1403 Blackhawk Lake Drr
BUILDING PERMIT
To be used for DECK
Est. Value $1.000
Site Address 1403 BLACKHAWK LAKE DR
Lot 10 Block 1 Sec/Sub. STONEY POINT
Parcel No.
W Name SOMCHITH KOUANCHAO
3 Address 1403 BLACKIiAWK LAKE DR
° CitY EAGAN Phone 687-4490
=o Name SAME
0? Address
City Phone
f-
OW Name
?; Address
a W City Phone
I hereby acknowtege 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???
Signature of Permitee ?h,
A Building Permit is issued to: SOMCHITH KOUANCHAO
on the express condition that ali work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
?. CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
N° .19111
----,
Receipt # `- ! +• ? t 1
Date MAY , 19 9 1
Occupancy
Zoning
(Actual) Const
(Allowable)
# or slories
Length
Deplh
S.F. Total
S.F. Footprints
On Site Sewage
On Site Well
MWCC System
City Waler
PRV Required
Booster Pump
APPROYALS
Planner
Council
Bidg. ON.
Variance
OFFICE USE ONLY
rL-2
FEES
25.00
.50
_ Bldg. Permit
20?
15,
Surcharge
Plan Review
SAC, City
SAC, MCWCC
Water Conn
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI
Road Unit
Park Ded.
Copies
TOTAL
2s.5o
9067i7 Y bw-Pa81Yi9 COPX
PiNc-FIN Copy
Thank Yau - ?
_ BY r'? ?-_?• ? ?-??- ?- f
?
, t •? , ..
CITY OF EAGAN 4
' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan; MN 55121
' PHONE: 454-8t00
BUILDING PERMIT
To be used for DEGX Est. Value $1 ,t)Cf0
Site Address 1403 BLACK}iAWK LAICE. DR
Lot 10 Block _I Sec/Sub. S'IQNEY Pt)LK
Parcel No. _
W Name S?CNZTH ECQilA1?iCltAO
3 Address 1403 SLACKHAWEC LAKE A8
° City EAGAM Phone 687-9490
ZF Name Si??4E
?¢ Address
? City Phone
F Name
Address
City Phone
I hereby acknowlege that I have read this appliCation and state that the
information is correct and agree to comply with all applicabie State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permitee
A Building Permit is issued to: ?????TH KOtTANCRAC)
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
;
Receipt # ,f (
Date MAY , 1991
OFFICE USE ONLY
Occupancy P3- FEES
Zoning _
(Actual) Const _ Bldg. Permit ?.5t.00_
(Allowable) - Surcharge .50
# of Stories
Length 20* Plan Review
Depth ? SAC, City
S.F. Totai -
SAC, MCWCC
S.F. Footprints _
On Site Sewage _ Water Conn
On Site Well - Water Meter
MWCC System _
_
City Water Acct. Deposit
PRV Required - S/W Permit
Baoster Pump S!W Surcharge
Treatment PI
APPROVALS Road Unit
Planner - park Ded.
Council
BIdg.Off. _ Copies
Variance - TOTAL 25.50
Permit No. Permit Holder Date Telephone #
WATtR
SEWER
PLUMBIyG
H.V.A.C.
ELECTRIC
Inspection Date Insp. Comments
Footings I
Foundation
Framing
Rooting
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Orstat Test
Final Plbg. Plbg. Inspector - Notify Piumber
Const. Meter
EngrJPian
Bldg. Final
Deck Ftg.
Dedc Final
Well
Pr. Disp.
- r ?q•,?„ i •...-- ?- --- ---?r-? .r?q.?..._,_,.,?r.._---- . - ? ...-- .
CITY OF EAGAN 16071
t- 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 •
BUILDING PERMIT Receipt # t
To be used for ?? ?/G" Est. Value ;87r000 Date JAN 19?-
Site Address I403 AACKHA1i'K LA1M DR
Lot 10 Block i Sec/Sub. BT?RY ?IRT
Parcel No.
?M 1??'t"`?? CC1?4?T?t1AC'fIi}lt
W Name ?
o Address 9? ??R1"?1?i.? 1??t Yd
City KA"N Phone 452-308 72?
Zo Name SANK
g? Address `
City Phone
Name_
Address
City Phone
I hereby acknowlege that I hape read this application and state that the
informaGon is correct and agcee to comply with all applicable State of
Minnesota Stalutes and,City of Eagan Ordinances.:
Signature of Permitee
A 9uilding Berrnit is issued to: W2L"L? ???M CONST
on ]he express candition ihat all work shall be done in accordance with all
appticabie State o1 Minnesoia Statutes and City of Eagan Ordinances.
Buiiding Oi#icial
OFFICE USE ONLY
Occupancy R'"'s ? FEES
Zoning
(Actual) Const y? Bidg. Permit ? 000
(Allowable} - Surcharge 43*50
161 # of Stories
53*
Plan Review
x93+00
Length .
Depth ' ? SAC, City 100.00
S.F. Total - SAC, MCWCC s75100
S.F. Footprints - S?'?
On Site Sewage ?Nater Conn
On Site We61 Water Meter ".?
MWCC System ? ?(??(?
City Water ? Acct. Deposit
PRV Required
x
S/W Permit 20.00
BoosterPump - S/W Surcharge ? ooo
228•00
TreatmentPl
APPROVALS Road Unit 325.00
Planner - park Ded.
CounciF -
BIdg.Off. _ Copies
?911135*50
Variance - TOTAL
PermR No. PermR Holder Date Tebphone #
W/?TER
SEWER
PLUM8ING
H.V.A.C.
ELECTRIC
Inspection Date Insp. Comments
Footings I
Foundation
Framing ./
Roofing
Rough Plbg. 1- 1-f ' .7 'Q--1 ? ///
Rough Htg. aAll
fsu?. ?/,
Fireplace
Fnal Hig. ?
Finai Plbg. .- ?
Const. Meter Plbg. Inspeclor - Notify Plumber
EngclPlan
Bldg. Final 2 ? s
Deck Ftg.
bedc Final
Well
Pr. Disp.
a PERM17 # /GD_,.?,Co q
PLUMBING PERMIT a?crtIP7 # C• ??-? c?
• CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: 45! &
CONTRACT PIRICE: _ PMONE: 454-8100 -- ,,
Site Address _/4(A ??,; :k
Lot Slock,, Sec/Sub
Name [1&.Mji s 7?,
? Address,iGg'J..4w' ?'•*fjd4Sj?
c City?p? Phone ?? ? .=
Name ? `
3 Address
p City !?4m;a.J Phone
?:.
