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1523 Blackhawk Lake DrE ??ES$i; 1?Q?' ?? t??, E??K x i. ????? ??:????? ?.??? ?? ? OT'MPE: ....?. i x ..: ?- -. . FOAi7 104 tt" ? f,y_.. -. _ . . . i ? IK W,?' ??????? ??otj i; ,_ ? .. ., . ?. , ? ? y `b a .? . ??? - . . . c ? RMO Mg. O-n Aough ? 19W" Finei ii1p. ? _ ! C?be?7?et ? FNm! Pft. ftg. k"ecW - NoNty Phxnber Corlet: Mater ?~ 614 FkW Dec1t Rg. , Dedc Fklai ? R?, Dlep. " irooim?C il?fa. ?r?Nt l1o ?l?r R7?e '? ? V ?T ?.: ? - 4? T 410661 ??... comwerAs I I ,I r ?la Verttfirate of COxruparirl,?j?. ,. '? - titp af (tagan lippurw"t of Iuaahto 3wptim T1us Certificate issued pursuant to the requiremenls of Secdon 306 of ihe Unifvrm Building Code certifying that at the time of issuance this structure was in compliunce with the various ordinances o}'the City regulatin,g building corutruction or use For the foUowing: vse cbmirw.uoo ? ??GAR W& Peflwt ro. 147 o=,+w--r Tra R3/MJ zou8 nWs;a PD/Ri r?w cam VN ow« ac s? t?`'?•tIAID '..MSMtJCITflN Add.4143 40ni AVE 9Q, MPLS l S23 BI.AMiW bAKE DRIVE t-sk I3, B l, B1,.AQf3AW RTT1[? 2iVD ???,,?? f°" `,' ;:{/ ?? 7l24192 =T wft omcw POST IN A GONSPICUOUS PLACE ' i Address: 1523 BI.AaOIAWK LAIZE DR Lot3 Blk 1 Sec/Sub BLAaOiAWK RIDGE 2DID These items were/were not complete at the time of the final inspection. D e: 7j27/92 Yes No TnspPnfor* Final grade (6" from siding) Permanent steps - garage Permanent steps - main entry Permanent driveway ?,,? Permanent gas Sodjsesded grass Trail/curb damage Porch ? Baseraent finish ? Deck ?-? Please verify with the builder the ramoval of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before fraeze potential exists. & PECYCLFORIPER White - City copy Ye11ow - Resident copy Pink - Contractor copy n 54 Requesi Date ?Q Fire No. Rough-In Inspection Requir (YO m call inspsetor when ready) Inspection Other Th n Ro gh-In ? Ready Now ll Notify Inspector Ves ? No Date Read i icensed contractor ? owner hereby request inspection of above electrical work at: Job Address (Street, Box or Route No.) 1 g'a- 3 j9L,4cK_ltiq-wL City IE4(AA) Section No. Township Name or No. Range No. County OAX ? Occupant (PRINT?? m Phone ??Ibi t 3? Power Supplier Address Electrical Contractor (Company Name) Contractor's License No. Pvc,r ? oo L ? :7 Mailing Address (Contractor or Owner Making 1 aliaiion) ? ?3.3? e6if ? vt?Y/?/o ???. Ef"fG? ?/y? 7"i /l) Authoriz ign re ( ntr toXAZ aliation) ?f ... . . ... .. .. ?t.7w? Phon e Number ?'3 ? '; "-3 . 1821 rUn rve s ty pde ; RSt. oP m SMN8 b 04 ICITY UNLESS 'COSEROP ' T ER NSPEC7 ONB 6E IS Phone (672) 642•0800 E ??? ( ? _ REQUEST FOR ELECTRICAL INSPECTION oi- See instructions for completing this form on back of yellow copy. "X" Below Work Covered by This Requesf ?E-09 New Add ep. 't ype of Buiiding Al5plianc6s-Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner ry.??N? , Y Other (specify) Contractor's Remarks: eAti rf 7' ? ?, "' " t ? ?W ti Compute lnspection 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 ove 100 Amps SIgCiS inspector's Use Only: TAL Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE QRDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MO HS. I, the Electrical Inspector, hereby if h h Rou9n-in y t at t cert e above inspection has been made. Final Date OFFICE USE ONLY This request void 16 months from 2 919 4/,& aj ' > ?ss Request Date Fire No. Rough-in Inspection Re uired? Notify Inspector ? Ready Now ti Yes G No Ready? len licensed contractor ? owner hereby request inspection of above electrical work at: Job Address (Street, Box or Route .) City a L ? Section o. Township ame or No. Range No. Coun Occupant(PRtNT) ? Phone No. Power Supplier Address Electrical Contractor (Company Name) s Contractor's License No. Mailing Atldress (CoMrador or (Dwner Making nstallation) ? ? ? Authonzed Signature (Co ract / wner Maki Install n) ,?? ? Phone Nu ber ?' MINNESOTA STATE BOARD OF ELECTRICITV ? THIS VNSPECTION 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 es-ooooi-oa? / ? Sao inctnicbnne fnr mmnleihin t?,ic inrm nn hark nf vollnw ennv /A /... rs I "X" Below Work Covered by This Request ?4, ew Add Rep. Type of Building AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./industrial Furnace Farm Air Gonditioner Other (speciy) Contracror's Remarks? Compute Inspection Fee Below: # Other Fee # ServiceEntrance Size Fee # CircuitslFeeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps jf Transformers Above 200 Amps -? Above 100 Am ?Q-K+ Sigr1S Inspecior's Use Only: T Irrigation Booms Special Inspection AlarmlCommunication THIS INSTALLATION MAY SE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electricai Inspector, hereby tif h Rough-in --? oac s-!l ? cer y t at the above inspection has been made. F?nal ?a?7? f? ?Y ? f OFFICE USE ONLY . • This request void 18 months from { j? W'J.11_ Al 1 ON ???? ? ? ? H6 ?4 3 OV 6 ? ?? ??t tl 6 t ?MAI. ti i. . . . - ? . - _. -•f.?