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1470 Blackhawk Lake Dr Use BLUE or BLACK Ink I For Office Use City of Eap i Permit Permit Fee: I 3830 Pilot Knob Road I I Eagan MN 55122 1 Date Received: I Phone: (651) 675-5675 DEC o I Staff. 1 Fax: (651) 675-5694 1Q,® 2010 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Site Address: Tenant: Suite M RESIDENT/OWNER Name: Grr~%~e~~z.>7 Phone: Address/ City/ Zip: Fes- CONTRACTOR Name: /2~License Address:/v-2 City: State: Zip: Phone: Contact( 1"-e Email TYPE OF WORK New - Replacement _ Repair - Rebuild Modify Space -Work in R.O.W, Description of work: PERMIT TYPE RESIDENTIAL' i Water Heater Water Softener Lawn Irrigation RPZ / PVB) Add Plumbing Fixtures Main / Lower Level) Water Turnaround Septic System _ New Abandonment RESIDENTIAL FEES: $55.00 Minimum VVa' r Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $35.00 Lawn Irrigatior (includes $5.00 State Surcharge) $55.00 Add Plumbing ixtures, Septic System Abandonment, Water Turnaround" (includes $5.00 State Surcharge) "Water Turnarou A (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) $95.00 Fire Repair (re; '.ace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) TOTAL FEES $`S CALL BEFORE YC I DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before yo :end to dig to receive locates of underground utilities. www.gogherstateonecall.org I hereby acknowledge that Js 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 t 's 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 appro, plan in the case of work which requires a review and approv tans. x ~-es~ ~rz~h !~Gc.e✓ x 2_J~ Applicant's Printed Na Applicant' ign e FOR OFFICE USE Reviewed By: Date: Required Inspection Under Ground Rough-In Air Test Gas Test Final Use BLUE or BLACK Ink For Office U I q-7/4 RECEIVED I City U Ea I Permit e I t DEC 0 3 2010 Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 j Date Received: I Phone: (651) 675-5675 I Fax: (651) 675-5694 Staff- 2010 MECHANICAL PERMIT APPLICATION Date: Site Address: "141~ Tenant: Suite RESIDENT/ OWNER Name? ~n A-Phone: Address / City / Zip: c/-~~ j W rr'-. CONTRACTOR Name: S~v~~~ ycense#: Address:City: State: Zip: 5y-3--5 -2° Phone: Contact: TYPE OF WORK New Replacement Additional Alteration Demolition Ak~ Description of work: C t ~l j 76"i Gob t 7 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. PERMIT TYPE RESIDENTIAL COMMERCIAL Furnace New Construction - Interior Improvement Air Conditioner Install Piping _ Processed Air Exchanger Gas Exterior HVAC Unit _Heat Pump _ Under / Above ground Tank Install / Remove) When installing/removing tank(s), call for inspection by Fire X Other Marshal and Plumbing Inspector RESIDENTIAL FEES: $55.00 Minimum Add-o i or alteration to an existing unit (includes $5.00 State Surcharge) 40 $95.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $ SJ_ TOTAL FEE COMMERCIAL FEES: $75.00 Underground tark installation/removal OR Contract Value $ x1% $55.00 Minimum (includes State Surcharge) Permit Fee - If the Permit Fee is less that $10,010, surcharge is $ 5.00 - If the Permit Fee is > $10,01. , surcharge increases by $.50 for each $1,000 Permit Fee = $ Surcharge (i.e. a $10,010-$11,010 Pen t Fee requires a $ 5.50 surcharge) TOTAL FEE CALL BEFORE YOU Q 3. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to i ceive locates of underground utilities. www.-gopherstateonecall.org I hereby acknowledge that fl, 3 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 'iin'the c ase of work which requires a review and approval of plans. Applicants Printed Narr Applicant's S. e FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground Rough In __AirTest -Gas Service Test In-floor Heat -Final Exterior HVAC Screening Inspection 7 r Use BLUE or BLACK Ink For Office Use ~ -~a6> City of Eap I Permit I ~it Fee: 3830 Pilot Knob Road Eagan MN 55122 y C 1 Date Received: j Phone: (651) 675-5675 i staff: Fax: (651)675-5654` l I - CA 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: i Site Address: 1 b-RC~KE'1 W LPcky`N ~1 N l~1 B Pc I~ DP-. Tenant: ToN {--ID P_0N N LE(~I Suite RESIDENT /OWNER Name: T©N i m-Ab ~DNNF~ (_0LJr::iM ytQ Phone: Val& `-1B(e30 Address / City / Zip' 1y110 ~LPcI P ~ C1L F--R&P,~N SS 12-2- Applicant is: Owner X Contractor TYPE OF WORK Description of work: Construction Cost: //S,' 0,20> ra D Multi-Family Building: (Yes / No X ) CONTRACTOR Name: ,J{~ S ap -C T D SlC7N" LA' License#: I dZ~ Address: ,`12_0 lq(LT{-t ST. W. ~T&. V)0 City: NVL-Vf\L_L.~ State: M ll['~ Zip: GS 12-i Phone: Contact: L;7;;nc,/ 1027u rte-- Email: ~Ja n+C~ e47.