FEES
tOMM/IND FEE -1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPUES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINiMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1;0)30.00) SIGNA
BLDG. TYPE T WORK D 1010
Res. New
M u lt. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLl01MNG:
NO. FIXTURES TO fIL
?_Water Closet - $3.00
_J_Bath Tubs - $3.00 ?
-,,2._Lavatory - $3.00 ?
-,L-Shower - $3.00
_4-Kitchen Sink - $3.00
UrinallBidet - $3.00
?Laundry Tray - $3.00 ?
Floor Drains - $1.50 _
?Water Heater - $1.50 f -?
_
Whiripool - $3.00
_J__Gas Piping Outleds - $1.50
(MININFUNI -1 PER PERMIn
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
_aRough Openings -_$1-50_, '?
?.
FOR: CITY OF EAGAN
FEE:
STATE S/G:
. •
- ?'aRANtt T+OTAL,?
?'?"? E ? ?`+?1???; • ? ?'??" e`? '?pEMIT? ?
MECHANICAL PERMIT RECEIPT #
' CITY OF EAGAN •?
3830 PILOT KNOB ROAD, EAGAN, MN $5122 DATE:
CONTRACT RRICE: PHONE: 454-8100
Site Address ?Q' BLDG. TYPE WGRK DESCRIPTION
Lot 10_ Block ? Sec/Sub Res. ? New ?
-3ma1y NT
s Muk. Add-on '
Name µ? i H'g,
Address Zt?Zv )-'v07l: AC'+?t. ? Comm: Repair
pther
c City ????? P h o n e 401 ' 77 °
? Name wfv, RES. HVAC 0-100 M BTUE? - $24.00
c Address !ADDITIONAL 50 M BTU - 6.00
p City ? vAa/ Phone (?S. HVAC WCLUaES A/C ON NEW
: CONSTRUCTION)
GAS OUTLETS (MINIMUM -1 PER PERMt'n - 1.50 EA. ,
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air 7 O? M gTU ?,av APT. BLDGS. - COMM. RATE APPLIES I't TOWNHOUSE & CONDOS - RES. RATE ,4PPUES
Boiler M BTU MINIMUM RESIDENTIAL FEE - AtL ADD-ON &
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.t?
Vent CFM STATE SURCHARG4 PE?iMIT - .50
Outlets # / (ADD $1,p00j P MIT WRIGE CQESS
Gas Piping Other $.
FEE
S/C: SIGNATURE OF PERMITTEE
TOTAL ZG' ?
FOR: CITY OF EAGAA1
.' . ::., .:
SEWER &.WATER PERMIT
CITY -OF EAGAN
3830 Pilot Knob Rd.
P.O. Box 21199
Eagan, MN 55121
OFFICE USE ONLY
PERMIT DATE 3/7/89
WATER PERMIT # 10293 SEWER PERMIT #
METER # B.P. RECEIPT # 90679
READER # B.P. RECEIPT DATE ? 2.4/g?
METER SIZE
ISSUE DATE PRV _ BOOSTER PUMP
r, f
SITE ADDRESS
LOT _,L?_BLOCK ?J_SEC/SUB
?; I r?,? (?
APPLICANT: ?`..,f ,?4..?'?-,
14-
ADDRESS: ?:???' 1n 1
CITY, STATE ZIP
PHONFt:
PLUMBEF? -? ADDRESS:
CITY, STATET. ZIP
PHONE: :?W- `%/"l?+?? ?
OWNER:
ADDRESS:
CITY, STATE ZIP
PHONE:
PERMIT REGIUESTED
-fSEWER LViI TER _ TAPS
- COMM/IND -ZRESIDENTIAL
_06EW - EXISTING
I AGREE TO COMPLY WITH CITY OF
EAG10.` ORDINANI;IES:,
?? ? ! ?rl-z/!??-?
?? ?
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT
ENGINEERING DEPT.
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan; MN 55121
PHONE: 4548100
BUILDING PERMIT Receipt # -
To be used for St' ?/GA$ Est. Value $87sOOO Date_A
.164'T1
1912-
Site Address 1403 SI.AG'IOlAHK LA1E DR
Lot iQ Block 1 Sec/Sub. STOM POINT
Parcel No.
W Name i.LiAY? Ht1TT[t?& Cot?TBt?JC'tION
I Address 960 tiATBR!"M DR V
° City ILAGAN Phone 432..34f88 733-/
1 Nqme _ SAME
OV
V ? Ad?ress
r (`,i}?
Phone
?W Narge
? ; Address
5 W Ciiy Phone
I hereby adcnowlege that I have read this application and state that the
infortnation is correct and agree to cbmply with IL applicable 5tate of
Minnesota Statutes and City of Eagan Ordinanges ?
Signature of Permitee
ASuilding Permit is issued to: WILIJ" $UTVM CONSr
on the express condition that all work shall be done in accordance with all
applicable State oi Minnesota Statutes and City of Eagan Ordinances.
Building Official
OFFICE USE ON4Y
pccupyncy R-3 U-1 FEES
Zoning '1
(Actual) Consi V_'N Bldg. Permit 582*QQ
(Allowable) Surcharge 43,30
i # of Stories
53,
Plan Review
291.00
Length
Depth SAC,City 100400
S.F. Total - SAC, MCWCC 573•00
S.F. Footprints -
W 550,00
On Site Sewage - ater Conn
On Site Well Water Meter "•00
MwCC system X 3?.?.
City Water = Acct. Deposit
PRV Required
X
5/W Pemrit 24000
Booster Pump - g/yy Surohazge 1100
TreahnentPl 226,00 .
APPNOVALS qoad Unit 323s00
Planner - park Ded.
Council ?
Bldg.Off. _ Copies
50
3, 835.
Variance - TOTAL .
CITY OF EAGAN M 16071
3830 Pilot Knob Road, P.Q. Box 21-199, Eagan, MN 55121
PMONE:454-8100 f°:
-7
BUILDING PERMIT Receipi # U LU -1-7 7
To be used tor SF DWG/GAR Est. Value $$7, Q00 Date JAN , 19$9--
Site Address 1403 BLACKHAWK LAKE DR
LOt 10 Block I Sec/Sub. STflNEY POTNT
Parcel No.
W Name WII.LIAM HifTTNF.R CONSTR[I('TTO?I
73- Address 960 WATF.RFORD DR W
o
City EAGAN Phone 492-317188 793-?o Name S?
gQ Address
F City Phone
?
