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1499 Blackhawk Lake Dr -.'TTgyiT.-rivv.K... . ...m.. . i._12- 74 •iS` . ti NSF .x.. w•„~'T'F _ nn µ +'T .'RH'e'A' r.~ Y., SEWEC"1~/ATER PERMIT OFFICE USE ONLY Cf rAGAN METER # PERMIT DATE 03/03/92 3830 Pilot,Knob Pd. , - g65' Eagan, MN 55122,-1$97 CHIP# PERMIT* • METER SIZE _ B.P. RECEIPT # 3 19 ISSUE DATE - B.P. RECEIPT DATE 30 ,92 DATE PRV -BOOSTER PUMP SITE ADDRESS 1499 BLACKNAWK LAU DR PERMIT REQUESTED LOT 2 BLOCK --1-SEC/SUB SLACKHAWK RIDGE 2ND - X SEWER X WATER TAPS APPLICANT: COMM/IND RESIDENTIAL ADDRESS: CITY, STATE ZIP X NEW EXISTING PHONE: MATTHEW DANIELS INC Lawn Sprinkler Meters are to be Installed PLUMBER: Ahead of Domestic' Meters on Water Line. ADDRESS: 13183 CAROUSEL WAY Credit WILL NOT be give for Deduct Meters. CITY, STATE RtiSUDUNT HN ZIP 35468 PHONE: 423-3734 EE T ' C PLY WITH CITY OF OWNER: LAPIERRE CUSTOM HOMES INC EAGAN ORDINANCES ADDRESS: P O BDX I049 CITY, STATE BURNSVILLE NN ZIP "55337 PHONE: 454--9389 SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. M' nr CASH RECEIPT CITY OF EAGAN : 3830 PILOT KNOB ROAD. EAGAN, MINNESOTA 55122 DATE 19_2 RECEIVED F.,I FROM AMOUNT $ J ' & DOLLARS loo D CASH 1~! CHECK 04 5 FUND OBJECT g1j1 AMOUNT z n Thank You ~ f i BY White--Pay- copy Yellow--Posting Cgpy Ink Fil9 Copy ku ~x a1 > d ~ i ~itp Of ~~gatt , ~r#rr#mraf of This Cer*lcate issued pursuant to the uiremenis of Section 306 of the U ' , 'Corte eerttfying thpt at the tun=e of iss this structure was incompliance with tha m*w r ordfaunm of the City regulating binding construction or use Abr die following. SF =/GAR 20169 use Ck=WK&dm District 1-~ TYPCONL- IN `i# - LAKEtVt.u' Blt,,-,NAQMW nu' 5/15 POST IN A CbNOICUOUS PLACE a t ~ v. F SEWER A WASER PtAVIIT`' OFFICE USE ONLY CITY OF EAGAN METER # t C~ X11 a PERMIT DATE o3103/~~ 3830•Pilot,Kn6b Rd. 125$5 Eagan, MN 551221.897 CHIP # PERMIT jrj METER SIZE few u B.P. RECEIPT.# Lst t ISSUE DATE B.P. RECEIPT DATE EI3/03/92 DATE 1992 PRV -.800STER PUMP SITE ADDRESS 1499 $LAC HAWK LAKE DR PERMIT REOUE$TEI LOT 2 I t OCK 1 SEC/SUB BLACKNAWK RIDGE 2ND X SEWER X WATER _ TAPS APPLICANT: ADDRESS: COMMfIt RESIDENTIAL r CITY, STATE ZIP X NEW EXISTING PHONE: MATTHEW DANIELS INC Lawn Sprinkler Meters are to be Installed PLUMBER: Ahead of Domestic Meters on Water Line. ADDRESS: 15185 CAROUSEL WAY Credit WILL NOT be giv for Deduct Meters, CITY, STATE ROSENO!LdT MN ZIP 55068 PHONE: 423-3730 REE C PLY WITH CITY OF ' OWNER: LAPIERRE CUSTOM HOMES INC EAGAN DINANCE ADDRESS: F O BOX 1049 r CITY, STATE BURNSVILLE MN ZIP 55339 PAA : 454-9389 SlG TUR HEN METER ISSUED P LL W TWO ORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. _L 8 7 44~i 2005 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/RepairReguirements Office Use Only 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cert of Survey Recd _ Y _ N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd _ Y _ N. 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required _Y _ N 1 set of Energy Calculations Addition - indicate if on-site septic system On-site Septic System _Y - N 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Date OL4 / TS Construction Cost Site Address 1 L=A ol Cl a_u) L UW-' Y . Unit/Ste # ~ I Z Description f Work { Q J-Nn CD, Multi-Family Bldg - Y X N Fireplace(s) _ 0 1 - 2 Property Owner i~ e _ l:k p~ n_ Telephone # ( - L4C~D to Contractor Address City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category I _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet 0 submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. 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 ' not, to start without a permit; that the work will be in accordance with the approved plan in the case of work whier}t'e e~ approval of plans. ~ ~ p, ~ ~ 2005 -C'.V 1✓1 i S-l 1►'1 L Applicant's Printed Name Applicant's ig t i r 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 )W, 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 Building ❑ 42 Demolish Foundation ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish Building* ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant Valuation i 1 Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const f~ Width REQUIRED INSPECTIONS Footings (new bldg) _ Final/C.O. _ Footings (deck) -_;~z Final/No C.O. ~l Footings (addition) _ Plumbing Foundation _ HVAC Drain Tile Other Roof _ Ice & Water Final _ Pool _ Ftgs _ Air/Gas Tests -Final Framing - Siding _ Stucco - Stone - Brick Fireplace _ R.I. -Air Test -Final _ Windows C Insulation Retaining Wall Approved By:~ t-~ Building Inspector Base Fee Surcharge Plan Review P MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies 'JS Other Total Address: 1499 BLAGMAW 1AKF. DRTVELot 2 Blk 1 Sec/Sub BLA gj4g RIDE 2ND These items were/were not complete at the time of the fin 1 inspection. Date: 5/'] 5/92 Yes No Final grade (b" from siding) Permanent steps - garage t/ Permanent steps - main entry .5' jx J Permanent driveway c~ 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. RECYCLED PAPER White - City copy Yellow - Resident copy Pink - Contractor copy DATE: MAR 3, 1992 RE: 1499 BLACKHAWK LAKE DR (LAPIERRE CUSTOM HOMES INC) _ x Your Sewer & Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. Your Sewer & Water Permit for the above property cannot be completed for the following reasons: Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. CITY OF EAGAN~ Q 1 6 9 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 681-4675 Receipt # O~ O - To be used for Sy DWG/GAR Est. Value $150,060 Date MAR 3 , 19 92 Site Address 1499 BLACKHAWK LAKE DR Lot _2- Block -1 Sec/Sub. BLACKHAWK RIDGE OFFICE USE ONLY FEES Parcel No. 2ND occupancy R-3 M`1 Zoning PD R;1 Bldg. Permit 815.00 Name LAPTERR CUSTOM HOMES INC (Actual) Const V-N Surcharge 75.00 w Address P 0 BOX 1049 (Allowable) VV-N Plan Review 529.00 . z # of Stories - City BURNSVILLE MN Zip 55337 Length 68' License 5.00 . Phone 454-9389 Depth 55' SAC, City 1 nn _ no cc Name SAME S.F. Total SAC, MCWCC 700.00 S.F. Footprints v- Address On Site Sewage - Water Conn 675.00 CRY Zip On Site Well - Water Meter 9 S - 00 Phone MWCC System X Acct. Deposit 30 - 00 8U License # 0002647 City water PRV Required X S/W Permit 30.00 1 hereby acknowlege that I have read this application and state that the Booster Pump - S/W Surcharge • 50 information is correct and agree to comply with all applicable State of Minnesota Statutes and City of an finance Treatment PI 300.00 Signature of Permitee APPROVALS Road Unit -380-00 A Building Permit is issued to: 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 AN14 81JI411 Variance - TOTAL 3,734.50 CITY OF EAGAN 4- x, - 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 w~ PHONE: 681-4675 - BUILDING PERMIT, Receipt # ? To be used for S- E?VG /OAR Est. Value ' 15€ , 0oo Date FAR 3 19 9 Site Address t499 BLACKRA,WK LAKE 1311 I RLACKRAk'< IDG OFFICE USE ONLY Lot Block Sec/Sub. Fees Parcel No. , occupancy " 3 " ; 815.00 Zoning PDBldg. Permit Narne PI RRE CUST T HOMES ;Lme (Actual) Const Surcharge 73.00 W Address P C. BOX 1049 (Allowable) - V-N Plan Review 529.00 # of ngthtories St;h lSV2t,Ll, Zip 55337 Le C✓ y 68,E License 15.00 Phone 454-8389 Depth 5 ~ SAC, City 100,00 Name SAK S.F. Total SAC, MCWCC 700,00 0 S.F. Footprints - 675.00 Address Water Conn On Site Sewage city Zlp On Site Well Water Meter 95.00 MWCC System 30.00 Phone ~ Acct. Deposit 30.00 License # 0002647 City Water PRV Required X S/W Permit I hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge .50 information is correct and agree to comply with all. applicable State of Minnesota Statutes and City of Eagan Ordinances. Treatment PI 300.00 Signature of Permitee APPROVALS Road Unit 380.00 LAP LERRE..~CUS'Y'OM BEES Planner Park D@d. A Building Permit is issued to: 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 '34. '7 Building Official Variance TOTAL Permit No. Permit Holder Date Telephone # SNV r PLUMBING y' • 1~ y y~ X073 j~~c HVAC r " r1 c A~- ~ 3~5?67 ELECTRIC Vii} ELECTRI 3(, ~ Inspection Date Insp. Comments Footings I i') II Foundation Framing - z Roofing Rough Plbg. / Rough Htg. y f' I !cam/~u~' yt s 53i.