~~ U 13. X31.4 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) 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. Applicant's Printed Name Applicant's Signature Page 1 of 2 ILI -70 glAcAlaDK bq,~t D4, DO NOT WRITE BELOW THIS LINE 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 N 0 ng~ ,'i`3l 0 - New Interior Improvement Siding Demolish Building* Additio _ Move Building _ Reroof _ Demolish Interior 7 Alteration Fire Repair Windows Demolish Foundation - Replace Repair _ Egress Window Water Damage - Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION ~ 46, 006 Valuation Occupancy MCES System Plan Review Code Edition b1h l7 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) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath Stone Lath -Brick Fireplace: -Rough In Air Test -Final Windows Insulation Retaining Wall: _ Footings Backfill Final Meter Size: Radon Control Erosion Control Reviewed By: 1 2 , Building Inspector RESIDENTIAL FEES Base Fee 0 J (7 Surcharge SLr ~e ~ Plan Review Yarfr MCES SAC i° YS, 22 ~o 7- City SAC h - J l Utility Connection Charge S&W Permit & Surcharge 44~ Treatment Plant ►-€:vJ1 i . Copies ~.'fax 51 TOTAL c, ag of 2 .v a.J i au. Vl rr ll_•u I\ rla L4 a11+.. ILL. 17V. V1G L:~:J VG"y4f ttG1V (l:Jl • URVE-YO R'"S CERTIFICATE MITTELSTAEDT BROS. CONST. J s , INTERSTATE TRUNK HWY. NO. 35E L~`70 115.70 0 =1 ° 38' 28" R-4039.72 , L>) o a - t~ ~q-do) ~ DRAINAGE & UTJLI'T~ . EASEMENT PER PLAT 'v LOT 9 po~. 17 1 \ 11l i l L_`.~ 1 O P 0\35f- 0. 1` u\ 0 \0.0 o-a ` t}\ G A r X00 J PRO WAS I NOTE; NO SPECIFIC SOILS INVESTIGATION \ 8b. 3p~ Q HAS BEEN COMPLETED ON THIS sp2 LOT BY THE SURVEYOR. THE , ti . ~~9•5 SUITABILITY OF SOILS TO SUPPORT THE SPECIMC HOUSE PROPOSED Polf IS NOT THE }RESPON$IBIITY OF THE. SURVEYOR. w o N NOTE: BUILDING DIMENSIONS -SHOWN ARE FOR HORIZONTAL 8 VERTICAL LOC- ATION EC STRUCTURE ONLY. FOR SEE S ARCMITECTUAL PLANS R7 BUILDING 8 FOUNDATION DIMENSIONS. DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET ' SCALE: 1 INCH. - 30 FEET ® DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - 07o.3 FEET XOOO.O DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR _ FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK- ~-7 t, FEET WE HEREBY CERTIFY TO MITTELSTAEDT BROS. OONST PAM s RrmQ' w REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF Lot 9 , Block i , BLACKHAWK RIDGE, according to the recorded plat -Thereof, Dakoto County, Minnesota. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 20TH DAY OF AUGUST 1992. PROPOSED GRADES SHOWN WERE SIGN J R. HILL, INC. TAKEN FROM THE GRADING 8 DEVELOPMENT PLAN FOR 13LACKHAWK RIDGE, PREPARED B BY PIONEER ENG. JOHN C. CARSON, LAND SURVEYOR MINNESOTA LICENSE NUMBER 19828 2 v W ~ ~ l nc• O O < o (n D I- . 11 A x V5 N D . ° F250(0 Hill, ° m o W co z > z ° m Z ANNERS / ENGINEERS / SURVEORS In z G) { ~ N co 4 W. CTY. RD. 42 • BURNSVILLE, MN. 55337.612-890-6044 o99 INSPECTION RECD Conbo' No, CM OF ~AGA~1 PERMIT Pilot !Knob Road P it Nwrt s ' i, Minnesota 55123 We lsmmd: L881 a 5" AWREW: LOT ~ $ et o x j t AP"Ali": *i*tRomw mot PE PE: TYPE OF WOOK; n~ rt 1- lew } i 1MyrnNt Me lhMtelE "Oft Daft '#l oAlit4 a1w PLUMOM, 9 i~.~s• 3 } :rd HVAC ~I ~o A o0o s ELECTRIC Irk"N"m Dow - Y 1 t? N/ " FmdaSan wow-'Aj fn ~l F)- P"4h Pft. {J(J k eft- ~p Fitted i#g. Orset Test ~r 2$ " Fkmt Pi V. 0, ~r Pk g. Inspector - Pkunber NoWy Coned. Meter EtprJPfen i ice. Final, Z~`9 Deck Ftg. Deck Final Well Pr. Dup. pp- t3'► Ci~ti~Cate ~CCQ1iC~j of a1an ' t~e~tt o~ ~>xit~g ~a>~ctill►>~ This Certificate issued pursuant to the requirements 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 Classification: SF DWG Bldg. Permit No. 1343 Occupancy Type 1 Zoning District B Type Coast. VN Owner of Building MITMISDFt IT BROS 0MST Address 785 SUNSET EPJW, Buildio actress focality r f Date: 10/28/c)2 Building Official POST IN A CONSPICUOUS PLACE A,ddres-S : 1470 BLACIMAWK LAKE DFJVELOt q Blk 1 Sec/Sub BLArKjAW RIDGE These items were/were not complete at the time of the fin i1 inspection. Date: 10/28/92 Yes No 5 Final grade (6" from siding) Permanent steps - garage Permanent steps - main entry Permanent driveway 01 Permanent gas Sod/seeded grass Trail/curb damage Porch Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. RECYCEEO MIEN White - City copy Yellow - Resident copy Pink.