1418 Blackhawk Lake Dr
CII1f EENGAN Permit No: I122? Date: '88
3830"Pilot,,K,,, o4 Road B/P No: 88573 Date: 10-25-8 !
P.O. Box`2 oq _ :
Eagaf, AN 55,121
Owner. C011e6 City Count.
W c Ls Drive Lti B3 Ste"Y Taut
Site Address: "
Plumber: Star Plujsbing
MWCC: 550 • Zoning-
City Chg: M). tMpd No. of Units:
Acct. Dep: - 1. 1 agree to comply with the City of Eagan
Permit Fee: Ordinances.
• J'V
Surcharge:
Misc.: By
SEWER SERVICE PERMIT
BLDG' PERMIT ...0.
01-3210. , Bldg., Permit
. 01-3422 PIari Check Q
01=3445. Surch./Adm.
01-3446. SAC/Adm. : cam(}
01-155 Surcharge
75-860 Road. Unit
20-2275 SAC
20-3865 Water Conn. ~D 0 C7
20-3868 Water Trmt.
20-3716 Water Meter
.20=2252 Acct. Dep.
20-3713 Water Permit -
20-3743 Sewer Permit
79-3866. Sewer Conn. Do
28-3855 Park Ded:
TOTAL
Ail 0
AMOUNT
v & DOLLARS
100
❑ CASH ',A~t.CHECK
9
FU CT AMOUNT
Thank You
BY
1Am ___Pm_ Copy
5 3 P oo"
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: i11 t+ E;
Eagan, Minnesota 55123 Date Issued: 1 A ! 0 R ! 9'1
(612) 681-4675
SITE ADDRESS: 1„ I n H I fit K. 3 APPLICANT:
1418 HI AF , 14AWK I M i. t.lki W4'141: k H tic E
I C)Nt 1' I h` I t rl 1 7 if o-17i
PERMIT SUBTYPE: TYPE OF WORK:
M. CRII.11 WN (0 Ay}
I CT 10 N T PL DA)
Rtl I(M I N 1 I NAI
z ~
v red ~ { ,h
-ti f{
{
P w" IOL Panak ohlid r Deb Tamphore #
shv
PLUMB=
Imp Deb bw coffAw b
Pbo~Nn~ ~
Foundetlon
€rw"
Rao rft-
Rough Hjg:
kwl.
fi "hoo
EnW HOL
G~'Frel
FhW P14 Pbq krspe W - Ma ft Pk
Corrot. mster
EngrJPien
Bldg. FbiW
Deck Fig.
Deck FWW
Vfto
Pr. Disp.
41i8/s9 ALAN
~g _~gg CITY OF E
~ ~ ot7Knob Road, P.O. Box 21-199, Eagan, MN 55121
15771.
PHONE: 454-8100
BUILDING PERMIT Receipt
To be used for Est. Value 4" „900 Date 0MUlt 2S ,19-48,.-. .
Site Address ` 1'14 NLAC"A I-PAX DS OFFICE USE ONLY
Lot r► Block -Sec/Sub. rY POINT On Site Sewage Occupancy -"2 M"1
MWCC System X zoning t
Parcel No. On Site Well (Actual) Const V_N
COLLEC!". C111 (OXISTSi 10" City Water _ (Allowable)
,E Name
~~70 ll~a1" PRV Required # of Stories
Address Booster Pump Length
40a City IX 'VALLEY Phone 431--1211 Depth - ~
c Name SP" S.F.Totaf
o u Address Footprint S.F.
I- City Phone APPROVALS FEES
w Name Engr./Assess. Permit '
t_ Planner Surcharge
s 3, Addreea ~*S}
a W City Phone Council Plan Review - get
Bidg, Off. SAC, City
I hereby ackrrowtledge that I have read this application and state that the Variance SAC, MWCC 550,00
information is cbrrect and agree to comply with all appliealale State of Water Conn. ~
Minnesota Statutes,andCity .of Eagan Ordinances. Water Meter 67600
Signature of Permiftee -Road Unit•
A Building Permit is issued to: COlU4.1r CITY t,. m Treatment P1 WAD
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. 2'4"•00
Building Official TOTAL
r
Permit No. Permit Holder Data Telephone
Plumbing , C,
H.V.A.C. ~j I , rf
Electric's
Softener
Inspection Date Insp. Comments
Footings I
Footings II
Foundation p
Framing f I d S ~v. O,tir~
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Plbg.
Bldg. Final
Cert. Occ. pc~
Temp. LP
Deck Ftg. f
Deck Final S-
Well
Pr. Disp.
PERMIT # /
' PLUMBING PERMIT RECEIPT #
CITY OF EAGAN ,
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE PHONE: 454-8100
Site Address f1 a? ' ' f f t. BLDG. TYPE WORK DESCRIPTION
Lot Block Sec/Sub Res. New
Mult. Add-on
m Name Comm. Repair .
Address Other
C City Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING.
