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1592 Blackhawk Lake Dr -I I For Office Use :::::ee City of Ea a~ d . 0 3830 Pilot Kn ob Road I nnAA Eagan MN 55122 Date Received: til~~tt3 Phone: (651) 675-5675 i Fax: (651) 675-5694 Staff: L---------- 2009 MECHANICAL PERMIT APPLICATION Date: Site Address: &J'kdl~fr Tenant: Suite RESIDENT /OWNER Name: Phone: Address/ City /Zip: L° / 4-0 'EJ CONTRACTOR Name: icense Address: City: p State: Zip: 6 c7L Phone: hbontact Person: TYPE OF WORK New Replacement Additional Alteration Demolition Description of work: a'yme& ViR J#(1 4( in d ~ NOTE: Both roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector or one of the Planners for information on permitted screening methods. PERMIT TYPE RESIDENTIAL COMMERCIAL J z F rnace ~~4 %k 4P New Construction Interior Improvement Install Piping Processed Air Conditioner j/f'0,v~`~ 4 j,13 _ Air Exchanger Gas Exterior HVAC Unit Heat Pump Under / Above ground Tank (_Install/_ Remove) When installing/removing tank(s), call for inspection by Fire Other Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ x 1% $50.50 Minimum (includes State Surcharge) Permit Fee - If Permit Fee is less than $1,000, surcharge is $.50. - If Permit Fee is > $1,000, surcharge increases by $.50 for each State Surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). $ TOTAL FEE 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 ith the approved plan in the case of work which requires a review and approval of plans. X au IJ l 1t~LL& rL. Applicant's Printed Name Applica s Signa re FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground - Rough In _Air Test _Gas Service Test -In-floor Heat -Final Exterior HVAC Screening Inspection City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 1592 Blackhawk Lake Dr Lot: 14 Block: 1 Addition: Blackhawk Glen 3rd PID:10- 14352- 140 -01 Use: Description: Sub Type: e- Reroof Work Type: Replace Description: House & Garage Census Code: 434 - Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: New Century Exteriors P.O. Box 261 Big Lake MN 55309 (763) 262 -2378 Applicant/Permitee: Signature PERMIT City of Eaan BL - Base Fee $3K Surcharge - Based on Valuation $3K Construction Type: Occupancy: 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. $88.50 $1.50 Total: $90.00 - Applicant - Owner: William W Ramsey 1592 Blackhawk Lake Dr Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: 0801 9001 Issued By: Signature Building EA090802 08/21/2009 ePermit I hereby acknowledge that I have read this application and state that the information is correct and agree to comply of Minnesota Statutes and City of Eagan Ordinances. h all applicable State CASH RECEIPT s CITY OF`??AXA, 3834 PIl.OT KId06 ROAD EAGAN, MIIVtVESOTA 55122 .-^4l ' _ __ Y J(? s )V 19 Thank You BY C 42P9 g DOILARS ,oo CHECK i w?,ite-Payem copr 1 veilo.? covr . o._?. _c•.e r _ ?. ,; ? ,......<.. . . . . ? . _ . - „ . , PERMIT # • • ' ' ' PLUMBIN', PERMIT , CITY OF EAGAN RECEIPT # 3830 PILOT KNOB RQAD, EAGAN, MN 55122 DATE' CONTRACT PRtCE: PHONE: 454-8100 ' Site Address LV- Lot Qlock ? BLDG TYPE WORK DESCRIPT{ON Sec1 ; Res. ? New ,.? Mult. Add-an ;.? Comm. Repair Other RES. PLBG. ONLY -CDMRLETE Ti1E F01,1WING: _ FIXTURES ? ?qTqL Water Closet - $3.00 $ , ? Bath Tubs - $3.00 '- ? Lavatory - $3.00 -7-Shower - $3.00 =Kitchen Sink - $3.00 " ` Urinal/Bidet - $3.00 Laundry Tray - $3.00 - Flaor Drains - $1.50 ? 7 - - Water Heater - $1 50 ' 7 . ?Whirlpool - $3.00 - Gas Piping Outfets - $1.50 ? (MINIMUM - i PER PERMIT) Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 - FEE: a Name ? m Address c City P'hone 24 Name ''?. , ?,,,? ? , r ?;; .? ?.•,,?w' 3 Address p City Phone ?FEES COMM7IND FEE -1% OF CONTRACT FEE _ APT. BLDGS - COMM RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APPLIES ' MINIMUM - RESIDENTIAL FEE - $12.00 ; MINIMUM - COMM/IND FEE - $20.00 ? STATE SURCHARGE PER PERMIT - .50 (ADD $50 S/C IF PERMIT PRICE GOES : BEYOND $1.)00.001 r"? OF PERMiTTEE FOR: CITY OF EAGAN STATE S/C: GRAND T07ALt ''?? ' ? - ? '" ` t ,'' P .k.,, I • 1 , PERMIT # MECHANiCAL PERMIT RECEfPT # CITY OF EAGAN DATE ? ? 3830 PILOT KNOB ROAD, EAGAN, MN 55122 : ? CONTRACT PRfCE: - PHONE: 454-8100 For Office Use Only: ? Site Address t gLDG. TYPE WORK DESCRIPTION lot % B{ock SeclSub _ New ? Res 't , . Mult. Add-on ? Name Comm. Repair M Address ' Other c City = r ??-' > Phone ? FEES L Name j` RES. HVAC 0-100 M BTU -$24•00 c , . Address .;, ADDITIONAL 50 M BTU - 6.00 p Ciry Phone (RES. HVAC INCIUDES A!C ON NEW CQNSTRUCTION) GAS OUTLETS (MlNIMUM -1 PER PERNNI) - 1.50 EA. TYPE OF WORK H COMMlIND FEE - t% OF CONTRACT FEE Forced Air ° M BTU I<: . APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES Boiler M BTU $ MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M STU REMODELS - 12.00 Air Cond. M BTU $ MiNIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 Vent. CFM $ (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # ^ $ - = - BEYOND $1,000) Other ? . ; FEE: .. : SiGNATURE OF FtRMITTEE /? S/?I: 4 t TOTAL: .•-?5,. :,??? FOR: CITY OF EAGAN : CITY OF EACI CONTRACT 3830 PiLOT KNOB ROAD, EA PRICE PHONE 45487 Site Add,r/e? s t?? r WW_kWLk e-- ffwe, : Lat __L? 89o?1c ^ aSec/Sub -i----- m Name ? Addre ? CRy- ? Add ? City Phone FEES CQMM.1tND. FEE - 1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPUES TOWNHOUSE & CONpO - RES. RATE APLLIES MINIMUM - RESiDENTIAL FEE $12.00 MINIMUM - COMM.IND.IFEE $20.00 STATE SURCHRRGE PER PERMIT .50 (ADj2 $.50 SIC PER EACH $1,000 OF PERMtT FEE) , V14V,115f? ' FOR CITY OF EAGAN For Office Use Only PERM{T # 11&-26- 0, MN 55122 RECEIPT # *2-? 95 p01111 DATE: &/17f ?'t 0 i'iBLDG. T PE WORK DESCRIPTfON ?Res. New 14 'i!}Muit. Add-on ' Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Water Closet - $3.00 $ Bath Tubs - $3.00 -?