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1591 Blackhawk Lake Dr PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA079914 Eagan, MN 55122 . Date Issued: 09/20/2007 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 1591 Blackhawk Lake Dr Lot: 10 Block: 2 Addition: Blackhawk Glen 3rd PID 10-14352-100-02 Use Description: Sub Type: e-Fireplace Construction Type: Work Type: Free-standing Stove (new) Description: Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: Chimney/flue must be inspected prior to concealing. Smoke detectors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard-wired detectors are required. Battery operated types are acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector. Andrew Hoffman Fee Summary: BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 Valuation: 3,000.00 Total: $90.00 Contractor: -Applicant - Owner: Fireside Hearth & Home Michael D Sackmaster 20802 Kensington Blvd 1591 Blackhawk Lake Dr Lakeville MN 55044 Eagan MN 55122-1247 (952) 985-6675 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 3830 Pilot Knob Rd Permit Number: EA088685 Eagan, MN 55122 . Date Issued: 04/08/2009 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 1591 Blackhawk Lake Dr Lot: 10 Block: 2 Addition: Blackhawk Glen 3rd PID 10-14352-100-02 Use Description: Sub Type: e-Windows/Doors Construction Type: Work Type: Windows/Doors-New/Replacement Description: House Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: huprovements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 Valuation: 3,000.00 Total: $90.00 Contractor: -Applicant - Owner: Lindus Construction Michael D Sackmaster 879 Hwy 63 1591 Blackhawk Lake Dr Baldwin WI 54002 Eagan MN 55122--124 (715) 684-4647 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for 3Y DWG/DAR Est. Value $157,000 Date SF..F 5_ 19 92 Site Address 1591 SLACKRAWK L AXE DR OFFICE USE ONLY Lot LQBlock r2_ Sec/Sub. Parcel No. Occupancy K-•3_ 1 FEES Zoning R 1 W Name 14O KS BY 11J13'T' (Actual) Const _~LI~€ Bldg. Permit 839, 3 Address 7602 YO ALVE S STE 7216 (Allowable) 1~ N 78 ~ O City EDINA, Phone 897-3555 # of Stories Surcharge • Plan 345.00 Length 74 ZO Name SAFE Depth 36" SAC, City 140* Address S.F. Total v~ SAC, MCWCCD* City Phone S.F. Footprints - 660.00 On Site Sewage Water Conn $ W Name On Site Well 4.5.00 ~w Water Meter AddreSS MWCC System X 30.00 LE ) C3 a W City Phone City Water Acct. Deposit PRV Required _-XX S/W Permit 3o, I hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. 276.00 - Treatment PI i Signature of Permitee APPROVALS Road Unit7• 00 A Building Permit is issued to: KMES BY Ht 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 Variance TOTAL 3,674, 1 Permit No. Permit Holder Date Telephone # WATER pJ StWER PLUMBING !U S -1 /IX H.V.A.C. (~C.J o S f Oaf ✓ lOr'07 ELECTRIC (Uy i. ,,(F,~ $ r Inspection Date ,Insp. Comments Footings I 9/ 7 if (J!t3 Foundation Framing Roofing 1.7 Rough Plbg. V,2 Rough Htg. Isul. Fire p lace Final Htg. Orstat Test Final Plbg. Plbg, Ins ector - Notify Plumber Const. Meter Engr./Plan Bldg. Final ( Deck Ftg. Deck Final Well Pr. Disp. I 21 &r#tf iratr of 0hrupattry tp of (tagan wp rbltnd of Buahtg 3"prrrtimt This Cenifioate 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, the (bmiGoRtion 99 D W GI G A Bld& palak Ikx `vim- 0-P-7' TYM 1 Zoning Dish c - t Type Cnnst~ oww of &nldiag MW Address . 76()2 YGW Bmldiag Address ~ Bwlding Offa t[' - ~ --rt'/~~ 1 POST IN A CONSPICUOUS PLACE Address: 1591 BLArK AAWK LAKE DRIVELot 10 Blk 2 Sec/Sub Bar Z QEN 3_RD MMOM These items were/were not complete at the time of the final inspection. 12/24/91 Yes No Final grade (6" from siding) Permanent steps - garage Permanent steps - main entry t~ 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 PAPER White - City copy Yellow - Resident copy Pink,- Contractor copy ~ r 4 SEWSA VATER PERMIT OfFiCE USE ONLY, C! p 2AGAN 09/06/91 35 Pildt Kngb Rd. METER PERMIT DATE 12260 ' `Eagan, NIN;55122-1897 CHIPS+/ i PERMIT MET R RECEIPT # lc, ,"i GATE SEP 5 l 991 1SSU D~E B.P. RECEIPT DATE 09105/ 91 PAV BOOSTER PUMP SITE ADDRESS 1581 DLACKHAWIi LAKE I3H PERMIT REQUESTED T, T `.LOT 10 BLOCK _,2 SECf BLACKHAWK GLJ~Id- 3RI) ti<a x SEWER X WATER :NAPS APPLICANY: ADDRESS: COMMIIIDX REIDENTIA#~ `CITY, STATE ZIP X NEW EXISTING Lavrn,p4Acler Meters are to be. Installed ;,P .UMBER: ` H ST PAUL PLUMBING Ahead of Ddrftstic Meters on Water Line.' AfJ~DRtgS: 2 572 SEVENTH