8W Name
?? -? AddreSS
¢ W City PhOne
I hereby acknowlege that I have read this application and state that the
information is correct and agree to comply 'th pplicable Stste of
Minnesota Statutes and Ci of agan Ordin
Signature of Permitee ' / "!N_
A 9uulding Permit is issued to: _ WILLIAM HCTTTNER CONST
on the express condition that all work shall be dane in accordance with all
appiicable 5tate of Minnesota Statutes arid City of Eagan Ordinances.
Buildingdfficial &dtt,?? V
OFFICE U5E ONLY
Occupancy R-3 11-_1 FEES
Zoning R-1
(Aclual) Const V-N Bldg. Permii 582 .00
(Allowable) v-N
Surcharge 43.50
16 1 # of 5tories -
55'
Plan Review
291.00
Lengdh
Depth 44' SAC. Ciry 100 . 00
S.F. Total gqC, MCWCC 575• dd
S.F. Fooiprinis -
on site Sewage - water Conn 550 . 00
On Siie well - Water Meter 90.00
MWCC System X
Acci. Deposit
30. 00
Ciry Water X
PRV Required x SMJ Permif 20.00
Booster Pump - Sr'W Surcharge 1.00
Treatment PI 2 2$ - DO
APPROVALS Road Unit 3 7 5_ f}(]
Planner - - Park Ded.
Council
BIdg.OfE. ? Copies
Variance - TOTAL 2,835.50
?- BLDG. PERMIT NO. I (-.a c) -1 1
10 'Op"v of I
. P
01-3210 Bidg. Permit 5 U
? 01-3422 Plan Check o2 a1 I CC
01,3445 Surch./Adm.
01-3446 SAClAdm.
? 01-2155 Surcharge ?
75-3860 Road Unit a ? c
? 20-2275 SAC 125
?
S 20-3865 Water Conn. ? d
20-3868 Water Trmt. ? a
? 20-3716 Water Meter c) o Q
? 20-2252 Acct. Dep. J`C) 0 b
20-3713 Water Permit ? LD Da
p 20-3743 Sewer Permit ?? ?o
-1- 79-3866 SewerConn. 1 )c?
28-3855 Park Ded.
TOTAL ? ? ?? ?
; DATE: 3I7/$9
1403 BLACKHAWC LAKE DR., LlO. Bl, STONEY P'aINT
XX Your Sevyer & Water Permit for the above property has been compfeted. It wili be held at the
Public Warks Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WOAKS (454-5220) FOR YOUR PERAIISNEN7 WATER TURN ON.
-? Your Sewer & Water Permit for the above properry cannot be oompleted for the #ollowing
• - reasons:
?? t ?
Your 5ewer & Water Permit for the above property has been completed, but the meter cannfl#
be issued or occupancy allowed unEil further notice.
C(3MMERCIAL PROJECTS ONLY: Please pay for meter a# Ciry Mall. Meter size must be
confirmed by Bill Adams nr,Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARMINCa: BEFORE D4GGIPIG, CALL'LOCAL UTILlTIES - TELEPHQNE, ELECTRIC, GAS, ETC.
- REQi11RED BY LAVV.
CONTACT COMMUNtTY DEVELOPMENT DEPARTMEN7 FOR WATER TURN ON PQLICY.
3ecretary, Building Inspections Dept
DATE: 3/7/$g
1403 BLACKHAW[C LAItE DR., L10, Bl, STUNBY PO1NT
XX Your Sewer & Water Permit for the above property has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
' s Your Sewer & Water Permit for the above property cannot be completed for the following
reasons:
,1
?
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 Ciry Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITtES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMEPIT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
N •
(Ur#tftraft o# Orrupttnry
titp of eagan
lorpairhttmt nf luildwg Jttvpr#inn
This Certificate rssued pursuant to the requiremenu of Section 306 of the Uniform Building
Code cerlifyrng that at the time of issuance thrs structure was in compliance with the various
ordinances of the City regularing building construction or use. For the following.•
Use CIa.ssi6cadon SF DWLI?R Hldg. Rrmit No. 16071
Oocupaxy Type R3/M1 Zoning District R) Type Consl. VN
owner aeeOa;ag W1I.LIAti HqlZl+llR rJCriST. Addm 960 WAIMM IR. W., EAGAN
amian naa.ft 1403 ffiAMIAWK I.AKE MIV?_u. L 10, B 1, SUNEY PMMTIE
oete: APRII, 27, 1999
Bulding Offi6al
IN A CONSPICUOUS PLACE
BUILDING PERMIT
'fo be used for SF DWG f GAR
Receipt # ? I ?o
Est. Value $127,000 Date 1'AY g , 1 g 91
Site Address 3614 LAI?VIEW TR
Lot 4 Block I Sec/Sub. STONEY FOINT 2N]
Parcel No.
W Name DAN SCHWEICH HqMES
? Address 10175 UPPER 178TH ST W
City LAKEVILLE Phone 435-3407
c Name S?
?a Address
F City Phone
? W Name
?? Address
a? City Phone
i hereby acknowlege thaY I have read ihis application and slate that the
information is correct and agree to comply with all applacable 5tate off
Minnesota Statutes and City Eagan OYZ4
'Signature oi Permitee ?A Building Permit is issued to: DAN SCHWETGH HOMFS
on the express condition that all work shall be done in accordance with all
applicable Btate of Minnesota 5talutes and City of Eagan Ordinances.
Building Official ??F? ? 1.PalA J rn?
. CITY OF EAGAN Nq .196
3830 Pilot knob Road, P.O. Box 21-199, Eagan, MN 55121 ??
PHQNE: 454-8100
OFFICE USE ONLY
Occupancy R-3M-1 FEES
Zoning R-1
(ActuaqConst V-N BIdg.Permit 734.{)0
(Albwable) -V--N gurcharge
0
63.5
# O( $IOries _
54'
Plan Review •
477.00
tength
Oepth 48` SAC, City 100.00
S.F. rocai - sac, rncwcc 650.00
S.F. Footprirrts _
On Si1e Sewage - water Conn 660 . 00
On Sile WeA Water Metsr 95.0
0
NVwCC System x
Acct. Deposit 30.00
City Water ?
PRV Required _ SMI Permit 30.00
Booster Purtp - 5/W Surcharge • 5o
Treatmeni PI
0
276.0
APPROVALS Road Unir
O
370.0
Planner - park Ded.
Council p_
81dg.Ofl. _ Copies
Variance - TOTAL 3+ 486. no
SEWER & WATER PERMIT -QFFICE USE ONLY
CITY OF EAGAN PERMiT oATE 3/ 7/ 69 ,
3830 PIIOt K110b Rd. WATER PERMIT # 10293
P.O. Box 21199 SEWER PERMIT ?