FIXTURES TOTAL
Water Closet - $3.00 t f
Name =Bath Tubs - $3.00 r
3 Address c,
Lavatory - $3.00
O City Phone - I _LShower - $3.00 Ir
1- Kitchen-Sink - $3.00
FEES Urinal/Bidet - $3.00
COMM/IND FEE - 1% OF CONTRACT FEE -L-Laundry Tray - $3.00 d d
APT. BLDGS - COMM RATE APPLIES ) Floor Drains - $1.50
TOWNHOUSE & CONDO - RES. RATE APPLIES I Water Heater - $1.50
MINIMUM - RESIDENTIAL FEE -$12.00 Whirlpool - $3.00
MINIMUM - COMM/IND FEE -$20.00 _ 1 Gas Piping Outlets - $1.50
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
Private Disp. - $10.00
Rough Openings - $1.50
SIGNATURE E?F PERMITTEE FEE:
STATE SIC:
FOR: CITY OF EAGAN GRAND TOTAL--~..t.._ .
PERMIT # _
MECHANICAL PERMIT RECEIPT # yl"
MMI
CITY OF EAGAN f/
3830 PILOT KNOB ROAD, EAGAN, MN SS122 DATE: _
CONTRACT PRICE: PHONE: 454=8100
.Site Ad ~kj~
A/ BLDG. TYPE f WORK D ION
Lot _Block= Sec/Sub Res. New
Mult Add-on
Name ° .1z 1.." I-._ ~r-•a
0 Address Comm. Repair
c city Phone Other
Name: FEES
RES. HVAC 0-100 M BTU -$24-00
c Address ADDITIONAL 50 M BTU - 6.00
p City's Phone (RES. HVAC INCLUDES A/C ON NEW
_ CONSTRUCTION)
GAS OUTLETS.(MINIMUM -1: PER PERJWIT) 1.50 EA.
TYPE OF WORK +)j
COMM D D FE COMM. RATE CONTRACT EE
Forced Air M BTU 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
STATE SURCHARGE PER PERMIT - .50.
Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # $ 1 ' BEYOND $1,000)
Other
s FEE: `~)rIs'` t, - -
S/C: ryGNATURE OF PF..RIGli FrITEE'
TOTAL
f OR:
CITY OF EAGAN
a
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121
115577
PHONE: 454.8100
BUILDING PERMIT Receipt
To be used for SF DW/GM Est. Value $66,000 Date QMUR 2S ,19M_
Site Address 1418 FLACK AWK 1A1KX DR OFFICE USE ONLY
Lot k Block 3 Sec/Sub. STMY POINT On Site Sewage Occupancy _8-3
MWCC System X Zoning A-_
Parcel No. On Site Well
(Actual) Const V-11111-
ic Name COLLEGE CITY CONSTRIXTION City Water _X_ )Allowable) V-N
W PRV Required # of Stories
Z Address 6970 1318T ST fi Booster Pump Length
c CityA. PL8 VALLiY Phone 431-1211
Depth t
o Name SAW S.F. Total
Footprint S.F.
0 a Address
I- City Phone APPROVALS FEES
Engr./Assess. Permit 433.00
FW Name $3.p4
U W Address Planner Surcharge
Council Plan Review 219•00
<W City Phone 100000
Bldg. Off. SAC, City I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC 550,00
information is correct and agree to comply with all applicable State of Water Conn. 550.00
Minnesota Statutes and City of Eagari'didinances. r Water Meter (7•
(0
Signature of Permjtteq Road Unit 325.00
A Building Permit is issued to:COLUCE CITY =3T 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 2,486.00
f°A.iilding Officiate.
a N Permit Na 19082 18-88
I X.
Road
Motor 4a ate*,:
. Reader No; Data
Cade a City Canst.
Silie iW Bl;a,ckhavk Lakes Dr B3' Stone] P+ck
Ger 5t:ar Plumbing
~y.
Con,Chg~ SSO.OOmd Zoning:,_
` -15, OQPd No.. of Units: 1
Permit r-ee 20.00Rd
at aharga SOnd 1 agree to comply ift, ye si
Ti: s Jay : 2,04, MW Ordinances.
Icier, - 67~~18pd
Alb
WATER SERVICE PERMIT
CITYVf BAGAN Permit No: 10082 Date: 11 S- Z8
360 PibhKnob Road Meter No: Size:
P.O. Box 21`1'99 Reader Na Date:
Eagan, MN 55121
Owner. ;.olle e City Const.
Site Address: 144k' ` nlackhawk Late "r I B3 Stoizeq Point
Plumber. Star Pluml-in~r
Conn. Chg: 550.00 ,Pd Zoning: Its
Acct. Dep: 15 - 202d No. of Units:
Permit Fee: 10. Surcharge: n I agree to comply with the City of Eagan
Tr. Plant- 2,' 4.OO- d Ordinances.