AVE a - Credit WILL NOT Pe giver~for Deduct Meters. I ~CITY; STATE N ST PAUL ZIP 55 09 PHONE: 777-6363 _ _ . , a 1 AG TO'COMPLY WITH CITY OF ` 01AINER: HOMES BY HUNT,: ' E N ORDINANCE z?T ADDA S: 7602 YORK AVE S TE 7216 F CITY, STATE ' .w • ED INA NN, :ZIP ` PHONE: 897-3555 SIGNATURE HEN METER ISSUED PL LL~ N0 WORKING WING fO -PROCESSING. CALL I-5220 FOR INSPECTIONS. FOR STORM SEW, MPERMIT , CONTACT EEG DEPT. SEVVEA WATER PERMIT OFFICE USE ONLY CITY OF EAGAN 3830 Pilot Kngb Rd. METER # PERMIT DATE . Eagan, MN,65122-1897 CHIP* PERMIT # METER SIZE B.P. RECEIPT # ISSUE DATE B.P. RECEIPT DATE " f DATE PRV -BOOSTER PUMP SITE ADDRESS PERMIT REQUESTED LOT =;1 BLOCK.• ~ SEC/SUB „t f A<.~~.tt SEWER WATER TAPS APPLICANT: ADDRESS: COMM/IND RESIDENTIAL CITY, STATE ZIP NEW . EXISTING PHONE: Lawn Sprinkler Meters are to be Installed PLUMBER: Ahead of Domestic Meters on Water Line. ' ADDRESS: Credit WILL NOT be given for Deduct Meters. CITY, STATE L ZIP PHONE: 1 AGREE TO COMPLY WITH CITY OF OWNER: EAGAN'ORDINANCES ADDRESS: f CITY, STATE }'f ZIP PHONE: SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. 9a3/9l r> j3/00 x.5314 IL L5 Request Date Fire No. Rough-in Inspection Required? ❑ Ready Now [All Notify Inspector Yes G No / hen Ready? XIipensed contractor ❑ owner hereby request inspection of above electrical work at: Job Address (Street. Box or Route No.) - City Section No. Township Name or No. Range No. County 13a~ Occupant (PRINT) r Phone No. 19714, LJ Power Supplier Address ,0a A; 7"t1- vOocc/eiz. Electrical Contractor (Company Name) Contractor's License No. e i~ y 19F Mailing Address !Contract r or Owner Makin g Install tion) Al Ae Authonz Signature (GontractoNOwner Making Installation) Pe Number MINNESOTA STATE BOARD QF ELECTRICITY - THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1621 University Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB-00001-08 = ► See instructio7tt for completing this form on back of yellow copy. Y' Below Work Covered by This Request 4 M,Apt. uilding Appliances Wired Equipment Wired Range Temporary Service Water Heater Electric Heating Dryer Other (Specify) Comm./I ndustrial Furnace Farm Air Conditioner Other (specify) Contractor's Remarks: -lws-tall T-_mp SG tc Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 100 Amps Signs Inspector's Use Only: TOTAL _ Irrigation Booms l_ r+ l t & Special Inspection V Alarm/Communication THIS INSTALLATION MAY BE OR ISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in Date certify that the above inspection has Final ate been made. OFFICE USE ONLY This request void 18 months from 00 5318 ~d 3 1 Z v ~3 419~ Request Date Fire No. Rough-in Inspecti n Required? ❑ Ready Now Will Notify Inspector l~- 1 Yes C No When Ready? IX, licensed contractor ] owner hereby request inspection of above electrical work at: Job Address (Street. Box or Route No.) City Sectior~No. Township Name or No. Range No. County L7, Occupant(PRiNT Phone No. Mk / v Power Supplier Address Electncal Contractor (Company Name) _ Gont~r}act..o~r,'s License No. Maili A '(C~ (Contractor or n Making Installation) Autho d Signature (Contractor,O ner Making Installation) Ph Number YLn 5 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. /4/1j/ REQUEST FOR ELECTRICAL INSPECTION Es-00001-08 P. Seeinstructlons for completing this form on back of yellow copy. l: X' Below Work Covered by This Request lJ ew Acw Rep. Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner • Other (specify) Contractor's Remarks: Compute Inspection Fee Below.' ( IQ # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee 'Swimming Pool 0 to 200 Amps 0 to 100 Amps 7,h~r-e- Transformers Above 200 Amps ig,Ce_) 100 Amps Signs Inspector's Use Only. TOTA _ Irrigation Booms rJ Special Inspection TJ Alarm/Communication THIS INSTALLATION MAY BE D DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 S.' I, the Electrical Inspector, hereby Rough-.n ` certify that the above inspection has Final oat been made. OFFICE USE ONLY This request void 18 months from ri"-._?t+ DATE: SEP 6, 1991 RE 1591 BLACKHAWK LAKi DR (HOMES BX)HUNT) Y X *ur Sewer & Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. Your Sewer & Water Permit for the above property cannot be completed for the following reasons: Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT. DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. CITY USE ONLY PERMIT RECEIPT DATE: 2002 RESIDENTIAL MECHANICAL