The URL can be used to link to this page

1410 Blackhawk Lake Dr This request void v 18 months from E~C 13.2 !a 13 ~ Request ate Fire No. Inspection r equired? ❑Ready Nuw„KWill Notify Inspec- Yes ❑ No for When Ready Licensed Electrical Contractor I hereby request inspection of above ❑ Owner electrical work installed at: Street Address, Box or Route No. City 2Ll0 tk W ,0 k L4 1~Rt vex E~ e_~ ecUOn No. Township Name or No. Range No. County aa to Occupant (PRINT) Phone No. v 1N-_ C:7' Cows l Power Supplier Address A (,,eTti f4 mow. is Electrical Contractor (Company N+22.1_ Contractor's License No. Mailing Address (Contractor or Owner Making Installation) Phone Number Authori Signatur Ent ctor/Ow r aking Installation) 3 ~2' MINNESOTA STATE BOARD OF ELECTRI THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS 1821 University Ave.. St. Paul. MN 4 Phnne (612) 642-081111 ENCLOSED. s-001-06 REQUEST FOR ELECTRICAL INSPECTION .n. 00 r.,,_ _ o ,See instructions for completing this form on back of Vellow cop V. sl J E 13 2 ~ t7 "X.. Below Work Covered by This Request Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm other peci v other ISpocifyl Other Specify Other Other ompute Inspection Fee Below # Fee Service Entrance Size # Fee Feeders/Subfeeders # Fee Circuits (S - 0 to 200 Amps 0 to 30 Amps /,,;L 3 d 0 to 30 Amps 31 to 100 Amps Above 200 Amps 31 to 100 Amps q 0 Swimming Pool Above 100- Amps Above 100_Amin Transformers Irrigation Booms Partial•'0 r Fee Signs Special Inspection $7) TO L F Remarks Rough-in D~ate 1, th iectri ri~JJ Inspect. , .,.by Final ertify that the above Date inspection has been r ~i/ made. This request void 18 months from This request void 18 months from E 26 9 C~ 7 Request Date Fire N Reughedn~lnspection Ready Nuw Will Notify. Insper V HR for When Ready 7 Yes ❑ No Licensed Electrical Contractor I hereby request inspection of above ❑ Owner 0, electrical work installed at: Street Address, Box or Route No. 6 City Section No. Township Name or No. Range No. Cou y Occupant (PRINT) Phone No. C'U ` & " e_~ ~Y~ ~e s Pow r Supplier _ Address Electrical Contractor (Company Name) Contracto ' License No. Mailing Address (Contractor or Owner Making Installation) Authe7n ed Signature CFontra r/ caner ng installation) Phone mb La- MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 Universitv Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Ph- 191171 9n7-nRnn ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION » EB-00001-06 Il, See instructions for completing this form on back of vellow copy. j E 26 9CR "X" Below Work Covered by This Request New,A(idj Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other Specify Other fSpecdy) Other (Specify) Other Other ompute Inspection Fee Below # Fee Service Entrance Size to Fee Feeders/Subfeeders # Fee Circuits Cal Oto200Am s 0to30Amps C 0to30Amps Above 200 Amps 31 to 100 Amps 31 to 100 Amps Swimming Pool Above 100-Amps Above 100_Am Transformers Irrigation Booms Partial, Other Fee Signs Special Inspection TOTA cw Remarks Rough-in O~te jInspector. the EI I hereby rtify that the above Final spection has been ade. Thla request void la months from CASH RECEIPT CITY OF'EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE (x AMOUNT J.- ( v & DOLLARS ,oo 0 CASH CHECK FOR FUND OBJECT `AMOUNT Thank You BY ! { { White-Payers Copy 845%0 4 Yello% - Posting Copy . Pink-File Copy F ' A ~ ' ~ ! 