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1539 Blackhawk Lake Dr
PERMIT City of Eagan Permit Type: Mechanical 3830 Pilot Knob Rd Permit Number: EA078096 Eagan, MN 55122 . Date Issued: 06/05/2007 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 1539 Blackhawk Lake Dr Lot: 5 Block: 1 Addition: Blackhawk Ridge 2nd PID 10-14401-050-01 Use Description: Sub Type: e - Air Conditioner Work Type: Replacement Description: Air Conditioner Comments: Questions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, 952-445-2840. Ashley Orman Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088 Surcharge-Fixed $0.50 9001.2195 Total: $50.50 Contractor: -Applicant - Owner: Standard Heating & Air Conditioning Robert S Nasby 130 Plymouth Ave. N 1539 Blackhawk Lake Dr Minneapolis MN 55411 Eagan MN 55122 (612) 824-2656 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature ' ~M~2 19 4 ~ we C>? o Request Date Fire o. Rough-in Inspection NOTICE: You Must Cali Electrical Inspector Required? If A Rough-In Inspection l 51 ❑ Yes ❑ No Is Required. I X licensed contractor ❑ owner hereby request inspection of above electrical work at; Job Address (Street, Box or Route No.) / City 153_ E~ C'lC!~ LSKI `,il b 'Ell cff ti Section No. Township Name or No. Range No. Count A K t-7V Occupant (PRINT) Phone No. t~ f, G ' - 75,3 " (1, A Powe suuApplier g j(~ rA) Address ,y} ,yy g c- I Electrical Contractor (Company Name) Contractor's License No. NA, L` LA:~' 1C 1Nc_ 2 Mailing Address (Contractor or Owner Making Installation) P Cr &K, 2 ii v & 1,1 App4i: Authorize ignature (Contractor/Owner Making Installation) Phone Number 1 MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room 5-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. %REQUEST FOR ELECTRICAL INSPECTION >_a-00y001-08 f jo- See instructions for completing this form on back of yellow copy. ~,l~ O M _ 2 519 4 "X" Below Work Covered by This Request ew Add Rep. TypeofBuilding Appliances 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 Other (specify) Contractor's Remarks: iL/Ie fN t~ 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 AbaV6100 Amps Signs Inspectors Use Only: f' TOTAL Irrigation Booms'.' Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in Date certify that the above inspection has Final to ear been made. 31 FOFFICE USE ONLY request void 18 months from CITY OF EAGAN NO 18913 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 O PHONE: 454-8100 1 BUILDING PERMIT Receipt # C ~T_ Tobeusedfor• SF DWG/GAR Est. Value $157,000 Date APR 17 1991 Site Address 1539 BLACKHAWK LAKE DR Lot 5 Block 1 Sec/Sub. BLACKHAWK RIDGE OFFICE USE ONLY Parcel No. 2ND Occupancy R-3 M-1 FEES Zoning PD RR1 Name - MCAT T. TFR CONSTRUCTION (Actual) Const -Y --N Bldg. Permit 839.00 W Address 1960 CHARLTON ST (Allowable) V-N p Surcharge 78.50 City W ST PATIT. Phone 451-8070 # of Stories - 865 2696 Length fjO! Plan Review 545.00 _ d Name SAME Depth 44' SAC, City 1 00 - 00 00~ Cddress S.F. Total SAC, MCWCC 650.00 y Phone S.F. Footprints On Site Sewage Water Conn 660.00 0 Water Meter 95.0 wLAddress On Site Well XMWCC System X 30.00 a Phone City Water -X_ Acct. Deposit PRV Required X S/W Permit 30.00 1 hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge .5 0 information is correct and agree to comply with all applicable State of Minnesota Statutes and jay of Eagan ~nces. Treatment PI 276.00 Signature of Permitee ~i1Cc 1Z.r: i% APPROVALS Road Unit 370.0 0 A Building Permit is issued to: MCA LISTER CONSTRUCTION Planner Park Ded. on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg, Off. Copies Building Official I I. i~1 4taA ~~Gd7 Variance TOTAL 3,674.0 ~,..."~v:^'~R!~~,.~k!~11+R,~a7l•: „-!z°s..D..+s2..'vr~va - ry~+.,~.,+.r,?~rµ~^,+*!►. f, i~Y7'!`!Cr~,~:a...~ ' CITY OF EAGAN _ - - 3830 Pilot Knob Road, P:O. Box 21-199, Eagan, MN 55121 ' PHONE. 454-8100 BUILDING PEF;NfIT Receipt # To be used for.' a SF M/GAR Est. Value sm.wo Date APR 17 199 Site Address 1549 B -at fCHAW LAKE DR Lot -5 Block _ I Sec/Sub.f3 .AC ANKK RID OFFICE USE ONLY Parcel No. 2ND occupancy R-3 41-1 FEES Zoning PD &-A W Name (Actual) ConstBldg. Permit 839, o Address (Allowable) y.N Surcharge 7$,50 City W ST $A1411- Phone 451-8070 # of Stories 545 Length -6o# Plan Review - 300000 , 0 Name !1~M Depth 44' SAC, City 0~ Address S.F. Total ¢ SAC, MCWCC 650, U r City Phone S.F. Footprints r On Site Sewage - Water Conn 660, W Name On Site Well LU w Water Meter 95, xz Address MWCC System X ~z Acct. Deposit 30t aw City Phone City Water X_ PRV Required X S1W Permit 30400 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 rdinances Treatment PI 276, Signature of Permitee //`-F ` L APPROVALS Road Unit 3 111 , -1 4 A Building Permit is issued to: WALLISTER CONSTRUCTION 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 74 Building Official Variance TOTAL • Permit No. Permit Holder Date Telephone # WATER SEWER PLUMBING N. ~1c?y H.V.A.C. ELECTRIC Inspection Date Insp. Comments Footings I y z Foundation it Framing j Roofing Rough Pibg. Rough Htg. ~l L!J Isul. s I Fireplace-l~_ Final Htg. jn ~L Q ` v~ Orstat Test 7 r Final Plbg. Plbg. Inspector - Notify Plumber Const. Meter Engr./Plan Bldg. Final . Deck Ftg. Deck Final Well Pr. Disp. y t J (l edit irate of Orr paur Citp of Cagan Mrj=r Wmt of amg JWrrttmt This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following. Use classification SF =/GAR Bldg. Permit No. 1841 Occupancy Typ PD/R1 e Zarin ~D4strict Type Const. owner of Bmlding ~5~ i) iTON Address 1460 BAR IN SMV, W. Sr. - Putt, 1539 MAMM I1 8 DR L-5-, -W1, R ACR MM Rim 2ND Buitdi ddress Locality { 11/13/1 Bw7ding Official POST IN A CONSPICUOUS PLACE Address: 1539 BLAWK LAKE DRIVELot 5 Blk 1 Sec/Sub BLAMIAWK RIDGE 2ND . Thesb items were/were not complete at the time of the final inspection. Yes No Final grade (6" from siding) SAcLv Permanent steps - garage Permanent steps - main entry Permanent driveway 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 KKR White - City copy Yellow - Resident copy Pink.- Contractor copy i ' SOW & VAT IT a ~1F E USE ONLY • sl'1`Y EAGAN' METER '3 ~ PERMITDATE (3G~1~~ g~ 3830 Pilot Knob Rd, CHIP Fj? 12 P PeRMITX194 Ejan,.N,551=1897 _hR y MFJEF SIZE 42 u B.P. RECEIPT # C 1296. _ISSvE DATE " ` B.P. RECEIPT DATE 0 1 7 _ I -DATE 4 Aft ;1' - ,..L PRV BOOSTER PUMP IF ° - - - ,A _ - - ADDRESS 1539 'I LAiCKHAVK LAn 1)R PERMIT REQUESTED LOT 5 BLOCK 1 SEC/SUI'J ACMAWK RIDGE _ 2ND 4: SEWER X - WATER TAPS 'APPLICANT: -COMM/iND K RESIDENTIAL AMRESS: CITY, STAR ZIP, X NEW EXISTING r. Lawn Sprinkler Meters are to be Installed "PLUAA6ER: " Ahead of Domestic Meters on Water Line: ADDRESIS: U ' /Z At Cre it WILL NOT be given for Deduct Meters. t CITY,, ST 4T Nr . ZIP 55120 r" . A44 PRONE. I AGREE T C HAPLY WITH CITY-<)F OWNER." MCALUSTER CONSTRUCTION EAGAN ORDINANCES' ` AobnESS: 1960 C LTON ST CITY, STATE W ST- PAUL MN ZIP 55118 joa I 2t PHONE: "'8070 OR 865Q2636 IGNATUR HEN MERCER 15SUJED PLEAS A1C1 flW O 1NflRIf! [SAYS FOR 0,ROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM N EWER PERMITS, CONTACT ES~iNEERING DEPT. SBOVER &VATER PERMIT OFFICE USE ONLY CITY OF EAGAN METER # PERMIT DATE { zfk z' 3830 Pilot Knob Rd. Eagan, MN 551 22-1 897 CHIP # PERMIT # I f o METER SIZE B.P. RECEIPT # W 5 DATE AP r, 17, 19Q ISSUE DATE B.P. RECEIPT DATE 04/1 7j91 PRV -BOOSTER PUMP SITE ADDRESS 1 53r' t'-kKE DR PERMIT REQUESTED LOT 5 BLOCK 1 SECISUB i5-y ff,niAW;~ i l ",CE 2;'iL` SEWER WATER TAPS APPLICANT: ADDRESS: COMMIIND RESIDENTIAL CITY, STATE ZIP X NEW EXISTING PHONE: a Lawn Sprinkler Meters are to be Installed ' PLUMBER: Ahead of Domestic Meters on Water Line. ADDRESS: Cred"t WILL NOT be given for Deduct Meters. CITY, STATE ZIP j PHONE: 14 I AGREE TO`CQMPLY WITH CITY OF OWNER: _ Fa.L'x S'f try iz~'. 'x ;"'^`I tC'P EAGAN ORDINANCES ADDRESS: CITY, STATE t` sT ~ t IJL j4 ZIP 111 c: PHONE: SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. rz DATE: APR 18, 3941 RE: 1539 BLACKHAWK LAKE DR (MCALLISTER CONSTRUCTION) X Your-Sewer & Water Permit for the above property has been completed. It will be held at the Pic 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 BYLAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. PERMIT ~CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 031236 (612) 681-4675 Date Issued: 12/15/97 SITE ADDRESS: 1539 BLACKHAWK LAKE DR LOT: 5 BLOCK: 1 BLACKHAWK RIDGE 2ND P.I.N.: 10-14401-050-01 DESCRIPTION: (ONE BEDROOM) Building Permit Type BASEMENT FINISH Building Work Type ALTERATION Census Code 434 ALT. RESIDENTIAL REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK FEE SUMMARY: Base Fee $50.00 Surcharge .50 Total Fee $50.50 r CONTRACTOR: - Applicant - ST. LIC OWNER: SCHWEICH CONST, DAVID 14478808 0003607 KILGARRIFF ROBERT 17160 HAMILTON DR 1539 BLACKHAWK LAKE DR LAKEVILLE MN 55044 EAGAN MN (612) 447--8808 (612)687-0041 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 Mn. Statutes and City of Ea an Ordinances. I- APPLICANT/PERMITEE SIGNATURE 1 UED 1 ATU E 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) $Zol f0 CITY OF EAGANJ' 3830 PILOT KNOB RD - 55122 . 681-4675 New Construction Requirements Remodel/Repair Requirements 3 registered site surveys ♦ 2 copies of plan • 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ♦ 2 site surveys (exterior additions & decks) ♦ 1 energy calculations • 1 energy calculations for heated additions ♦ 3 copies of tree preservation plan if lot platted after 711193 required: _ Yes _ No DATE: 2 I 1 Q7 CONSTRUCTION COST: goo DESCRIPTION OF WORK: / ~ ► s (3A $ C-M rAJ STREET ADDRESS: 1 S c L A C--' l W K LA S ,0,0 LOT BLOCK SUBD./P.I.D. l [_19~0,lli PROPERTY Name: >4 RRl F,"-" RoB~1? r Phone _ y OWNER tAS, ROST Street Address: -I S.3 Q C I c Y /1.44w' fir` ,0 City: CA's State: /11 v✓ Zip: CONTRACTOR Company: -Cdr157Phone y-7 Street Address: _ ~i7 / 0,/V~d/h i C 70 License 3 G i5? City:_ A X- t,11 L ~J State: 7 ~ Zip: J-rO ```1 ARCHITECT/ Company: Phone ENGINEER Name: Registration Street Address: City: State: Zip: Sewer & water licer.,%ed plumber (new construction only): Penalty applies when address change and lot change are requested once permit is issued. 