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1426 Blackhawk Lake Dr BkDG.,,P ',MIT NO. Je /I. IA 01-3210 Bldg. Permit 01-3422 Plan Check 1-7 el 01-3445 Surch./Adm. 01-3446 SAC/Adm. 01-2155 Surcharge 75+3860 Road Unit CID D 20-2275 SAC 213-3865 Water Conn. 20-3868 Water Trmt. 20-3716 Water Meter /l 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. 28-3855 Park Ded. TOTAL ! i. k I t p }rta ~ . is 'n i bin ~ r _ q 46 /flwo IN `r. ❑ CA$H CHECK V7. M ECT AidOUNT Thank You BY - vfts_ft~_ C" ' .t / YPtk-File cm C--11T~1f 0 !EAGAN t Permit No 1 C a Date:: 393 rA4oVhCno6.Road:--Meter No. Size; ~O `Box 21199 Reader No. Date: Eagan,lNlN 5~5 ! 21 4NALit' oC How Owner. Site Address: 11 26, n1arahavk Lake Drive L6 .Saa r I t t Plumber- Star P1twhing :Conn. Chg: 5510, OODd Zoning: Rl Acct. D.ep: 15. SQ"d No. of Units: Permit Fee: .10. Surcharge: 5►d I agree to comply with the City of Eagan Tr. Plant 204. Md Ordinances. Meter. Misc.: By T WATER SERVICE PERMIT C ° EAGAN Permit No: ^ 1121$ Date- 30 Pllot Knob Road B/P No: Date: _ ~P.b. Box 21199r Fagan' MN15"5121 Owner lialki~ Boe" 1 26 Els+-khovk Lake Drive L6 113 Std 2b3at Site Address Plumber. Ster TIvabing MWCC: 350.000d Zoning! Id 100.00pd City Chg: No. of Units: 1 Acct. Dep: d I agree to comply with the City of Eagan, Permit Fee: .:)UPQ Ordinances., =y. Surcharge: Misc.: PRV REQUIRED By SEWER SERVICE PERMIT CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for 5P DWC/G" Est. Value $750 Date Oman 26 Site Ad&ess 14;x4 H CSAWK LAKE DRIVE OFFICE USE ONLY 113 !l,1 Lot $ Block 3 Sec/Sub. SIT" > YI On Site Sewage Occupancy . E MWCC system _X Zoning Parcel No. On Site Well (Actuel)Const 9a WA CM AwS City Water (Allowable) ~ Name 3 Address 146M 10W AV9 SO PRV Rewired of Stories 0 City XMV IPhonB 141~~337 Booster Pump Length Depth "+34 Nawle SATE S. F. Total u Address Footprint S.F. '1- city Phone APPROVALS FEES Engr./Assess. Permit 4116r00 u Luc Name E1KK 0 planner Surcharge F: 3 Address 4 .0d 1l, isy. firAGAN 452ZO-12.4 Council Plan Review m.,. PhQ}1P Bldg. Off. SAC, City IC*. 00 1 hereby ackrtowiedge that I have read this application and state that the Variance SAC. MWCC $50.00' information,la correpi end agree to comply with all applicable State of Water Conn. SSOr0 Minnesota Statutes and Gity of Eagan Ordinances. Water Meter Signature of Permittee' Road Unit A Building Permit is issued to: VAMR Treatment P1 allk.Co on the express condition that all work shall, be done in accordance with all applicable Stale of Minnesota Statutes and City of Eagan Ordinances. Parks TOTAL Building Official---- - _ . a... ~P. :..mot.. ok t Permit No. Permit Holder Date Telephone # Plumbing H-'d-A,C. ! Cam/ ~J ll /5 Electric 7Go7~ 28 Softener Inspection Date Insp. Comments Footings l IGIP7 LlJ,e Footings II Foundation Framing s' Roofing Rough Plbg: _ Rough Htg. Isul. ! Fireplace ~Z Final Htg. Final Plbg. , 6" Bldg. Final Cert.Occ zaz Temp. !.P Deck Ftg. Deck Final Well Pr. Disp. PLUMBING PERMIT - RECEWT # f CITY OF EAGAN 3630 PILOT KNOB ROAD, EAGAN, MN 55122 QATE: CONTRACT PRICE:: PHONE: 434-6100 x Site Address BLDG. TYRE WORK DES Lot Block Sec/Sub Res. New M ult. Adel-on m Name Comm. Repair Address t ' Other c City Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TQTAt- . Water Closet - $3.00 Name $ Bath Tubs - $3.00 m Address ( C. 3 Lavatory $3.00 p City Phone hower 5 .0.0 cherl Sin C : $300 FEES U'rinal/Bidet'- $3.00 COMMAND FEE -1% OF CONTRACT FEE Laundry Tray - $3.00 - APT. BLDGS - COMM RATE APPLIES Floor Drains - $1.50 TOWNHOUSE & CONDO - RES. RATE APPLIES Water Heater - $1.50 J MINIMUM - RESIDENTIAL FEE -$12.00 -Whirlpool - $3.00 MINIMUM - COMMAND FEE -$20.00 ' Gas Piping Outlets - $1.50 STATE SURCHARGE PER PERMIT - .50 (MINIMUM -1 PER PERMIT) (ADD $.50 SIC IF PERMIT PRICE GOES Softener - $5.00 BEYOND $1,000.90) Well - $10.00 Private Disp. - $10.00 ~_Rough Openings - $1:50 SIGNATURE O~PERMITTEE '.A MC: ; FOR CITY OF EAGfNV1: T'l:RAlI~ PERMIT MECHANICAL PERMIT CITY OF EAGAN \ RECEIPT # 99 1'~ 7 7.1-188 3830 PILOT KNOB ROAD, EAGAN, MN 55122 4 DATE: CONTRACT PRICE: PHONE: 454-8100 1 S Site Address 1 W t; - BLDG. TYPE WORK D RIPTION Lot -~~-,-_Block Sec/Sub Res. New Add-on Name Fr ickzm Ht g. & A.C.'Inc. Mutt . Comm. Repair 50 Kermbec Dr. Address Other U) City Sac~t~ra Phone 452-2775 FEES Name Wagner Homes, Inc. RES. HVAC 0-100 M BTU -$24,00 c Address 14600 loth Ave s. ADDITIONAL 50 M BTU - 8.00 p City BLirruyil a Phone 431-7557 (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA. TYPE OF WORK COMM/IND FEE -1% OF CONTRACT FEE Forced Air 75 , 000 M BTU 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 STATE SURCHARGE PER PERMIT - :$0` Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # 1 ^ BEYOND $1,000) Other FEE: S/C: ~ 50 SIGNATUR O F PERMITTEE TOTAL: 26.00 FOR: CITY OF EAGAN CITY OF EAGAN PERMIT TYPE: 80 f t. 1) 1 NO 83Q Pilot Knob Road Permit Number: 032101 ? Eagan, Minnesota 55122-1897 date Issued: 06108198 (612) 681-4675 SITE ADDRESS: - ` t} APPLICANT: ] 'ia !a1 A(:k IIAtoit k A!i E DI+ THOMAS NC 6TOWN CoN`.'i f . INC. PERMIT SUBTYPE: TYPE OF WORK: vo ( if NEW Itf'!y('bR, fII 101 1'Nt`~ U~l~ a DFCK f'tlf1 INSPECTION {N1) FT AN.1..146 f1NAI R€ Mj)pkfl I AN t:1"V 1' F~)F f1 "y .)()F Vret f 1 (101 VN6 BF4 1,S SIAP iNr, AT NE t'11PIREP= f4 0011UKE:HI!! ARE "?2" DIANETEA„ 24" H AMVIIv, ,t" DIAMfTff; F IF'" IsiAMUtF"p ~ ~~,F { ~.}i { c~ IFS .w r lam. 3 a k Permit Holder Date Telephone # PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL1 J GYP BOARD i~ !ice v FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL Request Date Fire No. Rough-in Inspection Required? ❑ Ready Now ❑ Will Notify Inspector / Z :7~ es ❑ No When Ready? I pq licensed contractor ❑ owner hereby request inspection of above electrical work at: Job Address (Street, Box or Route No.) City 07-L 5-~ Section No. Township Name or No. Range No. Coun Occupant (PRINT) Phone No. Powe/r, uppller Address Electrical "rector (Company Nam Contract License No. _ Mailing Address Contractor or Owner Making Installation) Authorized Signature (Contractor/Owner.Maki_ng Insta n) Phone Number MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room 5773 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (812) 042.0800 ENCLOSED. //~X~ s~ REQUEST FOR ELECTRICAL INSPECTION EB-00001-07 I► See instructions for completing this form on back of yellow copy. -77Q)215, X" Below Work Covered by This Request 7 New 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 (specity) Contractor's Remarks: Compute Inspection Fee Below. # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps / Z. 0 to 100 Amps 41y - Transformers Above 200 Amps Above 100 Amps Signs Inspector's Use Only: TOTAL Irrigation Booms Special Inspection Alarm/Communication dt~ Other Fee I, the Electrical Inspector, hereby Rough-in Dat~~_ certify that the above inspection has Final oai7~ ? been made. OFFICE USE ONLY This request void 18 months from 1tat Permit No 1170.713 ~ d Meter No. ~ 0 , X129- ; , • Q~trr r SStf:r Rames ~ita;.Aufcirem 1426 $lachawk Lake Drive L6 $3 a0im- -„rout, Plumber. Otrar Plumbing Conn Chg SAQ.00pd Zoning: ACt t Qep: No. of Unites ~ Permit Few l~._ f)i~n~ Sa rchi e: 1 agree to comply wfth tfhe City of Eagan In Pfaa nt. i~ Ordinances.. 