1406 Blackhawk Lake Dry/?oa 93C9-
E
Reques]]]??? qqqte
< Fre No. Rough-in Inspedion
d? d Ready Now Will Notify Inspector
i
?
qu
re
es = No hen Ready?
I licensed contractor =1 owner hereby request inspection of above electrical work at:
Job Aatlress I et. Box or Route No 1 City
?
Secton No. 7ownship Name or No No_ Co
Ocapant (PFINT) Phone No.
Power appiier Address
?f.^T/".'
' E!eCtncal Comractor ICompany Name) Contrador5 LiC No.
?
Maihng dress (Contractor or Owner Mak,ng Instailation)
G / ? ?.i?''P
Ai t S?gnat?re iC ? orOwne aking Instail i V) Phone N_ umber
MINNESOTA STATE BOARD OF ELEGTRICITY THIS INSPECTION REOUEST WILL NOT
Griggs-Midway Bldg. - Room S-173 BE ACCEPTED Bv THE STA7E BOARO
1821 University Ave.. St. Paul. MN 55704 UNLESS PROPER INSPECTION FEE IS
.
Phone (612) 642-0800 ENCLOSED
`1'' ?019/ ?,.;..
REQUEST FOR ELECTRICAL lNSPECTION ee-oooo,-oe I
? See instructions tor compieting this brm on back ot yellow copy.
' 43874 "X" Below Work Covered by This Request
ew Ad T? Type of Building AppliancesWired EquipmentWired
Home Range Tem ro ary Service
Duplex Water Heater Electric Heating
? Apt. Building
Comm./lndustrial Dryer
Furnace Other (SpeCify)
Farm Air Conditioner
Other (specdy; Contractor's Remarks.
Compute Inspection Fee Below:
# Other Fee # ServiCeEntranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 Amps Amps
Signs
Irrigation Booms Inspedor5 Use Only ? T TAL
Special Inspection
Alarm/Communication
THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rough-in Date
certify that the above inspection has
been made. Final
47
? Dat
G
OFFICE USE ONLY ? -
nio rouues -u ro i unaia nvF.
115 months irom j-?l
26R21/1, k3
fiequest Date
I hereby request inspection of above
elec!ycal work installed at:
??'G• •_`? G^ l?
?,??? ? z•
'Micensed Electrical Contractor
? Owner
V97II Notify, inspec-
tor Wheri Ready
AINNESOTA S?E gpqpD OF ELECTRI Y THIS I
iri99s-Midway Bidg. - Raom N.191
827 Universitv Ave., St. Paul, MN 55104
hone (612) 642-0800
Fire No.-' Rouph-fn InsVection
\ Nequir T
woReady N
i es ? N.
NSPECTION REQUEST WILL NOT
BE qCCEPTED BY THE S7qTE BOARD
UNLESS PqOPER INSPECTION FEE IS
ENCLOSED.
REQUEST FOR ELECTRlCAL INSPECTlOIW
See instructions for completing this iprm on back af yellow copy
??6-8 2 1 ""1f"' Below Work Covered by Thrs Request
EB-00001-OB
Y'e,-'J & ?,
Nevj L&d d ReP. Type of Building Appliancee Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Lighting Fixtures
Apt. 8ui Iding Dryer Electric Heatin '
Com,nercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm otnMr TS-P fv other Isnecttyl
t er SVecify Other Othiir
ompute InsDection fee Below
Ik Fee Se+vieeEniraroceSize t! Fes Peeders/Subfeeders p Fer. Cirwits
U to 200 Am 5 0 to 30 Am s 0 in 30 Am s
Above 200 Amps? 31 to 100 Amps 31 to 100 Am •
Swimming Pool Above 100,Amps Above 100^p.m s
Transiormers Irrigation Booms Partial.'Othe
5igns Special Inspection $ TOT
Remarks ?
?] AL F
/y7+
? ? V ?
RouBh-in The Elect ' sl
• ? Inspectar, Frere y
certify that the a6ove
Final aa1e ,,?], inspection hss 6een
` mede.
?dJ
7hiu rnnuest vold 18 monthe hom
CITY OF CtAGAN
' t 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 551 Zt . ?f
BUILDING PERMIT ? PHONE: 454-8100 Receipt
iJ ?':.?....•?-'To be used for Est. Value >?'{?• ?L"`J Date
SiteAddress_'24p6 b1,A`e"2V1.i4 LArE Orit
Lot ' Block 3 Sec/Sub. 5fi'>;4FY
Parcel No.
c Name , 1. Li..?e??? : i.?"fT`??:? ?(?Ta?'??
z Address ?Ff ?
? City Phone
¢ Name A
.o
? d Address
? City Phone
U y?j
W W Name
~Z
re
s W City-
I heretry acknowledge that I heve read this application and state that the
information is corceCt and agree to compiy with all appliCable State of
Minnesota Statutes and City of Eagan Ordinances.
