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1423 Blackhawk Lake Dr
1 4 pry 6 Request Date Fire No. o -in Inspection R wired? C] Ready Now ❑ Will Notify Inspector ❑ Yes ❑ No When Ready? ❑ licensed contractor ❑ owner hereby request inspection of above electrical work at: Job Address (Street, Box or Route No.) City r!5~o G~tSIN u//c L~ d2 ~4 6 Alt/ Section No. Township Name or No. Range No. C 4'7A- Occupant (PRINT) Phone No. Power Supplier _ Address Electrical Contractor (Company Name) CoNractar's License No. Zr- c4'rOK~ ~-3 D ling Address (Contractor or Owner Making Installation) J !/irk' G10411 16 s- jo Authorized (Cunt Ow Makiga In i Phone Nher CJ/ _ .rlt " x~7 MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room 3-173 BE ACCEPTED BY THE STATE BOARD 1821 university Ave., St. Paul, MN 55194 UNLESS PROPER INSPECTION FEE IS Phone (612) 642.OSM ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION E&00001-07 ► See instructions for complamig this formon back of yellow copy. q 5 X" Below Work Covered by This Request e Add Rep. TypeofBuilding Appliances Wired Equipment Wired Home Range Temporary Service Duplex water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specify) Contractorb Remarks: Compute Inspection Fee Below: # Other Fee # ServticeEntrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps 0 Amps Signs Inspectors Use only: TOTAL Irrigation Booms 7) 50 Special Inspection larm/Communication Other Fee I, the Electrical Inspector, hereby lough-in Date certify that the above inspection has Final oa been made. OFFICE USE ONLY This request void 18 months from r cr rq~ FQR DEXX 06/28/90 Plym) 89-3--3101 CITY OF EAGAN 10 M;'53 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 - PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for SF 11i1G/GAR Est. Value $109,000 Date JULY 27 _ tg 89 Site Address 1423 BLACKHAWK LAKE DR Lot 15 Block i SeclSub STONEY POINT OFFICE USE ONLY . Parcel No. Occupancy R-3 H-1 FEES R--1 W Name COLLEGE CITY CONSTRUCTION Actual) Const Y-N Bldg. Permit 672.00 Address 6970 151ST ST (Allowable) V-N Surcharge 54.50 City APPLE VALLEY Phone 1'12 1 # of Stories Length 50, Plan Review 336.00 SAME o Name Depth 341 SAC, City 100000 $89 Address S.F. Total - SAC, MCWCC 575.00 City Phone S F. Footprints 580.00 On Site Sewage Water Conn U 90.00 Fw Name On Site Well ~ Water Meter 6 Address MWCC System Acct. Deposit 30.00 M W City Phone City Water 20.00 PRV Required S1W Permit I hereby acknowlege that I have read this application and state that the Booster Pump SiW Surcharge 1 information is correct and agree to comply with all applicable State of 228.00 Minnesota Statutes and City of Eagan Ordinances. Treatment PI Signature of Permitee APPROVALS Road Unit 340.00 A Building Permit is issued to: C0LUGE CITY CONST Planner Park Ded. on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies Variance TOTAL 3,026.50 Building Official - Permit No. Permit Holder Date Cy Telephone # WATER SEWER PLUMBING ELECTRIC Inspection Date Insp. Comments Footings I 2 Foundation Framing I Roofing Rough Plbg. Rough Htg. 4p I Isul. Fireplace "-,Orz; 'V -Je j Final Htg. s( /f r b Final Plbg. Const. Meter Plbg. Inspector -Notify Plumber Engr./Plan n Bldg. Final ~cllklk, Deck Ftg. Deck Final Well Pr. Disp. T: iY i, 3rT.: qr: ~ .~N T`•" R ~.i'. Nfg ~ ~ P .l4Mr~t 1'f'1@$K_ x5'~' jy i.