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1474 Blackhawk Lake Dr PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA084896 Eagan, MN 55122 . Date Issued: 08/04/2008 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 1474 Blackhawk Lake Dr Lot: 1 Block: 2 Addition: Blackhawk Ridge 2nd PID 10-14401-010-02 Use Description: Sub Type: e-Windows/Doors Construction Type: Work Type: Windows/Doors-New/Replacement Description: House Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard-wired detectors are required. Battery operated types are acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector. Fee Summary: BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 Valuation: 3,000.00 Total: $90.00 Contractor: -Applicant - Owner: Minnesota Rusco Kenneth A Silver 5558 Smetana Dr 1474 Blackhawk Lake Dr Minnetonka MN 55343 Eagan MN 55122-1256 (952) 935-9669 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature CITY OF EAGAN i►. pE' r 3830 Pilot Knob Road, P.O. Box 21-159, Eagan; MN 55121 PHONE 681-4675_ BUILDING`PEA Receipt. 21. 00 To be used for ` $P` W410 it .Est. Value $124, Date • 19 ~ Site Address 1474 8IACKHA K LM Olt OFFICE USE ONLY Lot 1 Block ' 2 Sec/Sub K M " FEES Parcel NO. Occupancy R-3 0-1 741.00 Zoning R+1 Bldg. Permit Name (Actual) Const Surcharge _ ► Z Address ~4~+~~ (Allowable) Plan Review 4,2.00• # of Stories O ady lmotbI ' zip 35068 Length 64* License o - Phone 423--6100 Depth 52+ SAC, City 110 *00, -M 'Name -S S.F. Total SAC, MCWCC Q S.F. Footprints 6,15 Address On Site Sewage water Conn ~[!!_t CRY Zp On Site Well Water Meter 95•00 MWCC System 30.QD Phone City Water X Acct. Deposit Q v LImnse # PRV Required S/W Permit 30.00 I hereby 4 , cknowlege,that I have read this application and state that the booster Pump StW Surcharge R information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan, Ordinances. Treatment PI Signature of Permitee APPROVALS Road Unit 380000 A Building Permit is issued to: CAMLL OiSx s Planner Park Ded. on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies 60300 Building Official } _ - Variance TOTAL" Permit No. Permit Holder Date Telephone # s► QD / 9~ PLUMBIW e 02 ~a3- 73D • ~530L~ blJLti. rlo~ ~ WAC ELECTRi EECTRI ~`j Inspection Date to Comments Footings I 1.29 a2 Foundation SZ Framing N-P- Roofing Rough Pibg. - Z G °1Z CIA1, 1-?h Rough Htg. 2 isul. t~ Fireplace ~Z'2 .`9 L t J-S >1 f ~t°.S f Z f ~S/ - Z .2 L Final Htg. Qrsat Test -2 7 Final Ptbg.Plbg. Inspector - Ndtify Plu r Const. Meter I EngrJPlan Bldg. Final Deck Fig. Deck Final well Pc Disp. A6 , 7-1 1 21 Z -2 77 atrfif tratt of M.rrupanr Y » n' y cttp of eagan r` Rpvarb"W of Ildl ng rrfi m `k This Certificate issued pursuant to the requirements of Section 306 of Me Uniform Building Code ceerti&ng that at the time of issuance this structure was in compliance with the wious oidinonces of the City regulating building construction or use For the followdn9. Ilse cum"acion SF DWG/GAR W& Pam* No. 20045 Owaff Of GM c Cl. 0 n a A 14355 cow CDOM AVE, RW L , , 1R.ACit[ RM 2ND - 6/18/42 lluaftlpffi" POST IN A CONSPICUOUS PLACE Address : 474 1,An Dus Lot 1 Balk 2 Sec/Sub BLAaGIAW RIDGE 2ND These items were/were not complete at the time of the final inspection. Date- 6/18/92 Ye No TnqnPcLor; Final grade (6" from siding) Permanent steps - garage Permanent steps - main entry Permanent driveway. Permanent gas Sod/seeded grass i,~.. 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. RECYCLED KKR White - City copy Yellow - Resident copy Pink.- Contractor copy _JJ v' r~ 17 EROT OFFICE USE ONLY GIN i kit Knob Rd. METER # PERMIT DATE Ogi22/92 C Eaga NAZI 55122-1 7 CHIP # PERMIT # s+ METER SIZE B.P. RECEIPT # `C DATE 192. ISSUE DATE- H.P_RECEIPTDATEQI'~21/~Z X PRY BOOSTER PUMP SITE ADDRESS 1474 BSA KHA K LAIC I)R PERMIT REQUESTED LOT BLOCK 2 SEC/SUB BLACKRAWK RIDGE 211110 X SEWER A WATER TAPS' f APPLICANT: ADDRESS: COMM/IND __X__ RESIDENTIAL -CITY, STATE ZIP X NEW EXISTING PHONE: Lawn Sprinkler Meters are to be installed PLUMBER: MATTHEW DARIELS INC Ahead of Domestic Meters on Water Line.. ADDRESS: ' ~~SS CAROUSAL WAY Credit.WlIL NOT be iueJrfor Deduct Meters. CITY; STATE ROSEMOUNT MN ZIP 55088 9 PHONE: 423-3730' AGREES 0 COI PLY WITH CITY OF OWNER: CARROLL CUSTOM HOMES EAGAN ORDINANCES ADDRESS: 14355 CIkIA,R.ON AVE CITY; STATE ROSE l+~;r Tj1MH ZIP 5505 PHONE: 423.