1 6 . - ~ ~ ~I I ~~'p ? BLDG. PERMIT NO. 01-3210 Bldg ermit 01-3422 Phan Check .30 01-3445 Surch./Adm. '01-3446 SAC/Adm. 01-2155 Surcharge 75-3860 Road Unit 20-2275 SAC 20-3865 Water Conn. 6 20-3868 Water Trmt. 961-c 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 t; w akkGAN Permit No. ~37T. Date: 6-2738 3836, Pilot Knob Road Meter No: PA Box 21199 Reader No. Date: Eagan, MN 55121 Owner.+ Site Addressr- . = Lalr-p nrlvr- 1.1' 113 8;r Point Plumber. Star Conn. Chg: '"o NIT- Zoning: Acct DeNo. of Units: Permit Fee: Surcharge: I agree to comply with the City of Eagan Tr. Plant: Ordinances. Meter Misc.: By WATER SERVICE PERMIT Ciff OFD` GAN Permit No: 10860 Date: 6 -x-88 3830'ei0t Knob Road B/P No: IB45414 Date: 6-1348- Box 21199 P.&' Eagan, MN 551.21,• Owner. - 'water „a Site Addressglackbavk Lake. Drive L2 33 Staa+ !tsliyit Plumber: Star T1w*MWCC: 000 Zoning- City Chg: Afi.(Optl No. of Units: Utlpd Acct Dep: iu ~ I agree to comply with the City of Eagan' Permit Fee. - " " Ordinances. Surcharge: Misc.: By SEWER SERVICE PERMIT " CITY OF EAGAN 3830 Pllot'Knoo Road, P.O. Box 21-199, Eiftin, MN 56121 PHONE: 454-8100 BUILDING PERMIT Receipt To be used for SF 'YWY„/OA Est Value * 75, 000 Date JUA :0 Site Address 1410 ; rrCa'.Y ~s L aei~ OR OFFICE USE ONLY Lot -Block ' Sec/Sub. On Site Sewage Occupancy" MWCC System X Zoning Parcel No On Site Well (Actual) Conat V--N .i`` 6L, City Water X (Allowable) V-i' rc Name Address 4t'OC' Q) i' d t `3 t>n PRV Required # of Stories r o City I N ~;V e LLF Phone :31-7 c 57 Booster Pump Length Depth c Name :~A"•.: ° . S.F.Total 0 < Address Footprint S.F. 1E City Phone APPROVALS FEES U IC Engr./Assess. Permit 47`' • O W Name 37,50 r z Planner Surcharge Address Council Plan Review 237.i)[' City Phone Bldg. Off. SAC, City 1~U•'7 I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC 55U.00 information is correct and agree to comply with all applicable State of Water Conn. 550*o+ Minnesota Statutes and City of Eagan Ordinances. Water Meter o 7 • " Signature of Permittee - Road Unit 325, . :.'~l: iC...'. :'E)?!:•.;~~ A Building Permit is issued to: Treatment P1 2U4. oll on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks 25i Building Official TOTAL Permit No. Permit Holder Date TNephone Plumbing 96J H.v.ac. ~D 05~ 7/5 8 Electric Softener Inspection Data Insp. Comments Footings I Wig Footings 11 Foundation Framing Roofing Rough Plbg. Rough Ht% Isul. Fireplace Final Mtg. Final Plbg. Bldg. Final j 1,07 cart Occ. Temp. LP Deck Ftg. Dfak Final Well, _ Pr. Disp. PERMIT # 1. PLUMBING PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATES CONTRACT PRICE: /p PHONE: 454-8100 Site Address BLDG. TYPE WOE DESCRIPTION At 9 ~pck - Sec/Sub Res. V Nel ii Mult. Add-on m Name „ Comm. Repair ro Address Other c City Phone ' RES. PLBG. ONLY COMPLETE-THE FOLLOWING N FIXTURES TOTAL $ Name Water Closet -$3.00 Bath Tubs - $3.00 ~ Address + f ' . •s~_ /--Lavatory - $300 O - City ; _Phorte - shower $3:0-=: -Kitchen Sink $3.00 FEES Urinal/Bidet - $3.00 _Laundry Tray $3.00 ~ COMM/IND FEE - 1% OF CONTRACT FEE I- APT. BLDGS - COMM RATE APPLIES Floor Drains - $1.50 TOWNHOUSE & CONDO - RES. RATE APPLIES Water Heater - $1.50 MINIMUM - RESIDENTIAL FEE -$12.00 Whirlpool - $3.00 MINIMUM - COMM/IND FEE. -$20.00 =T-Gas Piping Outlets - $1.50 14 STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1'PER PERMIT) (ADD $.50 S/C IF PERMIT PRICE GOES Softener - $5.00 BEYOND $1,000.00) Well -$10.00 ,.f Private Disp. - $10.00 Rough Openings- $1.50 _ tt•1....,, 4w FEE: SIGNATURE OFFERMTTEE STATE Si~ FOR:, CITY OF EAGAN GRAND TQ 'AL: I o 3 MECHANICAL PERMIT 4 _ RECEIPT # _ CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE 7 AL-88 