~ Isul. Fireplace 2 Final Htg. lJ ~2 Orsat Test s~Z 67. Final Plbg. Z Plbg. Inspector - Notify Plumber i Const. Meter Engr./Plan Bldg. Final S Z Deck Ftg. Deck Final Well Pr. Disp. J A Job Site Address: L ~ j.) IC IU/~ "CATEGORY I" ALTERNATE FOR city of ea o ONE & TWO FAMILY DWELLINGS INSTRUCTIONS: This alternative may be used for one- and two-family dwellings built to meet the Category 1 requirements of Minnesota Rules, Chapter 7670. Complete Parts A, B, and C. Clearly mark plans with: insulation R-values; window and skylight U, values; size and type of equipment; equipment controls; and location of vapor retarder and windwash barriers. Nfore detailed information can be found in the Minnesota Energy Code summary sheets available from the Minnesota Department of Commerce. Part A. BUILDING ENVELOPE Check proposed envelope joint sealing option 4 ❑ Prescriptive (caulking, gaskets, etc.) 0 Performance (test per 7670.0470 subp- 7.C.) Check thermal energy calculation option used 4 ❑ "Cookbook" (complete worksheet below) ❑ NInCheck method (attach report) ❑ Performance (attach U-value calculations) ❑ Systems Analysis method (attach analysis) "Cookbook" Worksheet for" ookbEQUoptin NTS (for "Cookbook" o don poi) A Ceiling Insulation: Minimum R-33 with 7!/2' energy heel; or INST.UXTIONS Minimum R-34 with low truss heel; or Step 1. Check item(s) that design meets on.Minimum Requirements list Minimum R-33 with R-5 sheathing when no attic. to the right. Must meet all items to use "Cookbook" option. Z] Entry Doors: Max. U-value of 0.30 or 1?,~' solid wood with storm Step 2. Indicate proposed wall type on table below. ❑ Rim Joist Insulation: Nlinimum R-19 Step 3. Indicate Window (;-value and source. :1 Floors over unconditioned spaces: Nlinimum R-24 Step 4. Verify total window (including area of all foundation windows) ❑ Foundation Insulation: Minimum R-10 and door area is equal or less than allowable percentage. ❑ Foundation windows: " insulated glass, wood or vinyl frame T.kBLE FOR DETEIMN1NG NL4-NDI ILtiI WINDOW AND DOOR AREA Nlaximum Allowable Total Window and Door Area as a Percentage of Exposed Will 12% 14% 16% 18% 20% 22% 24% 26% 28% Wall Type (Standard Framing): Maximum Average Window U-value (except foundation windows): '_x4, R-13 insulation, R-7 sheathing 0.55 0.47 0.41 0.36 0.33 0.30 0.27 0.25 0.23 ❑ 2x4, R-15 insulation, R-5 sheathing 0.52 0.45 0.39 0.35 0.31 0.28 0.26 0.24 022 k ❑ 2x6, R-19 insulation, <R-5 sheathing 0.48 0.41 0.36 0.32 0.29 0.~ 0.24 0.22 0.21 7- ❑ 2x6, R-19 insulation. R-5 sheathing 0.56 0.48 0.42 0.37 0.34 O.31) 0 , 026 0.24 ,~X 2x6, R-21 insulation, < R-5 sheathing 0.51 0.43 0.33 0.34 0.30 ?8 0.25 0.23 0.22 ❑ 2x6, R-21 insulation, R-5 sheathing 0.58 0.50 0.44 0.39 0.35 0.32 0.29 0.27 0.25 Wall Type Advanced Framing : Maximum Avera a Window U-value (except foundation windows): ❑ 2x6, R-19 insulation, <R-5 sheathing 0.52 0.45 0.39 0.35 0.31 0.28 0.26 024 022 ❑ 2x6, R-19 insulation, R-5 sheathin 0.58 0.50 0.44 0.39 0.35 0.32 0.29 027 025 ❑ 2x6, R-21 insulation, < R-5 sheathing 0.55 0.47 0.41 0.36 0.33 0.30 0.27 025 023 C3 2x6, R-21 insulation. R-5 sheathing_____ 0.60 0.52 0.46 0.41 0.36 0.33 030 0.28 026 Window U-value: Source: O NFRC ❑ ASHRAE 1993 Handbook 100 X 1 '157 < o o window & door area gross exposed wall area DESIGN ALLOWABLE (from table above) MINNESOTA ENERGY CODE -WHICH RULES MAY I USE? TYPE OF RESIDENTIAL BUILDING APPLICABLE RULES Detached R-3 occupancy 1- and 2-family dwellings Chapter 7672; or Examples: single family. twin homes, du lexes Chapter 7670 "Category I" with statutory depressurization and ventilation requirements Attached R-3 occupancy dwellings Chapter 7674; or Examples: triplex townhouses and row houses Chapter 7670 with either "Category I" or "Category 2" provisions R-1 occupancy buildings of 3 stories or less Chapter 7674; or Examples'. condominiums or apartments Chapter 7670 with either "Category I" or "Category 2" provisions R-1 occupancy buildings over 3 stories high Chapter 7676 Examples: high rise condos or apartments Number Summary of April 15, 2000 Energy Code Requirements for Detached 1&2 Family Residential Buildings Code requirement Option A - Chapter 7670 Category I as amended by Laws of MN 2000, Ch. 407 Option B - Minnesota Rules Chapter 7672 1. Materials & e ui ment Plans and Plans and specifications must show design criteria, exterior envelope Same except with additional required items: location of interior air barrier, specifications component materials, U-values of the envelope systems, R-values of insulating vapor retarder, and wind wash barrier, identification of air sealing required; materials, size and type of apparatus and equipment, and equipment and U-values of windows, doors and skylights and other information needed to systems controls. determine compliance (such as required ventilations stem & make-up air). 