-6tOQ SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. CASH RECEIPT F' CITY OF EAGAN', 3830 PILOT KNOB ROAD t EAGAN, MINNESOTA 55122 DATE w r 19~L- RECEIVEO FROM' AMOUNT $ fj & DOLLARS too O CASH CHECK w vc V4t~ FUND OBJECT AM UNT t ' Thank You BY White- Payers Copy G 016962 Yepow--P~rshng Copy Oink-- n* Copq SEWER &`WATER PERMIT OFFICE USE ONLY ' CIV OF EAGAN:. ~ 01122192 3830 Pilot Knob Rd, METER # l~- PERMii DATE Eagan, MN 55122-18-97 CHIP PERMrr # 125D_ O t QUIETER SfZE- -'a, a.P. REG IPT # T DATE `21, 992 ISSUE DATE B.P.RECEIPT DATE01/Z'1%~42- r A PRV BOOSTER P MP •4 10SITE ADDRESS 1474 BLACK AWK LAKE,DR PERMIT (REQUESTED LOT I-`'-BLOCK 2 SEC/SUB BLACKHAWK RIDGE 2ND X SEWER WATER -TAPS APPLICANT: ADDRESS: - COMM/IND X RESIDENTIAL CITY, STATE ZIP X NEW EXISTING PHONE: PLUMBER: MATTHEW DANIELS INC Lawn Sprinkler M ters are to be Installed Ahead of Domesti Meters on Water Line. ADDRESS: ' 15185 CAROUSEL WAY'' Credit W AL NOT b give for Dedu Meters: CITY,. STATE ROSEMOUNT MN ZIP 55068 PHONE: 423-3730 AGREE O CO Li WIT TY OF OWNER: CARROLL CUSTOM HOMES EAGAN E ADDRESS: 14355 CINARON AVE CITY, STATE ROSEMO iNT MN ZIP 55068 T GNATUR H N METER ISSUED Ai E' PHONE: 429-6100 PLE O R~ f H A&AdNG. CALL 454-5220 FOR INSPECTIONS. FOR STORM • SEWER PE MITS,,CONTACT ENGINEERING DEPT. Request to Fire No. Rough-i Ins on 1 Rego reli? d Ready Now Will Notify Inspector i lYes O No When Ready? I licensed contractor D owner hereby request inspection of above electrical work at: Job ddr~sVTow R ute No.) ~ a I city /1 Section No. Name or No. Range o. k J Coun L L. [7p fib A. Oc pant (PRINT) Phone Tlo Troll (`-1{i - 6 0D C U 3~0_m~ (n E Power pplier Address E Ki I Contra for (Compan Name) - ' Contra or's Licens N MT ng ddress Contractor o wner Making Installatio Aut razed Signature (Contra tor/ wner Making Installatio f Pho m r _ MINNES TA TATE BOARD OF ELECTRICI Y 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. f jf jam- REQUEST ~ FORoE LECTR oCAoL INSPE1CTION EB-00001-08 10. See "X" Below Work Covered by This Request e 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) Contractor's Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool , , O to 200 Amps 0 to 100 Amps L17', 04) Transformers Above 200 Amps Above 100 Amps O Signs Inspector's Use Only: L TOT 5 Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY B DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 HS. 1, the Electrical Inspector, hereby Rough-in Date certify that the above inspection has Final Dat been made. OFFICE USE ONLY 6~ ow This request void 18 months from Request Date Fire No. Rough-in Inspectic fff~~ Required? Ready Now Will tif~qqqq~~,nsp ctor a~ -es ❑ No I Z , JQns I licensed contractor D owner hereby request inspection of above electrical ork O ~O Job Addr . Bo r Xteo.) City i ~ Section No. Township Name or No. Range No. County RINT) t Ph No. r k.4,'Vc~& Eical Contractor (Comp y Name) Co ct 's License No. Mailin Address (Contractor or Owner fMan tallat n)Auth g of re (C actor canno J ~ Ph 1/`tq~/[n Y -3~S3 MINNESOTA STATE BOA F ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - oom S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642.0800 ENCLOSED. '64554 REQUEST FOR ELECTRICAL INSPECTION ES-00001.08 3 /Ola3S8 J `Seyi,, iructions for completing this form on back of yellow copy. r X" Below Work Covered by This Request t6 2 a l 3 ew Add Re TypeofBuilding Appliances Wired Equipment fired 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: ti Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps jQ 0 to 100 Amps <yL1 r Transformers Above 200 Amps Above 100 Amps s Signs Inspector's Use Only: TOTAL SQ Irrigation Booms Special Inspection O c:~ Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in - Date 7 certify that the above inspection has Final Date been made. OFFICE USE ONLY This request void 18 months from J n 10S'~ ~ 456 Request Dail ' . Fire No. Rough-in Inspect ►Vly Requir d? ❑ Ready Now ill Notify Inspector ~ es ❑ No When Ready? I i~'licensed contractor ❑ owner hereby request inspection of above electrical work at: Job Address (Street, Bo or oute No,) Ci Section No wnship Name or No. Range No. , Co my Occup t (PRINT) Phpn@ No. _ Power Supplier ~ Address ~ 1 Ele to al Contract r Om ) i Co