69L. vvpct FRV Meter..~~= By WATER SERVICE PERMIT z CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121 5 782 PHONE: 454.8100 BUILDING PERMIT Receipt To be used for Sir V*,G/G" Est. Value *7890M Date OCTOBER 25 ,19 88 Site Address 1426 ELACKHAWK LArA DRIVE: OFFICE USE ONLY Ira X1 Lot b Block Sec/Sub. S'T Y POINT On MWCC Site System Sewage X Zoning Occupancy Ai Parcel No. On Site Well (Actual) Const Yil ilA=k JAMS City water ~ (Allowable) cc Name W PRV Required X # of Stories z Address 14600 10TH AVE SCE 3 Booster Pump Length 59 o Ckfy SURNSVILU Phone 431-7597 48.94 Depth a S.F. Total p Name SAMI 0 I- Address Footprint S.F. i-` City Phone APPROVALS FEES W PLANCO Engr./Assess. Permit : 48b.00 W Z Name 3433 WASHINGTON BR Planner Surcharge ---3v.-Do Address 949.00. can Council Plan Review CC W City RAW Phone 492-0724 Bldg. Off. SAC, City 100.00 I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC 590.00 information it correct and agree to comply with all applicable State of Water Conn. 550.00 Minnesota Statutes and City.of Eagan dinances. (~7 .QO Water Meter Signature of Permittee - Road Unit 323.00 (1 Building Permit is issued to: WAGIM ROKS Treatment P1 --24A.W op the express condition that all work shall be done in accordance with all Parks applicable State of Minnesota Stgtutes and City of Eagan Ordinances. i2 * 5bL. CC V r e TOTAL Building Official JITY OF EAGAN 3830 Pilot Knob Roa , P.O. Box 21-199, Eagan, MN 55121N? 15782 BUILDbNG PERMIT PHONE: 454-8100 Receipt # 98,& 96 To be used for SF DWG/GAR Est. Value $789000 Date OCTOBER 26 19 88 Site Address 1426 BLACKHAWK LAKE DRIVE OFFICE USE ONLY 6 3 STONEY POINT On Site Sewage Occupancy R3 Ml Lot -.-Block Sec/Sub. R1 MWCC System Zoning Parcel No. On Site Well (Actual) Const Vn WAGNER HOMES City Water X_ (Allowable) Vn ir Name z Address 14600 10TH AVE SO PRV Required _X # of Stories _ City BURNSVILEE phone 431-7557 Booster Pump _ _ Length 53 Depth 48.34 o°C Name SAME S.F. Total . o< Address FootprintS.F. City Phone APPROVALS FEES w PLANCO Engr./Assess. _ Permit $ 486.00 W W Name Planner 3 .00 Address 3435 WASHINGTON DR - Surcharge s Z City EAGAN Phone 452-0724 Council Plan Review 243.00 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 City ,9f Eagan Cdinapces. .Inv Water Meter - 67.00 Signature of Permittee Road Unit _32.x.90 A Building Permit is issued to:__ WAGNER_HONES Treatment P1 - A4.00 on the express condition that all work shall be done in accordance with all Parks applicable State of Minnesota St tes and City of E an Ordinances. 2i564.00 Building Official _ TOTAL . ~.ex#i#ir~#x u# (~rru~ttr~r~ ~itp of (lagan lopes btmd of full wo luspertion This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following., Use ciassificatian SF DWG / GAR Bldg. Permit Nn. 15782 occupancy Type R-3 M-1 zo,um n;sui, R-1 Type c.c V-N owner of Building WAGNER HOMES Address 14600 TENTH AVE S Building Address 1426 KA4C14 * K IAKE DR Locality L6, B3, STONEY POINT Y n; j i ;1 . " ti Date. DECEMBER 28, 1988 Building Official POST IN A CONSPICUOUS PLACE 2005 RESIDENTIAL BUILDING PERWr APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements RemodellReuair Reouirements ofrm Use