2. Foundation wall Insulation Cookbook requires R-10. Trade off permitted with MNclieck. Cookbook has options for R-5, R-10, or R-19. Trade-off permitted with MNcheek, but not less than R-5. Protection of Exterior insulation from top of foundation wall to 6" below grade must be Same. exterior insulation protected against UV and physical abuse. Protection of interior Moisture barrier required between insulation and foundation wall from floor to Same. insulation grade. 3. Rim/band joists R-value Cookbook option requires R-19. Trade off permitted with MNclieck. Cookbook option requires R-10. Trade off ennitted with MNcheck. Vapor retarder Required on rim joists susceptible to condensation from moisture diffusion Warm side vapor retarder required. Interior air barrier Rim joist required to be sealed to prevent air leakage. Same. Exterior wind wash Not addressed. Exterior wind wash barrier required. barrier 4. Framing General Framing options include 2 x 4 or 2 x 6 walls, and other framing options such Same. as to walls analized walls insulated masonry walls, and others. Attic ceiling framing Not addressed. Note: wind wash protection required at attic edge. Minimum 6" heel truss from outside edge of to late to roof sheathing. Wall framing: Exterior wall corners and intersections of interior partition walls with Exterior wall corners and intersections of interior partition walls with Exterior and interior exterior walls are not addressed. Exterior joints in the building that may be exterior walls are framed so that insulation can be installed after the sources of air leakage must be sealed. exterior sheathing is installed. Whenever interior framing meets an insulated ceiling or exterior wall, a continuous interior air barrier must be installed. 5. Thermal erformance minimums Vaulted ceiling Cookbook option requires R-38 between framing plus R-5 sheathing. Cookbook option requires R-38 between framing, no insulated sheathing required. Attic access panels Not addressed. R-38 for ceiling panels and R-19 for wall panels, and must be weather- stripped. Floors over Recommend R-30. Maximum U-0.033 or minimum R-30 specified (tirade-off may not be less unheated spaces strin ent that these values). Window thermal Rating must be National Fenestration Rating Council (NFRC) or ASHRAE Rating must be NFRC or default table in the code. Windows must be performance Handbook of Fundamentals. No maximum U-value. labeled. Maximum average U-value for windows is 0.37. Y Page 1 of 4 Source of summary: Minnesota Department of Commerce Energy Information Center 651-296-5175 or 800-657-3710, www.commerce.state.mn.us. 4/00 ~ 39BB• of 41 ROSE E PLRNNEAS and OLRND SS`URVCYORS ENGINEERING aK• /69 ;ry< and 7z >a G. S 70 P is , COMPRNY INC. 1000 EAST 1461h STREET, BURNSVILLE, MINNESOTA 55337 PH 432-3000 CERTIFICATE OF SURVEY Legal Description: G07' BLOC. Bls~C~y9iu,~ R11-?z5;E 2.c%p ~9opiTio t/ D.9•eOTA GOUiV7Y_ 11-~I/IVIVeE SaZ4. ($sz.s) DENOTES EXISTING ELEVATION (Ss3.5) DENOTES PROPOSED ELEVATION INDICATES DIRECTION OF SURFACE DRAINAGE Bs 3 •a3 = FINISHED GARAGE FLOOR ELEVATION 64-9,94 = BASEMENT FLOOR ELEVATION X56, bB = TOP OF FOUNDATION ELEVATION SCALE : 1"a 30' 30 FT F90N7" 9111L21N6 SETBRCK L iNE DRA/NACE AND 30, 00 UTIL/T Y EA,$E/YIENT L' ~ l /59, 26 X855' - boy I`~ N< I 1 J5 L L'7 5 L~k' ' 26' °p gg. i 4 ~1 W 0 32 , 24 8~ 33.00 1 I N 'V J I C8s3,s) 853,s yu8 ~tE✓• O 0~ I 1 ~3 850.86 - acv 01 8 Q45.35: ~ ~ . REQU E I hereby certify that this is a true and correct representation of,a tract c land as shown and described hereon. As prepared by me this 25"' day c I Minn. Reg. No. 16085 Request Date Fire No. Rough-in fns ti Required? 