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1422 Blackhawk Lake Dr
~ CITY OF EAGAN N~ 15772 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt To be used for SF DWG/GAR Est. Value $66,000 Date l J ,19 n Site Address 1422 BLACKHAWK LK DR OFFICE USE ONLY Lot 5 _Block 3 Sec/Sub. STONEY POINT On Site Sewage Occupancy R-3 M-: MWCC System zoning R-1 Parcel No. On Site Well (Actual) Const V-N m Name MITTELSTAEDT BROTHERS CONST City Water X (Allowable) V-N W PRV Required # of Stories Z Address 785 SUNSET DR 3 Booster Pump Length 42' o City _ EAGAN Phone 456-9125 Depth 461 rc Name SAME S.F. Total .o ciQ Address Footprint S.F. Ua P City Phone APPROVALS FEES U a Engr./Assess. Permit 438.00 U W Name Z Planner Surcharge 33.00 =3 Address 219.00 Council Plan Review UZ City Phone Y ,a W Bldg. Off. SAC, City 100.00 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 Ci ' of Eagan Ordinances. Water Meter 67.00 Signature of Permittee Road Unit -__329- 0 A Building Permit is issued to:- MITTEI STAEDT.RRO -CONST Treatment P1 204.00 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 I r Building Official TOTAL 2,486. 00 l y 1 ILI NMI. r y nAMOUNT ~,,.a ~v a: DOU-A ❑ CASK CW£CZC F iap ~Z.~i/~i~ ! ! f FUND OBJECT AMOUNT. J Tim,nk You r BY Whb-f*m Q)PY a* K! fY~ YPM«in8 Copy n' - z < qp 'lei ~e# 4 ~wrAwiaLa ♦ / FUND OBJECT AMOUNT Thank You BY 54 WMw--Payers Copy Y&%--fts" COPY Pink-4% Copy 6. IIJBLD PERMI'NO. JUL /k4 e9.3 01-3210 Bldg. Permit 01-3422 Plan Check 01-3445 Surch./Adm. 01-3446 SAC/Adm. 01-2155 Surcharge 75-3860 Road Unit 20-2275 SAC v 20-3865 Water Conn. 20-3868 Water Trmt. 20-3716 Water Meter ZIP 106 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. 28-3855 Park Ded. TOTAL CITY OF EAGAN Permit No: IOC44 Date: 1~]_. f3•= 3 3830 Pitt Knob Road Meter No: . Size: P.O: Box 21199 Reader No: Date: 1114an, MN 55121 Owner. Fis Wetvedt `tin. Site Address: 14 Jak'k - !Dr L5 3 Toney Plumber typx= yer)f nal.C Conn. Chg: 550.01pd Zoning: Acct. Dep: 15.0 Mrd No. of Units: Permit Fee: 10 ° e00d Surcharge: .5CiPd I agree to comply with the City of Eagan Tr. Plant 204.00pd Ordinances. Meter f 7. (10nd Misc.: By WATER SERVICE PERMIT CITY O,F EAGAN Permit No 111$4 Date: 28--88 3830,rifot Knob Road B/P No. 88563 Date: 20-24AR P'o.fBox? 2 199 Eagan, MN 55121 Owner Mitielstaedt Bros.. Site Address: , 21427 8lackhawk Lake Dr L5 E3 Stoner Pout Plumber: Jerry WrI t nald MWCC: 550.00od Zoning. , City Chg: loo.00pd No. of Units: 1 Acct. Dep: 15.00pd 20 D' pd I agree to comply with the City of Eagan' Permit Fee: X)Pd Ordinances. . Surcharge: Misc.: By SEWER SERVICE PERMIT ~Citp of pagan . - , ~r~r~r~tat~tt of ~uilang ~naprrtvn This. Certtfrcate 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 . ordinanceso f the City. regulating building construction or use. For the following. SF DWG IGAR slag. pe~nn No. 15 7 7 2 use classification Type Cons) F• $ zoning District 1. VN txcapaocyType : 785 SUNnT DR, EAGAtt" Owna of Bailing E- I~Sfi1 I3 BM Adams ~ 1 Pone, 11 . suia. AM 142 ELK909 ' DR. > ty t~ :C tawanrir R t'! tcS2~t Daie: Holding Ofticol'-' POST IN A CONSPICUOUS PLACE CITY OF EAGAN x 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 t i PHONE: 454-8100 BUILC►ING PERMIT Receipt # ; To be used for DEC;K Est. Value $1,00o Date MAY 29 Site Address 14 22 R Jl . AWK I DR Lot S Block -.3 _ Sec/Sub. STONEY PQYMt OFFICE USE ONLY Parcel No. Occupancy -M=2 FEES Zoning - w Name PA111.. & VF12 Y F-.1.I0TT (Actual) Const Bldg. Permit 25.00 o Address 1422 81.A -"AWIC KR DR (Allowable) Surcharge - SU City PAC-AN Phone 688-2141 # of Stories Length # Plan Review c Name SAM Depth 161-1 SAC, City ,.c Address S.F. Total SAC, MCWCC City Phone S.F. Footprints - On Site Sewage Water Conn UW1 w Name On Site Well w Water Meter Xtl Address MWCC System - <W City Phone City Water Acct. Deposit PRV Required S/W Permit I hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Treatment PI Signature of Permitee APPROVALS Road Unit A Building Permit is issued to: PAUL OR BEVERLY ELLIOTT Planner Park