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1442 Balckhawk Lake Dr 77030/&x' Request Date Fire No. Roug in Inspe ion Re_ 'red? ❑ Ready Now(whe n Ready? ❑ No I licensed contractor ❑ owner hereby request inspection of above electrical work at: Job Address (Street, Box or Route No.) City Section No. Township Name or No. Range No. counT Occupant (PRINT) Phone No. Power ppller Address Electrical Contractor (Company Name) Contractor's License No. SF~ IL '~J }1~ CLIJ'7b'S-3 Mailing Address (Contractor or Owner Making Installation) Authorize~Signature (Contractor/Owned Making Instal o) Phone Number MINNESOTA STATE BOARD OF ELECTRICrrY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0600 ENCLOSED. x REQUEST FOR ELECTRICAL INSPECTION EB-00001 -07 See instructions for completing this form on back of yellow copy. 7-7 l 3 F X" Below Work Covered by This Request New Add Rep. TypiwfBuilding Appliances Wired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specify) Contractor'; Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps L - % 0 to 100 Amps 4444 Transformers Above 200 Amps Above 100 Amps Signs Inspector's Use Only: TOTAL f S~~ Irrigation Booms Special Inspection Alarm/Communication Other Fee I, the Electrical Inspector, hereby Rough-in oatp certify that the above inspection has Final Da been made. OFFICE USE ONLY This request void 18 months from E 6596 - 'jam Request Date Fire No. o gh-in Inspection uired7 ❑ Ready Now will Notify Inspector ` f l r Yes ❑ No When Ready? I licensed contractor O owner hereby request inspection of above electrical work at: Job Address (Street, Box or R e No.) I _ L ~t/~~ city Section! No. Township Name or No. ~ Range No. County r Occupant (PRINT) , Phone No. ~C=G I ? ll~~ S Power §upplier Address I_ /=)K. IL~'J- r ~~t i Electrical Contractor (Company Name) Contractor's L nee No. Mailing Address Contractor or Owner Making Install Lion) ll Authorized -Signature (Contractor/Owner Making Insta111a)6umber tc;l MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room 6.173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., SL Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (812) 8424800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB-000/0/1-07d 1► See instructions for completing this form on back of yellow copy. , ~j 7 O E _S' 6 9~- `V Below Work Covered by This Request New Add Rep. Type of Building 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) Contractors Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 100 Amps Signs Inspectort Use Only: TOTAL Irrigation Booms /2- I Special Inspection Alarm/Communication 1 Other Fee I, the Electrical Inspector, hereby Rough-In r Date certify that the above inspection has Final Da been made. t~;~ OFFICE USE ONLY This request void 18 months from CITY OF EAGAN NO .19 2 4 8 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for DECK Est. Value $1,000 Date JUN 13 , t g 91 Site Address 1442 BLACKHAWK LAKE DR 6 4 STONEY POINT OFFICE USE ONLY Lot Block Sec/Sub. Parcel No. Occupancy FEES Zoning w Name BRIAN WEISENBECK (Actual) Const Bldg. Permit 25.00 a Address 1442 BLACKHAWK LAKE DR (Allowable) Surcharge .50 City EAGAN Phone 687-0221 # of Stories - Length 1 Plan Review c Name PETERSON CONSTRUCTION Depth iWa SAC, City Address 1574 LAKEVIEW CURVE S.F.Total - MCWCC City EAGAN Phone 688-6564 S.F. Footprints SAC, On Site Sewage Water Conn Conn W Name on site well w Water Meter u9 Address MWCC System - Acct. a W C4 Phone City Water Deposit PRV Required S/W Permit I hereby acknowlege that I have