~ 17 RLIJNIitRMl ` 0 ~,a: tCITY'VP EAG~4M , r 7 r . 3030 PILICiT KNOB tR+Cil~D; EAG1~N, J $61 t it ' ,1 E . CONTRACT PRICE: PMCIt~ 45+1.01lYO ~ ` ry. S~f@ 4ddr ss r 't:t'!1't?Cf t t ( i~ BLDG.TYPIV VIN i~ot ock ec/Sub Res. N s _ , ! i Mult. i=Fi .w•F• N$ mm - ' ~~-.tyy} ~a~. r y r y ;a Addi 2 f: l2 Other C City I 1 Phone RES. PCBQ. ONLY -MMP F 7L 1% 11 7 hp Fl)ffURES Water Closet - $3.00 } Name ' Bath Tubs - $3.OQ. c Address w L story 00 z - $3 p City Phone Shower - $3,00 `Kitchen Sink - $3.00 x FEES - Urinal/Bidet - $3.00 COMMAND FEE - 1% OF CONTRACT FEE Laundry Tray - $3.00 ' APT. SLOGS - COMM RATE APPLIES Floor Drains - $1.50 k TOWNHOUSE & CONDO - RES. RATE APPLIES Water Heater- $1.50 {MINIMUM - RESIDENTIAL FEE -$12.00 Whirlpool - $3.00 "f MINIMUM - COMMIIND"FEE -$20.00 cO- Gas Piping Outlets - $i'~B STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER (ADD .$.50 S C-IF PERMIT PRICE GOES Softener - BEYOND :00) Well - $10.00. Private Disp. - $10.00 - IZ--- Rough Openi6g3 SIGNATURE OF PERMITTEE FEE • STATt,$/*•- FQR: CITY QF EACaAN _ -..~l.R--~iA^°.T,.....c+.7-;rw~y~anc--~.^.c--._._^^~'arr •_.-._"^-.'"""'~.'R'f~iT",i,r'~ F'~ MECHANICAL PERMIT REC 13PT # CITY OF EAGAN D~4TE 3030 PILOT KNOB ROAD, EAGAN, MN $5123 CONTRACT PRICE: RHONE: 454.0100 Iq1V rite Address BLDG. TYPE YiFf1R1 b"Pow Lot _ 5 Block Sec/Sub Res. New Mult. Add-on c. Mg, L Name Address Comm. Repair c City r Phone Other FEES Name ~y- L RES. HVAC 0-100 MBTU - c Address A VC T- ADDITIONAL 50 M BTU - I 3 k-\njj -1 - (RES. HVAC INCLUDES A/C ON NEW Q City Phone CONSTRUCTION) GAS OUTLETS (MINIMUM -1 PER PERMIT) -a011 EA `y TYPE OF WORK COMMAND FEE.-_1%OF CONTRI F€E 'Forced Air M BTU AFT. BLDGS. - COMM. AMM AP'f~II~S Boiler M BTU TOWNHOUSE & CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS `Air Cond. M BTU MINIMUM COMMERCIAL FEE STATE SURCHARGE PER PERMIT Vent M CFM B 110 ; ---t---- (ADD $.50 StC IF PERMIT PRICE GOES Gas Piping Outlets # BEYOND $1,000) Other FEE SIGNATURE OF PERMiTTEE S/C: TOTAL: (,v' W FOR: CITY OF EAGAN fi SEWER & WATER PERMIT OFFICE USE ONLY CITY OF EAGAN METER PERMIT DATE 7/28/99 3830 Pilot Knob Rd. 10694 Eagan, MN 55122-1897 CHIP PERMIT # METER SIZE ff B.P. RECEIPT # C 3148 ISSUE DATE ~I B.P. RECEIPT DATE 7/27/89 DATE - t# P~V - BOOSTER PUMP SITE ADDRESS Ct° PERMIT REQUESTED LOT -_BLOCK _~SEC/SUB 011 r SEWER WATER -TAPS APPLICANT: . , h -'7 0 ` _ _S3J CO AND RESIDENTIAL ADDRESS: CITY, STAT ~a f-. rs ZIP ti PHONE. j - NEW n _ EXISTING Lawn Sprinkler Meters are to be Installed r PLUMBER Ahead of Domestic Meters on Water Line. ADDRE,S$ d7 f u ;l a'Yq c.- Credi#~WILL NOT be given for Deduct Meters. °CITY, STAT a Ys' r A ZI ® t PHONE: J. y AGREE TO COMPLY WITH CITY OF. °OWNER: 0 4:_;A2 EAGAN ORDINANCES ADDRESS: CITY, STATE ZIP PHONE: SIGNATURE WHEN METER ISSUED u PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR. STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. b ~ F p " ~ `',c+~ t,-' ,tea YY ait ~ 3r r~ F y 1 max!' " ~ ; ' W 4~ r 47, Sol • f F r DOLLARS O Cmif 'CHECK } d R)ND OBJECT AMOVW ,d l Thank You B„ d C 3.48 Yeo"-P-" Cam PWA--Fib Copy BLDG. PERMIT NO. r 01-3210 Bldg. Permit » C0 01-3422 Plan Check 01-3445 Surch./Adm. i 01-3446 SAC/Adm. 01-2155 Surcharge 75-3860 Road Unit >1 CSC` 20-2275 SACS r~ 20-3865 Water Conn. < c~ 20-3868 