5ignature of Permittee
A Building Permii is issued to:
on the express condition that al I work shall be done in accordance with al I
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
OFFICE WSE ONLY
On Site Sewape Occupancy }p`
MWCC System .u- Zdr?in9
On Site We11 (Quaq Const
CiiyWater ? . (Aliowable) V"N
PFiV Re4u'ited oF. $tories
Baoster Pump. Length 47`
DePth 44'
S.F. Totai
Footprint S.F.
APPROYALS REffS
?& • ?;?.
?
Engr./Assess. Permit ,
-
?
Pianner Surchsrge
Council Plan Review ?
BIdg.Off. SAC,CitY 1<:=. ?•!,
Varience SAC, MWGC
Water Corm.
7 ' t '
Water Metor
•4 ? ? '
,
Road Unit ,
Treatment P1
Parks
TOTAL - , `? . tJ? ?•
HrrMe Ne. Wrmlt Moldw DsW T~one #
Pkmd*g
H.O.A.C.
Electric
Sofiener
Inspaction Qato insa. Comments
Footings I -,
Footings 11 r
Foundation
Framing ?
Roofing
Rough Plbg.
Rough Htg.
Isul
F '
Fireplace
Final Htg. 90y 2
Final Pibg.
Bldg. Final %. zdz
Cert Occ. ?
Temp: LP
DeCk Ftg.
Dgck Final
Well
Pr. Disp.
r
CONTRACT PRICE
. . ,.....-+.. ..-,r?..•-...,:. ,-z: • . ,Ti- -... , . .. ,.-.- . t.._ - p
PERMIT #
PLUMBfNG PERMIT RECEIPT
CITY OF EAGAN
3836 PtLOT KNOB ROAD, EACaAN, MN 55122 DATE:
PHONE: 454.8100
Site Address 1A' 1 E:' '2A/ , IIIA t lir
Lot r Biock Sec/Sub
J ft?
? Name rl ?1W _t It?' ? C.?
ro Addres? /_`.? / 71?15' (Ui'oe+5et .'oGt '
c Ciry f5[;f??/?1Gt.+lt?' Phone 11t2'
Name
c Addres
? Cj? Phone ->(
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPUE3
T4WNHOUSE & 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
BEYON4•$1,000.00)
SIGN UR F PERMITTEE?- ?
.'
BIDG. TYPq WORK DE CRIPTION
Res. lz?- IVew
Muit. Add-on
Comm. Repair
Other s
RES. PLBG. ONLY - COMPLETE T FOILOWING:
NQ. FIXTURES
Cl
$3
00
t
t
;
W T 'L
?'"
.
er
-
_,,
_
a
ose
Bath Tubs - $3.00
?Lavatory - $3.00
-,;--Shower - $3:00
_.(_Kitchen Sink - $3.00
Urinal/Bidet - $3.00
=Laundry Tray - $3.00 ?' .
_f_Floor Drains - $1.50
?
_4-Water Heater - $1.50 l ru
Whirlpool - $3.00
:j_Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMI'n
Softener - $5.00 - -
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE:
•FOR: CITY OF EAGAN tSTATE S/C:
GRAND TOTAL• ??- Cn
..
. .,?,.? .?.? .. , .
. . _ ._..? .. ... _- _. .r.?.. .-? _ _
CONTRACT
Site Address
Lot _/ ;:
PERMIT# I?• ?G?.? `'.
- MECHANICAL PERMIT
CITY OF EAGAN RECEIPT # , ?y
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ffl?/ga
'RICE• PHO!E: 454-8100
f / 'A f I f
Sub
Name •_-1 [!r r L
? AddreJ? 5 0"
c City 1 ti:?.5t'??'14N_ 2?7?
L Name Y i
°' Address WG
;
?
?
O 4'
CiiyG,Oa1V1
,
5
.
_Phane
?
TYPE OF WORK
Forced Air ? M BTU
Boiler M BTU
_Unit Heater
Air Cond. ` ?M BTU "
Vent. ? CFM
Gas Piping Outlets #
Other
Ff E c>:
S/C:
TOTAL• ?
,
•->. - ? ,.> _; ? s _ . ..,: : '. , - , , . :: ,
.,?
• BlDG.7Y?E . WORK4ION "
Res. ?- New
Mult Add-on
Comm. Repair
Other
FEES
RES. HVAC 0-100 M BTU -$24:00
ADDITIONAL 50 M BTU - 6:00
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PEFidfllT) - 1.50 E,4. -
COMM/IND FEE - i% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPUES MINIMUM RESIDENTIAL FEE - ALL aDD-ON 8
s_ . _ REMQDEI-S : .._ 'L2Q0 .;., . ,
- -
=RAl1?itIUlU1?1-f?t31?Ai1AER-f?KL"FE? -"'Mp'0
STATE SURCHARGE PER PERMIT - 5Q
(ADD $.50 SJC IF PERMIT PRICE GOES
"PEYOWD$1,004) ,
SIGNATURE OF PERMITfEE
GG- _
FoR cIrv oF EAGAnr
CITY QF EAGAN Permit No: 11796
3830 Pilot.Knoh Roac! Meter No:
P.Q. Box 29 199 Reader Na: .
Eagan, MPf 55121
Owner. autti3.fm
Address:'?'0L ??lt? ??