- Contractor copy J 50` 24 Request Date 'Fire No.' Rough-in inspection/ _ Required? d Ready Now 01 Notify Inspector es ❑ No When Ready? I licensed contractor O owner hereby request inspection of above electrical work at: Job Address (Street, Box or Route No.) City 0 'c~~w LAk~ p . ?U-10V Section ~ Township Name or No. Range No. County Occu ant (PRINT) Phone No. Power Supplier Address t Zvi Electrical Contractor (Company Name) Contractor's License No. U vN Matting Address (Contractor or Owner Making Installation) Authorized Signature (Contractor/Owner Making Installation) Phone Number ~b MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room 5.173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION E 'R Es-ooool-os ► See instructions for completing this form on back of yellow copy. y - /D 7(j6 5 J5_0724 "XG Below-York Covered by This Request New Add Rep. TypeofBuilding Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm,/Industrial Furnace Farm Air Conditioner Other (specify) Contractor's Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps s 0 to 100 Amps t Transformers Above 200 Amps e 100, Amps Inspector's Use Only: TOTi~ Irrigation Booms Special Inspection vvv Alarm/Communication THIS INSTALLATION MAY BE OR DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in Date certify that the above inspection has Final oat been made. OFFICE USE ONLY This request void 18 months from CITY OF EAGAN CASHIER: JS TERMINAL NO: 794 DATE: 09/28/00 TIME: 13:26:54 ID: NAME: RESTORATION SERVICES NETWORK s 3210 9001 1470 BKHW LK DR 83.25 2155 9001 1470 BKHW LK DR 1.50 Total Receipt Amount: 84.75 CR137968 USER ID: JAN 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 43o2.3 K 651-681-4675 New Constriction Reaulrenm Remodel/Repair R rements 3 registered site surreys stowing sq. ft of lot, sq. N. of house 2 copies of pion and QLI rooted areas (2D% ffKpdmum lot coverage allowed) 1 set of energy calculations for heated additions ➢ 2 copies of plans (stow bearn & window sizes; poured fnd. design; etc.) 1 site survey for exterior additions 3 decks 1 set of energy calculations D 3 copies of free preservation plan if lot platted after 7/1/93 DATE: CONSTRUCTION COST: DESCRIPTION OF WORK:[,, ~troo~ STREET ADDRESS: / ` ~T -7O W LOT: BLOCK: SUED./P.I.D. 1 G Name: PROPERTY Last First OWNER Street Address:/~ City State: /Z~ Zip:7 Z-- Company 05 QL11 rL C.~54'cd44 Phone _ (ago - (area code) CONTRACTOR Street Address: 1701 Zrfbvs Z~;O- License # 0406 Z Exp. 3~ x/ City State: i /V ARCHITECT/ ENGINEER Company: Name: Telephone ( ) Street Address: Registration C City State: Zip: Sewer/water licensed plumber (if IV flina sewer/waterPhone I hereby acknowledge that I have read this application, state that the inkmyc tion is correct, and agree to comply with as applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: - OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No Not Required OFFICE USE ONLY BUILDING PERMIT SUBTYPES ❑ 01 Foundation O 07 05-plex ❑ 13 16-plex ❑ 21 Porch (3-sea.) O 31 Ext. Aft - Mufti ❑ 02 SF Dwelling O 08 06-plex O 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Aft - SF O 03 01 of_ plex ❑ 09 07-plex ❑ 18 Deck ❑ 23 Porch (screened) ❑ 36 Mufti ❑ 04 02-plex O 10 08-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 05 03-plex ❑ 11 10-plex Pibg Y or_ N ❑ 25 Miscellaneous O 06 04-plex ❑ 12 12-plex ❑ 20 Pool ❑ 30 Accessory Bldg. WORK TYPE ❑ 31 New ❑ 36 Move Bldg. ❑ 43 Reroof ❑ 32 Addition ❑ 37 Demolish (Bldg)* ❑ 44 Siding ❑ 33 Alteration ❑ 38 Demolish (Interior) ❑ 45 Fire Repair ❑ 34 Repair ❑ 42 Demolish (Foundation) ❑ 46 Windows/Doors * Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code # of Stories sq. ft. No. of Units Length sq. ft. No. of Buildings Width Footprint sq. ft. Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. MC/ES System UBC Occupancy sq. ft. City Water Zoning sq. ft. Booster Pump PRV Fire Sprinklered MISCELLANEOUS INSPECTIONS ❑ Stucco/Stone APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MC/ES 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 % SAC PERMIT I Control No. 0997 CITY OF EAGAN 3830 PERMIT TYPE: B U I L D I N G Pilot Knob Road Eagan, Minnesota 55123 Permit Number: 001343 (612) 681-4675 Date Issued: 08/28/92 SITE ADDRESS: 1470 BLACKHAWK LAKE DR LOT: 9 BLOCK: 1 BLACKHAWK RIDGE DESCRIPTION: Building Permit Type SF DWG Building Work Type NEW UBC Occupancy R-3 M-1 Construction Type V-N Zoning R-1 Building Length 65 Building Width 46 REMARKS: [~C1( PRV MCDONALD PLBG FEE SUMMARY VALUATION $122,000 Base Fee $716.50 MISCELLANEOUS ......11 ,610.50 Plan Review $465.73 Total Fee $3,553.73 Surcharge $61.00 SAC $700.00 SAC % 100 SAC Units 1 Subtotal $1,943.23 CONTRACTOR: Applicant - ST. LI OWNER: MITTELSTAEDT BROTHERS 14569125 000344 MITTELSTAEDT BROS CONST 785 SUNSET DR 785 SUNSET DR EAGAN MN 55123 EAGAN MN 55123 (612) 456-9125 (612)456-9125 1 hereby acknowledge that I have read this application and state that the _ information is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances. APPLICANT/PERMIT E SIGNATURE I UED BT. SI NATUR INSPECTION RECORD Control No. 9 7 CITY OF EAGAN PERMIT TYPE: B U I L D I N G 3830 Pilot Knob Road Permit Number: 001343 Eagan, Minnesota 55123 Date Issued: 08/28/92 (612) 681-4675 SITE ADDRESS: LOT: 9 B L O C K : 1 APPLICANT: 1470 BLACKHAWK LAKE DR MITTELSTAEDT BROTHERS BLACKHAWK RIDGE (612) 456-9125 