The URL can be used to link to this page

1430 Blackhawk Lake Dr? •y BUILDIW PERMIT To be used for DECK . ... . .._.., .. , ..,-. , .,,?..<:.......,_?-. ?_?...,.. ?....?-- ,-. .. .?_;,.r.i:"t .v.,..,r -- ? - CITY OF EAGAN ? ??g,? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ? PHONE: 454-8100 Est. Value $1,000 Receipt # ' flata APR {; 1430 $LAGK?? LAKE DR Site Ad,?ess ' Lot Block Sec/Sub. Parcel No. W Name STEiEi?,& KLLLY YAK1fLSKA3 ? Address 0 City. Phone 4515-0453 o Name R A M CEJ:iSTit13CTIUid , o? - Addres U C ? City PhorlT? F- W W Name ? ?o Address a W City Phone I hereby acknowlege that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota 3tatutes and City of Eagan Ordinances. Signature of Permitee x A r? CONsrRUcTzoN A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable State ot Minnesota 5tatutes and City of Eagan Ordinances. Building Official Occupancy Zoning (Actuel) Const (Allowable) # ot stories Length Depth S.F. Total S.F. Foolprints On Site Sewage On Site Well MWCC System City Water PRV Required Booster Pump APPROVALS Pianner Council Bldg. Of(. Variance OFFICE U5E ONLY Bfdg. Permit Surcharge Pian Review SAC, City SAC, MCWCC Water Conn Water Meter Acct. Deposil S!W Permit S/W Surcharge Trealment PI Road Unit Park Ded. Copies TOTAL 19 91 FEES 2JaQQ .50 2Jr50 Permit No. Permit Hvlder Oate Telephone # WATER SEWER PLUMBING H.VA.C. ELECTRIC tnspection Date Insp. Comments Footings 1 Faundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fueplace Final Htg. Fnai Plbg. Const. Meter Pibg. Inspector - Notity Plumber EngrJPian Bldg. Final Qeck Ftg. ` a)'" Deck Final ? - 2 Z-9 wen Pr. Disp. . . ?a?f?r?f^-r? 'r..- - ?w -.qlqlllllw r ? CITY OF EAGAN 3830 Pilot Knob Road P.O. Box 21 •199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMlT Receipt# To be used for SF MCIW Est. Value $95sOM Date MV 9 Site Address 1430 ??KRAWK LAn pR OFFiCE USE ONLY Lot 7 Block 3 Sec/Sub. ??Y POxNT On Site Sewage Occupency R i MWCC System X Zoniny "' Parce) No. On 5ite Well (ACtual) Const Y"'* a Name COLL= CITY CONSTM;CTYQN City Water x (Allowable) F"'K z Address 6970 1513T Sr v PRV Required -X_ # of Stories ? ? o CitPL.E VALLKY Phone 432•-1211 Booster Pump Length ? Depth 301 o Name ;ME S.F. Total , z 1- 4 Address Footprint S.F. . V °C ?- City Phone APPROVALS FEES ?x ? ? rc W W Name Engr./Assess. Permit ? . 47 ?- = = Address Planner 5u rcharge n ? W PhOne Cit y Council Plan Review ? ?'? 4 Bldg. OH. _ SAC, City ' ?? "? I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC ? . ??00 ? intormation is correct and agree to comply with a11 applicabie State of WaterConn. ' Minnesoia Statutes and City of Eagan Ordinances. 67•? Water Meter Signature of Permittee Road Unit 323.00 A Building Permk is issued to: COLLA= ?ITY CONSTIMi treatment P1 W•oo on the express condition that ali work shall be done in accordance with all Pa? applicable State of Minnesota Statutes and City of Eagan Ordinances. ???? Building Official TOTAL Parmit No. Pormit Holder Date Telephona ? Plumbin9 H.V.A.C. `7 ElectriC Softener Inspection Dste Insp. COmments Footings 1 Footings II C Foundation Framing ?S Fioofing Rough Plbg. Rough Htg. Isul. ? Fireplace Final Htg. Final Plbg. Bldg. Final Cert. Occ. 3 rt Temp. LP r Deck Ftg. Deck Final Well Pr. Disp. .. ,-....,_.?>...-" '__"'"z?.?F.? ?._'"FT"....:- ?a:,- - ??,,,.?.??„" ."_. . .. . _? _..T <a-. ,?..r._i•..?.+wT''_.?..-.. _ _...,_ .. .- ' PERMIT # MECHANICAL PERMIT RECEIPT # g< ? S? CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55722 pqTE: CONTRACT PRICE: PHONE: 454-8100 For Office Use Only: Site Address BLQG. TYPE WORK DESCRIPTfON Lot Block Sec/S ub Res. -•f New Name Mutt Add-on ' ` ` ` Comm. Repair . ? . •, Address ?.; C ,`, ,_ ? ? ;,, Other c City Phone l: _ - ' ? FEES Name •- -°-- " ' L RES. HV6Q 0-100 M BTU ? - $24.00 c Address ADDITIC?AIAL 50 M BTU - 6.00 p Ciiy ,- _ ti Phone (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS (yUTLETS (MINIMUM -1 PER PERMI7) - 1 50 EA . . TYPE OF WORK COMM/IND FEE - 1% OF CANTRACT FEE Forced Air M BTU APT. BLDGS. - COMM. RATE APPUES TOWNHOUSE & CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00. STATE SURCHARGE PER PERMIT - .50 Vent CFM ^ (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outleis # ' BEYOND $1,000) Other g ? FEE 4.•...> ,--. , . , . ..?. ?. SIGNATURE OF PERMITTEE S/C: TOTAL• ?' ?'? FOR: CITY OF EAGAN PERMIT # ' PLUMBING PERMIT RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD, fAGAN, MN 55122 DATE f- f ? CONTRACT PRICE: PHONE: 454-8100 Site Address ? t''`' ?- ? BLDG TYPE YIFQRK DESCRIPTION ? Lot Block Sec/Sub ? Name y Address c Ciry Phone ? Name 3 Address p Ciiy - Phone FEES COMM/IND FEE -196 OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.00 MINIMUM - COMM/IND FEE - $20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) ? 1 SIGNATURE OF FOR: CITY OF EAGAN ? Res. u' New ! Mult. Add-on v ? Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES _TOTAI % Water Closet - $3.00 $ ?! ? Bath Tubs - $3.00 " Lavatory - $3.00 , Shower $3.00 J Kitcfi" Sink - .00 Urinall8idet - $3.00 i-Laundry Tray - $3.00 _J._Floor Drains - $1.50 ? I_Water Heaier - $1.50 -?