Meter. 67.00f d
Misc.: By
WATER SERVICE PERMIT
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N? 15775
PHONE: 454-8100
BUILDING PERMIT Receipt# >
To be used for SF DWG/GAR Est. Value $66,000 Date OCTOBER 25 ,19 88
Site Address 1418 BLACKHAWK LAKE DR OFFICE USE ONLY
Lot 4 Block 3 Sec/Sub. STONEY POINT On Site Sewage Occupancy R-3 M-]
MWCC System X _ Zoning R-1
Parcel No.
On Site Well (Actual) Const V-N
cc NameCOLLEGE CITY CONSTRUCTION City Water (Allowable) V-N
z Address 6970 151ST ST W PRV Required # of Stories
CityAPPLE VALLEY Phone 431-1211 Booster Pump Length 40'
Depth 441
o00' Name SAME S.F. Total
,
o a Address Footprint S.F.
City Phone APPROVALS FEES
Engr./Assess. Permit 438.00
u W Name
= Z Address Planner Surcharge 33.00
v Z City Phone Council _ Plan Review 219.00
cW y - 100.00
Bldg. Off. SAC, City
I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC 550.00
information is correct and agree to corr. ly with all applicable State of Water Conn. 550.00
Minnesota Statute i of Eape5rdinances. 67.00
Water Meter
Signature of Perm'
Road Unit 325.00
A Building Permit is issued to:-__-COLLEGE _ -CITY-CONSZ_- 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. 2,4$6.00
Building Official TOTAL
T.ertifirott of Orrupaury
Citp of Cagan
30p1ax ct of ludbhtg JwWrrhm
This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building
Corte certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City regulating building construction or use. For the following:
Use Classification Bldg. Permit No.
Occupancy Type Zoning District Type Court
Owner of Building Address
Building Address Locality
Date:
Building Official
POST IN A CONSPICUOUS PLACE
rms request void
18 months from / ) 'J U
E 13253 - ~ L.
Reque,St Date _ Fire RReQghea?lnspertion Ready Now Will Notify lnsPeuir ayes ❑No for When Ready
Licensed Electrical Contractor A hereby request inspection of above
❑ Owner electrical work installed at:
Street Address. Box or Route No. City,
action No. Township Name or No. Range No. Cou ty
Occupant (PRINT) Phone No.
e!1- /lam
Power Supplier - Address
Electrical Contractor (Company Name) Contractor's License No.
Mailing Address (Contractor or Owner Making Installation)
le X7, Authorized Si lure (Contr r/O er Maki Install lion) Phone Number, j -K? ;7
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD
UNLESS PROPER INSPECTION FEE IS
1821 Universitv Ave.. St. Paul. MN 55104
Phnnn taint aa7_nRnn ENCLOSED.
cam/ REQUEST FOR ELECTRICAL INSPECTION 7 EEB-00001-06
See instructions for completiIII, ng this form on back of yellow copy. L
E 13 21' 3 "X.. Below Work Covered by This Request
Nft4 Ad 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 ISnerafv)
Other (Specify) Other Otlux
Compute Inspection Fee Below
# Fee Service Entrance Size Or Fee Feeder s/Subfeeders # Fee Circuits
0 to 200 Amps 0 to 30 Amps 1 0 to 30 Amps
Above 200 AM 31 to 100 Amps 31 to 100 Amps
Swimming Pool Above 100Amps Above 100_Amps
Transformers Irrigation Booms SO Partial Othe ee
Signs Special Inspection
Remarks S~0 ~u TOTAL FE 4:7) .2 of Rough-in Date 9 1. the Electrical LIX r
• 1- Inspector. hereby
certify that the above
Final r ~jt y~, inspection has been
1 made.
This request void 18 months from
I1lequest Date a No. Rough-in Inspection
(Required? G Ready Now ❑ Will Notify Inspector
= Yes No I When Ready?
I I -
I - licensed contractor D owner hereby request inspection of above electrical work at:
L
(Job Address (Street Box or R to o) ICily
~Section No. Township Name or No. Range N~o.~ County
IF -L------------1--- - ~
IOccupa{ INTI --Phone No.
Power Supplier - (Address
Electrical ntr for (Company Name) IContractors License No.
~Ma l ng Address (Contractor r wner ing Installati r)
(Authorized Signature IC tra v wner Mak, rstall n) Phone Number-
MINNESOT TE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD
1821 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 6420800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION EB-00001 -08
► See instructions for completing this form on back of yellow copy.
--X' Below Work Covered by This Request - ,a
~ iwv Add a. Type of Building Appliances Wired EquipmentWired
r1--/~ ~Ti
ILLL Home Range _porary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
- - -
Comm./Industrial Furnace
L II (Farm IAirConditioner---- - _ - _ - _ - -
Other (speaty; Contractor's Remarks.