Sit ? ?'??
e
Pkumber. StiKf
Cann. Chg: 55t)'Oopd Zoning: -
Acck Dep: No. of Urrits:
,Permit.Fee: 1.1. ?Uopd
Surcharge: .,5npd I agree io co
Tr. Plant Ordinances.
IVleter. 61•pow -
Misc.: '??? ?`r ????r;? By
Date: 7-21-96
Size:
qate:
? . -
with the Gity oi Eagan
WATER SERVICE PERM
CITY OF'EAGAN Permit No: 10'939
3830 130.61.Knoli Road B/P No: ?g24511
, P.O:-BoIc 2-M9
Eag3n, MN 55121 ?
H[[tt171aY CtlIISt . ,I
Owner.
1406., E]AcNZatrt L.ke l3?
Si
Add
ress
te
Plumber: :
Stlir plumbing
nnwcc: 550. a0pd zo
City Chg: . VUP`i No
Acct. Dep: a
oofw
I a!
Permit Fee:
. ? a Ori
Surcharge:
Misc.: By
SEWER
afJUnits: ?' -
ree io comply with the City of Eagan 'PERMIT '
. . ? ? V/'F7H
?
r ,
a °: x
?.
? ? :?..?. .. ,rA ?
- ?
. ? ..
FZ1MD ? OBJECT
w ,
yx
i
; } •;F i??'
i . 1Y't y? T f-
ank You
? . ??
. . .. ? - . ' '?
e . ?
:. ? .? ' . r -z-d k?'.r:•
0 CASH
& DOLLARS
J 1°°
CHECK.
? / e.7
.? ? ?
r
-?? ? ? ? v --__ -_-_
;
?
;
?
?
?
? --_ _ _ ____ _ ___
BLDG_'PERMIT NnY J.?? ??' . 7 ? ??r?/
01-3422 Plan Check
01-3445 Surch./Adm. ?
01-3446 SAC/Adm. o?Q
01-2155 Surcharge
75-3860 Road Unit ?
20-22 SAC ?
20-3865 Water Conn.
20-3868 Water Trmt.
20-3716 Water Meter ?
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn.
28-3855 Park Ded.
TOTAL O'd, 6 LA I?fo
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
BUILDING PERMIT Receipt#
To 6e used for `';' :?k`f /CAti Est. Value ?`?0,?'?'?' Date ??7? 29 ,19 ?'6
ln?w
w
Site Address ALAC$p`AWK L.AKE t>it
Lot I Block 3 Sec/Sub. STONLY POINT
Parcei No.
. Name ?,'I LrJAV H!'T`t'4F R CC?N5 i
z Address 060 'AAj'ERFC)RCl t)U t?
o City FA(•AN Phone 452--3068 667_6323
, o plame '>A'4F
0 4 Address
? City Phone
rcc
VW w W Name
F„
? g Address '
cc a City ' Phone
a
I hereby acknowledge that I heve read this application and state that the
infprmation is correct and agree to cbmply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances; Signatufe of Permittee
A Buii'tling Permit is i5sued to:_WI;`LIAM t;VTZDXrr COr:ST
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota 5tatutes and City of Eagan Ordinances.
Building Official _
OFFICE USE ONLY
On Site 3ewage Occupancy L"3
MWCC System X Zoning
On Site Well (Actual) Const V""0
City Water X (Allowable) V"14
PRV Required X # of Stories
Booster Pump Length 47'
Depth 44 `
S.F. Tota!
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit 534'00
Planner Surcharge 45' (X)
Council Plan Review 267•00
Bldg. Off. SAC, City 100• 00
Variance SAC, MWCC 550•00
WaterConh. 550•00
water Meter 67 • 00
Road Unit 325.00
Treatment Pt 104'00
Parks
4 ' 00
TOTAL '
CITY OF RAGAN Permit Na 9796 Date: 7-21-88
3830%ot Kno6iload Meter No://d-? ? 17 Siz?: "' '
P.O: Bo)f 21199 Reader No: D f?& Date:
Eagan, MN 55121
exiittR4,'z COIlf
t. [..! 83
Site Address: 3.406 Blackhaavk I.ake nr -h3-Br Stonep Point
Plumber. `,: ar Plumbing
Conn. Chg: _ 550• QOpd
Acct Dep: 15. QQprl
Permit Fee: I0• 00Pd
Zoning: RI
No. of Units:
Surcharge: -- . 5UR2 I agree to mply wiih ihe Cily ol Eagan
Tr. Plant 204. 00d Ordinanc
Meter. 6i _(:Qnd
Misc.: PRV RFOUIRFD gy ?
WATER SERVtCE PERMIT
? . CITY OF EAGAN
, 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
BUILDING PERMIT
To be used for SF DWG/GAR Est. Value
SiteAddress_ 1406 BLACKHAWK LAKE DR
Lot 1 elock 3 Sec/Sub. STONEY POINT
Parcel No.
c Name WILLIAM HUTTNER CONST
3 Address 960 WATERFORD DR W
0 City EAGAN Phone_ 452-3088 867-6523
°C
o Name SAME
.