PERMIT SUBTYPE: TYPE OF WORK: SF DWG NEW INSPECTION TYPE ,DATE INSPTR. INSPECTION DATE INSPTR. FOOTING FRAMING INSULATION FINAL FIREPLACE REMARKS: PRV MCDONALD PLBG PERMIT CITY OF EAGAN 43'%) 3. ~f3 REACTIVATE _ 1992 BUILDING PERMIT APPLICATION 681-4675 i AV6 21 RECD SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, I copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, I set of specifications, I copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up b of month in which re guest s made or lot chn a isre uestedonce permit is s issued.ng day Date g / 2-a Valuation of work °e Site Address: STREET SUITE S Tenant Name: (commercial only) LOT _ BLOCK SUBD. ~xr- + ✓ P.I.D. 0 Descri tion of work: The applicant is: ❑ Owner 4!iContractor ❑ Other (Describe) Name Phone Property LAST FIRST Owner Address STREET, STE 0 City State Zip Company ll-r&;?~z Co~,- Phone 4~;5~ ~►~a~ Contractor Address ~'S License #_:34.12, _ Exp.- IV City - ✓~Z'/,hrl State cK Zip ~~3 Company Phone Architect/ Engineer Name Regi strati on # Address City State Zip Sewer & water licensed plumber " 9,6 ,A.',a Processing time for sewer & water permits is two days once area as been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply all applicable State of Minnesota Statutes and City of Eagan Ordinances. I~ Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging M 16 Basmral Finish 0 02 SF Dwg. ❑ 07 4-Plex ❑ 12 Multi. Misc. ❑ 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-P1ex ❑ 13 Garage/Accessory ❑ 18 Comm./Ind. ❑ 04 SF Porch ❑ 09 12-Plex ❑ 14 Fireplace D 19 Comm./Ind. Misc. ❑ 05 SF Misc. ❑ 10 Multi. Add11. ❑ 15 Deck ❑ 20 Public Facility ❑ 21 Miscellaneous WORK TYPE N31 New ❑ 33 Alterations ❑ 35 Tenant Finish ❑ 37 Demolish ❑ 32 Addition D 34 Repair D 36 Move GENERAL INFORMATION Const. (Actual) V - N Basement sq. ft. MWCC System YES (Allowable) V-N 1st Fl. sq. ft. City Water UBC Occupancy R_3 M_t 2nd F1. sq. ft. PRY Required Zoning - ft-~ Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length` On-site well Census Code. Depth On-site sewage SAC Code APPROVALS Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ❑ Site ❑ Footing ❑ Framing ❑ Insulation ❑ Wallboard ❑ Final ❑ Draintile ❑ Fireplace Permit Fee vatuation: $ I Z2, 000 Surcharge Plan Review 6 A~RAq_e_9 ' zO X22 Ie-T F4c;oR, License Y. , MWCC SAG 4 x 24 SsrAT P 645* City Water SConn. 10 k 24 z` 4 Y G 14 Water Meter Acct. Deposit (v~~{ X = /O (~►Z~ S/W Permit 72a S/W Surcharge Treatment Pl. S X5"3= 174/18 3& Road Unit A4 Al ° Say Park Ded. a x 13 s , Trails Ded. to IV ;35 Cop i es X ' Other 6045 X t5= 9 q 7 S Total. . _ 41. SAC.% t00 ,y 4 . 5NO x 63 r 30,528 SAC Units N t ~~k , ' a-' av is ~IniL~ I IIaL~ alt.. It~L ItV•v14 VJV VL"Y T1LJLf'Vl it K411~ t SURVEYOR'S CERTIFICATE M I TTELSTAEDT BROS. CONST. INTERSTATE TRUNK HWY. NO. 35E -115.70 6 =1 ° 38` 28" R -4039.72 ---~,s DRAINAGE 6 UTILITY ' EASEMENT PER PLAT` LOT 00, \Y \ 1 ` t I I I r. _ _ ~ \ Ci 26 (J~o S~ 0 Sm 0+ OVA w oft ovSF. f` %0.0 r 10.0 w to o ~ o o p ~ ~ G pR AGE t ZO'b U1 00 '1- OSED / s O 42''1 O NOTE: NO SPECIFIC SAILS INVESTIGATION \ HAS BEEN COMPLETED ON THIS LOT BY THE SURVEYOR. THE (c, I I'~ Z SUITAB ITY IL OF SAILS TO SUPPtOR7 THE VECIFIC HOUSE PA0POSED IS NOT THE RESPON$IBLITY OF THE SURVEYOR, v, o NOTE: BUILDING DIMENSIONS SHAWN ARE FOR HORIZONTAL 8 VERTICAL LOC- ATION OF STRUCTURE ONLY. SEE ARCHITECTUAL PLANS FOR BUILDING MEMO 8 FOUNDATION DIMENSIONS. I DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 FEET ! DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - ~?u.3 FEET X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - v63,-S FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK - ~1 t, 4- FEET WE HEREBY CERTIFY TO MITTELSTAEDT BROS. OONST. PAW rw r% RFEQUMCU REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF Lot 9 , Block I , BLACKHAWK RIDGE, according to the recorded plot thereof, Dakota County, Minnesoto. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 20TH DAY OF AUGUST 1992. PROPOSED GRADES SHOWN WERE SIGN J R. HILL, INC. TAKEN FROM THE GRADING 8 DEVELOPMENT PLAN FOR C' SLACKHAWK RIDGE, PREPARED B BY PIONEER ENG. JOHN C. LARSON. LAND SURVEYOR MINNESOTA LICENSE NUMBER 19828 » M :0 0 r- W C. ° James R. Hill, i nc. r R1 M X V D D o rn o Z b I I IT N Z w o m , (n N PLANNERS /ENGINEERS /SURVEYORS 2500 W. CTY. RD. 42 • BURNSVILLE MN. 55337 9 612-890-6044 I • DATE EXTERIOR ENVELOPE AVERAGE g'U" COMPUTATION OWNER D E 2 ti~ 6 N B IZL. SITE ADDRESS CONTRACTOR r ADDRESS_A $5 C 7Sr-7- t)jj rrrg4.,piJ PHONE ~'SLo 4/ 2 DETERMINE WORKING SQUARE FOOTAGE OF EACH 1. Total exposed wall area 2 2g0 sq.' ft. x .11 = 2. Total roof/ceiling area I 't 17 S sq. ft. x •026 .2 Total exposed wall area above floor = 22 D'7.'y.5 a. Total wall window area 2 1''~,ry