trac is License o. ' Mailg ddre s, (Contrac Making 6p~~ l !Auth razed Sig ture (Contracto /Owner Making st Ration) P e Numbe MINNE T STATE BOARD OF ELE R ITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1621 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB-00001-08 J45306 `See instructions for completing this form on back of yellow copy. 6 r /OS'~ X Below NOrk 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) ContracI s~jRe,-marks: 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 too Amps Signs Inspector's Use Only: TOTAL Irrigation Booms ) Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORD1 ED-• CONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS.,-'' r i I, the Electrical Inspector, hereby Rough-in Date certify that the above inspection has Final Date , . been made. I,- OFFICE USE ONLY This request void 18 months from 3 as - sa ~Zs Reglrest Date Fire No. Rough-in Inspectio Y Required? ❑ Ready Now ill Notity Inspector / G Yes ❑ No When Ready? I P'rl ensed contractor D owner hereby request inspection of above electrical work at: Job Ad ess (Street, x o e No.) City Cpl ection No, ownship Name or No. Range No. ou f~~ upant PRI ) Phone No. ~ L. ~ s Ak a 3 -531 Po per Su lier Address Ele tGIC ra ctor (Company NaTP) I Contract is License No. GJ .40 Mailing Address (Contra for or Owner Making Installatio , O C Auth ized Signature (Co tractor/Owner Makin I stallation) Phone Number ~ l ~ 3~-- 503 Cn MINN OT STATE BOARD OF ELE ICITY 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) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ire EB-00001-0 ► See instructions for completing this form on back of yellow copy. Cosa s ' X" Below Work Covered by This Request_ New Add Rep. Type of Building 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's Remarks: Compute Inspection Fee Below: # . Other Fee # Service Entrance Size Fee # Circuit eeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 100 Amps Signs Inspector's Use Only: _ TOTAL jo& Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDER ISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in Date certify that the above inspection has Final Dat been made. OFFICE USE ONLY This request void 18 months from CITY OF EAGAN 2 Q Q 4 5 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 '1 BUILDING PERMIT, PHONE: 681-4675 Receipt # V To be used for SF DWG/GAR Est. Value $129,000 Date JAN 21 19_92 _ Site Address 1474 BLACKHAWK LAKE DR Lot 1 Block 2 Sec/Sub BLACKHAWK RIDGE OFFICE USE ONLY FEES Parcel No. 2ND Occupancy R-3 li--l Zoning PD RR=1 Bldg. Permit 741.00 Name CARROLL CUSTOM HOMES (Actual) Const V-N Surcharge 64.50 Z Address 14355 CIMARRON "E (Allowable) V-N Plan Review 482.00. # of Stories City ROSEMOUNT MN Zip 55069 Length 64, License 5.00. O Phone 423-6100 Depth 52' SAC, City 100.00 LC Name SAME S.F. Total SAC, MCWCC 700.00 S.F. Footprints l- Address On Site Sewage Water Conn 675.00 ay Zip On Site Well Water Meter 95.00 Phone MWCC System X Acct. Deposit 30.00 O City Water X_ U License # PRV Required S/W Permit 30.00 I hereby acknowlege that I have read this application and state that a Booster Pump SSW Surcharge .50 information is correct and agree to comply with all applicable St of 300.00 Minnesota Statutes and City of E n Ordi nc Treatment PI Signature of Permitee APPROVALS Road Unit 380.00 A Building Permit is issued to: CARROLL CUSTOM OMES Planner Park Ded. on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg, Off. Copies Building Official 616,11 (I Variance TOTAL -j, 603. OP 11 RESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements Remodel/Repair Requirements Office Use Onlv 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan _ Cert of Survey Recd (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions _ Tree Pres Plan Recd 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks _ Tree Pres Not Reqd 1 set of Energy Calculations Addition - indicate if on-site septic system - On-site Septic System 3 copies of Tree Preservation Plan if lot platted after 7/1/93 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date / (A / n, Construction Cosf%f l A CID Site Address } -~A A ( J/.