Ded. on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies Building Official Variance TOTAL __25.30 Permit No. Permit Holder Date Telephone # Y WATER SEWW PLUMBING H.V.A.C. ELECTRIC Inspection Date Insp. Comments Footings I Foundation Framing Roofing Rough Plbg. Rough Htg. [Sul. Fireplace Final Htg. Orstat Test Final Plbg. Plbg. Inspector - Notify Plumber Const. Meter EngrJPlan Bldg. Final S Deck Ftg. Deck Final - 1 Well Pr. Disp. 811Y7~9 CITY OF EAGAN - 830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121 ; 1,57 PHONE: 454.8100 BIJI&DING PERMIT Receipt To be used for $T WJGICAB Est. Value $66 X060 Date ,19 Site Address 1422 ftA> XIIAWK LK D2 OFFICE USE ONLY Lot Block Sec/Sub. STONEY P01IrT On Site Sewage iMcupandV MWCC system Zoning we.-1 Parcel No. On Site Well (Actual) Conet a Name TTILSTAEDT 320TIAXIa CfMST City Water (Allowable) z 785 SUNSET PRV Required # of Stories Address o City A8 Phone 436.-9115 Booster Pump Length 429 Depth 461 N9one -SAM S.F. Total o' Address Footprint S.F. I- City Phone APPROVALS FEES W Engr./Assess. _ Permit 438.00 W Name > ~ W Planner Surcharge s g Address x.00 U Z Cit Phone Council _ Plan Review ~ W Y 100.00 Bldg. Off. SAC, City 1 - ~+0 I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC $3.16000 information is correct and agree to comply with all applicable State of Water Conn. Minnesota Statutes and Cyty of Eagan Ordinances. p' `(w p~ z f Water Meter Signature of Permittee 4_, _A- . Road Unit 323*00 A Building Permit is issued to: MITTELS `1 EDT _ CONS7. Treatment P1 204.00 on the express condition that all work shall be done in accordance with all Parks applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official _ TOTAL Permit No. Permit Holder Date Telephone Plumbing Zr C, H:V.A.C. D 53 LrL.2L 9 d Electric p po~v Softener Inspection Date Insp. Comments Footings 1 Footings II Foundation Framing f hefS Roofing r~ qa Ds bs.w~_ Rough Plbg. 7 Rough Htg. Isul. Fireplace Final Htg. Final Plbg. l Bldg. Final Cert.Occ. Temp. LP Deck Ftg. Deck Final Well Pr.Disp. 6d2 dy/ ~~G- /$Sry T ~y~ _l MIT PLUMBING PERMIT CITY Of EAGAN RECEIPT # _ y 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: Ll „ CONTRACT PRICE: PHONE: 454-8100 Site Add ess ,.A 21 Aria BLDG. TYPE WORK'DESCRIPTION Lot 7ss _ Sec/Sub Res. _ New s i Mult. Add-On. m Name . Comm. Repair 47 14, Other To Address c City- Phone !g-7 _34 RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO FIXTURES TOTAL Name - 2 Water Closet - $3.00 - m Bath Tubs - $3.00 -140 3 Address -4-Lavatory - $3.00 O City QI '1(4 s Phon Shower - $3.00 -Aff _/-Kitchen Sink - $3.00 FEES Urinal/Bidet - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE -,/-Laundry Tray - $3.00 APT. BLDGS - COMM RATE APPLIES ---/-Floor Drains - $1.50 TOWNHOUSE & CONDO - RES. RATE APPLIES -1-Water Heater - $1.50 MINIMUM - RESIDENTIAL FEE -$12.00 Whirlpool - $3.00 MINIMUM - COMM/IND FEE -$20.00 _J__Gas Piping Outlets - $1.50; STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERIlI11T) (ADD $.50 S/C IF PERMIT PRICE GOES Softener - $5.00 BEYOND $1,000.00) Well - $10.00 Private Disp. - $10.00 -IL-Rough Openings - $1,50 V• ~ ~ FEE: lGNATURE O 0 ERMI EE STATE SIC: FOR: CITY OF EAGAN GRANIII TOTAL: • PERMIT #lf J r MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 For Office Use Only: Site Address LDG. TYPE WORK DESCRIPTION Lot Blocky 4 3 Sec/Sub STONEY P'P. Res. _ x_ New Name MU. Mult Add-on Addres~g• 1")-18-1 RHODE TSLANU AVE 915nm. Repair C City X71 17, Phone 894-9005 Other FEES Name MI TTRT STARDT RRQS- CONS RES. HVAC 0-100 M BTU .$24,00 c Address _ ADDITIONAL 50 M BTU - 6.00 p City Phone (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA TYPE OF WORK COMM/IND FEE - 1%OF CONTRACT FEE Forced Air 9 M BTU 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 Vent STATE SURCHARGE PER PERMIT - .50 CFM (ADD $.50_S/CiF PERMIT PRICE GPES Gas Piping Outlets # BEYOND $1,000) Other FEE- S/C: - SIGNATURE OF PERMITTEE TOTAL ' FOR: CITY OF EAGAN CIT1FbF. EAGAN Permit No: 10044 Date: 10-28-88 383b 0iot Knob Road Meter No: Size: P.O. Box 21199 Reader No. Date. Eagan, MN 55121 Owner. Mittelstaedt Bros. Site Address: 1422 Blackhawk Lake Dr L B Stoney Foint Plumber Jerry McDonald 550.00pd R1 Conn. Chg: 15.00d Zoning: Acct. Dep: p No. of Units: Permit Fee: 10.00pd Surcharge: .56p(l 1 agree to comply with the City of Eagan Tr. Plant 204.00pd Ordinances. Meter. 