• ? ? , . , - l t7P {,'t E.` #R 1f? A ?? WORK t O1.i 1?10 t':#) t'C7P? f1 N'l k% I lliita PJtt 0, 3lV t .,f 1iA f? A I t i'i $?M 't I k N -, , ? FRAMNG ? - , ROtM PfrULOW lm MO4iGf tiEATM t3A8 BVC 'fEt?t . INSUL t#YP Ot71lRD Fwdn" AIR? FINAL PLOG _ r-a+w. rrra OFN1tT 7E87 BL.DQ RtAL BtiWR.i. BSWT F7NAL dEpCFTQ DEi:K FNil1t. (? ` ? - 2005 RESIDENfiL41 MECHANICAL PERIVII'T' APFLICATIOlY Ci#y Of Eagaa 3830 Filot Knob Road, Eagan MN 55122 Tel+ephone # 651475-5675 Please complete far: single fan-ily dweliings & townhames/condos when permits are •required for each unit I hereby apply for a Residentiai Meehanical Permit and aeknowledge thmi t.he inforrnation is comple#e and atccurate; dmt the vwarkViIf be in aanformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; tha# I und dthi"s ts nst a permit, but only an application for a permit, and work is not ta staet without apermit; tltat the' work will be in accortlance ivith th0 approved plan in the case of work which requires a review and approv pi s. APplic t's Frinted Name App ' t` ignature D?? CCT Q 3 -2Qtl5 Date O 7 / --"21 14005 Sfte Address, QC kb QW, k - Lk. b1c Unif # Property {l!wner Te}+cpbone # {{?r } In??' ' N2?-T ? Contrattor 1\ C?? ? Ui lo, Street Address ?, ?(? ?'Y-? -??'' • tGV .,. city C9S oayi State Zip Tetephone # ( 405/ $ond #• Eatpires: The Applicant is Owner ? Contractar Other A:dd-on ar aIteration ta eaistiug dwelUag unit $ 30.00 J( furnace _Additiarrai iRiWacement air sxchanger air canditioner _ New ? Replacement other ? State Sureharge $ .50 Total ? , ': ?? $ Pkase c.omplete for: comenerciallindustriat buiidings rmrlti-famity buiidirrgs w}en separate permi#s sm W Mui#W kat' ea*: &velliag unit Thc Applicant b Owner Contractor {?tiier a Fermit and 'w#Il be in conformance wi1lr the ordinances and cades of ttxe Gity of EWn and wi#h tho Mechanical Gods?K tW I un??a?i: ? is not a ps?it, but onLy an application for.a permit, and work is not to start wi?r?s? a gerirtit, t?iat the wa?tk +?iH #e fta,ac?cftwe wW ft appmved plan in ?Che case of work whic,h requires a review and apprml,of plans. ? AppticmlVs Prin#ed Natnc _ . . . ? , - . o,. ;ApprovedBY: , InspoMr 'Date' . d • CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 - ?-- PERMIT ? PERMtT TYPE: Permit Number: Date Issued: BUILDING 000147 04j01/92 SITE ADDRESS: DESCRIPTION: 1523 BLAGKHAWK LnT: 3 BLpGK: 1 BLACKHAWK RIDGE 2ND 8411 d, irtq Permit Type LAKE DR SF QWG NEW R-3 M-1 V-N PD R-1 78 28 REMARKS: PRV S& W CONTRACTOR - VALLEY PLBG FEE SUMMARY: vaLuATInN Base Fee Plan Review 5urcharge SAC SAC % SAC Units Subtotal $846.80 $549.98 $79.50 $700.00 100 1 $2.175.4@ COMpffi loN N 5T 4143 407H MINNEAPOLIS (612) 724-2829 - ApP AVE 5 pIN 55406 $159,0@@ LICEN5E SEARCH $5.80 MISCELLANEUUS $1.610.50 Total Fee $3,790.90 Gant - ST. 17242829 0004 INER: 05LUND GONST 4143 40TH MINNEAPnLIS (612 ) 724--2829 Control No. 0 5 5 AVE S MN 55406 ` I hereby acknowledge- that I h,&vo. r#a4 th;ts app.kication-and ttate th,at- t.he ? ir?farmation is carrect and a?row to com?1y wj th a 11 aPplioab1e State bf Mn. Statutes and G3ty of Eagan f3rdin;?nces?. ? ' d,U' I t APPLICAN WERMITEE SIGNATURE ISSUED 13Y. IGNATUr INSPECTION RECORD C°ntr°' N°. CITYOF EAGAN PERMITTYPE: BUILqTNG 3830 Pilot Knob Road Permit Number: 000147 Eagan, Minnesota 55123 Date Issued: 04 /01 /92 (612) 681-4675 SITE ADDRESS: Lo r: 3 e Lo e K: i APPLICANT: 1523 BLACKNAWK LAKE DR OSLUND CQNST BLACKHAWK RIC3GE 2ND (612) 724-2829 PERMIT SUBTYPE: TYPE OF WORK: SF DWG NEW INSPECTION FOOTING .A . FRAMING .A INSULATIqN FINRL FIREPLACE PERMIT #Z . ? ? CITY OF EAGAN 1992 BUILDING PERMIT APPLICATION 681-4675 MAR 3 0 RECO SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy ealcs. 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 re uest is made or lot chan e is re uested ance ermit is issued. Date I'-i,4 -,c?,/ ' _ / -3?, / 2'__ Valuation of work Site Location:L?.2? Zz e -)=- STREET STE # Tenant Name : Os LOT ? BLOCK ? SUBO. /' ?` f A??• P. I.D. # Descri tion of work: The appl i cant i s: El Owner ? Contractor O Other (Describe) Name Phone '7 z ?'- z-S z ? Property LAST ? FIRST OWt1eC Address STREET STE 0 City State Zip Company K575 Phone .,?z_?I-- -z5,--5- Contractor Address Y/ 4/? !?o . License #ogcs.xja?e, jExp14 -?? !P? City /LJ b/s State Zip 5-5-Yog/:' Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber f r M.r, . Processing time for sewer & water permits is two days once' has be napproved. 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. Signature of Appl icant: BUILDING PERMIT TYPE ? 01 Foundation 002 SF Owg. 0 03 Two family O 04 Multi-fam. T.H. E] 05 Apt. Bldg. WORK TYPE 0030'1 New ? 32 Addition O 33 Alterations OFFICE USE ONLY O 06 Garage/Accessory 0 07 Fireplace 0 08 Deck E3 09 Basement Finish O 10 Swim Pool ? 