Water Trmt. 20-3716 Water Meter 20-2252 Acct. Dep. ` c? ~ o 20-3713 Water Permit I or, 20-3743 Sewer Permit 79-3866 Sewer Conn. 28-3855 Park Ded. TOTAL a L DATE: 7/28/89 RE: 1423 BLACKHAWK LAKE DRIVE L15, B1, STONEY POINT xx Your Sewer & Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO P CALL PUBLIC WORKS (4545220) FOR YOUR PERMANENT WATER TURN ON. • Your Sewer & V44ter-hermit for the above property cannot be completed for the following reasons: Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. DATE: 7/28/89 RE: 1423 BLACKHAWK CAKE DRIVE, L15, B1, STONEY POINT xx Your Sewer & Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO ~F CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. Your Sewer & Wat&-Permit for the above property cannot be completed for the following reasons: a Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. CITY OF EAGAN ND 16 8 5 3 • 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 L r 1 BUILDING PERMIT Receipt # 6 U To be used for SF DWG/GAR Est. Value $109,000 Date JULY 27 , tg 89 Site Address 1423 BLACKHAWK LAKE DR Lot 15 Block 1 Sec/Sub. STONEY POINT OFFICE USE ONLY Parcel No. Occupancy R-3 M-1 FEES Zoning R-1 W Name COLLEGE CITY CONSTRUCTION (Actual) Const V-N Bldg. Permit 672.00 3 Address 6970 151ST ST (Allowable) V-N o City APPLE VALLEY Phone 431-1211 # of Stories Surcharge 54.50 Lenglh 501 Plan Review 336 • 00 a: Name- SAHE Depth 341 SAC, City 100.00 Address S.F. Total SAC, MCWCC 575.00 City Phone S.F. Footprints - On Site Sewage Water Conn 580.00 Name On Site Well Water Meter 90.00 ~3 Address MWCC System XX 30.00 CC w City Phone City Water _ Acct. Deposit 20.00 PRV Required XX S/W Permit 1 hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge 1.00 information is correct and a ee to com with all applicable State of Minnesota Statutea-a~ity (Eaga rdinances. Treatment PI 228.00 s v ? APPROVALS Signature of Permite - Road Unit 340.00 A Building Permit is issued to: _COLLEGE CITY CONST Planner Park Dad. 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 3.026.50 SEINER & WATER PERMIT OFFICEIFILY CITY OF EAGAN .2 jj*0 7/28/89 3830 Pilot Knob Rd. PERMtT DATE 10694 Eagan, MN 55122-1897 PERMIT u D METER SIZE G &P. RECEIPT # C 3145. DATE R / a C ISSUr _Vaf B.P. RECEIPT DATE 7/27/89 r PRV BOOSM PUW SITE AD RESS ""2 c Aa ~ r, PERMIT.'R6Q1J ~STED " LOT LOCK ECISUB 4 » SEWER WATER ._:TAP'S c APPLICANT: Cu f a ADDRESS: 6-7 -7 0 -L- C 0 RESIDENIW, -51 XJ CITY, STA N-~ - EXtSTiPIwQi . PHONE: 4 44V v r~ Lawn Sprinkler Meters are to be Ind PLUMBER✓ r Ahead of Domes ~Aetero on WauW ADDRE tCred LL NOT be g du44 CI1Y, TA • d )1 v ZI 0 PHONE: ` AGREE TO COMPLY WITH CITY OF OWNER: C EAGAN ORDINANCES ADDRESS: CITY, STATE ZIP , Q I Lion:= PHONE: SIG ATURE WHEMMETER 188IJEO PLEASE ALLOW TWO WORKINO DAYS FOR PROeataNG. CALL 454.5228 Fort FOR STORM-, PEAiMI>`rc?, DIaPT: (lrrttftratr of Orrupury citp of eagan lorlartmM of W0,3wWation This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this s(ructure was in compliance with the various ordinances of the City regulating building construction or use. For the following. use class SF DWG/GAR Bldg. No. 16853 Ocenp.ncY Type R3A11 Zoning District RI Type C..a `1N Owner d Bi ildi.g CITY ~ rT~Add= 9870 1.51 ST ST. , APPL VAI I EY Bnildi.g , 1423M,AMIAW LAKE DR. L,,,,I,15. B J. STCWY POINT z