57.00pd Misc.: By Z--m-~kj i~J WATER SERVICE PERMIT This request void J~/~~5 pv~1 18 months from E 10836 Request Date Fire No. r ough- inInspection equired7 Ready Now XWIII Notify Inspec- e"p(n4 es 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 /3/A,2. LAc- ll~.~~,~ta Ole EVGrgiV Section No.- I Township Name or No. Range No. County OccupantlPRINT) Phone No. ~ ~L.S'Tfi EDT rz'A /i✓ l~J, 415 - Y'laS- Power Supplier A Address IY500 2.20 ~f-ter Al Ole/ Electrical Contractor (Company Name) Co tractor's License No. 4A ct. Mailing Address (Contractor or Owner Making Installation) Authorized Signature (Contractor/Owner Making Installation) P pone Number ~o-moo MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT BE ACCEPTED BY THE STATE BOARD Griggs-Midway Bldg. -Room 1821 University Ave.. St. Paul. MN MN 55104 UNLESS PROPER INSPECTION FEE IS Phone 16121 642-0800 ENCLOSED. A0111nl REQUEST FOR ELECTRICAL INSPECTION . EB-00001.06 See instructions for completing this form on back of yellow copy. E 100 6 "X" Below Work Covered by This Request Nov4Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtuies Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other Peui V Other (Sperityl Other Specify Other 01hur Compute Inspection Fee Below q Fee Service EntrenceSiza it Fee pAbovelOO-Anips bfeaders # Feu Circuits 0 to 200 Amps s 0 to 30 Amps / Above 200 Ames, mps 31 to 100 Amps Swimming Pool Above 100_Am s Transformers oons Partial• 0 r ee Signs pection TO L FEE Remarks Q Rough-in Dente t Electrical Inspe y • certify that the above Final Date jospection has been made. This request void 18 months from Request Date Fire No. ` - Rough-in Inspection 2 - 6 - 9 Required? CI Ready Now kWill Notify Inspector s C No When Ready? I licensed contractor ' J owner hereby request inspection of above electrical work at: Job Address (Street, Box or Route No.) City 1422 Blackhawk Lake Drive Eagan Section No. Township Name or No. Range No. County L Dakota Occupant (PRINT) Phone No. Paul Elliot 688-2141 Power Supplier Address N/A Electrical Contractor (Company Name) Contractor'I License No. Midland Electric Inc. 041610 Mailing Address (Contractor or Owner Making Installation) 14055 Grand Ave So, Suite E, Burnsville, MN 55337 Author a (Contractonowner Making In allahon) Phone Number II 892-6688 MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room 5.173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. EB REGIUE ELECTRICAL INSPECTION -00001.07 t• See ins&uotions for completing this form on back of yellow copy. `X" Below Work Covered by This Request.;. , ew Add Rep. TypeofBuilding Appliances Wired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm. /industrial Furnace Farm Air Conditioner Other (specify( Contractor§ 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 Amps Above 100 Amps Signs Inspector's Use Only TOTAL Irrigation Booms ~r Special Inspection Alarm/Communication THIS INSTALLATION MAY E ORD R IISCO'NNECTED IF NOT Other Fee COMPLETED WITHIN NT I, the Electrical Inspector, hereby Rough-in oa _ _ C c certify that the above inspection has F;nal Dat O been made. OFFICE USE ONLY This request void 18 months from CITY OF EAGAN No _ 1913 6 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILVANG PERMIT Receipt # C 3(p To be used for DECK Est. Value $1,000 (Date MAY 29 1991 Site Address 1422 BLACKHAWK LAKE DR STONEY POINT OFFICE USE ONLY Lot 5 Bock B Sec/Sub. Parcel No. Occupancy M=2 FEES Zoning ~ Name PAUL & BEVERLY ELLIOTT (Actual) Const Bldg. Permit 25.00 o Address 1422 BLACKHAWK LAKE DR (Allowable) Surcharge .50 City EAGAN Phone 688-2141 # of Stories 5283 Length 281 Plan Review =p Name SAME Depth SAC, City Off AddreSS S.F. Total - SAC, MCWCC I City Phone