- Lavatory - $3.00 Shower - $3.00 Kitchen Sink - $3.00 UrinaVBidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - $1.50 Whiripooi - $3.00 Gas Piping Outlets - $1.50 (MINIMUM -1 PER PERMIT) 5oftener - $5.00 Wefl - $10.00 Private Disp. - $10.00 , Rough Openings - $1.50 , U. G. Sprinkler System - $12.00 PERMIT FEE: 62, STATES S/C: eS G? GRAND TOTAL: ? ?? c N I ?m , ? ? PRE3t K1"tob RCiad PeTttlft Numbet': tstgan,. Date I88Uod: SITEA-bflRESS: ARPL?AP?T: ?, ???r : . 4 1. 0 C V, ? ;J.t Si..ACt??AWK L????? ? WA????Y ? Hi Ar4,r??WK 6.1414 3RIJ t612 414 7 0 I` PERM1T SUBTYPE. TYPE 4F WC}RK: 7 y "04' 1411"0 Ul t.t..1 AM ? i ?11 0 , ?.. ? ? , ? ? ? j 11' ? ? ?? w :? . ... GITY OF EAGAN ?}$ O? ???Y/p?/ ? ? ?.3 ' • x+v, r'i . :7F ?BI! ? ?Y iG. ?kr V :j 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ? PHONE: 454-8100 ? BUILDfPlG PERMIT Receipt # ?n be used for SF DWG{GAR Est. Value $187,()GC) Date OCT 1?'a 1980 ? , I Site Address ? ??? ??C40MWK LJW DR Lot 14 Block i Sec/Sub. BLACKUWK GUN Parc el No. Name ?YS1 'C1NE $Lt?i?.i'3EitS £fli" W Address 201 ?Y?E S'? o City ? ??OREVIEW Phone 483-£325f't o Name ?' Z 0 Q Address ( ? City Phone ? W W Name ? ; Address a W City Phone I hereby acknowlege 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 Ciry af Eagan Ordinances. F Signature of Permitee A Buiiding Permit is issued to: KEYSTONE BUILDERS on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official OFFICE USE ONLY ? Occupancy R'"r 3 14'"1 FEf_S ? Zoning ? (Actual) Const V"'"`N Bldg. Permit ??.00 { (Allowabfe) Surcharge 43+50 > # of Stories - ????? Length 7(j • Plan Review a Depth 72' SAC, City 100*00 ? S.F.Total - SAC, MC?WCC ?'7',?i? ? S.F. Footprints - ? ?? ? On Site Sewage ^ Water Conn "? ? On Site Well Water Meter ?0.00 ? MWCC System !?i? I ? Acct. Deposit City Water W ??•? PRV Required S/W Permit ; Booster Pump - S/W Surcharge 228a0Q 1 Treatment PI a 1 APPROVALS Road Unit 340.00 ? Planner - park Ded. ? Council -_ ? BIdg.Off. _ Copies ; Variance - TOTAL w?} ? 473 ? N Permit No. Permit Holder Date Telephone # WATER + SEWER f, PLUMBING ci '`? ?,.??E 't,:'x.c... '.k'? ? "r:? ?? • *,} ? H.V.A.C. ELECTRIC • ! I {? ' ? ? ,, ;' ? `?- " T , ?'t t? f? ._ ?;f, :???? " .. Inspection Date Insp. Comments Footings I fv? , Foundation Framing Roofing Rough Plbg. .- '?•>` t„ / •6 ! ? _ . A?` ?., ? L /?? ,. ,12 Rough Htg. ? 1 Isul. Fireplace Final Htg. ?? ? S' Q? ?L({J Final Plbg. - Z_ e) Const. Meter Plbg. Inspector - Notify Plumber Engr./Plan Bldg. Final 6-G y+??'?f r ah Deck Ftg. Deck Final We(I Pr, Disp. Ttrttf'tratt of (Orrupanry titp ot eagan lorpttrimm# of luildittg 3mvrrlinn This Certificate issued pursuant to the requirements of Section 306 of the Uniform Buildyag Code cenifying that at the time of issuance this slructure was in compliance with the various ordinances of the City regularing building construction or use. For the foQowing: Use C7assification _??/GAR Bldg. Aermit No. 17220 o-upa-y Type R3/M17ooi,g Mwa Ri Tyae canst. VN Owner of Building KEYMERMMS QQW• Address 201 MUDZ Sre s SEFEVLW Mdmg .aaaren 59 ;y L14. Bl, NAMOK aRM 3Rb .i ? . llAte:. '???Y? <4?6+_'1_9_M Buil mg O[fi POSTIN A CON$PICUOUS PLACE ? __ i ' sEW I Ea & vvAirER PERMIT CiT''ff 4F EA+GAN 3834 Pifot Knab Rd. Eagart, MN 55122-1897 oFFic usE o?.v METER # ?PERMiT DATE 10/26/$9 CHfP # pt57 314 $` t WA7ER PEFiMiT # 11050 METER,SfZE ,B.P. REGEtPT # P;. 4289 15SUE nATE B.P. RECEIPT-EATE 1f1I20/8??' ? PRV ?. BOOSTER PliMP SITEAp?S 1592 B.lack??E?wk Lal?e Dxive LOT ?', ? B?c?CK Z S€G/SUBBI.aekliawk G.]:en 3rd PfRAfl17 Rt-QUIESTEp ' SEWER & WATER PERMIT CITY,OF EAGAN 3830 Pilot Knob Rd. Eagan, MN 55122-1897 OFFICE USE QNLY METER # PERMIT DATE GHIP # WATER PERMIT # METER SIZE B.P. RECEIPT # ISSUE DATE B.P. RECEIPT DATE r .,? PRV _ BOOSTER PUMP SITE ADDFCgS LOT ? BLOCK SEClSUB APPLICANT: ADDRES?:_ CITY, STATE ZIP PHONE: ' i PLUMBER: . ADDRESS: : - ° - ° CITY, STATE ZIP PHONE: OWNER: _ ADDRESS:_ , CITY, STATE PHONE - ZIP PERMIT REtIUESTED - SEWER - WATER _ TAPS ? COMMIIND ,X RESIDENTIAL _ NEW _ EXISTING 1 AGREE TO COMPLY WITH CITY OF EAGAN ORDiMANCES: , ?? . ?... SIGNATURE WHEN METER ISSUED PLEASE ALLC9W TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. APPLICAN7 AND PLUMBER WILL BE NOTIFIED WHEN PERMIT IS PROCESSED. F t D ate 3 RK Fire No. Rough-in InspecTion Required? eady Now ? Will Notify Inspector R d ? Wh n1 es ? No en ea y 1 licensed contractor ? owner hereby request inspection of above efectrical work at: Job Address (Street, Box or oute No.) 4 & City /U? 4"j 1 Seetion No. Township Name or No. Range No. Coun Occ ant(PRINT) f Phone No. . S ?"tj "+E: Pa r Supplier Z? Address ? ' ` K C? C: ? rJ ?ry ! N G ? Electrical Contractor (Company Name) Contr ctors License No. - v ' Mailing Address (Contractor w Owner Making Instaltation) j } ) 30 N ' ; 0 U Auth d Signature (Contractor ner king Installation) Phone Numbeop 9/ ? z_ I MINNESOTA STATE OARD OF ELECTRICITY THIS IfVSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room 5173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., S4, Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLQSED. REQUEST FOR ELEGTRICAL INSPECTION 10- See instructions for wmpleting this torm on back of yellow copy. F ?