read this application and state that the Booster Pump S!W Surcharge information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan rdin/ai~oc~eS. Treatment PI Signature of Permitee/ APPROVALS Road Unit A Building Permit is issued to: PETERSON CONSTRUCTION Planner Park Ded. on the express condition that all work shall be done in accordance with all Council 1.00 applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies Building Official 1l~A-&A I 1 l1J Variance TOTAL 26.50 r CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDIAIG PERMIT Receipt # To be used for DECK Est. Value $1,000 Date JUN 13 tg 91 Site Address 1442 BLACK AWK LAKE DR OFFICE USE ONLY Lot 6 Block 4 Sec/Sub. STONEY POINT Parcel No. Occupancy FEES Zoning - BRIAN WEISENEECK 25 00 W Name (Actual) Const Bldg. Permit + o Address 1442 BLACKHAWK LAKE DR (Allowable) - Surcharge .50 City EA"N Phone 687-0221 # of Stories - ~ Plan Review Length I Zo Name PE?ERSON CON&TR1iCTYf)[d Depth I&LICL SAC, City Address 1574 LAKEVIEW CURVE S.F. Total um SAC, MCWCC City EAGAN Phone 688-6564 S.F. Footprints - On Site Sewage Water Conn Name on site Well w w w Water Meter ~ u'a Address MWCC System a z City Phone city water Acct. Deposit PRV Required S/W Permit I hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge information is correct and agree to comply with all applicable State of Minnesota Statutes and City of,Eagan Qrdinan~ceTreatment PI Signature of Permitee APPROVALS Road Unit A Building Permit is issued to: PETERSON CONSTRUCTION Planner Park Ded. on the express condition that all work shall be done in accordance with all Council 1.00 applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies Variance TOTAL 2b• Building Official Permit No. Permit Holder Date Telephone # WATER SEWER PLUMBING H.V.A.C. ELECTRIC Inspection Date Insp. Comments Footings I Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Hig. Orstat Test Final Pibg. Pibg. Inspector - Notity Plumber Const. Meter Engr.lPlan Bldg. Final Deck Fig. &-ly j/ Deck Final v Well Pr. Disp. CITY OF EAGAN ! 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PH ON E: 454.8100 BUILDING PERMIT Receipt To be used for Est. Value ! Date j ,19 Site Address OFFICE USE ONLY On Site Sewage Occupancy i Lot Block Sec/Sub. MWCC System Zoning Parcel No. On Site Well (Actual) Const City Water (Allowable) r s Name ¢ Address a t, PRV Required # of Stories Booster Pump Length o City - Phone!° F - 'j f , Depth o Name S.F. Total o Address Footprint S.F. P City Phone APPROVALS FEES OW ¢ Engr./Assess. Permit W Name ~ Planner Surcharge _ u Address + U Z Council Plan Review W City Phone Bldg. Off. _ SAC, City } i hereby acknowledge that [have read this application and state that the Variance SAC, MWCC - information is correct and agree to comply with all applicable State of Water Conn. Minnesota Statutes and City of Eagan Ordinances- Water Meter Signature of Permittee Road Unit A Building Permit is issued to:_.__'` Treatment P1 on the express condition that all work shall be done in accordance with all parks applicable State of Minnesota Statutes and City of Eagan Ordinances. TOTAL Building Official Permit No. Permit Holder Date Telephone # Plur;bing Electric Softener Inspection Date Insp. Comments Footings I Footings II Foundation ' Framing Roofing Rough Plbg. 12 Rough Htg. 1~a1 / Isul. r Fireplace Ap Final Htg. Final Plbg. Bldg. Final y Cert.Occ. ~1 r: r'i Temp. LP Deck Ftg. Deck Finial Well Pr. Disp. (Urftfirnte of Mrrupanry Citp of eagan This Cert*ate 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..