zt~ l4i D,, OCIDWR 18, 1989 Bwll ing Ofi66fT POST IN A CONSPICUOUS PUKE S t ) 1989 BUILDING PERMIT APPLICATION CITY OF EAGAN 1(01,4 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 f OF UNITS NOTE= ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.. SEWER & WATER PERMIT FEES AND ACCOUNT DEPOSIT FEES WILL BE INCLUDED WITH THE BUILDING PERMIT FEE. PROCESSING TIME FOR SEWER AND WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED INDICATING A LICENSED PLUMBER. PENALTY APPLIES WHENs PERMIT IS NOT PAID FOR IN SAME MONTH IT IS REQUESTED. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. 0 L 2 4 1989 To Be Used For:(~~/ Valuation: Date: Site Address f < <i a r , OFFICE USE ONLY / 101 oz)D- Lot ).L Block J Occupancy -3 M- FEES Zoning Parcel/Sub Actual Const `N Bldg. Permit ~~2•p Allowable V-N Surcharge S S~ Owner ^11~2 G c # of stories Plan Review 334-,00 Length ' SAC, City 00,0o Address Depth SAC, MWCC 3 ? of S.F. Total Water Conn 59a,o,3 City/Zip Code Footprint S.F. Water Meter 9 0,o o Acct. Deposit 3o,oa Phone On site sewage S/W Permit o.c~~? On sitwell S/W Surcharge 1, C)o Contra eto u ~r o MWCC System Treatment P1. 2 City water Road Unit 0o Address6q7 0 ~Sf f~ PRV required Park Ded. _ ? Booster Pump Copies 44 SUBTOTAL City/Zip Code APPROVALS Penalty Phone - Planner TOTAL Council Arch./Engr.S4 -I e yl Cv n Bldg. Off. ~7/z-& Variance / S G Address City/Zip Code Phone # ' T VALCA AST 1 0 N 2Z X 9o - 4L1o x l = C 3o x L~ - ~~o x 1 y I :YS 6Ay ►y ~/7 U ~~c 1 r f ~ f LA Cl S * * 2422 Enterprise Drive * PIONEER Mendota Heights, MN 55120 * engineering- (612) 681-1914 ~c Certificate of Survey for: COL4EGE C JT I T~, NoczT~1 p6 t'. L4 N 0 / ' J Y) `y - ► dot Al, o! QO'..,.. ,0 o 1 900.0 Denoles existn Flevalton PROPOSED 140U-5E ELEVATIONS = 900.0 Denoles Pro d Elevation - - Denoles DrCV!n* a e [Will 1 Easement Lowest Floor Elevation = 850-6 - - benoles Drains e Flow yrrows Top of Bloch Elevation : 958.1 o Denoles monument t7c►rak? slab Gevahoh = 857.8 8 etarin1s shown are assu rn ed LOT 15 , 9cock l , SMATY POINT DAKOTA COUNTY, MINNESOTA SUBJECT- TO EASEMENTS OFRE-CORD I hereby certify that this survey, plan or report was pr pared by me or under my direct supervision and that I am duly hegistered Land Surveyor I under the laws of the State of Minnesota. Dated this day of A.D. 19 ~ . Scale : 1 inch 40 reel ) fl OBE B. SIKICH t_.S. 14M. NO. 14891 Ey"PcRIOR P-"" LOPE AVERAGE "U" CUo" ITATION._ SITE ADDRESS _ c ,rr'^6 CONTRACTOR ~~6C1~.1rC~~ G! DATE S PROK V- 7 - - -,,,Determine working square footage of each. 1. Total exposed wail area . sq. ft. x Vic. 2. Total roo"ceil ing area sq. ft. x ~a •Total exposed wall area above floor a. Total wall window area -Z ?,3 b. Total door area c. Total sliding glass door area a d. Total fireplace wall area......... O • e. Total wall framing area (average 10X)...:...... ! 1'70 t. Total net wall area above floor 1z''0 1 g. Total rim joist area 1Gz.-'--- Total-ezposed foundation area ((a h. Total foundation window •area...........:......... o L Toal net foundation area above grade IQ4-- . Determine""U"-value of each wall segment. b. 5 X "U" ; I Z b a . Q 4- C. 6 .X NUn d. Q X "un o e. I'7o X 111V ' 4`7 Z ' f. t2(e-,0 X "U" X "up .04- _ 7_6 7^ h. X V" c] l1 3 ..........................Total If item 13 is the same as, or less than item 01, you have met the intent of SBC 6006(c)2. Total-exposed roof/ceiling area f7 S.O J. Total skylight area..... k. Total roof/ceiling framing area (a~erage 10x)... 