-- Whirlpool - $3.00 =Gas Piping Outlets - $1.50 ? F (MINIMUM - 1 PER PERMII) Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE: `•``. STATf; S/C: GRAND TOTAI: ..?..,FU...-_..... ,_ .-. - p.....r.... _? '.Tn+er.i?-._?y arlc?s,..--'a:+S?'S.G'ir°?RL".??'F!n"`,S",T^ln-•F? ..r?.'yw9'? . PERMIT # ? ' 9 4? ?? • MECHANICAL PERMIT _ RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: - ` CONTRACT PRICE: PHONE: 484-8100 For Office Use On1y: Site Address `f •" BLDG. TYPE WQRK QESGRIPTION Lot ^ Block Sec/Sub Res E• New twlult Add-on Name i " Comm. Repair ? Address Other ? Ci iY .;? ,F :j, Phone , FEES Name RES. HVAC 0-100 M BTU - $24.0O c AddreSS ADDITIONAL 50 M BTU 600 p C'?ty t F'hon e (RES. HVAG INCLUDES AI.C QN I??YIR CQNSTRUCTIOht) GAS OUTLETS MINIMUM -1 PER MRMIT) - 1 50 EA ; ( . , TY'AE Of WDRK CQNEM/ING FEE - 145 OF CONTRAGT FEr: forCed Air M gTU APT. BLDGS. - COMM. RATE APPUES TOWNHOUSE & CQNDOS - RES. RATE APPUES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & EJnit Hsaier M BTU REMODELS - 12.00 Air Cond. ? M BTU MINIMUM CaMMERCIAL FEE - 20.00 _ ' STA7E SURChARGE PER PERMIT - .60 Vent CFM JADD $.50 51C IF PERMIT PRICE CsOES Gas Piping Outlets # BEYQMID $1,000) 0ther " FEE SI ? EE SlC: , TOTAL: FOR: CITY OF EAGAN INSPECTIONRECQRD cITV aF EaGAN . PERMIT rYPE: 3$30 Pilat Knob Road Permit Number: Eagan; Minnesota 55122-1897 Date Issueei: (612) 881-4675 *rhr?No. SITE ADDRESS• y .. N ` t ?' 1 :'?'00 0 7 ?' 01 ARPLICA?NT: • 131. 0cr; . 3 . 1.+4:a0 B 1 AC;fi hlAf,#k` iA ? 1: CaR R t:N f WA t BY AN13Fft'`?tN ;Tr??c??? N-f??Idf ??>1.?) ?;:s?-?>a.??? RERMIT SUBTYPE: TYPE OF WORK: • . . 0I.'. °D C R 6 fF r 1 6a 77 i fY i? fV .E R! '9? ?'Id197- ? Permit No. Pemdt Holder Oate Telephbne # Ei.ECTRiC PWMBlfilfi . FiVAC I"eedon uate Insp. Commanrs Fnonaues FOUND Ftaaa,??ruG ROcyFnva ROf?G!i PtUWfEING PL8.I"i AIR TEST RQU?',Ff HEATlNQ GAS SYC TEST • INSUL GYPBaARD FIREPLACE FIREPLACE. AIR TES'f FlNP1l. P!BG FINAL HTG ORSAT tEST BLDG FINAL BSMI' Fi.l. BSMT FINAL DECK FfG DECK FINAL ~ ? , CITY OF EA6AN 3830 Pilot Knob Road ` P.O. ?ox,2a-#9 Eagan, MN 55121 Permit No: 1013" Meter No: _ Reader No: Date: Size: 12JiJs9 Date: Owner. CO&LF'? ???i WHIST SiteAddre9s: 143+s ???RHAI?? Lk`°t' DR., L?, B3, : n Plumber. Sl A? ?LP& Conn Ch pe 9• Acct Dep: 15.00 Pd Permit Fee: ?i-?i pd Surcharge: .50 Te Tr. Plant ?04•0(% Ad Meter. 61 ?dX'? ?c3 MISC.: a mv Zoning: _ No. of Units: I agree to comply with the City oi Eagan Ordinances. By WATER SERVICE PERMIT CIT1GsO?FEAGAN PermitNo: 14276 3830 Pilot K.qob Road B/ P No: ?S4S? P.O.. BoxX'2;17'99 Eagan, MN 55121 Date: 12/1l 8$ oace: ?ztgt?u+ Owner. W1-??E -MY miqSY Site Address: 1430 B1A'v='?? LME DR', L79 83, ? ? ruL Plumber:._ MWCC: ?550'00 p' City Chg: 100•04 pd Acct. Dep: 15.00 pd Permit Fee: 1t?"? pd Surcharge: .50 p Misc.: PRV MIMEE? cTAR pi.BG R-4 Zoning• No. of Units: i I agree to comply with the City of Eagan Ordinances. By SEWER SERVICE PERMIT °? ?,•?? ? I? - F A-, Y 60UAAS a casH cHECic' Thank You , BY ? ? Q I'R $ ? . Yelbw--Pasting Copy Pink-Fpe Coµy 01-3210 Bldg. Permit 01-3422 Plan Check 01-3445 Surch./Adm. 01-3446 SAC/Adm. 01-2155 Surcharge 75-3860 Raad Unit 20-?275 SAC 20-3865 Water Conn. 2063868 Water Trmt. 20-3716 Water Meter 24-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. 28-3855 Park Ded. 3 0 TOTAL CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 `' ` ? ??? r? t'•? PHONE: 454-8100 /% C;y " Qr i9 O Site Address 1430 IM.ACKUiiiC t,AICH SY Lot 7 Block 3 Sec/Sub. STOMItY PO1NT Parcel No. m Name COLLRfi'A t4I?Y COIiSTYQCTIOH 3 Address _ 6490 151S? ST V 0 CityAPPLE VALLEZ'Phone_ 431-1211 °C o ?iame SAMS . o Q Pyddress City Phone ?a ?y W Name FW Address < W City Phone 1 hereby aCknowledge that 1 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 EaBan OroiRences. . Sign4ture of Permittee ?`" <!"'• -?;`"` ` ?"""`"? _ • A Buir2fing Permit iS issded to:_ CO1+LECR CITY C41i!lTjI='? on the express Condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official BUILDING PERMIT Receipt # J LZ- To be used for $F DWG/CAR Est. Value $95,000 Date Nov 9 OFFICE USE ONLY On Site Sewage Occupancy R-3 M-1 MWCC System x Zoning 1"1 On Site Well (Actual) Const y""N City Water _X (Allowable) T-M PRV Requfred _X # of Stories Booster Pump Length 301 Depth 301 S.F. Total Footprint S.F. APPROVALS FEES 554•00 Engr./Assess. Permit - Planner Surcharge 4730 ? Council Plan Review BIdg.Off. SAC,City 200'00 - ?' Variance SAC, MWCC 00 5? WaterConn. • water Meter 67 • 00 Road Unit 323•00 ? Treatment P7 =04•00 Parks 674.50 Z TOTAL o . J. CASH RECEIPT C CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, M?NNESOTA 55122 ?- i'y?; .1 DATE J ? ?"-? 19' RECEIVED FROM ? AMOUNT $ t? f & DOLLARS Im ? CASH ? CHECK y /tt FUND OBJECT AMOUNT G d L2 u. 2 " ? ,^y7 A/; ,. ?- ? i Thank You BY White-Parers corr c'??. ' 3 Yellow--Ppstlng Copy P'ink-FiIB Cppy CI7'Y'OF EAGAN _ Permit No: 10138 Date: 12/1/88 3830 Pi,lo# nob Road eter No: T 1 ? (?9 Size: 6/9 ?4 P.Gfr-?tox ?fi`Ia9 r No: Date: L-J Eaqain, MN 5512 Owner. COLLEGE ^ CONST SItB Addf@SS: BT.A(:KHAWK j,AKE DR., L7, B3, STONEY POI Plumber. STAR P -LW Conn. Chg: - S550.00 pd Zoning: R-i Acct Dep: 15100 pd No. of Units: i Permit Fee: 10.00 od Surcharge: . 