34 Remodel ? 35 Repair IJ 36 Tenant finish GENERAL INFORMATION O 11 Res. Add./Porch ? 12 Cortrn./Ind. New O 13 Comm./Ind. Add ? 14 Comm./Ind. Rem. O -15 Public Fac. ? 31 Move ? 38 Demolish ? 99 Undefined Occupancy R-3 ?_ I Basement sq. ft. Zoning pD R"1 lst F1. sq. ft. Const. (Actual) Y- N 2nd F1. sq. ft. (Allowable) V- N Sq. Ft. total # of Stories Footprint Sq. ft. Length ? On-site well Depth z g? On-site sewage APPROVALS 4; ? .?, ? ?..? , " ? 16 Agricultural ? 11 Building Move ? 18 Demolitian ? 20 Miscellaneous MWCC System City Water PRV Required Booster Pump Fire Sprinkler Census Code SAC Code Planning Building Engineering Variance REQUIRED INSPECTIONS ? Site O Footing O Framing ? Wallboard ? Final ? Draintile YES YES Y4?S l0I _,.Qi_ El Insulation ? Fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Capies Other Total: SAC % SAC Units Z N D f7LOop : 4axzgls ?i?a *A53 = Sq,3640 /SSBpc? BNb. +Do vattation: s 1S9,000 ° 1 P1 X 24 = 81 5 9.9o ? • z. x t2? (zy) -,-?..--.-a, 700.00 _....,- 992x lrls i2, 6'1Z ioo,oo b95,00 y(o x2?3= t2?8 95,00 q ? 3 k2= 2q 30,00 30, Qo G x 6 G ?(? 3? I ? IZ G X !5: 19??40 350,00 ?sT ?i.oti 'E esr?T= 6 2 8 12? ? x s 3:. ?'? , Assessments * PIONEER ? engineeri 'k * * * LAND PLANNERS • LANDSCAPE ARCHITECTS Certificate of Survey for: BOb Oslund A I r g5o?fo -----x S 87•28'02" E 50_ 91 2422 Enterprise Drive Mendota Heights, MN 55120 (612) 681-1914•Fox 681-9488 625 Highway 10 Northeast Blaine, MN 55434 612) 783-1880•Fax 783-1883 $ 52.? ? ? (.P W CO O C5 ? ? L 1 s vh, vo ? ` ?• ?6 - 4?. L_5 , 0.00 = i 9 05'14.. ? .. ? ? R ` 150. (7g : 45.6 r - - '" 3 y5, a ?°- x • 900.0 Qenotes Existing Elevation PROPOSED HOUSE ELEVATION • soo.o Denotes Proposed Elevation Lowest Floor Elevation: Sq/, /z Denotes Drainage & Utility Easement Top of Biock Elevation: $y8,Z3 - Denotes Drainage Flow Direction -o-- Denotes Monument Garage Slab Elevation:8Y7, 9 ---9- Denotes Offset Hub Bearings shown are assumed LOT 3, BLOCK 1 BLACKHAWK RIDGE 2ND ADD. DAKOTA COUNTY,_ MINNESOTA 1 hereby certify that this survey, plan or report was prepared by me or under my direct supervision and that I am duly Registered Land Surveyor under the laws of the State of Minnesota. Dated this7 day of M 01 ?rk A,D. 19 c7 L R EV1'SCb{b0SE S1715 3/3 049 Z IF`? Scale: 1 inh=30feet ROBER Egl.SI I H.S.REG.N0.14891 LAND SURVEYORS • CIVIL ENGINEERS 039 92124.00 ? CITY OF EAGAN EXTERIOR ENVELOPE AVERAGE 'U' COMPUTATION Uh'NER: ??? I M?i c" ?.:v:.. 1 .:. /,_ 5 v SITE ADDRESS : l -3 l y, 2 CONTRACTOR: DATE: PHONE: Determine working square footage of each: 1. Total exposed wall area . . . '3 sq. ft. x .11 z+ ?3 2. Total roof/ceiling area ... ,'r' 2 ?? sq. ft, x.026 = ;2- y', i Z. Total ezposed wall area above floor - -21 z y?, a. Total wall window area ............................ (-7 / b. Total door area ................................... 17, c. Total sliding glass area .......................... 7Y- d. Total ffreplace wall area ......... ............... 3? e. Total wall framing area (average 10%) ............. 1-_1;, _?5_ f. Total net wall area above floor ................... ?-7 yL g. Total rim joist area .............................. :z,11b r. Total exposed foundation area = ?!?,e. ?T h. Total foundation window area ............. ......... i. Total net foundation area above grade .............. Determine 'U' value of each kall segment: a . x ' U' z b. x 'U' -?r C• X I U1 -7 Cz, d . X IU I e . x ' U' f• X V Ut G t/ 73 FC Z B• x ' U' , o=? z h . x ' U' i. x ' U' 3 . ................................................... Total ?yf z ?6. 31s- , If item #3 is the same as or Iess than item #1, you have met the intent of SBC 6006(c)2. Total exposed roof/ceiling area z r? z?1 3. Total skylight area ............................... k. Total roof/ceiling framing area (average 10%) ..... 1. Tota1 net insulated roof/ceiling area .............. OVER " ?r . . . Determine 'U' value for each roof/ceiling segeoent: ` ,j x ' U' = k. x' U' .b -2- '(? = '7, e c z( 1. x I U' , C? `y 2._.. 4 . .............................. ....................... Total zZz. ?---------a- If total of #4 is the same as or less than #2, you have met the intent of SBC 5006(c)1. Alternate Building Envelope Design To utilize the total envelope system method, the values established by the sum of Items #3 and #U shall not be greater than the sum of Items #1.and #2. 1. + 2. 3. + 4. 2 k CITY OF EAGAN ? 