Only 3 registered site surveys showing sq. ft of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cart of Survey Reed 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. Pies Required" _Y _ N 1 set of Energy Calculations Addition - indicate if on-de septic system On-srle Septic System. _Y _N 3 copies of Tree Preservafion Plan If lot platted after 711193 Rim Joist Detal Options s^elecGon sheet (buildings with 3 or less units) + Date ! V l Construction Cost (/i LJ Site Address U lack Unit/Ste # Description of Work 41~11~ 1 Multi-Family Bldg _ Y ON Fireplace(s) L 0 - 1 2 Property Owner TY eay- t S Telephone # (65( ) 6" 61 Contractor Address k?b D DI ICA C 'CL Re Gd- City State -M JA / Zip 5 Telephone # (45.?-) 767' COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Categgr y 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 #I 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 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 ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plea 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 _ Ice & Water _ Final _ Pool _ Ftgs A 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 q3 RESIDENTIAL BUILDING ~►fi i 0 5 Permit Application City Of Eagan 3834 Pilot Knob Road, Eagan MN 55122 ~p ~Q3 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reauirements Remodel/RepairReauirements Office Use Onlv 3 registered site surveys showing sq. ft. of lot, sq. ft. 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 Reod _Y _N 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site surrey for additions & decks Tree Pres Reqd _ Y _ N 1 set of Energy Calculations Addition - indicate if on-site septic system On-site Septic System -Y _N 3 copies of Tree Preservation Plan if lot platted after 7/1193 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date 1 114 r --l Construction Cost Site Address A LA CtC q~y 1C KK5 Y -CALp- UniVSte # Description of Work Multi-Family Bldg - Y N Fireplace(s) - 0 :Y 1 - 2 Property Owner Telephone # ((am Contractor W C)~ l~ Address t~~ 1a%(aJ city state V kV\ Zip s Telephone # ((90) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet 0 submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a buildin in E h a similar plan? _ Y N If so, 25% plan review fee applies. r<< r~ IE Licensed Plumber f Telephone # Mechanical Contractor tCl~ Telephone } Sewer/Water Contractor By Telephone # ( a 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 NIN 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 hich requires a review and approval of plans. A~Znm~y Applicant's Printed Name A cant's Si ature OFFICE USE ONLY Sub Types 0 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 AccessoryBldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) D 31 Ext. Alt - Multi ❑ 03 01 of_ piex ❑ 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-piex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex PIbg__Y or_ N ) ( 25 Miscellaneous Work Types rl`r?