50 pd I agree to comply with the Clty ot Eagan Tr. Plant 2n4_00 Ud Onlinances. n Meter. 0;-]_nn .,A - Misc.:_ PRV REQUIRED ' BY 4?1?t WATER SERVICE PERMIT CITY OF EAGAN , 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N? 15844 T PHONE: 454-81 00 BUILDING PERMIT Receipt # l) / 0 To be used for SF DWG/GAR Est. Value $95, 000 Date N OV 9 1430 BLACKHAWK LAKE DR Site Address OFFICE USE ONLY _ STONEY POINT Block 3 5ec/Sub Lot 7 On Site Sewage _- Occupancy R-3 M-1 . _ MWCC System _XL Zoning R-1 ParcelNo. W l A l t C V-N OnSite el ) ons __ ( ctua s Name CQLLEGE CITY CONSTRUCTION City Water _.X_ (Allowabte) V-N W PRV Required _X # of Stories - z o Address 6970 151ST ST W Booster Pump Length 50' CityAPPLE VATIFy Phone 431-1211 , Depth 30 p Name SAME S.F.Total , v Q Address Footprint S.F. _ , P City Phone - APPROVALS FEES ? a Engr./Assess. Permit _554. 00 "W Name 47 50 ? Z _ Planner _ Surcharge . - x - 0 Z Address Council Plan Review 277.00 a W City Phone Bldg. Off. SAG City 100 • 00 i hereby acknowiedge that I have read this application and state that the Variance SAC, MWCC 550.00 information is correct and agree to comply with all applicable State of Water Conn. 550.00 Minnesota Statutes a of gan Or i?rances. Water Meter _ 67.00 Signature of Permittee __ -- Road Unit 325-00 A Building Permit is ed to:___COLLEGE CITY _?QI3$T$U.?TI Treatment P1 204.00 on the express condition that all work shall be done in accordance with all T Parks applicable State of Minnesota Statutes and City ot Eagan Ordinances. 674. 50 2 Building Official TOTAL , ___ -- - _- s. i • r? ` (gtr#i#trate ,af (Orrupanry Ctp of eagan &'ParhitPlt# of Bitilbing jwPtYl111t This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code cer[ifying that at !he time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For ihe following.• u.a..dru.uon SF M/GAR B14 ftrin;t No. 15844 Occ„paar Type ?Z3/M I zooing niscriu RI Type canst. VN o,,,,,,u of B,,;k;,g 00U= ??'IIY OONSTIa&?Addr. 6970 151 ST ST, APPIE VAtIZY • euft„e naa= 1430 SLAQIAW T.AtTE Tktl?lEi?;?, L7, B3, SiCINEY POINT FERIM 13, 1989 Buildi4 08'id . i POST IN A CONSPICUOUS PLACE Thfs rnquest void 1S months from / E 13 2 f 2 GCJ YC? ?? _17 Requesi Dats _ Fire No. . ? Rough-in Inspection Requ?red? PRcady Now Q Wil I Nntify inspec- r? ° AZ°(?? ?es ? No tor WhPn Heady AM icensed Electrical Contractor 1 hereby request inspection ot above ? Owner electrical work installed at: Street Address, Box or Route No. Af/34 'je/C La 'p" Vn,, City j!?F([/ ection o. Township Name or No. Range No. Countv /"24 4//v Occupant (PRINT) Phone No. Pawer Supplier ,/?st'G7ev C?rz/Kfi. Address ?GepCl?l/sc I?v1 Electrical Cnntractor (Company Name) Contractor's License No. 4?1 Mailing AdJress (Contractor or Owner Making Instailation) X-0/e 2 ! /! ??_ Authorized nature actor/Owner M- g Installation) Phone Num6er 3t.2- -J?FY7 MINNESOTA STATE BOARD OF ELECTRICiTY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bidg. - Room N-791 BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS 1821 Universitv Ave.. St. Paul, MN 551 Phene 16121 642-0800 ENCLOSED. E L3262 REQUEST FOR ELECTRICAL INSPECTION 0 Es-ooooi-os ?? ' See instructions for comDleting this torm on back ot Yellow copy. ?,e5 "X" Be/ow Work Covered by This Request F.r1d Rep. Type of Buiiding Appliantea Wired Equipmenl Wired Home Range Temporary Service Duplex Water Heater Lfghtin,y Fixtures Apt. Building Dryer Electric Heatin Commercial Bldy. Fumace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other pecify Qlhcr (Spcciiy) t er SUeclty Ot er Othe r 0f7]pUtE Il7SpBCtlOn Fee BC/OW p Fee Service Entrance Size !t Fee Faeders/Subfeeders # Fr.a Circuits 0 to 200 Am s 0 to 30 Am s - 0 tn 30 Amus Above 200 Amps 31 to 100 Amps / C/ - 31 to 100 Am s Swimming Pool Above 100_Am s Above 100_AmEn TransPormers Irrigation Booms ,TO Partfal- Other Fee_ Signs Special Inspection $ q TOTAL FE Rerrarks Rough-in ? Datp I, the Electrical Inspector, her e6y ertify that the above Final nspection has been made. I D18 fBqU@St voia 7a momrar ?rvm ? CITY OF EAGAN Np 1$ S 8 3 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDIMG PERMIT PHONE:454-8100 Receipt#? .z. To he used for DECK Esi. Value $1 , 000 Date APR 11 , 19_.21 Site Address 1430 BLACKHAWK LAKE DR Lot 7 Block 3 Sec/Sub. STONEY POINT Parcel No. W IName STEVEN & KELLY VAKULSKAS ? Address 1430 BLACKHAWK LAKE DR ° City EAGAN Phone 456-0453 a Name R A M CONSTRUCTION ?4 Address 8400 ELLIOT AVE fE City BLOdMINGTON Phor?eT?, _854?697 ? W Name 5 ; Address 5 W City Phone I hereby acknowlege that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. ?. Signature of Permitee A Building Permit is issued to: x M:utv???uc:r on the express Condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. ? Building Official , L(l ? Occupancy Zoning (ACtual) Const (Allowable) # ol stories Length Depth S.F. Total S.F. Footprints On Site Sewage On Site Well MWCC System City Water PRV Required Booster Pump APPROVALS Pianner CounCil Bldg. Otf. Variance OFFICE USE ONLY 20' 1$ ? Bldg. Permit Surcharge Plan Review snc, aty SAC,MCWCC Water Conn Water Meter Acct. oeposit SNV Permit SM/ Surcharge Treatment PI Road Unit Park Ded. Copies TOTAL FEES 25.00 .50 25.50 I/Py 2045 RESIDENTIAL BUILDINC PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 X,6 ?o New Construction Reauirements RemodeUReoair Reauiremenls Office Use Oniv 3 registered site sunreys showing sq. ft. of lot, sq. ft. of house; and ?II roofed areas 2 copies of plan Ceri of Survey Recd _ Y_ N (20°k 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 addftions & decks Tree Pres Required _ Y_ N 1 set of Energy Calculations Add'rtion - indicate if on-site septic system On-site SepNc System _ Y_ N 3 copies of Tree Preservation Plan 'rf lot platted after 711/93 Rim Joist Detail Opdons selection sheet (build'mgs with 3 or less units) st o" 1 Date ? / ? / 0? ? ?! t ti C ? Sit Add ons ruc `I 3 O ? ?? ? on o it/St # Q C ( L Q U ress e I , . . n e Description of Work I Multi-Family Bldg _ Y_ N Fireplace(s) _ 0_ 1 _ 2 Property Owner -6?acc Telephone #(as-()"1 s-qr"&97" 1 RENEWAL BY ANDERSEN Contractor 1920 COUNTY RD. "C" W. Address ROSEVILLE,IVIN 55113 City State 651-264-4777 Telephone # ( ) LICENSE #20130983 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (q submission type) Submilted Submifled • 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 Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone # ( 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 wr?,.'??1 >;rP? a rPiriPlx? and appro of plans. , Applicant's Printed Name Ap icant's Signature OFFICE USE ONLY , d Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex O 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Pibg 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 0 45 Fire Repair ? 33 Alteration ? 37 Demolish Building* ? 43 Reroof O 46 Windows/Doors ? 34 Replacement "Demolition (Entire Bldg) - Give PCA handout to appllcant Valuation Occupancy MCES System Plan Review 100% or 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof Ice 8c Water Fi nal _ Pool _ Ftgs _ Air/Gas Tests Final _ Framing _ Siding _ Stucco _ Stone _ Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows Insulation _ Reta.ining 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 g400 , . LUMMAI., BP ?!!lSft?t3P[ . ' ? • ?Q! s)tD re' ?? -- . . a?, .. - . , . . _. _ .? . funa t 200) . _ ?. - atyQfawm 3836 i?iIrsf Knob'Road • , P-agen, IVN 55222 ' ' . . r. To Witom It 1V,CaY Cmoern: ' . EIcier Jones is aa& • ' . o& ,cd to pfta bu'kUng Pamits forRaue Eldcr ]ancs to pro?vidc this qcr'sricsc forms in ??'YPica?e xtlaw . ? bcyaud 6l6lOX; unti? a ?o? ?y ??? ? ?harizetitSn is vatid ? ?y ? the City_ MnaM eaptassiY revalAes ft in cvrift ? rcquest this su • - . . . ' . . tho?ffatt bc ?'? . ovr bu?aing Pornits na w ?A?ously, as 6o aot dolay in tho . proc-ese-rtg aF contacbod at'fb3 SU2-47Qb .?'Icasc ca?t mc IPthc? ara 'tny qumtons.. I c?u? be r . _ ., Your ' . ° ' • . . ?qdia?c a#cntiou to jus matter is Sinc?ei,alY. ' . - :;.? ? •_ ' lnaond'R Rau ' as?allation 1v,wag,r . Remowai by And=r n CorpDr4c3n t?r.: K's?-Fader Tnnec - - . ?' . e,- -2 . MY - -- -- - - - --Received T-ime Ju,. 7. - 1:07PY - . .. CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERIkAIT TYPE: Permit Number: Date Issued: BUILDING 027798 06/07/96 SITE ADDRESS: 1430 BLACKMAWK LAKE DR LOTs 7 BLOCK: 3 STONEY PQTNT P.I.N.: 10-72600-070-03 DESCRIPTION: aooR) SF (MISC.) REPAIR 434 ALT. RESIDENTIAL REMARKS: FEE SUMMARY: vALuATIoN Base Fee Surcharge Tptal Fee $74.75 $1.50 $76.25 $3p 167 V '[I CONTRACTOR: - Applicant - S7. LsC.OWNER: RENEWAL BY aNDERSEN 14395150 2004063 STALEY SUE 100 4TH AVE N 1430 BLACKHAWK LAKE DR BAYPQRI" MN 56003 EAGAN MN 55122 (612) 439-5150 (612)686--9151 I hereby aclcnowledge that I F?ave read thi.s appli-catian and state that the infarmation is carrect and a9ree to camply witFi a11 apPl'icable 5tate af Mr?. ? Statutes and Gity t>f `Eagan Arcfinances. I APPLICANT/PERMITEE SIGNATURE ISSUED B : SIG ATUR lqqg CITY OF EAGAN 3830 PILOT KNOB RD - 55172 1996 BUILDlMG PERMIT APPLIGATiON (RESIDENTIAL) 68'I -4fi75 ? ? ? ! 3 regiatered site sumys 2 cop'ras af plans (indude beam & wiridaw sizes; poured ind. design; etc.) 1 energy calculaGvna 3 eapiea of trae preservation plan iF lot plaEted aRer 711193 requirod: _ Yes _ No DATE: ?% ° __? ' f 1C2 * 2 capies of ptan # 2 sile surveys (exterior additians 3 decks) ? 1 energy calculativns ibr heated additions coNsTRuc-rioN cos-r: ti DESCRIPTION (aF WORK: (°1 10 I??'O1-`D D L3C)i?- ti 1? -1 STREET ADDRESS: LOT BLOCK SUBD.1P.t.D. #: PROPERTY Name: Phone #: (IGI, OWNER Street Address• 1.,") 22 c"-~?"??-?-` City: State: ? Zlp:•?1 CONTRACTOR Company: ?cke? K? Phone #: 4-F D Street Address: ti?v? ?tn?t?--??G c License #:2-c1C3 LfO?-)5E) City: State: ?IJID: ? Zir,?? ARCHITECT! Campany: 4? f I i? Phone #: EMGINEER Name: Registration #• Street Address• City: State: ?!p- Sewer 8 water licensed plumber: Penalty appiiss when address change and lot change ara requested ance perrnit is issued. Ihereby acknowiedge that i have read this appfication and state tha# the in#flmiation is correct and agree to comply with a11 applicable State of Minnesota &tatutes and City of Eagan Ordinances. 