1 hereby acknowledge that 1 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 Applicant: l3 OFFICE USE ONLY D Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No Not Required OFFICE USE ONLY r BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging X' 16 Basement Finish ❑ 02 SF Dwelling ❑ 07 4-plex ❑ 12 Multi Repair/Rem. o 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-plex ❑ 13 Garage/Accessory ❑ 20 Public Facility o 04 SF Porch ❑ 09 12-plex ❑ 14 Fireplace o 21 Miscellaneous o 05 SF Misc. ❑ 10 = plex ❑ 15 Deck WORK TYPE ❑ 31 New 0""33 Alterations ❑ 36 Move ❑ 32 Addition ❑ 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code ~1 Census. Bldg I Census Unit to APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit SAN Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAGS SAC Units / CITY USE ONLY ~c1 c SY> L ~ BL ~ RECEIPT 7 T U r'/~~//J SUBD / RECEIPT DATE: 1998 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, NN 55122 (612) 681-4675 Please complete for: ➢ single family dwellings ➢ townhomes and condos when permits are required for each unit ➢ backflow preventer for underground sprinkler system - - - - - - - - - - - - - - FIXTURES EACH # TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub t , 3.00 x = Lavatory ~jUC S}~ 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 = Hot rub/Spa 3.00 x = Water Heater 3.00 x = Floor Drain 3.00 x = Gas Piping Outlet * minimum -1 3.00 x Rough Openings 1.50 x = Water Softener * for dwellings under construction 5.00 x = Water Softener * for existing dwelling 20.00 x = U.G. Sprinkler * for dwelling under const. 3.00 = U.G. Sprinkler * for existing dwelling 20.00 = Alterations * to existing residence 20.00 = Water Turn Around 20.00 = Private Disposal System * MPC lic. 75.00 = (new and refurbished systems) Private Disposal Systems * Abandonment 20.00 = STATE SURCHARGE .50 d TOTAL I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement. SITE ADDRESS: 32 OWNER NAME: r INSTALLER NAME: -SULA & ra, ,1 6 r_k"r!, TELEPHONE //,23--373-3 STREETADDRESS: IK3 rJ 54- [mil CITY: AD 5(;, A4-41 TA : ✓y ZIP: 5-150 IGNATURE OF PERMITTEE JS/FORMS BLDG/PLBG PERMIT (RESIDENTIAL) 1998 j a:g~O 1999 BUILDING. PERMMITT APOFPLICATIONCAM (RESIDENTIAL) ~j TY FA 3830 PILOT KNOB RD . $.5122 631-681-4675 D 3 registered site surveys showing sq. It. of lot, sq. it. of house 2 copies of plan and gi roofed areas M% maxirnum lat cove wed) 1 set of energy calculations for headed additions D 2 copies of plans (stm+er beam i window sizes: poured fnd. design: etc.) 1 see survey for exterior arsons its decks D 1 set of energy calculations A 3 copies of free proservaf on plat If lot platted after 7/1/43 i BATE: CONSTRUCTION COST: 1 DESCRIPTION OF WORK: STREET ADDRESS: LOT: BLOCK: 1 SUED./P.LO. R: 1~ AA .IA. .I.Y r A ~.A~gIIAiII~i.YW~AAI.I~~.IIYp1ArI.Yl.l~il.l11 II t v wT l Phone 1 6 Name• Q'S~w V? 0014 PROPERTY past First OWNER S -1 °i* V - Street Address: ~ City State: Zip: Company: Jam- vS T s OWS : J ~ c • Phone b . f i 8 S3 Q tit (area code CONTRACTOR v Street Address: ~ IJ(E v~ ticetlse R 3S f J6 City L-' sty Ulf- Stag: m x - Zfp: 5 ARCHITECT/ ENGINEER Company: Name: Telephone area code { ) Street Address: Registration City State: Zip: Sewer water licensed plumber (mguked for new Go snxtion onfvl: P"ft applies when address change and lot change ft requested once pem* Is Issued. I hereby acknowledge that 1 have read this application, state that the Information Is t and agree to comply with all appitcab i State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Cerfficates of Survey Received Yes No LAU 3 Ii Tr to R tion Plan Roceived Yes No Not pwqui4ad OFFICE USE ONLY BUILDING PERMIT TYPE CI 01 Foundation ❑ 06 4-plex ❑ 11 10-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) 02 SF Dwelling ❑ 07 5-plex ❑ 12 12-plex ❑ 17 Garage ❑ 22 PAddn. (4-sea. ❑ 03 1 of _ plex ❑ 08 6-plex ❑ 13 16-plex ❑ 18 Deck ❑ 23 Porch (screened) © 04 2-plex ❑ 09 7-plex ❑ 14 Apartments ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 05 3-plex ❑ 10 8-plex ❑ 15 Lodging ❑ 20 Pool ❑ 25 Miscellaneous WORK TYPE ❑ 31 New 0 35 Tenant Impr ❑ 39 Gas Line Only ❑ 43 Siding/Soffits/Fascia ❑ 32 Addition ❑ 36 Move Bldg. ❑ 40 Gas Insert ❑ 44 Windows/Doors ❑ 33 Alteration ❑ 37 Demolish Bldg.* ❑ 41 Wood Stove ❑ 45 Fire Repair ❑ 34 Repair ❑ 38 Demolish (interior) ❑ 42 Reroof * Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Cade (Allowable) Main level sq. ft. SAC Code UBC Occupancy sq. ft. - No. of Units Zoning sq. ft. No. of Bldgs # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Park Ded. Trails Ded. Other Copies Total: SAC Units % SAC CITY OF EAGAN FOR CITY USE ONLY 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT # _ PHONE: (612) 454-8100 RECEIPT # i 1G::::> DATE : PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION COMPLETE THE FOLLOWING: NO. FIXTURES EA. TOTAL NEW CONST ADD-ON MINIMUM 15.00 ADD ON SHOWER 3.00 3_ REPAIR WATER CLOSET 3.00 BATH TUB 3.00 G~ l~ 3 LAVATORY 3.00 ` OWNER NAME: _ (~~I /,✓rf (~i , ? KITCHEN SINK 3.00 3_ A LAUNDRY TRAY 3.00 SITE ADDRESS-: ~j (-l f of pwe ~1IK- I ~ HOT TUB/SPA 3.00 