Compute Inspection Fee Below:
~ Fee Circuits/Feeders Fee
# - Other - T Fee Service Entrance Size _ -T
Swimming Pool ~0 to 200 Amps 0 to 100 Amps
Transformers _Above 200 Amps Above 100 Amps
Signs Inspector's Use Only: TOTAL
~~rrigaUon Booms-
4Special Inspection
Fr 'Alarm/CommunicationTHIS INSTALLATION MAY BE ORDER SCON
Other Fee COMPLETED WITHIN 18 HS.
I I, the Electrical Inspector, hereby Rough-in
certify that the above inspection has Final e ~O ,ly
II been made.
I OFFICE USE ONLY
(This request void 18 months from
bgl3~565 sv F Y_
Request Date Fi No. Ro In Inspection Required Inrs~p-a~ction Other Than Rough-In
(Y m st call Inspector an ready) U Ready Now Will Nobly Inspector
' - Yes No Date Read
1 0 licensed contractor ❑ owner hereby request inspection of above electrical work at:
Job Address (Street, Box or Route No.) City
I'-; i r lea( t, , ` K ~C1, CALSection No. Township Name or No. Range No. County
1 0
Occupant(PRINT) Phone No.
Power Supplier Address
Electrical Contractor (Company Name) Contractor's License No.
Mailing Address (Contractor or Own Making Installation)
_J ~~ree~ AA 0 SG)j0
Authorized Signature (Contractor/Owner Making In llation) Phone Number
L
MINNESOTA STATE BOARD OF ELECTRI TY } f THIS INSPECTION REQUEST WILL NOT
Griggs -Midway Bldg. -Room S•128 j~ BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St. Paul, MN 56104 ! UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 1. ` G ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ¢'E
pop
See instructions for completing this ions on back of yellow copy..'.
V 3 65
"X" Below Work Covered by This Request' P
New Add Rep. Type of Building Appliances Wired Equipment Wire
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Industrial Furnace Other (Specify)
Farm Air Conditioner
Other (specify) Contractor's Remarks:
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 Am s Above 100 -Amps
Signs Inspectors Use Only: TOTAL
Irrigation Booms Cd 12-0.5-0
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDE D DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rough-in Date
certify that the above inspection has Final Date/G_
been made. C
OFFICE USE ONLY
This request void 18 months from
PERMIT
4U-541%
~>'IV%OF EAGAN U-541%
3830 Pilot Knob Road PERMIT TYPE.
Permit Number: BU I L D I N G
Eagan, Minnesota 55123 0 2 4 6 5 9
(612) 681-4675 Date Issued: 10/04/94
SITE ADDRESS:
1418 BLACKHAWK LAKE DR
LOT: 4 BLOCK: 3
STONEY POINT
P.I.N.: 10-72600-040-03
DESCRIPTION:
(GAS)
Building Permit Type FIREPLACE
Building Wark Type NEW
REMARKS:
FEE SUMMARY:
Base Fee $25.00
Surcharge $.50
Total Fee $25.50
CONTRACTOR: OWNER: - A p p l i c a n t -
WERNER BRUCE
1418 BLACKHAWK LAKE DR
EAGAN MN 55122
(612)291-7088
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 Mn.
I~
Statutes and City of Eagan Ordinances.
AT xka~ A.
APPLICAN UPERMITEE SIGNATURE ISSUED BY: IG TURE
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: B U I L D I N G
3830 Pilot Knob Road Permit Number: 0 2 4 6 5 9
Eagan, Minnesota 55123 Date Issued: 10/04/94
(612) 681-4675
SITE ADDRESS: LOT: 4 BLOCK: B APPLICANT:
1418 BLACKHAWK LAKE DR WERNER BRUCE
STONEY POINT (612) 291-7088
PERMIT SUBTYPE: TYPE OF WORK:
FIREPLACE NEW
DESCRIPTION (GAS)
INSPECTION TYPE .DATE INSPTR. INSPECTION TYPE DATE INSPTR.
ROUGH-IN FINAL
F
L
CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION 4
681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up.by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once pemi
is issued.
Date Oc j~ Valuation of work a
Site Address:• / a Y-
STREET SUITE #
Tenant Name: (commercial only)
LOT BLOCK SUBD. P.I.D. 0
Description of work: r JA,0 4GY
The applicant is: la'Owner 0 Contractor ❑ Other (Describe).
Name U.1erhv,V 11rv~.~ Phone U
Property LAST FIRST 011 O W -10 8
Owner Address 14#9 ~%Xiwwl= LK br
STREET STE #
City ~ v State Zip / 2-
Company Phone
_.r._._..._
Contractor Address License # Exp.
City State Zip
Company Phone
Architect/
Engineer Name Registration #
Address - -
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
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.
w
Signature of Applicant: E3t&.'!N9
BUILDING PERMIT TYPE'
13 01 Foundation ❑ 06 Duplex ❑ 11 Apt./taming. 0 18' gait ~in~sh
❑ 02 SF Dwg. ❑ 07 4-flex ❑ 12 Multi. Xisc. 11Awin :Roo'
❑ 03 SF Addition ❑ 08 a-Plex D 13 Gara /kcteasory 0 10-Comm./.Ind.