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: P. I o N.: 10-1 4401-030--01 PERMIT PERMIT TYPE: Permit Number: Date Issued: 1523 BLACKHAWK LAKE ClR LqTs 3 BLOCKa L E3L.ACKHAWK RIDGE 2NCl m9a G4 eurLnIn?G 025264 03/2s/95 DESCRIPTION: uilding°,:Permit Type BASEMEN7 FTNISH Ua.ldirtg Wv,rk: 7'YPe ALTERATICIN REMARKS: A SEPRRAI'E PERMIT IS REQUIREp F'OR ANY PLUMBIfVC qR ELEC1"RICAL WORK FEE SUMMARY: Base Fee $35.90 Surcharge _ e50 Tcatal Fee $35 0 50 CONTRACTOR: _ Ap p licant _ S T. LICa OWNER: QllALITY CARPENTF2Y SERVICES 18941961 0009073 WISSER JZM 1604 E CLIFF Rp 1523 BI.flCICHAWK LAKE qR BURNSVILLE MN 55337 EAGAN P1N 55121 (612) 894--1961 (612)686-6133 INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: Bu xLo r NG 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: ?????? (612) 681-4675 0 3? 2 3 J 9 5 SITE ADDRESS: LO7e 3 BLOCKs 1523 BL.AGKMAWK LAKE DFt BLACKHAWK RIQGE 2Np PERMIT SUBTYPE: BASEMENT FINT5M APPLICANT: 1 QUALZTY GARPENTRY 5ERVTGES (612) 894-1961 TYPE OF WORK: aLTERArIarv INSPECTION FRAMTNG D. . INSULATIqN DA ROUGM TN PL.BG FINAL ?if2EMARKS: A SEPARf1TE PERMIT I5 REQUIREp FpR ANY PLUMBZNG QR ELECT'RIGAL WpRK I? L crTr oF EAGaN 4-5?,.5 D 3830 PIIQT KN4B RD - 55122 1995 BUILDtNG PERMiT APPLICA7iQN (RESICfENTlAL) cou'5°a 681-4675 ? 3NOMNW sih weYs ? 2 copies of plan +? 2 coPies ofi pfiens (indude beam & window citas; Rcurod Md. eesign; etc.) ? 2 sb aurvays (exterior additum & dedcs) ? ioneW callculatbns + 1onetgy tsatcutations ibf ieatei addklOns ?? 3 coRio tyf trss proservation ptan if bt plaftd attet 711193 VeguiroCt: YIs „_,_ No CiA'E'E,:F,- ._.lq1 - CONSTRUCTION C{aST: ESCRIPTION CaF WORK: ?'? ? S k? L1 STREET AdDRESS: LOT ,.,jBLocK 1 sugo./P.i.o. #: PROPERTY Name: _AvvxdLytc? W?s 52L Phone#: p6 - i DWldER _ LM pots* Street Address- 1613 & ,,Jlc.. 'R City: 5'? J aV", State: Zip• COi"i'RACTOR Company: Qk3.4 L, (QtQ2L4? ?2r? ? ce,S Phone q Street Address: 15 nq f-g5+ C?. t ?? Licen? #• t???J . ..1 . City:_? State: .__?..._ Zip• 55 ARGHCtEGTI Company: Phone ENGtNEER Name: Regis#ration #• Street Address• cfty: state: ? zip* Sewer & waW lioens+ad plumber. Penaltyr applies when addtess thange end bt diange are roqueded ance permit is issued. t hereby acknovledge that I have read this apptication and sWe that the ? State of Minnesata Sta#utes and City of Eagan C?r{dinances. Signatute af Applicant: OFFtCE USE ONLY Certifiates of Sunrey Received Yes No Tree Presenrafion Pian Remived Yes No is cgtrecc:t wtd agree '{o comx?ly wfth ali ECEOVED MAR 2 1 1995 OFFICE USE C)MLY BUILDING PERMIT TYPE a Qi Foundation ? 06 Duplex ca 02 SF Drnretiing o 07 4-plex o 03 SF Addition o 08 8-plex ta 04 SF PQrch o 09 12-plex 0 05 SF Misc. 0 10 _ plex WORK TYPE o 31 New ciB:?-33 Afterations n 32 Additian o 34 Repair t3ENERAL INFt?FtMATIC>N ? 1 0 0 19 AptJLodging d/- 16 Basemen# Finish 0 12 Muiti Repair/Rem, 0 17 Swim Pool 0 13 Garage/Actessory o 20 Public Facility 0 14 Fireplace 0 21 Ahiscellanevtts 0 15 Deck 0 36 Move a 37 Demolition Const. (Actual) Basemerrt sq. ft. ? MCMIS Sys#em (AUc?wable) Main level sq. ft. ? Gity Water UBC C3ccupancy sq, ft. ? Fire Sprinklored Zoning sq. ft. ? PRV # of Storiss sq. ft. ? Bccster Pump ? Length sq. ft. ? Census Code. Depth Fccxotprint sq. ft. SAC Code Census Bfdg ? Census Unft APRROVALS . Pianning ? Building Engineering Wariance 4+ Permit Fee Valuation: $ /?Ob Surcharge Plan Revi+ew . License MCt1NS SAC City SAC Water Ccnn. Water Meter acet. t}eposit . SNV Perr»it . SN1f Surcharge Tregftnen# RI. Raad Unit Park Ded. . Traiis Ded. E)ther Copies Total: % SAC SAC Units ? , . ,. ?. ? CM#!Wt3N.Y ? ?? L _ .? ?L Ft?cE??: t _. { C?t,nc? n p r? , . ? , ?.. ? ? . " . . . ' ., .. f ? y4 , . . . - , . . . . . iYYACH . . " . NO. . . . . . e , . . . . .. F? ? ? g ?,: ??y '?..•i# E?l{1+1 ? _V' ,1? ?w +.. ? +IbW ? . M+` .. z' . C - ' YY?I +V A . , . . Tub' . ; x. ? g ?? Sink- jy VY00 &00 ? x ? . . T - ? ` . ' ?? . ` - Y!/,Y?Y??1?[ M 3 . ?-,- - ? µ - . . Hot'??Spa . 3t00.. x.. eMor ' - - W &00 . . ? . ? .: . .. . '3` - VQs POiV Ouft * ?ftum-"' 1 .00 - x " ?? ? : - ' " A. _ ?;. . . ??7 i? ?????? . ? . . 1 ? ? ? ? . k4 ? ? ' . i .? ?aw SoftmL , . 6.1I0 x M i '.:. - . ' P&Aft -D t ? Dsko* y?ty. #4mw- fi?{{V# ?VY +w U?+tl ` iM?# y. ? t . U.G. ?rk*i3r # iPJm urmw cofwt ' . +y7sT.0 i , ? •"M? ?4i? ?? .. . - . . _ _ 20?.00 ? ? ???? ?CHAfWE .. . . . . . .. ' . . . _?_? +? ? ? .. ? ? . . . ?TAL s ,s#? ? ? . . . - . ' .. . .. . ' .. . . . ' . - ... . . . . .... . - - H - . - k:: -?? ??ESS• - ?. ?i .c . <'?a< _ . _ . . . _ , . ' . . . . _ . ._ . . . . . . . -_ , . . . O?F-R t"E• . .. .. . . A . . . . . 4 , ?wr ???^????R? ??l?4F•. . , . . s . , . . - ? . --???? ?DDRESSr. - .. : . { -?" ? . . . . ? ?'irty' sTATE,:...w.w,._.? ? ?..M,...?.,... ?ziP: $ PH??E M Z_ .I.:?:.1???....?..._.. l BL sueo. : ? ?t??•_ t ?- BL ? CITY OF EAGAN CITY USE ONLY PLUMBING PERMIT SUBD: ? (612) 681-4675 RECEIPT # DATE 6az RESIDENTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED F'OR EACH UNIT. ---------------------------------------------------------------------------------- WORK DESCRIPTION NEW CONST ADD ON REPAIR COMPLETE THE FOLLOWING: N0. FIXTURES EA. TOTAL REPAIR/ADD ON 15.00 / SHOWER 3.00 3= O o 7 WATER CIASET 3.00 L'L A , BATH TUB 3.00 - t' ? ` :3 LAVATORY 3.00 ,aP OWNER NAME : KITCHEN S-INK 3.00 -La' ? LAUNDRY TRAY 3.00 ?