CONTRACT PRICE: 1410 PHONE: 454-8100 $^its Address BLDG. TYPE WORK DESCRUn M1 Lot Block Sec/Sub Res. X NOW X A. Mutt Add-on L \ m Comm. Repair Address -'ASA) I p^►ablw Dr. S City n Phone Other 452-2775 FEES -Name RES. HVAC 0-100 M•BTU- 3 Address ADDITIONAL 50 M BTU - &00 p City -~LICnaY1 1 I e Phone 43 1 - (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 75,000 M BTU 24.01) 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. M BTU MINIMUM COMMERCIAL FEE - 20.00 -fit - - - - GFNr B SI_A IE SURCNARGE.PEIa F?ERPAT . : Outlets# ~ - EY D t/dj PEfiMIf *4CE' 13 Gas Piping Other FEE: 25-50 0 14" S/C: 50 SIGNATURE OF PERMITTEE TOTAL 26.00 f FOR: CITY OF EAGAN r:. . - . . i : ~..i"`,,,._ _-Y.S,:..: x.1E~~.,d' ,.-v~iai4~.+47vE}Y.dd'►"',i~5r~:_°az CITY OF EAGAN I E 17 't 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 ~ BUILDING PERMIT Receipt # To be used for SF DWC/GAR Est. Value $75,000 Date JUNE 10 .19-0- 1,04 Site Address 3-6, Ls BLACKIiAWK LAi E OR OFFICE USE ONLY TlZidirY POINT On Site Sewage Occupancy R'3 A-1 Lot 2 Block 3 Sec/Sub. MWCC System X Zoning R-1 Parcel No. V_N On Site Well (Actual) Const WAGNER IJOMES City Water X (Allowable) V-N Name PRV Required k * of Stories W 41dress 14600 10TH AVE 5 #300 45, o BLIRNSVILU Phone 431_7957 Booster Pump Length City Depth p Name SAME S.F. Total o a Address Footprint S.F. r°C City Phone APPROVALS FEES U W Name Engr./Assess. Permit 474.00 w u g Addrek Planner Surcharge 374 Z City Phone Council Plan Review 237, aw Bldg. Off. SAC, City 1006 I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC 550, information is correct and agree to comply with alloapplicable State of Water Conn. 550.0 Minnesota Statutes and City of Eagan Ordinances. Water Meter 67-OG Signature of Permittee _ Road Unit X25.0 q building Permit is issued to:_ WACNEIY ' HES Treatment P1 204.00 on the express condition that all work shall be done in accordance with all Parks applicable State of Minnesota Statutes and City of Eagan Ordinances. TOTAL % z- m • Building Official CIOF E3►GAN Permit No: 0-7`4 Date: 6-27-88 3830 Pilot Knob Road Meter No: 1/4 Size: P.O. Box 21199 Reader No: aP y~ 3 Date: s Eagan, MN 55121 { Owner. /Ia«aer ;inures Site Ad ress ylarkha~tk Lake give LZ B3 Statl~p Pofut Plumber. Star PluiColng Conn. Chg: 551` • 00pd Zoning: g~ Acct. Dep: 15.0Opd No. of Units: 1 Permit Fee: 10.00pd Surcharge: . 50pd I agree to corn with the City of Eagan Tr. Plant 204. COpc? Ordin ea Meter. 67.0ORd Misc.: PRV P.RQUIP-,vB WATER SERVICE PERMIT CITY OF EAGAN Id_ 15171 ` 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 j BUILDING PERMIT PHONE: 454-8100 Receipt # 9/ `~Sll To be used for SF DWG/GAR Est. Value $75,000 Date JUNE 10 1g 88 Site Address 1410 BLACKHAWK LAKE DR OFFICE USE ONLY On Site Sewage Occupancy R-3 M-1 Lot _2 Block 3 Sec/Sub. STONEY POINT MWCC System X Zoning R-1 Parcel No. On Site Well (Actual) Const V-N WAGNER HOMES City Water X (Allowable) V-N a Name i 14600 10TH "E S #300 PRV Required _X # of Stories _ Address 45' o BURNSVILLE Booster Pump _ Length City Phone 431-7557 Depth _ 48 1 _ m Name SAME S.F. Total .O o a Address Footprint S.F. City Phone APPROVALS FEES m Name Engr./Assess. Permit 474.00 W _ u u Address Planner Surcharge 37.50 am City _ Phone Council _ Plan Review 217, 0 Bldg. Off. _ SAC, City _100.00 n I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC -550-0 information is correct and agree to comply with all applicable State of Water Conn. 5 90 _ 0 Minnesota Statutes an agan Ordinances. g Water Meter -67_.0 Signature of Permitte ~ fiC~ Road Unit 25 ~.QB A Building Permit is issued to:_ WAGNER HOMES Treatment P1 204.00 on the express condition that all work shall be done in accordance with all Parks applicable State of Minnesota Statutes and City of Eagan Ordinances. 