- u,,cI.ir,..uon SF DWG/GAR BWg• ftmd No. 15807 occupa-y.fype R-3 M-1 7.cmmg Distivl R-1 Type Cow V-N Owner of Building WAGNER HOMES Address 14600 TENTH AVE S, #300 BuddingAddy= 1442 BL4CKHAW 1AXE DR Lmlity 1.6, B4, STONEY POINT DECEMBER 28, 1988 Date: 8u"119 OSrrial POSY IN A CONSPICUOUS PLACE . t i . PLUMBING PERMIT". f E+ It o. - CITY OF EAtlAN 3830'PILOT KNOB ROAJk'VAQAN, NW 4,5 20,CONTRACT PAR: IPNOIh1E: +5+l.-1t38 ' Site Address @LDG TYPE U ' Lot Block Sec/Sub Res. r.~ x` e f Mult. Aid.drn ~r 1 y Name Comm. Rep;9llr, - c'a Address Other c City Phone RES. PLB6. ONLY COMPLRTE -we NOi FIXTURES i Water Closet - 00 .Name Address p City ' Phone _Shower - $ 00" ' J_Kitchen Sink - $3.00 _ FEES Urinal/Bidet - $3.00 COMM/IND FEE -.1% OF CONTRACT FEE ! Laundry Tray - $3.00 L ..v f.. APT.' BLDGS -.COMM RATE APPLIES r Floor Drains - $1.50 ' TOWNHOUSE & CONDO - RES. RATE APPLIES -1-Water Heater - $1.50 MINIMUM - RESIDENTIAL FEE -$12.00 Whirlpool - $3.00_ MINIMUM - COMMAND FEE -$20.00 i-Gas Piping Outlets - $1.50 , STATE $URCM;PiE PER.PERMIT 50 {MINIMUM.. .1 PER PEIMIR~ " (ADD $.50 S/C PEk MIT RICE GOES Softener ;x$.00 41 i BEYOND ~1 Q WeH - $10100. s Rqugt t pening~tt` :50 A-In r S NAT F. !1~'EE r J •r "t P . v Wal. , ",FOR: CITY OF EAGAN GRAFBM, i PERMIT # MECHANICAL PERMIT CITY OF EAGAN RECEIPT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: - CONTRACT PRICE:A PHONE: 454.8100 Site Address W BLDG. TYPE WORK DESlPTIIO Lot Block Sec/Sub Res. New Name k' edrirkwn Heating A.f,. Mult Add-on Address 6 K~aruec: Dr . Comm. Repair 452-2 775 Other c City Phone FEES ` Name r I00- RES. HVAC 0-100 M BTU $29.00 c Address 14600 10th Ave S. ADDITIONAL 50 M BTU 800 3:. C O Gity Buroxviile Phone . 431-7557 (FIES. HVAC INCLUDES A/ OIIF`HEW 1 Y CONSTRUCTION) GAS OUTLETS (MIN1f4VM - 1 PER PERMIT) - 1.50 EA. TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air 82,000 M BTU 24.W 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. T M BTU, MINIMUM COMMERCIAL FEE - 20.00 Vent CFM STATE SURCHARGE PER PERMIT ; .50 (ADD $.50 S/C IF PERMIT PRICE GOES Gas Plping.Outlets 4> 2 . $ BEYOND $1,,000) Other $ FEE 2 7 . Ceti r S/C: W SIGNATUIOF PERMITTEE x 3 2% 50 TOTAL: ..FOR: CITY OF EAGAN ~z s.s, a • - s'~i7P' ef--a.rsr.•-°- T.a ' T?r'• I 1©080 1I-8 " , CITY OF EAGAN Permit No: Dat 3830_PitcttK~nobrRoah> Meter No: PO: b0.c2.1199 -Reader No: 'Eagan, MN 55121 Owner. Wa r Homes R Site Address: iC a Lake Dr Lb 34 I l", 1► t. :Plumber. Star Plumbing. 3 :.Conn. Chg: 550.00pd Zoning: -Acct. Dep: 15.000 No. of Units: Permit Fee: I0.00pd Surcharges • 5w 1 agree to comply Jith the City of-Eagan Tr. Plant - 204.00pd Ordinances. Meter. f,7 0o.4 Misc.: ovsx s~na,vn gy WATER SERVICE PERMIT CITY OF EAGAN Permit No: 11120 Date: 11-8-0 3830.1211o Kgob Road B/P No. 88736 Date: 10-31-88. . P.O.,EI4211_ . Ea#hn, MN 55121 {l Owner. ~ anr Rtes l Site Address: 1442 BI."kl=rk Lake 1* L6 84 Stau Point Plumber: Star Plumbing MWCC: 550.00}x° Zoning Al City Chg: P No. of` Units: 1 Acct. Dep: Mule I agree to comply with the City of Eagan Permit Fee: . se vi Ordinances. Surcharge: Misc.: PR@ MUTRE9 By SEWER SERVICE PERMIT :ter' At fe t~ ' S '1g~an•"`p rt_ _ ° f . _ & DOLLAA O CASH ( CHECK 1 X1.1 FUND OBJECT AMOUNT -P-4 Thank You sir C- t caper nue-Paters ' ft*-m copy W. d F7 7: ems` veyen--ftov COPY BLDG. PERMIT NO. r7 8C~ L 01-3210 Bldg. Permit L 01-3422 Plan Check ~J LK) 01-345 Surch./Adm. 014446 SAC/Adm. 2 01-2155 Surcharge G~ 75-3860 Road Unit 20-2275 SAC 20-3865 Water Conn. J J d0 20-3868 Water Trmt. ``F~ 20-3716 