PERMIT APPLICATION CITY OF E.AGAN 3830 PILOT KNOB IKD EAGAN BIN 55188 651-681-4675 Please complete for: ➢ single family dwellings townhomes and condos when permits are required for each unit f c Date: ~ es d L~ SITE ADDRESS: 4=k OWNER NAME: t64 TELEPHONE#CL r --_~-s---y~ STANDARD H tNG & AIR CONDITIONING CO. INSTALLER NAME: - 410-INGST I AKrm =RG NT TELEPHONE MINNEAPOLIS, MN 55408-2998 STREET ADDRESS: 612-824-2656 CITY: STATE: ZIP: Place a check mark next to the permit work type - - Add-on, modification or alteration to existing dwelling unit °T s ~L 30.00 • furnace replacement,` • air exchanger • air conditioner - • other r Nature of work YL GL 'e ~Gi~ State Surcharge $ .50 Total $ __~16 - I 4n 0 SIGNATURE RMITTEE 1/02 - CITY USE ONLY PERMIT RECEIPT DATE: APPROVED BY: ,INSPECTOR 2002 COMMERCIAL MECHANICAL PERMIT APPLICATION CITY OF KAGAN 3630 PILOT KNOB RD EAGAN, MN 55122 651-6$1-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: SITE ADDRESS: OWNER NAME: PHONE - TENANT NAME (IMPROVEMENTS ONLY): WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: STREET ADDRESS: CITY: STATE: ZIP: TELEPHONE WORK TYPE: New construction Install U.G. Tank Interior Improvement Remove U.G. Tank Processed Piping Specify Nature of Work: When installing/removing underground tank, call 651-681-4675 for inspection by Fire Marshal and Plumbing inspector. Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater. Underground tank removal/installation = minimum fee Contract price: $ x l % = $ (Base Fee) State surcharge calculate at $.50 for each $1,000 Base Fee TOTAL $ SIGNATURE OF PERMITTEE Updated 1/02 r { CITY OF EAGAN ND 19 6 4 4 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING 1n PERMIT Receipt # To be used for SF DWG/GAR Est. Value $157,000 Date SEP 5 Site Address 1591 BLACKHAWK LAKE DR Lot 10 Block 2 Sec/SUb~LACKHAWK TEN OFFICE USE ONLY Parcel No. Occupancy R-31L-1 FEES Zoning R-1 W Name HOMES BY HUNT (Actual) Const V-N Bldg. Permit 839 - 00 o Address 7602 YORK AVE S STE 7216 (Allowable) V-N Surcharge 78.50 City EDINA Phone 897-3555 # of Stories 545.00 Length 741 Plan Review ~o Name SAME Depth 361 SAC, City 100.00 Address S.F. Total ~F SAC, MCWCC 650.00 City Phone S.F. Footprints 660.00 On Site Sewage Water Conn v W Name On Site Well 95.00 W Water Meter Address MWCC System R Uz Acct. Deposit 30.00 a W City Phone City Water PRV Required _XX S/W Permit 30.00 1 hereby acknowlege that I have read this appli ation and state that the Booster Pump S/W Surcharge .5 0 information is correct and agree to co ply wit all applicable State of Minnesota Statutes and t an Or finance L. Treatment PI 276.00 Signature of Permitee APPROVALS Road Unit 370.00 A Building Permit is issuHOMES BY HUNT Planner Park Ded. on the express conditiork shall be done in accordance with all Council applicable State of Mifntntes and City of Eagan Ordinances. Bldg. Off. Copies Building Official ~U1fln t{ Dlf Variance TOTAL -1,674.2 Cl" or WAR wam F=LX EffilZ S It Tl AitELLINGS ~ % 1 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 9 REGISTERED SITE SURVE'Y'S REGIST . SITE SURVEYS - & STRUC'I'UML PLANS I STET OF ENERGY CALCULATIONS (QSCK, WITH BLDG , Dm.) 1 SET OF SPECIFICATIONS SET OF ENERGY CAI.GULATIONS 1 SBT bF ENERGY CAl # OF RUTAL UNITS oir FM SALE UNITS P LTY l TYPING OF PERMIT IS ROQUESTED, BUT NOT ?TOM UP By CART W IM DAY OF YdATH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PER IT IS ISSUED. NOTR: ADDRESSES pOR C(*M LOTS CONTRACTOR/HOKEOWNIR MUST DESICNATE WHICH ADDRESS I8 DESIRM. I YROCESSING`1" M,1M SEWER & WATER PZDWS IS TWO DAYS ONCE A PUMT HAS SEEN CA LE" , PERMIT MUS'T' SHOW LICENSED PLUMBER. mm- bate To U Used. F+er ; Valuation--* bite Address 4 ° 'OFFICE USE ONLY I V7 0" Lat Block ~ j ftcupancy 9-3 Bldg.. Permit 83q.. 2ox►it Surcharge Parcel/Sub $tACt - IL ' Actual CorLst ~ Plan Review yak Allowable 1/--N SAC, City Owner of stories SAC, *MCC s 7 Water Com. D 14mgth ;dress Depth - Water Meter ~ S.F: Tota3 Acct, Deposit 4 s City/tip Cie FootprI t-t S/w remit . t t oaF 4- 1°i"1 l site sow*geaTres ent P1. 44o }ttss On site well Road Unit Cor~tracto - f mWCC System Park L ~1. - City mater Trail be+d. ~WresQs PRV Copies Booster Pmp penalty Phone Planner Lot C %o Council TOTAL Arch.,rr-, Bldg: Ofd, Varianc+ra Address City/z. p ca" Phone Sewer/Waur Lie ed Contr, s.v1_ egress that all k aM11 be Bans i.n accordance with 3(ignature. of Contractor) a11- applicable State of Minnesota Statue and City of Eagan o rdinattces . .c 'G ,4LLt A-n i Zx12= (24} 103(o ~c 1 c' = /55'ct O 9 g Y . 