Eagan,MN 55121 MeTER #?t 8 97 B.P. RECEIPi' #-9067
READER # 66741 a q 3 B.P. RECEIPT DATE _L2._L489
METER 51ZE S/8 Rou(
ISSUE OATE ? PRV `-BOOSTER PUMP
, ?
SITE ADDRESS ??? ? tl`? '-s r,
LOT _?LZBLOCK -Z-SEC/SU6
APPLIC,ANT:
ADDRESS: ?
CITY, STATE ' --e?- ZIP ? ? ? - :"7
3 p
PLUMBER:
ADDRESS:
CITY, STAI
PHONE: _
f • PERMR REQtlEST6
-ySEWER _LO?ATER TAPS
- COMMlIND ? RE$ ENTIAL
NEW ? EXIST G
1
1 AGREE TO COMPLY WITH CITY 014` .
E N ORDINAN ?
OWNER:
ADDRESS: SI TURE METER ISSUED
CITY, STATE ZIP
PHONE: ?
PLEASE ALLOW TWO WORKING DAYS Fq? PROCESSING. FOR STORM SEWER PERMITS, CONTACT
ENGINEERING DEPT.
19$9 HDII.DINC PERMTT APPLICATION - CITY OF EAGAN I A,
SIlSGLE FAMILX AiMTELLIlQG3 16011
INCLOAE 2 SETS OF PLANS, 3 CERTIFICATES dF SURVEY, Z SET OF ENERGY CALCULATIONS
NOTEs ADDAE55ffi FOE CORNER LOTS - GONTRACTOfllHQMEOWNSR MUST D&SIGNATE WHICH ADDRES9
I5 DF.SIREB. HO CHANGES WILL BE ALLOWED ONCE BIIILDING PEA'MIT IS I3SQE13.
MOLTIPLE DWEI.LIHGS RENTAL [INITS FOR SALE UNITu" # OF [TNIT5
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SIIRYEY - CHECg WIT$ HLDG. DEPT., 1 SET OF ENEBGY
CALCULATIONS
CQMRCIAL
INCLUDE 2 SETS OF ARCHITECTUE?AL & STRUCTURAL PLANS,
9 SET QF SPECIFIGATIONS AND 1 SET 4F ENERGY CALCi3LATI0NS
! C43'?
To Be Used For : I ' /t Valuat3on: ? Date: l'?- S ?
Site Address au L3k
Lot I? Blaek ?
Pareel/Sub
Qwner
Address
CitylZip Code
Phone
Contractar U)?? W(466411 6'e5f'
Address Or
City/Zip Code f?ae, 10e4 ?372L.
pnone 4 5'2-- 3 00 7z3 Y/ 6 /
Arch./Engr.
Address
City/Zip Code
OFFICE USE 4NL'Y
Occupancy
Zoning
Aetual Const ] j- hl _
Allflwable v_ A?{
A
# of stories
Length
bepth ?J?lr
S.F. Tota1
Footprint S.F.
On site sewage
Qn site well
MWCC System
City water
PRV required
I Boaster Pump
?
?
APPROVALS
Planner
Couneil
Bldg. Off. - rr? u ?rj°?
Varianee
Counei.l
?
Bldg. Permit -5SZ,00
5ureharge z13.50
Plan Review 79/, ?
SAC, Ci.ty / OQ, 00
SAC, MWCC 5M0_0
Water Cann L °p I-DO
Water Meter 43 O DO
Aeet. Deposit 31J .0r?
S/W Permit ZO, n?
S/W Surcharge 1 , Db
Treatment P1.
Road Unit 3 .O
Park Ded.
Copies
TOTAL
Phone #
?
N4TE: 3ewer & Water Permit fees aad aecount degos3t fees wi11 be included in the building
permit fee. Proeessing time fbr seWer and water permits is tvo days once a licensed
plumber has applied for s permlt at City Hall.
VALU?????
At - -- - - -
G/? ?-1 Rp1GC
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t? s K\`7.
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Ez- )(r4L -
r)??
p
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ZXZ?7=
? SgX ti?- `4 Z-
g??
5iS2 -0U+
43.5LJ+
293 °OU+
. ,._ ` 1 9 1 ? • 4 ii -?
_ 2=s35
7u-w
. 4F
?? }
/ J
? ? * 4(
* P101.,
* engir
? ? **
2422 Enterprise brive
Mendota Neights, MN 55120
(612) 681-1914
Certif'tcate of Survey for: ?-IUT TNER COl v S/.
No 4T ??
6 I=s
t-??-aq
• 5 S.7
5, 9 4T "F
e
,
r
42,0 `• l
'14 ?7° h
14o
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?
?.
? ?
14,U4
PAV, R
so.
..- cU0
G• {03`,/ Q
y?K
7p 00 ; .
N 73?2g47' fS!
86¢. Z
l,q,lQr 4p4/46.
• goo.o Denotes existinO ftevofion
? 9aO.o Denofes propasYal Elevation
Easement
--- --- Denofes Droina er'utili 7rrrowf
---. benotes Dnuina e Flow o Denoles monumenf
8 e4rls shown or'p crssu rrt ed
/ cj? ?
^a
?
PRQPQSED NOUSE ELEVATIOIYS
.?.?Lowesf Floor Elevab*on = 863, 6(.
Top ot 8lock Elevalion : 46
Garalz slab Elerrafion = 6 .3
LOT 10 , BLDCk I t$7'4NFY PC?lN7"
. DAKOTA CouNTY, MiK NFSaTA SU B IEC]" TD EASE ME NTS OFQfCDRD
I hereby r.e?tlfy that thlt futvey, plen or report was p,?epared by or under direct suparvision and that 1 em duly R?siered Lanii Surveyor
? uncier the isw? ot ths Ststs of Minnesota. Dated thls ??'? day ot A.D. 19-'a.
Scale..: I i?ch= 40zg-e _
SR 057. Ol ROBERT B. SIKICH L.S. REO. NQ, 14891
30
(For.z Dcveloped by thc Sta2c of ninnesota Luilci:iig Code i3ivfsio:1) .
TD EE SU9:iIT; LD NIT1i IIUILDIt?C PERKIT APPLICATIOy
, MTE?;IOR F:JVF.LOPE AVERAGE "U" C(1`iPUTATION '
,. :
'• 0??:3ER: Lori 10 ZL?k 1 S'TC"E(
SITE ADDRESS; dY, Lo?Id ?l?I S?f ? 1. CONTRAGTOR: ?? ??((YI? DATE: 1-'1T4 9 PRONB: KZ 3°If?