2,544.50 Building Official_* t4d ~[AL - TOTAL s d Terttf trat.e of Mrruvanry Citp of (lagan Depar#mmi of ludbing Jusp ttan 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 compliance with the various ordinances of the City regulating building construction or use. For the following.• use QassiScation SF WIG' 1R Bldg. permit No. 15171 Occupancy Type '-R3N1 Zoning District R1 Type Coast. V Owner of Building WAGWR HaM Addtess 14600 10-1 AVE S, NJRM = L2, B3, STaWf POINT Building Address 1410 BL1MAWK LAKE DR Locality r< 1 Date: .TAMMW 6, 1989 Buddi `Of i POST IN A CONSPICUOUS PLACE 2006 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan; 3834 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements RemodeltRewir Requirements Office Use Only 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan showing footings, beams, joists Cert of Survey Recd Y N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd _Y _ N. 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres. Required _ Y - N 1 set of Energy Calculations AddrTion - indicate if on-site septic system On-site Septic System _ Y N 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Minnegasco mechanical ventilation form Date Construction Cost Site Address Unit/Ste # Description of Work r J l k1~` Multi-Family Bldg - Y - N Fireplace(s) _ 0 - I - 2 Property Owner 11 1 Telephone # ) / l ` 017 Contractor Endow Concepts of Hnto Inc. Address 990 Lone Oak Rd City State W 114 Zip Telephone # j~)1~'~ 0n, MN 65121 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 11 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, has 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 Telephone Mechanical Contractor Telephone # ( } Sewer/Water Contractor Telephone # ( } I hereby apply for a Residential Building Permit and acknowledge that the information 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 which requires a review and appr /VaI of plans. Applicant's Printed Name i Applicant's Signature DO NOT WRI'T'E BELOW THIS LINE 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 ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screen/gazebo) ❑ 36 Multi Misc. ❑ 05 03-plea ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex ❑ 25 Miscellaneous Work Types ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish Interior ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Building ❑ 42 Demolish Foundation ❑ 45 Fire Repair ❑ 33 Alteration ❑ 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% or 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bidgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) _ Sheetrock Footings (deck) _ Final/C.O. Footings (addition) _ Final/No C.O. _ Foundation _ HVAC _ Drain Tile Other Roof Ice & Water Final _ Pool _ Ftgs _ Air/Gas Tests _ Final Framing _ Siding _ Stucco Lath _ Stone Lath -Brick Fireplace _ R.I. _ Air Test Final _ Windows Insulation _ Retaining Wall Approved By: Building Inspector - - - - - - - - - Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 ( Q 651-681-4fi73 q, New Conaiructlon 6eaukemenfs A 3 registered stie surveys showing sq. ff. of lot, sq. ft. of house 2 copies of plan and smell roofed areas (20%maximum tot coverage allowed) 1 set of energy calculations for healed additions D 2 copies of plans (show beam L window