6~ ;K29 ZX3x u - 2~ 1°Z3~fy~ SsfAr:. la: D moo, ~6 '~,~G• : I ~c 43 X53 ^ 3 y 2 y 1000 SURVEYOR'S CERTIFICATE SIENNA CORPORATION `-li 0- REVISED B-28-91 TO SHOW NOTE, I PROPOSED HOUSE FOR NO SPECIFIC SOILS INVESTIGATION / 824.6 HOMES BY HUNT HAS BEEN COMPLETED ON THIS 11, ` NOTE: LOT BY THE SURVEYOR. THE / BUILDING DIMENSIONS SHOWN ARE SUITABILITY OF SOILS TO SUPPORT iq N8n / FOR HORIZONTAL a VERTICAL LOC- THE SPECIFIC HOUSE PROPOSED o `70 ATION OF STRUCTURE ONLY. SEE THE 0 URVEYOR.RESPONSIBILITY OF a /32 Oa ARCHITECTUAL PLANS FOUNDATION' D MENSIO SUILDING N N 8.16. 15' -~E /N'QGF @ UT/ 12 19 824.9 N ~8 2 3.5~ L, J 3 SENT PAZ? 1 M Lo-r OO /O 10 1-- o J co v N p Ch tq _ _ 8300 C _27p8 829.4 O _ z _ x ~83G. 2, W O 829.0 _ N 38.67 ~$Zg-s1 z M M 35.33 z 834.3-- - z833A 1 z M M 1 co M GARAGE ~PROPOSED ro ff) ' -27.08 ►2.33 0 ~ ~E M~USEN M \i 9.83 0 id , o i (d 837.5 834.9 z - 26.34 1 275 12.75 835.2 ro J BENCH MARK _ TOP OF PIPE .3 PROPOS(o~Z $3 _ / ~TOPP OF P IPE ELEV.' 835.21 PROPOSED 15 P R ~ G Z~ t 7 9 - FLEV.= 834 82 tf ~j M 10 1 ~ • ~ N h N/ O 1 z83Q1 r y , t 39 I 89.87 A-1000.4f46-11 - N 61039' 14' E 1 634.1 w 4.6834.3 6 83 . O M M 6LACKHAWK LA Cl u 834.4 DENOTES PROPOSED SURFACE DRAINAGE 0 DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 FEET • DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - 93,1,. 5 FEET X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - 8Z9-9 FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK -_9 3Va FEET MR-_ aft R "UIm WE HEREBY CERTIFY TO SIENNA CORPORATION KPONS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 10, Block 2, BLACKHAWK GLEN 3RD ADDITION,,according to the recorded plat thereof, Dakota County, Minnesota. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 28TH DAY OF AUGUST ; 1991. APPROVED FOR SIENNA SIGNED: JAL, INC. CORPORATION BY: aY : HAROLD C. PETERSON, LAND SURVEYOR DATED, MINNESOTA LICENSE NUMBER 12294 v -0 co O? 40(' 00 m~ James R. Hill inc. I- m ~p m (DD T OND D r- o M o ~ ~ D Z p'p m W PLANNERS / ENGINEERS / SURVEYORS A ~ . ;v Z - 0 NOD 9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 • 612-884-3029 0 a I • EXTERIOR ENVELOPE AVERAGE "U" C MPUTATION OWNER J~om 15S ray SITE ADDRESS r L A CONTRACTOR nmy~~ k LAUD T- DATE b-- PHONE' . 1 I . .r.q M ■Y i Determine working square footage of each. j • ~ .r1 I 1. Total exposed, wall ar@a ' 1(v sq. ft., x . o~co 2. Total roof/ceiling area 2 sq, ft. x Total exposed wall area above floor rlL1-3 a. Total wall window area g t{ i b. Total door area 17 c. Total sliding glass door area n d. Total fireplace wall area ' e. Total wall framing area (average 10~)...:.......'. Sri f. Total net wall area above floor "Arl~- ~ r g. Total rim Joist area . Total-exposed foundation area • S~. r) i; h. Total foundation window area........... i. Toal net foundation area above grade Determine "U" value of each wall segment. a. ) u X "U" , L13 s s b. 3 r1, n `l X fl u ff , Q'1 R 'a . Co C; a9l.r d. X fluff f X „U„ ©„4 w 5s .a 9 .r X null h .r...,, X fluff ■ i X nun a 3 .....................................Total * 5~d.34 If item #3 is the same as, or less than item #1, you have,met the intent of SBC 6006(02. i f♦ r. w f Total exposed roof/ceiling area ct J. Total skylight area k. Total roof/ceiling framing area (average 10~)... a. o 1. Total net insulated roof/ceiling area........... u f -VL Determine "U" value for each roof/ceiling segment. J. X 14011 X isuit 7v'-C3, ;19 k.-~ art..y X fluil a~ - 4 ..................................Total If total of #4 is the same as, or less than #2, you have met the Intent of SBC 6006(c)1. Alternate Building Envelope Design To utilize the total envelope system method, the values establish by the sum of items #3 and 04 shall not be greater than the sum of Items- #1 and #z. + 2. 3• 9 = ~ 10 3(o 3.x,5 q • 3' + 4.tv. MOftTNW LUMBER, VO tiOUG SOM ERFELQ 916 YANKEE C)C COLE RD, L44M. MN 66121 j W464.4$86 P 60-1071 j • i CITY OF EAGAN FOR CITY USE ONLY 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT # _ PHONE: (612) 454-8100 RECEIPT #/VICAVS 1 A I DATE : l9 >9'1 1'1AT PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & 10-17-91 TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION FEES NEW CONST X00.00 ADD-ON MINIMUM $15.00 ADD ON HVAC 0-100 M BTU 24.00 REPAIR ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM 3.00 OF 1 PER PERMIT OWNER NAME : HOMES BY HUNS; SUBTOTAL: $30.00 SITE ADDRESS: 1591 Blackhawk Lake Drive STATE SURCHARGE: .50 LOT: 10 BLOCK 2 SUBD. Blackhawk itkt' Glen 3rd TOTAL: $ 33.50 INSTALLER: RAY N. WELTER HEATING COMPANY r ADDRESS : 4637 Chicago Ave. SIG- NA-7 JRr OF PERMIT' CITY: Minneapolis, zip: 55407 PHONE 825-6867 ;;O1IMRA±IDTSTi13 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 SUED. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 1% $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN y CITY OF EAGAN FOR CITY USE ONLY 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT # DATE : O Sri,/ 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 AMP ADD ON SHOWER 3.00 REPAIR _3 WATER CLOSET 3.00 BATH TUB 3.00 LAVATORY 3.00 Z. OWNER NAME: ~~~Z / /~X/ -7Z- KITCHEN SINK 3.00 LAUNDRY TRAY 3.00 SITE ADDRESS : HOT TUB/SPA 3.00 n Q~~ WATER HEATER 3.00 3 LOT : 0 BLOCK SUBD. FLOOR DRAIN 3.00 INSTALLER: GAS PIPING OUT. c (MINIMUM - 1) 3.00 ROUGH ADDRESS : ~ X L:- 7 / ~t 7~ Cam/ OTHER OPENINGS 1.50 c3~ c~ WATER SOFTENER 5.00 CITYA c' ZIP: PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00W9 PHONE SUBTOTAL $ ST. SURCHARGE 50 SIGNATURE OF RMITTEE~ TOTAL: CtI4fE Tt ..DU&MM 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: 18 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 J 2005 RESIDENTIAL BUILDING PERMIT APPLICATION U 10 City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements Remodel/Repair Requirements Office Use Onlv 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cert of Survey Recd _Y _N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd _Y -N. 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required _Y _N 1 set of Energy Calculations Addition - indicate if on-site septic system On-site Septic System _Y _N 3 copies of Tree Preservation Plan if lot platted after 7/1/93 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Date Z5 Construction Cost Site Address 111/,AtZt/f~4L t_44L, R. Unit/Ste # Description of Work It- 57ILL 645 Multi-Family Bldg - Y - N Fireplace(s) _ 0 - 1 2 Property Owner 1,151) 5,4 L/L A4A S / tVZ Telephone # Fireside Hearth&Home Contractor _ 14399 Huntington Avenue Address _ Savage, MN 5537 S City State 952.736.7761 Telephone # ( ) License #20512W.) P COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category T worksheet • New Energy Code Worksheet (q submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone # ( ) Mechanical Contractor Telephone # ( ) Sewer/Water Contractor Telephone # ( ) I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan i the cas o work which requires a review and approval of lans. Applicant's Printed Name Appli lint's Signatur OFFICE USE ONLY Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03, 01 of_ plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screen/gazebo) ❑ 36 Multi Misc. ❑ 05 03-plex. ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg_Y or _ N ❑ 25 Miscellaneous Work types ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish Interior ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Building ❑ 42 Demolish Foundation ❑ 45 Fire Repair ❑ 33, Alteration ❑ 37 Demolish Building* ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement "Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) _ Final/C.O. Footings (deck) _ Final/No C.O. Footings (addition) _ Plumbing _ Foundation _ HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final - Framing _ Siding _ Stucco _ Stone - Brick - Fireplace _ R.I. -Air Test -Final _ Windows - Insulation _ Retaining Wall Approved By: Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total * ;70 - . , 2006 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 RemodeVRenair Requirements Office Use Only 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan showing footings, beams, joists Cert of Survey Recd Y N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd -Y N. 