WATER HEATER 3.00 LOT:_ BLOCK _L SUBD FLOOR DRAIN 3.00 GAS PIPING OUT. INSTALLER: (MINIMUM - 1) 3.00 s -7 ROUGH OPENINGS 1.50 ~{i 7 d ADDRESS : 4e Oi c' e OTHER WATER SOFTENER 5.00 CITY: 1rkcl/ 4-71~<fs ZIP: PRIVATE DISP. 15.00 PHONE X U.G. SPRINKLER 3.00 SUBTOTAL ST. SURCHARGE .50 SIGNA F PERMIT EE TOTAL: e 7, i~ECIALNDUSTRIA PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: FEES OWNER NAME: 1% OF CONTRACT FEE. STATE SURCHARGE = $.50 FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. LOT: BLOCK SUBD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 1% $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN L CITY OF EAGAN FOR CITY USE ONLY ` 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT PHONE: (612) 454-8100 RECEIPT # d / 11 'I DATE: 7ZZO / I T. PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION FEES NEW CONST ADD-ON MINIMUM $15.00 ADD ON HVAC 0-100 M BTU 24.00 REPAIR ADDITIONAL 50 M BTU ~~6.00 GAS OUTLETS - MINIMUM L2J 3.00 OF 1 PER PERMIT OWNER NAME: ~~~~~t59~at ~i✓.y c 17) SUBTOTAL: SITE ADDRESS: /~3/ &,gCr,1(1fWK ZAk- ~)K / STATE SURCHARGE: .50 LOT 15LOCK _L .SUBD. Gt4 ~ Cam` !l`U 0 AL: INSTALLER : IE Dc ADDRESS: I~z 0 SIGN TURE OF RMITTEE 5os CITY: ~VC-wr°u-2~ zip: PHONE iMER.0-j TAU, PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: FEES OWNER NAME: 1% OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. PROCESSED PIPING = $25.00 LOT: BLOCK SUBD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 1% $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN 1991 BUILDING IkLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL VICSETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS ,?!SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE, LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: rjJLur Valuation: 006~, 191) Date: Site Address z'5'9 OFFICE USE ONLY coo,-* Lot I. coo,-* Block ~ FEES Occupancy M Bldg. Permit Zoning P, Surcharge Parcel/Sub Actual Const V- A/ Plan Review 514 5, 00 Allowable YEN SAC, City tI. Owner #of stories SAC, MWCC Length Water Conn. 0 Address Depth yyWater Meter O S.F. Total Acct. Deposit 30&70 City/Zip Code Footprint S.F. S/w Permit S/W Surcharge .5-0- Phone !!2 ~-L:~Eoz) On site sewage_ Treatment P1. , D t~ ~ On site well Road Unit 310,0 Contracto MWCC System / Park Ded. / City water Trail Ded. Address Zf'oj~ y1/l~~ f PRV ✓r Copies Booster Pump _ City/Zip Code / SUBTOTAL APPROVALS Penalty Phone ? ~~6 Planner Lot Change Council / TOTAL Arch./Engr. -Bldg. Off. Address Variance l Z City/Zip Code Phone # agrees that all work shall be done in accordance with (Signs u of Contractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. VA u G~R~RG~ 780 x 1s = 117o 0 ;°9x 20 = 6/,L 1-7 o•~ G~ x z a ~-L .00} J • 70 F rye, ~ • o ~ ✓ G-12 • E, 3y 67 ' - a f) Oro" S T 113 ~L = 1,4 3,3 Ys III ~ ~s I * 2422 Enterprise Drive * PIONEER Mendota Heights, MN 55120 *engineering.. (612) 681-1914 /v1~,4 C. I ~T CaN ~T, cam. Certificate of Survey for: 72,4/ n/83°ZZ'Sb.,G saw ~/B7°zS'o2 "1~/ NORTH ~ t !.00.33 X p 'D pEt, K % - - g4.6-t z l 2e.SSN w t F p w f(o.~SE j ro 67, r /~j t- ~,t►!~ 1 843.3 ~ ~ ~ o ~Z, i ~ ~.38>R ` l Z9d,Z5 04 . q, ~ to g3g• LA KE f72 . 900,0 Denotes exisfin Elevaf ion -P 6-POSED E VATION , . o Denotes ro aed Re vaf'ion 9boOCaenofes Ora wwesnFoor eva /on 835.9 na je f Utili~ Easemenf Top of 8/ock Elevation yy.Z Denotes Drainccyyse IOW Arrows Gara e Slab ffevation 813.9 ~ o Denofes rnonumeof o Denore i 0l';se19u b Bearit+ shown are assumed .Subject fo Easement s of ' gecard LOT51BLOCkt BLACWHAWk' RIDGI 2AID40.11 DAIIOTA COUNTY I hereby certify that this is a true and correct representation of a survey of the boundaries of the above described land, and of the location of all buildings, thereon, and all visible encroachments, if any, from or on said land. As surveyed by me this 4xA day of~A.D. 19W. r~,ev, Sc a/e : p inch , 40iOee T 711t7 R BERT . SIKICii 1_. .REG. ..14891 - - CITY OF EAGAN EXTERIOR ENVELOPE AVERAGE 'U' COMPUTATION OWNER: MICHAEL SI r MCRkLO)SrER SITE ADDRESS: CONTRACTOR: DATE:~ PHONE: ~`,~a► Determine working square footage of each: s 1. Total exposed wall area e2 r sq. ft. x .11 2. Total roof/ceiling area sq. ft. x .026 = 3 1 , s Total exposed wall area above floor a. Total wall window area C1 b. Total door area c. Total sliding glass area . . 1 C d. Total fireplace wall area e. Total wall framing area (average 10%) ............."cal f. Total net wall area above floor g. Total rim joist area Total exposed foundation area = r! 2- h. Total foundation window area i. Total net foundation area above grade J 2-~ Determine 'U' value of each wall segment: a. 2'1 2 t~ x 'U' b. 152-, 51, x 1U, d. X 'U► _ e. X U, 104 f . ca ?d ~51 x 'U, c) C) 01 9 1 9. ? °7 c`a , er, C-,, x 'U, Q 2 1t- _ ( c 0 h x 'U' i • °7 rz, 7 0 x 'U' n = S ~ LI''1 3 . Total = r?L~..,~ If item 413 is the same as or less than item 411, you have met the intent of SBC 6O06(c)2. Total exposed roof/ceiling area ^ ' j. Total skylight area T k. Total roof/ceiling framing area (average 10%) 2 1. Total net insulated roof/ceiling area OVER P Determine 'U' value for each roof/ceiling segment: J• x 'U' _ k• x ' U' , dl = 2, 7~ ll19 x tu, 4 . Total = ~2 If total of 114 is the same as or less than #2, you have met the intent of SBC 6006(c)1. Alternate Building Envelope Design To utilize the total envelope system method, the values L-stablished by the sum of Items 113 and 114 shall not be greater than the sum of Items 111 and 112. 