? Q Address
? City Phone
?-,Z
OW Name
WW
_ z,, Address
? Z City Phone
a?
I hereby acknowledge that I have read this application and st that the
information is Correct and agree to mply with al ppli State of
Minnesota Statutes and City o Ordinance
Signature of Permittee _ / ? - _ ?? . 0 _
A Buiiding Permit is issued to:_WILLIAM HUTTNER CONST
on the express condition that ali work shali be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official _I 1 i i l. ___
-?
$90,000
Receipt #
N_ 15275
ffJ,-,?-,r
Date JUNE 29 ,1 g 88
OFFICE USE ONLY
On Site Sewage Occupancy
MWCC System X_ Zoning
On Site Well (Actual) Const
City Water -X_ (Ailowable)
PRV Required X # of Stories
Booster Pump Length
Depth
S.F.Totai
Footprint S.F.
APPROVALS
Engr./Assess. _
Planner _
Council _
BIdg.Off. _
Variance _
FEES
_ Permit
_ Surcharge
Plan Review
_ SAC. City
_ sAC, rnwcc
Water Conn.
Water Meter
Road Unit
Treatment P1
Parks
TOTAL
R-3 M-:
R-1
V-N
V-N
471
44,
534.00
45.00
267.00
100.00
550.00
550.00
67.00
325.?0
204.00
2,642.00
w ; . +
(Etx#if tratt uf Orrupttnry
titp of (Eagan
Emarbntrnt uf luitbing jmpPrium
This Certifcate issued pursuant to the requirements of Section 306 of the Uniform Building
Code certifying that at the time of issuance this structure was in complfance with the various
ordinances of the City regulating building construction or use. For the following.•
Use Classificetion SP DU?/GA-T? Bldg. Ptrmit No. ?27S-
0-„Pancr TYae R3 /I`1) zomoB oiur;a RJ Trae coost. VN
owner of Budding WUJ--TAM FIIIMM - -- ?'P. Adaress 960 WATfl2EM 1F2 Wr EA['z41
BuMing AddreJ406 T3i.A- AGIf? TLAKF. TIRTtIi*, Locw;ty T.1 ,_g3.,-SrM$POI@TL
?
.TMIAI7Y 18. 1184
Building 0l6cial
POST IN A GONSPICUOUS PLACE
? a
1988 HUILDING PERMIT APQLICATTON - CITY OF EkGAN
SINGLE FAMILX DWELLINGS
INCLUDE 2 SETS OF PL.ARI3, 3 CERTIFIGATES OF SURVEY, 1 SET OF ENERGY CAL.CULATIOAtS
NOTEs ADDRESSES li'OR GORNER LOTS - CONTRACTf7R/HOME0WNER MTST DESIGNATL WSIGH lQDEi$SS
IS DESIRED. NO CHaNGES WILL 8E ALLOWED ONCE BQILDItfG FEAMIT IS ISSU+'D.
MULTIPLE DWELLIHGS RENTAL ONITS FOR SALE tTNIT3 # OF UNITa
INCLUDE 2 SETS OF PLANSf CERTIFIGATE OF SUIiVE7[ - CHECK WITH BLDG. DEPT.t
7 SET OF ENERGY CALCI3LATIpNS
COMMERCIAL
INGLIIDE 2 SETS OF ARCHITECTURAL
1 SET 4F SPECIFICATIONS AIiTD 1
n
To Be Used For:
14 d? ?
Site Address
& STRUGTURAL PLANS,
SET' OF ENERGY CALCULATT4NS
tion: Date:
n
l.at ? Black
?
Paroe]./Sub ff?ve ! D ! u-
awner
Address
CitylZip Code
Phone
)JA-
Contractor ? ?lC?Y1 ed z?
Address GtJtI ?
City/Zig Cade e5?k4 ?iyt
Phone 04; Z /7 `4 ?5?
Arch./Engr.
Address
City/Zip Code
oFFrcE usE oxLY
On site sewage Lleeupaney
MWCC system _,,,hC Zoning
On site well Aotual Canst
City water ? Allawable V1?1
PRV required # of 3torie3
Baostec Pump Length ?
Depth
S.F. Total
Fvotprint S,F.
AFPROVAAL.S FEES
Etiigr/Assess Permj.t , DD
Planner Surcharge , a
Couneil Plan Review 0
?
Bldg. Off. 3AG, City ' . '
?Variance ? SAC, MrICC . 00
Water Conn ,
Water Meter co
Road Uni.t 325,00
Trestment P1 20q,00
?___...
Psrks
_.+._.,.,..
Copi.es ? .?
? T8T11I.
Phone #
ocqz tav4
6AQA6E
ZZX2.2 814 5Sm T
?
y',) I o 314
I Z? ly
1r? ? > gg
f v 7 = ?
---
1
1F-97 x 13
?vy5c
?s?? r J z 9 ?
U '7
7- <I
1 3 ? o x?I?r = 6s? 60
g??? ?1
* PIOIVEER
* engineering,4
* ** k
(612) 681-1914
Certificate af Survey for: NUTT` V ?? ???ST.