1. Total net Insulated roof/ceiling area..:......., Determine "U" value for each roof/ceiling segment. 0 X fluid Q a O 4 ..................................Total If total of 14 is the same as, or less than 12, you have met the intent of SLC.6000(c)l. Alternate Building Envelope Design To utilize the total envelope system method, the values established by the sum of items 13 and f4 shat.] not be greater than the sum of items pl and U. 1. + 2. 3.' + 4. v " v ~pQFff E 11.~+~4 5 EGT 1 t7+V ~ ~ 5 OF • ~ J< AND 1..~.. VA L. u j AMA &.Y, ,1olsTRwMI~~G AREA, .R VALUE INTO J?IoR AIR FILM d-,~" S SOFTWOVD :S~ ~ C,~ Y pS•e. M NJA LL.bow v a NTtr R 10A, AIR FILM -0T A L " Rw VALU.E WWI 27.73 TOTAL. P00FA41t 1:Q.5ULA7&:3 ARIA ~crw~.e«r TNT. X01S T -5 Nom. ' t/A~.u.e ilVTERIok AIR RILM 4 4- 6WW'jWSLU.ATJON C " FF;s -7 A-.G YRS u M wA" P*AALD ' YAPcaR aARR1&' 4 ! j... ! N T'~ R 1oFt ASK fil- M p~rrr~. ...iy,~ra ~R,M 1►'i 1~l>~b AND VAL-U,- ANALY5 13 OF NA6L SECTIONS F("- VAa.uc ~ ~ G Yn.g~ M ►~rw~.~ aa+,se n • ' Z..O~+~SH 4 t t~rC.~~ 5 lot sic, r V APoe. t5ARg.)tR. ~t OMLJOR. AJA. riL.1.1 TQTAL PMtAC,E N St1LA7~-~ AxtA B&TWGaN 5T64 GS "R"- VA L w L ..~-4YP9"iv1 WALL."acc) ' 7.(0M !USU4AT ION (R., 17 j -o (f2 S~IG• T11 /NQ .1621 L- V24 rIZ, . b7 AP sr a ~N~ ~L~r it - il -k i. r L Q.1 A ~ 1t A~ L.M prorAi u YALLAc. TOT A L. Ion rA G L. r (c o j) Ar X: AN o •LL' VAS LA A N ,a. ,L Y S I b o L.1 S1Grl oW5 V A L Ll E _I Ntf-RIOFt ^I2 ffL M 'T / (R~o_101 14SULATJON (94-11 ~SN EA r IN 4 _i-~tzti-r vl sfOI~J C~ _LAP _ 1'h" SoFrwooAo X T f Ft 10 R A r IC. Pra. I~ 24.3 2 TOT A t.•' VAt-J,c.Jr 4.,t . 1 /a--z )424-39 , r rOTA6 "rAC,~ Z- Fo U'%l OAT ION \1-IA L. A R E• A C A $o v E. C' 4 KA DF-D R,. V A L LL Ir Id__•__~._I N TE R 102 AIR fHL r\ rl eoqGa Jr rc pLoGK F-P ~Ilil l.0o 3 t aru3u~t~:•c (R• (I f -ExTr.Yr109, A!2 FILM t Z •~3 -rOrAL ;qw4 N/ALUA.E_ roTAL rC"TAc f;, `Y Dh T t D 4j--/L) r " 'MD VALUE ANA I- Y 5 S OF L V Q CaL A Z ED A P&A s WINDOW ARMA TYpJE OF WJN.DOW TIIQ w„roow LrvlYS p4AVL zxt j 7,Fir4:j:; Pop. "~•-V~4vbs, TNILY ACC. A26 1.19.190 ABOV C qV0 lit4rf .61 A3sa4NE~ A Arai N ~s.sc) VAL.&4.4- of "f ps 2. JMCLw.5>W4 AIR f~1 LM 5 L4f I/RjI A6 I/ Z ~3 ~Poorwcm Z 2 fLDd t w s, L.~~! ~s:unAws FOUNDAT I W Ati po w A A : TYPL of ~n~~~~vaA✓ TRF- Vv+Noov/ U.0iri 14ANf_ BL" r85rep F!ojL `12' VAAA& rq&.Y ARL Ali 1.1UTLjp Ab&V+- AALQ M4y' 8r AS! 1C1 NJLO A L?LSIit +J C-4^ 09,D VA 4-u IL Or- 'R. t1lQ F1&.M S ~{q2a !/'~q.. II M FoorAyjL t K~rAq¢ s 5 L. I D' C4L AS 5 Doc P, AR&A : TYPL 0A wort : 5L_I0l+4Ci CJ L 435 D00AS J4049. & LI04 TAT LO' FaR"A.= Yd +-&t -rWLY A" ~ 1.,jkrEP AbOWL AeJ4 01,11 S• A.9.Sec,NA-V A &AASI4,)4G5APt) VAL..Kt Ala F1Lr1S DOvR ApuA, TYPt ©r- Dok: ❑COCZ UNI `I' S HAYG b4L n1 TL*r[P .x+40 ItCUM0 'rO H4v` 44 )MCjh4Q0*qCq A,4 '/Rdl = 1t = r FUDTPLQLJ SPECIALS TYPE 7,30 FbIzm E-1 !nAln4lE~. Z Ir.', cJl~j I~ ~ 1 1990 BUILDING PERMIT APPLICATION 114G 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 DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. JUN 2 2 RECD To Be Used For: 09?1--K Valuation: Date: b'~~ ~7f) Site Address 1'1a3 d(, SK y/} OFFICE USE ONLY Lot f~ Block- . FEES Occupancy Zoning