?z3
Detera?ine Working square footage of each
1. Total exposed wall area....... .. 2?Of 2 sq.ft. x f?? +? Z2l.3Z
2. Total roof /ceiliag area.. ....... / 2-36) _ sq. ft. x1 0
3.• Total exposed wall area calculaticns: . Total exposed wall area above floor
' a. Total wall windoW' area .... ... . . . ... .. ............... /8Z b:"Total door area .............. ......... .............._ 3_Z_,,, .
' c. Total sliding glass door area ....................... ?fo •
d. Total firepZace wall area ........................... -'
' e. Total wall framing area (average 107.) ...............
f: Total net wall area above floor..................... / 94
g. Total ria joist area................................ /l!9
• • ? Total exposed foundation area
h. Total foundation window area ........................
i. Total net foundation area above grade ............... 105`
?• • Determine "U" value of each wall segment x foII.s A ' ' ? - .7 f ,6 Z
a.
X .,U„ 7t
n n
7? 2,U
, • C • X U Z
. •?
d o ?..._.- X ttUn ...-.-.-----
, . e. x nQn s 0/ . 3 ?
? • f • x nUt1 ? d l. • J 3' O /
. 6• X fftttl I V
Y
. h ? R OlUt?
.
.
? • i j a ? . X toUts 112,0
.
. . ,..?.
. . «?T J. • -?
3. • TOTA7. 9.9. F/
If item C3 is the same as, or less than iteia D1, you ttave tact tt?e intent of
. SsC 6006(c)2. • .
•? .
:
. < . . , .
, - - .
4. Tatal exposed roof/ceiling calculations:
. ?
Total exposed roof/ceiling area
,? -
?. J. TQ?al skylight aTt3...•....?.s...r?.•.......rr.r?????• 'Te+ •
k.'Tota1 roof/ceiling framing area (average 107.)......... 123
1. Total neL insulated roof/ceiling area.................^ i/0,2_
Detersaine "II" value far each roof/ceiling segaeat
J. r^ . X etun
k. 1 2-3 x flU?$ 2. 4,6
7 x „U„ 4. . :sorAL
?
If total of G4 is the same as, or•less than #z, you havetnet theYintcnt
of S8C ,6006 (c}1. .
A2ternate Building Envelope Design
'?:?_•, .. ' .. . . . : • . -
To util.ize the tatal envelope system method, the values establislzed by --
the sum of iCens #3 and 04 shall not be greater than the sum of items 01
and 02.
1.
3.
+ 2. ?
,
:
+ k. -
. C E R T I F I C A T I D N
I hereby certify that I have calculated the "U" factors and R values
hereia and that the building hera described meets o= exceeds the SCate of
• Minnesota tnergy Conservation Act. .
. • 7?
(Signature) --
.
. (Datg)
r:.?: . .
W,ti1.L s-i!-7'.c:5
• ? ---
j?0 ]G': of ?lju, ki21 arca for
• :r_arnc c01+::trucLiUn
Z
. ?
WALI,
Fzc. 41 TOPVIEiI eF
. F_it7'.t M l•;1'.I,L
a
FIG. f- 2
. '? ? •~ ? ?
' I.,.,,.?,.....•?-......_,? .
-?-- - ? • ' .
s • ? = 1 J ?".'.?'?,_._... ? .
SrC L 1-5c.;t-VA
?IIt'.'.'.;.T•'a.1 : , ?,?}`_ J•
. ' .? ; ? •.?1 ' .
"?,
?? ' . ..?..?._...._...?.? ?.
1TIC?:
.
. .
c?r .?; • r. .. -. ?...ti, ,
.?
. ??• ,.' •' •
Constructicsn R-Value
1 k " ` r.. _? l L „ .
7nt-grior air fi]m 0.68
2
.
3. ° i.nches safr_ wnnd -? -
q
_ .
5
.
6, Exteriar c-ii1 film = 0.17
Total
??4?- • ?.1
? .
• V?? ? f
•
???? ??
f 4 . . . , ..
].. Intcrior air filsa 0.68
2.
3.
? . •r .
6. Etiterior air filn D. ].7
?
__.. ` Total • = ? ; ? ?
? ~ ? ?
1. Interior aix fa.lm 0.66
2.
3.
--
6, r-xtcriox- air film 0.17
3btal
. . ?t ,?.
1.
2.
• 3.
4.
5.
G.
interior air filtn 0.68
Exi:erior air film 0.17
Total
? •
5T,J1S O:l GT.taU:: .
? • . ? .
.
• • . b •' r • ' . . ?
.
` •
(?
???- rl `f
` •• ' • y ?
r
% 4?
;
, . ,
? ., :•?. ?r1?--.? ??? V • . , _
C. r
?
.
'?? ?
?
• . . . l
, ,._..
^ ?'
• ??
? /
?/ -•???
'?
• ? ? .
f1l
: ??• r? ? FIG. 04
a
•
7- TG. #3 .
//` r
r ? ?ff
F
. NoTC: Tndicatr. L-ync, valun, dcsnth and
.
? . ? ?
• ?
. placaracnt of in
sulatiAl].
.
Gs ?,- ' -! • •' ? ' ' .
;J ..
,
f
ROOI'/C3: I LZ;:G
.
-?r-? r,
??y f
•
1 1 i??'il ?1• ? 1
• VII:T
V::nte3
u ?:est tlo?:
uP
FT.G. t5 ?
Cort:-tr.uction , R-Valiie
1. Interior air film 0.61
3. ? ?', ' %lr ' •, , ? • h
t!. Extcrior zir fili1 0:t•.i213 n.L
't•otal
-- -
_.,._........_-
? I
_•J " 1 ' .? '? s
/
1. Interior ai.r film O.G1
2.
s.
^
4. Exteriur air iilm still 1•
. Total ';' 1 . -? -
•? ' L? ji V ? \J
.
, I:eat flotl up ? ; veated
. .FIG. #G . • .
F(D ;?
.., ?; . . ; ? -.
• ? ? _ , ? , c, .0 "?.??: ':'; • .. . ??^: "? %?s
'.A ' . ? . .
• t;0:1-VL•Z:T'?
.. . ?
.. ? . .
. Heat
' , . flov up
FTG. 07
?
3.. Ir,Gidc air fil.m_ 0.61
•
3•
4.