•?'C? SITE ADDRESS : HOT TLTB/SPA 3.00 ? WATER HEATER 3.00 ? FLOOR DRAIN 3.00 3, ele9 GAS PIPING OUT. INSTALLER: (MINIMUM - 1) 3.00 ROUGH OPENINGS . 50 1 ADDRESS: OTHER ?o R a? WATER SOFTENER 5.00 CITY: ZIP: _ PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 PHONE #: 7 d f?/ S? ?-? lU _ W. TURNAROUND 15.00 CONTRACT PRICE: 1% OF CONTRACT FEE. _ STATE SURCHARGE _ $.50 FOR EACH $1,000 OF PERMIT FEE. E .SO ? S /` 9 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: SITE ADDRESS: TENANT NAME: SUITE ??: _ INSTALLER: ADDRESS: CITY: ZIF: PHONE ?? : FOR: CITY OF EAGAN $25.00 MINIMUM FEE. CONTRACT PRICE x 1% $ STATE SURCHARGE $ TOTAL: STATE SURCHARG TOTAL: $ (SIGNATURE) t-3 aL CITY OF EAGAN CITY USE ONLY n ? PLUMBING PERMIT ? SUBD.?.Q.l' (612) 681-4675 RECEIPT it D DATE -? RESIDENTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ---------------------- WORK DESCRIPTION NEW CONST ADD ON REPAIR OWNER NAME : l r?. ,?, ? `? . .., SITE ADDRESS : INSTALLER: \jp?\ C ADDRESS : (Z ? L Q ? CITY• ZIP: PHONE --------------------- COMPLETE THE FOLIAWING: N0. FIXTURES EA. TOTAL REPAIR/ADD QN 15.00 i i SHOWER 3.00 . . ? WATER CIASET 3.00 ? BATH TtJB 3.00 Cr - ? LAVATORY 3.00 ?+- ? KITCHEN SINK 3.00 ? - L LAUNDRY TRAY 3.00 HOT TUB/SPA 3.00 ? WATER HEATER 3.00 -5- L FLOOR DRAIN 3.00 GA5 PIPING OUT. ` (MINIMUM - 1) 3.00 ? - ? ROUGH OPENINGS 1.50 OTHER WATER SOFTENER 5.00 _ PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 W. TURNAROUND 15.00 STATE SURCHARGE .50 SIGNATUR OF PERMITTEE TOTAL : S 4 -1 - COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS AR.E 130T REQUIRED FOR EACH DWELLING t3I3IT. WORK DESCRIPTION: OWNER NAME: SITE ADDRESS: TENANT NAME: SUITE #: INSTALLER: ADDRESS: CITY: PHONE FOR: CITY OF EAGAN CONTRACT PRICE: 1% OF CONTRACT FEE. . STATE SURCHARGE _ $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 1% $ STATE SURCHARGE TOTAL: $ $ (SIGNATURE) 1 J CITY OF EAGAN MECHANICAL PERNIIT SUBD. c? ` (612) 681-4675 RESIDE,NTUL RECEIPT # 1 DATE PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FANIILY DWELLINGS. ALSO, COMPLEfE FOR TOWNHOME.S/CONDQS WHEN SEPARATE PERMTfS ARE REQUIRED FOR EACH DR'ELLING UNIT. R: FEES DDRFSS: ? / S?3 ,n ADD ON/REMODEL (EXISTING CONSTRUCTION ONL? . $ 15.00 LLER: .?-,?.. f,.- .?- HVAC: 0-100 M BTU 24. E #: 41 5"7- [ ADDTfIONAL 50 M BTU 6.00 ADDRESS: 7? Gas ovTT.Ers rnxnKUNt i@ s3 ?. , ZIP: SURCHARGE $ TURE: ;-. TOTAL: $ 7 ?- COMMERCIAL PLEASE COMPLETE TAIS PORTION FOR ALL COMMERCIAI,/INDUSTRIAL BUII.DINGS. ALSO COMPLETE FOR APARTMENT BUII.DINGS OR OTHER MULTI-FAMILY BiJILDINGS WHEN SEPARATE PERMTTS ARE NOT REQUIRED FOR EACH DWELLING UNIT. i WORK DESCItIPTION: I CONTRACT PRICE I FEES 1% OF CONTRACT FEE. STATE 5URCHARGE IS $.50 FOR EACH $1,000 OF PERMTf FEE. $ PROCESSED PIPING - $25•00 MI1vIMUM FEE - $25.00 Fs OWNER: TOTAL: I $ I? STI'E ADDRESS: I T'ENANT: SUTfE #: INSTALLER: ADDRESS: CTfY: ZIP: < PHONE #: CITY SIGNATURE: SIGNATURE. Volume No. •f • Certi.icateo T*Itle AWNER'S DUPLICATE CERTIFICATE CcrtrCiccrre No. 8 3 8 4 6 Documenr No. 215905 Drstrict Court No. Trnnsfcr• (rotn No. 8 0 5 9 7 Oriqinatly registercd the 18th day of Aprl l Vo(ume Forty pa,qe 59 State aF Minnesota,Iss_ Cvunty Of DakOta. pqeritor Oevelopment Corporation ( 605 West Travelers Traii ofthc City Counry of Dakota of Burnsvilie and Srare of Minnesota is now the owner of nn estnte, to wit: fee simple fol/oicing descrrbed lund sriuated in the Coccnty of Dahota Lot Three (3), Block One (I), in BIACKHAWK RIDGE 2ND ADDITIOPJ, according to the recorded plat thereof. » 59 of and in the and State of Minnesota, to cvrt: Subject to the encumbrnnces, fiens and interest noted by the memorial underwrirten or endorsed hereon; and su6 ject to the fo(lowing rights or encumbrances subsistrnq, as provided in 1_aws 1905, Chapter 305, Section 24, name(y: 1. Liens, clairns, or rrgllts arrsittg under the laws or the Constitution of the United States, which the statutes of this state tan»ot eeqelire to nn penr of record; 2. ilny real property tax or specin/ assessrnenl lor which a sa(e of the land has not been had at the date of the certificnte of litte; j. Any lease for a period of not exceeding three years, when rhere rs actual occupation of the pr•emises under the lease; 4. All rights in public highways upon the land; 5. Such riqht of appeal or right to appear and contest the crpplication as is allowed by law; 6. The rrghts of nny person in possession under deed or coniract for deed from the owner of the certificate of title; 7. flny outstandrnq mechanics lien riqhts which may exist under secrions 5I4.01 to 514.17. 