-,? p,, tzw ~ 6' f z e- ~ X12 ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish (Interior) ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Bldg. ❑ 42 Demolish (Foundation) 0 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish (Bldg)' ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement `Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Do() Occupancy -3 MC/ES System Census Code 3 Zoning - City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) _ Final/C.O. Footings (deck) ?C3 Final/No C.O. - Footings (addition) _ Plumbing Foundation _ HVAC Drain Tile Other ~p Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final Framing _ Siding _ Stucco _ Stone _ Fireplace _ R.I. -Air Test _ Final _ Windows (new/replacemnent) 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 PERMIT CITY OF EAGA,N 3 t ? ~ 3 0 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 032182 (612) 681-4675 Date Issued: 06/08/98 SITE ADDRESS: 1426 BLACKHAWK LAKE DR LOT: 6 BLOCK: 3 STONEY POINT P.I.N.: 10-72600-060-03 DESCRIPTION: INCLUDES DECK Building Permit Type SF PORCH Building Work Type NEW Census Code 434 ALT. RESIDENTIAL REMARKS: PLAN REVIEWED BY ,70E VOLES FOOTING BELLS STARTING AT NE CORNER; REQUIREMENTS ARE 22" {DIAMETER, 24" DIAMETER 27" DIAMETER & 15" DIAMETER RESPECTIVELY FEE SUMMARY: VALUATION $17,000 Base Fee $249.75 Plan Review $162.34 Surcharge --A8-50 Total Fee $420.59 CONTRACTOR: - Applicant ST. LIC OWNER: THrIAS MC GOWN CONST. INC. 14504945 3969 CARLSON CRAIG 3; UPPER 71ST EAST 1426 SLACKHAWK LAKE DR It GROVE HGTS MN 55076 EAGAN MN ( 1 450-4945 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with 'ail applicable ',State Of Mn' Statutes and -City, of Eagan Ordinances_ APPLIC T/PERMITEE SIGNATURE ISSUED BY: SIGN URE ri► 1948 NUEUDD 14 APPS CITY or SAO" - - V - j ♦ 3 registered sse surveys 1 3 copiar~d J ♦ 3 copes of plans (include bear S wkdew sizes poured Md. de ftn; etc.) l d*sur • Y enemy calculations d 'a . 1 3 copies of bee possorvalion plan if ld plstbed aW 711193 required: _Yes _ No z DATE:3 i[8; 7.T h DESCRIPTION OF WORK: d P0,9 C if X, STREET ADDRESS: Name., 6ri/ I Phcere lk• r PROPERTY SAN RIK OWNER r Stt+EUet Address: Ga/ dt/ ' --I ~i1~1~1_ _ _ YP4~r. _ Jf'. ~ :.1. + ,fy~! i IY 11 , ~ ~I~Mi1~11Y...i~1~l~M. C Company: Twr,,/olff /I~G Dk/•~/ l,~seT.- / , i ' F ` . y ~ CONTRACTOR Street Address: City Smte• -%t d ARCH=Tr < h. ENGDIEER Company: ..fie .ni Lc ; - - it Name. ,IF j AM. A Y sum City Sewer & water licensed plundber (mw o xuftioi m only): . MW kst change is requesW am p Is lon ed. Wetly acknowledge that I have faad ft ft and Oda I* the MwaMen idrd II MI"11 ! a SUM of Minnewta Statutes and City of Eagan Crdinarwsa:. Mg=k re of A wpm un MY rye •t ..4 _ mates of Survey Re®eMred Yea fVo r i Tme Preservabon Plan. Rid Yea No f t' WPM USEIONLYI 1. SF, BUILDING PERMIT TYPE 0 01 Foundation 0 00 Duplex 0 11 ApL L ing t') 16 Saseme -wish © 02 SF Dwelling 0 07 4-plex 0,12 Mufti Wit. 17 Swim. Pi D 03 SF Ad C3 08 8-pia U 13 Gam 9 : 20 Public Facer .Rr-W SF Pord C) 09 12-*x 0 14-, Firejoilace' Ir 21 Mi ` ds - 0 05 SF Misc. O 10 -rlex 0 S Deck WORK TYPE Z~.-'£" s r'~'iz~rs~e e0, Z 0 31 New 0 33 Alter C3 Move, 36 Z7 /S'" k.'csPtctrvts F;. 2 Addition 0 34 Repair 0 37 Derr outdo . GENERAL INFORMATION Const. (Actual) _ Basenwrl ag 1t. MC (Allowable) Main Ism sgr It. UBC Occupancy ft. Zoning aq: ft. PRV. # Of Stones sq, ft. PUMP Length A. CAnKs Depth Footprint , eq ft. _.~....w.._. SAC Cc& C Unit APPROVALS Planning BuikiIng Engineering Permit Fee Vation: Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit SNV Permit SNV Surcharge Treatment Pi. Park Ded. Trails Ded. Other Copies Tow;. SA } , + SAC nuts . 