sixes; poured fnd. design: etc.) 1 site survey for exlerior additm s decks D 1 set of energy calculations q 3 copies of free preservation plan ti lot pkdted after 7/1193 DATE: S- / :I 9-1 CONSTRUCTION COST: I . DESCRIPTION OF WORK; STREET ADDRESS: 19 10 1 k Kv-- ^ LOT.. BLOCK: 3 SUED./P.I:D. Name: DArn pt i melt- Phone r I= PROPERTY Last First OWNER Street Address: S loi Gk ha w k 4A k,-,- Dif City E!e= C, 0- State: Zip: a - Company: P_ i~ r d f'. ti' i n Phone (D 1:L -A (area code) CONTRACTOR Street Address:-16H~SO C C+. License # Exp. City pf i O C' State: Zip: S513 7 v ARCHITECT/ ENGINEER Company: Name: Telephone area code ( ) Street Address: Registration City State: Zip: Sewer d, water licensed plumber (reauked for new construction onivl: Penalty applies when address change and lot change is requested once pem* is Issued. I hereby acknowledge that I have read this appiicatton, state that the infornxftn is correct, and a to comply with all applicabi Vate of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 4-plex ❑ 11 10-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) 13 02 SF Dwelling ❑ 07 5-plex ❑ 12 12-plex ❑ 17 Garage ❑ 22 PordVAddn. (4-sea. ❑ 03 1 of _ plex ❑ 08 6-plex ❑ 13 16-plex 18 Deck ❑ 23 Porch (screened) ❑ 04 2-plex ❑ 09 7-plea ❑ 14 Apartments /0 19 Lower Level ❑ 24 Storm Damage ❑ 05 3-plea ❑ 10 8-plex ❑ 15 Lodging ❑ 20 Pool ❑ 25 Miscellaneous WORK TYPE 31 New ❑ 35 Tenant Impr ❑ 39 Gas Line Only ❑ 43 Siding/Soffits/Fascia ❑ 32 Addition ❑ 36 Move Bldg. ❑ 40 Gas Insert ❑ 44 Windows/Doors ❑ 33 Alteration ❑ 37 Demolish Bldg.* ❑ 41 Wood Stove ❑ 45 Fire Repair ❑ 34 Repair ❑ 38 Demolish (Interior) ❑ 42 Reroof * Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. SAC Code UBC Occupancy sq. ft. No. of Units Zoning sq. ft. No. of Bldgs # of Stories sq. ft. MC/ES System Length sq. ft, City Water Width Footprint sq, ft, Booster Pump PRV APPROVALS - - - Planning Building Engine Permit Fee Valuation: Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit SIW Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: SAC Units % SAC # * 2422 Enterprise Dm e i ~ON_ER ) Mendota Heights, MN 55120 engineering, (612) 681.1914 Certificate of Survey for: - WON 1-16MES $lackflQyv~C - zQke- _ ~r ' N~Qft1 ve d ` 47 9147 fi A5T.93 - Qt t - 1•v I 2Lo o ~ ~ rS.e t 3.0 ~ 0 1`l] 3 J$9/ ovs~ ~ ~ ~ ti $y~~,•. i - - 4e.e -1332 o J- f . 47) r - PAV. REQUIRED f-~r= ".-j n_L- r 900.0 Dend16 "`r?' -ff ion PROPOSED 14005E Et[ygTj0N57 j 900.4 Denotes prvpaMcal Elevafiotj Denotes Oraxjn4 e f Wild ment Lower# Floor Flevcrlior~ penofes Drainer e Flow g7,7.,e rows Top of 910Ck Elevahofi o Denoles monumenl g0r0j2 Slob Gevahon = 863•$ e eartb~s shown are assu m ed LOT 2 , BLOCK , S70AIEYaj~uT QaKOTA COUNTY, MINNESOTA soalECr 7a EASEMFNTs of RECOaD I hereby cei t fy that this is a true and correct representation of a sarvey of the boundaries of the above dr. cribed tan and of T110 Ioc.Alinn``ul all hk~ihhnys, thereon, and all visible encroac#nneots, if any, from or on said land. As surveyed by me this (ay of A.D. 19 . ✓t , v, - Scale10 : 1 a h-- eel 09VV/14? ROBERT B. SIKICH t-S. REC. No. 1481)l - ~O I s ' 1988 BUILDING PERMIT APPLICATI6K - CITY OF EAGAN dA SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS,.j CERTIFICATES OF SURV49. 