- LAX-, ~ Unit/Ste # Description of Work Multi-Family Bldg - Y X_ N Fireplace(s) - 0 - 1 - 2 Property OwnekZ_a. Q Telephone # ((~S 1) QA Lrkn -015-115 Contractor RENEWAL BY ANDERSEN 1920 COUNTY ROAD "C" WEST Address ROSEVILLE, MN 55113 City State 651-264-4777 Telephone # ( ) LICENSE #20130983 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submission type) Submitted Submitted • Energy Envelope Calculations Submitted Licensed Plumber Telephone # ( ) Mechanical Contractor Telephone # ( ) Sewer/Water Contractor Telephone #l I I hereby apply for a Residential Building Permit and acknowledge that the inform ion is c_9p2pkAt::acurate; that the work will be in conformance with the ordinances and codes of the City 6T -Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. rjA /&,vt ladpm Applicant's Printed Name 4licant's Signature OFFICE USE ONLY Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03 01 of _ plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screen/gazebo) ❑ 36 Multi Misc. ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg_Y or _ N ❑ 25 Miscellaneous Work Types ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish (Interior) ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Bldg. ❑ 42 Demolish (Foundation) ❑ 45, Fire Repair ❑ 33 Alteration ❑ 37 Demolish (Bldg)* ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS - Footings (new bldg) _ Final/C.O. - Footings (deck) _ Final/No C.O. Footings (addition) _ Plumbing _ Foundation _ HVAC _ Drain Tile Other Roof _ lee & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests -Final - Framing _ Siding _ Stucco _ Stone - Fireplace _ R.I. -Air Test -Final _ Windows (new/replacement) Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total rv, v a . s,v•. t i/iv as . JV f21Q 104 Oil .4400 Wj UU2 re. June -7, 2001 city of &M 336 -Hat Knob Road Eagan, MN 55122 To Whom It May Concern: Elder Jones is authorized to pull building permits for Renewal by Andersen- please show Elder Jones to provide this aie Wce for us in date beyond 6/6/01; until ate' phis antharization is valid for any to the City-oIIewai by Andersen manager eRressly revokes it in writing I request tWs authorization be aaoepted-expedidously, as to not delay in the proceW our building pCrmit3 any fuxthcr. Please can me If there arc amy quesdons. _ I'can bong of contacted at 763-502-470. Your In=9diatc attention to Ibis matter Is al Predated. Sincei~oly, _ • and-R. Rau dst lladon Manager Renowal by Andasan Corporatitan KM-FId r Inn"- 4 2/ L - 7 .~cx7j wr Mf ruteaptg Conuoes~,,, ~xoos Received Time Jun. 7. 1'07PM Amok, Admak } BIIILDI C PERK CATION CITY OF WAIF ~fiyAnT1d t'tlR CTAT. WaLl FAX= I SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITBC USAIL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL FLANS I SET pF ZN RGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET Of SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF =WM #.i`S # OF RENTAL UNITS # OF FOR SALE UNITS A TY A1'PLTU ms's 'S'ING OF PERMIT IS REQUESTED, BUT I PICKED UP BY Ltd WORKIWDAY OF MON TH- IN WHICH REQUEST IS MADE. LOT CHANCE IS REQUESTED ONCE PERMIT IS ISSUED. VOTZ: ADDRESSES VOR -CMER LO WNTRACTOR/HOMEOWNE . T DESIMTE WHTCH ADDRESS `Ili DESIRED. PROCESSING TIME FOR. SEWER WATER PERMITS IS TWO DAYS PE KIT MUST SHOW A LICENSED PLUMBER: JM I 1992 io"E& Used For: Valuaticm: 1 `its- Address t1FFI CIV /Z 1, loot Block Occupancy RA M Bidg. rerikit. a Z3 Zoning Surohaxga BArcA1/Sub Actual Con" Plans Review Allowable ~ .V-6 SAC, Cite tktxs x of stories , SAC, MWCC Length Water Co m. Address Depth Ste, Water Meter S. F. Total _ Acct. Deposit City/tip Code Footprint S.F.__.___, S/W 'Permit JW4_ S/W Surcharge grte On site &ewageTreatment F1: ,ftQ4 On site wsll Road Unit CentracLar MWCC System Park Ded. City water _jell' Trail Dod. i fxesa PRV Copies Sooster Pump P Code AaLcmAl,,~L 2~ '+R{}gALS Penalty lbObier Planner Lot Cher Council TOTt1I. Ara. /Engr. Bldg. Off. S`iS 9 7 Variance tyfZip Code Phone 9"' S*wer/wa IacBnsvd ontr. &roes that all work sharp be done in accordance` th,, tS ure o contra r> all applicabl i$tat-,*, of` Mi~nnesotat S t,ea d City of Eagan Ordinances. VA L tt G,kRA GE Aqo x22 = lygo ~~C~ x l0 200 XlLl r7,rVL► 3 L? ~r':~y rj t y r r~ . ~ } I 3, to "T 41 3 1 i t ~1 r> J'~ ~ ~*13 = 35Z Ow. 40 38(o Ib2 53 ti ir, I have complied with all application requirements for the State of Minnesota contractor's license, and I have submitted all required