK 124 1970 2.40 25 SEWER LATERAL 74 1986 112.09 22.42 WATERMAIN Bn 1075 1986 92.80 18.56 5 WATER L KR*Kr 1072 1986 22.18 5 WATER AREA 339 7 151 Storm Sew Trk 1073 1986 1 STORM SEW TRK 732 1983 32.60 15 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK RESIDENTIAL BUILDING Permit Application 41 City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements RemodeVReoair Reauirements Office Use OnN 3 registered site surveys showing sq. fL of lot, sq. fL of house; and all roofed areas 2 copies of plan _ Cert of Survey Recd (2Q% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions -Tres Pres Plan Recd 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks _ Tree Pres Not Reqd 1 set of Energy Calculations Addition - indicate if on-site septic system - On-site Septic System 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date` / Construction Cost Site Address Unit/Ste # AN LTSZ,2tzim, Description of Work 412 Ttyf /1,° Multi-Family Bldg _ Y - N Fireplace(s) 0 _ 1 _ 2 dNr Property Owner f Telephone # 412) -7 % 0 Contractor 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 (4 submission type) Submitted Submitted • Energy Envelope Calculations Submitted Licensed Plumber Telephone # Mechanical Contractor - - -e+iot;te # Sewer/Water Contractor Teleplgne # ( ) n, Tr T) ;i I hereby apply for a Residential Building Permit and Lwledge that-tlie formation is complete and accurate; that the work will be in conformance with the 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 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 hich requires a review and approval of plans. Applicant's Printed Name Ap lcant's Signature OFFICE USE ONLY Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03 01 of_ plex ❑ 09 07-plex 4 17 Garage ❑ 22 PorchlAddn. (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 ❑ 0,6 04-plex ❑ 12 12-plex Plbg_Y or N ❑ 25 Miscellaneous Work Types f1-3Se ? rD 12 X ~ r ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish (Interior) ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Bldg. ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair D 33 Alteration ❑ 37 Demolish (Bldg)' ❑ 43 Reroof ❑ 46 WindowslDoors ❑ 34 Replacement Vemolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy L) " MC1ES System Census Code _ 418 Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of 131dgs Length Z Fire Sprinklered Type of Const Width 15 ~ REQUIRED INSPECTIONS Footings (new bldg) _ Final/C.O. Footings (deck) Final/No C.O. 71 Footings (addition) Plumbing _ Foundation _ HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final Framing _ Siding _ Stucco -Stone Fireplace - R.I. -Air Test -Final _ Windows (new/replacement) Insulation _ Retaining Wall Approved By , Building Inspector - - - - - - - - - - - - Base Fee Surcharge ~ ~2~ Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies - S~ Other Total r M 1990 BUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLAN 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKITG DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. AIJ 1 0" REM' nc p ~--io Be -Used For: , Valuation: Date: 0 Site Address OFFICE USE ONLY 004 Lot Block J' FEES Occupancy P_3 M-1 Zoning Parcel/Sub CACKUR0K lQZ!~~ r r Actual Const V-N Bldg. Permit WZ60 Allowable V-0, Surcharge. Owner JAtMS MA/&Y Nd 4;f}A) # of stories Plan Review p Length 91~ SAC, City /00,0 Address Depth S!o SAC, MWCC raa S.F. Total Water Conn 629100 City/Zip Code Footprint S.F. Water Meter q0,00 Acct. Deposit p,pJ Phone b`?/ 296-D630CW~ On site sewage- S/W Permit 30,00 On site well _ S/W Surcharge +50 Contractor 'W c)GAd 00»-if &1 g is MWCC System V/ Treatment Pl. 2,vo r City water 1,7 Road Unit 35S vo Address ) (p02-S~ UAk 5 /~02 PRV Park Ded. Booster Pump Copies City/Zip Code7RL1n .9V)C-6C, SUBTOTAL. APPROVALS Penalty Phone ,.S- Planner TOTAL Council Arch./Engr. Bldg. Off. Variance Address City/Zip Code Phone # z~yv- lobo ~ k2+= lhg 17-09 x 15'-= ! S~2o A4Owc7 ISGo 1 G 0 x~1f = 11 7 <tf/lx IG 77 6,v 5~6r, i" S* Wo 1/4 S E C. 16, To 2 7 R 23 • c Y - Y O'~r'i. I L•La •H. WY R N ~ )HA MIPQk/'E~GN rm !oo -ago • M v 'aa 1 ! • *,L'. I 3 ~_•.w.. ~Nwua`ti°-°~_ - u'~O ► N ~ r S a i L! ~ i(P ~ ;R B ACK AM ' 1n, a . . as 21 - Aw G r GLEA 24 N 21 20 $0 .M A+ DIT Z ND ti x 1o a t.loN 1 0 to to ~Q " D • + 11 4.10 i v Is >i r f 1, '"s r .:~;;4 a• Ng 'PL. ~ ~ ~xr :,r.o •T _ ~ ~ twit- b , ~ IY 1PG~4° 'i .