0 Ready Now 0 Will Notify Inspector E, Yes E] No When Ready? - I L /licensed contractor [3 owner hereby request inspection of above electrical work at: Job Qddr s~( reef, Box Ior Route No.) ~ LL . )b City Section No. Township Name or o. I.RangeQo. Coun ,6& O(PRINO Ili Phon No. Power Suppliey~ Address \1 r Elec c Contracto (Company, ame) Contr tors Lid ns Mailin Ad res (C ntractor Owner Making In tarn) t a Authoriz d Signat re (Contra; or/Q er Making Ins II tion) Php umber , ~ W MINNESOT SATE BOARD OF ELECTRIC Y 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 EB-00001 -08 ! ► See instructions fo,completing this form on back of yellow copy. • X" Below Work Covered by This Request tl~ 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 0 to 100 Amps Transformers Above 200 Amps Above 1 .Amps Signs Inspector's Use Only: TOTT6 Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDE CONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in Date l certify that the above inspection has Final been made. OFFICE USE ONLY This request void 18 months from 4536; RFire No. Rough-in Inspection Requ' d? Q Ready Now 11 Notify Inspector es Q No When Ready? I licensed contractor D owner hereby request inspection of above electrical work at: Job Addres ( I. Ba~Lor Route City Section o. Tow hip Name or No. Range No. County Occupant (P Ti Pon No~ Power tier Address Electri al Contra for (Company Nam ~r Co ract r' icen N V Mailing Address (Contractonpr Owner Making Installation) f)'Ap 12 ,Y1 ,,t &g&Ark Auth ized Signature (Contr ctor/Owner Making Installati n Ph n u ber s MINNES 7A TATE BOARD OF ELECTRIC 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`ELECTthis rm of RICAoL eINSPEiCTION 4 ~ T EB-00001-08 instructions Illo- See 4535: _ completing 'j- X" Below Work Covered by This Request New_ dd Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building ryer Other (Specify) Comm./Industrial Furnace + Farm Air Conditioner Other (specify) Contractor's Remarks: Compute Inspection Fee Below: # t Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps k Transformers Above 200 Amps 0 Amps v~ Signs Inspector's Use Only. f) TOTAL r t~•~ Irrigation Booms !J(S~ J O `h, J Oll~ Special Inspection Alarm/Communication THIS INSTALLATION M E O CONNECTED IF NOT Other Fee COMPLETED WITHIN NT I, the Electrical Inspector, hereby Rough-in Date certify that the above inspection has Final Date been made. OFFICE USE ONLY This request void 18 months from CITY OF EAGAN FOR CITY USE ONLY 3830 PILOT KNOB ROAD F.ACAN, 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT # D 5 'I;CRIBII~G. ERXI DATE SIDSNTTAZ PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS` & a::< : . 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 3oc~ REPAIR WATER CLOSET 3.00 BATH ' TUB 3.00 ' O p 3 LAVATORY 3.00 op OWNER NAME: L -~-'Pt e r r e -~-S~y~ k~a nom.-+►.~ KITCHEN SINK 3.00 -3775° LAUNDRY TRAY 3.00 3 ` 00 SITE ADDRESS : 1'i C °q V a,-N.,S L., Lc." -L"' HOT TUB/SPA 3.00 WATER HEATER 3.00 LOT: BLOCK SUBD' FLOOR DRAIN 3.00," O GAS PIPING OUT. INSTALLER; Matthew Daniels (MINIMUM - 1) 3.00 ROUGH 15185 Carousel Way OTHER OPENINGS 1.50 4 :S70 ADDRESS: _ WATER SOFTENER 5.00 CITY: Rosemount ZIP: 55068 PRIVATE DISP. 15.00 . U.G. SPRINKLER 3.00 E 423-3730 SUBTOTAL ~6 ,Sti (~G ST. SURCHARGE .50 SIGNA URE OF PERMITTEE TOTAL: 41, b A ~ COMMERCIAL%INDUSTRIAt PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. I~ CONTRACT PRICE: FEES OWNER NAME: 1% OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR FEE. SITE ADDRESS: EACH $1,000 OF PERMIT LOT: BLOCK SUED. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 1% $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN CITY OF EAGAN IDIC9 1992 BUILDING PERMIT APPLICATION 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which request is made or lot change is requested once ermit is issued. Date / L _ / Valuation of work 'n r ~ Site Location: 04e-L, 1W,11< L46- STREET STE # Tenant Name: LOT BLOCK SUBD. 61aa- ff hd K P. I.D. # Description of work: The applicant is: Owner Contractor ❑ Other (Describe) Name _a l~ `eeyxG- &1) S lr~ a~rr°S Lac- Phone ~ Q Property LAST FIRST Owner Address /o (tq STREET r STE # M City Aj n e4L 11~ State ~I Zip ( _ Company '~_a c°- Phone Contractor Address License # ~w +7 T~ City State Zip Architect/ Company Phone Engineer Name Registration # Address City State Zip Sewer & water licensed plumber PooiPle✓') Processing time for sewer & water permits is two days once area has been approved.