` ??1j "X" Be%w Work Covered by This Request .r. ee-00001 -07 ew Add Rep. TypeofBuiiding AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) CommJlndustrial Fumace Farm Air Conditioner Other (specify) ordractor's Remarks: Compute lnspection Fee Be%w: C) # Other Fee # Serv' ntrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 00 0 to 100 Amps •;'? Transformers Above 200 Amps Above Amps SignS Inspector's Use Only: m OTAL irrigation Booms 3 Special lnspection Alarm/Communication Other Fee I, the Electrical Inspector, hereby f h Rough-in Dat ,,2 - ,2 certi y t at the above inspection has been made. Final ' Date OFFICE USE ONLY This requesl void 18 months Prom ? . DATE: 10126/89-' RE: L14, Hl, BLACKHAWK GiEN 3rd (1592 $LACKHAWK LAKB DR1VE) N-7, Your Sewer & Water Permiffor the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until ihe meter is picked up. BE $URE TO ? CALL PUBLIC WbRKS (4545220) FOR YOUR PERMANENT WATER TURN OK f= ? Yaur Sewcf & Water Permit for the above property cannot be compteted for the follawing , reas . Your 5ewer & Water Permit for the above property has been compfeted, but the meter cannot 3 ' be issued or occupancy allowed untit further notice. COMMERCIAL PROJECTS ONLY: Please pay, for met,er at City Hail. Meter size must be ' confirmed by Bill Adams or Dirk House (Plumbirig Inspectors - 454-$100) before issuance. WARNING: BEFOR6IGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - - REGIUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FM, WATE'R TURN ON POLIGY., Secretary, Building Inspections Dept. 2007 12ESIDENTIAL MECHANICAL rERMIT arrLlcaTioN City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & tov?nhomes/condos when pernlits are required for each unit J Date // / v_ Site Address Unit # Property Owner 1,1 Te3ephone # (,?61 Contractor Street Address City State Zip )WA) ?-- Telephone # ( 0,?? Bond#:??( _GExpires: The Appticant is Owner 1?' Coilnactor Other Fire repair (replace burned out appliances, ductwork, etc.) $ 90.00 This fee applies when extensive mechanical repairs are made to a bu ilding. Add-on or alteration to existing dwelling unit '$ 50.00 f urnace _Additional ? Replacement New air exchanger air conditioner heat pump other State Snrcliaa•ge $ .50 Total $ F I hereby apply for a Residential Mechanical Pern 't?and ac?iowledge that the information is complete and accurate; that tlie work will be in confonnance with the ordinaiices and codes?f the City of Eagan and witli the Mechaiiical Codes; that I understand this is not a permit, Uut only aii application for a Uennit, and work is not to start without a permit; that the work will be in a9oor, ce with the approved plan in ihe case of work which requires a review and approval of plails. Applicant's Printed Nanle App ' aiat's Signature / PERMIT --.>\CITY OF EAGAN -3 3830 Pilot Knob Road PERMIT TYPE: s u xLpIM G Eagan, Minnesota 55123 Permit Number: 021827 (612) 681-4675 Date Issued: 6 8 j 2 5/ 9 3 SITE ADDRESS: 1592 BLACKHAWK LAKE DR ' LqT: 14 BLpCK: 1 BLACKHAWK 6LEN 3R[l P.I.N.: 10-14352-140-01 ? DESCRIPTION: REMARKS: ' FEE SUMMARY: 8ase Fee $25.00 Surcharge .50 Tatal Fee $25.50 C:VIV 1 FiAt: I VI-{: fIREPI.AGE NEW ?g ? ? m? ? ?g 0 R1? ?? . VYVIVCI'[: .. V " •.'`••""" " RAMSEY WILLIAM 1592 BLAGKHAWK LAKE qR EA6AN MN 55122 (512)452--1470 ` APPUCANT/PE IT E SIGNATURE ) ISSUED BY:ISIGWAT - - - •--L URE REACTIYATE CITY OF EAGAN PERM?f # 1993 BUILDtNG PERMIT APPLICATION 681-4675 - -- SINGLE & MULTI-FAMILY 2 sets of plans, 3 registersd site surveys, 1 copy of'energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but nat picked up by last working day of aanth. in which request is aaade, 2) address is changed or 3) lot change i:s requested once permit js issued. Date 7-7?__ Yaluation of work S i t e Ad d r e s s: :;?--, ,R,La-cLI.,o. coFC,_ ?ak--E.. I? ? ?a :;j a-,_ z1REET SllITE 0 Tenant Name: (commercial only) IAT ? BLOCK _J_ SUBD. J&X,U p. I. D.#? . Descri tion of work: r-? c? The applicant is: Owner ? Contractor O Other co«critw> Name : Phone Property LAsT FIRST - Owner Address A1(6LCkLaCx_.? < <L lc? - STREET tTE 0 City State Zip ?&? Company _ Phone COntYBCtOt` Address license ? Exp. City State iiP Company Phone Architect/ Engineer Hame Registration # Address City State IiP Sewer & water licensed plumber . Processing time for sewer & water permits is two days once area has been approved'. I hereby acknowledge that I haVe read this application and state that the information is. f Ci ty o correct and agree to comply with all applicable State af Minnesota Statutes and Eagan Ordinances. licant: nature of A Si , pp g OFFICE USE ONLY BUILD{NG PERMIT TYPE E3 OI Foundation O 06 Duplex E3 02 SF Qwg. ? 07 4-Plex ? 03 SF Additian ? 08 8-Plex C) 04 SF Porch ? 09 12-Plex ? 05 SF Misc. ? 10 Multi. Add'1. WORK TYPE ? ._ . ,? ?,? :? ;,?? ? y? ? 0 11 Apt./Lodging A.Cr.b q?s-wet Finish O 12 Multi. Misc: L`3?17 Swim Pool 0 13 Garage /Acce s sory ? 18 Comm./Ind. O 14 Fireplace ? 19 Coam./Ind. Misc. ? 15 Deck C] 20 Public facility 0 21 Miscellaneous ? 31 New O 33 Alterations ? 35 Tenaflt finish E3 37 Oeaalish ? 32 Addition 13 34 Repair ? 36 Move GENERAI. fNFORMATION . Const. (Actual) 6asement sq. ft. MWCC System (Allowable) lst F1. sq. ft. City Water UBC dccupancy 2nd F1. sq. ft. PRV Required toning Sq. Ft. total 8ooster Pump f of Stories Footprint Sq. ft. Fire Sprinkler length On-site well Census Code Oepth 0n-site sewage SAC Cade APPROVALS - Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ' ? Site [3 Footing E3'Framing ? Insulation ? Wallboard D Final CI Draintile 0 Fireplace Permit Fee wLti.cion: ? Surcharge Plan Review license " MWCC SAC City SAC ' Water Conn. Water Meter Acct. Deposit S/W Permi t S/W Surcharge . 7reatment P1. Road Unit Park Ded. Trails Qed. Copies Other Total: SAC % SAC Units , CITY OF EAGAN NO 17220 _ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE:454-8100 BUILDING PERMIT Rece+pt # ?? Tobeusedfor SF DWGJGAR Est.Value $187,000 Date OCT 19 , 1989 Site Address 1592 BLACKHAWK LAKE DR Lot 14 Block 1 Sec/Sub. BLACKHAWK GLEN OFFfCE USE ONLY Parcel No. RD occupancy R-3 M-1 FEFS R 1 - Zoning W Name KF.YSTnNF. RIITT.DFRS ('ORP (Actual) Const V-N BIdg.Permit 944.n0 o Address 701 RRTD(?F. SiT (Allowable) V'-N 93 S0 Surchar e 9 . City 9HnRF.VTF.W Phone 483_8 56 # ot Stories - 1 plan Review 472. ?0 Lengih 76 p Name SAME Depth ?Z ' SAC Cit 100.00 Z ?? Addf@SS S.F. Total - , y 5?5 0? SAC, MCWCC . !- City Phone S.F. Footprints - t C W 58?. 00 On Site Sewage _ er onn a 0 W Name On Site Well M W 90.00 ? w - ater eter ?? AddreSS MWCC System ? z ? Acct. Deposit 30.00 W < City Pho112 City Water XX 20 00 PRV Required S/W Permit . i hereby acknowlege that I have read ihis application and state that the Booster Pump - S1W Surcharge 1.00 information is correct and agree to m ith aN applicable Siate of Minnesota Statutes and City E a r i es. ?..,-.