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL A STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS To Be Used For: - L Valuation: Date: D Site Addresses OFFICE USE ONLY r7 60 Lot Z Block On sit sewage Occupancy -3. hP MWCC system Zoning - &_l Parcel/Sub On site well Actual Const - 04 City water Allowable V _N Owner PRV required # of stories 7W Booster Pump Length VW777. Address p~oU Depth S.F. Total City/Zip Code ,r Footprint S.F. Phone 43 ;SS 7 APPROVALS FEES Contractor _e_ Engr/AssessPermit y Planner Surcharge , Ste. Address Council Plan Review 210,00 Bldg. Off. WIpSAC, City )Cft A34 City/Zip Code i Variance SAC, MWCC do Water Conn 0u Phone Water Meter 62-W Road Unit oa Arch./Engr.4lG1~ Treatment Pl Parks Address Copies TOTAL ~ -C f . 0 City/Zip Code 2.Z Phone # r VALL1AM0 6-AR Ire z2 K22 = L1ky X 14 ~ ~ L 40 )e 24, oy b = y (ff Jb~~ ~ 13 =Iyl4~ I~r g5rn-r 4 ~ cZ >t y9-o r' 3~~~' 7y ~1$ 2422 Enterprise Drive * PIONEER Mendota Heights, MN 55120 engineering- (612) 681.1914 Certificate of Survey for: WAGNER 40MES ~~aiw flnW!c Z, e fir, . Norz7 t l ve ,Pc 36n. oo 4=J3°479" 91.47 857.93 ~ M v _ _ (~t I~t10d i 12.0 4Q •..~3 Q ~ NI i5.o ~ 5.o I M 9 ? rv 139/ /7/0 M!~e N j J ~ ~•O f ~ n1 S ( 45.0... 412 I ~ I ! I 4 t 4 5, y-x P.RN. REQUIRE r 900.0 Denoles extshlreo f lion` ` PROPOSED 14OUSE EaVArtorys • 90o.o Denotes prep d Elevation Denotes Droata* ajie f llld 7trrows Easement Lowest Floor Elevafrorj Denotes DrainatP Flow Top of 81ock Elevahoo o Denotes moruirnerd 4iar0f! glob Eleilahor) = 8 3.8 B earil s shown are assu fn ed LOT 2 , BL c , S701VEY POINT [DAKOTA COONTY, MINNESOTA SUBJECT TO EASEMENTS OFRFCOr7D I hereby certify that this is a true and correct representation of a survey of the boundaries of the above de cribed land and of the location ~ofyall buildings, thereon, and all visible encroachments, if any, from or on said land. As surveyed by rile this day of G AJ). 191C i f inch 5cale 1 4( 68043 ROBERT B, SIKir-H L.S. REG. No. 14891 9a M1 yr BUILDING DEPARTHENT 74 ~75 C1 EXTERIOR ENVELOPE AVERAGE "Urr 0014PUTATION (To be submitted tivith building permit application) One or Two Family Dwe ing Owner 41 All Other "T l 04k -y Site Address b2 `+D PwAq- Contractor Date _ Phone LINEAL FEET OF EXPOSED MALL ~N ' ft, above grade -71 /1 TOTAL EXPOSED WALL AREA SQ. FT. OPAQUE WALL CONSTRUCTIOll s NUn Value x Area De tail flu to x Sq.-FT. ,Z U reference )(A) -71 From - 141 x SQ. FT. = (U) (A) ettaclted -'..._'rrUrr X ~Q' FT',~ -~U)(A) Sheets rrUrr x SQ' U) (A) rrUrr Q. FT. - .._(U) (A) x SQ. FT. (U)(A) WINDOWS: "Ur' Value x Area Make & Type ~~Vf►~ G rr tr 'rUn x SQ. FT.- = D.(U) (A) 'r U x Sq. FT. 'ru't x SQ. FT..--_._._._._.= - (u) (A) . DOORS t rrUrr Value X Area ---------(u) (A) Hake & Type ~.rruif o n it 'r it x SQ. FT. (U) (A) nett x SQ. FT. (u)(A) rr 'rurr x SQ. FT. (U) (A) x sq. FT. TOTALS 'Z.-r 7ir f SQ. FT.~ • ~ ~ (U) (A) TOTAL (U) (A) VALUES ► AVERAGE "Ulf DIVIDED BY TOTAL WALL AREA Z ! i 70 1 Q" AVERAGE IOU" •115 or less for M2 family dwellings ROOF/CEILIN(i TOTAL AREA : L2L54- Detail reference rr is from truer 10 x SQ. FT. Oi3 U)(A) attached sheets. IOU rr x SQ. FT...`__- (A) Describe openings 11U11 x Sq. FT._ _ M(A) in roof. uuI x SQ. FT. (U)(A) TOTAL (U) (A) VALUES DIVIDED x SQ. FT.(U) (A) TOTAL ROOF/CEILING AREA EA AVERAGE rout' .025 for ventilated roofs. /Q UUo~ ~,r~` 6, oX (4D4494. &00,67 1, 504X (4-o4 1619 -3 -Z-+ 32) V31 7La I I~.5?... zoxLao 4y, .44, o Z- IV V:w lot A~'X, I= 1015" / s 2!w 10 Q q-, o 1P 75 ,~r .«..11110 ae Roof Wally Rim* and 0040- Block ROOF UEiufl ii YALU i Illbarior Aix Film 0.61 2.) 