information to the Department of Commerce for approval. nature Name of business Date i * * ~IC 2422 Enterprise Drive Mendota Heights, MN 55120 LAND SURVEYORS -CIVIL ENGINEERS PIONEER engineering,.. LAND PLANNERS • LANDSCAPE ARCHITECTS (612) 681-1914 Certificate of Survey for: Carroll Custom Homes Model Name: 91^564 I I I I xae ~ I -7 B 040'59 N g 159.79 - w - I 31.71 x ~i. D5 I D :U 10 o I i II II NO 29.67 O~ R I ' < m N 0 00 S W W I pr I ~ 1 ► C4 (0 J q n O I 11 II 1~ I 21.00 cyl I O OD O 2.0 II I P O I 1p~ l 0 5.0 J W O I r I N NO I '0 " I I LP 0 % ?0 o _71 I I f 4 I 10 1 1 I ~~I~r~ll I sG~R.? 26.33ao~, I I ~w 1 alb \I 31.73 v 52.53 Y 0, t• 866_3 (b~yf) I 30 I 30 I » . I 14 a G~: . z a.r w, q.a • 900.0 Denotes Existing Elevation PROPOSED HOUSE ELEV_AT1_0N - 900.0 Denotes Proposed Elevation Lowest Floor Elevation: 863.96 Denotes Drainage & Utility Easement - - Denotes Drainage Flow Direction Top of Block Elevation:870.66 -o- Denotes Monument Garage Slab Elevation: 870.33 Denotes Offset Hub Bearings shown are assumed LOT 1 BLOCK 2_ BLACKHAWK RIDGE _2ND ADD. DAKOTA COUNTY, MINNESOTA I hereby certify that this is a true and correct representation of a survey of the boundaries of the above described land, and of the location co~f.~all buildings, thereon, and all visible encroachments, if any, from or on said land. As surveyed by me t"_ day of ZCLN\Vor A.D. 19 L-'-_. Scale: 1 inch-30fee 100 39 90029.01 MINNESOTA STATE ENERGY CODE CALCULATIONS BASED ON CHAPTER 5 Of THE MODEL ENERGY CODE - 1983 EDITION Acioptton Effective1 1 Owner Phone Date Site Address LCT 1, 9LCX- .-2 ' c~cr, H.kurK r ) Contractor Phone Building Classification: Type Al (Single Family Duplex)~Type A2(Residential) (3 stories or ess NOTE: ,Com lete Pages 3 and 4 first. ` (tither) (Over 3 stories)-- GENERAL INFORMATION /V 1. Building Perimeter`" ft. 2. Wall height (ground to eave) e~ 2t. , 2 3. 1. x 2. (above) gross wall area r ~J +U Zyt, 4. Building dimensions (L) X (W)`"-- ft.2 roof ~ floor area 5. Square foot area of rim joist _ Floor Joist size (2 x G7' ) IC;f_ X Perimeter - Rim Joist area ft2 12 569 6. Doors - Area I1 0 , Thickness In. U factor Aj - ~ + Type of Constructlon Perimeter ft. Manufacturer 7. Total door's perimeter ft. 8. Windows: Manufacturer State approved U factor ~ TYPE SIZE AREA (Ft.2) NUMBER OF TOTAL FEET 2 EACH UNITS 9. Total ft. 2 Glass 10. Fireplace area: Width X height __X Ft.2 11. Exposed foundation: "eight X Perimeter ,(,p) X Ft. COMPLETION OF THIS FORM IS REQUIRED FOR ALL 1~4~"'ia O , M'i Jt? REMODELING AND BUILD GS Bi MOVED WHERE ENERGY, OTHER THAN THE MINIMAL CODI. ALLOWANCE, IS USED. 12. Framing area = 10% of gross well area. 13. Gross wall area f t.2 ~ Window area A ~•••C~?,`~ j ft.C} windows , U x A * Rim joist area A ft.`s U rim Joist * U x A Door area A --ft. U door area a U X A = ~A F,i'r,l'pGak* area A L- r ft:2 U e a • U x A* .i ' Exposed foundation A ft. U foundation U x A Framing area A__. ft.2 U framing area = r U x A * ► Net wall area A ~1Z."~ ft. U wall = a f~ u X A t • . (138) TOTAL . . U X A 14. Gross wall area x 0.11 (A-1 single family & duplex a allowable U x A/Code (13. above) x 0.23 (A-2 other residential) x .23 (Other buildings) x .928 (Over 3 stories) dust be larger tf A 07' x U Code o t _ 108'05~4i. 138 above 15. Ceiling framing area (Af) equals 10% of ceiling area or the, same as) 15A. Gross ceiling area - (L) .t x (W) r-----_ _ _Y2 ft. 22,15B Joist area (Af) = 1010 ceiling area = ;l ft.2 15C. Net ceiling area (Ac) (15A - 15B) _ I z oo Ica ft.2 U ceiling x A CR o 7.2' x _ a. U framing x A f= Ca 7 x i-42P ► 151). TOTAL' U x A • 16. Ceiling area (15A) x 0.026 (A-1 single family & duplex - code allowable U x A x0.033 (9-2 other residential ) x 0.06 (other), ~a BJUH Must be larger than-150 (above A (]5A-) x tU-(c odg)= G~ F (or the. same ash NOTE: Use U and A values obtained from pages I,•3 and.4.