- Treatment Pi 228.00 Signature of Permitee APPROVALS Road Unit 340.00 A Buiiding Permit is issued to: KEYSTONE BUILDERS Planner - park Oed. on the express condition that all work shall be done in accordance with ali Council applicabie State of_Mninnesota Statutes and City of Eagan Ordinances. Bldg. Oft. Copies Building Official ?? ? AA ? I 1! 1?tJ Variance - TOTAL 3,473. 50 • ' 1989 BIIILDIBG PERMIT APPLICATION CITY F EAGAN OCT 1 0 lggg SINGLE FAMILY DWELLINGS I?LTIPLE DWELLINGS CONMERCIAL 2 SETS OF PLANS 3 REGISTERED SITE SIIRVEYS 1 SET OF ENERGY CALCS. 2 SETS OF PLANS REGISTERED SITE SURYEYS - (CHECB iIITH BLDG DIV.) 1 SET OF ENERGY CALCS. 2 SETS OF gRCHITECTURAL & STRUCT[TRAL PLANS 1 SET OF 5PECIFICATIONS 1 SET OF ENERGY CALCS. Ilt1LTIPLE DWELLINGS RENT9L UNTTS FOR SALE IINITS _i # OF IINITS bTOTEz ADDRESSES FOB CORNER LOTS - CONTRACTORIHOMEOWNER MOST DESIGNATE itHICH ADDRFSS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BOILDING PERMIT IS ISStTED.. SEWER & W9TER PERMIT FEES AND ACCOIINT DEPOSIT FEES iIILL BE INCLtJDED WIT8 THE BUILDING PERMIT FEE. PROCESSIKG TIME FQR SEWER AND WATER PERMITS ZS TWO DAYS ONCE A PERMIT HgS BEEbT COMPLETED INDICATING A LICENSED PLUNiBER. PENg1.TY APPLIES WHEN: PERMIT IS NOT PAID FOR IN S9ME MONTH IT IS REQIIESTED. LOT CHANGE IS REQUESTED ONCE PERMIT IS iSSiTED. To Be Used For: ?? 11 Valuation: Date: , Site Address Lot t q Block Parcel%Sub 15 i et cl? Gt u,o ic Owner ii-I :± S'u 41 ON1?? _ Address City/Zip Code Phone Contraetor -r Address City/Zip Gode r#o,?j Phone ?o ?30 z s7-GArch.fEngr. 1?,^ lrl- gddress City/Zip Code Occupancy Zoning Actual Const Allowable # of stories Length Depth S.F. Total Footprint S.F. On site sewage On site well MWCC System ?City water PRV required Booster Pump APPROVALS Planner Couneil Bldg. Off. Variance FEES Bldg. Permit Sureharge ?-s c Plan Review ? SAC, City 1D? SAC, MWCC S?S Water Conn ?o Water Meter Aect. Deposit ?d S/W Permit ?o S/W Surcharge / Treatment Pl. Road Unit Park Ded. Copies SiTBTOTAL Penalty TOTAL Phone # _r-- y3 73, ?o zy 3 ?- 3 2- Sp ? .?----- i ZX -2 _ .? ? . ? ? ? ZQa _ .? ? ? ? ? 3L-;R 2 c) q , SURVEYOR'S CERTIFICATE" 834B O SIENNA CORPORATION / to ? G 834.7 ar.2 0) K ^A ACKN ? 836.9 \?.p ?TJ 3O ? r /o /? W1 aL _ p, ?,??..-? / o O in 834A ??O• / y BENCH MARK 836.9 TOP OF PIPE EIEV. = 837.10 ? 838.0 x w A BENCH MARK ? TOP OF PIPE ELEV. =837.44? , ?a ..,.?..?-? ?' .?. ,. DaL- i , 1T i-7 L_l N REVISED 10-13-89 TO SHO W PF70POSED HOUSE FOR KEYSTnNE BUILDERS. 837.6 837.Bx T. I\-j i i ? e 36.7 N 3tp ? ? 2t q,?.?? ?t9 ? W Gp ?2,F?p.G? P o °?? \A0?'? 291 ?2? oPpSti? a,? $` ? ? 837.5 tr ?.s3?s, 26 o Q ? N `fx s ?(j? SGN o x -a P? 827.5 47 827.7 . \ Zo? 25.5 -- ? U)`, 29.1 e. ?ft P - 821.1 ?l L OT I 4 o I Y~ . . ,?? ??,. ? , _ ? . . :......?.:a.... . . .. _., s , ?. ? ? 0 ? e1e.9 6?j (1 . Y , C(. .i ?---- DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET • DENOTES IRON MONUMENT FOUND X000.0 DENOTES EXISTING ELEVATION (000.0) DENOTES PROPOSED ELEVATION ? ? ? E `E ?. ?.V. SCALE: 1 INCH = 30 FEET PROPOSED GARAGE FLOOR = 838 S FEET PROPOSED LOWEST FLOOR =931,I FEET PROPOSED TOP OF BLOCK = 837, Z FEET WE HEREBY CERTIFY TO SIENNA CORPORATION THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 14, 81ock I BLACKHAWK GLEN 3RD ADDITION, occording to the recorded plat thereof, aakoto County,Minnesota. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROA?CHMENTS, EXCEPT AS SHOWN. AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THISDAY OF Dlc, t- , 1W8 APPROVED FOR SIENNA SIGNED: JAMES R.HI'LL'.`lNC. CQRPORATION ; BY: QY : , -HAROLD C. PETERSON, LAND SURVEYOR bATEDt MINNESOTA LICENSE NUMBER 12294 cn m °0 ?o 0) ? o m -n Op O m r- W c- O < - m _p n ? cn CO D ? ? Z o ap -i ? D p z ? m Z T ? O m N ? W ? - ? James R. Hioll inc. ? PLANNERS / ENGINEERS / SURVEYORS 9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 • 612-884-3029 . Project Titl Site Address EXTERTOR ENVELOPE ENERGY CODE COMPUTATION WORKSHEET 1. EXPOSED WALL CALCULATIONS A. B. C. Opaque Wa11 1. Masonry/CorLCZete a. b. c. 2. Foundaticn WaI1 (Above Grade) a. b. 3. Wood Frame Wall a. InsuZated Area b. Framing Area (Ave. IS$ at 16" oc) c. Framing Area (Ave. 10% at 24" oc) 4. Peripheral Floor Ec1ge/Rim Joist a. b. Glazing 1. ai?r,, L-Cl.U E? b. 2. Doors Doors 1. Wood a. Solid b. Wi storm doo? 2. Met3I. 3. Overhead 4. Other AREA "U" VALUE AREA x "U° x = x - x = ,05" X .14? = 3p • 3 x - 27>7.4) x • ?`= OZ • ? ---3 X x = L x •, d = ? G?• X = . X A _ 14,6. 09r x = 347 x • x = X . _ ^. x = x = D. TOTAL WAIL ARF1A, sq. f t . . . . . . . . . . . . . . . . . . . . . t. E. ZOM of ARFA x"U" ................................................... . ? II. ftOOF/CIILING CALCIILATIONS A. Rmf/Ceiling Insulated Area B. Roof/Ceiling Framing (Ave. 15$ at 16" oc) C. Roof/Ceiling Framing (Ave. 10$ at 24" oc) D. Skylight E. TOTAL ROOF'/C'.ETLIDIG AFtE'A sq. f t .............. X X tr - x F. 'IO'i'AL CP ARFA x "L1n ....,c ............................................ ? To Determine Carpliance with the Minnesota Energy Code (Section 502 of the State Amended 1983 Mode1 Energy Code) . III. BUILDING ENVELOPE ftERUIREMENTS TO?I'AL, ARF,,p, RDQUIRID "i,T" ,ALLOWABLE (Fran I.D & II.E) (Fran V.) (Area x "U") A. Exposed Wall: B. Roof/Ceiling: 57 x • Z,rr = C. TO'.PAL ALLOWABLE BUILDING IIdVEIAPE (Total of A& B above)... S02- .-S7 IV. ACTUAL BUILDING ENVELOPE AGTUAL (Area x "t7") A. Exposed Wall (Frcm I.E) ZOlfa B. Imof/Ceilzng (Fran II.F) ? . C. TOTAL ACIVAL BUILDIlaG II?VBAPE (Total of A & B) . . . . . . . . . . . . 