S b. Total door area y Q 0 C. Total sliding glass door area q y , o d. Total fireplace wall area p e. Total wall framing area (average 10%) 22tr,o f. Total net wall area above floor 5 5 3. g.' Total rim joist area i2 8„Q Total exposed foundation area = e2 , Z S h. Tot*l foundation window area I~,Z i. Total net foundation area above grade Determine "U" value of each wall segment. a_ 7 5 X fruit q5 b qa X fluff Q7 = 2 co- X 'lull d. p X 'full 0 O e_ 'L 2,q, o X gruff f 2 5.2 • 1 53.o X fluff G'7.q g•!? X gruff 0qq = 5. !a . X 111311 i. 71,o X gruff D g2 = ~ $ 3 . ...............................Total = 2 Ga. If item #3 is the same as, or less than item #1, you have met the intent of SBC 6006 (c)2. L ~ -1- Page 2.of 2 Total exposed roof/ceiling area = ► 2 7 J. Total skylight area O k. Total roof/ceiling framing area (average 102).. 7q. 7 1. Total net insulated roof/ceiling area I/ 4 5. 3 Determine "U" value for each roof/ceiling segment. J. o X IIUII p k. esq. 7 X 'lull , 0~.5@S , I 1• ~~9 3 X ItUlt ♦ D a G ~i 4 = Total If total of #4 is the same as, or less than #2, you have met the intent of SBC 6006(c)1. Alternate Building Envelope Design To utilize the total envelope system method, the values established by the sum of items #3 and #4 shall not be greater than the sum of items X11 and #2. , 1• + 2. 3• + 4. i q -2- 1999 BUILDING PERMIT APPLICATION (RESIDENTIALI CITY OF EACM 3830 PILOT KNOB RD - S5122L~ 651-681-4675 Now Carstruction Reaukements > 8 registered. sile surveys showing sq. ft. of lat.,sq. ft. of house 2 copies of plan and gE roofed.areas maxHnumot cgyera ed) 1 set of energy calculations for heecftd i"lores,. > 2 copies of plans (slow beam & window sizes; poured fnd. design; etc:) 1 silo survey for exterior,ad On3 iE`dec~cs' > 1, set of onergy calculations > 8 copies of free preservation plan ti lot platted after 7/1/93 DATE: Z4~2 ' - 5'- ~Z- ~OOR~IW1~I COSt * r DESCRIPTION OF WORK: STREET ADDRESS: A1176 LOT: BLOCK: 1 SUED./P.LD.0: k Name: Phone PROPERTY Last R7 OWNER Street Address: yy~~ City State: zip: Company: Phone ems- r~'~4"'L1d ZQ (urea code) CONTRACTOR Stree# Address: License # 22 &~Exp. City State: _ L -zip: ARCHITECT/ ENGINEER Company: Name: Telephone 0: area code ( ) r Strut Address: ncisir~.tian City State: Zip: Sewer K water licensed plumber (reauked for new construction onlvh Penally applies when address change and let change Is requested once permit Is Issued. 1 her that I have read this application, state that the Information Is correct, and agree to cony with all appticabt State ity of Eagan Ordinances. OCT 18 1999 Slgnakne of Applicant: m BY: OFFICE USE ONLY .D Certificates of Survey Received Yes No OCT 12 1999 Tre Preservation" Ptilti'ReceiVed Yes .No Not Requir BY: OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 4-plex ❑ 11 10-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 02 SF Dwelling ❑ 07 5-plex ❑ 12 12-plex ❑ 17 Garage O 22 PordVAddn. (4 sea. ❑ 03 1 of _ plex 13 08 6-plex ❑ 13 16-plex !7 18 Deck ❑ 23 Porch (screened) ❑ 04 2-plex ❑ 09 7-plex ❑ 14 Apartments ❑ 19 Lower Leven ❑ 24 Storm Damage ❑ 05 3-plex CL 10 8-plex ❑ 15 Lodging ❑ 20 Pool ❑ 25 Miscellaneous WORK TYPE C3 31 New ❑ 35 Tenant lmpr ❑ 39 Gas Line Only ❑ 43 Siding/Soffits/Fascia ❑ 32 Addition ❑ 36 Move Bldg. ❑ 40 Gas Insert ❑ 44 Windows/Doors ❑ 33 Alteration ❑ 37 Demolish Bldg El 41 Wood Stove E3 45 Fire Repair 34 Repair ❑ 38 Demolish (interior) ❑ 42 Reroof * C,.V' 3-"::i i ic1~ 6oui o app-.;al tt fot de,-nolitiGn Permit 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 Sprinkiered APPROVALS' Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge ~5 O Plan Review x License MC/ES SAC City SAC: ~ Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pi. Park Ded. Trails Ded. Other Copies Total: '4:) -^7 SAC Units °lo SAC L BL CITY OF EAGAN CITY USE ONLY PLUMBING PERMIT SUBD. (612) 681-4675 RECEIPT L' cl 5 DATE o1 RESIDENTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION COMPLETE THE FOLLOWING: NO. FIXTURES EA. TOTAL NEW CONST X REPAIR/ADD ON 1:5.00 ADD ON SHOWER 3.00 3- REPAIR WATER CLOSET 3.00 ,C BATH TUB 3.00 .1- LAVATORY 3.00 ~ OWNER NAME: KITCHEN SINK 3.00 3.00 3 SITE ADDRESS: 1~7~ HOT LAUNDRY RAY 3.00 WATER HEATER 3.00 3_ FLOOR DRAIN 3.00 GAS PIPING OUT. INSTALLER: (MINIMUM - 1) 3.00 3 ROUGH OPENINGS 1.50 A ADDRESS: LPL OTHER Z'5~~' &/,Z/ _ WATER SOFTENER 5.00 CITY: ZIP: ~ PRIVATE DISP. 15.00 PHONE U.G. SPRINKLER 3.00 W. TURNAROUND 15.00 STATE SURCHARGE .50 SIGNA E F PERMITTEE TOTAL: COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: OWNER NAME: CONTRACT PRICE: SITE ADDRESS: 1% OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR TENANT NAME: EACH $1,000 OF PERMIT FEE. SUITE $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 