4YZ4 NvR71I
4c p rOP Cyrb ?
o?
20. ?
4
r ,
8b34I
?-2?;r - _ 04 r o
((? ?! r ? ' ? .f ? ? R?
/? tn Q' S y/r o ??. a J
V ?•-_
?v O ??rr ?ZY7' e64.54
^
??P4?FD s ° ?
?V USE ? l M
?
rx? ?
? ?
B'?
?
? CE'te,?.?.?.? ?
?,;.?(
?'? ?
9) ?
5? l
1 1
1 ?
- ?
?
?
n. 73
M ?
?
?
?
b? ?v
., 900.0 Denoies exis}in f1PVCxflart P?ZOpQSED 1-It?USE ELEV.9710NS
?oo.a Dtr?alFs propcz??d Etevolran
^--- ?Y Denofes Drar? age j UtifrLow; Easemenf Lowegf Floor? E1evation = 8?'3.83
--?,.--. Uenofes Orqinage Flaw Top ot," Btock Elevcrt,on __9 93
o penoles monumenf qarctj,' Sfab Elevalian = 866•5
Be4rtnI5 shawn 4re crssu rned
LoT .? , BLOcK S*roAtEy POIA/T
Da KoTA CDUNT Y, MINNE.SOTA SUBJECj" TD EASEM ENTS OF RfCORD
I hereby certify tfiiat this is a true atid correct representation of a survey oi ihe 6ottndaries of the abiyo?ve/ c? cribed iar? , and af the Ic?cation ?ol ?• tl
l?uililin??s, thereon, and all visoble encruachments, if any, from or ori said Pand. As surveyed by rne this""iday ol A.D. 19SZ° .
SCCa'le• I?n_ch-- 40. ?-- " ..
•..
,9 05 7 OBER B. SIKPCH 1.5. R G. NO. ]489I ?
Pa RiV¦ R EQ U I R E D 2422 Eriterprise Di ive
_? fWtendata Heights, MN 55120
_40
- -. -? -••- ------- .. . ..._ --- - .
TO EE SU5`iTTiF-D 1,'ITI1 T3UILDINC PETUSIT 1.PPLICATIfly
FJCTEP.IOR F;JVF.L4PE AVERACE "U" CO'tPUTATIOH *
Oti:yER:
sIrE AnDxxESS: LaT
, C4NTRACTOR: DATE : PIIDWE: ?652,-30 ??
Determine working square footage of each
2. Tatal e ?' ?-j q a f? a
?cposed Wall area......... c_?, s.ft. x
? 2 f, 3
2
2. Total roof/ceiliag area......... sq. fC. x 3 ,
3.- Total exposed Wall area calculations: . '
Total exposed wa11 area above floor
a.
? Tatal ua21 s?inda?a,area. . . . . . ........ . .......
.. . . . ... ? ?- •
y
.
r' k l
Total doar area..................................... y'. .
c. Total sliding glass daor area ............ ...... .....-,/0 ?
d. Tatal fireplace wall area ........................... --
' e. Total wa3.l framing area (average IOT) .......... .....
L2
f: ^T
?
Tatal net wall area above fioor .....................
. g. Total rim" joist area ................................
• Tota3, exposed faundatiort area h. Total foundatinn window area ........................ -'
i. Total net foundatian area abave grade............... J n1:""',_
Determine "ti" value af each wall segment
. .
X
YOURi ?-
? • ?
- ' '``?--s
? b. °? ,?`?
X • f
?? tt
U % ?
,
? • c. X efull ??? ? ZzF v .
d
. -- x' @eult
?
x $lUli . orf .,? 3
1,37
/
l 3`6 x miul? , oq . 5'3,8`{
g. x i,Ull , a q
r
. h' . ?--• x uUkl
,
x
r3Vto
3.
? w\T?? e
TaTAL . i "?
? : t? • S .
If itcm 03 fs the same as, ox less than 3tem 01, yau tsuve met ttsc intent of
5I3C 6006(C)2. •
. - • .
, 4. Total cktosed roof/ceiling calculations:
Total e:tposed roof/ceilizg area
J. Total skylight area .............. .................... -`
k, Total rooff ceilis?g framing area (averap,e 107) ,...,.... I
1. Total net insulated roof/ceiling area .................? ?lz? ?
Detersaine "iI" value for'--each roof/ceiling segmeat
Ttytlt ---
• A ??
k. 12- g flult 2, ?(jr-
?
x pluto ? ? ?'_. • ., Z? , t I
4. 'TO?AL
It total of C4 is the same 3s, or•less than 02, you have net the intcnt
of SBC 6005(c)1. .
Alternate Building Envelape Desiga
'':? •.. .. ' .. . . • • .
To util3ze the total envelopa system method, the values estab3.istie3 by •
the sum of itens 03 and #4 shall not be greater than the sum of izems #1
and P.
1. + 2. u
3.
+ 4.
.
• ;
C E R T I F I C A T I 0 N
I hereby eertify that I have calculated the "U" factors and R va3.uea
herein and that the buildinr, hera described meete a"r exceeds the State of
Minneaota tnergy Canservation AcL.