2422 Entetptise Otive ' < * Mendota Heights, Mtn 55120 • PIONEER - (612) 681 1914 ~ engineer n+g • I W 4 GNG R ~OM&5' Certificate of Surveil for'-- b`~ G• Cu off' gyp re apPOSED gOUSE ELEVATIONS . goo.o Denoles exislrn flevulion =-900-0 Oenoles prOPWd Elevatrorl Lowest Floor Vevo~ian s -15`-19 enofes Dr~nrn4 a Utii'i l Easemenf ~ Top o''tdock1eva'tior s Denotes oralr7a a Fines rrowS - C,`arGar Slab RevafiOn -'8588. - 63 a ()erloleS !»ontl r11 rt~i* urn earinf s Shown are tms ed PAVS E 4 E L^^ LOCK Soro"Y P)01 V Tp Eq EAAeNT5 OF RECOQD ,w IwwESOTA SugJECr N?r D.44o-rA COONT Y t r d my direct supe~rv¢ikion and that i em duly Registered Lend EaurveYnr I here by rertify that this s,,tvev, plan or rpPort was Pr CRY o y A.D. t9 und"r the i'aws of The stet" 01 Minnesota. Dated this R BERT B. 9t/tTCt4t...5. REO. NO. ]Aa91~- ` Scale: 1 oeo 0 MNcheck'COMPLIANCE REPORT Minnesota Energy Code Permit # ; MNcheck Software Version 2.0 ; Minnesota Department of Public Service ; 1-612-296-5175 1-800-657-3710 ; Checked by/Date ; COUNTY: Dakota STATE: Minnesota ZONE: 2 CONSTRUCTION TYPE : Single Family DATE: 6--3-1998' DATE OF PLANS: TITLE: / y .2 L• COMPLIANCE: PASSES Required UA = 70 Your Home = 70 Area or Insul Sheath Glazing/Door Perimeter R-Value R-Value U-Value UA WALLS: Wood Frame, 16" O.C. 400 19.0 2.0 21 GLAZING: Windows or Doors 88 0.350 31 DOORS 20 0.350 7 FLOORS: Over Outside Air 288 24.0 11 HVAC EFFICIENCY: Furnace, 85.0 AFUE COMPLIANCE STATEMENT: The proposed building design represented in these documents is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the re irements of the Minnesota Energy Code. f 7JK Builder/Designer Date 's s 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN t ' 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, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS To Be Used For: !e v Valuation: Date: October. 20, 1988 (.ink Site Address 144 B achhawh Labe Duv OFFICE USE ONLY Lot 6 Block 3 On site sewage_ Occupancy Af 1MICC system ~ Zoning Parcel/Sub S.toneu Point On site well Actual Const City water ✓ Allowable Owner Wg9aeA Hane-d PRY required ✓ # of stories Booster Pump Length Address 14600 10th Avenue So 300 Depth ,3 y S.F. Total City/Zip Code QWuwv-i Ue, Ma. 55,337 Footprint S.F. Phone 431-7557 APPROVALS FEES Contractor flame Engr/Assess Permit Planner Surcharge Address Council Plan Review Bldg. Off. SAC, City /00 City/Zip Code Variance SAC, MWCC 49 Water Conn S;ro Phone Water Meter Road Unit Arch./Engr. Plaaco Treatment P1 2 01V Parks Address 3435 Waj&ja9,t-on D4i.ve Copies TOTAL 1041.E oo, City/Zip Code 8aaan. Mn. 55122 Phone # 452-0724 ~d k 2~ _/oyo ~er J_ ~Ok 2-~ =/oyo k e ~t 2- - ~Rr 30,x-2.x.3= 66tAjy: .s- a e T~ r 486.00+ 39.00+ 243.0U+ 19790.00+ 29564.OU* i * 2422 Enterprise tirive pioNEF-A Mendota Heights, MN 55120 ngn (02) 681-1914 " M LS Certificate of Survey for. - i ~J 1JOrItt1 goo' goo' o tK ~1 i ~ f aCp t t r s /~y was, It- w 900.0 Denotes exishno flpvulton PROPOSEQ 14OUSE EtEVAT1oNS ► oooo.6 Dencfles propaNd Elevation Cowesf Fluor levafion ~4b denohs i]r~cr,n4 a ~ufi/~#r rEastmenf denotes Orawa t Flow Arrows TOIL' of glOCk lievalim = 55.9 o Denotes morjum ent Gara f e Slob Elevalton = 858.6.7 $ earit shown are assumed - R e Y. REQUIRED LOT , 9L O ck STOWY POINT D-4koM couNrY, MINNEsarA SO~ECr TO EASEMENTS OrRK012D 1 hereby certify that this survey, plan or report was pr ared by m r d my direct supervilion and that i am Ui ilegiitered Land §urvevor under the laws of the State of Minnesota. Dated this day of A.D. 19 . s reel Scale : Ech . 40 j Y. ' ~3 R BERT B. SIfi1C 1_.9. REO. NO. 14x91 "1%MLL"v keu with building permit applioation) One op Two Family Dwelling *1 Other Owner ' site A.ddreea ~a~C~ac?,rcJ Contractor~r-cct~ Date Phone LINEAL FEET OF ~ EXPOSED WALL ~ W f t • above grade TOTAL EXPOSED WALL AREA SQ. FT. OPAQUE WALL COr1STRUCTIpt1 I nUrr Value x Area De tail rrU rr + reference "rrUn -._.x sq.