• CERTIFICATION: i hereby certify that 1 have calculated the "U" factors and "R" values herein and that the building here described meets or exceeds the State of Minnesota Energy Conservation Act. i (late Signature i s 54x + s4 +:3z, 11' 54X( S-L+Z?L,-i-- - ) - 917, ot- f K ~,+X -7 5 TT 1l loxes = Itax t, - 1~ I lox (00 )),OX I - 11,0 4Z a ~L ` R VALUE U VALUE Inside air film .68 WALL Interior wall (Wall) U i SECTION Insulation M-00 Sheathing z + Siding -(P7 outside air film .17 R TOTAL Z~+ Q Inside. air film .68 STUD Interior wall N SECTION stud Rw 40, * (y,'5*(framing) u Sheathing , Z+G(O - Siding . .01 Outside air film .17 . f r R TOTAL Q . -2> rNAIns icfe air #ilmRa ~Interior wall ing Insulation(WallExterior waTt~covgring Exter ior air film R _..._..Q .TOTAL., . Interior air film Ra .68 RIM Insulation J1,00 JOIST 'lh inch soft wood R=1.88 (Rim U Joist] Sheathing Exterior wall covering .&P a ~ Exterior air film Re .1? R TOTAL Interior air film R= .68 Insulation Jam,©U \ Foundation zo 1 Exterior air film R- .17 rt R TOTAL • _._``Exposed Block IA R 9 iVti i j-H I t Ti l ti) ' A-111 1L 5PAU ABUY-t R VALUE MUE W • ` FRAMING CEIL114G 0.61 Air Film 0.61 Insulation a;) joist . !57Cp Ceiling 0.61 Air film 0.61 Total R . FLAT ROOF OR CATHEDRAL CEILING value R VALUE r FRAMING CEILING 0.61 Inside air film 0.61 _ Ceiling Joist (stud) Insulation Air space I C'. _ Roof decking Insulation Built-up roof 0.17 Outside air film 0.17 Total R 1 U 'R dindow infiltration .5 cfm/lineal foot of crack lesidential door infiltration 0.5 cfm/square foot or door and minimum code requirement . lon-residential door infiltration 11.0 cfm/lineal foot of crack Jb 12" concrete block no insulation .47 R 2.1 Jb 12 concrete block insulateA cores = .26 R 3.8 J5 12" lightweight block a .32 R 3.1 Jb 12" lightweight block insulate& cores = .12 R 8.3 i single glass = 1.13; with storm window .54 J double glass = .55 i triple glass = .41 All exterior walls and ceilings must have a vapor barrier (0.10 perm max.). :apor barrier must be on the inside (heated side) of wall. vapor barriers of the polyethelene thin film have no R value. 4. CITY OF EAGAN L B ,VECHANICAL PERMIT RECEIPT SUM o, (612) 6814675 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: hhj2j FEES SITE AD RESLa IC e - 47 ADD ON/REMODEL (EXISTING $ 15.00 1 CONSTRUCTION ONLY) HVAC: 0-100 M BTU 24.00 INSTALLE Gd tag i' ADDITIONAL 50 M BTU 6.00 ADDRESS: atey6d GAS OUTLETS - MINIMUM 1 @ $3 EA. . D D CITY: lti 1-2 1 Z P: SURCHARGE: $ .50 SIGNATU TOTAL: $ COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAUINDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS 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: CITY OF EAGAN FOR CITY USE ONLY i 3830 PILOT KNOB ROAD EAGAN. 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT # d L'UMBING. I'RMZ DATE : SIDEN2TAt" PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION COMPLETE THE FOLLOWING: NO. FIXTURES EA. TOTAL NEW CONST ADD-ON MINIMUM 15.00 ADD ON SHOWER 3.00 3.00 REPAIR 7 WATER CLOSET 3.00 2-:1a 1 BATHTUB 3,00 3.00 3 LAVATORY 3.00 'oD OWNER NAME: KITCHEN SINK 3.00 3 °a 1 LAUNDRY TRAY 3.00 3.p° SITE ADDRESS: LL,4CL b HOT TUB/SPA 3.00 WATER HEATER 3.00 LOT_:_/-- BLOCK SUBD. FLOOR DRAIN 3.00 GAS PIPING OUT. INSTALLER: (MINIMUM - 1) 3.00 _ ROUGH OPENINGS 1.50 ADDRESS : OTHER _ WATER SOFTENER 5.00 CITY: b~~--ate` Zip: S S-b L PRIVATE DISP. 15.00 . i t L~ 3 3 U. G. SPRINKLER 3.00 PHONE tt : `f SUBTOTAL t Flu ST. SURCHARGE .50 SIGN URE OF PERMITTEE 3(m.S-10 TOTAL: $ COMMERCIAL%INDUSTRIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: FEES OWNER NAME: 1% OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. LOT: BLOCK SUBD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 1% $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: - CITY OF EAGAN Volume No. e ca e of T*Itle OWNER'S DUPLICATE CERTIFICATE Certificate No. 8 3 8 5 1 Document No. 9 District Court No. Fransfer from No. Originally regisreieitqqONe day of 19 Volume Forty page 8 0 5 9 8 59 18th April 59 State of Minnesota, (SS County of Dakota. C1raf Meritor Development Corporation 605 West Travelers Trail of the City of Burnsville County of Dakota and Stare of Minnesota is now the owner of an estate, to wit: fee simple of and in the following described land situated in the County of Dahota and State of Minnesota, to wit: Lot One (1), Block Two (2), in BLACKHA14K RIDGE 2ND ADDITION, according to the recorded plat thereof. Subject to the encumbrances, liens and interest noted by the memorial underwritten or endorsed hereon; and subject to the following rights or encumbrances subsisting, as provided in Laws 1905, Chapter 305, Section 24, namely: 1. Liens, claims, or rights arising under the laws or the