04 SF Porch ❑ 09 12-AI ex C3 14 f ireNl aae ❑ 19 . /:Ind. Misc.
❑ 05 SF Ni sc. D. 10 Mul tip. Add' l . E3 15 Dock ❑ 20 Publ tc , Ratci I i ty'
E7 21 Mistallantous
WORK TYPE
❑ 31 New
d 33 Alterations ❑ 35 Tenant Finish D 37 Demali-sh
❑ 32 Addition E3 34 Repair- E,7 35 Nova
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. NWCC System
SAllowable) 1st Fl. sq. ft. City Mater
U8Cccupancy > F1, sq. ft. PRYRequi raid
Zoning 'Ft. tl Beater P
s of Stories Fopr#rrt sq. fit. 'Fire Sprinkler
Length OR-site well Census Code
On-si to savage SAC Code
APPROVALS Cis Bldq
Ceases Unit
Planning kilding Assessments
Engineering variwe
REOUIRED INSPECTIONS
❑ Site 0 Footing ❑ Framing ❑ Insulation
❑ Wallboard ❑ Final 0,Draintile fi ►late
Permit Fee v~trwetrne
Surcharge
Plan Review
License
MWWCC SAC
.City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Pe.rmi t
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Dad.
Coppies
t)ther
Total:
SAC %
.SAC Units
' 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN j'
SINGLE FAMILY DWELLINGS 15qt16
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 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 & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS r CT a 0f98~
CDU
i
To Be Used For:S Valuation: Date:
Site Address OFFICE USE ONLY
Lot 27~ Block On site sewage Occupancy
MWCC system v Zoning l
Parcel/Sub e) e v j r1 On site well Actual Const V/V
City water v Allowable
Owner f i c b-grr 4 C e PRV required # of stories
Booster Pump Length
Address r v c 0; n Depth
S.F. Total
City/Zip Code `may qq 00 _ Footprint S.F.
Phone APPROVALS FEES
Contractorn r+, nI Engr/Assess Permit
/ Planner Surcharge 3 7
Address U 7 a Council Plan Review
Bldg. Off . 4h-,[~-~Z4 SAC, City lU~
City/Zip Code Mj ariance SAC, MWCC -
~-Z y Water Conn SSe'
Phone ` , e2 Water Meter
Road Unit 1."
Arch. /Engr. c a f C._ O , Treatment Pl 2
Parks
Address I Copies )
TOTAL
City/Zip Code
Phone #
✓~%l'=-
C/~y.. c; ~ ~~d
l~~i,r`~- ~s
k ~i5 ~ 7
- rte. ~ ~y _ s ~ T ,
J
2422 Enterprise Drive
* PIONEER Mendota Heights, MN 55120
* engineer ng,. (612) 681-1914
Certificate of Survey for: -Cott 161' Cry COA /9;
LAO L)RIVE Noatt:l
ll `
c ►30 $1, 0
N61
045 10 Wi "!WA N ENGTiq
's
5q~
y 6ti
X00
900.0 Denotes extW flevation PROPOSED NOU5E ELEVATlON5
• 900.0 Denotes proponfd Elevation lowe5t Jr/car Elevation = 854.53
- Denoles Ornnnq e OtillI Easement
- twoles Drainer a Flow arrows Top of Bloch Elevation = _ s97. 53
o Denoles monument (7arala slab Elevation = 857.2
B earln5s shown acre assu rn ed
LOT 4 ) BLOCK , $7'ONEy POINT
DAKOTA COUNTyt MINNESOTA SfJgfECr TD EASEMENTS OFRE'COt?d
1 hereby certify that this survey, plan or report was pr erred by r u er my direct supervision and that 1 am duly iegiste"red Lend Surveyor
I under the laws of the State of Minnesota. Dated this day of A.D. 19
Scale: 1 r 40lie-t
ROB RT B. SIKI H L.S. REQ. 10.14891
-3o
EXTF- -OR ENVELOPE AVERAGE "U" COMPUT' -'ON COLUMBIA
OWNER /-1 r el C e, lit./ e r ~ e . y'
SITE ADDRESS/ t 1 ? fr'
CONTRACTOR COLLEGE CITY CONSTRUCTION DATE) U ~y F PHONE 612-431-1211
Determine working square footage of each.