Water Meter ~o C-1120-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit t 79-3866 Sewer Conn. U 28-3855 Park Ded. TOTAL ~S~ 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 37 DHG/CAR Est. Value $74,000 Date OCTOUR 31 ,19 -8 Site Address 1662 SLACKHAYK LAKE Did OFFICE USE ONLY On Site Sewage Occupancy 9-3 H-1 Lot 6 Block 4 Sec/Sub. STONZY pO1Ii? MWCC System X Zoning R-1 Parcel No. On Site Well (Actual) Ccnst V -N c Name WAGNER ROWS City water Z (Allowable) V-8 Address 16600 TE11'F8 AVE S >#300 PRV Required % * of Stories city BURNSV7LL>1 Phone 431-7357 Booster Pump Length 43' Depth 4 ~ o°C Name SAM S.F. Total . o a Address Footprint S.F. City Phone APPROVALS FEES U W Engr./Assess. Permit 670.00 Wm Name 37.Q0 Address Planner Surcharge m city Phone f Council Plan Review 235-00 cc - 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. 530.00 Minnesota Statutes and City of Eagan Ordinances. _ Water Meter 67.00 SignatLre of Permittee Road Unit 325.00 A Building Permit is issued to: *VAMR ROWS_ Treatment P1 N4.00 on the dxpress condition that all work shall be done in accordance with all parks applicable State of Minnesota Statutes and City of Eagan Ordinances. TOTAL 2,538.60- Building Official f 10000 11^8-8-8 CITY ,ilAt~iKtl Permit No:--.._.. Da* "K Read Meter No P i9UMd E 2X Reader No: Dam: ? As.-d .w c to'r Owner Wsgaer Homes ~ackbswk o Lb B4 SitdAddr®si=< fl Plumber. Star PlumbinF, P Conn. Ghg 550.00pd Zoning:- Rl Acct Dep. 15.00pd No. of Units: Permit Fee: - l0.00Dd Surcharge . 5 0pd 1 W" to Comply with bw CRY of E"M Tr. Plant 204 OOpd Ordin a& Meter 67-. ABPd ' Mist -g1-~i3Q&i~ By ~p WATER SERVICE PERMIT -Maw RV y. CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121N? 1580 I ` PH ON E: 454-8100 4 BUILDING PERMIT Receipt * I--" To be used for SF DWG/GAR Est. Value $74,000 Date OCTOBER 31 ,19 88 Site Address 1442 BLACKHAWK LAKE DR OFFICE USE ONLY Lot 6 Block 4 Sec/Sub. STONEY POINT On Site Sewage Occupancy R-3 M-1 MWCC System X Zoning R-1 Parcel No. On Site Well (Actual) Const V-N cc Name_ WAGNER HOMES City Water X (Allowable) V-N z Address 14600 TENTH AVE S #300 PRV Required X # of Stories 3o Booster Pump Length 45' City BURNSVILLE Phone_ 431-7557 Depth 48' Name SAME S.F. Total O - o a Address Footprint S.F. P City Phone APPROVALS FEES M Engr./Assess. Permit 470.00 "W Name 37.00 Planner Surcharge Uz. Address _ 235.00 a m City Phone Council _ Plan Review 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 of Eagan Ordinances. Water Meter 67.0 .0 Signature of Permittee Road Unit 00 A Building Permit is issued to:__- aWAGNER -HOMES Treatment P1 -_-20-4-09 on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks Building Official Q,(/~ G TOTAL 2,538.00 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS 101 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 BUILDINGS 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 2z .Y000 To Be Used For: S.b- e LnLgr, Valuation: Un ' Datet 10-28-88 ua lu 0 To- Site Address 1442 &ackhawk Lake 0A OFFICE USE ONLY Lot 6 Block 4 On site sewage Occupancy -3r/V-/ MWCC system ✓ Zoning Parcel/Sub Stoney Point On site well Actual Const V..,Y~ City water ✓ Allowable y'- Owner Wagnez Hcwne4 PRV required # of stories Booster Pump Length Address 14600 10th Avenue South #300 Depth .33 S.F. Total City/Zip Code 80A "viVe-, Mn. 55337 Footprint S.F. Phone 431=7557 APPROVALS FEES Contractor Aa►ne Engr/Assess Permit 1Y Planner Suroharge - 37 70 Address Council Plan Review 2-?S- Bldg. Bldg. Off. ►a 31 SAC, City /QQ City/Zip Code Variance SAC, MWCC !r o Water Conn 3 O Phone Water Meter Road Unit' 325 Arch./Engr. P.Caaco Treatment PI 2-0,t Parks Address 3435 Wajliin on DAi.ve Copies TOTAL. City/Zip Code Eagan, Minn. 55122 Phone # 452-0724 7 ~k Z l0~'0 J3 z a ~p,~zG = soya 470'00+ a •u 37 235•DU+ 796-OU+ 2: 5.5k)•UU~ i * 2422 Enterprise Drive * PIONEE14 Mendota Heights. MN 55120 Deng aer ng,. 