Constitution of the United States, which the statutes of this state cannot require to appear of record: 2. Any real property tax or special assessment for which a sale of the land has not been had at the date of the certificate of title; 3. Any lease for a period of not exceeding three years, when there is actual occupation of the premises under the lease; 4. All rights in public highways upon the land; 5. Such right of appeal or right to appear and contest the application as is allowed by law; 6. The rights of any person in possession under deed or contract for deed from the owner of the certificate of title; 7. Any outstanding mechanics lien rights which may exist under sections 514.01 to 514.17. That the said eritor Development. Corporation is a corporation organized and existing u der XXX1,? &agWXXXXXX XM49, X')~ ~E SE)fXXX the laws of the State of Pennsylvania. XXX'~9XXXXXXXXXkS ffXXXXXXXXXXXXX ' k J"It. &6teJi X11errol I have hereunto subscribed my name and affixed the seal of my once, this 17th day of May 19 89 JAMES N. DOLAN Registrar of Titles (Seal) In and for the County of Dahota and State of Minnesota. 31E3101HAL I`'-,~v of Estates, Easements or Charges on the Land described in the. Certificate of Title hereto attached. DOCUMENT MIND Of DATE OF REGISTRATION DATE OF INSTRUMENT NUMBER INSTRUMENT MONTH oar YEAR HOUR MONTH DAY YEAR AMOUNT RUNNING IN FAVOR OF SIGNATURE OF REGISTRAR A.M. 215904 Declaration f Pro ec ive Covenants (and other landU Ma 17 198 3:00 4 27 '89 - The Public James N. Dolan 124147 ight of Way lat o. 9-5 (Par el 4 B) Minnesota Department of Tra sporation Aug 27 198 1 - - - - (A ces co trot n ab ve & th r lards) James J. Foutchis 126524 W.D. Jan. 24 983 3 1 14 183 $2,000, 00.00 (Subject to Access contro on above & other lands) James N. Dolan 239209 Pressure R ducin Valve gree ent and th lan s) Between City of Eagan and Fe). 2 19 110:6 12 27 '9 - Meritor Development Corporati n James N. Dolan 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements RemodellReoair Requirements Office Use Only 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan showing footings, beams, joists Cert of Survey Recd _ Y _ N (20%maimum lot coverage allowed) 1 set of Energy Calculations for heated additions Soils Report _ Y _ N 1 Soils Report if proposed building is to be placed on disturbed soil 1 site survey for additions & decks Tree Pres Plan Recd _ Y - N. 2 copies of plan showing beam & window sizes; poured found design, etc. Addiffon - indicate if on-site septic system Tree Pres Required _ Y - N 1 set of Energy Calculations On-site Septic System _ Y _ N 3 copies of Tree Preservation Plan if lot platted after 7/1/93 Rim Joist Detail options selection sheet (buildings with 3 or less units) Minnegasco mechanical ventilation form Plans are considered public information unless you state the are trade secret and the reason. ~ Date '0 / / _ 7 Construction Cost '(906, Site Address - 1i e 7 tf r f Y ~Yr lv`~, Unit/Ste # Description of Worker Multi-Family Bldg _ Y N Fireplace(s) _ 0 X 1 _ 2 Property Owner 4W -"V- Telephone # ( 7~~) ~ ~t`7 1~~`T Contractor &J ILVe, l G Address 11.722 1_a ,2~ City c R. State Zip s55 Telephone # 41'W6 _7 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (4 submission type) Submitted Submitted • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? - Y - N If yes, date and address of master plan: Licensed Plumber Telephone # ( ) ) Mechanical Contractor Telephone Sewer/Water Contractor Telephone # ( ) I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ,ic Applicant's Printed Name Applicant's Signature DO NOT WRITE BELOW THIS LINE Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03 01 of_ plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screen/gazebo/pergola) ❑ 36 Multi Misc. ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex ❑ 25 Miscellaneous Work Types ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish Interior ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Building ❑ 42 Demolish Foundation ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish Building" ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant Description: Water Damage Yes 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) _ Sheetrock Footings (deck) _ Final/C.O. Footings (addition) _ Final/No C.O. _ Foundation _ HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final Framing _ Siding ^ Stucco Lath - Stone Lath -Brick Fireplace - R.I. - Air Test -Final _ Windows Insulation _ Retaining Wall Approved By: Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Use BLUE or BLACK Ink 41111°'" r 1 For Office Use Permit#: /67/ 1( �� I✓ City of Eaaall Permit Fee: 1q71 3830 Pilot Knob Road Eagan MN 55122 RECEIVED Date Received: - I, _ Phone:(651)675-5675 _ � Fax:(651)675-5694 MAR 0 9 2017 Staff: ' 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: r�- _ I '( Site Address: 1941 �1 t� 1 0.-c-1(-1\is.i,31( �-O�-l"�- �`-'r• Unit#: Name: K S'a 1� Q r-�� � �o �S �, Phone: (oS I - ($C 093' t= I17y k�.� 1I� Los _ 0 s as owner „ Address/City/Zip: 5S Applicant is: Owner Contractor Description of work: Type,of WoiI ;114:}9.w3_,(„4.7,* 11'} .w !.� Construction Cost: Multi-Family Building:(Yes /No ) ) Company: I) l a 2 ..S -- L t,•-a t.L.\st r�, Contact: 0 eiN. Contractor Address: 1 rf ; PI e_ S City: PC\ e � � t State:AlF\Zip:SS l (iTt Phone:10I a—%d• — Email:V �( , Q�., . '. r rr�a. 1 a. . License#: 0i, 11 coo Lead Certificate#: t�,AT- a(A3 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: w Phone: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are consideto he Public information. Portions Of the information may he classified as non-public ityou provide specific reasons that would-permit the Bity.b 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.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 approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x V \'% \J x 1)(0 1/11 , Applicant's Printed Name Applicant's Signature Page 1 of 3 /41 7 J Id C DO NOT WRITE BELOW THIS LINE /1-1/41:3 SUB TYPES — Foundation _ Fireplace — Porch(3-Season) — Exterior Alteration(Single Family) — Single Family _ Garage — Porch(4-Season) _ Exterior Alteration(Multi) — Multi 1 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 _ 1( Replace _ Repair — Egress Window _ Water Damage Retaining Wall *Demolition of entire building–give PCA handout to applicant DESCRIPTION qo Valuation9f Occupancy MCES System Plan Review Code Edition r SAC Units (25%_100%X ) Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction 1!°O, Width 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_Backfill^Final — Sheetrock Radon Control — Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control — Shower Pan ��// Other: Reviewed By: 1[i , Building Inspector RESIDENTIAL FEESI Base Fee L/144)::4 itit4) Surcharge l °' .. Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge ///111 Treatment Plant 1 (/ y o Copies - TOTAL Page 2 of 3 " . L�1 Lt� — 111iiii" * )L(7/ /iI11 il �6 . , �4 * 2422 Enterprisout);ive * PIONEER • Mendota Heigh , N 55120 LAND SURVEYORS•CI V I L ENGINEERS engineering,- LAND PLANNERS•LANDSCAPE ARCHITECTS I (612) 681-1914 Certificate of Survey for: Carroll Custom Homes Model Name: 91-564 p a 3 ( ) ,i,1, 7 2:17. 16 1 N 15939 �Ia9,-i — �► 1 - - r a) 1 �1s �_ Qfo 49 ..-• -- -i. r �ase.t) 52• Iro 0 ` „,1 yBhP. 3,31 _ _ig f 0,C. —�� \ �S` _� x 2o.s7 D 11 �° to l� 1 g 1 II II II 1 6� cr 13 to 2.o y 29.67 I. S _ 0 (j W I D 1 1 0 ,, :..J.w to Y it A 11 11 1 21.00 Fa o �, �' "°1i I 000 0 n 8 2.0 ® 11 I to Po•Q 1 1AQ,t0 I , 5.0 J 0 0 r I N No I W 2 I I 1 1 2.0 01 Irl 1 J' I " �r'�,z, to h,. I $G fi.7 26.33 I - I _ _ , I rel�� w 1; _ __ J 0TH • 31.73 e' 52.53 , P. Qf 1 N 1 ` ,/ 866.3 cfn�+ S. .6k., : A°D /ynXn� , 1 , 1 1 30 1 30 ^ ,... £L ItAGAN EN ' N. Et...RING DEPT • 900.0 Denotes Existing Devotion PROPOSED HOUSE ELEVATION • 900.0 Denotes Proposed Elevation Lowest Floor Elevation:863.96 Denotes Drainage & Utility Easement Top of Block Elevation:870.66 —Denotes Drainage Flow Direction ---- -o-- Denotes Monument Garage Slab Elevation:87033 --ff— Denotes Offset Hub Bearings shown are assumed LOT 1 , BLOCK 2 BLACKHAWK RIDGE 2ND ADD. DAKOTA COUNTY, MINNESOTA I hereby certify that this is a true and correct representation of a survey of the boundaries of the above described land,�Crand of the location co�f all buildings,thereon,and all visible encroachments, if any, from or on said land. As surveyed by me t ' day of •Livwar . A.U. 19 =. , ,/„/:/ / , Scale: 1 inch.3()teat _/--:,-02A ) •r,/? ,.yr t(..,.„ E T B.SIKICH 1_..S.RE .NO. 14891 Inial gnn2q ni