S.F. Footprints On Site Sewage Water Conn t 3 Name On Site Well Water Meter Address MWCC System - 4 W City Phone City Water Acct. Deposit PRV Required S/W Permit I hereby acknowlege that I have read this application and state that the Booster Pump S1W Surcharge information is correct and agree to comply with all applicable State of Minnesota Statutes and Ci r f Eagan Ordin es. Treatment PI Signature of Permite APPROVALS Road Unit AK' A Building Permit is issued to: UL OR BEVERLY ELLIOTT Planner Park Ded, an the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies Building Official ~~ll Variance TOTAL ZO • aU CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121 C 72 PHONE: 454.8100 BUILDING PERMIT Receipt# t 5 Ir To be used for SP DWGIGAR Est. Value $66.000 Date Site Address 1422 DLACKMWK LA DR OFFICE USE ONLY Lot S Block 3 Sec/Sub. STMY POINT On Site Sewage Occupancy R'-3 H--1 MWCC System X_ Zoning R-1 Parcel No. On Site Well (Actual) Const V- iq w Name 1'tITTMTAEDTT BROITERS CONST City Water -X- (Allowable) V-" W PRV Required # of Stories z Address 785 SUNSET DR o ''City RAGAN Phone 456-912'S Booster Pump Length i~ - Depth~ Name SAM S.F. Total Footprint S.F. Q Address 0 P City Phone APPROVALS FEES C Engr./Assess. Permit 438• WW Name 33.00. Address Planner Surcharge u z City Phone Council _ Plan Review 219.00 W a Bldg. Off. _ SAC, City 1~•~ I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC 530.00 information is correct and agree to comply with all applicable State of Water Conn. 550.00 Minnesota Statutevand Ci of Eagan Ordi ances. Water Meter 67.00 Signature of Permittee ~?-7 g~ - Road Unit 3Z5•w A j3uilding Permit is issued to- MITI IkAfIB? BM CONS Treatment P1 204.00 on the express condition that all work shall be done in accordancewith all Parks applicable State of Minnesota Statutes and City of Eagan Ordinances. 2 4~b~0d Building Official TOTAL ,55/9 ----j 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction RwWrements RemodeVRwair Requirements 3 registered site surveys showing sq. ft of lot, sq. fl. of house; and all roofed antes 2 copies of plan f 5t (20% mmdmum lot coverage allowed) 1 set of Energy Calculations for heated additions tee Pies Plan Recd Y 2 copies of plan staving beam & window sizes; poured found design, etc. 1 site survey for additions & decks FP ' "Re u "LAY 1 set of Energy calculations Addition - indicate if on-site septic system 3 copies of Tree Preservation Plan I lot platted after 711193 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date() r l/ l 0 q L / N G y Construction Cost Unit/Ste # Site Address /f ag ~Ac /1 W Uhl Description of `York {e6G14, Multi-Family Bldg - Y - N Fireplace(s) - 0 - 1 - 2 Property Owner X / Telephone # (6-Y/ ) li 88 -a 5'7p? Contractor Wes/~r.~~ Address q 7d d rc /9r2` City State 1P71V Zip SS91 ~7 Telephone # W 3 ).'q 0,7 -04 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Categm 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submission type) Submitted Submitted Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? - Y _ N If so, 25% plan review fee applies. 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 approval of plans. Applicant's Printed Name Applicant's Sign e OFFICE USE ONLY Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. AR - 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-plex ❑ 11 1 0-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg,Y or _ N ❑ 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 Valuation Occupancy MCES System 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) _ Final./C.O. Footings (deck) _ Final/No C.O. Footings (addition) _ Plumbing _ Foundation _ HVAC _ Drain Tile Other Roof - lee & Water _ Final - Pool Ftgs _ Air/Gas Tests -Final Framing - Siding _ Stucco -Stone -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 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN J, SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR COMM LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE VHTCH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSM, MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF t}'N"IT"3 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 To Be Used For: F e ~e Valuation: Date: q~ Site Address OFFICE USE ONLY Lot 5 Block 3 On site sewage Occupancy si~L'11 MWCC system Zoning Parcel/Sub _~,~UEy l it12' On site well Actual Const V-14- City water Allowable U-B Owner - . d. Ad V. 94-Liar PRV required # of stories Booster Pump Length A+2 611 Address Depth 1- 4 S.F. Total City/Zip Code Footprint S.F. Phone APPROVALS FEES n t Contractor AL7T ELATdbAT Engr/Assess Permit Planner ---Surcharge Address S4f.w9S4T Council ~ Plan Review Bldg. Off./ SAC, City . Q O City/Zip CodeA2:,,,~5 t 23 Variance SAC, MWCC ar ' 09 Water Coen ,15,60+ Q0 Phone li5 l 11:26 water Meter ( Road Unit 32.s, Arch./Engr. Treatment P1 Parks Address Copies TOTAL City/Zip Code Phone # VA-W AT Imo, GAOA &G7 2092?-=440 Y. As. F= Me ri r `~4 13 + fir".. 4~8 • U U + 33.0U+ trlS 21 9 • U U + 1 79c'u•U0+ 'lt iy 2j4S)6•UU* I14 r °I TOO 49 . if r I SURVEYOR'S CERTIFICATE MITTELSTAEDT BROS. EAGAN NOTE: CITY OF EAGAN UTILITY EASEMENT R E V I E W E D PER DOCNO.T03376 IS PROPOSED TO BE VACATED 10-18-88 BY / THE CITY OF EAGAN. 9Y S (N~ O~~~j $Sa z DATE I11 ' 88 Q•~o ° 16 C 654.7 o _ If`b\ 'fir C1 56.1 O I' N ` `w yg ~5 g ~6~- ` o O 656 .7 V'. Ilk. - 66.2 Q-0110 LOT 5 ~ IAet UT1LfTY `$S~ DRAINAGE SI EASEMENT PER PLAT/ir e~e J 6 DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET SCALE: 1 INCH m 30 FEET • DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - 857. fo FEET X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - 854f.8 FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK - 858. C FEET WE HEREBY CERTIFY TO MITTELSTAEDT BROS. THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 5, Block 3 , STONEY POINT, ' according to the recorded plat thereof, Dakota County, Minnesota. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 28TH DAY OF SEPTEMBER , 1988 PROPOSED GRADES SHOWN WERE TAKEN FROM THE GRADING PLAN FOR STONEY SIGNED: JAM LL, INC. POINT, PREPARED BY PIONEER ENGINEERING, LAST DATED 3-9-88 B Y: A C , P4'e-,- 7 allwwo HAROLD C. PETERSON, LAND SURVEYOR MINNESOTA LICENSE NUMBER 12294 2: T co M,, nm0NO m~ 'fly James R. Hill, inc. to D z r- C- m Z- 1 0) D o m z PLANNERS / ENGINEERS / SURVEYORS ono zMG ~ O m 9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 • 612-884-3029 0 n DATE EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION OWNER rTN C c,E,c ~.us SITE ADDRESS L o'r 5 5cmK 3 :;mmj nt OI NT CONTRACTOR 11:r f. L STAE1hT a & 5 C0A-~S7 I A lc , ADDRESS '715,9 C--3u &r . tReedh PHONE Lj (g 9' / S A DETERMINE WORKING SQUARE FOOTAGE OF EACH. 1. Total exposed wall area f $ sq.' ft. x .11 2. Total roof/ceiling area Q1 sq. ft. X •026 s 3 G L Total exposed wall area above floor a ~QJoL4 a. Total wall window area 1 $!o " b. Total door area +~O c. Total sliding glass door area 3!e d. Total fireplace wall area e. Total wall framing area (average 102) 1 to f. Total net wall area above floor 1 1 7 O g. Total rim joist area / b D Total exposed foundation area n ~o g h. Total foundation window area _ i. Total net foundation area above grade !c Q Determine "U" value of each wall segment. a. / S& X fluff . 3.15 2. b. t{O X fluff co 3L X flff ~Z a h5" [ do X fluff ° a • e. 1 V y X fluff I s e) f. / 370 X hull 5915 g X fluff 7. h. X fluff SL Total '7 If item #3 is the same as, or less than item #1, you have met the intent of SBC 6006 (c)2. -1- Page 2 of 2 Total exposed roof/ceiling area - to J. Total skylight area k. Total roof/ceiling framing area (average 101b).. Q) 1. Total net insulated roof/ceiling area ITI q Determine "U" value for each roof/ceiling segment. X fluff _ k•_ 9 1 x fluff . 07 5 9 2.3 1. '3ta x (full 02tS / 7,9 4 ..............q.1 0 .......................Total m a 2 ~ 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 sum of items #3 and 04 shall not be greater than the sum of items #1 and #2. r 1. + 2. 