1-7 2. 3. 2`5.1 +4. i i i i i i i 2 own • + SINGLE & DOUBLE FAMILY HOMES 1984 ENERGY CODE REQUIREMENTS On or about March 1, 1984, the following energy code requirements should be calculated and included with a building permit application. 1. Roof -,ceiling assemblies - R-38 U = 0.025 Average 2. Exterior walls & rim joists - R-20 U = 0.11 Average 3. Floors over unheated spaces - R-20 U = 0.05 Average 4. Exterior overhangs will be considered as exterior wall. 5. Foundations (all exterior walls) - Minimum of R-5 insulation. 6. All insulated areas must be separated from'the heated space by a well-lapped or sealed vapor barrier with a minimum perm rating of 0.1. A 4 mil. polyethlene sheet or equivalent meets this requirement. A Kraft face R-19 type insulation. will be accepted in the rim joist areas. Air chute baffles are to be placed in every rafter space. i i I GUIDELINE TO (R) FACTORS rPOH IW,NUAL OF TYPICALLY USED PRODUCTS (R) (R) Interior Air Film (IlaIIs) 0.68 Gypsum or plaster board 3/8" 0,32 Exterior Air Film (Ilails) 0.17 Gypsum or plaster board 1/2" 0,45 Interior Air Film (Vented Ceiling) 0.61 Gypsum or plaster board 5/8" 0.56 Exterior Air Film (Vented Ceiling) 0.61 Plywood 3/8" 0.47 Interior Air Filn (Non Vented) 0,61 Plywood 1/Z" 0.62 Exterior Air Film (11ou Vented) 0.17 Plywood 3/4" 0.93 Sheathing, reg. density 1/2" Aluminum Siding y 1 32 0.61 Sheathing, req. density 25/32" 2.06 Aluminum with Backer 1.82 Nail-base sheathing 1/2" 1,14 Aluminum with Backer 6 Foiled 2.96 1/2 x 8 1.4p Siding (flood) 0.81 Built-up Roofs 0.33 7/16 x 12 Ifardboard Siding 0.67 Asbestos-cement shinnlts 0.21 Asbestos Sidinns 1/4 Lapped 0.21 Asphalt roll roofing 0,15 Stucco (Ort-nand Finish Coat) - Aspahit Shingles 0.44 3/4'• Wood Subfleor or Sheathing 0.94 Insulation: 2-2 3/4" Fiberglass 7.00 1/2" Plywood :heathinq 0.62 Insulation: 3 1/2" Fiberglass IKOO I/2" Particle bu..rd 0.66 Insulation: 6" Fiberglass 19.00 WOODS: BLOWlttr, WOOLS Fir, pine G similar soft hoods 1 1/2" 1.89 Approx. 3' 9,00 2 1/2" 3.12 Approx. 4 112" 13.00 3 1/2" 4.35 Approx. 6 1/4" 19.00 5 1/2" 6.87 Approx. 7 1/4" 24,00 Approx. 14" 30,00 Approx. 18" 40.00 - All other insulation materials must be Filled verified (R Factor) (R) Vermiculite 8" Concrete Block (S L G Req.) 1.11 j,93 12" Concrete Block (S C. G Reg.) 1.28 3.15 8" Light height 2.18 5.03 12" Light %eight 2.48 5.82 - I trot..y±r.artenrar.~-~sec,t•••••n . NOTE: (U) x Area Square Feet All Windows) (w/Sterns I" to 4" Space) .56 Removal Double Glazing (ROG) .55 - Thermo or welded 3/16" air space .69 1/4" air space .65 1/2" air space .58 (Other windows specifically tested can use better ratings) . 1 3/4 Solid core door .46 w/storm, wood .31 _ w/storm, metal .26 Pease StcelDoor Ins)/t:/CL 7.4511 .13 - Sliding Glass Door, Wood .65 Metal .715 - I i L MINIMU:I "U" VALUE AND R-FACTOR AT ROOF, WALL, RIM AIND CONCRETE BLOCK r' Provide insulation baffles in every' ROOF f ~,`iL(N(~ rafter space. ~ O WTE -l* Alfa FlUl P-D, s-~ Y _ UO EX jER,o(~ AtR Furl 1, ~t lJ (STILL ' . ~ - ~cUr► _ II1z = _ozS- ToTA~ ~R~= c~~'~~ : ~ Sg , l3 : o2a 'WALL . 0►8 z) VALE . Q iN l~(`to(' Alp- F11-n Cj ` X7 ' ` U = 1 fz = TOTAL CR) . = poste • 1 rte:, 13 1z 111 TF I?10 r, M, F 1L -l S11-2 Ir IoLATICI.4 3r Q 105 .6, 2. d Z:xTEJ~W- Ale FILM - . a lt. U`' _ t f IZ , , . '['DEAL ~CZ1. <12.,1'1 • • • OO ~J p QLr . o FOVDA wt-l ; IN TE171~~ Attc FIL!'t Ctz? VALU G 01 gun.lcl. E(~Io2 AIR FILM 11 U11 Floors over unheated spaces must have crinimum R-factor of R-20 (tuck under garages). Floors over outdoor air (overhangs) must Have a minimum R-factor of R-33. 7Q Volume No. Cert*1f'1*Cate of lOWNER'S DUPLICATE CERTIFICATE Certificate No. 8 3 8 4 8 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 Minnesota'( SS County of Dakota. f •y116 r,u 40. ce~rC Mtrd Meritor Development Corporation 605 West Travelers Trail of the City of Burnsville County of Dakota and State of Minnesota is now the owner of an estate, to wit: fee simple of and in the following described land situated in the County of Dahota and State of Minnesota, to wit: Lot Five (5), Block One (1), in BLACKHAWK RIDGE 2ND ADDITION, according to the recorded plat thereof. Subject to the encumbrances, liens and interest noted by the memorial underwritten or endorsed hereon; and subject to the following rights or encumbrances subsisting, as provided in Laws 1905, Chapter 305, Section 24, namely: 1. Liens, claims, or rights arising under the laws or the Constitution of the United States, which the statutes of this state cannot require to appear of record; 2. Any real property tax or special assessment for which a sale of the land has not been had at the date of the certificate of title; 3. Any lease