5ignature of Appiicant: A-4, OFFICE USE ONLY Certificates of Survey Received Yes No Tree Presen?abion P4an Received Yes No BUlLDING PERMIT TYPE ? 01 Foundation o 06 Duplex ? 02 SF DwellEng ? 07 h-plex 0 03 SF Addition ? OS 8-plex o 04 SF Pvrch a 09 12-piex ? 05 SF Misc. ? 10 __:-plex WORK TYPE a 31 New o 33 AI#erations 0 32 Additian a 34 Repair GENERAL INF4RMATlON A..,tw....nE\ rf3i'?-;L. (n?.l) (A1lflwable) UBG Qccupancy Zoning # af Staries Length Depth APPRUVALS OfFiCE USE ONLY 0 11 Apt./l.adging o ? 12 Multi Repair/Rem. 0 a 13 GaragelAccessory ? ? 14 Firepiace o a 15 Deck a 36 Move o 37 Demolition ? 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscelfaneaus Basemen? sq. ft. 'do ^r,h'? ro'ysfie rn Main level sq. ft. City Water sq. ft, Fire Sprinkfered ? sq. R. ? PRV sq. fl. ? Boasfer Pump Sq, ft. ? Census Code. Foo#print sq. ft. SAC Code Census Bldg Census Un+t Planning Building Engineering Variancf: Permit Fee Valuation: $ Surcharge Plan Review E.icense MCMIS SAG Gity SAC Water Cann. W3't.°.f M°tGr Acct. Deposit S/W Permit SMI Surchar9e Treatment PI. Road Unit Park Ded. Trails Ded. Other Cvpies Total: % SAC SAC Units t ? 19$$ Bt]ILDIAIG PERMIT APPLICATION - CM DF UGAD1 Y? ? SINGI.E FAMTLY DWELLINGS INCL,UDE 2 SETS OF PLANS, 3 CERTIFICATES OF SUAYEY., 1 3ET OF 2,NERGX CALCULITIQNS NOTE: ADDAESSES FQR COftNER LOTS - CONTRACTOR/HOMEflWN£R t:.aT DESI4NATE WRICS AMRE33 TS DESIRED. NO CSAI+TGES WTLL BE ALL4WED ONCE HDILDIN{i :'ERiIT I3 T3SUBD. MttTLTIPLE DWELLINGS RENTAL UNITS FOR SALE UNIT3 # Qk' UNM ?_ ? ...??.? ...,,..,?.......... INCLUDE 2.SETS OF PLANS, CERTIFICATE DF SURYBY - CHECK WITS HiJ)j. DEPT., " ! SET QF EAtERGY CALCITI.ATIONS GOMMRCIAL fNCLUUE 2 SETS OF AACHITECTURAL & STRUCTURkI. PLAN3, .?. ` 1 SET OF SPECIFICATIDNS AIdD 1 SET OF ENERGY CALCULATIO;?v' •-- .. _, 'N41i 07 t9WA To Be Used For4,? rn ; / Valuation s 2""'?'?' : `]ate t ?/ - - '? - _. . . , , Site Address f y.s Q?"/w e/j' A1 +? +?. /?' ?-9 Lat 7 B].aek ? Pareel/Sub p r ' n f Owner_:i?i N v 0?21 Ad ress / ? ?? ? l a-?F Uit /?ip ?Code C 4 ?? r? ?701 Phone ?'ontraeta t Cd r? A3dress 4 9 _76 City/2ip Code Phone ?.Xreh. /Engr J y !?? _G__ "!1 ro n ? urriur. uQ.M uMLi ' 9500o - 'I On s3te sewag@ (.;.,)upatscy I MWCC system ?? " :,,:aiag ? 4n site well l:t;.?ual Canst Vw,ht ; Citg water AIlawable 1/-l?•l ' PRV requirerl V, # of sterries ' Booster Pwap Length ' *, (:?th Tatal ?. . ? I. ,tprint 3.F._ AFPa4VALS :'ES EngrlAssess Petmft Planner Surcharge Coune3l ? Plan Revisw B3dg. O€f. . aAC p City Variance ' SAC, AWCC Water Conn lWater Nleter? fioad Un3.t Yrea#ment P1 ',arks ?'.opies Address TQTRL City/Zip Code . L Phone # ti i SID ? VA;?:u?'i 'eo?J zv ?cz Z ? -+qo x 14 = o91bo St'1SZ1 1 1g= 3a K'?C? =77vL7 X, i3 ? 1 b 1?1 c? ? sT :P'L 7 gO ?x 12- = 12. Zx6_ Iz ? aoq x uq ?. 39 39? ZWD ? ??n?` ° -7 rio ' _?.---- ? 41 == 3 1B 8?f3 5 y so q ? r a .? f. ? M4,,,,??Y?.sr.'t+_. ? , ? -? 5 5 4•uot ' , 47•5U+ ! 277•Uu-r I 1796•OU+ ? ' 23 67 4•70 i ' , i JNL ? PIONEER ?, eng ?n?t?r r?g e, (812) 691-1914 Certificate of Survey tor: Ca1.1.EUE GITY Goni{TRv1CT loN _ -ei?? Nortt1l ? ?a ?yti Q ? oo? '0,? ?s 4Ztl ° 4` ? ,' ?? ?633 ?j'` ? •oo w • rye• o ? . J/ ??ad o M • / ?? ? . ? (14 ? ? ?•' Q?• v , io * y6,3 ? `, $ d o ? ?•g ??? ? ID ? ,l?938. 6 7 •9oo.o Uenoles exisiin Elevafior, CROpOSEQ NDVSf E1.EVATIONS ? 900. o Utnol es prtipldE/evotion --- ?'- Denofts D??cr?hv .4o I Eastmtnt Lowts t Floor E?leva??on 1?.5'l, ! denoles draina t Flow rrows 7'ap ofi L31dck Elev«fi'on = _f "I? o ocnolrs monum tnf Garvlcl 5lob flevahlorl = 85V ge4K15 shvwn vrQ assurned p, R.V. R EQ U I R ED L.O?" gI.DCk 3 t67'pN?'Y IQC?IN]" UAKdrA CooNtYj MimFSOrA $U?IECf 7U EASEMFNtS OF QE'tdrJd 1 hereF,y r.ertlfy theF thfl luivdy, pjan ot repo?t wes p-rfpered by m oi vnde my direct tupervillon end that I em auly ?egiaieied Lend $u?vr.yor I under the lawt of the Stite bt Minnelote, bated thta.? ?L, day of A.b.19 ?_ . 5CQ'le: 1. inch = 4olp-ef-I . ' 8?ysoa a BERt B. SIKICN L.S. REG. NO, 1A891 _. r ? ? ? - ---- - ---. . 2422 Enterprise Utive Mendota lteights, MN 55120 • 0VlNER SITE ADURESS E!'T?RIOa El"'-LOPE AYERAGE "U" G0P"TA[lUN . ; _. .. : ? . t/' C vi ` .' '//9 X c7 I.S n /J / G ? - _Y4 • CONTFtACTOR ,epc? ' ??` onz? ?-? ? pt{oH? c.,EC?Tr G[TY ?... Determine working square footage of each. . 1. Total exposed riall area ...... sq. ft. x_,1? a zz?. a- •2. Total roof/ceiling area ...... 1$'?G? sq. ft. xOZ?c,, •Total exposed wall area above flaur = a. Total wall windotiv area ........................... 2 7-3 b. Total door area ................. c. Total sliding glass door area ................... pd. Total fireplace wall area ........................ o • e. Total wall framing area (average 10%)...:........ " 1-7 0 . f. Total net wall area above floor ...............:. ?. I Z vo g. 7ota1 rim 3oist area ............................ 19z. ,. , . ? ' . Total-eicposed foundation area ? (O q- , h. Total foundation window-area.................... o i. 1'oal net foundatlon area above grade ........::...