Parcel/Sub 9roN,y Po2N r Actual Const Bldg. Permit y Allowable Surcharge Owner ZVAW Ab" l7oN~cu2SGv # of stories Plan Review Length SAC, City Address A1.U B44cx"svK «jo-- DR Depth SAC, MWCC S.F. Total Water Conn City/Zip Code fp&Ajj SSia.? Footprint S.F. Water Meter Acct. Deposit Phone 09A_c : 6jfry- 9c>y 1caye.K FF5-_jr1,0/ On site sewage- S/W Permit On site well S/W Surcharge Contractor MWCC System Treatment Pl. City water Road Unit Address PRV Park Ded. Booster Pump Copies City/Zip Code SUBTOTAL APPROVALS Penalty Phone Planner TOTAL Council Arch./Engr. 5,ELF Bldg. Off. Z~ Variance Address City/Zip Code Phone # w 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 RemodeVRei)alr Requirements Office Use Only 3 registered site surveys showing sq. fL of lot, sq. It of house; and all roofed areas 2 copies of plan _ Cert of Survey Reod (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions S decks Tree Pres Not Reqd 1 set of Energy Calculations Addition • indicate if on-site septic system - On-site Septic System 3 copies of Tree Preservation Plan V lot platted after 711/93 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date 0-3 Construction Cost Site Address I Ok 15 , fC Unit/Ste # !'L CvQr ~~r Description of Work (G tl A, L ` j& Multi-Family Bldg Y N Fireplace(s) _ 0 1 _ 2 Property Owner L 1 Telephone # cv5l) z Contractor ~ ~r e_ ~J z1~: Pl j- Address a ~,Ff i1.I 1 ; 13 City Burr State ~4L ~'1/ Zip ~`S3 3 Telephone # (g-,U) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category • Residenbal Ventilation Category 1 Worksheet New Energy Code Worksheet (d submission type) Submitted Submitted • Energy Envelope Calculations Submitted Licensed Plumber f ( Telephone # [ ) Mechanical Contractor 1~ I V' Il _ .fYJA 4~,Met Telephone # (q, 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. v ~,1"~ rnJ S~l r Applicant's Printed Name Applicant's Signature { OFFICE USE ONLY Sub Types ❑ 01 Foundation ❑ 07 05-plea ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessary Bldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 f=ireplace ❑ 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-plex ❑ 11 10-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 Bldg. ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish (Bldg)' ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MCIES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinldered 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 _ Ice & Water _ Final Pool _ Ftgs _ Air/Gas Tests -Final Framing Siding _ Stucco Stone Fireplace _ R.I. -Air Test -Final _ Windows (new/replaceme_nt) 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 C~U 0 c) °o 100TRESIDENTIAL 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 Office Use Only 3 registered site surreys showing sq. t of lot, sq. R of house; and all roofed areas ✓ 2 Copies of plan 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 Addition - indicated on-site septic system On-site Septic System -Y -N 3 copies of Tree Preservation Plan if lot platted after 711/93 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Date 01 l 1491 0Z006, Construction Cost 1~~ ®D O Site Address /41.,2 3 44Lc.K G.4Kl / & Unit/Ste # 5's- a Description of Work ~VC-0 /=fZ G 0a L, F5,14 L-S 'Al Multi-Family Bldg _ Y -Z N Fireplace(s) _ 0 - 1 _ 2 Property Owner 6vfii