? (Signature).
. {Aate) '
•?.?: .
? . '. 1Jr1I.. Si.r"1'; C:::S
?2E: ti s c )U:: of op;jyu^ wa11 arca for
, Sr.amc con::truction
l?: J in
? Z
47ALL ?
. .,-
FIG. #l TOPVIEId QF .- ,
. FR11l:E IfiALL
- FIG. #'2
:.._..._
-"?':: .....-,.:..,.._.
.
?fLL S6hL r-1(?.,.
A.i?5r:ral
.? ,
?71--- : .?.
v
??-
i..?....,_._'....... ? ' .
-..?? .
•,•'..?i :,._......??..?1 '
?... ? ? ? ?
? ?..,....__._._? .
0.1 -_ 4J /1?
?_ 1 ---- -i ?
... ? .
f .• .?w . ?
' o.._..d..!_...?..
.
? ??? . d• ? .
• ? • ??1 r? r
•r • • ' ? _ . • '?..,,,?
, •Ia ?, ?•~'?I'/1• •
.
1, ..._?? , . .. . . ?
Constriiction R-Valuc
L
1. t- ior air tilm 0.6fl
2
. 'L?? '--'?'•. ',^? '_? , •'.
3? inchcs soft wnnd
4. ?`;:1
;_2 `L ' `-
5. .
%;11.,7 r2,f
6. Exterior air film : 0.17
` Total 1.", 7- `1
.
?. • ,. ,?z_. ' .
1. Intcrior air fiZM 0.60
2. /r {. f f
3, • a
4. ?f 22
6. ExL-erior air filn 0. ].7
, Totai ??- ?1,91
l
1.
Interior air film
0.69
2.
3. Sc7f 1t.OoP
4. ? ?', ",.+ e. "
5. j' ( ;:,r'V(s
6. Er.tcrior air film 0.17
Total
1. Interior air film O.G6
2. ;l.'j?..
ri?,"`?'J!
?
.
. 3 ?Z"`•-a'
?`
4. '
5.
' G. Exterior air film 0.17
,
Tatal ' 1, G^ y
SIAB 0:9 G?'v1U~
= IG. #3
i 1 J 1' l??
.
. a ?
? . `trl.?
. • u • ? ' ?s. •
? < <? ;
s .• ?• • ? ` d
. • ' ? ? ? • ?
f?'Q f- •
• (.pe?
-- .-: / f ( :? • ,. • . ?
. .? ??t..... .. ,? ,.
r?( V ? • ? -
^ ? ? d , •? )? !IJ ':.
? : • - . ? V ??1
, ../ t i •• . ' . ? /(/^ .
FZG. 64 '?' ? ? ' . ? • :-? /1?
'tr? +? •• o ?
?
itr
NOTE: gn3icate typo, "F." valun, dcPth and
. placcr.?cnt of insulattan. .
.. , ?- ' ?r• ? • ?
' R001'/CL ILI11G
4'`,te3
_,._?.-----t-
? 1? ..
Lcac iluc:
up '?r?• .•..ev '1r?:?n?;L'^ "?%q`.?w.t.^?v??4ti,! .srw1
_:..?• ??^l?' ??"=?6'? _?? ?__ '-??
.' , i-? J1 ,? ``?
.
]ieat floty,up ? •. vented
. •
. FIG. #G, . • .
. . . . .. . _ .._.._... _ . . • _ ' _.r. _.._ .
`.
.. ? tO
'.:= j ' ' • • ,
• 230.1-PLt;T? • .
.. . ? .
.. ? . . ,
. Hent
• flov up
. .
P7r,. ?07
?
Conrtr.uction , R-Valtie
1. Interior ai.r filn: 0.61 lqi
2. `` L,/1? L • I
3. " Pt-•1- 1'u Svl,-. . v
Q`. T:atcrior nir filcn (rt:ill) 0•G
- , 't•otal ? - 1?. 61
???It? I?C.cUINN ?USVI.. 3'(?? 0
l. InLerior air film O.G1
2.
" 12 I I t' c,j z? (., t. r
' • . • ?
3.
,7
31 tj ?7 u UDr
----
4. Er.teriur air film 0 .?
sCi1T -
. Total
. J
1. IrAGidc air_ film 0.61
2.
.
3
4• 5. outside aiz film •0.17
Total
? • . . .•
Notes V::e a3ditioiial ::hects if morct sFar.e i
nceded for details a»a crslculaLions.
. . .
F7G. ?I5 ?
SEW ER ANd/OR WATER C4NNECTIQN
tV.of aagan
1) PROPERTY ADiDRFSS : . .
LEIGAL DESCRIPTIQN: . . .
*RR.,F.,...?..r..r.....?..?__.
* NOILE: PAY9I1W CF FEE AT TIM OF °*
f*,
; AePLI=cN noFS rOr caN- *
* srrnrM AppROVAt, CP FERNttT.
' *
+
; rn4srECTIor? OF sEMM Mo/oR wr,TER *
*.