5/811 alp. Bd. • 56 3•) insulation • 5.) Exterior Air Film LJ 2 (STILL) wUn 1/Tt~ 0, OP.1 OTAL (n). y " ?S MV "L_VALU 6.) Interior Air Film 0.68 7•) 11"fi' . Bd. .45 8• ) Inaulatxott ~`)•dd 90) putl:7"--~tt 1v.) tfaeotlite Siding 67 Ia 11.) Exterior Air Film -17 111111 a 1/~t~ • 043 TOTAL (B)-, 23 o f IlI1Il VALU - 13 12.) interior Air F1lm DO } 11 130 rneuiation 10468 _ lll•) P-11 Fir Rim doi0t 1.88 15 15.) Avis-T-1'►T5 Z#V4 16. ) Hasa Ili to. stalls • 67 170 Exterior Air Film •17 a da • IOU 11 1/rim i 0q-0 TOTAL (t). o b Z4~ boo Pa_Ut1UATi01 i; VALU Interior Air Film' 0.68 19.) A 21 1211 0"nare to Bloolt 1.28 13 22.) • . 230 Exterior Air Filet .17 a loull TOTAL 1 APPLI^'ATION FOR PERMIT fmm: PAYmmr cF Rm AT TIME OF xwRx# * APPLICATICIN D= NOT CON- * ST'I UTE APMVAL OF PERMIT. SEWER AND/OR WATER CONNECTION * INSPncriaN OF SEWER ANDS WATER r` INSTALLMIONS WU,L NOT BE SCEDULED * *t QNTIL PERMIT HAS BEEN APPROM. dty_oF-eagan / C- (PLEASE PRINT 1) PROPERTY ADDRESS: -Cs (00 T-n P S LEGAL DFsmipmm- LO, ' U 3 ~ p y l kz 1/ 1 ~j. Lot B ock/ubcLwl on or Tax Parcel ID IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: Mon Year PRESENT ZONING/PROPOSED USE: II COMMERCIAL/RETAIL/OFFICE t:D R-1 SIDLE FAMILY Q INDUSTRIAL Ej R-2 DUPLEX (Two Units) INSTITUTIONAL/GOVERNMENT Q R-3 TOWNHOUSE (Three + Units) ( Units) R-4 APARTMENT/CONDOMINIUM ( Units) 2) 0031M NAME: =C- ADDRESS: g .i CITY, STATE, ZIP: V, 14 5~ C) 1 ja PHONE: For City Use 3) NAME: Plumbers License: ADDRESS: Active Expired CITY, STATE, ZIP: Not recorded PHONE: MASTER LICENSE # L~h 3.2 2 Staff Initia NAME: ADDRESS: CITY, STATE, ZIP: PHONE: s) ' ua CONNECTION TO CITY SEWER CONNECTION TO CITY WATER OTHER 6) IMURR'Nalffm * THE GOLD COPY OF THE P T WILL BE SENT DIRECTLY TO PUBLIC WORKS TO FACILITATE METER PICK-UP. PLEASE MJOW. TWO WORKING DAYS FOR PROCESSING. SOMEONE FROM THE CITY WELL CONTACT YOU IF THERE * ARE ANY PROBLEMS. r .-FOR -CITY USE ONLY y PERMIT # ISSUED Pd w/Bldg. Permit FEES: $ $ /e':, SEWER PERMIT (INCLUDE SURCHARGE) $ $ WATER PERMIT (INCLUDE SURCHARGE) $ $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ G ACCOUNT DEPOSIT - SEWER $ $ ACCOUNT DEPOSIT - WATER $ $ WAC $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ ' $/Co C TOTAL 'z) 5z~ RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES "IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: /00--zt_f , TITLE: DATE: _ Cp / 7 01 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements Remodel/Repair Requirements x On . 3 registered site surveys showing sq. ft. of lot, sq. ft of house; and all roofed areas 2 copies of plan showing footings, beams, joists Cart of Survey Recd Y -N (20% maximum lot coverage allowed) t set of Energy Calculations for heated additions Sons Report -'Y - N 1 Soils Report if proposed building is to be placed on disturbed sal 1 site survey for additions & decks Tree Pies Plan Recd Y -K 2 copies of plan showing beam & window sixes; poured found design, etc. Addilka - ina'icate W on-site septic system Tree Pres Reguw Y N 1 set of Energy Calculations on-de sepia System _Y N 3 copies of Tree Preservation Plan If lot platted after 7/1193 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Minnegasco mechardcal ventilation form Plans are considered public information unless you state the are trade secret and the reason. Date I 1 ° T Construction Cost .J ~G Site Address G- ~ ~ee- Unit/Ste # Description of Work r ('d Multi-Family Bldg Y N Fireplace(s) _ 0_ 1 _ 2 Property Owner "_!2~ =E I1 y ¢ _ Telephone # ( } Contractor Address 2 ? fv cm--~ vaoO~ (/C City #1 U kit G•✓ State Zip Telephone # 2q IF, Z COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category } Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet submission type) Submitted Submitted • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a'permit for a similar plan based on a master plan? Y _ Id If yes, date and address of master plan: Licensed Plumber Telephone # ( ) Mechanical Contactor Telephone # Sewer/Wafer Contractor Telephone # ( ) I hereby apply for a Residential Building Permit and acknowledge that the information 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 which requires a review and aapproval of plans. Applicant's Printed Name Applicant's Signature DO NOT WRITE BELOW THIS LINE 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 ❑ 17 Garage ❑ 22 PorchlAddn. (4-sea.) ❑ 33 Ext. Alf - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screenlgazebo/pergola) ❑ 36 Multi Misc. ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex ❑ 25 Miscellaneous Work Types ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish Interior ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Building ❑ 42 Demolish Foundation ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish Building* ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement Vernolition (Entire Bldg) - Give PCA handout to applicant Description: Water Damage Yes Valuation Occupancy MCES System Plan Review 100% or 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS - Footings (new bldg) _ Sheetrock Footings (deck) _ Final/C.O. Footings (addition) Final/No C.O. Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final Pool _ Ftgs _ Air/Gas Tests _ Final Framing Siding _ Stucco Lath _ Stone Lath Brick Fireplace _ R.I. _ Air Test -Final Windows - Insulation _ Retaining Wall Approved By: , Building Inspector Base Fee Surcharge Plan Review MC1ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total PERMIT City of Eagan Permit Type: Building Eagan. Permit Number: EA097899 Date Issued: 02/01/2011 OR Permit Category: ePermit 41~ it~ of E3 E Site Address: 1410 Blackhawk Lake Dr Lot: 2 Block: 3 Addition: Stoney Point PID: 10-72600-020-03 Use: Description: Sub Type: e-Fireplace Construction Type: Work Type: Gas Fireplace (new) Description: Census Code: 434- Occupancy : Zonin,: Square Feet: 0 Comments: Improvements to the home may require smoke detectors in all bedrooms. Chimney flue must be inspected prior to concealin,. Carbon monoxide detectors are required bn law in ALL single family homes. Fee Summary: BL - Base Fee S3K $88.50 0801.4085 Valuation: 3.800.00 Surcharge - Based on Valuation S3K $1.50 9001.2195 Total: $90.00 Contractor: - Applicant - Owner: Heath and Home Technologies Daniel C Reimer 2700 N. Fairview Ave 1410 Blackhawk Lake Dr Roseville MN 55113 Eagan MN 55122 (61)633-261 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 Cite of Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature PERMIT City of Eagan Permit Type: Building Permit Number: EA106175 Date Issued: 08/15/2012 Permit Category: ePermit Site Address: 1410 Blackhawk Lake Dr Lot: 2 Block: 3 Addition: Stoney Point PID: 10-72600-03-020 Use: Description: Sub Type: e-Siding Construction Type: Work Type: Siding Description: House & Garage Census Code: 434 - Occupancy: Zoning: Square Feet: 0 Con1111entS: When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. Fee SUn1111ary: BL -Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 Valuation: 4,000.00 Total: $105.25 Contractor: -Applicant - Owner: Window Concepts NIN Daniel C Reimer 990 Lone Oak Rd #114 1410 Blackhawk Lake Dr Eagan MN 55121 Eagan MN 55122 (651) 905-0105 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. ApplicanvFermitee: signature issued By: signature