44?0#4 *(Meets code requirements if less than III.C) V. REAUIRED "U" VALIIES WALI,S Detached orie and two family dwellings .lI * Multi Family Residential Buildi.ngs .238 (3 stories or Iess in height) * Al1 Other Cbnstruction Zypes (3 stories or less) .238 * All Other Constructicn Types (More than 3 stories) .28 * Based on 8007 heatirtq degree days (Mpls/St. Pau]) Adjust `U' values accordinqly for other locations CERTIFICATION 17POF/CEILING .026 .033 .06 .06 I hereby certify that I have cxxtpIebed the above informatian and that it cxmZies with i-he Minnesota State Energy Code. Signature Date t,.?' Z,. BCSD 3-89 CC/SAi/6574 a . .,- .' ? . 7'op V! ew IiALL SEC`PIUNS . . FINMING MI:MDERS IN..WALLS Gxterior Air._fi.lm.__,,.. NU7'Es Uae 10;6 . , .Y----- 01' opaque rvall areu i'or I'rawitte" ? membere ? ? --- ; ? '- I , . . -•. . _1 0•---u -- ..+_._ - (2) Siding _ Sheathfng ?. -' solt wood 5 /'L! .lr.y wall • "Interior air film _ , R-Velue ..11__ .? 9 7 S .45 .68 `-- TOTAL R ? _I o` U ffi j/[Z U r *? FRAtfEU WALL Exterior air film Siding y Sheathing 2 ........?_ .? batt insulation & '-I" dr wall ' - -- - -- .17 2. O G on - =? -- .4S Iciterior air film - -- '68 ? Zz ? ?(o ,..._.__ U a 1 / R V = • , ?!?? ..._ RIM_ JOIST A,?E&_,_ Exterior air film Siding Sheathing Z .5?/3 Z•• - 1'," soft wood ., ?SU1 art nu..?.......?,: » ? ? 9•?,,,,! 2• O,C ]..88 /`r.4? .68 I n t e r i o r a i r .,.._,...._..,.....-..-.--- T01'AL K G-"'T? ??? U e I/R U MASONItY WALL • Cxterior air film 17 • ?- --_._ 12" concrete b1ocK _ _?._.. •---•---?----?_?-- Insulation r %-W'? '? ?•_ .- .__.. _. . _ .. ? Interior nir film . 6S -•- ? TUTA i. R • _ ,.__. __ ....,. _ v ? I/ R tj ? ? . ,r .?- ? ROOI' CEILING ? ? Outside sir fiZm Insulation l) -2 R, Drywall ---_?` ? ? ._____. 61 - -- AA • o InCerior air fflm 'iol _ +61 TOTAL R a , • w? ? !?r u - I/R Z W7 -- l Outside air fflm _ ?.61_ Insulation Drywall Interior air film .61 U = 1/R TOTAL R = U = Outside sir film •17 • ?_ Sut 7 r un._rnnfinp- ---'?? Insulation .. Wood decking , Interior air film .61 ? ?' L_ _ ---- --- - - - --- ---- - . . ? TOTAL R ° U = 1/R U " ------- ROOF/CEILING: TOTAL AREA: sq. ft. "U" x aq ft: (U)(A) Detail reference . -- ? (C) (A) from above. #fUn x sq. ft. - - - -- _ (U)(A) Describe openings x aq. ft. " (U) (A) in raof x 89• f t. _ .,,,. (rt)(A) nU•r X gq, ft. (tl) (A) x sq. ft. : (U) (A) $oUt# x sQ. ft. TOTALS sq. ft. (it) ToraL (v) (n) vALUrs DIVIDED BY TOTAL RUOF/ ? AVG. "U" CEILIN(: ARF.A AVEitAGE for ventilated roofs ? f Eor <z1I other construction 4(1'fF:: I f avc r:aPe "t'" va7.ues as calculated above do not meet the Engerry Code requirements, t) "Altcrn-ite rnve2ope nesign" as indicated on Page 5 may be used. (3) ? CITY USE ONLY LOT ? BL ? RECEIPT #: SUBD. ? RECEIPT DATE: 1997 MECHANICAL PERMIT (RESIDENTIAL) CTFY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 Date: (612) 6814675 Complete this section oniv if You are instailing HVAC in single familv, tawnhome, or condos that are under construction and are not owner /occupied. • HVAC: 0-100 M B T U $ 24.00 ADDITIONA.L 50 M BTU 6.00 • Gas outlets (minimum of one required @$3.00 ea.) • Sta.te Surcharge: .50 • TOTAL: Complete this section only if vou are remodeling, adding to, or repairing eacisting single familY dwellings, tawnhomes, or condos. _ Add-on furnace Add on air conditioning Add-on air exchanger, i.e. Vanee'system, eta Other Minimum fee applies to al1 remodel or add-ons of existing residences - $ 20.00 State Surcharge - .50 Tatai: $ 20.50 . ,...., _ ? - :/7 SITE ADDRESS: OWNER NAME: iNSTALLER NAME: STREET ADDRESS: 46? CITY: _ sl-" PHONE #• STATE: r/, f N t. ZIP: 6J `70 7 SIGNATURE C1TY USE ONLY L BL RECElPT#: SUBO. • RECEIPT DATE: 1997 MECHANICAL PERMiT (COMMERCtAL) CIT'Y OF EAGAN 3830 PILOT KNOB RO EAGAN, MN 55122 (612) 681-4675 Please compiete for. ? aii commerciaUndustriai buildings. ? muiti-famify buiidings when separate permits are no,t required for each dwelling Unlt DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION 1NTERlOR lMPROVEMENT DESCRIPTION OF WORK: FEES: ?$25.00 minimum fes gr 1°to of contract price, whichever is greater. ? Procsssed piping - $25.00 ? State surcharge of $.50 per $1,000 of rmi fee due on a!l pennits. GQNTRACT PRICE x 1 % PROCESSED PIPING - STATE SURCHARGE TOTAL SiTE ADDRESS: - OWNER NAME: TELEPHONE TENANT NAME: (iMPROVEMEtvTS orvLY) - - INSTAl.LER: ADDRESS: CIN: STATE: ZIP: PHONE #: SIGNATURE: SiGNATURE OF PERMITTEE CITY INSPECTOR PERMIT # qs I ? o RECEIPT DATE: ??b I USIUNTIAL PLU1K$INC PERIVIIT APPLICA'I'ION crrY oF EAsM 3880 PII.OT KN08 RD EAfiAN, MN 55122 651-6$1-4675 Please complete for: ? single family dweliings ? townhomes and condos when permits are required for each unit ? backfiow preventer for irrigation system r,_?,? RAMSEY, S SITE ACL')Itt?.,;: 1592 BLACKHAWK LAKE DRNE Er;GA?J, tv1N 5??122 OW?1?R ?A(?/??: : _ (651) 452-1470 j 2001 ??;; y, TELEPHONE #: (AREA CODE) INSTALLER NAME: TELEPHONE #: ?5 ?7- L-I'?33 ' . (AREA CdDE) STREET ADDRESS: ? (61: ' 1'.'.967 G-zl.rke-4-d, ,-Wcvo, CITY: ?. =3 t??'?1 ?? . ?,-„? ? f..? •??.:::?_;.?:3'? ?+?; STATE: Place a check mark neYt to thp oermit wnrk tvne Z1P: New residential dwelling unit under construction and not owner/occupied $ 90.00 Add-on, modification or alteration to existinct dwelling unit, including: $ 50.00 • abandonment of septic system • new instaftation/repair/rebuiid of RPZ • lawn irrigation system • water turnaround t N f k O? U)Aetr ?°E'LL+cvs a ure o wor : Septic System, new/refurbished - $ 225.00 • includes County & Consulting lnspectu+- fees , • requires MPC license State Surcharge $ .50 Tota I $ 50, qv Reminder: Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc. 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 properry 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 propertylright-of-way/easement. b Lti?--?.----. SI TURE OF PERMITTEE Updated 1/01 PAT GEAGAN Mayor PEGGY CARLSON CYNDEE FIELDS MIKE MAGUIRE MEG TILLEY Council Members THOMAS HEDGES Ciry Administrator Municipal Center. 