5. Outside air film .0.17
To tal
Notc: U::c additio,ial ::hects if more spacc i
needec3 for details aiid calculations.
. . '
. ?.
; ?,. x : ? ,
;...,... , , . ?
, , ,,_ ,
-. ; ,
, _ ? 'i,; , ,: !, ???
_ ... . _.
:,._..._ _.
.. , f . , r?? ? .,..
, ,
- , ,i ii ? ;-i ?.
' ; , ? ...,
- ,i _
;.. .
_.,,
,; , ;.. ? :
, ,
.
, ,._ , ?
_... . ?":..., . , ?? ? . . .. - /?'#
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
cinr oF EacaN
3830 PILOT KNOB RD - 55122
651-681-4675
•Now consfi,cnon Reaulrernems = = del/?A,odr RmA
D 3 rogilstvred aih wrvays ilwwinp sq. A. ot lof, sq. ft. d house
and yl roofad dtius =X maxdmuin tot caroroae allowed)
? 2 coples of plana (ahow boam & window alzoa; Pcured hwd dosifln; atc.)
D 1:et d M'orfly cdculaNons
A 3 ooplas d iree prosanvaW plan M lot plalted aRar 7/1/93
oAh: n, - -- o 0
DESCRIPTION OF WORK: U`? 6?e
Z COpist Of plan
1 sat a anargy od«uIaMon: tor rwaaa addlions
t sita wnroy la *xledor addlMons & docka
CONSTRUCTION COST:
STREET ADDRESS: I 7? ? ??ri C k kcttu
LOT: ? L BLOCK: SUBD./P.I.D. C 'S Tuy
?
cr?-,???
6 ? 0 cD
PROPERTY
OWNER
COMRACTOR
ARCHITECT/
ENGINEER
Name: f'? oCC G1 'vl C I1GLD Phone #: S3 D C?
last Flist
Street
, 1P-IckC ?
aty Srote: Ep:
Company: Phona #1:
(areo code)
Sheet Adcress: License # Exp.
cih? srote:
Company:_ Name:
Telephone #: ( )
Zip:
Sheet Address: RegsfroHon #t:
CHy State:
LP:
Sewer/water licensed plumber (if instalilna sewer/water): Phone #= (?
I herek3y acknowiedW ihot i have read fhis appllcatbn, dcte thaF ihe Infortrwibn b c:orrect, and apea b comply wilh a1 appNcable Stoft
of MinneaoM Stah,fea and CiFy of Eapon Ordinancea
• Signature of Applicont
OFFICE USE ONLY
CeRiflcates of Survey Received
Yes No
Tree Preservation Plan Received Yes No
FEB - 8
Not Required
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
0 01 Foundation 13 07 05-plex
O 02 SF Dwelling ? 08 06-plex
? 03 01 of _ plex 0 09 07-plex
O 04 02-plex ? 10 08-plex
O 05 03-plex 0 11 10-piex
O 06 04-piex O 12 12-plex
WORK TYPE
0 31 New
? 32 Addition
19?' 33 Alteration
? 34 Repair
O 13 16-plex ?
O 17 Garage 0
0 18 Deck p
?19 Lower Lev D
Plbg Y oPX N O
? 20 Pooi D
O 31 Ext Alt - MtM
0 33 Ext. Alt - SF
O 36 Muftl
21 Porch (3-sea.) -
22 Porch/Addn. (4-sea.)
23 Porch (screened)
24 Storm Damage
25 Misceilaneous
30 Accessory Bldg.
13 36 Move Bidg. E3 43 Reroof
O 37 Demolish (Bldg)* 0 44 Siding
O 38 Demotish (Interior) O 45 Fire Repair 0
? 42 Demolish (Foundation) O 48 WindowslDoors
* Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code o ?
No. of Units i
No. of Buildings U
Const. (Actual)
(Ailowable)
UBC Occupancy
Zoning
# of Stories
Length
W idth
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
MISCELLANEOUS INSPECTIONS
O StuccolStone
APPROVALS
Planning Building
Permit Fee G ?. S U
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S1W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
sq. ft.
sq. ft.
Footprint sq. ft.
Census Code y?
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Engineering Variance
Valuation: $ a, o ° 0 "
SAC Units
96 SAC
? ? .
? l
1941 BUILDING ERMI?IT PPLICATION
CITY OF EAGAN ?
?
?
SINGLE FAMILY DWELLINGS MUI.TIPI.E DWELLINGS C4MMERGIAL
2 SETS OF FLANS 2 SETS OF PLANS 2 SETS OF ARCHTTECTURAL
3 REGISTERED SITE SURVEYS REGTSTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCUTATIONS (CHECK WITR BI.DG. DEPT.) 1 SET OF SFECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET aF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS PENALTY APPLYES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKTNG DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQIIESTED ONCE PERMIT IS IS3UED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLQWED pNCE $IIILDING PERMIT IS ISS[TED.
PR4CESSING TzME FOR SEWER & WATER PERMITS IS TWQ DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT NNST SHOW A LTCENSED PLUMBER.
To Be Used For: I (-: [K" Valuatton:
Site Address 14C3, gjarkb4wR
Lot L Slock `I
Parcel/Sub S- TQN Ey PQl ?J1-
Owner SO r"t C(-j 1'Ti-t KC) 1.l f} N C k9 A- ()
Address 10 3 B??C??l4i?'G L4-,& 3)Y^
City/Zip Code f?-Ct.CjGA n t"( N ; 5- j Aa
Phone ?• ?$7?-`??9?3 ?-Q?f ?n??_
?-?
Contractor 5-e(? --?
Address
City/Zip Cade
Phone
Arch./Engr. _
Address
City/Zip Code
Phane #
?4
/u?
Date : `J /?- C71
OFFICE USE ONLY
Occupancy ? - ?-
2oning
Actual Const
Allowable
# of stories
Length ?
Depth S.F. Total
Footprint S.F.
Qn site sewage_
On site well
MW'CC System ?
Gity water ?
PRV ?
Booster Pump ?
APPROVALS
Planner
Council
Bldg. Off. S=09; 1Z
Variance
FEES
BZdg. Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Acct. Deposit
5fw Permit
5/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trail Ded.
Cap9.es
SuBTOTAL
Penalty
Lot Change
TOTAZ So
??? agrees that all work sha11 be done in accordance with
(Signature of Cantractor)
all applicable 5tate of Minnesota Statutes and City of Eagan Ordinances.
?. ?
,. .. .r? ? .?
0 • *
?-?•00 -F
,I 0 • 5J-F
? 2 5 . ? 0 r
'1 6
t
* Pi r..