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required ` Y _ N 1 set of Energy Calculations Addition - indicate (f on-site septic system On-site Septic System - Y - N 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Minnegasco mechanical ventilation form Date Construction Cosh/moo. Site Address /S9/ Lj,¢w 1L Z- -e f,2 Unit/Ste # It ow-. win/, Description of Work wl S7~j~f Multi-Family Bldg - Y - 1V Fireplace(s) - 0 _ i - 2 Property Owner /i ke Lis4 -546 ,may s>4~1- Telephone # (65-1 ) ysS'- O 2 1/2 Contractor S 1-774"' , " ~tiJl~y art c. Address /00 91T 6:-201, ' ~t/ City S~~ , V State /yeti Zip S- 5'0? Telephone # (65-1 ) `?9"- 9082 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category Residential Ventilation Category 1 Worksheet New Energy Code Worksheet submission type) Submitted Submitted • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Y _ N If yes, date and address of master plan: ) Licensed Plumber Telephone Mechanical Contractor Telephone # ( ) Sewer/Water Contractor Telephone # ( ) I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work, is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. , ma4- ek/ Applicant's Printed Name plicant's Signature DO NOT WRITE BELOW THIS LINE Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03 01 of_ plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-plex 18 Deck ❑ 23 Porch (screen/gazebo) ❑ 36 Multi Misc. ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex ❑ 25 Miscellaneous Work Types ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish Interior ❑ 44 Siding 32 Addition ❑ 36 Move Building ❑ 42 Demolish Foundation ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish Building* ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant Description: Water Damage Yes Valuation -0- Occupancy MCES System Plan Review 100% or 25% Census Code L4 _ Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) _ Sheetrock Footings (deck) _ Final/C.O. Footings (addition) ~?C Final/No C.O. _ Foundation _ HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final Framing _ Siding _ Stucco Lath _ Stone Lath -Brick Fireplace _ R.I. -Air Test -Final _ Windows Insulation _ Retaining Wall Approved By: , Building Inspector Base Fee Surcharge ( 9,000 Plan Review MC/ES SAC ,r`^1 City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total i E YO R' S CERTIFICATE SIENNA CORPORATION REVISED 8-28-91 TO SHOW PROPOSED HOUSE FOR CIFIC SOILS INVESTIGATION 1 824.6 HOMES BY HUNT EEN COMPLETED ON THIS / NOTE: Y THE SURVEYOR. THE -1~ i~ -BUILDING DIMENSIONS SHOWN ARE /ABILITY OF SOILS TO SUPPORT iq 8 FOR HORIZONTAL B VERTICAL LOC- SPECIFIC HOUSE PROPOSED d 90 ATION OF STRUCTURE ONLY. SEE ~OT THE ITECTUAL PLANS HE SURVEYORSPONSIBILITY OF /30g/,F 8RFOUN ATION• DMENSIIOONSUILDING' ` N 78o 16# ` 15 ~~ERgINgGE / 127 8 24.9 x, C8 2 3.5~ `J l 3 gSE,y~ENT f'ER p44r l9 v 1 ko-r /O 10 O z 3 /OD J N e30.0 -27p8 829.4 O7 2 x r x x v4'i N 829.0 38.67 6.56 x .~3 •3_ - - x833.4 co . GgRA E PROPOSED d. 1 M 12.33 0 m 1 X0 HOUSE M I x - - N 26. 1+~ 9.83 K; 837.5 1` 834.9 34 ►2.75 e3s.2 BENCH MARK (a 835.1_ 12.75 x ToP OF PIPE / P 6rZ - ~,~~27 OBENCH MARK ELEV.= 835.27 ROPOSED C JG ZJ 9 TOP OF PIPE rc~ 15 DRIVEWAY ; - 4EV.=834.82 10 I N _ h 839.4 x8351 - y r 40.13 I 89.87 wmmi~i 1:1 tk N 61039 14" E 1 634.1 N ' 4.6 'Tv 834.3 0 M •d 0 834.4 BLACKHAWK LA__ ~ f. A k -,V -.41111--- DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET SCALE: 1 INCH = 30 FEET • DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR 93,1,. 5 FEET X000.0 DENOTES EXISTING' ELEVATION PROPOSED LOWEST FLOOR 82000-0° FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED-TOP-OF--BL-OCK-=-aY FEET ® REC~UIF~ WE HEREBY CERTIFY TO SIENNA CORPORATION ° T~I~HTS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 10, Block 2, BLACKHAWK GLEN 3RD ADDITION, according to the recorded plat thereof, Dakota County, Minnesota. I 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. Date / 2- c,2C Site Street Address )5c/ 8,1ajL 4 tyik L-~! b V/ VC-) Unit # ( ) Property Owner (~/~-~~C Telephone # Contractor 1144 i my /Q( ll?i C/ Telephone # Address 5-;1'30 ra Se- City Me-YroI-u~ stated Zip Oaf,")(0 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: Cl MAY 3 1 2007 Water Softener ^ Water Heater $ 15.00 _ new _ replacement Lawn Irrigation _RPZ _PVB new -repair -rebuild $ 30.00 State Surcharge $ .50 Total I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a p mit and work will be in accordance with the approved plan in the event a plan is required to be review, d appro ta-H hfi Applicant's Printed N e A ,016ML,s Si 2007 RESIDENTIAL PLUMBING PERMIT APPLICATION d CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date 19 ! 