7'har the said Meritor Development Corporation is a corporation organized and existing under XXX0kNIf#'X4(4(9(WXXXXXXXXXXM%xX- X,N##XlOXX the laws of the State of Pennsylvania. XXX"b(XXXXXXXXX9(?O)1X'D(XXXXXXXXXXXXX9??)qJhXkRt/• /il?.zCJ1 , ??? i ??erea ! hRVe hereunto subscribed my ttame and alTixed the seat of my ofi-ice, rhrs 17th day of May 19 gg JAMES N. DOLAN Reqrstrnr of Trtles (Seal) !n crncf !or the County of Dahota and Starc of Nlinnesota. riEPiOItIAi. ` ` ' of F'xtalcR, Faxemr.nlx or ChargeR on the l,and describt-d in the (>crtilicnte of Title here[o attached. DOCUMENT N M NlNO OF DATE OF REGISTRATION DATE 0F INSTRUMENT BEN U INSTRUMENT MONTN DAY y[J1q HO UN MONTH OAY YEAN AMOUNT RUNNING IN fAVOR OF SIGNATURE OF RECISiRAR A.M. P.M. 215904 Declaration Pro ect ive ovena ts ( nd o er land ) May 17 198 3:00 4 27 189 - The Public James N. Dolan 239209 Pressure R ucin Va lve greem nt and the lan s) Between City of Eagan and Fe . 2 19 1 10: 6 12 2 '9 - Meritor Development Corporati n James N. Dolan I D t? 2007 RESIDENTIAL PLUMBING PERnniT aPPLicaTioN ? CITY OF EAGAN 3830 PfLOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Pl9ase complete for modifications to existing residential dweliings. ? C(t?z? `?3ate 3 0 _ SiteStreet Address jo-C.-??aio ?. L clkD f = FGt GL" Unit # Property Owner J i vvn W ? >.5?ir Telephone # Contractor _Df(,X4?A Telephone # (Cr52) L?l?C( 6?iCiC( Address -t>. 2f''q-b, 5t , (,(,) T City L-CLL e-i9 i State mm Zip The Appiicant is: _ Owner ?Contractor _Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-buiit $ 10.00 Fire Repair (replace burned out fixtures, etc.) $ 90.00 Alterations to existing dwelling $ 50.00 i Add plumbing fixtures. This fee includes installation of a water sof#ener and/or water heater at the same time. /f you are installing onlv a wafer softener and/or water heafer, do not complete this section; move to the next section and check 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 X-PVB ?new -repair _rebuild $ 30.00 State Surcharge $ .50 Total $ '30,. 5? i nerepy appiy tor a Kesidential Plumbing Permit and acknowledge that the information is co work will be in conformance with the ordinances and codes of the City of Eagan and ? i No s C understand this is not a permit, but only an application for a permit, work is not to start without ermit and wol ?}II accordance with the approved plan in the event a plan is required to be reviewed and A`p?rove . JU? 31 L?V? S G rx?t LGu^-->C7 (r? ApplicanYs Printed Name Sign PERMIT City of Eagan Permit Type:Building Permit Number:EA115057 Date Issued:09/23/2013 Permit Category:ePermit Site Address: 1523 Blackhawk Lake Dr Lot:3 Block: 1 Addition: Blackhawk Ridge 2nd PID:10-14401-01-030 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes . Renee Lesnar 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 - James L Wisser 1523 Blackhawk Lake Dr Eagan MN 55122 Sela Roofing Remodeling 4100 Excelsior Blvd St. Louis Park MN 55416 (612) 823-8046 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA118331 Date Issued:10/31/2013 Permit Category:ePermit Site Address: 1523 Blackhawk Lake Dr Lot:3 Block: 1 Addition: Blackhawk Ridge 2nd PID:10-14401-01-030 Use: Description: Sub Type:Siding & Windows/Doors Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments: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. Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing Valuation: 8,000.00 Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - James L Wisser 1523 Blackhawk Lake Dr Eagan MN 55122 Sela Roofing Remodeling 4100 Excelsior Blvd St. Louis Park MN 55416 (612) 823-8046 Applicant/Permitee: Signature Issued By: Signature Use BL1.,F�or BLACK Ink ! Far Office tlse —_...�_-----i � Permi##:��,�1� � �� . � � Perm�t Fe2: � �$��F'11Q��f10�3 �O�d 8 • Eagan MN 55'122 RECEIVED � Date Reeeived°1- aZ3- 15 � Phone: (651}&75-5675 � Staffl�� i �aX: tss�� s��-ss9a� SEP 2 3 2015 ---------- ��J 2�15 RESIDENTIA�. PLUMBING PERMIT APPLI�AYI�N Date-.��, i� Site t�c#dress .s�J�� Q��C�t.Ll1/� �G�,/�-� �!�'. Tenant Suite#. ,� � .��,�-.,�.�� ,� .x..s o.n.�. ��.. ��„�.xr ��z.�.�.�:,e..�.�,.M.�b m�,,,..,��..� � � - _ �..�,,,..4,,�.. N.�w,�...P..�.,�,�.��..�.,,�.��.,�,,,m,��.u.� � � Narrre �_��?�S �d�f'�S'�/'� Phane,��1'p—�/35 � 1��'1'�tk"f��" � � � . + ; c,t�r z�� l 2 3 � �. 5 i�. Address/ � , . �� w � � 'GL� n'Il'��S „Z ,�� ,�� ,.�.��,� �.��w��. ��,� ,�.�. ,��_�.,v�.�,.� .R�.u_�.�.�.,�,. ��,,r�..��....x�v.�.�.,.�,>��.�..�,�,,�. � Y ,� �..a_ .�..p,.�,�� Nam�: l r'D� � ��/S'��c.J ,�.m� .^ ' � Lic�nse#: �y `/9�� ; p � +��€�+C�� " � Acidress: 6�`��C� vT.0�l�� +�� City: _ �'✓/1dC�s�h� ; � # /Co %�/S 3t�'c.o— rT[L(P / j � � State:�Zip: ,.�`/f7 Phone: � ; � � Contact (� �, � � �//jY1 ✓cu�UrJ��' � Emai1�-��-,.�,�,-��-,�� ,�,.�.d�� .��r�r �v�. �. � . ra .�� a,�f. � � !. . y �.� �:��,�,�. � � ` ' � �.New �Replacement Repaie Rebui{d Modify Space �tV/ork in R.p.W � '��`��t��t _ .,`� — — � " ' � DesG riptio 0 , n f work �� /�, -- ,.