~Y ~ N, ° ' ~ 1 ~ ~ 111 ~ 7y ~ . rya it iii g s _ eC~t ~I T 14 O E. • . j rr a~. / i3 f ~ r' i I u< 14 Y g}~ j t M bM ' Y ►C~! . ~,pV « il. y,~p t a i:-r«~`..''s IR. f ' tl 24 •g'- 45 J Zi L 4%. it NM.1. ' _ a • i t t B~ a a p 17 4 2+ L ~ ` +Q(+y. ily - - rw NYw111. - !A L °,h, N~ likkil p..as a011 _ J r- i f V'L • NA I N W ~ yh ~I I ~ R it v ~BLAC AWK. MEMO TO: DIANE DOWNS, UTILITY BILLING CLERK FROM: ED KIRSCHT, SR. ENGINEERING TECHNICIAN DATE: DECEMBER 14, 1989 SUBJECT: Street Light Energy Cost for Lot# 4,5,6,7,819 and 10, Block S, Blackbaft ®leu lstAdditions. (See attached sketch) This memo is to inform your department to start to invoice the energy costs for Lots 4,5,6,7,8,9 and 10, Block 3, Blackhawk Glen lst Addition effective January 1, 1990. Associated Families, the developer of these lots had Dakota Electric install street lights recently along Blackhawk Hills Road to furnish street lighting for the above listed lots. Lot 8, Block 3, Blackhawk Glen 1st Addition is the only lot which the records in the Building Department indicate is not yet developed. Invoice the energy costs for Lot 8, Block 3 to Wayne Windsor of Associated Families, et al, 4338 Highland Drive, Shoreview, Mn. 55112. When the City of Eagan receives an application for the utility hook up permit For Lot 8, the builder and/or owner will then be billed for its share of street lighting energy costs, and the developer will no longer be responsible for said energy costs. ` j 'Z~ K" Edward Kirscht Sr. Engineering Technician cc: Michael Foertsch, Assistant City Engineer Wayne Windsor--Associated Families EK/jf rage 1r.ree J - ROOF/CEILING c as tru c Lion 33 1. interior air film 0.61 3: Al" 1711w4w-ov ".0 • ~ s Z 4. Exterior air film (st! 0.61. Total E~ Vented U,a.t flew up - ` FIG. #5 1. interior a film 0.51 4. Exterior a r 51; Q 111 Heat flan up -vented - -FIG. ~6 - Inside air ilm eo- 0.61 t # •j outside air f 0.17 To to 1 N01t-YP.~'TED Notoa ' Use additional sheets if more spaco is needed for details and calculations. Heal flog up ' Fla. 47 + r r + ' WALL Sire.■i NS Nn9•E: me 16♦ of opaque wall. area for frame construction Omstructioa R-Value 41) AU x• film i rte/ ~p j yI} rr 3. y..Is soft d+iOC 4-" r' PLadic 6. Exterior air film 0.17 WALL Total ir'IG. 61 - TOFVIEK Cr PRAM WALL 1. Inter-far air film G.61' 6. Exterior iir film Q. 17 FIG. #2 rc~i 1. Interior air film 0.68 eml JT /9~' 00 Pezi~5era3. y ` ' 6. Sxterior• air files 0.17 ibtal v r 1. Interior air film 0.68 4 • ,4 2. WALL 3. • a t •A , A' ~'~~r~""• 6. Exterior air film 0.17 M Total 13,13 SLAB ON GRADE • ~ as • r1G. FIG. #d #3 X • t 1'zr1111w-- NM3 Indicate type, °i3" -value, depth and ` placement of insulation. OC/13/1990 14:04 FROM LAMPERT BLDG CNTR TO 4548363 P.02 t t EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION OWNER SITE ADDRESS ~crr BU)C, 03c.ACKHAQK 61-e -M /ST AD&/I We UATE PHONE //P CONTRACTOR /`7`tfr/' Determine working square footage of each. 1. Total exposed wall area .2 J!j sq. ft. x 2. Total roof/ceiling area ...../O/ sq. ft. x _ Total exposed wall area above floor a. Total wall window area 9 20.15 b. Total door area 7 c. Total sliding glass door area d. Total fireplace wall area........... C7 e. Total wall framing area (average 10%)...:,....... Q, f. Total net wall area above floor y g. Total rim joist area . Total exposed foundation area = 5 h. Total foundation window area i. Toal net foundation area above grade Determine "U" value of each wall segment. a. 320, sy' X ,tU:l , 3Z - _ = S b. 37- 7 7 x "U" r 123 C. 32, f(X auto r 2 T p d. 20 X Oull 7Z Z 9,,'- 912 e. X llull 0? f. 7~Z x Hull h . X flu"" X 'lull -ace 3.. ....................................Total If item #3 is the same as, or less than item fl, you have met'the intent of S$C 6006(c)2. 08/13/1990 14:05 FROM LAMPERT BLDG CNTR TO 45483$3 P.03 r ti Total exposed roof/ceiling area 3. Total skylight area _7- k. Total roof/ceiling framing area (average 1t1 ;ZO 1. Total net insulated roof/deiling area...,....... - Determine "U" value for each roof/ceiling segment. X p a l! r ' ~ a, 0-7 is r V" A / 4 . . . . . . . . . I . . . . . . . . Total If total of #R is the same as, or less than 02: you have met the intent of 58C 6406(c)l. Alternate Building Envelope Design To utilize the total envelope system method, the values established by the sum of items #3 and #4 shall not be greater than the sum of items #1 and #2. 