3830 Piloc Knob Road Eagan, MN 55122-1897 Phone: 651.675•5000 Fax: 651.675.5012 TDD: 651.454.8535 Maintenance Facility: 3501 Coachman Point Eagan, MN 55122 Phone: 651.675.5300 Fax: 651.675.5360 TDD: 651.454.8535 www.cityofeagan.com THE LONE OAK TREE The symbol of strength and growth in our communiry November 20, 2003 Ms. Alicia Ramsey . 1592 Blackhawk Lake Drive Eagan, MN 55122 Dear Alicia: Thank you for taking the time to vaice your opinion regarding the dispute over Mrs. Betty Adelmann's property. As you likely gathered from the newspaper article that you read, Mrs. Adelmann is currently in dispute with the Metropolitan Council, who targeted Mrs. Adelmann's property as the site for a future Minnesota Valley Transit Authority (MVTA) bus garage. The debate centers on the Metropolitan Council's use of eminent domain, which is a tool that allows government agencies to obtain private property through condemnation. The decision on whether Mrs. Adelmann's property will be condennned is up to the Metropolitan Council, and not the Eagan City Council. I encourage you to contact the Metropolitan Council with your concerns. Also, as you might have seen since sending your letter, the Metropolitan Council has suspended the process of condemning Mrs. Adelmann's property until they have acquired further information, and have had the chance to evaluate the recent appraisal that was completed on Mrs. Adelmann's property. Again, I thank you for your letter, and commend you for addressing a difficult issue. I am very glad to hear that you enjoy being a member of the Eagan community and I encourage you to stay active in local government. Sincerely, Pat Geagan7 .? Dear Mayor, City Council, or whomever this rnay concern, AIOV 2903 My name is Alicia Ramsey. I am 14 years old and I have been living in the city of Eagan all of my life. Eagan is a great place and I loved growing up here. Until today, when I woke up this morning at 6:00 to go to school I read the Star Tribune newspaper. What I read was shocking. I read about a lady named Mrs.Adelmann. I happen to know her, not well, but enough to make me very concerned as vvell as other citizens of Eagan. It was about what our city officials are doing to her life. I'm not sure if you may recall this issue because it does not seem like you care one bit. What you are doing is taking her job, rnoney, home, love, and her life. Then, if you couldn't make it seem any worse, you aren't even giving her enough money to take care of her family and survive! This has made me lose all respect for Eagan's government. I am ashamed to admit that I live among the people who are doing this to Mrs.Adlemann. I would have expected a lot morE from our city officials. I really hope that at the least, you could give her a fair price, which would be the one million dollars she has asked for. That is where I wauld hope my parents' tax money would be going, to give her something for her life that you are taking away. Please have respect for the people who have made Eagan the great city it is today. Sincerely, ? f Alicia Ramsey 1592 Blackhawk Lake Drive, EAGAN ? ',-) 33 2004 RESIDENTIAL BUII.DING PERMIT APPLICAT] City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Gonstnidion Reauirements 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas (20% maximum lot coverage allowed) 2 copies of plan showing beam & window sizes; poured found design, etc. 1 set of Energy Calculations 3 copies of Tree Preservation Plan if lot platted after 7/1193 Rim Joist Detail Optlons selection sheet (bidgs with 3 or less units RemodeVRepair Requirements 2 copies of plan 1 set of Energy Calculations for heated additions 1 site survey for addfions & decks Addftion - indicate if on-site septic system 'o = Date ?--- Construction Cost Site Address ?1?? ? ?/??¢?l?j?? ./? 4e d/A Unit/Ste # Description of Work '/0.?? ?Gt? ?C'?G?1'l?/"1' '9 Multi-Family Bldg _ Y 1/ N Fireplace(s) !/ U v 1 _ 2 Property Owner Telephone #U5,8r Contractor Address City 6M04a- State Zip Telephone # ?' !,? ? ?' *CA*) we- LeAue P?;Euses or dv w? ?? fu Le,,jC_ &,e op?? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 CategorL- I Minnesota Rules 7672 Energy Code Category . . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (4 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 Mechanicai Contractor Sewer/Water Contractor Telephone # ( Telephone # ( Telephone # ( C CQ?- --, ? , ??- ?? - Z - I hereby apply for a Residential Building Permit and acknowledge that t`?e in?o mation is cok nplete?urate; 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. ?Lle -s"?JA/-`- Apphcant's Pnnted Name licant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation 0 02 SF Dweiling ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex Work Types ? 31 New ? 32 Addition ? 33 Alteration 0 34 Replacement Valuation Census Code SAC Units # of Units # of Bldgs Type of Const _ Footings (new bldg) _ Footings (deck) _ Footings (addition) Foundation Drain Tile Roof Ice & Water Final _ Framing _ Fireplace _ R.I. _ Air Test _ Final Insulation Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ? 07 05-plex ? 13 16-plex ? 20 Pool ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) O 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 Ext. Ait - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors "Demolition (Entire Bldg) - Give PCA handout to applicant Occupancy MCES System Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered Width REQUIRED INSPECTIONS _ FinaUC.O. _ FinaUNo C.O. _ Plumbing HVAC Other _ Pool _ Ftgs _ Air/Gas Tests Final _ Siding _ Stucco _ Stone _ Brick Windows _ Retaining Wall Building Inspector 411111 C!tyofEaQan Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 z//2- Resident/ Owner RECEtVr,X1 FE8112(116 Use BLUE or BLACK Ink For Office Use Permit #: 3 7 �� Lal Date Permit Fee: 1 lZ_ . Date Received: O''- )1'1 Staff: L 146 2016 RESIDENTIAL BUILDING PERMIT APPLICATION /6 Type of Work Contractor CII Site Address: Unit #: Name: (//�` St.e (?41J'/ Phone: CS" 37 T ""'7-1/47 Address / City / Zip: 1 r9t Q` 4d -4o* 0144;'N��f 4 fR✓ M# srfit Applicant is: Owner Description of work: Construction Cost: Contractor 1M 4s-4- 6.114 Multi -Family Building: (Yes / No Company: pap�� ReM�` '�' Contact: C� Address: 6O(r61/ .9vc : City: (riveter 6/11,t State:/Zip: S b Phone:ASI— Y fr-'/Email: Js&hCa r#.nS 7-4", License #: f3G 74 rd 7Z Lead Certificate #: 'q 515- 2 - If the project is exempt from lead certification, please explain why: 134ff f 97 In the las COMPLETE THS ARr s*N !F CON, .T UCT!NG A # EW !HIDING 4 dry, f ! «! .R _ }an? .