1. Total exposed wall area 1,728 sq. ft. x .11 = 190.08
2. Total roof/ceiling area 960 sq. ft. x •026 = 24.96
Total exposed wall area above floor = 1,728
a. Total wall window area 141.669
b. Total door area 36.667
c. Total sliding glass door area.................... 0
d. Total fireplace wall area 0
e. Total wall framing area (average 1070)............ 172.80
f. Total net wall area above floor 1,291.488
g. Total rim joist area 85.376
Total exposed foundation area = 85.376 s.f.
h. Total foundation window area..................... _ 0
i. Total net foundation area above grade............ 85.37U-
Determine "U" value of each wall segment.
a. 141.669 X f luf f .346 = 49.017
b. 36.667 X "U" .128 = 4.693
C. 0 X "U"
d. 0 X "U"
e. 172.80 X "U" .092 = 15.897
f. 1,291.488 X "U" .043 = 55.532
g, 85.376 X "U" .041 = 3.5
h. 0 X flu„
i. 85.376 X "U" .079 = 6.744
3 ......................................Total 135.383
If item #3 is the same as, or less than item #1, you have net the
intent of SBC 6006(c) 2.
,E
Total exposed roof/ceiling area = 960
j. Total skylight area..... 0
k. Total roof/ceiling framing area (average 107.)....... 96.0
1. Total net insulated roof/ceiling area 864.00
Determine "U" value for each roof/ceiling segment.
J. 0 X Ifull = 0
k. 96.0 X "U" .174 = 16.704
1. 864.00 X "U" .022 = 19.008
4 ........................................Total = 35.712
If total of #4 is the same as, or less than #2, you have met the
intent of SBC 6006(c)l.
Alternate Building Envelope Design
To utilize the total envelope system method, the values established by
the star of items X13 and #4 shall not be greater than the sum of items
#1 and #2.
1. + 2. _
3. + 4. _
u r U.
qN D ~..+t. VA' 'a i.. A N -4 L ys a O _)C1L SLGTI n►/5
Rim LTOI ST MLA ;
V A L U E
.61 _1 ►dtF-R10lK AIR.. 01-11-1
7711 .r 19.0 ~6" 195 U LAT 10 N ( p.19 )
r 2.06 25/32 SH EA T 1N 4 Built-Rite
1
.67 Lgp Stole 4 1/2"
1.88 I ~h.Sof=twoov
.17
_ EXTx R to R AIR- r-li wl
24.39 TOT A L' VAI-ar
124.394L-
IDTA6 PtytACIE
t oU N D A 7 ION WAL L- AKE N CABOVC CIKAC3F.D
R., VA L LL F,
.61 INrERIaR. AIR hL-P1
.85 8" ceNCa t rr pLoc-x-
2x4 I.S. Furing
11.0 RR-111~ C 1r:-93&= awtogr..
I
7 -EXTLr,10e• AM FILM
12.63 -rOrAL w,+ VALU.F--
12.63
16TAL "t/u r
RAM t•~ ~a'hlt~/~i putt : `vr,A!►1!
2 of 5
p •I a u
AND VA ► UE A NA L. Y 5 I S OF QQS2 S A N L C L QZ_1~0 A Ff
WINDOW Af?E.A : TYpk OF W.N.VQW:
5/8" Insulated Glass
T111 WimDouJ LJur1'S UA11L aRrtJ T'FsrXP POP, "JZ=VAL."*, tHtir A-Cr, An 1-1!941f'
A80J9 -vivo .144y of .rj5jry#0 A p9si4n01 CSAFC.) VALt&C- of "A*x 2.89 _
111CLUD004; Alit #CI .M S
U41 = ~ / a4 ► ~ 1 / . .346
Face t w at c 4- Fo- rA o m
FoU NDAT I W W m po W A PMA S TYPE OF ~n.~~ N~00J✓
1jIF- VV/Na0 W tJ,Jirs /4.qlff, at." rLStcD Fog ~J1= VKuC, r#I LY ARa As Lit-TLO ADava AND
mqr 9r AS$ ►tr NL.u ^ pas/yr/ ~,l~~t.) VALut 04 •j~,"r ~NQ4-LA In/c,►
A14 RIL~n~
L4~1_ I/~a. • II a FoorAe,~ + FpprAclIL
5 L i tD INC CLAS5 DboP, /~IZ&A : TYPE. aA Dooa, :
5/8" Insulated Glass
5Ll0t0Jq Q L455 000AS 64#%rL OL164 irL*'rLD FaR"R.'-*1/.4L-Kt,, TNLY ARL ntnr'
AbovL A00 W341 Ott A0-%8yNa-D A VAAl j4j=S4P9) YAi.rtc C,a.it.tu, 2.89
10 FILM!,
Ng3 • I/% z : . 34b Fva rn co c..
DooFz AKA A : Type Dook :
Therma-Tru
D609Z UNI-rS NAY& Of-aN rLsrto A#40 Roumo ra NAYX .aN
'R"_YAi.L4A of 7.81 INC-"&40$#Cj Ain R►►..MS.
►/ads _ J 7.81 .128 t"K)DJI AQ L
5PP-CIAL5 : TYPE
FbRm L-r ~sAu,i-rfx ~1CF' SYNrr*
3 of 5
•[?r ANd',U ' V-0 UL ANALYSIS OF S -cr /0~,j 5
VAL ue
' .45 1/2 U
- Vv.Std M WALL ODme p
I/* 6.875 5-1/2 Sop r woeo
2.06 25/32 SNIATHjgci Built-Rite
,j
.67 LaP._._ 5 t o i " cl 1/211
V A A~ b/1RROl.R.