- I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable Stat Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY TM ❑ 01 Foundation ❑ 06 Garage/Accessory ❑ 11 Res. Add./Porch ❑ 16 Agricultural ;W 02 Single Family ❑ 07 Fireplace ❑ 12 Comm./Ind. New, ❑ 17 Building Move ❑ 03 Two-family ❑ 08 Deck ❑ 13 Comm./Ind. Add ❑ 18 Demolition ❑ 04 Multi-fam. T.H. ❑ 09 Basement Finish ❑ 14 Comm./Ind. Rem. ❑ 20 Miscellaneous ❑ 05 Apt. Bldg. ❑ 10 Swim Pool ❑ 15 Public Fac. WORK TYPE ,U/90 New ❑ 93 Remodel ❑ 96 Move ❑ 91 Addition ❑ 94 Repair ❑ 97 Demolish ❑ 92 Alterations ❑ 95 Tenant Finish ❑ 99 Undefined GENERAL INFORMATION Occupancy K-3 M-1 Basement sq. ft. MWCC System Y55 Zoning PD R-I 1st F1. sq. ft. City Water C S Const. (Actual) v_N 2nd Fl. sq. ft. - PRV Required Es (Allowable) V- N Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length Owl On-site well Census Code lol Depth 551, On-site sewage SAC Code o► APPROVALS Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ❑ Site ❑ Footing ❑ Framing ❑ Insulation ❑ Wallboard ❑ Final ❑ Draintile ❑ Fireplace MYCC SAC Fees: Valuation: S 150,0C>0- Permit - z Fee 815, 0c) 3 x z, z lo y sac x Surcharge , oo X r 2 = C?ya 100 Plan Review 5z .o0 68oXj5'= /0.7-00 x License 5,00 r3s~-r, ~ K3° = `7~c~x IL1= lo, 9zo ;Z& City SAC 100.00 SAC units Water Conn. Isr FLoo2: Water Meter g5,00 Zy x33 ='1gZ. Road Unit 38a, o 0 x 30 = '780 Treatment Pl. 3o9.00 z x qYz= Iq TXIUQ S S53 d-~l~ A,,ADep• 30 o0 X io " Perk-Ded.5A'A?"*'t 30. 03 boy X53 = `1, C~j.e.5. s/.r Slc. ~ ~ Z hID ~l. oo{L , 8ther /W k9C c 0 y 3 ~t . ~St ~c S 3 = L) 3 Zt_-{l Total : i ugI z Z. CONSULTING ENGIN6ERS , R0 aE PLRNNERS and LAND iURVEYORS P NGINEERING S 70 and 7Z C I N COMPRNYS, 1000 EAST 1461h STREET, BURNSVILLE, MINNESOTA 55337 PH 432-3000 CERTIFICATE OF SURVEY Legal Description: GOT 2gzae & B~ y~9x/,~ ,P/I~6E 2~/~ •9~O~T~oN gW.eoT,4 4 O6//V7Y (79-2--j-7) DENOTES EXISTING ELEVATION (BG3.5 ) DENOTES PROPOSED ELEVATION INDICATES DIRECTION OF SURFACE DRAINAGE Bs 3.83 = FINISHED GARAGE FLOOR ELEVATION 64-8,64 =BASEMENT FLOOR ELEVATION ~b• bB = TOP OF FOUNDATION ELEVATION SCALE : r 30' 30 GT. FRONT BU1LD1,A1,6 DRq/NACiE AND 5ETBAGK L 1N6 30,00 UTILITY Z N 87° 23' 28"E (as6•D~ _ l /59.26 BSS - 01 cz L ,i I t owl ~ 26' °p dSgg. i 1t;A $ o i I I I f v O j ~~a ~~5~•5~ / ~ V 1 l H 4" 0/ 22, c+o ~~54: 2 r / cn ~8s¢o~ r ti 32.24 33 00 lL oo° oo `V 1 X852; ~ ~ Zo.oo ~ ~s2;si I ~SS3.s) ~o as3 s #4046V 0q ~ I .s6 Aso ~ 0 i84s;~ „ Z 3 G~r 8 (84s-.9) to r% U I I hereby certify that this is a true and correct representation of';a tract of land as shown and described hereon. As prepared by me this Z5--1' day o: 19 12- Minn. Reg. No. /(ao85 i CITY OF EAGAN L_,~ B ME CHANICAL PERMIT RECEIPT # 0,5 vo SUED. :::r~ur (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: FEES SITE ADDRESS: I,CJI~ ADD ON/REMODEL (EXISTING $ 15.00 I- CONSTRUCTION ONLY) HVAC: 0.100 M BTU 24.00 INSTALLE Leaf ADDITIONAL 50 M BTU 6.00 ADDRESS: tw LJ GAS OUTLETS - MINIMUM 1 @ $3 EA. CITY: ZIP: 9 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 $ :iI'dPN9fUM FEE - $25.000 OWNER: TOTAL: $ SITE ADDRESS: TENANT: SUITE INSTALLER: ADDRESS: CTI'Y: ZIP: PHONE CITY SIGNATURE: SIGNATURE. Volume No. _ er 1a eo T*Itle OWNER'S DUPLICATE CERTIFICATE Ccrt IfiCate No. 8 3 8 4 5 Document No. 215905 District Court No. Transfer from No. 8 0 5 9 7 Originally registered the 18th day of April 19 59 Volume Forty page 59 State of MIX-.nesota,I ss Cournt.y of Dakota. ' .~fci t9. 10 re~t1 11WY Meritor Development Corporation 605 West Travelers Trail of the City of Burnsville County of Dakota and Stare of Minnesota is tTOw the owner of an estate, to wit: fee simple of and in the following described land situated in the County of Dakota and State of ]Minnesota, to suit: Lot Two (2), Block One (1), 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 proutded in Laws 1905, Chapter 305, Section 24, namely: 1. Liens, claims, or rights arising cinder 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 Meritor Development Corporation is a corporation organized and existing under XXX&AXXXXK)bX)SXXXXXXXXXXXAKX. XribI6 UXIXXX the laws of the State of Pennsylvania. XXK)O)XXXXXXXXXX&XNMrXXXXXXXXXXXXXX14XdMNXM1. it 11t1wcJJ 111ci,eol 1 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) IF) and for the County of Dahora and State of Minnesota. 