000 Site Street ~~1 W L.l! Y/ ll?J Unit # Property Owner~QS Telephone # ( ) i C, S Telephone # (G% i) MId ff~lUl~ll Do-K. Contractor Address /~J a O e, CityMei'11)tA6~! State Ni N - Zip 65~Ca - Th -ro e Applicant is: _ Owner ,Contractor Other Septic System - New Refurbished Submit 2 sets of plans and MPC license Includes 1ounty 00 fee 00 Per as-built $ 10.00 Fire Repair (replace burned out fixtures, etc.) $ 90.00 Alterations to existing dwelling $ 50.00 13 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) I `1l] Other: I1 v MAY 312007 $ 1s.oo Water Softener _ Water Heater new replacement Lawn Irrigation _RPZ _4PV5 new _,_jepair rebuild $ 30.00 State Surcharge $ 50 0 Total I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to star without a mit and work will be in accordance with the approved plan in the event a plan is required to be review - appro Applicant's Printed N e A s si 2007 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when permits are required for each unit Date Site Address Unit # Property Owner Telephone # ( I) 465 Contractor 1 Street Address City State ~1 Zip Telephone # rUl Bond Expires: ~L6 / The Applicant is Owner Contractor Other Fire repair (replace burned out appliances, ductwork, etc.) $ 90.00 This fee applies when extensive mechanical repairs are made to a building. Add-on or alteration to existing dwelling unit $ 50.00 furnace -Additional -Replacement New air exchanger air conditioner heat pu p otherN0j Ck-- 11-4 State Surcharge $ .50 Total $ I hereby apply for a Residential Mechanical 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 with the Mechanical Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a it; that the work will be in accordance with the approved plan in the case of work which requires a review and approval ~If_~, Applicant's nted Name pplicant's Si 'afore J~ ST. JOHN CRAMMAN 1sg r . 7 Mears Avenue Mendota Hts., MN 557 78 (657) 457-7034 - Fax (657) 457-6768 FAX COVER SHEET FAX S - S4/ COMPANY NAME: ATTN: FROM: C v ~ f 6~ +rc # OF PAGES: Incladhm cover sheet MEMO: S~F::)) Fiofi-M 1WSr 21 A-7-7oAf wAtt~S ls~ r ~-u~-y;~cv,~- ~ • ~ f~~ 7g X32. •d E bEOG-GSb-iS9 U40L' qS 44a-ae9 eiZ=80 LO TZ daS 5EP-20-2007(THU) 08:33 P.001/001 r SUM 7 N5111,RT I J u l . I R M05 16: e7 AM Fy!2 rNSULATIGN SUPPLIES 141 s B s"" Street Smtth Hopkins, MN 55343 (952) 932-9000 EM[SPRAY EM 219 POLYURETHANE SPRAY FOAM SYSTEM Description Typical Physical Properties Emspray > MZ19 Density, lWoult. 1.9 ASTM 01-1622 polytuethane cherutcal foam Compressive Strcngtb ASTM D- 1621 system is a two component parallel 15-20(g 10% system designed for spray applications to produce a -Perpendicular 10-15 ® 10'/0 rigid polywoMana foam with Tensile Strength e ASTM-D-1623 anomidal avetalldensity of Ptuallel 25-30psi 1.9 paved per cubic foot Shear Strength ASTM C -273 Emspny 800A is a Pctpcndicular 30psi polymeric isocyanate "carat Conductivity. BT'U/hrASTh1 C-519 aontaicidg reactive K Factor g 77"F, INITIAL.153 iaoeyanate trouYs Dbuettsimtal Stability ASTM D-2126 % voluake change S.mspray E M19 is a 2 days at 200F dry <1 combinadort ofpolyols. Water vapor Permeability 1.4 ASTM C-355 tatnlytic agents, Open Cell Content QJa AST A4 D-2856 surthcu at, blowing agent Air Lealca .002afin1ft ASTM E-283-91 245 fa Typical Handling EM219A/B @225 INCHES ACHIEVES .8S Characteristics PERM 124CH Viscosity ® 750F Typical Combustibility Properties 190/255 MWng Ratio by Volume Norma] Thicknen (4" Test) ASTM E-84 1001100 Flame Spread Reaedvlry, Tack 25" Feet. Sec's Smoke Density 300 EM219 5 eTkM DATA REFL6CI'S THE PERFORMANCE The foam's propcrtihs OF T1IFSB FOAMS BY A LABORATORY SCALE ath's prod r 13LIRNMG TEST. AND THE RESULTS ARE NOT. were o were ~ through a TO BE C014SMER£D OR USED AS A FIRE samples sPrA summer W edit at I gh ~T~• HAZARD CLASSIFICATION AND ARE loo NOT M RTM4DED TO REFLECT HAZARD psi with a preheated PRESErfMp THIS OR ANY OTHER temperab= of 130-F and MATERIALS U14DER ACTUAL FIRE a hose teed of - lntaiun'a COI3DY'CIONS. 125-F. The system was sprayed at 70-75"F ambient and substate tentpeaature in a two irtt:h pots usidg a Aision WM. T'd i+EOL-LSif-TS9 U40C 4S 4,40-Ae9 ela:so LO TZ des V202L LSV TS9 SEP-20-2DOMHU) 08:33 P.001/OOl f-'ROM - INS111.RTItN;l8r, Jw1. J1 2005 1. 