` Determine'"U"- value of each wall segment. ? a. ?2Z .,,e> ... ,.. . X NUn ? lI' #OU" ; 1 Zi? C• ? . . ,x uuN O ? C) d. O X "U" e• Z 11 tl NV ? tJi ? R ? . YJ "l f._ ?2(e-,0 x Pull x "U" o 1 ? ._? • $ h. 0 ' X "U" ' ta ? U 1• 19 4- A iiUll , O'j ?• ? 8r[r C.r' , Lb r-• 3••.•••..•.......•..9 •......•..6 •.••..TOtel `TO. If item 03 is tlie same as, ' or less than item 11, you tiave met the intent of 5aC 6006(c)2. . / I • • . • ? ? ? : Totai..exposed roaf/ceii ing area ? J. Total skyligtit area .....; ........................ k. Total roof/ceiling framing area (aierage 10?)..._ ? 7g 1. Total net 1nsulated roof/ce i 11ng area...•........ petermine "U" value for each roof/ceiling segment. , X, null O ° 0 k,?(1x»u,,.v4- x uUll. .`2 4- 4 ..................................Tota1 ? Lz.,Z-1 . If total of 14 is the same as, or less than 12, you have met the intent of SUC,GO0G(c)1. ' Alternate Building Envelope Oesign To utilize the total envelope system m2thod, the values established by the' , sum of items #3 and #4 shal.l nnt be greater than the sum of items ;1 and 12. " 1. + 2, ? . , . . . , . 30' + 4. ' _.. . , .. ? JIND (A VA L c1E A IJA L'r 515 OF C y D C4.LAz ED A?'.,q 5 Wl ND vW AREA : TyPji or-WIN.t?OW : TNa WiAooaru tiulrs NAvt gico'.I TFyrA'p foP, "?E=vA?.?+s, -rNtY ANCc ns L-Isito ABoJC 41VD /N4Y Q[ A,Siy4If.O A l?C.S?f4N [sws[.) Vwa-Pl.L oF ?f;'y Z•CJ I IIIGL11f)lal4 Al/i /rlL/?1 5 , ido T w?, L? Z 3 ± foe rwu ??_?____ == Z 2?f) Fou NDAT I oN Wt N 1ao wAPZA : TyPE oF WfNOG i? : TNE. VV / NDo N/ Uj/t M /-l,yUL OtW TES*'KP FaR 'IZ= vu"e, rKe.Y A4R ^s k t r1s.0 A&& V A- A1tQ MaY er Asj P?niLu A?j?siy,,I V?a.3 V.nuak oa •R,?,r t..L,Q INq A I.R F ? LMS? Foorw4*4 i KootAC?C x Q _ SL 1171 ?o; (5L AS 5Dpo R, Af2&A: TYPr.. o+L Doo R: SL.iDtsJq 41.r15b 170oR5 N^vc !?LR14 7i.'%?RO' FoR"R" 1/4L..tr,, TNLY 1gt .--s ?.I,wtRP ADOVL IltJO M-o.l Ot A3SstiNF••L2 A V<Slr4NGsAf'1) IVAJ.,KG v$LWk'Iaa .4e10 FJtMS Qy3 =IJ'%& Fae ri. r4c.. ? n D OC7 f? . ? IKE a? TYP C o F Ioo R ; OOOQ UNI'1'S NAYG TLsrtO ^.ID RouNp -ro NAv& A4 'R" - VA L. td 16 d r_ `/ ?81 J M C.L. rt O1 N Cj /` iR R! L. M 3, / ydi Z f?• ? -8 = C`--'-I FocarAG4 IL 5PEC1AL5 : rYpE ; ? fbITM L-i !e/IU7b/?, '?T?•.7 'JU t1;C rJY1i EP,- ? -1 ;.ANp M?.'. . VALUy` A??At,.y'5?S OF,?t ?EL?!uSt .???.rI?..?a .. , . .. • ' ' '? JpiST/ FRA'M 1-0c, AQE x, •R"• vA Lu E .._..__-_.._. .b ( 1NTJRJoR alR F1LM gppTwOaO G4YF'5"M WALt,JWARO ?r ?ugve.? ?? -?----- ? i N T E R14 R, A IRF' L-M ---?---- Z?79? TDTA L "Rw, VALU.E , LAw, s 1 ! R-.+, s ? _ • e ' ,. Z7: 73? ' . . 'raT Al. FvorA.G i It,IStlLA7E.? A REA 15crwccN 714L X015Ts "F,' -- IIALLd.l.` _j!?[._.,,jINTER 1Og Alit RIL.M ?_... b?JNSLl.LA71oN CR'44-') 4 YPS u M wAL1- aoAra.o V A+'o FZ. Da R R i s. ¢. ?„?„ I N T'E l? io2 AIK flL M !c?? 3l'? To 7 q LM Pw?' v a LLLf- , . rot"NL rnoraC.c. ---- ?rr ? 1 I o/rML qy ' 1-?- AND 1.J. VAI.U,' ANALy513 QF /VA,L,L SECT 14N5 . •- ? . SrL.L r) / FV, AM ,N,? ? R. 1. ? ? . "R• - VAL"& •b` ? aTeK??R A?R fi??1 ?? ? G YO.St1 M WA?c. ElOnit U . ?0•? - ? 50I1'vVosp Z ??' Z'? 2-•SHl4jI?INCr c7rG?? ..__..._ ._.w_. .. ._L.?_ ? S 1 D t r.J ?? iZ,•, ^ V A ib4 6AQrtIt-4. •' KtERloR ^fK. POL.M 10.563 .7orAL' R....; ?•????L U" I 1/an • I i ?? _ , Ta rA4 roorAG ? 1-70 _ t--- ? N S lL L A`j' E. O AR t A B&TW LaN S T u!a5 "R"- vA Lu. L ' .b? Yure¢ioa ,??rc ???M C1YPSI.L01A WALt..6oq4D ? Iust.cL04T 1004 (R,l9 ? S N!. • T H I H 4 .L7C` (L.. ri21 TL- . b7 AP s? v 164 44 ? 1/ A!s d R. 1'SA it,.R. 1[ a- IAr L 1t. IcM Alft rIL.M ZJQ ?.?...T o r A k. w?w,, vALLAc. N a-? 10M.fc. R, 1'oT A L roo rA r4 ?L r? v ywrc? _. .. .?._ - - -•- r - -- •? ('? qN U tJ. VAt, u( A N.4. L`/ s I ;, O? W<xt.f 51c.1"i coTOJ 5?ft L A ; "R' - VALuE •? _I NtF-Riort ,,iP- fiL M ?Q? 1usULtiT)oN CR.i`? ? ? h ?SN Ea r wc,T-e.!:ff-_ ?le"? ?2- Srvi?? 4 ^LAP _ 11h,, SoF rwooD •? E,c T F R i a a. AI,c. F ra- r1 ?-. ToY A L'19..3?• y,4rjLc u.,3 ?,? 74. 3 ; . , o ? . TOTA6 rtno rA c?? Foutli L) A'1' 10N WqLL ARE,N CABovL qKAoF..D . ,. R., yA Ly. E. iNrERlo2 qltZ Hj.-r1 L° 64CR !" I"t QLOGlG ? • 00 ? ? ?,..????s r ?: ?t (R- (1 ? -EXTE.K.IpQ, At2 FlLM i Z •63 'T"'OT'AL VALU.? u wt .. '/41, @r I /-1-Z,-6?3 : l--LZ571q-T 7"oTAL FrnrA,c,F. F%.n t-? ?ah1'tf•f$, • ? ( 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PI 651-68 -4fi 5- 55122 ?, jo 4? g ? New Construction Reauirements RemodeUReoair Reouirements ? 3 registered site surveys showing sq, ft of 164 sq.1t of house ? 2 copies oi plan and a!I roofed areas (20% maxlmum lot coveraae allowedf ? 1 set of enargy calculations for heated additiona ? 2 copies of plans (show beam & window sizes; poured fnd. design; etc.) ? 1 site survey for exterior additions 8 decks ? 1 set of energy calculatlons ? 3 copies of tree preservation plan if lot platted aRer 711193 DATE: SI5-h°1 CONSTRUCTION COST: /I, BO,Sr ?,L?,• DESCRIPTION OF WORK: &- ZG ?' ?S.T17E A, c.? STo,iCi?J'! 1/i'!?¢G" STREET ADDRESS: 1450 4AC4/,1t9nI,C. 446F =&t ?JY 6V-I- LOT: ? BLOCK: 2- ) SUBD./P.I.D. #: Name: Phone #: PROPERTY ?? Fust OWNER /? / S?eet Address: r??? U [SL7??eG,?i¢?.?.L? l.Z'F_ X?q City i+/ Siate• _ N/ 7.ip: Company: 41?G rCI?D}=.$y ?J'VG Phone #: CONTRACTOR ,/f Sh-eet Address: f?? ?Z rW ,H?? License #A/(o.32<v Exp. 3 3! op City ?S u,G'V,S t?Lt?