-FT. •~ll~ ~.~"(u)(A) from i~ nUrr x SQ. FT.r (u attached uUn U) (A) sheets nUir x sQ. FT. U) nUrr x sQ. F1' (R) .~...'~--•---,--_(U) (A) x .5q. FT. (U} (A) wllrDO ws t "U" value x Area Make & Type It nUn rr rr rrU I 8 SQ. FT."L11 (U) (A) It rt nUrr q. FT, ~i. FT.(A) IOU It" x sQ. FT. (A) DOORS' nUrr value x Area ' . Elalte & Type Urr o.. . rr rr n rrUrr x SQ. FT.M(A) rr rr rrU n x SQ. FT, &==-::?i%(U) (A) IOU is x Sq. FT.`S M(A) TOTALS x SQ. FT.(U} (A) SQ, YT, TOTAL M (A) (A) VALUES j ► j j AVERAH rrU rr DIVIDED BY TOTAL. WALL AREA 1771 AVERAGE trU u '0 *11.5 or lose for 1&2 family dwellinge ROOF/CElhillu i TOTAL AREA: ~f Detail re f erena e U + ~ from rr rr x SQ. FT. attached sleets. rrUrI U) (A) Describe openings a rr x SQ, FTC------ ----.._..~.(11) (A) in roof.sq FT* IIUII (A) TOTAL MM VALUES DIVIDED BY x SQ. JPT.~`"'-` _~(U) (A) TOTAL ROOF/CEILING AREA AVERAGE nUrr ,025 for ventilated Jroo f e. 1X75, 7w 4y, 44t t-- I ~a~~ = log t !dr 2- a 0,4 = r r 7, a Ygj-,o Z, ZIIx roxI = 33, o z- L ec~ 10 lbo 1 a I 771-7W ri Pl OA f I !1 40 75 Uc ' IUOF UEIL, 11 • • . r 1~ ~AL U 1 4) Interior Air l•ilm 28) 5/8111 QY'• Bd. 0.61 _ 3 Insulation 06 ~ 6 5.) Exterior Aix Film l~J 2 3 WILL) .61 1 1111Un 1/Itz , ' Ai, (J tVAALL !t VALU 6•) Interior Air Film or68 111 *Uyp. 13d. .45 j InaulatipZl 10. j ~faero ter din • la 11*) Exterior Air Film trUtt 1/lip P'a i'oTA1, (Ej~ d3.o~ VAL U 13 12.j Interior Air Film 130 Insulation 0.68 11l•) 211 Fir Biro Joiat . 19.00 19. 1.88 5 P~vIG'`- k'»-5 ~ ~ ' t G.) 1lssanite . 8idi111g Z+7 17:) Exterior Air Film . 4 .t7 UA • QD Stull ~ 1/Aa ~~-a ToTAj6 (11). •ZVpg F0Ut1DATI0! ! 8 VALU z1 1~ 18 • j Interior Air Film, ' 0.68 2c ~e•. 1 200 pq1 91" web ' 11.E A 216) 1211 Uo nOre to Block 1.28 2 j 22.) 230 Exterior Air Film e .17 trUrt a 1/Ba ► 07 f0 TOT" APPLICATION FOR PERMIT ,*►N== PAM&= OF M AT TIME OF * APRaCA71M DOES NM C014-- 8== = APPR(M OF PMWT. + + SEWER AND/OR WATER CONNECTION * INsPBmcNOF Aw1m f-. * I1S4TAI.LATIONS waL NOT m sawPm muLm • *k UM M PHIM HAS BEECH APPROVED. city of eagan jq2 (PLEASE PRINT 1) PROPERTY ADDRESS: L ' LEGAL DESCRIPTION: ] d& :CV (Lot B ock/Subdrvisi n or Tax Parcel ID IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: (Month/Year) PRESENT ZONING/PROPOSED USE: COMMERCIAL/RETAIL/OFFICE I R-1 SINGLE FAMILY INDUSTRIAL R-2 DUPLEX (Tao Units) INSTITUTIONAL/GOVT R-3 TOWNHOUSE (Three + Units) ( Units) R-4 APARTMENT/CONDOMINIUM ( Units) 2) ' i . ► NAME: L G'_~ y, _ r ~~y V-vx -Q-'S ADDRESS : / If o U /U A v ~ CITY, STATE,' ZIP: V Z ►n. S u , 1 Vh , %5 d 7 7 PHONE: <{3~ - s7s s - For City Use 3) NAME : 37~}~- Plumbers License : Active ADDRESS : J a l Yh oo j- r r Expired CITY, STATE, ZIP: V1-, Not recordec PHONE: MASTER LICENSE # StaEf Initial NAME: S' C - ADDRESS: CITY, STATE, ZIP: PHONE: i 5) r u D. CONNECTION TO CITY SEWER CONNECTION TO CITY WATER OTHER 6) r) * THE (COLD COPY OF THE PERMIT WILL BE SENT DIRECTLY TO PUBLIC WORKS 70 FACILITATE METER PICK-UP. ~ PLEASE ALIAW TWO WORKING DAYS FOR PROCESSING. SOMEONE FROM THE CITY WILL CONTACT YOU IF THERE * ARE ANY PROBLEMS. f FOR CITY USE ONLY PERMIT # ISSUED Pd w/Bldg. Permit FEES: $ SEWER PERMIT (INCLUDE SURCHARGE) $ $ LC S~ WATER PERMIT (INCLUDE SURCHARGE) $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ ACCOUNT DEPOSIT - SEWER $ $ LZ ACCOUNT DEPOSIT - WATER $ WAC $ S C C, 7~ $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ $ TOTAL ~ X37 RECEIPT R--W-- 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 : ~f 2006 RESIDENTIAL MECHANICAL PERMIT "PmcAmN City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 { Telephone # 651-675-5675 .Please complete for single family dwellings & townhomestoondos when permits are required for each unit Date 1 Site Address Unit # Property Owner k t" Ce.A C 0 Telephone # ((6&1 W`~6 Contractor THE SKLI-MG COMPANY, INC. 1404 CONCORDIA Street Address ST. PAUL, MN 55104 City 651-646-7361 ( ) State W73 Zip Telephone # Bond - 1 2 1 Expires: The Applicant is Owner 4- Contractor Other Add-on or alteration to existing dwelling unit $ 30.00 >i furnace _Additional Replacement New air exchanger ✓ air conditioner heat pump other 1 State Surcharge $ •50 NOV 0 S 2006 Total $ I hereby apply for a Residential Mechanical 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 winO,s, nical Codethat I understand this is not a permit, but only an application for a permit, and work is not to start without a wattr'anl ecer ance wth the a roved plan in the case of work which requires a review and approval of pl Applicant's Printed Name Applicant's Signa e Use BLUE or BLACK Ink For Office Use I I ,t~ I -7 1 City of Ea Permit 1 V -30 7 I Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 I Date Received: I Phone: (651) 675-5675 RECEIVED I Staff: I Fax: (651) 675-5694 1 I ` - - - - - - - - - - - - - - - - J FEB 2 2 2012 2012 RESIDENTIAL BUILDING PERMIT APPLICATION nit Date. l Site Address: ` 4 8 Cl /Q e- iA. A W It Z'4 jL Name: C t' a t d Co r :J 0 f) Phone: 612/327- 21 0 b RESIDENT I Y ~p O ~Q C ~G /1 o W G L Q .G OWNER Address /City /Zip: Applicant is: Owner ontractor (Q yak) Al Aej TYPE OF WORK Description of work: n GYO w re / Construction Cost: 3 6"S Multi-Family Building: (Yes / No Pella Northland Company: _ 15300 25th Ave N. Ste 100 Contact: J 0 C/I CONTRACTOR Address: - Plymouth, MN 55447 -CM: f $ .2 3 9 s ' 66V-7 Lic # BC645090 Ph. 763/745-1400 State: Q NAT. License M aC G i S o Q O Lead Certificate P ©8 ~ o• o If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 4540002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aooherstateonecall.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 with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. r Tim S ~Q x k Applicant's Printed Name pplicant's Signature Page 1 of 3 - III PERMIT City of Eagan Permit Type:Building Permit Number:EA113914 Date Issued:09/09/2013 Permit Category:ePermit Site Address: 1426 Blackhawk Lake Dr Lot:6 Block: 3 Addition: Stoney Point PID:10-72600-03-060 Use: Description: Sub Type:Reroof 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. Carbon monoxide detectors are required by law in ALL single family homes . James Hunter 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 - Craig L Carlson 1426 Blackhawk Lake Dr Eagan MN 55122 (612) 327-2108 Hoffman Weber Construction Inc 3515 48th Ave N Brooklyn Center MN 55429 (866) 970-1133 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA140331 Date Issued:12/08/2016 Permit Category:ePermit Site Address: 1426 Blackhawk Lake Dr Lot:6 Block: 3 Addition: Stoney Point PID:10-72600-03-060 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Craig L Carlson 1426 Blackhawk Lake Dr Eagan MN 55122 Hoffman Weber Construction Inc 3515 48th Ave N Brooklyn Center MN 55429 (866) 970-1133 Applicant/Permitee: Signature Issued By: Signature