9612) 681-1914 Certificate of Survey for: _W4 qAI[R 14010, ~J LAWEVCEW 047VII Ndar~~ OtA~ N89°!3' S8"W 11✓r. 00 a Cry \ ' zo •D 1 0 u; a ~ i vY M~6'33 ~ ~ ~ I 1 ~ I d ~ I O I I L-4- -4C Y.u1y w ~ CD 60veway r+ G pQ r f 151 I X.4.0 s5 0 1 .r. ci h ~d•0 r25.do 'b ~ • N.11" 's$''v . off, . goo.o Denoles exi'sh.no flevofjorl PROPOSED HOUSE EIEVATIONS 900.o Denoles prop d Elevafiort Easement Lai,►eyl Floor Elevcillion 55•x' - - - - - C)enoles Orarrta a Util f r _ Denotes Oraina e Flow rrrows Top of Block Ilevca lion o Denoles monam enl Oaro j p 51ab Elevofro~ = 55.5 e4r;15shown nre assu riy ed ,r . . REQUIRED LOT BLOCK 4-- 67-0/VEY POINT D.44c A coo" y t mmmcsom SWECT TV EASFAMENTS OF RIW0170 1 hereby certify that this survey, plan or report was pr ared by m~f'r der my direct supervi ion and that I am duly he-41slered Land Surveyor under the laws of the State of Minnesota, bated this day of _ V A.D. 1919- Scale : 1 /rich = 40 reel A C'6/10~ AS O's p BART 8. SIKTCH L.S+RFO. N . 14a91 or, r k;KX'ERIOR Ell M -k ;AM "U" ••u. r.a►~l'i L'~1 OORPUTATIOH (To be Submitted with building permit application) 0116 or Two Fam ly Dwelling All Other Owner l k 1 "Ira . ~ Site Address Contractor Date Phone LIIiEAL FEET OF EXPOSED V1ALL f b• above gradeL TOTAL EXPOSED IYALL AREA Sq. FT. OPAQUE WALL CORSTRUCTIOH 1 11UN Value x Area Detail reterenae -S:=l~~--' r +rUrr III ~.-...x SQ.~Fx. (u)(A) from nUu ' b x Sq: F'T. • 7 0) (A) attached nUlt Q' M(A) sheets 1,Uu x 8Q. FT. 11Un x SQ. FT. (U) (A) WI11D0 WS 'out' Value x A ea ttalte & Type I' L,11-x', j 6~M7~ uUn , ?1 1 11 11 x SQ. FT, stuff (u) (it) If t1 110 11 x SQ• FT. (U )(A) to IIU11 x SQ. FT. ,_.(U} (A) DOORS1 IIUu Value x BQ. X Area F'T•.,._.~_,.,~__,_„„(U)(A) ' . Hake, 1 & Type fouls w14 ~ 11 ii x SQ• FT.~~~~Rr? (U)(A) II uUtr flu 11 (U) (A) 11 1 1U to x aQ. FT.------i~...w!--..~,.,..,,(U) (A) . x sQ. FT. 1 ) TOTAL 1J Y' a~ f~l )`..~1y / (A) ~tl V Sq., FT 117 M (A) TOTAL (U) (A) VALUES AVERhGJ IIU 11 DIVIDED 13Y TOTAL WALL AREA F •115 or_log for 1&2 family dwellings F/CEfLING 1 TOTAL AREA 1 ) ' Detail reference IIU 11 from flu of x SQ. FT•L =(U}(A) attached slleete. 11011 x SQ. FT, (U)(A} Describe openiltgs •11011 x SR. FT.'= (U}(A} 111 roof. uU11 X SQ. FT♦ -(U) ~ (u} (A) TOTAL x Sq., Pt'r. (A) (U) (A) VALUES DIVIDED BY 4 a _ ' TOTAL R04jF/0MLIN( AREA a UYA r AVERAGE uutl .025 for ventilated roofs. e d roofs. lox ~3co + . ,c0-~zcp} (,per l V !519 IZ5 ~3~ 13z. = I ~ ~Co z = -zz 2-~X*,Yj~ ~ 3,ZX !Xp z 1~ 0 X I~ V C;) I~ t4 IZIKA ~ WA,u~ l~7,v .~t ..n"damuuiug IIQ11 yal.uee nani~ Wally and (Joaei. Eloolc ZUOI' tlE t1 .I1 Y ~ 1 Ulterior ' Air 1•ilm o.61 2.) 51611 gle" 8d. 56 ` Inaulatio11 * "~4 6 50) Exterior Aix film 2 3 WILL) , .61 v 1111 ~y I ~l~t • / OC~r MAL, ~ jZ)a ~r ----Q , 1..