3. + 4. -2- APPLICATION FOR PERMIT *NWE: PA)MV OF FEE AT TIME OF * APPLICATION DOES NOT CON- * STT1= APPRG M OF PERMIT. SEWER AND/OR WATER CONNECTION * INsPBmON OF MER Arm/OR wATER INSTALLATIONS WUL NOT BE SCE1UL FEE * UNTIL PERMIT HAS BEEN APPROVED. ~':yC-" +rr+++++++rr+r+++++rrrr+r++++r+++++trr s ty of eagc n (PLEASE PRINT 1) PROPERTY ADDRESS: LEGAL DESCRIPTION; Lot B ock S ivisi.on or Tax Parcel ID IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: (Month/Year) PRESENT ZONING/PROPOSED USE: COMMERCIAL/RETAIL/OFFICE R-1 SINGLE FAMILY INDUSTRIAL R-2 DUPLEX (Two Units) Q INSTITUTIONAL/GOVERNMENT R-3 TOWNHOUSE (Three + Units) ( Units) Q R-4 APARTMENT/CONDOMINIUM ( Units) 2) NAME: ADDRESS: I CITY, STATE, ZIP: / PHONE: For City Use 3) , NAME: Pl ers License: Active ADDRESS: Expired CITY, STATE, ZIP: Not recordec PHONE: MASTER LICENSE # Staff Initial 4) • •N "k- NAME: ADDRESS: - CITY, STATE, ZIP: Xy~ PHONE: 5) s a ' • a• r CONNECTION TO CITY SEWER CONNECTION TO CITY WATER OTHER 6) op/ * * 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 THERE * ARE ANY PROBLEMS. '"dam 5 C$'- .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 $ ACCOUNT DEPOSIT - SEWER $ ACCOUNT DEPOSIT - WATER $ ffJ C' Gr $ WAC $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ C $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ 7` C Z? TOTAL RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? ED YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: c DATE: ~l~ ~~D 1991 BUI I PERMIT PLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIE., DESIRED. NO CHANTGES WILL BE ALLOWED CNCE BUILDING PERMIT PROCESSING TI ME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE tE6NCO ED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: Valuation: Da Site Address jg24 QCJ~~tQt~,(C L~ 1)+ OFFICE USE ONLY Ec~ct c° fi I AMA) Lot J Block CI Z Z FEES Occupancy Bldg. Permit 25,00 Zoning Surcharge $D Parcel/Sub D'TONey Pb )N-T- Actual Const Plan Review Allowable SAC, City Owner 71GSUr ~[[TO~'~ # of stories SAC, MWCC Length g Water Conn. Address j'} ,6i6ek k&CJ& Ct~C~ fjiu C Depth Water Meter S.F. Total Acct. Deposit City/Zip Code _~agG-n , MA) Footprint S.F. S/w Permit S/W Surcharge Po e (j/j ~~l I/, 3~ --32S-5 C Cy\ On site sewage- Treatment P1. On site well Road Unit Contractor IRSEMANIII&W Q(jorNCA MWCC System Park Ded. City water Trail Ded. Address PRV Copies Booster Pump _ City/Zip Code SUBTOTAL APPROVALS Penalty Phone Planner Lot Change fQ_ Council TOTAL Arch./Engr. N Bldg. Off. uss z9_gj Variance Address City/Zip Code Phone # Qc'-~ agrees that all work shall be done in accordance with Signature of Contractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. SURVEYOR'S CtRT!I"ICATIE MITTELSTAEDT BROS. NOTEt CITY OF EAGAN UTILITY EA$EMENT PER DOG 30 IS PR~POSED TO BE VACATED CATED 1Q-tt3-88 BY THE CITY OF EAGAN. / OQ~ / $Sa Z G a LSD. _T • -10 551 ' 855.6 X66 t .0 968.Q\ 00 5 ease 7,o \ LOT 5 DRAINAGE a UTILITY s e 70 0, EASEMSNr PE'R PLAT 0 DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 FEET • DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - 857.& FEET X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - 85'x.8 FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK - 8581 0 FEET WE HEREBY CERTIFY TO MITTELSTAEDT BRAS, THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 5, Block 3, STONEY POINT, according to the recorded plat thereof, Dakota County, Minnesota. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 28TH DAY OF SEPTEMBER . 1986 ".r PROPOSED GRADES SHOWN WERE TAKEN E' FROM THE GRADING PLAN FOR STONEY SIGNED: JA E LL, INC. POINT, PREPARED BY PIONEER ENGINEERING, A LAST DATED 3-9-88 BY: f4~00-i-& ` HAROLD C. PETERSON, LAND SURVEYOR MINNESOTA LICENSE NUMBER 12294 1 = -n OQ1 James N m to .U 0 N R.Hill, inc. r C- _ z M4 X o n 10 ° z z 00 PLANNERS I ENGINEERS I SURVEYORS ff o oo G) 0 m 9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 • 612-884-3028 r 1989 BUILDING PERMIT APPLICATION CITY OF EAGAN 1.6 112 Aus 1 tgag SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - A STRUCTURAL PLANS 1 SET OF ENERGY CALCS. (CHECK WITH BLDG DIV.