� o� a �r�_ y_ .� , - � . .; _ � ._ _ < , _ master u" r� Yes _No 'f yes, ,l t ^^a address of master plan: Licensed Plumber: Me r r ,tor: __ Sewer & Wats, . .tor: _.. Fire ctor: Phone: Phone: Phone: Phone: Ions o. Ow it,. 'vv v.ctophersiateonec<ill,org ac.:n • 4(7 e r`t DO NOT WRITE BELOW THIS LINE SUB TYPES _ Foundation _ Fireplace 3 Single Family _ Garage _ Multi _ Deck 01 of Plex Lower Level WORK TYPES New Interior Improvement _ Addition Move Building 4 Alteration Fire Repair Replace _ Repair Retaining Wall DESCRIPTION w Valuation gG?sU — Plan Review (25%_ 100% /.) Census Code # of Units # of Buildings Type of Construction d� 311 REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Porch (3 -Season) _ Porch (4 -Season) _ Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width Footings (Addition) Foundation Roof: _Ice & Water _Final 4_ Framing Fireplace: _Rough In Air Test Final Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan Reviewed By: RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL 7 3 11-. y2 Siding Reroof Windows _ Egress Window Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building _ Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building — give PCA handout to applicant XO/1 PA MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required Final / No C.O. Required HVAC _ Gas Service Test Gas Line Air Test Pool: _Footings Air/Gas Tests _Final Drain Tile Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall: _ Footings _ Backfill _ Final Radon Control Fire Suppression: _Rough In _Final Erosion Control Other: , Building Inspector 13,4 Page 2 of 3 City of Eakall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 MAR 1 01016 2015x,RESIDENTIAL PLUS BING PER Date: —1046 CJ Site Address: S Tenant: Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: s5'z/0"z Date Received: Staff: IT APPLICATION Name: Address / City /Zip: ..5"--6‘..e (nom C J Name: Milbert Company Inc dba Culligan Water Address: 1801 50th St East State: Mn Zip: 55077 Phone: 651-451-2241 Contact: William R Milbert Email Suite #: hone: bt O '7( 1 License #:. WC641376 City: Inver Grove Hgts. New Replacement Repair Rebuild _ Modify Space _ Work in R.O.W. Description of work: RESIDENTIAL Water Heater Lawn Irrigation (_ RPZ / PVB) Septic System New Abandonment XWater Softener Add Plumbing Fixtures ( Main / Lower Level) Water Turnaround RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $200.00 if a 5/8" meter is required) $115.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) / f4 TOTAL FEES $ LDV , 0 0 CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work Is not to start without a permit; that the work will be in accordance with the approved plan in the case of w rk which requires a review and appro al of plans. ir►E1 �,. Applicant's Printed Name ( Applicant's Signature Use BLUE or BLACK Ink . O!~ ( For Office Use 1 .q "� Permit#: // /7 38/ @A' 't° Permit Fee: v Date Received: /--7 3830 Pilot Knob Road I Eagan MN 55122 Staff: ' ' Phone: (651)675-5675 I Fax:(651)675-5694 buildinginspections a cityofeagan.com 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 12/22/17 Site Address: 1592 BLACKHAWK LAKE DR Unit#: Name: BILL & SUE RAMSEY Phone: Resident/ 1592 BLACKHAWK LAKE DRIVE Owner Address/City/Zip: Applicant is: Owner X Contractor P Description of work: REPLACE LIVING ROOM WINDOWS Type of Work p Construction Cost: 5,000'00 Multi-Family Building:(Yes /No X ) Company: MCDONALD REMODELING Contact: KELLEY BARKER Contractor Address. 6015 CAHILL AVE E #100 City. INVER GROVE HEIGHTS 651-554-1234 Email: kelley@mcdonaldremodeling.com State: MN Zip: 55076 Phone: Lead Certificate#: NAT-29585-2 License#: BC 205832 If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression 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 ou .rovide s•ecific reasons that would •ermit the City to conclude that the are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaoan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you Intend to dig to receive locates of underground utilities. www.dopherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. xKELLEY BARKER 1v Applicant's Printed Name Appl cant's Si nature Page 1 of 3 /5i 61a_ckhe. tit-e fir 871/7 3k/ }DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration (Single Family) * Single Family _ Garage Porch (4-Season) _ Exterior Alteration(Multi) Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex Lower Level Pool Accessory Building WORK TYPES New Interior Improvement _ Siding _ Demolish Building* _ Addition _ Move Building _ Reroof _ Demolish Interior Alteration _ Fire Repair — Windows ____ Demolish Foundation Replace _ Repair Egress Window _ Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation S ilf- Occupancy 24i,G-,! MCES System Plan Review / Code Edition io/j SAC Units 25% 100% Y 1 ( ) Zoning a City Water Census Code /7134 Stories — Booster Pump ^ #of Units / Square Feet PRV _ #of Buildings 1 Length .