-. ?S •xI:-You 60 Interior Air rilut 0.6 88--~ 7.1 01p. $d. :b5 8•) 111sulahon iv•) 1aeouite ei.ditl~ z s l0 1 I Exterior Air film 11u''' b Win , 041 TOTAL (n)4 Z3 0~ • I z 1 t~ L------ l l YAL U f 13 12.) interior Air film o.68 1 11 13.) Insulation I~I.ov 14, 211 Fir Him Joint • 1.88 S 2~~7 160) Hanonite.Siding • 17:) Exterior Afar Film ~ 17 pro • - . "U 'l p 1/An , OUt1UA'rlot t1 Y11L11 1 18 50) -Interior Air Film I 20:3 • z1 12i1 tlonoretg 21ook 1.28 ' • 230 Exterior Air Film .i7 e ~,76 I Vp _ . V 11u11 I/A= r Q] TOTAL (11) es APPLICATION FOR PERMIT *NOmE: PAYMENT OF FEE AT TIME of t APPLICATION DOES NOT CON- ST ILM APPRCM OF PERMIT. SEWER AND/OR WATER CONNECTION t INw=oN CF MIER ANOAm m7ut * INSTALLATIONS W= NOT BE scwt= UtML PERMIT HAS BEEN APPROVE. dtV of czagan (PLf_EASE PRINT 1) PROPERTY ADDRESS : ~~3 10 [ S /ld 41 ~Lo ` LEGAL DESCRIPTION: _I OIL ~I YD h4 Lot B ock,Su vis onax Parcel I#) IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: (Month/year) PRESENT ZONING/PROPOSED USE: COMCRCIAL/RETAIL/OFFICE , R-1 SINGLE FAMILY INDUSTRIAL R-2 DUPLEX (Two Units) Q:INSTITUTIONAL/GOVERNMENT R-3 TOWNHOUSE (Three + Units) ( Units) Q R-4 APARTMENT/CONDOMINIUM { 'nits) 2) , NAME : G T yi h~ S ADDRESS : j c~, D U _ I} i. CITY, STATE, ZIP: Su r v~ t IM1'1 r, 5-37 PHONE : -7s,>-7 For City Use 3) : w NAME : S % s' r Yh Plumbers License : ADDRESS : /U f rh d u r J'S I -S n 7 f- r' r Extire Expired CITY, STATE, ZIP: AL m G 4-K ib p Not recorded PHONE: g f q 5 MASTER LICENSE # a,3 q St Inifi. NAME: ADDRESS: CITY, STATE, ZIP: PHONE: 5) 50,00M% CONNECTION TO CITY SEWER [E CONNECTION TO CITY WATER Q OTHER PUMP. 6) NOR * THE GOLD COPY`OF THE PERMIT WILL BE SENT DIRECTLY TO PUBLIC WORKS TO FACILITATE METER PICK-UP. PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. SOMEONE FROM TfiE CITY WILL CONTACT YOU IF THERE * ARE ANY PROBLEMS. .FOR CITY USE ONLY y PERMIT # ISSUED =l ~/z) Pd w/Bldg. Permit FEES: $ . 5Z SEWER PERMIT (INCLUDE SURCHARGE) $ $ 6 WATER PERMIT (INCLUDE SURCHARGE) $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ I 'e-Z~ ACCOUNT DEPOSIT - SEWER $ $ ACCOUNT DEPOSIT - WATER $ S"~ $ WAG SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ Lj ' OZ1 $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ I f ~r n-Z~ $ f ' C ~1 TOTAL RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? a 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 : CITY 010 Mw r r e t , 2 .SETS OF PPS 5 019 PLAN t y f~ 3 REGISTERED SITE SMVEYS : STE12 . SITE S VEY$ -awl 1 SET OF. ENERGY MCTTONt (am" -Tit BLDG PT # dr RENTAL UNITS,; mum, APFLIU , , " PRM IS REQM` . OF .M M IN tMCH I~ NA tR. LOT CAE 19 tl E' P047- -ho DESIRED.. PROCESSING :T - . . S S 0PERMITS IS' . CE' PM `r 1, MVAMP-A P tIT : $ :SHqW ,k tMENSED'P tR[$ER. Toe Used Fix ; '+~iai► r,S#n~ Address I v Block 4, 0- i :#r-66 /Sub ~ ve.~7~ ~ A~ttasl ~t p1~e ~ i7lcwabl ' *AjG Address ~[~Id= 5 'rdr' t pth stria }y a r y City/zip Code Forls~ 5.w Pry z~ Yw rf*.1 - '1 Po 3 Pas Q ' sits ass 41* r on altsX11d x Contractor fs Address . a s1 44 PRA B006ter' Potp C t;/Zip code ! 4 4 Phone loch./Saar. ELft. Off. viri ance .Lass City/Zip Code t, a 1 611 (Signature €f- G rtr'actux all applicable StAta of Mir iota S i~utes std ofv d~_00 w .w ;r- ,.F X ] " 66 ;sr? .,owfk- 11)5 - t0' 50} 1 •UJ~' r 2422 Er+terprise Drive iQ1VEEA hAendote Heights, MN 65120 ei-tC * eel' f'1g 16121 881-1914 4L Certificate of Survey for W4qAI[R 1NaQt~l LAWEVIEW CUk VLl a ~ H, lip 5,f " W. /if. 00 ~ `h•` , Zo.p , o t N t 1 ~ rte/ 1 09 O I q i I o V, w o\ ~LCr I y JC o>?Ive,uay N GAtt j/ ` i z~. A1.s e ~ I w -----tam I 70•a - - - - - - - - 125.00 fc{i-1 f" y. R~llrrift 1.,, . i_.