31EIIORIA1. ' of Estates, Easements or Charges on the Land described in the Certificate of Title hereto attached. DOCUMENT RING OF DATE OF REGISTRATION DATE OF INSTRUMENT NUMBER INSTRUMENT MONTH DAY YEAR HOUR MONTH DAY YEAR AMOUNT RUNNING IN FAVOR OF SIGNATURE OF REGISTRAR A.M. P.M, 215904 Declaration f Pro ec ive oven nts and o he land l Ma 17 1981, 3:0 4 27 '89 - The Public James N. Dolan 239209 Pressure R ducin V lve gree ent (and th r Ian s) Between City of Eagan and Fe 6 1991 10 46 12 7 '9 - Meritor Development Corporat' n James N. Dolan i 2422 Enterprise Drive Mendota Heights, MN 55120 * PIONEER LAND SURVEYORS • CIVIL ENGINEERS (612) 681-1914-Fax 681-9488 engineering LAND PLANNERS • LANDSCAPE ARCHITECTS 625 Highway 10 Northeast Blaine, MN 55434 * * (612) 783-1880•Fax 783-1883 Certificate of Survey for: LQP lef re Custom Homes, Inc. House Address: Blackhawk Lake Drive. Eagan, MN 1 ~ 1 ~ I I S 87°23'28" W 855.9 1 I 159.26 5.00 I 56.95 rv u 26.27 I L --r=_ 0 020.00 ° I ~~I I 51 33.00 n I 2.0 0 I ~ N ~ 1 Z y I o I / 7.0 = 22.00 2.0 I p 4/ Q O m ~ 0.0 1 /0 O / o Z s~ 26.00 CO o A 1 O I w / / oe o I l / 30 1 / N 4 4 845.6 L=28.58 cy / m -12_ • 900.0 Denotes Existing Elevation PROPOSED HOUSE ELEVATION 900.0 Denotes Proposed Elevation Lowest Floor Elevation: 847.55 - - Denotes Drainage & Utility Easement Denotes Drainage Flow Direction Top of Block Elevation: 855.66 -o- Denotes Monument Garage Slab Elevation: 855.33 -e- Denotes Offset Hub Bearings shown are assumed LOT 2 BLOCK 1 BLACKHAWK RIDGE DAKOTA COUNTY, MINNESOTA 2ND ADDITION 1 hereby certify that this survey, plan or report was prepared by me or un er my erect supervision and that I am duly Registered Land Surveyor under the laws of the State of Minnesota. Dated this~~day of I+ )AP4i+ A.D. 19~. Scale: 1 inch= 30feet ROBERT 13. SIK`OH .51. REG. NO. 14891 039 92100.00 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 Remodel/Repair 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% maximum 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. Addition - indicate if on-site septic system Tree Pres Required - Y - N 4 set of Energy Calculations On-site Septic System _Y _N 3 copies of Tree Preservation Plan if lot platted after 711/93 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 12- / 4~; 107 Construction Cost l - ~ Site Address 13L-Lc. C k- 4axjrtC Unit/Ste # Description of Works t Multi-Family Bldg - Y ~-N Fireplace(s)_. 0 1 - 2 Property Owner Po Gt ~Q Telephone # (C 3-() 5 3 0 Contractor s w(~L ~-o eo d5z'2 J-C+ 0 C Address `S-Z19 /q7 Z Z2 ~ -7 City /UK). r' State A/ /VJ Zip 5`~ / Telephone # ( c~2 c( COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Energy Code Category Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (~1 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. LX- 3kA AC 2 ~a CSC d~1C Applicant's Printed Name Applicant's Signature JUN 0 6 2007 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 C' 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 r% i'aD0 Occupancy MCES System Plan Review 100% or 25% Code Edition L 2©°0 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 - lee & Water _ Final Pool _ Ftgs _ Air/Gas Tests _ Final Framing Siding _ Stucco Lath Stone Lath Brick Fireplace LO R.I. 'Air Test Final - Windows Insulation - Retaining Wall Approved B . Building Inspector 2~ Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total 2007 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Do not combine inside and outside plumbing on the same application; separate applications and permits are required. Date l' / l / 0 7 Site Street Address r Unit # Property Owner Telephone # ( ) Contractor -e c Telephone # (`rte)4 _~9 -i Address ' CcC~ . c z,. City State The Applicant is: _ Owner & Occupant' Licensed Plumbing Contractor Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Fire Repair (replace burned out fixtures, etc.) $ 90.00 This fee applies when extensive plumbing repairs are made to a building. Alterations to existing dwelling $ 50.00 Add plumbing fixtures to I,< main level lower level. This fee includes installation of a water softener and/or water heater at the same time. if you are installing only a water softener and/or water heater, do not complete this section; move to the next section and place a checkmark next to the appliance(s) you are installing. -Septic System Abandonment -Water Turnaround (add $136.00 if a 5/8" meter is required) Other: Water Softener Water Heater $ 15.00 new _ replacement Lawn Irrigation _RPZ _PVB new -repair -rebuild $ 30.00 State Surcharge $ .50 Total $ I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. Applicant's Printed Name Applicant's" ' ature PERMIT City of Eagan