1% $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE FOR: (SIGNATURE) CITY OF EAGAN CITY OF EAGAN L B MECHANICAL PERMIT RECEIPT # 6 `IlP S~ SUBD. (612) 681-4675 DATE RESIDENTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, COMPLETE FOR TOWNHOMES/CONDOS WHEN SEPARATE PERMITS ARE REQUIRED FOR EACH DWELLING UNIT. OWNER: Cy. !Z FEES SITE ADDRESS: 7 ADD ON/REMODEL (EXISTING $ 15.00 CONSTRUCTION ONLY) INSTALLER: , . HVAC: 0.100 M BTU 24.00 PHONE 12481 Rhode Island Ave. So. ADDITIONAL 50 M BTU 6.00 ADDRESS: 894-0005 GAS OUTLETS - MINIMUM 1 @a $3 EA. CITY: ZIP: SURCHARGE: $ .50 L SIGNATURE. TOTAL: $ COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAUINDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUI LDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: CONTRACT PRICE: FEES 1% OF CONTRACT FEE. STATE SURCHARGE IS $.50 FOR EACH $1,000 OF PERMIT FEE. $ PROCESSED PIPING - $25.00 MINIMUM FEE - $25.00 OWNER: TOTAL: $ SITE ADDRESS: TENANT: SUITE INSTALLER: ADDRESS: CITY. ZIP: PHONE CITY SIGNATURE: SIGNATURE: LOT -9 BLOCK ~ SUBD. RECEIPT # ~~90 19 CITY OF EAGAN UNDERGROUND SPRINKLER SYS TIM PERMIT 1993 Date: Commercial project ✓Residential project Existing residence Area/address to be sprinklered: H? 0 &d C Z-*!~ Installer: Oti y u L. L-tU,'-l Street address: 14~ -70 City, state & zip: Telephone - 3 v Owner name: (1/V ©L (=4 4 ✓ Street address: tira }wA- 4e Pe/y City, state & zip: C~46-A A Sj-! 9 Z Phone (0 3 0 Irrigation contractor, if different: Phone I hereby acknowledge that I have read this application and state that the infdrmation is correct and agree to comply with all applicable C' of Eagan ordinances. l` " 1~ of ► p Signature of Pc&ittee New service required 1~0 'F Fee due: Calculated by: CTPY OF EAGAN UNDERGROUND SPRINKLER SYSTEM PROCEDURE 1993 1. Plans must be submitted to the City's engineering department for approval before installing a lawn sprinkler system. If digging in the boulevard, a rigbt way permit may be required. 2. Once plan is approved, it will be presented to the City's plumbing inspector for Sizing of the meter. 3. Jerry Wobschall, Finance Department, will calculate permit fees as follows: a. Commer, W groject: $ 25.50 plumbing permit $ 50.50 water permit fee g& if new jU&& is installed. $100.00 per tap if installed by City. Please cult with engineering department regarding feasibility of City installation (City will only install taps up to V). b. Rgsi iential jroject: $ 15.50 plumbing permit. $ 50.50 water permit fee no senj% is installed. $695.00 p r„gMection WAC. $324.00 k►~r eoppe,ction • water treatment plant. c. Odsting LCjjdrng& $15.50 plumbing permit - (not required if backflow preventor previously installed) however plan roust still be presented for approval and an application must be filled out. 4. Once meter size is determined, building inspections clerk typist will contact utility billing clerk for cost and notify installer of all costs associated with project. If 110 seer iinel = pot reggkCd. one check may be written for meter and permit costs. No meter will be sold before all sewer and water inspectims are complete on a new service--(engineering department will advise utility billing clerk when meter can be sold). Receipt will be coded to 20-3716 (meter portion only) with pink copy forwarded to utility billing clerk. 5. The installer is to contact building inspections division at 681-4675 for inspection of the inside water line and backflow preventor. 'The public works department may be reached at 681-4300 for water turn-on and set and seal of meter. Inspection hours are 8:30 AM to 3:30 PM, Monday through Friday. Requests for AM inspections should be made on the preceding work day. Requests for PM inspections will be accepted until 12:00 noon that day. RECEIPT # MY OF F-A.G kN UNDERGROUND SPRINKLER SYSTEM PERMIT 1 993 Date: Commercial project Residential project Existing residence Area/address to be sprinklered Installer: Street address: 7 ! I; F'~ 4~ r / j J,~' 71 City, state &zp: ( t ' f / f'lhr Telephone Owner name: Street address: City, state& zip:.-.v_,~~rv' Phone #r_ r.~ Irrigation contractor, if different: Phone I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable City of Eagan ordinances. Sim azure of l'e~riitI New service required Fee due: Calculated by: GS4414 f .03 U R V E Y O R' S CERTIFICATE M I TTELSTAEDT BROS. CONST INTERSTATE TRUNK F- WY. NO. 35E 115.70 A=103812811 R=4039.72 - r DRAINAGE 8 UTILITY 6 EASEMENT PER PLAT 1 ~C LOT 9 41 I I Q ~ NO T- s~ O Nw 1 W y Q oSFD p t>S v P HOVS~ O ~5 EX1ST111G NOOSE or 13A 33 ~E ° P o Q coo f GR P'G % Q, -T N 10.p BENCH jQRK #Z 'Q ARK 00 TOP OFPIPE Z ' W :89P•$8 seo ti~~g yE 1 / ° 0 Ov EW aY B~f 01F 5\_1 g 8? NOTE: NO SPECIFIC SOILS !