_ State• Zip: .$Y12 f ARCHITECT/ ENGINEER Company Phone #: Name: Registrarion #: Street Address: City State: Zip: Sewer 8 water licensed plumber (reauired for new construction on1Y1: Penalty applies when address change and bt change is requested once permit is issued. I hereby acknowledge that I have read this application, state that the information is correct, and State of Minnesota Statutes and City of Eagan Ordinances. Signature of OFFICE USE ONLY Certificates of Survey Received Yes to comply with all applicable a _. No MAY 6; Tree Preservation Plan Received Yes No Not Required OFFICE USE ONLY BUILDING PERMIT TYPE 0 01 Foundation ? 06 4-plex 0 11 10-piex 0 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-piex ? 17 Garage ? 22 PordUAddn. (4sea.) ? 03 plex 1 of ? 08 &plex 0 13 16-plex ? 18 Deck ? 23 Porch (screened) 0 04 _ 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? 05 3-plex O 10 8-plex O 15 Lodging ? 20 Poal O 25 Miscellaneous woRK rYPE ? 31 New ? 35 Tenant impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia O 32 Addition ? 36 Move Bidg. 0 40 Gas Insert O 44 WindowslDoors O 33 Alteration ? 37 Demolish Bldg. ? 41 Wood Stove ? 45 Fire Repair 0 34 Repair D 38 Demolish (interior) D 42 Reroof GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. SAC Code UBC Occupancy sq. ft. No. of Units Zoning sq. ft. No. of Bldgs # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinktered APPROVALS Planning Building Engineering Variance Permit Fee Surcharge Plan Review License MClES SAC City SAC Water Conn. Water Meter Acct. Deposit S!W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: SAC Units Valuation: $ % SAC APRL1?ATl0N FOR PERMIT Y*x??xXWixtx;ffx?tttxxx?xsz'wRRx??x?iw * •• * *[40rTE: PA7dMM OF FM AT TIN1E OF * * APPLICA9'ION DOFS NO?P GCR1- ? *} ST21t7i'G APPAGVAI. OF PERMTT. f * IrSPECrIoN oF sEM AW/oR MM ? * * nErALurtoNs wu.L zur Egc scEouLED ; (!t=L PERMIT HR5 BFM A?PRC1VP77. *w* * *,?ta?f tt?rw*,e?*w?*tt+t,rt+.,r**x**** ts ??? ?? acigan { PLF.A,SE PRINT 1) PROPERTY ADDRFSS : k at. 5'R I.. AI T F1f;AT• oESCRzPTIoN; ?y 20i IF EXISTING STRII=lRE, DAT'E OF ORIGINRL B[JZLDIiU PERMIT ISSUANCE; Mont Year PRESENT ZONING/PRpPC75ED USE : ? CONMERCIAL/RETAIL/OFFICE ? I1WT-IS'T'RTAT• Q INSTIT[:TIONAL,/GOVERNNENT CITY, STATE, ZIF: PHONE: R-1 STNGLE FAMILY ? R-2 DL?PLEX ('i'wo Ljnits ) ? R-3 'PUWN-iOCiSE (Three .+: Onits) ( Units) ? R-4 APARTMEJI`/CONIDUNICNIL3M ( Units ) 3) • ; "• NAME: ADDRESS: CITY, STATE. ZIP: ?tA PHQIVE: SEWER AND/OR WATER CONNECTION . . _L Jkl 4) NANIE: ADDRESS: CITY, STATE, ZIP: PHOLVE: For City Lse Pltuer-5 Lic?ellse: Active Expired _Nat recorded Staff Initia .5) CITY SEWER ? CONLrIDCTION TO CITY WATER J--j OrIBM .?? r 6) ???********?********** * *******????******?*??***?*******????**********?*******?**???************** * THE G0ID COPY OF THE PERMIT WILL BE SENI' DIE2DCTLY TO P[]SLIC WOM T0 FACILITATE METEEi PICCi-UP. * * PLF.A.SE ALLOW TWO WORKING DAYS FUR PROCE'SSING. 50NIDONE FROM TM CITY WII.L CONtACT YOL.? IF THERE ? * ARE AidY FROSLIIM. ,*k ?**,?,??,???,?*?********?**?r******?r**************************?*??*?*****?**?******?*???r**?*****?*?***,x*? .FaR cI-rY usE oNLY PERMIT # ISBUED c /31y Pd w/Bldg. Permit $ ? $ (G+ ? -' $ $ $ $ ? S $ , Z.. $ $ $ $ $ C - -- $ $_ ? `f7?. ?U?:..? RECErPT FEES: $ $ _ / e SEWER PERMIT ( IIVCLUDE SURCHARGE ) WATER PERMIT ( INCLLTDE StjRCHARGE ) $ WATER METER/COPPERHORN/OLTTSIDE READER $ WATER TAP (INCLUDE GORPQRATION STQP) $ / $ ? .S - ? $ / .S S -? $ $ $ $ $ $ $ RECEIPT SEWER TAP ACCOUNT DEPOSIT - SEWER ACCOL'NT DEPOSIT - WATER WAC SAC TRUNK WATER ASSESSMEIVT TRUNK SEWER ASSESSMENT LATERAL BENEFIT/TRUNK SEWER LATERAL BENEFIT/TRUNK WATER WATER TREATMEIVT PLANT SLRCHARGE OTHER: TOTAL DQES LTILITY CONNECTION REQLIRE EXCAVATION IN PUBLIC RIGHT OF WAY? ? YES IF YES, THEN A"PERMIT FQR WORK WITHIN PLBLIC ? RQADWAY" MUST BE ISSL?ED SY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED By: TiTLE: DATE : 'J December i, 1988 STAR PLUMBING ,, . 1018 MOUNDS SPRING TER f P? BLOOMINGTON, MN 55420 RE: 1525 BLACKHAWK RIDGE CT., L89 B2, BLACKHAWK RIDGE ,.4430 BLACKHAWK LAKE DR., L7, B39 STONEY POINT 1516 BLACKHAWK RIDGE CT.t L21 B29 BLACKHAWK RIDGE WARNING: BEFORE DIGGING, CALL LOCAL UTILITIFS - TELEPHONE, ELECTRICP GA.S$ ETC. - REQUIRED BY LAW XX Your Sewer and Water Permit for the above property has been completed. It will be held at the Publie Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. Your Sewer and Water Permit for the above property eannot be completed for the following reasons: Your Sewer and Water Permit for the above property has been completed, however, the meter cannot be issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY Your Sewer and 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 pieked up. Please come to City Hall to pay £or whatever size meter you will need. for this projeet. The size must be confirmed by either our Publie Worka Dept. (454-5220) or Bill Adams (Plumbing Inspector -454-8100) before issuance. Sineerely, Jan Severson Seeretary JS 1991 BUILDI P T PLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MtTLTIPLE 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. IAT 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 ILSSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Se Used For :' Q r i? Valuation: --stLIJ Date : CqAaj\- Ecf-- Site Address W?n S?7I ??