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCS. 1 SET OF ENERGY CALCS. MULTIPLE DWELLINGS RENTAL UNITS _ FOR SALE UNITS # OF UNITS NOTEt ADDRESSES FOR CORNER LOTS - CONTRACTOR/RomEOWNER MST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.. WIL . D .:3 SEWER a WATER PEsirii FE-AS !ND iC%OuNT DUOSIT F" IL11. BE iCL ED 7-L n Tn Z" PERMIT FEE. PROCESSING TIME FOR SETTER AND WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED INDICATING A LICENSED PLUMBER. PENALTY APPLIES WHEN: PERMIT IS NOT PAID FOR IN SAME MONTH IT IS REQUESTED. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. F;n;sksn9 0 To Be Used For: 4cJaamQ.rJ- Valuation: Date: o Site Address lgda Al<<r-khu,wl< LK.Oc. OFFICE USE ONLY aq~;n,►nrv , SS~a~ Lot_ Block Occupancy FEES Zoning _ Parcel/Sub J lzn-01, ~,b+mt Actual Const Bldg. Permit _ Allowable Surcharge Owner ~a~'1 uNCw l~ otf_ # of stories Plan Review r Length SAC, City Address J yea R., ctjc ha wlL U,~ ~ Depth SAC, MWCC S.F. Total Water Conn City/Zip Code IMN SS/,g,) Footprint S.F. _ Water Meter feet. Deposit Phone Lo yf On site sewage S/W Permit On site well S/W Surcharge Contractor Se I f MWCC System Treatment Pl. City water Road Unit Address C )w ck'3 cc6&C-Q PRV required Park Ded. Booster Pump Copies City/Zip Code SUBTOTAL APPROVALS Penalty Phone Planner TOTAL Council Arch./Engr. Bldg. Off.' Variance _ Address City/Zip Code Phone # S t 2 Meritor Development Corporation 605 West Travelers Trail Burnsville, MN 55337 612/894-1900 October 21, 1988 Mr. Craig Knudsen City of Eagan 3830 Pilot Knob Rd. Eagan, MN 55121 RE: Stoney Point Sanitary Sewer Easement Vacation Dear Craig, As you requested, Meritor Development Corporation will hold the City of Eagan hanntess in any settlement of foundations due to home construction where the sanitary sewer easenent was vacated by City Council action on October 18, 1988. Braun Engineering has approved all the compaction within the effected area and OmPleted all the necessary testing, inspection and reports. The reports have been submitted to the City of Eagan for your review and cormnents. Sincerely, Paul Thomas P.E. PT:ljh cc: File ' BEAT LUSS GALUULAIIUIVJ.>v utr'H+1+~ric+Y+ yr av++.U1YUJ WEATHERSTRIPS "KVJL Im OF CONSTRUCTION INSULATION _Window; I Doom Rehm" 00. Witt Id. Wan Roof Floe► Kissd Cailin ~ Well - Me Yn - No 11111- Y" FL jC-aj ez,Z Rom Uaitlr w u* Haight ! FL K ! r" Reaw f Lmov* /S- width Haight g _WINDOWS and DOORS - CRACKAGE and AREA WINDOWS and DOORS - CRACKAGE and AREA Wldfh Haig a. au AM Width He. Deed . Area No. o, ne of ow now of oraek aq. ft. No. of ar I kb of crack sq. f1. 3 o 1 2,0 1 z eo 1 Cad. Site. Coot. Btu. lailtratien 3ti 4/10 ~2p InfiNrafion " WON 36 6416 WA Gl.a .38 1 910 falw Not Wad 98 Y tD Not 6 WaN 1~8 .S~ 4J4fC lat. W&N Int. Wan 721 -z-/G Cakt or Flow ?z Z `77-1/ s'wlna or Floor 16 5- 3 v?s' Tow ihr. Tow Site. Re ,..erad r ft. L D. R. or sq~ Ins. W. A. Leader area Required . f► L D. R. or sq. Ins. W. A. Leader area ! Roan Lasgfls 16 11VIdlh ld Hdght FL /jf Roos , Length / Width / Haight F3 WINDOWS and DOORS - CRACKAGE and AREA WINDOWS and DOORS CRACKAGE and AREA "of nee Area WidrM H drl+ d No. = Peaa o1 1 us t era= li. Nw of Ora el _i stow I Li of crack s q. N_ z f3 ~z. Coei Ito. Coof. Btu. Ird+lkat'wn Lfr°' `/O lC~f9 [ WON nfim 2Q6 h ip. Wis Giw 3 C. ©O 06" z Z 1610 Not wou 1 ?O S Net wan Z06 / D O lat. Wall Int. was now ZU3 3 607 Ceinn ar Floor /1v0 .3`?r 8Q CeiBn or Tow (foss. 93 © Total itu. 8 Rpulrad . H. L D. R. or . Ia. W. A. Leader won Required f1 L D. R, or . Ins. W. A. Leader eras R /~tsv~ Rees Ltagth Width 12, Haight FL cc9r Roea+ /5^ Width ~r - Haight g WINDOWS and DOORS - CRACKAGE and AREA WINDOWS and DOORS - CRACKAvE and AREA ' W:dt of Am -A"dib H• Me. Area now of crackfl. Nw of of Ii fds el crack sq. ff. Nw d el Zf/ 7~ Z Coat. il+s. Cod. tNu. Infiltration 0 2,32-0 InflOrmfioo Wall ! L $ Walt sum ~O Z4 C'6 Gdw Net byN won 0 f., 4110 Not Wan D 1;-7 e CD Iat. Wan lot. waR Coiling or Floor 200 3 Oo Cain or Floor 7S 3'" Total bu. ,S 3 6 t7 Total ltv. aired . f. L D. R. or In. W. A. Loader area Mired . ff. E. D. It or . ins. W. A. Loader area = f 'LOSS CALCULATIONS UEPARTIVItNI OF IiUil_f,JINtjb A14,0!0 Rt~S A.MVA ME Of CONSTRUCTION INSULATION Doers Rafsrssss OsR War Irt Wisp won Rosf Flow Kid Gilis~ I wisp es '0'z Low,w /s- Wlditt /0 FFaight 8 p. I Room I LMO VA" Hight WINDOWS and DOORS - CRACKAGr wad AREA WINDOWS and DOORS - CRACKA6ie and AREA 'Width fJ No. L1eaai ft. Area Width -11" 1.14001 No. of pow of A ff -1L Nw of oa of li hb of creek sa. ft. Z 28 8 a6 t COWL Mtt. CoeL Fite. Infiltration to ~D `tad Infiltratles war War 20 el I Gies ! 