for a period of not exceeding three years, when there is actual occupation of the premises under the lease; 4. All rights in public highways upon the land; 5. Such right of appeal or right to appear and contest the application as is allowed by taw; 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 pWKgW 6XXXXXXXXXX MM );MX4XIXXX the laws of the State of Pennsylvania. xxK~XXXXXXXXXX~mgxXXXXXXXXXXXXX4xu,AjXl~l. t, ~I'cf~tedJ oI 1 have hereunto subscribed my name and axed the seal of my once this 17th day of May 19 89 JAMES N. DOLAN Registrar of Titles (Seal) In and for the County of Dahota and State of Minnesota. I`r. CU i •N of Estates, Easements or Charges on the Land described in the Certificate of Title hereto attached. DOCUMENT KING OF DATE OF REGISTRATION DATE Of INSTRUMENT NUMBER INSTRUMENT MONTH DAY YEAR A,M, HOUR MONTH DAY YEAR AMOUNT RUNNING IN FAVOR OF SIGNATURE OF REGISTRAR P.M. 215904 Declaration f Protective Covenants and other land;) Ma 17 198 3:0 4 27 '89 - The Public James N. Dolan 239209 Pressure R ucin Valve Agreement and o the, lan ) Between City of Eagan and Fe . 2 1991 10:6 12 2 '9 - Meritor Development Corporati n James N. Dolan ~I ~ ~ 1 I it f li RECORD OF COMPLAINT Date " 8 3 Complaint taken by Type of building S Name Ppl~ Address X539 Q~ack~~~.lz Ley, Legal description c Phone number " 7 f 3 Complaint C/-,q CAS ~ h ~S%tif, Yeloa,,- aH~ co,, ce.-. ed Action taken `-L w~ht /-o t" /o vs oh C a u4 -fAe L" ~e 4 ~Crce ~ Ze llt-o Cyes le A1e,,f,%1he acj1L !?dcy 4. 002/ /G e„ f o~► r f Qm ~~lJ~ ~'~,1~]"~~.~ 7"~iE CQYt' (~ft~if'~r~ < ~ ~ 'G~, %S' COhJi:Sf~•~ I ih ~~P ~'t /ice e,,r w6t /G1~ tia . S~ovlxk~ he. f~ ea ed a 's e ~ o wf ~ie ~ [o'c: ' A rlih SJ cr•~lc rev % ~C 4tih~eu. -I ' q t A h^ i ~ t h c,~"e ~0 6 a re- rQ ~ i t~ < L H~ j c ~~,/.~cf ~Ovi~IXP,^ Qf 1fL~n Lc9~cl rC~9►veS f- / L tr, (~r L, 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. `7 7 Date / / 1✓ z,)~''' CUU tSite Street Address 1,~ti3C~ 13t (ZCLk ~ Fa a," Unit # Property Owner 'vCb Telephone # ((5OJ 2-7 Contractor Pccii vt T'(c Telephone # (8514 (o g q Address eTI [5 2-C ctbl ~ • 1 City L-Lel-kto State AA ~3 Zip 5.5Cgq The Applicant is: _ Owner / Contractor Other 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 Alterations to existing dwelling $ 50.00 Add plumbing fixtures. 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 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 later Heater $ 15.00 new _ replacement _ Lawn Irrigation _ RPZ X PVB new -repair -rebuild $ 30.00 State Surcharge $ .50 Total $ .3c "5 C I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate: th e work will be in conformance with the ordinances and codes of the City of Eagan and ILM " (n~c~qe I understand this is not a permit, but only an application for a permit, work is not to start withou t ~d Wvd~lc ZI in accordance with the approved plan in the event a plan is required to be reviewed d approv `~~~~hC ~ ~ L~ ►r,,c~L~ ~1 3 JUL 1 -7 2007 Applicant's Printed Name plicant's Si natur z ~y Jul, 19 07 0''?:551,a Gareth St John 651-457-7034 p.2 67/11 e/2ow 09:05 EAGAN ENG+COM DEV + 96514576769 NO. 646 P02 l ~V UILDING PEP-MT APPLICATION 2907 RESIDENTIAL R City Of Eagan I 3830 Pilot Knob Road, Eagan MN 55122 Tekpboue # 651-675-5675 F 651-675-5694 ~ OKree use OeAr New Cc ca9l1 peein5 foists cedorgoAYReod --Y -M 3 regislefed Slip aAVP ehw tg 64• a of lay sq.d;, of hmsr and r Suss Report Y -fa WS far 16d 2 1 bl~~ t Sdt Fn Cal Tree Pres Mill Recd _Y -N. (20% maVlnwm W eOWNe & decks Fk* Requied -Y N I Soft RhW ifpropased h Al IS W be placed on dis0uhad sad t s1 84 59AIiC 001P Tree , 2 eopios of plan slwuvin9 t %a wl sizes; poured ill design. e D 1 oft4jo SePI C Sysilr» _ y N t set al Energy Caleuletiars . y swe Plan it lot pfatled 19s %7l1 3 espies of Tree praservadw Rhn Jolsl new 000- ~~o^ sheet (buiQ:^9S wth 3 3 or less rsdts} 1 r ~ ✓ MIW=Meenittl dcairentioilanIl l secret and t are considered public inforrol s ^11 state the are trade he reaSQn' Plans Conatructlott Cog I `6 b"7 ~ 1 I Date ~ ~ Unit/Ste # Site Address 1 s Descriptfan of Work y Fireptill Muhl-1F'omtiy Bldg lY . M Telephone it { [~J() ~ S S _ ~ ? ~ Z x Property Owner t r t l k~ Str~ ~ Coatroctar l-kL~ Ctty 1 ndtr{i{-ts Address e~t~rs ert~~ e- f' tt rr5~7 . v3 Sptte I~ ~ ~ dip S5 t e g Ta4epaoae # ((ps{) T:'t s _7 i AREA QLY IF CQMSTRUGTIl A NOW BUILDING COMPLETE THIS Minnesota Rule~T692 #e r••esotBRvit9 7 To Catefcary 1 New E.nergyCode W0ft'*et Energy Code CateB°rY Residential Ventilation Categary I W011 heat SubmillMd (4 eubrrti5sien type) Submittad ~ Erre+yy Envelope Celeulaltons Submitted In the kUSt t 2 months, has me CRY of Eagan lssued a parmlt for a slil pion based on 4 master pton2 r Y _ N ill date and address of master plot): a f t_icensed Plumber Telephone #1 Telephone #J I Mechanical Contractor Sewerjwaier Contractor Telephone # ( I hereby apply for a Residential Building Permit and ac lc. wledge that the information is complete and accurate; that the work will be in wnformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; i understand this is not