- Fire Suppression Required Type of Construction 174B Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) 'Final/No C.O. Required Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Roof: Ice Water _Final Pool: Footings Air/Gas Tests Final At- Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath Stone Lath _Brick EFIS Insulation y• Windows Sheathing Retaining Wall: —Footings Backfill+Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: /41ix. , Building Inspector rF7 RESIDENTIAL FEES / Base Fee 1/ t Surcharge Plan Review .7 G 7- MCES MCES SAC City SAC Utility Connection Charge S&W Permit &Surcharge Treatment Plant /� Copies 6 X( , .5" * X V VE TOTAL Page 2 of 3 For Office Use ]>I�i t • ,, _ E AG A N Permit#: /�f/3.. . . .. G' %`.. '"' Permit Fee: / �a "' 0-O_-' RECIEVED Date Received: 3830 PILOT KNOB ROAD l EAGAN, MN 55122-1810 i1i (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 ?d UG i 5 LJStaff: �! buildinginspections(Mcitvofeagan.com 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 8/7/18 Site Address: 1592 Blackhawk Lake Dr. Unit#: Name: Bill & Sue Rams- Phone: 612-220-7621 Resident/ 159 Blackha k Lake Dr. Owner, Address/City/Zip: Applicant is: 0 ner X Contractor f7-6 Type of Work Description of work: New Deck Construction Cost: 13,104.37 Multi-Family Building: (Yes /No X ) I company: Outdoor Spaces Design and Build Co. Contact: Jon Hassenfritz Contractor Address: 19205 Harappa Ave City: Lakeville state: MN Zip: 55044 Phone: 952-457-0597 Email: jhass415@gmail.com BC689582 NAT-F168253-1 License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans end supporting documents that you submit are considered to be public information. Portions of the information maybe classified as non-public if you provide specificreasons that would permit the Cityto conclude;that they are trade secrets sfeCrefs.` You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeacian.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.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 accordance11with the approved plan in the case of work which requires a review and approv;� . p� 4 x Maul t4 5SEJSJ S TZ x �,� - Applicant's Printed Name Ap• icants Signature DO NOT WRITE BELOW THIS LINE j:: c I/c3CC. 'I r° k Lf11f U4 s / ��`� .SUB TYPES Foundation Fireplace — Porch(3-Season) _ Exterior Alteration(Single Family) Single Family Garage Porch(4-Season) _ Exterior Alteration(Multi) Multi 74 Deck — Porch(Screen/Gazebo/Pergola) Miscellaneous 01 of_Plex _ Lower Level — Pool Accessory Building WORK TYPES New _ Interior Improvement _ Siding — Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior _ Alteration _ Fire Repair _ Windows Demolish Foundation _ /t-'Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation 0 3 60°• — Occupancy i—g L— ) MCES System Plan Review Code Edition n L DI S- SAC Units (25% �o 100% ( ) Zoning P.) City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction 1/3 Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) r Final/No C.O. Required Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Roof:_Ice&Water _Final Pool:_Footings _Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace: Rough In _Air Test Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: % 17 j17 f in /' 1 A.fi , Building Inspector RESIDENTIAL FEES . *,C‹ ok t'a s9 • 7 Base Fee r MR 5 y" S9 • ice- Surcharge Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 I _7- 6i , � Z-/-4/4--- D12 . SURVEYOR'S CERTIFICATE e3 B SIENNA CORPORATION p+� TREVISEDo 10-13 £39 n / 834.7 HOUSE FOR �\`' �� . KEYSTONE BUL MRS. Lp�► -‘3k‘\1 - * 26• ,`3 CKHPW - 63 69 VI 90 ..... '° 83‘3\ i'14 "-- li ;i.k '51,7‘. ..- \ 0 4A 1O.i'l / BENCH MARK 836.9 k TOP OF PIPE 0 ELEV.=837.10 �A� 838.02 � ,� \ '"------I Ill -* e) iI : 6 . \ '51.) N� t ! 5�0 'L�3S'836.7 fp w COrd�1P ; .- BENCH MARK y�`vv o � r 837.6 837.8x LO \ /2,,) L. (y) I ,) TOP OF PIPE OPl 0ELEV. 83 7.44 1 2.0 ` 0 N IJA SPR GE ( ZA \ 4 \\ tTr0 � \ 29.1 FE. V ! �'. ' i �A o ` a „..-------....<-......,,,,, SEo .'b m- ... .--. .:_.,,.... .., ..._ 837.5 IA c�°PG A�' 01 c83ss, SO '+r (, \ 3;. , 4,p ,R� '12 .2 • o - \ O P /�I0*. 827.5 ) di \ f� / 0. I (VT- I -, \ 20° '25.5 �,ii PI . * IA° to L_ J I I..; \ 020.8 - c;‘" ..% --- 1 .Av--• ._,?(„10.ftc) )1/4\ - , N tp, \r,;.."--- -..- *4 29.1 LOT 14 :‘% ��,��,P� it;:s 621.1 1 tit % ° , 010.966 fir .wJ;" A 1 ::: ‘ • jf:>\ ° Vt' . ._,... - 1 _........./___ r1'Z� 111 DENOTES PROPOSED SURFACE DRAINAGE P.R.V. RE# t' p RED O DENOTES IRON MONUMENT SET SCALE: 1 INCH = 30 FEET • DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = 83S o FEET X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR = g3I, I FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK= .337.Z- FEET WE HEREBY CERTIFY TO SIENNA CORPORATION THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 14, Block I 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 3f DAY OF Mci `t , 19f2f? APPROVED FOR SIENNA SIGNED: JAMES R. HILL;INC. ), CORPORATION BY: , BY: HAROLD C. PETERSON, LAND SURVEYOR DATED MINNESOTA LICENSE NUMBER 12294 cn m � „ 0 " co James inc. uu> , - m m -n r cn Co n o M o Z o ' m z PLANNERS / ENGINEERS / SURVEYORS 4NO m 0p -< - 4N 9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 • 612-884-3029 C 0 0 PERMIT City of Eagan Permit Type:Building Permit Number:EA174982 Date Issued:03/04/2022 Permit Category:ePermit Site Address: 1592 Blackhawk Lake Dr Lot:14 Block: 1 Addition: Blackhawk Glen 3rd PID:10-14352-01-140 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 - William Walter Johnson Tste Ramsey 1592 Blackhawk Lake Dr Eagan MN 55122 Mcdonald Remodeling 6015 Cahill Ave E Suite 100 Inver Grove Hts MN 55076 (651) 554-1234 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA174989 Date Issued:03/07/2022 Permit Category:ePermit Site Address: 1592 Blackhawk Lake Dr Lot:14 Block: 1 Addition: Blackhawk Glen 3rd PID:10-14352-01-140 Use: Description: Sub Type:Fixtures Work Type:Alteration Description:Bathroom(s) 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. All tiled shower bases require a water test. Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - William Walter Johnson Tste Ramsey 1592 Blackhawk Lake Dr Eagan MN 55122 Riverside Mechanical Inc 8600 Xylon Ave N Suite 106 Brooklyn Park MN 55445 (952) 894-7600 Applicant/Permitee: Signature Issued By: Signature