��. � � ��,,��..��„�� .�.F,.x2 .. � � � � �--J . �., �� ,�.,��.�� a,.,w��„�.�,�.�„2>,.�.,m �_ � RESiDENTIAL ��"��"" ..� � a z � Water Hea#er � � ; �Water Softener ; � Lawn irrigation(_RPZ/ PVB} ` ��#��'�'�� c � � _ � : ,< Septic System Add Plurnbing;Fixtures(_I�la�n!_Lawer Level) � ? r R „New Water Turnaround � ; 4 � �,.�,aw,p,��;��. � Abandonment �� . „��, r4_ �.... �, �aM....,,�. n.,... ._..n rn. w�.....�_ �. ,r,.... �...r ..� .�... ...,y �,.rr.w. �, .k,.�.,.m �..n..�,�..��,e�,:.,, � RESIDE�tiT1AL�E�S. �' T _�_�r �. $60.00 Water Heater, Water�oftener, rar Wa#er Heate�and Softener(inctudes State Surcharge) ;; $50.043 Lawn lrr�gaticn (frecludes Stat�Si;rch�rge} � $60.00 Add Plumbing Fixfiures, Septic System Abandonment,Water Turnaround"(includes State Surcharge) ; "Water Turnaround(add$210.�0 if a 5!8"meter is required) � $'115.Q0 Septic SYstem New(includes County fee and State Surcharge) � TQTAL FEES$ �D, �'� { CALL BEFt?RE Y+E�U DIG. Call Gopher State G3rse Call at(651)d54-0002 for protectran against underground Erkilify damage.� Gall 48 howrs before you intend to dig to receive locates of underground utilitGes. v+�iwv.qophersfiat�onecall or�i 1 heraby acknowledge that this information is complete and accurate;that the work wii! be in cvnformance with the or�inances and coa�s af the City of Eagan; that I understand this is not a permit, but only an appfication for a permit, and wark is not to sta�k w'rkhaut a permit; that €he work wiil be in accordanca wPth the approved plan in the case of work which requires a review and approval of plans. x � L/ i'/� �� X App(�cant"s Printed Name Applic s Signature �f�•�L��:'��. ` i�+��ie��y� . , . „ _ , : . , ;; ; � . : .. �i�eq�i��. ,�,...:.,�.,L�fr��er G��: �t�ci�»Fn ��T� ,�„��Te� ; �� PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA132973 Date Issued:09/15/2015 Permit Category:ePermit Site Address: 1523 Blackhawk Lake Dr Lot:3 Block: 1 Addition: Blackhawk Ridge 2nd PID:10-14401-01-030 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - James L Wisser 1523 Blackhawk Lake Dr Eagan MN 55122 Tony's Appliance 2090 County Road 42 West Burnsville MN 55337 (952) 435-2442 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink Cp/Kil For Office Use ij //I7 10111 Permit;ee !City �� li�LL� Permit : 3 7.7' 6, CC 3830 Pilot Knob Road , 1 Eagan MN 55122 )t ``E ' ' ' Date Received: Phone:(651)675-5675 6q1 Fax:(651)675-5694 Staff: 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: 1523 Blackhawk Lake Dr Unit#: x MOW Jim Wisser 651-686-6133 itinT7Tr Name: Phone: esid� 1523 Blackhawk Lake Dr �� f" �� Address/City/Zip: mk vp Applicant is: Owner X Contractor bi e44,4440'‘' Install screen room on existing deck modify rim joist&footings Type of Work , Description of work: 20652 04/ \ Construction Cost: Multi-Family Building:(Yes /No X ) Champion Windows Tim Wolf �, Company: Contact: 45100 Hwy169 N New Hope �� ‘,M0.,,--,40Address: City: p Contractor '�v31W� ' ,vv MN 55428 612-590-7424 twolf@getchampion.com m 0' State: Zip: Phone: Email: ��va BC449672 NAT-20968-2 mm License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: V , 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 X No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: TE PlansendPP ng dwitT r osubm sid -'-'-0-b4�,. . `-, ato . p � f the efo ; „ n � \ na ma be d nn-pam pecifc onfir' s4, :,,,,,,,,,,\,,,,,-,,,,,,„,-,,,,,,,itfh \ \\ . ,,z \ \ .moi,,\\ y , t _ dEc! 1S I � , . _. .,. a . .. �t�, � a � .� .\ f � .,rx# ivF: 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.00pherstateonecall.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 B ' Code must be completed within 180 days of permit issuance. Ap ican Mme ame Applicant's Signature Page 1 of 3 /5 .� �„C4. hi,-DO NOT WRITE BELOW THIS LINE N -0 SUB TYPES Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) _ Single Family _ Garage Porch(4-Season) _ Exterior Alteration(Multi) Multi _ Deck W Porch(Screen/Gazebo/Pergola) Miscellaneous 01 of_Plex — Lower Level — Pool — Accessory Building WORK TYPES _ New — Interior Improvement — Siding _ Demolish Building* y 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 /o/OGG— Valuation —4/- p Occupancy „724 .. / MCES System `— Plan Review Code Edition ,tp/, SAC Units -- (25%_100% r/) Zoning Pb City Water — Census Code ',fp// Stories / Booster Pump #of Units / Square Feet .irle , 4' PRV — #of Buildings / Length / W Fire Suppression Required Type of Construction 4 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 X'Final Pool: Footings Air/Gas Tests _Final Framing i.40 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: , Building Inspector RESIDENTIAL FEES .,{� z .�y Base Fee ,21./ 45 7J Q So Surcharge ,2...Z K 17 .U"° Plan Review /I,3?� MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies G;gt totil TOTAL Page 2 of 3 ., /. /,1 wK J X if, 1v--s-i-770 4 . 