^IYEST;GATICN T X69 y\ Q " r a~213Q p~'g9 O HAS BEEN COMPLETED THIS LOT BY THE SURVEYOR THE \\6 _s~ ~J9 25 1V SUITABILITY OF SOILS TO SUPPORT S. 2 THE SPECIFIC HOUSE PROPOSED / gga' - 1368 g IS NOT THE RESPONSIBLITY OF THE SURVEYOR. W NOTE: BUILDING DIMENSIONS SHOWN ARE O \A0 f FOR HORIZONTAL 8 VERTICAL LOC- ATION OF STRUCTURE ONLY. SEE ~N gr Z ARCHITECTUAL PLANS FOR BUILDING - 9 FOUNDATION DIMENSIONS. DENOTES PROPOSED SURF=ACE DRAINAGE 0 DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 FEET • DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - C171 S FEET X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - 01,4. FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK - 87Z, 5 FEET WE HEREBY CERTIFY TO MITTELSTAEDT BROS, CONST. THAT THIS IS A TRUE AND CORRECT ' REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF Lot 9 , Block I , BLACKHAWK RIDGE, according to the recorded Plat thereof, Dakota County, Minnesota. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 20TH DAY OF AUGUST 1992. I f PROPOSED GRADES-SHOWN WERE SIGN J R. HILL, INC. j TAKEN FROM THE GRADING 9 " DEVELOPMENT PLAN FOR t. I BLACKHAWK RIDGE, PREPARED BBY PIONEER ENG. C. LARSON, LAND SURVEYOR MINNESOTA LICENSE NUMBER 19828 _ 7 F)" 0 -1 James R. Hill, inc. - r- m m x I -1 D o° o m D° 4 m Z PLANNERS /ENGINEERS /SURVEYORS I x O m 1 l U) N W< j 2500 W. CTY. RD. 42 • BURNSVILLE, MN. 55337 • 612-890-6044 t PERMIT City of Eagan Permit Type:Building Permit Number:EA128292 Date Issued:11/03/2014 Permit Category:ePermit Site Address: 1470 Blackhawk Lake Dr Lot:9 Block: 1 Addition: Blackhawk Ridge PID:10-14400-01-090 Use: Description: Sub Type:Reroof & Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and house wrap and leave on site. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 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 - Tony J Coleman 1470 Blackhawk Lake Dr Eagan MN 55122 Highmark Exteriors 11237 Nicollet Ave S Burnsville MN 55337 (952) 882-8904 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink i------- --, � For Oftice Us I , �6 � City of�a�afl � Permit#: � i �% ; 3830 Pilot Knob Road I Perm't Fee: � Eagan MN 55122 - � � Phone: (651)675-5675 i Date Received: � Fax:�651)675-5694 � � Staff: � ��������__���___�J 2014 MECHANICAL PERMIT APPLICATION ❑ Please su it o(2)sets of plans with all commercial applications. Date: � C'��� Site Address:�Y�/'�v �5��.f'4l'�j�i��i:/r�- C..�""-�� ��/�Z-�' _•-7 /,/ Tenant� ��[=/V'�t'.� C c��C� �%'%'?�/�� Suite�f• Resident/Owner Name: �7�c"/�?,��'�•�' Phone: !�-��Lp�d-' ��/�C� Address/City!Zip: ��-•K � Name: �i lcl�l7 f-'—'1 f/ F-�' ������g 'License�� Contractor Address� ��7 �c� ri ��% City: ,����/��=✓v State: 1�'l� Zip: S ��� Phone: l��� Y ��� ' �y/ � Contact:C-'�/°��'� Email: ���j, � ��N��v�C'. �v New �KBplacement Additional _Alteration Demolifion Type of VVork Descriptlon ofwork: � - -� 'S �c MOTE:Roof mouMed and g►ound mounted moch ical equipment is required to be screened.by City Code. Please contact the Mechanical Inspector for intormatlon on parmittpd screening methods. '�RES/DENTIAL COMMERC/AL ° Furnace New Construction _Interior Improvement �onditioner Install Piping Processed Permit Type — — — Air Exchanger Gas _EMerior HVAC Unit Heat Pump UndedAbove ground Tank (_Install I_Remove) � Other RESIDFNT/AL FEES $60.00 Minimum Add or alteration to an existing unit(includes$5.00 State Surcharge) $100.0�Residential New(includes$5.00 State Surcharge) _� TOTAL FEE COMMERCIAL FEES Contract Value$ x.01 $55.00 Permit Fee Minimum $70.00 Underground tank installation/removal =$ Permit Fee 'If contract value is LESS than$10,010,Surcharge=$5.00 =$ Surcharge' "If contract value is GREATER than$10,0'10, Surcharge=Contract Value x$O.D005 "'If the project valuation is over$1 million, please call for Surcharge = $ TOTAL FEE I hereby acknowledge that this information Is complete and accurate; thal the work will be i�conformanoe with the ordinances and codes of the City oi Eagan;that I understand this is not a permit,but only an application for a permit,and wofk is not to start without a permit;that the woric will be in accordance wit�tne approved plan in the case o(work v�h�ich requires a review and approval of plans. 0 `_.,- � xL/G��,�.