} irsrAJAATxoINs wIIa. wr sE scEDun.m *
* t:2rtzi. pERMT Ha.s BM APrxavED.. *
**.t#ft*****.*,?f**?.*,.?t?**#f?***
,
visian or Tax Parcel ID
IF EXISTING STRL'CTC?RE, DATE OF ORIGINAL BL]ILDING PERMIT ISSUANCE :
Mon Year
PRESENT Z4NINGfPROPOSID LSE:
? COMN7EFtCTAI,/'RETAIL/OFFICE
? INDLSTRIAL
? INSTITUTIONP,L/GOVERNMEiVT
, R-i SINGLE FAMILY
? R-2 DLFLEX (Two Lnits )
? R-3 T+OWNfiIXJSE (Three + Units )( Units }
? R-4 APARTNENT/CONIDONLINIUM ( C1nits )
Z} 1 11 ., .+ 1Vf'IL?1C,i f .
I ?
ADDRESS: CITY, STATE, ZIP:
PHONE: ?3c) ,
3) NAME :
ADDRESS:
CITY, STATE, 2TP:
PHONE:
4)
ADDRESS:
• ? .L 5-
MASTER LICENSE # 3 3 ? Q
.-. L14
?
...
CTTY. STATE, 2IP:
PHONE:
For City LTse
PI P.SS L1C@I1SE:
AC't1VC?
Expired
Not rscorae(f
taff Initi
s q+ •?+• : • v a?
5)
MNNECI'ION TO CITY SE'WER [?4C6NNECTION TO CITY WATER ? CY=
`7
6)
'?:` i??? . _? / ? ' ?„??? {??
*********?*******?*?***?e?*?******?*.?r*?*?*???r?*****?***********??**???????????***********?*****???}
? THE GOLD COPY OF THE PERMIT WILI. BE SEbTT DIRECTLY TO PUBLIC WDRKS TD FACILITATE bETM PICK-i]P. x
* PLEA.SE ALLAW Zin10 WC))RKING DAYS FOR PROCE'.SSING. SUNIDONE FROM THL CITY WILI, OONTAtL*T YaU IF 7MME ?
* ARE ANY PROBLFMS. Y
APFLI'%'J'ATION FOR PERMIT
?***,?*??,???****************,?,?**?*****?**?r**********?***??**?*?*********?r********,r*****?*x*******?**;
. F4R CITY USE ONLY
PERMIT # ISSL'ED
_ f
9
Pd w/Bldg. Permit
?
$
S
$
$
S
$
$
$
$
$
$
$
$
$ e, cl
? ?
;
;j ?- ?
RECEIPT
FEES:
?
S
$
?
S
$
$
$
$
S
$
s
-2-
RECEIPT
SEWER PERMIT (INCLLDE SURCHARGE)
WATER PERMIT (INCLUDE SL'RCHARGE)
WATER METER/COPPERNORN/OL'TSIDE READE€t
WATER TAP (INCLL?DE CORP4RATION STOP)
SEWER TAP
ACCODNT DEPOSIT - SEWER
ACCO[.'NT DEPOSIT - WATER
WAC
SAC
TRLNK WATER ASSESSMENT
TRLNI{ SEWER ASSESSMENT
LATERAL BENEFIT/mRUNK SEWER
LATERAL BENEFIT/TRLiNK WATER
WATER TREATMENT PLANT SURCHARGE
OTHER:
TOTAL
DOES UTILITY Ca[VNECTION REQLIRE EXCAVATIOTV IN P[7BLIC RIGHT OF WAY?
? YES IF YES, THEN A"PERMTT FOR WORK 6VITHIN PUBLTC
? ROADWAY" Mi,iST BE ISSUED BY THE ENGTNEERIIVG
NO DIVISION. LIST AS A CONDITION.
SLBJECT TO THE F"OLLOWING CONDITIONS:
APPROVED By: )J-lc?
TITLE:
DATE: _-,I?fIFf
--r-
____ _---
_
. _?..__ .
_? .. . ? _ _ ..
oQ8-8?4,7
?y
oF eaga
3830 PILOT KNOB ROAp, P.O. BOX 21199
EAGAN, MINNESOTA 55121
PHQNE? (612) 454-8100
Date: 10 -a$ - 9V
Requested Bp:
Jg /1f - JUs43
special Assessment Search
Re: 10 ?., t410 - Q 3
Ti,
? ?.
VtC ELL150N
Mayor
nHoM,as EGarv
DAVID K GUSEAFSQN
PAMEIA MCCREA
nHEoooRE wAcHrER
councn rna,,,bers
1HOMfiS HEDGES
Ciry n,qminishator
EUGENE VAN QVERBEItE
Cily Cferk
On the attached fornt is the City0s response tc your search
request on the identified praperty. The informatian includes the
original amount of the assessmenta and the payoff amounts af the
assessments on the parcel. In addition, pendinq assessments are
included for impravement projects that have been ordezed to be
installed by the City Council as they may aftect this parcel.