Permit Type:Building Permit Number:EA116791 Date Issued:10/11/2013 Permit Category:ePermit Site Address: 1499 Blackhawk Lake Dr Lot:2 Block: 1 Addition: Blackhawk Ridge 2nd PID:10-14401-01-020 Use: Description: Sub Type:Reroof & Siding & Windows/Doors Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection 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. Valuation: 12,000.00 Fee Summary:BL - Base Fee $12K $221.25 0801.4085 Surcharge - Based on Valuation $12K $6.00 9001.2195 $227.25 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 - Soreth Phann 1499 Blackhawk Lake Dr Eagan MN 55122 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA153323 Date Issued:12/10/2018 Permit Category:ePermit Site Address: 1499 Blackhawk Lake Dr Lot:2 Block: 1 Addition: Blackhawk Ridge 2nd PID:10-14401-01-020 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Soreth Phann 1499 Blackhawk Lake Dr Eagan MN 55122 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature _To:_ 6516755699___ From: 7637108061 _ ___ _ _ 7-31-19 9:15pm 2 of 3 r For Office Use `. `. .��� ::: #: /s ,d3 -....... ........, Fee: (e,3-EAGAN � CC 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 Date Received: 7 '77 (651)675-5675 I TDD: (651)454-8535 l FAX: (651)675-5694 buildinginspections@citvofeagan.com Staff: J 2019 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 7/31/2019 Site Address: 1499 Biackhawk Lake Dr, Eagan MN Unit#: Name: Richnie Phann 651-238-5966 i (Resident/ Phone: 1499 Blackhawk Lake Dr, Ea Owner Address/City/Zip: an MN 55122 Eagan s Applicant is: Owner Contractor - 1 1 Type of Work j Description of work: Replace existing over head garage door on attached garage. # $2000,00 Construction Cost: I Multi-Family Building:(Yes t No ✓ ) I 1 Company: AA Garage Door Contact: David Sands ; i : I Address: 562 Lundy Lane Hudson r Contractor City: e yI State: WI zip: 54016 Phone: 651-702-1420 Email: dave@aagaragedoor.com o k License#: Lead Certificate#: NAT 671642 If the project is exempt from lead certification,please explain why: • t COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING E in the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? i • Yes No If yes, date and address of master plan:_ i Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor. z NOTE: -- ---- __ Phone: TE Plans and supporting documents that you submit are considered to be public Information. Portions of the information may be classified as rt Wlc If you provide specific reasons that would ermit the CI to conclude that the 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.citvofeaoan.comisubscribe. 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(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.g:oherstateonecall.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 appy I o plans..4 `� xDeborah Nyasende ,/41/010,//iii� Applicant's Printed Name Ap Iicant's Signature( PERMIT City of Eagan Permit Type:Building Permit Number:EA162786 Date Issued:07/28/2020 Permit Category:ePermit Site Address: 1499 Blackhawk Lake Dr Lot:2 Block: 1 Addition: Blackhawk Ridge 2nd PID:10-14401-01-020 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 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 - Soreth Phann 1499 Blackhawk Lake Dr Eagan MN 55122 (651) 278-5850 Crew2 Inc 2650 Minnehaha Ave Suite 100 Minneapolis MN 55406 (612) 276-1680 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA163836 Date Issued:09/14/2020 Permit Category:ePermit Site Address: 1499 Blackhawk Lake Dr Lot:2 Block: 1 Addition: Blackhawk Ridge 2nd PID:10-14401-01-020 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Soreth Phann 1499 Blackhawk Lake Dr Eagan MN 55122 (651) 238-5037 Home Energy Center 2415 Annapolis Lane N #170 Plymouth MN 55441 (763) 476-1990 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA165391 Date Issued:10/29/2020 Permit Category:ePermit Site Address: 1499 Blackhawk Lake Dr Lot:2 Block: 1 Addition: Blackhawk Ridge 2nd PID:10-14401-01-020 Use: Description: Sub Type:Reroof Work Type:Replace Description:Includes Skylight Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Soreth Phann 1499 Blackhawk Lake Dr Saint Paul MN 55122--125 (651) 278-5850 Options Exteriors 460 Hoover St NE, Suite 2 Minneapolis MN 55413 (651) 705-6376 Applicant/Permitee: Signature Issued By: Signature