- Lot `I Block 3 LI-9-cr1 OFFICE USE ONLY FEES Occupancy Bldg. Permit Zoning Surcharge -?= Actual Const Plan Review Allowable SAC, City # of stories - SAC, MGICC Length ? - Water Conn. Depth J? Water Meter S.F. Total Acct. Deposit Footprint S.F. S/w Permit S/W Surcharge On site sewage_ Treatment P1. On site well _ Road Unit MWCC System _ Park Ded. City water Trail Ded. _ PRV _ Copies .? S sz Booster Pump _ SUBTOTAL APPROVALS Penalty Planner Lot Change Council TOTAL Parcel/Sub Iq ? y OwneT 1t?Lyr) Addre s sM?o ',6C,???ri l,??La?,k-0 A', City/Zip Code ??C?k"an '13? a Phone ( (t I a) LX f S 3 -P? Contractor ?14, M. )6kI,tC_t7C%I'1 Address gL-l0O City/Zip Code ?-{-?ti -?? }'1nl Phone Arch./Engr. ?"_P Address City/Zip Code Phone # (Signature of Contractor) Bldg. Off. IETT7/441 Variance agrees that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. / 0 • ?? 25•OUt 0 •50?- -r 2ti° 50 r, , .. r T* * * PlONE ? eng nel 1_/ Certificate of Survey for: CoauiE J? Q ? • QO ? ? ?v f y 3 \ri/gyy 2422 Enterprise brive Mendota Heights, MN 55120 16121681-1914 G tTY G0n14,TR%?cT to N /0/? ??.. : •?„? a??. / ? a N `? ? N4 33 ? j 0 S? ? ? ? / O r?11 ? p?.hN <??j NortrEl ;sr ? sse , tir/ ?\ o4k' \ M ? ? ? ? gb.3 7 ? ? ? ? n/ 138. 4-1S. ,34„W 0/ • 900.0 penoles exisfin?c? Flevafion • soo.o Dtnotes pr?opc ?levotion Eastment ----'-Denohs Drorncr eilufi/2-rows ..._ benoles Or4ina e Flow o Urnofrs rnonUmtnt 8 e4r???s shvwn vrQ assurn ed LDT .?, 8t .Oc9 3 DakorA CouNTYS MIHNFSOra 1 herebY certliy ths! th(! luFvey, pien or report wae pr ared by mi I under the lewl ef ths Stete ol MinnHote. DBted thtsday of? ?CQ'le : f inch : 4 0 6W _e/ ????? ..• PROpOSED NOUSf ELEVAT10N5 Lvwest Floar tlevution - 7'op ot 81ock E/evafion : 5?993 Ca,-Qla slob Elevafivn = 859.I _ , 67OAlEY POINT S0EvEtT Tv EASEMENts oFRMdad ? or undef m?y direct supenribton end thet I sm ?uly ?egliteied l.snd $uiveyor ?aa?!_ A.b.19E_. ?/. 4; '/'04/ 1. a R BERT 9. S?KICN L.S. REG. NO. 14691 ?, PERMIT # '"l 04!? RECEIPT DATE: /~? LI 'O j RSIDENTlAI. PLUMING FVJibIIT AMIICATION crrY og EAshx sgso Paor xxos en EAGM. Mx $5182 651-661-4675 Please complete for. ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for irrigation system SITEADDRESS: N()lChhIMJOr\ lJx? Y)? 1 ?Z P OWNER NAME: : L 11 TELEPHONE #: LI 15u ' lA S`l 1 - (AREA CODE) INSTALLER NAME: r' 1 Pf-D b TELEPHONE #: - 1, (AREA C DE) STREET ADDRESS: ?1 V W cinr: s-raTE: M?nrnbta ziP: ?N? Plai-a a chACk mark neYt te thR nermit werk tvee New residential dwelling unit under construction and not owner/occupied $ 90.00 J Add-on, modification or aiteration to existin dweliing unit, including: $ 50.00 • abandonment of septic system • new installation/repairlrebuild of RPZ • lawn irrigation system • water turnaround Nature of work: ? Septic System, new/refurbished - $ 225.00 • inctudes County & Consuiting inspector fees • requires MPC license State Surcharge $ .50 l T ? S ota Reminder. Be sure to schedule inspections of alterations, I.e. water heaters, water soneners, etc. I hereby acknowledge that I have read thls applicatlon, state that the information ia correct, and agree to comply with all applicable City of Eagan ordinances. It is the appllcant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the Ciiy during its normal operational and maintenance adivitles to the faalities constructed under this permit wNhln City propertylrtght-of-way/easemenL ` SIGNATURE OF PE MI EE Updated 1l01 PERMIT City of Eagan Permit Type:Building Permit Number:EA154848 Date Issued:04/16/2019 Permit Category:ePermit Site Address: 1430 Blackhawk Lake Dr Lot:7 Block: 3 Addition: Stoney Point PID:10-72600-03-070 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations 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: 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 - William B Black 1430 Blackhawk Lake Dr Eagan MN 55122 (651) 303-6095 Window Concepts Mn 291 Eva St St Paul MN 55107 (651) 905-0105 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA155567 Date Issued:05/22/2019 Permit Category:ePermit Site Address: 1430 Blackhawk Lake Dr Lot:7 Block: 3 Addition: Stoney Point PID:10-72600-03-070 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 - William B Black 1430 Blackhawk Lake Dr Eagan MN 55122 Drain Pro Plumbing 8815 - 209th Street W Lakeville MN 55044 (952) 469-6999 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA156479 Date Issued:07/02/2019 Permit Category:ePermit Site Address: 1430 Blackhawk Lake Dr Lot:7 Block: 3 Addition: Stoney Point PID:10-72600-03-070 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 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 - William B Black 1430 Blackhawk Lake Dr Eagan MN 55122 Haley Comfort Systems 4320 Hwy 52 N West Frontage Rd Rochester MN 55901 (507) 281-0138 Applicant/Permitee: Signature Issued By: Signature