1. + Z. 56- 3. Aw a 06 e4, ~ 4 Gt0 TOTAL P.03 Hogan Homes Builders 16025 oak,Shore Drive Burn6ville, MN 55337 140/17 DELMAR H. SCHWANZ LAND SURVEVOM. INC. ftol~1 Llndw Law or TM 8100 or MIn oW 14730 SOUTH ROBERT TRAIL ROSEMOUNT, MINNESOTA 53066 81V423-17E@ SURVEYOR'S CERTIFICATE I a 1 G~ ` Scale:'l inch = 30 feet Ky \ O = Iron pipe monument D = Set wood hub = Existing elevation 844.0 ti _ F-41..46 = Proposed garage 1 r floor elevation. 94 = Proposed top of block elevation. I g = Proposed lowest level dlevation. k- / gbs 840 I 2g3e I Pv P trt C0.ro ~ •s s ~ ~ CV 7bP Afvr~ g~Q•~3, Iw - -,s 1~;7R'.+.•. it 1 0 0 27 ,52 rO4 s S a=r F R.V. MEr" Description: Lot 8, Block 3, BIACFXAVK GLEN 1ST AUDITION, according to the o ~ recorded plat thereof, Dakota county, Minnesota. Also showing the location of a proposed house as staked thereon. 1 hereby certify that this survey, plan, or report was ' prepared by ma or under my direct supervision and i that I am a duty Raplstered Land Surveyor under the laws of the State of Minnesota. jj4W OaHd 47-31-9c7 Delmar H. Schwanx MinnewAm Replelratlon No. SM r Certificate For: Hogan Hom►°. Builders 16025 Aak`Shore Drive Burnsville, MN 55337 140/17 DELMAR H. SCHWANZ LAND SURVEYORS. WC. Rpisla undo to" or Tm SNN of Mrnneem 14750 SOUTH ROBERT TRAIL ROSEMOUNT. MINNESOTA 55068 612/423-1708 SURVEYOR'S CERTIFICATE 5 C \ Scale: •1 inch = 30 feet 1 . Uj/ \ O = Iron pipe monument \ ❑ = Set wood hub 1 \ = Existing elevation D Proposed garage floor elevation. 1 t` + 5 64 = Proposed top of M_ 1 block elevation. Proposed lowest r . -T- I level dlevation. r f i ~ ° ~ ~ l0 838 2 ~o -A - cA 8 e g xy- 1 v_.' 36 T8P ElriB h p i4VA d WOW I N27 2I 2 7'E = ioi. $ f T /0,~2, R_ 338 6 ~ g39~ 9 14 <<S 8 Description: Lot 8, Block 3, BLACKHAWR GLEN 1ST ADDITION, according to the /Qom recorded plat thereof, Dakota County, Minnesota. Q Also showing the location of a proposed house as staked thereon. I hereby certify that this survey, plan, or report was prepared by me or under my direct supervision and that I am a duly Raptstered Land Surveyor under the laws of the State of Minnesota. A4w Delmar H. Schwartz Dated 07-31-90 Minnesota Registration No. SM PERMIT City of Eagan Permit Type:Building Permit Number:EA117020 Date Issued:10/14/2013 Permit Category:ePermit Site Address: 1635 Blackhawk Hills Rd Lot:8 Block: 3 Addition: Blackhawk Glen PID:10-14350-03-080 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . 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 - James W Hogan 1635 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:Building Permit Number:EA131896 Date Issued:07/13/2015 Permit Category:ePermit Site Address: 1635 Blackhawk Hills Rd Lot:8 Block: 3 Addition: Blackhawk Glen PID:10-14350-03-080 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - James W Hogan 1635 Blackhawk Hills Rd Eagan MN 55122 (651) 454-6917 Apex Energy Solutions 1509 Southcross Drive West Burnsville MN 55306 (651) 688-2739 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA170920 Date Issued:07/22/2021 Permit Category:ePermit Site Address: 1635 Blackhawk Hills Rd Lot:8 Block: 3 Addition: Blackhawk Glen PID:10-14350-03-080 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater 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 - James W & Mary L Tstes Hogan 1635 Blackhawk Hills Rd Eagan MN 55122 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA175486 Date Issued:04/06/2022 Permit Category:ePermit Site Address: 1635 Blackhawk Hills Rd Lot:8 Block: 3 Addition: Blackhawk Glen PID:10-14350-03-080 Use: Description: Sub Type:Furnace & Air Conditioner Work Type:Replace Description: Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 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 - James W & Mary L Tstes Hogan 1635 Blackhawk Hills Rd Eagan MN 55122 Hero Plumbing Heating & Cooling Inc 10900 Hampshire Ave S Minneapolis MN 55438 (612) 827-4674 Applicant/Permitee: Signature Issued By: Signature