*17 prtLAl0k ^i2. Pli-M
10.835'rp TA L ' R. - VA L Vt 9-
110. 835
.092
To rA L POorAe t
N S U- L. AT E- D A R. It A TwGr N ST U DS
''R"- VA L U. L
Tur~R toa Alft FI
.45 1//22GYPSu.ti WM-L.aoae.o
19.0 6" iustALA1T MN (K,19
2.06 25/35 SH!• TN /N4 Built-Rite
.67 1/2 _ s l 0 1 N 4 Lap
pff .17
2~. 2~TO T A L. PiiL YA 6 N
tf-ti. 1 22-96
.043
rOT A L fto rA 4 L
~ UArc: sowto
4 of 5
K AND U. VALUE. ANALY515 OF THE 1;ZQQEZU,11,iQq 5Ec.-ric>.rF-.
tfOIST/ FRAMl)llC, ARE h
*1~'• VALUE
.61 INTERIOR Al ft F101
4.375 3-1/2 50FTW000
.58 5/8" G4YPS4,1 WALL00Ago
Val P0R 15A~►7►G~.,
.17 1 NtER wR, AIRL FILM
5.735 TOTAL "Rte,, ✓AI-tLF-
owe/~+~ s 1 / 5.735 =
TOTAL Fao ma c
INSULATED AlZLA 15LtWLEM tNE J01STS
"R" I~/ILU.C
.611i►J1'ER l0q Aist FILM
44.00 N S LL L A T► c N (R- 44
.58 5/8-1 CtYPSUM WALLnonk(..)
.17 INrE.Rfo►L AIR I"aM
1 I I .
I FF
45.36 TOTAL V A L LL E.
45.36
70T'AL foor~at, _ _ -
7M1 i 1•/Iwfb PAIrl S14N~h~
5 of 5
i
e 1989 BUILDING PERMIT APPLICATION - CITY OF EAGAN
010~15 7
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 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 & STRUCTURAL PLANS, 0 Cl
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For: 1`-- Valuation: Date: / /
Site Address IQCA'tVWA OFFICE USE ONLY
Lot Iq Block Occupancy FEES
Zoning
Parcel/Sub STONEY F01Nr Actual Const Bldg. Permit N~-
Allowable Surcharge
Owner r0I- e r'hz° r # of stories Plan Review
/ 1v Length SAC, City
Address I 1 aOc Aw'rv- ~t 17 Y Depth SAC, MWCC
S.F. Total Water Conn
City/Zip Code f aqqh :2- Footprint S.F. Water Meter
Acct. Deposit
Phone Z,2, cjj -,-Zv 18,q On site sewage S/W Permit
On site well S/W Surcharge
Contractor SR h. MWCC System Treatment P1.
City water Road Unit
Address PRV required Park Ded. nJ~
Booster Pump Copies °
City/Zip Code TOTAL
APPROVALS
Phone Planner'
Council
Arch./Engr. Bldg. Off.
Variance
Address Council
City/Zip Code
Phone #
NOTE: Sewer & Water Permit fees and account deposit fees will be included in the building
permit fee. Processing time for sewer and water permits is two days once a licensed
plumber has applied for a permit at City Hall.
T r
* pIO~EEQ 2422 Enterprise Drive
n g Weer ng Mendota Heights, MN 5512p
* 16121681-1914
Certificate of Survey for: c~L Ls cl r[~
VE
LAgE . .1g, bye
~ J
J
3ga 3
b ^ 1 9, Z '
1 By
~%yiQ o
GIN z
ao55 0 ~3 DEPT
~ r
~ 5\~ 1
~r
i
i
~ r
yb
900.0 Denotes
• 900.0 exisll* r flevalion
Denotes propQd Elevation RoaoSEO NousF ELEVATION!;
Denofes pro~nQ e f ulili E, emenl lowest F1~r Efevcrt~on
- denotes Drama a Flow Arrows 954,5-3
TOP of Bloch Ile vgslion _ ~y7 S3
o Denotes monument
tiara, -t Slab Revafioh FSs 7. 2_~ 4
ec7riIf shown vre Qssu rn ed
LOT 4-
D,4kom iSCQ~
Court -3- f S70A"c.Y POINT
T Y r MJvA(rs0TA ru~~ 1 hereby certify that this survey, plan or rr TO E'aSfMElYrS 0FR C0j?L)
report this was pr ared by r u er my direct supervision and that am dul`Iseer
! under the laws of the State of Minnesota. Dated
y e0 id Land Surveyor
day of GPV
-44
A.D. 19
7
~cole: = 40 7, ,
R R Rt R. SIKI H L.S. REO. No. 14891
APPLICATION FOR PERMIT :N== PAYMM OF FEE AT TIME OF
i t APPLICATION DOES NOT CON-
* SPPi = APPRC VAL OF PERMIT.