9 -.6 S elm Not b Wall ,5- 1725- Net Wall Int. Wan IRL War f UJ or Floor l `sue 3 7 CWU or Floor TOW Nis 3,3 93 Total Nw Rr3..trod sq it. R 0. R or iss. W. A. L whaw atea tired . fR E. D. R or sq. Ins. W. A. Leader area IL Rom Wma Z(a Haight 8 FA. Roost length Widtk Hoight WINDOWS and DOORS - CRACKAGE and ARM WINDOWS and DOORS - CRACKAGE and AREA Wids N e. Nw of as of Dow films of ai. A. Me. of pa" of to i Mo.~ of crack s . ft. 28 ~g 68 7 z 3 Cv G 23 17 Csof M& Gef. Mo. Isfilsrafios 110 A141V a IsRNraties Jm Was bq& wart Glue 76 S-0 eOO Glue Not !It Wall p1~ J~ d d Not Wan two. WA Id. WaR Capin or Floor lo,10 Z 20 &0 Coin or Flew Total Mt. Total Ha. sited sq. ft. R 0. R or . Ins. W. A. Lwder area tired . ft. L D. R or . Ins. W. A. Leader area y, Roast Lesgtk Width Height FL Room Lawk Width Height WINDOWS and DOORS - CRACKAGE end AREA WINDOWS and DOORS CRACKAeE and AREA ' Nis of S N of Height I w of cracA W. Nw of pa" of a Ilids aeck r N. bp, Ceei. Rlr. t:eef. bt. InfiHration infilkaties Wap SIP6 WAS Glue C" Not bp, Wan met Esp. WON fret. Wan 1st. Wall Collin or Floor CA" « Floor Total Nt. Total INn. Roquired s ft. L D. R of It tn. W. A. Leader am R tired . ft. L D. R or . ins. W. A. Loodar area 70 7 44. Se,..~~' Z. r n I,5Z8 PLUMBING (RESIDENTIAL) ~J Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Please complete for: Single Family Dwellings Townhomes and Condos when permits are required for each unit Date /-tLa> Site Address 22 b Unit # 'r Telephone # Property Owner 3E~e -Ij Contractor Address 3670 DODD ROAD City I ,3 State (651 s"z; Zip Telephone # ( ) The Applicant is Owner Contractor Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00 Includes County fee. Additional consultant fees may apply. Alterations To Existing Dwelling Unit, Including $ 50.00 Adding fixtures to lower levels or room additions, excluding water softener and water heater Abandonment of septic system Water turnaround 5/8" meter if needed - $121.00) Other: RPZ _ new installation _ repair _ rebuild $ 30.00 Lawn irrigation system i Water softener Water heater $ 15.00 1~ /replacemTe"nt _ additional $ .50 State Surcharge 0y Total $ I hereby apply for a Residential Plumbing 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 with the Plumbing Codes; 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 pl in the case of ork which requires a review and approval of plans. F (A w. tilb- ame Applicant's gnature Applicant's Prin t. 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N @ {~J C+3 ft' @ @ ~ :3' ~a SU 5~J R r'I' ~ @ N ~'S ~ rh ri' O r' N to C7 rh UI W ~ ~ -lfa r'i' 7 ~.i @ ~ ~ 7 ,:1 W~ UI ; ~h°'~~ ~e rDUl~rorT~@COrt ni rt G ~>n ~0ni w t•h0~r~rr ~rt70r ;t~1rrc>rL. ''y rr W ~ i~'a ;-r r1J n E Ul h ri ~ @ @ rF n w 7Xt @ ~I ~ G w 0 ~t @ @ @ ~'h @ a'~ W ~ ~ N~ M^ C7 S!7 @ Q h?5 F'' hf Q V `t NM1 O fS' U9 a i'~ F'{ its p'~1 ~ ~ U1 1"'S t'P' @ e~ ~ @ N ~ ~ Y• ri R~ N t-J @ O ~ Vi CY ?I? c"r vs U1 Sa! ;3J ~ N ~ ~ rh ttl rr W ~ ~b tD e, s PERMIT City of Eagan Permit Type:Building Permit Number:EA127863 Date Issued:10/17/2014 Permit Category:ePermit Site Address: 1422 Blackhawk Lake Dr Lot:5 Block: 3 Addition: Stoney Point PID:10-72600-03-050 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . Tia Lindroth 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 - Daniel C Pilney 1422 Blackhawk Lake Dr Eagan MN 55122 Weatherguard Construction 10860 60th St N Stillwater MN 55082 (651) 439-4320 Applicant/Permitee: Signature Issued By: Signature