* engin
1?r ,?,? #?"
2422 Enttrprise Drive
Mendote Heights, MN 55120
rina..
t6121681-1914
Certificate of Survey for: 14v T T t Y G Q CQl v ST.
?.; _ . • .?? ? " . ? ?( ? ?? g ?u
}e_ _. . , . F f
s
? r-??-aq
k.?. ,° : . .
::
b
P.R.V. RE00-H-0
S. y3.2 ,
95?4?"F
^, e
, -_
1 `
r
3q o 1 /
Lii 92, . ?? ? l5
?^, o ` oaosFp 3i./1 s- .
so „ Nou
-7se ?
? M
11 7°7° h
, s• N ?, •0 ?
.? I e 3 r
64A
?y?'?
? <p0p ,
G• ?Oj`,?6w ?
8[,qC'?,?
?
J o
. iv
? I
u ?.00 864, z
q7., w
r 900.0 Denvles exisfrn flevafion
• 900.o L7enofes propd Elevotion
--"'" Denofes Drar?o e['t/tild Easemenf
---_..._ benotes Drai»a e Flow 14rrow;
NoaT Et
?
/ 0
?
PROPOSED N?USE ELEVATIONS
Lowesf Floor f/evafron = 863" 6?
Top ofi Stock E/evot;on = ?96.
vafion = 86.3
51
o L7enofes monumtnf Ciara3a o b Ete G
8 e4rint shown ore assu rn ed ?
LaT BLack i , 67OAlEY pQINT .
DaKOTA CouNTY, MfNNESOTA SuBIECT TO EASEMENTS OFR"aD
red bV or unde? direCt supsrvisiOn iod thst 1 fm duly AlphtMed I..?tW §o?vlVO?
f herebY eertify thst tfiit tutvey. Plen or report wasX7
? unle? the law? 01 the State ot Nlinnaots. Osted this dev ot A.O. 19--a.
?ca1e ' 1 inch a ?O t e?
ROBER7 8. SIKICN L.S. RE . 1440.14891
$8 v ,
?
J 07
.or:j
RfSIDENTIAL
BUILDING PERMIT APPLICATtt3N ?
3= PILOT KNOB RD - 55122
? 651,681-4875 .
[yw Corstructlon ltaauinrnab
3 regbtvW site surveys showinp sq. h of bt, sq. ft. of house; arxF d rodhd am
(209G madmurn lol mverage aHawed)
2 oopies of plan stiawlrg beam & window aizes; poured tound deeign, atc.)
199 o( fnergy CalaAatim
3 o0pies of Tree Prese?vadOri PIan I lOt plBKed ater 711193
Rim ,biat DetaN Options selectfon sheet (bldgs witlt 3 a leas wft)
)ATE
IOB SI
f MULT1-FAMILY BUILDfNG, HOW MANY UN{TS?
PRaPeRTY owt4E?
YPE oF woRK
kPPLIGANT -50 L 10
%aoRESs
'AGER # CELL PHQNE #
. a copies ofom : . .
. 1 aet Of EneW Ca""w forfted 21010M
• 1 sNa atruey br s*rior ad060ee 8 tleft
• Inkata I hDmB farnd ?j' solte sy*?t tbt idft.ns
d Q A- N
N[W RESIDENTIAL BU1LDING aNLY - FILL UUx COMIOI;ETELY `
Energy code category _ MINNFSa'TA Ri7LE5 7670 CA''TEGORY 1 .
(check one) - Residentlal VsntNatFon Categary 1 Warke#tpg Subrnitted .
- F-nergy Em?elope Cslculaticros Stbmifted
MINNFSQTA RTJ'LES 7672
- Alew Energy Code VVorkshaet Submltted. ,
Plumbing Contracfor. phan* C.
Plumbing 5ystem Includes: Wafer Softener Lawn Sprinkler Fee: S90.0(}
_ Wat,er Heater _ Na. of R.I. Baths '
No. of Baths
Mechanlcal Conhactor. ?, ..? --- - - „ Phcre 0 - ------ - ,
Mechanical System Includes: _ Air Conditioning Fee: $70.00
_ Heat Recovery System
Sewer/Water Contractor:
Phone 0
Ul above information must be submitted prior to pracessing of applicatian
hereby acknowledge that 1 have read this application, state #hat ihe inforrnation is correct, and agree to complywlth
iA applicable State of Minnesota Statutes and City of Eagan OrdinartCess. Slgnatura of Appllcanf
:erdflcates of Survey Receivad Tree Preservafion Man Received hlo# ReqUired
. . : tpctow i%t
OFFiCE tJSE ONLY
] 01 Faundation 0 07 05-plex ? 13 1 H-plaoc Cf 20 PW 0 34 'AWoogWy, Btdg
7 02 SF Dwelling D 08 Q6-plex C] 16 FhVace 02.1 Pbrcfi t3-aea.) ? 31 fAA#- MjW .
3 03 01 of _ plex CI 09 07-plsx O 17 Gerage 13 22 Pom!VAetdn. (4-am.) q 33 EAiW-SP
3 04 02-piex 0 10 U&plex 0 18 Dedt q 23 Poreh (ooeereci) . I3 - 36 iqi _
] 05 03-piex 0 11 10-p{ex O 19 Lovwer Levet 13 24 ftrin Qwmge
] 08 04-piex 0 12 12-plex PIb?,,,,Y or N. ? 25 a
] 31 New C3 35 Irrt lmprovement Ci 38 Dam4lish (Iterbr) 0
a 32 Addilion ? 0 36 Move BMg. 0 42 Dwneikh (Foundatfon) Q 45 FireAspair
7 33 NEera6on C1 37 1}8molish (BId9r 0 43 .Rerod, 0 46 W910MOOM
3 34 Replacement ManiOMoo Moft oft-**A - piw PQA *wtftd fiQ aWlamo
/i1t1aft11 oGCIkPanCY . = MMb S""CTt
iA[1SktS ?'iod@ . ZCHft city wStiT ,,..,..?.... _
;AC Units Stories ? Bflostir plwmp
dIN: af Units $q? Ft. `"PRV...
dtrr. of 81dgs Length Fire WrakWei
"yps of Gonst ? Width . .;?,
REQUIRIEX? ft+€SPEGY#tJNS "
_ Footings (new btdg) _ FinaM.0. . .
_ Footings (deck) FrnoUNo C.O.