a Amp CA Zat, VQhIK---~Izg C-d E D Telephone # ((/f/) ?c. L,rt' o y Contractor 5 Address City State Zip Telephone✓# ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Energy Code Category Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 (~f submission type) • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet 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 approval of plans. N-4 41 a rlk1l-,2 SG 06=.17 v` Applicant's Printed Name plicant's Signature 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. 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-plex ❑ 11 10-plex J~(( 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg_Yor4N ❑ 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 X 33 Alteration ❑ 37 Demolish Building' ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant Valuation awl Occupancy MCES System Plan Review/l/ 100% or 25% Census Code / Zoning R l 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)L Final/No C.O. - Footings (addition) _ Plumbing Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final Framing _ Siding _ Stucco - Stone _ Brick Fireplace _ R.I. -Air Test -Final _ Windows C 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 2 Use BLUE or BLACK Ink For Office' Use ~ I Permit City of EatdH I 5 Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 R E O \t' EtD I Date Received: Phone: (651) 675-5675 1 Fax: (651) 675-5694 APR 7011 I Staff: - I 2011 MECHANICAL PERMIT APPLICATION Date: Site Address: /4 23 CGc'.~iGl tek Lv~_e Tenant: -D frs 69 Suite RESIDENT / OWNER Name: IyA%A2 Phone: L / - 6 ,?3 - 91.,5z)2 Address /City / Zip: JS 7 _ License CONTRACTOR Name: G)ZO -Ze Address: 67 5451ei N' ( v City: 6- 4'Grvr.. State: M 14) Zip: 577_2 Phone: S Contact Crv~ )l/tc4N Email: l ~(yt 1U4'1u14 ✓°L TYPE OF WORK New replacement Additional Alteration Demolition Description of work: V -eA ce .(Zn,wKa GQ i AC_ NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. RESIDENTIAL COMMERCIAL PERMIT TYPE Furnace _ New Construction _ Interior Improvement Air Conditioner _ Install Piping _ Processed Air Exchanger Gas _ Exterior HVAC Unit Heat Pump Under / Above ground Tank Install / _ Remove) When installing/removing tank(s), call for inspection by Fire Other Marshal and Plumbing Inspector RESIDENTIAL FEES: $55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $95.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $ -37:5-, V a TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal OR Contract Value $ x1% $55.00 Minimum (includes State Surcharge) = $ Permit Fee - If the Permit Fee is less than $10,010, surcharge is $ 5.00 If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee = $ Surcharge (i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge) _ $ TOTAL FEE 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.gooherstateonecall.org 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 withhtth'e~ap~proved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground - Rough In -Air Test -Gas Service Test -In-floor Heat -Final Exterior HVAC Screening Inspection PERMIT City of Eagan Permit Type: Building Permit Number: EA105700 Date Issued: 0712512012 itj of 0n Permit Category: ePermit R Site Address: 1423 Blackhawk Lake Dr Lot: 15 Block: I Addition: Stoney Point PID: 10-72600-01-150 Use: Description: Sub Type: e-Windows/Doors Construction Type: Work Type: Replace Description: Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: Beth Ridnicki 10751 Excelsrio Blvd Hopkins, MN 55343 952-277-1600 Fee Summary: BL - Base Fee $500 $40.00 0801.4085 Valuation: 500.00 Surcharge - Based on Valuation $500 $0.50 9001.2195 Total: $40.50 Contractor: - Applicant - Owner: Scherer Brothers Lumber Company Lynn A Donkersgoed 9401 73rd Ave. N 1423 Blackhawk Lake Dr Suite 400 Eagan MN 55122 Brooklyn Park MN 55428 (952) 277-1600 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. Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type: Building Permit Number: EA105801 Date Issued: 0713112012 itj of 0n Permit Category: ePermit R Site Address: 1423 Blackhawk Lake Dr Lot: 15 Block: I Addition: Stoney Point PID: 10-72600-01-150 Use: Description: Sub Type: e-Reroof Construction Type: Work Type: Replace Description: House & Garage Census Code: 434- Occupancy: Zoning: Square Feet: 0 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. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: BL - Base Fee $4K $103.25 0801.4085 Valuation: 4,000.00 Surcharge - Based on Valuation $4K $2.00 9001.2195 Total: $105.25 Contractor: - Applicant - Owner: Craftsmen Home Improvements Inc Lynn A Donkersgoed 7455 France Avenue, #194 1423 Blackhawk Lake Dr Edina MN 55435 Eagan MN 55122 (651) 430-1388 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. Applicant/Permitee: Signature Issued By: Signature City c 07 r ; •E DETECTORS REQUIRED ON al j. AND IN ALL SCIS CONTAINING SLS LOCATE SMOTE CIETECIONS FIRE 0 c?n50 TOP !SOFFITS AND ALL HER BEAD SPACES. L`. `:ER STAIRS MUST BE EA 1 LY FINISHED WITH GYPSUMBOARD BARRIER MUST BE THE WARM SIDE OF D ATtIC CEILING. APPROVED R BY: DATE J BUILDING INSPECTIONS DIVISION J 7 F 9 SEPARATE PERMITS AR REQUIRED FOR ANY ELECTRICAL" OR PLUMBING WORK. ION WALL MOISTURE BA4RR+ER IS REQUIRED BETWEEN INSULATIOAND FOUNDATION WALL FROM P1 ()OR TO GRADE PERMIT City of Eagan Permit Type:Building Permit Number:EA126279 Date Issued:08/19/2014 Permit Category:ePermit Site Address: 1423 Blackhawk Lake Dr Lot:15 Block: 1 Addition: Stoney Point PID:10-72600-01-150 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. 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. 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 - Lynn A Donkersgoed 1423 Blackhawk Lake Dr Eagan MN 55122 Jns Builders Llc 2325 Endicott Street St. Paul MN 55114 (651) 646-0221 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA153248 Date Issued:12/04/2018 Permit Category:ePermit Site Address: 1423 Blackhawk Lake Dr Lot:15 Block: 1 Addition: Stoney Point PID:10-72600-01-150 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 - Lynn A Donkersgoed 1423 Blackhawk Lake Dr Eagan MN 55122 (651) 683-9009 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:EA165231 Date Issued:10/23/2020 Permit Category:ePermit Site Address: 1423 Blackhawk Lake Dr Lot:15 Block: 1 Addition: Stoney Point PID:10-72600-01-150 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: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Lynn A & Carol J Donkersgoed 1423 Blackhawk Lake Dr Saint Paul MN 55122--125 Home Depot Usa Dba The Home Depot 2455 Paces Ferry Rd Atlanta GA 30339 (763) 852-1044 Applicant/Permitee: Signature Issued By: Signature