The levied and pending assessments may ar may not reflect the
complete assessment abligation based upoh the pareel's current
use or zoning. Certain parcels have not been assessed at the
appropriate rate per their zaning/use. The City's policy is to
review the assessment ohligation of parcels at platting, replat-
ting, rezoning, waiver of platting, and priar to the issuance of
conditional and special use permi.ts and certain building permits
and in other unique situations. A conda.tion of approval requires
the parcel to assume its additional assessment obTigatians that
have nat greviously }aeen lev3ed for existing gublic improvements.
The City's Engineering Division can provide further clarification
af this palicy, if you desire.
WAIVER DISCLAIMERS
Neither the City of Eagan nor its employees guarantees the
aocuracy or completeness of the information provided whieh was
required by the person or persons indi.cated. Nor does the City
or its employees assume any 3iability for the correctness
thereof. In consideration af receiving and using intormation on
the attached forn? and for a].1 other consideration of any nature
whatsoever, any, claim against the City or its employees rising
therefrom is hereby expressly denied. Fending assessments cannat
be paid until levied. Levied assessments can be paid to the CITY
OF EAGAN.
Very truly yours, SPECTAL ASSESSMENTS
Attachment
THE LONE OAlf TREE. ..THE SYM9pl pF STRENGIH AND GROWTH IlN OEJR GOMIMUNITY
ti
"I"RA1VSACI" IDN 7; D. R768 SMFC I At.. ASSE SSMENTS
SPEC T AL A aSE SS!"fEhi'FS SEAOCM a lJMl"IARY
IjkCJN EhtTY i o D. l.. ODAYS DH°fEa 10/28/88 —SPECTr L FLAGS____
1 0-7.?:',??yc1-U 1 ?r..i?z
1-2-3-?F-? ;-6-'7-8._9-1 tl
S. A. ## A5?"-`ES:aMEIVI" I7E.SCF"t. YR ?Y??? RATF_ TOTALw ?AIVN. PRrlV. F'AYCIf=FM ?CCJf"II`1EIVT
100124
100702 SAN SW TR6K
SS 7?h 297 69 25
.
- 0, 00"/. 92.30 .00 . C?C? CLa?EU
101 320
SAltil SEW LA'f F'432 ?3? ?
87 .
1,.I
5 n?- 4
1?:M 483.61 e00 • C70 PREF'AY
? ,-•
1?:????.?..•?r
"i'RUIVK UT il_
00
0 9 . 00%
i
" 744R 06 .00 .00 I?l;EPAY
999372
UT I CI'f :C ES & STRE1= T
00
Cy ,
/.
i0 418.10 418.10 418.10 FEIVD
SLlMMARY ClF ACTIVE .00l 1065.05 1065.05 1065.05 PEND
l"H I5 Yw Ahc ' S T07 F'RC I .00
, • C'u - G}C> GOhth'1
5?lf??lR??Y OF PEI?JD T 1+1G ? ?
J?
ry??r . ?
?
1TV1?• 1?.J Jq
1TB+?•i...l
City of Eaaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
Date Received: f ( 01
3�
Staff:
L
INFLOW & INFILTRATION PERMIT APPLICATION
Plumbing / Sewer & Water
Date: Site Address:
Tenant:
Suite #:
Name: Jct,cJ ,/e-Qe�'1
Phone: (6[f) 6Wc/6's /
Address / City / Zip: 11166 er
ecA- •
Name:
Address: City:
State: Zip: Phone:
License #:
Contact:
Email:
PLUMBING (Within the building envelope)
Sump Pump Repair
Other:
SEWER & WATER (Outside the building envelope)
Repair
Other:
Description of work: Ca 1 ✓`l
e tb -t 4B. CS
FEES
$60.00 / Each (includes $5.00 State Surcharge)
TOTAL FEE $
*Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit 1/1 repair costs for
reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors
can be found by visiting www.citvofeaqan.com/inflow, or City Hall at 3830 Pilot Knob Rd.
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.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and
codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans.
x
Appli . nt's Prin ame
�/
App ' ant's Sign ure
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA139690
Date Issued:11/03/2016
Permit Category:ePermit
Site Address: 1406 Blackhawk Lake Dr
Lot:1 Block: 3 Addition: Stoney Point
PID:10-72600-03-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Jackson Negen
1406 Blackhawk Lake Dr
Eagan MN 55122
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA139878
Date Issued:11/14/2016
Permit Category:ePermit
Site Address: 1406 Blackhawk Lake Dr
Lot:1 Block: 3 Addition: Stoney Point
PID:10-72600-03-010
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 -
Jackson Negen
1406 Blackhawk Lake Dr
Eagan MN 55122
(652) 278-3481
Kat Construction Llc
8833 79th St
Annandale MN 55302
(320) 266-3455
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA144363
Date Issued:07/24/2017
Permit Category:ePermit
Site Address: 1406 Blackhawk Lake Dr
Lot:1 Block: 3 Addition: Stoney Point
PID:10-72600-03-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Jackson Negen
1406 Blackhawk Lake Dr
Eagan MN 55122
Haley Comfort Systems
4320 Hwy 52 N
West Frontage Rd
Rochester MN 55901
(507) 281-0138
Applicant/Permitee: Signature Issued By: Signature