--.ld '.:!.Ju1ldi:i:.t~~dr'la r 900.0 Denoles exl'shin flevulton L90PUSE0 14OUSE ELLVATION9 t 9o0.o Denotes propel , d flevalrolt Jowest Floor Elevcr!'' _ Of? - - - - L)enofes Urania e j Uljli ~ Easement venoles Mamie flaw rrows Top of Block [fevahorl _$5$,t3- lJ arol,; 5106 Re vafi ol) : -858.5 o C1enoCes n~c~nc/mtnt f3earilt shownare asSl reed P AV. REQUIRED - , BLOCK 4- ronVE r- %.f LOT C or r),nINT taQKOTA COUNTY, MINNESOTA S(fdEcr To EASEMENTS OFRE*CORD I hereby cprtlty that Ibis survey, plan nr repot t was pLt~ Bred by r ry~~ r u der my direct supervision and that 1 ern duly Megisteted Land Surveyor under the laws or the State o1 Minnesota. Dated this Cjday ni S ~ - A.D. 191-;L. eale. . 1~B9t I inch 4Q ~ R BERT S. SIKICII L.S. RFG. N i _ For Office tls I Permit ~ 1 ` I City of E Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 i Date Received: j Phone: (651) 675-5675 I I Fax: (651) 675-5694 1 Staff: 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: /r/'C~ Site Address: IaCle E(a.~~ Li!<e ~it 'vt 4r" G'8~ Tenant: 5a ~day.,d a Suite RESIDENT / OWNER Name: L k S Phone: ~ 5-1- 9 7 ~r _ d 42~09 Address/ City/ Zip: LfL/ 2 f/jld C 6 (du/ k l1~ 2` Applicant is: Owner Contractor TYPE OF WORK Description of work: 7 O •2 • R Q 00 Construction Cost:4 1 O 77• Multi-Family Building: (Yes ! No C 1 CONTRACTOR Name: old SSA t(v 3 ; z SAIL f~~ticense 4~ y Address: ()qf _ ~~~TTl2Git~~le !LD City: LAG State: 7'y A-' Zip: S ~ ~ Zz Phone:6fZ- 1IQ 2i=3 7 Contact Person: fl ° Cj, Vi rl:A 171V COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Cateaory 1 _ Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted Submitted submission type) • 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? _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. 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 ; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of pi x ` C'" de, V ISf" l `b x Applicant's Printed Name Applic is Signature Page 1 of 3 Use BLUE or BLACK Ink r - - - - - - - - - - - - - - - - - I For Office Use / Permit / ; ` G I / / City of Ea Ed~ I Permit Fee: s " 3830 Pilot Knob Road Date ~ j Eagan MN 55122 Phone: (651) 675-5675 RECEIVED i Received Fax: (651) 675-5694 DEC 19 2011 StafF-------------- 2011 RESIDENTIAL BUILDING PERMIT APPLICATI . 22 Date: Site Address: (~y Z it; ow k GK v i Unit C( Z , zsa 4<, I Ph ne: 612 ~;S_9 12 Name: C V l~ S RESIDENT I OWNER Address / City / Zip: 1 Z. &C~CV011-1L ZX Applicant is: Owner Contractor TYPE OF WORK Description of work: I- t 1. ak-1 Ck q-e Lcpt.' K Construction Cost: 1 a co v Multi-Family Building: (Yes / No ) Company: Contact: CONTRACTOR Address: k T_ City: State: Zip: Phone: License Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY 1F 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 they are trade secrets. 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.aopherstateonecall.orci 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 pla . Exterior work authorized by a building permit issued in accordance with the Minnesota S Building Code must be completed within 180 days of permit issuance. x C k(4( S C`)tc ~-z Applicant's Printed Name App nt's Signature Page 1 of 3 + / DO NOTR TE BELOW THIS LINE j[~ ~ "I / V J SUB TYPES _ Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) 01 of Plex Lower Level Pool Miscellaneous Accessory Building WORK TYPES New _ Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior Alteration Fire Repair _ Windows _ Demolish Foundation Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION r~ Valuation 3 0) o Occupancy MCES System Plan Review Code Edition SAC Units (25%_ 100%) Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC _ Gas Service Test Gas Line Air Test Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings Air/Gas Tests -Final Framing >C Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In Air Test -Final Windows Insulation Retaining Wall: Footings _ Backfill _ Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review Lf r f i~ 011-0 MCES SAC City SAC Utility Connection Charge . S&W Permit & Surcharge Treatment Plant Copies TOTAL f ~ Use BLUE or BLACK Ink r For Office Use Permit LC ~s City of Eat,, I _ I Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I Fax: (651) 675-5694 I Staff: 2012 MECHANICAL PERMIT APPLICATION Date: I u Zo/ 2 Site Address: / /y Z /3/,*(,I L 1j4 wIL LQ.1Z`" j)(e Tenant: Suite RESIDENT / OWNER Name: Phone: Address / City / Zip: Name: ~jr[J ~~4Y~+~i.,c, s l eu~'r`f !')L License 05-0113 CONTRACTOR Address: ~ Q l UU O- &0 2: City: State: 01 VA Zip: 5 3 2 °j Phone: 3 ZJ 5 W Li 3 2 Contact: -TO VI-k Email: -to >M a /-j- d- yxx~ vs , C -l". New Replacement Additional Alteration Demolition TYPE OF WORK Description of work: 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 /Furnace New Construction Interior Improvement PERMIT TYPE V Air Conditioner Install Piping Processed Air Exchanger Gas Exterior HVAC Unit Heat Pump Under / Above ground Tank Install Remove) Other RESIDENTIAL FEES: $60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) = $ TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal (includes $5.00 State Surcharge) OR Contract Value $ x1% $60.00 Minimum (includes State Surcharge) Permit Fee - If the Permit Fee is less than $10,010, surcharge is $ 5.00 Surcharge - If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee (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.gopherstateonecall.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. f~ x rt o hA ~J rz, f 5 x (IJ Applicant's Printed Name Applicant's Signature FOR OFFICE USE Required Inspections: Reviewed By: Date: Underground Rough In Air Test Gas Service Test In-floor Heat Final HVAC Screening Use BLUE or BLACK Ink I I For Office Use I I Permit City of EaEd rmit Fee: I Pe 3830 Pilot Knob Road I Eagan MN 55122 I Date Received: Phone: (651) 675-5675 I I I Staff: Fax: (651) 675-5694 L-----------------I 2012 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: ZUIL Site Address: l3 IA4110t l.✓f<' L 4/!'Ur DIZ Tenant: Suite RESIDENT / OWNER Name: Phone: Address / City / Zip: Name: E~ F-I P 4 rh #eu F 1v1 C License O S7 3 %'J-- P" Address: 10 10011- CONTRACTOR 6vt Ir City: f o f 2Y ry► h State: I✓1 Zip: j 63 Z`] Phone: .37,0 cJ o `/3 V Z Contact: _rb M Email: 76AI IV P 14- & YgAv u C-4 4-N TYPE OF WORK - New _ Replacement _ Repair N~ Rebuild -Modify Space -Work in R.O.W. Description of work: L'Cjc~ P1 ,%1w► ►n -1 JVJ 2- b,+~ h - L, n I-Lou RESIDENTIAL V Water Heater Water Softener Lawn Irrigation RPZ PVB) PERMIT TYPE Add Plumbing Fixtures Main Lower Level) Septic System New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) 'Water Turnaround (add $166.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ 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.cLopherstateonecall.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. Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final PERMIT City of Eagan Permit Type:Building Permit Number:EA113732 Date Issued:09/06/2013 Permit Category:ePermit Site Address: 1442 Blackhawk Lake Dr Lot:6 Block: 4 Addition: Stoney Point PID:10-72600-04-060 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 . Eric Brehe 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 - Rami Asfour 1442 Blackhawk Lake Dr Eagan MN 55122 Aspen Contracting/asi 4651 Nicols Rd Eagan MN 55122 (952) 583-2641 Applicant/Permitee: Signature Issued By: Signature