2422 Enterprise Drive Mendota Heights, MN 55.120 * PIONEER LAND SURVEYORS • CIVIL ENGINEERS (612) 681-1914•Fax 681-9488 engineering LAND PLANNERS • LANDSCAPE ARCHITECTS 625 Highway 10 Northeast �' * Blaine, MN 55434 4( * (612) 783-1880•Fax 783-1883 Certificate of Survey for: Bob Osl u n d \ S 87'28'02" E \ eso,(0 50.91 \ 52,7 I__ — — —_\ W / \ cr W 5 / \ / \ !1\ EA// RF�II�W �, -- - - - / p / �3Y:�, I / / . I cv / DATE: C�//�//7 I co `nN // :\\\\\\ co a''co 2 // x8YN,o/ /G' 6`{6, cn8`I 1.1.) ',�,3�� SYs,7 /y1 $ Lr,4„ o 947.1 l`•�'7 �'1e! O Wa/ �• N N/ 0 9 £`IH,y rn 3 svy,�s , /3,_ „ 0. pRapas� Nous,. 3/ rn / x8 40. D 6 / GARAGE o 6y \4-,, k 8(74 73 `� o 0 a- N / O o N 22-p 0 N l I w • N/ .8"-- B N 11.33 I W w �842.8 ' SC13,3 1a o ` � , � OR1 X4;4 y "y, 1 X g`l6,yo I5 13° SPt-„ice 7 ; 5.‘„ N ?3t6.21 _ _ _ 4 14'. - . w 945.6 �vv,�o L-50 .OQ S`/5,8 — 19°05, R 131-4 q = 150.09 , C/( Alis . "" P q • 900.0 Denotes Existing Elevation PROPOSED HOUSE ELEVATION •000.0 Denotes Proposed Elevation Lowest Floor Elevation: 8`//,/Z - Denotes Drainage & Utility Easement Topof Block Elevation: $`/8,Z3 —Denotes Drainage Flow Direction o Denotes Monument Garage Slab Elevation:8y7,9 ❑ Denotes Offset Hub Bearings shown are assumed LOT 3 , BLOCK 1 BLACKHAWK RIDGE 2ND ADD . DAKOTA COUNTY,. MINNESOTA I hereby certify that this survey, plan or report was prepared by me or under my direct supervision and that I am duly Registered Land Surveyor under the laws of the State of Minnesota.Dated this Z t.cr day of Mab r(, ...,A,A,f9 C?Z R -" t 4-buse 5176 3/3o/eZ a '. Er 6b h4, d G ,....W Scale. 1 inch=30feet ROGER t3.SI IS .S. REG.NO. 14891 7-26-17 KCy$e 'r7:t,1 7 /✓J at 3 13 4/s/villAu� i./ti 1J� i2 1220pm Loft CS Beam 2016.11.0.10 ol6.Materials Database 9 3 OCT 1. 9 7017 1 -fL '7". •ti 3 Nod Member Data Description: Member Type: Beam Application: Floor Top Lateral Bracing: Continuous Bottom Lateral Bracing: (See Below) Standard Load: Moisture Condition: Dry Building Code: IBC/IRC ' Live Load: 40 PLF Deflection Criteria: L/360 live, U240 total ' Dead Load: 15 PLF Deck Connection: Nailed Member Weight: 14.6 PLF Filename: Beam13 Left End: 3.5000"deep notched bottom Other Loads Type Trib. Other Dead (Description) Side Begin End Width Start End Start End Category Replacement Uniform(PSF) Front 0' 0.00" 14' 7.00" 1' 0.00" 40 10 Live Replacement Uniform(PLF) Top 0' 0.00" 14' 7.00" 0 40 Live Replacement Uniform(PSF) Top 0' 0.00" 14' 7.00 4' 9.00" 42 20 Snow ,o t """'`."" - q 4 r fi,. ,€;.,hi s- kms'"- 7 .t0 -t-7---,,4-War,-,,..---4--''4...-ii,rsri.44., ` .kIMP " fir .r x >1 3W, x s,L , `,i° X1:4 s, s .., 'k 4 t 14 7 0 14 7 0 Bearings and Reactions Input Min Gravity Gravity Location Type Material Length Required Reaction Uplift 1 0' 0.000" Wall Concrete/Masonry 3.500" 1.500" 2570# ' -- 2 14' 7.000" Wall Steel 1.500" 1.500" 2570# -- Maximum Load Case Reactions Used for applyrng point loads(or line loads)to canying members Live Snow Dead 1 286# 1428# 1142# 2 286# 1428# 1142# Design spans 14' 3.750" Product: AFP Treated Beam 51/4 X 9 1/2 1 ply . I � Allowable Stress Design Actual Allowable Capacity Location Loading Positive Moment 9195.'# 18163.'# 50% 7.38' Total Load D+S Shear 2286.# 11471.# 19% 13.82' Total Load D+S Lt.Bevel/Notch 2544.# 2890.# 88% 0' Total Load D+S Max.Reaction 2570.# 5828.# 44% 14.58' Total Load D+S TL Deflection 0.5258" 0.7156" L/326 7.38' Total Load D+S LL Deflection 0.2921" 0A771" L/588 7.38'_ Total Load S DOLs: Live=100% Snow=115% Roof=125% Wind=160% ' I I All product names are trademarks of their respective owners LEE FLAIL WEEKES FOREST PRODUCTS Copyright(C)2016 by Simpson Strong Tie Company Inc.ALL RIGHTS RESERVED. 2600 COMO AVE "Passing is defined as when the member,floorjoist,beam or girder,shownon this drawing meets applicable design criteria for Loads,Loading Conditions,and.Spans listed on this sheet. 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U -'r'� oo�aoporn�rno-a .c..oo.-a a6.Goc ao o oo�..rs0p-.c070cs.a. c H oo^occopd000 o 0o -oco 0-'0-..1,-.007.0-0-000.0700-00-.5.0 , op:ocaoco�GoG�cc.a��GGcc o�co�ooaS._oo�o_: 7, .0...0_0 ......-.0_0_.,..................... 00000000000000000 _) N.'-"i. ''i.,Ny-- in�nntA,tA,tJi.00.0.00....._000 0000___000000' ..O a 3 I + I ifi i 54, fH {{ 1 N , N LLIIUII ! ; 6 1 1 !''i PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA155238 Date Issued:05/06/2019 Permit Category:ePermit Site Address: 1523 Blackhawk Lake Dr Lot:3 Block: 1 Addition: Blackhawk Ridge 2nd PID:10-14401-01-030 Use: Description: Sub Type:Residential Work Type:Alteration Description:Fixtures Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - James L Wisser 1523 Blackhawk Lake Dr Eagan MN 55122 Versant Plumbing Co 5601 331st Ave NW Cambridge MN 55008 (763) 238-7403 Applicant/Permitee: Signature Issued By: Signature