SEWER AND/OR WATER CONNECTION * I ON OF w4m ANVOR mTER
mrAuATIONs wlLi. NOT BE smam
i QNFIL PERMIT HAS BEEN APPROVED.
city o F eagan
(PLEASE PRINT
1) PROPERTY ADDRESS : k h a t,u k A D r 1 v :e rA e, r y.
LEGAL DESCRIPTION; $ 3 • e ! b o i w'7
o Lot B oc Su divviis'ion or Tax Parcel ID
IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE:
Non Year
PRESENT ZONING/PROPOSED USE:
E7 COMMERCIAL/RETAIL/OFFICE rTj R-1 SINGLE FAMILY
Q INDUSTRIAL R-2 DUPLEX (Two Units)
Q INSTITUTIONAL/GOVERNMENT R-3 TOWNHOUSE (Three + Units) ( Units)
R-4 APARTMENT/CONDOMINIUM ( Units)
2) NAME : p C "
ADDRESS : /S' / sy S 7.
CITY, STATE,- ZIP: { h'1 ►v 5`.5 /a
PHONE : - J o!)
For City Use
3) NAME: 3~ cr Y' P1- {vc, Plumbers License:
Active
ADDRESS : / p ~1 0 v e, r i r z t-Q Y r Expired
CITY, STATE, ZIP: Z~ rj Not recorded
PHONE : y1j q - q/4/ y' MASTER LICENSE # 3 3 Sta Initial
NAME :
ADDRESS:
CITY, STATE, ZIP:
PHONE:
5)
CONNECTION TO CITY SEWER F71 CONNECTION TO CITY WATER OTHER
6) am -0
*
* THE GOLD COPY OF THE PERMIT WILL BE SENT DIRECTLY TO PUBLIC WORKS TO FACILITATE METER PICK-UP.
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. SOMEONE FROM THE CITY WILL CONTACT YOU IF TOM
* ARE ANY PROBLEMS.
r
9
.,FOR CITY USE ONLY
PERMIT # ISSUED
Pd w/Bldg. Permit FEES:
$ SEWER PERMIT (INCLUDE SURCHARGE)
$ WATER PERMIT (INCLUDE SURCHARGE)
WATER METER/COPPERHORN/OUTSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ $ / S\'0 ACCOUNT DEPOSIT - SEWER
$ c ACCOUNT DEPOSIT - WATER
$ ,S C' Z $ WAC
$ S` G C`Z1 $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
-t' $ WATER TREATMENT PLANT SURCHARGE
$ $
OTHER:
i
I o $ u TOTAL
73 Ff
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':
TITLE:
DATE:
_
41,fr
C!ty of Etall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
For Office Use f,
Permit #: c
/ I
Permit Fee: /0(f4�
Date Received: ' -( 5-15
Staff: 111111 /1.1
1.
INFLOW & INFILTRATION PERMIT APPLICATION
Plumbing / Sewer & Water
Date: Site Address:
Tenant:
Name:(;)JV, 'tP! fJ
Suite #:
Phone: 1.-6/ -
Address / City / Zip: r)
Name: License #:
Address: City:
State: Zip: Phone:
Contact: Email:
PLUMBING (Within the building envelope)
V Sump Pump Repair
Other:
SEWER & WATER (Outside the building envelope)
Repair
Other:
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 I/1 repair costs for
reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors
can be found by visiting www.cityofeagan.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.
Pi ff\l1
Applicant's Printed Name
Applicant's Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA114419
Date Issued:09/16/2013
Permit Category:ePermit
Site Address: 1418 Blackhawk Lake Dr
Lot:4 Block: 3 Addition: Stoney Point
PID:10-72600-03-040
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
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.
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 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 -
Bona D Phan
1418 Blackhawk Lake Dr
Eagan MN 55122
(651) 452-6826
Storm Guard Restoration
1355 Geneva Avenue North, Suite 201
Oakdale MN 55128
(651) 738-1698
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA148428
Date Issued:03/28/2018
Permit Category:ePermit
Site Address: 1418 Blackhawk Lake Dr
Lot:4 Block: 3 Addition: Stoney Point
PID:10-72600-03-040
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.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
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 -
Bona D Phan
1418 Blackhawk Lake Dr
Eagan MN 55122
(651) 468-8122
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA150108
Date Issued:06/20/2018
Permit Category:ePermit
Site Address: 1418 Blackhawk Lake Dr
Lot:4 Block: 3 Addition: Stoney Point
PID:10-72600-03-040
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Bona D Phan
1418 Blackhawk Lake Dr
Eagan MN 55122
(651) 452-6826
Minnesota Rusco
5010 Hwy 169 N
Brooklyn Park MN 55428
(952) 935-9669
Applicant/Permitee: Signature Issued By: Signature