a permit, but orety an application for a permit, and work is not to Stazte i Without a permit; that the work will be in accordance with the approved plan in the case of work which requires a r v approval of plans. Applicant's Printed Name A p scant' igaahire 7 {r. DO NOT WRITE BELOW THIS LINE Sub Types ❑ 01 Foundation ❑ 07 0 - - 0 Pool ❑ 30 Accessory Bldg 5 plex ❑ 13 16 plex ❑ 2 rY 9 ❑ 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 l 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 0--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 -27d ° 0 Occupancy r-~- MCES System Plan Review 100% or 25% Census Code Zoning City Water SAC Units e~ Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS - Footings (new bldg) _ Sheetrock Footings (deck) _ Final/C.O. - Footings (addition) Final/No C.O. Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool -Stucco _ Air/Gas Tests _ Final d' Framing _ Siding , Stucco Lath - Stone Lath ,Brick Fireplace _ R.I. -Air Test -Final _ Windows Insulation - Retaining Wall Approved By: ~ q -7 2- 2lo 71 Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total 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/Re air Re uirements Office Use OnN 3 registered site surveys showing sq. tt. of lot, sq. ft of house; and all roofed areas 2 copies of plan showing footings, beams, joists Celt of Survey Recd _ _ Y - N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Soils Report Pres Plan Recd - Y _ N. 1 Soils Report if proposed building is to be placed on disturbed soil 1 site survey for additions & decks Tree 2 copies of plan showing beam & window sizes; poured found design, etc. Addition - indicate if on-site septic system Tree e s Req _ _ System - Y - N 1 set of Energy Calculations 3 copies of Tree Preservation Plan if lot platted after 7/1193 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Minnegasco mechanical ventilation form and the reason. plans are considered public information unless you state the are trade secret Date Construction Cost Site Address Unit/Ste # Description of Work Multi-Family Bldg _ Y _ N Fireplace(s) - 0 _ 1 _ 2 Telephone # ( ) Property Owner Contractor Address City State Zip Telephone # FEnergy OMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING esota Rules 7670 Cate o 1 - Minnesota Rules 7672 Minn New Energy Code Worksheet e Category Residential Ventilation Category 1 Worksheet ion type) Su bmitted 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. Applicant's Printed Name Applicant's Signature RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT K1408 RD - 55122 881-689-+4675 470,00 l1w Construc im Reoulrements • 3 mWered site surveys showing sq. ft. of K sq. t of Mouse, and d rooked arms • 2 copies of plan (20% mmft m lot coverage allowed) + 1 set of Energy Calw Woes for heated sdftons • 2 copies of plan s Vmn beam & window sizes; poured fotmd design, etc,) • 1 site away for ederior &Wkio s & decks 1 sat of Energy Celcuiations . i hc* a home served by septic system 11ior additions • 3 copies of Tree Presentation Man 'd ict placed alter 711193 • Rim Jost Detal Options selection sheet (bidga with 3 or less wft) DATE ® d VALUATION JOB SITE ADDRESS < r IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER AOL yr2FIREPLACE(S) _ 0 1 2 TYPE OF WORK - e APPLICANT . PHONE# ~012. ADDRESS ZK2 C2 &Z, L&I 42 ZIP CODE 5. 22 PAGER lid CELL P NE # FAX NIEW RESIDENTIAL BUILDING ONLY FILL OUT COMPLETELY Energy Code Category MINNESOTA RULES 7670 CATEGORY I (check one) - Residential Ventilation Category 1 Worksheet Submitted Energy Envelope Calculations Submitted MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor. Phone: Plumbing System Includes: Water Softener Lawn Sprinkler Fee: $90.OQ Water Heater No. of R.I. Baths No. of Baths Mechanical Contractor. t'S. eu ng O Phonic Mechanical System Includes: Air Conditioning Fee: $70.00 Heat Recovery System Sewer/Water Contractor Phone 0 All above information must be submitted prior to processing of application. i hereby acknowledge that 1 have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Or, antes. Signatum of Applicant r Certificates of Survey Received Tree Preservation Plan Received _ Not Required lfpdOsd 1, tD1 OFFICE USE ONLY ❑ 01 Foundation ❑ 07 05-piex ❑ 13 16-piex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-piex ❑ 16 Fireplace ❑ 21 Porch (3-9e8.) ❑ 31 Ext. Alt- Multi ❑ 03 01 of_ piex ❑ 09 07-piex ❑ 17 Garage ❑ 22 Porch/Addn. ("ea.) ❑ 33 Ext. Alt - SF ❑ 04 02-piex ❑ 10 08-piex ❑ 18 Deck ❑ 23 Porch (screened) ❑ 36 Multi ❑ 05 03-piex ❑ 11 10-piex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-piex ❑ 12 12-piex Plbg Y or _ N ❑ 25 Miscellaneous ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish (interior) ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Bldg. ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish (Bldg) ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement 'Demolition (Entire Bldg only) - Give PGA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bidgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) Final/C.O. Footings (deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation _ HVAC Drain Tile Roof Ice & Water _ Final _ Other Framing- - Pool _ Ftgs _ Air/Gas Tests _ Final Fireplace _ R.I. -Air Test -Final Siding _ Stucco _ Stone _ Insulation _ Windows (new/replacement) Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total INSPECTION RECORD ,,~ITY OF EAGAN Plrl MITTYPE: 3830 Pilot Knob Road Pem* tumor: Eagan, R~innesota 55122-1897 pate lssued: /q. 7 (61-2)-681--4675 I E AD S: ` LOT'. 6, " m. N L 0 K ~ t APPIIC4NT: t: t tt r to t. e tx, COM S * D A V . 1) PU3'`YPE TYPE OF W4RC:r A # T i~I J 9 VOW A .49! t tt ~t)tt(Atf x.x" pt NO UTMAt 1 lea - a ~ `µ'iMMARX-S; -PA AIV, PERMtl' T~ RFOUTRCA F ANY Pft1#414100 Oil tf'ctR At,. OR pen"It Psero& Holder Gift Yee HV~ i WAP"aw Date WISP Corn+~sete FD4t S FOUND f 1 R MUMMG mj* AM TEST w> INS VA,? 7 G"D k FWVLAM. ATW A Fo"FU96i FVA# HM OWT TM EL.DG FMlAi. . ass R.1. SSW FIN& DECK FTG DECK FINAt i MT TTT~TTTTTTT~TTT~TTTMTMTTTTT~T•T+T+tTTI TT ' CITY OF EAGAN CASHIER: JS TERMINAL NO: 699 DATE. Do/i3/9 TIME. 11:50:56 II+ NAME. KNIGHT & SONS INC, '331[1 9001 1539 BL_KHA14K L_K 1~`_~.c'~~ 21.55 9001. J.539 BL.KHA141•; L..K .50 Total. Receipt Amount: 142. 75 USER ID: JAN t . TTTTTTMTTTTTTTA'TTTTTTTT+I+TTTTTTTTf'MTTMTT CITY OF EAGAN CASHIER: 1S TERMINAL NO: 593 LIATE: 12/15/97 TIME: 15:38:52 IL'1c NAME: DAVID SCHWEICH CONST 3210 9001 1539 BLACKHAWK 50.00 2155 9001 1533 BLACKHAWK 0.50 3210 9001 31.03 MIKE COLLI 274.75 3422 9001 3103 MIKE COLLI 178.59 2155 9001 31.03 MIKE COLLI 9.50 Total Receipt Amount: 513.34 CR084443 USER ILA: JAN CASH REc517r CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE ( / 19 ~ t C ~ ~ C r~`t 2 " f LAA "C s- AMOUNT $ & DOLLARS lm Cl CASH RECD. , c J a 5 t3( X31 c c- 1 FUND OBJECT AMOUNT 7 Thank You , By 12964 Y00 g Copy Pink-Re Copy .a Use BLUE or BLACK Ink r-----------'------+ I For Office Use i ~ Permit City of Ea Permit Fee: (20 1 3830 Pilot Knob Road 1 I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 Staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: - Unit Name: k'OV nCt A 5 y Phone: RESIDENT / OWNER Address / City / Zip: L.hgg Pg. , EASA~i A3 55;N ZZ- Applicant is: Owner Contractor TYPE OF WORK Description of work: ^ s \1~ E V.j ~ 'T !5%)X or- )jOM5 Construction Cost: Multi-Family Building: (Yes / No Company: Contact: CONTRACTOR Address: City: State: Zip: Phone: License Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 day rmit issuance. x x Appl c is Pri ted Name Applicant's Signature Page 1 of 3 Use BLUE or BLACK Ink r I I For Office Use I ~ Permit ~ o 33 2- I City of EaEdfl I Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 I Date Received: Phone: (651) 675-5675 I } j I Staff: Fax: (651) 675-5694 L -----------------I INFLOW & INFILTRATION PERMIT APPLICATION Plumbing / Sewer & Water Date: Site Address: l 7 LA !ZZ J~ ~W I/< L1S V, V DZ- "I I l 4A A3 Suite Tenant RESIDENT / OWNER Name: ~Z b l~ CYL'j P~ 5f7 Phone: 5! " 6 8 - Y Z~ Address/ City/ Zip: 17 3! ~ LA L1, ~),AwV, L AAA V VL , E A CAA t MP,Ss') 2'2- Name: License CONTRACTOR Address: City: State: Zip: Phone: Contact: Email: PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope) TYPE OF WORK Sump Pump Repair Repair Other: Other: DESCRIPTION Description of work: C T 5Q M( f U Mr utJC - I C 'To C„\`S Y W AT EK- LSN_CT~t'CV LIN4 W C©,jQEP- 2I FEES U M L-\ N C '1"0 5 rc y+ z U M- ex, I I W 511-2-7- / Each (includes $5.00 State Surcharge) E, ~ TOTAL FEE $ $60.00 *Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit 1/1 repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.citvofeagan.com/inflow, or City Hall at 3830 Pilot Knob Rd. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case olkp\ c h require a review and approval of plans. x x Applicant's Printed Name Applic n 1gnat FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground -Rough-In -Final PERMIT City of Eagan Permit Type: Building Permit Number: EA106846 Date Issued: 09/13/2012 of 3 a R Permit Category: ePermit Site Address: 1539 Blackhawk Lake Dr Lot: 5 Block: 1 Addition: Blackhawk Ridge 2nd PID: 10-14401-01-050 Use: Description: Sub Type: e-Siding Construction Type: Work Type: Siding Description: House & Garage Census Code: 434- Occupancy: Zoning: Square Feet: 0 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. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: BL - Base Fee $4K $103.25 0801.4085 Valuation: 4,000.00 Surcharge - Based on Valuation $4K $2.00 9001.2195 Total: $105.25 Contractor: Owner: - Applicant - Robert S Nasby 1539 Blackhawk Lake Dr Eagan MN 55122 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA157158 Date Issued:08/07/2019 Permit Category:ePermit Site Address: 1539 Blackhawk Lake Dr Lot:5 Block: 1 Addition: Blackhawk Ridge 2nd PID:10-14401-01-050 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) 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 - Robert S Nasby 1539 Blackhawk Lake Dr Eagan MN 55122 Polar Builders Inc 1103 West Burnsville Parkway Suite 110 Burnsville MN 55337 (952) 895-8100 Applicant/Permitee: Signature Issued By: Signature