_ Foodngs (addit[op} _ Plumbing ,
_ Foundatian HVAC
Urain Tile
Rvaf _ Ice & Waer ? Fina.l „ Qther
s.?.. ??8 ,. ' AirJ[" Tests
P??1 - ? ,. ?i* - -
Firaplace R.I. -Air Test _ F'iaai .
Siding Stucc,?, ,? Stune
_ Insulation _ ?indows ??aewhrep?nt)
.?r
AW*vd.By
?ase Fe:e ?
iurcharge
'lan Review
ACIES SAC
:Ity SAC , .
vater suppty & Storage .
i&W Permit 8 Surcharge
'reatrnent Plant . "
slumbing Permit
Aechanicsl Permh
.icense Search
;opies , .
?tlter . ,
rata! .
? ?
7 ? 845
2007RE5IDENTIAL BUILDING PExMIT AgrLicATrorr
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Constniction Reauirements
3 registered site surveys showing sq. ft of lot, sq. ft of house; and all roofed areas
(20% maximum lot coverage atlowed)
t Soils Report if proposed building is to be placed on disturbed soil
2 cop'ies of plan showing beam & window sizes; poured found design, etc.
1 set of Energy Cak.ulations
3 copies of Tree Preservation Plan 'rf lot platted after 711193
Rim Joist Dehail Options selection sheet (buildings with 3 or less units)
Minnegasco mechaniqlventilationfonn
RemodeVReaair Reouirements
2 oopies oF plan showing footings, beams, joists
1 set of Energy Calculations for heated additions
1 site survey for additions & decks
Add'rtion - indicate if on-sffe septic sysfem
/a
?Iv
Office Use Onlv
Cert of Survey Recd _ Y_ N
Soils Repod _ Y _ N
Tree Pres Plan Recd _ Y_ N,
Tree Pres Required _ Y_ N
On-site Septic System _ Y_ N
PEans are considered ublic information unless ou state the are trade secret and the reason.
Date 10 Construction Cost O
- (?C?? -
?
Site Address
D
Unit/Ste #
T
Ol C? ? ? -2 ?
S
-
4?
-L
r C7 ta
v
Description of Work 2
r
m
A r
m 1
TbYL
?
Multi-Family Bldg Fireplace(s) >? 0 _ 1 _
_ fQ N 2
Property Owner SC`i I'l ?- ? 1-k H ?Ot.l)r ni eAA AD Telephone # b5) }-?) 3 0 -
,
Contractor t",P- ow A'V-- ?
Address . 5p/?2e- l`'.s 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
In the last 12 months, hds the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber ? 0 [E L1 v E
Mechanical Contractor MAY 1 0 7007
Sewer/Water Contractor
Telephone # (
Telephone # (
Telephone # (
I hereby apply for a Residential Building Permit and acknowledge that the information is complete anct 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 se of work which requires a review and
approval of plans. SO M ?'H 1TF1 O Q?? ?N ? ? ---
Applicant's Printed Name Applicant's Signature
DO NOT WRITE BELOW THIS LINE „AW
Sub Tvpes
? 01 Foundation 0 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling El 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex 0 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo/pergola) ? 36 Multi Misc.
? 05 03-plex ? 11 10-piex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvpes
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration 0 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant
Description: Water Damage Yes
Valuation Occupancy MCES System. ,
Plan Review ? 100°a or 25% Code Edition "
Census Code ? ' ? ? L-? Zoning ? City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
V?ZL _ Footings (new bldg)
Footings (deck)
\ Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
? Framing
?
Fireplace _ R.I. _ Air Test _ Final
` Insulation
REQUIRED INSPECTIONS
_ Sheetrock
FinaUC.O.
FinaUNo C.O.
HVAC
Other
_ Pool Ftgs Air/Gas Tests
_ Siding _ Stucco Lath _ Stone Lath
_ Windows
_ Retaining Wall
? Approved By: Building lnspector
Base Fee
Surcharge
Pran Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
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REScheck Software Version 4.1.4
Compliance Certificate
Project Title: addition
Report Date: 07ro7108
Data filename: C:1Program Files%CheckiREScheddedditlon.rdc
Energy Coae: 2000 Minnesota Energy Code
LocaWn: Oakota County, Mfnnesota
Consbuction Type: Slnge Femity
(3laaing Area PeroeMege: 20%
CHmate Zone: 2
Constrvction Site: OwnertAgent
1403 bledMavrk lelce dr1w sorrdith kauandtao
eagan, MN 36122
PeRmit 0 00077843
f'cni?;li;?r"-" PassP.s
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? SkylW 1: Wood Frame:Daubie Pane wttfi Law-E
WM!: Wood Frarr??
Window 1: Aboved3rade:Wood Frame:Doubfe Pana with l..ow-E
Oow 1: Solid
Fumam 1: Forced Hot Air 92 AFUE
Air Conditlotw 1: EloWlc Centra! Air 13 SEER
wame -'rtde
Desigrw/Contractm-:
7 0.550 4
989 19.0 SA 36
188 0.370 70
39 0.550 21
Compllence Stafement: The proposed bullding design described here Ia consisteM wfth 1he buflding plans, speciflcetlons, 2nd oaher
CAiCUlatiorls submftted with the permit epptiCedOn. l'he propOSed bullding t1aS beert designed t4 meet tlhe 2000 Minnesoffi Ener+py Code
requirements In REScheek Verslon 41.4 and to canply wNh 1he manef 1In the RESdjedr kupecdw
c?1WC?' 1`T1? K0?l 1`? C(k?"a ?
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Data fllename: C:1Progrem FlfeslCheckIRESchadcladditfort.rdc
Repors date: 07107ros
Page 1 of 1
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA128702
Date Issued:12/01/2014
Permit Category:ePermit
Site Address: 1403 Blackhawk Lake Dr
Lot:10 Block: 1 Addition: Stoney Point
PID:10-72600-01-100
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 .
Description:replace hail damaged roof on house and shed
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 -
Somchith Kouanchad
1403 Blackhawk Lake Dr
Eagan MN 55122
Abelard Construction
150 Eaton St
St Paul MN 55107
(763) 797-4043
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA141770
Date Issued:03/29/2017
Permit Category:ePermit
Site Address: 1403 Blackhawk Lake Dr
Lot:10 Block: 1 Addition: Stoney Point
PID:10-72600-01-100
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
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 -
Jeffrey Kouanchao
1403 Blackhawk Lake Dr
Eagan MN 55122
(651) 330-7315
Legacy Restoration Llc
14000 25th Ave N
Suite 110
Plymouth MN 55447
(763) 354-7660
Applicant/Permitee: Signature Issued By: Signature