6:XRt1 F !2 INSULATIGN SUPPLIES 1415 -.9 5"" Street So,, q, Hopkins. MN 55343 (952) 932-9000 EMSP1l2AN EM 219 POLYURETHANE SPRAY FOAM SYSTEM Description Typical Physical Properties Saspray EMi219 Density, lbsJcu.ft. 1.9 ASTM ()-1622 polyurethane thernical foam system is a two component Compressive Strength ASTM D- 1621 systeen designed for spray Parallel 15-20(x3 10% applications to produce a P6p mdieuiar 10-15 cam. 10% rigid polyurethane foam with Tensile Strength' ASTM•D-1623 a nominal overall density of Parallel 25-30psi 1.9 pound per cubic foot. Shear Strength ASTM C -273 F.naspray 800A is a Perpendicular 30psi polymeric isocyanate Thermal Conductivity. BTU/hr.ASTM C-519 coetaioing reactive K Factor (ig 776F, INITIAL .153 isocymme twups Dimensional Stability ASTM D-2126 °~e vo11 int change smspray combination o lp l ayoLS 2 days at 200F dry <1 catalytic age [po. Water vapor PMneability 1.4 ASTM C-355 sufAuMntblowing ssagent Open Cell Content <2!a ASTM D-2856 245 fa AirI.eakagc .0020fn/ft AST"M Fr283-91 Typical Handling EM219A/B @2.25 INCHES ACHIEVES .88 Characteristics PERM INCH Viscosity @ 7S•F Typical Combustibility Properties i 90f255 mixing Ratio by Volume Norma] Thickaass (4" Test) ASTM E-84 100/104 Flame Spread 25 • Spray Reactivity, Tack Free. Sec's Smoke: D!enSitY 300 EM219 5 s71M DATA REFLSCt'S THE PERFORMANCE The foam's properties OF TEMSE FOAMS BY A LABORATORY SCALIE were determined an BURNING TEST, AND THE RESULTS ARE NOT' samples sprayed through a TO BE CONSIDERED OR USED AS A FIRE Guamer H-II unit al I Soo bWML HAZARD CLASSIFICATION AND ARE psi with a prebeated NOT WENDED TO REFLECT HAZARD ramperacure of 130 ■F and !'RESENTED THIS OR ANY OTHER a Rosa temperature of MATERIALS UNDER ACTUAL FIRE 125`F. The system was CONDITIONS. sprayed at 70-75' F ambiem and mfwtste temperatures is a two inch par's using a littiam gun. a1 isEOL-LSD- T S9 U 40C -4S 4qa-jeu e i a : 80 LO T a des r ' k CASH RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD r, R EAGAN, MINNESOTA 55122 ` ig ~ DATE r G AMOUNT & DOLLARS fro CHECK n p CASH E> i. FOR AMOUNT FUND OBJECT e. t i e a i 4 r~Thank You BY f-- - White C4DPY Yelb-Payers sue' ~ C~ 126 ~J Yellow-Posting Co CoPX Pink-File Copy PERMIT City of Eagan Permit Type:Building Permit Number:EA112472 Date Issued:08/14/2013 Permit Category:ePermit Site Address: 1591 Blackhawk Lake Dr Lot:10 Block: 2 Addition: Blackhawk Glen 3rd PID:10-14352-02-100 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 . Luanne Yang 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 - Michael D Sackmaster 1591 Blackhawk Lake Dr Eagan MN 55122--124 New Life Contracting Inc. 814 Grand Avenue St. Paul MN 55105 (651) 224-3442 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA112951 Date Issued:08/27/2013 Permit Category:ePermit Site Address: 1591 Blackhawk Lake Dr Lot:10 Block: 2 Addition: Blackhawk Glen 3rd PID:10-14352-02-100 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 . Luanne Yang 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 - Michael D Sackmaster 1591 Blackhawk Lake Dr Eagan MN 55122--124 New Life Contracting Inc. 814 Grand Avenue St. Paul MN 55105 (651) 224-3442 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA129483 Date Issued:02/17/2015 Permit Category:ePermit Site Address: 1591 Blackhawk Lake Dr Lot:10 Block: 2 Addition: Blackhawk Glen 3rd PID:10-14352-02-100 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. Applicant: Ann Hoffman 505 Randolph Ave St Paul, MN 55102 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 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 - Michael D Sackmaster 1591 Blackhawk Lake Dr Eagan MN 55122--124 (651) 455-0242 Bonfe's Plumbing & Heating 505 Randolph Ave St Paul MN 55102 (651) 228-9071 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA129483 Date Issued:02/17/2015 Permit Category:ePermit Site Address: 1591 Blackhawk Lake Dr Lot:10 Block: 2 Addition: Blackhawk Glen 3rd PID:10-14352-02-100 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. Applicant: Ann Hoffman 505 Randolph Ave St Paul, MN 55102 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 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 - Michael D Sackmaster 1591 Blackhawk Lake Dr Eagan MN 55122--124 (651) 455-0242 Bonfe's Plumbing & Heating 505 Randolph Ave St Paul MN 55102 (651) 228-9071 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA168301 Date Issued:04/16/2021 Permit Category:ePermit Site Address: 1591 Blackhawk Lake Dr Lot:10 Block: 2 Addition: Blackhawk Glen 3rd PID:10-14352-02-100 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 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 - Michael D & Lisa M Sackmaster 1591 Blackhawk Lake Dr Eagan MN 55122--124 (763) 391-5552 Minnesota Exteriors Inc 8600 Jefferson Hwy Osseo MN 55369 (763) 391-5514 Applicant/Permitee: Signature Issued By: Signature