• �/`l0/�C-��'C�I�/C C �i,ti��,_-� Applicant' rinted Name � pplic ' ure FOR OFFICE USE Required Inspections:. Reviewed By: Date: Underground Rough In Air Test Gas Service Test In-floor Heat Final _HVAG Screening � a6ed xe� dH Wd6S�Z0 V 60Z bZ ^�N > �� � � � � �� � J � Y � � O 00 N L � O � � � -Y N 00 O � cn � U \ p QO N �,� C� � �y L Q � � N m � � � Z � N (0 � w � w U � � rn Z J O � O � U w oZS H � W H Z ap cA � � p � � � � � � w � � °� W W W O = m z � p � U N � � w w � � � ¢ �' � z �- Q � � � � � v LL� � Q N � � LLJ z tn W � � H F- F- W V H � z Z N N H- F_ a Z � J � � Z Z Z � W (n � � � � (n � Z O W W W Y � � o O N X � oo }' U IW— � Y � � � � � � Q > Q 2 Z i � rn � � � U O o w� � � m a aW. a a c~i� _ ? w IVSDFor Office Use 07 218EAGAN Permit Fee: / Date Received: C -110{� 3830 PILOT KNOB ROAD!EAGAN, MN 55122-1810 (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff: buildinginspections@cityofeagann.corn L , 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 5/7/2018site Address: 1470 Blackhawk Lake Drive Unit#: Name: Tony and Ronna Coleman Phone: 612-709-8351 Resident/ 1470 Blackhawk Lake Dr, Eagan MN, 55122 Owner Address/City i Zip: Applicant is: X Owner Contractor Type of Work Description of work: Build New Deck Construction Cost: $7,000 Multi-Family Building:(Yes /No X ) Company: Contact: I Contractor Address City: State: Zip: Phone: Email: License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: 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: Fire Suppression 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-•ublic if ou ovide • Iflc reasons that would permit the City to conclude that they are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.cityofeagan.com/subscribe. 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. CALL BEFORE YOU DIG. Call Gopher State One Call at(851)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq 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 approv plan in the case of work which requires a review and ap royal of plans. x 3 b tA,Kck if x Applicant's Printed Name Applicant's Signature ./(1/ / 747 DO NOT WRITE BELOW THIS LINE )/ 70 /,f i 1 f i K- /AIA" t + SUB TYPES / �/'� — Foundation _ Fireplace — Porch(3-Season) _ Exterior Alteration(Single Family) — Single Family _ Garage — Porch(4-Season) _ Exterior Alteration(Multi) Multi Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of Plex Lower Level Pool 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 Valuation 5 q12)0.- Occupancy 5.42C- , MCES System Plan Review Code Edition on vi Zo i 5 SAC Units (25%_100% )( ) Zoning ?D City Water Census Code Stories Booster Pump #of Units Square Feet 3 0 g PRV #of Buildings Length I `{ Fire Suppression Required Type of Construction vFj Width 2.2- REQUIRED INSPECTIONS Footings(New Building) Meter Size: ' Footings(Deck) Final/C.O. Required Footings(Addition) $ Final/No C.O. Required Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Roof:_Ice&Water _Final Pool:_Footings _Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile — Fireplace: Rough In _Air Test Final Siding: Stucco Lath Stone Lath _Brick—EFIS Insulation Windows Sheathing Retaining Wall:—Footings o Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: Rough In,Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: / 0 04 1 l< ) `fin , Building Inspector RESIDENTIAL FEES D ed4-- 3c-'8 5, . if 1- Base Fee z 0S9 . F I" Surcharge 5r eP5 Plan Review /� _ MCES SAC �`µ f 5-. 0z City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 A79 / 7 /. . ' SURVEYOR'S CERTIFICATE MITTELSTAEDT BROS. CONST �x� 14' 1)4' INTERSTATE TRUNK HWY. NO. 35E �u7o r -115.70 5.1°38'28'1 R=4039.72- l(61o.o) �1 \0 o s (M1-, 0) ADRAINAGE Ix ILtTY�j /� EASEMENT FIAT LOT . 9, .. _.-it,- . o \ Evell?* � ' e� v. � NG � fT 0 . •p 4 8 • $ GINE AI t .Y ' 1✓ g 59 �1 \ti O� L. W 00 l�'` .. ';00 q.0. o f� . ��>��\ \ (c61°;11o N loan. • - �/+' o 1 G/ 1.1 , • /�,r PgOP Wpr 1 V +J )/!Sr•�`�) (�} Y. ' r- :4 a �n HOTEr NO SPECIFIC SOLS INVESTIGATION , , 0� 7+^' HAS BEEN COMPLETED R. THISLOT SY THE THE 1 % ' 5 t,�1\ SUITABILITY OFU SOILS 70 SUPPORT ...- —' Q ,2 THOUSE PRBPOSED IS NOT THE RESPONSIBILITY OF THE SURVEYOR. L„ O NOTE: BUILDING OMENSIONS SHOWN ARE i ' FOR HORIZONTAL B VERTICAL. LOC- , ATION OF RCHITECTVAR PLANS RJR BUUCTURE ONLY.SLDNJG EE �� Z 6 FOUNDATION DIMENSIONS. f DENOTES PROPOSED SURFACE DRAINAGE 0 DENOTES IRON MONUMENT SET SCALE:1 INCH— 30 FEET • DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR— 570.3 FEET X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR— $63,3 FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK— B11.4- FEET WE HEREBY CERTIFY TO MITTELSTAEDT BROS. CONST. Ful.ms ED REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 9 , Block I , BLACKHAWK RIDGE,according to the recorded plot thereof, Dokoto County,MMneiota. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS,EXCEPT AS SHOWN.AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 20TH DAY OF AUGUST ,1992 PROPOSED GRADES SHOWN WERE SIGN : J R.HILL,INC. i TAKEN FROM.THE GRADING B DEVELOPMENT PLAN FOR e , BLACKHAWK RIDGE*PREPARED B • ev PIONEER ENG. JOHN C.LARSON,LAND SURVEYOR MINNESOTA LICENSE NUMBER 19828 $X (13 .MsDo o c, 9 James R. Hill, inc. ° o o CD -' A °q m -PLANNERS / ENGINEERS / SURVEYORS 0 — W W 0 m -N 0J ` 2500 W.CTY.RD.42•BURNSVILLE,MN.55337•812-890-6044 T